Abstract
It is commonly believed that IL-12 produced by DCs in response to pathogens is the first signal that stimulates the production of IFN-γ by NK cells. However, IL-12 production by DCs in response to bacterial LPS depends on either engagement of CD40 by CD40L on activated T cells or IFN-γ from NK cells. This suggests that during the primary immune response, NK cells produce IFN-γ before IL-12 production by DCs. Here, using single-cell measurements, cell sorting and mouse lines deficient in IL-12, IL-23, type I IFN receptor and the IL-18 receptor, we show that a subset of BM-derived DCs characterized by low expression of MHC class II (MHCIIlow) stimulates IFN-γ production by NK cells. The expression of Toll-like Receptor (TLR) 4 on DCs but not NK cells was required for such NK-derived IFN-γ. In addition, soluble factor(s) produced by LPS-activated MHCIIlow DCs were sufficient to induce IFN-γ production by NK cells independent of IL-12, IL-23, and IL-18. This response was enhanced in the presence of a low dose of IL-2. These results delineate a previously unknown pathway of DC-mediated IFN-γ production by NK cells, which is independent of commonly known cytokines.
Keywords: dendritic cells, IFN-γ, IL-12, MHCIIlow DC, NK cells
Introduction
A rapid host response to microbial pathogens depends on the activation of a network of cells and the production of various soluble mediators, which constitute the first line of host defense commonly known as innate immunity. Natural killer (NK) cells are a subset of group 1 innate lymphoid cells (ILC1 s) [1] that play a critical role in eliminating pathogens through cytolytic activity and secretion of the potent effector cytokine IFN-γ [2]. NK cells are poised to make IFN-γ rapidly due to epigenetic modifications retaining the locus in an open configuration [3]. As initial mediators of innate immunity in inflamed tissues, NK cells can secrete IFN-γ within hours of infection [4], orchestrate the differentiation of monocytes into DCs [5], and prime monocytes for their regulatory function [6].
In mice and primates, systemic IFN-γ is detected within hours of bacterial infection or injection of LPS [7, 8]. The mechanism by which sensing pathogens translates into IFN-γ production by NK cells is not well understood. The prevailing view is that the detection of bacteria by TLRs on antigen presenting cells (APC) initiates the secretion of IL-12, which was originally identified as natural killer cell stimulatory factor (NKSF) [9]. IL-12 is a heterodimer of two subunits, p40 and p35 [10]. Accordingly, IL-12 produced by APCs activates NK cells to secrete IFN-γ [11], which in turn amplifies the polarization of naïve T cells toward Type 1 (TH1 and TC1) responses [12, 13]. In addition, NK cells regulate B-cell differentiation and Ig isotype switching [14]. Thus, NK cells have a central role early during infections by influencing which class of adaptive immune response follows.
This simple view that IL-12 is an upstream regulator of NK cells has been challenged by recent studies. For example, we have shown that IL-12 production by DCs is dependent on the prior presence of IFN-γ and therefore is not necessarily upstream of the IFN-γ required to induce TH1 responses [15, 16]. Similarly, studies of mice infected with Toxoplasma showed that NK cells are the major source of IFN-γ,which promotes IL-12 production by DCs [5]. In addition, stimulation of DCs by IFN-γ was shown to be critical for IL-12-dependent antitumor responses [17]. This leads to the question: which comes first, IL-12 or IFN-γ? Here, we provide a solution to this conundrum. We suggest that, similar to IL-4 production, a small amount of “priming” IFN-γ is needed early to stimulate a large amount later.
Using purified NK cells cocultured with BM-derived DCs obtained from cytokine-deficient mice, we measured IFN-γ produced at the single-cell level to answer this question. Here, we show that in the presence of LPS, DCs stimulate IFN-γ production by NK cells through signals that are dependent on TLR4 but not IL-12, IL-23, IL-18 or type I IFN. These data suggest that an alternative, IL-12-independent pathway operates for LPS-activated DCs to stimulate NK cells to become the early source of IFN-γ production. This IL-12-independent IFNγ (which comes first) is critical for subsequent IL-12 secretion and type 1 immunity.
Results and discussion
RAG−/− BM cells stimulated with LPS contain NK cells that make IFN-γ
We have reported that DCs generated from RAG−/− mice contain NK cells that secrete IFN-γ when stimulated for 18 h with LPS [18]. Following up on these observations, we determined that approximately 1 out of 1000 cells within freshly isolated BM from RAG−/− mice produce IFN-γ after stimulation with LPS from E. coli (Fig. 1A). A similar response was observed after stimulation with LPS from several bacterial species (Fig. S1). Furthermore, a similar low frequency of IFN-γ-producing cells was detected in the splenocytes of RAG−/− mice after stimulation with LPS (Fig. 1B). Magnetic bead-assisted depletion of NK cells from RAG−/− BM cells using antibodies against NK-cell markers resulted in a significant reduction in the number of IFN-γ-producing cells in response to LPS (Fig. 1C). Previous work has reported that NK cells stimulated with TLR agonists produce IFN-γ [19–21]. To test this possibility, NK1.1+ cells were directly sorted by flow cytometry into an ELISPOT plate. These highly purified NK cells (>99.99%) produced IFN-γ when stimulated with IL-12 plus IL-18 but not with LPS alone (Fig. 1D). We concluded that primary mouse NK cells do not respond directly to LPS and do not make IFN-γ unless other cells or signals are present. Therefore, we sought to further narrow down the nature of the cells and the signals involved.
IFN-γ production by NK cells is independent of IL-12 and IL-23
We used a standard sepsis model to measure IFN-γ in the serum of mice after intravenous (i.v.) injection of LPS. Serum was collected from WT, RAG−/−, and RAG−/− γC−/− mice 6 h after LPS injection. RAG−/− mice had more IFN-γ in their sera than WT mice (Fig. 2A), in agreement with the higher number of NK cells in the spleens of RAG−/− mice [22]. In contrast, no IFN-γ was detected in the serum of RAG−/− γC−/− mice (Fig. 2A), which lack NK cells [23]. We concluded that NK cells are the primary source of IFN-γ in this model, which is consistent with studies showing that activated NK cells are the main source of IFN-γ during sepsis [24], and depletion of NK cells in septic mice offers protection against LPS-induced shock [24, 25].
IL-12 has been shown to be required for IFN-γ production in LPS-induced shock in mice [26]. To test whether IL-12 was needed, we measured serum IFN-γ in WT or IL-12p35−/− (p35−/−) mice 6 h after LPS injection. IFN-γ was produced in p35−/− mice, albeit at far lower levels than in WT controls (Fig. 2B). These results show that there is an IL-12-independent pathway for IFN-γ production in mice injected with LPS. Such IL-12-independent IFN-γ production in p35−/− mice is also consistent with the IFN-γ-dependent protection against infections including Listeria [27] Salmonella [28] and Mycobacterium [29].
IL-23, which is composed of the IL-12p40 subunit and the p19 protein, enhances IL-17 production in T cells [30] and compensates for the lack of IL-12 in p35−/− mice to support antigen-specific IFN-γ responses to Mycobacterium [31] and limited resistance to Toxoplasma [32]. To examine whether IFN-γ detected in p35−/− mice required IL-23, we injected mice doubly deficient for both p35 and p19 (p35−/−p19−/−) with LPS. Serum IFN-γ was still detected as early as 2 to 3 h after LPS challenge (Fig. 2C). These results were confirmed in a direct comparison of freshly isolated BM cells from mice missing either the cytokines IL-12 and IL-23 or their receptors. Mice that were either WT, p35−/−p19−/−, IL-12Rβ1−/−, or IL-12Rβ2−/− mice all produced IFN-γ in response to LPS (Fig. 2D). We concluded that IFN-γ can be produced in the absence of IL-12 and IL-23 in these in vitro cultures (Fig. 2E). Next, we asked if NK cells are still the source of IFN-γ in p35−/−p19−/− BM cells. NK-cell depletion from freshly isolated p35−/−p19−/− BM cells caused a significant reduction in the number of IFN-γ-producing cells (Fig. 2F). These results confirmed that NK cells contribute to IFN-γ production by LPS-stimulated p35−/−p19−/− BM cells.
TLR4 in DCs but not in NK cells is required for IFN-γ production
The central question of this study is the early triggering of NK-cell-IFN-γ, as it may happen in the context of a microbial insult. Based on earlier literature and the known positioning of cells, this process can operate through DCs (which sense PAMPs and then secrete IFN-γ-inducing factors such as IL-12, IL-23, and IL-18) or through bidirectional exchanges between DCs and NK cells [33–36]. To study these two possibilities, we first tested the ability of p35−/−p19−/− DCs to directly stimulate IFN-γ production by NK cells in a coculture assay. Five thousand RAG−/− NK cells were sorted into wells of an ELISPOT and combined with 10,000 BM-derived DCs from either p40−/− (i.e., lacking the subunit common to IL-12 and IL-23) or p35−/−p19−/− mice in the presence or absence of LPS. IFN-γ production was detected in the presence but not absence of LPS (Fig. 2G), confirming that NK cells can be triggered by activated DCs to make IFN-γ in the absence of IL-12 and IL-23.
NK cells express IL-18R, and it is possible that IL-18 secreted by DCs in response to LPS in these coculture assays might contribute to NK-IFN-γ production [37–39]. We therefore sorted NK cells from IL-18R1−/− mice into an ELISPOT plate and cocultured them with p40−/− DCs or p35−/−p19−/− DCs in the presence or absence of LPS. IFN-γ-producing cells were still present in the coculture assay (Fig. 2H). We concluded that NK cells could make IFN-γ independent of IL-12, IL-23, and IL-18.
In addition, IL-2 secreted by DCs in response to LPS has also been implicated in the induction of IFN-γ production by NK cells [40]. Although subsequent studies have shown that DCs generated in the presence of IL-4 (as done here) lose their capacity to secrete IL-2 [41, 42], we examined whether IL-2 might play a role in our assay. DCs from IL-2-deficient mice (DC-IL-2−/−) were cocultured with sorted NK cells missing the IL-12 receptor in an ELISPOT plate in the presence or absence of LPS. Fig. 2I shows that the absence of IL-2 did not prevent the production of NK-derived IFN-γ. Similar experiments showed that IL-15, which is trans-presented by DCs to NK cells and plays an essential role in NK-cell differentiation and survival [43, 44], was not required for NK-cell production of IFN-γ (Fig. S2). We concluded that neither IL-2 nor IL-15 is required for IFN-γ production by NK cells in the coculture assay. We did, however, notice that the addition of IL-2, even in low amounts to the cocultures of IL-2−/− DCs with IL-12R−/− NK cells, increased the number of NK cells producing IFN-γ (Fig. 2J). Indeed, activation of NK cells by IL-2 is a well-established paradigm [45]. This result revealed a synergy between IL-2 and the signals exchanged in these coculture assays.
Previous data have also suggested a role for type I IFNs in triggering IFN-γ production by NK cells [46]. Consistent with this, we also found that the addition of IFN-β to highly pure primary NK cells induced IFN-γ production from these cells (Fig. S3A). Furthermore, even in the presence of blocking antibodies to IFN-β in the coculture of DCs and NK cells, IFN-γ-positive spots could still be detected (Fig. S3B). Moreover, LPS-activated DCs induced IFN-γ production by IFNAR1−/− NK cells, even after blocking any IL-12-dependent signal with a p40 homodimer (p40HD, a potent IL-12 antagonist) (Fig. S3C). Taken together, although the prevailing view is that IL-12 secreted by DCs has a central role in the stimulation of NK cells for IFN-γ production [35], our data revealed the existence of an additional pathway of IFN-γ production by NK cells that is independent of IL-2, IL-12, IL-23, type I IFN and IL-18.
Finally, to determine whether NK cells and DCs both respond independently to LPS and then collaborate, we isolated DCs and NK cells from WT and TLR4−/− mice. Consistent with previous studies [47], TLR4 on DCs, but not on NK cells, was essential for IFN-γ production by NK cells (Fig. 2K). These results provide clear evidence that LPS-activated DCs can stimulate primary NK cells to make IFN-γ.
An MHCIIlow subset of DCs is responsible for LPS-dependent stimulation of NK cells
By elimination, our results imply the existence of other triggers made by DCs that activate the production of IFN-γ by NK cells. BM-derived DC cultures consist of two distinct populations based on the expression of MHC class II: an MHCIIlow subset and an MHCIIhi subset (Fig. 3A). Ten thousand DCs of each subset from p40−/− mice were sorted into an ELISPOT plate and cocultured with 5000-sorted IL-18R1−/− NK cells in the presence or absence of LPS. Remarkably, IFN-γ-inducing activity was associated mainly with MHCIIlow cells but not MHCIIhi subsets of CD11c+ DCs (Fig. 3B). As observed with total DCs (Fig. 2J), the addition of a low dose of IL-2 increased the number of IFN-γ-producing cells compared to cultures stimulated with LPS alone (Fig. 3C).
We then investigated whether DCs and NK cells had to be cocultured to elicit IFN-γ production by the latter or whether soluble factor(s) secreted by DCs stimulated with LPS would be sufficient to induce IFN-γ production by NK cells. Supernatants (SN) of DC cultures were collected after sorting MHCIIlow and MHCIIhi subsets of p40−/− DCs and stimulating them with LPS. SN was added to the IL-18R1−/− NK cells sorted into an ELISPOT plate and incubated for 18 h at 37°C in the presence or absence of 5 U/ml IL-2. SN from the MHCIIlow subset of p40−/− DCs collected as early as 2 h after LPS stimulation was sufficient to induce IFN-γ production by IL-18R1−/− NK cells (Fig. 3D). The number of responding NK cells was slightly greater after stimulation with SN collected at 4 h and 7 h, and the addition of 5 U/ml IL-2 to NK cells with SN increased their number by 5- to 7-fold (Fig. 3D). In contrast, even in the presence of IL-2, the response of NK cells to SN of MHCIIhi DCs was negligible (Fig. 3D). We concluded that LPS-stimulated DCs can produce a soluble factor other than IL-12, IL-23, type I IFN, IL-2 or IL-18 that induces NK cells to produce IFN-γ. This does not eliminate a contribution by any of those soluble factors, or by other contact-dependent interactions, to the stimulation of NK-cell IFN-γ production, but it does show that they were not necessary in our system.
To be rigorous, we also stimulated MHCIIlow p40−/− DCs with LPS in the absence of fetal bovine serum (FBS) to eliminate any possible contribution of bovine serum proteins to the NK stimulation assay (and facilitate future proteomic studies). SN of five independent experiments were pooled and fractionated by size exclusion chromatography. Fractions were collected and added to IL-18R1−/− NK cells that had been sorted into an IFN-γ ELISPOT plate. IFN-γ-inducing activity was detected in fractions 1–4, which correspond to molecular weights of ~55 kDa to ~130 kDa and was enhanced by low-dose IL-2 (Fig. 3E). Size exclusion chromatography fractions obtained from unstimulated DCs (medium alone) did not have much stimulatory activity (Fig. S4). Our results underscore a previously unappreciated pathway leading to IFN-γ production by NK cells in response to DCs and demonstrate that soluble factor(s) released by LPS-stimulated DCs act on NK cells to produce IFN-γ in the absence of IL-12, IL-23, and IL-18. Furthermore, this response is greatly enhanced in the presence of low-dose IL-2. The identification of soluble factor(s) secreted by MHCIIlow p40−/− DCs that stimulate NK cells for IFN-γ production will be the focus of future studies.
Concluding remarks
Collectively, these results show that DCs stimulated with LPS induce the production of IFN-γ by NK cells, independent of the commonly known and expected cytokines, thereby revealing a previously unsuspected pathway for an early source of IFN-γ. These findings may also be relevant to the production of IFN-γ by NK cells during early inflammatory responses [5, 6], serving as a prerequisite signal for IL-12 production by DCs and a pivotal step in TH1 polarization [15, 16]. This notion is supported by a study showing that recruitment of NK cells to the lymph node in response to LPS-matured DCs provides the early IFN-γ signal necessary to promote differentiation of naïve T cells toward a TH1 pathway [13].
We propose that during the early phase of an immune response, DCs secrete soluble factor(s) that stimulate IFN-γ production by NK cells. This initial NK-derived IFN-γ primes DCs to produce IL-12, creating a milieu during which naïve T cells (which do not express IL-12Rβ2) receive signals one and two. This will lead to activation and transcription of T-bet and remodeling of the IFN-γ locus, which precedes that of IL-12, STAT4 and upregulation of IL-12Rβ2 [48]. This will ensure the differentiation and commitment of T cells toward the TH1 pathway, leading to the establishment of a positive feedback loop between IL-12 and IFN-γ that sustains the IFN-γ response (Fig. 4). Finally, we deduce from our data that the initiation of the IFN-γ response and polarization of T cells toward the TH1 pathway is dependent on preexisting IFN-γ rather than IL-12. This is analogous to TH2 responses, in which the production of IL-4 by TH2 cells requires the presence of preexisting IL-4 [49]. Understanding how initial IFN-γ expression is regulated will improve vaccine design and protocols for cancer immunotherapy.
Materials and methods
Mice
Eight- to fourteen-week-old male and female C57BL/6J, B6-tlr4−/−, B6-il18R1−/−, B6-il12rb1−/−, B6-il12rb2−/− and B6-il12p35−/− mice were obtained from Jackson Laboratory. B6-il12p35−/−p19−/− was a generous gift from Dr. Andrea Cooper, Trudeau Institute; B6-rag2−/−γC−/−, B6-rag1−/−, B6-il12p40−/−, and type-I IFNAR1−/− mice were generated at the NIAID/Taconic Farms, Inc. All animal studies were carried out and approved in accordance with the Institutional Animal Care and Use Committee (IACUC) of the NIH. The manuscript does not contain human studies.
Media and reagents
Bacterial LPS was purchased from Sigma. Recombinant cytokines were purchased from Peprotech Inc. The culture medium used throughout was Iscove’s modified Dulbecco’s medium (IMDM: Gibco BRL). Recombinant mouse IL-2 (PeproTech), IFN beta and anti-mouse IFN-β were purchased (pbl Assay Science), and the mouse p40 homodimer was purchased from R&D Systems. The following antibodies were purchased from Biolegend: NK1.1-biotin (PK136), NKp46-biotin (29A1.4), CD3-biotin (17A2), CD19-biotin (6D5), MHC-II PerCP/Cy5.5 (AF6-120.1 & M5/114), CD11c BV785 (N418), CD3 FITC, CD19 FITC, Ter119 FITC, NK1.1 647 (PK136), -NKp46 PE/Dazzle (29A1.4), DAPI and -CD16/32 (Ultra-LEAF Purified clone 93).
Generation of NK cells
Freshly isolated BM cells or splenocytes were first preenriched for NK cells by negative selection using FACS sorting or a mouse NK isolation kit (Miltenyi). Unless otherwise stated, negatively selected NK cells were directly sorted into IFN-γ ELISPOT plates at 5 × 103 cells/well using anti-NK1.1 Ab.
Generation of BM-derived DCs
BM cells were flushed out of the femurs and tibias of various mice and magnetically depleted using a cocktail of biotinylated anti-CD3, -CD19, -Ter119, -NK1.1, and -NKp46 antibodies as previously described [18]. BM cells were cultured at 1 × 106 cells/well in a 24-well plate in medium supplemented with GM-CSF and IL-4 as described [16].
DC and NK-cell cocultures
A total of 5 × 103 sort-purified NK1.1+ cells were cocultured with 1 × 104 sort-purified DCs in an IFN-γ ELISPOT plate ± 200 ng/ml LPS for 18 h at 37°C. The ELISPOT plate was analyzed as previously described [16].
Cytokine measurements
The concentration of IFN-γ in the mouse serum was determined using an ELISA kit (Quantikine) or the SearchLight Multiplex cytokine array (Aushon Biosystems, Billerica, MA).
Detection of IFN-γ ELISPOT
The mouse IFN-γ ELISpotPLUS kit was from MABTECH (Cincinnati, OH). BM cells were incubated overnight at 1 × 105 cells/well (or as indicated) in the presence or absence of 200 ng/ml LPS for 18 h at 37°C in a final volume of 200 μl/welL. The spots were enumerated by ZellNet Consulting Inc. (FortLee, NJ).
Size exclusion chromatography
Cell-free supernatants (SN) were passed through a 0.45 μm syringe filter and fractionated using standard gel filtration chromatography by injecting the samples into a 5 ml loop. The protein fractions were separated on an AKTA FPLC using a HiPrep 16/60 Sephacryl S200 HR column (GE Healthcare). The column was eluted using PBS as a buffer at 0.5 ml per min. We collected 12 fractions, each containing 3 ml. The fractions were concentrated to 200 μl using a Vivaspin 3000 molecular weight (Sartorius Stedim). A total of 25–50 μl of each fraction was used to stimulate NK1.1+ cells that were previously sorted into the IFN-γ ELISPOT plate in the presence or absence of 5 U/ml IL-2.
In vivo model of sepsis
Mice were injected with 100 μl of saline or 10 μg of LPS (in saline) as described [15].
Flow cytometry
Flow cytometry data were collected on BD LSR-II and SONY. The data were analyzed using Flow Jo v9 (FLowJo, LLC).
Statistical analysis
Student’s t test and analysis of variance (ANOVA) were performed using GraphPad Prism software.
Supplementary Material
Acknowledgments:
We thank Giorgio Trinchieri, Polly Matzinger and Michael Bowman for discussions and comments, Elina Stregevsky and George McGrady for help with flow cytometry, and Alan Hoofring and Ethan Tyler for data illustrations. This work is supported by The Intramural Research Program at the NIH, NIAID.
Abbreviations:
- NK
natural killer
- SN
supernatant
Footnotes
Additional supporting information may be found online in the Supporting Information section at the end of the article.
Conflict of interest: The authors declare no conflicts of interest.
Disclosures
The authors have no commercial or financial conflicts of interest.
Data availability statement:
The data that supports the findings of this study are available in the supplementary material of this article.
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Data Availability Statement
The data that supports the findings of this study are available in the supplementary material of this article.