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The Journal of Immunology, 2002, 169: 6187-6192.
Copyright © 2002 by The American Association of Immunologists

Autocrine IL-15 Mediates Intestinal Epithelial Cell Death Via the Activation of Neighboring Intraepithelial NK Cells1

Naotoshi Kinoshita*, Takachika Hiroi*, Noriyuki Ohta*, Satoshi Fukuyama*, Eun Jeong Park* and Hiroshi Kiyono*

* This work was supported by grants from the Ministry of Education, Science, Sports, and Culture, the Ministry of Health and Welfare, and the Health Science Foundation, Japan. 2 Address correspondence and reprint requests to Dr. Hiroshi Kiyono, Department of Mucosal Immunology, Research Institute for Microbial Diseases, Osaka University, Suita, Osaka, 565-0871, Japan. E-mail address: kiyono@biken.osaka-u.ac.jp


    Abstract
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 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Intestinal intraepithelial lymphocytes (IELs), which reside between the basolateral faces of intestinal epithelial cells (IECs), provide a first-line defense against pathogens via their cytotoxic activity. Although IEC-derived IL-7 and IL-15 are key regulatory cytokines for the development and activation of IELs, we report here that IL-15 but not IL-7 mediates the reciprocal interaction between IELs and IECs, an important interaction for the regulation of appropriate mucosal immunohomeostasis. IL-15-treated IELs induced cell death in IECs via the cytotoxic activity in vitro. Among the different subsets of IL-15-treated IELs, CD4-CD8-TCR- IELs, which express NK marker (DX5 or NK1.1), showed the most potent syngenic IEC killing activity. These intraepithelial NK cells expressed Ly-49 molecules, NKG2 receptors, and perforin. These results suggest the possibility that the cell death program of IECs could be regulated by self-produced IL-15 through the activation of intraepithelial NK cells.


    Introduction
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 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Intestinal intraepithelial lymphocytes (IELs)2 reside between the basolateral faces of intestinal epithelial cells. Most IELs are T cells which express either TCR{alpha}{beta} or TCR{gamma}{delta} and the majority of IELs express the cytotoxic CD8+ phenotype, either as a CD8{alpha}{alpha} homodimer or a CD8{alpha}{beta} heterodimer (1, 2, 3). Since the 1980s, several reports have suggested that IELs possess NK-like cytotoxic activity, even without any stimulation (4, 5, 6). It turned out that NK-like cytotoxicity partly depends on CD4-CD8{alpha}{alpha}+ and CD4-CD8- IELs (7). In addition, it has been shown that IELs contain not only T cells but also TCR-negative NK cells in mice, rats, and chickens (7, 8, 9). However, our knowledge is limited in regard to the biological significance of TCR- NK cells in the IEL compartment.

IL-15 is a potent T cell growth factor that uses the IL-2R{beta} chain, {gamma}-chain, and its own IL-15R{alpha} chain. IL-15 shares biological activities but no significant sequence homology with IL-2 (10). Unlike IL-2, which is secreted only by T cells, IL-15 mRNA is expressed by non-T cells, including kidney, placenta, skeletal muscle, macrophages, and epithelial cells (11). IL-15 is reported to enhance the proliferation and activation of memory type CD8+ T cells, NK cells, and IELs (12, 13). Analysis of IL-15R{alpha}-/- and IL-15-/- mice has demonstrated a critical role for IL-15 in regulating the development and expansion of NK cells and IELs (14, 15).

In this study, we report that IL-15 enhanced the syngenic cytotoxicity of a specific subset of IELs whose phenotype belongs to CD4-, CD8-, TCR-, and NK marker-positive (DX5+ or NK1.1+) subsets. Moreover, in vitro culture of IELs with IL-15 induced the preferential expansion of these intraepithelial NK cells (NK IELs). These activated NK IELs can induce cell death in intestinal epithelial cell lines via a perforin-dependent pathway. These data suggest the possibility that IL-15 produced by intestinal epithelial cells (IECs) may specifically lead to the activation of NK IELs, which in turn induce the self-killing of IECs via perforin.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mice and cell lines

Six- to 8-wk-old C3H/HeN (H-2k) and C57BL/6 (H-2b) mice were purchased from Clea Japan (Tokyo, Japan) and maintained in the animal facility of the Research Institute for Microbial Diseases (Osaka University, Osaka, Japan) for at least 2 wk before the experiments. The murine intestinal epithelial cell line, MODE-K (H-2k), was a kind gift from Dr. D. Kaiserlian (Institute Pasteur, Lyon, France) (16). CMT-93 (H-2b) was purchased from Dainippon Pharmaceutical (Osaka, Japan).

Reagents

Human rIL-15 and murine Fas-Fc fusion protein were purchased from R&D Systems (Minneapolis, MN) and murine rIL-7 was purchased from PeproTech EC (London, U.K.). For the flow cytometer analysis and cell sorting, FITC- or biotin-labeled CD4 (RM4-5), FITC- or PE-labeled CD8{alpha} (53-6.7), PE- or biotin-labeled CD8{beta} (53-5.8), FITC- or PE-labeled TCR{beta} (H57-597), FITC- or PE-labeled TCR{delta} (GL3), FITC-labeled CD3{epsilon} (145-2C11), purified Fas ligand (FasL; MFL3), biotin-labeled hamster IgG (mixture, G70-204 and G94-56), PE-labeled NK1.1 (PK136), allophycocyanin-labeled streptavidin, FITC-labeled Ly-49AB6 (A1), FITC-labeled Ly-49C and I (5E6), FITC-labeled Ly-49D (4E5), FITC-labeled Ly-49G2 (4D11), FITC-labeled NKG2A/C/E (20d5), and biotin-labeled pan-NK (DX5) Abs were all purchased from BD PharMingen (San Diego, CA), and PE-labeled CD3{epsilon} Ab was purchased from Serotec (Oxford, U.K.). Concanamycin A (CMA) was purchased from WAKO (Osaka, Japan) as an inhibitor for a perforin-mediated DNA fragmentation assay.

Cell preparations

IELs were isolated by a modified method that has been described elsewhere (17). Briefly, short segments of small intestine were stirred in RPMI 1640 with 2% FBS and 0.5 mM EDTA. After a 15-min incubation, segments were vigorously shaken and mononuclear cells were collected. To obtain lymphocyte-enriched fractions, mononuclear cells were subjected to the Percoll density gradient separation containing 40 and 75% fractions (Pharmacia Fine Chemicals, Uppsala, Sweden). This procedure has been shown to remove intestinal epithelial cells for the enrichment of IELs (18).

Culture conditions

IELs were cultured for 3–7 days in complete RPMI 1640 with 10% FBS, 50 µg/ml gentamicin, 100 µg/ml streptomycin, 100 U/ml penicillin, 50 µM 2-ME, 2 mM glutamate, 100 µM nonessential amino acid (Life Technologies, Tokyo, Japan), 25 mM HEPES buffer, and 50 ng/ml human IL-15. In some experiments, 50 ng/ml murine IL-7 instead of IL-15 was added. This dose of IL-7 and IL-15 has been shown to be optimal for the activation of IELs (19). MODE-K was precultured in DMEM (Nacalai Tesque, Kyoto, Japan) supplemented with 50 µg/ml gentamicin, 100 µg/ml streptomycin, 100 U/ml penicillin, and 10% FBS (16).

Isolation of IEL subsets by magnetic cell sorting

IELs cultured for 3 days with IL-15 were separated into three subsets (e.g., CD4+ and CD4-CD8{alpha}{beta}+ mixed fraction, CD4-CD8{alpha}{alpha}+ fraction, or CD4- CD8- fraction) by magnetic cell sorting (auto-MACS; Miltenyi Biotec, Bergisch, Germany). First of all, IELs were harvested from a culture flask and then dead cells were removed using a Dead Cell Removal kit (Miltenyi Biotec). IELs were stained with anti-CD4-biotin and anti-CD8{beta}-biotin for 30 min at 4°C. After being washed, IELs were stained with streptavidin-microbeads for 15 min at 4°C. These cells were then subjected to auto-MACS. The positive fraction contained CD4+ and CD4-CD8{alpha}{beta}+ mixed subsets. The negative fraction was further separated into CD4-CD8{alpha}{alpha}+ and CD4-CD8- lymphocytes by the treatment with CD8{alpha}-microbeads (53-6.7; Miltenyi Biotec). Furthermore, CD4-CD8- lymphocytes were separated into CD4-CD8- TCR+ fractions and CD4-CD8- TCR- fractions by auto-MACS with biotin-TCR{beta} and biotin-TCR{delta} Ab followed by streptavidin-microbeads incubation.

DNA fragmentation assay

A DNA fragmentation assay was performed by using a modified protocol described previously (20). Briefly, MODE-K, which was cultured for 20 h before use in a 96-well culture plate, was pulsed with 10 µCi/well [3H]thymidine for 2 h. Unincorporated [3H]thymidine was removed with PBS containing 2% FBS. MODE-K was incubated with effector cells (e.g., IELs) at various concentrations in flat-bottom 96-well plates in the presence of 50 ng/ml IL-15 or IL-7. After incubation for 6 h, cells were washed with PBS and detached from the culture plate by 0.05% trypsin-EDTA (Life Technologies) to harvest adherent cells. Incorporated [3H]thymidine was quantified using a scintillation counter. [3H]Thymidine-labeled unfragmented DNA was calculated as follows: percent DNA fragmentation = 100 x (1 - cpm experimental group/cpm control group).

Quantitative RT-PCR for measurement of perforin mRNA levels

To measure perforin-specific mRNA levels of freshly isolated and cultured IELs, quantitative RT-PCR was adapted using LightCycler (Roche Diagnostics, Mannheim, Germany) technology as described previously (21). IELs were collected and total RNA was extracted by TRIzol reagent (Life Technologies). To ensure that the same amount of synthesized cDNA was applied, the amount of cDNA labeled with digoxigenin was determined by a chemiluminescent image analyzer (Molecular Imager System; Bio-Rad, Hercules, CA). A detailed protocol for the synthesis of cDNA was previously reported by our laboratory (21). For the amplification of cDNA, 20 µl of PCR mix was added to each tube to give a final concentration of 50 µM 5' primer, 50 µM 3' primer, 200 µM FITC-labeled probe, 200 µM LightCycler Red-labeled probe, 4 mM MgCl2, and 1x LightCycler-Fast Start DNA Master Hybridization Probe Mix (Roche Diagnostics). The oligonucleotide primers specific for the perforin (sense, 5'-GACCGCACCTGCACCCTCTGT-3'; antisense, 5'-TGAAGTCAAGGTGGAGTGGAG-3'), perforin detection FITC-labeled probe (5'-CAGGACCAGTAC AACTTT AATAGCGACA-3'), and LightCycler Red 640-labeled hybrid probe (5'-AGTAGAGTGTCGCATGTACAGTTTTCG-3') were designed and produced by Nihon Gene Research Laboratories (Sendai, Japan). After being heated at 94°C for 10 min, cDNA was amplified for 45 cycles, each cycle consisting of 95°C for 15 s, 62°C for 20 s, and 72°C for 20 s. RT-PCR products of IEL using the primers above were used as an external control. After PCR was completed, LightCycler software converted the raw data into amoles per applied cDNA (1 µg) concentration of target molecules (21, 22).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IL-15 enhanced the cytotoxic activity of IELs against the IEC line

IL-7 and IL-15 produced by IECs can provide a stimulation signal for the proliferation and survival of IELs (23). At first, our investigation was aimed to test whether these cytokines influenced the killing activity of IELs against IECs. Following the incubation of the cytokine-treated IELs isolated from C3H/HeN (H-2k) mice along with the syngenic IEC line, MODE-K (H-2k), the level of DNA fragmentation in MODE-K was assessed to determine the extent of cell death. Although freshly isolated IELs showed no killing activity, IL-15-pretreated IELs induced significantly increased levels of DNA fragmentation of MODE-K (Fig. 1Go). On the other hand, IL-7 pretreatment resulted in only a minimal increase in cytotoxic activity (Fig. 1Go). These data demonstrate that IL-15 could much more dramatically enhance the in vitro cytotoxic activity of IELs against IECs than could IL-7.



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FIGURE 1. IL-15 enhanced the cytotoxic activity of IELs against MODE-K. The IEC line MODE-K was pulsed with [3H]thymidine for 2 h. MODE-K was cultured for 6 h with freshly isolated IELs ({circ}) from C3H/HeN mice and IELs were pretreated for 3 days with 50 ng/ml IL-15 ({blacksquare}) or IL-7 ({triangleup}) as effector cells in the presence of 50 ng/ml IL-15 or IL-7 at various E:T ratios, respectively. These data are representative of three independent experiments.

 
TCR- IELs showed the most potent killing activity against IECs

Because IELs contain both thymus-dependent and -independent lymphocytes, we next sought to determine which subset of IELs possessed the most potent IL-15-induced killing activity. Following 3 days of culture with IL-15, IELs were separated by magnetic cell sorting into three fractions, including the thymus-dependent CD4+ and CD4-CD8{alpha}{beta}+ mixed fraction, thymus-independent CD4-CD8{alpha}{alpha}+ fraction, and thymus-independent CD4-CD8- fraction. These three fractions were then used as effector cells in the DNA fragmentation assay. Among these three fractions, CD4-CD8- IELs showed the most killing function (Fig. 2GoA).



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FIGURE 2. CD4-CD8-TCR- IELs are responsible for the cytotoxic activity against IEC lines. A, Whole IELs from C3H/HeN mice cultured for 3 days with 50 ng/ml IL-15 were separated into CD4+ and CD4-CD8{alpha}{beta}+ mixed fractions ({circ}), CD4-CD8{alpha}{alpha}+ ({triangleup}), and CD4-CD8- ({blacksquare}) fractions by magnetic cell sorting. These three isolated fractions were cocultured with 3H-labeled MODE-K for 6 h in the presence of 50 ng/ml IL-15. B, Whole IELs from C3H/HeN mice cultured for 7 days with 50 ng/ml IL-15 were separated into two fractions, CD4-CD8-TCR+ ({square}) and CD4-CD8-TCR- ({blacksquare}). These two separated fractions were cocultured with 3H-labeled MODE-K for 6 h in the presence of 50 ng/ml IL-15. C, Whole IELs from C57BL/6 mice were cultured for 7 days with 50 ng/ml IL-15. IELs were then separated into three fractions: CD4 or CD8{alpha} positive ({circ}), CD4-CD8-TCR+ ({triangleup}), and CD4-CD8-TCR- ({blacksquare}). These separated fractions were cocultured with 3H-labeled CMT-93 for 6 h in the presence of 50 ng/ml IL-15. These data are representative of three independent experiments.

 
Since the CD4-CD8- fraction consisted of TCR+ (mostly {gamma}{delta}T cells) and TCR- fractions (data not shown) (24), CD4-CD8- IELs were further separated into TCR+ or TCR- fractions by auto-MACS to investigate which of the two fractions was the more potent killer cell subset. Due to the limited number of cells recovered from the CD4-CD8- fraction after auto-MACS cell separation, IELs were initially cultured with IL-15 for >3 days. TCR- IELs increased up to ~30% of the entire cell population after 7 days of culture (data not shown). DNA fragmentation assays of 7-day pretreated IELs revealed that the CD4-CD8-TCR- fraction is the far more potent killer fraction than the CD4-CD8-TCR+ fraction (Fig. 2GoB).

The IL-15-induced IEC killing activity of CD4-CD8-TCR- IELs was also demonstrated by the use of the C57BL/6 strain. CMT-93, derived from rectal carcinoma of C57BL mice, were used as target cells. IL-15-pretreated CD4-CD8-TCR- IELs of C57BL/6 mice showed far more killing activity than any other fractions (Fig. 2GoC).

Inasmuch as the TCR- fraction showed cytotoxicity against IECs, it was interesting to examine whether this fraction expressed the NK marker. According to flow cytometric analysis, IL-15 but not IL-7 increased the number of TCR- IELs and these TCR- IELs are NK marker (DX5) positive (Fig. 3GoA). In the case of C57BL/6 mice, we investigated the expression of NK1.1. As one might expect, the treatment of IELs from C57BL/6 mice with an optimal concentration of IL-15 resulted in the increase of TCR-NK1.1+ cells (Fig. 3GoB). We next examined the expression of NK receptors of IL-15-treated TCR-NK1.1+ IELs. When the expression of Ly-49 molecules and NKG2A/C/E was analyzed by flow cytometry, TCR-NK1.1+ IELs of C57BL/6 mice expressed Ly-49C, D, G2, and NKG2A/C/E but not Ly-49A (Fig. 3GoC). IL-15 treatment enhanced the expression of Ly-49C, D, G2, and NKG2A/C/E but not Ly-49A (Fig. 3GoC). NKG2D mRNA was also detected by RT-PCR both in freshly isolated and IL-15-pretreated TCR- IEL fractions (data not shown). These results indicate that the TCR-NK marker + IEL fraction is responsible for the IL-15-mediated killing of IECs. Inasmuch as mRNA specific for CD3{epsilon} and pre-TCR{alpha} were not detected by RT-PCR (data not shown) but NK receptors are expressed in this TCR-NK marker+ IEL fraction (Fig. 3GoC), we referred to this IEL subset as NK IELs.



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FIGURE 3. Induction of NK marker- and NKR-positive TCR- IELs by IL-15. A, Expression of DX5 on freshly isolated IELs (0 days), on IELs pretreated for 3 days (3 days) and on IELs pretreated for 7 days (7 days) with IL-15 (50 ng/ml) or IL-7 (50 ng/ml) were analyzed by flow cytometer. These data are representative of three independent experiments. B, Expression of NK1.1 on freshly isolated and on IELs pretreated with IL-15 (50 ng/ml) for 7 days was analyzed by flow cytometer. C, The TCR-NK1.1+ fraction was gated and the expression of Ly-49A, C, D, G2, and NKG2A/C/E were examined. The bold line represents freshly isolated NK IELs and the dotted line represents IL-15-pretreated NK IELs. The numbers show the mean percentage of the positive fraction of freshly isolated and IL-15-pretreated NK IELs. The unpaired t test was used for the statistical evaluation.

 
IL-15 enhanced perforin-mediated cytotoxicity of TCR-DX5+ IELs

In general, perforin/granzyme and FasL are major molecules which are involved in the cytotoxicity of NK cells (25). To evaluate the role of perforin in the cytotoxic activity of NK IELs against MODE-K, the level of perforin-specific mRNA expressed by IL-15-treated IELs was examined by real-time quantitative RT-PCR. The IL-15 treatment significantly increased the level of perforin-specific mRNA expression by IELs when compared with the IL-7 treatment (Fig. 4GoA). When perforin expressions by the thymus-dependent CD4+ and CD4-CD8{alpha}{beta}+ mixed fraction, thymus-independent CD4-CD8{alpha}{alpha}+ fraction, and thymus-independent CD4-CD8- fraction were compared after IL-15 treatment for 3 days, the level of perforin mRNA was the highest in the CD4-CD8- fraction (data not shown). Furthermore, the level of perforin mRNA was higher in CD4-CD8-TCR- NK IELs than in CD4-CD8-TCR+ fractions after 7 days of treatment (Fig. 4GoB). In contrast, it was interesting to note that IL-15 did not induce FasL expression in the NK IEL subset (Fig. 4GoC).



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FIGURE 4. IL-15 enhanced the expression of perforin but not FasL in NK IELs. A, mRNA was isolated from freshly isolated IELs and IELs pretreated with IL-15 or IL-7 for 3 days. The levels of perforin mRNA were measured by LightCycler. B, After a 7-day incubation of whole IELs with IL-15 (50 ng/ml), cells were separated into two fractions, CD4-CD8-TCR+ and CD4-CD8-TCR-, by magnetic cell sorting. mRNA was prepared for the quantitative RT-PCR. These data are representative of three independent experiments. C, After IL-15 treatment for 3 or 7 days, the expression of FasL on IELs was analyzed by flow cytometric analysis. The dotted line represents isotype control and the normal line represents FasL. The cells were gated for CD3- IELs. These data are representative of two independent experiments.

 
We next performed an inhibitory experiment using the specific antagonist molecules, CMA and Fas-Fc fusion protein, respectively. As an inhibitor of vacuolar type H+-adenosine triphosphatase, CMA induces the degradation of perforin in T and NK cells (26). IL-15-stimulated IELs were pretreated with 100 nM CMA for 2 h. These CMA-treated IELs were then subjected to the IEC (MODE-K)-DNA fragmentation assay. Pretreatment with CMA inhibited the killing activity of IL-15-stimulated IELs (Fig. 5Go). We next assessed the role of Fas/FasL signaling for the IL-15-induced IEC killing by IELs. When 20 µg/ml Fas-Fc fusion protein, which has been reported to completely inhibit the Fas/FasL signaling of IELs (20), was added to the culture wells containing MODE-K- and IL-15-pretreated IELs, Fas-Fc fusion protein did not prevent the death of MODE-K induced by IL-15-stimulated IELs (Fig. 5Go). These findings indicate that IL-15 preferentially up-regulates perforin-mediated cytotoxic activity of NK IELs for the induction of IEC death.



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FIGURE 5. The killing activity of IL-15-pretreated IELs depends on perforin. After treatment with IL-15 for 3 days, IELs were preincubated with 100 nM CMA for 2 h. These CMA-treated IELs were cocultured with 3H-labeled MODE-K for 6 h in the presence of IL-15. In addition, IL-15-pretreated IELs were cocultured with 3H-labeled MODE-K for 6 h with 20 µg/ml Fas-Fc fusion protein in the presence of IL-15. These data are representative of three independent experiments.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
A mucosal intranet formed by IECs and IELs provides the first line of defense against pathogens. Furthermore, cell-cell interaction between IECs and IELs is essential for the maintenance of an appropriate immunological homeostasis. IECs have been shown to produce a variety of cytokines and chemokines, including IL-6, IL-7, IL-8, IL-15, stem cell factor, TGF-{alpha}, TGF-{beta}, monocyte chemoattractant protein 1, TNF-{alpha}, and GM-CSF, which act as communication tools for the mucosal intranet (27, 28, 29, 30, 31, 32). Bacterial or viral invasion at the intestinal mucosa results in induction and/or up-regulation of cytokine and chemokine expression (31, 32, 33). These biologically active factors are critical for the regulation of both innate and acquired immunity in mucosa. IELs, which consist of thymus-dependent and -independent T cells, have been shown to contain subsets which possess cytotoxicity against bacteria and viruses (3, 34, 35). It should be noted that this cytotoxic activity is provided by both non-MHC-restricted and MHC-mediated Ag-specific manners, corresponding to innate and acquired immunity, respectively (5, 7, 35).

For the appropriate induction and regulation of innate and acquired immunity, the mucosal intranet formed by IECs and IELs utilizes a wide variety of regulatory and inflammatory cytokines and chemokines. In particular, stem cell factor, IL-7, and IL-15 secreted by IECs are key cytokines for the development and stimulation of IELs, especially for thymus-independent IELs (19, 36). In the present study, we have provided new evidence that the cell death program of IECs is preferentially regulated by the self-production of IL-15, which activates perforin-mediated killing provided by CD4-CD8-TCR- DX5+(or NK1.1+) IELs (NK IELs).

It has been reported that IELs are capable of providing the death signal to IECs in vivo and in vitro. Freshly isolated IELs with high density spontaneously killed freshly isolated syngenic Fas-positive IECs through the FasL-mediated pathway in vitro (37). It was shown that the activation signal provided via the CD3-TCR complex resulted in the augmentation of the FasL expression of IELs. In the case of the mouse graft-vs-host disease model, donor allogenic splenic cells migrated to the IEL fraction and killed recipient IECs through the FasL-mediated pathway (20). TCR{alpha}{beta}+CD4-CD8{alpha}{beta}+ IELs in particular were increased and possessed killing activity through the FasL-dependent pathway in graft-vs-host disease. In addition to the Fas/FasL-mediated cell killing process between IECs and IELs, our present findings demonstrate that the death signal for IECs is also provided via the perforin-dependent system. Our observation that treatment with CMA but not with Fas-Fc fusion protein completely blocked the cytotoxic activity of NK IELs clearly indicates that the killing of IECs by IELs depends on perforin but not on FasL (Fig. 5Go). Quantitative RT-PCR data further showed that IL-15 enhances the mRNA level of perforin (Fig. 4GoB). The FasL expression of TCR-DX5+ is not up-regulated after cocultivation with IL-15 (Fig. 4GoC). Thus, the IEC death process is regulated via a redundant mechanism of Fas/FasL signaling and a perforin-mediated pathway by two distinct subsets of IELs. TCR+ IELs with high density express FasL for the induction of apoptosis in IECs, whereas TCR- NK IELs are capable of inducing apoptosis of IECs via perforin following the stimulation signal provided by epithelial cell-derived IL-15. It might be interesting to speculate that these two phases of apoptosis may correspond to acquired and innate immunity, respectively.

Our data suggested that IL-15 can provide both growth- and effector-promoting signals for the TCR- NK IELs ( Figs. 1–3GoGoGo). On the other hand, IL-15 was reported to be a growth- but not effector-promoting cytokine for murine CD8+TCR{alpha}{beta}+ IELs (38). In humans, IL-15 was reported to be the most effective cytokine for the enhancement of cell proliferation, IFN-{gamma} synthesis, and killing by IELs (23). From these results, we suggest that IL-15 works in a different manner (e.g., growth- and/or effector-promoting effects) among different subsets of effector cells (e.g., NK, {alpha}{beta}T, and {gamma}{delta}T cells) even in the same epithelial compartment.

It was shown that IL-15 enhanced the cytotoxic activity of human IELs and made them more potent killers of the human epithelial cell line (HT-29) (23). The study provided evidence that NK-type IELs are not involved in this cytotoxicity since the numbers of CD16- and CD56-positive NK cells did not change following the stimulation with IL-15. In contrast, our finding provided new evidence that IL-15 can induce cytotoxic activity against IECs in CD4-CD8-TCR- IELs (Fig. 2Go). These triplet negative lymphocytes possess the most potent killer activity and this fraction expressed an NK marker, DX5 or NK1.1 (Fig. 3Go). This fraction did not have either CD3{epsilon} or pre-TCR{alpha} mRNA. To further support this finding, our recent and separate study showed that IL-15-treated splenic NK cells (TCR-DX5+ cells) deliver a cell death signal to the IEC line (data not shown). T cell-deficient mice, both nude and SCID, have been shown to possess CD3- NK marker-positive IELs (7). These CD3-NK+ IELs showed Ab-dependent cell-mediated cytotoxicity as well as cytotoxicity against YAC-1 cells (7). To this end, our recent separate study demonstrated that IL-15-treated NK IELs possess cytotoxic activity against YAC-1 cells (data not shown). According to these data, it is likely that IL-15 is capable of inducing and stimulating NK cells in the IEL compartment for the induction of apoptosis in neighboring IEC.

In general, NK cells do not kill syngenic cells that express the class I MHC molecule (39), probably because inhibitory NKR recognize the class I MHC molecules (40). IL-15 has been reported to participate in the expression of inhibitory NKR, CD94/NKG2A on human CD8+ T lymphocytes (41). After stimulation by IL-15, TCR-NK+ IELs showed enhanced expression of Ly-49 and NKG2 molecules, which include both activating and inhibitory receptors (Fig. 3GoC). Among murine NK receptors, Ly-49D and NKG2D are activating NKR (42, 43). We observed that anti-Ly49D Ab and NKG2D monomer, which are shown to block the binding of these molecules to their ligands, only partially blocked the death of MODE-K induced by IL-15-pretreated IELs (data not shown). These data may suggest the possibility that unknown activating NKR may be up-regulated by IL-15 and may have a critical role in the cytotoxicity of NK IELs.

NK IELs appear to be heterogeneous in view of the expression of NKR after the treatment with IL-15 (Fig. 3GoC). It has been shown that murine NK cells commonly coexpress at least two or three Ly-49 and NKG2 receptors (44). Furthermore, NK cells expressing one receptor are capable of expressing other NKR, while maintaining expression of the initially expressed receptor (44). Together with our results, it may be possible that IL-15 regulates the expression of different NKR in a nonspecific and cumulative manner.

The production of IL-15 has been shown to be up-regulated after infection with Salmonella choleraesuis. (45), Mycobacterium tuberculosis, Toxoplasma gondii (46), Listeria monocytogenes (47), HIV (48, 49), or hepatitis C virus (50). It was reported that after oral infection of rats with L. monocytogenes, the level of IL-15 production by IECs was up-regulated and the numbers of CD3-NK+ IELs also were increased (47). Our data also demonstrate that IL-15 can expand TCR- NK IELs for the subsequent induction of cell death in IECs. Taken together, these data may also suggest the possibility that up-regulation of IL-15 synthesis enables TCR- NK IELs to kill infected IECs. Removal of infected IECs through the perforin-mediated pathway by IL-15-stimulated NK IELs may represent an important weapon in the mucosal defense system against microbial infection.

In summary, our data demonstrate that 1) IL-15 induces murine intestinal IELs to provide a killing signal to the syngenic IEC line, 2) the NK IEL fraction is the most responsible for the IL-15-induced cytotoxicity, and 3) the IEC killing provided by IL-15-stimulated NK IELs is dependent on perforin. Taken together, these findings suggest an interesting possibility that apoptosis in IECs, at least in part, is induced in a self-regulated way whereby production of IL-15 by IECs itself leads to the activation of perforin-mediated cytotoxicity of NK IELs.


    Acknowledgments
 
We thank N. Kitagaki for her technical assistance and the members of the Department of Mucosal Immunology (Osaka University, Osaka, Japan) for their critical comments and suggestions for the study.


    Footnotes
 
1 Department of Mucosal Immunology, Research Institute for Microbial Diseases, Osaka University, Osaka, Japan; and {dagger}Division of Mucosal Immunology, Institute of Medical Science, University of Tokyo, Tokyo, Japan Back

2 Abbreviations used in this paper: IEL, intraepithelial lymphocyte; IEC, intestinal epithelial cell; CMA, Concanamycin A. Back

Received for publication July 1, 2002. Accepted for publication October 1, 2002.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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