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The Journal of Immunology, 1999, 162: 6763-6769.
Copyright © 1999 by The American Association of Immunologists

C5a Suppresses the Production of IL-12 by IFN-{gamma}-Primed and Lipopolysaccharide-Challenged Human Monocytes1

Miriam Wittmann2,*, Jörg Zwirner{dagger}, Vivi-Ann Larsson*, Konstanze Kirchhoff*, Gabriele Begemann*, Alexander Kapp*, Otto Götze{dagger} and Thomas Werfel*

* Department of Dermatology and Allergology, Hannover Medical University, Hannover, Germany; and {dagger} Department of Immunology, University of Göttingen, Göttingen, Germany


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IL-12 is a key mediator of the immune response, skewing T lymphocytes toward a type 1 cytokine pattern. Priming with IFN-{gamma} or GM-CSF is required for expression of IL-12p70 by cells in which IL-12 is inducible by bacterial products such as LPS. We here show for the first time that the production of bioactive IL-12 by human monocytes can be significantly suppressed by C5a if applied to IFN-{gamma}-primed monocytes before LPS stimulation. There was a dose-dependent suppression by IL-12 (p70) on the levels of intracellular cytokine production and cytokine secretion. mRNA studies consistently showed a reduction of IL-12p40 and IL-12p35 expression by stimulation in the presence of C5a. The results of several different experimental approaches suggest that IL-12 down-regulation was not due to endogenous IL-10, IL-4, or PGE2 production induced by C5a. Moreover, stimulation of IFN-{gamma}-primed monocytes with C5a did not lead to a down-regulation of the CD14 Ag, which is an LPS receptor. These findings show that the anaphylatoxin C5a has the capacity to directly interact with the complex regulation of IL-12.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The human C5a anaphylatoxin and its natural catabolite C5a(desArg) are potent mediators of inflammation and possess immunomodulatory activities (1). C5a is generated by cleavage of the fifth component of complement (C5) upon activation of the classical or alternative pathways of the complement system. The biologic effects of C5a and C5a(desArg) are mediated by a specific high affinity receptor (CD88) that is expressed predominantly on cells of myeloid origin, such as granulocytes and monocytes/macrophages (2, 3). The stimulation of mononuclear cells with LPS or IL-1ß together with C5a leads to increased synthesis of IL-1, IL-6, IL-8, and TNF (4, 5, 6, 7). Another important effect of C5a is the degranulation of monocytes and granulocytes, which liberates various enzymes and rapidly changes the cells’ phenotypes (1, 3, 8). To date, no interaction between C5a and IL-12 is known.

IL-12 is a 75-kDa heterodimeric cytokine that plays a crucial role in both the innate and the acquired immune response. The major cells producing IL-12 were found to be macrophages/monocytes, but other cell types have also been reported to produce IL-12. These include dendritic cells, neutrophils, keratinocytes, and murine mast cells (9).

The two disulfide-linked N-glycosylated polypeptide chains of approximately 40 kDa (p40) and 35 kDa (p35) are encoded by two separate genes (10) located on different chromosomes and are independently regulated (9, 11). Both subunits of IL-12 have to be produced within the same cell to obtain the biologically active dimer (10).

Although initially described as a cytokine activating cytotoxic lymphocytes, the major biological significance of IL-12 secretion is probably based on its effects on Th cells. IL-12 is known to drive Th1 reactions in physiological and pathological immune responses, mainly mediated by its capacity to stimulate growth and IFN-{gamma} production in T cells and NK cells (12, 13, 14). Some authors even consider this cytokine to be an obligatory factor for Th1 generation and proliferation (15, 16).

In addition to the promotion of Th1 cell development, IL-12 has a broad range of biologic activities, including the regulation and proliferation of T and NK cells, the differentiation of CD8+ T cells, and the induction of hemopoiesis (17). Its involvement in autoimmunity has been shown in different diseases. When applied in vivo, IL-12 was shown to enhance the resistance to bacterial and parasitic infections, to promote antitumor immunity, and to influence antiviral responses, including HIV, in vivo or in vitro (18, 19, 20). Modulation of IL-12-dependent signaling may provide a therapeutic option for altering the Th1-Th2 balance in allergic and autoimmune diseases as well as in other conditions.

The most potent inhibitor of IL-12 synthesis by macrophages/monocytes appears to be IL-10, which acts at the protein as well as the mRNA level. IL-10 negatively regulates IL-12p40 expression (21, 22). Similar to IL-10, addition of PGE2 to cultures of LPS-stimulated human PBMC down-regulates IL-12 production (23). IL-4, IL-13, and TGF-ß can also suppress the production of IL-12 when added simultaneously with bacterial inducers. In contrast, pretreatment with IL-4 or IL-13 followed by activation with LPS enhances IL-12 production (24).

In this study we show that the induction of IL-12 production by LPS in IFN-{gamma}-primed monocytes can be efficiently inhibited by the anaphylatoxin C5a.


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

All cytokines were used as purified recombinant human preparations. Human IFN-{gamma} was provided by Dr. Karl Thomae GmbH (Biberach an der Riss, Germany), LPS was derived from Escherichia coli serotype 055:B5 (Sigma, Deisenhofen, Germany), and GM-CSF was obtained from Genzyme (Rüsselsheim, Germany). The anti-IL-4 Ab used for neutralization of human IL-4 bioactivity (R&D Systems, Wiesbaden, Germany) and the neutralizing rat anti-human IL-10 mAb (PharMingen, Hamburg, Germany) both contain a low endotoxin level. Indomethacin was obtained form Serva (Braunschweig, Germany), and D,L-2-mercaptomethyl-3-guanidino-ethylthiopropanoic acid (MERGETPA)3 was purchased from Calbiochem (Frankfurt, Germany).

mAb C17/5 (mouse IgG1, {kappa}) was generated as previously described (25). The Ab is specific for a C5 activation-dependent neo-epitope expressed only on C5a and C5a(desArg) and has been shown to be an effective inhibitor of C5a (4).

Recombinant human C5a (rhC5a) was produced as previously described (26) and was further purified by affinity chromatography using the C17/5 Ab or by FPLC (the endotoxin content of this C5a preparation was 7 pg/ml as determined by the Limulus amebocyte lysate assay). As a control rhC5a obtained from Sigma was used in some experiments in parallel to C5a produced in our laboratory.

Isolation and culture of human monocytes

PBMC from healthy donors were separated by Ficoll-Hypaque density gradient centrifugation and were resuspended in Iscove’s medium supplemented with 4% human heat-inactivated AB serum (IAB medium). Monocytes were isolated by adherence on petri dishes (Heraeus, Hannover, Germany). After 3 h (37°C, 5% CO2) the nonadherent cells were removed by several washes with PBS, and the adherent cell population was detached. Detached cells were washed and resuspended in IAB medium and then incubated in round-bottom 96-well microtiter plates overnight. Monocytes were subsequently primed with IFN-{gamma} (100 U/ml) for 2 h before the addition of C5a and LPS (20 ng/ml; 10 min after C5a) as indicated in Results. When indicated, human peripheral blood monocytes purified by centrifugal counterflow elutriation as previously described (27) were used. The resulting cell preparations contained up to 90% monocytes as assessed by CD14 staining and FACS analysis.

Priming of monocytes with LPS and IFN-{gamma}

In unstimulated cells IL-12p70 was undetectable with the ELISA used. Stimulation of monocytes was performed with 100 U/ml IFN-{gamma} 2 h before addition of 20 ng/ml LPS, which has previously been shown to increase IL-12 production at the mRNA as well as at the protein level (28). At the intracellular level, a marked IL-12 (p40/p70) production was detectable upon IFN-{gamma}/LPS stimulation (i.e., >10% cells stained positive for IL-12) in all experiments evaluated in this study.

mRNA isolation and RT

mRNA was isolated from 100,000 monocytes/well using an mRNA isolation kit (Boehringer Mannheim, Mannheim, Germany) according to the supplier’s instructions. Resulting poly(A)+ RNA was stored at -80°C. RNA was then subjected to first-strand cDNA synthesis using oligo(dT)15 for full-length cDNA synthesis. The RT reaction mixture contained a final concentration of 50 U of Expand-RT (Boehringer Mannheim), 20 U of RNase inhibitor (RNase out, Life Technologies, Eggenheim, Germany), 10 mM DTT, 1x first-strand RT buffer for Expand-RT, 0,5 mM of each dNTP (Boehringer Mannheim), and 80 pmol of oligo(dT)15 (Boehringer Mannheim). To control for genomic DNA contamination, cDNA synthesis was performed in the absence of reverse transcriptase. First-strand cDNA was stored at -20°C.

PCR

For PCR amplification the resulting cDNA was amplified. The PCR mixture contained a final concentration of 1 mM MgCl, 0.1 µM of the specific primers, and 0.25 U of Taq polymerase (Life Technologies). Primers specific for IL-12p40 and p35 were purchased from BioSource (Ratingen, Germany) and Stratagene (Heidelberg, Germany), respectively. For ß-actin amplification the following primers were used (forward, 5'-GAGCGGGAAATCGTGCGTGACATT; reverse, 5'-GAAGGTAGTTTCGTGGATGCC). PCRs were conducted for 28 cycles, with annealing temperatures of 52°C for p40, 62°C for p35, and 60°C for ß-actin. To control for saturation effects of the PCR, preliminary experiments were assayed at different cycle numbers by removing part of the reaction at appropriate times. An aliquot of each PCR was subjected to electrophoresis on a 2% agarose gel (Qualex Gold, AGS, Heidelberg, Germany) stained with ethidium bromide, visualized, and photographed under UV illumination. The expected sizes of amplified fragments were 225 bp for ß-actin, 290 bp for p40, and 414 bp for p35.

Flow cytometric analysis of intracellular cytokines

Intracellular staining and quantification of cytokines was conducted with modifications as previously described (29). During the stimulation procedure brefeldin (Sigma) was added at 3 µg/ml. Cells were harvested, washed twice in PBS, then fixed with 4% ice-cold phosphate-buffered paraformaldehyde for 15 min at 4°C, and washed in PBS. To facilitate diffusion of Ab through the cell membranes, cells were permeabilized in PBS with 0.1% saponin (Riedel de Haen, Seelze, Germany) for 15 min. Thereafter, pretitrated cytokine-specific mAb diluted in the permeabilization buffer (PBS-saponin) were added and incubated for 45 min at 4°C. The PE-conjugated cytokine-specific mAb and IgG1 isotype control mAb were used at final concentrations of 2 µg/ml (monoclonal mouse anti-human-IL-12 (p40/p70), this Ab reacts with human IL-12p40 monomer and with the p70 heterodimer, but not with the p35 monomer; monoclonal rat-anti-human-IL-6, PharMingen). After subsequent washings in permeabilization buffer, cells were resuspended and measured in PBS by flow cytometric analysis. Expression of surface Ags on monocytes was assessed using FITC-labeled C5aR Ab (P12/1 (IgG1/{kappa}) as described previously (30)) and labeled CD14 (Coulter-Immunotech, Hamburg, Germany). Samples were analyzed on a FACScan flow cytometer (Becton Dickinson, Heidelberg, Germany). Results were analyzed using CellQuest software (Becton Dickinson).

Cytokine determinations

IL-12p70 ELISA was performed using an IL-12p70 detection kit (R&D Systems), which recognizes only the IL-12p70 heterodimer. The same samples were analyzed in another ELISA specific for p40 (R&D Systems) to determine the amount of non-p70-bound p40.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Dose-dependent suppression of IL-12 production by C5a

Stimulation of IFN-{gamma} (100 U/ml)-primed monocytes with LPS (20 ng/ml) for 24 h resulted in about 30% (mean value) of monocytes stained positive for intracellular IL-12 (p40/p70) expression (vs <0.5% in unstimulated cells) and a mean IL-12p70 content of about 70 pg/ml in the supernatants as described previously (28).

Exposure of IFN-{gamma}-primed monocytes to C5a before the addition of LPS significantly decreased the production of IL-12. As shown in Fig. 1Go, incubation with C5a suppressed intracellular IL-12 (p40/p70) production to <30% of the positive control value (i.e., stimulation with IFN-{gamma}/LPS) in elutriated monocytes. Stimulation caused 39.2 ± 5.4% (±SEM) of the cells to stain positively for IL-12 (p40/p70), whereas upon addition of C5a to IFN-{gamma}-primed monocytes the number of positive cells was reduced to 10.5 ± 2.1%. Suppressive effects were observed with rhC5a preparations purified by affinity chromatography or by FPLC (Fig. 1Go). Moreover, C5a suppressed IL-12 (p40/p70) in monocytes isolated by elutriation from PBMC (Fig. 1Go) or by an adherence step. Markedly lower IL-12 (p40/p70) production upon stimulation was detectable in monocytes isolated by an adherent step. Only 18.6 ± 1.3% (±SEM) of these cells stained positively for IL-12 (p40/p70) upon challenge with IFN-{gamma}/LPS; C5a reduced the number of cells positive for IL-12 (p40/p70) to 10.2 ± 1.0% in these cells.



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FIGURE 1. Effect of C5a stimulation on intracellular IL-12 (p40/p70) production by human monocytes. Elutriated human monocytes were stimulated with 100 U/ml IFN-{gamma} for 2 h. Then C5a (1.5 µg/ml) was added before stimulation with LPS (20 ng/ml). The percentage of monocytes positive for IL-12 (p40/p70) as detected by flow cytometric analysis was determined. A stimulation index was calculated using LPS/IFN-{gamma}-stimulated cells without C5a as a positive control (=100%; IL-12-positive monocytes, 39.2 ± 5.37% (±SEM)). Mean values (±SEM) from at least seven independent experiments are shown. Two different C5a preparations (1, purified by affinity chromatography; 2, FPLC purification; see Materials and Methods) were compared. The down-modulation of IL-12 (p40/p70) was significant for both C5a preparations tested (p < 0.0005) as calculated by t test for raw data.

 
A clear dose dependency of the C5a effect was evident (Fig. 2Go), with a marked suppression of intracellular IL-12 (p40/p70) production using C5a doses as low as 1.5 ng/ml.



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FIGURE 2. Dose-dependent effect of C5a on intracellular IL-12 (p40/p70) production. Flow cytometric analysis of IFN-{gamma}-stimulated human monocytes (IFN-{gamma}, 100 U/ml; LPS, 20 ng/ml), isolated by elutriation, that had been incubated with varying concentrations of C5a prior to incubation with LPS. Intracellular cytokine staining for IL-12 (p40/p70) is shown. The quadrant markers for the dot plot were set based on the negative staining controls using isotype-matched Ig Abs. The percentages of cells in the corresponding quadrants are given. Top panel, Stimulation with IFN-{gamma}/LPS for 24 h without C5a; from left to right, decreasing concentrations of C5a (from 3 to 0.00015 µg/ml) given before LPS to IFN-{gamma}-primed monocytes. One representative of three independent experiments is shown.

 
The effect of C5a was specific, since it could be inhibited by the anti-C5a Ab C17/5 (Fig. 3Go). The inhibition of serum carboxypeptidase N with MERGETPA resulted in an increase in C5a-induced IL-12 suppression of >30%. This indicates that C5a(desArg) may be the active component in our experimental system.



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FIGURE 3. Effect of anti-C5a on the C5a-induced IL-12 suppression. Human monocytes (harvested by elutriation) were stimulated as described with IFN-{gamma}/LPS alone or in the presence of C5a (1 µg/ml). The mAb C17/5 (mouse IgG1/{kappa}) was incubated in an 80-fold molar excess with C5a for 45 min before addition of the C5a-Ab complexes to the IFN-{gamma}-primed cells. The percentage of monocytes positive for IL-12 (p40/p70) as detected by flow cytometric analysis was determined. A stimulation index was calculated using LPS/IFN-{gamma}-stimulated cells without C5a as a positive control (=100%; 38.3 ± 9.85% (±SEM)), of the cells were stained positive for IL-12 (p40/p70)). The mean values from five independent experiments ± SEM are shown.

 
In this experimental setting incubation with C5a did not result in a general down-modulation of all proinflammatory cytokines, as IL-6 expression did not decline (Fig. 4Go).



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FIGURE 4. Effect of C5a on intracellular IL-6 production by IFN-{gamma}- and LPS-treated human monocytes. Human monocytes (harvested by an adherence step) were stimulated with IFN-{gamma} (100 U/ml) before addition of C5a (1 µg/ml) and LPS (20 ng/ml). The percentage of monocytes positive for IL-6 as detected by flow cytometric analysis was determined. The mean values of 10 independent experiments ± SEM are shown. No significant difference was observed.

 
Suppression was not due to down-modulation of the CD14 Ag, which serves as an LPS receptor, as determined by flow cytometric analysis. CD14 expression was found on 58.15% (SD = 11.8, n = 3) IFN-{gamma}-primed monocytes after addition of C5a compared with 60.52% (SD = 9.74, n = 3) CD14+ IFN-{gamma}-primed monocytes that had not been exposed to C5a. IFN-{gamma} (100 U/ml) did not reduce the expression of C5aR on monocytes significantly; in two different staining experiments the decrease in C5aR expression upon stimulation with IFN-{gamma} (100 U/ml) was <20%.

A C5a-induced reduction of IL-12p70 and p40 secretion was observed in supernatants of IFN-{gamma}/LPS-stimulated monocytes (Fig. 5Go).



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FIGURE 5. Effect of C5a on the secretion of IL-12p70 and p40 by stimulated monocytes. Monocytes (harvested by elutriation or an adherence step) were challenged with IFN-{gamma} (100 U/ml) for 2 h before addition of C5a (1.5 µg/ml) and LPS (20 ng/ml) for 24 h (B) or of LPS alone (A). Culture supernatants were harvested and assayed for IL-12p70 and p40 accumulation by ELISA. Corresponding p70/p40 values of 17 independent experiments are shown. The down-modulation was significant for both subunits (p < 0.0005) as calculated by paired t test.

 
Of note, C5a did not induce any down-regulation of IL-12 if given before the priming procedure. When GM-CSF (100 ng/ml) was used instead of IFN-{gamma} for monocyte priming, addition of C5a caused a 75% reduction in intracellular IL-12 production (data not shown). These results indicate that C5a may specifically interfere with intracellular events induced during the monocyte priming process.

Both IL-12 subunits are suppressed by C5a

Fig. 5Go shows that both p40 and p70 were suppressed by C5a. P40 production after stimulation (IFN-{gamma} plus LPS) was 25- to 40-fold higher than p70 production, as described by others (9, 22).

As shown in Fig. 6Go a down-regulation of IL-12p40 and p35 mRNA accumulation was observable upon stimulation of IFN-{gamma}-primed monocytes with C5a and LPS for 5 h.



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FIGURE 6. Effect of C5a treatment on the mRNA expression for IL-12p40 and p35 in human monocytes. Human monocytes were incubated with C5a (1.5 µg/ml) after IFN-{gamma} (100 U/ml) priming and prior to stimulation with LPS (20 ng/ml). After 5 h mRNA was isolated, and the expression of p40, p35, and ß-actin was determined by RT-PCR. The resulting cDNA fragments were resolved on a 2% agarose gel and visualized by ethidium bromide. The amplified cDNA fragments had the expected lengths of 290 bp for p40, 414 bp for p35, and 225 bp for ß-actin. One representative of four independent experiments is shown.

 
C5a-induced IL-12 suppression is not due to enhanced endogenous production of IL-10, IL-4, or PGE2

IL-10, IL-4, and PGE2 have been shown to down-regulate IL-12 production under defined experimental conditions. We therefore tested whether endogenous production of these mediators might be responsible for the C5a-induced IL-12 down-regulation using indomethacin or neutralizing Abs for IL-4 or IL-10. The down-regulatory effect of C5a remained stable in the presence of neutralizing anti-IL-10 and anti-IL-4 Abs during preincubation, with IL-12 secretion diminished by about 70%. Fig. 7Go summarizes the results obtained for intracellular cytokine staining. The NO synthase inhibitor N-methyl-L-arginine (data not shown) as well as the PG synthesis inhibitor indomethacin had no effect on the reduction of IL-12 upon stimulation in the presence of C5a (Fig. 7Go).



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FIGURE 7. Effects of blocking IL-10, IL-4, or PGs on intracellular IL-12 (p40/p70) staining of IFN-{gamma}-primed human monocytes incubated with C5a. Human monocytes isolated by elutriation were stimulated with 100 U/ml IFN-{gamma} for 2 h. C5a was added before stimulation with LPS (20 ng/ml). Cells were incubated either with C5a (1.5 µg/ml) or with C5a and neutralizing anti-IL-10 Ab (10 µg/ml), anti-IL-4 Ab (10 µg/ml), or indomethacin (1 x 10-6 M) for 24 h. The percentage of monocytes positive for IL-12 (p40/p70) as detected by flow cytometric analysis was determined. The mean values from four independent experiments ± SEM are shown. The down-modulation of IL-12 (p40/p70) was significant for all substances tested (p < 0.05) as calculated by paired t test.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In the present study we provide evidence that the important proinflammatory and immunoregulatory cytokine IL-12 can be selectively down-regulated by stimulating IFN-{gamma}- or GM-CSF-primed human monocytes with C5a before addition of LPS. The ability of C5a to inhibit the induction of IL-12 is a new finding. This may be of particular importance because of the crucial role of IL-12 in situations where C5a is generated, such as in acute bacterial infections, in autoimmune disorders, or in the development of specific immunity against a number of intracellular pathogens.

The effect of C5a was specific, since it could be inhibited by an anti-C5a Ab that has been shown to block C5a-induced degranulation of granulocytes (4). The inhibition of the C5a effect on monocytes was not complete, which might be explained by an intrinsic activity of the Ab (complete Ab was used) or a low affinity of the C5a-specific Ab that led to partial C5a binding to monocytes.

Our results demonstrate that C5a treatment does not result in a down-modulation of all proinflammatory cytokines, as IL-6 was not affected by C5a-mediated down-regulation.

In vivo, C5a is rapidly degraded to C5a(desArg) by the ubiquitous carboxypeptidase N (31). This plasma enzyme significantly reduces C5a activity by removing the C-terminal arginyl residue. In our experiments relatively high amounts of C5a were used. Since we used culture medium supplemented with human serum (containing the carboxypeptidase N) the observed effects were probably due to C5a(desArg). This speculation is supported by experiments performed in the presence of MERGETPA, a potent competitive inhibitor of the serum carboxypeptidase N. In the presence of MERGETPA a >=30% increase in the IL-12 down-regulatory effect was observable. C5a(desArg) is the natural ligand of C5aR (CD88) and is generally less active than C5a (32).

C5a(desArg) serum levels of healthy individuals have been shown to range from 6.4–16.8 ng/ml (33). Müller et al. (34, 35) have shown that in different pathological conditions, such as renal allograft rejection and CMV diseases, plasma and/or urinary C5a levels may show a mean increase of 251 or 379%, respectively. Since even higher concentrations can be expected at the local site of complement activation, the concentrations of C5a/C5a(desArg) tested in our system are probably in a range that may occur in vivo.

Moreover, C5a used in a low (pathophysiological) nanomolar range (1.5 ng/ml = 0.18 nM) had a marked suppressive effect (~50% suppression) on IL-12 production (Fig. 2Go).

To exclude an indirect effect of C5a or C5a(desArg), respectively, on the production of IL-12 we examined whether the endogenous production of IL-12 antagonists could play a role in the suppression of IL-12 by C5a. The most potent inhibitor of IL-12 synthesis by monocytes/macrophages appears to be IL-10, which acts at the protein as well as at the mRNA level (21, 22). We did not observe an enhancement of IL-12 production by neutralization of endogenously produced IL-10 in our experimental setting.

IL-4 is another antagonist of proinflammatory monokines, which has been shown to down-regulate IL-12 (22, 24) and the expression of CD14 in normal human monocytes (36). Similar to IL-10, the addition of neutralizing anti-IL-4 Ab to monocyte cultures failed to overcome the C5a-mediated suppression of IFN-{gamma}/LPS-induced IL-12 release. Moreover, C5a-induced IL-12 down-regulation was observable in highly purified monocytes containing only small amounts of potentially IL-4-producing lymphocytes, which suggests that T cell-derived IL-4 is not the cause of the observed effects.

Recently, it was reported that PGE2 is a potent down-regulator of IL-12p40 subunit production by LPS-stimulated monocytes in whole blood cultures (23). Both IL-12 and PGE2 are secreted by monocytes/macrophages and other APCs in response to a variety of compounds, including bacterial products (37). Indomethacin did not reverse the suppressive effect of C5a, which excludes a role of endogenously produced PGE2 in our experiments. Using the NO synthase inhibitor N-methyl-L-arginine, we were further able to exclude that endogenously produced NO during the preincubation time interfered with the observed C5a-induced IL-12 down-regulation.

Enhanced expression of IL-12p40 leads to the formation of the p40 homodimer, which has been shown in a murine cell system to antagonize IL-12 activities (38). Experiments with recombinant (p40)2 indicated that an approximately 10- to 100-fold excess of IL-12(p40)2 over IL-12 is required to achieve a 50–90% inhibition of the effects of IL-12 on Th1 cells (9). In accordance with the findings of others (11, 22) we found that both subunits of IL-12 are inducible by stimulation with IFN-{gamma}/LPS. In this study we provide evidence that both subunits are down-regulated by C5a; at the protein level we found that p40 parallels the down-regulation of p70, and at the mRNA level a reduction of p35 and p40 accumulation was observed.

We used amplification by RT-PCR to facilitate detection of the mRNA species, arguing that although RT-PCR is a nonquantitative method, large differences in the intensity of the bands obtained with the same primer set should nonetheless reflect significant differences in the expression levels of the amplified mRNA. This semiquantitative method does not allow an interpretation concerning absolute mRNA amounts expressed, but detects differences in expression levels within the same experiment.

C5a obviously prevented IFN-{gamma}-primed monocytes to respond to an LPS signal. Interestingly, C5a did not induce any down-regulation of IL-12 if given before the IFN-{gamma}-priming procedure. We excluded that C5a-induced IL-12 suppression was due to the down-modulation of the LPS receptor CD14. All C5a preparations used in this study were virtually LPS free as detected by the Limulus assay. This is important, since LPS can induce a state of hyporesponsiveness to its own effects, a phenomenon mediated by monocytes/macrophages (39). LPS-induced tolerance has recently been described by us (28) with respect to IL-12 production and has previously been described for TNF, IL-6, IL-8, IL-10, NO, and other cytokines (40, 41, 42, 43, 44, 45) and is characterized by a diminished synthesis of these mediators by monocytes.

LPS and C5a have been shown to act synergistically in the induction of a number of proinflammatory cytokines. Montz et al. (4) demonstrated that IL-6 production by LPS-stimulated human PBMC was substantially potentiated by C5a in a dose-dependent manner. Cavaillon et al. (46) were able to show that rC5a enhances IL-1 and TNF release by LPS-stimulated monocytes and macrophages. These experiments had been performed without a priming step before incubation of monocytes with LPS.

Monocytes/macrophages require such a priming signal before LPS stimulation for optimal production of IL-12 (11, 47). Interestingly, C5a did not exert a suppressive effect if applied before the priming procedure. This finding suggests that C5a renders primed monocytes insensitive to subsequent stimulation with the second signal LPS, probably by interfering with signal transduction pathways important for an optimal response to LPS. In this context, Marth and Kelsall (48) have shown in a recent study that iC3b (and CR3 Ab) binding to CR3 (CD11b/CD18) on human macrophages prestimulated with Staphylococcus aureus cells (Cowan I strain) caused a decrease in IL-12 production. They speculated that CR3 Abs may suppress IL-12 production by the inhibition of IFN-{gamma}-induced tyrosine phosphorylation.

We cannot exclude interference of C5a with IFN-{gamma} signal transduction pathways. Since IL-12 suppression could also be observed after replacing IFN-{gamma} by GM-CSF, C5a does not exclusively interfere with the IFN-{gamma} signal transduction pathway. Preincubation of C5a before GM-CSF or IFN-{gamma} priming did not result in IL-12 down-regulation. Therefore, our hypothesis is that C5a may render primed monocytes insensitive to a subsequent second signal provided by LPS.

Sutterwala et al. (49) have demonstrated that a number of ligands for phagocytic receptors, such as the scavenger and the Fc{gamma} receptor, can down-modulate IL-12 mRNA synthesis and protein secretion. They discuss that this effect is dependent on receptor ligations that cause a calcium influx. In this context C5a is another agent that increases intracellular calcium levels upon binding to its receptor (50).

The C5aR has previously been shown to be expressed in situ on resident macrophages or dendritic cells (30). The C5a-induced down-modulation of IL-12 shown here may be important as an endogenous counter-regulation of potentially harmful inflammatory reactions in situ, but the generation of C5a may also favor a type 2 cytokine milieu in acute inflammatory or allergic reactions.

The complete elucidation of the cellular events induced by C5a may aid in understanding inflammatory processes, especially the status of primed monocytes/macrophages and may potentially lead to novel therapeutical strategies in sepsis, shock, and allergic and autoimmune diseases.


    Acknowledgments
 
We thank Petra Schmidt for excellent technical support.


    Footnotes
 
1 This study was supported by Deutsche Forschungsgemeinschaft Grants SFB 244/C13, We 1289/2-1, and GÖ 410/7-2. Back

2 Address correspondence and reprint requests to Dr. Miriam Wittmann, Department of Dermatology and Allergology, Hannover Medical University, Ricklinger Str. 5, D-30449 Hannover, Germany. E-mail address: Back

3 Abbreviations used in this paper: MERGETPA, D,L-2-mercaptomethyl-3-guanidino-ethylthiopropanoic acid; rh, recombinant human; FPLC, fast protein liquid chromatography; IAB medium, Iscove’s medium supplemented with 4% human heat-inactivated AB serum; NO, nitric oxide. Back

Received for publication December 3, 1998. Accepted for publication March 10, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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