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*
Departments of Medicine and Microbiology/Immunology,
Lung Biology Center at the San Francisco General Hospital, and
Howard Hughes Medical Institute, University of California, San Francisco, CA 94143
| Abstract |
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| Introduction |
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The hallmark of human asthma, airway hyperreactivity, refers to a
reversible, intrinsically lower, threshold for airway narrowing in
response to allergen or pharmacologic agents, such as acetylcholine and
serotonin, that induce smooth muscle contractility. Genome-wide
searches as well as individual candidate-gene studies among patients
with allergic asthma have implicated a number of potential genes that
are associated with type 2 immunity, including the cytokine gene
cluster on human 5q (mouse chromosome 11) that contains IL-4, IL-13,
and IL-5, as well as the high-affinity IgE receptor and the
-chain
of the IL-4 receptor that is shared between IL-4 and IL-13
(12, 13, 14).
Mouse models of allergen-induced airways disease share with human asthma the association of type 2 immune responses in lung tissue and the development of pathologic and physiologic changes, including airway hyperreactivity (reviewed in Ref. 15). Recent experiments using mice transgenic for the human 5q cytokine cluster through incorporation of yeast artificial chromosomes demonstrated the remarkable conservation of control in this locus and increased hopes that these animal models might guide the search for human susceptibility genes (16). Classic studies initiated 10 years ago identified intrinsic differences in baseline airway hyperreactivity among inbred mouse strains (17, 18, 19, 20). Although a spectrum of reactivity was apparent, one strain, A/J, demonstrated remarkable airway hyperreactivity. Although early studies suggested a simple autosomal recessive inheritance underlying the phenotype (17, 18), subsequent studies have defined a complex polygenic trait (21, 22), one of which involves at least three major contributing loci (21).
Whereas the value of the A/J strain in identifying potential airway reactive susceptibility genes is apparent, few studies have attempted to demonstrate whether the adaptive immune response, so critically implicated in allergen-induced asthma, is involved in the baseline airway hyperreactivity that occurs spontaneously in this strain of mice. We have used baseline immunologic and T cell-depletion studies, crossed bone marrow chimeras, and genetic crosses of A/J mice to recombinase activating gene-1 (RAG)- and IL-4-deficient mice to demonstrate that cells of the adaptive immune system do not contribute to the intrinsically elevated airway hyperreactivity of these animals. Despite this finding, the aberrant baseline physiology in A/J mice contributes to incrementally greater responses to allergen sensitization, thus justifying efforts to identify contributory genes as asthma susceptibility loci.
| Materials and Methods |
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Six- to 8-wk-old A/J and MHC-matched B10.A/SgSnJ mice were purchased from The Jackson Laboratory (Bar Harbor, ME). C57BL/6 mice deficient in T and B cells by disruption of the RAG-1 gene and C57BL/6 mice with deletion of the IL-4 gene were purchased from The Jackson Laboratory. RAG-deficient (23) and IL-4-deficient (24) mice were backcrossed six generations to A/J mice and intercrossed to generate N6 A/J RAG- and IL-4-deficient animals. Mice were typed for RAG deficiency using flow cytometric analysis to confirm the absence of peripheral blood T and B cells. Mice were typed for IL-4 deficiency by PCR analysis of tail DNA. Animals were housed in the University of California San Francisco pathogen-free animal facility.
Ag sensitization
Mice were immunized weekly for 3 wk with 25 µg chicken egg OVA (Sigma, St. Louis, MO) in 50 µl alum suspension s.c. at the base of the tail. Immunized mice received three aerosol exposures of 50 mg/ml OVA in PBS over 20 min, every other day, using a nose-only chamber adapted for mice (Intox Products, Albuquerque, NM) and coupled to a nebulizer (Aerotech II; CIS-US, Bedford, MA) as described (25). Airway reactivity was assessed 2 days after the final aerosol. Control mice were immunized with PBS in alum and exposed to a PBS aerosol.
Bone marrow reconstitution
Bone marrow cells were flushed from the tibia and femur of donor mice with RPMI 1640 supplemented with 10% FBS and antibiotics, passed through a 70-µm nylon mesh, washed, and resuspended at 2.5 x 107 cells/ml in PBS. Bone marrow cells (5 x 106) were injected i.v. into irradiated (900 rad) mice. Animals were maintained in pathogen-free conditions with antibiotic-supplemented water for 8 wk, at which time hemopoietic cell reconstitution was documented using flow cytometry.
T cell depletion
Where indicated, mice were injected i.p. with 1 mg anti-CD4 mAb (GK1.5) four times at 3-day intervals. Depletion of CD4+ T cells (<1% normal) was documented using flow cytometry. Airway reactivity was assessed 2 days after the final Ab treatment. Control mice received matched irrelevant mAb.
Airway reactivity
Airway reactivity to acetylcholine chloride (ACh) was measured as described (25). Briefly, mice were anesthetized with etomidate (28 µg/gm; Bedford Laboratories, CA). The trachea was cannulated and mice were ventilated with 100% oxygen at physiological rate and tidal volume using a rodent ventilator (Harvard Apparatus, South Natick, MA). Following paralysis to eliminate spontaneous respirations, mice were maintained inside a whole-body plethysmograph capable of measuring changes in air flow, as well as transthoracic pressures and resistance. After establishing a stable baseline for total lung resistance, ACh was administered i.v. over 1 s in escalating doses via the tail vein. Airway reactivity was expressed as the provocative concentration of ACh (in µg/g body weight) required to double baseline transthoracic resistance, designated PC200, as calculated by linear interpolation of appropriate dose-response curves. Significant differences were calculated using the logarithm of PC200 by ANOVA using reference to the specified control groups. Baseline pulmonary resistance in the absence of ACh did not differ among the various groups of mice studied.
Analysis of BAL
BAL cells were collected after instillation and withdrawal of three sequential 1-ml PBS aliquots through the tracheal cannula. Cells were washed, counted, and resuspended in RPMI 1640 with 10% FBS and antibiotics to a final concentration of 5 x 105 cells/ml. Aliquots (105 cells) were spun onto glass slides, air dried, fixed with methanol, and stained with Diff-Quik (Baxter Healthcare, Miami, FL). Eosinophils, macrophages/monocytes, and lymphocytes were enumerated based on morphology and staining characteristics and expressed as percentages of total BAL cells.
Enzyme-linked immunocell spot (ELISPOT) assays
Lung cell suspensions were prepared by finely mincing the lungs (devoid of any lymph node or thymic tissue) and pressing the fragments through a 70-µm nylon mesh filter. RBC were lysed in hypotonic buffer, and the remaining cells were washed, counted, and resuspended at 107 cells/ml in RPMI 1640 with 10% FBS and antibiotics. The numbers of IL-4-producing cells were enumerated using ELISPOT assays as described (25). Briefly, lung cell suspensions were distributed in duplicate aliquots of 106 cells into 96-well microtiter plates that had been precoated with anti-murine IL-4 mAb (11B11). Serial 2-fold dilutions were prepared, and the plates were incubated undisturbed for 18 h at 37°C. After washing away the cells, biotinylated secondary anti-IL-4 mAb (BVD6-24G.2) was added. Captured IL-4 was revealed using streptavidin-conjugated alkaline phosphatase (Jackson ImmunoResearch Laboratories, West Grove, PA) and developed using 5-bromo-4-chloro-indolyl-phosphate in 0.1 M 2-amino-2-methyl-1-propanol buffer (Sigma) suspended in 0.6% low-melt agarose. Individual blue spots were counted after solidification of the agar using inverted microscopy.
Serum IgE
Serum was prepared from whole blood collected after quantitation of airway reactivity. Total serum IgE was determined using a double mAb-based sandwich ELISA with Ab B.IE.3 as the capture Ab and biotinylated EM-95 as the detecting Ab. The plates were developed with streptavidin-conjugated alkaline phosphatase (Jackson ImmunoResearch), and the substrate was 5 mM p-nitrophenyl phosphate, disodium hexahydrate (Sigma) in 0.1 M 2-amino-2-methyl-1-propanol buffer (Sigma). Absorbance was quantitated at 405 nm (Bio-Tek Instruments, Burlington, VT) and normalized to concurrently developed standard controls.
Histopathology
Lungs were infused in situ with 1 ml of 3.7% formaldehyde in PBS through the tracheal cannula. The lungs were carefully removed and immersed in the same fixative with the trachea tied closed for 24 h. The tissues were embedded in paraffin, and 2- to 3-µm sections were cut and stained with hematoxylin and eosin.
Flow cytometric analysis
Conjugated mAbs for flow cytometric analysis included
PE-anti-B220 and FITC-anti-CD8
(Caltag Laboratories, South
San Francisco, CA), FITC-anti-Ly9.1 and PE-anti-CD4 (clone
RM4-4) (PharMingen, San Diego, CA). The two anti-CD4 mAbs bind at
distinct sites unaffected by the presence of the other. Stained cells
were analyzed for surface expression using flow cytometry (FACScalibur;
Becton Dickinson, Mountain View, CA).
| Results |
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A/J mice display increased airway reactivity after challenge with
a number of bronchoconstricting agents (17, 18, 19, 20). To
compare airway reactivity in A/J mice with MHC congenic B10.A mice,
cohorts of unimmunized animals were given escalating doses of ACh i.v.
while maintained in a whole-body plethysmograph, enabling constant
quantitation of transthoracic pressure and flow. A/J mice showed a
marked increase in airway hyperreactivity as assessed by the
significant decrease in the provocative ACh dose required to elicit a
200% increase in baseline airway resistance
(PC200) (Fig. 1
).
Thus, in agreement with prior studies, unimmunized A/J mice
demonstrated
5-fold greater sensitivity to the airway constricting
effects of ACh than did MHC-matched B10.A mice.
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To compare Ag-dependent airway hyperreactivity between A/J and
B10.A mice, groups of mice were immunized three times with OVA and then
challenged three times with OVA-containing aerosol. Two days after the
third aerosol, mice were anesthetized and ventilated in a whole-body
plethysmograph. As assessed by airway resistance in response to ACh,
immunized A/J mice developed a further 4-fold increased reactivity,
consistent with allergen-induced models of airway hyperreactivity.
Similarly, immunized B10.A mice developed substantial airway
hyperreactivity after sensitization and airway challenge with OVA (Fig. 2
A).
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Deletion of CD4+ T cells does not alleviate airway hyperreactivity in A/J mice
CD4+ T cells have been demonstrated to be
both necessary and sufficient to mediate airway hyperreactivity in
murine models of allergic airways disease (15, 30, 31, 32).
Despite our inability to document activated type 2 immune responses in
unimmunized A/J mice, it remained possible that circulating
CD4+ T cells were mediating airways disease by
some unclear pathway. To assess this possibility, A/J mice were
depleted to <1% of normal CD4+ T cells using
mAb given over a 2-wk period (Fig. 4
A). CD4-depleted and A/J mice
given matched irrelevant control Ab were compared with B10.A mice using
airway reactivity to escalating doses of ACh (Fig. 4
B).
Despite CD4+ T cell depletion, A/J mice displayed
airway hyperreactivity that was no different from A/J mice given
control mAb. Thus, CD4+ T cells do not mediate
baseline airway hyperreactivity in A/J mice.
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Bone marrow radiation chimeras were constructed between A/J and
B10.A mice to evaluate the role of hemopoietic cells in mediating
baseline airway hyperreactivity. The Ly9.1 surface Ag, present on A/J
but not on B10.A hemopoietic cells, was used to mark donor-derived bone
marrow cells. As a control, bone marrow cells were used to reconstitute
each mouse strain with its own donor cells. Analysis 8 wk after
reconstitution confirmed that the majority of hemopoietic cells were
donor derived, although reconstitution was more complete from A/J to
B10.A than vice versa (Fig. 5
).
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Despite our inability in implicating immune dysfunction in the airway hyperreactivity of resting A/J mice, it remained possible that prolonged developmental effects mediated by the immune system might produce chronic airway changes that persisted even after immune cell depletion in adult life. We took a genetic approach to this possibility by crossing A/J mice to RAG-deficient and IL-4-deficient mice. Both of these mice have been demonstrated to have abrogated airway responses following Ag challenge, with RAG-deficient mice having a more complete attenuation of the response than IL-4-deficient mice (31, 33, 34, 35). For the RAG backcross, C57BL/6 RAG-1-deficient mice were crossed six generations to A/J, and the progeny were intercrossed to create N6 A/J RAG-deficient mice. Similarly, C57BL/6 IL-4-deficient mice were crossed six generations to A/J, and the progeny were intercrossed to create N6 A/J IL-4-deficient mice. The success of the backcross was confirmed by PCR analysis of tail DNA to confirm the presence of the targeted but not the wild-type IL-4 allele and by flow cytometry to confirm the absence of T and B cells in the RAG-deficient A/J mice.
A/J RAG-deficient and IL-4-deficient mice were analyzed for reactivity
to ACh and compared with control A/J and B10.A mice (Fig. 7
). Despite the complete absence of T and
B cells from birth, or the complete inability to produce the cytokine
IL-4, the backcrossed A/J mice displayed airway hyperreactivity
comparable to wild-type A/J mice and to control backcrossed N6 A/J
mice. Although IL-13 can mediate airway hyperreactivity in the OVA
model in the absence of IL-4 (33, 36), we could confirm no
increase in IL-13 mRNA in A/J, A/J RAG-deficient, A/J IL-4-deficient,
or B10.A mice in the absence of airway sensitization with allergen
(data not shown). Thus, in this model, we could define no contributions
from the adaptive immune system that contribute to the underlying
airway hyperreactive phenotype of A/J mice.
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| Discussion |
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(33, 37, 38, 39) and activation of Stat6 (40, 41). Despite this knowledge, the contributions of adaptive
immunity to the maintenance of baseline airway reactivity to
bronchoconstricting agents remain less well studied. Various transgenic
mice that express cytokines in the lung have demonstrated effects on
baseline airway hyperreactivity (42, 43, 44, 45), but whether this
reflects the physiologic state is unknown.
We used A/J mice, a strain with inherently increased baseline airway
hyperreactivity to pharmacologic bronchoconstricting agents, to assess
the role of the adaptive immune system in mediating this physiologic
response. Despite markedly increased baseline airway reactivity as
compared with MHC congenic B10.A mice, we could find no evidence that
cells of the adaptive immune system contribute to resting airway
responsiveness. This was assessed by multiple independent strategies,
including the acute depletion of CD4+ T cells,
the crossed bone marrow reconstitutions between A/J and B10.A mice, and
the genetic approach involving crossing A/J mice to RAG- and
IL-4-deficient backgrounds. The baseline hyperreactivity of A/J mice
was essentially unaltered by each of these approaches. Earlier studies
similarly confirmed no affect of deletion of the T cell compartment on
the resting airway reactivity of C57BL/6 mice, which, aside from MHC
genes, are genetically closely related to the B10.A mice studied here
(31). Further, there existed no histologic evidence to
support an immune-mediated mechanism for maintaining baseline
reactivity in A/J mice. In contrast to immunized B10.A mice with
comparable airway hyperreactivity (Fig. 2
A), naive A/J mice
displayed no cellular infiltrates into pulmonary tissue and no evidence
for intrinsic activation of type 2 immune responses. The data suggest
an intrinsic mechanism for airway hyperreactivity in A/J mice that
makes this a valuable model for investigating contributions of
nonimmune genes to airway physiology.
Our inability to implicate hemopoietic cells in baseline airway hyperreactivity in A/J mice was in contrast to a prior study that used a similar approach using crossed bone marrow chimeric mice. Importantly, however, the prior study used F1 A/J x C57BL/6 mice as the hyperreactive parental strain as compared with C57BL/6 control animals (26). F1 mice were used to minimize contributions by graft-vs-host disease in chimeric animals, but the discriminatory differences in airway physiology were smaller in F1 as compared with parental A/J mice. We used MHC congenic B10.A mice to both minimize the potential for graft-vs-host disease among recipients while maximizing the discrimination in airway physiologic parameters as compared with A/J mice. We could discern no evidence for graft-vs-host disease in reconstituted mice using histologic criteria, but observed a consistent change in the baseline airway physiology in all irradiated mice, irrespective of the source of the donor marrow cells. Despite these baseline changes, which were consistent within groups of mice, it was clear that A/J recipients demonstrated resting airway hyperreactivity that was elevated comparably whether reconstituted with A/J or B10.A-derived bone marrow cells. Conversely, B10.A recipients displayed relatively normal airway hyperreactivity even after reconstitution with A/J-derived cells.
Acute reconstitution experiments leave open the possibility that developmental processes mediated by hemopoietic cells, and specifically by immune T cells, could induce chronic airway structural alterations leading to airway hyperreactivity that might not be readily reversed in adult life. We, in agreement with a prior report (28), could demonstrate no effect on baseline airway physiology mediated by acute depletion of CD4+ T cells, but potential chronic effects of lymphocytes have not been investigated. We used a genetic approach by crossing A/J mice to RAG-1-deficient and IL-4-deficient mice because, in each case, animals on these backgrounds have demonstrated profound deficiencies in the ability to mount airway responses to aerosolized Ag, including OVA (31, 33, 34, 35). In each case, the crossing in of A/J-derived genes resulted in increased baseline airway hyperreactivity in the N6 generation, at which point over 98% of the genome was A/J derived. Airway hyperreactivity of control littermates was indistinguishable from parental A/J mice. However, in contrast to parental A/J mice the backcrossed mutant mice developed similar airway hyperreactivity in the complete absence of B and T cells (RAG-1-deficient) or IL-4 (IL-4-deficient). Thus, any contributions of lymphocytes or IL-4 to baseline airway hyperreactivity in A/J mice would seem to be nonessential.
The role of nonhemopoietic cell factors in allergen-mediated airway
hyperresponsiveness was illustrated here by the enhanced reactivity of
A/J mice to sensitization with OVA as compared with B10.A mice with the
same amount of Ag challenge (Fig. 2
A). Similar findings were
noted in comparing A/J and C3H mice after sensitization with OVA or
SRBC (29). Thus, subsequent type 2 inflammation resulted
in incrementally greater airway hyperreactivity at more modest levels
of immune cell recruitment, as evident by microscopic examination (Fig. 3
). Understanding the mechanisms for such interaction with the immune
response may have great implications for the role of innate factors in
contributing to susceptibility to allergic airways disease.
These findings raise questions regarding the mechanism(s) that underlie
intrinsic airway hyperreactivity in A/J mice. Differences in airway
caliber or number were not apparent in our studies (H. Hadeiba, R.
M. Locksley, data not shown). The finding that high-dose cyclosporin A
could attenuate airway hyperreactivity in A/J mice is intriguing
(28). The ubiquitous distribution of calcineurin, the
target of cyclosporin A, in all tissues, will require definition of the
amounts and affinities of this phosphatase in discrete lung cell types.
Indeed, the recent incrimination of calcineurin-dependent pathways in
myocardial hypertrophy and signaling through the myocyte angiotensin
receptor point out previously unappreciated roles for phosphatases of
this class outside of the immune system (46). Other
possibilities include the role of the autonomic nervous system control
of airway smooth muscle as determined by a combination of
ß2-adrenergic and postganglionic muscarinic
receptors (reviewed in Ref. 47). Of the various airway
muscarinic receptor subtypes, the two most implicated in human asthma
are designated subtypes II (M2) and III (M3). M2 receptorspresent on
postganglionic nervesinhibit acetylcholine release via a negative
feedback loop. Some evidence has been provided for dysfunctional M2
receptors in both human asthma (48) and in animal models
of allergic airway disease (49). M3 receptorspresent on
airway smooth muscle, submucosal glands, and epithelial and endothelial
cellsmediate airway smooth muscle contraction and mucus
hypersecretion (47). Some evidence also suggests that
coupling of muscarinic receptors to signal-transducing G proteins might
be more efficient in A/J mice, although the subtypes of muscarinic
receptors involved and their distribution will require further study
(50). We did note modestly enhanced expression of M3
receptor mRNA in lung tissues extracted from A/J, as compared with
B10.A, mice (H. Hadeiba, R. M. Locksley, data not shown), but
further study will be required to quantitate the overall stoichiometry
of the various muscarinic receptor subtypes to discern any relationship
with baseline airway hyperresponsiveness. Although recent studies have
defined a role for the integrin
vß6 in mediating lung
tissue homeostasis (51), baseline histologic studies
failed to provide evidence for aberrant cell infiltration in mediating
the physiologic changes in A/J lung.
These studies reaffirm the importance of the A/J strain in elucidating intrinsic factors that modulate airway hyperreactivity that arise independent of the acquired immune system. The aggravated phenotype demonstrated by A/J mice, with a proportionately greater airway response following immunization, points out the capacity of such genetic tendencies to aggravate subsequent immune-mediated airways disease. A/J mice will provide not only a valuable strain for classical genetic analysis to elucidate nonimmune genes that might contribute to asthma susceptibility, but will remain a stringent test for examining the ability of immune interventions to alleviate successfully the induced allergic response.
| Acknowledgments |
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| Footnotes |
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2 Address correspondence and reprint requests to Dr. Richard M. Locksley, University of California San Francisco, Box 0654, C-443, 521 Parnassus Avenue, San Francisco, CA 94143. ![]()
3 Abbreviations used in the paper: BAL, bronchoalveolar lavage; ACh, acetylcholine chloride; ELISPOT, enzyme-linked immunocell spot; PC200, provocative dose of acetylcholine required to generate a 200% increase in baseline airway resistance; RAG, recombinase-activating gene. ![]()
Received for publication November 23, 1999. Accepted for publication February 14, 2000.
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Vß6 binds and activates latent TGFß1: a mechanism for regulating pulmonary inflammmation and fibrosis. Cell 68:869.
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