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Published online before print March 16, 2007
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Transplantation Biology Research Division, State Key Laboratory of Biomembrane and Membrane Biotechnology, Institute of Zoology, Chinese Academy of Sciences, Beijing, China
1 Correspondence: Transplantation Biology Research Division, State Key Laboratory of Biomembrane and Membrane Biotechnology, Institute of Zoology, Chinese Academy of Sciences, Beisihuan Xi Road 25, Beijing, China 100080. E-mail: zhaoy{at}ioz.ac.cn
ABSTRACT
A progressive decline in the integrity of the immune system is one of the physiologic changes during aging. The frequency of autoimmune diseases or immune disorders increases in the aging population, but the state of regulatory T (Treg) cells in aged individuals has not been well determined. In the present study, we investigated the levels, phenotypes, and function of CD4+CD25+ Treg cells in Balb/c mice, which were older than 20 months. Significantly enhanced percentages of CD4+CD25+ Treg cells in the periphery (blood, spleen, and lymph nodes) of the aged mice were observed. These Treg cells showed modified Vß family distribution, reduced levels of CD45 receptor B and CD62 ligand molecules, as well as normal levels of forkhead box p3. However, when the inhibiting function of Treg cells was assayed in the in vitro assays and in a delayed-type hypersensitivity (DTH) model, CD4+CD25+ Treg cells of aged mice displayed significantly lower inhibiting ability on alloantigen-induced DTH reaction or cytokine productions (IL-2 and IFN-
) but not cell proliferation of effector T cells, as compared with CD4+CD25+ Treg cells of young mice. In addition, the percentages of CD4+CD8CD25+ Treg cells in the thymi of aged mice increased significantly, but their total cell numbers decreased markedly in these mice. Our present studies indicated collectively that the percentages, phenotypes, the size of TCR repertoire, and function of CD4+CD25+ Treg cells were altered significantly with aging in mice. The functional defects of CD4+CD25+ Treg cells may shed light on the role of CD4+CD25+ Treg cells in the increased sensitivity to autoimmune diseases of aged populations.
Key Words: aging immune tolerance
INTRODUCTION
A progressive decline in the integrity of the immune system is one of the physiologic changes during mammalian aging. The aging-associated immunity alterations occur in every component of the immune system, including T, B, and NK cells, monocytes, dendritic cells, macrophages, granulocytes, and erythrocytes [1 2 3 4 5 ]. In aged individuals, T cells shift from naïve to memory phenotypes (decreased numbers of naive T cells) and from Th1 to Th2 cytokine productions, increase the proportion of T cells expressing NK markers or receptors, and produce more proinflammatory cytokines [6 7 8 ]. Numerous studies have demonstrated a deficiency in the ability of splenocytes from aged mice to respond to antigens in respect to antibody products, cell proliferation, cell death, and the generation of cytotoxic cells [9 10 11 12 ].
A panel of immune disorders including autoimmune diseases, chronic infections, and cancer has been linked closely with quantitative and/or qualitative defects of regulatory T cells (Treg cells) [13
14
15
16
17
]. Today, there is increasing evidence for an active and "dominant" tolerance mediated by Treg cells [18
]. So far, several subtypes of Treg cells have been described, including CD4+CD25+ Treg cells, IL-10-producing CD4+ Treg cells-1, TGF-ß-secreting Th3 cells, CD4+CD45RBlow T cells, CD4+CD62Lhigh T cells, CD8+CD25+ Treg cells, CD8+CD28 Treg cells, 
T cells, and NKT cells [19
20
21
22
]. As autoimmune diseases occur more often in the aging population [23
, 24
], the question arises as to whether aging alters the occurrence and/or function of the Treg cells in aged individuals. It is surprising that limited studies about Treg cells or suppressor cells have been performed in the aging population so far [25
, 26
].
Mice, which are older than 1824 months, are generally recognized as aged mice [1 , 12 ]. Thus, the present studies about aging-related CD4+CD25+ Treg cell changes were performed on more than 20-month-old Balb/c mice. Our studies have shown that the percentages of CD4+CD25+ Treg cells in the periphery and thymi of aged mice changed significantly. The phenotypes and Vß family expression of the CD4+CD25+ Treg cells in aged mice were modified too. In addition, a significantly decreased, immunosuppressive function of CD4+CD25+ Treg cells was detected in aged mice. The changes of CD4+CD25+ forkhead box p3 (Foxp3)+ Treg cells in aged mice may shed new light on the causes of age-dependent, immune disorders and partially explain the increased susceptibility for autoimmune responses and chronic inflammatory diseases in the elderly.
MATERIALS AND METHODS
Animals
C57BL/6 (B6, H-2b) and Balb/c (H-2d) mice were purchased from the Institute of Genetics and Developmental Biology, Chinese Academy of Sciences (Beijing, China). All mice were maintained in a specific pathogen-free facility and were housed in microisolator cages containing sterilized feed and autoclaved bedding and were given water until their use at the age of
3 months (young) and 20 months (aged). All experimental manipulations were undertaken in accordance with the Institutional Guidelines for the Care and Use of Laboratory Animals.
mAb and chemical reagents
The following mAb were purchased from BD Biosciences PharMingen (San Diego, CA, USA): FITC-conjugated rat antimouse CD4 mAb (RM4-5; IgG2a), FITC-labeled rat antimouse CD8 mAb (53-6.7; IgG2a), FITC-labeled rat antimouse CD25 mAb (7D4; IgM), FITC-labeled rat antimouse glucocorticoid-induced TNF receptor (GITR) mAb (DTA-1; IgG2b), FITC-labeled hamster antimouse TCR-ß chain mAb (H57-597; IgG2a), FITC-labeled antimouse Vß5.1/5.2 mAb (MR9-4; mIgG1), FITC-labeled antimouse Vß6 mAb (RR4-7; rat IgG2b), FITC-labeled antimouse Vß7 mAb (TR310; rat IgG2b), FITC-labeled antimouse Vß8.1/8.2 mAb (MR5-2; mIgG2a), FITC-labeled antimouse Vß9 mAb (MR10-2; mIgG1), FITC-labeled antimouse Vß11 mAb (RR3-15; rat IgG2b), PE-labeled rat antimouse CD4 mAb, PE-labeled rat antimouse CD8
mAb (53-6.7; IgG2a), and Cy5-labeled antimouse CD25 or anti-CD4 mAb.
In addition, FITC-labeled antimouse Foxp3 mAb (FJK-16 s) and its staining kit were obtained from eBioscience (San Diego, CA, USA). Rat antimouse FcR mAb (2.4G2; IgG2b) was produced by 2.4G2 hybridoma (American Type Culture Collection, Manassas, VA, USA) in our laboratory. OVA was obtained from Sigma-Aldrich (St. Louis, MO, USA). Mitomycin C (C15H18N4O5) was obtained from Kyowa Hakko Co., Ltd. (Tokyo, Japan).
Immunofluorescence staining and flow cytometry (FCM)
Splenocytes (5x105) were prepared and washed once with FACS buffer (PBS, pH 7.2, containing 0.1% NaN3 and 0.5% BSA) as described before [27
]. For two-color staining, cells were stained with PE-labeled antimouse CD4 mAb versus FITC-labeled antimouse TCR, CD25 mAb, or the nonspecific staining control mAb, respectively. For three-color staining, cells were stained with PE-labeled antimouse CD4 mAb and Cy5-labeled antimouse CD25 mAb versus FITC-labeled antimouse CTLA-4, GITR, TCR Vß3, Vß5.1/5.2, Vß6, Vß7, Vß8.1/8.2, Vß9, and Vß11 mAb, or the nonspecific staining control mAb. Nonspecific FcR binding was blocked by antimouse FcR mAb 2.4G2. At least 10,000 cells for two-color FCM and 30,000 cells for three-color were assayed using a FASCalibur FCM (Becton Dickinson, Mountain View, CA, USA), and data were analyzed with CellQuest software (Becton Dickinson). Nonviable cells were excluded using the vital nucleic acid stain propidium iodide. The percentage of cells stained with a particular reagent or reagents was determined by subtracting the percentage of cells stained nonspecifically with the negative control mAb from staining in the same dot-plot region with the antimouse mAb. Certain molecule expression levels were determined as the median fluorescence intensity (MFI) of the cells positively stained with the specific mAb.
To determine the intracellular expression of Treg cell-specific transcription factor Foxp3 in CD4+CD25+ cells, mouse splenocytes were first surface-stained with PE-labeled antimouse CD4 and Cy5-labeled antimouse CD25 mAb per standard practice. These cells were subsequently stained with FITC-labeled antimouse Foxp3 mAb (FJK-16 s, Cat. No. 11-5773, eBioscience) or FITC-labeled rat IgG2a nonspecific isotype control mAb, according to the manufacturers recommendations with a FITC-conjugated mouse Foxp3 staining set (eBioscience).
Cell purification
Mouse CD4+CD25+ Treg cell populations were isolated from mouse splenocyte suspension using a CD4+CD25+ Treg isolation kit with the MidiMACSTM separator, according to the manufacturers protocols (Miltenyi, Bergisch Gladbach, Germany). Briefly, erythrocyte-depleted splenocytes were suspended in PBS containing 0.5% BSA and 2 mM EDTA (pH=7.2) and then incubated with a biotin-antibody cocktail against CD8
(Ly2), CD11b (membrane-activated complex 1), CD45R (B220), CD49B (DX5), and Ter-119 for 20 min at 4°C, and then microbead-conjugated, antibiotin mAb (Clone Bio318E7.2) was added to deplete non-CD4+ T cells. In parallel, the cells were stained with PE-labeled anti-CD25 mAb. The cell suspension was loaded on a LD column, which is placed in the magnetic field of a MACS separator, and then the unlabeled splenocytes were run through. The remaining fraction in the column is the enriched CD4+ T cells. For the isolation of CD4+CD25+ T cells, the PE-labeled CD25+ T cells in the enriched CD4+ T cell fraction were labeled magnetically with anti-PE MicroBeads and separated by MACS sorting. Positively sorted CD4+CD25+ T populations were always >95%, as confirmed by FCM each time.
MLR assay
Murine splenic CD4+CD25+ Treg cells were isolated from young Balb/c mice or aged Balb/c mice using a MACS sorting isolation kit as described above. CD4+CD25 T cells, which were used as responder T cells, were purified from young and aged Balb/c mice separately. C57BL/6 splenocytes were treated with mitomycin C at the concentration of 30 µg/ml, at 37°C for 30 min, and then washed three times. These cells were suspended in complete RPMI-1640 medium and were to be used as allogeneic stimulator cells [28
]. In general, 8 x 104 responder cells (Balb/c CD4+CD25 T cells) and 8 x 104 stimulator cells (allogeneic C57BL/6 splenocytes) per well in RPMI-1640 medium supplemented with 10% FCS were added in 96-well, round-bottomed plates. CD4+CD25+ Treg cells were added subsequently to each well according to the ratio responder:Treg cells. Cells were cocultured in complete medium at 37°C and 5% CO2 for 96 h, and 0.5 µCi 3H-thymidine (radioactivity, 185GBq/mmol, Atomic Energy Research Establishment, China) was added during the last 18 h. Cells were harvested onto glass fiber filters with an automatic cell harvester (Tomtec, Toku, Finland). The radioactivity of each sample was assayed in a liquid scintillation analyzer (Beckman Instruments, Fullerton, CA, USA). Values are expressed as cpm from triplicate wells.
Detection of IL-2 and IFN-
production by ELISA
CD4+CD25 T cells (8x104) were cultured with allogeneic stimulators in the presence of 8 x 104 CD4+CD25+ Treg cells separated from young or aged mice for 3 days as mentioned above. The IL-2 and IFN-
levels in the culture medium were determined by IL-2 and IFN-
ELISA kits as per the manufacturers instruction.
Delayed-type hypersensitivity (DTH)
Sensitized effector T cells were generated by immunizing Balb/c mice with allogeneic C57BL/6 splenocytes. Ten days after immunization, Balb/c CD4+ T cells were enriched using the negative-selecting MACS kit for CD4+ T lymphocytes (BD Biosciences PharMingen). Allogeneic C57BL/6 splenic macrophages (SPMs) were used as stimulator cells. Sensitized Balb/c effector CD4+ T cells and allogeneic (C57BL/6) macrophage stimulators (5x105 cells/each) were injected intradermally into the pinnate of naïve Balb/c mice. Mice, which received sensitized Balb/c effector CD4+ T cells or allogeneic stimulator cells alone, were used as the negative control. In some recipient Balb/c mice, the CD4+CD25+ Treg cells from young or aged Balb/c mice were coinjected with effector T cells and stimulator cells intradermally at the same time. The changes in ear thickness were measured using an engineers micrometer at 24 or 48 h after the challenge, as reported previously [29
]. The ear-thickness change was calculated by subtracting the thickness of the ear before injection from the thickness of the same ear after injection.
Statistical analysis
All data are presented as the mean ± SD. Students unpaired t-test for comparison of means was used to compare groups. A P value less than 0.05 was considered statistically significant.
RESULTS
Significantly enhanced percentages of peripheral CD4+CD25+ Treg cells in aged mice
It has been reported that there are significant changes in the levels and phenotypes of different immune cells in mice, which are more than 18 months old [30
]. To determine whether the alteration of CD4+CD25+ Treg cells occurs in aged mice, we compared the levels of CD4+CD25+ T cells in the periphery of young and aged Balb/c mice using FCM. Significantly lower percentages of CD4+ T cells were observed in aged mice rather than in young mice (data not shown), as reported earlier [11
]. It is surprising that compared with young mice, a significantly enhanced CD4+CD25+ T cell subpopulation in PBLs was observed in mice, which were 20 months old (P<0.05, Fig. 1A
and 1B
). The percentages of CD4+CD25+ T cells in CD4+ PBLs of aged Balb/c mice were markedly higher than those of young Balb/c mice (Fig. 1B)
.
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To confirm whether the CD4+CD25+ T cells in aged mice are Treg cells, the expression of Foxp3, a transcript factor specifically expressed in Treg cells [31 32 33 ], was detected by intracellular staining FCM. The majority of mouse CD4+CD25+ T cells expressed high levels of Foxp3 (Fig. 2A and 2B ). No significant difference for Foxp3 expression in CD4+CD25+ T cells in spleens or lymph nodes was observed in aged and young mice (Fig. 2B and 2C) . In addition, few of CD4+CD25 T cells expressed Foxp3 in young and aged Balb/c mice (Fig. 2D) . Although the percentage of Foxp3+cells in CD4+CD25 T cells in aged Balb/c (4.02+2.18%) was higher than those of young mice (2.62+1.71%), no statistical significance was achieved (P>0.05).
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production of effector T cells induced by allogeneic antigens (Fig. 5C)
. It is important that during the in vivo function study, CD4+CD25+ Treg cells of aged Balb/c mice showed significantly lower inhibiting ability on the syngeneic CD4+CD25 T cell-mediated DTH responses to allogeneic antigens compared with CD4+CD25+ Treg cells of young mice, and Treg cells of young and aged Balb/c mice had significant inhibition on the DTH reaction of syngeneic CD4+CD25 T cells (Fig. 5B)
. Thus, the immunosuppressive function of CD4+CD25+ Treg cells was decreased markedly in aged Balb/c mice.
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It is well known that advancing age is associated with significant alternations in the function of human and mouse T cells [38 , 39 ]. Aging leads to a decrease in the ability to mount strong T responses to new antigens and to previously encountered recall antigens in mice and humans [4 ]. It has been proposed that the altered responses of T cells from aged animals result from the accumulation of memory T cells. The percentages of memory T cells increase with aging, which is supported by the markedly increased expression of CD44, as well as the decreased expression of CD45RB and CD62L on T cells in aged mice [40 , 41 ]. In accordance with previous reports, normal percentages and total cell numbers of CD4 or CD8 cells in spleens and lymph nodes and significantly lower percentages of CD4+ T cells in the peripheral blood were observed in 20-month-old mice. The majority of CD4+CD25 T cells displays a memory phenotype in the periphery of these mice. This observation was supported by a recent report that the major changes of peripheral blood leukocyte composition caused by aging are the reduced peripheral blood CD4+ lymphocyte population [42 ]. Therefore, a decrease in the proportion of peripheral blood CD4+ T cell subset is a sensitive parameter for the aging-related immune system alteration.
It is important that the percentages of CD4+CD25+ Treg cells expressing Treg-specific transcript factor Foxp3 in the periphery (blood, spleen, and lymph nodes) increased significantly in aged Balb/c mice. In addition, the size of the TCR repertoire and phenotypes of the peripheral CD4+CD25+ Treg cells seemly changed with aging, as determined by the Vß family and cell surface molecules. The modified Vß family distribution of the peripheral CD4+CD25+ Treg cells may be a result of the selectively clonal expansion during aging, which is supported by the decreased expression of CD45RB and CD62L on CD4+CD25+ Treg cells in aged mice.
Although CD4+CD25+ Treg cells in aged mice had normal suppression on the proliferation of effector T cells stimulated by alloantigens, CD4+CD25+ Treg cells in aged mice showed significantly decreased immunosuppressive function as determined by their in vitro inhibition on the cytokine products (IL-2 and IFN-
) of effector T cells and their inhibition on DTH response of sensitized effector T cells in vivo. Although the decreased IL-2 levels in the culture systems were likely a result of the inhibition of Treg cells on effector cells, the possibility that the IL-2 consumption of Treg cells could not be excluded with the present data. The reasons for the decreased function of CD4+CD25+ Treg cells of aged mice are unclear at this moment. The decreased immunosuppressive function of CD4+CD25+ Treg cells in aged mice is unlikely a result of the contamination of other memory/activated cells, as the cell purity of CD4+CD25+ T cells and the expression of Foxp3 in these cells were determined to be identical in young and aged mice. It has been reported that CD4+CD25+CD62Lhigh T cells have more potent, immunosuppressive ability than CD4+CD25+CD62L or CD4+CD25+ T cells [43
]. The changes of the phenotypes of these Treg cells in aged mice may be involved in their functional alteration. Our data showed that CD4+CD25+ T cells of aged mice expressed significantly lower levels of CD62L than those of young mice. These may partially explain the poor inhibiting ability of CD4+CD25+ Treg cells in aged mice, which needs to be addressed in the future.
Although B and T lymphocytes have been shown to have a decline in response to antigenic stimulus with aging, paradoxically, there has been an increase in autoantibodies and the occurrence of autoimmunity [44 ]. Several types of diseases, including autoimmune disease, could be coupled with the general processes of aging [45 ]. The functional defect of CD4+CD25+ Treg cells in aged individuals may contribute partially to the higher frequencies of autoimmune diseases. It is interesting that the percentages of host superantigen-recognizing Vß5.1/5.2+ and Vß11+ T cells in CD4+CD25+ Treg cells were decreased markedly in aged mice. Thus, considering the antigen specificity for the immunosuppression of CD4+CD25+ Treg cells, the decreased CD4+CD25+ Treg cells expressing Vß5.1/5.2+ and Vß11+ TCRs might likely make host susceptible to autoimmunity.
It is well known that the thymus involutes progressively throughout life, beginning at approximately the sexual maturation in human beings [23 ]. In mice, the thymic capacity to induce T cell differentiation begins to decline earlier than the onset of thymic involution [11 , 46 ]. The accumulation of the CD4/CD8 DN stage of thymocytes in 20-month-old mice was associated with a developmental block between the CD25CD44+ and CD25+CD44+ stages [46 ]. In addition to supporting the previous reports, our present study showed that the percentages of CD4+CD8CD25+ Treg or CD4+CD25+Foxp3+ Treg cells in the thymi of aged mice increased markedly, indicating that CD4+CD8CD25+ Treg cells might be relatively resistant to aging compared with other subsets of thymocytes in mice. Conversely, the total cell numbers of CD4+CD8CD25+ Treg cells in the thymi of aged mice were decreased markedly. It is known that CD4+CD25+ Treg cells could be produced in the thymus and in the periphery, although the mechanisms to keep the homeostatic state of peripheral CD4+CD25+ Treg cells have not been determined so far. Our present studies supported that the higher percentages of the peripheral CD4+CD25+ Treg cells might mainly be a result of the peripheral accumulation of CD4+CD25+ Treg cells.
Conversely, our studies showed that the majority of CD4+CD25+ T cells was Foxp3+, whereas few CD4+CD25 T cells express Foxp3 in young Balb/c mice. These data are consistent with the previous reports about the Foxp3 expression pattern in T cells in mice [32 , 47 ]. It seems that the Foxp3 expression pattern in T cells is different in mice and humans, as Foxp3 may express in human but not mouse CD4+ T cells during activation [48 ]. In addition, it was reported recently that aged C57BL/6 mice had a higher percentage of Foxp3+ cells in CD4+CD25 T cells [49 ]. However, our studies in aged Balb/c mice did not find the significant expression of Foxp3 in CD4+CD25 T cells in spleens and lymph nodes (<5%). The reasons for the somewhat inconsistent results are not clear at this moment. The possibility that different changes in Treg cells may occur in aged C57BL/6 and Balb/c mice cannot be excluded.
In summary, our present study indicated that the levels, phenotypes, Vß diversity, and function of CD4+CD25+ Treg cells were altered significantly with aging in mice. The declined ability of the thymus to produce Treg cells and the increased levels of the peripheral CD4+CD25+ Treg cells of aged mice suggest that the homeostasis of Treg cells in the periphery of aged mice was altered. The functional defects of CD4+CD25+ Treg cells in aged mice may shed light on the role of Treg cells in the increased sensitivity to autoimmune diseases of aged population.
ACKNOWLEDGEMENTS
This work was supported by grants from the National Natural Science Foundation for Distinguished Young Scholars (C03020504 to Y. Z.), the National Basic Research Program (973 Program, 2003CB515501 to Y. Z.), 100 Quality Vocational Colleges of Chinese Academy of Sciences (2003-85 to Y. Z.), and the Scientific Research Foundation for the Returned Overseas Chinese Scholars of State Education Ministry (2005-546 to Y. Z.). The authors thank Dr. David E. Corbin, Hong Shen, and Zeqing Niu for their kind review of the manuscript, Ms. Jing Wang, Mr. Yabing Liu, and Ms. Jianxia Peng for their expert technical assistance, Ms. Qinghuan Li for her excellent laboratory management, and Ms. Yuli Liu for her outstanding animal husbandry.
Received May 31, 2006; revised January 5, 2007; accepted January 18, 2007.
REFERENCES
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