Abstract
Although memory B cells (BMem) contribute significantly to resistance to infection, BMem population characteristics that may relate to protective efficacy have received little attention. Here, we report a comprehensive quantitative analysis of virus-specific IgG and IgA BMem dispersion after transient influenza pneumonia in mice. From early in the response, BMem circulated continuously and dispersed widely to secondary lymphoid tissues. However, a complicated picture emerged with BMem frequency differences between secondary lymphoid tissues indicating an influence of local tissue factors on trafficking. BMem numbers increased and stabilized at tissue-specific frequencies without contraction of the BMem pool during the period of analysis. The lung was notable as a nonsecondary lymphoid tissue where a rapid influx of IgG and IgA BMem established relatively high frequencies that were maintained long term. Our findings provide insights into the pattern of BMem dispersion, and emphasize the lung as a complex repository of immune memory after local infection.
Keywords: antibody, infection, lymphocyte trafficking, respiratory tract, vaccination
Memory B and T cell subsets generated during adaptive immune responses play a key role in long-term resistance to infectious agents expressing previously encountered antigens. After formation in organized secondary lymphoid tissues, the cellular elements of immunological memory migrate by function-related trafficking pathways and populate lymphoid and nonlymphoid tissues throughout the body. This process establishes a dispersed state of cellular memory that optimizes protective efficacy. The dispersed CD4 and CD8 memory T cell populations have been well characterized (1–3), but similar comprehensive studies of B cell memory have not been performed (4).
The two cellular components of B cell memory, long-lived plasma cells (LLPCs) and memory B cells (BMem), are the products of germinal center reactions in secondary lymphoid tissue (5). LLPCs are classically recognized as Ab-secreting cells (ASCs) that localize in the bone marrow (BM) and maintain circulating Ab levels (6). However, long-lasting populations of IgA-secreting cells (in particular) are also established at mucosal surfaces after mucosal immunization where they provide local protection (7, 8). In contrast to plasma cells, BMem are quiescent cells that require stimulation to divide and differentiate into ASCs. On encounter with recall antigen, BMem mediate the rapid, vigorous, and high-affinity secondary Ab response that plays a key role in immune protection. The impression from studies to date is that BMem spread widely to organized lymphoid tissues (9–11), but the full extent of BMem dispersion has not been determined. It is also unclear whether BMem trafficking patterns relate to the Ab isotype expressed.
The present study provides a comprehensive quantitative analysis of the dispersed cellular components of B cell memory induced by influenza A virus infection. Intranasal (i.n.) influenza virus administration results in a highly localized pulmonary infection because of the dependence of viral replication on a trypsin-like enzyme that is largely restricted to respiratory epithelial cells (12). Although infected pulmonary dendritic cells are thought to travel to regional lymphoid tissues and spleen and drive influenza-specific T and B cell responses, little if any infectious virus is detected outside the lung (13–15). The development of adaptive immune responses correlates with the clearance of infectious virus from the lung, which is complete ≈10 days after infection (16, 17). The strong influenza-specific B cell response to infection is dominated by the production of IgG isotypes, but there is also a substantial IgA response. Thus, the model provides an opportunity to compare the state of both IgG and IgA memory. Our findings provide insights into the anatomically dispersed state of B cell memory established during the return to homeostasis after a transient, localized viral infection of the lung.
Results
The primary influenza-specific ASC response to i.n. administered virus has been well characterized. Initially, responses develop in the organized nasal-associated lymphoid tissues (o-NALT), which sample antigens in the upper respiratory tract, and in the cervical (CLN) and mediastinal (MedLN) lymph nodes, which drain the upper and lower respiratory tract, respectively (7, 18). A delayed response develops in the spleen, presumably reflecting the transit time of antigen-laden dendritic cells migrating from the lung. Responses in these sites wane rapidly after the elimination of infectious virus. The response kinetic values are notably different in the BM and in the submucosa of the upper and lower respiratory tract, where long-maintained populations of influenza-specific ASCs are established (7, 8, 19). To expand our understanding of B cell memory generated by primary influenza pneumonia, we determined the frequencies of virus-specific ASCs and BMem in a broad range of anatomical locations 8–12 wk after infection. At this time, a fully dispersed and stabilized state of B cell memory would be expected (10).
Tissue Distribution of Influenza-Specific IgG BMem.
Influenza-specific IgG BMem were present in all of the organized lymphoid tissues examined (Fig. 1A). BMem frequencies expressed as a proportion of total cells were significantly higher in the o-NALT, MedLN, and Peyer's patches (PP) than in multiple other sites (Fig. 1A, legend). Interestingly, IgG BMem preferentially localized in the PP, even though influenza-specific ASCs were not generated at this site during the primary response to infection (data not shown). Notably, a relatively high BMem frequency was also present in the lung, a site of plasma cell concentration (Fig. 1B). The BM contained a substantial plasma cell population, but BMem were infrequent (<1 in 105) and may have been contaminating cells in the vasculature. BMem were consistently present in the blood, indicating maintenance of BMem circulation long after viral clearance.
There was a considerable range in the proportions of CD19+ B cells in the different anatomical sites examined, with high percentages in the o-NALT and PP and low percentages in the diffuse(d)-NALT and lung (Fig. 1C). Enrichment and depletion experiments established that the CD19+ population contained all of the influenza-specific BMem detected in our analysis (data not shown). Therefore, to standardize site-to-site comparisons, influenza-specific IgG BMem frequencies were calculated as a proportion of CD19+ cells (Fig. 1D). This analysis clearly established anatomical differences in IgG BMem localization (P < 0.0001) and identified the MedLN, lung, and d-NALT as sites of preferential concentration. The proportion of IgG BMem in the CD19+ cell population was significantly higher in the MedLN than in all other sites except the lung and d-NALT, and was significantly higher in the lung and d-NALT compared with the spleen, inguinal lymph node (ILN), and blood (Fig. 1D, legend). The prominence of the o-NALT and PP as sites of BMem localization (Fig. 1A) was less marked after standardizing the expression of BMem frequencies. With this adjustment, frequencies in the o-NALT and PP were still consistently higher than in the spleen and some lymph nodes, but differences were not statistically significant. BMem frequencies did not correlate with participation of the tissue in the immune response to influenza, as evidenced by significantly higher frequencies in the MedLN compared with the CLN (both responding sites), and similar frequencies in the CLN and nonresponding sites such as the PP and mesenteric lymph node (MesLN). The overall impression is one of widespread IgG BMem dispersion modulated by local tissue factors.
The total number of IgG BMem in each anatomical location was calculated from the frequency and cell yield (Fig. 1E). Because of its cellularity, the spleen was by far the major repository with ≈5,000 IgG BMem, representing close to two-thirds of the total IgG BMem measured in the analysis.
Tissue Distribution of Influenza-Specific IgA BMem.
Influenza-specific IgA BMem frequencies differed depending on anatomical location (P = 0.0004) (Fig. 1F). Measurable IgA BMem frequencies were present in the majority of samplings in the o-NALT, MedLN, lung, and blood. In all other locations examined, frequencies were always below the level of sensitivity of the assay (frequency <1 in 105 cells). IgA BMem frequencies in the o-NALT, MedLN, and lung were approximately one-tenth of the IgG BMem frequencies, perhaps reflecting the overall IgA:IgG composition of the primary response to infection (Fig. 2A). The presence of IgA BMem in the blood suggests continuous recirculation, as was the case for IgG BMem.
Kinetics of Influenza-Specific AFC and BMem Generation and Dispersion.
To gain insights into the establishment of the dispersed state of B cell memory, we determined influenza-specific ASC and BMem frequencies in selected sites at intervals after infection (Fig. 2). A vigorous IgG ASC response accompanied by BMem production developed first in the MedLN and later in the spleen (Fig. 2A). In contrast to the peak and decline in IgG ASC frequencies in the MedLN and spleen, the pattern for IgG BMem was the quick establishment and maintenance of the frequencies that were characteristic of these tissues in the long term (Fig. 2B). As early as day 7 after infection, the presence of circulating IgG BMem indicated that BMem dispersion from sites of generation had commenced. Notably, IgG BMem were detected in the lung as early as day 7 (<1 in 105 total cells) and had increased substantially in numbers by day 9, raising the possibility of a functional significance of these cells during the acute response. A limited analysis of IgA BMem on days 9 and 14 demonstrated circulating cells and relatively high frequencies in the lung, emphasizing the lung as a site of rapid and preferential BMem localization (Fig. 2C). ASC frequencies in the lung progressively increased from 1 to 3 wk after infection and then plateaued, a kinetic pattern consistent with the immigration of ASCs (and presumably also BMem) from other sites, rather than local synthesis. Although IgA ASCs were consistently present in the blood from 1 to 3 wk after infection (5–10 IgA ASC in 105 cells), circulating IgG ASCs were never detected, perhaps reflecting an influence of isotype expression on the differentiation rate of activated B cells. IgG BMem were detected earlier and established higher frequencies in the PP compared with the ILN, even though immune responses to influenza do not occur in either site. The general pattern was for IgG BMem frequencies in all tissues to increase and stabilize, with no evidence of contraction of the BMem pool during the period of analysis.
Discussion
The state of B cell memory generated by influenza infection of the respiratory tract provides profound and long-lasting resistance to reinfection with the homologous virus, and varying levels of protection against nonhomologous but serologically related strains. The protection provided by preexisting virus-specific Abs produced by ASCs in the upper and lower respiratory tract and in the BM is well recognized. However, much less attention has been given to the virus-specific BMem pool, even though this is likely to be of considerable importance in conferring long-term protection, especially if preexisting Ab levels begin to fall. The present analysis focuses on the virus-specific BMem population generated by primary influenza infection.
Our findings are consistent with the concept of widespread BMem dispersion to secondary lymphoid tissues throughout the body. However, what also emerge are significant tissue-specific influences on BMem localization. After adjusting for the proportion of CD19+ cells, the MedLN, d-NALT, and lung stood out as sites of preferential IgG BMem localization. The high BMem frequency in the MedLN is not simply a consequence of a vigorous B cell response and BMem formation in this site, because the CLN also responds strongly to infection. Indeed, multiple site-to-site comparisons indicate that participation in the response to infection is not a determinant of the IgG BMem frequency that is established. IgG BMem frequencies in the o-NALT and PP, although significantly lower than in the MedLN, were still consistently higher than in the spleen and some lymph nodes, suggesting additional complexity in the regulation of BMem localization. The set of expressed homing molecules that direct BMem migration is not well established and may vary within the BMem population (20). Because naïve cells and BMem traffic through many of the same lymphoid tissues, there is likely to be considerable overlap in the homing molecules that regulate the process (21). However, even subtle differences between naïve and memory B cells in the expression levels of homing molecules may be sufficient to bias BMem localization. For example, up-regulation of α4β7 on BMem (20) may favor entry into the PP, o-NALT, and mucosa-associated lymph nodes, where high endothelial venules (HEV) display relatively high levels of MadCAM-1, the α4β7 ligand (22). Our findings may also reflect tissue differences in the rate of egress of lymphocytes. A key component of this process is receptor-mediated cell migration along an increasing sphingosine-1-phosphate (S1P) concentration gradient between the lymphoid tissue interior and adjacent blood or lymph (23). Inflammatory mediators released early in immune responses stimulate local overproduction of S1P in lymphoid tissues, leading to disruption of the S1P concentration gradient or down-regulation of cell receptors for S1P. The result is a transient block in lymphocyte egress from lymphoid tissues. Thus, high BMem frequencies in constitutively active lymphoid tissues like the PP and o-NALT may be a consequence of both preferential entry and delayed egress.
Importantly, our studies demonstrate that a relatively high frequency of virus-specific IgG BMem is established and maintained in the lung after influenza infection. This finding emphasizes the complexity of the lung as a site for the localization of the cellular elements of adaptive immunity. Previous studies have established that virus-specific ASCs and memory CD4+ and CD8+ T cells persist in the lung long after influenza and other viruses that target the respiratory tract have been cleared (8, 24–26). The kinetics of BMem (and ASC) movement into the lung resembled that reported for virus-specific CD4+ and CD8+ T cells (27–29). There is little information on molecules specifically expressed by BMem that direct entry into the lung, but at least initially the process is likely to resemble that for activated lymphocytes, in general, as they exit the vasculature in response to local inflammation-associated changes (30, 31). Up-regulation of α4β1 on BMem may be expected, because the α4β1/VCAM-1 adhesion pathway is a key element in lymphocyte trafficking into the inflamed lung (32). The microanatomical location of BMem in the lung has not been identified, but they may come to reside primarily in the relatively organized regions of lymphoid tissue that form in lung within 10 days of infection (33). This lymphoid tissue, collectively referred to as induced bronchus-associated lymphoid tissue (BALT), includes areas that resemble secondary lymphoid tissue with distinct B and T cell zones and HEV. Lymphocyte homing to BALT, as well as to PP and peripheral lymph nodes, highly depends on l-selectin and LFA-1 expression (34). However, the BALT-homing pathway may rely particularly on α4β1/VCAM-1 interactions, because VCAM-1 is expressed at much higher levels on BALT HEV than on HEV in other secondary lymphoid tissues (34). T cell studies indicate that lung lymphocytes are part of a recirculating pool (35), moving by lymphatics through draining lymph nodes to eventually reach the venous blood. A preferential lymphocyte trafficking circuit from lung → draining lymph nodes → blood → lung has been proposed (36), and may underlay the high BMem frequencies that we consistently observed in the MedLN. The IgG BMem frequency (as a proportion of CD19+ cells) was also relatively high in the d-NALT sample, which consisted of cells isolated from the thin tissue lining the nasal cavity (o-NALT excluded). This result reflects the presence of a small number of BMem in a tissue that contained few lymphocytes.
Influenza-specific IgG BMem frequencies in the BM were always below the level of sensitivity of the assay (<1 in 105 cells), in contrast to the concentration of LLPCs in this site. Our findings are consistent with other studies that reported the scarcity of BMem in the BM (9, 10). Interestingly, this contrasts with the role of the BM as a significant reservoir of memory T cells (1, 37). Although distinct trafficking characteristics may contribute to the difference between memory T and B cell frequencies in the BM (38), another factor may be BMem differentiation in the BM microenvironment to replenish the LLPC population.
Only the o-NALT, MedLN, lung, and blood had measurable influenza-specific IgA BMem frequencies when analyzed 8 wk or more after infection. This finding may simply reflect a consistent ratio of IgG:IgA BMem (≈10:1) in all of the solid tissues sampled, because this could result in IgA BMem frequencies below the level of assay sensitivity in all sites except the o-NALT, MedLN, and lung. Alternatively, our data can be taken to reflect preferential IgA BMem trafficking to the respiratory tract and associated lymphoid tissues. It is well established that the expression of different sets of adhesion molecules and homing receptors by IgG- and IgA-producing ASCs results in preferential trafficking to the BM and mucosal sites, respectively (39). There is evidence for further compartmentalization of IgA ASC trafficking, with preferential migration to either the small intestine or to other mucosal sites like the lung (40). Further studies are required to firmly establish whether an analogous situation applies to IgA BMem. Our analysis demonstrated a rapid increase in IgA BMem frequency in the lung during the acute response, with maintenance of a lower frequency in the long term. In contrast, IgA BMem frequencies in the MedLN (presumably a key site of IgA BMem formation) stabilized at higher frequencies after clearance of the virus. This may reflect the lymphocyte-trafficking pathway from lung to draining lymph nodes discussed earlier.
In our analysis of the MedLN and spleen, long-term BMem frequencies (per total cells) were comparable to previous limiting dilution assay (LDA) determinations of memory CD4+ and CD8+ T cell frequencies (41, 42), although more recent studies (for example, using tetramers) indicate that the CD8+ T cell frequencies may be somewhat higher (25, 43). A more dramatic difference exists in the lung; at least when comparing memory B and CD8+ T cell frequencies (and numbers). During the memory phase after a primary infection, influenza-specific CD8+ T cell numbers in the lung may exceed our estimate of BMem numbers by up to 100-fold (25, 27). This difference may be much less marked for memory CD4+ T cells, which decrease in frequency in the lung much more rapidly than do CD8+ T cells after viral clearance (28). A stable population of ≈30,000 influenza-specific ASCs was maintained in the lung after infection. These cells, which can be considered the effector form of BMem, are numerically more comparable with the memory CD8+ T cell population in the lung. It is not known whether our LDA strategy underestimates influenza-specific BMem frequencies, as was shown to be the case for LDA analysis of CD8+ T cell frequencies before the introduction of tetramers. However, at present, our approach may be the best option for enumerating a BMem population representing specificities for multiple, often poorly defined epitopes on different molecules.
In summary, the current report provides the most comprehensive picture currently available of the dispersed virus-specific BMem pool generated by primary influenza infection. Perhaps primarily, our findings focus attention on the lung as a complex repository of B and T cell memory that may contribute substantially to resistance to respiratory infections. The concept of effector lymphoid tissue (ELT) has been introduced to describe the stable accumulations of functionally significant memory T cells that are established in nonlymphoid tissues as a consequence of infection (44). Our studies demonstrate that BMem (as well as ASCs) should be recognized as components of the ELT that develop in the lung after influenza infection. Future studies are required to relate BMem numbers, location, and isotype expression to protective immunity and may have important implications for vaccine development.
Methods
Mice and Infection.
C57BL/6J mice purchased from The Jackson Laboratory were housed under specific pathogen-free conditions until infection, and thereafter in BSL2 containment. Female mice were used in all experiments and were infected at 8–10 wk of age. Influenza virus A/HKx31 (H3N2) was grown in the allantoic cavity of embryonated hen's eggs. Mice were anesthetized with Avertin (2,2,2-tribromoethanol) given i.p., and then infected i.n. with 106.8 50% egg infectious doses of influenza virus (30 μl in Dulbecco's PBS). Animal procedures were approved by the Animal Care and Use Committee of the University of Tennessee.
Tissue Sampling and Treatment.
Tissues collected from exsanguinated mice were processed to generate single-cell suspensions in IMDM (Invitrogen) containing l-glutamine (2 mM), sodium pyruvate (1 mM), penicillin (100 IU/ml), streptomycin (100 μg/ml), gentamicin (10 μg/ml), and 5 × 10−5 M β-mercaptoethanol (designated B cell medium, BCM), and supplemented with 10% FBS. Lymph nodes (CLN, MedLN, ILN, and MesLN) and spleen were disrupted between the frosted ends of microscope slides. BM cell suspensions were obtained by flushing the femurs and tibiae. Red blood cells were removed from the spleen and BM preparations by ammonium chloride lysis. Cell populations from the o-NALT and d-NALT were collected as described in ref. 45. Lungs were finely minced and incubated for 1 h at 37°C in BCM containing 10% FBS and 4 mg/ml collagenase type II (Worthington). Cells pelleted from the lung digest were resuspended in 40% isotonic Percoll and layered over 75% isotonic Percoll. After centrifugation at 600 × g for 20 min at 25°C, cells at the interface were collected and washed. PP were dissected from the small intestine and washed, and cells were released by digestion with 2 mg/ml collagenase type I (Worthington) for 30 min at 37°C. Cells from heparinized blood were collected over Lympholyte-Mammal (Cedarlane) according to the manufacturer's instructions. Spleens were processed individually; otherwise tissues were pooled from two to five mice to generate sufficient cells for analysis. Cell populations were characterized by flow cytometry by using FITC-conjugated mAb to CD3ε (145-2C11) and PE-conjugated mAb to CD19 (1D3; BD Biosciences) as staining reagents.
Cell Enrichment.
CD19+ B cells were enriched (purity >95%) from single-cell suspensions by MACS by using murine CD19 MicroBeads and LS columns according to the manufacturer's instructions (Miltenyi Biotec).
ELISPOT Assay.
Influenza-specific ASCs were enumerated by ELISPOT assay as described in ref. 46. Plate-bound secreted Abs were detected by using alkaline phosphatase-conjugated goat anti-mouse Abs with specificity for IgG or IgA (Southern Biotechnology).
Memory B Cell Assay.
Influenza-specific BMem frequencies were determined by a previously described LDA based on in vitro stimulation of BMem to differentiate into ASCs (46). In brief, twofold dilutions of cells were incubated in 96-well tissue culture plates (routinely 12 wells per dilution), together with 106 irradiated (3,000 rad) syngeneic naïve spleen cell feeders plus β-propiolactone-inactivated HKx31 (Charles River). After incubation, cells in each well were transferred to ELISPOT plates for the enumeration of influenza-specific IgG or IgA ASCs. Preexisting virus-specific ASC numbers at the time of sampling were determined by direct ex vivo ELISPOT assay. After in vitro BMem activation and ELISPOT analysis, individual wells were scored positive for virus-specific BMem if progeny ASC numbers were greater than twice the mean preexisting ASC. The approach was modified for tissues that had high numbers of virus-specific ASCs at the time of sampling. For analysis of BM and d-NALT, wells were scored positive for BMem relative to unstimulated cultures (without inactivated-HKx31). Lung cell suspensions prepared 3 wk or more after infection were enriched for CD19+ cells to reduce ASC numbers before in vitro stimulation, and were compared with unstimulated cultures for identification of positive wells. The virus-specific BMem frequency was calculated from the number of negative wells per cell dilution by extrapolation to the dilution that gave 37% negative wells (47). Linearity between the proportion of negative cultures and the input cell dose indicated direct measurement of BMem. Virus-specific IgG and IgA BMem were defined as cells that generated IgG and IgA ASCs, respectively, after in vitro stimulation (48, 49). No influenza-specific IgG or IgA ASCs were detected after in vitro stimulation of spleen, lung, or PP lymphocytes from naïve mice or from mice infected i.n. 8 wk previously with an unrelated virus (murine gammaherpesvirus 68). IgG and IgA BMem frequencies (per CD19+ cells) in the lung were similar regardless of whether total or CD19-enriched immune cell populations were analyzed, indicating that results were independent of tissue-specific non-B cell factors (50). This was supported by a BMem analysis of CD19-enriched immune spleen cells stimulated in the presence of CD19-depleted immune PP cells, or CD19-enriched immune PP cells stimulated in the presence of CD19-depleted immune spleen cells (data not shown).
Statistical Analysis.
Mean values were analyzed by using one-way ANOVA and the Tukey post test for multiple comparisons. The nonparametric Kruskal–Wallis test and Dunn's post test were used as required to accommodate values below the limit of assay sensitivity. Tests were performed by using GraphPad software. Values of P < 0.05 were considered statistically significant.
ACKNOWLEDGMENT.
This work was supported by National Institutes of Health Grant AI061709 (to M.Y.S.).
Footnotes
The authors declare no conflict of interest.
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