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The Arthritis Centre-Research Unit, Toronto Hospital Research Institute, The Toronto Hospital-Western Division; and
Departments of Medicine and Immunology, University of Toronto, Toronto, Ontario, Canada
| Abstract |
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| Introduction |
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An extensive body of evidence indicates that production of pathogenic autoantibodies in systemic lupus erythematosus is T cell dependent. Pathogenic anti-dsDNA Abs have the characteristics of an Ag-driven response (reviewed in 4 . Further, congenitally athymic NZB/W nude mice do not develop glomerulonephritis (5), and administration of anti-CD4 mAb to NZB/W mice significantly delays the onset of disease (6, 7). Despite recent reports that pathogenic autoantibodies and nucleosomes may be recognized by T cells from these and related mouse strains (8, 9), the number and nature of Ags recognized by the autoreactive T cell population remains in dispute (10). Further, the immunologic defect that leads to activation of these T cells is unknown.
The capacity of NZB mice to produce diverse autoantibodies raises the possibility that these mice possess a generalized defect in self-tolerance. This defect could arise from abnormal T cell tolerance or from abnormal triggering of normal but incompletely tolerant T cells. T cell tolerance is mediated by several mechanisms including clonal deletion (11, 12, 13, 14), clonal anergy (15), suppression (16), and clonal ignorance (15, 17). Negative selection of autoreactive T cells in the thymus appears to be normal in NZB/W mice (18, 19). Peripheral clonal deletion following administration of exogenous superantigens is similarly normal (20). In contrast, NZB and NZB/W mice are reported to be resistant to high zone tolerance induction with soluble Ags (21, 22). Since this form of tolerance is thought to be mediated by clonal anergy (23, 24, 25, 26), these studies raise the possibility that clonal anergy induction may be defective in these strains of mice. To examine this possibility for an endogenous soluble Ag, we backcrossed a transgene encoding bovine insulin (BI) onto the NZB background. In nonautoimmune BALB/c mice, the presence of the BI transgene induces a profound but incomplete state of T cell tolerance that is mediated predominantly by clonal anergy (27) and is not dependent upon the presence of a thymus (28). Comparison of T cell tolerance in NZB and BALB/c BI-transgenic mice clearly demonstrated that NZB T cells were at least as tolerant to BI as BALB/c T cells. NZB BI-transgenic mice did not spontaneously produce anti-BI Abs, and following antigenic challenge, BI-specific Ab production was comparably reduced in both BI-transgenic NZB and BALB/c mice. Furthermore, in vitro BI-specific T cell proliferation and cytokine secretion were appropriately decreased for primed lymph node and splenic T cells derived from NZB BI-transgenic mice relative to their nontransgenic counterparts.
Overall, the data do not support a role for a generalized T cell tolerance defect in murine lupus. Instead, the data raise the possibility that autoimmunity in these mice may arise from an abnormal triggering of normal but partially tolerant T cells eventually leading to support for pathogenic autoantibody production.
| Materials and Methods |
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BI-transgenic BALB/c mice were produced as previously described (27). The transgene is under control of the human insulin promoter and is appropriately regulated under physiologic conditions. Approximately 10 to 60% of the insulin produced in these mice is derived from the transgene. BI-transgenic NZB mice were generated by breeding female NZB mice with BALB/c BI-transgenic or backcross transgenic male mice. Offspring were screened for the presence of the transgene by PCR amplification of tail DNA with nested HI-specific primers. Mice used in this study were backcrossed to at least the N5 generation. However, similar results to those outlined below were obtained for N3 and N4 generations. All mice were immunized at 12 to 20 wk.
Ab production
Serum levels of total IgM were measured by sandwich ELISA. Briefly, plates were coated with a goat anti-mouse IgM-specific (Jackson Immunoresearch, West Grove, PA) Ab by overnight incubation at 4°C. Following incubation with diluted serum (1/10,000), bound IgM was detected using as secondary reagent an alkaline phosphatase-conjugated goat anti-mouse IgM-specific Ab (Caltag, San Franscico, CA). The amount of IgM was calculated from a standard curve using a purified IgM mAb of known concentration (kindly provided by Dr. M. Shulman, Toronto, Canada).
IgM anti-ssDNA Abs were measured by ELISA. Briefly, plates were coated with 100 µl of calf thymus ssDNA diluted in PBS (10 µg/ml) overnight at 4°C. The plates were washed with PBS/Tween 20 and blocked with 2% BSA in PBS. After washing, serum samples diluted 1/100 in PBS/BSA were added. ssDNA-specific IgM Abs were detected using the same anti-IgM secondary reagent described above.
BI-specific Ab production was measured following injection of mice with various amounts of monocomponent BI (Novo-Nordisk Pharmaceuticals, Copenhagen, Denmark), emulsified at a 1:1 ratio with CFA (Difco, Detroit, MI), either in a single foot pad (f.p.) or i.p. Ab production was measured 10 or 14 days later by an ELISA using BI-coated plates as previously described (27). Alkaline phosphatase-conjugated goat anti-mouse IgG, IgG1, IgG2a, and IgG2b were used as developing Abs.
T cell proliferation and lymphokine assays
Mice were injected with BI in a single f.p. as described above. After 10 to 14 days, single-cell suspensions were prepared from the draining popliteal lymph node or spleen (erythrocytes lysed before use). Cells (5 x 105/well) were cultured for 3 days in medium containing 0.5% normal mouse serum, but lacking FCS, and various concentrations of BI. Proliferation was measured by [3H]thymidine incorporation after an 18-h pulse with 1 µCi/well. Results are expressed as the arithmetic mean cpm of triplicate wells.
To assay for Ag-driven IL-2 or IL-4 production, BI-primed lymph node or splenic cells were cultured, as described above, and supernatants harvested at 48 and 72 h, respectively. IL-2 was measured in the supernatant by a standard bioassay using the IL-2-dependent cell line, CTL.L. Anti-mouse IL-4 mAb (11B11) was added to block proliferation in response to IL-4. Proliferation induced by 100 U of IL-4 was completely inhibited by the Ab. For quantitation of IL-4, proliferation of the IL-4-dependent cell line CT.4S was measured following incubation with supernatant in the presence of S4B6, an anti-IL-2 mAb. This Ab completely inhibits proliferation induced by up to 10 U of IL-2. For both IL-2 and IL-4, cytokine concentration (U/ml) was calculated from a log-log plot of cytokine-specific proliferation of the relevant cell line vs serial dilutions of a recombinant cytokine preparation (Genzyme, Cambridge, MA).
IFN-
and IL-10 levels in tissue culture supernatants were measured
by ELISA at 48 and 72 h, respectively. The following paired Abs
were purchased from PharMingen (San Diego, CA): purified rat
anti-mouse capture mAb, clone JES5-2A5 for IL-10 and clone R4-6A2
for IFN-
; and biotinylated rat anti-mouse detection mAb, clone
SXC-1 for IL-10 and clone XMG1.2 for IFN-
. Assays were performed as
per the manufacturers recommendations. The concentration of cytokine
in each supernatant was calculated from a log-log plot of absorbance vs
concentration of recombinant cytokine preparation (Genzyme).
For experiments that used purified CD4+ T cells, 3 x 105 cells were cocultured with 5 x 105 Thy-1-depleted APC and various concentrations of BI. CD4+ T cells were purified by incubation of primed lymph node cells with biotinylated mAbs to CD8a (53-6.7), B220 (RA3-6B2), and I-Ad/Ed (2G9) (all from PharMingen) followed by negative selection using streptavidin-conjugated magnetic beads (Dynal, Lake Success, NY). This procedure routinely results in CD4+ lymphocytes with 90 to 95% purity. Irradiated (3000 rad) T cell-depleted splenic APC from naive mice were prepared by complement-mediated lysis following treatment with anti-CD4 (RL172), anti-CD8 (3.168), and anti-Thy-1.2 (HO13.4) mAb. Dead cells were removed by centrifugation over Ficoll, yielding >95% pure APC.
Statistical analyses
For comparison of differences in cytokine production between the groups of mice, p values were calculated using the Mann-Whitney U test. Fishers exact test was used to compare the proportion of mice producing detectable levels of cytokine between groups.
| Results |
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NZB mice have several characteristic serologic abnormalities
associated with their autoimmune disease, including increased serum
levels of IgM and production of IgM and IgG anti-ssDNA Abs (1). To
determine whether the BI-transgenic NZB mice used in these experiments
had been sufficiently backcrossed to yield an autoimmune phenotype, we
examined the levels of these Abs in experimental mice (both
BI-transgenic and nontransgenic littermate controls) and compared them
to age-matched wild-type NZB mice. The results of this analysis, shown
in Figure 1
, demonstrated that NZB
backcross mice had levels of polyclonal IgM and IgM anti-ssDNA
autoantibodies that were comparable with wild-type NZB mice and
significantly different from BI-transgenic or wild-type BALB/c mice
(all p values <0.0001). Consequently, given the number of
backcrosses and evidence for autoimmunity in BI-transgenic NZB mice, it
is likely that these mice possess most, if not all, of the NZB genetic
loci associated with disease. Notably, BI-transgenic NZB mice did not
spontaneously produce IgG BI-specific autoantibodies at any age tested.
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To investigate T cell tolerance in BI-transgenic mice, we examined
T cell function in vitro following immunization in a single f.p. with
50 µg of BI emulsified in CFA. Draining popliteal lymph node cells
were isolated 10 to 14 days later and cultured in vitro together with
various concentrations of BI. As shown in Figure 3
A, the proliferative response
to BI, while detectable, was significantly and comparably reduced in
BALB/c and NZB BI-transgenic mice. In both strains of mice,
BI-transgenic lymphocytes required
100-fold higher concentrations of
BI than control nontransgenic lymphocytes to produce a subnormal
response. Figure 3
B demonstrates that this reduced
proliferation reflects tolerance in the CD4+ T cell subset
for both NZB and BALB/c BI-transgenic mice. This is consistent with our
previous observation that tolerance in BALB/c BI-transgenic mice is
mediated predominantly by clonal anergy in the CD4+ T cell
subset (27). Addition of CD8+ BI-transgenic T cells to
nontransgenic CD4+ T cells had no effect on BI-specific
proliferation or cytokine production in vitro (data not shown).
Although results shown are for 18-wk-old mice, similar results were
obtained from mice at all ages tested (1228 wk).
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, or IL-4 and IL-10, by BI-primed T cells was measured
to assess tolerance in Th1 and Th2 cell subsets, respectively. Figure 4
and IL-10 by T cells from nontransgenic
BALB/c mice, the results for these cytokines were consistent with this
T cell tolerance. While IFN-
was generated by the majority of
nontransgenic BALB/c mice examined, none of the BI-transgenic mice
produced detectable amounts of this cytokine (p
= 0.00003). Similarly, both the proportion of mice with T cells that
secreted IL-10 (p = 0.036) and the amount of
IL-10 produced (p = 0.047) was significantly
decreased for BI-transgenic BALB/c mice.
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was found in T cell supernatants from
nontransgenic NZB mice (p = 0.0005 compared
with nontransgenic BALB/c mice) that tolerance could not be established
using this method. Therefore, to further investigate IFN-
secretion
in NZB mice, we pooled primed lymph node cells from several mice and
cultured them at 10 x 106 cells/well in 24-well
plates. Under these conditions, significant amounts of IFN-
were
found in supernatants from primed nontransgenic but not BI-transgenic
NZB mice (nontransgenic NZB, 620 pg/ml; nontransgenic BALB/c, 3768
pg/ml; mean of two independent experiments). This was confirmed by PCR
amplification of cDNA from these cells in which IFN-
could be
detected only in primed Ag-stimulated T cells from nontransgenic BALB/c
and NZB mice (data not shown). Taken together, the data indicate that
BI-specific T cell tolerance induction has resulted in a comparable
inhibition of both Th1- and Th2-like T cell functions in NZB and BALB/c
lymph node T cells.
Previous studies have shown that the spleens of NZB and NZB/W mice
contain autoreactive T cells that provide support for anti-RBC or
anti-dsDNA Ab production, respectively (8, 9, 29). We questioned,
therefore, whether BI-primed splenic T cells from BI-primed NZB
transgenic mice demonstrated altered function. The results of this
analysis are shown in Figure 5
. In
contrast to lymph node T cells, BI-primed splenocytes from
nontransgenic NZB mice produced comparable (IL-2, IL-4, IFN-
) or
increased (IL-10, p = 0.025) amounts of cytokines in
response to antigenic stimulation relative to BALB/c mice. Basal
unstimulated levels of IL-10 secretion by BI-primed NZB splenocytes
were also significantly increased compared with their BALB/c
counterparts (NZB, 68.9 ± 65.9 pg/ml, 13 of 19 mice >20 pg/ml;
BALB/c, 0 of 24 mice >20 pg/ml; p < 0.00001) The
increased amounts of IL-10 detected in these mice did not result from
BI priming, because similar amounts were secreted by unprimed
splenocytes from age-matched NZB mice (data not shown).
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T cell support for autoantibody production following a strong immunogenic stimulus does not differ between normal and autoimmune mice
Although BI-transgenic BALB/c mice are tolerant to BI, we have previously demonstrated that provision of these mice with a strong immunogenic stimulus, such as f.p. immunization with BI emulsified in CFA, can overcome tolerance, to a limited extent, resulting in BI-specific autoantibody production (27). Under these conditions, T cell support for BI-specific autoantibody production is dependent upon the dose of Ag administered. While immunization with 10 µg of BI produces little if any BI-specific IgG, 50 µg of BI results in significant levels of BI-specific IgG, albeit still significantly reduced compared with nontransgenic littermate controls. Our previous work in BI-transgenic BALB/c mice has shown that although tolerance is mediated predominantly by clonal anergy, support for BI-specific autoantibody production results from activation of low affinity T cells that appear to have escaped tolerance induction (27). On the basis of these results, we reasoned that subtle T cell tolerance defects in NZB mice might alter T cell support for BI-specific autoantibody production either quantitatively or qualitatively from that in BI-transgenic BALB/c mice. We therefore immunized both strains of mice with BI, as described above, and measured the serum levels of IgG1 and IgG2a BI-specific Abs. This experiment revealed that, similar to their normal counterparts, NZB BI-transgenic mice fail to produce significant amounts of BI-specific autoantibodies following immunization with 10 µg of BI (data not shown).
Representative results for mice immunized with 50 µg of BI are shown
in Figure 6
. In general, the amount of
BI-specific IgG1 produced by NZB control nontransgenic mice following
f.p. immunization did not differ significantly from BALB/c control
nontransgenic mice, while the amount of BI-specific IgG2a was
increased by 3- to 10-fold. Because the fold decrease for
each BI-specific Ab isotype in BI-transgenic compared with
nontransgenic mice was similar for both strains of mice, the isotypes
of BI-specific autoantibodies produced by BI-transgenic mice in each
strain reflected these differences. While BALB/c BI-transgenic mice
produced predominantly IgG1 Abs, NZB BI-transgenic mice consistently
produced increased amounts of IgG2a Abs, and this was frequently the
predominant isotype produced by these mice (similar results were
obtained for IgG2b Abs).
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| Discussion |
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Although decreased Ab production in BI-transgenic mice could result from B cell tolerance, T cell tolerance, or both of these mechanisms in combination, previous work has demonstrated that physiologic levels of insulin are insufficient to induce tolerance in the B cell subset (33, 34). Consequently, it is unlikely that B cell tolerance mechanisms play a significant role in BI-transgenic mice when the levels of BI are below those of mouse insulin (27). This conclusion is supported by the observation that immunization of BI-transgenic mice with pork insulin generates levels of BI-specific Abs that are comparable to those found in nontransgenic mice (our unpublished observations). Instead, tolerance in BI-transgenic mice appears to be mediated entirely by T cell tolerance. Consistent with this mechanism of tolerance, BI-transgenic mice demonstrated decreased BI-specific proliferation and cytokine production compared with nontransgenic littermates following immunization with BI.
Given the dominant role of T cell tolerance in the BI-transgenic system, the observation that BI-specific T cell function is similarly reduced in NZB and BALB/c BI-transgenic mice demonstrates unequivocally that T cell tolerance mechanisms are intact in NZB mice. Remarkably, the mechanisms maintaining BI-specific T cell tolerance remain intact even in older NZB mice with serologic evidence of autoimmune disease. Furthermore, tolerance to BI is maintained at a time when when primed autoreactive T cells capable of providing support for anti-RBC production can be readily demonstrated (29). This suggests that activation of autoreactive T cells in NZB mice does not result from a global loss of T cell tolerance but instead reflects a specific break in tolerance for a limited number of self Ags. How do these autoreactive T cells arise? Our data provide one possible explanation. We show that in the setting of profound but incomplete tolerance, a strong immunogenic stimulus can activate autoreactive T cells to provide support for autoantibody production in vivo (27). This finding raises the possibility that activation of autoreactive T cells in NZB and NZB/W mice results from abnormal triggering of normal T cells in the setting of incomplete tolerance. In support of this possibility, we have found that the majority of polyclonally activated B cells in NZB mice, which includes B cells with specificity for dsDNA and RBC, express up-regulated levels of costimulatory molecules, particularly B7.1, at levels that may be sufficient to activate naive T cells (J. Wither, V. Roy, and L. Brennan, manuscript in preparation).
Although T cell tolerance was normal in NZB mice, other aspects of T
cell function appeared impaired. Specifically, primed lymph node T
cells from NZB mice produced significantly lower amounts of IL-2, IL-4,
and IFN-
in response to Ag stimulation in comparison to BALB/c mice.
Decreased production of IL-2 has been previously observed following Con
A stimulation of lymph node T cells obtained from NZB mice (35);
however, the immunologic factors that lead to suppressed cytokine
production have not been elucidated. Our finding that unstimulated
splenocytes, and to a lesser extent lymph node cells (BI-primed lymph
node T cells spontaneously produced IL-10 in 3 of 33 NZB compared with
0/24 BALB/c mice examined), spontaneously secrete IL-10 provides one
potential explanation for the altered T cell function in NZB mice.
IL-10 inhibits APC function through down-regulation of costimulatory
molecule expression and inhibition of proinflammatory cytokine
secretion (36, 37). In addition, IL-10 has been shown to impair
development of T cells with a Th1 phenotype (38). Further, repeated Ag
stimulation in the presence of IL-10 promotes differentiation into a
regulatory T cell subset that secretes large amounts of IL-10 and low
amounts of IL-2, IL-4, and IFN-
, and suppresses T cell function
(39). This pattern of cytokine production parallels to some extent the
pattern seen for Ag-stimulated lymph node T cells isolated from NZB
mice, suggesting that endogenously expressed IL-10 may have induced
differentiation of a portion of BI-specific T cells into this T cell
phenotype. Nevertheless, factors other than IL-10 clearly dictate the
amount and nature of cytokines produced by BI-stimulated NZB T cells,
because cytokine production by splenic T cells, where spontaneous
production of IL-10 was highest, was comparable with BALB/c splenic T
cells, while cytokine production by lymph node T cells was dramatically
reduced. It is possible that this lack of correlation between IL-70
levels and cytokine production may reflect differences in the APC
populations at these two sites.
Increased spontaneous production of IL-10 in NZB mice could result from at least two distinct mechanisms. First, the increased levels of IL-10 could reflect the expanded population of CD5+ B1 cells in these mice. This cell population has previously been shown to secrete large amounts of IL-10 (40). Alternatively, spontaneously activated autoreactive T cells in NZB mice could secrete IL-10 as part of their cytokine profile. In keeping with this latter possibility, IL-4 message was detected by PCR in the spleens of NZB but not BALB/c mice (data not shown). Although spontaneous production of IL-4 was not detectable by bioassay (lower limit of detection, 0.3 U/ml), suggesting that the number of Th2-like cells is small, we cannot rule out the possibility that T cells with other cytokine profiles, such as the regulatory T cells outlined above, contribute significantly to the high levels of IL-10 observed.
Despite quantitative differences in the amount of cytokine produced by
BI-stimulated lymph node T cells, primed T cells from the spleens and
lymph nodes of both NZB and BALB/c mice (with the exception of IL-10)
demonstrated a similar pattern of cytokine production. Nevertheless,
NZB mice produced increased amounts of BI-specific IgG2a compared with
BALB/c mice. Indeed, this was the predominant isotype produced by
primed BI-transgenic NZB mice. While the capacity of lupus-prone mice
(NZB, NZB/W, BXSB, and MRL lpr/lpr) to produce increased
amounts of IgG2a Abs in response to immunization with soluble Ags has
been noted previously (41, 42), the data reported here suggest that in
NZB mice the increased levels of IgG2a Ag-specific Abs may not reflect
increased generation of a Th1-type response. Instead, our recent
finding that resting B cells from NZB and NZB/W mice demonstrate
increased proliferation and/or IgM secretion in response to a variety
of T cell-derived stimuli, including signals generated through CD40,
and the cytokines IL-4, IL-5, IL-10, and IFN-
(43), raises the
possibility that the increased production of IgG2a Abs in NZB mice may
reflect the enhanced responsiveness of their B cells to certain
cytokines, possibly IFN-
and/or IL-10.
Both Th1 and Th2 cytokines have been shown to play a role in the
pathogenesis of murine lupus. Administration of IFN-
to NZB/W mice
accelerates disease (44), while treatment with anti-IFN-
mAb
(45) and soluble IFN-
receptor (46) suppresses the development of
glomerulonephritis. Similarly, treatment of NZB/W mice with
anti-IL-4 or -IL-10 mAb reduces IgG anti-dsDNA production and
delays the onset of glomerulonephritis (47, 48). Nevertheless,
pathogenic autoantibodies in NZB and NZB/W mice are predominantly of
the complement-fixing IgG2a isotype (1, 49), and complement activation
has been shown to play an important role in the pathogenesis of renal
disease in NZB/W mice (50). Consequently, our observation that there is
a the shift toward a predominant IgG2a response in the context of
self-tolerance in these mice, regardless of the mechanism leading to
their generation, may be highly relevant to the disease process.
In summary, based upon the results reported herein, we propose that autoimmunity in NZB and NZB/W mice arises in the setting of normal but incomplete T cell tolerance. Aberrant activation of these T cells, possibly as a consequence of polyclonal B cell activation and/or altered Ag presentation, leads to generation of minimal T cell signals, which in the setting of B cell hyperresponsiveness eventually lead to expression of autoimmune disease.
| Acknowledgments |
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| Footnotes |
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2 Address correspondence and reprint requests to Dr. Joan Wither, The Arthritis Centre-Research Unit, The Toronto Hospital Research Institute, The Toronto Hospital-Western Division, FP1-212, 399 Bathurst Street, Toronto, Ontario, Canada M5T 2S8. ![]()
3 Abbreviations used in this paper: NZB, New Zealand Black; NZW, New Zealand White; NZB/W, (NZB x NZW)F1; BI, bovine insulin; f.p., foot pad. ![]()
Received for publication June 26, 1997. Accepted for publication June 24, 1998.
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-globulins in adult mice induces antigen-specific unresponsiveness of T helper type 1 but not type 2 lymphocytes. J. Exp. Med. 175:9.
-interferon. J. Exp. Med. 166:798.
receptor inhibits the onset of glomerulonephritis. Eur. J. Immunol. 25:6.[Medline]
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