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CORRESPONDENCE Vijay K. Kuchroo: vkuchroo{at}rics.bwh.harvard.edu
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Activation of naive CD4+ T cells drives their differentiation into two phenotypically and functionally distinct subsets, Th1 or Th2, that differ in their cytokine production and effector functions (14). Th1 cells produce IFN-
and TNF-ß and are involved in the clearance of intracellular pathogens and the induction of autoimmune diseases (5). Th2 cells that produce cytokines, including IL-4 and IL-10, clear extracellular pathogens (e.g., helminths), regulate autoimmunity, and play critical roles in the induction of asthma and atopy (4, 6). Only recently have cell surface markers been identified that clearly distinguish Th1 and Th2 cells. Th1 and Th2 cells show a quantitative difference in chemokine and costimulatory receptor expression (79). Using an antibody screening approach, we identified cell surface molecule T cell immunoglobulin mucin-domain containing (Tim)-3 that is expressed specifically on the surface of Th1, but not Th2, cells (10). Tim-3 belongs to the novel Tim family of cell surface proteins. The mouse gene family consists of eight members (Tim-1 to Tim-8), whereas the human gene family consists of three members (Tim-1, Tim-3, and Tim-4; reference 11). All members share the characteristic structure of an IgV, mucin, transmembrane, and cytoplasmic domains. The gene family plays a critical role in the regulation of immune responses (1014). Administration of soluble Tim-3 Ig fusion protein resulted in hyperproliferation of Th1 cells, exacerbation of autoimmunity, and prevention of transplantation and high-dose tolerance induction (10, 13, 14). Furthermore, the gene family has been linked genetically to murine airway hypersensitivity (a Th2-driven disease), and polymorphic alleles of Tim-1 play a role in susceptibility to human asthma (12). These findings suggested that other Tim family members have a role in regulating Th responses. Here, we have analyzed the expression and function of Tim-2. We demonstrate that Tim-2 is expressed preferentially in Th2 cells, and blockade of the Tim-2/Tim-2 ligand interaction results in expansion of a Th2 response and attenuation of a Th1-mediated autoimmune disease. We propose that Tim-2 plays an important role in the regulation of Th2 immunity. | RESULTS |
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6570 kD, which was consistent with the heavily glycosylated Tim-2 molecule (Fig. 1 F; reference 19). In addition, we have expressed Tim-2 as an Ig fusion protein (see Materials and methods); this further supports the notion that Tim-2 is expressed as a functional protein.
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, a marked up-regulation of Tim-2 ligand expression was observed (Fig. 2). A subset of activated B220+ and CD11b+ cells was positive for Tim-2 ligand expression, whereas all activated CD11c+ cells expressed the Tim-2 ligand (Fig. 2). The Tim-2 ligand was not detected on CD3+ T cells, either naive or activated by anti-CD3/anti-CD28 stimulation. These data suggest that Tim-2 expressed on Th2 cells binds a ligand that is expressed on activated APCs.
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, IL-4, and IL-10. Spleen cells from control groupstreated with hIgG or PBSdemonstrated the predicted Th1 type response with production of IL-2 and IFN-
(Fig. 3 C). Spleen cells from Tim-2 Igtreated mice secreted high levels of IL-2, which was consistent with the high level of basal proliferation that was observed. However, in contrast with control groups, spleen cells from Tim-2 Igtreated mice demonstrated little or no IFN-
production (Fig. 3 C). Surprisingly, there was increased production of hallmark Th2 cytokines, IL-4 and IL-10, in the Tim-2 Igtreated groups, even when immunized with PLP emulsified in CFA, a known inducer of Th1 (IFN-
) responses (Fig. 3 C). We previously proposed that an interaction between Tim-3 and its ligand serves to down-regulate the Th1 response, and that administration of Tim-3 Ig blocks this inhibitory interaction, and results in the expansion and hyperproliferation of Th1 cells (13). Administration of Tim-2 Ig results in similar hyperproliferation as observed with Tim-3 Ig. However, in contrast with Tim-3 Ig, Tim-2 Ig results in the expansion of a Th2 cytokine response. Because spleen cells from Tim-2 Igtreated mice showed higher basal proliferation (Fig. 3 A), we wanted to analyze which cells were involved in the enhanced proliferative and cytokine response. T cells and APCs from immunized control and Tim-2 Igtreated mice were purified, cultured separately, or recombined. Separation of cell subsets and recombination of T cells and APCs from Tim-2 Igtreated or control mice demonstrated that the hyperproliferative response was dependent on T cells from Tim-2 Igtreated mice and not macrophages or B cells. T cells from Tim-2 Igtreated mice, even when recombined with B cells or macrophages from control animals, reconstituted the hyperproliferative phenotype (Fig. 4 B). Furthermore, recombination of T cells from control mice with APCs from Tim-2 Igtreated mice did not reconstitute the proliferative response. This indicated that the hyperproliferative response is dependent on T cells from Tim-2 Igtreated mice (Fig. 4 B).
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| DISCUSSION |
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Quantitative mRNA analysis of lymphoid cell populations from mice demonstrated that Tim-2 expression was detected at low levels in naive CD4+ and CD8+ T cells. After activation, CD4+ and CD8+ T cells demonstrated up-regulation in Tim-2 expression. Further examination of Th1 and Th2 differentiated cells revealed that Tim-2 was expressed significantly more in Th2 clones and lines than in Th1 clones and lines. Thus, in contrast with Tim-3, which is expressed on terminally differentiated Th1 cells, Tim-2 is expressed at low levels in naive and activated T cells and preferentially up-regulated during Th2 differentiation. Tim-2 demonstrates a far more restricted expression pattern in comparison with mouse Tim-1 which is found on all activated T cells, Th1 and Th2 cells (although at higher levels on Th2 cells), and epithelial cells (1517, 23). Therefore, although mouse Tim-1 shares the greatest sequence identity with human Tim-1 (as suggested by the nomenclature), mouse Tim-2 may share more functional characteristics with human Tim-1. Therefore, mouse Tim-2 also could be considered as an orthologue of human Tim-1. The high expression of Tim-2 in late Th2 differentiation also is interesting given the association of the Tim gene family with the regulation of Th1 versus Th2 responses. Given the late expression of Tim-2 during Th2 differentiation, it is probable that the in vivo role of Tim-2 is more important during the effector phase of an immune response rather than the initial differentiation phase.
Using an expression cloning approach, Tim-2 was identified as a potential ligand for the semaphorin family member Sema4a (19). Using anti-Sema4a antibody, Kumanogoh et al. demonstrated expression of Sema4a predominantly on dendritic cells and B cells, with up-regulation upon activation. They also identified low levels of Sema4a expression on the surface of activated T cells (19). Although we have demonstrated that Tim-2 ligand is expressed on activated APCs by staining with Tim-2 Ig, in contrast with Kumanogoh et al., we did not detect any expression of Tim-2 ligand on T cell populations (naive or activated). This could reflect conformational or expression differences of Sema4a in T cells that are not recognized by Tim-2 Ig. Also, it is highly likely that Tim-2 binds a variety of ligands and that Tim-2 Ig is more specific for ligands other than Sema4a on the surface of activated APCs. Our data on the expression pattern of Tim-2 on differentiated Th2 cells suggests that the Tim-2/Tim-2 ligand interaction predominantly involves associations between Th2 cells and activated APCs.
Based on the mechanistic paradigm proposed for Tim-3, it is possible that the Tim-2/Tim-2 ligand interaction also may be inhibitory, and thus, cross-linking of Tim-2 on Th2 cells may down-regulate the Th2 response. This would suggest that the administration of Tim-2 Ig would block the endogenous interaction between Tim-2 and its ligand, and allow for the expansion of Th2 cells and cytokines. In keeping with this, administration of Tim-2 Ig during a Th1-biased immune response resulted in the hyperproliferation of T cells and the production of Th2 cytokines. If, as our data suggest, the Tim-2/Tim-2 ligand interaction is inhibitory, blockade of this interaction during the induction phase would allow for the expansion of Th2 cells, and therefore, affect the EAE disease course. Treatment of mice with Tim-2 Ig during the induction phase of EAE reduced the severity of clinical and histologic disease. Consistent with this, administration of a blocking antibody to Sema4a (a Tim-2 ligand) resulted in a reduced Th1 response and inhibition of myelin oligodendrocyte glycoproteininduced EAE (19). Furthermore, recent work with the Sema4a knockout mouse demonstrated a defect in establishing Th1, but not Th2, responses (24). Thus, if the Tim-2/Sema4a interaction served to down-regulate a Th2 response, blocking this interaction would result in inhibition of a Th1 response, as observed with anti-Sema4a antibody or by administration of Tim-2 Ig during EAE. Like Tim2, Sema4a may have other ligands, and the blockade of Sema4a and Tim-2 may not be equivalent. We recently demonstrated that in contrast with Tim-2, Tim-1 interacts specifically with another Tim family member, Tim-4 (18). Umetsu and colleagues demonstrated that cross-linking Tim-1 on the surface of T cells stimulates T cell expansion (17). Furthermore, we show that administration of high amounts of Tim-4 Ig in the presence of low levels of anti-CD3/anti-CD28 stimulation enhances T cell proliferation (18). Taken together, we suggest that the Tim-1/Tim-4 interaction has the potential to costimulate T cell expansion (17, 18). Although Tim-1 and Tim-2 are very similar molecules and closely related, their intracellular tails are significantly different. Tim-2 shares only 56% identity with Tim-1 in the cytoplasmic tail, and contains six extra amino acids in the COOH-terminal end of the tail, which contains an additional tyrosine phosphorylation motif. If Tim-1 and Tim-2 turn out to be functionally different, we suggest that the differences in the intracellular tail may explain, in part, their different mechanisms of action. Our data and those of Kumanogoh and colleagues support our proposal that Tim-2 serves to regulate a Th2 response negatively in an autoimmune setting. However, further study is required to determine conclusively that Tim-2 Ig is not an agonist promoting a Th2 response.
In addition to our observations of the role of Tim-2 in an autoimmune Th1 setting, Tim-2 also may have a role in pathogenic Th2 responses. Human Tim-1 initially was identified as a hepatitis A viral cellular receptor, and epidemiologic studies have shown that infection with hepatitis A virus (HAV) is associated with protection against asthma and allergies (23). If, like Tim-2, human Tim-1 is expressed on the surface of Th2 cells, HAV might bind to Tim-1 and eliminate or block Th2 effector functions. Consistent with this hypothesis, polymorphic alleles of human Tim-1 have been identified, and a deletion of six amino acid residues in the mucin domain of Tim-1 has demonstrated strong linkage with HAV infection and protection against asthma (25). Further investigation will be required to identify the role of Tim-2 in productive and pathogenic Th2 immune responses.
These data, in conjunction with our understanding of Tim-3 and Tim-1, further support a crucial role for the Tim family of genes in the differential regulation of Th1 and Th2 responses, and hence, their potential as therapeutic targets in various immune-mediated diseases.
| MATERIALS AND METHODS |
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Quantitative TaqMan RT-PCR.
RNA was reverse transcribed to cDNA. Real-time RT-QPCR was performed using the TaqMan strategy (Applied Biosystems). The expression levels of Tim-2 and internal reference GAPDH were measured by multiplex PCR using probes labeled with 6-carboxyfluorescein (FAM) or 6-carboxyrhodamine (VIC; Applied Biosystems), respectively. The primers and probes were designed using Primer Express v1.0 software (Applied Biosystems). The Tim-2 primer/probe sequences are as follows: FAM probe: 5'-ACAGCTGCCTGCCCAGTGCCC-3'; forward primer: 5'-GCCGGTGGACCTCAGTTTC-3'; reverse primer: 5'-TGGGAGCCAGCACAGATCA-3' (Applied Biosystems). The simultaneous measurement of Tim-2FAM and GAPDHVIC permitted normalization of the amount of cDNA added per sample. PCRs were performed using the Taqman Universal PCR Master Mix and the ABI PRISM 7700 Sequence Detection System. Relative gene expression levels were determined as described previously (13).
Generation of cell lines expressing hemagglutinin Atagged Tim-2.
Splenocytes from an SJL/J mouse were activated with concanavalin A, 1 µg/ml (Sigma-Aldrich), for 48 h. Total RNA was extracted with TRIzol reagent (Invitrogen), and cDNA was synthesized using Superscript II reverse transcriptase enzyme (Invitrogen). The Tim-2 cDNA lacking the first 63 nucleotides that encode signal peptide was generated by PCR using PfuUltra High-Fidelity DNA polymerase (Stratagene). The primers used were: forward, 5'-CATACAGCAGTGCAGGGGCTGG-3'; reverse, GTAGGTCGACTAGGACTCTTCTTCGGGGTAAGG-3' with SalI site as overhang at the 5' end. After confirming the DNA sequence, the PCR product was cloned between SmaI and SalI sites into the pDisplay vector containing a signal peptide and HA-tag (Invitrogen), and the open reading frame was confirmed. CHO and 293 cells were transfected with the above construct using Genejuice transfection reagent (Novagen), whereas TK-1 and EL-4 cells were transfected by electroporation. 48 h after transfection, the transfectants were cultured in medium containing 1.0 mg/ml G418. Cells that survived the G418 selection were analyzed by flow cytometry using a biotinylated anti-HA antibody and streptavidin-PE as a detection reagent. Sorted cells were expanded in G418-containing medium and examined for surface expression of Tim-2.
Western blot analysis.
Cells were harvested and lysed in lysis buffer (20 mM Tris, pH 8.0, 150 mM NaCl, 1% Triton, 1% glycerol, 2 mM NaVO4, 2 mM leupeptin, 2 mM pepstatin A, 2 mM chymostatin). Protein concentration was determined using Coomassie Plus Protein Assay Reagent (Pierce Chemical Co.) and
50 µg was separated by 10% SDS-PAGE. Polyvinyldifluoride blots were blocked with 5% (wt/vol) nonfat dry milk and probed with anti-HA tag rabbit polyclonal IgG or normal rabbit IgG (Upstate Biotechnology) followed by HRP-conjugated goat antirabbit IgG secondary antibody (Upstate Biotechnology). Blots were visualized with ECL Western Blotting Detection reagents (GE Healthcare).
APC purification and Tim-2 ligand staining.
Spleen and lymph node cells were harvested from naive SJL/J, BALB/c, NOD, or C57BL/6 mice (Jackson ImmunoResearch Laboratories); and activated with concanavalin A (CD3+), LPS (Sigma-Aldrich), and IFN-
(B220+, CD11b+, CD11c+); and immediately used for purification. Subsets were purified using column based positive selection magnetic-activated cell sorting beads (Miltenyi Biotec). B220+ beads were used for the purification of B cells, CD11b+ beads were used for the purification of macrophage and dendritic populations, and CD11c+ beads were used for the purification of dendritic cells. CD4+ T cells were column purified by negative selection (R&D Systems). Cells were stained with biotinylated hIgG (as a negative control), or biotinylated Tim-2. Streptavidin-PE was used as the secondary detection reagent. All cells were analyzed by flow cytometry using a Becton Dickinson FACSCalibur.
Proliferation assays.
Female SJL/J mice (612 wk old) were injected s.c. in each flank with 50 µg PLP 139151 peptide (HSLGKWLGHPDKF; Quality Controlled Biochemicals) emulsified in CFA (Difco). Mice were injected i.p. every other day (beginning day 0, and continuing through day 8) with 100 µg Tim-2 Ig, 100 µg control hIgG, or 100 µl PBS. Mice were killed on day 10, and spleens harvested. Cells were plated at 5 x 105 cells/well in 96-well plates (Falcon, Becton Dickinson) with PLP 139151 added at 0100 µg/ml for 48 h. Plates were pulsed with 1 µCi 3[H]-thymidine/well for 1618 h. Incorporation was measured using a Beta Plate scintillation counter (PerkinElmer). The data are shown as mean cpm in triplicate wells.
For cell separation experiments, CD11b+ and B220+ cells were purified through positive selection as described above, and CD3+ T cells were purified using negative selection columns (R&D Systems) after depletion of CD11b+ and B220+ cells. CD3+ T cells were plated at 105 cells/well, and CD11b+ and B220+ cells were plated at 2 x 105 cells/well.
Cytokine ELISAs.
Cytokine production was measured for IL-2, IL-4, IL-10, IFN-
, and TNF-
by quantitative capture ELISA. In brief, capture mAbs to mouse IL-2 (clone JES-1A12), IL-4 (clone BVD4-1D11), IL-10 (clone JES5-2A5), and IFN-
(clone R4-6A2) were from BD Biosciences. Recombinant mouse cytokines (BD Biosciences) were used as standards. Biotinylated rat mAbs to mouse IL-2 (clone JES6-5H4), IL-4 (clone BVD6-24G2), IL-10 (clone SXC-1), IFN-
(clone XMG1.2), and TNF-
(clone MP6-XT3) were used as the second antibody. Assays were developed with TMB microwell peroxidase substrate (Kirkegaard and Perry Laboratories) and read at 450 nm using a Benchmark microplate reader (Bio-Rad Laboratories).
Generation of Tim2 Ig fusion protein.
The DNA sequence containing the extracellular domain of Tim-2 was amplified by PCR and cloned into a vector containing the CD5 signal sequence and the human IgG1 constant region. NS.1 cells were transfected stably, and recombinant protein was purified from supernatant using protein A chromatography.
Induction of experimental autoimmune encephalomyelitis.
Female SJL mice (48 wk old; The Jackson Laboratory) were injected s.c. in each flank with 5075 µg of PLP 139151 peptide in CFA supplemented with 400 µg of Mycobacterium tuberculosis (Difco). Each mouse also was injected i.v. with 100 ng of pertussis toxin (List Biological Laboratories) in 0.1 ml of PBS. Mice were injected i.p. on alternate days beginning at day 0 and continuing for 8 d with 100 µg Tim-2 Ig (endotoxin activity of 0.2 to 0.8 EU/mg) or 100 µg control hIgG or 100 µL PBS. Mice were examined daily for signs of EAE, which were graded as follows: flaccid tail, 1; uneven gait and impaired righting reflex, 2; total hindlimb paralysis, 3; fore- and hindlimb paralysis, 4; and moribund, 5. Disease scores over the course of the experiment (25 d) were totaled for each animal, and the mean for the experimental group was expressed as a cumulative score. Significance was established using the Student's t test. At the peak of the disease or at the end of the experiment, brains and spinal cords were removed, fixed in 10% formalin, and examined histopathologically for inflammation and demyelination. Inflammatory foci in meninges and parenchyma were counted by a blinded observer as described previously (20). Mice were housed in a specific pathogen-free, viral antibodyfree animal facility at the Harvard Institutes of Medicine. All breeding and experiments were performed in accordance with the guidelines of the Committee on Animals of Harvard Medical School.
| Acknowledgments |
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The authors have no conflicting financial interests.
Submitted: 9 February 2005
Accepted: 22 June 2005
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