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Institut National de la Santé et de la Recherche Médicale Unité 28, Institut Fédératif de Recherche 30, Hôpital Purpan, Toulouse, France
| Abstract |
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independent. Therefore, this work demonstrates
that type 2 cytokine production represents a dominant pathway of
alloreactive CD4 T cell differentiation in adult mice, a phenomenon
that was initially thought to occur only during the neonatal
period. | Introduction |
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Although much progress has been made in our understanding of the molecular basis of allorecognition (13), the mechanisms that influence the expansion and differentiation in vivo of CD4 T cells specific for allogeneic MHC class II molecules are still poorly understood. The current hypothesis states that, due to their high precursor frequency, the alloreactive T cell repertoire may consist of experienced T cells committed to their Th1 or Th2 lineage. Therefore, direct alloantigen recognition in adult life would preferentially prime a cross-reactive Th1 memory repertoire that would subsequently skew the entire immune response to the Th1 pathway, resulting in rapid allograft rejection. Conversely, Th2 development would be confined to the neonatal period, when all host T cells are naive and most likely uncommitted to a particular Th phenotype (8, 14). However, this hypothesis is challenged by experiments showing that the frequency of IL-4-producing cells was similar between neonatally tolerized mice and adult mice repeatedly stimulated with alloantigen in MHC class II-disparate strain combinations (6). Therefore, it is possible that the Th1 development of alloreactive CD4 T cell responses observed in MHC class I and class II disparate combinations (8) was greatly influenced by CD8 T cell priming. Indeed, several reports have shown that CD8 T cells can regulate Th2 immunity in vivo in response to viral infection (15, 16) or to protein Ag challenge (17), in chronic graft-vs-host disease (18), and in systemic autoimmunity (19).
The studies described in this paper were aimed at analyzing the mechanisms involved in Th phenotype acquisition of alloreactive CD4 T cells in vivo in the absence of NK and CD8 T cell activation. The experimental model we have chosen involved in vivo priming of the parental strain B6 or BALB/c mice with semiallogeneic F1 APC. ß2-microglobulin (ß2m)4-deficient, MHC class I-negative mice were first used to study CD4 T cell priming only. Semiallogeneic (BALB/c x C57BL/6)F1 (CB6F1) APC that expressed simultaneously self and allogeneic MHC products were used instead of fully allogeneic cells to avoid NK cell activation (20). Furthermore, this strategy allowed us to analyze alloreactive CD4 T cell development in different genetic backgrounds with the same APC populations, so that alteration in Th phenotype acquisition could not be attributed to the APC origin. We show that while immunization of adult BALB/c mice with semiallogeneic splenocytes induces the differentiation of donor-specific CD4 T cells toward the Th1 phenotype, a strongly polarized Th2-type response occurs in combinations in which ß2m-dependent cells or CD8 T cells are absent. We next analyzed the roles of endogenous IL-4 production, host genotype, and dendritic cells (DC) in the generation of alloreactive Th2 responses in vivo. Finally, we provide direct evidence that the in situ recruitment of a low number of CD8 T cells can effectively control CD4 T cell differentiation in vivo.
| Materials and Methods |
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BALB/c (H-2d), C57BL/6 (H-2b), and CB6F1 mice were purchased from Centre dElevage R. Janvier (Le Genest St Isle, France). H-2b mice with disrupted ß2m genes (21) were backcrossed to BALB/c mice as previously described (22). ß2m-deficient (ß2m°) mice on BALB/c or C57BL/6 background were used after 10 backcrosses. CD8-deficient (CD8°) (23), ß2m° (21), IAß-deficient (24), and ß2m° IAß-deficient mice in the C57BL/6 background were initially obtained from the Centre National de la Recherche Scientifique (Centre de Développement des Techniques Avancées, Orléans, France). BALB/c ß2m°, C57BL/6 ß2m°, C57BL/6 CD8°, and CB6F1 ß2m° mice were bred and maintained in our specific pathogen-free animal facility. Adult mice (812 wk old) were immunized s.c. in the hind footpads with 3050 x 106 irradiated (2400 rad) spleen cells (SC) or 0.30.5 x 106 bone marrow (BM)-derived DC (BM-DC) from normal or ß2m° CB6F1 mice. Five to 6 days after immunization, the draining popliteal and inguinal lymph nodes were removed and further processed as described below.
In vivo mAb treatment
For CD8 cell depletion, the anti-CD8
53-6-72 rat IgG2a
mAb (TIB 105, American Type Culture Collection (ATCC), Manassas, VA)
was purified from ascites fluid by protein G chromatography. For in
vivo CD8 depletion, mice were injected i.p. with 500 µg 53-6-72 mAb
for 3 consecutive days (at days 6, 5, and 4), the day of immunization
(day 0), and 3 days later. For blocking endogenous IL-4, mice were
injected with 800 µg i.p. of 11B11 (HB 188, ATCC) or isotype control
LO-DNP-2 rat mAb, as previously shown (22), at day 0 and
with 400 µg at days 2 and 4.
BM-DC
Mouse BM cells were labeled with 30-H12 anti-Thy.1.2 (TIB 107, ATCC) and RA3-3A1 anti-B220 (TIB 146, ATTC) mAb. T and B cells were then depleted using anti-rat IgG M-450 Dynabeads (Dynal, Oslo, Norway). Cells were cultured as previously described (25), with some modifications. Culture medium was RPMI 1640 (Life Technologies, Cergy Pontoise, France) supplemented with 10% FCS (ATGC Biotechnologie, Noisy Le Grand, France), 1% pyruvate, 1% nonessential amino acids, 1% L-glutamine, 50 µM 2-mercaptoethanol, and 50 µg/ml gentamicin (Sigma, St. Louis, MO). After overnight culture at 106 cells/ml in a 24-well plate without cytokine, cells were replated (2.5 x 105 cells/well) in the presence of murine GM-CSF (10 ng/ml; Sigma). On day 3, half of the culture supernatant was replaced with fresh medium containing GM-CSF. Cultures were duplicated on day 5, and DC were harvested by gentle pipetting on days 78. After Ficoll separation, living cells were incubated sequentially with biotin-GR-1 anti-Ly6G mAb (PharMingen, San Diego, CA) and streptavidin-coated M-280 Dynabeads (Dynal). Granulocytes were then removed by magnetic cell separation. The DC preparation was >95% CD11c+ by flow cytometric analysis using N418 anti-CD11c mAb (ATCC, HB 224).
T cell assays
For cytokine production analysis, CD8-depleted lymph node cells (LNC) from mice immunized with allogeneic SC were cultured at 3 x 105 cells/well in 96-well culture plates (Costar, Cambridge, MA) in the presence of various concentrations of irradiated SC of the indicated origin. For removal of CD8 cells, LNC were incubated with KT1.5 mAb (26) culture supernatant, washed, and subsequently incubated with sheep anti-rat IgG M-450 Dynabeads (Dynal) previously adsorbed with 10% normal mouse serum. CD8-positive cells were then selectively depleted with a magnet (BioSource, Camarillo, CA). CD4 T cell enrichment was performed as above by incubating LNC with anti-B220 RA3-3A1 (ATCC, TIB 146), anti-CD8 KT1.5, and anti-class II M5/114 (ATCC, TIB 120) mAb. Cells were cultured in HL-1 synthetic medium (Hycor, Irvine, CA) supplemented with 2 mM L-glutamine and 50 µg/ml gentamicin (Sigma). Cultures were incubated for 3 days in a humidified atmosphere of 5% CO2 in air. Supernatants from replicate cultures, usually three to four wells, were collected after 72 h and pooled for cytokine analysis. For T cell proliferation assays, cell cultures were pulsed 8 h with 1 µCi [3H]TdR (40 Ci/nmol, Radiochemical Center, Amersham, U.K.) before harvesting on glass fiber filter. Incorporation of [3H]TdR was measured by direct counting using an automated ß-plate counter (Matrix 9600, Packard, Meriden, CT).
Cytokine assays
IFN-
, IL-4, IL-5, and IL-10 were quantified by two-site
sandwich ELISA as previously described (22). For IFN-
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polyvinyl microtiter plates (Falcon 3912; Becton Dickinson, Oxnard, CA)
were coated with anti-IFN-
AN-18.17.24 mAb (27),
and peroxidase-conjugated XMG1.2 IFN-
-specific mAb (28)
was used as detection mAb. For IL-4, IL-5, and IL-10 determination,
two-site ELISA were performed with paired mAb, all purchased from
PharMingen. Absorbance was read on an automated microplate ELISA reader
(Emax, Molecular Devices, Sunnyvale, CA). Cytokines were quantified
from two to three titration points using standard curves generated with
purified recombinant mouse cytokines, and results are expressed as
cytokine concentration in ng or pg/ml. Detection limits were 15 pg/ml
for IFN-
and IL-4, 3 pg/ml for IL-5, and 30 pg/ml for IL-10. For
TGF-ß determination, acid-activated samples were incubated overnight
at 4°C on plates coated with anti-TGF-ß 2G7 mAb
(29). After washing, bound TGF-ß was revealed by
addition of biotin-anti-TGF-ß1 mAb (R&D Systems, Minneapolis, MN)
followed by streptavidin-alkaline phosphatase (Jackson ImmunoResearch,
West Grove, PA). Human recombinant TGF-ß1 (R&D Systems) was used as
standard; the sensitivity of the assay was 7 pg/ml.
Flow cytometric analysis of intracellular cytokine synthesis
LNC were cultured with allogeneic irradiated (2400 rad) SC from C57BL/6 ß2m° mice as indicated above. After 72 h of culture, cells were harvested, washed, and cultured for an additional 72 h in complete medium. After Ficoll separation, living cells were collected, resuspended at 106/ml, and stimulated with PMA (Sigma, 50 ng/ml) plus ionomycin (Sigma, 0.5 µg/ml) for 4 h. Two hours before cell harvest, brefeldin A (Sigma) was added at a concentration of 10 µg/ml. Cells were harvested, washed in the presence of brefeldin A, and stained using biotinylated anti-CD4 mAb (PharMingen) followed by streptavidin-CyChrome (PharMingen). Labeled cells were then fixed with 2% paraformaldehyde (Fluka Chemie, Buchs, Switzerland). Intracytoplasmic staining was performed as previously described (30). After washing and 10-min incubation in saponin medium, cells were incubated for 30 min at room temperature with the appropriate concentration of FITC- or PE-conjugated cytokine-specific mAb in saponin buffer. The following mAbs were used: PE-11B11 anti-IL-4 (PharMingen), FITC-JES5-16E3 anti-IL-10 (PharMingen), and FITC-labeled XMG1.2 (28). Cells were washed first in saponin buffer and then with PBS/FCS to allow membrane closure. Data were collected on 20,000 CD4+ cells on an XL Coulter cytometer (Coultronics, Margency, France) and analyzed using the CellQuest software (Becton Dickinson, Mountain View, CA).
CD8 T cell passive transfer experiments
Pooled LNC and SC from B6
CB6F1 BM chimeras and from
normal or IFN-
-deficient B6 mice were incubated with the following
mAb mixture: anti-class II M5/114 (TIB 120, ATCC), anti-CD11b
M1/70 (TIB 128, ATCC), anti-B220 RA3-3A1 (TIB 146, ATCC), and
anti-CD4 GK1.5 (TIB 207, ATCC). Cells were incubated with Low-Tox-M
rabbit complement (Cedarlane, Hornby, Ontario, Canada) according to
manufacturer procedure. Highly enriched CD8 T cells were obtained by
negative selection using anti-rat IgG M-450 Dynabeads (Dynal) after
labeling of cells with the previous mAb cocktail supplemented with
anti-Ly-6G Gr-1, anti-Ly-76 TER-119, and anti-Pan-NK DX5
mAb, all purchased from PharMingen. Purity was routinely >90% as
assessed by flow cytometry analysis. CD8 T cells were subsequently
injected i.v. into CD8° B6 mice. For the analysis of in situ
recruitment of CD8 T cells, immune LNC were stained with
PE-anti-CD4 (PharMingen), PE-anti-B220 (PharMingen),
FITC-anti-CD8 (26), and biotin-H57 (HB 218, ATCC)
anti-TCR mAb, followed by streptavidin-CyChrome. Data were
collected on 5000
B220CD4 cells on an XL
Coulter cytometer (Coultronics) and analyzed using the CellQuest
software.
Generation of CB6F1 BM chimeras
After RBC lysis, BM cells from 8- to 10-wk-old B6 mice were labeled with mAb 30H12 anti-Thy 1.2 (TIB 107, ATCC) and incubated in Low-Tox-M rabbit complement (Cedarlane) to eliminate T cells. CB6F1 mice (7 wk old) received an i.p. injection of PK 136 anti-NK cells (HB 191, ATCC) (100 µg) and were lethally irradiated (900 rad). The day after, they were i.v. injected with 10 x 106 T cell-depleted B6 BM cells. These chimeras were used 6 wk after reconstitution.
Statistical analysis
Results are expressed as mean ± SD, and overall differences between variables were evaluated by the Mann-Whitney U test.
| Results |
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We have analyzed whether the presence of
ß2m-dependent T cells could influence the
differentiation of alloreactive CD4 T cells following in vivo priming
with semiallogeneic SC. Immune LNC from adult BALB/c mice immunized
with irradiated CB6F1 splenocytes were stimulated in vitro with
syngeneic or allogeneic B6 APC, and the polarization of the CD4 T cell
response was determined by measuring cytokine production in 72-h
culture supernatants. Before culture, LNC were selectively depleted of
CD8 T cells to avoid the interference of this T cell population during
the in vitro assay. As shown in Fig. 1
A, immunization of BALB/c
mice with semiallogeneic splenocytes induced the differentiation of
donor-specific CD4 T cells toward the Th1 phenotype. Although IL-4,
IL-10 (Fig. 1
A), and IL-5 (not shown) could not be detected,
a moderate production of TGF-ß was observed in response to allogeneic
B6 APC. In striking contrast, immunization of
ß2m° BALB/c mice with semiallogeneic
ß2m° splenocytes resulted in the generation
of B6-specific T cells able to secrete in addition to IFN-
dramatic
amounts of IL-4, IL-10, TGF-ß (Fig. 1
B), and IL-5 (not
shown). Similar cytokine profiles were obtained using CB6F1 APC for in
vitro restimulation (not shown). The proliferative responses were
similar in both combinations, and identical results were obtained using
ß2m° APC (not shown). The phenotype of
H-2b-specific CD4 T cells was further analyzed in
secondary cultures after one round of stimulation with B6
ß2m° APC. As shown in Fig. 2
A, T cells primed in the
wild-type (WT) combination developed into secondary T cells secreting
high levels of IFN-
. Production of IL-4, IL-10, and TGF-ß was low
or undetectable in the supernatants from these cultures. In sharp
contrast, T cells primed in vivo in the absence of
ß2m secreted low levels of IFN-
and
impressive amounts of IL-4, IL-10, and TGF-ß following secondary in
vitro stimulation. No cytokine production was observed when syngeneic
ß2m° BALB/c or ß2m°
IAß-deficient B6 splenocytes were used as APC (not shown). To analyze
the heterogeneity of these secondary T cell populations, we next
determined the intracellular cytokine production of IFN-
, IL-4, and
IL-10 in CD4 T cells restimulated with PMA plus ionomycin (Fig. 2
B). As expected, CD4 T cells primed in the WT combination
expressed primarily IFN-
(40%), whereas the opposite cytokine
profile was observed in secondary CD4 T cells from
ß2m° mice. Analysis of IL-4 and IL-10
synthesis at the single-cell level revealed different populations of
cells that produced either IL-4 or IL-10, or both cytokines
simultaneously (20%). Approximately 3% of cells produced both IFN-
and IL-4 (Th0 type) or IFN-
alone (Th1 type). Thus, in vivo priming
of alloreactive CD4 T cells in the absence of
ß2m-dependent T cells resulted in a
Th2-dominated immune response associated with the up-regulation of
TGF-ß-producing cells.
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To address whether IL-4 was required in vivo for the expansion of
B6-specific Th2 cells, we examined the polarization of the T cell
response in ß2m° BALB/c mice immunized with
ß2m° CB6F1 SC in the presence of 11B11
mAb. Results in Fig. 3
show that
B6-reactive CD4 T cells from untreated BALB/c
ß2m° mice or mice injected with a control rat
mAb secreted high amounts of IL-4, IL-10, and TGF-ß upon in vitro
stimulation with I-Ab-expressing B6
ß2m° APC. Administration of anti-IL-4
11B11 mAb at the time of allogeneic priming resulted in a significant
inhibition of IL-4 and IL-10 production by B6-specific T cells (Fig. 3
, A and B) and was not associated with the
up-regulation of IFN-
secretion (not shown). On the contrary, the
generation of TGF-ß-producing cells was moderately affected by
blocking IL-4 in vivo (Fig. 3
C). Thus, the development of
IL-4-/IL-10-producing CD4 T cells during in vivo allogeneic priming in
the absence of ß2m was dependent on the
endogenous production of IL-4.
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Induction of Th2 responses in vivo has been found to be highly
dependent on a non-MHC-linked genetic polymorphism (1, 31). To test the effect of genetic background in our model, we
have compared the polarization of alloreactive CD4 responses
between ß2m° BALB/c and B6 mice. The same APC
population was used to immunize both strains. Data in Fig. 4
A show that in vivo priming
of alloreactive CD4 T cells in the absence of
ß2m-dependent T cells induced a strongly Th2
polarized immune response both in BALB/c and B6 mice. Both CD4 T cell
populations secreted high amounts of IL-4, IL-5, IL-10, and TGF-ß in
response to their respective allogeneic stimulators, although B6 CD4 T
cells produced less IL-4 than did BALB/c cells (see Fig. 7
, below).
However, these results should be interpreted with caution, because
these mice differ not only by genetic background but also by MHC
haplotype. Thus, the lower IL-4 production observed in B6 mice may also
reflect difference in the allorepertoire involved between the two
combinations and/or differences at the level of APC used for
restimulation. Secondary T cells were then analyzed for their
intracellular expression of cytokines. As shown in Fig. 4
B,
the frequency of IL-4-single-positive Th2 as well as
IL-4-/IFN-
-double-positive Th0 cells was strongly up-regulated in
both backgrounds. However, IL-4-producing cells were less frequent in
B6 as compared with BALB/c (48% vs 58%, respectively). Analysis of
the coexpression of IL-4 and IL-10 showed that the decreased frequency
in CD4 IL-4+ in B6 mice mainly affected cells
coexpressing both IL-4 and IL-10. Finally, the overall frequency of
IFN-
-producing CD4 T cells was higher in B6 than in BALB/c mice
(30% vs 11%, respectively). In conclusion, although some quantitative
differences may exist between the two strains, the strong Th2 priming
that occurred in the absence of ß2m-dependent T
cells was not dependent on a genetic polymorphism.
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The allogeneic interaction in the WT donor/recipient combination
involves both MHC class I and class II molecules; therefore, it is
likely that CD8 T cell activation might be an important factor
controlling the alloreactive Th2 response. To address this point, we
tested whether CD8° B6 mice immunized with WT CB6F1 SC would behave
like ß2m° B6 mice injected with
ß2m°CB6F1 cells. As shown in Fig. 5
A, although variations
occurred among individual mice, no significant difference could be
observed between both combinations regarding the production of IL-4 and
IL-10 (Fig. 5
A). This was confirmed by analyzing the
intracellular cytokine synthesis of secondary CD4 T cells (Fig. 5
B). The frequency of IL-4- and IL-10-producing cells was
almost identical between the two strains. To test whether the Th2
polarization was due to the developmental absence of CD8 molecule or
CD8 T cells, experiments were performed in BALB/c mice injected with
depleting anti-CD8 mAb before and after priming with irradiated
CB6F1 SC. As shown in Fig. 6
A,
the effective depletion of CD8 cells in vivo at the time of
alloantigenic priming resulted in the down-regulation of IFN-
synthesis and the appearance of IL-4-producing cells in primary T cell
cultures. The reversal of the polarization of B6-specific CD4 T cells
from a Th1- to a Th2-dominated profile was even more impressive in the
secondary stimulation (Fig. 6
B).
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Donor DC by interacting directly with recipient T cells have been
shown to be important in causing graft rejection (32, 33).
We next tested whether this professional APC population could
substitute splenocytes in this system. DC were obtained from CB6F1 BM
progenitors cultured in the presence of GM-CSF for 78 days. Living
BM-DC, depleted of granulocytes, were used to immunize parental
strains. As shown in Fig. 7
, while CB6F1
DC primed Th1 development in the BALB/c mice, a strong Th2-dominated
response, accompanied with TGF-ß synthesis, was induced in both
ß2m° combinations. Again, IL-4 production was
significantly lower in the B6 as compared with the BALB/c background,
confirming our previous observation (Fig. 4
A). Similar
response patterns were observed when WT CB6F1 DC were injected into
CD8° BALB/c (not shown) or B6 mice (Fig. 8
B). Only 0.30.5 x
106 DC were necessary to generate such responses,
which is 100-fold less than the amount of splenocytes used so far. The
magnitude of the response was also consistently higher with DC as
compared with total SC (not shown). Purified recipient CD4 T cells were
used in the MLR, indicating that alloreactive CD4 T cells directly
recognize the native I-Ab molecules displayed on
the surface of B6 APC. Indeed, no cytokine production was observed
using APC from MHC- or IA-ß-deficient B6 mice (not shown). Therefore,
these results demonstrate that CD4 T cell priming by DC in vivo in the
absence of ß2m-dependent CD8 T cells resulted
in a strong expansion of CD4 T cells characterized by their capacity to
secrete type 2 cytokines and TGF-ß.
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Our data indicate that CD8 T cells directed to allogeneic MHC
molecules effectively control Th phenotype acquisition in vivo. To
directly visualize this phenomenon, we designed an adoptive transfer
system in which a fixed number of CD8 T cells was injected into
CD8° B6 mice before immunization with CB6F1 BM-DC. After 6 days the
number of CD8 T cells that expanded in draining lymph nodes was
quantified by flow cytometry and represented
1% of total LNC, as
shown in Fig. 8
A. Because
20 x
106 cells were recovered in both popliteal and
inguinal lymph nodes,
2 x 104
H-2d-reactive CD8 T cells were recruited in situ
in response to semiallogeneic DC priming (Fig. 9
B). Interestingly, analysis
of alloreactive CD4 T cell polarization in primary MLR in vitro showed
that transfer of CD8 T cells from B6 mice was associated with the
selective down-regulation of type 2 cytokine secretion by alloreactive
CD4 T cells (Fig. 8
B). As control, we have generated B6
CB6F1, BM chimeras. In these mice, the CD8 T cells found in the
periphery were of B6 origin. They expressed H-2b
class I molecules (>98%) and were negative for
H-2d molecules (data not shown). We have used
these chimeras as a source of tolerant CD8 T cells. Indeed, passive
transfer of these cells into CD8° B6 mice before immunization with
CB6F1 BM-DC did not affect the in vivo priming of Th2 cells, which was
similar between control uninjected mice and mice injected with this
tolerant CD8 T cell population (data not shown and Fig. 9
). Thus, the
down-regulation of Th2 response by CD8 T cells was associated with the
adoptive transfer of nontolerant CD8 T cells.
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-deficient B6 mice were used as a source of CD8 T cells. Data in
Fig. 9
secretion by CD8 T cells.
However, the transfer of CD8 T cells with a disrupted IFN-
gene
still resulted in a significant inhibition of Th2 responsiveness as
compared with control uninjected mice (data not shown) or mice injected
with tolerant CD8 T cells (Fig. 9
independent. | Discussion |
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The early differentiation of Th2-type cells in our model is dependent
on the endogenous production of IL-4, because administration of 11B11
mAb strongly inhibits Th2 cell expansion. In agreement with previous
works (22, 35, 36, 37), this early source of IL-4 does not
appear to be the NK1.1 T cell subset (38). Indeed, strong
Th2-type responses were observed in ß2m° mice
that have a reduced number of this T cell population (38).
Thus, the IL-4 required for Th2 priming in vivo is likely produced by
CD4 T cells that directly recognize allogeneic MHC products on
donor-derived APC. The capacity of allospecific T cells to develop
either to the type 1 or type 2 cytokine-producing cells, depending on
CD8 T cell activation, indicates that they originate from a majority of
naive precursor cells not precommitted to a particular Th lineage. This
is quite surprising, considering their high precursor frequency
(13). What are the mechanisms that drive such
polarization? Aside from the cytokine milieu at the time of initial T
cell activation, it is clear that other factors such as the dose of Ag
can modulate Th1/Th2 differentiation (39, 40, 41). Increasing
the density of MHC-peptide ligands at the APC surface has been shown to
selectively induce the differentiation of naive T cells into
IL-4-producing cells in vitro (39), supporting the notion
that initial induction of IL-4-secreting cells is dependent on higher
levels of signaling (41). Several lines of evidence
indicate that such a requirement could also be achieved in
allorecognition. There is now strong evidence that alloreactive T cells
recognize the MHC molecule and its associated peptide ligand
(13). Among the several thousand different peptides that
can be eluted from class II molecules, some of them are represented in
sufficient quantity to allow their characterization
(42, 43, 44). For instance,
I-Ab-E
5268 self-peptide complexes are
expressed in large amounts on the surface of APC, where they can
represent 1015% of all MHC class II molecules (43).
Indeed, it has been recently shown that a significant proportion of
alloreactive CD4 or CD8 T cells do react to such highly expressed
determinants (45, 46). It seems likely that direct
recognition of MHC class II transplantation Ags is the principal
pathway involved in the generation of alloreactive CD4 Th2 cells in our
models. Therefore, we postulate that the recognition of allogeneic MHC
class II ligands expressed at high density on APC may result in early
IL-4 production in vivo, thereby directing the entire alloresponse to a
Th2-dominated pathway.
An interesting feature of this study is that in addition to Th0/Th2-type cells, alloreactive lymphocytes able to secrete TGF-ß have been activated. Such cells have been initially described following oral administration of protein Ag and were associated with the establishment of Th2-like immunity. These cells, called Th3, were distinguished from Th2 cells by their ability to secrete TGF-ß and were able to suppress Th1 effector functions (47). However, the factors involved in their differentiation in vivo are still not clear. Recently, a subset of regulatory T cells (Tr1) has been defined by its ability to selectively secrete IL-10 alone or in conjunction with TGF-ß (48). These cells were induced to develop in vitro in the presence of IL-10 but not IL-4. The IL-4 independence of regulatory T cells has been illustrated in vivo, where TGF-ß-producing CD45RBlow T cells were shown to develop in IL-4-deficient mice (49). This conclusion is also supported by our experiments showing that TGF-ß production was not significantly affected by blocking endogenous IL-4, whereas this treatment had a profound effect on the expansion of type 2 cytokine-secreting cells. A significant proportion of alloreactive CD4 T cells that develop in our model secrete IL-10 without IL-4; whether these cells represent true Tr1 cells remains to be investigated. In this respect, the model system described in this report could be instrumental in designing immunization regimens able to selectively induce such regulatory cells to study their effector function in allograft rejection in vivo.
Another important conclusion from our work is that the default Th2
pathway of alloreactive CD4 T cell development occurs independently of
the genetic background of the host. The importance of MHC polymorphism
in the polarization of Th cells has been demonstrated in vivo in
response to Leishmania major infection (1) or
chronic soluble Ag administration (31), in which strong
Th2-type responses were observed in the BALB but not in the B6
background. Such biased Th2 development was also observed in vitro in
BALB/c T cells (50) and was associated with the loss of
IL-12 responsiveness during the early phase of T cell activation
(51). In contrast to the above-mentioned models, the
strong priming of type 2 cytokine-producing cells uncovered in the
absence of CD8 T cell immunity was similar between the two mouse
strains. However, some quantitative differences were seen between
BALB/c and B6 alloreactive CD4 T cells. IFN-
-producing cells still
persisted at higher frequency in B6 mice and were composed of a mixture
of Th1- and Th0-like cells. Another difference we could observe
concerned the production of IL-4 that was consistently lower in B6 Th2
cells and was associated with a diminished frequency of IL-4 and IL-10
double-producing cells as compared with BALB/c CD4 T cells. Finally,
BALB/c T cells exhibited an almost unipolar Th2 profile after one round
of in vitro stimulation, whereas secondary B6 T cells were still
capable of secreting a substantial amount of IFN-
in response to
allogeneic APC (not shown). It is not clear whether the Th0 subset
represents a terminally differentiated population or an intermediate
stage in Th1 or Th2 development (52, 53). Thus, we could
hypothesize that in the BALB background these Th0-type cells would
preferentially develop along a Th2-dominated pathway following in vitro
restimulation. Conversely, in the B6 genotype they may represent a
fully differentiated subpopulation of cells such as Th1- or Th2-type
lymphocytes. Whatever the quantitative differences that may exist
regarding the heterogeneity of Th subsets between both strains of mice,
it seems quite clear that the genotype of the host has little influence
on the induction of type 2 cytokine-producing cells in this
model.
In contrast to the genetic status of the host, CD8 T cells appear to be
one of the principal regulators of the default Th2/Th0-phenotype
acquisition in response to allogeneic APC in vivo. Indeed, while donor
MHC-reactive CD4 T cells failed to produce Th2-type cytokines in the
(A x B)F1
A WT combination, a similar
profile of allospecific Th2-dominated responses was observed in both
the (A x B)F1
ß2m°
A ß2m° and
(A x B)F1 WT
A CD8° combinations,
indicating that MHC class I-CD8 T cell interactions were involved. This
was not due to the developmental absence of CD8 or MHC class I
molecules, because administration of depleting anti-CD8 mAb in
adult WT mice was sufficient to unmask Th2 cell priming. Finally,
direct evidence for a role of CD8 T cells comes from passive transfer
experiments of CD8 lymphocytes into B6 mice with a disrupted CD8 gene.
Transfer of CD8 lymphocytes from B6 origin was able to skew the
H-2d-specific CD4 response from a
Th2/Th0-dominated phenotype to an almost unipolar Th1 response. This
effect was correlated to the in situ recruitment of nontolerant CD8 T
cells that were likely to be specific for H-2d
MHC class I products, because CD8 T cells from B6
CB6 BM chimeras
were ineffective in redirecting the CD4 differentiation pathway. CD8 T
cells could control alloreactive Th cell development in this model
through different mechanisms: 1) by direct killing of the donor APC
thereby preventing chronic Ag presentation and/or 2) by the production
of cytokines following their activation by allogeneic MHC class I
molecules. We have directly addressed the role of IFN-
production by
CD8 T cells in the regulation of DC-induced Th2 cell priming in vivo.
In this report we show that the control of alloreactive Th2
responsiveness by CD8 T cells is largely IFN-
independent. This
finding is rather unexpected, because several reports have put forward
a major role for this cytokine in the regulation of Th2 cell
development in vitro (54, 55) and in vivo in
response to viral infection (16). Thus, our data support
the challenging hypothesis that in alloimmune response Th2 cell
activation/differentiation might be inhibited as a result of APC death,
due to perforin and Fas killing by CD8 T cells, and the consequent
absence of sustained stimulation rather than a result of
IFN-
-mediated regulation of Th cell differentiation.
Another important question concerns the relevance of our work regarding the mechanisms of T cell priming during allograft rejection. Although it is clear that Th1-dominated responses are involved in acute allograft rejection in MHC class I and II disparate combinations in which both CD4 and CD8 T cells can be involved (4, 8), little is known about the phenotype of alloreactive effector CD4 T cells that develop in situations in which CD8 lymphocytes are absent or not activated. The hypothesis stating that allograft rejection or acceptance is respectively promoted by Th1 or Th2 cytokines has been recently challenged by experiments showing that allograft rejection could occur in the context of type 2 immune responses. For instance, elimination of CD8 T cells does not prevent allorejection, but it results in intragraft Th2-type cytokine production, leading to eosinophil infiltrates (11). Direct evidence for a role of type 2 effector function in allograft rejection comes from recent studies showing that IL-4, IL-5, and eosinophils are critically involved not only in chronic (12) but also in acute (56) rejection of MHC-class II disparate skin grafts. Although these experiments were performed by grafting B6 mice with B6bm12 skin that only differ at 3-aa residues in the IAß class II chain (57), it is likely that this phenomenon could be generalized to other models of MHC class II disparity. Indeed, we have recently shown that induction of neonatal lymphoid chimerism in mice in the absence of MHC class I-T cell interactions results in lethal host-vs-graft disease associated with a chronic Th2 response and hypereosinophilia (10). Strong Th2 priming of the host allorepertoire should be the hallmark of allogeneic interactions that occur across the MHC class II barrier only, while differences at both classes of transplantation Ag should always lead to Th1 development due to CD8 T cell activation.
In conclusion, we have demonstrated that polarization to type 2-producing cells is the default dominant pathway of alloreactive CD4 T cell development in adult mice. Indeed, strong expansion of type 2 cytokine-producing CD4 T cells can readily be obtained in mice primed with DC as soon as MHC class I-restricted CD8 T cells are not activated. Interestingly, this strong priming of type 2 cytokine-secreting cells is associated with the up-regulation of TGF-ß-production. Such a default pathway of alloreactive Th cell differentiation is not dramatically affected by the genetic status of the host and, therefore, might be relevant to various donor/recipient strain combinations. Our study may provide a framework to define the rules that govern allohelper T cell development in vivo and could be instrumental in designing new strategies for immune deviation or selective induction of IL-10- and/or TGF-ß-producing cells that have been shown to regulate both Th1- and Th2-mediated pathological immune responses (47, 48, 58).
| Acknowledgments |
|---|
| Footnotes |
|---|
2 G.F. and J.D.C. contributed equally to this work. ![]()
3 Address correspondence and reprint requests to Dr. Jean-Charles Guéry, Institut National de la Santé et de la Recherche Médicale Unité 28, Hôpital Purpan, Place du Dr Baylac, 31 059 Toulouse, France. ![]()
4 Abbreviations used in this paper: ß2m, ß2-microglobulin; DC, dendritic cells; SC, spleen cells; BM, bone marrow; BM-DC, BM-derived DC; ß2m°, ß2m-deficient; CD8°, CD8-deficient; LNC, lymph node cells; CB6F1, (BALB/c x C57BL/6)F1; WT, wild type. ![]()
Received for publication December 6, 2000. Accepted for publication August 7, 2000.
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