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The Journal of Immunology, 1999, 163: 4878-4885.
Copyright © 1999 by The American Association of Immunologists

T Cell Infiltration into Class II MHC-Disparate Allografts and Acute Rejection Is Dependent on the IFN-{gamma}-Induced Chemokine Mig1

Shoji Koga*, Michael B. Auerbach{dagger}, Tara M. Engeman{dagger}, Andrew C. Novick*, Hiroshi Toma§ and Robert L. Fairchild2,*,{dagger},{ddagger}

Departments of * Urology and {dagger} Immunology, Cleveland Clinic Foundation, Cleveland, OH 44195; {ddagger} Department of Pathology, Case Western Reserve University School of Medicine, Cleveland, OH 44106; and § Department of Urology, Tokyo Women’s Medical School, Tokyo, Japan


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Direct evidence that cytokines with chemoattractant properties for leukocytes, chemokines, recruit alloantigen-primed T cells into transplanted allografts has been lacking. We present evidence that neutralization of a single chemokine inhibits T cell infiltration into class II MHC-disparate murine allografts and acute rejection. The chemokines IFN-{gamma}-inducible protein-10 and monokine induced by IFN-{gamma} (Mig) are expressed in allogeneic skin grafts during the late stages of acute rejection. Survival of class II MHC-disparate B6.H-2bm12 allografts is prolonged from day 14 to day 55 posttransplant when C57BL/6 recipients are given a short course treatment with an antiserum to Mig. This treatment also inhibits T cell and macrophage infiltration into the allografts. B6.H-2bm12 allografts are also not rejected by IFN-{gamma}-/- C57BL/6 recipients. Injection of Mig directly into B6.H-2bm12 grafts on IFN-{gamma}-deficient recipients restores T cell infiltration and rejection. Therefore, the inability of IFN-{gamma}-deficient recipients to reject the class II MHC-disparate allografts is due to the lack of intraallograft Mig production and alloantigen-primed T cell recruitment to the graft. These results indicate for the first time the potential utility of chemokine neutralization strategies in preventing T cell infiltration into allografts and abrogating acute rejection.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Acute rejection of allografts remains a significant problem in clinical transplantation, decreasing the function and survival of organs transplanted for the treatment of end-stage renal and heart disease (1, 2). Acute rejection of allografts is mediated by the coordinated infiltration and effector functions of alloantigen-specific T cells (3, 4). The factors directing alloantigen-primed T cell infiltration into allografts remain poorly defined. In experimental models, recipient treatment with adhesion molecule-specific Abs has prolonged allograft survival, suggesting an important role for these molecules in the rejection process (5, 6). Studies from several laboratories, however, have reported the rejection of allografts when expression of specific adhesion molecules by the graft tissue is either inhibited or absent through gene targeting (7, 8). These results suggest that other factors may provide a critical contribution to T cell infiltration into allografts and the initiation of acute rejection. Identification of such factors may provide novel targets for therapeutic manipulation to prevent this infiltration and the induction of acute graft rejection.

Chemokines are a superfamily of structurally related cytokines having chemoattractant properties for leukocytes (9, 10). Studies using chemokine-specific Abs or receptor-binding antagonists to inhibit leukocyte infiltration and ameliorate tissue pathology in animal models have directly demonstrated the important role of chemokines in inflammation (11, 12, 13, 14, 15). Studies from this and several other laboratories have demonstrated the presence of chemokine mRNA and/or protein in allografts during rejection, suggesting a role for chemokines during rejection of the grafts (16, 17, 18, 19, 20). The function of chemokines in recruiting T cells into allografts, however, has not been directly tested.

Following infiltration of transplanted allografts, specific T cells are activated to produce the proinflammatory cytokines and/or express the cytolytic activities mediating destruction of the graft tissue. IFN-{gamma}, which stimulates increased expression of class I and II MHC molecules on many cell types, is often produced and detected in allografts during rejection (21, 22, 23). Rejection of class II MHC-disparate B6.H-2bm12 grafts is inhibited when recipient C57BL/6 mice are treated with an anti-IFN-{gamma} Ab (24). One interpretation of these results has been that the Ab treatment inhibits IFN-{gamma}-mediated up-regulation of class II MHC expression and there is a lack of target molecules in the graft to activate the effector CD4+ T cells to mediate rejection of the allograft. IFN-{gamma} up-regulates or down-regulates many functions during the course of immune responses. Of particular interest to this laboratory is the ability of IFN-{gamma} to stimulate many different types of cells to produce two {alpha} (CXC) chemokines, monokine induced by IFN-{gamma} (Mig)3 (3), and IFN-{gamma}-inducible protein-10 (IP-10) (25, 26). These chemokines have potent chemoattractant properties for activated T cells, raising the possibility that IP-10 and/or Mig might be critical factors directing alloantigen-primed T cell infiltration into allografts during rejection. In this study, we demonstrate for the first time the inhibition of T cell infiltration into class II MHC-disparate allografts and prevention of acute rejection by treatment of the recipient with Abs to a single chemokine, Mig. We also demonstrate that the inability of IFN-{gamma}-/--deficient recipients to reject class II MHC-disparate skin grafts is circumvented by delivering recombinant Mig into the graft. In light of these results, the multiple functions of IFN-{gamma} in the graft rejection process are discussed.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Animals

Adult female mice of 6–10 wk of age were used throughout this study. BALB/c (H-2d), A/J (H-2a), and C57BL/6 (H-2b) mice were obtained through Dr. Clarence Reeder (National Cancer Institute, Frederick, MD). B6.C-H-2bm1, B6.C-H-2bm12, and C57BL/6 mice with a targeted deletion in the IFN-{gamma} (IFN-{gamma}-/-) gene were purchased from The Jackson Laboratory (Bar Harbor, ME).

Abs and cytokines

mAb from the culture supernatant of the IgG-producing hybridomas GK1.5 (rat anti-mouse CD4) and 30-H12 (anti-Thy-1.2) were purified by protein G chromatography. The following mAb and antisera were used for immunohistology: GK1.5; 53-6.7 (rat anti-mouse CD8{alpha}) was purchased from PharMingen (San Diego, CA); MOMA-2 (rat anti-macrophage) was purchased from BioSource International (Camarillo, CA); and Texas Red-conjugated donkey Ab specific for rat IgG was purchased from Jackson ImmunoResearch (West Grove, PA). Rabbit antiserum to a Mig-specific peptide (sequence: CISTSRGTIHYKSLKDLKQFAPS) was generated by Biosynthesis (Lewisville, TX). This antiserum detected recombinant mouse Mig and not recombinant mouse KC (Gro{alpha}) in Western blot analyses. Recombinant mouse Mig was purchased from R&D Systems (Minneapolis, MN).

Transplantation

Full thickness trunk skin grafting was performed using a modification of the protocol of Billingham and Medawar (27). Briefly, trunk skin was prepared from donor ventral skin, and 12-mm-diameter circles of full thickness skin were punched. Graft beds were prepared by excising 14-mm-diameter circles of skin from the lateral dorsal thoracic wall of recipients. Recipient C57BL/6 mice were grafted with a syngeneic graft on one side of the lateral dorsal thoracic wall and an allogeneic graft on the other side, separated by a 10-mm skin bridge. The grafts were covered with Vaseline gauze and an adhesive bandage for 7 days. To determine the time of graft survival in the various recipient groups, the graft was left on five recipients in each group until rejection was complete. Each graft was examined daily beginning at day 7 posttransplant and was considered rejected when ~60% or more of the graft tissue was destroyed and transformed to scab as assessed by visual examination.

Northern blot analysis

Whole cell RNA was isolated from transplanted skin tissue using the protocol of Chirgwin and coworkers (28). Briefly, skin graft tissue was excised from the graft bed avoiding the surrounding recipient tissue and homogenized in 4 M guanidine isothiocyanate using a Polytron homogenizer (Brinkmann Instruments, Westbury, NY). The RNA was pelleted by overnight centrifugation of the tissue homogenate through a 5.7 M CsCl2 gradient. Following resuspension in diethyl pyrocarbonate-treated dH2O, 10-µg aliquots of RNA were subjected to electrophoresis in 1% agarose/2.2 M formaldehyde-denaturing gels and analyzed by Northern blot analysis, as previously described (19, 20). Northern blots were probed by hybridization with 32P-labeled oligonucleotide probes specific for IP-10 and Mig. The quantity of RNA in each analysis was standardized by washing the blot three times in Tris-EDTA at 90°C to strip off the cytokine probe and reprobing the blot with an oligonucleotide probe specific for rat GAPDH. All experiments were repeated three times, with similar results observed each time, and the results from a single representative experiment are shown.

Immunohistology

For immunohistology, 6-µm frozen sections of allogeneic and isogeneic skin grafts were cut, fixed in acetone for 10 min, and air dried. Slides were stained overnight with GK1.5 or 53-6.7, diluted to 5 µg/ml, or MOMA-2, diluted to 50 µg/ml. Control slides were incubated with rat or goat IgG as the primary Ab. After three washes in PBS for 5 min each, slides were incubated with FITC-conjugated donkey anti-goat IgG and/or Texas Red-conjugated donkey anti-rat IgG, diluted to 7.5 µg/ml. After staining, slides were washed in PBS, and a drop of Vectashield (Vector Laboratories, Burlingame, CA) was used to reduce fluorescence photobleaching. The slides were viewed under a fluorescent microscope, and the images were captured using Adobe Photoshop 4.0 (Mountain View, CA). In all experiments, from five to seven different cut tissue sections were examined, and a representative histological result is shown.

Antiserum treatment

To test the role of Mig in allogeneic skin graft rejection, graft recipients received 0.5-ml aliquots of rabbit anti-Mig antiserum, or as a control normal rabbit serum (NRS), i.p. every other day from day 7 to day 21 posttransplantation.

Mixed lymphocyte reactivity

T cells from naive and skin allograft recipients were tested for alloantigen reactivity by performing mixed lymphocyte reactions. Responder T cell suspensions were prepared from lymph nodes draining the allograft site (brachial and axillary nodes). The cells were suspended at 2.5 x 106/ml in complete medium, RPMI (Life Technologies, Gaithersburg, MD) supplemented with 10% FCS (Sigma, St. Louis, MO), 2 mM L-glutamine, 5 x 10-5 M 2-ME, 10 mM HEPES, and 20 µg/ml gentamicin, and 100-µl aliquots were delivered in triplicate to the wells of a 96-well round-bottom tissue culture plate. Stimulator cells were prepared from spleens of syngeneic, allograft donor, and third-party allogeneic mice. The spleen cell suspensions were treated with Tris-NH4Cl for 5 min and washed three times. The cells were given 2500 R gamma-irradiation and resuspended in culture media at 5 x 106/ml, and 100-µl aliquots were delivered to each well in the culture plates. After 48 h, cultures were pulsed with 1 µCi [3H]thymidine, and 20 h later the cultures were harvested onto fiber filter mats and the amount of 3H incorporation was determined by liquid scintillation counting.

Cytotoxicity assays

Cytotoxic activity of LNC from naive and skin allograft recipients was tested using the JAM assay described by Matzinger (29). Briefly, LNC suspensions to be tested as effector cells were cultured at 107 cells/ml with 5 x 106 irradiated (3000 rad) stimulator cells/ml in complete medium for 3 days in 24-well plates. Stimulator and target cells for the assay were syngeneic and allogeneic LPS blasts. To prepare LPS blasts, spleen cells were depleted of T cells by treating with anti-Thy-1.2 mAb and complement and culturing the treated cells at 1 x 106/ml with 1 µg/ml LPS (Sigma) for 40 h. During the last 4 h of culture, the cells were labeled with 5 µCi/ml [3H]thymidine. After labeling, the LPS blasts were washed, and quadruplicate cocultures of 104 LPS blasts with 100 to 12.5 x 105 of the effector LNC were established in a final volume of 200 µl/well in 96-well round-bottom plates. The cultures were incubated for 3 h at 37°C and then harvested onto fiber filter mats. The amount of [3H]thymidine incorporation was determined by liquid scintillation counting. Results are expressed as percent specific lysis (i.e., percentage of specific DNA loss) calculated as: % specific lysis = 100 x [(cpmspont - cpmexp)]/cpmspont, where spontaneous killing (spont) = retained DNA in the absence of cytotoxic cells and experimental killing (exp) = retained DNA in the presence of cytotoxic cells.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Intragraft expression of IP-10 and Mig mRNA during allograft rejection

To begin to test the potential role of IP-10 and Mig in recruiting T cells into allografts during acute rejection, the expression of Mig and IP-10 mRNA in syngeneic and allogeneic skin grafts was tested by Northern blot hybridization. C57BL/6 (H-2b) mice received a full thickness trunk skin graft from a syngeneic donor and from an allogeneic donor with a full or partial MHC disparity. On various days posttransplant, the iso- and allografts were retrieved for RNA isolation and analysis by Northern blot hybridization. Allografts with a complete MHC disparity, BALB/c (H-2d), were rejected by C57BL/6 recipients between days 12 and 13 posttransplant. Expression of Mig and IP-10 was undetectable or at low levels in BALB/c allografts 6 to 7 days before rejection (i.e., day 6 posttransplant), but was detected at high levels thereafter (Fig. 1Goa). Mig and IP-10 RNA expression was not detected in isografts at any time examined. Allografts with a single class I (B6.H-2bm1) MHC disparity were rejected by C57BL/6 recipients between days 16 and 17 posttransplant, and allografts with a single class II (B6.H-2bm12) MHC disparity were rejected between days 14 and 15 posttransplant. Expression of IP-10 and Mig in B6.H-2bm1 and B6.H-2bm12 allografts was also not observed until late in the rejection process (Fig. 1Go, b and c). Low levels of both IP-10 and Mig RNA were observed in B6.H-2bm12 allografts 5 days before rejection, ~3- to 5-fold less than the levels observed in B6.H-2bm1 allografts at comparable times before completion of graft rejection. In contrast to expression in the completely allogeneic (BALB/c) graft, expression of Mig and IP-10 in B6.H-2bm1 and B6.H-2bm12 allografts quickly decreased from the peak levels observed (i.e., ~5 days before rejection) and was virtually undetectable the day before completion of rejection.



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FIGURE 1. Intragraft expression of IP-10 and Mig mRNA. C57BL/6 mice received a full thickness trunk skin graft from a syngeneic and from a BALB/c (a), B6. H-2bm1 (b), or B6. H-2bm12 (c) donor. At the indicated time posttransplant, the iso- and allografts were removed and total cellular RNA was prepared and analyzed by Northern blot hybridization using Mig- and IP-10-specific oligonucleotide probes. Levels of Mig and IP-10 expression in the grafts were compared using the levels of GAPDH expression to normalize the amount of RNA loaded into each well. The chemokine signal is expressed as a ratio of the GAPDH signal. The intensity of gene expression in allografts (stippled bars) and isografts (black bars) is shown for each of the rejection models.

 
Inhibition of allograft rejection by treating recipients with Mig antiserum

A rabbit antiserum generated to a Mig peptide was tested for the ability to prolong allograft survival. Full thickness skin grafts from BALB/c, B6.H-2bm1, and B6.H-2bm12 donors were transplanted to C57BL/6 recipients. Beginning at day 7 posttransplant, groups of recipients were given 0.5 ml of NRS or the Mig antiserum every other day until day 21 posttransplant. Survival of skin grafts was assessed by visual examination with 60% or more of tissue destruction interpreted as the completion of rejection. Treatment with NRS did not affect the time of rejection of the allogeneic skin grafts when compared with nontreated recipients. Treatment of recipients of BALB/c or B6.H-2bm1 allografts with the Mig antiserum delayed graft rejection 2–4 days (Fig. 2Go, a and b). In contrast, treatment with Mig antiserum prolonged the survival of the B6.H-2bm12 allografts to day 53–56 posttransplant (Fig. 2Goc). Isografts on recipients treated with either NRS or Mig antiserum were maintained indefinitely (data not shown).



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FIGURE 2. Mig antiserum inhibits rejection of allogeneic skin grafts. Groups of five C57BL/6 mice received full thickness trunk skin grafts from both a syngeneic and an allogeneic BALB/c (a), B6. H-2bm1 (b), or B6. H-2bm12 (c) donor. At day 7 posttransplant, recipients were given 0.5 ml of NRS (—) or rabbit Mig antiserum (---) every other day through day 21 posttransplant or until rejection was complete. After day 7 posttransplant, grafts were visually inspected for rejection. Rejection was considered complete when 60% or more of the graft was transformed to scab. Isografts were maintained on all recipients for longer than 60 days posttransplant.

 
Because recipient treatment with Mig antiserum led to prolonged survival of the B6.H-2bm12 allograft, we next analyzed leukocyte infiltration in tissue sections prepared from allografts retrieved from the NRS- and Mig antiserum-treated recipients at day 14 posttransplant. Tissue sections from allografts on NRS-treated recipients revealed heavy infiltration with small mononuclear cells (Fig. 3Go). In contrast, allografts from recipients treated with Mig antiserum had few detectable mononuclear cells at this time point. By day 53 posttransplant, however, allografts retrieved from Mig antiserum-treated recipients were heavily infiltrated with large mononuclear cells.



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FIGURE 3. Mig antiserum inhibits leukocyte infiltration of B6. H-2bm12 allografts. C57BL/6 mice received full thickness trunk skin grafts from B6. H-2bm12 donors. Graft recipients were treated with NRS or rabbit Mig antiserum as in Fig. 2Go. At day 14 or 53 posttransplant, allografts were retrieved and tissue sections were prepared and stained with hematoxylin-eosin. The sections were viewed at x250 and the images were captured as shown.

 
To examine the phenotype of infiltrating cells during the rejection of B6.H-2bm12 grafts on NRS- and Mig antiserum-treated C57BL/6 recipients, tissue sections from the retrieved grafts were stained with anti-CD4 or anti-macrophage mAb. In sections taken from allografts retrieved from NRS-treated recipients at day 14 posttransplant, both CD4+ T cell and macrophage infiltration into the graft was evident with CD4+ T cell infiltration predominant (Fig. 4Go). Consistent with the previous analysis, few graft-infiltrating CD4+ T cells and macrophages were detected in allografts retrieved from Mig antiserum-treated recipients at day 14 posttransplant. At the time of rejection (e.g., day 53 posttransplant), allografts from Mig antiserum-treated recipients had evidence of both macrophages and CD4+ T cells, with the macrophages more predominant than CD4+ T cells. The number of CD4+ T cells and macrophages were counted in five to seven microscope fields of the stained graft tissue sections from NRS- and Mig antiserum-treated recipients (Table IGo). Consistent with the previous results, Mig antiserum inhibited CD4+ T cell and macrophage infiltration into the allograft at day 14 posttransplant. Furthermore, the number of allograft-infiltrating macrophages was significantly increased in allografts from recipients treated with Mig antiserum when compared with allografts from NRS-treated recipients at the time of allograft rejection (i.e., day 14 vs day 53 posttransplant, respectively).



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FIGURE 4. Mig antiserum inhibits CD4+ T cell and macrophage infiltration of B6. H-2bm12 allografts. C57BL/6 mice received full thickness trunk skin grafts from B6. H-2bm12 donors. Graft recipients were treated with NRS or rabbit Mig antiserum, as in Fig. 2Go. At days 14 and 53 posttransplant, allografts were retrieved and tissue sections were prepared and stained with rat anti-mouse CD4 Ab or with rat anti-mouse macrophage Ab. After overnight incubation, the slides were washed three times with PBS and stained with Texas Red-conjugated donkey anti-rat IgG. After washing, slides were viewed by fluorescent microscopy at x250 and representative images were captured as shown.

 

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Table I. Allograft infiltrating cells in control and Mig antiserum-treated recipients of B6.H-2bm12 allografts1

 
Peripheral T cells from NRS- and Mig antiserum-treated recipients of B6.H-2bm12 grafts were then tested for reactivity to graft donor stimulator cells in vitro. Cell suspensions were prepared from the lymph nodes draining the skin grafts and cultured with irradiated spleen cells prepared from syngeneic, allograft donors, or third-party allogeneic mice for a total of 72 h in standard MLC (Fig. 5Go). Lymph node T cells obtained at day 14 posttransplant from graft recipients treated with NRS vs Mig antiserum had equivalent proliferative responses to B6.H-2bm12 stimulator cells. Furthermore, the presence of B6.H-2bm12-reactive T cells in the Mig antiserum-treated graft recipients remained detectable at later times posttransplant. In conjunction with the histological analyses, these results indicated that the prolonged survival of B6.H-2bm12 allografts on Mig antiserum-treated recipients was not mediated through diminished T cell priming or alloreactivity, but was mediated by inhibition of T cell recruitment into the graft tissue.



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FIGURE 5. Mig antiserum does not inhibit recipient T cell priming to B6. H-2bm12 allografts. C57BL/6 mice received full thickness trunk skin grafts from B6. H-2bm12 donors. Graft recipients were treated with NRS or rabbit Mig antiserum as in Fig. 2Go. At days 14, 28, and 53 posttransplant, cell suspensions from lymph nodes draining the allograft site were prepared and cultured with irradiated spleen cells from C57BL/6 (black bars), B6. H-2bm12 (gray bars), or A/J (white bars) mice. LNC from nontransplanted (naive) mice were also tested as a negative control. After 48 h, cultures were pulsed with 1 µCi [3H]thymidine. After 16 h, the cultures were harvested onto fiber filter mats and the amount of 3H incorporation was tested by liquid scintillation.

 
The inability of C57BL/6 IFN-{gamma}-/- recipients to reject B6.H-2bm12 allografts is due to lack of intragraft Mig production

The ability of the Mig antiserum to inhibit the rejection of skin allografts suggested a critical role of IFN-{gamma} in stimulating intraallograft production of Mig and the subsequent recruitment of alloantigen-primed T cells into the graft. To test this, B6.H-2bm12 skin grafts were transplanted to IFN-{gamma}-deficient C57BL/6. In contrast to B6.H-2bm12 allografts on C57BL/6 wild-type recipients, the allografts survived indefinitely on C57BL/6 IFN-{gamma}-/- recipients (Fig. 6Go). Examination of the allografts indicated a complete absence of Mig mRNA expression and a low level of mononuclear cell graft infiltration at day 12 posttransplant (data not shown).



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FIGURE 6. Delivery of Mig to B6. H-2bm12 grafts on IFN-{gamma}-/- C57BL/6 restores allograft rejection. Groups of five C57BL/6 IFN-{gamma}-/- mice received a full thickness skin graft from a syngeneic and a B6. H-2bm12 donor. At day 14 posttransplant, 500 ng recombinant Mig in 50 µl saline (•) or 50 µl of saline alone (x) was injected intradermally into the grafts. The allografts were visually inspected daily for rejection. Rejection was considered complete when 60% or more of the graft was transformed to scab. All allografts injected with Mig were rejected by day 21 posttransplant, whereas saline-injected grafts were maintained >100 days posttransplant. Mig- and saline-injected isografts were maintained for longer than 100 days posttransplant.

 
The presence of alloantigen-reactive T cells in C57BL/6 IFN-{gamma}-/- recipients of B6.H-2bm12 allografts was tested 11 days after skin transplantation. First, lymph node T cells from wild-type C57BL/6 and C57BL/6 IFN-{gamma}-/- recipients of the allografts were compared for proliferative reactivity to B6.H-2bm12 and third-party allogenic (A/J) stimulator cells in 72-h MLC (Fig. 7Go). Lymph node T cells from C57BL/6 IFN-{gamma}-/- recipients of B6.H-2bm12 allografts had slightly greater proliferative responses than responses of cells from C57BL/6 IFN-{gamma}+/+ recipients of the B6.H-2bm12 allografts. Second, lymph node T cells from wild-type C57BL/6 and C57BL/6 IFN-{gamma}-/- recipients of B6.H-2bm12 allografts were cultured for 3 days with B6.H-2bm12 spleen cells and were then tested for cytotoxic activity to LPS blasts prepared from B6.H-2bm12 spleen cells. T cells from C57BL/6 IFN-{gamma}-/- allograft recipients, but not from naive C57BL/6 IFN-{gamma}-/- mice, expressed primed CTL responses following short-term culture with the B6.H-2bm12 stimulator cells (Fig. 8Go). Similar to the proliferative responses, the cytotoxic activities of LNC from the C57BL/6 IFN-{gamma}-/- recipients were slightly but consistently higher than the cytotoxic activity of LNC from wild-type recipients.



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FIGURE 7. Priming of B6. H-2bm12-reactive T cells from IFN-{gamma}-/- recipients of B6. H-2bm12 allografts. C57BL/6 IFN-{gamma}+/+ and C57BL/6 IFN-{gamma}-/- mice received full thickness trunk skin grafts from B6. H-2bm12 donors. At day 11 posttransplant, cell suspensions from recipient lymph nodes draining the allograft site were prepared and cultured with irradiated spleen cells from C57BL/6 (black bars), B6. H-2bm12 (gray bars), or A/J (white bars) mice. LNC from nontransplanted (naive) C57BL/6 IFN-{gamma}-/- mice were also tested as a negative control. After 48 h, cultures were pulsed with 1 µCi [3H]thymidine. After 16 h, the cultures were harvested onto fiber filter mats and the amount of 3H incorporation was tested by liquid scintillation.

 


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FIGURE 8. Priming of B6. H-2bm12-reactive CTL from C57BL/6 IFN-{gamma}-/- recipients of B6. H-2bm12 allografts. C57BL/6 IFN-{gamma}+/+ ({diamondsuit}) and C57BL/6 IFN-{gamma}-/- (•) mice received full thickness trunk skin grafts from B6. H-2bm12 donors. At day 11 posttransplant, cell suspensions from recipient lymph nodes draining the allograft site were prepared and cultured with LPS blasts prepared from B6. H-2bm12 spleen cells. LNC from nontransplanted (naive) C57BL/6 IFN-{gamma}+/+ ({blacktriangleup}) and C57BL/6 IFN-{gamma}-/- ({blacksquare}) mice were cultured with B6. H-2bm12 LPS blasts as unprimed T cell controls. After 3 days, the T cells were tested for cytotoxicity during culture with [3H]thymidine-labeled B6. H-2bm12 LPS blasts at the effector cell to target LPS blast ratios shown. After 3 h, the cultures were harvested onto fiber filter mats, and the amount of 3H incorporation was tested by liquid scintillation. Percent specific cytolysis was calculated as described in Materials and Methods. Effector cell cytolysis of 3H-labeled syngeneic LPS blasts was between 0 and 10% for all groups.

 
Although B6.H-2bm12-primed CD4+ T cell proliferative and cytotoxic responses were observed in IFN-{gamma}-deficient C57BL/6 recipients, the T cells appeared unable to infiltrate the allograft. Injection of recombinant Mig directly (i.e., intradermally) into the allografts restored the ability of the C57BL/6 IFN-{gamma}-/- recipients to reject the allografts (Fig. 6Go). Injection of saline into the allografts did not induce graft rejection. Rejection of Mig-injected B6.H-2bm12 allografts on C57BL/6 IFN-{gamma}-/- recipients was associated with an intense leukocytic infiltration of the allografts and necrosis of the tissue (Fig. 9Goc). Injection of saline into the allograft did not result in rejection, but did induce a mild cellular infiltration (Figs. 6Go and 9Goa). Injection of Mig into C57BL/6 isografts on C57BL/6 IFN-{gamma}-/- recipients did not induce cellular infiltration into the allografts or rejection of the isograft (Fig. 9Gob).



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FIGURE 9. Delivery of Mig to B6. H-2bm12 grafts on IFN-{gamma}-/- C57BL/6 restores mononuclear cell infiltration of the allografts. Sample B6. H-2bm12 allografts injected with saline (a) or 500 ng recombinant Mig (c) or isografts (b) injected with 500 ng recombinant Mig at day 14 posttransplant to C57BL/6 IFN-{gamma}-/- recipients were removed at day 20 posttransplant. Tissue sections were prepared and stained with hematoxylin and eosin. The sections were viewed at x250 and representative images were captured.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The potential role of chemokines in mediating leukocyte recruitment and amplifying inflammation has generated considerable interest in many studies of inflammation and pathology. Direct evidence that chemokines mediate T cell infiltration of allografts during acute or chronic rejection has remained lacking. Studies from this laboratory have demonstrated the expression of many different chemokine mRNAs and protein in murine skin and heart allografts from the time of transplantation to the completion of graft rejection (19, 20). In general, these chemokines are produced in the allografts in cascading sets of early and late chemokines. The early chemokines are induced in both syngeneic and allogeneic grafts and are likely to function in healing of the wound from the transplant surgery (30). The (late) chemokines, such as IP-10 and Mig, are expressed only in allografts and are more potent chemoattractants for T cells than the chemokines produced early after transplantation (25, 26). We hypothesized that these late chemokines may direct the recruitment of alloantigen-primed T cells into the allograft. A prediction of this hypothesis is that the alloantigen-primed T cells recruited by late chemokines will destroy the Mig- and IP-10-producing allograft cells. As shown in the current study, the intraallograft mRNA levels of IP-10 and Mig begin to decline as graft rejection nears completion and may reflect the cytolysis of Mig-producing cells in the graft at the terminal phase of acute rejection. In support of this proposal, the levels of Mig RNA expression in B6.H-2bm12 allografts on Mig antiserum-treated recipients remain extremely high until the time graft rejection is approached at days 54–60 posttransplant (data not shown).

The results in the current study are the first to demonstrate that treating a recipient with an anti-chemokine reagent can inhibit allograft rejection. We chose to test the effect of Abs to Mig based on preliminary immunohistological studies indicating association of Mig, and not IP-10, with allograft-infiltrating cells during the late stages of rejection (unpublished results). Neutralization of Mig resulted in long-term survival of B6.H-2bm12 skin grafts on C57BL/6 recipients with a complete absence of infiltrating T cells at the time the allografts were rejected in NRS-treated recipients. At the time of rejection in Mig antiserum-treated recipients (e.g., day 53 posttransplant), B6.H-2bm12 allografts were heavily infiltrated with macrophages. This infiltration was associated with a high level of MCP-1 expression in the allograft, whereas allografts from NRS-treated recipients have low levels of MCP-1 expression at the time of rejection at day 12–13 posttransplant (data not shown). These results suggest that the cellular and cytokine dynamics of the graft rejection response change when an integral component of the response is either neutralized or deleted.

In contrast to the B6.H-2bm12 allografts, the survival of allografts from BALB/c or from B6.H-2bm1 donors transplanted to C57BL/6 recipients was only prolonged 3 to 4 days by treatment with the Mig antiserum. This difference suggests that the infiltration of B6.H-2bm12 grafts by alloantigen-primed, effector CD4+ T cells is strictly dependent upon Mig, whereas the infiltration of BALB/c and B6.H-2bm1 allografts by alloantigen-primed (CD4+ and/or CD8+) T cells is not strictly dependent upon Mig. Other (late) chemokines such as IP-10 and RANTES are also expressed at low levels in the B6.H-2bm12 allografts, but are expressed at high levels in fully allogeneic and class I MHC-disparate grafts. This raises the possibility that other chemokines may be involved in recruiting alloantigen-primed CD4+ and/or CD8+ T cells into grafts during the rejection of fully allogeneic and class I MHC-disparate grafts. Alternatively, Mig was expressed at low levels in the B6.H-2bm12 allografts and at much higher levels in the BALB/c and B6.H-2bm1 allografts. Thus, the difference in the efficacy of the Mig antiserum treatment in preventing B6.H-2bm12 allograft rejection may simply be due to the amount of Mig protein neutralized by the administered antiserum.

The current results indicate the strict requirement for Mig in the rejection of B6.H-2bm12 allografts. Studies by Rosenberg and coworkers (24) had previously indicated the ability of anti-IFN-{gamma} mAb to prevent C57BL/6 recipient rejection of B6.H-2bm12 allogeneic skin grafts. Another group of investigators recently reported the inability of IFN-{gamma}-/--deficient recipients to reject B6.H-2bm12 skin grafts (31). Each of these groups postulated that IFN-{gamma}-dependent up-regulation of class II MHC was required to increase graft immunogenicity for CD4+ T cell-mediated rejection. The results of the current study suggest an alternate interpretation of these results. IFN-{gamma} is also required to induce production of Mig, and intraallograft Mig is not observed in skin or heart grafts transplanted to IFN-{gamma}-/- recipients. As shown in this study, C57BL/6 IFN-{gamma}-/- recipients do not reject class II MHC-disparate B6.H-2bm12 allografts despite the presence of alloantigen-primed T cells in the lymph nodes draining the graft site. Direct delivery of Mig protein into B6.H-2bm12 skin grafts on the IFN-{gamma}-/- recipients, however, induces T cell infiltration of the allograft and rejection. Thus, Ab-mediated neutralization of IFN-{gamma} in wild-type recipients may inhibit the production of intraallograft Mig and the subsequent infiltration of alloantigen-primed CD4+ T cells into B6.H-2bm12 allografts. The recruitment of alloantigen-primed T cell into the graft induced by intradermal injection of Mig is not due to a nonspecific inflammatory response (e.g., mediated by the injection), as delivery of saline does not result in rejection of the allografts. Recent studies have also shown that injection of recombinant RANTES into the allograft does not mediate rejection of the skin grafts (S. Koga, unpublished results). This may indicate that other chemokines cannot substitute for Mig in mediating the rejection of these allografts and the critical role of IFN-{gamma}-induced Mig in the rejection of B6.H-2bm12 allografts by C57BL/6 recipients. It is also worth noting that injection of Mig into isografts on C57BL/6 IFN-{gamma}-/- recipients of B6.H-2bm12 allografts did not induce T cell recruitment into the isograft. We postulate that Mig-dependent infiltration fails to occur in the isografts because expression of the Mig-binding receptor, CXCR3, on alloantigen-primed T cells requires the stimulation provided by alloantigen recognition.

The ability of intradermally delivered Mig to mediate alloantigen-primed T cell recruitment and allograft rejection independently of IFN-{gamma} indicates that IFN-{gamma}-mediated up-regulation of class II MHC determinants is not required for CD4+ T cell-mediated rejection of B6.H-2bm12 allografts. One interpretation of these results is that the level of class II MHC expression in B6.H-2bm12 allografts on IFN-{gamma}-/- C57BL/6 recipients may be sufficient for rejection of the grafts if recipient T cells can be recruited to the graft site. Alternatively, T cells recruited to the graft site by Mig may induce up-regulated expression of class II MHC independently of IFN-{gamma}. Class II MHC expression is increased on a cell-specific basis during cell-cell interactions as well as by many other cytokines in addition to IFN-{gamma} (21). We have recently observed the up-regulated expression of class II MHC on B6.H-2bm12 B cells following culture with T cells from IFN-{gamma}-/- recipients of B6.H-2bm12 grafts (R. Fairchild, unpublished results). Once Mig has induced recruitment of alloantigen-primed CD4+ T cells into B6.H-2bm12 grafts on IFN-{gamma}-/- recipients, class II MHC may be up-regulated on allogeneic cells by other (i.e., IFN-{gamma}-independent) mechanisms. Rather than increasing the immunogenicity of the allograft through up-regulated class II MHC expression, these results suggest that a more critical function of IFN-{gamma} during allograft rejection may be the induction of T cell-recruiting factors such as Mig.


    Acknowledgments
 
We thank Drs. Joe Hollyfield and Anil Kapoor for advice during the course of these studies and for critical reading of the manuscript.


    Footnotes
 
1 This work was supported by a grant from the National Institutes of Health (AI40459) and a generous gift to the Renal Transplant Research Program at the Cleveland Clinic Foundation from the State of Qatar. Back

2 Address correspondence and reprint requests to Dr. Robert L. Fairchild, Departments of Immunology and Urology, NB3-79, Cleveland Clinic Foundation, Cleveland, OH 44195-0001. E-mail address: Back

3 Abbreviations used in this paper: Mig, monokine induced by IFN-{gamma}; IP-10, IFN-{gamma}-inducible protein-10; LNC, lymph node cell; NRS, normal rabbit serum. Back

Received for publication April 7, 1999. Accepted for publication August 16, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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