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. 2011 Dec 20;124(25):2920-32.
doi: 10.1161/CIRCULATIONAHA.110.009910. Epub 2011 Dec 5.

Loss of myeloid related protein-8/14 exacerbates cardiac allograft rejection

Affiliations

Loss of myeloid related protein-8/14 exacerbates cardiac allograft rejection

Koichi Shimizu et al. Circulation. .

Abstract

Background: The calcium-binding proteins myeloid-related protein (MRP)-8 (S100A8) and MRP-14 (S100A9) form MRP-8/14 heterodimers (S100A8/A9, calprotectin) that regulate myeloid cell function and inflammatory responses and serve as early serum markers for monitoring acute allograft rejection. Despite functioning as a proinflammatory mediator, the pathophysiological role of MRP-8/14 complexes in cardiovascular disease is incompletely defined. This study investigated the role of MRP-8/14 in cardiac allograft rejection using MRP-14(-/-) mice that lack MRP-8/14 complexes.

Methods and results: We examined parenchymal rejection after major histocompatibility complex class II allomismatched cardiac transplantation (bm12 donor heart and B6 recipients) in wild-type (WT) and MRP-14(-/-) recipients. Allograft survival averaged 5.9±2.9 weeks (n=10) in MRP-14(-/-) recipients compared with >12 weeks (n=15; P<0.0001) in WT recipients. Two weeks after transplantation, allografts in MRP-14(-/-) recipients had significantly higher parenchymal rejection scores (2.8±0.8; n=8) than did WT recipients (0.8±0.8; n=12; P<0.0001). Compared with WT recipients, allografts in MRP-14(-/-) recipients had significantly increased T-cell and macrophage infiltration and increased mRNA levels of interferon-γ and interferon-γ-associated chemokines (CXCL9, CXCL10, and CXCL11), interleukin-6, and interleukin-17 with significantly higher levels of Th17 cells. MRP-14(-/-) recipients also had significantly more lymphocytes in the adjacent para-aortic lymph nodes than did WT recipients (cells per lymph node: 23.7±0.7×10(5) for MRP-14(-/-) versus 6.0±0.2×10(5) for WT; P<0.0001). The dendritic cells (DCs) of the MRP-14(-/-) recipients of bm12 hearts expressed significantly higher levels of the costimulatory molecules CD80 and CD86 than did those of WT recipients 2 weeks after transplantation. Mixed leukocyte reactions with allo-endothelial cell-primed MRP-14(-/-) DCs resulted in significantly higher antigen-presenting function than reactions using WT DCs. Ovalbumin-primed MRP-14(-/-) DCs augmented proliferation of OT-II (ovalbumin-specific T cell receptor transgenic) CD4(+) T cells with increased interleukin-2 and interferon-γ production. Cardiac allografts of B6 major histocompatibility complex class II(-/-) hosts and of B6 WT hosts receiving MRP-14(-/-) DCs had significantly augmented inflammatory cell infiltration and accelerated allograft rejection compared with WT DCs from transferred recipient allografts. Bone marrow-derived MRP-14(-/-) DCs infected with MRP-8 and MRP-14 retroviral vectors showed significantly decreased CD80 and CD86 expression compared with controls, indicating that MRP-8/14 regulates B7-costimulatory molecule expression.

Conclusions: Our results indicate that MRP-14 regulates B7 molecule expression and reduces antigen presentation by DCs and subsequent T-cell priming. The absence of MRP-14 markedly increased T-cell activation and exacerbated allograft rejection, indicating a previously unrecognized role for MRP-14 in immune cell biology.

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Conflict of interest statement

Conflict of Interest Disclosures: None.

Figures

Figure 1
Figure 1. Host MRP-14 deficiency reduces MHC class II-mismatched cardiac allograft survival
Kaplan-Meier analysis of graft survival after (A) total-allomismatched heart transplantation in WT (n=18) and MRP14-/- (n=7) recipients and (B) MHC class II mismatched heart transplantation in WT (n=15) and MRP14-/- (n=10) recipients.
Figure 2
Figure 2. Recipient MRP-14 deficiency accelerates and augments acute parenchymal rejection and vascular infiltration after MHC class II-mismatched transplantation
A. Photomicrographs of H & E staining of bm12 cardiac allografts harvested 2 weeks after transplantation in WT (a) and MRP-14-/- B6 recipients (b), and 4 weeks after transplantation in WT (c, e) and MRP-14-/- B6 recipients (d, f); e and f represent a magnification of the vascular lesions of WT and MRP-14-/- B6 recipient allografts, respectively. B. PR and luminal occlusion scores (mean ± SD) were determined, as described in the Methods section, from hearts harvested from WT (n=12) and MRP-14-/- (n=8) recipients. C. Immunohistochemistry examined immune cell infiltration into transplanted hearts in WT (a, c, e) and MRP-14-/- (b, d, f) recipients 2 weeks after transplantation. Anti-CD4 (a, b), anti-CD8 (c, d), and anti-CD11b (for macrophages; e, f) staining was performed. D. Immune cell accumulation was quantified (mean ± SD) by determining the average number of cells per high-power field (× 100) in WT (n=12, open bars) and MRP-14-/- (n=8, closed bars) recipients.
Figure 2
Figure 2. Recipient MRP-14 deficiency accelerates and augments acute parenchymal rejection and vascular infiltration after MHC class II-mismatched transplantation
A. Photomicrographs of H & E staining of bm12 cardiac allografts harvested 2 weeks after transplantation in WT (a) and MRP-14-/- B6 recipients (b), and 4 weeks after transplantation in WT (c, e) and MRP-14-/- B6 recipients (d, f); e and f represent a magnification of the vascular lesions of WT and MRP-14-/- B6 recipient allografts, respectively. B. PR and luminal occlusion scores (mean ± SD) were determined, as described in the Methods section, from hearts harvested from WT (n=12) and MRP-14-/- (n=8) recipients. C. Immunohistochemistry examined immune cell infiltration into transplanted hearts in WT (a, c, e) and MRP-14-/- (b, d, f) recipients 2 weeks after transplantation. Anti-CD4 (a, b), anti-CD8 (c, d), and anti-CD11b (for macrophages; e, f) staining was performed. D. Immune cell accumulation was quantified (mean ± SD) by determining the average number of cells per high-power field (× 100) in WT (n=12, open bars) and MRP-14-/- (n=8, closed bars) recipients.
Figure 3
Figure 3. Cytokine and chemokine mRNA expression and TH17 cells in transplanted hearts
Messenger RNA expression of cytokines (A; IFN-γ, TNF-α, IL-6, IL-10, and TGF-β) and chemokines (B; MCP-1, RANTES, IP-10, Mig, and I-TAC), and Foxp3 and IL-17 (C) in bm12 allografts, was examined by quantitative real-time PCR 2 weeks after transplantation into WT (open bars) or MRP-14-/- (solid bars) recipients. Data represent mean ± SEM, n=6 per group. D–G. Flow cytometric analysis of IFN-γ (D), T-bet (E), IL-17 (F), and RORγt (G) in CD4+ T cells of graft infiltrating cells in WT and MRP-14-/- recipient allografts 2 weeks after transplantation. The shaded gray curve shows negative control using isotype-matched immunoglobulin, and the blue lines show cytokine expression levels in the merged histogram (D, c and d; E, c and d, F, c and d)
Figure 3
Figure 3. Cytokine and chemokine mRNA expression and TH17 cells in transplanted hearts
Messenger RNA expression of cytokines (A; IFN-γ, TNF-α, IL-6, IL-10, and TGF-β) and chemokines (B; MCP-1, RANTES, IP-10, Mig, and I-TAC), and Foxp3 and IL-17 (C) in bm12 allografts, was examined by quantitative real-time PCR 2 weeks after transplantation into WT (open bars) or MRP-14-/- (solid bars) recipients. Data represent mean ± SEM, n=6 per group. D–G. Flow cytometric analysis of IFN-γ (D), T-bet (E), IL-17 (F), and RORγt (G) in CD4+ T cells of graft infiltrating cells in WT and MRP-14-/- recipient allografts 2 weeks after transplantation. The shaded gray curve shows negative control using isotype-matched immunoglobulin, and the blue lines show cytokine expression levels in the merged histogram (D, c and d; E, c and d, F, c and d)
Figure 3
Figure 3. Cytokine and chemokine mRNA expression and TH17 cells in transplanted hearts
Messenger RNA expression of cytokines (A; IFN-γ, TNF-α, IL-6, IL-10, and TGF-β) and chemokines (B; MCP-1, RANTES, IP-10, Mig, and I-TAC), and Foxp3 and IL-17 (C) in bm12 allografts, was examined by quantitative real-time PCR 2 weeks after transplantation into WT (open bars) or MRP-14-/- (solid bars) recipients. Data represent mean ± SEM, n=6 per group. D–G. Flow cytometric analysis of IFN-γ (D), T-bet (E), IL-17 (F), and RORγt (G) in CD4+ T cells of graft infiltrating cells in WT and MRP-14-/- recipient allografts 2 weeks after transplantation. The shaded gray curve shows negative control using isotype-matched immunoglobulin, and the blue lines show cytokine expression levels in the merged histogram (D, c and d; E, c and d, F, c and d)
Figure 4
Figure 4. Characterization of draining lymph nodes
A. Photomicrographs of naive abdominal para-aortic lymph nodes from WT (a) or MRP-14-/- recipients (c) and abdominal para-aortic lymph nodes adjacent to heterotopic bm12 cardiac allografts of WT (b) or MRP-14-/- recipients (d) 2 weeks after transplantation. B. Cell number per lymph node of naive (Pre, pre-transplant) or 2 weeks after transplantation (Post) WT or MRP-14-/- recipients. a, CD4+ T cells; b, CD8+ T cells; c, B220+ B cells; d, CD11b+ macrophages. Data represent mean ± SEM, n=6 per group.
Figure 5
Figure 5. MRP-14-/- splenocytes have increased proliferation in MLR, but comparable responses to anti-CD3 or anti-CD40 antibodies
A. MLR using WT or MRP-14-/- B6 splenocyte responders and irradiated bm12 splenocyte stimulators. B. T-cell responses of WT and MRP-14-/- B6 splenocytes against immobilized anti-CD3 TCR stimulating antibodies. C. B-cell responses of WT and MRP-14-/- B6 splenocytes against immobilized anti-CD40 stimulating antibodies. Experiments were conducted in quadruplicate wells of a 96-well plate, and were repeated at least three times. D. Cytokine expression levels (a, IL-2; b, IFN-γ; c, IL-4; d, IL-10) of the supernatant of WT or MRP14-/- DCs co-cultured with OT-II CD4+ T cells in the presence (Ova+) or absence (Ova-) of 10 nM ovalbumin. E. Flow cytometry of CFSE-labeled OT-II CD4+ T cells co-cultured with WT (a, c) or MRP14-/- DCs demonstrates cellular proliferation. e, proliferation index; data represent mean ± SEM, n=4 per group.
Figure 5
Figure 5. MRP-14-/- splenocytes have increased proliferation in MLR, but comparable responses to anti-CD3 or anti-CD40 antibodies
A. MLR using WT or MRP-14-/- B6 splenocyte responders and irradiated bm12 splenocyte stimulators. B. T-cell responses of WT and MRP-14-/- B6 splenocytes against immobilized anti-CD3 TCR stimulating antibodies. C. B-cell responses of WT and MRP-14-/- B6 splenocytes against immobilized anti-CD40 stimulating antibodies. Experiments were conducted in quadruplicate wells of a 96-well plate, and were repeated at least three times. D. Cytokine expression levels (a, IL-2; b, IFN-γ; c, IL-4; d, IL-10) of the supernatant of WT or MRP14-/- DCs co-cultured with OT-II CD4+ T cells in the presence (Ova+) or absence (Ova-) of 10 nM ovalbumin. E. Flow cytometry of CFSE-labeled OT-II CD4+ T cells co-cultured with WT (a, c) or MRP14-/- DCs demonstrates cellular proliferation. e, proliferation index; data represent mean ± SEM, n=4 per group.
Figure 6
Figure 6. T-cell proliferation assay shows increased responses to bm12 EC–primed MRP-14-/- DCs
A. MLR to bm12 ECs using non-primed WT DCs (ctrl), bm12 EC–primed MRP-14-/-, or bm12 EC–primed WT, DC stimulators. Data represent peak response 3 days after and average values (mean ± SEM) of three independent experiments. B. MRP-14-/- DCs have augmented APC function. Expression of co-stimulatory molecules on IFN-γ–stimulated DCs from WT (a, c, e, g) and MRP-14-/- (b, d, f, h) mice was assessed by flow cytometry; cells were double-stained with PE-conjugated anti-CD80, anti-CD86, and APC-conjugated anti-CD11c. The shaded gray curve shows negative control using isotype-matched immunoglobulin, and the blue lines show CD80 (e, f) or CD86 (g, h) expression levels in the merged histogram (e-h). C. Values represent mean fluorescence intensity (a) and percentages of CD80-positive or CD86-positive cells (b). Data represent mean ± SEM, n=4 per group; WT (open bars) and MRP-14-/- (solid bars).
Figure 7
Figure 7. MRP-14-/- DCs reconstituted with MRP8/14 retroviral vector showed reduced CD80 and CD86 expression
A. Western blot demonstrates higher expression of MRP-8 and MRP-14 by MRP-14-/- DCs receiving MRP-8/14 retroviral vector infection, compared to control MRP-14-/- DCs receiving empty vector infection (a). MRP-14-/- DCs receiving empty vector (control, b), MRP-8-vector (c), and MRP-14-vector express enhanced GFP, indicating success of infection. B. MRP-14-/- DCs receiving MRP-8/14 retroviral vector infection have reduced APC function. Expression of co-stimulatory molecules on IFN-γ–stimulated DCs of control-vector–treated (a, c, e, g) and MRP-8/14-vector-treated (b, d, f, h) MRP-14-/- DCs was assessed by flow cytometry and double-staining with PE-conjugated anti-CD80, anti-CD86, and APC-conjugated anti-CD11c. The shaded gray curve shows negative control using isotype-matched immunoglobulin, and the blue lines show CD80 (e, f) or CD86 (g, h) expression levels in the merged histogram (e-h). C. Values represent mean fluorescence intensity (a) and percentages of CD80-positive or CD86-positive cells (b). Data represent mean ± SEM, n=4 per group; control-vector-treated (open bars) and MRP-8/14-vector–treated (solid bars).
Figure 8
Figure 8. Cardiac allografts in B6 MHC class II-/- hosts or B6WT receiving MRP-14-/- MHC II+ DCs showed augmented inflammatory cell infiltration
A. Immunohistochemistry examined inflammatory cell infiltration into transplanted hearts in MHC class II-/- hosts receiving MHC class II-/- DCs (a, d, g), B6 WT MHC II+ DCs (b, e, h), and MHC II+ MRP-14-/- DCs (c, f, i) 2 weeks after transplantation. Anti-CD4 (a, b, c), anti-CD8 (d, e, f), and anti-CD11b (g, h, i for macrophages) staining was performed. B. Inflammatory cell accumulation was quantified by determining the average number of cells per high-power field (× 100) in MHC class II-/- hosts receiving MHC class II-/- DCs (open bar), B6 WT MHC II+ DCs (open bar) and MRP-14-/- MHC II+ DCs (solid bar). Data represent mean ± SD, n=6 per group. C. Immunohistochemistry examined inflammatory cell infiltration into transplanted hearts in B6WT hosts receiving B6WT DCs (a, c, e) and MRP-14-/- DCs (b, d, f) 4 weeks after transplantation. Anti-CD4 (a, b), anti-CD8 (c, d), and anti-CD11b (e, f for macrophages) staining was performed. D. Inflammatory cell accumulation was quantified by determining the average number of cells per high-power field (× 100) in B6WT hosts receiving B6WT DCs (open bar) and MRP-14-/- DCs (solid bar). Data represent mean ± SD, n=6 per group.
Figure 8
Figure 8. Cardiac allografts in B6 MHC class II-/- hosts or B6WT receiving MRP-14-/- MHC II+ DCs showed augmented inflammatory cell infiltration
A. Immunohistochemistry examined inflammatory cell infiltration into transplanted hearts in MHC class II-/- hosts receiving MHC class II-/- DCs (a, d, g), B6 WT MHC II+ DCs (b, e, h), and MHC II+ MRP-14-/- DCs (c, f, i) 2 weeks after transplantation. Anti-CD4 (a, b, c), anti-CD8 (d, e, f), and anti-CD11b (g, h, i for macrophages) staining was performed. B. Inflammatory cell accumulation was quantified by determining the average number of cells per high-power field (× 100) in MHC class II-/- hosts receiving MHC class II-/- DCs (open bar), B6 WT MHC II+ DCs (open bar) and MRP-14-/- MHC II+ DCs (solid bar). Data represent mean ± SD, n=6 per group. C. Immunohistochemistry examined inflammatory cell infiltration into transplanted hearts in B6WT hosts receiving B6WT DCs (a, c, e) and MRP-14-/- DCs (b, d, f) 4 weeks after transplantation. Anti-CD4 (a, b), anti-CD8 (c, d), and anti-CD11b (e, f for macrophages) staining was performed. D. Inflammatory cell accumulation was quantified by determining the average number of cells per high-power field (× 100) in B6WT hosts receiving B6WT DCs (open bar) and MRP-14-/- DCs (solid bar). Data represent mean ± SD, n=6 per group.

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