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Prepublished online as a Blood First Edition Paper on June 28, 2002; DOI 10.1182/blood-2002-02-0544.
HEMATOPOIESIS
From the Department of Basic Sciences, Dental Branch,
University of Texas Health Science Center at Houston.
Recent studies have identified a role for thyroid-stimulating
hormone (TSH; ie, thyrotropin) as an inductive signal for tumor necrosis factor- Although the participation of the neuroendocrine
system in the regulation of immunity has been known for many years,
most studies into that process have examined the involvement of
glucocorticoid, steroid hormones, and reproductive hormones.
Considerably less is known about how hormones of the
hypothalamus-pituitary-thyroid axis affect the immune response.
Evidence, however, suggests that thyroid-stimulating hormone (TSH) can
be produced by cells of the immune system and that it is used by
hematopoietic cells, as seen from TSH receptor (TSHR) expression on
hematopoietic cells, and by its capacity to influence various
immunobiologic activities in a TSH-dependent manner. Studies by Smith
and coworkers demonstrated TSH secretion by human peripheral blood
leukocytes stimulated with Staphylococcus enterotoxin
A.1 Subsequent work revealed TSH gene expression in
activated mouse spleen cells,2 and secretion of TSH by
mouse splenic mononuclear cells, in particular dendritic cells (DCs)
and to a lesser extent T cells and B cells.3 Human peripheral blood leukocytes have been shown to bind TSH in radiolabeled binding studies4,5 and by flow cytometry using
biotin-labeled TSH.6 Similar findings have been reported
for murine splenic mononuclear cells,7 collectively
indicating that TSHR is selectively expressed on cells of the
peripheral immune system.
In mice, TSH also been shown to influence developmental/immune
regulatory functions of intestinal intraepithelial lymphocytes (IELs)
involved in the recruitment and maturation of specific IEL subsets,
most notably the CD8 Given the heterogeneity of BM cells and the basic role of the BM as a
source of hematopoietic cells destined for secondary lymphoid tissue,
it will be important to understand the cells involved in the production
and use of TSH locally and to characterize the biologic significance of
this system as a regulator of hematopoietic homeostasis. In the present
study, we have defined the subsets of BM cells, which produce and use
TSH, and we provide new data linking TSH-induced synthesis of TNF- Mice
Antibodies and reagents
Intracellular TSH staining and TSHR staining Staining for the presence of intracellular TSH was done
according to techniques developed for intracellular cytokine
staining.12 Briefly, 1.5 × 106 cells were
reacted for 10 minutes at 4°C with CD16/32 Fc receptor blocking
reagent (BD Pharmingen). PE- or FITC-labeled anti-CD11b, anti-CD45,
anti-TCR , anti-B220, or anti-Thy-1 mAb was added for 20 minutes at
4°C. Cells were collected by centrifugation and suspended in 200 µL
cytofix/cytoperm (BD Pharmingen) for 20 minutes at 4°C, washed twice
with perm-wash (BD Pharmingen), reacted for 20 minutes with 3 µg rat
IgM-blocking antibody, and washed with perm-wash. Cells were reacted
for 20 minutes at 4°C with 50 µL perm-wash containing 0.3 µg
biotinylated anti-TSH (mAb 1B11) or biotinylated mouse IgM for
control staining. Cells were washed with perm-wash and reacted with
streptavidin-PE or streptavidin-cychrome (BD Pharmingen) for 20 minutes
at 4°C, washed, and fixed in 2% formalin. Staining for expression of
surface TSHR was done by reacting 1 × 106 freshly
isolated BM cells with 8 µg biotinylated recombinant TSH for 30 minutes at room temperature. Cells were washed and reacted with
FITC-anti-CD11b or PE-anti-TER-119 plus streptavidin-PE or
streptavidin-cychrome for 20 minutes at 4°C. Cells were washed and
fixed in 2% formalin.
Cell purification by MACS Purification of CD11b+ and CD11b BM
cells was done by positive and negative autoMACS
magnetic-activated cell sorting (MACS) cell separation (Miltenyi
Biotec, Auburn, CA). Briefly, 15 × 106 freshly isolated
BM cells were reacted with 1 mL anti-CD16 tissue culture supernatant
for 10 minutes at 4°C. Cells were centrifuged and washed with
labeling buffer (phosphate-buffered saline [PBS], pH 7.2, supplemented with 2 mM EDTA [ethylenediaminetetraacetic acid]) and 35 µL biotin-labeled anti-CD11b was added for 20 minutes at 4°C. Cells were washed with labeling buffer and 20 µL
streptavidin microbeads (Miltenyi Biotec) was added in 180 µL
labeling buffer for 15 minutes at 4°C. Cells were washed, suspended
in 1 mL separation buffer (PBS, pH 7.2, supplemented with 2 mM EDTA
plus 0.5% bovine serum albumin [BSA]), and applied to autoMACS.
Positive and negative cell populations were separated by autoMACS using
the manufacturer's protocols.
In vitro cell culture, TSH, and TNF- BM cells were cultured for 18 hours at a
density of 1 × 106 cells/mL in RPMI 1640 containing 10%
(vol/vol) fetal bovine serum (FBS), 2 mM L-glutamine, 25 mM
HEPES
(N-2-hydroxyethylpiperazine-N'-2-ethanesulfonic acid), 100 U/mL penicillin, and 100 µg/mL streptomycin
(Sigma). TSH induction of TNF- was done by culturing
1 × 106 MACS-sorted CD11B+ and
CD11b BM cells for 18 hours in supplemented RPMI 1640 with graded doses of human TSH.
Cell-free BM supernatants were collected and coated overnight onto
high-binding type I enzyme immunoassay/radioimmunoassay (EIA/RIA) strip plates (Costar, Corning, NY). Wells were washed with PBS containing 0.05% Tween 20 (wash buffer), blocked for 1 hour
at room temperature with blocking buffer (eBioscience, San
Diego, CA), and washed 3 times with wash buffer. Rabbit antimouse TSH
antibody (1:200) was added for 1 hour at room temperature. Wells were
washed and biotinylated antirabbit antibody (2 µg/mL) was added for 1 hour at room temperature. Wells were washed 3 times with wash buffer
and 1:250 streptavidin-horseradish peroxidase (eBioscience)
was added for 30 minutes at room temperature. Wells were washed and
O-phenylenediamine was added for 30 minutes at room
temperature; colorimetric changes were measured at 490 nM using an
automated enzyme-linked immunosorbent assay (ELISA) reader (Molecular
Devices, Sunnyvale, CA). Estimates of cell culture-derived TSH were
determined from a standard curve of reactivity of anti-TSH antisera to
serially diluted (50-1.3 ng/mL) amounts of recombinant human
TSH Reverse transcription-polymerase chain reaction analyses Procedures for RNA extraction and cDNA preparation have been previously reported.3,10 Primers used were: TSHR forward 5'-GACTCATCTGAAGACCATACCCAGTCTTGCA-3' and TSHR reverse 5'-CATGTAAGGGTTGTCTGTGATTTC-3'; actin forward 5'-ATGGATGACGATATCGCTG-3' and actin reverse 5'-ATGAGGTAGTCTGTCAGGT-3'.Amplification conditions consisted of 50 cycles with 1 minute at
95°C, 1 minute at 50°C, and 1 minute at 72°C for TSHR, and 30 cycles with 45 seconds at 95°C, 45 seconds at 50°C, and 30 seconds
at 72°C for
TSH production by BM hematopoietic cells is linked to a subset of CD11b+ cells Based on our previous studies demonstrating a role for TSH in the production of BM TNF- ,3 experiments were done to define the mechanisms through which TSH is responsible for regulating TNF-
secretion. Thus, to identify population(s) of cells that might serve as
a source of BM-derived TSH, BM cells were stained for intracellular TSH
using procedures adapted from techniques used for intracellular
cytokine staining using a mAb to mouse TSH . As shown in Figure
1, BM cells, depending on the cell
population, expressed varying amounts of intracellular TSH in that
approximately half of the lymphocyte precursor population of BM cells
(Figure 1, R1) expressed low levels of intracellular TSH, three
quarters of the monocyte-macrophage precursor population (Figure 1, R2) expressed modest levels of intracellular TSH, and nearly all of the
granulocyte precursor population (Figure 1, R3) expressed intracellular
TSH at high levels.
To confirm that TSH-synthesizing cells in BM were hematopoietic
cells and not stromal cells, freshly isolated cells were stained for
intracellular expression of TSH in conjunction with antileukocyte common antigen (CD45) mAb, and with anti-CD11b staining given the high
reactivity of cells in the monocyte-macrophage and granulocyte lineage
populations described above. As shown in Figure
2, nearly all BM intracellular
TSH+ cells were CD45+, indicating that TSH
production in the BM occurs from hematopoietic cells. Moreover, the
majority of intracellular TSH+ cells in each group belonged
to a population of CD11b+ cells, though a minor proportion
(6%) of the total (82%) intracellular TSH+ cells in the
monocytic precursor group were intracellular TSH+ cells
(Figure 2, R2).
Three additional markers were used in conjunction with
intracellular TSH staining. Anti-TCR
To better define the relationship between BM cells and TSH
secretion, and to confirm that intracellular TSH+ cells
actively produce TSH, freshly isolated BM cells were sorted by MACS
into CD11b+ and CD11b
TSHR is primarily expressed on CD11b in 2-color
staining protocols with anti-CD11b staining. These experiments revealed
a selective distribution of TSH-responsive cells in that the greatest
numbers of TSHR+ cells in the BM were present in the
lymphocyte precursor (R1) population of CD11b cells
(Figure 5B). Although some CD11b+ cells also were
TSHR+, within regions that contained the greatest numbers
of CD11b+ cells, that is, the monocyte precursor (R2) and
granulocyte precursor (R3) groups, most of those cells were
TSHR (Figure 5B). These patterns were confirmed in an
analysis of several BM preparations as shown in Table
1, which indicates that overall there
were statistically more TSHR+ cells among
CD11b cells than CD11b+ cells.
To determine whether TSHR+ cells consist of erythroid
precursor population, BM cells were stained for expression of TSHR in conjunction with mAb Ter-119, a marker of murine erythroid
precursors.16 Shown in Figure 5B, within all 3 cell
populations (R1, R2, and R3), the majority of the TSHR+
cells were located in the Ter-119 TSH induces high levels of TNF- MACS-purified cells across a
range of hormone concentrations. As seen in Figure
6, TSH had no significant effect on
TNF- production by CD11b+ cells when tested across a
1000-fold range of TSH concentrations. LPS at a concentration of 1000 ng/mL (determined empirically to be the optimal stimulatory
concentration [data not shown]) induced high levels of TNF- ,
demonstrating that although those cells did not produce TNF- when
stimulated with TSH, they were capable of TNF- production. In
contrast, to CD11b+ BM cells, CD11b cells,
the cell population with the greatest proportion of TSHR+
cells, displayed a dose-dependent increase in levels of TNF- production following TSH stimulation, which was approximately half of
that produced by LPS-stimulated cells (Figure 6). Although these
findings are consistent with the observation that TSH stimulates the
release of TNF- from TSHR+ CD11b BM cells,
additional work will be needed to precisely define the network of
hormone production and use among BM cells.
TNF- In conjunction with GM-CSF, TNF- Interestingly, significantly more CD11b+ BM cells,
depending on the population, expressed intracellular TSH than
CD11b In summary, despite progress in understanding how hormones, neuroendocrines, and neuropeptides collaborate in the regulation of immunity, many basic aspects of those interactions have yet to be delineated. The findings reported here suggest that locally synthesized TSH may be involved in that process. Because hormones such as TSH are present in the blood and thus have the potential to reach a vast number of different organs and tissues, TSH-mediated effects operating across classical endocrine pathways would be difficult to regulate from an immunologic perspective, whereas the local manufacture and release of TSH disseminated across short distances in a manner analogous to the elaboration and use of cytokines and chemokines might logistically resolve this problem.
Submitted February 19, 2002; accepted June 11, 2002.
Prepublished online as Blood First Edition Paper, June 28, 2002; DOI 10.1182/blood-2002-02-0544.
Supported in part by National Institutes of Health grant DK35566.
The publication costs of this article were defrayed in part by page charge payment. Therefore, and solely to indicate this fact, this article is hereby marked "advertisement" in accordance with 18 U.S.C. section 1734.
Reprints: John R. Klein, University of Texas Health Science Center Houston, Department of Basic Sciences, Dental Branch, Rm 4.133, 6516 MD Anderson Blvd, Houston, TX 77030; e-mail: john.r.klein{at}uth.tmc.edu.
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