Abstract
Small airway chronic inflammation is a major pathologic feature of chronic obstructive pulmonary disease (COPD) and is refractory to current treatments. Dendritic cells (DCs) accumulate around small airways in COPD. DCs are critical mediators of Ag surveillance and Ag presentation and amplify adaptive immune responses. How DCs accumulate around airways remains largely unknown. We use 2-photon DC imaging of living murine lung sections to directly visualize the dynamic movement of living DCs around airways in response to either soluble mediators (IL-1β) or environmental stimuli (cigarette smoke or TLR3 ligands) implicated in COPD pathogenesis. We find that DCs accumulate around murine airways primarily by increasing velocity (chemokinesis) rather than directional migration (chemotaxis) in response to all three stimuli. DC accumulation maximally occurs in a specific zone located 26–50 μm from small airways, which overlaps with zones of maximal DC velocity. Our data suggest that increased accumulation of DCs around airways results from increased numbers of highly chemokinetic DCs entering the lung from the circulation with balanced rates of immigration and emigration. Increases in DC accumulation and chemokinesis are partially dependent on ccr6, a crucial DC chemokine receptor, and fibroblast expression of the integrin αvβ8, a critical activator of TGF-β. αvβ8-Mediated TGF-β activation is known to enhance IL-1β–dependent fibroblast expression of the only known endogenous ccr6 chemokine ligand, ccl20. Taken together, these data suggest a mechanism by which αvβ8, ccl20, and ccr6 interact to lead to DC accumulation around airways in response to COPD-relevant stimuli.
Introduction
Chronic obstructive pulmonary disease (COPD) is the third leading cause of death in the United States (1). Chronic inflammation surrounding small airways is refractory to currently available therapies and is a major contributing factor leading to obstructive pathophysiology (2, 3). New therapies may be developed by understanding the cellular mechanisms driving treatment-refractory inflammation and the role that this inflammation plays in airway obstruction (4).
Cigarette smoke (CS) is the major cause of airway remodeling by causing cellular injury; injury increases the susceptibility to respiratory pathogens, in particular viruses (5). CS and viruses stimulate similar host danger responses leading to inflammasome activation and enhanced IL-1β secretion (6–8). Perturbation of IL-1 signaling protects against experimental CS-induced airway remodeling (9, 10). IL-1β–induced airway remodeling involves increased expression of TGF-β1 (11).
TGF-β1 is a multifunctional cytokine that is widely implicated in both pathologic immunity and fibrosis. However, increased expression of TGF-β is not sufficient for its pathologic effects because it is expressed in latent complex that must be activated to function. Binding of the integrin αvβ8 to the latent TGF-β complex has been shown to be essential for TGF-β activation during development and in driving airway pathology in adult mice (12–20). IL-1β increases integrin αvβ8 expression and αvβ8-mediated TGF-β activation implicating αvβ8 in CS- and viral-induced airway remodeling (17).
αvβ8 may be involved in the pathogenesis of airway remodeling through its increased COPD-associated expression in airway fibroblasts (17). Intratracheal adenoviral (Ad) delivery of IL-1β to the airways of mice causes increased αvβ8 expression, airway inflammation, and fibrosis (17). Conditional deletion of fibroblast αvβ8 prevents Ad-IL-1β–induced airway inflammation and fibrosis (17).
IL-1β–stimulated primary human or mouse lung fibroblasts become prosynthetic, increase αvβ8 expression and αvβ8-mediated TGF-β activation, and express the potent dendritic cell (DC) chemokine CCL20 (17). Cytokine arrays of lungs from Ad-IL-1β–treated mice reveal elevated levels of CCL20 that are reduced by postnatal fibroblast-conditional deletion of itgb8, or by treatment with an affinity-matured anti-β8 Ab, B5 (17, 21). Increased CCL20, DCs, and Th17 cells are associated with airway remodeling induced by CS in combination with the viral mimetic polyinosinic-polycytidylic acid [poly(I:C)], and these increases are efficiently blocked by B5 (21).
CCL20 is increased in COPD lung parenchyma (22); it is the only known chemokine ligand for its receptor, CCR6 (23). Therefore, ccr6-deficient mice can be used to interrogate the functions of CCL20 in vivo. CCR6, which is expressed on immature DCs, is required for CS-induced DC recruitment and asthma and emphysema phenotypes in mice (23–26). DCs are essential APCs implicated in the pathogenesis of COPD through priming pathologic adaptive T cell immune responses (27). The accumulation of DCs surrounding airways correlate with COPD disease severity (23).
A role for DCs and DC-mediated adaptive T cell immunity in murine airway remodeling has recently been demonstrated (28). Using ccr6-deficient mice, a transgenic (Tg) diphtheria toxin receptor DC ablation strategy, or TCRα-deficient mice, it was determined that ccr6-expressing DCs and α/β T cells are required for IL-1β–mediated airway inflammation and fibrosis (28). Understanding how and where DCs specifically accumulate in the airways in response to COPD-relevant stimuli may provide biologic insights that can be translated for therapeutic benefit.
Function of DCs in lung disease has largely been inferred from enrichment of specific DC subsets and localization defined by flow cytometry, immunohistochemistry, and adoptive transfer of bone marrow–derived DCs (27). Such studies have been instrumental in assigning putative roles and functions to DC subsets in different states of maturation in homeostasis and disease states (29). However, these definitions are based on static information that does not account for dynamic changes that cause DC recruitment and retention in response to endogenous stimuli within complex tissues with physical and geometric constraints (30, 31). Two-photon microscopy allows real-time imaging of immune cells in living tissues where endogenous signals emanate from multiple cell types in distinct microanatomic compartments of the lung. Genetically altered mice expressing fluorescent markers in DCs coupled with two-photon live cell imaging of living vibratome lung slices allows new insights into DC function (32). Software has also been developed that allows for DCs to be unambiguously identified based on morphologic characteristics (32).
In this study, we elucidate the dynamic mechanisms, roles, and function of DCs in fibroinflammatory airway pathology of COPD by studying mice treated with COPD-relevant stimuli. We report that ccr6 and the αvβ8 integrin expressed by fibroblasts regulate DC localization in regions close to the airway lumen by a mechanism involving increased DC chemokinesis.
Materials and Methods
Mice
All mice were bred and housed in specific pathogen-free housing under an Institutional Review Board–approved protocol (Institutional Animal Care and Use Committee protocol no. AN098258) and in accordance with the guidelines of the Laboratory Animal Resource Center of the University of California, San Francisco (San Francisco, CA). ccr6−/− (B6.129P2-ccr6tm1Dgen/J), tcra−/− (B6.129S2-tcratm1Mom/J), RosamT/mG [B6.129(Cg)-Gt(Rosa)26SorTm4(Act-TdTomato,-EGFP/J], and wild-type (WT) mice, all in C57BL/6 mice, were obtained from The Jackson Laboratory (Bar Harbor, ME). smad4f/f mice from Chuxia Deng (National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD) were backcrossed eight generations to C57BL/6 mice. Col1α2-Cre-ER(T) mice were from Benoit de Crombrugghe (MD Anderson Cancer Center, Houston, TX). Mice expressing human ITGB8 were generated with a human chromosome BAC (RP11-431K20) containing the entire 80-kb ITGB8 gene and 70- and 30-kb of 5′ and 3′ flanking regions (21). Mouse CD11c–enhanced yellow fluorescent protein (YFP) (33) Tg reporter mice were provided by M. Nussenzweig (Rockefeller University, New York, NY).
Recombinant adenovirus
The recombinant E1–E3 deleted type 5 adenovirus, either empty (Ad-C) or expressing human active IL-1β (Ad-IL-1β), has been described in detail elsewhere (11). The replication-deficient virus was commercially amplified and purified by cesium chloride gradient centrifugation and PD-10 Sephadex chromatography, plaque titered on 293 cells, and checked for WT contamination (ViraQuest, North Liberty, IA). Recombinant type 5 adenoviral vectors expressing Cre-eGFP fusion protein, eGFP, or LacZ were obtained from the Gene Transfer Vector Core (University of Iowa, Iowa City, IA).
Intratracheal injections
Mice were anesthetized with i.p. injection of Avertin (250 mg/kg). Then Ad–human IL-1β or Ad-LacZ (2.5 × 108 PFU in 75 μl sterile PBS) was instilled intratracheally with a needle (Popper 24G-1′ Straight 1.25-mm ball) using the direct visualized instillation technique (34). The control was Ad-LacZ.
CS and poly(I:C) exposure
Mice were exposed using a whole-body CS exposure system (Teague Enterprises, Woodland, CA) within a barrier facility. Mice are acclimated using increasing smoke exposures for 5 d starting at a total suspended particulates of 40 mg/m3 for 2 h, and increasing incrementally to final smoke exposures of 100 total suspended particulates using 3R4F cigarettes. Full-dose exposures begin in wk 1 with 5 h of continuous exposure, with rest on weekends. In week 2, intranasal doses of poly(I:C) (Invivogen, 50 μg/dose) are given on days 9 and 12, and again in wk 3 on days 15.
Preparation of lung sections for live cell imaging in the lung
Mice were given a lethal overdose of Avertin and exsanguinated by cutting the renal artery. The lungs and trachea were exposed by cutting through the diaphragm and chest wall. The mice were intubated by tracheotomy with the sheath from an 18-gauge i.v. catheter. Lungs were inflated with 1 ml 2% low melting temperature agarose in sterile PBS maintained at 37°C, and the solution was solidified by briefly rinsing the inflated lungs with PBS at 4°C. Inflated lungs were then excised from the mouse and placed in a sterile 50-ml conical containing room temperature RPMI 1640 without phenol red (Invitrogen/Life Technologies). The left lobe was isolated, cut into 360-μm sections using a vibratome filled with cool PBS, mounted on plastic slides with Vectabond (3M), and placed in a dish containing RPMI 1640 without phenol red before imaging.
Real-time two-photon imaging
A custom resonant-scanning two-photon instrument (32) contains a four-photomultiplier tube detector and collects data at video rate. Where indicated, lung sections were stained with Hoechst for 10 min at a concentration of 100 μg/ml and then maintained at 36°C in RPMI 1640 medium bubbled with 95% O2 and 5% CO2 for up to 8 h. The health of lung sections was assessed by ciliary movement in large airways. Samples were excited with a 10-W Mai Tai Ti:Sapphire laser (Spectra-Physics) tuned to a wavelength of 910 nm, and emission wavelengths of 440/40 nm (for Hoechst), 505/20 nm (for GFP), 542/27 nm (for YFP), and 605/70 nm (tdTomato) were collected. Micromanager (Vale Laboratory, University of California, San Francisco) was used for image acquisition. Each lung section was first surveyed in a raster scan spanning 1567 × 1300 × 175 μm in xyz. For time-lapse acquisition, each xy-stack spans 313 × 260 μm at a resolution of 0.653 μm per pixel spaced 3 μm apart for ∼100 μm in z, and 10–20 video-rate frames were averaged.
Imaris-based analysis of motility and morphology
Images were analyzed with Imaris software (Bitplane) using isosurface with masking and spot tracker applications. Three-dimensional images were rendered by Imaris or MetaMorph software (Molecular Devices), and sphericity was calculated by Imaris using the ratio of the surface area of a sphere (with the same volume as the given particle) to the surface area of the particle (32).
Statistical analysis
All data are reported as means ± SE. Comparisons between two different groups were determined using a Student's t test for parametric data or Mann–Whitney for nonparametric data. One-way ANOVA was used for multiple comparisons, and Tukey or Bonferroni post hoc tests were used to test for statistical significance. Significance was defined as p < 0.05. Logistic regression analysis was performed using Stata (v12.1). All other statistical analyses were performed using the software package Prism 4.0b (GraphPad Software, San Diego, CA).
Results
DCs accumulate preferentially around small airways in response to IL-1β
DC function is highly compartmentalized, reflecting the distinct antigenic environments of the airways and alveoli (32). We have developed several airway remodeling systems (intratracheal adenoviral IL-1β, CS alone, and CS in combination with a viral mimetic) that we use to directly visualize and quantify live DCs in specific airway compartments to gain fundamental insights into mechanisms of DC Ag surveillance in the airway adjacent zones (17, 21). We used two-photon microscopy of vibratome living lung slices from mice genetically engineered to express YFP in DCs under control of the mouse CD11c promoter (33). In these mice, YFP bright cells represent both alveolar macrophages (AMs) and DCs. Automated image analysis efficiently discriminates between AMs and DCs based on sphericity, with the former being “round” and the later highly complex (32). DCs are preferential concentrated around airways and AMs in the alveolar regions (32).
In response to intratracheal Ad-IL-1β delivery, significantly greater numbers of DCs accumulated around small (<200 μm) rather than large airways (Fig. 1A–E), which is where DCs accumulate in human COPD, and where the major physiologic site of airway obstruction occurs (35). We therefore focused our subsequent analysis on airways <200 μm in diameter. Our initial impression was that the number of DCs varied based on the distance from the small airway lumen. To determine where the maximum density of DCs occurred in airway adjacent regions we arbitrarily created four zones, <25, 26–50, 51–75, 76–100, and >100 μm from the airway lumen (Fig. 1F). The zonal regions that were >100 μm from the airway lumen were defined as the distance to the edge of the image, and they generally extended 200–300 μm from the airway lumen.
DCs primarily localize around small airways in mice treated with intratracheal Ad-IL-1β. CD11c-YFP mice were treated either with Ad-LacZ (A and C) or Ad-IL-1β (B and D). Representative static z-stack images from two-photon microscopy of living vibratome lung sections of Tg mice expressing YFP under control of the CD11c promoter (in DCs and AMs) 9 d postinfection. Large (>200 μm) and small (<200 μm in lumen diameter) airways are shown in (A) and (B) or (C) and (D), respectively. (E) Image analysis (Imaris, Bitplane, Zurich, Switzerland) reveals significantly more DCs around small compared with large airways (A) in both steady-state (Ad-LacZ) controls and Ad-IL-1β–treated mice. DCs (arrowheads) have complex cell contours and are located close to the airways and round AMs (arrows) are located mainly in the alveolar parenchyma. n = 3 in control and n ≥ 5 in Ad-IL-1β–treated groups from three independent experiments. (F) Schematic of airway-adjacent zones used to assess microanatomic localization of DCs. **p < 0.01, ***p < 0.001.
DCs preferentially accumulate in a zone located 26–50 μm from small airways in response to IL-1β
In Ad-IL-1β–treated WT mice, the maximum density of DCs was in a zone 26–50 μm from the lumen of small airways and the DC density was increased in all zones <100 μm compared with the zone >100 μm (Figs. 2A, 2E, 3A). Ad-IL-1β also increased numbers of YFP bright cells in the alveolar regions, and based on sphericity, these were almost all AMs (Fig. 2). We next sought to determine the microanatomic distribution of DCs around airways in models that used CS, a more physiologically relevant stimulus, to understand how CS influences DC distribution. We used CS alone and in combination with intranasal administration of the viral-mimetic poly(I:C), which synergistically amplifies CS-induced airway remodeling and mimics the proinflammatory environment that occurs during acute exacerbations of COPD (21). CS or CS plus poly(I:C) caused a similar increase as seen in Ad-IL-1β–treated mice in DC accumulation around airways in all zones <100 μm compared with the zone >100 μm with a maximal density at 25–50 μm from the lumen of small airways (Figs. 2I, 2M, 3B). These stimuli also increased numbers of YFP bright AMs in the alveolar regions (Fig. 2). To simplify subsequent analyses, we compared zones <100 μm between groups of mice.
ccr6 expression by DCs and itgb8 expression by fibroblasts mediate DC accumulation around airways in Ad-IL-1β– and CS-treated mice. Representative static z-stack images from two-photon microscopy of living vibratome lung sections of Tg mice expressing YFP under control of the CD11c promoter (in DCs and AMs). CD11c-YFP mice were crossed to either WT, BAC ITGB8 Tg; itgb8−/− (A, D, E, H, I, L, M, and P), col-cre-ER(T); ccr6−/− (B, F, J, and N), or itgb8f/f (C, G, K, and O) mice. Mice were treated either with Ad-LacZ (A–D), Ad-IL-1β (E–H), CS (I–L), CS-poly(I:C) (PIC) (M–P), isotype control Ab (A, E, I, and M), tamoxifen (Tam) (C, G, K, and O), or anti-β8, clone B5 (B, F, J, and N). Scale bars, 100 μm. A, airway lumen. DCs (arrowheads) have complex cell contours and are located close to the airways, and round AMs (arrows) are located mainly in the alveolar parenchyma. Lung sections were harvested from mice 9 d after Ad-LacZ or Ad-IL-1β, 16 d after the initiation of smoke exposure, or 16 d after the initiation of the combined CS and PIC protocol. n ≥ 3 for control groups and at least 6 from Ad-IL-1β–treated groups from at least three independent experiments. Composite photomicrographs were created with Imaris. Blue background represents counterstained sections with Hoechst. Red background represents mice crossed to transgenic mice expressing a membrane Tomato (mT) under the ubiquitous Rosa promoter.
ccr6 is required for DC accumulation around airways in Ad-IL-1β– and CS-treated mice. Two-photon microscopy of living vibratome lung sections of Tg mice expressing YFP under control of the CD11c promoter (in DCs and AMs) was used. CD11c-YFP mice were crossed to either WT (A and B) or ccr6-deficient (ccr6−/−) mice. n = 3 mice in LacZ control and n ≥ 6 in Ad-IL-1β–treated groups. Mice were treated either with intratracheal Ad-LacZ, Ad-IL-1β (A), room air (RA), or whole-body CS (B). Lung sections were harvested from mice 9 d after Ad-LacZ or Ad-IL-1β or 16 d after the initiation of smoke exposure. Images were analyzed using an automated imaging analysis software (Imaris) that discriminates DCs from AMs based on sphericity. DCs were counted in predefined airway-adjacent regions (0–25, 26–50, 51–75, 76–100, and >100 μm from the airway lumen. n = 3 in control groups and at least 6 in treatment groups from at least three independent experiments. *p < 0.05, **p < 0.01, ***p < 0.001 by ANOVA and Bonferroni posttest.
IL-1β–induced DC airway accumulation is dependent on ccr6 and fibroblast expression of itgb8
Our recent work has implicated the chemokine CCL20 and its receptor ccr6 as critical determinants of airway remodeling (17, 21, 28). We therefore investigated the role of ccr6 in Ad-IL-1β–induced DC accumulation around murine airways. We found that DC accumulation in all zones within 100 μm of the airway lumen in ccr6−/− mice was significantly reduced (Figs. 2B, 2F, 3A). There were no significant differences in DC accumulation in any airway zone between ccr6−/− mice treated with Ad-IL-1β compared with control Ad-LacZ virus (Fig. 3A). Ad-IL-1β treated WT and ccr6−/− mice had similar numbers of AMs (Fig. 2F), consistent with previous reports (28).
IL-1β–induced DC airway accumulation is dependent on fibroblast expression of itgb8
We have previously determined that mouse and human fibroblast expression of the chemokine ligand for ccr6, CCL20, is largely dependent on integrin αvβ8–mediated TGF-β activation (17). Therefore, we next sought to determine whether DC accumulation was dependent on fibroblast expression of αvβ8. Indeed, DC accumulation around airways was dependent on αvβ8 expression by fibroblasts because DC accumulation was not seen in Ad-IL-1β–treated mice with tamoxifen-mediated conditional deletion of itgb8 selectively on fibroblasts (Figs. 2C, 2G, 4A). These effects were not nonspecific effects of tamoxifen because Ad-IL-1β–treated WT mice treated with or without tamoxifen have the same levels of pulmonary inflammation (17). To test whether a therapeutic Ab to human αvβ8 might be useful to inhibit DC accumulation around airways, we treated Tg mice engineered to express human β8 (ITGB8) with Ad-IL-1β with and without anti-β8, clone B5, as described (21). ITGB8 Tg mice express αvβ8 in a similar organ distribution as humans and develop fibrotic airway remodeling in response to Ad-IL-1β, which is blocked by i.p. injection of clone B5 (21). Treatment with B5 efficiently blocked IL-1β–mediated DC accumulation around airways, and did not have an obvious effect on AM numbers in the alveolar space, consistent with previous reports (Figs. 2D, 2H, 4B) (17, 21).
αvβ8 Expresssion by fibroblasts is required for DC accumulation around airways in Ad-IL-1β–, CS-, and CS plus poly (I:C)–treated mice. Two-photon microscopy of living vibratome lung sections of Tg mice expressing YFP under control of the CD11c promoter (in DCs and AMs) was used. CD11c-YFP mice were crossed to col-cre-ER(T);itgb8f/f (A and B) or humanized β8 Tg (BAC ITGB8 Tg; itgb8−/−) mice (C and D). Col-cre-ER(T);itgb8f/f mice will specifically delete β8 expression on lung fibroblasts in the presence of tamoxifen (Tam) (50). Each of these compound mouse strains was treated either with intratracheal Ad-LacZ (A and C) or Ad-IL-1β (A and C) and harvested after 9 or 16 d of whole-body CS (B and D) or 16 d of whole-body CS in combination with intranasal poly(I:C) (CS + PIC) (B and D). Intratracheal Ad-IL-1β–mediated DC accumulation (<100 μm) is dependent on fibroblast expression of αvβ8 because it can be blocked by ligand-dependent (Tam) deletion of β8 on fibroblasts (A) or neutralizing anti-β8 Ab (B5) (C). DC accumulation (<100 μm) in response to CS or CS-poly(I:C) is similarly blocked by ligand-dependent deletion of β8 on fibroblasts (B) or B5 or (D). n ≥ 3 mice in control, n ≥ 6 in IL-1β–treated, n ≥ 4 in CS-, CS-PIC–treated Col-cre-ER(T);itgb8 f/f mice or ITGB8 BAC mice from at least three independent experiments. *p < 0.05, **p < 0.01, ***p < 0.001 by ANOVA and Bonferroni posttest.
DC airway accumulation in response to CS alone or CS in combination with a viral mimetic is dependent on ccr6 and fibroblast expression of itgb8
To investigate whether inhibition of ccr6- or αvβ8-dependent DC accumulation might block DC accumulation to COPD-relevant stimuli, we used CS exposure alone or CS plus poly(I:C) (21). In mice, CS-poly(I:C) exposure causes dramatic DC influx and produces greater airway remodeling than does CS exposure alone (21). CS alone significantly increased DC accumulation around airways and CS-poly(I:C) further increased DC accumulation around airways compared with CS alone (Figs. 3B, 4B). Ccr6 deficiency (Figs. 2J, 2N, 3B), conditional fibroblast deletion of itgb8 (Figs. 2K, 2O, 4C), or B5 treatment of ITGB8 Tg mice (Figs. 2L, 2P, 4D) resulted in significantly decreased DC accumulation around airways in response to CS alone or CS plus poly(I:C). These treatments had little effect on AM accumulation in the alveolar parenchyma, consistent with previous reports (21, 28). The nearly identical findings with genetic deletion of β8 on fibroblasts, β8 Ab inhibition, or ccr6 deficiency in Ad-IL-1β–, CS-, or CS plus poly(I:C)–treated mice support the hypothesis that αvβ8-mediated activation of TGF-β by fibroblasts is crucial for CCL20 expression and ccr6-dependent DC recruitment during airway remodeling.
ccr6 and fibroblast expression of itgb8 are required for IL-1β–induced DC chemokinesis
DC localization around airways can conceptually be due to increased influx from the circulation or a redistribution of DCs from airway-distal toward airway-adjacent regions. The former would be driven primarily by increased motility (chemokinesis) and the later by directed migration (chemotaxis). Automated image analysis of vibratome lung slices from Ad-IL-1β–treated mice revealed significantly increased DC velocity in all zones located within 100 μm from the airway lumen compared with airway distal zones >100 μm (Fig. 5A). Increased IL-1β–dependent DC velocity in the zone within 100 μm from the airway was dependent on CCL20 expression because it was not seen in ccr6−/− mice (Fig. 5A). DC velocity was similarly increased by CS exposure in zones within 50 μm from the airway lumen and was also dependent on ccr6 expression (Fig. 5B). There was a general increase in DC velocity in the airway-adjacent zones (<100 μm from the airway lumen) compared with the airway-distal regions (>100 μm) in all groups except WT control (Ad-LacZ or room air) mice (Fig. 5). Ad-IL-1β–, CS-, or CS-poly(I:C)–induced chemokinesis was dependent on αvβ8 expression specifically on fibroblasts since BAC ITGB8 Tg mice treated with B5 had significantly decreased DC chemokinesis in airway adjacent zones <100 μm (Fig. 6A), as did mice with fibroblast-specific deletion of β8 (Fig. 6B), or treated with anti-β8, clone B5 (Fig. 6C).
Increased chemokinesis around small airways in mice treated with IL-1β or CS is dependent on ccr6. Two-photon microscopy of living vibratome lung sections of CD11c-YFP mice crossed to either WT or ccr6−/− mice was used. Mice were treated either with intratracheal Ad-LacZ, Ad-IL-1β (A) and harvested after 9 d, or (B) room air (RA) or 16 d of whole-body CS. DC velocity in mice treated with Ad-IL-1β or CS by zone around airways (<25, <50, <100, or >100 μm from the airway lumen) is dependent on ccr6 because it is significantly decreased by deficiency of ccr6. n = 3 mice in control and n ≥ 3 in IL-1β and CS-treated ccr6−/− groups from at least three independent experiments. *p < 0.05, **p < 0.01, ***p < 0.001 by ANOVA and Bonferroni posttest.
Increased chemokinesis around small airways in mice treated with IL-1β, CS, or CS-poly(I:C) is dependent on αvβ8 expression by fibroblasts. Two-photon microscopy of living vibratome lung sections of CD11c-YFP mice crossed to BAC ITGB8 Tg; itgb8−/− (A, C, and D), Col-cre-ER(T);itgb8f/f (B and D), or ccr6−/− mice (D) was used. Each of these compound mouse strains was treated either with intratracheal Ad-LacZ, Ad-IL-1β (A, B, and D) and harvested after 9 d, room air (RA), or 16 d of whole-body CS or 16 d of whole-body CS in combination with intranasal poly(I:C) (CS + PIC) (C and D). IT-IL-1β–mediated increased DC velocity (<100 μm) is dependent on fibroblast expression of αvβ8 because it can be blocked by (A) neutralizing anti-β8 Ab (B5) or (B) ligand-dependent deletion of β8 on fibroblasts. (C) Increased DC velocity (<100 μm) in response to CS or CS plus poly(I:C) (PIC) is blocked by B5. (D) MSD (μm2) plots versus time for mice at day 5 versus day 9 posttreatment with intratracheal Ad-IL-1β. As a control, MSD versus time plots for mice 5 d after Ad-LacZ are shown. All points fall on straight lines using linear regression, indicating random movement. The slope (motility coefficient) is greater for the groups treated with intratracheal Ad-IL-1β compared with the Ad-LacZ group. n = 3 mice in control and n ≥ 3 in IL-1β–treated mice from a minimum of three independent experiments. **p < 0.01, ***p < 0.001. (E) MSD (μm2) plots versus time for all mouse groups. All points fall on straight lines, indicating random movement. The slope (motility coefficient) is greater for the groups treated with intratracheal Ad-IL-1β, CS, or CS-poly(I:C) compared with groups with Ab treatment, ccr6 deficiency, or fibroblast deletion of β8. n = 3 mice in control and n ≥ 3 in IL-1β and CS-, CS-PIC–treated ccr6−/−, ITGB8BAC, col-cre-ER(T);itgb8 f/f mice, from at least three independent experiments. **p < 0.01, ***p < 0.001 by linear regression, or ANOVA and Bonferroni posttest for multiple comparisons.
To determine the role of chemotaxis in DC accumulation around airways, the directional nonrandom migration of individual DCs located within 100 μm of the airway lumen was determined. To measure directional migration, mean square displacement (MSD) over time was calculated. Cells in a chemotactic gradient follow a nonrandom pattern of movement and MSD will increase nonlinearly with time (36, 37). We established a time course of velocity and directionality of airway DCs within 100 μm of the airway lumen after Ad-IL-β treatment to determine whether DC behavior changes over the experimental period as the airways become progressively inflamed and DCs are recruited and differentiate (Fig 6D). We have previously determined that elevated lung DC numbers appear on day 5 and persist through day 9 following Ad-IL-β treatment (28). Therefore, we studied velocity and migration at days 5 and 9 following Ad-IL-β treatment compared with controls (Ad-LacZ). MSD versus time of DCs from mice at days 5 and 9 posttreatment with Ad-IL-1β or day 5 posttreatment with Ad-LacZ were near perfect fits (r2 = 0.98, 0.97, 0.96, respectively) to a linear regression model (Fig. 6D). Linearity indicates random movement and not biased directionality (i.e., chemotaxis). The slopes (also known as migration coefficient) (38), which positively correlate with migratory velocity, were significantly increased by Ad-IL-1β compared with Ad-LacZ at both days 5 and 9 posttreatment (Fig. 6D). There was not a significant difference in DC migration coefficient between mice at days 5 and 9 after Ad-IL-1β treatment (Fig. 6D).
We compared MSD over time in Ad-IL-1β–, CS-, or CS-poly(I:C)–treated mice. MSD over time in all groups of mice was essentially linear and the slope nearly equal in Ad-IL-1β–, CS-, or CS-poly(I:C)–treated mice, consistent with similar random nondirectional migration (Fig. 6E, r2 = 0.9893, 0.9418, and 0.9932, respectively). The MSD remained linear and the slopes were nearly equal in Ad-IL-1β–, CS-, or CS plus poly(I:C)–treated mice deficient in ccr6, with conditional deletion of β8 on fibroblasts, or BAC ITGB8 mice treated with B5 (Fig. 6E). The migration coefficients were significantly decreased in the groups deficient in ccr6, with fibroblast conditional deletion of itgb8, or BAC ITGB8 Tg mice treated with B5 (Fig. 6E). Taken together, these results demonstrate that chemokinesis, not chemotaxis, drives increased DC accumulation around airways, and that ccr6-dependent DC chemokinesis requires fibroblast itgb8 expression.
Discussion
This study has advanced the mechanistic understanding of DC accumulation around murine airways in response to COPD-relevant stimuli. We have defined the functional effects of αvβ8 and ccr6 on DC migratory behavior by demonstrating that DC chemokinesis rather than chemotaxis is the primary mechanism leading to DC accumulation around airways.
Dynamic imaging of live lung DCs reveal novel insights into DC behavior in vivo.
Two-photon imaging of living lung tissue allowed us to address the microanatomic localization and movement of DCs in relationship to their migratory velocity and directionality. We gained the following novel insights into DC behavior using both Ad-IL-1β and CS- and CS-poly(I:C) models: 1) DCs preferentially accumulate around small rather than large airways; 2) DCs accumulate preferentially in a zone 26–50 μm from the airway lumen, in close proximity to airway fibroblasts and airway epithelium, the important CCL20-expressing cell types (22); 3) DCs in airway-adjacent zones show marked increases in chemokinetic behavior, but they do not show bulk directional movement toward or away from airways; 4) alveolar DCs show relatively very little movement and do not preferentially move toward airways; and 5) airway DCs show similar migratory behavior in response to diverse proinflammatory stimuli.
The preferential accumulation of DCs around the small airways in response to Ad-IL-1β, CS, or CS plus poly(I:C) likely reflects increased exposure to these stimuli; the surface area of the small airways account for >20% of the lung volume compared with the large airways which account for ∼2% (39). The similarity of behavior of DCs in specific airway-adjacent zones in response to a variety of stimuli likely implies dominant underlying signaling mechanisms and anatomic and geometric specialization of the airway-adjacent zones of small airways to facilitate Ag surveillance by DCs. We have determined that activity of IL-1β, TGF-β (via increased αvβ8-mediated activation of TGF-β), and ccl20/ccr6 are increased in Ad-IL1β–, CS-, or CS plus poly(I:C)–stimulated mice (17, 21), which conspires to increase DC chemokinesis. Overall, these data suggest that the bulk of airway DC populations are functionally homogeneous in chemotactic and chemokinetic behavior in response to diverse proinflammatory stimuli, originate from a nonalveolar compartment, and differ from the alveolar DC population in migratory behavior.
ccr6- and fibroblast αvβ8-dependent DC chemokinesis.
DC chemokinesis is critically dependent on ccr6 and fibroblast expression of αvβ8. In Ad-IL-1β– and/or CS-treated mice with ccr6 deficiency, fibroblast itgb8 deficiency, or global Ab inhibition of αvβ8, DCs did not accumulate around airways or show significant increases in velocity. These data complement recent data demonstrating that fibroblast αvβ8-mediated TGF-β activation is essential for enhancing fibroblast secretion of CCL20 around airways (22). These observations suggest that the αvβ8/CCL20/IL-1β axis is required for increased DC influx close to the airway in response to pathologic stimuli. Indeed, we have recently determined that αvβ8, CCL20, and IL-1β are increased in COPD lung parenchyma compared with smokers without COPD and/or nonsmoking controls; both αvβ8 and IL-1β expression levels are significantly correlated with CCL20 levels (22).
The mechanisms underlying the difference in migratory behavior between airway and alveolar DCs may be due to differences in CCR6 expression by DCs localized in these respective compartments. However, the enhanced velocity of DCs within the zone 26–50 μm of the airway lumen suggests that airway-centric CCL20 expression gradients might be a more plausible explanation. Such a CCL20 gradient might be established by the fibroblasts closest to the airway lumen, which have the greatest exposure to signals emanating from airway epithelial cells, such as IL-1β (17). Indeed, CCL20 immunostaining is increased in airway fibroblasts and epithelium in COPD lung samples (22).
Other chemokines are also released by epithelial cells and fibroblasts that could positively or negatively influence DC velocity close to the airway lumen. Our data reveal the importance of other such chemokines because ccr6-deficient DCs in steady-state conditions (i.e., with Ad-LacZ) displayed a higher baseline migratory velocity than did WT DCs. The differences in baseline migration were seen within 25 μm of the airway lumen, suggesting the importance of signals emanating from airway epithelial cells or the underlying mesenchymal cells. The identity of these compensatory chemokines/chemokine receptors that are likely upregulated in ccr6-deficient mice were not investigated in the present study because they did not appear to influence DC velocity under proinflammatory conditions. Our previous work would suggest that CCL2 is a likely candidate because it is abundantly expressed by airway cell types and its receptor CCR2 is expressed by DCs (17).
How do DCs accumulate around airways and where do they come from?
Airway DCs are terminally differentiated and have a half-life between 1 and 2 d (40). As such, after Ad-IL-1β treatment, an incoming source of DCs must be accessed to maintain high DC numbers around the airways. Increased DCs numbers around airways might occur by a number of mechanisms, alone or in combination: 1) increased chemokinesis, 2) increased local retention, or 3) decreased emigration (Fig. 7). The first possibility would be manifested by increased overall flow of DCs with balanced immigration and emigration; the second and third possibilities would be shown by decreased mean velocity and biased directionality. Our results suggest that increased chemokinesis and not chemotaxis is the major driving force leading to DC accumulation around airways. The predicted biologic consequence of increased random DC movement would be corresponding increases in the chance of Ag encounter, interaction with lymphatics, and emigration to the draining lymph node, which would stimulate adaptive immune responses. Indeed, in the Ad-IL-1β model we have found evidence of a dramatic increase in lung DCs migrating to the draining lymph node, which corresponds with an increase in adaptive CD4+ T cell numbers (17). Finally, our data do not support the existence of specific DC chemotactic or retention signals around airways, but we cannot exclude the existence of such signals that influence the chemotaxis of minor subsets of DCs, which might not be detected by our cell tracking software.
Hypothetical mechanisms of increased DC accumulation around airways as detected using two-photon microscopy. DCs might accumulate around airways by a number of mechanisms, alone or in combination. These mechanisms include: (1) increased chemokinesis, (2) increased local retention, or (3) decreased emigration. (1) Balanced increases both in immigration and emigration (arrow) from blood vessels (red) to lymphatics (blue) would be manifested by increased chemokinesis without detectable bulk directional migration (linearity in MSD versus time). (2) Imbalanced chemokinesis during immigration (wide arrow) from vessels (red) and emigration (narrow arrow) to lymphatics (blue) would be manifested by increased chemokinesis with small changes in directionality as manifested by slight nonlinearity in MSD versus time. (3) Pure chemotaxis would be manifested also by increased chemokinesis (narrow arrow) but with major changes in nonlinearity in MSD versus time plots.
Two main subsets of classical airway DCs have been described that are increased in the Ad-IL-1β model, with the most numerous (>90% of lung DCs) located in the interstitium of the airway wall and a relatively rare population intermingled with the airway epithelium (<10% of lung DCs). The former express CD11b but not CD103 (CD11b+ DCs), and the latter do not express CD11b but express CD103 (CD103+ DCs) (17, 27). In response to Ad-IL-1β, CS, CS-poly(I:C), respiratory syncytial virus, or Aspergillus, ccr6-dependent increases in DC number are predominantly seen in the CD11b+ subset (17, 41, 42). The main ccr6-expressing immune cell population that increases in number in the Ad-IL-1-β model is the CD11b+ DC subset (28). In response to Ad-IL-1β or influenza infection, murine CD11b+ DCs migrate efficiently to the draining mediastinal lymph node, and the kinetics of CD11b+ DCs in lung and later in the mediastinal lymph node correlate with adaptive T cell responses, indicating the importance of DCs in T cell priming (17, 43). Thus, these previous studies along with the anatomic location of DCs around airways suggest that in the present study we are mainly detecting the movement of the CD11b+ DC subset.
The possible origins of airway CD11b+ DCs remains somewhat controversial, either differentiating from a monocyte or a pre-DC precursor (44). In the Ad-IL-1β and influenza models, most of the CD11b+ DCs express intermediate levels of Ly6c, suggesting a monocytic lineage (17, 28, 43). No previous studies have addressed how or whether CD11b+ DCs localize specifically to the airways in response to COPD-relevant proinflammatory stimuli. Our data reinforce the evidence that CD11b+ DCs are the main airway DC subset, are monocyte derived, arrive by a hematogeneous route, and do not redistribute from the alveoli.
Implications of increased DC accumulation and chemokinesis.
One of the major putative mechanisms of chronic inflammation causing airway obstruction is through airway narrowing due to cicatricial airway fibrosis (35). How, or whether, immune responses contribute to the development of fibrosis remains controversial. The temporal relationship between CD11b+ DC accumulation, adaptive Th17 immunity, and airway fibrosis suggests that DCs are important proximal cell types in the fibroinflammatory response (21, 23, 28, 35). We have recently determined that ccr6 deficiency or DC depletion protects against experimental airway fibrosis (28). Increased integrin αvβ8-dependent expression of the DC chemokine CCL20 from airway fibroblasts may be critical in this pathogenic sequence (17, 21, 22). Therefore, our observations provide a basis for the hypotheses that increased ccr6/ccl20-dependent DC chemokinesis is involved in airway remodeling.
Targeting DC chemokinesis in COPD?
Data obtained in mouse models may be relevant to human COPD, but there are a number of caveats that must be considered. A general feature of human COPD is that the fibroinflammatory process is progressive, even following smoking cessation, whereas in mouse models fibrosis is transient, and resolution begins when the stimulus is removed (11, 45–47). This likely reflects the short transient exposures required to accommodate the relatively short lifespan of mice, but may also reflect fundamental anatomic and biologic differences between mice and humans (48). Definitive demonstration of the relevance of our findings in mice to human lung DC trafficking remains to be shown.
Because of the central role that DCs play in innate and adaptive immunity, broadly targeting DC function in humans should be approached with caution. Selective inhibition of DC chemokinesis might temper the adaptive immune response and reduce the chronic inflammation in the airways of COPD patients. Such a selective perturbation of DC motion would temper the risk of global inhibition of DC function or DC ablation. In the present study, we confirm that inhibiting αvβ8-mediated activation of TGF-β in mice blocks central pathways required for DC chemokinesis, in particular those dependent on the ccr6/CCL20 axis.
We have recently found that αvβ8-mediated activation of TGF-β induces a SMAD4/NF-κB transcription complex on the human CCL20 promoter, which enhances CCL20 transcription (22). Both αvβ8 and CCL20 are increased in the parenchyma of human COPD patients, and their expression is significantly correlated (22). Inhibition of αvβ8-mediated TGF-β activation provides additional potential effects of blocking the expression of TGF-β–dependent collagen production as well as other cytokines (i.e., IL-1β) (17) and chemokines (i.e., CCL2 and CCL7) (17), expressed by the structural airway cell types where αvβ8 is expressed (fibroblasts and airway epithelial cells) (4, 49).
The enhanced expression of αvβ8 in COPD, the cell type specificity, and the demonstrated efficacy of inhibiting αvβ8-mediated TGF-β activation in prevention of experimental airway remodeling (21), together with the mechanistic insights provided in the present study, suggest that αvβ8- and/or CCR6/CCL20-dependent DC chemokinesis could play a role in the evolution of chronic airway disease in COPD.
Disclosures
J.L., J.D.M., J.L.B., and S.L.N. hold patents on β8 Abs (United States patent nos. 61/305,749 and 61/428,814). J.D.M. holds a patent on IgG vectors (United States patent application no. 61/305,749). Some of this study was funded by a sponsored research agreement from MedImmune, LLC. J.L., J.D.M., J.L.B., and S.N. have received royalty payments from the Regents of the University of California for β8-neutralizing Abs used in this publication. The other authors have no financial conflicts of interest.
Acknowledgments
We thank M. Nussenzweig for CD11c-EYFP mice and Benoit de Crombrugghe for Col1α2-Cre-ER(T) mice.
Footnotes
This work was supported by National Institutes of Health Grants HL113032, HL063993, HL090662, NS044155, the University of California Tobacco-Related Diseases Research Program, the University of California, San Francisco Academic Senate, and a University of California Office of the President Proof of Concept award (to S.L.N.). This work was also supported by University of California, San Francisco Liver Center Grant P30DK026743 (to S.L.N. and J.L.B.).
Abbreviations used in this article:
- Ad
- adenoviral
- AM
- alveolar macrophage
- COPD
- chronic obstructive pulmonary disease
- CS
- cigarette smoke
- DC
- dendritic cell
- MSD
- mean square displacement
- poly(I:C)
- polyinosinic-polycytidylic acid
- Tg
- transgenic
- WT
- wild-type
- YFP
- yellow fluorescent protein.
- Received February 11, 2014.
- Accepted May 23, 2015.
- Copyright © 2015 by The American Association of Immunologists, Inc.