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The Journal of Immunology

Exacerbation of Granuloma Formation in IL-1 Receptor Antagonist-Deficient Mice with Impaired Dendritic Cell Maturation Associated with Th2 Cytokine Production1 Hisashi Iizasa,*‡ Hiroyuki Yoneyama,*§ Naofumi Mukaida,¶ Yuki Katakoka,† Makoto Naito,储 Nobuaki Yoshida,† Emi Nakashima,‡ and Kouji Matsushima2*§ Dendritic cell (DC) maturation at the site of inflammation and migration into draining lymph nodes is fundamental to initiate Ag-specific immune responses. Although several proinflammatory cytokines, including IL-1, are known to promote DC maturation in vitro, their contributions to DC activation and migration within peripheral inflamed tissue compartments are not yet fully understood. We show here that endogenous IL-1 receptor antagonist (IL-1ra) controls the activation state of liver-recruited DCs and their migration in a Propionibacterium acnes-induced murine granulomatous liver disease model. After P. acnes treatment, formation of portal tract-associated lymphoid tissue was conversely impaired in IL-1ra-deficient mice. IL-1ra-deficient mice developed hepatic granulomas within 3 days after P. acnes administration and showed a more pronounced granuloma formation than wild-type mice. Although sinusoidal granulomas contained numerous CD11cⴙ DCs at day 7, expressions of CCR7, IL-12p40 by these DCs were dramatically decreased in IL-1ra-deficient mice, suggesting aberrant DC maturation and sinusoid portal migration in the absence of endogenous IL-1ra. This was accompanied with enhanced intrahepatic Th2 cytokine production and severe hepatocellular damage. Thus, hepatocyte-derived IL-1ra may control optimal activation and migration of inflammatory DCs within the liver and thereby determine the local immune responses in granulomatous liver disease. The Journal of Immunology, 2005, 174: 3273–3280.

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endritic cells (DCs)3 are specialized APCs that play an essential role in the activation of T lymphocytes (1, 2). Their function is regulated by their state of maturation. Originating from bone marrow, DCs migrate to the periphery as immature cells (2, 3). However, the molecular mechanisms of DC homing to various organs and accumulation of DCs in inflamed tissues are still poorly understood (4). Proinflammatory cytokines such as TNF-␣ and IL-1 have been identified as regulatory factors of DC migration in inflamed tissues (2, 5, 6). IL-1␤, a product of skin Langerhans cells (LC), contributes to the initiation and regulation of LC migration in response to skin sensitization (7). Agcapturing DCs in afferent lymphatics express IL-1 type I receptor (IL-1RI) (8, 9). These reports suggest that IL-1/IL-1RI interaction is important for DC mobilization from inflamed tissue to draining

*Department of Molecular Preventive Medicine, School of Medicine, and †Division of Gene Expression and Regulation, Institute of Medical Science, University of Tokyo, and ‡Department of Pharmaceutics, Kyoritsu University of Pharmacy, Tokyo, Japan; §Solution Oriented Research for Science and Technology (SORST), Japan; ¶ Division of Molecular Bioregulation, Cancer Research Institute, Kanazawa University, Kanazawa, Japan; and 储Second Department of Pathology, Niigata University School of Medicine, Niigata, Japan Received for publication March 11, 2004. Accepted for publication January 12, 2005. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. 1 This study was supported, in part, by the Private School Promotion Foundation, a Grant-in-Aid for Scientific Research from Ministry of Education, Culture, Sports, Science and Technology, Japan, and the SORST. 2 Address correspondence and reprint requests to Dr. Kouji Matsushima, Department of Molecular Preventive Medicine, School of Medicine, University of Tokyo, Bunkyo-ku, Tokyo 113-0033, Japan. E-mail address: [email protected] 3 Abbreviations used in this paper: DC, dendritic cell; LC, Langerhans cell; LN, lymph node; IL-1RI, IL-1 type I receptor; IL-1ra, IL-1 receptor antagonist; PALT, portal tract-associated lymphoid tissue; TREM, triggering receptor expressed by myeloid cell; sIL-1ra, secreted form of IL-1ra; ES, embryonic stem; MPC, nonparenchymal cell; DAP12, DNAX-activation protein 12.

Copyright © 2005 by The American Association of Immunologists, Inc.

lymph nodes (LNs). In addition, the intracellular domain of IL-1RI is similar to TLRs, a pattern recognition receptor for pathogenassociated molecular patterns, which regulate immunoreactions during pathogen-induced inflammation (10). Because cross-talk between TLRs and IL-1RI has been found (11), the role of the IL-1R system in innate immunity at sites of inflammation is clearly of interest. Both IL-1␣ and ␤ are produced by various types of cells; they exhibit pleiotropic biological effects on a variety of cells, and have been implicated as major mediators of tissue destruction in many inflammatory diseases, including septic shock and rheumatoid arthritis (12, 13). The damaging effects of IL-1 in inflammatory diseases have prompted many investigators to search for naturally occurring inhibitors of IL-1. These efforts led to the discovery of a specific receptor antagonist, IL-1 receptor antagonist (IL-1ra), in urine (14, 15). IL-1 and IL-1ra possess identical ␤-pleated sheet structures and can bind to the same site on IL-1RI (16). However, the IL-1R accessory protein can form a complex with either IL-1␣ or IL-1␤ and the IL-1RI, which is an essential step for intracellular signal transduction, but IL-1ra fails to form this complex (17). Thus, IL-1ra competes with IL-1␣ or IL-1␤ at the receptor level, but a ⬎100-fold excess of IL-1ra is required to completely inhibit the biological activities of IL-1 (18). Several lines of evidence indicate that IL-1ra is produced in various types of diseases, such as rheumatoid arthritis and infectious diseases, and that it is an important element of host defense in these conditions (16). Previously, we observed that a large amount of IL-1ra was produced mainly by hepatocytes during the course of LPS-induced acute hepatitis in Propionibacterium acnes-primed mice, and the administration of an anti-IL-1ra mAb significantly aggravated the liver injury, suggesting a protective role of IL-1ra (19). We also reported that P. acnes-induced granulomas regulate the outcome of liver injury (20, 21). During P. acnes-induced inflammation, 0022-1767/05/$02.00

3274 F4/80⫺-CD11c⫹ DC precursors appeared in the circulation, migrated into the perisinusoidal space, and matured within newly formed granulomas. Recruited DCs later migrated to the portal area to interact with T cells in what we termed “portal tract-associated lymphoid tissue (PALT)” (22). We established that DCmovement between the two anatomical compartments (sinusoidal granulomas and PALT) was important to successfully eliminate P. acnes (22). However, molecular mechanism of intrahepatic DC movement has not been fully understood yet. Mature DCs preferentially migrate to the T cell area of regional lymphoid tissues, where they induce activation and proliferation of Th and CTLs (1). Immature and mature DCs commonly express CD11c and TLR2 (22–24). Mature DCs show increased mRNA expression of CCR7, IL-12p40, but reduced mRNA expression of TLR3 and CCR1 in comparison with immature DCs (22–26). Maturation of DCs is also regulated by DNAX-activation protein 12 (DAP12)-triggering receptors expressed by myeloid cells (TREM), involving TREM-2 signal transduction, via induction of CCR7 expression in DCs (27). Recently, it was reported that activation of DCs is altered in IL-1RI gene-deficient mice during ␣-myosinpeptide-induced autoimmune myocarditis (28). However, the physiological role of IL-1 in DC maturation and migration during pathogen-induced inflammation has not yet been clarified. We generated mice deficient in the IL-1ra gene and here examined the pathological roles of IL-1ra in this murine liver injury model, particularly in relation to the maturation of DCs.

Materials and Methods Generation of IL-1ra-deficient mice An 11-kb genomic fragment of the IL-1ra gene was subcloned into pBluescript SK II plasmid vector. This region spans from 6 kb 5⬘ from the first exon of the secreted form of the IL-1ra (sIL-1ra) gene to the HincII site in the fourth exon (29). A 2.0-kb fragment containing the second, third, and a part of the fourth exons, which encode the functional domain of IL-1ra, was deleted and replaced with a 1.1-kb XhoI-BamHI fragment of the neomycin phosphotransferase gene derived from pMC1Neo-poly (A) (30) (Fig. 1A). The MC1-HSV thymidine kinase was inserted into the unique SalI site in the 5⬘ end of the targeting vector (31). Ten million E14-1 embryonic stem (ES) cells were electroporated with 32 ␮g of linearized targeting vector. Antibiotic selection procedures with G418 (400 ␮g/ml; Invitrogen Life Technologies) and ganciclovir (2 ␮M: a gift from Syntex) were begun 24 and 48 h after the transfection, respectively. G418- and ganciclovir-resistant colonies were picked up 10 –12 days later, screened for homologous recombination by PCR and subsequently confirmed by genomic Southern blot hybridization (Fig. 1B). Chimeric mice were generated by microinjection of the targeted ES cells into C57BL/6 blastocysts. Chimeric offspring were bred with C57BL/6 mice to produce heterozygous mice. Heterozygous mutant mice (F2 interbred from 129/Ola ⫻ C57BL/6) were intercrossed to yield homozygous mice. Homozygous mutant mice were obtained from heterozygous parents, and IL-1ra-deficient mice were born in expected Mendelian ratios. They were developmentally normal upon gross examination, but had lower body weights than wild-type mice (data not shown), in agreement with previous reports (32, 33). All mice used in these experiments were backcrossed to BALB/c genetic backgrounds for more than six generations in specific pathogen-free mouse facilities at the University of Kanazawa and Kyoritsu University of Pharmacy. BALB/c background IL-1ra-deficient mice were used at 8 –12 wk old before they developed rheumatoid arthritis-like inflammation (34). All animal experiments complied with standards set out in the animal experimental guidelines of Kyoritsu University of Pharmacy.

Oligonucleotide primers and probe for IL-1ra PCR primers for IL-1ra genotype detection were as follows: wild forward, 5⬘-TTATCTTGAGGGATTAGCTGGACAAACT-3⬘ (P1); recombinant forward, 5⬘-ATCGCCTTCTATCGCCTTCTTGACGAGT-3⬘ (P2); reverse, 5⬘CAGGCATCTGTGGTAGGCTTGGAGTGAA-3⬘ (P3) (Fig. 1A). The probe A used to screen Southern blots of ES cell clones for homologous recombination events was a 300-bp fragment corresponding to bases 5280 –5580 of the IL-1ra gene (29). Primers for RT-PCR to assess IL-1ra mRNA expression were as follows: forward, 5⬘-GAATCTGGGATACTAACCAG-3⬘; reverse,

ALTERED LIVER DCs IN IL-1ra⫺/⫺ MICE

FIGURE 1. Targeted disruption of the IL-1ra gene by homologous recombination. A, Scheme showing the strategy for targeted disruption of the IL-1ra gene. The first line shows the structure of the genomic mouse secreted form of the IL-1ra gene. Exons of the sIL-1ra locus, including four exons (numbered black boxes) and three introns of sIL-1ra. The second line depicts the linearized targeting construct, with neomycin phosphotransferase (neo) and herpes simplex thymidine kinase (HSV-TK) genes. The third line represents the targeted IL-1ra locus. Arrowheads, Primers used for detection of the mutated allele by PCR. `, Probes for Southern blot analysis are indicated as 3⬘ probes. Arrows, Expected size of DNA fragments obtained by restriction enzyme digestion. f, Exons. 䡺, Amino acid noncoding exon. Restriction enzyme sites are indicated in the maps. B, BamHI; Xh, XhoI; H, HindIII; X, XbaI; Hi, HindII. B, Southern blot analysis of DNA from transgenic mouse tail bred by heterozygous intercross. Hybridization was conducted using a 3⬘ probe. All bands detected corresponded to either the wild-type (⫹/⫹) or mutant allele (⫹/⫺), as expected from the genome structure. DNA from mouse tail was digested with BamHI. C, RT-PCR analysis of total liver RNA obtained at 7 days after P. acnes administration from individual mice sacrificed 2 h after i.v. injection of 0.1 ␮g of LPS.

5⬘-GGAAGTAGAACTTCGTGACT-3⬘. The PCR product was a 404-bp fragment corresponding to bases 210 – 620 (Fig. 1C) (29).

Formation of P. acnes granuloma in mouse liver P. acnes (ATCC 11828; American Type Culture Collection) was grown, heat-killed, and lyophilized as described previously (35). Specific pathogen-free female IL-1ra (⫺/⫺) (8 –12 wk old) mice were injected with 1 mg of heat-killed P. acnes suspended in 100 ␮l of PBS via the tail vein. Mice were sacrificed at the indicated time intervals to obtain liver specimens.

Histological analysis Liver specimens were fixed in 10% neutrally buffered formalin and embedded with paraffin for H&E staining or Tissue-Tek OCT compound (Miles), snap-frozen in liquid nitrogen, and stored at ⫺80°C for immunohistochemical analyses (35). Paraffin-embedded samples were stained with HE solution, and the numbers and the size of granulomas in the liver were determined on 10 randomly chosen microscopic fields at ⫻100 magnification. The area of each granuloma was determined with the help of NIH Image Analysis software (version 1.61) as previously described (21). For immunohistochemical analyses, the tissue was cut with a cryostat into 7-␮m sections. The sections were incubated with a rat mAb to the mouse macrophage/Kupffer cell surface protein F4/80 (CI.A3-1; BMA Biomedicals), a hamster mAb to the mouse DC surface protein CD11c (HL3; BD Biosciences) (22), a rat mAb to the mouse CD4 (RM4-5; BD Biosciences), a rat mAb to the mouse B cells surface protein B220 (RA3-6B2; BD Biosciences) or negative control rat IgG at a concentration of 10 ␮g/ml. Samples were incubated with HRP-conjugated goat anti-rat IgG (BioSource International) or alkaline phosphatase-conjugated donkey anti-hamster IgG

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Table I. Sequences of primers used in semiquantative RT-PCR

Gene

Sequence (5⬘-3⬘)

Mouse TLR2 Mouse TLR3 Mouse TLR5 Mouse DAP12 Mouse TREM-2 Mouse G3PDH

Sense primer Antisense primer Sense primer Antisense primer Sense primer Antisense primer Sense primer Antisense primer Sense primer Antisense primer Sense primer Antisense primer

TCTGTCATGTGATGCTTCTG GCCCAGCAAAATCTATTCT GGGTGTTCCTCTTATCTAAT CGTTCCCAACTTTGTAGATG ATGGCATGTCAACTTGACTT CTTAAGGAATTCAGTTCCCG CCTGGTGCCTTCTGTTCCTT GCCTCTGTGTGTTGAGGTCA GGCACGAGCTTCAAGGGAAA GCCAGGAGGAGAAGAATGGA ACCACAGTCCATGCCATCAC TCCACCACCCTGTTGCTGTA

(Jackson ImmunoResearch Laboratories). After visualization with Histofine simple stain DAB Solution (Nichirei) or the Vector Red Alkaline Phosphatase Substrate kit I (Vector Laboratories), slides were counterstained with Meyer’s hematoxylin (Wako Pure Chemical).

Enrichment of DCs from liver nonparenchymal cells (NPCs) NPCs were prepared as described by Yoneyama et al. (22), with some modifications. Liver was perfused in situ via the central vein with liver perfusion medium (137 mM NaCl, 5.4 mM KCl, 0.6 mM NaH2PO4, 0.8 mM Na2HPO4, 10 mM HEPES, 3.8 mM CaCl2, 4.2 mM NaHCO3, and 5 mM glucose, pH 7.35) for 10 min, followed by collagenase solution (1 mg/ml in liver perfusion medium; Wako Pure Chemical) for 5 min at 37°C at a flow rate of 4 ml/min. After perfusion, the liver was excised and incubated in collagenase solution containing 20 ␮g/ml DNase (Boehringer Mannheim) at 37°C for 30 min with constant stirring. Cell suspensions (5 ml in RPMI 1640 supplemented with 10% heat-inactivated FCS containing 2.5 mM EDTA) were layered onto 5-ml columns of 16.8% Nycodenz R (AXIS-SHIELD). After centrifugation (2500 rpm for 20 min at room temperature), the interface was used as NPCs. CD11c⫹ cells were sorted from NPCs using an Epics Elite ESP cell sorter (Beckman Coulter).

Expression analysis of DC maturation marker genes by semiquantative RT-PCR Total RNA was isolated from liver specimens or liver-derived CD11c⫹ cells using ISOGEN reagents (Wako Pure Chemical) according to the manufacturer’s instructions. cDNA was synthesized from 1 ␮g of total RNA using oligo(dT)15 as a mRNA-specific primer and Moloney murine leukemia virus (M-MLV) reverse transcriptase (ReverTraAce; Toyobo). RTPCR was performed with TAKARA Ex Taq (Takara Shuzo) according to the manufacturer’s instructions. The sequences of sense and antisense primers and experimental conditions are given in Table I. The PCR was conducted using the following protocol: after an initial melting procedure

Accession No.

Expected Size (bp)

Annealing

Cycles

AF185284

420

55

26

AF355152

490

55

30

AF186107

501

55

28

AF024637

311

57

26

AY024348

605

57

28

M32599

451

57

18 –22

at 85°C for 3 min, primers were added (hot start method). Amplification was conducted with repeated cycles of 1 min denaturing at 94°C, 1 min annealing, and 1 min extension at 72°C, followed by a final extension step at 72°C for 10 min. The PCR products were visualized by ethidium bromide staining following resolution on 1% agarose gel or 5% acrylamide gel. Densities of PCR products were determined with a Kodak digital science 1D (Kodak). All data were normalized with respect to G3PDH.

Real-time quantitative RT-PCR Total RNA was isolated from liver specimens or liver-derived CD11c⫹ cells using ISOGEN reagents according to the manufacturer’s instructions. cDNA was synthesized from 1 ␮g of total RNA using oligo(dT)15 as an mRNA-specific primer and M-MLV reverse transcriptase. The expression of CCR1, CCR7, IFN-␥, IL-4, IL-12p40, and G3PDH was determined by real-time quantitative PCR using the ABI 7700 sequence detector system (Applied Biosystems) (35). The reaction master mix containing a cDNA sample was prepared according to the manufacturer’s protocol to yield final concentrations of 200 ␮M dATP, dCTP, dGTP, and 400 ␮M dUTP, 4 mM MgCl2, 1.25 U of AmpliTaq DNA polymerase, 0.5 U of Amp-Erase uracilN-glycosylase, and 200 ␮M of each primer for amplification. The reaction mixtures also contained the following target hybridization probes (100 ␮M each) labeled with a reporter fluorescent dye, 6-carboxyfluorescein, at the 5⬘ end. The sets of primers and probes are shown in Table II (35). The thermal cycling conditions included 50°C for 2 min and 95°C for 15 s, and 55°C for 1.5 min for denaturing anneal-extension, respectively.

Statistical analysis Results are expressed as the mean ⫾ SD. Statistical significance was determined by two-way ANOVA and Scheffe’s multiple comparison methods. A value of p ⬍ 0.05 was accepted as statistically significant.

Table II. Sequences of primers and probes used in real-time RT-PCR Gene

Mouse CCR1 Mouse CCR7 Mouse IFN-␥ Mouse IL-4 Mouse IL-12p40 Mouse G3PDH

Sequence (5⬘-3⬘)

Sense primer Antisense primer Probe Sense primer Antisense primer Probe Sense primer Antisense primer Probe Sense primer Antisense primer Probe Sense primer Antisense primer Probe Sense primer Antisense primer Probe

GTGTTCATCATTGGAGTGGTGG GGTTGAACAGGTAGATGCTGGTC TGGTGCTCATGCAGCATAGGAGGCTT CATCAGCATTGACCGCTACGT GGTACGGATGATAATGAGGTAG ATCACCATCCAAGTGGCCCAGATGGT CTCAAGTGGCATAGATGTGGAAGA GAGATAATCTGGCTCTGCAGGATT TCTTGGATATCTGGAGGAACTGGCAA CAGCTAGTTGTCATCCTGCTCTTC GCCGATGATCTCTCTCAAGTGA CGAATGTACCAGGAGCCATATCCACG CCAGGTGGAGTTCAAGACCA TGTGGCACAGTCTCACTGTTG AGCTTCTGATGGATCCTAAGAGGCA AGTATGACTCCACTCACGGCAA TCTCGCTCCTGGAAGATGGT AACGGCACAGTCAAGGCCGAGAAT

Accession No.

U29678 XM_122359 M28621 X03532 M86671 M32599

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ALTERED LIVER DCs IN IL-1ra⫺/⫺ MICE

FIGURE 2. Comparison of histological analysis of liver from P. acnesprimed wild-type (A and B) and IL-1ra-deficient (C and D) mice. Livers were obtained from P. acnes-treated mice after 3 days (A and C (magnifications, ⫻100)) and 7 days (B and D (magnifications, ⫻100)); n ⫽ 6.

Results Enhanced intrahepatic granuloma formation and impaired PALT formation in IL-1ra-deficient mice primed with P. acnes To clarify the pathophysiological role of IL-1ra in granuloma formation, P. acnes was administered to wild-type mice and IL-1radeficient mice. Mice infected with P. acnes develop not only granulomas in the hepatic sinusoid but also PALT in the portal area (22). Histological examination demonstrated that mononuclear cells infiltrated into the hepatic lobes and small granulomas were formed in the livers of wild-type mice at 3 days after P. acnes administration (Fig. 2A). Enhanced granuloma formation was observed in the livers of IL-1ra-deficient mice compared with wildtype mice at 3 and 7 days after P. acnes administration (Figs. 2, C and D). The area of infiltrated cells was ⬃2-fold increased in the livers of IL-1ra-deficient mice compared with wild-type mice after P. acnes administration (Fig. 3). In contrast, PALT formation was impaired in IL-1ra-deficient mice in comparison with wild-type mice, as evidenced by reduced B cell aggregations (Fig. 4). These results suggest that endogenously produced IL-1ra controls compartmentalization of two disease foci by alleviating sinusoidal granulomas and by facilitating PALT formation. Increased DC infiltration in P. acnes-primed IL-1ra-deficient mice In P. acnes-induced granuloma formation, DCs pivotally regulate granuloma as well as PALT formation (20 –22). To characterize the infiltrated cells after priming with P. acnes, we performed immunohistochemical analyses. Infiltrated mononuclear cells within

FIGURE 3. Comparison of the size of P. acnes-induced granulomas. The area per granuloma (field, ⫻100 magnification) in wild-type (f) and IL-1ra-deficient (䡺) mice (n ⫽ 6). The size was measured at 0, 3, 7 days after P. acnes priming, as described in Materials and Methods. ⴱ, p ⬍ 0.05; ⴱⴱ, p ⬍ 0.01.

FIGURE 4. Immunohistochemical analysis of PALT at 7 days after P. acnes administration in wild-type (A) and IL-1ra-deficient (B) mice. Immunochemistry was performed using mAb B220 against B lymphocytes as described in Materials and Methods (⫻400 magnification). These patterns are representative of the results obtained from five independent experiments.

sinusoidal granulomas were predominantly positive for F4/80, CD11c, and CD4 in both IL-1ra-deficient mice and wild-type mice (Figs. 5 and 6). The numbers of CD11c⫹ DCs were increased in IL-1ra-deficient mice, as compared with wild-type mice. Moreover, CD4⫹ cells are also increased in IL-1ra-deficient mice in comparison with wild-type mice (Figs. 5 and 6). These results suggest that infiltrated DCs were increased in the granuloma sites of P. acnes-primed IL-1ra-deficient mice. Altered differentiation of DCs in P. acnes-primed, IL-1ra-deficient mice Mature DCs express specific markers such as CCR7 and IL-12p40 (23, 25), while immature DCs strongly express CCR1 in comparison with mature DCs (23, 25). To clarify the differentiation levels of DCs in granuloma, we examined mRNA expression of these mature and immature DCs in wild-type mouse- and IL-1ra-deficient mouse-derived CD11c⫹ liver cells markers by real-time quantitative PCR (Fig. 7). IL-1ra-deficient mouse-derived CD11c⫹ liver cells showed increased mRNA expression of CCR1, but decreased mRNA expression of CCR7 and IL-12p40 in comparison with wild-type CD11c⫹ cells (Fig. 7A). Immature and mature DCs express different types of TLRs, and recognize bacterial Ags to mediate inflammatory immune responses (10, 24). Hence, we also examined the expression of TLR family mRNAs in wildtype mice and IL-1ra-deficient mouse-derived CD11c⫹ cells (Fig. 7B). IL-1ra-deficient mouse-derived CD11c⫹ cells showed increased expression of TLR3 and decreased expression of TLR5 in

The Journal of Immunology

FIGURE 5. Immunohistochemical analysis of liver at 3 days after P. acnes administration in wild-type (A–C) and IL-1ra-deficient (D–F) mice. Immunochemistry was performed using mAb F4/80 against macrophages/ Kuppfer cells (A and D), mAb CD11c against dendritic cells (B and E), and mAb CD4 against T cells and macrophages (C and F) as described in Materials and Methods (⫻100 magnification). These patterns are representative of the results obtained from five independent experiments.

comparison with wild-type CD11c⫹ cells. However, both wildtype and IL-1ra-deficient mouse-derived CD11c⫹ cells expressed a marker of immature and mature DCs, TLR2 (Fig. 7B). TREM-2 express immature DCs and TREM-2/DAP12 promotes up-regulation of CCR7 (27). It was reported that DAP12-deficient mice showed a dramatic accumulation of dendritic cells in mucocutaneous epithelia associated with decreased hapten-specific contact sensitivity (36). Despite a similar mRNA expression level of DAP12 between wild-type mouse-derived and IL-1ra-deficient mouse-derived CD11c⫹ cells, the IL-1ra-deficient mouse-derived CD11c⫹ cells showed increased expression of TREM-2a in comparison with wild-type CD11c⫹ cells (Fig. 7C). These results suggest that the maturation stage of infiltrated DCs may be different in the absence of endogenous IL-1ra. Altered cytokine expression in the liver of IL-1ra-deficient mice after P. acnes administration Previous studies demonstrated that Th1 cytokines were mainly involved in the granuloma formation in the liver after P. acnes administration and that subsequent LPS injection rapidly shifted the response from Th1 to Th2 cytokines in the liver (21, 35, 37). Cytokine balance at the whole liver level is therefore important to determine the disease outcome (21, 35, 37). To characterize cytokine expression profiles in the livers of P. acnes-primed IL-1radeficent mice, we determined mRNA expression of Th1 (IFN-␥) and Th2 cytokines (IL-4) by using real-time quantitative RT-PCR (Fig. 8). In wild-type mice, IFN-␥ gene expression was increased at 7 days after P. acnes priming. Marginal induction of IL-4 mRNA expression was observed in wild-type mice at 3 and 7 days after P. acnes priming (Fig. 8). In contrast, IL-1ra-deficient mice exhibited a marked increase in intrahepatic expression of these cytokines at 3 days after P. acnes administration (Fig. 8). These results suggest that in the absence of endogenous IL-1ra, P. acnes

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FIGURE 6. Immunohistochemical analysis of liver at 7 days after P. acnes administration in wild-type (A–C) and IL-1ra deficient (D–F) mice. Immunochemistry was performed using mAb F4/80 against macrophages/ Kupffer cells (A and D), mAb CD11c against dendritic cells (B and E), and mAb CD4 against T cells and macrophages (C and F) as described in Materials and Methods (⫻100 magnification). These patterns are representative of the results obtained from three independent experiments.

administration induced Th2 as well as Th1 cytokine production, and eventually caused massive granuloma formation.

Discussion Granuloma formation is a protective response for the host to eliminate exogenous agents. However, uncontrolled granulomatous immune responses often lead to tissue damage including irreversible necrosis and fibrosis. Successful immune responses should be achieved by creating an appropriate anatomical and cytokine environment during the granulomatous reaction. In a granulomatous liver disease induced by P. acnes, the balances between P. acnes induced two distinct compartments, PALT and sinusoidal granulomas, and also between Th1 and Th2 cytokines greatly contribute to the disease outcome (22). In the present study, we show that both anatomical and cytokine balances associated with granulomatous inflammation are significantly altered in the absence of endogenous IL-1ra, demonstrating the involvement of IL-1ra in forming a disease-associated, effective local environment. Because DCs play pivotal roles in forming disease-associated anatomical compartments and in generating granuloma-forming Th cells (21, 35, 37), we consider that altered granulomatous responses shown in IL-1ra-deficient mice are attributed to impaired DC responses. P. acnes-primed DC precursors migrate into hepatic sinusoids from the circulation, interact with Kupffer cells, and then activate to increase expression of CCR7 to migrate into PALT (22). Mature DCs move from PALT to hepatic LNs, and induce T lymphocyte proliferation (22). We previously reported that granuloma-forming memory T cells are generated by migrated mature DCs in the hepatic LNs (38). P. acnes-primed LN T cells initially produced both IFN-␥ and IL-4 by day 3, but preferentially produced IFN-␥ thereafter. IFN-␥-producing Th1 cells then leave the LNs and migrate into the liver to complete granuloma formation (38). In the present study, at day 3 after P. acnes administration, CD11c⫹ DCs increased in the liver of IL-1ra-deficient mice in comparison with

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ALTERED LIVER DCs IN IL-1ra⫺/⫺ MICE

FIGURE 8. Real-time quantitative RT-PCR analysis of Th1/Th2 cytokines mRNAs in liver of P. acnes-primed mice. Total RNA was isolated from liver tissues at the following time points: untreated, and 0, 3, and 7 days after P. acnes treatment (wild-type, f; IL-1ra-deficient mice, 䡺). This pattern is representative of the results obtained from five independent experiments. A, IFN-␥; B, IL-4. ⴱ, p ⬍ 0.05; ⴱⴱ, p ⬍ 0.01.

FIGURE 7. Analysis of DC maturation-related markers, such as CCR1, CCR7, IL-12p40, TLR2, TLR3, TLR5, DAP12, and TREM-2a mRNAs, in P. acnes-primed liver DCs. Total RNA was isolated from CD11c⫹ liver DCs at 7 days after P. acnes treatment (wild-type, f; IL-1ra-deficient mice, 䡺). A, Real-time RT-PCR analysis of CCR1, CCR7 and IL-12p40. B, Semiquantitative RT-PCR analysis of TLR2, TLR3, and TLR5. C, Semiquantitative RT-PCR analysis of DAP12, and TREM-2a. These patterns are representative of the results obtained from five independent experiments. ⴱ, p ⬍ 0.05; ⴱⴱ, p ⬍ 0.01.

wild-type mice (Fig. 5). CD4⫹ cells on day 3 increased in IL-1radeficient mice (Figs. 5, C and F), suggesting that liver-homing IFN-␥⫹IL-4⫹ T cells are already established in the hepatic LNs by highly activated DCs at this time or recruited from spleen nonspecifically. However, Th2 cytokine mRNA excessively increased in the liver of IL-1ra-deficient mice in comparison with wild-type mice (Fig. 8), also suggesting an aberrantly high expression of IL-4 in IL-1ra-deficient liver at an early phase. Such IL-4 may further affect the activation status of liver-infiltrating DCs. Although Th1 cytokines are mainly involved in liver pathology observed after priming with P. acnes, subsequent LPS injection rapidly induced cytokine expression from Th1 to Th2 in the liver, causing exacerbation (21, 35). In this respect, an early and robust intrahepatic Th2 response possibly induced by overactivated DCs may lead to dysregulated granuloma formation. PALT formation is important for host defense, because the balance between protective PALT and injurious sinusoidal granuloma would determine the disease outcome (22). P. acnes-primed DC

precursors migrate to the portal area to form PALT from sinusoidal areas after maturation (22). Therefore, the molecules directing DC positioning within the inflamed tissue space are also important, and our results show that IL-1ra is involved in this process. Previously we reported that IL-1ra is mainly produced by liver parenchymal cells around the central vein in mice after P. acnes administration (19). Anatomically, liver parenchymal cells form hepatic cord, with their poles facing toward Disse’s space, and thus they make a “pathway” for migration of DCs from sinusoid areas to PALT. Interestingly, immature DC accumulation in P. acnes-treated liver of IL-1ra deficient mice is similar to phenotype of DAP12-deficient mice (36). IL-1ra produced by liver parenchymal cells may guide DC migration during granulomatous reactions (Fig. 9). At day 7 after P. acnes administration, CD11c⫹ DCs were still increased in liver of IL-1ra-deficient mice in comparison with wild-type mice (Fig. 6). Moreover, maturation of DCs was altered in the liver of IL-1ra-deficient mice in comparison with wild-type mice (Fig. 7). IL-1ra-deficient mice showed massive granuloma formation in hepatic sinusoids, but PALT formation was decreased compared with wild-type mice (Fig. 4). These results indicate that the IL-1/IL-1ra system is not essential for DC entry from the circulation into liver tissue, but is required for DC migration from the sinusoid area to the portal area. After P. acnes administration, excessive activation of DCs in the early phase and altered maturation of DCs induce massive granuloma formation in IL-1ra-deficient mice. From these observations, we speculate that endogenous IL-1ra production regulates maturation of DCs to induce optimal immune responses against pathogens. IL-1␣ and IL-1␤ stimulate LC migration and activation (39 – 41). Moreover, caspase-1 is required for LC migration and optimal contact sensitization in mice (42). Eriksson et al. (28) also reported that an IL-1RI signal is required for activation of DCs, which is in turn a prerequisite for induction of autoreactive CD4⫹ T cells. Our results suggest that the IL-1/IL-1ra system is essential for the regulation of maturation and migration of DCs during inflammation.

The Journal of Immunology

FIGURE 9. Summary figure of this work. Pre-DC extravasate from peripheral blood to granuloma and differentiate to DCs by pre-DC-Kupffer cell interaction. Differentiated DC migrates from granuloma to PALT. PALT express CCL21, and DC express CCL21 receptor CCR7 via the IL-1R signal pathway. Hepatic parenchymal cells produce IL-1ra and IL-1 to regulate optimal IL-1 reaction. And then, activated DC move to hepatic LN to induce Ag-specific T cell activation. Activated T cells accumulate to granuloma.

It was reported that an IL-1RI signal is required for activation of DCs in ␣-myosin-induced autoimmune disease (28). However, lack of the IL-1ra gene in mice induced migration of immature DCs in the liver after P. acnes administration. In P. acnes-primed, IL-1ra-deficient mice, serum IL-1 biological activity increased to ⬎3 times that of wild-type mice after LPS injection (data not shown). IL-1R-associated kinase-M has recently been identified as a TLR family-specific negative signal regulator in monocytes/macrophages (43). As IL-1 and TLR use a common signal transduction pathway, our data indicate that maturation of DCs was regulated by the IL-1 signal-induced negative feedback system. After P. acnes treatment at day 7, the expression of CCR7 in liver DCs decreased in IL-1ra-deficient mice in comparison with wild-type mice (Fig. 7A). Recently it was reported that TLR signaling induces the expression of CCR7 (44, 45). Our result indicates that the expression of CCR7 may also regulate by the IL-1 signal pathway after P. acnes treatment. In conclusion, we found that granuloma formation was enhanced in the liver after P. acnes treatment, and granuloma contained immature DCs in IL-1ra-deficient mice in comparison with wild-type mice. PALT formation was altered in the liver of IL1ra-deficient mice after P. acnes treatment. These results suggest that the IL-1ra/IL-1 system regulates maturation and migration of DCs during pathogen-related inflammation in mouse liver.

Acknowledgments We thank Naomi Genda and Yuko Kugotani for assistance in immunohistochemical studies (Department of Pharmaceutics, Kyoritsu University of Pharmacy).

Disclosures The authors have no financial conflict of interest.

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