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CUTTING EDGE |
Production in T Cells Mediating Chronic Resistance to the Intracellular Pathogen, Toxoplasma gondii
Immunobiology Section, Laboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892
| Abstract |
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-dependent
resistance to intracellular pathogens but is not thought to play a
major role in its maintenance. To directly assess the requirement for
continuous IL-12 signaling in long-term cell-mediated immunity,
recombinant cytokine was transiently administered to IL-12
p40-deficient mice during the first 2 wk of infection with the
intracellular pathogen Toxoplasma gondii. As expected,
these animals survived the acute phase and established chronic
infections. However, 46 wk after IL-12 withdrawal, the mice exhibited
increased brain cyst burdens and succumbed to toxoplasmic encephalitis.
Reactivation was associated with a loss of T-dependent IFN-
production without a concomitant increase in Th2 cytokine expression.
Importantly, parasite Ag-induced IFN-
synthesis by purified T cells
from these animals could be restored by in vitro exposure to IL-12.
These results argue that endogenous IL-12 is required for the long-term
maintenance of IFN-
-dependent resistance against intracellular
pathogens. | Introduction |
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production by T lymphocytes and NK cells is critical for host
resistance to intracellular pathogens. In vitro as well as in vivo
studies have identified the heterodimeric monokine IL-12 as the most
potent and important inducer of IFN-
synthesis (1).
Developing T cell precursors are thought to be exposed to this cytokine
during their interaction with APC in the lymphoid microenvironment
early in infection (2). IL-12 binding to its high affinity
receptor (composed of ß1 and ß2 subunits) expressed by Ag-primed
cells transduces signals through STAT-4, resulting in IFN-
gene
transcription (3). Although the latter pathway has been
shown to be important for the induction of IFN-
synthesis and Th1
development, it is unclear whether continued exposure to IL-12 is
required to maintain the type 1 cytokine production phenotype of
Ag-primed Th1 lymphocytes. The observation that Th1 lymphocytes, in
contrast to Th2 cells, selectively retain responsiveness to IL-12 as a
consequence of persistent IL-12 ß2-chain receptor expression suggests
an active and ongoing regulation of the Th1 differentiation program
(4). The latter hypothesis is also consistent with the
IL-12 dependence for optimal IFN-
responses previously observed in
murine Th1 clones (5). On the other hand, more recent
studies (6) that document stable inheritance of epigenetic
modifications (demethylation) of the IFN-
promoter region in type 1
CD8 T cells argue that this state of differentiation, or at least the
commitment to it, may be passively achieved. These considerations raise
the issue of whether continued IL-12 exposure is required to maintain
type 1 T cell responses.
A number of studies have utilized neutralizing mAbs to IL-12 to address
the requirement for this monokine in the expression of chronic
resistance to Leishmania (7) and
Toxoplasma (8) or immunity to reinfection with
Listeria (9) and Histoplasma
(10). The general conclusion has been that, while
neutralization of endogenous IL-12 early during infection severely
impairs the development of acute IFN-
production and host
resistance, the same treatment regimens fail to significantly reverse
established resistance or vaccination-induced immunity. These findings
argue that following initial priming by microbial Ags and exposure to
IL-12, type 1 differentiated lymphocytes exert their effector function
(IFN-
secretion) in an IL-12 autonomous fashion. In contrast,
numerous reports (11, 12) indicate that chronic type 1
cytokine-associated autoimmune/inflammatory diseases can be readily
reversed by IL-12 deprivation, thus presenting a scenario wherein
IFN-
producing T cells reactive to Ag of foreign vs self origin
apparently follow different rules (13).
Since the apparent IL-12 independence of IFN-
responses during
chronic infection could stem from a technical failure resulting in
incomplete neutralization of the cytokine, we decided to revisit this
question using mice genetically deficient in endogenous IL-12. The
experimental design was to infect these animals with T.
gondii while supplementing the mice with recombinant IL-12 to
allow the development of acute Th1-dependent resistance. We then asked
whether cessation of IL-12 administration would result in a loss in Th1
effector function and reactivation of chronic infection. Our results
demonstrate that the maintenance of pre-established resistance and
T-dependent IFN-
responses requires the continued presence of
IL-12.
| Materials and Methods |
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IL-12 p40-deficient animals (14), originally donated by Dr. Jean Magram (Hoffman La Roche, Nutley, NJ) and backcrossed onto the C57BL/6 background for five generations as well as control C57BL/6 mice, were obtained through the National Institute of Allergy and Infectious Diseases Taconic Contract. For experimental infection, each mouse received 20 cysts of the ME49 strain of T. gondii given i.p. (15).
In vivo treatment with recombinant cytokine
Recombinant murine IL-12 (lot no. 6D23F3.4.6) was a gift from the Genetics Institute (Cambridge, MA). Mice received daily i.p. injections of 0.25 µg of IL-12 in 0.25 ml of PBS or vehicle alone starting day 1 to day 14 of acute infection.
Spleen cell cultures and measurement of IFN-
production
At indicated time points after infection, spleen cells (3
x 106/ml) were cultured in RPMI 1640 (Life
Technologies, Gaithersburg, MD) supplemented with 10% FCS (HyClone,
Logan, UT), antibiotics, L-glutamine, and 2-ME (5
micromolar). Splenocytes were stimulated with 10 µg/ml of soluble
T. gondii tachyzoite Ag
(STAg).2 Neutralizing
mAb to IL-12 (C17.8.2) (16) or control rat Ig (Sigma, St.
Louis, MO) was used at 20 µg/ml. In some experiments, splenocytes
from IL-12 reconstituted, IL-12-deficient mice (day 45) were stimulated
with IL-12 (10 ng/ml), STAg (10 µg/ml), or both. In other
experiments, T cells were purified and sort fractionated on the basis
of CD44 expression levels by FACS (FACSVantage, Becton Dickinson
Biosciences, San Diego, CA) after staining with FITC anti-CD4
(RM4-5) and FITC anti-CD8 (53-6.7) and PE anti-CD44 (IM7)
(PharMingen). Sort-purified T cells (1 x
106/ml) were cultured with irradiated
IL-12-deficient splenocytes (1 x 107/ml)
and stimulated with IL-12, STAg, or a combination as described above.
Culture supernatants were collected at 48 h poststimulation, and
the levels of IFN-
were measured using a previously described
two-site ELISA assay (15).
Analysis of lymphokine mRNA expression in brain tissue
Total RNA from brain tissue was extracted using RNAStat reagent
(Tel-Test, Friendswood, TX). Fifty micrograms of total RNA was used per
reaction for RNase protection assay. The mCK-1 probe set (PharMingen,
Dan Diego, CA) used included probes for IL-4, IL-5, IL-10, IL-13,
IL-15, IL-9, IL-2, IL-6, IFN-
, L32, and GADPH.
| Results and Discussion |
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To critically evaluate the requirement for IL-12 in the
maintenance of chronic resistance to T. gondii, recombinant
cytokine was administered daily to IL-12 p40 deficient mice for 2 wk
following i.p. infection with ME49 strain cysts. As shown in Fig. 1
A, whereas PBS
control-treated cytokine-deficient animals succumbed to acute infection
during the first 1012 days, IL-12-treated mice survived the acute
phase and showed no evidence of morbidity for a subsequent 3-wk period
despite cessation of IL-12 administration. Interestingly, a significant
fraction (40%) of wild-type (WT) mice treated in parallel with
exogenous IL-12 succumbed after the first week of infection (Fig. 1
A). This acute death is likely to be the result of the
excessive cytokine levels achieved as observed previously in T.
gondii-infected IL-10-deficient mice (16).
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production without concomitant switch to a Th2 cytokine profile
The gradual loss of chronic resistance in the
IL-12-deficient mice was accompanied by a steady diminution in the
capacity of splenocytes to mount an IFN-
response when restimulated
with a Toxoplasma Ag extract, STAg. As shown in Fig. 2
B, splenocytes from 15-day infected IL-12-reconstituted
IL-12-deficient mice displayed significant IFN-
responses to STAg in
vitro and, as expected, this cytokine production was not significantly
altered by in vitro neutralization of IL-12. However, the IFN-
levels observed were significantly lower than those measured in
STAg-stimulated WT splenocyte cultures, where neutralizaton of IL-12
reduced IFN-
production to the levels observed in the
IL-12-deficient spleen cell cultures. Nonetheless, as the infection
proceeded, splenocytes from IL-12-deficient mice produced less IFN-
,
and by day 45 they failed to synthesize levels above the background
measured in cultures of STAg stimulated splenocytes from naive
IL-12-deficient mice. As expected, splenocytes from infected WT mice
maintained their STAg-induced IFN-
responses during this period. At
all time points tested, Ab depletion experiments performed on pooled
splenic lymphocytes showed that CD4+ and
CD8+ T cells account for all of the IFN-
produced (data not shown).
To investigate whether the loss of Ag induced IFN-
production
by T cells in the IL-12-deficient mice is accompanied by a switch to a
Th2-like cytokine phenotype, a ribonuclease protection assay of the
lymphokine expression profiles was conducted using mRNA extracted from
brain, the major anatomical site for latent infection. As shown in Fig. 2
C, no IL-4 or IL-5 transcripts were detected as late as 30
days after IL-12 withdrawal and no increase in IL-10 mRNA levels
relative to day 15 was evident. Furthermore, no IL-4 protein was
detected in culture supernatants of STAg restimulated splenocytes from
IL-12 deficient mice at day 45 (data not shown). Thus, the loss of
IFN-
response, also evident in the brain (Fig. 2
C), is
not due to the replacement of a Th1 with a Th2 type T cell
population.
IL-12 responsive T. gondii-reactive T cells persist in IL-12-deficient mice after IL-12 withdrawal
To assess whether T. gondii-reactive T lymphocytes that
have the capacity to make IFN-
are present in IL-12 reconstituted
IL-12-deficient mice, splenocytes from these mice were stimulated on
day 45 with STAg, IL-12, or STAg, and IL-12 and IFN-
production was
measured. As shown in Fig. 3
A,
IL-12 plus STAg, but not IL-12 or STAg alone, stimulated high levels of
IFN-
, comparable to that observed in STAg-stimulated splenocytes
cultures from mice sacrificed shortly after IL-12 withdrawal (see Fig. 2
B). To document that the IFN-
response arises from
Ag-primed T cells, total splenic CD4+ and
CD8+ lymphocytes were FACS fractionated on the
basis of CD44 expression and restimulated with STAg and IL-12 in vitro.
IFN-
production in response to the combined stimulus was enriched in
the CD44bright, effector/memory T cell population
(Fig. 3
B). The above observations reveal the existence,
within previously IL-12-reconstituted IL-12-deficient infected mice, of
a cryptic population of parasite Ag-reactive and IL-12-responsive T
lymphocytes with potential effector function (IFN-
synthesis).
Although the precise lineage of this population remains to be
determined, clonal descendants of T lymphocytes activated during the
acute phase of infection probably comprise a significant fraction of
these cells (17, 18). A further implication is that the
loss of IFN-
responses observed in the IL-12-deficient mice cannot
be due to a wholesale death of IL-12-responsive type 1-committed T
lymphocytes, a mechanism previously proposed to explain the therapeutic
effects of anti-IL-12 treatment on experimental autoimmune disease
(19).
|
and
mediate control of infection. The eventual loss of IFN-
synthesis
and host resistance is likely to result from the exit of these
terminally differentiated effectors from lymphoid organs into brain
tissue, where they recognize their targets and die in situ
(20). Because T. gondii is never cleared by the
immune response, recruitment of T cells into the effector pool
continues. We propose that during the subsequent generation of
effectors from Ag-primed precursors, de novo IL-12 signaling is
required to confer competence to the IFN-
transcriptional machinery
within these cells. Consistent with this hypothesis, resumption of in
vivo IL-12 treatment of cytokine-deficient mice (days 3142)
significantly decreased brain cyst counts to 5,700 ± 642 per
brain from the level (40,700 ± 3,681 per brain) observed at the
same time of assay (day 45) in untreated mice
(p < 0.0001, four mice per group) and
increased ex vivo STAg-induced IFN-
production from 0.17 ±
0.09 ng/ml (untreated) to 4.78 ± 0.88 ng/ml (IL-12 treated, days
3142). A candidate transcription factor that may mediate the
downstream effects of IL-12 during this differentiation process is the
recently identified IL-12-inducible transactivator of IFN-
synthesis, T-bet (21). In the absence of such signaling,
the parasite Ag-reactive effector cells that emerge are IFN-
negative and, therefore, nonprotective.
It has been previously proposed that the type 1 T cells that mediate
resistance to infection and autoimmune inflammation differ in their
requirement for IL-12 for sustained IFN-
production
(13). The greater difficulty in reversing chronic
resistance to infection or vaccine-induced immunity with anti-IL-12
mAb may reflect a larger steady-state pool of IL-12-independent
effectors. An additional confounding factor could be that higher levels
of endogenous IL-12 are induced during microbial infections, precluding
complete neutralization. Nonetheless, the picture that emerges from
this study as well as a previous report (22) documenting a
role for IL-12 in sustaining DNA vaccine-induced protection against
L. major, is that long-term maintenance of type 1 responses
requires endogenous IL-12, regardless of whether the cognate Ag(s) is
of microbial or self origin. The preponderance of experimental evidence
(11, 12, 22) for such IL-12 dependence in vivo raises a
basic question as to how the fidelity of cytokine phenotypes is
achieved during the generation of effector T cell pools from long-lived
memory lymphocytes (23).
| Acknowledgments |
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| Footnotes |
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2 Abbreviations used in this paper: STAg, soluble T. gondii tachyzoite Ag; WT, wild type. ![]()
Received for publication March 30, 2000. Accepted for publication May 18, 2000.
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A. A. Ansari, A. E. Mayne, J. B. Sundstrom, P. Bostik, B. Grimm, J. D. Altman, and F. Villinger Administration of Recombinant Rhesus Interleukin-12 during Acute Simian Immunodeficiency Virus (SIV) Infection Leads to Decreased Viral Loads Associated with Prolonged Survival in SIVmac251-Infected Rhesus Macaques J. Virol., February 15, 2002; 76(4): 1731 - 1743. [Abstract] [Full Text] [PDF] |
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A. M. Cooper, A. Kipnis, J. Turner, J. Magram, J. Ferrante, and I. M. Orme Mice Lacking Bioactive IL-12 Can Generate Protective, Antigen-Specific Cellular Responses to Mycobacterial Infection Only if the IL-12 p40 Subunit Is Present J. Immunol., February 1, 2002; 168(3): 1322 - 1327. [Abstract] [Full Text] [PDF] |
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L. Del Rio, S. Bennouna, J. Salinas, and E. Y. Denkers CXCR2 Deficiency Confers Impaired Neutrophil Recruitment and Increased Susceptibility During Toxoplasma gondii Infection J. Immunol., December 1, 2001; 167(11): 6503 - 6509. [Abstract] [Full Text] [PDF] |
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V. Michailowsky, N. M. Silva, C. D. Rocha, L. Q. Vieira, J. Lannes-Vieira, and R. T. Gazzinelli Pivotal Role of Interleukin-12 and Interferon-{gamma} Axis in Controlling Tissue Parasitism and Inflammation in the Heart and Central Nervous System during Trypanosoma cruzi Infection Am. J. Pathol., November 1, 2001; 159(5): 1723 - 1733. [Abstract] [Full Text] [PDF] |
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M.A. Taubman and T. Kawai Involvement of T-Lymphocytes in Periodontal Disease and in Direct and Indirect Induction of Bone Resorption Critical Reviews in Oral Biology & Medicine, January 1, 2001; 12(2): 125 - 135. [Abstract] [Full Text] [PDF] |
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I. J. Blader, I. D. Manger, and J. C. Boothroyd Microarray Analysis Reveals Previously Unknown Changes in Toxoplasma gondii-infected Human Cells J. Biol. Chem., June 22, 2001; 276(26): 24223 - 24231. [Abstract] [Full Text] [PDF] |
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