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*Bone Marrow Transplantation
*Stem Cells
The Journal of Immunology, 2002, 168: 621-628.
Copyright © 2002 by The American Association of Immunologists

Elimination of Porcine Hemopoietic Cells by Macrophages in Mice1

Masahiro Abe2,*, Jane Cheng{dagger}, Jin Qi*, Roseann M. Glaser{dagger}, Aron D. Thall{dagger}, Megan Sykes* and Yong-Guang Yang3,*

* Bone Marrow Transplantation Section, Transplantation Biology Research Center, Surgical Service, Massachusetts General Hospital/Harvard Medical School, Boston, MA 02129; and {dagger} BioTransplant, Inc., Charlestown, MA 02129


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The difficulty in achieving donor hemopoietic engraftment across highly disparate xenogeneic species barriers poses a major obstacle to exploring xenograft tolerance induction by mixed chimerism. In this study, we observed that macrophages mediate strong rejection of porcine hemopoietic cells in mice. Depletion of macrophages with medronate-encapsulated liposomes (M-liposomes) markedly improved porcine chimerism, and early chimerism in particular, in sublethally irradiated immunodeficient and lethally irradiated immunocompetent mice. Although porcine chimerism in the peripheral blood and spleen of M-liposome-treated mice rapidly declined after macrophages had recovered and became indistinguishable from controls by wk 5 post-transplant, the levels of chimerism in the marrow of these mice remained higher than those in control recipients at 8 wks after transplant. These results suggest that macrophages that developed in the presence of porcine chimerism were not adapted to the porcine donor and that marrow-resident macrophages did not phagocytose porcine cells. Moreover, M-liposome treatment had no effect on the survival of porcine PBMC injected into the recipient peritoneal cavity, but was essential for the migration and relocation of these cells into other tissues/organs, such as spleen, bone marrow, and peripheral blood. Together, our results suggest that murine reticuloendothelial macrophages, but not those in the bone marrow and peritoneal cavity, play a significant role in the clearance of porcine hemopoietic cells in vivo. Because injection of M-liposomes i.v. mainly depletes splenic macrophages and liver Kupffer cells, the spleen and/or liver are likely the primary sites of porcine cell clearance in vivo.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Although modern immunosuppressive therapies have improved the success of clinical organ transplantation, a severe shortage of allogeneic organs currently limits the number of transplants performed (1, 2). Xenotransplantation provides a possible solution to this problem, and the species generally believed to be most suitable for this purpose is the pig (3, 4). However, organ transplants across discordant species barriers are subject to vigorous immunologic rejection (5, 6, 7). Thus, tolerance induction is likely to be essential for successful xenotransplantation in humans.

Induction of mixed hemopoietic chimerism leads to stable donor-specific tolerance in allogeneic and closely related xenogeneic (rat-to-mouse) combinations (8, 9, 10, 11, 12), but difficulties in achieving durable engraftment of donor hemopoietic cells limit the exploration of this approach in highly disparate discordant xenogeneic combinations. Previous studies using the pig-to-mouse bone marrow transplantation (BMT)4 model have shown that multiple host elements may resist xenogeneic porcine hemopoietic engraftment and function and that some of these factors are independent of host T, B, and NK cells (13, 14, 15, 16, 17). We have shown that murine complement is capable of resisting porcine hemopoietic engraftment through an Ab-independent mechanism (16) and that donor-specific growth factors are required for induction of durable porcine chimerism in mice (14, 17).

Our recent studies showed that lasting porcine hemopoietic chimerism and stem cell engraftment can be induced in T and B cell-deficient SCID-transgenic (SCID-Tg) mice expressing pig cytokine transgenes (17). However, the levels of porcine chimerism in the peripheral blood and spleen declined rapidly even when a high level of porcine chimerism persisted in the recipient marrow (Refs. 14 and 17 and our unpublished data). Studies in mice and rats have shown that macrophages play an important role in the rejection of porcine nonvascularized cellular xenografts (18, 19, 20). Moreover, macrophage depletion has been shown to improve engraftment of human hemopoietic cells in mice (21, 22). Thus, macrophages may play important roles in the elimination of porcine hemopoietic cells in the peripheral blood and spleen in T and B cell-deficient SCID mice.

Previous studies have shown that injection of liposome-encapsulated bisphosphonate, dichloromethylene diphosphonate (or clodronate) can deplete macrophages in vivo (23) and may facilitate the engraftment of human hemopoietic cells in mice (21, 22). It has been reported that the toxic effect of clodronate is due to the metabolism of clodronate to a nonhydrolyzable ATP analog (24). The parent compound of clodronate is the bisphosphonate, methylene diphosphonate (or medronate) (25), which has also been shown to undergo intracellular conversion to a nonhydrolyzable toxic ATP analog (24). It has recently been found that i.v. injection of medronate-encapsulated liposomes (M-liposomes) can be used to deplete macrophages in mice and nonhuman primates.5 Analysis of porcine chimerism in both murine and baboon recipients shortly after i.v. infusion of porcine BMC (24–48 h) demonstrate that M-liposome-sensitive macrophages play an important role in the early elimination of porcine cells. In the present study, we investigated the effect of macrophage depletion with M-liposomes on the induction of long term porcine hemopoietic chimerism using porcine cytokine transgenic mice that have been shown to support durable porcine hemopoiesis (17, 26). We also compared the effect of macrophage depletion on the survival of porcine hemopoietic cells in various tissues in mice that received an i.v. injection of porcine BMC, an i.p. injection of porcine PBMC, or both, to determine the primary sites of porcine cell clearance by macrophages in vivo.


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

C.B-17 scid/scid (SCID) mice were obtained from the colony maintained at the Department of Radiation Oncology, Massachusetts General Hospital (Boston, MA). B10.D2/o mice were purchased from The Jackson Laboratory (Bar Harbor, ME). Tg mice carrying porcine cytokine transgenes (IL-3, GM-CSF, and stem cell factor) were bred to SCID mice (for seven generations) to develop immunodeficient Tg mice (SCID-Tg) (17, 26). The lack of T and B cells in these SCID-Tg mice was confirmed by flow cytometric (FCM) analysis as described (17). Tg mice on the B10.D2/o background (B10.D2/o-Tg) were developed by backcrossing Tg founders to B10.D2/o mice for six generations. All Tg mice used in this study were screened for transgenes by tail DNA PCR using a primer for the CMV promoter in combination with a primer for porcine IL-3, GM-CSF, or stem cell factor, as described (17, 26). With the exception of two experiments in which non-Tg C.B-17 SCID mice were used as recipients of porcine PBMC alone (Figs. 4Go and 6Go), SCID-Tg and B10.D2/o-Tg mice were used in all studies. Mice were housed in a specific pathogen-free microisolator environment and were used at 8–13 wk of age. MGH partially inbred, MHC-defined miniature swine kindly provided by D. H. Sachs (27, 28) were used as bone marrow and PBMC donors. All animals were maintained and procedures were performed in accordance with National Institutes of Health guidelines.



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FIGURE 4. Macrophages limit the migration of porcine cells injected into PerC in mice. Irradiated (3 Gy) SCID mice were transplanted (i.p.) with 5 x 107 porcine PBMC, and the levels of porcine chimerism in recipients treated with M-liposomes ({blacksquare}; n = 7) or PBS ({square}; n = 7) were measured 1 week after transplant. Seven mice were initially included in each group, but three mice in the M-liposome-treated group died between day 5 and day 6 after transplant, and porcine chimerism in these mice was not analyzed. Data are numbers of anti-pig pan tissue mAb 1030H1-19+ (total), myeloid, CD3+, CD4+, CD8+, and CD21+ porcine cells in the WBC (per milliliter blood), spleen (SPL), bone marrow (BM; per two femurs and tibias), and PerC (group means ± SD). *, p < 0.05; **, p < 0.01.

 


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FIGURE 6. Comparison of porcine chimerism in the WBC of splenectomized (Spl. ect; •) and sham-operated ({circ}) SCID mouse recipients of porcine PBMC. WBC were prepared 1 wk after transplant, and porcine chimerism was measured by FCM analysis using anti-pig pan tissue mAb (1030H-1-19). Each symbol represents an individual animal. Shown are representative data of two independent experiments.

 
Medronate preparation

M-liposome formation was performed as described.5 Briefly, phosphatidylcholine (Avanti Polar Lipids, Alabaster, AL) and cholesterol (Sigma, St. Louis, MO) were mixed to form a thin film. The film was dispersed in a sterile saline solution containing medronate (Sigma) to form a suspension, and the suspension was then sonicated for 2 min to produce liposomes. Blank liposomes were formed using the same lipid composition and sterile saline with the omission of medronate. M-liposomes were separated from free medronate by centrifugation before injection.

Transplantation protocol

Recipient mice were exposed to 3 Gy (for SCID-Tg and SCID mice) or 10.25 Gy (for B10.D2/o-Tg mice) of total body irradiation (TBI) from a 137Cs source (0.83 Gy/min) and transplanted within 4 to 8 h with porcine BMC, or PBMC, or BMC plus PBMC. Porcine BMC (1 x 108 per mouse) and PBMC (5 x 107 per mouse) were given i.v. and i.p., respectively (14, 17). B10.D2/o-Tg mice were also injected with 5 x 106 nonobese diabetic (NOD)/SCID-Tg BMC (17) along with porcine cells to rescue them from lethal irradiation.

FCM analysis of porcine chimerism

WBC, splenocytes, BMC, and peritoneal cavity (PerC) cells were prepared from recipient mice, and FCM analysis was performed as described (14, 17). Briefly, cells were stained with PE-conjugated anti-mouse CD45 mAb (rat IgG2b; BD PharMingen, San Diego, CA) in combination with FITC-conjugated anti-pig mAbs. Porcine marker-positive cells not stained by anti-mouse CD45 mAb were considered to be of swine (donor) origin. FITC-conjugated porcine Ag-specific mAbs used in this study are 1030H-1-19 (mouse IgM anti-pig pan tissue), 2.27.3a (murine IgG1 anti-pig MHC class I monomorphic) (29), 74-22-15a (murine IgG2b anti-pig myeloid/SWC3) (30), and MSA4 (murine IgG2a anti-swine CD2) (31), 898H2-6-15 (mouse IgG2a anti-swine CD3) (32), 74-12-4 (murine IgG2b anti-swine CD4) (33), 76-2-11 (mouse IgG2a anti-swine CD8) (33), and BB6-11C9 (murine IgG1 anti-swine CD21, a generous gift from Dr. M. D. Pescovitz, Indianapolis, IN) (34, 35). Nonspecific binding of labeled mAbs was blocked with 2.4G2 (rat anti-mouse Fc{gamma}R mAb) (36). Fluorescence-conjugated HOPC1 (murine IgG2a mAb) and rat IgG2a (BD PharMingen), both with no known reactivity to mouse or pig cells, served as negative control Abs. FCM analysis was performed on a FACScan (BD Biosciences, Mountain View, CA), and dead cells were excluded by gating out low forward scatter plus high propidium iodide-retaining cells.

CFU assay

Porcine-specific colony-forming cells were assayed as previously described (14, 17). Briefly, 5 x 105 BMC from BMT recipients were resuspended in 3 ml assay medium containing 50 ng/ml porcine IL-3, and the cell suspension was then distributed into two 35-mm culture plates and incubated in 6% CO2 at 37°C for 10–14 days. Colonies were then enumerated with an inverted stage microscope (Nikon TMS, Natick, MA). It has been demonstrated in our previous studies (14, 15) that murine progenitor cells do not react with porcine IL-3.

Immunohistochemical staining

Immunohistochemistry was performed as described (17).5 Briefly, tissues (spleen and liver) were cryosectioned (5 µm), fixed with acetone, and blocked with normal serum. Liver sections were stained with Moma-1 (rat IgG2a mAb for detection of Kupffer cells), and spleen sections were stained with Moma-1 (for detection of marginal metallophilic macrophages) or F4/80 (rat IgG2b mAb that binds to red pulp macrophages) (37, 38, 39) (all of these mAbs were purchased from the Research Diagnostics, Flanders, NJ). Slides were washed and incubated with a biotinylated secondary mAb, goat anti-rat IgG (Jackson ImmunoResearch, West Grove, PA). After washing, bound secondary Abs were detected with a Vectastain ABC kit (Vector Laboratories, Burlingame, CA), and sections were then counterstained with hematoxylin.

Statistical analysis

Significant differences between group means were determined using Student’s t test (Microsoft Excel, Redmond, WA) and a p value of <0.05 was considered statistically significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Macrophage depletion with M-liposomes

Previous studies have shown that two injections (i.v.) of M-liposomes at a dose of 160 mg/kg per injection on each of 2 consecutive days are sufficient to deplete macrophages in mice.5 In the present study, unless indicated, recipient mice were injected with M-liposomes (160 mg/kg in 200 µl) three times before transplant (two injections on day -2 and one injection on day -1 with respect to transplant), and one to three times after transplant (one injection per day between day 1 and day 5). Mice injected with blank liposomes or PBS were used as controls (it has been confirmed that neither blank liposomes nor PBS has effects on porcine cell engraftment). Immunochemical staining of tissue sections and cytospin preparations of marrow and PerC have shown that i.v. injection of M-liposomes depletes mainly Kupffer cells in the liver and splenic macrophages but does not deplete phagocytic cells in bone marrow, lymph nodes, thymus, or PerC (Cheng et al.,5 and our unpublished data) (23). We confirmed macrophage depletion in this study by immunohistologic analyses of spleen and liver tissues. The pattern of macrophage depletion and their return in M-liposome-treated mice were similar to those in mice injected (i.v.) with clodronate liposomes in published studies (40). As shown in Fig. 1Go, M-liposome treatment resulted in complete depletion of both liver Kupffer cells and splenic macrophages (red pulp and marginal metallophilic macrophages). Kupffer cells in the liver and red pulp macrophages in the spleen recovered rapidly in treated mice and became indistinguishable from those of control mice treated with PBS by 18 days. However, marginal metallophilic macrophages in the spleen returned tardily and were not recovered by 48 days.



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FIGURE 1. M-liposomes deplete macrophages in vivo. Tissues were prepared from 3 Gy-irradiated SCID-Tg mice that were injected with PBS or M-liposomes 5, 18, and 48 days (d) after the last injection. Liver sections were stained with Moma-1 for detection of Kupffer cells (original magnification, x40). Red pulp macrophages and marginal metallophilic macrophages in the spleen were detected by F4/80 and Moma-1, respectively (original magnification, x20).

 
Macrophage depletion improves porcine chimerism in mice

We first utilized SCID-Tg mice (17), which have normal macrophages but no T or B cells, to determine the effect of macrophage depletion with M-liposomes on the induction of porcine chimerism. Mice were irradiated (3 Gy) and transplanted with porcine BMC (108/mouse i.v.) and PBMC (5 x 107/mouse, i.p.) collected from the same porcine donor. White blood cells (WBC) were collected at various times, and chimerism was determined by FCM analysis. As shown in Fig. 2Go, treatment with M-liposomes markedly increased porcine chimerism, particularly at early time points. At wk 1 post-transplant, the percentage of porcine donor cells in the WBC of M-liposome-treated recipients was >10-fold greater than that in PBS controls (p < 0.01) (Fig. 2A). The effect of M-liposomes was even more marked (90-fold increase at wk 1) when the total number of porcine cells in the peripheral blood was compared (Fig. 2B), as the total WBC count was markedly increased after M-liposome treatment (see below; Fig. 7Go). However, porcine chimerism in the WBC of M-liposome-treated recipients declined rapidly and became indistinguishable from that in PBS-treated mice by 5 wk after transplantation.



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FIGURE 2. Macrophage depletion with M-liposomes enhances porcine hemopoietic chimerism in SCID-Tg mice. A and B, WBC were prepared from SCID-Tg mouse recipients treated with M-liposomes ({blacksquare}) or PBS ({square}) at the indicated times, and percentages (A) of porcine cells were measured by FCM analysis using anti-pig pan tissue mAb. The numbers of porcine cells (B) in the WBC were calculated as the product of percent porcine cells and the total WBC concentration (cell number per milliliter). Five to seven mice from the M-liposome-treated group (with the exception that three mice were analyzed at wk 8) and six to nine mice from the PBS control group were analyzed at each time point. Data are presented as group means ± SD. *, p < 0.05; **, p < 0.01. C and D, All recipient mice were sacrificed at wk 8 post-transplant, and levels of porcine chimerism in spleen (C) and bone marrow (D) were measured. Percentages of anti-pig pan tissue mAb+ (total), myeloid (74-22-15a+), CD2+, CD3+, and CD21+ cells in recipients that were treated with PBS ({circ}, n = 6) or with M-liposomes (•, n = 3) are shown. M-liposome-treated and PBS-injected control recipients showed comparable numbers of splenocytes (18.3 ± 2.5 x 106 vs 17.9 ± 9.3 x 106) and BMC (10.1 ± 8.7 x 106 vs 9.7 ± 4.9 x 106 per two femurs and tibias) at wk 8 post-transplant.

 


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FIGURE 7. Increased mortality in M-liposome-treated porcine BMT recipients. Survival is shown for M-liposome-treated (•) and control ({circ}) mouse recipients of porcine cells in the experiments that are presented in Fig. 2 (A), Fig. 4 (B), Fig. 3 (C), and Fig. 5C (D).

 
Mice were sacrificed at wk 8 post-transplant to determine porcine chimerism in the spleen and marrow. Although M-liposome-treated mice showed slightly higher levels of splenic chimerism than PBS-injected controls, the levels of splenic chimerism were extremely low in both groups (<0.4%; Fig. 2C). However, porcine chimerism in the bone marrow of M-liposome-treated mice was maintained at higher levels than that in PBS controls. As shown in Fig. 2D, porcine chimerism in the marrow in two of the three M-liposome-treated mice was >60%, whereas porcine chimerism in the marrow of all six mice injected with PBS was <30%. Surprisingly, the majority of porcine cells in the bone marrow of M-liposome-treated mice were CD3+ T cells (CD4+ or CD8+), whereas almost no CD3+, CD4+, or CD8+ porcine cells were detected in the bone marrow of PBS control recipients (Fig. 2D and data not shown). Consistent with our previous studies (17), the majority of recipient marrow-repopulating porcine cells in PBS controls were of the myeloid lineage, and some of the cells were CD2+ (Fig. 2D and data not shown). No significant difference in the levels of porcine myeloid chimerism was detected between treated and control groups, and porcine CD21+ B cells were undetectable in both groups (Fig. 2D). Although the difference did not achieve statistical significance, CFU assays revealed that the levels of functional porcine myeloid progenitors in the recipient marrow were increased in M-liposome-treated mice (n = 3; 27.3 ± 21.2 CFU/2.5 x 105 BMC at wk 8) compared with PBS controls (n = 6; 19.8 ± 19.4 CFU/2.5 x 105 BMC at wk 8). Previous studies have shown that i.v. injection of M-liposomes does not deplete macrophages in the bone marrow (our unpublished data). Thus, the increase in long term porcine chimerism in the marrow of M-liposome-treated mice is likely due to the enhanced migration (due to reduced destruction by macrophages in the periphery) of porcine cells into recipient marrow at early times after treatment (before macrophages have recovered).

Similar results were observed in a repeat experiment in which lethally irradiated B10.D2/o-Tg mice were transplanted with porcine BMC and PBMC. Macrophage depletion was also required for the induction of chimerism in these lethally irradiated immunocompetent mice. With the exception of one mouse, no porcine cells were detected in the WBC of control recipients treated with blank liposomes 1 day after transplant, whereas porcine cells were detected in the WBC of all M-liposome-treated mice (Fig. 3Go). Because three mice in the M-liposome group died on day 6 (see below, Fig. 7C), all mice were sacrificed on day 7 to determine porcine chimerism in the recipient marrow and spleen. As shown in Fig. 3B, only one of seven control recipients showed detectable porcine chimerism in the marrow, and splenic chimerism was not detected in any of these mice. In contrast, porcine MHC class I+ cells were detected in the marrow and spleen of all M-liposome-treated recipients. BMC from the M-liposome-treated recipient with the highest porcine chimerism and from the mouse in the control group with detectable porcine chimerism were also tested for engraftment of porcine myeloid progenitor cells by CFU assay, and the frequencies (CFU per 5 x 105 BMC) were 143 and 3, respectively. Together, our results demonstrate that murine macrophages play a powerful role in clearing highly disparate xenogeneic cells in vivo.



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FIGURE 3. M-liposome treatment enhances porcine hemopoietic cell survival in immunocompetent B10.D2/o-Tg mice. Lethally irradiated B10.D2/o-Tg mice were treated with either M-liposomes (•/{blacksquare}) or blank liposomes ({circ}/{square}) and transplanted with porcine BMC (108), PBMC (5 x 107), and 5 x 106 NOD/SCID-Tg BMC (see Materials and Methods). A and B, Percentages of porcine class I+ cells in WBC on day 1 (A) and in WBC, BMC, and spleen (SPL) on day 7 (B) post-porcine BMT. In the M-liposome-treated group, three mice died on day 6 and one mouse died on day 7 before analysis. Each symbol represents an individual animal. C and D, Numbers (means ± SD) of porcine class I+ cells in the bone marrow (two femurs and tibias) (C) and spleen (D) on day 7 post-porcine BMT. M-liposome treatment was given at a dose of 160 mg/kg/injection three times before BMT (two injections on day -2 and 1 injection on day -1) and once every other day after BMT, and mice in the control group were treated with blank liposomes at the same times.

 
Depletion of medronate-sensitive macrophages has no effect on the survival of porcine cells injected into PerC but enables these cells to migrate, relocate, and survive in other tissues/organs

We next investigated the effect of M-liposomes on the induction of porcine chimerism in SCID mice that were transplanted only with porcine PBMC. Fig. 4Go shows a comparison of porcine chimerism in the WBC, spleen, marrow, and PerC of porcine PBMC-injected (i.p.) SCID mice that were treated with M-liposomes or with PBS. M-liposome treatment markedly increased porcine chimerism in the WBC, spleen, and marrow, but chimerism in the PerC was comparable between treated and control groups (Fig. 4Go). Since M-liposome treatment through i.v. injection does not deplete macrophages in the PerC, the high levels of porcine chimerism in the PerC of these mice indicate that PerC macrophages are not efficient in eliminating porcine cells. However, porcine cells were rapidly cleared by macrophages after they migrated into other tissues/organs such as spleen. Because macrophages in the bone marrow are not susceptible to depletion by i.v. injection of M-liposomes and are inefficient in the phagocytosis of porcine cells, the increase in marrow chimerism (Fig. 4Go) in M-liposome-treated mice indicates that macrophages play an important role in preventing the migration of porcine cells into bone marrow from PerC. Previous studies have shown that injection of porcine BMC does not give rise to porcine CD3+ T cells in murine recipients (14, 17). Thus, porcine T cells detected in the marrow of M-liposome-treated recipients of porcine BMC plus PBMC at wk 8 (Fig. 2Go) were porcine PBMC injected into PerC that migrated to the marrow before macrophages have recovered. To confirm this possibility, we compared the engraftment of porcine CD3+ cells in M-liposome-treated SCID-Tg mice that were transplanted with porcine BMC alone or BMC plus PBMC. As shown in Fig. 5Go, A and B, porcine CD3+ T cells were detected only in the recipients of porcine BMC plus PBMC (2.7–32%) but not in mice receiving porcine BMC only. Similar results were observed in another experiment. As shown in Fig. 5C, M-liposome treatment markedly increased the concentrations of total porcine cells in the WBC of SCID-Tg mice receiving porcine BMC only, but the majority of porcine cells in these mice were CD3-.



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FIGURE 5. Comparison of porcine CD3+ T cell chimerism in the WBC of M-liposome-treated SCID-Tg mice transplanted with porcine BMC alone or porcine BMC plus PBMC. A and B, WBC were prepared from M-liposome-treated SCID-Tg mouse recipients of porcine BMC alone (1 x 108 i.v.) ({circ}) or BMC (1 x 108 i.v.) plus PBMC (5 x 107 i.p.) (•) 1 wk after transplant, and percentages (A) of total porcine cells (1030H-1-19+) and porcine CD3+ cells were measured. The concentrations of porcine cells (B) in the WBC were calculated as the product of percent porcine marker-positive cells and the total WBC concentration (cell number per milliliter). *, p < 0.05. C, Irradiated SCID-Tg mice were treated with M-liposomes or PBS and transplanted with porcine BMC (1 x 108 i.v.). Data are shown for the concentrations of total porcine cells (1030H-1-19+) ({blacksquare}) and porcine CD3+ cells ({square}) in the WBC at wk 1 and 3 post-transplant. The concentrations of 1030H-1-19+ cells in the WBC of PBS-injected SCID-Tg recipients (n = 5) in the same experiment were 0.4 ± 0.6 x 106 and 2.5 ± 2.5 x 106 at wk 1 and wk 3, respectively. Each symbol represents an individual animal.

 
The accumulation of porcine cells in the spleen of M-liposome-treated mice, but not in the control animals (Fig. 4Go) suggests that the spleen might be a primary site of porcine cell clearance. To determine the role of splenic macrophages in the elimination of porcine cells in vivo, we compared the levels of porcine chimerism between splenectomized and sham-operated SCID mouse recipients. SCID mice were conditioned with 3 Gy TBI and transplanted with 5 x 107 porcine PBMC (i.p.) 2 weeks after splenectomy or sham operation. Although the average level of porcine chimerism in the WBC appeared higher in splenectomized recipients than that in sham-operated mice, there was no statistical significance between the two groups (Fig. 6Go; p = 0.11). These data suggest that macrophages in the spleen were not the only effector cells involved in the clearance of porcine cells in mice.

M-liposome treatment induces mortality in irradiated recipients of porcine BMT

Administration of M-liposomes i.v. led to morbidity and mortality in irradiated recipients of porcine cells in some of our experiments. Notably, M-liposome treatment-related death was observed only in sublethally irradiated SCID (Fig. 7Go, A and B) and lethally irradiated B10.D2/o-Tg (Fig. 7C) mice that were transplanted with porcine BMC plus PBMC (Fig. 7Go, A and C), or PBMC only (Fig. 7B), but not in the recipients of porcine BMC only (Fig. 7D).

M-liposome treatment increases WBC counts in irradiated mice

Compared with PBS control mice, an early increase in the concentration of circulating WBC was observed in M-liposome-treated mice in all of our experiments. Fig. 8Go shows the results from one of these experiments, in which SCID-Tg mice were sublethally irradiated (3 Gy) and treated with either M-liposomes or PBS. The numbers of murine WBC in M-liposome-treated mice became significantly higher than those in PBS controls by 1 wk and reached peak levels at 3 weeks. Although it remains unclear by which M-liposome treatment elevates WBC counts, the reduction of macrophage-released cytokines with inhibitory effects on hemopoiesis might be partially involved. It has been shown that TNF-{alpha}, TGF-{beta}, monocyte chemoattractant protein-1, and macrophage-inflammatory protein-1{alpha} can inhibit hemopoietic cell proliferation (41, 42).



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FIGURE 8. Administration of M-liposomes results in increased host WBC counts in irradiated mice. SCID-Tg mice were conditioned with 3 Gy TBI and transplanted within 4–8 h with porcine BMC and PBMC. WBC were prepared from recipients treated with M-liposomes ({blacksquare}) or PBS ({square}) at the indicated times, and concentrations of murine WBC were calculated as the product of percent murine cells (i.e., 100% - % porcine cells) and the total WBC concentration (cell number per milliliter). With the exception that three mice treated with M-liposomes were analyzed at wk 8 post-transplant, five to nine mice from each group were analyzed at each time point. **, p < 0.01.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The data presented in this study demonstrate that murine phagocytic cells efficiently eliminate porcine hemopoietic cells in vivo. Injection (i.v.) of M-liposomes that mainly depletes liver Kupffer cells and splenic macrophages markedly enhanced porcine hemopoietic chimerism. The levels of porcine chimerism in the peripheral blood and spleen of M-liposome-treated mice declined rapidly after withdrawal of the treatment. The decline of porcine chimerism in the WBC is consistent with the repopulation kinetics of liver Kupffer cells and splenic red pulp macrophages, but not the marginal metallophilic macrophages in the spleen, suggesting that Kupffer cells and/or red pulp macrophages are efficient phagocytic cells to eliminate porcine cells. A recent study demonstrated that splenic red pulp, but not marginal metallophilic, macrophages, are critical for the clearance of RBC that lack a macrophage-inhibitory ligand, CD47 (43). The markedly increased porcine chimerism in the spleen of M-liposome-treated mice (Fig. 4Go) strongly suggests that the spleen might be a primary site of porcine cell clearance. However, porcine chimerism was not significantly increased by depletion of splenic macrophages only via splenectomy (Fig. 6Go), indicating that M-liposome-sensitive macrophages in other tissues/organs, other than red pulp macrophages in the spleen, also contribute to the elimination of porcine cells in vivo. Because i.v. administration of M-liposomes mainly depletes Kupffer cells in the liver and splenic macrophages, our results suggest that both splenic red pulp macrophages and Kupffer cells in the liver were involved in the clearance of porcine cells in vivo.

Although M-liposomes markedly increased the survival of porcine cells in the WBC, spleen, and marrow, this treatment had no effect on the survival of porcine cells in the PerC in mice that were injected i.p. with porcine PBMC (Fig. 4Go). These results implicate that macrophages in the PerC do not phagocyte porcine cells in vivo. Macrophages in the bone marrow also appear to be inefficient in the phagocytosis of porcine cells, because levels of porcine chimerism in the bone marrow remained higher in M-liposome-treated mice than in controls even after the treatment was withdrawn. Despite the fact that depletion of M-liposome-sensitive macrophages permitted a higher level of migration of porcine CD3+ PBMC (injected into PerC) into the bone marrow, the levels of porcine myeloid chimerism were not significantly improved in the recipients of porcine BMC (i.v.) and PBMC (i.p.) by M-liposomes (Fig. 2Go). This is likely because a large number of porcine BMC were injected i.v., and only a limited number of marrow-homing cells could enter into the host bone marrow. The number (108) of porcine BMC injected is almost equal to the total number of bone marrow cells in a SCID mouse (estimated by counting the number of nucleated cells of two femora, which is equivalent to 13.5% of the entire bone marrow compartment (44)). These results suggest that optimal (or nearly optimal) migration of porcine hemopoietic stem cells and progenitors could be achieved by injecting (i.v.) a large number of porcine BMC in SCID mice without macrophage depletion. Studies of human hemopoietic cell transplantation in SCID mice also showed that the beneficial effect of macrophage depletion on human cell engraftment is less apparent as increasing cell numbers transplanted (22). However, this is not the case when porcine hemopoietic cells are transplanted to immunocompetent mice, which have more potent resistance to porcine cell engraftment than SCID mice do. As shown in Fig. 3Go, macrophage depletion is required for the migration of porcine cells into the host bone marrow in lethally irradiated B10.D2/o-Tg mice.

Previously, studies have shown that IFN-{alpha}{beta} may stimulate NK cells to reject donor hemopoietic cells, and depletion of IFN-{alpha}{beta}-secreting macrophages with silica or carrageenans can facilitate mouse allogeneic and rat xenogeneic marrow engraftment in mice (45, 46, 47, 48, 49). Consistent with these studies, it has been reported that NK cells play an important role in the resistance of rat marrow engraftment in mice (9, 50). However, our previous studies using anti-asialo GM1 (which depletes NK cells) or cyclophosphamide (which suppresses NK activity (51)) have shown that NK cells do not play a significant role in resisting engraftment of porcine marrow cells in SCID mice (13). In addition, it has been recently reported that macrophages, but not NK cells, play an important role as effector cells in the destruction of porcine islet xenografts in mice (20). Thus, markedly improved engraftment of porcine hemopoietic cells in M-liposome-treated recipients is likely due to inhibited phagocytosis of porcine cells by macrophages and not to the suppression of NK cell activity.

Phagocytosis of pathogens and senescent cells by macrophages is mediated by phagocytic receptors (52). The most important receptors involved in this process include receptors for the Fc portion of Igs (FcRs), complement receptors (CRs), and the mannose receptor. CR1 (CD35), CR3 (CD11b/CD18), and CR4 (CD11c/CD18) are most important receptors expressed by macrophages, which mediate phagocytosis of complement-opsonized particles and cells (52, 53). CR1 binds mainly C3b, C4b, and C1q (54, 55), and CR3 and CR4 are specific receptors for C3bi (52). In addition, receptors such as scavenger receptor-A, CD36, and CD14 play important roles in the phagocytosis of apoptotic cells by macrophages. The rapid elimination of porcine cells in T and B cell-deficient SCID mice demonstrates that phagocytosis of porcine cells by murine macrophages can occur independently of the FcR-mediated mechanism. Our previous studies have shown that murine complement can mediate rejection of porcine hemopoietic cells through an Ab-independent mechanism (16), suggesting that murine macrophages may recognize complement-coated porcine cells though CRs.

FcRs for IgGs (Fc{gamma}Rs) have been demonstrated to be the most important FcRs for triggering macrophage phagocytosis and Ab-dependent cell-mediated cytotoxicity (52). However, the majority of anti-pig natural Abs (NAb) in naive mice are of the IgM class (56). Anti-pig IgG Abs are produced only after exposure to porcine Ags, and their production is T cell dependent (56). Although the pre-existing anti-pig IgM NAb may mediate cytotoxicity by activation of complement, the significance of these NAb in mediating macrophage phagocytosis of porcine cells has not been demonstrated. It has been reported that FcµRs are expressed on NK cells and subpopulations of T and B cells (57, 58, 59, 60, 61); however, the functional and molecular characteristics of these receptors are still unclear. It has been recently described that macrophages and B cells express a receptor (Fc{alpha}µR) that is able to bind IgA and IgM, and Fc{alpha}µR on B cells mediates endocytosis of IgM-coated microparticles (62). Further studies are needed to address the question of whether Fc{alpha}µR on macrophages could mediate phagocytosis of porcine cells coated with anti-pig IgM NAb.

Previous studies have demonstrated that injection (i.v.) of M-liposomes is well tolerated in mice.5 However, M-liposome treatment-associated morbidity and mortality were observed in irradiated recipients of porcine cells in the present study (Fig. 7Go). Because the incidence of M-liposome-associated morbidity or mortality was markedly greater in the recipients of porcine PBMC (with or without BMC) than those receiving porcine BMC only and because significant engraftment of porcine CD3+ T cells was observed only in M-liposome-treated mice that received porcine PBMC, it is possible that the harmful effect of M-liposomes was a consequence of porcine T cell-mediated graft-vs-host reactions. Indeed, graft-vs-host disease-like symptoms, including hunching, diarrhea, and loss of body weight, were observed in most mice that succumbed to M-liposome treatment-associated lethality. In addition, infections might be also involved, given that macrophage depletion would markedly reduce the host defenses against bacteria and other pathogens in irradiated recipients of porcine cells.

In summary, our results suggest that macrophage depletion at the time of stem cell transplantation might be useful as a way of improving the survival and engraftment of porcine hemopoietic cells in mice. The same approach might also be useful in primates and might thereby facilitate the induction of long term xenogeneic chimerism and tolerance. However, the rapid decline of porcine chimerism in the spleen and peripheral blood in association with macrophage returning after withdrawal of M-liposome treatment suggests that macrophages developing de novo in porcine BMT recipients were not "tolerant" of porcine cells. Therefore, continuous treatment is likely to be required for maintaining porcine chimerism. Because macrophages play a critical role in initiating immune responses against pathogens, the long term use of macrophage-depleting reagents is unlikely to be acceptable, even if nontoxic drugs could be developed. Like T, B, and NK cells, macrophages also have the ability to discriminate between self and non-self. Thus, identification of the macrophage receptors responsible for distinguishing "self" from xenogeneic cells would permit the development of strategies for making host macrophages specifically nonresponsive to porcine cells.


    Acknowledgments
 
We thank Drs. Henk-Jan Schuurman and Christene A. Huang for helpful review of the manuscript, Dr. David H. Sachs for his advice and helpful discussion, and Sharon Titus for her expert assistance with the manuscript.


    Footnotes
 
1 This work was supported by Juvenile Diabetes Foundation International Grant 1-1999-573 and by a sponsored research agreement between Massachusetts General Hospital and BioTransplant, Inc. Back

2 Current address: Department of Surgery, Kidney Center, Tokyo Women’s Medical University, Kawada-cho 8-1, Shinjuku-ku, Tokyo, Japan. Back

3 Address correspondence and reprint requests to: Dr. Yong-Guang Yang, Bone Marrow Transplantation Section, Transplantation Biology Research Center, Massachusetts General Hospital, MGH East, Building 149-5102, 13th Street, Boston, MA 02129. E-mail address: yongguang.yang{at}tbrc.mgh.harvard.edu Back

4 Abbreviations used in this paper: BMT, bone marrow transplantation; BMC, bone marrow cells; CR, complement receptor; FCM, flow cytometry; M-liposome, medronate-encapsulated liposome; PerC, peritoneal cavity; SCF, stem cell factor; Tg, transgenic; WBC, white blood cell; TBI, total body irradiation; NAb, natural Ab. Back

5 J. Cheng, R. M. Glaser, D. Brigham, H. Kruger-Grey, S. Mohapatra, M. E. White-Scharf, D. K. C. Cooper, and A. D. Thall. Promotion of xenogeneic hematopoietic chimerism in rodents by mononuclear phagocyte depletion. Submitted for publication. Back

Received for publication July 10, 2001. Accepted for publication November 5, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
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