JPET Assistant Professor of Medicine (Clinician-Educator)

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Vol. 288, Issue 1, 43-50, January 1999

Effect of Overproduction of Interleukin 5 on Dinitrofluorobenzene-Induced Allergic Cutaneous Response in Mice

Hiroichi Nagai, Yoshifumi Ueda, Hiroyuki Tanaka, Yousuke Hirano, Nobuaki Nakamura, Naoki Inagaki, Kiyoshi Takatsu and Kenji Kawada

Department of Pharmacology, Gifu Pharmaceutical University, Gifu, Japan (H.N., Y.U., H.T., Y.H., N.N., N.I.); Institute of Medical Science, University of Tokyo, Tokyo, Japan (K.T.); and Gifu College of Medical Technology, Seki, Japan (K.K.)


    Abstract
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

The effect of overproduction of interleukin (IL) 5 on the allergic cutaneous response was investigated in transgenic mice overexpressing IL-5. Five repeated topical applications of 2,4-dinitrofluorobenzene (DNFB) to the ears of mice resulted in allergic dermatitis on the ears as well as significant elevation in dinitrophenol-specific IgE antibody and total IgE in the serum in both wild-type and transgenic mice. The development of dermatitis as measured by skin thickness and histopathological changes were potentiated in the transgenic mice. In IL-5 transgenic mice, significant accumulation of eosinophils in skin lesions was observed after five paintings of DNFB, and the magnitudes of eosinophilia and IL-5 messenger RNA expression were significantly higher than in wild-type mice. The dinitrophenol-specific and total IgE in the serum were higher in IL-5 transgenic mice. The late phase reaction of IgE antibody-mediated biphasic cutaneous response was potentiated in IL-5 transgenic mice. The magnitudes of vasopermeability increase by passive cutaneous anaphylaxis, serotonin, and platelet-activating factor were similar in both mice. These results indicate that overproduction of IL-5 resulted in the potentiation of DNFB-induced dermatitis by elevation of IgE production, IgE-mediated allergic late-phase cutaneous reaction, and eosinophilia in the skin lesion.


    Introduction
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

Interleukin (IL) 5 is mainly produced by T lymphocytes and was originally identified by its activity as a B cell growth factor (Kinashi et al., 1986), an IgA-enhancing factor (Yokota et al., 1987), and a differentiation factor for the eosinophil lineage (Sanderson, 1992). Recently, much attention has been paid to the role of IL-5 in pathophysiological situations. Elucidating the role of IL-5 in allergic airway inflammation might help define the pathophysiological role of eosinophilia in allergic inflammation (Devos et al., 1995; van Oosterhout et al., 1995).

Studies using several animal models of airway inflammation have revealed the importance of IL-5 for eosinophil infiltration in airways. Many of these studies employed anti-IL-5 monoclonal antibodies, soluble receptor alpha -chains, IL-5 transgenic mice, and receptor-deficient mice (Akutsu et al., 1995; Yamaguchi et al., 1994; Nagai et al., 1993; Lefort et al., 1996; Foster et al., 1996; Iwamoto and Takatsu, 1995). There are suitable methods to analyze the role of IL-5 in allergic inflammation.

Many clinical investigators have reported the existence of IL-5 in dermatitis lesions and overproduction of IL-5 by peripheral blood cells from patients with atopic dermatitis (Yamada et al., 1995; Musial et al., 1995; Leung, 1995; Tanaka et al., 1994). Many studies have indicated that IL-5 is important for eosinophilia in allergic cutaneous lesions. However despite extensive research, the detailed role of IL-5 in allergic skin disease is still obscure.

Therefore, the present study was conducted to investigate the effect of IL-5 overproduction during the onset and development of the allergic cutaneous response in transgenic mice expressing IL-5 under metallothionein promoter.

Recently, we showed that the repeated application of dinitrofluorobenzene (DNFB) to the ears of mice results in a typical allergic dermatitis and the simultaneous production of IgE antibody against DNFB (Nagai et al., 1997a, b). We have previously demonstrated that the dermatitis consists of helper T 1 (Th1) cell-mediated contact dermatitis and IgE antibody-mediated cutaneous response. In the present study, we report that this DNFB-induced allergic cutaneous response is accelerated by overproduction of IL-5.

    Materials and Methods
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

Animals. Seven-week-old female transgenic mice weighing 20 to 25 g were prepared and maintained as previously described by Tominaga et al. (1991). These mice were produced on C3H background, were rederived as specific pathogen-free, and bred at our laboratory. Age-matched female wild-type C3H/HeN mice weighing 20 to 25 g were originally obtained from Japan SLC, Inc. (Hamamatsu, Japan) and bred in our laboratory. Mice were housed in plastic cages in an air-conditioned room at 24°C, fed a standard laboratory diet, and given water ad libitum. All experiments were carried out following the guideline for the care and use of experimental animals made by the Japanese Association for Laboratory Animal Science in 1987. The serum IL-5 level in IL-5 transgenic mice was 814.38 ± 120.79 pg/ml (n = 24). IL-5 was not detected in the serum of wild-type mice.

Reagents and Antibodies. DNFB was purchased from Nacalai Tesque Inc. (Kyoto, Japan). Monoclonal antimouse IgE antibody (LO-ME-3) was from Serotek Co. (Oxford, UK). Peroxidase-conjugated streptavidin was from Dakopatts a/s (Glostrup, Denmark). Bovine serum albumin (BSA) [enzyme-linked immunosorbent assay (ELISA) grade] was obtained from Sigma Chemical Co. (St. Louis, MO). Dinitrophenol (DNP)-BSA was obtained from LSL Co. (Tokyo, Japan). N-hydroxysuccinimide-long chain-biotinylation kit was purchased from Pierce Chemical Co. (Rockford, IL). Peroxidase-labeled antimouse IgE was obtained from Nordic Immunology Co. (Tilburg, The Netherlands). Goat antimouse IgG and IgM, peroxidase-labeled goat antimouse IgG, and IgM was obtained from Organon Teknika Co. (Turnhout, Belgium). The substrate kit was purchased from Sumitomo Bakelite Co. (Tokyo, Japan). Isogen was from Nippon Gene Co. (Tokyo, Japan). Polymerase chain reaction (PCR) primers [beta -actin, interferon-gamma (IFN-gamma ), IL-4, and IL-5] were purchased from Stratagene Co. (La Jolla, CA). The 1st STRAND complementary DNA (cDNA) synthesis kit was from Clontech Lab. (Palo Alto, CA). GeneAmp PCR Reagent kit with AmpliTaq DNA Polymerase was obtained from Perkin-Elmer Japan Co. (Urayasu, Japan).

The monoclonal anti-DNP IgE-producing cell line, EC1, was established by fusing spleen cells from a DNP-Ascaris extract-primed BALB/c mouse with P3X6-Ag8,653 (8-azaguanine-resistant, IgG-nonsecreting). EC1 cells were maintained in a medium containing equal volumes of RPMI 1640 (Life Technologies, Rockville, MD) and DMEM (high glucose; Life Technologies) supplemented with 10% fetal bovine serum (Irvine Scientific, Santa Ana, CA), 100 U/ml penicillin G (Banyu Pharmaceutical Co. Ltd., Tokyo, Japan), and 100 µg/ml streptomycin (Life Technologies) in a humidified atmosphere of 5% CO2 at 37°C. After reaching a confluent state, cells were recovered by gentle flushing, mixed with three to five times volume of fresh medium, and seeded in new culture flasks. Under our culture conditions, cells usually reached confluence in 3 days. Finally, culture supernatant was separated by centrifugation at 400g for 10 min. The cell-free fluid was stored at -80°C and used as a source of IgE. The maximum dilution of the preparation that gave a positive passive cutaneous anaphylaxis (PCA) in Wistar rats challenged with DNP-BSA was 1:1024.

Procedure for Allergic Dermatitis by Repeated Painting with DNFB. Experiments were carried out by the method previously described (Nagai et al., 1997a,b). Mouse ears were painted with DNFB or just vehicle [acetone/olive oil (3:1)] once each week for 5 weeks. Twenty-five microliters of 0.15% DNFB in vehicle was applied to each side of the both ears. Ear thickness was measured using an engineering micrometer (R1-A, Ozaki MFG Co., Tokyo, Japan) and expressed as the increase in thickness from time zero. Mouse ears were removed 24 h after the fifth painting and fixed with 10% neutral Formalin (Nacalai Tesque, Kyoto, Japan). Ears were then cut into parasagittal slices, dehydrated, and embedded in paraffin by standard procedures. Paraffin sections were stained with H&E and assessed by light microscopy. Individual inflammatory cell types were counted in high-power fields (HPF; ×200) and expressed as cells per HPF with mean (±S.E.M.) calculated.

Determination of Hapten-Specific IgE Titer and Ig Concentrations in Mouse Serum. Hapten-specific IgE (sIgE) and immunoglobulins concentrations [total IgE (tIgE), total IgG (tIgG), and total IgM (tIgM)] in mouse serum were measured using the ELISA described below. To measure the concentration of each Ig, serum was obtained from the mice 24 h after the every painting with DNFB.

We measured the hapten sIgE titer by a captured ELISA (Sakaguchi et al., 1989; Hirano et al., 1989). Briefly, immunoplates (EIA II Plus microtitration plate; Flow Laboratories Inc. Mclean, VA) were coated with monoclonal antimouse IgE antibody and incubated at 4°C overnight. The plates were blocked with phosphate-buffered saline (PBS) containing 1% BSA, incubated at room temperature for 1 h, and washed three times with PBS containing 0.2% Tween 20 (T-PBS). Monoclonal anti-DNP IgE antibody (monoclonal anti-DNP IgE, clone SPE-7; Sigma Chemical Co.) was sequentially diluted as the standard. Diluted serum sample (100 µl) was added to each well and the plates were incubated at room temperature for 1 h. After washing with T-PBS, 100 µl of diluted biotinylated DNP-BSA was added to each well and incubated at room temperature for 1 h. After extensive washing with T-PBS, 100 µl of diluted peroxidase-conjugated streptavidin was added to each well. The enzymatic reaction was stopped by adding 100 µl of stop solution after an incubation at room temperature for 1 h. The optical density of the reaction mixture was read using an automatic ELISA plate reader (Titertek Multiscan MCC/340, Flow Laboratories) at 450 nm.

To measure total Ig concentrations (tIgE, tIgG, and tIgM), immunoplates were coated with diluted monoclonal anti-IgE, goat antimouse IgG, or goat antimouse IgM antibody, respectively, by incubating overnight at 4°C. The plates were blocked as described above and washed three times with T-PBS. Standard curves were generated as described above by employing standard IgE, standard mouse IgG (Miles Scientific, Naperville, IL), and standard IgM (Miles). Serum sample (100 µl) was added to each well and incubated at room temperature for 1 h. ELISA was performed using peroxidase-conjugated antimouse IgE, IgG, and IgM. The ELISA data compared with the standards added to each plate were analyzed using the Delta Soft program (Bio Metallics Inc., McLean, VA) for the Macintosh computer (Apple Computer Inc., Cupertino, CA). The sIgE, tIgE, tIgG, and tIgM titers are expressed in micrograms per milliliter based on laboratory-generated standards and appropriate commercial standards.

Analysis of Cytokine Messenger RNA (mRNA) Expression in Mouse Auricular Lymph Nodes and Ears by Reverse Transcriptase-PCR (RT-PCR). Changes in cervical lymph node and ear-derived cytokine mRNA levels were assessed by RT-PCR using a thermal cycler (Bio Metra Trio-Thermoblock, Bio Metra Co., Göttingen, Germany). Using Isogen, total RNA was prepared from the ears and lymph nodes of the mice 4 h after being painted five times with either vehicle or DNFB. The amount of total RNA in each sample was measured spectrophotometrically at 260 nm and quality was checked by electrophoresis. RT-PCR was performed as follows. Total RNA (500 ng) was reverse-transcribed for 60 min at 42°C using the 1st STRAND cDNA synthesis kit. Each cDNA sample was amplified in a total volume of 100 µl containing 0.5 µM each primer (RT-PCR primers set from the GeneAmp PCR reagent kit). The internal control was beta -actin. The mixture was overlaid with mineral oil and put in the thermal cycler for 35 cycles. RT-PCR was performed on beta actin, IFN-gamma , IL-4, and IL-5. The PCR products were resolved by electrophoresis and stained with ethidium bromide. Samples were obtained from two mice whose ears and cervical lymph nodes were removed 4 h after the fifth painting with DNFB. RT-PCR was semiquantified by densitometrically scanning photo negatives produced using a Polaroid camera (Poraloid 665 film; Polaroid Corp., Cambridge, MA). For semiquantitation, the densitometry value of each cytokine was normalized to that of the housekeeping gene, beta -actin, which was not affected by the DNFB concentrations applied in this study. In addition, a linear correlation between RNA input and PCR product was examined. Fair linearity was obtained between the density value of PCR product and RNA input. All PCR amplifications were performed at least twice with multiple sets of experimental RNAs.

Purification of Total RNA and Analysis of Productive Cepsilon Gene Expression by RT-PCR. RT-PCR was performed as described above to assess the changes in cervical lymph node-derived productive Cepsilon mRNA levels. RNA (500 ng) was reverse-transcribed for 60 min at 42°C using the 1st STRAND cDNA synthesis kit. The cDNA samples were amplified in a total volume of 100 µl containing 0.5 mM' and 3' primers (primers sequences for productive Cepsilon , 5' primer j4: TGGACTACTGG GGTCAAGG, 3' primer Cepsilon 2: AGCGATGAATGGAGTAGC) with GeneAmp PCR reagents (GeneAmp PCR Reagent kit with AmpliTaq DNA polymerase.

The mixture underwent a 5-min denaturation at 94°C, 5 min annealing at 60°C, and then 30 cycles of 1.5 min at 72°C, 1.5 min at 94°C, and 1.5 min at 60°C, with a final extension of 10 min at 72°C. RT-PCR was performed on beta -actin and productive Cepsilon . The internal control was beta -actin. Each PCR product was resolved by electrophoresis and visualized with ethidium. Auricular lymph nodes were obtained 4 h after the fifth painting with DNFB.

IgE-Mediated Biphasic Cutaneous Reaction. This method was described previously (Nagai et al., 1995). In brief, mice received two i.v. injections (5-min interval) of 0.5 ml of monoclonal IgE preparation. Twenty-four hours after the sensitization, a skin reaction was elicited by applying 25 µl of 0.15% DNFB acetone-olive oil solution to both sides of the both ears. The reaction was assessed by measuring the ear thickness using an engineer's micrometer (Upright Dial Gauge; Peacock, Tokyo, Japan) at different times after challenge. Data were expressed as an increase in ear thickness after antigen challenge by subtracting the value measured immediately before challenge. Because we had previously confirmed that the vehicle for the monoclonal IgE preparation did not affect the skin reaction in the present experimental protocol, we injected saline into control mice instead of the IgE preparation.

Vascular Permeability Increase by PCA, Serotonin, and Platelet-Activating Factor (PAF) in Mouse Ear. Mouse ear PCA was carried out according to methods described previously (Inagaki et al., 1988). Briefly, 10 µl of diluted anti-DNP monclonal IgE antibody was injected into back skin under light anesthesia. After 48 h, PCA was elicited by i.v. injection of 0.25 mg of DNP-BSA dissolved in 0.25 ml of 0.5% Evans blue saline solution. Thirty minutes after the antigen challenge, mice were sacrificed by cervical dislocation and the bluing skin area removed. To measure the amount of extravasated dye, bluing skin was dissolved with 0.7 ml of 1 N KOH solution in a stoppered tube at 37°C overnight and 9.3 ml of a mixture of 0.6 N H3PO4 solution and acetone (5:13) was added. After vigorous shaking, precipitates were filtered off and the the amount of dye was measured colorimetrically at 620 nm. Increase in vasopermeability by mediators was initiated by the following. Mice back skin received 10 µl each of serotonin (3 × 10-6 g/ml) and PAF (2x10-6 g/ml) solution. Immediately after the injection of mediator, 0.5% Evans blue saline solution was injected i.v. After 30 min, mice were sacrificed and the extravasated dye was measured by the method described above.

Statistical Analyses. Results are expressed as the mean ± S.E.M. Data were evaluated by either Student's or Welch's t test after examining the variances using the F test. p < .05 was considered to be statistically significant.

    Results
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

Dermatitis Caused by Repeated Painting with DNFB. Repeated topical application (painting) of DNFB on the ear provoked typical contact dermatitis in mice. Figure 1 shows the time course for the changes in ear thickness due to dermatitis in IL-5 transgenic and wild-type mice. The thickness increased in proportion to the increase in the number of exposures to DNFB. The ear thickness at time zero was 21.68 ± 0.18 × 10-2 mm. The maximum response of the dermatitis was detected 24 h after the second, third, fourth, and fifth painting with DNFB. Our previous studies have shown the response at 24 h consists of a mixture of contact dermatitis and IgE antibody- mediated late-phase cutaneous response. The increase in ear thickness at 24 h after each painting with DNFB was potentiated in IL-5 transgenic mice when compared with the response in wild-type mice. The increased thickness of the ears in IL-5 transgenic mice was 29.44 ± 2.75 × 10-2 mm, and that in wild-type mice was 16.89 ± 0.60 × 10-2 mm 24 h after the fifth painting. The maximum response was a 3-fold increase in ear thickness. No significant increase in ear thickness was apparent in the mice treated with vehicle and naive mice during the experiment.


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Fig. 1.   Time-course study for the increase in ear thickness caused by repeated painting with DNFB in IL-5 transgenic mice and C3H/HeN mice. Each mouse received a topical application of 0.15% DNFB in acetone olive oil or vehicle once a week for 5 weeks. Each group consisted of five to six mice. The statistical significance is indicated in the difference between the ear thickness of DNFB-treated IL-5 transgenic mice and wild-type mice. *, p < .05 (from wild-type mice), dagger , p < .01 (from wild-type mice). WT, Wild-type mice; IL-5 Tg, IL-5 transgenic mice

Figure 2 shows the histopathological changes in the mice skin lesions 24 h after the fifth painting with DNFB. Marked infiltration of inflammatory cells, mainly eosinophils and neutrophils, and hypertrophy of the epidermis were evident in the IL-5 transgenic groups. However in the wild-type group, a significant migration of lymphocytes and neutrophils and little or no migration of eosinophils were observed after five repeated paintings with DNFB. We quantified the cellular infiltrate in the epidermis and dermis together by examining 18 HPFs and calculating the mean ± S.E.M. number of infiltrating cells. Table 1 shows that DNFB-sensitized skin sites in IL-5 transgenic mice exhibited a significant increase in the numbers of eosinophils, neutrophils, and total cells compared with that in DNFB-treated wild-type mice. The mean number of each inflammatory cell in the skin site of naive and vehicle-treated mice (in both wild-type and IL-5 transgenic mice) was under 1.8 cells/HPF.


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Fig. 2.   Histopathological picture of ear skin lesions from mice that received five antigen (DNFB) applications (original magnification 50×). A, Intact wild-type mice; B, vehicle-treated wild-type mice; C, DNFB-treated wild-type mice; D, intact IL-5 transgenic mice; E, vehicle-treated IL-5 transgenic mice; and F, DNFB-treated IL-5 transgenic mice

                              
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TABLE 1
Quantification of cellular infiltrate of DNFB-sensitized skin sites in C3H/HeN, wild-type, and IL-5 transgenic mice

To investigate the potentiating mechanism of inflammatory response, the expression of cytokine mRNAs (IFN-gamma and IL-5) in the ear was measured by RT-PCR (Fig. 3). Semiquantitative data were expressed in the bar graph. Each column represents the mean of three experiments. In the ear of IL-5 transgenic animals, IFN-gamma mRNA expression after antigen provocation was almost the same compared with that in wild-type mice, whereas the expression of IL-5 mRNA was 14 times stronger than that in wild-type mice. IFN-gamma mRNA in lymph nodes was constitutively expressed and did not change after antigen challenge in both wild-type and IL-5 transgenic mice (data not shown). IL-4 mRNA was expressed in the lymph node but not in the ear after antigen challenge in both animals (data of IL-4 mRNA in the skin not shown).


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Fig. 3.   The changes in cytokine mRNA in the ear lesions from C3H/HeN, wild-type, and IL-5 transgenic mice after five paintings with DNFB. Semiquantitative data are indicated in the bar graph. Each column represents the mean of three experiments. WT, wild-type mice; IL-5 Tg, IL-5 transgenic mice

Ig Production by Contact Sensitization with DNFB. As indicated in Table 2, the levels of hapten sIgE and tIgE in the serum from IL-5 transgenic mice after the fifth painting with DNFB was almost a 1.9 and 1.6 times increase from those in wild-type mice. The tIgG and tIgM levels were originally high in transgenic mice when compared with those in wild-type mice. The tIgG level in transgenic mice after DNFB treatment was significantly lower than that in wild-type mice, but the tIgM level in transgenic mice was higher than that in wild-type mice. To investigate the effect of IL-5 overproduction on the IgE production, we investigated the expressions of IL-4 mRNA and productive Cepsilon mRNA in the lymph node. As shown in Fig. 4, the expression of both mRNAs in the lymph node was similar in IL-5 transgenic and wild-type mice. In addition, the expression of productive Cepsilon mRNA in the spleen was also examined. The magnitude of the expression of productive Cepsilon mRNA in transgenic and wild-type mice spleen was almost the same (data not shown). The serum level of each Ig in the wild-type and transgenic mice was not altered by the treatment with vehicle (data not shown).

                              
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TABLE 2
Alteration of Ig levels in serum after sensitization by five paintings with DNFB in wild-type and IL-5 transgenic mice


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Fig. 4.   The expression of IL-4 mRNA and productive Cepsilon mRNA in auricular lymph node from C3H/HeN, wild-type and IL-5 transgenic mice after five paintings with DNFB. Semiquantitative data were indicated in the bar graph. Each column represents the mean of three experiments. WT, Wild-type mice; IL-5 Tg, IL-5 transgenic mice

IgE-Mediated Biphasic Cutaneous Reaction. Mice were sensitized with anti-DNP IgE and challenged with antigen epicutaneously. Results of a time-course study are shown in Fig. 5. Intravenous application of IgE and the subsequent epicutaneous antigen challenge induced a cutaneous reaction in wild-type and IL-5 transgenic mice. A significant increase in ear thickness was observed at 1 and 24 h after antigen challenge in sensitized animals (p < .01 from normal animals). In control mice, which received an i.v. injection of saline instead of monoclonal IgE, epicutaneous application of DNFB did not cause a significant cutaneous reaction (data not shown). The magnitude of the response at 1 h after antigen challenge was identical for wild-type and IL-5 transgenic mice, whereas the magnitude of the late-phase response at 4 and 24 h after challenge in IL-5 transgenic mice was greater than in wild-type mice. As shown in the Fig. 6, marked eosinophilia, dermal edema, vascular dilatation, and epidermal hyperplasia were observed in the skin lesions of IL-5 transgenic mice 24 h after antigen application. In wild-type, C3H/HeN mice, many neutrophils and a few eosinophils were seen in the dermis and epidermis 24 h after antigen challenge.


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Fig. 5.   Time-course study for change of ear thickness by antigen-induced biphasic cutaneous response in C3H/HeN, wild-type, and IL-5 transgenic mice. *, p < .05. WT, Wild-type mice; IL-5 Tg, IL-5 transgenic mice


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Fig. 6.   Histopathological picture of skin lesions of IgE mediated antigen-induced late phase-cutaneous response (24 h after the antigen challenge) in IL-5 transgenic and C3H/HeN mice (original magnification, 50×). A, DNFB-treated nonsensitized wild-type mice; B, DNFB-treated sensitized wild-type mice; C, DNFB-treated nonsensitized IL-5 transgenic mice; D, DNFB-treated sensitized IL-5 transgenic mice

Increase in Vasopermeability by PCA, Histamine, Serotonin, and PAF in Mouse Ear. To examine the susceptibility of skin to allergic mediators, the increase in vasopermeability by PCA, histamine, serotonin, and PAF was compared in IL-5 transgenic and wild-type mice. The increase in vascular permeability caused by PCA, serotonin, and PAF was similar in IL-5 transgenic and wild-type mice (Fig. 7).


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Fig. 7.   The increase in vascular permeability caused by passive cutaneous anaphylaxis, serotonin, and PAF in C3H/HeN, wild-type, and IL-5 transgenic mice. Each column represents the mean ± S.E.M. of five to six animals.

    Discussion
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

In the present study, we demonstrated that allergic contact dermatitis caused by repeated sensitization with DNFB was potentiated in transgenic mice expressing IL-5 under a metallothionein promoter. The present results also show that the accelerated dermatitis is associated with increases in IL-5 mRNA expression in the skin, serum IgE level, IgE antibody-mediated late-phase cutaneous response, and skin eosinophilia, but is not associated with the increase in IFN-gamma mRNA expression in the ear and susceptibility to allergic mediators.

The immunological mechanisms involved in the initiation and development of allergic skin inflammation are poorly understood. Recent data suggest that the local expression pattern of cytokines plays a critical role in modulating the nature of tissue inflammation. Hamid et al. (1994) reported that although acute and chronic atopic dermatitis lesion are associated with increased activation of both IL-4 and IL-5 genes, initiation of acute skin inflammation in dermatitis is associated with a predominance of IL-4 expression, whereas maintenance of chronic inflammation is predominantly associated with increased IL-5 expression and eosinophil infiltration. Moreover, many investigators report the existence of IL-5 in the lesions of dermatitis and overproduction of IL-5 by the peripheral blood cells of patients with allergic dermatitis (Yamada et al., 1995; Musial et al., 1995; Leung 1995; Tanaka et al., 1994). These reports suggest that the production of IL-5 may play an important role in initiation or maintenance of allergic dermatitis in humans. In the present study, we demonstrated that IL-5 overproduction resulted in the potentiation of allergic cutaneous inflammation.

IL-5 mRNA was detected in IL-5 transgenic mice ear skin, indicating a high production of IL-5 in the skin lesion of transgenic mice even without antigen stimulation. However, no significant histopathological changes were observed in the mice without antigen stimulation. Only a slight migration of eosinophils was observed in the ear skin of IL-5 transgenic mice. Overproduction of IL-5 without antigen stimulation did not cause dermatitis. However, when antigen was applied to the skin of mice, severe dermatitis with a significant elevation of IL-5 mRNA expression resulted. The magnitude of dermatitis was more severe in transgenic than in wild-type mice. These data suggest that overproduction of IL-5 is not an initiation factor but a potentiating factor for allergic dermatitis.

To investigate the mechanism for potentiation of dermatitis, we examined the antigen-induced expression of cytokine mRNA in IL-5 transgenic mice. As reported previously, antigen stimulation caused strong expression of IFN-gamma in the skin lesions and IL-4 and IL-5 mRNAs in the lymph nodes in BALB/c mice (Nagai et al., 1997a). The expression of IFN-gamma in the lymph node was detected without antigen stimulation and did not change with repeated antigen stimulation. Simultaneous expression of IL-4 and IL-5 mRNAs in the skin lesion was not detected or was very low even after antigen stimulation in BALB/c mice. In the present study, a similar phenomenon was observed in wild-type C3H/HeN mice. Simultaneously, antigen-induced strong expression of IFN-gamma and IL-5 mRNAs was observed in IL-5 transgenic mice. However, the magnitude of IFN-gamma mRNA was almost the same between wild-type and IL-5 transgenic mice. Previous studies have shown involvement of Th1-derived IFN-gamma in contact dermatitis (Thomson et al., 1993). Therefore, the present allergic contact dermatitis is due to Th1 response in IL-5 transgenic mice and the allergic contact dermatitis is a partial feature of Th2 (IL-5 transgenic) mice. In addition, the present data indicate that the overproduction of IL-5 does not affect antigen-induced, Th1-derived IFN-gamma mRNA expression in the skin. To the contrary, the antigen stimulation significantly potentiated the expression of IL-5 mRNA in IL-5 transgenic mice. It may be closely related to the severe eosinophilia in the skin lesion. However, the reason why antigen stimulation in IL-5 transgenic mice amplifies the expression of IL-5 mRNA is still obscure. The antigen stimulation may accumulate many kinds of IL-5 overexpressing cells including mast cells, eosinophils, and T lymphocytes in the skin lesion. Further experiments will be necessary to elucidate this amplifying mechanism of IL-5 expression.

In the histopathological studies of skin lesions, marked eosinophilia was observed in IL-5 transgenic mice. Many investigators have reported that IL-5 plays a dominant role in eosinophilia in the skin, and severe infiltration of eosinophils in skin lesions may accelerate dermatitis (Yamada et al., 1995; Tanaka et al., 1994; Hamid et al., 1994). In the present study, IgE-mediated late-phase cutaneous response was potentiated in IL-5 transgenic mice, whereas IgE-mediated immediate-phase reaction, PCA reaction, and mediator-mediated permeability increase were not. These data show that the increase in eosinophilic inflammatory response at 4 and 24 h in IL-5 transgenic mice caused the increase in ear thickness without a direct relationship to the serum IgE level or immediate cutaneous reaction. The relationship between IL-5 and late-phase cutaneous reaction has not been clarified. But many reports indicate that late-phase cutaneous response involves eosinophilia. Studies suggest the eosinophil is the most influential cell in late-phase allergic reaction (Litchfield et al., 1996). We observed marked eosinophilia in skin lesions 24 h after the fifth antigen stimulation and in the IgE-mediated late-phase cutaneous reaction in IL-5 transgenic mice. These results suggest that activation of eosinophils is very important in the acceleration of allergic dermatitis in IL-5 transgenic mice. Currently, we are investigating the kinds of eosinophilic molecules expressed during dermatitis by using in situ hybridization.

We also found potentiation of IgE production in IL-5 transgenic mice after antigen stimulation. The reason for this acceleration is still obscure. There is evidence to indicate a direct relationship between overproduction of IL-5 and an acceleration of IgE antibody production. Lim-Bo et al. (1995) reported that IL-5 potentiates the production of IgE by mouse splenic lymphocytes stimulated with bacterial lipopolysaccharide. Zhou et al. (1996) also reported a correlated increase in IgE production to IL-5 mRNA-positive cells in Nippostrongylus brasiliensis infected mice. Purkerson and Isakson (1992) also reported that IL-5 in addition to IL-4 may provide a signal to isotype switching to IgE in mice. These reports have indicated a direct relationship between IL-5 and IgE production. In the present study, we showed that the expression of both IL-4 mRNA and the productive Cepsilon gene are not altered by repeated antigen stimulations in IL-5 transgenic mice. Sewell and Mu (1996) reported that IL-4 and -5 are not always coordinately produced in parasitic infestation and allergic disease. In addition, Brewer et al. (1996) reported that there was no significant difference in IL-5 production between IL-4-deficient and wild-type mice when mice were immunized with alum and ovalbumin. These results, as well as our own, suggest that IL-5 overproduction does not effect IgE production through IL-4 at the gene level. To clarify this, we are currently investigating the functions of T and B cells by using cultured cells from transgenic mice.

In conclusion, the present study indicates that an allergic cutaneous response caused by repeated painting with DNFB is potentiated in IL-5 transgenic mice when compared with wild-type mice. This potentiation may be related to the augmentation in IgE antibody production, IgE antibody-mediated late-phase cutaneous reaction, and eosinophilia in the skin lesion.

    Footnotes

Accepted for publication July 23, 1998.

Received for publication March 17, 1998.

Send reprint requests to: H. Nagai, Department of Pharmacology, Gifu Pharmaceutical University, 5-6-1 Mitahorahigashi, Gifu 502-8585, Japan. E-mail: nagai{at}gifu-pu.ac.jp

    Abbreviations

IL, interleukin; DNFB, dinitrofluorobenzene; DNP, dinitrophenol; PAF, platelet-activating factor; PCA, passive cutaneous anaphylaxis.

    References
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Abstract
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Materials & Methods
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0022-3565/99/2881-0043$03.00/0
THE JOURNAL OF PHARMACOLOGY AND EXPERIMENTAL THERAPEUTICS
Copyright © 1999 by The American Society for Pharmacology and Experimental Therapeutics



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