Summary
Defects in rapid clearance of apoptotic cells lead to an accumulation of dead cells (late apoptotic or secondary necrotic cells), which results in an aberrant immune response. However, little is known about whether and how macrophages (Mφs) cooperate with dendritic cells (DCs) in the presentation of dead‐cell‐associated antigens in this process. By transferring high numbers of dead cells to mimic a failure of apoptotic cell clearance in vivo, we found that Mφs and neutrophils were the predominant phagocytes in the uptake of dead cells in the spleen. Moreover, both Mφs and DCs were required for an optimal CD4+ T‐cell response triggered by dead‐cell‐associated antigens. Importantly, although Mφs alone had a poor capacity for antigen presentation, they could transfer phagocytosed antigens to DCs for potent antigen presentation to enhance T‐cell responses. Finally, we found that exosomes released from Mφs acted as a transmitter to convey antigens to DCs partially in a ceramide‐dependent manner, since treatment with the neutral sphingomyelinase inhibitor GW4869 and spiroepoxide resulted in a significant reduction of T‐cell proliferation in vitro and in vivo. These findings point to a novel pathway of cross‐talk between Mφs and DCs, which will be helpful to explain possible mechanisms for autoimmune diseases characterized by increased rates of apoptosis.
Keywords: antigen transfer, dead‐cell‐associated antigen, dendritic cells, exosomes, macrophages
Abbreviations
- BSA
bovine serum albumin
- CLL
clodronate liposome
- DCs
dendritic cells
- ESCRT
endosomal sorting complex required for transport
- FBS
fetal bovine serum
- Mφs
macrophages
- nSMase 2
sphingomyelinase 2
- OVA
ovalbumin
- SLE
systemic lupus erythematosus
Introduction
The mutual interplay of immune cells has been suggested to play a critical role in optimal innate and adaptive immunity.1, 2, 3, 4, 5 In recent years, much attention has been paid to the role of cross‐talk between macrophages (Mφs) and dendritic cells (DCs) in maintaining homeostasis or inducing a protective immune response under physiological or pathological conditions, respectively.6, 7, 8 During the development of multicellular organisms, a controlled and programmed form of cell death is indispensable. Therefore, phagocytes must constantly remove apoptotic cells for normal homeostasis and tissue turnover, as the conversion of excessive apoptotic cells to secondary necrotic dead cells would induce inflammation or autoimmunity.9, 10
Both DCs and Mφs contribute to the uptake of apoptotic cells and dead cells.11 Interestingly, communication between these two cell types has been suggested to be important in responding to early apoptotic cells to generate a suppressive microenvironment.12, 13 However, failure to immediately clear apoptotic cells leads to an accumulation of dead cells, which can be presented by DCs to autoreactive lymphocytes to induce autoimmune diseases such as systemic lupus erythematosus.14 Hence, DCs are suggested to be critically involved in the pathogenesis of autoimmunity by presenting dead‐cell‐associated antigens. Like DCs, Mφs also take up dead cells but even more efficiently15; however, few studies have investigated the role of dying‐cell‐derived antigen presentation on Mφs, especially presentation by MHC II molecules, although Mφs have been shown to dominate anti‐tumour immunity by cross‐presenting dead‐cell‐associated antigens to initiate a CD8+ T‐cell immune response.16 Hence, investigating whether dead cells activate Mφs to trigger a CD4+ T‐cell immune response would be of great interest, and it also raises questions of whether and how Mφs process dead‐cell‐associated antigens and subsequently present them to CD4+ T cells. In fact, the complementing specialties of Mφs (antigen uptake) and DCs (antigen presentation) prompt an interesting possibility that these two cell types may be collaborating in the induction of aberrant T‐cell responses to dead‐cell‐associated antigens, which might be responsible for development of some autoimmune diseases. However, to date, whether and how these two cell types cross‐talk to prime the CD4+ T‐cell response has not been definitively elucidated in dead‐cell‐induced immune responses.
Extracellular vesicles have been demonstrated to be involved in numerous physiological processes and act as mediators of cellular cross‐talk in autoimmunity.17 These vesicles, which vary from 30 to 100 nm in size, are known as exosomes.18 However, whether exosomes participate in cross‐talk between DCs and Mφs in some autoimmune diseases induced by excessive apoptotic cells remains unclear. In this study, we injected mice intravenously (i.v.) with late apoptotic cells to mimic the failure of immediate clearance of apoptotic cells, leading to an accumulation of dead cells, and observed whether and how Mφs and DCs cooperate with each other in the CD4+ T‐cell response to dead‐cell‐associated antigens. Our results showed that splenic Mφs and neutrophils were predominant phagocytes in the uptake of dead cells, and both Mφs and DCs were required for augmentation of the CD4+ T‐cell response in this process. Importantly, after phagocytosis of antigens, exosomes containing antigens from Mφs were secreted partially in a ceramide‐dependent manner and acted as transmitters to convey antigens to DCs, leading to an enhanced T‐cell response. Here, we provide evidence that the exosomes released by Mφs taking up dead‐cell‐associated antigens acted as a vehicle between DCs and Mφs, which may be responsible for the disordered immune response resulting in the induction of autoimmunity.
Materials and methods
Mice
C57BL/6 (CD45.2) mice, C57BL/6‐Tg (Itgax‐cre,‐EGFP) mice, ovalbumin (OVA) ‐specific MHC II‐restricted T‐cell receptor‐transgenic mice (OT‐II mice), as well as transcription factor Batf3‐deficient (Batf3 −/−) mice, were purchased from the Jackson Laboratory (Bar Harbor, ME). OT‐II × CD45.1 F1 mice were prepared by crossing OT‐II mice with B6.SJL‐Ptprc a Pep3 b/BoyJ mice (congenic CD45.1 mice on a B6 background). These mice were bred and housed in a specific pathogen‐free barrier unit. All experiments using mice were in accordance with requirements and regulations of the Institutional Animal Care and Use Committee.
Cell preparations
Splenic single‐cell suspensions were prepared by digestion for 30 min at 37° with 1 mg/ml collagenase type IV (Gibco, Grand Island, USA). Splenocytes were resuspended in PBS (SH30256.01B; Thermo Fisher Scientific, South Logan, Utah) for subsequent experiments. To prepare dead‐cell‐associated antigens, thymocytes from CD45.2 or CD45.1 mice were resuspended in RPMI‐1640 medium (SH30809.01B; Thermo Fisher Scientific) containing 1% BSA (Sigma‐Aldrich, St Louis, MO) and 20 mg/ml OVA (Sigma‐Aldrich) protein and then irradiated with 40 Gy X‐ray, followed by 24 hr of culture at 37° to induce late apoptotic cells (OVA/cells).16 Dead cells were washed extensively before injection to remove the soluble free OVA.
Tracking of circulating dead cells
Thymocytes from CD45.1 mice were labelled with 2·5 μm CFSE (Cell Tracker Green; Molecular Probes, Eugene, OR) or 10 μm eFluor‐450 (Cell Tracker; Molecular Probes) for 15 min at room temperature, and then late apoptosis was induced as above. Dead cells (4 × 107) in 200 μl PBS were injected i.v. into CD45.2 mice. Spleens were resected 1 hr after injection, and cryosections were prepared for staining with anti‐CD11c clone N418 (45‐0114‐82; eBioscience Inc., San Diego, CA), anti‐F4/80 clone BM8 (17‐4801‐82; eBioscience), anti‐CD169 clone MOMA‐1 (MCA947F; AbD Sectero and eBioscience), anti‐MARCO clone ED31 (MCA1849FT; AbD Sectero and eBioscience, inc, San Diego, CA) and anti‐B220 clone RA3‐6B2 (45‐0452‐82; eBioscience) for confocal microscopic observation. Splenic cells were also stained with anti‐CD45.1 clone A20 (47‐0453‐82; eBioscience), anti‐CD45.2 clone 104 (45‐0454‐82; eBioscience), anti‐CD11b clone M1/70 (12‐0112‐82; eBioscience), anti‐F4/80, anti‐Gr‐1 clone RB6‐8C5 (45‐5931‐80; eBioscience), and anti‐Ly6C clone HK1.4 (48‐5932‐82; eBioscience) for assessment by flow cytometry.
Clodronate liposome preparation and injection
Clodronate liposomes (CLLs) were prepared as described elsewhere.19 Briefly, 1% of the dichloromethylene‐bisphosphonate (Cl2MBP) could be encapsulated in the liposomes, and the final Cl2MBP–liposome suspension (4 ml) contained approximately 20 mg of Cl2MBP. In our study, to deplete splenic DCs and/or Mφs, C57BL/6 mice were i.v. injected with 200 μl of CLL per mouse (i.e. 50 mg/kg) or an equivalent amount of PBS‐loaded control liposomes. The depletion efficiency and the rate of turnover were tested by FACS at the indicated time‐points.
Immunohistochemistry
Spleens were obtained from mice administered with CLL or not, followed by injection with or without CFSE‐labelled dead cells. Cryosections (6‐μm thickness) of the spleen were fixed in cold acetone and blocked with 1% anti‐FcγRII/III clone 93 (14‐0161‐86; eBioscience). Sections were stained with the corresponding monoclonal antibodies, mounted with FluorSave (Calbiochem, Beyotime, Shanghai, China) and observed by fluorescence microscopy (Leica SD AF).
Antigen transfer assay in vitro
C57BL/6 mice were injected i.v. with 4 × 107 eFluor450‐labelled (Ag‐Mφ) or unlabelled (no‐Ag‐Mφ) dead cells. One hour later, 3 × 105 splenic F4/80hi CD11bint Mφs were sorted and incubated with 3 × 105 DCs purified from naive C57BL/6‐Tg (Itgax‐cre, ‐EGFP) mice (naive DC) for 1, 3 or 5 hr. Live CD11c‐GFP+ DCs positive for eFluor‐450 were considered to have internalized dead‐cell‐associated antigens from Mφs and were analysed by FACS at various time‐points.
Antigen‐specific CD4+ T‐cell proliferation assay in vivo and in vitro
For the in vivo assay, eFluor‐450 labelled CD4+ Vβ5+ Vα2+ T cells from OT‐II × CD45.1 F1 mice were adoptively transferred i.v. into CD45.2 mice followed by injection with 4 × 107 OVA/cells in 200 μl of PBS after 24 hr. Three days later, the splenic cells were stained with anti‐CD45.1, anti‐CD4 clone GK1.5 (47‐0041‐82; eBioscience), anti‐Vβ5+ clone MR9‐4 (139506; Biolegend, San Diego, CA) and anti‐Vα2+ clone B20.1 (47‐5812‐80; eBioscience) antibodies to examine antigen‐specific CD4+ T‐cell proliferation by FACS. For the in vitro assay, F4/80hi CD11bint Mφs or CD11chi DCs purified from C57BL/6 mice injected with OVA/cells or not were co‐cultured for 3 days with eFluor‐450‐labelled CD4+ Vβ5+ Vα2+ OT‐II T cells in 96‐well round‐bottomed plates. Proliferation was assessed by calculation of the dilution of eFluor‐450 or ki67 clone So1A15 (25‐5698‐82; eBioscience) staining by FACS.
Transwell assay
Approximately 1 × 105 naive DCs from naive mice and 3 × 105 F4/80hi CD11bint Mφs from mice injected with OVA/cells or not in 100 μl culture medium were seeded in the lower or upper chamber of 96‐well 0·4‐μm Transwell plates, and 2 × 105/100 μl OT‐II T cells were added to the lower chamber. Three days later, CD4+ T cells were harvested, and the proliferation of OT‐II T cells was analysed by FACS.
Exosome preparation
The mouse Mφ cell line RAW264.7 was maintained at 37° in 5% CO2 in Dulbecco's modified Eagle's medium (DMEM)/Low Glucose (SH30021.01B; Thermo Fisher Scientific) supplemented with 10% exosome‐free fetal bovine serum (FBS), 25 mm HEPES, 100 units/ml penicillin and 100 μg/ml streptomycin. The FBS used in the cell culture media for exosome isolation was ultracentrifuged at 100 000 g for 16 hr to remove any contaminating exosomes. RAW264.7 cells (15 × 106) were treated with GW4869 or DMSO in a 175‐cm2 flask for 48 hr. The collected supernatants were differentially centrifuged at 300 g for 10 min, 1200g for 20 min and 10 000 g for 30 min to remove whole cells and cell debris. The final supernatant was then ultracentrifuged at 100 000 g for 60 min.20 The resulting pellets were treated with 0·08% pronase or not (Merck‐Calbiochem) in PBS for 20 min, ultracentrifuged, treated the same way again, and 10 ml exosome‐free FBS was added to quench the pronase activity, then washed with 10 ml ice‐cold PBS and centrifuged at 100 000 g for 60 min twice.21 The resulting exosome pellets were resuspended in DMEM containing exosome‐free 10% FBS for functional assays, or the exosome fractions were resuspended in 100 μl PBS and measured for its protein content using the Micro BCA protein assay kit (Shanghai BoCai, Shanghai, China). Exosomes from RAW264.7 cells treated or not with OVA‐FITC were termed EXO or EXN, respectively.
Western blot analysis
Exosomes (40 μg) were resuspended in radioimmunoprecipitation assay buffer with protease inhibitors. The suspension was mixed with Laemmli buffer, heated at 95° for 5 min. Gels for SDS–PAGE were calibrated with Precision Plus protein standards. Anti‐CD9 clone EPR2949 (1 : 500, Abcam, Cambridge, UK), anti‐CD63 clone MX‐49.129.5 (1 : 200, Abcam), anti‐CD81 clone EPR4244 (1 : 500, Abcam), anti‐OVA clone 6C8 (1 : 500, Abcam), and anti‐β‐actin clone AC‐15 (1 : 2000, Sigma‐Aldrich) were used as primary antibodies. Secondary antibodies (horseradish peroxidase‐labelled anti‐mouse or anti‐rabbit) were used at a dilution of 1 : 2000. Bound antibodies were visualized by chemiluminescence using the ECL Plus Western Blotting detection system, and luminescent images were analysed on a LuminoImager.
Inhibition of exosome secretion by GW4869 and spiroepoxide
The inhibitor GW4869 (Sigma‐Aldrich) and spiroepoxide (Santa Cruz Biotechnology, Inc., Dallas, TX) were used to block the secretion of exosomes.22, 23, 24 For in vitro experiments, 10 μm GW4869 or 5 μm spiroepoxide was added into the culture system individually or together. In some experiments, DCs were stained with anti‐CD80 clone 16‐10‐A1 (12‐0801‐82; eBioscience), anti‐CD86 clone GL1 (12‐0862‐83; eBioscience) and anti‐MHC II clone M5/114.15.2 (12‐5321‐83; BioLegend). T cells were stained with anti‐CD25 clone PC61 (102038; BioLegend), anti‐CD44 clone IM7 (45‐0441‐82; eBioscience), anti‐CD62L clone MEL‐14 (12‐0621‐83; eBioscience) and anti‐CD69 clone H1.2F3 (11‐0691‐82; eBioscience). For in vivo experiments, 1·25 mg/kg GW4869 or spiroepoxide was intraperitoneally injected into C57BL/6 mice individually or together once a day for 6 days.25
Statistical analysis
Data are presented as the mean ± SD. A two‐tailed Student's t‐test was used for data analysis. The null hypothesis was rejected, and differences were assessed to be significant at a P value of < 0·05.
Results
Mφs and neutrophils are predominant phagocytes for uptake of dead cells in the spleen
Dead cells were prepared, and detection by FACS showed that > 70% of cells were AnnexinV+ 7‐AAD+ (Fig. 1a), which indicated that they were late‐stage apoptotic cells or secondary necrotic cells, as described previously.26 To observe the distribution of dead cells in vivo, we injected i.v. CFSE‐labelled dead cells into C57BL/6 mice. By immunohistofluorescence analysis, we found that CFSE+ cells were extensively located in the red pulp and white pulp, as indicated by CD11c, F4/80 and B220 staining, as well as in the marginal zone (MZ) as shown by CD169, MARCO and B220 staining (Fig. 1b). This distribution pattern of dead cells in the spleen was similar to that of early apoptotic cells, which were shown to localize to the MZ and red pulp primarily upon entering the spleen from circulation in previous studies.27, 28 To examine which cell type could take up dead cells in the spleen, we first defined distinct splenic cell populations that might carry out phagocytosis, by using a strategy described previously.29, 30 As shown in the left panel of Fig. 1(c), at least five populations in the spleen were identified by using antibodies against CD11c and CD11b, which were further confirmed by the use of other antibodies against F4/80, MHC II as shown in the right panel of Fig. 1(c). Here, CD11chi cells were subdivided into CD11chi CD11blo myeloid DCs (gate: R1) and CD11chi CD11bneg to low lymphoid DCs (gate: R2); meanwhile, CD11cint CD11b− F4/80lo cells were considered plasmacytoid DCs (gated as R3). The fourth population was CD11bint F4/80hi MHCIIint red pulp Mφs (gate: R4), and Ly6C+ Gr‐1+ cells were neutrophils and monocytes (gate: R5). Furthermore, these two cell types in Gate R5 were differentiated by antibodies against CD11b, Ly6C and Gr‐1 into Gr‐1hi CD11bhi neutrophils and Ly6Chi CD11bint monocytes (Fig. 1d). Hence, we found that CFSE+ cells were preferentially phagocytosed by F4/80hi CD11bint Mφs and CD11bhi Gr‐1hi neutrophils at the ratios of 33 ± 6·5% and 26·2 ± 5·2%, respectively, whereas < 5% of CFSE+ dead cells were taken up by lymphoid DCs (Fig. 1e). To clarify whether CFSE+ cells were internalized into the cytosol of phagocytes and did not remain on the surface of phagocytes, we sorted CD45.2+ CFSE+ cells and observed them under a confocal microscope. As shown in Fig. 1(f), CFSE+ fragments were indeed localized in the cytosol of sorted cells. Hence, the selectivity of phagocytosis suggested that Mφs and neutrophils were the relative predominant phagocytes engulfing dead cells in the spleen, although multiple cell types were involved in this process.
Lack of Mφs affects uptake of dead‐cell‐associated antigens and antigen‐specific CD4+ T‐cell responses
To evaluate whether Mφs were involved in the immune response triggered by dead cell materials, we sought to deplete Mφs by systemic CLL treatment, an approach that has been used to efficiently deplete phagocytes.31, 32 In our study, to prepare an Mφ‐specific depletion window, C57BL/6 mice were treated with CLL or PBS‐loaded control liposomes. Splenic cells were analysed by FACS or by confocal microscopy to dynamically evaluate the deletion rate and turnover time‐point of phagocyte populations. As shown in Fig. 2(a), we found that approximately 50% of myeloid DCs, 90% of lymphoid DCs and 99% of CD11bint F4/80hi Mφs were depleted 1 day after CLL injection. On day 5 after injection of CLL, all DC subsets have repopulated completely, whereas most of the CD11bint F4/80hi Mφs and two MZ‐related Mφ subsets (MZ Mφ and marginal metallophilic Mφ) were still absent (Fig. 2a and b). Here, to better separate DC subsets and macrophages, we analysed them according to the strategy33 (see Supplementary material, Fig S1): CD11chi cells were used as conventional DCs, which were all highly expressed MHC II, then CD11bint F4/80hi cells from the remaining CD11cneg to low cells were used as Mφs. The data suggested that a specific window of Mφ depletion was indeed created. This technique was applied for the following experiments. First, we further confirmed the contribution of Mφs in trapping of dead cells when Mφs were completely depleted on day 5 after administration with CLL. As expected, the ratio of CFSE+ cells in the spleen declined to 0·071% in the Mφ‐depleted spleen compared with control (Fig. 2c), which indicated impaired trapping of antigens in the spleen after selective depletion of Mφs. Given the relative predominant phagocytosis of dead cells by Mφs, it became imperative to examine the function of this population in the immune response induced by dead‐cell‐associated antigens. The data showed that antigen‐specific CD4+ T‐cell proliferation was significantly impaired on day 5 and day 12 after the selective depletion of splenic Mφs by CLL treatment (Fig. 2d and e). Hence, the results demonstrated that impaired antigens trapping in the Mφ‐depleted spleen resulted in a decreased CD4+ T‐cell response, suggesting that splenic Mφs were involved in an optimal CD4+ T‐cell response to dead‐cell‐associated antigens.
Mφs participate in CD4+ T‐cell response by transferring dead‐cell‐associated antigens to DCs
Dendritic cells are well‐known as the most potent professional antigen‐presenting cells and play a central role in modulating innate and adaptive immunity.34 However, as shown in Fig. 2(d, e), when Mφs were absent from the spleen, the CD4+ T‐cell response to dead‐cell‐associated antigens only reached approximately 50% of the normal level, although DCs had already completely recovered at that time‐point (CLL 5 day). These data indicated that DCs alone were insufficient to induce a fully activated T‐cell expansion reaction to the infusion of dead‐cell‐associated antigens, hinting that splenic Mφs were also involved in optimizing the response. This finding prompted us to further monitor the contribution of DCs in the immune response to dead‐cell‐associated antigens by using transcription factor Batf3 −/− mice, in which splenic CD8α + DCs are absent but the development and function of other DC subsets and helper T cells are quite normal.35 Not surprisingly, we found that the expansion of CD4+ OT‐II T cells was significantly decreased by almost 70% in Batf3 −/− mice compared with that of the control (Fig. 3a). These data demonstrated that DCs were essential for the induction of the CD4+ T‐cell response to dead‐cell‐associated antigens.
Based on the contribution of splenic DCs and Mφs in the immune response to dead‐cell‐associated antigens, the question was raised of how Mφs participated in this process, directly presented dead‐cell‐associated antigens to T cells or acted as an accessory tool to support presentation by DCs. To test the first possibility, splenic CD11bint F4/80hi Mφs and CD11chi DCs based on the CD11c, CD11b and F4/80 staining were purified (according to the strategy, see Supplementary material, Fig S1) from mice injected i.v. with dead‐cell‐associated antigens, and co‐cultured with OT‐II T cells separately or together for 72 hr. The results showed that Mφs alone weakly induced antigen‐specific CD4+ T‐cell proliferation compared with DCs (Fig. 3b), which was consistent with the conventional view that Mφs had a poor antigen‐presenting capacity due to their lower expression of MHC II and co‐stimulatory molecules.6 However, when OT‐II T cells were co‐cultured with Mφs and DCs together, the proliferation of T cells increased significantly compared with that with Mφs or DCs separately. Hence, we investigated the second possibility mentioned above, that splenic Mφs might be involved in the augmentation of the T‐cell response to dead‐cell‐associated antigens through the help of DCs. Our results showed that naive DCs from mice without the OVA/cell injection could not stimulate T‐cell proliferation, whereas naive DCs cultured together with Mφs from mice injected with OVA/cells induced stronger proliferation of CD4+ T cells (Fig. 3c). The data further suggested that a cooperation between Mφs and DCs occurred to facilitate a stronger CD4+ T‐cell response to dead cell materials. Previous studies showed that Mφs could transfer antigens to DCs to generate effector T cells in different microenvironments.6, 8 Therefore, we speculated that splenic Mφs might transfer dead‐cell‐associated antigens to DCs to enhance the CD4+ T‐cell response in this process. To test this hypothesis, splenic Mφs from mice injected with eFluor‐450‐labelled dead cells were incubated with naive DCs from naive CD11c‐cre GFP mice for various time intervals. The results showed that the ratio of eFluor‐450+ DCs that contained cell‐associated antigens gradually increased over time (Fig. 3d), which indicated that DCs could acquire antigens from Mφs. In summary, these results demonstrated that Mφs could transfer dead‐cell‐associated antigens to DCs for an enhanced CD4+ T‐cell response, even though Mφs themselves possessed a poor antigen‐presenting ability.
Exosomes containing antigens shed by Mφs act as transmitters between Mφs and DCs
To investigate how splenic Mφs from mice injected with OVA/cells conveyed antigens to splenic DCs from naive mice in vitro, we cultured them with naive OT‐II T cells together or separately. As shown in Fig. 4(a), the combination of naive DCs and Mφs from mice injected with OVA/cells could stimulate the proliferation of OT‐II T cells, which was consistent with results shown in Fig. 3(c). However, we also found that the increased proliferation was significantly reduced when fixed Mφs were used in the co‐culture system, suggesting that Mφs transferred antigens to DCs in a soluble manner. To further confirm this finding, we performed a Transwell assay, and found that antigen–Mφs from mice exposed to dead‐cell‐associated antigens could stimulate OT‐II T‐cell proliferation, which demonstrated that the transfer of antigens by Mφs to DCs was closely related to the ‘secretion’ of soluble factors that contain antigens (Fig. 4b).
Recent accumulating evidence suggests that exosomes can function as intercellular transmitters to convey their contents, including proteins, microRNAs or antigens, thereby drawing attention as a cell–cell communication tool.36, 37 Here, we speculated that antigens might have been encapsulated into exosomes, which were subsequently released into the extracellular space and captured by DCs. To address this possibility, we first incubated RAW264.7 mouse Mφ cells with OVA‐FITC and observed that these cells could internalize the fluorescence‐labelled protein (Fig. 4c). Exosomal proteins secreted from RAW264.7 cells incubated with or without OVA were then analysed by immunoblotting. The results demonstrated that the exosome fractions could be verified by the exosome‐specific surface marker CD9. Moreover, OVA also could be detected in these exosomes derived from cell culture supernatants treated with OVA‐FITC (Fig. 4d), suggesting that exosomes released from Mφs included the antigens that were phagocytosed. To further examine whether exosomes containing OVA (EXO) from Mφs could be captured by DCs to induce T‐cell proliferation, we cultured OT‐II T cells with exosomes and DCs, separately or together. As expected, EXO plus DCs induced significant proliferation of OT‐II T cells (Fig. 4e). We also found that EXO alone induced a weak CD4+ T‐cell proliferation, which has been explained by the fact that exosomes could carry MHC II and co‐stimulatory molecules to directly stimulate the T‐cell response.38 In addition, purified exosomes were treated by 0·08% pronase, we excluded the effect of OVA sticking to the outside of exosomes on OVA packages of exosomes (see SUPplementary material, Fig S2a) and T‐cell proliferation in the presence of DCs (see Supplementary material, Fig S2b). Together, these results indicated that the exosomes containing antigens released by Mφs could be captured by DCs, leading to antigen presentation to T cells.
Mφs release exosomes partially through ceramide‐dependent pathway
The ceramide‐dependent secretory pathway has been suggested to be used by certain cell types to transfer tumour‐suppressive microRNA‐containing exosomes to attenuate tumour cell proliferation22 or to transfer exosomes containing antiviral molecules to mediate interferon‐α‐induced antiviral activity.24 Hence, we considered that the ceramide‐dependent pathway might be also involved in the exosome‐mediated antigen transfer machinery in our system. To address this hypothesis, we cultured the RAW264.7 cell line in medium containing a series of concentrations of the neutral sphingomyelinase 2 (nSMase 2) inhibitor, GW4869 and spiroepoxide, which is known to inhibit ceramide biosynthesis. As a result of this treatment, the amount of exosomal protein purified from the supernatant of RAW264.7 cell cultures (each containing the same number of cells) was inhibited in a dose‐dependent manner (Fig. 5a). Furthermore, reductions of exosome marker CD9 and OVA were observed by immunoblotting of exosomes purified from the supernatant of the same number of inhibitor‐treated RAW264.7 cells when compared with DMSO‐treated cells (Fig. 5b). However, levels of OVA and exosomal surface markers such as CD9, were unchanged in the exosomes from inhibitor‐treated cells, as shown by Western blotting when the same amounts of exosomal proteins were loaded (Fig. 5c). These data showed that the treatment of GW4869 or spiroepoxide reduced the amount of exosomes released into the conditioned medium but did not alter the exosomal protein composition, indicating partial involvement of a ceramide‐dependent secretory pathway in the exosome release from antigen‐exposed Mφs.
Based on the secretory mechanism of exosomes from Mφs, we further examined whether the process of releasing antigen‐carrying exosomes by Mφs was indeed involved in the CD4+ T‐cell response induced by dead‐cell‐associated antigens by using inhibitory functional assays in vitro and in vivo. First, we found that the proliferation of OT‐II T cells decreased significantly if GW4869 or/and spiroepoxide were added to the co‐culture system in vitro (Fig. 5d). Subsequently, we performed the in vivo experiment as schematically depicted in Fig. 5(e) and found that the proliferation of antigen‐specific CD4+ T cells was decreased in mice treated with GW4869 and/or spiroepoxide (Fig. 5f). However, the decrease of T‐cell proliferation was not enlarged with the increase of the dose of inhibitor in vitro (see Supplementary material, Fig S3a) and in vivo (see Supplementary material, Fig S3b), even when the two inhibitors were administered together (Fig. 5). In addition, we also excluded the effect of inhibitor on antigen presentation and T‐cell activation (see Supplementary material, Fig S4). Taken together, these results suggested that Mφs transferred antigens to DCs mediated by antigen‐carrying exosomes at least partially via a ceramide‐dependent pathway.
Discussion
Dendritic cells and Mφs are well‐established as major components of the phagocyte system and play critical roles in the clearance of apoptotic cells to induce immune tolerance and maintain homeostasis.39, 40 However, whether the two cell types also act as primary scavengers for dead cells (late apoptotic or necrotic cells) has been unclear. In our study, we found that dead cells were predominantly taken up by Mφs and neutrophils in vivo, confirming the Mφ‐mediated phagocytosis observed in vitro by a previous study.41 However, the finding was different in that neutrophils were held off to engulf apoptotic cells,14 which may be related to different characteristics of secretory signals and recognition molecules between early apoptotic and late apoptotic cells. Moreover, in addition to phagocytosis of dead cells, the function of neutrophils should be further studied. Here, we pondered the role that splenic Mφs would play if a massive number of dead cells needed to be phagocytosed. To explore this issue, we created a Mφ‐specific depletion window with CLL and found impaired antigen‐trapping in the spleen after selective depletion of Mφs. Amazingly, the CD4+ T‐cell response to dead‐cell‐associated antigens was significantly impaired in Mφ‐depleted mice, which seemed contrary to conventional views that Mφs have poor antigen presentation ability.6 These findings prompted us to explore further how Mφs participate in the dead‐cell‐associated antigen‐induced immune response.
Dendritic cells are known as the most potent professional antigen‐presenting cells and play a central role in modulating innate and adaptive immunity.34 In our study, we found that DCs were also required for the CD4+ T‐cell response to dead cell infusion by CLL treatment and the Batf3 −/− mouse model. In addition, DCs alone still display a strong antigen presentation although T‐cell proliferation was inferior to that for co‐cultures of DCs and Mφs together (Fig. 3b). These data indicated that DCs were the major presenter and essential for the induction of CD4+ T‐cell response to dead‐cell‐associated antigens. However, our data also showed that Mφs were the relative predominant phagocytes engulfing dead cells in the spleen compared with other immune cell types (including DCs) in Fig 1. Moreover, the issue was confirmed as shown in Fig. 2(c) that the ratio of CFSE+ cells in the spleen declined by about 50% in the Mφ‐depleted spleen compared with PBS‐loaded control liposomes. Comprehensive analysis of these data give us a suggestion that DCs have stronger ability to present antigens, although they have inferior ability to uptake antigens compared with Mφs, and Mφs have stronger ability to uptake antigens, although they were regarded as poor mediators of T‐cell activation compared with DCs. However, our data also showed that Mφs played a partial role in the CD4+ T‐cell response to dead‐cell‐associated antigens (Figs 2d, e and 3b), it raised a question of how Mφs were involved in this process. Based on the contribution of DCs and Mφs in antigen presentation and antigen uptake, we speculated that there was cooperation between the two cell populations. We first excluded the possibility of directly presenting antigens by Mφs in Fig. 3(b) and previous studies.6 Then we performed the following experiment (Fig. 3c and d) to test that Mφs might act as an accessory tool to support antigen presentation by DCs. These results implied that DCs could acquire dead‐cell antigens from Mφs and present them to induce T‐cell proliferation. Next, to study what factors were involved in this process, we performed the following experiment.
Cellular interaction is mediated by direct cell contact or soluble factors. By using fixed Mφs and the Transwell assay, we found that Mφs could release certain soluble factors containing antigens, which were captured by DCs to induce a T‐cell response. However, the question of what factors specifically were involved in this process needed to be answered. Exosomes, formed by the fusion of multivesicular bodies with the plasma membrane followed by budding,18 have been demonstrated to act as a mediator of cellular cross‐talk in autoimmunity,42 as well as to function as cell–cell communication cargo to regulate immune responses.17 Until now, whether exosomes can act as mediators between Mφs and DCs in the immune response to dead cell materials has been unknown. In our study, by addition of OVA into a culture of the mouse Mφ cell line RAW264.7, we first found that Mφ‐derived exosomes contained the uptaken exogenous antigen OVA (Fig. 4e). This finding was similar to that of a previous study, in which 29 mycobacterial proteins could be identified in exosomes released from Mφs incubated with Mycobacterium tuberculosis culture filtrate protein.43 Subsequently, we found that exosomes could induce significant proliferation of OT‐II T cells in the presence of DCs, although exosomes alone could also weakly stimulate the CD4+ T‐cell response. This observation might reflect the direct stimulation of T cells by EXO considering its ability to carry surface MHC II molecules.38 The results clearly demonstrated that the Mφs released exosomes containing antigens that could be captured by DCs, leading to antigen presentation to augment the T‐cell response. However, how DCs acquired the antigen‐containing exosomes remained unclear.
The biogenesis of exosomes appears to be associated with the endosomal sorting complex required for transport (ESCRT) machinery44; however, it can still be generated in the absence of key subunits of ESCRT.22, 45 Moreover, exosome secretion may be triggered by sphingolipid ceramide, which has a role in the budding of intralumenal vesicles.46 Some cell types, such as tumour cells and human Mφs, have been shown to release exosomes and exosomal contents by the ceramide‐dependent pathway in vivo and in vitro.22, 23, 24 However, whether Mφs transferred uptaken antigens to DCs through the ceramide‐dependent exosome‐releasing pathway was unclear. By treatment with an inhibitor of nSMase 2, GW4869, we found that the release of exosomal proteins from the murine Mφ cell line was decreased in a dose‐dependent manner. To further verify the function of exosomes as transmitters in the immune response to dead‐cell‐associated antigens, we tested the effect of GW4869 in our system. We found that the OT‐II T‐cell response to dead‐cell‐associated antigens was decreased both in vitro and in vivo after treatment with GW4869, suggesting that dead‐cell‐associated antigens could be incorporated into exosomes and released partially at least via a ceramide‐dependent pathway. Although another structurally unrelated inhibitor of nSMase, spiroepoxide, was used to inhibit exosome release, we found the effect of spiroepoxide on exosome release and their function in vitro and in vivo were similar to that of GW4869, even when they were combined. It is considered that exosome secretion via a ceramide‐dependent pathway might arrive at saturation, suggesting that some other pathway, such as the ESCRT pathway, might be involved in this process, or interaction between DCs and Mφs was also mediated by other factors. In summary, exosomes released by Mφs via a ceramide‐dependent pathway played a partial role in this experiment.
In addition, little is known about how dead‐cell‐associated antigens are sorted into exosomes for their secretion, and the precise mechanism involved in the actual cellular transfer requires further investigation. Although many studies have reported that exosomes participate in mediating autoimmune diseases,17, 40 the detailed mechanism remains to be explored. Hence, our study provides a novel insight into the potential function of secretory exosomes containing late apoptotic cell‐associated antigens as a transmitter between Mφs and DCs. Such exosome‐mediated cross‐talk may play an important role in the process of autoimmune diseases such as systemic lupus erythematosus, which is caused by an aberrant T‐cell immune response to excessive apoptotic cells proceeding to secondary necrosis. However, the issue needs further investigation in future work using an appropriate disease model.
In summary, we demonstrated splenic Mφs and neutrophils as the predominant phagocytes engulfing dead cells. Moreover, both Mφs and DCs were required for a robust CD4+ T‐cell response to dead‐cell‐associated antigens. Interestingly, Mφs could transfer antigens to DCs, leading to an enhanced T‐cell response to dead‐cell‐associated antigens. Finally, we identified that exosomes containing antigens were released from Mφs partially in a ceramide‐dependent manner, and served as transmitters to convey antigens to DCs. Therefore, our findings have provided insight into the novel pathways of cellular cross‐talk between Mφs and DCs, which will be helpful in illuminating the mechanisms of the immune response in autoimmune diseases characterized by accumulation of dead cells.
Author contribution
Y.X. and H.T. designed the experiments; Y.X. performed the experiments; W.S. assisted with the experiments and revised the manuscript. Y.L., C.Y., L.K., M.W., J.H. and H.H. performed and analysed the animal experiments. Y.X. and H.T. wrote the manuscript.
Disclosure
There are no conflicts of interest.
Supporting information
Acknowledgments
We thank Dr Qing‐Sheng Mi (Henry Ford Immunology Program, Henry Ford Hospital) for his help in preparing the manuscript. We thank Professor Qiuling Zhang (Taishan Medical University) for her help in the maintenance of mice. This work was supported by grants from the National Natural Science Foundation of China (Nos. 81302603, 81471553, 81172882, 81272315, 81172791, 81202308 and 81273212), the National Basic Research Programme of China (2015CB943203), the National Science and Technology Major Projects (2014ZX09508003), and the National Science Foundation of Shandong Provice, China (ZR2011CM037, J13LK01).
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