The JI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     
 


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Dzhagalov, I.
Right arrow Articles by He, Y.-W.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Dzhagalov, I.
Right arrow Articles by He, Y.-W.
The Journal of Immunology, 2007, 178: 2113-2121.
Copyright © 2007 by The American Association of Immunologists, Inc.

Regulation of CD8+ T Lymphocyte Effector Function and Macrophage Inflammatory Cytokine Production by Retinoic Acid Receptor {gamma}1

Ivan Dzhagalov*, Pierre Chambon{dagger} and You-Wen He2,*

* Department of Immunology, Duke University Medical Center, Durham, NC 27710; and {dagger} Institut de Genetique et de Biologie Moleculaire et Cellulaire, Centre National de la Recherche Scientifique-Institut National de la Santé et de la Recherche Médicale, Universite Louis Pasteur, Strasbourg, France


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 
Vitamin A and its derivatives regulate a broad array of immune functions. The effects of these retinoids are mediated through members of retinoic acid receptors (RARs) and retinoid X receptors. However, the role of individual retinoid receptors in the pleiotropic effects of retinoids remains unclear. To dissect the role of these receptors in the immune system, we analyzed immune cell development and function in mice conditionally lacking RAR{gamma}, the third member of the RAR family. We show that RAR{gamma} is dispensable for T and B lymphocyte development, the humoral immune response to a T-dependent Ag and in vitro Th cell differentiation. However, RAR{gamma}-deficient mice had a defective primary and memory CD8+ T cell response to Listeria monocytogenes infection. Unexpectedly, RAR{gamma}-deficient macrophages exhibited impaired inflammatory cytokine production upon TLR stimulation. These results suggest that under physiological condition, RAR{gamma} is a positive regulator of inflammatory cytokine production.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 
Vitamin A and its derivative retinoids play essential roles in a variety of biological processes, including survival, growth, reproduction, and resistance to infection (1, 2). With the exception of vision in which the active intermediate of vitamin A is 11-cis-retinal, all other functions of vitamin A are mediated by all-trans retinoic acid (ATRA)3 and 9-cis-retinoic acid (9-cis-RA) (3, 4). Vitamin A and its derivatives have broad regulatory functions in the immune system. Vitamin A-deficient animals exhibit atrophy of the thymus and spleen, and vitamin A deficiency in humans increases susceptibility to infections (5, 6). In vitro studies also show that ATRA regulates lymphocyte function. For example, ATRA can inhibit the proliferation of both B and T cells (7, 8). ATRA also inhibits apoptosis in T cell hybridomas (9, 10) and blocks negative selection when added to fetal thymus organ culture (11). Importantly, ATRA and its derivatives inhibit inflammation and are widely used in clinical treatment of acne (12, 13). The pleiotropic effects of retinoids are most likely mediated by the tempospatial expression of different retinoid receptors.

Two families of nuclear receptors, retinoic acid receptors (RARs) and retinoid X receptors (RXRs), act as retinoid receptors (14). The RARs ({alpha}, beta, {gamma}, and their isoforms) are activated by both ATRA and 9-cis-RA, whereas the RXRs ({alpha}, beta, and {gamma}) are exclusively activated by 9-cis-RA (4). RAR{gamma}, the third member of the RAR family, recognizes a direct repeat of AGGTCA separated by 2 or 5 nt and binds to DNA as a heterodimer with members of the RXR family (15). RAR{gamma}/RXR heterodimer binds to its responsive element constitutively, and in the absence of ATRA it represses transcription by recruiting corepressors (16). Upon binding to ATRA, RAR{gamma}/RXR dimer recruits coactivators and up-regulates transcription of target genes. In addition to functioning as a coreceptor for RARs, RXRs can also serve as heterodimeric partners for other nuclear receptors such as thyroid hormone receptors, peroxisome proliferator-activated receptors (PPARs), and nerve growth factor-induced gene B (17). The level of complexity in the formation of different types of retinoid receptors by RARs and RXRs in various cells suggests that individual RARs or RXRs may exert unique modulating function in the immune system.

To dissect the role of individual RARs in transducing retinoid signals in the immune system, we examined immune cell development and function in mice with RAR{gamma} conditionally deleted in hemopoietic cells. Our experiments were designed to examine the function of RAR{gamma} under physiological or pharmacological levels of retinoid acid stimulation. Our data show that RAR{gamma} is dispensable for the development of immune cells, but it is required for CD8+ T cell IFN-{gamma} production and effector function in response to Listeria monocytogenes infection in vivo. Unexpectedly, inflammatory cytokine production is impaired in RAR{gamma}-deficient macrophages. These data suggest that RAR{gamma} plays a nonredundant role in regulating inflammatory cytokine production in T lymphocytes and macrophages.


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

C57BL/6 mice were obtained from The Jackson Laboratory. The RAR{gamma}L/L VavCre mice were generated by crossing RAR{gamma}L/L mice with VavCre transgenic mice (18, 19). To determine the efficiency of Cre-mediated deletion, genomic DNA from thymus, spleen, and bone marrow (BM) was digested with XbaI and XhoI (New England Biolabs) and probed, as described (18). RAR{gamma}L/+VavCre and RAR{gamma}L/L mice were indistinguishable from wild-type mice and used as controls in all of the experiments. All mice were fed regular diet (vitamin A sufficient), maintained under specific pathogen-free conditions at Duke University Vivarium, and used at 6–12 wk of age. All experiments were performed according to protocols approved by Duke University Animal Care and Use Committee.

RT-PCR and quantitative RT-PCR

Lymphocyte populations from the thymus and spleen of C57BL/6 mice were purified by fluorescence-activated cell sorting (>99% pure), and total RNA from 1 x 106 cells was extracted with RNeasy Mini kit (Qiagen). First strand DNA was reverse transcribed with iScript Reverse Transcriptase kit (Bio-Rad). Quantitative and semiquantitative RT-PCR were performed with the following primers: RAR{gamma} forward, 5'-TCC TCG GGT CTA TAA GCC ATG CTT TG and reverse, 5'-TTG GAC ATG CCC ACT TCG AAA CAC; hypoxanthine phosphoribosyltransferase (HPRT) forward, 5'-GAT ACA GGC CAG ACT TTG TTG and reverse, 5'-GGT AGG CTG GCC TAT AGG CT. The quantitative RT-PCR was performed in triplicates on LightCycler (Roche). The mRNA abundance of RAR{gamma} was calculated and normalized to HPRT using Relative Expression Software Tool provided by M. Pfaffl (Technical University of Munich, Munich, Germany).

Flow cytometry

Single-cell suspensions of the spleen, BM, thymus, and lymph nodes were lysed of erythrocytes, incubated with an FcR blocker (2.4G2 supernatant), and stained with fluorochrome-labeled mAbs in PBS containing 2% FCS and 0.02% sodium azide. The following Abs directly conjugated to FITC, PE, or PE/cy5 were used for flow cytometric analyses: CD3, CD4, CD8{alpha}, CD43, CD44, CD25, B220, TCRbeta, TCR{gamma}{delta}, BP-1 (Ly51), CD24 (heat-stable Ag), IgM, IgD, and {alpha}4beta7 integrin (DATK), from BD Pharmingen, eBioscience, or Biolegend. Analyses were performed on a FACScan flow cytometer using CellQuest software (BD Biosciences). Kb-OVA-PE tetramers were provided by M. Bevan (University of Washington, Seattle, WA).

For cell proliferation experiments, 200 µl of single-cell suspensions from spleen at 106 cells/ml was stimulated in triplicates in complete RPMI 1640 medium (Invitrogen Life Technologies) with 5 µg/ml anti-CD3 (2C11) Ab or 40 µg/ml anti-IgM Ab (MP Biomedicals) for 72 h in the presence or absence of 10 nM ATRA (Sigma-Aldrich). Then the cells were pulsed with 1 µCi of [3H]thymidine (GE Healthcare). After 4 h, the cells were harvested with a Tomtec cell harvester (Tomtec) onto fiberglass filters (PerkinElmer) and incubated with Betaplate Scint scintillation liquid (PerkinElmer Wallac). The filters were read on Microbeta TriLux (PerkinElmer).

For the cell stimulation experiments, total splenocytes were stimulated with 1 µg/ml anti-CD3 (2C11) Ab in the presence or absence of 10 nM ATRA (Sigma-Aldrich) for 2 days, washed, and cultured for 3 more days in the presence of 100 U/ml human IL-2 (hIL-2; Biolegend).

Th1/Th2 differentiation

CD4+ T cells were purified by depletion with a mixture of biotinylated Abs for B220, CD8, I-Ab, CD11c, and Mac-1, followed by Dynabeads M-280 streptavidin (Invitrogen Life Technologies). The purity was typically above 88%. A total of 2 x 106 CD4+ T cells was incubated with the same number of irradiated (3000 rad) T cell-depleted splenocytes on anti-CD3 (5 µg/ml)-coated 24-well plates (BD Biosciences) in the presence of 100 U/ml hIL-2. For Th1 differentiation, anti-IL-4 Ab at 4 µg/ml (Biolegend) and IL-12 at 5 ng/ml (PeproTech) were added. For Th2 differentiation, anti-IFN-{gamma} at 4 µg/ml (Biolegend) and IL-4 at 50 ng/ml (PeproTech) were added. After incubation at 37°C for 5 days, the live cells were isolated by gradient centrifugation on Lympholyte-M (Cedarlane Laboratories) and activated on anti-CD3 (5 µg/ml) plus anti-CD28 (1 µg/ml)-coated 24-well plates overnight for cytokine production, as measured by ELISA or with PMA (10 ng/ml) plus ionomycin (300 ng/ml) in the presence of GolgiStop (BD Pharmingen) for 5 h for intracellular cytokine staining.

Cytokine assays

IL-6 and TNF-{alpha} production was assayed with ELISA kits (eBioscience). IL-12, IL-4, IL-5, IL-13, and IFN-{gamma} production was determined by ELISA using the following pairs of Abs: 2 µg/ml anti-IL-12 capture Ab with 1 µg/ml biotin anti-IL-12 Ab (Biolegend); 4 µg/ml anti-IL-4 capture Ab (11B11) with 0.5 µg/ml biotin anti-IL-4 Ab (Biolegend); 2 µg/ml anti-IL-5 capture Ab with 1 µg/ml biotin anti-IL-5 Ab (Biolegend); 1 µg/ml anti-IL-13 capture Ab with 0.2 µg/ml biotin anti-IL-13 Ab (R&D Systems); and 0.25 µg/ml anti-IFN-{gamma} capture Ab with 1 µg/ml biotin anti-IFN-{gamma} Ab (Biolegend). All biotinylated Abs were detected with 1/1000 dilution of streptavidin-HRP (eBioscience). The reactions were developed with TMB Peroxidase EIA Substrate kit (Bio-Rad).

For intracellular cytokine staining, the cells were first stained for surface CD8 or CD4 and then fixed with 2% paraformaldehyde in PBS for 20 min at 4°C. The cells were permeabilized with 0.5% saponin (Sigma-Aldrich) and stained with anti-IFN-{gamma} FITC (BD Pharmingen) and/or anti-IL-4 biotin (Biolegend) for 30 min at 4°C, followed by streptavidin-PE (Molecular Probes, Invitrogen Life Technologies) for 20 min at 4°C. The cells were analyzed by flow cytometry.

For intracellular IFN-{gamma} staining in Ag-specific CD4+ and CD8+ T cells, 4 x 106 splenocytes were cultured in 24-well plates in the presence of GolgiStop (BD Pharmingen) with either medium alone or 10–7 M OVA257–264 (American Peptides) for CD8+ cells or 5 µM listeriolysin O190–201 (Invitrogen Life Technologies) for CD4+ cells for 5 h in complete RPMI 1640 medium.

Pathogen infection, immunizations, and Ab titration

The recombinant L. monocytogenes strain secreting chicken OVA (rLmOVA) was used to infect RAR{gamma}-deficient and control mice, as described (20, 21). To determine in vivo bacterial clearance after infection, mice were infected with 2.8 x 105 CFU of Salmonella typhimurium grown in Luria-Bertani medium, 2 x 106 CFU of group B streptococcus (GBS) grown in Todd-Hewitt medium (BD Biosciences), or 3000 CFU of rLmOVA resistant to erythromycin grown in brain-heart infusion medium (Difco) containing 5 µg/ml erythromycin (Sigma-Aldrich). The correct titer of bacteria was determined by spreading an aliquot of the inoculum. After 6 or 48 h, the spleens were harvested and homogenized in 0.1% Triton X-100 (Shelton Scientific), and different dilutions were plated on Luria-Bertani agar plates for S. typhimurium, blood agar (Difco) for GBS, and brain-heart infusion agar with 5 µg/ml erythromycin for L. monocytogenes.

Mice were immunized i.p. with 100 µg (0.2 ml per mouse) of DNP-keyhole limpet hemocyanin (KLH; Calbiochem) mixed 1:1 with alum (Pierce). Serum were collected, and isotype-specific anti-DNP Abs were determined by ELISA, as described (20, 21). The titer was expressed as relative units as compared with a master sample prepared by pooling aliquots from all samples.

51Cr release assay

To determine the ability of splenocytes to lyse OVA257–264-loaded target cells, 2-fold serial dilutions of splenocytes were prepared in triplicates in 96-well round-bottom plates. EL-4 target cells were labeled with 250 µCi of 51Cr with or without 10–7 M OVA257–264 peptide for 1 h at 37°C. The target cells were then washed three times and added to effector cells at 10,000 cells/well. To determine the spontaneous and maximum lysis, target cells were incubated without effector cells or lysed with 1% Triton X-100 (Shelton Scientific). After 6 h of incubation at 37°C, the plates were centrifuged at 1500 rpm for 3 min, and 50 µl of the supernatant was mixed with 100 µl of OptiPhase SuperMix (PerkinElmer) on 96-well Isoplates (PerkinElmer). The samples were counted on MicroBeta TriLux (PerkinElmer) to determine the amount of 51Cr released in the supernatant. The percentage of specific lysis was calculated as 100 x (experimental cpm – spontaneous cpm)/(maximum cpm – spontaneous cpm).

Intraepithelial lymphocyte (IEL) isolation

IELs were isolated from the small intestine after Peyer’s patches removal. The intestines were flushed with medium and cut into small pieces that were stirred twice for 20 min at 37°C in 10% FBS in PBS with 20 mM HEPES and 0.1 mM EDTA. After vortexing, the pieces were allowed to settle and the supernatants were filtered and spun down. The cells were resuspended in 44% Percoll (GE Healthcare) and overlaid on 67% Percoll for 20 min spin at room temperature at 1700 rpm. The cells at the interphase were collected and washed, followed by 10-min incubation with FcR block (2.4G2 supernatant) and staining with TCRbeta FITC, TCR{gamma}{delta} PE, propidium iodide, CD4 allophycocyanin, CD8{delta} biotin, CD8{alpha} PE/cy7, and CD45.2 allophycocyanin/cy7. The biotinylated Abs were detected by streptavidin-Texas Red (Jackson ImmunoResearch Laboratories).

Macrophage stimulation

Peritoneal macrophages were elicited by injection of 1 ml of 3% thioglycolate broth (Difco) i.p. 3 days before the experiment. The cells were recovered by peritoneal lavage with 2% FBS in PBS and let to adhere overnight in 10-cm plates (BD Biosciences). On the next day, the cells were scraped and live cells were purified by gradient centrifugation on Lympholyte M (Cedarlane Laboratories). The cells were resuspended at 3 x 105/ml, and 0.5 ml was added to 48-well plates in triplicates. The cells were stimulated with 100 ng/ml LPS (Sigma-Aldrich), 10 µg/ml peptidoglycan (PGN) (InvivoGen), or 100 µg/ml poly(I:C) (Sigma-Aldrich) overnight. The supernatants were collected and frozen at –80°C until assayed.

Western blot

Peritoneal macrophages were seeded at 106/ml in 1 ml in 24-well plates. After 3 h, the medium was replaced with prewarmed medium containing 10 µg/ml PGN (InvivoGen). At different time points, the cells were lysed with 100 µl of 1x SDS sample buffer, boiled for 5 min, and stored at –20°C until assayed. The proteins were separated on 10% SDS-PAGE and transferred on polyvinylidene difluoride membranes (PerkinElmer). For immunoblot, anti-ERK-2, anti-pERK (Santa Cruz Biotechnology), anti-I{kappa}B{alpha}, anti-pI{kappa}B{alpha}, anti-pJNK, and anti-pp38 (Cell Signaling Technology) were used. The secondary Abs were anti-mouse and anti-rabbit-HRP conjugates (Jackson ImmunoResearch Laboratories). The detection was achieved with Western Pico substrate (Pierce).

Statistical analysis

The statistical analysis was performed using unpaired two-tailed Student’s t test using the GraphPad Prizm software (GraphPad). Values of p < 0.05 were considered statistically significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 
Regulated expression of RAR{gamma} in developing T lymphocytes

In a differential analysis of gene expression in developing T lymphocytes using DNA microarrays, we found that RAR{gamma} expression was differentially regulated in CD4+ and CD8+ single-positive (SP) thymocytes. CD8+ SP thymocytes expressed 2- to 3-fold higher levels of RAR{gamma} mRNA than CD4+ SP thymocytes (data not shown). We confirmed this result by quantitative real-time RT-PCR (Fig. 1A). RAR{gamma} expression was at a low level in double-positive (DP) thymocytes, but was up-regulated in SP thymocytes (Fig. 1A). The expression level of RAR{gamma} mRNA in CD8+ SP thymocytes and CD8+ mature T cells from spleen and lymph nodes was 50–150% higher than that in their CD4+ counterparts (Fig. 1A). These data demonstrate that RAR{gamma} expression is regulated in developing T lymphocytes and suggest that RAR{gamma} may play a role in lymphocyte development and function.


Figure 1
View larger version (40K):
[in this window]
[in a new window]

 
FIGURE 1. Conditional deletion of RAR{gamma} in hemopoietic cells. A, Expression of RAR{gamma} mRNA at different stages of T cell development. The cell subsets as indicated were purified by FACS sorting from the thymus and spleen of C57BL/6 mice. RAR{gamma} mRNA was measured by real-time RT-PCR and normalized for HPRT. The values represent means from measurements done in triplicates. Values of p for the differences in the expression of RAR{gamma} in CD4+ SP vs CD8+ SP thymocytes and in CD4+ vs CD8+ mature T cells are p < 0.001. B, Deletion efficiency of RAR{gamma} alleles by Vav promoter-driven Cre recombinase. Genomic DNA from different organs was digested with XbaI and XhoI and subjected to Southern blot analysis. The size of the wild-type allele is 9 kb, the floxed allele is 6.5 kb, and the deleted allele is 5.5 kb. C, RAR{gamma} mRNA expression in spleen, BM, and thymus of RAR{gamma}-deficient mice. Total RNA from the indicated tissues was 1/5 serially diluted and examined for RAR{gamma} mRNA expression by semiquantitative RT-PCR. HPRT serves as loading control.

 
Conditional deletion of RAR{gamma} in mouse hemopoietic cells

Mice lacking RAR{gamma} exhibit growth deficiency and early lethality (22). To circumvent growth abnormalities that may indirectly affect lymphocyte development and function, we generated a mouse strain that conditionally lacked RAR{gamma} in all hemopoietic cells by crossing mice with floxed exon 8 of RAR{gamma} (RAR{gamma}L/L) to mice expressing Cre recombinase under the control of the Vav promoter. The Vav promoter drives Cre expression in all hemopoietic cells (19). Southern blot analysis demonstrated that Cre-induced deletion of the floxed RAR{gamma} alleles in the spleen and BM of RAR{gamma}L/LVavCre mice was essentially complete (Fig. 1B). To further determine the deletion efficiency, we performed semiquantitative RT-PCR for RAR{gamma} mRNA expression in the thymus, spleen, and BM. RAR{gamma} mRNA expression in thymus of RAR{gamma}L/LVavCre mice was reduced by >98%, whereas its expression in spleen and BM was reduced by >99% (Fig. 1C). The residual expression of RAR{gamma} mRNA in RAR{gamma}L/LVavCre thymus, spleen, or BM may be due to the presence of nonhemopoietic cells and/or cells escaping deletion. Nevertheless, these results demonstrated that RAR{gamma} was efficiently deleted in most hemopoietic cells.

T and B lymphocyte development in RAR{gamma}L/LVavCre mice

Given that vitamin A deficiency in mice causes lymphoid organ atrophy (6), and a recent report that RAR{gamma} has important functions in hemopoietic stem cell (23), we examined the development of T and B lymphocytes in RAR{gamma}L/LVavCre mice. The total cellularity of thymus and spleen in RAR{gamma}-deficient mice was similar to that of control littermates (Fig. 2 and data not shown). Thymocyte development as defined by the expression of CD4 and CD8 markers proceeded normally from double-negative (DN) through DP to CD4 SP and CD8 SP cells in RAR{gamma}-deficient mice (Fig. 2A). To further characterize the early stages of T cell development in the thymus, we stained DN thymocytes for CD44 and CD25 expression. We did not find obvious defects in DN1 (CD44+CD25), DN2 (CD44+CD25+), DN3 (CD44CD25+), and DN4 (CD44CD25) cells (Fig. 2A).


Figure 2
View larger version (60K):
[in this window]
[in a new window]

 
FIGURE 2. Lymphocyte development in RAR{gamma}-deficient mice. A, FACS profile of total thymocytes (upper panels) and DN thymocytes (lower panels) from RAR{gamma}L/LVavCre and littermate control mice. Numbers indicate the percentage of cells in each subset. B, FACS profile of early stages (upper panels) and later stages (lower panels) of B cell development in the BM of RAR{gamma}L/LVavCre and littermate control mice. C, FACS profiles of total splenocytes (upper panels) and splenic T cells (lower panels) from RAR{gamma}L/LVavCre and littermate control mice. Splenic T cells were gated on CD3+ cells. The numbers in parentheses indicate the absolute number of cells in the respective organ of the tested mice. The results are representative of at least three independent experiments.

 
We next analyzed B cell development in the BM of RAR{gamma}-deficient mice. The earliest stages of B cell development that are characterized by CD43 and B220 expression can be subdivided into fractions A, B, C, and C' based on heat-stable Ag and BP-1 expression (24). The more mature stages do not express CD43, but still express B220. They can be divided into fractions D, E, and F by IgD and IgM expression. B cell development at these different stages in the BM of RAR{gamma}-deficient mice was comparable to that in littermate controls (Fig. 2B). Furthermore, peripheral T and B cell compartments in RAR{gamma}-mutant mice were apparently normal (Fig. 2C). Taken together, these results demonstrate that RAR{gamma} is not essential for T and B lymphocyte development.

Lymphocyte proliferation and differentiation in the absence of RAR{gamma}

Although high levels of retinoic acid modulate lymphocyte proliferation and differentiation, it is not known which receptors are used in these cells. Some previous studies, using selective agonists or antagonists, have suggested that retinoic acid exerts its effects on Th1/Th2 differentiation and expression of homing receptors through RAR{alpha} or RARbeta (25, 26). However, it is not clear what role RAR{gamma} may play in these processes, especially when retinoic acid is at physiologic levels. To determine the role of RAR{gamma} in lymphocyte proliferation, we stimulated total splenocytes with anti-CD3 to activate T cells or with anti-IgM to activate B cells and assessed cell proliferation by [3H]thymidine incorporation. As shown in Fig. 3A, both T and B cells from RAR{gamma}-deficient mice divided at the same rate as control cells. Similar results were observed after 2 days of stimulation and after stimulation of T cells with PMA plus ionomycin or of B cells with LPS (data not shown). In agreement with previous studies (7, 8), the addition of ATRA to the culture inhibited the proliferation of both T and B cells in response to anti-CD3 and anti-IgM (Fig. 3A). Importantly, the effects of ATRA on lymphocyte proliferation were still observed in the absence of RAR{gamma}. These results demonstrate that RAR{gamma} is not required for the proliferation of T and B lymphocytes. Furthermore, RAR{gamma} is not essential for the antiproliferative action of high concentration ATRA on lymphocytes.


Figure 3
View larger version (17K):
[in this window]
[in a new window]

 
FIGURE 3. Lymphocyte proliferation and Th1/Th2 differentiation in the absence of RAR{gamma}. A, T and B cell proliferation after anti-CD3 (5 µg/ml) or anti-IgM stimulation (40 µg/ml) in the presence or absence of 10 nM ATRA. Total splenocytes were stimulated for 3 days and then pulsed with [3H]thymidine for 4 h. The cells were harvested, and the amount of the incorporated [3H]thymidine was determined as a measure for cell proliferation. The graph shows the mean and SD of triplicates of an individual mouse in a group of three. B, In vitro Th1/Th2 differentiation. Purified CD4+ T cells from RAR{gamma}L/LVavCre and littermate control mice were polarized for 5 days, washed, and restimulated. The amounts of IL-4, IL-5, IL-13, and IFN-{gamma} in the supernatants were determined by ELISA. C, Intracellular cytokine staining for IFN-{gamma} and IL-4 in the above treated CD4+ T cells from RAR{gamma}L/LVavCre and littermate control mice. Shown are percentages of CD4+ cells expressing either IFN-{gamma} or IL-4. The results in Fig. 3, B and C, are representative from four independent experiments.

 
Given that ATRA can modulate Th cell differentiation (25, 27), we determined Th cell differentiation in the absence of RAR{gamma}. CD4+ T cells produced only IFN-{gamma}, but not IL-4, IL-5, or IL-13 when cultured under Th1 conditions, and produced IL-4, IL-5, and IL-13, but not IFN-{gamma} when cultured under Th2 conditions (Fig. 3B). The polarization of RAR{gamma}-deficient CD4+ T cells to Th1 or Th2 lineage was not obviously impaired (Fig. 3, B and C). These results demonstrate that RAR{gamma} deficiency did not result in impairment of in vitro CD4+ T cell differentiation.

Humoral immune response in RAR{gamma}-deficient mice

We further examined the in vivo function of B cells and CD4+ Th cells in RAR{gamma}-deficient mice by testing the humoral immune response in these mice. RAR{gamma}L/LVavCre and control mice were immunized with the T-dependent Ag DNP-KLH and boosted 28 days after the primary immunization. Anti-DNP-specific Abs were measured by ELISA. The Ag-specific Abs were similarly detected in RAR{gamma}L/LVavCre and control mice after primary and secondary immunization (Fig. 4), indicating that RAR{gamma} is not essential for Ig secretion and class-switching by B cells.


Figure 4
View larger version (18K):
[in this window]
[in a new window]

 
FIGURE 4. Humoral immune response in RAR{gamma}-deficient mice. RAR{gamma}L/LVavCre and littermate control mice were immunized with DNP-KLH in alum by i.p. injection. Serum anti-DNP-specific Abs were determined by ELISA. The relative units were determined by comparing the titer from each mouse with a master sample prepared by pooling aliquots from all the samples. Shown are mean + SD from five mice per group.

 
CD8+ T cell responses in RAR{gamma}-deficient mice

Because RAR{gamma} is expressed at higher levels in CD8+ T cells than CD4+ T cells, we tested the ability of RAR{gamma}-deficient CD8+ T cells to mount an immune response using a model pathogen, rLmOVA (28). RAR{gamma}L/LVavCre and control mice were infected with 10,000 CFU of rLmOVA, and 7 days later the CD8+ immune response was evaluated by IFN-{gamma} production to OVA257–264 peptide stimulation. In addition, IFN-{gamma} production by CD4+ T cells specific for the LLO190–201 epitope was also examined. At the peak of the primary immune response at day 7, the number of Ag-specific CD8+ cells in RAR{gamma}-deficient mice as determined by IFN-{gamma} production was significantly decreased (p = 0.0342) when compared with those in control mice (Fig. 5A). In contrast, CD4+ T cell response to Listeria infection was not impaired (p = 0.304) (Fig. 5A). We further examined memory CD8+ T cell response in RAR{gamma}-deficient mice by rechallenging the mice 42 days after the primary infection. Consistent with a decreased primary CD8+, but not CD4+ T cell response, memory CD8+, but not CD4+, T cell response in RAR{gamma}-deficient mice was impaired, as assessed by either IFN-{gamma} (p = 0.0489) or Kb-OVA tetramer (p = 0.0289) staining (Fig. 5B). Furthermore, the cytotoxicity of splenocytes from immunized RAR{gamma}-deficient mice was significantly lower than that of cells from control mice (Fig. 5C). These results demonstrate that the development of CD8+ effectors depends on RAR{gamma}.


Figure 5
View larger version (18K):
[in this window]
[in a new window]

 
FIGURE 5. CD8+ T cell response in RAR{gamma}-deficient mice. A, Primary T cell response to rLmOVA infection in RAR{gamma}-deficient mice. RAR{gamma}L/L VavCre and littermate control mice were infected with 10,000 CFU of rLmOVA and analyzed 7 days later. Total numbers of OVA257–264-specific CD8+IFN-{gamma}+ and listeriolysin O190–201-specific CD4+IFN-{gamma}+ T cells in the spleen were determined by intracellular cytokine staining after stimulation of splenocytes with these peptides for 5 h in the presence of GolgiStop. Shown are the number of cells from individual mice, and the horizontal line represents the mean. B, Memory T cell response to rLmOVA infection in RAR{gamma}-deficient mice. RAR{gamma}L/LVavCre and littermate control mice were infected with 10,000 CFU of rLmOVA and challenged with 1,000,000 CFU 42 days later. The mice were analyzed 4 days after the second infection, as in A. Ag-specific CD8+ T cells were also determined by Kb-OVA tetramer staining. C, Ag-specific cytotoxicity in the spleen of RAR{gamma}-deficient mice. Total splenocytes from the infected mice were restimulated with OVA257–264 peptide for 5 h and measured for their killing against EL-4 cells coated with OVA257–264 peptide by 51Cr release. Shown are mean + SD of specific lysis from four mice in each group.

 
IEL development in RAR{gamma}-deficient mice

A recent report showed that ATRA imprints gut-homing specificity on memory T cells (26). ATRA produced from gut dendritic cells (DCs) stimulates T cells to express the gut-homing {alpha}4beta7 integrin. These T cells activated in the gut go into circulation and, upon re-encounter of their cognate Ag, home preferentially back to the gut. We investigated whether ATRA-induced {alpha}4beta7 integrin expression depends on RAR{gamma}. Anti-CD3 stimulation of CD4+ and CD8+ T cells up-regulated {alpha}4beta7 integrin expression, and this effect was further enhanced by ATRA (Fig. 6A and data not shown). Up-regulation of {alpha}4beta7 integrin expression on RAR{gamma}-deficient CD4+ or CD8+ T cells by anti-CD3 or anti-CD3 plus ATRA was similar to that on control T cells (Fig. 6A and data not shown), indicating that RAR{gamma} is not essential for the expression of gut-homing receptors on T cells.


Figure 6
View larger version (43K):
[in this window]
[in a new window]

 
FIGURE 6. Expression of {alpha}4beta7 integrin and IEL development in RAR{gamma}-deficient mice. A, Up-regulation of {alpha}4beta7 integrin on CD4+ T cells of RAR{gamma}-deficient mice after stimulation with anti-CD3 (1 µg/ml) (thick line) or anti-CD3 plus 10 nM ATRA (thin line). Shaded area represents {alpha}4beta7 integrin expression without stimulation. The expression of {alpha}4beta7 integrin on RAR{gamma}-deficient and control T cells was determined by FACS after 2 days of stimulation, followed by 3 days of expansion with 100 U/ml hIL-2. The result is representative from two independent experiments. B, IEL compartment in RAR{gamma}-deficient mice. IELs from RAR{gamma}-deficient and littermate control mice were analyzed by FACS. The result is representative from seven independent experiments.

 
We further examined the gut lymphocyte compartment in RAR{gamma}-deficient mice. The IELs consist of both conventional CD4+ TCR{alpha}beta+ and CD8{alpha}beta+ TCR{alpha}beta+ T cells and several nonconventional T cell subsets. The most abundant of the latter are the {gamma}{delta}T cells, which comprise approximately half of IELs. In addition, there are also CD4+CD8+ TCR{alpha}beta+ T cells, as well as CD8{alpha}{alpha}+ TCR{alpha}beta+ T cells. As shown in Fig. 6B, the percentages of TCR{alpha}beta+ and TCR{gamma}{delta}+ IELs were similar between control and mutant mice. Furthermore, IEL subsets corresponding to CD4+CD8, CD4CD8{alpha}+, and CD4+CD8+ T cells were comparable in RAR{gamma}-deficient and littermate control mice (Fig. 6B). The absence of any effect of the RAR{gamma} deficiency on the composition of the IEL compartment further indicates that RAR{gamma} is dispensable for the ATRA effect on T cell gut migration.

Inflammatory cytokine production in RAR{gamma}-deficient macrophages

ATRA and its derivatives are widely used in clinical treatment of acne (12, 13), partly due to its inhibition of inflammatory cytokine production. Moreover, RAR{gamma} is expressed in macrophages (29, 30), suggesting that ATRA may mediate its effect through RAR{gamma}. We examined the role of RAR{gamma} in inflammatory cytokine production in macrophages. Elicited peritoneal macrophages were stimulated with LPS, PGN, or poly(I:C) in the presence or absence of ATRA. The supernatants were assessed for the production of IL-6, IL-12, and TNF-{alpha} by ELISA. As expected, the addition of ATRA decreased the production of most cytokines by 30–50%, with the exception of IL-6 induced by PGN (Fig. 7A). Surprisingly, RAR{gamma}-deficient macrophages exhibited defective production of IL-6, IL-12, and TNF-{alpha} upon LPS, PGN, and poly(I:C) stimulation (Fig. 7A). Moreover, the addition of ATRA further decreased the production of these inflammatory cytokines (Fig. 7A). These findings suggest that RAR{gamma} is required for TLR ligand-induced inflammatory cytokine production, and that the anti-inflammatory action by ATRA does not depend on RAR{gamma}.


Figure 7
View larger version (44K):
[in this window]
[in a new window]

 
FIGURE 7. Inflammatory cytokine production by RAR{gamma}-deficient macrophages. A, Amounts of IL-6, IL-12, and TNF-{alpha} in macrophages stimulated with microbial pathogen-associated molecular patterns. Elicited peritoneal macrophages were stimulated with LPS (100 ng/ml), PGN (10 µg/ml), or poly(I:C) (100 µg/ml) overnight in the presence or absence of ATRA (10 µM) and tested for cytokine production by ELISA. The result is representative of four independent experiments. The following comparison was made for statistic analysis: knockout (KO) sample vs control sample (3 vs 1); control + ATRA vs control sample (2 vs 1); KO + ATRA vs KO sample (4 vs 3). *, p < 0.05; **, p < 0.01; ***, p < 0.001. B, Expression of TLR2 and TLR4 by control (thin line) and KO (thick line) peritoneal macrophages as determined by FACS analysis (upper panel). The shaded histograms represent nonstained controls. Lower panel, Shows the expression of the macrophage lineage marker Mac-1 as determined by FACS. C, Phosphorylation of signaling proteins in RAR{gamma}-deficient macrophages upon PGN stimulation. Elicited peritoneal macrophages were stimulated with 10 µg/ml PGN for different times and lysed for Western blot analysis. Total ERK-1/2 serves as a loading control. The result is representative of two independent experiments.

 
To determine the basis for the decreased inflammatory cytokine production in RAR{gamma}-deficient macrophages, we first examined whether RAR{gamma}-deficient macrophages differ phenotypically from their wild-type counterparts. No difference was found in their cell size, granularity, and expression of the macrophage marker Mac-1 between RAR{gamma}-deficient and control macrophages (Fig. 7B and data not shown). We also examined the expression of TLRs and did not find any difference in the expression of TLR2 and 4 in macrophages from RAR{gamma}-deficient and control mice (Fig. 7B). We then examined the signaling pathways in pathogen-associated molecular pattern-stimulated macrophages. As shown in Fig. 7C, the phosphorylation of I{kappa}B{alpha}, JNK, p38, and ERK in RAR{gamma}-deficient macrophages was largely comparable to that in control cells. These results demonstrate that the membrane-proximal signaling events were not obviously changed in RAR{gamma}-deficient macrophages and suggest that RAR{gamma} may exert its effect on inflammatory cytokine production in the nucleus.

Innate immune response in RAR{gamma}-deficient mice

To examine whether RAR{gamma}-deficient mice have defective innate immune responses, we infected RAR{gamma}L/LVavCre mice with different bacterial pathogens, measured the amount of proinflammatory cytokines in the serum 2 h after the infection, and determined the bacterial burden in the spleen after 48 h. We used G bacteria S. typhimurium, G+ extracellular bacteria GBS, and G+ intracellular bacteria L. monocytogenes. Because the preliminary experiments showed that GBS are rapidly cleared after infection, we determined the bacterial burden of this microbe after 6 h. We did not observe statistically significant differences (p > 0.05) between control and RAR{gamma}L/LVavCre mice in the number of viable bacteria recovered from their spleens (Fig. 8A) and the amount of IL-12 or IL-6 in the serum (Fig. 8B and data not shown). TNF-{alpha} was under the detection limits in all cases. These data suggest that whereas RAR{gamma} plays important roles in regulating the production of proinflammatory cytokines by macrophages, its absence in vivo can be compensated by other cellular components.


Figure 8
View larger version (12K):
[in this window]
[in a new window]

 
FIGURE 8. Innate immune responses to bacterial infections in RAR{gamma}L/LVavCre mice. A, Bacterial burden in the spleen of control and RAR{gamma}-deficient mice after infection with 2.8 x 105 S. typhimurium i.p., 2 x 106 GBS i.p., or 3000 L. monocytogenes i.v. The mice were sacrificed 6 or 48 h after infection, and dilutions of their homogenized spleens were plated on agar plates. The graphs represent the number of CFU in individual spleens in groups of four mice. The horizontal lines represent the mean in each group. B, The amount of IL-12 in the serum of mice infected with 3000 L. monocytogenes was determined by ELISA 2 h after infection. The results represent mean and SD of four mice per group.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 
Although it is well established that vitamin A and its derivatives modulate immune responses and regulate lymphocyte function, its receptor use in various immune cells is not clear. Furthermore, because higher than physiological levels of retinoid acids were used in many of the in vitro studies, the outcome of interaction between retinoid acids and their receptors in vivo remains unknown. To address these issues, we induced RAR{gamma} deletion in vivo and examined the development and function of lymphocytes as well as the inflammatory cytokine production in macrophages from RAR{gamma}-deficient mice. Our results support two major conclusions, as follows: first, RAR{gamma} is dispensable for the normal development of lymphocytes, but is required for CD8+ T effector differentiation and IFN-{gamma} production; second, RAR{gamma} functions as a positive regulator of proinflammatory cytokine production in macrophages.

The expression of RAR{gamma} mRNA is tightly regulated during T cell development. However, its ablation did not have any noticeable effects on thymocyte development. This is somewhat unexpected, because the expression of RAR{gamma} under the control of the Lck promoter has been shown to increase the percentage of CD8 SP thymocytes (31). Moreover, there is evidence that retinoids can influence the process of negative selection (9, 10, 11). The most likely explanation for the lack of thymocyte abnormalities is that another closely related molecule substitutes for RAR{gamma} in its absence. The best candidate is RAR{alpha}, which is closely related to RAR{gamma} and is ubiquitously expressed (32). RARbeta has not been detected in lymphocytes (33). In addition, our results also show that RAR{gamma} is not essential for lymphocyte proliferation and Th cell differentiation in vitro as well as CD4+ effector differentiation and Ab production in vivo. ATRA-induced integrin expression in T cells does not depend on RAR{gamma}. These results suggest that RAR{alpha} and RXRs are sufficient to compensate for the loss of RAR{gamma} in vivo. Alternatively, RAR{gamma} may not be used temporally and spatially in these processes. Future studies using double deletion of RAR{alpha} and RAR{gamma} in mice will address whether there is a redundancy of these receptors in lymphocyte development and function.

Our result demonstrated that the CD8+, but not CD4+ T cell response was defective in RAR{gamma}L/LVavCre mice. This result is consistent with the higher expression level of RAR{gamma} in CD8+ than CD4+ T cells. The lower number of CD8+ effector and memory T cells in RAR{gamma}L/LVavCre mice after Listeria infection may be due to a role of RAR{gamma} in activating IFN-{gamma} production. A bioinformatics search did not reveal RAR{gamma} binding sites in the IFN-{gamma} promoter, suggesting that RAR{gamma} regulates the expression of IFN-{gamma} indirectly. Alternatively, the impaired CD8+ T effector and memory cell differentiation may be due to the lowered inflammatory cytokine production by innate immune cells. This is unlikely because infections with S. typhimurium, GBS, and L. monocytogenes, as well as in vivo administration of PGN did not result in a lowered IL-6 and IL-12 production in RAR{gamma}L/LVavCre mice (Fig. 8 and our unpublished observations), suggesting that the production of the inflammatory cytokines in cell types other than macrophages does not depend on RAR{gamma}. In addition, the normal CD4+ response and Ab production in RAR{gamma}L/LVavCre mice further suggest that the decreased production of IFN-{gamma} by CD8+ T cells is not due to abnormalities in their innate immune system, but a separate defect. Thus, we favor a role of RAR{gamma} in activating IFN-{gamma} production in CD8+ T lymphocytes.

An unexpected finding from our study is the impaired inflammatory cytokine production by RAR{gamma}-deficient macrophages. This result suggests that vitamin A, at physiological levels in serum and culture medium, engages RAR{gamma} to activate IL-6, IL-12, and TNF-{alpha} production. The mechanisms by which RAR{gamma} regulates these inflammatory cytokines are not clear. Our data have ruled out an effect of RAR{gamma} on the proximal signaling upon TLR stimulation. Like many other nuclear receptors, such as GR, PPARs, and liver X receptor (LXR) (34, 35, 36, 37), RAR{gamma} may regulate the transcription of these cytokines by either direct binding to the regulatory elements of these genes or indirect activation/inactivation of other nuclear proteins. Examination of the promoter regions of IL-6, IL-12, and TNF-{alpha} did not reveal any obvious RAR{gamma} binding sites, suggesting an indirect role of RAR{gamma}.

Our results also show that ATRA-mediated inhibition of inflammatory cytokine production by RAR{gamma}-deficient macrophages is not impaired, suggesting that RAR{gamma} is not required for the inhibitory function of ATRA. High levels of ATRA may activate other retinoid acid receptor such as RXR and mediate its inhibitory function. The abilities of RXRs to suppress inflammation are well documented, and several mechanisms have been proposed. RXRs, for example, can interact directly with NF-{kappa}B and inhibit its activity (38). In addition, RAR{alpha} has been demonstrated to be a negative regulator of AP-1-responsive genes (39). Both AP-1 and NF-{kappa}B are critical for the expression of IL-6, IL-12, TNF-{alpha}, and IFN-{gamma}. We speculate that RAR{gamma} binding to RXRs can titrate out the inhibitory complexes in which RXRs participate (RAR{alpha}/RXR, LXR/RXR, PPAR/RXR) and alleviate the suppression of cytokine transcription.

Despite the impaired cytokine production by RAR{gamma}-deficient macrophages, RAR{gamma}L/LVavCre mice had normal responses to bacterial infections. They cleared the pathogens at the same rates as control mice, and surprisingly, produced similar amounts of proinflammatory cytokines. One possible explanation for the in vivo results is that cell types other than macrophages do not depend on RAR{gamma} for their cytokine production. For example, IL-6 can be produced by a wide variety of cells (40), and it is possible that the defect in macrophages can be masked by the normal production of other cell types. Similarly, macrophages are not the only source of IL-12 (41). Neutrophils, astrocytes, and DCs can also produce IL-12. Moreover, optimal production of IL-12 by macrophages requires costimulation with IFN-{gamma} or IL-4, whereas DCs do not need additional stimuli. Thus, it is possible that normal production of IL-12 by other cells in vivo effectively compensates for the defect in macrophages.


    Acknowledgments
 
We thank Heather Hartig Pua for critical review of this manuscript and Chia-Lin Hsu for help with multiparameter flow cytometry.


    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 by National Institutes of Health Grant CA92123. Back

2 Address correspondence and reprint requests to Dr. You-Wen He, Box 3010, Duke University Medical Center, Durham, NC 27710. E-mail address: he000004{at}mc.duke.edu Back

3 Abbreviations used in this paper: ATRA, all-trans retinoic acid; 9-cis-RA, 9-cis-retinoic acid; BM, bone marrow; Cre, cAMP response element; DC, dendritic cell; DN, double negative; DP, double positive; GBS, group B streptococcus; hIL, human IL; HPRT, hypoxanthine phosphoribosyltransferase; IEL, intraepithelial lymphocyte; KLH, keyhole limpet hemocyanin; PGN, peptidoglycan; PPAR, peroxisome proliferator-activated receptor; RAR, retinoic acid receptor; rLmOVA, recombinant Listeria monocytogenes strain secreting chicken OVA; RXR, retinoid X receptor; SP, single positive; LXR, liver X receptor. Back

Received for publication May 23, 2006. Accepted for publication December 1, 2006.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 

  1. Livrea, M. A.. 2000. Vitamin A and Retinoids: An Update of Biological Aspects and Clinical Applications Birkhèauser Verlag, Basel.
  2. Morriss-Kay, G. M., S. J. Ward. 1999. Retinoids and mammalian development. Int. Rev. Cytol. 188: 73-131. [Medline]
  3. Mark, M., N. B. Ghyselinck, P. Chambon. 2006. Function of retinoid nuclear receptors: lessons from genetic and pharmacological dissections of the retinoic acid signaling pathway during mouse embryogenesis. Annu. Rev. Pharmacol. Toxicol. 46: 451-480. [Medline]
  4. Kastner, P., M. Mark, P. Chambon. 1995. Nonsteroid nuclear receptors: what are genetic studies telling us about their role in real life?. Cell 83: 859-869. [Medline]
  5. West, K. P., Jr, G. R. Howard, A. Sommer. 1989. Vitamin A and infection: public health implications. Annu. Rev. Nutr. 9: 63-86. [Medline]
  6. Ross, A. C.. 1992. Vitamin A status: relationship to immunity and the antibody response. Proc. Soc. Exp. Biol. Med. 200: 303-320. [Medline]
  7. Worm, M., J. M. Krah, R. A. Manz, B. M. Henz. 1998. Retinoic acid inhibits CD40 + interleukin-4-mediated IgE production in vitro. Blood 92: 1713-1720. [Abstract/Free Full Text]
  8. Ludanyi, K., Z. S. Nagy, M. Alexa, U. Reichert, S. Michel, L. Fesus, Z. Szondy. 2005. Ligation of RAR{gamma} inhibits proliferation of phytohaemagglutinin-stimulated T-cells via down-regulating JAK3 protein levels. Immunol. Lett. 98: 103-113. [Medline]
  9. Yang, Y., M. S. Vacchio, J. D. Ashwell. 1993. 9-cis-retinoic acid inhibits activation-driven T-cell apoptosis: implications for retinoid X receptor involvement in thymocyte development. Proc. Natl. Acad. Sci. USA 90: 6170-6174. [Abstract/Free Full Text]
  10. Iwata, M., M. Mukai, Y. Nakai, R. Iseki. 1992. Retinoic acids inhibit activation-induced apoptosis in T cell hybridomas and thymocytes. J. Immunol. 149: 3302-3308. [Abstract]
  11. Yagi, J., T. Uchida, K. Kuroda, T. Uchiyama. 1997. Influence of retinoic acid on the differentiation pathway of T cells in the thymus. Cell. Immunol. 181: 153-162. [Medline]
  12. Chalker, D. K., J. L. Lesher, Jr, J. G. Smith, Jr, H. C. Klauda, P. E. Pochi, W. S. Jacoby, D. M. Yonkosky, J. J. Voorhees, C. N. Ellis, S. Matsuda-John, et al 1987. Efficacy of topical isotretinoin 0.05% gel in acne vulgaris: results of a multicenter, double-blind investigation. J. Am. Acad. Dermatol. 17: 251-254. [Medline]
  13. Weiss, J. S.. 1997. Current options for the topical treatment of acne vulgaris. Pediatr. Dermatol. 14: 480-488. [Medline]
  14. Leid, M., P. Kastner, P. Chambon. 1992. Multiplicity generates diversity in the retinoic acid signalling pathways. Trends Biochem. Sci. 17: 427-433. [Medline]
  15. Kastner, P., M. Mark, N. Ghyselinck, W. Krezel, V. Dupe, J. M. Grondona, P. Chambon. 1997. Genetic evidence that the retinoid signal is transduced by heterodimeric RXR/RAR functional units during mouse development. Development 124: 313-326. [Abstract]
  16. Kurokawa, R., M. Soderstrom, A. Horlein, S. Halachmi, M. Brown, M. G. Rosenfeld, C. K. Glass. 1995. Polarity-specific activities of retinoic acid receptors determined by a co-repressor. Nature 377: 451-454. [Medline]
  17. Mangelsdorf, D. J., R. M. Evans. 1995. The RXR heterodimers and orphan receptors. Cell 83: 841-850. [Medline]
  18. Chapellier, B., M. Mark, J. M. Garnier, A. Dierich, P. Chambon, N. B. Ghyselinck. 2002. A conditional floxed (loxP-flanked) allele for the retinoic acid receptor {gamma} (RAR{gamma}) gene. Genesis 32: 95-98. [Medline]
  19. Georgiades, P., S. Ogilvy, H. Duval, D. R. Licence, D. S. Charnock-Jones, S. K. Smith, C. G. Print. 2002. VavCre transgenic mice: a tool for mutagenesis in hematopoietic and endothelial lineages. Genesis 34: 251-256. [Medline]
  20. Dzhagalov, I., V. Giguere, Y. W. He. 2004. Lymphocyte development and function in the absence of retinoic acid-related orphan receptor {alpha}. J. Immunol. 173: 2952-2959. [Abstract/Free Full Text]
  21. Zhang, N., Y. W. He. 2005. The antiapoptotic protein Bcl-xL is dispensable for the development of effector and memory T lymphocytes. J. Immunol. 174: 6967-6973. [Abstract/Free Full Text]
  22. Lohnes, D., P. Kastner, A. Dierich, M. Mark, M. LeMeur, P. Chambon. 1993. Function of retinoic acid receptor {gamma} in the mouse. Cell 73: 643-658. [Medline]
  23. Purton, L. E., S. Dworkin, G. H. Olsen, C. R. Walkley, S. A. Fabb, S. J. Collins, P. Chambon. 2006. RAR{gamma} is critical for maintaining a balance between hematopoietic stem cell self-renewal and differentiation. J. Exp. Med. 203: 1283-1293. [Abstract/Free Full Text]
  24. Hardy, R. R., C. E. Carmack, S. A. Shinton, J. D. Kemp, K. Hayakawa. 1991. Resolution and characterization of pro-B and pre-pro-B cell stages in normal mouse bone marrow. J. Exp. Med. 173: 1213-1225. [Abstract/Free Full Text]
  25. Iwata, M., Y. Eshima, H. Kagechika. 2003. Retinoic acids exert direct effects on T cells to suppress Th1 development and enhance Th2 development via retinoic acid receptors. Int. Immunol. 15: 1017-1025. [Abstract/Free Full Text]
  26. Iwata, M., A. Hirakiyama, Y. Eshima, H. Kagechika, C. Kato, S. Y. Song. 2004. Retinoic acid imprints gut-homing specificity on T cells. Immunity 21: 527-538. [Medline]
  27. Hoag, K. A., F. E. Nashold, J. Goverman, C. E. Hayes. 2002. Retinoic acid enhances the T helper 2 cell development that is essential for robust antibody responses through its action on antigen-presenting cells. J. Nutr. 132: 3736-3739. [Abstract/Free Full Text]
  28. Foulds, K. E., L. A. Zenewicz, D. J. Shedlock, J. Jiang, A. E. Troy, H. Shen. 2002. Cutting edge: CD4 and CD8 T cells are intrinsically different in their proliferative responses. J. Immunol. 168: 1528-1532. [Abstract/Free Full Text]
  29. Costet, P., F. Lalanne, M. C. Gerbod-Giannone, J. R. Molina, X. Fu, E. G. Lund, L. J. Gudas, A. R. Tall. 2003. Retinoic acid receptor-mediated induction of ABCA1 in macrophages. Mol. Cell. Biol. 23: 7756-7766. [Abstract/Free Full Text]
  30. Fritsche, J., T. J. Stonehouse, D. R. Katz, R. Andreesen, M. Kreutz. 2000. Expression of retinoid receptors during human monocyte differentiation in vitro. Biochem. Biophys. Res. Commun. 270: 17-22. [Medline]
  31. Pohl, J., D. LaFace, J. F. Sands. 1993. Transcription of retinoic acid receptor genes in transgenic mice increases CD8 T-cell subset. Mol. Biol. Rep. 17: 135-142. [Medline]
  32. Dolle, P., E. Ruberte, P. Leroy, G. Morriss-Kay, P. Chambon. 1990. Retinoic acid receptors and cellular retinoid binding proteins. I. A systematic study of their differential pattern of transcription during mouse organogenesis. Development 110: 1133-1151. [Abstract/Free Full Text]
  33. Ballow, M., X. Wang, S. Xiang, C. Allen. 2003. Expression and regulation of nuclear retinoic acid receptors in human lymphoid cells. J. Clin. Immunol. 23: 46-54. [Medline]
  34. Devchand, P. R., H. Keller, J. M. Peters, M. Vazquez, F. J. Gonzalez, W. Wahli. 1996. The PPAR{alpha}-leukotriene B4 pathway to inflammation control. Nature 384: 39-43. [Medline]
  35. Jiang, C., A. T. Ting, B. Seed. 1998. PPAR-{gamma} agonists inhibit production of monocyte inflammatory cytokines. Nature 391: 82-86. [Medline]
  36. Ricote, M., A. C. Li, T. M. Willson, C. J. Kelly, C. K. Glass. 1998. The peroxisome proliferator-activated receptor-{gamma} is a negative regulator of macrophage activation. Nature 391: 79-82. [Medline]
  37. Joseph, S. B., M. N. Bradley, A. Castrillo, K. W. Bruhn, P. A. Mak, L. Pei, J. Hogenesch, R. M. O’Connell, G. Cheng, E. Saez, et al 2004. LXR-dependent gene expression is important for macrophage survival and the innate immune response. Cell 119: 299-309. [Medline]
  38. Na, S. Y., B. Y. Kang, S. W. Chung, S. J. Han, X. Ma, G. Trinchieri, S. Y. Im, J. W. Lee, T. S. Kim. 1999. Retinoids inhibit interleukin-12 production in macrophages through physical associations of retinoid X receptor and NF{kappa}B. J. Biol. Chem. 274: 7674-7680. [Abstract/Free Full Text]
  39. Schule, R., P. Rangarajan, N. Yang, S. Kliewer, L. J. Ransone, J. Bolado, I. M. Verma, R. M. Evans. 1991. Retinoic acid is a negative regulator of AP-1-responsive genes. Proc. Natl. Acad. Sci. USA 88: 6092-6096. [Abstract/Free Full Text]
  40. Van Snick, J.. 1990. Interleukin-6: an overview. Annu. Rev. Immunol. 8: 253-278. [Medline]
  41. Trinchieri, G.. 2003. Interleukin-12 and the regulation of innate resistance and adaptive immunity. Nat. Rev. Immunol. 3: 133-146. [Medline]




<
This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Dzhagalov, I.