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The Journal of Immunology, 2001, 166: 4035-4041.
Copyright © 2001 by The American Association of Immunologists

CXC Chemokine Receptor 2 But Not C-C Chemokine Receptor 1 Expression Is Essential for Neutrophil Recruitment to the Cornea in Helminth-Mediated Keratitis (River Blindness)1

Laurie R. Hall, Eugenia Diaconu, Roopa Patel and Eric Pearlman2

Departments of Medicine and Ophthalmology, Case Western Reserve University and University Hospitals of Cleveland, Cleveland, OH 44106


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Infiltration of neutrophils and eosinophils into the mammalian cornea can result in loss of corneal clarity and severe visual impairment. To identify mediators of granulocyte recruitment to the corneal stroma, we determined the relative contribution of chemokine receptors CXC chemokine receptor (CXCR)-2 (IL-8R homologue) and CCR1 using a murine model of ocular onchocerciasis (river blindness) in which neutrophils and eosinophils migrate from peripheral vessels to the central cornea. CXCR2-/- and CCR1-/- mice were immunized s.c. and injected into the corneal stroma with Ags from the parasitic helminth Onchocerca volvulus. We found that production of macrophage-inflammatory protein (MIP)-2, KC, and MIP-1{alpha} was localized to the corneal stroma, rather than to the epithelium, which was consistent with the location of neutrophils in the cornea. CCR1 deficiency did not inhibit neutrophil or eosinophil infiltration to the cornea or development of corneal opacification. In marked contrast, neutrophil recruitment to the corneas of CXCR2-/- mice was significantly impaired (p < 0.0001 compared with control, BALB/c mice) with only occasional neutrophils detected in the central cornea. Furthermore, CXCR2-/- mice developed only mild corneal opacification compared with BALB/c mice. These differences were not due to impaired KC and MIP-2 production in the corneal stroma of CXCR2-/- mice, which was similar to BALB/c mice. Furthermore, although MIP-1{alpha} production was lower in CXCR2-/- mice than BALB/c mice, eosinophil recruitment to the cornea was not impaired. These observations demonstrate the critical role for CXCR2 expression in neutrophil infiltration to the cornea and may indicate a target for immune intervention in neutrophil-mediated corneal inflammation.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Recruitment of neutrophils to sites of inflammation is essential for host defense, although tissue damage can also occur as a side effect of neutrophil activation and deposition of cytotoxic granular components. Extravasation of neutrophils from blood vessels requires adhesion to vascular endothelial cells and subsequent migration through these cells into the tissue (1). These events are mediated by a diverse array of molecules, including members of the C-C and CXC family of chemokines. CXC chemokines containing the glutamic acid-leucine-arginine motif, such as IL-8 and gro-{alpha} selectively induce neutrophil chemotaxis and activation, whereas the activity of C-C chemokines is generally targeted to mononuclear cells and eosinophils (2, 3). However, neutrophils also express CCR1, which responds to CC chemokines, such as macrophage-inflammatory protein (MIP)3-1{alpha} (4). MIP-1{alpha} activates neutrophils in vitro (4) and in vivo, as intradermal injection of MIP-1{alpha} induces rapid infiltration of neutrophils to the skin (5). Furthermore, CCR1 gene knockout mice are more susceptible to neutrophil-mediated pulmonary aspergillosis (6), and neutrophil recruitment to the cornea is impaired in MIP-1{alpha}-deficient mice infected with herpes simplex virus (7).

Human neutrophils express two IL-8Rs, CXC chemokine receptor (CXCR)-1 and CXCR2. Whereas CXCR1 is specific for IL-8 and has no known murine homologue, CXCR2 binds several CXC chemokines and has a well-characterized murine homologue that binds MIP-2 and KC (8). As with CCR1-MIP-1{alpha} interactions, blockade of CXCR2-mediated interactions impairs neutrophil infiltration and development of tissue damage (9, 10, 11, 12, 13, 14). We have used a murine model of ocular onchocerciasis (river blindness) to identify immune mediators of neutrophil and eosinophil recruitment to the cornea (reviewed in (15, 16)). In this model, animals are immunized s.c. and injected into the corneal stroma with Ags from the parasitic worm Onchocerca volvulus. Mice develop severe corneal opacification, which is associated with a biphasic pattern of granulocyte recruitment to the cornea, where neutrophils are the most prominent cell type in the first 24 h, and are replaced by eosinophils after 72 h (15, 16, 17).

In the current study, we used gene knockout mice to determine the relative contribution of the murine IL-8R homologue (CXCR2) and CCR1 in recruitment of neutrophils to the cornea. Because CCR1 is expressed on eosinophils in addition to neutrophils, we also examined the effect of chemokine receptor deficiency on eosinophil recruitment.


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

IL-8R homologue (CXCR2)-deficient (BALB/c-Cmkar2) mice were obtained from The Jackson Laboratory (Bar Harbor, ME). These mice were generated by a targeted mutation of chemokine (C-X-C) receptor 2 (18). Age- and sex-matched BALB/c mice were obtained from The Jackson Laboratory as controls. CCR1 gene knockout mice were generated as described (6) and kindly provided by Dr. Phil Murphy at the National Institutes of Health. Age- and sex-matched C57BL/6 mice were obtained from The Jackson Laboratory as controls.

Parasite Ags

O. volvulus worms were obtained from nodules that had been surgically removed from patients in Cameroon and were kindly provided by Dr. Jan Bradley at the University of Nottingham (Nottingham, U.K.). Soluble O. volvulus Ags were prepared as described previously (19). Briefly, worms were isolated from s.c. nodules after digestion with collagenase (Sigma, St. Louis, MO). Parasites were homogenized in HBSS, sonicated briefly, and centrifuged to remove insoluble material. O. volvulus Ag preparation were adjusted to 2 mg/ml and stored at -70°C.

Immunization and injection into the corneal stroma

Mice received three weekly s.c. immunizations with 10 µg O. volvulus Ags in a 1:1 ratio with adjuvant containing squalene (Aldrich Chemical, Milwaukee, WI), Tween 80 (Fisher, Fair Lawn, NJ), and pluronic acid (BASF Bioresearch, Cambridge, MA). For intrastromal injections, the cornea was scarified with a 30-gauge needle, and 5 µg O. volvulus Ags were injected into the corneal stroma using a 33-gauge needle attached to a Hamilton syringe (Hamilton, Reno, NV). Corneal opacification was monitored daily by slit lamp examination and evaluated as previously described (19).

Detection of chemokines in the corneal stroma and epithelium

To determine the concentration of chemokines in murine corneas, animals were sacrificed and corneas were carefully dissected to avoid removing surrounding conjunctival tissue and underlying iris. Corneas were then incubated in 20 mM Na EDTA for 1 h at 37OC, which separates the epithelial cell layer from the underlying stroma. The stroma and epithelium were physically separated using fine-tip forceps, suspended in 400 µl RPMI 1640 medium, and sonicated 90 s at 50 cycles/s (Sonics VibraCell, Danbury, CT). MIP-2, KC, and MIP-1{alpha} were detected in supernatants by two-site ELISA following manufacturer’s directions (R&D Systems, Minneapolis, MN). The limit of detection for MIP-2 and MIP-1{alpha} was 1.5 pg/ml, and 2.0 pg/ml for KC.

Detection of neutrophils and eosinophils in the cornea by immunohistochemistry

Eyes were removed, fixed for 8 h in 10% formaldehyde (Sigma), processed, and embedded in paraffin by standard methods. To detect neutrophils, 5-µm sections were immunostained with mAb NIMP-R14 diluted 1:100, followed by biotinylated rabbit anti-rat Ig (BioGenex Laboratories, San Ramon, CA). Eosinophils were detected using rabbit antisera to major basic protein diluted 1:5000 for 2 h as described (20). After incubation with a secondary Ab, sections were incubated with alkaline phosphatase conjugated streptavidin (BioGenex Laboratories). Positive reactivity was visualized using Vector Red Substrate (Vector Laboratories, Burlingame, CA) containing Levamisole (Sigma), and counterstained with modified Harris’ hematoxylin (Richard-Allen, Kalamazoo, MI). Cells in the cornea were visualized by bright field and fluorescent microscopy and counted by a masked observer.

Measurement of Ab responses

Sera were collected at the time of sacrifice and assayed for Ab by ELISA. Immulon-4 ELISA plates (Dynatech Laboratories, Chantilly, VA) were coated with 50 µl of 1 µg/ml parasite Ags and incubated overnight at 4°C. After blocking with 1% fetal bovine sera, dilutions of mouse sera were incubated 2 h at room temperature, washed, and incubated with biotinylated goat anti-mouse isotype-specific Abs (Southern Biotechnology Associates, Birmingham, AL). Reactivity was determined after incubation with peroxidase-labeled anti-goat IgG (Santa Cruz Biotechnology, Santa Cruz, CA), and tetramethyl benzidine (Zymed, San Francisco, CA) was used as a substrate. The reaction was stopped after 10 min with 1 N HCl, and absorbance was measured at 450 nm on a kinetic microplate reader (Molecular Devices, Sunnyvale, CA).

For quantitation of total serum IgE, Immulon 4 plates were coated with an anti-mouse IgE mAb R35-72 (BD PharMingen, San Diego, CA). Biotinylated anti-mouse IgE monoclonal R35-92 (BD PharMingen) was used as the detecting Ab, followed by streptavidin peroxidase (Sigma). O-phenylenediamine (Cirex, Warrington, PA) was used as a substrate. The reaction was stopped with 10% sulfuric acid and absorbance was measured at 490 nm. A standard curve was generated using purified mouse IgE (BD PharMingen).

Statistics

Statistical significance was determined using an unpaired t test (PRISM Graph Pad Software, San Diego, CA). A value of p < 0.05 was considered significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Production of MIP-2 and KC and MIP-1{alpha} in the corneal stroma and epithelium

Migration of neutrophils and eosinophils from peripheral, limbal vessels to the central corneal stroma in O. volvulus keratitis occurs in a biphasic manner, with neutrophils appearing within 24 h after injection of parasite Ags and declining by 72 h (17, 20). In contrast, eosinophils are rarely detected before 24 h and reach maximal numbers after 72 h. To determine whether production of MIP-1{alpha}, MIP-2, and KC in the cornea is temporally associated with infiltration of neutrophils and eosinophils, and to determine whether these chemokines are produced by cells in the corneal epithelium or stroma, BALB/c mice were immunized s.c. and injected into the corneal stroma with O. volvulus Ags. Six, 24, and 72 h later, corneas were dissected, corneal epithelial and stromal layers were separated and disrupted by sonication, and chemokine production was determined by ELISA.

As shown in Fig. 1Go, baseline production of each chemokine (in naive controls) was below the level of detection of the assays. However, after injection of parasite Ags, cells in the corneal stroma produced MIP-1{alpha}, MIP-2, and KC, whereas with the exception of KC produced at 6 h, these chemokines were not detected in the corneal epithelium. Within 6 h of intrastromal injection of parasite Ags, MIP-2 and KC production in the stroma was >100 pg/ml. MIP-2 production remained elevated at 24 h, but had declined by 72 h, whereas KC production had decreased by 24 h. In contrast to MIP-2 and KC, >40 pg/ml MIP-1{alpha} was detected at 6 h after intrastromal injection but increased to >200 pg/ml by 24 h.



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FIGURE 1. MIP-2, KC, and MIP-1 production in the corneal stroma and epithelium of BALB/c mice. BALB/c mice were immunized and challenged intrastromally with O. volvulus Ags. Animals were sacrificed at 0, 6, 24, or 72 h later, and corneas were dissected. Corneal epithelial and stromal layers were separated by incubation in EDTA, and tissues were briefly sonicated. After centrifugation, supernatants were assayed for MIP-2, KC, and MIP-1 by ELISA. Results are presented as the mean ± SEM of six corneas/time point and are representative of two experiments.

 
Together these findings indicate that cells in the corneal stroma rather than the epithelium produce these chemokines. Furthermore, the observation that MIP-2 and KC are rapidly produced after intrastromal injection is consistent with a role for these chemokines in recruitment of neutrophils to the cornea. In contrast, the later peak of MIP-1{alpha} production may indicate a role for this chemokine in eosinophil recruitment.

CCR1 expression is not essential for infiltration of neutrophils or eosinophils to the corneal stroma

Because CCR1 is the primary receptor for MIP-1{alpha} on neutrophils and CCR1 is expressed on neutrophils and eosinophils, we first determined the role of CCR1 on cell recruitment to the cornea. C57BL/6 and CCR1-/- mice were immunized s.c. and injected intrastromally with parasite Ags, and the number of neutrophils and eosinophils in the corneal stroma was determined after 24 and 72 h. Consistent with previous observations in C57BL/6 mice (17, 20), neutrophils were present throughout the corneas after 24 h, and eosinophils were present at 72 h (Fig. 2Go). There was no significant difference in neutrophil or eosinophil numbers between CCR1-/- mice and control C57BL/6 mice, indicating that CCR1 expression is not essential for recruitment of neutrophils or eosinophils to the cornea.



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FIGURE 2. Neutrophil and eosinophil migration in CCR1-/- mice. C57BL/6 and CCR1-/- mice were immunized s.c. and challenged intrastromally with O. volvulus Ags. Mice were sacrificed 24 or 72 h later, and the number of neutrophils and eosinophils was assessed as described in the Materials and Methods section. Data points represent individual eyes. There were no significant differences in the total number of neutrophils or eosinophils in the cornea between C57BL/6 and CCR1-/- mice (p > 0.05). The experiment was repeated twice with similar results.

 
CXCR2 expression is essential for neutrophil recruitment to the cornea

Because CXCR2 is the receptor for KC and MIP-2 on murine neutrophils, we next determined the role of this receptor in recruitment of neutrophils to the cornea. BALB/c mice and CXCR2-/- mice (on a BALB/c background) were immunized and injected intrastromally with parasite Ags as described above.

As shown in Figs. 3Go and 4Go, neutrophils were present throughout the corneal stroma of BALB/c mice, similar to that described above for C57BL/6 mice. In marked contrast to BALB/c mice, infiltration of neutrophils to the peripheral region of CXCR2-/- corneas was significantly impaired, and only occasional neutrophils were detected in paracentral and central regions (Figs. 3Go and 4Go). These observations demonstrate an essential role for CXCR2 in recruitment of neutrophils to the cornea. Furthermore, neutrophils were detected in the corneal stroma but not in the epithelium (Fig. 4Go), consistent with the site of production of neutrophil chemokines MIP-2, KC, and MIP-1{alpha}.



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FIGURE 3. Impaired neutrophil recruitment to the corneas of CXCR2-/- mice. BALB/c and CXCR2-/- mice (on a BALB/c background) were immunized s.c. and challenged intrastromally with O. volvulus Ags. Twenty-four hours later, mice were sacrificed and 5-µm corneal sections were immunostained with anti-neutrophil Ab. Positive stained cells in the peripheral, paracentral, and central regions of the cornea were counted in a masked fashion. Data points represent individual corneas. This experiment was repeated twice with similar results.

 


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FIGURE 4. Neutrophils in the corneal stroma of BALB/c and CXCR2-/- mice. Representative BALB/c and CXCR2-/- corneas were immunostained with anti-neutrophil Ab. Neutrophils were visualized by bright field (left panels) or fluorescence microscopy (right panels) after incubation with Vector Red. Sections are from the peripheral region of the cornea and show the external epithelium, corneal stroma, and part of the iris. Note that neutrophils are present in the corneal stroma but not in the epithelium (original magnification, x200).

 
Corneal opacification is diminished in CXCR2-/- mice

Our previous studies indicated that neutrophils are likely to mediate keratitis in the first 24 h after injection of parasite Ags into the cornea (17, 20, 21). To determine the effect of CXCR2 expression on development of keratitis, BALB/c and CXCR2-/- mice were immunized s.c. and injected intrastromally with O. volvulus Ags as described above. Corneas were examined by slit lamp microscopy and scored according to the intensity of opacification.

As shown in Fig. 5Go, BALB/c mice developed pronounced corneal opacification after injection of parasite Ags. CXCR2-/mice developed mild corneal opacities, and the clinical scores were significantly lower than were those of BALB/c mice (p < 0.0001). There was no significant effect of CCR1 deficiency on corneal opacification (data not shown).



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FIGURE 5. Diminished corneal opacification in CXCR2-/- mice. BALB/c and CXCR2-/- mice were immunized and injected intrastromally with O. volvulus Ags. Corneal opacification was monitored daily by slit lamp examination and evaluated based on the extent and intensity of opacification, measured in 0.5-unit increments, using the following guidelines: 0 = no pathology, cornea is transparent; 1 = slight opacity, 2.0 = moderate opacity; and 3.0 = severe opacity, underlying iris not visible. Data points represent individual corneas, with representative eyes shown above. The experiment was repeated twice with similar results.

 
Impaired neutrophil infiltration in CXCR2-/- mice is not due to modified Ab production

Because parasite-specific IgG production is essential for neutrophil recruitment to the cornea in O. volvulus keratitis (20) and because CXCR2-/- mice have altered B cell responses (10, 18), we determined whether parasite-specific IgG1 and IgG2a production was modified in CXCR2-/- mice. As shown previously for C57BL/6 mice (20), BALB/c mice had elevated parasite-specific IgG1 compared with IgG2a (Fig. 6Go), consistent with a predominant Th2 response. However, despite reports that B cell numbers are elevated in CXCR2-/- mice (18), there was no effect of CXCR2 deficiency on production of these isotypes in response to parasite Ags. Interestingly, total serum IgE was significantly elevated in CXCR2-/- mice (p = 0.014), consistent with previous observations in a model of airway hyperresponsiveness (10). However, given that neutrophils do not express either high or low affinity IgE receptors (22), it is unlikely that differences in the systemic response of these mice contribute to the marked impairment of neutrophil infiltration and corneal opacification in CXCR2-/- mice.



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FIGURE 6. Ab isotype production by CXCR2-/- mice. BALB/c and CXCR2-/- mice were immunized s.c. with O. volvulus Ags, and Ag-specific IgG1 and IgG2a were measured by ELISA as described in Materials and Methods. Reciprocal serum titers for BALB/c ({square}) and CXCR2-/- ({triangleup}) mice are mean ± SEM for five animals per group. There was no significant difference in IgG1 or IgG2a. Total serum IgE levels were elevated in CXCR2-/- mice (±SEM for five animals per group).

 
Chemokine production by CXCR2-/- mice

As neutrophils have been shown to produce chemokines (23, 24, 25), we predicted that if these cells are a major source of chemokines in O. volvulus keratitis, chemokine production in the corneal stroma of CXCR2-/- mice would be significantly lower than in control mice. BALB/c and CXCR2-/- mice were sacrificed 24 h after injection of parasite Ags (when neutrophils are prominent in BALB/c corneas), and chemokine production in the corneal stroma was determined by ELISA. As shown in Fig. 7Go, MIP-2, KC, and MIP-1{alpha} were produced in the corneal stroma of CXCR2-/- mice, despite the paucity of neutrophils (no chemokines were detected in the epithelium). MIP-2 production was not significantly different in CXCR2-/- mice, whereas KC production was elevated rather than decreased. MIP-1{alpha} production was significantly lower in CXCR2-/- mice than in BALB/c mice, although >100 pg/ml MIP-1{alpha} was detected in corneas of CSCR2-/- mice.



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FIGURE 7. MIP-2, KC, and MIP-1 production in the corneal stroma of CXCR2-/- mice. Corneas from CXCR2-/- mice were dissected 24 h after injection of parasite Ags, when neutrophils were prominent, and chemokine production was determined by ELISA as described in the legend to Fig. 1Go. Data are mean ± SEM of six corneas per group.

 
Taken together, these findings indicate that neutrophils are not required for MIP-2 and KC production in O. volvulus keratitis, although when present, they may contribute to MIP-1{alpha} production.

CXCR2 deficiency does not impair eosinophil migration to the corneal stroma

Because MIP-1{alpha} also stimulates eosinophil migration (6), we determined whether the reduced level of MIP-1{alpha} in CXCR2-/- mice had any effect on eosinophil recruitment to the cornea. BALB/c and CXCR2-/- mice were immunized and injected intrastromally as described above, sacrificed after 72 h, and eosinophils were counted after immunostaining with Ab to major basic protein. As shown in Fig. 8Go, there were no significant differences in eosinophil numbers between BALB/c and CXCR2-/- mice in any region of the cornea. This finding indicates that cells in the corneal stroma of CXCR2-/- mice produce sufficient chemokines (including MIP-1{alpha}) to mediate normal eosinophil recruitment.



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FIGURE 8. Eosinophil migration in CXCR2-/- mice. BALB/c and CXCR2-/- mice were immunized and injected intrastromally with O. volvulus Ags. Mice were sacrificed 72 h later, and 5-µm corneal sections were immunostained with antisera to murine eosinophil major basic protein. Cells were visualized after incubation with Vector Red, and eosinophils in the peripheral, paracentral, and central regions of the cornea were determined by direct counting. Data points represent individual eyes. There were no significant differences in eosinophil numbers between BALB/c and CXCR2-/- mice.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Injury of the normally avascular cornea results in cellular infiltration from peripheral, limbal vessels to the site of trauma or infection, and can lead to loss of corneal clarity and possibly blindness. In ocular onchocerciasis, parasite larvae migrate through the skin and into ocular tissue, including the cornea. When the parasites die, they induce a local inflammatory response that causes corneal opacification and neovascularization, and eventually scarring and blindness (15, 26). Because O. volvulus infective larvae do not develop into adults in any experimental animal (except chimpanzees) (27), we have developed a murine model of O. volvulus keratitis that is designed to mimic the sensitization and corneal invasion stages of infection (15, 19). Using this model, we demonstrated previously that neutrophils mediate corneal disease in the absence of eosinophils, and that neutrophils are associated with the earliest phase of corneal opacification (17, 20, 21). In the current study, we found that neutrophil infiltration of the cornea is preceded by elevated production of MIP-2 and KC at 6 h, whereas MIP-1{alpha} production peaks at 24 h, when neutrophils are already abundant in the cornea. Consistent with this observation, we found that whereas CCR1 deficiency had no effect on neutrophil infiltration, neutrophil recruitment to the corneas of CXCR2-/- mice was significantly diminished.

Our results are in agreement with those reported for another form of ocular inflammation, endotoxin-induced uveitis, in which neutrophil infiltration to the uveal tract was significantly impaired in CXCR2-deficient mice, but not in mice in which the MIP-1{alpha} gene was deleted (9). However, our finding that disruption of CCR1-MIP-1{alpha} interactions has no effect on neutrophil recruitment to the cornea differ from those of Tumpey and coworkers (7), who showed that after infection with herpes simplex virus, neutrophil recruitment to the corneas of MIP-1{alpha} gene knockout mice was significantly impaired. This discrepancy is likely to be due to the ability of MIP-1{alpha} to activate receptors other than CCR1. Neutrophil recruitment to the cornea is also impaired after in vivo neutralization of MIP-2 in herpes simplex keratitis (14) and in Pseudomonas keratitis (11). Our findings are in agreement with these reports in demonstrating the importance of CXCR2-MIP-2 interactions in recruitment of neutrophils to the cornea. Although KC production was elevated in both studies, depletion of this chemokine did not inhibit neutrophil recruitment to the cornea (14). The more potent effect of MIP-2 may relate to the finding that MIP-2 binds this receptor with 10-fold higher affinity than that of KC (8). Alternatively, the relative contribution of these chemokines may depend on the tissue involved, because Abs to KC inhibit neutrophil recruitment to the skin and development of contact hypersensitivity (28).

Our findings demonstrate that cells in the corneal stroma rather than in the epithelium are the primary source of these chemokines in O. volvulus keratitis, because the latter produce <10 pg/ml of each chemokine compared with up to 300 pg/ml produced by cells in the corneal stroma. This observation is consistent with the location of neutrophils in the cornea, which is limited to the stromal area, and with a report that gro-{alpha} is produced by stromal fibroblasts rather than epithelial cells (29). However, our findings differ from those of Yan and colleagues (14), who reported MIP-2 expression (by immunohistochemical analysis) in the corneal epithelium in herpes simplex keratitis.

Neutrophils are a major source of chemotactic cytokines, including IL-8 and MIP-1-{alpha} (23, 24, 25). These cells also have prestored IL-12 (30), which may contribute to the chemotactic activity (31). In the current study, the observation that MIP-2 production is unimpaired in CXCR2-/- mice and KC production is actually elevated would suggest that neutrophils are not a major source of these chemokines. Because stromal fibroblasts (cultured from human corneas) can produce IL-8 and gro-{alpha} (29, 32), it seems reasonable to assume that in O. volvulus keratitis, resident stromal fibroblasts are a primary source of these chemokines before neutrophil infiltration (at 6 h postinjection). Later, infiltrating cells are likely to be the major source of chemokines.

In contrast to KC and MIP-2, it is likely that neutrophils contribute to production of MIP-1{alpha}. This notion is based on several observations. First, in contrast to KC and MIP-2 production, which is rapidly elevated before neutrophil infiltration, peak MIP-1{alpha} production was at 24 h, when neutrophils are prominent in the cornea. Second, MIP-1{alpha} production at 24 h is decreased in CXCR2-/- mice, where there is a paucity of neutrophils. Third, neutrophils are reported to produce MIP-1{alpha} (23, 24, 25). Further studies will determine more directly which chemokines are produced by neutrophils in the cornea.

Although MIP-1{alpha}-CCR1 interactions can mediate eosinophil chemotaxis (6), we found that recruitment of eosinophils to the corneas of CXCR2-/- mice was unaffected by diminished MIP-1{alpha} production. Taken together with the observation that CCR1 deficiency had no effect on eosinophil infiltration of the cornea, we conclude that MIP-1{alpha}-CCR1 interactions do not play a critical role in eosinophil recruitment in O. volvulus keratitis. Because MIP-1{alpha} is not completely reduced in CXCR2-/- mice and because MIP-1{alpha} can bind to other receptors such as CCR3 and CCR5, we cannot eliminate the possibility that MIP-1{alpha} has a role in eosinophil recruitment to the cornea. These chemokines may also have a role in modulating the effector function of eosinophils, as shown previously for MIP-1{alpha} and eotaxin (33, 34).

The selective effect of CXCR2 deficiency on neutrophils rather than on eosinophils is similar to an OVA model of airway hyperresponsiveness in which neutrophil recruitment to the lungs was reduced in CXCR2-/- mice, but there was no effect on eosinophil infiltration (10). Expression of IL-8Rs on human eosinophils has been reported (35, 36), although a recent study suggests that those findings may have been due to neutrophil contamination (37). Our observation that there is no difference in eosinophil numbers in the cornea between control and CXCR2-/- mice indicate that if CXCR2 is expressed on murine eosinophils, that it has no direct effect on eosinophil recruitment to the cornea.

In summary, the results of the current study demonstrate that CXCR2 expression is essential for neutrophil recruitment to the cornea and development of O. volvulus keratitis. Because murine and human CXCR2 are homologous, local blockade of CXCR2 could prevent neutrophil-mediated corneal disease in humans. However, because neutrophils are essential for host defense and because blockade of CXCR2 interactions leads to increased growth of bacteria such as Pseudomonas aeruginosa (38) and Nocardia asteroides (39), this approach would only be applicable for noninfectious causes of neutrophil-mediated keratitis.


    Acknowledgments
 
We thank Dr. Janet Bradley for kindly supplying parasite material for these studies. We also thank Dr. Achim Hoerauf (Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany) for the mAb NIMP-R14, and Dr. Phil Murphy at the National Institutes of Health for providing CCR1-/- mice. We also thank Drs. Fred Heinzel and Richard Silver for critical review of the manuscript, and Beth Ann Benetz for assistance with figures.


    Footnotes
 
1 This work was supported by National Institutes of Health Grants EY10320 (to E.P.), EY06913 (to L.R.H.), and Burroughs Wellcome New Investigator Award 0720 (to E.P.). Funding was also provided by National Institutes of Health Grant EY11373, the Ohio Lions Eye Research Foundation and by the Research to Prevent Blindness Foundation.<./> Back

2 Address correspondence and reprint requests to Dr. Eric Pearlman, Division of Geographic Medicine, Case Western Reserve University, 2109 Adelbert Road, W137, Cleveland, OH 44106-4983. Back

3 Abbreviations used in this paper: MIP, macrophage-inflammatory protein; CXCR, CXC chemokine receptor. Back

Received for publication October 30, 2000. Accepted for publication January 2, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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