Published ahead of print on August 14, 2003, doi:10.1165/rcmb.2003-0208OC
© 2004 American Thoracic Society DOI: 10.1165/rcmb.2003-0208OC Trafficking of Th1 Cells to LungA Role for Selectins and a P-Selectin Glycoprotein-1Independent LigandDivision of Pulmonary and Critical Care Medicine, and Division of Hematology, Department of Medicine, University of Washington, Seattle; Fred Hutchinson Cancer Research Center, Seattle, Washington; and Department of Genetics, University of Alabama at Birmingham, Birmingham, Alabama Address correspondence to: Joan G. Clark, M.D., P.O. Box 19024 (D3190), Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue North, Seattle, WA 98109. E-mail: jclark{at}fhcrc.org
Trafficking of lymphocytes to lung is a critical component of pulmonary immune defense and surveillance. Selectins, expressed on vascular endothelium, regulate T lymphocyte emigration into tissues, such as skin, but the role of the selectins in trafficking of T cells to lung has not been well characterized. Here, we used a model of lung inflammation induced by adoptive transfer of alloreactive Th1 cells to analyze the role of P- and E-selectin in Th1 cell trafficking to lung in vivo. We found that both P- and E-selectin play an important role in Th1 lymphocyte migration to lung. We confirmed that the Th1 cells express P-selectin glycoprotein ligand-1, which was functional in binding to P- and E-selectin in vitro. However, our studies reveal that a ligand distinct from P-selectin glycoprotein-1 also binds these selectins in vitro and appears to play a physiologic role in in vivo emigration of Th1 lymphocytes into the lung.
Abbreviations: 5-(and 6)-carboxyfluorescein diacetate, succimidyl ester, 5(6)-CFDA, SE cutaneous lymphocyte-associated antigen, CLA E-selectin ligand-1, ESL-1 intercellular adhesion molecule-1, ICAM-1 o-sialoglycoprotease, OSGP P-selectin glycoprotein-1, PSGL-1
The regulated trafficking of lymphocytes from the bloodstream to lung is a critical component of pulmonary immune surveillance and host defense. Localization of lymphocytes within the vasculature involves a stepwise interaction between molecules on the surface of lymphocytes and adhesion molecules on endothelium (15). Primary adhesion of lymphocytes may occur through members of the selectin family (i.e., P-, E-, and L-selectin) and their carbohydrate ligands on various glycoproteins such as P-selectin glycoprotein ligand-1 (PSGL-1), CD34, cutaneous lymphocyte-associated antigen (CLA), and E-selectin ligand-1 (ESL-1) (69). The selectins clearly are involved in lymphocyte homing to lymphoid tissue and skin (3, 10). The importance of this mechanism in lung lymphocyte interactions in the pulmonary microvasculature is not clear, but a role for selectins in margination of neutrophils in noncapillary microvessels of lung has been demonstrated (11). During lymphocyte recruitment to lung in response to particulate antigen in a murine model, P- and E-selectin expression was increased (12). Trafficking of cultured T lymphocytes to lung 2 d after intratracheal challenge with particulate antigen was reduced by deficiency of the T cell enzyme ( [1, 3]-fucosyltransferase) essential for selectin ligand biosynthesis (13), although the selectin ligand was not further characterized. A contribution of P- and/or E-selectin in lymphocyte recruitment to lung in this model also has been demonstrated using P- and E-selectin double-deficient mice (14). Identification of selectin ligands has been the object of recent research. PSGL-1 has been most extensively characterized, and other ligands have been described and defined at least in part according to structural modifications such as sialation, glycosylation, and sulfation (9, 1520). P- and E-selectin binding (through PSGL-1) has been described for Th1 cells, but not Th2 cells (2123), and antigen-specific T cells in inflamed peritoneum (24). ESL-1 is a glycoprotein that binds specifically to E-selectin but not to P-selectin. It is expressed on mouse neutrophils, but its role, if any, in lymphocyte adherence in vivo is unknown (20, 25). An important question underlying these investigations is: what are the requirements for biologically relevant interactions of selectins and their ligands in vivo (17)? In this study, we analyzed the role of P- and E-selectin in the trafficking of adoptively transferred Th1 cells to lung in vivo. We found that both P- and E-selectin play an important role in Th1 lymphocyte migration to the lung. We confirmed that the Th1 lymphocytes express PSGL-1, which is functional in binding to P- and E-selectin in vitro. However, our studies reveal that a ligand independent of PSGL-1 also binds these selectins in vitro and appears to play a physiologic role in in vivo adherence of Th1 lymphocytes in lung.
Cells T cell clones specific for Ly5a (clone 8F5) and Ly5b (Clone 1A4) alleles were developed and maintained in culture as previously described (26). In brief, Ly5b mice (C57BL/6) and congenic Ly5a mice were immunized with 13-mer Ly5a and Ly5b peptides, respectively. The peptides were identical to a polymorphic region that differs by three amino acids. CD4+ helper T cells specific for the 13-mer peptides were elicited and cloned by limiting dilution. The clones used in these studies have a Th1 phenotype and produces interferon- and tumor necrosis factor- . They were noncytolytic in vitro. The T cell clones were expanded by periodic stimulation with peptide Ly5a or allogeneic irradiated splenocytes in the presence of congenic irradiated splenocytes and maintained in the presence of IL-2 (10 U/ml). Activated cells were harvested 1 d after stimulation; resting cells were harvested 14 d after stimulation. In some experiments, T cells were activated by incubation with mAb to CD3 as previously described (27). Cytotoxic T lymphocyte clones specific for H2d alloantigens were generated as previously described (28). The cloned cells were CD8+ and had a type 1 cytokine profile (Tc1). Control lymph node lymphocytes were obtained by mechanical disaggregation of peripheral lymph nodes from C57BL/6 mice. The cells were suspended in RPMI and used for in vivo migration studies on the same day. Splenocytes for control adhesion assays were obtained by mechanical disaggregation of spleens from C57BL/6 mice. Splenocytes were cultured in Dulbecco's modified Eagle's medium10% fetal calf serum and concanavalin A (4 µg/ml; Sigma, St. Louis, MO) for 48 h.
Mice
In Vivo Migration Studies
Enzymatic Treatments of Cells
Flow Cytometry
Cell Adhesion Assays
Adoptively Transferred Th1 Cells Selectively Adhere in Lung We have recently shown that our cloned Th1 cells are selectively localized in lung after adoptive transfer and that trafficking to lung is independent of alloreactivity (33). As a first step in analyzing whether the initial localization pattern was an adhesive molecular mechanism, we compared the in vivo migration pattern of 51Cr-labeled Th1 cells (Clone 8F5) and isolated lymph node cells 1 h after intravenous injection. The radioactivity detected in lung (50% of injected radioactivity) after Th1 cell administration was 3-fold higher than radioactivity in lung after lymph node lymphocyte injection (Figure 1). Conversely, radioactivity in spleen was 30 times higher in mice that received lymph node lymphocytes compared with Th1 cells.
In Vivo Localization of Th1 Cells Is Dependent on Both P- and E-Selectins To directly test the involvement of P- and E-selectin in lymphocyte localization in lung, we adoptively transferred resting or in vitro activated 51Cr-labeled Th1 cells (clone 8F5) to mice deficient in P-, E-, or both P- and E-selectindeficient mice (C57BL/6 background). The initial localization of resting cells, measured as CPM/mg tissue at 1 h after intravenous administration was reduced in the E-selectindeficient mice (P < 0.03) and double P- and E-selectindeficient mice (P < 0.02) (n = 3 mice/group) (Figure 2A). Likewise, the initial (1 h) as well as the prolonged (24 h) localization of activated Th1 cell was reduced by > 50% in the double P- and E-selectindeficient mice (P < 0.05), but not in the single P- or E-selectindeficient mice (Figure 2B). An additive effect of P- and E-selectin was suggested by analysis of both resting and activated cells, and confirmed in a repeat experiment, using selectin-deficient mice on an additional strain (DBA-1J) background.
Th1 Cells Bind E- and P-Selectin Fusion Proteins In Vitro To further examine the role of the individual selectin molecules in Th1 cell adherence in lung, we analyzed P- and E-selectin binding of the Th1 cells by flow cytometry using soluble P- and E-selectinhuman IgG fusion proteins. Both resting and in vitro CD3-activated Th1 cells bound P-selectin Ig (Figure 3A) (only resting cells are shown). Similar results were obtained with a different Th1 cell clone (1A4) and with cloned CD8+ cells with a type 1 cytokine phenotype (Clones 14C3, 7C11, 7C3, 14M4) (28) (not shown). In contrast, only a small population of control freshly isolated splenocytes bound P-selectinIg (not shown). A bimodal distribution of fluorescence intensity, indicating cell populations with high and intermediate levels of P-selectin binding, was apparent in most of the T cell clones. In similar flow cytometric analyses, both resting and CD3 mAbactivated Th1 cells also bound E-selectinIg (Figure 3B). In the presence of 10 mM EDTA, P- and E-selectinIg binding was nearly identical to the IgG control.
PSGL-1 Is Expressed on Th1 Cells PSGL-1 is a well characterized high-affinity ligand for P-selectin (7). By flow cytometry using mAb to the glycoprotein core (Clone 2PH1; Pharmingen), we demonstrated expression of PSGL-1 on our cloned Th1 cells (Figure 4). PSGL-1 expression was also demonstrated in three additional clones that we tested: 1A4, 14M4, and 7C11. We also determined that antibody at 10 µg/ml (1 µg per 16 cells) is a saturating concentration in our flow cytometry analysis (i.e., no decrease in fluorescence intensity was seen with serial dilution of antibody down to 0.625 µg/ml).
Enzyme Cleavage of Th1 Cell Ligands with OSGP or Neuraminidase Does Not Eliminate Th1 Cell Binding to P- and E-Selectin-Ig In Vitro To determine the functional role of PSGL-1 on Th1 cell (Clone 8F5), the cells were treated with OSGP or neuraminidase. Desialylation with neuraminidase is expected to abolish binding by sialylated molecules, including PSGL-1 and related molecules (7). OSGP recognizes O-linked carbohydrate groups and cleaves the polypeptide chain nearby. PSGL-1, but not CLA or ESL-1, is susceptible (7, 25, 3437). We verified that enzyme treatment with OSGP resulted in complete loss of staining with mAb to PSGL-1 (Figure 4). Treatment with OSGP or neuraminidase resulted in reduction of high-intensity surface staining with P-selectinIg in resting cells. However, substantial P-selectinIg binding was retained in the entire cell population (Figure 5A). In activated cells, binding of P-selectinIg was reduced, but not eliminated (Figure 5B). After OSGP exposure, no loss of E-selectinIg binding was observed in either resting or activated Th1 cells (Figure 5C) (only resting cells are illustrated). Similar results were obtained with other T cell clones (1A4, 14M4, and 7C11; not shown). In repeated experiments in which Th1 cells were exposed to OSGP, we confirmed that staining with mAb to PSGL-1 was completely eliminated in both resting and activated cells, whereas binding to E- and P-selectinIg was retained. These results suggest that Th1 cell interactions with E- or P-selectinIg, in part, involve receptors distinct from PSGL-1.
Effect of Neutralizing mAb to PSGL-1 on Th1 Cell Binding to P-SelectinIg by Flow Cytometry Because OSGP treatment of cells could be incomplete or have effects on ligands other than PSGL-1, we used a neutralizing mAb (clone 2PH1) to block PSGL-1. To confirm the neutralizing activity of the mAb to PSGL-1, we stimulated murine splenocytes with concanavalin A and determined that they express PSGL-1 by flow cytometry (not shown). We then used the splenocytes in a P-selectinIg adherence assay. The cells were fluorescence labeled and then incubated with PSGL-1 mAb or rat IgG isotype control. After incubation with control antibody, 21.5 ± 2.0% of the fluorescence-labeled cells adhered to P-selectinIg. Incubation with PSGL-1 mAb (10 µg/ml) reduced adherence to 7.0 ± 1.6%, which is similar to background adherence to plates coated with human Ig (5.4 ± 0.6%) (percentage values are mean ± SD, n = 8). This nearly complete neutralizing effect of PSGL-1 mAb was also seen at lower mAb concentrations of 1 and 5 µg/ml. Th1 cells were incubated with the neutralizing mAb to PSGL-1, and then their ability to bind P-selectinIg was tested by flow cytometric analysis(21,38). No significant decrease in P-selectin-Ig binding was detected. Experiments with other T cell clones (1A4, 14M4, and 7C11) revealed similar results (not shown). Although these results were reproducible, we would have expected some mAb-mediated decrease in T cell binding to P-selectinIg based on our analysis of OSGP treatment and analysis of the neutralizing capacity of the mAb described above. It remains possible that in this static assay, the binding kinetics of P-selectinIg and mAb are such that functional PSGL-1 binding is underestimated.
Th1 Cell Adherence to P- and E-SelectinIg under Rotating Nonstatic Conditions
The Th1 cells also adhered to E-selectinIg (Figure 7). Neutralizing antibody to PSGL-1 did not decrease adherence of resting cells to E-selectinIg, but partially decreased adherence of activated cells to E-selectinIg (P < 0.001). Treatment with OSGP partially decreased adherence of both resting and activated cells to E-selectin (P < 0.001 under both conditions), but with substantial adherence above background (binding to IgG) remaining. The results are representative of three separate experiments.
Neither Enzyme Cleavage of Th1 Cell Ligands with OSGP nor Neutralizing mAb to PSGL-1 Inhibits Localization of 51Cr-Labeled Th1 Cells in Lung In Vivo To determine if our in vitro observations translated into similar in vivo findings, we treated 51Cr-labeled Th1 cells with (i) OSGP or medium only (control) or (ii) mAb to PSGL-1 or isotype control mAb. Neither treatment significantly decreased Th1 cell localization in lung 1 h after injection (Figures 8 and 9). Th1 cell adherence in lung was not reduced at later times (3, 24 h) after injection (not shown). These results are representative of two experiments with both OSGP and mAb to PSGL-1.
We recently described a murine model of Th1 cell induced lung injury in which adoptive transfer of cloned alloreactive Th1 cells produces selective pulmonary inflammation (26, 27). The alloreactive Th1 cells recognize Ly5, an antigen expressed exclusively on hematopoietic cells. Two forms of Ly5 exist in mice, Ly5a and Ly5b. Adoptive transfer of Ly5a-specific Th1 cells into Ly5a mice, but not Ly5b mice, produces lung inflammation characterized by vasculitis, alveolitis, and interstitial pneumonitis. In previous experiments using bone marrow chimeric mice (Ly5a marrow into Ly5b mice and vice versa), we established that antigen expression on hematopoietic cells alone was sufficient for induction of lung injury (26). We also determined that the adoptively transferred Th1 cells are preferentially localized in lung for at least 24 h after and might thereby elicit an inflammatory response selectively in lung. Other investigators have suggested that the migration kinetics and adherence of cloned cells in lung may be an important factor in determining organ-specific inflammatory responses (39). Previous studies also showed that some cloned T cells localize in lung after administration (4042). Studies of the migratory behavior of T cells freshly isolated from lymphoid tissue also indicate that memory T cells (expressing low levels of CD45RB, low levels of L-selectin or high levels of CD44) traffic preferentially to lung, whereas naive T cells accumulate in lymph nodes (43). Because the size (by light scatter profile) of the T cells was similar in the two populations, an increased affinity of memory cells for the lung capillary bed was suggested. The mechanisms underlying these observations have not been elucidated. In this study, we have established a role for both P- and E-selectin in Th1 lymphocyte adherence in lung. In vitro the Th1 cells bound to both P- and E-selectin molecules as we detected by flow cytometry and in nonstatic adherence assays. In vivo localization of the adoptively transferred Th1 cells in lung was markedly reduced in mice with P- and E-selectin deficiency. The reduction in Th1 cell localization was most notable in double-deficient mice, suggesting a cooperative functioning of P- and E-selectin as has been shown with lymphocyte migration in skin models of contact hypersensitivity (10, 44). However, these models involve inflammatory stimulation of the skin tissue and localized increase in vascular P- and E-selectin. In our model, Th1 cells are administered to mice under unstimulated conditions. It is likely that constitutive expression of P-selectin in lung, as reported by others (45, 12) facilitates selective adherence in lung. Constitutive E-selectin expression has not been demonstrated, but could be present at low but functional levels. Despite the substantial reduction of Th1 lymphocyte adherence in the lungs of double P- and E-selectindeficient mice, significant Th1 cell adherence was still detected. This result leads to the speculation that other adhesion molecules previously thought to be involved in only firm adhesion, such as intercellular adhesion molecule-1 (ICAM-1), can substitute for or cooperate with the selectins in the deficient mice (46, 47). In previous studies, we have detected constitutive expression of ICAM-1 in mouse lung (33). We also showed in our model that adherence and retention of adoptively transferred (activated) Th1 lymphocytes was impaired when leukocyte function antigen-1 (LFA-1) was neutralized or when ICAM-1 was deficient (33). Other Th1 cell ligands, such as VLA-4 and CD44, might also be involved in lymphocyte adherence in lung. Although neutralizing antibodies to these individual ligands do not impair Th1 cell migration to lung in our model (33) (Clark and colleagues, unpublished data), a possible cooperative role with the selectins has not been excluded. PSGL-1 has been extensively investigated as a major ligand that mediates neutrophil rolling on the vascular endothelium (25). More recently, PSGL-1 expression on lymphocytes (Th1 phenotype) has been reported and shown to be involved in binding to both P- and E-selectin in a model of skin contact hypersensitivity, but PSGL-1independent ligands were also suggested (23). However, both the in vivo function of PSGL-1 and the existence of PSGL-1independent ligands on lymphocytes are the object of ongoing research. Part of the debate relates to the realization that expression of selectin ligands on cells does not predict that they will be used, and in vitro assays do not necessarily predict function in vivo (17). In addition, requirements for selectin ligands in cell trafficking may differ in different vascular beds. For example, core 2 oligosaccarides mediate neutrophil recruitment to the peritoneum, but not lung, in response to lipopolysaccaride (48). We detected PSGL-1 expression on our Th1 cells as well as binding of both P- and E-selectinIg chimeric proteins by the Th1 cells by flow cytometry. However, neither enzyme digestion nor neutralizing mAb to PSGL-1 eliminated binding to the selectin chimeras. Although neutralizing mAb arguably may not be completely effective, we demonstrated complete loss of PSGL-1 staining after enzyme digestion with OSGP. Because the detection antibody is to the glycoprotein core essential for PSGL-1 function, the results suggest a PSGL-1independent ligand(s) for both P- and E-selectin. These results were partially confirmed in a nonstatic adherence assay in which we observed binding of Th1 lymphocytes to both P- and E-selectin. The Th1 cell binding to E-selectin was modestly reduced by enzymatic pretreatment of the cells with OSGP or neutralizing mAb to PSGL-1, consistent with previous reports that PSGL-1 is a ligand for E-selectin, but that PSGL-1independent ligands for E-selectin are present (23). Neutralizing Ab to PSGL-1 also decreased Th1 cell binding to P-selectin, but to a lesser extent than expected. Enzyme pretreatment of the Th1 cells substantially reduced cell binding to P-selectin, but statistically significant binding above background control binding was still present in three separate experiments. The results are consistent with significant functional binding to P-selectin that is OSGP-sensitive. In addition, the significant binding in the presence of mAb to PSGL-1 or after OSGP suggests that PSGL-1independent ligands are expressed, consistent with our flow cytometry analyses. Our in vivo experiments also indicate that PSGL-1independent ligands play an important functional role in adherence of Th1 lymphocytes to lung vasculature. Neither neutralizing mAb to PSGL-1 nor OSPG pretreatment of the Th1 cells before adoptive transfer diminished the adherence of resting or activated Th1 cells in lung. It is unlikely that LFA-1 and ICAM-1 are substituting for the selectin ligand interactions in these experiments because LFA-1 neutralization decreased adherence of only activated Th1 cells in our previous studies. Taken together with our in vitro studies, we think that PSGL-1independent ligands, interacting with P- and/or E-selectin, account for the preserved ability of the Th1 cells to adhere to lung. The preponderance of our results suggest that although PSGL-1 is an important ligand for P-selectin, a PSGL-1independent ligand which may interact primarily with E-selectin, provides overlapping functional binding of Th1 cells to the lung vasculature. The role of PSGL-1 independent ligand interactions with both E- and P-selectin, as well as the contribution of LFA-1 and ICAM-1 to lymphocyte trafficking to the lung vasculature, warrant further study. In addition, the molecular nature of selectin ligands other than PSGL-1 needs to be determined.
The authors thank Takako Hirata (Boston, MA) for providing selectin-IgG chimeric proteins, Paul J. Martin (Seattle, WA) for providing additional T cell clones, and Heather Peake for assistance with preparation of the manuscript. This work was supported by National Institutes of Health Grants R01 HL55200, R01 HL69422, K32 HL07237, R01 AR46404 and an American Heart Association Grant In Aid. Received in original form May 30, 2003 Received in final form August 8, 2003
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