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The Journal of Immunology, 1998, 161: 4992-4999.
Copyright © 1998 by The American Association of Immunologists

Role of IL-6 and the Soluble IL-6 Receptor in Inhibition of VCAM-1 Gene Expression1

Jae-Wook Oh*, Nicholas J. Van Wagoner*, Stefan Rose-John{dagger} and Etty N. Benveniste2,*

* Department of Cell Biology, University of Alabama, Birmingham, AL; and {dagger} Section of Pathophysiology, First Department of Medicine, University of Mainz, Mainz, Germany


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Adhesion molecules such as VCAM-1 and ICAM-1 are increased in the central nervous system (CNS) during inflammatory responses and contribute to extravasation of leukocytes across the blood-brain barrier (BBB) and into CNS parenchyma. Astrocytes contribute to the structural integrity of the BBB and can be induced to express VCAM-1 and ICAM-1 in response to cytokines such as TNF-{alpha}, IL-1ß, and IFN-{gamma}. In this study, we investigated the influence of IL-6 on astroglial adhesion molecule expression. IL-6, the soluble form of the IL-6R (sIL-6R), or both IL-6 plus sIL-6R, had no effect on VCAM-1 or ICAM-1 gene expression. Interestingly, the IL-6/sIL-6R complex inhibited TNF-{alpha}-induced VCAM-1 gene expression but did not affect TNF-{alpha}-induced ICAM-1 expression. The inhibitory effect of IL-6/sIL-6R complex was reversed by the inclusion of anti-IL-6R and gp130 Abs, demonstrating the specificity of the response. A highly active fusion protein of sIL-6R and IL-6, covalently linked by a flexible peptide, which is designated H-IL-6, also inhibited TNF-{alpha}-induced VCAM-1 expression. sIL-6R alone was an effective inhibitor of TNF-{alpha}-induced VCAM-1 due to endogenous IL-6 production. These results indicate that the IL-6 system has an unexpected negative effect on adhesion molecule expression in glial cells and may function as an immunosuppressive cytokine within the CNS.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Interleukin-6 is a pleiotropic cytokine involved in the regulation of inflammatory and immunologic responses (for review, see 1 . IL-6 promotes the differentiation of B cells and subsequent Ig production, expands hemopoietic progenitor cells, and induces the expression of various acute phase proteins. As well, IL-6 has neurotrophic effects related to the regulation of neuronal survival, peripheral nerve regeneration, and neuroprotective effects (2, 3, 4, 5, 6). IL-6 has also been implicated in contributing to central nervous system (CNS)3 responses to inflammation and neurodegenerative diseases (7, 8, 9). The role of IL-6 in modulating immune and/or inflammatory responses is complex. IL-6 can function as a proinflammatory cytokine by enhancing leukocyte recruitment by up-regulating chemokine production and adhesion molecule expression (10, 11, 12, 13), yet, under some circumstances, IL-6 serves as an antiinflammatory cytokine by inhibiting TNF-{alpha} expression (14, 15) and inducing the expression of soluble TNF-{alpha} receptors and the IL-1R antagonist (16, 17). Studies have also documented an antiinflammatory effect of IL-6 in animal models of endotoxemia, lung injury, T cell activation-associated hepatic injury, and Theiler’s virus-induced demyelination (18, 19, 20, 21).

Cells responsive to IL-6 express on their surface a low affinity receptor (IL-6R{alpha}) that does not have transducing activity. The IL-6/IL-6R complex induces the homodimerization of a signal-transducing component, gp130, leading to cytoplasmic signaling cascades that activate components of the Janus Kinase (JAK)/STAT pathway, particularly the activation of the transcription factor STAT-3 (for review, see 1 . A soluble form of the IL-6R (sIL-6R) can be generated by shedding of the membrane-bound receptor (22, 23) or by mRNA alternative splicing (24). Since the transmembrane and cytoplasmic regions of the IL-6R are not essential for signal transduction, sIL-6R can form a complex with IL-6 in solution and associate with gp130, thereby activating signal transduction. This ability of sIL-6R to confer IL-6 responsiveness to cells devoid of the membrane-bound IL-6R, but expressing gp130, has been referred to as trans-signaling (for review, see 25 . The sIL-6R is found in the serum, urine, synovial fluid, and cerebrospinal fluid (CSF) of normal individuals (26), and augmented serum levels have been documented in various autoimmune diseases (for review, see 25 .

There are numerous cellular sources of IL-6 within the CNS; these include astrocytes, microglia, and neurons (27, 28, 29, 30, 31). However, the function of IL-6 within the CNS, particularly on glial cells, has not been well established. IL-6, in conjunction with the sIL-6R, can confer IL-6 sensitivity to endothelial cells, resulting in the expression of the adhesion molecules ICAM-1, VCAM-1, and E-selectin, as well as chemokine production (10, 12). Astrocytes, the major glial cell type in the CNS, can express ICAM-1 and VCAM-1 upon stimulation with the proinflammatory cytokines TNF-{alpha}, IL-1ß, and IFN-{gamma} (32, 33, 34, 35). Adhesion molecules such as ICAM-1 and VCAM-1 are increased in the CNS particularly during times of inflammation and are thought to contribute to extravasation of leukocytes across the blood-brain barrier (BBB) and into CNS parenchyma (36, 37). In disease states, ICAM-1 and VCAM-1 expression have been detected on the endothelial cells comprising the BBB, as well as astrocytes and microglia, which contribute to the structural integrity of the BBB (37).

In this study, we have examined potential functional effects of IL-6 on human astrocytes and human astroglioma cells, with an emphasis on modulation of ICAM-1 and VCAM-1 expression by these cells. IL-6 treatment of astroglioma cells/astrocytes did not induce either ICAM-1 or VCAM-1 expression, and the inclusion of sIL-6R did not change this response. However, the IL-6/sIL-6R complex did inhibit TNF-{alpha}-induced VCAM-1 expression, while not affecting TNF-{alpha}-induced ICAM-1 expression. A comparable level of VCAM-1 inhibition was achieved using a highly active fusion protein of sIL-6R and IL-6 that is designated H-IL-6 (38). Furthermore, inclusion of sIL-6R alone to TNF-{alpha}-treated astroglioma cells resulted in inhibition of VCAM-1 expression due to endogenous IL-6 production by these cells. These findings indicate that sIL-6R can modulate the responsiveness of astrocytes to IL-6.


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

U373-MG human astroglioma cells were maintained in MEM with 1 mM Earles BSS media with 2 mM L-glutamine, 100 U/ml penicillin, 100 µg/ml streptomycin, and 10% heat-inactivated FBS. For passage, monolayers were rinsed with PBS and then dislodged by trypsinization (0.25% trypsin, 0.02% EDTA). Human fetal astrocytes were prepared as previously described (39). Briefly, human fetal brain tissue between 8 and 15 wk gestation from legal curettage were minced and passed through a 19-gauge needle. Cells were plated at 1 x 106 cells/ml in Eagle’s MEM with 10% FBS, 2 mM glutamine, penicillin/streptomycin, and fungizone. Cells were passaged for 4 to 6 wk before use. Astrocyte purity was determined by staining for glial fibrillary acidic protein (GFAP); the astrocyte cultures were >92% GFAP positive (39). Biopsy material from patients undergoing surgery to treat intractable epilepsy were used to prepare human adult astrocyte cultures, as previously described (40). Astrocytes were obtained after 30 days in culture and were 87 to 93% GFAP positive (40). Comparable results were obtained with fetal or adult astrocyte cultures.

Reagents

Human recombinant TNF-{alpha} (sp. act. 5.6 x 107 U/mg) was the generous gift of Genentech (South San Francisco, CA), human recombinant sIL-6R was purchased from R&D Systems (Minneapolis, MN), and human recombinant IL-6 was from Collaborative Biomedical Products (Bedford, MA) and R&D Systems. Hybrid-IL-6 (H-IL-6) was prepared as previously described (38). Neutralizing monoclonal anti-human IL-6 Ab (clone 6708.111), neutralizing monoclonal anti-human sIL-6R Ab (clone 17506.11), and monoclonal anti-human gp130 neutralizing Ab (clone 28126.111) were from R&D Systems. Anti-human VCAM-1 Abs (clone 1G11B1, IgG1 isotype) were obtained from Serotec (Washington, DC). Monoclonal Ab to GFAP was obtained from Boehringer Mannheim (Indianapolis, IN). Goat anti-mouse H and L chain FITC-labeled Abs were from Southern Biotechnology Associates (Birmingham, AL). Mouse anti-human ICAM-1 mAb (IgG1) conjugated to phycoerythrin (PE) was purchased from PharMingen (San Diego, CA), and mouse IgG1 conjugated to phycoerythrin was from Southern Biotechnology Associates. Polyclonal STAT-3 and STAT-1{alpha} antisera were purchased from Santa Cruz Biotechnology (Santa Cruz, CA), and monoclonal antiphosphotyrosine Ab 4G10 was from Upstate Biotechnology (Lake Placid, NY).

Immunoprecipitation and Western blot analysis

U373-MG cells/human astrocytes were untreated or treated with IL-6, IL-6/sIL-6R, H-IL-6, or IFN-{gamma} for 30 min. Cell lysates from control or treated cells were prepared as previously described (41), and 0.5 to 1 mg of protein was precleared with normal rabbit serum before incubation with polyclonal antisera against STAT-3 or STAT-1{alpha} (5 µl). Protein G-agarose (50 µl) was added for 2 h at 4°C. The immunoprecipitates were washed 3 to 5 times with lysis buffer, eluted from the agarose beads by boiling in 2x SDS-sample buffer, and subjected to 6% SDS-PAGE. Proteins were then transferred to nitrocellulose and probed with monoclonal anti-phosphotyrosine Ab 4G10 (1 µg/ml), as previously described (41). Enhanced chemiluminescence (ECL) was used for detection of bound Ab. Membranes were stripped at 50°C in buffer containing 100 mM 2-ME, 2% SDS, 62.5 mM Tris-HCl (pH 6.7) with occasional shaking, and reprobed for either STAT-3 or STAT-1{alpha} protein.

RNA isolation, riboprobes, and RNase protection assay (RPA)

Total cellular RNA was isolated from cell monolayers that were incubated for 12 h with the different cytokines, as previously described (42). Briefly, cells were washed once with PBS and lysed directly in the culture dish. RNA was extracted with guanidinium isothiocyanate and phenol and precipitated with ethanol. A pBluescript SK(±) vector (Stratagene, La Jolla, CA) containing a fragment of the human VCAM-1 cDNA (bp 1307–2811) was obtained from the American Type Culture Collection (ATCC; Manassas, VA). The vector was linearized with SpeI, which digests within the VCAM-1 cDNA insert. In vitro transcription of this linearized vector with T7 RNA polymerase results in a 449-bp antisense RNA probe, and the protected fragment is 427 nucleotides (35). A pAMP-1 vector (Life Technologies, Grand Island, NY) containing a fragment of the human GAPDH cDNA (bp 43–531) was linearized with NcoI, which digests within the GAPDH cDNA insert. In vitro transcription of this linearized vector with T7 RNA polymerase results in a 290-bp antisense RNA probe, and the protected fragment is 230 nucleotides. GAPDH mRNA was utilized as a "housekeeping gene" since its levels are not affected by cytokine treatment.

RNase protection assay (RPA) was conducted with an RPA kit according to the manufacturer’s instructions (Ambion, Austin, TX), as previously described (35). Briefly, 15 µg of total cellular RNA was hybridized with VCAM-1 (2.5 x 104 cpm) and GAPDH (2.0 x 104 cpm) riboprobes at 42°C overnight in 20 µl of 40 mM PIPES (pH 6.4), 80% deionized formamide, 400 mM NaOAc, and 1 mM EDTA. The hybridized mixture was then treated with RNase A/T1 (1:200 dilution in 200 µl of RNase digestion buffer) at room temperature for 1 h, and RNA was precipitated and analyzed by 5% denaturing (8 M urea) polyacrylamide gel electrophoresis. The gels were exposed to x-ray film, and quantitation of protected RNA fragments was performed by scanning with the PhosphorImager (Molecular Dynamics, Sunnyvale, CA). Values for VCAM-1 were normalized to GAPDH mRNA levels for each experimental condition.

Analysis of VCAM-1 and ICAM-1 protein expression by immunofluorescence flow cytometry

Human U373-MG astroglioma cells (2 x 105/well) or primary human astrocytes (5 x 105/well) were plated in six-well (35-mm2) plates (Costar, Cambridge, MA) and grown to ~80% confluency. At that time, the original medium was aspirated off; cells were washed with PBS, and then fresh serum-free media (1 ml) was added to wells. Duplicate wells were treated with medium alone, cytokines, sIL-6R, or H-IL-6 for 48 h. Cells were trypsinized, suspended in PBS containing 5% FBS and 0.02% azide, stained with anti-human VCAM-1 (1:500 dilution), washed twice, and then stained with FITC-labeled goat anti-mouse Abs (1:100 dilution). Cells were also stained for ICAM-1 as previously described (43). After washing three times, cells were fixed in 1% paraformaldehyde and analyzed on the FACStar (Becton Dickinson, Mountain View, CA) for VCAM-1 and ICAM-1 expression. We have previously determined that trypsinization does not affect cell surface expression of VCAM-1 or ICAM-1 (35, 43). Negative controls were incubated with an isotype-matched (IgG1) control mAb. Ten thousand cells were analyzed for each sample. VCAM-1 is expressed as the percentage of positive cells, and ICAM-1 expression is presented in arbitrary units and is calculated as the percentage of positive cells x mean fluorescence intensity (MFI).

Measurement of IL-6 activity

U373-MG cells were incubated with medium alone, TNF-{alpha}, sIL-6R, or TNF-{alpha} plus sIL-6R for 24 h; then supernatants were collected. IL-6 activity in culture supernatants was determined in a biologic assay using the IL-6-dependent B cell hybridoma B9, as previously described (30). Briefly, B9 cells (2 x 103 cells/well) were plated in 96-well microtiter plates; serial dilutions of conditioned medium and recombinant human IL-6 (used as a standard) were added and incubated at 37°C for 72 h. Triplicate cultures were set up for each condition. After this incubation, B9 cell growth was assessed using the MTT assay, as described previously (30).

Measurement of sVCAM-1 production

U373-MG cells were incubated with medium alone, TNF-{alpha}, sIL-6R, or TNF-{alpha} plus sIL-6R for 72 h; then culture supernatants were collected, centrifuged, and stored at -70°C until use. sVCAM-1 in culture supernatants was quantitated using a dual-Ab solid phase ELISA (R&D Systems), according to the manufacturer’s instructions. Briefly, supernatants were diluted 1:2 in the dilution buffer provided with the ELISA kit. The diluted supernatants and recombinant sVCAM-1 (as a standard) were applied to the wells. Unbound protein was removed by washing, and horseradish peroxidase-conjugated anti-VCAM-1 Ab was added. After the color reaction with substrate, the optical density was recorded at 450-nm wavelength with an automated ELISA reader. sVCAM-1 concentrations were determined in relation to the standard curve generated with recombinant sVCAM-1 provided by the manufacturer.

Statistical analysis

Levels of significance for comparisons between samples were determined using Student’s t test distribution.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Response of human astroglioma cells/astrocytes to IL-6

As an initial measure of responsiveness to IL-6, we tested the ability of IL-6, IL-6/sIL-6R, or H-IL-6 to induce tyrosine phosphorylation of STAT-3 in the U373-MG astroglioma line and human astrocytes. As shown in Figure 1GoA, stimulation of U373-MG cells with IL-6 alone has a minimal effect on STAT-3 phosphorylation (lane 2). These results suggest that the astroglioma cells constitutively express very low levels of the IL-6R, which was confirmed by FACS analysis (data not shown). However, when sIL-6R was used together with IL-6, a clear induction of STAT-3 phosphorylation was observed (lane 3). As well, we tested H-IL-6, which is a fusion protein of sIL-6R and IL-6, linked by a flexible peptide chain (38). H-IL-6 has been determined to be fully active at a 100-fold lower concentration than the combination of unlinked IL-6 and sIL-6R (38). H-IL-6 at 10 ng/ml also stimulates STAT-3 tyrosine phosphorylation in U373-MG cells (lane 4), at a level comparable to IL-6/sIL-6R (lane 3). The blot was stripped and reprobed for STAT-3 to determine amounts of STAT-3 protein present in each lane (Fig. 1GoA, bottom panel). In some cell types, IL-6 is able to induce tyrosine phosphorylation of STAT-1{alpha} (for review, see 1 . U373-MG cells were stimulated with IFN-{gamma} (100 U/ml) or IL-6/sIL-6R; then STAT-1{alpha} phosphorylation was examined. IFN-{gamma} stimulation results in STAT-1{alpha} tyrosine phosphorylation (Fig. 1GoB, lane 2), while IL-6/sIL-6R is without effect (lane 3). The blot was stripped and reprobed for STAT-1{alpha} protein (Fig. 1GoB, bottom panel). Similar results were obtained in primary human astrocytes. IL-6 alone did not stimulate STAT-3 phosphorylation (Fig. 1GoC, lane 2), while the combination of IL-6/sIL-6R did (lane 3). Furthermore, IL-6 or IL-6/sIL-6R did not activate STAT-1{alpha} (lanes 5 and 6). These results collectively indicate that IL-6/sIL-6R complexes activate STAT-3, but not STAT-1{alpha}, in astroglioma cells and primary human astrocytes.



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FIGURE 1. IL-6 plus soluble IL-6 receptor (sIL-6R) induce tyrosine phosphorylation of STAT-3 in U373-MG astroglioma cells and human astrocytes. U373-MG cells were incubated with medium (lane 1), IL-6 (5 ng/ml; lane 2), IL-6 plus sIL-6R (100 ng/ml; lane 3), or H-IL-6 (10 ng/ml; lane 4) for 30 min. Cell lysates were prepared and immunoprecipitated with polyclonal antisera to STAT-3, and then analyzed by Western blotting with a monoclonal anti-phosphotyrosine Ab, 4G10. The blots were developed using enhanced chemiluminescence (A). The blot was stripped and reprobed for STAT-3 protein (bottom panel). U373-MG cells were incubated with medium (lane 1), IFN-{gamma} (100 U/ml; lane 2), or IL-6 plus sIL-6R (lane 3) for 30 min. Cell lysates were prepared and immunoprecipitated with polyclonal antisera to STAT-1{alpha}, and then Western blotted with 4G10 Ab (B). The blot was stripped and reprobed for STAT-1{alpha} protein (bottom panel). Primary human adult astrocytes were incubated with medium (lanes 1 and 4), IL-6 (5 ng/ml; lanes 2 and 5), or IL-6 plus sIL-6R (100 ng/ml; lanes 3 and 6) for 30 min. Cell lysates were prepared and immunoprecipitated with polyclonal antisera to STAT-3 (lanes 1–3) or STAT-1{alpha} (lanes 4–6), then analyzed by Western blotting with a monoclonal anti-phosphotyrosine Ab, 4G10 (C). The blots were stripped and reprobed for STAT-3 (lanes 1–3) or STAT-1{alpha} (lanes 4–6) (bottom panel). Molecular weight markers (kDa) are shown on the left of each blot. Representative of two experiments.

 
To define potential functional effects of IL-6 on astroglioma cells/astrocytes, we examined expression of two adhesion molecules, ICAM-1 and VCAM-1. These genes were chosen since it was previously shown that stimulation of endothelial cells with IL-6/sIL-6R augments expression of ICAM-1 and VCAM-1 (10, 12) and since astroglioma cells/astrocytes have the capacity to express ICAM-1 and VCAM-1 in response to TNF-{alpha}, IL-1ß, and IFN-{gamma} (35, 43, 44). In U373-MG cells, IL-6 alone or IL-6 plus sIL-6R had no effect on either VCAM-1 or ICAM-1 expression, compared with the positive control of TNF-{alpha} (Table IGo). IL-6 in conjunction with TNF-{alpha} resulted in minimal inhibition of VCAM-1 and ICAM-1 expression (9%). Interestingly, the combination of IL-6 plus sIL-6R significantly inhibited TNF-{alpha}-induced VCAM-1 expression, while having no effect on TNF-{alpha}-induced ICAM-1 (Table IGo). A representative histogram of the FACS results is shown in Figure 2Go. TNF-{alpha} treatment enhances the percentage of VCAM-1-positive cells (Fig. 2GoA, Profile 2), and inclusion of IL-6/sIL-6R inhibits the number of VCAM-1 positive cells (Profile 3). ICAM-1 is constitutively expressed on most cells (Fig. 2GoB, Profile 1), and TNF-{alpha} treatment enhances ICAM-1 expression (Profile 2). IL-6/sIL-6R complexes do not modulate TNF-{alpha}-enhanced ICAM-1 expression (Profile 3). IL-6 was tested in the range of 0.5 to 100 ng/ml in the presence of sIL-6R at 100 ng/ml; optimal inhibition was observed using IL-6 at 5 to 10 ng/ml (data not shown). These results indicate that IL-6/sIL-6R complexes can activate signaling in astroglioma cells through gp130, leading to a selective inhibition of TNF-{alpha}-induced VCAM-1 expression. Comparable results were observed using primary human astrocytes; TNF-{alpha} (50 ng/ml) induces VCAM-1 expression on astrocytes (0.9% to 45.5 ± 7.8% positive), while IL-6 (5 ng/ml)/sIL-6R (100 ng/ml) reduces TNF-{alpha}-induced VCAM-1 expression to 19.3 ± 2.4% positive (~58% inhibition). TNF-{alpha}-induced ICAM-1 expression was not affected by IL-6/sIL-6R (data not shown).


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Table I. IL-6/sIL-6R complex inhibits TNF-{alpha}-induced VCAM-1 expression

 


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FIGURE 2. IL-6/sIL-6R inhibits TNF-{alpha}-induced VCAM-1 expression. U373-MG cells were incubated with medium alone for 48 h, TNF-{alpha} (50 ng/ml) for 48 h, or with IL-6 (5 ng/ml) plus sIL-6R (100 ng/ml) in the presence of TNF-{alpha} for 48 h. The cells were then trypsinized and VCAM-1 (A) or ICAM-1 (B) expression was assessed by FACS analysis. Profile 1 is unstimulated cells, Profile 2 is TNF-{alpha}-treated cells, and Profile 3 is TNF-{alpha} plus IL-6/sIL-6R treatment. A representative experiment is shown.

 
The specificity of the IL-6/sIL-6R inhibitory response was determined by the inclusion of neutralizing anti-gp130 and anti-sIL-6R Abs. For these experiments, U373-MG cells were incubated with increasing concentrations of anti-gp130 Ab (.01–1.0 µg/ml) for 30 min at 37°C, then exposed to TNF-{alpha} plus IL-6 (5 ng/ml)/sIL-6R (100 ng/ml) for 48 h, or sIL-6R was incubated with anti-sIL-6R Ab (10 µg/ml) for 30 min at room temperature, then added to the cells in conjunction with TNF-{alpha} plus IL-6 for 48 h. The inclusion of Ab against the sIL-6R reversed the inhibitory effect of IL-6/sIL-6R on TNF-{alpha}-induced VCAM-1 expression by ~80%, while anti-gp130 Ab at 1 µg/ml reversed the inhibition by ~70%. The Abs alone had no effect on VCAM-1 expression (data not shown). These results indicate that prevention of signaling through the IL-6R and the signal-transducing protein gp130 blocks IL-6/sIL-6R inhibition of TNF-{alpha}-induced VCAM-1 expression.

Inhibition of VCAM-1 expression by H-IL-6

The fusion protein H-IL-6 was utilized in our studies for effects on VCAM-1 expression. U373-MG cells were incubated with increasing concentrations of H-IL-6 (0.1–10 ng/ml) alone or in conjunction with TNF-{alpha}; then VCAM-1 expression was examined. As shown in Figure 3Go, H-IL-6 alone did not affect VCAM-1 expression but inhibited TNF-{alpha}-induced expression of VCAM-1 in a dose-dependent manner. The extent of inhibition with 10 ng/ml of H-IL-6 (~78%) was greater than that obtained with IL-6/sIL-6R (~68% inhibition). The inhibitory effect of H-IL-6 was abrogated when cells were preincubated with 2 µg/ml of anti-gp130 Ab, then exposed to H-IL-6 plus TNF-{alpha} (Fig. 3Go). H-IL-6, similar to IL-6/sIL-6R, did not inhibit TNF-{alpha}-induced ICAM-1 expression (data not shown). These results indicate that the H-IL-6 fusion protein is fully functional for inhibition of TNF-{alpha}-induced VCAM-1 expression.



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FIGURE 3. H-IL-6 inhibits TNF-{alpha}-induced VCAM-1. U373-MG cells were incubated with medium, TNF-{alpha} (50 ng/ml), or H-IL-6 (0.1–10 ng/ml) for 48 h. In addition, cells were stimulated with IL-6 (5 ng/ml)/sIL-6R (100 ng/ml) plus TNF-{alpha}, or H-IL-6 (0.1 - 10 ng/ml) plus TNF-{alpha} for 48 h. In some cultures, cells were incubated for 30 min with 2 µg/ml of anti-gp130 Ab, then exposed to H-IL-6 (10 ng/ml) plus TNF-{alpha} for 48 h. Cells were harvested and stained for VCAM-1 expression. Mean ± SD of three experiments.

 
sIL-6R alone exerts an inhibitory effect on VCAM-1 expression

Our initial experiments tested the ability of either IL-6 or IL-6/sIL-6R to inhibit VCAM-1 expression. We next wished to determine whether sIL-6R alone influenced TNF-{alpha}-induced VCAM-1 expression. For these experiments, cells were incubated with TNF-{alpha} plus sIL-6R or IL-6/sIL-6R; then VCAM-1 expression was assessed. The inclusion of sIL-6R inhibited TNF-{alpha}-induced VCAM-1 expression by ~65%, and addition of IL-6 with sIL-6R minimally potentiated the ability of sIL-6R to inhibit VCAM-1 (Table IIGo). The effect of sIL-6R was dose dependent, with maximal inhibition obtained using 50 to 100 ng/ml of sIL-6R (data not shown). These results indicate that sIL-6R alone is strongly inhibitory for TNF-{alpha}-induced VCAM-1 expression. We have previously determined that astrocytes produce IL-6 in response to TNF-{alpha} stimulation (31). It was possible that TNF-{alpha} stimulation of U373-MG astroglioma cells resulted in IL-6 production and that the presence of sIL-6R then mediated the inhibitory effect of IL-6. To determine whether this was the case, we included a neutralizing Ab to human IL-6 (2 µg/ml) in the cultures containing sIL-6R plus TNF-{alpha}. The inclusion of the anti-IL-6 Ab completely reversed the inhibitory effect of sIL-6R (Table IIGo). These results suggest that IL-6 is produced during incubation of cells with TNF-{alpha} and sIL-6R, and blocking the interaction of IL-6 with sIL-6R prevents inhibition of VCAM-1 expression. To formally demonstrate this, IL-6 protein was measured from culture supernatants obtained from cells stimulated with TNF-{alpha}, sIL-6R, or both. TNF-{alpha} induced IL-6 protein production, while sIL-6R alone was without effect. However, a strong synergistic effect of TNF-{alpha} plus sIL-6R for enhanced IL-6 expression was noted in U373-MG astroglioma cells (Table IIIGo).


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Table II. sIL-6R alone inhibits TNF-{alpha}-induced VCAM-1 expression

 

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Table III. IL-6 production in U373-MG astroglioma cells by TNF-{alpha} and sIL-6R

 
TNF-{alpha}-induced release of sVCAM-1 is inhibited by sIL-6R

Another aspect of adhesion molecule expression is the generation of soluble forms of these molecules, as has been described for sVCAM-1, sICAM-1, and sE-selectin (45, 46, 47). We performed experiments to assess whether TNF-{alpha}-induced release of sVCAM-1 could also be affected by sIL-6R. U373-MG cells were stimulated in the presence of TNF-{alpha}, sIL-6R, or TNF-{alpha} plus sIL-6R for 72 h; then supernatants were collected and analyzed for levels of sVCAM-1. TNF-{alpha} induced the release of sVCAM-1, and sIL-6R inhibited this response by ~42% (Fig. 4Go). Thus, sVCAM-1 that is generated in the presence of TNF-{alpha} can be partially inhibited by the inclusion of sIL-6R.



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FIGURE 4. TNF-{alpha}-induced release of sVCAM-1 is inhibited by sIL-6R. U373-MG cells were incubated with medium, TNF-{alpha} (50 ng/ml), sIL-6R (100 ng/ml), or TNF-{alpha} plus sIL-6R for 72 h, and then culture supernatants were harvested and assayed for sVCAM-1 by ELISA. Mean ± SD of two experiments.

 
IL-6/sIL-6R inhibit TNF-{alpha}-induced VCAM-1 mRNA expression

We next examined whether IL-6/sIL-6R could modulate expression of VCAM-1 mRNA. As illustrated in Figure 5Go, U373-MG cells are constitutively negative for VCAM-1 mRNA (lane 1), while TNF-{alpha} induces expression (lane 2). Inclusion of IL-6 alone has no effect on TNF-{alpha}-induced VCAM-1 expression (lane 3), while sIL-6R inhibits TNF-{alpha}-induced VCAM-1 mRNA levels by ~40% (lane 4). The addition of IL-6 with sIL-6R (lane 5) slightly potentiates the inhibitory effect of sIL-6R (~45%). These findings at the mRNA level are comparable to what was observed at the VCAM-1 protein level (Tables I and II).



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FIGURE 5. IL-6/sIL-6R inhibits TNF-{alpha}-induced VCAM-1 mRNA expression. U373-MG cells were incubated with medium (lane 1), TNF-{alpha} (lane 2), TNF-{alpha} plus IL-6 (lane 3), TNF-{alpha} plus sIL-6R (lane 4), or TNF-{alpha} plus IL-6/sIL-6R (lane 5) for 12 h, and then RNA was isolated and analyzed for VCAM-1 and GAPDH mRNA by RPA. Representative of three experiments.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The role of the cytokine IL-6 within the CNS has been an area of active study for the last several years. Given the well-documented proinflammatory properties of IL-6, a number of studies have implicated IL-6 in contributing to astrogliosis (8, 9), inducing the expression of cerebral acute phase proteins (48), breakdown of the BBB (49), and neuroglial activation (7). As well, recent findings indicate that IL-6 has a number of immunosuppressive and neuroprotective functions (for review, see Refs. 5 and 50). The results from this study demonstrate that the IL-6/IL-6R/gp130 system can modulate the function of human astroglioma cells/astrocytes. Importantly, IL-6 alone failed to initiate intracellular signaling events within the astrocytes, as demonstrated by the inability of IL-6 to induce tyrosine phosphorylation of STAT-3 (Fig. 1Go, A and C). The inclusion of the sIL-6R restored the ability of IL-6 to activate STAT-3 (Fig. 1Go, A and C), indicating that astroglioma cells/astrocytes lack sufficient IL-6R{alpha} subunits to transmit IL-6-induced signals. This finding has also been demonstrated in human astrocytes for induction of the {alpha}1-antichymotrypsin (ACT) gene (48). IL-6 could not induce ACT expression in astrocytes, while cotreatment of cells with sIL-6R and IL-6 resulted in potent stimulation of ACT (48).

In this study, we demonstrate another function of sIL-6R and IL-6 on human astrocytes, that being the regulation of VCAM-1 expression. Our findings indicate that IL-6/sIL-6R complexes or the fusion protein H-IL-6 do not induce either ICAM-1 or VCAM-1 expression; rather they can inhibit TNF-{alpha}-induced VCAM-1 expression, while having no effect on TNF-{alpha}-induced ICAM-1 expression (Table IGo; Figure 2Go). These results were surprising given the literature that IL-6/sIL-6R complexes up-regulate ICAM-1 and VCAM-1 expression in endothelial cells and HepG2 cells (10, 12, 13). IL-6 activates ICAM-1 transcription in HepG2 cells by activating both STAT-1{alpha} and STAT-3 (13), while the mechanism for VCAM-1 induction is unknown. Our results in Figure 1Go demonstrate that IL-6/sIL-6R complexes can activate STAT-3, but not STAT-1{alpha}, in astroglioma cells/astrocytes. This may explain why ICAM-1 gene expression is not induced in these cells by IL-6/sIL-6R. Our findings demonstrate a selective inhibitory effect of IL-6/sIL-6R on TNF-{alpha}-induced VCAM-1 expression, with inhibition observed at both the mRNA and protein level. The regulatory elements that mediate TNF-{alpha}-induced ICAM-1 and VCAM-1 gene expression are distinct (for review, see 51 . TNF-{alpha} mediated transcriptional activation of VCAM-1 requires two tandem binding sites for NF-{kappa}B located in the VCAM-1 promoter at positions -73 and -58, as well as the binding site for IFN regulatory factor-1 (IRF-1) (51, 52). ICAM-1 transcription induced by TNF-{alpha} involves activation of NF-{kappa}B and CCAAT/enhancer-binding protein (C/EBP) transcription factors (for review, see 51 . While it is clear in human astrocytes that the IL-6/sIL-6R signal is not sufficient to induce expression of either VCAM-1 or ICAM-1, the IL-6/sIL-6R complex may selectively inhibit VCAM-1 expression by inducing negative repressors or interfering with the NF-{kappa}B/IFN regulatory factor-1-mediated induction of VCAM-1.

Interestingly, the results obtained in this study contrast with our previous findings in rat astrocytes (42). In those cells, IL-6 alone was a potent inhibitor of TNF-{alpha}, IL-1ß, or IFN-{gamma}-induced ICAM-1 expression (VCAM-1 expression was not tested). Thus, while human astrocytes need the inclusion of sIL-6R to respond to IL-6 (Ref. 48 and this study), IL-6 alone is able to induce signal transduction events in rat astrocytes (14, 42). Furthermore, the VCAM-1 gene is the target of IL-6-mediated inhibition in human astrocytes while ICAM-1 expression is unaffected. These results collectively demonstrate that the intracellular targets of the IL-6/sIL-6R/gp130 signaling pathways differ between rat and human astrocytes.

Astrocytes are well documented to produce IL-6 upon different immunogenic stimuli, including TNF-{alpha} stimulation (30, 31, 53). Our results indicate that TNF-{alpha} treatment of astroglioma cells results in the secretion of biologically active IL-6 (Table IIIGo) and that, upon the addition of sIL-6R, these cells can utilize the endogenously produced IL-6 for inhibition of VCAM-1 expression (Table IIGo). As well, IL-6 production increased when cells were incubated with TNF-{alpha} plus sIL-6R, suggesting that endogenously produced IL-6 can complex with sIL-6R, leading to a positive feedback loop for increased IL-6 production. IL-6/sIL-6R induction of IL-6 has been documented in other cell types, including neurons (27), endothelial cells (10, 12), fibroblasts (54), and Kaposi’s sarcoma cells (55). These findings suggest that, when sIL-6R is present, inducers of IL-6 such as TNF-{alpha} can initiate an autocrine amplification pathway of astrocyte activation.

It appears that, for many cell types, including human astrocytes, the limitation in mounting a biologic response to IL-6 is the lack of the IL-6R{alpha} subunit. sIL-6R has been detected in the CSF of normal patients (0.8–1.67 ng/ml) (26, 56), and levels do not appear to increase in disease states such as Alzheimer’s (48, 56). However, within the normal CNS, IL-6 is not constitutively present but is readily detected in the CSF of patients with multiple sclerosis (57, 58), traumatic brain injury (59, 60), and Alzheimer’s disease (61). It should be noted that the literature regarding elevated IL-6 levels in Alzheimer’s disease is controversial since other groups have not observed an increase in CSF levels of IL-6 (56, 62). Thus, the limiting factor for IL-6 responsiveness during various disease states may be IL-6 itself, given that gp130 is constitutively expressed in the brain (63, 64) and that sIL-6R levels are readily detectable in both normal and disease states (26). sIL-6R, in conjunction with IL-6, may provide the stimulus for astrocyte activation, leading to diverse responses, such as astrogliosis, ACT production, IL-6 production, and inhibition of VCAM-1 expression (Refs. 48 and 65, and this study). It will be of importance to determine whether the IL-6/sIL-6R complex affects other aspects of astrocyte function. As well, the source of sIL-6R within the CNS is unknown, as is the mechanism by which sIL-6R is produced within this site. Future studies will investigate potential cellular sources of sIL-6R in the CNS.


    Acknowledgments
 
We thank Dr. Eugene Major (National Institutes of Health, Bethesda, MD) for the human fetal astrocytes, Dr. Yancey Gillespie (University of Alabama, Birmingham, AL) for the human adult astrocytes, and Sue B. Wade for excellent secretarial and editorial assistance.


    Footnotes
 
1 This work was supported in part by Grant RG-2269 from the National Multiple Sclerosis Society, and National Institutes of Health Grants NS29719 and MH55795 (E.N.B.). N.J.V. was supported by a National Institutes of Health Predoctoral Fellowship (5-T32GM08111). Back

2 Address correspondence and reprint requests to Dr. Etty N. Benveniste, Department of Cell Biology, Room 350 MCLM, University of Alabama, Birmingham, Alabama 35294. E-mail address: Back

3 Abbreviations used in this paper: CNS, central nervous system; ACT, {alpha}1-antichymotrypsin; BBB, blood-brain barrier; CSF, cerebrospinal fluid; H-IL-6, hybrid IL-6; RPA, ribonuclease protection assay; sIL-6R, soluble form of IL-6R; GAPDH, glyceraldehyde-3-phosphate dehydrogenase; GFAP, glial fibrillary acidic protein. Back

Received for publication May 1, 1998. Accepted for publication June 25, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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