Seediscussions,stats,andauthorprofilesforthispublicationat:https://www.researchgate.net/publication/12122056 Regulatedproductionofinterferon-inducible T-cellchemoattractantsbyhumanintestinal epithelialcells ArticleinGastroenterology·January2001 ImpactFactor:16.72·DOI:10.1053/gast.2001.20914·Source:PubMed CITATIONS READS 161 25 4authors,including: MichaelBDwinell MedicalCollegeofWisconsin 78PUBLICATIONS2,051CITATIONS SEEPROFILE Availablefrom:MichaelBDwinell Retrievedon:10May2016 GASTROENTEROLOGY 2001;120:49 –59 Regulated Production of Interferon-Inducible T-Cell Chemoattractants by Human Intestinal Epithelial Cells MICHAEL B. DWINELL, NORBERT LÜGERING, LARS ECKMANN, and MARTIN F. KAGNOFF Laboratory of Mucosal Immunology, Department of Medicine, University of California, San Diego, La Jolla, California See editorial on page 291. Background & Aims: Human intestinal epithelial cells inducibly express neutrophil and monocyte chemoattractants, yet little is known about the regulated production of T-cell chemoattractants by the intestinal epithelium. IP-10, Mig, and I-TAC are 3 CXC chemokines that are known to act as CD4ⴙ T-cell chemoattractants. Methods: We studied constitutive chemokine expression in human colon, and defined the regulated expression of these chemokines by reverse-transcription polymerase chain reaction, enzyme-linked immunosorbent assay, and immunohistology using cultured human intestinal epithelial cell lines and a novel adaptation of an in vivo human intestinal xenograft model. Results: IP-10 and Mig were constitutively expressed by normal human colon epithelium, and their cognate receptor, CXCR3, was expressed by mucosal mononuclear cells. Interferon (IFN)-␥ stimulation increased mRNA expression and the polarized basolateral secretion of these chemokines by human colon epithelial cell lines; infection with enteroinvasive bacteria, or stimulation with the proinflammatory cytokines tumor necrosis factor ␣ and interleukin 1␣, strongly potentiated IFN-␥–induced epithelial cell IP-10, Mig, and I-TAC production. Epithelial cell mRNA and protein expression of IP-10, Mig, and I-TAC were rapidly up-regulated in human intestinal xenografts in response to stimulation with IFN-␥ alone or in combination with IL-1. Conclusions: The constitutive and regulated production of the IFN-␥–inducible chemokines IP-10, Mig, and I-TAC by human intestinal epithelium, and the expression of their cognate receptor, CXCR3, by mucosal mononuclear cells, suggest that the intestinal epithelium can play a role in modulating physiologic and pathologic T cell–mediated mucosal inflammation. he single layer of intestinal epithelial cells that lines the intestinal mucosa acts as a physical barrier to separate the host’s internal milieu from the contents of the intestinal lumen and plays an important role in intestinal absorption and secretion. When human intestinal epithelial cells are stimulated with proinflammatory cytokines or infected with microbial pathogens, they T up-regulate a program of proinflammatory genes1–5 whose products chemoattract neutrophils and monocytes and can signal the onset of an acute mucosal inflammatory response. Each of the components of this epithelial cell proinflammatory gene program are target genes of the nuclear transcription factor NF-B, which acts as a central regulator of this response.6,7 In contrast, intestinal epithelial cells do not produce cytokines such as interferon (IFN)-␥, interleukin (IL)-2, IL-4, and IL-51,3 that play a role in host adaptive immune responses, and little is known about whether the intestinal epithelium produces or can be regulated to produce signals that chemoattract T cells important in physiologic and pathologic mucosal inflammation.4,8 Chemokines are a diverse set of low-molecular-weight cytokines that selectively direct the migration and activation of specific populations of leukocytes.9,10 Chemokines can be categorized into 4 families based on the number and spacing of the amino-terminal cysteines (i.e., CXC, CC, C, and CX3C chemokines). Members of the CXC family of chemokines have a single amino acid located between the 2 NH2-terminal cysteines. This family can be further subdivided into CXC chemokines that have an NH2-terminal glutamic acid–leucine–arginine (ELR) motif, which are chemotactic for neutrophils, and those lacking the ELR sequence, various members of which chemoattract T and B cells.9,10 IFN-␥ up-regulates expression of 3 non-ELR motif CXC chemokines, IFN-␥–inducible protein 10 (IP-10), monokine induced by IFN-␥ (Mig), and IFN-inducible T-cell ␣ chemoattractant (I-TAC), which are expressed by monocytes and various other cell types.11–16 IP-10, Mig, and I-TAC share ⬃40% amino acid sequence identity and each binds to the chemokine receptor CXCR3 expressed Abbreviations used in this paper: ELISA, enzyme-linked immunosorbent assay; IFN, interferon; IL, interleukin; IP-10, interferon ␥–inducible protein 10; I-TAC, interferon-inducible T-cell ␣ chemoattractant; HRP, horseradish peroxidase; Mig, monokine induced by interferon ␥; RT-PCR, reverse-transcription polymerase chain reaction. © 2001 by the American Gastroenterological Association 0016-5085/01/$10.00 doi:10.1053/gast.2001.20914 50 DWINELL ET AL. mainly by activated CD4⫹ memory (CD45RO⫹) T cells that produce a T helper (Th) cell 1 pattern of cytokines (i.e., IFN-␥, IL-2).17,18 Intestinal epithelial cells express receptors for IFN-␥, and stimulation of these cells with IFN-␥ affects epithelial cell gene expression and functions.19,20 For example, IFN-␥ stimulation of intestinal epithelial cells up-regulates expression of major histocompatibility complex (MHC) class I and class II molecules,21 nonclassic MHC class I molecules (e.g., CD1d),22 and the adhesion molecule ICAM-1.23 In addition, IFN-␥ alters intestinal epithelial cell chloride secretory responses and decreases epithelial barrier function.20,24 IFN-␥ stimulation of human intestinal epithelial cells in combination with IL-1 up-regulates the production of nitric oxide (NO)25 and, in combination with tumor necrosis factor (TNF)-␣, induces epithelial cell apoptosis.26 IFN-␥ has been shown to be a major inducer of IP-10, Mig, and I-TAC messenger RNA (mRNA) expression.12–14 Because intestinal epithelial cells have receptors for IFN-␥,19 we hypothesized that the intestinal epithelium may produce IFN-␥–inducible chemokines. This was of particular interest because these chemokines are known to function as chemoattractants for T-cell populations that have been shown to be important for mediating physiologic and pathologic inflammation in the intestinal tract. Our studies expand the role for IFN-␥ in modulating intestinal epithelial cell responses and suggest a concept in which the intestinal epithelium participates in physiologic and pathologic mucosal inflammatory responses through the regulated production of chemoattractants for subpopulations of CD4⫹ T cells. Materials and Methods Reagents Recombinant human cytokines were obtained as follows: IP-10 and Mig from R&D Systems (Minneapolis, MN); IL-1␣, IL-4, IL-13, I-TAC, and TNF-␣ from PeproTech (Rocky Hill, NJ); and IFN-␥ from BioSource International (Camarillo, CA). Polyclonal biotin-conjugated or unconjugated affinity-purified goat antibodies to IP-10 and Mig and murine monoclonal antibodies to IP-10 (clone 49106.11) and Mig (clone 33036.211) were obtained from R&D Systems, and rabbit anti-I-TAC antibody was from PeproTech. Murine monoclonal antibody to I-TAC (clone 8G4) was provided by K. Neote (Pfizer Research Center, Groton, CT). Murine monoclonal antibody to CXCR3 (clone 1C6) was obtained from PharMingen (San Diego, CA). Cell Culture and Stimulation Protocols The human colon adenocarcinoma cell lines HT-29, HCA-7 colony 29, HCT-8, I-407, Caco-2, and T84 were GASTROENTEROLOGY Vol. 120, No. 1 cultured as described previously.27 For cytokine stimulation, intestinal epithelial cells were plated into 6-well plates (Costar, Cambridge, MA), 6-well collagen-coated Transwell inserts (24-mm diameter, 0.4-m-pore size; Costar), or 60-mm tissue culture plates (Costar) and grown to confluence. Confluent epithelial cell cultures were stimulated with TNF-␣ (20 ng/ mL), IL-1␣ (20 ng/mL), and IFN-␥ (40 ng/mL), alone or in combination. Additional cultures of confluent HT-29 cells were preincubated for 60 minutes with IL-4 (20 ng/mL) or IL-13 (20 ng/mL) before adding IFN-␥ or IFN-␥ and TNF-␣. For bacterial infection, confluent monolayers of HT-29 cells in 6-well plates or 60-mm dishes were incubated with Salmonella dublin or enteroinvasive Escherichia coli O29:NM2,3 at a multiplicity of infection (MOI) of 100 and 500, respectively. After 45 minutes, medium was removed and the cells washed before adding fresh gentamicin (50 g/mL)-containing medium to kill any remaining extracellular bacteria. Some HT-29 cultures were additionally stimulated with IFN-␥ (40 ng/mL) after bacterial infection. Human Fetal Intestinal Xenografts Human fetal intestine (gestational age, 12–18 weeks) was transplanted subcutaneously onto the backs of C57BL/6 severe combined immunodeficiency disease (SCID) mice (Jackson Laboratory, Bar Harbor, ME).2,23,28 Human fetal intestinal xenografts were allowed to grow for 10 weeks after implantation at which time the mucosa and the epithelium, which is strictly of human origin, is fully differentiated.28 Littermate control SCID mice were injected subcutaneously with ⬃106 HT-29 cells, and tumors were allowed to develop for 5 weeks. Mice with mature xenografts or HT-29 tumors were injected intraperitoneally with 10 g human IFN-␥ alone or together with 1 g human IL-1␣ in 200 L phosphate-buffered saline (PBS), whereas controls received 200 L PBS alone. Intestinal xenografts or HT-29 epithelial tumors were removed 5 hours later, and adjacent segments were frozen in liquid nitrogen for RNA isolation, or for immunohistochemical analysis were embedded in OCT compound (TissueTek, Miles Scientific, Naperville, IL) and frozen in isopentane/dry ice or fixed in 10% neutral buffered formalin. Procedures involving the human intestinal xenograft model were approved by the UCSD Human and Animal Subjects Committees. RNA Isolation and Detection of mRNA Expression Total cellular RNA was extracted using an acid guanidinium–phenol– chloroform method (TRIzol Reagent; GIBCO Life Technologies, Grand Island, NY) and treated with ribonuclease-free deoxyribonuclease (Stratagene, La Jolla, CA). For reverse-transcription polymerase chain reaction (RT-PCR), 1 g of total cellular RNA was reverse transcribed, and complementary DNA was amplified as described previously.27 The primers for I-TAC (sense 5⬘-GCT ATA GCC TTG GCT GTG ATA TTG TG-3⬘ and antisense 5⬘-CTG CCA CTT TCA CTG CTT TTA CC-3⬘) and for Mig (sense 5⬘-GTA TCT GAG GCA CAT GTC AG-3⬘ and antisense January 2001 5⬘-AAA GGC ACT GCA TTG TGG TAG G-3⬘) were designed from available sequences from GenBank (AF030514 and NM_002416, respectively); primers for IP-10 and -actin were as described previously.3,4 The amplification profile for IP-10, Mig, and I-TAC was 25–35 cycles of 450-second denaturation at 95°C and 2.5-minute annealing and extension at 60°C. Primers for IP-10, Mig, and I-TAC did not amplify sequences of murine genomic DNA or cDNA. Quantitative competitive RT-PCR for IP-10 was performed as described previously3 using the standard plasmid construct pHCQ5.4 Negative control reactions had no added RNA in the RT and subsequent PCR amplification. Positive control reactions for IP-10, Mig, and I-TAC used RNA from peripheral blood mononuclear cells that were stimulated overnight with 10 g/mL phytohemagglutinin P and 2 g/mL bacterial lipopolysaccharide (E. coli O111:B4). Enzyme-Linked Immunosorbent Assay Polystyrene 96-well plates (Immulon-4; Dynex Technologies Inc., Chantilly, VA) were coated with murine monoclonal antibody to IP-10, Mig, and I-TAC diluted in carbonate buffer, as a capture antibody. Affinity-purified biotinylated goat anti–IP-10 and anti-Mig, or unconjugated rabbit anti– I-TAC, were diluted in PBS, 1.0% bovine serum albumin, and 0.1% Tween 20 and used as detection antibodies. Second-step reagents were horseradish peroxidase (HRP)-conjugated streptavidin for the IP-10 and Mig enzyme-linked immunosorbent assay (ELISA) and HRP-conjugated goat anti-rabbit immunoglobulin (Ig) (BioSource) for the I-TAC ELISA. Bound HRP was visualized with TMB (3,3⬘5,5,⬘-tetramethylbenzadinedihydrochloride; Sigma Chemical Co., St. Louis, MO) and H2O2 diluted in sodium acetate buffer, pH 6.0; the color reaction was stopped by addition of 1.2 mol/L H2SO4; and absorbance was measured at 450 nm. Chemokine concentrations were calculated from standard curves using recombinant human IP-10, Mig, or I-TAC. IP-10, Mig, and I-TAC ELISAs were sensitive to 50 pg/mL. Immunohistochemistry Human intestinal xenografts were fixed overnight in 10% neutral buffered formalin and embedded in paraffin, and 5-m sections were prepared. Serial sections were blocked in PBS, 1% bovine serum albumin, 2% human serum, and 2% rabbit serum and incubated overnight at 4°C with either optimally diluted goat antibody to IP-10, mouse monoclonal anti-Mig, control goat IgG, or control mouse IgG1 monoclonal antibody. Immunostaining was visualized with Cy3-conjugated rabbit anti-mouse or donkey anti-goat antibodies (Amersham Pharmacia Biotech, Piscataway, NJ). Sections of human colon tissue from histologically normalappearing resection margins of surgical specimens from individuals undergoing partial colectomy were embedded in OCT and snap-frozen in isopentane/dry ice as described previously.27 Serial cryostat sections (5 m) were prepared, fixed in acetone for 10 minutes, and blocked as described above. Sections were incubated overnight at 4°C with monoclonal antibodies to IFN–INDUCIBLE CHEMOKINE SECRETION BY EPITHELIAL CELLS 51 IP-10, Mig, CXCR3 or a mouse monoclonal IgG1 isotype control antibody after which endogenous biotin was blocked (Avidin/Biotin Blocking Kit; Vector Laboratories, Burlingame, CA). Sections were subsequently stained with biotinconjugated rabbit anti-mouse IgG antibody (Jackson ImmunoResearch Laboratories, West Grove, PA) followed by streptavidin-Cy3 (Amersham). Results Constitutive Expression of IP-10 and Mig and Their Cognate Receptor CXCR3 in Human Colon We first determined if adult human intestinal epithelium expresses the IFN-␥–inducible chemokines IP-10 or Mig. Normal human colon epithelium constitutively expressed both of those chemokines (Figure 1A and B). To assess whether normal human colon mucosa also contains potential targets for epithelial IP-10 and Mig, additional sections of colon from the same individuals were immunostained for CXCR3, the receptor for these chemokines. Many mononuclear cells in the lamina propria, but not colon epithelial cells, expressed CXCR3 (Figure 1D). Moreover, CXCR3-bearing cells were abundant in the T-cell zone, but not the B cell–rich germinal center of mucosal lymphoid follicles in the colon (Figure 1E), consistent with the predominant T-cell expression of this receptor. Constitutive and Regulated Expression of IP-10, Mig, and I-TAC mRNA by Cultured Human Intestinal Epithelial Cells To characterize the possible regulated expression of IP-10, Mig, and I-TAC by human intestinal epithelium, we first used human colon epithelial cell lines. Several human intestinal epithelial cell lines (i.e., HT29, T84, Caco-2, HCA-7, HCT-8, and I-407) constitutively express mRNA for IP-10 and I-TAC, and several of these cell lines additionally express Mig mRNA (Figure 2). We next defined the regulated expression of these chemokines using HT-29 cells and HCA-7 cells, the latter of which constitutively expressed only low levels of mRNA for these cytokines. IP-10, Mig, and I-TAC expression increased by 2–3 hours after IFN-␥ stimulation and reached maximal levels by 8 –16 hours. In addition, the proinflammatory cytokine TNF-␣ increased IP-10 and I-TAC, but not Mig, mRNA in HT-29 and HCA-7 cells (Figure 3). Moreover, as assessed by qualitative RT-PCR, both intestinal epithelial cell lines appeared to express greater amounts of chemokine mRNA when stimulated with IFN-␥ in combination with TNF-␣ (data not shown). To verify this, we used quantitative RT-PCR to assess IP-10 transcript levels in 52 DWINELL ET AL. GASTROENTEROLOGY Vol. 120, No. 1 Figure 1. Expression of IP-10 and Mig and their cognate receptor, CXCR3, in normal human colon. Frozen sections of normal human colon were immunostained for (A ) IP-10 or (B) Mig, and an adjacent section was stained with (C ) an isotype control antibody. Sections are oriented with the lumen to the right. Sections in D and E were immunostained for CXCR3, and an adjacent section in F was stained with an isotype control antibody. Colon epithelium expresses IP-10 (A ) and Mig (B). Scattered lamina propria mononuclear cells also stain positively for Mig (B). (D) Numerous mononuclear cells in the lamina propria (arrowheads), but not epithelial cells lining the crypt lumen (*) express CXCR3. (E ) CXCR3-staining cells were abundant in the T-cell zone (arrowheads), but not the germinal center (gc) of a lymphoid follicle contained in the same section as shown in D. (Original magnification 200⫻ [A–C ] and 400⫻ [D–F ].) HT-29 cells stimulated with IFN-␥ alone and in combination with TNF-␣. Levels of IP-10 mRNA in unstimulated, IFN-␥–stimulated, and IFN-␥ ⫹ TNF-␣– stimulated cells were 1.5 ⫻ 105, 6.0 ⫻ 105, and 2.0 ⫻ 107 transcripts/g cellular RNA, respectively, as assessed 16 hours after stimulation. Secretion of IP-10, Mig, and I-TAC by Human Intestinal Epithelial Cell Lines To determine if IP-10, Mig, and I-TAC mRNA expression by the cell lines was accompanied by secretion of these chemokines, chemokine levels in culture supernatants were assayed by ELISA. In the absence of stimulation, HT-29, HCA-7, and Caco-2 cells secreted ⬍50 pg/mL IP-10, Mig, or I-TAC (Figure 4 and data not shown). IP-10, Mig, and I-TAC secretion increased significantly in HT-29 cells after IFN-␥ stimulation (Figure 4). Consistent with the up-regulation of mRNA expression, TNF-␣ induced IP-10 and I-TAC secretion but did not stimulate Mig secretion. In contrast to TNF-␣, the proinflammatory cytokine IL-1␣ stimulated IP-10 but Figure 2. Constitutive expression of IP-10, Mig, and I-TAC mRNA by human intestinal epithelial cell lines. Total RNA was isolated from the indicated cell lines, and the varying chemokine mRNAs were amplified by RT-PCR using 32 amplification cycles. RNA from peripheral blood mononuclear cells (PBMC) was a positive control, whereas negative control reactions had no added RNA. January 2001 IFN–INDUCIBLE CHEMOKINE SECRETION BY EPITHELIAL CELLS 53 Figure 3. Regulated expression of IP-10, Mig, and I-TAC mRNA in response to stimulation with inflammatory cytokines. Total RNA was isolated from HT-29 and HCA-7 cells stimulated for 6 hours with the indicated cytokines or from control unstimulated HT-29 and HCA-7 cells. IP-10, Mig, I-TAC, and -actin mRNAs were amplified by RT-PCR using 25 amplification cycles for IP-10 and I-TAC and 32 amplification cycles for Mig. not Mig or I-TAC secretion (Figure 4). As shown in Table 1, TNF-␣ and IL-1␣ potentiated IFN-␥–stimulated secretion of IP-10, Mig, and I-TAC by HT-29 cells. IFN-␥ was also a more potent stimulus than either TNF-␣ or IL-1␣ alone for IP-10, Mig, and I-TAC secretion in HCA-7 cells, and TNF-␣ and IL-1␣ potentiated IFN-␥–stimulated IP-10, Mig, and I-TAC secretion by those cells (data not shown). Intestinal epithelial cells are structurally and functionally polarized into apical and basolateral domains. To determine if intestinal epithelial cell IP-10, Mig, and I-TAC secretion was apical or basolateral, Caco-2 cells, which can be grown as polarized epithelial monolayers on microporous filter supports (Transwells), were stimulated with IFN-␥ or costimulated with IFN-␥ and IL-1␣. IL-1␣, rather than TNF-␣, was used as an agonist in these studies because we previously noted that Caco-2 cells respond to IL-1␣, but respond poorly, if at all, to TNF-␣ stimulation in terms of the up-regulated expression of several other chemokine genes.1,6 As shown in Table 2, IP-10, Mig, and I-TAC were secreted into the basal rather than the apical chamber of the transwell epithelial cell cultures, indicating that intestinal epithelial cells can secrete these chemokines basolaterally, in the direction that is physiologically relevant for the chemoattraction of T cells in the intestinal mucosa. Figure 4. Secretion of IP-10, Mig, and I-TAC by HT-29 cells stimulated with IFN-␥, TNF-␣, or IL-1␣. Confluent HT-29 cells were stimulated with IFN-␥ (ƒ), TNF-␣ (E), or IL-1␣ () for the indicated times. (A–C) IP-10, Mig, and I-TAC secretion, respectively. Control unstimulated HT-29 cells (F) secreted ⬍50 pg/mL IP-10, Mig, and I-TAC. Values are mean ⫾ SEM of 2– 4 repeated experiments. 54 DWINELL ET AL. GASTROENTEROLOGY Vol. 120, No. 1 Table 1. TNF-␣ and IL-1␣ Potentiate IFN-␥–Stimulated IP-10, Mig, and I-TAC Secretion Chemokine secretion (ng/mL)a Table 3. S. dublin or Enteroinvasive E. coli Infection Potentiates IFN-␥–Stimulated IP-10, Mig, and I-TAC Secretion Chemokine secretion (ng/mL)a Stimuli added IP-10 Mig I-TAC None TNF-␣ IL-1␣ IFN-␥ IFN-␥ ⫹ TNF-␣ IFN-␥ ⫹ IL-1-␣ ⬍0.05 11.4 ⫾ 2 0.8 ⫾ 0.2 19.3 ⫾ 10 779 ⫾ 60 233 ⫾ 35 ⬍0.05 ⬍0.05 ⬍0.05 5.5 ⫾ 2 237 ⫾ 20 43 ⫾ 13 ⬍0.05 0.3 ⫾ 0.01 ⬍0.05 5.8 ⫾ 4 44.4 ⫾ 5 14.6 ⫾ 4 NOTE. HT-29 cells were stimulated with the indicated cytokines for 8 hours, and IP-10, Mig, and I-TAC secretion was assessed by ELISA. Similar potentiation was also noted at 4, 14, and 24 hours after cytokine stimulation (data not shown). a Mean ⫾ SEM; n ⫽ 3. IP-10, Mig, and I-TAC Secretions Are Increased in Response to Bacterial Infection of Intestinal Epithelial Cells To determine if infection of the intestinal epithelium with enteroinvasive bacteria plays a role in the activation of epithelial T-cell chemoattractants, regulated production of IP-10, Mig, and I-TAC was determined in HT-29 cells in response to infection with S. dublin or enteroinvasive E. coli O29:NM. Infection with these enteroinvasive bacteria resulted in a small increase in IP-10 secretion; little, if any, increase in I-TAC; and no increase in Mig secretion (Table 3). However, stimulation of bacteria-infected cells with IFN-␥ resulted in a 4 –5-fold increase in secretion of these 3 CXC chemokines compared with cultures stimulated with IFN-␥ alone (Table 3). Table 2. Vectorial Secretion of IP-10, Mig, and I-TAC by Polarized Caco-2 Epithelial Cells Chemokine secretiona Chemokine IP-10 Mig I-TAC Stimulus ng/apical compartment ng/basal compartment None IFN-␥ IFN-␥ ⫹ IL-1␣ None IFN-␥ IFN-␥ ⫹ IL-1␣ None IFN-␥ IFN-␥ ⫹ IL-1␣ ⬍0.05 ⬍0.05 0.93 ⬍0.05 ⬍0.05 ⬍0.05 ⬍0.05 ⬍0.05 ⬍0.05 ⬍0.05 1.3 12.8 ⬍0.05 0.34 1.3 ⬍0.05 0.7 3.6 NOTE. Cultures were left unstimulated or were stimulated for 9 hours with either IFN-␥ or IFN-␥ ⫹ IL-1␣ added to the basal compartment. Mean transepithelial resistance of the Caco-2 epithelial cell monolayers after cytokine stimulation and in control cultures was 236 ⍀cm2. a Values are mean of 2–3 replicates. Bacteria added None S. dublin E. coli O29:NM IFN-␥ addition ⫺ ⫹ ⫺ ⫹ ⫺ ⫹ IP-10 Mig ⬍0.05 ⬍0.05 101 ⫾ 19.5 157 ⫾ 49.9 2.2 ⫾ 0.8 ⬍0.05 1515 ⫾ 220 2276 ⫾ 1055 1.5 ⫾ 0.7 934 ⫾ 140 ⬍0.05 1434 ⫾ 376 I-TAC ⬍0.05 9.7 ⫾ 1.0 0.07 ⫾ 0.02 40.1 ⫾ 11.3 ⬍0.05 40.8 ⫾ 7.3 NOTE. HT-29 cells were either infected with the indicated bacteria for 45 minutes, or remained uninfected, and subsequently stimulated with IFN-␥ for 24 hours (⫹IFN-␥) or not further stimulated (⫺IFN-␥). IP-10, Mig, and I-TAC secretion was assayed by ELISA. Similar potentiation was noted 3 and 6 hours after IFN-␥ stimulation of bacteriainfected cultures (data not shown). a Mean ⫾ SEM; n ⫽ 2–3. The Th2 Cytokines IL-4 and IL-13 Inhibit IP-10 and Mig and I-TAC Secretion IP-10, Mig, and I-TAC are cognate ligands for CXCR3, a chemokine receptor preferentially expressed on activated T cells that produce Th1 type cytokines (i.e., IFN-␥, IL-2).17,18 In addition to IFN-␥ receptors, intestinal epithelial cells respond to the Th2 cytokines IL-4 and IL-13 that are known to down-regulate IFN␥–stimulated responses in several cell types.29 IL-4 has been shown to decrease IP-10 mRNA expression in human neutrophils but not in bronchial epithelium.15,16 As shown in Table 4, IL-4 and IL-13 partially inhibited IFN-␥–stimulated IP-10, Mig, and I-TAC secretion by human colon epithelial cells, suggesting they may function as antagonists of IFN-␥–inducible T-cell chemoattractants produced by the intestinal epithelium. In contrast, IL-4 and IL-13 did not significantly inhibit IP-10, Mig, and I-TAC production in HT-29 cells costimulated with IFN-␥ and TNF-␣ (data not shown). IP-10, Mig, and I-TAC mRNA and Protein Expression Is Up-regulated in Human Intestinal Xenografts in Response to Cytokine Stimulation To determine if epithelial cell expression of those chemokines can also be regulated in vivo, we took advantage of a human intestinal xenograft model.2,23,28 To determine the suitability of the xenograft model for these studies, we first assessed whether HT-29 colon epithelial cells, which we have shown in the present study to respond to cytokine stimulation in vitro, also do so in vivo when implanted subcutaneously in SCID mice. As January 2001 IFN–INDUCIBLE CHEMOKINE SECRETION BY EPITHELIAL CELLS 55 Table 4. IL-4 and IL-13 Decrease IP-10, Mig, and I-TAC Secretion by IFN-␥–Stimulated HT-29 Cells IP-10 Mig I-TAC Stimulation conditions Addition to IFN-␥– stimulated cells Secreted (ng/mL)a % Control Secreted (ng/mL) % Control Secreted (ng/mL) % Control 1 None IL-4 None IL-13 120.8 ⫾ 15.6 76.2 ⫾ 1.4 104.0 ⫾ 9.3 60.7 ⫾ 11.1 100 63 100 58 19.4 ⫾ 1.3 8.4 ⫾ 1.6 19.7 ⫾ 2.3 9.9 ⫾ 1.6 100 43 100 50 9.6 ⫾ 0.4 8.3 ⫾ 0.5 7.5 ⫾ 1.1 4.5 ⫾ 0.09 100 86 100 60 2 NOTE. The cytokines IL-4 (experiment 1) or IL-13 (experiment 2) were added 1 hour before IFN-␥ stimulation, and chemokine secretion was assayed 16 hours after IFN-␥ stimulation. Unstimulated control cells and cells stimulated with IL-4 (20 ng/mL) or IL-13 (20 ng/mL) alone did not secrete detectable levels of IP-10, Mig, or I-TAC. a Mean ⫾ SEM; n ⫽ 3– 4. shown in Figure 5, subcutaneous HT-29 tumors responded to intraperitoneal injection of IFN-␥ and IL-1␣ with increased expression of IP-10, Mig, and I-TAC mRNA, indicating that subcutaneously implanted human intestinal epithelial cells can be stimulated by systemic injection of cytokines in SCID mouse recipients. Of note, the primers used to amplify IP-10, Mig, and I-TAC did not amplify murine genomic or cDNA sequences. We next used human intestinal xenografts implanted subcutaneously in SCID mice and the same cytokine treatment protocols to assess regulated chemokine production by normal human intestinal epithelium. This model allowed us to directly assess early changes in epithelial chemokine gene expression and regulation in response to cytokine stimulation in vivo (i.e., under Figure 5. Expression of IP-10, Mig, and I-TAC mRNA in human intestinal xenografts. Total RNA was isolated from intestinal xenografts (XG1-3) or HT-29 cells, implanted subcutaneously in SCID mice, 5 hours after intraperitoneal injection of recombinant human IFN-␥ (XG 1) or IFN-␥ and IL-1␣ (XG 2, XG 3). IP-10, Mig, and I-TAC mRNA expression was detected using RT-PCR with 33 amplification cycles. Positive and negative control reactions are as in Figure 1. conditions that would not be readily possible in the setting of acute or chronic intestinal mucosal inflammation in humans). Because intestinal epithelial cells have receptors for IFN-␥19,20 and IFN-␥ has been noted to up-regulate the expression of IP-10, Mig, and I-TAC mRNA by human monocytes, neutrophils, astrocytes, and bronchial epithelial cells,14 –16 we first examined the regulated mRNA expression of these chemokines in the xenografts in response to IFN-␥ stimulation. Although IP-10, Mig, and I-TAC levels in control xenografts varied among samples, administration of recombinant human IFN-␥, alone or in combination with human IL-1␣, stimulated the up-regulated expression of each of those chemokines in human intestinal xenografts (Figure 5). Whereas human IFN-␥ is species specific and injection of this cytokine alone up-regulated human IP-10, Mig, and I-TAC mRNA in the xenografts, human IL-1␣ might additionally stimulate murine mediators that potentially act on human cells in the xenograft. To show that chemokine mRNA expression by the xenografts was accompanied by epithelial cell protein production, adjacent segments of the intestinal xenografts were immunostained for IP-10 and Mig. The epithelium of human intestinal xenografts weakly expressed IP-10. However, IP-10 immunostaining was increased in xenografts from mice injected with human IFN-␥ in combination with IL-1␣ (Figure 6). Similar findings were obtained in xenografts from mice injected with IFN-␥ alone (data not shown). Further, constitutive epithelial production of Mig was noted in some of the xenografts, and increased epithelial Mig immunostaining was seen in xenografts from mice injected with IFN-␥ and IL-1␣ (Figure 6). Discussion Intestinal epithelial cells are known to up-regulate a program of inflammatory genes whose products can chemoattract neutrophils and monocytes in response to 56 DWINELL ET AL. GASTROENTEROLOGY Vol. 120, No. 1 Figure 6. Epithelial cell expression of IP-10 and Mig in response to cytokine stimulation of human intestinal xenografts. Sections of human intestinal xenografts from SCID mice injected with human IFN-␥ and IL-1␣, or sections of xenografts from unstimulated SCID mice, were immunostained for IP-10 and Mig. (A and B) Sections stained with anti-IP-10; (D and E ) sections stained with anti-Mig; (C and F ) adjacent sections stained with the respective isotype control antibodies. Sections in A and D were obtained from unstimulated control xenografts; sections in B, C, E, and F were from xenografts stimulated with IFN-␥ and IL-1␣. IP-10 and Mig immunostaining was predominately epithelial with a perinuclear and basal localization and immunostaining was markedly increased after cytokine stimulation. (Original magnification 400⫻.) TNF-␣ and IL-1␣ stimulation or infection with enteroinvasive bacteria.1,3,5,6,30 The likely importance of components of that epithelial cell gene program for host survival was recently shown in an animal model of enteroinvasive Shigella infection.31 Our findings of high levels of IP-10, Mig, and I-TAC production by human intestinal epithelial cells in vitro, and of their production in vivo using a novel adaptation of the human intestinal xenograft model and normal adult human colon, indicate intestinal epithelial cells have the potential to participate in physiologic and pathologic mucosal T-cell responses. By chemoattracting IFN-␥–producing CD4⫹ T cells in close proximity to the epithelium, epithelial-derived IP10, Mig, and I-TAC, which themselves are up-regulated by IFN-␥, may activate a positive feedback loop. The net effect of this would be amplification of the mucosal Th1 response important in physiologic mucosal inflammation and inflammatory disease of the intestinal mucosa. The healthy human intestinal mucosa can be regarded as physiologically inflamed in that it normally contains abundant populations of B and T cells. The majority of T cells within the lamina propria adjacent to the epithelium are CD4⫹ activated/ memory (CD45RO⫹) T cells that produce a Th1 pattern of cytokines (e.g. IFN-␥, IL-2).32 However, the mediators that are important for the predominance of this T-cell subset in the mucosa are not known. We and others have shown an abundance of CXCR3-expressing mononuclear cells within the mucosa of normal colon. Further, we found constitutive expression of IP-10, Mig, and I-TAC by intestinal epithelial cells in vitro and of IP-10 and Mig by intestinal epithelium in intestinal xenografts and normal adult human colon in vivo. It is tempting to speculate that IP-10, Mig, and/or I-TAC, constitutively produced by intestinal epithelial cells, chemoattract activated/memory CD4⫹ T cells that express the CXCR3 receptor and produce Th1 cytokines17,18 in the vicinity of the epithelium. Consistent with this, gut-homing CD45RO⫹7 integrin– expressing intraepithelial and lamina propria lymphocytes were shown to express functional CXCR3 and to migrate in response to I-TAC stimulation in vitro.33 Although intestinal epithelial cells do not produce IFN-␥,1,3 intraepithelial T cells, which are among the earliest cells to populate the intestinal tract during ontogeny, do produce IFN-␥.34 Thus, they and/or IFN-␥–producing mucosal dendritic cells present in close proximity to the epithelium may provide a regulatory signal to epithelial cells and thereby act as an initial stimulus for epithelial cell IP-10, Mig, and I-TAC production. January 2001 Physiologic inflammation normally present in the intestinal mucosa can become dysregulated in diseases such as Crohn’s disease or ulcerative colitis or after infection with enteric pathogens. In this regard, IP-10, Mig, and I-TAC production by IFN-␥–stimulated intestinal epithelial cells was strongly potentiated in an environment in which epithelial cells concurrently encountered the proinflammatory mediators TNF-␣ or IL-1␣, or were infected with enteroinvasive bacterial pathogens. Thus, TNF-␣ and IL-1, produced by monocytes and T cells in the intestinal mucosa, and enteroinvasive bacterial pathogens, can markedly amplify IFN-␥–stimulated intestinal epithelial cell signals that are known to chemoattract CXCR3 bearing CD4⫹ T cells. Like TNF-␣ or IL-1 stimulation, enteroinvasive bacteria activate the transcription factor NF-B in intestinal epithelial cells6 and, in addition, can up-regulate epithelial cell TNF-␣ production.3 The latter could, in an autocrine or paracrine manner, further amplify IFN-␥–stimulated epithelial IP10, Mig, and I-TAC secretion by bacteria-infected cells. Of note, our data with human colon epithelial cells are consistent with a prior report of synergy in the transcriptional activation of the murine IP-10 gene by IFN-␥ and TNF-␣ in fibroblasts35 and data in human respiratory epithelial cell lines,16 but differ from studies in normal human bronchial epithelium where IFN-␥ alone maximally induced IP-10, Mig, and I-TAC mRNA expression.16 Many of the currently characterized chemokine receptors are promiscuous in that they frequently bind more than one chemokine ligand.9,10 The parallel expression and time course of production by intestinal epithelial cells of 3 IFN-␥–inducible CXC chemokines that utilize a single receptor (i.e., CXCR3) might reflect redundancy of the chemokine signaling system. Such redundancy would provide a relatively “fail safe” mechanism to ensure the preservation of chemotactic responses that are necessary for host survival. Alternatively, quantitative differences in the amount of IP-10, Mig, and I-TAC produced may be paralleled by differences in downstream signaling by those chemokines. In this regard, epithelial cell secretion of IP-10 and Mig in response to cytokine stimulation was greater than that of I-TAC. Furthermore, IP-10 and I-TAC, but not Mig, were up-regulated in response to TNF-␣, whereas only IP-10 was upregulated in response to IL-1. It is also possible that receptor occupancy with one of these chemokines may attenuate the delivery of functional signals to target cells by the others because IP-10, Mig, and I-TAC have different receptor-binding affinities and desensitization profiles for CXCR3.14,36 Alternatively, these chemokines IFN–INDUCIBLE CHEMOKINE SECRETION BY EPITHELIAL CELLS 57 may mediate different or complementary functions if they ultimately are shown to bind to additional receptors or to be induced by additional stimuli that have yet to be identified. Human intestinal xenografts in SCID mice contain an epithelium that is strictly of human origin and have provided a useful model in our prior studies to investigate early epithelial cell responses to infection by luminal microbial pathogens.2,23,37 We have now successfully adapted the intestinal xenograft model to study early in vivo intestinal epithelial cell responses to stimulation with one or more human cytokines. For example, the ability to directly stimulate human intestinal epithelium in xenograft-bearing SCID mice with human IFN-␥ provides a powerful tool to quantitatively and qualitatively assess regulated epithelial cell gene expression in an in vivo setting. This is particularly the case because similar controlled in vivo assessments of epithelial responses are not possible in human subjects due to the production of unknown quantities of multiple cytokines during the course of acute and chronic intestinal mucosal inflammation. Positive feedback between CD4⫹ T cells that produce IFN-␥, and the intestinal epithelium that, in response to IFN-␥ stimulation, produces IP-10, Mig, and I-TAC that chemoattract IFN-␥–producing T cells would predictably be subject to counterregulation. Intestinal epithelial cells respond to the cytokines IL-4 and IL-13 that are secreted by Th2 type CD4⫹ T cells, and these cytokines are known to down-regulate cellular responses to IFN-␥ in several other cell types, including IFN-␥– stimulated NO production by intestinal epithelial cells.38 Consistent with this, IL-4 and IL-13 attenuated IFN-␥–stimulated IP-10, Mig, and I-TAC secretion by intestinal epithelial cell lines. Although IL-4 down-regulated IP-10 production in IFN-␥–stimulated human neutrophils and mouse macrophages,15,39 this was not the case for human bronchial epithelial cells,16 suggesting cell type–specific differences in the down-regulation of this IFN-␥–inducible chemokine. Our findings suggest a role for the intestinal epithelium and epithelial IP-10, Mig, and I-TAC production in the pathogenesis of intestinal inflammatory responses in which IFN-␥–producing T cells predominate, by chemoattracting CXCR3-expressing activated/memory T cells into the vicinity of the epithelium. Increased numbers of IFN-␥–producing Th1 cells in the vicinity of the epithelium are a central feature of several chronic inflammatory diseases of the human intestinal tract (e.g., Crohn’s disease and celiac disease)40,41 and enteric bacterial infections. In other chronic inflammatory diseases of 58 DWINELL ET AL. the intestine such as ulcerative colitis, Th2 cytokine– producing cells predominate in the intestinal mucosa.40 Although patients with ulcerative colitis were reported to contain increased numbers of IP-10 –staining cells in the lamina propria,42,43 epithelial IP-10 did not appear to be increased, which may simply reflect the fixation and immunostaining methods used in those studies or, less likely, down-regulation of epithelial IP-10 production by Th2 cytokines. Taken together, our data are consistent with a role for IFN-␥ in regulating and modulating the intestinal epithelial cell proinflammatory gene program and suggest that the epithelium may participate in the regulation of adaptive immune responses in the inflamed mucosa by chemoattracting a specific population of activated T cells to the proximity of the epithelial barrier. References 1. Eckmann L, Jung HC, Schurer-Maly C, Panja A, Morzycka-Wroblewska E, Kagnoff MF. 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Gluten induces an intestinal cytokine response strongly dominated by interferon-␥ in patients with celiac disease. Gastroenterology 1998;115:551– 563. 42. Uguccioni M, Gionchetti P, Robbiani DF, Rizzello F, Peruzzo S, Campieri M, Baggiolini M. Increased expression of IP-10, IL-8, MCP-1, and MCP-3 in ulcerative colitis. Am J Pathol 1999;155: 331–336. 43. Grimm M, Doe W. Chemokines in inflammatory bowel disease mucosa: expression of RANTES, macrophage inflammatory protein (MIP)-1␣, MIP-1 and ␥-interferon–inducible protein 10 by macrophages, lymphocytes, endothelial cells and granulomas. Inflamm Bow Dis 1996;2:88 –96. Received April 13, 2000. Accepted August 2, 2000. Address requests for reprints to: Martin F. Kagnoff, M.D., Laboratory of Mucosal Immunology, Department of Medicine, University of California, San Diego, 9500 Gilman Drive, La Jolla, California 920930623. e-mail: [email protected]. Supported by National Institutes of Health (NIH) grant DK35108; by NIH Training Grant T32 DK7202 and a Career Development award from the Crohn’s and Colitis Foundation of America (to M.B.D); by the Deutsche Forschungsgemeinschaft (LU732/1-1) and the Deutsche Gesellschaft für Verdauungs-und Stoffwechselerkrankungen (to N.L.); and by a Research Grant from the Crohn’s and Colitis Foundation of America (to L.E.) The current affiliation for Dr. Lügering is Medizinische Klinik und Poliklinik B, Universität Münster, Münster, Germany. The authors thank J. R. Smith, M. P. Housley, and J. Leopard for expert technical support; Dr. N. Varki for helpful advice on the immunostaining studies; and Dr. K. Neote for providing the monoclonal antibody to I-TAC.
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