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The Journal of Immunology, 1999, 162: 939-947.
Copyright © 1999 by The American Association of Immunologists

Regulation and Functional Involvement of Macrophage Scavenger Receptor MARCO in Clearance of Bacteria In Vivo

Luc J. W. van der Laan*, Ed A. Döpp*, Richard Haworth{dagger}, Timo Pikkarainen{ddagger}, Maarit Kangas{ddagger}, Outi Elomaa{ddagger}, Christine D. Dijkstra*, Siamon Gordon{dagger}, Karl Tryggvason{ddagger} and Georg Kraal1,*

* Department of Cell Biology and Immunology, Vrije Universiteit, Amsterdam, The Netherlands; {dagger} Sir William Dunn School of Pathology, Oxford, United Kingdom; and {ddagger} Department of Medical Biochemistry and Biophysics, Karolinska Institutet, Stockholm, Sweden


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The scavenger receptors expressed by macrophages are thought to play an important role in the immune response against bacteria by mediating binding and phagocytosis. A novel member of the class A scavenger receptor family, macrophage receptor with collagenous structure (MARCO), has recently been identified. In this study we have generated a panel of mAbs with specificities for different domains of this receptor. Two of those reacting with the C-terminal cysteine-rich domain block ligand binding of MARCO. The in vivo expression of this murine receptor is normally restricted to distinct populations of macrophages in the spleen and lymph nodes. During bacillus Calmette-Guérin (BCG) infection, during bacterial sepsis, or after the injection of purified LPS, however, the expression of MARCO is rapidly induced on macrophages in other tissues, including Kupffer cells in the liver. Using the mouse macrophage cell line J774.2, it was shown that LPS stimulation up-regulates surface expression of MARCO in a dose- and time-dependent fashion. The proinflammatory cytokines IL-1, IL-6, TNF-{alpha}, and IFN-{gamma} had little or no effect. Using inhibitory mAbs, the relevance of MARCO for the clearance of circulating bacteria in vivo was determined. Although the overall elimination of live Escherichia coli and Staphylococcus aureus from the blood did not appear to be affected by treatment with these Abs, the capturing of heat-killed bacteria by macrophages in the marginal zone areas of the spleen was clearly inhibited. This study suggests a role for MARCO in the host antibacterial defense.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Macrophages (M{phi})2 play an important role in the first line of host defense against bacterial and viral pathogens. M{phi} possess a wide range of receptors, including pattern recognition receptors (1, 2), that are involved in the detection, phagocytosis, and destruction of pathogens and initiate an immune response by B and T cells (3, 4). An important family of receptors involved in these processes are the class A M{phi} scavenger receptors (SR-A). The SR-A are trimeric membrane proteins with a collagenous structure (5) and can bind a broad range of polyanionic ligands, including modified lipoproteins, polyribonucleotides, and polysaccharides (6, 7). Initial studies of the SR-A have been focused on their role in atherosclerosis (8). More recently, however, the importance of these receptors in the immune response against bacterial and viral pathogens has been established (9, 10, 11, 12). The SR-AI and SR-AII, which are derived from one gene by alternative splicing (13), can bind both Gram-positive and Gram-negative bacteria by interaction with cell wall components, such as lipoteichoic acid (14). Importantly, recent studies showed that SR-AI/II knockout mice have a higher susceptibility to infection with the bacteria Listeria monocytogenes (11) and have a lower resistance against endotoxic shock (12). Also, the in vivo clearance of bacterial LPS from the circulation was found to be inhibited by an SR-A competitor (9).

Recently, a novel member of the class A scavenger receptor family has been identified in mice and man, named MARCO (macrophage receptor with collagenous structure) (15, 16). The molecular structure of this receptor resembles that of SR-AI, containing a triple-helical collagenous domain and a scavenger receptor cysteine-rich (SRCR) domain at the C terminus. Like the other members of the SR-A, MARCO can bind Gram-positive and Gram-negative bacteria (15). Mutagenesis studies with human MARCO have revealed that the N-terminal side of the cysteine-rich domain is important for ligand binding (16).

Under normal, noninflamed conditions, the expression of MARCO in situ is restricted to distinct populations of M{phi} in the spleen and lymph nodes (15), whereas SR-AI/II have a broader distribution (17, 18, 19). So far, most of the studies considering the regulation of the SR-A have been focusing on atherosclerosis (20). However, it has also been shown that bacterial endotoxins can up-regulate expression of SR-AI/II in vivo (21). Despite structural similarities between SR-AI and MARCO, the different distribution and the possible differences in regulation and ligand binding specificity of these receptors might suggest functional dissimilarities in vivo. In the spleen, MARCO is expressed on M{phi} located in the marginal zone area. The marginal zone is a unique lymphoid compartment positioned at a location where the bloodstream changes from a closed arterial circulation into the sinusoidal venous circulation of the red pulp (22). These areas contain different types of highly phagocytic M{phi} (23, 24) that are very effective in capturing particles from the passing bloodstream (19. 25). These cells have been implicated in processing of Ags and induction of an immune response against particulate bacterial Ags and T cell-independent type 2 Ags in mice (26, 27, 28). In line with the findings of animal experiments, studies of splenectomy patients showed a high incidence of severe bacterial infections, suggesting an important role for the splenic marginal zone in bacterial clearance (29).

In this study we generated a panel of mAbs directed against different domains of MARCO, and these were used to investigate the regulation and function of this receptor. The regulation of MARCO was determined in vivo, during the course of BCG infection and systemic bacterial sepsis, and in vitro with the mouse M{phi} cell line J774.2. We also investigated the relevance of bacterial binding by MARCO in vivo by studying the effect of the inhibitory Abs on the clearance of bacteria from the bloodstream by splenic M{phi}. Our results support the notion that MARCO has a role in antibacterial host defense mechanisms.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Animals and tissues

For the generation of mAbs, WAG/Rij rats were used (Netherlands Cancer Institute, Amsterdam, The Netherlands). The tissue distribution of MARCO was examined in embryonic or adult BALB/c (Netherlands Cancer Institute), Swiss (Harlan CPB, Zeist, The Netherlands), and C57BL/6 mice (Harlan). To this, tissue samples were snap frozen in liquid nitrogen and stored at -70°C until later use. BCG infection studies used C57BL/6 mice at 8–10 wk of age and were performed at the Sir William Dunn School of Pathology (Oxford, U.K.). Livers from uninfected and infected mice for immunohistochemical analysis were frozen in OCT compound (BDH-Merck, Dorset, U.K.) and cooled in isopentane over dry ice. Bacterial clearance experiments were performed with BALB/c mice (20–30 g).

Transfections

The cDNA encoding the full-length murine MARCO was engineered into a pSG5 vector (Stratagene, La Jolla, CA) using the BglII restriction sites. Chinese hamster ovary (CHO) cells were obtained from the European Collection of Animal Cell Cultures (ECACC, Salisbury, U.K.) and transfected with the pSG5-MARCO construct and a plasmid containing the neo gene for neomycin resistance. Stable transfected cells were cultured in DMEM/Glutamax medium (Life Technologies, Paisley, U.K.) containing 100 IU/ml penicillin, 50 mg/ml streptomycin (Pen/Strep), and 10% FCS and selected using neomycin analogue G418 (0.8 mg/ml). Only 10–20% of the cells express the receptor on the cell surface.

Different mutant forms of MARCO were generated by a site-directed insertion of a stop codon using PCR as described elsewhere (16). Truncations were made at the C terminus, deleting the entire cysteine-rich domain (from residue 419 till the C terminus) or leaving the 22 N-terminal residues of this domain (deleting from residue 441 onwards) (Fig. 1Go). Four types of cytoplasmic (N-terminal) truncations were made, respectively lacking residues 2–7, 2–13, 2–27, and 2–37 (Fig. 1Go). Stably transfected CHO cells expressing these mutant receptors were cultured on glass coverslips, fixed, and permeabilized with ice-cold methanol (10 min), and stained with anti-MARCO mAbs (see below). Extensive analysis of these mutants will be described elsewhere (T. Pikkarainen et al., manuscript in preparation).



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FIGURE 1. Epitope mapping of the anti-MARCO mAbs. Different truncated forms of MARCO were generated by a site-directed insertion of a stop codon using PCR. Truncations at the C terminus (Ct; dark hatched) were made, deleting the entire cysteine-rich domain ({Delta}419-Ct) or leaving the N-terminal 22 amino acids of this domain ({Delta}441-Ct). Four types of cytoplasmic truncations were made, deleting 7 ({Delta}2–7), 13 ({Delta}2–13), 27 ({Delta}2–27), or 37 ({Delta}2–37) amino acid residues of the N terminus (light hatched). Stably transfected CHO cells expressing the truncated MARCO forms or the full-length (FL) receptor were tested for recognition by the different anti-MARCO mAbs. Cells were fixed and permeabilized with ice cold methanol and stained by immunocytochemistry. Results are from two independent experiments. -, Negative immunostaining. +, Positive staining.

 
Monoclonal Abs and immunohistochemistry

For the generation of mAbs against MARCO, two rats were immunized by s.c. injection of 1 x 107 MARCO-expressing CHO cells suspended in CFA. The animals were boostered twice, 4 and 8 wk after primary immunization, by i.p. injection of 1 x 107 transfected cells suspended in incomplete Freund’s adjuvant. Three days after the final booster, animals were sacrificed, and the spleens were removed. Splenocytes were suspended and fused with the myeloma cell line Sp2/0 by the polyethyleneglycol (PEG) method and plated in 10 24-well plates containing rat peritoneal feeder cells. Primary selection of hybridomas was based on immunoreactivity with cryostat sections of mouse spleen and with MARCO-expressing CHO cells as analyzed by flow cytometry. Positive hybridomas were subcloned twice by limiting dilution. This resulted in seven clones producing specific Abs directed against MARCO (Table IGo).


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Table I. Summary of specificities of mAbs directed against MARCO1

 
The following rat anti-mouse mAbs were used: ER-TR9 (23) (IgM), a gift from Dr. van Ewijk (EUR, The Netherlands), and MOMA-1 (24), both recognizing unidentified M{phi} Ags; FA11 (IgG2a), recognizing the pan-M{phi} marker macrosialin (30, 31); TIB 120 (IgG2b), anti-MHC class II (32); 2.4G2 (IgG2b), anti-Fc{gamma}RII/III (PharMingen, San Diego, CA); and MECA-367 (IgG2a), anti-mucosal addressin cell adhesion molecule (MAdCAM)-1 (PharMingen). The irrelevant control IgG1, GL113 (rat anti-E. coli ß-galactosidase), was provided by Dr. van Halteren (VU, Amsterdam).

For standard immunohistochemistry, 8-µm cryostat sections of mouse tissue were fixed with acetone for 10 min, air dried, and incubated with primary Ab diluted in PBS (pH 7.6) at a final concentration of 5 µg/ml of purified and/or biotinylated IgG or 1:3 dilution of hybridoma supernatant. After 60 min incubation at room temperature (RT), sections were washed twice with an excess of PBS and incubated with peroxidase-conjugated rabbit anti-rat IgG (Dakopatts, Copenhagen, Denmark) or, in the case of biotinylated primary mAb, with avidin-peroxidase (Vector, Burlingame, CA) diluted in PBS containing 1% mouse serum for 45 min at RT. For isotyping of the ED mAbs, isotype-specific biotinylated rabbit-Abs were used (Dakopatts). Peroxidase activity was demonstrated with the substrate 3,3'-diaminobenzidine-tetrahydrochloride (DAB; Sigma, St. Louis, MO; 0.5 mg/ml) dissolved in 0.05 M Tris-buffer (pH 7.6) containing 0.03% H2O2. Sections were counterstained with hematoxylin. For analysis of BCG experiments, 5-µm frozen sections of liver were cut and fixed for 10 min in 2% paraformaldehyde before staining. Sections were washed in 0.1% Triton X-100 in PBS. Endogenous peroxidase activity was quenched with 10-2 M glucose, 10-3 M sodium azide, and 0.4 U/ml glucose oxidase in PBS by incubating for 15 min at 37°C. Avidin-biotin blocking agents were used (Vector, Peterborough, U.K.). Sections were incubated for 60 min with primary Ab in PBS containing 10% FCS and 5% normal rabbit serum at RT. Sections were washed, and then biotinylated secondary mAb was added for 30 min, followed by incubation with avidin-biotin-peroxidase complex (ABC elite, Vector) for 30 min. The presence of Ag was revealed by incubation with 0.5 mg/ml diaminobenzidine (Polysciences, Northampton, U.K.) and 0.03% H2O2 in 10 mM PBS imidazole. Sections were counterstained with cresyl violet acetate and mounted in DPX (BDH-Merck). All reagents were used according to the supplier’s instructions.

The regulation of MARCO in vivo

Live BCG (Pasteur strain) was kindly provided by Dr. Genevieve Milon (Pasteur Institute, Paris, France). The BCG stocks were stored at -70°C, thawed, and sonicated immediately before use. Mice were inoculated i.p. with approximately 107 CFU in 0.2 ml PBS. Organs were removed from the mice at day 42 following inoculation and analyzed by immunohistochemistry. BALB/c mice were injected i.v. with two doses of purified LPS (O111; Sigma) and sacrificed after 6 or 24 h. Expression of MARCO was determined in spleen, liver, lung, thymus, and lymph nodes by immunohistochemistry using mAb ED31. Short-term up-regulation of MARCO was determined in vivo after injection of living Staphylococcus aureus bacteria (107 CFU/mouse i.p., 5 h) or fluorescein-labeled, heat-killed Escherichia coli or S. aureus (Molecular Probes Europe, Leiden, The Netherlands; 4 x 107/mouse i.v., 45–60 min).

MARCO regulation in vitro

The in vitro regulation of MARCO expression was investigated using the mouse M{phi} cell line J774.2, obtained from the ECACC. Cells were cultured in 24-well plates (1 x 105/well) in RPMI 1640 medium (Life Technologies) containing glutamine, Pen/Strep, and 10% FCS in the presence or absence of different stimulating agents. After stimulation for 1–48 h, cells were detached from the culture plates by incubation with PBS containing 5 mM EDTA at 4°C, and MARCO expression was determined by flow cytometry using biotinylated ED31 Ab (5 µg/ml). To prevent Fc-mediated binding, cells were preincubated with mAb 2.4G2 directed against mouse Fc{gamma}RII/III. Binding of ED31 was detected by avidin-phycoerythrin (PE) (Vector) using a FACScan flow cytometer (Becton Dickinson, San Jose, CA). Stimuli used were LPS (O111; Sigma), IFN-{gamma} (a gift from Dr. van der Meide, TNO Rijswijk, The Netherlands), TNF-{alpha} (Pepro Tech, Rocky Hill, NJ), IL-1ß (ImmunoSource, Zoersel-Halle, Belgium), and IL-6 (ImmunoSource).

AcLDL and bacteria binding in vitro

For in vitro binding assays, CHO cells transfected with the full-length MARCO cDNA construct were used. Cells were cultured in DMEM/Glutamax medium containing 10% FCS and Pen/Strep. For the binding assays, cells were detached with trypsin/EDTA, seeded in 24-well plates (2 x 105/well), and cultured for at least 18 h before use. Before the start of the experiment, the cells were placed in new culture medium and incubated for 30 min at 37°C with blocking or control Abs (20 µg/ml purified IgG or 1:3 diluted supernatant), polyguanylic or polycytidylic acid (polyG or polyC; Boehringer, Mannheim, Germany; 400 µg/ml in DEPC-treated aquadest). After preincubation, fluorescent AcLDL (final concentration 6 µg/ml; Molecular Probes) labeled with 1.1'-dioctadecyl-3,3,3',3'-tetramethyl-indocarbocyanine perchlorate (DiI) or fluorescein-labeled, heat-killed bacteria (1 x 107/ml E. coli or S. aureus; Molecular Probes) were directly added to the wells and incubated at 37°C and 5% CO2 for 90 min or 45 min, respectively. Unbound particles were removed by washing the cells three times with PBS. For analysis by flow cytometry, cells were detached from the culture plate with PBS containing 5 mM EDTA by incubation at 4°C.

Clearance of bacteria in vivo

Fluorescein-labeled, heat-killed bacteria (10–50 x 106 in PBS) were injected in the tail vein of mice previously treated for 30 min with mAb ED31, ED25, or GL113 (all 250 µg IgG injected i.p.) or PBS (200 µl, i.p.). After 45–60 min, mice were killed by cervical dislocation, and spleen, liver, and lung tissue sections were examined by fluorescence microscopy. Sections were scored by two independent observers without knowledge of the object. For studies with live bacteria, E. coli (K12 strain) or S. aureus (human isolate) were cultured overnight in 10 ml Luria-Bertani (LB)-medium at 37°C. The number of bacteria was assessed by OD and adjusted with sterile PBS. Thirty minutes before giving the bacteria, mice were treated i.p. with mAb (250 µg) or PBS (200 µl). Bacteria (2–17 x 107/mouse) were injected either i.p. or i.v., and the CFU of bacteria in the blood was determined after certain time points by collecting blood from the tail vein. After 4 h, animals were anesthetized by i.p. injection of Nembutal, and 200 µl of blood was isolated by heart puncture with a heparin-filled injection needle. The blood was serially diluted in 10-fold steps in sterile PBS, and suspensions were plated on Luria-Bertani agar plates. After overnight culture at 37°C, the number of colonies was counted and the number of CFU in the blood was calculated.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Generation and characterization of anti-MARCO mAbs

To obtain more insight into the distribution, regulation, and function of the mouse scavenger receptor MARCO, a panel of mAbs was generated by inducing an immune response against MARCO-expressing CHO cells in rats. A panel of seven mAbs directed against MARCO was derived. The specificities of these mAbs are summarized in Table IGo. Using stably transfected CHO cells expressing truncated forms of MARCO, the location of the epitopes of the mAbs was determined. As shown in Fig. 1Go, three of the mAbs (ED28, ED29, and ED31) recognize the cysteine-rich C-terminal domain of the receptor, and the other four mAbs recognize the cytoplasmic N-terminal domain. The epitopes of ED23, ED25, and ED27 are located in the first 7 amino acid residues of the cytoplasmic tail, whereas mAb ED26 binds between residues 7 and 13. Two of the mAbs that recognize the cysteine-rich domain, ED29 and ED31, bind between residue 441 and the C terminus, whereas the epitope of ED28 is located at the N-terminal part of the cysteine-rich domain (between residues 419 and 441). The presence of the epitopes for mAbs ED23, ED26, and ED27 within the cytoplasmic domain was confirmed by Western blot analysis of a glutathione S-transferase (GST)-fusion protein of the MARCO N-terminal domain (not shown).

To determine whether these Abs could interfere with the ligand binding activity of MARCO, transfected CHO cells expressing MARCO were incubated with fluorescent-labeled AcLDL or heat-killed bacteria (E. coli or S. aureus). Both mAbs ED29 and ED31 completely blocked the MARCO-mediated uptake of these ligands, whereas the other anti-MARCO mAbs and control mAbs had no effect (Fig. 2Go). MARCO-mediated uptake could be inhibited by polyG but not by the control polyribonucleotide polyC (Fig. 2GoB). The transfectants also bound living E. coli (K12) bacteria but not to the neutral polysaccharide Ficoll (not shown).



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FIGURE 2. The mAbs ED29 and ED31 block MARCO ligand binding. A, Transfected CHO cells expressing the receptor MARCO, CHO(MARCO), were incubated with DiI-labeled AcLDL (6 µg/ml) for 2 h at 37°C in the absence or presence of mAb ED25 and ED31 (20 µg/ml). The fluorescence intensity was determined by flow cytometry. The percentage of MARCO-specific binding and uptake of AcLDL was calculated by subtracting the fluorescence intensity of wild-type CHO cells from the intensity of the CHO(MARCO) cells. Values are presented as percentage of control. Ab ED31, but not ED25, completely blocks MARCO-mediated uptake. One of two experiments is shown. B, CHO(MARCO) cells were incubated with FITC-labeled heat-killed E. coli or S. aureus (25 x 106/0.5 ml) for 45 min at 37°C. The MARCO-mediated binding and uptake of bacteria was almost completely inhibited by coincubation with mAbs ED29 and ED31 and by the polyribonucleotide poly(G), whereas poly(C) and ED25 had little effect. The mean MARCO-specific binding and uptake ± SEM of triplicates from one of four experiments is shown, as a percentage of control (CTR) binding/uptake. *, Represents p <= 0.05 (Wilcoxon).

 
Tissue distribution of MARCO

The tissue distribution of MARCO observed with the mAbs was in line with the earlier findings (15) showing restricted localization to M{phi} in the spleen marginal zone area and the medulla and subcapsular sinus of lymph nodes. Some nonspecific staining was observed with the IgM ED28 in MARCO-negative tissues such as the liver (not shown). Resident and thioglycollate-elicited peritoneal M{phi} were also found to be positive for MARCO, as was demonstrated by flow cytometry (not shown). During mouse embryonic development, MARCO is expressed in the spleen from day E17 onwards as detected by immunohistochemistry. However, using Northern blot analysis, MARCO mRNA expression could already be detected by day E15 (O. Elomaa, unpublished results). The M{phi} markers ER-TR9 and MOMA-1 could be detected only much later in ontogeny, when the compartmentalization of the spleen and the architecture of the marginal zone have been established (R. Mebius, manuscript in preparation). The results are summarized in Table IIGo.


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Table II. MARCO is expressed early during ontogeny in developing spleen1

 
The expression of MARCO appears to be restricted to M{phi}. Treatment of adult mice with clodronate liposomes, which specifically eliminate M{phi} in direct contact with the blood (27), resulted in the complete loss of positive staining in the spleen marginal zone area (not shown). However, with anti-MARCO mAbs, some dendritic staining pattern was also observed near the white pulp B cell follicles, which remained present after liposome treatment. This MARCO staining did not appear to be associated with staining for the M{phi} markers ER-TR9, MOMA-1, and the lysosomal enzyme acid phosphatase, or with the follicular dendritic cell (FDC)-surface marker FDC-8, as determined by double immunohistochemistry (data not shown).

The expression of MARCO during inflammation

To investigate whether the expression of MARCO is altered during M{phi} activation in vivo, the livers of BCG-infected and noninfected mice were compared. In normal uninfected liver, the resident M{phi}, Kupffer cells, express macrosialin (Fig. 3Goa) but are not activated and therefore do not express MHC class II (Fig. 3Goc). During BCG infection, macrosialin-positive M{phi} are recruited in large numbers to sites of infection (Fig. 3Gob) and undergo a process of activation mediated by IFN-{gamma} (33, 34). These recruited cells, located in granulomata, and the resident Kupffer cell population express MHC II (Fig. 3God), suggesting a state of activation. When stained for MARCO, expression was observed on a population of M{phi} in the granulomata (Fig. 3Gof). MARCO was detected from as early as day 6 of BCG infection (not shown). In addition to the MARCO expression on recruited M{phi}, expression was also observed on Kupffer cells (Fig. 3Gof), which had not previously expressed the receptor (Fig. 3Goe). Acute endotoxic shock induced by Klebsiella pneumoniae instillation in the lung also results in a dramatic up-regulation of MARCO on subpopulations of M{phi} that do not normally express this receptor, including Kupffer cells and alveolar M{phi} (not shown).



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FIGURE 3. Induction of MARCO expression in vivo during BCG infection. Livers were collected from uninfected and BCG-infected mice (day 42), and frozen tissue sections were immunostained with mAb FA11 (macrosialin), TIB 120 (MHC class II), and ED31 (MARCO). The left panel shows uninfected liver and the right panel BCG-infected liver. Macrosialin is expressed on resident M{phi} (Kupffer cells: arrows) in the liver under both conditions (a, b) and on newly recruited M{phi} present in granulomata (arrows) of BCG-infected mice (b). MHC class II, which is absent in uninfected liver (c), is induced on resident and recruited M{phi} during infection (d). MARCO is not expressed in uninfected liver (e). However, during BCG infection, the receptor can be detected not only on Kupffer cells, but also on a subpopulation of activated M{phi} in the granulomata (f). Sections are counterstained with crystal violet acetate. Original magnification x500.

 
To determine the kinetics of the MARCO up-regulation observed during bacterial sepsis, mice were injected i.v. with different doses of live or dead bacteria. MARCO induction was very rapid. By 45 min after administration of heat-killed E. coli, expression could be observed on M{phi} in the liver and the spleen red pulp. Living E. coli or S. aureus also induced MARCO expression (data not shown). To see whether the up-regulation observed after injection of E. coli is mediated by bacterial LPS, mice were given different doses of purified LPS, and MARCO expression was examined. With a dose of 25 µg LPS, MARCO-positive M{phi} were observed in the liver, lung, and the spleen red pulp after 6 h. More positive cells were observed with a higher dose of LPS (100 µg), or at a later time point (24 h), as shown in Fig. 4Go. At this time point, the spleen marginal zone structure starts to dissociate and becomes discontinuous as a result of endotoxic shock. The induction of MARCO expression by live or heat-killed bacteria appears to be faster than the up-regulation observed after exposure to LPS. This, together with the fact that Gram-positive as well as Gram-negative bacteria are able to induce expression, suggests that other bacterial components apart from LPS contribute to activation.



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FIGURE 4. In vivo induction of MARCO expression by LPS. Mice were injected with 100 µg purified LPS (E. coli O111), and, after 24 h, liver and spleen were collected and analyzed by immunohistochemistry with mAb ED31. Strong expression of MARCO was found on Kupffer cells in the liver (arrows) (A) and cells in the red pulp (RP) and white pulp (WP) areas of the spleen (B). Under normal conditions the expression of MARCO is restricted to M{phi} in the marginal zone (C). The M{phi} in the marginal zone (MZ) of the spleen remain positive for MARCO after challenge with LPS (B). Liver sections were counterstained with hematoxylin. CV, Central vein. Original magnification x100.

 
Regulation of MARCO expression in vitro

The regulation of MARCO was studied in vitro using the mouse M{phi} cell line J774.2. Nonstimulated J774.2 cells express low but detectable levels of MARCO on their cell surface (Fig. 5Go). This was confirmed by Northern blot analysis, showing the presence of MARCO mRNA in these cells (O. Elomaa, unpublished observation). After 24 h stimulation with LPS, surface expression of MARCO was substantially increased. The response was dependent on the dose of LPS given but reached a plateau with a concentration of 0.1–1.0 µg/ml (Fig. 6GoA). The induction of MARCO was time dependent, showing no up-regulation after 1 h or 4 h but a high level of expression after 24 h (Fig. 6GoB) and 48 h of stimulation (not shown). Stimulation of J774.2 cells with M-CSF and the proinflammatory cytokines TNF-{alpha}, IFN-{gamma} (Fig. 5Go), IL-1, and IL-6 (not shown) had little or no effect on MARCO expression. LPS-induced MARCO up-regulation was dependent on the presence of serum and was increased in combination with IFN-{gamma} (not shown).



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FIGURE 5. Regulation of MARCO expression on mouse M{phi} cell line J774.2. Cells were stimulated in culture with LPS (E. coli O111; 1 µg/ml), M-CSF (10% LCM), TNF-{alpha} (5 ng/ml), or IFN-{gamma} (400 U/ml) for 24 h. Surface expression of MARCO was detected with biotinylated mAb ED31 and analyzed by flow cytometry. The mAb GL113 was used as an irrelevant control IgG1. Nonstimulated J774.2 cells have a low level of MARCO expression. Substantial up-regulation was observed after stimulation with LPS whereas TNF-{alpha}, M-CSF, and IFN-{gamma} had little effect on the expression.

 


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FIGURE 6. Dose-dependent up-regulation of MARCO by LPS. A, J774.2 cells were stimulated for 24 h with different doses of LPS. MARCO expression was analyzed by staining with mAb ED31 in the presence of anti-Fc{gamma}RII/III mAb 2.4G2, which prevents FcR-mediated binding of the Ab. The geometric mean of the fluorescence intensity (MFI) from one of five independent experiments is shown. B, Time dependence of LPS-induced up-regulation of MARCO. Cultured cells were stimulated with 100 ng/ml LPS for 1, 4, and 24 h, after which MARCO expression was determined by flow cytometry using ED31 (in the presence of mAb 2.4G2). The MFI (n = 2) from one representative experiment is shown. Ctr, Control staining without primary Ab.

 
The contribution of MARCO to phagocytosis of bacteria by J774.2 cells was determined in vitro. No inhibitory effect on the uptake of heat-killed E. coli and S. aureus was found with any of the anti-MARCO mAbs (not shown). Neither was any inhibition observed after up-regulation of MARCO expression by stimulation with LPS. This lack of inhibition might reflect the redundancy in pathways and receptors involved in the phagocytosis of bacteria by M{phi}.

Involvement of MARCO in clearance of bacteria in vivo

A series of bacterial clearance experiments was conducted to determine the relevance of MARCO to the binding of bacteria in vivo. Mice were treated with inhibitory or noninhibitory anti-MARCO Abs or control mAbs, after which the clearance of fluorescently labeled heat-killed bacteria by the spleen and liver was determined. Capturing of bacteria from the bloodstream by M{phi} appears to be very fast. Thirty minutes after the bacteria were injected i.v. (4–5 x 107), they were abundantly found in the liver and the spleen, particularly in the marginal zone area. The uptake of circulating S. aureus and E. coli by marginal zone M{phi} was substantially reduced in mice treated with ED31 as compared with controls (Fig. 7Go). ED31 had no apparent effect on the uptake of bacteria by M{phi} in the liver (not shown).



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FIGURE 7. The capture of E. coli bacteria by M{phi} in the spleen is blocked by mAb ED31. Fluorescent-labeled heat-killed E. coli were injected i.v. to mice treated with blocking anti-MARCO mAb ED31 (250 µg/mouse, 15 min before the bacteria were given), nonblocking mAb ED25. After 30 min, mice were sacrificed, and the capture of bacteria from circulation by M{phi} populations in the spleen was determined using fluorescence microscopy of 8-µm frozen tissue sections. The spleen of a mouse treated with mAb ED25 clearly shows that the fluorescent bacteria were taken up by M{phi} in the marginal zone and only few bacteria were located in the red pulp area (A). The same was seen in mice treated with PBS alone (not shown). Treatment with ED31 clearly reduced the number of fluorescent bacteria captured by the marginal zone M{phi} (B). One representative experiment of four is shown. Original magnification x200.

 
When mice were injected with live S. aureus or E. coli, no significant effect was observed on the number of CFU recovered from the blood at various time points after treatment with inhibitory mAb ED31 (Table IIIGo).


View this table:
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Table III. Clearance of living bacteria from the circulation1

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
M{phi} play a key role in the innate immune response against bacterial and viral pathogens. This first line of defense is also important in inducing an appropriate response by the B and T cells of the acquired immune system (1, 3, 4). A group of receptors expressed by M{phi} have been classified as pattern-recognition receptors based on their intrinsic ability to recognize specific elements unique and essential to microbial and viral pathogens. These receptors form the basis of the essential self vs nonself recognition (4). The M{phi} SR-A are such pattern-recognition receptors, and their importance has been confirmed in a recent study of SR-AI/II-deficient mice (11). It was shown that these mice had a reduced resistance to bacterial and viral infections. In this paper we provide both direct and indirect evidence that MARCO also plays a role in the antibacterial host defense.

A panel of seven mAbs was raised against different domains of the murine MARCO receptor. Four of these Abs recognized the cytoplasmic tail and three recognized the cysteine-rich (SRCR) domain. The two mAbs that interfered with the ligand binding of MARCO both recognized the SRCR domain.

Mutagenesis studies with human MARCO have now shown that the N-terminal part of the SRCR domain (residues 432–442) is essential for binding of bacteria (16). Whether this is also true for the murine MARCO remains to be determined. Alternatively the ligand-binding site may reside within the collagenous domain, as found for human and bovine SR-AI and SR-AII (35, 36). Although both inhibitory Abs ED29 and ED31 against MARCO seem to bind to the carboxyl-terminal part of the SRC (Fig. 1Go), the inhibitory effects could have been mediated indirectly by steric hindrance of adjacent ligand-binding sites.

In the present study we have demonstrated that in mice MARCO expression is induced on several populations of tissue M{phi} in response to various inflammatory conditions. The rapid induction of MARCO could be found on cells that do not normally express the receptor, like Kupffer cells in the liver. In normal nondiseased mice, no RNA message can be detected for MARCO in the liver (37), suggesting that Kupffer cells have no apparent mRNA pool for this receptor. This implies that the rapid expression of MARCO, at least in the liver, is a result of activation of transcription of the MARCO gene and de novo synthesis of the receptor and that this can take place in less than 45 min. For the up-regulation observed in the lung and spleen red pulp after systemic administration of bacteria or LPS, it was difficult to tell whether MARCO expression was induced on the resident M{phi} or whether positive cells had been recruited from the blood. The BCG infection model, however, provided some useful clues to this. With this infection model, it was demonstrated that MARCO is not only up-regulated on resident tissue M{phi} but is also expressed on M{phi} freshly recruited to the granulomata. The fact that thioglycollate-elicited peritoneal M{phi} have high MARCO expression could suggest that M{phi} recruited during inflammation are in general positive for this receptor. An intriguing observation made in the BCG model is that, although the vast majority of M{phi} in the granulomata are activated and express high levels of MHC class II, only a subset of these cells express MARCO, suggesting that the expression of this receptor is tightly regulated and not per se associated with cell activation. The function of MARCO on the activated M{phi} during BCG infection may be quite different from its role on cells in lymphoid organs. For example, the receptor may be involved in the clearance of apoptotic cells. Cell turnover in the granulomata is rapid, and other scavenger receptors, such as SR-A, have been shown to be involved in the uptake of apoptotic cells (38). MARCO may also contribute to the recognition and killing of the mycobacteria.

The induction of MARCO on M{phi} cell line J774.2 was slower than observed in vivo, with up-regulation seen only after 24 h of stimulation. Of all the stimuli tested, LPS gave the highest level of induction. The different proinflammatory cytokines had little or no effect on expression. Only IFN-{gamma} seemed to further increase the LPS-induced elevation. It is known that the J774.2 cell line expresses CD14, which mediates LPS-induced activation (2) and that IFN-{gamma} can boost the M{phi} responsiveness to LPS. It cannot be excluded that the LPS-induced up-regulation of MARCO is a result of autocrine activation via the cytokines produced by activated M{phi}, as the slower induction might suggest. Such a regulation mechanism has been described for the LPS-induced down-regulation of SR-AI/II on monocytes, which is mediated by autocrine stimulation of TNF-{alpha} (39).

Using the inhibitory Ab ED31, we have shown that MARCO is functionally involved in the binding and phagocytosis of bacteria by M{phi} located in the spleen marginal zone. This finding confirms that MARCO functions as a receptor for bacteria in vivo, as was suggested by the binding of bacteria by MARCO-expressing transfectants. Several lines of evidence indicate that M{phi} in the marginal zone are important for the capturing and processing of bacterial Ags. Particulate Ags are processed particularly efficiently by these M{phi} and presented as Ag in an MHC class II-restricted fashion, resulting in the induction of an appropriate humoral immune response (27, 28). In a recent report, it was shown that an immune response against their own serum albumin is induced in mice when this protein is modified in a way that makes it a ligand for M{phi} SR-A (40, 41). Targeting of Ags to SR-A seems to be sufficient to disrupt tolerance against self Ags and is able to induce an immune response in the absence of additional immunological adjuvants. Whether MARCO is involved in the immune induction remains to be determined, but it could be speculated that it functions in the immune response against circulating Ags.

The overall clearance and killing of circulating living bacteria did not appear to be affected by treatment with ED31. This confirms that there is a redundancy in the pathways by which bacteria are cleared from the blood. Several M{phi} receptors have been identified that can either directly or indirectly mediate the binding and phagocytosis of bacteria (2, 4, 14). In the case of the SR-A family, our study indicates that the ligand-binding characteristics of MARCO are similar to those of SR-AI/II. This suggests that, if one of the SR-A is blocked in vivo, the other members can take over part of its function. On the level of organs, there also may be an overlap in bacterial clearance activity. Although MARCO-mediated capturing of bacteria in the spleen is inhibited by ED31, the remainder of circulating bacteria could be cleared in the liver in a MARCO-independent fashion. It is known that the liver contributes to the bacterial clearance, involving both activated Kupffer cells and recruited neutrophilic granulocytes and M{phi} (42).

In conclusion, we have demonstrated in the present study that MARCO, like the other SR-A (12), is involved in the host response and indicated to have a role in the capturing of circulating bacteria from the blood by M{phi} in the spleen. In response to inflammatory conditions, MARCO expression is rapidly induced on M{phi} subpopulations that, similar to cells in lymphoid organs, may utilize this receptor for recognition and clearance of bacterial pathogens. Additional experiments will be required to elucidate the function of MARCO and to determine the relevance of expression on activated M{phi}. MARCO knockout mice are currently being developed and should provide more information about the role of this receptor in bacterial clearance in vivo.


    Acknowledgments
 
We thank Chantal Renardel de Lavalette, Marko Sankala, and Danielle Wolvers for their excellent technical assistance, Dr. R. Mebius for the analysis of embryonic tissues, and Dr. B. Appelmelk for providing bacteria. We also thank Angela Hollis for proofreading the manuscript.


    Footnotes
 
1 Address correspondence and reprint requests to Dr. Georg Kraal, Department of Cell Biology and Immunology, Faculty of Medicine, Vrije Universiteit, Van der Boechorststraat 7, NL-1081 BT, Amsterdam, The Netherlands. E-mail address: Back

2 Abbreviations used in this paper: M{phi}, macrophage; SR-A, class A M{phi} scavenger receptor; MARCO, M{phi} receptor with collagenous structure; SRCR, scavenger receptor cysteine-rich; BCG bacillus Calmette-Guérin; CHO, Chinese hamster ovary; RT, room temperature; AcLDL, acetylated low density lipoprotein; DiI, 1.1'-dioctadecyl-3,3,3',3'-tetramethyl-indocarbocyanine perchlorate; PP, postpartum; M-CSF, macrophage-CSF. Back

Received for publication April 10, 1998. Accepted for publication September 30, 1998.


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 Discussion
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Hepatic and Extrahepatic Scavenger Receptors : Function in Relation to Disease
Arterioscler Thromb Vasc Biol, August 1, 2000; 20(8): 1860 - 1872.
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Infect. Immun.Home page
L. Peiser, P. J. Gough, T. Kodama, and S. Gordon
Macrophage Class A Scavenger Receptor-Mediated Phagocytosis of Escherichia coli: Role of Cell Heterogeneity, Microbial Strain, and Culture Conditions In Vitro
Infect. Immun., April 1, 2000; 68(4): 1953 - 1963.
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JEMHome page
A. Palecanda, J. Paulauskis, E. Al-Mutairi, A. Imrich, G. Qin, H. Suzuki, T. Kodama, K. Tryggvason, H. Koziel, and L. Kobzik
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J. Biol. Chem.Home page
T. Pikkarainen, A. Brannstrom, and K. Tryggvason
Expression of Macrophage MARCO Receptor Induces Formation of Dendritic Plasma Membrane Processes
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Am. J. Pathol.Home page
S.-I. Hagiwara, M. Takeya, H. Suzuki, T. Kodama, L. J. W. van der Laan, G. Kraal, N. Kitamura, and K. Takahashi
Role of Macrophage Scavenger Receptors in Hepatic Granuloma Formation in Mice
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Proc. Natl. Acad. Sci. USAHome page
Z. Pancer
Dynamic expression of multiple scavenger receptor cysteine-rich genes in coelomocytes of the purple sea urchin
PNAS, November 21, 2000; 97(24): 13156 - 13161.
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