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The Journal of Immunology, 2001, 166: 7381-7388.
Copyright © 2001 by The American Association of Immunologists

Fc Receptor-Mediated Phagocytosis Makes a Significant Contribution to Clearance of Influenza Virus Infections1

Victor C. Huber*, Joyce M. Lynch*, Doris J. Bucher{dagger}, Jianhua Le{dagger} and Dennis W. Metzger2,*

* Center for Immunology and Microbial Disease, Albany Medical College, Albany, NY 12208; and {dagger} Department of Microbiology and Immunology, New York Medical College, Valhalla, NY 10595


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Fc receptors for IgG expressed on macrophages and NK cells are important mediators of opsonophagocytosis and Ab-dependent cell-mediated cytotoxicity. Phagocyte-mediated opsonophagocytosis is pivotal for protection against bacteria, but its importance in recovery from infection with intracellular pathogens is unclear. We have now investigated the role of opsonophagocytosis in protection against lethal influenza virus infection by using FcR {gamma}-/- mice. Absence of the FcR {gamma}-chain did not affect the expression of IFN-{gamma} and IL-10 in the lungs and spleens after intranasal immunization with an influenza subunit vaccine. Titers of serum and respiratory Abs of the IgM, IgG1, IgG2a, and IgA isotypes in FcR {gamma}-/- mice were similar to levels seen in FcR {gamma}+/+ mice. Nevertheless, FcR {gamma}-/- mice were highly susceptible to influenza infection, even in the presence of anti-influenza Abs from immune FcR {gamma}+/+ mice. NK cells were not necessary for the observed Ab-mediated viral clearance, but macrophages were found to be capable of actively ingesting opsonized virus particles. We conclude that Fc receptor-mediated phagocytosis plays a pivotal role in clearance of respiratory virus infections.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
It is believed that humoral immunity is required for the prevention of influenza infection through neutralization of free infective particles (1, 2), whereas cell-mediated immunity involving cytotoxic T cells is primarily responsible for lysis of virally infected cells and recovery from infection (3, 4, 5, 6, 7). However, recent studies have indicated that both T helper cells (8) and B cells (9, 10, 11) have important roles in recovery from influenza infection. Previously, we showed that intranasal (i.n.)3 immunization of mice in the presence of IL-12 induced large amounts of respiratory IgG2a Ab and led to significant protection from lethal influenza virus challenge (12). The production of IgG2a appears to be pivotal in anti-viral immunity, as evidenced by the fact that monoclonal IgG2a Abs protect mice from both influenza (13) and Ebola (14) infections. Although neutralization of viral particles is believed to be the primary function of Abs in anti-viral immunity (15, 16, 17, 18, 19, 20), it is also known that IgG2a is the most efficient isotype at fixing complement (21) and binding to Fc receptors on macrophages (22, 23) and NK cells (24).

The development of mice with genetic disruptions in Fc receptor expression has allowed detailed study of the importance of these receptors in the clearance of infections (25). One Fc receptor knockout mouse that has been developed lacks the common {gamma}-chain signaling molecule (26) shared by two Fc receptors that interact with IgG (Fc{gamma}RI and Fc{gamma}RIII), as well as the high affinity Fc receptor for IgE (Fc{epsilon}RI) (27). Previous studies have shown that FCR {gamma}-/- mice lack opsonophagocytosis and Ab-dependent cell-mediated cytotoxicity (ADCC) (26), and have increased susceptibility to fungal (28) and bacterial (25) infections. However, the role of Fc receptors in the clearance of viral infections has not yet been characterized.

In this study, we describe a novel role for Fc receptors in protection against influenza virus challenge. Upon i.n. immunization with influenza vaccine, FcR {gamma}-/- and FcR {gamma}+/+ mice produced equivalent levels of cytokines and specific Abs, yet FcR {gamma}-/- mice were significantly more susceptible to influenza infection than FcR {gamma}+/+ mice. The role of FcR-bearing cells in protection was investigated using mice that are transgenic for human CD3{epsilon} and thus lack functional NK cells (29), and by using an in vitro opsonophagocytosis assay with Ab-coated influenza virus and the J774A.1 macrophage cell line. The results are discussed in relation to the role of Fc receptors and macrophages in mucosal immunity to influenza virus.


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

Adult (4–8 wk old) BALB/c mice with a genetic disruption in expression of the FcR {gamma}-chain (26) were obtained from Taconic Farms (Germantown, NY). Age-matched FcR {gamma}+/+ BALB/c controls were purchased from Charles River Breeding Laboratories (Raleigh, NC) through the National Cancer Institute (Bethesda, MD). Adult (C57BL/6J x CBA/J)F1 mice transgenic for the human CD3{epsilon} signaling subunit (29) and nontransgenic controls were obtained from The Jackson Laboratory (Bar Harbor, ME). All experiments were performed in accordance with guidelines established by the Institutional Animal Care and Use Committee at Albany Medical College (Albany, NY).

i.n. immunization

Immunizations were performed as described previously (12). Briefly, mice were anesthetized by i.p. injection of 80 mg kg-1 Ketamine HCl (Fort Dodge Laboratories, Fort Dodge, IA) and 16 mg kg-1 Xylazine (Phoenix Pharmaceuticals, St. Joseph, MO) diluted in PBS to a final volume of 200 µl per mouse. The anesthetized mice were inoculated i.n. with 5 µg of an influenza A/PR/8/34 protein preparation containing hemagglutinin subtype 1 (H1) and neuraminidase subtype 1 (N1). In addition, mice were inoculated i.n. with 1 µg recombinant murine IL-12 using 1% (v/v) normal mouse serum in PBS (1% NMS-PBS) as a vehicle. The total volume used for i.n. immunization was 50 µl per mouse. Recombinant murine IL-12 was provided by V. H. Van Cleave (Genetics Institute, Cambridge, MA).

Cytokine measurements

Mice were sacrificed by Halothane (Halocarbon Laboratories, River Edge, NJ) inhalation 24 h after immunization, and RNA from spleens and lungs was prepared using the Ambion Total RNA Isolation Kit (Ambion, Austin, TX). Two microliters cDNA prepared using the Life Technologies (Grand Island, NY) reverse transcription kit were analyzed for IFN-{gamma} and IL-10 by real-time PCR with a Perkin-Elmer (Branchburg, NJ) ABI Prism 7700 Sequence Detection System and the TaqMan PCR Reagent Kit. Amplification was performed using the primers, probes, and conditions described previously (30). Primer (300 nM) and 200 nM probe were used. Primers and probes were mixed with 3.5 mM MgCl2, 200 µM dATP, 200 µM dCTP, 200 µM dGTP, 400 µM dUTP, 0.025 U µl-1 AmpliTaq Gold Taq polymerase, and 0.01 U µl-1 AmpErase Uracil N-glycosylase in buffer to a final volume of 25 µl. Before amplification, samples were heated to 50°C for 2 min followed by 95°C for 10 min. The samples were then subjected to 45 cycles at 95°C for 15 s and 60°C for 1 min. The samples were quantitated using known concentrations of plasmid DNA encoding murine IFN-{gamma} and IL-10 (provided by R. M. Locksley, University of California at San Francisco) (31). Differences in cytokine expression between groups of mice were analyzed using Student’s t test with statistical significance reported as p < 0.05.

Bronchoalveolar lavage (BAL) fluid Ab analysis

Anesthetized mice were inoculated i.n. with 5 µg of H1N1 on day 0 and with either 1 µg recombinant murine IL-12 in 1% NMS-PBS or 1% NMS-PBS alone on days 0, 1, 2, and 3. The total volume used for each daily i.n. inoculation was 50 µl per mouse. Mice were then boosted i.n. with 3 µg H1N1 on days 14 and 28. Mice initially receiving IL-12 were given another 1-µg dose of IL-12 i.n. on day 28. On day 35, mice were sacrificed by inhalation of Halothane, and their lungs were immediately washed with 2 ml PBS containing 5 mM EDTA. Blood contamination was tested in the BAL fluid using Albustix (sensitivity of 150 µg ml-1) (Bayer, Elkhart, IN), and those BAL fluid samples with measurable levels of albumin were discarded. BAL fluid was stored at -80°C after centrifugation at 12,000 x g for 5 min to remove cellular debris.

Anti-H1N1 Abs were analyzed using isotype-specific ELISAs (12). Briefly, 96-well microtiter plates (Nalge Nunc, Rochester, NY) were coated by incubation with 1 µg ml-1 A/PR/8/34 virus (Charles River, North Frankin, CT) in PBS overnight at 4°C. The plates were washed with PBS containing 0.3% (v/v) Brij-35 (Sigma, St. Louis, MO) and then blocked with PBS containing 5% (v/v) FBS (HyClone, Logan, UT) and 0.3% (v/v) Brij-35 for 1 h at room temperature. Two-fold serial dilutions of BAL fluids were added to the plates and incubated overnight at 4°C. After washing, alkaline phosphatase-conjugated goat anti-mouse isotype-specific Abs (Southern Biotechnology Associates, Birmingham, AL) were added to the plates and incubated for 1 h at room temperature. p-nitrophenyl phosphate substrate (Sigma) was added to the plates, and OD at 405 nm was measured using a Bio-Tek Microplate Autoreader (Bio-Tek Instruments, Winooski, VT). The reciprocal BAL dilution corresponding to 50% maximal binding was reported as the titer. Titer values for each group were compared for statistical significance using Student’s t test. Significant differences are reported as p < 0.05.

Serum Ab analysis

Mice were immunized i.n. with H1N1 and boosted on days 14 and 28 as described above. On day 35, serum obtained by bleeding mice from the orbital plexus was analyzed by the same ELISA used to measure BAL Ab levels. Titer values were compared for statistical significance using Student’s t test, with significant differences reported as p < 0.05.

Influenza virus challenge

Anesthetized mice were immunized i.n. with 5 µg H1N1 on day 0 and treated with either 1 µg IL-12 in 1% NMS-PBS or 1% NMS-PBS alone on days 0, 1, 2, and 3. Approximately 30 days later, these mice were challenged i.n. with 1 x 103 PFU A/PR/8/34 influenza virus in a volume of 40 µl. Mice were then monitored daily for survival and weight loss. A loss of 33% of initial body weight was considered lethal, and mice that reached this point were sacrificed by i.p. injection of 100 mg kg-1 Pentobarbital.

Passive transfer of serum

Sera obtained from mice 35 days after immunization were pooled and adjusted to a standard total Ab titer of 7.4 x 104 ml-1 in PBS. This serum pool was then injected i.p. in a 200-µl volume into naive mice. Four hours later, the mice were anesthetized and challenged i.n. with 2.7 x 102 PFU A/PR/8/34 virus as described above. Mice were monitored daily for survival and weight loss.

Cell culture conditions

The BALB/c macrophage cell line J774A.1 was obtained from the American Type Culture Collection (Manassas, VA). Cells were propagated in DMEM with 4500 mg L-1 glucose, 110 mg L-1 sodium pyruvate HCl, and NaHCO3 (Sigma). In addition, the medium was supplemented with 10% (v/v) FBS, 4 mM L-glutamine (Life Technologies), 1 mM sodium pyruvate (Life Technologies), and 10 µg ml-1 gentamicin (Sigma).

Opsonophagocytosis assay

A/PR/8/34 influenza virus was labeled with FITC (Sigma) as described previously (32). Briefly, 1 ml of concentrated virus (~1 x 109 PFU) was mixed with 100 µl of a 1 mg ml-1 solution of FITC in 1 M sodium carbonate (pH 9.6) for 1 h at 37°C. This mixture was then dialyzed against PBS for 18 h at 4°C. Opsonophagocytosis of FITC-labeled influenza was analyzed by a modification of a previously described technique (33). Serum samples containing an Ab titer of 1.4 x 103 in 20 µl were mixed with 10 µl FITC-labeled virus at 37°C for 30 min. J774A.1 cells (1 x 106) were then incubated with the opsonized A/PR/8/34 virus for 30 min at 37°C. Extracellular fluorescence was quenched with 20 µl of a 0.2 mg ml-1 solution of trypan blue, and fluorescence was measured using a BD Biosciences (San Diego, CA) FACSCalibur flow cytometer. In some instances, cells were photographed using an Olympus (Melville, NY) fluorescence microscope with an Optronics (Goleta, CA) digital camera and software.

Depletion of total Ig was performed using Sepharose beads (Sigma) coated with goat anti-mouse total Ig (Southern Biotechnology Associates). Goat anti-mouse Ig was bound to Sepharose beads as described (34). Briefly, 1 mg goat anti-mouse total Ig was mixed with cyanogen bromide-activated Sepharose beads at pH 3. After blocking unbound sites with 1 M ethanolamine (Sigma), serum samples were mixed with the coated beads overnight at 4°C and supernatants were collected. Depletion of total and specific Ig from serum was confirmed by ELISA.

Confocal microscopy

Following incubation with FITC-labeled virus particles and quenching of extracellular fluorescence with trypan blue as described above, J774A.1 cells were washed with PBS and placed onto a poly-L-lysine-coated coverslip. Images of optical sections, taken at 0.3-µm intervals in the z-direction, were collected on a Nikon Diaphot inverted microscope (Melville, NY) attached to a Noran-Oz laser scanning confocal microscope system (Noran Instruments, Middleton, WI). Maximum intensity projection fluorescence images, fluorescence images of a single optical slice, and transmitted light images were generated using the Noran Intervision 3D and 2D software packages, respectively.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cytokine expression in the lungs and spleens of immunized FcR {gamma}-/- and FcR {gamma}+/+ mice

Cytokine mRNA levels were quantitated in the lungs and spleens of mice 24 h after i.n. immunization with H1N1, either alone or with IL-12 as an adjuvant. After immunization with the vaccine alone, low levels of IFN-{gamma} and IL-10 were detected in the lungs and the spleens (Table IGo), with no significant differences between FcR {gamma}-/- and FcR {gamma}+/+ mice. As previously described (12), IL-12 codelivery with the vaccine led to significant increases (p < 0.05) in both IFN-{gamma} and IL-10 levels in the lungs and the spleens of FcR {gamma}+/+ mice. Similar increases in cytokine expression were observed in FcR {gamma}-/- mice after vaccine and IL-12 coadministration.


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Table I. Cytokine responses in lungs and spleens of FcR {gamma}-/- and FcR {gamma}+/+ mice1

 
Systemic and respiratory anti-influenza Ab responses in FcR {gamma}-/- and FcR {gamma}+/+ mice

After immunization with the H1N1 vaccine in the presence or absence of IL-12, sera, and BAL fluids were analyzed for IgM, IgG1, IgG2a, IgA, and total influenza-specific Ab. After i.n. inoculation of vaccine only, mice showed dominant expression of IgA in the BAL fluid (Fig. 1Go), whereas IgM, IgG1, and IgA dominated in the serum (Fig. 2Go). After codelivery of IL-12, IgM, and IgG2a expression was increased in mucosal secretions, whereas IgG2a was the only Ab isotype showing increased expression in serum. With the exception of serum IgM levels, no significant differences between FcR {gamma}-/- and FcR {gamma}+/+ mice were observed. Influenza-specific IgG2b and IgG3 levels were also measured, and no significant differences were seen between the two groups (data not shown).



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FIGURE 1. Respiratory Ab responses in FcR {gamma}-/- and FcR {gamma}+/+ mice. Titer values are reported as the reciprocal BAL dilution corresponding to 50% maximal binding on the titration curve. Each symbol represents the titer value for an individual mouse, with the line representing the mean titer value for the group. Each FcR {gamma}+/+ group consisted of four mice, whereas each FcR {gamma}-/- group contained six mice. *, p < 0.05 compared with mice receiving H1N1 alone.

 


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FIGURE 2. Serum Ab responses in FcR {gamma}-/- and FcR {gamma}+/+ mice. Titer values are reported as the reciprocal serum dilution corresponding to 50% maximal binding on the titration curve. Each symbol represents the titer value for an individual mouse, with the line representing the mean titer value for the group. Each FcR {gamma}+/+ group consisted of four mice, whereas each FcR {gamma}-/- group contained six mice. *, p < 0.05 compared with mice receiving H1N1 alone. **, p < 0.05 compared with FcR {gamma}+/+ mice.

 
Susceptibility of FcR {gamma}-/- and FcR {gamma}+/+ mice to influenza infection

FcR {gamma}-/- and FcR {gamma}+/+ mice were infected with 1 x 103 PFU A/PR/8/34 influenza virus either after no pretreatment or 30 days after exposure to a single dose of the influenza subunit vaccine ± IL-12. In the group of mice that received no vaccine, FcR {gamma}-/- mice were somewhat more susceptible to infection than FcR {gamma}+/+ mice (9.9 ± 1.5 days mean survival for FcR {gamma}-/- mice compared with 11.6 ± 0.5 days mean survival for FcR {gamma}+/+ mice) (Fig. 3GoA). However, the difference in susceptibility was significantly greater after i.n. immunization with the H1N1 vaccine, with 13.3 ± 5.0 days and 25% survival among FcR {gamma}-/- mice compared with 17.0 ± 5.6 days with 63% survival among FcR {gamma}+/+ mice (Fig. 3GoB). Codelivery of IL-12 with vaccine enhanced protection in FcR {gamma}+/+ mice (19.9 ± 3.2 days with 88% survival), as seen previously (12), but failed to have any effect in FcR {gamma}-/- mice (12.4 ± 5.7 days with 25% survival) (Fig. 3GoC). Weight loss, expressed as a percentage of the initial body weight, was measured as a sign of morbidity (Fig. 4Go). In all instances, mice lost weight until approximately day 10, at which point the mice that survived recovered to preinfection levels.



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FIGURE 3. Survival of FcR {gamma}-/- and FcR {gamma}+/+ mice after influenza virus challenge. Mice were challenged with infectious A/PR/8/34 virus after either no pretreatment (A) or after immunization with H1N1 (B) or H1N1 + IL-12 (C). Each group contained eight mice.

 


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FIGURE 4. Weight loss by FcR {gamma}-/- and FcR {gamma}+/+ mice after influenza virus challenge. Mice were challenged with infectious A/PR/8/34 virus after either no pretreatment (A) or after immunization with H1N1 (B) or H1N1 + IL-12 (C). Each group contained eight mice.

 
Protective effects of passively transferred immune serum in FcR {gamma} -/- and FcR {gamma}+/+ mice

Sera obtained from FcR {gamma}-/- and FcR {gamma}+/+ BALB/c mice after immunization with H1N1 and IL-12 were pooled, adjusted to a total Ab titer of 7.4 x 104 ml-1, and transferred i.p. into naive mice. Four hours later, the recipients were challenged i.n. with 2.7 x 102 PFU A/PR/8/34 virus. The dose of virus chosen for infection was an amount that allowed differences in protective efficacy to be optimally detectable (~63% survival among naive FcR {gamma}+/+ BALB/c mice after delivery of immune serum). As expected, normal serum from unimmunized mice failed to protect FcR {gamma}+/+ mice regardless of whether the serum was derived from FcR {gamma}+/+ mice (9.1 ± 1.1 days with 0% survival) (Fig. 5GoA) or FcR {gamma} -/- mice (9.1 ± 0.8 days with 0% survival) (Fig. 5GoB). Immune serum from FcR {gamma}+/+ mice protected FcR {gamma}+/+ mice to the expected level (16.9 ± 6.0 days with 63% survival), but had significantly reduced efficacy in FcR {gamma}-/- mice (11.6 ± 4.0 days with 13% survival) (Fig. 5GoC). Similarly, immune serum from FcR {gamma}-/- mice protected FcR {gamma}+/+ mice (18.0 ± 4.2 days with 63% survival), but not FcR {gamma}-/- mice (11.0 ± 1.5 days with 0% survival) (Fig. 5GoD). Again, weight loss was monitored (Fig. 6Go), and mice lost weight until approximately day 11, at which time the mice that survived the infection began to regain weight. These results show that FcR {gamma}-/- mice are fully capable of producing protective Abs, yet are significantly more susceptible to influenza, likely due to a failure to effectively clear the infection through the action of Fc receptor-bearing cells.



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FIGURE 5. Survival of FcR {gamma}-/- and FcR {gamma}+/+ mice after passive transfer of serum. Mice were challenged with A/PR/8/34 virus 4 h after i.p. transfer of serum from either unimmunized mice (A and B) or from mice immunized with H1N1 + IL-12 (C and D). Each group contained eight mice.

 


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FIGURE 6. Weight loss by FcR {gamma}-/- and FcR {gamma}+/+ mice after passive transfer of serum. Mice were challenged with A/PR/8/34 virus 4 h after i.p. transfer of serum from either unimmunized mice (A and B) or from mice immunized with H1N1 + IL-12 (C and D). Each group contained eight mice.

 
Protective effects of passively transferred immune serum in CD3{epsilon}-transgenic mice

To determine the potential role of ADCC mediated by NK cells in the observed protective effects, passive transfer experiments were performed with CD3{epsilon} mice, which lack both NK and T cells (29). Serum was obtained from FcR {gamma}+/+ BALB/c mice after immunization with H1N1 and IL-12, and passively transferred into naive CD3{epsilon} mice that were subsequently challenged as described above. As expected, normal serum from unimmunized mice failed to protect either wild-type or CD3{epsilon} mice (11.3 ± 0.5 days with 0% survival for wild-type mice and 11.3 ± 0.8 with 0% survival for CD3{epsilon} mice) (Fig. 7GoA). In addition, transfer of immune serum protected both wild-type and CD3{epsilon} mice and resulted in 100% survival of each strain through day 17 of the influenza infection (Fig. 7GoB). The ability of CD3{epsilon} mice to survive an influenza infection after passive transfer of serum demonstrates that neither NK nor T cells play an important role in Ab-mediated recovery from infection.



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FIGURE 7. Survival of CD3{epsilon}-transgenic mice and wild-type controls after passive transfer of serum. Mice were challenged with A/PR/8/34 virus 4 h after i.p. transfer of serum from either unimmunized mice (A) or from mice immunized with H1N1 + IL-12 (B). Each wild-type control group contained eight mice, whereas each CD3{epsilon}-transgenic group contained seven mice.

 
Opsonophagocytosis of influenza virus by murine macrophages

An opsonophagocytosis assay was next used to measure the ability of macrophages to ingest opsonized influenza virus particles. Ab-coated, FITC-labeled A/PR/8/34 virus particles were mixed with 1 x 106 J774A.1 BALB/c cells, and the cells were analyzed by flow cytometry. Use of serum from H1N1 + IL-12-immunized mice resulted in an approximate 10-fold shift in the mean fluorescence intensity compared with normal mouse serum (Fig. 8GoA). Visualization of the cells by fluorescence microscopy (Fig. 8GoB) showed more viral uptake by cells after incubation of virus with serum from H1N1 + IL-12-immunized mice.



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FIGURE 8. Analysis of J774A.1 cells after exposure to FITC-labeled A/PR/8/34 influenza virus. Flow cytometric (A) and fluorescence microscopic (B) analysis of J774A.1 cells exposed to virus incubated with serum either from unimmunized mice or from mice immunized with H1N1 + IL-12. Additional flow cytometry results using Ig-depleted sera are shown in C and are representative of three independent experiments. Absorption of serum with Sepharose beads coated with normal goat Ig did not reduce opsonophagocytic activity (data not shown).

 
Three independent experiments revealed that serum from H1N1-immunized mice increased mean fluorescence intensity values compared with nonimmune serum (Fig. 8GoC), and that the inclusion of IL-12 in the immunization regimen noticeably increased the resulting efficacy of macrophage opsonophagocytosis. Depletion of total mouse Ig from immune serum reduced the ability of the preparation to mediate opsonophagocytosis to the level observed with normal mouse serum, showing that Abs were responsible for the observed uptake of influenza virus. Blocking of Fc{gamma}RII and Fc{gamma}RIII on the J774A.1 cells with 2.4G2 mAb before exposure to the opsonized virus did not reduce opsonophagocytic activity (data not shown), suggesting the importance of Fc{gamma}RI in the observed phagocytosis of virus. Confocal microscopy (Fig. 9Go) was used to confirm that Ab-coated viral particles were internalized by the cells. Additional experiments showed that peritoneal macrophages from FcR {gamma}-/- mice were not able to phagocytose virus as efficiently as FcR {gamma}+/+ macrophages, as expected (data not shown).



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FIGURE 9. Analysis of J774A.1 cells by confocal microscopy. Transmitted light (A), fluorescence of an entire z-series (B), and a single optical section taken at ~2.1 µm from the bottom of the coverslip (C) are shown for J774A.1 cells exposed to Ab-coated virus.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
After i.n. immunization with an influenza subunit vaccine, FcR {gamma}-/- and FcR {gamma}+/+ mice showed similar cytokine and Ab responses, but FcR {gamma}-/- mice were significantly more susceptible to influenza infection than FcR {gamma}+/+ mice. IL-12 codelivery with the vaccine enhanced protection in FcR {gamma}+/+ mice, but did not affect survival of FcR {gamma}-/- mice. Passive transfer of immune serum into naive FcR {gamma}-/- and FcR {gamma}+/+ mice directly demonstrated the crucial role for host Fc receptors in protection of mice from influenza infection. Furthermore, passive transfer of serum into mice lacking T and NK cells demonstrated a lack of involvement of NK cell-mediated ADCC reactions in the observed viral clearance. A viral opsonophagocytosis assay revealed that macrophages ingest opsonized influenza virus. These findings implicate a pivotal role for phagocytosis in the clearance of influenza virus.

Although there was variability in IFN-{gamma} expression in the spleens of FcR {gamma}+/+ mice and the lungs of FcR {gamma}-/- mice after i.n. vaccination and IL-12 treatment, there were no statistically significant differences between the groups. There was also no significant difference in IL-10 expression between FcR {gamma}-/- and FcR {gamma}+/+ mice regardless of whether they received the vaccine alone or the vaccine with IL-12. The increase in IL-10 copy number observed after IL-12 treatment has been previously seen in our laboratory (12, 35) and others (36, 37, 38), and is believed to be important for down-regulating IFN-{gamma} levels, thus reducing potential toxicity (39).

A study by Vora et al. (40) demonstrated that FcR {gamma}-/- mice respond the same as FcR {gamma}+/+ mice with regard to anti-(4-hydroxy-3-nitrophenyl)acetyl serum Ab production. In general, anti-influenza Ab expression in both serum and BAL of FcR {gamma}-/- and FcR {gamma}+/+ mice in our experiments was similar, although FcR {gamma}-/- mice had significantly higher serum IgM expression and noticeably higher levels of serum IgG1 and total Ab after vaccination. Significant increases in IgG1 expression in the absence of the FcR {gamma}-chain have been reported by Kleinau et al. (41), but the reason for this increase is unknown. The mechanism behind the significant increase in serum IgM reported here is also unknown. Two of four FcR {gamma}+/+ mice receiving H1N1 in the absence of IL-12 displayed IgG2a Ab titers in their mucosal secretions. However, the IgG2a seen in these FcR {gamma}+/+ mice did not appear to mediate the difference in survival rates between FcR {gamma}-/- and FcR {gamma}+/+ mice because both types of mice given exogenous IL-12 together with the vaccine demonstrated equivalent IgG2a expression.

Although their cytokine and Ab responses were similar, challenge of immunized mice showed that FcR {gamma}-/- mice were more susceptible to influenza infection than FcR {gamma}+/+ mice. Codelivery of IL-12 with vaccine enhanced protection in FcR {gamma}+/+mice, consistent with previous results (12), but not in FcR {gamma}-/- mice. Furthermore, passive transfer of immune sera into naive mice revealed that both FcR {gamma}-/- and FcR {gamma}+/+ mice produced Abs that protected FcR {gamma}+/+, but not FcR {gamma}-/-, mice from influenza infection. The enhanced susceptibility of FcR {gamma}-/- mice demonstrates a critical role for Fc receptors in protection from influenza. In all instances, mice infected with influenza began losing weight shortly after infection. This weight loss continued for ~10 days, at which time the mice that survived infection regained weight. This suggests that all mice were initially infected with virus, and those animals with functional Fc receptor-bearing cells were able to efficiently clear the virus and survive the infection. It should be noted that the FcR {gamma}-/- mice used in this study still express the neonatal FcR, which uses {beta}2-microglobulin to transport IgG across epithelial cells (42). Thus, an inability to neutralize virus within epithelial cells cannot be an explanation for the observed susceptibility of FcR {gamma}-/- mice to viral infection.

The use of CD3{epsilon}-transgenic mice revealed that the observed protection was independent of T and NK cells. Although CD3{epsilon} mice receiving immune serum survived much longer than CD3{epsilon} mice receiving normal mouse serum, two of the seven CD3{epsilon} mice in the experimental group that received immune serum eventually died between days 18 and 21 of the experiment (our unpublished observations). These mice had measurable levels of influenza virus present in their lungs at death as determined by a hemagglutination assay. Thus, NK and/or T cells may be important for complete removal of virus. Nevertheless, it appears that opsonophagocytosis mediated by lung macrophages plays the major role in Ab-directed clearance of influenza virus.

Although Fc receptors and macrophages are known to be important for the clearance of bacterial and fungal infections (25, 28), there has been no direct evidence for their role in the clearance of viral infections. The data presented here demonstrate for the first time the need for Fc receptor-mediated clearance in antiviral immunity, and imply that macrophages are the crucial Fc receptor-bearing cells involved in this process. Because a large portion (up to 85%) of the cells present in BAL fluid can be alveolar macrophages (43), it is likely that these cells play a critical role in the clearance of viral infections at these sites.

Although it has been thought that CD8 cytotoxic T cells are primarily responsible for clearance of virus in infected hosts through lysis of infected cells (44), cytokines released by these cells are also likely to be responsible for their protective functions (45, 46, 47, 48, 49). Such cytokines may in turn cause activation of Fc receptor-bearing macrophages, which then mediate virus clearance (50, 51). In addition to their ability to ingest Ab-coated particles by opsonophagocytosis, macrophages also could potentially destroy infected cells by ADCC (52). Interestingly, B cells but not cytotoxic lymphocytes were recently found to be required for heterosubtypic immunity to influenza virus infection (53). Our findings have important implications for antiviral vaccination strategies and stress the need for the targeting of Ab responses at mucosal sites that preferentially stimulate Fc receptor-mediated host mechanisms.


    Acknowledgments
 
We thank Dr. Victor H. Van Cleave and Dr. Richard M. Locksley for their generous contributions of recombinant murine IL-12 and cytokine-expressing bacterial plasmids, respectively. In addition, we thank Dr. Joseph Mazurkiewicz and the Albany Medical College Imaging Facility for assistance with confocal microscopy.


    Footnotes
 
1 This research was supported by National Institutes of Health Grants AI41715 and HL62120. Back

2 Address correspondence and reprint requests to Dr. Dennis W. Metzger, Center for Immunology and Microbial Disease, Albany Medical College, 47 New Scotland Avenue, Albany, NY 12208. E-mail address: metzged{at}mail.amc.edu Back

3 Abbreviations used in this paper: i.n., intranasal; ADCC, Ab-dependent cell-mediated cytotoxicity; H1, hemagglutinin subtype 1; N1, neuraminidase subtype 1; 1% NMS-PBS, 1% (v/v) normal mouse serum in PBS; BAL, bronchoalveolar lavage. Back

Received for publication January 23, 2001. Accepted for publication April 10, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
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