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FJ
EXPRESS SUMMARY ARTICLE The Full-length version of this article is also available, published online February 26, 2001 as doi:10.1096/fj.00-0563fje. |
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* Institute of Anatomy, Department of Cell and Neurobiology and
Clinic of Neurology, Department of Clinical Neuroimmunology, Humboldt-University Hospital Charité, 10098 Berlin, Germany
2Correspondence: Institute of Anatomy; Department Cell and Neurobiology, Humboldt University Hospital Charité; 10098 Berlin, Germany. E-mail: ingo.bechmann{at}charite.de
SPECIFIC AIMS
Myelin-specific autoimmune T cells can induce both destructive and neuroprotective autoimmunity and it is likely that differences in peripheral T cell stimulation account for the induction of the one vs. the other response. To unravel such differences, we studied the expression of MHC class II and costimulatory B71/B72 molecules on myelin phagocytosing microglia after rat entorhinal cortex lesion, a model of axonal degeneration followed by reactive synaptogenesis without destructive autoimmunity.
PRINCIPAL FINDINGS
1. MHC class II expression on myelin phagocytosing microglia
A previously established technique of phagocytosis-dependent
labeling was applied to search for MHC-II-positive myelin phagocytosing
microglia. The dextran- and biotin-conjugated tracer Mini Ruby was used
to label perforant path axons. This myelinated fiber tract connects the
entorhinal cortex with the hippocampus. Subsequent stereotactic
entorhinal lesion induces degeneration of these fibers in their
termination zones, i.e., the middle molecular layer of the dentate
gyrus (MML). Ipsi- and contralateral fibers to the entorhinal cortex
are retrogradely affected by such lesions. Uptake of the fluorescent
axon debris allowed identification of phagocytosing cells using
(immune) double-fluorescence microscopy. The phagocytosed material was
localized within MHC-II-positive cells exhibiting the typical
morphology of activated microglia. Indeed, all of these MHC-II-positive
cells were identified as microglia/macrophages using isolectin-B4
labeling. Never was MHC-II found on GFAP-positive astrocytes. The first
MHC-II-positive microglial cells appeared around 6 days postlesion
(dpl) in the MML. In this zone, where only anterograde degeneration
occurs, the number of immune-positive cells as well as their immune
reactivity clearly increased until about 12 dpl, but disappeared at day
40 postlesion. At this time, MHC-II-positive microglia were still
found in the alveus, the fimbria, and in the anterior and posterior
commissure, where entorhinal lesions induce anterograde and
retrograde degeneration.
2. Lack of B71 on myelin phagocytosing microglia
Several anti-B71 antisera/antibodies did not detect glial cells
in the brain parenchyma after entorhinal cortex lesion (ECL; Fig. 1a
, b
, c
). However, cell populations outside of the parenchyma
that are known to express B71, such as endothelial and perivascular
cells (Fig. 1b
) as well as leucocytes inside of blood
vessels (Fig. 1c
), were readily detected. In some lesioned
and control animals, randomly distributed single B71-positive
microglia and macrophages were found (Fig. 1d
).
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3. Enhanced long-time B72 expression on microglia
B72 was found at low levels on many randomly distributed
ramified cells in the white matter of lesioned and control animals
(Fig. 1e
). As anticipated by the morphology of these cells,
they were identified as microglia using isolectin-B4 labeling. After
entorhinal lesion, a strong increase in B72 expression occurred in
the termination zone of the perforant path (Fig. 1f
, g
, h
) and
in zones of combined anterograde and retrograde degeneration (alveus,
fimbria, anterior and posterior commissure). This expression reached
its peak at about 5 dpl and was still enhanced after several weeks.
Double-labeling of B72 and GFAP revealed no colocalization in
lesioned and control animals.
4. Invasion of CD4/B72-positive
/ß t cells without
microglial activation
In zones of axonal degeneration, homing T cells were found at the
ultrastructural level (Fig. 2a
, b
). Immunocytochemistry using various antibodies revealed
single CD4-positive T cells in the MML in the first days after lesion
(Fig 2c
). CD8-positive
T cells were not detected. In zones of combined anterograde and
retrograde degeneration, R73 immune staining identified numerous
/ß T cells. Infiltration of such T cells was still evident at 90
dpl (Fig. 2e
) and was accompanied by B72 expression on
morphologically resting, ramified microglia (Fig. 2d
). The T
cells were also found to express B72 (Fig. 2f
, g
).
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CONCLUSIONS AND SIGNIFICANCE
Autoimmune demyelinating diseases such as multiple sclerosis (MS) and its animal model, experimental allergic encephalomyelitis (EAE), are induced by autoimmune T cells. By unknown stimuli, these T cells invade the central nervous system (CNS) where they activate microglia to secret proinflammatory molecules and to phagocytose myelin, which then is presented upon B71 costimulation. This, in turn, can contribute to further T cell recruitment, activation, and differentiation (see schematic diagram). Blockade of B71, therefore, inhibits disease induction and abrogates ongoing disease. It was the aim of this study to understand why mechanically induced axonal degeneration does not induce destructive autoimmunity despite myelin being phagocytosed and presented on local antigen-presenting cells. On the contrary, in this setting T cells directed against myelin epitopes contribute to axonal survival, rendering application of such T cell clones a therapeutic option after CNS trauma. This requires, however, a better understanding of the signals inducing destructive vs. the signals inducing protective autoimmunity to exclude development of autoimmune disease after such treatment.
As shown in this study, the different immune responses to myelin in
EAE/MS vs. mechanical injury are, in contrast to previous explanations,
not due to 1) lack of infiltrating T cells and 2)
lack of MHC-II expression. The striking difference we found is that
myelin obviously is not presented in a MHC-II/B71, but in a
MHC-II/B72 context. Several lines of evidence indicate that whereas
B71 is related to destructive autoimmunity, B72 expression induces
protective, or at least less harmful, T cell responses. Our finding of
myelin phagocytosing microglia exhibiting a
MHC-II+/B72+/B71-
phenotype might thus be the reason why such axonal degeneration is not
followed by harmful autoimmunity despite presentation of immunogenic
myelin epitopes. It is noteworthy, that we found T cells present in the
brain even long after the experimental lesion, but in contrast to
autoimmune brain disease, they did not induce microglial activation.
Conversely, microglia exhibited a ramified morphology while expressing
both MHC-II and B72 in the presence of these CD4-positive T cells. It
is currently unclear which function can be attributed to B72
expressed on such invading
/ß T cells. Nevertheless, it indicates
a reverse B72/CTLA4 signal of T cells finally inducing a resting
state in microglia.
The data presented here show that in contrast to the destructive immune
response in MS and EAE, axonal degeneration lacks a signal to induce
microglial B71 expression and attracts CD4-positive
/ß T cells.
These cells were rare in the zones of anterograde degeneration, where
axons are prone to die, but were numerous with a long-lasting presence
in zones of retrograde degeneration where fibers are still connected to
their pericaryon, allowing survival and regrowth under certain
conditions. These findings indicate a protective role of T cells
addressed as benign autoimmunity. Our approach allows future studies to
analyze how T cells can contribute to axonal protection after central
nervous system injury. This might include secretion of neurotrophins
and changes in electrophysiological properties such as electrical
insolation.
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FOOTNOTES
1 To read the full text of this article, go to http://www.fasebj.org/cgi/doi/10.1096/fj.00-0563fje ; to cite this
article, use FASEB J. (February 26, 2001) 10.1096/fj.00-0563fje ![]()
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