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(Journal of Leukocyte Biology. 2000;68:836-844.)
© 2000 by Society for Leukocyte Biology

Identification of mature and immature human thymic dendritic cells that differentially express HLA-DR and interleukin-3 receptor in vivo

Christian Schmitt, Hélène Fohrer, Sylvie Beaudet, Pierre Palmer*, Marie-José Alpha, Bruno Canque{dagger}, Jean Claude Gluckman{dagger} and Ali H. Dalloul

UMR CNRS 7627, Hopital Pitié-Salpêtrière,
* Laboratoire de Virologie, Faculté de Médecine Cochin-Paris V; and
{dagger} ESA 7087 UP6-CNRS and Laboratoire d’Immunologie et Immunopathologie de l’ Ecole Pratique des Hautes Etudes, Paris, France

Correspondence: Ali H. Dalloul, M.D., Ph.D., CERVI, Hopital Pitié-Salpêtrière, 83 Blvd. de l’Hopital, 75013, Paris, France. E-mail: dalloul{at}ccr.jussieu.fr


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
We have previously shown that thymic CD34+ cells have a very limited myeloid differentiation capacity and differentiate in vitro mostly into CD1a+-derived but not CD14+-derived dendritic cells (DC). Herein we characterized the human neonatal thymic DC extracted from the organ in relationship with the DC generated from CD34+ cells in situ. We show that in vivo thymic DC express E cadherin, CLA, CD4, CD38, CD40, CD44, and granulocyte-macrophage colony-stimulating factor-R (GM-CSF-R; CD116) but no CD1a. According to their morphology, functions, and surface staining they could be separated into two distinct subpopulations: mature HLA-DRhi, mostly interleukin-3-R (CD123)-negative cells, associated with thymocytes, some apoptotic, and expressed myeloid and activation markers but no lymphoid markers. In contrast, immature HLA-DR+ CD123hi CD36+ cells with monocytoid morphology lacked activation and myeloid antigens but expressed lymphoid antigens. The latter express pT{alpha} mRNA, which is also found in CD34+ thymocytes and in blood CD123hi DC further linking this subset to lymphoid DC. However, the DC generated from CD34+ thymic progenitors under standard conditions were pT{alpha}-negative. Thymic lymphoid DC showed similar phenotype and cytokine production profile as blood/tonsillar lymphoid DC but responded to GM-CSF, and at variance with them produced no or little type I interferon upon infection with viruses and did not induce a strict polarization of naive T cells into TH2 cells. Their function in the thymus remains therefore to be elucidated.

Key Words: thymus • blood cells • tonsillar cells


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Thymic dendritic cells (DC) are unique because of their role in inducing central tolerance predominantly through negative selection of self-reactive thymocytes [1 , 2 ]. Their origin from in situ-differentiated progenitors, or from DC migrating from the bone marrow or the periphery, has long been questioned. It has been shown that murine thymic DC arise from intrathymic progenitors that are also capable of forming T cells [3 ]. This observation of a common DC/T/natural killer (NK) precursor was extended to human CD34+ cells from the bone marrow, the fetal liver, or the thymus [4 , 5 ]. Murine thymic progenitors that have lost erythroid and myeloid capacity but retained a B and T lymphocyte developmental capacity have also been isolated [6 ]. Similarly, there are several lines of evidence that CD7+CD34+ progenitors in the human thymus are more advanced toward lymphoid differentiation than most marrow CD34+ cells. This evidence includes the following: very limited ability to generate myeloid colonies [7 ]; dependency on interleukin-7 (IL-7) in culture [7 ] and partial DJ rearrangement of the TCR-beta gene [8 ] and expression of pre-T-{alpha} transcripts within thymic progenitors [9 ]. Recently we have shown that the capacity to generate DC is restricted to the most primitive, CD1a-, thymic CD34+ progenitors [10 ]. DC are mostly generated through CD1a+ intermediates, whereas only a few are generated through CD14+ intermediates upon addition of macrophage colony-stimulating factor (M-CSF) to the cultures [10 ]. This further supports the lymphoid commitment of human thymic progenitors. By contrast, CD34+ cord blood cells give rise to DC through two independent pathways: CD1a+ and CD14+ precursor-derived DC [11 ]. For the above reasons it is tempting to link human thymic DC to a "lymphoid" origin inasmuch as murine DC in the thymus belong clearly to the CD8{alpha}+ lymphoid lineage [12 , 13 ]. All these findings are in keeping with the fact that thymic DC are generated in situ from lymphoid-committed progenitors. Therefore, thymic DC extracted from tissues should be similar to CD1a+ precursor-derived DC generated in vitro. The interest in classifying DC as lymphoid or myeloid has been highlighted by the finding that they dictate the maturation of naive T cells into TH1 or TH2 cells, respectively, in mice [14 , 15 ]. The picture is somewhat different in humans in whom at least three DC populations have been described in vivo. Among them, the monocytic population was reported to produce IL-12 and to induce a TH1 response, whereas a plasmacytoid subset was reported to induce a TH2 response [16 ]. DC populations express variable levels of receptors for GM-CSF (CD116) and for IL-3 (CD123), which are maturation and/or survival factors for these cells. However, contrary to mice, single markers typical of one human DC subset are still lacking.

Until now, only a few studies have been devoted specifically to thymic DC, and they relied on the purification of lineage-negative HLA-DR+ cells with typical dendritic morphology and capacity to induce allogeneic mixed leukocyte culture MLR [17 ]. Herein we attempted to answer the question as to whether thymic DC belong to one (possibly lymphoid?) or to several phenotypically and functionally different DC lineages. Lin- cells from light-density cell fractions were thus assessed for the expression of CD123 and HLA-DR. We observed that 20–30% of low-density Lin- cells consisted of a discrete CD123hi HLA-DR+ population, whereas typical DC located within HLA-DRhi cells. Both populations were sorted for further experiments; their phenotype, lymphokine production pattern, and the effect of the DC on naive T-helper cells were studied.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Antibodies
The following monoclonal antibodies (mAbs), either unconjugated or conjugated with biotin, fluorescein isothiocyanate (FITC), phycoerythrin (PE), or allophycocyanin (APC) were used for flow cytometry analyses and two-step magnetic bead depletion: control MSIg, FITC-goat anti-mouse, CD1a (T6), CD2 (T11), CD3 (T3), CD4 (T4), CD5 (T1), CD7 (3A1), CD8 (T8), CD10 (J5), CD14 (My4), CD16 (3G8), CD33 (My9), CD36 (FA6 152), CD45RA (2H4), CD56 (NKH1), CD116 (SCO6), CD40 (MAB89), CD11-b (Bear1), and CD83 (HB15a) were from Coulter-Immunotech (Marseille, France). Anti HLA-DR-FITC or biotin (1243/class II), CD4 (Leu3a), CD11b (ICRF44), CD11c (Leu M5), CD14 (Leu M3), CD34 (HPCA-2), CD38 (Leu17), streptavidin-APC were from Becton Dickinson (Mountain View, CA). CD80 (MAB104), CD86 (FUN/B7.2), and CLA (HECA 452) were from PharMingen (San Diego, CA); E-cadherin (HECD-1, Takara Shuzo, Japan) and CD1a-FITC (Dako, Copenhagen, Denmark) or CD1a-FITC (Diaclone Biosytems Besançon, France) were also used.

Purification and culture of DC and naive T cells
Four types of DC were used in our experiments: (1) purified DC from fresh thymocyte suspensions; (2) DC cultured from CD34+CD1a- thymocytes as previously reported [10 ]; (3) DC derived from peripheral blood monocytes (MDDC), cultured as described [18 ]; (4) peripheral DC were obtained from normal blood donors with their informed consent. Blood was centrifuged on Ficoll-Hypaque, mononuclear cells were depleted of cells positive for lineage markers (CD3, CD14, CD19, CD56), stained, and finally sorted as described below for thymic DC.

Thymic tissue obtained from pediatric cardiac surgery was processed as described [10 ] with slight modifications. Briefly, thymic fragments were incubated 45 min with 2 mg/mL collagenase P (Boehringer Mannheim, Mannheim, Germany) and DNase I (Sigma). Undigested thymocyte suspension was purified by centrifugation on Ficoll-Hypaque, the interface was washed and centrifuged at 4°C on 55% Percoll (Pharmacia, Uppsala, Sweden) at 3000 rpm. Preliminary experiments had shown that it was possible to enrich CD34+ cells 8- to 10-fold on the 55% Percoll fraction (data not shown). CD34+ cells were positively selected with CD34-coated magnetic beads (Dynal, Oslo, Norway), stained with CD1a mAb, and the CD1a- fraction sorted and cultured under conditions that generate DC as described [10 ]. CD34+ cell-depleted suspensions were then resuspended on 52% Percoll and the low-density fraction was depleted with CD8-coated magnetic beads, incubated with a mixture of CD3 (UCHT1), CD14 (MY4-biotin), CD19 (B4), and CD56 (NKH1) lyophilized mAbs, which was followed by depletion with beads (3 beads/cell) coated with sheep-anti mouse Ig. The resulting population contained about 20% DC, few stromal cells and, mostly, immature thymocytes (CD4+CD8-CD3- and CD4-CD8- double-negative cells). Cells were stained with anti-HLA-DR-FITC and CD123-PE or with a mixture of FITC-conjugated CD3, CD8, CD14, CD19, PE-conjugated CD123, and biotinylated anti-HLA-DR + streptavidin-APC mAbs. Cells were sorted with the FACStarplus equipped with an argon laser emitting at 488 nm and a Helium-neon laser emitting at 630 nm.

Monocytes were obtained from Ficoll-Hypaque-separated peripheral blood mononuclear cells (PBMC) of healthy volunteers, depleted of B and T lymphocytes using M-450 pan B/CD19 and M-450 pan T/CD2 Dynabeads (Dynal) at a 1:1 bead/cell ratio. The recovered population contained >80% CD14+ cells. MDDC were obtained by 5- to 7-day culture of monocytes with GM-CSF and IL-4 (Genzyme, Cambridge, MA) [18 ].

Naive T-helper cells were purified from cord blood obtained from the Obstetrics Unit of Hopital St. Vincent-de Paul, Paris. Briefly, cells were centrifuged on Ficoll-Hypaque, the interface was washed and incubated with a mixture of CD8, CD14, CD19, CD56, and CD45RO mAbs, and thereafter submitted to two rounds of anti-mouse Ig-coated magnetic beads as above. The resulting population consisted of 98% pure CD3+CD45RA+ cells.

Cell cultures and cytokines
Cells were cultured in RPMI-1640/10% fetal calf serum (FCS) supplemented with 2 mM glutamine, penicillin/streptomycin (all from GIBCO Life Technologies, Gaithersburg, MD). The cytokines used were as follows: stem cell factor (SCF), 50 ng/mL; IL-7, 20 ng/mL (Valbiotech, Paris); IL-3, 10 ng/mL; GM-CSF, 10 ng/mL; and IL-4, 200 IU/mL (Genzyme, Cambridge, MA). Human soluble trimeric CD40-ligand (CD40LT, 500 ng/mL) was a gift of E. K. Thomas (Immunex, Seattle, WA).

Giemsa staining
Cells in culture medium (105/mL) were spun for 4 min at 400 rpm. Slides (5 x 104 cells/slide) were stained with 1x May Grünwald (RAL, Bordeaux Technopolis, France) for 3 min, then in 0.5x Giemsa for 2 min, and finally in 0.1x Giemsa (RAL) for 20 min, washed in water, and dried.

Proliferation assays
For the mixed lymphocyte reaction (MLR), variable numbers of irradiated (22 Gy) DC were seeded in 96-well round-bottomed plates with 104 allogeneic T cells in 200 µL final volume. After 5 days of culture, 1 µCi of [3H]thymidine (Amersham, specific activity 25 Ci/mmol) was added for 15 h to the wells of triplicate tests. Results are expressed as mean counts per minute. For DC, sorted cells were cultured for 3 days at 105/mL in 200 µL final with IL-3, GM-CSF, or both as indicated, and thymidine was added as above. The proliferation of thymic DC in response to cytokines is shown as incorporation index (ratio of cpm with the cytokine/control cpm).

Cytokine assays
The production of the following cytokines by activated DC or by T cells was assayed by using enzyme-linked immunosorbent assay (ELISA) kits: interferon-{gamma} (IFN-{gamma}), IL-4, IL-10, IL-12, IL-13 (Diaclone, Biosystems), and IL-6 (R & D Systems, Abingdon, UK). Supernatants of DC cultured at 200 x 103/mL were collected 48 h after activation with CD40LT (500 ng/mL).

CD45RA+ cord blood T cells (106/mL) were cocultured with variable amounts of DC (1:2, 1:4, and 1:8 ratios) and restimulated for 24 h with a combination of 5 µg/mL CD28 (PharMingen) and CD3 (1/400 of a UCHT1 ascite) plastic-coated mAbs before supernatants were collected. T cells were also stimulated with mAbs alone or with MDDC. MDDC were irradiated and used as T cell stimulators at a 1:4 or 1:8 ratio. Each supernatant was assayed as pure and at 1/4 dilution in duplicate. Optical densities were read at 450 nm and plotted on a standard curve according to the manufacturer’s instructions.

Assay of type I IFN
A biological assay was performed as previously described [19 ]. Stocks of herpes simplex virus type I (HSV1) were prepared from supernatants of infected Vero cells with a titer of 2 x 107 plaque-forming units (PFU)/mL. Stocks of Sendai virus had 108 infectious doses/mL. PBMC from healthy donors negative for hepatitis B and C viruses, and for HTLV-1 and HIV, were used in induction experiments the same day. Freshly isolated PBMCs or DC were incubated at 37°C with virus (HSV-1 at 4 x 105 PFU/mL; or Sendai 5 x 105 infectious doses/mL); for 18 h in 0.5 mL of RPMI-1640/10% FCS. Supernatants from positive controls or from DC were serially diluted twofold in duplicate. Madin-Darby bovine kidney (MDBK) cells that respond poorly to human IFN-ß but are very sensitive to IFN-{alpha}, were incubated for 18 h with the supernatants in 96-well plates followed by infection with VSV. Cytopathic effects were scored under the microscope 18 h later. End-point titers represent dilutions that resulted in the destruction of 50% of the cells. A laboratory reference of human IFN-{alpha} that had been standardized at the National Institutes of Health (reference: Ga 023-902-530) was included in each titration experiment. IFN titers are expressed as international units per milliliter. A minimum IFN titer of 2 IU/mL was detectable in the assay.

Reverse transcriptase-polymerase chain reaction (RT-PCR) assays
RNA was isolated from sorted cells with the use of RNA+ solution (Bioprobe Systems, Montreuil, France) and reverse transcribed using a cDNA first-strand synthesis kit (Clontech, Palo Alto, CA). cDNA was amplified using actin primers as positive control, according to manufacturer’s conditions (Stratagene, La Jolla, CA) or using pT{alpha} primers as described [20 ]. The primers used are as follows: sense, 5’-GTCCAGCCCTACCCACAGGTGT; antisense, 5’-CGGGAATTCGACGTCCCTGGCTGTAGAAGCCTCTC.

Briefly, samples were amplified in a 25-µL reaction using supermix PCR buffer (GIBCO) and submitted to 5 mm heating at 94°C, 5 mm at 55°C, 3 mm at 72°C followed by 34 cycles of 45 min at 94°C, 1 mm at 55°C, and 3 mm at 72°C. Ten microliters of each reaction were run on a 1% agarose gel.


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Physical enrichment and purification of HLA-DR+ CD123+ lin- cells
Because DC are larger and lighter than lymphocytes, this property was used to enrich them from thymocyte suspensions [17 , 21 ]. In preliminary experiments, we performed discontinuous Percoll gradients and located most of the cells expressing surface HLA-DR or the Ii chain (CD74) on top of the 52% Percoll fraction, which contained typical round cells with numerous veils or dendrites under the microscope (data not shown). After sequential depletion of CD34+, CD3+, CD8+, and CD14, CD19, CD56-positive cells by immunomagnetic beads, these lin- cells were stained with HLA-DR and either CD123 or CD116 mAbs. Dot plots from double-stained cells, gated on large cells are shown in Figure 1 . In addition to the bulk double-negative cells (40–50% HLA-DR-/CD123-) we clearly identified two, roughly equal, populations, 20–30% each, CD123hi HLA-DR+ and HLA-DRhi. This picture matched to some extent that of the DC we have generated in vitro [10 ] from CD34 thymic progenitors, which were CD123+HLA-DR+ or CD123+HLA-DRhi, although the expression of IL-3R is brighter on cells separated from fresh thymocytes than from in vitro-differentiated DC (Fig. 1B) . Those, potentially DC, thymic populations were thus sorted according to CD123hiHLA-DR+ and CD123+/-HLA-DRhi criteria (Fig. 1A) . DC were cytospun and stained with Giemsa (Fig. 2 ). Each population looked homogeneous in shape and both shared similarities, although HLA-DR+CD123hi have a few vacuoles and granules in the cytoplasm and no typical dendrites, an eccentric convoluted nucleus, and a loose chromatin. In contrast HLA-DRhiCD123+/- cells have numerous large vacuoles in the cytoplasm, many dendrites, and their nucleus is more mature with a condensed chromatin. This suggests that CD123hi cells represent a less mature state of DC than HLA-DRhi cells. The latter cells were often associated on slides with thymocytes, some clearly apoptotic with fragmented nuclei (Fig. 2) . Lin- cells that were negative for CD123 and expressed the same HLA-DR level than CD123hi cells did not constitute a discrete population (Fig. 1A) . They were nevertheless sorted and stained as a control. As shown, HLA-DR+ CD123- cells are typical lymphocytes that probably escaped from magnetic bead selection (Fig. 2) . Upon reanalysis by immunostaining, it was found that those cells were immature CD1a+CD4-CD8- thymocytes or B lymphocytes (not shown). Overall, our data suggested that DC populations in the thymus were limited to the CD123hi and HLA-DRhi Lin- cells.



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Figure 1. Phenotype of low-density Lin- thymocytes. Thymocytes were depleted of CD34+ and of CD8+ cells, centrifuged on 52% Percoll, and depleted of CD3-, CD14-, CD19-, CD56-positive cells. Cells were stained with HLA-DR and CD123 mAbs. Two-color analysis of gated large cells by flow cytometry shows an HLA-DRhi CD123lo/- and an HLA-DR+ CD123hi population. (A) fresh Lin- thymocytes stained with HLA-DR and CD123 were sorted according to gated regions. (B) 10-day culture of thymic CD34+ cells in conditions known to generate DC [10 ] showing HLA-DR+CD123+ and HLA-DRhiCD123+ DC.

 


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Figure 2. Morphology of thymic dendritic cells. Fresh low-density Lin- thymocytes were sorted according to their HLA-DR+CD123hi and HLA-DRhi CD123+/- phenotype, cytospun on slides, and stained with May-Grünwald-Giemsa. Top: HLA-DRhi DC (R2 region on Fig. 1 ) associated with thymocytes, the one on the right is clearly apoptotic. Middle: CD123hi DC (R1 region Fig. 1 ) at high magnification. Down: aspect of Lin-CD123-HLA-DR+ thymocytes (cells with the same HLA-DR intensity than CD123hi DC were selected, R3 Fig. 1 ).

 
Phenotypic analysis confirmed the dendritic nature of Lin- HLA-DRhi cells and the immature state of Lin- CD123hi cells
Next, both populations were sorted and stained for membrane antigen expression and analyzed by flow cytometry. Thymic DC were enriched by magnetic bead depletion of cells positive for CD3, CD8, CD19, CD14, CD56, and CD34. These DC-enriched cells were stained with CD123 and HLA-DR mAbs, sorted, and restained immediately. In other experiments, DC from the light-density fraction, previously depleted of CD3+ and CD34+ cells, were directly sorted by using three-color staining: HLA-DR-APC, CD123-PE, and a mixture of FITC-CD8, CD14, CD19, and CD56 mAbs.

As shown in Figure 3 , Lin- HLA-DRhi cells are highly enriched in DC according to their E-cadherinhi CLA+ CD4lo/+ CD40hi, and CD80+ CD83+ CD86+ phenotype, which suggested that they were mature/activated cells. They were CD2-/+ CD7- CD5-/+ as expected from in vivo-separated DC, they express little or no CD1a. They expressed myeloid markers CD33 and CD44 and they were CD11b+ CD11clo/+ but CD36-. They were homogenously CD116+ and CD123-/+ with the CD123hi fraction accounting for 5% (ranging from 3 to 28%, depending on the thymus, mean 8.5 ± 7% on 12 different samples). Finally, all cells strongly expressed CD38. The phenotype of the lin-HLA-DR+ cells was next examined.



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Figure 3. Phenotypic analysis of thymic DC. Low-density Lin- thymocytes were stained with CD123-PE and HLA-DR-APC in order to sort HLA-DR+ and HLA-DRhi cells, which were thereafter stained with unconjugated + GAM-FITC, FITC-conjugated, or PE-conjugated mAbs. Each histogram is representative of 5–12 thymuses.

 
This population was highly enriched in immature DC according to their E-cadherinhi CLA+ CD83-/lo, CD80-, and CD86- phenotype. All cells expressed CD38, CD40, CD45RA, and CD116. The double-staining profile (Fig. 4 ) using CD123 vs. other markers showed that CD123hi cells were CD36- and CD44-positive, did not express myeloid markers CD11c and CD33, were CD4+ CD1a-, 70% of CD123hi cells expressed CD2, and half of them expressed CD7 and CD5. Thus, compared with HLA-DRhi DC, CD123hi cells expressed CD36, more intensely lymphoid antigens, and less or no activation/differentiation and myeloid antigens.



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Figure 4. Profile of CD123hi DC as shown by double staining of thymic Lin- fraction.

 
Functional studies suggest that HLA-DR+CD123hi cells are immature DC
The following data confirmed that CD123hi cells are immature DC. As shown in Figure 5 , a few CD123hi cells could still respond to IL-3, to GM-CSF, or to both, as evidenced by a two- to threefold increment in thymidine incorporation. By contrast, mature HLA-DRhi DC failed to respond to these cytokines, suggesting that they were terminally differentiated.



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Figure 5. CD123hi cells respond better to cytokines than CD123lo cells but are less efficient at inducing allogeneic T cell proliferation. Top: CD123hi and HLA-DRhi sorted cells (104/100 µl) were cultured in 96-well plates in triplicate with IL-3, GM-CSF, or both, and thymidine incorporation was measured at day 3. Data show incorporation index (stimulated/unstimulated) P < 0.10. Bottom: purified cord blood CD4+CD45-RA+ cells were cultured (104/well) in triplicate with graded amounts of in vitro sorted irradiated (2200 rad) CD123hi or HLA-DRhi cells, or with irradiated allogeneic PBMC as controls. Difference between CD123hi and HLA-DRhi DC: P = 0.10. Difference between CD123hi or HLA-DRhi DC versus PBL: P < 0.01. Thymidine incorporation was measured at day 5. Data are representative of four experiments.

 
Both subsets induced allogeneic MLR of naive T cells, mature DC being slightly more efficient than CD123hi cells (P = 0.10) but both populations were much more efficient than allogeneic PBMC in this respect (P < 0.01) as calculated from four experiments.

CD123hi cells were cultured for 2 days in IL-3 or GM-CSF or both, and no differences were observed depending on the cytokine used (data not shown). However, when CD40LT was added to cytokines in the culture, for 48 h, cells displayed upgraded HLA-DR expression while slightly downgrading CD123, and they became CD83+, CD80+, and CD86+ (Fig. 6 ).



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Figure 6. CD123hi cells acquire maturation/activation antigens in vitro. Sorted cells were cultured with IL-3 and GM-CSF with (open histograms) or without CD40LT (solid histograms) for 48 h, and they were then stained with FITC-conjugated mAbs. Data are representative of three experiments.

 
CD123hi DC from the thymus or the blood, but not mature DC, express pT{alpha} mRNA
The presence of pT{alpha} transcripts has been reported in CD123hi tonsilar DC [22 ] and more recently in thymic committed DC precursors [20 ]. In our samples (Fig. 7 ), specific amplification of pT{alpha} cDNA by RT-PCR shows that it is expressed in CD34+ thymic progenitors, higher levels being found in the CD1a+ fraction than in the CD1a- fraction. Most importantly, pT{alpha} is present in CD123hi cells but not on mature thymic DC (HLA-DRhi) or on myeloid (HLA-DRhi, CD11chi, Lin-) DC from peripheral blood. By contrast we could not detect pT{alpha} mRNA in mature DC from either the thymus or the blood. We also looked for pT{alpha} in DC generated from thymic CD34+ progenitors, cultured as described with a combination of SCF + IL-7 + GM-CSF + tumor necrosis factor {alpha} (TNF-{alpha}), which proved to be the most efficient in generating DC [10 ] and took samples at various times (not shown). Figure 7 shows that HLA-DRhiCD1ahi DC sorted at day 21 did not contain pT{alpha} mRNA. The implications of these findings are discussed below, however, the results clearly link immature thymic DC to the lymphoid lineage.



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Figure 7. Thymic and blood CD123hi cells express pT{alpha} mRNA. mRNA from total thymocytes (thy) and sorted thymic fractions: CD34+1a-, CD34+1a+, dendritic CD123hiHLADR+ (CD123hi), dendritic CD123-HLADRhi (HLADRhi), or from blood fractions: CD123-CD11chi (CD11chi) or CD123hiCD11c- (CD123hi), was reverse transcribed and amplified for either human actin gene or pT{alpha} DC were also generated from CD34+ thymic progenitors and tested (DCin vitro).

 
Immature and mature thymic DC do not produce type I IFN significantly upon activation by viruses
Immature CD123hi thymic DC share several immunological markers with plasmacytoid DC precursors and they were therefore assessed for the production of type I interferon, the high titer of which is a unique feature of this subset. Actually plasmacytoid DC produce very high IFN levels upon viral infection [23 , 24 ] and low IFN titers upon CD40L stimulation [23 ]. Mature HLA-DRhi and immature CD123hi DC were therefore sorted and cultured with IL-3 or GM-CSF for 48 h before being infected with either Sendai or HSV-1. Supernatants were collected after 18 h, and serial dilutions were assayed for the capacity to protect a cell line against the cytopathic effect of VSV. This plaque reduction assay is very sensitive to IFN-{alpha} and to a lesser extent to IFN-ß. PBMC infected with either HSV-1 or Sendai produced significant amounts of IFN-{alpha} (Table 1 ). This production was found despite the fact that only a minor subset of PBMC is able to produce IFN, which suggests that it should be very potent in this respect. In contrast, we clearly failed to detect any IFN activity in supernatants from various thymic DC (Lin- fraction, sorted CD123hi, or HLA-DRhi) after viral infection (Table 1) . Neither supernatants from control MDDC or from thymus CD34+-progenitor-derived DC contained IFN (Table 1) . This negative result shows that although immature thymic DC and plasmacytoid pre DC are both CD123hi, they are functionally distinct.


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Table 1. Production of Type I Interferon by Thymic DC

 
Thymic DC showed a cytokine profile similar to that of thymic CD1a+-precursor-derived DC and of peripheral monocytoid DC but did not induce the polarization of naive T cells into TH1 or TH2 cells
Mature HLA-DRhi DC and immature CD123hi DC were sorted, activated with CD40LT, and analyzed within 48 h for the production of cytokines. CD1a+ precursor-derived thymic DC [10 ] peripheral blood CD123hi DC, and MDDC were also activated with CD40LT and used as controls. Nonactivated sorted DC failed to produce detectable cytokines after 48 h culture with IL-3 or GM-CSF (not shown). All activated subsets produced IL-12 and IL-6, although MDDC produced two- to fourfold more cytokines than thymic DC (Fig. 8 ). Monocytic DC produced IL-10 as reported, whereas neither thymic DC nor CD1a-derived DC produced IL-10. IL-4 was detected in neither thymic nor MDDC, whereas it was detected in control B cells activated with CD40LT (Fig. 8) . By contrast, thymic DC produced IL-13 in two out of three experiments (Fig. 8) .



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Figure 8. Cytokine secretion by thymic HLA-DRhi, thymic (T) or blood (B) CD123hi, CD1a+ progenitor-derived thymic DC and MDDC after 48 h CD40L activation (pg/106 cells/mL). Each symbol represents an independent experiment from a different thymus (3–5 samples/population).

 
Thymic DC did not produce IL-10 and they produced less IL-12 and IL-6 than monocytic DC. This profile, however, does not suggest a DC2 subtype, inasmuch as DC2 did not produce IL-12, IL-10, or IL-4 [16 ]. Our results show that peripheral CD123hi DC produced no detectable cytokines but IL-13 in two experiments. Together with the above surface antigen phenotype, it suggests that thymic and blood CD123hi DC belong to the same lineage.

We next examined the nature of the primary T cell response induced by thymic DC and control blood DC on naive T cells. Purified CD4+CD45RA+ umbilical cord blood T cells were cocultured for 6 days with variable amounts of CD40LT-activated thymic DC (T cells/DC: 2, 4, and 8). Cultured T cells were then restimulated for 24 h on plates precoated with anti-CD3 and anti-CD28 mAbs. T cells stimulated with antibodies alone produce low amounts of IFN-{gamma} and IL-10. T cells stimulated by thymic DC produced twice as much IL-10 (range 337 to 1425 pg/mL) than IFN-{gamma} (range 92 to 918 ng/mL), no detectable IL-4, but in two experiments out of three, greater than 100 pg/mL of IL-13 were detected (Table 2 ). When we compared the effect of mature and immature thymic DC on naive T cells, no striking difference for the induction of IL-10, IL-4, and IL-13 was observed; however, twice as much IFN-{gamma} was produced by T cells activated with HLA-DRhi cells than with those activated with CD123hi DC (0.1 < P < 0.05).


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Table 2. Cytokine Production by CD45-RA+ Umbilical Cord Blood T Cells After Coculture with Thymic or Peripheral DC

 
In conclusion, the cytokine production of activated thymic DC was close to that of thymic CD1a+ progenitor-derived DC (lack of IL-10 and comparable levels of IL-6 and IL-12) but differed from that of MDDC. This cytokine profile, however, did not clearly shift the balance toward a TH1 or a TH2 response as indicated by the combined presence of IFN-{gamma} and IL-10 in the supernatants.


    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
On the basis of CD123 and HLA-DR staining, we describe herein a new immature lymphoid DC population in the human thymus in addition to the typical mature population already reported by several authors [17 , 21 , 25 ]. This population is unable to differentiate into T cells as demonstrated recently [20 ], contrary to the CD4+CD1a+ immature single-positive population [20 and our unpublished data]. Most CD123hi DC are immature, although in some thymuses CD123hiHLA-DRhi DC represented up to 25% of those cells. This population has no CD11c and CD33 myeloid markers and 50–70% express lymphoid markers. These features together with the expression of pT{alpha} transcripts strongly suggest that they originate from lymphoid-committed CD34+ progenitors. By contrast, mature DC seem mostly myeloid owing to the expression of CD11c and CD33 and the lack of CD2, CD5, and CD7. Both populations show weak expression of CD11b as expected from fresh DC at variance with blood monocytes [26 ]. Recently, several markers have been reported that may help discriminate subsets of human DC [26 , 27 ]. These include receptors for growth/differentiation factors of DC such as IL-3 and GM-CSF [28 29 30 ], molecules involved in adhesion to epithelial cells such as E-cadherin and CLA [26 ], and molecules of unknown function such as CD83 [31 ]. It was therefore necessary to reassess the status of thymic DC in light of such new markers. Until now DC have been characterized as HLA-DR+Lin- [17 , 21 , 25 ]. The authors took advantage of CD2 expression on all thymocytes, including the earliest CD34+ progenitors [7 ] to deplete CD2+ cells [17 , 25 ]. Our results point to the fact that this method may eliminate some 50% of DC, especially among the immature subset. It is also not conceivable from our data to use CD7, and to a lesser extent, CD5 mAbs to enrich thymocytes into DC. In keeping with others [26 ], we found no CD8{alpha} on DC; this feature of human DC is therefore of help to eliminate most thymocytes in combination with CD3 mAb. Finally, focusing only on the brightest HLA-DR+ thymocytes would miss the CD123hi subset that express intermediate levels of HLA-DR.

To which lineage do thymic DC belong? The unique solid evidence until now that CD123hi DC belong to the lymphoid lineage is their expression of pT{alpha} mRNA at variance with mature DC. However, this does not imply that all thymic mature DC are myeloid because it was shown that activated DC lose pT{alpha} upon maturation in vitro [20 ]. Thus mature thymic DC may be a mixture of lymphoid and myeloid DC, the latter originating from in situ-differentiating monocytes or from DC migrating from the periphery. Our failure to obtain pT{alpha}+ cells in vitro from CD34+ thymic progenitors in conditions that generated CD1a+-derived DC [10 ] probably reflects inappropriate in vitro-differentiating conditions. Alternatively, the earliest steps of DC maturation might have been bypassed in vitro so that pT{alpha} is lost before it could be detected, although it could not be detected in CD123+ cells sorted as early as day 4 (not shown).

The unique expression of CD123, CD36, and other antigens makes this population distinct from MDDC and similar to the plasmacytoid/monocytoid DC already described in the periphery [16 , 23 , 28 ], albeit with a few differences. CD116 expression was reported in one article to be lower on tonsillar DC [16 ] than on our thymic DC, and GM-CSF failed to induce the maturation of blood lymphoid DC [23 ]. This does not contradict our results because thymic lymphoid DC needed GM-CSF + CD40 LT to undergo maturation. Both thymic DC had the same level of CD116 but only the immature subset proliferated slightly to GM-CSF. Overall, thymic lymphoid DC did not depend on IL-3 for survival, contrary to their peripheral counterpart. Together with the lack of production of IFN, this may reflect the influence of distinct microenvironments on these cells.

Although lymphoid DC have important functions in peripheral lymphoid organs [23 , 24 ], their role in inducing central tolerance within the thymus could not be inferred from their phenotype and their cytokine production profile. The lack of IL-10 production and the expression of E-cadherin would link thymic lymphoid DC to the CD1a+ differentiation pathway [32 ]. Of note, although myeloid DC in mice are DC2 cells inducing a TH2 response [15 ], the opposite was reported in humans in whom monocytic DC induce a TH1 response [16 ]. By contrast the only described human DC2 lineage is the plasmacytoid one, which induced a strict TH2 response in one report [16 ] but not in another [23 ]. Our thymic population was clearly unable to induce the polarization of naive cord blood T helper cells. In this respect, thymic DC either generated in vitro or extracted from tissue would have intermediate properties between DC1 and DC2. Therefore cytokine production may not be relevant with the deletion of self-reactive thymocytes. Finally, the relevance of IL-3 and GM-CSF on DC survival is suggested from their production in situ by thymic epithelial cells [33 , 34 ]. Together with CD40L+ thymocytes, these cytokines should induce the terminal maturation of DC into cells expressing costimulatory receptors and high amounts of HLA-DR in order to perform closer interactions with thymocytes [35 ] and ultimately lead to apoptosis of self-reactive cells [2 ]. This is supported by the fact that we could only detect apoptotic thymocytes in association with mature DC but not immature ones. It is also likely that DC-thymocyte interactions lead to the apoptosis of DC as observed in lymph nodes [36 ]. DC homeostasis would then be maintained through a continuous maturation from CD34+ progenitors in the thymus.


    ACKNOWLEDGEMENTS
 
This work was supported by grants from the Association de Recherche Contre le Cancer to A. Dalloul and J. C. Gluckman. H. Fohrer is supported by a Ph.D. scholarship from the French Ministère de l’Education Nationale, de la Recherche et de la Technologie. We thank Pr. Leca and her staff (Hopital Necker) for providing thymuses, Dr. E. K. Thomas (Immunex, Seattle, WA) for the gift of CD40LT, and M. Yagello, S. Camus, P. Bonnemye, and Pr. H. Merle-Béral for technical help.


    FOOTNOTES
 
Christian Schmitt and Hélène Fohrer contributed equally to this work.

Received February 28, 2000; revised July 2, 2000; accepted July 5, 2000.


    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 

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