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The Journal of Immunology, 1999, 162: 423-434.
Copyright © 1999 by The American Association of Immunologists

Triggering of Chloride Ion Efflux from Human Neutrophils as a Novel Function of Leukocyte ß2 Integrins: Relationship with Spreading and Activation of the Respiratory Burst1

Renzo Menegazzi2, Sara Busetto, Eva Decleva, Rita Cramer, Pietro Dri and Pierluigi Patriarca

Department of Physiology and Pathology, University of Trieste, Trieste, Italy


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
PMN residing on immobilized fibronectin have been shown to respond to TNF with an intense and long lasting Cl- efflux that leads to a marked decrease of the unusually high basal Cl- content of these phagocytes. The finding that this Cl- efflux depends, at least in part, on ß2 integrin engagement stimulated the present investigation, which addresses the question as to whether ß2 integrins per se, in the absence of PMN agonists, are able to generate signals triggering Cl- efflux. We induced ß2 integrin cross-linking by plating PMN onto surface-bound mAbs directed against either the common ß-chain (CD18) or the individual {alpha}-chains (CD11a, CD11b, CD11c) of LFA-1, CR3, and gp150/95. Anti-CD18 mAbs triggered a marked release of Cl- ions, which was accompanied by spreading and activation of the respiratory burst. Cross-linking of gp150/95 and LFA-1 generated the most powerful signals for the activation of Cl- efflux. The results of three independent experimental approaches, i.e., kinetic studies, use of Cl- transport inhibitors, and modulation of Cl- efflux with different amounts of anti-ß2 integrin mAbs, indicated that Cl- efflux regulates both spreading and respiratory burst triggered by ß2 integrin cross-linking. Cl- efflux appears to be independent on either alterations of [Ca2+]i or changes in the plasma membrane potential and shows sensitivity to a raise in pHi. This study uncovers a new signaling ability of ß2 integrins and contributes to highlight the role of Cl- efflux in the outside-in signal transduction pathway regulating adherence-dependent PMN responses.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The interaction with immobilized biologic substrates, such as the extracellular matrix components or serum proteins, is a sine qua non condition for neutrophilic polymorphonuclear leukocytes (PMN)3 to respond, with a vigorous respiratory burst, to physiologically relevant agonists such as TNF-{alpha} (TNF), granulocyte-CSF, and granulocyte/macrophage-CSF. These molecules are unable to elicit a metabolic response from PMN in suspension, but become powerful stimulatory agents when they interact with adherent cells (1, 2, 3, 4, 5, 6, 7, 8, 9, 10). Surface proadhesive molecules belonging to the ß2 (CD11/CD18) integrin subfamily, namely LFA-1 (CD11a/CD18), CR3 (CD11b/CD18), and gp150/95 (CD11c/CD18), which are all expressed on neutrophil plasma membrane (11), play a crucial role in this respect. This is suggested by the inhibition by anti-ß2 mAbs of the TNF-induced adherence and respiratory burst in PMN in contact with surfaces coated with FBS, fibrinogen, or fibronectin (FN) (3, 7, 8, 9). A definitive proof is provided by the finding that PMN of patients with the type 1 leukocyte adhesion deficiency (LAD-1) syndrome, which genetically lack ß2 integrin expression (12), fail to respond with a burst of their oxidative metabolism to TNF when in contact with biologic surfaces (3).

A distinctive feature of resting PMN is their unusually high intracellular content of chloride ions, which has been estimated to be 80–90 mM (13). We have recently shown that PMN, exposed to TNF on immobilized FN, display a long-lasting and sustained Cl- efflux accompanied by a decrease in intracellular chloride levels, which is causally related to activation of the respiratory burst (10). The observation that the Cl- efflux was, at least in part, dependent on ß2 integrin-mediated adherence of PMN to FN suggested that these proadhesive molecules may play a direct role in eliciting signals that activate chloride release from PMN.

It has become increasingly clear that the role of ß2 integrins in mediating cytokine-stimulated PMN functions goes beyond their well recognized role of proadhesive molecules (reviewed in 14 . Studies by Nathan and coworkers first showed that two key events in TNF-induced activation of PMN respiratory burst, namely decrease in intracellular cAMP levels (6) and protein tyrosine phosphorylation (15), require the engagement of ß2 integrins with surfaces coated with proteins of the extracellular matrix. Subsequently, experiments performed by cross-linking the common ß-chain or the distinct {alpha}-chains of LFA-1, CR3, and gp150/95 of resting PMN by immobilized mAbs provided the first direct evidence of the ability of ß2 integrins to deliver signals for selective neutrophil functions, such as the release of oxygen reduction products, spreading, and protein tyrosine phosphorylation (16, 17, 18). Furthermore, ß2 integrins have been shown to modulate other PMN responses, such as the elevation in cytosolic free calcium (19, 20, 21, 22), the activation of phospholipase D (23, 24), actin polymerization (22, 25), leukotriene B4 production (26), the degranulation and modulation of L-selectin (22), changes in intracellular pH (27), and p21ras activation (28).

In this paper, we have tested the ability of PMN ß2 integrins to elicit Cl- efflux, independently of other stimuli, by inducing their cross-linkage with surface-bound mAbs directed against either the common ß-chain (CD18) or the individual {alpha}-chains (CD11a, CD11b, CD11c) of ß2 integrins. The results show that: 1) cross-linking of PMN ß2 integrins by specific mAbs is sufficient to trigger Cl- efflux; 2) the order of potency of the three ß2 integrin heterodimers is gp150/95 > LFA-1 > CR3; 3) Cl- efflux regulates both the spreading and the respiratory burst triggered by ß2 integrin cross-linking, as shown by the results of three independent experimental approaches, i.e., kinetic studies, use of Cl- transport inhibitors, and modulation of Cl- efflux with different amounts of anti-ß2 integrin mAbs; 4) Cl- efflux is independent on either alterations of [Ca2+]i or changes in the plasma membrane potential; and 5) the activation of Cl- efflux appears to be regulated by a raise in pHi and is independent on protein tyrosine phosphorylation and decrease of cAMP levels.


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

2-aminomethyl-4-(1,1-dimethylethyl)-6-iodophenol hydrochloride (MK-447), 2-aminomethyl-4-(1-methyl-1-phenylethyl)-6-chlorophenol hydrochloride (MK-447/A), and 2-aminomethyl-4-(1,1-dimethylethyl)-6-methylketone hydrochloride (MK-447/B) were generously provided by Merck Sharp & Dohme Research Laboratories (Rahway, NJ); BSA, {alpha}-cyano-4-hydroxy-cinnamic acid (CHC), cytochrome c (type VI, from horse heart), dibutyryl cAMP, [2,3-dichloro-4-(2-methylene-butyryl)phenoxy]acetic acid (ethacrynic acid, EA), 5-[aminomethylsulfonyl]-4-chloro-2-[(furanylmethyl)amino]benzoic acid (furosemide), genistein, isobutylmethylxantine, protein G, and 5-N,N-hexamethylene amiloride (NHA) were obtained from Sigma (St. Louis, MO). 1,2-bis(2-aminophenoxy)-ethane-N,N,N',N'-tetra-acetic acid tetrakis(acetoxymethyl ester) (BAPTA-AM), and 2',7'-bis-(2-carboxyethyl)-5,6-carboxyfluorescein acetoxymethyl ester (BCECF-AM) were purchased from Molecular Probes Europe BV (Leiden, The Netherlands). Glutardialdehyde (electron microscopic grade) and Tween 20 were obtained from Merck (Darmstadt, Germany). 3,3',5,5'-tetramethylbenzidine was purchased from Serva Feinbiochemica (Heidelberg, Germany). Percoll was obtained from Pharmacia (Uppsala, Svezia). FN was purified from human plasma by affinity chromatography on gelatin as previously described (29). Human rTNF, produced in the yeast Pichia pastoris, was obtained from Bissendorf Biochemicals (Hannover, Germany). Na36Cl- (sp. act. 14–15 µCi/g Cl-) was purchased from Amersham International (Amersham, U.K.). All other reagents and chemicals were of the highest purity grade available.

Antibodies

The following murine mAbs were used in this study: mAb TS1-18 (IgG1) and mAb 60.3 (IgG2a), recognizing the CD18 subunit (common ß-chain) of the CD11/CD18 Ag complex (30, 31); mAb TS1-22, mAb MY-904, and mAb 3.9, all belonging to the IgG1 subclass, which recognize CD11a (31), CD11b (32), and CD11c (33), respectively; and mAb BB7.5 (IgG1), directed against common determinants on the HLA-A,B,C (class I) molecule (34). mAb 60.3 and mAb 3.9 were kindly donated by Dr. J. M. Harlan (Washington University, Seattle, WA) and Dr. N. Hogg (Imperial Cancer Research Fund, London, U.K.), respectively. mAbs TS1-18, TS1-22, MY-904, and BB7.5 were affinity-purified from ascite fluids recovered from mice injected with the corresponding cell lines obtained from the American Type Culture Collection (Manassas, VA). Affinity-purified mAb A3G5 (IgG1) recognizes eosinophil peroxidase.

PMN isolation

PMN were isolated onto a Percoll gradient following the method described by Metcalf et al. (35), with slight modifications. Briefly, fresh blood collected in EDTA was layered onto a discontinuous gradient of 62% and 75% Percoll in PBS and centrifuged at 200 x g for 10 min and then at 400 x g for a further 15 min. The neutrophils were collected at the interface between the 62% and 75% Percoll and washed once in HEPES buffer (145 mM NaCl, 5 mM KCl, 5 mM glucose, 5 mM HEPES buffer, pH 7.4, and 0.2% BSA). Isolated PMN were freed of contaminating erythrocytes by a 10-s hypotonic lysis, washed again in HEPES buffer, and resuspended in the same medium. The resulting cell population contained 95–97% neutrophils, 2–3% eosinophils, and 1–2% mononuclear cells.

Preparation of FN-coated surfaces

The coating of flat-bottom microtiter plate-wells (MaxiSorp Immuno microwell plates, catalogue no. 442404; Nunc, Roskilde, Denmark) with FN was performed as previously described (36). Briefly, 50 µl of 20 µg/ml FN in PBS were deposited into replicate wells and the plate was left at 37°C for 1–2 h in a humidified incubator. Just before use, the wells were washed three times with PBS.

Preparation of mAb-coated surfaces

Immobilization of mAbs onto plate microwells with hydrazide (HZ) surface (HZ-wells) (carbohydrate-binding 8-well Strip Plate, catalogue no. 2508, Costar, Cambridge, MA), which allows site-specific binding of Abs through the carbohydrate moieties of the Fc region (37), was performed following the manufacturer’s protocol, with slight modifications. Briefly, mAbs were diluted to 10 µg/ml in 10 mM sodium acetate buffer, pH 4.0, containing 2.5 mM sodium periodate. Periodate-mediated activation of Fc-associated carbohydrate residues was continued for 30 min. Afterward, 50 µl aliquots of mAbs bearing dialdehydes groups of oxidized carbohydrates were transferred into HZ-wells and left to react for 1 h with the amine groups present on the HZ surface. The wells were then washed with two well-volumes of PBS-BSA 0.1% (w/v) added with 0.1% (v/v) Tween 20 (Merck, Darmstadt, Germany) and further rinsed extensively with PBS. Quenching of the remaining active sites of the wells was obtained by 1 h incubation with a 1% (w/v) solution of BSA in 10 mM Tris-HCl buffer, pH 8.8. Just before adding the cells, the wells were again extensively washed with PBS. Binding of mAbs was detected by ELISA with horseradish peroxidase (HRP)-conjugated rabbit anti-mouse Igs (Sigma) diluted 1/5000 in PBS-BSA-Tween 20 and revealed by using 3,3',5,5'-tetramethylbenzidine as substrate. After blocking the peroxidatic reaction with 2 N H2SO4, absorbance was read at 405 nm with a microplate reader (Multiskan MCC/340; Labsystem Oy, Helsinki, Finland). Binding of mAbs to protein G-coated surfaces was performed according to the method described by Schramm and Paek (38), with some modifications. Briefly, protein G (20 µg/ml in PBS) was incubated overnight at 4°C in microtiter plate wells (Nunc). After extensively washing with PBS, the wells were filled with a 1% (w/v) solution of BSA in PBS and incubated for 1 h at room temperature. After another washing, 50 µl of the mAb solution (10 µg/ml in PBS) were placed in the wells and further incubated for 1 h at room temperature. After another quenching step with the BSA solution, the wells were washed again with PBS just before adding the cells. Binding of mAbs was detected by ELISA with HRP-conjugated sheep anti-mouse IgG F(ab')2 (Sigma) diluted 1:10,000 in PBS-BSA-Tween 20 and revealed as described above. Binding of mAbs (250 µg/ml) to Staphylococcus aureus (Pansorbin, Calbiochem, San Diego, CA) was performed exactly as previously described (17). HZ-wells, protein G-coated wells, and S. aureus particles were coated with saturating doses of mAbs.

Measurements of 36Cl- efflux from PMN

PMN (10–15 x 106 cells/ml in HEPES buffer) were loaded with 36Cl- as described elsewhere (13). Briefly, PMN were incubated with 36Cl- (3.0–4.0 µCi/ml) for 2 h at 37°C in a shaking water bath to equilibrate 36Cl- between the intracellular and extracellular compartment. The cells were then washed twice with prewarmed unlabeled HEPES buffer to remove the tracer and suspended in the same buffer at 2 x 106 cells/ml. To measure 36Cl- release from PMN exposed to TNF on FN-coated surfaces, PMN were preincubated in suspension for 10 min at 37°C with or without 10 µg/ml of either mAb 60.3 or mAb TS1-18. On completion of the preincubation, the cell suspensions were supplemented, unless otherwise stated, with 1 mM CaCl2 and 1 mM MgCl2 (Ca2+/Mg2+-HEPES buffer). Then, 50 µl of the cell suspensions were added to replicate wells (8 wells per assay condition) containing, in a 100-µl volume of prewarmed Ca2+/Mg2+-HEPES buffer, 15 ng/ml TNF (final concentration 10 ng/ml). To measure 36Cl- release from unstimulated PMN plated onto mAbs immobilized to either HZ-wells or protein G-coated wells, the cells (2 x 106/ml in HEPES buffer) were first prewarmed in suspension for 10 min at 37°C. Then, 50 µl of the cell suspension were transferred to replicate wells coated with mAbs as described above and containing 100 µl of prewarmed HEPES buffer. After 1 h incubation at 37°C in a humidified incubator, 130-µl aliquots of the assay medium were collected from the replicate wells and pulled into microfuge tubes. After a 15-s centrifugation step at 12,000 x g, 750-µl aliquots of the supernatants were withdrawn and the 36Cl--associated radioactivity was counted by liquid scintillation counting in a Beckman LS6000TA ß counter (Beckman Instruments, Fullerton, CA). 36Cl- efflux from PMN in suspension was measured in polypropylene test tubes with 1) cells (2 x 106 in 1 ml of Ca2+/Mg2+-HEPES buffer) stimulated by 10 ng/ml TNF (Fig. 1Go, S-PMN); 2) cells (2 x 106 in 1 ml of HEPES buffer) exposed to mAb-coated S. aureus particles; and 3) cells (5 x 106 in 1 ml of HEPES buffer) preincubated for 30 min at room temperature with anti-ß2 mAbs (final concentration 5 µg/ml) and then exposed, after washing, to a goat anti-mouse F(ab')2 (final concentration 2.5 µg/ml). After 1 h incubation at 37°C in a shaking water bath, 800-µl aliquots of the assay medium were collected from duplicate tubes and centrifuged for 15 s at 12,000 x g. Afterward, 750-µl aliquots were withdrawn and counted as described above. To evaluate the effect of the Cl- transport inhibitors, PMN were preincubated in suspension with the compounds for 10 min at 37°C. The percentage efflux was calculated as follows: [(cpm in the supernatant of tx sample) - (cpm in the supernatant of t0 sample)]/[(total cpm of cell suspension) - (cpm of t0 supernatant)] x 100.



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FIGURE 1. ß2 integrin-mediated adherence contributes to TNF-induced 36Cl- efflux from PMN residing on FN-coated surfaces. Aliquots of 36Cl--loaded PMN (2 x 106/ml in HEPES buffer) were preincubated in suspension for 10 min at 37°C without or with 10 µg/ml of either mAb TS1-18 or mAb 60.3. At the end of the preincubation, CaCl2 and MgCl2 were added to the cell suspensions (final concentration of both cations 1 mM). One aliquot of 36Cl--loaded PMN (see columns labeled "no Mg++") was maintained in HEPES buffer containing 1 mM EDTA throughout the whole experimental procedure. The cells were transferred to either polypropylene test tubes (S-PMN) or tissue culture plate wells coated with FN (FN-PMN), and the incubation was started by adding TNF (final concentration 10 ng/ml). To assay 36Cl- efflux, aliquots of the supernatants were collected from the tubes or the wells and counted for radioactivity as described in detail in Materials and Methods. Inset. Adherence of TNF-stimulated PMN to FN-coated surfaces was assayed (in duplicate) in separate FN-coated wells with aliquots of 36Cl--loaded PMN used to measure 36Cl- efflux. On completion of the incubation, nonadherent PMN were removed by centrifuging the plates upside down, and the number of adherent cells was determined by assaying myeloperoxidase activity (10). The percentage of adherence was calculated using a calibration curve with known amounts of PMN. Data are expressed as described in Materials and Methods and represent the means of four experiments ± SD. Asterisks denote values significantly different from the control (*, p < 0.02; **, p < 0.01; Student t test on paired data).

 
Measurements of 36Cl- content (36Cl-)i of PMN

To determine the net movement of 36Cl- in PMN exposed to anti-ß2 integrin mAbs, the changes in 36Cl-i were measured. PMN (3–5 x 106 cells/ml) were loaded with 36Cl- and used without washing them free of the tracer. The assay was performed with either cells exposed to anti-ß2 integrin mAbs bound to HZ-plate wells or in the model of cells incubated in suspension with anti-ß2 integrin mAbs and then exposed to a secondary goat anti-mouse F(ab')2 (for details, see previous paragraph). In the HZ-plate method, on completion of the incubation the plate was spun at 250 x g for 5 min and the supernatant was discarded. After exhaustively washing the wells with PBS prewarmed at 37°C, the wells themselves were introduced in the vials and counted for radioactivity. In the assay performed with cells in suspension, the incubation was stopped by diluting the assay mixture with prewarmed PBS. After exhaustively washing the cells in the same medium, the bottom of the tubes were cut and the cell pellet-associated radioactivity was counted. The 36Cl- that remained associated to PMN at the selected incubation time was expressed as a percentage of 36Cl- associated to PMN at t = 0.

Immunofluorescence flow cytometry

Aliquots of 36Cl--loaded PMN were cooled to 4°C and incubated for 1 h with the indicated mAbs (2 µg/ml). After two washes with ice-cold PBS, the cells were incubated for a further 45 min with a FITC-labeled affinity-purified rabbit anti-mouse IgG F(ab')2. After two additional washings, the PMN were suspended in PBS containing 2% formaldehyde and analyzed by a flow cytometer (EPICS-C; Coulter, Hialeah, FL).

Assay of O2- production

Production of O2- was measured by means of the superoxide dismutase-inhibitable cytochrome c reduction, as detailed elsewhere (36). Briefly, 50 µl of PMN suspended at 2 x 106 cells/ml in HEPES buffer were added to mAb-coated wells containing, in a 100-µl volume of the same medium, 0.18 mM cytochrome c. Both the cell suspension and the plate were prewarmed for 5 min at 37°C. At the desired times, the plate was read at 550 nm and 540 nm. The amount of reduced cytochrome c was calculated from the absorbance difference between 550 nm and 540 nm using as a standard an absorbance of 0.037 OD units for 1 nmol of reduced cytochrome c.

Assay of adherence

Adherence assay was performed exactly as previously described (10). The quantitation of adherent PMN was performed by an enzymatic assay based on the measurement of myeloperoxidase activity.

Assessment of cell spreading

Phase contrast photomicrographs of PMN in contact with surface-bound anti-ß2 integrin Abs were taken from the wells where 36Cl- release was assayed by using a Leitz IMDL inverted microscope (Leica Mikroscopie & Systeme, Wetzlar, Germany) equipped with a Pentax K1000 reflex camera (Pentax, Tokyo, Japan).

Measurement of pHi

pHi was assayed by fluorescence spectrophotometry in PMN loaded with the pH-sensitive dye BCECF-AM using a 650-10S fluorescence spectrophotometer (Perkin-Elmer, Norwalk, CT). After loading with 36Cl-, the cells were washed free of the tracer, suspended in HEPES buffer containing 5 µM of BCECF-AM, and then incubated for 30 min at 37°C in a shaking water bath. mAb TS1-18 (final concentration 5 µg/ml) was added to the incubation mixture during the last 15 min of the incubation with BCECF-AM. After a washing step with prewarmed PBS, the cells were counted and suspended at 5 x 106/ml in HEPES buffer. Then, 1 ml of cell suspension was transferred to a cuvette thermostated at 37°C under continuous stirring. Changes in pHi were monitored upon addition of 2.5 µg/ml of a goat anti-mouse F(ab')2. To assay the effect of NHA or EA on pHi changes, the secondary Ab was added to cells previously preincubated with the required compound for 10 min at 37°C. The nigericin/K+ method described by Thomas et al. (39) was used to calibrate pHi.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
ß2 integrin-dependent adherence contributes to TNF-induced Cl- efflux in PMN residing on FN-coated surfaces

PMN were loaded with 36Cl- and then exposed to TNF either in suspension (S-PMN) or in contact with FN immobilized on a solid support (FN-PMN). As shown in Fig. 1Go, a 36Cl- efflux occurred from both FN-PMN and S-PMN, but the 36Cl- efflux from FN-PMN was >65% higher than that induced in S-PMN (86.6 ± 16.5% vs 51.2 ± 3.2%, mean ± SD, n = 4). The following experimental evidence suggested that this extra 36Cl- efflux was dependent on ß2 integrin-mediated adherence of PMN to FN. First,36Cl- efflux from TNF-stimulated FN-PMN was significantly decreased in the presence of two mAbs (60.3 and TS1-18) directed against the common ß-chain (CD18) of leukocyte ß2 integrins. These mAbs also inhibited PMN adherence to FN (inset in Fig. 1Go). Second, both adherence (inset) and 36Cl- efflux of FN-PMN were significantly decreased in Mg2+-free buffer, a condition known to prevent ß2 integrin activation (40, 41), (12.8 ± 3.6% adherence and 42.9 ± 1.1% 36Cl- efflux in Mg2+-free buffer vs 60.2 ± 10.5% adherence and 86.6 ± 16.5% 36Cl- efflux of control, mean ± SD, n = 4). It is worthy of note that the 36Cl- efflux from FN-PMN in Mg2+-free buffer was similar to that measured in S-PMN. As expected, the release of 36Cl- in S-PMN was unaffected by the absence of Mg2+.

Engagement of the ß-chain (CD18) of ß2 integrins by surface bound anti-CD18 mAbs triggers Cl- efflux from PMN

In the light of the results of the previous section, we set out to demonstrate directly the ability of ß2 integrins to trigger Cl- efflux from PMN independently of other agonists. To this end, we exploited an experimental model based on the cross-linking of ß2 integrins by specific mAbs immobilized through their Fc portion onto solid supports. The use of this method has already led to the demonstration that ß2 integrins deliver signals for some PMN functions, such as the reorganization of the cytoskeleton (17), the release of oxygen reduction products (17, 42), the activation of phospholipase D (23, 24), and protein tyrosine phosphorylation (18, 28).

The cross-linking of ß2 integrins of 36Cl--loaded PMN was obtained by exposing the cells to the anti-CD18 mAb TS1-18 immobilized on different supports, such as HZ-wells, protein G-coated polystyrene wells, and S. aureus particles in suspension, or by adding a secondary goat anti-mouse F(ab')2 to PMN suspensions that have been pre-exposed to mAb TS1-18. 36Cl- efflux was then measured in the supernatant after 60 min of incubation at 37°C as detailed in Materials and Methods.

Fig. 2Goa shows that the engagement of CD18 by mAb TS1-18 immobilized on HZ-wells induced 36Cl- efflux. Two unrelated isotype-matched mAbs were also tested: mAb BB7.5, which reacts with a combinatorial determinant of the HLA-A,B,C molecule (34) expressed in PMN at levels not significantly different from those of CD18 (Fig. 2Gob) (mean peak fluorescence intensity = 17.5 ± 6.0 of mAb BB7.5 vs 31.0 ± 13.3 for mAb TS1-18; mean ± SD, n = 4, p = 0.080 by t test on paired data), and mAb A3G5, which recognizes eosinophil peroxidase (M. Romano, unpublished observations). Both mAbs triggered only a minor 36Cl- efflux (Fig. 2Goa), despite the fact they bound to HZ-wells similarly to mAb TS1-18 (inset in Fig. 2Goa). These results support the hypothesis of a selective ability of the PMN surface proadhesive complex CD11/CD18 to trigger Cl- release and, at the same time, rule out a possible Fc-dependent stimulation of 36Cl- efflux.



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FIGURE 2. mAbs recognizing the CD18 subunit (common ß-chain) of the CD11/CD18 (ß2 integrin) complex trigger 36Cl- efflux from PMN. a, To assay 36Cl- efflux 50-µl aliquots of 36Cl--loaded PMN (2 x 106/ml in HEPES buffer) were added to 100 µl of prewarmed HEPES buffer placed in replicate HZ-wells (8 wells per assay condition) coated with the indicated mAbs (for details see Materials and Methods). After 1 h incubation at 37°C, aliquots of the assay medium were collected from replicate wells, pulled, and centrifuged for 15 s at 12,000 x g. The supernatants were then withdrawn and counted for radioactivity. Binding of mAbs to HZ-wells (inset in a) was detected by ELISA with HRP-conjugated rabbit anti-mouse Igs. Data represent the means of four to eight experiments (in duplicate) ± SEM. b, Flow cytometry analysis showing the expression level of CD18, HLA-A,B,C and eosinophil peroxidase on PMN surface. Aliquots of 36Cl--loaded PMN were cooled to 4°C and then incubated with the indicated mAbs (TS1-18, BB7.5, and A3G5 recognizing, respectively, CD18, HLA-A,B,C, and eosinophil peroxidase). After 1 h, the cells were washed twice and incubated for 45 min with a FITC-labeled rabbit anti-mouse IgG F(ab')2. After washing, the cells were suspended in PBS containing 2% formaldehyde and analyzed by flow cytometry. Data represent the means ± SEM of four experiments performed with cells isolated from different donors. The difference between mAb BB7.5 and mAb TS1-18 was statistically nonsignificant (p = 0.080; Student t test on paired data, n = 4). c, 36Cl- efflux from PMN exposed to the anti-CD18 mAb TS1-18 bound to immobilized protein G. Immobilization of mAbs to protein G-coated microtiter plate wells was performed as described in detail in Materials and Methods. Assay of 36Cl- efflux was as described in Fig. 1Go. Binding of mAbs to protein G-coated wells was detected by ELISA using HRP-conjugated sheep anti-mouse Igs F(ab')2. Readings of OD at 405 nm were 0.090 and 0.088 for mAb BB7.5 and mAb TS1-18, respectively. d, 36Cl- efflux from PMN exposed to the anti-CD18 mAb TS1-18 bound to S. aureus-protein A particles. Binding of mAbs to S. aureus was performed as described elsewhere (17). 36Cl--loaded PMN and mAb-coated particles (1:30) were incubated in suspension in polypropylene test tubes for 1 h at 37°C in a shaking water bath. On completion of the incubation, aliquots were collected from the tubes, centrifuged for 15 s at 12,000 x g, and the supernatant-associated radioactivity was counted. Data in c and d represent the means of two experiments performed with cells isolated from different donors. e, ß2 integrin-induced 36Cl- efflux from PMN in suspension. PMN (5 x 106/ml in HEPES buffer) were preincubated for 30 min at room temperature with mAb TS1-18 (final concentration 5 µg/ml) and then exposed, after washing, to a goat anti-mouse F(ab')2 (final concentration 2.5 µg/ml). After 1 h incubation at 37°C in a shaking water bath, aliquots were collected from the tubes, centrifuged for 15 s at 12,000 x g, and the supernatant-associated radioactivity was counted. Inset in e, The cross-linking of ß2 integrins causes a drop in PMN 36Cl-i. To determine the net movement of 36Cl- in PMN exposed to anti-ß2 integrin mAbs, the changes in 36Cl-i were measured. PMN (3–5 x 106 cells/ml) were loaded with 4 µCi/ml 36Cl-, washed, and further incubated with mAb TS1-18 for 30 min at room temperature. The cells were then washed free of the unbound mAb by a 5-min centrifugation at 200 x g. The pellets were resuspended in HEPES buffer containing 4 µCi/ml 36Cl- and then exposed to the secondary Ab. After 60 min, the incubation was stopped by diluting the assay mixture with prewarmed PBS. After exhaustively washing the cells in the same medium, the bottom of the tubes were cut and the cell pellet-associated radioactivity was counted. The 36Cl- that remained associated to PMN was expressed as percentage of 36Cl- associated to PMN at t = 0. The data of e represent the means of three experiments ± SEM.

 
Qualitatively similar results were obtained when 36Cl- efflux was assayed from PMN exposed to mAbs immobilized on protein G-coated wells (Fig. 2Goc), although the overall response was quantitatively lower than that measured on HZ. Such a difference could be accounted for by the lower binding of the mAbs to protein G-coated wells (see legend to Fig. 2Go).

Further evidence of the ability of ß2 integrins to mediate 36Cl- efflux from PMN was obtained by using a different experimental approach, in which the cross-linking of ß2 integrin was induced by exposing cells in suspension to mAb-coated S. aureus particles. As shown in Fig. 2God, the mAb TS1-18-coated particles triggered a considerable 36Cl- efflux from PMN, which was markedly higher than that induced by mAb BB7.5. This difference could not be ascribed to a differential engulfment of the particles by PMN because we found that 1) the phagocytosis of mAb-coated S. aureus particles was negligible, in agreement with previously reported results (24), and 2) 36Cl- efflux did not substantially vary when assayed in the presence of a phagocytosis blocking drug, such as cytochalasin B (data not shown).

Fig. 2Goe shows that Cl- efflux could be well detected also when ß2 integrin cross-linking was induced in an alternative way, i.e., by adding a goat anti-mouse F(ab')2 to PMN suspensions that have been previously incubated with mAb TS1-18. It is worthy of note that ß2 integrin cross-linking led to a net Cl- efflux, as indicated by the concomitant decrease in 36Cl-i (Fig. 2Goe, inset).

ß2 integrin-mediated Cl- efflux: individual signaling ability of LFA-1 (CD11a/CD18), CR3 (CD11b/CD18), and gp150/95 (CD11c/CD18)

The results reported in the previous paragraph prompted us to investigate the signaling properties of each member of the ß2 integrin subfamily. To this end, we measured the 36Cl- efflux from PMN plated onto HZ-bound mAbs directed against the {alpha}-chains of either LFA-1, CR3, or gp150/95.

Fig. 3Goa shows that, upon cross-linking with specific mAbs, all three ß2 integrin subfamily members were able to induce 36Cl- efflux from PMN and that the extent of this efflux varied, depending on the type of ß2 integrin engaged. Of the three {alpha}ß2 heterodimers present on PMN, gp150/95 was the most powerful in triggering Cl- efflux, followed by LFA-1 (nearly 80% of the response measured with gp150/95) and CR3 (~50% of the response of gp150/95). The differences in the release of 36Cl- could not be ascribed to a differential binding of the three anti-{alpha}-chain mAbs to HZ-wells because all mAbs bound similarly to the solid support (Fig. 3Gob).



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FIGURE 3. ß2 integrin-mediated 36Cl- efflux from PMN: individual signaling ability of LFA-1 (CD11a/CD18), CR3 (CD11b/CD18), and gp150/95 (CD11c/CD18). 36Cl- efflux from PMN plated onto HZ-bound mAbs (a), binding of mAbs to HZ-wells (b), and the expression on PMN of the molecules recognized by the mAbs (c) were assayed as described in Fig. 2Go using mAbs TS1-22 (anti-CD11a), MY904 (anti CD11b), 3.9 (anti CD-11c), and BB7.5 (anti-HLA-A,B,C). Data in d report the extent of 36Cl- efflux as a function of ß2 integrin subfamily member expression on PMN and represent the ratio between values of 36Cl- efflux (a) and mean channel fluorescence intensity (c). Data are the means of six experiments ± SEM. *, p < 0.02.

 
All three anti-{alpha}-chains mAbs triggered a 36Cl- efflux significantly higher than that induced by the isotype-matched mAb BB7.5 (p < 0.02; t test on paired data, n = 6), despite the fact that this mAb bound similarly to HZ-wells (Fig. 3Gob) and that the expression of the molecule it recognizes on PMN surface was comparable to that of LFA-1, nearly twice as high as that of gp150/95 and almost half of that of CR3, as revealed by flow cytometry studies (Fig. 3Goc).

The differential response of the three ß2 integrin subfamily members can be better appreciated when the data of 36Cl- efflux are expressed as a function of the degree of expression of the three heterodimers (Fig. 3God). Based on this elaboration, gp150/95 appears to be largely the most effective in inducing 36Cl- efflux, whereas the effect of CR3 is modest if not negligible, and LFA-1 is about 60% less active than gp150/95.

Relationships between Cl- efflux, spreading, and O2- generation induced by ß2 integrin cross-linking

The selective cross-linking of either CR3, LFA-1, or gp150/95 by mAbs directed against the {alpha}-chain of these molecules has led to the demonstration that all of these three leukocyte integrins can generate signals that trigger PMN spreading, whereas the ability to deliver signals that activate the respiratory burst seems to be restricted to LFA-1 and gp150/95 (17).

The question then arises whether the Cl- efflux induced by the cross-linking of ß2 integrins is somehow linked to spreading and metabolic activation, and, if so, which one of the three heterodimers plays the most relevant role.

To address this question, we evaluated, in parallel experiments, 36Cl- efflux, cell shape changes, and O2- generation in PMNtreated or untreated with EA, a Cl- transport blocker belonging to the phenoxyacetates family, which has been shown to inhibit Cl- fluxes in several cell types (13, 42, 43, 44, 45). This drug was selected on the basis of a previously reported screening test showing that EA was far more efficient concentration inhibiting 50% of response (IC50 in the µmol range) than other known Cl- transport blockers (IC50 in the mmol range) in inhibiting Cl- efflux, spreading, and O2- generation of PMN stimulated by TNF on FN-coated surfaces (10). Fig. 4Go shows that mAbs TS1-22, MY 904, and 3.9, which recognize the {alpha}-chains of LFA-1, CR3, and gp150/95, respectively, as well as mAb TS1-18, which is directed against the common ß-chain of ß2 integrins, triggered both Cl- efflux (upper panel) and cell spreading (middle panel). The mAbs TS1-22, TS1-18 and, to a lesser extent, mAb 3.9 also stimulated release of O2- from PMN, whereas cross-linking of CR3 by mAb MY 904 triggered only a minor metabolic response, which was not significantly different from the metabolic activation elicited by the control mAb BB7.5 (9.5 ± 1.9 nmol/106 PMN of O2- with mAb MY 904 vs 7.4 ± 1.7 nmol O2-/106 PMN with mAb BB7.5; mean ± SEM, n = 5, p = 0.090 by t test on paired data). Cells treated with EA, which failed to release 36Cl- (upper panel, open columns), maintained a roundish appearance (f in middle panel) and did not mount a respiratory burst (lower panel, open columns), suggesting that the release of Cl- is required for both spreading and metabolic activation. A possible toxic effect of EA was excluded because EA-treated cells were >98% viable and their metabolic response to other agonists (for example, 10-7 M FMLP) was not significantly affected (data not shown).



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FIGURE 4. Effect of EA on ß2 integrin-induced 36Cl- efflux, spreading, and O2- generation. 36Cl--loaded PMN were preincubated in suspension (2.0 x 106/ml in HEPES buffer) for 10 min at 37°C with control buffer or 100 µM EA. Then, 50-µl aliquots of the cell suspensions were transferred to HZ-wells coated with the indicated anti-ß2 integrin mAbs and containing 50 µl of buffer and 50 µl of EA at a concentration twice as high as that used during preincubation. Assay of 36Cl- efflux (upper panel) was as described in Fig. 2Go. Phase contrast photomicrographs (middle panel) were taken from the wells where the 36Cl- efflux assay was performed and show representative microscopic fields of PMN layered onto immobilized mAbs (a, anti-HLA mAb BB7.5; b, anti-LFA-1 mAb TS1-22; c, anti-CR3 mAb MY 904; d, anti-gp150/95 mAb 3.9; e, anti-CD18 mAb TS1-18). Micrograph f shows that EA inhibited the spreading of PMN onto immobilized mAb TS1-18. The morphology of EA-treated PMN placed onto mAb TS1-22, mAb MY 904, or mAb 3.9 was undistinguishable from that showed in f. Similar pictures were obtained in four experiments. Magnification, x800. For assay of O2- production (lower panel), 50 µl of 36Cl--loaded PMN was added to HZ-wells containing 50 µl of 0.36 mM cytochrome c (final concentration 0.12 mM) and 50 µl of the inhibitors at a concentration twice as high as that used during preincubation. The plates were incubated at 37°C and read in an automated microplate reader. Nanomoles of O2- were calculated as detailed in Materials and Methods. Data in the upper and lower panels are the means ± SEM of five parallel experiments.

 
That efflux of chloride ions may regulate spreading and O2- generation triggered by ß2 integrin engagement was further supported by the results of the additional inhibition experiments we performed with drugs belonging to Cl- transport blocker families other than the EA family, such as CHC, an inhibitor of the ATP-dependent and -independent Cl- transport in human neutrophils (13), furosemide, a member of the benzoates family that is active on various Cl- transport mechanisms (13, 43, 44, 45, 46), and MK-447, MK-447/A, and MK-447/B, three compounds of the 2-(aminomethyl)phenols family used to study Cl- movements through swelling-activated channels in PMN subjected to hypotonic stress (47). As shown in Table IGo, the inhibition of Cl- efflux was, whatever its extent, invariably accompanied by an almost proportional inhibition of both metabolic burst and cell spreading (see data with 250 µM and 500 µM CHC, 100 µM MK-447/B, 50 µM and 100 µM MK-447 and MK-447/A). Conversely, drugs that failed to inhibit Cl- efflux neither modified the metabolic response nor substantially affected PMN spreading (see data with 250 µM and 500 µM furosemide and 50 µM MK-447/B). Interestingly, two compounds of the 2-(aminomethyl)phenols family, namely MK-447 and MK-447/A, appeared to be very active in inhibiting all three PMN responses (see Table IGo and Fig. 5Go), suggesting that membrane stretch-activated PMN Cl- channels, described so far as the specific targets of these compounds (47), may be involved in mediating Cl- efflux triggered by ß2 integrin cross-linking. PMN viability was not affected by any of the agents used because in all cases >98% of the cells excluded the dye trypan blue (data not shown).


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Table I. Effect of Cl- transport inhibitors on 36Cl- efflux, O2- generation, and spreading induced in PMN by ß2 integrin cross-linking1

 


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FIGURE 5. Effect of MK-447/A on PMN spreading induced by ß2 integrin cross-linking. Micrographs show representative microscopic fields of PMN treated with control buffer (a) or 100 µM MK-447/A (b) and placed onto the anti-CD18 mAb TS1-18 immobilized to HZ-wells. In the same experiment, the morphology of PMN treated with 100 µM MK-447 was virtually undistinguishable from that of cells shown in b. Magnification, x800.

 
The data, obtained using two alternative experimental approaches, strengthened the hypothesis of a causal relationship between Cl- efflux and activation of the respiratory burst. Fig. 6Go reports the results of time course experiments in which 36Cl- efflux and O2- generation were simultaneously measured. 36Cl- release, but not the generation of O2-, was well detectable by 10 min of incubation. The half-maximal response time was 15 min and 21 min for 36Cl- efflux and O2- generation, respectively. This demonstrates that the efflux of chloride ions precedes the activation of the respiratory burst. Cl- efflux also precedes PMN spreading, as the latter begins to be clearly detectable in the majority of cells after 20 min of incubation, judging by phase contrast microscopy observations (not shown). The results obtained in experiments performed with PMN placed in wells coated with different amounts of anti-ß2 integrin mAbs further supported the hypothesis that efflux of chloride ions may regulate both spreading and metabolic activation of PMN. In fact, Cl- efflux increased by increasing the concentration of the mAb solution used to coat the wells (upper panel of Fig. 7Go, open columns), accompanied by a parallel enhancement of both O2- generation (black columns) and cell spreading (lower panel).



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FIGURE 6. Kinetics of 36Cl- efflux and O2- production by PMN exposed to the anti-CD18 mAb TS1-18 immobilized to HZ-wells. Assays of 36Cl- efflux and O2- generation were as described in Fig. 1Go and Fig. 4Go, respectively. Data are the means of duplicate assays of one experiment representative of three that gave similar results.

 


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FIGURE 7. 36Cl- efflux, O2- generation, and spreading of PMN exposed to different amounts of anti-ß2 integrin mAbs. The anti-CD18 mAb TS1-18 was diluted to the indicated concentrations and immobilized to HZ-wells as detailed in Materials and Methods. 36Cl- efflux, O2- generation, and cell spreading were assayed as described in Fig. 1Go and Fig. 4Go, respectively. Data in the upper panel are the means of three to four experiments performed with cell isolated from different donors. Phase contrast photomicrographs (lower panel) were taken from the wells where the 36Cl- efflux assay was performed and show representative microscopic fields of PMN layered onto immobilized mAbs. Magnification, x1600.

 
Fig. 8Go shows that the cross-linking of ß2 integrins caused, besides Cl- efflux, a decrease in Cl-i, thus proving that a net outward transport of Cl- ions occurred. This decrease in Cl-i was accompanied by O2- generation, which was markedly reduced if the drop in Cl-i was prevented by treating the cells with EA. In contrast, PMN at rest did not show any appreciable change in Cl-i or activation of the respiratory burst. These results suggest that a drop in the cytosolic chloride content is required for the activation of the metabolic response to take place.



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FIGURE 8. The cross-linking of ß2 integrins by surface-bound anti-CD18 mAbs triggers a drop in PMN 36Cl-i accompanied by activation of the respiratory burst. The anti-CD18 mAb TS1-18 was immobilized to HZ-wells as detailed in Materials and Methods. To determine the net movement of 36Cl- in PMN exposed to anti-ß2 integrin mAbs, the changes in 36Cl-i were measured (a). PMN (3–5 x 106 cells/ml) were loaded with 36Cl- and used without washing them free of the tracer. On completion of the incubation, the plate was spun at 250 x g for 5 min, and the supernatant was discarded. After exhaustively washing the wells with PBS prewarmed at 37°C, the wells themselves were introduced in the vials and counted for radioactivity. O2- generation (b) was assayed as described in Fig. 4Go. EA was used at 100 µM.

 
Ion transport mechanisms involved in ß2 integrin-mediated Cl- efflux

Role of chloride ion channels. Besides stretch-activated channels, whose putative involvement in ß2 integrin-mediated Cl- efflux is suggested by the results reported in Table IGo, two other types of Cl- channels have been well characterized so far in human PMN, i.e., calcium-activated, voltage-independent channels (48), and voltage-dependent, protein kinase C-regulated channels (49).

Fig. 9Go shows that Cl- efflux measured in cells loaded with the intracellular Ca2+ buffering agent BAPTA-AM and resuspended in Ca2+-free EGTA-containing buffer was almost undistinguishable from Cl- efflux of control cells. The effectiveness of the BAPTA-AM/EGTA treatment in preventing [Ca2+]i alterations was indirectly demonstrated by the inhibition of the FMLP-induced PMN respiratory burst, a response known to be dependent on [Ca2+]i elevations (0.2 nmol of O2-/106 BAPTA-AM/EGTA-treated PMN vs 6.7 nmol of O2-/106 untreated PMN).



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FIGURE 9. 36Cl- efflux induced by ß2 integrin cross-linking is insensitive to [Ca2+]i buffering, elevation of [K+]o, and inhibitors of K+ channels. To assay the effect of [Ca2+]i buffering on 36Cl- efflux, BAPTA-AM (final concentration, 5 µg/ml) was added to the cell suspension during the last 30 min of the incubation procedure used to load the cells with 36Cl-. The cells were then washed twice and resuspended in HEPES buffer containing 1 mM EGTA. To assay the effect of high [K+]o, after loading with 36Cl- the cells were washed free of the tracer and suspended in HEPES buffer containing 140 mM KCl. To maintain constant osmolarity, [NaCl] was reduced to 5 mM. To test the effect of K+ channel blockers on Cl- efflux, 36Cl--loaded PMN were suspended in HEPES buffer containing either 500 µM quinine or 5000 µM BaCl2. Assay of 36Cl- release was performed as described in Fig. 2Go. Data represent the means of three ± SEM.

 
Fig. 9Go shows also that ß2 integrin-mediated Cl- efflux is unlikely to occur through a voltage-dependent channel, because the efflux appeared insensitive to a marked elevation of extracellular K+ concentration ([K+]o = 140 mM), a condition known to markedly impair K+ gradients across the PMN plasma membrane and, hence, to clamp the membrane potential at highly depolarized values (50). Moreover, Cl- efflux remained unchanged in cells treated with H-7, a known inhibitor of the protein kinase C, an intracellular messenger that regulates the opening of voltage-dependent Cl- channels in PMA- and FMLP-stimulated PMN (49) (45.7% of 36Cl- efflux of H-7-treated PMN vs 42.8% of 36Cl- efflux of untreated PMN; means of two experiments performed with cells of different donors).

Fig. 9Go shows also that Cl- efflux of PMN pretreated with either BaCl2, known to block both the voltage-dependent and the Ca2+-activated K+ currents of neutrophils (48) or quinine, a widely used inhibitor of leukocyte K+ channels (reviewed in 51 , did not differ from those of untreated cells. This result, together with that obtained in the high K+ buffer, as discussed above, speaks against a possible role for K+ efflux in mediating ß2 integrin-dependent chloride release.

Role of chloride ion carriers. The fact that a nominally HCO3--free buffer is used throughout this study makes unlikely the involvement of the electroneutral Cl-/HCO3- exchanger in ß2 integrin-mediated Cl- efflux, because this carrier can export internal Cl- only in the presence of exchangeable external HCO3- (52). The results presented in Table IGo, showing that Cl- efflux is not modified by pretreating the cells with furosemide, speak against a possible role in such an efflux of the Na+-K+-2Cl- cotransporter whose distinct feature is the sensitivity to inhibition by this drug (53).

Signaling pathways involved in Cl- efflux induced by ß2 integrin cross-inking

Role of tyrosine phosphorylation and lowering of intracellular cAMP levels. Studies performed with PMN exposed to either TNF on biologic surfaces or surface-bound anti-CD18 mAbs demonstrated that ß2 integrins are undoubtedly involved in the generation of intracellular signals, such as protein tyrosine phosphorylation (15, 16, 18, 54) and lowering of intracellular cAMP levels (6), which, in turn, have been shown to modulate PMN spreading and activation of respiratory burst (6, 10, 15, 18, 54).

The results reported in the previous paragraph, showing that Cl- efflux is involved in the regulation of spreading and O2- generation in PMN exposed to surface-bound anti-ß2 integrin mAbs, raised the question as to whether the release of Cl- ions is in some way related to the activation of neutrophil tyrosine kinases and/or to a decrease of the intracellular levels of cAMP. Fig. 10Go shows that neither genistein, a widely used inhibitor of protein tyrosine kinases (7, 15, 55), nor the phosphodiesterase inhibitor isobutylmethylxantine, used in combination with the cAMP analogue dibutyryl cAMP, affected the 36Cl- efflux induced by ß2 integrin cross-linking. In agreement with previously reported data (6, 7, 8, 15), the same drugs markedly inhibited both O2- generation (inset in Fig. 10Go) and cell spreading (not shown). These results strongly suggest that release of Cl- by PMN exposed to anti-CD18 mAbs does not depend on either activation of tyrosine kinases or lowering of cAMP levels.



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FIGURE 10. ß2 integrin-mediated 36Cl- efflux is independent of protein tyrosine phosphorylation and decrease in cAMP levels. The mAb recognizing CD18 (TS1-18) was immobilized to HZ-wells as detailed in Materials and Methods. 36Cl--loaded PMN (2 x 106/ml) were preincubated in suspension with control buffer, 50 µM genistein (gen), or a mixture of 0.1 mM isobutylmethylxantine (IBMX) and 1 mM dibutyryl cAMP (dbcAMP) for 10 min at 37°C. Then, 50-µl aliquots of the cell suspensions were transferred into mAb-coated HZ-wells containing 50 µl of buffer and 50 µl of the aforementioned agents at a concentration twice as high as that used during preincubation. Assay of 36Cl- efflux was as described in detail in Fig. 1Go. Data are the means of four experiments ± SEM. Inset, Effect of genistein and (IBMX + dbcAMP) on O2- generation induced by ß2 integrin cross-linking. The cells were treated with the indicated agents as described above and then transferred into cytochrome c-containing wells coated with mAb TS1-18. Assay of O2- was as described in Fig. 4Go. Asterisks denote values significantly different from the control (*, p < 0.01; **, p < 0.001; Student t test on paired data). Data are the means of four experiments ± SEM.

 
Role of pHi alterations. It is well known that PMN respond to a wide array of agonists with changes in the cytoplasmic H+ concentration, which usually result in a transient acidification followed by a prolonged alkalinization (reviewed in 56 . Starting from the observation of Shimizu et al., who showed that in PMN exposed in suspension to soluble agonists the onset of cytoplasmic alkalinization correlated well with the onset of Cl- efflux (46), we wondered whether a raise in pHi could somehow be related to ß2 integrin-mediated release of chloride ions.

To explore such a possibility, Cl- efflux and pHi were measured in suspended PMN preincubated with the anti-ß2 integrin mAb TS1-18 and then exposed to a secondary goat anti-mouse F(ab')2. Fig. 11Go shows that ß2 integrin cross-linking led to appreciable pHi changes. These exhibited the classical pathway of a quick and transient acidification followed by an alkalinizing response that was nearly half as high as that induced by the chemotactic peptide FMLP. The raise in pHi triggered by ß2 integrins seemed to precede the full activation of the Cl- efflux, because the cytoplasmic alkalinization plateaued after 3–4 min, when the release of 36Cl- was only at its onset (data not shown). The alkalinizing response was absent in PMN incubated with the isotype-matched mAb BB7.5, ruling out the possibility that the raise in pHi was accounted for by a Fc-dependent stimulation of the Na+/H+ antiporter (57). Fig. 11Go shows also that a potent and specific inhibitor of the antiporter, the amiloride analogue NHA (58), virtually abrogated the cytoplasmic alkalinization, suggesting that the raise in pHi depends on the activation of the Na+/H+ exchanger. Interestingly, NHA had a marked inhibitory effect also on Cl- efflux (inset), whereas the Cl- transport blocker EA, which blunted Cl- efflux (inset), had no effects on pHi changes. Taken altogether, these results indicate that the activation of the Na+/H+ antiporter occurs earlier than the activation of the Cl- transport mechanism and suggest that the raise in pHi may represent a positive regulatory signal for Cl- fluxes triggered by ß2 integrin cross-linking.



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FIGURE 11. Relationships between pHi changes and Cl- efflux triggered by ß2 integrin cross-linking. After loading with 36Cl-, the cells were washed free of the tracer, suspended in HEPES buffer containing 5 µM of BCECF-AM, and then incubated for 30 min at 37°C in a shaking water bath. The mAb TS1-18 (final concentration 5 µg/ml) was added to the incubation mixture during the last 15 min of incubation of PMN with BCECF-AM. After a washing step with prewarmed PBS, the cells were counted and suspended at 5 x 106/ml in HEPES buffer. Then, 1 ml aliquot of the cell suspension was transferred in polypropylene test tubes and assayed for 36Cl- efflux (inset) as described in Fig. 2Goe. Another aliquot of the cell suspension was withdrawn in a thermostated cuvette in a spectrophotofluorometer equipped with a device for continuous stirring of the incubation mixture. Changes in pHi were monitored upon addition of 2.5 µg/ml of a goat anti-mouse F(ab')2 (arrow). To assay the effect of 1 µM NHA or 100 µM EA on pHi changes and on 36Cl- efflux (inset), the cells were previously preincubated with the required compound for 10 min at 37°C and then exposed to the cross-linking Ab. The top trace shows pHi changes of PMN exposed to 10-7 M FMLP in the absence of anti-CD18 and cross-linking Abs. The nigericin/K+ method described by Thomas et al. (39) was used to calibrate pHi. Each trace is representative of experiments performed with cells of three different donors. Data in the inset are the means of three experiments ± SEM.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In the present paper, we demonstrate the existence of a novel function of leukocyte ß2 integrins: the ability to trigger chloride ion efflux from human neutrophils independently of other agonists. Also, we show that this efflux regulates ß2 integrin-mediated spreading and activation of the respiratory burst.

At least one of the following experimental evidence is usually provided as a demonstration of the involvement of ß2 integrins in the modulation of PMN functions: 1) the inhibition of a given function by mAbs directed against either the common ß-chain (CD18) or the three distinct {alpha}-chains (CD11a, CD11b, CD11c) of ß2 integrins (3, 6, 8, 9, 10, 16, 19, 26, 59, 60); 2) the absence, or marked impairment, of that function in PMN isolated from LAD-1 patients that lack ß2 integrin expression (3, 6, 16, 18, 26, 54, 61); and/or 3) the triggering of the selected PMN response upon cross-linking of ß2 integrins with specific mAbs in the absence of other agonists (7, 17, 18, 19, 22, 23, 24, 27, 28, 42, 61, 62).

The results presented in this paper fulfill at least two of the above criteria, because we have shown that 1) in a model of TNF-stimulated PMN adhering via ß2 integrins to FN, mAbs recognizing CD18 strongly inhibit Cl- efflux, bringing it back to values similar to those measured from cells in suspension (Fig. 1Go); and 2) the cross-linking of ß2 integrins by surface-bound anti-ß or anti-{alpha}-chains mAbs is sufficient, per se, to elicit Cl- efflux from PMN (Fig. 2Go, 3Go, and 4Go).

An additional evidence strengthening these results is that, in the absence of Mg2+, a condition which prevents ß2 integrin activation (40, 41) and thus inhibits ß2 integrin-mediated adherence of PMN to FN, the TNF-induced Cl- efflux of PMN residing on FN is equivalent to that of PMN in suspension (Fig. 1Go). Experiments with LAD cells could not be performed because patients with this syndrome are not available to us at the moment.

All three ß2 integrin subfamily members are expressed, although at different levels, on PMN, CR3 (CD11b/CD18) being the most abundant one, followed by LFA-1 (CD11a/CD18) and gp150/95 (CD11c/CD18) (11). Over the last 10 years, several studies have clearly demonstrated that all three {alpha}ß2 heterodimers, besides their well known involvement in the adhesive response (see Table IGo in 14 , can also act as outside-in signaling molecules. For example, by selectively cross-linking each of the three ß2 integrin subfamily members with mAbs directed against their distinct {alpha}-chains, it has been shown that CD11b/CD18 can trigger tyrosine phosphorylation (50), both CD11a/CD18 and CD11c/CD18 generate signals that activate the PMN respiratory burst (7, 17), and all three molecules can mediate PMN spreading (17). Furthermore, it has been shown that CD11b/CD18, but not CD11a/CD18 or CD11c/CD18, plays a major role in TNF- and FMLP-induced degranulation of adhered neutrophils (19), in the adherence-dependent oscillations of cytosolic free Ca2+ in unstimulated PMN (19), and in the phorbol ester-induced paxillin tyrosine phosphorylation in nonadhered PMN (54).

Cross-linking studies performed with specific anti-{alpha}-chains mAbs allowed us to demonstrate that all three ß2 integrin heterodimers molecules are capable of triggering Cl- efflux from PMN. This response appears integrin specific and independent of Fc involvement because cells plated onto an isotype-matched mAb directed against HLA, the expression of which on PMN surface is comparable or even higher than that of the three {alpha}ß2 heterodimers (Fig. 3Goc), underwent only a minimal release of chloride ions (Fig. 3Goa).

Interestingly, gp150/95, the least expressed of the three ß2 integrin subfamily members (Fig. 3Goc), appears to be the most effective one in triggering Cl- release because it elicits a response higher than that induced by the engagement of either CR3 or LFA-1 (Fig. 3Goa). These findings are in agreement with previously reported data suggesting that CR3, LFA-1, and gp150/95 are differentially involved in the generation of signals that activate selective PMN functions (7, 17, 19, 54, 62).

A further relevant finding of this study is that Cl- efflux is causally related to two other PMN responses triggered by ß2 integrin cross-linking, i.e., cytoskeleton reorganization and activation of the respiratory burst. This relies on the following evidence: 1) treatment of PMN with agents that inhibit Cl- movements invariably lead to a parallel inhibition of both spreading and activation of the respiratory burst (see Fig. 4Go, Table IGo, and Fig. 5Go), 2) Cl- efflux precedes the onset of O2- generation (Fig. 6Go); and 3) a dose-dependent enhancement of ß2 integrin-induced Cl- efflux, obtained by placing the cells in wells coated with different concentrations of anti-ß2 integrin mAbs, proportionately enhances both the metabolic burst and the cell spreading (Fig. 7Go).

It is worthy of note that signals generated by the cross-linking of CR3 led the PMN to release Cl- and spread, but failed to activate their respiratory burst. At first glance, this finding could be in line with previously reported data, showing that CR3-dependent signals activate selected PMN functions, e.g. cytoskeleton reorganization, but not others, such as assembly and/or activation of NADPH oxidase, which leads to the respiratory burst (17, 61). However, because the metabolic activation seems to be dependent on Cl- efflux, the inability of CR3 to induce a respiratory burst may be explained in at least two ways: 1) the Cl- release triggered by CR3 is quantitatively insufficient to activate the burst (CR3 is indeed the least effective Cl- releaser) although sufficient to induce spreading; and 2) additional signals provided by LFA-1 and gp150/95, but not CR3, are required, together with Cl- release, to activate the respiratory burst.

Both protein tyrosine phosphorylation and decrease in intracellular cAMP levels have been shown to be required for ß2 integrin-dependent spreading and metabolic activation of PMN stimulated by TNF on biologic surfaces (6, 7, 8, 15, 16) or of resting PMN exposed to surface-bound anti-ß2 integrin mAbs (7, 17, 18). The relationships between these two signals and Cl- efflux remain unresolved at present. The finding that drugs which block tyrosine kinases or prevent the decrease in cAMP levels do not modify ß2 integrin-induced Cl- release but, as expected, inhibit spreading and the respiratory burst (Fig. 10Go) indicates that Cl- efflux takes place independently of the two other signals.

At this point, it seems legitimate to ask the question whether tyrosine kinase activation and/or decrease of cAMP levels are somehow dependent on Cl- efflux. In this respect, the data available are very limited. It has been shown that in both resting PMN exposed to surface-bound anti-CD18 mAbs (18) and TNF-stimulated PMN adhering to immobilized FBS (15, 16) protein tyrosine phosphorylation is a relatively late event, being clearly detectable by 15–60 min incubation. In another study, an earlier (after 10 s) and transient (60 s duration) increase in tyrosine phosphorylation of several PMN proteins induced by cross-linking of ß2 integrins was described (62), but its functional relevance was not assessed in that paper. Concerning the decrease in cAMP levels, the dependence of such response on ß2 integrin engagement was formally documented at 45 min of incubation in PMN exposed to TNF on FBS- or fibrinogen-coated plastic (6). Because Cl- efflux elicited by the engagement of CD18 was well measurable as early as 10 min of incubation (Fig. 6Go), it does not seem unreasonable at present to hypothesize that signals generated by ß2 integrin cross-linking trigger the release of chloride ions before tyrosine kinase activation and decrease in cAMP levels take place.

Several possibilities were explored to investigate the mechanisms underlying the ß2 integrin-activated Cl- efflux. The marked inhibitory effect exerted by the compound MK-447 and its analogue A, which have been described as selective inhibitors of membrane stretch-activated Cl- channels in human PMN (47), is of particular interest. Indeed, because the stretching of cell plasma membrane is likely to occur upon ß2 integrin cross-linking by immobilized ligands, it is conceivable to hypothesize a role for these channels in regulating Cl- efflux. However, because the biological activity of the compounds of the MK-447 series is of recent identification, the possibility should be considered that they possess a broader spectrum of targets and thus may affect other Cl- transport mechanisms. This is suggested also by the inhibitory effect exerted by a low, nontoxic concentration of EA, which has not been reported so far to inhibit Cl- fluxes through stretch-activated channels.

Our results tend to exclude a role for other two types of Cl- channels known to operate in the PMN, i.e., the calcium-activated, voltage-independent channels (48) and the voltage-dependent, protein kinase C-regulated channels (49). In fact, both the inhibition of [Ca2+]i changes and the clamping of the plasma membrane potential to highly depolarized values did not appreciably affect Cl- efflux.

Likewise, a known Cl- transporter of leukocytes, i.e., the electroneutral Cl-/HCO3- exchanger, does not seem to play a role in this outward Cl- transport process, because the use of a nominally HCO3--free buffer makes unlikely the involvement of a carrier that can export Cl- only in the presence of exchangeable HCO3- (52). In addition, the finding that furosemide does not inhibit ß2 integrin-mediated Cl- efflux seems to exclude the possibility that such an efflux is mediated by the furosemide-sensitive Na+-K+-2Cl- cotransporter (53).

An interesting finding is that Cl- efflux appears to be dependent on a ß2 integrin-induced raise in pHi (see Fig. 11Go). This relies on the following evidence: 1) the cross-linking of ß2 integrins is sufficient, per se, to cause a distinct cytoplasmic alkalinization likely due to activation of the Na+/H+ exchanger; 2) the alkalinizing response precedes the full activation of Cl- release; and 3) Cl- efflux is markedly reduced in PMN treated with NHA, a specific inhibitor of the Na+/H+ antiporter, whereas the raise in pHi is unaffected by the Cl- transport blocker EA. These findings agree with those previously reported by Demaurex et al. (27), showing the occurrence of pHi changes during PMN spreading on surfaces coated with anti-ß2 integrin mAbs. In a recent paper by Fukushima et al. (57), no changes in pHi were found to occur in suspended PMN by cross-linking anti-ß2 integrin mAbs with a secondary anti-mouse Ab, but differences in the mAb used and in several experimental conditions with respect to our study may explain this discrepancy. Because it is well established that both cationic and anionic channels can be modulated by changes in pHi (63, 64, 65, 66), it is legitimate to hypothesize that an as yet unidentified pHi-regulated Cl- channel can operate in PMN after ß2 integrin cross linking. Experiments addressing this issue are in progress in our laboratory.

In conclusion, this paper uncovers a new signaling ability of ß2 integrins and contributes to highlight the role of Cl- efflux in the outside-in signal transduction pathway that regulates adherence-dependent PMN responses.


    Acknowledgments
 
We thank the excellent technical assistance of Miss Elettra Pitarresi. We also thank Dr. N. Hogg (Imperial Cancer Research Fund, London, U.K.) for the generous gift of the anti-gp150/95 mAb 3.9, Dr. J. M. Harlan (Washington University, Seattle, WA), who kindly provided us with the anti-CD18 mAb 60.3, and Dr. T. Zacchi for performing flow cytometry. A special thanks to Dr. Paola Vietti (Merck Sharp & Dohme, Italy) for her invaluable help in providing the compound MK-447 and its analogues.


    Footnotes
 
1 This work was supported by grants from the Italian Ministry of the University and Scientific and Technologic Research (40% and 60%) and the Italian National Research Council (CT96.03708.CT14). Back

2 Address correspondence and reprint requests to Dr. R. Menegazzi, Department of Physiology and Pathology, University of Trieste, via A. Fleming, 22, 34127 Trieste, Italy. E-mail address: Back

3 Abbreviations used in this paper: PMN, neutrophilic polymorphonuclear leukocytes; S-PMN, PMN in suspension; FN, fibronectin; FN-PMN, PMN residing on FN-coated surfaces; LAD-1, type 1 leukocyte adhesion deficiency; MK-447, 2-aminomethyl-4-(1,1-dimethylethyl)-6-iodophenol hydrochloride; MK-447/A, 2-aminomethyl-4-(1-methyl-1-phenylethyl)-6-chlorophenol hydrochloride; MK-447/B, 2-aminomethyl-4-(1,1-dimethylethyl)-6-methylketone hydrochloride; NHA, 5-N,N-hexamethylene amiloride; BAPTA-AM, 1,2-bis(2-aminophenoxy)-ethane-N,N,N',N'-tetra-acetic acid tetrakis(acetoxymethyl ester); BCECF-AM, 2',7'-bis-(2-carboxyethyl)-5,6-carboxyfluorescein acetoxymethyl ester; EA, [2,3-dichloro-4-(2-methylene-butyryl)phenoxy] acetic acid (ethacrynic acid); CHC, {alpha}-cyano-4-hydroxy-cinnamic acid; HZ, hydrazide; HZ-wells, plate microwells with HZ surface; HRP, horseradish peroxidase. Back

Received for publication March 16, 1998. Accepted for publication September 1, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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J. Leukoc. Biol., July 1, 2000; 68(1): 73 - 80.
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