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
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Giri, D. K.
Right arrow Articles by Aggarwal, B. B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Giri, D. K.
Right arrow Articles by Aggarwal, B. B.
The Journal of Immunology, 1998, 161: 4834-4841.
Copyright © 1998 by The American Association of Immunologists

Mycobacterium avium-intracellulare complex Activates Nuclear Transcription Factor-{kappa}B in Different Cell Types Through Reactive Oxygen Intermediates

Dipak K. Giri*, Reeta T. Mehta{dagger}, Rita G. Kansal{dagger} and Bharat B. Aggarwal2,*

Cytokine Research Section Departments of * Molecular Oncology and {dagger} Bioimmunotherapy. University of Texas M. D. Anderson Cancer Center, Houston, TX 77030


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mycobacterium avium-intracellulare complex (MAC) is one of the most common opportunistic pathogens in HIV-infected patients. Their synergistic interaction leads to a rapid deterioration of the host defense. In vivo, MAC manifests as a disseminated granulomatous disease that produces a massive inflammatory tissue response perhaps through its activation of inflammatory cytokines. The intracellular signaling following interaction of the mycobacterium with host cells is incompletely understood. Because the response is dependent, in part, on the activation of NF-{kappa}B, we investigated the effect of MAC on this nuclear transcription factor in cells of macrophage and nonmacrophage lineage. We demonstrate that both high and low virulence strains of MAC potently and rapidly activated NF-{kappa}B. In supershift assays, using specific Abs against the NF-{kappa}B subunits, we identified a p50/p65 heterodimer that was formed within 5 min after incubation with the bacterium too rapidly for cytokines to be involved in the activation. This activation was instead mediated through the generation of reactive oxygen intermediates, inasmuch as preincubation of cells with a variety of antioxidants inhibited NF-{kappa}B activation. Likewise, the transfection of cells with Mn-superoxide dismutase blocked the NF-{kappa}B activation induced by the bacterium. These data suggest that NF-{kappa}B activation is a consequence of interaction of host cells with the bacterium and that the interaction may play a pivotal role in the pathogenesis of the disease.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mycobacterium avium-intracellulare complex (MAC)3 causes life-threatening opportunistic infections in AIDS patients (1, 2, 3, 4). In the normal host, infection with MAC is uncommon and controllable. In HIV-infected patients, however, such infections are not only common but also often widely disseminated, since the cellular immune response is inadequate to contain them. As many as 15 to 40% of HIV-infected patients in the United States carry MAC at some stage of AIDS (5). In addition, this species is among the most widely drug resistant of all mycobacteria. Survival of HIV-infected patients who contract MAC infection is significantly shorter than that without such infection (6). Effective prevention and therapy of MAC infections would certainly improve the quality of life and prolong the survival of many individuals.

Given the drug resistance of the organism and the debilitated state of most HIV-infected people, designing effective agents likely requires a thorough understanding of the mechanism of host response to infection. The production of immunomodulatory cytokines and activation of kinases and transcription factors are the essential components of this host response. Many of the targets of HIV-1 and MAC within the immune system are identical, and these targets in turn produce various cytokines that contribute to the host defense against infectious agents. One of the keys to the control of cytokine production is the nuclear transcription factor NF-{kappa}B. Cytokines play an essential role in, among other activities, the host immune response to microbial pathogens, including bacteria, protozoa, fungi, chlamydia, and viruses. This response is typically mediated by NF-{kappa}B (7, 8, 9, 10, 11, 12, 13, 14, 15, 16).

NF-{kappa}B is a dimeric ubiquitous transcription factor whose activity is tightly regulated by cytokines and other external stimuli (17, 18). Under most situations, NF-{kappa}B is retained in the cytoplasm in latent form as a heterotrimeric complex consisting of p50 (NF-{kappa}B1), p65 (RelA) subunits, and an inhibitor, I{kappa}B. The activation of NF-{kappa}B requires sequential phosphorylation, multiubiquitination, and degradation of I{kappa}B, with consequent exposure of the nuclear localization signal in NF-{kappa}B molecule (19, 20). The genes regulated by this transcription factor encode proteins involved in rapid response to pathogens or stress, including the acute-phase proteins, cytokines, and cellular adhesion molecules (21). The role of the secretory products, exotoxin, outer membrane components, invasive factor, and virulence genes leading to the activation of NF-{kappa}B have also been documented.

The present study was undertaken to determine the effect of MAC on NF-{kappa}B activation in cells of both macrophage and nonmacrophage origin. We demonstrate that the interaction of the host cells with MAC causes NF-{kappa}B activation. MAC did not activate NF-{kappa}B in cells transfected with MnSOD and in cells pretreated with antioxidants, indicating the critical role of reactive oxygen intermediates (ROI) in intracellular signaling.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Chemicals and reagents

Bacteria-derived purified human recombinant TNF was provided by Genentech (South San Francisco, CA). LPS, pyrrolidine dithiocarbamate (PDTC), 3-tert-butyl-4-hydroxyanisole (BHA), butylated hydroxytoluene (BHT), mannitol, N-acetylcysteine (NAC), glutathione (GSH), cytochalasin B, and polymyxin B were purchased from Sigma (St. Louis, MO). [{gamma}-32P]ATP was purchased from ICN Pharmaceutical (Costa Mesa, CA), polynucleotide kinase from New England Biolabs (Beverly, MA), and poly(dI:dC) from Pharmacia Biotech (Almeda, CA).

Bacteria

The culture conditions of the wild-type MAC strain 101 (serovar 1), a patient isolate, have been described (22). The characterstics of bacteria were altered by passage in beige mice. The new colony morphotype was isolated and evaluated for the virulence in mice.

Cell culture, treatments, and infection

The cells used in this study included ML-1a, a human myelomonoblastic leukemia cell line kindly provided by Dr. Ken Takada (Showa University, Showa, Japan); U937, a human histiocytic lymphoma line; and acute T cell leukemia cell line Jurkat, were obtained from American Type Culture Collection (ATCC, Manassas, VA). Normal human diploid fibroblast (FS) cells were kindly provided by Dr. James Smith of Baylor College of Medicine (Houston, TX). All cells were grown in RPMI 1640 medium (Life Technologies, Grand Island, NY) supplemented with 10% FBS (Life Technologies), 2 mM glutamine, and antibiotics at 37°C in an atmosphere of 5% CO2 in air. Following infection for the stipulated time, the cells were washed in PBS containing gentamicin (50 µg/ml) to remove free bacteria and to prevent further interaction.

Human MCF-7 cells stably transfected with the expression vector pHßApr-1 carrying a human MnSOD cDNA insert was generously provided by Dr. Larry W. Oberley (University of Iowa, Iowa City, Iowa). The details of the construct have been described elsewhere (23). MCF-7 cells transfected only with the vector served as control (neo).

To examine the effect of various antioxidants, cells were pretreated with 25 µM PDTC, 50 mM mannitol, 10 µg/ml BHT, 10 µg/ml BHA, 2 mM GSH, and 25 µg/ml NAC for 1 h and then infected with MAC. Other pretreatments included 10 µg/ml polymyxin B for 30 min and 2 mM cytochalasin B for 15 min.

Antibodies

The polyclonal Abs used were as follows: anti-p65, against the epitope corresponding to amino acids mapping within the amino terminal domain of human NF-{kappa}B p65; anti-p50, against a peptide 15 amino acids long mapping at the nuclear localization signal region of NF-{kappa}B p50 ; anti-I{kappa}B-{alpha}, against amino acids 297–317 mapping at the carboxyl terminus of I{kappa}B-{alpha}/MAD-3 of human origin; anti-I{kappa}B-ß (amino acid 339–358) and anti-c-rel, against the epitope corresponding to 300 amino acids mapping within the amino terminus of human c-rel p75. These Abs were obtained from Santa Cruz Biotechnology (Santa Cruz, CA).

Electrophoretic mobility shift assays (EMSA) and Ab supershifts

The details of the preparation of nuclear extracts and the assay procedure have been described elsewhere (24, 25). Nuclear extracts were either used immediately or stored at -70°C. Typically, 4 to 6 µg protein was used per assay. The protein content of the extract was measured by the method of Bradford (26). EMSAs were performed by incubating nuclear extract with 32P-end-labeled 45-mer double-stranded NF-{kappa}B oligonucleotide from the HIV terminal repeat 5'-TTGTTACAAGGGACTTTCCGCT GGGGACTTTCCAGGGAGGCGTGG-3'. A double-stranded mutated oligonucleotide, 5'-TTGTTACAACTCACTTTCCGCTGCTCACTTTCCAGGGAGGCGTGG-3', was used to examine the specificity of binding of NF-{kappa}B to the DNA. The specificity of binding was also examined by competition with the unlabeled oligonucleotide. For supershift assays, Abs against p50, p65, and c-rel subunits of NF-{kappa}B were used as described (27). Visualization and quantitation of radioactive bands were conducted by PhosphorImager (Molecular Dynamics, Sunnyvale, CA) using Image Quant software (National Institutes of Health, Bethesda, MD).

Determination of I{kappa}B by Western blot

Western blot assays of I{kappa}B-{alpha} and I{kappa}B-ß were generally conducted with 25 to 30 µg of cytoplasmic extracts. The proteins were resolved by SDS-PAGE and electrophoretically transferred to nitrocellulose membranes. The membranes were blocked with PBS with 0.5% Tween 20 (PBST) containing 5% fat-free milk and then exposed to either I{kappa}B-{alpha} (1 to 3000 dilution) or I{kappa}B-ß (1 to 1000 dilution) Abs. The membranes were washed with PBST and treated with secondary Ab conjugated to horse radish peroxidase. The Ag-Ab reaction was visualized by an enhanced chemiluminescence (ECL) assay using Amersham (Arlington Heights, IL) ECL reagents and exposure to film.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
MAC specifically activates NF-{kappa}B in different cell types

Because the host immune response is dependent on the activation of the nuclear transcription factor NF-{kappa}B, we investigated the effect of MAC on this nuclear factor in cells of macrophage and nonmacrophage lineage. Incubation of cells from a macrophage-like cell line, U937, with different titers of MAC for 1 h, activated NF-{kappa}B (Fig. 1GoA). NF-{kappa}B was also activated in Jurkat (T) cells exposed to the mycobacterium (Fig. 1GoB) but not in FS cells (Fig. 1GoC). In U937 cells, activation was dependent on the concentration of mycobacteria beginning at dose of 1 x 104 bacteria, which induced 2.5- to 5.3-fold NF-{kappa}B-DNA binding activity. NF-{kappa}B activation was greater in U937 than in Jurkat cells. The response in Jurkat cells, however, was by and large uniform, since further increases in the nuclear NF-{kappa}B-DNA complex were not observed with increasing doses of bacteria.



View larger version (33K):
[in this window]
[in a new window]
 
FIGURE 1. Induction of NF-{kappa}B-DNA complex by MAC in cells. Cells (2 x 106) were incubated with indicated concentrations of MAC at 37°C for 1 h. Nuclear extracts were prepared as described under Materials and Methods and analyzed for the NF-{kappa}B-DNA-binding activity by EMSA. Only the relevant parts of EMSAs with nuclear NF-{kappa}B activity in U937 (A), Jurkat (B), and FS (C) cells are shown.

 
To determine the kinetics of NF-{kappa}B activation, U-937 and ML-1a cells were exposed to MAC for different times and then analyzed by EMSA. As shown in Figure 2Go, persistent activation of NF-{kappa}B was seen in the two myeloid cell types. In U937, the DNA-binding activity gradually increased, reached its peak by 60 min, and remained stabilized for up to 360 min (Fig. 2GoA). In ML-1a cells, however, maximum NF-{kappa}B activation could be seen within 5 min and remained steady for up to 360 min (Fig. 2GoC).



View larger version (42K):
[in this window]
[in a new window]
 
FIGURE 2. Kinetics of NF-{kappa}B activation and I{kappa}B degradation in cells following infection with virulent MAC. U937 (A) and ML-1a (C) cells were infected with MAC for the indicated times. The nuclear extracts prepared from these cells were analyzed by EMSA for the NF-{kappa}B-DNA-binding activity. B, Kinetics of I{kappa}B-{alpha} and I{kappa}B-ß degradation in U937 cells following MAC infection as above. Thirty micrograms of cytoplasmic extracts from these cells were resolved by SDS-PAGE using 10% gel, and the separated proteins were transferred to nitrocellulose membrane and probed with anti-I{kappa}B-{alpha} and anti-I{kappa}B-ß Abs.

 
In a variety of cells, I{kappa}B-{alpha} undergoes proteolysis in response to such diverse stimuli as bacterial endotoxin, cytokines, or phorbol esters. Immunoblot analysis of cytoplasmic extracts from MAC-infected U937 cells showed a maximum decrease in the levels of I{kappa}B-{alpha} by 30 min and then an increase until it reached the basal level (Fig. 2GoB). It is known that the decrease of I{kappa}B-{alpha} is due to degradation and the increase to NF-{kappa}B-dependent resynthesis.

The activation of NF-{kappa}B by LPS requires the degradation of I{kappa}B-ß. Thus, we also examined the cytoplasmic levels of I{kappa}B-ß after treatment of U-937 cells with the mycobacterium for different times. Approximately 57% decrease in the levels of I{kappa}B-ß occurred at 180 min following MAC infection (Fig. 2GoB). Thus, the degradation of I{kappa}B-{alpha} by MAC occurs at a rate faster than that of I{kappa}B-ß.

We also studied the effect of MAC on the activation of the transcription factors, AP-1 and Oct-1. Mycobacterial infection of U937 cells did not modulate the activity of either transcription factor (data not shown).

MAC-induced NF-{kappa}B activation is reversible and composed of p50 and p65 subunits of NF-{kappa}B but not c-rel

To estimate the stability of the interaction of NF-{kappa}B protein with the {kappa}B DNA in the nucleus, we preexposed cells for 60 min to MAC, washed the cells to remove MAC, and incubated them in bacteria-free medium for different times. Nuclear extracts from these cells were analyzed for NF-{kappa}B-DNA complex at regular intervals by EMSA. In a parallel experiment, U937 cells were continuously incubated with MAC for comparative analysis. Figure 3GoA shows that the nuclear NF-{kappa}B-DNA-binding activity was undetectable by 3 h after withdrawal of MAC but persisted if incubation was not interrupted. These results indicate that the formation of NF-{kappa}B-DNA complex induced by the mycobacterium is transient.



View larger version (49K):
[in this window]
[in a new window]
 
FIGURE 3. A, Reversal of nuclear NF-{kappa}B-DNA-binding activity following withdrawal of MAC from the culture. U937 cells treated with MAC for 1 h were washed with PBS to remove bacteria from culture (arrow). The nuclear extracts were prepared at the indicated times, and 6 µg of nuclear extracts at each point were analyzed for NF-{kappa}B-DNA complex by EMSA as described under Materials and Methods. Unwashed U937 cell nuclear extracts from parallel experiments were studied for comparison. B, Nuclear NF-{kappa}B activated by MAC consists of p65/p50 heterodimers. Six-microgram nuclear extracts from MAC-treated U937 cells were preincubated at room temperature for 30 min with Abs and then analyzed by EMSA. Nuclear extract preincubated with saline served as untreated control for comparison.

 
To characterize the protein composition of the {kappa}B-binding complex, we employed Abs against the NF-{kappa}B subunits for the supershift assays. The nuclear extracts from MAC-treated U937 cells were incubated with specific polyclonal Abs to p65 or p50 or c-rel before addition of radiolabeled {kappa}B oligonucleotide. As shown in Figure 3GoB, the p65 and p50 Abs, but not the c-rel Ab, reacted with a component of the {kappa}B complex to produce a slow migrating complex. These results suggest that both p65 and p50 constitute the MAC-activated NF-{kappa}B-DNA complex.

NF-{kappa}B activation is independent of virulence and viability of MAC

To analyze the relationship of NF-{kappa}B activation to virulence of the organism, U937 cells were incubated with different doses of either low or high virulent strains of mycobacterium. As shown in Figure 4Go, the ability of MAC to activate NF-{kappa}B was independent of its virulence. A dose-dependent increase in NF-{kappa}B-DNA-binding activity was seen in both low and high virulent strains of MAC.



View larger version (66K):
[in this window]
[in a new window]
 
FIGURE 4. Both high- and low-virulent MAC-activated NF-{kappa}B. U937 cells were infected with high-virulent (A) and low-virulent (B) MAC at the indicated concentrations for 1 h. The nuclear extracts were prepared from the infected cells and analyzed for the NF-{kappa}B-DNA-binding activity by EMSA. For comparison, cells treated with 100 pM TNF for 30 min were analyzed.

 
Bacterial viability determines its infectivity for the disease caused. We measured the effect of bacterial viability on NF-{kappa}B activation. For this, U-937 cells were treated with mycobacteria that had been heated to 100°C temperature for 30 min. As shown in Figure 5GoA, both live and heat-killed MAC activated NF-{kappa}B. The response was, however, stronger and detectable earlier with live bacteria. The cytoplasmic degradation of I{kappa}B-{alpha} could be noted in 15 min in cells exposed to live mycobacteria (Fig. 5GoB) but not until 60 min in heat-killed cells. These results suggest that the viability of mycobacteria, although not essential, does contribute to the overall NF-{kappa}B activation and I{kappa}B-{alpha} degradation.



View larger version (69K):
[in this window]
[in a new window]
 
FIGURE 5. Nuclear NF-{kappa}B activity was activated by both live and dead bacteria. Heat-killed and live virulent MAC were used to infect U937 cells. Six micrograms of nuclear extracts and 30 µg of cytoplasmic extracts from these cells were studied by EMSA for NF-{kappa}B-DNA-binding activity (A) and by SDS-PAGE followed by Western blot analysis for I{kappa}B-{alpha} degradation (B), respectively. Nuclear extract from dead MAC-treated cells preincubated with 50 times higher concentration of unlabeled oligo before EMSA served as competitor to verify the specificity of the reaction.

 
Inhibitor of LPS does not abrogate NF-{kappa}B activation

Bacterial surface structures like LPS and lipoarabinomannan have been demonstrated to activate NF-{kappa}B (28, 29, 30, 31). Polymyxin B (PB) has been shown to bind LPS and abrogate its effect. The latter transduces its signal through the CD14 receptor. To determine whether the NF-{kappa}B activated by MAC was instead due to LPS, we incubated the mycobacterium for 30 min with PB (10 µg/ml) and then with U937 cells. As Figure 6GoA shows, PB by itself did not activate NF-{kappa}B; preincubation of Salmonella-derived LPS with PB for 15 min abrogated the ability of LPS to activate NF-{kappa}B. Pretreatment of MAC with PB, however, had no effect on the NF-{kappa}B activation induced by the mycobacterium. In addition, PB also had no effect on TNF-induced NF-{kappa}B activation. Thus, overall these results demonstrate that the effect of the mycobacterium was not due to LPS.



View larger version (52K):
[in this window]
[in a new window]
 
FIGURE 6. A, Treatment of polymyxin B did not inhibit MAC-activated NF-{kappa}B-DNA complex. MAC pretreated with polymyxin B for 30 min was used to infect U937 cells. Nuclear extracts from the treated cells were analyzed for NF-{kappa}B-DNA-binding activity. Polymyxin B-pretreated LPS and TNF were used to stimulate activation of NF-{kappa}B in U937 cells for comparison. B, Pretreatment with anti-TNF Abs did not influence MAC-induced activation of NF-{kappa}B. Two million cells were preincubated with anti-TNF Abs (1:1000) for 1 h and treated with MAC for 30, 60, or 180 min. Nuclear extracts from these cells were analyzed by EMSA. The specificity of anti-TNF Ab was analyzed by incubating TNF with the Abs at room temperature for 30 min before exposure to treatment with the cells. C, Cytochalasin B treatment conferred no protection from MAC-induced NF-{kappa}B-DNA activation. U937 cells were incubated at 37°C with 10 µM cytochalasin B for 15 min before infection with virulent MAC. Nuclear extracts from the treated cells were analyzed for NF-{kappa}B-DNA-binding activity as described under Materials and Methods.

 
MAC-activated NF-{kappa}B is independent of TNF release

To evaluate the possible contribution of TNF in MAC-induced activation of NF-{kappa}B, U937 cells were preincubated with anti-TNF Abs followed by stimulation by MAC for 30, 60, and 120 min. As shown in Figure 6GoB, preincubation of cells with anti-TNF did not minimize the NF-{kappa}B-DNA-binding activity induced by MAC. However, preincubation with anti-TNF abrogated the TNF-induced NF-{kappa}B-DNA-binding activity. These observations suggest that MAC activated NF-{kappa}B independently of TNF.

Cellular uptake of MAC is not required for NF-{kappa}B activation

Whether cellular uptake of MAC is required to activate NF-{kappa}B was also investigated. Cytochalasin B is an actin-depolymerizing drug and inhibits bacterial invasion and phagocytosis (32, 33). We examined the effect of cytochalasin B on MAC-induced NF-{kappa}B activation. Our results showed that inhibition of cellular invasion by pretreatment of U937 cells with cytochalasin B for 30 min followed by incubation with MAC did not prevent activation of NF-{kappa}B by the mycobacterium, suggesting that bacterial invasion is not essential for the activation of NF-{kappa}B (Fig. 6GoC).

MAC-induced NF-{kappa}B activation is mediated by reactive oxygen species

Several studies indicate that NF-{kappa}B activation is mediated through oxidative stress. Since NF-{kappa}B activation by a wide variety of stimuli is inhibited by antioxidants, we tested their role in inhibition of NF-{kappa}B induced by MAC. U937 cells were preincubated with the antioxidant PDTC for different times and then stimulated with MAC for either 5, 15, or 60 min. As shown in Figure 7Go, A, B and C, pretreatment of cells with PDTC inhibited NF-{kappa}B activation induced by exposure to MAC for either 5, 15, or 60 min. PDTC did not inhibit MAC-induced NF-{kappa}B activation when the two agents were coincubated (0 time); however, preincubation with PDTC for 1 h completely blocked the NF-{kappa}B activation induced by exposure to MAC for all time points. In some cases preincubation with PDTC for 15 min reduced the NF-{kappa}B activation induced by exposure to MAC for 60 min (Fig. 7GoC). PDTC by itself did not activate NF-{kappa}B. We also examined the effect of other antioxidants such as BHT, BHA, GSH, and NAC on MAC-induced NF-{kappa}B activation. Pretreatment of cells for 1 h with BHT, BHA, and GSH also reduced the nuclear NF-{kappa}B activation induced by MAC, whereas mannitol and NAC had no effect (Fig. 7GoD).



View larger version (36K):
[in this window]
[in a new window]
 
FIGURE 7. PDTC inhibited the MAC-induced NF-{kappa}B activation. U937 cells were pretreated with 25 µM PDTC for the indicated times, followed by activation by MAC for 5 min (A), 15 min (B), and 60 min (C). Nuclear extracts from these cells were studied for NF-{kappa}B-DNA-binding activity by EMSA as described under Materials and Methods. Time zero with PDTC represents coincubation with PDTC and MAC. FP indicates free probe. D, Antioxidants inhibited the NF-{kappa}B-DNA-binding activity induced by MAC. U937 cells were pretreated with NAC (25 µg/ml), mannitol (50 mM), BHT (10 µg/ml), BHA (10 µg/ml), or GSH (2 mM) for 1 h and then infected with high-virulent MAC. The nuclear extracts from these cells were studied for the activation of NF-{kappa}B by EMSA as described under Materials and Methods.

 
To further validate the role of ROI in NF-{kappa}B activation by MAC, we used human breast adenocarcinoma MCF-7 cells transfected with an expression vector containing the gene for manganese superoxide dismutase (MnSOD), an enzyme involved in scavenging of superoxide radicals. Incubation of control MCF-7 cells (neo) with MAC for either 15 min (Fig. 8GoA) or 60 min (Fig. 8GoB) activated NF-{kappa}B, but minimal or no activation was noted in MnSOD-transfected cells. In the same experiment, NF-{kappa}B activation by the mycobacterium was also noted in U-937 cells (Fig. 8GoB). These results strongly suggest that ROI, especially the superoxide radical, play a role in the MAC-induced signal transduction pathway leading to NF-{kappa}B activation.



View larger version (39K):
[in this window]
[in a new window]
 
FIGURE 8. MAC did not activate NF-{kappa}B in cells transfected with MnSOD. MCF-7 cells transfected with a vector carrying a cDNA insert for MnSOD gene and the cells carrying empty vector (neo) were treated with MAC at 37°C for either 15 min (A) or 60 min (B). Nuclear extracts prepared from these cells were studied by EMSA for NF-{kappa}B-DNA-binding activity. U937 cells activated by 100 pM TNF were used for comparison.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We investigated the role of MAC in the activation of NF-{kappa}B, since this bacterium remains one of the most frequent life-threatening infections in AIDS patients. The transcriptional regulation of HIV is under the control of NF-{kappa}B, which binds to two {kappa}B-binding sequences present in the HIV long terminal repeat (LTR) to initiate transcription. Our EMSA data show that infection of cells of both macrophage and nonmacrophage origin activated NF-{kappa}B. The response was by and large similar with high and low virulent strains, but the killed bacteria produced a delayed response. Activation of NF-{kappa}B was persistent and was associated with initial degradation of I{kappa}B-{alpha} and I{kappa}B-ß. I{kappa}B-{alpha} was resynthesized and reached its basal level in spite of persistent activation of NF-{kappa}B.

The induction of enhanced NF-{kappa}B-DNA-binding activity following MAC infection could be due either to the proteolytic degradation of the intracytoplasmic inhibitory molecule I{kappa}B-{alpha} and I{kappa}B-ß, or to the transcriptional activation of the genes encoding the p65/p50 subunits that are under the transcriptional control of NF-{kappa}B. From the rapid induction of NF-{kappa}B-DNA complex in the nucleus, it is unlikely that the activation is due to more synthesis of proteins. The dissociation of NF-{kappa}B from I{kappa}B-{alpha} is the more likely mechanism for the enhanced NF-{kappa}B-DNA-binding activity. Indeed, our data on Western blot analyses of cytoplasmic extracts from MAC-stimulated U937 indicate that I{kappa}B-{alpha} undergoes proteolysis (Figs. 2GoB and 5B). Persistent activation of NF-{kappa}B in this study (Fig. 2Go, A and C) was not, however, associated with persistent I{kappa}B-{alpha} degradation, which may be explained by the fact that the transcription of I{kappa}B-{alpha} is under the control of NF-{kappa}B. Resynthesis of cytoplasmic I{kappa}B-{alpha} could be the consequence of increased transcription of the protein under the influence of the transcription factor {kappa}B. Persistent activation of NF-{kappa}B by LPS and Listeria monocytogenes has also been reported. The initial rapid but transient activation occurred through the degradation of I{kappa}B-{alpha} while the prersistent activation was mediated through the degradation of I{kappa}B-ß (34). The role of lipoteichoic acid (LTA) and the expression of virulence genes plcA and plcB encoding two phospholipases have been suggested for the two phases of activation, respectively, in L. monocytogenes infection. Examination of I{kappa}B-ß in our study showed a significant degradation of this protein during the persistent activation of NF-{kappa}B by MAC. These observations suggest the involvement of both I{kappa}B-{alpha} and I{kappa}B-ß in the signaling pathway.

A number of diverse stimuli, such as cytokines TNF and IL-1, phorbol esters, bacterial LPS, and certain viruses activate NF-{kappa}B (21). The signaling pathways leading to activation of NF-{kappa}B are different for these inducers, however, with some common steps. The generation of abundant ROI is a common signal transduction pathway used by these agents (35). Measurement of increased production of superoxide or H2O2 in the stimulated cells and activation of NF-{kappa}B by H2O2 support involvement of ROI (36). The evidence that ROI are signal transducers is the finding that a variety of chemically distinct antioxidants intercept the activation of NF-{kappa}B by the activators investigated so far (37). We speculate that ROI are involved in the signal transduction pathway by which MAC activates NF-{kappa}B. Pretreatment of cells with the antioxidants PDTC, BHT, BHA, and GSH, but not NAC and mannitol, inhibited the activation of this transcription factor (Fig. 7Go), suggesting a potential role for ROI in MAC-induced activation of NF-{kappa}B. The reason for these differential effects of antioxidants is not clear but suggests a difference in their mechanism of action. Similar results were reported with a blood protozoan Theileria parva, which also activates NF-{kappa}B in T cells (38). Both PDTC and NAC are thiol compounds. PDTC, however, is a chelator of iron, which may be involved in production of ROI. This may explain why, in our studies and those reported by others, PDTC but not NAC inhibited NF-{kappa}B activation. Since both BHT and BHA are potent inhibitors of lipid peroxidation, it suggests that this may also contribute to the mycobacterial activation of NF-{kappa}B.

To further validate the involvement of ROI in NF-{kappa}B induction by MAC, we studied the activation of NF-{kappa}B in cells transfected with MnSOD, a mitochondrial enzyme involved in the scavenging of superoxide radicals. Overexpression of this enzyme has been observed to confer resistance to TNF-mediated cytotoxicity and activation of NF-{kappa}B (23, 39). In contrast to the massive NF-{kappa}B activation in the neo-transfected MCF-7 cells, no activation of NF-{kappa}B by high-virulent MAC was evident in MnSOD-transfected MCF-7 cells (Fig. 8Go). This result further confirms the critical role of ROI in the MAC-induced activation of NF-{kappa}B.

The mycobacterium is known to induce TNF production in macrophages. Due to the activation of NF-{kappa}B within 5 min following MAC infection, the involvement of TNF is unlikely (Figs. 2Go, A and C, and 7A). In addition, preteatment of cells with anti-TNF Ab had no effect on MAC-induced NF-{kappa}B activation (Fig. 6GoB). What component of MAC is responsible for activation of NF-{kappa}B is unclear. The intracellular or secretory products of the microbial pathogens Shigella flexneri, Staphylococcus aureus, Borrelia burgdorferi, and L.monocytogenes do activate NF-{kappa}B (7, 40, 41). In our studies, the failure of PB, an inhibitor of LPS, to abrogate the activation of NF-{kappa}B by MAC supports the notion that LPS is not involved (Fig. 6GoA).

Intracellular invasion has been found to be a prerequisite for the activation of NF-{kappa}B in Shigella and Listeria infections (7, 40). Mutant Shigella defective in epithelial cell invasion did not activate NF-{kappa}B. Listeriolysin O (LLO), the outer membrane protein of Listeria, is essential for the intracellular survival and replication of the pathogens, which are in turn essential for the expression of listerial phospholipases involved in the persistent phase of NF-{kappa}B activation. Host cell invasion was not, however, an essential prerequisite for MAC activation of NF-{kappa}B in our experiments. Pretreatment of U937 cells with cytochalasin B, an inhibitor of phagocytosis, did not prevent the signal transduction leading to activation of NF-{kappa}B by MAC. Furthermore, the activation of this transcription factor by mycobacteria in the nonphagocytic cell lines Jurkat and ML-1a support the notion (Figs. 1GoB and 2C).

The intracellular parasite M. avium complex induces disseminated disease leading to chronic inflammation and extensive tissue damage. Interaction of MAC with the mammalian cells in the present study activated NF-{kappa}B, which is known to activate transcription of a variety of inflammatory cytokines, viz., TNF and IL-1 (42, 43). These cytokines in turn contribute to pathogenesis of the disease in progress. It is interesting to note that HIV-1 harbors two NF-{kappa}B binding sites in its long terminal repeat (LTR) (44), and the redox regulation of NF-{kappa}B has been implicated in the activation of HIV-1. The activation of host cell NF-{kappa}B by MAC provides an opportunity for the HIV-1 virus to exploit the transcription of the viral genome. Antioxidants and NF-{kappa}B antagonists could supplement the arsenal of existing therapeutic modalities in containing pathogens and disease progression.


    Footnotes
 
1 This research was conducted by the Clayton Foundation for Research and was partially funded by an associateship to D.K.G. by the Department of Biotechnology, Government of India and by Grant 000015091 from the Texas Higher Education Board (R.T.M.). Back

2 Address correspondence and reprint requests to Dr. Bharat B. Aggarwal, Cytokine Research Section, Department of Molecular Oncology, University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Boulevard, Box 143, Houston, TX 77030. E-mail address: Back

3 Abbreviations used in this paper: MAC, Mycobacterium avium-intracellulare complex; EMSA, electrophoretic mobility shift assay; ROI, reactive oxygen intermediate; NAC, N-acetylcysteine; BHT, butylated hydroxytoluene; BHA, 3-tert-butyl-4-hydroxyanisole; PDTC, pyrrolidine dithiocarbamate; GSH, glutathione; FS, fibroblast; PB, polymyxin B; MnSOD, manganese superoxide dismutase. Back

Received for publication March 13, 1998. Accepted for publication June 22, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Contreras, M. A., O. T. Cheung, D. E. Sanders, R. S. Goldstein. 1988. Pulmonary infection with nontuberculous mycobacteria. Am. Rev. Resp. Dis. 137:149.[Medline]
  2. Hawkins, C. C., J. W. Gold, E. Whimbey, T. E. Kiehn, P. Brannon, R. Cammarata, A. E. Brown, D. Armstrong. 1986. Mycobacterium avium complex infections in patients with the acquired immunodeficiency syndrome. Ann. Int. Med. 105:184.
  3. Klatt, E. C., D. F. Jensen, P. R. Meyer. 1987. Pathology of Mycobacterium avium-intracellulare infection in acquired immunodeficiency syndrome. Hum. Pathol. 18:709.[Medline]
  4. Modilevsky, T., F. R. Sattler, P. F. Barnes. 1989. Mycobacterial disease in patients with human immunodeficiency virus infection. Arch. Int. Med. 149:2201.
  5. Nightingale, S. D., L. T. Byrd, P. M. Southern, J. D. Jockusch, S. X. Cal, B. A. Wynne. 1992. Incidence of Mycobacterium avium-intracellulare complex bacteremia in human immunodeficiency virus-positive patients. J. Infect. Dis. 165:1082.[Medline]
  6. Jr Horsburgh, C. R., J. A. Havlik, D. A. Ellis, E. Kennedy, S. A. Fann, R. E. Dubois, S. E. Thompson. 1991. Survival of patients with acquired immune deficiency syndrome and disseminated Mycobacterium avium complex infection with and without antimycobacterial chemotherapy. Am. Rev. Res. Dis. 144:557.[Medline]
  7. Hauf, N., W. Goebel, F. Fiedler, Z. Sokolovic, and M. Kuhn. 1997. Listeria monocytogenes infection of P388D1 macrophages results in a biphasic NF-{kappa}B (RelA/p50) activation induced by lipoteichoic acid and bacterial phospholipases and mediated by I{kappa}B-{alpha} and I{kappa}Bß degradation. Proc. Natl. Acad. Sci. USA 94:9394.
  8. Hauf, N., W. Goebel, E. Serfling, and M. Kuhn. 1994. Listeria monocytogenes infection enhances transcription factor NF-{kappa}B in P388D1 macrophage-like cells. Infect. Immun. 62:2740.
  9. Norgard, M. V., L. L. Arndt, D. R. Akins, L. L. Curetty, D. A. Harrich, J. D. Radolf. 1996. Activation of human monocytic cells by Treponema pallidum and Borrelia burgdorferi lipoproteins and synthetic lipopeptides proceeds via a pathway distinct from that of lipopolysaccharide but involves the transcriptional activator NF-{kappa}B. Infect. Immun. 64:3845.[Abstract]
  10. Ebnet, K., K. D. Brown, U. K. Siebenlist, M. M. Simon, S. Shaw. 1997. Borrelia burgdorferi activates nuclear factor-{kappa}B and is a potent inducer of chemokine and adhesion molecule gene expression in endothelial cells and fibroblasts. J. Immunol. 158:3285.[Abstract]
  11. Wooten, R. M., V. R. Modur, T. M. McIntyre, J. J. Weis.. 1996. Borrelia burgdorferi outer membrane protein A induces nuclear translocation of nuclear factor-{kappa}B and inflammatory activation in human endothelial cells. J. Immunol. 157:4584.[Abstract]
  12. Pahl, H. L., P. A. Baeuerle. 1995. Expression of influenza virus hemagglutinin activates transcription factor NF-{kappa}B. J. Virol. 69:1480.[Abstract]
  13. Toossi, Z., B. D. Hamilton, M. H. Phillips, L. Y. Averill, J. J. Ellner, A. Salvekar. 1997. Regulation of nuclear factor-{kappa}B and its inhibitor I{kappa}B-{alpha}/MAD-3 in monocytes by Mycobacterium tuberculosis and during human tuberculosis. J. Immunol. 159:4109.[Abstract]
  14. Harrison, T. S., S. Nong, S. M. Levitz. 1997. Induction of human immunodeficiency virus type 1 expression in monocytic cells by Cryptococcus neoformans and Candida albicans. J. Infec. Dis. 176:485.[Medline]
  15. Naumann, M., S. Wessler, C. Bartsch, B. Wieland, T. F. Meyer. 1997. Neisseria gonorrhoeae epithelial cell interaction leads to the activation of the transcription factors nuclear factor-{kappa}B and activator protein 1 and the induction of inflammatory cytokines. J. Exp. Med. 186:247.[Abstract/Free Full Text]
  16. Ivanov, V., B. Stein, I. Baumann, D. A. Dobbelaere, P. Herrlich, R. O. Williams. 1989. Infection with the intracellular protozoan parasite Theileria parva induces constitutively high levels of NF-{kappa}B in bovine T lymphocytes. Mol. Cell. Biol. 9:4677.[Abstract/Free Full Text]
  17. Thanos, D., T. Maniatis. 1995. NF-{kappa}B: a lesson in family values. Cell 80:529.[Medline]
  18. Baeuerle, P. A., V. R. Baichwal. 1997. NF-{kappa}B as a frequent target for immunosuppressive and anti-inflammatory molecules. Adv. Immunol. 65:111.[Medline]
  19. Scherer, D. C., J. A. Brockman, Z. Chen, T. Maniatis, D. W. Ballard. 1995. Signal-induced degradation of I{kappa}B-{alpha} requires site-specific ubiquitination. Proc. Natl. Acad. Sci. USA 92:11259.[Abstract/Free Full Text]
  20. Roff, M., J. Thompson, M. S. Rodriguez, J. M. Jacque, F. Baleux, F. Arenzana Seisdedos, R. T. Hay. 1996. Role of I{kappa}B-{alpha} ubiquitination in signal-induced activation of NF-{kappa}B in vivo. J. Biol. Chem. 271:7844.[Abstract/Free Full Text]
  21. Baeuerle, P. A., T. Henkel. 1994. Function and activation of NF-{kappa}B in the immune system. Annu. Rev. Immunol. 12:141.[Medline]
  22. Kansal, R. G., R. Gomez-Flores, I. Sinha, R. T. Mehta. 1997. Therapeutic efficacy of liposomal clofazimine against Mycobacterium avium complex in mice depends on size of initial inoculum and duration of infection. Antimicrob. Agents Chemother. 41:17.[Abstract]
  23. Li, J. J., L. W. Oberley. 1997. Overexpression of manganese-containing superoxide dismutase confers resistance to the cytotoxicity of tumor necrosis factor {alpha} and/or hyperthermia. Cancer Res. 57:1991.[Abstract/Free Full Text]
  24. Chaturvedi, M. M., R. La Pushin, B. B. Aggarwal. 1994. Tumor necrosis factor and lymphotoxin: qualitative and quantitative differences in the mediation of early and late cellular responses. J. Biol. Chem. 269:14575.[Abstract/Free Full Text]
  25. Schreiber, E., P. Matthias, M. M. Muller, W. Schaffer. 1989. Rapid detection of octamer binding proteins with "mini-extracts," prepared from a small number of cells. Nucleic Acids Res. 17:6419.[Free Full Text]
  26. Bradford, M. M.. 1976. A rapid and sensitive method for quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Anal. Biochem. 72:248.[Medline]
  27. Singh, S., B. B. Aggarwal. 1995. Protein tyrosine phosphatase inhibitors block tumor necrosis factor-dependent activation of the nuclear transcription factor NF-{kappa}B. J. Biol. Chem. 270:10631.[Abstract/Free Full Text]
  28. Busam, K., C. Gieringer, M. Freudenberg, H. P. Hohmann. 1992. Staphylococcus aureus and derived exotoxins induce nuclear factor-{kappa}B-like activity in murine bone marrow macrophages. Infect. Immun. 60:2008.[Abstract/Free Full Text]
  29. Brown, M. C., S. M. Taffet. 1995. Lipoarabinomannans derived from different strains of Mycobacterium tuberculosis differentially stimulate the activation of NF-{kappa}B and KBF1 in murine macrophages. Infect. Immun. 63:1960.[Abstract]
  30. Radolf, J. D., L. L. Arndt, D. R. Akins, L. L. Curetty, M. E. Levi, Y. Shen, L. S. Davis, M. V. Norgard. 1995. Treponema pallidum and Borrelia burgdorferi lipoproteins and synthetic lipopeptides activate monocytes/macrophages. J. Immunol. 154:2866.[Abstract]
  31. Norgard, M. V., L. L. Arndt, D. R. Akins, L. L. Curetty, D. A. Harrich, J. D. Radolf. 1996. Activation of human monocytic cells by Treponema pallidum and Borrelia burgdorferi lipoproteins and synthetic lipopeptides proceeds via a pathway distinct from that of lipopolysaccharide but involves the transcriptional activator NF-{kappa}B. Infect. Immun. 64:3845.
  32. Grassme, H. U., R. M. Ireland, J. P. van Putten.. 1996. Gonococcal opacity protein promotes bacterial entry-associated rearrangements of the epithelial cell actin cytoskeleton. Infect. Immun. 64:1621.[Abstract]
  33. Naumann, M., S. Wessler, C. Bartsch, B. Wieland, T. F. Meyer. 1997. Neisseria gonorrhoeae epithelial cell interaction leads to the activation of the transcription factors nuclear factor-{kappa}B and activator protein 1 and the induction of inflammatory cytokines. J. Exp. Med. 186:247.
  34. Thompson, J. E., R. J. Phillips, H. Erdjument-Bromage, P. Tempst, S. Ghosh.. 1995. I{kappa}B-ß regulates the persistent response in a biphasic activation of NF-{kappa}B. Cell 80:573.[Medline]
  35. Schreck, R., K. Albermann, P. A. Baeuerle. 1992. Nuclear factor-{kappa}B: an oxidative stress-responsive transcription factor of eukaryotic cells. Free Radical Res. Comm. 17:221.
  36. Schreck, R., P. Rieber, P. A. Baeuerle. 1991. Reactive oxygen intermediates as apparently idly used messengers in the activation of the NF-{kappa}B transcription factor and HIV-1. EMBO J. 10:2247.[Medline]
  37. Schreck, R., B. Meier, D. N. Mannel, W. Droge, P. A. Baeuerle. 1992. Dithiocarbamates as potent inhibitors of nuclear factor-{kappa}B activation in intact cells. J. Exp. Med. 175:1181.[Abstract/Free Full Text]
  38. Palmer, G. H., Jr J. Machado, P. Fernandez, V. Heussler, T. Perinat, D. A. E. Dobbelaere.. 1997. Parasite-mediated nuclear factor-{kappa}B regulation in lymphoproliferation caused by Theileria parva infection. Proc. Natl. Acad. Sci. USA 94:12527.[Abstract/Free Full Text]
  39. Wong, G. H., J. H. Elwell, L. W. Oberley, D. V. Goeddel. 1989. Manganous superoxide dismutase is essential for cellular resistance to cytotoxicity of tumor necrosis factor. Cell 58:923.[Medline]
  40. Dyer, R. B., C. R. Collaco, D. W. Niesel, N. K. Herzog. 1993. Shigella flexneri invasion of HeLa cells induces NF-{kappa}B DNA-binding activity. Infect. Immun. 61:4427.[Abstract/Free Full Text]
  41. Wooten, R. M., V. R. Modur, T. M. McIntyre, J. J. Weis. 1996. Borrelia burgdorferi outer membrane protein A induces nuclear translocation of nuclear factor-{kappa}B and inflammatory activation in human endothelial cells. J. Immunol. 157:4584.
  42. Takashima, T., C. Ueta, I. Tsuyuguchi, S. Kishimoto. 1990. Production of tumor necrosis factor {alpha} by monocytes from patients with pulmonary tuberculosis. Infect. Immun. 58:3286.[Abstract/Free Full Text]
  43. Fujiwara, H., M. E. Kleinhenz, R. S. Wallis, J. J. Ellner. 1986. Increased interleukin-1 production and monocyte suppressor cell activity associated with human tuberculosis. Am. Rev. Res. Dis. 133:73.[Medline]
  44. Nabel, G., D. Baltimore. 1987. An inducible transcription factor activates expression of human immunodeficiency virus in T cells. Nature 326:711.[Medline]



This article has been cited by other articles:


Home page
J. Immunol.Home page
M. G. Gutierrez, B. B. Mishra, L. Jordao, E. Elliott, E. Anes, and G. Griffiths
NF-{kappa}B Activation Controls Phagolysosome Fusion-Mediated Killing of Mycobacteria by Macrophages
J. Immunol., August 15, 2008; 181(4): 2651 - 2663.
[Abstract] [Full Text] [PDF]


Home page
Infect. Immun.Home page
S.-Z. Ding, Y. Minohara, X. J. Fan, J. Wang, V. E. Reyes, J. Patel, B. Dirden-Kramer, I. Boldogh, P. B. Ernst, and S. E. Crowe
Helicobacter pylori Infection Induces Oxidative Stress and Programmed Cell Death in Human Gastric Epithelial Cells
Infect. Immun., August 1, 2007; 75(8): 4030 - 4039.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
S. K. Pathak, A. Bhattacharyya, S. Pathak, C. Basak, D. Mandal, M. Kundu, and J. Basu
Toll-like Receptor 2 and Mitogen- and Stress-activated Kinase 1 Are Effectors of Mycobacterium avium-induced Cyclooxygenase-2 Expression in Macrophages
J. Biol. Chem., December 31, 2004; 279(53): 55127 - 55136.
[Abstract] [Full Text] [PDF]


Home page
Infect. Immun.Home page
G. Lagoumintzis, M. Christofidou, G. Dimitracopoulos, and F. Paliogianni
Pseudomonas aeruginosa Slime Glycolipoprotein Is a Potent Stimulant of Tumor Necrosis Factor Alpha Gene Expression and Activation of Transcription Activators Nuclear Factor {kappa}B and Activator Protein 1 in Human Monocytes
Infect. Immun., August 1, 2003; 71(8): 4614 - 4622.
[Abstract] [Full Text] [PDF]


Home page
Infect. Immun.Home page
K. R. Morris, R. D. Lutz, H.-S. Choi, T. Kamitani, K. Chmura, and E. D. Chan
Role of the NF-{kappa}B Signaling Pathway and {kappa}B cis-Regulatory Elements on the IRF-1 and iNOS Promoter Regions in Mycobacterial Lipoarabinomannan Induction of Nitric Oxide
Infect. Immun., March 1, 2003; 71(3): 1442 - 1452.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
T. Greenwell-Wild, N. Vazquez, D. Sim, M. Schito, D. Chatterjee, J. M. Orenstein, and S. M. Wahl
Mycobacterium avium Infection and Modulation of Human Macrophage Gene Expression
J. Immunol., December 1, 2002; 169(11): 6286 - 6297.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
H. Hale-Donze, T. Greenwell-Wild, D. Mizel, T. M. Doherty, D. Chatterjee, J. M. Orenstein, and S. M. Wahl
Mycobacterium avium Complex Promotes Recruitment of Monocyte Hosts for HIV-1 and Bacteria
J. Immunol., October 1, 2002; 169(7): 3854 - 3862.
[Abstract] [Full Text] [PDF]


Home page
J. Leukoc. Biol.Home page
V. Mollace, D. Salvemini, D. P. Riley, C. Muscoli, M. Iannone, T. Granato, L. Masuelli, A. Modesti, D. Rotiroti, R. Nistico, et al.
The contribution of oxidative stress in apoptosis of human-cultured astroglial cells induced by supernatants of HIV-1-infected macrophages
J. Leukoc. Biol., January 1, 2002; 71(1): 65 - 72.
[Abstract] [Full Text] [PDF]


Home page
Infect. Immun.Home page
H. Yamada, S. Mizuno, M. Reza-Gholizadeh, and I. Sugawara
Relative Importance of NF-kappa B p50 in Mycobacterial Infection
Infect. Immun., November 1, 2001; 69(11): 7100 - 7105.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
N. Reiling, A. Blumenthal, H.-D. Flad, M. Ernst, and S. Ehlers
Mycobacteria-Induced TNF-{alpha} and IL-10 Formation by Human Macrophages Is Differentially Regulated at the Level of Mitogen-Activated Protein Kinase Activity
J. Immunol., September 15, 2001; 167(6): 3339 - 3345.
[Abstract] [Full Text] [PDF]


Home page
Infect. Immun.Home page
H.-Y. Kim and Y. Rikihisa
Expression of Interleukin-1beta , Tumor Necrosis Factor Alpha, and Interleukin-6 in Human Peripheral Blood Leukocytes Exposed to Human Granulocytic Ehrlichiosis Agent or Recombinant Major Surface Protein P44
Infect. Immun., June 1, 2000; 68(6): 3394 - 3402.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
M. Miettinen, A. Lehtonen, I. Julkunen, and S. Matikainen
Lactobacilli and Strepto