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Section of Pulmonary and Critical Care Medicine, Department of Medicine, and Departments of Pharmacological and Physiological Sciences, Pediatrics, Anesthesia, and Critical Care, and Committees on Clinical Pharmacology, Cell Physiology, and Immunology, Division of Biological Sciences, University of Chicago, Chicago, IL 60637
| Abstract |
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| Introduction |
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Recent investigations have shown that molecular adhesion between integrins on human eosinophils to vascular endothelial cells and/or airway wall matrix, which occurs during eosinophil migration, also primes stimulated secretion of leukotriene C4 (LTC4)3 from eosinophils independent of cytokines (5). The augmented secretion of eosinophil LTC4 caused by ligation to soluble fibronectin in vitro is sufficient to cause augmented contraction of explanted human airways (6). This augmented contractile response is blocked selectively and completely by mAb directed against very-late Ag-4 (VLA-4), which is a specific ligand to fibronectin, or by 5-lipoxygenase inhibition of cysteinyl leukotriene synthesis (6).
Prior investigations also indicate that ligation between ß1 integrins and VCAM-1 and ß2 integrin and ICAM-1 at the endothelial cell surface primes human eosinophil secretion (5). This ICAM-mediated ligation in other cell types results in "outside-in signaling" and important second-messenger phosphorylation events, cytoskeletal rearrangements, and up-regulation of cellular activation status (7, 8). Adhesion-primed eosinophil activation has been demonstrated to result from increased translocation of the 85-kDa cytosolic phospholipase A2 to the nuclear membranes, with subsequent augmented secretion of the potent proinflammatory cysteinyl leukotriene, LTC4 (9).
Activated CD4+ T cells and eosinophils have been demonstrated to be in close proximity in the airway submucosa from biopsies of atopic asthmatics (10). These data raise the possibility that these cell types interact directly (11). Therefore, we surveyed the potential adhesive counterligands shared by eosinophils and CD4+ T cell and examined the possible specific adhesive interactions between these two cell types. A new method was developed that allowed for highly specific quantitative assessment of the degree of adhesion and that also avoided homologous interactions among T cells and eosinophils. This study demonstrates that activated CD4+ T cells adhere to human eosinophils through a specific receptor-mediated interaction. In particular, we find a unique role of ICAM-3 (CD50) in this response. The ICAM-3-mediated adhesion of the eosinophils to activated human CD4+ T cells is independent of detectable cytokine production. Finally, we demonstrate that specific adhesion causes substantial augmentation of eosinophil secretion of LTC4 that also is predominantly regulated by ICAM-3 but also affected by ICAM-1.
| Materials and Methods |
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Peripheral blood eosinophils were isolated from mildly atopic donors by negative immunomagnetic selection as modified from the method of Hansel et al. (12). Briefly, 120 ml whole blood was withdrawn from the antecubital vein and placed into containers containing heparin. Blood was separated by centrifugation through 1.089 g/ml Percoll (Sigma-Aldrich, St. Louis, MO), and the supernatant and the mononuclear cells at the interface were discarded. Erythrocytes in the granulocyte pellet were lysed by hypotonic shock, and the remaining cells were washed and resuspended in HBSS with 0.2% BSA (Sigma-Aldrich) before automated cell counting using a Coulter counter (Beckman Coulter, Fullerton, CA). Relative neutrophil percentage was calculated by differential counts of Wright-Giemsa-stained cytospin preparations. The granulocytes were incubated with anti-CD16 mAb-coated beads (Miltenyi Biotech, Auburn, CA) at 4°C for 30 min and then passed through a 1 x 10-cm column packed with steel wool and held within a 0.6 Tesla MACS magnet (Becton Dickinson, Mountain View, CA). Cells were eluted with a further 30-ml aliquot of HBSS/0.2% BSA. Neutrophils were retained in the magnetized steel wool, while eosinophils passing through the column were collected, washed, counted, and assessed for purity as above. Eosinophil purity of >99% and viability >98% by trypan blue exclusion was routinely obtained. Eosinophils were prepare fresh for each experiment described below.
CD4+ T cell isolation
CD4+ T cells were isolated from random, leukopheresed units by a method modified from that previously described (13). Briefly, monocytes were separated through a Ficoll gradient, density = 1.077 g/cm3 (Sigma-Aldrich), washed, and counted. The cells were incubated overnight at 4°C on a disk rotator with a combination of Abs (a generous gift provided by Dr. Gijs van Seventer, University of Chicago) designed to deplete all non-CD4+ T cells and prepared from mouse ascites that included anti-human mAbs to HLA class II (IVA12), glycophorin (10F7), CD19 (FMC63), CD14 (63D3), CD11b (NIH11b-1), CD16 (3G8), and CD8 (B9.8) (13). Subsequently, cells were pelleted, washed, counted, and incubated with Dynal beads precoated with anti-mouse IgG mAb (final dilution, 40 beads/cell). After incubation, CD4+ T cells were separated by negative immunomagnetic selection using a custom-designed rare earth magnet to a purity of >99% as confirmed by flow cytometry. CD4+ T cells were suspended in complete RPMI (RPMI 1640 without calcium, 10% heat-inactivated FCS, 104 U/ml penicillin, 10 mg/ml streptomycin, and 25 µg/ml amphotericin B/ml) with 20% DMSO, and viability was confirmed by trypan blue exclusion before staged freezing of aliquots to ensure viability upon thawing. After freezing, the cells were stored in -70°C until thawed for experiments.
Immunofluorescense staining and flow cytometry
Surface expression of adhesion molecules on eosinophils and T cells was analyzed by flow cytometry. For these experiments, 106 eosinophils or CD4+ T cells were resuspended in ice-cold FACS buffer (PBS containing 0.01% sodium azide and 0.5% BSA). Cells were incubated with saturating concentrations (10 µg/ml) of directly FITC-conjugated mouse anti-human mAbs CD11a (G25.2; Immunotech, Westbrook, ME), CD11b (Bear 1; Immunotech), CD18 (L130; Immunotech), ICAM-1 (84H1O; Immunotech), or CD2 (B-E2; Biosource, Camarillo, CA). Some samples were stained with either unconjugated anti-ICAM-3 (KS128; Dako, Carpinteria CA), LFA-3 (TS2/9; Endogen, Cambridge, MA), ICAM-2 (BT-1; Immunotech), CD11d (a generous gift of ICOS, Seattle, WA), or isotype control IgG1 (Becton Dickinson, San Jose, CA) mAbs and developed with directly conjugated FITC goat anti-mouse Ig (Becton Dickinson). After washing in FACS buffer, cells were fixed in 0.5% formaldehyde overnight at 4°C before analysis on a FACScan flow cytometer (Becton Dickinson) using CellQuest software. Appropriate isotype controls were prepared with FITC-conjugated mouse IgG1.
Fluorometric labeling
CD4+ T cell viability after gentle thawing in RPMI 1640 was >90% by trypan blue exclusion. CD4+ T cells were labeled for 1 h at 37°C in the dark by incubating with 15 µM, 4-chloromethyl-7-hydroxycoumarin (Cell Tracker Blue (CTB); absorption, 353 nm; emission, 466 nm), and eosinophils were labeled with 5 µM, 4-chloromethyl-tetramethyl-rhodamine (Cell Tracker Orange (CTO); absorption, 541 nm; emission, 565 nm). These membrane-permeant probes undergo esterase hydrolysis upon entering cells. Stable intracellular fluorochrome labeling is achieved by a GST-mediated reaction to produce membrane-impermeant conjugates. Validation assays confirmed optimal dilutions of CD4+ T cells and eosinophils to be 106 cells/ml of fluorochrome solution (see Results). Cells were washed and pelleted twice in calcium-free RPMI 1640 to remove nonbound fluorochrome and resuspended in appropriate dilutions in complete RPMI for the cell-adhesion assay.
Adhesion assay
Opaque black-walled, transparent-based 96-well plates (Costar, Cambridge, MA) were incubated overnight at 4°C with 4 µg/ml anti-CD4 mAb (QS4120; Calbiochem, Cambridge, MA) in carbonate buffer, pH 8.5, blocked for 2 h with 2% BSA in PBS at 37°C, rinsed with Tween 20 in PBS, and equilibrated with RPMI 1640. CTB-labeled CD4+ T cells (5 x 105 cells/200 µl RPMI 1640) were bound as a monolayer to each well by centrifugation (500 x g) at 4°C. Plate fluorescence readings of the discrete emissions spectrum for the CTB-labeled CD4+ T cells were performed as described below before and after washing to calculate percent CD4+ T cell binding. Where indicated, CD4+ T cells were incubated with PMA 10 ng/ml for 45 min at 37°C (14, 15). Buffer aspiration and immediate, repeated, vigorous washes with fresh buffer terminated PMA activation and removed nonadherent CD4+ T cells. Subsequently, CTO-labeled eosinophils (5 x 105 cells/well) were allowed to adhere to the T cell monolayers for 45 min at 37°C by passive sedimentation. The formation of a CD4+ T cell monolayer and uniform eosinophil settling was monitored by inverted-stage microscopy. In some experiments, eosinophils were suspended in buffer with saturating concentrations (10 µg/ml) of anti-ICAM-1, anti-ICAM-2, and/or anti-ICAM-3 before introduction into the wells. At the end of the predetermined adhesion period, nonadherent eosinophils were removed by submersion and inversion of the 96-well plate for 10 min in a tank of HBSS with calcium (16). This permitted uniform, 1 x g sedimentation of nonadherent cells. Wells were refilled with 200 µl buffer, and appropriate plate blanks and negative controls were prepared. Fresh aliquots of CTO-labeled eosinophils (5 x 105/200 µl/well) were included after the washing step as positive controls. Plate fluorescence readings of the discrete emissions spectra of the two fluorochromes were performed with a CytoFluor II Fluorescence MultiWell Plate Reader (PerSeptive Biosystems, Framingham, MA). Filters for CTO-labeled eosinophils were 530 nm (excitation) and 590 nm (emission) with 50 readings per well. Filters for CTB-labeled CD4+ T cells were 360 nm (excitation) and 460 nm (emission) with 30 readings per well. Average emissions from wells prepared in triplicate for each intervention were expressed as relative fluorescence intensity. Readings were performed before and after washing to calculate relative eosinophil:CD4+ T cell adhesion.
LTC4 assay
In parallel experiments, CD4+ T cells were bound to 96-well plates as described above. A total of 5 x 105 eosinophils per well were added and allowed to adhere for 45 min at 37°C by passive sedimentation. At the end of adhesion, 10-6 M FMLP (Sigma-Aldrich) and 5 µg/ml cytochalasin B (Sigma-Aldrich) were added to wells to activate all eosinophils. We have previously demonstrated that this results in maximal secretion of LTC4 and granular proteins of eosinophils (17). Activation was terminated after 30 min by plate centrifugation with low centrifugal force (500 rpm) for 5 min at 4°C. Supernatants were collected and immediately frozen for later analysis. Supernatant from nonactivated eosinophils and from wells containing buffer alone served as controls. When indicated, the cells were preincubated with saturating concentrations of anti-ICAM-1 and anti-ICAM-3 mAbs. LTC4 was measured in the supernatants by colorimetric competition assay according to the manufacturers directions (Cayman Chemicals, Ann Arbor, MI).
GM-CSF and IL-5 ELISA
Sandwich ELISAs kits from PharMingen (San Diego, CA) were used to measure GM-CSF (sensitivity, 0.2 ng/ml) and IL-5 (sensitivity, 0.1 ng/ml) in assay supernatants from nonactivated and PMA-up-regulated adhesion assays. ELISAs were preformed and developed with avidin peroxidase, 2,2'-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid), and N,N-dimethyl formamide/SDS (Sigma) according to PharMingens protocol. Colorimetric quantifications of cytokines were analyzed with Softmax software using a Thermomax Microplate-reader with a 405-nm filter (Molecular Devices, Sunnyvale, CA).
Data analysis
All data are expressed as mean ± SE for each group. Paired t tests were used to analyze difference between groups. Repeated measures ANOVA was used where more than one comparison was made. Statistical significance was claimed when p < 0.05.
| Results |
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T cells and eosinophils were assessed for their surface expression
of ß2 integrin adhesion molecules CD11a/CD18,
CD11b/CD18, and CD11d/CD18 and their counterligands, ICAM-1, ICAM-2,
and ICAM-3. Peripheral blood eosinophils expressed CD11a/CD18 and
CD11b/CD18, but not CD11d, while T cells expressed only CD11a/CD18
(Fig. 1
A). In contrast, T
cells expressed all three ICAM molecules (ICAM-1, ICAM-2, and ICAM-3),
while eosinophils only expressed ICAM-3 (Fig. 1
B).
Expression of these adhesion molecules did not change significantly
after PMA activation (Fig. 1
, A and B). From
these data, we identified several potential molecular adhesive
receptor-ligand pairs that could interact to induce T cell-eosinophil
adhesion. T cell CD11a/CD18 could interact with eosinophil ICAM-3,
eosinophil CD11a/CD18 could interact with ICAM-1, ICAM-2, or ICAM-3 on
T cells, and eosinophil CD11b/CD18 could interact with ICAM-1 on T
cells.
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To determine whether T cells and eosinophils are capable of direct
and specific ligation, we developed a plate-based photofluorometric
adhesion assay. In this assay, binding of CD4+ T
cells to anti-CD4 mAb-coated wells was used to produce
nonconfluent, but uniformly distributed, single-cell layers as
confirmed by inverted-stage fluorescence microscopy (Fig. 2
A). We confirmed
CD4+ T cell binding to be optimal (91.4 ±
6.83%; n = 3) at a density of 5 x
105 cells/well by direct measurements before and
after washing. Visual inspection confirmed that at this density the
CD4+ T cells were not in direct contact with each
other, thus minimizing the effects of contact-mediated intercellular
signaling. To up-regulate adhesion-molecule activation states on the T
cells, some wells were treated with PMA (10 ng/ml) for 45 min at 37°C
(Fig. 2
B; (18). Because PMA modulates T cell
cytoskeletal function, the increased spreading seen in Fig. 2
B confirmed CD4+ T cell activation by
PMA. To determine the ability of T cells to adhere to eosinophils,
freshly isolated peripheral blood eosinophils were added to the T cell
monolayers and incubated together for 45 min. The plate was then washed
by a 1 x g sedimentation method. As described in
Materials and Methods, the entire plate was first completely
immersed in a buffer tank and then inverted in the tank without
surfacing the plate. The nonadherent eosinophils were allowed to
"fall" out of the well for 10 min. The optimal time for inversion
and sedimentation was determined to be 10 min after the method of St.
John et al. (16). We validated inversion-sedimentation
time by placing CTO-labeled eosinophils in wells in the absence of
prebound CD4+ T cells. The reduction in relative
fluorescence intensity was measured at 1-min intervals until
fluorescence plateaued at background levels. Using this method, we
found that after equal loading of eosinophils (Fig. 2
, C and
D), the eosinophils adhered to both the nonactivated and
activated CD4+ T cells (Fig. 2
, E and
F). However, adhesion to activated
CD4+ T cells was substantially greater than for
nonactivated CD4+ T cells.
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In further studies, we used blocking mAbs to ICAM-1, ICAM-2, and
ICAM-3 to determine their involvement in T cell-eosinophil
interactions. Coincubation of cells with anti-ICAM-3 mAbs resulted
in substantial, but not complete, inhibition, of eosinophil adhesion to
33.26 ± 3.67% (p < 0.01 vs buffer
control; Fig. 5
). In contrast, neither anti-ICAM-1 mAb or
anti-ICAM-2 substantially inhibited intercellular binding to either
quiescent or PMA-up-regulated CD4+ T cells
(p = NS). Coincubation with all of the
anti-ICAM Abs together did not result in greater adhesion blockade
than anti-ICAM-3 alone (data not shown).
Adhesion of eosinophils to CD4+ T cells results in significant priming of LTC4 secretion by FMLP
LTC4 secretion cause by FMLP plus
cytochalasin B was significantly augmented to 2022 ± 276.8 pg/ml
when the eosinophils were adherent to CD4+ T
cells vs 1455 ± 259.3 pg/ml for nonadherent, activated
eosinophils (p < 0.05; Fig. 6
). To evaluate the specificity of the
adhesive priming effect, we tested the ability of anti-ICAM-3 mAb
to block stimulated eosinophil secretion. Adhesion-mediated
augmentation of activated LTC4 secretion was
inhibited below control levels to 1092 ± 439.2 after
anti-ICAM-3 blockade vs 2022 ± 276.8 for buffer-treated
controls (p = 0.045; Fig. 6
). Coincubation with
anti-ICAM-1 resulted in a attenuation of augmented
LTC4-release to control level (1552 ±
258.1; p = NS). Coincubation with both anti-ICAM-1
and anti-ICAM-3 did not result in LTC4
secretion inhibition that was greater than anti-ICAM-3 alone. (Data
not shown).
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| Discussion |
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Eosinophils secrete granular proteins, cysteinyl leukotrienes and cycloxygenase products, and oxygen radicals in response to agonists such as FMLP and platelet activating factor. Adhesion to matrix proteins and vascular, interstitial, and airway epithelial cell-surface adhesion proteins, predominantly by ICAM-1 and VCAM-1, primes eosinophils for subsequent activated secretion of preformed and phospholipid-derived inflammatory mediators (5). We have previously demonstrated that adhesion interactions in the chemokine-mediated transpulmonary migration of eosinophils through the asthmatic airway sequentially prime eosinophils for secretion (20). In this study, we have also found that direct binding of eosinophils to PMA-activated CD4+ T cells augments FMLP-induced eosinophil stimulation of activated cysteinyl leukotriene (LTC4) secretion.
The photoflurometric adhesion assay used in these studies to evaluate intercellular adhesion is unlike previously described eosinophil:epithelial cell adhesion assays. We have established a sensitive method for creating a nonconfluent monolayer of CD4+ T cells to model intercellular leukocyte adhesion. Binding of T cells via CD4 provided a unique anchoring protein for the assay, which allowed high levels of selectivity and minimizes nonspecific eosinophil binding. CD4 is expressed in high density on Th cell surfaces but is not expressed on quiescent eosinophils (21). Unlike CD3 ligation, which is a well-characterized T cell-activating signal (22), CD4+ T cell binding did not cause detectable secretion of cytokines that activate eosinophils. The undetectable cytokine production suggests that the CD4+ T cell layers were generated without causing nonspecific CD4+ T cell activation, although further studies would be required to fully rule out this possibility.
The current study was designed to consider the potential for
biologically important eosinophil:CD4+ T cell
adhesive interactions independent of accompanying cytokine effects. We
have implicated ICAM-3 as an important, but not exclusive, regulator of
CD4+ T cell:eosinophil adhesion because
incubation with anti-ICAM-3 does not completely inhibit adhesion.
ICAM-1 also was not shown to contribute substantially to
CD4+ T cell:eosinophil adhesion. It is noted that
ICAM-3 is expressed on both eosinophil and T cell surfaces (Fig. 1
, A and B). In contrast, ICAM-1 is exclusively
expressed on T cells in this model. Thus, this investigation does not
clarify if functional ICAM-3 on either or both cell types is
responsible for intercellular adhesion. We have not elucidated the
contribution of other probable counterligands, notably
Lß2 or the more
recently described
Dß2, in this process.
Notably,
Dß2 is
described to have a relatively higher affinity for ICAM-3 than ICAM-1
(23). However, we found no detectable expression of
D on eosinophils by flow cytometry.
Skubitz and coworkers have suggested that ICAM-3 is a potentially
important coligand for human neutrophil
Mß2 (Mac-1;
CD11b/CD18) adhesion to HUVEC (24).
Additionally, preincubation of neutrophils with the
anti-ICAM-3 Ab inhibits up-regulated cell-surface expression of
Mß2, as well as
L-selectin (CD62-L) shedding on subsequent activation. This highlights
the potential for ICAM-3-mediated outside-in signaling as an
explanation for enhanced eosinophil:CD4+ T cell
adhesion, which is incompletely inhibited with anti-ICAM-3 mAb
alone. In contrast, ICAM-3 costimulation in conjunction with CD3
crosslinking has been demonstrated to activate both resting and
activated T cells (25).
The significant augmentation of LTC4 secretion by
eosinophils adherent to CD4+ T cells suggests a
potential priming phenomenon resulting from the adhesion process. Our
results were recorded in the absence of detectable concentrations of
the key regulatory and proinflammatory cytokines, IL-5 and GM-CSF.
These data are consistent with other studies suggesting
adhesion-mediated priming of eosinophils following ligation to
fibronectin (26). It is impressive that a relatively small
attenuation of ligand-specific adhesion causes substantial inhibition
of eosinophil secretion of LTC4 (Fig. 6
). While
anti-ICAM-1 causes a minimal decrease in adhesion, augmented
secretion was blocked completely. Anti-ICAM-3, which caused substantial
blockade of CD4+ T cell adhesion to eosinophils,
caused blockade of eosinophil secretion of LTC4
to substantially below control level (Fig. 6
). We conclude that
ligand-specific adhesion between CD4+ T cells and
eosinophils is associated with augmented activated secretion of
LTC4 from eosinophils.
| Acknowledgments |
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| Footnotes |
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2 Address correspondence and reprint requests to Dr. Alan R. Leff, Section of Pulmonary and Critical Care Medicine, Department of Medicine, MC 6076, University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637. E-mail address: ![]()
3 Abbreviations used in this paper: LTC4, leukotriene C4; VLA-4, very-late Ag-4; CTB, Cell Tracker Blue; CTO, Cell Tracker Orange. ![]()
Received for publication June 8, 1999. Accepted for publication January 13, 2000.
| References |
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4ß1 (VLA-4). Immunology 82:222.[Medline]
-induced CD4 expression on human eosinophils. Immunology 88:301.[Medline]
dß2, binds preferentially to ICAM-3. Immunity 3:683.[Medline]
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