Engineering DNA Nanoparticles as Immunomodulatory Reagents that Activate Regulatory T Cells Free

Nanoparticles containing the cationic polyamine polyethylenimine (PEI) are efficient vehicles to transduce nucleic acids into cells and tissues (1–3). Previous studies on DNA/PEI nanoparticles (DNPs) focused on elucidating factors that influence the efficiency and stability of gene expression following DNA transduction. Relatively few studies focused on potentially toxic proinflammatory and immune stimulatory responses to DNP treatment, a key consideration when developing novel reagents for clinical applications. Several reports have described rapid, systemic release of proinflammatory cytokines such as IL-12, IFN-γ, and TNF-α following DNP treatment in rodents. IL-12 released after DNP treatment mediated potent antitumor effects in mice bearing tumors, generating interest in exploiting such innate immunostimulatory responses to DNPs to boost anticancer therapy (4, 5). However sustained, systemic release of proinflammatory cytokines may provoke unacceptable toxicities that preclude chronic DNP treatments needed to achieve clinical efficacy.

Regulatory CD4 T cells (Tregs) of the Foxp3 lineage manifest potent immune regulatory phenotypes that may be exploited to treat and prevent hyperimmune syndromes such as autoimmunity and allograft rejection (6). However, the paucity of reliable methods to activate Tregs while not coactivating effector T cells and the innate potential for Tregs to undergo functional reprogramming in some settings of inflammation are formidable barriers to successful immunotherapy using Tregs (7). Previously, we reported that resting Tregs underwent rapid activation to acquire potent regulatory phenotypes in mice treated systemically with relatively high doses of TLR9 ligands (CpG oligonucleotides) due to induction of IDO enzyme activity in a rare subset of CD19⁺ dendritic cells (DCs) (8, 9). Tregs with stable regulatory phenotypes were also found in tumor-draining lymph nodes, and IDO activity in CD19⁺ DCs was essential to maintain Treg regulatory phenotypes (10, 11). In both inflammatory settings, IDO-activated Tregs blocked production of proinflammatory cytokines by innate immune cells, prevented clonal expansion of Ag-activated effector T cells, and blocked Treg functional reprogramming to become helper/effector T cells in response to TLR9-mediated activation signals (9, 11, 12). Thus, reagents that stimulate APCs to express IDO may constitute a novel class of immunomodulatory drugs potentially able to suppress immune-mediated tissue destruction by selective induction and maintenance of Treg regulatory phenotypes in patients with hyperimmune syndromes such as autoimmunity, allergies, and transplanted allografts (13–16).

Several reagents that induce IDO enzyme activity in APCs have been described, including IFNs, reagents that stimulate IFN release such as TLR ligands (e.g., the TLR4 and TLR9 ligands LPS and CpGs, respectively), histone deacetylase inhibitors, and engineered immunomodulatory reagents such as soluble CTLA4 (CTLA4-Ig), some forms of which are approved for clinical use (e.g., Orencia; Bristol-Meyers Squibb) to treat hyperimmune syndromes (17). IFNs, TLR ligands, and histone deacetylase inhibitors also elicit well-documented proinflammatory responses at doses when IDO is not induced, essentially precluding the use of such reagents in clinical settings of hyperimmunity. Moreover, IDO induction in APCs following CTLA4-Ig treatment is critically dependent on poorly defined functional modalities in the Ig domain that may be absent in CTLA4-Ig isoforms developed for clinical applications (17).

In this study, we report that DNA/PEI nanoparticles (DNPs) possess potent and previously unrecognized immunomodulatory attributes. Immunomodulatory responses to DNPs overcame the immune stimulatory effects of induced proinflammatory cytokines by stimulating DCs and Tregs to acquire potent IDO-dependent regulatory phenotypes, which blocked T cell responses to immunization and ameliorated hyperimmunity that caused pathologic joint injury.

Mice were bred in a specific pathogen-free facility. The local (Georgia Health Sciences University) Institutional Animal Care and Use Committee approved all procedures involving mice. TCR-transgenic mice used as sources of responder T cells in suppression assays were described previously (8, 9).

Bacterial plasmid DNA (pDNA) (pEGFPN1; Clontech) was prepared using an endotoxin-free Kit (Qiagen, Valencia, CA). Poly(deoxyadenylic-deoxythymidylic) acid (pAT) was purchased from Invivogen (San Diego, CA). DNPs were prepared using PEI or tetramethyl-rhodamine–conjugated PEI (Invivo-JetPEI; Polyplus/VWR, Suwanee, GA) according to the manufacturer’s instructions. Mice were injected (i.v.) with 30 μg pDNA or 21 μg pAT mixed with PEI (nitrogen to phosphorus ratio equals to 10 and 16.7, respectively).

Snap frozen tissues were homogenized in PBS at 100 mg/ml (spleen) and 50 mg/ml (LNs). Kynurenine (Kyn) and tryptophan were measured by HPLC after deproteination using a C18 reverse phase column (18). IDO enzyme activities in cell-free tissue homogenates were measured as described (19). IDO activity was calculated as picomoles kynurenine per hour per milligram tissue.

Serum IFN-γ was measured by ELISA (eBioscience, San Diego, CA). Serum IFN type I was measured using an IFN bioactivity assay (20). Briefly, NCTC929 cells were pretreated with serial diluted serum samples overnight in the presence of 2 μg/ml anti–IFN-γ Ab (clone XMG1.2; BD Biosciences) and then infected with vesicular stomatitis virus. After 3 d, viable cells were stained with crystal violet and quantified by light absorption at 595 nm using a plate reader.

1-methyl-[D]-tryptophan (1MT; a generous gift of NewLink Genetics) was prepared as a 20 mM stock solution in 0.1 M NaOH, adjusted to pH 7.4, and stored in the dark. For in vitro use, 1MT was added at a final concentration of 100 μM. For in vivo treatment, mice were provided with 1MT (2 mg/ml) in drinking water with sweetener (NutraSweet) to enhance palatability (21).

Cells were stained with the following Abs: anti-CD4 (clone RM4-5), anti-Thy1.1 (clone OX-7), anti-NK1.1 (clone PK136), anti-CD49b (clone DX5), and anti–IFN-γ (clone XMG1.2) from BD Biosciences (San Jose, CA) and analyzed using a LSR2 flow cytometer (BD Biosciences). PBS-57–loaded CD1d tetramer and control tetramer were acquired from the National Institutes of Health Tetramer Core facility. CFSE was purchased from Invitrogen (Carlsbad, CA). To detect intracellular IFN-γ, cells were stained with anti-NK1.1 and anti-CD49b (DX5) mAbs, fixed (Cytofix/Cytoperm; BD Biosciences), and stained with anti–IFN-γ. Some cells were incubated with brefeldin (1 μM, 3 h; BD Biosciences) to accumulate cytokines without further stimulation ex vivo. To detect IFN-γ in OT-2 T cells, draining lymph node (dLN) cells were stimulated with PMA/ionomycin for 4 h with brefeldin A (BFA), stained with anti-CD4 and anti-Thy1.1, and then fixed and stained to detect IFN-γ.

CD19⁺ and CD19^neg DCs were sorted from spleens of untreated and DNP-treated B6 mice using a DakoCytomation MoFlo cell sorter (DakoCytomation) as described (22). Sorted DCs for cytospin analyses were collected onto microscope slides, and DCs for RT-PCR analyses were sorted into tubes containing RNA protect reagent (Qiagen) before preparing RNA samples for quantitative RT-PCR analyses as described (23, 24).

Paraffin-embedded tissue sections (5 μm) and cytospin preparations were stained with custom-made polyclonal rabbit anti-murine IDO Ab (Southern Biotechnology Associates, Birmingham, AL) as described (25). For immunofluorescence staining, frozen sections (7 μm) were fixed (methanol), blocked with 1% nonfat milk in PBS, incubated with primary (1.5 h) and dye-conjugated secondary (1 h) Abs, and mounted in antifade media with DAPI (Invitrogen). CD11c and B220 mAbs were from BioLegend (San Diego, CA). Mouse-absorbed Cy3-conjugated goat-anti-rabbit Ab, Dylight 488-conjugated goat-anti-armenian hamster Ab, and aminomethylcoumarin acetate-conjugated donkey anti-rat Ab were from Jackson ImmunoResearch Laboratories (West Grove, PA). PEI/rhodamine was from Polyplus/VWR. A confocal microscope (Zeiss LSM510M; Carl Zeiss) was used to generate some immunofluorescence images.

MACS-enriched splenic DCs (CD11c⁺) and Tregs (CD4⁺CD25⁺) were isolated according to the manufacturer’s instructions (Miltonic Biotec, Auburn, CA), except that cells were incubated with beads at room temperature. T cell stimulatory activity of DCs was assessed by culturing graded numbers of DCs (6–50 × 10³/well) with responder (MACS-enriched) CD8⁺ T cells from OT-1 (+SIINFEKL peptide) TCR-Tg mice ± 1MT (22). Suppressor activity of Tregs was assessed by culturing graded numbers of Tregs (1.25–20 × 10³/well) with responder A1 (H-Y–specific) T cells, APCs (female CBA), and male (H-Y) peptide; a mixture of anti–programmed death-1 (PD-1), anti–programmed death ligand-1 (PD-L1), and anti–PD-L2 mAbs was added to some cultures to block PD-1–PD-L interactions (9, 11). Occasionally, IDO-independent T cell-suppression manifests (as no effect of adding 1MT) at higher numbers of DCs (Fig. 2E) or Tregs for technical reasons probably related to mouse health status, age, and strain.

CFSE-labeled OVA-specific (Thy1.1) T cells from OT-1 or OT-2 donor mice were injected (i.v.) into recipient B6 (Thy1.2) mice 1 d before immunization. CFSE labeling was performed by incubating MACS-enriched splenic CD8⁺ (OT-1) or CD4⁺ (OT-2) T cells at ∼10 × 10⁶ cells/ml in PBS with 2 μM CFSE (37°C, 15 min). Mice were then immunized with 10⁶ erythrocyte-free spleen cells from Act-mOVA transgenic mice (s.c.), and treated with DNPs.

B6 mice were sensitized with methylated BSA (mBSA; s.c., 500 μg in CFA, day 0) and booster injections (mBSA/IFA, days 7 and 14). Arthritis was induced by intra-articular challenge with mBSA (10 μg in PBS, day 21). Arthritis severity was evaluated by measuring joint swelling, neutrophil infiltration, and histological analysis as described (26, 27). To assess joint injury knee joints were dissected, fixed, and embedded in paraffin. Sagittal joint sections (5 mm) were stained with Safranin-O and counterstained with fast green/iron hematoxylin. Popliteal and inguinal LN cells draining inflamed joints were pooled, cultured (10⁶ cells/well) ± mBSA (100 μg/ml) for 36 h, and IL-17 and IL-6 concentrations were measured using a multiplex bead system (Luminex) according to the manufacturer’s instructions.

The unpaired Student t test (GraphPad Prism; GraphPad) was used for statistical analyses.

Elevated IDO protein levels were detected in mucosal and lymphoid tissues of mice following systemic DNP treatment to transduce bacterial pDNA into mouse tissues (data not shown). To investigate this unanticipated response to DNP treatment, levels of kynurenine (Kyn), a tryptophan metabolite made by cells expressing IDO, were assessed in homogenates prepared from lymphoid tissues of DNP-treated mice (Table I). Significantly higher Kyn levels were detected in spleen and peripheral LNs (∼10- and ∼4-fold increase, respectively) relative to basal Kyn levels in tissues from untreated mice (Table I). Increased IDO enzyme activity was also detected in cell-free lysates from spleens of DNP-treated mice (Table I), measured as Kyn produced ex vivo in the presence of IDO enzyme substrate mixture (19). However, elevated IDO enzyme activity was not detected in spleens from mice treated with PEI or pDNA alone (Table I). Thus, DNP treatment stimulated rapid upregulation of IDO enzyme activity in lymphoid tissues.

To detect cells induced to express IDO after DNP treatment, B6 mice were treated with pDNA/PEI (i.v., 24 h), and lymphoid tissues were stained to detect IDO. Dispersed clusters of cells expressing IDO were detected in perifollicular regions of spleen and peripheral LNs, and stained cells displayed plasmacytoid morphologies (Fig. 1A, 1B). This pattern resembled staining patterns observed in mice treated with CTLA4-Ig or high doses of oligonucleotides with CpG motifs to ligate B7 and TLR9, respectively, which induced IDO in rare, but distinctive, CD19⁺ DCs with attributes of both DCs and B cells (23, 28). To test if DNP treatment induced selective IDO expression in CD19⁺ DCs, we sorted CD19⁺ and CD19^neg DCs from spleens of DNP-treated B6 mice and stained sorted cells to detect IDO. Most CD19⁺ DCs expressed IDO (Fig. 1C), whereas almost no CD19^neg DCs expressed IDO (Fig. 1D), indicating that DNP treatment stimulated selective IDO expression in CD19⁺ DCs. Though most IDO⁺ cells in lymphoid tissues coexpressed CD11c some IDO⁺ cells did not express CD11c (Fig. 1E, 1F), indicating that DNPs induced IDO in CD19⁺ DCs and some non-DCs in perifollicular regions.

To evaluate where DNPs accumulated in lymphoid tissues, B6 mice were treated with DNPs containing rhodamine-conjugated PEI. Only 45 min after DNP treatment, dye-conjugated DNPs (red) had accumulated in perifollicular regions adjacent to splenic B cell areas (B220⁺, Fig. 1G). After 3 h, DNPs had accumulated in marginal zones, and a few cells within lymphoid follicles also stained intensely (Fig. 1H, and data not shown), suggesting that DNPs were rapidly and selectively ingested by cells located in perifollicular/marginal zones.

To assess if DNP treatment induced DCs to acquire regulatory phenotypes dependent on IDO, graded numbers of splenic CD11c⁺ DCs from DNP-treated mice (i.v., 24 h) were cultured with OVA-specific OT-1 T cells and cognate peptide SIINFEKL (Fig. 2, left panel). In this assay, DCs from untreated mice exhibited T cell stimulatory activity ex vivo, whereas DCs from mice treated with other IDO inducers (CpGs, CTLA4-Ig) did not stimulate T cell proliferation, unless the IDO inhibitor 1MT was added to cultures (22, 28). As expected, DCs from untreated mice stimulated robust OT-1 proliferation that was not enhanced by adding 1MT (Fig. 2A, closed and open symbols, respectively). In contrast, DCs from DNP-treated B6 mice did not stimulate OT-1 T cell proliferation, unless 1MT was present in cultures and irrespective of how many DCs were added to cultures (Fig. 1B). DCs from DNP-treated mice lacking intact IDO1 genes (IDO1-knockout [KO] mice) stimulated robust OT-1 proliferative responses that were not enhanced by adding 1MT (Fig. 2C). To assess IFN signaling requirements to induce functional IDO, mice lacking intact genes encoding IFN-γ (IFN-γR1-KO) and IFN type I (IFNAR-KO) receptors were treated with DNPs. IFN-γR1-KO mice were used rather than IFN-γR2-KO mice as the IFN-γRα subunit (encoded by IFN-γR1) is essential to bind IFN-γ, whereas the IFN-γRβ subunit (encoded by IFN-γR2) is required only for optimal IFN-γ signaling; thus, IFN-γR1 gene ablation eliminates IFN-γ signaling, whereas IFN-γR2 ablation may not eliminate IFN-γ signaling completely (29). DCs from DNP-treated IFN-γR1-KO mice mediated IDO-dependent T cell suppression comparable with B6 mice (Fig. 2D), whereas DCs from DNP-treated IFNAR1-KO mice did not mediate suppression via IDO (Fig. 2E); loss of T cell stimulatory properties at high DC numbers may be linked to the genetic defect in these mice or to nonspecific suppression that occasionally manifests in these assays for technical reasons. Thus, DCs acquired potent IDO-dependent T cell regulatory phenotypes after DNP treatment, and IFN type I, but not IFN-γ, signaling was essential for regulatory responses to manifest.

Previously, we reported that IDO activity induced in CD19⁺ DCs stabilized Treg regulatory phenotypes and prevented Treg functional reprogramming at sites of tumor growth and following TLR9 ligation (8, 9, 11, 12). To evaluate if DNP treatment activated Tregs via IDO, graded numbers of splenic CD4⁺CD25⁺ cells from DNP-treated B6 mice (i.v., 24 h) were added to Treg suppression assays containing responder male (H-Y) Ag-specific CD4⁺ T cells from A1 TCR-Tg mice, cognate H-Y peptide, and APCs from CBA female mice (Fig. 2, right panel). Because these cultures contained no Treg mitogens, and Tregs (B6) were genetically mismatched with responder T cells and APCs, Tregs cannot activate during culture, and regulatory phenotypes must be generated in vivo (9, 11). Adding as few as 2500 Tregs (Tregs/responders 1:20) from DNP-treated B6 mice suppressed A1 T cell proliferation completely (Fig. 2F, closed symbols). Robust A1 T cell proliferation was restored in the presence of a mixture of mAbs that block interactions between PD-1 and its ligands PD-L1 and PD-L2 (Fig. 2F, open symbols), a hallmark feature of IDO-activated Tregs (9, 11). Consistent with the interpretation that Treg activation was IDO dependent, Tregs from DNP-treated IDO1-KO mice had no significant regulatory activity, and PD-1/PD-L mAb blockade did not enhance A1 T cell proliferation (Fig. 2G). Tregs from DNP-treated IFN-γR-KO mice mediated potent PD-1/PD-L–dependent suppression, comparable with Tregs from DNP-treated B6 mice (Fig. 2H), whereas Tregs from DNP-treated IFNAR-KO mice did not mediate potent suppression, and PD-1/PD-L blockade had no effect on A1 T cell proliferation (Fig. 2I). These outcomes were consistent with data from DC suppression assays and support the hypothesis that DNP treatment induced DCs and Tregs to acquire regulatory phenotypes dependent on induction of IDO in DCs via IFN type I receptor signaling.

Bacterial pDNA contains immunostimulatory (unmethylated CpG) motifs that ligate TLR9 in innate immune cells to trigger release of proinflammatory cytokines, including IFN type I. As TLR9 ligands also induced IDO via IFN type I and activated Tregs (9, 22), we tested if DNPs lacking TLR9 ligands (CpG motifs) induced IDO activity. Spleens from B6 mice treated with DNPs containing CpG-free pDNA or synthetic pAT polymers exhibited increased IDO activity levels comparable with levels induced by DNPs containing TLR9 ligands (Table I). Consistent with these findings, DNP-induced IDO activity levels were comparable in spleens of TLR9-deficient (TLR9-KO) and B6 mice (Table I). Thus, IDO induction following DNP treatment was not dependent on TLR9 signaling.

To further evaluate innate immune responses to DNP treatment, serum IFN type I and II levels were assessed in mice treated with DNPs containing or lacking TLR9 ligands. Consistent with previous reports (1, 5), treating B6 mice with DNPs containing TLR9 ligands (pDNA/PEI) induced substantial increases in serum IFN-γ levels 24 h after DNP administration (Fig. 3A). In contrast, DNP treatment in mice with defective genes encoding TLR9 or MyD88, an adaptor molecule required for signaling via several TLR-dependent pathways in innate immune cells, induced no detectable increases in serum IFN-γ levels (Fig. 3A). Moreover, treating wild-type (B6) mice with DNPs lacking TLR9 ligands (CpG-free pDNA/PEI, pAT/PEI) elicited no detectable increases in serum IFN-γ (Fig. 3B). In contrast, DNP treatment stimulated comparable increases in serum IFN type I levels, irrespective of the presence or absence of TLR9 ligands in DNPs (Fig. 3C). Thus, systemic IFN-γ release induced by DNPs was dependent on TLR9/MyD88 signaling in innate immune cells, whereas IFN type I release was not dependent on this pathway.

To identify cells expressing IFNs after DNP (pDNA/PEI) treatment, flow cytometric and quantitative RT-PCR analyses were performed to detect intracellular IFN-γ and IFN type I (IFN-α2, IFN-β1) expression, respectively. Splenocytes expressing intracellular IFN-γ were detected soon after DNP treatment (3 h), and phenotypic analysis revealed that splenic NK cells expressing NK1.1 and DX5 accounted for almost all of the cells expressing IFN-γ at this early phase in the innate response to DNPs (Fig. 3D and data not shown). Gated NK1.1⁺DX5⁺ cells from pDNA/PEI-treated mice expressed uniformly high levels of intracellular IFN-γ relative to NK cells from untreated mice when cells were analyzed directly (ex vivo) or after culture (for 3 h) in the presence of BFA to block protein secretion (Fig. 3D, center and top panels, respectively). In contrast, gated NK cells from mice treated with DNPs lacking TLR9 ligands (CpG-free pDNA/PEI) expressed much lower levels of IFN-γ only marginally higher than levels in NK cells from untreated mice, and IFN-γ was undetectable after ex vivo stimulation with BFA (Fig. 3D, top and bottom panels, respectively). Invariant NKT cells, gated CD1d-tetramer⁺TCRβ⁺NK1.1⁺ cells, from pDNA/PEI-treated mice did not express IFN-γ (data not shown). RT-PCR analyses of RNA from FACS-sorted CD19⁺ and CD19^neg DCs from B6 untreated and pDNA/PEI-treated mice (3 h after DNP treatment) revealed substantial increases in IFN-α2 and IFN-β1 transcripts in both DC subsets (Fig. 3E). After normalizing results to β-actin levels, IFN-α2 and IFN-β1 transcript levels were increased approximately three orders of magnitude in CD19^neg DCs and between one and two orders of magnitude in CD19⁺ DCs, indicating that splenic DCs made copious amounts of IFN type I soon after DNP treatment and that IFN-α2 production, unlike IDO expression at later times (Fig. 1), was not restricted to the CD19⁺ DC subset. Thus, DNPs stimulated rapid and uniform NK cell activation leading to systemic IFN-γ and IFN-αβ release, and IFN-γ but not IFN-αβ release was TLR9 dependent, as DNPs lacking TLR9 ligands did not activate NK cells.

To test if DNP treatment suppressed T cell responses elicited in vivo after OVA immunization, OVA-specific T cell responses were monitored in B6 (Thy1.2) mice harboring marked cohorts of CD4 T cells transferred from OT-2 TCR (Thy1.1) transgenic donor mice and labeled with the dye CFSE. As depicted (Fig. 4A), CFSE-labeled OT-2 T cells were injected into recipients 1 d before mice were immunized (s.c.) with OVA⁺ splenocytes from Act-mOVA transgenic mice (30). Flow cytometric analyses were performed 5 d after OVA immunization to detect gated donor (CD4⁺Thy1.1) OT-2 T cells in inguinal LNs draining immunization sites. As expected, OT-2 T cells proliferated extensively in OVA-immunized B6 mice (Fig. 4B, second panel from left), such that total numbers of OT-2 and OT-2 Th1 (expressing intracellular IFN-γ) T cells increased >20- and >30-fold relative to nonimmunized controls (Fig. 4C, 4D, respectively). In contrast, DNP treatment blocked OT-2 T cell clonal expansion (Fig. 4B, second panel from right) and differentiation such that total numbers of OT-2 and Th1 OT-2 T cells were even lower than in nonimmunized controls (Fig. 4C, 4D). Continuous oral dosing with 1MT starting 2 d before OVA immunization restored robust OT-2 T cell proliferation in OVA-immunized, DNP-treated mice (Figs. 4B, right panel), revealing that IDO activity was essential for the regulatory effects of DNP treatment to manifest in vivo. Comparable outcomes were obtained in experiments using OVA-specific OT-1 (CD8) T cells instead of OT-2 T cells (data not shown). Comparable outcomes were also obtained when TLR9-deficient mice were used as OT-1 recipients and treated with DNPs containing TLR9 ligands and when B6 mice were treated with DNPs lacking TLR9 ligands (data not shown). Thus, DNP treatment blocked in vivo T cell responses to exogenous Ag, and IDO activity, but not TLR9 signaling, was essential for T cell regulatory effects to manifest after DNP treatment.

To test the hypothesis that DNP treatment attenuates immune-mediated tissue pathology, a model of Ag-induced rheumatoid arthritis was employed (26). B6 mice were sensitized with methylated BSA (mBSA/CFA, day 0), boosted twice with mBSA/IFA (days 7 and 14), and local joint arthritis was induced by intra-articular injection of mBSA (challenge) 21 d after initial immunization. Groups of mBSA-immunized mice were treated with DNPs lacking TLR9 ligands (pAT/PEI) or vehicle (PEI) starting 1 d before mBSA challenge (day 20) and continuing after local mBSA challenge (days 21, 22, 24, and 26). DNP treatment reduced joint (knee) swelling significantly (measured cumulatively 1–7 d after mBSA challenge), relative to controls that received vehicle only (Fig. 5A). Therapeutic effects of DNP treatment on joint swelling were abrogated in mice lacking intact IDO1 genes (IDO1-KO) and in B6 mice given oral 1MT continuously from 2 d before initial mBSA immunization until experimental endpoints 7 d after mBSA challenge (Fig. 5A). Significant therapeutic effects of DNP treatment were also observed for other measures of arthritis severity. Neutrophil infiltration into joints 1 d after mBSA challenge was reduced significantly in DNP-treated, mBSA-immunized B6 mice relative to immunized B6 mice and DNP-treated, immunized mice lacking functional IDO (Fig. 5B). Similarly, levels of the proinflammatory cytokines IL-6 (Fig. 5C) and IL-17 (Fig. 5D) produced ex vivo by cells from inflamed inguinal and popliteal LN draining sites of joint inflammation were reduced significantly in an IDO-dependent fashion. Moreover, DNP treatment prevented loss of sulfated proteoglycans in articular joint cartilage, a key indicator of joint injury (compare Fig. 6A and 6B, respectively), when analyzed 7 d after local mBSA challenge (Fig. 6C). Oral 1MT (Fig. 6D) and IDO1 gene ablation (Fig. 6E) also eliminated therapeutic effects of DNP treatment by this measure. Thus, DNP treatment reduced joint inflammation and attenuated destructive immunity driving joint injury significantly, and these therapeutic effects were IDO dependent in this model of immune-mediated rheumatoid arthritis.

In this study, we show for the first time, to our knowledge, that nanoparticles containing DNA complexed with the cationic polyamine PEI (DNPs) exhibited potent and dominant immunomodulatory attributes that overcame the immune stimulatory effects of DNPs to suppress T cell responses and immune-mediated tissue injury. Intact IDO was essential for DNPs to induce immunomodulatory responses, and DNP treatment caused DCs and Tregs to acquire potent regulatory phenotypes via IDO. IDO induction in lymphoid tissues was dependent on IFN type I, but not IFN-γ, signaling. Moreover, TLR9/MyD88 signaling was essential for IFN-γ release after DNP treatment, whereas IFN type I production was not dependent on TLR9/MyD88 signaling. Consequently, DNPs lacking immune stimulatory TLR9 ligands exhibited potent T cell regulatory attributes and attenuated immune-mediated joint pathology in a model of arthritis, but did not activate NK cells to produce IFN-γ. These findings suggest that DNPs lacking TLR9 ligands may be effective and safe drugs to promote immune suppression and tolerance that prevents, ameliorates, or reverses pathologic syndromes due to hyperimmunity in settings of autoimmunity, allergies, and transplant rejection.

Previous studies on the use of PEI as a DNA delivery vehicle focused on optimizing the efficiency and stability of gene expression in cells following transduction (2, 3). Innate proinflammatory responses to DNP treatment were described in a murine lung tumor model, in which DNPs stimulated rapid TLR4-dependent, systemic IL-12, and IFN-γ (a downstream IL-12 response gene) release that enhanced antitumor immunity (4, 5); however, DNPs also inhibited TLR4-mediated TNF-α production by macrophages (4). Findings reported in the current study are consistent with these previous reports, as serum levels of IFN-γ and IFN type I were elevated rapidly in mice treated with DNPs containing bacterial pDNA that possesses unmethylated CpG motifs that ligate TLR9 to activate innate immune cells. Moreover, both IFN-γ and IFN type I induce IDO gene expression in a range of cell types (17, 31), providing a rationale for rapid upregulation of IDO enzyme activity observed in mucosal and lymphoid tissues of DNP-treated mice.

Cells ingest DNPs by phagocytosis or endocytosis, and dsDNA is soon released into cytoplasm because cationic polymers such as PEI disrupt endocytic vesicles via the proton sponge effect (3). DNPs stimulated IDO expression by small populations of cells located in perifollicular regions of spleen and peripheral LNs. Several immune cell types in these regions can acquire regulatory phenotypes, including macrophage, DC, and B cell subsets. Treatments with B7 (CTLA4-Ig) and TLR9 ligands (CpGs) induced selective IDO expression in rare, but distinctive, CD19⁺ DCs with attributes of both DCs and B cells (22, 23, 28). DNP treatment also stimulated CD19⁺ DCs to uniformly express IDO, though a few other non-DC cell types also expressed IDO in perifollicular regions. Prior to IDO induction, DNPs accumulated in perifollicular regions of lymphoid tissues, and CD19^neg and CD19⁺ DCs upregulated IFN-αβ gene expression substantially a few hours after DNP treatment. The finding that IFN-αβ signaling was essential to induce IDO and activate Tregs, whereas IFN-γ signaling was not essential for regulatory responses via IDO, parallels our previous findings from studies using CTLA4-Ig and CpGs as IDO inducers (8, 9, 22, 28). These findings support the hypothesis that DCs located in perifollicular regions ingested DNPs rapidly to trigger IFN type I release that subsequently induced CD19⁺ DCs to express IDO via autocrine or paracrine pathways.

Our findings provide novel insights into early innate immune responses to DNPs that lead to dominant immune regulatory outcomes. Findings that PEI or dsDNA treatments alone did not upregulate IDO activity, whereas DNPs containing dsDNA that lacked TLR9 ligands did induce IDO-mediated regulatory responses, suggested that TLR9-independent mechanisms sense dsDNA in cells that ingested DNPs to trigger IFN-αβ release. Most cells can sense cytosolic dsDNA via DDX41/STING, LRRFIP/β-catenin, and AIM2/ASC pathways to induce rapid cytokine release (IFN-αβ, IL-1β) after virus infection or ingestion of dying (apoptotic) cells (32–35). Our findings support the hypothesis that one (or more) of these DNA sensing pathways is required for innate immune responses to DNPs that lead to immune regulatory responses, though elucidating how dominant immune stimulatory or regulatory responses manifest via these pathways in response to particular insults and distinct settings will require further study. The finding that NK cells, which do not express TLR9, were rapidly and uniformly activated in mice treated with DNPs containing TLR9 ligands suggested that other innate immune cells ingested DNPs and sensed TLR9 ligands to induce cytokines such as IL-12 and IL-18 that activate NK cells. The absence of this response in mice treated with DNPs lacking TLR9 ligands may reduce toxicities caused by sustained, systemic proinflammatory cytokine release that is not essential to induce IDO but potentiates immunity.

Treating mice with DNPs lacking TLR9 ligands reduced the severity of pre-established immune-mediated joint injury in an IDO-dependent fashion, revealing that regulatory responses to DNPs overcame immune-mediated joint destruction and any toxicities caused by chronic DNP exposure. However, DNPs containing TLR9 ligands also suppressed OVA-specific T cell responses elicited in vivo, demonstrating that induced regulatory responses to DNP treatment also overcame the immune stimulatory effects of OVA immunization and the collateral immune potentiating effects caused by DNP-induced systemic release of proinflammatory cytokines such as IFN-γ, IL-12, and TNF-α. This point notwithstanding, DNPs lacking TLR9 ligands are likely to be more effective and safer reagents to activate Tregs and promote tolerogenic outcomes than DNPs containing TLR9 ligands in clinical settings of hyperimmunity. Indeed, some forms of PEI were approved for limited gene therapy applications in clinical settings despite the well-documented proinflammatory responses elicited in response to DNPs (2, 3). Identifying novel and selective reagents to enhance the potent immune regulatory attributes of Tregs while avoiding Treg functional reprogramming and activation of effector T cells is a priority due to the need for more effective treatments to prevent autoimmune disease progression and to protect healthy tissue and organ allografts (6, 7). The findings reported in the current study justify further development and evaluation of DNPs to treat a broader range of clinical syndromes than hitherto considered.

We thank Liesl Desevilla, Gabriella Pacholczyk, and the late Doris McCool for managing the mouse colonies used in this study and Diane Addis for expert technical assistance with HPLC analyses. We also thank NewLink Genetics, Inc. for the generous gift of 1MT.

A.L.M. and D.H.M. serve as consultants to NewLink Genetics, Inc. and receive income from this source. The other authors have no financial conflicts of interest.