Abstract
Although IL-1 is a known inflammatory cytokine during pathogen infection, the role of IL-1 in skin graft rejection, particularly where foreign antigen is expressed exclusively in keratinocytes, is less understood. Here, we use a syngeneic skin graft system, where antigens are expressed in epithelial cells via either a keratin 14 or keratin 5 promoter, to explore the role of IL-1 in graft rejection and induction of epithelial antigen-specific effector CD8+ T-cell function. Keratin 5 ovalbumin (K5mOVA) transgenic skin grafts destined for rejection demonstrated increased expression of IL-1β and its receptors compared to K14 HPV16 E7 transgenic grafts that do not reject spontaneously. Rejection of OVA grafts lacking the IL-1 receptor (IL-1R1) was delayed and associated with decreased numbers of antigen-specific CD8 T cells. In contrast, K14E7 grafts survived on immunocompetent, syngeneic recipients with decreased graft levels of IL-1β and IL-1R1 and 2. However, in the absence of the IL-1 receptor antagonist, IL-1Ra, skin grafts were spontaneously rejected and an E7-specific CD8 T-cell response was primed. Thus, expression of the HPV16E7 oncoprotein in epithelial cells prevents IL-1β-associated skin graft rejection and induction of antigen-specific CD8 T-cell responses. Enhancing IL-1β signalling, via blocking of the IL-1 receptor antagonist, may represent an alternative strategy for treatment of HPV16E7-associated cancers.
Keywords: IL-1, IL-1Ra, skin, skin grafts, T cells
Introduction
The IL-1 family of cytokines represent a key control point in the innate immune response, including both potentiators, e.g. IL-1β and IL-1α, and inhibitors, e.g. IL-1Ra, of inflammation (1). While the biologically active IL-1α precursor is constitutively produced in the skin, generation of active IL-1β is tightly controlled by inflammatory events leading to caspase-1-dependent and caspase-1-independent cleavages of the IL-1 precursor (1,2). Mice deficient in IL-1α, IL-1β or both develop normally but have impaired responses to inflammatory stimuli (3). Both IL-1 proteins deliver activating signals through the IL-1R1/IL-1RAcP heterodimeric receptor. IL-1R2 acts as a decoy receptor with no apparent signal transduction (4,5). IL-1 signal transduction induces transcription of genes, including adhesion molecules, secondary cytokines and chemokines that underlie inflammation in the skin (6–8). Both the NFkB and the MAPK signalling pathways have been implicated in signal transduction from the IL-1R1 (1,9). Binding of IL-1 proteins to the activating receptors can also be blocked by the naturally occurring receptor antagonist, IL-1Ra. Recombinant IL-1Ra has been used to treat type 2 diabetes and specific IL-1-associated pro-inflammatory states (10,11). A deficiency in IL-1Ra leads to chronic inflammation and autoimmunity in some animal models (12).
We have previously shown a critical role for local pro-inflammatory signalling, resulting from tissue damage, TLR4 or TLR7, in the elimination by primed antigen-specific CD8+ T cells of epithelium where antigen expression is driven from a keratinocyte-specific promoter (13,14). IL-1 is secreted as the initial signal after injury or infection. IL-1 signalling induces expression of endothelial cell adhesion molecules and chemokine receptors on T cells in the dermis, facilitating amplification of the immune response and effector cell trafficking to the target site (15–17). Thus, IL-1β controls immune responses by linking innate and adaptive immunity through the induction of soluble factors (8) and may be a key local factor in enabling the function of antigen-specific CD8+ T cells to eliminate antigen-expressing epithelial cells.
To examine IL-1 function in the rejection of skin grafts expressing antigen exclusively in epithelial cells, we used transgenic animal models where antigen expression is driven from a keratin 14 (K14) or keratin 5 (K5) promoter. Both the keratin 14 and keratin 5 promoters direct antigen expression to the basal keratinocytes of the skin, although differences in the level of antigen expression cannot be excluded (18). Epithelial grafts expressing ovalbumin protein (K5mOVA) are rejected spontaneously, whereas grafts expressing the human papillomavirus type 16 (HPV16) E7 oncoprotein (K14E7) are not rejected, although they invoke a measurable immune response (19–21). K14E7 grafts mimic the observed immune response to anogenital epithelium infected with HPV16 and expressing E7 protein, which invoke weak E7-specific immune responses. HPV16-infected lesions are cleared over months to years from immunocompetent individuals, with significant persisting infection leading to anogenital cancer (22). Infections are rarely cleared in immuno-incompetent hosts, and immunisation with E7 does not enhance lesion clearance despite induction of E7-specific effector CD8+ T cells, suggesting that local determinants of immune effector function are critical to enable elimination of infected epithelial cells.
We therefore examined the role of IL-1 and IL-1 receptor signalling in elimination of epithelial cells expressing E7 and OVA using real-time PCR, skin grafting and assessment of antigen-specific T-cell responses. The data suggest that IL-1R1 signalling and subsequent induction of antigen-specific CD8+ T cells was important for ovalbumin skin graft rejection. HPVE7-expressing skin cells fail to induce IL-1β, IL-1R1 and E7-specific CD8+ T cells but were able to reject skin grafts in the absence of the IL-1Ra inhibitory protein.
Materials and methods
Mice and skin grafting
C57BL/6J (H-2b) mice (C57) were obtained from the Animal Resources Centre (Perth, WA, Australia). K14E7 and K5mOVA mice were bred at the Princess Alexandra Hospital Biological Resources Facility (BRF, PA Hospital, Brisbane, Qld, Australia) and have been described previously (19,23). IL-1 receptor 1 (IL-1R1−/−)-deficient mice (24), which had been backcrossed onto the C57BL/6 genetic background for eight generations, were obtained from Dr Helen Thomas (St Vincent’s Institute, Melbourne, Vic., Australia). IL-1Ra−/− mice have been previously described (3) and were obtained from Professor Iwakura (University of Tokyo, Tokyo, Japan). All mice were maintained under conventional, specific, pathogen-free conditions at the Biological Research Facility, Princess Alexandra Hospital. All animal protocols were approved by the University of Queensland Animal Ethics Committee (Brisbane, Qld, Australia).
Whole-thickness ear skin grafting has been described previously (20). Grafts were examined twice weekly for evidence of rejection. If grafts were intact 100 days after grafting, they were classified as not rejected.
Microarray
RNA samples were isolated from K14E7 skin grafts and K5mOVA skin grafts 9 days (new grafts) or 60 days after grafting (well-healed skin grafts). Control was skin that was taken from the flank of a naïve C57BL/6J mouse. All samples were collected and snap-frozen in liquid nitrogen before RNA isolation using Trizol (Invitrogen, Eugene, OR, USA). RNA was cleaned using an ArrayGrade™ Total RNA Isolation Kit (SABiosciences, Frederick, MD, USA). cRNA was oligo-dT primed from 1 μg of total RNA using the TrueLabeling–AMP™ 2.0 kit and biotinylated as per the manufacturer’s instructions (SABiosciences, Frederick, MD, USA). The resultant labelled cRNA was purified with the ArrayGrade cRNA cleanup kit (SABiosciences, Frederick, MD, USA) and hybridised to an Oligo GEArray Mouse Inflammatory Cytokines and Receptors Microarray (OMM-011; SABiosciences, Frederick, MD, USA). Luminescent spots were detected via a Typhoon scientific scanner (GE Health-care, Piscataway, NJ, USA). The GEArray Expression Analysis suite (SABiosciences, Frederick, MD, USA) was used to quantify signal intensities from the generated 8- or 16-bit TIFF images. Data were corrected for background and normalised to an internal control, peptidylprolyl isomerase A (Ppia).
Quantitative real-time PCR (qRTPCR)
FastStart SYBR green (Roche Applied Science, Indianapolis, IN, USA) qRTPCR reactions were performed using the Rotor Gene 6000 machine (Corbett Research, Concord, NSW, Australia) and standardised against the peptidylprolyl isomerase A (Ppia) housekeeping gene. Primers were as follows: Ppia forward 5′-ATAAGGGTTCCTCCTTTCAC-3′ and reverse primer 5′-TCCTCAAATTTCTCTCCGTA-3′; IL-1α forward 5′-CAACTGAAAAGCACACTCAA-3′ and reverse primer 5′-TCCTACTCAACTGGCATTTT-3′; IL-β forward 5′-GTT GATTCAAGGGGACATTA-3′ and reverse primer 5′-AGCT TCAATGAAAGACCTCA-3′; IL-1Ra forward 5′-AGGTGTC TTCTGCTCTACCA-3′ and reverse primer 5′-AAGTGACTT GATTGGTCTGG-3′; IL-1R1 forward 5′-ACAGCCAGTGTT TATTTGCT-3′ and reverse primer 5′-TTCTCCATTTGTGT TGTTCA-3′; IL-1R2 forward 5′-AAAGAATTCATCTCCAG CAA-3′ and reverse primer 5′-TTCCTTATTGCCTTTAT CCA-3′.
Immunohistochemistry
Cellular infiltrates were detected in 10% neutral-buffered, formalin-fixed, paraffin-embedded 0.3-um sections of excised grafts stained with haematoxylin and eosin (H&E).
IFN-γ ELISPOT (Enzyme-linked immunosorbent spot) assay
Spleens were removed from mice 21 days after grafting and mixed splenocyte populations prepared. IFN-γ secretion of effector cells was determined based on a previously published protocol (25). A total of 5 × 105 splenocytes were incubated overnight in the presence of IL-2 and the appropriate CD8 epitope (SIINFEKL for K5mOVA; RAHYNIVTF for K14E7) in nitrocellulose ELISPOT plates (Millipore Multiscreen-HA, Danvers, MA, USA) coated with IFN-γ capture antibodies (0.8 μg/ml; BD Biosciences, North Ryde, NSW, Australia) and blocked with foetal calf serum (FCS). IFN-γ was detected by 3-h incubation with biotinylated anti-mouse IFN-γ detection antibody (0.1 μg/ml; BD Biosciences), followed by incubation with avidin horseradish peroxidase solution (Sigma Aldrich, St. Louis, MO, USA). Spots were developed with 3,3′-diaminobenzidine tetra-hydrochloride dehydrate reagent (Sigma Aldrich) and quantitated digitally.
Statistics
Expression and ELISPOT data were analysed using a Student’s t-test (unpaired, one tailed), while graft survival data were analysed using a log-rank test.
Results
IL-1β-associated inflammation is associated with rejection of skin grafts where antigen expression is driven from a keratinocyte-specific promoter
Skin grafts that express OVA or hGH driven by a keratin promoter are spontaneously rejected, while grafts expressing HPV16 E6 or E7 protein are not (19,21). We used grafts expressing OVA or E7 (K5mOVA and K14E7, respectively) to determine whether inflammation-induced signals promote rejection of grafts where antigen expression is driven from a keratinocyte-specific promoter. K5mOVA skin grafts were spontaneously rejected from naïve C57BL6/J recipients 17–27 days after surgery (mean retention time = 21 days; Fig. 1), while control, non-transgenic skin was accepted for at least 100 days when grafted onto identical recipients (Fig. 1). In contrast to OVA-expressing grafts, K14E7 skin grafts were not rejected from syngeneic, C57BL6/J recipients (Fig. 1), as has been described previously for this tumor antigen (26). Histological examination 21 days after grafting, at a time when histologically visible effects of inflammation because of the grafting process itself had resolved, demonstrated a substantial cell infiltrate into rejecting K5mOVA skin grafts (Fig. 1; middle panel). A less-intense cellular infiltrate was observed in K14E7 grafts and control, non-transgenic grafts (Fig. 1; bottom and top panels, respectively). These findings support the idea that inflammation enables rejection of skin grafts where antigen expression is driven from a keratinocyte-specific promoter. We therefore examined the prototypical, inflammatory gene, IL-1β, and its family members 9 days after grafting. IL-1β mRNA expression was markedly increased in newly placed skin grafts expressing ovalbumin relative to newly placed or well-healed K14E7 skin grafts or control grafts (Fig. 2a). IL-1α and IL-1Ra expression levels in control, OVA and E7 grafts were similar (Fig. 2b, left panels). IL-1R1 and IL-1R2 were over-expressed in grafts expressing OVA, relative to grafts expressing E7 and to control grafts (Fig. 2b, right panels). These results indicate that a primary mediator of inflammation, IL-1β, and its two receptors are expressed at higher levels in grafts destined for rejection than in those expressing antigen destined for acceptance.
Local IL-1 signalling is necessary for K5mOVA graft rejection
To establish a role for IL-1 signalling in K5mOVA skin graft rejection, we utilised mice deficient in the activating receptor, IL-1R1. K5mOVA skin grafted onto IL-1R1−/− recipients unresponsive to IL-1 (27) was rejected without significant delay, whereas rejection of IL-1R1-deficient K5mOVA skin grafts placed on IL-1R1 sufficient recipient mice was delayed (Fig. 3a; P = 0.012). When both the donor and the recipient lacked IL-1R1, 73% of grafts were retained for at least 100 days ((Fig. 3a; P = 0.001). These data suggest that K5mOVA graft rejection in the majority of mice depends on IL-1 signal transduction by cells that originate from both the recipient and the graft. We next tested whether induction of OVA-specific CD8+ T cells was influenced by a lack of IL-1 signalling (Fig. 3b). Significantly fewer IFNγ-secreting, OVA-specific CD8+ T cells were observed when IL-1R1 expression was absent from the donor and recipient (Fig. 3b; P = 0.041). These results suggest that for efficient rejection of a graft where antigen expression is driven from a keratinocyte-specific promoter, IL-1 signalling to graft- and recipient-associated cells is required. This property associates with the ability to prime a naïve, antigen-specific CD8+ T-cell response.
Removal of an antagonist of IL-1 signalling precipitates rejection of K14E7 skin grafts
IL-1Ra−/− mice have a higher availability of IL-1 than wild-type mice because of the lack of the endogenous antagonist, and as such, increased IL-1 signalling capacity (28). We hypothesised that low levels of IL-1β protein in K14E7 skin grafts might induce functional IL-1 signalling if the antagonist of IL-1 was removed. E7-expressing skin grafts, accepted by IL-1Ra+/+ mice, were rejected if both the donor skin graft and recipient mouse lacked IL-1Ra (Fig. 4a; P = 0.030). E7 graft rejection was also observed when the recipient mouse lacked IL-1Ra, but the skin graft was wild type (Fig. 4a; P = 0.020). However, when the donor graft lacked IL-1Ra and the recipient mouse was wild type, the rate of spontaneous rejection was not significantly different from the control. These data suggest that IL-1Ra inhibits induction of the systemic immune response to prevent rejection of K14E7 grafts. To confirm whether generation of E7-specific, CD8+ T cells was increased in graft-primed IL-1Ra−/− mice, spleens from grafted mice were examined for E7-specific, IFN-γ secreting T cells (Fig. 4b). Splenocytes isolated from E7 graft-primed IL-1Ra−/− mice demonstrated significantly more E7-specific, IFN-γ producing cells than E7 graft-primed controls and C57Bl/6J recipients (Fig. 4b; P = 0.020). Thus, removal of the IL-1 receptor antagonist, IL-1Ra, enables rejection of K14E7 skin grafts associated with increased numbers of E7-specific CD8+ T cells.
Discussion
We present evidence that the rejection of skin grafts containing antigen-bearing keratinocytes depends upon IL-1 signalling and associates with IL-1β production and the generation of an effector CD8+ T cell.
K5mOVA grafts that were spontaneously rejected from naïve recipients showed cellular infiltration into the graft bed associated with local inflammation. The cellular infiltrate consisted predominantly of mononuclear cells and coincided with locally increased IL-1β. IL-1β is capable of stimulating inflammation through activation of stromal cells, resulting in leucocyte infiltration to potentiate and sustain the local inflammatory response (29,30). Dermal injection of this cytokine has been shown to increase the infiltration of predominantly monocytic cells into human skin (31). Although keratinocytes express large amounts of IL-1α (32), no significant change in IL-1α mRNA levels was observed in new K5mOVA grafts, suggesting that this gene is regulated differently from IL-1β during grafting. Upregulation of the activating, IL-1 receptor type 1 was consistent with the observed inflammation while parallel increases in the inhibitory receptor, IL-1R2, was somewhat unexpected. Acquisition of IL-1R2 expression in the skin graft may be a late event designed to limit the damage invoked by the IL-1/IL-1R1 inflammatory axis. Kinetic studies of receptor expression would be required to resolve this issue.
IL-1R1−/− mice are unresponsive to IL-1 and fail to activate intracellular signal transduction (27). K5mOVA-expressing skin grafts that are normally rejected from naïve animals, when transplanted as IL-1R1 deficient grafts onto IL-1R1−/− recipients, did not reject. The inability of IL-1R1−/− mice to reject K5mOVA/IL-1R1−/−skin grafts was associated with a reduction in the number of antigen-specific CD8+ T cells in the spleens of recipient mice. Similarly, CD4+ T-cell priming was shown to be reduced in IL-1R1−/− mice during delayed-type hypersensitivity responses in the skin (33). IL-1 has been shown to be involved in T-cell priming by increasing expression of the co-stimulatory molecules CD40L and OX40 on T cells (34), both of which are crucial for effective T-cell priming. Our data suggest that IL-1 signalling during K5mOVA graft rejection is responsible for the priming of OVA-specific CD8+ T cells, which are associated with rejection of K5mOVA skin grafts. Interestingly, removal of IL-1 signalling from the graft tissue had a more profound effect on graft rejection than loss of IL-1 signalling in the graft recipient. This would be consistent with graft-resident Langerhan cells or dermal dendritic cells, both of which express IL-1R1 (15,35), responding to IL-1 and playing a role in cross-presentation of ovalbumin for T-cell priming after trafficking to the lymph node (36). In addition, removal of IL-1 signalling from both the recipient and donor graft tissue greatly enhanced graft survival over either IL-1R1 deficiency in recipient or graft alone, suggesting collaboration between these two compartments during graft rejection.
In contrast to the spontaneous rejection of K5mOVA grafts, skin from mice expressing a different foreign antigen, HPV16E7, failed to reject and had suppressed levels of IL-1β and its receptors. There is little evidence in the literature that HPVE7 protein can directly affect the transcription of the IL-1β gene or the signalling from the IL-1R1. One study indicated that HPV E6 may regulate the activity of the NFκB pathway which, in turn, can regulate the production of IL-1β transcript (37). In our study, the cellular source of the IL-1β is unknown given that the microarray was performed on digested, full-thickness skin grafts. HPVE7 is expressed solely in the keratinocytes of the skin in our model, and these cells can produce IL-1β particularly when given environmental signals that activate the inflammasome (38). Consequently, while it is possible that E7 expression may regulate IL-1β production from the keratinocyte, macrophage/dendritic cell populations within the skin represent a major source of IL-1β during inflam-mation. Given that E7 induces epithelial hyperplasia in the skin, we speculate that the skin microenvironment may be altered in K14E7 mice such that IL-1β production from resident macrophage/dendritic cell populations is indirectly suppressed during grafting.
IL-1 signalling in the skin is tightly regulated, suggesting that the equilibrium between agonist and antagonist harbours the inflammatory potential of IL-1 in skin (39). The E7 tumor antigen, which can modulate host gene expression (40), alters this balance to overcome the normal protective immune response mechanisms and allow the persistence of skin grafts expressing tumor antigen. Recently, additional members of the IL-1 family have been identified, having parallel functions to IL-1R1, IL-1β and IL-1Ra (41). Whether these molecules impact upon IL-1β signalling in the epidermis remains to be determined.
Given the low levels of IL-1 production in K14E7 grafts, we tested whether removal of the IL-1R antagonist would improve IL-1 signalling and lead to graft rejection. Previous studies using skin delayed-type hypersensitivity (DTH) suggested that deletion of IL-1Ra exacerbated the DTH reaction, while administration of soluble IL-1Ra in graft versus host disease lead to reduced disease (33,42). In addition, patients with cervical cancer have been found to have IL-1Ra gene polymorphisms that associate with protection from disease (43). K14E7 skin grafts were rejected from a proportion of IL-1Ra−/− recipient mice and this associated with an E7-specific CD8+ T-cell response. Removal of IL-1Ra from the recipient, rather than the graft, enabled K14E7 skin graft rejection, suggesting that graft infiltrating, host cells may be the key producers of suppressive IL-1Ra acting in the skin or that IL-1Ra acts locally in the lymph node to suppress cross-presentation of skin antigens. To determine whether IL-1Ra from the host acts predominantly in the skin, future experiments would address K14E7 × IL-1R1−/− grafts onto IL-1Ra−/− recipients to determine whether IL-1 signalling locally in the skin, via IL-1R1, is required for K14E7 graft rejection. This would also help resolve whether OVA and E7 skin graft rejections have a similar requirement for IL-1 signalling in graft-derived cells.
Failure of the majority of IL-1Ra−/− mice to reject K14E7 skin grafts may reflect quantitative differences in the IL-1β production (and thus positive signalling) between individual mice after grafting. It should also be noted that all graft-primed IL-1Ra−/− mice induced E7-specific CD8+ T cells despite the fact that the majority of mice did not reject their K14E7 grafts. One possibility is that the magnitude or quality of the immune response also has an influence on graft rejection.
Both skin graft models provide strong evidence that adaptive immunity is controlled by IL-1 signalling. Previous work investigating the role of IL-1 in the induction of adaptive immunity using IL-1 mutant mice showed that the priming of antigen-specific T cells in delayed-type hypersensitivity is initiated by IL-1β signal transduction (33), as is antigen-specific T-cell activation in experimental autoimmune encephalomyelitis (44). Additionally, IL-1β has been shown necessary for T-cell-dependent antibody production and the promotion of antigen-specific T-cell helper function (45). In fact, IL-1 signalling has been shown to be important for helper T-cell diversity by both promoting cell-mediated Th1 development and augmenting Th2 development (46,47). Our data extend these studies and suggest a role for IL-1 signalling in the development of CD8+ T cells for the rejection of transgenic skin grafts.
Our data, derived from a mouse tumor antigen model, indicate that the pro-inflammatory cytokine IL-1β regulates priming and activation of effector cells that reject skin grafts. We present evidence that local inflammation and pro-inflammatory signals are required for the recruitment, activation and function of effector cells for the killing of keratinocytes that express foreign antigens. Our study highlights the necessity for the development of combinational tumor immunotherapies that increase local inflammation and augment the development of functional antigen-specific effector cells. It also suggests that blocking the activity of IL-1Ra, through localised application of IL-1Ra inhibitors, may be a practical treatment for some epithelial cancers.
Acknowledgments
This work was supported by funding from the National Health and Medical Research Council (Program Grant No. 351439), Cancer Council Australia, Cancer Research Institute (New York). UH was supported by an AUSAID M.Sc. scholarship. GRL was supported by a Lions Medical Research Fellowship. IHF is a recipient of a Queensland Government Premiers Fellowship. RT is supported by Arthritis Queensland and an ARC Future fellowship. The support of Megan Bathurst and the animal technical staff of the BRF animal facility was very much appreciated. We also thank Dr Helen Thomas (St Vincents Institute, Melbourne, Australia) and Professor Y. Iwakura (University of Tokyo, Tokyo, Japan) for provision of mice for our studies.
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