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(Journal of Leukocyte Biology. 2001;69:538-547.)
© 2001 by Society for Leukocyte Biology

Ovalbumin aerosols induce airway hyperreactivity in naïve DO11.10 T cell receptor transgenic mice without pulmonary eosinophilia or OVA-specific antibody

Julie A. Wilder*, David S. Collie{dagger}, David E. Bice{dagger}, Yohannes Tesfaigzi{dagger}, C. Richard Lyons{ddagger} and Mary F. Lipscomb*

University of New Mexico, Departments of
* Pathology and
{ddagger} Internal Medicine, Albuquerque, New Mexico; and
{dagger} Lovelace Respiratory Research Institute, Albuquerque, New Mexico

Correspondence: Julie A. Wilder, Ph.D., University of New Mexico, Department of Pathology, Albuquerque, NM 87131. E-mail: jwilder{at}salud.unm.edu


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The pathobiology of allergic asthma is being studied using murine models, most of which use systemic priming followed by pulmonary challenges with the immunizing antigen. In general, mice develop eosinophilic pulmonary inflammation, increased antigen-specific immunoglobulins, and airway hyperreactivity (AHR), all of which are dependent on antigen-specific T cell activation. To establish a model of allergic asthma, which did not require systemic priming, we exposed DO11.10 T cell receptor transgenic mice, which have an expanded repertoire of ovalbumin (OVA), peptide-specific T cells, to limited aerosols of OVA protein. DO11.10 +/- mice developed AHR in the absence of increases in total serum IgE, OVA-specific IgG, or eosinophilia. The AHR was accompanied by pulmonary recruitment of antigen-specific T cells with decreased expression of CD62L and CD45RB and increased expression of CD69, a phenotype indicative of T cell activation. Our results support recent hypotheses that T cells mediate AHR directly.

Key Words: rodent • lung • allergy • T lymphocytes • inflammation


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Allergic asthma is a disease characterized by reversible episodes of bronchoconstriction, chronic pulmonary inflammation, and high serum levels of allergen-specific immunoglobulin (Ig)E [1 ]. The disease results from the tendency of genetically susceptible individuals to mount an inappropriate immune response to repeated inhalations of inert antigens, i.e., allergens. Unaffected individuals fail to respond or become tolerant to repeated inhalations of allergens. Conversely, asthmatic patients respond to allergens by activating and expanding T helper type 2 (Th2) cells that secrete interleukin (IL)-4 and IL-13, both critical for IgE production, and IL-5, which drives pulmonary eosinophilic inflammation. The presence of allergen-specific IgE in asthmatic patients allows airborne allergens to cross-link Fc{varepsilon}R1 on mast cells and eosinophils, which stimulate the release of compounds capable of mediating airway smooth-muscle contraction and airway lumen narrowing (reviewed in [2 ]).

Murine models of allergic asthma have been developed to study the pathobiology of the disease (reviewed in [3 ]). Most of these models involve systemic priming with antigen, often in adjuvant, followed by pulmonary exposure to the antigen. The results are varied, in part because of the strain of mouse being tested and immunization protocol used, but generally include pulmonary inflammation, often eosinophilic in nature, high serum levels of allergen-specific IgE, and airway hyperreactivity (AHR) in response to a nonspecific bronchoconstrictive agent such as methacholine or acetylcholine. In contrast, few models have been described that use aerosol exposures exclusively for the induction of the disease state [4 ]. Indeed, antigen delivery via multiple aerosol exposures has been shown to induce tolerance in rodents as measured by their subsequent inability to respond to the same antigen when administered with adjuvant via an immunogenic route such as the intraperitoneal (i.p.) one [5 , 6 ].

We developed a murine model of asthma initiated by immunization solely via the pulmonary route to more closely mimic the pathobiology of the human disease. Mice hemizygous for the DO11.10 ovalbumin (OVA)-T cell receptor transgene (DO11.10 +/-) [7 ] were exposed to an OVA or saline aerosol once/week for 3 consecutive weeks. These mice bear the transgene on the background of a BALB/c mouse, a strain that, once immune, requires only limited exposures to OVA aerosol to exhibit AHR [8 ]. Additionally, DO11.10 mice are resistant to tolerance induction by OVA given via a normally tolerogenic route [i.p. without adjuvant or intravenous (i.v.)] [9 ]. A colony of hemizygous mice was established (DO11.10 +/-), in which 40% of peripheral T cells stain with the clonotypic monoclonal antibody (mAb) KJ1-26. In mice from this colony, the accumulation and activation status of OVA-T cell receptor (TCR) bearing T cells in the lung and lung-associated lymph nodes (LALNs) could be monitored in response to OVA- or saline-aerosol exposure.

We show here that DO11.10 +/- but not DO11.10 transgene-negative mice developed AHR after limited exposure to OVA aerosols. AHR was accompanied by a mild peribronchiolar inflammatory response and accumulation of OVA-TCR+ T cells in the lung, which expressed decreased levels of CD62L and CD45RB and increased levels of CD69, indicating that they were recently activated. We failed to observe significant increases in total serum IgE or OVA-specific IgG. Nor were we able to demonstrate an increase in eosinophils in the bronchoalveolar lavage fluid or in the lung parenchyma, even when focusing on peribronchiolar areas. These data suggest that AHR can be mediated by a very small number of antigen-specific T cells that have an activated phenotype.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Mice
DO11.10 OVA-TCR Tg +/- and -/- mice were produced at the University of New Mexico Animal Resources Facility (UNM ARF, Albuquerque, NM) by breeding OVA-TCR Tg +/- male mice (a kind gift of Dennis Loh [7 ]) with BALB/c female mice. All mice were housed under specific pathogen-free conditions and used between 8 and 18 weeks of age. UNM ARF is accredited by the American Association for Accreditation of Laboratory Animal Care, and all animal protocols were reviewed and approved by the UNM Institutional Animal Care and Use Committee.

Aerosol exposures
Mice were exposed in a nose-only aerosolization chamber (Intox, Albuquerque, NM) to pH neutral saline or 0.5% OVA (Grade V, Sigma Chemical Co., St. Louis, MO) in pH neutral saline. All mice received three aerosol exposures, 1 h in duration, delivered 7 days apart. Aerosol particles were generated using a Lovelace Nebulizer such that the size was <1 µ in diameter (6 L air/min; 42 psi).

Pulmonary physiology
Changes in total lung resistance (RL) were measured in anesthetized, tracheotomized, ventilated mice, which were placed in a volume-displacement plethysmograph as described previously [8 ]. Mice were anesthetized with an i.p. injection of a solution of xylazine and ketamine in sterile saline at a dose of 16 µg xylazine and 80 µg ketamine/g bodyweight. A tail-vein catheter [10 cm polyethylene (PE)-10 tubing attached to a 30-gauge needle and filled initially with heparinized saline] and a tracheal catheter (20-gauge needle hub) were inserted, sealed, and secured with cyanoacrylate adhesive. Once placed in the plethysmograph, mice were ventilated at a rate of 150 breaths/min and a 0.25 ml tidal vol. An opening was made in either side of the caudal chest wall by removing a portion of a rib to equilibrate pleural-surface pressure to body-surface (box) pressure and facilitate the measurement of transpulmonary pressure. The resistance of the tracheal cannula was determined by ventilation of the plethysmograph in the absence of a mouse and the value subtracted from all resistance measurements. Custom-designed computer software (LabView 3.0.1, National Instruments, Austin, TX) was used to facilitate integration of the flow signal to yield volume and to derive pulmonary resistance using the method of least-squares linear regression. Baseline measurements of RL were recorded prior to delivery of saline and half-log increasing doses of methacholine (.014–3.7 mg/kg) administered via the tail-vein catheter. Peak responses were recorded and values allowed to return to within 10% of baseline before delivery of the next dose. Recovery was facilitated by 2–3 forced vital-capacity maneuvers. Data are presented as the actual change in RL from baseline values.

Lung histology
Lungs were inflated with 10% buffered neutral formalin fixative injected through PE-50 tubing inserted into the trachea. The lungs, once excised, were fixed for at least 24 h before the left lobes were sectioned longitudinally along the major airway and submitted to the UNM Hospital Pathology Laboratory (Albuquerque, NM) where they were embedded, sectioned, and stained with hematoxylin and eosin. Three 10x fields per lung, generally covering the whole left lobe in total, were examined and scored separately for the percent inflammatory cell infiltration around bronchioles, peribronchial arteries, and veins, according to the following scheme as previously described [8 ]: Less than 1% of the circumferential or longitudinal area involved with any type of inflammation was scored as a 0; 1–5% involvement = 0.5; 5–10% involvement = 1; 10–25% involvement = 2; 25–50% involvement = 3; and >50% involvement = 4. The scores of each of the three sections were averaged to obtain a peribronchiolar, periarterial, and perivenular score for each lung. The total lung score represents the sum of the scores of these three areas. Two independent observers (J.A.W. and M.F.L.) scored each lung lobe in a blinded fashion. The average of the two observations is shown for each mouse examined. Data presented are the average SE) of individual mice from several experiments. In addition, all inflamed areas of the lungs of DO11.10 +/- mice exposed to OVA aerosols were examined under oil immersion (100x) to distinguish the types of inflammatory cells present. Monocytoid cells (a combination of lymphocytes and monocytes), macrophages, polymorphonuclear cells, and eosinophils were enumerated in inflamed peribronchiolar, periarterial, and perivenular areas.

Harvest of tissue and fluid
All mice were sacrificed by inhalation of CO2 1 day following the last aerosol exposure. Serum and tracheobronchial lavage (TBL; 0.3 ml/mouse) were collected as previously described [8 ]. Cells recovered from the TBL were counted and used for cytospin preparations (25,000 or less/slide). These cytospins were stained with the Baxter Diff-Quick kit (VWR Scientific Products, San Francisco, CA), and differentials were calculated. LALN cells were dispersed into single-cell suspensions by gently rubbing the tissue between the frosted ends of two glass slides followed by red blood cell (RBC) lysis with ammonium chloride. Single-cell suspensions of lung cells were prepared by mincing saline-perfused lungs followed by a 90-min incubation with collagenase (0.7 mg/ml) and DNAse (30 µg/ml) at 37°C. Lung cells were then gently pushed through a wire mesh and passed over a loose, nylon wool plug quickly to remove connective tissue and debris. RBCs were lysed, and the remaining cells were spun through a layer of 30% Percoll to remove cell debris and enrich for viable cells.

Cell phenotyping
Lung and LALN cells (0.5–1x106) were stained with antibodies of interest in a volume of 0.06 ml staining buffer [phosphate-buffered saline (PBS)+1% fetal calf serum (FCS)] for 30 min on ice. Antibodies included KJ1-26-biotin [10 ] (prepared from hybridoma supernatants by sodium ammonium sulfate precipitation and biotinylated), CD4-fluorescein isothiocyanate (FITC) or CD4-allophycocyanin (APC), CD62L-PE, CD45RB-PE, and CD69-FITC (all from Pharmingen, San Diego, CA). Incubation with these primary antibodies was followed by three washes in staining buffer and fixation with 0.5% paraformaldehyde at 4°C or in the case of KJ1-26-biotin-stained cells, incubation with Streptavidin-PerCP (Becton-Dickinson, San Jose, CA) for 30 min on ice and subsequent washing and fixation. All cells were analyzed on a Becton-Dickinson FACScan or FACSCalibur and analyzed using PCLYSIS or CELLQUEST software (both from Becton-Dickinson), respectively.

Immunoglobulin enzyme-linked immunosorbent assays (ELISAs)
OVA-specific IgG in the sera was measured as previously described [8 ] using OVA-coated polyvinylchloride (PVC) plates (Falcon brand, Fisher Scientific, Pittsburgh, PA; 0.1 mg/ml OVA). Sera was diluted in PBS containing 0.25% bovine serum albumin (BSA) and 0.05% Tween 20 (blocking buffer). Three dilutions of sera/mouse were added to the plates in duplicate, and incubation proceeded overnight at 4°C. OVA-specific IgG was detected using horseradish peroxidase (HRP)-coupled goat anti-mouse IgG1 or IgG2a (Southern Biotechnologies, Birmingham, AL) diluted in blocking buffer, incubated 2 h at room temperature (RT), followed by addition of HRP substrate (ABTS, Sigma). Color development proceeded at RT until the least dilute-serum sample approached an OD405 of 1.0–2.0. Plates were read on a Dynatech ELISA reader (Bio-Tek Instruments, Inc., Winooski, VT). The OD405 of each serum dilution was multiplied by its dilution factor to give an arbitrary unit. For each mouse, the units of IgG anti-OVA are calculated from the three serum dilutions and an average presented. Total IgE levels in the serum were determined by a sandwich ELISA using PVC plates coated with rat anti-mouse IgE (clone R35, Pharmingen; 2 µg/ml) and detected using rat anti-mouse IgE-HRP (Southern Biotechnologies). Coating, serum dilutions, washing, and development procedures were carried out as described for the OVA-specific IgG ELISA. A known amount of monoclonal IgE was used to construct a standard curve in each assay, and values are shown as ng/ml.

Production and analysis of cytokines
Lung cell cultures and cytokine analysis were performed as described previously with minor modifications [11 ]. Lung cells were incubated on plastic tissue culture dishes for 2 h at 37°C, and nonadherent cells were harvested, washed, and resuspended at 5 x 106/ml in culture medium [RPMI 1640 supplemented with 10% fetal bovine serum (FBS), 100 U/ml penicillin/streptomycin, 2 mM L-glutamine, 1 mM sodium pyruvate, 1 mM nonessential amino acids (all from Gibco BRL Life Technologies, Grand Island, NY), 5 x 10-5 M 2-mercaptoethanol (Eastman Kodak, Rochester, NY), 1 µg/ml indomethacin (Sigma), and 250 units/ml catalase (Worthington Biochem, Freehoff, NJ)]. Anti-IL-4 receptor (1 µg/ml; Genzyme, Cambridge, MA) was included in all cultures to prevent uptake of secreted IL-4 and facilitate its assessment by ELISA. Cells were left unstimulated or stimulated with OVA protein (100 µM), OVA peptide (323–339, 4 µM; Research Genetics, Huntsville, AL), or keyhole limpet hemocyanin (KLH; 5 µg/ml; Calbiochem Novabiochem, La Jolla, CA) in duplicate or triplicate for 48 h, after which supernatants were collected and analyzed for cytokine content by sandwich ELISA. ELISA plates (Nunc Maxisorb Immunoassay, VWR) were coated with capture antibodies diluted in 0.1 M Na2HPO4 overnight at 4°C, washed, and blocked with 1% BSA in PBS. Samples were added to the plates after subsequent washes and incubated overnight at 4°C. Detection proceeded the following day by adding biotinylated mAbs, streptavidin-HRP (1 mg/ml), and ABTS substrate, and the OD405 was read as described above. mAb pairs for the cytokines were purchased from Pharmingen in the case of IL-4 (11B11 and biotin-BVD6-24G2), IL-5 (TRFK5 and biotin-TRFK4), and interferon (IFN)-{gamma} (R46A2 and biotin-XMG1.2). Antibodies specific for IL-13 (38213.11 and biotin-BAF413) were purchased from R&D Systems, Minneapolis, MN. All cytokines were quantified by comparison to standard curves generated using recombinant cytokines (Phamingen). Detection limits for each cytokine assay were assigned as the lowest concentration in the linear portion of the standard curve, generally between 16 and 250 pg/ml.

Statistics
Differences in RL responses to methacholine between groups were analyzed by repeated measures analysis of variance (ANOVA). RL responses between groups at individual doses were compared using unpaired t-tests to determine significance. Differences in all other measured variables were analyzed using ANOVA statistics using the Bonferroni-Dunn post-hoc test when four groups were being compared or unpaired two-tailed t-tests when two groups were being compared. Values of P < .05 were considered significant for all comparisons.


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Mice hemizygous for the OVA-TCR transgene (DO11.10 +/-) and their nontransgenic littermates (DO11.10 -/-) were exposed to 3 weekly aerosols of OVA or saline 1 h in duration. AHR was measured 1 day after the third aerosol. DO11.10 +/- mice exposed to OVA aerosols exhibited a significantly increased change in pulmonary resistance in response to methacholine (Fig. 1 ), whereas the three control groups of mice did not (DO11.10 +/- mice exposed to three saline aerosols or nontransgenic littermates exposed to three OVA or three saline aerosols). Concurrent with AHR expression, the lungs of DO11.10 +/- mice exposed to OVA aerosols had significantly increased levels of inflammation compared with the other three control groups as assessed histologically (Figs. 2 and 3A). Significant inflammation was apparent around the bronchioles and venules (Fig. 3B and 3D) . Although there was a trend to greater inflammation around arterioles, this difference did not reach statistical significance when comparing the four groups of mice. When the inflamed areas of OVA- and saline-exposed DO11.10 +/- mice were examined under high-power magnification (100x), monocytoid cells and macrophages were the most prevalent cell types in all anatomical areas scored, and eosinophils were the least abundant cell type identified (Figs. 2B and 3E) . A subset of lungs from each group was also stained with Alcian Blue and Periodic Acid Schiff for mucus glycoproteins and positive-staining cells in all airways were scored. There were fewer than 20 positive-staining cells in all lungs, with most lungs being completely devoid of any mucus-containing cells. No significant difference between groups was observed (unpublished results).



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Figure 1. DO11.10 +/- mice exhibit AHR after 3 weekly OVA-aerosol exposures. All mice received 3 weekly, 1-h aerosols of saline or OVA as described in Materials and Methods. RL with increasing doses of intravenously delivered methacholine was measured in anesthetized, mechanically ventilated mice. Repeated measures ANOVA revealed that DO11.10 +/- mice receiving three OVA aerosols responded to methacholine in a manner that was statistically different than the other three control groups (P<05). *, Doses of methacholine at which OVA-exposed DO11.10 +/- mice responded differently than all other groups of mice as measured by unpaired t-tests (P<.05). Data represent the mean change from baseline resistance in cm H2O/ml/sec for individual mice ± SE.

 


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Figure 2. Representative pulmonary pathology after OVA (A and B)- or saline (C)-aerosol exposure of DO11.10 +/- mice. All mice received three aerosol exposures delivered once weekly for 60 min. (A) Arrow indicates an area of inflammation that is magnified further in B. The section depicted in C shows the average inflammatory pattern of DO11.10 +/- mice exposed to three aerosols of saline and is the same as DO11.10 -/- mice exposed to three aerosols of saline or OVA. (A and C) Original bar = 100 µ; (B) original bar = 25 µ._art>

 


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Figure 3. DO11.10 +/- mice exhibit pulmonary inflammation after 3 weekly OVA-aerosol exposures. All mice received 3 weekly aerosols of saline or OVA, and the total lung (A), peribronchial (B), periarterial (C), and perivenular (D) inflammatory scores were determined as described in Materials and Methods. Two-way ANOVA revealed that DO11.10 +/- mice had statistically different levels of total, peribronchial, and perivenular inflammation compared with the other three control groups of mice (*, p<.05). Data represent the mean (±SE) inflammatory score of 10–13 mice in each group. (E) The sum of the number and types of inflammatory cells enumerated under high-power magnification in OVA- and saline-exposed lungs from DO11.10 +/- mice. All inflamed areas [peribronchiolar (PB), perivenular (PV), and periarterial (PA)] were examined from the left lobe of 13 OVA-exposed mice with an average of 8.5 areas examined/lung (4.5 PB, 2 PV, and 2 PA) and 10 saline-exposed mice with an average of 2.6 areas examined/lung (1.5 PB, 0.9 PV, and 0.2 PA). Two-way ANOVA revealed that DO11.10 +/- mice exposed to OVA aerosols had significantly more monocytoid cells and macrophages in perivenular and/or peribronchiolar areas compared with mice exposed to saline aerosols, as indicated by * (P<.05).

 
Inflammation was characterized further by enumerating total lung and TBL cells and assessing numbers of macrophages, lymphocytes, neutrophils, and eosinophils in Wright-Giemsa-stained cytospin preparations. Consistent with an increase in inflammation graded histologically, exposure of DO11.10 +/- mice to three OVA aerosols resulted in a significant increase in total lung-cell numbers (Fig. 4A ), macrophages, and lymphocytes recoverable from collagenase-digested, minced-lung tissue (Fig. 4B) . Although no increase in total TBL cellularity was apparent in DO11.10 +/- mice exposed to OVA (Fig. 4C) , a significant increase in polymorphonuclear neutrophil (PMN) cells in the lavage fluid was observed (Fig. 4D) . Similarly, we observed a significant increase in LALN cellularity in DO11.10 +/- mice exposed to OVA (Fig. 4E) .



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Figure 4. DO11.10 +/- mice exhibit significant increases in lung cell and LALN cell numbers after OVA-aerosol exposure. All mice received 3 weekly aerosols of saline or OVA. Numbers of total lung cells (from collagenase-digested lung tissue), total TBL cells, total LALN cells, and individual types of lung and TBL cells were assessed as described in Materials and Methods. Two-way ANOVA revealed differences in total lung cell numbers (A) and increases in macrophages and lymphocytes (B) in the lungs of DO11.10 +/- mice exposed to three OVA aerosols. Although OVA-exposed DO11.10 +/- mice failed to recruit significantly more cells to the TBL (C), a significant increase in airway neutrophils was observed in these mice (D). DO11.10 +/- mice also had a significant increase in LALN cell number after three OVA-aerosol exposures (E). Data represent the mean cell number (±SE) of 20–23 mice in each group.

 
Further, we asked if a limited number of OVA-aerosol exposures were sufficient to induce accumulation and activation of OVA-specific T cells in the lungs of DO11.10 +/- or -/- mice. Antibodies were used to identify helper T cells (CD4+), T cells bearing the OVA-TCR (KJ1-26+), naïve T cells (CD62Lhi and CD45RBhi), and activated/memory T cells (CD62Llo/medium, CD45RBlo/medium, and CD69). The cells stained with various mAbs were analyzed by three- or four-color flow cytometry. Figure 5 represents the type of data obtained when lung cells from naïve, saline-aerosol-exposed, or OVA-aerosol-exposed mice were stained with antibodies to KJ1-26, CD4, and CD62L, showing the percentages of cells falling within relevant gates. Data such as these revealed that DO11.10 +/- mice exposed to three OVA aerosols recruited significantly increased numbers of CD4+ cells that bore the OVA-TCR receptor (KJ1-26+) cells to their lungs when compared with control mice (Fig. 6A ). DO11.10 +/- mice receiving OVA aerosols had more than double the number of OVA-TCR+ cells in the lung than DO11.10 +/- mice receiving saline aerosols (1.63x106 vs. 0.8x106 cells, respectively), whereas DO11.10 -/- mice receiving three OVA aerosols had only background levels of OVA-TCR+ cells (6.5x104). The numbers of OVA-TCR+ cells in the lungs of DO11.10 +/- mice receiving saline aerosols were not significantly different than those found in lungs of naïve DO11.10 +/- mice (0.55x106). When we assessed the activation status of these cells in the lungs of OVA-exposed DO11.10 +/- mice, we observed a significant increase in the absolute numbers of OVA-TCR+ cells, which expressed low-to-medium levels of CD62L or CD45RB compared with DO11.10 +/- mice exposed to saline or naïve +/- mice, suggesting that these cells were memory or activated cells (Figs. 5 and 6B) [12 , 13 ]. Further evidence of their recent activation was provided by the observation that significantly more OVA-TCR+ cells in the lungs of DO11.10 +/- mice exposed to OVA aerosols expressed CD69 compared with their saline-exposed or naïve controls (Fig. 6B) [14 ]. The majority of CD69+ OVA-TCR+ cells co-expressed low levels of CD62L or CD45RB (92.4 and 68.1%, respectively).



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Figure 5. Representative phenotype of lung cells from naïve DO11.10 +/- mice as well as +/- and -/- mice after 3 weekly aerosols of saline or OVA. Lung cells were stained with KJ1-26 antibody and anti-CD4 and anti-CD62L antibodies as described in Materials and Methods. Plots represent profiles of lung cells from individual mice after gating on the lymphocyte subpopulation (small, nongranular cells). Numbers shown in quadrants represent the percentages of gated lung cells that fall in that quadrant.

 


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Figure 6. DO11.10 +/- mice have increased numbers of CD4+ OVA-TCR+ cells in their lungs after 3 weekly exposures to OVA aerosol, many of which also express low levels of CD62L or CD45RB and increased levels of CD69. Lung cells were stained with KJ1-26 antibody in combination with anti-CD4, anti-CD69, and anti-CD45RB or anti-CD62L antibodies as described in Materials and Methods. Absolute numbers of cells of particular phenotypes were calculated by multiplying the percent-positive cells in each quadrant by the total lung-cell yield as assessed by cell counting using a hemacytometer. Two-way ANOVA revealed that DO11.10 +/- mice had significantly greater numbers of OVA-TCR+CD4+ cells in their lungs after OVA-aerosol exposure than any of the other four control groups of mice (*, p<.05; A). DO11.10 +/- mice exposed to OVA aerosols also had significant increases in OVA-TCR+ cells, which coexpressed low levels of CD62L or CD45RB or increased levels of CD69 when compared with naïve DO11.10 +/- mice or those that had received three saline aerosols. Data represent the mean cell number (±SE) of (A) 8–23 mice in each group and (B) 8–18 mice.

 
To assess whether the activated OVA-TCR+ T cells in the lungs of OVA-exposed DO11.10 +/- mice might be secreting increased levels of cytokines, we cultured nonadherent lung cells from naïve and saline- and OVA-exposed mice with media alone, OVA peptide (323-339), OVA protein, or KLH as a nonspecific antigenic stimulus. Supernatants were collected after 48 h of culture, and cytokine content was measured by ELISA as described in Materials and Methods. Because OVA-TCR+ cells are present in the lungs of all three groups of mice examined (naïve, saline-exposed, and OVA-exposed; see Figs. 5 and 6A ), we were looking for increases in cytokine secretion as a result of the OVA-aerosol exposure and compared these levels with those observed from saline-exposed mice specifically. Figure 7 shows that lung cells from DO11.10 +/- mice receiving three OVA aerosols secrete significantly more IL-4 and IL-13 than their saline-exposed controls in response to OVA protein and/or OVA peptide. We also observed a significant increase in spontaneous secretion of IL-5 by OVA-exposed DO11.10 +/- lung cells, which was not enhanced by OVA protein or peptide exposure in vitro. In contrast, no increase in IFN-{gamma} secretion above that seen in cultures of saline-exposed DO11.10 lung cells could be demonstrated. For reasons that are unclear to us, secretion of IL-5 by naïve DO11.10 +/- lung cells in response to OVA protein and OVA peptide was also increased significantly compared with that secreted by similarly treated lung cells from saline-exposed mice. This was not the case for any other cytokine measured. It is important that cytokine secretion in response to KLH, a nonspecific antigenic stimulus, was never significantly greater than that observed in media alone, regardless of aerosol exposure.



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Figure 7. Lung cells from DO11.10 +/- mice exposed to three OVA aerosols secrete increased levels of IL-4, IL-13, and IL-5 in culture. Nonadherent lung cells from DO11.10 +/- mice were placed in culture and stimulated with OVA peptide, OVA protein, KLH, or left unstimulated as described in Materials and Methods. Levels of secreted IL-4 (A), IL-5 (B), IL-13 (C), and IFN-{gamma} (D) were quantified by ELISA. Unpaired t-test analysis revealed that lung cells from OVA-exposed mice secreted significantly greater levels (*) of IL-4 in response to OVA peptide and OVA protein, IL-13 in response to OVA peptide, and IL-5 in response to media alone, OVA peptide, or OVA protein when compared with saline-exposed mice. Data represent the mean level of cytokine (computed from an average of duplicate or triplicate cultures) secreted by 4–19 mice/group for IL-4, IL-5, and IFN-{gamma} and 4–14 mice/group for IL-13.

 
We next asked whether OVA-TCR Tg +/- mice, which had received three OVA-aerosol exposures, also exhibited evidence of humoral immunity to OVA. Serum was collected 1 day following the last aerosol exposure, and levels of total IgE and OVA-specific IgG were measured by ELISA. Neither DO11.10 +/- mice exposed to OVA aerosols nor any of the three control groups of mice mounted an IgG1- or IgG2a-anti-OVA response or increased their total serum IgE above that found in normal BALB/c mice (Table 1 ).


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Table 1. Humoral Immune Response of DO11.10 Mice to Aerosol Exposure

 

    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
We exposed DO11.10 Tg +/- and Tg -/- littermates to three OVA aerosols, delivered once weekly for 1 h each, to determine if naïve mice with an expanded repertoire of antigen-specific T cells would develop AHR when exposed to a limited number of pulmonary antigenic exposures in the absence of systemic priming with antigen. DO11.10 +/-, but not DO11.10 transgene-negative, mice developed AHR after exposure to 3 weekly, 1-h OVA aerosols. AHR was accompanied by a mild peribronchiolar inflammatory response, increases in lung and LALN cellularity, increased TBL neutrophilia, and a nearly twofold increase in OVA-TCR+ T cells in the lung. Exposure to three OVA aerosols also resulted in an increase in numbers of OVA-TCR+ cells in the lung, which had a decreased expression of CD62L or CD45RB and increased expression of CD69, suggesting these T cells were either recently activated or memory T cells [12 13 14 ]. Lung cells from OVA-exposed DO11.10 +/- mice also secreted increased levels of IL-4, IL-13, and IL-5 in culture, spontaneously (IL-5 only) or in response to stimulation with OVA protein and/or OVA peptide. Although OVA-exposed DO11.10 +/- mice developed AHR, they failed to develop a humoral-immune response (no increases in serum IgG1 or IgG2a anti-OVA or total IgE). Further, no significant increases in pulmonary eosinophilia were observed.

The fact that DO11.10 +/- mice responded to a limited number of OVA-aerosol exposures by developing AHR suggests that an expanded repertoire of OVA-specific T cells is sufficient for mice to manifest AHR in response to this minimal pulmonary stimulus. These data help explain why most murine models of allergic asthma, which include AHR as a manifestation of antigen exposure, require a systemic priming step with antigen prior to pulmonary-antigenic challenge [15 16 17 18 19 20 21 ]. Systemic priming serves to expand the pool of antigen-specific T cells. In naïve DO11.10 +/- mice, however, 40% of the cells in the T cell repertoire bear the OVA-TCR receptor by virtue of the transgene expression, which eliminates a systemic priming requirement. However, DO11.10 -/- littermates, which have a normal T cell repertoire and numbers of OVA-TCR+ cells similar to normal BALB/c mice, were unable to respond to limited pulmonary exposure to OVA by exhibiting AHR. The only other study of normal mice developing AHR in response to pulmonary antigen exposure in the absence of systemic priming or adoptive transfer of previously primed cells required a more prolonged aerosol exposure protocol (daily for 10 days) [4 ]. These latter mice did not develop pulmonary inflammation but developed high levels of circulating OVA-specific IgE and IgG.

It was recently shown that homozygous, transgenic DO11.10 mice exposed to a single whole-body OVA aerosol (20 min in duration) or four OVA aerosol exposures delivered on consecutive days failed to develop AHR, as measured by increases in enhanced pause (PenH) to aerosolized methacholine [22 ]. These data suggest that the timing of OVA aerosol exposure (acute vs. more chronic), the mode of OVA aerosol delivery (whole-body or nose-only), the number of transgenic T cells (presumably more in homozygous vs. hemizygous DO11.10 mice), or the methodology used to measure AHR (Buxco box vs. whole-body volume-displacement plethysmography) is critical in inducing AHR in DO11.10 transgene-positive mice. It is interesting that, in agreement with our current studies, these authors also described TBL neutrophilia, little eosinophilia, and a failure to mount a humoral immune response after a single exposure of DO11.10 +/+ mice to OVA by the aerosol route. However, in contrast to our data, Knott et al. [22 ] describe the appearance of mucins in the bronchial epithelium in response to OVA aerosol exposure, whereas we never found evidence of mucous-cell metaplasia (unpublished results). They also describe that a single OVA aerosol exposure induced a skewing toward a Type 1 cytokine milieu in the lung as evidenced by the appearance of IFN-{gamma} but no IL-4 or IL-13 in the BAL. Conversely, we show a clear skewing toward a Type 2 immune response in the lung, as evidenced by increases in IL-4, IL-5, and IL-13 cytokine secretion by OVA-exposed DO11.10 +/- lung cells ex vivo. Again, the differences in these results may be because of many factors, such as the strain of mice, the mode of OVA exposure, and the protocols used to measure secreted cytokines.

In DO11.10 Tg +/- mice, AHR developed in the absence of eosinophilia and IgE. Eosinophils have been shown to play important roles in the manifestation of AHR in some murine models of allergic asthma [23 24 25 26 ], whereas other studies have suggested that they are neither required nor sufficient for AHR [15 , 17 18 19 ]. Similarly, IgE has been shown to be essential for the development of AHR [27 ] in some studies while appearing unnecessary in others [18 , 25 , 28 , 29 ]. Recently, we showed that neither eosinophilia nor elevated serum levels of IgE were good predictors of AHR [8 ]. In these studies, we used three different inbred strains of mice and a more classical, systemic priming event with OVA-alum followed by a limited pulmonary challenge with aerosolized OVA (two aerosol exposures delivered in a single day). In these studies, BALB/c mice exhibited AHR in the absence of eosinophilia, whereas C57BL/6 and BDF1 mice had eosinophilia and elevated IgE levels and failed to develop AHR.

Although controversy remains about the precise immune mechanisms that lead to AHR in murine asthma models, a role for T cells is undisputed. If CD4+ T cells are depleted [20 ] or their activation is inhibited [21 ], AHR fails to develop. Furthermore, exogenous OVA-specific Th2 cells, when transferred to naïve mice, mediate AHR in response to pulmonary challenge with OVA [30 ]. Our data support the critical role that activated T cells play in manifesting AHR in that we can show accumulation of OVA-specific T cells in the lungs of DO11.10 +/- mice after OVA-aerosol exposure, which has decreased L-selectin and CD45RB expression and increased CD69 expression, a phenotype indicating that the T cells were activated recently or are of the memory phenotype [12 13 14 ]. Further, we have shown that the accumulation of these cells in the lungs of OVA-exposed DO11.10 +/- mice results in increased IL-4, IL-13, and IL-5 secretion by OVA-stimulated, nonadherent lung cells in vitro.

The data presented here do not identify the mechanism by which CD62Llo/med OVA-TCR+ cells increase in numbers in the lungs of OVA-exposed DO11.10 mice. The possibilities are that OVA-aerosol exposure induced 1) resting, resident lung OVA-TCR+ T cells to proliferate in situ and become activated to secrete Th2 cytokines, 2) activation and proliferation of naïve OVA-TCR+ cells in the LALNs, which were then recruited to the lung, or 3) enhanced recruitment of OVA-TCR+ T cells from the periphery to the lung. The first possibility is unlikely given recent data, suggesting that antigen delivery to the lung induces inflammation that is primarily a result of T cell recruitment rather than in situ proliferation [31 ]. Indeed, although OVA-aerosol exposure of DO11.10 +/- mice results in accumulation of OVA-TCR+ cells in the lung, which express an activated phenotype, these cells may arrive in the lung already expressing this activated phenotype and need not necessarily become activated in direct response to the OVA aerosols. These memory T cells could be recruited to the lung from the LALNs where they were initially activated or from the periphery. Regarding the latter possibility, it is interesting to note that many OVA-TCR+ cells in DO11.10 +/- mice co-express a second T cell receptor through which the cells could be activated (by recombining endogenous TCR-{alpha} chains with transgenic ß chains). Thus, these cells may arrive in the lung having already been activated via an environmental antigen, not OVA [32 , 33 ]. However, activation via their alternate TCR has been shown not to preclude them from acting as OVA-specific memory cells on exposure to OVA [34 , 35 ]. Thus, upon restimulation in the lung through their OVA-TCR, OVA-specific memory T cells may have mediated AHR. In addition, it is possible that OVA aerosols recruited naïve and memory OVA-specific T cells to the lung and that both types of T cells activated in situ caused AHR.

The precise mechanisms by which the activated or memory T cells induce AHR in OVA aerosol-exposed DO11.10 +/- mice are also not known. However, it has been shown recently that inoculation of naïve mice with IL-4 or IL-13 can cause AHR in the absence of any antigen exposure [36 , 37 ]. Therefore, the increase in OVA-stimulated IL-4 and IL-13 secretion by OVA-exposed DO11.10 lung cells may be playing a role in mediating the AHR observed in our model, although it is clear from other studies that IL-4 is not required for AHR manifestation [18 , 30 ].

Whether these cytokines cause AHR directly or cause it indirectly by influencing other cells to make the primary mediators is unclear. Grunig et al. [36 ] showed that intranasal administration of IL-4 or IL-13 to naïve BALB/c mice induced significant pulmonary eosinophilia and goblet-cell metaplasia with mucous-cell overproduction, leaving open the possibility that AHR was mediated by eosinophils and their products. Neutralization of IL-13 activity by intranasal delivery of sIL-13R{alpha}2-Fc protein also significantly reduced eosinophilia and goblet-cell metaplasia, normally induced by intranasal OVA challenge of OVA-immune mice, and these reductions were accompanied by a loss of AHR. In contrast, Wills-Karp et al. [37 ] showed that whereas IL-13 given to naïve mice induced early pulmonary eosinophilia (after 1 day of intratracheal delivery), it had resolved by the time AHR was detected (after 3 days of delivery). In addition, although IL-13 induced trends toward increased IgE and mucous-containing cells, these values were not significantly different than PBS controls. Finally, these authors demonstrated that blockade of IL-13 action by i.p injections of sIL-13R{alpha}2-Fc protein failed to alter the increased pulmonary eosinophilia and OVA-specific IgE induced by pulmonary challenge of OVA-immune A/J mice with OVA but did abolish AHR, suggesting that eosinophilia and IgE were incapable of mediating AHR in the absence of IL-13.

It is interesting that the levels of IL-4 and IL-5 produced by lung cells from DO11.10 +/- mice after three OVA aerosol exposures are not sufficient to induce elevated serum IgE or IgG1 levels or pulmonary eosinophilia. Our results showing that AHR can develop in the absence of increased IgE or eosinophilia support recent studies conducted in OVA-immune IL4 -/- mice treated with anti-IL-5 antibodies that manifest AHR but fail to display eosinophilia or increases in OVA-specific serum immunoglobulins [18 ].

We did note marked increases in neutrophils in the TBL, although monocytoid cells and macrophages were the predominant cell types observed in peribronchial and perivascular areas of inflammation, suggesting that the TBL compartment does not always reflect the peribronchiolar inflammatory compartment accurately and that certain cell types may be recruited selectively to the TBL over the more abundant cell types present in the lung. The presence of neutrophils in the TBL of OVA-exposed DO11.10 +/- mice is interesting, however, given recent evidence that significant airway neutrophilia is often a characteristic of severe asthma [38 ] and has also been observed in allergic asthmatics within hours of segmental allergen challenge [39 ]. BAL neutrophilia was also observed by Knott et al. [22 ] after exposure of DO11.10 +/+ mice to a single OVA aerosol.

Previously, it has been shown that repeated OVA exposure via the pulmonary route in the absence of systemic priming causes tolerance [5 ] or is an immunologically null event in rodents [16 ]. In DO11.10 +/- mice exposed to three OVA aerosols, however, we observed evidence of OVA-specific T cell activation and/or recruitment of memory cells to the lungs instead. In addition, we showed that after three OVA aerosol exposures, T cells isolated from the lungs of DO11.10 +/- mice retain the ability to secrete IL-4, IL-13, IL-5, and IFN-{gamma} in response to OVA protein or specific peptide (323–339) stimulation in vitro. The failure of OVA aerosol exposure to induce tolerance in our studies is consistent with the observation that DO11.10 mice appear somewhat resistant to the induction of tolerance when OVA is given via normally tolerogenic routes (i.e., i.v. or i.p. in the absence of adjuvant) [9 ]. Conversely, Lee et al. [40 ] demonstrated recently that lung cells from DO11.10 mice, which had received repeated OVA-aerosol exposures, failed to proliferate or secrete IL-2 in vitro in response to restimulation with OVA, specific peptide, or anti-CD3 [40 ]. The suppression of these activities was not a result of intrinsic anergy or tolerance, however, because it was alleviated by removal of F4/80+ macrophages from the lung-cell population before culture. It is interesting that repeated aerosol exposures did not suppress IFN-{gamma}, IL-4, or IL-5 production by OVA peptide-stimulated DO11.10 lung cells in their hands. These data suggest that although proliferation is inhibited in the lung by repeated OVA aerosols, OVA-TCR+ cells can retain effector function. This inhibition of proliferation in DO11.10 lungs may also keep pulmonary inflammation in check, as reflected by only small increases in total lung cell numbers in their study and our own.

In summary, our data show that small numbers of activated or memory T cells are present in the lung after limited antigen exposure by the aerosol route. Once in the lung, these T cells or their products induce AHR in the absence of significant pulmonary eosinophilia or antigen-specific immunoglobulin. These data are in agreement with recent studies showing that T cells or their products can mediate AHR [36 , 37 , 41 ]. The observation that very limited exposures to antigen can initiate a pulmonary immune response driven by antigen-specific T cells suggests AHR may be detected before the development of clinical symptoms of allergic asthma (episodes of reversible airway obstruction, pulmonary eosinophilia, and high levels of IgE). Preliminary observations indicate that upon more chronic OVA-aerosol exposure (6 h/day, 5 days/week for up to 6 weeks), DO11.10 +/- mice do develop pulmonary eosinophilia, mucous cell hyperplasia, and high-serum OVA-specific IgG1 and IgE (unpublished results, J. A. W. and D. E. B.). These data indicate that the development of AHR may be an important, early predictor of asthma development in genetically predisposed patients who are chronically exposed to allergens.


    ACKNOWLEDGEMENTS
 
This work was supported by the Specialized Centers of Research grant 5 P50 HL56384 from the National Heart, Lung and Blood Institute, the University of New Mexico Research Allocation Committee Cigarette Tax Interest Funds appropriated by the New Mexico State Legislature, the U.S. Department of Energy Office of Health and Environmental Research under Contract No. DE-AC04-76EV01013, and by grant 5T32 8HL 07733 from the National Institutes of Health. The authors gratefully acknowledge the expert technical assistance of Barbara Forrister, Claudia Pertab, James White, Kenneth Olejar Jr., Gwyneth Olson, Linda Izzo, Stephanie Wright, Kristi Rardin, Laurie Allen, Susan Middleton, and Marina Martinez. The authors would also like to thank Chris Stidely and Mark Eichinger for their assistance in the statistical analysis and Michael Grady for his assistance in preparing the figures.


    FOOTNOTES
 
Current address of Dr. David Collie: Wellcome Centre for Research in Comparative Respiratory Medicine, University of Edinburgh, Royal (Dick) School of Veterinary Studies, Veterinary Field Station, Easter Bush, Roslin, Midlothian EH25 9RG, Scotland.

Received July 10, 2000; revised November 30, 2000; accepted December 1, 2000.


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