Epithelial Cells Differentiation of Medullary Thymic Thymocytes ...

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The Journal of Immunology

Lymphotoxin Signals from Positively Selected Thymocytes Regulate the Terminal Differentiation of Medullary Thymic Epithelial Cells Andrea J. White,* Kyoko Nakamura,* William E. Jenkinson,* Manoj Saini,* Charles Sinclair,† Benedict Seddon,† Parth Narendran,‡ Klaus Pfeffer,x Takeshi Nitta,{ Yousuke Takahama,{ Jorge H. Caamano,* Peter J. L. Lane,* Eric J. Jenkinson,* and Graham Anderson* The thymic medulla represents a key site for the induction of T cell tolerance. In particular, autoimmune regulator (Aire)-expressing medullary thymic epithelial cells (mTECs) provide a spectrum of tissue-restricted Ags that, through both direct presentation and cross-presentation by dendritic cells, purge the developing T cell repertoire of autoimmune specificities. Despite this role, the mechanisms of Aire+ mTEC development remain unclear, particularly those stages that occur post-Aire expression and represent mTEC terminal differentiation. In this study, in mouse thymus, we analyze late-stage mTEC development in relation to the timing and requirements for Aire and involucrin expression, the latter a marker of terminally differentiated epithelium including Hassall’s corpuscles. We show that Aire expression and terminal differentiation within the mTEC lineage are temporally separable events that are controlled by distinct mechanisms. We find that whereas mature thymocytes are not essential for Aire+ mTEC development, use of an inducible ZAP70 transgenic mouse line—in which positive selection can be temporally controlled— demonstrates that the emergence of involucrin+ mTECs critically depends upon the presence of mature single positive thymocytes. Finally, although initial formation of Aire+ mTECs depends upon RANK signaling, continued mTEC development to the involucrin+ stage maps to activation of the LTa–LTbR axis by mature thymocytes. Collectively, our results reveal further complexity in the mechanisms regulating thymus medulla development and highlight the role of distinct TNFRs in initial and terminal differentiation stages in mTECs. The Journal of Immunology, 2010, 185: 4769–4776.

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fter their recruitment to the thymus, T cell precursors proliferate and differentiate to produce a large pool of immature CD4+8+ thymocytes that resides within the thymic cortex. As a result of the random recombination of gene segments at TCR-a and TCR-b loci, CD4+8+ thymocytes express a diverse repertoire of abTCRs (abTCR), and so are required to undergo selection events based on abTCR specificity. Positive selection rescues thymocytes capable of self-MHC recognition from cell death, with the lineage commitment mechanism ensuring that changes in coreceptor expression result in the generation of CD4+ and CD8+ cells recognizing MHC class II and MHC class

*Medical Research Council Centre for Immune Regulation; ‡School of Clinical and Experimental Medicine, Institute for Biomedical Research, Medical School, University of Birmingham, Edgbaston, Birmingham; †Division of Immune Cell Biology, Medical Research Council National Institute for Medical Research, London, United Kingdom; xInstitute of Medical Microbiology and Hospital Hygiene, Heinrich-Heine University, Dusseldorf, Germany; and {Division of Experimental Immunology, Institute for Genome Research, University of Tokushima, Tokushima, Japan Received for publication June 29, 2010. Accepted for publication August 18, 2010. This work was supported by a Medical Research Council Programme grant (to G.A. and E.J.J.) and by core facilities of the Medical Research Council Centre for Immune Regulation. Address correspondence and reprint requests to Prof. Graham Anderson, Floor 4, Institute for Biomedical Research, Medical School, University of Birmingham, Edgbaston, Birmingham B15 2TT, United Kingdom. E-mail address: g.anderson@bham. ac.uk Abbreviations used in this paper: Aire, autoimmune regulator; BM, bone marrow; cTEC, cortical thymic epithelial cell; dox, doxycycline; HC, Hassall’s corpuscle; IRES, internal ribosomal entry site; MSCV, murine stem cell virus; mTEC, medullary thymic epithelial cell; Treg, regulatory T cell; WT, wild type. Copyright Ó 2010 by The American Association of Immunologists, Inc. 0022-1767/10/$16.00 www.jimmunol.org/cgi/doi/10.4049/jimmunol.1002151

I, respectively (1, 2). Newly selected thymocytes are then screened further for their ability to recognize self-peptide/MHC complexes, with negative selection purging the abTCR repertoire of potentially autoreactive specificities (3). Such combined selection events ensure that T cell production in the thymus leads to the generation of a naive T cell pool that recognizes self-MHC molecules but is able to discriminate between self and nonself Ags. Positive and negative selection events occur within specialized intrathymic environments defined by distinct stromal components (4). Positive selection signals are provided by cortical thymic epithelial cells (cTECs), a function that is at least in part due to their expression of a unique MHC-bound self-peptide repertoire generated by cTEC-specific expression of Prss16 (the gene encoding thymus-specific serine protease) and the b5t thymoproteosomal subunit (5–7). In contrast, the medulla provides a microenvironment where self-tolerance is imposed, through both negative selection and FoxP3+ regulatory T cell (Treg) production. Moreover, autoimmune regulator (Aire) expressing medullary thymic epithelial cells (mTECs) have been shown to play a role in both processes (8–10), highlighting their importance in the avoidance of autoimmunity. Several advances have recently been made in understanding the regulation of Aire+ mTEC development. For example, the TNFRs RANK and CD40 are key to the generation of Aire+ mTECs (11–15), a process involving lymphostromal crosstalk with RANKL+ lymphoid tissue inducer cells and RANKL+/ CD40L+CD4+ thymocytes. An additional TNFR family member, LTbR, also plays a pivotal yet poorly understood role in mTEC development (16–20). Interestingly, the medulla is also recognized as a dynamic thymic compartment, with mature mTECs displaying a turnover time of 2–3 wk (21, 22). Collectively, such findings

4770 suggest that Aire+ mTEC production is a continuous process stemming from a TEC progenitor pool that is under hemopoietic cell control. Despite these advances, critical to our understanding of mTEC development and homeostasis are events that occur in mTEC post-Aire expression. Whereas initial studies suggested that Aire may induce apoptosis as a means to regulate mTEC homeostasis (23), others suggest that it plays a role in further mTEC differentiation (24, 25), with recent cell fate mapping approaches directly demonstrating that mTEC differentiation continues beyond the Aire+ stage (26). Moreover, late-stage mTEC differentiation has been shown to involve expression of involucrin (25, 26), a component of the cross-linked cornified envelope and a marker of terminal differentiation in keratinocytes (27). However, whether progression to this stage is a cell-autonomous process post-Aire expression or also requires cross-talk and regulation by hemopoietic elements is unknown. This is a key issue in understanding the regulation of mTEC homeostasis and hence the efficiency of self-Ag presentation for central tolerance. In this study, we have analyzed cellular and molecular regulation of the mTEC lineage, including the requirements for developmental stages post-Aire expression. We show an ordered ontogenetic appearance of distinct Aire+ and involucrin+ mTEC subsets in the thymus medulla, the latter appearing postnatally at a time point correlating with the initial accumulation of positively selected thymocytes. By analyzing mTEC development in mouse models where positive selection is either absent or can selectively be restored by an inducible Zap70 transgene, we provide direct evidence that whereas the absence of positive selection does not preclude generation of Aire+ mTECs, development of terminally differentiated involucrin+ mTECs strictly depends upon the presence of mature thymocytes. Finally, we show that the requirement for positive selection in mTEC terminal differentiation cannot be met by provision of RANKL and instead maps to activation of LTbR signaling. Collectively, our data define cross-talk mechanisms in mTEC terminal differentiation, help explain the poorly understood role of LTbR in thymus medulla development, and highlight the temporal requirement for distinct TNFR signaling during initial and late-stage mTEC differentiation.

POSITIVE SELECTION AND mTEC DIFFERENTIATION involucrin (Covance, Maidenhead, U.K.), rabbit anti-Aire (M-300; Santa Cruz Biotechnology, Santa Cruz, CA), AlexaFluor 647 EpCAM-1 (G8.8; kind gift from A. Farr, University of Washington, Seattle, WA), biotinylated anti-CD80 (clone Ly53; eBioscience), anti-IAb MHC class II alloantigen (clone AF6-120.1; Becton Dickinson, San Jose, CA), and mouse anti-keratin 10 (clone SPM261; Covance). Biotinylated Abs were detected using streptavidin conjugated to either AlexaFluor 555 or AlexaFluor 646 (Invitrogen, Paisley, U.K.). Involucrin and Aire Abs were detected using donkey antirabbit AlexaFluor 488 (Invitrogen), whereas keratin 10 Abs were detected with anti-mouse AlexaFluor 594 (Invitrogen), and anti-IAb MHC class II alloantigen was detected using an FITC amplification method described later. Simultaneous two-color staining of Aire and involucrin was performed using rabbit anti-involucrin and goat anti-Aire (clone D-17; Santa Cruz Biotechnology). Human thymic sections were stained with FITC anti-CD4 (RPAT4; eBioscience), biotinylated anti-CD8 (HIT8a; eBioscience), mouse antiinvolucrin (SY5; Abcam, Cambridge, U.K.), and goat anti-Aire (D-17; Santa Cruz Biotechnology). Anti-CD4 was detected using rabbit anti-FITC (Invitrogen) then goat anti-rabbit FITC (Southern Biotechnology, Birmingham, AL), and anti-CD8 was detected using Streptavidin-AlexaFluor 646 (Invitrogen). Anti-involucrin was detected using goat anti-mouse AlexaFluor 594 (Invitrogen), and anti-Aire was detected using donkey anti-goat AlexaFluor 594 (Invitrogen). Sections were mounted using 1,4-Diazabicyclo[2.2.2]octane solution (Sigma Aldrich, Dorset, U.K.), and all images were obtained

Materials and Methods Mice Wild-type (WT) C57BL/6 (B6) mice at 4–6 wk of age were used as indicated. Zap702/2 (28), Ltbr2/2 (29), Lta2/2 (30), Cd40lg2/2 (31) mice have been described previously. Tetracycline-inducible Zap70 transgenic mice (Zap70Tre rtTAhuCD2 Zap702/2; TetZap70 hereon) have been described in detail elsewhere (32). Zap70 expression in adult mice was induced by administration of tetracycline derivative doxycycline (dox) in food (3 mg/g). Mice were bred and maintained in the Biomedical Services Unit, University of Birmingham, with the exception of TetZap70 mice, which were bred and maintained at the National Institute for Medical Research (Mill Hill, London, U.K.). All experiments were carried out with institution and U.K. Home Office approval.

Human thymus samples Fresh thymic tissue was provided by Birmingham Children’s Hospital (Birmingham, U.K.) from pediatric patients undergoing routine cardiac surgery. Tissues were obtained after informed consent and with the ethical approval of National Health Service North Staffordshire Local Research Committee.

Immunofluorescent confocal analysis and mTEC quantitation Freshly isolated mouse and human thymus tissue was embedded in OCT compound (Sakura Fintek UK, Thatcham, U.K.) and frozen on dry ice. Sections were cut at 5-mm thickness, fixed in acetone, and stained with Abs as described previously (12). For analysis of mouse tissue, the following reagents were used: AlexaFluor 647 anti-CD4 (L3TA; eBioscience, Hatfield, U.K.), biotinylated anti-CD8 (ebioH35-17.2; eBioscience), rabbit anti-

FIGURE 1. Involucrin expression defines terminally differentiated mTECs that are distinct from the Aire+ subset. A–D, Frozen tissue sections of adult mouse and neonatal human thymus were stained with Abs to CD4, CD8, and the epithelial terminal differentiation marker involucrin using an LSM 510 Meta microscope, and images were analyzed using Zeiss LSM software. C and D show higher-power magnification to demonstrate the characteristic swirled morphology of involucrin+ mTEC in both murine and human thymus. Dual analysis of Aire and involucrin expression in mouse (E) and human (F) thymus identifies nonoverlapping mTEC subsets that are often found in close anatomical association. Original magnification 340; scale bars, 20 mm. Data shown are representative of at least three separate experiments.

The Journal of Immunology using an LSM 510 Meta microscope, with image analysis performed using Zeiss LSM software (Zeiss, Welwyn Garden City, U.K.). To quantitate the frequency of Aire+ and involucrin+ mTECs, medullary areas were initially identified on the basis of CD4, CD8 staining to identify regions containing CD4+82 and CD428+ cells but not CD4+8+ cortical thymocytes. For each mouse, a minimum of three separate thymus sections at least 10 sections apart were analyzed. From each section, medullary areas of up to 200,000 mm2 were imaged, and the number of involucrin+ and Aire+ cells was determined to give the number of involucrin+ and Aire+ cells per square millimeter.

Statistical analysis Analysis was performed using a two-tailed unpaired Student t test with Prism software (GraphPad, San Diego, CA). Significance is denoted with asterisks (i.e., pp , 0.05; ppp , 0.01; pppp , 0.001).

4771 irradiated recipients (900 rad for WT B6 and 700/800 rad for Zap702/2 hosts), and mice were analyzed 4–5 wk after injection.

Flow cytometry Freshly prepared WT neonatal and adult thymocyte samples were centrifuged and then analyzed by flow cytometry as described (12). Cells were acquired using CellQuest software on a Becton Dickinson LSR flow cytometer. For analysis of TetZap70 mice, thymocyte suspensions were analyzed on a FACSCanto II (Becton Dickinson) using FACS diva software v6.1.2. All samples were then analyzed postacquisition with Flo-Jo software (Tree Star, Ashland, OR).

Results

Retroviral transduction and bone marrow chimeras

Analysis of Aire and involucrin expression identifies temporal regulation in the development of distinct mTEC compartments

To generate RANKL-expressing retrovirus, PCR-cloned cDNA fragments of murine RANKL, using the primers 59-CTCGAGGAAGGGAGAGAACGATC-39 and 59-CTCGAGTCAGTCTATGTCCTGAACTTTG-39, were cloned into XhoI site of MIGR1 (a gift from Dr. W.S. Pear, University of Pennsylvania, Philadelphia, PA). Retroviral supernatants were prepared as described (33) using the packaging cell line Plat-E (34). To generate bone marrow (BM) chimeras, adult WT B6 or Zap702/2 mice were treated with 150 mg/kg 5-fluorouracil, and 4 d later, Sca1+ progenitors were isolated from femurs and tibias by magnetic sorting (Miltenyi Biotec, Auburn, CA). Retrovirus infection of sorted Sca1+ cells was performed as described (13). Briefly, freshly sorted BM cells were cultured in IMDM supplemented with 20% FCS, L-glutamine, sodium pyruvate, nonessential amino acids, penicillin, streptomycin, 50 ng/ml stem cell factor, 50 ng/ml IL-6, and 10 ng/ml IL-3. After 48, 72, and 96 h, cells were spin-infected with retrovirus by centrifuging the culture plates in the presence of 10 mg/ml polybrene for 90 min. Following infection, total cells were intravenously injected into

The keratinocyte terminal differentiation marker involucrin, a component of the cornified envelope in skin, has recently been reported to identify a subset of mTEC in adult mouse thymus (25, 26). Importantly, cell fate mapping studies show that mTEC maturation extends beyond the Aire+ stage and further suggest that involucrin expression may follow Aire expression, a relationship that is suggestive of a terminal differentiation program in mTECs (26). To investigate further these poorly defined stages in thymus medulla development, we initially analyzed the phenotype and ontogenetic timing of the appearance of Aire+ and involucrin+ mTECs in both adult murine and human pediatric thymus. In human thymus (Fig. 1B, 1D, 1F), involucrin identifies Hassall’s corpuscles (HCs), representing swirled epithelial structures formed from terminally

FIGURE 2. Phenotypic characterization of involucrin+ mTECs. Frozen tissue sections of adult mouse thymus were stained with Abs to involucrin and either EpCAM1 (A), CD80 (B), MHC class II (C), or keratin 10 (D). The images show typical examples of medullary areas within thymic sections. Original magnification 340; scale bars, 20 mm, and data are representative of at least three separate experiments.

4772 differentiated epithelial cells (25, 35). In agreement with a recent study (25), analysis of adult mouse thymus (Fig. 1A, 1C, 1E) shows a similar staining pattern, with small, medullary-located involucrin+ cells displaying an organization reminiscent of HC-like structures in human thymus. Interestingly, in both mouse (Fig. 1E) and human (Fig. 1F) thymus, Aire and involucrin expression were consistently found to be nonoverlapping. However, although we failed to detect mTECs that coexpressed involucrin and Aire, Aire+involucrin2 mTECs and Aire2involucrin+ mTECs were often found in close proximity to one another (Fig. 1E, 1F). Further phenotypic analysis (Fig. 2) with a panel of epithelial markers demonstrated that in contrast with Aire+ mTECs, which are enriched for CD80+MHCII+ keratin102 cells, involucrin+ mTECs are uniformly CD802MHCII2 and express keratin10+, an additional marker of epithelial differentiation in skin (36). Thus, our data suggest that Aire+ mTECs and terminally differentiated involucrin+ mTECs represent distinct subsets of epithelial cells within the thymic medulla. We next investigated the timing of appearance of Aire+ and involucrin+ mTECs in mouse thymus development. By quantitative confocal microscopy, we found that Aire+ mTECs, which were more abundant than involucrin+ mTECs at all stages analyzed, were readily detectable at postnatal day 0 (Fig. 3A, 3B), a finding that is in agreement with the initial emergence of Aire+ cells at E16 of gestation (12). In contrast, involucrin+ mTECs

FIGURE 3. Ordered appearance of involucrin+ and Aire+ mTECs in thymus ontogeny identifies a postnatal phase of terminal differentiation. A, Thymus sections from newly born postnatal day (P) 0 and 5 mice were analyzed for expression of combinations of either CD4 and CD8 or Aire and involucrin. Original magnification 340; scale bars, 20 mm. Quantitative analysis of Aire+ and involucrin+ mTECs at the indicated ages is shown in B and C, respectively. Ontogeny of thymocyte development in P0 and P5 thymus was analyzed by flow cytometry using Abs to CD4, CD8, and abTCR. D, Quantitative analysis of CD4+8-abTCRhigh (green circles) and CD428+abTCRhigh (red circles) subsets. In the graphs shown in B–D, each point represents a single mouse. Data are representative of three separate experiments. pp , 0.05; ppp , 0.01; pppp , 0.001.

POSITIVE SELECTION AND mTEC DIFFERENTIATION were found to be absent in embryonic thymus (data not shown) and immediately after birth, being first detected at postnatal day 5 (Fig. 3A, 3C), a time point coinciding with the appearance of positively selected CD4+abTCRhigh and CD8+abTCRhigh thymocytes (Fig. 3D). Collectively, these findings identify an ordered appearance of distinct Aire+involucrin2 and Aire2involucrin+ mTEC subsets during thymus development, with the emergence of the latter correlating with the accumulation of mature thymocytes within thymic medullary areas. Positive selection is essential for mTEC terminal differentiation To determine whether the emergence of involucrin+ mTECs is functionally linked to the presence of positively selected thymocytes, we next analyzed Aire and involucrin expression by mTECs in Zap702/2 mice, where thymocyte development is blocked at the immature CD4+8+ stage due to an absence of abTCRmediated positive selection signals (28). In Zap702/2 mice, medullary thymus areas were still readily detectable, identified as regions surrounded by cortical areas containing CD4+8+ thymocytes (Fig. 4A). Whereas Aire+ mTECs were clearly detectable in both adult WT and Zap702/2 thymic medullary areas, albeit at reduced frequency in the latter (Fig. 4A, 4B), the absence of mature CD4+ and CD8+ cells correlated with the absence of

FIGURE 4. Positively selected thymocytes are required for mTEC terminal differentiation. A, Adult WT and Zap702/2 thymic sections were analyzed for expression of CD4 (blue) and CD8 (green) together with either Aire (red, upper panels) or involucrin (red, lower panels). Original magnification 340; scale bars, 20 mm. B and C, Quantitative analysis of the frequency of Aire+ (B) and involucrin+ (C) mTEC subsets in WT (red circles) and Zap702/2 (green circles) mice, with each point representing a single mouse. The ratio of Aire+/involucrin+ mTECs is 23.2:1 6 9.6 SD and 65.1:1 6 24.6 SD in WT and Zap702/2, respectively. Data shown are representative of at least three separate experiments. ppp , 0.01.

The Journal of Immunology

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involucrin+ mTECs in Zap702/2 mice (Fig. 4A, 4C), suggesting that signals from CD4+ and/or CD8+ thymocytes are important for late stages of mTEC development. To test this possibility directly, we analyzed mTEC development in TetZap70 mice, in which thymocyte positive selection in Zap70-deficient animals can be restored by controlled expression of a tetracycline-inducible Zap70 transgene within the T cell lineage (32). Fig. 5A shows that, as reported previously, compared with untreated controls (2dox), treatment of adult TetZap70 mice with dox (+dox) for 14 d resulted in the restoration of positive selection and the appearance of mature CD4+82 and CD428+ thymocytes. Subsequent confocal analysis of medullary microenvironments showed that the restoration of positive selection by dox treatment was accompanied by an increase in Aire+ mTEC frequency (Fig. 5B, 5C) and the emergence of involucrin+ mTECs (Fig. 5B, 5D) at a frequency similar to that seen in unmanipulated adult WT mice (Fig. 4C). Collectively, these findings suggest that whereas mature thymocytes are not essential for the generation of Aire+ mTECs, they are an essential requirement to provide signals that drive later stages of mTEC differentiation, including generation of Aireinvolucrin+ mTECs. Terminal differentiation of mTEC is regulated by LTa–LTbR signaling Several studies have identified a role for various TNFRs in thymus medulla development, including RANK, CD40, and LTbR. Of these, the requirement for RANK signaling during Aire+ mTEC development in adult thymus has shown to map to the presence of positively selected thymocytes (13). However, whether RANK signaling explains the requirement for single positive thymocytes in post-Aire involucrin+ mTEC development has not been addressed. Due to the dramatic reduction in Aire+ mTECs in Rank2/2 thymus (11, 14), such mice cannot be readily used to determine the role of RANK in mTEC development post-Aire expression. Thus, we next determined whether RANKL could replace the requirement for single positive thymocytes in the development of involucrin+ mTECs. To this end, we established chimeras in which BM progenitors from Zap702/2 mice were transduced with retroviral constructs, resulting in constitutive expression of RANKL by thymocytes that are blocked at the CD4+8+ stage. Sca1+ BM progenitors from adult Zap702/2 mice were subjected to multiple rounds of retroviral transduction in vitro with either mouse stem cell virus (MSCV)–internal ribosomal entry site (IRES)–GFP or MSCV–RANKL–IRES–GFP biscistronic retroviral constructs. Retrovirally infected cells were then injected i.v. into sublethally irradiated Zap702/2 hosts, and thymus tissue was collected and analyzed 4 to 5 wk later. In agreement with Hikosaka et al. (13), RANKL expression by thymocytes in the absence of single positive cells (data not shown) resulted in an increase in the sizes of thymic medullary areas (data not shown) and an increase in the numbers of Aire+ mTECs (Fig. 6A), indicating that retroviral RANKL in Zap702/2 BM is expressed at a functional level. In marked contrast, however, despite these effects on the thymus medulla, RANKL expression in MSCV– RANKL–IRES–GFP Zap702/2 chimeras failed to induce the appearance of involucrin+ mTECs (Fig. 6B). Thus, despite the increased availability of RANKL, the absence of single positive thymocytes still resulted in a block in later stages of mTEC differentiation. We next made chimeras using WT BM precursors and WT hosts, in which positive selection and generation of CD4+ and CD8+ thymocytes occurred (data not shown). Flow cytometric analysis shows comparable levels of RANKL expression on CD4+ 8+ thymocytes in WT and Zap702/2 chimeras and CD4+ and CD8+ thymocytes in WT chimeras (data not shown). As expected,

FIGURE 5. Restoring positive selection rescues mTEC terminal differentiation. A, TetZap70 mice were fed dox for 14 d, resulting in the rescue of positive selection and the emergence of mature CD4+ and CD8+ thymocytes. B, Confocal analysis of untreated (left panels) or dox-treated (right panels) TetZap70 mice for CD4 (blue) and CD8 (green) together with either Aire (red, upper panels in B) or involucrin (red, lower panels). Original magnification 340; scale bars, 20 mm. Arrow in B indicates a typical involucrin+ HC-like structure. C and D, Quantitative analysis of Aire+ and involucrin+ mTEC subsets, respectively, in untreated TetZap70 (red circles) and TetZap70 + dox (green circles). Results are representative of three separate experiments. ppp , 0.01; pppp , 0.001.

when RANKL was overexpressed, there was an increase in the frequency of Aire+ mTECs (Fig. 6C), again showing that retroviral RANKL expression in WT BM is expressed at a functional level. Importantly, in contrast with chimeras generated using Zap702/2 BM (Fig. 6B), involucrin+ mTECs were detected when WT BM was transduced with either MSCV–IRES–GFP or MSCV–RANKL– IRES–GFP constructs (Fig. 6D). Moreover, no difference was ob-

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FIGURE 6. RANK–RANKL signaling is insufficient to induce mTEC terminal differentiation. The frequency of Aire+ and involucrin+ mTECs was calculated in chimeras established from Zap702/2 (A, B) or WT (C, D) BM precursors, transduced with either MSCV–IRES–GFP (d) or MSCV-RANKL-IRES-GFP (:) biscistronic retroviral constructs. Each point represents a single mouse, and data are representative of three separate experiments. pp , 0.05; pppp , 0.001.

served in the frequency of involucrin+ mTECs in both types of WT BM chimeras (Fig. 6D). Overall, these experiments suggest that the requirement for single positive thymocytes is a rate-limiting step in mTEC terminal differentiation and cannot be simply explained by provision of RANKL alone. Instead, these data indicate that positively selected thymocytes provide additional signals that regulate the appearance of involucrin+ mTECs. To investigate the nature of these signals, we next analyzed mTEC development in mice genetically deficient in additional TNFR ligands that are provided by mature thymocytes, namely CD40L (12, 15) and LTa (16). Although comparison of thymus medullary areas in WT and Cd40lg2/2 adult mice showed no differences in the frequency of involucrin+ mTECs (Fig. 7), we found striking differences in mTEC development in mice with disrupted LTa–LTbR signaling. Thus, despite a relatively normal frequency of Aire+ mTECs, Lta2/2 mice showed a marked and specific decrease in the frequency of involucrin+ mTECs, a phenotype that was also evident in Ltbr2/2 adult thymus (Fig. 7). Collectively, these findings suggest that activation of the LTa–LTbR axis by LT-expressing mature thymocytes drives post-Aire mTEC development and the appearance of involucrin+ mTECs.

Discussion The importance of intrathymic medullary microenvironments in the establishment of T cell tolerance is well established. In particular, mTECs expressing Aire have been linked to both negative selection and the induction of Treg development (3). Recent studies have

POSITIVE SELECTION AND mTEC DIFFERENTIATION begun to uncover the developmental program of mTEC maturation, which begins with bipotent cTEC/mTEC progenitors (37, 38) and leads to the generation of postmitotic Aire+ mature mTECs via a RANK-dependent mTEC progenitor stage (11). In addition, several studies have now addressed the mechanisms regulating the generation of Aire+ mTECs (reviewed in Ref. 39). Several models of mTEC development have been proposed, including those that are postulated to involve either a “terminal differentiation” or a “progressive restriction” model (reviewed in Ref. 40). While the former model involves a linear differentiation program in which Aire+ mTECs expressing the most tissue-restricted Ags represent the most mature cells, the progressive restriction model suggests that expression of Aire and Aire-dependent tissue-restricted Ags occurs within immature mTECs, which under the influence of Aire become progressively restricted to stages that mimic gene expression patterns seen in other epithelia. Whereas evidence for both scenarios exists, little is known about the program of mTEC differentiation post-Aire expression. Relevant to this, the role of Aire itself in mTEC differentiation is not clear, and several models have been proposed in which Aire is involved in either the initial (41) or later stages (23, 25, 26) of terminal differentiation. In our study, we provide evidence that the generation of Aire+ mTECs is followed by a program of terminal differentiation that is associated with the loss of Aire expression and the acquisition of the terminal differentiation marker involucrin. Thus, the data presented in this study support a linear terminal differentiation program of Aire+ mTEC development and provide clues about the regulation of mTEC development post-Aire expression. First, the ontogenetic appearance initially of Aire+ mTECs and then involucrin+ mTECs is strongly suggestive of a precursor-product relationship between these cells, as was shown previously for CD802 and CD80+ mTEC subsets

FIGURE 7. Terminal differentiation of mTEC is regulated by LTa– LTbR signaling. Thymus sections from adult WT, Lta2/2, Ltbr2/2, and Cd40lg2/2 mice were stained with Abs to CD4, CD8, and either Aire or involucrin. The frequency of Aire+ (A) and involucrin+ (B) mTECs was determined as described in Materials and Methods, with each point representing a separate mouse. The ratio of Aire+/involucrin+ mTECs is 23.2:1 6 9.6 SD (WT), 81.6:1 6 19.9 SD (Ltbr2/2), 92:1 6 38.7 SD (Lta2/2), and 19.7:1 6 3.9 SD (Cd40lg2/2). Data shown are representative of three separate experiments. ppp , 0.01.

The Journal of Immunology (11). Second, that the development of Aire+ and involucrin+ mTEC subsets appears to be controlled by cross-talk mechanisms involving distinct TNFR argues for a series of distinct steps in a program of differentiation. Importantly, this scenario is supported by data from recent cell-fate mapping studies demonstrating continued differentiation of Aire-lineage cells (26) and also by studies reporting the direct involvement of Aire expression in mTEC differentiation, as indicated by altered p63 and cytokeratin expression in mTECs from Aire-deficient mice (24, 41). That involucrinexpressing epithelial cells in murine thymus are reminiscent of involucrin+ HCs in the human thymic medulla is further suggestive of a terminal differentiation mTEC program that continues postAire expression. Interestingly, it is currently not clear whether involucrin represents a universal marker of mTEC terminal differentiation or is specifically indicative of terminal differentiation of the Aire+ mTEC lineage. Indeed, the relative paucity of involucrin+ cells in the adult mouse thymus is of interest, as it may suggest that its expression represents terminal differentiation of a distinct mTEC subset, rather than the total mTEC lineage. Moreover, this low frequency of involucrin+ clusters may indicate that they do not represent long-lived structures but are efficiently cleared as progressively apoptotic cells by the thymic phagocyte system. The functional significance of involucrin+ mTEC clusters is also currently unclear, and study of this is currently hampered by the lack of methods for their isolation. While in human thymus the generation of Tregs has been linked to HCs (42), which resemble involucrin+ mTEC clusters in the mouse, FoxP3+ Tregs develop normally in Ltbr2/2 mice (17), which we show in this study to lack involucrin+ mTECs. The finding that mTECs have a turnover time of 2–3 wk may suggest an alternative functional significance of involucrin+ mTEC differentiation that is perhaps linked to epithelial homeostasis in the thymic medulla. For example, as tissuerestricted Ags can be divided into at least three distinct “gene pools,” the expression of which is linked to progressive mTEC differentiation (43), a normal program of terminal differentiation and mTEC homeostasis may help to ensure an adequate representation of “early” and “late” self-Ags within the thymic medulla. Our data also show that Aire+ mTEC development and the appearance of involucrin+ terminally differentiated mTECs are separable depending upon the availability of signals provided by positively selected thymocytes. Interestingly, Aire-deficient mice have reduced numbers of involucrin+ mTECs (25), an observation that further suggests that Aire plays a role in mTEC development. However, our findings indicate that Aire expression per se is not sufficient to drive mTEC terminal differentiation and that additional signals are required. Indeed, in analysis of Lta2/2 and Ltbr2/2 mice, we find that activation of the LTa–LTbR axis is required for the generation of involucrin+ mTECs. In addition, our data show that Ltbr2/2 mice have a slight and nonsignificant decrease in Aire+ mTECs (Fig. 7). Our experiments were performed on both male and female mice of 4–6 wk of age using the Ltbr2/2 line on a C57BL/6 background (29). As reviewed recently by Fu and colleagues (44), the role of LTbR signaling in mTEC development is unclear. For example, disruption of LTbR signaling clearly impacts on thymus medulla organization (16), and one study reports a decrease in MHC class IIhigh Aire+ cells within the mTEC pool of Ltbr2/2 mice (19). However, this study also showed significant differences in multiple mTEC subsets, including MHC class IIlow and Aire2MHC class IIlow subsets. While initial studies analyzing whole thymus samples reported decreases in Aire mRNA expression in the absence of LTbR signaling (20, 45), two more recent studies using purified mTEC preparations showed that Aire mRNA expression levels are normal in Ltbr2/2 mice (16, 17). Finally, another study shows that in vitro stimulation of TECs via

4775 LTbR results in only a very modest induction of Aire mRNA expression (14). Thus, although the role of LTbR signaling in Aire+ mTEC development remains controversial, our observation that Ltbr2/2 thymus lacks Aire2involucrin+ mTECs extends our understanding of the role of LTbR in thymus medulla development and fits well with previous studies suggesting that medullary abnormalities in the absence of LTbR signaling cannot be fully explained by a block in the generation of Aire+ mTECs (16–19). Instead, the requirement for LTbR signaling in late-stage mTEC development described in this study suggests that alterations in the thymus medulla of Ltbr2/2 mice may occur at least in part as a result of disrupted mTEC homeostasis following a block in mTEC terminal differentiation post-Aire expression. Finally, we also find that thymic positive selection is an essential requirement for terminal differentiation and the appearance of involucrin+ mTECs. This link between positively selected thymocytes and mTEC homeostasis may then help to ensure that medullary environments expressing the appropriate spectrum of self-Ags are available to screen each newly generated cohort of mature thymocytes for potential autoreactivity. Interestingly, however, our data demonstrate that, unlike earlier stages in mTEC development, late-stage mTEC development is driven by LTa-LTbR, but not RANKL–RANK, signaling. Thus, we propose that following their involvement in the induction of Aire+ mTEC differentiation by provision of RANKL, mature thymocytes continue to influence late-stage mTEC terminal differentiation by their expression of LTa and stimulation of LTbR. Such a model further underscores the importance of lymphostromal cross-talk between mature CD4+ and CD8+ thymocytes and epithelial cells in the thymus medulla and identifies a stage-specific requirement for distinct thymocyte-expressed TNFR ligands at different stages of mTEC development.

Acknowledgments We thank Dr. Art Weiss for Zap70 knockout mice. We thank Dr. Valerie Horsley for valuable discussion and critical review of the manuscript. We also acknowledge the help of Dr. David Barron, pediatric cardiac surgeon at the Birmingham Children’s Hospital.

Disclosures The authors have no financial conflicts of interest.

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