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Department of Microbiology and Immunology, Miller School of Medicine, University of Miami, Miami, FL 33136
| Abstract |
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| Introduction |
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), CD122 (IL-2R
), and CD132 (
c) (8, 9, 10). The IL-2/IL-2R interaction has been ascribed to be an important step in the production and maintenance of Treg cells. Mice deficient in IL-2, IL-2R
, or IL-2R
exhibit a rapid, lethal autoimmunity remarkably similar to that of mice lacking functional Foxp3, and all of these animals contain severely reduced numbers of CD4+CD25+ Treg cells (5, 6, 7, 11, 12). Correcting IL-2 production or responsiveness in the context of IL-2/IL-2R deficiency restored Treg cell production and normalized most of the abnormalities associated with this autoimmune syndrome (11, 13, 14, 15).
A critical issue raised from these studies is whether IL-2 functions as an essential cytokine for the development of Treg cells in the thymus, their homeostasis in the periphery, or both. Primarily, two observations support a role for IL-2 during thymic development. First, thymic-specific expression of IL-2R
in IL-2R
/ mice (referred to as Tg/ in this report) increased the number of thymic Treg cells, leading to a normal compartment of peripheral Treg cells that prevented lethal autoimmunity (11). Second, an anti-IL-2 blockade decreased the production of Treg cells within the thymus (16).
Other studies clearly indicate that IL-2 functions to control the number of peripheral Treg cells. In this regard, anti-IL-2 was especially effective in blocking Treg cell expansion within neonatal lymph nodes (LN) (16) and caused autoimmune gastritis in BALB/c mice and a rapid onset of autoimmunity in NOD mice that was accompanied by decreased numbers of Treg cells (17). Furthermore, the adoptive transfer of CD4+CD25+ Treg cells into IL-2R
/ mice led to an engraftment of donor Treg cells in peripheral immune tissue that fully prevented lethal autoimmunity, and this depended upon donor cells expressing a functional high affinity IL-2R and the host producing IL-2 (11). In many other studies, the conclusion that IL-2 is essential for peripheral Treg cells relied on the behavior of Treg cells in mixed bone marrow or T cell chimeric mice using donor cells from IL-2-, IL-2R
-, or IL-2R
-deficient mice (13, 14, 15). For some experiments, however, it was not possible to discern whether the reconstitution of Treg cells was due to their production from precursor cells or their expansion from a small pool of preexisting mature Treg cells. In other studies, even though mature Treg cells were transferred, it was not apparent whether IL-2 simply increased their number or also enhanced their function. Nevertheless, all of these data together with the observation that the short-term treatment of adult mice with anti-IL-2 decreased Treg cells in peripheral immune tissue (18) support the idea that IL-2 is an important cytokine for the initial production and subsequent maintenance of Treg cells in the periphery.
Two recent studies have shown that there are polyclonal or TCR-transgenic CD4+ T cells that express Foxp3 in IL-2- or IL-2R
-deficient mice and that such cells were more numerous in the thymus than in peripheral immune tissues (19, 20). These data support the notion that commitment to Foxp3+ Treg cell lineage is IL-2 independent and have led to the conclusion that the main nonredundant role of IL-2 lies in peripheral Treg cell expansion and survival rather than in thymic Treg cell production. Nevertheless, Foxp3+ thymocytes may still depend upon IL-2 because the polyclonal thymic IL-2/ Foxp3+ T cells were at a 2-fold reduced number and expressed a lower level of Foxp3 and CD25 when compared with wild-type (WT) littermate control mice (20). These data, the effectiveness of thymic-driven IL-2R
to support Treg cell production and prevent autoimmunity in IL-2R
/ mice, and the presence of a substantial population Treg cells in the periphery of Tg/ mice raise unresolved questions concerning IL-2 in Treg cell production. With these issues in mind, the present study was undertaken to investigate the contribution of IL-2 during thymic Treg cell development and maintenance in peripheral immune tissue. Our data indicate that the IL-2/IL-2R interaction is active and essential in the thymus to promote Treg cells expansion and regulate the expression of Foxp3 and CD25. Furthermore, although Treg cells are maintained in the periphery with greatly impaired IL-2R signaling, IL-2 remains the dominant mechanism controlling the number of peripheral Treg cells.
| Materials and Methods |
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C57BL/6 and Thy1.1 mice were obtained from The Jackson Laboratory. Congenic B6.SJL-Ptprca Pepcb (CD45.1+) C57BL/6 mice were bred and maintained in the animal facility at the University of Miami (Miami, FL). IL-2R
/ mice, backcrossed for at least 12 generations to C57BL/6 mice, have been previously described (21). These mice were maintained by using breeding pairs that were homozygous IL-2R
/ mice rendered autoimmune free by neonatal adoptive transfer of purified CD4+ or CD4+CD25+ Treg cells (11). The thymic targeted transgenic wild-type (WT) IL-2R
expressed in IL-2R
/ mice on the C57BL/6 genetic background (designated Tg/ in this study) has been previously described (22).
Cell purification
CD4+CD25+ Treg cells were purified from the spleen first by the depletion of CD8+ T cells and B cells followed by the positive selection of CD25+ cells as previously described (11). Single positive (SP) CD4 thymocytes were prepared by first depleting CD8+ cells with negative selection using anti-CD8 MACS microbeads (Miltenyi Biotec) followed by FACS sorting of CD4+ and CD8 thymocytes using the BD Biosciences FACSAria sorter and Diva software. The purity of Treg cells and the SP thymocytes was >90 and >99%, respectively. SP thymocytes were labeled with CFSE as previously described (16). T cell-depleted bone marrow was prepared by cells from femurs and tibias, and the T cells were removed by incubation with the Thy-1.2 mAb and the Low-Tox-M rabbit complement (Accurate Chemical & Scientific) for 45 min at 37°C. Cells were then washed one time with Complete medium and twice with HBSS.
Experimental animals
Thymectomies were performed on anesthetized adult mice by opening the chest and removing the thymus with suction. At sacrifice, the thorax was examined and partially thymectomized mice were excluded from analysis. BrdU incorporation in vivo was accomplished by giving mice BrdU in their drinking water (0.8 mg/ml) for up to 10 days. Adoptive transfer into 12 day old IL-2R
/ neonates was performed by i.v. injection with the indicated number of cells in 50 µl of HBSS. Bone marrow chimeras were generated by single 9.0-gray (Gy) or split-dose 11.0-Gy (5.5 Gy in the afternoon and 5.5 Gy the following morning) total body irradiation of Thy1.1 recipients and 24 h later infusing i.v. a 1:1 ratio (5.0 x 106 total cells) of T cell-depleted bone marrow from congenic CD45.1+ C57BL/6 and Tg/ mice. Chimeras were maintained on acidified/antibiotic water (pH 2.2; 100 mg/L neomycin sulfate and 10 mg/L polymyxin B sulfate).
Abs and FACS analysis
Purified anti-lymphotoxin-
(LT
), 7-aminoactinomycin D (7-AAD), biotin-conjugated mAbs to CD69 and CD103, Cy-Chrome-conjugated mAb to CD4, PE-conjugated mAbs to CD45RB, CD25 (PC61), and Thy1.2, PE-streptavidin, PerCP-conjugated mAbs to CD4 and CD8, PerCP-streptavidin, allophycocyanin-conjugated mAb to CD4 and Thy1.2, PE-Cy7 conjugated mAb to CD25 (PC61), allophycocyanin-streptavidin, Alexa 647-phospho-STAT5a, and FITC-conjugated mAb to BrdU were purchased from BD Biosciences. Biotin-conjugated Ab to glucocorticoid-induced TNFR (GITR) was purchased from R&D Systems. FITC-anti-CD4 (clone GK1.5), FITC-anti-CD45.1, and biotin-conjugated mAbs to CD62L (clone Mel14) and CD25 (clone 7D4) were prepared in our laboratory. Foxp3 staining was performed according to manufacturers instructions (eBioscience). FACS analysis of LT
was revealed by three-step staining consisting of sequential incubations with anti-LT
, biotin-anti-hamster IgG, and Cy-Chrome-streptavidin. For phospho-STAT5 staining, spleen cells were cultured at 37°C in medium for 30 min, incubated with IL-2 (10 ng/ml) at 37°C for the indicated time, and fixed with paraformaldehyde (1.5% final concentration) at 37°C for 10 min. After centrifugation the cells were permeabilized in 100% methanol and maintained on ice for 30 min, after which they were washed twice in PBS containing 0.5% BSA and 0.02% NaN3 and stained for phospho-STAT5a and the appropriated surface markers. For an analysis of BrdU incorporation, cells were incubated with BD Cytofix/Cytoperm buffer (BD Biosciences) for 20 min at 4°C and washed with Dulbeccos PBS (2.7 mM KCl, 0.370 mM KH2PO4, 1.4 M NaCl, and 0.800 mM Na2HPO4) containing 3% FBS, 0.1% saponin, and 0.09% NaN3 (wash buffer) followed by incubation for 10 min at 4°C with Cytoperm Plus buffer (BD Biosciences) with one wash. Cells were incubated again with Cytofix/Cytoperm buffer for 5 min at 4°C, washed once, and then incubated with FITC-conjugated anti-BrdU for 20 min at room temperature followed by one wash. FACS analysis was performed as previously described (16) using a BD Biosciences LSR1 cytometer and CellQuest software or a BD Biosciences LSRII cytometer and Diva software.
In vitro Treg cell culture
The suppressor activity of purified CD4+CD25+ Treg cells was previously described (11). Briefly, Treg cells (0.35 x 104) were cultured with CD4+CD25 T cells (5 x 104) and mitomycin-treated, T cell-depleted splenic cells (5 x 104) (23) in a 96-well round-bottom microtiter plate with anti-CD3 (0.10.25 µg/ml) for 72 h. [3H]Thymidine was added during the last 46 h of culture. For cell survival, purified CD4+CD25+ Treg cells were cultured (5 x 105/well) in 48-well microculture plates with or without IL-2 (10 ng/ml) for 96 h. Dead cells were enumerated by 7-AAD staining. LT
and CD25 expression was assessed at various times in parallel or separate experiments.
| Results |
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In mice Foxp3 is the most specific known marker of Treg cells (5, 6, 7). Because our previous characterization of the activity of thymic IL-2R
on Treg cell production relied upon the analysis of CD4 cells that coexpressed CD25 (11), the thymus and periphery of C57BL/6 (WT) and Tg/ (4- to 16-wk-old) and 1- to 3-wk-old IL-2R
-deficient mice were re-evaluated for the presence of Foxp3+ T cells, as these latter animals do not yet exhibit severe symptoms of autoimmunity. As previously reported for IL-2- and IL-2R
-deficient mice (19, 20), Foxp3-expressing CD4+ T cells were detected in the thymus (Fig. 1, A and C) and LN of IL-2R
/ mice (Fig. 1, B and D). However, based on their relative abundance WT and Tg/ mice contained
2- to 3-fold more CD4+ Foxp3+ cells in the thymus and 4- to 7-fold more Foxp3+ cells in the LN than IL-2R
/ mice, and the level of Foxp3 was
2-fold higher for the cells from WT and Tg/ mice (Fig. 1, C and D). This greater proportion of Treg cells was not related to differences in the ages of the mice analyzed, as the proportion of SP CD4+Foxp3+ thymocytes and LN T cells was similar in 2- to 3-wk-old and adult WT and Tg/ mice (data not shown). This lower proportion of Treg cells in IL-2R
/ mice reflected a lower total number of Treg cells for the thymus, as thymic cell recoveries were similar for all mice after 2 wk of age (mean ± SE: 114.1 ± 9.6 x 106, 119.9 ± 10.5, and 119.0 ± 14.5 for WT, Tg/, and IL-2R
/ respectively). However, even though the proportion of Treg cells in the IL-2R
/ LN was very low, its cellularity varied widely between individual IL-2R
/ mice, as hyperproliferation represents an early symptom of autoimmunity such that
50% of IL-2R
/ mice contained LN with a total number of Foxp3+ cells that was comparable to that detected in LN from WT mice. This has been noted previously for IL-2- and IL-2R
-deficient mice (20).
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-deficient mice. Notably, most CD4+ Foxp3+ cells from the thymus and periphery of WT and Tg/ mice expressed relatively high levels of CD25 (IL-2R
), whereas those cells were largely CD25neg in IL-2R
/ mice. Even though Treg cell number and expression of CD25 and Foxp3 were very similar in WT and Tg/ mice, one important difference was that essentially all Foxp3+ Treg cells in WT mice expressed IL-2R
(CD122), whereas CD122 was readily detected on only a small subset of thymic Tg/ Foxp3+ cells.
Thymic CD4+ Foxp3+ cells can be divided into two subsets based on CD4 and CD8 expression (24). We found for all three mouse strains that
25% of these Foxp3+ cells were CD4+CD8+ double positive (DP) thymocytes that expressed CD24 while the remaining cells were CD4+CD8 SP thymocytes (Fig. 2, A and B) that largely lacked CD24. These data are consistent with the notion that the DP Foxp3+ thymocytes are precursors to the CD4 SP cells, because CD24 (HSA) is readily detected on immature developing thymocytes but not on mature SP cells. For the Tg/ Foxp3+ thymocytes a normal level of CD122 was largely contained to the most immature DP CD24+ cells. In fact, almost all of the mature Tg/ CD4 SP Foxp3+ thymocytes expressed an essentially undetectable level of CD122, indicating that it is highly unlikely that these Treg cells express a functional IL-2R as they exit the thymus to seed peripheral immune tissue. By comparison with thymocytes from IL-2R
-deficient mice, transgenic expression of CD122 in only the most immature Foxp3+ thymocytes of IL-2R
/ mice resulted in increasing the number of Foxp3+ cells (Fig. 2B) as well as the up-regulation of Foxp3 (Fig. 2C) and CD25 (Fig. 2D) in both the DP and SP Treg subsets to levels equivalent to that found in WT mice. Although we noted some day-to-day variation in the mean fluorescence intensity (MFI) for Foxp3 (Fig. 2C), when we considered the increase in Foxp3 levels for SP CD4+ Foxp3+ cells in samples compared on the same day with those of Foxp3+ cells from the IL-2R
/ thymus, there was a significant (p < 0.05) 1.89 ± 0.19 and 1.86 ± 0.22-fold higher level of Foxp3, respectively, for cells from the WT thymus and the Tg/ thymus using a repeated measures one-way ANOVA followed by Tukeys multiple comparison test. Thus, the expression of a functional high-affinity IL-2R at a very early stage of Treg cell development by itself appears to be sufficient for the normal production of Treg cells.
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Peripheral Foxp3+ Treg cells in adult Tg/ mice lack readily detectable expression of CD122 (Fig. 1C) and do not undergo IL-2-dependent expansion upon adoptive transfer to IL-2R
/ mice (11, 23). Nevertheless, adult Tg/ mice contain a normal number of peripheral Treg cells that effectively control autoimmunity. Thus, once there is IL-2-dependent thymic Treg cell production in Tg/ mice, it appears that IL-2 is not required for the peripheral homeostasis of Treg cells. Alternatively, constant thymic output might compensate for an apparent lack of IL-2 signaling by peripheral Tg/ Treg cells. To assess this possibility, we enumerated the persistence of CD4+CD25high T cells, of which the majority are Foxp3+ (Fig. 3A), in the LN of normal and Tg/ mice following adult thymectomy. From 2- to 8 wk post-thymectomy no obvious reduction was noted in the fraction of CD4+CD25high T cells from both groups of mice (Fig. 3B). Furthermore, the thymectomized Tg/ mice lacked the early symptoms of autoimmune disease associated with IL-2 or IL-2R-deficiency such as lymphoadenopathy and an activated phenotype (Fig. 3, C and D). This finding indicates that the persistence of Treg cells in the periphery of Tg/ mice is not due to constant seeding by recent thymic emigrants. The level of BrdU incorporation over 4 days by peripheral WT Treg cells was similar for sham-treated and thymectomized mice (not shown). This finding suggests that Treg cells did not undergo markedly increased proliferation to account for their persistence after adult thymectomy and that the BrdU labeling largely reflected a proliferation of Treg cells that was not substantially affected by recent thymic emigrants. Thus, Treg cells can survive long term in the periphery of adult mice without normal expression of a functional IL-2R and without a need for replacement by newly produced cells.
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Careful analysis of FACS histograms for IL-2R
expression by LN Foxp3+ T cells from Tg/ mice suggests a possible very low expression on peripheral Treg cells, as the staining of IL-2R
was slightly higher than that found for Foxp3+ T cells from IL-2R
-deficient mice (Fig. 1B). To further explore the possible significance of this expression, IL-2-induced STAT5 activation was tested for WT and Tg/ CD4+CD25+ T cells by FACS analysis using a mAb specific for phosphotyrosine-STAT5. We first established that this method was suitable for this analysis because, when conventional activated T cells were stimulated with IL-2, staining by this Ab or Western blot analysis each yielded similar results for the induction of phosphotyrosine-STAT5 (data not shown). Rapid and sustained IL-2-dependent induction of phosphotyrosine-STAT5 was observed for WT CD4+CD25high cells, whereas low and transient phosphotyrosine-STAT5 induction was seen for CD4+CD25high cells from Tg/ mice (Fig. 4A). The IL-2 dependency of this induction was shown by the lack of phosphotyrosine-STAT5 staining for cells cultured in the absence of IL-2 (Fig. 4A) and by the capacity of anti-IL-2 to inhibit this induction (data not shown). Thus, the very low expression of IL-2R
on Tg/ Treg cells induced low but detectable IL-2-dependent signaling when compared with that of WT Treg cells.
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on T cells, which also depends upon the activation of STAT5 (26, 27), we compared the ability of IL-2 to induce LT
on purified WT and Tg/ Treg cells. Cell surface LT
was induced on WT but not Tg/ Treg cells by IL-2 over a range of IL-2 concentrations (Fig. 4D). Although the functional significance of the induction of LT
on WT Treg cells by IL-2 remains to be elucidated, these data and past work demonstrate that Tg/ Treg cells are unable to mediate important down-stream responses dependent upon IL-2 signaling. The relative effectiveness of peripheral Tg/ Treg cell homeostasis
The long-term maintenance of peripheral CD4+CD25+Foxp3+ Treg cells in Tg/ mice raised the possibility that minimal transient IL-2R signaling and/or an IL-2-independent pathway is the dominant mechanism for the homeostasis of peripheral Treg cells in normal mice. To assess this possibility, two distinct experimental approaches were used that compared the persistence of mixtures of WT and Tg/ Treg cells in immune tissues. In one line of investigation, a 1:1 mixture of CFSE-labeled CD4 SP thymocytes from congenic CD45.1+ WT and CD45.2 Tg/ mice was adoptively transferred into 2-day-old syngeneic IL-2R
/ mice. The population of Foxp3+ cells in the donor cells was determined before transfer (Fig. 5A) and was shown to contain almost 2-fold more Tg/ Foxp3-expressing CD4 thymocytes (CD45.1) than WT control thymocytes (CD45.1+). This skewing was anticipated, because Tg/ mice have a higher proportion of thymic Treg cells when compared with WT mice (Fig. 2B). When recipient LN were examined 4 days after adoptive transfer, the donor Treg cells were detected based on gating on Foxp3+ cells and then by enumerating CFSE and CD25 so as not to include recipient Foxp3+ IL-2R
-deficient cells, which mostly do not express CD25 (see Fig. 1B). In this short time after transfer, CD45.1 WT Treg cells now dominated such that after correcting for the input ratio, WT Treg cells outnumbered Tg/ cells by 5.3 ± 0.8:1 (n = 3) (Fig. 5B). Based on the CFSE staining, the Tg/ Treg cells proliferated less and expressed a lower level of Foxp3 and CD25. Similar analysis of an uninjected IL-2R
neonatal mouse confirmed that there were essentially no recipient-derived CD45.2+ Foxp3+ T cells within the gate used to identify the donor cells (Fig. 5C). Thus, in this competitive setting WT Foxp3+ thymocytes dominated the engraftment of neonatal LN.
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/ mice. Therefore, a second approach that we used was to generate mixed bone marrow chimeras using a 1:1 mixture of T cell-depleted bone marrow from congenic CD45.1+ WT and Tg/ mice as the donor cells. By using lethally irradiated Thy-1.1 recipients, donor cells (Thy-1.2+) were readily distinguished from the host T cells, whereas WT- and Tg/-derived donor cells were distinguished from each other by use of the congenic marker CD45.1. When examined 89 wk after bone marrow transplantation, the thymus and LN of the recipient mice were fully reconstituted based on cellularity (data not shown) and normal percentages of double negative, DP, and SP CD4, SP CD8, and CD4 and CD8, respectively (Fig. 6A). Furthermore, the CD4 T cell compartment of spleen and LN contained a normal percentage of CD25+ or Foxp3+ cells (Fig. 6B). When the donor origin of the cells within the thymus was determined, WT (CD45.1+Thy1.2+) thymocytes slightly outnumbered Tg/ cells (CD45.1Thy1.2+) for all thymic subsets, including CD4+CD25+Foxp3+ cells (Fig. 6, C and D). This modest difference likely reflects the composition of the precursor pool within the donor inoculum and indicates that Tg/ Treg cells effectively compete with WT cells during their production within the thymus. In marked contrast, there was a strikingly selective 20.9 ± 1.9-fold and 11.0 ± 0.9-fold preference for WT Treg cells in spleen and LN, respectively, while the ratio of conventional CD4+Foxp3 cells showed a slight preference for WT cells, in line with what was observed within the thymus (Fig. 6, E and F). There was also a significant fraction of peripheral CD4+Foxp3+ T cells that were both Thy-1.2 and CD45.1 (Fig. 6E). These Treg cells were recipient derived because 98% stained positively for Thy-1.1+ (not shown), suggesting that Treg cells may be somewhat radioresistant when compared with other T cells. Thus, although there were some recipient-derived Treg cells, the failure of donor-derived Tg/ Treg cells to effectively compete with donor-derived WT Treg cells indicates that the pathway used by Tg/ Treg cells in a noncompetitive setting is not normally a prominent mechanism for the homeostasis of peripheral Treg cells or effectively driven by weak IL-2R signals.
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The ineffective competition of Tg/ Treg cells in the mixed thymocyte and bone marrow experiments raised the possibility that the properties of WT and Tg/ Treg cells might not be identical. First, their proliferative properties were assessed by BrdU incorporation into cellular DNA in vivo. For this analysis, Treg cells were evaluated by enumerating BrdU incorporation into CD4+CD25high cells, as nearly all of these cells coexpress Foxp3+ (see Fig. 3A and Refs. 24 and 28). In comparison with WT Treg cells, peripheral Tg/ CD4+CD25+ Treg cells showed a decreased fraction of cells that were BrdU+ (Fig. 7, A and B). This lower incorporation of BrdU by Tg/ Treg cells appears to be specific for this T cell subset, because CD4+ CD25 T cells and all thymic CD4/CD8 subsets from normal and Tg/ mice similarly incorporated BrdU (Fig. 7B and data not shown).
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50% fewer WT Treg cells contained BrdU. Because BrdU incorporation by normal Treg cells reached a plateau at the start of chase period, the decrease of BrdU+ cells likely reflects lower survival. In marked contrast, there was essentially no decrease in BrdU-labeled Tg/ Treg cells, indicating that all of the Treg cells initially labeled with BrdU survived throughout the entire chase period. Even though Tg/ Treg cells show distinct growth properties, their phenotypic characteristics are largely similar to those of WT Treg cells. Besides Foxp3 and CD25 (Fig. 1B), the expression of CD69, CD62L, and GITR by peripheral Tg/ Treg cells was also similar to that of WT Treg cells (Fig. 8, A and B), even when analyzing the BrdU+ and BrdU cells (Fig. 8C). One exception was CD103, which was detected on a lower fraction of Tg/ Treg cells. Nevertheless, recently proliferating BrdU+ cells were more frequent for WT and Tg/ Treg cells that expressed CD69 or CD103 or lacked CD62L. Thus, peripheral Tg/ Treg cell homeostasis is maintained by relatively slow growth and an extended survival rate while still largely expressing characteristic key phenotypic markers in a normal fashion.
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Using a relatively large number of Treg cells, previous data from our laboratory demonstrated that Tg/ Treg cells inhibited anti-CD3-induced proliferation of CD4+ T cells (11), suggesting that the Treg suppressor function does not depend upon IL-2. Recently, several studies have implied that IL-2 may play a role in generating the CD4+CD25+ Treg cell suppressor function in vitro (29, 30, 31). Based on this finding, we re-examined the capacity of purified Tg/ CD4+CD25+ Treg cells to suppress proliferation by CD4+ T cells in vitro. For these experiments, we tested a broader ratio of CD4+ responding T cells to Treg cells and varied the stimulation by anti-CD3. When compared with normal mice, CD4+CD25+ Treg cells within the periphery of Tg/ mice are usually represented at a somewhat higher fraction of the CD4+ T cell population (Fig. 9A) (11). When stimulated with a low concentration of anti-CD3 (0.1 µg/ml), Tg/ Treg cells suppressed proliferation to nearly the level seen with Treg cells from normal mice (Fig. 9B). However, at a higher dose of anti-CD3 (0.25 µg/ml) the Tg/ Treg cells were less potent suppressor cells at all ratios of responder to Treg cells (Fig. 9C). These data are consistent with Tg/ mice containing Treg cells with somewhat lower suppressor activity, suggesting that optimal IL-2R signaling is normally required to fully maintain Treg cell suppressor function.
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| Discussion |
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, or IL-2R
(Refs. 19 and 20 and this report), our findings show that the IL-2/IL-2R interaction is active within the thymus because the expression of WT IL-2R
in the thymus of IL-2R
/ (Tg/) mice increased the number of thymic Treg cells
2-fold, and these cells expressed heightened levels of Foxp3 and CD25. These data suggest that IL-2 functions as a growth and differentiation factor during thymic Treg cell development.
There are two major subsets of thymic Foxp3+ Treg cells. One subset comprising
2025% of the cells represents immature CD24 (HSA)+ CD4+CD8+ DP Treg cells. These cells likely give rise to the mature CD24 (HSA) CD4 SP subset that represents the large majority of thymic Treg cells. However, the coincident appearance of Foxp3+ DP and CD4 SP cells in thymic ontogeny raises the possibility that DP Foxp3+ cells are not obligatory precursors to all SP thymic Treg cells (24). When IL-2R
expression was evaluated for Tg/ Foxp3+ cells, only the most immature DP subset expressed normal levels of this protein, whereas IL-2R
was down-regulated to nearly undetectable levels on the mature CD4 SP cells. These data indicate that IL-2R expression at the most immature stage of Treg cell development is sufficient for driving the normal development of thymic Treg cells or that the very low expression of IL-2R
on the CD4 SP cells is functionally relevant. In either case, the competitive bone marrow chimeric mice demonstrate that this level of transgenic IL-2R
expression on Tg/ thymocytes is sufficient to effectively compete with WT thymocytes. When compared with DP Foxp3+ cells in nontransgenic IL-2R
/ mice, the thymus of WT and Tg/ mice contained twice as many DP cells that already expressed high levels of Foxp3 and CD25. Although the thymus of IL-2R
-deficient mice contained a lower number of DP Foxp3low CD25 cells, these cells readily increased by
4-fold into SP CD4 Foxp3low CD25 cells. This relative increase is the same for the Foxp3high CD25+ subsets in thymus of WT and Tg/ mice. Thus, this phase of cell growth was not impaired and IL-2 independent in the thymus of IL-2R
-deficient mice. Collectively, these findings raise the possibility that IL-2R delivers an essential signal at the DP stage that functions as an important checkpoint in Treg cell development.
Most other studies favor the view that IL-2 is critical for peripheral Treg cell homeostasis (19, 20). Several recent studies concluded that the primary role of IL-2 lies in peripheral Treg cell expansion and survival rather than in thymic production. The main conclusion for this result was based on the presence of Foxp3+ cells in the thymus and the peripheral immune tissues of IL-2/IL-2R-deficient mice, with a much more striking deficit in the proportion of these cells in the periphery. These studies suggest that these CD4+ Foxp3low CD25 cells were functionally active but the low proportion of these cells failed to keep up and suppress autoreactive cells. However, there are no direct data that the Foxp3+ T cells in IL-2/IL-2R-deficient mice are functionally active in vivo, although they showed variable capacity to suppress T cells responses in vitro. One argument for the suppressive activity of the CD4+ Foxp3+ cells in IL-2-deficient mice is that the autoimmunity in Foxp3-decieint mice is somewhat more severe than that seen in IL-2/IL-2R-deficient animals. It is equally possible, however, that the T effector pool in Foxp3-deficient mice, which is responsive to IL-2, more rapidly causes disease than the T effector cells that cannot respond to IL-2, as immune responses in vivo without IL-2R signals are effective but somewhat less robust (11, 23, 32, 33).
The activity of transgenic IL-2R
within the thymus as discussed above and the capacity of anti-IL-2 Ab to inhibit thymic Treg cell production (16) provides direct evidence of an important role for IL-2/IL-2R in thymic Treg cell development. This finding by itself does not preclude a role for IL-2R in peripheral Treg cell homeostasis. However, CD4+ Foxp3high CD25+ Treg cells were readily found in the periphery of Tg/ mice even though they barely expressed IL-2R
and correspondingly showed substantially impaired IL-2R signaling. It is likely that thymic Tg/ CD4 SP Treg cells are also poorly responsive to IL-2 upon exiting the thymus and seeding peripheral LN, because they also expressed minimal IL-2R
and did not favorably compete when mixed with WT thymic Treg cells during IL-2-dependent expansion after adoptive transfer into IL-2R
-deficient neonates. One potential trivial explanation for peripheral Tg/ cells in adults is that they were primarily due to recent thymic output. However, Treg cells persisted in the spleen and LN of autoimmune-free Tg/ mice 8 wk after adult thymectomy, indicating that constant thymic output does not compensate for the lack of a fully functional IL-2R. Collectively, these findings suggest that peripheral Treg cell homeostasis and function are either IL-2R independent or influenced by minimal IL-2R signaling.
Further characterization of Tg/ Treg cells provides some initial information concerning the mechanism(s) for these peripheral Treg cells. With respect to major phenotypic markers of Treg cells such as CD25, Foxp3, CD62L, CD69, and GITR, the phenotypes of Treg cells from Tg/ and WT mice are largely comparable within the thymus and periphery, arguing against the notion that peripheral Tg/ Treg cells represent a distinct subpopulation of cells. When compared with Treg cells from normal C57BL/6 mice, BrdU labeling studies demonstrate that there is a reduced fraction of Tg/ Treg cells that undergo DNA synthesis. This comparison also revealed that Tg/ Treg cells did not readily lose the BrdU label when assessed in pulse-chase type experiments. These data are consistent with a population of Treg cells in the periphery of Tg/ mice with lower proliferative activity but a longer life span when IL-2R
expression and signaling is greatly diminished. These properties, especially the slow turnover, may in part explain why Treg cells with impaired IL-2R signaling still readily populate the periphery of Tg/ mice and then persist in the mature peripheral immune compartment with a normal complement of Treg cells even without newly produced Treg cells from the thymus. This explanation is not at odds with the finding that Treg cells from the periphery of adult Tg/ or WT mice cells cannot engraft and prevent autoimmunity when transferred to IL-2R
/ or IL-2/ neonatal mice, respectively, as this model requires extensive IL-2-driven proliferation by the few donor Treg cells that initially engraft the LN (11, 16).
C57BL/6 IL-2R
/ mice contain a high proportion of T cells with an activated phenotype and exhibit severe lymphoproliferation that is first evident by 2 wk of age and rapidly progresses to severe multiorgan autoimmunity accompanied by a wasting syndrome that leads to death by 8- to 12-wk of age. Tg/ mice do not exhibit any of these severe symptoms and are vigorous breeders with a normal life span, establishing that the Treg cells in these mice are effective in controlling autoimmunity (11). However, when the suppressor activity of Tg/ Treg cells was tested in a standard in vitro assay, these cells exhibited somewhat less efficient inhibition when compared with WT Treg cells. This finding is comparable to that reported for the suppressive activity of TCR-transgenic Treg cells from IL-2R
-deficient mice (19) and is in line with several other studies that suggest that IL-2R function is important for Treg cell suppressive activity (30, 34). When compared with WT mice, several characteristics of Tg/ mice, i.e., somewhat larger LN due to increased CD4 T cell cellularity, minimally elevated serum IgG1 levels, an occasionally high titer of autoanti-DNA Abs (Ref. 22 and see Fig. 3C), and mild inflammatory infiltrates in the liver of some older (>6 mo) animals (T. Malek, unpublished data and S. Ziegler, Benaroya Research Institute, Seattle, WA, personal communication), are consistent with mice containing Treg cells that at not fully functional. The increased proportion of Treg cells relative to the total pool of CD4+ T cells in the periphery of Tg/ mice might represent a compensatory mechanism for this somewhat lower suppressor cell activity. However, the lower turnover of peripheral Tg/ Treg cells, as discussed above, may simply account for the increased number in Treg cells in these mice. Alternatively, the lower activity of the Tg/ Treg cells might reflect impaired IL-2R signals by the transgenic Treg cells during the in vitro culture. We do not favor this interpretation, because if IL-2 was mandatory in the in vitro assay we would expect that the Tg/ Treg cells would exhibit an impaired suppressor activity that was independent of the dose of anti-CD3 or the number of Treg cells.
The detection of suboptimal and transient STAT5 activation by peripheral Tg/ Treg cells raises the possibility that this low IL-2R signaling on its own is sufficient for peripheral Treg cells in vivo. This notion seems unlikely, because in contrast to WT Treg cells, Tg/ Treg cells failed to engraft and persist when adoptively transferred to IL-2-sufficient IL-2R
/ mice (11). Furthermore, IL-2 did not promote the survival of these cells in vitro. Impaired IL-2R
signaling by peripheral Tg/ Treg cells is also evident by their distinctive in vivo homeostasis as revealed by BrdU studies and their slightly impaired functional activity. Importantly, when lethally irradiated recipient mice were reconstituted with a mixture of T cell-depleted bone marrow from WT and Tg/ mice, Tg/ cells effectively competed with WT cells in the reconstitution of the Treg cell pool in the thymus but not in the peripheral immune compartment. This result strongly suggests that normally there is a critical IL-2-dependent step for peripheral Treg cells. Thus, the persistence of Tg/ Treg cells in the periphery in a noncompetitive setting with minimal to no effective IL-2R signaling likely represents a minor mechanism in maintaining Treg cells in situations in which a fully functional IL-2R pathway is active. This minor mechanism is either IL-2 independent or weak IL-2 signals cooperate with signals through other surface receptors. Although we cannot distinguish between these possibilities, the largely normal expression of CD25 by Tg/ Treg cells when directly assessed ex vivo and the inability of IL-2 to up-regulate CD25 expression in vitro point to some IL-2-independent signaling for Tg/ Treg cells in vivo.
The mixed chimera approach cannot discriminate whether the normal dominance for IL-2 in the periphery for Treg cells is at the level of their early expansion in LN during the initial stages of their production or their subsequent homeostasis in the steady state. However, our experience is that blockade of Treg cell production is most effective when anti-IL-2 is administered to neonatal normal mice (16). IL-2 blockade during the neonatal period also resulted in autoimmune gastritis in BALB/c mice and early diabetes, peripheral neuritis, gastritis, and thyroiditis in NOD mice (17). Thus, it appears that early developmental steps in the periphery may typically depend upon IL-2. However, the observation that Treg cells from adult WT C57BL/6 mice exhibited greater uptake and subsequent loss of BrdU when compared with the CD4+ CD25 T cell subset or Tg/ Treg cells indicates that IL-2 may normally function as a growth and death factor for Treg cells and that WT Treg cells are not anergic in vivo, as noted by others (11, 35, 36, 37).
We favor a model in which the essential role for IL-2 resides at the earliest stages of the production of Treg cells in the thymus. If IL-2-signals are delivered to immature thymic Treg cells, continued thymic production, peripheral expansion, and homeostasis of mature Treg cells can occur without a requirement for sustained IL-2R signaling and may essentially be IL-2 independent. TCR and costimulatory interactions through CD28, CD40L, 4-1BB, CD7, or IL-4 each have been implicated in controlling aspects of Treg cell growth or function (38, 39, 40, 41, 42, 43). Therefore, signaling through these molecules may compensate for poor IL-2R signaling to maintain Treg cells. This notion may be of practical relevance, as this might mean that Treg cells may persist in therapeutic protocols that target IL-2 action on effector cells. Nevertheless, it seems likely that IL-2R signaling remains the dominant means for Treg cell expansion and homeostasis in the periphery.
| Acknowledgments |
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| Disclosures |
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| Footnotes |
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1 This work was supported by National Institutes of Health Grants CA45957 and AI055815. ![]()
2 Address correspondence and reprint requests to Dr. Thomas R. Malek, University of Miami Miller School of Medicine, Department of Microbiology and Immunology, R138, 1600 Northwest 10th Avenue, Miami, FL 33146. E-mail address: tmalek{at}med.miami.edu ![]()
3 Abbreviations used in this paper: Treg, T regulatory cell; 7-AAD, 7-aminoactinomycin; DP, double positive; Foxp3, Forkhead box P3 transcription factor; GITR, glucocorticoid-induced TNFR; Gy, gray; LN, lymph node; HSA, heat-stable Ag; MFI, mean fluorescence intensity; LT
, lymphotoxin-
; SP, single positive; Tg/, thymic-specific expression of IL-2R
in IL-2R
/ mice; WT, wild type. ![]()
Received for publication June 13, 2006. Accepted for publication July 12, 2006.
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