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The Journal of Immunology, 2000, 164: 4250-4256.
Copyright © 2000 by The American Association of Immunologists

IL-13-Mediated Worm Expulsion Is B7 Independent and IFN-{gamma} Sensitive1

Joseph Urban*, Hui Fang2,{dagger}, Qian Liu2,{dagger}, Melinda J. Ekkens{dagger}, Shen-Jue Chen{dagger}, Diep Nguyen{dagger}, Velia Mitro{dagger}, Debra D. Donaldson{ddagger}, Colleen Byrd{dagger}, Robert Peach§, Suzanne C. Morris, Fred D. Finkelman, Lisa Schopf* and William C. Gause3,{dagger}

* Immunology Disease Resistance Laboratory, Livestock and Poultry Sciences Institute, U.S. Department of Agriculture, Beltsville, MD 20705; {dagger} Department of Microbiology and Immunology, Uniformed Services University of the Health Sciences, Bethesda, MD 20814; {ddagger} Genetics Institute, Cambridge, MA 02140; § Immunology and Inflammation, Bristol-Myers Squibb, Princeton, NJ 08543; and Department of Medicine, College of Medicine, University of Cincinnati, Cincinnati, OH 45267 and Cincinnati Veterans Affairs Medical Center, Cincinnati, OH 45220


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
B7 costimulation is a required component of many type 2 immune responses, including allergy and protective immunity to many nematode parasites. This response includes elevations in Th2 cytokines and associated effector functions including elevations in serum IgG1 and IgE and parasite expulsion. In studies of mice infected with Trichuris muris, blocking B7 ligand interactions inhibited protective immunity, suppressed IL-4 production, and enhanced IFN-{gamma} production, but unexpectedly did not inhibit production of the Th2 cytokine, IL-13. Blocking both IFN-{gamma} and B7 restored protective immunity, which was IL-13 dependent, but did not restore IL-4 or associated IgE responses. Although IL-13 was required for worm expulsion in mice in which both IFN-{gamma} and B7 were blocked, IL-4 could mediate expulsion in the absence of both IL-13 and IFN-{gamma}. These studies demonstrate that 1) B7 costimulation is required to induce IL-4, but not IL-13 responses; 2) IL-13 is elevated in association with the IFN-{gamma} response that occurs following inhibition of B7 interactions, but can only mediate IL-4-independent protection when IFN-{gamma} is also inhibited; and 3) increased IL-13 production, in the absence of increased IL-4 production, is not associated with an IgE response, even in the absence of IFN-{gamma}.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The protective type 2 cytokine response to infectious pathogens is associated with B7-dependent maturation of naive CD4+ T cells into IL-4-producing cells. Previous studies have shown that blocking B7 ligand interactions with the chimeric fusion protein CTLA4-Ig or anti-B7 Abs blocks CD4+ T cell activation and the associated cytokine-induced increases in serum IgE and IgG1, following infection of mice with a number of different parasites including the gastrointestinal parasite Heligmosomoides polygyrus (1, 2), the protozoan parasite Leishmania major (3), and the nematode parasite Schistosoma mansoni (4). With some pathogens, inhibition of the IL-4-associated response by B7 ligand blockade is associated with deviation to a type 1 immune response (3, 5).

Expulsion of gastrointestinal nematode parasites is particularly dependent on two members of the IL-4 cytokine subfamily, IL-4 and IL-13, which are encoded by closely linked genes within the mouse chromosome 11 cytokine gene cluster (6). Both are produced primarily by activated CD4+ T cells, and both have been shown by studies with cytokine-deficient mice to be normally required for protective immunity to Trichuris muris (7). IL-13 shares a common receptor with IL-4 (8, 9), which is primarily expressed by nonlymphocytes, but the regulation of IL-13 expression and function, including the extent to which IL-13 is IL-4 dependent, is not well understood (10, 11). One model suggests that IL-13 may be regulated by IL-4 production, because IL-4 is important in the priming and amplification of CD4+ T cells that then produce IL-13. Both cytokines could then subsequently contribute to protective immunity and induce worm expulsion (7). However, in some systems, it is clear the IL-13 can be expressed in the absence of IL-4 (11). Recent studies also suggest that IL-13 may contribute to the development of Th2 effector cells, because IL-13 knockout (KO)4 mice show impaired Th2 cytokine production by CD4+ T cells (12). The role of IL-13 in mediating murine IgE and IgG1 secretion is also controversial; although in vitro studies have failed to demonstrate IL-13-induced isotype switching of mouse B cells (13, 14), recent studies with IL-13 transgenic mice indicate that IgE and IgG1 secretion can occur via an IL-13-dependent, IL-4-independent pathway (15).

In this investigation, we examined the role of B7 ligand interactions during the protective type 2 mucosal immune response to T. muris. Administration of the murine CTLA4-Ig fusion protein (which inhibits B7 ligand interactions) blocked increases in IL-4 and inhibited the protective type 2 immune response but stimulated the development of an alternative response, characterized by increases in IFN-{gamma} and IL-13, but not IL-4. However, blocking IFN-{gamma} function in CTLA4-Ig-treated, T. muris-infected mice restored a protective response that resulted in worm expulsion but was characterized by reduced levels of IL-4 and serum IgG1 and IgE. These studies demonstrated a novel host-protective response that is mediated by IL-13 in the absence of B7 ligand interactions and IL-4 function, but is IFN-{gamma} sensitive.


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

Eight- to 12-wk-old BALB/c female mice (Charles River Laboratories, National Cancer Institute, Frederick, MD) were used for all studies of wild-type (WT) mice and as controls for the BALB/c IFN-{gamma}-deficient mice. IFN-{gamma}-deficient mice (IFN-{gamma}KO), which were bred for over seven generations on a BALB/c background, were the generous gift of Dr. Alan Sher (National Institute of Allergy and Infectious Diseases, National Institutes of Health). IL-4KO, IFN-{gamma}KO, and IL-4/IFN-{gamma} double KO were all on a BL/6 x 129 (F1) background, and WT siblings were used as controls in these experiments. Normal and parasite-infected IFN-{gamma}KO mice consistently failed to express IFN-{gamma}, while IL-4KO mice failed to produce IL-4 in lymphocytes derived from the mesenteric lymph nodes (MLN) and Peyer’s patches when measured by RT-PCR using primers described below. The experiments herein were conducted according to the principles set forth in the Guide for the Care and Use of Laboratory Animals, Institute of Animal Resources, National Research Council, Department of Health, Education and Welfare (National Institutes of Health) 78–23.

Parasite and parasite Ags

Dr. Richard Grencis (University of Manchester, Manchester, U.K.) originally provided infective T. muris eggs. Eight- to 10-wk-old female AKR mice (Charles River Laboratories) were inoculated orally with 500 infective eggs, and adult worms were recovered from the caecum and proximal colon by removal with insect forceps at 35 days after inoculation. After 10 rounds of washing in sterile saline, viable worms were placed in 24-well tissue culture plates containing RPMI 1640 medium with 100 U penicillin and 100 mg streptomycin and 2.5 mg gentamicin/ml at 37°C in a humidified atmosphere of 95% O2 and 5% CO2. Worms were transferred to fresh media at 24-h intervals, and the conditioned media and excreted eggs were centrifuged to recover supernatant containing excretory/secretory (ES) Ags and eggs in the pellet. The eggs were collected over 2 days and washed three times in sterile saline and distributed to a 100-mm petric dish in filtered tap water. The egg suspension was maintained at room temperature for ~35–40 days with intermittent shaking of the dish and water replenishment. The eggs in suspension were then adjusted to 5000 eggs containing larva/ml in filtered tap water and maintained at 4°C until used for inoculation. Parasite-conditioned supernatant fluids collected over 7 days were concentrated and dialyzed against PBS with a concentrator (Amicon, Danvers, MA), and protein concentration was determined by absorbance at 290 nm.

Worm burdens and fecundity

Larvae developing from 7 to 28 days after inoculation were isolated from the caecum and proximal colon of infected mice by gently removing fecal contents with a curved forceps and placing the tissue in 10 ml of HBSS containing 10 mM EDTA for 3 h at 37°C. The suspension was then vortexed for 45 s, and the larvae were counted with a dissecting microscopic at 15x magnification after they had settled in a petri dish. Adult worms developing later than 32 days after inoculation were counted directly while attached to the mucosa with the aid of a dissecting microscope. Worm fecundity was estimated by counting the number of T. muris eggs in a weighed sample of emulsified feces smeared on a microscope slide that was viewed using an inverted microscope at 40x magnification; total egg count was expressed as eggs per gram of feces.

Reagents

A rat IgG1 (XMG-6) mAb that neutralizes IFN-{gamma} and a control rat IgG1 anti-ß-galactosidase mAb (GL113) were produced in pristane-primed nude mice and purified (16). Monoclonal Abs were given i.v. in a tail vein at a concentration of 1 mg at weekly intervals starting on the day of inoculation of T. muris eggs. The chimeric fusion protein, murine CTLA4-Ig, and its control, L6, were used to block B7 ligand interactions (1) and were administered at a dose of 200 µg. A soluble IL-13 receptor, A25 ({alpha}2-human Fc fusion protein; sIL-13R{alpha}2-Fc), which has a higher affinity for IL-13 than surface IL-13R{alpha}1 and which has been shown to block IL-13 function in vivo (17, 18, 19), was administered i.v. in the orbital plexus at concentrations of 200 µg every other day from day 13 to 19 after inoculation; human IgG was used as a control (17).

Cell cultures

Single-cell suspensions were prepared from the MLN and spleens by routine methods (20). RBC were lysed by osmotic treatment with ACK lysis buffer (Biofluids, Rockville, MD). Cells were placed in RPMI 1640 medium supplemented with 10% FCS that had been heat inactivated for 30 min at 57°C, 2 mM glutamine, 100U/ml penicillin, 100 µg/ml streptomycin, and 10 mM HEPES. Cell populations were plated at 3–4 x 106 cells per well in 24-well plates and cultured with T. muris ES Ag at a final concentration of 10 µg/ml. All cell cultures were incubated at 37°C in an atmosphere of 5% CO2 in air. Cell-free supernatant fluids were harvested from these cell cocultures at 72 h, and cytokine concentrations were determined by cytokine-specific ELISAs.

Quantitation of IL-13

ELISAs were performed on supernatants from cultured cells using a commercial kit according to the manufacturers instructions (R&D Systems, Minneapolis, MN). Measurement of serum IL-13 levels was performed with the same kit, except that polyclonal anti-murine IL-13R{alpha}2 Ab (L6108) was added during the primary incubation period to a 1:10 or 1:100 dilution of serum samples at 4°C overnight. This additional step has previously been shown to be necessary to maintain assay sensitivity for measurement of serum IL-13 levels (21).

Quantitation of serum Ig

Serum IgG1, IgG2a, and IgE levels were quantitated by ELISA (22).

Immunohistological analysis

The procedure used for immunohistological staining and germinal center (GC) quantitation was as described previously (2).

RT-PCR

The coupled RT/PCR reaction was used to quantitate differences between treatment groups as previously described (23, 24, 25). Briefly, tissues were homogenized in RNazol B (Cinna/Biotecs, Friendswood, TX) at 50 mg of tissue/ml or 5 x 106 cells/ml. Purified RNA (10 µg) samples were reverse transcribed with Superscript RT (Bethesda Research Laboratories, Rockville, MD), and cytokine-specific primers were used to amplify selected cytokines. For each cytokine, the optimum number of cycles (i.e., the number of cycles that would produce a detectable quantity of cytokine product DNA that was directly proportional to the quantity of input mRNA) was determined experimentally. To verify that equal amounts of undegraded RNA were added in each RT-PCR reaction within an experiment, the "housekeeping gene," hypoxanthine-guanine phosphoribosyl transferase (HPRT), was used as an endogenous internal standard and amplified with specific primers at the number of cycles at which a linear relationship between input RNA and final HPRT product was detected. Although HPRT values did not usually vary >2- to 3-fold, values for specific cytokines are normalized to HPRT values. Amplified PCR product was detected by Southern blot analysis, and the resultant signal was quantitated with a phosphorimager (Molecular Dynamics, Sunnyvale, CA), which uses a phosphor screen instead of film to detect radioactive signals on the Southern blot.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Administration of CTLA4-Ig inhibits the protective type 2 cytokine response and promotes a mucosal type 1 response to T. muris in BALB/c mice

We examined the role of B7 ligand interactions in the development of the type 2 cytokine response to the gastrointestinal nematode parasite, T. muris. Two hundred micrograms of murine CTLA4-Ig or the control fusion protein, L6, were administered at days 0 and 1 after inoculation. At days 8, 14, 21, and 28 after inoculation, infected mice (five per treatment group) were examined for changes in cytokine gene expression using an RT-PCR assay that quantitates relative differences between treatment groups (23). As shown in Fig. 1Go, murine CTLA-4Ig blocked IL-4 mRNA elevations at or below untreated levels at all time points except day 29, when levels were 3-fold greater than untreated levels. In contrast, IFN-{gamma} gene expression was elevated by day 14 and rapidly increased >10-fold over untreated controls by day 21. The levels of IL-13 were at least as elevated in T. muris-infected mice given CTLA4-Ig as in T. muris-infected mice administered L6, suggesting that regulation of this cytokine was less B7 ligand dependent than regulation of IL-4.



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FIGURE 1. CTLA4-Ig administration shifts the host protective type 2 mucosal immune response toward a type 1 response associated with susceptibility in T. muris-infected mice. Two hundred micrograms of CTLA4-Ig or control L6 fusion protein was administered on day 0 and 1 after oral inoculation of BALB/c mice with 500 T. muris eggs. Infected BALB/c mice were killed on days 8, 14, 21, and 29 after inoculation. The following parameters were measured at each time point: 1) cytokine gene expression by MLN cells was determined by quantitative RT-PCR. Data were individually normalized to HPRT, and treatment group means are expressed relative to the mean of the uninfected control, which is defined as 1; 2) total serum IgE and IgG2a levels were determined by ELISA; 3) worm burdens were assessed by counting total number of larvae and adult worms in the gut. The means and SEs from five individual BALB/c mice are shown for each group for each time point. Similar results were obtained in several additional experiments.

 
Total serum Ig levels were also assessed after T. muris inoculation. As shown in Fig. 1Go, CTLA4-Ig administration inhibited serum IgE elevations at all time points examined, whereas T. muris-inoculated mice given the control fusion protein L6 showed pronounced elevations in serum IgE levels by day 14. Serum IgG2a levels were elevated in T. muris-inoculated mice given CTLA4-Ig compared with T. muris-inoculated mice administered L6, consistent with the deviation of the immune response from an IL-4-dominant type 2 response to an IFN-{gamma}-dominant type 1 immune response. To examine susceptibility to infection, the number of developing larvae were counted in the different treatment groups. As early as day 14 after inoculation, the total worm number was elevated in T. muris-inoculated mice given CTLA4-Ig compared with T. muris-inoculated mice given L6. By day 21, the control L6-treated group had eliminated most of the larvae, while the CTLA4-Ig-treated group still showed a significant worm burden at day 28 after inoculation (Fig. 1Go).

Blocking IFN-{gamma} production in addition to B7 ligand interactions restores protective immunity to T. muris

Although previous studies have suggested that the development of the type 2 cytokine response requires B7 ligand interactions, the marked up-regulation of IFN-{gamma} in T. muris-infected mice administered CTLA4-Ig suggested the possibility that this cytokine might also influence the course of the response. BALB/c IFN-{gamma}KO mice were administered CTLA4-Ig or L6, and the protective immune response was assessed at day 35 after inoculation. Although cytokine levels are reduced and difficult to detect at this time point, it does permit a more complete assessment of host protection because adult worm development and egg production can be measured (26). As shown in Fig. 2Go, worms and eggs were not detected in T. muris-inoculated BALB/c WT mice administered L6, demonstrating a protective immune response resulting in parasite expulsion. Consistent with findings already discussed, protection was abrograted in T. muris-inoculated BALB/c WT mice administered CTLA4-Ig, as evidenced by high egg production and worm number. In contrast, T. muris-inoculated IFN-{gamma}KO mice administered CTLA4-Ig expelled the worms, demonstrating restoration of the protective immune response even though B7 interactions were blocked. Similar results were obtained in experiments where mice were administered either CTLA4-Ig only at the initiation (days 0 and 1) of the response (data not shown) or throughout the experiment (days 0, 1, 12, 24) (Fig. 2Go). In addition, these experiments were repeated in WT mice where IFN-{gamma} function was blocked by administration of anti-IFN-{gamma} Ab. Results in the WT mice were consistent with studies performed in the IFN-{gamma}KO mice: anti-IFN-{gamma} mAb restored protection in CTLA4-Ig-treated T. muris-infected BALB/c mice (data not shown). We have also shown that protection is abrograted in BALB/c B7-2KO and BALB/c CD28KO T. muris-infected mice, and in further studies protection was restored in T. muris-infected CD28KO mice administered anti-IFN-{gamma} Ab (data not shown). These studies support our findings using the B7 antagonist, CTLA4-Ig, in WT mice and suggest that B7-2 and CD28 are required for the development of the protective response to T. muris. The requirements for IFN-{gamma} to maintain susceptibility to T. muris when B7 ligand interactions are blocked suggested a novel regulatory role for IFN-{gamma} in the development of a B7 ligand-independent protective response.



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FIGURE 2. Blocking B7 ligand interactions is not associated with increased susceptibility to T. muris in IFN-{gamma}-deficient mice. BALB/c.IFN-{gamma}-/- or BALB/c WT mice (five per treatment group) were administered 200 µg of CTLA4-Ig or L6 at days 0, 1, 12, and 24 after inoculation with T. muris eggs. At day 35, susceptibility was determined by assessment of worm burden and egg production. The means and SEs from five individual BALB/c mice are shown for each group for each time point. Similar results were obtained in several additional experiments.

 
The protective immune response that develops following combined B7 ligand and IFN-{gamma} blockade lacks many features of the typical type 2 immune response, but is associated with pronounced increases in IL-13

To examine the nature of the IFN-{gamma}-sensitive, B7 ligand-independent host protective response, T. muris-inoculated mice were administered CTLA4-Ig and anti-IFN-{gamma} Abs and studied at an early time point after infection (day 21), when cytokine production is optimally elevated. T. muris-infected BALB/c mice (five per treatment group) were administered CTLA4-Ig and/or anti-IFN-{gamma} Abs; an additional control group was given both L6 and GL113, the control mAb for anti-IFN-{gamma} mAb. Consistent with our previous findings, in this experiment all treatment groups had worm counts of five or less except for T. muris-infected WT mice administered CTLA4-Ig, which had a large worm burden (75 ± 10.5).

Analysis of cytokine gene expression revealed sustained blockade of IL-4 elevations in T. muris-infected mice administered anti-IFN-{gamma} Ab as well as CTLA4-Ig. In contrast, IL-13 was markedly elevated in T. muris-inoculated mice administered either CTLA4-Ig or the combination of CTLA4-Ig and anti-IFN-{gamma} Ab. IFN-{gamma} gene expression was also increased in T. muris-inoculated mice given CTLA4-Ig (Fig. 3GoA). Similar results were observed in an experiment in which IFN-{gamma} gene deletion was used instead of anti-IFN-{gamma} mAb treatment (Fig. 3GoB). In both experiments, IL-9, IL-10, and TNF-{alpha} gene expression remained at untreated levels for all treatment groups at the time points studied (data not shown). To examine whether IL-4 function was inhibited, serum IgE, and also IgG1 levels, were assessed. Both Ab isotypes were inhibited in T. muris-inoculated mice administered either CTLA4-Ig or CTLA4-Ig plus anti-IFN-{gamma} Abs compared with infected mice given control Abs or anti-IFN-{gamma} Ab alone (Fig. 4Go). In addition, GC formation in the MLN was increased in T. muris-infected mice and blocked in all groups receiving CTLA4-Ig (data not shown). These findings indicate that the protective mucosal immune response to T. muris can develop even when IL-4 and the humoral immune response usually associated with the type 2 immune response to T. muris is inhibited.



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FIGURE 3. IL-4 but not IL-13 mRNA elevations are inhibited in the protective response that follows inhibition of both B7 ligand interactions and IFN-{gamma} function. A, Two hundred micrograms of CTLA4-Ig or control L6 fusion protein was administered on days 0 and 1 after oral inoculation of BALB/c WT mice with T. muris eggs. IFN-{gamma} function was blocked by i.v. administration of 1 mg of anti-IFN-{gamma} mAb at days 0, 7, and 14 after inoculation of T. muris eggs. Infected mice were killed on day 21 after inoculation, and cytokine gene expression from the MLN was determined by quantitative RT-PCR, as described in Fig. 1Go. B, Two hundred micrograms of CTLA4-Ig or control L6 fusion protein was administered on days 0, 1, 12, and 24 after oral inoculation of BALB/c IFN-{gamma}-deficient or WT mice with T. muris. Infected mice were killed 35 days after inoculation, and cytokine gene expression from the MLN was determined by quantitative RT-PCR. The means and SEs from five individual mice are shown for each group for each time point, and these data are representative of several individual experiments.

 


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FIGURE 4. Elevations in serum IgG1 and IgE are blocked during the protective immune response to T. muris that results when both B7 ligand interactions and IFN-{gamma} function are inhibited. Two hundred micrograms of CTLA4-Ig or control L6 fusion protein was administered on day 0 and 1 after oral inoculation of BALB/c mice with 500 T. muris eggs. At days 0, 7, and 14 after inoculation, 1 mg of anti-IFN-{gamma} mAb or the isotype control (GL113) was also administered to treatment groups. Infected BALB/c mice were bled on day 21 after inoculation and total serum IgE and IgG1 levels were determined by ELISA. The means and SEs from five individual mice are shown for each group for each time point and these data are representative of several individual experiments.

 
To confirm that IL-13 was elevated in T. muris-infected mice following B7 and IFN-{gamma} blockade, serum IL-13 levels (Fig. 5GoA) and IL-13 protein in supernatants from cells restimulated in vitro with T. muris ES products (Fig. 5GoB) were assayed. In both assays, increased IL-13 was detected in T. muris-infected mice given CTLA4-Ig plus anti-IFN-{gamma} compared with T. muris-infected mice given control Abs or CTLA4-Ig.



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FIGURE 5. IL-13 protein is increased following B7 blockade and IFN-{gamma} inhibition in T. muris-infected mice. A, Serum IL-13 levels at day 21 after infection were measured by ELISA as described in Materials and Methods. The means and SEs from 7–8 individual mice are shown for each group. B, Supernatants from MLN cells from mice at day 21 after infection were restimulated with ES Ag for 72 h and assayed for IL-13 by ELISA. The means and SE from triplicate determinations of pooled cultured samples from each treatment group (seven to eight mice) are shown.

 
The protective immune response to T. muris that develops when both IFN-{gamma} function and B7 interactions are blocked is IL-13 dependent

Our findings that IL-13, but not IL-4, is elevated in T. muris-infected mice administered CTLA4-Ig plus anti-IFN-{gamma} suggested that the protective response observed in this treatment group may be mediated by IL-13. T. muris-infected mice given CTLA4-Ig and anti-IFN-{gamma} Ab were administered soluble IL-13R{alpha}2-Fc fusion protein (A25), which neutralizes IL-13 (17, 18), or, as a control, human IgG, every other day from 13 to 19 days after inoculation with eggs. As in previous experiments, IFN-{gamma} blockade restored the protective response that was abrogated when T. muris-infected mice were administered CTLA4-Ig alone (Fig. 6GoA). However, additional administration of A25 was associated with a dramatic increase in worm number, comparable to that observed in T. muris-infected mice administered CTLA4-Ig alone (Fig. 6GoA). These results demonstrate that the protective B7-independent immune response to T. muris that is regulated by IFN-{gamma} is mediated by IL-13.



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FIGURE 6. IL-13 mediates the protective response following blockade of B7 or IL-4 interactions and IFN-{gamma} function. A, Specific blocking reagents were added at the following time points: 200 µg of CTLA4-Ig or control L6 fusion protein on days 0 and 1; 1 mg of anti-IFN-{gamma} mAb or its control isotype, GL113, on days 0,7, and 14, and 200 µg of the IL-13 antagonist (A25) or its control (human Ig) on days 13, 15, 17, and 19 were injected i.v. after inoculation of BALB/c mice with T. muris eggs. B, WT and IL-4-deficient, IFN-{gamma}-deficient, and IL-4/IFN-{gamma} double-deficient mice, all on a C57BL/6 x 129 (F1) genetic background, were infected with T. muris and treated with A25 or control human IgG as in 5A. In both A and B, susceptibility was determined by assessment of larval worm burden at day 21. The means and SEs from five individual mice are shown for each group for each time point. Similar results were obtained in an additional experiment.

 
IL-13 mediates protection in IL-4/IFN-{gamma}dKO mice but not IL-4KO mice

The observation that IL-13 can mediate protection following B7 blockade and IFN-{gamma} neutralization suggested that IL-13 can mediate protection independently of IL-4 if IFN-{gamma} is blocked. To test this directly, IL-13-mediated protection was compared between IL-4KO and IL-4/IFN-{gamma}dKO T. muris-infected mice. As shown in Fig. 6GoB, IL-4KO mice showed reduced protection compared with WT T. muris-infected mice. However, IL-4/IFN-{gamma} dKO T. muris-infected mice showed enhanced protection that was inhibited by IL-13 blockade following A25 administration. The incomplete protection observed in the WT infected mice was due to their genetic background, BL/6 x 129, which shows somewhat more susceptibility than BALB/c and is the genetic background used in all treatment groups in this experiment.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The results of this study provide new information about B7 regulation of cytokine responses and cytokine regulation of both protective immunity and Ig isotype selection. They demonstrate that 1) IL-4 and IL-13 production can be independently regulated, with B7 costimulation being important for induction of an IL-4, but not an IL-13, response; 2) both IL-4 and IL-13 are required for expulsion of T. muris in the presence of IFN-{gamma}, while either IL-4 or IL-13 can mediate worm expulsion in the absence of IFN-{gamma}; and 3) IL-4 is required for the induction of an IgE response even when IFN-{gamma} is blocked and sufficient IL-13 is produced to mediate worm expulsion. These three observations will be discussed individually.

Regulation of IL-4 and IL-13 responses

IL-4 gene expression and function, as measured by serum IgE elevations, was strongly suppressed by blocking B7 with CTLA4-Ig in T. muris-inoculated mice. However, in the same experiments, increased IL-13 gene expression and protein expression were observed. Although differences in B7 costimulatory requirements for IL-4 vs IL-13 have not been reported, recent studies have suggested that these two closely linked genes can be independently regulated. These include previous demonstrations that IL-4 and IL-13 can be produced at different times during a type 2 cytokine response (27, 28), that IL-13 can be associated with a type 1 cytokine response (29, 30), that IL-13 can enhance IL-12 production in mice infected with Listeria monocytogenes (30), and recent studies indicating independent regulation of IL-4 and IL-13 by transcription factors including c-maf (31). However, our results assessing IL-13 gene expression and serum IL-13 appear to differ from observations that T cells from S. mansoni- or T. muris-infected IL-4-deficient mice make little IL-13 when restimulated in vitro with Ag or mitogen, respectively (7, 21). Interestingly, MLN IL-13 gene expression and serum IL-13 protein elevations were comparable in T. muris-infected mice administered CTLA4-Ig or L6, while in the in vitro restimulation assays IL-13 was actually reduced following B7 blockade (Fig. 5Go). This is consistent with the possibility that IL-4 or costimulation may be more important for IL-13 production following restimulation or challenge. However, all three assays (gene expression, serum levels, and in vitro restimulation with Ag), as well as the restoration of parasite expulsion following neutralization of IL-13 in vivo, indicate that IL-13 is elevated and functional in vivo when IFN-{gamma}, as well as B7, interactions are inhibited.

The reduced IL-4 and elevated IFN-{gamma} expression following CTLA4-Ig administration of T. muris-infected mice is consistent with previous studies, suggesting that B7 ligand interactions are preferentially required for the in vivo type 2 immune response (3, 4) and for the in vitro development of IL-4-producing T cells (32). These studies also support the "strength of signal model," suggesting that signals through B7 costimulatory molecules can promote the type 2 response and associated IL-4 elevations (33). However, IL-13 apparently does not follow this model because it can be elevated in the absence of B7 costimulation and when IFN-{gamma} is increased. In contrast, we have recently found that administration of CTLA4-Ig to H. polygyrus-inoculated mice inhibits IL-13, as well as IL-4, expression (W. C. Gause and J. Urban, manuscript in preparation). An alternative IFN-{gamma}-dominant response does not occur when B7 interactions are blocked during H. polygyrus infection (2). It is thus possible that the IFN-{gamma} response observed following B7 blockade during T. muris infection is accompanied by factors that also promote IL-13 production. Indeed, recent findings suggest that IL-18, a cytokine associated with IFN-{gamma} responses, can also stimulate IL-13 expression (34).

Interactions between IL-4, IL-13, and IFN-{gamma} in mediating worm expulsion

Our findings show that IFN-{gamma} has an important and specific influence on worm expulsion following T. muris infection: in its absence, either IL-4 or IL-13 can induce expulsion, while both type 2 cytokines are required for worm expulsion in its presence. The marked IL-13 elevations observed following B7 and IFN-{gamma} blockade may be required for the development of an effective protective response in the absence of IL-4. However, it is also possible that IFN-{gamma} may inhibit type 1 or type 2 IL-4R signaling and/or expression; recent findings suggest that IFN-{gamma} may indirectly inhibit IL-4R signaling by up-regulation of SOCS-1 (35). Alternatively, IFN-{gamma} may have a direct inhibitory effect on worm expulsion by interfering with IL-4 and IL-13 action on nonlymphoid target cell populations in the intestine that mediate worm expulsion. IL-4 and IFN-{gamma} have previously been shown to have opposing effects on other target cells, including MHC II expression by B cells (36, 37). Direct effects of IFN-{gamma} on such target cell populations may also explain the decreased worm burden found in IL-13 antagonist-treated IL-4/IFN-{gamma} double-deficient mice, as compared with IL-13 antagonist-treated IL-4-deficient mice.

Regulation of Ig isotype responses

Until recently, the failure of IL-13 to induce an IgE response in CTLA4-Ig-treated, T. muris-infected mice would have been thought a consequence of the perceived failure of murine B cells to express the type 2 IL-4 receptor (28). Recently, however, high serum IgE levels have been demonstrated in IL-13-overproducing/IL-4-deficient transgenic mice (15). This observation demonstrates that, at least under some circumstances, B cells must be able to express the type 2 IL-4 receptor and IL-13 must be able to stimulate B cells to switch to the production of IgE. Our current observation puts the transgenic data into perspective by suggesting that even under conditions in which considerable IL-13 is being produced (a sufficient quantity to mediate worm expulsion) and the suppressive effects of IFN-{gamma} on switching to IgE are absent, IL-4 is still required to induce a detectable increase in serum IgE levels. This result is consistent with studies that demonstrate reduced IgE production in T. muris-infected IL-4-deficient mice, but normal IgE responses in infected IL-13-deficient mice (7). Possibly, murine B cells can be induced to express signaling type 2 IL-4 receptors under some circumstances, but this requires persistent expression of higher levels of IL-13 than are found in mice infected with T. muris.

Taken together, our results demonstrate that an alternative cytokine response develops following B7 blockade of T. muris-infected mice that is associated with increases in both IL-13 and IFN-{gamma} and that neutralization of IFN-{gamma} during this response is able to induce IL-13-mediated worm expulsion. This suggests that IL-13 may be associated with either type 1 or type 2 cytokine responses in the mouse and demonstrates that this cytokine can mediate protection against gastrointestinal helminthic parasites in the absence of B7-dependent components of the type 2 cytokine response.


    Footnotes
 
1 This work was supported in part by the National Institutes of Health Grant AI31678 and by U.S. Department of Agriculture Grant CRIS 1265-32000-049. The opinions or assertions contained within are the private views of the authors and should not be construed as official or necessarily reflecting the views of the Uniformed Services University of the Health Sciences or the Department of Defense. Back

2 H.F. and Q.L. contributed equally to this work. Back

3 Address correspondence and reprint requests to Dr. William C. Gause, Department of Microbiology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814-4799. E-mail address: Back

4 Abbreviations used in this paper: KO, knockout; WT, wild type; MLN, mesenteric lymph node; HPRT, hypoxanthine-guanine phosphoribosyl transferase; GC, germinal center; ES, excretory/secretory. Back

Received for publication December 10, 1999. Accepted for publication February 10, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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