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The Journal of Immunology, 1998, 161: 3431-3437.
Copyright © 1998 by The American Association of Immunologists

Mechanisms of Hyaluronan-Induced Up-Regulation of ICAM-1 and VCAM-1 Expression by Murine Kidney Tubular Epithelial Cells: Hyaluronan Triggers Cell Adhesion Molecule Expression Through a Mechanism Involving Activation of Nuclear Factor-{kappa}B and Activating Protein-11

Beat Oertli2,*, Beatrice Beck-Schimmer*,{dagger}, Xiaohong Fan3,* and Rudolf P. Wüthrich4,*,{ddagger}

* Physiological Institute, University of Zurich-Irchel, {dagger} Department of Anesthesiology, and {ddagger} Division of Nephrology, Department of Medicine, University Hospital, Zurich, Switzerland


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The matrix constituent hyaluronan (HA) markedly accumulates in inflammatory lesions. To gain insight into the biologic significance of this phenomenon we tested the hypothesis that HA could regulate cell adhesion molecule expression in epithelial cells. Using a clonal line of mouse cortical tubular (MCT) cells we found that fragmented intermediate m.w., but not high m.w., HA markedly increased ICAM-1 and VCAM-1 steady state mRNA and cell surface expression. Up-regulation of ICAM-1 and VCAM-1 mRNA by HA was preceded by a marked increase in NF-{kappa}B and activating protein-1 DNA binding activity in MCT cells. Transcript levels for the NF-{kappa}B inhibitor I{kappa}B{alpha} and for the activating protein-1 constituents c-jun and c-fos also increased in response to HA stimulation of tubular cells. Inhibition of NF-{kappa}B with the serine protease inhibitor N-tosyl-L-phenylalanine chloromethyl ketone blocked the HA-mediated expression of ICAM-1 and VCAM-1 in MCT cells. In conclusion, HA displays proinflammatory effects by directly stimulating the expression of the cell adhesion molecules ICAM-1 and VCAM-1 in mouse kidney epithelial cells. HA could thereby play an important role in leukocyte adhesion in inflammatory renal diseases.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Hyaluronan (HA)5 is an important glycosaminoglycan component of the extracellular matrix (1). HA is composed of endless linear repeats of the disaccharide unit (D-glucuronic acid (ß1->3) N-acetyl-D-glucosamine (ß1->4)) and occurs in its native form as a high molecular mass molecule, usually in the range of 1 to 6 x 106 Da (2). Under normal conditions, HA has a restricted tissue distribution and is mainly found in connective tissues such as cartilage and joints. It is well known, however, that HA accumulates at sites of immune-mediated tissue injury. In the interstitium of the kidney cortex, for example, marked HA deposition occurs in inflammatory renal diseases, including crescentic glomerulonephritis (3), tubulointerstitial injury (4, 5), and allograft rejection (6, 7).

The functional significance of HA accumulation in immune-mediated tissue injury has not been elucidated. Because of its structural and physico-chemical characteristics, HA has long been considered an inert substance whose chief function is to regulate the hydration of the extracellular matrix (2). Recent evidence suggests, however, that HA displays a broader and more complex range of functions. Thus, HA fragments can display proinflammatory activities, inducing, for example, the release of chemokines by macrophages (8). The interaction of HA with the cell surface receptor CD44 could thereby lead to the recruitment of leukocytes and promote tissue injury in inflammatory processes (9).

The purpose of the present investigation was to study the inter-relationship between HA accumulation and the expression of adhesion molecules. We therefore examined the effects of HA and its constituents on ICAM-1 and VCAM-1 expression by cultured kidney tubular epithelial cells. We found that various HA preparations substantially enhanced the expression of both ICAM-1 and VCAM-1 on tubular cells. We also show that HA markedly increased sequence-specific DNA binding of the transcription factors NF-{kappa}B and AP-1 in these cells, preceding the augmented expression of the adhesion molecules. We have thus identified a proinflammatory mechanism by which HA potently up-regulates ICAM-1 and VCAM-1 expression on kidney epithelium. Our results suggest that HA could participate by this mechanism in the recruitment and adhesion of leukocytes at sites of immune-mediated renal injury.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Reagents

Tissue culture reagents were obtained from Life Technologies (Gaithersburg, MD), and chemicals were obtained from Fluka (Buchs, Switzerland) or Sigma (St. Louis, MO). The high m.w. HA preparations Artzal and Healon were provided by Luitpold (Wien, Austria) and Pharmacia (Uppsala, Sweden), respectively. HA hexamer fragments were donated by Dr. Roland Buelow at SangStat (Menlo Park, CA). Hyaluronidase type V derived from sheep testes (Sigma) was used to generate Healon fragments according to the method of Knudson (10). Agarose gel electrophoresis was performed to check the sizes of the various HA preparations as described by Lee (11), comparing migration distances with m.w. standards, which were donated by Dr. Ove Wik (Pharmacia). The HA preparations were checked for LPS contamination using the Limulus polyphemus amebocyte assay (E-TOXATE kit, Sigma). Furthermore, selected experiments were performed in the presence of the LPS inhibitor polymyxin B (Calbiochem, La Jolla, CA).

Antibodies

Hybridomas producing the rat mAb for murine ICAM-1 (YN1/1.7.4, IgG2b) and VCAM-1 (M/K-2.7, IgG1) were obtained from the American Type Culture Collection (Rockville, MD). mAbs were purified from culture supernatants using protein G-Sepharose CL-6B columns. The mouse anti-rat ICAM-1 mAb 1A29 was purchased from Serotec (Oxford, U.K.).

Primers

Specific primers located on separate exons were designed to assess gene expression of adhesion molecules and nuclear factors by RT-PCR analysis. The primer sequences for ICAM-1 were 5'-CCT GTT TCC TGC CTC TGA AG-3' (upstream) and 5'-GTC TGC TGA GAC CCC TCT TG-3' (downstream), yielding a 528-bp fragment (12). Primer sequences for I{kappa}B{alpha} (autoregulatory component of NF-{kappa}B) were 5'-AGG ACG AGG AGT ACG AGC AA-3' (upstream) and 5'-TAG GGC AGC TCA TCC TCT GT-3' (downstream), yielding a 793-bp fragment (13). Sequences for the AP-1 constituent c-jun were 5'-ATG GGC ACA TCA CCA CTA CA-3' (upstream) and 5'-TTT TGC GCT TTC AAG GTT TT-3' (downstream), yielding a 628-bp fragment (14); sequences for the AP-1 constituent c-fos were 5'-AGA ATC CGA AGG GAA CGG AA-3' (upstream) and 5'-ATG ATG CCG GAA ACA AGA AG-3' (downstream), yielding a 412-bp fragment (15). For semiquantitative comparison, RT-PCR was also performed with primers for the housekeeping gene GAPDH as previously described (16).

cDNAs

The murine ICAM-1 cDNA was provided by Dr. A. Brian (12). A 1.3-kb EcoRI/PstI fragment was used to probe Southern blots. A mouse VCAM-1 cDNA was used for Northern blotting (2-kb NotI fragment given by Dr. R. Lobb) (17). A cDNA encoding murine c-jun (0.95-kb EcoRI/BglI fragment obtained from American Type Culture Collection) (14) and a 0.65-kb rat c-fos SalI/NcoI cDNA fragment were used for probing Southern blots (18). An 850-bp PstI ß-actin probe was used to reprobe Northern blots.

Cell lines and cell culture

The SV40-transformed mouse cortical tubule (MCT) cell line was obtained from Dr. T. Haverty (19). Murine 3T3 fibroblasts and rat lung epithelial L2 cells were obtained from American Type Culture Collection. Mouse endothelial cells (Eoma) were obtained from Dr. R. Auerbach (Madison, WI) (20). All cell lines were grown in DMEM supplemented with 10% FBS, 10 mM HEPES, 100 U/ml penicillin, and 100 µg/ml streptomycin.

Direct cell ELISA

Cell adhesion molecule expression in response to various HA preparations was analyzed on adherent cells by direct cell ELISA in 96-well plates. After growing to confluence, cells were kept in DMEM containing 1% FBS for 24 h and were then stimulated with HA in DMEM containing 1% FBS. Cells were fixed with 3% paraformaldehyde and washed with PBS. Cells were then incubated with primary anti-ICAM-1 or anti-VCAM-1 Ab in PBS containing 5% FCS for 1 h at 4°C. Negative controls included omission of primary mAb or use of irrelevant mAb. Cells were washed three times and incubated with peroxidase-conjugated sheep anti-rat IgG Fab (Boehringer Mannheim, Mannheim, Germany) at 1/500 in PBS/5% FCS for 1 h at 4°C. Cells were washed again twice and were incubated with substrate (400 µg/ml o-phenylenediamine dihydrochloride in 50 mM phosphate-citrate buffer containing 400 µg/ml urea hydrogen peroxide). After 10 min, 20% (v/v) of concentrated sulfuric acid was added to stop the reaction. The OD in the supernatant was read at 492 nm on a Labsystems Multiskan RC ELISA reader. {Delta} ODs were calculated by subtracting the ODs of cells incubated with irrelevant Ab from cells incubated with anti-ICAM-1 or anti-VCAM-1 mAb. The mean ± SE were then calculated (n = 3). Experiments were performed three to five times.

RNA extraction and RT-PCR analysis

MCT cells were stimulated with HA for various time periods. Total RNA from cultured MCT cells was then extracted as previously described (16). Total RNA from MCT cells was analyzed by RT-PCR using a kit (Perkin-Elmer, Branchburg, NJ). Random hexanucleotide primers and murine leukemia virus RT were used for cDNA synthesis. The 20-µl reaction mixture contained 1 µg of total RNA, 1 mM dNTP, 2.5 µM random hexamers, 5 mM MgCl2, and 2.5 U/µl RT. RT was performed at 42°C for 45 min. RT was then inactivated at 95°C for 5 min. PCR reactions were performed in 100 µl containing 0.15 µM of each primer, 2.5 U/100 µl of AmpliTaq DNA polymerase (Perkin Elmer), 2 mM MgCl2, and 0.2 mM dNTPs. Cycling parameters were as follows: 94°C for 40 s, 58°C for 120 s, and 72°C for 150 s over 20 to 40 cycles, followed by 72°C for 7 min using a GeneAmp PCR System 2400 thermocycler (Perkin-Elmer). RT-PCR products were resolved on 1% agarose gels and stained with ethidium bromide. Gels were then photographed with UV light. To ensure specificity of the RT-PCR reactions we also performed Southern blot analysis. RT-PCR products were resolved on 1% agarose gels in TBE buffer, and gels were denatured, neutralized, and blotted onto nylon membranes. Membranes were then hybridized with [32P]dCTP-labeled cDNA probes.

Northern blotting

The expression of adhesion molecules was also assessed by Northern blotting. Total RNA (25 µg) was electrophoresed on 1.5% agarose gels in 20 mM MOPS buffer and blotted onto nylon membranes. Membranes were hybridized overnight at 42°C with the 32P-labeled cDNA probe in 50% formamide, 6x SSC, 5x Denhardt’s solution, 100 µg/ml sheared denatured salmon sperm DNA, and 1% SDS. Blots were then washed under stringent conditions (final wash in 0.1x SSC/1% SDS at 62°C) and were exposed to Kodak XAR-5 film (Eastman Kodak, Rochester, NY). Blots were also rehybridized with a [32P]dCTP-labeled ß-actin probe to control for equal RNA loading.

Nuclear extracts

MCT cells were grown to confluence in six-well plates. Cells were then stimulated with HA (100 µg/ml) or TNF-{alpha} (100 ng/ml) for 1, 2.5, 4, or 6 h; rapidly detached with trypsin-EDTA; and washed with Tris-buffered saline. Nuclear extracts were then prepared according to the method of Schreiber et al. (21). Cells (1–2 x 106) were resuspended in 400 µl of ice-cold buffer A (10 mM HEPES (pH 7.9), 10 mM KCl, 0.1 mM EDTA, 0.1 mM EGTA, 1 mM DTT, and 0.5 mM PMSF) and were then lysed with 25 µl of 10% Nonidet P-40. After centrifugation, the nuclear pellets were resuspended in ice-cold buffer C (20 mM HEPES (pH 7.9), 0.4 M NaCl, 1 mM EDTA, 1 mM EGTA, 1 mM DTT, and 1 mM PMSF) and rocked vigorously at 4°C. The extracts were then centrifuged for 5 min at 4°C in a microfuge, and the supernatants were frozen at -70°C until use. The protein concentration of the extracts was determined using the Bradford method (Bio-Rad, Hercules, CA).

Electrophoretic mobility shift assays

Nuclear extracts were analyzed for the presence of NF-{kappa}B and AP-1 using double-stranded oligonucleotides containing the specific DNA binding domains for NF-{kappa}B (5'-AGT TGA GGG GAC TTT CCC AGG C-3', 22-mer) or AP-1 (5'-CGC TTG ATG AGT CAG CCG GAA-3', 21-mer; consensus sites are underlined; Promega, Madison, WI) (22, 23). Oligonucleotides were end labeled with [{gamma}-32P]ATP using T4 polynucleotide kinase. Extracts were then incubated for 20 min at room temperature with labeled NF-{kappa}B or AP-1 oligonucleotides in binding buffer (50 µg/ml poly(dI-dC), 4% glycerol, 1 mM MgCl2, 0.5 mM EDTA, 0.5 mM DTT, 50 mM NaCl, and 10 mM Tris-HCl, pH 7.5) in the presence or the absence of 1.75 pmol (~50-fold excess) of unlabeled competitor (NF-{kappa}B or AP-1) or noncompetitor oligonucleotides (AP-2). DNA-protein complexes were resolved on nondenaturing 4% acrylamide gels in 0.5x TBE buffer at 100 V. Gels were then dried and exposed to Kodak XAR-5 film.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
HA induces ICAM-1 and VCAM-1 expression in MCT cells

HA preparations from various sources were screened for their ability to up-regulate ICAM-1 and VCAM-1 expression in MCT cells. Table IGo summarizes the findings and demonstrates that several HA preparations markedly up-regulated both ICAM-1 and VCAM-1 cell surface expression. Intermediate m.w. HA preparations (from human umbilical cord and from bovine trachea) were found to stimulate ICAM-1 and VCAM-1 most effectively, whereas chondroitin sulfate (of comparable m.w.) did not change ICAM-1 or VCAM-1 expression. The low m.w. forms of HA and its monosaccharide constituents (D-glucuronic acid and N-acetyl-D-glucosamine, as well as the HA disaccharide and an HA hexamer preparation consisting of three disaccharide units) did not induce detectable changes in ICAM-1 and VCAM-1 cell surface expression. Gel filtration-purified high m.w. HA preparations such as Healon (Pharmacia) and Artzal (Luitpold) also did not significantly up-regulate ICAM-1 and VCAM-1.


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Table I. Hyaluronan preparations used to study ICAM-1 and VCAM-1 expression by MCT cells1

 
We then investigated whether partial enzymatic digestion of high m.w. Healon to generate intermediate m.w. HA fragments was capable of inducing adhesion molecule-stimulating activity in MCT cells. Table IIGo demonstrates that when Healon was incubated with hyaluronidase for 5 or 30 min such a stimulatory activity could be induced. The stimulatory effect of hyaluronidase-digested Healon was slightly less than the effect seen with umbilical cord-derived HA (Fluka). Monitoring the size of the digested Healon on agarose gels revealed that the size had decreased from 4 x 106 Da to approximately 1.5 x 105 Da (not shown). Collectively, these data and the data presented in Table IGo demonstrate that MCT cells are responsive to intermediate molecular mass HA (~80,000–600,000 Da) but not to high molecular mass HA (>600,000 Da) or low molecular mass HA (<80,000 Da).


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Table II. Effect of partial hyaluronidase digestion on ICAM-1 and VCAM-1 expression by MCT cells1

 
All the HA preparations were tested for the presence of LPS to exclude significant contamination and were found to contain <0.1 EU/ml (<10 pg/ml) endotoxin at the maximal concentration of 1 mg/ml HA used in the experiments. To test whether small amounts might influence the expression of ICAM-1 and VCAM-1, we performed dose-response experiments with exogenous LPS and found that quantities <1 ng/ml LPS did not up-regulate ICAM-1 and VCAM-1 on MCT cells (not shown). We also tested the stimulatory effect of HA in the presence of the LPS inhibitor polymyxin B (10 µg/ml; Table IIIGo). Whereas the stimulation of ICAM-1 and VCAM-1 with LPS was completely abrogated with polymyxin B, the stimulation in response to HA was only partially reduced. The slight inhibitory effect on HA-stimulated adhesion molecule expression could be due to its known inhibitory effect on protein kinase C (24). Together these results demonstrate that the adhesion molecule-stimulating effects of HA are not mediated by contaminating LPS.


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Table III. Effect of LPS inhibitor polymyxin B on HA- and LPS-stimulated ICAM-1 and VCAM-1 expression by MCT cells1

 
The stimulatory HA preparations were derived from various species, suggesting that the effect was also not mediated by species-specific contaminating proteins, such as TNF-{alpha} or IL-1. Furthermore, boiling of the HA preparations did not abolish their stimulatory effect on ICAM-1 and VCAM-1 expression (not shown), excluding possible contamination by known stimulatory proteins.

We then examined the time course and dose response of HA-stimulated ICAM-1 and VCAM-1 expression on MCT cells by direct cell ELISA. Figure 1Go shows that detectable increases in ICAM-1 and VCAM-1 occurred with HA concentrations between 1 and 10 µg/ml, reaching a maximum around 500 µg/ml. Detectable increases of cell surface ICAM-1 and VCAM-1 were seen within 3 h of stimulation, peaking around 18 h and decreasing again thereafter.



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FIGURE 1. Dose response and time course of HA-induced ICAM-1 and VCAM-1 expression by MCT cells, assessed by direct cell ELISA. A, Dose response for ICAM-1 expression after 18-h stimulation with HA (Fluka; 0.1–1000 µg/ml). B, Time course for ICAM-1 expression with HA (100 µg/ml). C, Dose response for VCAM-1 expression after 18-h stimulation with HA (Fluka; 0.1–1000 µg/ml). D, Time course for VCAM-1 expression with HA (100 µg/ml). Data are the mean ± SE from one of four typical experiments.

 
To determine whether the enhanced cell surface expression of ICAM-1 and VCAM-1 involved transcription and translation we tested the effects of ACTD and CHX. ACTD and CHX completely abrogated the HA-stimulated expression of cell surface ICAM-1 and VCAM-1, suggesting that both transcription and translation are required for the up-regulation of these adhesion molecules in MCT cells (data not shown).

To examine changes in steady state mRNA levels encoding for ICAM-1 and VCAM-1 in response to HA we then isolated RNA from MCT cells after stimulation with HA and performed RT-PCR and Southern blot, or Northern blot analysis. Figure 2Go demonstrates that HA induced a progressive increase in both ICAM-1 and VCAM-1 mRNA transcript levels in MCT cells. The increase was detectable within 1 h and increased further to peak after 3 h. The increase in transcript levels seen with HA was comparable to the increase seen with TNF-{alpha} stimulation of MCT cells.



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FIGURE 2. A, Southern blot analysis for HA-induced ICAM-1; B, Northern blot analysis for VCAM-1 mRNA expression in MCT cells. After stimulation with HA (Fluka; 100 µg/ml) or TNF-{alpha} (20 ng/ml) for various time periods, RNA was extracted and analyzed as described in Materials and Methods. Transcript levels for the housekeeping genes GAPDH (A) and ß-actin (B) are shown for comparison.

 
Effect of HA on ICAM-1 and VCAM-1 expression in additional cell types

We also tested mouse fibroblasts (3T3 cells) and endothelial cells (Eoma) and rat lung epithelial cells (L2) for up-regulation of ICAM-1 or VCAM-1 in response to HA. Table IVGo demonstrates that human umbilical cord-derived HA (Fluka) at concentrations between 10 and 1000 µg/ml did not stimulate ICAM-1 and VCAM-1 expression on 3T3 cells. However, HA dose dependently stimulated both adhesion molecules on mouse Eoma cells and enhanced ICAM-1 expression in the rat lung epithelial cell line L2. These results demonstrate that a response to HA is seen in additional cell lines but that certain cell lines, such as 3T3, are not responsive.


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Table IV. Effect of HA on ICAM-1 and VCAM-1 expression by 3T3 fibroblasts, Eoma endothelial cells, and rat L2 lung epithelial cells1

 
Signaling pathways involved in HA-induced ICAM-1 and VCAM-1 expression

It is known that the expression of adhesion molecules such as ICAM-1 and VCAM-1 involves sequence-specific binding of cis-acting transcription factors, particularly NF-{kappa}B and AP-1 (c-jun/c-fos heterodimer) (25, 26). We therefore sought to determine whether these nuclear transcription factors were participating in HA-mediated up-regulation of ICAM-1 and VCAM-1. Nuclear extracts were prepared from HA- and TNF-{alpha}-treated MCT cells and were tested for gel retardation in electromobility shift assays. Figure 3GoA demonstrates that some NF-{kappa}B binding activity was constitutively present in MCT cells. Upon exposure to HA, NF-{kappa}B binding was markedly up-regulated within 1 h in these cells. The binding of NF-{kappa}B was specific and could be blocked with unlabeled competing NF-{kappa}B oligonucleotide, but not with the noncompeting AP-2 oligonucleotide (Fig. 3GoB). Up-regulation of NF-{kappa}B was seen with several intermediate m.w. HA preparations, including HA derived from bovine trachea, human umbilical cord, and rooster comb, but not with high m.w. Healon (Fig. 5Go, lane 2) and also not with the low m.w. HA hexamer preparation (data not shown).



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FIGURE 3. Gel mobility shift assay for NF-{kappa}B and AP-1 in nuclear extracts from MCT cells. A, NF-{kappa}B is markedly up-regulated in response to HA treatment (100 µg/ml; Fluka) for 1 to 6 h and also in response to TNF-{alpha} (100 ng/ml). B, The NF-{kappa}B binding activity is specifically inhibited with cold NF-{kappa}B (lanes 3 and 7), but not with cold AP-2 oligonucleotide (lanes 4 and 8), in nuclear extracts derived from unstimulated (lanes 1–4) and 1-h HA-stimulated (lanes 5–8) MCT cells. C, HA also up-regulates AP-1 binding activity in MCT cells. Lane 1, Negative control; lane 2, unstimulated cells display weak AP-1 binding activity; lane 3, HA for 2.5 h (100 µg/ml; Fluka); lane 4, HA for 2.5 h (Sigma, from bovine trachea, 100 µg/ml; both HAs increase AP-1 binding activity). D, The AP-1 binding activity in HA-stimulated extracts (lanes 1–4) is specifically inhibited with cold AP-1 (lane 3) but not with cold AP-2 oligonucleotide (lane 4). Data are from one of three typical experiments.

 


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FIGURE 5. Gel shift assay demonstrating that the NF-{kappa}B blocker TPCK (25 µM) inhibits the HA-induced up-regulation of NF-{kappa}B DNA binding. MCT cells were preincubated with TPCK for 60 min and were then stimulated for 60 min with intermediate m.w. HA (100 µg/ml). Also shown is the lack of an effect on NF-{kappa}B activity of the high m.w. HA preparation Healon (lane 2).

 
The AP-1 transcription factor was also present constitutively in untreated MCT cells and increased in response to HA (Fig. 3GoC). Binding activity could also be blocked with unlabeled cold oligonucleotide but not with the unlabeled noncompeting AP-2 oligonucleotide (Fig. 3GoD).

To further examine the involvement of NF-{kappa}B and AP-1 in HA-mediated signaling we examined the mRNA levels for I{kappa}B{alpha} (an NF-{kappa}B inhibitor, which increases in response to NF-{kappa}B activation) and also for the AP-1 constituents c-jun and c-fos after stimulation with HA. Figure 4Go demonstrates that I{kappa}B{alpha} mRNA increased within 1 h of HA treatment and peaked at 1.5 h in MCT cells. Transcript levels for the AP-1 constituents c-jun and c-fos also increased within 60 min in response to HA treatment. These results confirm that both NF-{kappa}B and AP-1 activities are induced in response to HA and suggest that these transcription factors could participate in the regulation of adhesion molecule expression in MCT cells.



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FIGURE 4. mRNA analysis for I{kappa}B{alpha}, c-jun, and c-fos in response to HA. MCT cells were stimulated with HA (Fluka; 100 µg/ml) for the indicated time period, and RNA was extracted and subjected to RT-PCR. I{kappa}B{alpha} transcripts peak after 1.5 h (ethidium bromide-stained gel, reverse image). c-jun and c-fos mRNA transcripts are also enhanced after 1-h stimulation with HA (RT-PCR and Southern blot analysis). An ethidium bromide-stained gel with the RT-PCR products for the housekeeping gene GAPDH is included at the bottom (reverse image). Data are representative of two typical experiments.

 
To consolidate the importance of NF-{kappa}B in HA-mediated adhesion molecule expression we also tested the effect of the serine protease inhibitor TPCK, a known blocker of NF-{kappa}B (27, 28). Table VGo demonstrates that TPCK dose dependently inhibited the cell surface expression of ICAM-1 and VCAM-1 in MCT cells. Figure 5Go shows that TPCK also inhibited the HA-stimulated up-regulation of NF-{kappa}B in MCT cells. These data demonstrate that TPCK effectively suppresses NF-{kappa}B activation and adhesion molecule expression, suggesting that NF-{kappa}B could be one of the mediators of HA-stimulated adhesion molecule expression in MCT cells.


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Table V. Effect of TPCK on HA-stimulated ICAM-1 and VCAM-1 expression in MCT cells1

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Our results demonstrate that intermediate m.w. products of the matrix polysaccharide HA markedly stimulate the expression of the adhesion molecules ICAM-1 and VCAM-1 in cultured kidney tubular cells. HA activates the transcription factors NF-{kappa}B and AP-1 in these cells to enhance the expression of ICAM-1 and VCAM-1. We have therefore identified an interesting proinflammatory mechanism by which a matrix constituent (HA and its fragments) could promote leukocyte adherence through induction of ICAM-1 and VCAM-1 expression in immune-mediated tissue injury.

Of all the preparations tested we found that the stimulatory HA molecules were polydisperse and of intermediate m.w., whereas the more uniform high m.w. HA preparations were without effect on ICAM-1 and VCAM-1 expression in MCT cells. Our results are consistent with other studies documenting the lack of a stimulatory effect by high m.w. HA preparations on macrophage TNF-{alpha}, chemokine, and nitric oxide production compared with HA preparations of lower m.w. that are stimulatory (8, 29, 30). In fact high m.w. HA is known to display anti-inflammatory activities under certain conditions, particularly when used at high doses. Intra-articular injection of high m.w. HA, for example, improves arthritic symptoms in patients with osteoarthritis (31, 32). High m.w. HA is also capable of inhibiting phagocytosis by macrophages and inhibits the secretion of certain cytokines (33, 34). Hodge-Dufour et al. reported recently that high m.w. could inhibit the stimulation of macrophage IL-12 by low m.w. HA, suggesting that the anti-inflammatory effect of high m.w. HA could be accomplished by competition with low m.w. HA at the level of the CD44 receptor (34).

In our experiments the HA constituents (mono- and disaccharides) and an HA hexamer preparation did not stimulate adhesion molecule expression in MCT cells. HA hexamers represent the minimal binding motif for CD44 (35), suggesting that binding or cross-linking of several adjacent CD44 molecules could be required for up-regulation of adhesion molecules. CD44 is very abundant on MCT cells (36); however, other HA binding proteins, for example, the receptor for HA-mediated mobility, is also expressed by MCT cells (our unpublished observation). At present we do not known precisely how the m.w. of HA determines the level of expression of adhesion molecules by epithelial cells. We suspect that additional factors inherent to the molecular configuration of HA and its fragments modulate the HA receptor signaling pathways. The nature of these factors remains to be investigated.

Pathologic HA accumulation is a feature of many immunologic processes affecting the kidney and other organs, such as joints and lungs. HA is normally not present in the kidney cortex but it accumulates in the tubulointerstitial space and around glomeruli in immune-mediated renal injury, including crescentic glomerulonephritis (3), tubulointerstitial nephritis (4, 5), and allograft rejection (6, 7). The functional significance of this renal HA accumulation has not been clear, but it has been proposed that HA could regulate interstitial water content, thereby playing a role in tissue edema formation (37). The hyaluronan receptor CD44 is also up-regulated on renal parenchymal cells in immune-mediated injury, including the proximal tubules (16, 38, 39) and colocalizes with accumulated HA at sites of immune injury (5). From our data we speculate that the interaction of HA with the tubular epithelium could participate in the induction and maintenance of ICAM-1 and VCAM-1 expression in inflammatory renal diseases, thereby contributing directly to leukocyte adherence.

Cytokines and LPS are the classical stimulatory factors for ICAM-1 and VCAM-1 expression (40). Only a few other regulating factors have been described. Fibrin, for example, has been shown to directly stimulate ICAM-1 expression by HUVEC and provides an example how coagulation products could promote leukocyte adhesion (41). To our knowledge it has not been shown before that matrix constituents could stimulate ICAM-1 and VCAM-1 expression. Our results support the concept that matrix is not only an inert structure displaying architectural functions, but that its components could participate in inflammation.

We were particularly interested to examine the cellular mechanisms that are involved in HA-mediated up-regulation of adhesion molecules by kidney tubular epithelial cells, since knowledge of these pathways could help design therapeutic strategies to block overexpression of adhesion molecules. The promoter regions of both murine and human ICAM-1 and VCAM-1 genes contain two types of DNA consensus sequences that are important in inflammation, namely the NF-{kappa}B and AP-1 sites (25, 26). Both transcription factors play a crucial role in regulation of the expression of important mediators in inflammation, including cytokines, adhesion molecules, and matrix metalloproteinases (42, 43, 44, 45). We therefore determined whether HA also elicits these pathways to up-regulate adhesion molecules in epithelial cells. Our results demonstrate that both transcription factors are induced in response to HA. HA not only increased NF-{kappa}B DNA binding activity but it also activated the I{kappa}B autoregulatory loop. I{kappa}B is a specific inhibitor of the NF-{kappa}B transcription factor whose induction is necessary to terminate NF-{kappa}B-induced gene activation (46). I{kappa}B{alpha} mRNA transcript levels increased within 1 h of HA stimulation, presumably resulting in the subsequent inactivation of NF-{kappa}B. Our findings in MCT cells are in agreement with studies documenting such a mechanism in macrophages (13, 30). DNA binding activity for AP-1, a heterodimeric complex consisting of the c-jun and c-fos proto-oncogenes, was also enhanced after HA stimulation, at both the mRNA transcript and the protein level. To our knowledge activation of AP-1 DNA binding through HA has not been documented previously. Although NF-{kappa}B and AP-1 may not be the only mediators induced by HA, we conclude from our results that HA initiates a cascade of intracellular mediators involving, among others, NF-{kappa}B and AP-1. The engagement of these nuclear factors with sequence-specific DNA segments in the 5' regulatory region of ICAM-1 and VCAM-1 could thereby initiate transcription of these adhesion molecules.

In summary, we have shown that the matrix constituent HA is capable of directly up-regulating ICAM-1 and VCAM-1 expression by kidney tubular epithelial cells. The HA-induced intracellular signaling mechanism appears to involve classical inflammatory pathways, including sequence-specific DNA binding of the nuclear factors NF-{kappa}B and AP-1. We speculate that through this mechanism, the accumulation of HA in inflammatory renal diseases could provide a potent stimulus for the expression of cell adhesion molecules, thereby promoting leukocyte adherence at sites of immune-renal injury.


    Acknowledgments
 
We thank C. Gasser for the illustrations.


    Footnotes
 
1 This work was supported by the Swiss National Science Foundation (Grants 32-40390.94 and 32-50721.97, to R.P.W.), the Olga-Mayenfisch Foundation, the Hartmann-Müller Foundation, and the Research Foundation of the University of Zurich. B.O. is the recipient of a postgraduate fellowship from the University of Zurich and is supported by the Swiss National Science Foundation and the Maurice E. Müller Foundation. B.B.S. is the recipient of a Federal Career Development Award from the Swiss government. R.P.W. is the recipient of a Physician Scientist Award (Grant 32-38821.93) from the Swiss National Science Foundation. Back

2 Current address: Department of Vascular Biology, Scripps Research Institute, La Jolla, CA 92037. Back

3 Current address: Renal Division, Brigham and Women’s Hospital, Harvard Institutes of Medicine, Boston, MA 02115. Back

4 Address correspondence and reprint requests to Dr. Rudolf P. Wüthrich, Division of Nephrology, University Hospital, Rämistr. 100, 8091 Zurich, Switzerland. E-mail address: Back

5 Abbreviations used in this paper: HA, hyaluronan, hyaluronic acid; AP-1, activating protein-1; GAPDH, glyceraldehyde-3-phosphate dehydrogenase; MCT, mouse cortical tubule; ACTD, actinomycin D; CHX, cycloheximide; TPCK, N-tosyl-L-phenylalanine chloromethyl ketone. Back

Received for publication February 5, 1998. Accepted for publication May 21, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
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