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The Journal of Immunology, 1999, 162: 1851-1858.
Copyright © 1999 by The American Association of Immunologists

CD1 Expression by Dendritic Cells in Human Leprosy Lesions: Correlation with Effective Host Immunity1

Peter A. Sieling*, Denis Jullien2,*, Monica Dahlem{ddagger}, Thomas F. Tedder§, Thomas H. Rea{ddagger}, Robert L. Modlin*,{dagger} and Steven A. Porcelli3

* Division of Dermatology and {dagger} Department of Microbiology and Immunology, University of California School of Medicine, Los Angeles, CA 90024; {ddagger} Section of Dermatology, University of Southern California School of Medicine, Los Angeles, CA 90033; § Department of Immunology, Duke University Medical Center, Durham, NC 27710; and Division of Rheumatology, Immunology and Allergy, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA 02115


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
A potential role for the CD1 family of lipid Ag-presenting molecules in antimicrobial immunity in vivo was investigated in human leprosy skin lesions. Strong induction of three CD1 proteins (CD1a, -b, and -c) was observed in dermal granulomas in biopsy samples of involved skin from patients with the tuberculoid form of leprosy or with reversal reactions, which represent clinical patterns of disease associated with active cellular immunity to Mycobacterium leprae. In contrast, lesions from patients with the lepromatous form of the disease who lack effective cell-mediated immunity to the pathogen did not show induction of CD1 proteins. Thus, expression of CD1 correlated directly with effective immunity to M. leprae, as assessed by the clinical course of infection. CD1a, -b, and -c could be induced to similar levels on monocytes from the blood of either tuberculoid or lepromatous leprosy patients. This suggested that the absence of expression in lepromatous lesions was most likely due to local factors at the site of infection as opposed to a primary defect of the CD1 system itself. The majority of cells expressing CD1 in leprosy lesions were identified as a population of CD83+ dendritic cells. Initial in vitro studies of the Ag-presenting function of CD1+CD83+ monocyte-derived dendritic cells showed that such cells were highly efficient APCs for CD1-restricted T cells. These results indicate that the CD1 system can be up-regulated in human infectious diseases in vivo, and may play a role in augmenting host defense against microbial pathogens.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
CD1 is a family of nonpolymorphic ß2-microglobulin-associated transmembrane glycoproteins that are structurally related to classical MHC Ag-presenting molecules (1, 2, 3), but are encoded by a separate genetic locus (2). The MHC class I-like structure of CD1 proteins (3), and their prominent expression on specialized APCs (2), has led to the hypothesis that these proteins represent a third distinct lineage of Ag-presenting molecules. In support of this idea, recent reports have described human and murine T cells that specifically recognize foreign lipid and glycolipid Ags presented by CD1 proteins (4, 5, 6, 7, 8, 9). Thus, it now appears likely that CD1 represents the key component of an MHC-independent pathway for Ag presentation to T cells, and that this pathway performs the unique function of presenting nonpeptide lipid Ags to T cells (10).

Whereas previous work establishes the function of CD1 in Ag recognition by T cells, the critical question of the role of this system in host defense against infectious diseases in vivo has not been examined. As an initial step toward defining the in vivo relevance of this system, we have studied the involvement of CD1 in the immune response to Mycobacterium leprae, the causative agent of leprosy. Infection with this organism provides an opportunity to study the human immune response to a mycobacterial pathogen in situ, since much of the pathology is localized to the skin, where the relevant lesions can be easily sampled. Furthermore, leprosy presents as a spectrum in which clinical disease correlates with different levels of responsiveness to M. leprae (11). At one pole of the spectrum are patients with strong cell-mediated immunity to M. leprae and a localized form of disease, which constitutes tuberculoid leprosy. At the opposite pole are patients with lepromatous leprosy, who lack effective cell-mediated immunity and suffer from a more disseminated form of the disease. The existence of this spectrum provides the opportunity to assess immunoregulatory mechanisms that may operate in vivo in humans to determine the ultimate outcome of the immune response to infection.

In the present study, we have examined the expression of CD1 proteins in the cutaneous lesions of patients with these two polar forms of human leprosy. Our results demonstrated a strong correlation between the expression of three different CD1 proteins (i.e., CD1a, -b, and -c) known to be involved in the presentation of mycobacterial lipid Ags, and the presence of effective host immunity to M. leprae. CD1 expression in tuberculoid lesions was shown to be primarily restricted to a mature dendritic cell (DC)4 population, and in vitro functional studies revealed that DCs bearing the phenotype found in tuberculoid lesions were extremely efficient at presenting mycobacterial lipid Ags to CD1b-restricted T cells. These results support the hypothesis that lipid Ag presentation by CD1 plays a beneficial role in host immunity to microbial pathogens in vivo.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Patients and clinical specimens

Leprosy patients were recruited on a volunteer basis from the ambulatory population seen at the Dermatology Clinics at the University of Southern California Medical Center, Los Angeles. Clinical classification of patients with symptomatic M. leprae infection was done according to the criteria of Ridley and Jopling (11). Skin biopsy specimens (6 mm diameter) containing both epidermis and dermis were obtained by standard punch technique following informed consent. Blood samples for isolation of PBMC were obtained by venipuncture from leprosy patients and from healthy volunteer laboratory personnel who served as control subjects. PBMC were isolated using Ficoll-Hypaque gradient centrifugation (Ficoll-Paque; Pharmacia, Uppsala, Sweden), according to the supplier’s instructions.

Ags and Abs

Extracts of M. leprae and Mycobacterium tuberculosis (strain H37Ra; Difco, Detroit, MI) were prepared by probe sonication, as described (7). Tetanus toxoid was obtained from the Massachusetts Public Health Biological Laboratory (Boston, MA). The following Abs were used for flow cytometry and immunohistochemical studies: P3 (IgG1 control (12)), OKT6 (anti-CD1a (13)), 4A7.6.5 (anti-CD1b (14)), 10C3 (anti-CD1c (1)), W6/32 (anti-HLA-A,B,C (15)), DK22 (anti-HLA-DR; Dako, Carpenteria, CA), B10A-1 (anti-CD83 (16)), 3C10 (anti-CD14; American Type Culture Collection (ATCC), Manassas, VA), and MAC-1 (anti-CD11b; ATCC).

Immunohistochemical studies of CD1 expression in leprosy skin lesions

Biopsy specimens were embedded in OCT medium (Ames, Elkhart, IN) and snap frozen in liquid nitrogen. Sections (3–5 µm thick) were acetone fixed and blocked with normal horse serum before incubation with the mAbs for 60 min, followed by biotinylated horse anti-mouse IgG for 30 min. Primary Ab was visualized with the ABC Elite system (Vector Laboratories, Burlingame, CA), which uses avidin and a biotin-peroxidase conjugate for signal amplification. ABC reagent was incubated for 30 min, followed by the addition of substrate (3-amino-9-ethylcarbazole) for 10 min. Slides were counterstained with hematoxylin and mounted in glycerin-gelatin. The level of CD1-positive cells in dermal granulomas was quantitated by calculating the percentage of positive cells based on the total number of cells (i.e., hematoxylin-stained nuclei) within the granuloma.

Two-color immunofluorescence staining of cryostat sections

Double immunofluorescence was performed by serially incubating cryostat tissue sections with mouse anti-human mAbs of different isotypes (e.g., 4A7.6.5 (anti-CD1b, IgG2a), and either 3C10 (anti-CD14, IgG1) or B10A-1 (anti-CD83, IgG1)), followed by incubation with isotype-specific, fluorochrome (FITC or tetramethylrhodamine isothiocyanate (TRITC)-labeled goat anti-mouse Ig Abs (Southern Biotechnology, Birmingham, AL). Controls included staining with isotype-matched irrelevant Abs, as well as staining with 4A7.6.5, 3C10, or B10A-1, followed by secondary Abs mismatched to the primary Ab isotype to demonstrate the isotype specificity of the secondary labeled Abs. Images were obtained using a Zeiss Axiophot microscope.

In vitro culture of CD1-expressing monocyte-derived DCs

CD1 expression on monocytes was induced in vitro with a combination of 200 U/ml of human rGM-CSF and 100 U/ml of human rIL-4 for 72 h, as described (4, 17). Cell surface expression of CD1 was determined by flow cytometry using CD1-specific mAbs, as done previously (4). Further differentiation of CD1+ monocyte-derived cells into CD83+ DCs was achieved by addition of TNF-{alpha} (Endogen, Woburn, MA; 1000 U/ml, or indicated concentration), as described (16). In some experiments, heat-killed mycobacterial sonicates or purified Escherichia coli LPS (Sigma, St. Louis, MO) were added instead of TNF-{alpha} for the final 3 days of culture. Cells were harvested using incubation in PBS/0.5 mM EDTA to detach adherent cells, and analyzed by flow cytometry or irradiated (5000 rad) and used as APCs.

T cell lines and proliferation assays

CD1b-restricted T cell lines DN1 and LDN4 (4, 6) and HLA-DR-restricted T cell clone SP-F3 (18) were maintained by serial antigenic stimulation in IL-2-supplemented medium, as detailed previously (7). For measurement of Ag-specific proliferation, 5 x 104 T cells were cultured with varying numbers of irradiated (5000 rad) allogeneic CD1+ APC in 0.2 ml culture medium in the presence or absence of bacterial Ags for 4 days in flat-bottom microtiter plate wells at 37°C in a 5% CO2 incubator. Cells were pulsed with [3H]thymidine (1 uCi/well) and harvested 4–6 h later for liquid scintillation counting.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
CD1 expression in cutaneous leprosy lesions

Immunohistochemistry was performed on biopsy specimens of skin lesions from seven patients with tuberculoid leprosy and six with lepromatous leprosy using mAbs specific for CD1a, -b, and -c. In all samples from tuberculoid patients, these CD1 proteins were strongly expressed by large dendritic mononuclear cells distributed throughout areas of mononuclear cell infiltration and clustered at the periphery of well-formed dermal granulomas (Fig. 1Go, D–F). Expression of CD1 proteins in surrounding areas of nonlesional skin was comparable with that described previously for normal skin, in which the dermis contains only rare CD1c+ DCs that weakly express CD1a and lack detectable CD1b (19). CD1a expression was also observed in the epidermis of biopsies from tuberculoid patients (Fig. 1GoD), where its distribution on epidermal Langerhans cells was comparable with that of normal skin (20).



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FIGURE 1. CD1 expression in leprosy skin lesions in vivo. Representative sections from skin biopsy specimens of lepromatous (A–C), tuberculoid (D–F), and reversal reaction (G–I) lesions stained by the immunoperoxidase method with mAbs specific for CD1a (OKT6; A, D, and G), CD1b (4A7.6.5; B, E, and H), or CD1c (10C3; C, F, and I). The sections are oriented with the epidermis toward the top of each frame, and granulomatous infiltrates are seen below in the dermis in each section. Multiple strongly labeled CD1+ cells are apparent in the dermal granulomas of the tuberculoid samples and in the reversal reaction, whereas in the lepromatous samples these are absent or extremely rare. The CD1a labeling of the epidermis of both tuberculoid and lepromatous samples is characteristic of the pattern for Langerhans cells in normal skin. Brown pigment in the epidermis of the CD1b- and CD1c-stained sections is melanin, which could be easily distinguished from the reddish-brown peroxidase product during direct viewing of the slides. Original magnification x160 for all panels; the images in panels G–I have been photographically enlarged approximately twofold relative to panels A–F.

 
In striking contrast to the findings in specimens from tuberculoid patients, CD1-positive cells were only rarely observed in the more poorly formed dermal granulomas of lepromatous leprosy lesions (Fig. 1Go, A–C). The only prominent CD1 staining consistently observed in lepromatous samples was in the epidermis, where CD1a+ Langerhans cells were observed at levels similar to that of normal skin (Fig. 1GoA). Quantitation of CD1+ cells as a percentage of total cells within the dermal granulomas showed that cells expressing each form of CD1 were present at approximately a 10-fold greater average frequency in tuberculoid as compared with lepromatous lesions (Fig. 2Go). Thus, CD1 proteins were expressed in the lesions of a subset of leprosy patients in a manner that correlated with the presence of an effective cell-mediated immune response to the pathogen.



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FIGURE 2. Quantitation of CD1 expression in leprosy lesions. The number of positive cells in sections stained with each anti-CD1 mAb were counted, and results expressed as the percentage of CD1a-, CD1b-, and CD1c-positive cells in the dermal infiltrates. T, tuberculoid lesions (n = 7); L, lepromatous lesions (n = 6). Horizontal lines indicate mean values for each group. Values for tuberculoid and lepromatous biopsies were significantly different for all three CD1 molecules (p < 0.002, Mann-Whitney U test).

 
To further assess the association of CD1 expression with the presence of effective cell-mediated immunity to M. leprae, biopsy specimens of lesions from two subjects undergoing reversal reactions were also examined by immunohistochemistry. Clinically, these lesions occur during a conversion of the lepromatous state to the tuberculoid state, and thus represent the acquisition of specific cellular immunity to M. leprae (21). Staining of serial sections from reversal reaction lesions revealed prominent expression of CD1a, -b, and -c proteins on dense clusters of cells within the inflammatory infiltrates (Fig. 1Go, G–I). Thus, the appearance of CD1 proteins within leprosy lesions could be correlated temporally with the acquisition of immunity to the pathogen.

Although CD1a, -b, and -c proteins were absent or only weakly expressed in the lesions of lepromatous patients, they could be induced in vitro by a combination of GM-CSF and IL-4 on blood monocytes from these patients, as previously shown for normal subjects (4, 17). In fact, the percentages of monocytes showing CD1 surface expression after cytokine induction in PBMC from lepromatous patients showed a range similar to that for identically cultured monocytes from tuberculoid patients (Fig. 3Go, A and B). Although there were no significant differences in the mean percentages of CD1a-, b-, or c-positive monocytes between the two patient groups, both groups showed a trend toward a lower percentage of CD1+ monocytes under these conditions when compared with normal controls (Fig. 3GoB). These differences achieved statistical significance in several instances (e.g., for CD1a in the tuberculoid patients, and for CD1b and -c in the lepromatous patients), and could be indicative of a subtle defect or alteration in the circulating monocytes of patients with both clinical forms of leprosy. However, the ability to similarly induce CD1 expression on mononuclear cells derived from both patient groups in vitro indicated that the virtual absence of these proteins from the dermal granulomas of lepromatous leprosy patients was probably not the result of a generalized or primary defect affecting the CD1 system.



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FIGURE 3. CD1 expression in vitro on cytokine-activated monocytes of leprosy patients. A, Representative flow cytometry profiles showing CD1 expression by blood monocytes from a normal subject compared with monocytes from tuberculoid or lepromatous leprosy patients stimulated with GM-CSF plus IL-4 in vitro for 3 days. Dotted line, control staining (mAb P3). Solid line, specific mAb (CD1a, mAb OKT6; CD1b, mAb 4A7.6.5; CD1c, mAb 10C3). B, Quantitation by FACS analysis of CD1 expression in vitro by cytokine-activated monocytes from normal subjects and tuberculoid or lepromatous patients. N, normal control subjects (circles, n = 6); T, tuberculoid patients (triangles, n = 15); L, lepromatous patients (diamonds, n = 10). Horizontal lines indicate mean values for each group. Although a trend toward fewer CD1-expressing monocytes was observed for lepromatous patient samples, no statistically significant differences between the two patient groups were found (p > 0.05). The percentage of cells positive for CD1a was significantly reduced relative to normals in the tuberculoid patients (p = 0.014), and the percentages positive for CD1b and CD1c were significantly reduced relative to normals in lepromatous patients (p = 0.031 and 0.023, respectively). Statistical analysis was done using the Mann-Whitney U test.

 
Identification of CD1+ cells in tuberculoid leprosy as CD83+ DCs

To define the lineage of the CD1+ cells observed in tuberculoid lesions, we first assessed whether these were tissue macrophages by double staining with Ab to CD1b and to the monocyte/macrophage markers CD14 (Fig. 4GoA) or CD11b (not shown). Although many cells positive for either CD14 or CD11b could be demonstrated, these only rarely showed detectable staining for CD1b (<1% positive). In contrast to the failure of CD1b+ cells to colabel with Abs to CD14 or CD11b, nearly 100% of these cells were stained with a mAb specific for CD83 (Fig. 4GoB), a cell surface protein expressed at high levels only by DCs (22). These results identified the predominant cell type expressing CD1b in tuberculoid leprosy lesions as a DC, which was distinct from the tissue macrophages that were also abundant in these lesions.



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FIGURE 4. Two-color immunofluorescent staining of tuberculoid leprosy skin lesions. A, Cryostat section of tuberculoid leprosy skin biopsy specimen stained with anti-CD1b (green, left panel) and anti-CD14 (red, center panel). Separate visualization of the two markers revealed them to be expressed on distinct clusters of cells. Superposition of the two images (right panel) showed little colocalization between the red and green markers (indicated by summation of the two colors to give yellow). In general, cells staining strongly with CD14 were found clustered in areas that were devoid of CD1b+ cells, whereas CD1b+ cells were frequently found singly or clustered in areas that were relatively deficient in staining with CD14. Staining with Abs to CD11b, another monocyte/macrophage marker, gave similar results (not shown). B, Another section from the same biopsy specimen stained with anti-CD1b (red, left panel) and anti-CD83 (green, center panel), showing strong colocalization of these two markers in a cluster of cells with dendritic morphology. Superimposing the two images (yellow, right panel) shows complete colocalization of these two markers. Scale bars 100 µm in A and B.

 
Ag-presenting function of CD1+CD83+ monocyte-derived DCs

The presence of a prominent population of DCs expressing CD1 in the dermal lesions of tuberculoid leprosy subjects strongly suggested that these would be likely to function as APCs for M. leprae-specific CD1-restricted T cells, which have been previously isolated from similar lesions (6, 8). This possibility was assessed using an in vitro system to measure APC function. The relatively small amounts of tissue obtained from biopsy samples of tuberculoid leprosy lesions precluded the direct isolation of CD1+CD83+ APCs from these tissues for functional studies. However, recently developed methods for cultivation of DCs has allowed the generation of large numbers of CD83+ DCs suitable for in vitro studies of APC function (16). Thus, treatment of human peripheral blood monocytes with GM-CSF plus IL-4 for 3 to 7 days resulted in the surface expression of high levels of CD1a, -b, and -c proteins (4, 17). Subsequently, these cells were maintained in the same medium either without or with various doses of TNF-{alpha} for an additional 48 h to produce CD83- and CD83+ monocyte-derived DCs (16).

As previously reported (16), addition of TNF-{alpha} to monocytes following culture for several days with GM-CSF plus IL-4 led to a dose-dependent induction of CD83 on the cell surface, as shown by flow cytometry (Fig. 5GoA). Interestingly, cell surface levels of CD1a, -b, and -c were either unchanged or slightly decreased by TNF-{alpha} treatment compared with paired cultures maintained only in GM-CSF plus IL-4 (Fig. 5GoB). This was in contrast to MHC class II molecules (HLA-DR), which were expressed at increased levels on the cell surface after TNF-{alpha} treatment (Fig. 5GoB), as previously described by others (16, 23). A similar transition to a CD1+CD83+ phenotype was also observed after exposure of CD1+CD83- monocyte-derived DCs for 48 h to a M. leprae sonicate or to purified E. coli LPS (Fig. 5GoC).



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FIGURE 5. Generation of CD83+CD1+ monocyte-derived DCs in vitro. A, Flow-cytometric analysis of CD83 expression on CD1+ monocyte-derived cells cultured for 48 h in the indicated concentration of TNF-{alpha}. CD83 expression is shown as the average mean fluorescence intensity (MFI) for all cells in the cultures (open circles, expressed as mean channel number), and as the percentage of cells showing CD83 staining above background. Background staining was defined as the level above which <5% of cells were stained with the nonbinding control Ab P3. B, Effect of TNF-{alpha} treatment on the cell surface levels of CD1a, -b, and -c and HLA-DR, as determined by flow cytometry. Results are shown as the change in MFI for cultures treated with 1000 U/ml TNF-{alpha} relative to the MFI of replicate cultures not exposed to TNF-{alpha}. Baseline MFI values for cells not treated with TNF-{alpha} were as follows: CD1a, 1556; CD1b, 457; CD1c, 387; HLA-DR, 1887. C, Induction of CD83 on CD1+ monocyte-derived cells by bacterial products. Cells were exposed to the indicated concentrations of M. leprae sonicate (solid bars) or purified E. coli LPS (hatched bars) for the final 48 h of culture, and analyzed for CD83 expression by flow cytometry. The MFI value for CD83 in a parallel culture not exposed to M. leprae or LPS was 5 in this experiment.

 
To assess the capacity of CD83+ monocyte-derived DCs to stimulate Ag-specific CD1-restricted T cells, proliferative responses of three established T cell lines were examined. These included two CD1b-restricted T cell lines, DN1 and LDN4, specific for known mycobacterial lipid Ags. LDN4 was derived from a leprosy skin lesion, and responds to fractions enriched for lipoarabinomannan, a complex glycolipid abundant in the cell walls of M. leprae (6). DN1, specific for mycolic acids of M. tuberculosis, was derived from normal human peripheral blood (5, 24). The MHC class II (HLA-DR)-restricted T cell clone SP-F3, specific for tetanus toxin, has also been previously described (18). Under conditions in which APC number was suboptimal, CD83+ DCs were consistently more efficient than their CD83- counterparts at stimulating Ag-specific proliferation of both CD1b-restricted T cell lines. This contrasted to the responses of the MHC class II-restricted clone SP-F3, for which CD83- DCs were equal or superior to CD83+ DCs (Fig. 6GoA).



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FIGURE 6. Ag-presenting function of CD83+CD1+ monocyte-derived DCs. A, Proliferative responses of CD1b-restricted T cell lines (DN1 and LDN4) and an HLA-DR-restricted T cell clone (SP-F3) using limiting numbers of CD83- versus CD83+ monocyte-derived DCs. Responses to optimal amounts of bacterial Ags are shown (10 µg/ml M. tuberculosis sonicate for DN1, 10 µg/ml M. leprae sonicate for LDN4, and 10 µg/ml tetanus toxoid for SP-F3). Open symbols show responses with CD83- APCs, and filled symbols are responses with CD83+ APCs. B, Ag dose response of T cell lines with CD83- versus CD83+ monocyte-derived APCs. Proliferative responses were measured using 1 x 104 APCs per culture in the presence of the indicated concentrations of bacterial Ags. Open symbols, CD83- APCs; filled symbols, CD83+ APCs. Error bars show ±1 SD in A and B.

 
A similar observation was made when APC numbers were held constant and the Ag dose varied, in which case CD83+ APCs showed approximately a 5- to 10-fold increased sensitivity for Ag when presenting to CD1b-restricted T cell lines. Again, the opposite result was observed for the MHC class II-restricted T cell response, consistent with previous reports (23) (Fig. 6GoB). Overall, these results supported the hypothesis that DCs bearing the mature CD83+ phenotype observed in tuberculoid leprosy lesions in vivo function as effective APCs for CD1-restricted T cell responses, and are superior to their CD83- counterparts for lipid Ag presentation to at least some CD1-restricted T cells.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this study, we demonstrate the existence in vivo of a population of CD1a, -b, and -c expressing mononuclear cells within the cutaneous granulomas of human leprosy, but only in those patients with strong cell-mediated immunity to the M. leprae organism. CD1+ cells identified in tuberculoid leprosy lesions were almost universally CD83+, indicating that they belong to the DC lineage and most likely represent an activated or mature form of DC. In contrast, CD1+ cells were virtually absent from the cutaneous lesions of subjects with the lepromatous form of leprosy in which cell-mediated immunity to M. leprae is specifically suppressed. It is not yet clear whether this represents a failure of DCs to migrate into lepromatous lesions as opposed to a defect in their differentiation and maturation within the lesions. Nevertheless, these observations establish a striking correlation between the presence of CD1+ DCs in sites of infection and effective immunity to M. leprae in vivo.

The absence of CD1 expression in lepromatous lesions was probably not due to an intrinsic defect of the CD1 system, since these proteins could be up-regulated to similar levels on peripheral blood monocytes from patients with either tuberculoid or lepromatous disease. Instead, the pattern of CD1 expression seemed to reflect the known cytokine expression within these lesions from the different clinical forms of human leprosy. For example, mRNA for GM-CSF, a major inducer of CD1 on monocyte-derived cells in vitro, has been shown to be abundantly transcribed in tuberculoid, but not in lepromatous leprosy lesions (25, 26). Conversely, IL-10, which is abundantly transcribed in lepromatous but not tuberculoid lesions (25, 26), is a potent inhibitor of CD1 expression induced by GM-CSF (27). These findings suggest that the local cytokine milieu is an important determinant in the process of recruitment or differentiation of the CD1+ cells identified in tuberculoid lesions and reversal reactions.

The regulation of CD1 expression on DCs in leprosy lesions appears to differ significantly from the regulation of MHC-encoded Ag-presenting molecules in such lesions. Thus, three studies that have examined the expression of MHC class II molecules in lepromatous lesions have detected expression of these molecules (28, 29, 30), in contrast to what appears to be a complete absence of CD1a, -b, and -c in the lepromatous lesions we have studied. In fact, studies that have examined this issue using immunohistochemical methods similar to those used in our analysis of CD1 expression have not detected a noticeable difference in MHC class II expression between tuberculoid and lepromatous lesions (29, 30). To the best of our knowledge, expression of MHC class I molecules has not yet been studied in leprosy, and therefore, conclusions cannot yet be drawn about the behavior of these Ag-presenting molecules compared with the CD1 proteins.

The CD83+CD14-CD11b- phenotype of CD1+ cells within tuberculoid granulomas strongly supports the classification of these cells as members of the DC family. DCs are now regarded as the major stimulators of primary T cell responses, as well as potent stimulators of memory responses (23, 31). They have recently been shown to be a major source of IL-12 that leads to generation of Th1 responses (32), and can also produce an array of other cytokines and chemokines (33). As such, their presence within infected tissues of patients with strong cell-mediated immunity to M. leprae is likely to stimulate responses that promote effective control of the infection. As demonstrated previously (16) and confirmed by the present work, the transition of CD83-CD1+ monocyte-derived cells to CD83+CD1+ DCs is stimulated by TNF-{alpha}. Our studies showed that this transition also occurred after exposure of CD83-CD1+ monocyte-derived cells to mycobacterial extracts or LPS. These observations suggest a mechanism for linking the response of the innate immune system to the acquired T cell-mediated response through the induction of a population of potent APCs.

Although the molecular signals controlling the development of a mature DC phenotype in response to bacterial products are not yet established, it is well known that bacterial preparations such as those used in this study are potent inducers of TNF-{alpha} secretion by monocyte lineage cells (34, 35). Thus, an autocrine stimulation pathway can easily be visualized, in which TNF-{alpha} acts as the final common mediator of CD83 induction for all of the conditions examined in our studies. Preliminary experiments also indicate that the ingestion of live mycobacteria by monocytic cells can serve as a trigger for the transition to a CD1+CD83+ DC (S. Stenger and R. Modlin, unpublished data). This is supported by a recent report describing activation of human peripheral blood-derived DCs by infection with live M. tuberculosis, which was associated with increased surface expression of costimulatory molecules (CD54, CD40, and CD80) and secretion of inflammatory cytokines (TNF-{alpha}, IL-1, and IL-12) (36). That direct mycobacterial infection of DCs may be required for inducing this transition in tuberculoid leprosy lesions in vivo is an intriguing possibility, and could explain why only a minority of the monocyte-derived cells within these lesions acquire a CD1+CD83+ phenotype. However, this possibility is complicated by the recent finding that infection of monocyte-derived DCs in vitro with live M. tuberculosis causes down-regulation of CD1a, -b, and -c mRNA transcripts and a loss of surface expression by the infected APC within 48 h (37). This suggests that if DC maturation is induced by direct mycobacterial infection, the CD1+CD83+ phenotype may persist only transiently. Alternatively, M. leprae may not possess this ability to down-regulate CD1 expression, or additional factors could exist in vivo that prevent CD1 down-regulation in infected DCs.

Based on our studies of the APC function of CD83+ monocyte-derived DCs in vitro, it appears likely that the CD1+CD83+ cells identified in tuberculoid leprosy lesions are potent APCs for CD1-restricted T cell responses. Previous studies have shown that human monocyte-derived APCs that have been induced to undergo maturation by exposure to TNF-{alpha} are extremely efficient stimulators of T cells in mixed lymphocyte reactions, probably at least in part because of the up-regulation of costimulatory molecules (particularly CD86 (B7.2) (16)). However, it has also been found that exposure of monocyte-derived DCs to TNF-{alpha} mobilizes the majority of MHC class II molecules to the cell surface. This is associated with a reduction in the ability of such mature DCs to take up and present new Ags via the MHC class II pathway (23), a finding that is recapitulated in our experiments using a well-characterized HLA-DR-restricted tetanus toxoid-specific T cell clone (Fig. 6Go).

In contrast, for two CD1b-restricted T cell lines responsive to different mycobacterial lipid Ags, we observed that Ag-specific proliferation was more efficiently stimulated by CD83+ cells compared with their CD83- counterparts. Although more data will be required to determine whether this finding can be generalized to the majority of CD1b-restricted T cell responses, our results suggest that the regulation of Ag presentation through the CD1 pathway may be fundamentally different from regulation of the MHC class II pathway. The mechanism accounting for the enhanced presentation of newly encountered Ags by mature DCs to CD1b-restricted T cells is not yet known. However, this may relate to superior costimulation by DCs after treatment with TNF-{alpha}, or to enhanced uptake or processing of mycobacterial lipid Ags through pathways that may be regulated independently of the Ag-capturing machinery used by the MHC class II pathway. Whereas TNF-{alpha} treatment caused an increase in surface expression of MHC class II consistent with the mobilization of class II proteins from the endocytic system to the cell surface, no such increase was seen for CD1a, -b, or -c proteins. Previous studies have shown that the mechanisms controlling the transport of CD1 and MHC class II proteins into endocytic compartments are different (38, 39, 40), and this may account for the contrasting effects of TNF-{alpha} on the surface expression and Ag-presenting function of these molecules. Although additional experiments will be required to resolve the precise mechanisms involved, our current results provide further evidence for functional divergence between the MHC class II and CD1 pathways in the presentation of exogenous foreign Ags.

The presence of CD1-expressing cells within cutaneous leprosy lesions, combined with the previous isolation of CD1-restricted T cells from the skin of a subject responsive to M. leprae (6, 8), suggests an important role for CD1 in immunity to M. leprae. CD1-restricted T cells specific for mycobacteria display cytotoxic activity against infected cells (41), have direct bactericidal effects on released bacilli (41), and produce IFN-{gamma} and other proinflammatory cytokines (6). The importance of the CD1 system in immunity to extremely resistant intracellular pathogens such as mycobacteria may relate strongly to its unique ability to present a set of nonprotein microbial lipid Ags that are entirely distinct from peptide Ags recognized by MHC-restricted T cells. Because of the highly conserved structure of many microbial lipids, and the nonpolymorphic structure of the CD1 proteins themselves, these Ags are appealing candidate vaccine subunits. The studies of human leprosy presented in this work indicate that the activity of this pathway correlates with effective immunity to a mycobacterial pathogen, and underscore the importance of incorporating our growing knowledge of the CD1 system into efforts to develop improved vaccines and immunotherapies for human infectious diseases.


    Acknowledgments
 
We thank Dr. P. J. Brennan for providing Mycobacterium leprae organisms, Genetics Institute (Cambridge, MA) for granulocyte-macrophage CSF, Schering-Plough (Bloomfield, NJ) for IL-4, and the Ajinomoto Company (Kawasaki, Japan) for IL-2.


    Footnotes
 
1 This work was supported by grants from the National Institutes of Health (AI 22553, AR 40312, CA 09120, AR 01854, AI 28973, AI 36069, AI26872, and CA54464), the United Nations Development Program (UNDP)/World Bank/World Health Organization Special Programme for Research and Training in Tropical Diseases (IMMLEP), the Heiser Trust, and the Dermatologic Research Foundation of California. S.A.P. is the recipient of an Arthritis Foundation Investigator Award and an American Cancer Society Research Grant. Back

2 Current address: Service de Dermatologie, Hopital Edouard Herriot, Place d’Arsonval, 69437 Lyon, Cedex 03, France. Back

3 Address correspondence and reprint requests to Dr. Steven A. Porcelli, Division of Rheumatology, Immunology and Allergy, Department of Medicine, Brigham and Women’s Hospital, Room 516B Smith Building, 1 Jimmy Fund Way, Boston, MA 02115. E-mail address: Back

4 Abbreviations used in this paper: DC, dendritic cell; GM-CSF, granulocyte-macrophage colony-stimulating factor; MFI, mean fluorescence intensity. Back

Received for publication June 8, 1998. Accepted for publication October 26, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Martin, L. H., F. Calabi, F.-A. Lefebvre, C. A. G. Bilsland, C. Milstein. 1987. Structure and expression of the human thymocyte antigens CD1a, CD1b, and CD1c. Proc. Natl. Acad. Sci. USA 84:9189.[Abstract/Free Full Text]
  2. Porcelli, S.. 1995. The CD1 family: a third lineage of antigen presenting molecules. Adv. Immunol. 59:1.[Medline]
  3. Zeng, Z., A. R. Castano, B. W. Segelke, E. A. Stura, P. A. Peterson, I. A. Wilson. 1997. Crystal structure of mouse CD1: an MHC-like fold with a large hydrophobic binding groove. Science 277:339.[Abstract/Free Full Text]
  4. Porcelli, S., C. T. Morita, M. B. Brenner. 1992. CD1b restricts the response of human CD4-8- T lymphocytes to a microbial antigen. Nature 360:593.[Medline]
  5. Beckman, E. M., S. A. Porcelli, C. T. Morita, S. M. Behar, S. T. Furlong, M. B. Brenner. 1994. Recognition of a lipid antigen by CD1-restricted {alpha}ß+ T cells. Nature 372:691.[Medline]
  6. Sieling, P. A., D. Chatterjee, S. A. Porcelli, T. I. Prigozy, R. J. Mazzaccaro, T. Soriano, B. R. Bloom, M. B. Brenner, M. Kronenberg, P. J. Brennan. 1995. CD1-restricted T cell recognition of microbial lipoglycan antigens. Science 269:227.[Abstract/Free Full Text]
  7. Beckman, E. M., A. Melian, S. M. Behar, P. A. Sieling, D. Chatterjee, S. T. Furlong, R. Matsumoto, J. P. Rosat, R. L. Modlin, S. A. Porcelli. 1996. CD1c restricts responses of mycobacteria-specific T cells: evidence for antigen presentation by a second member of the human CD1 family. J. Immunol. 157:2795.[Abstract]
  8. Moody, D. B., B. B. Reinhold, M. R. Guy, E. M. Beckman, D. E. Frederique, S. T. Furlong, S. Ye, V. N. Reinhold, P. A. Sieling, R. L. Modlin, G. S. Besra, S. A. Porcelli. 1997. Structural requirements for glycolipid antigen recognition by CD1b-restricted T cells. Science 278:283.[Abstract/Free Full Text]
  9. Kawano, T., J. Cui, Y. Koezuka, I. Toura, Y. Kaneko, K. Motoki, H. Ueno, R. Nakagawa, H. Sato, E. Kondo, H. Koseki, M. Taniguchi. 1997. CD1d-restricted and TCR-mediated activation of V{alpha}14 NKT cells by glycosylceramides. Science 278:1626.[Abstract/Free Full Text]
  10. Porcelli, S. A., B. W. Segelke, M. Sugita, I. A. Wilson, M. B. Brenner. 1998. The CD1 family of lipid antigen presenting molecules. Immunol. Today 19:362.[Medline]
  11. Ridley, D. S., W. H. Jopling. 1966. Classification of leprosy according to immunity: a five-group system. Int. J. Lepr. Other Mycobact. Dis. 34:255.[Medline]
  12. Panchamoorthy, G., J. McClean, R. L. Modlin, C. T. Morita, S. Ishikawa, M. B. Brenner, H. Band. 1991. A predominance of the T cell receptor V{gamma}2/V{delta}2 subset in human mycobacteria-responsive T cells suggests germline encoded recognition. J. Immunol. 147:3360.[Abstract]
  13. Reinherz, E. L., P. C. Kung, G. Goldstein, R. H. Levey, S. F. Schlossman. 1980. Discrete stages of human intrathymic differentiation: analysis of normal thymocytes and leukemic lymphoblasts of T-cell lineage. Proc. Natl. Acad. Sci. USA 77:1588.[Abstract/Free Full Text]
  14. Olive, D., P. Dubreuil, C. Mawas. 1984. Two distinct TL-like molecular subsets defined by monoclonal antibodies on the surface of human thymocytes with different expression on leukemia lines. Immunogenetics 20:253.[Medline]
  15. Brodsky, F. M., P. Parham. 1982. Monomorphic anti-HLA-A,B,C monoclonal antibodies detecting molecular subunits and combinatorial determinants. J. Immunol. 128:129.[Abstract]
  16. Zhou, L.-J., T. F. Tedder. 1996. CD14+ blood monocytes can differentiate into functionally mature CD83+ dendritic cells. Proc. Natl. Acad. Sci. USA 93:2588.[Abstract/Free Full Text]
  17. Kasinrerk, W., T. Baumruker, O. Majdic, W. Knapp, H. Stockinger. 1993. CD1 molecule expression on human monocytes induced by granulocyte-macrophage colony-stimulating factor. J. Immunol. 150:579.[Abstract]
  18. Roncarolo, M.-G., H. Yssel, J.-L. Touraine, R. Bacchetta, L. Gebuhrer, J. deVries, H. Spits. 1988. Antigen recognition by MHC-incompatible cells of a human mismatched chimera. J. Exp. Med. 168:2152.
  19. Nestle, F. O., X. G. Zheng, C. B. Thompson, L. A. Turka, B. J. Nickoloff. 1993. Characterization of dermal dendritic cells obtained from normal human skin reveals phenotypic and functionally distinctive subsets. J. Immunol. 151:6535.[Abstract]
  20. Fithian, E., S. Kung, G. Goldstein, M. Rubenfeld, C. Fenoglio, R. Edelson. 1981. Reactivity of Langerhans cells with hybridoma antibody. Proc. Natl. Acad. Sci. USA 78:2541.[Abstract/Free Full Text]
  21. Barnetson, R. S., G. Bjune, J. M. H. Pearson, G. Kronvall. 1976. Cell mediated and humoral immunity in "reversal reactions.". Int. J. Lepr. Other Mycobact. Dis. 44:267.[Medline]
  22. Zhou, L.-J., T. F. Tedder. 1995. Human blood dendritic cells selectively express CD83, a member of the immunoglobulin superfamily. J. Immunol. 154:3821.[Abstract]
  23. Sallusto, F., A. Lanzavecchia. 1994. Efficient presentation of soluble antigen by cultured human dendritic cells is maintained by granulocyte/macrophage colony-stimulating factor plus interleukin 4 and down-regulated by tumor necrosis factor {alpha}. J. Exp. Med. 179:1109.[Abstract/Free Full Text]
  24. Porcelli, S. A., C. T. Morita, R. L. Modlin. 1996. T-cell recognition of non-peptide antigens. Curr. Opin. Immunol. 8:510.[Medline]
  25. Yamamura, M., K. Uyemura, R. J. Deans, K. Weinberg, T. H. Rea, B. R. Bloom, R. L. Modlin. 1991. Defining protective responses to pathogens: cytokine profiles in leprosy lesions. Science 254:277.[Abstract/Free Full Text]
  26. Yamamura, M., X.-H. Wang, J. D. Ohmen, K. Uyemura, T. H. Rea, B. R. Bloom, R. L. Modlin. 1992. Cytokine patterns of immunologically mediated tissue damage. J. Immunol. 149:1470.[Abstract]
  27. Thomssen, H., M. Kahan, M. Londei. 1995. Differential effects of interleukin-10 on the expression of HLA class II and CD1 molecules induced by granulocyte/macrophage colony-stimulating factor/interleukin-4. Eur. J. Immunol. 25:2465.[Medline]
  28. Collings, L. A., N. Tidman, L. W. Poulter. 1985. Quantitation of HLA-DR expression by cells involved in the skin lesions of tuberculoid and lepromatous leprosy. Clin. Exp. Immunol. 61:58.[Medline]
  29. Van Voorhis, W. C., G. Kaplan, E. N. Sarno, M. A. Horwitz, R. M. Steinman, W. R. Levis, N. Nogueira, L. S. Hair, C. R. Gattass, B. A. Arrick, Z. A. Cohn. 1982. The cutaneous infiltrates of leprosy: cellular characteristics and the predominant T-cell phenotypes. N. Engl. J. Med. 307:1593.[Abstract]
  30. Modlin, R. L., F. M. Hofman, C. R. Taylor, T. H. Rea. 1983. T lymphocyte subsets in the skin lesions of patients with leprosy. J. Am. Acad. Dermatol. 8:182.[Medline]
  31. Steinman, R. M.. 1991. The dendritic cell system and its role in immunogenicity. Annu. Rev. Immunol. 11:271.
  32. Reis e Sousa, C., S. Hieny, T. Scharton-Kersten, D. Jankovic, H. Charest, R. N. Germain, A. Sher. 1997. In vivo microbial stimulation induces rapid CD40 ligand-independent production of interleukin-12 by dendritic cells and their redistribution to T cell areas. J. Exp. Med. 186:1819.[Abstract/Free Full Text]
  33. Zhou, L.-J., T. F. Tedder. 1995. A distinct pattern of cytokine gene expression by human CD83+ blood dendritic cells. Blood 86:3295.[Abstract/Free Full Text]
  34. Barnes, P. F., D. Chatterjee, J. S. Abrams, S. Lu, E. Wang, M. Yamamura, P. J. Brennan, R. L. Modlin. 1992. Cytokine production induced by Mycobacterium tuberculosis lipoarabinomannan: relationship to chemical structure. J. Immunol. 149:541.[Abstract]
  35. Barnes, P. F., D. Chatterjee, P. J. Brennan, T. H. Rea, R. L. Modlin. 1992. TNF production in patients with leprosy. Infect. Immun. 60:1441.[Abstract/Free Full Text]
  36. Henderson, R. A., S. C. Watkins, J. L. Flynn. 1997. Activation of human dendritic cells following infection with Mycobacterium tuberculosis. J. Immunol. 159:635.[Abstract]
  37. Stenger, S., K. R. Niazi, R. L. Modlin. 1998. Down-regulation of CD1 expression on antigen-presenting cells by infection with Mycobacterium tuberculosis. J. Immunol. 161:3582.[Abstract/Free Full Text]
  38. Sugita, M., R. M. Jackman, E. van Donselaar, S. M. Behar, R. A. Rogers, P. J. Peters, M. B. Brenner, S. A. Porcelli. 1996. Cytoplasmic tail-dependent localization of CD1b antigen-presenting molecules to MIICs. Science 273:349.[Abstract]
  39. Jackman, R. M., S. Stenger, A. Lee, D. B. Moody, R. A. Rogers, K. R. Niazi, M. Sugita, R. L. Modlin, P. J. Peters, S. A. Porcelli. 1998. The tyrosine-containing cytoplasmic tail of CD1b is essential for its efficient presentation of bacterial lipid antigens. Immunity 8:341.[Medline]
  40. Lotteau, V., L. Teyton, A. Peleraux, L. Nilsson, L. Karlsson, V. Schmid, V. Quaranta, P. A. Peterson. 1990. Nature. Nature 348:600.[Medline]
  41. Stenger, S., R. J. Mazzaccaro, K. Uyemura, S. Cho, P. F. Barnes, J. P. Rosat, A. Sette, M. B. Brenner, S. A. Porcelli, B. R. Bloom, R. L. Modlin. 1997. Differential effects of cytolytic T cell subsets on intracellular infection. Science 276:1684.[Abstract/Free Full Text]



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