Abstract
Monocytes play a crucial role in antimicrobial host defence, but the mechanisms by which they protect the host during intestinal infection remains poorly understood. Here we show that depletion of CCR2+ monocytes results in impaired clearance of the intestinal pathogen Citrobacter rodentium. After infection, the de novo recruited CCR2+ monocytes give rise to CD11c+CD11b+F4/80+CD103− intestinal macrophages (MPs) within the lamina propria. Unlike resident intestinal MPs, de novo differentiated MPs are phenotypically pro-inflammatory and produce robust amounts of IL-1β (interleukin-1β) through the non-canonical caspase-11 inflammasome. Intestinal MPs from infected mice elicit the activation of RORγt+ group 3 innate lymphoid cells (ILC3) in an IL-1β-dependent manner. Deletion of IL-1β in blood monocytes blunts the production of IL-22 by ILC3 and increases the susceptibility to infection. Collectively, these studies highlight a critical role of de novo differentiated monocyte-derived intestinal MPs in ILC3-mediated host defence against intestinal infection.
Monocytes are important for antimicrobial host defence in the intestine but the mechanism behind their protective function is not fully understood. Seo et al. show that intestinal macrophages derived from CCR2+ monocytes support clearance of pathogenic Citrobacter rodentium through activation of group 3 innate lymphoid cells.
Intestinal resident mononuclear phagocytes, including macrophages (MPs) or dendritic cells (DCs), are innate immune cells that play a central role in gastrointestinal homoeostasis1. Intestinal MPs are defined as cells that express major histocompatibility complex (MHC) class II, CD11b, the pan-MP marker F4/80, and a receptor for fractalkine CX3CR1 while lacking αE integrin CD103 (refs 2, 3). Intestinal MPs display immune-regulatory properties that are critical for host tolerance to innocuous antigens, such as dietary antigens as well as commensal microorganisms. For example, IL-10 robustly produced by intestinal MPs contributes to dampening of mucosal inflammation as well as the differentiation and maintenance of regulatory T cells in the intestine2,3,4. Although most tissue resident MPs are believed to arise from progenitors during embryonic development and are generated by self-renewal in resident tissues, the maintenance of intestinal MPs requires constant de novo migration of Ly6Chi CCR2+ blood monocytes to intestinal tissues for replenishment1,3,5,6. In the presence of enteric infection, blood Ly6Chi CCR2+ monocytes are recruited to the sites of infection where they promote inflammatory responses that facilitate pathogen clearance7,8,9. How recruited monocytes phenotypically switch from ‘immune-regulatory' to ‘immune-stimulatory' in the intestine following infection, and the significance of such a timely phenotypic change, however, remain poorly understood.
Recent evidence suggests that a subset of innate-type lymphocytes, known as innate lymphoid cells (ILCs), play a crucial role in protecting the host from intestinal infections10,11. These ILCs differ from B and T cells, in that they lack antigen receptors. However, because ILCs share developmental and functional similarities with T cells, ILCs have been categorized into three major groups based on their cytokine profile and the transcription factors required for their development: T-bet+ group 1 ILCs (ILC1) akin to T helper (Th1) cells that produce interferon-γ (IFNγ) and tumour-necrosis factor-α (TNFα), GATA-3+ group 2 ILCs (ILC2) are similar to Th2 cells and produce IL-5, IL-9 and IL-13, and RORγt+ group 3 ILCs (ILC3) that produce IL-17 and/or IL-22 (refs 12, 13, 14, 15). IL-22 produced by ILC3 plays a key role in ILC-mediated host defence against intestinal infection by enhancing intestinal epithelial barrier function11,16. Although the mechanisms leading to ILC activation during intestinal infection remain poorly understood, intestinal MPs and/or DCs are capable of inducing the production of IL-22 by ILC3 through IL-23 and IL-1β (refs 17, 18, 19, 20). However, it remains largely unknown how these tissue resident MPs and/or DCs acquire the ability to activate ILCs, since resident intestinal MPs are hyporesponsive to microbial stimulation and poorly produce IL-23 and IL-1β (refs 3, 4).
In this study, we provide evidence that CCR2+ monocytes are recruited to the intestinal lamina propria (LP) upon pathogen infection and rapidly give rise to a subset of intestinal MPs in situ that activate RORγt+ ILC3s through caspase-11 inflammasome-dependent IL-1β production. Our findings demonstrate how microbial signals from the pathogen shape the differentiation of newly recruited monocytes into ‘inflammatory' intestinal MPs that ultimately licenses them to clear the pathogen through activation of RORγt+ ILC3s. Thus, our study highlights a concerted effort by two critical innate immune cell types to orchestrate host defence against pathogen infection in the intestine.
Results
Monocyte recruitment is critical for ILCs activation
To assess the role of recruited monocytes in the control of intestinal infection, Citrobacter rodentium was orally administered to either wild-type (WT) mice and mice deficient in CCR2, an essential chemokine receptor for emigration of Ly6Chi monocytes from the bone marrow (BM) and recruitment to the intestine21. Compared with WT mice, the clearance of C. rodentium was markedly impaired in Ccr2−/− mice on day 14 and 18 (Fig. 1a), in agreement with previous results9. The production of IFN-γ, IL-17A and IL-22 by colonic LP cells was reduced in Ccr2−/− mice on day 12 post infection (Fig. 1b). Consistent with impaired IL-22 production, expression of RegIIIβ and RegIIIγ, two known downstream targets of IL-22 (refs 11, 16), in intestinal epithelial cells was significantly decreased in Ccr2−/− mice (Supplementary Fig. 1). Together, these results suggested that the recruitment of monocytes to the intestine regulates the activation of lymphocyte responses in response to pathogen infection. To exclude the possibility that developmental defects contributed to the phenotype in Ccr2−/− mice, we used conditional CCR2-diphtheria toxin receptor (DTR)-depleter mice in which CCR2+ monocytes and monocyte-derived CCR2+ cells are selectively deleted after diphtheria toxin (DT) administration22. To assess the role of CCR2+ monocytes in C. rodentium infection, CCR2DTR/+ and WT littermates (CCR2WT) mice were infected with the pathogen followed by administration of DT. CCR2WT mice, where monocytes were unaffected after DT treatment, cleared the pathogen from the intestine, and none of the animals succumbed to infection (Fig. 1c,d). In contrast, CCR2DTR mice where monocytes were depleted displayed impaired eradication of C. rodentium on days 14 and 16, and ∼60% succumbed by day 21 post infection (Fig. 1c,d). As observed in Ccr2−/− mice, mucosal IFN-γ, IL-17A and IL-22 production was significantly reduced in CCR2DTR mice when compared with control CCR2WT littermates (Fig. 1e). IL-22 is produced by both T cells and ILCs, and plays a critical role in protecting the host against C. rodentium11,16. To identify the cellular source of IL-22 during C. rodentium infection, Th17 cells (RORγt+CD3+CD4+) and ILC3s (RORγt+CD3−) were sorted from the intestines of C. rodentium-infected mice, and IL-22 expression in these lymphoid subsets was assessed by intracellular staining. ILC3 produced greater levels of IL-22 than Th17 cells (Fig. 1f). To determine the role of monocyte recruitment in the production of IL-22 by ILC3 cells during C. rodentium infection, CCR2WT and CCR2DTR mice were injected with DT after C. rodentium infection. Consistent with the results in Fig. 1f, mucosal ILCs (Lin−Thy-1+CD3-CD4− and Lin−Thy-1+CD3−CD4+) produced IL-22 on day 8 post infection (Fig. 1g). Notably, the production of IL-22 was blunted in CCR2DTR mice compared with control CCR2WT littermates (Fig. 1g). Likewise, the absolute number of IL-22-producing ILCs was significantly decreased in CCR2DTR mice, while IL-22-producing T cells exhibited a trend, but not a significant reduction in CCR2DTR mice (Fig. 1h). To further assess the role of monocytes in the activation of ILCs, we generated CCR2DTR mice in a Rag1−/− background in which the main source of IL-22 are expected to be CD3− ILCs. Consistently, LP cells from Rag1−/−CCR2WT mice produced robust amounts of IL-22 after C. rodentium infection, suggesting that ILCs are the major source of mucosal IL-22 in response to pathogen infection (Fig. 1i). The production of IL-22, IFNγ and IL-17A were blunted in Rag1−/−CCR2DTR mice injected with DT compared with Rag1−/−CCR2WT mice, indicating that monocytes are also critical for production of these cytokines in the absence of T cells (Fig. 1i). To determine the role of monocytes for host defence in the absence of T cells, we infected Rag1−/−CCR2DTR and Rag1−/− mice, and monitored mouse survival over time. The mortality of Rag1−/−CCR2DTR pretreated with DT was accelerated compared with Rag1−/−CCR2WT mice (Fig. 1j). Collectively, these results indicate that monocytes recruited to the intestine are critical for the activation of mucosal ILC3 and host defence during C. rodentium infection.
Recruited monocytes give rise to intestinal macrophages
CCR2+ monocytes in peripheral blood express Ly6C and CSF-1R (also known as the macrophage colony-stimulating factor (M-CSF) receptor or CD115)23,24. Although certain subsets of LP mononuclear phagocytes arise from CCR2+Ly6Chi blood monocytes, these monocyte-derived LP mononuclear phagocytes do not express CCR2 in the intestine23,24. Consistent with previous reports25, Ly6Chi monocytes in peripheral blood expressed both CCR2 and CD115 (Fig. 2a). In contrast, CD115+ cells in the intestinal LP did not express CCR2 (Fig. 2a), suggesting that CCR2 is downregulated in the intestinal LP. We therefore used CD115 as a marker of monocytes and monocyte-derived mononuclear phagocytes in the intestine instead of CCR2 and used CD115-GFP reporter mice to analyse CCR2+ monocyte-derived mononuclear phagocytes subsets26. To characterize CD115+ and CD115− mononuclear phagocyte subsets in the intestinal LP, total mononuclear cells were isolated from the intestinal LP and CD45+MHC-II+ mononuclear phagocytes were further classified into four subsets based on the expression of CD11b, CD11c, F4/80 and CD103 (Fig. 2b). Consistent with previous results, two subsets of monocyte-derived mononuclear phagocytes (CD11b+CD11c+F4/80+CD103−, referred to as MP subset 1 (MP1) and CD11b+CD11c-F4/80+CD103−, referred to as MP subset 2 (MP2)) expressed the monocyte-derived cell marker CD115 (Fig. 2b). In contrast, the DC subsets, which are thought to arise exclusively from a common DC progenitor, DC1 (CD11b−CD11c+F4/80−CD103+) and DC2 (CD11b+CD11c+F4/80−CD103+) lacked CD115 expression (Fig. 2b). Both MP and DC subsets in the colon lacked Gr-1 expression, suggesting that recruited monocytes downregulate the expression of Gr-1 after they reach mucosal sites (Fig. 2b). The DC2 subset (CD11chiCD11b+CD103+F4/80−) is relatively rare in the colon, while it is more abundant in the small intestine (Supplementary Fig. 2). On the basis of the expression of the monocyte marker CD115, the MP1 and MP2 subsets appear to arise from recruited monocytes. To confirm this, we depleted CCR2+ monocytes from CD115-reporter/CCR2-depleter (CD115GFPCCR2DTR-CFP) mice using DT. As expected, monocyte depletion led to a reduction of the MP1 subset (Supplementary Fig. 3). We then confirmed this result in C. rodentium-infected mice. Consistent with the results in uninfected mice, monocyte depletion affected the CD115+CD11c+ MP1 subset but did not impact on the number of MP2 and DC1 cells, suggesting that recruited monocytes preferentially give rise to the MP1 subset during infection (Fig. 2c). To further verify this, CD115-GFP+ monocytes were purified from the BM and transferred into C. rodentium-infected Ccr2−/− recipient mice on day 4 post infection (Fig. 2d). The transferred CD115-GFP+ monocyte-derived cells were found in the colonic LP on days 3 and 10 after monocyte transfer (days 7 and 14 post infection), but not in the spleen or mesenteric lymph nodes (Fig. 2e and Supplementary Fig. 4). These results indicate that monocytes preferentially migrate to the colonic LP in infected mice. Notably, while isolated monocytes expressed CD11b and Gr-1, and lacked CD11c before the transfer, the CD115-GFP+ monocytes recovered from the colonic LP expressed CD11c but downregulated Gr-1 expression (Fig. 2f), indicating that monocytes differentiate into the MP1 subset after migration to the colonic LP.
The MP1 subset is a major producer of IL-1β and IL-23
Since our data demonstrated that newly recruited monocytes give rise to the MP1 subset in situ during infection, we next assessed how the MP1 subset regulates host defence during infection. We first compared the cytokine profile of the MP1 subset and the ‘non-monocyte-derived' CD103+ DC1 subset which is known to play an important role in the induction of IL-22 in response to flagellin injection17. The MP1 and DC1 subsets were purified from the intestines of C. rodentium-infected and -uninfected mice to assess their cytokine profiles. As shown in Fig. 3a, the MP1 subset from infected mice expressed higher mRNA levels of pro-inflammatory cytokines, including IL-1β, IL-23p19 and IL-6, than MP1 cells from uninfected mice or the DC1 subset from uninfected or infected mice. Although most cytokines were found to be expressed at higher levels in MP1 compared with DC1 cells, IL-12/23p40 mRNA levels were higher in the DC1 subset (Fig. 3a). Consistently, MP1 cells from infected intestines produced higher amounts of IL-1β and IL-23 than MP1 cells from naive mice or the DC1 subset, while IL-12/23p40 production was much higher in the DC1 subset (Fig. 3b). To address whether the CCR2+ monocyte-derived MP1 subset is the major source of IL-1β and IL-23 during C. rodentium infection, CCR2WT and CCR2DTR/+ mice were infected with C. rodentium, and cytokine production by colonic LP cells was evaluated. The production of IL-1β and IL-23, but not IL-6, was almost abrogated in CCR2DTR/+ mice treated with DT (Fig. 3c), indicating that the CCR2+ monocyte-derived MP1 subset is the major producer of IL-1β and IL-23 during C. rodentium.
The MP1 subset activates ILC3 via IL-1β
Given that IL-1β and IL-23 are critical activators of ILCs20,27, we hypothesized that the monocyte-derived MP1 subset activates ILCs. We first tested the role of IL-1β and IL-23 in the activation of ILC3s isolated from the intestine. RORγt+CD3+CD4+ Th17 cells and RORγt+CD3− ILC3s were isolated from the intestinal LP. About half of the ILC3s expressed NKp46, a marker found specifically on ILC3 but not on Th17 cells (Supplementary Fig. 5a). Purified Th17 cells and ILC3s were then stimulated with recombinant IL-1β, IL-23 and IL-1β plus IL-23. Consistent with previous reports20,27, both IL-23 and IL-1β induced IL-22 secretion by ILC3s (Supplementary Fig. 5b). Moreover, these cytokines synergistically induced IL-22 production in ILC3s (Supplementary Fig. 5b). Additionally, co-stimulation with IL-23 and IL-1β induced ILC3s to produce robust amounts of IFN-γ, while stimulation with IL-23 or IL-1β alone did not (Supplementary Fig. 5b). In contrast, Th17 cells produced higher amounts of IL-17A than ILC3s but minimal amounts of IFN-γ and IL-22, even after dual stimulation with IL-23 and IL-1β (Supplementary Fig. 5b). To address whether the monocyte-derived intestinal MP1 cells can activate ILCs through IL-23 and IL-1β, RORγt+CD3− ILC3 and the MP1 subset were purified from the intestine, and then co-cultured ex vivo. Individually cultured ILC3 and MP1 cells did not produce IL-22, even after stimulation with heat-killed C. rodentium (Fig. 4a). However, co-culture of ILC and MP1 induced IL-22 production, which was further enhanced in the presence of C. rodentium (Fig. 4a). While ILC3-MP1 co-culture did not promote IFN-γ or IL-17A production, stimulation with C. rodentium robustly induced IFN-γ production by ILC3s in the presence of MP1 cells (Fig. 4a). Notably, the production of both IL-22 and IFN-γ by ILC3s co-cultured with MP1 was diminished by neutralizing antibody against IL-1β, but not IL-23p19 (Fig. 4a). These results demonstrate that IL-1β produced by monocyte-derived MPs is a key inducer of IL-22 and IFN-γ production by ILC3.
Next, we evaluated the importance of IL-1β produced by monocyte-derived intestinal MPs in IL-22-mediated host defence in vivo. To address this, we generated IL-1β CCR2+ monocyte/MP conditional depleter mice using mixed BM chimeras. In these experiments, CCR2WT or CCR2DTR/+ BM cells mixed with BM cells from Il1b−/− mice at a 1:1 ratio were transplanted into lethally irradiated WT mice (Fig. 4b and Supplementary Fig. 6a). When we infected mixed chimeric mice orally with C. rodentium, CCR2DTR/Il1b−/− chimeric mice (IL-1βΔMo/MP) were more susceptible to C. rodentium and succumbed faster to infection than CCR2WT/Il1b−/− chimeric mice (IL-1βWT) (Fig. 4c). Although the number of monocyte-derived intestinal MPs (MHC-II+CD11b+F4/80+) was identical in both groups after DT injection (Supplementary Fig. 7), depletion of DTR-expressing monocytes affected IL-1β production by LP cells in IL-1βΔMo/MP mice, but not in IL-1βWT mice (Fig. 4d and Supplementary Fig. 6b). Consistent with compromised IL-1β production in IL-1βΔMo/MP mice, IL-22 production by total LP cells was blunted, while IL-6 production was increased in IL-1βΔMo/MP mice (Fig. 4d). More importantly, IL-22 production by ILCs was blunted in IL-1βΔMo/MP mice as it was observed in monocyte-depleted mice (Fig. 4e). Notably, control chimeric animals (IL-1βWT) were susceptible to C. rodentium whereas non-chimeric WT mice were completely protected (Figs 1d and 4c). The latter might be due to reduced levels of IL-1β in control chimeric animals (IL-1βWT) since about half of BM cells in control chimeric animals derives from Il1b−/− mice (Supplementary Fig. 6b). Thus, IL-1β produced by monocyte-derived intestinal MPs plays a crucial role in host protection against C. rodentium by promoting the production of IL-22 by mucosal ILCs.
C. rodentium induces IL-1β via caspase-11 activation
Given that the intestinal MP1 subset from infected mice produces significant amounts of IL-1β, C. rodentium may be capable of activating an inflammasome during infection (Fig. 3). To delineate the mechanism by which monocyte-derived MP1 cells acquire the ability to produce IL-1β during C. rodentium infection, we first investigated the expression of inflammasome proteins in intestinal mononuclear phagocytes. The expression of Nlrp3, Nlrc4, Casp1 and Casp11 mRNAs were higher in MP1 than in DC1 cells, even in the steady state (Supplementary Fig. 8), suggesting that expression of inflammasome proteins may contribute to the enhanced production of IL-1β by the MP1 subset. To identify which inflammasome mediates C. rodentium-induced IL-1β production in MPs, BM-derived MPs (BMDMs) were stimulated with C. rodentium, and IL-1β production was measured in the culture supernatants. C. rodentium-induced IL-1β and TNF-α in BMDMs (Fig. 5a). IL-1β levels induced by C. rodentium were dramatically reduced in BMDMs derived from Nlrp3−/− or Casp11−/− mice, while TNF-α production was unaffected (Fig. 5a). In contrast, Salmonella-induced IL-1β, which has been shown to be dependent on the NLRC4 inflammasome28, was intact in Nlrp3−/− or Casp11−/− BMDMs (Fig. 5a). Given that caspase-11 acts upstream of the NLRP3 inflammasome29, these results indicated that C. rodentium may induce IL-1β production via caspase-11-mediated non-canonical inflammasome activation. To address the role of caspase-11 in IL-1β production in vivo, Casp11−/− and Nlrp3−/− mice were infected with C. rodentium, and the production of cytokines by LP cells was evaluated ex vivo in the absence and presence of pathogen stimulation. Production of IL-1β, TNF-α and IL-6 by LP cells was enhanced by stimulation of LP cells with heat-killed C. rodentium (Fig. 5b). Importantly, the production IL-1β, but not TNF-α or IL-6, by LP cells was impaired in LP cells from infected Casp11−/− and Nlrp3−/− mice when compared with WT mice (Fig. 5b). To address the link between caspase-11 and mucosal ILC activation, we next analysed IL-22 production by colonic ILCs during C. rodentium infection in Casp11−/− mice. Consistent with our results, IL-22 production by ILCs was significantly impaired in Casp11−/− mice (Fig. 5c). Since IL-22 induction was compromised in C. rodentium-infected Casp11−/− mice, but not in naive Casp11−/− mice (Fig. 5d), we examined the expression of caspase-11 in colonic MPs isolated from naive and C. rodentium-infected WT mice. Notably, the expression of caspase-11 was low or undetected in naive mice, but was clearly detected in colonic MPs of C. rodentium-infected mice (Fig. 5e). These results indicate that C. rodentium infection induces caspase-11 expression in intestinal macrophages, and caspase-11 contributes to the production of IL-1β by MPs, which promotes mucosal defence by activating ILCs.
LEE virulence factors activate caspase-11 in macrophages
Lastly, we asked what factors are involved in caspase-11/NLRP3 activation by C. rodentium. BMDMs were stimulated with WT and isogenic mutant C. rodentium strains, and IL-1β production was assessed. Notably, deletion of ler, the global regulator of locus of enterocyte effacement (LEE) virulence, abrogated the ability of C. rodentium to induce IL-1β release, but not TNFα (Supplementary Fig. 9a). In contrast, C. rodentium mutants deficient in the adhesion molecule Intimin (Δeae), its receptor Tir (Δtir), and type 3 secretion system (T3SS; ΔescN, ΔescU) did not cause any defects in IL-1β production, suggesting that these Ler-regulated factors are dispensable for caspase-11 activation (Supplementary Fig. 9a). To investigate the mechanism by which Ler regulates caspase-11 activity, we determine whether C. rodentium releases a factor(s) that induces caspase-11 activity. As shown in Supplementary Fig. 9b, culture supernatant of WT C. rodentium, but not the Δler mutant strain, stimulated BMDMs to produce IL-1β in a caspase-11-dependent manner. In contrast to IL-1β, TNF-α was induced by stimulation of BMDMs with supernatant of both WT and Δler mutant (Supplementary Fig. 9b). Thus, C. rodentium Ler regulates the release of a factor(s) that mediates IL-1β production via caspase-11.
Discussion
Previous studies have revealed that intestinal mononuclear phagocytes, such as CX3CR1-expressiong cells, regulate the production of IL-22 by ILC3 cells18,19,20. However, the previous works did not discriminate between resident and de novo recruited antigen-presenting cells. Using several approaches including CCR2-depleter (CCR2DTR) mice that do not have any defect in the development of intestinal MPs, we show that intestinal MPs arising de novo from CCR2+ monocytes play a pivotal role in induction of IL-22 by RORγt+ ILC3 cells during C. rodentium infection. Since the monocyte-derived MP1 subset in this study expresses CX3CR1 (Supplementary Fig. 10), MP1 cells appear to be identical to CX3CR1+ mononuclear phagocytes reported previously18,19,20. Consistently, MyD88 signalling was required for the production of IL-1β by MP1 cells (Supplementary Fig. 11) and MyD88 is important for ILC activation by CX3CR1+ MPs20. The de novo differentiated monocyte-derived CX3CR1+ MPs activate ILCs, thus playing a key role in host defence during enteric pathogen infection. In line with these studies in mice, human CD14+CX3CR1+ monocyte-derived intestinal MPs activate RORγt+ ILC3 in patients with Crohn's disease30,31. Therefore, monocyte-derived MPs may contribute to host defence during infection as well as the pathogenesis of Crohn's disease.
Monocyte-derived MPs are typically immune regulatory under steady-state conditions3,32. However, intestinal MPs also initiate an inflammatory response when invasive pathogens are encountered. Hence, recruited monocytes undergo differentiation that potentiates their capacity to combat infection. Although the precise signals that direct the differentiation of monocytes into MPs within the intestine have yet to be elucidated, the mucosal microenvironment in the inflamed intestine may drive the ‘inflammatory' differentiation of MPs. For instance, recruited monocytes give rise to CD11c+ MPs that display a pro-inflammatory phenotype in the inflamed colon, while they primarily differentiate into a CD11c− immune-regulatory subset of MPs under steady-state conditions3,32. Consistently, we found that intestinal infection causes recruited monocytes to differentiate preferentially into CD11c+ MPs (referred to as MP1 subset in this study) in the colonic LP. The monocyte-derived CD11c+ MP1 subset in the inflamed mucosa exhibited a more pro-inflammatory phenotype (for example, IL-1β and IL-23 production) than the CD11c+ MP1 subset residing in the normal colon, despite identical expression of surface markers (MHC-II+ CD11b+ CD11c+ F4/80+ CD103− Gr-1− CSF-1R+) associated with macrophage differentiation. This suggests that the CD11c+ MP1 population found in inflamed and non-inflamed mucosal tissue are phenotypically distinct. Likewise, monocyte-derived CD14+ MPs are identical in the intestine of Crohn's disease patients and healthy individuals in terms of their surface markers, yet they differ in their ability to produce pro-inflammatory cytokines, with the cells isolated from the intestine of Crohn's disease patients being more stimulatory30. These results suggest that the local inflammatory milieu re-programs the differentiation signals for recruited monocytes, thereby inducing their preferential differentiation into pro-inflammatory CD11c+ MPs rather than regulatory CD11c− MPs. Although the precise ‘local cues' remain unclear, microbial stimulation through pattern recognition receptors may play a role in the differentiation programme of recruited monocytes into inflammatory intestinal MPs. In support of this notion, we found that the MP1 subset produces inflammatory molecules including IL-1β, TNFα and IL-6 upon stimulation with C. rodentium. Furthermore, intestinal CD11c− MPs and their Ly6Chi monocyte precursors were previously shown to express TLR2 and NOD2 and produce inflammatory molecules in response to microbial ligands32. In addition to direct microbial stimulation, ‘inflammatory' MP differentiation can be simultaneously influenced by local pro-inflammatory cytokines. For example, mucosal IFN-γ affects the differentiation of human intestinal MPs by promoting their pro-inflammatory activity30.
IL-1β plays a key role in host defence by inducing several immune events involved in pathogen eradication. For instance, IL-1β acts on both endothelial and epithelial cells to promote the recruitment of neutrophils to the site of infection33,34. Likewise, IL-1β is critical for the differentiation of Th17 and ILC3 cells in the intestine20,27,35. Our study shows that the monocyte-derived MP1 subset is a critical cellular source of IL-1β to promote ILC activation during C. rodentium infection. Although IL-1β and IL-23 synergistically enhanced the production of IL-22 by RORγt+ ILC3 isolated from the intestine, in vitro MP-ILC co-cultures and in vivo experiments supported that IL-1β, but not IL-23, is a key regulator of ILC function during C. rodentium infection. Consistent with this finding, a recent report revealed that IL-22 production by ILC3 is partly IL-23 and completely IL-1β dependent, as CX3CR1+ mononuclear phagocytes from Il23a−/− mice displayed reduced but still significant activation of ILC3, while ILC3 from Il1r−/− mice were greatly impaired in IL-22 production20. Moreover, IL-23 has been shown to be dispensable for IL-22 production by ILCs in the intestine under steady-state conditions36. However, previous reports suggested that IL-23 was required for IL-22 production by ILCs during infection11,16. Indeed, Il23a−/− mice are more susceptible to C. rodentium infection37. Thus, further studies are needed to fully understand the role of IL-1β- and IL-23-mediated ILC3 activation in the intestine.
In addition to IL-22, IFN-γ produced by ILC3 contributes to host defence against intestinal pathogens including C. rodentium38. Indeed, our results showed that RORγt+ ILCs produced both IL-22 and IFN-γ in vitro when stimulated with IL-1β and IL-23. Notably, RORγt+ ILCs robustly produced IFN-γ in an IL-1β-dependent manner when they were co-cultured with MP1 cells. Thus, monocyte-derived intestinal MPs can regulate both the production of IL-22 by CCR6+RORγt+T-bet− ILCs and IFN-γ by CCR6−RORγt+T-bet+ ILCs, and these two key cytokines may orchestrate host defence responses against infectious pathogens. Furthermore, CD14+CCR2+CX3CR1+ monocyte-derived intestinal MPs can elicit the activation of IFN-γ-producing CD3−CD56+NKp46+NKp44− group 1 ILCs from Crohn's disease patients39. Because the barrier function of the intestinal epithelium is enhanced by IL-22, but disrupted by IFN-γ (refs 40, 41, 42), balanced IFN-γ and IL-22 production by ILCs may affect the outcome of infectious and inflammatory disease, and further work is required to address how or whether intestinal MPs influence such an intricate balance. In addition to IL-22 and IFN-γ, monocyte depletion impaired the production of IL-17A by innate immune cells (Fig. 1i). Although IL-17A can be produced by isolated RORγt+ ILC3s (Supplementary Fig. 5b), co-culture of RORγt+ ILC3s with MP1 cells did not result in the production of IL-17A by ILCs (Fig. 4a). These results indicated that in Rag1−/− mice, IL-17A is produced by a cell type other than ILC3s. This could be another subset of ILCs (for example, ILC1) or another type of innate immune cells (for example, neutrophils43,44,45). The activation of these innate immune cells might be regulated by recruited monocytes and/or monocyte-derived MPs in the intestine.
Although IL-1β is important for the regulation of ILC3 during intestinal infection46, the mechanism that triggers IL-1β production remains unclear. In this study, we show that intestinal MPs secrete IL-1β via the activation of the caspase-11 inflammasome in the presence of C. rodentium. Mounting evidence points to the importance of caspase-11 for the immune response against Gram-negative bacteria29,47. Indeed, it has been reported that the caspase-11-mediated non-canonical inflammasome activation contributes to host defence against Gram-negative enteric pathogens, such as Salmonella and C. rodentium48,49. Caspase-11 is expressed in both macrophages and epithelial cells in the gut49,50,51,52, and its expression is markedly induced by inflammation51. Caspase-11 in both macrophages and epithelial cells contributes to the regulation of intestinal inflammation through the production of IL-1β and IL-18 in the gut49,50,51,52. It is known that activation of the caspase-11-mediated non-canonical inflammasome in intestinal epithelial cells maintains epithelial barrier function and promotes host defence against enteric pathogens via induction of IL-18 (refs 49, 50, 51). However, it remains largely unclear how caspase-11 functions in intestinal macrophages despite the fact that a series of in vitro experiments suggest that caspase-11 acts in macrophages to regulate the immune response to Gram-negative bacteria29,47. In this study, we found that caspase-11 expression in intestinal MPs is low at the steady state, as it had been reported for NLRP3 (Fig. 5e)33, but is increased in the de novo differentiated MPs in the inflamed intestine (Fig. 5e). As mentioned above, inflammation regulates the expression of caspase-11 in the gut51. Another report suggested that reactive oxygen species, which are induced during inflammation, promotes the expression of caspase-11 in macrophages53. Although the precise signals that regulate caspase-11 expression in MPs remain to be better defined, our results suggest that the inflammatory milieu upregulates caspase-11 expression in de novo MPs which may account for their increased capacity to produce IL-1β than resident MPs. Although IL-1β production was impaired in Casp11−/− mice which was linked to reduced IL-22 production, residual IL-1β and IL-22 production in the intestine was observed even in Casp11−/− mice. Given the evidence that some commensal bacteria contribute to the production of IL-1β in intestinal MPs35,54, it is conceivable that commensal bacteria can contribute to IL-1β production in Casp11−/− mice. Consistently, certain commensal bacteria can activate the NLRP3 inflammasome, but not the caspase-11-dependent non-canonical pathway, to produce IL-1β (ref. 55). Thus, caspase-11 in intestinal macrophages is likely to be important, particularly in early host defence against enteric pathogens. In the later stages of infection, other inflammasomes, such as NLRP3, activated by commensal bacteria, may play a more important role in the regulation of mucosal IL-1β.
Although recent findings showed the importance of intracellular lipopolysaccharides (LPS) for caspase-11 activation29,47, the mechanism by which C. rodentium activates caspase-11 remains unclear. Our data indicate that Ler-regulated virulence factors, but not components of the type 3 secretion system and/or adhesion molecules regulated by Ler, are involved in caspase-11 activation56. Notably, we found that Ler regulates the release of factor(s) by the pathogen that activates caspase-11 (Supplementary Fig. 9). Although LPS is a known activator of caspase-11 secreted by Gram-negative bacteria when it is delivered into the cytosol of macrophages, Ler may not regulate LPS secretion per se because TNF-α induction by C. rodentium supernatant was not impaired in the Δler mutant. Thus, one possible mechanism is that Ler regulates the secretion of factors(s) that contribute to delivery of LPS into the macrophage cytosol.
Collectively, the current study demonstrates the importance of newly recruited monocytes as well as the cross-talk between RORγt+ ILC3 and monocyte-derived intestinal MPs in host defence against intestinal infection. Since both ILC3 and intestinal MPs play vital roles in anti-inflammatory as well as pro-inflammatory responses in the intestine, understanding the complex interplay between these two types of innate immune cells may provide important insights into not only protective immunity but also the pathogenesis of inflammatory disease.
Methods
Mice
Wild-type C57BL/6, Ccr2−/−, Nlrp3−/−, Casp11−/−, Il1b−/−, RORγtGFP reporter, CD115GFP reporter mice26 were bred and kept under specific pathogen-free conditions in the University of Michigan Animal Facility. CCR2 reporter/depleter (CCR2CFP/DTR) mice were kindly provided by Dr Eric Pamer (Memorial Sloan Kettering Cancer Center, New York)22. Eight to 16 week old female and male mice were used for experiments. All animals were handled according to the protocols approved by the University Committee on Use and Care of Animals (UCUCA) at the University of Michigan.
Reagents and bacteria
Ultrapure Escherichia coli O111:B4 LPS and CpG were from Invivogen. Recombinant mouse IL-23 and IL-1β, neutralizating antibody for IL-23p19 and isotype control (rat IgG) were purchased from eBioscience. Blocking antibody for mouse IL-1β was obtained from Leinco Technologies. Kanamycin (Km)-resistant wild-type C. rodentium strain DBS120 (pCRP1::Tn5) was a gift of Dr David Schauer (Massachusetts Institute of Technology, Massachusetts). The isogenic C. rodentium Δler, Δtir, Δeae, ΔescN, ΔescU mutants were generated from DBS120. Salmonella enterica serovar Typhimurium strain SL1344 was a gift from Dr D. Monack (Stanford University, California). For preparation of heat-killed C. rodentium, the pathogen was cultured overnight in Luria-Bertani (LB) medium, inoculated into DMEM at a 1:50 dilution and cultured under standard cell culture conditions (37 °C with 5% CO2) for 8 h without shaking. Bacteria were then harvested and washed twice with ice-cold PBS, and heat inactivated at 60°C for 30 min. Complete killing of bacteria was confirmed by 72 h incubation at 37 °C on bacteria growth plates.
C. rodentium infection
C. rodentium were grown overnight in LB broth supplemented with Km (50 μg ml−1) with shaking at 37 °C. Mice were infected by oral gavage with 0.2 ml of PBS containing ∼1 × 109 c.f.u. (colony-forming unit) of C. rodentium. To determine bacterial numbers in the faeces, faecal pellets were collected from individual mice, homogenized in cold PBS, and plated at serial dilutions onto MacConkey agar plates containing 50 μg ml−1 Km, and the number of c.f.u. was determined after overnight incubation at 37 °C. To deplete CCR2+ monocyte and monocyte-derived macrophages in vivo, 10 ng g−1 body weight of diphtheria toxin was injected intraperitoneally on day 5, 7, 9 and 11 post infection.
Flow cytometric analysis
Flow cytometry was performed using a FACSCanto II or FACSAria III and analysed using FlowJo software (TreeStar). Dead cells were excluded with 7-AAD staining. Non-specific antibody binding was blocked with anti-CD16/32 antibody. Fluorescence-conjugated mAb against CD11b (M1/70), CD11c (N418), Gr-1 (RB6-8C5), F4/80 (BM8), Ly6C (AL-21), MHC class II I-Ab (AF6-120.1), CD103 (2E7), CD45 (30-F11), CD3 (145-2C11), CD4 (GK1.5), NKp46 (29A1.4), Thy-1.2 (53-2.1) and IL-22 (1H8PWSR) were from eBioscience. Isotype-matched antibodies (eBioscience) were used for control staining. All antibodies are used in 1:200 dilution in 1 × 106 cells per 100 μl except Gr-1, Ly6C, I-Ab and CD45 (used in 1:500 dilution).
Preparation of lamina propria mononuclear cells
Lamina propria mononuclear cells (LPMCs) were isolated from intestinal specimens using modifications of previously described techniques57. Briefly, dissected mucosa was incubated in calcium and magnesium-free Hank's balanced salt solution (HBSS) (Sigma-Aldrich) containing 2.5% heat-inactivated fetal bovine serum (FBS) and 1 mM dithiothreitol (Sigma-Aldrich) to remove mucus. The mucosa was then incubated twice in HBSS containing 1 mM EDTA (Sigma-Aldrich) for 45 min at 37 °C. Tissues were collected and incubated in HBSS containing 400 U ml−1 collagenase type 3 and 0.01 mg ml−1 DNase I (Worthington Biochemical) for 90–180 min at 37 °C. The fraction was pelleted and resuspended in a 40% Percoll solution (Amersham Biosciences), then layered on 75% Percoll gradient before centrifugation at 2,000 r.p.m. for 20 min at room temperature. Viable LPMCs were recovered from the 40 to 75% layer interface.
Isolation of subsets of intestinal cells
For isolation of intestinal Th17 cells and ILC3, LPMCs were isolated from RORγtGFP/+ reporter mice. CD11b-, CD11c-, CD19-, B220-, CD49b-, CD105-, MHC-II- and Ter-119-expressing cells were depleted from LPMCs using a pan T-cell isolation kit (Miltenyi Biotech). Enriched LP cells were then stained for CD4 and CD3. Th17 (CD3+CD4+RORγt+) and ILC3 (CD3-RORγt+) were sorted using a FACSAria III cell sorter. For isolation of intestinal antigen-presenting cells subsets, LPMCs were isolated from infected- and uninfected-CD115GFP reporter mice. CD115hiGr-1−CD11c+CD11b+ cells (MP1) and CD115loGr-1−CD11c+CD11b− cells (DC1) were sorted using a FACSAria III cell sorter.
Intestinal cell culture
Total LPMCs or sorted intestinal cell subsets were resuspended in RPMI medium containing 10% FBS, 1% penicillin/streptomycin, 2-mercaptoethanol (50 μM), L-glutamine (2 mM), sodium pyruvate (1 mM), HEPES (1 mM) and MEM non-essential amino acids (Gibco) at 2 × 106 cells per ml (LPMC) or 1 × 106 cells per ml (sorted cells). LP cells were then incubated for 24 h at 37 °C with or without LPS (100 ng ml−1), CpG (5 μM) or heat-killed C. rodentium (at a bacteria:host cell ratio of 10). Culture supernatants were harvested and cytokine levels were measured by ELISA. In some experiments, recombinant cytokines or neutralizating antibodies were added to cell cultures. For intracellular cytokine staining, LP cells were cultured for 16 h with heat-killed C. rodentium. Brefeldin A (BD bioscience) was added in the last 2 h of incubation and LP cells were stained, fixed and permeabilized for intracellular staining using Cytofix/Cytoperm buffer (BD Biosciences).
Quantitative real-time PCR
RNA was extracted using E.N.Z.A. Total RNA Kit (Omega Biotek) according to manufacturer's instructions. Purified RNA was reverse transcribed using the High Capacity RNA-to-cDNA kit (Applied Biosystem). The cDNA was then used for quantitative PCR by the SYBR Green Gene Expression Assay (Applied Biosystem) on BioRad CFX Connect Real-Time PCR System. Primer sequences were provided in Supplementary Table 1.
BMDM in vitro stimulation
BM cells were cultured for 5 days with Iscove's Modified Dulbecco's Medium (IMDM) supplemented with 30% L929 supernatant containing macrophage-stimulating factor, glutamine, sodium pyruvate, 10% FBS and antibiotics. Differentiated BMDMs were then washed and cultured in antibiotic free IMDM supplemented with 2% FBS. BMDMs (2 × 105 cells/well/48 well plate in 200 μl) were stimulated with individual bacterial strains at a multiplicity of infection (MOI)=25 for 1 h followed by 17 h of additional culture in the presence of gentamicin (100 μg ml−1) to prevent bacterial overgrowth. In some experiments, BMDMs were pretreated with LPS (100 ng ml−1) for 3 h before bacteria stimulation. Culture supernatants were harvested and cytokines were measured by ELISA.
Monocyte adoptive transfer
BM cells were harvested, washed in FACS buffer and monocytes were isolated by the EasySep Mouse Monocyte Enrichment Kit (STEMCELL Technologies). Monocytes were counted and transferred by intravenous injection of 2 × 106 in the tail vein of Ccr2−/− mice 4 days after oral infection with C. rodentium.
Mixed BM chimera mice
To generate mixed BM chimera mice, 10–12 week-old WT recipient mice were lethally irradiated using X-rays (Phillips RT250, Kimtron Medical) with two doses of 540 rads (total 1,080) delivered 3 h apart on the same day, then 5 × 106 of BM cells from CCR2WT or CCR2DTR mice mixed with 5 × 106 of BM cells from Il1b−/− mice and transplanted into recipient mice via tail vein injection. Recipient mice were rested for at least 8 weeks before use.
Immunoblotting of caspase-11
The CD45+MHC-II+CD11b+CD11c+CD103-Gr-1− MP1 cell subset was purified from LPMCs isolated from naive or C. rodentiun-infected (day 8) mice using a FACSAria cell sorter. FACS purified cells (2 × 105 cells) were lysed in a buffer containing 1% NP-40 supplemented with the complete protease inhibitor cocktail (Roche, Mannheim, Germany) and 2 mM dithiothreitol. Lysates were resolved by SDS–polyacrylamide gel electrophoresis and transferred to PVDF (polyvinylidene difluoride) membranes by electro-blotting. Rat anti-mouse-caspase-11 antibody (17D9, Sigma) was used to detect caspase-11 in MPs (1:1000 dilution).
Statistical analyses
Statistical analyses were performed using GraphPad Prism software version 5.0 (GraphPad Software). Differences between two groups were evaluated using Student's t-test (parametric) or Mann–Whitney U-test (non-parametric). For the comparison of more than three groups, statistical analysis was performed using one-way analysis of variance (parametric) or Kruscal–Wallis test (non-parametric), and then the Dunnett's or Bonferroni test for parametric samples, or Dunn's test for non-parametric samples as a post-hoc test. Survival between groups of mice was compared using Log-rank (Mantel–Cox) test. Differences at P<0.05 were considered significant.
Additional information
How to cite this article: Seo, S.-U. et al. Intestinal macrophages arising from CCR2+ monocytes control pathogen infection by activating innate lymphoid cells. Nat. Commun. 6:8010 doi: 10.1038/ncomms9010 (2015).
Supplementary Material
Acknowledgments
The authors thank Drs Mo El-Zaatari, Helmut Grasberger, Andrew Shreiner and John Kao for helpful discussion, Joel Whitfield of the University of Michigan Immunology Core for performing ELISAs, Dahai Yang and Yuan He for caspase-11 immunoblotting, and Melody Zeng and Judith Connett for critical reading of the manuscript. This work was supported by Basic Science Research Program through the National Research Foundation of Korea funded by the Ministry of Education, Science and Technology 2013R1A6A3A03024348 (S.-U. S), JSPS Postdoctoral Fellow for Research Abroad (S. K. and H. N.-K.), Career Development Awards from the Crohn's and Colitis Foundation of America (Y.-G. K and N. K.), Michigan Gastrointestinal Peptide Research Center NIDDK DK034933 (N. K.), NIH grants DK091191 and DK095782 (G. N.).
Footnotes
Author contributions S.-U.S. and N.K. conceived and designed experiments. S.-U.S., P.K., S.K., H.N.-K. and N.K. conducted experiments. Y.-G.K. and G.N. helped with critical advice and discussion. S.-U.S. and N.K analysed all the data and wrote the manuscript with contributions from all authors.
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