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(Journal of Leukocyte Biology. 2001;69:149-157.)
© 2001 by Society for Leukocyte Biology

Autocrine action of IL-10 suppresses proinflammatory mediators and inflammation in the HSV-1-infected cornea

Xiao-Tian Yan, Minsheng Zhuang, John E. Oakes and Robert N. Lausch

Department of Microbiology and Immunology, School of Medicine, University of South Alabama, Mobile, Alabama

Correspondence: Dr. Robert N. Lausch, Department of Microbiology and Immunology, College of Medicine, University of South Alabama, Mobile, AL 36688. E-mail: rlausch{at}jaguer1.usouthal.edu


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ABSTRACT
 
We investigated whether IL-10 produced endogenously would influence the development of HSV-1-induced acute corneal disease. Murine corneal epithelial cells and fibroblasts cultured in vitro expressed IL-10 mRNA and protein constitutively and also IL-10 receptors. Inclusion of IL-10 neutralizing antibody in the culture medium significantly (p<0.05) enhanced TNF-{alpha}-induced IL-6 and MIP-2 production by both corneal cell types. Endogenous IL-10 synthesis, which also occurred in vivo, was not modulated by Herpes virus infection or by depletion of neutrophils or natural killer cells. Antibody to IL-10 given locally at the time of HSV-1 intracorneal infection was associated with significantly (p<0.05) enhanced production of IL-6, MIP-2, and MIP-1{alpha}, increased neutrophil infiltration, and more extensive corneal disease. Similarly, mice with a disrupted IL-10 gene developed more severe corneal disease than wild-type controls. Collectively, these observations suggest that locally produced IL-10 can act in an autocrine/paracrine fashion to down-regulate the production of proinflammatory mediators and thus limit corneal inflammation.

Key Words: cytokines • chemokines • IL-10 knockout mice • IL-10 receptor • corneal fibroblasts • corneal epithelial cells


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INTRODUCTION
 
Herpes simplex virus type 1 (HSV-1) infection of the murine cornea elicits a vigorous host response. Neutrophils are the predominant cell type initially migrating to the infection site [1 ]. Their recruitment and activation involve the coordinated expression of vascular adhesion molecules and the establishment of chemotactic gradients [2 , 3 ]. Recent studies in our laboratory have shown that antibody neutralization of macrophage inflammatory protein-2 (MIP-2) resulted in significant reduction in ocular inflammation and neutrophil influx, demonstrating a critical role for MIP-2 in this virus-infection model [4 ]. Additional studies showed that MIP-2 was detected readily by 6 h postinfection, peaked at day 2, and then decreased by day 3. The rapid reduction in MIP-2 expression suggested that anti-inflammatory factors were attempting to restore normal cornea homeostasis. Interleukin (IL)-10 constitutes a potential candidate as an anti-inflammatory regulator [5 ]. This pleiotropic cytokine has potent anti-inflammatory activity in vivo [6 7 8 9 ]. Moreover, we and others have shown previously that exogenous IL-10, given systemically and/or locally, reduced the severity of HSV-1-induced corneal disease significantly [10 11 12 ]. Analysis of the protective mechanism revealed that IL-10 inhibited mRNA and protein synthesis of proinflammatory mediators including MIP-2 and MIP-la and reduced the migration of neutrophils and CD4+ T cells into the virus-infected cornea [11 ].

The presence of endogenous IL-10 mRNA and protein in the HSV-1-infected cornea has been noted in several studies [13 14 15 ]. However, which cells are producing this cytokine and whether IL-10 helps to regulate the host response in this ocular tissue have not been investigated. The present study was undertaken to test experimentally our hypothesis that endogenous IL-10 is produced by resident corneal cells and participates in an autocrine/paracrine regulatory network to down-regulate corneal inflammation. For these studies, the intracorneal route of infection was chosen because this route elicited a more robust acute-inflammatory response than topical infection.


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MATERIALS AND METHODS
 
Animal
Four-week-old female Balb/c mice were obtained from Charles River Breeding Laboratories (Wilmington, MA). IL-10 knockout mice (IL-10-/-) and their wild-type (WT) C57BL/6 counterparts were obtained from The Jackson Laboratory (Bar Harbor, ME). The C57BL/6 background in the mutant mice was established via 10 backcrosses. All animals were 5–7 weeks old when used. The mice were housed in plastic cages in a room with a 12-h light, 12-h dark cycle. Corneal opacity was graded in a coded fashion as previously described [1 ].

Antibodies and reagents
Hamster immunoglobulin G (IgG) monoclonal antibodies (mAbs) to mouse IL-1{alpha} and IL-1ß were obtained from Genzyme (Cambridge, MA). Rat antimurine IL-4 and IL-13 antibodies, murine recombinant interferon-{gamma} (rIFN-{gamma}), and biotinylated recombinant IL-10 were purchased from R&D Systems (Minneapolis, MN). Rabbit antiasialo antibody was obtained from Wako Bio-Products (Richmond, VA). Dibutyryl cyclic AMP (Bt2 cAMP) and recombinant murine tumor necrosis factor {alpha} (TNF-{alpha}) were purchased from Sigma Chemical Co. (St. Louis, MO) and Endogen Inc. (Woburn, MA), respectively. Rat IgG1 antimurine IL-10 and rat IgG2bRB6-8C5 mAb were prepared as previously described [1 , 10 ].

Intracorneal and subconjunctival inoculations
Intracorneal infection was accomplished by first puncturing the corneal epithelium wall with a 30-gauge disposable needle. A 30 cm, 32-gauge, stainless-steel needle attached to a Hamilton dispenser (Hamilton, Reno, NV) was then threaded into the corneal stroma, and 1 µl solution containing the desired inoculum of HSV-1 strain RE was injected. In some experiments, the 1 µl inoculum contained a 50:50 mixture of virus and anticytokine antibody. Subconjunctival antibody injections (5 µl) were performed by using a 32-gauge needle to penetrate the perivascular region of the conjunctiva. The amount of the specific anticytokine antibody administered on the basis of in vitro assay was sufficient to neutralize 40 ng IL-10, 75 ng IL-4, or 25 ng IL-13.

Preparation of corneal fibroblast cultures
Corneal fibroblast cultures were prepared as described previously [16 ]. Briefly, normal corneas removed from Balb/c mice were minced into small pieces and digested 30–45 min with 300 U/ml of collagenase C-1 889 (Sigma) in a 37°C water bath. Dulbecco’s modified Eagle’s medium (DMEM; Life Technologies, Grand Island, NY), supplemented with 20% fetal bovine serum (FBS), 2.5% sodium bicarbonate, 10 mM HEPES buffer solution, and antibiotics, was added after digestion, and the digested tissue was centrifuged for 5 min at 1000 rpm (250 g). The supernatant was discarded, and the pellet was placed into a 25 cm2 flask with very little (~100 µl) medium. At 24 h and again at 48 h, additional medium (80 µl) was added. At 72 h, 5 ml DMEM with 20% FBS was added, and the tissue cultures were incubated for 4 days in 5% CO2 at 37°C. The cultures were then trypsinized and passed to 75 cm2 flasks.

Corneal epithelial cell preparations
Corneal epithelial cells were prepared as previously described [16 ]. Corneal buttons trimmed to 2 mm were incubated at 37°C in phosphate-buffered saline (PBS) containing 5 mM tetrasodium ethylenediaminetetraacetate dihydrate (EDTA). After 20 min incubation, the epithelial cell layer was separated from the adjacent corneal tissue by gentle teasing with forceps. The epithelial sheets were used intact or incubated with 0.25% trypsin-EDTA (Life Technologies) at 37°C for 10 min. The trypsin-treated epithelial sheets were passed gently through a 25-gauge needle three times. The cell suspension was washed, counted, and resuspended with serum-free RPMI 1640. Viability of the cells was greater than 95%, as determined by staining with trypan blue.

Stimulation of corneal epithelial cells and fibroblasts in vitro
Corneal epithelial sheets (three/tube) and corneal fibroblasts (1x105 cells/well) were incubated with 500 µl DMEM [American Type Culture Collection (ATCC), Rockville, MD], supplemented with 20% FBS and antibiotic-antimycotic (Gibco BRL, Grand Island, NY). In selected experiments, the two corneal cell types were incubated with antibody to IL-10, control IgG (10 µg/ml), or the desired inducer [TNF-{alpha}, Bt2 cAMP, lipopolysaccharide (LPS), or IFN-{gamma}] in 500 µl DMEM with 5% FBS and antibiotic-antimycotic solution at 37°C under 5% CO2. After incubation for 24–72 h, the culture medium was removed and assayed for the desired chemokines and cytokines by enzyme-linked immunosorbent assay (ELISA).

FACS analysis for IL-10R on murine corneal epithelial cells and fibroblasts
FlurokineTM kits were purchased from R&D Systems and used according to the manufacturer’s instructions. Test cells (1x105/ml) prepared as described above were resuspended in 25 µl PBS. Biotinylated recombinant human (rh)IL-10 (10 µl) was added, gently mixed, and incubated on ice for 60 min. Cells were washed twice and resuspended in 25 µl FlurokineTM buffer. Avidin-fluorescein isothiocyanate (FITC) reagent (10 µl) was added to each tube, followed by incubation in the dark at 4°C for 30 min. Then the cells were washed twice and resuspended in 400 µl FlurokineTM buffer. Receptor expression was determined by flow cytometric analysis using 488 nm wavelength laser excitation (Becton Dickinson, Mountain View, CA).

Analysis of mRNA for IL-10 and IL-10R by reverse transcription-polymerase chain reaction (RT-PCR)
To detect mRNA for IL-10 and IL-10R in corneal cells, RT-PCR was carried out as described previously [17 ]. Briefly, total cellular RNA was obtained by the acid guanidinium thiocyanate- phenol-chloroform extraction method. The RNA was fractioned on a 1.0% agarose gel that contained 2.2 M formaldehyde and then was stained with 1 µg/ml ethidium bromide to test that RNA spectrophotometric measurements were accurate and that the RNA had not been degraded. The PCR primers used were as follows: mIL-10 primers: (forward) 5'CCC TGG GTG AGA AGC TGA AG; (reverse) 5'GGA AGA ACC CCT CCC ATC AT; and mIL-10 R primers: (forward) 5'AGG CAG AGG CAG CAG GCC CAG CAG ATT GCT; (reverse) 5'TGG AGC CTG GCT AGC TGG TCA CAG TAG GTC. RNA (1 µg) was reverse-transcribed to cDNA by using a GeneAmp RNA PCR kit (Perkin-Elmer, Norwalk, CT). The cDNA products were amplified by PCR (40 or 45 cycles for IL-10R or IL-10; 95°C for 30 sec, 65°C or 58°C for 30 sec, and 72°C for 2 min). Preliminary experiments established that the cycles run were within the exponential amplification phase for each product. The identity of the PCR products was verified by sequencing. RT-PCR of the glyceradehyde-3-phosphate dehydrogenase gene (GAPD) was performed under the same conditions described above to confirm equal loading of RNA. Ethidium bromide-stained PCR products were photographed and analyzed using image analysis software (Adobe Systems, San Jose, CA).

Chemokine and cytokine assays
MIP-2, MIP-1{alpha}, and IL-6 protein levels were determined using ELISA kits purchased from R&D Systems, and IL-10 and IL-1{alpha} proteins were determined using ELISA kits from Endogen Inc. To test for chemokines and cytokines in HSV-1-infected tissue, corneas were removed from infected mice at the designated times after infection. The corneas were placed individually in 500 µl, serum-free RPMI 1640 medium and stored at -70°C until assayed. Samples were thawed, homogenized using a Wheaton Overhead Stirrer, sonicated for 30 s, and clarified by centrifugation at 150 g for 10 min. The clarified corneal lysates were then assayed via ELISA.

Myeloperoxidase (MPO) assay
MPO, a marker for neutrophils, was detected according to the method of Bradley et al. [18 ], as previously described.

Histological examination
Immunohistochemical staining was performed using a slight modification of the procedure of Hendricks et al. [19 ]. Six micron sections were cut at -20°C with a microtome cryostat (Carl Zeiss, Inc., Microscope Division, Thornwood, NY) and placed on polylysine hydrobromide-precoated slides (Polysciences Inc., Warrington, PA). After blocking with normal goat serum, 50 µl appropriately diluted, primarily antibody was added and incubated overnight at 4°C in a moist chamber. The sections were then stained using the streptavidin-biotin complex (S-ABC) immunoperoxidase-staining procedure (Zymed Laboratories, South San Francisco, CA) [1 ]. Finally, the slides were washed in distilled water, counterstained with Mayer’s hematoxylin, covered with a glass coverslip, and examined under light microscopy. Pictures were taken via camera-enhanced Olympus BX50 light microscopy (Olympus Optical Co., Tokyo, Japan).

Neutrophil and natural killer (NK) cell depletion in vivo
Neutrophil and NK cell depletions were performed as previously described [1 , 20 ]. Briefly, mice were given 0.5 mg purified RB6-8C5 mAb intraperitoneally (i.p.) 5 h before HSV-1 infection. To deplete NK cells, 0.8 mg rabbit asialo GM1 antiserum was given i.p. 1 day before virus infection.


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RESULTS
 
Constitutive expression of IL-10 mRNA and protein by murine corneal epithelial cells and fibroblasts
Initially, we investigated whether Balb/c corneal epithelial cells and fibroblasts could produce IL-10. To test for constitutive IL-10, protein production culture supernatants overlaying the two cell types were collected at daily intervals for 3 days and assayed by ELISA. Figure 1 shows that increasing amounts of IL-10 were detected over time and that the levels of cytokine secreted by epithelial cells were very similar to those released by fibroblasts. To confirm this finding, the cells were harvested, and total RNA was extracted and assayed for the presence of IL-10 mRNA by RT-PCR. Message was detected in both cell types at time 0 (Fig. 2 ), did not increase as incubation progressed, and was not enhanced by the addition of TNF-{alpha} (5 ng/ml; unpublished results). When studies were conducted with excised mouse corneal buttons instead of isolated cells, 30–80 pg IL-10 were detected per button. Exposure of this ocular tissue to varying doses of TNF-{alpha} (0.1–5 ng), LPS (0.1–100 ng/ml), IFN-{gamma} (5–500 U/ml), or Bt2 cAMP (0.1–1.0 mM) did not enhance IL-10 synthesis significantly. We conclude that IL-10 is made constitutively by corneal epithelial cells and fibroblasts and that synthesis is not up-regulated by well-established biological inducers.



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Figure 1. Constitutive secretion of IL-10 protein by resident corneal cells. Epithelial cells and fibroblasts (lx105 cells/well) were incubated in DMEM supplemented with 20% FBS. At the indicated times, aliquots of culture supernatants were collected and assayed for IL-10 by ELISA. The bars show the mean ± SE of three cultures at each time point.



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Figure 2. Constitutive expression of mRNA for IL-10 and IL-10R in murine corneal epithelial cells and fibroblasts. Murine corneal epithelial cells and fibroblasts were incubated in medium with 20% FBS. At desired incubation times, total RNA was extracted. mRNA levels for IL-10, IL-10R, and GAPD were determined as described in Materials and Methods. The numbers in the brackets indicate the PCR cycles run.

IL-10 receptor expression on the surface of corneal cells
Previous studies in our laboratory have shown that addition of IL-10 to excised corneal buttons reduced IL-1{alpha}-induced synthesis of MIP-2 and IL-6 markedly [10 , 11 ]. This suggested that at least certain resident corneal cells expressed functional IL-10 receptors (IL-10Rs). To investigate this hypothesis, first we tested whether isolated epithelial cells or cultured corneal fibroblasts expressed IL-10R mRNA. Figure 2 shows that message was detected in both cell types. Expression of IL-10Rs on the cell surface was evaluated via fluorescein-activated cell sorter (FACS) analysis. It was found that epithelial cells and fibroblasts stained positively when incubated with biotinylated IL-10 (Fig. 3 ). Addition of unlabeled IL-10 but not an irrelevant protein reduced the fluorescence intensity substantially (unpublished results). Collectively, these results indicated that both cell types expressed IL-10Rs on their surface. The relatively narrow pattern of fluorescence intensity seen with fibroblasts contrasted with the broader staining pattern displayed by epithelial cells and suggests that receptor expression on fibroblasts is more uniform than that on epithelial cells. Alternatively, the fibroblast phenotype may have been selected during in vitro culturing.



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Figure 3. Expression of IL-10 receptors on normal murine cornea epithelial cells and fibroblasts. Epithelial sheets were mechanically peeled off from normal Balb/c mouse corneas, and a single cell suspension was prepared. Corneal fibroblasts were grown in vitro, and a single cell suspension was prepared. The expression of IL-10 receptors was detected by FACS using biotinylated IL-10 (–-). Biotinylated soybean trypsin inhibitor served as the negative control (—).

Evidence for autocrine/paracrine effect of IL-10 on corneal cell production of MIP-2 and IL-6
The foregoing studies indicated that corneal epithelial cells and fibroblasts expressed IL-10 and IL-10Rs. This raised the possibility that endogenously produced IL-10 may participate in regulating corneal cell production of proinflammatory mediators. Therefore, we investigated whether addition of neutralizing antibody specific for IL-10 would influence TNF-{alpha} induction of MIP-2 and IL-6. Figure 4 shows that antibody treatment resulted in 2.4- and 3.2-fold increases in MIP-2 production by corneal epithelial cells and fibroblasts, respectively, and IL-6 levels were enhanced by 2.9- and 2.3-fold. In contrast, addition of neutralizing antibody to IL-4 (10 µg/ml) was without effect (unpublished results). These results suggest that endogenous IL-10 acts in an autocrine/paracrine manner to down-regulate MIP-2 and IL-6 production by resident corneal cells.



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Figure 4. Effect of antibody neutralization of endogenous IL-10 on the expression of IL-6 and MIP-2 by cultured corneal epithelial cells and fibroblasts. Neutralizing antibody to IL-10 (10 µg/ml) or control IgG was added to washed cultures. Two hours later, cell cultures were exposed to rTNF-{alpha} (50 pg/ml). Culture supernatants were collected 24 h later and assayed for IL-6 and MIP-2 via ELISA. The bars show the mean ± SE of three cultures in each group. *Significantly (p<0.05) different from the IgG-treated controls.

IL-10 expression in the normal and HSV-1-infected murine cornea
Next, we investigated whether IL-10 could be detected in vivo before or after intracorneal infection with HSV-1. Figure 5 shows that IL-10 was produced constitutively in the normal cornea. It is interesting that intracorneal infection with HSV-1 at concentrations as high as 105 plaque-forming units (PFU)/cornea did not increase the IL-10 levels significantly in assays performed 6 h postinfection, whereas IL-1{alpha} production was elevated in a dose-response way. Additional studies performed 1, 2, 3, or 5 days after a 104 PFU/cornea challenge dose revealed that IL-10 corneal levels were not elevated significantly above preinfection levels (unpublished results).



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Figure 5. IL-10 and IL-1{alpha} expression in the normal and HSV-1-infected cornea. Balb/c mice were infected intracorneally with the indicated dose of HSV-1. Six hours later, corneas were removed, and individually prepared lysates were assayed for IL-10 and IL-1{alpha} via ELISA. The bars show the mean ± SE of four corneas. *Significantly (p<0.001) different from uninfected corneas.

The stable IL-10 expression suggested that polymorphonuclear neutrophil (PMN) and NK cells, which migrated rapidly into the virus-infected cornea, did not contribute to IL-10 production. To test this hypothesis, leukocyte depletion experiments were performed. Animals treated with RB6-8C5 antibody displayed a >95% reduction in MPO levels, establishing that there was efficient depletion of neutrophils. Treatment with antiasialo GM1 antibody reduced IFN-{gamma} expression by 80% (p<0.05), demonstrating that NK cells were reduced significantly [4 ]. We found that a reduction in either cell type failed to affect IL-10 corneal levels significantly when animals were examined 2 days after 104 PFU intracorneal challenge. Collectively, these results indicate that IL-10 is produced constitutively in the normal cornea and is not or is only marginally elevated after virus infection. Furthermore, resident epithelial cells and fibroblasts appear to be the principal cells producing this cytokine, at least during the first 2 days after infection.

Antibody neutralization of endogenous IL-10 enhances ocular inflammation
To determine whether endogenous IL-10 influenced corneal inflammation, neutralizing antibody was admixed with the virus inoculum (103 PFU/cornea). Simultaneously, additional antibody was given subconjunctivally. After infection (24 h), the mean corneal opacity score for the six anti-IL-10-treated mice (1.3±0.2) was significantly higher (p<0.05) than that observed in the IgG-treated control hosts (0.5±0.1). Histologically, the architecture of the control IgG-treated corneas was intact (Fig. 6A ). Modest numbers of leukocytes were present in the central corneal, most of which stained positively with RB6-8C5 mAb. In contrast, corneas from mice given anti-IL-10 antibody were noticeably swollen and displayed extensive neutrophil infiltration (Fig. 6B) . MPO activity measured in the antibody-treated corneas was some 2.7-fold higher than that detected in the IgG-treated control corneas (Fig. 7 ).



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Figure 6. Enhancement of corneal inflammation following treatment with neutralizing antibody to IL-10. Animals were inoculated with IL-10 antibody or control IgG admixed with HSV-1 (1x103 PFU/cornea). An additional 5 µl IgG was given subconjunctivally at the time of infection. Day 1 after infection, eyes were removed and embedded in tissue-freezing medium. Frozen sections were prepared and stained for neutrophils using specific antibody (RB6-8C5). (A) Representative example of a control IgG-treated cornea. The architecture of the cornea is normal, and there is a modest influx of neutrophils (arrows). (B) Cornea from a mouse treated with neutralizing IL-10 antibody. Note the extensive neutrophil infiltrate in the swollen cornea. Original magnification, x200.



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Figure 7. Effect of antibody neutralization of endogenous IL-10 on expression of cytokines and chemokines. Animals were inoculated intracorneally with neutralizing antibody to IL-10 or control IgG, admixed with HSV-1 (1x103 PFU/cornea). An additional 5 µl IgG was given subconjunctivally at the time of infection. Twenty-four hours later, corneal lysates were prepared and individually assayed for IL-6, MIP-2, and MIP-l{alpha} via ELISA. MPO activity was also measured. The bars show the mean ± SE of four mice in each group. *Significantly (p<0.05) different from the IgG-treated controls.

We also investigated whether antibody neutralization of endogenous IL-10 influenced the production of proinflammatory mediators. After virus challenge (24 h), the concentrations of MIP-2, MIP-1{alpha}, and IL-6 in corneas were measured by ELISA. Figure 7 shows that the levels of MIP-2, MIP-1{alpha}, and IL-6 in the antibody-treated hosts were 2.6-, 3.9-, and 3.2-fold higher, respectively, than those seen in the controls (p<0.05). Treatment with neutralizing antibody to IL-4 or IL-13 (25 µg/eye) did not increase the level of any of the three mediators significantly (unpublished results). When the virus challenge dose was increased tenfold (104 PFU/cornea), IL-10 neutralizing antibody treatment was associated again with elevated cytokine/chemokine levels, but the differences from the controls were not statistically significant (p>0.05).

Disruption of IL-10 gene enhances ocular inflammation
Mice, in which the IL-10 gene has been disrupted, develop inflammatory bowel disease uniformly [21 ]. When we examined these animals, the ocular tissues were found to be clinically normal, and neither MPO nor MIP-2 could be detected in uninfected corneal lysates (Fig. 8 ). To investigate whether disruption of the IL-10 gene influenced corneal inflammation, these mice and their WT counterparts were infected with 103 PFU HSV-1. Two days postinfection, the mean corneal score for five IL-10 knockout hosts was 2.8 ± 0.2. This was significantly higher (p<0.001) than the mean opacity score (0.8±0.2) observed in the WT controls. In addition, MIP-2 levels and MPO activity in IL-10 knockouts were each some threefold higher than those seen in the controls (Fig. 8) .



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Figure 8. Effect of IL-10 gene knockout on expression of MIP-2 and myeloperoxidase. IL-10 knockout or WT mice were inoculated intracorneally with HSV-1 (1x103 PFU/cornea). Two days later, corneal lysates were prepared and individually assayed for MIP-2 and myeloperoxidase. The bars show the mean ± SE of four mice in each group. *Significantly (p<0.01) different from the WT-infected controls.

IL-10 does not influence early IL-1{alpha} production in the cornea and vice versa
We knew from previous studies that IL-1{alpha} induces corneal cells to make MIP-2 and IL-6 [4 , 16 ]. Thus, IL-10 could be inhibiting the synthesis of these mediators indirectly by interfering with IL-1{alpha} production. Therefore, we tested whether intracorneal inoculation of neutralizing antibodies to IL-10 at the time of HSV-1 infection resulted in elevated IL-1{alpha} production in the cornea. Figure 9A shows that 24 h postinfection, IL-1{alpha} levels were not significantly different from the controls.



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Figure 9. Effect of neutralizing antibody to IL-10 or to IL-1{alpha}/ß on cytokine expression in the HSV-1-infected cornea. Animals were inoculated intracorneally with HSV-1 admixed with neutralizing antibody to IL-10 or antibodies to IL-1{alpha} plus IL-1ß. Controls received IgG. One day after infection, corneas were removed, lysates prepared, and individually assayed for IL-1{alpha}, IL-10, or IL-6 via ELISA. The bars show the mean ± SE of four animals in each group. *Significantly (p<0.01) different from the IgG controls.

Because endogenous IL-1 is known to be a potent inducer of cytokines [16 ] and chemokines [4 ] in the murine cornea, it might also be an inducer of IL-10. Therefore, we tested whether antibody neutralization of IL-1 in vivo led to significantly reduced levels of IL-10. Figure 9B shows that local antibody treatment failed to alter the level of IL-10. Antibody treatment was effective in neutralizing endogenous IL-l{alpha}/ß because the IL-6 levels were reduced by >85% (Fig. 9C) .


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DISCUSSION
 
Intracorneal HSV-1 infection triggers a robust acute inflammatory response characterized by the rapid infiltration of neutrophils. Three days after infection, the influx of these cells was attenuated consistently, suggesting that natural anti-inflammatory mediators were being expressed. The present study provides evidence that endogenous IL-10 made constitutively in the cornea can function to down-regulate proinflammatory mediator expression. Specifically, our data show that IL-10 is synthesized and released by corneal epithelial cells and fibroblasts. These cells also express IL-10 receptors. Addition of IL-10 neutralizing antibody to cultured cells enhanced TNF-{alpha}-induced IL-6 and MIP-2 production, strongly indicating that IL-10 was acting in an autocrine/paracrine manner to down-regulate expression of these proinflammatory cytokines. Importantly, local neutralizing antibody treatment in vivo not only elevated proinflammatory mediator synthesis but also increased the severity of corneal disease. Furthermore, mice with a disrupted IL-10 gene exhibited significantly heightened corneal disease and a threefold increase in the levels of MIP-2 and MPO relative to that seen in the WT controls. In our ocular infection model, MIP-2 is the major chemoattractant of neutrophils [4 ]. Antibody neutralization of MIP-2 has been shown to reduce neutrophil infiltration and corneal inflammation. Also, IL-6 is produced strongly in the virus-infected cornea [13 ], and IL-6 knockout mice develop less severe corneal disease (unpublished results). Therefore, blocking a negative regulator of these two mediators would be predicted to enhance corneal inflammation, and this is what occurred.

The molecular events responsible for IL-10-mediated down-regulation of corneal cell-produced MIP-2 and IL-6 are not known. The genes for both of these mediators are regulated by activation of nuclear factor (NF)-{kappa}B [22 23 24 25 ]. Lentsch et al. [26 ] have shown that the anti- inflammatory activity of IL-10 in their lung-injury model was associated with increased stability of I-{kappa}B{alpha}, the cytoplasmic inhibitor of NF-{kappa}B. Studies to determine whether this mechanism is operative in corneal cells are in progress.

Evidence of autocrine action of IL-10 in the cornea is compatible with previous studies showing that exogenous IL-10 could suppress corneal cell-derived proinflammatory mediators [10 11 12 ]. Furthermore, it is well-documented that IL-10 acts in an autocrine way to suppress the production of proinflammatory cytokines in macrophages and monocytes [27 28 29 30 ]. More recently, there have been studies showing that IL-10 can serve as an autocrine growth factor in Epstein-Barr virus (EBV)-infected B cells [31 , 32 ], malignant B cells [33 ], and in the Ly-1 B cell subset [34 ]. In addition, this cytokine has been shown to be an autocrine regulator of cytotrophoblast matrix metalloproteinase -9 [35 ]. Thus, apparently IL-10 autocrine action occurs in various cell types and mediates a diverse array of biological effects.

Others have shown that endogenous IL-10 is an important, natural regulator of lung-inflammatory injury elicited by deposition of IgG immune complexes [36 ] or bacterial infection [37 ]. IL-4 and IL-13 were also shown to function as regulatory cytokines in the lungs [38 ]. However, no IL-4 could be detected in the herpes virus-infected corneas (ELISA sensitivity was 5 pg/ml). Moreover, in vivo administration of neutralizing antibody to IL-4 or IL-13 did not enhance corneal disease or up-regulate production of MIP-2 and IL-6. Thus, IL-4 and IL-13 are unlikely to play an important anti-inflammatory role in the HSV-1-infected cornea.

The synthesis of IL-10 has been shown to be up-regulated in macrophages following exposure to TNF-{alpha}, LPS, Bt2 cAMP, and IFN-{gamma} [39 40 41 42 ]. However, when cultured corneal cells were exposed to these inducers, IL-10 production was not enhanced. Similarly, increasing the intracorneal virus-challenge dose, which significantly enhanced IL-1{alpha} levels, had little or no effect on IL-10 expression. The failure of various inducers as well as HSV-1 infection to elevate IL-10 synthesis suggests that IL-10 is highly regulated in the cornea, and thus, this cytokine’s capacity to down-regulate proinflammatory cytokine production is limited. Indeed, we found that endogenous IL-10 impaired development of corneal disease at a 103 PFU virus-challenge dose but in agreement with our earlier study [13 ] could not do so when a 104 PFU-infectious dose was given. The identification of a reagent that could boost endogenous IL-10 production by corneal cells might be therapeutically useful in controlling ocular inflammation.

The host response to a pathogen in tissue such as the lungs, joints, and gut has been demonstrated to be regulated by proinflammatory and anti-inflammatory mediators that are balanced so as to provide an adequate defense while minimizing destruction of self tissue [43 ]. Our results suggest that in the virus-infected cornea, IL-10 serves to counterbalance the effects of IL-1. It is interesting that the in vivo neutralizing antibody experiments indicated that IL-10 did not influence IL-1 expression. This result is in agreement with our previous studies involving exogenous IL-10 [10 ]. The antibody studies also showed that IL-l {alpha} did not affect IL-10 expression. Thus, IL-1 and IL-10 appear to act independently of each other as they regulate proinflammatory mediator expression in the cornea. It should be noted that IL-10 can down-regulate IL-1 expression in cells of the macrophage/monocyte lineage [44 , 45 ]. These different outcomes highlight the complex, cell type-specific nature of cytokine regulation. Constitutive production of IL-10 and IL-10 receptor may reflect nature’s attempt to maintain a clear cornea.

In summary, the present results establish that IL-10 is an important player in limiting inflammation at the ocular surface. Recently, D’Orazio and Niederkorn [46 ] have demonstrated that IL-10 produced by TGF-ß-treated antigen-presenting cells played a critical role in anterior chamber- associated immune deviation. Whether IL-10 produced by resident corneal cells contributes to immune privilege in the eye remains to be tested.


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ACKNOWLEDGEMENTS
 
This work was supported by National Institutes of Health grants EY07564 and EY11493. The authors thank Patricia Couling for secretarial assistance.

Received April 26, 2000; revised July 13, 2000; accepted July 17, 2000.


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