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The Journal of Immunology, 2000, 165: 238-246.
Copyright © 2000 by The American Association of Immunologists

Macrophage-Derived Chemokine and EBI1-Ligand Chemokine Attract Human Thymocytes in Different Stage of Development and Are Produced by Distinct Subsets of Medullary Epithelial Cells: Possible Implications for Negative Selection1

Francesco Annunziato2,*, Paola Romagnani2,{dagger}, Lorenzo Cosmi*, Chiara Beltrame*, Bart H. Steiner§, Elena Lazzeri*, Carol J. Raport§, Grazia Galli*, Roberto Manetti*, Carmelo Mavilia*, Vittorio Vanini{ddagger}, David Chantry§, Enrico Maggi* and Sergio Romagnani3,*

* Department of Internal Medicine Clinical Immunology, Allergy and Respiratory Disease Unit, and {dagger} Department of Physiopathology, Endocrinology Unit, University of Florence, Florence, Italy; {ddagger} Apuanic Pediatric Hospital, Massa-Carrara, Italy; and § Icos, Bothell, WA 98011


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The chemoattractant activity of macrophage-derived chemokine (MDC), EBI1-ligand chemokine (ELC), and secondary lymphoid tissue chemokine (SLC) on human thymocytes was analyzed. Both ELC and SLC caused the accumulation of CD4+CD8- or CD4-CD8+ CD45RA+ thymocytes showing high CD3 expression. By contrast, a remarkable proportion of MDC-responsive thymocytes were CD4+CD8+ cells exhibiting reduced levels of CD8 or CD4+CD8- cells showing CD3 and CD45R0, but not CD45RA. MDC-responsive thymocyte suspensions were enriched in cells expressing the MDC receptor, CCR4, selectively localized to the medulla, and in CD30+ cells, whereas ELC-responsive thymocytes never expressed CD30. Reactivity to both MDC and ELC was localized to cells of the medullary areas, but never in the cortex. Double immunostaining showed no reactivity for either MDC or ELC by T cells, macrophages, or mature dendritic cells, whereas many medullary epithelial cells were reactive to MDC or ELC. However, MDC reactivity was consistently localized to the outer wall of Hassal’s corpuscles, whereas ELC reactivity was often found in cells surrounding medullary vessels, but not in Hassal’s corpuscles. Moreover, while most MDC-producing cells also stained positive for CD30L, this molecule was never found on ELC-producing cells. We suggest therefore that CD30L-expressing MDC-producing medullary epithelial cells attract CCR4-expressing thymocytes, thus favoring the CD30/CD30L interaction, and therefore the apoptosis, of cells that are induced to express CD30 by autoantigen activation. By contrast, ELC production by CD30L-lacking medullary epithelial cells may induce the migration into periphery of mature thymocytes that have survived the process of negative selection.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Chemokines have been shown to control the migratory behavior of several cell types, including lymphocytes, and have, therefore, the potential to regulate differentiation-dependent thymocyte migration (1, 2, 3, 4). Many chemokines are indeed constitutively expressed in the thymus, including stromal-derived factor-1 (5), thymus- and activation-regulated chemokine (6), thymus-expressed chemokine (TECK)4 (7, 8), pulmonary and activation-regulated chemokine (9), IFN-inducible protein-10 (10, 11), I-309 (12), macrophage-derived chemokine (MDC) (13, 14), EBI1-ligand chemokine (ELC) (15, 16, 17), and secondary lymphoid tissue chemokine (SLC) (17, 18). Moreover, several chemokine receptors are also expressed in the thymus, including CXCR3 (19), CXCR4 (20, 21), CCR3 (22), CCR4 (23), CCR5 (20), CCR7 (16), CCR8 (12), and CCR9 (8, 24, 25).

Stromal-derived factor-1 seems to attract prevalently immature thymocytes (both CD4-CD8- and CD4+CD8+), thus favoring their migration at premedullar stage (cortex) before and during positive selection (26, 27). By contrast, ELC and SLC prevalently attract mature single-positive (CD4+CD8- or CD4-CD8+) thymocytes, suggesting their role in the migration from the thymus to the circulation of cells that have already passed both positive and negative selection (26, 27, 28). Murine thymocytes at cortical, transitional between cortex and medulla, and early medullary stages respond equally well to TECK, but all responsiveness is lost in the most mature medullary phenotype (29). By contrast, TECK efficaciously attracts both double-positive and single-positive human thymocytes (25). Recently, we (28) and others (29) have shown that MDC attracts a small population of CD3+CD4+CD8low thymocytes that corresponds to cells transitional between cortex and medulla and in early medullary stages. In human thymus, MDC was found to be selectively localized to epithelial cells scattered in the medullary areas and in the outer walls of Hassal’s corpuscles (28), supporting its possible role in the attraction of thymocytes from the cortex to the medulla or within the medulla, where they may undergo negative selection.

In this study, we have examined the chemotactic activity of MDC, ELC, and SLC on human thymocytes. Moreover, we have characterized the cells that produce ELC and their possible relationship with MDC-producing cells in the human thymus. As in the mouse, both ELC and SLC caused the selective accumulation of single-positive (CD4+CD8- or CD4-CD8+) thymocytes, and expressed CD45RA, but not CD30, whereas a remarkable proportion of MDC-responsive thymocytes were double-positive (CD4+CD8+) cells that had reduced levels of CD8, and expressed CD30, but not CD45RA. More importantly, ELC production within the human thymus was a property of medullary epithelial cells, but ELC-producing cells were clearly distinct from those producing MDC. MDC-producing cells expressed high levels of CD30L and were consistently found on the outer wall of Hassal’s corpuscles, whereas ELC-producing cells often localized around small vessels, but they were not found on the outer wall of Hassal’s corpuscles and did not express CD30L.


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

FITC-, PE-, allophycocyanin-, and peridin chlorophyll protein-conjugated anti-CD3 (SK7), anti-CD4 (SK3), anti-CD8 (SK1), anti-CD69 (L78), anti-CD45RO (UCLH1), and anti-CD45RA (L48) mAbs were purchased from Becton Dickinson (Mountain View, CA). FITC-conjugated anti-CD30 (Ber-H2) mAb was from Dako (Gastrup, Denmark). Anti-CD3 (UCHT1) mAb was from PharMingen (San Diego, CA), anti-CD30 (HRS4) from Immunotech (Marseille, France), anti-CD30L (M81) from Genzyme Diagnostics (Cambridge, MA), anti-CD68 (EBM11) from Dako, anti-CD83 (HB15e) from PharMingen, and anti-pan-cytokeratin (CK) (C11) from Sigma Immunochemicals (Milan, Italy). The anti-peptidylglycine {alpha}-amidating monooxygenase (PAM)-1 mAb was a kind gift of A. Mantovani (Milano, Italy). The anti-von Willebrand factor (vWf) rabbit anti-human polyclonal Ab was from Dako. The preparation of anti-MDC (252Y) mAb has been previously reported, and its specificity was validated by several approaches, as described (28, 30, 31). Two mAbs specific for human ELC (326 M and 326N) were obtained and characterized using standard procedures, as described previously for MDC (28). In vitro characterization of these Abs revealed that 326 M inhibits ELC bioactivity, while 326N does not, suggesting that they identify distinct epitopes on ELC (unpublished results). The 326 M Ab gave stronger immunoreactivity than the 326N Ab, and therefore it was used for immunostaining experiments. The anti-CCR4 mAb was generated using L1.2/CCR4 cells as Ag and was selected for specific recognition of CCR4 transfectants by FACS (unpublished results). The anti-CCR4 mAb was conjugated with Cy5 protein by the conjugation kit following manufacturer’s instructions (Amersham Life Science Italia, Milan, Italy). All of the isotype-matched control Abs were purchased from Southern Biotechnology Associates (Birmingham, AL).

MDC and ELC were expressed in Chinese hamster ovary cells, and the recombinant proteins were purified to homogeneity, as described previously (13). The purity of these proteins was confirmed by N-terminal amino acid analysis and mass spectrometry. Biological activity was measured by chemotaxis of L1.2 cells stably transfected with CCR4 (MDC) or CCR7 (ELC) and was equivalent to that found for commercially available preparations of these chemokines (unpublished results). Human rSLC was obtained from R&D Systems (Minneapolis, MN).

Human thymuses

Normal postnatal thymus specimens were obtained from 12 children, aged between 5 days and 3 years, during corrective cardiac surgery at the Apuano Pediatric Hospital of Massa Carrara. The procedures followed in the study were in accordance with the ethical standards of the responsible Regional Committee on human experimentation.

Cytofluorometric analysis of thymocyte suspensions and purification of CD4+CD8- thymocytes

Thymic tissue fragments were gently passed through a stainless steel mesh to obtain single-cell suspensions from which MNC were separated by centrifugation on Ficoll-Hypaque gradient. Thymic MNC were resuspended in PBS containing 0.5% BSA and 0.02% sodium azide, and then incubated with FITC-, PE-, allophycocyanin-, or peridin chlorophyll protein-conjugated anti-CD3, anti-CD4, anti-CD8, anti-CD30, anti-CD45RO, anti-CD45RA, anti-CD69, or Cy5-conjugated anti-CCR4 mAb. Cell surface marker analysis was performed on a FACSCalibur cytofluorometer (Becton Dickinson).

Purification of CD4+CD8- thymocytes was performed by high gradient magnetic cell sorting, as described elsewhere (32). Briefly, MNC were incubated for 20 min with a cocktail of hapten-conjugated Abs (CD8, CD11b, CD16, CD19, CD36, and CD56), extensively washed, and then incubated for additional 20 min with anti-hapten polyclonal Ab conjugated to magnetic cell sorter (MACS) colloidal superparamagnetic microbeads system (Milteny Biotec GmbH, Bergisch Gladbach, Germany). After washing, cells were separated on a VS+/LS+ column, inserted into a MidiMACS magnet. Unlabeled cells, collected as negative fraction, consisted of >95% CD4+CD8- cells.

Cloning and sequencing of the CCR4 probe

mRNA was extracted from activated peripheral blood MNC and reversed to first strand cDNA by oligo(dT) primer, using a first strand synthesis kit (Stratagene, Cambridge, MA). Amplification of the first strand products was conducted in a thermal cycler (Idaho Technology, Idaho Falls, ID). The samples were subjected to 30 cycles of amplification using 10 pM of each primer (32) and 0.5 U of Taq DNA polymerase in 10-1 volume. The DNA fragment of 500 bp amplified by PCR was subcloned in pGEM-T easy (Promega, Madison, WI), according to the manufacturer’s instructions. Sequencing of the amplified product was performed by the dideoxynucleotide chain-termination method (32), by using [35S]dATP and sequenase enzyme (United States Biochemical, Cleveland, Ohio).

In situ hybridization

In situ hybridization was performed on frozen thymus sections by using sense or antisense CCR4 RNA probes. To do this, the plasmid containing the CCR4 cDNA was subcloned in PGEM-4Z and then linearized with XbaI or HindIII restriction enzymes, followed by phenol-chloroform extraction and ethanol precipitation. Thereafter, sense and antisense RNA probes were synthesized using SP6 or T7 RNA polymerases (Riboprobe Gemini System; Promega) in the presence of 35S {alpha}-thio-UTP (1300 mCi/mmol; NEN DuPont, Paris, France). Frozen thymus sections were mounted onto gelatin-coated slides and fixed with 4% paraformaldehyde for 20 min at room temperature. Sections were subsequently treated with 0.2 N HCl for 20 min, pronase (0.125 mg/ml) for 10 min, 0.1 M glycine for 30 s, and 4% paraformaldehyde for 20 min. Then, sections were rinsed with PBS and acetylated and dehydrated in increasing ethanol concentrations. A total of 30 µl of the hybridization solution (40% formamide, 4x SSC, 10 mM DTT, 1x Denhardt’s solution, 10% dextran sulfate, 0.1 mg/ml sheared herring sperm DNA, and 1 mg/ml yeast tRNA), containing 8 x 105 cpm of 35S-labeled human CCR4 RNA antisense probe, was applied to each section and covered with parafilm. Hybridization was conducted at 52°C for 16 h. Removal of the nonspecifically bound probe by RNase digestion and autoradiography were performed, as detailed elsewhere (32). Sections were subsequently counterstained with Mayer’s hematoxylin and mounted with Kaiser’s glycerol gelatin. An average of five sections was analyzed for each tissue sample. Negative controls consisted of hybridization to a sense RNA probe.

Immunohistochemistry

Immunohistochemical staining was performed on 10-µm cryostat sections or cultured cells fixed in 4% paraformaldehyde for 20 min or in acetone for 10 min. Sections were subsequently exposed to 0.3% hydrogen peroxide-methanol solution to quench endogenous peroxidase activity. After a 30-min preincubation with normal horse serum (Vectastain ABC kit; Vector Laboratories, DBA, Milan, Italy), sections were layered for 30 min with anti-MDC (5 µg/ml), anti-ELC (1 µg/ml), anti-CD30 (4 µg/ml), anti-CD30L (10 µg/ml), anti-CD3 (1 µg/ml), anti-CD68 (3 µg/ml), anti-CD83 (10 µg/ml), and anti-CK (2 µg/ml) mAbs, followed by biotinylated anti-mouse IgG Ab, or anti-vWf polyclonal rabbit Ab (0.02 µg/ml), followed by goat anti-rabbit IgG, and the avidin-biotin-peroxidase complex (Vectastain ABC kit), as described (32). The 3-amino-9-ethylcarbazole (Sigma), VECTOR SG, or VECTOR VIP (Vector Laboratories) were used as peroxidase substrates. Finally, sections were counterstained with Gill’s hematoxylin and mounted with Kaiser’s glycerol gelatin. All incubations were performed at room temperature. As negative control, primary Ab was replaced with an isotype-matched Ab with irrelevant specificity or mouse ascites fluid.

Double immunostaining was performed by using the avidin-biotin-peroxidase system with two different substrates, as described (32). To identify on the same specimen two different proteins, the 3-amino-9-ethyl-carbazole or VECTOR VIP (red color) and the VECTOR SG (bluish grey) substrates were used, respectively. After double immunostaining, sections were counterstained with methyl green and mounted with Kaiser’s glycerol gelatin.

Chemotaxis assay

The chemotaxis assay was performed according to a technique previously described (28). Briefly, ~107 freshly isolated thymocytes were resuspended in 1.1 ml of RPMI 1640 containing 0.5% BSA and loaded into the upper well of a transwell chamber (3-µm pore size, six wells; Costar, Corning, NY). Chemokine was added in the same buffer to the lower well in a volume of 1.6 ml. After 4 h at 37°C, cells present in the lower chamber were collected and counted. Data were expressed as the mean number of cells that migrate through the filter. Each experiment was performed in triplicate at least three times, unless otherwise indicated. Cells that migrated in the absence of chemokines served as a negative control.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
MDC and ELC (and SLC) attract distinct subsets of human thymocytes

To establish whether MDC, ELC, and SLC had chemoattractant activities on human thymocyte populations corresponding to those already described in mice (26, 28, 29), the chemotaxis of MNC suspensions from three postnatal human thymuses to these chemokines was analyzed. Each chemokine was used at different concentrations, and the concentration giving the maximal thymocyte migration into the lower chamber was defined as the optimal concentration to be used in subsequent experiments. Of note, the optimal concentration for MDC was 10 nM and its increase resulted in a decrease of the number of migrating cells. By contrast, there was a dose-dependent increase in the number of cells migrating in response to ELC or SLC, the optimal concentration being 1 µM (Fig. 1Go). Checkerboard analysis confirmed that all responses were chemotactic with little chemokinetic component (data not shown). Thymocytes responded well to ELC and SLC, whereas the number of thymocytes that migrated in response to MDC was much lower (Fig. 1Go).



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FIGURE 1. Chemotaxis of human thymocytes to MDC, ELC, and SLC. Freshly isolated thymocytes from thymuses of 5-day- to 3-mo-old children were assayed for chemotaxis in response to different concentrations of the three chemokines, and the number of cells migrating was determined; data shown are representative of three independent experiments. Spontaneous cell migration is also reported ({square}).

 
Thymocytes were collected after chemotaxis to MDC, ELC, or SLC, and analyzed by flow cytometry for the expression of CD3, CD4, and CD8 in comparison with the starting thymocyte population. Total thymocytes had variable CD3 expression, while most thymocytes that had migrated in response to the optimal concentration of the three chemokines exhibited high CD3 expression (Fig. 2Go). This finding did not simply reflect CD3 modulation by cell incubation at 37°C or by chemokines, because no changes were observed in the input population tested at different times after incubation under the same experimental conditions used in the chemotaxis assay (data not shown). Fig. 2Go also shows that, although ELC, SLC, and MDC all attracted a remarkable population of double-positive CD4+CD8+ thymocytes, there was a clear difference in the chemoattractant activity of ELC/SLC and MDC. While ELC and SLC caused the prevalent attraction of single-positive (CD4+CD8- or CD4-CD8+) cells, MDC induced the prevalent migration of double-positive CD4+CD8+ cells showing reduced levels of CD8 (CD4+CD8low), and of a small subset of single-positive CD4+CD8- cells.



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FIGURE 2. Phenotypic analysis of freshly isolated, MDC-, ELC-, and SLC-responsive human thymocytes. FACS analysis was performed on thymocytes before and after chemotaxis toward an optimal concentration of MDC (10 nmol), ELC (1 µM), or SLC (1 µM) by staining cells with CD3 or CD4 and CD8. Data shown are representative of three separate experiments.

 
MDC-responsive thymocytes are localized to the medullary areas, but exhibit different expression of CD45RA and CD30 in comparison with ELC-responsive cells

To better establish the nature of MDC-responsive cells in human thymus, the expression of MDC receptor, CCR4, was assessed in three postnatal human thymuses by in situ hybridization. As shown in Fig. 3Go, CCR4 mRNA expression was found to be selectively localized to the medullary areas, whereas in the cortical areas no CCR4 mRNA-expressing cells were observed.



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FIGURE 3. Distribution of CCR4 mRNA in the human thymus. A, CCR4 mRNA expression in the medulla (M), but not in the cortex (C). The section was hybridized with 35S-labeled antisense CCR4 probe (dark field, x40). B, CCR4 mRNA expression in three adjacent medullary areas, characterized by the presence of two Hassal’s corpuscles (HC) (x40). C, Higher power magnification of a medullary area showing CCR4 mRNA expression (x100). D, Autoradiograph of a consecutive section hybridized with sense CCR4 probe, showing virtually no signal (x100).

 
In previous work, we have shown that a small subset of CD4+CD8+CD45R0+IL-4R+ thymocytes in the medullary areas of human thymus express CD30 (32), an activation molecule possibly involved in thymic negative selection (33). We therefore asked whether or not CD30+ thymocytes were contained within the MDC-responsive CCR4+ population. As shown in Fig. 4Go, CD30+ cells were indeed enriched within the CD3+ thymocyte subset that migrated in response to MDC. Moreover, the majority of CD30+ cells in the MDC-responsive population were double-positive CD4+CD8low cells (Fig. 4Go). Double staining of thymocytes with anti-CCR4 and anti-CD30 Ab showed that virtually all CCR4+ thymocytes were CD30+, although a remarkable proportion of CCR4-CD30+ cells was also observed (Fig. 5Go). The majority of CD30+ thymocytes were CD4+CD8low cells, and some of them apparently exhibited CD4, but not CD8, expression (Fig. 5Go).



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FIGURE 4. Enrichment for CD30+ cells in the MDC-responsive thymocyte population. The upper panel shows CD3 and CD30 expression by freshly isolated thymocytes and thymocytes that had migrated to MDC (10 nM). The lower panel shows CD4 and CD8 expression by the small subset of MDC-responsive CD3+CD30+ thymocytes.

 


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FIGURE 5. Coexpression of CD30 by CCR4-expressing thymocytes and their phenotypic analysis. Four-color FACS analysis for CCR4, CD30, CD4, and CD8 was performed on freshly isolated thymocytes. The upper panels show thymocyte costaining with anti-CCR4 and anti-CD30 or the appropriate isotype control Abs. The lower panels show staining with CD4 and CD8 of the CD30-negative (R1) or CD30-positive (R2) thymocyte subsets. Data shown are representative of three separate experiments.

 
To establish whether the small population of CD4+CD8- cells responsive to MDC was distinguishable from CD4+CD8- cells that were attracted by ELC, CD4+CD8- cells were purified from the thymocyte suspension and directly assessed for their chemotactic response to MDC or ELC. CD4+CD8- cells that migrated in response to MDC were fewer than ELC-responsive CD4+CD8- cells (Fig. 6GoA) and showed different expression of other surface markers. All MDC-responsive CD4+CD8- thymocytes were CD69+, and a remarkable proportion of them expressed CD30, whereas not all CD4+CD8- ELC-responsive thymocytes were CD69+ and virtually none of them expressed CD30 (Fig. 6GoB). In addition, the great majority of MDC-responsive cells were CD45RA-CD45R0+, whereas the ELC-responsive population consisted of a mixture of CD45RA-CD45R0+, CD45RA+CD45R0-, and CD45RA+CD45R0+ cells (Fig. 6GoC).



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FIGURE 6. Different phenotype of purified CD4+CD8- thymocytes migrating in response to MDC or ELC. A, Numbers of CD4+CD8- cells migrating in the absence (white columns) or in the presence (black columns) of the optimal concentration of MDC (10 nM) or ELC (1 µM). B, Staining of MDC- or ELC-responsive CD4+CD8- cells with CD69 and CD30. C, Staining of the same cells with CD45RA and CD45RO. Data shown are representative of three separate experiments.

 
MDC and ELC are produced by different subsets of medullary epithelial cells

The possibility that MDC and ELC were produced by the same or different cell types was then investigated in four postnatal human thymuses by using immunohistochemistry. Both MDC and ELC reactivity appeared to be selectively localized to cells scattered in the medullary areas, whereas neither MDC- nor ELC-positive cells were found in the cortex (Fig. 7Go, A and B). However, MDC reactivity was consistently localized to the outer wall of Hassal’s corpuscles, as reported (28), whereas ELC reactivity was only rarely found in Hassal’s corpuscles (Fig. 7Go, C and D), whereas it was widely expressed in the inner medulla and around vessels present in proximity of cortico-medullary junctions (Fig. 7Go, E and F). Moreover, double immunostaining for MDC and ELC showed clear-cut separation between the two types of cells (Fig. 7GoG), the proportion of cells costaining for ELC and MDC being lower than 5% (data not shown).



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FIGURE 7. Different localization of MDC- and ELC-producing cells in the medullary areas. A, MDC expression in cells of the thymic medulla (red color, x40). B, ELC expression in cells of the thymic medulla (bluish grey, x40). C, MDC expression in the outer wall of an Hassal’s corpuscle and in at least three epithelial cells scattered in the medulla (red, x400). D, Lack of ELC expression in a Hassal’s corpuscle in the presence of several ELC-reactive medullary cells (bluish grey, x400). E, ELC-producing cells in the inner medulla around a Hassal’s corpuscle (x100), and F, surrounding vessels in the cortico-medullary junction (x400). Sections were costained with anti-ELC (red) and anti-vWF (bluish-grey) Ab, which selectively reacts with endothelial cells. G, Double immunostaining showing distinct cellular distribution for MDC and ELC in the medulla. Section was costained with anti-MDC (red) and anti-ELC (bluish-grey) Ab (x400).

 
In previous work, we have provided evidence that MDC is produced by human medullary epithelial cells (28). The nature of ELC-expressing cells was therefore investigated by using double immunostaining for MDC and CD3 (T cells), CD68 (macrophages), CD83 (mature dendritic cells), PAM-1 (part of macrophages and mature dendritic cells), CK (epithelial cells), as well as CD30L, a molecule highly expressed on a subset of human medullary epithelial cells. Obvious separation was seen between staining for ELC and CD3 (Fig. 8GoA), CD68 (Fig. 8GoB), CD83 (Fig. 8GoC), and PAM-1 (Fig. 8GoD), whereas CD83 and PAM-1 usually colocalized (Fig. 8GoE). By contrast, the majority of, even not all, MDC- and ELC-reactive cells stained positive for CK (Fig. 8GoF). Finally and most importantly, CD30L reactivity was never found on ELC-producing cells (Fig. 8GoG), while all MDC-producing cells also stained positive for CD30L (Fig. 8GoH), suggesting that ELC expression within the human thymus is mainly a property of a subset of medullary epithelial cells distinct from those producing MDC and expressing CD30L.



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FIGURE 8. ELC-producing cells are medullary epithelial cells that do not express CD30L. A, Double immunostaining for ELC (bluish-grey) and CD3 (red); B, double immunostaining for ELC (bluish grey) and CD68 (red), showing clear-cut separation between ELC-positive cells and T cells or macrophages, respectively (x400). C and D, Double immunostaining for ELC (bluish grey) and CD83 or PAM-1 (red), showing separation between ELC-positive cells and dendritic cells (x400). E, Double immunostaining for PAM-1 (bluish grey) and CD83 (red), showing colocalization of the two stainings (purple-brown, x1000). F, Double immunostaining for ELC (bluish-grey) and CK (red); many cells staining for both ELC and CK (purple-brown) are visible (x400). G, Double immunostaining for ELC (bluish-grey) and CD30L (red), showing clear-cut separation between ELC-positive cells and CD30L-reactive cells (x400). H, Double immunostaining for CD30L (bluish-grey) and MDC (red). Cells of the outer wall of Hassal’s corpuscles and other cells in the medulla staining for both MDC and CD30L (purple-brown) are visible (x400).

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The results of this study demonstrate that in human thymus, MDC, ELC, and SLC are chemotactic for thymocytes and that thymocyte subsets that migrate in response to these chemokines are similar to those previously described in the mouse (26, 28, 29). ELC and SLC mainly attracted single-positive (CD4+CD8- or CD4-CD8+) mature T cells, whereas MDC favored the accumulation of a subset of double-positive (CD4+CD8+) thymocytes showing reduced levels of CD8 (CD4+CD8low), and of a small subset of CD4+CD8- cells.

Based on our previous data obtained in murine thymus (28), we have suggested that MDC may induce the migration of thymocytes that have already passed positive, but not negative, selection from the cortex into the medulla. The observations presented in this study, that cells expressing the MDC receptor (CCR4) are detectable in the medulla, but not in the cortex, suggest that MDC-responsive thymocytes are already localized to the medullary areas. Consistent with this, a small proportion of MDC-responsive cells were CD4+CD8-, as the majority of ELC- or SLC-responsive thymocytes. However, the majority of MDC-responsive cells were CD45RA-, whereas ELC-responsive thymocytes consisted of a mixture of CD45RA+RO-, CD45RA+RO+, and CD45RA-RO+ cells. Taken together, these data suggest that responsiveness to MDC is a property of thymocytes that have migrated from the cortex to the medulla, and that have passed the positive selection, as also demonstrated by their expression of CD69 (27), but that are in an earlier stage of development compared with ELC- or SLC-responsive cells.

The most interesting observation emerging from this study, however, is that MDC-responsive CCR4+ thymocytes were enriched in CD30+ cells, whereas ELC-responsive thymocytes did not express CD30, a T cell activation molecule whose expression is dependent of either CD28 ligation or the activity of IL-4 (34, 35, 36). This finding, together with the demonstration that the great majority of MDC-responsive cells were CD45RA-RO+, suggests that these cells become activated into the medulla. In contrast, the lack of CD30 and the lesser expression of CD45RO by ELC-responsive thymocytes suggest that they do not undergo the same activation process into medullary areas and, therefore, move toward a different destiny.

The results of this study also suggest that, while the production of ELC by other cell types cannot be surely ruled out, ELC protein expression is mainly a property of medullary epithelial cells distinct from those producing MDC. Indeed, ELC-producing cells were rarely detected in the outer walls of Hassal’s corpuscles, while some localized around the small vessels mainly present in the cortico-medullary junctions. The latter finding is consistent with the possibility that ELC-producing cells favor the migration into the circulation of mature thymocytes that have survived the process of negative selection. In addition, the usual absence of ELC reactivity in Hassal’s corpuscles, which consistently express MDC, provides additional support to the concept that ELC- and MDC-producing medullary epithelial cells are involved in different functional processes. Indeed, although we cannot even exclude the production of MDC by other cell types in the thymic medulla, it is quite clear that MDC protein and hence the chemotactic gradient are mainly established around Hassal’s bodies. In this regard, it is noteworthy that cells present in the outer wall of Hassal’s corpuscles and most MDC-producing epithelial cells scattered in the medulla also express high concentrations of CD30L, whereas ELC-producing medullary epithelial cells do not. The association between CD30L expression and MDC production is further supported by the observation that lines of thymic epithelial cells expressing CD30L established from human thymuses (32) produced in their supernatants MDC amounts at least 10 times higher than CD30L-negative cell lines (data not shown).

CD30-CD30L interactions in murine thymus have been suggested to play a role in the programmed cell death of thymocytes (33, 34, 35, 36, 37), thus probably contributing to the process of negative selection (32, 33, 37). Moreover, CD30 signaling has been found to limit the proliferative potential of autoreactive CD8+ effector T cells and protect the body against autoimmunity (38). Thus, it is tempting to speculate that MDC-producing epithelial cells not only attract CCR4+ thymocytes that have already passed the positive selection and have migrated to the medulla, but are also responsible for their activation and CD30 expression by presenting the appropriate peptide on their surface and hence provide the CD30L-mediated apoptotic signal. Indeed, it has clearly been shown that medullary epithelial cells can express different autoantigens (39, 40, 41, 42, 43), which suggests the concept of medullary thymic epithelium as a mosaic of epithelial self (44), and possess all the potential to mediate directly the process of negative selection (45, 46, 47). By contrast, the CCR4+ thymocytes that do not possess a TCR reactive with the peptide presented by the MDC-producing CD30L+ epithelial cells responsible for their attraction cannot be activated, do not express CD30, and therefore cannot receive the CD30L-mediated apoptotic signal. Thereafter, they can migrate into the circulation in response to the chemoattractant effect of ELC- and/or SLC-producing medullary epithelial cells.

An intriguing point, which may argue against this hypothesis, comes from the recent observation that CCR7 gene-deficient mice do not appear to have any obvious problem in the T cell development in the thymus (48). However, this apparent discrepancy may simply reflect the redundancy in the chemoattractant activities of different thymocyte subsets during T cell development in thymus. For example, it has been shown that TECK efficaciously induced chemotaxis of mature thymocytes by interacting with the CCR9 receptor (8, 24, 25). In addition, we have recently found that IFN-inducible protein-10, monokine induced by IFN-{gamma}, and IFN-inducible T cell {alpha} chemoattractant selectively attract mature CD8+ human thymocytes, as well as other thymic cell subsets, via their interaction with CXCR3 receptor (unpublished results). Obviously, additional studies are required to fully validate our hypotheses.


    Acknowledgments
 
We thank Dr. Fabio Marra for helpful suggestions in performing the chemotactic assays.


    Footnotes
 
1 This work was supported by grants provided by Associazione Italiana per la Ricerca sul Cancro (AIRC), Istituto Superiore di Sanita (ISS) (AIDS Project), and EC project B104-98-0458. Back

2 F.A. and P.R. contributed equally to this work. Back

3 Address correspondence and reprint requests to Dr. Sergio Romagnani, Department of Internal Medicine, Viale Morgagni, 85 Firenze-50134, Italy. Back

4 Abbreviations used in this paper: TECK, thymus-expressed chemokine; CK, cytokeratin; CXCR, CXC chemokine receptor; ELC, EBI1-ligand chemokine; MDC, macrophage-derived chemokine; MNC, mononuclear cell; PAM-1, peptidylglycine {alpha}-amidating monooxygenase-1; SLC, secondary lymphoid tissue chemokine; vWf, von Willebrand factor. Back

Received for publication December 27, 1999. Accepted for publication April 14, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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