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The Journal of Immunology, 2002, 168: 6165-6172.
Copyright © 2002 by The American Association of Immunologists

Role of IFN-{gamma} in Th1 Differentiation: IFN-{gamma} Regulates IL-18R{alpha} Expression by Preventing the Negative Effects of IL-4 and by Inducing/Maintaining IL-12 Receptor {beta}2 Expression

Ronald B. Smeltz*, June Chen{dagger}, Rolf Ehrhardt{ddagger} and Ethan M. Shevach1,*

* Laboratory of Immunology, National Institutes of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892; {dagger} Howard Hughes Medical Institute, National Institutes of Health Research Scholars Program, Bethesda, MD 20814; and {ddagger} Bioseek, Burlingame, CA 94010


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Two key events occur during the differentiation of IFN-{gamma}-secreting Th1 cells: up-regulation of IL-12R{beta}2 and IL-12-driven up-regulation of IL-18R{alpha}. We previously demonstrated that IL-12-driven up-regulation of IL-18R{alpha} expression is severely impaired in IFN-{gamma}-/- mice. However, it was unclear from these studies how IFN-{gamma} influenced IL-18R{alpha} since IFN-{gamma} alone had no direct effect on IL-18R{alpha} expression. In the absence of IL-4, IL-12-dependent up-regulation of IL-18R{alpha}/IL-12R{beta}2 was independent of IFN-{gamma}. However, in the presence of IL-4, IFN-{gamma} functions to limit the negative effects of IL-4 on both IL-18R{alpha} and IL-12R{beta}2. Neutralization of IL-4 restored IL-12-driven up-regulation of IL-18R{alpha}/IL-12R{beta}2 in an IFN-{gamma}-independent fashion. In the absence of both IL-12 and IL-4, IFN-{gamma} up-regulates IL-12{beta}2 expression and primes IFN-{gamma}-producing Th1 cells. When T cells were primed in the presence of IL-4, no correlation was found between the levels of expression of the IL-18R{alpha} or the IL-12R{beta}2 and the capacity of these cells to produce IFN-{gamma}, suggesting that IL-4 may also negatively affect IL-12-mediated signal transduction and thus Th1 differentiation. These data clarify the role of IFN-{gamma} in regulation of IL-18R{alpha}/IL-12R{beta}2 during both IL-12-dependent and IL-12-independent Th1 differentiation.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Interleukin-12 is a critical cytokine that drives the differentiation of IFN-{gamma}-producing Th1 cells (1). Ligation of the TCR induces IL-12R{beta}2 expression rendering T cells responsive to IL-12. Binding of IL-12 leads to IFN-{gamma} production and further enhancement of IL-12R{beta}2 expression (2, 3, 4, 5, 6). In addition to IL-12R{beta}2, IL-12 up-regulates IL-18R{alpha} expression (7, 8, 9). Although IL-18 alone does not appear to be sufficient for Th1 development (10, 11), T cells primed in the presence of IL-12 will subsequently respond to both IL-12 and IL-18 in a paracrine fashion by secreting large amounts of IFN-{gamma} (12, 13, 14). High levels of IL-18R{alpha} expression correlate with the ability of IL-18 to induce, as well as synergize with IL-12 for significant IFN-{gamma} production (7). This synergistic effect of IL-12 and IL-18 occurs in the absence of TCR ligation and may represent an alternative pathway for production of IFN-{gamma} during ongoing inflammatory responses.

Previously we reported that IL-18R{alpha} is expressed on a majority of peripheral CD4+ T cells (7). The combination of TCR ligation and IL-12 leads to significant enhancement of IL-18R{alpha} expression during Th1 differentiation. We and others have demonstrated that IFN-{gamma} itself did not directly affect IL-18R{alpha} expression, but that IFN-{gamma} was required for IL-12-driven up-regulation of IL-18R{alpha} expression (7, 15); however, the mechanism by which IFN-{gamma} influenced IL-18R{alpha} expression and thus IL-18 responsiveness was not elucidated.

The goal of the present study was to further define the role of IFN-{gamma} in regulation of IL-18R{alpha} expression and thus Th1 differentiation in general. Since IL-12 plays an important role in both processes, we also included an analysis of IL-12R{beta}2 expression. As IFN-{gamma} has been reported to be capable of inducing Th1 differentiation in the absence of IL-12, we extended our studies to examine the role of IFN-{gamma} in the regulation of IL-18R{alpha}/IL-12R{beta}2 expression and function on Th1 cells primed in the absence of IL-12. Although previous studies have frequently examined expression of these receptors at the mRNA level or in binding assays, we made use of a polyclonal Ab to the IL-18R{alpha} and a newly described mAb to the mouse IL-12R{beta}2 chain, thereby facilitating analysis of receptor expression at the single-cell level. In addition to surface expression of each receptor, we used intracellular cytokine staining to measure their functionality by the ability of IL-12 and IL-18 to induce IFN-{gamma} production. We show that IFN-{gamma} is required for preventing the negative effects of IL-4 on IL-18R{alpha} and subsequently Th1 differentiation. In the presence of IL-4, IFN-{gamma} is absolutely required for IL-12-induced up-regulation of both IL-18R{alpha} and IL-12R{beta}2 expression. Neutralization of IFN-{gamma} led to down-regulation of both IL-18R{alpha} and IL-12R{beta}2, as well as IL-12/IL-18 responsiveness. Conversely, in the absence of IL-4, IL-12-dependent up-regulation of IL-12R{beta}2/IL-18R{alpha} was independent of IFN-{gamma}. No correlation was found between the levels of IL-12R{beta}2/IL-18R{alpha} and the degree of Th1 differentiation. Although IL-12 is sufficient for Th1 differentiation when IL-4 is limiting, IFN-{gamma} is also capable of inducing Th1 differentiation independent of IL-12. IFN-{gamma}-primed T cells secreted IFN-{gamma} both when restimulated through their TCR and when challenged with the combination of IL-12 and IL-18 in the absence of TCR ligation. These studies illustrate the pleiotropic effects of IFN-{gamma} in the regulation of IL-12R{beta}2/IL-18R{alpha} expression and function, and thus control of IL-12-dependent and IL-12-independent Th1 differentiation.


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

Female B10.A, 5CC7 B10.A/Ai, and 5CC7 B10.A/Ai recombination activation gene (RAG)2 2-deficient (RAG-2-/-) mice expressing a TCR transgene specific for cytochrome c, DO11.10 BALB/c and DO11.10 BALB/c RAG-2-/- expressing a TCR transgene specific for OVA, were obtained from Taconic Farms (Germantown, NY) and used at 6–10 wk of age. Female BALB/c mice were obtained from the National Cancer Institute (Frederick, MD) and used at 6–8 wk of age. All animals were housed under specific pathogen-free conditions and provided food and water ad libitum. Animals were maintained according to National Institutes of Health Animal Care Guidelines.

Priming conditions

CD4+ T cells were isolated from spleens of mice by positive selection using auto-MACS magnetic separation (Miltenyi Biotec, Auburn, CA), and purity was confirmed by FACS analysis. CD4+ T cells (2 x 105/ml) were stimulated in vitro for 7 days with irradiated spleen cells as APC (106/ml) and 1 µM of the appropriate peptide in IL-2-supplemented media containing 10% FBS, L-glutamine, antibiotics, and 2-ME. Cells were primed under the following conditions: 1) IL-12 (10 ng/ml; R&D Systems, Minneapolis, MN); 2) IL-12 and anti-IFN-{gamma} (XMG 1.2, 20 µg/ml); 3) IL-12, anti-IFN-{gamma}, and anti-IL-4 (11B11, 10 µg/ml); 4) IFN-{gamma} (10 ng/ml) and anti-IL-12 (C17.8, 10 µg/ml); 5) IFN-{gamma}, anti-IL-12, and anti-IL-4; 6) anti-IFN-{gamma} and anti-IL-12; 7) anti-IFN-{gamma}, anti-IL-12, and anti-IL-4; 8) IL-4, anti-IL-12, and anti-IFN-{gamma} (Th2 polarizing conditions); 9) no additional cytokine (neutral conditions); and 10) anti-IL-12. An equal volume of fresh IL-2 medium was added on day 4 for 7-day cultures.

FACS analysis of IL-12R{beta}2 expression

Cells were harvested and washed twice in cold PBS, resuspended in cold PBS, and plated (1–2 x 106) in a 96-well V-bottom Costar plate (Corning Glass, Corning, NY). All incubations were done at 4°C. Cells were first incubated with either purified hamster IgG (BD PharMingen, San Diego, CA) or hamster anti-mouse IL-12R{beta}2 diluted in PBS containing 5% BSA (PBS-BSA) for 30 min. Cells were washed twice with cold PBS and then incubated in goat serum/PBS-BSA for 10 min before staining with long spacer-biotinylated goat anti-hamster IgG (Jackson ImmunoResearch Laboratories, West Grove, PA)/PBS-BSA for 20 min. Cells were subsequently washed twice in cold PBS and resuspended in streptavidin-PE (BD PharMingen) diluted in PBS. After a 10-min incubation, FITC-labeled anti-mouse CD4 (BD PharMingen) was added directly to wells for an additional 10-min incubation. Cells were washed once in PBS and resuspended in PBS. 7-Amino actinomycin D (BD PharMingen) was added immediately before FACS analysis to assay for viability. Analysis was performed using CellQuest software (BD Biosciences, San Diego, CA). Data are presented as the difference ({Delta}) between the mean fluorescence intensity (MFI) of the positive stain (anti-IL-12R{beta}2) and the MFI of the negative control (goat Ig).

FACS analysis of IL-18R{alpha} expression

Analysis of IL-18R{alpha} expression was performed as previously described (7). Briefly, cells were first incubated for 10 min with 1 µg of rat anti-mouse CD16/CD32 (Fc block; BD PharMingen) to block nonspecific binding of goat Ig/anti-IL-18R{alpha} to Fc receptors. Cells were then incubated for 30 min with either 1 µg of biotinylated goat IgG or 1 µg of biotinylated goat anti-mouse IL-18R{alpha} (R&D Systems) diluted in PBS-BSA. Cells were subsequently washed twice in PBS and then resuspended in streptavidin-PE as above. The remainder of the staining protocol is as described above for IL-12R{beta}2 expression.

Intracellular cytokine staining

Primed T cells were harvested on day 6, washed, then resuspended in fresh IL-2 medium. Cells (1–2 x 106) were stimulated overnight in 12-well plates with plate-bound anti-CD3 (5 µg/ml), and 2 µM monensin was added directly to each well 4 h before intracellular staining. Alternatively, primed T cells were stimulated overnight (1–2 x 106) in 24-well round-bottom plates as follows: 1) no additional cytokine (IL-2 only), 2) IL-12 (10 ng/ml), 3) IL-18 (30 ng/ml), and 4) IL-12 and IL-18. Monensin was added to each well as above. Both anti-CD3 and cytokine-stimulated cells were harvested and washed twice in PBS before being transferred (1–2 x 106) to a 96-well V-bottom plate. Cells were first incubated with 0.5 µg of Fc block and 0.5 µg of FITC-labeled anti-CD4 for 10 min at room temperature. Cells were then washed twice in PBS and incubated with 50 µl of FACS fix (PBS with 1% BSA, 4% paraformaldehyde, and 0.01% NaN3) for 5 min at 37°C. One hundred fifty microliters of Perm buffer (0.1% saponin in PBS) was added to each well before spinning the cells down and resuspending in 2 µg of allophycocyanin-conjugated rat anti-mouse IFN-{gamma} (BD PharMingen) and 2 µg of PE-rat anti-mouse IL-4 (BD PharMingen) for 15 min at room temperature. Finally, cells were washed once in PBS and analysis was performed using CellQuest software.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Role of IFN-{gamma} in IL-12-dependent differentiation of Th1 cells

We and others (7, 15) have previously shown that the ability of IL-12 to up-regulate IL-18R{alpha} expression is severely impaired in cultures of T cells from IFN-{gamma}-/- mice. Although IFN-{gamma} itself had no effect on IL-18R{alpha} expression, the combination of both IL-12 and IFN-{gamma} restored up-regulation of IL-18R{alpha}. To clearly define the roles of endogenous IFN-{gamma} and IL-4 in regulation of both IL-18R{alpha}/IL-12R{beta}2 expression and function, we primed T cells from TCR-transgenic mice with Ag, APC, and IL-12. We took advantage of two transgenic models, 5CC7 (B10.A) and DO11.10 (BALB/c) mice, because of their genetic predisposition toward either a Th1 or Th2 response (16, 17). When primed under neutral conditions (cytochrome c and APC only), 5CC7-transgenic T cells become predominantly IFN-{gamma} producers with very little IL-4 production (data not shown). In contrast, DO11.10 mice primed with OVA/APC develop into predominantly IL-4 producers (data not shown). CD4+ T cells from 5CC7 and DO11.10 mice were primed in vitro with Ag, APC, exogenous IL-12, and neutralizing Ab to IFN-{gamma} or IL-4. Cells were collected after 1 wk in culture and IL-18R{alpha} and IL-12R{beta}2 expression were evaluated by FACS analysis.

The addition of anti-IFN-{gamma} had no effect on the ability of IL-12 to up-regulate IL-18R{alpha} expression on CD4+ T cells from 5CC7 mice (Fig. 1Go, a and b). The absence of IFN-{gamma} also had no effect on IL-12R{beta}2 expression (Fig. 1Go, g and h). Endogenous IL-4 did not appear to play any role in priming 5CC7 T cells as addition of anti-IL-4 had no noticeable effect on either IL-18R{alpha} or IL-12R{beta}2 (Fig. 1Go, c and i). In contrast to 5CC7 cultures, neutralization of IFN-{gamma} in DO11.10 cultures resulted in a significant decrease in IL-18R{alpha} expression (Fig. 1Go, d and e) and also resulted in undetectable levels of IL-12R{beta}2 expression (Fig. 1Go, j and k). Neutralization of IL-4 restored the ability of IL-12 to up-regulate IL-18R{alpha} on T cells from DO11.10 mice in the absence of IFN-{gamma} (Fig. 1Go, d–f), resulting in higher levels of IL-18R{alpha} expression than those induced on T cells primed with IL-12 alone (Fig. 1Go, d and f). Addition of anti-IL-4 also partially restored IL-12-induced IL-12R{beta}2 expression in the absence of IFN-{gamma} (Fig. 1Go, k and l). These data confirm that one major role of IFN-{gamma} in IL-12-induced Th1 differentiation is to prevent the negative effects of IL-4 on up-regulation of the IL-18R{alpha} and the IL-12R{beta}2.



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FIGURE 1. Role of IFN-{gamma} in IL-12-mediated up-regulation of IL-12R{beta}2 and IL-18R{alpha} expression. CD4+ T cells purified from either 5CC7 (a–f) or DO11.10-transgenic (g–l) mice were stimulated with peptide, APC, IL-2, and either IL-12 (a and g; d and j), IL-12 and anti-IFN-{gamma} (b and h; e and k), or IL-12, anti-IFN-{gamma}, and anti-IL-4 (c and i; f and l). After 1 wk, cells were harvested and analyzed by FACS for either IL-18R{alpha} (a–f) or IL-12R{beta}2 (g–l) expression. Data are gated on CD4+ T cells and presented as the difference ({Delta}) in MFI.

 
Correlation of IL-18R{alpha}/IL-12R{beta}2 expression with Th1 differentiation

To determine whether the levels of IL-18R{alpha}/IL-12R{beta}2 expression are correlated with Th1 differentiation, we restimulated T cells 7 days after priming with immobilized anti-CD3 as well as with IL-12 and IL-18 separately and together and quantitated IFN-{gamma} production by intracellular staining. T cells from 5CC7-transgenic mice primed with IL-12 produced IFN-{gamma} (Fig. 2Goa, 91%), but not IL-4, when restimulated with immobilized anti-CD3. These cells also produced IFN-{gamma} when stimulated with IL-12 alone, IL-18 alone, and the combination of IL-12 and IL-18 (Fig. 2Go, b–e). Neutralization of IFN-{gamma} or both IL-4 and IFN-{gamma} in 5CC7 cultures had minimal effects on IFN-{gamma} production in response to anti-CD3 or IL-12 and IL-18 (Fig. 2Go, f–o). This result correlates with the expression of high levels of IL-18R{alpha}/IL-12R{beta}2 on these cells and the lack of effects of IFN-{gamma} or IL-4 on their expression (Fig. 1Go).



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FIGURE 2. TCR- and cytokine-induced IFN-{gamma} production after IL-12-mediated priming of 5CC7 T cells. CD4+ T cells from 5CC7-transgenic mice (a–o) were stimulated with peptide, APC, IL-2, and either IL-12 (a–e), IL-12 and anti-IFN-{gamma} (f–j), or IL-12, anti-IFN-{gamma}, and anti-IL-4 (k–o). After 1 wk, cells were harvested and restimulated with either immobilized anti-CD3 (a, f, and k) or cultured with IL-2 (b, g, and l), IL-12 (c, h, and m), IL-18 (d, i, and n), or both IL-12 and IL-18 (e, j, and o). Cells were then analyzed by FACS for IFN-{gamma} and IL-4 production. Numbers indicate percentage of cells producing IFN-{gamma} or IL-4, or both.

 
A very different pattern of cytokine production was observed with DO11.10 T cells. DO11.10 T cells primed with IL-12 were a mixture of IL-4- and IFN-{gamma}-producing cells (Fig. 3Goa, 24% IL-4; 20% IFN-{gamma}). Although these cells expressed levels of IL-18R{alpha}/IL-12R{beta}2 comparable to those expressed by similarly stimulated 5CC7 T cells (Fig. 1Go), they did not respond to IL-12 or IL-18 and responded only modestly to the combination of IL-12 and IL-18 (cf Figs. 2Go, b–e, and 3, b–e). Neutralization of IFN-{gamma} in DO11.10 cultures led to a marked reduction in the percentage of IFN-{gamma}-producing cells (Fig. 3Go, a and f, 20 vs 9%), enhanced the development of IL-4-secreting cells (Fig. 3Go, a and f, 24 vs 42%) in response to anti-CD3 stimulation, and resulted in almost a complete loss of responsiveness to IL-12/IL-18 (Fig. 3Go, e and j, 26 vs 5%); this failure to respond to IL-12/IL-18 is consistent with the very low levels of IL-18R{alpha} and IL-12R{beta}2 expressed by these cells (Fig. 1Go, e and k).



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FIGURE 3. TCR- and cytokine-induced IFN-{gamma} production after IL-12-mediated priming of DO11.10 T cells. CD4+ T cells from DO11.10-transgenic mice (a–o) were stimulated with peptide, APC, IL-2, and either IL-12 (a–e), IL-12, and anti-IFN-{gamma} (f–j) or IL-12, anti-IFN-{gamma}, and anti-IL-4 (k–o). After 1 wk, cells were harvested and restimulated with either immobilized anti-CD3 (a, f, and k), or cultured with IL-2 (b, g, and l), IL-12 (c, h, and m), IL-18 (d, i, and n), or both IL-12 and IL-18 (e, j, and o). Cells were then analyzed by FACS for IFN-{gamma} and IL-4 production. Numbers indicate percentage of cells producing IFN-{gamma} or IL-4, or both.

 
As neutralization of IL-4 in DO11.10 cultures primed with IL-12 and anti-IFN-{gamma} almost completely restored expression of both IL-18R{alpha} and IL-12R{beta}2 (Fig. 1Go, d–f and j–l), we next determined whether restoration of IL-18R{alpha}/IL-12R{beta}2 expression in anti-IL-4-treated cultures was accompanied by an increase in IL-18/IL-12 responsiveness. Addition of anti-IL-4 to DO11.10 cultures primed with IL-12/anti-IFN-{gamma} resulted in an increase in IL-12- and IL-18-induced IFN-{gamma} production (Fig. 3Go, h and m, 0 vs 9%, and i and n, 2 vs 11%, respectively) as well as significant enhancement of responsiveness to the combination of IL-12 and IL-18 (Fig. 3Go, j and o, 5 vs 84%). The ability to secrete IFN-{gamma} in response to cytokines was also paralleled by an increase in IFN-{gamma} production after restimulation with anti-CD3 (Fig. 3Gok). Taken together, these studies with D011.10 T cells demonstrate discordance between the levels of IL-18R{alpha}/IL-12R{beta}2 expression and commitment of the cells to Th1 differentiation. Thus, while the level of expression of the IL-18R{alpha}/IL-12R{beta}2 is comparable on 5CC7 and DO11.10 cells stimulated in the presence of IL-12 (Fig. 1Go, a and d), DO11.10 cells have only partially committed to Th1 differentiation as measured by their responses to anti-CD3 or IL-12/IL-18. Furthermore, neutralization of endogenous IL-4 production does not completely abolish the differences between the two strains (cf Figs. 3Go, k–o, and 2, k–o).

Comparison of DO11.10 with DO11.10 x RAG-2-/- mice reveal IL-4-independent regulation of IL-12R{beta}2

Because the experiments performed in Figs. 1–3GoGoGo utilized CD4+ T cells from conventional mice, it is likely that memory T cells present in these cultures could influence the subsequent priming of naive cells. Therefore, we performed identical experiments using transgenic T cells from either 5CC7 or DO11.10 mice on a Rag-2-/- background. The results obtained with cells from 5CC7 mice on a RAG-2-/- background were identical to those obtained with cells from 5CC7 mice on a conventional background (data not shown). However, T cells from DO11.10 x RAG-2-/- developed exclusively into IFN-{gamma}-producing cells, which is in contrast to conventional DO11.10 T cells, which are mostly IL-4 producers (data not shown). This suggests that IL-4 derived from memory T cells in DO11.10 mice on a conventional background can influence the priming of naive T cells.

The addition of IL-12 to DO11.10 x RAG-2-/- cultures led to a significant enhancement of IL-18R{alpha} (Fig. 4Goa), IL-12R{beta}2 (Fig. 4Gob), as well as both TCR (Fig. 4Goc) and IL-12- plus IL-18-induced IFN-{gamma} production (Fig. 4Go, d and e). The amount of IFN-{gamma} produced in response to TCR or cytokine stimulation was very similar to that of 5CC7 cultures primed with IL-12 (Fig. 2Go, a–e). Neutralization of IFN-{gamma} led to a partial decrease in IL-12R{beta}2 (Fig. 4Gog, MFI 41 to MFI 24), but not IL-18R{alpha} (Fig. 4Gof) and a decrease in IFN-{gamma} production by approximately one-third following stimulation with anti-CD3 or IL-12 plus 18 (Fig. 4Go, h–j). Interestingly, neutralization of IL-4 in DO11.10 x RAG-2-/- cultures did not restore the full effects of IL-12 as T cells expressed less IL-12R{beta}2 and produced less IFN-{gamma} (Fig. 4Go, k–o). Similar to DO11.10 cultures, neutralization of endogenous IL-4 production in DO11.10 x RAG-2-/- cultures does not completely abolish the differences between the two strains (i.e., B10.A and BALB/c) and reveals an IL-4-independent, IFN-{gamma}-dependent component to the control of IL-12R{beta}2 expression.



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FIGURE 4. IL-12-dependent priming of DO11.10 x RAG-2-/- T cells reveals IL-4-independent control of IL-12R{beta}2. CD4+ T cells from DO11.10 x RAG-2-/--transgenic mice (a–o) were stimulated with peptide, APC, IL-2, and either IL-12 (a–e), IL-12, and anti-IFN-{gamma} (f–j) or IL-12, anti-IFN-{gamma}, and anti-IL-4 (k–o). After 1 wk, cells were harvested and analyzed for both IL-18R{alpha} (a, f, and k) and IL-12R{beta}2 (b, g, and l) expression by FACS. Also, cells were restimulated with either immobilized anti-CD3 (c, h, and m) or cultured with IL-2 (d, i, and n), or both IL-12 and IL-18 (e, j, and o). Cells were then analyzed by FACS for IFN-{gamma} and IL-4 production. Numbers indicate percentage of cells producing IFN-{gamma} or IL-4, or both.

 
Role of IFN-{gamma} and IL-4 in IL-12-independent Th1 differentiation

A number of studies have suggested that IFN-{gamma} alone in the absence of IL-12 is capable of inducing Th1 differentiation (18, 19, 20, 21, 22, 23), but this issue remains controversial (24). Although the studies described above have focused on the effects of IFN-{gamma} in preventing the negative effects of IL-4 on Th1 differentiation in the presence of IL-12, the model systems used in these studies also allow us to examine the IL-12-independent effects of IFN-{gamma} on expression of the IL-18R{alpha}/IL-12R{beta}2 as well as TCR- and cytokine-induced IFN-{gamma} production. 5CC7 or DO11.10-transgenic T cells were therefore primed in the presence of IFN-{gamma} and neutralizing Ab to IL-12. T cells from 5CC7 mice primed with IFN-{gamma}/anti-IL-12 expressed levels of IL-18R{alpha} similar to those primed with anti-IL-12 alone (Fig. 5Go, a and b). This is consistent with our previous data that IFN-{gamma} alone does not directly up-regulate IL-18R{alpha} expression. T cells from DO11.10 mice primed with anti-IL-12 expressed lower levels of IL-18R{alpha} when compared with 5CC7 T cells (Fig. 5Go, a and d), but again the addition of IFN-{gamma} had no direct effect on IL-18R{alpha} expression (Fig. 5Goe). In contrast to 5CC7 T cells, addition of anti-IL-4 to anti-IL-12/IFN-{gamma}-primed DO11.10 cultures resulted in marked enhancement of IL-18R{alpha} expression (Fig. 5Go, e and f), consistent with the possibility that endogenous IL-4 production is responsible for lower levels of IL-18R{alpha} expression seen on DO11.10 cells compared with 5CC7 cells in anti-IL-12/IFN-{gamma} cultures. T cells from DO11xRAG-2-/- mice primed with anti-IL-12/IFN-{gamma} expressed much higher levels of IL-18R{alpha} when compared with DO11.10 cultures (data not shown), again consistent with this hypothesis since primed cells from DO11xRAG-2-/- mice made little IL-4. This result demonstrates that the presence of IFN-{gamma} is not sufficient to prevent IL-4-mediated down-regulation of IL-18R{alpha} in the absence of IL-12.



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FIGURE 5. IL-12-independent, IFN-{gamma}-mediated regulation of IL-12R{beta}2 and IL-18R{alpha} expression. CD4+ T cells purified from either 5CC7 (a–f) or DO11.10-transgenic (g–l) mice were stimulated with peptide, APC, IL-2, and either anti-IL-12 (a and g; d and j), IFN-{gamma} and anti-IL-12 (b, h, e, and k), or IFN-{gamma}, anti-IL-12, and anti-IL-4 (c, i, f, and l). After 1 wk, cells were harvested and analyzed by FACS for either IL-18R{alpha} (a–f) or IL-12R{beta}2 (g–l) expression. Data are gated on CD4+ T cells and presented as the difference ({Delta}) in MFI.

 
Priming with IFN-{gamma} enhanced IL-12R{beta}2 expression in both 5CC7 (Fig. 5Go, g and h, MFI 3 vs 9) and DO11.10 cultures (Fig. 5Go, j and k, MFI 6 vs 28) in the absence of IL-12. It should be noted that the low levels of IL-12R{beta}2 expression seen on cells cultured in the presence of anti-IL-12 were due to endogenous IFN-{gamma} production, since addition of both anti-IL-12 and anti-IFN-{gamma} led to undetectable IL-12R{beta}2 expression on both DO11.10 and 5CC7 cells (Fig. 5Go, m and n). Addition of anti-IL-4 had no effect on the ability of IFN-{gamma} to enhance IL-12R{beta}2 expression on DO11.10 T cells (Fig. 5Go, k and l).

Although the levels of both the IL-18R{alpha} and IL-12R{beta}2 seen in Fig. 5Go are much lower than those induced during Th1 differentiation in the presence of IL-12 (Fig. 2Go), we next determined whether T cells primed with IFN-{gamma} in the absence of IL-12 had developed into Th1 cells as determined by their capacity to produce IFN-{gamma} after restimulation through their TCR or with IL-12/IL-18. T cells from 5CC7 mice primed in the presence of anti-12 produced low levels of IFN-{gamma} after stimulation with either anti-CD3 (Fig. 6Goa, 13%) or the combination of IL-12 and IL-18 (Fig. 6Goe, 16.5%), but did not respond to either IL-12 or IL-18 separately (Fig. 6Go, b–d). This IL-12-independent IFN-{gamma} production by 5CC7 T cells likely reflects endogenous IFN-{gamma} production, as inclusion of both anti-IL-12 and anti-IFN-{gamma} significantly reduced the number of IFN-{gamma}-positive cells (data not shown). Surprisingly, priming of 5CC7 cells with IFN-{gamma} and anti-IL-12 led to a significant increase in the number of IFN-{gamma}-secreting cells (Fig. 6Gof, 50%) in response to anti-CD3. Although these T cells responded poorly to either IL-12 or IL-18 alone, they responded quite well to the combination of IL-12 and IL-18 (Fig. 6Go, g–j, 63%). Addition of anti-IL-4 to these cultures led to only a modest increase in the ability of IFN-{gamma} to prime cells for further IFN-{gamma} production (Fig. 6Go, k–o). Although the level of expression of the IL-18R{alpha} on the primed 5CC7 cells did not correlate with responsiveness to IL-12/IL-18, the relatively small increase in the level of expression of the IL-12R{beta}2 seen in the presence of exogenous IFN-{gamma} did correlate with enhanced responsiveness to the combination of IL-12/IL-18. T cells primed with IFN-{gamma} appear, in part, to be like classical IL-12-primed Th1 cells in that they are capable of secreting IFN-{gamma} via both TCR and cytokine stimulation; however, they do not respond to IL-12 or IL-18 alone presumably because the levels of receptor expression are below some critical threshold.



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FIGURE 6. TCR- and cytokine-induced IFN-{gamma} production after priming of 5CC7 T cells with IFN-{gamma}. CD4+ T cells from 5CC7-transgenic mice (a–o) were stimulated with peptide, APC, IL-2, and either anti-IL-12 (a–e), IFN-{gamma} and anti-IL-12 (f–j), or IFN-{gamma}, anti-IL-12, and anti-IL-4 (k–o). After 1 wk, cells were harvested and restimulated with either immobilized anti-CD3 (a, f, and k) or cultured with IL-2 (b, g, and l), IL-12 (c, h, and m), IL-18 (d, i, and n), or both IL-12 and IL-18 (e, j, and o). Cells were then analyzed by FACS for IFN-{gamma} and IL-4 production. Numbers indicate percentage of cells producing IFN-{gamma} or IL-4, or both.

 
DO11.10 T cells primed with anti-IL-12 or with anti-IL-12/IFN-{gamma} failed to produce IFN-{gamma} after restimulation with either anti-CD3 (Fig. 7Go, a and f) or the combination of IL-12 and IL-18 (Fig. 7Go, e and j), despite the expression of higher levels of the IL-12R{beta}2 than those expressed on similarly primed 5CC7 cells (Fig. 5Go, k and h). Although the percentage of IL-4 producers was similar between the two groups (Fig. 7Go, a and f, 40 vs 53%), the addition of anti-IL-4 to DO11.10 cultures primed with IFN-{gamma} and anti-IL-12 led to a striking increase in the number of IFN-{gamma} producers (Fig. 7Go, k and o). Although the level of expression of the IL-18R{alpha} was enhanced in the absence of IL-4, the level of the IL-12R{beta}2 was not enhanced. These data demonstrate that one critical factor that allows IFN-{gamma} to induce Th1 differentiation in the absence of IL-12 is the absence of IL-4.



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FIGURE 7. TCR- and cytokine-induced IFN-{gamma} production after priming of DO11.10 T cells with IFN-{gamma}. CD4+ T cells from DO11.10-transgenic mice (a–o) were stimulated with peptide, APC, IL-2, and either anti-IL-12 (a–e), IFN-{gamma} and anti-IL-12 (f–j), or IFN-{gamma}, anti-IL-12, and anti-IL-4 (k–o). After 1 wk, cells were harvested and restimulated with either immobilized anti-CD3 (a, f, and k) or cultured with IL-2 (b, g, and l), IL-12 (c, h, and m), IL-18 (d, i, and n), or both IL-12 and IL-18 (e, j, and o). Cells were then analyzed by FACS for IFN-{gamma} and IL-4 production. Numbers indicate percentage of cells producing IFN-{gamma} or IL-4, or both.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Th1 cells can be characterized phenotypically by high surface expression of IL-12R{beta}2 and IL-18R{alpha}, while these receptors are absent from differentiated Th2 cells. We and others (7, 15) recently reported that the ability of IL-12 to increase IL-18R{alpha} expression was severely impaired in IFN-{gamma}-/- mice. Although the addition of IFN-{gamma} alone had no effect on IL-18R{alpha} expression, the addition of both IL-12 and IFN-{gamma} restored IL-12-enhanced IL-18R{alpha} expression. The purpose of this study was to determine the role of IFN-{gamma} in regulation of IL-18R{alpha} and IL-12R{beta}2 expression during Th1 differentiation

We have clearly demonstrated that IFN-{gamma} is not required for IL-12-induced up-regulation of IL-18R{alpha} or IL-12R{beta}2 expression. Studies with T cells from 5CC7 TCR-transgenic mice demonstrated that in the absence of IL-4, IL-12 alone was sufficient and IFN-{gamma} was dispensable for both IL-12R{beta}2 and IL-18R{alpha} expression and Th1 differentiation. In the presence of IL-4, however, IFN-{gamma} was required for IL-12-induced Th1 differentiation and functioned to limit the negative effects of IL-4 on both IL-18R{alpha} and IL-12R{beta}2. Neutralization of IFN-{gamma} during priming of DO11.10 with IL-12 led to a marked down-regulation of both IL-18R{alpha} and IL-12R{beta}2, while simultaneous neutralization of IL-4 and IFN-{gamma} enhanced IL-18R{alpha} expression to levels higher than those seen with IL-12 alone and almost completely restored IL-12R{beta}2 expression. The fact that anti-IL-4 did not completely restore IL-12R{beta}2 expression in DO11.10 cultures is not surprising since there are several reports of IL-4-independent down-regulation of IL-12R{beta}2 in BALB/c mice (25, 26, 27). As IFN-{gamma} does not enhance IL-18R{alpha} expression, we conclude from this study that its effects on IL-18R{alpha} expression are to primarily limit the negative effects of IL-4. Although IFN-{gamma} also antagonizes the negative effects of IL-4 on IL-12R{beta}2 expression, IFN-{gamma} can also directly enhance and/or maintain IL-12R{beta}2 expression.

Although high levels of expression of IL-18R{alpha} and IL-12R{beta}2 have been proposed as markers for Th1 cells (2, 4, 28), our studies have also demonstrated that a rather poor correlation exists between the levels of expression of these receptors and the Th1 differentiation status of CD4+ T cells. After 1 wk of priming with Ag and IL-12, T cells from 5CC7 and DO11.10 mice expressed identical levels of IL-18R{alpha} and IL-12R{beta}2 (cf Fig. 2Go, a and g with d and j). Yet, 5CC7 T cells had differentiated into Th1 cells as demonstrated by high percentages of cells producing IFN-{gamma} when stimulated with immobilized anti-CD3 or with the combination of IL-12 and IL-18. Smaller, but highly significant, numbers of cells produced IFN-{gamma} when stimulated with IL-12 or IL-18 alone. In contrast, DO11.10 T cells were a mixed population that produced both IL-4 and IFN-{gamma} in response to anti-CD3, responded weakly to the combination of IL-12 and IL-18, and failed to respond to IL-12 or IL-18 alone. It is therefore impossible to correlate Th1 differentiation with the levels of expression of the IL-18R{alpha} and IL-12R{beta}2 as measured by FACS. Although the high concentrations of IL-12 used in the priming cultures can overcome most of the negative effects of IL-4 on expression of the IL-18R{alpha} and IL-12R{beta}2, the levels of endogenous IL-4 produced by the DO11.10 T cells dominate over the added IL-12 in directing T cell differentiation. It is possible that IL-4 may exert inhibitory effects on IL-12 signaling that are distinct from its effects on IL-12R{beta}2 expression (29, 30).

We have also examined the effects of IFN-{gamma} on expression of the IL-18R{alpha} and IL-12R{beta}2 and Th1 differentiation in the absence of IL-12. The concept of IL-12-independent Th1 differentiation has remained controversial. Although some reports have shown that IFN-{gamma} is capable of driving Th1 differentiation independent of IL-12 (18, 19, 20, 21, 22, 23, 31), others do not support such a role for IFN-{gamma} (24). Although IL-12-/- mice exhibit a defect in their ability to mount Th1 responses (1), polarized CD4+ Th1 cells secreting high levels of IFN-{gamma} can be detected in IL-12-/- mice in response to certain viral infections (32, 33). STAT-4-/- mice exhibit a defect in their ability to mount a Th1 response as the result of disruption of the major IL-12 signaling pathway. However, simultaneous disruption of the STAT-6 gene (STAT-4, STAT-6-/- mice) leads to the development of IFN-{gamma}-producing T cells (31). TGF-{beta} has also been shown to induce the development of IFN-{gamma}-producing T cells independent of IL-12 (34), reportedly via inhibition of STAT-6/GATA-3 (35). IFN-{gamma} has been shown to induce T-bet (T box expressed in T cells) expression, an important transcription factor expressed early by Th1 cells and which regulates IFN-{gamma} production (19, 36, 37). The IL-12-independent, IFN-{gamma}-dependent induction of t-bet may thus drive Th1 differentiation.

T cells from 5CC7 and DO11.10 mice up-regulated their expression of the IL-12R{beta}2 chain, but not the IL-18R{alpha}, in the absence of IL-12 and in the presence of IFN-{gamma}. Under these conditions, IFN-{gamma} was acting directly on the responder T cells to induce or maintain IL-12R{beta}2 expression as no further augmentation of IL-12R{beta}2 expression was seen when anti-IL-4 was added. As was seen with T cells primed in the presence of IL-12, neutralization of IL-4 led to enhancement of IL-18R{alpha} expression on DO11.10 T cells. Although the levels of IL-18R{alpha} and IL-12R{beta}2 expression were considerably lower than T cells primed in the presence of IL-12, T cells from 5CC7 mice appeared to have differentiated into Th1 cells as 50–60% of the primed cells produced IFN-{gamma} in response to anti-CD3 and the combination of IL-12 and IL-18, but not either cytokine alone. It appears that very small differences in the expression of the IL-12R{beta}2 can determine IL-12 responsiveness. 5CC7 T cells primed in the absence of endogenous or exogenous IFN-{gamma} responded poorly (5 and 16.5%, respectively) to IL-12/IL-18, whereas T cells primed in the presence of IFN-{gamma} responded vigorously (63%). The ability of IFN-{gamma} to induce Th1 differentiation was markedly compromised by the presence of IL-4 and this may account for the failure of some studies to see the Th1-inductive effects of IFN-{gamma}.

An important distinction must be made when comparing Th1 priming by IFN-{gamma} with priming by IL-12. IFN-{gamma} can increase IL-12R{beta}2 on DO11.10 cells in the presence of IL-4 to levels higher than those expressed on 5CC7 cells, but it cannot prevent the negative effects of IL-4 on IL-18R{alpha}. Nevertheless, IFN-{gamma}-primed DO11.10 T cells functionally resembled IL-12-primed DO11.10 cells as they failed to produce IFN-{gamma} in response to anti-CD3 or the combination of IL-12 and IL-18. In the absence of IL-4, IFN-{gamma}-induced Th1 priming of DO11.10 was as efficient as IFN-{gamma}-induced priming of 5CC7 T cells. The most likely explanation for this result is that the endogenous levels of IL-4 produced by DO11.10 T cells dominate over the high concentrations of exogenous IFN-{gamma} used in these studies and inhibit Th1 differentiation, but not IL-12R{beta}2 expression.

Our results also have a number of implications for the generation of potent Th1 responses in vivo during vaccination. The use of adjuvants such as CpG oligonucleotides that are potent IL-12 inducers has been advocated for enhancement of the induction of a Th1 response (38). Our findings suggest that concomitant inhibition of IL-4 production and/or action might represent a very useful adjunct to such an approach. Lastly, it remains possible that IFN-{gamma} itself might be used to enhance the priming of a Th1 response in situations where the administration of IL-12-inducing adjuvants may have adverse systemic effects.


    Footnotes
 
1 Address correspondence and reprint requests to Dr. Ethan M. Shevach, Laboratory of Immunology, Cellular Immunology Section, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Building 10, Room 11N315, 10 Center Drive, MSC 1892, Bethesda, MD 20892-1892. E-mail address: EShevach{at}niaid.nih.gov Back

2 Abbreviations used in this paper: RAG, recombination activation gene; MFI, mean fluorescence intensity. Back

Received for publication March 5, 2002. Accepted for publication April 15, 2002.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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Y.-T. A. Teng
THE ROLE OF ACQUIRED IMMUNITY AND PERIODONTAL DISEASE PROGRESSION
Critical Reviews in Oral Biology & Medicine, July 1, 2003; 14(4): 237 - 252.
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