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The Journal of Immunology, 2000, 165: 5352-5359.
Copyright © 2000 by The American Association of Immunologists

Evidence For Early Aging in the Mucosal Immune System1

Toshiya Koga*, Jerry R. McGhee{dagger}, Hirotomo Kato{dagger}, Rie Kato{dagger}, Hiroshi Kiyono*,{ddagger} and Kohtaro Fujihashi2,*

Departments of * Oral Biology and {dagger} Microbiology, Immunobiology Vaccine Center, University of Alabama, Birmingham, AL 35294; and {ddagger} Department of Mucosal Immunology, Research Institute for Microbial Diseases, Osaka University, Suita, Osaka, Japan


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Despite recent advances in the cellular and molecular analysis of induction and regulation of mucosal immune responses, little is yet known about differences which occur in aging. To address this important issue, we have compared the mucosal and systemic immune responses of aged (12- to 14-mo- or 2-year-old) and young adult (6- to 8-wk-old) C57BL/6 mice. Both aged and young mice were immunized weekly with three oral doses of 1 mg of OVA and 10 µg of cholera toxin (CT) as mucosal adjuvant. Both groups of mice over 1 or 2 years of age showed reduced levels of Ag-specific mucosal or systemic immune responses at day 21. An Ag-specific B cell enzyme-linked immunospot assay confirmed these results at the cellular level. When the Ag-induced cytokine responses were examined at both protein and mRNA levels, CD4+ T cells from spleen and Peyer’s patches of young adult mice revealed elevated levels of IL-4 production; however, these cytokine responses were significantly diminished in aged mice. In contrast to mucosal immunization, mice s.c. immunized with OVA plus CT resulted in impaired OVA-specific but intact CT B subunit-specific immune responses in 12- to 14-mo-old mice although the responses to both Ags were depressed in 2-year-old mice. These results provide the first evidence that the development of age-associated alterations possibly occurs earlier in the mucosal immune system than in the systemic immune compartment.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The central importance of the mucosal immune system has been well recognized as the first line of defense by which the host combats numerous pathogens that are encountered after ingestion or inhalation, and that subsequently colonize the gastrointestinal or upper respiratory tracts (1, 2). If Ag-specific immune responses are to be induced at these mucosal barriers, the common mucosal immune system, which consists of distinct mucosal IgA inductive and effector tissues (1, 2), must be brought into play. Mucosal immune responses have been effectively induced by both oral and nasal immunization, because IgA inductive tissues such as the gut- and nasopharyngeal-associated lymphoreticular tissues can be stimulated by protein Ag given with mucosal adjuvants (1, 2, 3, 4, 5, 6, 7). Cholera toxin (CT)3 has been widely used for studies of mucosal immunity, because this is a potent immunogen for mucosal secretory IgA Ab responses as well as a powerful mucosal adjuvant when coadministered orally with unrelated protein Ags (8, 9). Our studies have shown that CT elicited distinct CD4+ Th cell subset responses and Ab isotype profiles after co-oral administration with protein Ags such as tetanus toxoid (TT). Thus, mice given oral TT with CT as adjuvant developed TT- and CT B subunit (CT-B)-specific CD4+ Th cells that produced the Th2 cytokines IL-4 and IL-5, but not IFN-{gamma}, in both peripheral (i.e., spleen) and mucosal (i.e., Peyer’s patches (PP)) lymphoid compartments (10, 11). Selective induction of Th2 cells was associated with mucosal secretory IgA and serum IgG1, IgG2b, and potent IgE Ab responses (12).

The T cells which occur in the elderly are often characterized by altered phenotypes, reduced responses to mitogens and impaired cytokine production (13, 14, 15). Further, it has been reported that senescent T cells, which were of the memory type, showed decreased intracellular phosphorylation of CD3{zeta} (16). Thus, it is likely that these age-related T cell responses exhibit altered help for B cell and Ab responses. Indeed, it was shown that T cells from aged mice down-regulate B cell responsiveness. Increased numbers of splenic CD5+ B cells producing IL-10 were found in aged mice (17). Additionally, recent studies showed the development of stable clonal B cell populations in aged mice detected by Ig heavy chain mRNA CDR3 size analysis (18, 19).

Despite these well known age-associated changes as well as recent observations made possible by advances in cellular and molecular analysis of the induction and regulation of mucosal immune responses, the precise nature of mucosal immune responses which occur in the elderly remain poorly defined. To gain more information on this important issue, we have compared mucosal and systemic immune responses of aged (either 12–14 or 24 mo) and young adult (6–8 wk) C57BL/6 mice by using our well-characterized oral immunization regimen with OVA and CT as mucosal adjuvant.


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

C57BL/6 mice were purchased from the Frederick Cancer Research Facility (National Cancer Institute, Frederick, MD). Upon receipt, mice were transferred to microisolators, maintained in horizontal flow cabinets, and provided with sterile food and water ad libitum. Experiments were performed using young adult mice between 6 and 8 wk of age or aged mice either between 12 and 14 mo (~1 year), or mice over 2 years of age.

Immunization

Aged and young adult mice were immunized three times at weekly intervals with oral doses of 1 mg OVA (Fraction V; Sigma, St. Louis, MO) and 10 µg CT (List Biological Laboratories, Campbell, CA) in PBS (10, 20). Serum and mucosal secretions were collected on days 7, 14, and 21. In one series, mice were immunized on day 35 and serum and mucosal secretions were collected 1 wk later. In some experiments, mice were immunized s.c. on days 0 and 7 with 100 µg OVA and 1 µg CT (11). The mice were sacrificed 7 days after the last immunization. Spleen as well as PP and intestinal lamina propria (LP) were extracted as examples of systemic and mucosal tissues, respectively, and subjected to OVA-specific enzyme-linked immunospot (ELISPOT) assays. Further, CD4+ T cells isolated from spleen and/or PP were examined for the analysis of Ag-specific T cell-derived cytokine.

Ab assays

Ab titers in serum and fecal extracts were determined by ELISA (21, 22). Falcon Microtest assay plates (Becton Dickinson, Oxnard, CA) were coated with 100 µl of an optimal concentration of OVA (1 mg/ml) or 100 µl rCT-B (5 µg/ml; List Biological Laboratories) in PBS. To detect Ag-specific Ab levels, HRP-conjugated goat anti-mouse µ, {gamma}, or {alpha} heavy chain-specific Abs (Southern Biotechnology Associates, Birmingham, AL) were employed. For IgG subclass determination, biotinylated mAb specific for IgG1 and IgG2a (PharMingen, San Diego, CA) and peroxidase-conjugated goat anti-biotin Ab were employed. Endpoint titers were expressed as the last dilution yielding an OD at 414 nm (OD414) of >0.1 U above negative control values after a 15-min incubation. In some experiments, the plates were coated with 100 µl/well goat anti-mouse Igs (Southern Biotechnology Associates) at 2 µg/ml. Total IgM, IgG, and IgA levels in serum and fecal extracts were estimated by comparison with serial dilutions of mouse IgM, IgG, and IgA standards (Southern Biotechnology Associates).

Enumeration of Ab-forming cells (AFCs)

The spleen was removed aseptically and single-cell suspensions were prepared as described (21, 22). After being carefully excised from the intestinal wall, PP were dissociated using 0.5 mg/ml collagenase type V (Sigma) to obtain single-cell preparations (10, 20). Mononuclear cells in the LP were isolated after removal of PP from the small intestine using a combination of enzymatic dissociation and discontinuous Percoll gradients (Pharmacia, Uppsala, Sweden; Refs. 10 and 21). Mononuclear cells in the interface between the 40 and 75% layers were removed, washed, and resuspended in RPMI 1640 (Cellgro Mediatech, Washington, DC) supplemented with 15 mM HEPES buffer, 2 mM L-glutamine, 100 U/ml penicillin, 100 µg/ml streptomycin, and 10% FCS (complete medium). An ELISPOT assay was employed to detect cells producing IgM, IgG, and IgA Abs. Ninety-six-well nitrocellulose plates (Millititer HA, Millipore, Bedford, MA) were coated with 1 mg/ml OVA (100 µl/well) for anti-OVA-specific AFCs; or 5 µg/ml CT-B (100 µl/well) for anti-CT-B-specific AFCs (10, 20, 21, 22).

Ag-specific CD4+ T cell responses

CD4+ T cells were purified by the magnetic activated cell sorter system (Miltenyi Biotec, Sunnyvale, CA) as described previously (21, 22). Briefly, cells were incubated in a nylon wool column (Polysciences, Warrington, PA) to remove B cells and macrophages. Enriched T cell populations were then incubated with biotinylated anti-CD4 (GK 1.5) mAb followed by streptavidin-conjugated microbeads and passed through a magnetized column. The purified T cell fractions were >97% CD4+ and were >99% viable. Cells were resuspended in complete medium and purified CD4+ T cells (4 x 106 cells/ml) were cultured with or without 1 mg/ml OVA in the presence of T cell-depleted, irradiated (3000 rad) splenic APCs. These APCs were derived from naive mice and were placed in 96- or 24-well tissue culture plates (Corning, Corning, NY.) for 5 days at 37°C in a moist atmosphere of 5% CO2 in air. To assess Ag-specific T cell responses, 0.5 µCi of [3H]thymidine (Amersham, Arlington Heights, IL) was added for the final 18 h of incubation. The cells were harvested and the degree of [3H]thymidine incorporation was determined by scintillation counting. In some experiments, culture supernatants were harvested after 2 or 5 days of incubation and were then subjected to cytokine-specific ELISA. For cytokine-specific mRNA analysis, CD4+ T cells were harvested after 2 days of incubation and were then subjected to cytokine-specific, semiquantitative RT-PCR assay.

Cytokine-specific ELISA

Levels of cytokines in culture supernatants were measured by ELISA. The details of the ELISA for IFN-{gamma}, IL-2, IL-4, IL-5, IL-6, and IL-10 have been described previously (21, 22). For coating and detection, the following mAbs were used: for anti-IFN-{gamma}, R4-6A2 and XMG 1.2 mAbs; for anti-IL-2, JES6-1A12 and JES6-5H4 mAbs; for anti-IL-4, BVD4-1D11 and BVD6-24G2 mAbs; for anti-IL-5, TRFK-5 and TRFK-4 mAbs; for anti-IL-6, MP5-20F3 and MP5-32C11 mAbs; and for anti-IL-10, JES5-2A5 and JES5-16E3 mAbs. The levels of cytokines produced by Ag-specific T cells were calculated by subtracting the results of control cultures (e.g., without Ag stimulation) from those of Ag-stimulated cultures. This ELISA was capable of detecting 0.78 ng/ml IFN-{gamma}, 8 pg/ml IL-2, 23.4 pg/ml IL-4, 0.78 U/ml IL-5, 200 pg/ml IL-6, and 0.4 ng/ml IL-10.

Quantitative analysis of cytokine-specific mRNA

For evaluation of cytokine-specific mRNA levels in OVA-stimulated CD4+ T cells, a competitive RT-PCR was employed (21). Total RNA was isolated by the acid guanidinium thiocyanate-phenol-chloroform extraction procedure. Aliquots of extracted RNA (25 µg/ml) were spiked with a cytokine-specific rRNA standard and subjected to reverse transcriptase reaction using Superscript II Reverse Transcriptase (Life Technologies, Gaithersburg, MD). For the amplification of cDNA, 35 cycles of reaction programmed at 1 min at 95°C and 1 min at 60°C were performed. The PCR product was quantitated by capillary electrophoresis with the laser fluorescence detection system (Laser Induced Fluorescence (LIF), Preparative/Analytical Capillary Electrophoresis (P/ACE); Beckman Coulter, Fullerton, CA) as described previously (21). The fluorescence content of each cytokine-specific RT-PCR product was expressed as the peak area of relative fluorescence light units. The levels of cytokine-specific mRNA were calculated based upon the levels of cytokine-specific rRNA.

Statistics

The significance of the difference (e.g., p values) between groups was evaluated by the Mann Whitney U test using a Statview II program designed for Macintosh computers.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Changes in serum and fecal Ig levels in young adult and aged mice

To compare the Ag-specific mucosal immune responses of aged and young adult mice, it was important to first determine total Ig levels in mucosal secretions. Aged mice showed higher serum IgM levels than did young adult mice (Table IGo). However, both serum IgG and IgA levels in aged mice were comparable to those of young adult mice (Table IGo). Higher levels of IgG were associated with fecal extracts of aged when compared with young adult mice. In contrast, IgM and IgA in fecal extracts showed no significant differences between aged mice and young adults (Table IGo). These results show that although increased levels of serum IgM and fecal IgG were noted, no significant Ig isotype deficiency occurred with aging.


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Table I. Isotype of serum and fecal extract Igs in young adult and aged mice1

 
Reduced OVA-specific Ab responses occur in aged mice given OVA and CT orally

We next examined OVA-specific immune responses in aged mice. The young adult and both groups of aged mice were given oral OVA and CT as adjuvant, and OVA-specific Ab responses in fecal extracts were examined. Significant IgA Ab responses occurred in the fecal extracts of young adult mice; however, these Ab responses were low in both of those groups of aged mice (Fig. 1GoA). Because it has been shown that oral immunization with protein Ag and CT induces Ag-specific responses in systemic as well as mucosal sites, OVA-specific serum Ab levels were also tested. Levels of OVA-specific IgG Abs were elevated in the serum of young adult mice by day 14, with peak responses seen 7 days later. In contrast, aged mice showed no detectable levels of Ag-specific mucosal or systemic Ab responses at day 14. Significant levels of OVA-specific serum IgG Ab responses were detected in both groups of aged mice by day 21; however, these responses were significantly lower than those seen in young adult mice (Fig. 1GoB, p < 0.05). Further, OVA-specific serum IgA Ab responses were also less marked in aged than in young adult mice (Fig. 1GoB, p < 0.05). These responses remained low and did not increase when mice were boosted with an additional oral dose at day 35 (data not shown). When IgG subclass responses were examined, aged mice showed lower levels of serum IgG1 Ab responses than young adult mice (Fig. 1GoC, p < 0.05). As expected, low OVA-specific IgG2a Ab responses were seen in young adult as well as in all aged mice, and this is due to the propensity of CT to induce Th2-type responses when used as mucosal adjuvant. These results indicate that aged mice possess lower Ag-specific IgG and IgA Ab responses in serum and in mucosal secretions than do young adult mice.



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FIGURE 1. Comparison of OVA-specific Ab responses in 1-year-old ({square}), over 2-year-old ({blacksquare}), and young adult () mice. Each group of mice was immunized once a week for 3 wk with oral doses of 1 mg OVA and 10 µg CT as mucosal adjuvant. Seven days after the last oral immunization, IgM, IgG, and IgA Ab levels in fecal extracts (A), serum (B), and IgG subclass levels in serum (C) were determined by OVA-specific ELISA. Values shown are the mean ± SEM for 15 mice in each experimental group.

 
Impaired mucosal immune responses occur within 1 year

These results were further confirmed at the B cell level by using an Ag-specific ELISPOT assay (Fig. 2Go). Mononuclear cells from LP, PP, and spleen taken from young adult or both groups of aged mice were subjected to OVA-specific ELISPOT assay to determine the numbers of AFCs. Both groups of aged mice possessed ~8- to 9-fold lower numbers of IgA AFCs in LP than did young adult mice (~700/106). Similarly, aged mice showed reductions in both OVA-specific IgA AFCs in PP and in anti-OVA IgG and IgA AFCs in the spleen. In contrast, both groups of aged mice showed increased numbers of OVA-specific IgM AFCs in spleen, suggesting that switches to both IgG and IgA were impaired. These results show that immunity is comparably impaired in 1- and 2-year-old mice given oral OVA and CT as mucosal adjuvant.



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FIGURE 2. Analysis of OVA-specific AFCs in 1-year-old, over 2-year-old, and young adult mice immunized orally with OVA and CT. Seven days after the last oral immunization, mononuclear cells isolated from the LP, PP, and spleen were examined using an OVA-specific ELISPOT assay to determine the numbers of IgM ({square}), IgG (), and IgA ({blacksquare}) AFCs. The results represent the mean values ± SEM for 15 mice in each experimental group.

 
Diminished CT-B-specific Ab responses occur in aged mice

It was important to test whether immune responses to CT were also reduced in aged mice because CT is a potent mucosal Ag as well as an adjuvant. Young adult mice given oral OVA and CT three times at weekly intervals showed significantly high levels of CT-B-specific IgA and IgG Ab responses in fecal extracts and serum samples, respectively. In contrast, these mucosal and systemic anti-CT-B Ab responses were reduced in both 1-year-old mice and in those over 2 years of age (Fig. 3Go, A and B; p < 0.05). High levels of CT-B-specific serum IgG1 Ab responses were noted in young adult mice; however, these responses were markedly reduced in both groups of aged mice (Fig. 3GoC, p < 0.05). Furthermore, significantly reduced numbers of CT-B-specific IgA AFCs were seen in the PP and LP of both groups of aged mice. In addition, the splenic CT-B-specific IgG AFCs were also reduced (Fig. 4Go). These results show that even strong immunogens such as CT fail to elicit serum or mucosal Ab responses in mice aged beyond the first year of life.



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FIGURE 3. CT-B-specific Ab responses in 1-year-old ({square}), over 2-year-old ({blacksquare}), and young adult () mice immunized orally with OVA and CT. Fecal extracts and serum samples were collected on day 21 and IgM, IgG, and IgA levels in fecal extracts (A), serum (B), and IgG subclass levels in serum (C) were determined by CT-B-specific ELISA. Values are the mean ± SEM for 15 mice in each experimental group.

 


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FIGURE 4. Enumeration of OVA-specific AFCs in 1-year-old, over 2-year-old, and young adult mice immunized orally with OVA and CT. Seven days after the last oral immunization, mononuclear cells isolated from the LP, PP, and spleen were examined using an OVA-specific ELISPOT assay to determine the numbers of IgM ({square}), IgG (), and IgA ({blacksquare}) AFCs. The results represent the mean value ± SEM for 15 mice in each experimental group.

 
Impaired of Ag-specific systemic Ab responses in 1-year-old mice

Because both 1- and 2-year-old mice showed impaired Ab responses when OVA and CT were administered orally, it was important to test whether similar immune dysregulation occurs in both groups of aged mice immunized by the perenteral route. Both groups of aged mice and young adult mice were immunized s.c. with OVA plus CT. When OVA-specific IgG Ab responses in serum and AFCs in spleen were examined, both groups of aged mice showed reduced IgG Ab levels as well as lower AFC responses (Fig. 5Go, A and B). Interestingly, 1-year-old mice immunized with OVA and CT s.c. contained high levels of CT-B-specific serum IgG Abs that were identical with those of young adult mice (Fig. 6GoA). In contrast, mice over 2 years of age showed markedly reduced anti-CT-B IgG Ab responses (Fig. 6GoA, p < 0.05). Similarly, CT-B-specific splenic IgG AFCs were seen in 1-year-old mice but not in the 2-year-old mouse group (Fig. 6GoB). Although these results show that aging alters immune responses in the systemic compartment, significant immunity is retained through the first year of life.



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FIGURE 5. OVA-specific IgG and IgM Ab responses in serum (A) and spleen (B) from senescent (aged 1 year and over 2 years old) and young adult mice immunized s.c. with 100 µg OVA and 1 µg CT on days 0 and 7. Five days after the last challenge, serum samples were collected and examined for OVA-specific IgG Ab responses. Mononuclear cells isolated from spleen were also used in an OVA-specific ELISPOT assay to determine the numbers of IgG and IgM AFCs. The results represent the mean values ± SEM for 15 mice in each experimental group.

 


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FIGURE 6. CT-B-specific IgG and IgM Ab responses in serum (A) and spleen (B) from senescent (aged 1 year and over 2 years old) and young adult mice immunized s.c. with OVA and CT on days 0 and 7. Serum samples and spleen were collected as described in the legend to Fig. 5Go. The CT-B-specific serum Ab responses were determined by ELISA and the splenic AFCs by the ELISPOT assay. The results represent the mean values ± SEM for 15 mice in each experimental group.

 
Impaired T cell-proliferative responses in aged mice

Our findings to this point suggest that early age-associated changes occur in the mucosal immune system which precede similar alterations in the systemic immune system. To determine whether this occurs at the level of T cell help, we next assessed T cell-proliferative responses in young adult and aged mice. CD4+ T cells from spleen or PP were cultured with OVA in the presence of irradiated T cell-depleted spleen cells. CD4+ T cells from both spleen and PP of aged mice immunized orally with OVA and CT showed lower proliferative responses than did those of young adult mice (Fig. 7GoA). After systemic immunization, most of the 1-year-old mice showed reduced splenic CD4+ T cell proliferation, but 3 of 16 1-year-old mice showed T cell-proliferative responses which were comparable to those of young adult mice (Fig. 7GoB). Similarly, and in marked contrast to impaired responses seen in mice over 2 years of age (data not shown), CT-B-specific proliferative responses were not reduced in 1-year-old mice. These results further support our observations that systemic immune responses in 1-year-old mice are in a transition period, and that mucosal age-associated alterations have already taken place.



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FIGURE 7. Seven and 5 days after respective oral (A and B) or s.c. (C) immunization, CD4+ T cells from spleen (A and C) and PP (B) (for oral immunization) were cultured with or without OVA in the presence of APCs for 5 days. The stimulation index was determined as cpm of wells with Ag/wells without Ag (controls). The level of [3H]thymidine incorporation for each control well was between 500 and 1000 cpm. The results represent the individual values from three separate experiments.

 
Impaired Th1 and Th2 cytokine synthesis and mRNA expression by OVA-specific CD4+ T cells

We next examined Ag-specific Th1 and Th2 cytokine responses in young adult and aged mice. The culture supernatants from splenic CD4+ T cells of young adult mice given oral OVA plus CT exhibited high levels of OVA-specific IL-4 and IL-5 production (Table IIGo). Further, CD4+ T cells from PP of these mice produced significant levels of IL-4 after OVA re-stimulation (Table IIGo). In contrast, CD4+ T cell cultures of spleen or PP from both groups of aged mice orally immunized with OVA plus CT had no detectable levels of Th1 or Th2 cytokines. OVA-specific Th1- and Th2-type cytokine responses were also examined in systemically immunized young adult and aged mice. As seen in orally immunized mice, splenic CD4+ T cells from young adult mice produced high levels of IL-4 and IL-5. In contrast, synthesis of these cytokines in 1-year-old mice was much less marked than in older mice. Thus, significant levels of IL-4 (55.3 ± 26.2 pg/ml) and IL-5 (5.3 ± 4.0 U/ml) synthesis were detected in CD4+ T cell cultures from 1-year-old mice (Table IIGo). These results were further confirmed at the mRNA level by using IL-4-specific quantitative RT-PCR analysis (Table IIIGo). Thus, orally or systemically immunized young adult mice showed high levels of IL-4-specific mRNA in spleen and PP. With the exception of 1-year-old mice immunized systemically, all groups of aged mice given OVA and CT showed no detectable IL-4 mRNA. Taken together, our results indicate that age-associated dysfunction occurs in the mucosal immune system well before it is seen in the systemic immune compartment.


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Table II. Th1 and Th2 cytokine synthesis by OVA-specific CD4+ T cells from young adult vs aged mice1

 

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Table III. RT-PCR analysis of IL-4-specific mRNA from CD4+ T cellsa

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
This study has revealed that dysregulation occurs in the mucosal immune system as early as 12–14 mo of age, while systemic immunity remains essentially normal. This unexpected result was revealed by our oral immunization regimen which effectively induces both serum and mucosal Ab responses through help provided by CD4+ Th2-type cells. Ag-specific Ab responses in mucosal as well as parenteral tissues of aged mice (both 1- and 2-year-old mice) at both the protein and cellular levels were lower than those seen in young adult mice. Furthermore, CD4+ T cell-proliferative responses and cytokine synthesis were also abrogated at the protein and molecular levels in both groups of aged mice.

It has been shown that aging is associated with several dysfunctional stages in lymphocyte activation, particularly with progression of lymphocytes to a state of immune unresponsiveness to Ags and to an increased incidence of autoimmune disease (23, 24). Especially affected are T cell responses including IL-2 production, IL-2 receptor expression, signal transduction, and programmed cell death, all of which have been reported in the elderly (25, 26, 27, 28, 29, 30, 31). Our previous studies have shown that mucosal immunization with protein Ags coadministered with CT as mucosal adjuvant elicited Th2-type cytokines, especially IL-4, and mediated mucosal and systemic immune responses to protein Ag as well as to CT itself (10, 20, 32, 33). This mucosal immunization regimen is thus ideal to address the effects of aging on the mucosal immune system in mice. This study confirmed previous observations that Ag-specific B and T cell responses occur in 2-year-old mice. More importantly, our findings are the first to show that age-associated immune dysregulation occurs in the mucosal system at both cellular and molecular levels much earlier than occurs in the systemic lymphoid system.

Another novel finding of the present study is that parenteral immune responses in 1-year-old mice immunized s.c. with OVA and CT showed less marked immune deficiency than did those of mice over 2 years of age. In this regard, serum anti-CT-B IgG Ab responses in 1-year-old mice were comparable to those of young adult mice, even though anti-OVA IgG Ab responses were essentially absent. Further, intact OVA-specific CD4+ T cell-proliferative responses were seen in 3 of 16 1-year-old mice used in this study. Although we cannot yet explain how intact OVA-specific T cell responses occur in the absence of anti-OVA IgG Ab responses, additional studies of cytokine synthesis by these T cells, as well as of costimulatory molecule expression and B cell characterization in 1-year-old mice is underway in our laboratory. Our previous study showed that CD40 ligand-deficient mice immunized s.c. with OVA and CFA revealed significantly elevated OVA-specific CD4+ T cell-proliferative but not Ab responses (34). Furthermore, a recent study indicated that CT enhanced CD86 expression on APCs and these effects were not influenced by CD40-CD40 ligand interactions (35). These results suggest that age-associated alterations in CD40 ligand expression by splenic CD4+ T cells may occur in 1-year-old mice. Based upon the present study, we suggest that the parenteral immune system in 1-year-old mice may be in a transitional stage between normal and age-associated deficiency. Thus, Ab responses to the weak Ag OVA, which always requires an adjuvant for the induction of immunity was impaired in 1-year-old mice; however, CT, a potent Ag, induced normal immune responses in these mice. Indeed, the majority of past studies have used 24-mo-old mice to investigate age-associated dysregulation in T and B cell immunity. Another possible explanation for the unique pattern of parenteral immune responses in 1-year-old mice is that the adjuvant activity of CT may be lost; however, the molecule may retain full antigenicity. Thus, 1-year-old mice may be an ideal model to investigate the cellular and molecular mechanisms for CT adjuvanticity when compared with immunogenicity.

In contrast, mucosal immune responses including both OVA- and CT-B-specific Ab and cytokine responses induced by oral OVA and CT in 1-year-old mice were markedly reduced and were comparable to those seen in 2-year-old mice. In addition, systemic immune responses were also diminished in 1-year-old mice given oral OVA and CT. When one considers the common mucosal immune system, mucosal inductive sites such as the PP play a central role in the induction of Ag-specific immune responses in both mucosal and systemic tissues. Thus, the decreased IgG Ab responses in 1-year-old mice immunized with oral OVA plus CT may simply be due to the impaired mucosal immune system in these mice. To support this, systemic immunization resulted in intact OVA-specific T cell responses as well as CT-B-specific Ab responses in 1-year-old mice. These results indicate age-associated alterations arise in the mucosal immune system earlier than in the parenteral immune compartment.

The central importance of the mucosal immune system as a first line of defense against numerous pathogens has been well established. For example, pathogens that are encountered after ingestion or inhalation may subsequently colonize the gastrointestinal or upper respiratory tracts (1, 2). Both oral and nasal immunizations have been shown to effectively induce mucosal immune responses at the mucosal barrier itself (1, 2). We feel that our findings presented in this report may be of importance in efforts to develop effective mucosal vaccines for the elderly. For example vaccines to prevent influenza and Streptococcus pneumoniae pulmonary pneumonia are less effective in the elderly. Thus, one may postulate that induction of mucosal immunity in middle-aged as well as aged individuals would be difficult to achieve and may explain vaccine failures. In addition, innate immunity also plays important roles in host defense as well as maintaining immune homeostasis. Because adoptive immunity is impaired in aged mice, it is possible that the innate immune system such as natural IgA Ab responses may provide compensatory functions for protection. Indeed, our results showed that total mucosal IgA Ab levels were normal in aged mice. The exact mechanisms which resulted in enhanced innate and diminished adoptive immunity in aged mice are currently under investigation in our laboratory by using recombinant Salmonella expressing OVA or the Tox C fragment of tetanus toxin as a mucosal Ag delivery system. Furthermore, oral tolerance is an important host mechanism to maintain immune homeostasis against normal flora Ags as well as environmental Ags. Thus, our current efforts are also focused on elucidation of the precise cellular and molecular mechanisms that regulate oral tolerance in aged mice.

Because our results showed that CD4+ T cells from aged mice exhibited lower proliferative responses than those taken from young adult mice, it is possible that the age-associated reductions in Ag-specific Ab and T cell-proliferative responses could involve an alteration in responsiveness to T cell growth factors such as IL-2. Indeed, a reduced frequency of IL-2-producing CD4+ T cells and a low IL-2 receptor expression by this T cell population (28, 29) are one result of aging. Mucosal IL-2 treatment may allow us to overcome age-impaired mucosal immune responses by enhancing mucosal immunity or abrogating unresponsiveness in aged mice. Our previous study showed that oral or nasal administration of rIL-12 successfully converted Th2-type responses induced by OVA and CT to Th1-type responses with intact mucosal IgA Abs (36, 37). Furthermore, recent work showed that the effects of aging on IL-2 production can be abrogated by exogenous IL-2 delivery (38). Thus, it is possible that pretreatment of mice with mucosal rIL-2 could induce Ag-specific mucosal IgA and IgG responses in aged mice immunized orally with OVA and CT. Studies to address this possibility are currently underway in our group.

With regard to IL-4 synthesis, it has been reported that anti-CD3 mAb-stimulated CD4+ T cells elicited higher levels of IL-4 synthesis in senescent than in young adult mice (39, 40, 41, 42). Indeed, spontaneous IL-4 production by CD4+ T cells from PP of 1-year-old mice was higher than for PP CD4+ T cells from young adult mice (aged mice, 510.5 ± 220.8 pg/ml vs young mice, 344.9 ± 98.1 pg/ml); however, these differences were not statistically significant. In contrast to these findings, cytokine analyses at both the protein and mRNA levels revealed low or no IL-4 production by Ag-stimulated CD4+ T cells from either PP or spleen of aged mice. The discrepancies between our results and those of others can be explained simply by the lack of Ag-specific memory CD4+ T cell induction in aged mice. The polyclonal stimulation signals such as anti-CD3 or the combination of anti-CD3 and anti-CD28 could be of sufficient potency to trigger CD45RBlow and CD44high, CD4+ memory T cells, the major T cell population occurring in senescence, to produce IL-4. In contrast, Ag-induced IL-4 synthesis may require the generation of effector memory cells from naive CD4+ T cells, a pathway which appears to be defective in aged mice (38). Thus, low levels of Ag-specific IgA and IgG Ab responses in aged mice immunized orally with OVA and CT may be explained by a lack of these Th2-type cytokine-producing cells. To support this contention, it was shown that impaired mucosal IgA Ab responses were detected in IL-4-deficient mice immunized with protein Ag and CT as mucosal adjuvant (32, 43). Further, it has been shown that both IL-4 and IL-5 are important B cell stimulating and growth factors (44, 45).

The presence of a high frequency of {gamma}{delta} T cells in the epithelium of the intestine is one of the unique characteristics of the mucosal immune system (46, 47). It was shown that a reduced frequency of intraepithelial {gamma}{delta} T cells occurs in the small intestine of senescent mice (48). We have also confirmed this finding in 1-year-old mice using flow cytometry and histological analysis (data not shown). Previous studies showed that intraepithelial {gamma}{delta} T cells were essential for the maintenance of the biological functions of intestinal epithelial cells (49). Thus, a reduced frequency of intraepithelial {gamma}{delta} T cells may result in leakage of LP Abs into the lumen of the small intestine. Indeed, elevated levels of total IgG were seen in fecal extracts of aged mice. Our previous study has further shown that these {gamma}{delta} T cells play an important role in the induction and regulation of mucosal IgA responses (20). For example, TCR{delta}-deficient mice, which lack {gamma}{delta} T cells, exhibit impaired levels of both total and Ag-specific IgA Ab responses when immunized orally with TT and CT (20). Thus, a low frequency of {gamma}{delta} T cells in the epithelium of aged mice may partially explain why impaired mucosal IgA Ab responses are seen. To directly test this idea, we are currently investigating mucosal immune responses in senescent TCR{delta} knockout mice as well as in anti-{gamma}{delta} mAb-treated, aged mice.

In summary, the present study has shown impaired mucosal B and T cell immunity for Ag-specific Ab and CD4+ T cell responses at the protein, cellular, and molecular levels. Our results are especially important in that they show that age-associated alterations possibly arise first in the mucosal immune system. To provide improved immunity in the elderly against various infectious diseases, it will be essential to elucidate the precise cellular and molecular mechanisms at work in the senescent mucosal immune system.


    Acknowledgments
 
We thank Dr. Katsuiku Hirokawa at Tokyo Medical and Dental University for providing 2-year-old mice. We thank Dr. Kimberly McGhee for editorial advice and Sheila D. Turner for preparing the manuscript.


    Footnotes
 
1 This research was supported by National Institutes of Health Grants DE 12242, DE 09837, AI 35932, AI 18958, AI 43197, DK 44240, AI 65298, and AI 65299. Back

2 Address correspondence and reprint requests to Dr. Kohtaro Fujihashi, Department of Oral Biology, Immunobiology Vaccine Center, University of Alabama, Medical Center, BBRB 761, Birmingham, AL 35294-2170. Back

3 Abbreviations used in this paper: CT, cholera toxin; TT, tetanus toxoid; PP, Peyer’s patches; LP, lamina propria; AFC, Ab-forming cell; ELISPOT, enzyme-linked immunospot; CT-B, CT B subunit. Back

Received for publication June 28, 2000. Accepted for publication August 9, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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