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The Journal of Immunology, 2001, 166: 945-951.
Copyright © 2001 by The American Association of Immunologists

IL-18 Enhances IL-4 Production by Ligand-Activated NKT Lymphocytes: A Pro-Th2 Effect of IL-18 Exerted Through NKT Cells1

Maria C. Leite-de-Moraes2,*, Agathe Hameg{dagger}, Maria Pacilio*, Yasuhiko Koezuka{ddagger}, Masaru Taniguchi§, Luc Van Kaer, Elke Schneider*, Michel Dy* and André Herbelin{dagger}

* Centre National de la Recherche Scientifique, Unité Mixte de Recherche 8603, Université René Descartes, Paris V, Hôpital Necker, Paris, France; {dagger} Institut National de la Santé et de la Recherche Unité 25, Hôpital Necker, Paris, France; {ddagger} Pharmaceutical Research Laboratory, Kirin Brewery Co., Ltd., Gunma, Japan; § Core Research for Evolutional Science and Technology and Department of Molecular Immunology, Graduate School of Medicine, Chiba University, Chiba, Japan; and Howard Hughes Medical Institute, Vanderbilt University School of Medicine, Nashville, TN 37232


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
NKT cells are a remarkably versatile population whose functional capacities are determined by cytokines present in their microenvironment. In this study, we provide evidence for a new immunoregulatory effect of the proinflammatory cytokine IL-18 on NKT cells. We found that IL-18, mainly known for its involvement in NK cell activation and in Th 1 immune responses, substantially enhanced IL-4 production as well as the percentage of IL-4+ cells among NKT lymphocytes activated by their specific ligand {alpha}-galactosylceramide ({alpha}-GalCer). The effect of IL-18 on IL-4 production by activated NKT cells took place both in vivo and in vitro and was not affected by IL-12 which increased IFN-{gamma} secretion in the same conditions. We show that NKT cells are the main targets for IL-18-induced IL-4 production since it occurred neither in NKT-deficient mice nor after stimulation of Th2 lymphocytes. Finally, we provide evidence that the IL-4 promptly generated by NKT cells in response to IL-18 plus {alpha}-galactosylceramide in vivo can effectively contribute to the adaptive Th2 immune response by up-regulating the early activation marker CD69 on B cells. Our data support the notion that, in contrast to the exclusive IFN-{gamma} inducer IL-12, IL-18 acts in a more subtle manner as a costimulatory factor in both pro-Th1 and pro-Th2 responses depending on the nature of the stimulation and the target cells.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
Natural killer T cells are characterized by the expression of the NK1.1 surface marker and the usage of an invariant V{alpha}14-J{alpha}281 chain, preferentially associated with a V{beta}8.2 chain (1, 2). They are positively selected by the nonpolymorphic MHC class-I-like molecule CD1d and recognize CD1d-bound lipid ligands (1, 2, 3, 4). Because of the capacity of NKT lymphocytes to promptly produce IL-4 upon TCR engagement, it has been proposed that they participate in the differentiation of Th2 cells through this biological activity (5, 6, 7). Moreover, it has been recently reported that NKT cells, specifically activated by their cognate ligand {alpha}-galactosylceramide ({alpha}-GalCer),3 promote the acquisition of a Th2 phenotype (8, 9).

The functional capacities of NKT cells depend on the cytokines present in their microenvironment. In this line of evidence, we have demonstrated that IL-7 is requisite for their optimal production of IL-4 whereas IL-12, a proinflammatory cytokine, enhances their IFN-{gamma} production in response to TCR engagement, thus modifying the ratio of IL-4:IFN-{gamma} secreted by NKT cells (10, 11, 12, 13, 14). Furthermore, we have recently established that, in the absence of TCR cross-linking, IL-18, in association with IL-12, fully activates NKT lymphocytes to produce IFN-{gamma} and to kill target cells in a Fas ligand-dependent manner (15).

IL-18 or IFN-{gamma} inducing factor is a proinflammatory protein produced by activated monocytes and dendritic cells as an inactive precursor requiring cleavage by IL-1{beta}-converting enzyme/caspase 1 for its maturation (16, 17, 18). IL-18 has been shown to share some of the properties of IL-12, namely, its capacity to amplify IFN-{gamma} secretion by T, NK, and NKT cells (14, 15, 16). Moreover, IL-18 is capable of enhancing GM-CSF production, cytotoxic activity as well as Fas ligand expression, and exerts a significant antitumor effect (15, 19, 20, 21, 22). In accordance with this potentiating effect on cellular immune responses, it has been established that IL-18 synergizes in IL-12-driven Th1 development (23). Unexpectedly, it was recently reported that IL-18 injection can promote a preferential Th2 immune response in a murine model of diabetes autoimmune or of allergic asthma (24, 25).

Considering these findings and our evidence for the responsiveness of NKT cells to IL-18 (15), we investigated in the present study whether IL-18 could modify the early IL-4 and/or IFN-{gamma} production by ligand-activated NKT cells and what were the physiological implications of this biological activity.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
Animals and reagents

Six- to 8-wk-old wild-type and mutant (I-A{beta}-/-, CD1-/-, and J{alpha}281-/-) (26, 27, 28) C57BL/6 mice were bred in our own facilities. RPMI 1640 (Life Technologies, Grand Island, NY) supplemented with 10% heat-inactivated FCS (TechGen, Les Ulis, France), 100 IU/ml penicillin, 100 µg/ml streptomycin, 10 mM HEPES buffer (all from Life Technologies), and 5 x 10-5 M 2-ME was used as culture medium. Murine IL-4, IL-12, IL-18, and IFN-{gamma} were purchased from R&D Systems (Abingdon, U.K.). Anti-IL-4 mAbs (11B11 and BVD6-24G2.3 clones), anti-IFN-{gamma} mAbs (AN18 and R46A2 clones), anti-TCR{alpha}{beta} mAb (clone H57-597), and anti-CD3 mAb (clone 145-2C11) were purified in our laboratory. The BVD6-24G2.3 clone was obtained from DNAX (Palo Alto, CA). The following mAbs used for cell depletion were purified in our laboratory: CD8 (clone 53.67), B220 (clone RA3-6B2), and Mac1 (clone M1/70). Anti-CD4-PE (clone YTS 191.1), PE- or FITC-conjugated anti-CD8 (clone YTS 169.4), anti-CD3-FITC (500-A2), anti-TCR{alpha}{beta}-FITC (clone H57-597), anti-IL-4-PE (clone BVD-24G2), isotype controls, and streptavidin-PE (SAV-PE) were purchased from Caltag (Le Perray en Yvelines, France). Biotinylated anti-NK1.1 (clone PK136), anti-CD69 (clone H1.2F3), anti-CD4-APC (clone RM4-5), and streptavidin-Cy-Chrome (SAV-Cy-Chrome) were purchased from PharMingen (San Diego, CA); and anti-rat Ig-coated magnetic beads were obtained from Dynal (Compiègne, France).

Stimulation of TCR{alpha}{beta}+NK1.1+ lymphocytes

Freshly isolated thymocytes or splenocytes were enriched for CD4+ and CD4-CD8- T cells by depleting CD8, Mac1, and B220 cells labeled with the corresponding mAbs and with anti-rat Ig-coated magnetic beads. The enriched lymphocyte population was further incubated with anti-TCR{alpha}{beta} and anti-NK1.1 mAbs. Both TCR{alpha}{beta}+NK1.1+ and TCR{alpha}{beta}+NK1.1- cells were sorted using a FACSVantage sorter (Becton Dickinson, Mountain View, CA). Purity was >98% after reanalysis.

In some experiments, freshly isolated splenocytes were incubated for 45 min with anti-CD4-coated magnetic beads (Miltenyi Biotec, Bergisch-Gladbach, Germany) and positively sorted on a MACS-positive selection column. Enriched CD4+ splenocytes were further incubated with anti-NK1.1 and anti-CD4 mAb and CD4+NK1.1+ cells were sorted using a FACSVantage sorter. Purity was >98% after reanalysis.

Sorted lymphocytes were then stimulated at a concentration of 5 x 105 cells/ml with coated anti-CD3 mAb (10 µg/ml) or {alpha}-GalCer at 100 ng/ml (Kirin Brewery Co., Ltd., Gunma, Japan) (29) with 5 x 104 irradiated (20 Gy) autologous total spleen cells/ml with or without IL-18 (100 ng/ml). In some experiments, sorted NKT cells were stimulated with coated anti-CD3 mAb with or without IL-18 (100 ng/ml) or IL-12 (10 ng/ml) or both. Forty-eight hours later, supernatants were harvested and stored at -80°C until IL-4 and IFN-{gamma} assays. The remaining cells were resuspended in 200 µl of culture medium and pulsed for 18 h with 1 µCi of [3H]thymidine. Cells were then harvested, and thymidine uptake was assessed using a beta counter (LKB Wallac, St. Quentin-en Yvelines, France).

Flow cytometric analysis

Cells were stained in PBS containing 2% FCS and 0.01 M sodium azide and incubated for 30 min with appropriate dilutions of various mAbs coupled to biotin, PE, allophycocyanin, or fluorescein. When mAbs were biotinylated, SAV-PE or SAV-Cy-Chrome was used as a second step reagent. For intracellular IL-4 staining, stimulated TCR{alpha}{beta}+NK1.1+ cells were permeabilized and labeled as described previously (12). In some experiments, the cell cycle was analyzed using propidium iodide staining as previously described (30).

In another series of experiments, TCR{alpha}{beta}+NK1.1+ splenocytes were incubated with 0.5 µM CFSE (Molecular Probes, Leiden, The Netherlands) at 37°C for 5 min. Labeled cells were washed and then stimulated with coated anti-CD3 with or without IL-18 (100 ng/ml). After different periods of incubation, they were washed in PBS and analyzed for proliferation.

Dead cells were excluded on the basis of forward and side scatter. At least 104 live lymphoid cells were acquired in each run. Samples were analyzed on a FACScalibur (Becton Dickinson).

In vivo treatment

Mice received a single injection of 2 µg of {alpha}-GalCer (1 µg i.v. plus 1 µg i.p. or 2 µg i.v.) with or without 1 µg of IL-18 (i.v.) dissolved in PBS containing 0.025% polysolvate 20 or vehicle alone and were sacrificed at different time points. Sera were prepared and frozen until cytokine assays. Splenocytes were cultured at 5 x 106 cells/ml without further stimulation. Supernatants were collected 2 h later. In some experiments, mice were i.p. injected with 500 µg of anti-IL-4 mAb (11B11) or anti-IFN-{gamma} (R46A2) 24 and 1 h before treatment with {alpha}-GalCer (2 µg/mouse).

Th1 and Th2 differentiation

Purified CD4+ splenocytes from J{alpha}281-/- mice were stained for CD62L and CD44 markers. Naive CD44-CD62L+ cells were sorted and then stimulated at a concentration of 2 x 105 cells/ml in 24-well culture plates coated with anti-TCR{alpha}{beta} mAb plus IL-2 (50 U/ml) in the presence of IL-4 (25 ng/ml) or IL-12 (20 ng/ml). Four days later, cells were harvested, washed, and restimulated at a concentration of 105 cells/ml in 96-well microplates coated with anti-TCR{alpha}{beta} mAb in the presence of IL-7 (50 ng/ml), IL-18 (100 ng/ml), or medium alone. Supernatants were recovered 2 days later and IL-4 and IFN-{gamma} were measured.

IL-4 and IFN-{gamma} assays

IL-4 and IFN-{gamma} production was measured by ELISA as previously described (6, 14). Samples were tested in duplicate and the sensitivity of the ELISA was 40 pg/ml.

Statistics

Data were expressed as the means ± SD, and differences between means were evaluated using Student’s t test.


    Results and Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
IL-18 directly enhances IL-4 production by ligand-activated NKT lymphocytes in vitro

Our present study was designed to evaluate whether IL-18, a pro-Th1 cytokine, could influence the cytokine profile generated by NKT lymphocytes following an antigenic stimulation. For this purpose, we sorted CD4+NK1.1+ splenocytes from MHC class II-deficient (I-A{beta}-/-) C57BL/6 mice which are enriched for NKT cells (31) and evaluated the effect of IL-18 on the cytokine production by this subset in response to their specific Ag {alpha}-GalCer. Irradiated autologous total splenocytes were added as APCs because the presentation of {alpha}-GalCer to CD4+NK1.1+ lymphocytes requires CD1d molecules (32). Fig. 1GoA clearly shows that {alpha}-GalCer-induced IL-4 production by CD4+NK1.1+ splenocytes was enhanced in the presence of IL-18. In the same conditions, IFN-{gamma} secretion was likewise increased (Fig. 1GoB), whereas neither IL-4 nor IFN-{gamma} were detected upon stimulation with IL-18 alone (data not shown). These results indicate that IL-18 acts directly on CD4+NK1.1+ lymphocytes.



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FIGURE 1. Ligand-activated NKT cells produce higher levels of IL-4 and IFN-{gamma} in the presence of IL-18. Sorted CD4+NK1.1+ splenocytes (5 x 105 cells/ml) from I-A{beta}-/- mice were cultured with {alpha}-GalCer (100 ng/ml) in combination with 5 x 104 irradiated autologous spleen cells/ml in the presence or absence of IL-18 (100 ng/ml). Culture supernatants were harvested after 48 h and IL-4 (A) and IFN-{gamma} (B) levels were determined by ELISA. Data represent means ± SD from four independent experiments. *, p < 0.05; **, p < 0.01 (compared with {alpha}-GalCer stimulation).

 
Yet, in this experimental setup we could not exclude a possible production of IL-12 by APCs (33), which can up-regulate IL-18R expression (34) and thus amplify the response of NKT cells to IL-18. Furthermore, we knew from our previous studies that the ability of IL-18 to promote IFN-{gamma} production by NKT cells without TCR cross-linking depended on IL-12 (15). For these reasons, TCR{alpha}{beta}+NK1.1+ splenocytes were stimulated with coated anti-CD3 mAb to avoid the addition of APCs and thus the possible contribution of endogenous IL-12 to the effect of IL-18 on IL-4 production by NKT cells. Freshly isolated TCR{alpha}{beta}+NK1.1+ splenocytes substantially increased their IL-4 secretion when IL-18 was present during anti-CD3 mAb stimulation (Fig. 2GoA). IL-12 was neither required for this effect nor did exogenous IL-12 modify the production of IL-4 in response to anti-CD3 plus IL-18 (Fig. 2GoA). Conversely, it did effectively potentiate IFN-{gamma} secretion by anti-CD3-stimulated TCR{alpha}{beta}+NK1.1+ splenocytes (Fig. 2GoB), as previously described (14), thus confirming its ability to stimulate NKT lymphocytes. As shown in Fig. 2GoB, IL-18 also enhanced IFN-{gamma} production by anti-CD3-stimulated TCR{alpha}{beta}+NK1.1+ cells, while the TCR{alpha}{beta}+NK1.1- population, which stands for conventional T splenocytes in this setup, produced no detectable IL-4 (<40 pg/ml) in response to anti-CD3 alone or in combination with IL-18 (Fig. 2GoA). Fig. 2GoB shows that conventional TCR{alpha}{beta}+NK1.1- splenocytes produced IFN-{gamma} when stimulated by anti-CD3 mAb in the presence of IL-18 plus IL-12, in agreement with previous reports showing the synergistic effect of IL-18 and IL-12 on IFN-{gamma} production (15, 19). IL-18 likewise enhanced the capacity of NKT cells isolated from the thymus to produce IL-4. Indeed, sorted TCR{alpha}{beta}+NK1.1+ thymocytes stimulated with coated anti-CD3 or anti-CD3 plus IL-18 (100 ng/ml) produced 21 ± 4 and 40 ± 5 ng of IL-4 per 5 x 105 cells, respectively (results represent means ± SD from three individual experiments).



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FIGURE 2. The effect of IL-18 on IL-4 production does not depend on IL-12. Sorted NKT splenocytes (TCR{alpha}{beta}+NK1.1+) or conventional T cells (TCR{alpha}{beta}+NK1.1-) from C57BL/6 mice were stimulated (5 x 105 cells/ml) with coated anti-CD3 mAb with or without IL-18 (100 ng/ml), IL-12 (10 ng/ml), or both. Culture supernatants were harvested after 48 h and IL-4 (A) and IFN-{gamma} (B) levels were determined by ELISA. Data represent means ± SD from three independent experiments. *, p < 0.05; **, p < 0.01; ***, p < 0.001 (compared with anti-CD3 mAb stimulation).

 
Taken together, these results establish that IL-18 can act as a cofactor during primary in vitro stimulation of NKT lymphocytes but not conventional T cells upon TCR engagement, enabling them to increase their IL-4 production.

IL-18 enhances IL-4 production by NKT lymphocytes at a single-cell level

The enhanced IL-4 production by NKT cells promoted by IL-18 as compared with anti-CD3 stimulation alone might result from proliferation of cytokine-producing cells rather than increased synthesis in each individual NKT cell. To test this possibility, we compared the proliferative response of NKT splenocytes exposed to anti-CD3 vs anti-CD3 plus IL-18. The latter induced only a slight increase of thymidine uptake by TCR{alpha}{beta}+NK1.1+ cells relative to anti-CD3 stimulation (95,000 vs 72, 800 cpm). Moreover, it did not significantly enhance the frequency of cycling (S + G2 + M) TCR{alpha}{beta}+NK1.1+ splenocytes in the same conditions (Fig. 3GoA). In another set of experiments, we analyzed NKT cell proliferation using the fluorescent dye CFSE, which is a means of quantifying cell divisions by flow cytometry (35). Fig. 3GoB shows that the addition of IL-18 to the anti-CD3 stimulation did not significantly augment the frequency of TCR{alpha}{beta}+NK1.1+ splenocytes which had divided after 2 days of culture. Thus, all three methods concorde to establish that the presence of IL-18 does not amplify NKT cell proliferation in response to anti-CD3 cross-linking, suggesting that other mechanisms may account for the effect of IL-18 on IL-4 production. For this reason, we examined whether IL-18 modulated IL-4 production by TCR{alpha}{beta}+NK1.1+ lymphocytes on single-cell levels using intracellular staining with anti-IL-4 mAb. As shown in Fig. 4Go, the addition of IL-18 to the anti-CD3 mAb increased the percentage of IL-4+ cells among TCR{alpha}{beta}+NK1.1+ splenocytes as well as the fluorescence intensity of the IL-4 staining, proving that the effect was direct.



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FIGURE 3. IL-18 does not modify the proliferation of NKT cells. A, TCR{alpha}{beta}+NK1.1+ splenocytes (5 x 105 cells/ml) from wild-type mice were stimulated with coated anti-CD3 mAb with or without IL-18 (100 ng/ml). Forty-eight hours later, cells were harvested, stained with propidium iodide, and analyzed by flow cytometry. The percentage of cycling cells (S + G2 + M) is represented in each panel. B, Sorted TCR{alpha}{beta}+NK1.1+ splenocytes from wild-type mice were labeled with CFSE and stimulated (5 x 105 cells/ml) with coated anti-CD3 in the absence or presence of IL-18 (100 ng/ml). Two days later, cells were analyzed for CFSE fluorescence. "t0" represents CFSE staining of NKT splenocytes before stimulation. The percentage of viable NKT lymphocytes which have divided at least once, in response to anti-CD3 (filled histogram) or anti-CD3 plus IL-18 (dotted histogram), based on CFSE staining, is represented in the figure. Similar results were observed in two separate experiments.

 


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FIGURE 4. IL-18 increases the percentage of IL-4-producing NKT cells. TCR{alpha}{beta}+NK1.1+ NKT splenocytes were stimulated with coated anti-CD3 mAb or anti-CD3 plus IL-18 (100 ng/ml). Forty-eight hours later, intracellular IL-4 staining was performed and analyzed by flow cytometry. Open and filled histograms represent isotype control and anti-IL-4 staining, respectively. The percentage of IL-4+ NKT cells is indicated in each panel. The mean fluorescence intensity for IL-4 staining amounted to 9.3 and 16.2 after stimulation of NKT cells with anti-CD3 and anti-CD3 + IL-18, respectively. Similar results were observed in three separate experiments.

 
Taken together, these results suggest that IL-18 exerts its action on IL-4 production by NKT lymphocytes by amplifying the signaling pathway initiated by TCR/CD3 cross-linking. This might eventually occur through activation of NF-{kappa}B, a NF that has been implicated in the transcription of IL-4 (36) and whose activation in response to IL-18 and TCR cross-linking has been reported (23, 37). Alternatively, increased IL-4 production might also be promoted by the nuclear AP-1, whose activation by IL-18 has been suggested (38) and whose binding to the IL-4 promoter, possibly in combination with other NFs, triggers IL-4 transcription (39).

IL-18 amplifies IL-4 production by NKT but not by Th2 lymphocytes

As illustrated in Fig. 2Go, IL-18 did not affect anti-CD3-induced IL-4 production by conventional TCR{alpha}{beta}+NK1.1- T cells upon primary in vitro stimulation. This result is consistent with previous studies showing that IL-18 cannot promote differentiation of naive T cells into Th2 lymphocytes (23). Yet, it remained possible that IL-18 could amplify this biological activity in differentiated Th2 cells. To test this hypothesis, we cultured naive T lymphocytes in pro-Th2 or pro-Th1 culture conditions, as previously described (13), and further stimulated them with coated anti-TCR mAb in the presence of IL-18, IL-7, or medium. IL-7 served as a positive control, inasmuch as it can potentiate IL-4 production by Th2 cells, as previously reported (13). Fig. 5GoA shows that IL-18, in contrast to IL-7, did not modify the capacity of Th2 cells to generate IL-4 upon TCR stimulation. It is likely that the loss of IL-18R expression during Th2 differentiation, which has been documented (40), is responsible for this unresponsiveness since IL-18 was active in this system, as assessed by the enhancement of IFN-{gamma} production by anti-TCR{alpha}{beta}-stimulated Th1 cells (Fig. 5GoB). These data support the conclusion that IL-18 acts specifically on NKT cells to augment their capacity to secrete IL-4 upon TCR engagement. Such an enhancing effect of IL-18 on Th2 cytokine production has also been established for cell populations other than NKT lymphocytes, namely, for IL-13 production by IL-2-activated NK and T cells, and for both IL-4 and IL-13 production by IL-3-activated basophils (41, 42).



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FIGURE 5. IL-18 does not modify IL-4 production by anti-TCR-stimulated Th2 lymphocytes. Sorted CD4+CD62L+CD44- naive splenic lymphocytes were stimulated with IL-2 + IL-12 or IL-2 + IL-4 in the presence of coated anti-TCR mAb to induceTh1 and Th2 cells, respectively. Four days later, these lymphocytes were restimulated with anti-TCR mAb with or without IL-7 or IL-18. Culture supernatants were harvested after 48 h and IL-4 (A) and IFN-{gamma} (B) levels were determined by ELISA.

 
{alpha}-GalCer-induced IL-4 production by NKT lymphocytes is amplified by IL-18 in vivo

To address the question whether enhanced IL-4 production did also occur in vivo, MHC class II-deficient mice received a single injection of the specific NKT cell ligand {alpha}-GalCer, IL-18, or both. Mice were sacrificed 2 h later and splenocytes were cultured for 2 h without further stimulation when IL-4 and IFN-{gamma} were measured in cell supernatants. Fig. 6GoA clearly shows that coadministration of IL-18 and {alpha}-GalCer resulted in a 2-fold increase of IL-4 production relative to {alpha}-GalCer alone. IFN-{gamma} secretion was likewise increased in these conditions (Fig. 6GoB). In both cases, TCR{alpha}{beta}+NK1.1+ splenocytes were the targets of IL-18, as assessed by experiments with NKT cell-deficient mice (CD1-/- and J{alpha}281-/- mutant strains) which produced neither IL-4 nor IFN-{gamma} after the same treatment (Fig. 6Go). In the absence of {alpha}-GalCer, injection of IL-18 or vehicle induced neither IL-4 nor IFN-{gamma} secretion whatever the strain used (Fig. 6Go). These data suggest that IL-18 promptly enhances IL-4 production by activated NKT lymphocytes. The potentiating effect of IL-18 on the very early IL-4 production by ligand-activated TCR{alpha}{beta}+NK1.1+ cells was further confirmed by the increased levels of IL-4 in the serum of treated mice. Indeed, as early as 40 min after a single injection of {alpha}-GalCer, we detected higher levels of IL-4 in the serum of wild-type mice treated with {alpha}-GalCer plus IL-18 compared with {alpha}-GalCer alone (120 pg/ml and <40 pg/ml, respectively). The effect of IL-18 injection on the serum IL-4 levels was still pronounced 60 min after injection (570 vs 180 pg/ml {alpha}-GalCer vs {alpha}-GalCer plus IL-18 treatment). In addition, using intracellular staining to detect IL-4 production on single-cell levels, we observed that the effect of IL-18 on IL-4 production by TCR{alpha}{beta}+NK1.1+ splenocytes was already present 40 min after a single injection of {alpha}-GalCer (Fig. 7Go). These data clearly show that IL-18 promptly acts in vivo on single NKT lymphocytes to enhance their IL-4 production in response to their cognate Ag {alpha}-GalCer and that this enhancement is also observed in the serum.



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FIGURE 6. In vivo IL-4 production by ligand-activated NKT splenocytes is enhanced by IL-18. MHC class II (I-A{beta}-/-), CD1d (CD1-/-), and J{alpha}281 (J{alpha}281-/-) knockout mice were injected once with {alpha}-GalCer with or without IL-18 or vehicle. Two hours later, mice were sacrificed and splenocytes were cultured without further stimulation at 5 x 106 cells/ml. IL-4 (A) and IFN-{gamma} (B) were measured in the supernatants removed after 2 h of culture. Data represent means ± SD from three individual experiments. *, p < 0.05 (between {alpha}-GalCer plus IL-18 and {alpha}-GalCer treatment).

 


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FIGURE 7. IL-18 coinjection amplifies the frequency of IL-4+ NKT splenocytes. Wild-type mice were injected once with {alpha}-GalCer with or without IL-18 or vehicle. Forty minutes later, mice were sacrificed and intracellular IL-4 staining was immediately performed and analyzed among gated CD4+TCR{alpha}{beta}+NK1.1+ splenocytes and analyzed by flow cytometry. The percentage of IL-4+ (top) as well as isotype control-positive (bottom) cells is indicated in each panel. Similar results were observed in two separate experiments.

 
IL-18 amplifies early B cell activation induced by in vivo {alpha}-GalCer treatment via endogenous IL-4 production

Finally, we addressed the question whether the newly generated IL-4 could actually activate B cells. For this purpose, we examined the expression of the early B cell activation marker CD69 whose up-regulation by NKT cell-derived IL-4 induced by in vivo {alpha}-GalCer treatment has recently been established (43). As shown in Fig. 8Go, the coinjection of IL-18 strikingly augmented the intensity of CD69 expression on the surface of B cells in response to {alpha}-GalCer, whereas vehicle or IL-18 alone had no effect (Fig. 8Go). We further analyzed whether the effect of IL-18 on the up-regulation of CD69 expression was dependent on endogenous IL-4. To this end, mice were treated with blocking anti-IL-4 mAb before {alpha}-GalCer plus IL-18 injection. Fig. 8Go shows that up-regulation of CD69 expression on B cells was abrogated by anti-IL-4 treatment. Anti-IFN-{gamma} treatment had no such effect (Fig. 8Go). Taken together, these results demonstrate that in vivo IL-18 treatment indirectly enhances B cell activation through its capacity to amplify endogenous IL-4 production by Ag-activated NKT lymphocytes.



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FIGURE 8. CD69 expression by B splenocytes following in vivo {alpha}-GalCer treatment is augmented by IL-18 and blocked by anti-IL-4 treatment. Wild-type mice were injected once with {alpha}-GalCer with or without IL-18 or vehicle. Some mice were treated with anti-IL-4 (anti-IL-4 -> {alpha}-GalCer + IL-18) or anti-IFN-{gamma} mAb (anti-IFN-{gamma} -> {alpha}-GalCer + IL-18) before injection of {alpha}-GalCer plus IL-18 as described in Materials and Methods. Two hours later, mice were sacrificed and splenocytes were stained with CD19 and CD69 mAbs. Histograms represent CD69 expression on gated CD19+ lymphocytes. The percentage of CD69+ as well as the mean fluorescence intensity (MFI) for CD69 staining are represented in each histogram. Data represent a typical experiment of three.

 
These findings are consistent with the idea that IL-18 can effectively favor Th2 immune responses. Moreover, they are in agreement with recent evidence for enhanced Th2 immune responses in nonobese diabetic (NOD) mice, as well as in a model of allergic asthma following in vivo treatment with IL-18 (24, 25). It has been proposed that in these pathophysiological situations IL-18 counteracts the Th1 immune response by amplifying the production of Th2 cytokines. As demonstrated in this report, IL-18 can also enhance IFN-{gamma} production by activated NKT cells. However, in constrast to IL-4, which is the major inducer of Th2 differentiation, IFN-{gamma} alone is incapable of driving Th1 differentiation (22, 44). Thus, the presence of IFN-{gamma}, following IL-18 stimulation, probably does not prevent the development of Th2 immune responses. It is therefore conceivable that, particularly in the diabetes model, the pro-Th2 effect of IL-18 treatment results from the capacity of IL-18 to promptly augment IL-4 production by NKT lymphocytes. Indeed, the implication of NKT cells in the control of the autoimmune disease in NOD mice was suggested by the demonstration of their reduced number and function (11, 45) and by the prevention of diabetes observed after infusion of NKT cell preparations and in V{alpha}14-J{alpha}281-transgenic NOD mice (46, 47).

In conclusion, our findings emphasize the complex immunomodulatory functions of IL-18 which are not restricted, as initially proposed, to the amplification of IL-12-driven Th1 differentiation (22), but can also promote Th2 differentiation by promptly enhancing IL-4 production by NKT lymphocytes. This novel biological activity of IL-18 provides further evidence for the importance of the microenvironment in determining the functional capacities of NKT cells.


    Acknowledgments
 
We are grateful to Corinne Garcia (Institut National de la Santé et de la Recherche Médicale Unité 373) for performing all cell sortings. We thank Anne Arnould (Centre National de la Recherche Scientifique Unité Mixte de Recherche 8603), François Machavoine (Centre National de la Recherche Scientifique Unité Mixte de Recherche 8603), and Christine Gouarin (Institut National de la Santé et de la Recherche Médicale Unité 25) for technical assistance. We are specially indebted to Sanofi (Labège, France) for providing human rIL-7.


    Footnotes
 
1 This work was supported by institute funds from the Centre National de la Recherche Scientifique, Université René Descartes, Paris V, Association pour la Recherche sur le Cancer (1827) and the Ligue Nationale Contre le Cancer (Axe Immunologie; 2000). A.H. was supported by funds from the Fondation pour la Recherche Médicale. Back

2 Address correspondence and reprint requests to Dr. Maria C. Leite-de-Moraes, Centre National de la Recherche Scientifique, Unité Mixte de Recherche 8603, Hôpital Necker, 161 rue de Sèvres, 75743 Paris, Cedex 15, France. Back

3 Abbreviations used in this paper: {alpha}-GalCer, {alpha}-galactosylceramide; SAV, streptavidin; NOD, nonobese diabetic; I-A{beta}, MHC class II deficient; CD1-/-, CD1d deficient; J{alpha}281-/-, J{alpha}281 deficient. Back

Received for publication May 22, 2000. Accepted for publication October 24, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 

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