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1





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Lymphocyte Cell Biology Section, National Institute of Arthritis and Musculoskeletal and Skin Diseases,
Laboratory of Immune Cell Biology, National Cancer Institute,
Pediatric Endocrinology Branch, National Institute of Child Health and Human Development, and
Experimental Immunology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892
| Abstract |
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as a glucocorticoid-inducible gene. This
observation was confirmed at the mRNA and protein levels. Conversely,
TCR signaling decreased IL-7R
expression, and the relative strength
of signaling between these two receptors determined the final IL-7R
levels. The up-regulation of IL-7R
by glucocorticoids was associated
with enhanced IL-7-mediated signaling and function. Moreover,
IL-7-mediated inhibition of apoptosis at increasing concentrations of
glucocorticoids is consistent with enhanced cell sensitivity to IL-7
following glucocorticoid exposure. These observations provide a
mechanism by which glucocorticoids may have a positive influence on T
cell survival and function. | Introduction |
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The most recognized biologic effect of glucocorticoids at high concentrations (exogenously administrated or endogenously produced in response to stress) is immunosuppression, and these hormones are potent inducers of T cell apoptosis (8). Because the glucocorticoid receptor (GR)4 is a transcriptional regulator, the simplest means to account for its effects on cell viability is to postulate that glucocorticoids induce the expression of gene products that directly or indirectly cause cell death. To date, however, there are no clear candidates for glucocorticoid-induced genes that cause cell death. Alternatively, glucocorticoids also have positive effects on immune development and function (5). The GR and the TCR independently induce apoptosis, yet together they promote T cell survival (9). Indeed, glucocorticoids antagonize and repress TCR-mediated signals for cell death (10, 11, 12). This mutual regulation for survival not only occurs in the thymus but also exists in the peripheral immune system.
This context-dependent action of the GR led us to identify genes whose
expression is modified by glucocorticoids and ask how they might
influence T cell function. In this work we report that screening of
almost 10,000 genes with DNA microarrays revealed that IL-7R
-chain
(IL-7R
) is one of the most prominent gene induced by
glucocorticoids. Furthermore, the positive regulation of IL-7R
by
glucocorticoids was associated with enhanced IL-7-mediated signaling
and function. These observations provide a mechanism by which
glucocorticoids may influence T cell function and immune
responsiveness.
| Materials and Methods |
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The following reagents were purchased: recombinant human IL-7
(R&D Systems, Minneapolis, MN), anti-phosphotyrosine Ab (4G10;
Upstate Biotechnology, Lake Placid, NY), polyclonal rabbit
anti-IL-7R
Ab (Santa Cruz Biotechnology, Santa Cruz, CA), and
monoclonal mouse anti-human CD3 and human CD28 (BD PharMingen, San
Diego, CA). The following Abs used for flow cytometry were purchased:
PE-conjugated anti-human IL-7R
(CD127) mAb (Immunotech,
Marseilles, France); FITC-conjugated anti-human IL-2R
(CD25),
anti-CD3, anti-CD4, anti-CD8, anti-CD19, and
anti-CD14 mAb (BD Biosciences, San Jose, CA); and isotype-matched
IgG controls (BD PharMingen). Polyclonal rabbit anti-Stat5a Ab was
produced as previously described (13). Polyclonal rabbit
anti-IL-7 and anti-IL-7R
neutralizing Abs were obtained from
R&D Systems. Anti-
-actin mAb was purchased from Sigma-Aldrich (St.
Louis, MO). Streptavidin-PE was purchased from Caltag Laboratories
(Burlingame, CA). Metyrapone was obtained from ICN Biochemicals (Costa
Mesa, CA). Human IL-2 was provided by Dr. C. Reynolds (National Cancer
Institute, Frederick, MD). NK3.3 cells were provided by Dr. J.
Kornbluth (St. Louis University, St. Louis, MO). PBMC from healthy
donors were isolated byFicoll-Paque (Amersham Pharmacia Biotech,
Piscataway, NJ) gradient centrifugation. When peripheral T cells
were used, PBMC were activated with PHA (2 µg/ml) for 72 h and
cultured for an additional day in presence of IL-2 (40 IU/ml), as
described previously (14). Typically, this resulted in
>95% CD3+ cell purity, and before stimulation
cells were washed with acidified medium (pH 6.4) and rested in RPMI
1640 containing 1% BSA. For TCR cross-linking experiments, PBMC were
activated with coated anti-CD3/anti-CD28 (10 µg/ml) for 3
days and isolated by Ficoll-Paque gradient centrifugation. Purified
human cord blood CD4+ T cells and purified human
bone marrow stromal cells were purchased from Poietic Technologies
(Gaithersburg, MD). Naive CD4+ T cells, which
express CD45RA (>95%), were isolated from cord blood from umbilical
blood collected from scheduled cesarean deliveries. Cells were isolated
and resuspended in HBSS containing 0.5% BSA and 5 mM EDTA, and
CD4+ T cells were from cord blood mononuclear
cells using negative immunomagnetic selection, and purity was
>95%.
FACS analysis
Expression of IL-7R
was detected using PE-conjugated
anti-human IL-7R
mAb or PE-conjugated anti-mouse IL-7R
Ab. Expression of IL-2R
was detected using FITC-conjugated
anti-human IL-2R
mAb or FITC-conjugated anti-mouse IL-2R
(CD25) Ab. The cells were washed, incubated with conjugated Abs and
isotype-matched IgG-PE/isotype-matched FITC-IgG as controls for 30 min
at 4°C, washed three times with PBS containing 0.5% BSA, and then
analyzed by flow cytometry. Samples were analyzed on a FACSCalibur flow
cytometer (BD Biosciences). Apoptosis was evaluated using propidium
iodide/annexin V (Immunotech) staining.
Microarrays
PBMC were prepared as described and stimulated with dexamethasone (Dex; 10-7 M) for 16 h. RNA extraction was performed (RNAgents; Promega, Madison, WI), and mRNA was purified with oligoTex mRNA isolation columns (Qiagen, Valencia CA). Microarray analysis was performed using the GEM microarray (Incyte, St. Louis, MO). The two fluorescent cDNA probes were mixed and simultaneously hybridized to a microarray containing 9182 human expressed genes. The microarray was scanned, and the intensity of the fluorescence at each array element was proportional to the expression level of that gene in the sample. The ratio of the two fluorescence intensities provided a quantitative measurement of the relative gene expression level in the two cell samples.
RNase protection assay
Human thymocytes and mature T lymphocytes were rested for 4 h, pretreated with Dex at different concentrations for various times, and stimulated with IL-7 (10 ng/ml) for various times. RNA extraction was performed, and mRNA expression was evaluated by RNase protection assay. RNase protection assay was performed as follows: 32P-labeled RNA probes were synthesized using SP6 RNA polymerase or T7 RNA polymerase for the multiprobe template set (Riboquant; BD PharMingen). DNA was digested with DNase I (Roche, Indianapolis, IN), and RNA probes were extracted with phenol/chloroform and precipitated with ethanol. Labeled RNA probes were hybridized overnight with target RNA (5 µg) at 56°C and were digested with T1 RNase (Life Technologies, Gaithersburg, MD). The protected mRNA fragment was extracted with phenol and chloroform, precipitated with ethanol, resolved on a 6% denaturing polyacrylamide gel, and subjected to autoradiography. Gene transcripts were identified by the length of the protected fragments. Equal loading of RNA was estimated from the amounts of protected fragments of two housekeeping genes, L32 and GAPDH.
Immunoprecipitation and immunoblotting
NK3.3 cells and peripheral T lymphocytes were pretreated with different concentrations of Dex for various times, resuspended in 1 ml of serum-free medium (2 x 106 NK3.3 cells), and stimulated with IL-7 (20 ng/ml) for 15 min. Following stimulation cells were washed once in PBS and lysed on ice in a buffer containing 1% Triton X-100, 50 mM Tris-HCl (pH 7.5), 300 mM NaCl, 2 mM EDTA, 200 µM Na3VO4, 10 µg/ml aprotinin, 10 µg/ml leupeptin, and 2.5 µM p-nitrophenyl p-guanidinobenzoate on ice for 30 min. Immunoprecipitation with anti-Stat Ab and subsequent SDS-PAGE were performed as described previously (13) with detection by ECL (LumiGLO; Kirkegaard & Perry Laboratories, Gaithersburg, MD).
| Results |
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The molecular response of human PBMC to glucocorticoids was
determined with cDNA microarrays representing
10,000 human genes.
Cells were stimulated for 16 h with a high concentration
(10-7 M) of the synthetic glucocorticoid Dex.
Genes were ranked by differential expression and grouped by functional
categories. An example of such an analysis is shown for the subset of
the 12 most regulated genes (Table I
).
The gene up-regulated to the greatest extent by Dex was the
sleep-inducing peptide (88% identity to murine glucocorticoid-induced
leucin zipper (GILZ)); GILZ has been reported to inhibit T cell
apoptosis induced by stimulation via the TCR (18). Among
the top five genes induced by Dex was IL-7R
. This was of particular
interest because, while a prominent effect of glucocorticoids is to
induce T cell apoptosis, IL-7R
is a receptor that delivers
antiapoptotic (prosurvival) signals to T cells.
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expression
To confirm the induction of IL-7R
expression by
glucocorticoids, the effect of Dex on an IL-7R
-negative NK cell line
(NK 3.3) was examined (Fig. 1
). Dex
induced IL-7R
mRNA expression in these cells within 2 h of
treatment (Fig. 1
A). A similar induction of protein was
observed by immunoblotting after 4 h of Dex treatment (Fig. 1
B). IL-7 exerts its effects by inducing tyrosine
phosphorylation of the transcription factor Stat5 (19). To
assess whether the up-regulated IL-7R
was functional, we determined
whether Dex treatment of NK cells permitted STAT5 phosphorylation by
IL-7. Consistent with the lack of detectable IL-7R
expression, IL-7
alone had no effect on Stat5 activation in untreated NK3.3 cells (Fig. 1
C). However, preincubation with Dex permitted IL-7R
signaling and Stat5 phosphorylation. Thus, Dex induces the expression
of functional IL-7R
.
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expression on T cells
The physiological functions of IL-7 for T cells include promotion
of survival and proliferation (20). To determine whether
glucocorticoid up-regulation of IL-7R
expression is pertinent to T
cells, we analyzed the effect of Dex on peripheral blood T lymphocytes.
Dex induced an increase of
3-fold in cell surface IL-7R
expression (Fig. 2
A,
upper panel, thick line). Furthermore, both CD4 and CD8
subpopulations up-regulate IL-7R
(Fig. 2
A), supporting
the idea that glucocorticoids up-regulate IL-7R
on all T cells but
not on monocytes or B cells (data not shown). Dex also up-regulated
IL-7R
expression on naive CD4+ human cord
blood cells, indicating that the state of activation or differentiation
of the T cells was not important for this effect (Fig. 2
B).
The Dex dose response was determined by FACS analysis, and as little as
10-10 M Dex induced IL-7R
, with its
expression being enhanced by increased Dex doses (Fig. 2
C).
These results were also confirmed at the mRNA level using RNase
protection assays (data not shown). Furthermore, Dex caused
up-regulation of IL-7R
mRNA in peripheral T cells as early as 2
h after initiation of treatment (Fig. 2
D). The
glucocorticoid antagonist RU-486 (Fig. 2
E), but not the
protein synthesis inhibitor cycloheximide (data not shown), inhibited
the Dex-induced increase in IL-7R
mRNA, consistent with a direct
effect of the liganded GR on IL-7R
transcription. The enhancement of
IL-7R
expression occurred in a dose-dependent manner. Thus,
glucocorticoids up-regulate IL-7R
mRNA and protein in T cells.
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expression
IL-7 has been shown to mediate homeostatic expansion of naive and
memory T cells after viral infection (21). Therefore, we
determined how IL-7R
expression was regulated by TCR stimulation.
Purified human CD4+ cord blood cells expressing
high levels of IL-7R
were stimulated with anti-CD3/CD28 Abs. As
expected, with simultaneous anti-CD3/CD28 stimulation there was a
large increase in IL-2R
expression (Fig. 3
A, upper panel).
The same treatment caused a dramatic decrease in the cell surface level
of IL-7R
(Fig. 3
A, lower panel). We determined
whether the down-regulation of IL-7R
expression occurred at the
transcriptional level by quantitating the effect of TCR signaling on
IL-7R
mRNA. Human peripheral T cells stimulated for 18 h with
anti-CD3/CD28 Abs showed a decrease in expression of IL-7R
mRNA
(Fig. 3
B). This effect was specific because levels of GAPDH
and the common
cytokine subunit (
c; the
other chain of the IL-7R) did not change. Thus, TCR-mediated activation
down-regulates IL-7R
on mature T cells.
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expression, we hypothesized that a balance between
TCR and GR signaling would determine IL-7R
expression levels and,
hence, IL-7 responsiveness. RNase protection assays were conducted on
RNA from T cells treated with anti-CD3/CD28 Abs, Dex, or both (Fig. 4
expression, the two stimuli effectively antagonized
each other (Fig. 4
mRNA expression, whereas TCR-mediated
stimulation resulted in increased IL-2R
expression, an effect that
was inhibited by Dex (Fig. 4
expression and showed that the two
signaling pathways had opposite effects on IL-7R
expression (Fig. 4
levels.
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enhances IL-7 responsiveness in T
cells
To determine whether the glucocorticoid-induced increase in
IL-7R
in mature T cells has functional relevance, the expression of
IL-2R
, a cell surface molecule whose gene is up-regulated by IL-7
(22), was assessed in purified CD4+
cord blood T cells. Whereas Dex alone had little effect on IL-2R
expression (Fig. 5
A,
left panel), IL-7 induced a moderate increase (Fig. 5
A, right panel). Dex greatly enhanced
IL-7-induced IL-2R
expression (Fig. 5
A, right
panel). Indeed, escalating concentrations of Dex gradually
enhanced IL-7-induced IL-2R
expression (Fig. 5
B).
Moreover, we confirmed that the up-regulation of IL-2R
was IL-7 dose
dependent and was potentiated in the presence of glucocorticoids (Fig. 5
C). Finally, we demonstrated that this enhanced IL-2R
expression was dependent upon IL-7 signaling, because it was completely
inhibited by neutralizing Abs against the IL-7/IL-7R
complex (Fig. 5
D). If the enhancement of IL-7 responsiveness by
glucocorticoids has functional consequences, glucocorticoids might be
expected to enhance the effect of IL-7 on T cell survival. As shown in
Fig. 5
E, IL-7 reduced by approximately half the spontaneous
apoptosis of CD4+ cord blood cells. Whereas a
high concentration of Dex (10-7 M) alone caused
an increase in apoptosis, it inhibited apoptosis in the presence of
IL-7. Using annexin V staining to measure apoptosis of purified
CD4+ T cells from cord blood, we analyzed the
effect of IL-7 and neutralizing anti-IL-7/IL-7R
Abs on the
antiapoptotic effects of glucocorticoids and examined this effect in a
dose-dependent manner (Fig. 5
, F and G). Indeed,
escalation of IL-7 doses favors survival, and this effect was further
enhanced in the presence of glucocorticoids (Fig. 5
F),
whereas neutralizing Abs against the IL-7/IL-7R
complex completely
reversed the antiapoptotic effect of glucocorticoids and IL-7 (Fig. 5
G). These results were confirmed with increasing doses of
IL-7 in a time-dependent manner on days 3 (Fig. 5
H) and 10
(Fig. 5
I). Neutralizing Abs against the IL-7/IL-7R
complex completely reversed the antiapoptotic effect of glucocorticoids
and IL-7 on days 3 (Fig. 5
H) and 10 (Fig. 5
I).
Thus, the IL-7-mediated inhibition of apoptosis increased with
increasing concentrations of glucocorticoids and increasing doses of
IL-7 in the presence of glucocorticoids, consistent with an enhanced
sensitivity of Dex-treated cells to IL-7. These actions were
specifically mediated by the IL-7/IL-7R
complex, as demonstrated
with the blocking experiments. Therefore, glucocorticoids can
paradoxically promote T cell survival in the presence of IL-7.
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| Discussion |
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(17) or humans with
loss-of-function mutations in IL-7R
(18) have a marked
deficiency in T cell development. The receptor for IL-7 is composed of
the IL-7-specific subunit (IL-7R
) (23) and
c, the latter associating with the Janus
kinase 3 (13, 20, 24, 25). Mutations in
c and Janus kinase 3 also result in a
reduction in T cell number, and targeted mutations of other
c-using cytokines (IL-2, IL-4, and IL-15)
clearly indicate that IL-7 has nonredundant functions in lymphopoiesis
(26, 27, 28, 29, 30). Several important functions have been ascribed
to IL-7 in the thymus, including promotion of survival and
proliferation of immature thymocytes (31, 32, 33). IL-7 is
also secreted by monocytes and dendritic and intestinal epithelial
cells, participates in mature lymphoid survival and expansion
(34, 35, 36, 37), and inhibits T cell death in vitro (38, 39). Furthermore, IL-7 participates in regulation of the
maintenance and the strength of the immune response and regulates the
development and the cytolytic activity of intestinal 
intraepithelial lymphocytes (36, 40, 41). These
intraepithelial lymphocytes represent the frontline defense alimentary
and bacterial gut lumen Ags and depend on IL-7R
signaling
(42). Thus, IL-7R
signals IL-7-mediated critical
specific actions on T cell development and function, yet the control of
its expression remains obscure.
Recognition of foreign Ags by mature T cells induces the expression of
many cytokine receptors that drive the immune response toward either a
Th1 cellular or Th2 humoral type (43, 44). Two types of
signals are needed to generate immune responses. The first is the
recognition of Ag/MHC by the TCR. The second signal, termed
costimulation, involves costimulatory molecule interactions and the
activation of cytokine receptors with their cognate cytokines
(1). Mounting evidence suggests the critical role of the
ligand-receptor complex IL-7/IL-7R
in the course of the T cell
immune response (32, 34). For example, peripheral T cells
from IL-7R
-/- mice show impaired
proliferation and increased apoptosis after TCR engagement. Therefore,
IL-7R
expression appears to be important in the maintenance and
strength of the immune response (34, 45, 46). In this
regard it is noteworthy that TCR stimulation decreases IL-7R
expression. This down-regulation may represent a negative feedback loop
to turn off lymphocyte activation and, hence, T cell-driven immune
responses.
Adrenal-derived glucocorticoids suppress innate and specific immune
responses through their negative actions on the expression of
inflammatory mediators such as cytokines and cytokine receptors
(5, 47, 48). Although widely used clinically, they clearly
have protean effects and are far from optimal immunosuppressive agents.
In this study we found that glucocorticoids increase IL-7R
expression in both naive and activated CD4+ T
cells. By doing so, glucocorticoids were able to enhance the expression
of IL-7-inducible genes and IL-7-mediated rescue from
glucocorticoid-induced apoptosis. The finding that glucocorticoids
increase IL-7R
expression may provide a mechanism by which
glucocorticoids can have a positive influence on the immune response.
Based upon gene expression assessed with DNA microarrays, another top
glucocorticoid-up-regulated gene is GILZ, with major antiapoptotic
action. GILZ counteracts activation-induced T cell death and may
contribute in part to the Dex-induced inhibition of TCR-activated
apoptosis (19). Thus, glucocorticoids can have prosurvival
activity during the T cell immune response by blocking TCR-induced
clonal deletion and maintaining IL-7R
expression. During acute
infections or flare-ups of inflammatory diseases, adrenal
glucocorticoid secretion is crucial for the restraint and control of
the adaptive immune response. In the neighborhood of IL-7-secreting
epithelial or stromal cells, glucocorticoids may prevent T cell
deletion by improving IL-7 signaling and help sustain the T cell immune
response to overcome foreign Ags and pathogens.
New emigrants from generative lymphoid organs undergo positive or
negative selection in the periphery (2, 40, 49). The
homeostasis of naive mature and memory T lymphocytes is dependent on
ligand-TCR interactions (4, 50, 51, 52). Also, T cell
homeostasis is mediated by signals transmitted by growth factor
receptors in secondary lymphoid and in nonlymphoid organs (3, 49, 53, 54). IL-7 potently enhances thymic-independent peripheral
expansion and restores immunity in athymic T cell-depleted hosts
(55). Furthermore, IL-7 is required for homeostatic
expansion of naive CD8+ and
CD4+ T cells in lymphopenic hosts and is
partially required for the homeostatic proliferation of memory cells
(22). These two studies point to IL-7 as an important
cytokine in T cell homeostasis (22, 55). Therefore,
improved IL-7R
signaling by glucocorticoids may contribute to
IL-7-mediated expansion of memory T cells and maintenance of the
peripheral T cell repertoire (56, 57, 58).
| Footnotes |
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2 D.F. and J.G. contributed equally to this work. ![]()
3 Address correspondence and reprint requests to Dr. Jérôme Galon at the current address: Laboratoire dImmunologie Cellulaire et Clinique, Institut National de la Santé et de la Recherche Médicale, Unité 255, Institut de Recherches Biomédicales des Cordeliers, 75270 Paris Cedex 06, France. E-mail address: jerome.galon{at}u255.bhdc.jussieu.fr ![]()
4 Abbreviations used in this paper: GR, glucocorticoid receptor; Dex, dexamethasone;
c, common
subunit; GILZ, glucocorticoid-induced leucin zipper. ![]()
Received for publication June 28, 2001. Accepted for publication December 21, 2001.
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