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The Journal of Immunology, 2003, 170: 816-822.
Copyright © 2003 by The American Association of Immunologists

Microbial Colonization Drives Lymphocyte Accumulation and Differentiation in the Follicle-Associated Epithelium of Peyer’s Patches1

Takeshi Yamanaka*,{dagger}, Lars Helgeland*,{ddagger}, Inger Nina Farstad*, Hisanori Fukushima{dagger}, Tore Midtvedt§ and Per Brandtzaeg2,*

* Laboratory for Immunohistochemistry and Immunopathology, Institute of Pathology, University of Oslo, Rikshospitalet, Oslo, Norway; {dagger} Department of Bacteriology, Osaka Dental University, Osaka, Japan; {ddagger} Department of Pathology, Haukeland Hospital, Bergen, Norway; and § Department of Medical Microbial Ecology, Karolinska Institute, Stockholm, Sweden


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Peyer’s patches (PPs) are lined by follicle-associated epithelium (FAE) with Ag-transporting M cells. To investigate the spatial relationships of B cells, T cells, and dendritic cells (DCs) in PPs during microbial colonization, their in situ redistribution was examined in germfree (GF) rats exposed to a conventional pathogen-free microflora (conventionalized, CV). Although occasional B and T cells occurred in the FAE of GF rats, it contained mainly immature DCs (CD4+CD86-), whereas mature DCs (CD86high) were seen in the interfollicular zones even under GF conditions. In CV rats, DCs had disappeared from the FAE, which instead contained clusters by B and T cells associated with induction of putative M cell pockets. CD86 was seen neither in the FAE nor in the follicles under GF conditions, but it became apparent on intraepithelial B cells 5 wk after colonization. The level of CD86 on these B cells was comparable to that on germinal center B cells, although the B cell follicles did not show direct contact with the M cell areas. B cells in the follicular mantles acquired Bcl-2 after 12 wk in CV rats, whereas B cells in the FAE did not express Bcl-2 at a substantial level throughout the experimental period. The cellular redistribution patterns and phenotypic characteristics observed after colonization suggested that immature DCs, but not B cells, are involved in Ag presentation during primary immune responses against intestinal bacteria. However, the spatial cellular relationships sequentially being established among DCs, B cells, and T cells in PPs, are most likely important for the induction of post-germinal center B cells subsequently residing within the M cell pockets.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The epithelium facing the gut lumen plays a key role as a barrier inhibiting translocation of microorganisms into the body. Nevertheless, specialized areas named follicle-associated epithelium (FAE)3 overlying gut-associated lymphoid tissue (GALT) are important for sampling and inward transport of Ags. The FAE is different from the surrounding absorptive epithelium and contains a varying number of thin membrane (M) cells with a unique ability to translocate particulate Ags and a variety of identified pathogens (1, 2, 3, 4, 5). Previous studies of rabbit (6) and human (7) Peyer’s patches (PPs) have demonstrated that the FAE does not express the polymeric Ig receptor or secretory component, thus lacking a secretory Ab system. The barrier function of the FAE is further weakened by its virtual absence of mucin-producing goblet cells.

GALT of the small intestine consists mainly of well-organized PPs, and recent studies (8, 9, 10) have suggested that interactions between B cells and enterocytes are important for the development of a FAE with M cells. Hashi et al. (11) demonstrated that the basic architecture of murine PPs was formed by IL-7R{alpha}+ PP inducer cells, VCAM-1+ mesenchymal cells, and CD11c+ dendritic cells (DCs) at day 18 of gestation; the PP anlagen was assembled without entry of mature lymphocytes in scid/scid mice. In humans, PPs have been shown to develop at 19 wk of gestation (12). Colonization of germfree (GF) mice with Salmonella typhimurium aroA caused a 2- to 3-fold increase in M cells accompanied by a 2-fold increase in FAE-associated CD4+ T cells (13). In rabbits, short-term exposure of the FAE to nonintestinal bacteria (pneumococci) markedly increased the number of M cells (14).

When M cell-transported Ags reach GALT, cognate interactions among APCs, naive T cells, and B cells are presumably initiated for subsequent establishment of potentially productive immunological memory or mucosal tolerance (1, 5). In human PPs from adolescents and young adults, we have previously shown that M cells harbor equal numbers of memory B and T cells (15). Moreover, we found that the M cell-associated memory B cells by far outnumber juxtaposed DCs and expressed the costimulatory molecules B7.1 (CD80) and B7.2 (CD86) at high levels, and that the M cell-associated memory T cells often expressed the CD40 ligand (CD154), suggesting B-T cell cognate interactions via CD40-CD154 ligation in the pockets (16). In adult humans, the M cell areas, identified by clustered B cells with strong CD80/CD86 expression, were always spatially related to germinal center (GC) extensions from the underlying B cell follicles. Notably, however, the M cell-associated memory B cell phenotype (surface (s) IgD-CD20lowCD80/CD86highCD10-CD27+Bcl-2+) differed from that of GC B cells (sIgD-CD20+CD80/86highCD10+CD27-Bcl-2-) (16). Therefore, we proposed that the M cell areas are important not only for Ag uptake, but also for cognate B-T cell interactions against recall Ags and subsequent B cell survival as well as differentiation. This notion was supported by mechanistic in vitro studies with a similarly induced memory B cell phenotype from peripheral blood (16). However, it has remained unclear how the memory B and T cells establish their dominance in the M cell pockets.

The present study was undertaken to visualize in situ the impact of initial microbial colonization in the gut on 1) accumulation of FAE-associated lymphocyte subsets and 2) modulation of CD80/CD86 expression on B cells. Rats taken from GF to conventionalized (CV) animal house conditions were used for these experiments because this model is well established in our laboratory and has been used to study the effect of the normal microflora on the development of TCR {alpha}{beta}+ intraepithelial lymphocytes (IELs), both in terms of subset expansion (17) and shaping of the receptor V{beta} repertoire (18). Moreover, the size of PPs is larger in rats than in mice, thus facilitating sample excision.

GF rats showed virtually no CD80/86 expression in their FAE or underlying lymphoid follicles. Although some scattered B and T cells were seen in the FAE under GF conditions, intraepithelial accumulation of CD86+ B cells and CD4+ T cells did not start until 1 wk after microbial colonization. Under GF conditions, CD4+CD86- DCs dominated markedly over B and T cells in the FAE, but they decreased in number after microbial colonization. In the mantle zone of underlying lymphoid follicles, B cells started to express Bcl-2 at a high level 12 wk after microbial colonization. These initial cellular events suggested that immature DCs surveying the FAE are crucial for the primary immune response against commensal bacteria. After migration of these DCs into the PPs, their interactions with Ag-specific naive T cells are most likely crucial for initiating immune responses that over time give rise to post-GC B cells subsequently residing within the M cell pockets ready to respond against recall Ags.


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

GF AGUS rats were bred at the Department of Medical Microbial Ecology (Karolinska Institute, Stockholm, Sweden). The GF rats were exposed to a conventional indigenous microbial flora at 2 mo of age by receiving oral and rectal colonic fecal suspensions from rats housed under ordinary specific pathogen-free conditions. This protocol ensured the establishment of a commensal microbiota within 3 days (19). Such GF to CV (GF-CV) rats were sacrificed 1 wk (n = 3), 5 wk (n = 6) or 12 wk (n = 6) later. Control GF rats were killed at the age of 2 or 5 mo (six rats in each group).

Antibodies

Mouse mAbs against rat Ig {kappa} L chain (OX12, IgG2a) and CD4 (W3/25, IgG1) were obtained from the Medical Research Council Cellular Immunology Unit (Oxford, U.K.). Anti-rat CD3 (G4.18, IgG3), anti-rat CD80 (3H5, IgG1), anti-rat CD86 (24F, IgG1), and anti-rat DCs (OX62, IgG1) were purchased from BD PharMingen (San Diego, CA). A mAb against rat follicular DCs (FDCs; OX2, IgG1) was obtained from Cytotech (Copenhagen, Denmark), and anti-rat Bcl-2 (10C4, IgG1) from Zymed Laboratories (San Francisco, CA).

Immunohistochemistry

Terminal ileum segments with visible PPs were opened longitudinally, embedded in OCT compound (Tissue-Tek; Miles Laboratories, Elkhart, IN), and snap frozen in liquid nitrogen. Cryosections cut at 4 µm were subjected to multicolor immunofluorescence staining as previously detailed (17). Briefly, the sections were first incubated with a mixture of mAbs anti-CD3 and OX62 (2.5 µg/ml), anti-CD3 and anti-CD4 (1/4), or anti-Ig {kappa} L chain and anti-CD80 or anti-CD86 (6.25 µg/ml) for 60 min at room temperature. The former two combinations of primary mAbs were followed by a mixture of Cy3 (indocarbocyanine)-conjugated goat anti-mouse IgG1 (1.25 µg/ml; Southern Biotechnology Associates, Birmingham, AL), biotinylated goat anti-mouse IgG3 (5 µg/ml; Southern Biotechnology Associates), and a rabbit antiserum specific for cytokeratin (1/100; our laboratory), all reagents being preabsorbed with 20% rat serum (90 min). The latter two combinations of primary mAbs were followed by a mixture of Cy3-conjugated goat anti-mouse IgG1, biotinylated goat anti-mouse IgG2a (25 µg/ml; Southern Biotechnology Associates), and the rabbit antiserum against cytokeratin (to visualize the epithelium). The sections were finally incubated with Cy2-conjugated streptavidin (1/1000; Amersham, Aylesbury, U.K.) and amminomethyl coumarin acetic acid-conjugated goat anti-rabbit IgG (20 µg/ml; Vector Laboratories, Burlingame, CA) for 30 min. Anti-Bcl-2 (2.5 µg/ml) or anti-OX2 (1/50) was combined with anti-Ig {kappa}-chain followed by appropriate secondary and tertiary immunoreagents as above. Tissue sections incubated with irrelevant isotype- and concentration-matched primary mAbs served as negative controls.

Microscopy was performed with a Nikon E-800 fluorescence microscope (Nikon, Tokyo, Japan) equipped with a charge-coupled device video camera system (C5810; Hamamatsu Photonics, Hamamatsu, Japan). Digitalized images were captured with a computerized imaging system (Foto-station; Interfoto, Oslo, Norway). Recording of the immunophenotypes of infiltrating cells in the FAE was performed at x600 magnification. In each immunostained section, infiltrating cells were counted from all FAE areas (median number, 5; range, 3–8) and recorded as the average number of positive cells per FAE area. Putative M cell pockets were identified by intraepithelial clustering of B and T cells as described previously (15, 16).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
B and T cell accumulation in the FAE after microbial colonization

H&E-stained sections revealed well-developed PPs with B cell follicles in both GF and GF-CV rats, but no GCs occurred in the GF state (Fig. 1, A and B). Conversely, GF-CV rat PPs showed overt GC formation 1 wk after microbial colonization (Fig. 1C), and the GCs were maintained throughout the experimental period (Fig. 1, D and E).



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FIGURE 1. Histology of rat PPs under GF or GF-CV conditions (H&E staining). A and B, Well-developed lymphoid follicles (F) with specialized FAE were seen under GF conditions but GCs did not develop throughout the experimental period (A, 2-mo-old GF rat; B, 5-mo-old GF rat). C, GCs (*) were formed in 2-mo-old GF rat 1 wk after microbial colonization although being relatively diffuse. D and E, Well-demarcated GCs (*) were observed 5 and 12 wk after microbial colonization. A–C and E: Original magnification, x40; D: x20.

 
The observed numerical fluctuations of B cells, T cells, and DCs in the FAE are summarized in Fig. 2. Small numbers of B cells had invaded the FAE of GF rats (Fig. 2A) but were virtually negative for CD86. Thus, without microbial colonization, neither the FAE nor the epithelium lining the nearby intestinal villi contained CD86+ cells throughout the experimental period. Conversely, DC-like cells located in the interfollicular T cell zones of PPs in GF rats expressed CD86 (Fig. 3, A and B).



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FIGURE 2. Leukocyte accumulation in the FAE of rat PPs during initial microbial colonization. Data were recorded as the average number of leukocytes per FAE area. {circ}, {triangleup}, and {square} represent data from GF rats and •, {blacktriangleup}, and {blacksquare} represent GF rats after conventionalization. A, B cells identified by an anti-Ig {kappa} L chain mAb ({blacktriangleup}) were increased 1 wk after conventionalization and remained at a similar numerical level through the experimental period. CD86+ B cells (•) were initially virtually absent but increased up to 5 wk and then declined slightly. B, Total T cells (CD3+) ({blacktriangleup}) and CD4+ T cells (•) increased after conventionalization, the CD4+ subset becoming slightly reduced again after 12 wk. C–E, Fluctuations of CD3-CD4+ DCs (C), OX62+CD3- DCs (D), and OX2+Ig {kappa}-chain-negative follicular DCs (E). Data represent the mean ± SD of positive cells per FAE area. Data dispersion smaller than the symbols is not visible.

 


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FIGURE 3. Immunofluorescent localization of B cells and CD86 expression in rat PPs. Sections were immunostained for the Ig {kappa} L chain, CD86, and cytokeratin (CK; see color key). A and B, Under GF conditions, the FAE (blue) contained only a few B cells (arrows) and these were negative for CD86 as were those in the lymphoid follicles even after 5 mo. C–E, After conventionalization (GF-CV) for 1 wk, B cells in GCs (*) expressed CD86, which increased much in intensity after 5–12 wk, concurrently with down-regulation of Ig {kappa}-chain expression. F–H, B cells in the FAE (arrows) expressed CD86 after conventionalization. A–E: original magnification, x40; F–H: x600.

 
After microbial colonization, the GCs increasingly expressed CD86 (Fig. 3, C–E). In parallel, the number of CD86+ B cells in the FAE increased dramatically, although the expression of this costimulatory molecule was weak over the first week (Fig. 3F) and had numerically declined slightly at 12 wk (Fig. 2A). The CD86+ B cells were often localized to the lateral side of the FAE (Fig. 3, F–H) where the M cells are known to be situated (15). Compared with the lymphoid follicles in GF rats, the expression level of Ig {kappa}-chain became down-regulated in GF-CV rats over time (Fig. 3, D and E). The expression of CD80 on B cells was hardly visible under both GF and GF-CV conditions (data not shown).

Only a small number of T cells had invaded the FAE under GF conditions, mainly being CD3+CD4- and therefore presumably CD8+ (Figs. 2B and 4, A and B). Accumulation of CD3+CD4+ T cells in the B cell follicles (Fig. 4, C–E) and the FAE (Figs. 2B and 5) clearly depended on microbial colonization. In GF rats, this subset was not seen in these two defined tissue compartments (Fig. 4, A and B).



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FIGURE 4. Immunofluorescent localization of T cells in rat PPs. Sections were immunostained for CD3, CD4, and cytokeratin (CK; see color key). A and B, Under GF conditions, CD3+CD4+ T cells in the FAE (blue) and lymphoid follicles were scarce. C–E, After conventionalization (GF-CV) for 1 wk, B cell follicles were crowded with CD3+CD4+ T cells, and their number was still greater after 5–12 wk (D and E). Original magnification, x40.

 
DC distribution in PPs after microbial colonization

The limited mAb combinations available for multicolor immunofluorescence staining in rats rendered it difficult to distinguish between different subsets of DCs. Therefore, we attempted to trace numerical fluctuations of CD4+ DCs, OX62+ DCs, and FDCs in the FAE. Under GF conditions, the CD4+ cells appearing in the FAE were virtually all CD3- DCs (Fig. 4, A and B). The number of this DC phenotype remained unchanged in GF rats, but decreased strikingly after conventionalization (Fig. 2C). OX62+ DCs increased slightly 1 wk after conventionalization and then declined (Fig. 2D). The number of FDCs was less than five cells per FAE area in GF-CV rats, with little difference from the GF state (Fig. 2E). Because mAb OX2 recognizes a 47-kDa glycoprotein on rat thymocytes, brain tissue, endothelium, some smooth muscle cells, and B cells, it is difficult to identify strictly the rat FDC lineage outside of lymphoid follicles. Therefore, caution has to be exerted in an attempt to identify the distribution of FDCs in rat PPs. However, solitary polyhedral OX2+ cells, distinguished from B cells by lack of Ig {kappa}-chain expression and from endothelial cells by morphology, were located in the subepithelial dome area, at the periphery of lymphoid follicles, and in the B cell follicles quite diffusely in PPs of GF rats (Fig. 6, A and B). Such putative FDCs gradually changed their location, along with OX2+ B cells, toward the serosal side and contributed to the formation of GCs after 5–12 wk of conventionalization (Fig. 6, C–E).



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FIGURE 6. Immunofluorescent localization of FDCs in rat PPs. Sections were immunostained for Ig {kappa} L chain, OX2, and cytokeratin (CK; see color key). A and B, Under GF conditions, OX2+ Ig {kappa}-chain-negative FDCs were present in the subepithelial dome area, at the periphery of lymphoid follicles, and diffusely in the B cell follicles. C–E, After conventionalization (GF-CV) for 1 wk, FDCs were still located at the periphery of lymphoid follicles and then gradually changed their location toward the serosal side and contributed to the GC formation after 5–12 wk of conventionalization. Original magnification, x40.

 
Expression of Bcl-2 on PP B cells after microbial colonization

Under GF conditions, B cells of lymphoid follicles or within the FAE did not express the apoptosis-preventing protein Bcl-2 (Fig. 7, A and B). After microbial colonization, however, B cells just beneath the FAE started to express Bcl-2, although the B cells of lymphoid follicles remained negative (Fig. 7, C, F, and G). Mantle zone B lymphocytes became faintly positive for Bcl-2 only at 5 wk after conventionalization (Fig. 7D) and more strongly positive at 12 wk (Fig. 7E). Throughout the experimental period, no substantial expression of Bcl-2 was observed on B cells within the FAE (Fig. 7, F–H). This was in contrast to the situation in M cell pockets of human adults in which B cells consistently expressed Bcl-2 at a high level along with the post-GC marker CD27 (16).



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FIGURE 7. Immunofluorescent localization of Bcl-2 expression in B cells of rat PPs. Sections were immunostained for Ig {kappa} L chain, Bcl-2, and cytokeratin (CK; see color key). A and B, Under GF conditions, B cells were virtually negative for Bcl-2. C–E, After conventionalization (GF-CV), mantle zone B cells (M) progressively acquired Bcl-2 expression but not GC B cells (*). The mantle zone expression reached its strongest level after 12 wk. F–H, B cells that had accumulated in the FAE did not express a substantial level of Bcl-2 at any time point. A–E: original magnification, x40; F–H: x600.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The indigenous microbiota normally represents the most dramatic environmental challenge in the postnatal gut and elicits many morphological, functional, and immunological modulations. This was clearly revealed in the present study of PPs when GF rats became colonized with a conventional specific pathogen-free intestinal microflora. We (17, 18) and others (20, 21, 22) have previously reported that the TCR{alpha}{beta}+, but not the TCR{gamma}{delta}+, subset of IELs is influenced by microbial colonization, resulting in oligoclonal expansion and phenotypic alterations both in rats and mice. GF mice are known to have reduced numbers of PPs and their lymphoid follicles, as well as M cells, show a numerical increase after transfer to a conventional specific pathogen-free animal facility (23). Repopulating GF mice either with a single nonpathogenic microorganism (Clostridium indolis) or with a single pathogen (S. typhimurium) is sufficient to establish the normal number of PPs with a FAE containing M cells (1, 13).

In humans, PPs start to develop at 19 wk of gestation (12), and the local B cells apparently have a crucial role in the induction of M cells in the FAE (8, 9, 10). We have previously reported that B cells present in the M cell pockets of human PPs by far outnumber other types of cells with potential Ag-presenting function (15) and often coexist with CD4+CD154+ memory T cells (16). Therefore, we have proposed that cognate B-T cell interactions may take place in the M cell pockets (5). However, it has remained elusive when the B cells accumulate in the FAE to establish an ideal microcompartment for encountering luminal Ags and to start their putative interaction with memory T cells. Because human neonatal PP specimens generally are unavailable, we performed our study in rats reared under GF conditions to observe the redistribution of immune cells in PPs during initial microbial colonization. Interestingly, neither CD86+ B cells nor CD4+ T cells were present in the FAE of GF rats in any significant numbers. Notably, before microbial colonization, mainly CD4+ DCs occurred in the FAE and clearly outnumbered other leukocytes. These DCs could be characterized as immature (or resting) because they did not express the CD80 or CD86 costimulatory molecules.

Liu et al. (24) reported that DCs present in rat intestinal lymph on their way to the mesenteric lymph nodes could be divided into two subsets by their CD4 expression; CD4+OX41+ DCs had short fine processes and low levels of nonspecific esterase, whereas CD4-OX41- DCs had long pseudopodia and high levels of nonspecific esterase. The CD4+ subset expressed MHC class II and CD11b/c and was better at stimulating an allogeneic MLR, presentation of Ag to sensitized T cells, and particularly Ag-specific activation of naive T cells than the CD4- subset (24). Recent experiments have shown that DCs are able to sample bacteria from the surface of a monolayered epithelium (25). Therefore, our study suggested that the CD4+ DC subset observed in the FAE of GF rats has a role in eliciting primary PP immune responses against commensal bacteria after their initial colonization. Interestingly, this subset disappeared from the FAE soon after the conventionalization, probably as a result of rapid DC migration to the interfollicular T cell zone where DC activation/maturation and stimulation of naive T cells are known to take place. Such a compartmentalized interaction between APCs and T cells in PPs has recently been demonstrated in a peroral infection model with S. typhimurium in mice (26). That this could be the case also in GF rats was suggested by the presence of CD86+ DCs in the interfollicular T cell zones of their PPs, although observations based on functional markers in tissue sections are only hypothesis generating and not conclusive in mechanistic terms. Nevertheless, our presumption is supported by a murine lymph node study showing that it is the CD11b+CD8- (presumably CD4+), and not the CD11b-CD8+, DC subset that undergoes physical interactions with Ag-specific CD4+ T cells just outside of the B cell follicles (27).

B cells are known to be semiprofessional APCs but are likely to tolerize naive T cells (28, 29, 30). We found that neither CD86+ B cells nor CD4+ T cells accumulated in the FAE without the presence of an indigenous microbiota, whereas such intraepithelial subsets showed a substantial elevation 5 wk after conventionalization. One might speculate that B cells accumulate in the FAE to capture recall Ags from colonizing commensal gut bacteria to avoid excessive primary immune responses against new bacterial Ags from the normal flora. Moreover, Alpan et al. (31) reported that T cells from OVA-fed µMT mice, which lack B cells, PPs, and M cells, responded to OVA in vitro like T cells from wild-type mice. They also suggested that B cell-induced GALT structures such as PPs are not necessary for immune responses against fed soluble Ag. Others, however, have proposed that B cells may have an important, although not obligatory, role as APCs for primary T cell responses. Thus, in vitro studies have shown that activated B cells are nearly as effective in this respect as DCs (32). Linton et al. (33) compared responses of CD4+ T cells from normal and B cell-deficient mice to keyhole limpet hemocyanin over 6 mo and reported diminished IL-2 production by T cells primed in the absence of B cells. The transfer of B cells restored immunological memory and Ag presentation was not essential to this end, because also B cells activated in vitro with irrelevant Ag restored the number of memory T cells. The cellular redistributions we observed in PPs suggested that DCs must be most important for the primary responses against initial microbial colonization, but it is possible that B cells can aid the expansion of the CD4+ T cell population by acting as APCs in the face of the limited number of DCs available early on in the ontogeny. Alternatively, B cells may aid T cell maturation without Ag presentation as alluded to above (32).

Moreover, it is known that B cells can regulate cytokine profiles of T cells by affecting the function of DCs (34). Thus, DCs from B cell-deficient µMT mice failed to sensitize T cells to produce IL-4. Also, DCs have been suggested to be able to interact with naive B cells and to initiate Ig class switching in a primary T cell-dependent response (35). Further studies are needed to learn whether direct DC-B cell interactions may skew the T cell cytokine profile in PPs or promote B cell isotype switching in primary immune responses to initial microbial colonization of the gut.

It is of note that the B cells in rat PPs did not express Bcl-2 without the presence of a commensal bacterial flora; the mantle zones of lymphoid follicles, which consist of naive but mature recirculating B cells, became strongly positive for Bcl-2 only 12 wk after microbial colonization, showing an expression level similar to mantle zone B cells in adult human PPs (16). Bcl-2 is involved in resistance against apoptosis and is a marker of cellular differentiation or longevity (36, 37, 38), but very little is known about factors modulating its level of expression in vivo. B cells from sheep ileal PPs have been shown to be rescued from apoptosis in vitro by induction of Bcl-2 expression after stimulation with phorbol ester (39).

In contrast to GC B cells, which mainly lack Bcl-2, the M cell pockets of PPs in adult humans contain numerous sIgD-Bcl-2+ post-GC (CD27+) memory/effector B cells, suggesting that these microcompartments are important in B cell differentiation and survival (16). During initial microbial colonization in rats, however, as observed in the present study, the activated (CD86+) sIgD-B cells accumulating in the M cell pockets did not express a substantial level of Bcl-2. This species disparity might be explained by the fact that the microbial load is more restricted in rats under specific pathogen-free conditions than in adult human beings. Fig. 8 presents a hypothetical model for modulation of Bcl-2 expression in B cell follicles. We suggest that microbial components are crucial, both for up-regulation of Bcl-2 in mature naive mantle zone B lymphocytes and to provide Ags for the positive selection process in GCs, which depends on B cell survival at least partly mediated by Bcl-2. The putative role of macrophage/DC activation could be secretion of IL-10, which is known to induce Bcl-2 in B cells (40). Importantly, gut bacteria such as Escherichia coli can directly stimulate macrophages to secrete IL-10 (41) and lactobacilli can do the same with T cells (42). Different levels of microbial stimulation might also explain that the PP B cell follicles of colonized rats did not make contact with the putative M cell pockets, in contrast to the situation in adult human PPs (16).



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FIGURE 8. Hypothetical model for Bcl-2 modulation in B cells based on observations of different PP compartments in adult humans and GF or CV-GF rats. To avoid apoptosis due to lack of Bcl-2 expression, naive B cells need interaction with (? factors from) macrophages (M{phi}s) or DCs activated by microbial components. Induction of a high level of Bcl-2 in memory/effector B cells depends on cognate T cells and sustained Ag stimulation through a B cell receptor (BCR) with high affinity after somatic hypermutation of Ig variable region genes. Such positive B cell selection normally takes place on Ag-retaining FDCs in GCs, but this mechanism appears to be less robust in rats under clean, specific pathogen-free conditions than in adult humans.

 
In summary, after conventional specific pathogen-free microbial colonization of the rat gut, we observed that activated PP B cells achieved a spatial position in the FAE facilitating their encounter with luminal Ags, whereas intraepithelial DCs seemed to play a more dynamic role in the primary antimicrobial immune response. B cells could clearly not be important as APCs in PPs during the initial microbial colonization; at that time point, none of them expressed CD86, which is required for a productive Ag-presenting function. Instead, the DCs that were observed to be leaving the FAE after microbial colonization could interact with naive T and B cells in PP parafollicular areas. However, subsequent to this event, B cells with strong CD86 expression accumulated in putative M cell pockets of the FAE; in these microcompartments, they were potentially able to present Ags to cognate memory T cells in recall responses as we previously observed in vitro for human B cells with a similar phenotype (16).



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FIGURE 5. Immunofluorescent localization of DCs and T cells in rat PPs. Sections were immunostained for CD3, CD4, and cytokeratin (CK; see color key). A and B, Under GF conditions, CD4+ cells present in the FAE (blue) were virtually negative for CD3, suggesting intraepithelial DC accumulation, while some CD3+CD4+ T cells occurred below the epithelium in the dome area (yellow cells). C–E, After conventionalization (GF-CV) for 1–12 wk, CD3+CD4+ T cells were seen increasingly to accumulate in the epithelium (arrows). Original magnification, x600.

 

    Acknowledgments
 
We thank the technical staff at the Laboratory for Immunochemistry and Immunopathology for expert assistance. Hege Eliassen is acknowledged for excellent secretarial assistance.


    Footnotes
 
1 This work was supported by the Norwegian Cancer Society, the Research Council of Norway, Anders Jahre’s Fund, and the Japanese Ministry of Education, Science, and Culture grants (14571757). Back

2 Address correspondence and reprint requests to Dr. Per Brandtzaeg, Institute of Pathology, Rikshospitalet, N-0027 Oslo, Norway. E-mail address: per.brandtzaeg{at}labmed.uio.no Back

3 Abbreviations used in this paper: FAE, follicle-associated epithelium; PP, Peyer’s patch; DC, dendritic cell; GALT, gut-associated lymphoid tissue; GC, germinal center; GF, germfree; CV, conventionalized; FDC, follicular DC; IEL, intraepithelial lymphocyte; s, surface. Back

Received for publication July 16, 2002. Accepted for publication November 5, 2002.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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