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The Journal of Immunology, 1998, 160: 5898-5906.
Copyright © 1998 by The American Association of Immunologists

CpG Oligodeoxyribonucleotides Rescue Mature Spleen B Cells from Spontaneous Apoptosis and Promote Cell Cycle Entry1

Ae-Kyung Yi{dagger}, Ming Chang{dagger}, David W. Peckham*, Arthur M. Krieg*,{dagger} and Robert F. Ashman2,*,{dagger}

* Medical Services, Department of Veterans Affairs, Iowa City, IA 52246; and {dagger} Department of Internal Medicine (Rheumatology), University of Iowa College of Medicine, Iowa City, IA 52242


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Isolated murine splenic B cells undergo spontaneous apoptosis. Motifs containing unmethylated CpG dinucleotides in bacterial DNA or in synthetic oligodeoxynucleotides (ODN) are known to activate murine B cells. Now we show that ODN that induce spleen B cell cycle entry also inhibit spontaneous apoptosis in a sequence-specific fashion. Reversal of the CG to GC abolished activity. Methylation of the central cytosine decreased activity. When CpG is preceded by a cytosine or followed by a guanine, activity was abolished. Other substitutions at the same positions had no effect. Dose-response curves for apoptosis protection and G1 entry suggested that a uniform population of ODN recognition sites controlled downstream ODN effects. A CpG ODN with a nuclease-resistant phosphorothioate backbone (S-ODN) was also active, and increased the levels of c-myc, egr-1,c-jun, bclXL, and bax mRNA and c-Myc, c-Jun, Bax, and BclXL protein in spleen B cells. Levels of c-myb, myn, c-Ki-ras, and bcl2 mRNA remained unchanged. When protein synthesis was inhibited, at 16 h ODN-induced cell cycle entry was abolished and apoptosis protection was partially preserved. Under these conditions, c-Myc was still present, but c-Jun and BclXL were not detected. Our results suggest that CpG containing ODN motifs provide signals for both survival and cell cycle entry. Single base changes determine whether this signal proceeds through a rate-limiting step governing at least two steps in apoptosis (plasma membrane transition, DNA cleavage) and two phases of the cell cycle (G1 and S phase entry). This biologic action is associated with increased c-Myc, c-Jun, and BclXL expression.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The size and composition of lymphocyte populations are maintained by controlling cell growth and death. Apoptosis, an endogenous cell suicide mechanism, which requires active participation of the dying cell, is the most common form of physiologic cell death. During the process of lymphocyte maturation, autoreactive cells are removed by apoptosis in bone marrow, thymus, and germinal centers of secondary lymphoid organs (1, 2, 3, 4). More research on lymphocyte apoptosis has focused on T and B cell lines and thymocytes than on mature B cells. After isolation, mature resting splenic T and B cells gradually undergo spontaneous apoptosis in vitro unless apoptosis inhibitors are present (5, 6, 7, 8). In several aspects, responses to apoptosis regulatory reagents in mature T and B cells are different from in those thymocytes and immature B cells. In contrast to thymocytes, mature T and B cells have already made all the proteins they need to undergo apoptosis, so that inhibition of protein synthesis actually increases the apoptosis rate (5, 6). Apoptosis in mature lymphocytes (in contrast to thymocytes) is accelerated by protein kinase C inhibition and diminished by protein kinase C activation (5, 6). CD40 ligand and IL-4 also protect lymphocytes from apoptosis (5, 6, 9).

Previous studies have demonstrated that unmethylated CpG dinucleotides, in particular base contexts (CpG motif) present in bacterial DNA (CpG DNA) and in certain synthetic oligodeoxynucleotides (CpG ODN), promote B cell proliferation; secretion of various cytokines, such as IL-6, IL-12, and IFN-{gamma}; and subsequent Ig secretion (10, 11, 12, 13). CpG DNA synergizes with Ag receptor-mediated signals to increase IL-6 and Ig secretion and cell proliferation (10, 13). These observations suggest that the CpG motif could be a costimulatory factor, as well as a mitogenic factor, for B cell activation.

Like CD40 ligand and LPS, CpG DNA rescues WEHI-231 cells from growth arrest and apoptosis induced by surface Ag receptor cross-linking (14, 15, 16, 17). Because the effects of signaling molecules depend on the cell type and developmental stage of the responding cells and on other environmental factors, the responses of WEHI-231 cells may not mimic those of mature peripheral B cells. Also, continuously cycling cells are inappropriate for investigating the relationship between oligodeoxynucleotide (ODN)3-induced cell cycle entry and apoptosis. Therefore, we investigated whether CpG DNA can provide a survival signal as well as a mitogenic signal for spleen mature B cells in vitro and whether this is associated with changes in the expression of candidate cell proliferation and/or apoptosis-regulating genes. Our results demonstrate that single base changes in ODN produced profound changes in activity that were identical for apoptosis protection and cell cycle entry, that narrow monotonic dose-response curves suggest a uniform population of ODN recognition sites, and that CpG ODNs up-regulate several genes, including c-myc and bclXL. However, cell cycle entry and apoptosis protection could be dissociated when protein synthesis was inhibited.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
DNA and ODN

Escherichia coli (strain B) DNA and calf thymus DNA were purchased from Sigma (St. Louis, MO). Phosphodiester oligodeoxynucleotides (O-ODN) were purchased from Operon Technologies (Alameda, CA). Some were synthesized with a 5-methylcytosine at designated positions. Nuclease-resistant phosphorothioate oligodeoxynucleotides (S-ODN) were purchased from Oligos Etc. (Wilsonville, OR). All DNA and ODN were purified by extraction with phenol-chloroform-isoamyl alcohol (25:24:1) and/or ethanol precipitation. E. coli and calf thymus DNA were made single stranded before use by boiling for 10 min, followed by cooling on ice for 5 min. The LPS level in DNA and ODN was less than 1.7 ng/mg of DNA by Limulus Amebocyte Lysate QCL-1000 (BioWhittaker, Walkersville, MD) following the manufacturer’s protocol.

Mice and cell preparation

B6D2F1 and DBA/2-specific pathogen-free mice at 9 to 18 wk of age were obtained from The Jackson Laboratory (Bar Harbor, ME) and maintained under specific-pathogen-free conditions in the University of Iowa animal care unit. Mice were euthanized by cervical dislocation, and their spleens removed using an aseptic technique. Splenic B lymphocytes were obtained by the BSA panning method, described previously (5). Cells obtained in this manner were about 97% surface Ig+B220+.

Culture conditions and reagents

Spleen B lymphocytes were either assayed directly ("0-h" samples) or placed in culture in RPMI 1640 supplemented with 5% (v/v) heat-inactivated FCS, 1 mM L-glutamine, 1 µM sodium pyruvate, 0.1 µM essential amino acids, 10 µM HEPES (Life Technologies, Gaithersburg, MD), and 60 µM 2-ME. Cells (2 x 106/ml) were treated with or without ODN and/or cycloheximide (CHX) and were cultured for 12 to 40 h in 24- or 96-well culture plates (Costar, Cambridge, MA) at 37°C in a 5% CO2 humidified incubator. CHX (Calbiochem, La Jolla, CA) was used at 3 or 10 µg/ml. O-ODN and S-ODN were used at 120 µg/ml and 1 µM (6 µg/ml), respectively, unless otherwise indicated.

FACS analysis of merocyanine (MC)540 and propidium iodide (PI) staining for membrane transition and hypodiploid nuclei

PI was used in separate assays both to quantitate the percentage of hypodiploid nuclei (apoptotic nuclei) and the percentage of whole cells with PI-permeable plasma membranes. MC540 binds strongly to membranes that have lost phospholipid asymmetry, a transition that precedes the cleavage of DNA in apoptotic B cells (7). MC540 binding and PI permeability were measured simultaneously in the same cell suspension. PI staining for both hypodiploid nuclei and membrane permeability, and MC540 assay were done as previously described (7). Whole cells and nuclei were analyzed by a Coulter EPICS 753 Flow Cytometer (Coulter, Hialeah, FL). The lower gates were set to exclude PI-staining fragments with less than 3% of the intensity of a normal nucleus.

Simultaneous analysis of cell cycle and apoptosis by acridine orange (AO)

Cell cycle and apoptosis were analyzed simultaneously by AO staining as previously described (8). AO and permeabilizing buffer were added directly to 2 x 105 harvested, uncentrifuged B cells, and the analysis performed immediately on the FACScan. By staining RNA and DNA different colors, AO provides the distinction between G0 and G1 and enables apoptosis and phases of the cell cycle to be read from histograms.

Preparation of RNA and multiprobe RNase protection assay (RPA)

Freshly isolated spleen B cells (2 x 106 cells/ml) were treated with or without CpG or non-CpG S-ODN (1 µM). Cells were harvested at various time points (15 min to 4 h) and total RNA was isolated by using RNAzol B (Tel-Test, Friendswood, TX) following the manufacturer’s protocol. Gene transcripts were detected using the RPA as previously described (18). Each sample contained 3 µg of RNA before digestion, but to assess loading variation between lanes, we probed for L32, which encodes an ubiquitously expressed ribosome subunit protein (19). The GenBank Accession No. and nucleotide sequence for each gene have been previously described (17).

Preparation of cell extracts and Western blot analysis

Spleen B cells (2 x 106 cells/ml) were treated with medium, CpG, or non-CpG S-ODN (1 µM). Cells were harvested at various time periods (1 to 16 h) after DNA treatment. Cell lysates were prepared as described (17). Equal concentrations of cell lysates were subjected to electrophoresis on a 12% polyacrylamide gel containing 0.1% SDS and then were transferred to Immobilon-P transfer membranes (Millipore, Bedford, MA). Murine c-Myc, c-Jun, Bcl2, Bax, or BclXL protein was detected with murine specific anti-c-Myc (Upstate Biotechnology, Lake Placid, NY), anti-c-Jun (Santa Cruz Biotechnology, Santa Cruz, CA), anti-Bcl2 (PharMingen, San Diego, CA), anti-Bax (PharMingen), or anti-BclXL/S (Santa Cruz Biotechnology), respectively. Blots were developed in ECL reagent (Amersham, Arlington Heights, IL) according to the manufacturer’s recommended procedure.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Dose-dependent effects of CpG DNA on spontaneous apoptosis of splenic B cells

To evaluate whether CpG DNA, a potent B cell mitogen, can also protect resting murine spleen B cells from spontaneous apoptosis in vitro, freshly isolated spleen B cells were treated with a 4-log concentration range of a mitogenic 15-mer CpG O-ODN, 1916, and a less mitogenic O-ODN with the same sequence, except that the central cytosine was replaced by 5-methylcytosine (1936). By 40 h, 1916 drove B cells into cycle and inhibited apoptosis (measured as hypodiploid nuclei) more effectively than 1936 (Fig. 1GoA).



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FIGURE 1. Dose-dependence of CpG ODN-mediated protection of mature spleen B cells against spontaneous apoptosis. A, Spleen B cells were cultured for 40 h in various concentrations of O-ODNs 1916 (open symbols) and 1936 (black symbols), which differ by the methylation of the central cytosine (sequences in Fig. 2Go). Apoptosis (circles) and cell cycle entry were determined by AO. The percentages of cells in G1-M phase (squares) and in S-M (triangles) are shown, with brackets indicating the SE of the means for three experiments. B, Spleen B cells (1 x 106 cells/ml) were cultured for 16 h with medium alone or various concentrations (0.01– 1 µM) of S-ODN. Cells from the same cultures were assayed for percentage of MC540+ cells (squares) and percentage of hypodiploid nuclei by PI (circles). The sequence of CpG S-ODN 1668 (open symbols) is 5'-TCCATGACGTTCCTGATGCT-3' and the sequence of control non-CpG S-ODN 1911 (closed symbols) is 5'-TCCAGGACTTTCCTCAGGTT-3'. The percentage MC540+ and percentage of hypodiploid nuclei at the initiation of the culture (T0) were 0.9 and 0.4%, respectively. This experiment was repeated twice with another pair of active and inactive S-ODN with similar results.

 
Differences in mechanism may sometimes be indicated by differences in concentration dependence. But neither 1916 nor 1936 showed dose-response differences between G1 entry, S entry, and apoptosis protection either at 40 (Fig. 1GoA) or 16 h (not shown). Furthermore, the same half-log difference in potency between 1916 and 1936 was seen with all three readouts (Fig. 1GoA). The curves were all monotonic with a width consistent with a single affinity class of receptor. A pair of nuclease-resistant S-ODNs were also titrated (Fig. 1GoB). The CpG S-ODN demonstrated a similar monotonic curve, 200-fold greater potency, and a similar dose-response relationship for the membrane transition as for the appearance of hypodiploid nuclei. The minimal protective effect of the non-CpG S-ODN at the concentrations higher than 0.1 µM (Fig. 1GoB) was not sequence specific, as it occurred with all other ODN tested that have the unnatural phosphorothioate DNA backbone (data not shown).

Relationship of ODN sequence with apoptosis and cell cycle entry

In experiments testing the effects of sequence alterations in ODNs with phosphodiester backbones, the percentage of apoptotic (hypodiploid) cells and percentage of cells in cycle were compared using AO to distinguish G0 from G1 (Fig. 2Go). At time 0, 98% of B cells were in G0 and about 1% had hypodiploid nuclei. As in Figure 1GoA, B cell apoptosis protection by ODNs was invariably positively correlated to cell cycle entry (Fig. 2Go). Several active ODNs with a variety of substitutions showed essentially indistinguishable effects, suggesting an optimal activity level. But when the central CG was reversed to GC (1929, Fig. 2GoA), activity disappeared. Methylation of the central cytosine decreased activity into the intermediate range (1936, Fig. 2GoA), whereas methylation of the cytosine at position -4 (4 bases 5' to the central cytosine) did not (1937, Fig. 2GoA). None of the substitutions at the -2 position diminished activity (1920-2, Fig. 2GoB). Cytosine at position -1 substantially reduced activity (1919, Fig. 2GoB), whereas other substitutions at the same position did not (1917, 1918, Fig. 2GoB). At position +1 (one base 3' of the central Guanine) a Guanine substitution accelerated apoptosis of about half the cells and failed to advance any cells into cycle (1925, Fig. 2GoC). Other substitutions at +1 did not alter activity (1923, 1924, Fig. 2GoC). Substitutions at position +2 were equivalent to each other and only slightly less active than the prototype 1916 (1926-8, Fig. 2GoC). Figure 2GoD compares various Guanine substitutions. All the ODNs containing Guanine at +1 were inactive regardless of other Guanine substitutions (1925, 1935, 1940, 1941), and neither of the others was (1918, 1928). Interestingly, substituting Guanines at both ends while preserving the core of the motif significantly decreased the activity (1930, Fig. 2GoD). Three other ODNs with substitutions at least three bases away from the central CG remained active (1931, 1939, and 1626, Fig. 2GoD).



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FIGURE 2. Sequence specificity of ODN activity. Purified B cells were cultured with 2 x 105 cells per 100 µl well for 16 or 40 h with or without DNA or 120 µg/ml of 15-mer phosphodiester ODN, and analyzed for cell cycle or hypodiploid status by AO. At the end of culture, permeabilizing buffer and AO were added to the wells and the samples were analyzed by FACScan, gating out aggregates on a pulse width vs amplitude histogram (not shown). Based on pilot experiments, particles with 3/16 to 13/16 as much DNA as the average G0/G1 cell were counted as apoptotic cells. Brackets indicate means and SEs for three to five repetitions, most of which included all the ODNs. In each group of four bars, the first is percentage of apoptotic cells at 16 h (cross hatched bar), the second is percentage of cells in S to M phase (black) and G1 phase (open) at 16 h, the third is percentage of apoptotic cells at 40 h, and the fourth is percentage of cells in S to M phase and G1 phase at 40 h. The prototype sequence of active ODN 1916 is given at the top and the sequence differences between other ODN and this prototype are indicated. A, Cells were cultured in medium alone, calf thymus DNA (50 µg/ml), Escherichia coli DNA (50 µg/ml), or ODN (120 µg/ml). Methylation of cytosines is indicated by "met." B, Single base changes one or two positions 5' to the central CG. C, Single base changes one or two positions 3' to the central CG. D, Multiple base changes.

 
The active ODNs generally displayed kinetic features similar to the prototype 1916, wherein most of the B cells in cycle at 40 h had already entered G1 by 16 h. During the interval between 16 and 40 h, 15 to 20% of cells entered S phase. But most of the cells in G0 (those neither apoptotic nor in cycle in Fig. 2Go) at 16 h were still in G0 at 40 h.

CpG ODNs rescue splenic B cells from CHX-induced apoptosis

We have shown that CHX, a protein synthesis inhibitor, at 10 µg/ml accelerates the apoptosis of murine mature spleen B cells in vitro and that most apoptosis-protective agents cannot protect B cells in the presence of CHX (5, 7). To evaluate whether CpG DNA can overcome the CHX effect on spleen B cell apoptosis, freshly prepared spleen B cells were analyzed for membrane transition and hypodiploid nuclei after 12 h of CpG S-ODN treatment in the presence or absence of CHX. As previously reported (5, 7), approximately 30% of primary splenic B cells underwent spontaneous apoptosis within 12 h in medium alone (T12 in Fig. 3Go). In contrast, less than 5% of spleen B cells treated with CpG ODN for 12 h underwent apoptosis. Simultaneous addition of CpG ODN with 10 µg/ml CHX partially rescued spleen B cells from CHX-accelerated apoptosis, approximating the result with medium alone (Fig. 3Go). In contrast, control non-CpG S-ODN (1745) did not show any significant effect on spleen B cell apoptosis in the presence or absence of CHX, and results were essentially the same whether the membrane transition or hypodiploid nuclei was measured (data not shown).



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FIGURE 3. CpG S-ODN protects spleen B cells from CHX-accelerated apoptosis. Spleen B cells (1 x 106 cells/ml) were prepared and either analyzed immediately (T0), or after culture for 12 h with medium alone (T12), CpG S-ODN 1668 (1 µM; sequence is in Fig. 1Go), CHX (10 µg/ml), or a combination of S-CpG ODN and CHX. Empty bars represent percentage of MC540+ and solid bars represent percentage of hypodiploid nuclei. A single experiment is shown.

 
The interaction of CpG ODN with CHX provided an opportunity to test whether cell cycle entry is necessary for the inhibition of apoptosis. Figure 4Go shows that the CpG S-ODN 1826 was unable to stimulate any cell cycle entry in the presence of either 3 or 10 µg/ml of CHX. However, ODN 1826 still partially protected B cells from apoptosis acceleration by 3 or 10 µg/ml CHX in a dose-dependent fashion, showing that apoptosis protection by ODN did not require cell cycle entry (Fig. 4Go).



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FIGURE 4. CpG-oligonucleotide inhibits CHX-induced B cell apoptosis in the absence of cell cycle entry. B cells were incubated for 16 h in medium alone (squares), 3 µg/ml CHX (diamonds), or 10 µg/ml CHX (circles). In some cultures a range of concentrations of active CpG S-ODN 1826 was included (5'-TCCATGACGTTCCTGACGTT-3'). By AO flow cytometry, apoptosis (black symbols) and cell cycle phases G1 through M (open symbols) were measured. One experiment is shown.

 
Effects of CpG ODN on the expression of proto-oncogenes

The proto-oncogenes c-myc, bcl2, bax, and bclXL previously have been reported to be involved in the regulation of cell proliferation and/or apoptosis of various cell types, including T and B lymphocytes (reviewed in Refs. 20–23). To investigate the possible role of CpG ODN in regulating the expression of these genes, we examined their mRNA level in spleen B cells after exposure to CpG or control non-CpG ODN. Figure 5Go shows the kinetic profile of mRNA expression of selected genes in spleen B cells after treatments with CpG or non-CpG ODN, as assessed by RPA. The level of c-myc mRNA was substantially increased within 30 min and peaked at 1 to 2 h after CpG ODN treatment (Fig. 5Go). In contrast, the levels of c-myc mRNA in unstimulated (0 min) or control non-CpG DNA-treated spleen B cells gradually decreased, beginning 15 min after the initiation of the culture.



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FIGURE 5. Effects of CpG S-ODN on the expression of proto-oncogenes. A, Effects of CpG ODN on the expression of selected proto-oncogenes. B, Effects of CpG ODN on the expression of apoptosis-related genes. Spleen B cells (2 x 106 cells/ml) were cultured for 2 h in medium alone (Media), CpG S-ODN 1668 (1 µM; sequence is in the legend to Fig. 1Go), or non-CpG S-ODN 1745 (1 µM; TCCATGAGCTTCCTGAGTCT. Cells were harvested at various time points (15 min to 4 h), total RNA was isolated, and gene transcripts were detected using RPA. Equal amounts (3 µg/lane) of RNA were loaded. Equivalent amounts of RNA were examined, as judged by the amount of L32 in each sample. The uppermost c-myc in A and B is c-myc exon 2 and the lower c-myc band in A is c-myc exon 1. This representative experiment was repeated with several different CpG and non-CpG ODN three times with similar results. After normalization and background subtraction of densitometry readings from A, the estimated change in c-myc exon 2 between 0 and 2 h was a 6-fold increase in CpG DNA, compared with a 4.5-fold decrease in medium, and a 3-fold decrease in non-CpG DNA. For c-jun, mRNA, the corresponding changes were a 9-fold increase in CpG DNA, compared with about a 5-fold decrease in medium or non-CpG DNA. In B, by densitometry, the bclXL/bax ratio at 0 h was 0.5. At 2 h, the ratio was 0.5 in medium alone, 1.1 in CpG DNA, and 0.6 in non-CpG DNA.

 
The levels of egr-1 mRNA rapidly decreased when spleen B cells were cultured at 37°C in the presence or absence of control non-CpG ODN (Fig. 5GoA). In contrast, the levels of egr-1 mRNA were increased within 15 min after CpG ODN treatment, remained above the untreated control level (0 min) until 1 h, and then became undetectable by 2 h (Fig. 5GoA). CpG ODN induced increased expression of c-jun mRNA within 2 h after treatment, in contrast to the unchanged levels seen in medium alone or control non-CpG ODN (Fig. 5GoA). c-fos mRNA was present at 0 and 15 min in cultures regardless of the presence of DNA and disappeared thereafter. Unlike c-myc, egr-1, and c-jun mRNA, the levels of c-myb, myn, and c-Ki-ras mRNA remained unchanged in the spleen B cells under all conditions tested (Fig. 5GoA).

In spleen B cells treated with CpG ODN, the levels of bclXL mRNA were increased at 1 h and peaked at 2 h after the initiation of culture (Fig. 5GoB). In contrast, no changes in the levels of bclXL mRNA were observed in the cells cultured in the absence of DNA or in the presence of control non-CpG ODN (Fig. 5GoB). There were minimal increases in the levels of bax mRNA in the spleen B cells cultured for 4 h in the presence or absence of CpG or non-CpG ODN, and no significant change in the barely detectable levels of bcl2, fas ligand or fas mRNA (Fig. 5Go).

Effects of CpG ODN on the synthesis of apoptosis-related proteins

Since it has been reported that the levels of bcl2 mRNA do not correlate well with the levels of Bcl2 protein (24), Western blots were performed to determine whether CpG ODN stimulation results in any changes in the levels of proteins encoded by the mRNAs studied above. The levels of c-Myc protein gradually decreased in the spleen B cells cultured in medium alone (Fig. 6Go). Addition of non-CpG ODN did not alter the level of c-Myc in spleen B cells. In contrast, the levels of c-Myc increased within 1 h and peaked at 6 h after CpG ODN stimulation. We could detect minimal amounts of c-Jun and BclXL in the spleen B cells freshly isolated or cultured in media alone or in the presence of non-CpG ODN. However, the levels of both c-Jun and BclXL were greatly increased after 6 h of stimulation with CpG ODN. As expected, Bcl2 was constitutively produced in spleen B cells, and we could not detect any significant differences in Bcl2 among cells cultured in CpG or non-CpG ODN or medium alone (Fig. 6Go).



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FIGURE 6. Effects of CpG ODN on the expression of c-Myc and Bcl2 family proteins in spleen B cells. Spleen B cells (2 x 106 cells/ml) were cultured with medium alone (Media), CpG S-ODN (1826, 1 µM = 6 µg/ml), or non-CpG S-ODN (1911, 1 µM = 6 µg/ml) for various time periods (1–16 h). ODN sequences are shown in the legends to Figures 4Go and 1Go, respectively. Equal concentrations (50 µg/well) of cell lysates were loaded into each well. This representative experiment was repeated with several different CpG and non-CpG ODN three times with similar results.

 
In Figure 4Go, concentrations higher than 1 µg/ml S-ODN 1826 were able to inhibit apoptosis in 10 µg/ml CHX from 86% at 16 h to about 50%, so a Western blot was run under these conditions (Fig. 7Go). After 16 h in 10 µg/ml CHX, the c-Myc and Bax originally present had disappeared, but Bcl2 was unchanged. As in Figures 6Go and 7Go, the S-ODN 1826 increased c-Myc and induced BclXL and c-Jun. Bax was induced by S-ODN but the BclXL/Bax ratio increased (seen also with O-ODN, not shown). Thus, under conditions where substantial apoptosis protection was present but cell cycle entry was prevented (Fig. 4Go), there was partial preservation of c-Myc, but c-Jun and BclXL were not detected (Fig. 7Go). Bax, BclXL, and Bcl2 reverted to the pattern seen at T0 or at 16 h in medium alone (Fig. 7Go).



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FIGURE 7. Western blot analysis of cellular oncoproteins performed under conditions of protein synthesis inhibition permitting partial apoptosis protection by CpG ODN without cell cycle entry. Primary spleen B cells were treated with medium (T16) or CpG DNA (S-ODN 1826 at 6 µg/ml) in the presence or absence of CHX (at 10 µg/ml) for 16 h. Equal concentrations (50 µg/lane) of whole cell lysates were analyzed by Western blot using specific Abs against c-Myc, c-Jun, BclXL, Bcl2, or Bax. T0 =freshly isolated spleen B cells. The experiment was done three times with similar results.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The major new findings in this paper are that CpG ODNs that are mitogenic for normal naive B cells also protect them from apoptosis, that recognition of single base changes in ODNs determines all their downstream effects, that active ODN increase levels of BclXL and c-Myc mRNA and protein, and that in the absence of protein synthesis, partial apoptosis protection can occur without G1 entry, associated with the preservation of c-Myc.

A signal generated through surface Ig can lead to proliferation or apoptosis depending on the maturation stage of the responding B cells. Green and Scott’s two signal: death/survival model (25) suggests that activation (signal 1) drives the cell into G1, where the choice between apoptosis and S phase entry depends upon additional progression signals from the Th cell (signal 2). Thus, signal 2 acts as an apoptosis inhibitor. In B cell lines with an immature phenotype (WEHI-231), though cells are already in G1, signal 1 (anti-Ig alone) still induces apoptosis, and CpG ODN block it (17), suggesting that they provide signal 2. The current paper explores how this action of CpG ODN applies to naïve resting B cells, and how the death/survival model can be modified to include naïve B cells.

As previously shown (5, 7, 8), mature resting spleen B cells in G0 underwent spontaneous apoptosis in medium alone. They did so without first entering G1 as detected by AO (Fig. 2Go) or by oncogene up-regulation (Fig. 5GoA). Whenever CpG ODN induced cell cycle entry, they also protected B cells from apoptosis (Fig. 2Go), indicating that CpG ODN provide signals 2 and 1 to naive B cells. Against the alternative interpretation that G0 cells responding to ODN do not receive signal 2 until they are in G1, Figure 4Go shows that when G1 entry was prevented by inhibiting protein synthesis, apoptosis inhibition by ODN clearly occurred in G0 cells. ODN protection of B cells from the membrane transition (detected by MC540 flow cytometry) becomes detectable between 1 and 2 h (our unpublished observations), well before G1 entry. Other agents that block apoptosis in naïve cells, such as IL-4 and CD40 ligand (8), also can act as apoptosis-blocking components of signal 2 in activated cells. IL-4 can do so without inducing G1 entry (8). Thus, our results suggest an interesting extension of the two signal death/survival model to include naïve as well as activated cells: a "signal 2" agent that blocks apoptosis in G1 cells promotes S phase entry, whereas when the same agent blocks apoptosis in G0 cells, it potentiates G1 entry, manifest when the cells also receive signal 1. Rapid G1 entry, apoptosis inhibition, and S phase entry all occur with ODN alone (Fig. 2Go) because ODN provide both signals. We are currently testing this revised model with agents that provide only one of the two signals.

The apoptosis-protective effect of CpG ODN was dose dependent (Fig. 1Go) and exquisitely sequence specific (Fig. 2Go). To study the sequence specificity in detail, we used a series of O-ODNs and employed AO for the simultaneous assessment of cell cycle and apoptosis. At 40 h, B cells with hypodiploid DNA were observed to have RNA contents appropriate for G0, but extending into mid-G1. Apoptotic cells may be underestimated if many cells lose DNA in S/G2/M, if they are aggregated (aggregates are gated out), or if they lose enough RNA to pass into the debris gate, but they may be overestimated if excessive cellular fragmentation occurs. Pilot experiments enabled us to set the gates for both PI and AO to minimize these sources of error. In B cells, we developed conditions for measuring hypodiploid nuclei with PI that agree with the percentage of DNA fragmented (5).

Spontaneous apoptosis and failure to exit G0 were observed with calf thymus DNA as with medium alone (Fig. 2GoA). The prototype active phosphodiester ODN, 1916, profoundly inhibited apoptosis while stimulating cell cycle entry. Generally, the apoptosis-protective and cell cycle-progressive effects of ODN were proportional. It was striking to observe how closely the other active ODNs duplicated the effects seen with the prototype 1916, namely: 1) rapid advance of about 55 to 65% of B cells into G1 by 16 h; 2) further advance of 20% of B cells into S phase between 16 and 40 h, with only 10% more advancing from G0 to G1; and 3) only 5 to 10% entering apoptosis by 40 h, compared with 50% in medium alone. Thus, at 40 h, 15 to 20% of B cells exposed to active ODNs remained in G0 without entering apoptosis (non-B cell contamination is less than 5%).

The mitogenic activity of E. coli DNA has been attributed to its 20-fold greater content of unmethylated CpG pairs relative to mammalian DNA (10). That E. coli DNA is less potent on a weight basis than CpG ODN (Fig. 2GoA) is consistent with the dilution of active sequences with inactive sequences in whole DNA, though the existence of sequences that block the CpG effect remains an interesting possibility. In vertebrate genomes, the most common bases that precede or follow CpG dinucleotides are cytosine and guanine, respectively (26). It is therefore noteworthy that these are exactly the same flanking bases that abolish the stimulatory activity of CpG dinucleotides (Fig. 2Go, B and C), suggesting the possibility that their presence in vertebrate DNA may function to prevent autoactivation by self-DNA.

Judging from enzyme and Ag prototypes, a hypothetical ODN-receptor protein would be expected to bind an ODN at multiple points. Single amino acid substitutions that disrupt protein binding usually involve side chains, which either possess radically different size or chemistry, or which cause a major local conformational change. But with ODNs, although Figure 2Go provides several examples of single base changes that failed to alter ODN activity, there are also examples in which changes as minor as substitution of one pyrimidine for another (1917 vs 1919 in Fig. 2GoB), or one purine for another (1923 vs 1925 in Fig. 2GoC) caused a change from full activity to inactivity. Reversal of the central CG to GC had the same effect (Fig. 2GoA). Addition of one methyl group to the central cytosine decreased activity by half (Fig. 2GoA). These extreme positive and negative changes in activity with minimal structural change provide stringent criteria to be met by the ODN-recognizing entity. In the simplest case, one might anticipate that the ODN-recognizing entity might have binding affinity for ODNs that would correspond to the functional data in this paper, and so these data have guided our ongoing effort to identify and characterize this entity.

Although sequence is clearly important, receptor binding might also be affected by ODN conformational change, implying folding of a short ODN to form secondary structures. In the prototype ODN, 1916, bases at positions +3 and +4 could base pair with -5 and -6 to form a loop, and alternatively +5 and +6 could pair with -3 and -4. However, ODN 1939 is modified to disrupt one potential folding mode, and ODNs 1931 and 1626 are modified so as to disrupt both of these potential folding modes, yet retain full activity (Fig. 2GoD). ODN 1930 with polyguanine ends retains about half of its activity, despite the lack of palindromic pairs (Fig. 2GoD). Some of the substitutions that prevent the single base pairing of the adenine at -1 with thymidine at +1 fail to disrupt activity (Fig. 2Go, B and C). These results do not support ODN conformation as a significant variable in determining activity. In the limited comparisons made to date (not shown), changing from phosphodiester (the natural form, as in Fig. 2Go) to nuclease-resistant phosphorothioate (Figs. 1Go, 3Go–7) altered the potency but not the specificity.

Surprisingly, the dose-response curves for the effects of CpG ODN on both apoptosis protection and cell cycle entry (Fig. 1Go) were steep and uniform enough to be compatible with the hypothesis that both downstream effects are determined entirely by interaction of ODN with a uniform population of DNA-binding sites obeying the mass action law, without additional variables. In contrast, the sequence nonspecific apoptosis inhibition curve of non-CpG S-ODN (example in Fig. 1GoB) was much broader.

DNA cleavage and the membrane transition detected by MC540 staining are events that differ in their biochemistry, timing, and intracellular localization, yet both were substantially and equally prevented by active ODN (Figs. 1GoB and 3). Thus, in B cells undergoing spontaneous apoptosis, the inhibitory influence of ODN is proximal to both the membrane transition (loss of plasma membrane phospholipid asymmetry) and DNA cleavage.

Several genes have been reported to be associated with activation or inhibition of cell proliferation or apoptosis. CpG DNA rescues WEHI-231 B cells from anti-IgM-induced growth arrest and apoptosis and up-regulates c-myc and bclXL expression (17). The product of proto-oncogene c-myc is an important regulator of proliferation and is sufficient to cause the G0-G1 transition (reviewed in 27 . However, continued expression of c-Myc in the presence of cell cycle inhibitors or in the absence of apoptosis inhibitors leads to death by apoptosis (28, 29). Therefore, c-Myc favors either proliferation or apoptosis, depending on the cell type and status of other growth signals. The levels of both c-myc mRNA and protein were decreased in spleen B cells when exposed to medium alone or non-CpG ODN, while they were up-regulated by CpG ODN (Figs. 5Go and 6Go). Increased c-Myc may lead B cells to exit from G0 into G1 phase (30, 31) and eventually to S-phase entry (32, 33) through cooperation with other molecules involved in cell cycle progression and/or survival, such as Egr-1, c-Jun, and Bcl2 family members. Indeed, CpG ODNs strongly induced expression of c-jun mRNA within 2 h and induced transient increases in the level of egr-1 mRNA (Fig. 5GoA), as well as increased c-Jun protein by 6 h (Fig. 6Go). These changes are associated with cell growth in response to a variety of stimuli (34, 35, 36). In particular, Jun protein is a component of the transcription factor AP-1, which regulates the transcription of a number of genes, including other growth factors and cytokines (reviewed in 37 .

Bcl2 has been reported to oppose c-Myc-driven apoptosis without affecting the c-Myc mitogenic function (38, 39, 40). Enforced expression of a bcl2 transgene prevents or delays apoptosis of B cells (8, 41). Both bcl2 mRNA and protein were constitutively expressed in spleen mature B cells (42, Figs. 5Go and 6Go) and neither were affected by CpG DNA ( Figs. 5–7GoGoGo). This constitutively expressed Bcl2 is not sufficient for providing a survival signal for mature B cells because after 16 h in 10 µg/ml CHX, 85% of B cells are apoptotic (Fig. 4Go), despite unchanged levels of Bcl2 (Fig. 7Go). However, CpG ODN also produced a major increase in bclXL mRNA (Fig. 5GoB) and protein (Figs. 6Go and 7Go), which were not detectable in fresh spleen B cells. Overexpression of bclX protects WEHI-231 B cells from anti-IgM-mediated apoptosis and prolongs the survival of peripheral B cells in vivo and in vitro (43, 44). Furthermore, when costimulation by CpG DNA or CD40 ligation rescues WEHI-231 cells from anti-IgM-induced apoptosis, bclXL expression is increased (14, 15, 17, 45). BclXL, but not bcl2, is also induced in peripheral B cells in the presence of anti-IgM, anti-CD40, or LPS (44, 46). When cultured in medium alone, normal mature B cells do not express detectable bclXL mRNA or protein (Ref. 44; Figs. 5–7GoGoGo). CpG ODN, but not control non-CpG ODN, rapidly induced increases in bclXL mRNA and protein ( Figs. 5–7GoGoGo). Even though bax mRNA and protein were increased by CpG ODN, the ratio of BclXL to Bax increased (Figs. 5GoB and 7), favoring survival (47). These results suggested the possibility that CpG ODN prevented apoptosis and induced proliferation by inducing concomitant expression of c-Myc and BclXL.

Mechanisms by which CpG ODNs induce B cell proliferation, secretion of Ig and several cytokines, and protection of WEHI-231 cells from BCR-mediated growth arrest and apoptosis are still under investigation. Our previous studies indicated that B cells do not have a specific membrane receptor for CpG ODN. ODN uptake by cells, while required for activation, is not different between active and inactive ODN (10). In addition, CpG ODN itself does not induce any change in protein phosphorylation, inositol trisphosphate generation, or Ca2+ flux within 10 min after treatment in splenic B cells, or CH12.LX, a murine B cell line (A.M.K., unpublished observation). The earliest event we have been able to detect in primary B cells and B cell lines after CpG DNA treatment was an increase in the generation of intracellular reactive oxygen species (ROS), which leads to the transcription of several genes such as c-myc, IL-6, IL-12, and TNF-{alpha} via activation of NF{kappa}B4 (13, 48). These intracellular ROS contribute to the CpG ODN-mediated protection against anti-IgM-induced growth arrest and apoptosis of WEHI-231 cells (48), and we are investigating whether this may also be true in mature B cells. Such a relationship would contrast with the observation that ROS favor apoptosis and antioxidants inhibit apoptosis in other cells (49, 50).

The transcriptional activation of c-myc by NF{kappa}B may be an especially important step. CD40 ligand, which resembles ODN in providing both survival and proliferation signals to normal B cells, also shares the ability of ODN (48) to activate c-myc transcription through NF{kappa}B in WEHI-231 cells (51, 52). Anti-µ-induced apoptosis in WEHI-231 cells is accompanied by a drop in c-Myc (51), whereas Myc stabilization prevents apoptosis (52). Figure 5Go, A and B, show that when resting B cells were cultured in medium alone (leading to spontaneous apoptosis; 5 , c-myc mRNA declined sharply between 1 and 2 h, whereas exposure to CpG (but not non-CpG) DNA increased c-myc mRNA levels.

Further evidence supporting a role for c-Myc preservation in apoptosis protection by ODN derives from our studies with the protein synthesis inhibitor CHX. Several apoptosis-protective agents (IL-4, IFN-{gamma}, PMA) are unable to protect B cells from apoptosis in the presence of the protein synthesis inhibitor CHX (Peckham, Stunz, and Ashman, unpublished observations), but ODNs were partially protective (Figs. 3Go and 4Go), even if CHX was added 1 h before ODN (data not shown). We were able to find conditions where no cell cycle entry occurred, yet partial apoptosis protection was evident (Fig. 4Go). Under these conditions, c-Myc was conspicuously preserved, although neither BclXL nor c-Jun induction was detected (Fig. 7Go). These results are consistent with the view that c-Myc preservation is sufficient for at least partial apoptosis protection in B cells (52). They also suggest that CpG DNA may somehow inhibit the normally rapid degradation of c-Myc protein.

The observation that CpG ODN can partially protect B cells from apoptosis acceleration by CHX under conditions where it cannot restore cell cycle entry shows that cell cycle entry is not required for apoptosis protection by ODN (Fig. 5Go). PMA, IL-4 (5), 0.1 µg/ml of CHX (8), and elevated levels of Bcl2 (41) are also able to protect B cells from apoptosis without causing cell cycle entry. Figures 4Go and 7Go also provide an example of rapid induction of apoptosis (by CHX) despite there being no change in the levels of the long-lived Bcl2.

In summary, our results demonstrate that CpG motifs, which are common in bacterial DNA, rescue mature spleen B cells from spontaneous apoptosis and induce spleen B cell cycle entry in a sequence-specific manner. CpG ODNs provide both signals 1 and 2, probably by directly and/or indirectly up-regulating genes involved in cell cycle progression and survival such as c-myc and bclXL. The exquisite sequence specificity (Fig. 2Go) and the evidence that downstream events are controlled by a homogenous population of ODN-recognizing sites (Fig. 1Go) have obvious applications to our ongoing effort to identify and characterize the mechanism of ODN recognition within the cell.


    Acknowledgments
 
We thank Dr. Laura L. Stunz for helpful discussion, Justin Fishbaugh in The University of Iowa Flow Cytometry Facility for technical assistance, Dr. David Lafrenz for providing probes used in RPA, and Jill Kinnaird for expert secretarial assistance. Support from the RGK Foundation and the Order of the Eastern Star is also gratefully acknowledged.


    Footnotes
 
1 A.K.Y. was supported by a postdoctoral fellowship from the Arthritis Foundation. A.M.K. was supported by grants from the Department of Veterans Affairs, The RGK Foundation, and National Institutes of Health Grant R29-AR42556-01. R.F.A. was supported by grants from the Department of Veterans Affairs and the American Cancer Society. This research was supported by Office of Research and Development, Medical Research Service, Department of Veterans Affairs (VA), including VA Merit Awards to R.F.A. and A.M.K., and a VA Career Award to A.M.K. Back

2 Address correspondence and reprint requests to Dr. Robert. F. Ashman, Department of Internal Medicine, University of Iowa College of Medicine, Iowa City, IA 52242. E-mail address: Back

3 Abbreviations used in this paper: ODN, oligodeoxynucleotide; O-ODN, phosphodiester oligodeoxynucleotide; S-ODN, phosphorothioate oligodeoxynucleotide; CHX, cycloheximide; PI, propidium iodide; MC, merocyanine; AO, acridine orange; RPA, RNase protection assay; ROS, reactive oxygen species. Back

4 A.-K. Yi, R. Tuetken, T. Redford, M. Waldschmidt, J. Kirsch, and A.M. Krieg. 1998. CpG motifs in bacterial DNA activate leukocytes through the pH-dependent generation of reactive oxygen species. J. Immunol. In press. Back

Received for publication May 6, 1997. Accepted for publication February 19, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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