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Toll-like receptor 2 (TLR2) and TLR4 play important roles in the early innate immune response to microbial challenge. To clarify the functional roles of TLRs 2 and 4 in mast cells, we examined bone marrow–derived mast cells (BMMCs) from TLR2 or TLR4 gene-targeted mice. Peptidoglycan (PGN) from Staphylococcus aureus stimulated mast cells in a TLR2-dependent manner to produce TNF-α, IL-4, IL-5, IL-6, and IL-13, but not IL-1β. In contrast, LPS from Escherichia coli stimulated mast cells in a TLR4-dependent manner to produce TNF-α, IL-1β, IL-6, and IL-13, but not IL-4 nor IL-5. Furthermore, TLR2- but not TLR4-dependent mast cell stimulation resulted in mast cell degranulation and Ca2+ mobilization. In a mast cell–dependent model of acute sepsis, TLR4 deficiency of BMMCs in mice resulted in significantly higher mortality because of defective neutrophil recruitment and production of proinflammatory cytokines in the peritoneal cavity. Intradermal injection of PGN led to increased vasodilatation and inflammation through TLR2-dependent activation of mast cells in the skin. Taken together, these results suggest that direct activation of mast cells via TLR2 or TLR4 by respective microligands contributes to innate and allergic immune responses.
Mast cells are particularly frequent in close proximity to epithelial surfaces where they are strategically located for optimal interaction with the environment and for their putative functions in host defense (1, 2). Mast cells have been viewed primarily as effector cells of anaphylactic reactions but also viewed as important cells for initiation of innate and acquired immune response against various pathogens (3–5). These reactions are mediated by a number of preformed or newly synthesized mediators and cytokines that are secreted upon activation of mast cells (6). In contrast to the well-known activation of mast cells via high-affinity IgE receptors (FcεRI), the mechanisms of direct activation of mast cells by various microorganisms have not been studied precisely.
Recent reports suggest that innate immune responses are also initiated by certain pattern recognition receptors, called Toll-like receptors (TLRs). TLRs comprise a family of mammalian cell-surface proteins that stimulate proinflammatory cytokine gene transcription in response to various microbial ligands (7). A large body of evidence studied in TLR2 and TLR4 gene-targeted mice indicated that TLR4 is a signal transducer of LPS, a component of Gram-negative bacteria (GNB) (8–10), whereas TLR2 appears to mediate responses to lipoteichoic acid, lipopeptides, and peptidoglycan (PGN) from Gram-positive bacteria (GPB) and mycobacteria (11–17). We have previously demonstrated, using LPS-low responder C3H/HeJ mice, that there are expressions of TLRs on mast cells and that mast cell TLR4 mediates innate immune response against GNB (18). However, to date, it has still been undefined whether the recognition of pathogens by each TLR on the mast cell is similar to that on the other leukocytes, what roles are played by TLRs in the function of mast cells, and if there are quantitative or qualitative differences in the mast cell activation by different TLRs. Staphylococcus aureus, the best-known GPB, colonizes on more than 90% of atopic eczematous skin, and the number of colonized bacteria and an increased number of activated mast cells are well correlated with the severity of the eczematous lesion (19, 20). Since mast cells express TLR2, it is important to clarify whether the clinical features are dependent on the actual activation of mast cells via TLR2 by GPB.
In this study, we first show that mast cell TLR2 or mast cell TLR4 recognizes the pathogen ligands in a way similar to those of other leukocytes; that is, mast cell TLR2 but not mast cell TLR4 confers GPB component responsiveness, and TLR4 but not TLR2 is sufficient for GNB responsiveness. Second, we observe quantitative and qualitative differences in the activation of mast cells via TLR2 and TLR4 stimulation. TLR2-mediated mast cell activation by PGN leads to degranulation and IL-4 and IL-5 cytokine production, in contrast to TLR4-mediated mast cell activation, in which TNF-α, IL-1β, IL-6, and IL-13 are the major cytokines produced. Finally, we provide new insights into the different roles played by mast cells in vivo in a certain environment. TLR4-mediated activation of peritoneal mast cells is crucial for host protection from Gram-negative bacterial infection, whereas TLR2-mediated activation of skin mast cells causes acute and late reactions by PGN application and may exacerbate the inflammatory lesions of atopic dermatitis, in which S. aureus infection is common.
TLR2-deficient (TLR2–/–), TLR4-deficient (TLR4–/–), and corresponding wild-type (TLR2+/+ or TLR4+/+) mice were kindly provided by S. Akira (Osaka University) (9, 12). WBB6F1-W/Wv mice were purchased from Japan SLC (Hamamatsu, Japan). All animal experiments were performed according to the approved manual of the Institutional Review Board of Juntendo University.
Bone marrow–derived mast cells (BMMCs) were generated from the femoral bone marrow cells of mice and maintained in the presence of 10% pokeweed mitogen–stimulated spleen-conditioned medium as a source of mast cell growth factors as previously described (18, 21). After 4 weeks of culture, more than 99% of the cells were identifiable as mast cells as determined by Toluidine blue staining and FACS analysis of cell surface expression of c-kit and FcεRI.
A total of 5 × 105 BMMCs/ml in Tyrode’s buffer (10 mM HEPES buffer [pH 7.4], 130 mM NaCl, 5 mM KCl, and 5.6 mM glucose) containing 10% FCS (as a source of soluble CD14), 1 mM CaCl2, and 0.6 mM MgCl2 were stimulated with the indicated concentrations of PGN from S. aureus (Sigma-Aldrich, Tokyo, Japan) or LPS from Escherichia coli (serotype 0111:B4; Sigma-Aldrich) for 1 hour at 37°C. The β-hexosaminidase in the supernatants and cell lysate was quantified by hydrolysis of p-nitrophenyl-N-acetyl-β-D-glucopyranoside (Sigma-Aldrich) in 0.1 M sodium citrate buffer (pH 4.5) for 90 minutes at 37°C. The percentage of β-hexosaminidase release was calculated as previously described (18).
BMMCs (1 × 106 cells/200 μl) were incubated under condition of darkness with 5 μM of fura-2 AM (Dojindo Laboratories, Kumamoto, Japan) for 30 minutes, at 37°C in complete culture medium. Cells were washed with excess amounts of cold Tyrode’s buffer and then resuspended in Tyrode’s buffer containing 1 mM CaCl2 and 0.6 mM MgCl2 at the concentration of 5 × 105 cells/ml. Cells were stimulated with 100 μg/ml of PGN at 37°C. BMMCs stimulated with IgE and anti-IgE were used as positive control. Intracellular Ca2+ mobilization was monitored at a 510 nm emission wavelength excited by 340 and 360 nm using a fluorescence spectrophotometer model F2000 (Hitachi Ltd., Tokyo, Japan).
BMMCs (1 × 106 cells/ml) in complete culture medium were stimulated with the indicated concentration of PGN or LPS. Cells were incubated at 37°C, 3 hours for TNF-α or 6 hours for IL-1β, IL-4, IL-5, IL-6, and IL-13 (a preliminary experiment showed that these time points were optimal for the production of each cytokine from mast cells). The level of each cytokine in supernatant was measured by ELISA kit (Genzyme Techne Corp., Minneapolis, Minnesota, USA).
A total of 5 × 106 BMMCs/ml were stimulated with PGN (100 μg/ml) or LPS (50 ng/ml) for the indicated time period. The reaction was stopped with cold Tyrode’s (CA2+, MG2+ free) buffer. The cells were lysed with 20 μl of lysis buffer (1% Triton X-100, 150 mM NaCl, 25 mM Tris-HCl [pH 7.5], 1 mM EDTA, containing 1 μM PMSF, 10 μg/ml leupeptin, 10 μg/ml pepstatin-A, 50 μg/ml aprotinin, and 2 mM sodium orthovanadate), and the lysates were subjected to 10% SDS-PAGE (Bis Tris; Novex, San Diego, California, USA). The immunoblotting using polyclonal antibody to tyrosine-phosphorylated IκB-α (New England Biolabs Inc., Beverly, Massachusetts, USA) and IκB-α (New England Biolabs Inc.) was done according to the manufacturer’s instructions (18). The membrane was developed with an enhanced chemiluminescence detection kit (Amersham Pharmacia Biotech, Piscataway, New Jersey, USA).
Mast cell deficiency of W/Wv mice in the peritoneal cavity was selectively reconstituted by the injection, 4 weeks after starting the culture, of 2 × 106 BMMCs from TLR4–/–, TLR2–/–, or respective wild-type mice into the peritoneal cavity as previously described (18, 22). For the reconstitution of skin mast cells of W/Wv mice, 1 × 106 BMMCs from TLR4–/–, TLR2–/–, or respective wild-type mice, in 20 μl of normal saline, were injected intradermally into the ears (22, 23) 4 weeks after starting the culture. Five weeks after injection of BMMCs, the mice were used for experiments. Reconstitution of mast cells was confirmed by Toluidine blue or Alcian blue and Safranin staining of the cytospun preparation of peritoneal cells or formalin-fixed tissue section of the skin.
Cecal ligation and puncture (CLP) was performed as previously described (18). Briefly, mice were anesthetized with sodium pentobarbital and the cecum was isolated, ligated with 4-0 silk, and punctured once with a 21-gauge needle. After CLP, mice were observed for mortality at least five times daily over a period of 10 days. Before CLP was performed, the mice were coded so that the CLP was done without notifying individual groups.
Peritoneal exudates were collected from CLP-induced mice at the indicated time points, and total cell numbers were counted. Cytospun preparations were made from the exudates of each mouse, and differential cell counts of infiltrating leukocytes were done by counting 500 leukocytes under oil immersion fields after staining with Diff-Quik (International Reagents, Kobe, Japan). The percentage of mast cells in the exudates was determined by Toluidine blue (pH 4.0) or Alcian blue and Safranin staining of cytospun preparation. The levels of cytokines in peritoneal fluids were determined by ELISA kits according to the manufacturer’s instruction (Genzyme Techne).
Mice were lightly anesthetized with ether, and 20 μl of PGN (100 μg/ml in saline) or LPS (100 ng/ml in saline) was injected intradermally into the left ear. The vehicle saline was injected into the right ear as a control. To visualize vascular leakage, 250 μl of 0.5% Evans blue in saline was injected intravenously, 5 minutes before PGN or LPS application. After 15 minutes of application, mice were sacrificed and ears were removed. The amount of dye in the ear was measured as previously described with slight modification (24). An ear was dissolved in 200 μl of 1 N KOH solution overnight at 37°C, and 1.8 ml of a mixture of 0.6 N H3PO4 solution and acetone (5:13) was added. After vigorous shaking, the supernatant was collected by centrifugation at 1920 g for 10 minutes and the optical density was measured at 620 nm. The amount of dye was calculated according to the standard curve of known concentration of Evans blue. For histological examination, ears were removed 15 minutes or 4 hours after PGN or LPS application and fixed in buffered formalin and then stained with hematoxylin and eosin (H&E) or Toluidine blue. The number of dermal mast cells and neutrophils present at the reaction sites was determined as previously described (25, 26) and expressed as the number of cells per square millimeter of dermis. The mast cells were classified into three categories: extensively degranulated (50% of the cytoplasmic granules exhibiting fusion, staining alterations, and extrusion from the cell), slightly to moderately degranulated (10–15% of the granules exhibiting fusion or discharge), or normal (25, 26).
Statistical analysis was performed using the Student t test. Statistical analysis of survival data in the CLP experiment was performed using the Logrank test.
To investigate the involvement of TLR2 and TLR4 in bacterial microorganism–induced mast cell activation, first we investigated the direct effects of these microbial ligands on mast cell degranulation, a major function of mast cells. When evaluated by β-hexosaminidase release, PGN induced degranulation of BMMCs from TLR2-bearing mice, which was almost comparable to that of IgE receptor cross-linking (Figure (Figure1a).1a). In contrast, the same concentration of PGN did not induce any release of β-hexosaminidase from TLR2–/– BMMCs, even though these BMMCs released a similar amount of β-hexosaminidase with TLR2-bearing BMMCs upon IgE receptor cross-linking and calcium ionophore stimulation. This reaction was mediated by TLR2, since TLR4–/– and TLR4+/+ mice showed responses similar to that of TLR2+/+ mice (Figure (Figure1a).1a). Consistent with previous data, LPS stimulation did not cause degranulation of mast cells from any strains of mice (TLR2+/+, TLR2–/–, TLR4+/+, TLR4–/–, C57BL/6, BALB/c, C3H/HeN, C3H/HeJ, and NC/Nga; Figure Figure1a1a and data not shown). Degranulation of BMMCs was well correlated with intracellular Ca2+ mobilization. Upon PGN stimulation, intracellular increase of Ca2+ was observed in TLR2+/+ but not in TLR2–/– BMMCs. The concentration of intracellular Ca2+ reached a maximum level within 50 seconds after PGN stimulation, and no significant difference was observed in the pattern of Ca2+ mobilization compared with FcεRI cross-linking (Figure (Figure1b).1b). The effect of PGN on mast cells was not because of the cytotoxic effect, since these concentrations of PGN did not show any cytotoxicity to BMMCs as evaluated by lactate dehydrogenase release assay.
Next we investigated whether PGN or LPS could activate mast cells to secrete cytokines via respective TLRs, since it has been reported that activation of mast cells leads to the secretion of preformed and newly synthesized cytokines (27). The BMMCs from TLR2+/+, TLR4+/+, and TLR4–/– mice did produce similar levels of IL-4, IL-5, IL-6, IL-13, and TNF-α in response to PGN in a dose-dependent manner (Figure (Figure2a).2a). In contrast, BMMCs from TLR2–/– mice did not produce any of these cytokines upon PGN stimulation. Since BMMCs from TLR4+/+ or TLR4–/– mice could produce similar levels of cytokines, the absence of TLR4 did not influence the responses of BMMCs to PGN. Also, the TLR4-bearing BMMCs could produce TNF-α, IL-1β, IL-6, and IL-13 in response to LPS in a dose-dependent manner (Figure (Figure2b).2b). These responses were completely deficient in TLR4–/– BMMCs. The pattern and levels of these cytokines released by TLR2+/+ or TLR2–/– BMMCs were not significantly different from those of TLR4+/+ BMMCs, suggesting that the absence of TLR2 does not influence the function of TLR4 and that the TLR4 molecule is, at least, a principal LPS signal transducer in mast cells. These results were consistent with our previous work, which used BMMCs from C3H/HeJ mice and showed that intact TLR4 is required for full activation of mast cells by LPS (18).
The cytoplasmic domain of members of the TLR family is homologous to that of the IL-1 receptor (IL-1R), which subsequently drives the transcriptional induction of several cytokine genes after activation of NF-κB (28). We determined whether NF-κB activation was also triggered in mast cells upon PGN or LPS stimulation. The phosphorylation of IκB-α at Ser32, essential for release of active NF-κB, is a marker of NF-κB activation. PGN (100 μg/ml) and LPS (50 ng/ml) induced the phosphorylated IκB-α in a TLR2- or TLR4-dependent manner, respectively. The activity of NF-κB in mast cells was at maximum 15 minutes after both stimulations and then gradually decreased within 30 minutes (Figure (Figure3).3). These results suggest that both PGN-TLR2 and LPS-TLR4 signaling in mast cells is followed by activation of NF-κB.
Using the mast cell–dependent acute septic peritonitis model, we clarified the importance of mast cell TLR4 for bacterial infection in vivo. Peritoneal mast cells of mast cell–deficient W/Wv mice were reconstituted with BMMCs from TLR4+/+, TLR4–/–, TLR2+/+, or TLR2–/– mice and subjected to CLP. Some mast cell–deficient W/Wv mice died on the first day after CLP; 100% died within 3 days (Figure (Figure4a).4a). Some of the W/Wv mice reconstituted with TLR4-deficient BMMCs (W/Wv/TLR4–/–) died within 5 days; only 30% survived 5 days after CLP. In contrast, 80–100% of W/Wv mice reconstituted with TLR4+/+ BMMCs (W/Wv/TLR4+/+), TLR2+/+ BMMCs (W/Wv/TLR2+/+), or TLR2–/– BMMCs (W/Wv/TLR2–/–) survived during the experimental periods. Three days after CLP, W/Wv/TLR4+/+, W/Wv/TLR2+/+, and W/Wv/TLR2–/– mice showed a significantly higher survival rate than W/Wv and W/Wv/TLR4–/– mice (P < 0.05). This result is similar to the previous result of experiments using C3H/HeJ–derived BMMCs for reconstitution of W/Wv mice (18), and there were no significant differences in the survival rate between W/Wv/TLR2+/+ and W/Wv/TLR2–/–, indicating again that mast cells play an important role in host protection from early enterobacterial infection via the TLR4 molecule but not the TLR2. Five weeks after reconstitution, W/Wv/TLR4+/+, W/Wv/TLR4–/–, W/Wv/TLR2+/+, and W/Wv/TLR2–/– mice had no significant differences in the number of peritoneal mast cells (4.56 × 104 ± 0.50 × 104, 4.77 × 104 ± 0.37 × 104, 4.61 × 104 ± 0.37 × 104, and 3.57 × 104 ± 0.95 × 104 cells per mouse, respectively). More than 95% of these mast cells showed positive staining with Alcian blue and Safranin, which was the property of connective tissue mast cells. Their function evaluated by β-hexosaminidase release after FcεRI cross-linking was the same (data not shown).
Since it has been reported that early leukocyte, especially neutrophil, recruitment into the peritoneal cavity after CLP is crucial for protection of mice from acute septic peritonitis–induced death, and that this step is highly dependent on mast cell activation by enterobacteria, we examined whether the defective leukocyte recruitment in the peritoneal cavity after CLP was associated with the deficiency of mast cell TLR4. Although there was no significant difference in the number of leukocytes in peritoneal fluid in W/Wv, W/Wv/TLR4+/+, W/Wv/TLR4–/–, W/Wv/TLR2+/+, and W/Wv/TLR2–/– mice at 5 weeks after reconstitution, the number of leukocytes (most of them were neutrophils) in peritoneal exudates was significantly higher in W/Wv/TLR4+/+, W/Wv/TLR2+/+, and W/Wv/TLR2–/– mice than in W/Wv/TLR4–/– and W/Wv mice 6 hours after CLP (P < 0.01) (Figure (Figure4b).4b). These results were correlated with the proinflammatory cytokine production in the peritoneal cavity. The levels of TNF-α, IL-1β, IL-6, and IL-13 in peritoneal cavities of W/Wv/TLR4+/+, W/Wv/TLR2+/+, and W/Wv/TLR2–/– mice 6 hours after CLP were significantly higher than those of W/Wv and W/Wv/TLR4–/– mice (P < 0.01 in each cytokine) (Figure (Figure44c).
To study whether mast cell TLR2 is a physiologically relevant receptor for PGN in vivo, we compared the ability of intradermal injection of PGN to cause acute and late skin reactions in W/Wv mice and W/Wv mice reconstituted with TLR2–/– or TLR4–/– BMMCs. The vascular permeability, evaluated by extravasation of Evans blue dye, was increased significantly by PGN (P < 0.001) but not LPS application in wild-type mice compared with vehicle control (Figure (Figure5a).5a). This reaction was dependent on the skin mast cells, since mast cell–deficient W/Wv mice showed significantly less reaction (P < 0.001) (Figure (Figure5b)5b) and reconstitution of skin mast cells with BMMCs from wild-type mice increased the extravasation of the dye almost to the level of normal mice. This reaction was also mediated by TLR2, since TLR2–/– mice and W/Wv mice whose skin mast cells were reconstituted with intradermal injections of TLR2–/– BMMCs did not show significant response to PGN (P < 0.001). The reactions of TLR4–/– mice and TLR4–/– BMMC–reconstituted mice were not significantly different from those of wild-type mice and mice reconstituted with wild-type BMMCs (Figure (Figure55b).
The mast cells in the skin 5 weeks after reconstitution showed no differences in number between W/Wv/wild-type (W/Wv/WT), W/Wv/TLR4–/–, and W/Wv/TLR2–/– mice (15.8 ± 4.4, 15.2 ± 4.9, and 17.8 ± 8.0 per linear millimeter of ear skin, respectively), and they were both Alcian blue– and Safranin-positive, suggesting that they were connective tissue–type mast cells (Figure (Figure5c).5c). The histopathologic changes of the skin were investigated at 15 minutes and 4 hours after PGN or LPS injection. PGN challenge to W/Wv/WT and W/Wv/TLR4–/– but not W/Wv/TLR2–/– mice resulted in degranulation of skin mast cells (Figure (Figure5d,5d, left column). The local vasodilatation began at 5 minutes after PGN injection in W/Wv/WT and W/Wv/TLR4–/– but not W/Wv/TLR2–/– or W/Wv mice, and vasodilatation gradually increased, becoming marked at 15 minutes, accompanied by granulocyte infiltration in which the predominant cells were neutrophils (Figure (Figure5d,5d, middle column). Four hours after injection, wheal reaction was decreased but persistent accumulation of neutrophils was still obvious (Figure (Figure5d,5d, right column). In contrast, saline-injected skin had intact mast cells without degranulation in all mice (Figure (Figure5c,5c, bottom row). These reactions, especially degranulation and vasodilatation, were specific to PGN challenge, since LPS did not cause degranulation of mast cells nor vasodilatation of the skin at 15 minutes (Figure (Figure5d,5d, bottom row). Interestingly, LPS caused some accumulation of neutrophils 4 hours after application, but the number of accumulating neutrophils was much less than after PGN application (Figure (Figure5d5d and Table Table1).1). These histopathological changes (infiltration of neutrophils and mast cell degranulation) were quantitatively evaluated and are shown in Table Table11.
This study clearly shows that mast cells can function as effector cells in both host defense and pathogenesis of allergic disease through the direct activation of TLR4 and TLR2 on mast cells by microorganisms.
Mast cells represent a potential source of multifunctional cytokines that may participate in the recruitment and activation of other cells in the inflammatory microenvironment (27). Mast cells responded to PGN or LPS via TLR2 or TLR4, respectively. Mast cell responses to LPS are completely impaired in the absence of the TLR4 but not the TLR2 molecule, suggesting that TLR2 is not involved in LPS response in mast cells and that the LPS-induced TLR4 responsiveness was not affected by the existence of the TLR2 molecule. A reciprocal result was obtained in PGN-TLR2 stimulation of mast cells.
Interestingly, upon PGN stimulation, mast cells released more IL-4 and IL-5, less TNF-α, and no IL-1β, even though TNF-α and IL-1β were predominant cytokines produced by mast cells upon LPS stimulation via TLR4 (18). In addition, PGN could induce degranulation of mast cells via TLR2 accompanied by Ca2+ influx, whereas the activation of mast cells by LPS via TLR4 did not lead to degranulation (18). So far, we still do not know how TLR2 is different from TLR4 in the signaling pathways of mast cell activation. To the extent that we analyzed the phosphorylation pattern of IκB-α and mitogen-activated protein kinases, we did not observe clear differences in TLR2 and TLR4 signaling pathways in mast cells (Figure (Figure33 and data not shown), even though the severely impaired proinflammatory cytokine production of TLR2- or TLR4-deficient mast cells was correlated with the loss of NF-κB activation. Although the intracellular domain of TLRs is highly conserved in each TLR (29), recent findings suggest that downstream events are not always mediated by common components such as MyD88, an adaptor protein that links to the IL-1R–associated protein kinase and to the TNF receptor–activated factor 6 (30, 31). As TLR4 can activate both MyD88-dependent and -independent pathways that lead to different induction of genes in macrophages upon LPS stimulation (32–34), it is possible that TLR2 and TLR4 use different pathways for activation of mast cells. While TLR4 recognizes relatively few ligands, TLR2 recognizes a wide variety of infectious pathogens (34). Since it is reported that ligand specificity and signal-transducing ability of TLR2 are determined by heterodimeric interactions with other TLRs, such as TLR6 or TLR1 (35, 36), it would be useful to determine whether heterodimeric interaction of TLR2 and TLR6 is also required in mast cells. In particular, degranulation is a quite specific biological reaction confined to mast cells; it would be interesting to determine the TLR2-mediated specific signaling pathway that leads to this biological response. A recent report suggests that JAK3 is a key regulator of mast cell–mediated innate immunity, especially TNF-α production from mast cells after E. coli stimulation and clearance of GNB (37). Thus, it would also be helpful to know the relationship of JAK3 activation and TLR signaling in mast cells upon stimulation with GNB.
Mast cell–deficient WBB6F1-W/Wv mice and the model of “mast cell knock-in” mice could be used to analyze the roles of mast cells in biological response in vivo. Consistent with previous work (18), WBB6F1-W/Wv mice were successfully reconstituted with BMMCs from genetically unmatched TLR4+/+ and TLR4–/–, or TLR2+/+ and TLR2–/– mice that are a mixture of C57BL/6 and 129SvJ strains. During the study period, the reconstituted mice did not show any abnormality. The mast cells in both peritoneal cavity and skin 5 weeks after reconstitution were no different in number, ability to develop, and ability to degranulate in vitro. Therefore, the differences in the mortality of mice after CLP and in the acute skin reaction after PGN injection were not due to the difference in development of BMMCs in the W/Wv environments. To determine why mast cells can survive and differentiate in genetically unmatched environments, further investigations are required.
We have previously demonstrated that BMMCs from C3H/HeJ mice, which had constitutive mutation of the intracellular domain of TLR4, show impaired response to LPS by means of cytokine production and NF-κB activation. Our present study using TLR4–/– mice, which lack whole molecules of TLR4, had results similar to those of C3H/HeJ mice. This again clearly indicates that TLR4 but not TLR2 is the critical receptor for activation of mast cells by LPS both in vitro and in vivo. Compared with in vitro results where BMMCs from TLR4–/– mice completely lacked the LPS responses, determined by proinflammatory cytokine production and NF-κB activation, it seemed that W/Wv/TLR4–/– mice showed a better survival rate than unreconstituted W/Wv mice in the CLP model. These differences may reflect the involvement of other TLRs or other molecules, such as CD48 and C3 receptors, in activation of mast cells upon whole-microorganism stimulation in vivo (38, 39).
Since PGN caused degranulation and cytokine production of mast cells in vitro, the role of mast cells in PGN-induced cutaneous acute response was investigated. Wheal reaction was observed within 5 minutes after PGN challenge, but not after vehicle injection, and was gradually enhanced after 15 minutes. We used a mast cell knock-in system with W/Wv mice to exclude the possibility that mediator released from other endogenous cells that express TLR2 can cause increased vascular permeability. The skin reactions were observed within 5 minutes and were not observed in TLR2–/– mice, W/Wv mice, or W/Wv mice reconstituted with TLR2–/– BMMCs, strongly suggesting that degranulation of mast cells through TLR2 activation was responsible for these reactions. In fact, we could observe the highly degranulated mast cells 15 minutes after PGN application in the skin of wild-type, W/Wv/WT, and W/Wv/TLR4–/– mice, but not in the skin of TLR2–/– and W/Wv/TLR2–/– mice, in the histological examination (Table (Table1).1). Furthermore, TLR4–/– mice and W/Wv/TLR4–/– mice showed responses similar to those of wild-type mice, suggesting that TLR4 (on mast cells or other cells) in the skin is not involved in PGN-induced vasodilatation. In addition, application of LPS in the skin did not lead to degranulation of mast cells or vasodilatation similar to that induced by PGN, suggesting that response to LPS in the skin has a biologically different character from that of PGN-induced response. Although it has been reported that mast cells can be activated by GPB through IgE bound on cells (40), this is, to our knowledge, the first evidence that shows the direct activation of mast cells via a specific pathogen recognition receptor, TLR2.
In summary, this study clearly shows that TLR4 but not TLR2 is the important molecule for mast cells in response to LPS challenge and that it functions in innate immunity against enterobacterial infection. In contrast, TLR2 but not TLR4 is responsible for activation of mast cells by S. aureus that might be involved in the pathogenesis of atopic dermatitis. Finding the microbial ligands and relevant receptors on mast cells, as well as signaling pathways that can activate mast cells, will elucidate the complexity of innate immunity and the roles of mast cells in conditions other than allergy. Also, the clarification of the mechanisms of mast cell activation by microorganisms through these TLRs may offer new insight into the treatment of allergic disease or inflammation in which bacterial infections and mast cell activations are common.
This work was supported in part by grants from the Ministry of Education, Science and Culture of the Japanese Government. V. Supajatura was supported by grants from Japan International Cooperation Agency. The authors thank K. Hoshino, H. Yagita, and K. Maeda for helpful discussions, and Y. Kanamaru and T. Uchida for technical assistance.