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The Journal of Immunology, 2001, 167: 1338-1346.
Copyright © 2001 by The American Association of Immunologists

Transgenic Expression of CD95 Ligand on Thyroid Follicular Cells Confers Immune Privilege upon Thyroid Allografts

Léa Tourneur1,*, Benoit Malassagne1,{dagger}, Frédéric Batteux*,{ddagger}, Monique Fabre§, Sylvie Mistou*, Eliette Lallemand*, Patrick Lores and Gilles Chiocchia2,*

* Institut National de la Santé et de la Recherche Médicale Unité 477, Université René Descartes, Paris, France; {dagger} Service de Chirurgie Digestive, Hôpital Henri Mondor, Université Paris XII, Creteil, France; {ddagger} Laboratoire d’Immunologie, Hôpital Cochin, Université René Descartes, Paris, France; § Service d’anatomie et cytologie pathologiques, Centre Hospitalo-Universitaire de Bicêtre, Le Kremlin-Bicêtre, France; and Institut National de la Santé et de la Recherche Médicale Unité 257, Université René Descartes, Paris, France


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Constitutive Fas ligand (FasL) expression by specialized cells in the body participates in the immune privilege status of tissues containing these cells. This property has been used to prevent rejection of allogeneic grafts. Nevertheless, the mechanism responsible for such protection has not been fully elucidated. Unfortunately, grafting of FasL transgenic (TG) tissues has been unsuccessful. We have generated TG mice expressing FasL (soluble + membrane bound) on thyroid follicular cells (TFC), and used them to show that ectopic FasL expression prevents thyroid allograft rejection. FasL expression on TFC led to markedly decreased anti-allogeneic, cytotoxic, and helper T lymphocyte activities. The alloantibody response in TG thyroid recipients was either completely inhibited or switched toward a T2-Ab response. Surprisingly, the beneficial effect of FasL on TG thyroid grafts was abolished by host CD4+ T cell depletion. Host CD8+ T cell depletion improved nontransgenic (NTG), but not TG graft survival. Altogether, our results suggest that FasL-induced tolerance is concomitant with a move away from a T1 type response, and a CD4 T cell-mediated regulation of the allocytotoxic T cell response. These results were dependent upon the level of FasL expression on TFC, in that low expression of FasL led to a less marked effect compared with the effect observed with high expression of FasL. These results provide some insight into the role of FasL in regulating destructive alloimmune responses in the case of whole organ grafting, and they have important implications for the development of FasL-based immunotherapy in organ transplantation.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Although the Fas receptor is expressed on a variety of cell types, its ligand (FasL)3 has a much more restricted expression. Activated T cells, Sertoli cells, and corneal epithelial cells are the best known cells expressing FasL (1, 2). It is believed that FasL expression is partially responsible for the immune privilege status of the testis and the eye, by inducing apoptosis of infiltrating Fas+ cells. It has been demonstrated that allografts of FasL+ Sertoli and corneal epithelial cells, but not of the respective FasL- cells, are tolerated in long-term acceptance experiments (3, 4, 5, 6). Thus, placing FasL into any tissue offers the possibility of conferring immune privilege upon such tissue. Furthermore, it has been reported that syngeneic myoblasts, engineered to express FasL, delay rejection of pancreatic islet allografts when cotransplanted under the kidney capsule, as long as FasL was expressed (7). The same conclusion was reached with a complete allogeneic rat model of cotransplantation of Sertoli cells and allogeneic pancreatic islets {beta} cells (8). These results were highly encouraging as regards using FasL as a mean of inducing allograft acceptance. In contrast, it has been recently reported by several groups that expression of FasL in pancreatic islets, either as a result of retroviral transfection or transgenesis, did not confer protection from allograft rejection. In fact, FasL expression has been shown to target FasL transgenic (TG) islets for rapid destruction (9, 10, 11). Moreover, the accelerated rejection of allogeneic organs, which express FasL ectopically, has hampered the investigation of the impact of FasL in alloimmune-specific responses in such a setting. Furthermore, it has been reported that hearts transplanted into syngeneic and allogeneic recipients, from FasL TG mice expressing FasL in heart muscle cells, were more rapidly rejected than nontransgenic (NTG) hearts (12). Thus to date, contradictory effects of TG FasL expression in tissue allograft rejection have been reported.

We have investigated the ability of ectopically expressed FasL on thyroid follicular cells (TFC) to interfere with thyroid allograft rejection by grafting a complete thyroid lobe under the kidney capsule in fully allogeneic recipients. The allograft transplantation thyroid model has numerous advantages, including Fas-mediated death resistance in the TFC (13, 14), and the fact that the particular follicular structure of the thyroid makes it easier to distinguish between donor graft and recipient tissue. We also studied the allogeneic immune response both in vitro and in vivo. In the present work, three TG lines, expressing different levels of FasL, were investigated to evaluate the role of this parameter in allograft experimentation. These mice expressed both the soluble and membrane-bound form of FasL. Our results show that FasL expression confers an immune privilege upon thyroid tissue, and they provide experimental evidence for the underlying mechanisms.


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

C57BL/6 and CBA/J male mice were purchased from Iffa Credo (L’Arbresle, France). C57BL/6 lpr/lpr mice were provided by Dr. E. Schneider (Institut National de la Santé et de la Recherche Médicale Unité 25, Paris, France). Male mice between 7 and 10 wk of age were used in all experiments. Animals were maintained in standard environmental conditions, with free access to food and water. They were allowed to adapt to their environment for 1 wk before the experiments were initiated. pTg-FasL TG mice have been described elsewhere (15). Three selected transgene-positive founders were crossed with CBA/J mice. TG H-2k mice (I-Ak and Kk positive, I-Ab and Kb negative) were then crossed four times with CBA/J mice. Mice were screened for pTg-FasL transgenes by PCR analysis of tail DNA using the following primers: pTg sense, 5'-GCCTCCACAAGATTTTCACC-3'; and FasL anti-sense, 5'-TGGTAGTGGTGATGGAGGTG-3'. A 450-bp PCR product was obtained for TG mice.

Western blotting

Total protein was extracted from FasL TG and control thyroids in RIPA buffer. Protein samples were filtered with Kwikspin 100 (Pierce, Rockford, IL) to remove proteins under 100 kDa, and 25 µg were electrophoresed in 12% polyacrylamide gel and blotted onto a nitrocellulose membrane. The membrane was incubated with blocking buffer (TBS, 5%BSA), hybridized with 1 µg/ml anti-mouse FasL (clone H11 manufactured by Alexis Biochemicals; a gift from J. Tschopp), and washed. Signals were detected using an ECL Western blotting detection system (Amersham, Little Chalfont, U.K.).

Antibodies

The following biotinylated Abs were used in this study: anti-mouse CD4 (rat IgG2a; CT-CD4); B220 (rat IgG2a; RA3-6B2); Mac-1 (rat IgG2b; M1/70-15); and control (rat IgG2a; LO-DNP-16 and rat IgG2b; LO-DNP-57) (Caltag, South San Francisco, CA). Anti-mouse Thy 1.2 (rat IgG2a; 53-2.1), CD8 (rat IgG2a; 53-6.7), Gr-1 (rat IgG2b; RB6-8C5), MHC II I-Ak (mouse IgG2b; 11-5.2), CD11c (hamster IgG; HL-3), and control (mouse IgG2b; 49.2) were all obtained from BD PharMingen (San Diego, CA). For depletion of CD4 or CD8 subsets, a mixture of nonbiotinylated anti-mouse CD4 (GK 1-5 and RM 4-5) or a mixture of nonbiotinylated anti-mouse CD8 (53-6.7 and 3.168) was given as three 2-mg doses on days 3 and 1 before grafting, and day 3 postgrafting. Control groups received PBS.

Thyroid graft transplantation, determination of graft survival, and histopathological studies of grafted specimens

A thyroid lobe was transplanted under the kidney capsule of recipient mice in accordance with the method described by Lafferty et al. (16). Graft survival was evaluated from days 7 to 42 postgrafting. The graft-bearing kidneys were immersed in paraformaldehyde solution and embedded in paraffin, and the 3-µm-thick serial sections taken were stained with hematoxylin and eosin. Sections were coded and the lesions (cell infiltration and graft rejection) were scored by two independent observers.

Immunohistochemistry

The graft-bearing kidneys were immediately covered in optimal temperature medium (Tissue-Tek; Bayer, Elkhart, IN), slowly frozen by floating in isopentane on liquid nitrogen, and stored at -80°C until cut. Sections of 5–7 µm were cut on a cryostat at -18°C and collected onto SuperFrost-plus slides (Roth Sochiel, Lauterbourg, France). Sections were dried overnight and stored at -80°C until use. Before staining, sections were fixed for 10 min in acetone and incubated for 20 min in 0.05 M TBS, pH 7.6, in the presence of 10% normal horse serum, and stained (45 min) with the appropriate biotin-conjugated primary Ab. Avidin-alkaline phosphatase (Sigma, St. Louis, MO) second stage (30 min), and FastRed substrate (Acros Organics, Noisy-Le-Grand, France) were used to visualize specific staining. Sections were counterstained in hemalum (Fisher Scientific, Pittsburgh, PA) and mounted in an aqueous mount (Aquatex; Merck, West Point, PA).

In vitro cytotoxic responses to allogeneic cells

On the postgraft day indicated, spleen cells from recipient mice were prepared at 1.5 x 106/ml in RPMI 1640 medium with 10% FCS. Cells were cultured with irradiated spleen cells (7.5 x 106/ml) in 100-mm petri dishes, and 1 ng/ml of recombinant IL-2 was added on days 0, 2, and 5. At the end of the culture period (day 6), cells were harvested, purified through a Ficoll-Hypaque, washed twice in HBSS, and were thereafter referred to as effector cells. The BW 5147 thymoma cell line (MHC class I positive, class II negative) or peritoneal macrophages were used as target cells and labeled with 50 µCi of 51Cr per 106 cells. After a 1-h incubation period at 37°C, with shaking, cells were washed twice in HBSS, and 5 x 103 or 104 target cells were placed into each well of flat-bottom 96-well plates (no. 3799; Costar, Cambridge, MA). Thereafter, 100 µl of effector cells at 2.5, 5, 10, and 20 x 105 cells/ml were added. After 5- and 12-h incubations for BW 5147 and macrophages, respectively, 100 µl of supernatant was collected and chromium release measured with a {gamma}-scintillation counter (1450 Microbeta plus; Wallac, Gaithersburg, MD). Spontaneous and maximal releases were defined by the incubation of target cells with culture medium in the absence or presence of 10% HCl, respectively. Spontaneous release was <21% for BW 5147 and <30% for macrophages. Specific lysis (%) was calculated as (experimental 51Cr release - spontaneous 51Cr release)/(maximal 51Cr release - spontaneous 51Cr release).

In vitro proliferative and cytokine responses to allogeneic cells

In vitro proliferative responses to alloantigen were measured by culturing 2 x 105 recipient spleen cells with 2 x 105 irradiated CBA spleen cells for 72 h. Cells were pulsed with 0.5 µCi of [3H]thymidine for the final 12 h, and then harvested for liquid scintillation counting. Culture supernatants were collected on days 1–3 for IL-2 assay using the IL-2-dependent CTLL-2 cell line, and IFN-{gamma} assay using a two-site ELISA with R46-A2 mAb as the coating Ab, and {beta}-galactosidase-coupled XMG1-2 mAb as the developing Ab. The detection limit for IFN-{gamma} was 100 pg/ml.

Levels and isotypes of Abs to allogeneic cells

Mice were bled either by retro-orbital puncture or by cardiac puncture at the time of sacrifice. Serum samples were stored at -20°C until use. Allogeneic specific Abs were analyzed by FACS. Target cells (BW 5147) were incubated with individual mouse serum at a 1/20 dilution in FACS medium (PBS, 2% FCS, 0.01% NaN3). After washings with FACS medium, secondary staining was performed using FITC-conjugated anti-mouse IgM Ab (Caltag) or anti-mouse IgG, IgG1, IgG2a, IgG2b, and IgG3 Abs (Southern Biotechnology Associates, Birmingham, AL). The cells were washed and analyzed by FACS (EPICS; Coulter, Hialeah, FL).

Statistical analysis

Statistical analysis was performed using a two tailed Student’s t test (p < 0.05).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Allogeneic thyroid allograft

pTg-FasL TG mice. We have previously reported the generation of TG mice expressing functional FasL cDNA under the control of the bovine thyroglobulin promoter (pTg-FasL mice) (15). Western blotting analysis confirmed TG FasL expression and showed that TG thyroid expressed both the soluble and membrane-bound FasL (Fig. 1Go). The levels of expression of both forms correlated. Among the numerous Abs against FasL that have been tested (N-20 and C-178 from Santa Cruz Biotechnology, Santa Cruz, CA; clone 33 from Transduction Laboratories, Lexington, KY; AB1665 from Chemicon International, Temecula, CA; and clone H11 from Alexis Biochemicals, Paris, France), only the clone H11 gave reproducible results. The three different lines were named TG6low, TG9med, and TG11high in accordance with the level of functional and protein FasL expressed.



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FIGURE 1. FasL protein expression in thyroid from NTG and FasL TG mice. Thyroids were collected from wild-type or FasL TG mice, and thyroid extracts were subjected to Western blot analysis with an anti-FasL Ab. The data provided in the figure were obtained from two different gels. Similar results were observed in two additional experiments. m, Membrane-bound; s, soluble.

 
FasL expression and thyroid allograft acceptance. A strong allogeneic model was chosen in that CBA/J or TG thyroids from CBA/J background mice (H-2k) were grafted heterotopically under the kidney capsule of C57BL/6 mice (H-2b). Allografts were recovered and detailed histological analysis was performed. The results are shown in Table IGo and Fig. 2Go. Syngeneic grafts from NTG donors were recovered at various times postgraft, from days 7 to 42, and demonstrated a 100% acceptance rate. On day 7 postgraft, NTG and TG6low grafts were found to be massively infiltrated, and large numbers of follicles were already destroyed (Table IGo). In those cases of severe rejection, inflammation extended throughout the graft. The infiltration was confluent, containing numerous activated and blastic lymphocytes, some macrophages, and only very few granulocytes. The majority of follicles were completely destroyed. Others were damaged, showing vacuolization, breaks in the basement membrane, and necrosis. By contrast, in TG9med and TG11high grafts there were no signs of rejection, and only a mild lymphocytic infiltration was observed. On day 14, NTG and TG6low grafts had been completely rejected, whereas those from TG9med and TG11high mice were still protected (Fig. 2Go). At this time, the lymphocytic infiltrate was generally confined within the margin of the graft. Follicular inflammation mostly involved apoptotic lymphocytes. This result was confirmed by in situ TUNEL analysis (data not shown). A minority of follicles was cuffed and showed only mild reactive changes (Table IGo, and Fig. 2Go, C and D). By day 21, TG9med grafts had been completely rejected. TG11high grafts were mainly intact up to 42 days postgraft. By contrast, TG11high grafts were rejected by day 17 when transplanted under the kidney capsule of lpr/lpr mice, further demonstrating the importance of FasL in allograft survival (Table IGo). Thus, expression of FasL on thyroid cells inhibited acute allograft rejection, in a dose-dependent manner.


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Table I. High expression of FasL on TFC prevents acute allograft thyroid rejection

 


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FIGURE 2. Histology of CBA and FasL TG H-2k thyroids on day 14 after transplantation under the kidney capsule of C57BL/6 mice. Recovered grafts were stained with hematoxylin and eosin. A, CBA graft; B, TG6low graft; C, TG9med graft; D, TG11high graft. Note the lack of lymphocytic infiltration in D. The renal tissue does not show lymphocytic infiltration adjacent to the graft.

 
Characterization of the cell infiltrate in TG and NTG grafted thyroid. To determine the phenotype of the cells infiltrating the graft, immunohistochemical analysis of the recovered graft was undertaken. On day 7 postgraft, NTG and grafts from TG6low mice demonstrated a major T lymphocyte infiltration, mainly comprising CD8+ T cells (Table IIGo). CD4+ T cells and a few B lymphocytes were also present. TG9med and TG11high grafts showed a smaller number of infiltrating cells (up to 5 times fewer than NTG grafts) with a major reduction in the CD8+ T cell subset. In every case, no or only a few granulocytes were detected. Thus, TG FasL expression resulted in a strong reduction of all infiltrating cell subpopulations, which was particularly obvious for CD8+ T cells.


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Table II. Immunohistochemical analysis of CBA, TG6low, TG9med, and TG11high grafts on day 7 postgrafting1

 
Consequences of CD4 and CD8 T cell depletion on rejection of TG and NTG grafts. To clarify the role of each T cell population in our model, allografts of NTG or TG11high thyroids were performed in C57BL/6 mice depleted of CD4 or CD8 T cell subsets. On day 20 after transplantation, results shown in Table IIIGo for the CD4 T cell-depleted hosts demonstrate for both TG and NTG thyroid recipients the persistence of thyroid follicles at the graft site, although all grafts were undergoing a rejection process. When compared with the full rejection of NTG thyroid observed in untreated recipients on day 14 (Table IGo), CD4 T cell depletion resulted in a delay of graft rejection. By contrast, CD4 T cell depletion abolished the protective effect of TG FasL expression.


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Table III. Role of CD4 and CD8 T cells in thyroid allograft survival1

 
NTG thyroid graft rejection was partially prevented by host CD8 T cell depletion, in that complete protection of the graft was observed in two of six NTG grafts, and an intense lymphocytic infiltration was seen in one. In TG graft recipients, depletion of CD8 T cells did not alter the protective effect of FasL, because it resulted in complete protection of four of eight grafts. Thus, expression of FasL has no effect on thyroid allograft rejection in the absence of the CD4+ T cell subset.

Effect of FasL on allogeneic cell-mediated immunity

Consequences of TG thyroid graft on the allospecific, cytotoxic T cell response. Allospecific, cytotoxic T cells appear as important effectors in thyroid allograft rejection (Tables IIGo and IIIGo). Therefore, we examined the development of allogeneic, cytotoxic T cell responses in recipient animals. A splenic, cytotoxic T cell response in C57BL/6 grafted mice toward H-2k allogeneic cells was measured on day 14 postgraft, when thyroids of CBA/J and TG6low were rejected whereas those of TG9med and TG11high were still accepted. To minimize variability between different experiments, all animals were grafted at the same time.

Cytotoxic T cells were always detected among splenocytes from all groups, and TG6low-immunized mice had a similar level of cytotoxicity as mice grafted with CBA thyroid (Fig. 3GoA). Conversely, high expression of functional FasL (TG11high) induced a lower allospecific, cytotoxic T cell response compared with NTG mice (Fig. 3GoA). Intermediate expression of FasL by TG9med TFC resulted in a less pronounced effect (Fig. 3GoA). The role of Fas/FasL interaction in the allogeneic, cytotoxic response was further demonstrated by similar levels of cytotoxic T cells among splenocytes of lpr/lpr mice grafted with TG or NTG thyroid (data not shown).



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FIGURE 3. FasL TG expression in transplanted H-2k thyroids suppresses cytotoxic T cell reactivity to H-2k allogeneic target cells. A, CTL activity of BW 5147 cells in the splenic lymphocytes from C57BL/6 transplanted 14 days earlier with wild-type or FasL TG thyroid. Assays were performed as described in Materials and Methods. Results shown are the mean of 3–4 mice per group, and the experiment was repeated once, with the same results. B, CTL-limiting dilution analysis using splenocytes from C57BL/6 transplanted 7 days earlier with wild-type or FasL TG thyroid. Assays were performed after a 7-day in vitro culture. Appropriate dilutions of responder cells were added to round-bottom plates, along with irradiated CBA splenocytes as stimulator cells plus 1 ng/ml recombinant IL-2. At the end of the culture, 5 x 103 cells of 51Cr-labeled target BW 5147 cells were added to each well, and the 51Cr released into supernatants was assayed after 5 h of incubation. Wells were scored positive when 51Cr release was superior to spontaneous release + 3 SD.

 
By using anti-CD4 and anti-CD8 blocking Abs, we have shown that the cytotoxic response was mainly due to CD8+ T cells (data not shown). Furthermore, the cytotoxic response was MHC I restricted, and specific for H-2k target cells as shown by the inhibition of response in the presence of MHC I but not MHC II specific Abs, and the absence of the killing of H-2d and H-2q target cells (data not shown).

The measurement of the frequency of anti-H-2k CTL at day 14 postgraft by limiting dilution analysis showed a 3- to 5-fold reduction, in that the frequency of reactive CTL was reduced by 3–5 times in C57BL/6 mice grafted with TG11high thyroid compared with mice grafted with NTG thyroid (Fig. 3GoB). Furthermore, the frequency of the IFN-{gamma}-producing cells was also markedly reduced in mice grafted with TG compared with NTG thyroid (data not shown). A decreased number of CTL- and IFN-{gamma}-producing cells was observed in TG6low and TG9med thyroid-grafted animals, although this decrease was not statistically significant. Thus, TG FasL expression in the grafted thyroid inhibited the development of alloreactive, cytotoxic T cells.

Consequences of CD4 and CD8 T cell depletion on allocytotoxic and alloproliferative T cell responses following TG and NTG grafting. Experiments were performed to gain further insight into the respective roles of CD4 and CD8 T cell responses in thyroid allografts. Mice were depleted of CD4 or CD8 T cells before transplantation with CBA/J or TG11high thyroid, and the development of the alloproliferative response was evaluated. Without depletion, the level of alloresponse was lower in TG compared with NTG graft recipient animals (p < 0.02) (Fig. 4Go, left). The lower alloreactive T cell proliferation observed in control mice grafted with TG thyroid could be totally restored by adding IL-2 to the culture (Fig. 4Go, right). MLR proliferation of spleen cells from NTG and TG mice was similar when tested in the presence of non-H-2k cells, and no differences in proliferation and IL-2 production were noted between NTG and TG spleen cells stimulated with Con A (data not shown).



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FIGURE 4. Subsets of T cells involved in the anti-allogeneic immune response by C57BL/6 mice after grafting of allogeneic wild-type or FasL TG thyroids. Recipient mice were treated with a mixture of mAb to deplete the subsets indicated and were sacrificed 20 days later. T cell alloimmune responses were measured in the splenic lymphocytes from transplanted mice. Proliferative response was measured in the absence (left) or presence (right) of added IL-2. *, p < 0.02.

 
Depletion of either CD4 or CD8 T cell subsets reduced the proliferative alloresponse, although a more pronounced effect was observed after CD8 T cell elimination. Addition of IL-2 to the culture restored proliferation of CD4-depleted T cells to the level of proliferation of nondepleted populations (Fig. 4Go, right). Conversely, proliferation of CD8-depleted T cells was still completely abolished despite the presence of IL-2. Hence, the allospecific CD8 T cells represent the major proliferative T cell population in our model.

We also investigated whether depletion of the CD4 or CD8 T cell population affected the cytotoxic alloresponse in the grafted animals. Because IL-2 was necessary for T cell proliferation (Fig. 4Go, right), it was added to the in vitro T cell allogeneic stimulation experiment. Allocytotoxicity was almost completely abolished by CD8 T cell depletion in all grafted recipients (data not shown). Conversely, CD4 T cell depletion did not affect the cytotoxic, allogeneic response in TG and NTG thyroid-grafted recipients (data not shown). These results showed that, in the absence of CD4+ T cells, but in the presence of IL-2, a cytotoxic T cell response, which is not affected by thyroid FasL expression, can occur.

Anti-allogeneic, humoral-mediated immunity following TG and NTG grafting

Inhibition of the early alloantibody response in TG FasL thyroid-grafted animals. The presence of alloantibody reactive to H-2k cells was analyzed in the serum of grafted animals at different times postgraft (Fig. 5Go). Mice grafted with control thyroid developed an alloantibody response characterized by the presence of IgM and IgG on days 14 and 21. In the case of TG6low and TG9med grafts, IgM alloantibodies were transiently detectable on day 14, whereas IgG alloantibodies were detectable on days 14 and 21. In the case of TG11high graft, no IgM alloantibodies were detected. Before day 14, no IgG alloantibody response could be detected in 7 of 8 TG11high thyroid recipient mice. Furthermore, in this group of animals, analysis of the alloantibody response at a later time demonstrated a detectable IgG response in only 11 of the 16 animals analyzed. The analysis of the response in lpr/lpr grafted mice showed that no difference in IgM and IgG Ab responses occurred in NTG or TG grafted animals (data not shown), confirming that the inhibitory effect was mediated through Fas/FasL interaction. Thus, the FasL expression on grafted organs resulted either in a complete inhibition or a delay in the development of the alloantibody response.



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FIGURE 5. Modulation of alloantibody production by FasL expression. Anti-H-2k (BW 5147 cells) Abs in the serum of the mice transplanted with CBA, TG6low, TG9med, or TG11high thyroid. Serum was collected at various times postgrafting and analyzed at a 1/20 dilution for H-2k-specific IgM (A) or IgG (B) by FACS. Note that grafting of TG11high thyroid resulted in a complete inhibition of both IgM and IgG production. Each serum was tested using serial 2-fold dilutions (starting 1/20 to 1/160) for allospecific IgM and IgG, with the same results.

 
Switch toward a T2 type of the late alloantibody response in TG FasL thyroid-grafted animals. The above results supposed that the alloantibody response was mainly inhibited during the first 2 wk in animals grafted with higher expressing FasL TG thyroid. Later on, the alloantibody response was detectable in 70% of the animals. This response was not directly linked to the rejection of the graft because some of the animals developed an IgG alloantibody response with no sign of graft rejection. To gain further insight into this phenomenon, we performed an isotypic analysis of the IgG alloantibody response in the different groups of animals and at various times postgraft. The results are summarized in Table IVGo. Among the grafted mice developing alloantibodies, only 4 of the 13 mice grafted with control thyroid developed IgG1 alloantibodies, compared with 9 of 11 (p < 0.02) animals grafted with TG11high thyroid. Conversely, mice grafted with control thyroid developed IgG2a Ab almost twice as frequently as mice grafted with TG11high thyroid, and the IgG3 response was observed significantly more frequently (p < 0.007) in TG11high compared with control-grafted animals. Thus, when it did not induce a complete abrogation of the alloantibody response, FasL expression on the grafted organ resulted in a switch toward a T2-Ab response.


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Table IV. Isotypic alloantibody characterization among the anti-H-2k IgG alloresponding grafted mice

 
Alloantibody response is under the control of the CD4 T cell response. The control of the alloantibody response by T cells was examined by analyzing the development of the alloantibody responses in hosts depleted of CD4 or CD8 T cells, before grafting with control or TG11high thyroid. In both groups, the alloantibody response was completely abolished following CD4 T cell depletion (Fig. 6Go). Conversely, the alloantibody response was strongly increased following CD8 T cell depletion (Fig. 6Go). In those animals, an isotypic switch toward a T2 Ab response was still observed in TG11high- compared with NTG-grafted recipients (data not shown).



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FIGURE 6. Alloantibody production depends on the presence of CD4 T cells. Recipient mice were depleted or not of CD4 and CD8 T cells. Anti-H-2k (BW 5147 cells) Abs in the serum of the mice transplanted with CBA or TG11high thyroid were analyzed on day 20 postgraft at a 1/20 dilution with FACS. Note that elimination of the CD4 T cells resulted in a complete inhibition of alloantibody production, whereas CD8 T cells induced a marked increase of the amount of alloantibodies produced. These results were found in recipient mice grafted with NTG or TG thyroid.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The major findings of this study are as follows: 1) FasL expression on TFC resulted in prolonged thyroid allograft survival; 2) the graft protection correlated strictly with the level of FasL expression on transplanted thyroid; 3) transplant survival was associated with a strong inhibition of the allospecific cytotoxic response; 4) the alloimmune response was shifted away from a T1 type of response; and 5) TFC-FasL expression induced a CD4-dependent regulation of the alloreactive CD8 effector cells.

When TG thyroid was used in allograft experiments, we found that increased allograft survival was proportional to the level of FasL expression on transplanted TFC. The involvement of the Fas/FasL interaction in these findings is confirmed by the rejection of TG11high grafts in Fas-deficient mice. Several groups have reported that high FasL expression on pancreatic islet cells resulted in a more rapid rejection of the islet graft compared with islets with low or no expression (10, 11). One explanation could rely on the Fas-induced cell death sensitivity of the grafted cells. In fact, pancreatic {beta} cells have been shown to be highly susceptible to Fas-mediated death, both in humans (17) and mice (9), whereas TFC have been shown to be naturally resistant to this form of cell death (14, 18, 19). The spontaneous apoptosis of the grafted Fas-sensitive {beta} cells, but not thyrocytes, could explain the contrasting outcome of the grafting of these two endocrine glands, namely thyroid and pancreas, which both ectopically express FasL. In particular, future studies should focus on regulation of the neutrophilic infiltration occurring in FasL-pancreas but not in FasL-thyroid allografts. At least two explanations have been proposed to explain the discrepancies between the results of studies using FasL-based immunotherapy in allografting. One explanation involves the suppressive activity of the inflammatory response of soluble FasL. Indeed, it has recently been demonstrated that the natural cleavage product of murine FasL was unable to induce neutrophil inflammation (20), as opposed to the previously held view of its neutrophil chemotactic activity (21, 22). This would imply that eye, testis, and thyroid might produce more soluble FasL than pancreas and heart tissues, which would result in an inhibition of neutrophil attraction. It would be of particular interest to determine whether different expressions of particular metalloprotease activity able to cleave membrane FasL exist in these tissues.

The second explanation relies on the possible different levels of IL-8-induced expression in the various transplanted tissues. Because of the well known IL-8 neutrophil chemotaxis activity, different levels of IL-8 expression could form part of the explanation. Production of other chemokines with neutrophil chemotaxis activity could also explain such results. The pro- or anti-inflammatory consequences of FasL expression might certainly be influenced by local environmental factors that vary from tissue to tissue. It is highly probable that FasL expression might not be sufficient in all transplantation settings to ensure graft survival. For example, corneas grafted heterotopically to the skin are rapidly rejected (23). The results reported herein show that FasL expression confers immune privilege status upon thyroid, providing protection against allograft rejection, a property that is probably enhanced by the kidney capsule microenvironment.

The induction of graft acceptance certainly depends on the ability to reduce the alloimmune response, particularly in a fully MHC-mismatched combination as in our experiments. Rejection of NTG, allogeneic grafts in CD4 T cell-depleted mice was delayed by up to 20 days after grafting, and two of the six NTG, allogeneic grafts in CD8 T cell-depleted mice were not rejected. These results show that both CD4 and CD8 T cells were involved in the rejection process. Depletion of CD8 T cells did not significantly modify rejection of TG grafts, whereas CD4 T cell depletion induced a severe rejection process involving all TG grafts. These results suggest that FasL-induced protection was mainly mediated by CD4 T cells.

We then analyzed the consequences of thyroid-FasL expression on alloreactive CD4 and CD8 T cell responses. Analysis of the allospecific, cytotoxic T cell responses following grafting demonstrated that TG grafts induced a lower response compared with animals grafted with NTG thyroid. The systemic elimination of alloreactive CD8 T cells by TFC-FasL could explain these results. Nevertheless, we did not observe any significant difference in the alloreactive, cytotoxic response after in vivo depletion of CD4 T cells, arguing against a direct, dominant effect of TFC-FasL on alloreactive, CD8 cytotoxic T cells. Furthermore, alloreactive CD8 T cells have been demonstrated to be relatively resistant to Fas-induced cell death (24, 25, 26). A second possibility might be a change in the help necessary to develop a full alloreactive, cytotoxic response following the grafting of FasL thyroid. Indeed, no significant differences in the cytotoxic response (as mentioned above) or in IFN-{gamma} production between hosts receiving NTG or TG thyroid were observed after in vivo depletion of CD4 T cells. Moreover, adding IL-2 to the culture completely restored the deficient CD8 T cell-proliferative response in mice grafted with TG thyroid, further showing that the CD8 T cells had not been eliminated. We concluded that, in our experiments, the effect of TFC FasL expression on CD4 T cells was probably directly responsible for the inhibition of the alloreactive, cytotoxic T cell response in mice grafted with FasL TG thyroid. Because Th1 cells are a population of CD4 T cell that are known to promote the development of IFN-{gamma}-producing cytotoxic T lymphocytes, our results suggest their inhibition in the host by FasL.

Analysis of humoral responses demonstrated that TFC-FasL expression resulted in an alteration of the anti-H-2k-allospecific B cell response. This resulted either in a highly significant diminution of all classes of the anti-H-2k Abs or a specific diminution of the Th1-associated class of Abs. In C57BL/6 lpr/lpr mice, FasL did not alter the alloantibody response, further confirming that a FasL interaction is required for these effects. Moreover, this result was dependent on the level of FasL expression on the TFC. Mice grafted with NTG, TG6low, or TG9med thyroid developed very similar alloantibody responses, whereas mice grafted with TG11high preferentially developed a T2 type Ab response. These data could be explained either by the preferential survival of Th2 cells or by the inhibition of Th1 cells in TG11high graft recipients. Indeed, it has been reported that activation-induced cell death in CD4 Th cells could be responsible for imbalances in Th1 and Th2 subsets because Th1, but not Th2, undergo rapid Fas/FasL-mediated apoptosis (27, 28, 29). Moreover, during the Th2 response, B cells are protected from Fas/FasL-induced apoptosis, and IgG1 production is elicited (30). Because we have shown that the B cell response was totally abrogated in the absence of CD4 T cells, these results further demonstrate the shift of the T cell response away from a Th1 type. Nevertheless, we cannot formally rule out a direct intragraft selection of the ongoing B cell response, particularly during the early response when alloantibodies were undetectable.

The exact mechanism by which FasL expression on the transplanted tissue leads to control of the CD8 T cell-alloreactive effector population is presently unclear. The apoptosis of thyroid-infiltrating T cells that we observed could be necessary to eliminate Th1 cells and/or to create local immunoregulation, at least partially through the production of immunoregulatory cytokines, as shown in other models (31, 32, 33, 34, 35, 36, 37). Recently, the control of CD8 T cells in a tolerant state by a CD4 T cell-mediated mechanism has been shown to occur in cancer (38) and in autoimmunity (39). To determine whether this also occurs in our graft model, and how to tie together these complementary mechanisms, is the next challenge.

In conclusion, our findings indicate that the ectopic expression of FasL in a Fas-induced death-resistant tissue may induce tolerance to this tissue following allogeneic transplantation. Our results show that the level of FasL expression is of crucial importance in the success, or otherwise, of the graft. In addition, we have provided evidence that the protection provided by FasL expression in the grafted tissue might be explained by a shift away from a T1 toward a T2 alloreactive response, and through a mechanism involving allospecific CD8 T cell tolerance mediated by a CD4 T cell population.


    Acknowledgments
 
We are grateful to Drs. Elke Schneider (Institut National de la Santé et de la Recherche Médicale Unité 25, Hôpital Necker, Paris, France), J. Tschopp (University of Lausanne, Epalinges, Switzerland), Shigekazu Nagata (Osaka University, Osaka, Japan), Pierre Golstein (Institut National de la Santé et de la Recherche Médicale Unité 136, Luminy, France), Jean Feunteun (Centre National de la Recherche Scientifique, Unité de Recherche Associée 1967, Villejuif, France), and Daniel Christophe (Université Libre de Bruxelles, Bruxelles, Belgium) for generously providing valuable reagents. We are also indebted to A. Gaston and N. Bâ for their excellent technical assistance, and to F. Lager for help with animal care. We are grateful to C. Fournier and B. Weill for their critical reading of the manuscript.


    Footnotes
 
1 L.T. and B.M. contributed equally to this work. Back

2 Address correspondence and reprint requests to Dr. Gilles Chiocchia, Institut National de la Santé et de la Recherche Médicale Unité 477, Hôpital Cochin, 27 ruedu Faubourg Saint-Jacques, 75674 Paris Cedex 14, France. E-mail address: chiocchia{at}cochin.inserm.fr Back

3 Abbreviations used in this paper: FasL, Fas ligand; TFC, thyroid follicular cell; TG, transgenic; NTG, nontransgenic. Back

Received for publication February 5, 2001. Accepted for publication May 30, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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