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The Journal of Immunology, 1999, 162: 7302-7308.
Copyright © 1999 by The American Association of Immunologists

Differences Between IL-4- and IL-4 Receptor {alpha}-Deficient Mice in Chronic Leishmaniasis Reveal a Protective Role for IL-13 Receptor Signaling1

Markus Mohrs*, Birgit Ledermann{dagger}, Gabriele Köhler{ddagger}, Andreas Dorfmüller*, Andre Gessner§ and Frank Brombacher2,*

* Max-Planck-Institute for Immunobiology, Freiburg, Germany; {dagger} Novartis Pharma Ltd., Basel, Switzerland; {ddagger} Department of Pathology, University Freiburg, Freiburg, Germany; § Institute for Clinical Microbiology and Immunology, University Erlangen, Erlangen, Germany; and Department of Immunology, University of Cape Town, Cape Town, South Africa


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IL-4 receptor {alpha}-chain-deficient (IL-4R{alpha}-/-) mice were generated by homologous and site-specific recombination, using the Cre/loxP system in BALB/c-derived embryonic stem cells. In vitro analysis of cells from these mice revealed impaired IL-4- and IL-13-mediated functions, demonstrating that the IL-4R{alpha}-chain is an essential component of both the IL-4 and the IL-13 receptor. Whereas Leishmania major-infected BALB/c mice developed fatal progressive disease with type 2 Ab responses within 3 mo, both IL-4R{alpha}-/- and IL-4-/- BALB/c mice contained infection with reduced footpad swelling, parasite load, moderate histopathology, and type 1 Ab responses during this time period. Conclusively, these results demonstrate an IL-4-dependent mechanism of susceptibility in BALB/c mice. Nevertheless, in contrast to mutant mice, infected C57BL/6 mice healed completely within 3 mo, indicating that additional factors are necessary for subsequent healing and elimination of the pathogen. During the further course of infection, IL-4R{alpha}-/- mice developed progressive disease with massive footpad swelling. Lesions became ulcerative and necrotic with subsequent destruction of connective tissue and bones, as well as dissemination into organs and consequent mortality within the monitored 6 mo of chronic infection. In striking contrast, IL-4-/- mice maintained control of infection on a moderate level, but were unable to clear the pathogen. The distinct phenotypes of the BALB/c embryonic stem cell-derived IL-4-/- and IL-4R{alpha}-/- mouse strains identify previously unsuspected mechanisms for maintaining host immunity to chronic infection with L. major, mediated by a functional IL-13 receptor.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Interleukin-4 and IL-13 are related T cell-derived cytokines (1, 2) with overlapping functions (3) and share at least one common component of otherwise distinct receptors. Both cytokines act on macrophages and suppress proinflammatory cytokines, as well as the induction of antiinflammatory molecules (4, 5, 6). With the recent cloning and characterization of the p60 IL-13R{alpha}-chain, which has low but IL-13-specific binding activity, it is now suggested that the IL-4R{alpha}-chain associates either with the {gamma}c chain to form an IL-4 receptor (IL-4R type I), or with the IL-13-binding chain to form an IL-13 receptor (IL-4R type II) (7).

Experimental murine leishmaniasis is a paradigm example of the relationship between the genetic factors that control Th cell differentiation and the outcome of the disease. Healer strains, such as C57BL/6, develop predominant Th1 responses with high IFN-{gamma}, low IL-4 production, and protective cellular immune responses, whereas nonhealer strains, such as BALB/c, develop predominant Th2 responses with high IL-4 and low IFN-{gamma} production, resulting in exacerbation of the disease (8, 9). IL-4 promotes Th2 cell differentiation in vitro, and depletion of IL-4 in vivo by mAb converts nonhealers to healers (10, 11). However, conflicting results were observed in mice deficient for IL-4 (12, 13).

To establish an independent BALB/c mouse model in the absence of IL-4-mediated functions, we introduced a null mutation into the IL-4R{alpha} gene in BALB/c-derived embryonic stem (ES)3 cells and generated IL-4R{alpha} BALB/c-deficient mice. Mutant mice were impaired in IL-4- and IL-13-mediated functions, formally proving that the IL-4R{alpha}-chain is a crucial component of both the IL-4 and the IL-13 receptors. To dissect the role of IL-4 and IL-13 in leishmaniasis, we infected IL-4R{alpha} BALB/c-deficient mice with Leishmania major and compared the outcome with parallel-infected IL-4 BALB/c-deficient mice. Interestingly, we observed striking differences between the mutant mouse strains that were evident during late (chronic) phase of leishmaniasis. The conclusions and implications of these results are discussed.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Gene targeting and mice

The gene-targeting vector was constructed from a genomic clone containing an EcoRI fragment of the IL-4R{alpha} derived from BALB/c DNA (14). A selection cassette comprising a resistance gene for neomycin and the HSV thymidine kinase flanked by loxP sites (15) was introduced into a MscI site 5' to exon 7. A single loxP site was cloned into a SphI site 5' to exon 10. The linear targeting construct was electroporated into BALB/c ES cells (16) using a Bio-Rad (Richmond, CA) gene pulser set at 500 µF/500 V. After 9 days of selection with 400 µg/ml G418, resistant clones were isolated into 48-well plates and expanded in culture. Screening for correctly targeted clones was conducted by PCR and Southern blot analysis using standard procedures. Clones with a correct integration of the targeting vector were electroporated with a plasmid expressing the cre-recombinase (15). After 9 days of selection with 2 µM gancyclovir, counterselected clones were isolated into 48-well plates and expanded in culture as recently described (17). Screening for the different forms of deletions in the targeted locus were performed by PCR and Southern blot analysis. Clones with a deletion of exons 7–9 were injected into C57BL/6 blastocysts. Chimeric male offspring were mated to BALB/c females, and progeny with the mutated allele were intercrossed to obtain mice homozygous for the gene disruption. Mice were tested routinely for their genotype by PCR of tissue biopsies. For functional experiments, littermates of both sexes from heterozygous breedings were used. All mice were housed in filter-top cages and maintained in barrier facilities at the Max-Planck-Institute for Immunobiology (Freiburg, Germany).

FACS analysis and cell separation

Cells (1–5 x 105) were labeled and washed in PBS, 3% FCS, and 0.1% NaN3. Between each step of staining, cells were washed two times extensively. Unlabeled rat anti-IL-4R{alpha} (R&D Systems, Minneapolis, MN) was used in combination with PE- or FITC-coupled goat-anti-rat F(ab')2 (Southern Biotechnology Associates, Birmingham, AL). Nonviable cells were excluded by propidium iodide (Sigma, St. Louis, MO) staining. To avoid nonspecific binding, cells were preincubated for 20 min with a mixture of mouse and rat sera diluted 1/40 and unlabeled anti-CD32 (2.4G2) Ab. The latter two were omitted when anti-rat Abs were used for staining. Cells were analyzed on a FACScan (Becton Dickinson, Heidelberg, Germany).

Proliferation assays

Lymph node cells were placed in round-bottom microwell culture plates (5 x 104/well) with serial dilutions of IL-2 (PharMingen, San Diego, CA), IL-4 (PharMingen), and IL-13 (R&D Systems) in IMDM (Life Technologies, Paisley, Scotland) supplemented with 10% (v/v) heat-inactivated FCS, 100 U/ml penicillin, 100 mg/ml streptomycin, 1 mM sodium pyruvate, nonessential amino acids, 2 mM L-glutamine, 10 mM HEPES, and 10-5 M 2-ME (complete IMDM). Following culture for 48 h at 37°C, 5% CO2, cells were pulsed with 1 mCi [3H]thymidine for 18 h. Values represent the mean ± SEM cpm from triplicate cultures.

ELISA

A sandwich ELISA using two different mAbs was used for quantitative determination of soluble IL-4R{alpha} (sIL-4R{alpha}) in the sera of mice. Recombinant murine sIL-4R{alpha} at known concentrations was used as a standard as described (18). The detection limit for soluble murine IL-4R{alpha} was 30 pg/ml. Experiments revealed that mean recovery rates for sIL-4R{alpha} were >95%, and excessive amounts of murine IL-4 did not influence the sIL-4R{alpha} detection.

Levels of L. major-specific serum Ab isotypes were measured by coating plates with freeze and thaw preparations of L. major promastigotes and detected by anti-mouse isotype-specific polyclonal Abs (Southern Biotechnology Associates). Serum samples and appropriate Ig standards (Southern Biotechnology Associates) were used in 3-fold serial dilutions. Detection limits were 5 ng/ml for IgG1 and IgG2b and 0.1ng/ml for IgG2a and IgG3. Total IgE was determined with mAbs 84.1C for coating and alkaline phosphatase labeled EM95.3 for detection. The detection limit for IgE was 10 ng/ml.

Macrophage NO production and killing of L. major

Induction of NO production was performed as described (19). Briefly, mice were injected i.p. with 0.5 ml 10% proteose peptone, and elicited peritoneal macrophages were harvested after 72 h by peritoneal lavage with complete IMDM. Peritoneal exudate cells were allowed to adhere to 24-well tissue culture plates (1 x 106/ml/well) for 2 h at 37°C and washed twice to remove nonadherent cells. Adherent cells were incubated with medium alone, IL-4 (500 U/ml; PharMingen), or IL-13 (100 ng/ml; R&D Systems) for 16 h. Cells were subsequently stimulated with LPS (10 ng/ml; Sigma) and IFN-{gamma} (100 U/ml; PharMingen). After 48 h, levels of NO in supernatants were measured by Griess reaction (20). The detection limit for NO in supernatants was 1 µM. Values represent the mean ± SEM from triplicate cultures.

The ability of macrophages to kill L. major was performed as follows. Before infection with L. major promastigotes (parasite-cell ratio, 10:1; 4 h), macrophage cultures were either incubated for 4 h in culture medium with and without IFN-{gamma}, IL-4, IL-7, or IL-13. Thereafter, nonphagocytosed parasites were washed off and the cultures incubated an additional 72–96 h. Live intracellular amastigotes were assessed after staining with ethidium bromide (50 µg/ml) and acridine orange (5 µg/ml) in PBS by fluorescence photography, as described (21).

Infection with L. major

L. major LV 39 (MRHO/Sv/59/P-strain) (22) was maintained by continuous passage in mice. Parasites were isolated from skin lesions of infected animals and grown in complete IMDM (Life Technologies) on rabbit blood agar. Anesthetized mice were infected s.c. into one hind footpad with 2 x 106 stationary phase metacyclic L. major promastigotes (23) in a final volume of 50 µl HBSS. Stationary phase cultures were also used to prepare frozen and thawed (F/T) Ag of L. major promastigotes (24). Briefly, the cultures were washed three times with PBS and diluted in PBS to a final concentration of 1 x 107/ml. Parasites were rapidly frozen to -80°C and thawed at 37°C four times. F/T preparations were stored at -80°C until use.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Generation of IL-4R{alpha}-deficient mice

IL-4R{alpha}-deficient mice were generated using gene targeting with an isogenic target vector (gene derived from BALB/c) and Cre-mediated site-specific recombination in BALB/c ES cells. Using this two-step strategy enabled us to disrupt the gene by deleting exons 7, 8, and 9 (coding for the transmembrane, the soluble, and the extracellular membrane proximal regions of the receptor (14, 25), respectively), as well as deleting the selection cassette (Fig. 1GoA) and thus avoiding any possible interference of the selection cassette with normal gene expression. Correctly targeted clones were identified by PCR and Southern blotting (data not shown) and subsequently used to generate chimeric mice. These mice were bred with BALB/c mice that transmitted the disrupted allele through the germline to offspring. Interbreeding of heterozygous mice (IL-4R{alpha}+/-) produced offspring with a homozygous disruption of the IL-4R{alpha} gene (IL-4R{alpha}-/-; Fig. 1GoB) on a pure BALB/c background. The mice were viable with no overt phenotypic abnormalities and normal lymphocyte numbers. The B and T cell distribution in lymphatic organs determined by FACS analysis (data not shown) was normal. As expected from the disruption of the gene, membrane-bound (Fig. 1GoC) or soluble (<30 pg/ml in sera of IL-4R{alpha}-/- and 1980 + 120pg/ml in IL-4R{alpha}+/+ mice) IL-4R{alpha} was absent in mutant mice.



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FIGURE 1. Generation of IL-4R{alpha}-/- mice. A, Scheme of the IL-4R{alpha} gene locus, the targeting construct, and the mutated locus. A selection cassette (hatched box) comprising a resistance gene for neomycin (neo) and the HSV thymidine kinase (tk) flanked by loxP sites (arrows) was introduced 5' of exon 7 from BALB/c genomic DNA. A single loxP site was cloned into a SphI site 5' of exon 10. The linear targeting construct was introduced into BALB/c ES cells (16) and exons 7–9 were deleted by cre-mediated recombination. ES cells with the deleted exons were used to generate IL-4R{alpha}-/- mice. Numbers indicate exons of the IL-4R{alpha} gene. Restriction sites: B, BamHI; E, EcoRI; M, MscI; N, NsiI; S, SphI; X, XhoI. Hatched bar, probes for Southern blot analysis. B, Southern blot analysis of tissue biopsies derived from offspring of heterozygous intercross. Genomic DNA was digested with BamHI and hybridized with the probe indicated in A by standard procedures. The 5.2-kb band reveals the wild-type allele (+), and the 1.2-kb band reveals the allele with deleted exons (-). C, FACS analysis of IL-4R{alpha} surface expression. Splenocytes of IL-4R{alpha}-/- and wild-type mice were cultured in medium alone (bold line, -IL-4) or in the presence of IL-4 (500 U/ml) (thin line, + IL-4) for 48 h. Expression of IL-4R{alpha} by B220+ cells was analyzed by FACScan. Unlabeled rat anti-mouse IL-4R{alpha} Ab (R&D Systems) was detected by a PE-labeled goat anti-rat F(ab')2 (Southern Biotechnology Associates). As a control, cells were incubated with PE-labeled goat-anti-rat F(ab')2 without primary rat anti-mouse IL-4R{alpha} Abs (dotted line, control).

 
Impaired IL-4 and IL-13 function in IL-4R{alpha}-deficient mice

IL-4 is known to induce proliferation of B lymphocytes (26). To determine whether the absence of the IL4R{alpha}-chain influences this activity, lymph node cells from IL-4R{alpha}-/- mice and control mice were stimulated for 48 h in the presence of increasing doses of IL-4 and subsequently assayed for DNA synthesis by [3H]thymidine incorporation. As shown in Fig. 2GoA, the proliferative response of lymphocytes from IL-4R{alpha}-/- mice to IL-4 was completely abrogated. In contrast, lymphocytes from control mice showed a dose-dependent proliferative response to IL-4 stimulation. When stimulated with IL-2, proliferation of IL-4R{alpha}-/- lymphoctes were normal. Since the IL-2 receptor uses the same {gamma}c chain as the IL-4 receptor (27), this result shows that IL-4R{alpha}-/- cells are responsive to proliferation if stimulated independently of the IL-4R type I. No IL-13-mediated proliferation could be induced in wild-type or IL-4R{alpha}-/- murine lymphocytes (Fig. 2GoA), in agreement with evidences that human B cells, but not mouse B cells, are responsive to IL-13 (3, 28). The production of NO by macrophages in response to LPS and IFN-{gamma} can be inhibited by IL-4 (3) or IL-13 (4). Therefore, we investigated whether these cytokines could inhibit NO production by IL-4R{alpha}-/- macrophages. Peritoneal macrophages from control and mutant mice were preincubated with IL-4 or IL-13 and subsequently stimulated with a combination of IFN-{gamma} and LPS for NO production. In the absence of IL-4 or IL-13, macrophages produced comparable amounts of NO. In contrast to wild-type macrophages, neither IL-4 nor IL-13 inhibited NO production by IL-4R{alpha}-/- macrophages (Fig. 2GoB). In a second experiment, we tested the ability of IL-4 and IL-13 to modulate IFN-{gamma}- or IL-7-stimulated elimination of L. major (21). Addition of IL-4 to IFN-{gamma}-stimulated macrophages increases elimination of L. major-infected macrophages, resulting in a reduction of infected macrophages, whereas addition of IL-13 to IL-7-stimulated macrophages reduces elimination, resulting in an increase of infected wild-type macrophages (Fig. 2GoC). Addition of IL-4 or IL-13 with the respective stimulant had no modifying effect on the elimination of IL-4R{alpha}-/- macrophages (Fig. 2GoC). In summary, these results show that IL-4R{alpha}-deficient mice are impaired in IL-4- and IL-13-mediated functions, demonstrating that the IL-4R{alpha} is an essential component for signaling of both the IL-4 and the IL-13 receptor complex.



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FIGURE 2. Impaired IL-4 and IL-13 functions. A, Effects of IL-2, IL-4, and IL-13 on proliferation of lymphocytes. Lymph node cells from IL-4R{alpha}-/- (open circles) and IL-4R{alpha}+/+ mice (filled circles) mice were stimulated with increasing doses of IL-2, IL-4, and IL-13. After 48 h, DNA synthesis was measured by [3H]thymidine incorporation for 18 h. Values represent mean ± SD from triplicate cultures. B, Peritoneal macrophages from IL-4R{alpha}-/- (white bars) and wild-type (hatched bars) mice were incubated with medium alone or in the presence of IL-4 (500 U/ml) or IL-13 (100 ng/ml) for 16 h. Cells were then stimulated with LPS (10 ng/ml) and IFN-{gamma} (100 U/ml), and production of NO was determined 48 h later. Values represent the mean + SEM from triplicate cultures. These data are from one of two experiments with comparable results. C, L. major killing ability of macrophages: IL-4R{alpha}-/- (white bars) and wild-type (hatched bars) macrophages were infected with L. major promastigotes in a ratio 1:10, either incubated in culture medium alone or containing indicated cytokines for 4 h. Thereafter, nonphagocytosed parasites were washed off and the cultures further incubated for 72–96 h. Live intracellular amastigotes were assessed after staining with ethidium bromide (50 µg/ml) and acridine orange (5 µg/ml) in PBS by fluorescence photography, as described (21). The percentage of infected macrophages (mean + SEM) of three to four different cultures was tested for statistical significance by Student’s t test for unpaired samples (two-tailed).

 
Control of acute L. major infection in the absence of IL-4-mediated functions

BALB/c, C57BL/6, IL-4R{alpha}-/-, and IL-4-/- mice were infected with 2 x 106 L. major LV 39 (MRHO/Sv/59/P-strain) metacyclic promastigotes into one hind footpad, and the swelling of the footpad was monitored. The nonhealer BALB/c strain developed massive footpad swelling accompanied by ulceration and necrosis within the first 80 days after infection (Fig. 3GoA). In contrast, infected IL-4R{alpha}-/- BALB/c mice developed moderate swelling during the first month and stabilized footpad swelling at a moderate level during the first 3 mo (Fig. 3GoA). In accordance with the containment of infection, the parasite load of the draining popliteal lymph node (PLN) of IL-4R{alpha}-/- BALB/c mice was significantly reduced compared with BALB/c mice, 49 days after infection (Fig. 3GoB). A similar phenotype was observed in infected IL-4-/- BALB/c mice (16) (Fig. 3Go), confirming our previous finding of increased resistance in infected IL-4 BALB/c-deficient mice (13). Footpad swelling in infected C57BL/6 mice was already declining during the 30 days and disappeared completely within 3 mo. In accordance, parasite burden at 49 days postinfection was strikingly reduced in C57BL/6 mice compared with the mutant mouse strains (Fig. 3Go, A and B). These results demonstrate that, in the absence of IL-4-mediated functions, BALB/c mice have an increased resistance to acute Leishmania infection but are not able to heal completely.



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FIGURE 3. Acute L. major infection studies. A, BALB/c, C57BL/6, IL-4R{alpha}-/-, and IL-4-/- mice (eight per group) were infected with 2 x 106 L. major LV 39 (MRHO/Sv/59/P-strain) metacyclic promastigotes into one hind footpad, and the swelling of the footpad was monitored. One representative of two independent experiments is shown. Ulceration and necrosis is indicated by asterisks. B, At 49 days postinfection, four mice per group were sacrificed, and the parasite burden in the draining PLN of individuals was determined by 2-fold limiting dilutions in complete IMDM on a solid layer of rabbit blood agar. The average is shown by the horizontal line. *, significance in comparison to BALB/c with p value < 0.02.

 
Impaired type2 Ab response in L. major infected IL-4R{alpha}-/- mice

To determine the type of Ab response of the infected mouse strains, serum was obtained at day 49 postinfection, and the Leishmania-Ag-specific IgG titers and total IgE titers were measured by ELISA. As known, L. major-infected BALB/c mice develop a dominant type 2 Ab response with increased levels of Ag-specific IgG1 and IgE serum Abs and reduced IgG2a, IgG2b, and IgG3 levels (Fig. 4Go), due to the increased secretion of IL-4 by differentiated Th2 cells. As expected from the impaired IL-4-mediated effector functions, IgG1 and IgE Ab levels were strikingly reduced in infected IL-4R{alpha}-/- or IL-4-/- mice. Conversely, type 1 serum Ag-specific IgG2 and IgG3 Ab levels were strikingly increased with no significant differences between the mutant mouse strains (Fig. 4Go). C57BL/6 mice showed very low Ag-specific Ab levels for all isotypes at this time point of infection. These results demonstrate that IL-4R{alpha}-/- mice have an impaired type 2 Ab response with a shift to a type 1 Ab response during L. major infection.



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FIGURE 4. L. major-specific serum Ab isotypes. At day 49 after infection, with 2 x 106 L. major LV49, serum was obtained from four animals/group and Leishmania-Ag-specific (IgG1, G2a, G2b, G3) and total IgE Ig titers determined by ELISA (mean + SEM). One representative of two experiments is shown.

 
IL-4R{alpha}-/- mice, but not IL-4-/- mice, develop progressive disease during chronic infection

Since both mutant strains controlled acute L. major infection on a moderate level, we further followed infection to determine whether the additional absence of IL-13-mediated functions in IL-4R{alpha}-/- may influence chronic infection. The footpad swelling of infected C57BL/6 mice diminished completely during the following 3 mo (Fig. 5GoA), and parasites in the PLN were below detection limit at day 163 postinfection (Fig. 5GoB; <25 parasites/lymph node). Also, all IL-4-/- mice survived the course of infection with moderate swelling of the footpad but containment of rather high parasite load in the draining PLN (Fig. 5GoB). The degree of swelling was constant in size between days 60 and 163 of the monitoring period (Fig. 5GoA), and this "controlling" phenotype was reflected by histological analysis of the infected foot. We observed moderate inflammation and rather mild bone destruction with parasites concealing within macrophages only (Fig. 5GoC). Further on, dissemination of pathogens into other organs seemed to be under control since only small inflammatory foci (see arrow), but no detectable L. major, was found in the liver (Fig. 5GoC) of infected IL-4-/- mice. In striking contrast, IL-4R{alpha}-/- mice showed a continuous increase of swelling of the infected footpad, and mortality was observed during the course of infection (Fig. 5GoA; see cross). Surviving IL-4R{alpha}-/- mice developed typical necrosis and ulceration (Fig. 5GoA, see asterisks), similar to BALB/c mice 3 mo earlier. At day 163 postinfection, the experiment had to be terminated due to the progressive disease of the remaining infected IL-4R{alpha}-/- mice. Histological analysis of these mice revealed a dramatic pathology with nearly complete destruction of the bone and connective tissue (Fig. 5GoC) and inflammatory infiltrates with cells undergoing lysis and high parasite load with L. major (Fig. 5GoC). Moreover, dissemination of pathogens into other organs was observed in liver sections of Fig. 5GoC. The organ showed a high degree of tissue destruction and with central necrosis (N) and a massive inflammation (arrows). Leishmania were present in the liver, within Kupffer’s cell as well as extracellularly (see inset). PLN of these IL-4R{alpha}-/- mice showed similar high parasite loads, as seen in IL-4-/- mice at the termination of the experiment at day 163 postinfection (Fig. 5GoB). Because of the dissemination into other organs, the total parasite burden in IL-4R{alpha}-/- mice is very likely to be much higher than in IL-4-/- mice. In summary, the striking difference in disease progression, histopathology, mortality, and dissemination of L. major between infected IL-4R{alpha} and IL-4-deficient mice identify previously unsuspected mechanisms for maintaining host immunity to chronic infection with L. major, mediated by an IL-13 receptor, containing the {alpha}-chain of the IL-4 receptor.



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FIGURE 5. Chronic L. major infection studies. A, Residual C57BL/6, IL-4R{alpha}-/-, and IL-4-/- mice (four per group) from Fig. 3Go infected with 2 x 106 L. major LV 39 (MRHO/Sv/59/P-strain) metacyclic promastigotes into one hind footpad were monitored for 6 mo. One representative of two independent experiments is shown. Ulceration and necrosis is indicated by asterisks; death of an animal is indicated by a cross. The experiment had to be terminated at day 163 due to disease progression in IL-4R{alpha}-/- mice. B, At 163 days postinfection (termination of the experiment), all mice were sacrificed, and the parasite burden in the draining PLN of individuals was determined by 2-fold limiting dilutions in complete IMDM on a solid layer of rabbit blood agar. The average is shown by the horizontal line. nd, not detectable; *, significance in comparison to C57BL/6 with p value < 0.05. C, Footpad and liver sections of L. major-infected IL-4R{alpha}-/- or IL-4-/- mice at day 163 postinfection. The infected foot of an IL-4-/- mouse shows inflammation with mild bone destruction (asterisks) and infected macrophages with Leishmania (middle). The liver tissue shows only few areas of inflammation (arrow). The severely infected foot of an IL-4R{alpha}-/- mouse shows nearly complete connective tissue and bone destruction (asterisks) with inflammatory infiltrates and cells packed with L. major undergoing lysis (middle). The liver shows dramatic tissue destruction and massive inflammation (arrow) with central necrosis (N). Leishmania are both within the cytoplasm of Kupffer‘s cells as well as extracellularly (inset).

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this study, we presented the generation and analysis of a BALB/c mouse strain with a null mutation for the IL-4R{alpha} gene introduced by gene targeting techniques. Our analysis of IL-4R{alpha}-/- mice revealed impaired IL-4- and IL-13-mediated functions. This is, to our knowledge, the first direct demonstration that the IL-4R{alpha}-chain is a crucial component of both the IL-4 and the IL-13 receptor complexes.

Wild-type BALB/c mice developed progressive disease during acute L. major infection, accompanied by a dominant type 2 Ab response. In contrast, IL-4R{alpha} BALB/c-deficient mice were able to contain infection during the first 80 days, accompanied by a type 1 Ab response. The different outcome suggests that the impairment of IL-4R{alpha} signaling is responsible for the increased resistance during acute infection in BALB/c mice. IL-4 BALB/c-deficient mice showed a similar resistant phenotype during acute infection, suggesting that the absence of IL-4-mediated functions led to the observed increased resistance in IL-4R{alpha} BALB/c-deficient mice. Consistent with an IL-4-dependent mechanism of susceptibility in BALB/c mice, IL-4 neutralization of Leishmania-infected BALB/c mice also resulted in increased resistance (10, 11, 12, 29). Moreover, our results in IL-4 and IL-4R{alpha}-deficient mice support our previous studies in IL-4 BALB/c-deficient mice, demonstrating increased resistance after infection with a different L. major strain (13). However, the enhanced swelling and parasite burden in IL-4R{alpha} and IL-4-deficient mice compared with resistant C57BL/6 mice during acute infection further suggests that additional, IL-4-independent mechanisms may be involved in the susceptible phenotype of BALB/c mice. In a previous study from others, IL-4-/- BALB/c mice remained susceptible during acute L. major infection (12), and authors believed that the susceptibility in BALB/c mice was independent of IL-4. The contrary studies are not easy to explain since, in the present study, we used the same IL-4-deficient mouse (16) and parasite (L. major LV 39 MRHO/Sv/59/P) strain with comparable infection doses. However, the increased resistance during acute infection in the independent IL-4R{alpha}-deficient BALB/c moue model strongly supports our conclusions of an IL-4-dependent and -independent mechanism of susceptibility in BALB/c mice. The published discrepancy in IL-4-deficient mice, however, may indicate that subtle differences between the laboratory strains may be able to influence these two mechanisms of acute L. major infection.

Despite the observed increased resistance during the acute phase of infection, IL-4R{alpha}-/- mice were not able to contain the infection and subsequently developed progressive disease with fatal outcome during the late (chronic) phase of infection. In striking contrast, IL-4 BALB/c-deficient mice contained infection during the observed time period of nearly 6 mo. Genetic differences other than the introduced mutation can be excluded since both gene-deficient mouse strains were derived from the same BALB/c ES cell line. This late development of progressive disease in L. major-infected IL-4R{alpha}-/-, but not IL-4-/-, mice shows that nonredundant pathways for maintaining immune control in chronic infections are mediated by the IL-4R{alpha}. At the termination of the infection study, the numbers of parasites in the draining lymph nodes were similar in both mutant strains, but IL-4R{alpha}-/- mice showed a striking dissemination of parasites into other organs. This difference may indicate that IL-13-mediated functions are involved in controlling dissemination of the parasite in chronic leishmaniasis. Recent studies in murine nematode infections have identified a crucial role for IL-13 signaling through the IL-4R{alpha} in maintaining worm immunity (30, 31, 32). It is possible that IL-13 present in IL-4-/- mice is involved in protection against progressive inflammation, due to its capacity to abrogate macrophage activation and resulting immunopathology. On the other hand, it has been shown that IL-13 is a subtle immune regulator with antiinflammatory, but also immunostimulatory, properties on in vitro-stimulated monocytes, depending on the time point of administration (33). In agreement with an immunostimulatory role of IL-13, in vivo administration of recombinant IL-13 enhanced antilisterial resistance accompanied by increased cytokine production (34). IL-13 may thus play an essentially immunostimulatory role in the case of an ongoing infection, like in the late phase of a Leishmania infection. Alternatively, some receptors or signaling components of the IL-4R{alpha} may be sequestered into alternative signal cascades, with ultimately fatal effects. Therefore, it will be of great importance to identify the mediators of tissue injury and dissemination in IL-4R{alpha}-/- mice. Such mediators might have broader roles in the chronic inflammatory status that might be amenable to therapeutic manipulation.


    Acknowledgments
 
We thank M. Held and K.-H. Widmann for excellent technical assistance, Dr. H. Mossmann for organization of the animal facility, Drs. M. Kopf and B. Nurse for stimulating discussions and critical review of the manuscript, and Drs. N. Wrighton and B. Sauer for providing us with the IL-4R{alpha} gene and the loxP/cre plasmids.


    Footnotes
 
1 This work was supported by Grant I-260-162.02/92 from the German-Israeli Foundation. Back

2 Address correspondence and reprint requests to Dr. Frank Brombacher, University of Cape Town, Immunology Department, H47 Observatory, 7925 Cape Town, South Africa. E-mail address: Back

3 Abbreviations used in this paper: ES, embryonic stem; s, soluble; PLN, popliteal lymph node. Back

Received for publication December 21, 1998. Accepted for publication March 22, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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U. Eriksson, M. O. Kurrer, W. Sebald, F. Brombacher, and M. Kopf
Dual Role of the IL-12/IFN-{gamma} Axis in the Development of Autoimmune Myocarditis: Induction by IL-12 and Protection by IFN-{gamma}
J. Immunol., November 1, 2001; 167(9): 5464 - 5469.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
B. Lucas, D. Bumann, A. Walduck, J. Koesling, L. Develioglu, T. F. Meyer, and T. Aebischer
Adoptive Transfer of CD4+ T Cells Specific for Subunit A of Helicobacter pylori Urease Reduces H. pylori Stomach Colonization in Mice in the Absence of Interleukin-4 (IL-4)/IL-13 Receptor Signaling
Infect. Immun., March 1, 2001; 69(3): 1714 - 1721.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
M. M. Fort, R. Lesley, N. J. Davidson, S. Menon, F. Brombacher, M. W. Leach, and D. M. Rennick
IL-4 Exacerbates Disease in a Th1 Cell Transfer Model of Colitis
J. Immunol., February 15, 2001; 166(4): 2793 - 2800.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
A. P. Mountford, K. G. Hogg, P. S. Coulson, and F. Brombacher
Signaling via Interleukin-4 Receptor {alpha} Chain Is Required for Successful Vaccination against Schistosomiasis in BALB/c Mice
Infect. Immun., January 1, 2001; 69(1): 228 - 236.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
T. Aebischer, S. Laforsch, R. Hurwitz, F. Brombacher, and T. F. Meyer
Immunity against Helicobacter pylori: Significance of Interleukin-4 Receptor {alpha} Chain Status and Gender of Infected Mice
Infect. Immun., January 1, 2001; 69(1): 556 - 558.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
K. M. Houston, E. H. Wilson, L. Eyres, F. Brombacher, M. M. Harnett, J. Alexander, and W. Harnett
Presence of Phosphorylcholine on a Filarial Nematode Protein Influences Immunoglobulin G Subclass Response to the Molecule by an Interleukin-10-Dependent Mechanism
Infect. Immun., September 1, 2000; 68(9): 5466 - 5468.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
S. L. Constant, C. Dong, D. D. Yang, M. Wysk, R. J. Davis, and R. A. Flavell
JNK1 Is Required for T Cell-Mediated Immunity Against Leishmania major Infection
J. Immunol., September 1, 2000; 165(5): 2671 - 2676.
[Abstract] [Full Text] [PDF]


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JEMHome page
N. Sato, S. K. Ahuja, M. Quinones, V. Kostecki, R. L. Reddick, P. C. Melby, W. A. Kuziel, and S. S. Ahuja
CC Chemokine Receptor (CCR)2 Is Required for Langerhans Cell Migration and Localization of T Helper Cell Type 1 (Th1)-inducing Dendritic Cells: Absence of CCR2 Shifts the Leishmania major-resistant Phenotype to a Susceptible State Dominated by Th2 Cytokines, B Cell Outgrowth, and Sustained Neutrophilic Inflammation
J. Exp. Med., July 10, 2000; 192(2): 205 - 218.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
D. E. Jones, L. U. Buxbaum, and P. Scott
IL-4-Independent Inhibition of IL-12 Responsiveness During Leishmania amazonensis Infection
J. Immunol., July 1, 2000; 165(1): 364 - 372.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
H. Himmelrich, P. Launois, I. Maillard, T. Biedermann, F. Tacchini-Cottier, R. M. Locksley, M. Rocken, and J. A. Louis
In BALB/c Mice, IL-4 Production During the Initial Phase of Infection with Leishmania major Is Necessary and Sufficient to Instruct Th2 Cell Development Resulting in Progressive Disease
J. Immunol., May 1, 2000; 164(9): 4819 - 4825.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
M. Mohrs, C. Holscher, and F. Brombacher
Interleukin-4 Receptor Alpha-Deficient BALB/c Mice Show an Unimpaired T Helper 2 Polarization in Response to Leishmania major Infection
Infect. Immun., April 1, 2000; 68(4): 1773 - 1780.
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J. Immunol.Home page
D. J. Matthews, C. L. Emson, G. J. McKenzie, H. E. Jolin, J. M. Blackwell, and A. N. J. McKenzie
IL-13 Is a Susceptibility Factor for Leishmania major Infection
J. Immunol., February 1, 2000; 164(3): 1458 - 1462.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
J. M. Brewer, M. Conacher, C. A. Hunter, M. Mohrs, F. Brombacher, and J. Alexander
Aluminium Hydroxide Adjuvant Initiates Strong Antigen-Specific Th2 Responses in the Absence of IL-4- or IL-13-Mediated Signaling
J. Immunol., December 15, 1999; 163(12): 6448 - 6454.
[Abstract] [Full Text] [PDF]


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