The JI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     
 


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kodelja, V.
Right arrow Articles by Goerdt, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kodelja, V.
Right arrow Articles by Goerdt, S.
Right arrowPubmed/NCBI databases
*Gene*GEO Profiles
*HomoloGene*OMIM
*Protein*UniGene
*Substance via MeSH
The Journal of Immunology, 1998, 160: 1411-1418.
Copyright © 1998 by The American Association of Immunologists

Alternative Macrophage Activation-Associated CC-Chemokine-1, a Novel Structural Homologue of Macrophage Inflammatory Protein-1{alpha} with a Th2-Associated Expression Pattern1

Vitam Kodelja, Carola Müller, Oliver Politz, Nahid Hakij, Constantin E. Orfanos and Sergij Goerdt2

Klinik und Poliklinik für Dermatologie, Universitätsklinikum Benjamin Franklin, Freie Universitat Berlin, Berlin, Germany


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
We have cloned a novel human CC-chemokine, alternative macrophage activation-associated CC-chemokine (AMAC)-1. The isolated cDNA clone (803 bp) shows a single open reading frame of 267-bp coding for 89 amino acid residues; mature AMAC-1 protein is predicted to consist of 69 amino acids with a m.w. of 7855. Sequence alignment and 3D-modeling show the typical structural characteristics of CC-chemokines with special features in the receptor-activating domain. AMAC-1 is most closely related to MIP-1{alpha} with a cDNA and protein sequence homology of 55% and 59%, respectively. However, the expression pattern of AMAC-1 is directly opposite to that of MIP-1{alpha}. While MIP-1{alpha} is induced by classical macrophage mediators such as LPS and is inhibited by IL-4 and glucocorticoids, AMAC-1 is specifically induced in macrophages by alternative macrophage mediators such as IL-4, IL-13, and IL-10. Expression of AMAC-1 is inhibited by IFN-{gamma} while glucocorticoids exert a slightly positive synergistic effect in combination with IL-4. Peripheral blood monocytes do not express AMAC-1; time course experiments show that monocyte-to-macrophage differentiation is a prerequisite for AMAC-1 expression. Expression of AMAC-1 by granulocyte--macrophage CSF/IL-4-induced, monocyte-derived dendritic cells is complex; in mature adherent dendritic cells, however, only minor AMAC-1 mRNA expression was found. In vivo, AMAC-1 is expressed by alveolar macrophages from healthy persons, smokers, and asthmatic patients. In conclusion, AMAC-1 is a novel CC-chemokine whose expression is induced in alternatively activated macrophages by Th2-associated cytokines; thus, AMAC-1 may be involved in the APC-dependent T cell development in inflammatory and immune reactions.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
The concept of Th2-associated alternative immunologic macrophage activation was introduced in 1992 by Stein et al. (1). In contrast to classical macrophage activation by IFN-{gamma} and LPS, activation of macrophages by agents such as IL-4 or glucocorticoids (GCs),3 was classified as alternative. Besides IFN-{gamma} and IL-4, macrophage activation and differentiation is influenced by other cytokines. The effects of TNF-{alpha} and IL-12 partially overlap with those of IFN-{gamma}. IL-10 and IL-13 resemble IL-4, while TGF-ß acts similarly to GC. Nevertheless, IFN-{gamma} and IL-4 are the agents best known to exert a wide range of antagonistic effects on macrophages; for example, expression of the three species of Fc{gamma}Rs (2, 3) is induced by IFN-{gamma}, but is inhibited by IL-4. On the other hand, expression of the macrophage mannose receptor (1, 4) and of 15-lipoxygenase (5) is induced by IL-4, but is inhibited by IFN-{gamma}. Furthermore, expression and synthesis of proinflammatory cytokines such as IL-1 (6, 7), IL-6 (8), and TNF-{alpha} (6, 7) are inhibited by IL-4. In contrast, IL-4 and IFN-{gamma} sometimes exert synergistic effects such as accumulation of cytoplasmic CD23 (9) or inhibition of CD14 expression (10). Vice versa, GC effects on macrophages are sometimes antagonistic to IL-4; in contrast to IL-4, GCs, for example, inhibit macrophage expression of CD23 (9, 11). In general, IL-4-induced inflammatory macrophages adopt an alternative phenotype characterized by a high capacity for endocytic clearance and by reduced proinflammatory cytokine secretion (1).

In previous reports, we have shown that MS-1 high m.w. protein (MS-1-HMWP) (9, 12, 13, 14) and RM 3/1 Ag (15, 16) characterize alternative macrophage phenotypes (17) in that their expression is induced by IL-4 and GC and inhibited by IFN-{gamma} (9, 18). In vivo, MS-1-HMWP+, RM 3/1+ alternatively activated macrophages are found during the healing phase of acute inflammatory reactions (19), in chronic inflammatory diseases such as rheumatoid arthritis (20) and psoriasis (21), and in wound healing tissue (9). In addition, alternatively activated macrophages are the cells of origin in cutaneous macrophage-derived tumors (14, 18). In contrast to IFN-{gamma}-induced classically-activated macrophages that occur during early phases of inflammation (19) and in high turnover reactive granulomas (14, 18, 22), alternatively activated macrophages are associated with a high degree of vascularization in vivo (9, 14, 18) and seem to be angiogenic in vitro (23). Furthermore, alternatively activated macrophages do not costimulate, but actively inhibit mitogen-induced proliferation of PBL and CD4+ T cells by an unknown mechanism (24). Therefore, we reasoned that alternatively activated macrophages may host a not yet fully unraveled molecular repertoire important in modulating diverse inflammatory and immune responses.

Here, we report the identification, cloning, and expression analysis of a novel CC-chemokine, alternative macrophage activation-associated CC-chemokine (AMAC)-1, induced by Th2-associated cytokines such as IL-4, IL-13, and IL-10 in alternatively activated macrophages in vivo and found in alveolar macrophages in vitro.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
Tissues, cells, and cell lines

Skin and bowel specimens were taken at routine surgery and bronchoalveolar lavage cells were harvested at routine BAL after informed consent was obtained. Cell lines used were monocytic leukemia cell line THP-1 and melanoma cell line MEWO cultured in RPMI 1640 supplemented with 10% FCS (Biochrom, Berlin, Germany) and appropriate concentrations of penicillin/streptomycin, glutamine, and nonessential amino acids (all from Biochrom); human umbilical vein endothelial cells were isolated as described (25) and cultured in Clonetics endothelial basal medium (Clonetics, Walkersville, MD) supplemented with 10 µg/ml human epidermal growth factor, 1 µg/ml hydrocortisone, bovine brain extract 12 µg/ml, 2% FCS and appropriate concentrations of gentamicin and amphotericin B. Isolation and culture of human monocytes/macrophages and monocyte-derived dendritic cells as well as PBL was performed largely as described (9, 18, 26). The cells were purified using EDTA-anticoagulated blood from single donors or pooled buffy coats. A total of 35 ml of blood were layered on top of 15 ml Ficoll-Paque (Biochrom) in a 50-ml Leuco-sep centrifuge tube (Greiner, Nürtingen, Germany) and were centrifuged in a swing out rotor for 40 min at 650 x g at room temperature without using the brake. PBMC were collected at the serum/Ficoll interface and washed three times in sterile Ca2+ and Mg2+ free PBS (Biochrom). 3 ml of a suspension containing 5 to 8 x 108 PBMC in PBS were layered on top of 30 ml of a preformed Percoll gradient (Pharmacia, Freiburg, Germany) in a 50-ml tube; the Percoll gradient (13.5 ml Percoll, 1.5 ml 10x Earle’s MEM, 15 ml Spinner’s medium supplemented with appropriate concentrations of penicillin/streptomycin, glutamine, and nonessential amino acids (all from Biochrom)) had been preformed in an SS-34 rotor of an ultracentrifuge (Sorvall, Frankfurt, Germany) at 11950 x g for 12 min at 20°C without using the brake. Percoll gradients with the cells on top were centrifuged at 650 x g for 40 min at 20°C without using the brake. The upper cell layer contained approximately 80 to 90% monocytes while the lower cell layer contained approximately 90 to 95% PBL. Both layers were collected separately, and the cells were washed three times in PBS and further used or frozen in liquid nitrogen.

For culture, monocytes were resuspended in McCoy’s medium (Biochrom) supplemented with 10% FCS and appropriate concentrations of penicillin/streptomycin, glutamine, and nonessential amino acids, and were then transferred into Teflon-coated, UV-irradiated (1 min; transiluminator 2011 macrovue (LKB, Germany) plastic bags (Biofolie, Heraeus, Hanau, Germany), which were sealed using Polystar 410 HM (Rische und Herfurth, Hamburg, Germany). Cell numbers varied between 0.2 x 106 and 2 x 106 (usually 1.3 x 106) monocytes/ml according to the length of the culture period (3 and 6 days). Mediators were added directly to the medium in the combinations indicated at the beginning of the culture period or at the time points indicated. In some experiments, monocytes were also cultured in T75 tissue culture plastic flasks (Falcon). Incubation was at 7.5% CO2. Before harvest, the plastic bags were put on ice for at least 30 min and were lightly hit with a stick for a while to get the lightly adherent cells back into suspension. The bags were cut open, the supernatant was collected and the cells were washed in PBS and either used directly for coculture, frozen as pellets for RNA isolation, or used for flow cytometric analysis or to prepare cytospin preparations in a cytocentrifuge at 700 rpm for 3 min using 104 cells/cytospin. Monocytes cultured in plastic flasks were harvested using trypsin-EDTA and were otherwise treated similarly.

Mediators

Human IFN-{gamma}, used at 1000 U/ml, was from Sigma (Deisenhofen, Germany); human rTNF-{alpha}, used at 20 ng/ml, and human recombinant GM-CSF, used at 200 U/ml, were from Tebu Peprotech (Frankfurt/M., Germany); human rIL-2, used at 100 U/ml, was from Chiron (Ratingen, Germany); human rIL-3, used at 10 ng/ml, human rIL-6, used at 200 U/ml, human rIL-12, used at 100 U/ml, human rIL-13, used at 50 ng/ml, and human rIL-1{alpha}, used at 100 U/ml, were from R&D Systems (Wiesbaden, Germany); human recombinant macrophage CSF (M-CSF), used at 100 U/ml, was from Cellular Products (Buffalo, NY); human rIL-4, used at 15 ng/ml for induction of alternative macrophage differentiation and at 45 ng/ml for derivation of dendritic cells from monocytes, was from Serva (Heidelberg, Germany); human rIL-10, used at 50 ng/ml, was from Biomol (Hamburg, Germany). Dexamethasone, used at 5 x 10-7 M or as indicated, and LPS from Escherichia coli serotype 055:B5, used at 25 µg/ml, were from Sigma.

Isolation of cDNA clones

Total RNA from alternatively activated macrophages was isolated using Stratagene isolation kits. The poly(A)+ fraction was separated with Oligotex-dT (Qiagen, Hilden, Germany) and 2 µg were used for synthesis of cDNA library using {lambda}ZAP Express EcoRI/XhoI vector cloning kit (Stratagene, Heidelberg, Germany). The library consisted of 1.2 x 105 original clones, 86% of which contained inserts. This first cDNA library was amplified up to a titer of 2.5 x 108 pfu/ml. The resultant alternatively activated macrophage cDNA library and a commercially available human spleen cDNA library ({lambda}gt10, Clontech, Heidelberg, Germany) were differentially screened as follows.

A total of 2 x 106 pfu of each cDNA library were plated on NZY plates and three replicas on Nylon filters (Millipore, Eschborn, Germany) or GeneScreen (DuPont/NEN/Life Science, Cologne, Germany) were taken. For differential screening, 32P-labeled first cDNA was prepared using 2 to 5 µg poly(A)+ from alternatively and classically activated macrophages and from control macrophages. Poly(A)+ was isolated with use of Oligotex-dT and was reverse transcribed overnight at 42°C in 1 mM dATP, dGTP, dTTP and 0.05 mM dCTP 200 µg/ml oligo(dT)18-mer (Pharmacia), 10 U AMV reverse transcriptase (Invitrogen, Leek, The Netherlands), 60 U RNasin (Ambion, Austin, TX), and 125 µCi [{alpha}-32P]dCTP with a specific activity of 800 µCi/mmol (Amersham Buchler, Braunschweig, Germany). Unincorporated radioactivity was separated using Sephadex-25-filled NAP-5 columns (Pharmacia). Filters were prehybridized for 2 to 6 h at 42°C in 10% dextransulfate, 5x Denhardt’s solution, 2x SSC, 1% SDS, 50% deionized formamide, and 100 µg/ml salmon sperm DNA. For hybridization, denatured labeled first cDNA probes were added and hybridized for 2 days at 42°C. After hybridization, the filters were washed twice in 2x SSC, 1% SDS at room temperature, twice in 2x SSC, 1% SDS at 65°C for 30 min, and one final wash was in 0.1 x SSC at room temperature. Filters were dried, put into saran wrap, and exposed to X-AR Film (Kodak, New Haven, CT). After the exposure, differentially expressed clones were picked. After amplification of these clones, {lambda}DNA was isolated using a commercially available kit (Qiagen) and was PCR-amplified with T3/T7 primer for {lambda}ZAP clones and {lambda}gt10 forward/reverse primers for spleen cDNA clones using GeneAmp XL PCR kit (Perkin Elmer, Branchburg, NJ). In order to identify the extreme 5' end of the AMAC-1 mRNA, 5'RACE system version 2.0 (Life Technologies, Eggenstein, Germany) was used with the following primers: REV (5'-TCA CAG TGA GAA TGC TGG TTT ACC TTT TAT; 751–780); REV1 (5'-GAG TTG AAG GGA AAG GGG AAA GGA TGA TAA; 584–613); REV3 (5'-CTC CAG GGT GGC AGG GCC ATT GCC CT; 406–431) (see Fig. 1Go).



View larger version (44K):
[in this window]
[in a new window]
 
FIGURE 1. Nucleotide and deduced amino acid sequence of AMAC-1. The 5' nontranslated region consists of 70 bp, the coding region of 267 bp, and the 3' untranslated region of 466 bp. The positions and orientations of the PCR primers used are indicated by arrows. The predicted site for a signal peptidase cleavage is marked by an asterisk. The sequence has been deposited in Genbank/EMBL/DDBJ under the accession no. Y13710.

 
Nucleotide sequences were determined by automated sequencing of both DNA strands using an Applied Biosystems 373 sequencer (Foster City, CA) using dye terminator cycle sequencing ready reaction kit (Perkin Elmer) for dideoxy PCR sequencing of DNA fragments isolated from agarose gels. From 20 to 100 ng of DNA template were used and amplified (30 s at 96°C, 15 s at 55 to 60°C, 4 min at 60°C) for 30 cycles without a final extension at 72°C using T3 and T7 primers and the following AMAC-1-specific primers: REV; REV1; REV3; REV4 (5'-ACC AAC TTG TGC ACA GGA GCA GAG GGC CAT G; 112–142); FORW (5'-TTA TCA TCC TTT CCC CTT TCC CTT CAA CTC; 584–613); FORW3 (5'-AGG GCA ATG GCC CTG CCA CCC TGG AG; 406–431); FORW4 (5'-CAT GGC CCT CTG CTC CTG TGC ACA AGT TGG T; 112–142); FORW5 (5'-AGA GGA GTT GTG AGT TTC CAA GCC CCA GC; 9–37) (see Fig. 1Go). The sequencing reaction was separated on 6% polyacrylamide/urea sequencing gels.

Northern hybridization

Multiple tissue Northern blots of normal organs including lymphoid tissues were purchased from Clontech. For macrophages and some other cell lines and tissues, total RNA was isolated using RNA Midi-Isolation kit (Qiagen). Ten micrograms of total RNA were electrophoresed in formaldehyde/agarose gels and blotted onto nylon membrane Gen screen plus (DuPont). After 2 h at 80°C, filters were hybridized with an AMAC-1 specific 200-bp PCR-generated DNA probe (primers used were FORW and REV; see Fig. 1Go). The probe was labeled using a ready-to-go random priming kit (Pharmacia) with 50 µCi [{alpha}-32P]dCTP with a specific activity of 6000 µCi/mmol (Amersham Buchler), and nonincorporated radioactivity was separated using G50 Sephadex-filled Nick columns (Pharmacia). The filters were prehybridized for at least 2 h in 1 M NaCl, 1% SDS, and 10% dextran sulfate at 60°C. Denatured probe and 100 µg/ml salmon sperm DNA were then added and hybridized at 60°C overnight. After hybridization, the filters were washed twice in 2x SSC, 1% SDS at room temperature, twice in 2x SSC, 1% SDS at 60°C for 30 min, and the final wash was in 0.1 SSC at room temperature. Filters were dried, put into SaranWrap, and exposed to X-AR film.

RT-PCR

Total RNA was isolated using Trizol (Life Technologies), and first-strand cDNA was synthesized using commercially available kits (Pharmacia; or Invitrogen, Leek) according to the manufacturers’ protocols. Several primer pairs were tested. Of these, putative intron-spanning primer pair FORW5 and REV (see Fig. 1Go) turned out to give the most specific and reliable results. Primers were tested for exclusion of amplification of genomic sequences using 200 ng and 1 µg genomic DNA from PBMC (not shown). PCR was performed in a 50-µl total reaction volume containing 25 to 250 ng cDNA templates, 10 mM Tris-HCl (pH 8.3), 50 mM KCl, 1.5 mM MgCl2, 0.2 mM dNTP, 1.25 U of Amplitaq DNA polymerase (Perkin-Elmer Cetus, Überlingen, Germany), and oligonucleotide primers (0.2 µM each). The amplification profile for the primer pair was: 95°C, 45 s; 60°C, 45 s; 72°C, 2 min for 40 cycles. Amplification was terminated by 10 min of final extension at 72°C. Twenty-microliter aliquots of the resulting PCR reaction mixture were separated on ethidium bromide-stained 1.5% agarose gels (Life Technologies) by electrophoresis. Gels were photographed under UV light (Polaroid 665 film, Sigma). Specific signals were adjusted according to expression of housekeeping genes ß-actin or glyceraldehyde-3-phosphate dehydrogenase.

Bioinformatics

The DNA sequence and the deduced protein sequence of the clone were compared with public databases using the internet programs BLASTN and BLASTP at http://www.ncbi.nlm.nih.gov to find similar sequences. The database set was a nonredundant combination of GenBank, EMBL, DDBJ, PDB, dBEST, and SWISSPROT sequences (27).

Sequences of known cytokines were obtained from the ENTREZ server at National Centre for Biotechnology Information at http://www.ncbi.nlm.nih.gov/Web/Search/index.html. The sequences were then aligned using the ClustalW program (28) with standard parameters, and the resulting data set was imported into the GeneDoc4 program. The phylogenetic trees were drawn with Treeview5 using the guide tree file of the ClustalW program. Modeling of the three-dimensional structure of AMAC-1 was possible using the Swissmodel server at ExPasy (http://www.expasy.ch/swissmod/SWISS-MODEL.html.) (29, 30) based on the known structures of the following sequence entries from the Brookhaven database: 11HUM.pdb (HS_MIP-1ß), 11DOK.pdb, 11MCA.pdb, 11DOM.pdb, 11DOL.pdb, 13IL8.pdb (HS_IL8), 11IKL.pdb, and 11HRJ.pdb. The obtained coordinates for AMAC-1 were visualized with the Rasmol program (Roger Sayle, Glaxo Wellcome Research and Development, Stevenage, Hertfordshire, U.K.).


    Results and Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
By comparing the molecular repertoire of IFN-{gamma}-induced, classically activated macrophages and of IL-4- and GC-induced, alternatively activated macrophages using differential hybridization, several clones were found to be specifically expressed in alternatively activated macrophages. The greater part of these clones showed positive cross-hybridization reactions using Southern blotting, and a high frequency of cross-hybridizing clones was detected in our cDNA library made from alternatively activated macrophage RNA, but not in a spleen cDNA library. Several of these cross-hybridizing clones were sequenced from their 5' and 3' ends and from various internal primers and showed partially overlapping sequences. In order to identify the extreme 5' end of the respective mRNA, 5' RACE products were also sequenced. Taking all this sequence information together, a contig for a sequence of 803 bp was constructed. Finally, a full length clone ({lambda}ZAP Express clone 202) was identified and fully sequenced from both ends and using several internal primers. The resulting sequence fully confirmed the previously established contig sequence (Fig. 1Go; accession no. Y13710).

The isolated clone showed an open reading frame of 267 bp coding for 89 amino acid residues. An analysis for the presence of a signal peptide sequence gave three possible cleavage points after residues 18, 20, or 21 with the highest probability for cleavage between residues 20 and 21 resulting in an N terminus for the mature protein with the sequence M k g l a a a l l v l v c t m a l c s c || A Q V (Fig. 1Go). Further sequence analysis pointed toward a possible CC-chemokine of 69 amino acid residues and a predicted m.w. of 7855.

By scanning the sequence against a nonredundant database set on the internet, the highest homology to our clone was found with the human and mouse DNA sequences of the CC-chemokine MIP-1{alpha} (55% and 51%, respectively). Several expressed sequence tags (ESTs) and other cDNA clones (accession nos. R83915, T89961, AA031820, AA031821, N44551, N33793, and G907797) with very high homology to our sequence were also found; however, our sequence is the longest reported to date. When using only the coding region of our cDNA sequence from nucleotide 71 to 337, a perfect match of the protein sequence to protein sequence 3 from U.S. patent No. 5504003 (accession no. I19356) was found. This protein sequence was tentatively named macrophage inflammatory protein (MIP)-4 (31). However, we prefer to use the term alternative macrophage activation-associated CC-chemokine (AMAC)-1 for our clone since we feel that it better reflects the expression pattern of our gene that is opposite to other macrophage inflammatory proteins, especially, MIP-1{alpha}.

In order to identify the relationship of AMAC-1 to other known chemokines, an alignment of related sequences obtained from a BLAST search was made with ClustalW and processed in Treeview and Genedoc. The resultant dendrogram of protein sequences of known CC-chemokines (Fig. 2GoA) shows that the strongest relationship of AMAC-1 is to human and mouse MIP-1{alpha} (59% and 51% homology, respectively). The next closest similarity of AMAC-1 is to human and mouse MIP-1ß (39% and 45% homology, respectively). Together with MIP-1{alpha}, MIP-1ß, RANTES, and macrophage-derived chemokine (32), AMAC-1 constitutes one group of CC-chemokines that is clearly separated from two other groups in the dendrogram; one of these two latter groups comprises human HCC-1 (33), MIP-3/MPIF-1 (34), MIP-3{alpha}, MIP-3ß (35), MIP-5/HCC-2 (accession no. R91733) and murine C10 (36), and MIP-1{gamma} (37) while the other comprises human eotaxin and MCP-1, -2, -3, and -4 (38). Between these groups, overall homology is in the 25% range. An optimized alignment of these chemokines together with the human CXC-chemokine IL-8 (Fig. 2GoB) reveals six absolutely conserved positions in both CC- and CXC-chemokines comprising the four cysteines, Val-58, and Leu-65 (numbered according to mature AMAC-1 protein and marked in blue). Within the mature proteins, there are 14 residues more or less well conserved among the CC chemokines (green). These include regions of putative importance for dimerization and structure determination (i.e., WV motive at position 57, 58) (39, 40).



View larger version (71K):
[in this window]
[in a new window]
 
FIGURE 2. A, Phylogram of CC-chemokines. AMAC-1 constitutes a separate arm in a group comprising MIP-1{alpha}, MIP-1ß, and RANTES. B, Alignment of deduced amino acid sequence of AMAC-1 with other CC-chemokines and the CXC-chemokine IL-8. Amino acids conserved among all CC- and CXC-chemokines are indicated in blue, among part of CC- and CXC-chemokines in green and yellow. C, Schematic representation of modeled 3D structure of AMAC-1 with emphasis on putative secondary structure elements. Amino acids unique to AMAC-1 among CC-chemokines and involved in putative receptor-ligand interactions are depicted in red.

 
Due to the high homology of AMAC-1 to human MIP-1ß, it was possible to generate a model of the putative three-dimensional structure of AMAC-1 using the Swissmodel server at ExPasy. The resulting structure file was visualized with Rasmol (Fig. 2GoC). The structure-determining residues as well as the four cysteines are well conserved in their position in the three-dimensional structure between AMAC-1 and MIP-1ß resulting in conservation of all decisive structural features between these two chemokines. These features are the 310-helical turn, the three antiparallel ß-sheets ß1, ß2, and ß3 as well as the C-terminal {alpha}-helix.

With respect to receptor selectivity of chemokines, a two-site paradigm has been postulated (41). Site I serves initial complex formation (address) while site II is important for agonist activity of the ligand (message). The region of AMAC-1 known from MIP-1ß to be directly or indirectly involved in interaction at site I is centered around Tyr27 (including also Asp26, Glu29, and Ser32) and is highly conserved in most CC-chemokines including AMAC-1 (40). In CXC-chemokines such as IL-8, Tyr27 is uniformly replaced by leucine. This receptor recognition site is located within ß-sheet ß1 opposite to the dimerization region preceding the 310-helical turn. Alteration of this sequence motif by site-directed mutagenesis influences receptor specificity in case of IL-8 (41). In contrast, the flexible N terminus of AMAC-1 involved in agonist activity at site II is considerably different from all other CC-chemokines and rather resembles the N terminus of CXC-chemokines such as IL-8 including an incomplete ELR motif and a leucine/isoleucine at position 12 vs a tyrosine/phenylalanine in other CC-chemokines (AMAC-1: TNKEL-C-CL; IL-8: SAKELRCQCI; MIP-1{alpha}: DTPTA-C-CF).

Expression of AMAC-1 was studied by Northern analysis in a variety of cultured cells and tissues and was found highly specific for alternatively activated macrophages (Fig. 3GoA). In contrast, most chemokines including MIP-1{alpha} expressed by macrophages are induced by classical macrophage activators such as LPS (not shown) or IFN-{gamma}, and, interestingly, MIP-1{alpha} with its high homology to AMAC-1 is frankly inhibited by alternative macrophage activators such as IL-4, IL-13, and GC (42, 43, 44). Classically activated macrophages, lymphocytes, endothelial cells, melanoma cells, and normal human organs do not express AMAC-1 (Fig. 3GoA). However, in some specimens, especially endothelial cells and melanoma cells, weak cross-hybridization was seen with an as yet unidentified mRNA species of 1350 bp. RT-PCR with carefully selected putative intron-spanning AMAC-1-specific primers revealed only the expected single band in alternatively activated macrophages (Fig. 3GoB). Due to the high sensitivity of RT-PCR, weak AMAC-1 expression was also detected in some unstimulated control macrophage specimens and very weakly in spleen.



View larger version (44K):
[in this window]
[in a new window]
 
FIGURE 3. Northern blot (A, C, D) and RT-PCR (B) analysis of AMAC-1 expression. A, Monocytes/macrophages cultured for 3 (1–5) and 6 (6–10) days without any mediators (1, 6), or in the presence of IFN-{gamma} (2, 7), dexamethasone and IL-4 (3, 8), dexamethasone (4, 9), or IL-4 (5, 10); spleen (11), granulocytes (12), melanoma cell line MEWO (13), human umbilical vein endothelial cells (14), PBL (15) and PBMC (16). B, Monocytes/macrophages cultured for 3 (1–3) and 6 (4–6) days without any mediators (1, 4), or in the presence of IFN-{gamma} (2, 5), or dexamethasone and IL-4 (3, 6); phorbol ester-treated, IL-4-stimulated THP-1 cells (7), spleen (8), granulocytes (9), human umbilical vein endothelial cells (10), PBMC (11), monocytes (12), PBL (13), melanoma cell line MEWO (14), and fibroblasts (15). C, Monocytes/macrophages cultured for 3 days without any mediators (1), or in the presence of IFN-{gamma} (2), dexamethasone and IL-4 (3), dexamethasone (4), IL-4 (5), or of reduced concentrations of dexamethasone (10-8 M (6), 10-10 M (7), 10-12 M (8), 10-14 M (9), 10-16 M (10)). D, Monocytes/macrophages cultured for 16 h (1), 24 h (2), 48 h (3), and 72 h (4) in the presence of dexamethasone and IL-4. E, Monocytes/macrophages cultured for 3 days without any mediators (1), or in the presence of IFN-{gamma} (2), dexamethasone and IL-4 (3), dexamethasone (4), IL-4 (5); monocytes/macrophages cultured for 2 days without any mediators, and for an additional 24 h with dexamethasone (6), IL-4 (7), or LPS (8).

 
Expression of AMAC-1 is induced in alternatively activated macrophages by IL-4, while GC are not able to induce AMAC-1 on their own, but may enhance the effects of IL-4 (Fig. 3GoA). In contrast to macrophage migration inhibitory factor (45), GC do not induce AMAC-1 even if they are used at lower concentrations than usual (10-8 to 10-16 M) (Fig. 3GoC). In contrast to other chemokines such as MIP-1{alpha} (44) and to other proinflammatory cytokines such as IL-1 or TNF-{alpha}, AMAC-1 expression is not inhibited by GC.

In time course experiments, AMAC-1 expression by alternatively activated macrophages was shown to start only at day 2 and to be fully developed at day 3 when IL-4 was present throughout the culture period (Fig. 3GoD). When IL-4 was added only at day 2 of culture, expression of AMAC-1 was nevertheless fully developed at day 3 (Fig. 3GoE) indicating that monocyte-to-macrophage differentiation is a prerequisite of AMAC-1 expression. This is also reflected by the finding that expression of AMAC-1 by the monocytic leukemia cell line THP-1 requires preceding induction of macrophage differentiation by phorbol esters (Fig. 3GoB). Similarly, even monocytes of atopic patients with high serum IgE levels do not express AMAC-1 (not shown). Besides IL-4, other mediators of alternative immunologic macrophage activation such as IL-13 and IL-10 are able to induce expression of AMAC-1 while all other cytokines tested such as IFN-{gamma}, IL-1, IL-2, IL-3, IL-6, IL-12, macrophage-CSF, GM-CSF, and TNF-{alpha} are not (Fig. 4GoA). Besides lacking correspondence in the homology-based CC-chemokine dendrogram, these findings confirm that C10 is not the murine homologue of human AMAC-1, since C10 is inducible by IL-3 and GM-CSF (36) in addition to IL-4. On the other hand, IFN-{gamma} strongly inhibits expression of AMAC-1 (Fig. 4GoB), while TNF-{alpha} does rather enhance AMAC-1 expression in IL-4- and GC-stimulated macrophages (Fig. 4GoD). This latter result is unexpected, since expression of alternatively activated macrophage Ags MS-1-HMWP and RM 3/1 is inhibited by both IFN-{gamma} and TNF-{alpha} (9, 18).



View larger version (48K):
[in this window]
[in a new window]
 
FIGURE 4. Northern blot analysis of AMAC-1 expression. A, Inducibility of AMAC-1 expression by cytokines. Monocytes/macrophages cultured for 3 days without any mediators (1), or in the presence of IFN-{gamma} (2), dexamethasone and IL-4 (3), IL-4 (4), IL-1{alpha} (5), IL-2 (6), IL-3 (7), IL-6 (8), IL-10 (9), IL-12 (10), IL-13 (11), TNF-{alpha} (12), macrophage-CSF (13), GM-CSF (14), GM-CSF and IL-4 (15). B, Inhibition of AMAC-1 expression by IFN-{gamma}. Monocytes/macrophages cultured for 3 days without mediators (1, 5–7), or in the presence of IFN-{gamma} (2), dexamethasone and IL-4 (3, 8–10), and IL-4 (4, 11–13); some monocyte/macrophage cultures were additionally treated with IFN-{gamma} at 1000 U/ml (5, 8, 11), 100 U/ml (6, 9, 12), and 10 U/ml (7, 10, 13) during the whole culture period. C, Expression of AMAC-1 in dendritic cells. Nonadherent (1–4) and adherent (8–11) monocytes/macrophages cultured for 6 days without any mediators (1, 8), or in the presence of IFN-{gamma} (2, 9), dexamethasone and IL-4 (3, 10), or dexamethasone and IL-4 (45 ng/ml) (4, 11). Nonadherent (5–7) and adherent (12–14) monocyte-derived dendritic cells cultured for 6 (5, 12) and 8 (6, 13) days with GM-CSF and IL-4 [45 ng/ml]; some monocyte-derived dendritic cell cultures were additionally treated with TNF-{alpha} from day 6 to day 8 (7, 14). D, Effect of TNF-{alpha} on AMAC-1 expression. Monocytes/macrophages cultured for 3 days without any mediators (1, 5), or in the presence of IFN-{gamma} (2, 6), dexamethasone and IL-4 (3, 7), and IL-4 (4, 8); some monocyte/macrophage cultures were additionally treated with TNF-{alpha} during the whole culture period (5–8). E, Expression of AMAC-1 in alveolar macrophages. Asthmatics (1, 2), nonsmokers (3–5), and a smoker (6).

 
Since recent research has revealed a closer relationship of monocytes/macrophages and dendritic cells than hitherto recognized (17, 46) and since dendritic cells can be derived from monocytes by cytokine stimulation including IL-4 (26), we analyzed AMAC-1 expression in monocyte-derived dendritic cells in vitro. GM-CSF- and IL-4-induced monocyte-derived dendritic cells showed expression of AMAC-1 at day 3 comparable in strength to alternatively activated macrophages (Fig. 4GoA), while expression of AMAC-1 at days 6 and 8 was less intense and was further down-regulated by addition of TNF-{alpha} (Fig. 4GoC).

In addition to cultured human cells, a variety of inflamed human tissues was examined for expression of AMAC-1 including acute appendicitis, Crohn’s disease, ulcerative colitis, lesional skin from psoriasis, and bronchoalveolar lavage cells from various donors. Only alveolar macrophages from asthmatics, smokers and healthy persons, but not inflammatory skin and bowel disease specimens strongly expressed AMAC-1 in vivo (Fig. 4GoE).

During preparation of this manuscript, Adema et al. (47) reported on the identification and analysis of a novel CC-chemokine, DC-CK1, which was cloned from a dendritic cell-derived cDNA library. Based on a limited expression analysis, Adema et al. claim that DC-CK1 is a dendritic cell-selective chemokine in vitro and in vivo and they show that it functions in selectively attracting and activating naive T cells. Summarizing, Adema et al. hold that DC-CK1 is part of the potent immunostimulatory armament of dendritic cells during the development of naive T cells into Th1 effector cells.

Interestingly, DC-CK1 and AMAC-1 show sequence identity. Insofar, the data presented in this paper help to broaden and correct the oversimplified view of DC-CK1/AMAC-1 put forward by Adema et al. (47). In contrast to Adema et al., we have shown here that AMAC-1 is preferentially expressed by IL-4-induced alternatively activated macrophages; admittedly, AMAC-1 is also expressed by GM-CSF/IL-4-induced monocyte-derived dendritic cells, but the level of expression is much lower and decreases with dendritic cell maturation. The common denominator for expression of AMAC-1 in alternatively activated macrophages and monocyte-derived dendritic cells obviously is its inducibility by IL-4. This notion is substantiated by our finding that AMAC-1 is also inducible by other Th2 cytokines such as IL-10 and IL-13 and that its expression is inhibited by the Th1 cytokine IFN-{gamma}. Whether dendritic cells such as Langerhans cells that have not seen IL-4 and do not express the IL-4-inducible macrophage mannose receptor (48) will express AMAC-1 remains to be determined. In further contrast to Adema et al. (47), we have found that AMAC-1 expression in vivo is strong in peripheral organs such as lung (alveolar macrophages) and placenta (not shown) and is therefore not restricted to some sparsely distributed putative dendritic cells in lymphatic organs.

In summary, AMAC-1 is a novel CC-chemokine with several unconventional features. In contrast to most other known CC-chemokines, AMAC-1 expression is specifically induced in alternatively activated macrophages by Th2-associated cytokines in vitro and is naturally present in alveolar macrophages in vivo. Interestingly, both alternatively activated and alveolar macrophages are known to be involved in suppression of Th1-associated immune reactions (24, 49, 50, 51, 52). To a lesser extent, AMAC-1 is also expressed in monocyte-derived dendritic cells. As Adema et al. have shown (47), AMAC-1 may be functional in preferentially attracting and activating naive T cells. Unexpectedly, double-negative knockout mice lacking the CC chemokine receptor 1, which is the major receptor for MIP-1{alpha}, experience a shift of the Th1/Th2 balance toward Th1 predominance (53) indicating that MIP-1{alpha} supports Th2 reactions. Due to the fact, however, that both Th2-associated, preferentially anti-inflammatory alternatively activated macrophages and Th1-associated, potent immunostimulatory dendritic cells express AMAC-1, AMAC-1 may not be directly involved in determining Th1 or Th2 skewing during T cell development. Full clarification of this open question must await identification of the AMAC-1 receptor. Special structural features of AMAC-1 at sites influencing receptor specificity suggest unusual CC-chemokine receptor-ligand interactions which might comprise unknown or orphan chemokine receptors (54, 55) or even chemokine receptor antagonism.


    Footnotes
 
1 This work was supported by the Deutsche Forschungsgemeinschaft through grants to S. G. (Go 470/2-1 and -2). Back

2 Address correspondence and reprint requests to Professor S. Goerdt, Klinik und Poliklinik für Dermatologie, Universitätsklinikum Benjamin Franklin, Freie Universität Berlin, Berlin, Germany. Back

3 Abbreviations used in this paper: GC, glucocorticoids; MS-1-HMWP, MS-1 high m.w. protein; AMAC-1, alternative macrophage activation-associated CC-chemokine; MIP, macrophage inflammatory protein; GM-CSF, granulocyte-macrophage CSFpfu, plaque-forming units. Back

4 Nicholas, K. B., and H. B. Nicholas, Jr. 1997. GeneDoc: a tool for editing and anotating multiple sequence alignments. Distributed by the author. Back

5 Page, R. D. M. 1996. TreeView: tree drawing software for Apple Macintosh and Microsoft Windows. Distributed by the author at: http://taxonomy.zoology.gla.ac.uk/rod/rod.htm. Back

Received for publication September 2, 1997. Accepted for publication October 20, 1997.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 

  1. Stein, M., S. Keshav, N. Harris, S. Gordon. 1992. Interleukin-4 potently enhances murine macrophage mannose receptor activity: a marker of alternative immunologic macrophage activation. J. Exp. Med. 176:287.[Abstract/Free Full Text]
  2. Becker, S., E. G. Daniel. 1990. Antagonistic effects of IL-4 and interferon-gamma on human monocytes and macrophages: effects on Fc receptors, HLA-D antigens, and superoxide production. Cell. Immunol. 129:351.[Medline]
  3. Te Velde, A. A., R. J. F. Huijbens, J. E. de Vries, C. G. Figdor. 1990. IL-4 decreases Fc{gamma}R membrane expression and Fc{gamma}R-mediated cytotoxic activity of human monocytes. J. Immunol. 144:3046.[Abstract]
  4. Cowan, H. B., S. Vick, J. T. Conary, V. L. Shepherd. 1992. Dexamethasone upregulates mannose receptor activity by increasing mRNA levels. Arch. Biochem. Biophys. 296:314.[Medline]
  5. Conrad, D. J., H. Kuhn, M. Mulkins, E. Highland, E. Sigal. 1992. Specific inflammatory cytokines regulate the expression of human monocyte 15-lipoxygenase. Proc. Natl. Acad. Sci. USA 89:217.[Abstract/Free Full Text]
  6. Hart, P. H., G. F. Vitti, D. R. Burgess, G. A. Whitty, D. S. Piccoli, J. A. Hamilton. 1989. Potential antiinflammatory effects of interleukin-4: suppression of human monocyte tumor necrosis factor-a, interleukin-1, and prostaglandin E2. Proc. Natl. Acad. Sci. USA 86:3803.[Abstract/Free Full Text]
  7. Hart, P. H., G. A. Whitty, D. R. Burgess, M. Croatto, J. A. Hamilton. 1990. Augmentation of glucocorticoid action on human monocytes by interleukin-4. Lymphokine Res. 9:147.[Medline]
  8. Cheung, D. L., P. H. Hart, G. F. Vitti, G. A. Whitty, J. A. Hamilton. 1990. Contrasting effects of interferon-{gamma} and interleukin-4 on the interleukin-6 activity of stimulated human monocytes. Immunology 71:70.[Medline]
  9. Goerdt, S., R. Bhardwaj, C. Sorg. 1993. Inducible expression of MS-1 high molecular weight protein by endothelial cells of continuous origin and by dendritic cells/macrophages in vivo and in vitro. Am. J. Pathol. 142:1409.[Abstract]
  10. Landmann, R., A. E. Fisscher, J.-P. Obrecht. 1992. Interferon-gamma and interleukin-4 down-regulate soluble CD14 release in human monocytes and macrophages. J. Leukocyte Biol. 52:323.[Abstract]
  11. Delespesse, G., M. Sarfati. 1991. An update on human CD23 (Fc{epsilon}RII). Fc{epsilon}RII and IgE-BFs (soluble CD23) play an essential role in the regulation of human IgE synthesis. Clin. Exp. Allergy 21:(Suppl. 1):153.
  12. Goerdt, S., L. J. Walsh, G. F. Murphy, J. S. Pober. 1991. Identification of a novel high molecular weight protein antigen preferentially expressed by sinusoidal endothelial cells in normal human tissues. J. Cell Biol. 113:1425.[Abstract/Free Full Text]
  13. Walsh, L. J., S. Goerdt, J. S. Pober, H. Sueki, G. F. Murphy. 1991. MS-1 sinusoidal endothelial antigen is expressed by factor XIIIa+, HLA-DR+ dermal perivascular dendritic cells. Lab. Invest. 65:732.[Medline]
  14. Goerdt, S., G. Kolde, G. Bonsmann, K. Hamann, B. Czarnetzki, R. Andreesen, T. Luger, C. Sorg. 1993. Immunohistochemical comparison of cutaneous histiocytoses and related skin disorders: diagnostic and histogenetic relevance of MS-1 high molecular weight protein expression. J. Pathol. 170:421.[Medline]
  15. Zwadlo, G., R. Voegeli, K. Schulze-Osthoff, C. Sorg. 1987. A monoclonal antibody to a novel differentiation antigen on human macrophages associated with the down-regulatory phase of the inflammatory process. Exp. Cell Biol. 55:295.[Medline]
  16. Wenzel, I., J. Roth, C. Sorg. 1996. Identification of a novel surface molecule, RM 3/1, that contributes to the adhesion of glucocorticoid-induced human monocytes to endothelial cells. Eur. J. Immunol. 26:2758.[Medline]
  17. Goerdt, S., V. Kodelja, M. Schmuth, C. E. Orfanos, C. Sorg. 1996. The mononuclear phagocyte-dendritic cell dichotomy: myths, facts, and a revised concept. Clin. Exp. Immunol. 105:1.[Medline]
  18. Kodelja, V., S. Goerdt. 1994. Dissection of macrophage differentiation pathways in cutaneous macrophage disorders and in vitro. Exp. Dermatol. 3:257.[Medline]
  19. Topoll, H., G. Zwadlo, D. E. Lange, C. Sorg. 1989. Phenotypic dynamics of macrophage subpopulations during human experimental gingivitis. J. Periodontal Res. 24:106.[Medline]
  20. Szekanecz, Z., G. K. Haines, T. R. Lin, L. A. Harlow, S. Goerdt, G. Rayan, A. E. Koch. 1994. Differential distribution of intercellular adhesion molecules (ICAM-1, ICAM-2, and ICAM-3) and the MS-1 antigen in normal and diseased human synovia: their possible pathogenetic and clinical significance in rheumatoid arthritis. Arthritis Rheum. 37:221.[Medline]
  21. Djemadji-Oudjiel, N., S. Goerdt, V. Kodelja, M. Schmuth, C. E. Orfanos. 1996. Immunohistochemical identification of type II alternatively activated dendritic macrophages (RM 3/1+++, MS-1+/-, 25F9-) in psoriatic dermis. Arch. Dermatol. Res. 288:757.[Medline]
  22. Cooper, A. M., D. K. Dalton, T. A. Stewart, J. P. Griffin, D. G. Russel, I. M. Orme. 1993. Disseminated tuberculosis in interferon-{gamma} gene-disrupted mice. J. Exp. Med. 178:2243.[Abstract/Free Full Text]
  23. Kodelja, V., C. Müller, S. Tenorio, C. Schebesch, C. E. Orfanos, S. Goerdt. 1997. Differences in angiogenic potential of classically vs alternatively activated macrophages. Immunobiology 197:478.[Medline]
  24. Schebesch, C., V. Kodelja, C. Müller, N. Hakij, C. E. Orfanos, and S. Goerdt. 1997. Alternatively activated macrophages do not co-stimulate, but actively inhibit proliferation of peripheral blood lymphocytes and CD4+ T-cells in vitro. Immunology. In press.
  25. Goerdt, S., F. Steckel, K. Schulze-Osthoff, H.-H. Hagemeier, E. Macher, C. Sorg. 1989. Characterization and differential expression of an endothelial cell-specific surface antigen in continuous and sinusoidal endothelia, in skin vascular lesions and in vitro. Exp. Cell Biol. 57:185.[Medline]
  26. Sallusto, F., A. Lanzavecchia. 1994. Efficient presentation of soluble antigen by cultured human dendritic cells is maintained by granulocyte/macrophage colony-stimulating factor plus interleukin 4 and downregulated by tumor necrosis factor-{alpha}. J. Exp. Med. 179:1109.[Abstract/Free Full Text]
  27. Altschul, S. F., W. Gish, W. Miller, E. W. Myers, D. J. Lipman. 1990. Basic local alignment search tools. J. Mol. Biol. 215:403.[Medline]
  28. Thompson, J. D., D. G. Higgins, T. J. Gibson. 1994. CLUSTAL W: improving the sensitivity of progressive multiple sequence alignment through sequence weighting, position-specific gap penalties and weight matrix choice. Nucleic Acids Res. 22:4673.[Abstract/Free Full Text]
  29. Peitsch, M. C.. 1995. Protein modelling by email. Bio/Technology 13:658.
  30. Peitsch, M. C.. 1996. Promod and Swiss-Model: internet-based tools for automated comparative protein modelling. Biochem. Soc. Trans. 24:274.[Medline]
  31. Wells, T. N. C., M. C. Peitsch. 1997. The chemokine information source: identification and characterization of novel chemokines using the WorldWideWeb and expressed sequence tag databases. J. Leukocyte Biol. 61:545.[Abstract]
  32. Godiska, R., D. Chantry, C. J. Raport, S. Sozzani, P. Allavena, D. Leviten, A. Mantovani, P. W. Gray. 1997. Human macrophage-derived chemokine (MDC), a novel chemoattractant for monocytes, monocyte-derived dendritic cells, and natural killer cells. J. Exp. Med. 185:1595.[Abstract/Free Full Text]
  33. Schulz-Knappe, P., H.-J. Mägert, B. Dewald, M. Meyer, Y. Cetin, M. Kubbies, J. Tomeczkowski, K. Kirchhoff, M. Raida, K. Adermann, A. Kist, M. Reinecke, R. Sillard, A. Pardigol, M. Uguccioni, M. Baggiolini, W.-G. Forssmann. 1996. HCC-1, a novel chemokine from human plasma. J. Exp. Med. 183:295.[Abstract/Free Full Text]
  34. Patel, V. P., B. L. Kreider, Y. Li, H. Li, K. Leung, T. Salcedo, B. Nardelli, V. Pippalla, S. Gentz, R. Thotakura, D. Parmelee, R. Gentz, G. Garotta. 1997. Molecular and functional characterization of two novel human C-C chemokines as inhibitors of two distinct classes of myeloid progenitors. J. Exp. Med. 185:1163.[Abstract/Free Full Text]
  35. Rossi, D. L., A. P. Vicari, K. Franz-Bacon, T. K. McClanahan, A. Zlotnik. 1997. Identification through bioinformatics of two new macrophage proinflammatory human chemokines, MIP-3a and MIP-3b. J. Immunol. 158:1033.[Abstract]
  36. Orlofsky, A., E. Y. Lin, M. B. Prystowsky. 1994. Selective induction of the b chemokine C10 by IL-4 in mouse macrophages. J. Immunol. 152:5084.[Abstract]
  37. Poltorak, A. N., F. Bazzoni, I. I. Smirnova, E. Alejos, P. Thompson, G. Luheshi, N. Rothwell. 1995. MIP-1gamma: molecular cloning, expression, and biological activities of a novel CC chemokine that is constitutively secreted in vivo. J. Inflamm. 45:207.[Medline]
  38. Uguccioni, M., P. Loetscher, U. Forssmann, B. Dewald, H. Li, S. Hensche Lima, Y. Li, B. Kreider, G. Garotta, M. Thelen, M. Baggiolini. 1996. Monocyte chemotactic protein 4 (MCP-4), a novel structural and functional analogue of MCP-3 and eotaxin. J. Exp. Med. 183:2379.[Abstract/Free Full Text]
  39. Chung, C.-w., R. M. Cooke, A. E. I. Proudfoot, T. N. C. Wells. 1995. The three-dimensional structure of RANTES. Biochemistry 34:9307.[Medline]
  40. Clore, G. M., A. M. Gronenborn. 1997. Three-dimensional structures of a and b chemokines. FASEB J. 9:57.[Abstract]
  41. Wells, T. N. C., C. A. Power, M. Lusti-Narasimhan, A. J. Hoogewerf, R. M. Cooke, C.-w. Chung, M. C. Peitsch, A. E. I. Proudfoot. 1996. Selectivity and antagonism of chemokine receptors. J. Leukocyte Biol. 59:53.[Abstract]
  42. Standiford, T. J., S. L. Kunkel, J. M. Liebler, M. D. Burdick, A. R. Gilbert, R. M. Strieter. 1993. Gene expression of macrophage inflammatory protein-1a from human blood monocytes and alveolar macrophages is inhibited by interleukin-4. Am. J. Respir. Cell Mol. Biol. 9:192.
  43. Berkman, N., M. John, G. Roesems, P. Jose, P. J. Barnes, K. F. Chung. 1996. Interleukin 13 inhibits macrophage inflammatory protein-1a production from human alveolar macrophages. Am. J. Respir. Cell Mol. Biol. 15:382.[Abstract]
  44. Berkman, N., P. J. Jose, T. J. Williams, T. J. Schall, P. J. Barnes, K. F. Chung. 1995. Corticosteroid inhibition of macrophage inflammatory protein-1{alpha} in human monocytes and alveolar macrophages. Am. J. Physiol. 269:L443.[Abstract/Free Full Text]
  45. Calandra, T., J. Bernhagen, C. N. Metz, L. A. Spiegel, M. Bacher, T. Donnelly, A. Cerami, R. Bucala. 1995. MIF as a glucocorticoid-induced modulator of cytokine production. Nature 376:68.
  46. Peters, J. H., R. Gieseler, B. Thiele, F. Steinbach. 1996. Dendritic cells: from ontogenetic orphans to myelomonocytic descendents. Immunol. Today 17:273.[Medline]
  47. Adema, G. J., F. Hartgers, R. Verstraten, E. de Vries, G. Marland, S. Menon, J. Foster, Y. Xu, P. Nooyen, T. McClanahan, K. B. Bacon, C. G. Figdor. 1997. A dendritic-cell-derived C-C chemokine that preferentially attracts naive T cells. Nature 387:713.[Medline]
  48. Mommaas, A. M., A. Tan, A. A. Mulder, R. Jordens, J. J. M. Onderwater, J. W. Drijfhout, D. Verwoerd, T. H. M. Ottenhof, P. H. Kluin, A. Tulp, J. J. Neefjes, F. Koning. 1997. In contrast to human blood derived dendritic cells, epidermal Langerhans cells do not employ the mannose receptor endocytosis pathway. J. Invest. Dermatol. 109:261.
  49. Poulter, L. W., G. Janossy, C. Power, S. Sreenan, C. Burke. 1994. Immunological/physiological relationships in asthma: potential regulation by lung macrophages. Immunol. Today 15:258.[Medline]
  50. Fireman, E. M., S. B. Efraim, J. Greif, S. Kivity, M. R. Topilsky. 1988. Suppressor cell activity of human alveolar macrophages in interstitial lung diseases. Clin. Exp. Immunol. 73:111.[Medline]
  51. Geertsma, M. F., W. L. Teeuw, P. H. Nibbering, R. van Furth. 1994. Pulmonary surfactant inhibits activation of human monocytes by recombinant interferon-{gamma}. Immunology 82:450.[Medline]
  52. Holt, P. G., M. A. Schon-Hegard, J. Oliver. 1988. MHC class II antigen-bearing dendritic cells in pulmonary tissues of the rat: regulation of antigen presentation activity by endogenous macrophage populations. J. Exp. Med. 167:262.[Abstract/Free Full Text]
  53. Gao, J.-L., T. A. Wynn, Y. Chang, E. J. Lee, H. E. Broxmeyer, S. Cooper, H. L. Tiffany, H. Westphal, J. Kwon-Chung, P. M. Murphy. 1997. Impaired host defense, hematopoiesis, granulomatous inflammation and type 1-type 2 cytokine balance in mice lacking CC chemokine receptor 1. J. Exp. Med. 185:1959.[Abstract/Free Full Text]
  54. Liao, F., G. Alkhatib, K. W. C. Peden, G. Sharma, E. A. Berger, J. M. Farber. 1997. STRL33, a novel chemokine receptor-like protein, functions as a fusion cofactor for both macrophage-tropic and T cell line-tropic HIV-1. J. Exp. Med. 185:2015.[Abstract/Free Full Text]
  55. Raport, C. J., V. L. Schweickart, D. Chantry, R. L. J. Eddy, T. Shows, R. Godiska, P. W. Gray. 1996. New members of the chemokine receptor gene family. J. Leukocyte Biol. 59:18.[Abstract]



This article has been cited by other articles:


Home page
Am. J. Respir. Crit. Care Med.Home page
A. Prasse, C. Probst, E. Bargagli, G. Zissel, G. B. Toews, K. R. Flaherty, M. Olschewski, P. Rottoli, and J. Muller-Quernheim
Serum CC-Chemokine Ligand 18 Concentration Predicts Outcome in Idiopathic Pulmonary Fibrosis
Am. J. Respir. Crit. Care Med., April 15, 2009; 179(8): 717 - 723.
[Abstract] [Full Text] [PDF]


Home page
J. Leukoc. Biol.Home page
S. Fruchon, M. Poupot, L. Martinet, C.-O. Turrin, J.-P. Majoral, J.-J. Fournie, A.-M. Caminade, and R. Poupot
Anti-inflammatory and immunosuppressive activation of human monocytes by a bioactive dendrimer
J. Leukoc. Biol., March 1, 2009; 85(3): 553 - 562.
[Abstract] [Full Text] [PDF]


Home page
ChestHome page
H.-B. Kim, C.-K. Kim, K. Iijima, T. Kobayashi, and H. Kita
Protein Microarray Analysis in Patients With Asthma: Elevation of the Chemokine PARC/CCL18 in Sputum
Chest, February 1, 2009; 135(2): 295 - 302.
[Abstract] [Full Text] [PDF]


Home page
Proc. Natl. Acad. Sci. USAHome page
M. M. Tiemessen, A. L. Jagger, H. G. Evans, M. J. C. van Herwijnen, S. John, and L. S. Taams
CD4+CD25+Foxp3+ regulatory T cells induce alternative activation of human monocytes/macrophages
PNAS, December 4, 2007; 104(49): 19446 - 19451.
[Abstract] [Full Text] [PDF]


Home page
Ann Rheum DisHome page
A. W T van Lieshout, J. Fransen, M. Flendrie, A. M M Eijsbouts, F. H J van den Hoogen, P. L C M van Riel, and T. R D J Radstake
Circulating levels of the chemokine CCL18 but not CXCL16 are elevated and correlate with disease activity in rheumatoid arthritis
Ann Rheum Dis, October 1, 2007; 66(10): 1334 - 1338.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Pathol.Home page
K. Pochetuhen, I. G. Luzina, V. Lockatell, J. Choi, N. W. Todd, and S. P. Atamas
Complex Regulation of Pulmonary Inflammation and Fibrosis by CCL18
Am. J. Pathol., August 1, 2007; 171(2): 428 - 437.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
H. Novak, A. Muller, N. Harrer, C. Gunther, J. M. Carballido, and M. Woisetschlager
CCL23 Expression Is Induced by IL-4 in a STAT6-Dependent Fashion
J. Immunol., April 1, 2007; 178(7): 4335 - 4341.
[Abstract] [Full Text] [PDF]


Home page
J. Leukoc. Biol.Home page
H. Saidi, G. Magri, C. Carbonneil, N. Nasreddine, M. Requena, and L. Belec
IFN-{gamma}-activated monocytes weakly produce HIV-1 but induce the recruitment of HIV-sensitive T cells and enhance the viral production by these recruited T cells
J. Leukoc. Biol., March 1, 2007; 81(3): 642 - 653.
[Abstract] [Full Text] [PDF]


Home page
J. Leukoc. Biol.Home page
J. P. Edwards, X. Zhang, K. A. Frauwirth, and D. M. Mosser
Biochemical and functional characterization of three activated macrophage populations
J. Leukoc. Biol., December 1, 2006; 80(6): 1298 - 1307.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Cell Physiol.Home page
F. Porcheray, C. Leone, B. Samah, A.-C. Rimaniol, N. Dereuddre-Bosquet, and G. Gras
Glutamate metabolism in HIV-infected macrophages: implications for the CNS
Am J Physiol Cell Physiol, October 1, 2006; 291(4): C618 - C626.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Respir. Cell Mol. Bio.Home page
I. G. Luzina, K. Highsmith, K. Pochetuhen, N. Nacu, J. N. Rao, and S. P. Atamas
PKC{alpha} Mediates CCL18-Stimulated Collagen Production in Pulmonary Fibroblasts
Am. J. Respir. Cell Mol. Biol., September 1, 2006; 35(3): 298 - 305.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
P. d. Nadai, A.-S. Charbonnier, C. Chenivesse, S. Senechal, C. Fournier, J. Gilet, H. Vorng, Y. Chang, P. Gosset, B. Wallaert, et al.
Involvement of CCL18 in Allergic Asthma
J. Immunol., May 15, 2006; 176(10): 6286 - 6293.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Respir. Crit. Care Med.Home page
A. Prasse, D. V. Pechkovsky, G. B. Toews, W. Jungraithmayr, F. Kollert, T. Goldmann, E. Vollmer, J. Muller-Quernheim, and G. Zissel
A Vicious Circle of Alveolar Macrophages and Fibroblasts Perpetuates Pulmonary Fibrosis via CCL18
Am. J. Respir. Crit. Care Med., April 1, 2006; 173(7): 781 - 792.
[Abstract] [Full Text] [PDF]


Home page
CVIHome page
B. Desnues, M. Ihrig, D. Raoult, and J.-L. Mege
Whipple's Disease: a Macrophage Disease
Clin. Vaccine Immunol., February 1, 2006; 13(2): 170 - 178.
[Full Text] [PDF]


Home page
J. Leukoc. Biol.Home page
F. A. W. Verreck, T. de Boer, D. M. L. Langenberg, L. van der Zanden, and T. H. M. Ottenhoff
Phenotypic and functional profiling of human proinflammatory type-1 and anti-inflammatory type-2 macrophages in response to microbial antigens and IFN-{gamma}- and CD40L-mediated costimulation
J. Leukoc. Biol., February 1, 2006; 79(2): 285 - 293.
[Abstract] [Full Text] [PDF]


Home page
J. Leukoc. Biol.Home page
M. Kulka, N. Fukuishi, M. Rottem, Y. A. Mekori, and D. D. Metcalfe
Mast cells, which interact with Escherichia coli, up-regulate genes associated with innate immunity and become less responsive to Fc{epsilon}RI-mediated activation
J. Leukoc. Biol., February 1, 2006; 79(2): 339 - 350.
[Abstract] [Full Text] [PDF]


Home page
BrainHome page
L. A. Boven, M. Van Meurs, M. Van Zwam, A. Wierenga-Wolf, R. Q. Hintzen, R. G. Boot, J. M. Aerts, S. Amor, E. E. Nieuwenhuis, and J. D. Laman
Myelin-laden macrophages are anti-inflammatory, consistent with foam cells in multiple sclerosis
Brain, February 1, 2006; 129(2): 517 - 526.
[Abstract] [Full Text] [PDF]


Home page
J. Leukoc. Biol.Home page
E. Schutyser, A. Richmond, and J. Van Damme
Involvement of CC chemokine ligand 18 (CCL18) in normal and pathological processes
J. Leukoc. Biol., July 1, 2005; 78(1): 14 - 26.
[Abstract] [Full Text] [PDF]


Home page
J. Leukoc. Biol.Home page
R. van der Voort, M. Kramer, E. Lindhout, R. Torensma, D. Eleveld, A. W. T. van Lieshout, M. Looman, T. Ruers, T. R. D. J. Radstake, C. G. Figdor, et al.
Novel monoclonal antibodies detect elevated levels of the chemokine CCL18/DC-CK1 in serum and body fluids in pathological conditions
J. Leukoc. Biol., May 1, 2005; 77(5): 739 - 747.
[Abstract] [Full Text] [PDF]


Home page
J. Leukoc. Biol.Home page
G. Raes, L. Brys, B. K. Dahal, J. Brandt, J. Grooten, F. Brombacher, G. Vanham, W. Noel, P. Bogaert, T. Boonefaes, et al.
Macrophage galactose-type C-type lectins as novel markers for alternatively activated macrophages elicited by parasitic infections and allergic airway inflammation
J. Leukoc. Biol., March 1, 2005; 77(3): 321 - 327.
[Abstract] [Full Text] [PDF]


Home page
J. Leukoc. Biol.Home page
D. Eleveld-Trancikova, V. Triantis, V. Moulin, M. W. G. Looman, M. Wijers, J. A. M. Fransen, A. A. C. Lemckert, M. J. E. Havenga, C. G. Figdor, R. A. J. Janssen, et al.
The dendritic cell-derived protein DC-STAMP is highly conserved and localizes to the endoplasmic reticulum
J. Leukoc. Biol., March 1, 2005; 77(3): 337 - 343.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
C. Gunther, C. Bello-Fernandez, T. Kopp, J. Kund, N. Carballido-Perrig, S. Hinteregger, S. Fassl, C. Schwarzler, G. Lametschwandtner, G. Stingl, et al.
CCL18 Is Expressed in Atopic Dermatitis and Mediates Skin Homing of Human Memory T Cells
J. Immunol., February 1, 2005; 174(3): 1723 - 1728.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
A. Puig-Kroger, D. Serrano-Gomez, E. Caparros, A. Dominguez-Soto, M. Relloso, M. Colmenares, L. Martinez-Munoz, N. Longo, N. Sanchez-Sanchez, M. Rincon, et al.
Regulated Expression of the Pathogen Receptor Dendritic Cell-specific Intercellular Adhesion Molecule 3 (ICAM-3)-grabbing Nonintegrin in THP-1 Human Leukemic Cells, Monocytes, and Macrophages
J. Biol. Chem., June 11, 2004; 279(24): 25680 - 25688.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
R. G. Boot, M. Verhoek, M. de Fost, C. E. M. Hollak, M. Maas, B. Bleijlevens, M. J. van Breemen, M. van Meurs, L. A. Boven, J. D. Laman, et al.
Marked elevation of the chemokine CCL18/PARC in Gaucher disease: a novel surrogate marker for assessing therapeutic intervention
Blood, January 1, 2004; 103(1): 33 - 39.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Respir. Cell Mol. Bio.Home page
S. P. Atamas, I. G. Luzina, J. Choi, N. Tsymbalyuk, N. H. Carbonetti, I. S. Singh, M. Trojanowska, S. A. Jimenez, and B. White
Pulmonary and Activation-Regulated Chemokine Stimulates Collagen Production in Lung Fibroblasts
Am. J. Respir. Cell Mol. Biol., December 1, 2003; 29(6): 743 - 749.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Pathol.Home page
S. Struyf, E. Schutyser, M. Gouwy, K. Gijsbers, P. Proost, Y. Benoit, G. Opdenakker, J. Van Damme, and G. Laureys
PARC/CCL18 Is a Plasma CC Chemokine with Increased Levels in Childhood Acute Lymphoblastic Leukemia
Am. J. Pathol., November 1, 2003; 163(5): 2065 - 2075.
[Abstract] [Full Text] [PDF]


Home page
DiabetesHome page
M. Westerholm-Ormio, O. Vaarala, P. Pihkala, J. Ilonen, and E. Savilahti
Immunologic Activity in the Small Intestinal Mucosa of Pediatric Patients With Type 1 Diabetes
Diabetes, September 1, 2003; 52(9): 2287 - 2295.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Pathol.Home page
A. K. McNally and J. M. Anderson
Foreign Body-Type Multinucleated Giant Cell Formation Is Potently Induced by {alpha}-Tocopherol and Prevented by the Diacylglycerol Kinase Inhibitor R59022
Am. J. Pathol., September 1, 2003; 163(3): 1147 - 1156.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Respir. Crit. Care Med.Home page
S. Senechal, P. de Nadai, N. Ralainirina, A. Scherpereel, H. Vorng, P. Lassalle, A.-B. Tonnel, A. Tsicopoulos, and B. Wallaert
Effect of Diesel on Chemokines and Chemokine Receptors Involved in Helper T Cell Type 1/Type 2 Recruitment in Patients with Asthma
Am. J. Respir. Crit. Care Med., July 15, 2003; 168(2): 215 - 221.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
M. Vulcano, S. Struyf, P. Scapini, M. Cassatella, S. Bernasconi, R. Bonecchi, A. Calleri, G. Penna, L. Adorini, W. Luini, et al.
Unique Regulation of CCL18 Production by Maturing Dendritic Cells
J. Immunol., April 1, 2003; 170(7): 3843 - 3849.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Respir. Cell Mol. Bio.Home page
H. Garn, A. Siese, S. Stumpf, P. J. Barth, B. Muller, and D. Gemsa
Shift Toward an Alternatively Activated Macrophage Response in Lungs of NO2-Exposed Rats
Am. J. Respir. Cell Mol. Biol., March 1, 2003; 28(3): 386 - 396.
[Abstract] [Full Text] [PDF]


Home page
J. Leukoc. Biol.Home page
D. M. Mosser
The many faces of macrophage activation
J. Leukoc. Biol., February 1, 2003; 73(2): 209 - 212.
[Full Text] [PDF]


Home page
Br. J. Ophthalmol.Home page
A M A. El-Asrar, S Struyf, S A Al-Kharashi, L Missotten, J Van Damme, and K Geboes
Expression of T lymphocyte chemoattractants and activation markers in vernal keratoconjunctivitis
Br. J. Ophthalmol., October 1, 2002; 86(10): 1175 - 1180.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
E. Schutyser, S. Struyf, P. Proost, G. Opdenakker, G. Laureys, B. Verhasselt, L. Peperstraete, I. Van de Putte, A. Saccani, P. Allavena, et al.
Identification of Biologically Active Chemokine Isoforms from Ascitic Fluid and Elevated Levels of CCL18/Pulmonary and Activation-regulated Chemokine in Ovarian Carcinoma
J. Biol. Chem., June 28, 2002; 277(27): 24584 - 24593.
[Abstract] [Full Text] [PDF]


Home page
Int ImmunolHome page
Y. Murata, A. Yamashita, T. Saito, K. Sugamura, and J. Hamuro
The conversion of redox status of peritoneal macrophages during pathological progression of spontaneous inflammatory bowel disease in Janus family tyrosine kinase 3-/- and IL-2 receptor {gamma}-/- mice
Int. Immunol., June 1, 2002; 14(6): 627 - 636.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Respir. Cell Mol. Bio.Home page
I. G. Luzina, S. P. Atamas, R. Wise, F. M. Wigley, H. Q. Xiao, and B. White
Gene Expression in Bronchoalveolar Lavage Cells from Scleroderma Patients
Am. J. Respir. Cell Mol. Biol., May 1, 2002; 26(5): 549 - 557.
[Abstract] [Full Text] [PDF]


Home page
J. Leukoc. Biol.Home page
G. Raes, P. De Baetselier, W. Noel, A. Beschin, F. Brombacher, and G. Hassanzadeh Gh.
Differential expression of FIZZ1 and Ym1 in alternatively versus classically activated macrophages
J. Leukoc. Biol., April 1, 2002; 71(4): 597 - 602.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
D. Tzachanis, A. Berezovskaya, L. M. Nadler, and V. A. Boussiotis
Blockade of B7/CD28 in mixed lymphocyte reaction cultures results in the generation of alternatively activated macrophages, which suppress T-cell responses
Blood, February 15, 2002; 99(4): 1465 - 1473.
[Abstract] [Full Text] [PDF]


Home page
J. Leukoc. Biol.Home page
A. Pardo, K. M. Smith, J. Abrams, R. Coffman, M. Bustos, T. K. McClanahan, J. Grein, E. E. Murphy, A. Zlotnik, and M. Selman
CCL18/DC-CK-1/PARC up-regulation in hypersensitivity pneumonitis
J. Leukoc. Biol., October 1, 2001; 70(4): 610 - 616.
[Abstract] [Full Text] [PDF]


Home page
J. Leukoc. Biol.Home page
B. Namangala, P. De Baetselier, W. Noël, L. Brys, and A. Beschin
Alternative versus classical macrophage activation during experimental African trypanosomosis
J. Leukoc. Biol., March 1, 2001; 69(3): 387 - 396.
[Abstract] [Full Text]


Home page
J. Immunol.Home page
T. Jinquan, C. Jing, H. H. Jacobi, C. M. Reimert, A. Millner, S. Quan, J. B. Hansen, S. Dissing, H.-J. Malling, P. S. Skov, et al.
CXCR3 Expression and Activation of Eosinophils: Role of IFN-{gamma}-Inducible Protein-10 and Monokine Induced by IFN-{gamma}
J. Immunol., August 1, 2000; 165(3): 1548 - 1556.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
C. Chizzolini, R. Rezzonico, C. De Luca, D. Burger, and J.-M. Dayer
Th2 Cell Membrane Factors in Association with IL-4 Enhance Matrix Metalloproteinase-1 (MMP-1) While Decreasing MMP-9 Production by Granulocyte-Macrophage Colony-Stimulating Factor-Differentiated Human Monocytes
J. Immunol., June 1, 2000; 164(11): 5952 - 5960.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
R. Bonecchi, F. Facchetti, S. Dusi, W. Luini, D. Lissandrini, M. Simmelink, M. Locati, S. Bernasconi, P. Allavena, E. Brandt, et al.
Induction of Functional IL-8 Receptors by IL-4 and IL-13 in Human Monocytes
J. Immunol., April 1, 2000; 164(7): 3862 - 3869.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
R. J. B. Nibbs, T. W. Salcedo, J. D. M. Campbell, X.-T. Yao, Y. Li, B. Nardelli, H. S. Olsen, T. S. Morris, A. E. I. Proudfoot, V. P. Patel, et al.
C-C Chemokine Receptor 3 Antagonism by the {beta}-Chemokine Macrophage Inflammatory Protein 4, a Property Strongly Enhanced by an Amino-Terminal Alanine-Methionine Swap
J. Immunol., February 1, 2000; 164(3): 1488 - 1497.
[Abstract] [Full Text] [PDF]


Home page
ScienceHome page
J. G. Cyster
Chemokines and Cell Migration in Secondary Lymphoid Organs
Science, December 10, 1999; 286(5447): 2098 - 2102.
[Abstract] [Full Text]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kodelja, V.
Right arrow Articles by Goerdt, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kodelja, V.
Right arrow Articles by Goerdt, S.
Right arrowPubmed/NCBI databases
*Gene*GEO Profiles
*HomoloGene*OMIM
*Protein*UniGene
*Substance via MeSH


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS