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*
Institut National de la Santé et de la Recherche Médicale, Unité 477, Université René Descartes, Paris, France; and
Laboratoire dImmunologie, Faculté de Médecine Cochin-Port Royal, Université René Descartes, Paris, France
| Abstract |
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| Introduction |
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Fas-FasL interaction is required for the maintenance of immune
homeostasis. A failure in that interaction may lead to autoimmune and
lymphoproliferative disorders in mice (4, 5, 6) and humans as well (7, 8, 9).
Therefore, it was expected that inducing ectopic FasL expression on the
target cells of an autoimmune reaction or on a transplanted organ
(10, 11, 12) would interfere with the deleterious immune process. Several
groups have reported the generation of transgenic mice with FasL gene
under the control of the insulin promoter to protect the animals from
insulin-dependent diabetes mellitus (13, 14). The general lack of
protection observed in those experiments may be explained by the high
degree of susceptibility of pancreatic ß cells to Fas-mediated death
both in humans (15) and mice (13). In contrast, thyroid follicular
cells (TFC) were especially attractive as sites of ectopic FasL
expression, because they are known to be resistant to Fas-mediated
apoptosis (16). Therefore, the therapeutic role of FasL was tested in
mice with experimental autoimmune thyroiditis (EAT), which is a well
established murine model of Hashimotos thyroiditis. The disease is
characterized by autoreactive T and B cell responses and a marked
lymphocytic infiltration of the thyroid. In the past, various
preventive treatments of EAT have been reported. Those included
Ag-specific approaches, such as i.v. injection of soluble thyroglobulin
(Tg) before a subsequent immunization with Tg (17, 18), Tg-specific T
cell lines (19), or clones (20). Nonspecific therapies included
injection of anti-class II Abs (21), anti-CD4 (22), or IFN-
mAb (23). More recently, we reported that IL-10 was able to prevent and
cure EAT (24). To our knowledge, no attempt of gene therapy has ever
been made for the treatment of EAT. We chose a nonviral transfer system
that allies simplicity, absence of protein contaminations (thus
minimizing host responses to the vector), and that may be applied to
humans later on. Because TFC are transfectable with naked DNA (25), we
have designed an original in vivo gene transfer technique allowing a
rapid and lasting expression of plasmid DNA in the thyroids of mice.
Our results demonstrate that FasL expression on TFC of mice with EAT
dramatically reduced the lymphocytic infiltration of the thyroids,
abrogated the anti-Tg cytotoxic T cell response, and induced a
selective persistence of IgG1 anti-Tg Abs.
| Materials and Methods |
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CBA/J female mice were purchased from Iffa Credo (LArbresle, France). Female mice between 710 wk of age were used in all experiments. Animals were maintained in standard environmental conditions with free access to food and water. After purchase, they were allowed to adapt to their environment for 1 wk before initiating the experiments.
Expression vectors
The plasmid expression vectors used in this study were:
pcDNA3-ß-gal encoding the Escherichia coli
ß-galactosidase (ß-gal) gene under the control of the CMV immediate
early promoter (a gift of G. Richter, Max Delbrueck Center, Berlin,
Germany); pcDNA3.1-FasL and Tg promotor (pTg)-FasL encoding the
rat FasL under the control of either the CMV immediate early promoter
or the bovine pTg (a gift of D. Christophe, Université Libre de
Bruxelles, Bruxelles, Belgium). The cDNA of rat FasL contained
in a pBluescript (Stratagene, Cambridge, U.K.) (a gift of S. Nagata,
Osaka University, Japan). pcDNA3.1-FasL was constructed by
subcloning the XhoI fragment of the rat FasL into the
XhoI site of the pcDNA3.1 vector (Invitrogen, Leek, The
Netherlands). pTg-FasL was constructed by subcloning the
EcoRV-KpnI fragment of the rat FasL into the
EcoRV-KpnI sites of the pTg-Gs
(26). Control
experiments were performed using the empty vectors pcDNA3.1 and pTg.
Plasmid formulation
In this study, gene transfer was performed with plasmids complexed with poly(L-lysine) (PLL) (Sigma, St Quentin Fallavier, France) and Lipofectamine (Life Technologies, Eragny, France). Plasmids grown following standard procedures and purified by Qiagen Maxi column (Qiagen, Courtaboeuf, France) were stored at the concentration of 1 mg/ml in sterile water. PLL-DNA-liposome complexes were formed by mixing first 1 µg plasmid with 380 ng PLL in 10 µl Opti-MEM (Life Technologies). After 15 min incubation at room temperature to allow DNA-PLL condensation, the mixture was added to a 10-µl solution of 10 µg lipofectamine in Opti-MEM. After 30 min incubation, the preparation was delivered to the animals.
RT-PCR
For RT-PCR, whole thyroid extracts were homogenized and RNA was prepared by guanidine isothiocyanate-acid phenol extraction. Total RNA was treated with DNase I (Boehringer Mannheim, Mannheim, Germany), then 0.5 µg of RNA was used in a first-strand cDNA synthesis using oligo-dT primer, and PCR was performed from 1:20 of the cDNA reaction. The PCR reaction generated a 545-base pair fragment of rat FasL (sense primer 5'-AAGGACAACATAGAGCTGTG-3' and anti-sense 5'-AAATGGTCAGCAACGGTAAG-3'), a 542-base pair fragment of mouse FasL (sense primer 5'-AGGACCACAACACAAATCTG-3' and anti-sense 5'-GGTCAGCACTGGTAAGATTG-3'), or a 348-base pair fragment of murine ß actine (sense primer 5'-TGGAATCCTGTGGCATCCATGAAAC-3' and anti-sense 5'-TAAAACGCAGCTCAGTAACAGTCCG-3'). The RT-PCR products were subjected to electrophoresis on a 2% agarose gel and stained with ethidium bromide.
Immunization of animals
Porcine Tg (Sigma) was emulsified in CFA for immunization on day 0 and on IFA for challenge on day 14. CFA suspension, which contained 1 mg/ml of Mycobacterium tuberculosis, strain H37Ra (Difco Lab, Detroit, MI) was injected i.d. with 100 µg of porcine Tg. Animals were killed at various times postimmunization as specified in the text.
Surgical procedure
Mice were anesthetized i.p. with 125 mg/kg avertine (Sigma). Using sterile procedures, a lateral neck dissection was performed to visualize the thyroid gland and dissect it free of surrounding fascia and muscle while maintaining the capsule intact and blood supply constant. The connective shaft surrounding the thyroid gland was gently dissected to form a gutter, where the plasmid preparation was applied using a 100-µl syringe. This procedure allowed a direct contact between the plasmid mixture and the thyroid gland without any effraction. After 12 min of contact, the wound was closed in layers using conventional surgical procedures.
Histopathological studies of thyroid specimens
The histological grade of EAT was assessed by three persons by blind evaluation of thyroid specimens. Infiltration indexes were evaluated on 5-µm thick sections stained with Masson Goldners trichrome solution. EAT was graded as a function of the mononuclear cell infiltration of the thyroid: grade 1, interstitial accumulation of inflammatory cells distributed around one or two follicles; grade 2, one or more foci of inflammatory cells reaching at least the size of one follicle; grade 3, 1040% of the thyroid replaced by inflammatory cells; and grade 4, >40% of the thyroid replaced by inflammatory cells.
Flow cytometry and assessment of apoptosis
Intrathyroidal cell suspension was prepared by mincing thyroid lobes from four mice of each group with a scalpel blade in serum-free HBSS. The cells were washed once and the pellet was incubated with 4 ml collagenase (Boehringer Mannheim) (1.5 mg/ml, 30 min, 37°C) under constant agitation. After two more washes in PBS and resuspension in FACS medium (PBS, 2% FCS, 0.02% NaN3), 1 to 2 x 105 cells were stained with the appropriate mAb at saturating concentrations of 0.5 µg/2 x 105 cells. The following anti-mouse Abs were used: phycoerythrin-conjugated anti-CD4 (RM45), anti-CD8 (536.72), anti-B220 (RA36B2), anti-MAC-1 (M1/70.15), (Caltag, South San Francisco, CA). After labeling with the appropriate phycoerythrin-conjugated Ab, samples were processed for apoptosis determination using annexin V-FITC labeling (Boehringer Mannheim) following manufacturer recommendations.
In vitro cytotoxic responses to Tg-pulsed syngeneic macrophages
Cytotoxic responses were evaluated on 4-day in vitro porcine
Tg-activated splenocytes. Then, 14 days after gene transfer (day
35 postimmunization), spleen cells were prepared at 5 x
106/ml in medium. Cells were cultured in 100-mm petri
dishes with 40 µg/ml porcine Tg and 1 nM rIL-2 at 37°C for 4
days. At the end of the culture, cells were harvested, washed twice in
HBSS, and referred to as effector cells. Peritoneal macrophages from
thioglycolate-injected CBA/J mice were collected in HBSS-10% FCS,
washed twice, and counted after staining with neutral red. Pelleted
cells were then labeled with 100 µCi of 51Cr per
106 cells. After 1 h incubation at 37°C under
shaking, cells were washed twice in HBSS-10% FCS and 104
macrophages were distributed into each well of flat-bottom 96-well
plates (Costar, No. 3799, Cambridge, MA). Then, 50 µg of porcine
Tg were added under a volume of 100 µl for 4 h.
Thereafter, the pulsed macrophages were washed with HBSS and 100 µl
of effector cells at 2.5, 5, 10, and 20 x 105
cells/ml were added. After 6 h incubation, 100 µl of supernatant
were collected and chromium release measured in a
-scintillation
counter (LKB, Bromma, Sweden). Spontaneous release was <23%.
Spontaneous and maximal releases were defined by incubation of target
cells with culture medium in the absence or the presence of Triton
X-100 detergent (5% v/v solution in Tris buffer), respectively.
Levels and isotypes of Abs to pTg
Mice were bled by cardiac puncture at the time of death. Sera were stored at -20°C until use. Abs to porcine Tg were detected by ELISA as previously described (23). Briefly, flat-bottom microtiter plates (Costar, No. 3590) were coated overnight with 50 µl of 100 µg/ml porcine Tg at 4°C, then washed twice with PBS-Tween 20. Free protein binding sites were blocked by adding PBS-1% BSA for 2 h at 37°C. Serial 10-fold dilutions (1:103 to 1:107) of the sera from individual mice were incubated overnight at 4°C. After extensive washing of the plates, alkaline phosphatase-conjugated goat anti-mouse IgG (Miles-Yeda Laboratories, Rehovot, Israel), diluted 1:5000 in PBS-Tween, was added as second Ab and the colorimetric reaction revealed by substrate addition. The plates were read at 405 nm with a Titertek multiscan spectrophotometer (Dynatec MR 5000, Guyancourt, France). Isotypes of Abs to porcine Tg were determined in individual sera (serial 10-fold dilutions from 1:104 to 1:106) using alkaline phosphatase-conjugated goat anti-mouse IgG1, IgG2a, IgG2b, and IgG3 as secondary Abs (Southern, Birmingham, USA). For the IgG3 levels, we used a 1:102 to 1:104 dilutions. Arbitrary units of IgG, IgG1, IgG2a, IgG2b Abs were defined as the amount of anti-Tg Ab providing the same OD as a standard serum diluted 1:106. One unit of IgG3 was reported to the OD provided by 1:104 standard serum. The standard serum was a pool of mouse sera with high amounts of anti-porcine Tg Abs.
| Results |
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FasL expression was measured by RT-PCR in normal mouse thyroid
(Fig. 1
A) and at various times
following transfer of expression vectors. Whereas normal thyroid was
negative for FasL expression, transfer of 1 µg of plasmid preparation
as described in Materials and Methods induced FasL mRNA
expression within 24 h and for at least 15 days (Fig. 1
B). FasL expression was undetectable on day 30 after gene
transfer (not shown). The same results were obtained following transfer
of plasmid DNA encoding ß-gal (not shown). Thus, as previously
observed in rabbit by Sikes et al. (25), mouse thyroid cells were able
to take up DNA and express the gene of interest.
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To determine whether FasL expression could alter the course of
ongoing EAT, CBA/J mice were immunized with Tg using standard
procedures. Because the first signs of EAT appears around 2 wk
postpriming (27), mice were treated on day 21 with different plasmid
DNA preparations. The animals were then killed 1 or 2 wk after DNA
injection (day 28 or day 35 postimmunization), at a time when the
infiltration usually reaches its peak in untreated immunized animals.
Table I
summarizes the data obtained in
three consecutive experiments. FasL expression resulted in an highly
and significant decrease in the infiltration of the thyroid glands on
day 28 and on day 35 as well. The mean infiltration index per mouse was
1.56 ± 0.24 in PBS-treated group, 0.40 ± 0.14
(p < 0.001) and 0.70 ± 0.30
(p < 0.05) after injection of pCMV-FasL and
pTg-FasL, respectively. In controls (empty vectors and ß-gal-encoding
vectors), the disease was similar to that in immunized mice after
saline treatment, implying that the vectors did not affect the course
of the disease (Table I
). All of the nonimmunized animals
infused with the various constructions (five mice per group) showed
normal thyroids (data not shown). Thus, FasL expression on thyroid
cells under autoimmune attack inhibits lymphoid infiltration of the
gland.
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To understand the mechanism of the lymphocytic thyroid infiltrate abrogation, we investigated whether the lymphoid cells had undergone apoptosis in the thyroid of animals treated by FasL gene constructs.
Four thyroids per group were pooled and treated as described in
Materials and Methods before flow cytometry analysis. In
agreement with the lower index of lymphocytic infiltration mentioned
above (Table I
), a strong reduction in the absolute number of
infiltrating cells was observed in the FasL gene transferred groups
compared with PBS-treated group. The number of intrathyroidal
lymphocytes was reduced by 47% and 37% in pCMV-FasL- and
pTg-FasL-treated groups, respectively, compared with PBS-treated group.
Furthermore, the percentage of apoptotic lymphocytes was higher in
FasL- than in PBS-treated groups (2.28-fold and 1.42-fold increases in
cells labeled with annexin V-FITC following pCMV-FasL and pTg-FasL
treatments, respectively). To investigate whether the proapoptotic
effect of FasL expressed on TFC was selectively exerted on some
cell subsets, CD4-, CD8-, B220-, and MAC-1-positive cells were
enumerated in suspensions of infiltrating cells. Both pCMV-FasL- and
pTg-FasL-treated groups showed a similar reduction in intrathyroidal
CD4- and CD8-positive cells (Table II
).
However, B220-positive cells were in higher percentages in both groups
compared with PBS-treated group. There was no alteration in the
macrophage-gated population based on forward and side scatters and on
MAC-1 expression (Table II
). These results strongly suggest that
expression of FasL by TFC in thyroids with autoimmune inflammation
induces intrathyroidal T lymphocyte apoptosis.
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Because Tg-specific cytotoxic T cells are the main effectors in
EAT, FasL gene transfer was tested for its ability to modulate this
response. Splenic cytotoxic T cell response toward Tg-pulsed syngeneic
macrophages was measured on day 35 postimmunization (2 wk after
treatment). Whereas cytotoxic T cells were always detected in
splenocytes from PBS- and empty vector-treated animals, they were
undetectable in both FasL-treated groups (Fig. 2
). Thus, transgenic FasL expression at
the site of inflammation induces systemic elimination of Tg-reactive
cytotoxic T cells.
|
The impact of FasL expression on Ab responses was studied in the
sera of animals with ongoing EAT in experiment 3 (Table I
).
Transfection with the pTg-FasL vector induced a 2.17-fold increase in
anti-Tg IgG1 level (p < 0.01 vs
PBS-treated group) without affecting any other subclass responses (Fig. 3
). The same alterations, although less
marked, were observed on day 28 (data not shown). None of the treatment
induced any significant change in the level of anti-Tg IgG3 (Fig. 3
). The decrease in total anti-Tg IgG observed in serum from
animals treated with pCMV-FasL essentially resulted from a drop in
anti-Tg IgG2a concentration (p < 0.05 vs
PBS-treated group) (Fig. 3
). The anti-Tg IgG2b and IgG3 responses
were also diminished, although not significantly, and IgG1 titers were
not affected. The same results were obtained in experiments 1 and 2
depicted in Table I
(data not shown). Thus, FasL expression on
thyroid cells of mice with EAT induced a marked and isotype-specific
modulation of the anti-Tg Ab response.
|
| Discussion |
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In thyroids of animals with EAT, the expression of FasL resulted in a dramatic decrease in lymphocytic infiltration. Because the apoptosis rate evaluated by flow cytometry was higher in FasL-positive thyroids than in controls, the decrease in lymphocytic infiltration could be reported to the apoptotic effect of FasL interaction with activated Fas-positive lymphoid cells. The proapoptotic consequences of FasL expression were observed in both CD4 and CD8 lymphocyte subsets.
Anti-Tg proliferative response of lymph node T cells was only slightly diminished in pCMV-FasL-treated group compared with control on day 7 after gene transfer (data not shown). In contrast, the decrease in T cell infiltration was paralleled by a total abrogation of the Tg-specific cytotoxic T cell response. The same differential effects on the proliferative and cytotoxic responses have been observed using IL-10 as a curative treatment of EAT (24). Several possibilities such as the systemic release of the pDNA/liposome complexes or the migration of transfected cells in the periphery could explain why the administration of pDNA encoding FasL to the thyroid would lead to reduced Tg-specific CTL reactivity in the spleen. The possibility that few transfected cells have emigrated to the periphery cannot be formally rule out. Nevertheless at least two of our results argue against this possibility. First, we used the rat FasL gene, and this allowed us to follow specifically the cells expressing the gene in various organs, namely draining lymph nodes, spleen, and kidney. Never we have been able to detect rat FasL expression by RT-PCR (data not shown). Second, the use of pTg-FasL induced the same effect that pCMV-FasL, whereas the expression of FasL in the case of pTg-FasL is driven by a promoter that allow expression of the transgene only in thyrocytes. Thus, the abrogation of the Tg-specific cytotoxic T cell response is certainly due to the local deletion of autoreactive CD8 T cells in both groups treated with FasL gene.
In contrast to T lymphocytes, B cells were found in higher percentages in FasL-treated thyroids than in PBS-treated thyroids. Because FasL cytotoxicity is a negative regulatory control for both T and B lineages (31), the opposite effects of FasL on those cell populations in our model seem paradoxical. However, various lines of evidence indicate that mature B cells are resistant to Fas-dependent mediated apoptosis when activated through their Ag receptor (32, 33). Thus, intrathyroidal autoreactive B cells, which are essentially activated cells, could be protected from Fas-mediated death.
B cell infiltration in pTg-FasL-treated group was correlated with the
anti-Tg Ab response, which was more pronounced than in controls.
The increase in anti-Tg IgG titers was mainly related to a higher
production of IgG1 in the pTg-FasL-treated group. In the
pCMV-FasL-treated group, all the anti-Tg IgG subclasses decreased
except for IgG1. Those data could be explained by the preferential
survival of Th2 cells in the FasL-treated animals. Indeed, it has been
reported that activation-induced cell death in CD4 Th cells could be
responsible for imbalances in Th1 and Th2 subsets because Th1, but not
Th2, undergo rapid Fas/FasL-mediated apoptosis (34, 35, 36). During the Th2
response, B cells are protected from Fas/FasL-induced apoptosis, and
IgG1 production is elicited (37). Whether this mechanism could be
involved in our model is unclear because no production of IL-4 and no
difference in IFN-
production by lymph node cells could be
observed to support an imbalance in Th1/Th2 T cell populations (data
not shown). Another nonexclusive possibility to explain our results can
be linked to the ubiquitous character of the viral promoter that may
have led to the expression of the transgene not only on TFC, but also
on other cells such as the infiltrating lymphocytes. Under those
conditions, it is highly probable that a cis-mediated cell
death of infiltrating lymphocytes may have been associated to the
trans-mediated cell death triggered by FasL expression on
thyrocytes. This result could be reported to the higher efficiency of
the pCMV-FasL treatment on day 7 after gene transfer (Table I
).
In humans, recent data indicate that thyrocytes express FasL in Hashimotos thyroiditis (38), and the disease seems related to the simultaneous expression of Fas and FasL by TFC. Whether FasL is also expressed on normal human thyrocytes is still a matter of debate (39, 40). It has been proposed that FasL expression on those cells prevents autoimmunity, which is in contradiction with a possible role of FasL in Hashimotos disease (41). Discussing the role of FasL in Hashimotos thyroiditis is rendered still more difficult by new insights in the control of intrathyroidal apoptosis: first, it has been reported that the thyroid-stimulating hormone inhibits Fas A-mediated apoptosis of human thyrocytes in vitro (42); second was the report on the constitutive expression of an inhibitor of the Fas pathway apoptosis by normal thyrocytes (16).
In conclusion, this report is in agreement with the hypothesis of Dayan et al. (41) supporting the beneficial effect of FasL expression on thyrocytes to avoid autoimmune thyroiditis. In addition, our results show that FasL expression restricted to TFC may have a curative effect on ongoing EAT in the mouse by inducing death of infiltrating lymphocytes and particularly of pathogenic autoreactive T cells.
| Acknowledgments |
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| Footnotes |
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2 Abbreviations used in this paper: FasL, Fas ligand; Tg, thyroglobulin; pTg, thyroglobulin promoter; ß-gal, ß-galactosidase; EAT, experimental autoimmune thyroiditis; TFC, thyroid follicular cell; PLL, poly(L-lysine). ![]()
Received for publication June 1, 1998. Accepted for publication September 17, 1998.
| References |
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on experimental autoimmune thyroiditis (EAT): prevention of disease and decrease of EAT-specific T cells. Eur. J. Immunol. 23:275.[Medline]
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