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The Journal of Immunology, 2002, 168: 1710-1716.
Copyright © 2002 by The American Association of Immunologists

Intercellular Adhesion Molecule-1/LFA-1 Ligation Favors Human Th1 Development1

Hermelijn H. Smits*, Esther C. de Jong*, Joost H. N. Schuitemaker*, Theo B. H. Geijtenbeek{dagger}, Yvette van Kooyk{dagger}, Martien L. Kapsenberg* and Eddy A. Wierenga2,*

* Department of Cell Biology and Histology, Academic Medical Center, University of Amsterdam, and {dagger} Department of Molecular Cell Biology, Free University Medical Center, Amsterdam, The Netherlands


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Th cell polarization toward Th1 or Th2 cells is strongly driven by exogenous cytokines, in particular IL-12 or IL-4, if present during activation by Ag-presenting dendritic cells (DC). However, additional Th cell polarizing mechanisms are induced by the ligation of cell surface molecules on DC and naive Th cells. In the present study, the role of LFA-1/ICAM-1 ligation in human Th cell polarization was investigated. Triggering of LFA-1 on anti-CD3/CD28 stimulated naive Th cells with immobilized Fc-ICAM-1, in the absence of DC and exogenous cytokines, induced a marked shift toward Th1 cell development, accompanied by a dose-dependent decrease in GATA-3 expression and a dose-dependent increase in T-bet expression. Th1 polarization by LFA-1 ligation could be demonstrated only under low cytokine conditions, as it was largely overruled by IL-12 or IL-4. This IL-12-independent Th1-driving mechanism appears to be operated by certain subsets of effector DC. Maturation of DC by poly(I:C), a synthetic dsRNA, used as an in vitro model for viral infections, leads to the generation of Th1-driving effector DC (DC1), which express elevated levels of ICAM-1 but produce only low levels of IL-12p70. Blocking the ICAM-1/LFA-1 interaction in cocultures of these DC with naive Th cells attenuated their Th1-driving capacity. The molecular mechanism by which LFA-1 signaling supports Th1 differentiation is blocked by specific inhibitors of extracellular signal-regulated kinase phosphorylation. The present data indicate the existence of an IL-12-independent, extracellular signal-regulated kinase-mediated mechanism, through which high ICAM-1-expressing DC1 can drive Th1 polarization. This mechanism may be operational during viral infections.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Effector cells of the immune system are largely regulated by cytokines that are secreted by Th cells. Different subsets of Th cells can be distinguished based on restricted cytokine profiles and herewith related immunoregulatory properties. For example, Th1 cells, producing IFN-{gamma}, promote cell-mediated immunity against intracellular pathogens, whereas Th2 cells, producing IL-4, IL-5, and IL-13, are instrumental in humoral immune responses against extracellular pathogens (1). Polarized Th1 and Th2 cells develop from naive Th cell precursors during activation by APCs in the lymph nodes. Naive Th cells respond only to specialized APC with high expression of costimulatory molecules, i.e., dendritic cells (DC)3 (2). Immature DC reside in peripheral tissues as sentinel cells and sample the environment for possible danger signals. Exposure to microbial and/or inflammatory products induces the maturation and migration of the DC to the draining lymph nodes. During this process, the DC lose their Ag uptake capacity but strongly up-regulate costimulatory molecules, making the cells qualified to activate naive Th cells (reviewed in Ref. 2). Functional Th cell polarization is strongly directed by various soluble or membrane-bound molecules present during primary stimulation that regulate the expression of the Th1- and Th2-specific "master switch" transcription factors T-bet (3) or GATA-3 (4), respectively (5). Most prominent in this respect are the cytokines IL-12, which induces T-bet expression and drives Th1 responses (3, 6), and IL-4, which leads to enhanced GATA-3 expression and to the development of Th2 cells (4, 7).

The main source of IL-12 are DC. The IL-12-producing capacity of mature DC in the lymph nodes is pre-established in their tissue of origin and is strongly influenced by tissue environmental factors, such as pathogens, during their initial activation as immature DC. For example, exposure of immature DC to IFN-{gamma} (8) or to (compounds of) intracellular pathogens, like Mycobacterium tuberculosis (9) or pertussis toxin (53), induces maturation into DC that produce high levels of IL-12 and have a strong ability to induce Th1 development. In contrast, PGE2 (10), cholera toxin (11), and certain helminth compounds (12, 53) lead to the generation of mature DC with very low levels of IL-12 and have the potential to induce Th2 cell development. However, when mature DC produce only limited amounts of IL-12, alternative Th cell-polarizing mechanisms, either by soluble or by surface-bound molecules, become more prominent and decisive instead.

One such membrane-bound candidate molecule is ICAM-1. During Ag presentation, ICAM-1 expressed on DC binds to LFA-1 on Th cells. ICAM-1/LFA-1 interaction has a pleiotropic effect, as it not only plays an important role in T cell recirculation and inflammation (13, 14) but also in T cell activation. In particular, ICAM-1/LFA-1 mediated adhesion is a critical event for establishing and strengthening the physical contact between DC and Th cells, leading to optimal Th cell activation (15, 16). Several mouse studies have revealed that the ICAM-1/LFA-1 interaction can also be important for driving Th1 cell polarization, as blockage of this interaction leads to increased Th2 cell development from naive Th cells (17, 18, 19). In humans the role of ICAM-1/LFA-1 ligation in Th cell polarization has not been evaluated previously.

Therefore, the aim of this study was to investigate the involvement of ICAM-1/LFA-1 ligation in the polarization of human Th1 cells. Experiments were performed in an APC-free and in a DC-dependent system to determine to what extent ICAM-1 expression levels on DC are relevant. Also, the relative contribution of ICAM-1/LFA-1 ligation to the actions of the potent polarizing cytokines IL-4 and IL-12 was studied. Finally, we explored the molecular pathway through which ICAM-1/LFA-1 ligation may drive Th1 responses.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Abs, cytokines, and reagents

Human rICAM-1, rICAM-2, and rICAM-3, coupled to human IgG1-Fc, were described before (20). Human IL-4 (20 x 108 U/mg) was obtained from Pharma Biotechnology (Hanover, Germany). Human rIL-12 (sp. act. 1.7 x 108 U/mg) was a gift from Dr. M. K. Gately (Hoffmann-LaRoche, Nutley, NJ). Human rGM-CSF (sp. act. 1.11 x 107 U/mg) was a gift of Schering-Plough (Uden, The Netherlands). Human rIFN-{gamma} (sp. act. 8 x 107 U/mg) and neutralizing rabbit IgG to human IL-12 were gifts from Dr. P. H. van der Meide (U-cytech, Utrecht, The Netherlands). The anti-LFA-1 mAbs used were NKI-L15 and NKI-L16 (both mouse IgG2a, anti-CD11a), described before (21). Blocking mouse IgG1 to human ICAM-1 was obtained from R&D Systems (Abingdon, U.K.). Mouse mAbs to human CD28 (CLB-CD28/1) and human CD3 (CLB-T3/4E-1XE) were obtained from Central Laboratory of The Netherlands Red Cross Blood Transfusion Center (Amsterdam, The Netherlands). Mouse Abs to phosphorylated extracellular signal-regulated kinase (ERK), Jun NH2-terminal kinase (JNK)1, and p38 were obtained from New England Biolabs (Beverly, MA). The p38 mitogen-activated protein kinase (MAPK) inhibitor SB203580 and the ERK inhibitor PD98059 were obtained from Alexis (San Diego, CA).

In vitro generation and maturation of DC from peripheral blood monocytes

Venous blood from healthy donors was collected in sodium-heparin-containing tubes (VT100H; Venoject, Terumo Europe, Leuven, Belgium). PBMC were isolated by density gradient centrifugation on Lymphoprep (Nycomed, Torshov, Norway). Subsequently, PBMC were centrifuged on a Percoll (Pharmacia Biotech, Uppsala, Sweden) gradient to isolate the monocytes, as previously described (8). Monocytes were washed and seeded in 24-well culture plates (Costar, Cambridge, MA) at a density of 5 x 105 cells/well. After 60 min of incubation at 37°C, nonadherent cells were removed and adherent cells were cultured in IMDM (Life Technologies, Paisley, U.K.) containing gentamicin (86 µg/ml; Duchefa, Haarlem, The Netherlands) and 1% FCS (HyClone Laboratories, Logan, UT), supplemented with rGM-CSF (500 U/ml) and rIL-4 (250 U/ml) to obtain immature DC as described elsewhere (22). At day 3, the culture medium, including the supplements, was refreshed. On day 6, maturation of immature DC was induced by the addition of either LPS alone (100 ng/ml; Difco, Detroit, MI), LPS plus rIFN-{gamma} (1000 U/ml), or poly(I:C) (20 µg/ml; Sigma-Aldrich, St. Louis, MO). After 48 h, full maturation into CD1a+CD83+ mature effector DC (mDC) was confirmed by flow cytometric analysis.

Analysis of cell surface molecule expression by flow cytometry

Mouse anti-human mAbs against the following molecules were used: CD1a (OKT6; Ortho Diagnostic System, Beerse, Belgium), CD83 (Immunotech, Marseille, France), ICAM-1, ICAM-2, and ICAM-3 (all three obtained from R&D Systems). Bound mAb were detected by FITC-conjugated goat anti-mouse mAb (Jackson ImmunoResearch Laboratories, West Grove, PA).

Cytokine production by DC

CD1a+CD83+ mDC (2 x 104 cells/well) were stimulated with CD40 ligand (CD40L)-expressing mouse plasmacytoid cells (J558 cells, 2 x 104 cells/well; a kind gift from Dr. P. Lane, University of Birmingham, Birmingham, U.K.), in the presence of rIFN-{gamma} (1000 U/ml), in 96-well flat-bottom culture plates (Costar) in IMDM containing 10% FCS in a final volume of 200 µl. Supernatants were harvested after 24 h and stored at -20°C until the levels of IL-12p70 secretion were measured by ELISA.

Isolation of naive Th cells

PBMC from buffycoat (CLB) were isolated by density gradient centrifugation on Lymphoprep (Nycomed), and thereafter CD4+CD45RA+CD45RO- naive Th cells were isolated to high purity (>98% as assessed by flow cytometry) through one-step high-affinity negative selection columns (R&D Systems), according to the manufacturer’s instructions.

Stimulation and culture of naive Th cells

Flat-bottom 96-well culture plates (Costar) were coated with goat anti-human Fc Abs (Jackson ImmunoResearch Laboratories). After blocking of nonspecific protein binding sites with BSA, the wells were incubated with Fc-ICAM-1, Fc-ICAM-2, or Fc-ICAM-3 fusion proteins. Purified naive Th cells were either seeded in the coated wells (2 x 104 cells/200 µl) and stimulated with soluble mAbs to CD3 (0.3 µg/ml) and CD28 (1 µg/ml) or were cocultured with mDC (5 x 103 cells) in 200 µl of culture medium in the presence of superantigen Staphylococcus aureus enterotoxin B (10 pg/ml; Sigma-Aldrich), in 96-well flat-bottom culture plates (Costar). There, where indicated, naive Th cells were preincubated with increasing dosages of either SB203580 (p38 inhbitor) or PD98059 (ERK inhibitor) for 1 h at 37°C, before stimulation with anti-CD3/CD28. At day 5, rIL-2 (10 U/ml; Cetus, Emeryville, CA) was added and the cultures were expanded for the next 9 days.

Cytokine production by Th cells

On day 14, the quiescent Th cells were restimulated with PMA (10 ng/ml) and ionomycin (1 µg/ml; Sigma-Aldrich) for 6 h, the last 5 h in the presence of brefeldin A (10 µg/ml; Sigma-Aldrich), and single-cell IL-4 and IFN-{gamma} production was determined by intracellular flow cytometric analysis. Cells were fixated in 2% paraformaldehyde (Merck, Darmstadt, Germany), permeabilized with 0.5% saponin (ICN Biochemicals; Cleveland, OH) and stained with anti-human IFN-{gamma}-FITC and anti-human IL-4-PE (both from BD Biosciences, Franklin Lanes, NJ). In parallel, the cells were stimulated with CD3 and CD28 mAbs to measure total IL-4 and IFN-{gamma} secretion by ELISA in supernatants collected after 24 h.

Real-time quantitative RT-PCR analyses of GATA-3 and T-bet expression

For quantitative analysis of GATA-3 and T-bet mRNA expression, 105 naive Th cells were stimulated with anti-CD3/CD28 for 2 days and lysed for total RNA extraction, using a NucleoSpin RNA Isolation kit (Macherey-Nagel, Duren, Germany). First-strand cDNA was synthesized, using a cDNA synthesis kit (MBI Fermentas, St. Leon-Rot, Germany). For quantification of GATA-3, T-bet, and, as a control, {beta}2-microglobulin ({beta}2m) transcripts, real-time quantitative PCR was performed in a LightCycler (Roche Diagnostics, Mannheim, Germany) based on specific primers and general SYBR green fluorescence detection. The primer sequences were the following: {beta}2m S-primer, 5'-CCAGCAGAGAATGGAAAGTC-3'; {beta}2m AS-primer, 3'-GATGCTGCTTACATGTCTCG-5' (melting temperature (Tm) 58°C); GATA-3 S-primer, 5'-CTGCAATGCCTGTGGGCTC3'; GATA-3 AS-primer, 3'-GACTGCAGGGACTCTCGCT-5' (Tm 62°C); T-bet S-primer, 5'-CCCCAAGGAATTGACAGTTG-3'; T-bet AS-primer, 5'-GGGAAACTAAAGCTCACAAAC-3' (Tm 62°C); resulting in the amplification of PCR products of 391 bp ({beta}2m), 350 bp (GATA-3), and 317 bp (T-bet). All reactions were performed using the LightCycler DNA master SYBR Green I PCR kit (Roche Diagnostics). A bulk cDNA sample of stimulated human Th cells was used as a standard, and normalization to {beta}2m was performed for each sample.

PACE

Phosphospecific cell-based ELISA (PACE) was performed essentially as described before (23). In short, 5 x 105 naive Th cells were stimulated with anti-CD3/CD28 in the absence or presence of Fc-ICAM-1 (500 ng/ml coated in plates, as described above). After 24, 48, and 72 h, cells were fixated with 2% paraformaldehyde (Merck). After permeabilization with 0.1% Triton X-100 (Sigma-Aldrich), endogenous peroxidase was quenched in 1% H2O2 (Merck) and 0.1% natrium azide (Merck) for 20 min. After blockage of specific binding sites with 5% BSA, phosphospecific Abs were added in 0.1% Triton X-100 plus 5% BSA and incubated for 1 h at 37°C, followed by a 1-h incubation at room temperature with polyclonal rabbit anti-mouse Abs, labeled with HRP (New England Biolabs). After extensive washing the cells were transferred to a 96-well plate (Costar) and the HRP substrate 3,3',5,5'-tetramethylbenzidine (BioSource International, Nivelles, Belgium) was added. The reaction was stopped with 2 M H2SO4 after 15 min and the OD450/650 was used as a measurement of phosphorylation.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
ICAM-1/LFA-1 ligation promotes Th1 cell polarization from human naive Th cells

Primary anti-CD3/CD28 stimulation of human naive Th cells in the absence of DC and polarizing factors yields a mixed population of IL-4 and/or IFN-{gamma} producers. This was assessed on day 10 upon subsequent restimulation and was detected both on a per cell basis by intracellular staining (Fig. 1GoA, left panel) and by measurement of cytokine secretion (Fig. 1GoB, upper bar). The addition of immobilized Fc-ICAM-1 construct induced a dose-dependent shift toward the Th1 cell phenotype, with gradually increased percentages of IFN-{gamma} producers, decreased percentages of IL-4 producers (Fig. 1GoA), and an increased IFN-{gamma}:IL-4 secretion ratio (Fig. 1GoB). Specificity of this Th1-driving effect was demonstrated by the abolishment of Th1 polarization by addition of blocking Abs against either ICAM-1 or LFA-1 (NKI-L15) at the start of the culture (Fig. 1GoC). Isotype control Ab had no effect (data not shown). Furthermore, mRNA analysis at t = 48 h indicated a dose-dependent drop in the expression of the Th2-specific transcription factor GATA-3 and a dose-dependent increase in the expression of the Th1-specific transcription factor T-bet, with increasing Fc-ICAM-1 concentrations (Fig. 1GoD), which correlates with the increased IFN-{gamma} and decreased IL-4 production after restimulation on day 10 (Fig. 1Go, A and B).



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FIGURE 1. ICAM-1/LFA-1 ligation promotes Th1 differentiation from human naive Th cells. Naive Th cells were stimulated with anti-CD3/CD28 in the absence or presence of an increasing dose of immobilized Fc-ICAM-1. A, After 10 days, IFN-{gamma} and IL-4 production per cell was analyzed by intracellular FACS staining following a 6-h PMA/ionomycin stimulation, the last 5 h in the presence of brefeldin A. B, A parallel stimulation with anti-CD3/CD28 was performed to analyze total IFN-{gamma} and IL-4 secretion by ELISA in the collected 24-h supernatants. C, Naive Th cells were stimulated in the additional presence of neutralizing ICAM-1 or LFA-1 Abs. After 10 days, the single-cell IFN-{gamma}/IL-4 profiles were determined by intracellular FACS analysis, as described in A. D, After 48 h, GATA-3 and T-bet mRNA expression was determined by real-time quantitative RT-PCR analysis, normalized to {beta}2m transcripts in the same sample, and expressed as the percentage of expression under neutral conditions, set at 100%. The data are presented as mean ± SEM from three independent experiments.

 
In addition to ICAM-1, ICAM-2 and, with lower affinity, ICAM-3 are ligands for LFA-1 (24). When tested in the same culture system, Fc-ICAM-2 and Fc-ICAM-3 induced a similar dose-dependent shift toward Th1 cell differentiation (Fig. 2Go). As expected from the lower affinity for LFA-1, the Th1-driving effect of ICAM-3 was less pronounced. These results demonstrate a clear Th1-driving effect of ligation of LFA-1.



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FIGURE 2. Th cell polarization by different ligands for LFA-1. Naive Th cells were stimulated with anti-CD3/CD28 in the absence or presence of increasing concentrations of Fc-ICAM-1, Fc-ICAM-2, or Fc-ICAM-3. After 10 days, IFN-{gamma} and IL-4 production per cell was determined by intracellular FACS analysis as described in Fig. 1GoA.

 
Th1 cell differentiation by ICAM-1/LFA-1 ligation is overruled by IL-4 or IL-12

The cytokines IL-4 and IL-12 have powerful capacities to drive Th cell polarization. Therefore, we tested the relative importance of LFA-1-mediated polarization in the presence of these potent cytokines. As shown in Fig. 3GoA, increasing concentrations of IL-4 dose-dependently abolished the Th1-driving effect of ICAM-1/LFA-1 ligation, indicating that this Th2-driving cytokine overrules the effect of LFA-1 ligation. In the presence of moderate to high concentrations of IL-12, ICAM-1/LFA-1 ligation does not add to the Th1-polarizing effect of IL-12 (Fig. 3GoB). These data indicate that Th1 differentiation by LFA-1 ligation is primarily of importance under low cytokine conditions.



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FIGURE 3. Th1 differentiation by ICAM-1/LFA-1 ligation is overruled by high levels of IL-4 or IL-12. Naive Th cells were stimulated by anti-CD3/CD28 in the absence or presence of 500 ng/ml Fc-ICAM-1 and increasing concentrations of rIL-4 (A) or increasing concentrations of rIL-12 (B). After 10 days, IFN-{gamma} and IL-4 production per cell was determined by intracellular FACS analysis as described in Fig. 1GoA.

 
LFA-1 ligation affects the activation of MAPK

Recent studies in the mouse have pointed toward a role for MAPK signaling pathways in the control of Th cell responses under low cytokine conditions. These pathways can be induced by TCR triggering, which activates ERK, by CD28 ligation, which activates p38 MAPK, or by the combination of TCR triggering and CD28 ligation, which activates JNK1 and JNK2. JNK1 down-regulates IL-4 production, whereas JNK2 and p38 MAPK increase IFN-{gamma} production, and ERK promotes Th2 responses (reviewed in Ref. 25). However, in human T cells, some of these pathways can have different, even opposing, effects. For example, p38 MAPK was shown to be important for IL-4 production in effector Th2 cells (26, 27), while interruption of the ERK pathway strongly increased, rather than abrogated, IL-4 responses in human Th cells (28).

We addressed the question of whether Th1 polarization by LFA-1 ligation is mediated via the activation of one or more of these MAPK pathways. Naive Th cells stimulated with anti-CD3/CD28 in the presence Fc-ICAM-1 displayed a shift toward Th1 cell development. Addition of a chemical inhibitor of ERK phosphorylation (PD98059) to anti-CD3/CD28-activated naive Th cells resulted in a strong dose-dependent induction of IL-4 production and inhibition of IFN-{gamma} production, while in the ICAM-1-stimulated naive Th cells this effect was reduced and required higher concentrations of PD98059 to yield equal percentages of IL-4-producing Th cells upon restimulation (Fig. 4GoA). These data suggest that ERK activity is increased in ICAM-1-stimulated naive Th cells. This was indeed confirmed by the analysis of phosphorylated (active) ERK in 48-h-stimulated naive Th cells by PACE (23) (Fig. 4GoC). p38 MAPK phosphorylation was detectable only after 3 days but did not differ between cells stimulated with and without ICAM-1 (Fig. 4GoC; day 3 data not shown). Accordingly, addition of the chemical p38 MAPK inhibitor, SB203580, did not differentially affect the Th cell cytokine profile in cells stimulated with or without ICAM-1 (Fig. 4GoB), suggesting that p38 MAPK is not involved in ICAM-1-induced Th1 polarization. Although elevated levels of phosphorylated JNK1/2 were demonstrated in the ICAM-1-stimulated Th cells at day 2 (Fig. 4GoC), the functional consequences for ICAM-1-driven Th1 polarization cannot be studied in this experimental setup, as no specific JNK inhibitor is available yet.



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FIGURE 4. LFA-1 ligation affects the activation of MAPK. Naive Th cells (2 x 104) were stimulated with anti-CD3/CD28 in the absence or presence of 500 ng/ml Fc-ICAM-1 and increasing concentrations of the ERK inhibitor PD9085 (A) or increasing concentrations of the p38 MAPK inhibitor SB203580 (B). After 10 days, IFN-{gamma} and IL-4 production per cell was determined by intracellular FACS analysis as described in Fig. 1GoA. C, Naive Th cells (5 x 104) were stimulated with anti-CD3/CD28 in the absence or presence of 500 ng/ml Fc-ICAM-1. At 24, 48, and 72 h after stimulation, cells were fixated, permeabilized, and analyzed for the presence of phosphorylated p38 MAPK, ERK, or JNK using phosphospecific mouse Abs and HRP-conjugated rabbit anti-mouse Ab. After addition of 3,3',5,5'-tetramethylbenzidine, substrate conversion was determined by measuring at OD450/650. The data are presented as mean increased signal ({Delta} OD450/650) ± SEM as compared with OD values from unstimulated naive Th cells (background OD450/650 = 0.28).

 
Low IL-12-producing poly(I:C)-matured DC drive Th1 polarization through elevated expression of ICAM-1

Next, we addressed the question of whether LFA-1-mediated signaling indeed contributes to Th1 polarization under more physiological conditions, i.e., during the interaction of naive Th cells with DC. We generated different Th1-driving DC1 subsets with different ICAM-1 expression levels. To this end, maturation was induced in immature monocyte-derived DC either with the synthetic dsRNA poly(I:C) or by the combination of LPS plus IFN-{gamma}. As a comparison, maturation was induced by LPS alone, yielding nonpolarizing DC0. In addition to ICAM-1, expression of the other ligands for LFA-1, ICAM-2, and ICAM-3 were analyzed on both DC1 subsets and the DC0 subset. As shown in Fig. 5GoA, ICAM-2 was hardly expressed on either DC subset and was expressed on ICAM-3 only moderately, but was elevated on the poly(I:C) DC1. ICAM-1 was more abundantly expressed and particularly high on the poly(I:C) DC1. In combination with this high ICAM-1 expression, poly(I:C) DC1 produced only limited quantities of IL-12p70, as compared with the LPS/IFN-{gamma}-matured DC1 (Fig. 5GoB). In fact, IL-12p70 production by the poly(I:C) DC1 hardly differed from the levels produced by the nonpolarizing LPS-matured DC0. As the impact of LFA-1 triggering on Th1 polarization is most evident under such low cytokine conditions (Fig. 3GoB), we tested to what extent the Th1-driving capacity of poly(I:C) DC1 (Fig. 5GoC) was mediated by ICAM-1 and IL-12p70. Coculture experiments with naive Th cells demonstrated that blocking the ICAM-1/LFA-1 interaction, either with anti-ICAM-1 or with anti-LFA-1, clearly reduced the Th1-driving potential (Fig. 5GoC). Likewise, neutralization of IL-12p70 only partially blocked Th1 polarization. Addition of anti-ICAM-3 instead did not substantially reduce Th1 polarization in any DC subset (Fig. 5GoC). Full abrogation of Th1 polarization (to the basal level induced by LPS-matured DC0; Fig. 5GoC, upper bar) was obtained only by combining IL-12p70 neutralization and blocking the ICAM-1/LFA-1 interaction, demonstrating the contribution of ICAM-1 in the Th1-driving mechanism of poly(I:C) DC1 (Fig. 5GoC). In contrast, the Th1-polarizing effect of LPS/IFN-{gamma} DC1 is fully IL-12 dependent (Fig. 5GoC).



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FIGURE 5. High expression of ICAM-1 contributes to the Th1-driving capacity of poly(I:C) DC1. Maturation of immature DC was induced by LPS alone (100 ng/ml), LPS plus rIFN-{gamma} (1000 U/ml), or poly(I:C) (20 µg/ml) during 48 h. A, ICAM-1, ICAM-2, and ICAM-3 expression was analyzed by flow cytometry. B, Mature DC (2 x 104 cells/well) were stimulated with mouse CD40L-expressing mouse plasmacytoid cells (J558 cells, 2 x 104 cells/well) in the presence of rIFN-{gamma} (1000 U/ml) to induce the production of IL-12p70. After 24 h, supernatants were collected and IL-12p70 production was measured by ELISA. C, Naive Th cells (2 x 104) were stimulated with superantigen Staphylococcus aureus enterotoxin B (10 pg/ml), presented by differentially matured DC (either LPS alone, LPS plus IFN-{gamma}, or poly(I:C); 5 x 103 cells), in the absence or presence of neutralizing anti-IL-12, and/or blocking Abs to ICAM-1 or LFA-1. After 12 days, IFN-{gamma} and IL-4 production per cell was determined by intracellular FACS analysis as described in Fig. 1GoA.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this study we show that LFA-1 ligation on activated human naive Th cells leads to a shift toward Th1 cell differentiation, accompanied by a rapidly increased T-bet:GATA-3 mRNA expression ratio. The Th1-driving effect of the ICAM-1/LFA-1 interaction is primarily of importance under low cytokine conditions, as the polarizing cytokines IL-4 and IL-12 dose-dependently overrule the Th1-driving effect. Indeed, experiments with the poor IL-12-producing poly(I:C) DC1 expressing high levels of ICAM-1 indicated that ICAM-1 actively contributes to their Th1-driving capacity. Exploring the molecular mechanism by which LFA-1 ligation supports Th1 cell differentiation, we have found evidence that the MAPKs ERK and JNK may be involved.

Mouse studies (17, 18) with ICAM-1-deficient APC or blocking Abs to ICAM-1 already indicated a profound inhibitory effect of ICAM-1 on IL-4 production by activated naive Th cells, suggesting at least prevention of Th2 development as a consequence of LFA-1/ICAM-1 interaction. The mouse experiments did not indicate an active induction of IFN-{gamma} production or Th1 development. In contrast, previous studies with human memory CD4+ Th cells showed that repeated costimulation by ICAM-1 did lead to increased secretion of IFN-{gamma}, but not IL-4 or IL-5 (29, 30). These results are confirmed in our present study and are further extended by showing that initial polarization of human naive Th cells upon LFA-1 costimulation by ICAM-1 gives rise to memory Th cells that produce high amounts of IFN-{gamma} but hardly any IL-4. The question remains what precise mechanisms are involved in this shift in Th cell polarization. It is well known that the ligation of LFA-1 by ICAM-1 helps to stabilize the physical APC-Th cell interaction, allowing for a higher TCR occupancy, and thereby to enhance or prolong TCR-dependent signals (31), such as inositol phospholipid hydrolysis, increased intracellular Ca2+ levels (32, 33), and phosphorylation of phospholipase C{gamma}1 (34). Indeed, it has been reported that LFA-1/ICAM-1 interaction can lower the required Ag dose for Th cell activation by 10- to 100-fold (35, 36). Several studies support the "strength of signal" hypothesis as an additional factor influencing Th cell polarization. According to this hypothesis, triggering of high numbers of TCR will lead to IFN-{gamma}-producing Th cells, whereas low number TCR triggering will favor the development of IL-4-producing Th cells (37). The contribution of LFA-1/ICAM-1 ligation to this model was elegantly demonstrated by a study of Ruedl et al. (38) in which LFA-1 triggering by ICAM-1 lowered the required Ag dose for CD40L up-regulation on the Th cell, which is essential for induction of IL-12 production, by the Ag-presenting DC, which, in turn, can promote Th1 responses. Nevertheless, this model can only in part explain our present data, because 1) poly(I:C) DC1 produce only low levels of IL-12p70 upon CD40L stimulation, which does not fully account for the Th1 responses induced by these high ICAM-1-expressing DC, and 2) naive Th cells stimulated with anti-CD3/CD28, in the absence of APC, also showed a dose-dependent increase in Th1 cell polarization with increasing concentrations of immobilized ICAM-1-Fc. Other studies also suggest that the "strength of signal" hypothesis is incomplete. For example, Abraham et al. (39) demonstrated that high-density TCR ligand expression could not compensate for the lack of LFA-1/ICAM-1 interaction in Th cell activation and that only TCR engagement together with costimulation through either LFA-1 or CD28 was sufficient to induce detectable levels of IL-2 mRNA (40), albeit by qualitatively different signaling routes (41). Furthermore, it has been described that LFA-1 ligation on human CD8+ T cells can up-regulate the activity of phosphatidylinositol 3-kinase, sphingomyelinase, and JNK, all similar to pathways induced by CD28 ligation, but not identical, as LFA-1 and CD28 ligation display a different profile of sensitivity to inhibitors of phosphatidylinositol 3-kinase (33). Therefore, a likely explanation would be that the shift in Th1 polarization induced by LFA-1 ligation is the combined result of several factors, involving modifications of TCR-dependent signals and perhaps the induction of unique signaling pathways. In the present study, increased levels of activated ERK in ICAM-1-costimulated Th cells were demonstrated, both by experiments with a specific ERK inhibitor and by PACE. As ERK phosphorylation is induced upon TCR triggering, part of our results may be explained by LFA-1-induced modifications of TCR-dependent signals, which may lead to a reduction of IL-4-producing Th cells. In the mouse, JNK is involved in the induction of IFN-{gamma} production in Th cells and, although there are no reports on this effect in human Th cells, it is tempting to speculate that the elevation of activated JNK observed in ICAM-1-costimulated Th cells by PACE at day 2 promotes the development of IFN-{gamma}-producing Th cells and together with increased ERK activity leads to enhanced Th1 polarization. Because JNK is not activated by TCR triggering alone but requires costimulation via CD28 or LFA-1, we hypothesize that the Th1 shift observed in this study is accomplished in part by modifications of TCR-dependent signaling, e.g., via ERK activation, but may additionally be the result of specific ICAM-1-induced signaling, like the activation of JNK.

In this study, we identified a novel IL-12-independent Th1-driving mechanism, actively operated by poly(I:C) DC1. These cells, obtained by maturation of monocyte-derived immature DC in the presence of poly(I:C), are characterized by elevated expression of ICAM-1 and low levels of IL-12, both equally contributing to the Th1 polarization. Poly(I:C) is a synthetic dsRNA molecule and may represent a model for viral infections. In this respect, the poly(I:C)-induced up-regulation of ICAM-1 on DC and subsequent in vitro Th1 cell polarization is nicely corresponding to numerous in vivo studies that showed that viral infections lead to the induction of Th1 responses and increased levels of ICAM-1 expression (reviewed in Ref. 42). Furthermore, studies with IL-12p40-/- and IL-12p70-/- mice (43) and patients with a functional mutation in the IL-12R (44) demonstrated that virus-specific Th1 responses could still be mounted, indicating also that in vivo alternative, IL-12-independent, Th1-driving mechanisms are operational, especially during viral infections. Based on our present findings, it is tempting to speculate that the LFA-1/ICAM-1 interaction is relevant in this respect. In vivo yet other mechanisms may be involved, because during viral infections high levels of type I IFNs are produced that, in humans, can induce Th1 responses as well (45). In our experiments, only minimal expression of IFN-{alpha} was detected in the poly(I:C) DC, and blockage did not result in an inhibition of Th1 polarization.

In addition to viral infections, under low cytokine conditions in vivo LFA-1/ICAM-1 interaction may drive Th1 responses. Those conditions may occur in newborns, which are characterized by an immature immune system, e.g., indicated by the deficient IL-12p70 production by monocyte-derived cord blood DC (46). Consequently, during primary immune responses the polyclonal contribution of LFA-1/ICAM-1 ligation may be relatively high.

Animal models for Th1-mediated responses or diseases also provide evidence that ICAM-1/LFA-1 interaction may be involved in Th1 polarization in vivo. For example, blocking Abs to LFA-1 and ICAM-1 were shown to prevent allograft rejection, associated with a shift from a Th1 to a Th2 cell cytokine profile (47, 48, 49). Similarly, ICAM-1 deficiency in nonobese diabetic mice blocked accelerated diabetes, in part explained by affecting the generation and/or expansion of islet-specific Th1 cells (50). Also, in an experimental autoimmune encephalomyelitis disease model, ICAM-1-deficient mice showed reduced T cell proliferation and reduced Th1 cytokine production in response to myelin Ag (51). The latter two studies suggest the involvement of ICAM-1 in autoreactive Th1 cell development, although it was not specified which cell type, e.g., DC, was essential in this respect. Furthermore, studies with ICAM-1 knockout mice indicated that ICAM-1 is required for rapid activation of Th1 cells to control early acute phase genital chlamydial infection, suggesting a role for ICAM-1 in the control of infectious diseases (52). Therefore, evidence from both in vitro and in vivo models points toward a role for ICAM-1-driven Th1 development. Blockage of ICAM-1/LFA-1 interaction may therefore provide potent therapeutic possibilities for the treatment of autoimmune diseases or prevention of graft rejection by transplantation, whereas therapeutic triggering may be beneficial to reduce Th2-mediated disease.


    Footnotes
 
1 This work was supported by a grant (96.45) from the Netherlands Asthma Foundation. Back

2 Address correspondence and reprint requests to Dr. Eddy A. Wierenga, Department of Cell Biology and Histology, Academic Medical Center, University of Amsterdam, P.O. Box 22700, 1100 DE Amsterdam, The Netherlands. E-mail address: E.A.Wierenga{at}amc.uva.nl Back

3 Abbreviations used in this paper: DC, dendritic cell; JNK, Jun NH2-terminal kinase; ERK, extracellular signal-regulated kinase; mDC, mature effector DC; MAPK, mitogen-activated protein kinase; PACE, phosphospecific cell-based ELISA; CD40L, CD40 ligand; {beta}2m, {beta}2 microglobulin; Tm, melting temperature. Back

Received for publication October 9, 2001. Accepted for publication December 11, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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