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*
Inflammatory Bowel Disease Research Center, Cedars-Sinai Medical Center, Los Angeles, CA 90048; and
Department of Molecular Biology and Biochemistry, University of California Irvine, Irvine, CA 92717
| Abstract |
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| Introduction |
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, IL-2, and TNF-
), suggesting in
situ cytokine production from these cells (3). The finding that
PHA activation of T cells in organ culture can cause severe epithelial
damage suggests an important role of T cell-released cytokines in
intestinal injury (1, 4). We have demonstrated previously that
stimulation of isolated normal human lamina propria (LP) T cells
induces secretion of IFN-
and TNF-
that kill human epithelial
cell lines by induction of apoptosis (5, 6). These results are
consistent with a direct role for T cell-derived cytokines in
epithelial cell injury.
Review of the current work with animal models of inflammatory bowel
disease (IBD) highlights the central role played by activated T cells
and resultant cytokine secretion in intestinal inflammation (7).
Immunologically altered rodents have been used to corroborate the
findings in human IBD (8, 9, 10, 11, 12, 13, 14). Mice with targeted mutations in specific
cytokine genes develop colitis and have provided further evidence for
the importance of mucosal T cell regulation for the maintenance of a
state of constant inflammatory control in the intestine (15, 16, 17, 18). The
TCR-
-depleted colitis-developing animals have T cells as well as B
cells within the intestinal mucosa. Although these mice exhibit
autoantibodies as well as an immune response to food Ags, the precise
pathway utilized to activate disease-causing T cells remains
unknown (19).
Previous studies revealed that activation of the CD2, but not CD3,
pathway is able to induce cell proliferation of normal LP T cells (20, 21). Research in our laboratory has shown that the pathways leading to
T cell activation in LP T cells are different from peripheral T cells
(22). LP T cells have enhanced cytokine induction, including IL-2
secretion through activation of the CD2 pathway (22, 23). Triggering of
CD2 results in tyrosine phosphorylation of a unique 72-kDa substrate,
an event not seen following other modes of T cell activation (22). The
CD2-dominant pattern of IL-2 secretion as well as the unique tyrosine
phosphorylation pattern could be mimicked in PBMC by coculturing
isolated PBMC in the presence of irradiated B cells (22). The recent
finding that activation via the CD2, but not CD3, pathway is required
for IFN-
release from mucosal T cells derived from active Crohns
disease lesions emphasizes the importance of this pathway in
disease-related T cell activation (24).
The IL-2 gene is not actively transcribed in resting T cells. Although
little is known about the signaling pathways subsequent to CD2
ligation, the regulatory sequences required for IL-2 production have
been studied extensively following phorbol ester stimulation or
activation of calcineurin-mediated Ca2+ signaling. A number
of functionally important regions have been defined within the first
300 bp of the promoter (25). Numerous discrete transcriptional response
elements have been defined, including those binding NF-AT, Oct-1 and
Oct-2, NF-
B, and SP1 (26). The cooperative binding of AP-1 nuclear
proteins has been demonstrated to be both necessary and sufficient for
gene transactivation of a number of these discrete IL-2 enhancer
elements (27). Binding of AP-1 to NF-AT sites aids in the stabilization
of the NF-AT complex and is a prerequisite for transactivation. AP-1
also cooperates with NF-
B and Oct proteins, aiding in the stable
binding of these proteins to their DNA cis-acting elements.
Many analyses of transcriptional regulation of this cytokine have been
performed using tumor T cell lines. Recent studies, however, have
emphasized the necessity of studying transcriptional regulation of IL-2
in nontumor T cell lines to accurately understand cytokine gene
regulation in normal peripheral T cells. Hughes and Pober have shown
that the cis-regulatory elements in PB T cells differ from
those observed in Jurkat T cells, with the proximal AP-1 site and the
NF-
B site being most important, and the NF-AT sites being much less
important (28). Furthermore, it appears that different costimulatory
signals may converge on the same cis elements of the IL-2
promoter (29).
The purpose of this study was to determine whether the predominance of IL-2 secretion in LPMC and LP-like T cells induced by the CD2 vs CD3 activation pathway was reflected by unique nuclear events that regulate transactivation of the IL-2 gene. The data in this study support the hypothesis that following CD2 activation there is induction of functional AP-1 nucleoprotein complexes binding to the IL-2 promoter in LP T cells from both normal, UC, or Crohns disease mucosa, which leads to IL-2 gene transcription, which may play a pivotal role in modulating IL-2 production in the gut.
| Materials and Methods |
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The murine T cell line, CTLL-2, was obtained from American Type Culture Collection (ATCC, Rockville, MD) and was maintained at 37°C in a humidified atmosphere of 5% CO2 in RPMI 1640 supplemented with 10% FCS with 10 U/ml rIL-2 (R&D Systems, Minneapolis, MN). The human B cell line, Daudi, was obtained from ATCC and maintained at 37°C in a humidified atmosphere of 5% CO2 in RPMI 1640 supplemented with 10% FCS.
Monoclonal Abs
Anti-CD2 mAbs (clones CB6 and GD10) were a gift from Chris Benjamin (Biogen, Cambridge, MA). Anti-CD3 (IgG1) mAb was affinity purified from culture supernatant of OKT3 hybridoma (ATCC).
Purification of LPMC and PBMC
Intestinal specimens were obtained from patients undergoing surgical resection of the colon (with colon carcinoma or treatment-resistant Crohns disease or UC) at Cedars-Sinai Medical Center (Los Angeles, CA). Approval for the use of human subjects was obtained from Institutional Review Board at Cedars-Sinai Medical Center. In this study, all tissue specimens were taken from an uninvolved area of resected colon from patients with colonic carcinoma (normal), involved areas of patients with UC, as well as from uninvolved and involved areas of patients with Crohns disease. LPMC were isolated using a technique modified from that described previously (30). Briefly, the intestinal specimen was washed with HBSS, and the mucosa were dissected away from the underlying layers. The mucosal layer was incubated in a shaking water bath (100 rpm) in calcium- and magnesium-deficient HBSS, containing 1 mM EDTA, 50 µg/ml gentamicin, 100 U/ml penicillin, 100 µg/ml streptomycin, and 50 µg/ml fungizone, with the solution changed every 30 min until the supernatant was free of epithelial cells. The remaining LP was minced into 1- to 2-mm pieces and digested for 10 min in RPMI 1640 containing 10% FCS, 0.5 mg/ml collagenase B (Boehringer Mannheim, Indianapolis, IN), 1 mg/ml hyaluronidase (Sigma, St. Louis, MO), 0.1 mg/ml deoxyribonuclease I (Sigma), 50 µg/ml gentamicin, 100 U/ml penicillin, 100 µg/ml streptomycin, and 50 µg/ml fungizone in shaker water bath (100 rpm). The supernatant was collected, filtered through 110-µm nylon mesh (Spectrum Laboratory Products, Houston, TX), and centrifuged at 500 x g for 5 min. The cell pellet was resuspended in 15 ml and centrifuged at 30 x g for 5 min to remove epithelial and other large cells. The supernatant was removed and lymphocytes were isolated by separation on Ficoll-Hypaque gradients. The cells were then washed three times with HBSS and resuspended in RPMI 1640 containing 10% FCS. PBMC were isolated from normal healthy volunteers by separation on Ficoll-Hypaque gradients.
Induction of LP-like T cells
Mononuclear cells from Ficoll-Hypaque gradients were cultured in RPMI 1640 with 10% FCS with a 1:5 ratio of Daudi:lymphocytes plus 10 U/ml rIL-2 for 5 days (22). Daudi were irradiated with 3000 rad and washed three times in HBSS before addition to cultures. Following a 5-day culture, LP-like cells were washed with HBSS to remove dead Daudi cells (at this point, there were virtually no live Daudi cells in the culture, as determined by flow cytometry).
Stimulation of mononuclear cells
For stimulation through the CD2 receptor, LPMC, LP-like T cells, and PBMC were stimulated with 0.1 µg anti-CD2 Abs (both CB6 and GD10 clones)/106 cells at 37°C for the times indicated for each experiment. For stimulation through the CD3 receptor, cross-linking of the CD3 receptor was conducted by incubating cells for 10 min with 0.1 µg OKT3/106 cells at 4°C, followed by the addition of 1 µg F(ab')2 goat anti-mouse IgG Fc (Jackson ImmunoResearch, West Grove, PA)/106 cells for an additional 10 min at 4°C. Stimulation of T cells with anti-CD2 Abs did not require further cross-linking, since the combination of two anti-CD2 Abs directed against different epitopes was sufficient to instigate activation. Further cross-linking of anti-CD2 Abs with anti-mouse IgG had no effect upon activation (22). Following this incubation, cells were warmed to 37°C for the required stimulation period.
IL-2 bioassay
IL-2 activity was determined using a CTLL-2 bioassay (31). rIL-2 standards and dilutions of samples were added to 96-well flat-bottom microtiter plates (Costar, Cambridge, MA) containing 5 x 103 CTLL-2/well and incubated for 48 h at 37°C. Wells were then pulsed with 2 µCi/well [3H]thymidine for 4 h. Wells were harvested using a Harvester 96 (Tomtec, Orange, CT) microplate harvester and counted using a Microbeta 1450 liquid scintillation counter (Wallac, Gaithersburg, MD).
Northern blot analysis
Total cellular RNA was extracted using the Qiagen RNeasy kit (Chatsworth, CA). RNA was separated electrophoretically on a denaturing 1% agarose gel containing 7% formaldehyde. Gels were transferred to nylon membrane (Amersham, Arlington Heights, IL) and hybridized to 32P-labeled DNA probe. Isolated cDNA insert was labeled by random priming and used at 106 cpm/ml of hybridization buffer. Blots were prehybridized (50% formamide, 0.75 M NaCl, 75 mM sodium citrate, 1x Denhardt solution, 25 mM sodium phosphate, pH 6.5, and 100 µg/ml sheared salmon sperm DNA) at 42°C for 2 h and hybridized overnight in prehybridization solution containing labeled probe and 10% dextran sulfate. Uniformity of RNA loading was determined by hybridization to rRNA.
Preparation of nuclear protein extracts
Nuclear protein extractions were conducted with 5 to 10 x 106 LPMC or LP-like T cells. Following activation, cells were centrifuged, washed in cold PBS, and kept on ice for subsequent extraction steps. The cell pellet was resuspended in 0.9 ml of RSB (10 mM Tris, pH 7.4, 10 mM NaCl, 3 mM MgCl2, 0.5 mM DTT, 2 µM leupeptin, 1 µg/ml aprotinin, 1 mM PMSF, and 0.1 mM EGTA), and 0.1 ml of 5% Nonidet P-40 was added. Samples were mixed by gentle inversion and kept on ice for 10 min, followed by centrifugation. The pellet was resuspended in 25 to 60 µl (volume is dependent on the starting number of cells) of cold buffer C (20 mM HEPES, pH 7.4, 0.42 mM NaCl, 1.5 mM MgCl2, 0.2 mM EDTA, 25% v/v glycerol, 0.5 mM DTT, 20 µM leupeptin, 10 µg/ml aprotinin, and 1 mM PMSF). Samples were incubated on ice for 30 to 40 min, during which time they were pipetted twice. Cellular debris was removed by centrifugation, and nuclear proteins were diluted with an equal volume of buffer D (20 mM HEPES, pH 7.4, 50 mM KCl, 0.2 mM EDTA, 20% v/v glycerol, 0.5 mM DTT, 20 mM leupeptin, 10 µg/ml aprotinin, and 1 mM PMSF). Protein concentrations were determined by Coomassie Plus assay (Pierce, Rockford, IL).
Gel mobility electrophoretic shift assay (EMSA)
Double-stranded oligonucleotide was end labeled with
[
-32P]ATP and T4 polynucleotide kinase. Three to
six micrograms of nuclear extract protein were incubated at 25°C with
0.25 mg/ml poly(dI-dC), in 20% glycerol, 5 mM MgCl2, 2.5
mM EDTA, 2.5 mM DTT, 250 mM NaCl, and 50 mM Tris, pH 7.5 for 10 min.
The oligonucleotide was then added (20,000 cpm), and the binding
reactions were incubated for an additional 30 min. Specificity was
determined by the addition of 100-fold excess unlabeled oligonucleotide
as competitor. The DNA-protein complexes were separated from unbound
probe on a prerun native 5% polyacrylamide gel in low ionic strength
buffer (22.3 mM Tris, pH 7.4, 22.3 mM borate, and 0.5 mM EDTA, pH 8).
After 2 h, the gel was dried under vacuum and exposed to x-ray
film. Gel supershift assays were conducted as described above with the
addition of Abs (Santa Cruz Biotechnology, Santa Cruz, CA) to specific
transcription factors included in the binding mixture before the
addition of labeled oligonucleotide. The oligonucleotides used were the
IL-2-proximal AP-1 site and two mutants: IL-2-proximal AP-1 wild-type,
(5'-TCCAAAGAGTCATCAGAAGA-3'); IL-2-proximal AP-1 mutant, 1
(5'-TCCAAAGAGatcTCAGAAGA-3'); IL-2-proximal AP-1
mutant, 2 (5'-TCCAAAGAactgTCAGAAGA-3').
The other oligonucleotides used were the AP-1 consensus and NF-
B
consensus oligonucleotide site (Promega, Madison, WI).
DNA constructs
The human IL-2 cDNA clone was obtained from ATCC. A human IL-2 luciferase reporter plasmid containing a 600-bp fragment of the IL-2 promoter subcloned immediately 5' to the luciferase gene has been described previously (28). The plasmid TRE2 luciferase used to determine AP-1-dependent transactivation was generated by subcloning three copies of the collagenase AP-1 binding sites into a luciferase reporter plasmid (a gift from M. Karin, University of California, San Diego) (32).
Transfection
Freshly isolated LPMC were primed for transfection competence by culturing for 16 to 20 h in RPMI 1640 medium containing 10% FCS, 50 mM 2-ME, and 1 µg/ml PHA-L (Sigma), as described for PBMC (28). Cells were then washed and resuspended in 250 µl fresh medium at 2 x 107 cells/ml and electroporated in the presence of 50 µg of reporter construct (250 V, 960 microfarads, 4550 ms) using 4-mm (gap width) cuvettes in a Bio-Rad (Richmond, CA) gene pulser. After electroporation, the cells were diluted in fresh medium, allowed to rest for 1 h before plating, and then stimulated with anti-CD2 or cross-linked with anti-CD3 mAbs for 6 h. Since transfection of a single promoter was assayed for expression under different activation conditions, normalization for transfection efficiency was not necessary. However, multiple transfections with different preparation of reporter constructs gave similar results. Luminescence was measured using a Promega luciferase assay kit and counted on a six-detector Wallac 1450 Microbeta liquid scintillation counter with coincidence counting turned off.
| Results |
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We have reported previously on a model developed using PB T cells,
known as LP-like T cells, which reproduce the CD2-driven cytokine
secretion phenotype seen in LP T cells (22). LP T cells and LP-like T
cells are significantly more responsive to activation via the CD2
pathway than IL-2-activated PB T cells, as exhibited by the secretion
of IL-2, IFN-
, TNF-
, and IL-4 (22). This enhanced T cell
responsiveness was associated with the selective phosphorylation of a
72-kDa protein substrate. We first examined functional regulation of
IL-2 mRNA expression following activation of LPMC and LP-like T cells
via the CD2 pathway to investigate the upstream events involved in
cytokine regulation. Northern blot analysis of LPMC from inflamed
mucosa following activation via CD2 reveals that cytokine secretion is
preceded by an increased expression of IL-2 mRNA, which is detectable
within 1 h, and persists at 3 h (Fig. 1
, A and B).
Enhanced mRNA levels following activation via CD2 parallel IL-2 protein
secretion (data not shown). CD3 ligation, however, does not induce
detectable levels of IL-2 mRNA (Fig. 1
, A and
B). Figure 1
, C and D,
demonstrates that IL-2 mRNA levels in the LP-like model are similar to
that seen in LPMC from inflamed UC mucosa. Activation of LP-like T
cells via the CD2 pathway results in a steady up-regulation of IL-2
mRNA detectable within 2 h, which increases steadily over 6
h, but declines by 10 h. By contrast, the levels of IL-2 mRNA in
LP-like T cells following CD3 activation were barely detectable. Thus,
the predominance of the CD2 activation pathway leading to cytokine
secretion is reflected by expression of specific cytokine mRNA in both
LPMC and LP-like T cells.
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The finding of increased IL-2 mRNA levels following activation of
LPMC and LP-like T cells via the CD2 pathway suggested that modulation
may occur at the level of transactivating factors that regulate IL-2
transcription. Previous studies have identified two AP-1 binding sites
within the IL-2 promoter region and have shown that an increase in the
level of AP-1 binding correlated with transcriptional activation of the
IL-2 gene in human T cell lines (27, 33). To begin to evaluate the
nuclear events that mediate IL-2 expression following CD2 pathway
activation, electromobility shift assays (EMSA) were performed
comparing nuclear protein extracts from LP-like T cells with those from
freshly isolated PBMC, and PBMC stimulated for 5 days with IL-2 alone.
Cultures were activated with Abs to CD2 or by cross-linking with CD3
mAbs. We analyzed nuclear protein binding to a consensus
oligonucleotide for AP-1. Figure 2
demonstrates the marked increase in the amount and duration of AP-1
nuclear binding following CD2 ligation in LP-like T cells (Fig. 2
A) compared with control IL-2-cultured T cells (Fig. 2
B). Moreover, although CD3 ligation resulted in a
transient up-regulation of AP-1 complexes, the changes in the magnitude
and duration of AP-1-binding complexes were far less striking when
comparing LP-like T cells to control T cells. By contrast, there was no
detectable binding of AP-1 observed following either CD2 or CD3
ligation in freshly isolated PBMC T cells (data not shown). Addition of
unlabeled AP-1 oligonucleotides (competitor) attests to the specificity
of AP-1 binding (far right lane, Fig. 2
A). T cell activation by coligation of both CD2 and
CD3 did not lead to synergistic up-regulation of AP-1 complexes (data
not shown). These results indicate that following CD2 pathway
activation, there is a rapid and sustained up-regulation of nuclear
protein complexes binding to an AP-1 regulatory element that precedes
transactivation. This pattern of up-regulation observed with the
LP-like T cell model is distinct from that observed in freshly isolated
PBMC or PBMC cultures with IL-2.
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Much evidence suggests that LP-like T cells reproduce a CD2-driven
cytokine response profile and is a paradigm for the activated state of
LP T cells. To determine whether nuclear events reflected the
similarity, we examined the pattern of induction of transactivating
factors from LPMC directly. LPMC were isolated from normal mucosa and
then activated with Abs to CD2 or CD3, and nuclear proteins were
extracted at times of peak induction previously determined for LP-like
T cells. Figure 3
shows EMSA analysis
using a consensus oligonucleotide for AP-1. Two distinct patterns of
AP-1 binding were observed in the untreated nuclear extracts from
normal LPMC. One pattern is characterized by a low level of AP-1
binding in untreated cells, followed by a persistent up-regulation of
AP-1 binding in CD2-activated cells (Fig. 3
A). CD3
pathway activation resulted in a more transient response (compare the
120-min time point following CD2 and CD3 activation). Another pattern
features relatively high levels of AP-1 binding in untreated nuclear
extracts with sustained AP-1 binding following CD2 activation, but a
marked down-regulation following CD3 activation (Fig. 3
B). Thus, although the levels of AP-1 binding in
normal untreated cell extracts differed, there was a parallel
persistent up-regulation of AP-1 binding following CD2 activation, and
a more transient AP-1 binding following CD3 activation irrespective of
the initial level of AP-1 binding detected in the unstimulated cell
extracts.
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Isolated LPMC are composed of a variety of cell types with various
numbers of activated T cells. Since the pattern of AP-1 regulation in
normal LPMC was similar to that observed in LP-like T cells, however,
much less pronounced, we hypothesized that the number of activated T
cells or possibly the state of T cell activation in the mucosa may
determine the ability to measure the pattern of AP-1 modulation using
standard nuclear protein extraction and EMSA techniques. Considering
that there is evidence for increased numbers of activated T cells in
the mucosa of Crohns disease patients (34), the pattern of AP-1
regulation was studied further in LPMC isolated from inflamed and
adjacent uninflamed mucosa of Crohns disease patients. LPMC were
activated with Abs to CD2 and CD3, then nuclear proteins were extracted
at times of peak induction seen in LP-like T cells. Nuclear extracts
from CD2- or CD3-activated LPMC from uninflamed mucosa exhibited
parallel down-regulation of AP-1 (Fig. 4
). However, the down-regulation was less
pronounced following CD2 activation than in the extracts activated by
CD3. There was a lower level of AP-1 expression in freshly isolated
LPMC from uninflamed compared with inflamed mucosa from the same
patient, possibly reflecting a difference in the number of activated T
cells present in inflamed mucosa. However, in contrast to nuclear
extracts from uninflamed mucosa, in inflamed mucosa there was a high
level of AP-1 protein detected that was up-regulated following CD2
ligation and markedly down-regulated following CD3 ligation. Thus, LPMC
isolated from inflamed mucosa contained T cells that, when activated
through the CD2 pathway, result in the up-regulation of AP-1 nuclear
binding complexes, whereas no up-regulation occurred when cells were
activated through the CD3 pathway. These results demonstrate that while
there is a consistent pattern of regulation of AP-1 binding following T
cell activation seen in all LPMC, whether from normal or Crohns
disease mucosa, the distinct up-regulation observed in the LP-like T
cell model following CD2 activation can be measured most readily in
activated T cells from inflamed mucosa of Crohns disease
patients.
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The experiments reported above were performed using a consensus
AP-1 oligonucleotide. Gel-shift experiments with oligonucleotides
corresponding to the proximal AP-1 site of the human IL-2 promoter were
performed to determine whether up-regulation AP-1 binding can also be
demonstrated in an IL-2-specific AP-1 cis element. Since
alterations in AP-1 binding detected by EMSA analysis were more
apparent using activated T cells from Crohns disease mucosa, we
performed kinetic analysis in both LP-like T cells and LPMC from
Crohns disease mucosa to compare the pattern of expression of
proteins binding with the proximal AP-1 region at time points following
CD2 activation. Nuclear extracts were isolated from LP-like T cells at
the indicated periods of time following CD2 or CD3 activation, as shown
in Figure 5
A. Following CD2
activation, there is a rapid increase in proteins binding to the
proximal AP-1 region, which is sustained up to 120 min. Kinetic studies
conducted with nuclear extracts from LPMC from an inflamed area of
Crohns disease mucosa demonstrate a striking similarity to that seen
for LP-like T cells (Fig. 5
B). Following CD2
activation, there is a rapid and sustained up-regulation of AP-1
protein complexes, while CD3 activation leads to a rapid and transient
response. These results suggest that the LP-like model system
corroborates the findings in LPMC; i.e., the activation pattern and the
kinetics of induction of AP-1 complexes binding to the proximal IL-2
AP-1 cis-acting element are the same as that seen in LP T
cells from Crohns disease mucosa. In both systems, activation via CD2
results in a sustained up-regulation of AP-1 transactivating factors,
while CD3 activation leads to a rapid but transient response.
|
The specificity of AP-1 binding was confirmed through competition
experiments utilizing excess oligonucleotides comprising both the
wild-type as well as two different mutant oligonucleotides containing
base pair substitutions within the proximal AP-1 binding site of the
IL-2 promoter region. As seen in Figure 6
, nuclear factors bound to the wild-type
AP-1 probe and were inhibited by excess wild-type probe, but not by
mutant or a nonspecific probe.
|
To characterize the composition of the AP-1 complex that is
present in the nucleus of LPMC and LP-like T cells activated through
the CD2 pathway, we performed supershift assays using nuclear extracts
from 60 min (peak induction time seen Fig. 2
) following CD2 ligation.
Nuclear extracts were incubated with specific Abs to all members of the
fos or jun family of proteins before the addition
of AP-1 oligonucleotide and EMSA were performed. The supershift data in
Figure 7
, A and B,
show that the AP-1 complexes from both LPMC and LP-like T cells contain
both jun as well as fos proteins, while
nonspecific Ab (NF-
B) was unable to elicit a supershift.
|
Functional analysis utilizing transfection of promoter-reporter
constructs into LPMC isolated from normal, UC, and Crohns disease
mucosa was conducted to determine whether the preferential induction of
AP-1 complexes following CD2 ligation on LP T cells resulted in
activation of the transfected IL-2 promoter construct in LPMC. As seen
in Figure 8
, stimulation through CD2 does
indeed up-regulate reporter gene transcripts in LPMC from normal, UC,
and Crohns disease mucosa, confirming previous reports that CD2
signaling targets the IL-2 promoter. CD3 ligation failed to induce
reporter gene expression, even though PMA/Ca ionophore was capable of
up-regulation of IL-2 promoter activity. Moreover, CD2 ligation
resulted in the selected transactivation of a multimeric AP-1-binding
TRE2 reporter construct similar to that seen following PMA/Ca ionophore
activation in LPMC from normal, UC, and Crohns disease mucosa (Fig. 9
). CD3 ligation, however, only
marginally activated the promoter. These results indicate that an
increase in the IL-2 promoter activity following CD2 pathway activation
of LPMC from normal as well as UC and Crohns disease mucosa is
associated with an enhancement of functionally active AP-1 nuclear
binding complexes.
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| Discussion |
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Findings from studies using activated LPMC were compared with those using the LP-like T cell model. Previous studies have shown that the LP-like T cell model is validated by its functional equivalency to LP T cells with regard to 1) CD2 pathway dominance with relatively low surface expression of CD2 (22) and 2) identical phosphorylation patterns upon CD2 pathway stimulation (22). The data presented in this study further support the LP-like T cell activation model and reveal that it is most representative of the activated state of T cells present in inflamed Crohns disease mucosa, as evidenced by CD2-activated up-regulation of AP-1 transactivating factors with similar kinetic profiles. The LP-like T cell model, as it has very similar activation properties to those expressed by LPMC from inflamed Crohns disease mucosa, allows investigations of the mechanism of cytokine gene regulation to be performed initially on a more easily manipulated experimental system.
It is interesting to note that while the LP-like T cell model is most reflective of LPMC from inflamed Crohns disease mucosa, transfection experiments with the multimeric TRE2 or IL-2 promoter-reporter constructs support the conclusion that regardless of the source of the LPMC (i.e., inflamed or normal mucosa), CD2 activation is followed by sustained up-regulation of functional AP-1 binding.
These results seem at first glance to be contradictory to the results from EMSA analysis. However, EMSA analysis is based on nuclear protein extracted from the total pool of mucosal LPMC. The state of activation and, more importantly, the number of activated cells in normal LPMC are lower than that in extracts from Crohns disease mucosa samples (34). Indeed, it is conceivable that the variability in AP-1 binding in extracts from unstimulated normal mucosa may be a result of the number of activated T cells present. Thus, the percentage of the total nuclear extract derived from activated T cells in normal LPMC would be much lower than from inflamed Crohns disease mucosa. Since equal concentrations of total nuclear extract are loaded onto gels in EMSA assays, the small percentage contributed by activated T cells in nuclear extracts from normal LPMC is probably too low for accurate detection in this assay. In contrast, the transfection of TRE or IL-2 promoter-reporter constructs directly measures AP-1 or IL-2 promoter-directed transactivation following various stimuli. While the number of activated T cells might well be less in LPMC from normal mucosal, the number of cells is sufficient and the technique is sensitive enough to accurately measure the response of these activated T cells.
The activation state of LP T cells is characterized by a relatively anergic, unresponsive TCR pathway with increased responsiveness to CD2. It is interesting to note the recent studies identifying an AP-1 DNA cis-binding element within the IL-2 promoter region as well as the identification of a defect in AP-1 transactivation suggest that regulation of AP-1 is directly involved in the establishment of anergy (35). These features make the CD2 pathway within the mucosal environment particularly interesting as a candidate for a surface molecule that participates in the maintenance of a population of responsive, activated T cells in the mucosa.
It has been difficult to define a unique role for CD2 in T cell biology. Disruption of the murine CD2 gene results in a healthy mouse with an apparently normal immune system (36). Many studies have shown, however, that activation of the CD2 pathway can profoundly regulate T cell responses. The question that remains is, to what extent is the response physiologic. One implication of the lack of phenotype in the CD2 knockout mouse is that CD2 may not have a unique function, or that other molecules can compensate for its loss (36). Alternatively, absence of CD2 may produce a phenotype that would elude identification unless its loss is coupled with additional perturbation of the immune system (i.e., different genetic backgrounds or induction of inflammation). Recent work by Boussuotis et al. has produced important information related to mucosal T cell biology (37). Studies have demonstrated that CD2 is unique in its ability to participate in the reversal of T cell anergy (37). CD2 is unique in that other ligands, such as CD28 and CTLA-4, are critical for prevention of anergy/tolerance; however, coligation of these ligands cannot reverse the state of T cell anergy.
The induction of AP-1 and its functional consequences are important in activation and cytokine production in LP T cells. The AP-1 protein family is known to play a central role in the transcriptional regulation of IL-2 expression (27). A number of AP-1 binding sites have been identified within the IL-2 promoter/enhancer region. The DNA-binding activity of AP-1, while necessary for transactivation of the IL-2 gene, is not sufficient to insure the successful transcription of the IL-2 mRNA. Following T cell activation, there is the establishment of a complex of multiple transacting factors binding to numerous cis-acting elements critical for gene expression (29). It is the assembly or disassembly of this nuclear protein complex that is believed to be regulated by the activation pathway of the T cell. Our transfection studies establish a role for the CD2 activation pathway in gut T cells, leading to up-regulation of AP-1, a critical transacting factor regulating IL-2 cytokine expression. The composition as well as the phosphorylated state of the jun/fos heterodimers will determine whether AP-1 will form an active complex enabling transcriptional activation. Further studies are ongoing to identify the composition changes of the AP-1 complex following CD2 activation in gut T cells, their phosphorylated state, and the role of other transacting factors contributing to IL-2 gene expression following CD2 activation.
Recent reports have emphasized the role DNA-binding factors play in
regulation of T cell function in disease. A recent study looking at
diminished T cell response in patients with the autoimmune disease
Sjogrens syndrome has identified a functional defect in the Oct-1
protein. This defect was correlated with the inability of T cells to
proliferate following activation in patient with the disease (38).
Additionally, in the mouse experimental colitis model, administration
of antisense oligonucleotides to the transacting factor NF-
B has
been reported to lower the level of cytokine expression, thereby
tempering intestinal inflammation (39). Activated mucosal T cells are
implicated in the pathogeneses of Crohns disease. There is an
increased number of activated Th1 cells in the mucosa of Crohns
disease patients. The mucosal inflammation in Crohns disease
represents a perturbation of what in the intestine is a perpetual state
of appropriately controlled inflammatory responses to environmental
factors (40, 41). Crohns disease patients treated with
anti-TNF-
have experienced dramatic and prolonged symptom
improvement that parallels marked down-regulation of T cell activation
and Th1 (TNF-
, IFN-
) cytokine production, and the same is true
for Crohns disease patients treated with IL-10 (42, 43). This
down-regulation of cytokine expression in the mucosa is selective and
specific to activation of the CD2 pathway (44). Our findings emphasize
the importance in understanding downstream events regulating the CD2
activation pathway in LP T cell cytokine production. These observations
support the hypothesis that activated T cells and the CD2 pathway are
likely to be central to the pathogenesis of IBD. Recent studies have
shown that there is diminished proliferative as well as cytokine
expression in T cells isolated from active mucosal inflammation in
response to activation of the CD3/TCR pathway, while the CD2/CD28
pathway remains responsive (24). In our study, this observation was
further characterized in the response of LP T cells isolated from
inflamed tissue, which show a distinct disparity in their ability to
respond to activation via the CD2 compared with the CD3 pathway.
Therefore, cytokine induction through the CD2 pathway in inflamed
tissue is preceded by induction of transacting factors comprising the
jun/fos AP-1 complex, which is capable of transactivation of
IL-2 gene expression. These same cells do not respond to TCR/CD3
stimulation in this mucosal compartment. One possible explanation for
this may be that the active lesion may represent a heightened
activation state or a change in the number of activated T cells as
measured by surface markers. Our transfection data suggest that
activated T cells present in the normal mucosal environment exhibit a
similar disparity in their response to activation via the CD2 compared
with the CD3 pathway.
In summary, the studies presented in this work show that CD2 activation of both normal as well as inflamed LPMC results in the up-regulation of a critical transacting factor, AP-1, and activation of IL-2 transcription leading to cytokine expression. Activation of the CD3/TCR pathway results in only a transient increase in AP-1, which fails to activate measurable mRNA transcription, thus leading to diminished cytokine expression. These studies further support the utilization of the LP-like T cells as a functional model for LPMC from Crohns disease-inflamed tissue to investigate mechanisms of cytokine gene regulation to be performed first on a more easily manipulated experimental system, and demonstrate the successful utilization of LPMC cells as a vehicle for promoter-reporter construct transfection experiments.
| Acknowledgments |
|---|
| Footnotes |
|---|
2 Address correspondence and reprint requests to Dr. Stephan R. Targan, Inflammatory Bowel Disease Research Center, Cedars-Sinai Medical Center, 8700 Beverly Blvd., D4063, Los Angeles, CA 90048. ![]()
3 Abbreviations used in this paper: UC, ulcerative colitis; EMSA, electrophoretic mobility shift assay; IBD, inflammatory bowel disease; LP, lamina propria; LPMC, lamina propria mononuclear cells; PB, peripheral blood; PHA-L, PHA-leucoagglutinin. ![]()
Received for publication March 24, 1997. Accepted for publication January 15, 1998.
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