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The Journal of Immunology, 2002, 169: 5844-5850.
Copyright © 2002 by The American Association of Immunologists

Pulmonary Surfactant Proteins A and D Directly Suppress CD3+/CD4+ Cell Function: Evidence for Two Shared Mechanisms1

Paul J. Borron*, Elahe A. Mostaghel{dagger}, Carolyn Doyle{dagger}, Eric S. Walsh*, Michael G. McHeyzer-Williams{dagger} and Jo Rae Wright2,*

Departments of * Cell Biology and {dagger} Immunology, Duke University Medical Center, Durham, NC 27710


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Pulmonary surfactant is a lipoprotein complex that lowers surface tension at the air-liquid interface of the lung and participates in pulmonary host defense. Surfactant proteins (SP), SP-A and SP-D, modulate a variety of immune cell functions, including the production of cytokines and free radicals. Previous studies showed that SP-A and SP-D inhibit lymphocyte proliferation in the presence of accessory cells. The goal of this study was to determine whether SP-A and SP-D directly suppress Th cell function. Both proteins inhibited CD3+/CD4+ lymphocyte proliferation induced by PMA and ionomycin in an IL-2-independent manner. Both proteins decreased the number of cells entering the S and mitotic phases of the cell cycle. Neither SP-A nor SP-D altered cell viability, apoptosis, or secretion of IL-2, IL-4, or IFN-{gamma} when Th cells were treated with PMA and ionomycin. However, both proteins attenuated ionomycin-induced cytosolic free calcium ([Ca2+ ]i), but not thapsigargin-induced changes in [Ca2+]i. In summary, inhibition of T cell proliferation by SP-A and SP-D occurs via two mechanisms, an IL-2-dependent mechanism observed with accessory cell-dependent T cell mitogens and specific Ag, as well as an IL-2-independent mechanism of suppression that potentially involves attenuation of [Ca2+]i.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Although the pulmonary alveolar epithelium is constantly assaulted with inhaled pathogens and particles, it normally remains relatively sterile and free of infection and inflammation. A number of factors that contribute to pulmonary host defense have been defined over the years, and recent studies suggest that pulmonary surfactant, which is synthesized by the alveolar epithelial type II cell and the Clara cell and secreted into the airspaces, plays an important role in protecting the lung from infection (1, 2, 3). Pulmonary surfactant also reduces surface tension at the air-liquid interface of the lung, where it increases lung compliance and prevents lung collapse (4).

Pulmonary surfactant is comprised of phospholipids and proteins, including four surfactant proteins (SP),3 SP-A, SP-B, SP-C, and SP-D (5). SP-A is the most abundant of the surfactant-associated proteins, while SP-D is present at about 1/10th the concentration of SP-A (3). SP-A and SP-D are both members of the collectin family of proteins, characterized by their N-terminal collagen-like domains and C-terminal carbohydrate recognition (lectin) domains (6). The collectins, which include the serum mannose binding lectin, function as soluble scavenger receptors by interacting via their lectin domains with sugars and glycolipids on pathogens. This interaction often results in enhanced phagocytosis and clearance of the pathogen in vitro (7). Recent in vivo studies with mice made deficient in SP-A by homologous recombination (8) demonstrate a role for the lung collectins in the innate immune response, since SP-A-deficient mice had a diminished capacity to fully recover from intratracheal injections of bacteria and viruses (9, 10, 11, 12) and increased susceptibility to LPS-induced lung inflammation (13).

In addition to participating in the innate immune response, SP-A and SP-D regulate the functions of cells of the adaptive immune system, including lymphocytes (14, 15, 16, 17). It has been known for >20 yr that lymphocytes obtained from lung lavage and activated with T cell mitogens are less proliferative than lymphocytes isolated from peripheral blood (18). Because alveolar lymphocytes are exposed to surfactant, Kaltreider (18) and others (19, 20) proposed that surfactant may suppress lymphocyte functions. They found that whole surfactant, containing lipids and proteins, as well as individual surfactant lipids inhibited mitogen-induced lymphocyte proliferation (18, 19, 20). We investigated whether SP-A and SP-D could also contribute to the observed inhibitory effects of surfactant on lymphocyte proliferation and showed that SP-A and SP-D inhibit T cell proliferation and IL-2 production in mixed cultures of PBMC stimulated with TCR/accessory cell (AC)-dependent T cell mitogens (14, 15, 16). SP-A and SP-D have also been shown to suppress the allergen-specific proliferative response of lymphocytes in mixed populations of PBMC from asthmatic patients (17). We propose that surfactant-mediated inhibition of T cell activation would help protect the delicate alveolar epithelium from inflammation-mediated damage that could occur if the T cells were constantly activated in the airspaces.

Because previous studies showing that SP-A and SP-D inhibit lymphocyte proliferation were conducted with mixed populations of lymphocytes and monocytes, it was not known whether SP-A and SP-D were acting directly on T lymphocytes or indirectly via a paracrine effect. The present study sought to address whether SP-A and SP-D act directly on T cells independent of accessory cells as well as to determine where these proteins act during the process of T cell activation and cytokine production.


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

Peripheral blood was obtained from healthy volunteers using a study protocol approved by Duke University institutional review board. Alternatively, buffy coats were purchased from the American Red Cross (Charlotte, NC). PBMC were isolated by a one-step gradient centrifugation using Lymphoprep (Life Technologies, Gaithersburg, MD). Washed cells were resuspended at a concentration of 2 x 106/ml in RPMI 1640 containing 10% FBS (HyClone, Logan, UT) and antibiotic-antimycotic solution plus gentamicin (Life Technologies). Cells were then added to either T-75 or T-150 flasks (Nalge Nunc International, Rochester, NY) for 1 h at 37°C in 5% CO2. Plastic nonadherent cells were recovered and transferred to new flasks for an additional 1-h incubation. Initially, the Dynabead and Detach-a-Bead systems (Dynal, Lake Success, NY) were used according to the manufacturer’s specifications to positively select for CD4+ lymphocytes. These cells were cultured in RPMI 1640 medium (Life Technologies) containing 10% FBS and antibiotic-antimycotic solution. In later experiments the MACS (Miltenyi Biotec, Auburn, CA) cell separation system was used to positively select (without plastic adherence steps) for CD4+ cells. We routinely obtained CD4+/CD3+ cells with a purity of >=98% using either isolation procedure. mAbs, anti-CD4-R-PE (clone 13B8.2), anti-CD8-PE (clone B9.11), anti-CD3-PC5 (PE-cyanin-5, clone UCHT1), and appropriate isotype controls were purchased from Immunotech (IO Test; Marseilles, France) and were used to confirm cell purity by flow cytometry at Duke University Flow Cytometry Facility.

To confirm that results obtained were not influenced by the method of T cell isolation, the MACS negative selection kit for isolation of CD4+ cells was employed. Harvested cells were then cultured in AIM V lymphocyte activation medium (Life Technologies) at a concentration of 1 x 105 cells/well in a flat-bottom, 96-well plate in a final volume of 100 µl. The purity of recovered Th cells was routinely >98% as determined by coexpression of CD3/CD4 and the absence of CD8, CD11b (Mac-1, R-PE, clone ICRF44) (4), and CD-19 (FITC, clone HIB19; all purchased from BD PharMingen, San Diego, CA). Activated Th cells were analyzed for IL-2R expression using anti-CD-25-CyChrome-conjugated Ab (BD PharMingen, clone M-A51).

Murine T cell hybridomas specific for the OVA peptide 258–276 on I-Ab were generated as previously described (21). The OVA peptide (IINFEKLTEWTSSNVMEER) was synthesized in the laboratory of Dr. D. Kappler (University of North Carolina, Chapel Hill, NC). Peptide-specific hybridomas were grown in DMEM (Life Technologies) containing 10% FBS and antibiotic-antimycotic solution. Th hybridomas were routinely analyzed for high expression of both CD3 and CD4 by FACS using anti-mouse CD3 R-PE (clone 29B) and anti-mouse CD4 FITC (clone H129.19; Life Technologies). Splenocytes, which were neither irradiated nor treated with mitomycin, were used as a source of APC for Ag presentation assays. Healthy C57BL/6 mice were euthanized by CO2 inhalation. All surgical and experimental procedures followed institutional animal care guidelines. A single-cell suspension of splenocytes was prepared by aseptically removing spleens and pressing the tissue through a 40-µm sterile nylon mesh. Cells were washed twice in serum-free medium before use in Ag presentation assays.

Flow cytometry

Cells (3 x 105) were resuspended in FACS staining buffer consisting of HBSS (Life Technologies), 1.0% (w/v) BSA (fraction V; Sigma, St. Louis, MO), and 0.1% (w/v) NaN3 (Sigma) in a final volume of 100 µl. Nonspecific binding was blocked by preincubation for 15 min on ice with mouse IgG (Sigma; 50 µg/ml). PBMC or purified Th cells were analyzed with labeled mAbs or isotype controls. These Abs were incubated with cells for 30 min on ice using amounts recommended by the manufacturer. Cells were washed twice and fixed in 1.5% buffered formalin.

Gates for FACS analyses were set through use of forward and side scatter parameters. Background fluorescence was determined by analyzing the appropriate isotype controls in tandem with samples. Samples were analyzed at least in duplicate, and a minimum of 10,000 gated events were analyzed per sample. An annexin V-FITC apoptosis detection kit (BD PharMingen) was used to measure cell viability and apoptosis of PBMC and CD3+/CD4+ lymphocytes. Analysis was conducted using a FACStar Plus flow cytometer (BD Biosciences, Mountain View, CA) and the CellQuest software package (BD Biosciences). Analysis of data from cytosolic free calcium ([Ca2+]i) assays was performed using the FlowJo software package (Tree Star, San Carlos CA).

[3H]thymidine incorporation assay

As a test of cell function, lymphocyte proliferation was measured using the [3H]thymidine incorporation assay. CD3+/CD4+ T cells were activated by treatment with PMA (1 ng/ml) and ionomycin (1 µM; Sigma). Activated cells (1 x 105 cells/well) were cultured in 96-well, flat-bottom plates (Nalge Nunc International) and treated with varying concentrations of human C1q; human, cow, or rat SP-A; and recombinant or native rat SP-D. To investigate the role of IL-2 in this culture system, some CD3+/CD4+ cultures were treated with a final concentration of 1 or 10 ng/ml of recombinant human (rh) IL-2 (R&D Systems, Minneapolis, MN). After 60 h of incubation, 1 µCi/well of [3H]thymidine was added to each well (sp. act., 6.7 Ci/mmol; ICN, Costa Mesa, CA). DNA from each well was harvested with a semiautomated cell harvester (Skatron Instruments, Lier, Norway). [3H]thymidine incorporated into DNA was measured by liquid scintillation spectrophotometry. All conditions were repeated at least three times and tested in a minimum of three independent experiments.

Ag presentation assay

OVA peptide (50 µg/ml) was added to 105 T cell hybridomas and 105 murine splenocytes in a final volume of 100 µl in the presence or the absence of SP-A, SP-D, or C1q (25 µg/ml) for 24 h. As an index of Ag presentation, IL-2 was quantified in cell-free culture supernatants using a commercially available ELISA kit (Endogen, Woburn, MA).

Cell cycle analysis

Th cells were cultured as outlined for the 3H incorporation assay. At 72 h cells were harvested by gentle aspiration with calcium/magnesium-free Dulbecco’s PBS, fixed in ice-cold 70% ethanol, and stained with propidium iodide (Sigma) (22). Data were collected by FACS and analyzed using the FlowJo software package.

Isolation of proteins

SP-A was isolated from lung lavage of silica-treated rats, normal bovine lungs, or lungs of patients with alveolar proteinosis (23) (24, 25). A non-butanol method of isolation was used to obtain SP-A from all sources. The method used was a modification of the version reported by Suwabe et al. (26). SP-A was eluted from the surfactant pellet with 5 mM Tris water (pH 7.4) containing 2 mM EGTA and 1 mM MgCl2. SP-D was isolated from the lung lavage of rats given intratracheal injections of silica 3 wk previously. Ultracentrifugation of the lavage was followed by maltose affinity chromatography and gel filtration chromatography (27). Recombinant rat SP-D expressed in CHO cells was also used for these studies. Human C1q was purchased from Advanced Research Technologies (San Diego, CA).

Cytokine assays

Th cells (2 x 105 cells/well) were cultured in 96-well, flat-bottom, tissue culture plates in 200 µl medium. Cultures were activated with PMA (1 ng/ml) and ionomycin (1 µM) in the presence or the absence of SP-A, SP-D, or C1q (12.5 and 25 µg/ml). Supernatants were harvested 24 and 48 later and assayed for IL-2, IL-4, and IFN-{gamma} using commercially available kits (R&D Systems and Endogen (Woburn, MA)). Samples from each well were assayed in duplicate.

Calcium release assay

Th cells were resuspended in dye loading buffer (HBSS, 1 mM calcium, 1 mM magnesium, and 0.5% (w/v) BSA (fraction V; Sigma)) at a concentration of 2 x 106 cells/ml. Indo-1/AM (Molecular Probes, Eugene, OR) was reconstituted in sterile DMSO (Sigma) at a concentration of 1 mg/ml; 2 µg of this suspension was added per milliliter of cells. Th cells were incubated at 37°C in the dark for 30 min. After washing away extracellular Indo-1/AM, the CD3+/CD4+ lymphocytes (2 x 106 cells/ml) were preincubated for 2 h at room temperature in the presence or the absence of SP-A, SP-D, or C1q (25 µg/ml; final volume, 1 ml). Capacitance calcium entry was induced by ionomycin (100 ng/ml) or thapsigargin (2 µM; Sigma) and measured by ratiometric analysis of [Ca2+]i by FACS. Data were analyzed with the FlowJo software package (Tree Star). Each response was quantified by measuring fluorescence at the time of the peak response. The kinetics of each response were analyzed by calculating the area under the curve during the entire response after addition of the intracellular calcium agonist. A 1 min baseline reading was also taken before activation of the cells.

An alternative method of performing calcium release assays used a ratiometric assay performed on a SPEX FluoroMax spectrophotometer (SPEX, Edison, NJ) with an excitation wavelength of 350 nm and emission wavelengths of 405 and 485 nm. CD3+/CD4+ cells were activated in a silica microcell (ISA/JY, Spex) containing 200 µl of a suspension of CD3+/CD4+ cells (2 x 106 cells/ml) and a magnetic stir bar. Again, a 1 min baseline reading was obtained, at which time cells were activated with thapsigargin (4 µM) alone or immediately after addition of EGTA (5 mM; Sigma). All data obtained using the spectrofluorometer were confirmed using FACS analysis.

Statistics

Statistical analysis was performed with the Primer for Biostatistics computer program and manual (28). Data from individual experiments were expressed as a percentage of the positive control tested in that experiment. To analyze differences between protein-treated cells (single concentration) and untreated cells, Student’s t test was used. ANOVA was used to determine differences among experimental doses. More specifically, a multiple comparison procedure, the Student-Newman-Keuls test, was used.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
SP-A and SP-D suppress the proliferation of PMA- and ionomycin-activated PBMC and subpopulations

To address the question of whether accessory cells were required for SP-A and SP-D to suppress lymphocyte proliferation, PBMC and cells from each step of the CD4+ cell isolation procedure were cocultured with SP-A, SP-D, or C1q and stimulated with PMA and ionomycin. SP-A preparations isolated from a variety of sources were tested in individual experiments, and the data were combined. These sources were rat, human, or bovine. Recombinant rat SP-D was tested, as was SP-D obtained from silica-treated rat lungs. Both SP-A and SP-D inhibited [3H]thymidine incorporation into whole PBMC treated with PMA and ionomycin (Table IGo). Similar results were obtained with a subpopulation of nonadherent cells obtained from the same donors. SP-A and SP-D also suppressed [3H]thymidine incorporation by a subset of the nonadherent cells that were depleted of CD4+ cells during CD4+ cell purification. The results presented in Table IGo show that SP-A and SP-D inhibited [3H]thymidine incorporation of these cell populations in a dose-dependent manner. CD3+/CD4+ cells were isolated as described in Materials and Methods and were activated with PMA and ionomycin. Both SP-A and SP-D inhibited incorporation of [3H]thymidine by these highly purified (>=98%) cells in a dose-dependent manner (Fig. 1Go). Apoptosis and necrotic cell death were quantified at 24 and 72 h. No differences were found among experimental groups at either time point (25 µg/ml protein) compared with the untreated control group (data not shown).


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Table I. SP-A and SP-D suppresses proliferation of whole PBMC, nonadherent PBMC and nonadherent PBMC depleted of CD4+ cells in a dose-dependent mannera

 


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FIGURE 1. SP-A and SP-D inhibit the proliferation of CD3+/CD4+ T cells. [3H]Thymidine incorporation by human CD3+/CD4+ lymphocytes was stimulated with PMA and ionomycin (1 ng/ml and 1 µM, respectively) in the presence of varying doses of rat, human, or bovine SP-A; rat SP-D; or human C1q. Data are expressed as a percentage of the positive control value (mitogen alone). Each bar represents the mean ± SEM of triplicate cultures (n = 3). *, p <= 0.05 compared with cultures treated with PMA and ionomycin alone.

 
SP-A and SP-D inhibit progression of PMA- and ionomycin-treated CD3+/CD4+ cells into the cell cycle

PMA- and ionomycin-treated CD4+ lymphocytes were cultured under the same conditions as those outlined for the proliferation assays, stained with propidium iodide, and used for cell cycle analysis. Fig. 2Go shows that SP-A and SP-D, but not C1q, inhibited the number of Th cells that progressed into the G2 + M phase of the cell cycle.



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FIGURE 2. SP-A and SP-D inhibit cell cycle progression of CD4+ T lymphocytes. Human CD3+/CD4+ lymphocytes were cultured under the same conditions as in the proliferation assays with no mitogen (-), PMA and ionomycin alone (1 ng/ml and 1 µM, respectively; P/I), or mitogen plus 25 µg/ml of rat SP-A, rat SP-D, or human C1q. After 72 h DNA production within each condition was measured by staining DNA with propidium iodide and performing flow cytometry. The data are the percentage of gated cells that progressed to the S phase (A) and mitosis (B), respectively. Each bar represents the mean ± SEM of five experiments (n = 2 for C1q) in which ~1 x 106 cells/condition/experiment were pooled and stained. A minimum of 10,000 gated events were analyzed per condition. *, p <= 0.05 compared with CD4+ T cells treated with mitogen alone (P/I). Raw data from a representative experiment are shown in C.

 
Inhibition of PMA- and ionomycin-induced Th cell proliferation by SP-A and SP-D is IL-2 independent

Previously we had shown that T cell proliferation stimulated by TCR/AC-dependent mitogens as well as IL-2 secretion was inhibited by SP-A and SP-D and that addition of recombinant human (rh) IL-2 restored proliferative activity to control values (14, 15, 16). In contrast, SP-A, SP-D, or C1q (25 µg/ml) did not significantly alter IL-2 secretion by Th cells stimulated with PMA and ionomycin measured at 24 or 48 h (Fig. 3Go). Similar data were obtained when IL-4 and IFN-{gamma} were measured in these supernatants (data not shown). We simultaneously performed proliferation assays to compare the observed anti-proliferative effect with cytokine production and found no correlation.



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FIGURE 3. Neither SP-A nor SP-D altered IL-2 secretion by human CD3+/CD4+ lymphocytes stimulated with PMA and ionomycin. Human CD3+/CD4+ lymphocytes were activated with PMA (1 ng/ml) and ionomycin (1 µM) as well as 25 µg/ml of rat SP-A, rat SP-D, or human C1q. Twenty-four and 48 h later supernatants were harvested, and concentrations of IL-2 were analyzed by ELISA. Each bar represents the mean ± SEM of a minimum of three experiments with each condition performed in duplicate and assayed in duplicate.

 
We confirmed that the anti-proliferative effect of SP-A and SP-D was IL-2 independent. Exogenous rhIL-2 was added to CD3+/CD4+ lymphocyte cultures to attempt to restore the proliferation of SP-A- and SP-D-treated cells. The data summarized in Fig. 4Go show that when CD3+/CD4+ T cells were activated with a TCR/AC-independent mitogen (PMA and ionomycin), SP-A- and SP-D-mediated inhibition of proliferation was not altered by addition of rhIL-2 to a final concentration of 1 or 10 ng/ml.



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FIGURE 4. Addition of exogenous rhIL-2 did not rescue the proliferation of SP-A- and SP-D-treated Th cells in the presence of phorbol ester and calcium ionophore. [3H]thymidine incorporation by human peripheral blood CD3+/CD4+ lymphocytes was measured 72 h after activation with PMA (1 ng/ml) and ionomycin (1 µM) in the presence of no protein (control), rat SP-A, rat SP-D, or human C1q (25 µg/ml). Recombinant human IL-2 at a final concentration of, 0, 1, or 10 ng/ml was added to the experimental groups at the time cultures were established. Each bar represents the mean ± SEM of triplicate cultures (n = 3). *, p <= 0.05 compared with cultures treated with PMA and ionomycin alone.

 
SP-A and SP-D suppress IL-2 production by Ag-specific Th cell hybridomas

Because of the surprising nature of our results, showing that both proteins could inhibit proliferation in an IL-2-independent manner, we sought to reconfirm that the protein samples being tested did, in fact, attenuate IL-2 production when activated in an AC/TCR-dependent manner. Rather than rely on mitogens, we sought to assess the effect of these proteins using the most physiologically appropriate stimulus possible. This was accomplished by coculturing OVA-specific T cell hybridomas with whole splenocytes and OVA peptide. Fig. 5Go reveals that both SP-A (1159 ± 490 pg/ml) and SP-D (2511 ± 693 pg/ml) inhibited IL-2 production in this system compared with the control group (7286 ± 2147 pg/ml). Doubling the concentration of OVA peptide (100 µg/ml) did not have an impact on SP-A- and SP-D-mediated inhibition of IL-2 secretion (data not shown).



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FIGURE 5. SP-A and SP-D suppressed IL-2 production by Ag-specific T cells. Murine CD3+/CD4+ T cell hybridomas specific for a 19-aa peptide from OVA were combined with splenocytes, Ag (50 µg/ml), and 25 µg/ml of rat SP-A or rat SP-D. Twenty-four hours later supernatants were harvested, and concentrations of IL-2 were analyzed by ELISA. Each bar represents the mean ± SEM of three experiments, with each condition performed in triplicate and assayed in duplicate. *, p <= 0.05 compared with cultures treated with Ag alone.

 
SP-A and SP-D attenuate [Ca2+]i from ionomycin-treated, but not thapsigargin-treated, T lymphocytes

An increase in [Ca2+]i is an essential early event in the stimulation of lymphocytes by a variety of agents (29). To test the possibility that SP-A and SP-D inhibit increases in [Ca2+]i, CD3+/CD4+ lymphocytes loaded with Indo-1/AM were preincubated with SP-A, SP-D, or C1q. A 1 min baseline reading was obtained for each condition before treating the cells with ionomycin (100 ng/ml). A representative experiment is shown in Fig. 6Go. The data presented in Fig. 6Go demonstrate that SP-A and SP-D reduced the amount of [Ca2+]i measured in the CD3+/CD4+ lymphocytes after ionomycin treatment. The use of a 4-fold lower concentration of proteins (6.25 µg/ml) did not produce a significant difference (n = 3; data not shown). SP-A- or SP-D-treated cells activated with a 10-fold higher concentration of ionomycin (100 ng/ml) did not respond differently from untreated cells (n = 2; data not shown).



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FIGURE 6. SP-A and SP-D attenuated intracellular calcium release from ionomycin-treated human CD3+/CD4+ T cells. Indo-1/AM-loaded Th cells were preincubated for 2 h at room temperature, alone or with 25 µg/ml of human C1q, rat SP-A, or native or recombinant rat SP-D. A 1 min baseline reading was taken before stimulation with 100 µg/ml of ionomycin. Each line represents the mean fluorescence of one sample in real time.

 
The kinetics of ionomycin-induced [Ca2+]i from CD3+/CD4+ lymphocytes were analyzed to determine whether SP-A or SP-D altered specific components of the response. Table IIGo summarizes mean (1-s interval) peak fluorescence data from three experiments. Treatment of Th cells with either SP-A or SP-D (25 µg/ml) exerted a significant inhibitory effect on the magnitude of the peak fluorescence in response to ionomycin (33 and 22%, respectively). Conversely, C1q had a minimal effect on peak fluorescence (6.4%). We did not observe differences in peak fluorescence when [Ca2+]i was measured in Th cells activated by thapsigargin (data not shown).


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Table II. SP-A and SP-D both down-regulate the peak [Ca2+]i of ionomycin-stimulated cells as well as the mean total amount of [Ca2+]i released after ionomycin treatmenta

 
The entire response from the time of activation until the end of the measured response was also quantified (area under the curve) and compared with that in the untreated control. The total fluorescence for each sample was calculated and compared with that of untreated controls (Table IIGo). SP-A and SP-D reduced the ionomycin-induced rise in [Ca2+]i by 34 and 28%, respectively. Conversely, C1q reduced Th cell responsiveness by <7%. Similar negative results were obtained when cells were treated with thapsigargin (data not shown). Importantly, the mean total fluorescence of baseline readings were not significantly different from that of the control group regardless of the agonist used. Furthermore, CD3+/CD4+ cells that had been pretreated with various proteins and then pulsed with EGTA (5 mM final concentration) just before activation with thapsigargin demonstrated that the [Ca2+]i was not altered by incubation with the proteins.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Summary

We have shown here that SP-A and SP-D from a variety of sources inhibited the proliferation of PBMC, plastic-nonadherent PBMC, and CD4+-depleted plastic-nonadherent cells that had been activated with PMA and ionomycin. CD3+/CD4+ cell proliferation was also inhibited by SP-A or SP-D. The inhibition of phorbol ester/calcium ionophore-induced proliferation of CD3+/CD4+ cells was not associated with a decrease in IL-2, IL-4, or IFN-{gamma} secretion, nor could exogenous IL-2 rescue proliferation. SP-A and SP-D, but not C1q, inhibited the number of Th cells that progressed into the G2 + M phase of the cell cycle. Conversely, we demonstrated that these same preparations of SP-A and SP-D suppressed Ag-driven IL-2 production by OVA peptide-specific T cell hybridomas when splenocytes were used as a source of APC. The mechanism by which SP-A and SP-D suppress Th cell proliferation was investigated by measuring one parameter important in the signaling capacity of Th cells, [Ca2+]i. SP-A and SP-D both readily attenuated the release of large amounts of [Ca2+]i generated by ionomycin, but had no effect on thapsigargin-induced capacitance calcium entry (CCE). Overall, these results imply that SP-A and SP-D share at least two common mechanisms for inhibiting Th cell function: an IL-2-independent and an IL-2-dependent mechanism.

SP-A and SP-D directly inhibit lymphocyte proliferation independently of AC

Previous studies with whole PBMC in cultures and AC-dependent T cell mitogens provided evidence that SP-A and SP-D inhibit T cell proliferation, but raised the question of whether SP-A and SP-D could act directly on lymphocytes in isolation (14, 15, 16). We found that neither the presence of AC nor the removal of AC by plastic adherence and magnetic bead technology influenced the responses of PMA and ionomycin-stimulated cells to SP-A and SP-D. These results suggest that SP-A or SP-D can directly suppress the proliferation of Th cells. Requirements for T cell activation, proliferation, and cytokine secretion are highly dependent on the differentiation state of the cells, the method of isolation, and the activating stimulus. Moreover, the inhibitory effects of SP-A and SP-D could be acting at one or more steps in the activation cascade. Further studies with other lymphocyte subsets will be required to determine whether SP-A or SP-D acts similarly on other cell types and to determine the precise mechanism(s) by which SP-A and SP-D mediated the observed inhibition.

We focused our study on isolated highly purified CD3+/CD4+ cells to determine the effects of SP-A and SP-D on proliferation and cytokine production induced by PMA and ionomycin. Decreased proliferation did not coincide with alterations in cell death or apoptosis (24 and 72 h; data not shown). FACS analysis of CD4 and CD25 expression did not differ among experimental groups (SP-A, SP-D, C1q, or no protein) on the basis of percentage of positive cells or mean fluorescence (data not shown).

Both SP-A and SP-D inhibit T lymphocyte proliferation in an IL-2-dependent and an IL-2-independent manner

We have previously demonstrated that SP-A and SP-D inhibit T lymphocyte proliferation in an IL-2-dependent manner when AC are present. In those studies proliferation was stimulated by a variety of agonists that signal through the TCR/CD3 complex and are AC dependent (14, 15, 16). In those studies we found that SP-A and SP-D reduced levels of IL-2 in the culture medium and that addition of exogenous IL-2 restored the proliferative response. In addition, in recent studies (data not shown) we have found that SP-A and SP-D both inhibited the proliferation of highly purified CD3/CD4+ cells that were activated via the TCR complex with soluble anti-CD3 and anti-rat (Fab')2. In this case, rhL-2 also rescued the proliferative response (data not shown). In contrast, when cells were activated with immobilized anti-CD3, proliferation was inhibited by SP-A and SP-D, but IL-2 was not decreased (data not shown). In the current study in which AC were not present, SP-A and SP-D inhibited the proliferation of highly purified CD3/CD4+ cells activated with PMA and ionomycin, but IL-2 production was not inhibited. Furthermore, these same preparations of SP-A and SP-D both dampened IL-2 production by Ag-exposed T cell hybridomas (Fig. 5Go), yet had no effect on the high basal proliferative activity of the T cell hybridomas or Jurkat cells (data not shown). Taken together, these data suggest that both SP-A and SP-D can inhibit lymphocyte proliferation in both an IL-2-dependent and an IL-2-independent manner. We cannot exclude the possibility that the IL-2-dependent inhibition seen in the presence of AC involves an interaction of SP-A or SP-D with the AC; further studies will address this possibility. Studies by Carreno and co-workers (30) provided a precedent for multiple levels of regulation. They reported that CTLA-4 (CD-152) can either induce a down-regulating signal directly or disrupt CD-28/B7-mediated signaling by competitive binding (30). In addition, studies by Brunner et al. (31) concluded that CTLA-4 can suppress T cell activation at different stages of the activation process, and that these events may be both IL-2 dependent and IL-2 independent. Finally, it has been shown that T cells proliferate in an IL-2-dependent and an IL-2-independent manner in vivo (32, 33).

SP-A and SP-D inhibit ionomycin-induced [Ca2+]i

In an attempt to better understand the mechanisms by which SP-A and SP-D inhibit T cell proliferation, we examined [Ca2+]i as a measurement of the signaling capacity of Th cells (29). Both ionomycin and thapsigargin initiate the process known as CCE (34). CCE is the influx of Ca2+ across the plasma membrane by store-operated Ca2+ channels in response to depletion of intracellular stores of Ca2+ (34). The type of store-operated Ca2+ channels expressed in T cells are Ca2+ release-activated Ca2+ channels and are considered to be essential for Ca2+ influx resulting in activation of T cells (34), but not the sole source of incoming Ca2+ (34). Novel, Ca2+ release-activated nonselective cation channels have been identified in human PBMC and are functionally different from Ca2+ release-activated Ca2+ channels (35). Ca2+ release-activated nonselective cation channels can also be activated by chemicals such as ionomycin and thapsigargin (35). Our results showed that SP-A- or SP-D-treated lymphocytes had a decreased response to ionomycin-induced changes in [Ca2+]i, but surprisingly neither SP-A nor SP-D altered thapsigargin-induced increases in [Ca2+]i. This suggests that SP-A and SP-D can act on CD3+/CD4+ cells by means of ion channels employed exclusively or to a much larger extent in ionomycin-induced [Ca2+]i, but not thapsigargin-induced [Ca2+]i. Other studies support our hypothesis that SP-A and SP-D regulate cell signaling. For example, SP-A inhibited ionomycin-induced production and release of IL-8 from human peripheral blood eosinophils (36) and attenuated surfactant release from type II pneumocytes (37) as well as TNF-{alpha} release from LPS-treated alveolar macrophages (24). These findings suggest that SP-A and SP-D exert an inhibitory effect by a very basic component of cell signaling.

Physiological significance

Pulmonary surfactant is the physiological medium in which the pulmonary immune system first encounters Ag. Ample opportunity exists for delivery of Ag to the lung through inhalation of ~10,000 liters of non-sterile air/day. In vitro and in vivo experiments suggest that SP-A and SP-D function as soluble scavenger receptors to maintain immunological homeostasis within the lung by several different means. First, SP-A and SP-D act as opsonins that enhance pathogen clearance. Second, both proteins modulate the magnitude of the pulmonary immune response to impede the conversion of areas of gas exchange to scar tissue.

It is important to note that the estimated number of lymphocytes (5 x 108) comprise 10% of all leukocytes in the bronchoalveolar space of healthy human lungs and that ~60% of these lymphocytes are CD4+ cells, representing 5% of the total circulating blood pool of lymphocytes (38). Because of their continuous exposure to non-sterile air while residing in mechanically fragile structures such as the alveoli, it is our contention that pulmonary surfactant and SP-A and SP-D are important elements in attenuating lymphocyte function to preserve effective gas exchange. This possibility is also supported by our previous studies showing that SP-A and SP-D inhibit IL-2 production and lymphocyte proliferation in the presence of AC (14, 16) and the study of Wang et al. (17) showing that SP-A and SP-D suppressed lymphocyte proliferation of PHA-treated human PBMC as well as allergen-induced proliferation of PBMC obtained from asthmatic children (17). SP-A and SP-D were also shown to dampen allergen-induced histamine release from these cells (17). Our current study extends these previous observations to show that SP-A and SP-D can directly inhibit the proliferation of T cells and thus provides evidence that there are multiple pathways for regulating this important process.

In vivo experiments with SP-A-deficient mice showed that SP-A has anti-inflammatory activity (13). Characterization of the SP-D knockout mouse under normal conditions showed a significant number of monocytic cells that infiltrated the peribronchiolar-perivascular regions (39). Furthermore, hypertrophic alveolar macrophages were also found. Macrophages from SP-D-deficient mice had a 10-fold increase in hydrogen peroxide production. Ultimately, SP-D knockout mice developed pulmonary emphysema and subpleural fibrosis in conjunction with chronic inflammation (39). Our data suggest that while SP-A and SP-D appear to suppress certain Th cell functions by a similar mechanism, the phenotypes of the respective deficient mice show that each protein also plays a unique role in maintaining immunological homeostasis within the lung. It is not fully known to what extent these proteins differ in their immunomodulatory repertoire, especially with respect to naive and memory cells.


    Acknowledgments
 
We acknowledge the expertise of Michael Cook and Lynne Martinek at the Duke University Flow Cytometry facility.


    Footnotes
 
1 This work was supported by National Institutes of Health Grant HL68072 (to J.R.W.) and the Parker B. Francis Fellowship Program (to P.J.B.). Back

2 Address correspondence and reprint requests to Dr. Jo Rae Wright, Department of Cell Biology, Duke University Medical Center, Box 3709, 438 Nanaline Duke Building, Durham, NC 27710. E-mail address: j.wright{at}cellbio.duke.edu Back

3 Abbreviations used in this paper: SP, surfactant protein; AC, accessory cell; [Ca2+ ]i, cytosolic free calcium; CCE, capacitance calcium entry; rh, recombinant human. Back

Received for publication May 14, 2002. Accepted for publication September 5, 2002.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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