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The Journal of Immunology, 2000, 165: 4174-4181.
Copyright © 2000 by The American Association of Immunologists

V{gamma}1+ T Cells Suppress and V{gamma}4+ T Cells Promote Susceptibility to Coxsackievirus B3-Induced Myocarditis in Mice1

Sally A. Huber2,*, Danielle Graveline*, M. Karen Newell{dagger}, Willi K. Born{ddagger} and Rebecca L. O’Brien{ddagger}

* Department of Pathology, University of Vermont, Burlington, VT 05446; {dagger} Department of Biology, University of Colorado, Colorado Springs, CO 80933; and {ddagger} National Jewish Medical and Research Center, Denver, CO 80206


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Coxsackievirus B3 infections of C57BL/6 mice, which express the MHC class II IA but not IE Ag, results in virus replication in the heart but minimal myocarditis. In contrast, Bl.Tg.E{alpha} mice, which are C57BL/6 mice transgenically induced to express IE Ag, develop significant myocarditis upon Coxsackievirus B3 infection. Despite this difference in inflammatory damage, cardiac virus titers are similar between C57BL/6 and Bl.Tg.E{alpha} mice. Removing {gamma}{delta} T cells from either strain by genetic manipulation ({gamma}{delta} knockout(ko)) changes the disease phenotype. C57BL/6 {gamma}{delta} ko mice show increased myocarditis. In contrast, Bl.Tg.E{alpha} {gamma}{delta} ko mice show decreased cardiac inflammation. Flow cytometry revealed a difference in the {gamma}{delta} cell subsets in the two strains, with V{gamma}1 dominating in C57BL/6 mice, and V{gamma}4 predominating Bl.Tg.E{alpha} mice. This suggests that these two V{gamma}-defined subsets might have different functions. To test this possibility, we used mAb injection to deplete each subset. Mice depleted of V{gamma}1 cells showed enhanced myocarditis, whereas those depleted of V{gamma}4 cells suppressed myocarditis. Adoptively transfusing enriched V{gamma}4+ cells to the C57BL/6 and Bl.Tg.E{alpha} {gamma}{delta} ko strains confirmed that the V{gamma}4 subset promoted myocarditis. Th subset analysis suggests that V{gamma}1+ cells biased the CD4+ T cells to a dominant Th2 cell response, whereas V{gamma}4+ cells biased CD4+ T cells toward a dominant Th1 cell response.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Myocarditis represents an inflammation of the heart muscle and usually follows microbial infections (1). Although the pathogenesis of myocardial injury may be complex, with both immune and microbial-induced damage occurring, substantial clinical and experimental evidence indicates that autoimmunity directed at heart Ags such as cardiac isoforms of myosin produces significant disease (2, 3, 4, 5). However, not all individuals infected with a specific pathogen will develop myocarditis. Clearly, the genetic composition of the host is important in determining disease susceptibility (6, 7). At least part of this genetic susceptibility is determined by the type of immune response generated by the host. Studies by Rose and his colleagues (8) demonstrated that exogenous administration of IL-1 and TNF-{alpha} to myocarditis-resistant mice infected with a myocarditic Coxsackievirus B3 (CVB3)3 variant restored disease susceptibility. This laboratory has demonstrated that myocarditis susceptibility additionally depends upon activation of T cells expressing the {gamma}{delta} TCR (9, 10, 11, 12).

T cells can be defined by the type of TCR they express. Most Ag-specific T cells have a TCR consisting of an {alpha}- and a ß-polypeptide chain. In the periphery, a small proportion of T cells express a receptor consisting of a {gamma} and a {delta} polypeptide chain. Although the role of {alpha}ß+ T cells in most immunological diseases is clear, the role for {gamma}{delta}+ T cells is usually more obscure. {gamma}{delta}+ T cells often accumulate at sites of inflammation, whether caused by viral (13, 14, 15), bacterial (16), or parasite (17, 18). In some cases, these responses are subdivided by variable (V) gene expression of the {gamma}- and {delta}-chains, such that there are distinct patterns of infiltration into inflammation sites depending upon the disease (17, 19, 20, 21, 22). This suggests that only specific {gamma}{delta}+ cell populations may participate in disease processes. How {gamma}{delta}+ cells participate in disease is also complex, as both beneficial and detrimental roles have been attributed to these cells in various experimental models (23, 24, 25, 26). Previously, we have demonstrated that different subpopulations of {gamma}{delta}+ T cells, based on their V{gamma}/V{delta} use, were activated in the resistant (C57BL/6) vs the susceptible (Bl.Tg.E{alpha}) mouse strain following infection with CVB3, with V{gamma}1 cells dominating in the former and V{gamma}4 cells dominating in the latter strain. In this paper, we show that the different {gamma}{delta}+ cell populations are selectively responsible for both disease resistance and susceptibility. Thus, cells expressing the V{gamma}1 gene suppress myocarditis, while cells expressing the V{gamma}4 gene promote disease. This is the first demonstration we could find that in the same disease model different {gamma}{delta}+ cell subpopulations had both beneficial and detrimental effects.


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

C57BL/6 and C57BL/6J-Tcrdtm1Mom (C57BL/6 {gamma}{delta} knockout (ko)) mice were purchased from The Jackson Laboratory (Bar Harbor, ME) as breeder pairs. Breeding pairs of transgenic C57BL/6 mice expressing the MHC class II E{alpha}k gene from A/J mice (IA+IE+; Bl.Tg.E{alpha} strain) were initially obtained from Dr. Chella David (Department of Immunology, Mayo Clinic, Rochester, MN). Characterization and description of these mice has been published previously (12, 27). Bl.Tg.E{alpha} mice lacking {gamma}{delta}+ T cells were produced by mating Bl.Tg.E{alpha} male to C57BL/6 {gamma}{delta} ko females, backcrossing the F1 progeny to the C57BL/6{delta} ko parental strain for seven generations, and screening for IEk+ progeny using cytometric analysis of PBLs. IEk+ male and female mice were inbred for a further six generations. All progeny are screened for IEk expression (Bl.Tg.E{alpha}{gamma}{delta} ko strain).

Virus, virus infection, and virus titration

Animals were infected by i.p. injection of 0.5 ml PBS containing 104 PFUs of CVB3 (H3 variant), derived from Cos cells transfected with the infectious cDNA of this virus (28). For virus titration, hearts were homogenized in 0.9 ml RPMI 1640 containing 100 U/ml penicillin, 100 µg/ml streptomycin, and 5% FBS. Cellular debris was removed by centrifugation at 1045 x g for 10 min. The supernatant was titered by the plaque-forming assay on HeLa cell monolayers as described previously (29).

Antibodies

Ab class control (isotype control) and Ag-specific Abs were obtained from PharMingen (San Diego, CA). These included the following: purified rat anti-mouse CD16/CD32 (Fc Block; clone 2.4G2); Cy-Chrome, FITC, and PE-rat IgG1 (clone R3-34); biotinylated and PE-rat anti-mouse IFN-{gamma} (clone XMG 1.2); biotinylated and PE-rat anti-mouse IL-4 (clone BVD4-1D11); Cy-Chrome-rat-anti-mouse CD4 (clone GK 1.5), purified mouse-anti-IAb (clone AF6-120.1); PE-mouse-anti-IEk (clone 14-4-4S); purified hamster anti-TCRß (clone H57-597); purified mouse anti-NK1.1 (clone PK136); FITC and PE-hamster IgG; FITC and PE-hamster-anti-{gamma}{delta} TCR (clone GL3); and purified mouse anti-hamster IgG (clones G70-204/G94-56) Abs. Additional purified FITC- and biotin-conjugated Abs to V{gamma}1 (clone 2.11) and V{gamma}4 (clone UC3) were prepared and tested in the laboratory of Dr. Rebecca O’Brien (National Jewish Medical and Research Center, Denver, CO). Cy-Chrome, FITC, and PE-conjugated streptavidin were purchased from PharMingen.

Isolation of lymphocyte populations

For isolation of {gamma}{delta}+ T cells, mice were euthanized by injecting 120 mg/kg sodium pentobarbital in PBS i.p. The spleens were removed, disrupted to produce single cell suspensions, and washed in RPMI 1640 medium containing 5% FBS and antibiotics. After removing tissue debris by sedimentation, the cells were centrifuged at 225 x g for 10 min at 5°C. The cell pellet was resuspended in medium, layered over Histopaque-1077 (Sigma, St. Louis, MO), and centrifuged at 1048 x g for 15 min, and the lymphoid cells at the interface were retrieved. After washing the cells in medium with 5% FBS, they were incubated for 30 min on nylon wool columns containing 0.5 g nylon wool (Polysciences, Warrington, PA) at 37°C. The nonadherent cells were retrieved by washing the column with 30x void volume of medium. The cells were resuspended in medium and counted by trypan blue exclusion. For every 106 lymphocytes in 100 µl medium with 5% FBS, 1 µl each of FcBlock, anti-{alpha}ß TCR, anti-IAb, and anti-NK1.1 were added to the cell suspension. The cells were incubated for 20 min at 4°C on a rocker platform, washed once, and resuspended in medium 1:100 dilution of mouse anti-hamster IgG for 20 min at 4°C. The cells were then washed once more and incubated with magnetic particles conjugated with anti-mouse IgG (PerSeptive Biosystems, Framingham, MA) for 30 min at 4°C. The cell suspension was passed twice over a magnet (PerSeptive Biosystems) to remove Ab-bound cells. This produced a cell population containing ~50% {gamma}{delta}+ T cells as determined by staining with PE-anti-{gamma}{delta} TCR Ab. To improve the purity of the cell population further, and isolate the specific V{gamma}4 subpopulation, the cells were stained with PE-anti-{gamma}{delta} TCR and biotinylated hamster anti-V{gamma}4 mAb for 20 min, washed, and incubated with FITC-streptavidin for 20 min at a 1:50 dilution. After washing, the cells were resuspended in PBS/2% BSA and sorted in a Coulter (Palo Alto, CA) Epics Elite flow cytometer into RPMI 1640 containing 20% FBS as described below. Flow diagrams of the initial (Fig. 1GoA), positively selected (Fig. 1GoB), and residual (Fig. 1GoC) populations are given for {gamma}{delta}+ cells stained for the V{gamma}4 receptor. For adoptive transfer, a total of 2.1 x 106 V{gamma}4+ cells were isolated from 35 pooled spleens (initial starting population after nylon wool of 6.9 x 108 lymphocytes).



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FIGURE 1. Sorting of the V{gamma}4+ cell population. Spleen cells from 35 Bl.Tg.E{alpha} mice infected 7 days earlier with CVB3 were pooled, nylon-wool purified, negatively selected using mAbs and magnetic particles for macrophage, B lymphocytes, NK cells, and {alpha}ß+ T cells, then positively selected for V{gamma}4+ cells by sorting. A, Original enriched {gamma}{delta}+ cell population after negative selection, stained with PE-anti-{gamma}{delta} TCR and biotinylated-anti-V{gamma}4/FITC-streptavidin. B, Positively selected PE-anti-{gamma}{delta} TCR+ and biotinylated-anti-V{gamma}4+/FITC-streptavidin cell population after sorting. C, Residual (negative) population after sorting. The numbers in the upper right corner of A indicate percent of cells in each quadrant. The number in the upper right corner of B and C indicate percent of cells for each graph in the circled area, postsort.

 
For preparation of splenocytes, spleens were removed, pressed through fine mesh screens, washed twice, and centrifuged on Histopaque.

For preparation of PBLs, blood was obtained by cardiac puncture at the time of euthanization, using a 26 gauge needle and a 1-cc syringe containing 50 µl of a 0.15% EDTA (Sigma) solution. The blood was diluted 1:10 with medium, layered on Histopaque, and centrifuged at 1048 x g for 15 min. The lymphoid cells at the interface were removed, washed once, and counted by trypan blue exclusion.

Flow cytometry

For cell surface marker staining, 1 x 105 lymphocytes were washed in PBS containing 1% BSA and 0.1% sodium azide (PBS-BSA) and resuspended in 0.1 ml PBS-BSA containing a 1:100 dilution of fluorochrome-labeled Ab and a 1:100 dilution of Fc-Block. After incubation for 30 min on ice, the cells were washed twice in PBS-BSA, and fixed in 2% formaldehyde for flow analysis.

For intracellular cytokine staining, a modification of the method of Picker et al.(30) was used to evaluate intracellular cytokines in splenocytes. Briefly, 1 x 106 spleen cells were cultured in medium containing 10 µg/ml brefeldin A, 50 ng/ml PMA, and 500 ng/ml ionomycin (Sigma) for 4 h at 37°C in 5% CO2. The cells were subsequently resuspended in medium containing 50 µg/ml rat polyclonal IgG (Zymed, San Francisco, CA) and brefeldin A, incubated for 10 min at 5°C, washed, and resuspended in medium containing Fc-Block (PharMingen) and either fluorochrome-labeled surface marker Abs or appropriate Ig isotype controls. After incubation on ice for 30 min, the cells were washed in PBS-BSA-brefeldin A, and fixed for 10 min in 2% paraformaldehyde. The cells were then washed once in PBS-BSA buffer, incubated for 10 min in PBS-BSA buffer containing 0.5% saponin, and stained for intracellular cytokines using either FITC-anti-IFN-{gamma} and PE-anti-IL-4. As an Ab class control for the intracellular staining, we used PE-rat IgG. All staining was performed in buffer containing Fc-Block and 50 µg/ml polyclonal rat IgG to block nonspecific Ab binding. After incubation for 30 min, the cells were washed twice in PBS-BSA-saponin and once in saponin-free PBS to close the membrane, then resuspended in PBS/azide containing 2% paraformaldehyde. Positive controls for cytokine staining were 2.5 x 105 of either MIC-1- (IFN-{gamma}) and MIC-2 (IL-4)-fixed cells obtained from PharMingen. Control cell populations were permeabilized and stained as described above.

Stained cell populations were analyzed using a Coulter Epics Elite instrument with a single excitation wavelength (488 nm) and band filters for PE (575 nm), FITC (525 nm), and Cy-Chrome (670 nm). Each sample population was classified for cell size (forward scatter) and complexity (side scatter), then gated on a population of interest. At least 10,000 cells were evaluated for each sample. Criteria for positive staining were established using isotype controls. Generally, the results were expressed as the percentage of gated cells which stained positively for each marker, or as the percentage of positive cells after gating using an additional marker, after subtracting the percent positive cells in the Ab class control. For example, the percentage of CD4+ cells in peripheral blood staining for IL-4 represents the following: (CD4+/IL-4+ cells)/(CD4+/IL-4- and CD4+/IL-4+ cells) x 100. In some cases (Fig. 3Go and Table IIGo), values may represent the percent of the total cell population staining for specific markers. Each study was repeated at least two times, and the data from a representative experiment are presented.



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FIGURE 3. Flow analysis of CD4+ T cells in peripheral blood for intracellular cytokine staining using CD4 (Cy-Chrome), FITC-anti-mouse IFN-{gamma}, and PE-conjugated anti-mouse IL-4. Isotype controls were identified by staining cells with Cy-Chrome anti-CD4 then intracellularly stained with FITC-conjugated and PE-conjugated rat IgGs. Diagrams give a representative analysis of an individual mouse from each group, and each group consisted of at least four mice. Groups included wild-type (C57BL/6; BL.Tg.E{alpha}) and {gamma}{delta} ko mice injected i.v. through the tail vein with either 400 µg anti-V{gamma}1 or anti-V{gamma}4 mAbs. Positive controls represent Mic1- (IFN-{gamma}+) and Mic2 (IL-4+)-fixed cells stained intracellularly with FITC-anti-IFN-{gamma} and PE-anti-IL4. The numbers in the upper right corner indicate the percent of cells in each quadrant.

 

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Table II. Ab-mediated depletion of V{gamma}1 and V{gamma}4 cells in vivo1

 
Histology

Hearts were removed, fixed in 10% buffered formalin, paraffin embedded, sectioned, and stained with von Kossa. Stained sections were used for image analysis in transmitted light mode with an Olympus (New Hyde Park, NY) BX50 compound light microscope (x4 objective lens; numerical aperture, 0.13). True color digital images (640 by 480 pixels) were captured with a Sony (Tokyo, Japan) DXC-960 MD/LLP video camera connected via an RS170 cable to a video frame grabber on a Sun SPARCstation 5 (Mountain View, CA). Image processing and analysis were accomplished with IMIX software (Princeton Gamma Tech, Princeton, NJ). Final percent cardiac injury was calculated by dividing the area of injury by the total area of the heart.

Statistics

Statistical evaluation was performed using the Wilcoxon ranked score method.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
{gamma}{delta}+ T cells modulate myocarditis susceptibility

C57BL/6, C57BL/6 {gamma}{delta} ko, Bl.Tg.E{alpha}, and Bl.Tg.E{alpha} {gamma}{delta} ko mice were infected with CVB3 and euthanized 7 days later. Hearts were evaluated for myocardial inflammation (Table IGo and Fig. 2Go) and cardiac virus titers (Table IGo). PBLs were evaluated for CD4+ cells, IL-4+, and IFN-{gamma}+ cells using intracellular cytokine staining and flow analysis. For this evaluation, PBLs were surface stained for CD4 (Cy-Chrome) and intracellularly stained for IFN-{gamma} (FITC) and IL-4 (PE). Fig. 3Go provides a flow diagram for one animal (highlighted in bold in Table IGo) from each group. In Fig. 3Go, the numbers in the upper right corner represent the total percent of all cells in each quadrant. Table IGo provides the individual animal values for myocarditis, cardiac virus titers, percent of CD4+ cells in the peripheral blood staining intracellularly for either IFN-{gamma} or IL-4, and the calculated ratio of CD4+ Th1/Th2 cells. As can be seen in Fig. 3Go, while CD4+ cells clearly stain for either IFN-{gamma} or IL-4, non-CD4+ cells are also cytokine positive in most animals. The identity of non-CD4+ cells staining for cytokine has not been determined.


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Table I. Comparison of wild-type and {gamma}{delta} ko strains for myocarditis1

 


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FIGURE 2. Myocarditis in C57BL/6, Bl.Tg.E-, and {gamma}{delta} ko ({gamma}{delta}ko) mice. C57BL/6 (IA+IE-) and Bl.Tg.E{alpha} (IA+IE+) mice and {gamma}{delta} ko mice on both C57BL/6 and Bl.Tg.E{alpha} strain backgrounds were infected with 104 PFU CVB3 and killed 7 days later. Hearts were removed, formalin fixed, paraffin embedded, sectioned, and stained with hematoxylin and eosin. C57BL/6 and Bl.Tg.E{alpha} mice were also treated with either 400 µg purified anti-V{gamma}1 or anti-V{gamma}4 Abs i.v. through the tail vein before infection. The arrows indicate areas of cardiac inflammation. Magnification, x40.

 
C57BL/6 mice are myocarditis resistant despite high levels of virus in the heart. As shown previously (12), Bl.Tg.E{alpha} mice, transgenic C57BL/6 mice that express MHC class II IE Ag, in contrast, are myocarditis susceptible with approximately six times more cardiac inflammation than wild-type animals. As can be seen in Table IGo, removing {gamma}{delta}+ T cells reversed this pattern (i.e., C57BL/6 {gamma}{delta} ko mice showed higher levels of myocarditis, whereas B1.Tg.E{alpha} {gamma}{delta} ko mice had lower levels). This suggests that {gamma}{delta}+ T cells are involved in both protection and promotion of cardiac inflammation. C57BL/6 {gamma}{delta} ko mice had fewer Th2 (CD4+/IL-4+) but more Th1 (CD4+/IFN-{gamma}+) cells than C57BL/6 mice (p < 0.05). In contrast, B1.Tg.E{alpha} {gamma}{delta} ko mice showed significantly more Th2 cells than B1.Tg.E{alpha} animals, but fewer Th1 cells. This suggests that {gamma}{delta}+ cells might be directly or indirectly modulating Th cell phenotype.

Evaluation of subpopulations of {gamma}{delta}+ T cells in myocarditis

Previous studies showed that V{gamma}1+ cells dominate among {gamma}{delta}+ T cells in the hearts of CVB3-infected C57BL/6 mice while V{gamma}4+ cells dominate in the hearts of infected Bl.Tg.E{alpha} animals. To evaluate whether V{gamma} populations might differentially affect myocarditis susceptibility, C57BL/6 and Bl.Tg.E{alpha} mice were depleted of each subset by injecting either 100, 200, or 400 µg anti-V{gamma}1 or anti-V{gamma}4 Abs i.v. through the tail vein. Three days later, the mice were injected i.p. with CVB3. Seven days after infection, mice were killed. PBLs were evaluated by intracellular cytokine staining for Th1 and Th2 cells (Table IIGo, Fig. 3Go). Splenocytes were evaluated first for the percentage of total splenocytes which are {gamma}{delta}+ and either V{gamma}1+ or V{gamma}4+ (Table IIGo). Secondly, flow was gated on the {gamma}{delta}+ population and evaluated for V{gamma}1+ or V{gamma}4+ cells (Fig. 4Go). {gamma}{delta}+ constitute a small subpopulation of total splenocytes. Gating specifically on the {gamma}{delta}+ cell population can better demonstrate the effectiveness of Ab depletion. The heart was processed for histology (Table IIGo, Fig. 2Go). Ab depletion was effective, especially at the 400-µg dose, in reducing the number of V{gamma}1+ or V{gamma}4+ cells invivo. Anti-V{gamma}4 treatment of Bl.Tg.E{alpha} mice resulted in reduction of myocarditis (Table IIGo) and an increase in CD4+ Th2 cells in peripheral blood. Anti-V{gamma}1 Ab treatment produced the opposite result, a modest increase in myocarditis and decrease in CD4+Th2 cells.



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FIGURE 4. Flow analysis of splenocytes expressing the V{gamma}1 and V{gamma}4 TCR. BL.Tg.E{alpha} mice were treated with either 100, 200, or 400 µg mAb to V{gamma}1 or V{gamma}4 i.v. through the tail vein 3 days before i.p. injection of 104 PFU CVB3. Control mice were given 200 µg purified hamster IgG. Animals were killed 7 days after infection. Spleens were removed, and the lymphoid cell population was isolated. Aliquots of the cells were stained with FITC-anti-{gamma}{delta} and either biotinylated hamster anti-V{gamma}1 or anti-V{gamma}4 and PE-conjugated streptavidin to indicate V{gamma}1+ and V{gamma}4+ cell subpopulations. To evaluate the effect of Ab depletion, flow was gated only on the FITC-positive cells ({gamma}{delta}+), then evaluated for PE staining. The numbers in the upper right corner indicate the percent of cells in each quadrant.

 
To confirm the roles of V{gamma}4+ cells in CVB3 myocarditis, C57BL/6 and Bl.Tg.E{alpha} mice lacking {gamma}{delta}+ cells were reconstituted with V{gamma}4+ cells purified from day 7 CVB3-infected Bl.Tg.E{alpha} mice by sterile sorting. Lymphocytes were retrieved from the spleens and enriched for {gamma}{delta}+ cells as described in Materials and Methods. Fig. 1Go shows flow cytometric analysis of the V{gamma}4+ cell population before and after purification. C57BL/6 {gamma}{delta} ko and Bl.Tg.E{alpha} {gamma}{delta} ko mice were infected with CVB3 and injected i.v. with either 102, 104, or 2.5 x 105 of these cells 1 day later. All animals were killed 7 days after infection. Table IIIGo shows the effect of the {gamma}{delta}+ cell transfer on myocarditis. Giving V{gamma}4+ cells to either Bl.Tg.E{alpha} {gamma}{delta} ko or C57BL/6 {gamma}{delta} ko mice resulted in enhanced myocarditis. Aliquots of the V{gamma}4+ cells were stimulated with PMA and ionomycin for 4 h in the presence of brefeldin A, then intracellularly stained with either Cy-Chrome-streptavidin and biotinylated anti-IFN-{gamma} or anti-IL-4 to evaluate cytokine production (Fig. 5Go). V{gamma}4+ cells stained for IFN-{gamma} but not for IL-4.


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Table III. Adoptive transfer of purified V{gamma}4+ cells into {gamma}{delta} ko mice1

 


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FIGURE 5. Flow analysis of IFN-{gamma} intracellular staining in the purified V{gamma}4+ cell population. V{gamma}4 cells were isolated as shown in Fig. 1Go, then stimulated with PMA and ionomycin in the presence of brefeldin A for 4 h. The cells were fixed with 2% paraformadehyde, permeablized, incubated with biotinylated anti-IFN-{gamma} or biotinylated anti-IL-4, washed, incubated with Cy-Chrome-streptavidin, washed, and evaluated by flow analysis. Isotype control represents rat IgG and Cy-Chrome-streptavidin. The numbers in the upper right corner indicate the percent of cells in each quadrant.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
These studies show that in CVB3-induced myocarditis, V{gamma}1+ T cells suppress myocardial inflammation whereas V{gamma}4+ T cells promote disease. Thus the type of {gamma}{delta}+ cell dominating, or responding in an animal will determine its disease susceptibility or resistance. We believe that this is the first study to demonstrate distinct roles for different {gamma}{delta}+ T cell subpopulations within the same disease. The mechanism of {gamma}{delta}+ cell regulation seems to be mediated through effects on Th subset response because Th2 cell responses, for the most part, correlate with V{gamma}1+ cell dominance and Th1 cell responses correlate with dominant V{gamma}4+ cells. Th1/Th2 dichotomy in disease susceptibility and resistance is well-recognized (31, 32, 33, 34, 35, 36). In diseases dependent on cellular inflammation and pro-inflammatory cytokines such as IL-1 and TNF{alpha}, it is reasonable that Th1 cell responses should be pathogenic while Th2 cell responses should be protective. This is especially true in CVB3-induced myocarditis, because T cell-dependent responses are not required for virus clearance (37) and, therefore, are not "beneficial" in terms of the infection itself. How {gamma}{delta}+ cells modulate Th1/Th2 responses has not been thoroughly addressed in this communication, although we show that V{gamma}4+ cells which promote Th1 cell responses do produce IFN-{gamma}. Th cell modulation by {gamma}{delta}+ cells has been reported previously (38, 39), and presumably occurs through cytokines released by these effectors. IL-4 would promote Th2 cell differentiation if present early in the Ag-specific T cell response, while IFN-{gamma} directly or indirectly would promote Th1 cell responses (31, 40). Other possible mechanisms for {gamma}{delta}+ cell-induced immunomodulation are possible. One such mechanism could be direct killing of specific CD4+ Th cells by {gamma}{delta}+ lymphocytes. Evidence supporting selective {gamma}{delta}+ cell lysis of CD4+ lymphocytes comes from studies in Lyme arthritis (26) and from CVB3-induced myocarditis (12). In the latter studies, {gamma}{delta}+ cells directly killed differentiated Th2 cell lines through Fas-dependent mechanisms. What structural differences between Th1 and Th2 cells allow {gamma}{delta}+ cell recognition and/or killing of the Th2 but not the Th1 cells is not known. It is equally possible that {gamma}{delta}+ cells recognize both Th1 and Th2 cells, but the Th1 cells are rescued from death while the Th2 cells are not. Certainly, T cell apoptosis can be abrogated with appropriate positive signals (31). An additional possibility is that {gamma}{delta}+ cells influence other cell types, such as macrophage, which subsequently alter Th development (41).

Experiments were performed with both direct Ab-induced depletion of {gamma}{delta}+ cells in vivo and by adoptive transfer of positively sorted {gamma}{delta}+ cell subpopulations into genetically {gamma}{delta}+ cell-deficient recipients. Both sets of experiments indicate a role for specific {gamma}{delta}+ subpopulations in regulating both Th cell phenotype and myocarditis susceptibility. Because Ab binding to the TCR might activate cells to release cytokines or immunomodulate {alpha}ß+ T cell responses before their elimination, the Ab depletion experiments might indicate either that the lack of or activation of specific subpopulations resulted in the observed effects. However, specific V{gamma}4 Abs were used to isolate purified subpopulations for adoptive transfer. Although these Abs might also have activated the respective cell populations, V{gamma}4+ cells continued to promote myocarditis susceptibility and Th1 responsiveness.

An important question is why dominant V{gamma} populations differ between genetic strains of mice. Various studies have shown that class II MHC molecules influence {gamma}{delta}+ cell subpopulation composition (12, 42, 43, 44). C57BL/6 mice inherently lack MHC class II IE Ag expression due to a naturally occurring mutation in their E{alpha} gene, while Bl.Tg.E{alpha} mice express IE (27). Flow cytometric analysis of {gamma}{delta}+ cell populations in the spleens of uninfected C57BL/6 mice show ~50% of these cells express V{gamma}1 and 20% express V{gamma}4 receptors, whereas in uninfected Bl.Tg.E{alpha} mice, ~40% of {gamma}{delta}+ cells express V{gamma}4 and only 35% express V{gamma}1 receptors. Thus, the uninfected mice from each strain have the same propensity for differential V{gamma} subset expression as infected mice. This suggests that predominance of distinct V{gamma} subpopulations in myocarditis in C57BL/6 and Bl.Tg.E{alpha} mice reflects the inherent influence of MHC class II Ag on clonal selection of V{gamma} subpopulations during thymic development.

The importance of our study is that it shows the complexity of {gamma}{delta}+ cell interactions in immunological disease. As with T cells expressing the {alpha}ß+ TCR, where different subpopulations might interact negatively or positively with each other, {gamma}{delta}+ cell subpopulations may also interact between themselves and also with the {alpha}ß+ cells. The {gamma}{delta}+ cell plays an intricate and critical role in the pathogenesis of at least some diseases. How universally important they might be in other forms of disease will require further investigation.


    Acknowledgments
 
We thank Debbie Perrotte for the expert secretarial assistance and Colette Charland for the expert flow cytometric analyses.


    Footnotes
 
1 This work was supported by the following grants and institutional support: RO1 HL58583, P01 AI45666, and American Heart Association Grant 97508IN (to S.A.H.); K04 AI012A1, R012 AI44920, a grant from the Rocky Mountain Chapter of the Arthritis Foundation, and EPA Project Grant R825793 (to R.L.O.); and National Institutes of Health Grant R01 AI40611 and EPA Project Grant R825793 (to W.K.B.). Back

2 Address correspondence and reprint requests to Dr. Sally Ann Huber, University of Vermont, Department of Pathology, College of Medicine, 55A Sooth Park Drive, Colchester, VT 05446. Back

3 Abbreviations used in this paper: CVB3, Coxsackievirus B3; V, variable; ko, knockout. Back

Received for publication January 4, 2000. Accepted for publication July 17, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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