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Originally published online as doi:10.1189/jlb.1004584 on December 8, 2004

Published online before print December 8, 2004
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(Journal of Leukocyte Biology. 2005;77:352-360.)
© 2005 by Society for Leukocyte Biology

Fetal and neonatal murine skin harbors Langerhans cell precursors

S. Chang-Rodriguez*, W. Hoetzenecker*, C. Schwärzler{dagger}, T. Biedermann{ddagger}, S. Saeland§ and A. Elbe-Bürger*,1

* Department of Dermatology, Division of Immunology, Allergy and Infectious Diseases, Medical University of Vienna, Austria;
{dagger} Novartis Institutes for Biomedical Research, Vienna, Austria;
{ddagger} Department of Dermatology, Eberhard-Karls-University of Tübingen, Germany; and
§ Schering-Plough, Laboratory for Immunological Research, Dardilly, France

1 Correspondence: Department of Dermatology, Division of Immunology, Allergy and Infectious Diseases, Medical University of Vienna, Lazarettgasse 19, A-1090 Vienna, Austria. E-mail: adelheid.elbe-buerger{at}meduniwien.ac.at


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ABSTRACT
 
Resident epidermal Langerhans cells (LC) in adult mice express ADPase, major histocompatibility complex (MHC) class II, and CD205 and CD207 molecules, while the first dendritic leukocytes that colonize the fetal and newborn epidermis are only ADPase+. In this study, we tested whether dendritic epidermal leukocytes (DEL) are end-stage cells or represent LC precursors. In epidermal sheets of fetal and neonatal mice, we found no apoptotic leukocytes, suggesting that these cells do not die in situ. To address whether DEL can give rise to LC, sorted DEL from murine newborn skin were cultured with cytokines used to generate LC from human CD34+ precursors. After 7–14 days, DEL proliferated and acquired the morphology and phenotype of cells reminiscent of LC. In concordance with this finding, we show that neonatal epidermis harbors 10–20 times the number of cycling MHC class II+ leukocytes as adult tissue. To test whether LC can differentiate from skin precursors in vivo, we developed a transplantation model. As it was impossible to transplant fetal epidermis, whole fetal skin was grafted onto adult severe combined immunodeficient mice. As opposed to the uniform absence of donor LC at the time of transplantation, examination of the epidermis from the grafts after 2–4 weeks revealed MHC class II+ donor cells, which had acquired CD205 and CD207, thus qualifying them as LC. Finally, we present evidence that endogenous LC persist in skin grafts for the observation period of 45 days. These studies show that hematopoietic precursors seed the skin during embryonic life and can give rise to LC.

Key Words: transplantation • epidermis • leukocytes • cell cycle • cytokines • apoptosis • grafts


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INTRODUCTION
 
Langerhans cells (LC) are immature, skin-specific members of the dendritic cell (DC) system and play a pivotal role in the induction of T cell-mediated immunity against various antigens and pathogens that are present in or penetrate into skin (e.g., reactive chemicals, alloantigens, microorganisms, tumor-associated antigens) [1 ]. Upon recognition of "danger" signals by specific receptors, a cascade of cellular and molecular events is initiated, which allows LC to pick up and process the antigens, to emigrate from the skin, and to terminally mature into potent, immunostimulatory cells. Upon arrival in the secondary lymphoid organs, LC initiate an immune response by presenting processed antigens to naive T cells (reviewed in refs. [2 , 3 ]).

Like all hematopoietic cells, LC originate in the bone marrow [4 , 5 ]. Recent studies in adult mice indicate that under steady-state conditions, LC are derived from radio-resistant, long-lived, proliferating, local precursors and that rapid recruitment of bone marrow-derived LC precursors occurs during skin inflammation [6 , 7 ]. Migratory LC have been found in skin-draining, lymphatic vessels under steady-state conditions, which suggests that there is a constant turnover of LC even in the absence of inflammatory signals [6 , 8 , 9 ]. Although we are beginning to understand the mechanisms that regulate the migration of LC and their precursors, far less is known about their ontogeny. In mice, initial colonization of the epidermis with a considerable number of ADPase+major histocompatibility complex (MHC) class II dendritic epidermal leukocytes (DEL), which are considered to be LC precursors, takes place at approximately fetal day 16 (d16) [10 ]. A few dendritic ADPase+ MHC class II+ cells appear around birth, but a dramatic numerical increment of these cells occurs after birth [10 11 12 ]. Recently, we and others have reported that fetal and newborn DEL do not express markers, typically expressed by LC (e.g., CD205 and CD207) [13 14 15 ] and that DEL capture antigen more efficiently than LC but are markedly impaired in their antigen-presenting function [15 ]. Here, we analyzed whether DEL represent a subpopulation, which is present only in fetal/neonatal life and subsequently undergoes apoptosis in situ, or indeed represent LC precursors. Our results show that fetal and newborn epidermis does not contain apoptotic leukocytes and that DEL are the actual LC precursors.


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MATERIALS AND METHODS
 
Animals
Female C.B-17/GbmsTac-PrkdcscidLystbg [herein referred to as severe combined immunodeficient (SCID)] mice were obtained from Taconic (Germantown, NY). In the C.B-17-SCID strain, the mutation is carried on an inbred strain that is congenic to the BALB/c (H-2d) mouse. C3H/HeN (C3H; H-2k) and C57BL/6 (B6; H-2b) inbred mice of both sexes were obtained from Charles River (Sulzfeld, Germany). Females and males were paired, and the resulting offspring was bred and maintained at the animal facility of the Department of Dermatology, Medical University of Vienna (Austria). Fetuses were obtained from timed pregnancies, taking the appearance of vaginal plug as d0 of gestation. Transplanted mice were maintained in microisolator systems (UNO, Zevenaar, Holland). Complete diet for rat/mice "extrudiert" (ssniff, Soets, Germany) and acidified water (pH 3.0) were supplied ad libitum. All animal procedures were approved by the Institutional Committee of Animal Experimentation of the Medical University of Vienna and by the Austrian Ministry of Science and Education (GZ 66.009/17-Pr/4/2000).

Reagents
RPMI-1640 medium was supplemented with 10% heat-inactivated fetal calf serum (FCS; PAA Laboratories GmbH, Linz, Austria), 25 mM Hepes, 10 µg/ml gentamycin, 2 mM L-glutamine, 0.1 mM nonessential amino acids, 1 mM sodium pyruvate, 50 µM 2-mercaptoethanol, and 1x antibiotic-antimycotic solution (all from Gibco Life Technologies, Grand Island, NY). The following unlabeled fluorescein isothiocyanate (FITC)-, phycoerythrin (PE)-, and allophycocyanin (APC)-conjugated monoclonal antibodies (mAb) were used: 30-F11 (anti-CD45), KH74 (anti-I-Ab), AMS-32.1 (anti-I-Ad), 11-5.2 (I-Ak), 17-3-3 (anti-I-Ek), and anticyclin B1 (GNS-1; all from PharMingen, San Diego, CA); 10-2.16 (anti-I-Ak, TIB 93) and NLDC-145 (anti-CD205; from the American Type Culture Collection, Manassas, VA); and 929F3 (anti-CD207; raised at Schering-Plough, Laboratory for Immunological Research, Dardilly, France). Second-step reagents were FITC goat F(ab')2 anti-rat immunoglobulin (Ig; Zymed, South San Francisco, CA); R-PE-conjugated goat anti-rat Ig-specific polyclonal antibody and streptavidin-PE (PharMingen); and Texas red-streptavidin (Amersham Pharmacia Biotech, Vienna, Austria). Irrelevant, isotype-matched mAb were used as negative controls.

Assessment of apoptotic leukocytes in the epidermis by terminal deoxynucleotidyl transferase-mediated deoxyuridine triphosphate nick-end labeling (TUNEL)
To monitor apoptosis in situ, epidermal sheets from selected age groups {fetal [E19], newborn [≤10 h postpartum (pp)], 3 days pp, and adult [6 weeks]} were prepared as described previously [16 ], cut into small pieces (~3 mm2), fixed with 4% paraformaldehyde (30 min, room temperature), and then washed three times in phosphate-buffered saline (PBS). Sheets were permeabilized with 0.1% Triton X-100 (Sigma Chemical Co., St. Louis, MO) in 0.1% sodium citrate for 1 h, extensively washed, and afterward, were subjected to FITC-TUNEL labeling according to the manufacturer’s instructions (Roche Molecular Biochemicals, Mannheim, Germany). For the identification of DEL and LC, epidermal sheets were counterstained with APC-labeled mAb [anti-CD45 (clone 30F11), biotinylated anti-MHC class II (clone KH74)] for 1 h at 37°C. As a positive control, sheets were first incubated with 1500 U/ml DNase I (1 h, 37°C) to induce DNA breaks in the nucleus and were then subjected to double-staining procedures. Immunostained sheets were analyzed with a confocal laser-scanning microscope 510 (Carl Zeiss, Jena, Germany).

Epidermal and dermal cell suspensions and purification of subpopulations
For the preparation of skin cell suspensions, fetal and neonatal mice were decapitated, submerged for 5 min in a solution of 10% Betaisodona (Mundipharma, Vienna, Austria) and for 2 min in 70% ethanol, washed (5 min, PBS), and dried. Adult mice were killed by CO2, shaved, and disinfected as described for neonatal skin. Full-thickness trunk skin was then excised and placed on a sterile petri dish (dermal side up), and the subcutaneous fat was scraped off. Skin was cut into small pieces (20x8 mm), placed in cell-culture dishes (150x25 mm, Corning, NY), and floated dermal side down on a 1% trypsin-PBS solution (Merck, Darmstadt, Germany) for 40 min at 37°C. Epidermal sheets were peeled off from the underlying dermis, and both tissues were vigorously agitated in a shaking water bath (15 min, 37°C) in FCS-supplemented RPMI 1640 (Gibco Life Technologies) containing 0.025% DNase (Sigma Chemical Co.). The resulting cell suspension was stained and analyzed by confocal laser-scanning microscopy and flow cytometry or further used for enrichment procedures. Recently, we adapted a method to highly enrich DEL [15 ] and dermal leukocytes (data not shown). Using this technique, the purity of the two cell populations from newborn C3H mice was consistently ≥90% as determined by flow cytometry. One part of the cells was stained for cytoplasmic and surface marker expression, placed onto adhesion slides, and analyzed by a confocal laser-scanning microscope. Remaining cells were cultured in 96-well round-bottom microtiter plates (1x103/well) in serum-free medium X-VIVO 15 (BioWhittaker, Walkersville, MD) containing 2 mM L-glutamine and 1x antibiotic-antimycotic solution (Gibco Life Technologies). Cultures were supplemented with previously optimized concentrations of the following factors and cytokines: granulocyte macrophage-colony stimulating factor (GM-CSF; 100 ng/ml, Novartis Institutes for Biomedical Research, Vienna, Austria), stem cell factor (SCF; 20 ng/ml, PeproTech EC Ltd., London, UK), fetal liver tyrosine kinase 3 ligand (Flt3L; 100 ng/ml, Immunex Corp., Seattle, WA), and transforming growth factor-ß1 (TGF-ß1; 0.5 ng/ml, Biotec AG, Hannover, Germany). Culture medium was exchanged every second day. After 2 weeks, all cells were harvested and stained for fluorescence analyses (see below). Stained cells were placed on each reaction field of an adhesion slide (Bio-Rad, Richmond, CA) and incubated in a humidified chamber (30 min, room temperature) to allow their sedimentation. Nonattached cells were rinsed off with PBS, and the slides were embedded in fluorescence-mounting fluid (Dako, Vienna, Austria) and analyzed with a confocal laser-scanning microscope. The same procedure was performed for double-stainings of lymph node cells and highly purified LC and DEL.

Immunofluorescence analysis of cells by flow cytometry and confocal laser-scanning microscopy
Cells (1x106/sample) were resuspended in cold PBS/1% FCS/0.1% NaN3 and serially incubated with biotinylated- and FITC-conjugated mAb directed against selected mouse antigens (30 min, 4°C). To block nonspecific binding of mAb, cells were incubated with mouse/goat serum [5% (v/v) in PBS, 20 min, 4°C] prior to the staining procedures. Specificity of staining was confirmed using isotype-matched, control mAb. Dead cells were excluded by 7-amino-actinomycin D (1 µg/ml, Sigma Chemical Co.) uptake. For the detection of cytoplasmic CD207, cells were fixed and permeabilized with a Cytofix/Cytoperm solution (20 min, 4°C, PharMingen), washed in a buffer containing saponin (Perm/Wash buffer, PharMingen), then incubated with the nonconjugated mAb anti-CD207 diluted in Perm/Wash buffer (30 min, 4°C), exposed to FITC-goat anti-rat, and counterstained with a biotinylated, anti-MHC class II mAb (30 min, 4°C) followed by strepavidin-PE. For the detection of cytoplasmatic cyclin B1 in MHC class II+ epidermal cells, cells were stained with the PE-labeled anti-MHC class mAb 11-5.2 (30 min, 4°C), washed, and fixed in 75% ethanol (2 h, –20°C). Ethanol was removed by centrifugation, aspirated, and washed once with wash buffer. The cells were permeabilized with 0.25% Triton X-100 in wash buffer (5 min, 4°C). After three additional washing steps, cells were stained with the FITC-conjugated anticyclin B1 mAb (30 min, 4°C), washed, and resuspended in a propidium iodide (Sigma Chemical Co.) solution for simultaneous analysis of DNA cell-cycle and cyclin B1 expression. Fluorescence was measured with a FACScan flow cytometer, and data were analyzed with Cell Quest software (both from Becton Dickinson, Mountain View, CA). For confocal laser-scanning microscope analyses, cells were incubated with nonconjugated mAb anti-CD207, diluted in Perm/Wash buffer (30 min, 4°C), exposed to an R-PE-conjugated goat anti-rat Ig polyclonal antibody (PharMingen), and counterstained with FITC-labeled anti-CD45 or anti-MHC class II (clone 10-2.16) mAb.

Transplantation studies
Six-week-old female mice (C3H/B6/F1, SCID) were anesthetized intraperitoneally with 100 µl Ketalar (ketamine-hydrochloride; 2 ml of a 50 mg/ml solution, Parke-Davis GesmbH, Vienna, Austria) and Rompun (xylazine-hydrochloride; 800 µl of a 2% solution, Bayer Austria, Vienna; plus 5.2 ml Aqua dest.). The transplantation area on the back was carefully shaved. The graft bed was prepared by excising a full-thickness skin specimen in a size approximately equal to that of the fetal skin grafts (15x15 mm). Full-thickness fetal (E18) skin grafts from female B6 mice consisting of almost the entire integument were freed of subcutaneous fat, and the graft was then placed into the graft bed of adult recipient mice, fixed with surgical glue, and covered with a polyvinyl bandage [17 ]. For each transplantation experiment (n=10), we have used one fetal mouse/adult recipient. Fifteen mice were transplanted per experiment. Experiments with successfully engrafted mice were performed at selected time-points after transplantation. Epidermal and dermal sheets from the grafts of three to five transplanted mice were stained for each time-point.

Immunofluorescence and quantitative analysis of epidermal and dermal cell subpopulations
Double-labeling of sheets prepared from grafts before and after transplantation of fetal d18 skin (B6; I-Ab) onto adult (C3H/B6/F1; I-AkI-EkI-Ab) mice
Epidermal and dermal sheets were prepared as described [16 ] and incubated with appropriately diluted FITC-conjugated mouse anti-mouse MHC class II mAb (I-Ab, clone KH74; I-Ek, clone 17-3-3) for 16 h at 4°C. After several washes, sheets were counterstained for 1 h at 37°C with APC-labeled anti-CD45 (clone 30F11) mAb or biotinylated mouse anti-mouse MHC class II (I-Ab; clone KH74) mAb and then reacted with Texas red-streptavidin (1 h, 37°C). In some experiments, sheets were incubated with an appropriately diluted FITC-conjugated rat anti-mouse CD45 (clone 30F11) mAb for 16 h at 4°C (data not shown).

Double-labeling of sheets prepared from grafts after transplantation of fetal d18 skin (B6; I-Ab) onto adult SCID (I-AdI-Ed) mice
In the first series of experiments, sheets were incubated with an appropriately diluted FITC-conjugated mouse anti-mouse MHC class II (I-Ad; clone AMS-32.1) mAb (16 h, 4°C). After several washes, sheets were counterstained (1 h, 37°C) with a biotinylated mouse anti-mouse MHC class II (I-Ab; clone KH74) mAb and then reacted with Texas red–streptavidin (1 h, 37°C). In the second series of experiments, sheets were first incubated with the purified rat anti-mouse CD205 mAb (16 h, 4°C), counterstained with a FITC-labeled goat F(ab')2 anti-rat Ig, and then reacted with biotinylated mouse anti-mouse MHC class II (I-Ab; clone KH74) and Texas red-streptavidin (1 h, 37°C). In a third series of experiments, sheets were incubated with purified rat anti-mouse CD207 mAb for 16 h at 4°C and FITC-labeled goat F(ab')2 anti-rat Ig and counterstained with biotinylated mouse anti-mouse MHC class II (I-Ab; clone KH74) mAb and Texas red-streptavidin (1 h, 37°C).

Immunolabeled cells in epidermal sheets were enumerated at 400x magnification using a rectangular grid with 40x oil objective in a conventional immunofluorescence microscope (Leitz Diaplan, Wetzlar, Germany). Forty fields were randomly chosen, and the density of positive cells was determined and expressed as the number of cells (±SD) per mm2 of skin surface.


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RESULTS
 
DEL do not undergo apoptosis
To address the possibility that DEL represent end-stage cells and undergo apoptosis, epidermal sheets from fetal, newborn, and adult mice were double-stained with the TUNEL kit and CD45 and MHC class II mAb and examined with a confocal laser-scanning microscope. Similar to the situation in adult epidermis [18 ], neither fetal nor newborn epidermis contained TUNEL+ dendritic leukocytes as opposed to the positive control, incubated in the presence of DNase I (Fig. 1 ), indicating that DEL do not die in situ.



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Figure 1. DEL do not undergo apoptosis in situ. Epidermal sheets (one sheet/mouse, n=3) from C57BL/6 mice were prepared at the indicated time-points and subjected to the TUNEL technique. For the identification of DEL and LC, sheets were counterstained with APC-labeled anti-CD45 and anti-MHC class II mAb. To induce DNA breaks in the nucleus (=Pos. control), epidermal sheets were incubated with 1500 U/ml DNase I and then subjected to double-labeling. Immunostained sheets were analyzed using a confocal laser-scanning microscope. Results are representative of three independent experiments for each time-point. Original scale bars: 20 µm.

DEL acquire morphologic and phenotypic features of LC in vitro
To determine whether DEL can give rise to LC, they were highly enriched, and one part was stained and analyzed by a confocal laser-scanning microscope, and the other part was cultured in serum-free medium in the presence or absence of GM-CSF, SCF, Flt3L, and TGF-ß1, cytokines used to generate LC from human precursors [19 ]. Under nonpathologic conditions, LC are the only cells that constitutively express MHC class II and CD207 molecules in adult epidermis [20 ]. Accordingly, in epidermal cell suspensions of adult mice, which have been depleted for dendritic epidermal T cells by anti-Thy-1 and complement killing, all CD45+ cells exhibit a pronounced anti-MHC class II and anti-CD207 reactivity, thus qualifying as LC (Fig. 2A , upper panel). In striking contrast, anti-Thy-1-depleted CD45+ DEL from newborn mice failed to express CD207. Even the few MHC class II+ cells present do not express CD207 (Fig. 2A , lower panel), thus corroborating our previous in situ and flow cytometry data [14 ]. After 3 days, a morphologic analysis of newborn DEL cultured with and without cytokines revealed major differences. DEL cultured with factors became dendritic, and DEL cultured without factors did not survive beyond 72 h (data not shown). After 7 days, two populations of cells could be observed in the cytokine-supplemented cultures: loosely adherent clusters of proliferating cells (Fig. 2B , inset) with morphologic features of LC, such as high dendricity, and round cells with a fuzzy surface (Fig. 2B) . Examination of the cultures for markers related to LC revealed that approximately one-third of CD45+ cells is MHC class II+ and expresses different levels of CD207 (Fig. 2C) . Anti-CD207 reactivity was observed in cells with high and slight DC morphology (Fig. 2C) . The remaining CD45+MHC class IICD207 and CD45+MHC class II+CD207 cells (Fig. 2D , left panel) represent LC precursors, which not yet express LC markers, or cells that can give rise to other cell types. Experiments at the single-cell level are planned to address this.



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Figure 2. Generation of LC from DEL in vitro. EC suspensions from newborn and adult C3H mice were treated with anti-Thy-1 and complement and subsequently enriched for DEL and LC, respectively, as described in Materials and Methods. One portion of the cells was immediately stained for the indicated markers and analyzed using a confocal laser-scanning microscope (A); the other portion was seeded at 1 x 103 cells/200 µl in 96-well round-bottom tissue-culture plates in serum-free medium in the presence of GM-CSF, SCF, Flt3L, and TGF-ß1. (B) Clusters of dendritically shaped cells first appeared after 7 days of culture. Several dividing cells (inset) were observed. After 2 weeks, total cells were harvested from the suspension culture and analyzed for their anti-CD45, -MHC class II, and -CD207 immunoreactivity (C, D). Isotype-matched control antibodies consistently gave negative results (data not shown). CD45+ cells consisted of highly dendritic and round cells with a fuzzy surface. Cytoplasmic anti-CD207 reactivity was detected in both cell types. The dendrites are only faintly visualized because of the cytoplasmic (and predominantly perinuclear) location of CD207. Shown is one representative of five independent experiments with similar results. Original scale bars: 20 µm.

DEL proceed through the cell cycle
To test whether DEL are progressing through the cell cycle, epidermal cell suspensions from various ages after birth including adults were immunostained for MHC class II and for cyclin B1, a protein specifically expressed at the end of G2 and throughout M phases of the cell cycle [21 ]. We detected cyclin B1+ cells in all age groups. The percentage of cyclin B1+ and cyclin B1 cells was determined by gating on MHC class II+propidium iodide+ epidermal cells. In neonatal epidermis, the percentage of cyclin B1+ cells was 20–35%, and the percentage of cyclin B1+ LC was considerably less in adult tissue (2–5%; Fig. 3 ). These data demonstrate that DEL proliferate and thus support our results obtained using cytokine-supplemented cultures.



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Figure 3. DEL are dividing in situ. Immunostaining for cyclin B1 and subsequent analysis by flow cytometry were performed as described in Materials and Methods. Cells (2x104) were acquired per sample, and bars represent the mean ± SD of three experiments for each time-point. 20–35% of all MHC class II+ cells in neonatal epidermis express the cyclin B1 protein, indicative of G2/M phases of the cell cycle. There is a sharp decline of cyclin B1+MHC class II+ cells in adult epidermis. NB, Newborn.

Precursors in fetal skin can differentiate into LC in vivo
The above results indicate that DEL proliferate and can give rise to cells with features of LC. To further corroborate these findings to an in vivo situation, we established a transplantation model. As it was impossible to transplant fetal epidermis, we transplanted full-thickness grafts from body wall skin of fetal d18 B6 mice onto full-thickness wound beds of adult C3H/B6/F1 mice. Using this approach, a continuous influx with contaminating, circulating LC precursors into the skin is excluded. Consequently, appearance of LC in the grafts would reflect their differentiation from precursors in the maturing tissue. The grafts displayed good survival on the recipients’ backs and at 28 days after transplantation, exhibited all signs of differentiation, as evidenced by hair growth (data not shown). At selected intervals, the grafted skin was surgically removed, and epidermal and dermal sheets were prepared, stained, and analyzed for the presence and density of donor and recipient LC. Detection of donor and recipient cells was possible by selective staining of MHC class II haplotypes to identify single-positive donor (I-Ab) and double-positive recipient F1-cells (I-AbI-Ek). At the time of transplantation, the epidermis contained sizeable numbers of dendritic-shaped CD45+MHC class II cells (Fig. 4A ). In contrast, many CD45+ cells in the dermis expressed MHC class II molecules but were CD207 (Fig. 4A , and data not shown). Several dermal MHC class II+ cells appeared as "doublets" within clusters of CD45+ cells, suggesting proliferation (Fig. 4A) . Three days later, epidermal sheets from the grafts still lacked single-positive donor (I-Ab) but already contained few scattered round to polygonal double-positive recipient (I-AbI-Ek) cells. Staining of epidermal sheets from the grafts with an anti-CD45 mAb revealed that the majority of the CD45+ donor cells is still present, indicating that they have not yet emigrated from the skin (data not shown). Most of the dermal MHC class II+ cells were already of recipient origin (Fig. 4B) . Occasionally, single-positive donor (I-Ab) cells were visible scattered throughout the dermal tissue (Fig. 4B , insets, arrows). It is likely that these cells are on their way to the lymphatic vessels to emigrate to lymph nodes. At 7 days post-transplantation, the epidermis contained considerable numbers of single-positive donor (Fig. 4C , arrows) and double-positive recipient dendritic leukocytes. During the following weeks after transplantation, the overall density of recipient MHC class II+ cells in the epidermis increased and outnumbered donor MHC class II+ cells. At 4 weeks, epidermal sheets from the grafts possessed a regular network of recipient MHC class II+ cells only, suggesting that donor MHC class II+ cells have emigrated (Fig. 4D) . To test whether disappearance of donor-type MHC class II+ cells can be avoided and thus facilitate characterization of these cells, we transplanted fetal (E18) B6 skin onto the back of adult SCID mice. These mice were selected as graft recipients, as they accept allografts, and as a result of the lack of functional T and B cells, have small lymphoid organs [22 ]. Similar to the model described above, the grafts displayed good survival on the recipient (data not shown). Examination of epidermal sheets from the grafts at 14 days post-transplantation revealed the presence of considerable numbers of donor (I-Ab) and recipient (I-Ad) MHC class II+ cells (Fig. 5A ). We repeatedly found clusters containing 5–10 cells, suggesting proliferation. Indeed, donor-type DC not only persisted in the grafts when analyzed at 4 weeks (Fig. 5B) but also increased in numbers. Exact quantification of the number of LC was difficult because of the heterogenous distribution of these cells in the epidermis of the grafts. Donor and recipient MHC class II+ cells were morphologically indistinguishable from LC in adult, naive mice and furthermore, exhibited anti-CD205 and -CD207 reactivity, thus qualifying as LC (Fig. 5B) . Although over time, most of the LC in the grafts were replaced with those of the recipient, some donor LC persisted in the epidermis for long periods after transplantation (≥2 months). Similar data were obtained when we transplanted d18 fetal C3H (I-Ek) mouse skin onto adult C57BL/6 SCID (I-Ab) mice. Thus, examination of epidermal sheets from the grafts 3 days after transplantation revealed a few leukocytes of donor (I-Ek: 56 cells/mm2) and recipient (I-Ab: 24 cells/mm2) origin. One to 2 weeks post-grafting, the density of both MHC class II populations, considerably increased (I-Ek: 1594 cells/mm2; I-Ab: 1523 cells/mm2). From these results, we can conclude that the fetal skin contains LC precursors, expressing their potential in vivo in adult mice.



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Figure 4. Transient appearance of donor-type dendritic MHC class II+ cells in d18 fetal skin (B6; I-Ab) specimens grafted onto adult C3H/B6/F1 (I-AkI-EkI-Ab) recipients. (A) At the time of transplantation (day 0), epidermal and dermal sheets from fetal mice on d18 of gestation (E18) were exposed to FITC-anti-MHC class II (I-Ab)/APC-anti-CD45 double-labeling. The epidermis contained a considerable number of CD45+ DC, which failed to express MHC class II antigens. In contrast, the dermis harbored abundant numbers of round-shaped CD45+ cells, most of which coexpress MHC class II molecules. (B) Three days after transplantation (day 3), epidermal and dermal sheets were exposed to FITC-anti-MHC II (I-Ek)/biotinylated anti-MHC II (I-Ab)-Texas red-streptavidin double-labeling. Confocal microscopy revealed few scattered recipient-type (I-EkI-Ab) but no donor-type MHC class II+ (I-Ab), single-positive cells in the epidermis. In the dermis, most of the MHC class II+ cells were double-positive. Occasionally, donor-type (I-Ab), single-positive cells were visible (insets, arrows). (C) Seven days after transplantation (day 7), we encountered donor (I-Ab) cells (arrows) with one or two dendrites and recipient double-MHC class II+ (I-AbI-Ek) cells in the epidermis. (D) Four weeks after transplantation (day 28), only cells of recipient origin were visible in the epidermis and the dermis. One representative of five experiments is shown. Original scale bars: 20 µm.



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Figure 5. Appearance and persistence of donor LC in d18 fetal skin (B6) grafted onto adult C.B-17-SCID (I-AdI-Ed) mice. (A) Fourteen days after transplantation (day 14), epidermal sheets were exposed to FITC-anti-MHC class II (I-Ad)/biotinylated anti-MHC class II (I-Ab)-Texas red–streptavidin double-labeling. Two exclusive populations of donor and recipient cells were observed. (B) Twenty-eight days after transplantation (day 28), we found changes in donor cells, as evidenced by an increase in cellularity and development of a polygonal cell body with several, slender dendrites protruding from its surface. When epidermal sheets were stained with FITC-anti-CD207/biotinylated anti-MHC class II (I-Ab)-Texas red-strepavidin or FITC-anti-CD205/biotinylated anti-MHC class II (I-Ab)-Texas red-streptavidin, we found that donor cells (I-Ab) have matured into LC given by reactivity with anti-CD205 and anti-CD207 mAb. One representative of five experiments is shown. Original scale bars: 20 µm.


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DISCUSSION
 
We and others have previously reported that the fetal epidermis contains ADPase+CD11b+F4/80+CD32+MHC class IICD205CD207CD90CD3 dendritic leukocytes [10 11 12 13 14 , 23 , 24 ], which we have named DEL [15 ]. The question whether these cells are indeed LC precursors has long been a matter of debate. In this study, we have shown that DEL can differentiate into LC.

Tumor necrosis factor {alpha} (TNF-{alpha}) is known to initiate apoptosis in multiple cell types including keratinocytes [25 , 26 ]. As neonatal epidermal cells produce significantly more TNF-{alpha} than adult epidermal cells [15 ], we reasoned that DEL may undergo apoptosis and are subsequently replaced by LC precursors from the bone marrow in the neonatal period. To test this hypothesis, fetal and neonatal epidermis was screened for the presence of apoptotic leukocytes. At no time-point of investigation do DEL undergo apoptotic cell death. To test whether DEL can give rise to cells with LC features, we have used a defined, serum-free culture system, described previously for the generation of human LC from CD34+ precursors [19 ]. In the DEL cultures, supplemented with GM-CSF, SCF, Flt3L, and TGF-ß1, LC outgrowth could already be detected morphologically. Colonies were composed of underlying cells that loosely adhered to plastic and attached to overlying clustered cells, most of which expressed MHC class II. In all of these colonies, the majority of the cells was CD207+. Serum-free culture of DEL thus allows the outgrowth of cells with LC features. Morphologically, these colonies resemble previously described DC clusters generated from murine bone marrow [27 ] and are reminiscent of mixed monocyte-DC clusters obtained in semisolid, serum-containing cultures of human CD34+ progenitors [28 ]. In our cultures, differentiation into LC only occurred when DEL were highly enriched, the culture medium was replaced every second day, and TGF-ß1 was present. The influence of TGF-ß1 on LC development has been studied in recent years by several investigators [29 , 30 ]. In vitro studies have demonstrated that TGF-ß combined with other hematopoietic growth factors can induce LC from various hematopoietic progenitor/precursor cells [19 , 31 32 33 34 35 ], monocytes [36 ], peripheral blood CD1a+CD11c+ [37 ], and dermal CD14+ cells [38 ]. Previous studies also showed that SCF and Flt3L potently synergize with GM-CSF to promote the expansion of DC [19 , 39 , 40 ]. The amplification efficiency by these factors in our cultures remains to be investigated.

An important result of this study was the demonstration that 20–35% of all MHC class II+ neonatal DEL were in G2/M phase of the cell cycle, indicating a high turning over of LC precursors in neonatal epidermis. Our data demonstrating that approximately 5% of LC in adult epidermis is in the cell cycle are consistent with results by other investigators, showing that LC divide in the skin [6 , 41 42 43 44 45 ]. Thus, our results concur with the supposition that the younger the organism is, the more proliferative potential it will display. Similar observations have been reported for epidermal stem cells [46 ].

Our observation that DEL can give rise to LC in vitro seems to contrast with our previous studies, which showed that highly purified, newborn DEL, cultured in the presence of GM-CSF alone, do not acquire LC morphology, phenotype, or function and that autocrine interleukin (IL)-10 secretion partly inhibits the differentiation and maturation of DEL into LC [15 ]. A critical difference from our former work is that we have modified our culture conditions. In this study, we have used a serum-free medium and a different cytokine cocktail. The mechanism(s) accounting for neutralization of the suppressive effect of IL-10 in our cultures are not known. A possible explanation is that as a result of continual medium change, the usually high amounts of IL-10 were low and biologically ineffective in our cultures. As a result of the constant medium replacement, the activity of other suppressive factors may also be diminished. Finally, one or more of the cytokines added to the cultures may have a dominant effect over IL-10 and allow DEL to undergo differentiation.

We have shown that transplantation of fetal skin onto adult immunocompetent F1 mice leads to the appearance of dendritic MHC class II+ donor cells, which are often found in clusters. However, already after 2–3 weeks, these cells completely disappeared from the epidermis and were replaced by dendritic MHC class II+ recipient cells. The nature and fate of the MHC class II+ donor cells that disappeared from the epidermis require further investigation. Reasoning that in SCID mice, emigration of MHC class II+ donor cells from the epidermis would be diminished substantially, as their lymph nodes are very small, and induction of proinflammatory cytokines (as a result of surgical trauma associated with grafting) in SCID mice is less severe compared with F1 mice, we transplanted fetal skin onto adult SCID mice. Similar to the previous model, MHC class II+ donor cells emerged in the epidermis. Further characterization of their nature revealed that they acquired CD205 and CD207 molecules, thus qualifying them as LC. In timed kinetics experiments, we found that some LC of graft origin remained detectable in the epidermis for more than 2 months. The latter observation is in accordance with previous findings, which showed in different transplantation models, that donor LC persist for long periods in the epidermis of the grafts and are not completely replaced by recipient LC in long-tolerated grafts [47 48 49 50 51 ]. In our system where no circulating LC precursor cells are available for repopulation, the quantitative increase of donor LC in the grafts soon after transplantation strongly suggests that they are able to proliferate in situ. Our observation that DEL have strong proliferative capacity in vitro and in vivo is in favor of this hypothesis. Using different techniques, other investigators have also shown that LC undergo cell division in situ [6 , 41 42 43 44 45 ]. Our further findings that dermal MHC class II+ donor cells preferentially emigrate from the skin to regional lymph nodes and not to the epidermis and that fetal dermal cells, highly enriched for CD45 (≥98%) and cultured under conditions where DEL gave rise to LC, never differentiated into LC (data not shown) strongly suggest that donor LC are derived from skin precursors, presumably from epidermal precursors. Whether recipient LC in our grafts are recruited from the surrounding skin or from blood precursors is not clear. Holzmann et al. [7 ] have recently shown that newly immigrating cells into tape-stripped epidermis are MHC class II-positive and -negative, express CC chemokine receptor 6, and do not express CD207. As in our transplantation model, we cannot investigate the phenotype of cells entering the grafts until they are MHC class II+, other mouse models have to be used to address this point.

The failure of DEL to differentiate into LC in the fetal skin is incompletely understood. In a previous work, we have shown that IL-10 partially inhibits their differentiation and demonstrate here that factors such as TGF-ß1 are necessary for this process. In line with the latter observation are studies showing reduced expression of TGF-ß receptors and their ligands in fetal skin compared with adults [52 ]. In addition, so far, unknown suppressive factors may be present in fetal skin, which disappear when the skin differentiates.

We have reported that IL-10 precludes LC precursors from acquiring their potential as initiators of adaptive immunity [15 ]. It is interesting that it has recently been shown that IL-10 enhances the ability of DC to act as initiators of innate immunity in response to Toll-like receptor signaling [53 ]. Whether LC precursors have a similar function in the neonatal period remains to be investigated. In addition, it has recently been described that neonatal skin in mice and humans expresses increased levels of antimicrobial peptides, which may provide a compensatory, innate defense mechanism during the establishment of cellular immune-response capacity in the newborn period [54 ].

Collectively, we have shown that a pool of hematopoietic precursors seeds the skin during embryonic life and can give rise to LC. In light of the data presented here and according to a previously published study [6 ], it is therefore tempting to speculate that these precursors are able to compensate for the low LC loss that occurs during steady-state turnover and minor injuries. We conclude that understanding the mechanism of LC development might be crucial to our knowledge of the immune status of the newborn mouse and for the design of new vaccine strategies in humans.


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ACKNOWLEDGEMENTS
 
This work was supported by a grant of the Austrian Science Fund (P14243-MED to A. E-B.). We thank Dr. J. Carballido (Novartis Institutes for Biomedical Research) for his continuing support and Drs. N. Romani (Department of Dermatology and Venerology, Innsbruck, Austria) and H. Strobl (Institute of Immunology, Vienna, Austria) for fruitful discussions. The continued support of Dr. G. Stingl, Chairman of the Division of Immunology, Allergy and Infectious Diseases, Vienna, is greatly appreciated.

Received October 13, 2004; revised November 10, 2004; accepted November 11, 2004.


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