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The Journal of Immunology, 2006, 176: 4235-4243.
Copyright © 2006 by The American Association of Immunologists

CXCL10 Is the Key Ligand for CXCR3 on CD8+ Effector T Cells Involved in Immune Surveillance of the Lymphocytic Choriomeningitis Virus-Infected Central Nervous System1

Jeanette Erbo Christensen*, Carina de Lemos*, Torben Moos{dagger}, Jan Pravsgaard Christensen* and Allan Randrup Thomsen2,*

* Institute of Medical Microbiology and Immunology and {dagger} Department of Medical Anatomy, University of Copenhagen, Copenhagen, Denmark


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 
IFN-{gamma}-inducible protein 10/CXCL10 is a chemokine associated with type 1 T cell responses, regulating the migration of activated T cells through binding to the CXCR3 receptor. Expression of both CXCL10 and CXCR3 are observed during immunopathological diseases of the CNS, and this receptor/ligand pair is thought to play a central role in regulating T cell-mediated inflammation in this organ site. In this report, we investigated the role of CXCL10 in regulating CD8+ T cell-mediated inflammation in the virus-infected brain. This was done through analysis of CXCL10-deficient mice infected intracerebrally with lymphocytic choriomeningitis virus, which in normal immunocompetent mice induces a fatal CD8+ T cell-mediated meningoencephalitis. We found that a normal antiviral CD8+ T cell response was generated in CXCL10-deficient mice, and that lack of CXCL10 had no influence on the accumulation of mononuclear cells in the cerebrospinal fluid. However, analysis of the susceptibility of CXCL10-deficient mice to lymphocytic choriomeningitis virus-induced meningitis revealed that these mice just like CXCR3-deficient mice were partially resistant to this disease, whereas wild-type mice invariably died. Furthermore, despite marked up-regulation of the two remaining CXCR3 ligands: CXCL9 and 11, we found a reduced accumulation of CD8+ T cells in the brain parenchyma around the time point when wild-type mice succumb as a result of CD8+ T cell-mediated inflammation. Thus, taken together these results indicate a central role for CXCL10 in regulating the accumulation of effector T cells at sites of CNS inflammation, with no apparent compensatory effect of other CXCR3 ligands.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 
To maintain a constant immune surveillance of all host organs, systemic recirculation of T lymphocytes is essential. In this context, the chemokine system has been recognized as a crucial component in regulating the trafficking of the involved T lymphocyte subsets. As T lymphocytes mature and undergo activation and differentiation, they develop new patterns of chemokine receptor expression which are associated with changes in their route of migration. In this manner, naive T cells are directed through the secondary lymphoid organs, whereas effector T cells patrol the nonlymphoid organs and accumulate at inflammatory sites (1, 2, 3, 4). However, inflammatory infiltration is not always desirable. Thus, the recruitment of lymphocytes into the CNS can lead to severe pathology as in case of several infectious and autoimmune neuroinflammatory diseases. Because of this, chemokine/receptor interactions have become an important subject to study, when trying to establish the foundation for more efficient and specific treatment of neuroinflammatory diseases. IFN-{gamma}-inducible protein 10 (IP-10)3/CXCL10 has been identified as an important candidate in this context. CXCL10 is a non-Glu-Leu-Arg motif (non-ELR) chemokine that exerts potent chemotactic effect on activated T cells through its binding to the CXCR3 receptor (5). Importantly, CXCL10 acts in conjunction with CXCL9 and CXCL11, two other ligands of CXCR3 (6, 7). CXCL9–11 are all associated with type 1 T cell responses, as they are induced by IFN-{gamma} and target cell types involved in type 1 cytokine-dependent inflammation (8, 9, 10). Furthermore, CXCL9–11 are antagonists for CCR3, which is expressed on T cells of the type 2 phenotype. Thus, these ligands overall favor the development of type 1-polarized inflammatory responses (11, 12). The reason why CXCL10 is suspected to play a central role in the recruitment of T lymphocytes into the inflamed CNS is that CXCL10 has been detected in active CNS lesions of multiple sclerosis (MS), and the majority of the CNS-infiltrating lymphocytes express CXCR3 (13, 14, 15, 16, 17). Furthermore, studies using inhibitory Abs to CXCL10 and CXCL10 or CXCR3 knockout mice to establish the role of this chemokine in certain neuropathological animal disease models including experimental autoimmune encephalomyelitis (EAE), murine hepatitis virus (MHV), HSV-1, and murine CMV have all supported a role for CXCL10 and CXCR3 in the trafficking of activated T cells into the CNS (18, 19, 20, 21, 22, 23, 24, 25, 26, 27). In addition to promoting T cell accumulation, CXCL10 might also directly contribute to neuropathology by activating T cells within the CNS through cytokine/chemokine expression (23).

However, the suggested role of CXCL10 in CNS inflammation is not unequivocal (28, 29), and in some situations elimination of CXCL10 may result in augmented pathology (30, 31, 32). Therefore, identifying CXCL10 as a therapeutic target is a controversial issue. This is particularly relevant during infection, because CXCL10 has been ascribed a role in the development of Ag-driven type 1 phenotype T cell responses in the secondary lymphoid organs (23, 30, 33), why inhibition of CXCL10 function might lead to redirection of T cell polarization toward a type 2 immune response. Therefore, immunopathology might be prevented, but in most cases, the anti-infective potential of the T cell response will be reduced in parallel (34, 35).

Finally, while some studies have suggested that CXCL9 and CXCL11 have a compensatory effect in the absence of CXCL10, other have suggested that the three ligands are expressed in temporally and site-specific manners. Thus, CXCL9 might be more dedicated to generation of effector lymphocytes in secondary lymphoid organs, whereas CXCL11 regulate migration and/or localization of lymphocytes in the inflamed CNS. Additionally, it has been argued that CXCL10 have a regulatory effect on CXCL9 and CXCL11 expression, consequently resulting in dysregulation of the two other ligands in the absence of CXCL10 (29, 31, 36, 37, 38, 39, 40, 41).

To address some of the above issues, we have studied the outcome of intracerebral (i.c.) infection with lymphocytic choriomeningitis virus (LCMV) in CXCL10-deficient mice. In wild-type (WT) mice, this infection induces a fatal T cell-mediated meningitis, the outcome of which directly reflects CD8+ T cell-induced cell damage within the CNS. Using this model, our group has previously found that both CXCL10 and CXCR3 are up-regulated during T cell-mediated inflammation. Furthermore, failure of the effector T cells to express CXCR3 delays CD8+ T cell accumulation in critical areas of the brain parenchyma and reduces LCMV-associated mortality (24).


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

CXCL10-deficient mice (backcrossed on a C57BL/6 (B6) background) were bred locally from breeder pairs originally provided by A. D. Luster (Massachusetts General Hospital, Boston, MA). The generation of CXCR3-deficient B6 mice has been described before (42); the animals used in these experiments were the progeny of breeder pairs kept at the Panum Institute (University of Copenhagen). WT B6 mice were purchased from Taconic Farms, and they were always allowed to rest for at least a week before entering into experiments; by that time, the animals were ~7–9 wk old. All animals were housed under controlled (specific pathogen-free) conditions that included the testing of sentinels for unwanted infections according to Federation of European Laboratory Animal Science Association standards; no such infections were detected. Female mice were used in most experiments, but when both sexes were used, no gender effect was observed. Experiments were conducted according to national guidelines.

Virus infection

Mice were infected i.c. with a virus dose of 3 x 103 LD50 (~600 PFU) of LCMV Traub in a volume of 0.03 ml. LCMV is a noncytolytic virus that causes little if any disease in immunodeficient mice. However, i.c. inoculation of LCMV leads to infection of the meninges and choroid plexus, and in adult, immunocompetent mice the result is a severe CD8+ T cell-mediated meningitis from which animals succumb within 8–10 days p.i (43).

Survival study

Mortality was used to evaluate the clinical severity of acute LCMV-induced meningitis. Mice were checked twice daily for a minimum of 2 wk after i.c. inoculation; deaths occurring <5 days after infection were excluded from analysis.

Organ virus titers

To determine virus titers in the organs, these were first homogenized in PBS to yield 10% (v/w) organ suspensions, and serial 10-fold dilutions were prepared. Each dilution was then plated in duplicate on MC57G cells. Forty-eight hours after infection, infected cell clusters were detected using monoclonal rat anti-LCMV (VL-4) Ab, peroxidase-labeled goat anti-rat Ab, and o-phenylendiamine (substrate) (44). The numbers of PFU were counted, and results were expressed as PFU per gram of tissue.

Cytotoxicity assay

LCMV-specific cytotoxic T cell (Tc) activity was assayed in a 51Cr-release assay using histocompatible EL-4 cells (H-2b) pulsed for 1 h with LCMV gp33–41 peptide as targets; unpulsed EL-4 cells served as control targets. Assay time was 5 h, and percent specific release was calculated according to standard procedure (45, 46).

Cerebrospinal fluid cell count

Cerebrospinal fluid was obtained from the fourth ventricle of mice deeply anesthetized and exsanguinated. The total number of inflammatory cells (background level in uninfected mice is <100 cells/µl) was determining by counting in a hemocytometer, and phenotypic analysis was conducted by flow cytometry (see below).

Abs for flow cytometry

The following mAbs were purchased from BD Pharmingen as rat anti-mouse Ab: FITC- and CyChrome-conjugated anti-CD8, FITC- and PE-conjugated anti-CD44, FITC-conjugated anti-Mac-1 (CD11b), and allophycocyanin-conjugated anti-IFN-{gamma}. PE-conjugated anti-CXCR3 were purchased from R&D Systems and finally, allophycocyanin-conjugated H-2Db-gp33–41 on a dextramer backbone were obtained from Dako.

Flow cytometric analysis

Single-cell suspensions of spleen cells were obtained by pressing the organs through a fine steel mesh. Staining of cells for flow cytometry was performed according to standard laboratory procedure (47, 48). Briefly, for enumeration of LCMV-specific CD8+ T cells, cells were either incubated for 30 min with H-2Db/gp33–41 dextramer before cells were stained with other relevant Abs, washed, and analyzed or cells were incubated in vitro for 5 h at 37°C in 5% CO2 with or without gp33–41 peptide (0.1 µg/ml) in the presence of monensin (3 µM; Sigma-Aldrich) and murine rIL-2 (10 U/well; R&D Systems). After incubation, cells were surface-stained with relevant Abs, washed, and permeabilized using 0.5% saponin. Cells were then stained with anti-IFN-{gamma} for 20 min at 4°C. Samples were analyzed using a FACSCalibur (BD Biosciences), and at least 104 mononuclear cells were gated using a combination of low angle and side scatter to exclude dead cells and debris. Data analysis was conducted using CellQuest Pro software (BD Biosciences).

Isolation of total RNA for RPA or quantitative PCR (Q-PCR)

Brains from mice deeply anesthetized and exsanguinated were immediately removed, snap-frozen in liquid nitrogen, and stored in a liquid nitrogen freezer. Total RNA was extracted from homogenized brains by use of the RNeasy midi kit (Qiagen).

Detection of mRNA in the brain by RNase protection assay (RPA)

Transcription levels were studied using the RiboQuant multiprobe RPA system (BD Pharmingen) (49, 50). The following template sets (from BD Pharmingen) were used: T cell marker mRNA (CD3{epsilon}, CD4, CD11b, CD8beta, F4/80), cytokine marker mRNA (TNF-beta, LTbeta, TNF-{alpha}, IL-6, IFN-{gamma}, IFN-beta, TGFbeta1–3, macrophage migratory inhiibitory factor) chemokine-receptor marker mRNA (CCR1, CCR3, CCR4, CCR5, CCR2, CCR7, CCR8, CXCR3), and chemokine marker mRNA (XCL1 (lymphotactin), CCL5 (RANTES), CCL11 (eotaxin), CCL4 (MIP-1beta), CCL3 (MIP-1{alpha}), CXCL1–2 (MIP-2), CXCL10 (IP-10), CCL2 (MCP-1), and CCL1 (TCA-3)). All sets of probes included templates for the housekeeping genes L-32 and GADPH to serve as loading controls. The RPA was performed according to the manufacturer’s instructions. Briefly, [{alpha}-32P]UTP-labeled antisense RNA transcript was generated from the template sets using T7 RNA polymerase. RNA from each sample was allowed to hybridize to the labeled probe for 16–20 h at 56°C. ssRNA was digested with an RNase/T1 mixture, and the hybrids were analyzed on a denaturing urea-polyacrylamide gel. Protected fragments were visualized by autoradiography by placing dried gels in cassettes with intensifying screens (Biomax MS; Kodak). For qualitative and quantitative results, gels were subjected to phosphor imager analysis (Amersham Biosciences), and the data were subsequently analyzed using ImageMaster TotalLab software (Amersham Biosciences).

Detection of mRNA in the brain by real-time RT-PCR (Q-PCR)

One microgram of mRNA was reverse-transcribed to cDNA using the RevertAid First strand cDNA synthesis kit (MBT Fermentas). For real-time PCRs (Q-PCR), a Brilliant SYBR Green QPCR Mastermix was used according to the manufacturer’s instructions (Stratagene/AH Diagnostics). Briefly, the Q-PCR components included Brilliant QPCR Master mix, distilled water, ROX reference dye, reverse-transcribed cDNA, and the forward and reverse target gene primers (Table I). Target gene expression was normalized against the housekeeping gene GAPDH.


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Table I. Forward and reverse target gene primers

 
The Q-PCR program used in a Mx3000P Real-time QPCR instrument was: denaturation at (95°C for 10 min), 40 cycles of (denaturation (95°C/30 s), annealing (58°C/60 s), extension (72°C/30 s). Each reaction runs in duplicates or triplicates including a control whiteout reverse transcriptase and a control whiteout template.

The results were analyzed using Mx3000P system software. The relative expression ratio (R) in each sample is calculated by a mathematical model based on the amplification efficiency (49, 50, 51): R = (Etarget){Delta}CP(control – sample)/(Ereference){Delta}CP(control – sample).

An amplification efficiency (E) of 100% corresponds to a doubling of the PCR product per cycle. E is calculated from the slope of a standard curve, made based on a 10-fold titration of each primer used (E = 10(–1/slope)). Thus, Etarget correspond to CXCL9–11 and Ereference to GAPDH. In this study, WT brains infected i.c. 7 days earlier with 3 x 103 LCMV were used as standard curve template. {Delta}CP (control – sample) refers to the difference in threshold cycle (Ct) between day 0 (control) and day 3, 5, or 7 p.i. (sample). Ct reflects the number of cycles it takes to reach a point in which the fluorescent signal is first recorded as statistically significant above background (51).

Analysis of chemokine levels in cerebrospinal fluid

Cerebrospinal fluid was obtained as described above; to obtain sufficient volumes for analysis test, samples consisted of cerebrospinal fluid pooled from two mice. CXCL9 and CXCL10 were assayed using sandwich ELISA kits (R&D Systems Europe). All assays were run according to manufacturer’s instructions, and concentrations were calculated from standard curves generated by use of recombinant chemokines. Detection limits of the assays were ~30 pg/ml, but due to limitations in the volumes of cerebrospinal fluid that can be obtained, predilution of test samples was required increasing the detection limit to 300–400 pg/ml.

Immunohistochemistry

Mice were deeply anesthetized with tribromoethanol (Sigma-Aldrich) i.p. and decapitated. Brains were then processed for immunohistochemistry as described previously (24). For immunohistochemistry, 10 acetone-fixed micron cryostat sections were washed in 0.1 M PBS (pH 7.4) followed by incubation with 5% normal swine serum (X0901; Dakopatts) diluted in 1% BSA in PBS/0.3% Triton X-100 (BSA/TX100) to block nonspecific binding by the Abs. Next, sections were incubated overnight at 4°C with monoclonal rat anti-mouse CD8a (550281; BD Biosciences), or alternatively with monoclonal rat anti-mouse LCMV Ab to detect viral protein in the brain (VL-4; provided by R. M. Zinkernagel, University Hospital, Zurich, Switzerland) (44, 52). Specific binding of the primary Abs was verified using biotinylated rabbit anti-rat IgG (BA-4001; Vector Laboratories) and HRP-streptavidin-biotin complex (Vectastain; Vector Laboratories). Finally, the sections were developed in diaminobenzidine and 0.01% H2O2 in 0.05 M Tris buffer (pH 7.6). To evaluate the extent of nonspecific binding of the primary Ab in the immunohistochemical studies, the preincubation agent (swine serum and BSA) was substituted for the primary Ab step described above, and results were considered only if this control was negative (24).

Quantitative morphological analysis

Counts of CD8+ T cells were performed in sections using a standardized protocol for estimating cell density, which involved counting the number of CD8+ T cells in a 10 x 10-mm frame overlaying the part of the corpus callosum situated above the body of the lateral ventricle at 250 times magnification equivalent to an area of 10,000 µm2. Three sections with an individual distance of ~300 µm were examined in brains of WT and CXCL10-deficient mice on day 7 p.i.

Statistical analysis

Histological data were examined by ANOVA, and means were tested with the Student-Newman-Keuls test for differences between individual means. For survival curves, comparisons were performed using the Mantel-Cox test; quantitative results were compared using the Mann-Whitney U test. A p value of <0.05 was considered as evidence of statistical significance.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 
Generation of a normal CD8+ T cell response in the absence of CXCL10

It has been suggested that CXCL10 expressed in secondary lymphoid organs influence the activation and differentiation of T cells. The reason for this is, that dendritic cell (DC)-T cell interactions are considered essential to initiate effector T cell generation in lymphoid organs (53, 54), and DC-derived CXCL10 has been reported to stabilize DC-Th1 cell clusters and mediate retention of T cells in lymph nodes (30). Moreover, CXCL10 has been demonstrated to enhance expansion of Ag-specific T cells (23) and induce Th1 polarization of CD4+ T cells (30, 33). Therefore, to determine whether lack of CXCL10 would impair the expansion and differentiation of LCMV-activated Tc1 cells in secondary lymphoid tissues, we investigated the generation of effector cells in terms of total numbers of splenic CD8+ T cells with 1) an activated phenotype (CD44high) and 2) known specificity for an immunodominant LCMV epitope (gp33–41). The T cell response in the spleen was chosen for analysis because during i.c. infection with LCMV, the majority of effector T cells are generated in this organ (55). WT mice and CXCL10-deficient mice were infected i.c. with LCMV, and on days 6 and 7 p.i., splenocytes were analyzed by flow cytometry. As can be seen in Fig. 1, A and B, lack of CXCL10 did not impair the LCMV-induced CD8+ T cell expansion. Moreover, by evaluating the capacity of gp33–41-specific CD8+ T cells to produce IFN-{gamma} (Fig. 1C) and to lyse peptide-loaded target cells (Fig. 1D), we could show that the generated T cells were functionally active Tc1 cells.


Figure 1
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FIGURE 1. Lack of CXCL10 expression has no effect on the generation of virus-specific CD8+ T cells. WT and CXCL10-deficient mice were infected i.c. with 3 x 103 LD50 of LCMV. On days 6 and 7 p.i., splenocytes were stained with anti-CD8, anti-CD44, and H-2Db/gp33–41. To further determine the frequency of Ag-specific CD8+ T cells, cells were stimulated in vitro with LCMV gp33–41 peptide for 5 h and stained for intracellular IFN-{gamma}. Gates were set for CD8+ T cells, and the total number of CD44high (A; the stippled line marks the average number in uninfected mice); CD44highH-2Db/gp33–41+ (B) and CD44highIFN-{gamma}+ (C) cells per spleen is presented. Averages ± SD of four mice per group are depicted; one of two similar experiments is presented. D, On day 7 p.i., splenocytes were evaluated for killing of gp33–41 peptide-loaded and control (minus peptide) EL-4 cells; results from analysis of individual animals are presented.

 
We further evaluated CXCR3 expression on the virus-specific T cells in the absence of CXCL10 as it could be argued that CXCR3 binding of its ligand could affect the expression level of CXCR3 due to recycling, as previously documented for CCR5 (56, 57). Chemokine receptor expression on CD8+ splenocytes, from WT and CXCL10-deficient mice infected i.c. with LCMV 7 days earlier were analyzed using flow cytometry. Similar up-regulation of CXCR3 expression was observed in CXCL10-deficient and WT mice, and this included cells with known (H-2Db/gp33–41+) specificity for the virus (Fig. 2). Thus, under our experimental conditions, the generation and differentiation of inflammatory Tc1 cells in the spleen is not affected by the absence of CXCL10.


Figure 2
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FIGURE 2. CXCR3 expression on virus-specific CD8+ T cells in CXCL10-deficient mice. Splenocytes were harvested from WT and CXCL10–/– mice infected i.c with 3 x 103 LD50 of LCMV 7 days earlier. Splenocytes were stained with anti-CD8, anti-CD3, and anti-H2Db/gp33–41. Gates were set for CD8+ cells; results are representative of two experiments with a total of four to five mice per group.

 
CXCL10 have no impact on leukocyte recruitment to cerebrospinal fluid

CXCL10 expression is up-regulated in the LCMV-infected CNS (49, 58). Therefore, having established that lack of CXCL10 does not impair the generation of virus-specific effector T cells in the spleen, we next studied the requirement for CXCL10 in directing mononuclear leukocytes to the virus-infected CNS. First, we compared the accumulation of mononuclear cells in the cerebrospinal fluid of WT and CXCL10-deficient mice. Mice were infected with 3 x 103 LD50 of LCMV, and on the days leading up to fatal inflammatory disease in WT mice (days 6 and 7 p.i.), the number of leukocytes present in the cerebrospinal fluid was quantified. As can be seen in Fig. 3A, no significant differences in the accumulation of leukocytes were revealed between the mouse strains. On day 7 p.i., we further evaluated the composition of the inflammatory exudate with regard to CD8+ T cells and Mac-1+ cells, as a characteristic of the inflammatory reaction at this time point is the accumulation of mononuclear cells belonging to these two cell lineages (24, 59, 60, 61). We did not observe any significant difference in the composition of the cell infiltrates between the two mouse strains (Fig. 3B), leading us to conclude that CXCL10 is not pivotal for the accumulation of mononuclear leukocytes in the cerebrospinal fluid.


Figure 3
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FIGURE 3. CXCL10 is not pivotal for recruitment of mononuclear leukocytes to the cerebrospinal fluid. WT and CXCL10-deficient mice were infected i.c. with 3 x 103 LD50 of LCMV. A, Cerebrospinal fluids (CSF) were harvested on days 6 and 7 p.i. and cerebrospinal fluid cells were counted (n = 4–6 mice/group). B, On day 7 p.i., cells from cerebrospinal fluid were isolated and stained with anti-CD8 and anti-Mac-1 (B cell marker), and the composition of the cellular infiltrate was analyzed in a flow cytometer (n = 4–5/group). Averages ± SD are depicted.

 
Similar to CXCR3-deficient mice, CXCL10-deficient mice are less susceptible to LCMV-induced meningitis than WT mice

To further evaluate the requirement for CXCL10 in the accumulation of activated CD8+ effector T cells within the virus-infected CNS, WT, CXCL10, and CXCR3-deficient mice were infected with 3 x 103 LD50 of LCMV, and for the next 14 days, their mortality was registered (Fig. 4). We recently showed (24) that CXCR3-deficient mice are less susceptible to this CD8+ T cell-mediated disease compared with WT, which invariably succumb from i.c. infection. It was therefore of interest to see whether CXCL10-deficient mice would be as resistant as CXCR3-deficient mice, or if the other ligands of CXCR3 would suffice in the absence of CXCL10.


Figure 4
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FIGURE 4. CXCL10-deficient mice are partly protected against fatal T cell-mediated meningitis. WT, CXCR3, and CXCL10-deficient mice were infected i.c. with 3 x 103 LD50 of LCMV, and mortality was registered. Cumulative survival data pooled from three independent experiments is presented (n = 19–21/group). Statistical evaluation was performed using the Mantel-Cox test; p < 0.05 for both types of knockout mice vs WT. In a parallel experiment, brain virus titers of WT and CXCL10–/– mice on day 7 p.i. were determined and expressed as mean PFU per gram of tissue ± SD of four mice per group.

 
As expected, all infected WT mice died with symptoms of LCMV-induced meningitis around day 8–9 p.i. In contrast, CXCL10-deficient mice tended to die later, and nearly 40% of these mice survived the infection (Fig. 4). This result closely matched that for CXCR3-deficient mice infected in parallel, suggesting that other CXCR3 ligands do not compensate for the lack of CXCL10. The different survival rates in the three mouse strains do not reflect any major differences in peak viral loads, as similar brain virus titers were measured 7 days after infection regardless of genotype (Fig. 4) Furthermore, like in surviving CXCR3-deficient mice, some of the CXCL10-deficient mice had controlled the CNS infection by day 21 after virus inoculation, while others still harbored substantial amounts of virus in the brain (data not shown). Thus, from a clinical perspective, absence of CXCL10 weakens the immune attack to the same degree as previously observed in CXCR3-deficient mice.

Comparison of relevant cerebral mRNA expression in CXCL10-deficient and WT mice with fatal meningitis

To directly evaluate the immune response in the brain, we first quantified transcripts specific for cell subset markers and proinflammatory cytokines by RPA. mRNA were isolated from the brains of WT and CXCL10-deficient mice 7 days after i.c. LCMV infection and from matched control mice inoculated the same way with PBS. As can be seen in Fig. 5A, the levels of CD8 and CD3 mRNA tended to be reduced in CXCL10-deficient mice similar to what has previously been observed in CXCR3-deficient mice (24, 61). Furthermore, we found the expression of TNF-{alpha} to be similarly increased in CXCL10-deficient and WT mice. In contrast, IFN-{gamma} levels were lower in the absence of CXCL10 (Fig. 5B), probably reflecting the reduced CD8+ T cell accumulation in the CNS. Other proinflammatory cytokines were either not detected (TNF-beta) or only expressed at a very low level (IL-6, lymphotoxin beta) (data not shown).


Figure 5
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FIGURE 5. Cerebral expression of inflammation-related transcripts in mice infected i.c. with LCMV. WT and CXCL10-deficient mice were infected i.c. with 3 x 103 LD50 LCMV or injected with PBS (control). Seven days later, mice where sacrificed, and transcript levels in the brain were assayed by RNase protection assays; the intensity of the different bands have been normalized against the housekeeping gene L32. A, Cell subset markers; B, cytokines; C, chemokines; D, receptors. Averages ± SD of three mice per group are depicted.

 
In the same mice described above, we also evaluated the cerebral expression pattern of relevant chemokines/receptors to determine whether lack of CXCL10 would result in a different expression profile of chemokines or chemokine receptors. As can be seen from Fig. 5, C and D, no qualitative change in the composition of the evaluated chemokine/receptor expression was observed in CXCL10-deficient mice except for the expected lack of CXCL10 expression in CXCL10-deficient mice.

Absence of CXCL10 expression delays CD8+ T cell accumulation in the neural parenchyma.

To study CD8+ T cell accumulation in the CNS more directly, the localization of CD8+ T cells was evaluated through immunohistological analysis. WT and CXCL10-deficient mice were infected i.c. with LCMV, and brain sections were analyzed 7 days after infection, the day before WT mice normally die from this infection (Fig. 6). As previously reported, the meninges of i.c.-infected mice exhibited prominent signs of inflammation, including multiple CD8+ immunoreactive cells. WT mice also harbored CD8+ cells in many gray and white matter regions in close vicinity of the surfaces of the ventricular system (Fig. 6B). This was not the case in brains of CXCL10-deficient mice (Fig. 6E), the histology of which recapitulated the pattern previously observed in CXCR3-deficient mice (24). Thus, a careful examination of the corpus callosum revealed very few CD8+ cells in this area in CXCL10-deficient mice infected 7 days earlier (Table II).


Figure 6
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FIGURE 6. Delayed CD8+ T cell accumulation in the brain parenchyma in CXCL10-deficient mice infected i.c. with LCMV. Immunohistochemical analysis of brains sections from WT (A–C) and CXCL10-deficient (D–F) mice infected i.c. with 3 x 103 LD50 of LCMV and examined on day 7 (A–F). Sections are taken at the level of the lateral ventricle (*). A and D, Toluidine blue-stained sections. B, CD8+ T cells in brain regions near the lateral ventricle. E, CD8+ T cells are hardly identified in the brain parenchyma of CXCL10-deficient mice on day 7 p.i. C and F, Sections neighboring B and E, respectively, both recapitulating the viral infection of regions near the lateral ventricle. Scale bar, 200 µm. Results are representative of three to four mice per group.

 

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Table II. Number of CD8+ T cells in corpus callosum of WT and CXCL10-deficient mice (CXCL10–/–) infected with LCMV virus 7 days earliera

 
To further determine whether the difference in the accumulation of CD8+ T cells reflected a difference in the localization of virus-infected cells, brain sections were analyzed with regard to the distribution of virus-infected cells. Irrespective of genotype, viral protein was detected in choroid plexus epithelial cells, ependymal cells, cells of the meninges, and cells with a morphology corresponding to microglial cells and monocytes (Fig. 6, C and F). The labeled inflammatory cells were observed diffusely around the surfaces of the ventricular system and in major white matter tracts such as the corpus callosum, fimbria, internal and external capsules, and the pyramidal tract. In conclusion, a delay in accumulation of fatal CD8+ T cells was observed in CXCL10-deficient mice, rendering them less susceptible to fatal meningitis.

Cerebral expression of CXCL9 and 11 in CXCL10-deficient mice

Although the above results indicated that CXCL10 is involved in regulating the accumulation of CD8+ T cells in the virus-infected CNS, it was pertinent to evaluate the behavior of the two related ligands of CXCR3, CXCL9 and 11, in the absence of CXCL10. Besides the role of IFN-{gamma} in regulating the expression of all three ligands, it has been suggested that the level of CXCL10 production may regulate the further expression of CXCL9 and CXCL11 indirectly, through its effect on the balance of type 1 and type 2 cytokines (29).

First, to determine whether CXCL9 and CXCL11 are induced during fatal LCMV-induced meningitis, we studied the kinetics of mRNA expression for these ligands in the brain of LCMV-infected WT mice. For comparison, we also determined the levels of expression of CXCR3 and CXCL10 mRNA, which are already known to be up-regulated in CNS during LCMV infection (24, 49). As can be seen in Fig. 7, B and D, the kinetics of both CXCL9 and CXCL11 mRNA expression are similar to that of CXCL10 (Fig. 7C), and the expression of mRNA for CXCR3 follows the same pattern (Fig. 7A).


Figure 7
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FIGURE 7. The kinetics of cerebral mRNA levels of CXCL9–11 in virus-infected WT mice. WT mice were either infected i.c. with 3 x 103 LD50 of LCMV or injected with PBS (control). On the indicated days, mRNA, isolated from the brain, was subjected to real-time RT-PCR: CXCR3 (A), CXCL9 (B), CXCL10 (C), and CXCL11 (D). Undisturbed brains served as CP control. Medians and ranges of three mice per group are presented.

 
Next, to evaluate whether lack of CXCL10 would influence the expression of the other two ligands, we compared the levels of expression of mRNA for CXCL9–11 from CXCL10-deficient and WT mice infected with LCMV i.c. 7 days earlier (Fig. 8A). Interestingly, we found a higher expression of CXCL11 in CXCL10-deficient mice relative to WT mice. However, even though the difference in CXCL11 expression is statistically significant, the difference does not seem to be biologically relevant, because we did not observe a higher mortality in CXCL10-deficient mice than in CXCR3-deficient mice (see Fig. 4). With regard to CXCL9, mRNA expression was markedly up-regulated in LCMV-infected mice of both strains, but in repeated experiments, we found a lesser increase (about 2-fold) in CXCL10-deficient mice.


Figure 8
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FIGURE 8. Comparison of CXCL9–11 levels in CXCL10-deficient and WT mice. WT and CXCL10-deficient mice were either infected i.c. with 3 x 103 LD50 of LCMV or injected with PBS (CP control). A, Seven days later, mRNA, isolated from the brain, was subjected to real-time RT-PCR. Medians and ranges of three mice per group are represented; one of two similar experiments is presented. B, Seven days later, cerebrospinal fluid (CSF) was tapped and chemokine levels were assayed using sandwich ELISAs. Medians and ranges of three pools (each from two mice per group) are presented; levels in uninfected mice were below the detection limit (<400 pg/ml); N.D., not detectable.

 
To confirm these observations, we also measured chemokine levels in the cerebrospinal fluid by use of ELISAs (Fig. 8B). As expected from the analysis of mRNA expression, we found that 1) the concentration of CXCL9, but in particular CXCL10, was markedly increased in the cerebrospinal fluid of LCMV-infected WT mice, and 2) LCMV-infected CXCL10-deficient mice had lower levels of CXCL9 in the cerebrospinal fluid (about 3-fold) than WT mice. Confirming the genotype, CXCL10 was absent in CXCL10-deficient mice.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 
Today, a wide range of studies debate the possibility of targeting CXCL10 to prevent immunopathology during various infectious and autoimmune neuroinflammatory diseases. Thus, local production of CXCL10 has been associated with a variety of neurodegenerative diseases including MS (13, 14, 15, 16, 17), EAE, an animal model of MS (18, 19, 20), and viral encephalitides (21, 22, 23). Moreover, accumulating evidence point to a central role for CXCL10 in regulating the recruitment of pathological T cells to sites of CNS inflammation. For example, chronic expression of CXCL10 in mice infected intracerebrally with MHV results in T cell accumulation and progression of demyelination, and the same pattern is seen in both MS and EAE, where cerebral expression of CXCL10 correlates with development of clinical disease and recruitment of pathogenic T cells (13, 14, 15, 16, 17, 18, 20, 22). Supporting the above viewpoint, treatment of mice with Abs to CXCL10, or immunizing mice with either naked CXCL10 DNA or a CXCL10-encoding DNA construct are all treatments that decrease the severity of both MHV-induced demyelination and EAE (18, 20, 22, 35). However, contradictory results also exist regarding the role of CXCL10. For example, Klein et al. (31) recently demonstrated, using CXCL10-deficient mice and EAE, that loss of CXCL10 had no impact on the recruitment of pathogenic T cells to the CNS, and further, lack of CXCL10 was associated with up-regulation of cerebral CXCL11 and decreased expression of CXCL9 in the lymph nodes, suggesting a dysregulation of other CXCR3 ligands in the absence of CXCL10 (31). Thus, further investigations are clearly needed before CXCL10 can be established as a therapeutic target.

In the present study, we attempt to obtain a better understanding of the role of CXCL10 in the development of virus-induced immune-mediated neuropathology. For this purpose, i.c. infection with LCMV was a relevant model system to apply, because the virus itself is noncytolytic, and a fatal outcome of the infection is directly related to the accumulation of pathogenic CD8+ T cells in the virus-infected CNS (59, 60). Moreover, using this model we were recently able to demonstrate that absence of CXCR3 reduced T cell-mediated cell damage in the virus-infected CNS (24). Hence, we knew that CXCR3 is involved in regulating neural T cell accumulation during LCMV infection, but the involved ligand(s) had not been identified.

Our present data showed that CXCL10 is not essential for the expansion and differentiation of an optimal virus-specific Tc1 response in the spleen, despite the fact that other studies have indicated a role for CXCL10 in both optimizing T cell activation and inducing type 1 polarization (23, 30, 33). Although it could be argued that CXCL9 might exert a compensatory effect in the absence of CXCL10 (39), this does not seem to be the explanation in our case, as T cell activation and differentiation is also unimpaired in CXCR3-deficient mice (24). Consequently, it is more likely that differences in the model systems provide the explanation for this discrepancy. In this context, it may be relevant that in our infection model the main part of the inoculum immediately accesses the blood stream due to the abrupt increase in intracranial pressure following i.c. inoculation. In this manner, most vascularized organs, including lymph nodes and spleen, become actively infected, and perhaps this overrules the necessity of CXCL10 signaling to enhance effector cell generation.

Evaluating the requirement for CXCL10 in controlling the accumulation of pathogenic T cells in the virus-infected CNS, we first noted that CXCL10 was not required for CD8+ T cells to extravasate and cross the blood-cerebrospinal fluid barrier, because similar accumulation of CD8+ T cells were detected in the cerebrospinal fluid of CXCL10-deficient and WT mice. Consequently, it is not simply the lack of infiltrating CD8+ T cells which limits the immunopathology in i.c.-infected CXCL10-deficient mice. This conclusion is not surprising, given that we have recently shown a similar redundant role of CXCR3 in the recruitment of leukocytes to the cerebrospinal fluid of LCMV-infected mice (24). Studies by Callahan et al. (62) may further explain this redundancy mechanistically. Thus, analyzing the transmigration of CXCR3+ memory T cells across an endothelial cell layer with properties resembling the blood-brain barrier, they found that lack of CXCR3 had no effect on the transmigratory skills of the T cells, suggesting that engagement of CXCR3 contribute to retention of activated T cells within the inflamed CNS rather than playing a role in diapedesis.

In contrast with the cerebrospinal fluid results, analysis of transcript levels in the brain directly related to the influx of CD8+ T cells provided the first indication that T cell accumulation in the CNS was impaired. Thus, we found reduced levels of CD8+ T cell markers and IFN-{gamma} around the time of maximal disease intensity in WT mice. Even more convincing was the immunohistological analysis which revealed that CD8+ T cells did not accumulate efficiently in the neural parenchyma of CXCL10-deficient mice, at least not as rapidly as in WT mice. Notably, this was despite a similar level and localization of LCMV-infected cells. Overall, these findings conform to what we have previously observed in CXCR3-deficient mice, in which animals the accumulation of CD8+ T cells inside the neural parenchyma is significantly delayed (24). Taken together, these results indicate that CXCL10/CXCR3 interaction plays a key role in facilitating the accumulation of activated cells within certain critical areas of the LCMV-infected CNS. However, this may not be the only possible mechanism by which CXCL10 contributes to neuroinflammatory pathologies. It could be argued that CXCL10 expression has a critical role in retaining activated T cells around the cerebral endothelial cells, and that local secretion of inflammatory cytokines (e.g., IFN-{gamma}) and chemokines resulting from this interaction could contribute to the immunopathology (63). This might be another explanation of why WT mice are more susceptible to the fatal meningitis than CXCL10 and CXCR3-deficient mice. Hence, even though it is the impression that similar numbers of CD8+ T cells accumulate in the choroid plexus regardless of genotype, T cells in CXCL10-deficient mice may not establish sufficient stable interactions to induce real damage. Supporting this possibility, Sorensen et al. (15, 17) have shown that in MS patients, a convincing relationship exists between 1) CXCL10 expression by astrocytes near vessels and 2) CXCR3-expressing perivascular lymphocytes.

Another subject of debate is whether CXCL9 and CXCL11 have a compensatory role or are dysregulated in the absence of CXCL10 (31, 37, 38, 41). In our model, we noted a reduced expression and production of CXCL9 in mice lacking CXCL10. However, because CXCL10 is the quantitatively dominating CXCR3 ligand, and CXCL10-deficient mice also tend to express less IFN-{gamma}, the lower level of CXCL9 is probably the result of an impaired inflammatory response rather than the cause of it. In contrast, increased expression of CXCL11 was found in the inflamed CNS of CXCL10-deficient mice. This finding is of interest for two reasons. First, it indicates that the regulation of the expression of CXCL9 and 11 is partly dissociated in the CNS of CXCL10-deficient mice. Second, Cole et al. (6) have shown that with regard to chemoattraction, CXCL11 is the most potent ligand of CXCR3 and thus would be expected to dominate as chemoattractant of CXCR3+ cells in vivo. However, because the survival rate of CXCL10-deficient mice closely matched that of CXCR3-deficient mice, CXCL11 expression did not seem to be biologically relevant in the virus-infected CNS. A recent study examining the expression of CXCL11 in rats subjected to EAE showed that in this case CXCL11 was not expressed until at least 24 h after the appearance of both CXCL10 and its receptor CXCR3 in the CNS (38). A similar delay in the expression of CXCL11 relative to CXCL10 in LCMV-infected mice might explain why we did not observe any compensatory effect of CXCL11. Interestingly, a recent study showed that besides the fact that CXCL10 and CXCL11 are allotopic agonists for CXCR3, with CXCL10 having a single-binding affinity and CXCL11 having multiple-binding affinities, they also bind to the CXCR3 receptor when it is in different activation states (64). Thus, the two ligands may bind to cells in different activation states and thus mediate different signals to CXCR3-expressing cells, instead of complementing each other.

In conclusion, we have evaluated the role of CXCL10 in regulating CD8+ T cell-mediated inflammation in the virus-infected brain. This was done by use of CXCL10-deficient mice infected i.c. with LCMV, which in WT mice invariably induces a fatal CD8+ T cell-mediated meningitis. In summary, our results demonstrate a central role for CXCL10 in regulating the accumulation of CD8+ effector T cells in critical areas of the CNS during this viral infection, with no apparent compensatory function of other CXCR3 ligands.


    Acknowledgments
 
We thank Grethe Thørner Andersen, Lone Malte, and Susan Peters for excellent technical assistance. We also thank Christina Jespersgaard and Jørgen Schøller (Dako) for generously providing the MHC/peptide dextramers used in this study. IP-10-deficient mice were provided by A. D. Luster.


    Disclosures
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 
The authors have no financial conflict of interest.


    Footnotes
 
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

1 This work was supported in part by the Danish Medical Research Council, the Lundbeck Foundation, Aase and Ejner Danielsen’s Foundation, the Novo Nordisk Foundation, and Dr. Sofus Carl Emil Friis and Mrs. Olga Doris Friis’ Foundation. J.E.C. is the recipient of a Ph.D. scholarship from the Faculty of Health Science, University of Copenhagen. Back

2 Address correspondence and reprint requests to Dr. Allan Randrup Thomsen, Institute of Medical Microbiology and Immunology, University of Copenhagen, The Panum Institute, 3C Blegdamsvej, DK-2200 Copenhagen N, Denmark. E-mail address: A.R.Thomsen{at}immi.ku.dk Back

3 Abbreviations used in this paper: IP-10, IFN-{gamma}-inducible protein 10; MS, multiple sclerosis; EAE, experimental autoimmune encephalomyelitis; MHV, murine hepatitis virus; LCMV, lymphocytic choriomeningitis virus; i.c., intracerebral; WT, wild type; RPA, RNase protection assay; Q-PCR, quantitative PCR; Ct, cycle threshold; DC, dendritic cell; Tc, cytotoxic T cell. Back

Received for publication September 7, 2005. Accepted for publication January 14, 2006.


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 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
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