G Model IMLET-4736; No. of Pages 9 ARTICLE IN PRESS Immunology Letters xxx (2009) xxx–xxx Contents lists available at ScienceDirect Immunology Letters journal homepage: www.elsevier.com/locate/ The drug monosodium luminol (GVT) preserves crypt-villus epithelial organization and allows survival of intestinal T cells in mice infected with the ts1 retrovirus Virginia L. Scofield ∗ , Mingshan Yan, Xianghong Kuang, Soo-Jin Kim, Paul K.Y. Wong Department of Carcinogenesis, The University of Texas M.D. Anderson Cancer Center, Science Park - Research Division, 1808 Park Road 1-C, Smithville, TX 78957, USA a r t i c l e i n f o Article history: Received 25 July 2008 Received in revised form 13 November 2008 Accepted 1 December 2008 Available online xxx Keywords: Retrovirus GVT Intestine Oxidative stress a b s t r a c t Of the cytopathic retroviruses that affect mammals, including HIV-1, many selectively infect CD4+ T cells and cause immunosuppressive syndromes. These diseases destroy both the thymus and the small and large intestines, after infecting and killing T-lineage cells in both tissues. A mutant of the murine leukemia retrovirus MoMuLV-TB, called ts1, causes this syndrome in susceptible strains of mice. In FVB/N strain mice that are infected at birth, thymic atrophy, CD4+ T cell loss, intestinal collapse, body wasting, and death occur by ∼30–40 days postinfection (dpi). Apoptosis of ts1-infected T-lineage cells, in the thymus, peripheral lymphoid system and intestines is caused by accumulation of the ts1 mutant viral envelope preprotein gPr80env , which is inefficiently cleaved into the mature viral proteins gp70 and PrP15E. We show here that ts1 infection in the small intestine is followed by loss of intestinal epithelial cell (IEC) thyroid-stimulating hormone (TSH) and cell cycling gradients (along the crypt-villus axes), accumulation of gPr80env in intestinal cells, apoptosis of developing T cells in the lamina propria (LP), and intestinal collapse by ∼30 dpi. In infected mice treated with the antioxidant drug monosodium luminol (GVT® ), however, normal intestinal epithelial cell gradients are still in place at 30 dpi, and IECs covering both the crypts and villi contain large amounts of the antioxidant transcription factor Nrf2. In addition, no apoptotic cells are present, and accumulated gpr80env is absent from the tissue at this time. We conclude that GVT treatment can make ts1 a noncytopathic virus for intestinal lymphoid cells, as it does for thymocytes [25]. As in the thymus, GVT may protect the intestine by reducing oxidant stress in infected intestinal T cells, perhaps by prevention of gPr80env accumulation via Nrf2 upregulation in the IECs. These results identify GVT as a potential therapy for intestinal diseases or inflammatory conditions, including HIV-AIDS, in which oxidative stress is a triggering or exacerbating factor. © 2009 Elsevier B.V. All rights reserved. 1. Introduction The murine retrovirus MoMuLV causes thymic leukemias by 8–10 months of age in susceptible mice that are infected at birth [1]. A mutant of MoMuLV, called ts1, causes a fulminant disease with a much shorter timecourse, leading to death of infected animals by 30 days after infection (dpi) [2]. The ts1 mutant has a mutation in its env gene, so that productively infected cells contain an abnormal gPr80env preprotein [3,4]. This abnormality interferes with the normal cleavage of the gPr80env to the mature viral envelope proteins gp70 and PrP15E. Without efficient cleavage, gPr80env accumulates in certain infected target cells, including astrocytes in the central nervous system (CNS), thymocytes and T cells [5,6]. In ∗ Corresponding author at: The University of Texas M.D. Anderson Cancer Center, Science Park - Research Division, Department of Carcinogenesis, PO Box 389, Smithville, TX 78957, USA. Tel.: +1 512 237 9344; fax: +1 512 237 2444. E-mail address: vscofi[email protected] (V.L. Scofield). glial cells of the central nervous system, this accumulation initiates an unfolded protein response, endoplasmic reticulum stress, mitochondrial stress, oxidative stress and apoptosis [7–18]. Similar responses occur in T-lineage cells of infected mice, which accumulate gpr80env and die as a consequence of oxidative stress-induced apoptosis [19]. The systemic consequences of ts1 infection are similar to HIVAIDS at many levels [6,8,20]. Studies in this paper were designed to identify specific effects of ts1 infection on the mouse small intestine, whose symptomatology is similar to that induced by HIV-1, the primate retrovirus SIV, and the feline immunodeficiency virus FIV [21–24]. The intestines are significant in retroviral diseases for another reason. Like the thymus, they can receive bone marrow Tcell progenitors and host their maturation into mature T cells (see below). This makes this tissue an important target for retroviral infection and cellular damage, because production of naïve T cells normally continues in these tissues throughout life, and because intestinal lymphoid cells in the LP govern the health and functions of the mucosal epithelium above. We therefore conducted 0165-2478/$ – see front matter © 2009 Elsevier B.V. All rights reserved. doi:10.1016/j.imlet.2008.12.012 Please cite this article in press as: Scofield VL, et al. The drug monosodium luminol (GVT) preserves crypt-villus epithelial organization and allows survival of intestinal T cells in mice infected with the ts1 retrovirus. Immunol Lett (2009), doi:10.1016/j.imlet.2008.12.012 G Model IMLET-4736; No. of Pages 9 2 ARTICLE IN PRESS V.L. Scofield et al. / Immunology Letters xxx (2009) xxx–xxx this study in parallel with investigations of thymus tissues in ts1infected mice [25]. Fig. 1 shows that mouse small intestines are composed of fingerlike villi facing the gut lumen and of crypts buried in the connective tissue. Both regions are covered with a continuous layer of epithelium, with the pluripotent stem cells for the entire epithelium residing in the lower crypts [26–28]. These stem cells give rise to several cell types found on the villi: to absorptive enterocytes covering the villi (the predominant cell type in the mucosa), to mucus-producing goblet cells and enteroendocrine cells scattered over the villi between the enterocytes (specific cell types are not shown in the figure). Crypt stem cells also give rise to defensinproducing Paneth cells, which form a cup at the bottom of the crypts, and which do not move upward toward the villi [27,28]. The progeny of the crypt epithelial stem cells are transit amplifying cells and differentiating cells, which move upward, as they divide, toward the crypt-villus junction [CVJ]. Once differentiated, these cells stop dividing, so that the epithelium covering the villi, above the CVJ, contains mostly quiescent enterocytes, goblet cells and enterendocrine cells nudging each other passively upward to the tips of the villi. When the IECs arrive at the tips of the villi, they undergo apoptosis and are shed, together with any T cells that have inserted themselves between the cells (top of Fig. 1). The CVJ thus is a sharp boundary that separates dividing from quiescent cells. As noted above, the small and large intestines of mammals can host the differentiation of bone marrow T-precursor cells into mature T cells [29–32]. The idea that the intestine might host T cell differentiation was put forward more than 10 years ago (reviewed in [32]). However, this claim was controversial until recent lasercapture confocal microscopy studies established clonal identity between early T cell progenitors in aggregates in the crypts, called cryptopatches (CPs) and mature T cells in the distal villi [33]. Fig. 1 shows T-cell progenitors differentiating in the lamina propria (LP) connective tissue beneath the CMJ, and mature T cells above it. This reflects the continuous arrival in the crypts of bone marrow stem cells, which are c-kit-positive (red). These begin differentiation to become mitotic T-cell progenitor progeny in the crypt LP (purple). The maturing and fully mature descendants of these intestine-born T cells are CD8-positive T cells that reside in the LP of the villi [29–32]. CD4+ cells are also present, but these arrive from the blood as mature T cells that have already completed their differentiation in the thymus [34]. These are scattered throughout the crypt and villous LP. As in the thymus, therefore, the CVJ boundary separates distinct epithelia whose adjacent T cells are at distinct developmental stages. In the normal thymus, the cortical and medullary epithelial cells express two distinct cytokeratin types [35]. Unlike the thymus however, the intestinal epithelium is a simple epithelium throughout; and all of its cells express CK8 only [36], as do cortical epithelial cells of the thymus. However, two other differences distinguish the epithelial cells of the intestinal crypts from those of the villi. One is these is the constitutive expression of TSH by crypt epithelial cells, and not by epithelial cells of the villi [37–40]. The other is the presence of dividing epithelial cells exclusively in crypts, but not in the villi [26]. The presence and maintenance of these two standing gradients in the epithelial intestine reflects the presence of normally differentiating T-cell progenitors in the LP beneath, just as the presence of a healthy corticomedullary epithelial separation does for thymocytes [25]. Like thymocytes, intestinal T cells undergo sequential developmental checkpoints that depend upon their being at the right place, at the right time, in relation to the epithelium above [35]. In mice infected with ts1 (ts1-only), we show here that intestinal epithelial cell gradients are dysregulated, that extensive T cell Fig. 1. Diagram showing cell types and cytoarchitecture of the normal mouse small intestine. The tissue is arranged as a single-layered epithelium covering a connective tissue lamina propria (LP) beneath. The epithelium covers upwellings of cells (villi) that face the gut lumen, and valleys of cells (crypts) buried in the connective tissue below. The epithelial cells of all villi are derived from a single stem cell type at the bottom of each crypt. These cells divide and differentiate until they reach the crypt-villus junction (shaded plane), at which time they stop dividing and are nudged to the tops of the villi, where they undergo apoptosis and are shed along with lymphoid cells from the LP. Several T-lineage cell types are present in the LP beneath the epithelium. These are (a) recent bone marrow T cell progenitor emigrants expressing the c-kit+ marker (red), (b) their immediate differentiated progeny, which are maturing cryptopatch (CP) cells (purple), (c) and mature differentiated mitotic progeny from these CP cells, which express the ␥␦ T cell receptor and move up into the villi (yellow). One T cell type in the small intestines is already differentiated when it arrives. These cells come into the intestine from the thymus via the blood. They are mature thymus-derived T cells expressing the ␣ T cell receptor (blue). The looped areas at the right show how these regions appear in cross-section. Please cite this article in press as: Scofield VL, et al. The drug monosodium luminol (GVT) preserves crypt-villus epithelial organization and allows survival of intestinal T cells in mice infected with the ts1 retrovirus. Immunol Lett (2009), doi:10.1016/j.imlet.2008.12.012 G Model IMLET-4736; No. of Pages 9 ARTICLE IN PRESS V.L. Scofield et al. / Immunology Letters xxx (2009) xxx–xxx apoptosis occurs, and that the intestines collapse by 30 dpi. In mice infected with ts1 and also treated with GVT (ts1-GVT), however, crypt-villus cytoarchitecture is intact at 30 dpi, intestinal epithelial cell gradients are in place, no T cell apoptosis is occurring, and the gPr80env protein is not accumulated by any cell type in the tissue. In the intact small intestines of GVT-protected mice, most epithelial cells are negative for gp70, and thus do not appear to be infected, but they do contain large amounts of the transcription factor Nrf2, which orchestrates protective antioxidant responses [41,42]. These effects of ts1-GVT treatment are remarkably similar to those occurring in the thymi of ts1-GVT mice, whose epithelial cells also become loaded with Nrf2 [25]. 2. Materials and methods 2.1. Virus The ts1 virus, a mutant of MoMuLV, was propagated in TB cells, a thymus-bone marrow cell line, and titered on 15F cells, as previously described [8]. 2.2. Antibodies and reagents GVT® (sodium ␣-luminol) was provided by Bach-Pharma, Inc., North Andover, MA. Goat anti-MoMuLV gp70 was from Microbiology Associates, Burlingame, CA (this antibody recognizes epitopes shared by the mature gp70 viral envelope protein and the precursor preprotein gPr80env ). Anti-mouse Ki67 was from Vector Laboratories, Burlingame, CA. Polyclonal rabbit anti-mouse TSH was from Cell Signaling (Boston, MA). Biotinylated mouse monoclonal anti-TSH was a gift from Dr. John R. Klein. Mand rabbit anti-activated caspase-3 was from Cell Signaling. Mouse monoclonal anti-Nrf2 was from R&D systems (Minneapolis, MN). FITC and Texas Red-conjugated anti-mouse, rat, rabbit and goat antibodies were from Jackson ImmunoResearch (West Grove, PA). 2.3. Mice, infection, and drug treatment FVB/N mice were obtained from Taconic Farms (Germantown, NY). Breeding FVB/N pairs were housed in sterilized microisolator cages and supplied with autoclaved feed and water ad libitum. The microisolators were kept in an environmentally controlled isolation room. For ts1 infection, 4-day-old mice were inoculated intraperitoneally with 0.1 ml of vehicle (mock infection) or with 0.1 ml of a ts1 suspension containing 2 × 107 infectious units/ml. Mice infected by this protocol, and at this virus dose, become paralyzed and die at 30–40 dpi [8]. For GVT treatment [8], animals from the control and ts1-infected groups are divided into two groups each at 2 dpi. The infected mice are then divided again into two groups, one of whose individuals received 0.9% normal saline, intraperitoneally, five continuous days a week, followed by two resting days, until the end of the experiment. At the same time, mice from the other half of the infected animals received freshly prepared GVT, delivered intraperitoneally at 200 mg/kg body weight/day in 0.9% normal saline. The uninfected mice were also divided into two groups, one receiving saline alone, and the other receiving GVT as described above. No toxic effects were observed at any time at this dose of GVT when it was used without infection. At 30 dpi, mice from all groups were sacrificed, and their small intestines (2 cm from the jejunum) processed for Western blotting of the tissues or for frozen section immunohistochemistry. All mice were observed daily for clinical signs of disease, and individuals from all groups were sacrificed at 30 dpi. Intestinal tissues to be used for Western blotting were removed, snap-frozen in liquid 3 nitrogen and stored at −80 ◦ C until use. For immunohistochemistry, intestine segments were snap-frozen in liquid nitrogen in OCT embedding compound. These animal protocols were approved by The University of Texas M.D. Anderson Cancer Center Institutional Animal Care and Use Committee. 2.4. Western blotting Western blotting analysis was performed as described previously [8]. Briefly, whole cell protein was extracted from whole intestines in radioimmunoprecipitation assay buffer (NP40, 0.5% sodium deoxycholate, 0.1% sodium dodecyl sulfate, 0.25 mM phenylmethylsulfonylfluoride, 1 mg/ml aprotinin, leupeptin, and pepstatin A, 1 mM sodium orthovanadate, and 1 mM sodium fluoride in phosphate-buffered saline, or PBS). Protein concentrations were measured using the Bio-Rad Dc protein assay reagent (Bio-Rad Laboratories, Hercules, CA) as per the manufacturer’s instructions. These lysates (30 g total protein per sample) were electrophoresed on 10% SDS-PAGE gels, and then transferred to polyvinylidene difluoride membranes (Millipore Corp, Bedford, MA). The membranes were blocked at room temperature for 1 h in tris-buffered saline, or TBS, with 5% nonfat milk, and incubated with unconjugated primary antibody for 2 h, followed by three washes with TBS. The blots were then incubated with species-appropriate horseradish peroxidase-conjugated secondary antibody for an additional 1 h. After three washes, immune complexes were detected by chemiluminescence (NEN Life Science Products, Boston, MA). A monoclonal anti--actin antibody (Sigma, St. Louis, MO) was used as a loading control. Western blotting experiments were repeated at least three times, to verify reproducibility of results. 2.5. Immunohistochemistry Dissected tissues were snap-frozen in OCT medium and kept at −80 ◦ C prior to cutting of 5 m-thick serial frozen sections. The sections were placed on microscope slides, and the slides kept at −80 ◦ C prior to staining. For staining, the sections were thawed at room temperature for 30 min, fixed in ice-cold acetone for 5 min, washed, and incubated overnight at 4 ◦ C with optimum dilutions of primary antibodies. The slides were then washed and incubated in FITC-conjugated or TxR-conjugated Fab’2 fragments of anti-rabbit, anti-rat, or anti-goat IgG. Where double immunostaining was done, it was with polyclonal or monoclonal antibodies raised in cells or animals from two different species, followed by FITC-conjugated anti-IgG for one species, and TxR-conjugated anti-IgG for the other. After incubation in the secondary reagents and washing, the sections were mounted in mounting medium (Vector Laboratories, Burlingame, CA) for viewing under an Olympus fluorescence microscope. Control sections were incubated (a) in affinity-purified goat, rabbit or rat IgG, depending upon the host species of the primary antibody, (b) with appropriate isotype controls, for monoclonal antibodies, (c) in secondary antibodies alone, without primary reagents. Optimum staining conditions were developed for each antibody, so that no specific binding was observed in sections incubated in control reagents, while specific binding was observed with the primary antibodies under test. Immunostaining studies were repeated at least twice, to verify reproducibility of results. 3. Results 3.1. Crypt-villus organization and T cell numbers are abnormal in intestines from ts1-only mice, but not from those of ts1-GVT animals Fig. 2 shows frozen sections of small intestines from 30 dpi uninfected, ts1-only, and ts1-GVT mice, stained with hematoxylin and Please cite this article in press as: Scofield VL, et al. The drug monosodium luminol (GVT) preserves crypt-villus epithelial organization and allows survival of intestinal T cells in mice infected with the ts1 retrovirus. Immunol Lett (2009), doi:10.1016/j.imlet.2008.12.012 G Model IMLET-4736; No. of Pages 9 4 ARTICLE IN PRESS V.L. Scofield et al. / Immunology Letters xxx (2009) xxx–xxx eosin (H&E) for cytoarchitecture (A), with anti-gp70 to identify infected cells (B), and with anti-CD4 or anti-CD8 to identify cells in the LP of the villi (C). Hyperproliferation of the crypts is a common intestinal manifestation of infection by other retroviruses, including SIV in nonhuman primates, FIV in cats, and HIV-1 infection in humans [21–24]. The H&E and gp70-stained ts1-GVT intestine images in Fig. 2 show apparently normal crypt-villus organization at 30 dpi, despite the presence of many infected cells in the LP. CD4positive cells are abundant in the LP regions of uninfected intestinal villi, virtually absent in the ts1-only villi, but present in the LP of villi in the section from a ts1-GVT mouse. CD8-positive cells are reduced in number in the ts1-only mouse intestines, but they are not depleted from the villi as are CD4-positive cells in the ts1-only mice (C). 3.2. The TSH gradient of the crypt-villus axis is lost in the ts1-only intestine, but not in intestines from ts1-GVT mice In the hypothalamo–pituitary–thyroid (HPT) axis, the neurohormone thyrotropin-releasing hormone (TRH) is produced by the hypothalamus, and delivered to the anterior pituitary gland below [40]. TRH triggers production of thyrotropin by pituitary thyrotroph cells (thyrotropin is the thyroid-stimulating hormone, or TSH). TSH travels through the blood to the thyroid, where binds to its receptor (the TRHr) on the follicle cells, and these follicle cells and the follicular fluid respond by producing thyroglobulin and iodinated thyroxine (T3 and T4), and by releasing thyroxine into the blood. Recent work has disclosed that the small intestinal epithelial cells of mice, like pituitary thyrotrophs, express genes for the two Fig. 2. Loss of crypt-villus organization, ts1 infection and depletion of CD4+ cells in the intestines of ts1-only mice, and maintenance of normal parameters and cell numbers, in 30 dpi uninfected, ts1-only and ts1-GVT mice. (A) Hematoxylin and eosin (H&E)-stained cross-sections of intestines from animals from these three groups, showing profiles of the crypts and villi (see Fig. 1 for crypt and villus sectional orientation). Original magnifications: for uninfected and ts1-GVT panels: 10×; for ts1-only panel: 20×. (B) Sections from uninfected, ts1-only and ts1-GVT intestines, stained for their expression of the ts1 viral envelope protein gp70 (green). Original magnifications: 20×. gp70 staining for the ts1-GVT section was dim, and thus the brightness of this image was magnified 100× for this figure. (C) Sections of uninfected, ts1-only and ts1-GVT intestines, immunostained either for CD4 or for CD8 (red; uninfected and ts1-only panels) and doubly stained for CD4 or CD8 together with gp70 (green; ts1-only insets and ts1-GVT panels). The ts1 -inset overlay photomicrographs are magnified from the white-boxed rectangles in the wide-angle panels at the left, and their contrast is upregulated 100× to allow visualization of stained cells. The arrows in the ts1-only and ts1-GVT panels on the right point to infected CD4-positive cells (yellow in the CD4 ts1-only section) and to uninfected CD8-positive cells (red in the CD8 ts1-only section. By contrast, both infected (yellow) CD4-positive and CD8-positive cells are evident in the ts1-GVT panels on the right. The arrow in the CD4 ts1-only section in (C) points to crypts and villi in which CD4-positive cells are absent. Original magnifications: Uninfected; 40×. ts1-only; 10× for the wide-angle panels and 20× for the insets; ts1-GVT; 20× for both panels. Please cite this article in press as: Scofield VL, et al. The drug monosodium luminol (GVT) preserves crypt-villus epithelial organization and allows survival of intestinal T cells in mice infected with the ts1 retrovirus. Immunol Lett (2009), doi:10.1016/j.imlet.2008.12.012 G Model IMLET-4736; No. of Pages 9 ARTICLE IN PRESS V.L. Scofield et al. / Immunology Letters xxx (2009) xxx–xxx 5 subunits of TSH [37]. In addition, a subpopulation of small intestinal T cells (but not peripheral T cells) express surface TSH receptors [37,38]. These findings point to a local epithelial-lymphocyte hormone loop, involving TSH produced by crypt epithelial cells, response to this TSH by intestinal T cells, and feedback to the epithelium [37–39]. Intestinal epithelial TSH gradient is disturbed during rotavirus [38] and reovirus infection [39]. In both conditions, blocks of enterocytes on the villi reinitiate TSH expression, and groups of LP lymphoid cells aggregate in the LP below them. To determine whether intestinal epithelial TSH gradients are dysregulated in ts1 infection, we compared TSH levels in intestines from uninfected, ts1-only, and ts1-GVT mice. Fig. 3(A) shows a Western blot in lysates of intestines of mice from the above three groups, stained for TSH. Uninfected intestinal tissues show an ambient level of TSH expression at 30 days of age, but the ts1-only intestines contain much more TSH, while the ts1-GVT intestines contain what appear to be normal TSH levels. To look at what is happening to TSH gradients at the cellular and tissue level, we then prepared sections of these intestines and stained them with anti-TSH and anti-gp70. Fig. 3(B and C) shows that TSH expression is limited to the crypt epithelium in uninfected mouse intestines, that the entire intestinal epithelium, crypts and villi alike, express TSH in the ts1-only intestine, but TSH expression is limited to the crypts in the ts1-GVT intestines. this tissue [26]. The cell cycling marker Ki67 is an intermediate filament protein found only in dividing cells [reviewed in 26]. Below the crypt-villus boundary of normal intestines, all epithelial cells covering the villi are dividing. Above this boundary, they are quiescent. When immunostained with antibody against Ki67, epithelial cells in the crypts are Ki67-positive, while those covering the villi are Ki67-negative. Like the epithelial cytokeratin gradients of the thymus [25] and the TSH gradient of the intestine, intact Ki67 expression patterns, distinguishing the crypts and villi, reflect normal T cell differentiation conditions in the LP below the epithelium. To determine whether ts1 infection affects the crypt-to-villus Ki67 gradient, and to find out whether GVT treatment prevents this, we immunostained one frozen section of an uninfected small intestine with anti-Ki67 alone, and then doubly immunostained uninfected, ts1-only and ts1-GVT intestine sections with gp70 and Ki67. The doubly stained sections were photographed under bandpass filters for FITC and then for Texas Red, and a merged image was made from the two single-filter images for the ts1-only and ts1-GVT sections. Fig. 4(A) shows that Ki67 staining is confined to basolateral surfaces of the crypt epithelial cells of normal intestines, as has been reported by others [26]. In both the ts1-only (B) and ts1-GVT sections (C), but gp70-infected lymphoid cells are present in the LP, and Ki67 staining is evident in epithelial cells of both the crypts and villi of the ts1-only intestines (B). However, while the ts1-GVT section shows Ki67 staining that is limited to the crypts (C), reflecting the presence of a normal Ki67 gradient in intestines from ts1-GVT mice. 3.3. The distinct cell cycling patterns of the crypt and villus are lost in the ts1-only intestine, but not in intestines from ts1-GVT mice 3.4. In ts1-GVT mice, intestinal epithelial cells contain high levels of the antioxidant transcription factor Nrf2, and their T cells are protected from apoptosis A second epithelial cell gradient exists in the healthy small intestine, and this gradient is disrupted in disease conditions affecting Like many other cell types, intestinal epithelial cells maintain ambient intracellular levels of NFE-2-related factor 2 (Nrf2), Fig. 3. Loss of the epithelial crypt-villus gradient organization for TSH in 30 dpi ts1-only mice, and maintenance of this gradient in age-matched ts1-GVT mice. (A) Western blot showing that TSH levels are upregulated over their normal levels (uninfected lane) in ts1-only intestinal tissues, but not in ts1-GVT intestinal tissues. -actin was used as a loading control. (B and C) Sections from crypts (B) and villi (C) of uninfected, ts1-only and ts1-GVT sections immunostained for TSH. The top and bottom left panels on the left show crypts (top; TSH-positive crypts are marked a “+”) and villi (bottom; TSH-negative epithelial cells are marked as “−”) of normal intestines, immunostained for TSH (green in these two panels). The “hotblock” on the left of the panel showing otherwise TSH-negative villi (arrows) is an area of local reactivation of TSH, most likely reflecting a disturbance in the barrier or a local infection. For details, see text. By contrast, TSH staining (red) is heavy for epithelial cells of the crypts and villi of ts1-only intestines (middle panels), but is limited to the crypts for ts1-GVT intestines (right panels). Original magnifications: B; 10×; C; left panels, 20×. Please cite this article in press as: Scofield VL, et al. The drug monosodium luminol (GVT) preserves crypt-villus epithelial organization and allows survival of intestinal T cells in mice infected with the ts1 retrovirus. Immunol Lett (2009), doi:10.1016/j.imlet.2008.12.012 G Model IMLET-4736; No. of Pages 9 6 ARTICLE IN PRESS V.L. Scofield et al. / Immunology Letters xxx (2009) xxx–xxx Fig. 4. Dysregulation of epithelial crypt-villus Ki67 expression (cell cycling) in 30 dpi ts1-only intestines, and maintenance of these gradients in age-matched ts1-GVT intestines. (A) is a section from an uninfected mouse intestine, stained only for KI67 (red) to show normal distribution of this marker in the crypt-villus axis. The antibody identifies Ki67 on the crypt epithelial cells, but not on epithelial cells of the villi (crypts and villi are marked). Crypts and villi in A, B, and C are labeled. All panels in (B) are photomicrographs of the same section of a ts1-only mouse intestine, showing gp70-only staining (green), KI67-only staining (red), and merged images for both antibodies (co-stained cells appear yellow). Both the crypt and epithelial cells are Ki67-positive in this intestinal section. All panels in (C) are from one section of a ts1-GVT mouse intestine, stained, and photographed as described above for the section in (B). In this intestine, Ki67 staining of the epithelium is limited to the crypts. Original magnification: (A); 4×. (B and C); 10×. which is a transcriptional factor that coordinately upregulates many genes that participate in antioxidant defenses [41–45]. Under steady-state conditions, Nrf2 is held in an inactive state as part of a complex with another protein called Keap-1. When oxidant stress conditions occur, Keap-1 releases Nrf2, which then is phosphorylated and transported to the nucleus. When it arrives there, Nrf2 activates genes that have antioxidant response element (ARE) sequences in their promoters (reviewed in [44]). For some time, it has been assumed that correction of an abnormal-redox situation, once completed, re-establishes the Keap1-Nrf2 complex, bringing Nrf2 levels down again [44]. However, studies in our laboratory and by others now show that high levels of free Nrf2 can be stabilized in the cytoplasm and nucleus under certain kinds of oxidant stress conditions [8,15,16,46], or by drugs that inhibit Nrf2 degradation in proteasomes [46]. Other agents that stabilize Nrf2 in cells others increase Nrf2 mRNA and protein levels in cells over the long term [47]. Either or both effects could maintain low-ROS conditions in tissues during extended periods of oxidative stress. We therefore asked with intestines, as we did for the thymus [25], whether Nrf2 upregulation and stabilization occur in intestines of ts1-only vs. GVT mice. The Western blot in Fig. 5(A) shows that Nrf2 levels in intestinal tissues of ts1-only mice are slightly lower than those of uninfected intestines, but that that they are significantly upregulated in ts1GVT intestines. To determine which cells are responsible for the increased Nrf2 levels in ts1-GVT intestines, we then stained uninfected, ts1-only and ts1-GVT thymi at 30 dpi for gp70 and for Nrf2. Fig. 5(B) shows that the ts1-only section has neither gp70 nor Nrf2 inside any recognizable cells, because the tissues apparently have collapsed, and few intact epithelial cells remain. By contrast, the ts1-GVT intestine contains profiles of apparently healthy villi whose epithelial cells and lymphoid compartments are intact, but whose epithelial cells show heavy loading with Nrf2, and whole LP cells are infected. In the same experiment, we then asked whether high-Nrf2 conditions in the ts1-GVT intestines might be related to reduced or absent apoptosis in the intestinal tissues of ts1-GVT mice, as they are in the ts1-GVT thymus. To do this, we compared levels of the apoptotic protein cleaved caspase-3 in intestines from uninfected, ts1-only, and ts1-GVT mice. Caspase-3 is the executive enzyme that completes the many different apoptotic cascades that occur in most cell types [48]. The presence of cleaved caspase-3 is a specific indicator of apoptotic cell death in tissues. Fig. 5(A) shows that Please cite this article in press as: Scofield VL, et al. The drug monosodium luminol (GVT) preserves crypt-villus epithelial organization and allows survival of intestinal T cells in mice infected with the ts1 retrovirus. Immunol Lett (2009), doi:10.1016/j.imlet.2008.12.012 G Model IMLET-4736; No. of Pages 9 ARTICLE IN PRESS V.L. Scofield et al. / Immunology Letters xxx (2009) xxx–xxx 7 Fig. 5. Nrf2 expression and caspase-3-mediated apoptosis in intestinal lysates and sections from uninfected, ts1-only and ts1-GVT mice. (A) Western blot showing Nrf2 and cleaved caspase-3 expression for tissues from mice of each of these three groups. (B) Sections of small intestines of mice from these three groups, doubly immunostained Nr2 (red) and for gp70 (green), with co-staining appearing as yellow. The uninfected section shows a low ambient level of epithelial Nrf2 expression, typical in this tissue. The ts1-only section, by contrast, is collapsed, and although much staining is present, little cell-associated Nrf2 or gp70 are evident. In the ts1-GVT section, the mucosal epithelial cells express Nrf2 (red), and the LP lymphoid cells express gp70 (green). The co-stained epithelial cells in the ts1-GVT panel (yellow) are infected transepithelial dendritic cells (V.L. Scofield, manuscript in preparation). Original magnifications: 20×. a low ambient level of cleaved caspase-3 is present in uninfected intestinal tissues, but that high levels of this enzyme are present in intestines of ts1-only mice, where many cells are undergoing apoptosis. By contrast, caspase-3 is absent in the intestines of ts1-GVT mice. 3.5. In ts1-GVT mice, accumulated gPr80env is reduced In our studies with the thymus (companion paper), we were surprised to note that accumulated gPr80env , which is always present in ts1-infected T-lineage cells, is apparently absent in ts1GVT thymocytes. We concluded that the low-ROS conditions in GVT-treated thymocytes, which can be brought about even without infection with ts1, could promote proper folding and normal cleavage of gPr80env into gp70 and PrP15E. To determine whether this might also be true in the intestines, we performed a Western blot of intestines from uninfected, ts1-only, and ts1-GVT mice, stained with anti-gp70 to identify the molecular weights of gp70immunoreactive proteins in the tissues. Fig. 6 shows that in the ts1-only intestine, gp70-immunoreactive material is present at both the 80 kDa (accumulated gPr80env ) and 70 kDa (processed gp70) positions in the gel. This two-band pattern is characteristic of gp70 Western blots of lysates from astrocytic cells infected in vitro [15,16]. However, only gp70 was present in the intestinal lysate from the ts1-GVT mouse, and this was present in small amounts. We Fig. 6. Western blot of 30 dpi intestinal tissues from uninfected, ts1-only and ts1GVT mice, probed for gp70. The antibody identifies epitopes present in both the band present at 80 kDa, which is gPr80env (the viral preprotein) and in the faint band present at 70 kDa, which is one of its cleavage products. The blot shows that gPr80env accumulation occurs in intestinal tissues of ts1-only mice, but not in intestinal tissues of ts1-GVT mice. conclude that gPr80env is not accumulated in cells of the ts1-GVT intestine. 4. Discussion Like ts1, other cytopathic retroviruses, including HIV-1, SIV and FIV, cause damage to the intestines and selective loss of CD4+ cells [6,21–24]. At present, there is still much to learn generally about intestinal responses to cytopathic retrovirus infection, but we believe that our work provides information relevant to HIV-1 enteropathy, and that it identifies GVT as a therapeutic agent that can prevent, maintain, or restore gut epithelial and T cell homeostasis in HIV-AIDS. If this is possible, then repopulation of the intestines with autologous or transplanted bone marrow T-cell progenitors might be possible, even though HIV-infected cells are still present, even under HAART treatment [49]. The loss of TSH and cell cycling gradients, in the ts1-only intestine, deserves special mention here. Intestinal enterocytes normally stop expressing and releasing TSH when they have completed their differentiation and reached the CVJ [38]. When pathogens infect the villus epithelium, however, TSH production is re-initiated in localized parts of the villus [37–39]. Once the infection is cleared, the TSH-re-expressing epithelium is shed and replaced by TSH-cells. The same sequence of events, this time involving Ki67 expression, appears to accompany local and global ts1 infection in the mouse gut [26]. A proportion of all intestinal T cell subsets (CD4+ and CD8+ alike) express the TSH receptor [38]. As suggested previously [38], a local response loop involving the otherwise quiescent villus epithelium of the intestine may reactivate cell cycling and re-initiate TSH production, with TSH activating nearby T cells in the LP below, and the T cells, in turn, maintaining the newly activated epithelium. If this were to occur on a large scale, and without limitation, it is possible to imagine a scenario in which continued infection/activation of LP T cells in the intestine could drive the shedding of the epithelium above, and could make this occur too fast for replacement. In turn, the activated epithelium, as long as it is present, may send inappropriate signals to the LP T cells, maintaining their ectopic activation and thereby promoting their infection, and apoptosis. It Please cite this article in press as: Scofield VL, et al. The drug monosodium luminol (GVT) preserves crypt-villus epithelial organization and allows survival of intestinal T cells in mice infected with the ts1 retrovirus. Immunol Lett (2009), doi:10.1016/j.imlet.2008.12.012 G Model IMLET-4736; No. of Pages 9 8 ARTICLE IN PRESS V.L. Scofield et al. / Immunology Letters xxx (2009) xxx–xxx survival, and, especially, how GVT treatment it allows normal processing of gPr80env . We hope that our studies generate interest in the ts1 mouse as a model for HIV-1-induced thymic and intestinal infection and T cell death. Under conventional HAART therapy regimens, the intestine can serve as a viral reservoir, allowing gastrointestinal symptoms to continue despite control of viral load in the blood [50]. If GVT actually re-sets the redox tone in the ts1infected mouse intestine, as it apparently does in the thymus [25], then repopulation of the intestinal T cell compartment could be possible, either from autologous bone marrow or allogeneic bone marrow or stem cell grafting. In addition, GVT treatment may prove therapeutic for intestinal conditions that cause disease by initiating oxidative stress, because a low-ROS environment would likely reduce inflammation and maintain normal epithelial cell-lymphoid cell crosstalk in this tissue [51,52]. Fig. 7. Diagram showing possible mechanisms for protection of 30 dpi ts1-infected mouse intestines by GVT. The arrows point to processes initiated or promoted by ts1 infection or GVT treatment, and the T-bars identify GVT inhibition or termination of processes initiated by ts1 infection in T cells. In the ts1-only mouse, both epithelial and lymphoid compartments of the small intestine are damaged. The result is the disappearance of epithelial cell gradients, loss of T cells, and intestinal collapse. In the ts1-GVT mouse, the epithelial and lymphoid cell compartments appear normal, all intestinal cells survive infection, and ts1 gPr80env does not accumulate in infected cells. Our data suggest that this could occur either in two ways: via direct antioxidant activity by GVT, or lowering of T cell intracellular redox setpoints by GSH or by GSH precursors, both produced and provided by mucosal epithelial cells as a consequence of their upregulation of Nrf2. seems likely that this sequence of events contributes to the collapse of the intestines after cytopathic retrovirus infection. The results presented here for ts1-GVT mice provide information in only one context, which is infection and treatment beginning at the same time (at birth) and continuing until all animals have died. This setting, however, has shown us that infection of intestinal cells with ts1 can coexist with apparent health in the intestines, both in the epithelial and LP lymphoid compartments. These conditions are accompanied by upregulation of Nrf2, and presumably of redox defenses in the epithelial cells, which may provide cysteine precursors and glutathione (GSH) to the LP T cells in amounts sufficient to allow their survival of ts1 infection. If this occurs, it could be also be responsible for the normal folding of gPr80env in the ts1-GVT intestine, and this in turn would prevent all of the downstream consequences of gPr80env accumulation that lead to T cell apoptosis. GVT could also act as a chaperone, preventing misfolding of gpr80env , or it could act as an antioxidant, detoxifying ROS as they appear in the infected cells. A diagram summarizing these several possibilities appears in Fig. 7. The results shown here are significant in that they provide a new perspective regarding CD4+ cell loss in HIV-AIDS. We believe that the ts1-infected mouse is a small-animal model for HIV-AIDS [20]. Similarities between the two diseases have been identified in published papers from our laboratory and from others [20,25]. Like HIV-1 in untreated human HIV-AIDS patients, ts1 is a savage enteropathic retrovirus in untreated mice. However, and remarkably, ts1 is harmless in the intestines of mice treated with GVT. The ts1 mouse thymus and intestine, described and characterized here, are now ready for more intensive investigation of ts1 pathogenesis and the GVT effect. For example, changes in CD4+ and CD8+ T cell subsets should be followed over time by fluorescence-activated cell sorting (FACS analysis) in both tissues. This will have to be done at timepoints earlier than 30 dpi, because thymocyte/intestinal T cell numbers are so low at this time, and the thymus and villi are both collapsed, so that the processing of multiple animals for cells is likely to interfere with the quality of the results. We also need to find out how GVT causes Nrf2 upregulation and stabilization in the epithelial cells of these two tissues, how Nrf2 elevation in the epithelia might affect thymic and intestinal T cell Acknowledgements We thank Shawna Johnson and Rebecca Deen for assistance in preparing the manuscripts, Kent Claypool for providing invaluable help with flow cytometry analysis, and Nancy Otto and Jimi Lynn Brandon of the Science Park Histology Core for preparing excellent frozen sections and for advising us regarding immunohistochemical analysis. This work was supported by NIH grants NS43984 and MH71583 (P.K.Y.), by a Career Re-entry supplement to MH71583 for V.L.S., and by NIH grant MH077470 (V.L.S.). 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Please cite this article in press as: Scofield VL, et al. The drug monosodium luminol (GVT) preserves crypt-villus epithelial organization and allows survival of intestinal T cells in mice infected with the ts1 retrovirus. Immunol Lett (2009), doi:10.1016/j.imlet.2008.12.012
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