Background
The major histocompatibility complex (MHC) is a set of cell surface proteins divided into two major groups respectively known as class I and class II molecules, which play a fundamental role in adaptive immunity. While MHC class I is ubiquitously expressed by almost all cells, MHC class II is mostly expressed by antigen-presenting cells (APCs) such as monocytes, macrophages, and dendritic cells. These cells are involved in external antigen (Ag) processing and antigenic peptide presentation in the context of MHC class II to CD4+ T helper (T
h
) cells. Full T
h
cell activation occurs when the peptide-MHC class II complex interacts with the T cell receptor (TCR), in the presence of signals delivered by the interaction of co-stimulatory molecules such as CD40, CD80, and CD86 on the APC and their ligands on T cells.
Interestingly, expression of MHC class II is not strictly restricted to immune cells. It has been demonstrated that non-professional APCs are capable of inducible MHC class II expression, Ag presentation, and even effective T cell reactivation [
1,
2]. Aberrant expression of MHC class II by non-professional APCs from targeted organs and subsequent presentation of auto-Ags is now considered to be an important mechanism in the pathogenesis of autoimmune disease processes, including those affecting the eye [
3,
4].
Experimental autoimmune uveitis (EAU) is a model of organ autoimmunity in the eye. EAU is mediated by activated T
h
cells, which are believed to be central in the pathogenesis of human non-infectious uveitis as well [
5,
6]. Immunization with IRBP in adjuvant context leads to priming of autoreactive T cells in peripheral lymphoid organs and polarization into T
H1 and T
H17 cells. These activated T
h
cells then home to the eye, where they induce blood-retinal barrier (BRB) breakdown and subsequent massive recruitment of diverse inflammatory leukocytes from the circulation [
7]. It has been shown that while the first activated T cells enter the eye by chance, regardless of their specificity for retinal or non-retinal Ags, only retina-specific T cells induce EAU [
8,
9]. This leads to the conclusion that EAU induction requires T
h
cell restimulation by in situ Ag recognition. However, the main targets in IRBP-induced EAU are the photoreceptors, which are not believed to express MHC class II. In this context, a tremendous series of works have tried to determine which cell types are responsible for intra-ocular Ag presentation during EAU. Both resident retinal cells [
10] and infiltrating hematopoietic cells [
11] have been proposed, with inconsistent results.
In this study, we aimed to identify and characterize the retinal resident and infiltrating cells susceptible to express MHC class II during adoptive transfer (AT) EAU.
Discussion
EAU is a classical model of autoimmunity in which retinal Ag-specific T
H cells drive the development of retinal inflammation. Local recognition of a retinal Ag is known to be required for T
H cell reactivation and an important unresolved question is to determine which cells are responsible for in situ MHC class II expression and Ag presentation. The retina was long thought to be entirely devoid of MHC class II, as part of the immune privilege. However, in line with our data, some studies have highlighted faint MHC class II expression in the naive retina, as well as an increased expression of MHC class II during uveitis [
21]. Despite years of research, great controversies remain on the role of MHC class II expression by different cell types in uveitis development. Our strategy to investigate this topic was to focus our studies on retinal MHC class II-expressing cells in a natural, non-transgenic, model of uveitis.
In this work, we demonstrate a strong upregulation, both in extent and intensity, of MHC class II expression in the retina during EAU. We also show that MHC class II induction significantly correlates with disease severity and is associated with higher co-stimulatory molecule expression, particularly on most MHC class IIhi cells. We further identify three MHC class II+ retinal cell populations: CD45−CD11b− cells of non-hematopoietic origin with low MHC class II expression and CD45+CD11b+ cells of hematopoietic origin expressing higher levels of MHC class II, which can be further separated into Ly6C+ and Ly6C− cells. Transcriptome analysis of the three sorted populations leads to a clear sample clustering with some enrichment in macrophage markers and microglial cell markers in Ly6C+ and Ly6C− cells, respectively. Finally, functional annotation analysis reveals no major functional differences between Ly6C+ and Ly6C− cells, both hematopoietic cell populations playing a more important role in Ag processing and presentation in association with MHC class II and in T cell activation than non-hematopoietic cells.
Our FC data provide evidence for a non-hematopoietic cell population that expresses MHC class II both in naïve neuro-sensory retina and during uveitis, although to a lower level than cells of hematopoietic origin. However, the nature of these cells could not be identified by IF. Indeed, we did not find strong MHC class II expression on astrocytes nor Müller cells. In agreement, Zhang et al. did not find MHC class II expression on astrocytes nor Müller cells during uveitis in an IFN-γ-induced model of ocular inflammation in rats [
22]. In contrast, Jiang G et al. showed that retinal astrocytes express MHC class II during EAU in B10RIII mice [
1]. Similarly, expression of MHC class II by RPE cells during uveitis was already described in both mice [
23] and humans [
24] more than 20 years ago. However, although our IF data show some MHC class II expression at the level of the RPE, both contrast phase images and co-staining with IBA1 seem to indicate that this expression is attributable to infiltrating hematopoietic cells. Such MHC class II expression by IBA1
+ subretinal cells has actually been described in rd8 mutant mice [
25]. As concerns MHC class II expression by endothelial cells, neither immunostainings nor FC data demonstrate a clear expression. Surprisingly, both the presence [
4,
26] and absence [
11,
22] of MHC class II expression on endothelial cells have been described in the literature. This controversy can partially be explained by the use of different models and techniques. To further investigate this point, we also performed MHC class II staining on retinal wholemounts, confirming the presence of MHC class II
+ cells around retinal vessels, mostly in the shape of dendriform cells ensheathing the vessel (Additional file
7: Figure S7). This is in agreement with the work of Xu et al., who observed no expression of MHC class II by vascular endothelial cells in EAU retinal wholemounts [
27]. Our data thus somehow question the fact that endothelial cells play a prominent role in Ag presentation to T
h
cells during EAU, even though those cells are the central element of the inner BRB and probably the first inner retinal cells encountered by autoreactive lymphocytes.
Recent and quite provocative data suggest that even neuronal cell types are capable of both constitutive and inducible MHC class II expression. Tonade et al. have recently shown that photoreceptor cells produce inflammatory mediators that stimulate leukocytes during diabetic retinopathy [
28]. Another argument in favor of the possible role of photoreceptors in retinal inflammation is that opsin-driven SOCS1 overexpression mitigates EAU development [
29]. Vagaska et al. further demonstrated that MHC class II is expressed in a subpopulation of human neural stem cells and on neurons, at least in vitro [
30]. Finally, Charles et al. have even observed MHC class II expression on retinal neurons such as photoreceptors, during toxoplasma infection [
31]. Yet unvalidated data from our lab suggest that at least part of the
NH MHC class II
dim cell population might be composed of photoreceptors. Rods represent 80% of retinal cells. Contamination of the transcriptome of different retinal cell types by photoreceptor genes has been described by different groups, even when using a highly stringent sorting method relying on transgenic mouse lines in which different retinal cells are marked with fluorescent proteins [
32,
33]. This contamination thus represents a possible limitation of our study and further investigation of this point is clearly needed.
MHC class II expression in the absence of appropriate co-stimulatory signals has been associated with induction of T cell apoptosis or anergy [
34]. Our FC quantitative analyses of retinal single-cell suspensions demonstrate that MHC class II induction during EAU is associated with upregulation of co-stimulatory molecule expression. Furthermore, almost all cells expressing high levels of MHC class II display co-stimulatory molecules, probably indicating higher APC potential. Unfortunately, due to the low absolute number of MHC class II-expressing cells, we were not able to perform extensive phenotypic nor functional analyses of those co-stimulatory molecule-expressing cells. In the literature, data relative to in vivo retinal expression of co-stimulatory molecules are sparse. Tissue-resident cells with inducible MHC class II such as glia or vascular endothelium were reported to express CD80 and CD86 among other co-stimulatory signals under certain conditions and alter responses locally [
35]. To our knowledge, only one study has described the expression of B7.1 (CD80) and B7.2 (CD86) in the eye at different timepoints during experimental autoimmune anterior uveitis, showing that both co-stimulatory molecules are expressed during the disease and downregulated with remission [
36]. Besides, blockade of B7/CD28 [
36] and disruption of CD40/CD40L interactions [
37] were shown to inhibit EAU induction.
Within the retina, both resident and infiltrating cells have been reported to express MHC class II. In the normal retina, the only cells of hematopoietic origin were thought to be yolk sac-derived microglia. However, at least in the central nervous system, recent works also suggest the existence of perivascular macrophages of the same embryologic origin [
38,
39]. During EAU, the retina is further invaded by infiltrating macrophages which express MHC class II [
40]. Considering that MHC class II upregulation is also a hallmark of reactive microglia, the increase in MHC class II
+CD45
+CD11b
+ cells can thus correspond either to the activation and replication of microglia or to invading macrophages. Moreover, although it has recently become clear that monocyte-derived macrophages recruited during inflammation and normal tissue-resident microglia have distinct developmental origins (bone marrow and yolk sac, respectively), a phenotypic overlap exists, with sharing of pan-macrophage markers such as IBA1 and CD11b. No research protocols allow perfect discrimination between those two cell types. Irradiation chimerism or parabiosis induces bias and/or technical limitations [
19]. As concerns the transgenic CCR2
rfp:Cx3cr1
gfp, mouse model used to discriminate between CX3CR1-GFP resident microglia and CCR2-RFP infiltrating monocyte-derived macrophages [
41], not all monocyte-derived macrophages express CCR2 and they are also susceptible to express CX3CR1 [
42]. Within the genetically unmodified mouse model of uveitis we used, some works have found that the level of CD45 expression defines CD45
intermediate and CD45
high populations, corresponding to microglia and recruited macrophages, respectively [
43]. However, it has also been shown that activated microglia upregulate CD45 [
44,
45] and that differentiation of monocytes into macrophages may be associated with downregulation of CD45 [
46], sometimes to levels that make the two cell populations indistinguishable [
47]. Accordingly, our FC data did not provide evidence for a clear CD45
intermediate versus CD45
high population among MHC class II
+ cells. Another option was to choose Ly6C expression to further discriminate microglia from macrophages among MHC class II
+ cells of hematopoietic origin. Indeed, several works showed that Ly6C is expressed mainly by infiltrating macrophages and not by microglia [
18,
48]. We thus isolated Ly6C-positive (
Plus) and Ly6C-negative (
Minus) cells among MHC class II
+CD45
+CD11b
+ hematopoietic cells and used transcriptome analysis to get insight into the nature and role of each cell type. Our bioinformatics analysis confirms to some extent the validity of Ly6C as a discriminative marker; although, some macrophage markers are expressed by Ly6C
− cells and some microglial cell markers are expressed by Ly6C
+ cells. Indeed, it is known that not all macrophages express Ly6C [
49], and even that Ly6C expression is downregulated when monocytes migrate into tissues and differentiate into macrophages [
46]. This could explain why macrophage markers are more significantly enriched in Ly6C
+ cells than microglial cell markers in Ly6C
− cells, since the Ly6C
− population may contain Ly6C
− macrophages.
Only 17 genes were found to be significantly regulated between
Plus and
Minus cells, including Ly6C2. Among those differentially regulated genes, four are known inflammatory genes: Slfn4, Lcn2, Slpi, and Cysltr1. Three of those genes are upregulated in the
Plus population: Slfn4 is known to be upregulated during macrophage activation [
50], while Lcn2 and Slpi are both upregulated in the experimental autoimmune encephalomyelitis (EAE) model [
51,
52]. Lcn2 levels were even shown to be increased in the aqueous humor of patients with idiopathic acute anterior uveitis compared to controls [
53]. Cysltr1 is upregulated in the
Minus population and is known as a pro-inflammatory protein produced mainly by cells of the innate immune system including monocytes/macrophages [
54]. Furthermore, two other significantly regulated genes, Sgip1 and Dnm1, are known for a role in the phagocytosis process. Besides, we found that Pou2af1, a gene still poorly described in the literature, is preferentially expressed by macrophages over microglia, in agreement with Gonzalez-Pena et al. [
55].
Functional analysis reveals no major difference between
Plus and
Minus cells. Controversy exists regarding potential functional differences between microglia and macrophages in autoimmune diseases of the central nervous system. Wlodarczyk et al. demonstrated that, in the EAE model, a subpopulation of CD11c
+ microglial cells are as effective as CD11c
+ infiltrating cells in inducing proliferation of myelin oligodendrocyte glycoprotein-immunized T
H cells [
2]. Contrariwise, Yamasaki et al. highlighted many differences between the two cell types in the EAE model, macrophages being highly phagocytic and inflammatory whereas microglial cells had a globally suppressed metabolism [
19]. As concerns EAU, Gregerson et al. demonstrated that CD45
+ cells isolated from quiescent retina have little ability to present Ag, even when LPS-activated [
56]. In our experimental settings, both Ly6C
+ and Ly6C
− hematopoietic cell populations seem to play an important and comparable role in Ag presentation and T cell activation, when compared to non-hematopoietic cells.