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The Journal of Immunology, 2000, 165: 3584-3591.
Copyright © 2000 by The American Association of Immunologists

Monocyte-Derived CD1a+ and CD1a- Dendritic Cell Subsets Differ in Their Cytokine Production Profiles, Susceptibilities to Transfection, and Capacities to Direct Th Cell Differentiation1

Chia-Chun J. Chang, Anne Wright and Juha Punnonen2

Maxygen, Redwood City, CA 94063


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We describe a phenotypically and functionally novel monocyte-derived dendritic cell (DC) subset, designated mDC2, that lacks IL-12 synthesis, produces high levels of IL-10, and directs differentiation of Th0/Th2 cells. Like conventional monocyte-derived DC, designated mDC1, mDC2 expressed high levels of CD11c, CD40, CD80, CD86, and MHC class II molecules. However, in contrast to mDC1, mDC2 lacked expression of CD1a, suggesting an association between cytokine production profile and CD1a expression in DC. mDC2 could be matured into CD83+ DC cells in the presence of anti-CD40 mAbs and LPS plus IFN-{gamma}, but they remained CD1a- and lacked IL-12 production even upon maturation. The lack of IL-12 and CD1a expression by mDC2 did not affect their APC capacity, because mDC2 stimulated MLR to a similar degree as mDC1. However, while mDC1 strongly favored Th1 differentiation, mDC2 directed differentiation of Th0/Th2 cells when cocultured with purified human peripheral blood T cells, further indicating functional differences between mDC1 and mDC2. Interestingly, the transfection efficiency of mDC2 with plasmid DNA vectors was significantly higher than that of mDC1, and therefore mDC2 may provide improved means to manipulate Ag-specific T cell responses after transfection ex vivo. Taken together, these data indicate that peripheral blood monocytes have the capacity to differentiate into DC subsets with different cytokine production profiles, which is associated with altered capacity to direct Th cell differentiation.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Dendritic cells (DC)3 are the most potent APCs known to date, and their interaction with T cells is a key event in the early stages of a primary immune response. DC express high levels of MHC molecules and costimulatory molecules, such as CD40, CD80, and CD86, and they also produce high levels of cytokines, including IL-6, IL-8, IL-10, and IL-12 (1, 2). Moreover, the chemokines secreted by maturing DC efficiently attract Ag-specific T cells in vivo (3). These properties, combined with the efficient capture of Ags by immature DC, allow DC to efficiently present antigenic peptides and costimulate Ag-specific naive T cells (1, 2).

The interaction of T cells with APC plays an important role in directing Th cell differentiation. Several molecules, including membrane-bound costimulatory molecules, cytokines, and the MHC-peptide complex, have been implicated in determining the phenotype of differentiated T cells. The duration and intensity of TCR engagement are crucial in triggering T cell responses (4, 5), but the cytokine environment plays the most important role in determining the resulting cytokine production profile and effector function of the differentiated Th cells (6, 7). IL-12 directs Th1 differentiation in both human and murine systems (8, 9, 10), whereas IL-4 mediates Th2 cell differentiation (11, 12, 13). Moreover, TGF-ß favors differentiation of Th3 cells (14), and IL-10 was recently shown to skew T cell responses toward T regulatory cells that produce high levels of IL-10 and inhibit Ag-specific T cell responses (15, 16).

DC are known for their capacity to produce high levels of IL-12 upon activation (17, 18), whereas IL-4 production is undetectable. Therefore, the mechanisms that regulate the initial steps in Th2 cell differentiation have remained controversial. NK1.1+ T cells have been shown to produce high levels of IL-4 following activation, which was also essential for the induction of a Th2 response and IgE isotype switching in vivo (19). However, IL-12 induces IFN-{gamma} production even by highly polarized Th2 cells (20), and T cell precursors have the capacity to develop into either Th1 or Th2 cells under the appropriate conditions (21, 22). Therefore, it appears that induction of Th2 responses requires a relative absence of IL-12 during Ag presentation, further indicating that the cytokine synthesis profile of the APC plays an important role in determining the phenotype of the Th cells. Rissoan et al. recently demonstrated that plasmacytoid cell-derived DC produce low levels of IL-12 and direct Th2 differentiation, whereas monocyte-derived DC produce high levels of IL-12 and skew T cell differentiation toward Th1 (23). However, because these DC subsets were derived from different cell populations, it remained to be determined whether the same precursor has the potential to differentiate into DC with different cytokine production profiles (23, 24).

We have studied the differentiation of peripheral blood (PB) monocytes into DC and the culture conditions that favor development of DC with different cytokine production profiles. We have identified a subset of monocyte-derived DC that lacks IL-12 production upon activation and has an unusual phenotype in that they are CD1a-, while expressing high levels of other DC-associated Ags. Importantly, the altered cytokine production profile of mDC2 was associated with their ability to induce Th0/Th2 cell differentiation, indicating that monocyte-derived DC are a heterogenous population of cells that vary in terms of their capacity to direct Th cell differentiation.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Reagents and cell culture media

Purified recombinant human IL-4, IL-10, IFN-{gamma}, M-CSF, and TNF-{alpha} were obtained from R&D Systems (Minneapolis, MN), and GM-CSF was purchased from Schering-Plough (County Cork, Ireland). FITC- or PE-conjugated mAbs specific for CD1a, CD3, CD11b, CD11c, CD13, CD14, CD16, CD19, CD23, CD28, CD33, CD40, CD54, CD56, CD64, CD80, CD86, HLA-DR, and HLA-ABC were purchased from PharMingen (San Diego, CA), and PE-conjugated anti-CD83 mAb was obtained from Coulter (Miami, FL). RPMI 1640 and IMDM were obtained from Life Technologies (Rockville, MD). Yssel’s medium was IMDM enriched with human transferrin (20 µg/ml; Boehringer Mannheim, Mannheim, Germany), insulin (5 µg/ml; Sigma, St. Louis, MO), linoleic acid (2 µg/ml; Sigma), oleic acid (2 µg/ml; Sigma), palmitic acid (2 µg/ml; Sigma), BSA (0.25% (w/v), Sigma), and 2-amino ethanol (1.8 µg/ml; Sigma), as described by Yssel et al. (25). All media were also supplemented with 10% FBS (HyClone, Logan, UT), 2 mM glutamine, 50 U/ml penicillin, and 100 µg/ml streptomycin. Histopaque was from Sigma, and immunomagnetic beads coated with anti-mouse Abs (Dynabeads M-450) were purchased from Dynal (Oslo, Norway).

Cell preparations and culture conditions

PB was obtained from healthy blood donors as standard buffy coat preparations collected at Stanford Medical School Blood Center (Palo Alto, CA). PBMC were isolated by a Histopaque density-gradient centrifugation and washed twice with PBS at +4°C. Monocytes were purified by negatively depleting T, B, and NK cells using mouse Ab-reactive immunomagnetic beads (Dynal). Anti-CD3-, -CD16-, -CD19-, and -CD56-labeled PBMCs were incubated with the beads for 30 min at +4°C with gentle rotation, and positive cells were removed by a Dynal magnet. After washing in PBS containing 2% FBS, purified monocytes were collected and counted. Allogeneic T cells were isolated by negative selection by depleting CD19-, CD14-, CD16-, and CD56-expressing cells from PBMC using magnetic beads. Purified T cells were cryopreserved and thawed to be used in coculture experiments. To generate DC, purified monocytes (1 x 106/ml) were cultured in 12-well culture plates (Costar, Cambridge, MA) in a final volume of 1.5 ml. Recombinant human IL-4 (400 U/ml) and GM-CSF (800 U/ml) were added to the cultures, and half of the medium was replaced after every 2 days with fresh media containing IL-4 and GM-CSF at final concentrations of 400 and 800 U/ml, respectively. All cell cultures were performed at 37°C in humidified atmosphere containing 5% CO2 in RPMI, IMDM, or Yssel’s medium (25) supplemented with 10% FBS, 2 mM glutamine, 50 U/ml penicillin, and 100 µg/ml streptomycin. When indicated in the text, anti-human CD40 mAb (10 µg/ml) or TNF-{alpha} (100 ng/ml) was added on day 5, and/or LPS (1 ng/ml; Sigma) plus IFN-{gamma} (10 ng/ml) were added on day 6. After 7 days of culture, DC were harvested and used in the experiments.

Flow cytometry

Cells were washed twice with PBS supplemented with 2% FCS containing 0.01% sodium azide. FITC- and PE-conjugated mAbs were added at saturating concentrations for 30 min at 4°C, and two additional washes were performed. FITC- or PE-conjugated mAbs specific for CD1a, CD14, CD40, CD80, CD86, HLA-DR, HLA-A,B,C, CD11b, CD11c, CD13, CD33, CD23, CD54, CD64, and CD83 were used to label the cells. Goat anti-mouse Abs (FITC or PE conjugated) with no known reactivity to human Ags were used as negative controls. Cell surface Ag expression was evaluated by single or double immunofluorescence staining, and analysis was performed using a FACScalibur flow cytometer and CellQuest software (Becton Dickinson, San Jose, CA).

Analysis of cytokine levels in the culture supernatants

Supernatants of DC and T cell cultures were stored at -80°C until they were analyzed for the presence of cytokines. Cytokine levels were determined using cytokine-specific ELISAs. IL-2, IL-4, IL-5, IL-6, IL-8, IL-10, IL-13, and IFN-{gamma} levels were determined using commercially available kits (R&D Systems). IL-12 levels were measured using ELISA based on paired IL-12 (p70)-specific Abs (MAB611, BAF219), and the assays were performed according to the manufacturer’s instructions (R&D Systems).

Allogeneic MLR

MLR was performed using irradiated DC and allogeneic T cells, purified as described above. DC were irradiated (1000 rad) and cultured with allogeneic T cells (1 x 105/well) in 96-well U-bottom microtiter plates (Costar) at ratios ranging between 1:10 and 1:1250. [3H]Thymidine (1 µCi/well; Amersham, Piscataway, NJ) was added for the last 16 h of the cultures, and the cells were harvested onto filter paper by a cell harvester (Tomtec, Hamden, CT). [3H]Thymidine incorporation was measured using a scintillation counter (MicroBeta, Wallac, Finland).

T cell differentiation assays

Autologous T cells (1 x 106/well) were cocultured with either mDC1 or mDC2 (1 x 105/well) generated as described above in 24-well culture plates (Costar) for 5 days in Yssel’s medium. T cells were harvested and stimulated with 1 µg/ml of anti-CD3 and 10 µg/ml of anti-CD28 for 24 h. The supernatants were harvested and the concentrations of cytokines were measured by cytokine-specific ELISAs, as described above.

Transfection of DC

mDC1 and mDC2 cells were transfected after 7 days of culture by electroporation (Gene Pulser; Bio-Rad, Hercules, CA). Cells were harvested, washed once, and resuspended in serum-free, antibiotic-free medium (RPMI) at a final concentration of 10 x 106 cells/ml. A total of 5 x 106 DC was mixed with 20 µg of plasmid DNA-encoding green fluorescent protein (GFP) driven by the CMV immediate-early gene promoter/enhancer (pEGFP-Cl; Clontech, Palo Alto, CA) in a 0.4-cm electroporation cuvette. A promoterless vector pEGFP-1 was used as negative control (Clontech). Alternatively, the cells were transfected with a vector encoding luciferase (pGL3-Control; Promega, Madison, WI) or with a promoterless pGL3-Basic (Promega) as a negative control. The cells were subsequently incubated at room temperature for 1 min and then subjected to an electric shock of 250 V and 1050 µF capacitance. The transfected cells were immediately transferred into 3 ml of complete DC culture medium and incubated in 6-well culture plates (Costar) for 24 h. Alternatively, the cells were transfected using cationic liposomes Lipofectin (Life Technologies), Superfect (Qiagen, Valencia, CA), N-[1-(2,3-dioleoyloxy)propyl]-N,N,N-trimethylammonium methylsulfate (DOTAP; Boehringer Mannheim), and 1,3-di-oleoyloxy-2-(6-carboxy-spermyl)propyl-amid (DOSPER; Boehringer Mannheim), using protocols described previously by Alijagic et al., Manickan et al., and Kronenwett et al. (26, 27, 28). The transfection efficiency was evaluated by analyzing GFP expression using a FACScalibur flow cytometer (Becton Dickinson).

Statistical analysis

Statistical analysis was performed using the Student’s t test (two-tailed). Values of p < 0.05 were considered significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Effects of cytokines and growth factors on cytokine production profiles of DC differentiated in the presence of IL-4 and GM-CSF

DC were differentiated from PB monocytes in the presence of IL-4 and GM-CSF, as described by Sallusto et al. (29), and a variety of cytokines and growth factors was studied to identify conditions that favor the differentiation of DC with altered cytokine production profiles. Conventional DC generated in the presence of IL-4 and GM-CSF in RPMI medium produced high levels of IL-12, which is in line with previous studies (17, 18, 23). Both IL-6 and IL-10 inhibited IL-12 production by DC. However, the cells cultured in the presence of IL-6 or IL-10 remained CD14+, indicating that these cytokines also prevented DC differentiation (data not shown). In contrast, when PB monocytes were cultured in the presence of IL-4 and GM-CSF in IMDM supplemented with insulin, transferrin, linoleic acid, oleic acid, and palmitic acid, also known as Yssel’s medium (25), monocytes differentiated into CD14- DC, yet virtually completely lacked IL-12 production upon activation by LPS and IFN-{gamma}. IL-12 production by these cells was absent (in 9 of 11 experiments) or minimal also when cultured in the presence of cross-linked anti-CD40 mAbs (10 µg/ml) and subsequently activated with LPS and IFN-{gamma} (Fig. 1Go). Generation of DC in the presence of IL-4 and GM-CSF in plain IMDM resulted in an intermediate phenotype of CD14- DC with reduced, but detectable, IL-12 production (Fig. 1Go).



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FIGURE 1. IL-12 production by DC generated under different culture conditions. PB monocytes were cultured in the presence of IL-4 (400 U/ml) and GM-CSF (800 U/ml) in either RPMI (n = 15), IMDM (n = 4), or Yssel’s medium (YM; n = 14). In some cultures, as indicated in the figure, IL-6 (100 U/ml) (n = 3) or IL-10 (100 U/ml) (n = 4) was added at the onset of the cultures, or anti-CD40 mAbs (10 µg/ml) were included on day 5 (n = 11). After a culture period of 6 days, the cells were activated with LPS (1 ng/ml) plus IFN-{gamma} (10 ng/ml), and cultured for an additional 24 h. The supernatants were harvested, and the levels of IL-12 in the supernatants were measured by ELISA. The results are expressed as mean ± SEM.

 
Phenotypic characterization of DC producing high or low levels of IL-12

To analyze whether the lack of IL-12 production by DC cultured in the presence of Yssel’s medium was associated with altered expression of cell surface Ags, phenotypic characterization of the cells was performed by flow cytometry. Monocytes that were differentiated in Yssel’s medium had typical appearance of DC and expressed markers characteristic of DC, such as CD11c, CD40, CD80, CD86, and MHC class II (Fig. 2Go). No significant difference in the mean fluorescence intensity of these Ags was observed when DC differentiated in the presence of RPMI were compared with those differentiatied in Yssel’s medium (Fig. 2Go). In addition, no differences in the expression levels of CD13, CD16, CD23, CD32, CD33, CD54, CD64, and MHC class I molecules between these DC populations were observed, and both subsets also expressed CD47 (data not shown). As expected, the DC differentiated either in the presence of Yssel’s medium or RPMI strongly down-regulated expression of CD14 as an indication of differentiation into DC (Fig. 2Go). As a control, monocytes differentiated in the presence of M-CSF in either medium differentiated into macrophages expressing high levels of CD14 with macroscopic appearance of macrophages (data not shown). Interestingly, in contrast to DC cultured in the presence of RPMI, DC differentiated in the presence of Yssel’s medium expressed minimal or no CD1a (Fig. 2Go). This finding was consistently observed in 12 separate experiments, suggesting that IL-12 and CD1a expression may be regulated by similar mechanisms. Because of the differences in IL-12 production and CD1a expression between these two DC subsets and for the clarity of the presentation, the conventional monocyte-derived CD1a+ DC were designated mDC1, whereas the CD1a- DC subset lacking IL-12 production was designated mDC2.



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FIGURE 2. Phenotypic characterization of DC generated in the presence of RPMI or Yssel’s medium. Freshly isolated monocytes (A), or DC differentiated in the presence of IL-4 (400 U/ml) and GM-CSF (800 U/ml) in Yssel’s medium (B) or RPMI (C) were harvested and stained with mAbs indicated in the figure. The expression levels of the corresponding Ags were analyzed using a FACScalibur flow cytometer.

 
mDC2 lack IL-12 production, but produce increased levels of IL-10

To further study the cytokine synthesis profile of mDC2, and to exclude the possibility that their low IL-12 production related to generally poor response of the cells to activation, we studied the capacity of mDC2 to produce other cytokines, namely IL-6, IL-8, and IL-10. The cells were activated with LPS plus IFN-{gamma} for 24 h, supernatants were collected, and cytokine levels were studied by ELISA. As shown in Fig. 3Go, mDC1 and mDC2 produced comparable levels of IL-6 and IL-8, whereas IL-12 production was consistently absent in cultures of mDC2. Interestingly, mDC2 produced significantly higher levels of IL-10 than mDC1 (Fig. 3Go), further supporting the conclusion that mDC1 and mDC2 are functionally separate DC subsets. IL-10 was not the underlying mechanism inducing differentiation of mDC2, because DC cultured in the presence of exogenous IL-10 (100 U/ml) remained CD14+ (data not shown), which is consistent with a previous study indicating that IL-10 promotes differentiation of PB monocytes into macrophages (30).



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FIGURE 3. Cytokine production profiles of mDC1 and mDC2. DC were generated in the presence of IL-4 (400 U/ml) and GM-CSF (800 U/ml) in either RPMI (mDC1) or Yssel’s medium (mDC2). DC were harvested after a culture period of 6 days; the cells were cultured for an additional 24 h in the presence of LPS (1 ng/ml) plus IFN-{gamma} (10 ng/ml). The supernatants were harvested and the levels of A, IL-6 (n = 6); B, IL-8 (n = 8); C, IL-10 (n = 5); and D, IL-12 (n = 15) were measured by cytokine-specific ELISA. DC subsets from the same donors were analyzed in parallel, and the results are expressed as mean ± SEM.

 
Each of the components of Yssel’s medium, namely insulin, transferrin, linoleic acid, oleic acid, and palmitic acid, has been shown to affect the function of lymphoid cells in vitro and/or in vivo (31, 32, 33, 34, 35). To further characterize the culture conditions that favor mDC2 differentiation, we added individual components of Yssel’s medium to RPMI, and analyzed IL-12 production and CD1a expression. In addition, because IMDM differs from RPMI in that it contains higher concentrations of glucose, and because glucose has been shown to enhance cytokine production by monocytes (36), we also studied the effect of glucose on differentiation of DC. Addition of glucose at concentrations 4.5 and 9 mg/ml did not significantly inhibit (n = 2) IL-12 production by DC generated in RPMI, whereas a combination of linoleic acid, oleic acid, and palmitic acid inhibited, but never completely blocked, CD1a expression on mDC1 (data not shown). Nevertheless, no single component of Yssel’s medium was able to fully substitute the effect of the complete medium in inducing differentiation of mDC2 (data not shown). Moreover, if the cultures were initiated with RPMI, and Yssel’s medium was added 24 h after the onset of the cultures, the cells differentiated into mDC1 producing high levels of IL-12 upon activation (data not shown), suggesting that the first 24 h are critical in determining DC differentiation. These data suggest that DC differentiation into subsets with different cytokine production profiles is dependent on a delicate balance of growth factors that are present during the initial stages of DC differentiation.

mDC2 can be matured into CD83+ cells, but have different signal requirements and remain CD1a- upon maturation

Several activation signals, such as anti-CD40 mAbs, CD40 ligand (CD154), TNF-{alpha}, or a combination of LPS and IFN-{gamma}, have been shown to induce maturation of conventional monocyte-derived DC, which is associated with induction of CD83 expression and improved capacity to stimulate MLR (37). To study the signal requirements for mDC2 to mature into CD83+ cells, we cultured these cells in the presence of anti-CD40 mAbs, LPS plus IFN-{gamma}, or anti-CD40 mAbs, followed by LPS plus IFN-{gamma}. When mDC2 were pretreated with anti-CD40 mAbs for 24 h before the addition of LPS plus IFN-{gamma}, the majority of the mDC2 differentiated into CD83+ cells. Importantly, mDC2 remained CD1a- even upon maturation to CD83+ cells (Fig. 4Go). Further phenotypic analysis of DC cultured in the presence of LPS plus IFN-{gamma} after pretreatment with anti-CD40 mAbs also indicated that mDC1 and mDC2 expressed comparable levels of CD40, CD80, CD86, and MHC class II, while they were CD14- (data not shown), as was also demonstrated for mDC1 and mDC2 cultured in the absence of anti-CD40 mAbs, LPS, and IFN-{gamma} (Fig. 2Go). Interestingly, in contrast to mDC1, mDC2 did not mature into CD83+ DC in the presence of LPS plus IFN-{gamma} (Fig. 4Go), suggesting that the signaling requirements for maturation differ between these two DC subsets. These results indicate that mDC2 can be matured into CD83+ cells, but signal requirements of mDC2 for maturation differ from those of mDC1, further indicating that the two DC subsets are phenotypically and functionally distinct.



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FIGURE 4. Maturation of mDC1 and mDC2 into CD83+ DC. MDC1 (A) and mDC2 (B) were generated as described above and cultured for a total of 7 days. No additional stimuli were added to the control cultures, indicated as (-). LPS (1 ng/ml) plus IFN-{gamma} (10 ng/ml), indicated as LPS+IFN-{gamma} in the figure, was added to parallel cultures on day 6 and the cells were harvested on day 7. Another set of the cells was activated with anti-CD40 mAbs (10 µg/ml) on day 5, and the cells were again harvested on day 7, indicated as {alpha}CD40. Alternatively, the cells were activated with anti-CD40 mAbs on day 5, and LPS plus IFN-{gamma} was added on day 6 for an additional 24 h, indicated as {alpha}CD40/LPS+IFN-{gamma}. The harvested cells were washed and labeled with anti-CD1a FITC and anti-CD83 PE, as indicated in the figure. The cells were analyzed by FACScalibur flow cytometer and CellQuest software. A representative experiment is shown. Similar data were obtained in five other independent experiments.

 
The cytokine production profiles of mature mDC1 and mDC2 were essentially the same as those of the corresponding CD83- subsets. Supernatants of mature mDC1 contained 2897 ± 937 pg/ml IL-12 (mean ± SEM), whereas those of mDC2 derived from the same donors contained 125 ± 93 pg/ml IL-12 (n = 10). In addition, IL-10 production was undetectable in cultures of mature mDC1, whereas 215 ± 23 pg/ml (mean + SEM) of IL-10 was observed in the supernatants of CD83+ mDC2 (n = 4). No significant difference in the levels of IL-6 (n = 5) and IL-8 (n = 7) in these supernatants was observed (data not shown). Thus, the cytokine production profiles of mDC1 and mDC2 remain stable upon maturation.

mDC2 act as potent APCs

Because CD1a may play a role in presentation of Ags at least to CD1-restricted T cells (38), and because the altered cytokine production profile was expected to influence the effector function of the DC, we studied the efficacy of the two DC subsets to induce allogeneic MLR. Both mDC1 and mDC2 induced potent proliferation of allogeneic T cells (Fig. 5Go). The responses were generally higher when mature CD83+ DC were used as stimulator cells, which is consistent with previous studies indicating that the APC function of DC is up-regulated upon maturation (37). No significant difference in the capacity of mDC1 and mDC2 to induce MLR was observed, irrespective whether the cells expressed CD83 (Fig. 5Go), indicating that both mDC1 and mDC2 can act as potent APCs.



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FIGURE 5. MLR induced by A, immature and B, mature mDC1 and mDC2. mDC1 ({blacksquare}) and mDC2 ({circ}) were generated by culturing PB monocytes in the presence of IL-4 (400 U/ml) and GM-CSF (800 U/ml) in either RPMI (mDC1) or Yssel’s medium (mDC2) for a total of 7 days. To generate immature DC (A), no additional stimuli were added, whereas anti-CD40 mAbs (10 µg/ml) were added on day 5, and LPS (1 ng/ml) plus IFN-{gamma} (10 ng/ml) were added on day 6 to generate mature DC (B). DC were irradiated (1000 rad) and cultured with allogeneic purified T cells (1 x 105/well) at ratios ranging between 1:10 and 1:1250 (DC:T cells) for 5 days. [3H]Thymidine (1 µCi/well) was added for the last 16 h of the cultures, the cells were harvested, and the [3H]thymidine incorporation was measured by a scintillation counter. The data represent mean ± SEM of four separate experiments, each performed in triplicate.

 
mDC1 direct Th1 differentiation, whereas mDC2 support Th0/Th2 differentiation

Because of the different cytokine production profiles by mDC1 and mDC2, we speculated that the two subsets would also differ in their capacity to support Th cell differentiation. Activated DC were cultured in the presence of human PB CD4+ T cells for 5 days and the T cells were subsequently activated with anti-CD3 plus anti-CD28 mAbs to analyze the cytokine production profiles. As shown in Fig. 6Go, mDC1 skewed Th cell differentiation toward Th1 cells producing high levels of IFN-{gamma}, which is in line with previous studies (6). In contrast, T cells cultured in the presence of mDC2 produced significantly less IFN-{gamma}, and the ratio of IFN-{gamma}/IL-5 and IFN-{gamma}/IL-13 was consistently higher in cultures activated with mDC1. IL-4 production was always undetectable in cultures with mDC1, and the levels were generally low also in cultures of mDC2. However, up to 111 pg/ml of IL-4 was detected in one experiment when T cells were cocultured with mDC2, supporting the notion that mDC2 favor Th0/Th2 differentiation. These data indicate that mDC1 and mDC2 direct the differentiation of Th subsets with different cytokine production profiles.



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FIGURE 6. Th cell differentiation in the presence of mDC1 and mDC2. mDC1 and mDC2 were harvested on day 7, washed, and cocultured (1 x 105/well) with purified autologous T cells (1 x 106/well) in 24-well plates in Yssel’s medium. After 5 days of additional culture, T cells were harvested and stimulated with anti-CD3 (1 µg/ml) and anti-CD28 (10 µg/ml) mAbs for 24 h. The supernatants were harvested, and the concentrations of cytokines were measured by cytokine-specific ELISAs in three (IL-5) or four (IFN-{gamma} and IL-13) independent experiments. The results are expressed as mean ± SEM.

 
Transfection efficiencies of mDC1 and mDC2

Because ex vivo transfection of DC followed by in vivo transfer of these cells has become an attractive approach in several pharmaceutical applications and immunization protocols (39, 40), we addressed the question of whether mDC2 can support transgene expression following transfection with conventional expression vectors. A vector-encoding GFP driven by the CMV promoter was transfected into mDC1 and mDC2 by electroporation, and the level of GFP expression was studied by flow cytometry. The transfection efficiency of mDC1 was minimal or absent, ranging between 0.2% and 0.5% in four separate experiments (mean ± SD: 0.31 ± 0.17%). However, transfection of mDC2 with the same expression vector under similar conditions in parallel experiments resulted in significantly higher frequencies of transfected cells, ranging between 1.3% and 6.9% (mean ± SD: 3.5 ± 2.4%) (Fig. 7Go). The difference in the transfection efficiency between mDC1 and mDC2 is statistically significant (p < 0.05). In addition, luciferase expression could not be detected in mDC1 after transfection of a vector encoding the luciferase gene, whereas measurable activity was detected after transfection of the same vector into mDC2 (data not shown). Other transfection methods, such as Lipofectin, Superfect, DOTAP, or DOSPER, did not improve the transfection efficiency of either mDC1 or mDC2 (data not shown). These data indicate that mDC2 are more amenable to transfection than mDC1 and, therefore, may be useful in applications involving ex vivo transfections of DC.



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FIGURE 7. Susceptibility of mDC1 and mDC2 to transfection by naked DNA vectors. mDC1 and mDC2 cells were transfected after 7 days of culture by electroporation. A total of 5 x 106 DC was mixed with 20 µg of plasmid DNA encoding GFP driven by the CMV immediate-early gene promoter/enhancer, or a control vector with no promoter. The cells were subsequently subjected to an electric shock (250 V and 1050 µF capacitance), and incubated in six-well culture plates for 24 h. GFP expression was analyzed by a FACScalibur flow cytometer and CellQuest software. A representative of four experiments is shown.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We describe the generation and characterization of a phenotypically and functionally novel monocyte-derived DC subset, designated mDC2, that lacks IL-12 production, secretes increased levels of IL-10, and directs differentiation of Th cells toward the Th0/Th2 phenotype. These cells were generated in the presence of IL-4, GM-CSF, and IMDM supplemented with insulin, transferrin, linoleic acid, oleic acid, and palmitic acid, a medium also known as Yssel’s medium (25). mDC2 cells completely lack IL-12 production when activated with LPS plus IFN-{gamma} or anti-CD40 mAbs, LPS plus IFN-{gamma}, whereas mDC1 cells produce high levels of IL-12 when activated under identical culture conditions. The reduced IL-12 production by mDC2 cells was associated with their improved capacity to direct Th0/Th2 cell differentiation. These data indicate that the PB monocytes have the capacity to differentiate into subsets with different cytokine production profiles, which, in turn, affects their capacity to support Th cell differentiation.

The mechanisms initiating Th2 cell differentiation have remained targets of intense investigation, because professional APCs, such as DC, are known to produce large quantities of IL-12, the most potent cytokine directing Th1 responses. The underlying mechanisms mediating Th2 differentiation are of major importance also because Th2 cytokines IL-4 and IL-13 dominate in certain disease situations, such as allergy resulting in increased IgE production (41, 42). IL-4 is well known to efficiently direct Th2 responses, but no IL-4 production has been demonstrated by professional APCs. NK1.1+ cells, a numerically minor T cell subset, have been shown to secrete very high levels of IL-4 and are likely to contribute to the initiation of Th2 responses (19). However, they are unlikely to be the only explanation, because APC typically secrete high levels of IL-12. It was recently shown that plasmacytoid cell-derived DC produce low levels of IL-12 and direct Th2 differentiation, whereas monocyte-derived DC produce high levels of IL-12 and skew the T cell differentiation toward Th1 (23), indicating that APCs do differ in their capacity to produce cytokines. Importantly, however, two different cell populations were used as the starting material to generate these subsets, and it remained unclear whether one population has the capacity to differentiate into DC subsets with different cytokine production profiles and capacities to mediate Th cell differentiation (23, 24). The present results indicate that PB monocytes can differentiate into at least two different subsets that differ from each other in cytokine synthesis profile, surface marker expression, and capacity to direct Th differentiation.

mDC2 could be induced to mature into CD83+ cells by anti-CD40 mAbs, followed by activation with LPS plus IFN-{gamma}, and the capacity of mDC2 to induce MLR was similar to that of mDC1, suggesting similarities in the APC functions of the two cell populations. However, in contrast to mDC1, mDC2 did not mature into CD83+ DC in the presence of LPS plus IFN-{gamma}, indicating that the signaling requirements for maturation between these two DC subsets are not identical. In addition, because CD1 molecules can act as efficient lipid Ag-presenting molecules (43, 44), the result indicating that mDC2 remain CD1a- upon maturation further supports the notion that the two DC subsets are phenotypically and functionally distinct. The exact mechanisms that direct differentiation of mDC2 require further studies, but it appears that DC differentiation is dependent on a delicate balance of growth factors present in the microenvironment of the cells. PGE2 has been previously shown to inhibit IL-12 production by monocytes cultured in the presence of IL-4 and GM-CSF, which was associated with increased capacity of these cells to direct Th2 differentiation (45). However, APC cultured in the presence of PGE2 retain characteristics of monocytes/macrophages, including expression of CD14 (45). In addition, PGE2 supports maturation of CD1a+ DC (46), whereas mDC2 remain CD1a- upon maturation to CD83+ cells, further indicating that mDC2 are distinct from DC cultured in the presence of PGE2. Yssel’s medium, which provided the necessary signals to support mDC2 differentiation, is based on IMDM and additionally contains insulin, transferrin, linoleic acid, oleic acid, and palmitic acid, all of which have been shown to affect the function of lymphoid cells in vitro and/or in vivo (31, 32, 33, 34, 35). IMDM also contains higher levels of glucose and several vitamins than RPMI, and glucose has previously been shown to enhance IL-6 and TNF-{alpha} production by monocytes (36). However, no single component of Yssel’s medium was able to support mDC2 differentiation when added to RPMI, suggesting synergistic effects by the components of Yssel’s medium in inducing mDC2 differentiation. Further studies are required to identify the relative contribution of each component and to investigate whether analogous conditions are present in vivo, for example, at the sites of inflammation. Nevertheless, these data support the conclusion that mDC2 differentiation is dependent on a delicate balance of multiple growth factors present in the microenvironment of the cells.

mDC2 produced increased levels of IL-10 as compared with mDC1 following activation with LPS plus IFN-{gamma}, suggesting that endogenously produced IL-10 may play a role in regulating the function of mDC2. rIL-10 also inhibited IL-12 production by DC, which is consistent with previous studies indicating that IL-10 prevents cytokine synthesis and the accessory cell function of monocytes and DC (18, 47, 48). However, when rIL-10 was added to DC cultured in the presence of RPMI, the cells also remained CD14+, strongly suggesting that IL-10 is not the underlying mechanism mediating mDC2 differentiation. Nevertheless, these data support the conclusion that the synthesis of IL-10 and IL-12 by DC is independently regulated, which is in line with recent studies demonstrating that CD47 ligation on DC selectively inhibits IL-12 production (49, 50). Whether differential signaling through CD47 may partially account for the differential IL-12 production by mDC1 and mDC2 remains to be studied. Similar to IL-10, IL-6 inhibited IL-12 production by DC activated with LPS plus IFN-{gamma}. Again, however, IL-6 also prevented DC differentiation, as determined by the expression of CD14 on the cultured cells, which is consistent with a previous study demonstrating that IL-6 inhibits the capacity of BM-derived CD34+ cells to differentiate into DC (51). Because IL-10 has potent immunomodulatory properties, including induction of anergy and tolerance in T cells and induction of B cell proliferation and differentiation (15, 52, 53), the fact that mDC2 produced significantly increased levels of IL-10 as compared with mDC1 further indicates that mDC2 are functionally distinct from mDC1.

Genetic vaccinations are a very promising new approach for vaccine research and development. Direct transfection of DC in vivo has been shown to be essential for the induction of immune response after genetic vaccinations (54). In addition, ex vivo transfection of DC is a promising approach in therapeutic applications (39), and DC loaded with the relevant Ag have been shown to induce protective immune responses in several animal models of infectious and malignant diseases (55, 56). DC pulsed or transfected ex vivo with the desired Ags are currently undergoing investigation in clinical trials as a means to induce pathogen- or tumor-specific immune responses (57, 58). Until now, the low transfection efficiencies of DC have reduced the efficacy of gene transfer approaches using plasmid DNA. However, plasmid DNA vectors provide several advantages over alternate vector technologies, such as excellent stability and ease of manufacturing and quality control (39). mDC2 are a promising target for DC therapies, because the transfection efficiency of these cells is significantly higher than that of mDC1. The transfection efficiency of mDC2, which in this study was an average 3.5%, exceeds that of conventional DC transfected with the gene gun (59). Transfection efficiencies of only 0.1% to 2.2% were obtained in murine DC lines transfected with the gene gun (59), although the technology typically allows efficient transfection efficiencies due to direct delivery of DNA into the nucleus of the cells. The transfection efficiency obtained by viral vectors is typically significantly higher than that obtained by naked DNA vectors (60, 61, 62). However, the viral proteins expressed by adenovirus-infected DC also activate virus-specific CTLs, resulting in lysis of the transfected DC (63), which is likely to reduce the efficacy of viral vectors in therapeutic applications. Because of the potent APC function of DC, significant immune responses have been generated in vivo following transfer of DC transfected using either chemical methods or by gene gun, despite the low transfection efficiencies of the cells (26, 27, 59). Because of their superior transfection efficiency, we are currently using mDC2 to screen libraries of genetic vaccine vectors and immunomodulatory molecules generated by molecular breeding, also called DNA shuffling (64, 65), to identify variants that are optimized for DC. In addition, improved transfection efficiency of mDC2 as compared with conventional mDC1 makes them an attractive means to generate DC-based vaccines, particularly in applications when Th0/Th2 responses are desired.

In summary, we describe a phenotypically and functionally novel monocyte-derived DC subset, mDC2, that skews Th responses toward a Th0/Th2 phenotype. Due to the superior transfection efficiency of mDC2 as compared with mDC1, usage of these cells is an attractive approach to genetic vaccinations and therapies following ex vivo transfections. Because monocytes also differentiate into DC in vivo (66), and because of the unique characteristics of mDC2, lack of IL-12 production, and increased IL-10 synthesis in particular, differentiation of monocytes into DC subsets in vivo warrants further studies. Nevertheless, the present data indicate that monocytes have the potential to differentiate into subsets of DC with different cytokine production profiles, which is associated with altered capacity to direct Th cell differentiation.


    Footnotes
 
1 This study was supported by a grant from the Defense Advanced Research Projects Agency. Back

2 Address correspondence and reprint requests to Dr. Juha Punnonen, Maxygen, Inc., 515 Galveston Drive, Redwood City, CA 94063. Back

3 Abbreviations used in this paper: DC, dendritic cell; DOSPER, 1,3-dioleoyloxy-2-(6-carboxy-spermyl)propylamide; DOTAP, N-[1-(2,3-dioleoyloxy)propyl]-N,N,N-trimethylammonium methylsulfate; GFP, green fluorescent protein; PB, peripheral blood. Back

Received for publication March 9, 2000. Accepted for publication July 7, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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