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(Journal of Leukocyte Biology. 2001;69:785-793.)
© 2001 by Society for Leukocyte Biology

Quantitative analysis of chemokine expression by dendritic cell subsets in vitro and in vivo

Joost L. M. Vissers*, Franca C. Hartgers*, Ernst Lindhout*, Marcel B. M. Teunissen{dagger}, Carl G. Figdor* and Gosse J. Adema*

* Department of Tumor Immunology, University Medical Center Nijmegen St. Radboud, Nijmegen, and
{dagger} Department of Dermatology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands

Correspondence: Gosse J. Adema, Department of Tumor Immunology, University Medical Center Nijmegen St. Radboud, Geert Grooteplein Zuid 28, 6525 GA Nijmegen, The Netherlands. E-mail: g.adema{at}dent.kun.nl


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ABSTRACT
 
Upon maturation, dendritic cells (DCs) have to adjust their chemokine expression to sequentially attract different leukocyte subsets. We used real-time quantitative polymerase chain reaction analysis to study in detail the expression of 12 chemokines involved in the recruitment of leukocytes into and inside secondary lymphoid organs, by DCs in distinct differentiation stages, both in vitro and in vivo. Monocyte-derived immature DCs expressed high levels of DC chemokine 1 (DC-CK1), EBI1-ligand chemokine (ELC), macrophage-derived chemokine (MDC), macrophage-inflammatory protein (MIP)-1{alpha}, and thymus and activation-regulated chemokine (TARC). Upon maturation, DCs up-regulated the expression of DC-CK1 (60-fold), ELC (7-fold), and TARC (10-fold). Activation of DCs by CD40 ligand further up-regulated the expression of ELC (25-fold). We found that freshly isolated blood DCs expressed only low levels of interleukin-8, lymphotactin, and MIP-1{alpha}. It is interesting that the chemokine profile expressed by activated CD11c- lymphoid-like as well as CD11c+ myeloid blood DCs mimics that of monocyte-derived DCs. Additionally, purified Langerhans cells that had migrated out of the epidermis expressed a similar chemokine pattern. These data indicate that different DC subsets in vitro and in vivo can express the same chemokines to attract leukocytes.

Key Words: human • real-time quantitative PCR • monocytes • blood DCs • Langerhans cells


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INTRODUCTION
 
Dendritic cells (DCs) are professional antigen-presenting cells capable of attracting and interacting with naïve (CD45RA+) T cells to initiate a primary immune response [1 2 3 ]. Several different DC populations have been identified, each of which is differentiated via a unique pathway. Two DC subsets of myeloid origin have been described: Langerhans cells (LCs), present in the epidermis, which take up antigen and subsequently migrate to local lymph nodes to differentiate into DCs; and myeloid-lineage-derived DCs, located in the dermis, blood, and B-cell follicles, which lack LC markers. There is also evidence for the existence of a distinct lymphoid DC subset, which is represented by the CD11c plasmacytoid DC [4 ].

Following antigen uptake in the periphery, immature DCs change their chemokine receptor profile and migrate into secondary lymphoid organs, where they mature and must interact in an antigen-specific manner with B cells and T cells to initiate an immune response [4 5 ]. Chemokines are involved in the recruitment of B cells, T cells, and DCs into the secondary lymphoid organs and the attraction of these cells to each other. This process requires accurate regulation, which can be defined at three different levels: (1) regulation of chemokine production [6 ], (2) regulation of chemokine receptor expression and desensitization [5 7 8 9 ], and (3) chemokines acting as antagonists [10 ].

To unravel in detail the fine-tuning of chemokine regulation in microenvironments, we studied the regulation of chemokine production. Since DCs play a key role in the induction of an antigen-specific immune response, we analyzed chemokine expression by DCs. For this purpose, we used real-time quantitative polymerase chain reaction (PCR), a new technique used to precisely quantify mRNA levels. This approach utilizes a sequence-specific probe containing at its 5' end a reporter dye which is quenched by a second fluorescent dye. During specific extension of the PCR, Taq polymerase cleaves the probe, and the quencher dye is released. The subsequent increase of fluorescence of the reporter dye is proportional to the amount of amplified copies and can be monitored on-line [11 12 13 ]. We have determined the chemokine expression profile of in vitro-cultured immature and mature monocyte-derived DCs. Furthermore, we studied whether monocyte-derived DCs primed, at the cytokine level, to induce a T-helper 1 response exhibit a chemokine profile different from that of DCs primed to induce a T-helper 2 response. Chemokine expression by monocyte-derived DCs was compared with that of in vivo DC subsets, namely peripheral blood DCs and LCs. Strikingly, although we observed quantitative differences between chemokine expression levels, all tested DC subsets expressed similar chemokine expression profiles. This indicates that they are able to attract the same set of cells of the immune system.


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MATERIALS AND METHODS
 
Antibodies
To characterize the different DC subsets, flow cytometry was performed using either fluorescein isothiocyanate (FITC)- or phycoerythrin (PE)-conjugated monoclonal antibodies (mAbs). The FITC-conjugated mAbs used were anti-human leukocyte antigen (HLA) class I (W6/32) and anti-HLA-DR/DP (Q5/13). The PE-conjugated mAbs used were anti-CD3, anti-CD11c, and anti-CD80 (all from Becton Dickinson, Mountain View, CA); anti-CD14 and anti-CD83 (both from Beckman Coulter, Mijdrecht, The Netherlands); anti-CD16 and anti-CD19 (both from Dako, Glostrup, Denmark); and anti-CD86 (PharMingen, San Diego, CA).

Generation of monocyte-derived DCs
Peripheral blood mononuclear cells (PBMC) of healthy individuals were separated by Percoll density centrifugation and were allowed to adhere for 1 h at 37°C in RPMI 1640 (Life Technologies, Inc., Grand Island, NY) enriched with 2% human serum in 75-cm2 tissue culture flasks (Costar, Badhoevedorp, The Netherlands). Adherent monocytes were cultured in RPMI 1640 enriched with 10% fetal calf serum (FCS) and a combination antibiotic-antimycotic (all from Life Technologies, Inc.) in the presence of interleukin (IL)-4 (500 U/mL; Schering-Plough, Amstelveen, The Netherlands) and granulocyte-macrophage colony-stimulating factor (GM-CSF; 800 U/mL, Schering-Plough) for 6 days. Fresh cytokine-containing culture medium was added at day 3. At day 6, the immature DCs were harvested. To generate mature DCs, immature DCs were resuspended in fresh cytokine-containing culture medium and stimulated by addition of either 10 ng/mL of tumor necrosis factor {alpha} (TNF-{alpha}; Bender Wien, Vienna, Austria), 2 µg/mL of lipopolysaccharide (LPS; Sigma Chemical Co., St. Louis, MO), and either 1 mg/mL of CD40 ligand (CD40L) trimer or 1 mg/mL of CD40L in combination with 1,000 U/mL of {gamma} interferon (IFN-{gamma}; Boehringer Ingelheim, Ingelheim am Rhein, Germany) in six-well culture plates. Mature monocyte-derived DCs were used at day 8. DCs cultured in autologous serum were prepared according to the same procedure, using X-VIVO 15 medium (BioWhittaker, Walkersville, MD) enriched with 1% autologous serum. Maturation was established by addition of the combination of 10 ng/mL of TNF-{alpha}, (Bender Wien), 10 µg/mL of prostaglandin E2 (PGE2; Sigma), and 50% (v/v) monocyte-conditioned medium [MCM; from immunoglobulin G (IgG)-activated monocytes] [14 ].

Isolation and stimulation of fresh blood DCs
DCs were isolated from PBMC by using a MACS Blood DC isolation kit (CLB, Amsterdam, The Netherlands). Briefly, blood DCs were pre-enriched from PBMC by immunomagnetic depletion of CD3+ T cells, CD11b+ monocytic cells, and CD16+ natural killer (NK) cells. During a second immunomagnetic separation, CD4+ blood DCs were positively selected. To obtain activated CD4+ CD11c+ blood DCs, freshly isolated blood DCs were cultured for 3 days in RPMI 1640 (Life Technologies, Inc.) enriched with 10% FCS and 50% (v/v) MCM [15 ]. Stimulated CD4+ CD11c- blood DCs were obtained by depletion of CD11c+ cells from the pre-enriched blood DC fraction, using anti-CD11c mAbs and magnetic cell sorting (Dynal, Oslo, Norway) followed by a positive selection for CD4. Isolated CD4+ CD11c- blood DCS were activated in RPMI 1640 medium (Life Technologies, Inc.) enriched with 10% FCS and 100 U/mL of IL-3 for 4 days; 1 day before harvesting of cells, 1 mg/mL of CD40L trimer was added [16 ].

Isolation of LCs from the skin
Full-thickness human skin specimens were obtained from healthy donors undergoing plastic surgery of the breast or abdomen. These specimens were shaved into slices of 0.2-mm thickness by using a dermatome. To enable separation of the epidermis from the dermis, the slices were incubated with 0.2% dispase II (Boehringer Mannheim, Mannheim, Germany) in phosphate-buffered saline at 37°C for 30 min. Subsequently, epidermal sheets were rinsed in phosphate-buffered saline and cultured dermal side down in Iscove’s modified Dulbecco’s medium (IMDM; Life Technologies, Inc.) enriched with 10% FCS and 50 µg/mL of gentamicin (Sigma). After 42 h, the cells that had migrated out of the epidermal sheets were collected [17 ]. LCs were enriched using anti-HLA-DR mAbs and magnetic cell sorting (MACS; CLB) and were >98% pure as analyzed by fluorescence-activated cell sorting.

TaqmanTM primers and probes
TaqmanTM probes were synthesized by PE-Applied Biosystems (Branchburg, NJ). The chemokine-specific probes were labeled at the 5' end with a 6-carboxyfluorescein (FAM) fluorescent group and at the 3' end with a 6-carboxytetramethylrhodamine (TAMRA) quencher group. Probes specific for the glyceraldehyde-3-phosphate dehydrogenase (GAPDH) and porphobilinogen deaminase (PBGD) housekeeping genes were labeled at the 5' end with a VIC fluorescent group and at the 3' end with 6-carboxytetramethylrhodamine. Sequences of all primers and probes used in this study are given in Table 1 .


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Table 1. Primers and Probes Used for Real-time Quantitative PCR Analysis

Real-time semiquantitative PCR analysis
Total RNA was extracted using Trizol reagent (Life Technologies, Inc.) and subsequently treated with ribonuclease-free deoxyribonuclease (Boehringer Mannheim). Reverse transcription was performed using 2.5 to 5 µg of total RNA, random hexamers, and Moloney murine leukemia virus reverse transcriptase (Life Technologies, Inc.). As a control, the reaction was also performed in the absence of reverse transcriptase. PCRs were performed in triplicate in accordance with the TaqmanTM assay instructions [18 19 ], using an end concentration of 175 nM probe and 600 nM primers. The amplifications were performed on an ABI/PRISM 7700 Sequence Detector System (PE-Applied Biosystems). This system produces a real-time amplification plot based on the normalized fluorescence signal. The fractional cycle number at which the amount of amplified target reaches a fixed threshold, called the threshold cycle (CT), is determined. The CT obtained is equivalent to the initial number of templates in the sample. Based on the exponential amplification of the target genes, as well as the GAPDH gene, the amount of amplified molecules at the threshold cycle is given by the equation T0/R0 = K x; (1 + E)(CT,R - CT,T), where T0 is the initial number of target gene copies, R0 is the initial number of GAPDH gene copies, E is the efficiency of amplification (E), CT,R is the threshold cycle of the GAPDH gene, CT,T is the threshold cycle of the target gene; and K is a constant (described in reference 20). This relation is based on the premise that the efficiencies of target and reference amplifications are approximately equal. By comparing serial dilutions of target and standard genes simultaneously, we demonstrated that the values of the slopes of log input amount versus CT were indeed approximately equal (data not shown). The amount of chemokines expressed was normalized to the level of GAPDH, and the amount per donor was related to the expression level of the PBGD housekeeping gene.

Chemokine sandwich ELISAs
The secretion of the chemokines DC chemokine 1 (DC-CK1), macrophage-derived chemokine (MDC), and thymus and activation-regulated chemokine (TARC) in culture supernatants was analyzed using specific sandwich enzyme-linked immunosorbent assays (ELISAs). In the DC-CK1 ELISA, mouse anti-human DC-CK1 mAb (AZN-CK18B) (Lindhout, E., Torensma, R., Guelen, L., Van Berkum, N., Trancikova, D., Looman, M., Ruers, T., Figdor, C.G., and Adema, G.A., unpublished data) was used as the primary (catching) antibody (Ab) and goat anti-human PARC was used as the secondary (detection) Ab (R&D Systems). The primary and secondary antibodies for the MDC ELISA were mouse anti-human MDCs (clone 252Y; a gift from R. Rodenburg) and rabbit anti-human MDCs (Preprotech Inc., Rocky Hill, NJ), respectively. In the TARC ELISA, rat anti-human TARC mAb (clone 25D8; DNAX) and goat anti-human TARC (R&D Systems Europe, Ltd., Abingdon, UK) were used as the primary and secondary antibodies, respectively. Detection Abs were stained with horseradish peroxidase (HRP)-conjugated donkey anti-goat IgG (Jackson Immunoresearch Laboratory Inc., West Grove, PA) or HRP-conjugated goat anti-rabbit IgG (Zymed Laboratories Inc., San Francisco, CA). HRP was visualized by incubation with 3,3',5,5'-tetramethylbenzidine substrate. Absorption was measured at 450 nm using a Titertek multiscan ELISA reader. The detection limit for all ELISAs was 0.8 ng/mL.

IL-12p70 sandwich ELISA
The measurement of IL-12p70 (detection limit, 0.2 ng/mL) was performed using a specific sandwich ELISA. Anti-human IL-12p70 mAb (Endogen, Woburn, MA) was used as the primary Ab, and anti-human IL-12p40/p70 biotin-labeled mAb (Endogen) was used as the detection Ab. Streptavidin-HRP conjugate (CLB) was used to specifically stain the biotin-labeled mAb and was visualized by incubation with 3,4,5-trimethoxybenzoic acid substrate. Absorption was measured at 450 nm.


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RESULTS
 
Monocyte-derived DCs express high levels of DC-CK1, EBI1-ligand chemokine, TARC, and MDC
The presence and activity of chemokines in a microenvironment are regulated on multiple levels. Here we examine in more detail the regulation of chemokines expressed by DCs. Upon arrival in secondary lymphoid organs, DCs must attract B cells and T cells to initiate an immune response. Therefore, we have selected 12 chemokines that are involved in the recruitment of leukocytes into and inside secondary lymphoid organs. The expression levels of these chemokines in DCs were examined by real-time quantitative PCR analysis. The GAPDH housekeeping gene was used as an internal control for the amount of complementary DNA. Moreover, for each donor, the expression levels of the chemokines were related to the expression level of the PBGD housekeeping gene, which is expressed at intermediate levels. Serial dilutions of target and standard genes demonstrated that all PCRs had approximately the same efficiency (data not shown).

We first analyzed chemokines expressed by monocyte-derived immature and mature DCs. Immature DCs expressing major histocompatibility complex (MHC) class I antigens, low levels of MHC class II antigens, and B7.2 (CD86) but neither B7.1 (CD80) nor CD83 were generated by culturing monocytes in the presence of GM-CSF and IL-4. Immature DCs were stimulated with LPS or TNF-{alpha}, resulting in mature DCs that expressed high levels of MHC class I and II antigens and were positive for B7.1, B7.2, and CD83. Relative mRNA levels of chemokines produced by freshly isolated monocytes, immature DCs, and mature DCs are depicted in Figure 1 . Monocytes expressed high levels of IL-8 and smaller amounts of macrophage-inflammatory protein (MIP)-1{alpha}, MIP-3{alpha}, and lymphotactin (Fig. 1A) . Expression of IL-8 in immature and mature DCs was dramatically decreased (1,000-fold) compared to that in monocytes (Fig. 1B) . Interestingly, immature DCs expressed high levels of MDC and TARC. TARC was up-regulated approximately 10-fold in mature DCs compared to immature DCs, while MDC levels remained constant. DC-CK1 and EBI1-ligand chemokine (ELC) were expressed at intermediate levels by immature DCs, but expression increased 60- and 7-fold, respectively, upon maturation. The other chemokines tested were expressed at lower levels, and no expression of stromal cell-derived factor (SDF) 1{alpha} or SDF-1ß was detected in cultured DCs.



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Figure 1. Expression of chemokines by immature and mature monocyte-derived DCs. Levels of chemokines expressed by freshly isolated monocytes (A) and by immature monocyte-derived DCs (day 6) and DCs stimulated with LPS or TNF-{alpha} (B) were determined relative to those of PBGD. Each graph represents data from one representative donor out of 3. (C) Sandwich ELISA for DC-CK1, MDC, and TARC produced by immature DCs (for 48 h) and DCs stimulated with LPS or TNF-{alpha} (for 48 h).

Since DC-CK1, MDC, and TARC were the chemokines expressed at the highest levels in mature DCs, their secretion by DCs was tested using chemokine-specific sandwich ELISAs. As shown in Figure 1C , production of the DC-CK1 and TARC proteins was increased upon maturation while MDC production remained constant. These results are in agreement with the quantitative PCR data.

Chemokine expression by cultured DCs is independent of FCS
The above data demonstrate that DCs cultured in medium containing FCS expressed high levels of chemokines. To exclude the involvement of FCS in the induction of chemokine expression, DCs were cultured in autologous serum and subsequently analyzed for chemokine expression. Figure 2 shows that immature DCs cultured in autologous serum (MHC class I+ MHC class IIlow B7.2low B7.1- CD83-) generally expressed levels of chemokines comparable to those expressed by immature DCs cultured in FCS. However, IL-8 was expressed to a higher level and TARC was expressed to a lower level than in DCs cultured in FCS. In DCs maturated with TNF-{alpha}, PGE2, and MCM (MHC class Ihigh MHC class IIhigh B7.2+ B7.1+ CD83+), expression of chemokines was up-regulated; especially DC-CK-1, IL-8, MDC, and TARC were highly expressed. These results are consistent with the chemokine levels measured in mature DCs cultured in FCS and demonstrate that chemokine expression by cultured DCs is independent of FCS.



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Figure 2. Relative mRNA expression levels of monocyte-derived DCs cultured in autologous serum. Immature DCs were generated by culturing monocytes with IL-4 and GM-CSF in the presence of autologous serum for 6 days. Immature DCs were maturated using the combination of MCM, TNF-{alpha}, and PGE2. One representative experiment out of 4 is shown.

ELC but not DC-CK1 is up-regulated in CD40L-activated DCs
CD40 ligation is known to be a strong stimulus which further activates DCs [4 ]. To address the question of whether CD40 triggering specifically influences the expression of certain chemokines in DCs, immature DCs were activated with CD40L for 48 h. Chemokines expressed by these activated DCs (MHC class Ihigh MHC class IIhigh B7.2+ B7.1+ CD83+) were examined by real-time quantitative PCR. The levels of expression of two chemokines by CD40L-activated DCs and DCs stimulated with LPS or TNF-{alpha} differed (Fig. 3 and Fig. 1B ). Activation with CD40L increased the expression of ELC to high levels (up to 25-fold higher than those of immature DCs). Furthermore, we found that, compared with immature DCs, CD40L-activated DCs did not up-regulate or only slightly up-regulated DC-CK1. These findings demonstrate that different stimuli up-regulate specific chemokines in DCs.



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Figure 3. ELC but not DC-CK1 is up-regulated in CD40L-activated DCs. Relative mRNA levels of chemokines expressed by immature DCs (day 6) and DCs activated with CD40L were determined. One representative experiment out of 4 is shown.

DCs that produce large amounts of IL-12 still express high levels of MDC and TARC
Immature and mature monocyte-derived DCs express high levels of MDC and TARC, two chemokines that preferentially support the attraction of T helper 2 cells via chemokine receptor CCR4 [21 ]. DCs have been shown to induce either a T-helper 1 or T-helper 2 response, depending mostly on the production of IL-12, which skews the immune response toward a T-helper 1 response. DCs maturated via one stimulus, such as CD40L or LPS, do not produce IL-12. In contrast, DCs stimulated with CD40L or LPS in the presence of IFN-{gamma} produce large amounts of IL-12 [22 , 23 ]. We investigated whether DCs expressing high levels of the T-helper-1-inducing cytokine IL-12 down-regulate the expression of MDC and TARC. Immature DCs were stimulated with CD40L and with a combination of CD40L and IFN-{gamma}. Both immature and CD40L-stimulated DCs expressed little IL-12; however, DCs stimulated with a combination of IFN-{gamma} and CD40L produced large amounts of IL-12 (Fig. 4A ). Interestingly, we found that addition of IFN-{gamma} to CD40L-stimulated DCs had no effect on the expression of MDC and TARC (Fig. 4B) or on any chemokine in our panel. These data demonstrate that both DC types produce high levels of MDC and TARC despite the difference in their IL-12 production levels.



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Figure 4. MDC and TARC are highly expressed in DCs that produce high levels of IL-12. (A) IL-12p70 production by immature DCs (day 6) and by DCs stimulated with CD40L or a combination of CD40L and IFN-{gamma}, measured by ELISA. (B) Relative mRNA levels of DC-CK1, ELC, MDC, and TARC expressed by these DCs. One representative experiment out of 2 is shown.

Blood DC express lower levels of chemokines than monocyte-derived DCs
Knowing that cultured DCs are capable of producing high levels of chemokines, we analyzed whether freshly isolated peripheral blood DCs produce comparable levels of chemokines. Blood DCs were isolated from PBMC by depletion of B cells, T cells, and monocytic cells, after which CD4+ cells were selected. The obtained blood DCs were >95% pure and consisted of two defined DC subsets. According to the literature, the lymphoid-like CD11c- DC subset has an oval or indented nucleus and expresses low levels of HLA-DR molecules (Fig. 5A ) while the myeloid CD11c+ DC subset has a hyperlobulated nucleus and expresses higher levels of HLA-DR molecules and CD86 (Fig. 5A) [15 24 ]. Semiquantitative PCR analysis showed that freshly isolated blood DCs expressed low levels of IL-8, lymphotactin, and MIP-1{alpha} while the other tested chemokines were expressed not at all or at minor levels (Fig. 5B) . To investigate whether chemokine expression is up-regulated in activated blood DCs, CD11c- DCs were stimulated with IL-3 and CD40L [16 ]. CD11c+ DCs were stimulated with MCM, which preferentially supports the maturation of CD11c+ blood DCs [15 ]. Stimulated CD11c- DCs clearly up-regulated the expression of ELC (100-fold) and MDC (4,500-fold) and induced a relatively high level of expression of TARC (Fig. 5B) . In addition, these DCs expressed low levels of IL-8, lymphotactin, and MIP-1{alpha}. Interestingly, CD11c- DCs did not express DC-CK1. Mature CD11c+ DCs expressed ELC, IL-8, MDC, MIP-1{alpha}, and TARC and, to a lesser extent, DC-CK1, lymphotactin, and MIP-3{alpha} (Fig. 5B) . ELISAs confirmed the secretion of MDC and TARC by blood DCs (Fig. 5C) , while the production of DC-CK1 did not exceed background levels (data not shown). Altogether, these data indicate that the chemokine profiles of activated blood DCs are surprisingly similar to the chemokine profile of monocyte-derived DCs, although the expression levels are significantly lower.



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Figure 5. Relative mRNA levels of chemokines expressed by freshly isolated blood DCs. (A) Freshly isolated blood DCs were stained with PE-conjugated Abs to CD3, CD14, CD16, and CD19 and FITC-conjugated anti-HLA-DR Ab. Blood DCs were defined as lineage-negative and HLA-DR-positive cells (lower right quadrant). Nuclei of freshly isolated DCs were stained with hematoxylin and eosin, and surface markers were identified with PE-conjugated CD11c, CD80, CD83, and CD86. (B) Relative mRNA levels of chemokines expressed by freshly isolated blood DCs, CD11c- DCs stimulated with IL-3 and CD40L, and CD11c+ DCs stimulated with MCM. Each graph represents data from one representative donor out of 3. (C) Sandwich ELISA for MDC and TARC produced by activated CD11c- DCs and CD11c+ DCs (for 3 days).

LCs express high levels of IL-8, MDC, and TARC
The DCs in the skin are represented by LCs [25 ]. We determined the chemokine profile of this in vivo DC subset. For this purpose, LCs were allowed to migrate out of epidermal sheets during a 2–day period. LCs expressed mainly IL-8, MDC, and TARC and produced minor levels of ELC, fractalkine, lymphotactin, and MIP-1{alpha} (Fig. 6 ). The chemokines DC-CK1, SDF-1{alpha}, and SDF-1ß were not detected. Interestingly, LCs expressed chemokines at levels similar to those of activated peripheral blood DCs.



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Figure 6. LCs express high levels of IL-8, MDC, and TARC. LCs were allowed to migrate out of epidermal sheets for 2 days. Relative mRNA levels of chemokines expressed by LCs were measured. One representative experiment out of 3 is shown.


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DISCUSSION
 
Chemokines are important regulators of the recruitment of cells involved in the induction of an immune response. Since DCs play a central role in the immune system, we analyzed the chemokine expression profiles of different human DC subsets in vitro and in vivo. Several studies have shown that DCs express a variety of chemokines [5 26 ]. We have analyzed in detail, using real-time quantitative RNA, the expression by DCs of 12 chemokines that are involved in the recruitment of leukocytes into and inside secondary lymphoid organs. This technique allows the correlation of the expression levels of different chemokines with each other. In addition, chemokine profiles of distinct DC populations can be directly compared. Using this approach, we were able to demonstrate that monocyte-derived DCs express a unique chemokine profile, different from that of monocytes. Additionally, human umbilical vein endothelial cells, a cell type known to produce various chemokines upon activation, expressed a completely different chemokine profile, including high levels of fractalkine, IL-8, MIP-3{alpha}, SDF-1{alpha}, and SDF-1ß (data not shown).

Real-time quantitative PCR analysis revealed that monocyte-derived DCs express high levels of the chemokines MDC and TARC. A recent study using serial analysis of gene expression also demonstrated an abundance of messages for MDC and TARC in cultured DCs [27 ]. Additionally, we demonstrated by ELISA that cultured DCs secrete large amounts of MDC and TARC proteins. Both chemokines attract T helper 2 cells, which express the chemokine receptor CCR4 [21 ]. Recently, it has been shown that monocyte-derived DCs mediating the induction of a T helper 1 response produce a cytokine profile different from that of those mediating the induction of a T helper 2 response [22 23 ]. Interestingly, we showed that these two DC populations express similar levels of chemokines including MDC and TARC. This suggests that with regard to chemokine levels, monocyte-derived DCs do not discriminate between the attraction of T helper 1 and T helper 2 cells. Rather, it seems that monocyte-derived DCs are able to attract naïve T cells (DC-CK1 and ELC) as well as memory T cells (MDC and TARC), which have also been shown to express CCR4 [28 ]. Additionally, NK cells have been shown to express CCR4 and as a result respond to TARC and MDC [29 30 ]. Thereby, DCs may provide a link between the innate and acquired immune responses, since they can attract and activate NK cells [31 ].

Maturation of monocyte-derived DCs by either LPS or TNF-{alpha} induced a significant up-regulation of DC-CK1 (60-fold), ELC (7-fold), and TARC (10-fold), while the high-level MDC expression remained constant. Upon arrival of mature DCs in secondary lymphoid tissue, DCs can attract naive T cells by secretion of the DC-specific chemokine DC-CK1 [32 ]. MDC and TARC will attract subpopulations of recently activated and memory T cells. In the case of an antigen-specific interaction, the DCs will activate the T cells, resulting in up-regulation of CD40L. CD40L in turn further activates the DCs. Interestingly, we observed that ligation of the CD40 molecule on cultured DCs induced a further up-regulation of ELC (25-fold). ELC can attract additional mature DCs and subsets of T lymphocytes expressing CCR7 [33 ] and thereby help to sustain an inflammatory reaction. Accordingly, expression of CCR7 gradually increases during DC maturation [26 ]. These findings support an important role for chemokines produced by mature DCs in the organization of secondary lymphoid structures.

Compared to the PBGD housekeeping gene, monocyte-derived DCs produce large amounts of chemokines. The analysis of immature DCs cultured in autologous serum showed that these chemokine levels were independent of the presence of FCS. The most significant difference between DCs cultured in medium containing autologous serum and those cultured in the presence of FCS was a higher level of expression of IL-8, which was up-regulated during maturation in the former. Monocytes produce high levels of IL-8 which decrease during the differentiation of these cells into DCs (data not shown). Therefore, immature DCs cultured in the presence of autologous serum seem less differentiated from monocytes than FCS-cultured DCs. This is supported by the finding that we were not able to maturate autologous–serum-cultured DCs by addition of a single stimulus. The combination of stimuli needed for the full maturation of these DCs could have contributed to the observed up-regulation of IL-8 expression.

We isolated peripheral blood DCs and LCs to study chemokine expression by DC subsets in vivo. Freshly isolated blood DCs expressed only very low levels of IL-8, lymphotactin, and MIP-1{alpha}, while activated blood DCs expressed nearly all tested chemokines; ELC, MDC, and TARC were up-regulated most strongly, while SDF1-{alpha} and SDF-1ß were not detected. Strikingly, the CD11c- lymphoid-like and CD11c+ myeloid blood DC subsets had comparable chemokine profiles. The DC-specific chemokine DC-CK1 was detected only in activated CD11c+ blood DCs. The absence of DC-CK1 expression in activated CD11c- DCs could either represent a lineage-dependent difference or result from the difference in stimulation of the two subsets. The chemokine expression pattern of activated blood DCs closely resembled that of monocyte-derived DCs. Consequently, peripheral blood DCs are able to attract the same population of cells as monocyte-derived DCs. The absolute chemokine levels expressed by peripheral blood DCs were significantly lower than in monocyte-derived DCs. However, in vivo, the chemokine concentration will be dependent not only on the amount of protein produced but also on chemokine stability and the capture of chemokines by extracellular matrix proteins such as proteoglycans. This could allow chemokines expressed at lower concentrations to be functionally active in the appropriate microenvironment.

We (Fig. 5A) and others [15 24 ] have demonstrated that the CD11c- blood DC subsets can be clearly distinguished phenotypically from the CD11c+ blood DCs. However, at present it is still uncertain which cells in vivo correspond to the in vitro-stimulated blood DC subsets. The presence of lymphoid-like CD4+ CD11c- DCs, also referred to as plasmacytoid cells, surrounding the high endothelial venules (HEV) in secondary lymphoid organs [34 35 ] strongly suggests that lymphoid-like DCs have directly migrated from the blood through the HEV into the T-cell area of the lymph node. This migration pattern is functionally distinct from that of DCs which have migrated from peripheral tissues to secondary lymphoid tissues through the afferent lymphatic system. CD11+ blood DCs are also capable of migrating across HEV but seem to migrate into the B-cell areas, likely represented by the phenotypically similar CD4+ CD11c+ germinal-center DCs [15 34 ]. This is supported by specific expression of the B-lymphocyte chemoattractant CXCL13 in both germinal-center DCs and activated CD11c+ blood DCs [36 ]. The presence of high levels of costimulatory markers on the activated blood DCs used for our analysis indicates that these cells most likely correspond to these lymphoid-tissue DCs.

LCs are bone marrow-derived DCs from the myeloid lineage that localize in the epidermis of the skin and are involved in antigen uptake [25 ]. The LC population used for our PCR analysis had migrated out of the epidermis over a 2-day period, thereby inducing LC activation. These LCs mainly express IL-8, MDC, and TARC, which are also expressed at high levels by activated blood DCs. LCs do not express DC-CK1 and express only minor levels of ELC, although these chemokines are expressed by activated blood DCs (DC-CK1 only by CD11c+ blood DCs) and in vitro-cultured DCs. Further studies in our laboratory indicate that at least DC-CK1 is a lineage-specific chemokine expressed by DCs and is not expressed in LCs, supporting the theory that LCs form a separate myeloid DC lineage.

DCs attract different cell types by adjusting their production of chemokines. Chemokine expression can be influenced by signals from inflammatory agents, contact with T cells, and a changing microenvironment. Here we demonstrated that despite differences in chemokine expression levels, all DC subsets, in vitro and in vivo, are able to attract the same leukocyte subsets. Therefore, regulation at the level of chemokine receptor expression on responder cells, including DCs, is also important. In addition, high levels of chemokines will desensitize the receptor and render cells unresponsive to the appropriate chemokine(s), allowing responder cells to reside at particular sites despite their continued exposure to chemokines. Although various aspects of the chemokine system still have to be unraveled, chemokine regulation is now well appreciated to be essential for immune cells to find the proper partner at the right place and time during the immune response.


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ACKNOWLEDGEMENTS
 
This work was supported by grant AZN/KUN 961362 from the Dutch Cancer Society and grant 90308 from the Dutch Foundation for Scientific Research (NWO).

We thank Dr. Ewald Mensink and Louis van de Locht (Department of Hematology, UMC Nijmegen St. Radboud, Nijmegen, The Netherlands) for giving us advice on the ABI/PRISM 7700 Sequence Detector System. We thank Maaike Looman, Dagmar Trancikova, and Linda Engelen for technical assistance. We thank Dr. Jolanda de Vries for stimulating discussions and critical reading of the manuscript.

Received October 17, 2000; revised December 28, 2000; accepted December 29, 2000.


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A. la Sala, S. Sebastiani, D. Ferrari, F. Di Virgilio, M. Idzko, J. Norgauer, and G. Girolomoni
Dendritic cells exposed to extracellular adenosine triphosphate acquire the migratory properties of mature cells and show a reduced capacity to attract type 1 T lymphocytes
Blood, March 1, 2002; 99(5): 1715 - 1722.
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