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a First Department of Pathology, Kansai Medical University, Moriguchi City, Osaka;
b Department of Biotechnology, Kyoto Institute of Technology, Sakyo-ku, Kyoto;
c Third Department of Internal Medicine, Kansai Medical University, Moriguchi City, Osaka;
d First Department of Internal Medicine, Kansai Medical University, Moriguchi City, Osaka;
e Second Department of Internal Medicine, Kansai Medical University, Moriguchi City, Osaka, Japan
Key Words. Autoimmune disease • Dendritic cell • Flt-3 ligand • (NZW x BXSB)F1 mouse
Susumu Ikehara, M.D., Ph.D., First Department of Pathology, Kansai Medical University, Fumizono-cho, Moriguchi City, Osaka 570-8506, Japan. Telephone: 81-6-6993-9429; Fax: 81-6-6994-8283; e-mail: ikehara{at}takii.kmu.ac.jp
| ABSTRACT |
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), NK 1.1, and CD95 (Fas) are upregulated in comparison with normal mice, while the expression of CD8
, CD117 (c-kit), CD135 (Flk-2/Flt-3), and Sca-1 decreases. There is a significant increase in Flt-3L (FL) mRNA in the bone marrow of W/BF1 mice with age. Moreover, activated hemopoietic cells express high levels of FL. The injection of CD11c+CD3B220 cells from old W/BF1 mice to young W/BF1 mice transiently induces autoimmune disease (thrombocytopenia). These results suggest that hyperproduction of FL from activated hemopoietic cells induces a dramatic increase in the number of dendritic cells in aged W/BF1 mice, followed by the acceleration of autoimmunity.
| INTRODUCTION |
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Dendritic cells (DCs), which differentiate from hematopoietic stem cells in the BM, are well known to have the strong capacity to present antigens to T cells and induce the activation of T cells [9]. Although DCs reside in all organs, their numbers are very small [10]. It has been reported that GM-CSF plays a crucial role in the differentiation of DCs [11], and that the in vivo administration of Flt-3 ligand (FL) dramatically increases their number [12]; however, it is still unclear which cytokine(s) or what other factor(s) are actually involved in the differentiation of DCs in vivo.
In the present study, we show that the number of DCs increases in autoimmune-prone W/BF1 mice with age due to the upregulation of FL and that DCs accelerate autoimmune disease.
| MATERIALS AND METHODS |
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Reagents
Phycoerythrin (PE)- or fluorescein isothiocyanate (FITC)-labeled anti-CD11c, FITC-labeled anti-CD4, FITC-labeled anti-CD8
, FITC-labeled anti-Thy1.2, FITC-labeled anti-Gr-1, FITC-labeled anti-Mac-1, FITC-labeled anti-Iab, FITC-labeled anti-B7-1 (CD80), FITC-labeled anti-B7-2 (CD86), FITC-labeled anti-B220, FITC-labeled anti-Igha (Igh6a), FITC-labeled anti-CD40, FITC-labeled anti-ICAM-1, FITC-labeled anti-VCAM-1, FITC-labeled anti-CD62L, FITC-labeled anti-CD72a (Lyb-2.1), FITC-labeled anti-CD43, FITC-labeled anti-Fas, and PE-labeled anti-CD14, PE-labeled anti-CD135 were purchased from PharMingen (San Diego, CA; http://www.pharmingen.com). FITC-labeled anti-CD3, FITC-labeled anti-CD32/16, and FITC-labeled anti-CD11a were from Coulter-Immunotech (Marseille, France; http://www.coulter.com). FITC-labeled F4/80 and NLDC-145 (anti-DEC-205) were from Cosmo Bio (Tokyo, Japan; http://www.cosmobio.co.jp). FITC-labeled anti-rat IgG was from Biosource (Camarillo, CA; http://www.biosource.com). PE-labeled 33D1 was from Leinco Technologies (Ballnin, MO; http://www.leinco.com). FITC-labeled anti-CD5 was from Becton Dickinson (San Jose, CA; http://www.bd.com). Red PE-Cy5-labeled streptavidin was from DAKO Japan (Kyoto, Japan; http://www.dako.dk). Fluorescent Dextran beads and type IV collagenase were from Sigma Chemical (St. Louis, MO; http://www.sigma-aldrich.com). MACS® magnetic microbeads were from Miltenyi Biotec (Bergisch Gladbach, Germany; http://www.miltenyibiotec.com). Escherichia coli (K-12 strain) BioParticles®, fluorescein-conjugated, was from Molecular Probes, Inc. (Eugene, OR; http://www.probes.com).
Mixed Lymphocyte Reaction
To obtain highly purified T cells as responders, splenocytes from BALB/c mice were incubated with anti-Thy1-coupled MACS, followed by passing through a MACS cell sorter (Milteneyi Biotec; Bergisch Gladbach, Germany; http://www.miltenyibiotec.com). The purity of the CD3+ cells, which were positively sorted using MACS cell sorter, was more than 90%. To obtain purified splenic CD11c+ cells, splenic cells from W/BF1 mice or B6 mice were incubated with anti-CD11c-coupled MACS, followed by passing through a MACS cell sorter. Positively sorted cells were incubated with PE-labeled anti-CD11c and FITC-labeled anti-CD3 and anti-B220. CD11c+CD3B220 cells were further positively sorted with EPICS ALTRATM (Coulter; Hialeah, FL; http://www.coulter.com). The purity of CD11c+CD3B220 cells was more than 90%. To obtain Mac-1+CD11cCD3B220 cells, splenocytes from W/BF1 mice were incubated with anti-Mac-1-coupled MACS, followed by passing through a MACS cell sorter. Positively sorted cells were incubated with PE-labeled anti-Mac-1 and FITC-labeled anti-CD3, CD11c, and anti-B220. Mac-1+ CD11c cells were further positively sorted with EPICS ALTRATM. The purity of the Mac-1+CD11cCD3B220 cells was more than 90%. After 20 Gy irradiation, the indicated stimulator cells were added to T cells (3 x 105) in each well of a 96-well tissue-culture plate (Corning Incorporated; Corning, NY; http://www.corning.com). After incubation at 37°C for 4 days, cell proliferation was determined using 2-(2-methoxy-4-nitrophenyl) -3-(4-nitrophenyl)-5-(2,4-disulfophenyl) -2H-tetrazolium, monosodium salt (WST-8; Nakarai; Kyoto, Japan). In brief, 10 µl of WST-8 (5 mM) were added into each well and the plates were incubated at 37°C for an additional 4 hours. The resultant absorbance at 450 nm was read using a microplate reader (Bio-Rad Laboratories; Hercules, CA; http://www.bio-rad.com).
Endocytosis and Phagocytosis
The endocytosis or phagocytosis experiments were performed as previously described [13]. For the endocytosis experiment, the cells were incubated with FITC-Dextran at 37°C or 0°C for 60 minutes. For the phagocytosis experiment, the cells were incubated with FITC-E. coli at 37°C or 0°C for 3 hours. After incubation, ice-cold phosphate-buffered saline (PBS) containing 5% bovine serum albumin and 0.01% sodium azide was added. Cells were stained with PE-labeled anti-CD11c. Analyses were performed in gated CD11c+ cells.
Isolation of Mononuclear Cells from Various Organs
Peripheral blood mononuclear cells (PBMC) were obtained from heparinized peripheral blood using Lympholyte-Mammal (Cedarlane Laboratories; Ontario, Canada; http://cedarlanelabs.com), following the manufacturer's instructions. Hepatic mononuclear cells were prepared as previously described [14]. In brief, the liver was perfused in situ from the portal vein with 10 ml pre-warmed PBS containing 150 U/ml type IV collagenase. The liver was removed, cut into small pieces, and digested in the PBS with collagenase for 30 minutes at 37°C. The debri and parenchymal cells were removed using Lympholyte-Mammal. To obtain cells from the lymph node, spleen and thymus, we injected pre-warmed PBS containing 150 U/ml type IV collagenase into the organs. The organs were cut into small pieces, and then digested in the PBS with collagenase for 30 minutes at 37°C.
Cell Surface Staining
For flow cytometric analyses, cells were stained with biotin-labeled anti-CD3 plus biotin-labeled anti-B220, FITC- or PE-labeled anti-CD11c antibody, and PE- or FITC- labeled indicated antibodies followed by staining with Red PE-Cy5-avidin, except for the staining of NLDC-145. For NLDC-145 staining or its negative control, we incubated cells with PE-labeled anti-CD11c plus NLDC-145 or rat IgG, followed by staining with FITC-labeled anti-rat IgG, followed by biotin-labeled anti-CD3 and biotin-labeled anti-B220 plus Red PE-Cy5-avidin. The samples were analyzed using a FACScan flow cytometer (Becton Dickinson).
Electron Microscopy
Purified CD11c+CD3B220 cells were pelleted by centrifugation using an Eppendorf centrifuge. The cell pellets were fixed for 1 hour with cold glutaraldehyde (2%) in 0.1 M phosphate buffer (pH 7.4) and postfixed for 1 hour with OsO4. After dehydration with graded ethanol, the pellets were embedded in Spurr. Ultrathin sections cut on a Porter-Blum ultramicrotome were observed through a Hitachi H-600 electron-microscope after counter-staining with uranyl acetate and lead citrate.
Injection of CD11c+ Cells or CD4+ Cells
CD11c+CD3B220 cells or CD4+CD11c cells, which had been obtained from the spleen of aged (12-20-week-old) W/BF1 mice (platelet count less than 100,000/mm3), were injected into the spleen, the subcutaneous tissue, or the vein. For the purification of CD11c+ cells, spleen cells from W/BF1 mice were incubated with anti-Thy 1 antibody (Ab)-bearing MACS beads and anti-B220 Ab-bearing MACS beads, followed by passing through the MACS column. Cells that passed through were incubated with anti-CD11c Ab-bearing MACS beads, followed by positive selection using the MACS column. The purification of CD11c+ cells was more than 80%. For the purification of CD4+ T cells, spleen cells were incubated with anti-CD11c Ab-bearing MACS beads, anti-Mac-1 Ab-bearing MACS beads and anti-B220 Ab-bearing MACS beads, followed by passing through the MACS column. The cells that passed through were incubated with FITC-labeled anti-CD4 Ab, followed by incubation with anti-FITC-labeled MACS beads. The cells were selected by passing them through the MACS column. The purification of CD4+ cells was more than 80%. For intrasplenic injection, 6-week-old female W/BF1 mice were anesthetized with ether. A left abdominal incision was made to expose the spleen. CD11c+ cells or CD4+ cells were injected into the spleen using a 26-gauge needle. For subcutaneous injection, the cells were injected under the dorsal skin. For intravenous injection, the cells were injected in the tail vein.
Detection of Anti-Platelet Ab-Bearing Platelets
Five days after the injection of CD11c+ cells from aged W/BF1 mice to young W/BF1 mice, platelets were collected from the recipient mice, and platelet-bearing Abs were examined using a FACScan, as previously described [15].
Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) Detection of mRNA Expression
RNA preparation, cDNA synthesis, and PCR were carried out. Total cellular RNA was prepared using a nucleic acid extractor (TRIZOL Reagent, Life Technologies, Inc.; Grand Island, NY; http://www.lifetech.com) followed by chloroform extraction and isopropanol precipitation. cDNA was synthesized using RT (M-MLV Rtase in RT-PCR high [RT-PCR Kit], TOYOBO; Tokyo, Japan; http://www.toyobo.co.jp/e/) and Oligo(dT)20·P7 primers (RT-PCR high). PCR was performed on the cDNA using the following primers for FL (forward primer: GTTTAGAGAGTTGCTGACCACC; reverse primer: CGTCCTCCAGAAGCGTTTG), G3PDH (RT-PCR high), interleukin-3 (IL-3) (Maxim Biotech; San Francisco, CA; http://www.maximbio.com), tumor necrosis factor-alpha (TNF-
) (Maxim Biotech), and stem cell factor (SCF) (Maxim Biotech) with thermal cycling amplification using Takara PCR Thermal Cycler MP (Takara; Otsu, Japan; http://www.takara.co.jp/index.htm). PCR products were separated on a 1.2% agarose gel (GIBCO BRL, Rockville, MD; http://www.tmc.tulane.edu/sif/tulgib.htm) and visualized by ethidium bromide (Nakarai) staining.
Statistical Analyses
Differences were evaluated using the Student's t-test. p values of less than 0.05 were considered to be statistically significant.
| RESULTS |
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), CD11b (Mac-1
), CD40, CD43, CD45, CD54, CD80 (B7-1), CD86 (B7-2), CD95 (Fas), CD117 (c-kit), CD135 (Flk-2/Flt-3), CD62 ligand (L-selectin), major histocompatibility complex (MHC) class I and II, 33D1, DEC-205, F4/80, natural killer (NK)-1.1, and Sca-1 (partially). In the CD11c+CD3 B220 cells from W/BF1 mice, the expression of CD11b, CD95, CD106 (VCAM-1), Gr-1, and NK1.1 was augmented, while the expression of CD117 (c-kit), CD135 (Flt-2/Flt-3), MHC class II, and Sca-1 decreased in comparison with the CD11c+ cells from B6 mice. The CD11c+ cells from W/BF1 mice did not express CD4, CD5, CD8
, CD14, CD28, CD154, Thy1, or surface immunoglobulin heavy chain. These findings also suggest that CD11c+ cells from aged W/BF1 mice express similar surface antigens to CD11c+ cells from normal mice, although there are small differences.
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Functional Analyses of CD11c+ Cells from W/BF1 Mice for Induction of Autoimmune Disease in Vivo
DCs have previously been shown to initiate antigenspecific immune responses when pulsed with soluble antigens in vivo and in vitro [9]. We therefore analyzed whether the increased DCs are associated with autoimmune diseases in W/BF1 mice. The CD11c+CD3B220 cells from aged W/BF1 mice, showing thrombocytopenia and proteinuria, were injected into the spleens, subcutaneous tissues or veins of young female W/BF1 mice. As shown in Figure 5
, young W/BF1 mice, into which CD11c+CD3B220 cells had been injected via the spleen or subcutaneously, showed thrombocytopenia, although this was mild and transitory. Platelet counts had normalized by about 2 weeks after the injection, while proteinuria and WBC counts remained unchanged. These results suggest that the injected CD11c+CD3B220 cells could induce anti-platelet Ab production, which resulted in thrombocytopenia. It should be noted that the injection of CD4+CD11c T cells into the spleen and the injection of CD11c+CD3B220 cells in the vein are not effective in the reduction of platelet counts. We have already reported that almost all T cells from aged W/BF1 mice are activated [18]; therefore it is conceivable that activated T cells die due to activated T cell death a short time after the injection. To exclude the possibility that thrombocytopenia develops due to hypersplenomegaly induced by the injection of CD11c+CD3B220 cells, we injected CD11c+CD3B220 cells from normal mice (CDF1 mice) into the spleens of CDF1 mice. However, no thrombocytopenia developed.
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Mechanisms Underlying Increase in Number of DCs in Aged W/BF1 Mice
It has been reported that GM-CSF accelerates the differentiation of DCs from the BM [11]. However, we have previously found that GM-CSF mRNA expression decreases in the BM cells from aged W/BF1 mice in comparison with the BM cells from young W/BF1 mice and age-matched C3H mice [8], although G-CSF mRNA expression increases and macrophage-CSF (M-CSF) mRNA expression remains unchanged [8]. We therefore compared the expression of mRNA of G-CSF, GM-CSF, and M-CSF between the BM cells from aged W/BF1 and age-matched B6 mice, and similar results were obtained, as we previously reported [8]. Since Maraskovsky et al. have reported that G-CSF and FL augment the DC production [12], we next examined the expression of mRNA of FL. As shown in Figure 6
, the BM cells from aged W/BF1 mice showed a higher expression of mRNA of FL than those from young W/BF1 and age-matched B6 mice. It has been reported that SCF sustains the growth of DC progenitors [19], and that IL-3 enhances the DC differentiation into the intermediate stage, whereas TNF-
stimulates the final maturation of DCs [20]. Therefore, we addressed the mRNA expression of IL-3, SCF, and TNF-
in the BM cells from aged W/BF1 mice. As shown in Figure 6
, the mRNA expression of SCF and TNF-
remained unchanged, while the IL-3 mRNA expression increased in the BM cells from aged W/BF1 mice. These results suggest that FL, IL-3, and G-CSF accelerate the generation of DCs, and that GM-CSF is not associated with the generation of DCs in W/BF1 mice. It has been reported that in vivo administration of FL augments the number of DCs, and that not only stromal cells but also hemopoietic cells produce FL [21, 22]. Therefore, we examined the expression of FL in the spleen of W/BF1 and normal mice, since the spleen contains plentiful numbers of mature hemopoietic cells, which were activated in W/BF1 mice. The mRNA expression of FL in the spleen is similar to that in BM in aged W/BF1 mice (data not shown). Next, we performed RT-PCR to clarify which lineage(s) of hemopoietic cells produce FL in the spleen of W/BF1 mice. In Figure 7
, FL expression of the spleen in aged W/BF1 mice increased in comparison with age-matched B6 mice, and each lineage of hematopoietic cells expresses mRNA of FL, especially T cells, B cells and CD11c+CD3B220 cells. These results suggest that activated autoreactive hemopoietic cells produce FL, which augment the number of DCs. Namely, increases in DCs could be the result of autoimmune disease, but, from our experiments, might also accelerate the progress of the autoimmune disease.
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| DISCUSSION |
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DCs, which are the most efficient antigen-presenting cells for T cells, are very rare, but are found in every tissue of the body [10]. DCs have been reported to express MHC class II proteins, CD11c [16], CD80, CD86, CD40 [23], and the mannose receptor-like protein DEC-205 [24]. It has been shown that myeloid DCs express 33D1, whereas lymphoid DCs express DEC-205 and CD8
[23]. In the CD11c+CD3B220 cells of aged W/BF1 mice, the expression of CD11b, NK1.1, and CD95 increased, but the expression of CD8
, CD117, CD135, and Sca-1 decreased. Therefore, the surface markers of the CD11c+CD3B220 cells from W/BF1 mice were somewhat different from those of conventional DCs. The reduced expression of CD135 (Flk-2/Flt-3) in aged W/BF1 mice is possibly associated with the augmented production of FL. However, the CD11c+CD3B220 cells from aged W/BF1 mice showed a dendritic shape, and they have a similar capacity to CD11c+CD3B220 cells from normal mice in allo- and auto-MLR.
It has been reported that FL augments DC production, as well as the number of both CD11c+Mac-1+ cells and CD11c+Mac-1 cells [12]; the CD11c+ cells induced by FL express a high level of MHC class II and CD86, while they partially express DEC-205 and CD8
[12]. They do not express CD3, B220, NK1.1, or CD80 [12]. Although the BM cells from aged W/BF1 mice expressed a high level of FL mRNA, the surface markers of DCs in aged W/BF1 mice were somewhat different from those of DCs in FL-treated mice. These differences could be attributable to other cytokines of BM cells, and/or intrinsic abnormalities of hemopoietic stem cells in aged W/BF1 mice, because the mRNA expression of IL-3 and G-CSF of the BM cells from aged W/BF1 mice increases, while the GM-CSF expression decreases in comparison with the BM cells from young W/BF1 or age-matched normal mice. It has also been reported that both GM-CSF and FL generate a large number of DCs [11, 12], whereas no augmented DC production has been observed in GM-CSF transgenic mice [25]. These findings suggest that FL mainly regulates the production of DCs in vivo, although GM-CSF and/or other cytokines are also essential for the generation of DCs.
Previously, Hang et al. examined the effects of neonatal thymectomy on MRL/lpr, BXSB, B/WF1, and W/BF1 mice [26]. In their report, neonatal thymectomy prevented autoimmune diseases in MRL/lpr mice, but not in BXSB, B/WF1, or W/BF1 mice. Therefore, MRL/lpr mice are referred to as "T-lupus mice" and other autoimmune-prone mice, in which thymectomy is ineffective in the development of autoimmune diseases, as "B-lupus mice." In our experiments, the percentage of CD11c+CD3B220 cells in the spleen increased in the "B-lupus mice," but not in the MRL/lpr mice ("T-lupus mice"). These findings suggest that not only activated T cells but also increased numbers of CD11c+CD3B220 cells play a role in the induction and/or acceleration of autoimmune diseases in the autoimmune-prone mice other than MRL/lpr mice.
Various causes have been suggested for systemic lupus erythematosus (SLE): sex, race, genetic factors, infection, drugs, diet, and so on [27]. Especially, Nagata et al. have reported that the autoimmune status of MRL/Mp-lpr/lpr mice is attributable to the survival of autoreactive T cells, which lose the Fas expression [28]. Based on this finding, abnormalities in Fas expression have been reported in patients with autoimmune diseases [29, 30], although there are very few such patients in human SLE. Here, we have shown that the abnormality in DCs could accelerate autoimmunity. Actually, monocytosis in human SLE patients is unusual [31]; however, we would like to propose that the existence of human SLE patients is due to the abnormalities in the DCs induced by overexpressed FL.
It has been reported that the in vivo administration of FL has some effects on malignant tumors, and that these effects are attributable to an increase in the number of DCs, followed by the augmentation of DC functions [32, 33]. However, we would like to warn against FL administration, because of the possibility of autoimmune diseases being induced.
| ACKNOWLEDGMENT |
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This work was supported by a grant from the Japanese Private School Foundation, a grant from "Haiteku Research Center" of Ministry of Education, grants-in-aid for Scientific Research (B) 11470062 and grant-in-aid for Scientific Research on Priority Areas (A) 10181225, 116221.
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