In nonlymphoid tissue DCs act as sentinels that capture and then transport antigens to lymphoid organs, where they present antigen to naive T cells. In this study, we performed intravital imaging to examine the dynamic migratory abilities of corneal DCs to a variety of stimuli. We examined DCs within the central and peripheral cornea and particularly on their short-term (<6-hour) responses. In vivo imaging indicated that central corneal DCs did not migrate rapidly (within 6 hours) even to proximal threats and perturbations. However, dramatic morphologic changes were observed with some stimuli. It appeared that cell body orientation and extension of processes were directed toward the stimulus, though this was not measured directly. In contrast, no notable morphologic changes were observed in peripheral DCs. When DCs that were first induced to migrate centripetally into the central cornea were again stimulated by microsphere application, more cells migrated, but not at faster speeds, than those injected with PBS after centripetal migration.
The distribution of corneal DCs, as shown here by in vivo and ex vivo examination, is in general agreement with ex vivo studies in mice using different techniques
14–18 in that they are more numerous in peripheral than in central cornea and reside in both stroma and epithelium, as shown by confocal microscopy. The precise depth of DCs cannot be determined with the in vivo microscopy technique, but with confocal microscopy it was noted that the cells that reside at the basal epithelial layer had thinner bodies and longer dendrites than DCs in the anterior and posterior corneal stroma, which had more rounded, amoeboid-shaped bodies. Such morphologic differences may be used, only as a general indicator, of DCs in basal epithelial versus stromal layers. For example, Movie S2 shows one slowly migrating amoeboid-shaped cell among sessile dendriform cells. Efforts to alter our intravital microscopy system to allow for collection of z-depth information are under way so that cells at different corneal depths can be definitively distinguished from each other in vivo.
Quantification of murine DCs, especially within the central region, varies among studies, which may reflect differences in strains (e.g., BALB/c vs. C57BL/6), immunohistochemical reagents and protocols, cell quantification methodology, and other technical differences. For example, in contrast to findings from other investigators
14,17,24 and from a previous study from our group, which used a different labeling technique,
26 we did not detect MHC II
+ cells within the central cornea. This might have been because of a technical issue or difference with the immunostaining protocol used. In addition, in this study, the number of DCs, as defined by CD11c expression and tagged by eYFP, was determined for the entire corneal thickness (i.e., cornea encompassing both epithelial and stromal layers), yet the numbers arrived here are fewer than those reported by Hamrah et al.
18 when they examined only the epithelium. Some variability in eYFP intensity was noted among cells, even within the same cornea, and this variability did not appear to correlate with location in the cornea, morphology, or size.
High magnification three-dimensional corneal reconstructions revealed extensions from subepithelial DCs anteriorly into the epithelium. Such fine processes have also been described by Ward et al.
20 on bone marrow-derived cells and specifically on MHC II
+ and CD11c
+ cells by Meng et al.
26 Time-lapse intravital microscopy (Movie S2) revealed constant lateral extension and retraction of processes. Anterior-posterior movement of dendrites intercalating between the epithelial cells was not detectable with our system. Elegant four-dimensional imaging of DCs in the epithelium of the small bowel, however, has revealed that not only do cells extend processes across the epithelium and sample the gut lumen in the steady state, the number of extensions markedly increases after bacterial exposure.
27 Almost all DCs remained sessile in the cornea, but, on rare occasion, a cell was seen to migrate from one location to another. It is not possible with our current imaging system to determine which corneal layer was traversed by the migratory cells in vivo. Migratory bone marrow-derived cells in the normal ex vivo cornea have also been noted by Ward et al.,
20 though they did not determine whether the cells they observed were macrophages or DCs. Together, these behaviors suggest that corneal DCs carry out their sentinel function primarily by frequent antigen sampling of the local environment by largely sessile cells combined with active patrolling by few migrating cells.
Pathologic stimuli such as microbial products, inflammatory mediators, and other “danger” signals initiate a series of changes in DCs in peripheral tissue, including an increase in size, extension of processes, increased expression of MHC II and costimulatory molecules, secretion of cytokines and chemokines, and mobilization to draining lymph nodes.
28 Almost any stimulus or irritation to the central cornea results in a centripetal migration of DCs from the corneal periphery, limbus, or conjunctiva.
12,13,29–31 Less is known about the egress of DCs from the central cornea to draining lymph nodes that would be expected with other peripheral tissue, such as with skin.
Much of what is known about the mechanisms of peripheral DC migration to lymph nodes comes from studies of the skin using models to produce local inflammation by applying pathologic agents or mechanical disruption of the tissue.
3,32,33 The use of intravital microscopy has provided interesting information about the dynamics of DC and LC movement and migration, and our results presented here of corneal DC behavior bear similarities to that of skin DC behavior. Under steady state conditions, most skin LCs are sessile, for example over a 1 hour recording period, but rare, motile LCs are also observed over the same period.
32 Treatment with reactive hapten or skin trauma induced by tape stripping results in both increased probing activity and lateral migration after approximately 24 hours.
32,33 Kissenpfennig et al.
32 have analyzed LC migration early (5 hours) after tape stripping and observed that most LC bodies and dendrites were sessile and that rare LCs exhibited tethered motions. Lateral migration speeds of DCs, compared with those of other cells such as neutrophils, are complicated to measure; because DCs can adopt extremely varied and asymmetric shapes, it can be difficult to ascertain the center of the cell body to calculate cell displacement.
The trafficking of resident central corneal DCs to the lymph node has thus far been inferred from static examination of ex vivo tissue in a corneal allotransplantation model.
19,34 In this study we performed intravital microscopy on corneas that were stimulated in various ways to visualize the short-term (within 6 hours) response of resident central corneal DCs. We observed profound morphologic changes such as dendrite hyperelongation similar to that described by Ward et al.
20 in corneas that were exposed to an inflammatory cytokine. However, though they observed increased lateral movement of bone marrow-derived cells immediately after local laser injury or TNF-α exposure, we did not detect increased lateral migration after a silver nitrate injury or intrastromal injection of TNF-α using an imaging capture rate of either 3 frames/min for the initial hour (data not shown) or 1 frame/h (
Fig. 3) for the initial 6 hours. One possible explanation for this difference in result may be related to differences in cell behavior in organ culture compared with their in vivo environment. A number of immunosuppressive factors are present in the aqueous humor and cornea, and Shen et al.
35 have recently demonstrated the importance of some of these factors in inhibiting DC maturation. The absence of immunosuppressive factors in organ culture may thus result in increased DC maturation. Given that maturation and lymph node-directed migration have been shown to occur in parallel, DCs may also develop enhanced migratory capability. In addition, Ward et al.
20 might have tracked the migration of macrophages that were not labeled in our mice. Tissue temperature is a critical parameter that can also affect cell migration.
36 Strict local control of temperature is necessary for extended imaging of cell migration, such as in lymph nodes or the gastrointestinal tract,
27,37 but one group has performed imaging of the footpad without local temperature regulation.
38 Although rectal temperature was monitored during imaging sessions described here on the cornea, ocular surface temperature itself was not monitored. It is possible that deviations from physiological corneal temperature could account for the observed lack of corneal DC migration.
The importance of central corneal DCs in shaping immune responses has been clearly demonstrated by other investigators. DCs in the cornea are clearly critical factors in corneal transplantation or in the response to infection such as by herpes simplex virus or
Pseudomonas aeruginosa.
8–10,29 It was thus surprising to us that a more rapid migratory response did not follow the various corneal threats, even when the cells were proximal to the area of insult.
No DC migration was apparent up to 6 hours after stimulation, but, by 24 hours, the number of DCs had increased in the central cornea. This accumulation of cells could be composed of normal residents of the central cornea, cells that have immigrated into the central cornea from elsewhere, and cells newly expressing CD11c. It would be important to explore how and from where DCs arrive at the area of insult between 6 hours and 24 hours. Efforts to directly visualize lateral DC migration during this time period with either the conventional (1 frame/20 s) or modified (1 frame/h) time-lapse protocol have, thus far, been unsuccessful because of technical limitations; hence, other imaging parameters, specific for DCs, are being explored. The dynamics of DC migration in the cornea appears to be much slower than what we have previously observed for neutrophils (Douglas SB, et al. IOVS 2007;48:ARVO E-Abstract 4310) using the conventional time-lapse imaging protocol.
This study provides definitive evidence for the presence of DCs in the normal central cornea. Our study shows that the cell bodies of DCs resident in the central cornea are generally immobile, that their dendritic processes are regularly in motion in the steady state, and that these cells remain largely nonmotile immediately after corneal stimulation. Although it appears that DCs, which are generally considered the most potent APCs for naive T cells, are not quickly responsive by adopting a migratory behavior, there are other resident corneal APCs, such as macrophages, that may behave differently. It would be of interest to investigate in future studies how macrophage behavior in response to corneal trauma and insults compares with that of DCs reported here.