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The Journal of Immunology, 2001, 166: 2167-2172.
Copyright © 2001 by The American Association of Immunologists


CUTTING EDGE

Cutting Edge: Peripheral Neuropeptides Attract Immature and Arrest Mature Blood-Derived Dendritic Cells1

Stefan Dunzendorfer*, Arthur Kaser{dagger}, Christian Meierhofer*, Herbert Tilg{dagger} and Christian J. Wiedermann2,*

Divisions of * General Internal Medicine and {dagger} Gastroenterology and Hepatology, Department of Internal Medicine, University of Innsbruck, Innsbruck, Austria


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Dendritic cells (DC) are highly motile and play a key role in mediating immune responses in various tissues and lymphatic organs. We investigated locomotion of mononuclear cell-derived DC at different maturation stages toward gradients of sensory neuropeptides in vitro. Calcitonin gene-related peptide, vasoactive intestinal polypeptide, secretin, and secretoneurin induced immature DC chemotaxis comparable to the potency of RANTES, whereas substance P and macrophage-inflammatory protein-3{beta} stimulated immature cell migration only slightly. Checkerboard analyses revealed a true chemotactic response induced by neuropeptides. Upon maturation of DC, neuropeptides inhibited spontaneous, macrophage-inflammatory protein-3{beta}- and 6Ckine-induced cell migration. Maturation-dependent changes in migratory behavior coincided with distinct neuropeptide-induced signal transduction in DC. Peripheral neuropeptides might guide immature DC to peripheral nerve fibers where high concentrations of these peptides can arrest the meanwhile matured cells. It seems that one function of sensory nerves is to fasten DC at sites of inflammation.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
As APCs, dendritic cells (DC)3 exhibit an important capacity to initiate primary and secondary immune responses toward foreign proteins (1). Bone marrow-derived DC precursors reach almost every tissue via the bloodstream, where they become resident immature DC (2). After capturing intruder Ags they can migrate via the afferent lymph to the T cell-dependent lymphoid organs (3). During migration from peripheral tissue, immature DC undergo phenotypical and functional maturation. They stop to capture Ags while up-regulating the expression of costimulatory molecules and differences in the distribution of distinct CCR between immature and mature DC occur (2). Nevertheless, the mature cell retains its motility (4).

DC can be found in many nonlymphoid tissues such as the airway epithelium and unlike other immune cells that rapidly transit into the airways, the DC remain within the epithelium during the acute inflammatory response (5). Using calcitonin gene-related peptide (CGRP) and DC (PGP9.5), immunostaining anatomic connections between DC and nerve fibers have been observed in human (6, 7). In the liver, contacts between nerve fibers staining for substance P (SP), CGRP, and vasoactive intestinal polypeptide (VIP), and DC were observed (8). Pulmonary DC bind 125I-labeled SP and in vitro SP increases motility but has no effect on accessory activity of these cells (9). In contrast, CGRP, released from nonadrenergic-noncholinergic sensory nerve fibers, specifically inhibited the accessory function of cutaneous Langerhans cells (6).

The sensory neuropeptides SP, CGRP, VIP, and secretoneurin (SN) have been identified as potent mediators of inflammatory and immunologic reactions involving leukocytes other than DC (10, 11, 12). CGRP-induced intracellular cAMP increase in pulmonary DC could be blocked by a specific receptor antagonist (13), and more recently the expression of CGRP receptors type 1 on peripheral blood DC could be demonstrated (14). Except VPAC1- and VPAC2-receptor expression and VIP-induced cAMP formation in pulmonary DC (13), no further activities of the latter neuropeptide or of other neuropeptides, including SN have been described in any DC so far.

Therefore, we investigated the effects of nervous system-derived mediators on the migratory behavior of DC and found contrasting responses depending on the maturation stage of the cells. Peripheral neuropeptides can directly attract immature DC, but they may arrest mature DC at sites of neurogenic inflammation. This opposite behavior was accompanied by changes in signal transduction pathways of neuropeptide receptors in immature and mature DC.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell culture

DC were generated from peripheral mononuclear cells as previously described (15, 16). In brief, peripheral mononuclear cells were allowed to adhere in cell culture flasks. After removal of nonadherent cells, adherent cells were cultured in medium supplemented with 1 x 103 U/ml IL-4 (Schering-Plough, Kenilworth, NJ) and 1 x 103 U/ml GM-CSF (Leucomax; Novartis, Vienna, Austria). The harvested DC were further purified by magnetic cell separation using a cocktail of mAb against CD3, CD14, CD19, and CD56 (PharMingen, Hamburg, Germany), followed by addition of sheep anti-mouse IgG-coated magnetic beads (Dynabeads M-450; Dynal, Hamburg, Germany). Maturation was induced by incubation of purified DC in culture medium supplemented with IL-4, GM-CSF, TNF-{alpha} (1 x 103 U/ml), and 10 µM PGE2 for 72 h. The resulting DC population yielded a purity of >97%, as determined by cytofluorometry analysis after CD1a, CD3, CD14, CD19, CD56, CD40, and CD83 (HB15A; Immunotech, Vienna, Austria) staining.

Cytofluorometric analysis of DC surface phenotype

A total of 5 x 105 DC were washed in PBS/2% FCS, resuspended in 250 µg/ml human IgG/PBS/2% FCS. After pelleting, DC were incubated alternatively with 10 µg/ml anti-CD1a, anti-CD14, anti-CD83, or anti-HLA-DR mAbs and the respective isotype-matched control Igs. After washing in PBS/2% FCS, a 1:40 dilution of FITC-anti-mouse IgG in PBS/2% FCS was incubated for 30 min at 4°C. Cells were immediately analyzed on a FACScan after the addition of 1 µg/ml propidium iodide (PI). Analysis was performed on PI- cells (e.g., viable cell population) with CellQuest software (BD Biosciences, Mountain View, CA) (15, 16).

Chemotaxis assay

Migration of DC into cellulose nitrate was measured as described recently (15, 16, 17). In brief, using a 48-well microchemotaxis chamber (Neuroprobe, Bethesda, MD) in which a 8-µm pore sized filter (Sartorius, Göttingen, Germany) separates the upper and lower chamber, cells migrate toward gradients of soluble attractants. The migration medium was RPMI 1640/0.5% BSA. Aliquots (30 µl) of chemoattractant solution or control medium (RPMI 1640/0.5% BSA) were put in the lower wells of the chamber. A total of 50 µl of cell suspension (1 x 106 cells/ml) were seeded in the upper chamber. For checkerboard analyses cells were resuspended in RPMI 1640/0.5% BSA containing various concentrations of chemoattractants just before transferring them to the upper chamber. Migration time was 4 h. After this period, the filters were dehydrated, fixed, and stained with hematoxylin-eosin. Migration depth of DC into nitrocellulose was quantified by microscopy, measuring the distance (micrometers) from the surface of the filter to the leading front of cells, before any cell had reached the lower surface (leading front assay). All neuropeptides (CGRP, VIP, SN, secretin, helodermin, SP, {beta}-endorphin) and the selective CGRP-receptor type 2 agonist [Cys(Et)2,7]CGRP were obtained from Neosystem (Strasbourg, France). RANTES, macrophage-inflammatory protein-3{beta} (MIP-3{beta}), human exodus-2/secondary lymphoid tissue chemokine (6Ckine), and stromal cell-derived factor-1{alpha} (SDF-1{alpha}) were obtained from PeproTech (London, U.K.).

Signal transduction experiments

To rule out distinct signal transduction pathways immature and mature DC were incubated for 30 min at optimal concentrations of 500 nM bisindolylmaleimide I (GFX; protein kinase C (PKC) blocker; inhibits PKC pathway], 10 ng/ml tyrphostin-23 (tyrosine kinase inhibitor; inhibits receptor associated/cytosolic tyrosine kinases), 10 nM wortmannin (WTN; PI3 kinase-inhibitor; PI-3,4,5-phosphate (PtdIns(3, 4, 5)P3)-related signaling), 10 µM rolipram (phosphodiesterase blocker; inhibits the cAMP-related pathways), or medium control. After washing twice, immature DC were attracted by 0.1 nM CGRP, 0.1 nM VIP, and 10 nM SN. Because neuropeptides are not directly chemotactic on mature DC, untreated and pretreated cells migrated toward 10 nM MIP-3{beta}, 1 µg/ml 6Ckine, or 1 µg/ml SDF-1{alpha} and the neuropeptides concomitantly in the lower wells. Thereafter, the assay was proceeded as described above.

Statistical analyses

Data are expressed as mean and SEM of the "chemotaxis index." Means were compared by Kruskal-Wallis ANOVA and by Mann-Whitney U test. A difference with p < 0.05 was considered significant. Statistical analyses were calculated using the StatView software package (Abacus Concepts, Berkley, CA).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Characterization of DC

Highly purified monocyte-derived DC were obtained by 6-day culture of monocytes in IL-4 and GM-CSF and by further depletion of contaminating CD3+, CD14+, CD19+, and CD56+ cells. The phenotype of the resulting day-6 DC (immature) population was determined cytofluorometrically after staining for CD1a and CD83 and revealed a purity of >97% (Fig. 1Go, ad). Full maturation of DC can be induced by further incubation of day-6 cells for 72 h with TNF-{alpha} and PGE2. These mature phenotypes hardly express CD1a Ag, while CD83 expression is markedly up-regulated (Fig. 1Go, eh).



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FIGURE 1. Cytofluorometric analysis of DC maturation stage. DC were incubated alternatively with 10 µg/ml of specific mAbs and the respective isotype-matched control Igs. After washing and incubation with FITC-anti-mouse IgG cells were immediately analyzed on a FACScan after the addition of 1 µg/ml PI. Surface markers on immature day-6 DC (ad) and on mature day-9 DC (eh). Solid lines indicate specific Abs, dotted lines indicate isotype-matched control Abs (both 10 µg/ml). Data are representative of at least three independent experiments.

 
Migration of immature DC toward neuropeptides and other chemoattractants

The neuropeptides CGRP, VIP, secretin, and SN (each 0.01 pM-1 µM) induced DC chemotaxis with bell-shaped dose-response curves, indicating a receptor-mediated effect. Maximal effects were seen at 0.1 nM of VIP or secretin and at 1 nM or 10 nM of CGRP or SN, respectively (Fig. 2Go). Only the highest concentration of SP (1 µM) slightly stimulated cells. The selective CGRP receptor type 2 agonist [Cys(Et)2,7]CGRP and {beta}-endorphin were inactive and helodermin, which prefers VPAC2, showed a flat linearly increasing dose-response while the highest concentration (1 µM) produced approximatly 60% of the secretin-induced effect at a concentration four logarithmic decades below. RANTES (0.001 pM-0.1 µM), which is inactive in mature DC, served as positive control for immature DC chemotaxis, whereas MIP-3{beta} (0.01 pM-1 µM), known to be most active in mature DC (4), failed to induce immature DC migration (Fig. 2Go).



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FIGURE 2. Dose-response curves of immature DC chemotaxis. Day-6 DC were resuspended in RPMI 1640/0.5% BSA and 5 x 104 migrated for 4 h toward various concentrations of soluble chemoattractants or medium control in the lower wells. After fixing and staining of the nitrocellulose filters, migration depth was quantified microscopically. Data are expressed as means ± SEM of the chemotaxis index, which is the ratio between the distance cells migrated toward test substance and that toward control medium (n = 5). Statistics: Mann-Whitney U test after Kruskal Wallis ANOVA (p < 0.001); *, p < 0.05; **, p < 0.01.

 
Checkerboard analyses

Cells were resuspended in medium alone or medium containing various concentrations of attractants immediately before transferring them to the upper wells of the chemotaxis chamber. Therefore, positive concentration gradients between the upper and the lower wells can be formed. Data are presented, not as numbers within a matrix, but in line charts. Analyses revealed a true chemotactic response of immature DC toward RANTES (1 pM-10 nM), CGRP, VIP (each 0.01 pM-0.1 nM), and SN (1 pM-10 nM); increasing concentrations in the upper wells diminish DC migration depth toward any concentration in the lower wells. Because equal concentrations of neuropeptides in the upper and the lower wells still slightly stimulated cell migration, chemokinetic activities of these neuropeptides on immature DC cannot be excluded; lines of the intermediate and in part of the highest concentrations (0.1 nM, 1 pM, and 0.01 pM) parallel the x-axis at a higher level (not strictly increasing), indicating partial chemokinesis (Fig. 3Go).



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FIGURE 3. Graphic format of checkerboard analyses of immature DC migration. Different concentrations of chemoattractants were added to the upper and/or lower compartment of the microchemotaxis chambers. Migration time was 4 h. After fixing and staining the nitrocellulose filters, migration depth was quantified microscopically. Data are expressed as the means of the migration index. Each line within a chart represents a particular dose level of attractants in the upper wells, whereas the corresponding concentrations of the substances in the lower wells are represented as tic marks on the x-axis. Migration indices at the various resulting concentration gradients are given (n = 3).

 
Effects of neuropeptides on mature DC migration

Untreated cells migrated toward various concentrations of neuropeptides (0.01 pM-1 µM) in the lower wells of the chemotaxis chamber. In contrast to immature DC, CGRP, VIP, and SN inhibited mature DC migration. The migration distance was ~70% of control medium; therefore, the rarely seen effect of "negative" chemotaxis can be excluded. When mature DC were attracted by 10 nM MIP-3{beta} the highest concentrations of VIP or SN diminished DC chemotaxis nearly to baseline levels (neuropeptides remained concomitantly with MIP-3{beta} in the lower wells); CGRP reduced migration >50% compared with control. Only a high dose of SP slightly stimulated mature DC migration and inhibited MIP-3{beta}-induced chemotaxis (Fig. 4Go, left). Also strong inhibition of mature DC chemotaxis toward 1 µg/ml 6Ckine was observed with CGRP or VIP, whereas SN and SP failed to show such an effect (Fig. 4Go, right). In contrast, neuropeptides did not affect SDF-1{alpha}-induced mature DC chemotaxis (Fig. 4Go, inset).



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FIGURE 4. Inhibition of mature DC migration by neuropeptides. Untreated mature DC were allowed to migrate toward various concentrations of neuropeptides concomitantly with 10 nM MIP-3{beta}, 1 µg/ml 6Ckine, or 1 µg/ml SDF-1{alpha}, respectively. Formyl peptide (10 nM) and 0.1 nM complement fragment 5a were additionally used as controls. After migration, the filters were fixed and stained. Migration depth was quantified microscopically. Data are expressed as means ± SEM of the chemotaxis index, which is the ratio between the distance cells migrated toward test substance and the distance migrated toward control medium (n = 4). Statistics: Mann-Whitney U test after Kruskal Wallis ANOVA (p < 0.001); n.s., not significant; *, p < 0.05.

 
Changes in neuropeptide-induced signaling in immature and mature DC

The enzyme blockers GFX, tyrphostin-23, WTN, and rolipram had no effect on either cell phenotype migration. The VIP- and CGRP-induced immature DC chemotaxis was blocked by tyrphostin-23 and WTN. Additionally, CGRP receptor type 1 signal transduction was rolipram sensitive. Contrasting in mature cells, where CGRP- or VIP-inhibited MIP-3{beta}- or 6Ckine-stimulated migration was restored by blockade of PKC with GFX. Additionally, CGRP-affected migration toward 6Ckine was WTN and rolipram sensitive. Effects of VIP on MIP-3{beta}- or 6Ckine-induced mature DC migration were also abolished by tyrphostin-23 or rolipram, respectively. SN involves PtdIns(3, 4, 5)P3 and phosphodiesterases in its signal transduction in immature DC but SN-induced inhibition of mature DC chemotaxis was reversed by tyrosine kinase blockade. The solely MIP-3{beta}-attracted mature DC used products of the polyphosphoinositide cycle and phosphodiesterases for their chemotactic response, whereas 6Ckine- and SDF-1{alpha}-stimulated migration can be blocked by pretreatment of mature DC with tyrphostin-23 or WTN (Table IGo).


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Table I. Neuropeptide-induced signaling in DC depending on status of maturation

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Because effects of several biologically active substances on DC migration have been described (18, 19, 20) we were interested whether this also applies for neuropeptides, which play a crucial role in inflammatory diseases.

SP has been reported to have no effect on accessory activities of pulmonary DC, and it failed to increase intracellular cAMP levels in Langerhans cells (immature DC) (9, 21). This is consistent with our recent study where SP activates immature and mature DC migration only at high concentrations. Although the maturation stage determines the migratory properties of these cells (22), SP was shown to induce pulmonary DC migration (9); high concentrations of SP can act via fMLP receptors (23), which may also be the case in DC (18). CGRP, VIP, and SN were chemotactic on immature DC in our experiments and this response was confirmed as true chemotaxis in checkerboard analyses (Fig. 3Go), although lower concentrations of neuropeptides yielded in part chemokinetic effects. The fact, that [Cys(Et)2,7]CGRP, a selective CGRP receptor type 2 agonist, failed to affect DC migration and that CGRP-induced chemotaxis was diminished by tyrphostin-23 and WTN, as it was shown for adrenomedulin (a CGRP receptor type 1 agonist)-mediated signaling in smooth muscle cell proliferation (24), coincides with the recently demonstrated CGRP receptor type 1 mRNA expression in immature and mature peripheral blood-derived DC (14). VIP is a monocyte and lymphocyte chemoattractant and receptors mediating this effect are VPAC1 and VPAC2, which are preferentially activated by secretin and helodermin, respectively. Signaling of the first receptor is known to be tyrosine phosphorylation dependent (25) and WTN sensitive. In contrast to VIP and secretin, which induced signaling characteristics of VPAC1, helodermin did not stimulate immature cell migration in our experiments. These facts give strong evidence of functional VPAC1 expression in DC. Recently, a receptor for the novel sensory neuropeptide SN has been identified (26) and in previous investigations we uncovered its signaling in eosinophils (27). In the present DC chemotaxis assays, the bell-shaped dose-response curve and signaling characteristics of the SN receptor suggest its presence also on immature DC.

Differences in receptor expression between immature and mature DC can be seen for several chemokines/CCR (2), as was seen in our study. MIP-3{beta} and 6Ckine were potent chemoattractants for mature DC but failed to influence immature cells, which lack expression of CCR7 (2). Interestingly, in our in vitro experiments, neuropeptides lost their ability to attract mature DC and on the contrary, the cells were immobilized by high neuropeptide concentrations. In this context it is important to note that some neuropeptides inhibited MIP-3{beta}- or 6Ckine-induced mature DC migration (both CCR7 ligands) (28) but all neuropeptides lacked such an effect when cells were attracted by SDF-1{alpha}, which also acts chemotactic on immature DC (CXCR4 ligand). This indicates a specific inhibitory effect of neuropeptides on mature DC. Because receptors for neuropeptides are described to be expressed on both immature and mature DC (14) changes in responsiveness to neuropeptides during DC development occurred not due to altered neuropeptide receptor distribution between immature and mature cells but more likely are caused by a switch to another signal transduction pathway of the same receptor. Depending on maturation stage of DC, results ruled out two different signaling pathways, for CGRP and VIP on the one hand and for SN on the other hand (Table IGo).

Cell polarization is imperative for directed migration, and chemokinesis describes enhanced random migration. Data from checkerboard analyses suggest the ability of neuropeptides to affect both cell functions in immature DC. Lower concentration gradients can improve the motility of DC and, once stimulated, they can be guided by strong concentration gradients to the source of the neuropeptides, primarily sensory nerve fibers. When cells reach these fibers they may undergo functional and phenotypical maturation, which will keep them arrested at this site of high neuropeptide concentration. This concept is supported by the finding that VIP synergizes with TNF-{alpha} in inducing DC maturation (29). For example in the lung, which is a rich source of different neuropeptides that dramatically increase upon inflammation (9), DC are located in immediate proximity to unmyelinated nerve fibers. Because neonatal capsaicin treatment of rats (leads to loss of neuropeptide production/release) inhibits the accumulation of DC around small pulmonary vessels during a pulmonary response to inhaled Ag (9), our in vitro finding may be of pathophysiological relevance.

We conclude that some sensory neuropeptides can guide immature DC migration and can arrest mature DC at sensory nerve fibers. These effects are mediated via specific receptors, which switch signal transduction pathways in DC of distinct maturation stages. Our concept based on in vitro findings may provide evidence of a novel link between adaptive immunity and the nervous system and shows a new aspect in neuroimmunology.


    Footnotes
 
1 This study was supported by the Austrian Science Fund Grant P12790 (to H.T.). Back

2 Address correspondence and reprint requests to Dr. Christian Wiedermann, Department of Internal Medicine, University Hospital Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria. Back

3 Abbreviations used in this paper: DC, dendritic cells; CGRP, calcitonin gene-related peptide; GFX, bisindolylmaleimide I; MIP-3{beta}, macrophage-inflammatory protein-3{beta}; SDF-1{alpha}, stromal cell-derived factor-1{alpha}; SN, secretoneurin; SP, substance P; VIP, vasoactive intestinal polypeptide; WTN, wortmannin; 6Ckine, human exodus-2/secondary lymphoid tissue chemokine; PI, propidium iodide; PKC, protein kinase C; PtdIns(3,4,5)P3, phosphatidylinositol-3,4,5-phosphate. Back

Received for publication August 2, 2000. Accepted for publication December 11, 2000.


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 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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