NF-B2 is required for the establishment of central tolerance through an Aire-dependent pathway
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《临床调查学报》
1Department of Pathology and Committee on Immunology, University of Chicago, Chicago, Illinois, USA.
2Division of Molecular Immunology, La Jolla Institute for Allergy and Immunology, San Diego, California, USA.
3Immune Activation Section, Laboratory of Immune Regulation, National Institute of Allergy and Infectious Diseases, NIH, Bethesda, Maryland, USA.
Abstract
NF-B2–deficient mice have impaired T and B cell responses. We found, however, that in these mice there was severe infiltration of lymphocytes into multiple organs and increased activity of autoantibodies to peripheral tissue antigens in a manner similar to that of autoimmune regulator–deficient (Aire-deficient) mice. We further demonstrated that NF-B2 was required for thymic Aire gene transcriptional regulation. The Nfkb2–/– thymus had distinct cortical and medullar structures, but reduced Aire and target gene expression of peripheral tissue antigens. Engraftment of Nfkb2–/– thymic stroma to nude mice recapitulated the autoimmune phenotype of the native Nfkb2–/– mice, confirming a key defect in central tolerance. Lymphotoxin receptor (LTR) ligation–induced Aire gene expression was also largely abolished in the absence of NF-B2. Thus NF-B2 downstream of LTR plays an important role in the regulation of central tolerance in an Aire-dependent manner.
Introduction
Self tolerance is a fundamental property of the immune system. Thymic negative selection provides a critical mechanism for establishing self tolerance by eliminating the self-reactive T cell repertoire. How autoreactive T cells specific for peripheral tissue-specific antigens (TSAs) are purged from the thymus had been debated until recent evidence emerged demonstrating that TSAs are ectopically expressed in the thymus, specifically on medullary epithelial cells (1, 2). Autoimmune regulator (AIRE) is a recently discovered transcription factor that coordinates the expression of a set of TSAs in medullary thymic epithelial cells (mTECs) for the depletion of self-reactive T cells. The absence of thymic Aire expression leads to the escape of autoreactive T cells and results in frank autoimmunity (3, 4). With the understanding of AIRE’s role in controlling promiscuous expression of TSAs and central tolerance, much interest has focused on how AIRE is regulated. Several molecules including lymphotoxin receptor (LTR), NF-B–inducing kinase (NIK), and TNF receptor–associated factor 6 (TRAF-6) (5–8) have been implicated, as their respective deficient mice present similarly with increased multiorgan infiltration and autoantibody reactivity to peripheral antigens. How these findings are connected, however, remains elusive. TRAF-6, for example, is downstream of neither LTR nor NIK. Yet TRAF-6–deficient mice have a disorganized thymic structure similar to that of NIKaly/aly mice, a natural strain with alymphoplasia caused by a point mutation in the gene encoding NIK (5, 9). On the other hand, despite being upstream of NIK, LTR-deficient mice show thymic architecture similar to that of WT mice (7, 10). Therefore, NIK may receive additional signals to regulate thymic architecture while TRAF-6 lies in a different signaling pathway to control central tolerance.
NF-B2 transduces signals downstream of both LTR and NIK. While both LTR and NIK are critical for secondary lymphoid organ organization and development, only NIK has an additional role in thymic architecture organization (9–12). Ltbr–/–, NIKaly/aly, and Nfkb2–/– mice all lack Peyer’s patches, B cell follicles, and follicular DC networks (9–12). However, in contrast to Ltbr–/– and NIKaly/aly mice, Nfkb2–/– mice have milder microarchitectural changes in the spleen, retain almost all lymph nodes, and display normal thymic architecture (13, 14). These findings indicate that other downstream signaling pathways may also coordinate with the NF-B2 pathway for secondary lymphoid organ development and organization (15). Therefore, the role of NF-B2 in regulating central tolerance remains unclear.
Nfkb2–/– mice also present with reduced peripheral B cell populations and impaired B cell function (13, 14). In the T cell compartment, NF-B2 appears to be important for T cell proliferation and resistance to apoptosis (16). In the absence of NF-B2, mice infected with Toxoplasma gondii fail to maintain their T cell responses, due in part to increased apoptotic attrition (16). While these data suggest NF-B2 to be an activator of the immune response, we were surprised to find that Nfkb2–/– mice harbored a strong autoimmune phenotype, implying that NF-B2 may have a dominant role in self tolerance. Given that Nfkb2–/– mice present with a pattern of autoimmunity reminiscent of Aire–/– mice, we sought to determine whether NF-B2 played an essential role in central tolerance. In this study, we found that NF-B2 was necessary for thymic Aire gene transcriptional regulation. NF-B2 deficiency in the thymic stroma was sufficient to lead to autoimmunity. Thus, NF-B2 plays an important active role in establishing central tolerance through an Aire-dependent pathway.
Results
Autoimmune phenotype in NF-B2–deficient mice. NF-B2 has been described to play an important role in developing optimal T and B cell responses (13, 14, 16). However, our analysis of Nfkb2–/– mice aged 6–8 months revealed marked lymphocytic infiltration of the livers, lungs, kidneys, and pancreata (Figure 1A). Such infiltrates were not seen in WT or Nfkb1–/– mice of similar age (data not shown). To confirm that this cellular infiltration is a result of an active, ongoing immune response rather than a passive displacement, infiltrating cells in the lung were isolated by collagenase digestion and then examined for lymphocyte activation and memory markers by flow cytometry analysis. Staining of activation marker CD69 demonstrated a 16-fold increase in the percentage of activated CD4 cells and a 9-fold increase in the percentage of activated CD8 cells in the lungs of Nfkb2–/– mice (Figure 1B). The percentage of the CD44+ memory cell population was increased by about 6- to 8-fold within CD4 and CD8 cells of Nfkb2–/– mice (Figure 1B). The increase of the percentage of both activated and memory cells, together with an approximately 3- to 4-fold increase in the absolute number of infiltrating lymphocytes, suggests that the infiltration in the lung is the result of an active, ongoing immune response.
To examine further whether self reactivity is manifested in Nfkb2–/– mice, 6-month-old Nfkb2–/– and WT mice were bled, and the autoreactive antibodies were tested by both ELISA and immunofluorescence staining of tissues from Rag1–/– mice. Sera from age-matched Aire–/– mice were used as a positive control. The ELISA results demonstrated significantly higher titers of both IgG and IgM autoantibodies to insulin in 6- to 8-month-old Nfkb2–/– mice relative to age-matched WT mice (Figure 1C). To test more generalized organ-specific autoimmunity, we detected autoreactive antibodies directed against salivary gland and stomach by immunofluorescence staining of Rag1–/– tissue sections in the sera of Nfkb2–/– mice and found them to be similar to those of Aire–/– mice, but not in WT mice (Figure 1D). These data indicate that NF-B2 deficiency leads to autoimmunity.
Autoimmunity stems from a defect in the radiation-resistant stromal compartment. Since the NF-B2 pathway plays important roles in both stromal and hematopoietic compartments, we next used BM chimeras to distinguish the contributions of each compartment to the autoimmune phenotype. Reciprocal transfers were performed with Nfkb2–/– BM transplanted into lethally irradiated WT mice, WT BM transplanted into Nfkb2–/– mice, and WT BM into WT mice as a control. At 12 weeks, examination of peripheral organs, including liver, lung, kidney, pancreas, salivary gland, and stomach, revealed no infiltration in WT hosts of WT BM and minor to no infiltration in WT hosts of Nfkb2–/– BM. In stark contrast, Nfkb2–/– recipients of WT BM presented with severe infiltrations in the liver and lung (Figure 2). This suggests that NF-B2 deficiency in the radiation-resistant stroma, rather than the hematopoietic compartment, is the primary cause of the witnessed autoimmunity.
Central defect of reduced expression of Aire and other TSA genes in Nfkb2–/– mice. Due to the similarity in autoimmune phenotypes among Nfkb2–/– and Aire–/–, Ltbr–/–, Traf6–/–, and NIKaly/aly mice, we wondered whether NF-B2 deficiency results in a defect in mTEC expression of Aire, a critical step for eliminating autoreactive thymocytes and establishing central self tolerance. To explore whether Nfkb2–/– mice harbor a defect in mTEC development, thymi from 5- to 7-week-old Nfkb2–/– and WT mice were first analyzed by H&E staining. The Nfkb2–/– thymi were well developed and organized, with similar size to and distinct medullary and cortical areas as in WT thymi. Although the medulla was a little more isolated in Nfkb2–/– than that in WT thymi, by calculating the areas of the medulla and cortex, we found no significant difference in terms of the ratio of medulla to cortex compared with WT thymus (WT, 0.35 ± 0.08; Nfkb2–/–, 0.30 ± 0.09; P = 0.49; Figure 3A). Next we specifically visualized mTECs by immunofluorescence staining of different medulla markers. We used antibodies to epithelial cell adhesion molecule (Ep-CAM; also referred to as G8.8), which has been reported to recognize most mTECs (17), and Ulex europaeus agglutinin 1 (UEA-1), a lectin that binds to mature mTECs (18). Representative staining results are shown in Figure 3B. Further quantitative analysis revealed somewhat reduced numbers of G8.8+ and UEA-1+ cells in Nfkb2–/– thymi compared with WT (Figure 3C). This suggests that NF-B2 might play a role in the development and/or organization of mTECs. Aire is preferentially expressed in mTECs and drives the ectopic expression of a collection of peripheral TSAs such as insulin 1 (Ins1), casein (Csna), and salivary protein 1 (Sp1) (3, 19, 20). To determine whether Aire expression was perturbed in Nfkb2–/– thymi, the expression was first visualized by anti-Aire antibody. Significant reduction of Aire expression was found in Nfkb2–/– thymi as well as in Aire–/– thymi (Figure 3D). To further determine quantitatively the reduction of Aire expression and whether Ins1, Csna, and/or Sp1 expression are also sufficiently impaired in Nfkb2–/– thymi, we performed total thymus real-time PCR. We found about 3-fold reduced Aire expression and dramatically decreased Ins1, Csna, and Sp1 gene expression in Nfkb2–/– thymi compared with age-matched WT thymi (Figure 3E). Similarly, Ins2, an important gene in the development of IDDM, is an another Aire-dependent TSA and was also found to be significantly reduced in Nfkb2–/– thymi compared with WT (Supplemental Figure 1A; supplemental material available online with this article; doi:10.1172/JCI28326DS1). Since the mTEC population was found to be slightly reduced in Nfkb2–/– thymi, to more specifically quantitate the role of NF-B2 in transcriptional regulation of expression of Aire and other TSA genes within the mTEC population, we purified the mTECs (CD45–G8.8+B7.1+) by fluorescence-activated cell sorting and reanalyzed Aire, Ins1, Csna, and Sp1 gene expression with Keratin 14 (Krt14) as a control. This keratin subset is constitutively and specifically expressed in the majority of mTECs in the thymus (21) and was not regulated by NF-B2 (data not shown). Expression of Aire, Ins1, Csna, and Sp1 was again reduced significantly in Nfkb2–/– mTECs compared with WT mTECs on a per-cell basis (Figure 3F). Ins2 was also detected at a lower level in Nfkb2–/– mTECs compared with WT mTECs on a per-cell basis (Supplemental Figure 1B). It thus appears that NF-B2 is required for optimal Aire, Ins1, Csna, and Sp1 expression within mTECs. Aire is expressed not only in mTECs, but also in DCs, which suggests it might play additional roles other than TSA transcriptional regulation, such as T cell–APC interaction and APC-mediated T cell activation for self tolerance (22, 23). We therefore detected Aire expression in DCs. Interestingly, Aire expression in DCs appeared to also be regulated by NF-B2, since a significant reduction was found in Nfkb2–/– thymic DCs (Figure 3G) and splenic DCs (Figure 3H). This further supports the role of NF-B2 for Aire transcriptional regulation in mTECs.
As DCs also serve as an important source of ectopic TSA expression in self tolerance (24–26), we further sought to determine whether these TSAs were expressed in thymic and splenic DCs, and if so, whether they were interrupted by a lack of NF-B2. We did not detect Ins1, Ins2, Csna, or Sp1 expression in purified thymic DCs by real-time PCR within 50 cycles (data not shown). This might indicate that DCs are not the major cell population for ectopic expression of Ins1, Ins2, Csna, and Sp1 in the thymus. Whether some other TSAs are prominently expressed in thymic DCs and regulated by NF-B2 remains to be determined. In the peripheral, Ins1 and Ins2, but not Csna or Sp1, were readily detected in splenic DCs, although at much lower levels (about 30- and 200-fold for Ins1 and Ins2, respectively) than in mTECs. Moreover, splenic DCs lacking NF-B2 had significantly reduced Ins1 and Ins2 expression (Figure 3H and Supplemental Figure 1C). Thus, NF-B2 appears to be required for optimal expression of Aire and other TSA genes not only within mTECs, but also in DCs.
No defect in the development of CD4+CD25+ Tregs. CD4+CD25+ Tregs generated in the thymus can actively suppress autoimmune responses, and their absence leads to severe autoimmunity (27–29). Since it has been reported that Treg generation in the thymus can be induced by the expression of self peptides within mTECs (30, 31), it is possible that the autoimmunity seen in Nfkb2–/– mice could be due to defective thymic Treg generation. Foxp3 is presently the most definitive functional marker for Tregs (27–29). To determine whether Treg generation in the thymus is impaired by NF-B2 deficiency, thymic Foxp3 gene expression was first analyzed by real-time PCR. We found no significant difference in Foxp3 expression between Nfkb2–/– and WT thymi (Figure 4A). This finding was further confirmed by intracellular staining for Foxp3, which revealed no change in the percentage of Foxp3+CD4+ thymocytes (Figure 4B). We did not find any defect in the suppressive function of Nfkb2–/– CD4+CD25+ Tregs in the CD4+CD25– T cell proliferation assay upon anti-CD3 stimulation (data not shown). Thus, NF-B2 deficiency does not lead to deficient thymic generation of CD4+CD25+ Tregs.
NF-B2 in the thymic stroma is required for self tolerance. To demonstrate conclusively that the autoimmune phenotype in Nfkb2–/– mice is due to a defect in the thymic stroma, we performed thymus transplant experiments. Fetal thymi from Nfkb2–/– and WT mice were depleted of hematopoietic cells by incubation with 2'-deoxyguanosine for 6 days and then grafted under the kidney capsules of nude mice, creating Nfkb2–/–nude mice and WTnude mice, respectively. Twelve weeks after engraftment, both Nfkb2–/– and WT thymi were well developed and functioned, containing approximately equal numbers of thymocytes (Figure 5A) with similar double negative (DN), double positive (DP), and single positive (SP) subset distribution (Figure 5B). Real-time PCR of Nfkb2–/– and WT total donor thymi found significantly reduced Aire and Ins1 expression in Nfkb2–/– relative to WT thymi (Figure 5C). We analyzed peripheral organs including the liver, lung, pancreas, and salivary gland to determine the extent of peripheral autoimmune infiltration. While no infiltration was seen in WTnude mice, significant infiltration was observed in nearly all Nfkb2–/–nude mice (Figure 5D). Immunostaining of Rag1–/– tissue sections with serum from the recipient mice revealed significant autoantibodies against stomach and salivary gland in the sera of Nfkb2–/–nude mice but not WTnude mice (Figure 5E). Only 1 WTnude mouse showed weakly positive staining, but 3 of the 4 Nfkb2–/–nude mice showed strong autoantibody reaction. These data indicate that NF-B2 deficiency in the thymic stroma is sufficient to result in a breakdown in self tolerance.
LTR, but not TNF receptor, is essential and sufficient for NF-B2–mediated Aire expression. NF-B2 is a critical signaling component downstream of both the LTR and the TNF receptor (TNFR). TNFR-deficient and Nfkb2–/– mice share identical defects in splenic architecture, in addition to lacking Peyer’s patches, B cell follicles, and follicular DC clusters (32, 33). LTR-deficient mice similarly share these defects but have others in addition, for example, absence of T cell/B cell segregation and lymph node aplasia. To determine whether NF-B2 mediates LTR- or TNFR-dependent Aire expression, we treated 4- to 6-week-old WT or Nfkb2–/– mice intraperitoneally with agonistic anti-LTR antibody or recombinant TNF. Total thymic Aire expression was evaluated by real-time PCR to assay whether the absence of NF-B2 disrupts the induction of Aire by these ligands. We found that 6 hours after treatment with anti-LTR, Aire expression was significantly increased in WT mice (Figure 6A). At the same time, regardless of the dose (1 or 2 μg) and duration (2, 4, or 8 hours), recombinant TNF failed to induce Aire expression in WT mice (Figure 6B and data not shown). This is also consistent with our finding that Aire expression was normal in both Tnfr–/– and Tnf–/– thymi (data not shown). In Nfkb2–/– mice, the induction of Aire expression in response to agonistic anti-LTR was largely abolished (Figure 6C). Taken together, these findings indicate that NF-B2 regulated by LTR is necessary for transcriptional control of thymic Aire gene expression.
Discussion
Disrupted thymic Aire expression can be the result of either impaired mTEC development and/or organization or defective transcriptional regulation. Impaired thymic Aire expression has been reported for NIKaly/aly and TRAF6-deficient mice (5, 6), though it remains unclear whether this is due to impaired mTEC development or defective Aire transcription. Both NIKaly/aly and TRAF6-deficient mice have significantly disorganized thymic medulla and an absence in the UEA-1+ subpopulation of mTECs (5, 6). While we have recently described the critical role of LTR signaling for optimal Aire gene expression (7), the signaling events downstream of the LTR remain poorly characterized. LTR uses 2 prominent signaling pathways, namely, the canonical p50-RelA pathway and the noncanonical p52-RelB pathway (34). In contrast to Ltbr–/– and NIKaly/aly mice, Nfkb2–/– mice have much milder architectural changes in the spleen, retain almost all lymph nodes, and display normal thymic architecture (13, 14). Our recent study suggests that p50-RelB and p52-RelA may also play a role for the development and organization of lymphoid structures (15). Therefore, the NF-B pathway that is responsible for LTR-mediated Aire expression is still unclear. The apparent conflict between a defective T cell/B cell response to foreign antigens but increased autoimmunity in Nfkb2–/– mice and the similarity of the autoimmune phenotypes among Nfkb2–/– and Aire–/–, Ltbr–/–, Traf6–/–, and NIKaly/aly mice led us to explore the role played by NF-B2 in central tolerance. Our finding of disrupted thymic Aire expression in the purified mTECs from Nfkb2–/– mice points to the necessity of NF-B2 in transcriptional control of Aire expression. Indeed, in models of thymic transplantation, deficiency in NF-B2 on the thymic stroma was found to be sufficient to disrupt central tolerance, leading to overt autoimmunity. The slightly impaired mTEC organization and/or development probably also contributes to the breakdown of central tolerance in Nfkb2–/– mice. The largely undisturbed thymic architecture in Nfkb2–/– thymi differs significantly from that of NIKaly/aly thymi, suggesting that NIK may mediate pathways in addition to p52 for the organization and development of mTECs. The more severe reduction in Aire expression in NIKaly/aly thymi relative to Nfkb2–/– thymi could be a consequence of concomitant reduction of both mTEC population and transcriptional activation. RelB is a critical p52 binding partner, and Relb–/– mice present with severe autoimmunity. While Relb–/– mice similarly have reduced thymic Aire expression, this is in the context of significantly disrupted thymic architecture and absent mTECs (35, 36). It is therefore difficult to conclude whether p52-RelB complexes are required for Aire expression or whether the RelB defect represents a failure in development and/or organization of mTECs. Similar difficulties exist for dissecting the potential role of RelA in central tolerance, since Rela–/– mice are embryonic lethal (37, 38). Whether p52 pairs with RelB or other molecules for Aire expression remains to be determined.
CD4+CD25+ Treg generation has been reported to be reduced in NIKaly/aly mice (6). Although p52 is the major signaling component downstream of NIK, Treg generation defects were found in neither the thymi nor the spleens of Nfkb2–/– mice. The suppressive function of Tregs from Nfkb2–/– mice also remains comparable to their WT counterparts. In our thymic stroma transplant experiments, we evaluated Foxp3 mRNA expression from the total transplanted thymi and similarly found no difference between WTnude and Nfkb2–/–nude mice (data not shown). This suggests that pathways downstream of NIK other than p52 are responsible for Treg generation in thymus. Although T cell–specific ablation of IB kinase (IKK2), which may also be regulated by NIK, leads to reduced thymic Treg generation (39), it is not likely the case for NIKaly/aly mice, since NIKaly/+ mice reconstituted with NIKaly/aly BM did not present with signs of autoimmunity (6). Taken together, these results suggest that NIK, through a p52-independent pathway, may regulate thymic Treg generation. By generating BM chimeras we were able to determine the autoimmune defect in Nfkb2–/– mice originated largely in the stromal compartment. By thymus transplant experiments, we showed that the defective thymic stroma from Nfkb2–/– mice was sufficient for the breakdown in self tolerance. Twelve weeks following transplant, the Nfkb2–/–nude autoimmune phenotype was comparable to that of 6- to 8-month-old Nfkb2–/– mice. This finding points to the magnitude of the thymic defect in Nfkb2–/– mice. The more rapid presentation of autoimmune phenotype in the Nfkb2–/–nude mice may be accounted for by the more competent secondary lymphoid structure and microarchitecture in these mice relative to the Nfkb2–/– mice. Additionally, the peripheral stroma of Nfkb2–/– mice have a demonstrated defect in supporting the immune response (13, 14). Furthermore, Nfkb2–/– T cells themselves have activation defects (16). In the Nfkb2–/–nude mice, these additional restrictions were removed. Thus the severity of the autoimmune defect in the Nfkb2–/– thymus may have been in part masked by the immune-modulating defects in the periphery. These might also account for the fact that no diabetes or hyperglycemia developed in 8- to 10-month-old Nfkb2–/– mice, even in the presence of severe infiltration in the pancreas.
It is interesting that chimeric Nfkb2–/– mice with WT BM cells and Nfkb2–/– mice did not show the exact same infiltration pattern in affected organs. Although there was significant infiltration in the pancreata and kidneys in Nfkb2–/– mice, it was rarely seen in the BM chimera. This raises the possibility of a role for hematopoietic cells such as DCs in self tolerance establishment or modulation. One explanation would be if hematopoietic APCs express self antigens targeting pancreas and kidney, thereby preventing autoimmunity to these organs in the BM-chimeric mice. Since none of the 4 TSAs we chose was detectable in thymic DCs, this hypothesis regarding central tolerance remains to be tested in future studies. However, we readily found Ins1 and Ins2 expression in peripheral splenic DCs and a dramatic reduction of both in Nfkb2–/– mice. This might lead to impaired peripheral tolerance in Nfkb2–/– mice (25). Besides self antigen expression and presentation, DCs have also been shown to play critical roles in maintaining peripheral tolerance (40–42). NF-B2 was previously reported as a negative regulator of DC function (43). DCs lacking NF-B2 have dramatically enhanced RelB activity, which is associated with increased MHC class II and costimulatory molecule expression and an enhanced ability to induce CD4+ T cell responses. This also implies a role of NF-B2 in peripheral tolerance maintenance. The delineation and definition of the role of Nfkb2–/– DCs for self tolerance remain to be explored in the future.
Our study defines the role of NF-B2 in regulating thymic Aire expression and thereby contributing to the maintenance of central tolerance. Our finding also clarifies that the p52 pathway is a primary pathway downstream of the LTR responsible for Aire-dependent central tolerance. The understanding of how the Aire gene is regulated may provide better diagnostic and therapeutic possibilities in the future treatment of autoimmune diseases.
Methods
Mice. Nfkb1–/– and Nfkb2–/– mice were previously described (14, 44). Aire–/– mice were generated with a mixed genetic background as described previously (45) and backcrossed to C57BL/6 for at least 6 generations in the lab of Y.-X. Fu. C57BL/6 mice and Foxn1nu mice (nude mice) were purchased from The Jackson Laboratory. Mice were maintained in a specific pathogen–free facility. Animal care and experiments were performed in accordance with institutional and NIH guidelines and were approved by the animal use committee at the University of Chicago.
Histopathology. Tissues for histological examination were fixed in 10% buffered formalin and embedded in paraffin. Four- to five-micron sections were obtained from the paraffin blocks and stained using H&E stain methods. All sections were then examined by a pathologist in a blinded fashion. NIH ImageJ version 1.34s software (http://rsb.info.nih.gov/ij/) was used to calculate the thymic cortical and medullary areas.
Immunofluorescence staining. Six-micron frozen sections were fixed in acetone at 4°C for 10 minutes, rehydrated in PBS/saponin (0.1%), and blocked with goat serum (5%) or BSA (1%) in PBS at room temperature for 1 hour. For autoantibody detection, sera were diluted 1:60 and incubated overnight at 4°C. Anti-mouse IgG(H+L)–FITC (Caltag Laboratories) was used for visualization. For thymus staining, antibodies G8.8 (BD Biosciences — Pharmingen), UEA-1–bio (Sigma-Aldrich), and polyclonal rabbit anti-Aire (gift from P. Peterson, Molecular Pathology, University of Tartu, Tartu, Estonia) were incubated with sections at 4°C overnight and detected with appropriate fluorescence reagents. NIH ImageJ version 1.34s software was used to calculate the G8.8+ and UEA-1+ area.
Flow cytometry analysis. Single-cell suspensions from the lung were stained with anti-CD4 (GK1.5), anti-CD8 (53-6.7), anti-CD44 (IM7), and anti-CD69 (H1.2F3) monoclonal antibodies (BD Biosciences — Pharmingen) in cold PBS containing 0.2% BSA and 0.09% sodium azide. Before staining, the cells were preincubated with anti–FcIII/II receptor (2.4G2; BD Biosciences — Pharmingen). Foxp3 intracellular staining was carried out using Mouse Regulatory T cell Staining Kit according to the manufacturer’s instructions (eBioscience). Stained cells were analyzed on FACSCalibur (BD Biosciences). For mTEC sorting, the thymus was digested, and mTECs were enriched by incontinuous Percoll gradient centrifuge as described previously (3). Enriched mTECs were stained with anti–Ep-CAM (G8.8), anti-CD45.2 (104), anti-CD80 (16-10A1), and appropriate secondary fluorescence reagents (BD Biosciences — Pharmingen). The CD45.2–G8.8+CD80+ population was sorted on FACSAria (BD Biosciences). For thymic DC sorting, after thymic digestion, DCs were stained with anti-CD11c (HL3) and anti–I-A/I-E (M5/114.15.2) (BD Biosciences — Pharmingen). DCs were sorted as the CD11c+I-A+ population. For splenic DC isolation, CD11c (N418) MicroBeads (Miltenyi Biotec) was used following the manufacturer’s protocol.
Real-time PCR. Real-time PCR was carried out on cDNA prepared from DNase I–treated RNA extracted from whole thymus, purified mTECs, or DCs. The primers and probes used were as follows: Aire forward, 5'-CCAGTGAGCCCCAGGTTAAC-3'; reverse, 5'-GACAGCCGTCACAACAGATGA-3'; probe, 5'-FAM-TCACCTCCGTCGTGGCACACG-TAMRA-3'; Ins1 forward, 5'-CTTCAGACCTTGGCGTTGGA-3'; reverse, 5'-ATGCTGGTGCAGCACTGATC-3'; probe, 5'-FAM-CCCGGCAGAAGCGTGGCATT-TAMRA-3'; Ins2 forward, 5'-GACCCACAAGTGGCACAA-3'; reverse, 5'-ATCTACAATGCCACGCTTCTG-3'; probe, 5'-FAM-CCCGGGAGCAGGTGACCTT-TAMRA-3'; Csna forward, 5'-TTTGCTATGCCCAGACTTCA-3'; reverse, 5'-TTTCCTCACTGCTGCTATGC-3'; probe, 5'-FAM-TGCAGTTAGCAGTCAAACTCAGCAACA-TAMRA-3'; Sp1 forward, 5'-GTGTTGCTTGGTGTTTCCAC-3'; reverse, 5'-GCAGAATCAGCAGTTCCAGA-3'; probe, 5'-FAM-TGCCAGGACCCGGAGACAAA-TAMRA-3'; Gapdh forward, 5'-TTCACCACCATGGAGAAGGC-3'; reverse, 5'-GGCATGGACTGTGGTCATGA-3'; probe, 5'-FAM-TGCATCCTGCACCACCAACTGCTTAG-TAMRA-3'; and Krt14 forward, 5'-TGGGTGGAGACGTCAATGTG-3'; reverse, 5'-ATCTCGTTCAGGATGCGGC-3'; probe, 5'-FAM-ACGCCGCCCCTGGTGTGG-TAMRA-3'. Reactions were run on the 7300 Real-Time PCR System (Applied Biosystems) in a final volume of 25 μl with 900 nM of the forward and reverse primers and 200 nM of the probe using 2x TaqMan Universal PCR Master Mix (Applied Biosystems) containing AmpliTaq Gold DNA Polymerase. Cycling conditions were a single denaturing step at 95°C for 15 minutes followed by 45 cycles of 94°C for 15 seconds and 60°C for 1 minute. Analysis of Aire, Ins1, Ins2, Csna, Sp1, Gapdh, and Krt14 gene expression was performed with a concurrently run standard curve, then normalized to sample Gapdh or Krt14 levels. The standard curves had r2 values of at least 0.99.
In vivo stimulation. WT and Nfkb2–/– mice received intraperitoneal injections of 50 μg agonistic LTR Ab (3C8), 1 or 2 μg recombinant TNF (Chemicon International), or rat-IgG isotype control in PBS. RNA from thymi was collected at the time points indicated in the Results. Real-time PCR was carried out on cDNA prepared from DNase I–treated RNA.
Autoantibody ELISA. For the detection of insulin autoantibodies, insulin was coated at 2 U/ml, and goat anti-mouse IgG-AP and IgM-AP (SouthernBiotech) were used as detecting antibodies. Antibody levels are shown in arbitrary units calculated from a standard curve.
BM reconstitution. Mice were lethally irradiated with 10 Gy and adoptively transferred i.v. with 3 x 106 BM cells. Bactrim was added to the drinking water for 3 weeks following irradiation. Tissue sections from the mice were analyzed 12 weeks after transfer.
Thymic transplantation. Thymi were isolated from newborn Nfkb2–/– or WT mice and cultured in 1.35 mM 2'-deoxyguanosine (Sigma-Aldrich) for 6–8 days to deplete BM-derived cells. Thymi were then transplanted under the kidney capsule of 6-week-old nude mice. Whole blood was collected 12 weeks after transplantation. Thymus recovery was determined by staining of thymocytes with anti-CD4 and anti-CD8 as described above. Serum was used to stain Rag1–/– tissue sections by immunofluorescence as described above.
Statistics. Statistical significance was determined by 2-tailed Student’s t test. P values less than 0.05 were considered statistically significant. Unless otherwise specified, all data are presented as mean ± SD.
Acknowledgments
We would like to thank Wenhua Liu from the University of Chicago Department of Pathology for H&E staining and analysis and Ryan Guggan from the University of Chicago Flow Cytometry Facility for cell sorting. This research was supported by grants from the NIH (HD062026 and DK58897, to Y.-X. Fu).
Footnotes
Nonstandard abbreviations used: AIRE, autoimmune regulator; Csna, casein ; Ep-CAM, epithelial cell adhesion molecule; Ins1, insulin 1; LTR, lymphotoxin receptor; mTEC, medullary thymic epithelial cell; NIK, NF-B–inducing kinase; Sp1, salivary protein 1; TNFR, TNF receptor; TRAF-6, TNF receptor–associated factor 6; TSA, tissue-specific antigen; UEA-1, Ulex europaeus agglutinin 1.
Conflict of interest: The authors have declared that no conflict of interest exists.
Citation for this article: J. Clin. Invest. 116:2964–2971 (2006). doi:10.1172/JCI28326
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2Division of Molecular Immunology, La Jolla Institute for Allergy and Immunology, San Diego, California, USA.
3Immune Activation Section, Laboratory of Immune Regulation, National Institute of Allergy and Infectious Diseases, NIH, Bethesda, Maryland, USA.
Abstract
NF-B2–deficient mice have impaired T and B cell responses. We found, however, that in these mice there was severe infiltration of lymphocytes into multiple organs and increased activity of autoantibodies to peripheral tissue antigens in a manner similar to that of autoimmune regulator–deficient (Aire-deficient) mice. We further demonstrated that NF-B2 was required for thymic Aire gene transcriptional regulation. The Nfkb2–/– thymus had distinct cortical and medullar structures, but reduced Aire and target gene expression of peripheral tissue antigens. Engraftment of Nfkb2–/– thymic stroma to nude mice recapitulated the autoimmune phenotype of the native Nfkb2–/– mice, confirming a key defect in central tolerance. Lymphotoxin receptor (LTR) ligation–induced Aire gene expression was also largely abolished in the absence of NF-B2. Thus NF-B2 downstream of LTR plays an important role in the regulation of central tolerance in an Aire-dependent manner.
Introduction
Self tolerance is a fundamental property of the immune system. Thymic negative selection provides a critical mechanism for establishing self tolerance by eliminating the self-reactive T cell repertoire. How autoreactive T cells specific for peripheral tissue-specific antigens (TSAs) are purged from the thymus had been debated until recent evidence emerged demonstrating that TSAs are ectopically expressed in the thymus, specifically on medullary epithelial cells (1, 2). Autoimmune regulator (AIRE) is a recently discovered transcription factor that coordinates the expression of a set of TSAs in medullary thymic epithelial cells (mTECs) for the depletion of self-reactive T cells. The absence of thymic Aire expression leads to the escape of autoreactive T cells and results in frank autoimmunity (3, 4). With the understanding of AIRE’s role in controlling promiscuous expression of TSAs and central tolerance, much interest has focused on how AIRE is regulated. Several molecules including lymphotoxin receptor (LTR), NF-B–inducing kinase (NIK), and TNF receptor–associated factor 6 (TRAF-6) (5–8) have been implicated, as their respective deficient mice present similarly with increased multiorgan infiltration and autoantibody reactivity to peripheral antigens. How these findings are connected, however, remains elusive. TRAF-6, for example, is downstream of neither LTR nor NIK. Yet TRAF-6–deficient mice have a disorganized thymic structure similar to that of NIKaly/aly mice, a natural strain with alymphoplasia caused by a point mutation in the gene encoding NIK (5, 9). On the other hand, despite being upstream of NIK, LTR-deficient mice show thymic architecture similar to that of WT mice (7, 10). Therefore, NIK may receive additional signals to regulate thymic architecture while TRAF-6 lies in a different signaling pathway to control central tolerance.
NF-B2 transduces signals downstream of both LTR and NIK. While both LTR and NIK are critical for secondary lymphoid organ organization and development, only NIK has an additional role in thymic architecture organization (9–12). Ltbr–/–, NIKaly/aly, and Nfkb2–/– mice all lack Peyer’s patches, B cell follicles, and follicular DC networks (9–12). However, in contrast to Ltbr–/– and NIKaly/aly mice, Nfkb2–/– mice have milder microarchitectural changes in the spleen, retain almost all lymph nodes, and display normal thymic architecture (13, 14). These findings indicate that other downstream signaling pathways may also coordinate with the NF-B2 pathway for secondary lymphoid organ development and organization (15). Therefore, the role of NF-B2 in regulating central tolerance remains unclear.
Nfkb2–/– mice also present with reduced peripheral B cell populations and impaired B cell function (13, 14). In the T cell compartment, NF-B2 appears to be important for T cell proliferation and resistance to apoptosis (16). In the absence of NF-B2, mice infected with Toxoplasma gondii fail to maintain their T cell responses, due in part to increased apoptotic attrition (16). While these data suggest NF-B2 to be an activator of the immune response, we were surprised to find that Nfkb2–/– mice harbored a strong autoimmune phenotype, implying that NF-B2 may have a dominant role in self tolerance. Given that Nfkb2–/– mice present with a pattern of autoimmunity reminiscent of Aire–/– mice, we sought to determine whether NF-B2 played an essential role in central tolerance. In this study, we found that NF-B2 was necessary for thymic Aire gene transcriptional regulation. NF-B2 deficiency in the thymic stroma was sufficient to lead to autoimmunity. Thus, NF-B2 plays an important active role in establishing central tolerance through an Aire-dependent pathway.
Results
Autoimmune phenotype in NF-B2–deficient mice. NF-B2 has been described to play an important role in developing optimal T and B cell responses (13, 14, 16). However, our analysis of Nfkb2–/– mice aged 6–8 months revealed marked lymphocytic infiltration of the livers, lungs, kidneys, and pancreata (Figure 1A). Such infiltrates were not seen in WT or Nfkb1–/– mice of similar age (data not shown). To confirm that this cellular infiltration is a result of an active, ongoing immune response rather than a passive displacement, infiltrating cells in the lung were isolated by collagenase digestion and then examined for lymphocyte activation and memory markers by flow cytometry analysis. Staining of activation marker CD69 demonstrated a 16-fold increase in the percentage of activated CD4 cells and a 9-fold increase in the percentage of activated CD8 cells in the lungs of Nfkb2–/– mice (Figure 1B). The percentage of the CD44+ memory cell population was increased by about 6- to 8-fold within CD4 and CD8 cells of Nfkb2–/– mice (Figure 1B). The increase of the percentage of both activated and memory cells, together with an approximately 3- to 4-fold increase in the absolute number of infiltrating lymphocytes, suggests that the infiltration in the lung is the result of an active, ongoing immune response.
To examine further whether self reactivity is manifested in Nfkb2–/– mice, 6-month-old Nfkb2–/– and WT mice were bled, and the autoreactive antibodies were tested by both ELISA and immunofluorescence staining of tissues from Rag1–/– mice. Sera from age-matched Aire–/– mice were used as a positive control. The ELISA results demonstrated significantly higher titers of both IgG and IgM autoantibodies to insulin in 6- to 8-month-old Nfkb2–/– mice relative to age-matched WT mice (Figure 1C). To test more generalized organ-specific autoimmunity, we detected autoreactive antibodies directed against salivary gland and stomach by immunofluorescence staining of Rag1–/– tissue sections in the sera of Nfkb2–/– mice and found them to be similar to those of Aire–/– mice, but not in WT mice (Figure 1D). These data indicate that NF-B2 deficiency leads to autoimmunity.
Autoimmunity stems from a defect in the radiation-resistant stromal compartment. Since the NF-B2 pathway plays important roles in both stromal and hematopoietic compartments, we next used BM chimeras to distinguish the contributions of each compartment to the autoimmune phenotype. Reciprocal transfers were performed with Nfkb2–/– BM transplanted into lethally irradiated WT mice, WT BM transplanted into Nfkb2–/– mice, and WT BM into WT mice as a control. At 12 weeks, examination of peripheral organs, including liver, lung, kidney, pancreas, salivary gland, and stomach, revealed no infiltration in WT hosts of WT BM and minor to no infiltration in WT hosts of Nfkb2–/– BM. In stark contrast, Nfkb2–/– recipients of WT BM presented with severe infiltrations in the liver and lung (Figure 2). This suggests that NF-B2 deficiency in the radiation-resistant stroma, rather than the hematopoietic compartment, is the primary cause of the witnessed autoimmunity.
Central defect of reduced expression of Aire and other TSA genes in Nfkb2–/– mice. Due to the similarity in autoimmune phenotypes among Nfkb2–/– and Aire–/–, Ltbr–/–, Traf6–/–, and NIKaly/aly mice, we wondered whether NF-B2 deficiency results in a defect in mTEC expression of Aire, a critical step for eliminating autoreactive thymocytes and establishing central self tolerance. To explore whether Nfkb2–/– mice harbor a defect in mTEC development, thymi from 5- to 7-week-old Nfkb2–/– and WT mice were first analyzed by H&E staining. The Nfkb2–/– thymi were well developed and organized, with similar size to and distinct medullary and cortical areas as in WT thymi. Although the medulla was a little more isolated in Nfkb2–/– than that in WT thymi, by calculating the areas of the medulla and cortex, we found no significant difference in terms of the ratio of medulla to cortex compared with WT thymus (WT, 0.35 ± 0.08; Nfkb2–/–, 0.30 ± 0.09; P = 0.49; Figure 3A). Next we specifically visualized mTECs by immunofluorescence staining of different medulla markers. We used antibodies to epithelial cell adhesion molecule (Ep-CAM; also referred to as G8.8), which has been reported to recognize most mTECs (17), and Ulex europaeus agglutinin 1 (UEA-1), a lectin that binds to mature mTECs (18). Representative staining results are shown in Figure 3B. Further quantitative analysis revealed somewhat reduced numbers of G8.8+ and UEA-1+ cells in Nfkb2–/– thymi compared with WT (Figure 3C). This suggests that NF-B2 might play a role in the development and/or organization of mTECs. Aire is preferentially expressed in mTECs and drives the ectopic expression of a collection of peripheral TSAs such as insulin 1 (Ins1), casein (Csna), and salivary protein 1 (Sp1) (3, 19, 20). To determine whether Aire expression was perturbed in Nfkb2–/– thymi, the expression was first visualized by anti-Aire antibody. Significant reduction of Aire expression was found in Nfkb2–/– thymi as well as in Aire–/– thymi (Figure 3D). To further determine quantitatively the reduction of Aire expression and whether Ins1, Csna, and/or Sp1 expression are also sufficiently impaired in Nfkb2–/– thymi, we performed total thymus real-time PCR. We found about 3-fold reduced Aire expression and dramatically decreased Ins1, Csna, and Sp1 gene expression in Nfkb2–/– thymi compared with age-matched WT thymi (Figure 3E). Similarly, Ins2, an important gene in the development of IDDM, is an another Aire-dependent TSA and was also found to be significantly reduced in Nfkb2–/– thymi compared with WT (Supplemental Figure 1A; supplemental material available online with this article; doi:10.1172/JCI28326DS1). Since the mTEC population was found to be slightly reduced in Nfkb2–/– thymi, to more specifically quantitate the role of NF-B2 in transcriptional regulation of expression of Aire and other TSA genes within the mTEC population, we purified the mTECs (CD45–G8.8+B7.1+) by fluorescence-activated cell sorting and reanalyzed Aire, Ins1, Csna, and Sp1 gene expression with Keratin 14 (Krt14) as a control. This keratin subset is constitutively and specifically expressed in the majority of mTECs in the thymus (21) and was not regulated by NF-B2 (data not shown). Expression of Aire, Ins1, Csna, and Sp1 was again reduced significantly in Nfkb2–/– mTECs compared with WT mTECs on a per-cell basis (Figure 3F). Ins2 was also detected at a lower level in Nfkb2–/– mTECs compared with WT mTECs on a per-cell basis (Supplemental Figure 1B). It thus appears that NF-B2 is required for optimal Aire, Ins1, Csna, and Sp1 expression within mTECs. Aire is expressed not only in mTECs, but also in DCs, which suggests it might play additional roles other than TSA transcriptional regulation, such as T cell–APC interaction and APC-mediated T cell activation for self tolerance (22, 23). We therefore detected Aire expression in DCs. Interestingly, Aire expression in DCs appeared to also be regulated by NF-B2, since a significant reduction was found in Nfkb2–/– thymic DCs (Figure 3G) and splenic DCs (Figure 3H). This further supports the role of NF-B2 for Aire transcriptional regulation in mTECs.
As DCs also serve as an important source of ectopic TSA expression in self tolerance (24–26), we further sought to determine whether these TSAs were expressed in thymic and splenic DCs, and if so, whether they were interrupted by a lack of NF-B2. We did not detect Ins1, Ins2, Csna, or Sp1 expression in purified thymic DCs by real-time PCR within 50 cycles (data not shown). This might indicate that DCs are not the major cell population for ectopic expression of Ins1, Ins2, Csna, and Sp1 in the thymus. Whether some other TSAs are prominently expressed in thymic DCs and regulated by NF-B2 remains to be determined. In the peripheral, Ins1 and Ins2, but not Csna or Sp1, were readily detected in splenic DCs, although at much lower levels (about 30- and 200-fold for Ins1 and Ins2, respectively) than in mTECs. Moreover, splenic DCs lacking NF-B2 had significantly reduced Ins1 and Ins2 expression (Figure 3H and Supplemental Figure 1C). Thus, NF-B2 appears to be required for optimal expression of Aire and other TSA genes not only within mTECs, but also in DCs.
No defect in the development of CD4+CD25+ Tregs. CD4+CD25+ Tregs generated in the thymus can actively suppress autoimmune responses, and their absence leads to severe autoimmunity (27–29). Since it has been reported that Treg generation in the thymus can be induced by the expression of self peptides within mTECs (30, 31), it is possible that the autoimmunity seen in Nfkb2–/– mice could be due to defective thymic Treg generation. Foxp3 is presently the most definitive functional marker for Tregs (27–29). To determine whether Treg generation in the thymus is impaired by NF-B2 deficiency, thymic Foxp3 gene expression was first analyzed by real-time PCR. We found no significant difference in Foxp3 expression between Nfkb2–/– and WT thymi (Figure 4A). This finding was further confirmed by intracellular staining for Foxp3, which revealed no change in the percentage of Foxp3+CD4+ thymocytes (Figure 4B). We did not find any defect in the suppressive function of Nfkb2–/– CD4+CD25+ Tregs in the CD4+CD25– T cell proliferation assay upon anti-CD3 stimulation (data not shown). Thus, NF-B2 deficiency does not lead to deficient thymic generation of CD4+CD25+ Tregs.
NF-B2 in the thymic stroma is required for self tolerance. To demonstrate conclusively that the autoimmune phenotype in Nfkb2–/– mice is due to a defect in the thymic stroma, we performed thymus transplant experiments. Fetal thymi from Nfkb2–/– and WT mice were depleted of hematopoietic cells by incubation with 2'-deoxyguanosine for 6 days and then grafted under the kidney capsules of nude mice, creating Nfkb2–/–nude mice and WTnude mice, respectively. Twelve weeks after engraftment, both Nfkb2–/– and WT thymi were well developed and functioned, containing approximately equal numbers of thymocytes (Figure 5A) with similar double negative (DN), double positive (DP), and single positive (SP) subset distribution (Figure 5B). Real-time PCR of Nfkb2–/– and WT total donor thymi found significantly reduced Aire and Ins1 expression in Nfkb2–/– relative to WT thymi (Figure 5C). We analyzed peripheral organs including the liver, lung, pancreas, and salivary gland to determine the extent of peripheral autoimmune infiltration. While no infiltration was seen in WTnude mice, significant infiltration was observed in nearly all Nfkb2–/–nude mice (Figure 5D). Immunostaining of Rag1–/– tissue sections with serum from the recipient mice revealed significant autoantibodies against stomach and salivary gland in the sera of Nfkb2–/–nude mice but not WTnude mice (Figure 5E). Only 1 WTnude mouse showed weakly positive staining, but 3 of the 4 Nfkb2–/–nude mice showed strong autoantibody reaction. These data indicate that NF-B2 deficiency in the thymic stroma is sufficient to result in a breakdown in self tolerance.
LTR, but not TNF receptor, is essential and sufficient for NF-B2–mediated Aire expression. NF-B2 is a critical signaling component downstream of both the LTR and the TNF receptor (TNFR). TNFR-deficient and Nfkb2–/– mice share identical defects in splenic architecture, in addition to lacking Peyer’s patches, B cell follicles, and follicular DC clusters (32, 33). LTR-deficient mice similarly share these defects but have others in addition, for example, absence of T cell/B cell segregation and lymph node aplasia. To determine whether NF-B2 mediates LTR- or TNFR-dependent Aire expression, we treated 4- to 6-week-old WT or Nfkb2–/– mice intraperitoneally with agonistic anti-LTR antibody or recombinant TNF. Total thymic Aire expression was evaluated by real-time PCR to assay whether the absence of NF-B2 disrupts the induction of Aire by these ligands. We found that 6 hours after treatment with anti-LTR, Aire expression was significantly increased in WT mice (Figure 6A). At the same time, regardless of the dose (1 or 2 μg) and duration (2, 4, or 8 hours), recombinant TNF failed to induce Aire expression in WT mice (Figure 6B and data not shown). This is also consistent with our finding that Aire expression was normal in both Tnfr–/– and Tnf–/– thymi (data not shown). In Nfkb2–/– mice, the induction of Aire expression in response to agonistic anti-LTR was largely abolished (Figure 6C). Taken together, these findings indicate that NF-B2 regulated by LTR is necessary for transcriptional control of thymic Aire gene expression.
Discussion
Disrupted thymic Aire expression can be the result of either impaired mTEC development and/or organization or defective transcriptional regulation. Impaired thymic Aire expression has been reported for NIKaly/aly and TRAF6-deficient mice (5, 6), though it remains unclear whether this is due to impaired mTEC development or defective Aire transcription. Both NIKaly/aly and TRAF6-deficient mice have significantly disorganized thymic medulla and an absence in the UEA-1+ subpopulation of mTECs (5, 6). While we have recently described the critical role of LTR signaling for optimal Aire gene expression (7), the signaling events downstream of the LTR remain poorly characterized. LTR uses 2 prominent signaling pathways, namely, the canonical p50-RelA pathway and the noncanonical p52-RelB pathway (34). In contrast to Ltbr–/– and NIKaly/aly mice, Nfkb2–/– mice have much milder architectural changes in the spleen, retain almost all lymph nodes, and display normal thymic architecture (13, 14). Our recent study suggests that p50-RelB and p52-RelA may also play a role for the development and organization of lymphoid structures (15). Therefore, the NF-B pathway that is responsible for LTR-mediated Aire expression is still unclear. The apparent conflict between a defective T cell/B cell response to foreign antigens but increased autoimmunity in Nfkb2–/– mice and the similarity of the autoimmune phenotypes among Nfkb2–/– and Aire–/–, Ltbr–/–, Traf6–/–, and NIKaly/aly mice led us to explore the role played by NF-B2 in central tolerance. Our finding of disrupted thymic Aire expression in the purified mTECs from Nfkb2–/– mice points to the necessity of NF-B2 in transcriptional control of Aire expression. Indeed, in models of thymic transplantation, deficiency in NF-B2 on the thymic stroma was found to be sufficient to disrupt central tolerance, leading to overt autoimmunity. The slightly impaired mTEC organization and/or development probably also contributes to the breakdown of central tolerance in Nfkb2–/– mice. The largely undisturbed thymic architecture in Nfkb2–/– thymi differs significantly from that of NIKaly/aly thymi, suggesting that NIK may mediate pathways in addition to p52 for the organization and development of mTECs. The more severe reduction in Aire expression in NIKaly/aly thymi relative to Nfkb2–/– thymi could be a consequence of concomitant reduction of both mTEC population and transcriptional activation. RelB is a critical p52 binding partner, and Relb–/– mice present with severe autoimmunity. While Relb–/– mice similarly have reduced thymic Aire expression, this is in the context of significantly disrupted thymic architecture and absent mTECs (35, 36). It is therefore difficult to conclude whether p52-RelB complexes are required for Aire expression or whether the RelB defect represents a failure in development and/or organization of mTECs. Similar difficulties exist for dissecting the potential role of RelA in central tolerance, since Rela–/– mice are embryonic lethal (37, 38). Whether p52 pairs with RelB or other molecules for Aire expression remains to be determined.
CD4+CD25+ Treg generation has been reported to be reduced in NIKaly/aly mice (6). Although p52 is the major signaling component downstream of NIK, Treg generation defects were found in neither the thymi nor the spleens of Nfkb2–/– mice. The suppressive function of Tregs from Nfkb2–/– mice also remains comparable to their WT counterparts. In our thymic stroma transplant experiments, we evaluated Foxp3 mRNA expression from the total transplanted thymi and similarly found no difference between WTnude and Nfkb2–/–nude mice (data not shown). This suggests that pathways downstream of NIK other than p52 are responsible for Treg generation in thymus. Although T cell–specific ablation of IB kinase (IKK2), which may also be regulated by NIK, leads to reduced thymic Treg generation (39), it is not likely the case for NIKaly/aly mice, since NIKaly/+ mice reconstituted with NIKaly/aly BM did not present with signs of autoimmunity (6). Taken together, these results suggest that NIK, through a p52-independent pathway, may regulate thymic Treg generation. By generating BM chimeras we were able to determine the autoimmune defect in Nfkb2–/– mice originated largely in the stromal compartment. By thymus transplant experiments, we showed that the defective thymic stroma from Nfkb2–/– mice was sufficient for the breakdown in self tolerance. Twelve weeks following transplant, the Nfkb2–/–nude autoimmune phenotype was comparable to that of 6- to 8-month-old Nfkb2–/– mice. This finding points to the magnitude of the thymic defect in Nfkb2–/– mice. The more rapid presentation of autoimmune phenotype in the Nfkb2–/–nude mice may be accounted for by the more competent secondary lymphoid structure and microarchitecture in these mice relative to the Nfkb2–/– mice. Additionally, the peripheral stroma of Nfkb2–/– mice have a demonstrated defect in supporting the immune response (13, 14). Furthermore, Nfkb2–/– T cells themselves have activation defects (16). In the Nfkb2–/–nude mice, these additional restrictions were removed. Thus the severity of the autoimmune defect in the Nfkb2–/– thymus may have been in part masked by the immune-modulating defects in the periphery. These might also account for the fact that no diabetes or hyperglycemia developed in 8- to 10-month-old Nfkb2–/– mice, even in the presence of severe infiltration in the pancreas.
It is interesting that chimeric Nfkb2–/– mice with WT BM cells and Nfkb2–/– mice did not show the exact same infiltration pattern in affected organs. Although there was significant infiltration in the pancreata and kidneys in Nfkb2–/– mice, it was rarely seen in the BM chimera. This raises the possibility of a role for hematopoietic cells such as DCs in self tolerance establishment or modulation. One explanation would be if hematopoietic APCs express self antigens targeting pancreas and kidney, thereby preventing autoimmunity to these organs in the BM-chimeric mice. Since none of the 4 TSAs we chose was detectable in thymic DCs, this hypothesis regarding central tolerance remains to be tested in future studies. However, we readily found Ins1 and Ins2 expression in peripheral splenic DCs and a dramatic reduction of both in Nfkb2–/– mice. This might lead to impaired peripheral tolerance in Nfkb2–/– mice (25). Besides self antigen expression and presentation, DCs have also been shown to play critical roles in maintaining peripheral tolerance (40–42). NF-B2 was previously reported as a negative regulator of DC function (43). DCs lacking NF-B2 have dramatically enhanced RelB activity, which is associated with increased MHC class II and costimulatory molecule expression and an enhanced ability to induce CD4+ T cell responses. This also implies a role of NF-B2 in peripheral tolerance maintenance. The delineation and definition of the role of Nfkb2–/– DCs for self tolerance remain to be explored in the future.
Our study defines the role of NF-B2 in regulating thymic Aire expression and thereby contributing to the maintenance of central tolerance. Our finding also clarifies that the p52 pathway is a primary pathway downstream of the LTR responsible for Aire-dependent central tolerance. The understanding of how the Aire gene is regulated may provide better diagnostic and therapeutic possibilities in the future treatment of autoimmune diseases.
Methods
Mice. Nfkb1–/– and Nfkb2–/– mice were previously described (14, 44). Aire–/– mice were generated with a mixed genetic background as described previously (45) and backcrossed to C57BL/6 for at least 6 generations in the lab of Y.-X. Fu. C57BL/6 mice and Foxn1nu mice (nude mice) were purchased from The Jackson Laboratory. Mice were maintained in a specific pathogen–free facility. Animal care and experiments were performed in accordance with institutional and NIH guidelines and were approved by the animal use committee at the University of Chicago.
Histopathology. Tissues for histological examination were fixed in 10% buffered formalin and embedded in paraffin. Four- to five-micron sections were obtained from the paraffin blocks and stained using H&E stain methods. All sections were then examined by a pathologist in a blinded fashion. NIH ImageJ version 1.34s software (http://rsb.info.nih.gov/ij/) was used to calculate the thymic cortical and medullary areas.
Immunofluorescence staining. Six-micron frozen sections were fixed in acetone at 4°C for 10 minutes, rehydrated in PBS/saponin (0.1%), and blocked with goat serum (5%) or BSA (1%) in PBS at room temperature for 1 hour. For autoantibody detection, sera were diluted 1:60 and incubated overnight at 4°C. Anti-mouse IgG(H+L)–FITC (Caltag Laboratories) was used for visualization. For thymus staining, antibodies G8.8 (BD Biosciences — Pharmingen), UEA-1–bio (Sigma-Aldrich), and polyclonal rabbit anti-Aire (gift from P. Peterson, Molecular Pathology, University of Tartu, Tartu, Estonia) were incubated with sections at 4°C overnight and detected with appropriate fluorescence reagents. NIH ImageJ version 1.34s software was used to calculate the G8.8+ and UEA-1+ area.
Flow cytometry analysis. Single-cell suspensions from the lung were stained with anti-CD4 (GK1.5), anti-CD8 (53-6.7), anti-CD44 (IM7), and anti-CD69 (H1.2F3) monoclonal antibodies (BD Biosciences — Pharmingen) in cold PBS containing 0.2% BSA and 0.09% sodium azide. Before staining, the cells were preincubated with anti–FcIII/II receptor (2.4G2; BD Biosciences — Pharmingen). Foxp3 intracellular staining was carried out using Mouse Regulatory T cell Staining Kit according to the manufacturer’s instructions (eBioscience). Stained cells were analyzed on FACSCalibur (BD Biosciences). For mTEC sorting, the thymus was digested, and mTECs were enriched by incontinuous Percoll gradient centrifuge as described previously (3). Enriched mTECs were stained with anti–Ep-CAM (G8.8), anti-CD45.2 (104), anti-CD80 (16-10A1), and appropriate secondary fluorescence reagents (BD Biosciences — Pharmingen). The CD45.2–G8.8+CD80+ population was sorted on FACSAria (BD Biosciences). For thymic DC sorting, after thymic digestion, DCs were stained with anti-CD11c (HL3) and anti–I-A/I-E (M5/114.15.2) (BD Biosciences — Pharmingen). DCs were sorted as the CD11c+I-A+ population. For splenic DC isolation, CD11c (N418) MicroBeads (Miltenyi Biotec) was used following the manufacturer’s protocol.
Real-time PCR. Real-time PCR was carried out on cDNA prepared from DNase I–treated RNA extracted from whole thymus, purified mTECs, or DCs. The primers and probes used were as follows: Aire forward, 5'-CCAGTGAGCCCCAGGTTAAC-3'; reverse, 5'-GACAGCCGTCACAACAGATGA-3'; probe, 5'-FAM-TCACCTCCGTCGTGGCACACG-TAMRA-3'; Ins1 forward, 5'-CTTCAGACCTTGGCGTTGGA-3'; reverse, 5'-ATGCTGGTGCAGCACTGATC-3'; probe, 5'-FAM-CCCGGCAGAAGCGTGGCATT-TAMRA-3'; Ins2 forward, 5'-GACCCACAAGTGGCACAA-3'; reverse, 5'-ATCTACAATGCCACGCTTCTG-3'; probe, 5'-FAM-CCCGGGAGCAGGTGACCTT-TAMRA-3'; Csna forward, 5'-TTTGCTATGCCCAGACTTCA-3'; reverse, 5'-TTTCCTCACTGCTGCTATGC-3'; probe, 5'-FAM-TGCAGTTAGCAGTCAAACTCAGCAACA-TAMRA-3'; Sp1 forward, 5'-GTGTTGCTTGGTGTTTCCAC-3'; reverse, 5'-GCAGAATCAGCAGTTCCAGA-3'; probe, 5'-FAM-TGCCAGGACCCGGAGACAAA-TAMRA-3'; Gapdh forward, 5'-TTCACCACCATGGAGAAGGC-3'; reverse, 5'-GGCATGGACTGTGGTCATGA-3'; probe, 5'-FAM-TGCATCCTGCACCACCAACTGCTTAG-TAMRA-3'; and Krt14 forward, 5'-TGGGTGGAGACGTCAATGTG-3'; reverse, 5'-ATCTCGTTCAGGATGCGGC-3'; probe, 5'-FAM-ACGCCGCCCCTGGTGTGG-TAMRA-3'. Reactions were run on the 7300 Real-Time PCR System (Applied Biosystems) in a final volume of 25 μl with 900 nM of the forward and reverse primers and 200 nM of the probe using 2x TaqMan Universal PCR Master Mix (Applied Biosystems) containing AmpliTaq Gold DNA Polymerase. Cycling conditions were a single denaturing step at 95°C for 15 minutes followed by 45 cycles of 94°C for 15 seconds and 60°C for 1 minute. Analysis of Aire, Ins1, Ins2, Csna, Sp1, Gapdh, and Krt14 gene expression was performed with a concurrently run standard curve, then normalized to sample Gapdh or Krt14 levels. The standard curves had r2 values of at least 0.99.
In vivo stimulation. WT and Nfkb2–/– mice received intraperitoneal injections of 50 μg agonistic LTR Ab (3C8), 1 or 2 μg recombinant TNF (Chemicon International), or rat-IgG isotype control in PBS. RNA from thymi was collected at the time points indicated in the Results. Real-time PCR was carried out on cDNA prepared from DNase I–treated RNA.
Autoantibody ELISA. For the detection of insulin autoantibodies, insulin was coated at 2 U/ml, and goat anti-mouse IgG-AP and IgM-AP (SouthernBiotech) were used as detecting antibodies. Antibody levels are shown in arbitrary units calculated from a standard curve.
BM reconstitution. Mice were lethally irradiated with 10 Gy and adoptively transferred i.v. with 3 x 106 BM cells. Bactrim was added to the drinking water for 3 weeks following irradiation. Tissue sections from the mice were analyzed 12 weeks after transfer.
Thymic transplantation. Thymi were isolated from newborn Nfkb2–/– or WT mice and cultured in 1.35 mM 2'-deoxyguanosine (Sigma-Aldrich) for 6–8 days to deplete BM-derived cells. Thymi were then transplanted under the kidney capsule of 6-week-old nude mice. Whole blood was collected 12 weeks after transplantation. Thymus recovery was determined by staining of thymocytes with anti-CD4 and anti-CD8 as described above. Serum was used to stain Rag1–/– tissue sections by immunofluorescence as described above.
Statistics. Statistical significance was determined by 2-tailed Student’s t test. P values less than 0.05 were considered statistically significant. Unless otherwise specified, all data are presented as mean ± SD.
Acknowledgments
We would like to thank Wenhua Liu from the University of Chicago Department of Pathology for H&E staining and analysis and Ryan Guggan from the University of Chicago Flow Cytometry Facility for cell sorting. This research was supported by grants from the NIH (HD062026 and DK58897, to Y.-X. Fu).
Footnotes
Nonstandard abbreviations used: AIRE, autoimmune regulator; Csna, casein ; Ep-CAM, epithelial cell adhesion molecule; Ins1, insulin 1; LTR, lymphotoxin receptor; mTEC, medullary thymic epithelial cell; NIK, NF-B–inducing kinase; Sp1, salivary protein 1; TNFR, TNF receptor; TRAF-6, TNF receptor–associated factor 6; TSA, tissue-specific antigen; UEA-1, Ulex europaeus agglutinin 1.
Conflict of interest: The authors have declared that no conflict of interest exists.
Citation for this article: J. Clin. Invest. 116:2964–2971 (2006). doi:10.1172/JCI28326
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