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-T Lymphocytes Express and Synthesize Connective Tissue Growth Factor: Effect of IL-15 and TGF-
1 and Comparison with 
-T Lymphocytes1
Pneumology and Allergology, University Medical Clinic IV, Jena, Germany
| Abstract |
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-TCR accumulate during wound
healing and inflammation. However, the role of 
-T lymphocytes in
fibrogenic tissue reactions is not well understood. Therefore, we
addressed the question of whether human 
-T cells express and
synthesize connective tissue growth factor (CTGF), a factor known to
regulate fibrogenesis and wound healing. In addition, the lymphoblastic
leukemia T cell line (Loucy) that possesses characteristics typical of

-T cells was used as a model to evaluate the regulation of CTGF
gene expression. Blood 
-T cells isolated from healthy donors were
grown in the presence of IL-15/TGF-
1 for 48 h and assessed for
the expression and synthesis of CTGF. Nonstimulated human blood

-T cells and Loucy 
-T cells expressed low levels of CTGF
mRNA. Costimulation of the cells with IL-15 and TGF-
1 resulted in a
substantially increased level of CTGF mRNA expression within 48 h,
and it remained elevated for at least 48 h. In contrast, no CTGF
mRNA was detected when nonstimulated and stimulated human
CD4+ 
-T cells were analyzed. In addition, Western
blot analysis of human 
-T cell lysates prepared 4 days following
stimulation with IL-15 and TGF-
1 revealed a 38-kDa CTGF protein in
cell lysates of human 
-T cells. Detection was confirmed using
Colo 849 fibroblasts, which can constitutively express high levels of
CTGF. In conclusion, we herein present novel evidence that in contrast
to CD4+ 
-T cells human 
-T cells are capable of
expressing CTGF mRNA and synthesizing its corresponding protein, which
supports the concept that 
-T cells may contribute to wound
healing or tissue fibrotic processes. | Introduction |
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1 chain),
fibronectin, and integrin
5 in vitro
(4). CTGF mRNA expression has also been found to be
associated with areas of tissue fibrosis in systemic sclerosis
(5), in other fibrotic disorders (6, 7), and
in granulation tissue beds following tissue injury (2, 7),
suggesting a role for the growth factor in fibrotic connective tissue
formation and during wound healing.
T lymphocytes bearing 
-TCR represent a small subpopulation of
human peripheral lymphocytes. They differ from 
-T cells in
several parameters, including ontogenic appearance, tissue
distribution, and Ag recognition (8). Although increased
numbers of 
-T lymphocytes have been observed in a number of
infectious diseases (9, 10), the physiologic and
pathophysisologic roles of the cells in these disorders are not fully
understood. There is evidence showing that 
-T cells accumulate
during the fibrogenic inflammation underlying wound healing
(11) and in human infectious disease lesions
(9). In addition, 
-T cells have been shown to
secrete chemotactic factors involved in the recruitment of inflammatory
cells (12, 13) as well as a number of cytokines
(14). Further, 
-T cells release factors such as
keratinocyte growth factor (KGF; fibroblast growth factor-7)
(15) that can affect epithelial growth and repair.
However, the production of other fibroblast-stimulating factors by

-T cells has not been described. To gain further insight into the
functional properties of 
-T lymphocytes, we assessed their
capacity of expressing and synthesizing CTGF and compared the results
with a cloned 
-T cell line (Loucy).
| Materials and Methods |
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- and 
-T cells
Peripheral blood was obtained from healthy donors, and the
lymphocytes were separated by Ficoll density gradient centrifugation.

-T cells were purified using the MACS TCR
/
microbead kit
(Miltenyi Biotec, Bergish Gladbach, Germany). 
-T cells were
positively selected using anti-
mAbs.
CD4+ 
-T cells were also positively selected
using the CD4+ T cell isolation kit (Miltenyi
Biotec). The 
-T cell line (Loucy) and the fibroblast cell line
(Colo 849) were obtained from the German collection of micro-organisms
and cell cultures (DMSZ, Braunschweig, Germany).
All cells used in this study were grown in RPMI 1640 medium (Cell
Concept, Umkirch, Germany) supplemented with 10% FCS (Life
Technologies, Kalsruhe, Germany), 2 mM L-glutamine
(Biochrom, Berlin, Germany), 100 IU/ml ampicillin, 100 ng/ml
streptomycin, and 100 ng/ml gentamicin (Roche, Mannheim, Germany). The
cells (1 x 106/well) were grown
in the presence or the absence of IL-15 (10 ng/ml)/TGF-
1 (1 ng/ml;
Cell Concept, Umkirch, Germany).
Total RNA isolation and RT-PCR
Total RNA was isolated at different time points (0, 4, 8, 24,
and 48 h) from 1 x 106 cultured cells
using the High Pure RNA isolation kit (Roche). For time zero, total RNA
was isolated shortly after magnetic sorting from equal number of cells.
First-strand cDNA was synthesized using the First Strand RT-PCR Kit
(Stratagene, Amsterdam, The Netherlands) according to the
manufacturers protocol. One-tenth of the cDNA obtained was amplified
in each PCR reaction using PerkinElmer AmpliTaq Gold polymerase (Roche)
in a Gene Amp PCR System 9600 thermal cycler (PerkinElmer, Norwalk,
CT). Forty cycles of amplification were conducted as follows: an
initial heating step of 10 min at 95°C, followed by 94°C for
45 s, 61°C for 45 s, 72°C for 1 min, and a final
synthesis of 10 min at 72°C. The same annealing temperature was used
for both CTGF and
-actin. Specific primer sequences were designed
from available GenBank sequences: CTGF sense primer,
5'-ACGGCGAGGTCATGAAGAAGAACA-3'; and CTGF antisense primer,
5'-TGGGGCTACAGGCAGGTCAGTG-3'. The amount of each cDNA was standardized
using
-actin primers:
-actin sense primer,
5'-GGCGGGCATTCACGAGACCACCTA-3'; and
-actin antisense primer,
5'-GAGCCGCCGATCCACACCGAGTAT-3'.
The PCR products were separated by flat bed electrophoresis in 1.5% agarose gels (Roche), visualized employing ethidium bromide staining on a UV transilluminator, recorded using Phoretix Grabber software, and analyzed densitometrically using Phoretix 1D Advanced version 4.00 software (Biostep, Jahnsdorf, Germany).
SDS-PAGE and Western blot analysis
All cells used for Western blot were cultured in RPMI 1640
medium in the absence or the presence of IL-15 (10 ng/ml)/TGF-
1 (1
ng/ml). The cells (2 x 106) were harvested
on day 4 by centrifugation at 350 x g and were lysed
in lysis buffer (20 mM Tris-HCl (pH 7.5), 120 mM NaCl, 10% glycerol, 2
mM EDTA, 2 mM EGTA, 1 µM PMSF, 10 µg/ml aprotinin, and 10 µM
leupeptin; Sigma-Aldrich, Taufkirchen, Germany) by incubating them on
ice for 30 min. The cell lysates were separated from cell debris by
centrifugation at 14,000 x g, and the protein
concentrations were determined using a spectrophotometer. The cell
lysates (containing 20 µg of total protein) were diluted with
nonreducing Tris-glycine-SDS sample buffer (Invitrogen, Frankfurt am
Main, Germany), heated at 95°C for 5 min, and subjected to 12%
SDS-PAGE gel. Transfer to nitrocellulose (Invitrogen) was performed by
electroblotting. Equal loading of protein was verified by staining the
membrane with Ponceau S (Sigma-Aldrich, Steinheim, Germany). Membranes
were blocked in 1% blocking solution (Roche) in TBS (50 mM Tris-base
(pH 7.5) and 150 mM NaCl) overnight at 4°C. The membranes were
incubated for 1 h at room temperature with rabbit anti-human
CTGF polyclonal Ab (Pab2; Fibrogen, San Francisco, CA) diluted 1/1000
in TBS/0.5% blocking solution. The anti-actin mAb (Chemicon
International, Hofheim, Germany) was diluted 1/2000. After
washing four times with TBS-T, blots were incubated for 1 h with
HRP-conjugated anti-rabbit Ab (Santa Cruz Biotechnology, Santa
Cruz, CA). Proteins were detected with 3,3'-diaminobenzidine substrate
(Roche). The blots were recorded using Phoretix Grabber software and
were analyzed densitometrically using Phoretix 1D Advanced version 4.00
software (Biostep).
| Results |
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-T cells
The first question addressed was whether human blood 
-T
cells express CTGF mRNA. 
-T cells with a purity of >95% and a
viability of >98% were used for the experiments.
In previous experiments we established that costimulation of the cells
with IL-15 (10 ng/ml) and TGF-
1 (1 ng/ml) resulted in a maximal
expression of the activation Ag
E
7 (CD103) compared
with each stimulus alone (16). Therefore, in all
additional experiments cells were costimulated with both cytokines at
the concentrations indicated.
As shown in Fig. 1
, CTGF mRNA could be
detected in freshly isolated human 
-T lymphocytes at a low level.
In the absence of the cytokines, the expression of CTGF increased
slightly over a culture period of 48 h. When human blood 
-T
cells were exposed to IL-15/TGF-
1, the expression of CTGF mRNA
increased at 48 h and was maintained for at least 48 h following
stimulation of the cells. CTGF mRNA expression could also be detected
in the human 
-T cell line Loucy at a low level without
stimulation (Fig. 2
). As with the freshly
purified blood lymphocytes, CTGF mRNA expression significantly
increased when cells were cultured in the presence of
IL-15/TGF-
1.
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- and Loucy T lymphocytes, neither
nonstimulated nor cytokine-stimulated
CD4+
-T lymphocytes expressed CTGF mRNA
(Fig. 3
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Human 
-T lymphocytes were assessed for the production of
CTGF protein using the Western blot technique. As depicted in Fig. 5
, very little of the 38-kDa CTGF protein
could be detected in cell lysates of nonstimulated, freshly isolated
blood 
-T cells (Fig. 5
, lane 4) and the Loucy 
-T
cell line (Fig. 5
, lane 6) incubated for 96 h. However,
in the presence of IL-15/TGF-
1, a notable increase in CTGF protein
was observed in freshly isolated blood 
-T lymphocytes (Fig. 5
, lane 5). Although less pronounced, an increased CTGF protein
signal could also be observed when stimulated Loucy 
-T cells were
assessed (Fig. 5
, lane 7) compared with the control cells.
In contrast, CD4+ 
-T cells did not express
CTGF under any of experimental conditions (Fig. 5
, lanes 2
and 3). When Colo 849 fibroblast cells were analyzed, CTGF
protein was detected in nontreated cells that was not further increased
in the presence of IL-15/TGF-
1 (Fig. 5
, lanes 8 and
9).
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| Discussion |
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intraepithelial lymphocytes have been shown to modulate
local inflammatory fibrotic and infectious conditions (17, 18) and contribute to fibrogenesis and wound healing
(11). However, since little is known about the potential
signals linking 
-T cells to fibrogenesis, the purpose of the
present study was to determine whether human 
-T cells express the
fibrogenic cytokine CTGF. The data presented herein demonstrate for the
first time that nonstimulated 
-T cells express CTGF mRNA in
vitro, which is significantly up-regulated in response to costimulation
with IL-15 and TGF-
1 over a period of at least 48 h. The data
also show that 
-T cells produce CTGF protein, suggesting that the
cells are able to secrete the cytokine. In contrast,
CD4+ 
-T cells did not produce CTGF mRNA
under present experimental conditions regardless of the presence or
absence of IL-15/TGF-
1.
The results obtained with human blood 
-T cells could be confirmed
using the human 
-T cell line (Loucy), a cloned cell line
representing a V
9/V
2-subtype. It is interesting to note that
Loucy cells show a response pattern comparable to that seen in human
blood 
-T lymphocytes. Although Loucy cells appear to be less
susceptible to the induction of CTGF mRNA as well as CTGF protein
expression by IL-15 and TGF-
1, our data suggest that they may be
used as a model cell line for 
-T lymphocytes in evaluating the
role of CTGF and possibly other growth factors.
T cells that express 
-TCRs comprise the vast majority of mature T
cells in peripheral blood. In contrast, T cells that bear the

-TCR constitute a minor population of mature T cells in the
circulation and lymphoid tissue, but are greatly increased during
infection. 
- and 
-T cells share similarities in that both
differentiate primarily in the thymus, possess common cell surface Ags,
and have a diversity of clonotypic receptors associated with the CD3
complex. Despite these common properties, 
- and 
-T cells
also show significant differences. Unlike 
-T cells, the majority
of 
-T cells lack the functional expression of CD4 and CD8
molecules. Moreover, the manner in which 
-T cells recognize
alloantigen appears to be different from that of 
-T cells. The
data presented herein indicate another potential difference between the
T cell subpopulations with respect to the production of CTGF when
stimulated in the presence of the IL-15/TGF-
1 employed in our
experiments. Although the results do not rule out the possibility that

-T lymphocytes produce this factor under different experimental
conditions, these observations further support the idea that both

- and 
-T cells fulfill unique functional roles within the
immune system.
CTGF is a member of the closely related connective tissue growth
factor/Cyr61/NOV (CCN) family of cytokines that has been shown to
function as a downstream mediator of TGF-
action on connective
tissue cells, where it stimulates cell proliferation and extracellular
matrix synthesis (3). Because the biological actions of
TGF-
are complex and affect many different cell types, CTGF may
serve as a more specific target for selective intervention in
connective tissue formation during wound repair or fibrotic conditions.
CTGF has been shown to be synthesized by the NRK fibroblast cell line
after activation with TGF-
(2, 4), by dermal
fibroblasts in association with repair processes (2), and
by muscle and epithelial cells, but not in other cell types, such as
leukocytes (19). Our results extend the list of potential
CTGF-producing cells to include human 
-T lymphocytes.
A number of studies suggest that 
-T cells can protect the host
from pathogenic and non-pathogenic insults (18). For
example, we have previously shown that the presence of 
-T cells
reduces the extent of pulmonary inflammation and fibrosis induced by
bleomycin (20). In addition, it has been demonstrated that
the presence of 
-T cells plays an essential role in the survival
of host against intraepithelial pathogens such as Nocardia
sp. (18). This protective role contrasts with the
observation that 
-T cells are capable of producing KGF as well as
other cytokines preferentially associated with inflammatory processes.
Our finding that 
-T lymphocytes express CTGF mRNA and protein
adds another cytokine to those produced by these cells. This protein
has been shown to be involved in several fibrotic diseases and plays a
critical role in fibrogenesis and tissue remodeling after injury.
The ability of 
-T lymphocytes to secrete a factor that can affect
epithelial growth and repair as well as factors that can mediate
inflammation and fibrogenesis suggests a dual functionality of the
cells. The reason for the discrepancy between a protective role and the
production of pro-inflammatory or fibrogenic factors by 
-T cells
is not immediately apparent, but can be explained by the differential
expansion of functionally different 
-T cell subpopulations.
Alternatively, a different response pattern of 
-T cells may be
determined in a specific inflammatory microenvironment. Another
explanation may relate to the fact that epithelial repair processes
require the formation of extracellular matrix proteins.
Although 
-T lymphocytes tend to accumulate in association with
inflammation, their expansion is not limited to the early stages of
host response to infection or tissue injury. In murine influenza A
infection, the number of 
-T cells in the lung increased at a much
higher rate after 7 days of viral infection (21). This
finding suggests that the 
-T cells in this disease are not only
focused on the elimination of the virus-infected cells, but also on the
repair processes of the host following a pathogen-inflicted injury.
Since KGF-treated alveolar epithelial type II cells markedly increase
epithelial repair (22), and KGF has been shown to prevent
bleomycin-induced end-stage pulmonary injury (23), it is
conceivable that KGF released by 
-T cells may facilitate wound
healing via restoration of the epithelial cell layer after lung injury,
while CTGF may serve to reconstruct extracellular matrix required for
optimal re-epithelization. Taken together, the ability of 
-T
cells to produce CTGF, demonstrated herein, underscores the distinct
role of this lymphocyte subpopulation in connective tissue reactions
following injury.
| Acknowledgments |
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| Footnotes |
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2 Address correspondence and reprint requests to Dr. Grefachew Workalemahu, Pneumology and Allergology/Immunology, Medical Clinic IV, Friedrich Schiller University Jena, Erlanger Allee 101, 07740 Jena, Germany. E-mail: grefachew.workalemahu{at}med.uni-jena.de ![]()
3 Abbreviations used in this paper: CTGF, connective tissue growth factor; KGF, keratinocyte growth factor. ![]()
Received for publication June 24, 2002. Accepted for publication October 21, 2002.
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