Abstract
CD163 is a macrophage scavenger receptor with anti-inflammatory and pro-inflammatory functions. Here, we report that alveolar macrophages (AMΦs) from asthmatic subjects had reduced cell-surface expression of CD163, which suggested that CD163 might modulate the pathogenesis of asthma. Consistent with this, house dust mite (HDM)-challenged Cd163−/− mice displayed increases in airway eosinophils and mucous cell metaplasia (MCM). The increased airway eosinophils and MCM in HDM-challenged Cd163−/− mice were mediated by augmented CCL24 production and could be reversed by administration of a neutralizing anti-CCL24 antibody. A proteomic analysis identified the calcium-dependent binding of CD163 to Dermatophagoides pteronyssinus peptidase 1 (Der p1). Der p1-challenged Cd163−/− mice had the same phenotype as HDM-challenged Cd163−/− mice with increases in airway eosinophils, MCM and CCL24 production, while Der p1 induced CCL24 secretion by bone marrow-derived macrophages (BMMΦs) from Cd163−/− mice, but not BMMΦs from wild-type (WT) mice. Finally, airway eosinophils and bronchoalveolar lavage fluid CCL24 levels were increased in Der p1-challenged WT mice that received adoptively transferred AMΦ’s from Cd163−/− mice. Thus, we have identified CD163 as a macrophage receptor that binds Der p1. Furthermore, we have shown that HDM-challenged Cd163−/− mice have increased eosinophilic airway inflammation and MCM that are mediated by a CCL24-dependent mechanism.
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Introduction
Macrophages, which have key roles in microbial defense, neoplasia, autoimmunity, fibrosis, and wound healing, have increasingly been recognized to participate in the pathogenesis of asthma.1, 2 For example, the M(interleukin (IL)-4) subset of alternatively activated macrophages (AAMs) produce C-C chemokines, such as CCL17 (TARC) and CCL24 (eotaxin-2), which mediate the recruitment of Th2 cells and eosinophils, respectively.3 CD163 is a scavenger receptor superfamily member that is exclusively expressed by cells of the monocyte/macrophage lineage.1, 4, 5, 6 CD163 functions as a high-affinity receptor that mediates the calcium-dependent endocytosis of haptoglobin–hemoglobin (Hp–Hb) complexes, which clears free hemoglobin during intravascular hemolysis.7 CD163 also serves as a receptor for erythroblasts, TNFSF12, bacteria, and viruses.8, 9, 10, 11
CD163 has been associated with both anti-inflammatory and pro-inflammatory functions of macrophages and monocytes.6 Expression of CD163 on human monocytes is increased by glucocortiocoids and IL-10, which suggested a role for CD163 in modulating macrophage function.6, 12, 13 For example, binding of Hp–Hb complexes to human monocytes expressing CD163 increased IL-10 secretion that induced heme oxygenase-1 protein synthesis via an autocrine mechanism, thereby providing anti-inflammatory and anti-oxidant effects.6, 14 In contrast, binding of bacteria by CD163 promoted TNF production, while activation of CD163 by cross-linking with CD163-specific monoclonal antibodies induced the secretion of TNF, IL-1β, IL-6, and nitric oxide.6, 9, 15 In addition, CD163+ macrophages that are induced by iron overloading have an unrestrained pro-inflammatory M1 activation profile and mediated persistent inflammation, tissue breakdown, and impaired wound healing.16 However, it is not known whether macrophages that express CD163 regulate the pathogenesis of asthma. Here, we show that CD163 serves as a receptor that binds the house dust mite (HDM) peptidase, Dermatophagoides pteronyssinus peptidase 1 (Der p1), in a calcium-dependent manner and that HDM-challenged Cd163−/− mice have CCL24-dependent increases in eosinophilic airway inflammation and MCM.
Results
Alveolar macrophages from asthmatic patients have reduced cell-surface expression of CD163
First, we assessed whether CD163 expression by alveolar macrophages (AMΦs) is modified in human subjects with asthma (Table 1). Confocal microscopy demonstrated that human CD68+ AMΦs in bronchoalveolar lavage fluid (BALF) express CD163 (Figure 1a), while cell-surface expression of CD163 by BALF AMΦs from asthmatic subjects was significantly decreased as compared with normal individuals (Figure 1b–d). This suggested that the reduced cell-surface expression of CD163 by BALF AMΦs might modify the pathogenesis of asthma.
Eosinophilic airway inflammation and MCM are augmented in HDM-challenged Cd163−/− mice
Cd163−/− mice were created from embryos that contained a targeted partial deletion of exon 1 of the Cd163 gene, which encodes the 5′ untranslated region and the initial 15 amino acids of the signal peptide, and a total deletion of exons 2 through 16. Exon 17, which encodes the 3′ UTR, was not located within the targeted deletion. Cd163−/− mice appeared normal with no obvious developmental abnormalities. PCR genotyping confirmed the deletion of intron 15–16 of the Cd163 gene in DNA isolated from Cd163−/− mice, whereas mRNA corresponding to exons 6 and 7 of CD163 was not detected in the lungs of Cd163−/− mice by quantitative real-time PCR (qRT-PCR) (Figure 2a, b).
We then investigated whether airway inflammatory responses were modified in Cd163−/− mice that had been sensitized and challenged by intranasal HDM administration (Figure 2c). There was a significant increase in total BALF inflammatory cells in HDM-challenged Cd163−/− mice, which reflected a selective increase in eosinophils, whereas the number of macrophages, lymphocytes, and neutrophils were not modified (Figure 2d, e). Lung histology similarly revealed an increase in peri-bronchial inflammatory cell infiltrates in HDM-challenged Cd163−/− mice as compared with wild-type (WT) mice (Figure 2f). Serum levels of HDM-specific IgE were not significantly different in HDM-challenged Cd163−/− mice as compared with WT mice, which showed that CD163 does not modify allergic sensitization to HDM (Figure 2g). Airway remodeling was significantly increased in HDM-challenged Cd163−/− mice based upon an increase in the percentage of airways with MCM (Figure 2f, h) and by an increase in lung Muc5AC protein levels (Figure 2i, j). Finally, neither HDM-challenged Cd163−/− mice nor WT mice developed methacholine-induced increases in airway hyperreactivity in this model, which likely reflects the C57BL/6 genetic background.17 Collectively, these results demonstrate that Cd163−/− mice have a phenotype of increased eosinophilic airway inflammation and MCM in experimental murine HDM-induced asthma.
We next assessed whether the generation of AAMs was modified in HDM-challenged Cd163−/− mice. As shown in Figure 2k, BALF levels of the AAM product, Chi3L3/4, were increased in HDM-challenged Cd163−/− mice.3 We next used an intraperitoneal sensitization and intranasal challenge model of HDM-induced airway disease (Figure 3a), which again demonstrated that HDM-challenged Cd163−/− mice had an increase in BALF eosinophils as compared with WT mice (Figure 3b). Although the percentage of CD206+ AAMs was not significantly different between HDM-challenged Cd163−/− mice and WT mice (Figure 3c), the mean fluorescence intensity of CD206 expression on BALF AAMs was significantly increased (Figure 3d).
Eosinophilic airway inflammation is augmented in HDM-challenged Cd163−/− mice by a CCL24-dependent mechanism
Experiments were next performed using the intranasal sensitization and challenge model (Figure 2c) to identify the mechanism by which the phenotype of HDM-induced eosinophilic airway inflammation and MCM are augmented in Cd163−/− mice. There was no difference between HDM-challenged WT and Cd163−/− mice in the quantity of Th2 (IL-5 and IL-13), Th1 (interferon (IFN)-γ), or Th17 (IL-17A) cytokines present in lung homogenates (Figure 4a) or secreted by mediastinal lymph node (MLN) cell cultures following ex vivo re-stimulation with HDM (Figure 4b). We next assessed whether CD163 modulated the production of chemokines, such as CCL11 (eotaxin-1) and CCL24 (eotaxin-2), that mediate the chemotaxis of eosinophils to the lung.18 As shown in Figure 4c, CCL24 protein levels were significantly increased in BALF and lungs of HDM-challenged Cd163−/− mice, whereas the levels of CCL11, CCL17, and CCL22 were either unchanged or decreased. These experiments suggest that the increase in eosinophilic lung inflammation in HDM-challenged Cd163−/− mice might be mediated by an increase in CCL24 production.
To address whether the increases in eosinophilic lung inflammation in HDM-challenged Cd163−/− mice were mediated via a CCL24-dependent mechanism, mice were treated with a neutralizing anti-CCL24 antibody (Figure 5a). HDM-challenged Cd163−/− mice that received site-directed delivery of the neutralizing anti-CCL24 antibody to the lung had significant reductions in the number of BALF eosinophils, MCM, and peri-bronchial inflammatory cell infiltrates as compared with Cd163−/− mice that received a control antibody (Figure 5b–d). Since CD163 is expressed by AMΦs in the lung, we assessed whether CD163 attenuates HDM-mediated CCL24 release from AMΦs. AMΦs were isolated from HDM-challenged WT and Cd163−/− mice and re-stimulated with HDM for 24 h. As shown in Figure 5e, ex vivo re-stimulation with HDM significantly increased the amount of CCL24 secreted by Cd163−/− AMΦs as compared with WT AMΦs.
We next utilized two adoptive transfer models to assess whether dendritic cells (DCs) could possibly represent the relevant cell type mediating the increases in BALF eosinophils in HDM-challenged Cd163−/− mice. As shown in Figure 6a–d, there was no difference in BALF total cells, eosinophils, or CCL24 levels in HDM-challenged WT recipient mice that had received the adoptive transfer of HDM-pulsed bone marrow-derived DCs (BMDCs) from donor WT or Cd163−/− mice. Similarly, there was no difference in BALF total cells, eosinophils, or CCL24 levels in HDM-challenged WT recipient mice that received the adoptive transfer of CD11c+ DCs isolated from MLNs from WT or Cd163−/− donor mice that had been pulsed in vivo with HDM (Figure 6e–h). Thus, CD163 expression by DCs did not appear to mediate the increases in BALF eosinophils or CCL24 levels in HDM-challenged Cd163−/− mice.
We also assessed whether the increased eosinophilic airway inflammation and MCM in the HDM-challenged Cd163−/− mice might be mediated at the level of effector CD4+ T cells. To address this question, splenic CD4+ T cells from donor WT mice that had been sensitized to HDM by intraperitoneal injection were isolated and adoptively transferred to recipient WT and Cd163−/− mice (Figure 7a). As shown in Figure 7b, c, Cd163−/− recipients of WT effector CD4+ splenic T cells showed increases in BAL eosinophils and MCM in response to multiple HDM challenges as compared with WT recipients of CD4+ T cells from WT mice. Therefore, the adoptive transfer of WT effector CD4+ T cells did not modify the phenotype of increased eosinophilic airway inflammation and MCM in HDM-challenged Cd163−/− mice.
Calcium-dependent binding of Der p1 to CD163
Next, we hypothesized that CD163 might serve as a receptor for an HDM protein, which would be consistent with its function as a scavenger receptor.6, 7, 8, 9, 11 Immobilized recombinant human CD163 (rhCD163) was used to pull-down interacting proteins in D. pteronyssinus extracts, which were resolved by one-dimensional gel electrophoresis, visualized by silver staining, and identified by mass spectroscopy. As shown in Figure 8a, eight distinct bands were pulled down when D. pteronyssinus extract proteins were incubated with immobilized rhCD163. In two independent experiments, band #6 contained a 17 amino-acid peptide (GIEYIQHNGVVQESYYR) that corresponded to amino acids 177–193 of Der p1, a cysteine protease that is one of the major allergens in D. pteronyssinus.19 Der p1 was the only D. pteronyssinus protein that was identified. Furthermore, band #6 displayed a molecular weight of approximately 23 kDa, which is consistent with the molecular weight of Der p1.
Additional experiments were performed to confirm and characterize the ability of CD163 to function as a Der p1-binding protein. First, immobilized rhCD163 protein pulled down purified Der p1 protein (Figure 8b), while immobilized Der p1 pulled down rhCD163 (Figure 8c). Nominal binding occurred when the resin that had been blocked with ovalbumin (OVA) alone was used for the pull-down experiments. Second, Der p1 protein that had been immobilized to plastic bound rhCD163 in a concentration-dependent and calcium-dependent manner (Figure 8d), which was significantly attenuated by EGTA (Figure 8e). Third, immobilized Der p1 protein pulled down CD163 from a lysate of human monocyte proteins (Figure 8f) that had the same molecular weight as native CD163. Furthermore, the amount of CD163 in human monocyte lysates that was pulled down by immobilized Der p1 protein was increased by the addition of supplemental calcium and attenuated by EGTA (Figure 8g). This is consistent with the requirement of calcium for binding of hemoglobin–haptoglobin complexes to CD163.20 Collectively, these results demonstrate that CD163 binds Der p1 in a calcium-dependent manner.
Experiments were next conducted to assess whether Der p1 modifies CCL24 secretion by bone marrow-derived macrophages (BMMΦs) from WT and Cd163−/− mice.21 As shown in Figure 8h, purified Der p1 induced CCL24 secretion from BMMΦs from Cd163−/− mice, but not those from WT mice. This finding shows that CD163-deficient BMMΦs secrete increased amounts of CCL24 in response to Der p1 stimulation as compared with WT BMMΦs.
AMΦs from Cd163−/− mice enhance Der p1-induced eosinophilic airway inflammation and MCM
Having shown that CD163 binds Der p1 to suppress CCL24 secretion, we next assessed whether Cd163−/− mice that were sensitized and challenged with Der p1 had the same phenotype of increased airway eosinophils, MCM, and BALF CCL24 levels as HDM-challenged Cd163−/− mice (Figure 9a). As shown in Figure 9b, c, Der p1 induced significant increases in total BALF cell numbers, which primarily reflected an increase in eosinophils in Cd163−/− mice as compared with WT mice. Similarly, lung histology showed increased peri-bronchial inflammatory infiltrates and MCM in Der p1-challenged Cd163−/− mice (Figure 9c, d). BALF levels of CCL24 were also significantly increased in Der p1-challenged Cd163−/− mice (Figure 9e). In contrast, there was no difference in the amount of IL-5 and IL-13 produced by MLN cells from Cd163−/− and WT mice when re-stimulated with HDM (Figure 9f). Collectively, these results demonstrate that sensitization and challenge with Der p1 induce a similar phenotype of increased eosinophilic airway inflammation, MCM and CCL24 production in Cd163−/− mice as was seen with the HDM-challenge model.
Finally, adoptive transfer experiments were performed to assess whether CD163 expression by AMΦs modulates Der p1-induced CCL24 production and eosinophilic airway inflammation (Figure 10a). BALF CD45+/CD11c+/Siglec-F+/CD64+ AMΦs from naïve donor WT and Cd163−/− mice (Figure 10b) were adoptively transferred to recipient WT mice that had been sensitized with Der p1 or saline, as a control. As shown in Figure 10c–d, both BALF eosinophils and CCL24 levels were significantly increased in Der p1-challenged recipient WT mice that received the adoptive transfer of Cd163−/− AMΦs as compared with Der p1-challenged recipient WT mice that received the adoptive transfer of WT AMΦs. Collectively, this provides additional evidence supporting the conclusion that Der p1-induced eosinophilic airway inflammation and BALF CCL24 levels are augmented by Cd163−/− AMΦs.
Discussion
Eosinophils are key effector inflammatory cells in allergen-mediated asthma that are recruited to the airways by cooperative effects between the Th2 cytokine, IL-5, and C-C chemokines.22, 23, 24 IL-5 is a hematopoietic growth factor for eosinophils that both mobilizes eosinophil progenitor cells from the bone marrow to the circulation and increases CCR3 expression.25, 26 Eotaxins are C-C chemokines that mediate the chemotaxis of circulating eosinophils to the lung via binding to CCR3.18 The eotaxin gene family comprises three genes in humans (CCL11, CCL24, and CCL26) and two in the mouse (CCL11 and CCL24).22 CCL11 (eotaxin-1) was initially identified as the major eosinophil chemotactic factor in allergen-challenged guinea pigs, while CCL24 (eotaxin-2) was cloned based upon sequence homology with known β-chemokines.27, 28 Expression of both CCL11 and CCL24 is IL-13-dependent with CCL11 expression being restricted to lung tissue cells in the mouse, while CCL24 is primarily expressed by AMΦs.29 Consistent with this, an OVA-induced model of murine airway inflammation has shown that CCL24 has a predominant role over CCL11 in mediating eosinophil recruitment to BALF, whereas CCL11 and CCL24 act in a synergistic manner to recruit eosinophils to lung tissue. Furthermore, CCL24 has an important role in mediating IL-13-induced airway eosinophilia.
Here, we identify a new mechanism by which CD163 expression by AMΦs may attenuate the severity of eosinophilic inflammation in HDM-induced airway disease. First, we show that cell-surface expression of CD163 by AMΦs is reduced in human subjects with asthma, which suggested that CD163 might participate in the regulation of airway inflammatory responses in the lung. The reduction in cell-surface expression of CD163 by AMΦs occurred despite 71% of asthmatic subjects having received treatment with inhaled steroids, which are known to increase CD163 expression.12 This is consistent with a recent report that found sputum macrophages from asthmatic subjects expressed less CD163 than macrophages from healthy subjects.30 Next, we identified and characterized the function of CD163 in HDM-challenged Cd163−/− mice. HDMs are a common environmental trigger and a major risk factor for the development of allergic asthma.31 In particular, we used D. pteronyssinus, which is one of the two predominant species of HDM,32 and found that Cd163−/− mice have a phenotype of augmented HDM-induced eosinophilic pulmonary inflammation and MCM.
We then assessed the mechanisms mediating the augmented airway eosinophilia in HDM-challenged Cd163−/− mice. We did not find evidence that the augmented airway eosinophilia in HDM-challenged Cd163−/− mice occurred as a consequence of enhanced allergic sensitization or production of Th2 cytokines. Instead, the augmented eosinophilic airway inflammation appeared to be mediated by the increased production of CCL24, which is a C-C chemokine that induces the chemotaxis of eosinophils to the lung. In particular, HDM-challenged Cd163−/− mice had significantly increased CCL24 in both BALF and the lung, whereas neither CCL11, CCL17, nor CCL22 was increased. Furthermore, Cd163−/− AMΦs that were re-stimulated ex vivo with HDM secreted increased amounts of CCL24 as compared with WT AMΦs. This finding suggested that the augmented HDM-induced airway eosinophilia and MCM in Cd163−/− mice occurred by a CCL24-dependent mechanism. This was confirmed by administration of a neutralizing anti-CCL24 antibody to HDM-challenged Cd163−/− mice, which significantly reduced eosinophilic airway inflammation and MCM to levels similar to those found in HDM-challenged WT mice. Administration of the neutralizing anti-CCL24 antibody to WT mice, however, did not reduce either HDM-induced BAL eosinophils or MCM, which suggested that maximal responses in CD163-sufficient WT mice were not CCL24-dependent.
Our results also showed that the generation of AAMs in the setting of HDM-induced airway disease is not modified in the absence of CD163. There was, however, an increase in cell-surface expression of the AAM marker, CD206 (Mrc1, mannose receptor), on cells from HDM-challenged Cd163−/− mice, as well as an increase in BALF levels of Chi3L3/4 (Ym1/2), which is a product of AAMs.3 The importance of AAMs in the pathogenesis of HDM-induced airway inflammation, however, is unclear as HDM-challenged conditional knockout mice that lack the IL-4 receptor α chain on LysM+ macrophages do not have reductions in BALF eosinophil numbers, which suggests that AAMs may only be a marker of Th2 cytokine levels.33
Next, we investigated the mechanism by which CD163 attenuates CCL24 production by HDM-stimulated AMΦs. We hypothesized that CD163 might serve as a receptor for an HDM protein, which would be consistent with its function as a scavenger receptor.6, 7, 8, 9, 11 HDM is a complex aeroallergen that comprises mite-derived proteins and fecal pellets, as well as lipopolysaccharide and fungal spores.34, 35 At least 19 D. pteronyssinus proteins have been characterized as allergens that are bound by IgE. We utilized immobilized recombinant human CD163 to identify Der p1 as a binding partner by mass spectroscopy. The ability of CD163 to bind Der p1 was confirmed by in vitro pull-down experiments using recombinant and purified proteins, which showed that the interaction was calcium-dependent. This is consistent with the requirement of calcium for binding of hemoglobin–haptoglobin complexes to CD163.20 Similarly, purified Der p1 was able to pull-down CD163 from human monocyte lysates.
Der p1 is a 25-kDa glycoprotein expressed in the mite gut, which suggests that its endogenous function is related to digestion.36, 37 Der p1 is a member of the group 1 allergens, which are typical cysteine proteases that share structural similarity to papain.32 Group 1 allergens are released into fecal pellets, where Der p1 is found in high concentrations that range from 100 to 10,000 ng g−1 of dust.32, 35 Der p1 is one of the major allergens in D. pteronyssinus that is targeted by as much as 70% of the circulating IgE in atopic subjects.19, 35 Furthermore, Der p1 has been shown to promote Th2 responses by selectively reducing IFN-γ production, as well as by mediating the cleavage of multiple cell surface molecules, including the low-affinity IgE Fc receptor (CD23), the IL-2 receptor (CD25) α subunit, DC-SIGN (CD209), and DC-SIGNR (CD299).38, 39, 40, 41, 42 Der p1 also disrupts intercellular tight junctions in the airway by cleaving the adhesion proteins occludin and claudin-1, which facilitates transepithelial movement of Der p1 to antigen-presenting DCs.43 In airway epithelial cells, Der p1 induces IL-6 and IL-8 secretion, as well as activates NF-κB, ERK1/2, p38 MAPK, and JNK signaling.44, 45 Finally, Der p 1 binds mannose receptors on human monocyte-derived DCs, which may facilitate allergen internalization.37 Here, we show that Der p1 induced CCL24 production by Cd163−/− BMMΦs, but not from WT BMMΦs. Furthermore, Cd163−/− mice that had been sensitized and challenged with Der p1 had a similar phenotype of increased airway eosinophilia, MCM and CCL24 production as was seen when Cd163−/− mice were sensitized and challenged with HDM. In addition, Der p1-challenged WT mice that received the adoptive transfer of Cd163−/− AMΦs had significantly increased eosinophilic airway inflammation and BALF CCL24 levels as compared with recipients of WT AMΦs. It is important to point out, however, that we cannot exclude a role for other cells in the lung that have also been reported to produce CCL24, such as neutrophils and airway epithelial cells, in mediating the phenotype of increased eosinophilic airway inflammation in Der p1-challenged Cd163−/− mice.46, 47 Finally, since CD163 functions as a scavenger receptor with multiple known ligands, we also hypothesized that the phenotype of allergen-challenged Cd163−/− mice might not be specific for Der p1 and could possibly be seen when Cd163−/− mice are sensitized and challenged with other allergens. Consistent with this, we found that OVA-challenged Cd163−/− mice have a similar inflammatory phenotype as HDM-challenged Cd163−/− mice with increases in both BALF eosinophils and CCL24 (Supplementary Figure 2).
In summary, we have shown that CD163 binds the major HDM allergen, Der p1, in a calcium-dependent manner and that macrophages from Cd163−/− mice produce increased quantities of CCL24 when stimulated with HDM or Der p1. Furthermore, HDM-challenged Cd163−/− mice display a phenotype of increased eosinophilic airway inflammation and MCM that occurs by a CCL24-dependent mechanism. Thus, we propose that the reduced expression of CD163 by AMΦs from asthmatic patients may be associated with enhanced eosinophilic airway inflammation in response to inhalation of the HDM antigen, Der p1.
Methods
Human samples. Informed consent was obtained as per NHLBI protocol 99-H-0076. Normal individuals did not have airway hyperreactivity to inhaled methacholine challenge, while asthmatic subjects had either a positive bronchodilator response to an aerosolized short-acting β2-agonist or airway hyperreactivity to inhaled methacholine. Allergy was defined by at least one positive skin test to short ragweed, grass mixture, cat dander, cockroach (German and American), Dermatophagoides farinae, or Aspergillus fumigatus or a prior history of positive allergy skin testing. Skin testing was performed using a Multi-Test II applicator (provided as a generous gift from Lincoln Diagnostics, Decatur, IL). All subjects were clinically stable at the time of the bronchoscopy. Exclusion criteria included an active respiratory tract infection and current cigarette smoking. Total BALF cells were counted using a hemocytometer and differential cell counts were performed using Diff-Quik-stained cytospin slides (Siemens, Deerfield, IL).
Confocal immunofluorescence microscopy. Human BALF cell cytospin slides were fixed in 4% paraformaldehyde, incubated in blocking buffer (Aurion Blocking Solution, Electron Microscopy Sciences, Hatfield, PA) and reacted overnight with mouse anti-human CD68 (1:50 dilution, R&D Systems, Minneapolis, MN) and rabbit anti-human CD163 antibodies (1:50 dilution, Enzo Life Sciences, Farmingdale, NY) diluted in 0.1% Aurion BSA-c (Electron Microscopy Sciences). Slides were washed five times in PBS, incubated with species-specific secondary antibodies conjugated to Alexa Fluor 488 or Alexa Fluor 568 (Life Technologies, Grand Island, NY) at a 1:200 dilution, washed five times, mounted using Vectashield mounting medium with DAPI (Vector Laboratories, Burlingame, CA) and visualized utilizing a Zeiss LSM 510 UV confocal microscope (Carl Zeiss Microscopy GmbH, Jena, Germany).
Flow cytometry. Human BALF cells were washed and suspended in flow cytometry staining buffer (calcium- and magnesium-free PBS with 1% bovine serum albumin (BSA) and 0.25 mM EDTA). Cells were incubated with mouse anti-human CD45 PECy5 (eBioscience, San Diego, CA), mouse anti-human CD14 BV605 (BD Biosciences, Franklin Lakes, NJ), mouse anti-human CD68 PerCPCy5.5 (Biolegend, San Diego, CA), mouse anti-human CD163 APC (Biolegend), and fixable viability dye eFluor 450 (eBioscience) for 45 min, washed with flow cytometry staining buffer and re-suspended in buffer containing 1% paraformaldehyde. Cells were acquired on a LSRII equipped with 407, 488, 532, and 633 LASER lines using DIVA 6.1.2 software (BD Biosciences, San Jose, CA). Data were analyzed using FlowJo software version 9.1.5 (Treestar, San Carlos, CA).
Murine BALF cells were suspended in flow cytometry staining buffer (eBioscience) containing 1% mouse and rat serum and incubated with rat anti-mouse CD45 BV605 (BD Biosciences), hamster anti-mouse CD11c PerCp Cy5.5 (BD Biosciences), rat anti-mouse Siglec-F BB515 (BD Biosciences), anti-mouse CD64 (FcγRI) PE-Cy7 (Biolegend), and rat anti-mouse CD206 BV 650 (Biolegend) for 45 min on ice. Cells were re-suspended in PBS containing 1% paraformaldehyde and events were acquired on a LSRII (BD Biosciences). Cellular debris was excluded using a forward light scatter/side scatter plot. A macrophage gate was determined based upon light-scatter properties and CD45+/CD11c+/Siglec-F+/CD64+ AMΦs were analyzed for CD206+ expression (Supplementary Figure 1).
Cd163−/− mice. Cd163−/− mice on a C57BL/6 genetic background were generated from Cd163tm1(KOMP)Vlcg embryos obtained from the Knockout Mouse Project at the University of California, Davis, CA. Cd163tm1(KOMP)Vlcg embryos have a 24,636 base pair deletion from nucleotides 124,254,756 to 124,279,391 of chromosome 6. The Cd163tm1(KOMP)Vlcg embryos were created from ES cell clone Cd163_BA3, generated by Regeneron Pharmaceuticals (Tarrytown, NY) and made into live mice at the Jackson Laboratory (Bar Harbor, ME).48 Wild-type C57BL/6 mice were from Taconic Labs (Hudson, NY). Both female and male mice that were matched by gender were used for experiments.
Genotyping of Cd163−/− mice. The targeted deletion of the Cd163 gene was confirmed by PCR of genomic DNA and qRT-PCR of lung mRNA. SU (5′-GTGTTCCAAAGTGGGAGGAG-3′) and LacZRev (5′-GTCTGTCCTAGCTTCCTCACTG-3′) primers were used to confirm the presence of the targeting vector in Cd163−/− mice, whereas TDF (5′-TCATTCCAGGAGAAGTGCCC-3′) and TDR (5′-CCAAGGCAAATCCCTCTCAG-3′) primers were used to confirm the absence of introns 15–16 of the Cd163 gene in Cd163−/− mice. A Taqman probe directed against the boundary of exons 6 and 7 (Mm00474091_m1, Applied Biosystems/Life Technologies) was used for qRT-PCR to confirm the absence of Cd163 mRNA expression in the lungs of Cd163−/− mice.
Murine models of HDM- and Der p1-induced airway disease. Experimental protocols were approved by the NHLBI Animal Care and Use Committee. D. pteronyssinus extract, referred to as HDM, was purchased from Greer Laboratories (Lenoir, NC) and contained ≤50 units of lipopolysaccharide per mg of HDM protein, which equated to administration of ≤5 pg of lipopolysaccharide with each μg of HDM.49 (i) Intranasal HDM sensitization and challenge model. Six- to eight-week-old WT C57BL/6 and Cd163−/− mice received daily intranasal challenges of HDM (25 μg) or saline, in a volume of 10 μl, 5 days a week for 5 weeks. End points were analyzed 24 h after the last challenge. (ii) Intraperitoneal HDM sensitization and intranasal challenge model for AAM experiments. Eight- to ten-week-old WT and Cd163−/− mice were sensitized on days 1 and 4 by intraperitoneal injection of HDM (50 μg ml−1) emulsified in 60 μl of 2% Alhydrogel adjuvant (Invivogen, San Diego, CA) plus 140 μl of sterile PBS. On day 8, all mice received a single intranasal challenge of HDM (100 μg). BALF cells were collected on day 10. (iii) CCL24 inhibition experiments. In all, 5 μg of a neutralizing, monoclonal rat anti-mouse CCL24 antibody (MAB528) or a monoclonal rat IgG2A isotype control antibody (R&D Systems) were administered to the nares daily, 3 days per week, concurrent with HDM challenges for 5 weeks. End points were analyzed 24 h after the last challenge. (iv) Adoptive transfer of HDM-pulsed BMMΦs. Bone marrow cells from donor WT and Cd163−/− mice were harvested on day 1 and cultured in GM-CSF (20 ng ml−1) until day 9, when cells were pulsed with HDM (100 μg ml−1) or saline as a control. On day 10, CD11c+/MHCII+/Siglec-F- BMDCs were isolated by flow sorting and 1 × 105 BMDCs were adoptively transferred by intranasal administration to recipient WT mice, which received daily intranasal instillations of HDM (50 μg) on days 23 through 26. End points were analyzed on day 27. (v) Adoptive transfer of HDM-pulsed MLN dendritic cells. WT and Cd163−/− mice were pulsed with HDM (100 μg) or saline on day 1 and MLNs were harvested on day 4. CD11c+/MHCII+/Siglec-F-DCs were isolated by flow sorting and 2.5 × 104 cells were administered to the nares of recipient WT mice, which then received daily intranasal HDM challenges (25 μg) on days 9 through 14 and end points were analyzed on day 15. (vi) Adoptive transfer of splenic CD4+ T cells. Eight- to ten-week-old WT C57BL/6 mice were sensitized on days 1 and 7 by intraperitoneal injection of saline or HDM (100 μg ml−1) emulsified in 60 μl of 2% Alhydrogel adjuvant (Invivogen) plus 140 μl of sterile PBS. On day 14, CD4+ T cells were purified from the spleens of sensitized mice using the EasySep Mouse CD4+ T Cell Isolation kit (StemCell Technologies, Vancouver, BC, Canada) to a purity of 95%, which was verified by flow cytometry, and 2 million CD4+ T cells were adoptively transferred in 100 μl of PBS via intraperitoneal administration to recipient WT and Cd163−/− mice. Recipient mice received intranasal HDM (50 μg) challenges on days 19, 21, 23, and 25 and end points were analyzed on day 27. (vii) Der p1 model. Der p1 experiments were performed using a modification of a previously published protocol.17 Mice were sensitized by intraperitoneal injection of saline (100 μl) with or without 2 μg of LoTox Der p1 (Indoor Biotechnologies, Charlottesville, VA) on days 1 and 8. On day 15, 10 μg of LoTox Der p1 was administered via intratracheal instillation in 40 μl of saline. End points were analyzed 72 h after the last challenge. (viii) AMΦ adoptive transfer experiments. Recipient mice were sensitized by intraperitoneal injection of LoTox Der p1 (2 μg), or saline as a control, on days 1 and 7. On day 14, bronchoalveolar lavage was performed on naïve donor mice using ice-cold PBS without magnesium chloride and calcium chloride plus 2 mM EDTA. Viable CD45+/CD11c+/Siglec-F+/CD64+ AMΦs in BALF were isolated by flow sorting and 1 × 105 cells were adoptively transferred to recipient mice by intranasal instillation. Recipient mice were challenged by intratracheal LoTox Der p1 (10 μg) administration on day 17 and end points were analyzed on day 20. Analyses of BALF cells and lung histology were performed as previously described.49
HDM-specific IgE. Serum HDM-specific IgE was measured by incubating plates overnight with 0.01% HDM in PBS and blocked with 1% BSA before addition of serum for 1 h. Serum was depleted of IgG by incubating with protein G agarose (ThermoFisher Scientific, Waltham, MA) overnight at 4 °C before analysis. Following six washes with PBS plus 0.05% Tween-20, biotinylated anti-mouse IgE (Pharmingen, San Jose, CA) was added for 1 h. Plates were washed six times before addition of streptavidin-HRP (R&D Systems) for 30 min. TMB substrate was added for 30 min to determine the quantity of HDM-specific antibody.
Enzyme-linked immunosorbent assays. Quantification of CCL11, CCL24, and Chi3L3/4 was performed using Duoset ELISA kits from R&D Systems.
Western blotting. Lung proteins (12.5 μg) were separated by SDS-PAGE using 10% Bis-Tris Nupage gels (Life Technologies). The antibodies against Muc5AC (1:500 dilution) and β-actin (1:3,000 dilution) were from Abcam (Cambridge, MA). Membranes were stripped using the Re-Blot recycling kit (Chemicon International, Temecula, CA). Densitometry was performed using NIH ImageJ software (NIH, Bethesda, MD).
Airway hyperreactivity. Airway resistance to increasing doses of nebulized methacholine was directly measured in anesthetized mice that were mechanically ventilated using an Elan RC Fine Pointe system (Buxco, Wilmington, NC), as previously described.49
HDM-specific re-stimulation of MLN cultures and measurement of Th2 cytokine production. MLNs were excised from HDM-challenged WT and Cd163−/− mice and single cell suspensions were generated by passage through a 100-μm strainer, followed by lysis of red blood cells using ACK buffer. Cells were suspended in RPMI-1640 medium containing 10% fetal calf serum, penicillin (50 units ml−1), streptomycin (50 μg ml−1), and L-glutamine (2 mM) and 4 × 106 cells per well were cultured in 96-well plates with “U”-shaped bottoms. Cells were stimulated with HDM (100 μg ml−1), Der p1 (10 μg ml−1), or saline (as a control) for 96 h and medium was collected and analyzed for cytokines using ELISAs with a limit of sensitivity of 9.4 pg ml−1 for IFN-γ, 15.6 pg ml−1 for IL-17A, 31.25 pg ml−1 for IL-5, and 62.5 pg ml−1 for IL-13 (R&D Systems).
AMΦ isolation and HDM re-stimulation. 1 × 105 BALF cells from HDM-challenged WT and Cd163−/− mice were seeded in 96-well tissue culture plates or in Lab-Tek chamber slides and AMΦs were allowed to adhere for 2 h in RPMI-1640 containing 10% FBS. Non-adherent cells were removed by washing with PBS. Manual counting of Diff-Quik stained slides revealed that 92±0.3% of isolated cells were AMΦs (n=3). AMΦs were re-stimulated with 500 μg ml−1 of HDM or medium for 24 h and CCL24 secretion was quantified by ELISA.
Proteomic identification of Der p1 binding to CD163. In all, 10 μg of recombinant human CD163 protein (R&D Systems), D. pteronyssinus extract or purified Der p1 (Indoor Biotechnologies, Charlottesville, VA) was covalently immobilized to an aldehyde-activated 4% beaded agarose resin (Pierce Direct IP Kit, Thermo Fisher Scientific) for 2 h and blocked with 1% chicken egg white albumin (Sigma-Aldrich, St Louis, MO). Resin-immobilized CD163 or purified Der p1 was incubated with 10 μg of pre-cleared D. pteronyssinus protein extract, purified Der p1 or recombinant human CD163 overnight, washed six times with 0.1% Triton X-100, 50 mM Tris, pH 7.5, and 120 mM NaCl (Sigma-Aldrich) and interacting proteins were eluted, resolved by SDS-PAGE using 10% Bis-Tris Nupage gels and visualized with the SilverQuest Silver Staining Kit (Life Technologies). Resins to which 10 μg of chicken egg white albumin had been immobilized served as controls for background non-specific binding. Excised bands were destained and subjected to trypsin digestion, as previously described, before analysis by mass spectrometry using the LTQ Orbitrap Velos mass spectrometer (Thermo Fisher Scientific, San Jose, CA).50 The raw file generated by the Velos was analyzed using Proteome Discoverer v1.3 software (Thermo Fisher Scientific) using the Mascot search engine (v2.3) (Matrix Science, Boston, MA). The Mascot search criteria were set to: database, Swiss-Prot (Swiss Institute of Bioinformatics); taxonomy, Eukaryota (eukaryotes); enzyme, trypsin; miscleavages, 3; variable modifications, oxidation (M), deamidation (NQ); fixed modifications, carbamidomethyl (C), MS peptide tolerance 10 ppm; MS/MS tolerance as 0.8 Da. The peptide confidence false discovery rat was set to less than 1%.
CD163 binding to immobilized Der p1. Plastic 96-well plates were coated with purified Der p1 and blocked with 1% BSA dissolved in PBS. Recombinant human CD163 (R&D Systems) (120 ng) was added to the Der p1-coated plates overnight, washed three times with 0.05% Tween-20 in PBS, and the quantity of CD163 that bound to the immobilized Der p1 was quantified using a CD163 immunoassay kit (R&D Systems) with a horseradish peroxidase-conjugated anti-CD163 antibody. Non-specific binding of the anti-CD163 antibody to Der p1-coated plates in the absence of CD163, as well as background related to the immobilized Der p1 protein in the absence of the anti-CD163 antibody were subtracted from the reported values.
Immunoprecipitation of human monocyte CD163. Elutriated human monocytes were provided under an IRB-approved protocol (01-CC-0168) by the NIH Department of Transfusion Medicine, Clinical Center. Cells were lysed in buffer containing 0.1% Triton X-100, 50 mM Tris, pH 7.5, and 120 mM NaCl supplemented with Complete protease inhibitor (Thermo Fisher Scientific). In all, 300 μg of protein lysates, with or without 5 mM calcium or 5 mM EGTA, was incubated overnight with 10 μg of purified Der p1 that had been immobilized to an aldehyde-activated beaded agarose resin (Pierce Direct IP Kit, Thermo Fisher Scientific) and washed six times with cold lysis buffer. Eluted proteins were resolved by western blotting and CD163 was detected using a mouse monoclonal anti-CD163 antibody (MAB1607) from R&D Systems.
Bone marrow-derived macrophage cultures. Bone marrow cells from Cd163−/− mice and WT mice were cultured in RPMI-1640 containing 10% FBS, 2 mM L-glutamine, 100 U ml−1 penicillin, 100 μg ml−1 streptomycin, 0.05 M 2-ME, and recombinant mouse M-CSF (20 ng ml−1, Biolegend) for 6 days.21 Cells were treated with IL-4 (10 ng ml−1) (Biolegend) for 48 h to induce CCL24 expression before stimulation with purified Der p1 (20 μg ml−1) for 48 h and CCL24 release into medium was quantified by ELISA.
Statistics. Data are presented as mean±s.e.m. Results were analyzed using a one-way ANOVA with Bonferroni’s multiple comparison test (GraphPad Prism version 5.0a, La Jolla, CA), except where indicated that a paired or unpaired t test or a Mann–Whitney test were utilized. A P-value of <0.05 was considered as significant.
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Acknowledgements
We thank Dr Grzegorz Piszczek from the NHLBI Biophysics Core Facility, Dr Christian A. Combs and Dr Daniela Malide, from the NHLBI Light Microscopy Core Facility, for their advice and support, and Dr Martha Vaughan and Dr Joel Moss for their helpful discussions. This work was funded by the Division of Intramural Research, NHLBI.
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Dai, C., Yao, X., Gordon, E. et al. A CCL24-dependent pathway augments eosinophilic airway inflammation in house dust mite-challenged Cd163−/− mice. Mucosal Immunol 9, 702–717 (2016). https://doi.org/10.1038/mi.2015.94
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DOI: https://doi.org/10.1038/mi.2015.94
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