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Department of Medical Microbiology, University Hospital Malmö, Lund University, Malmö, Sweden
| Abstract |
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| Introduction |
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M. catarrhalis is a Gram-negative human mucosal pathogen causing middle ear infections in infants and children and lower respiratory tract infections in adults with chronic pulmonary disease (8). Formalin-fixed preparations of M. catarrhalis and Staphylococcus aureus Cowan strain I have earlier been shown to induce the proliferation of human peripheral blood B lymphocytes (9, 10).
Both M. catarrhalis and S. aureus were shown to be thymus-independent Ags for B cells. However, while S. aureus-induced B cell proliferation is the consequence of protein A binding to and cross-linking membrane Ig using VH3 gene products, M. catarrhalis has been suggested to bind to the CH1 domain of IgD (7). Interestingly, M. catarrhalis, but not S. aureus, was able to stimulate purified B cells to induction of high quantities of secreted IgM in the absence of exogenous cytokines (10). This is in agreement with the ability of M. catarrhalis to provide an extensive cross-linking of surface IgD. It is well established that thymus-independent Ags such as bacterial polysaccharides, polymeric proteins, and LPS, can stimulate strong Ab responses in the absence of T cells. In contrast, thymus-dependent protein Ags require T cell help. The interaction between the CD40 molecule on B lymphocytes and the CD40 ligand (CD40L)3 on T lymphocytes as well as the B7/CD28 interaction seems to be required in most T cell-dependent B cell responses (11, 12, 13).
We have isolated an M. catarrhalis-derived 200-kDa outer membrane protein, Moraxella IgD binding protein (MID), with IgD-binding properties (14). We show here that MID or MID conjugated to cyanogen bromide (CNBr)-Sepharose (MID-Sepharose) induced a proliferative response in human peripheral B lymphocytes. MID-Sepharose together with IL-4 specifically induced a high level of IL-6 secretion from B cells. IL-2 efficiently induced enhanced IgM secretion by MID- or MID-Sepharose-activated B cells. Importantly, after exposure to CD40L, IL-4, and IL-10, MID- or MID-Sepharose-activated human peripheral B cells could be induced to promote the secretion of IgG and IgA. These results suggest that Th2-derived cytokines are necessary for efficient IgG and IgA production in this system. Thus, we have characterized a novel IgD-binding B cell stimulatory bacterial protein from the respiratory pathogen M. catarrhalis, which has the ability to serve as a tool for studies of B cell activation.
| Materials and Methods |
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The purification of the M. catarrhalis outer membrane protein MID has recently been described (14). Abs to the following human Ags were used: CD19-RPE, CD3-RPE, rabbit anti-human IgD, and rabbit anti-human IgM (DAKO, Glostrup, Denmark). The mouse anti-human IgD mAb LN has been described previously (7). Human IgD was obtained from Dade- Behring (Paris, France). Human rIL-2 was purchased from Roche (Mannheim, Germany), human rIL-4 and IL-10 was obtained from PeproTech (London, U.K.), and human rIL-6 was obtained from BD PharMingen (San Diego, CA). Human soluble rCD40L and enhancer (anti-CD40L Ab) were used at the concentrations suggested by the manufacturer (Alexis, Läufelfingen, Switzerland). PHA was purchased from Sigma-Aldrich (St. Louis, MO). The MID protein was conjugated to FITC as previously described (14) and to CNBr-Sepharose according to the manufacturers instructions. In brief, 4.0 mg MID was diluted in 1 ml coupling buffer (0.1 M NaHCO3 containing 0.5 M NaCl (pH 8.3)). CNBr-activated Sepharose 4B (1.5 ml; Amersham Biosciences, Uppsala, Sweden) was preswelled and washed in 1 mM HCl. MID and CNBr-Sepharose were mixed and rotated overnight at 4°C. Excess ligand was quantitated by the bicinchoninic acid protein assay kit (Pierce, Rockford, IL) and thereafter washed away. The remaining active groups were blocked with 0.1 M Tris-HCl (pH 8.0) and 1 M ethanolamine (pH 8.0) for 2 h. Finally, the conjugated protein was washed with three cycles of 0.1 M acetate buffer containing 0.5 M NaCl (pH 4.0) and 0.1 M Tris-HCl containing 0.5 M NaCl (pH 8.0). The amount of MID protein bound to CNBr-Sepharose was estimated to 2.0 mg by measuring unbound ligand. The final product was diluted in 5 ml 0.1 M NH4CO3 (pH 8.0).
Cell preparations
Human PBMC were isolated from healthy donors by Lymphoprep (Nycomed, Oslo, Norway) density gradient centrifugation. CD19+ B lymphocytes were isolated using anti-CD19-conjugated magnetic beads (positive selection) or a B cell isolation kit (negative selection) and a VarioMACS magnetic cell sorter (Miltenyi Biotec, Bergisch Gladbach, Germany) according to the manufacturers instructions. CD19+ B cells isolated by positive selection were routinely >97% HLA-DR+ and B cells isolated by negative selection were routinely 9095% CD19+ as assessed by fluorescence analysis using a FACSCaliber (BD Biosciences, San Jose, CA). All cultures were conducted in RPMI 1640 medium (Life Technologies, Paisley, U.K.) supplemented with 10% FCS, 2 mM glutamine, and 10 µg/ml gentamicin (complete medium). A total of 2 x 105 cells were cultured in 96-well round-bottom plates (Nunc, Roskilde, Denmark) in triplicate in a final volume of 200 µl complete medium. Proliferation was measured routinely after 3 days (or as indicated) by [methyl-3H]thymidine incorporation (5 µCi/well; Amersham Biosciences) using an 18-h pulse period.
Detection of IL-6, IgA, IgD, IgE, IgG, and IgM by ELISA
IL-6 production was measured from supernatants harvested on day 3, and Ig production from supernatants harvested on days 1012. In brief, ELISA plates (Maxisorp, Nunc) were coated with 50 µl of a solution containing rat anti-IL-6 Ab (2 µg/ml; BD PharMingen) or 100 µl rabbit anti-human IgA, IgD, IgE, IgG, or IgM (DAKO) in a 1/1500 dilution in 0.1 M Na2HPO4, pH 9.0. Standards and supernatants were diluted in PBS/Tween 20 (0.05%). To determine IL-6, biotinylated rat anti-IL-6 Ab (1 µg/ml; BD PharMingen) and thereafter HRP-conjugated avidin were added. To determine Ig, HRP-conjugated anti-human IgA, IgE, IgG (DAKO), IgD (BioSource, Camarillo, CA), and IgM (Sigma-Aldrich) were used. Tetramethylbenzidine and hydrogen peroxide were used as chromogen and substrate. Finally, the absorbance at 405 nm was determined.
Statistics
The statistical significance of differences was calculated using the nonparametric Mann-Whitney U test.
| Results and Discussion |
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We have recently isolated the novel IgD-binding outer membrane
protein MID from the human mucosal pathogen M. catarrhalis
(14). In the present paper, we demonstrate that MID binds
to the human IgD B cell receptor and is stimulatory for human
IgD+ B cells. Human PBL were isolated and
analyzed for the expression of B and T cell surface markers and for
binding of FITC-conjugated MID protein by flow cytometric analysis. B
cells make up 515% of the PBL population in a healthy donor. These
cells coexpress CD19, IgM, and IgD. We show that FITC-conjugated MID
bound to CD19+ B cells, but not to
CD3+ T cells (Fig. 1
) (14). In the experiment
shown in Fig. 1
, FITC-conjugated MID bound 50% of the
CD19+ cells. The interaction of MID with
CD19+ cells was efficiently inhibited by
preincubation of the cells with a rabbit anti-IgD Ab (Fig. 1
, D and F), but not with a rabbit anti-IgM Ab
(Fig. 1
, E and F). This is in line with earlier
results demonstrating that MID does not bind to any of the soluble Ig
isotypes IgG, IgM, IgA, or IgE (14). We also incubated PBL
with the MID protein, followed by a rabbit anti-MID polyclonal Ab
at different dilutions. The rabbit anti-MID Ab bound to PBL
incubated with the MID protein, but not to cells with no MID added
(data not shown). Moreover, the binding of FITC-conjugated MID to PBL
could be inhibited by preincubation of the cells with unlabeled MID or
preincubation with human IgD (not shown).
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To test the possibility that purified MID could activate
lymphocytes, PBL were isolated and cultured with different
concentrations of MID. The proliferative response was analyzed between
days 2 and 6 of culture. The optimal concentration of MID to activate
PBL was 0.1 µg/ml (Fig. 2
A).
Concentrations >1.0 µg/ml had an inhibitory or possibly toxic effect
on the cell proliferation (Fig. 2
B). To mimic endogenous MID
bound to the bacterial surface of M. catarrhalis, the
purified MID protein was conjugated to CNBr-Sepharose. The
MID-Sepharose preparation was thereafter tested in different dilutions
for its ability to induce a proliferative response in human PBL
cultures. A formalin-fixed preparation of M. catarrhalis was
also titrated and used as a control to the MID- and
MID-Sepharose-induced response. Indeed, we found that optimal dilutions
of MID-Sepharose had the capacity to induce a more efficient
proliferative response compared with unconjugated MID (Fig. 2
B). Interestingly, the response to MID-Sepharose was very
similar to that to M. catarrhalis. The addition of high
concentrations of MID-Sepharose inhibited the proliferative response
(data not shown). As a control, BSA was conjugated to CNBr-Sepharose
using the same protocol as that for MID-Sepharose conjugation.
BSA-Sepharose did not induce a proliferative response above background
levels.
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MID binds to cell surface IgD, as shown by flow cytometry (Fig. 1
), and to soluble IgD, as shown by Western and dot blots
(14). Therefore, the next step was to analyze whether MID
could activate purified naive, peripheral IgD+
human B cells. PBL were isolated, and B cells were purified by either
positive or negative selection. The isolated B cells were cultured for
3 days with MID or MID-Sepharose. For optimal stimulation of purified B
cells, MID was added at a concentration of 0.10.5 µg/ml, and
MID-Sepharose was added at the same dilution as that used for
stimulation of PBL. The purified CD19+ B cells
responded to MID and MID-Sepharose, but not to the T cell mitogen PHA
(Fig. 3
A). A fraction of cells
containing mainly T cells, NK cells, and monocytes, but no B cells as
analyzed by flow cytometry, was cultured for 3 days with MID or
MID-Sepharose. The CD19- cell fraction showed a
high proliferative response to PHA, but a very poor response to MID and
MID-Sepharose, indicating that B cells were the target cells for MID.
Nonpurified PBL from the same donor responded to MID, MID-Sepharose,
and PHA (data not shown). Furthermore, purified B cells were
preincubated with anti-IgD Abs and cultured with MID-Sepharose for
3 days. The proliferative response was clearly inhibited in the
presence of a mouse anti-human IgD mAb, but not in the presence of
an irrelevant mouse control Ab (Fig. 3
B). A similar
inhibitory pattern could be seen with another mouse anti-human IgD
mAb (not shown). An inhibition experiment was also performed by
neutralizing MID-Sepharose with 10 µg human IgD. The proliferative
response analyzed after 3 days showed a 3040% inhibition compared
with cells stimulated with MID-Sepharose alone (not shown).
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Enhancement of proliferation and IL-6 production by the addition of costimulatory molecules to MID-stimulated B cells
We next wanted to analyze whether the addition of T cell-derived
costimulatory molecules could enhance the MID-induced B cell response.
Human peripheral B cells were purified by either positive or negative
selection and cultured for 3 days with MID or MID-Sepharose together
with soluble rCD40L, IL-2, or IL-4 or the combination of all three
additives (Fig. 4
). In all experiments
shown CD19+ B cells were purified by positive
selection, but similar results were obtained with
CD19+ B cells purified by negative selection. The
addition of soluble CD40L enhanced the MID- or MID-Sepharose induced
proliferative B cell response, whereas IL-2 had no effect (Fig. 4
A). The addition of IL-4 did not increase the proliferative
response, but had an enhancing effect on IL-6 induction. Indeed, high
amounts of secreted IL-6 could be measured in supernatants from B cells
cultured with IL-4 and MID or MID-Sepharose (Fig. 4
C), but
not in supernatants from B cells cultured together with IL-4 but
without MID (not shown). In contrast, IL-2 added at a concentration of
2550 U/ml did not have any effect on MID-induced IL-6 production. The
addition of CD40L, IL-2, and IL-4 without MID or MID-Sepharose had a
minor effect on the B cell-specific proliferation and IL-6 production
(Fig. 4
, B and D).
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IL-2 enhances IgM secretion by MID-activated B cells
Our next aim was to analyze whether the MID protein could induce
production of soluble IgM and secretion of IgG or IgA. Human peripheral
B cells were purified by positive selection and thereafter cultured for
1012 days with MID together with CD40L, IL-2, or IL-4. We could not
demonstrate any Ig secretion in B cell cultures that had been activated
with MID or MID-Sepharose alone. We found that the addition of IL-2 or
CD40L together with MID to B cells enhanced IgM secretion, whereas IL-4
had no such effect (Fig. 5
).
Similar results were obtained with MID conjugated to Sepharose. The
combination of all additives together with MID or MID-Sepharose did not
enhance the IgM response (not shown). Earlier studies have shown that
IL-2 synergizes with CD40-mediated signals to drive both B cell
proliferation and IgM secretion (10, 22). Indeed, our data
show that MID-induced B cell activation results in enhanced IgM
secretion in the presence of IL-2.
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The combination of IL-2, IL-4, and CD40L could not induce the
secretion of IgG, IgA, or IgE from MID- or MID-Sepharose-stimulated B
cells (data not shown). Thus, we speculated that an additional Th2
cytokine such as IL-10 might be required to induce Ig secretion in the
presence of MID. We therefore undertook a more detailed analysis of the
requirements for additives and cultured purified peripheral B cells for
10 days with MID and different combinations of additives as shown in
Fig. 6
. Interestingly, the addition of
IL-4 and IL-10 together with CD40L increased IgG secretion in B cells
stimulated with MID (Fig. 6
A). Moreover, the combination of
these three additives was necessary for the induction of optimal IgA
secretion in MID-stimulated B cells (Fig. 6
B). IL-4 or IL-10
did not differ in costimulatory properties when added together with
CD40L. Similar results were obtained with the full combination of
additives (IL-4, IL-10, and CD40L) and MID conjugated to Sepharose.
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The induction of IgG or IgA with CD40L, IL-4, and IL-10 without MID was
less than that with the combination of MID plus the additives (Fig. 6
).
Our results indicate that the novel bacterial protein MID has
properties similar to a potent B cell-specific Ag. It has been shown
that a human monoclonal B cell line could be induced to switch and
differentiate in vitro by the engagement of CD40 and the addition of
IL-4 and IL-10 (20). In that study the clone CL-01 was
induced to switching to all seven downstream isotypes. Whether
cytokines such as TGF-
, IL-5, and IL-13 are important in this system
will be the focus of future studies. Indeed, TGF-
has been shown to
induce IgA secretion when added together with CD40L and IL-4
(23).
Concluding remarks
It has been known for several years that Moraxella (Branhamella) catarrhalis can activate B cells through IgD (7, 24, 25, 26). The IgD-binding protein that was not identified at the time was claimed to be a thymus-independent (TI) Ag. TI Ags, like bacterial polysaccharides, polymeric proteins, and LPS, stimulate proliferation and strong Ab responses in the absence of T cells. Ags belonging to the first group, the TI-1 Ags, contain an intrinsic activity that can directly induce the proliferation of B cells. The second group of TI Ags, TI-2 Ags, consists of molecules such as bacterial cell wall and capsular polysaccharides that have highly repetitive structures. In contrast, thymus-dependent Ags are classified as Ags that are unable to induce Ab responses in animals or humans in which the thymus fails to develop and generate peptide-specific T cells. Our data with MID support the earlier hypothesis that M. catarrhalis is a TI Ag. However, a stronger Ig production was found when T cells were substituted with soluble CD40L and cytokines compared with samples without costimulatory molecules.
M. catarrhalis is the third most frequent cause of bacterial otitis media and therefore is a major cause of disease. Significant numbers of normal IgD-secreting plasma cells have been found in human bronchus-associated lymphoid tissue and tonsils (4, 5). This has been suggested to be due to the fact that the upper respiratory tract in humans is frequently colonized by strains of H. influenzae and M. catarrhalis, which exposes membrane proteins that activate IgD+ B lymphocytes (7). Several studies have demonstrated that dextran- or BSA-conjugated anti-IgD Ab targeting enhances IgG1 secretion in vivo and in vitro (27, 28, 29, 30). Those studies were performed in the murine system with Ag conjugates that fall into the group of TI-2 Ags. Interestingly, in all in vitro systems the addition of T cells or T cell-derived signaling molecules was required for the induction of optimal Ig secretion of the anti-IgD conjugate-activated B cells (29, 30). The studies also demonstrated that cross-linking of membrane IgD is necessary for generating efficient B cell responses.
In conclusion, MID could be an important B cell stimulatory protein by its unique ability to target IgD. IL-2 that is mainly produced by inflammatory T cells of the Th1 phenotype significantly enhanced IgM secretion by MID-activated B cells. Moreover, the induction of IgA and IgG secretion in the presence of CD40L and the Th2 cytokines IL-4 and IL-10 makes MID a promising candidate for future investigations of immune functions.
| Acknowledgments |
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| Footnotes |
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2 Address correspondence and reprint requests to Dr. Kristian Riesbeck, Department of Medical Microbiology, University Hospital Malmö, Lund University, S-205 02 Malmö, Sweden. E-mail address: kristian.riesbeck{at}mikrobiol.mas.lu.se ![]()
3 Abbreviations used in this paper: CD40L, CD40 ligand; CNBr, cyanogen bromide; MID, Moraxella IgD binding protein; TI, thymus-independent. ![]()
Received for publication August 3, 2001. Accepted for publication April 2, 2002.
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