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A Novel CD135⁺ Subset of Mouse Monocytes with a Distinct Differentiation Pathway and Antigen-Presenting Properties

Kamio, Naoka 京都大学 DOI:10.14989/doctor.k24515

2023.03.23

概要

The Journal of Immunology

A Novel CD135+ Subset of Mouse Monocytes with a Distinct
Differentiation Pathway and Antigen-Presenting Properties
Naoka Kamio,*,†,‡,1 Asumi Yokota,‡,§,1 Yuichi Tokuda,{ Chie Ogasawara,‖ Masakazu Nakano,{
Miki Nagao,* Kei Tashiro,{ Taira Maekawa,†,# Nobuyuki Onai,‖ and Hideyo Hirai*,†,‡

endritic cells (DCs) play a central role in the immune system by connecting innate and adaptive immunity. Conventional DCs (cDCs) sense and ingest external Ags and
present them on MHC class II, which activates naive T lymphocytes
(14). In addition to cDCs, monocyte-derived DCs (moDCs) and
plasmacytoid DCs (pDCs) are present in both mice and humans
(57). All of these DC types are crucial for immune responses and maintenance of homeostasis. moDCs are induced in response to microbial
infections and regulate the function of CD41 or CD81 T lymphocytes by
presenting ingested Ags (79). pDCs, originating from both myeloid and
lymphoid progenitors (10), secrete type I IFN upon their activation by signals mediated through TLR7 and TLR9 during viral infections (11, 12).
DCs and monocytes/macrophages compose the mononuclear phagocyte system (MPS), and they are generally considered to originate from
common progenitor cells in the bone marrow (BM), although arguments
still remain (1, 1315). Macrophage DC progenitors (MDPs) are considered to reside at the top of the hierarchy within the MPS, giving rise
to both monocyte and DC lineages (16). Common DC progenitors
(CDPs) (17) and common monocyte progenitors (cMoPs) (18) have
been identified as exclusive progenitors for DCs and monocytes, respectively. MDPs and CDPs, both of which are progenitors of cDCs and
pDCs, express Flt3 (also known as CD135) on their surface. Flt3

D

mRNA was detected in short-term hematopoietic stem cells, and the
expression peaked in multipotent progenitors (19). Progenitor cells
retaining surface CD135 expression have the potential to give rise to
DCs, whereas progenitors, which no longer express CD135, lose their
ability to differentiate into DCs. Also, the number of DCs is significantly
reduced in the absence of Flt3 signaling, suggesting a critical role for the
Flt3 ligand (Flt3L)Flt3 interaction in the development of DC lineages
(2, 20, 21).
moDCs are distinct from other DCs as they are generally considered to originate from monocytes rather than from undifferentiated
progenitors (6, 22). Under inflammatory conditions, monocytes
acquire CD11c and MHC class II expression, which indicates their
differentiation into moDCs (2326). In addition, large numbers of
moDCs can be obtained by in vitro culture of monocytes (7, 27,
28). Therefore, moDCs have been widely used for intensive characterization of DCs and have been used in immunotherapies (29, 30).
Accumulating evidence has shown that monocytes are a heterogeneous population in mice and humans (14, 31, 32). In mice, monocytes
are classified based on the expression level of Ly6C. Ly6Chigh and
Ly6Clow monocytes represent “classical” and “nonclassical” monocytes, respectively (33, 34). In addition, recent technical advances,
including single-cell analysis, have further extended our understanding

*Department of Clinical Laboratory Medicine, Kyoto University Hospital, Kyoto, Japan;

Department of Transfusion Medicine and Cell Therapy, Kyoto University Hospital, Kyoto,
Japan; ‡Laboratory of Stem Cell Regulation, School of Life Sciences, Tokyo University
of Pharmacy and Life Sciences, Tokyo, Japan; xDivisions of Pathology and Experimental Hematology and Cancer Biology, Cincinnati Children’s Hospital Medical Center,
OH; {Department of Genomic Medical Sciences, Kyoto Prefectural University of Medicine, Kyoto, Japan; ‖Department of Immunology, Kanazawa Medical University, Japan;
and #Kyoto Prefectural Institute of Public Health and Environment, Kyoto, Japan

formal analysis, writing  review and editing, project administration, and funding
acquisition.
The sequences presented in this article have been submitted to the DNA Data Bank of
Japan under accession numbers E-GEAD-338 and DRA009516.

1

Address correspondence and reprint requests to Dr. Hideyo Hirai, Laboratory of Stem
Cell Regulation, School of Life Sciences, Tokyo University of Pharmacy and Life
Sciences, 1432-1 Horinouchi, Hachioji, Tokyo 192-0392, Japan. E-mail address: hirai@
toyaku.ac.jp

ORCIDs: 0000-0001-6720-2158 (M. Nakano), 0000-0002-8886-6145 (M. Nagao).

The online version of this article contains supplemental material.

Received for publication January 12, 2021. Accepted for publication May 24, 2022.

Abbreviations used in this article: BM, bone marrow; cDC, conventional DC; cDC2,
cDC type 2; CDP, common DC progenitor; cMoP, common monocyte progenitor; DC,
dendritic cell; DC-SIGN, DC-specific ICAM-3grabbing nonintegrin; DTR, diphtheria
toxin receptor; Flt3L, Flt3 ligand; FPKM, fragments per kilobase of transcript per
million mapped reads; iNOS, inducible NO synthase; Lin, lineage; MDP, macrophage
DC progenitor; moDC, monocyte-derived DC; MPS, mononuclear phagocyte system;
NGS, next-generation sequencing; PB, peripheral blood; pDC, plasmacytoid DC; RNAseq, RNA sequencing.

N.K. and A.Y. contributed equally to this work.

This work was partly supported by KAKENHI Grants-in-Aid for Scientific Research
from the Japan Society for the Promotion of Science and University Grants 18K08354,
21K19386 and 21H02956 (to H.H.) and 21K08379 (to A.Y.).
N.K.: methodology, validation, formal analysis, investigation, writing  original draft and
visualization; C.O.: investigation; Y.T., M. Nakano, and K.T.: validation, formal analysis, and
writing  review and editing; A.Y.: validation and formal analysis, investigation, and writing 
review and editing; M. Nagao and T.M.: supervision; N.O.: methodology, validation, formal
analysis, and writing  review and editing; H.H.: conceptualization, methodology, validation,
www.jimmunol.org/cgi/doi/10.4049/jimmunol.2100024

Copyright © 2022 by The American Association of Immunologists, Inc. 0022-1767/22/$37.50

Downloaded from http://www.jimmunol.org/ at Kyoto Furitsu Ika Daigaku on September 20, 2022

The mononuclear phagocyte system (MPS), composed of monocytes/macrophages and dendritic cells (DCs), plays a critical role at
the interface of the innate and adaptive immune systems. However, the simplicity of MPS has been challenged recently by
discoveries of novel cellular components. In the current study, we identified the CD135+ subset of monocytes as a novel class of
APCs in mice. CD135+ monocytes were readily found in the bone marrow, spleen, and peripheral blood at steady state, and they expressed
markers specific to DCs, including MHC class II and CD209a, along with markers for monocytes/macrophages. In addition, this subset
phagocytosed bacteria and activated naive T lymphocytes, fulfilling the criteria for APCs. CD135+ monocytes were derived directly from
macrophage DC progenitors, not from common monocyte progenitors or other monocytes, suggesting that these are distinct from
conventional monocytes. These findings facilitate our understanding of the MPS network that regulates immune responses for host
defense. The Journal of Immunology, 2022, 209: 498509.

The Journal of Immunology

499
Finally, 4891 genes were selected for analyses based on the results from the
Cuffdiff option of Cufflinks under the following quality control conditions:
1) excluding genes where the “status” was not “OK,” 2) excluding genes
that showed an error value for “log2(fold_change),” 3) including genes that
showed “yes” for “significant,” 4) including genes that resulted in a |log2
(fold change)| $ 2.0, and 5) excluding genes when more than six samples
resulted in FPKM 5 0. For the heatmap analysis of myeloid transcription
factor genes, the heatmap images were drawn using the pheatmap package
after normalizing the FPKM values derived from 27 selected genes by using
the zFPKM R/Bioconductor package. The images of RNA-seq data were
drawn using the Integrative Genomics Viewer tool (43).

Materials and Methods

Giemsa staining

Mice

Cytospin specimens were stained using a Diff-Quik stain kit (Sysmex, Kobe,
Japan), a modified WrightGiemsa staining system (44). To analyze the dendrite formation by CD1351 monocytes, cells were incubated for 16 h in
RPMI 1640 cell culture medium supplemented with 10 ng/ml GM-CSF
(FUJIFILM Wako Pure Chemical Corporation, Osaka, Japan), 10% FCS,
50 mM 2-ME, and penicillin-streptomycin. Images were captured using an
Olympus BX43 microscope (Olympus, Tokyo, Japan) connected to a DP80
CCD camera, and processed using cellSens standard 1.12 software (Olympus).

C57BL/6 mice (CD45.21, 712 wk old) were purchased from CLEA Japan
(Tokyo, Japan) or Tokyo Laboratory Animals Science (Tokyo, Japan).
BALB/c mice (712 wk old) were purchased from Japan SLC (Shizuoka,
Japan). CD45.11 in C57BL/6 background mice were a gift from Shigekazu
Nagata (Osaka University, Osaka, Japan). All of the animal protocols were
approved by the Committee on Animal Research of the Kyoto University
Faculty of Medicine and by the Tokyo University of Pharmacy and Life Sciences Animal Use Committee.
Csf2−/− (38), Csf2rb−/− (39), Flt3l−/− (40), CD11cdiphtheria toxin
receptor (DTR) (41), and CX3CR1-GFP mice (42) were maintained in the
specific pathogen-free facility at Kanazawa Medical University, and all
experiments with these animals were also approved by the Institutional Animal Care Committees of Kanazawa Medical University.

Flow cytometric analysis and cell sorting
To obtain BM cells, tibia, femur, and humerus were flushed with PBS containing 2% FCS. Peripheral blood (PB) samples were collected from the
orbital venous plexus under anesthesia. To lyse RBCs, BM, spleen, or PB
cells were treated with Pharm Lyse reagent (BD Biosciences, San Jose, CA).
For surface marker staining, cells were stained with the fluorescent markerconjugated Abs listed in Supplemental Table I. Propidium iodide was used
to exclude dead cells. ...

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the possibility that CD1351 monocytes are some forms of moDCs,

and/or that moDCs are independently derived from CD135− monocytes under inflammatory conditions.

CD1351 monocytes have similarities with other cells within

MPS. Menezes et al. (57) identified R2 and R3 cells within a

CD1351CD1151 cellular fraction. CD1351 monocytes are also

similar to pre-cDC2s as found by Schlitzer et al. (58). Pre-cDC2s

expressed CD135 and Ly6C. However, R2, R3 cells, and precDC2s were defined within the MHC class II− population, whereas

most CD1351 monocytes expressed MHC class II, as shown in Fig.

3A. In addition, R2 cells were negative for CD11C, which is

expressed by CD1351 monocytes. Functionally, transfer of

CD1351 monocytes did not give rise to cDC2s in the spleen of the

recipients (Fig. 7E). Y´an˜ ez et al. also identified CD135-expressing

cells within CD11b1CD1151 cells (15). However, they were negative for Ly6C and F4/80, both of which were expressed by CD1351

monocytes (Figs. 1A and 3A, respectively). Although we cannot

completely rule out the possibility of some overlaps, we have currently concluded that CD1351 monocytes are different from those

cells reported by others. Monocytes, macrophages, and DCs, all

members of the MPS, share many properties, gene expression profiles, and differentiation pathways (13, 49). Given that CD1351

monocytes are classified as monocytes, we expected that they would

be descendants of cMoPs, as cMoPs are considered to be progenitors with limited potential to differentiate into all kinds of monocytes (18). Indeed, we verified that Ly6Chigh and Ly6Clow CD1351

conventional monocytes were derived from cMoPs. However, the

vast majority of CD1351 monocytes were differentiated directly

from MDPs but never from cMoPs, to our surprise. Considering

that CD1351 monocytes have the ability to present Ags even at

steady state and have a unique differentiation pathway, it might be

better to avoid referring to them as monocytes and instead name

them “monocytoid DCs.”

Development of cellular components of the MPS is governed by

complex networks of transcriptional regulation, and cell typespecific requirements for transcription factors have been identified such

as Klf4 and Irf8 for Ly6Chigh monocytes, and Nr4a1 and Cebpb for

Ly6Clow monocytes (35, 5962). We have not identified any specific transcription factors required for the development of CD1351

monocytes so far. However, RNA-seq analysis revealed that

CD1351 monocytes expressed Irf8 at a higher level than CD135−

conventional monocytes or cDC2s. Because Ly6Chigh monocytes

(including both CD135− and CD1351) are markedly reduced in

Irf8-deficient mice (62), we hypothesize that Irf8 plays important

roles in specification, differentiation, or maintenance of CD1351

monocytes in addition to its known roles in other monocytes and

DCs (62, 63). We are currently investigating the molecular mechanisms that regulate the supply of CD1351 monocytes.

In summary, our results clearly showed the existence of a

novel APC population with a distinct differentiation pathway

among monocytes. CD1351 monocytes are circulating through

lymphoid organs and PB in the steady state with the abilities to

activate naive T cells by presenting Ags, indicating that they

play an important role in protecting homeostasis from external

Ags through their immune functions. Recently, novel DCs/DClike cells have been identified in human PB as well (6466).

Redefinition of conventional monocytes as a CD135− subset

should be also of great impact on our understanding of MPS.

We are currently working to further elucidate the differentiation

and functions of CD1351 monocytes under healthy and diseased

condition with the aim of better understanding the MPS complex and the immune responses.

A NOVEL CD135+ SUBSET OF MOUSE MONOCYTES

The Journal of Immunology

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509

Supplemental Table 1

Antigen

CD11b

Clone

M1/70

CD135

CD115

A2F10

AFS98

c-kit

Ly6C

CD11c

B220

I-A/I-E

F4/80

2B8

AL-21

HL3

RA3-6B2

M5/114.15.2

BM8

CD16/32

PD-L1

PD-L2

CD40

CD80

CD86

SiglecH

6,53Į

CD45.1

CD45.2

93

10F.9G2

TY25

FGK45.5

16-10A1

GL-1

eBio440c

P84

A20

104

CD206

CD301a

CD64

CCR2

CD3

CD19

NK1.1

Ter119

Ly6G

CD209a

iNOS

IFNJ

TNF

C068C2

LOM-8.7

16E2

X54-5/7.1

17A2

1D3

PK136

Ter-119

1A8

LWC06

CXNFT

XMG1.2

MP6-XT22

Antibodies used for flow cytometry

Fluorochrome

FITC

PE-Cy7

PE, biotin

APC

VioBright, FITC

APC-Cy7

V450

FITC, PE

APC

FITC

FITC

PE

APC

APC

APC

FITC

FITC

FITC

FITC

APC

FITC, V450

FITC

APC-Cy7

APC

AlexaFluor647

PE

PE

PerCP-Cy5.5

PerCP-Cy5.5

PerCP-Cy5.5

PerCP-Cy5.5

PerCP-Cy5.5

APC

APC

AlexaFluor647

AlexaFluor647

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