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Departments of*
Internal Medicine and
Pathology, University of Michigan, Ann Arbor, MI 48109
| Abstract |
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(CCL4). In vivo treatment of young oophorectomized and postmenopausal female mice with 17
-estradiol also increased CD4+ T cell CCR expression. Finally, 17
-estradiol enhances tyrosine phosphorylation in T cells stimulated with MIP-1
in a time-dependent manner. Our results indicate an important role of estrogen in determining T cell chemokine response that may help explain the increased susceptibility and severity of autoimmune diseases in females. | Introduction |
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We have previously investigated the importance of gender in autoimmunity using a CD4+ T cell adoptive transfer system. In this model, D10 cells, a cloned murine Th2 cell line derived from the AKR mice, were made autoreactive by drug treatment with DNA demethylating agents (5, 6, 7, 8, 9) or by transfecting with the CD18 gene (6, 10). Syngeneic AKR mice receiving the autoreactive cells developed a lupus-like illness with autoantibody production and immune complex-mediated glomerulonephritis. Similar to other murine lupus models, gender plays an important role in determining the severity of disease with females developing higher titers of autoantibodies and worse renal disease than their male counterparts (7). Interestingly, 27 times the number of autoreactive T cells traffic to the female than to the male spleen. The increased T cell splenic homing is reversed when the female mice were oophorectomized. The gender difference in T cell homing has an important in vivo consequence as oophorectomy and splenectomy completely abrogated the autoimmune phenotype.
Chemokines are chemotactic cytokines that play a central role in determining leukocyte trafficking to lymphoid and nonlymphoid tissues (11). They are classified according to the cysteine motif into C, CC, CXC, and CX3C chemokines. At least 19 chemokine receptors have been identified belonging to the superfamily of G protein-coupled cell surface receptors. The largest group is the CCR. With few exceptions, the CCR has the ability to bind to multiple chemokine ligands. Because T cells display estrogen receptors (12) and estrogen is known to have important effects on T cell function, it is possible that estrogen may have a direct effect on T cell homing via T cell chemokine receptor expression. In this report we sought to determine the role of gender and estrogen on T cell CCR expression and function.
| Materials and Methods |
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Young (1012 wk) male and female C57BL/6, AKR, B10A/SgSn (B10), DBA/2, and BALB/c mice were obtained from The Jackson Laboratory. Aged (1820 mo) female mice were obtained from the National Institute on Aging aged rodent colonies through Harlan Sprague Dawley. As before, only animals without evidence of cancer or lymphoma were used for the experiments (13). Eight- to 10-wk-old oophorectomized C57BL/6 female mice were also obtained from The Jackson Laboratory. The mice were allowed to recover for at least 4 wk after the surgery before they were used. 17
-estradiol (60-day release, 0.36 mg/pellet achieving blood level of 150200 pg/ml) or placebo pellets (all from Innovative Research of America) were implanted under the skin on the lateral side of the neck of the aged (2021 mo) female and oophorectomized young mice. Experiments were performed 4 wk after the pellets were implanted. The mice were maintained in a pathogen-free environment provided by the Unit for Laboratory Animal Medicine (University of Michigan, Ann Arbor, MI) until used. Procedures involving the animals and their care were conducted in accordance to the guidelines for animal treatment at the University of Michigan.
T cell culture and isolation
D10 cells, a Th2 line originally derived from the AKR mouse strain, were maintained in IL-2-containing medium and stimulated weekly with irradiated syngeneic splenocytes and conalbumin (100 µg/ml; Sigma-Aldrich) as before (5, 6, 7, 8). Because of the concern that regular FCS has high concentration of hormones and may affect the results, charcoal/dextran-treated serum (HyClone Laboratories) was used in all the in vitro experiments. Where indicated, the cells were treated with water-soluble 17
-estradiol or progesterone (both from Sigma-Aldrich) 5 days after the last stimulation for 24 h before the assays were performed.
Splenic CD4+ T cells were isolated from male and female mice as before (13, 14). CD4+ T cells were isolated by magnetic cell separation (MACS) MicroBeads technology (Miltenyi Biotec) according to the manufacturers instructions. CD4+ cells were negatively selected using a combination of CD8a (Ly-2), CD11b (Mac-1), and CD19 microbeads. Alternately, CD4 cells were positively selected using CD4 (L3T4) microbeads. Purity of the isolated cells was confirmed by staining with the FITC-conjugated anti-CD4 and control IgG2a Abs (all from BD Pharmingen) and was consistently between 94 and 99%.
RNase protection assay (RPA) 3
Quantitative measurements of T cell chemokine receptor gene expression were done by RPA as before using BD Pharmingen kits (13, 14, 15). Pooled RNAs from an equal number of purified T cells from male and female mice in groups of four to six animals were used to minimize individual variability. The probes were synthesized by modification of the manufacturers protocol. Briefly, GACU nucleotide pool and [
-32P]UTP, RNasin, T7 RNA polymerase were added to the multiprobe template set mCR-5 (CCR1-CCR5), mCR-6 (CXCR2, CXCR4, and CXCX5), or a custom-made probe set (CCR6-CCR9, CXCR3) (BD Pharmingen) and placed on heat block at 37°C for 1 h. The reaction was terminated by adding DNase and incubated at 37°C on a heat block for 30 min. Appropriate volumes of EDTA, Tris-saturated phenol, chloroform to isoamyl alcohol (50:1), and yeast tRNA were then added to the mixture, as suggested by the manufacturer. The aqueous layer was extracted by chloroform to isoamyl alcohol, then pelleted by adding a 1:5, 4 M ammonium acetate and ice-cold 100% ethanol mixture. The 5 µg of total RNA from each T cell sample was used for hybridization. The protected probes were then fractionated by electrophoresis through a 5% acrylamide gel, exposed to a phosphor screen, and quantified by a PhosphorImager using Image Quant software (Molecular Dynamics), and the signals quantified were in the linear range.
Western immunoblotting
CCR4 and CCR5 protein expression was determined by Western blot analysis as previously described (13, 14, 15). Briefly, proteins purified from male and female CD4+ lymphocytes were resolved on 10% SDS-polyacrylamide gels and transferred to a nitrocellulose-1 membrane (Invitrogen Life Technologies). The membrane was blocked in PBS containing 5% nonfat dry milk, and 0.05% Tween 20 and subsequently incubated with anti-mouse CCR4 or CCR5 (Santa Cruz Biotechnology) followed by HRP-conjugated anti-rabbit and anti-rat IgG F(ab')2 (Amersham Pharmacia Biotech). Detection was performed using the ECL system (Amersham Pharmacia Biotech). The membranes were then stripped and reprobed with anti-mouse
-actin Abs (Sigma-Aldrich) to confirm equal protein loading.
For T cell tyrosine kinase signaling, D10 cells were exposed to 17
-estradiol (0, 25, 250 pg/ml, and 2.5 ng/ml) for 24 h before stimulation with MIP-1
(200 ng/ml). Aliquots were taken at 0 and 30 s, and 1, 3, and 5 min and dissolved in 1% SDS, 1 mmol/L N-ethylmaleimide, 1 mmol/L EDTA, and 2 mmol/L sodium orthovanadate. The proteins were separated by 10% SDS-PAGE and transferred to nitrocellulose-1 membrane. The membranes were then incubated with the anti-phosphotyrosine Ab 4G10 (Upstate Biotechnology) followed by a peroxidase-linked secondary Ab (16) and detected by the ECL system discussed.
In vitro chemotaxis assay
Dual chamber chemotactic assays were performed to compare the transmigration response of T cells from male and female C57BL/6 mice to the chemokines MIP-1
(100 ng/ml) and stromal cell-derived factor (SDF)-1 (CXCL12) (100 ng/ml; (PeproTech) as before (13, 14). Briefly, freshly isolated 4 x 105 T cells in 100 µl RPMI 1640 medium supplemented with 0.5% BSA were placed in Transwell clear culture inserts with 5-µm pores (Corning; Costar). The inserts were then placed in a 24-well tissue culture plate (Corning; Costar) containing 600 µl of RPMI 1640 medium containing 10% FBS for 20 h in a humidified incubator at 37°C. In the MIP-1
experiments exogenous IL-2 (100 ng/ml; PeproTech) was added to the culture media 24 h beforehand (17). Cells from the top and bottom chambers were then harvested and counted with a Beckman Coulter counter. For D10 cells, MIP-1
was used as the chemoattractant. Where indicated, the estrogen receptor antagonist ICI 182,780 (Tocris) or the vehicle control (ethanol) was added to the D10 cell culture for 24 h before the 17
-estradiol treatment and the chemotaxis assay.
Statistical analysis
Data were analyzed using ANOVA or Students t test, with Bonferroni corrections for multiple comparisons where appropriate. Statistical significance was valued at p < 0.05.
| Results |
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In initial experiments we determined the chemokine receptor expression profile (CCR1-CCR9, CXCR2-CXCR5) of freshly isolated CD4+ T cells from young (34 mo) male and female C57BL/6 mice by RPA (Fig. 1). Pooled RNAs from five male and female mice were used in each experiment to minimize individual variability and the experiments were repeated three to four times. The results show that CD4+ T cells from female mice have significantly higher expression (values for p < 0.05) of CCR1, CCR2, CCR4, and CCR5. Increased in CCR3 was also observed in the females but the results did not reach statistical significance. In contrast, the expression levels of CCR6-CCR9 and CXCR2-CXCR5 were similar in the male and female animals.
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To confirm that increased mRNA results in changes in protein levels, Western blot analyses were done to determine the CCR4 and CCR5 protein expression of freshly isolated CD4+ T cells from male and female C57BL/6 mice. Western blots were chosen because very few murine Abs are currently available that are suitable for flow cytometric study. The results confirm that the female gender is associated with increased CD4+ T cell CCR4 and CCR5 protein expression (Fig. 2).
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but not SDF-1
To determine whether the increased CCR expression in female CD4+ T cells correlates to enhanced chemokine receptor function, the chemotactic response of freshly isolated CD4+ T cells from male and female C57BL/6 mice to MIP-1
(ligand for CCR5) and SDF-1 (ligand for CXCR4) was determined using dual chamber chemotaxis assay (Fig. 3). SDF-1 induced a robust chemotaxis response in both male and female T cells. However, there was no gender difference in the SDF-1 response, consistent with the lack of gender effect on CXCR4 gene expression. Although MIP-1
induced a smaller chemotaxis response (14), female CD4+ T cells exhibited greater chemotaxis than male CD4+ T cells. This is consistent with the observed increased CCR5 gene and protein expression in female T cells.
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To assess the in vivo effect of estrogen on T cell chemokine receptor expression, we determined the effects of oophorectomy and in vivo 17
-estradiol supplementation on CD4+ T cell chemokine receptor expression. The results show that freshly isolated CD4+ T cells from estrogen-supplemented oophorectomized AKR mice have significantly higher expression of CCR1-CCR5 chemokine receptors (Fig. 4) than mice implanted with the placebo pellets. However, compared with wild-type unmanipulated female mice, estrogen supplementation only partially reversed the effect of oophorectomy on CD4+ T cell chemokine receptor expression, suggesting that other gonadal factors may also play a role in the regulation of T cell chemokine receptor expression.
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-estradiol pellets was used for the RPA. Unlike young oophorectomized females, only the CCR1, CCR3, and four genes were up-regulated by the in vivo estrogen supplementation in aged female mice (Fig. 5).
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Cytokines are important regulators of chemokine receptor expression. In addition, Th1 and Th2 cells express different chemokine receptor profiles. For example, Th1 cells express high levels of CCR1, CCR5, CXCR3, CXCR6, and Th2 cells are generally CCR3- and CCR4-positive (20, 21). Mouse strain-specific differences in susceptibility to infectious agents and autoimmunity have been linked to strain bias toward either a Th1 or Th2 response (22, 23, 24, 25, 26). It has also been shown that spleen cells from different mouse strains display distinct patterns of chemokine and chemokine receptor gene expression. For example, C57BL/6 mice with a bias toward Th1 response express higher levels of CCR3 and CXCR4 than BALB/c mice, a prototypic Th2 strain (22). To exclude the possibility that the observed gender effects are specific to C57BL/6 mice, CCR1-CCR5 gene expression of freshly isolated pooled (515 animals in each group) CD4+ cells of young (1214 wk of age) male and female AKR, B10.A2, DBA/2, and BALB/c mice were examined by RPA. The results showed considerable strain-specific differences in T cell chemokine receptor expression. However, the female mice have consistently higher CCR gene expression than their age-matched male counterparts in all the strains examined (Fig. 6).
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We have previously demonstrated that D10 cells have different in vivo trafficking pattern in male and female mice (7). We therefore exposed D10 cells to physiological concentrations of 17
-estradiol or progesterone for 24 h and their CCR gene expression quantitated by RPAs. As has been reported previously, D10 cells express CCR1 and CCR4, but not CCR2, CCR3, or CCR5 (27). Physiologic concentrations of 17
-estradiol (28) (Fig. 7A), but not progesterone (Fig. 7B), were found to increase both CCR1 and CCR4 gene expression in D10 cells (Fig. 7, C and D). We also examined the effect of 17
-estradiol on D10 cell chemotaxis response to MIP-1
(CCL3), a ligand for CCR1. Estrogen was found to increase D10 chemotaxis (Fig. 7E), and this response is reversed by pretreatment with the anti-estrogen receptor compound ICI 182,780. To determine whether estrogen affects D10 cell chemokine receptor signaling, D10 cells were treated with 250 ng/ml 17
-estradiol for 24 h. The untreated and estrogen-treated T cells were then activated with 200 ng/ml MIP-1
for 30 s to 5 min. Western blot analyses were performed using the anti-phosphotyrosine Ab 4G10 (Fig. 7, FI). As expected, very low levels of tyrosine phosphorylation were detected in resting D10 cells. In contrast, estrogen-treated D10 cells showed increased protein tyrosine phosphorylation. Further quantitative increase in tyrosine phosphorylation was detected in both estrogen-treated and untreated D10 cells when they were exposed to MIP-1
in a time-dependent manner.
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| Discussion |
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Chemokine receptors play a fundamental role in lymphocyte trafficking (34). Homing chemokines expressed at sites of inflammation and specific areas of lymphoid tissue interact with the corresponding chemokine receptors on T and B lymphocytes. For example, CCR7 bearing T and B lymphocytes will respond to CCL21 in high-endothelial venules to enter into lymphoid follicles (35, 36). B cells that bear CXCR5 will then migrate further into the follicles in response to CXCL13. Although most T cells express CCR7, 5% T cell and activated T cells also bear CXCR5 (37, 38). These T cells further migrate into follicles to provide B cell help and to stimulate Ab production. Interestingly, although less well established, CCR1 and CCR3 may also participate in lymphocyte splenic homing (39). Localization of CCR2 and CCR5 at the leading edge of migrating T lymphocyte occurs during migratory response to the corresponding chemokine ligands (40). Similarly, there is a large body of literature supporting a role for CC chemokine-CCR interaction in the trafficking to and retention of leukocytes in inflamed tissues in autoimmune diseases that preferentially affect females. Interestingly, peripheral blood T cells from active lupus patients have decreased CCR2, CCR6, CXCR3, and CXCR4 (41, 42). In contrast, increased T cell CCR4 (43), CCR5 (44), and CXCR3 (45) expression has been reported in renal and skin lesions of active lupus patients, suggesting that selected T cell chemokine receptors may play a significant role in the recruitment and maintenance of T cell tissue infiltrates in this disease. Increased CCR5, CCR6, and CXCR3 expression has also been shown in the synovial tissue T cells in rheumatoid arthritis patients (46, 47, 48). The perceived critical role of chemokine receptors has led to the development of strategies to antagonize chemokine receptors such as CCR1 and CCR5 as therapy for autoimmune diseases including rheumatoid arthritis (49, 50).
Given the importance of gender and T cell chemokine receptors in autoimmunity, it is surprising that very little is currently known about their interaction. Increased leukocyte migration into the uterus was seen in women on oral estrogen (51). Transsexual men receiving estrogens and antiandrogens were also reported to have increased T cell CCR1, CCR5, and CXCR3 expression (52). In contrast, estrogen may suppress monocytes CCR2 expression (53, 54) and inhibit monocyte migration in response to MCP-1 (55). However, the effect of gender and estrogen on T cell chemokine response has not been systematically examined.
Our results demonstrate that CCR1-CCR5 are selectively overexpressed in CD4+ T cells from female C57BL/6 mice. The gender difference in CCR expression is not strain-dependent, as four other mouse strains (AKR, BALB/c, B10, and DBA/2), including both Th1 and Th2 disease-prone mice, have similarly increased T lymphocyte CCR expression in females. Thus, although we found strain-dependent T cell chemokine receptor mRNA expression, the gender bias remains true in all five mouse strains. Importantly, increased CCR gene expression correlates to increased chemokine receptor protein expression and function. Quantitative increase in T cell tyrosine phosphorylation is seen in estrogen-treated T cells using the anti-phosphotyrosine Ab 4G10 in Western blot. In addition, there is further increase in tyrosine phosphorylation following MIP-1
stimulation, providing further support that estrogen increases T cell chemokine receptor function. The estrogen T cell response was further confirmed in in vivo studies, as oophorectomized mice receiving estrogen also have increased T cell CCR expression compared with mice receiving placebo. However, in vivo estrogen supplementation only partially reversed the effect of oophorectomy on T cell chemokine receptor gene expression, suggesting that additional female gonadal factors may be involved. Interestingly, estrogen supplementation affects young oophorectomized and aged female mice differently. Unlike their younger cohort, increased expression of only the CCR1, CCR3, and CCR4 but not CCR2 and CCR5 genes were observed in postmenopausal female mice receiving estrogen. The reason for this is unclear. Gender and age do not appear to affect T cell estrogen receptor expression (56). However, we have previously reported that aging is associated with increased T cell CCR expression in both humans (15) and mice (14). It is therefore possible that the observed estrogen effects may be partially masked by the influence of aging on the chemokine system. Other factors such as age and gender differences in endogenous cytokine milieu may also play a role in shaping the in vivo T cell chemokine receptor response.
Estrogen appears to have tissue-specific effects on chemokine receptor expression. This effect may help explain the differential effects of the hormone on diverse pathologic conditions. Atherosclerosis has been established as an inflammatory disease in which monocyte infiltration is critical in the formation of arterial plaques (57). The reported estrogen-induced down-regulation of CCR2 and CXCR3 expression in human and murine monocytes (53, 54, 58) suggests a mechanism through which estrogen may inhibit the local inflammatory response in this disease. In contrast, estrogen increases CCR2, CCR5, CXCR1, and CXCR4 mRNA and protein levels in endometrial epithelial cells that may determine the implantation of blastocyst (59). How estrogen regulates chemokine receptor expression is unknown. Estrogen affects gene transcription by activating its nuclear receptors via classical and nonclassical pathways (60, 61). In the classical pathway, activated estrogen receptors bind as a homodimer or heterodimer to the estrogen-response elements (EREs) in the promoter regions of estrogen-sensitive genes. Alternately, estrogen receptors interact with other transcription factors, such as steroidogenic factor-1, specific factor-1, NF-Y, and AP-1 to activate or repress transcription. Very little is known about the promoter elements of murine CCRs. A search using the Dragon ERE Finder (version 2) software (62) showed multiple potential EREs in the murine CCR5 gene. However, whether estrogen regulates T cell chemokine receptor gene expression via the classical (genomic) or nonclassical (nongenomic) pathway is unclear.
To the best of our knowledge, this is the first systematic examination of the gender difference in T cell CCR expression and function. Chemokine receptors are critical determinants of T cell lymphoid homing. The observed estrogen-dependent effects on CCR gene and protein expression, signaling, and function provide a plausible mechanism for our report showing increased T cell homing to the secondary lymphoid organ in females. The same estrogenic effects on T cell response may also have important implications in explaining the gender dimorphism observed in murine and human autoimmune diseases.
| Disclosures |
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| Footnotes |
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1 This work was supported by U.S. Public Health Service Grants 1RO1 AG020628 and 1RO1 AI42753, American Federation for Aging Research (Paul Beeson Physician Faculty Scholar Award), the University of Michigan Nathan Shock Center Grant AG13282, and by the Geriatrics Research, Education, and Clinical Center of the Ann Arbor Department of Veterans Affairs Medical Center. ![]()
2 Address correspondence and reprint requests to Dr. Raymond L. Yung, Department of Internal Medicine, 5312 Cancer Center and Geriatrics Center Building, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI 48109-0940. E-mail address: ryung{at}umich.edu ![]()
3 Abbreviations used in this paper: RPA, RNase protection assay; SDF-1, stromal cell-derived factor 1; ERE, estrogen-response element. ![]()
Received for publication October 13, 2004. Accepted for publication March 3, 2005.
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