doi:10.1369/jhc.5A6871.2006
Volume 54 (7): 763-771, 2006 Copyright ©The Histochemical Society, Inc. AM-3K, an Anti-macrophage Antibody, Recognizes CD163, a Molecule Associated with an Anti-inflammatory Macrophage Phenotype
Department of Cell Pathology (YK,JH,TH,KK,EK,NS,MT) and Department of Tumor Genetics and Biology (NA), Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan Correspondence to: Motohiro Takeya, Department of Cell Pathology, Graduate School of Medical Sciences, Kumamoto University 1-1-1, Honjo Kumamoto, Kumamoto 860-8556, Japan. E-mail: takeya{at}kaiju.medic.kumamoto-u.ac.jp
CD163 is a member of the scavenger receptor cysteine-rich superfamily restricted to the monocyte/macrophage lineage and is thought to be a useful marker for anti-inflammatory or alternatively activated macrophages. In this study we used mass spectrometric analysis to determine that the antigen recognized by the antibody AM-3K, which we previously generated as a tissue macrophage-specific monoclonal antibody, was CD163. An anti-inflammatory subtype of macrophages stimulated by dexamethasone or interleukin-10 showed strong reactivity for AM-3K and increased expression of CD163 mRNA. Immunohistochemical staining of routinely processed pathological specimens revealed that AM-3K recognized a specialized subpopulation of macrophages. In granulomatous diseases such as tuberculosis, sarcoidosis, or foreign body reactions, tissue macrophages around granulomas, but not component cells of the granulomas such as epithelioid cells and multinucleated giant cells, showed positive staining for AM-3K. In atherosclerotic lesions, scattered macrophages in diffuse intimal lesions were strongly positive for AM-3K, whereas foamy macrophages in atheromatous plaques demonstrated only weak staining. We therefore suggest that, in routine pathological specimens, AM-3K is a useful marker for anti-inflammatory macrophages because these cells can be distinguished from inflammatory or classically activated macrophages. Because AM-3K cross-reacts with macrophage subpopulations in different animal species including rats, guinea pigs, rabbits, cats, dogs, goats, pigs, bovine species, horses, monkeys, and cetaceans, it will have wide application for detection of CD163 in various animals. (J Histochem Cytochem 54:763771, 2006)
Key Words: macrophage heterogeneity granulomatous diseases atherosclerotic lesions macrophage markers CD163
CD163 is a monocyte/macrophage-restricted membrane protein belonging to the scavenger receptor cysteine-rich (SRCR) domain family (Backé et al. 1991 (IFN- ), it is thought to be one of the molecules associated with an anti-inflammatory macrophage phenotype (Buechler et al. 2000
We previously generated AM-3K as a monoclonal antibody specific for tissue macrophages by using human alveolar macrophages as an immunogen (Zeng et al. 1996a In the present study, we determined AM-3K antigen to be CD163 by means of mass spectrometric analysis. To understand the relationship between CD163 expression and macrophage differentiation, we investigated AM-3K reactivity of various differentiated and activated monocyte-derived macrophages, either classically or alternatively activated, in vitro. We also ascertained the distribution of the antigen recognized by AM-3K (CD163) in various pathological conditions by using routinely processed paraffin-embedded tissue samples.
Affinity Chromatography Because many AM-3K-positive macrophages were found in the spleen, the antigen recognized by AM-3K was purified from spleen extract by means of affinity chromatography. Human spleen obtained at autopsy was homogenized in Tris-buffered saline (TBS). After centrifugation of samples at 40,000 rpm for 1 hr, separated cell nuclei and cell membrane pellets were homogenized in TBS containing 10 mM CHAPS (3-cholamidopropyl-1-propane sulfonate; Dojin, Kumamoto, Japan). Samples were centrifuged at 15,000 rpm for 30 min, after which supernatants were incubated with AM-3K or isotype-matched non-relevant control antibody, RM-4 (an anti-rat macrophage, IgG1, ) (Iyonaga et al. 1997
Sodium Dodecyl SulfatePolyacrylamide Gel Electrophoresis (SDS-PAGE) and Mass Spectrometry
Immunoprecipitation and Western Blotting
Cell Culture
Cell Enzyme-linked Immunosorbent Assay (ELISA)
Immunocytochemistry
Reverse TranscriptasePolymerase Chain Reaction (RT-PCR)
Immunohistochemical Evaluation of Paraffin-embedded Tissues
Characterization of the Antigen Recognized by AM-3K Using SDS-PAGE analysis, the molecular mass of this antigen was 130 kDa under non-reducing conditions and 150 kDa under reducing conditions (Figure 1A , Lanes 1 and 2). When AM-3K antigen was deglycosylated by incubation with N-glycosidase, a band shift of 2030 kDa was detected (Figure 1A, Lane 3), which indicated that the antigen is a glycosylated protein. After preparative SDS-PAGE, a gel slice containing the antigen was excised and prepared for mass spectrometry. Trypsin digestion produced two peptide sequences (LEVFYNGAWGTVGK, EAEFGOGTGPIWLNEVK) that coincided with those of CD163 protein (No. 739752 and No. 981997, respectively).
To ensure that AM-3K recognized CD163 proteins, Western blotting was performed with proteins immunoprecipitated by AM-3K, RM3/1 (anti-CD163), and RM-4 (non-relevant control). RM3/1 recognized proteins precipitated by AM-3K and RM3/1 but not that precipitated by RM-4 (Figure 1B). With untreated spleen protein, both RM3/1 and AM-3K recognized 130-kDa protein (Figure 1B). These observations indicate that AM-3K recognized the same antigen (CD163) that RM3/1 recognized.
AM-3K Preferentially Recognized an Anti-inflammatory Macrophage Phenotype
Immunohistochemical Reactivity of AM-3K with Various Types of Macrophages in Paraffin Sections Table 1 summarizes the reactivities of AM-3K and PG-M1 (anti-CD68) in various macrophage-related diseases. In granulomatous disorders such as tuberculosis and sarcoidosis, epithelioid cells (ECs) and multinucleated giant cells (MGCs) were strongly positive for CD68 (Figures 3A and 3D), one of the most commonly used macrophage markers. However, these cells were negative or only weakly positive for AM-3K, although macrophages surrounding granulomas were strongly positive for this antibody (Figures 3B and 3E). These reaction patterns of AM-3K were consistent with those of 10D6 (Figures 3C and 3F), a recently reported anti-CD163 antibody applicable to paraffin sections.
In giant cell tumor (GCT) of bone and in tenosynovial GCT, osteoclast-like MGCs and infiltrated macrophages were positive for CD68 (Figure 4A ), whereas AM-3K selectively reacted with infiltrated macrophages but not with osteoclast-like MGCs or fibroblast-like stromal cells (Figure 4B). Most lipid-laden foamy macrophages in atherosclerotic plaques were stained strongly positive for CD68 (Figure 4C). By contrast, macrophages in the plaque surface or those with less foamy transformation surrounding atheromatous core were positive for AM-3K (Figure 4D). In a case of RosaiDorfman disease, small and medium macrophages were stained positive for both CD68 and AM-3K. Large macrophages and MGCs were intensely positive for CD68 (Figure 4E) but only weakly positive for AM-3K (Figure 4F). Tingible body macrophages in lymphoid follicles were negative for AM-3K (data not shown). In multicentric reticulohistiocytosis, both epithelioid macrophages and MGCs were positive for CD68 (Figure 4G) and AM-3K (Figure 4H); however, the number of AM-3K-positive macrophages was smaller than that of CD68. In the staining of Gaucher disease, CD68 showed strong reactivity for most Gaucher cells. On the other hand, AM-3K selectively stained smaller Gaucher cells with lesser accumulation of glucocerebrosides (Figure 4J).
Heterogeneity of macrophages has been discussed with regard to different responses to various microenvironmental stimuli. Macrophage activation in response to proliferating microbes and IFN- has been well characterized; this kind of activation has been called classical activation. Recent studies have described alternative activation: that induced by Th2-type cytokines such as IL-4 and IL-13. Such macrophage subpopulations show different types of receptor expression and cytokine and chemokine production. For instance, scavenger receptors A and B, mannose receptor, CCL18, CCL16, and arginase were specifically expressed by alternatively activated macrophages, whereas tumor necrosis factor- (TNF- ), IL-1ß, IL-6, IL-12, and inducible nitric oxide synthase (iNOS) showed restricted expression by these macrophages (Goerdt and Orfanos 1999
CD163 is a monocyte/macrophage-restricted membrane protein belonging to the SRCR domain family (Law et al. 1993
AM-3K is a monoclonal antibody raised against human alveolar macrophages. Although immunohistochemical data indicated that the reactivity of AM-3K is very similar to that of CD163, the molecular nature of the antigen recognized by AM-3K had not been determined (Zeng et al. 1996a With routinely processed paraffin-embedded tissue sections, AM-3K labeled specific subpopulations of macrophages. For example, in granuloma-forming chronic inflammation, AM-3K labeled macrophages surrounding granulomas but failed to recognize ECs and MGCs (Figures 3B and 3E). Also, in GCTs of bone (Figure 4B) and in tenosynovial GCTs, AM-3K failed to label MGCs. Because CD163 is believed to be a molecule characterizing a subset of the anti-inflammatory phenotype, such a reactivity pattern may reflect different activation states of the MGCs and the surrounding mononuclear macrophages.
Recently, a new anti-CD163 antibody, clone 10D6, has been reported to be applicable to paraffin-embedded tissues (Lau et al. 2004
ECs and MGCs are characteristic features of granulomas in tuberculosis and sarcoidosis. In tuberculosis, these cells produce large amounts of various cytokines such as IFN-
Atherosclerotic lesions in coronary arteries contain many infiltrated macrophages with or without accumulated lipid, and we observed that these cells produced little CD163 protein. Macrophages isolated from atheromatous plaque are known to secrete IL-1ß and TNF-
Gaucher disease is a lysosomal storage disorder that is caused by deficiency of the lysosomal enzyme glucocerebrosidase. Massive amounts of glucocerebrosides accumulate in macrophages, and these glycolipid-laden macrophages are called Gaucher cells. Boven et al. (2004)
Our present data, together with the previous reports (Lau et al. 2004
AM-3K possesses an additional advantage compared with the other CD163 antibodies. It is applicable not only to paraffin-embedded human tissues but also to those obtained from various animal species. In our previous studies, AM-3K was successfully used to label macrophage subpopulations in various animal species including rats, guinea pigs, rabbits, cats, dogs, goats, pigs, bovine species, horses, monkeys, and cetaceans (Zeng et al. 1996b In summary, we clearly demonstrated that AM-3K, a previously reported macrophage-specific antibody, recognizes CD163. Because AM-3K is applicable to paraffin sections and is cross-reactive with macrophages in most experimental animals, it will be a useful tool for the detection of CD163-positive alternatively activated macrophage subtype in humans and many animal species.
We thank Dr. Hisato Saito (Institute of Molecular Embryology and Genetics) for helpful discussions during the course of this work and Mr. T. Nakagawa, Mr. O. Nakamura, and Ms. M. Komohara for technical assistance.
Received for publication November 6, 2005; accepted February 14, 2006
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