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The Journal of Immunology, 2002, 169: 1426-1432.
Copyright © 2002 by The American Association of Immunologists

Critical Role of NK Cells Rather Than V{alpha}14+NKT Cells in Lipopolysaccharide-Induced Lethal Shock in Mice1

Masashi Emoto2,*, Mamiko Miyamoto*, Izumi Yoshizawa*, Yoshiko Emoto*, Ulrich E. Schaible*, Eiji Kita{dagger} and Stefan H. E. Kaufmann*

* Department of Immunology, Max-Planck-Institute for Infection Biology, Berlin, Germany; and {dagger} Department of Bacteriology, Nara Medical University, Nara, Japan


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Although macrophages play a central role in the pathogenesis of septic shock, NK1+ cells have also been implicated. NK1+ cells comprise two major populations, namely NK cells and V{alpha}14+NKT cells. To assess the relative contributions of these NK1+ cells to LPS-induced shock, we compared the susceptibility to LPS-induced shock of {beta}2-microglobulin ({beta}2m)-/- mice that are devoid of V{alpha}14+NKT cells, but not NK cells, with that of wild-type (WT) mice. The results show that {beta}2m-/- mice were more susceptible to LPS-induced shock than WT mice. Serum levels of IFN-{gamma} following LPS challenge were significantly higher in {beta}2m-/- mice, and endogenous IFN-{gamma} neutralization or in vivo depletion of NK1+ cells rescued {beta}2m-/- mice from lethal effects of LPS. Intracellular cytokine staining revealed that NK cells were major IFN-{gamma} producers. The J{alpha}281-/- mice that are exclusively devoid of V{alpha}14+NKT cells were slightly more susceptible to LPS-induced shock than heterozygous littermates. Hence, LPS-induced shock can be induced in the absence of V{alpha}14+NKT cells and IFN-{gamma} from NK cells is involved in this mechanism. In WT mice, hierarchic contribution of different cell populations appears likely.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Septic shock is mainly caused by an exaggerated systemic cytokine response to Gram-negative bacteria and their characteristic cell wall component, LPS (1). In mice, challenge with high doses of LPS results in a syndrome resembling septic shock in humans (2). This model revealed that proinflammatory cytokines, in particular TNF-{alpha} from macrophages and IFN-{gamma} from NK1+ cells, play a key role in the disease process (3). The uncontrolled production of proinflammatory cytokines causes several pathophysiological reactions, which ultimately form the septic shock syndrome, often with fatal outcome (4). Because TNF-{alpha} and IFN-{gamma} are central to lethality in experimental endotoxic shock, neutralization of these cytokines decreases mortality (3, 4, 5, 6, 7, 8). The critical role of these cytokines in the pathogenesis of LPS-induced shock was confirmed using mice deficient for either of these cytokine receptors (9, 10, 11).

NK1+ cells segregate into two major populations, namely NKT cells and NK cells. NKT cells represent a unique T cell subset which expresses NK cell markers such as NKR-P1 (NK1.1) (12). The development of a majority of NKT cells depends on {beta}2-microglobulin ({beta}2m)3-associated CD1d and hence, {beta}2m-/- and CD1d-/- mice are devoid of this cell population (12, 13, 14, 15, 16, 17). These NKT cells express V{alpha}14/J{alpha}281 gene segments (12), and they are abundant in the liver (13, 14, 18). Upon stimulation, these V{alpha}14+NKT cells promptly secrete large amounts of type 1 and 2 cytokines, IFN-{gamma} and IL-4, respectively (14, 19, 20, 21, 22, 23, 24). In contrast, NK cells develop independently of {beta}2m and produce IFN-{gamma}, but not IL-4 (25), although these cells are also abundant in the liver (26). Accumulating evidence suggests that NK1+ cells participate in the pathogenesis of LPS-induced lethal shock (27, 28). However, it remains elusive whether either NK cells, NKT cells, or both are involved in the disease process, although a major contribution of V{alpha}14+NKT cells has recently been concluded from different experimental mouse models (29, 30, 31).

In the present study, we assessed the relative contributions of NK cells and NKT cells in the pathogenesis of LPS-induced lethal shock using V{alpha}14+NKT cell-deficient mice. Our findings point to NK rather than V{alpha}14+NKT cells as major players in LPS-induced shock. We assume that different cell populations contribute to septic shock in a hierarchic fashion.


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

{beta}2m-/- mice were purchased from The Jackson Laboratory (Bar Harbor, ME). J{alpha}281-/- mice were kindly provided by Dr. M. Taniguchi (Chiba University, Chiba, Japan) (32). These mutants backcrossed onto C57BL/6 ({beta}2m-/-, >15th generation; J{alpha}281-/- and J{alpha}281+/-, >6th generation) and C57BL/6 mice were maintained under specific pathogen-free conditions at our animal facilities (Max-Planck-Institute, Berlin, Germany). Carefully weight- and generation-matched female mice were used at 8–10 wk of age.

Antibodies

mAbs against CD3{epsilon} (145-2C11), Fc{gamma}R (2.4G2), IFN-{gamma} (R4-6A2 and XMG1.2), IL-4 (11B11), and IL-12 (p40) (C17.8 and C15.6.7) were purified from hybridoma culture supernatants. Anti-IFN-{gamma} mAb (XMG1.2) and anti-IL-12 (p40) mAb (C15.6.7) were biotinylated, and anti-CD3{epsilon} mAb was conjugated with FITC by standard methods. Biotinylated anti-NK1.1 mAb, PE-conjugated rat IgG1 mAb (R3-34), mouse IgG2a mAb (G155-178), rat IgG1 (R3-34), and PE-conjugated anti-IFN-{gamma} mAb (XMG1.2) were purchased from BD PharMingen (Hamburg, Germany). Hamster IgG was obtained from Dianova (Hamburg, Germany).

LPS and septic shock

Salmonella typhimurium-derived LPS was purchased from Sigma-Aldrich (Deisenhofen, Germany). Highly purified Salmonella abortus equi-derived LPS was kindly provided by Dr. M. A. Freudenberg (Max-Planck-Institute for Immunobiology, Freiburg, Germany). Endotoxic shock and the generalized Shwartzman reaction were induced in mice as indicated in the table or figure legends. For neutralization of endogenous IFN-{gamma} or IL-4, mice received i.p. 500 µg anti-IFN-{gamma} mAb (XMG1.2) or 1 mg anti-IL-4 mAb, respectively, 2 h before LPS challenge. For in vivo depletion of NK1+ cells, mice were treated i.p. with 500 µg anti-NK1.1 mAb 3 or 4 days before LPS challenge.

ELISA

For detection of IFN-{gamma} and IL-12, serum samples were incubated in immunoassay plates (Nunc, Copenhagen, Denmark) precoated with 5 µg/ml anti-IFN-{gamma} mAb (R4–6A2) or 10 µg/ml anti-IL-12 (p40) mAb (C17.8), respectively. After washing, plates were incubated with 2 µg/ml biotinylated anti-IFN-{gamma} mAb (XMG1.2) or 5 µg/ml biotinylated anti-IL-12 (p40) mAb (C15.6.7), respectively, followed by streptavidin (SA)-conjugated alkaline phosphatase (Dianova) and the chromogen p-nitrophenyl phosphate (Sigma-Aldrich). The cytokine concentration in each sample was determined using serially diluted mouse rIFN-{gamma} (R&D Systems, Wiesbaden, Germany) or mouse rIL-12 (Genzyme, Alzenau, Germany). The detection limits were 1.56 U/ml and 0.625 ng/ml, respectively. Serum levels of TNF-{alpha}, IL-6, IL-10, and IL-18 were assayed using the Quantikine M kit (R&D Systems) and the detection limits were 5.1, 3.1, 4.0, and 8.0 pg/ml, respectively.

Cell preparation and cell surface phenotype analysis

Liver mononuclear cells (LMNC) and splenocytes were prepared as described previously (14). After blocking, cells were stained with conjugated mAbs. Biotinylated mAb was visualized with SA-conjugated Red 670 (Life Technologies, Gaithersburg, MD). After washing, cells were fixed with 1% paraformaldehyde. Stained cells were acquired by FACScan (BD Biosciences, Mountain View, CA) and analyzed with CellQuest software (BD Biosciences).

Intracellular cytokine staining

LMNC were incubated in the presence of brefeldin A (5 µg/ml; BD PharMingen) for 3 h, and then stained with FITC-conjugated anti-CD3{epsilon} mAb and biotinylated anti-NK1.1 mAb followed by SA-conjugated Red 670. After fixation with 2% paraformaldehyde and permeabilization with 0.5% saponin (Sigma-Aldrich), intracellular cytokine staining was performed using PE-conjugated anti-IFN-{gamma} mAb. PE-conjugated rat IgG1 mAb was used as a control. Stained cells were acquired by FACScan and analyzed with CellQuest software.

Statistical analysis

The statistical significance was determined by either log-rank test (survival time) or Student’s t test (serum cytokine levels). A p value <0.05 was regarded as significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
{beta}2m-/- mice are more susceptible to LPS-induced lethal shock than WT mice

We compared {beta}2m-/- and C57BL/6 mice for susceptibility to LPS-induced lethal shock. Mice were challenged with various doses of LPS and survival times were monitored thereafter. All C57BL/6 mice examined survived when challenged with 150 µg LPS (Table IGo), although they displayed signs of severe endotoxemia. In contrast, all {beta}2m-/- mice succumbed to the shock within 100 h; this was also true even after challenge with 100 µg LPS (Table IGo). Similar results were obtained with highly purified S. abortus equi-derived LPS (data not shown), verifying that the reaction was induced by LPS but not other contaminating components, such as lipoprotein, present in commercially obtained LPS (33). Thus, {beta}2m-/- mice were more susceptible to LPS-induced lethal shock than WT mice.


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Table I. Mortality rates of {beta}2m-/- and C57BL/6 mice following challenge with various doses of LPS and the influence of endogenous IFN-{gamma} or IL-4 neutralization, or NK1+ cell depletion thereon1

 
Serum levels of IFN-{gamma} following LPS challenge are higher in {beta}2m-/- mice than in WT mice

Serum levels of TNF-{alpha} and IFN-{gamma} in {beta}2m-/- and C57BL/6 mice following LPS challenge (150 µg) were compared. Because contribution of IL-12, IL-6, IL-10, and IL-18 to LPS-induced shock has been suggested (3, 34, 35), serum levels of these cytokines were also analyzed. Serum levels of TNF-{alpha}, IL-12 (p40), IFN-{gamma}, IL-6, IL-10, or IL-18 in C57BL/6 mice peaked at 1, 4, 6, 3, 2, or 1 h, respectively, after LPS challenge (data not shown). Therefore, we compared cytokine levels in the sera of {beta}2m-/- and C57BL/6 mice at these time points. Serum levels of TNF-{alpha}, IL-12 (p40), IL-6, IL-10, and IL-18 following LPS challenge were comparable between {beta}2m-/- and C57BL/6 mice (Fig. 1Go, A, B, and D–F). In contrast, serum levels of IFN-{gamma} at 6 h following LPS challenge were significantly higher in {beta}2m-/- mice than in C57BL/6 mice (Fig. 1GoC); this was also true at different time points following LPS challenge (data not shown). These results suggest that {beta}2m influences IFN-{gamma} production following LPS challenge.



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FIGURE 1. Cytokine levels in {beta}2m-/- and C57BL/6 mice following LPS challenge. Mice were challenged i.v. with 150 µg LPS and sera were collected at 1 h (A, TNF-{alpha} and F, IL-18), 2 h (E, IL-10), 3 h (D, IL-6), 4 h (B, IL-12), or 6 h (C, IFN-{gamma}). Serum levels of these cytokines were determined by ELISA. Each marker represents serum levels of each cytokine in individual animals. The horizontal lines indicate the mean serum levels, and the rectangles represent SD; p < 0.02, {beta}2m-/- vs C57BL/6. Before LPS challenge, the above cytokines, except for IL-18, were undetectable in the sera. No significant difference was found in serum levels of IL-18 before LPS challenge between {beta}2m-/- and C57BL/6 mice.

 
Endogenous IFN-{gamma} neutralization prevents LPS-induced lethal shock in both {beta}2m-/- and C57BL/6 mice

We examined whether IFN-{gamma} or IL-4 participates in induction or inhibition, respectively, in LPS-induced lethal shock. Mice were treated with anti-IFN-{gamma} mAb or anti-IL-4 mAb 2 h before LPS challenge and survival times were monitored thereafter. All {beta}2m-/- mice examined were protected against LPS-induced lethal shock by endogenous IFN-{gamma} neutralization when challenged with 200 µg LPS (Table IGo). Similar results were obtained in C57BL/6 mice when challenged with 250 µg LPS (Table IGo). In contrast, the susceptibility of C57BL/6 mice to LPS-induced lethal shock was virtually unaffected by endogenous IL-4 neutralization (Table IGo). IL-4 does not seem to inhibit LPS-induced shock. In contrast, IFN-{gamma} participates in LPS-induced lethal shock independent from the presence or absence of {beta}2m-dependent immune mechanisms.

In vivo depletion of NK1+ cells prolongs survival time and reduces serum levels of IFN-{gamma} in mice following LPS challenge

Mice were treated with anti-NK1.1 mAb 3 days before LPS challenge and survival times were monitored thereafter. Depletion of NK1+ cells by anti-NK1.1 mAb treatment was verified by flow cytometry (data not shown). The {beta}2m-/- mice were rescued from lethal shock by NK1+ cell depletion when challenged with 100 µg LPS (Table IGo). In vivo depletion of NK1+ cells prolonged the survival times of {beta}2m-/- mice following 150 µg LPS challenge (Table IGo). Similar results were obtained in C57BL/6 mice challenged with 200 or 250 µg LPS, respectively (Table IGo). Consistent with the prolonged survival time, in both mouse strains serum levels of IFN-{gamma} following LPS challenge were significantly (p < 0.02), though not completely, reduced by NK1+ cell depletion (data not shown). These results suggest that NK1+ cells other than V{alpha}14+NKT cells participate in the pathogenesis of LPS-induced lethal shock and that IFN-{gamma} is produced by {beta}2m-independent NK1+ cells following LPS challenge.

NK cells are major IFN-{gamma} producers in {beta}2m-/- mice as well as in C57BL/6 mice following LPS challenge

We attempted to identify the source of IFN-{gamma} in {beta}2m-/- and C57BL/6 mice following LPS challenge. Because the liver is one of the target organs of LPS, the frequencies of IFN-{gamma}-producing cells among LMNC were determined by intracellular cytokine staining. High frequencies of IFN-{gamma}-producing cells were detected among CD3-NK1+ cells in {beta}2m-/- mice, which were higher than those in C57BL/6 mice (Fig. 2Go). Considerable numbers of IFN-{gamma} producers were also detected among CD3+NK1+ cells in both {beta}2m-/- and C57BL/6 mice. In contrast, frequencies of IFN-{gamma} producers among CD3-NK1- cells in both mouse strains were low. A distinct population of IFN-{gamma} producers was identified among CD3+NK1- cells in {beta}2m-/-, but not C57BL/6, mice (Fig. 2Go). Note that the intensity of IFN-{gamma} staining among CD3-NK1+ cells was markedly higher than that among other cell populations. Consistent with previous findings (13, 14), high frequencies of CD3+NK1+ cells were detected in the liver of C57BL/6 mice, but frequencies were markedly reduced in {beta}2m-/- mice (Fig. 2Go; Table IIGo). In contrast, the proportion of CD3-NK1+ cells was ~2-fold higher in the liver of {beta}2m-/- mice compared with C57BL/6 mice (Fig. 2Go; Table IIGo). Because absolute numbers of CD3-NK1+ cells significantly exceeded those of CD3+NK1+ cells remaining in {beta}2m-/- mice (see Table IIGo), our results suggest that NK cells, rather than NKT cells, are major IFN-{gamma} producers in {beta}2m-/- mice following LPS challenge.



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FIGURE 2. Proportion of IFN-{gamma}-producing cells among LMNC in {beta}2m-/-, J{alpha}281-/-, and C57BL/6 mice following LPS challenge. Mice were challenged i.v. with 150 µg LPS and LMNC were prepared at 6 h. Upper panel, Cells were stained with FITC-conjugated anti-CD3{epsilon} mAb and biotinylated anti-NK1.1 mAb followed by SA-conjugated Red 670. Data are expressed as dot plots after gating on lymphoid cells. Numbers in dot plots represent percentages of CD3+NK1-, CD3+NK1+, and CD3-NK1+ cells, respectively. Lower panel, Cells were incubated in the presence of brefeldin A for 3 h and subsequently stained with FITC-conjugated anti-CD3{epsilon} mAb and biotinylated anti-NK1.1 mAb followed by SA-conjugated Red 670. Cells were further stained with PE-conjugated anti-IFN-{gamma} mAb. Profiles of IFN-{gamma} staining are expressed as histograms after gating on indicated cell populations. Numbers in histograms represent percentages of IFN-{gamma}-producing cells among indicated cell populations. Representative results from four to six mice per group are shown.

 

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Table II. Proportions of various cell populations in the livers and spleens of {beta}2m-/-, J{alpha}281-/-, and C57BL/6 mice1

 
J{alpha}281-/- mice are more susceptible to LPS-induced shock than J{alpha}281+/- mice and in vivo depletion of NK1+ cells prevents J{alpha}281-/- mice from LPS-induced lethal shock

To directly determine whether V{alpha}14+NKT cells participate in LPS-induced lethal shock, we compared the susceptibility of J{alpha}281-/- and J{alpha}281+/- mice to LPS-induced shock. Both J{alpha}281-/- and J{alpha}281+/- mice succumbed to the shock when challenged with 300 µg LPS within 30 and 40 h, respectively, whereas both groups of mice survived the shock induced by challenge with 200 µg LPS (Table IIIGo). All J{alpha}281-/- mice succumbed to the shock within 40 h when challenged with 250 µg LPS, whereas all J{alpha}281+/- mice survived the challenge (>1 wk), although they showed profound signs of endotoxemia (Table IIIGo). Thus, J{alpha}281-/- mice were slightly more susceptible to LPS-induced shock than J{alpha}281+/- mice. In vivo depletion of NK1+ cells rescued J{alpha}281-/- mice from LPS-induced lethal shock (Table IIIGo). These results not only argue against a major contribution of V{alpha}14+NKT cells in LPS-induced shock, but also suggest that NK1+ cells other than V{alpha}14+NKT cells play a critical role in lethal consequences of LPS.


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Table III. Mortality rates of J{alpha}281-/- and J{alpha}281+/- mice following challenge with various doses of LPS and the influence of NK1+ cell depletion thereon1

 
NK1+ cells are major IFN-{gamma} producers in J{alpha}281-/- mice following LPS challenge

We attempted to identify the cellular source of IFN-{gamma} in J{alpha}281-/- mice following LPS challenge. High frequencies of IFN-{gamma} producers were detected among CD3-NK1+ cells in the liver of J{alpha}281-/- mice (Fig. 2Go). Note that the frequencies of IFN-{gamma} producers among CD3-NK1+ cells were lower in J{alpha}281-/- mice than in C57BL/6 and {beta}2m-/- mice. Considerable numbers of IFN-{gamma} producers were also detected among CD3+NK1+ cells remaining in J{alpha}281-/- mice (Fig. 2Go), indicating that unconventional NKT cells lacking V{alpha}14 produce IFN-{gamma} following LPS challenge. In contrast, frequencies of IFN-{gamma} producers among CD3-NK1- and CD3+NK1- cells were low. The higher intensity of IFN-{gamma} staining among CD3-NK1+ cells compared with other cell populations suggests that NK cells were major IFN-{gamma} producers in J{alpha}281-/- mice following LPS challenge. The proportion of CD3+NK1+ cells was markedly lower in the liver of J{alpha}281-/- mice than in C57BL/6 mice (Fig. 2Go; Table IIGo). Similarly to {beta}2m-/- mice, the proportion of CD3-NK1+ cells was increased in the liver of J{alpha}281-/- mice compared with C57BL/6 mice (Fig. 2Go; Table IIGo). Our results show that NK1+ cells are the major source of IFN-{gamma} in J{alpha}281-/- mice following LPS challenge.

Mice deficient for V{alpha}14+NKT cells are susceptible to the lethal shock in the generalized Shwartzman reaction

We examined whether V{alpha}14+NKT cells are involved in the lethal shock in the generalized Shwartzman reaction. In contrast to previous findings (31), the susceptibility to the lethal shock in the generalized Shwartzman reaction was slightly higher in J{alpha}281-/- than in J{alpha}281+/- mice (Table IVGo). Similarly, {beta}2m-/- mice were more susceptible to the shock than C57BL/6 mice (data not shown). J{alpha}281-/- mice were rescued by NK1+ cell depletion from the lethal shock with 125 or 150 µg LPS (Table IVGo). These results argue against a critical contribution of V{alpha}14+NKT cells in the generalized Shwartzman reaction.


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Table IV. Mortality rates of LPS-primed J{alpha}281-/- and J{alpha}281+/- mice following challenge with various doses of LPS and the influence of NK1+ cell depletion thereon1

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We hereby provide evidence that NK cells rather than V{alpha}14+NKT cells play a critical role in LPS-induced shock of mice. {beta}2m-/- mice, which are devoid of V{alpha}14+NKT cells but not of NK cells, were more susceptible to LPS-induced lethal shock than WT mice, and in vivo depletion of NK1+ cells prevented {beta}2m-/-, as well as WT, mice from succumbing to the lethal effects of LPS. Moreover, J{alpha}281-/- mice exclusively lacking V{alpha}14+NKT cells were slightly more susceptible to LPS-induced lethal shock than their J{alpha}281+/- littermates and were rescued from lethal effects of LPS by NK1+ cell depletion.

It is generally accepted that TNF-{alpha} secreted by macrophages is a pivotal mediator of the cytokine cascade that leads to LPS-induced shock (1, 2, 3, 4). However, serum levels of TNF-{alpha} were comparable in {beta}2m-/- and WT mice, although {beta}2m-/- mice were more susceptible to LPS-induced shock than WT mice. Serum levels of IFN-{gamma} were significantly higher in {beta}2m-/- mice than in WT mice, and endogenous IFN-{gamma} neutralization rescued {beta}2m-/- mice as well as WT mice from lethal shock. NK1+ cell depletion significantly, though not completely, reduced serum levels of IFN-{gamma} in {beta}2m-/- mice following LPS challenge, and high frequencies of IFN-{gamma} producers were detected among NK cells in {beta}2m-/- mice following LPS challenge. Our results suggest that NK cells are a major source of IFN-{gamma} in LPS-induced shock, which is consistent with recent findings showing a central role of NK cells in IFN-{gamma} production in endotoxemia (36). Because considerable numbers of IFN-{gamma} producers were detected among V{alpha}14+NKT cells in WT mice, we cannot exclude the contribution of V{alpha}14+NKT cells in normal mice. Yet, our data exclude a pivotal role of V{alpha}14+NKT cells, because IFN-{gamma}-producing activity was markedly higher in NK cells than in V{alpha}14+NKT cells.

IL-4 is involved in anti-inflammatory responses and V{alpha}14+NKT cells are potent IL-4 producers (12, 14, 19, 20, 21). This raises the possibility that V{alpha}14+NKT cells participate in prevention of LPS-induced lethal shock (37). It is conceivable that V{alpha}14+NKT cells play a dual, antagonistic role in septic shock: they could promote shock via IFN-{gamma} and prevent it via IL-4. Experimental conditions could then determine which cytokine dominates and, as corollary, which function prevails. In our study, susceptibility of C57BL/6 mice to LPS-induced lethal shock was virtually unaffected by endogenous IL-4 neutralization. These findings argue against increased susceptibility of {beta}2m-/- and J{alpha}281-/- mice to shock being caused by deficient IL-4 production.

In addition to V{alpha}14+NKT cells, various {beta}2m-independent NKT cells have been described (38, 39, 40, 41, 42). We found that {beta}2m-independent NKT cells are potent IFN-{gamma} producers (41, 42). Indeed, considerable numbers of IFN-{gamma}-producing NKT cells were detected in {beta}2m-/- mice following LPS challenge. Therefore, we do not exclude contribution of {beta}2m-independent NKT cells to LPS-induced shock. However, we consider a major contribution of NK cells, because 1) absolute numbers of NK cells markedly exceeded those of unconventional NKT cells, and 2) IFN-{gamma}-producing activities were markedly higher in NK cells than in unconventional NKT cells.

Substantial numbers of IFN-{gamma} producers were also identified among CD3+NK1- cells in {beta}2m-/- mice, indicating IFN-{gamma} production by {beta}2m-independent T cells following LPS challenge. Consistent with this, depletion of NK1+ cells did not completely rescue {beta}2m-/- mice from lethal shock, and IFN-{gamma} was detectable in sera of NK1+ cell-depleted {beta}2m-/- mice following LPS challenge. Hence, IFN-{gamma}-secreting cells other than NK1+ cells must contribute to the lethal effects of LPS. Because {beta}2m-/- mice are devoid of conventional CD8+ T cells, it is possible that conventional CD4+ T cells produce IFN-{gamma} in response to LPS. We consider it likely that these conventional CD4+ T cells play a minor role, because susceptibility to LPS-induced shock was virtually unchanged in A{beta}-/- mice which lack conventional CD4+ T cells (Y. Emoto, unpublished observation). Hence, the precise nature of the CD3+NK1- cells requires further characterization.

Interactions of NK and V{alpha}14+NKT cells have been described in different experimental systems (43, 44). These studies revealed an essential role of V{alpha}14+NKT cells in NK cell activation. Yet, NK cells were highly activated after LPS challenge in {beta}2m-/- mice. These results argue against an essential role of V{alpha}14+NKT cells in LPS-induced activation of NK cells. Under normal conditions interactions with V{alpha}14+NKT cells cannot be excluded, because our experiments revealed reduced IFN-{gamma} production by NK cells in J{alpha}281-/- mice following LPS challenge. Thus, we assume that septic shock is not caused by a single cell type, and that different cell populations participate in septic shock in a hierarchical manner.

In the study of Dieli et al. (31), J{alpha}281-/- mice were found to be more resistant to LPS-induced lethal shock than C57BL/6 mice. In contrast, we observed that J{alpha}281-/- mice were not more resistant to lethal shock than their J{alpha}281+/- littermates. We cannot provide an appropriate explanation for this discrepancy at present. However, it is possible that the susceptibility to LPS-induced shock is influenced by the genetic background. Indeed, in our study, J{alpha}281+/- mice as well as 129 mice crossed onto C57BL/6 were more resistant to LPS-induced lethal shock than C57BL/6 mice (Y. Emoto, unpublished observation). In addition, an influence of body weight on resistance to LPS-induced shock is possible. We find that the body weight of J{alpha}281-/- mice, in particular of male mice, is significantly higher (~1.5-fold) than that of age-matched C57BL/6 mice (Y. Emoto, unpublished observation).

The generalized Shwartzman reaction describes a lethal shock syndrome which is induced by consecutive challenge with low doses of LPS. Locally injected LPS causes IFN-{gamma} production by NK1+ cells which in turn primes macrophages (27, 28). Upon subsequent exposure to LPS, primed macrophages produce large amounts of TNF-{alpha}, which results in acute lethal shock (27, 28). V{alpha}14+NKT cells have recently been claimed to play a central role in the pathogenesis of the generalized Shwartzman reaction (29, 31). In contrast, in our experiments {beta}2m-/- mice were more susceptible to lethal consequences of the generalized Shwartzman reaction than WT mice, and J{alpha}281-/- mice were more susceptible than J{alpha}281+/- mice. Our results argue against a critical role of V{alpha}14+NKT cells in the generalized Shwartzman reaction, although the discrepancy might be due to the use of different experimental systems. Because recent studies suggest that NK cells do not participate in the pathogenesis of the generalized Shwartzman reaction (36), we consider it is possible that NKT cells other than V{alpha}14+NKT cells participate in this reaction.

In conclusion, we describe a critical role of NK rather than V{alpha}14+NKT cells in the pathogenesis of LPS-induced shock. Using NK cell-deficient mice, evidence against a critical role of NK cells in the generalized Shwartzman reaction has been provided (36). In contrast, evidence for a critical role of V{alpha}14+NKT cells in LPS-induced lethal shock has also been obtained (31). Therefore, it is tempting to assume that LPS-induced shock is caused by different cell populations which contribute to shock in a hierarchical order. Depending on the shock model used and the type of knockout mice used for analysis, the importance of distinct cell populations for pathology seems to vary and in the systems analyzed in this study NK cells were of major importance. Our data also emphasize the notion that observations obtained with gene-disruption mutants must be carefully interpreted.


    Acknowledgments
 
We thank Dr. M. A. Freudenberg for S. abortus equi-derived LPS and Dr. M. Taniguchi for J{alpha}281-/- mice. We are grateful to M. Stäber for mAb purification, K. Bordasch for screening of mice, and L. Lom-Terborg for proofreading this manuscript.


    Footnotes
 
1 This work was supported by the German Science Foundation (SFB 421). Back

2 Address correspondence and reprint requests to Dr. Masashi Emoto, Department of Immunology, Max-Planck-Institute for Infection Biology, Schumannstrasse 21/22, 10117 Berlin, Germany. E-mail address: emoto{at}mpiib-berlin.mpg.de Back

3 Abbreviations used in this paper: {beta}2m, {beta}2-microglobulin; WT, wild type; LMNC, liver mononuclear cells; SA, streptavidin. Back

Received for publication February 28, 2002. Accepted for publication May 30, 2002.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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