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Published online before print August 28, 2008
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¶
From the Départemente of Experimentelle Rheumatologie,* Charité, Campus Mitte, Berlin, Germany; the Institute of Pathylogy/Research Center ImmunoSciences,
and the Medizinische Klinik I,¶ Charité, Campus Benjamin Franklin, Berlin, Germany; the Department of Pathology,
Case Western Reserve University School of Medicine, Cleveland, Ohio; and the Department of Pediatrics,
IWK Health Centre, Dalhousie University, Halifax, Canada
| Abstract |
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The initial step of the adhesion cascade, rolling and tethering, is predominantly mediated by selectins.1-3 E- and P-selectin are expressed on inflamed vessels within nonlymphoid sites, notably within the skin. Because of the preferential accumulation of CLA/E-selectin ligand-positive T cells within the skin, E-selectin is considered as a skin-specific adhesion molecule.4 In contrast, P-selectin has been shown to support homing not only to inflamed skin sites, but also into inflamed peritoneal and mucosal sites.5,6 E- and P-selectin have overlapping and partially redundant function in T-cell recruitment into inflamed sites.7
Selectin ligands are constitutively expressed on neutrophils and macrophages.8
On T cells, they are induced on differentiation from naïve to effector/memory T cells.9
In vitro, IL-12 is a major inductor of E- and P-selectin ligands on CD4+ and CD8+ T cells.10-12
In vivo, selectin ligand expression is found on both interferon (IFN)-
and interleukin (IL)-4-producing T cells and also on subsets of regulatory T cells,13-16
and it is regulated by tissue-specific signals.17
Selectin ligands are composed of carrier proteins, such as PSGL-1, which are posttranslationally modified by glycosyltransferases. For the generation of selectin ligands in T cells fucosyltransferase (FucT)-VII and core-2 β1,6-glucosaminyltransferase (C2GlcNAT)-I play a critical role.18-20
Deficiency in either of these transferases abolishes binding of T cells to E- and P-selectin. FucT-IV has a role partially overlapping that of FucT-VII; P-selectin ligands generated by FucT-VII are crucial for initial leukocyte tethering, whereas E-selectin ligands that permit maximal slowing require simultaneous expression of FucT-IV and FucT-VII.21
Inflammation-dependent leukocyte recruitment and lymphocyte homing, which are retained to a minor degree in FucT-VII-deficient mice, are completely lost in doubly-deficient mice.22
T-cell-dependent immune reactions, such as the DTH or cutaneous hypersensitivity reactions, are impaired after E- and P-selectin blockade and reduced in FucT-VII and FucT-IV/VII mice.19,23,24
Studies in selectin-deficient mice showed the redundancy of E- and P-selectin: whereas blockade of P-selectin by antibody treatment abrogated delayed-type hypersensitivity (DTH) in the skin in E-selectin-deficient mice the same treatment had no effect in wild-type mice.25
In contrast, a study by Subramaniam and colleagues26
suggested an important role of P-selectin alone in cutaneous hypersensitivity reactions because a strong reduction of cellular infiltration was seen in P-selectin-deficient mice. Although these studies provided compelling evidence for a major role of selectin-mediated interactions in inflammation, the question as to the crucial cellular components depending on selectin function remained unanswered.
We have recently developed a DTH model in which a strong local inflammation is induced by transfer of in vitro-generated antigen-specific Th1 effector cells into recipient mice that are challenged by local application of antigen.27 By transfer of Th1 cells from either wild-type or FucT knockout (KO) mice we were able to determine the impact of selectin-mediated adhesion on both the recruitment of T cells into the DTH reaction and the induction of the DTH reaction. In addition, transfer of wild-type Th1 cells into FucT KO recipients allowed us to elucidate the impact of selectin-mediated adhesion on myeloid cell recruitment and inflammatory function.
Our results show that the infiltration of both T cells and leukocytes is to a large degree dependent on the selectin pathway, yet the reduced number of leukocytes recruited in a selectin-independent manner is still sufficient to mount a strong inflammatory reaction. In contrast, selectin ligand deficiency on the inducer T cells critically influences the severity of the local immune response.
| Materials and Methods |
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BALB/c, DO11.10, C57/BL6, and OT-II mice were purchased from the BfR (Bundesinstitut fuer Risikobewertung, Berlin, Germany). FucT-VII–/– and FucT-IV/VII–/– were on a BL6 background. FucT-VII–/–mice were backcrossed to BALB/c at least seven times. Then, these mice were crossed with DO11.10 mice to generate FucT-VII–/–xDO11.10 mice. FucT-IV/VII–/– were left on C57/BL6 background. FucT-VII–/–, FucT-IV/VII–/–, and FucT-VII–/–xDO11.10 mice were bred under specific pathogen-free conditions in our animal facility. All mice were used at an age of 8 to 10 weeks for the experiments. All animal experiments were performed in accordance with institutional, state, and federal guidelines.
Antibodies, Staining, and Sorting Reagents
The following antibodies were produced in our laboratory: anti-IL-4 (11B11), fluorescein isothiocyanate- and Cy5-labeled anti-CD4 (GK1.5), Cy5-labeled anti-OVA T-cell receptor (KJ1.26), fluorescein isothiocyanate-labeled anti-CD4-F(ab) (GK1.5), and fluorescein isothiocyanate-labeled anti-IFN-
(AN18.17.25). As anti-P-selectin antibody, either RB-40 or RMP-1, and as anti-E-selectin antibody, RME-1 or UZ-4 were used, with similar results. The recombinant P-selectin human IgG fusion protein was kindly provided by D. Vestweber (Munster, Germany). Phycoerythrin-labeled anti-human IgG antibodies were obtained from Jackson ImmunoResearch (West Grove, PA). All microbeads were obtained from Miltenyi Biotec (Gladbach, Germany).
Flow Cytometry
Cytometric analysis was performed using a FACSCalibur and CellQuest software (BD Biosciences, Franklin Lakes, NJ). Dead cells were excluded by staining with 4,6-diamidino-2-phenylindol or propidium iodide (Sigma, St. Louis, MO). P-selectin ligands were detected by P-selectin human IgG chimeric protein and phycoerythrin-conjugated anti-human IgG antibody as secondary reagent in Hanks balanced salt solution containing Ca2+ and Mg2+. OVA-TCR transgenic (OVA-TCRtg) CD4+ T cells were identified using the clonotype-specific antibody KJ1.26. For intracellular cytokine staining cells were stimulated with phorbol myristate acetate/ionomycin (10 ng/ml, 500 ng/ml; Sigma) for 4 hours with addition of Brefeldin A (10 µg/ml, Sigma) for the last 2 hours. After stimulation, cells were surface-stained for tg TCR and CD4. Afterward cells were fixed in 2% paraformaldehyde (Sigma), permeabilized by 0.5% saponin (Sigma), and stained intracellularly for IFN-
.
Th1-Mediated DTH Model
OVA-specific Th1 cells were generated in vitro by antigen-specific activation of naive CD4+ T cells from DO11.10 (BALB/c background) or FucT-VII–/–xDO11.10 mice (BALB/c background) as previously described.28
FucT-IV/VII–/– mice were only available on BL6-background; in this case, Th1 cells were generated from OT-II mice (BL6 background). This protocol results in generation of an effector cell population containing 50 to 80% cells producing IFN-
and less than 1% producing IL-4. For induction of the DTH response, a total of 5 x 105 OVA-TCRtg Th1 cells were injected intravenously into recipient mice. Twenty-four hours later, 250 ng of OVA323-339 peptide in 5 µl of incomplete Freunds adjuvant (IFA, Sigma) were injected subcutaneously into the left footpad. Phosphate-buffered saline (PBS)/IFA was injected into the right footpad as a control. This treatment induces a strong DTH reaction within the footpad containing OVA323-339 peptide. Depending on the background, slight differences in the kinetics of the reaction are observed, ie, in BALB/c mice reaction peaks at 24 hours whereas in BL6 mice the initial peak occurs at 48 hours. The strength of inflammation was determined by measuring the footpad swelling using an Oditest micrometer gauge (Kroeplin Laengenmesstechnik, Schlüchtern, Germany).
For blocking experiments mice were treated with 200 µg/mouse anti-P-selectin antibody (RMP-1) and 200 µg/mouse anti-E-selectin antibody (RME-1) at the time point of cell transfer and again on day 2 after induction of the DTH. For depletion experiments 150 µg/mouse anti-Gr-1 antibody (RB6 8C5; BD Biosciences) were administered intraperitoneally on days –2 and +1 of the DTH induction, ie, antigen administration. Efficiency of depletion was confirmed by fluorescence-activated cell sorting analysis of whole blood cells showing less than 1% Gr-1-positive cells in anti-Gr-1 monoclonal antibody (mAb)-treated mice 24 hours after antibody treatment. This was confirmed by morphological analysis in blood smears.
Homing of Adoptively Transferred Th1 Cells
The homing assay was performed as previously described.28
Briefly, in vitro-generated Th1 effector cells were labeled with 51chromium (Amersham Buchler, Braunschweig, Germany) at 37°C (2 x 107 cells/ml, 20 µCi/ml) followed by 2 hours of incubation at 37°C in fresh medium and removal of dead cells with gradient centrifugation (17.1% isotonic Nycodenz; Oslo Nyegaard, Norway). Labeled cells were adoptively transferred into recipient animals on day 1 after DTH induction. Twenty-four hours after transfer, animals were sacrificed and the indicated tissues were removed. Measurement of recovered radioactivity was done using a
-counter (Wallac, Turku, Finland). In addition to the analysis of the migration behavior, 51Cr-labeling allows the determination of the global survival rate of cells in vivo because dying cells release 51Cr, which is rapidly excreted from the animal.29
By counting the radioactivity of a sample of the transferred cell population and detection of the overall radioactivity within a mouse, the percentage of recovery corresponding to the survival of the transferred cells can be determined.
Histology and Immunohistochemistry of Tissue Sections
Histological evaluation of inflamed footpad tissue was performed on days 1 or 2 after DTH induction. For immunostaining, 4-µm-thick sections of formalin-fixed, paraffin-embedded tissue were cut, deparaffinized, and subjected to a heat-induced epitope retrieval step. Slides were rinsed in cool running water and washed in Tris-buffered saline (pH 7.4) before incubation with primary antibodies against CD3 (clone N1580; DAKO, Glostrup, Denmark), myeloperoxidase (MPO, clone A0398; DAKO), and F4/80 (eBioscience, San Diego, CA) for 30 minutes. For detection biotinylated donkey anti-rat (Dianova, Hamburg, Germany) secondary antibody, and/or the streptavidin AP kit (K5005, DAKO) was used. Alkaline phosphatase was revealed by Fast Red as chromogen. Evaluation and grading of hematoxylin and eosin (H&E)-stained samples were performed by microscopic analysis by an experienced pathologist after examination of five high-power fields (hpf) per sample. For this, an Olympus AX70 microscope with JVC KY-F70 camera (JVC, Yokohama, Japan) and DISKUS software (Koenigswinter, Germany) were used. Image processing was performed using Adobe Photoshop 7.0 (Adobe, San Jose, CA). For overall infiltration and tissue damage a 0 to 4 score was used (footpad score): 0, no infiltrates, no edema; 1, loose phlegmonous infiltrates, little edema; 2, moderately dense predominantly phlegmonous infiltrates within subcutaneous fatty tissue, moderate edema; 3, abscess formation within subcutaneous fatty tissue, extensive edema; 4, abscess formation, infiltrates in skeletal muscle, extensive edema. Neutrophil and macrophage infiltrates were counted according to cell-specific staining in five hpf per sample.
Statistics
Data are presented as mean ± SD. Nonparametrical tests (Wilcoxon log rank test, Mann-Whitney U-test) were used for DTH responses, homing experiments, and histological analysis. Differences were considered statistically significant at P < 0.05 and highly significant at P < 0.01.
| Results |
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The adoptive transfer of 5 x 105 OVA-TCRtg Th1 cells into BALB/c recipients followed by injection of OVA323-339 peptide in IFA into the footpad generates a strong DTH reaction showing peak swelling at 24 hours after antigen challenge. In this model of inflammation, a few effector T cells activated by antigen act as pioneer cells and elicit in an autofeedback loop the accumulation of large numbers of T cells as well as of other leukocytes (S. Ghani et al, in preparation).
To determine the role of E- and P-selectin-dependent adhesion mechanisms for this type of DTH reaction we treated recipient mice with antibodies directed against E- and P-selectin before antigen challenge and again on day 2 after induction of the DTH response. In the OVA-treated footpads, blocking of E- and P-selectin almost completely abolished the antigen-specific footpad swelling compared with mice treated with control IgG (Figure 1
; P < 0.01 for each time point), confirming the crucial role of selectins in an acute inflammation.
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To determine the importance of selectin-dependent adhesion pathways for the accumulation of T-effector cells in the inflamed skin we measured the migration of radioactively labeled Th1 cells into an established DTH reaction. Therefore, we compared FucT-VII-deficient cells lacking functional selectin ligands to wild-type (WT) cells. Th1 cells from FucT-VII–/– x DO11.10 mice or DO11.10 mice were radioactively labeled and injected into mice that had received unlabeled OVA-TCRtg Th1 cells intravenously and OVA/IFA into the footpad 48 hours and 24 hours before to induce DTH. Radioactively labeled cells were allowed to home to inflamed tissues for 4 hours and 24 hours. Immigration of FucT-VII-deficient Th1 cells into inflamed sites and, to a lesser extent, into draining lymph nodes was dramatically reduced after periods of 4 hours (data not shown) and 24 hours of homing when compared with WT control cells (Figure 2A)
. This was not attributable to impaired survival because the recovery of radioactivity, corresponding to cell survival, was similar, in fact even slightly higher using OVA-TCRtg FucT-VII–/– Th1 (68.8%) compared to OVA-TCRtg Th1 cells (55.1%). Immigration of FucT-VII–/– Th1 cells into control sites, where some unspecific inflammation caused by the adjuvant was observed, was also reduced. Trafficking of FucT-VII–/– Th1 cells to large organs such as spleen, liver, and lung was unimpaired, in line with the inflammation-specific role of E/P-selectins. These data demonstrate again that expression of selectin ligands on T-effector cells is a prerequisite for their immigration into the inflamed skin. In addition, these data provide evidence that, in T cells, the presence of FucT-IV cannot compensate for the lack of FucT-VII.19,30
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To determine whether the efficient suppression of the early DTH response by anti-selectin Abs is caused by the inability of the T-effector cells to reach the inflamed site we used OVA-TCRtg FucT-VII-deficient Th1 cells in comparison to OVA-TCRtg WT Th1 cells to elicit the DTH reaction. FucT-VII deficiency resulted in a reduction of the antigen-specific DTH response at the initial peak at 24 hours by 70% (mean, 68.8 ± 20.5%; mean of individual data from two independent experiments) compared with WT Th1 effector cells (Figure 2B)
. However, the effect was not as profound and long lasting as that observed with in vivo treatment with antibodies directed against E- and P-selectin and as one might expect according to the dramatically impaired recruitment of FucT-VII–/– T cells into the DTH. This might suggest a potential contribution of selectin-dependent recruitment of neutrophils or macrophages to the pathology of an early DTH reaction. To exclude the possibility that the observed differences between FucT-VII-deficient Th1 cells and WT Th1 cells are because of differences in Th1 differentiation, namely in production of IFN-
required for tissue conditioning, we determined IFN-
production in FucT-VII–/– and WT Th1 cells. No impairment of IFN-
production was found in FucT-VII–/– Th1 cells lacking selectin binding (Figure 2C)
. This shows that selectin-dependent immigration of T-effector cells into the site of antigen challenge is of major importance, yet the small residual, FucT-VII-independent recruitment nevertheless allows for a slow development of the inflammatory reaction.
Unimpaired DTH Reaction after Transfer of WT Th1 Effector Cells into Selectin Ligand-Deficient Mice Despite Reduced Leukocyte Infiltration
The above findings could suggest that the anti-inflammatory effect of selectin blockade also acts via other leukocytes. Myeloid cells such as neutrophils and macrophages also express E- and P-selectin ligands and can use selectin-dependent adhesion mechanisms to enter acutely inflamed regions.8
To determine the impact of selectin-dependent recruitment of these cells on the development of the DTH, we induced the reaction in FucT-VII-deficient mice by transfer of WT Th1 cells and antigen challenge. Surprisingly, FucT-VII deficiency on recipient cells, including the recipients myeloid cells, did not significantly affect the induction of the DTH reaction (Figure 3A)
. To exclude the possibility that the remaining FucT-IV-dependent selectin ligands might support leukocyte entry into the inflamed sites we performed similar experiments using FucT-IV/VII double KO mice as recipients.22,31
As shown in Figure 3B
, we observed an unimpaired course of the DTH response in FucT-IV/VII–/– mice similar to FucT-VII-deficient mice (Figure 3B)
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To test whether neutrophils are indeed required in the skin inflammation model used here, we depleted them before induction of DTH in WT mice by intraperitoneal injection of anti-Gr-1 mAb. This treatment almost completely inhibited the acute DTH reaction compared with control mice, although again, in the later phase, inflammation flared up and persisted as in WT mice (Figure 6)
. Even in FucT-IV/VII-deficient mice, in which only minimal infiltration by neutrophils and macrophages was observed, depletion of granulocytes by anti-Gr-1 antibody treatment led to a complete and slightly prolonged suppression of early inflammation compared with untreated mice (Figure 7A)
. Under these conditions, almost no infiltration of neutrophils and macrophages was detectable at early time points (Figure 7, B and C)
. Gr-1 depletion did not impair T-lymphocyte infiltration because untreated and anti-Gr-1 treated mice showed comparable numbers of CD3+ cells in the OVA-treated footpad (Figure 7B)
. Together, these data suggest that the small numbers of granulocytic cells that invade despite the lack of selectin ligands are required but also sufficient to induce an acute DTH reaction.
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| Discussion |
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In this model, antigen-specific T cells serve both as pioneer cells paving the way for massive cell recruitment as well as effector cells acting directly and indirectly via other leukocytes as shown here. The data of this study confirm that E- and P-selectin-dependent adhesion is critical for T cells to enter the inflamed skin as shown by the strongly reduced ability of selectin ligand-deficient T cells to accumulate in the antigen-challenged site. Interestingly, the deficiency of FucT-VII–/– T cells in homing into the inflamed skin was much more pronounced than the reduction in the DTH-inducing capacity. A study by Hwang and colleagues32 using intravital microscopy in a contact hypersensitivity model provided evidence that E- and P-selectin-mediated adhesion is especially important for the recruitment of the pioneer T cells in the first 2 hours after antigen challenge, but is dispensable a few hours later when other adhesion molecules take over, a finding that could explain this discrepancy. However, in the DTH model used here, FucT-VII–/– T-effector cells were almost unable to enter the established DTH site for at least 24 hours after antigen challenge, and infiltration of neutrophils was drastically reduced in FucT-VII–/– and FucT-IV/VII–/– mice 24 hours as well as 48 hours after challenge, suggesting that most cells permanently depend on selectin mechanisms to enter the inflamed site. This does not exclude that other adhesion molecules and chemotactic signals, such as C5a or VLA-4 were required in addition, as shown elsewhere.33,34 The fact that the number of leukocytes infiltrating into the inflamed tissue can strongly be decreased by defective selectin adhesion whereas immunopathology as measured by footpad swelling is preserved points to the importance of functional activation of the cellular players, resulting in a nonlinear relationship between local cell number and pathogenic effect.
The use of the adoptive transfer model in selectin ligand-deficient mice allowed us to study the sequential requirement of different cell types within the antigen-challenged site for the development of a DTH reaction. Previously it was not entirely clear, to what extent antigen-specific Th1 cells, which by themselves secrete a number of pro-inflammatory cytokines, are sufficient to initiate a full inflammatory reaction. The data presented here illustrate that antigen-specific T cells have to enter the site to initiate the DTH response; yet, also depletion of neutrophils completely suppresses the acute phase of the reaction, indicating that neutrophils are necessary during this phase to elicit the overt symptoms of inflammation and act as downstream effectors, eg, by inducing enhanced vascular permeability and edema formation.
A contribution of neutrophils to antigen-induced DTH reactions has been described before.35-37
However, the finding that even the small number of neutrophils localizing within the inflamed tissue of FucT-VII–/– and FucT-IV/VII–/– mice is sufficient to evoke a full footpad swelling was surprising and shows the potency of this cell type. Moreover, their number was significantly lower under these conditions than in adjuvant-only injected control sites of WT mice. Incomplete Freunds adjuvant is a mild irritant, which was found to cause a significant infiltration of leukocytes, mostly neutrophils. Yet, tissue swelling and damage in the control footpad are much less pronounced and shorter lasting than in the presence of T cell activated by antigen. This demonstrates a so far underestimated role of the cross talk between activated T cells and neutrophils. It is tempting to speculate that IFN-
is a major player in the interaction between T cells and neutrophils, since it has recently been shown to prolong neutrophil survival and to potentiate their function.38
Neutrophils recruited only by the unspecific signals of adjuvant rather occur as a silent, nonpathogenic infiltrate in the absence of stimulating signals from T cells.
The capacity of small numbers of neutrophils to elicit a DTH reaction on T-cell-generated activation might also be the reason why deficiency in selectin ligands on both T cells and myeloid cells was not superior in reducing the DTH compared to T-cell deficiency alone, according to the experiments combining FucT KO T cells with FucT KO recipients. Despite the strong reduction of both neutrophils and macrophages in mice lacking fucosyltransferase the effects on the footpad swelling were minor. In contrast, antibody blockade resulted in stronger and longer lasting inhibition of footpad swelling, a discrepancy that cannot be easily explained. Alternative explanations could assume either signaling induced by antibody binding to the endothelial cells, exerting a suppressive signal (although the effects were not dependent on a specific mAb clone), or, cells originated in a FucT KO animal might have acquired compensatory mechanisms, not unraveled by the functional tests applied.
It has been reported that mast cells play an important role for the recruitment of neutrophils in a DTH reaction elicited by trinitrochlorobenzene.39 In the DTH model used here, we found in experiments using mast cell-deficient WBB6F1-KitW/KitW-v mice as recipients that mast cells are dispensable for elucidation of a full DTH response (unpublished data). Although some accumulation of mast cells was observed on challenge of the footpad, cell recruitment was irrespective of antigen presence or selectin-ligand expression (unpublished data). A recent study by Norman and colleagues40 showed that the presence of mast cells affects the differentiation of T cells in a contact hypersensitivity reaction. Considering the missing effect of mast cells in our model that relies on the in vitro differentiation of Th1 cells the modulation of T-cell priming might be the dominant effect of mast cells in T-cell-dependent skin reactions.
Interestingly, at a later time point footpad swelling occurred in neutrophil-depleted mice and reached levels comparable to those in untreated mice on days 3 to 5 after antigen challenge. Staining of blood from neutrophil-depleted mice confirmed that Gr-1+ cells are still absent from the circulation on day 3 after induction of the DTH reaction (data not shown), suggesting that neutrophils are dispensable for the late occurring immune response and might be replaced by macrophages as secondary effectors, activated by the antigen-specific T cells.
In summary, this study shows that selectins play a major role in the recruitment of T cells, neutrophils, and macrophages in T-cell-initiated DTH reactions. In this model, T cells are instrumental in initiation, whereas neutrophils and other leukocytes are downstream effectors of T-cell-generated signals. Global blocking of selectins by monoclonal antibodies is effective in preventing the development of the T-cell-dependent inflammation. Whereas lack of selectin ligands on effector T cells results in suppression of the early phase of inflammation, defective selectin binding of neutrophils has much less impact on the inflammatory reaction. These findings unravel T cells as the predominant targets for selectin blockade aiming to suppress skin inflammation.
| Acknowledgements |
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| Footnotes |
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Supported by the Deutsche Forschungsgemeinschaft (grants SFB421 and SY31/2–1).
J.H. and U.S. share senior authorship.
Current address of K.S.: Swiss Institute of Allergy and Asthma Research, Davos, Switzerland.
Accepted for publication July 7, 2008.
| References |
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. J Immunol 2006, 176:2857-2863
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