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The Journal of Immunology, 1999, 162: 2321-2325.
Copyright © 1999 by The American Association of Immunologists

In Vitro and In Vivo Dependency of Chemokine Generation on C5a and TNF-{alpha}1

Boris J. Czermak2,*,{dagger}, Vidya Sarma{dagger}, Nicolas M. Bless*, Hagen Schmal*, Hans Peter Friedl* and Peter A. Ward{dagger}

* Department of Trauma Surgery, University of Freiburg Medical School, Freiburg/Breisgau, Germany; and {dagger} Department of Pathology, University of Michigan Medical School, Ann Arbor, MI 48109


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Under a variety of conditions, alveolar macrophages can generate early response cytokines (TNF-{alpha}, IL-1), complement components, and chemotactic cytokines (chemokines). In the current studies, we determined the requirements for TNF-{alpha} and the complement activation product C5a in chemokine production in vitro and in vivo. Two rat CXC chemokines (macrophage inflammatory protein (MIP)-2 and cytokine-induced neutrophil chemoattractant (CINC)) as well as three rat CC chemokines (MIP-1{alpha}, MIP-1ß, and monocyte chemoattractant protein (MCP)-1) were investigated. Chemokine generation in vitro was studied in rat alveolar macrophages stimulated with IgG immune complexes in the absence or presence of Abs to TNF-{alpha} or C5a. The rat lung injury model induced by IgG immune complex deposition was employed for in vivo studies. Abs to TNF-{alpha} or C5a were administered intratracheally or i.v., and effects on chemokine levels in bronchoalveolar lavage fluids were quantitated by ELISA. Both in vitro and in vivo studies demonstrated the requirements for TNF-{alpha} and C5a for full generation of CXC and CC chemokines. In vitro and in vivo blockade of TNF-{alpha} or C5a resulted in significantly reduced production of chemokines. Supernatant fluids from in vitro-stimulated macrophages revealed by Western blot analysis the presence of C5a/C5adesArg, indicating intrinsic generation of C5a/C5adesArg by alveolar macrophages and explaining the higher efficiency of intratracheal vs i.v. blockade of C5a in reducing chemokine production. These results underscore the central role of both TNF-{alpha} and C5a, which appear to function as autocrine activators to promote CXC and CC chemokine generation by alveolar macrophages.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mechanisms of inflammatory injury have been studied extensively in the IgG immune complex-induced model of lung injury, and the requirements for cytokines and chemokines have been defined 1 . Similar to the events in the immune complex-mediated injury in skin 2 , the inflammatory response in lung seems to be initiated by binding of immune complexes to Fc receptors of macrophages, leading to production of early response cytokines (e.g., TNF-{alpha} and IL-1ß) and chemokines by activated macrophages 3, 4 . Subsequently, due to vascular adhesion molecules and the presence of chemotactic activities, leukocytes are recruited to the inflammatory site 5, 6, 7 . The ensuing release of cytokines, enzymes, and oxygen- and nitrogen-derived radicals 8, 9, 10, 11, 12 ultimately causes tissue damage, increased vascular permeability, and hemorrhage. The main source in lung for proinflammatory cytokines and chemokines appears to be lung macrophages 3, 4, 13 . It is known that macrophages are capable of producing and secreting a variety of different complement components 14, 15 . Furthermore, cleavage of the complement component C5 by phagocytic cell-derived proteases can cause generation of C5a 16 , indicating that this powerful chemoattractant can be generated both from complement convertases as well as from cell- and tissue-derived enzymes. As demonstrated recently, C5a and TNF-{alpha} are crucial requirements for the full development of inflammatory injury in the IgG immune complex-induced alveolitis model 3, 17, 18 . Blockade of either C5a or TNF-{alpha} in rats results in a substantial reduction in lung injury 6, 19 . Mice genetically deficient in C5aR demonstrate nearly complete protection from the response to an intrapulmonary IgG immune complex formation 20 . In the immune complex-induced inflammatory models of the reverse passive Arthus reaction in skin or the peritoneal cavity, C5aR-deficient mice were substantially protected against injury, exhibiting lower TNF-{alpha} and IL-6 levels and local neutrophil accumulation 21 . The requirements for C5a and early response cytokines (TNF-{alpha} and IL-1) for expression of vascular adhesion molecules such as ICAM-1 and E-selectin have been demonstrated 5, 6, 17 . It has also been shown that C5a can directly stimulate endothelial cells, resulting in expression of P-selectin 22 . Requirements for CXC chemokines (macrophage inflammatory protein (MIP)3-2 and cytokine-induced neutrophil chemoattractant (CINC)) and the CC chemokine MIP-1{alpha} for full development of lung injury following IgG immune complex deposition have been recently assessed 13, 23 . MIP-2 and CINC are involved in neutrophil chemotaxis and activation and are required for recruitment of neutrophils into lung and the subsequent increase in vascular permeability. Although chemotactic activity for rat macrophages and neutrophils has been demonstrated for MIP-1{alpha}, a main in vivo function of this CC chemokine may be autocrine stimulation of macrophages resulting in enhanced production of TNF-{alpha} 23 . In vivo blockade of MIP-1{alpha} results in clearly attenuated lung injury observed as reduced vascular permeability and reduced neutrophil recruitment, presumably related to the decrease of TNF-{alpha} levels in BAL fluids.

In the current report, we demonstrate the requirements for C5a and TNF-{alpha} in chemokine (MIP-2, CINC, MIP-1{alpha}, MIP-1ß, and MCP-1) production in vitro and in vivo. The data obtained suggest that, besides the ability of alveolar macrophages to release TNF-{alpha}, there is generation of C5a by an unknown C5-cleaving enzyme, these mediators presumably functioning as autocrine stimulators. These studies suggest that both C5a and TNF-{alpha} are involved directly or indirectly in neutrophil recruitment, not only through up-regulation of vascular adhesion molecules but also through generation of chemokines.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Isolation and culture conditions of alveolar macrophages

Alveolar macrophages were isolated by repeatedly lavaging lungs of anesthetized Long-Evans rats (Charles River Breeding Laboratories, Portage, MI). After centrifugation of lavage fluids, cells were resuspended in medium (DMEM; Whittaker Bioproducts, Wakersville, MA) supplemented with 10% heat-inactivated (56°C for 30 min) FBS (HyClone Laboratories, Logan, UT), plated in 48 microtiter well plates (Corning, New York, NY) at a concentration of 1 x 106 cells/well and allowed to settle for at least 1 h. Wells were then washed with medium to remove nonadherent cells. Immune complexes were formed by incubation of BSA with goat anti-BSA (in molar ratio of 1:4). The centrifuged precipitate containing IgG immune complexes was resuspended in DMEM to a final concentration of 100 µg/ml. This concentration was established based on dose responses of alveolar macrophages using increasing amounts of immune complexes and resulted in maximal stimulation of cell cultures. All studies involved at least quadruplicate replicates. Nonspecific goat IgG, goat anti-rat C5a, or goat anti-rat TNF-{alpha} was added to wells as indicated at a concentration of 100 µg/ml. After an incubation period of 4 h, supernatant fluids were collected and used for chemokine detection.

Animal model of lung injury

Male Long-Evans specific pathogen-free rats (275–300 mg) were used for all studies. Anesthesia was induced by i.p. ketamine (15 mg/100 mg body weight). Lung injury was produced by intrapulmonary deposition of IgG immune complexes as described elsewhere 24, 6 . Briefly, 10 mg BSA was given i.v. following intratracheal administration of 2.5 mg polyclonal goat anti-BSA in a total volume of 300 µl. Negative control animals received anti-BSA intratracheally with omission of the BSA injection. Animals were sacrificed after 4 h, and BAL fluids were collected by instillation of 5 ml PBS, flushing and withdrawing three times via an intratracheal cannula. After adding a protease inhibitor mixture (leupeptin 1 µg/ml, aprotinin 1 µg/ml, trypsin inhibitor 10 µg/ml, pepstatin 1 µg/ml), samples were centrifuged at 3,000 x g for 10 min, and supernatant fluids were used for chemokine quantitation (for all studies, n >= 5 per group).

Reagents

Unless otherwise specified, all reagents were purchased from Sigma (St. Louis, MO). Affinity-purified anti-BSA Ab was obtained by column purification (AminoLink Immobilization Kit; Pierce, Rockford, IL) of serum from an immunized goat. Goat anti-BSA, rather than rabbit anti-BSA, was used to facilitate ELISA technology in which rabbit Abs to chemokines were used. Purification of Abs (and their blocking activities) to rat MIP-2 and CINC as well as to TNF-{alpha} and C5a has been described elsewhere 13, 17, 18, 25 . IgG Ab to rat MIP-2 was obtained from rabbit serum. Rabbit serum rich in anti-CINC was kindly provided by Dr. Arthur Whittwer (Monsanto, St. Louis, MO). Abs to rat CINC and MIP-2 were subjected to double affinity methods to resume any cross-reactivity 13 . The Ab and reference protein used for MIP-1{alpha} ELISA quantitation were purchased from Peprotech (Rocky Hill, NJ). Components for the MIP-1ß ELISA were obtained from R&D Systems (Minneapolis, MN). Anti-MCP-1 Ab was acquired from PharMingen (San Diego, CA). Recombinant rat MCP-1 protein was purchased from BioSource (Camarillo, CA). Biotinylation steps were performed with EZ-Link NHS-LC-Biotinylation Kit (Pierce) according to the manufacturer’s instructions. The doses and administration techniques of Abs to C5a or TNF-{alpha} were determined on the basis of earlier studies 3, 17 . For in vivo blocking experiments, 400 µg goat anti-rat TNF-{alpha} or goat anti-rat C5a was administered i.v. or intratracheally, as indicated. Positive reference control animals received 400 µg nonspecific goat IgG instead. All Ab preparations were found to contain less than 10 ng endotoxin/ml, using the Limulus Amebocyte Test Kit QCL-1000 (Whittaker).

Quantitation of chemokines

Chemokine detection was performed using Ab-sandwich ELISA as described recently for MIP-2 and CINC 13 . The same ELISA technique and reagents were used for developing immunoassays to measure levels of MIP-1{alpha}, MIP-1ß, and MCP-1. For MIP-1{alpha}, 60 µl/well of 5 µg/ml Ab were used for coating, and samples were diluted 1:2. The biotinylated secondary Ab was used at a concentration of 25 µg/ml. Anti-MIP-1ß was coated at 10 µg/ml with 75 µl/well. Biotinylated anti-MIP-1ß was used at 2.5 µg/ml. For MCP-1 detection, the concentrations used were 10 µg/ml for coating Ab (100 µl/well) and 0.5 µg/ml for secondary Ab. For this ELISA, all incubations were conducted at room temperature. Incubation times were 2–4 h. All other procedures were performed as described earlier.

Western blot analysis of macrophage-derived C5a

Ab to rat C5a was immobilized on the surface of beads (AminoLink; Pierce) according to the manufacturer’s instructions. Supernatant fluids of untreated and stimulated macrophages (1 x 107) were incubated at 4°C overnight with 50 µl bead slurry (50%) per condition. Beads were then centrifuged at 1300 rpm for 5 min at 4°C, washed once with PBS, and centrifuged again. Proteins were dissociated from beads with 100 µl Laemmli’s sample buffer and boiled for 10 min. Fifteen percent SDS PAGE was performed, and proteins were transferred to a polyvinylidene difluoride membrane (Schleicher & Schuell, Keene, NH) using a semidry electrophoresis apparatus (LKB Multiphor II; Pharmacia Biotech, Uppsala, Sweden). The blot was incubated with 5% milk for 1 h and then probed with goat anti-C5a as primary Ab overnight, followed by incubation with an alkaline phospatase-conjugated donkey anti-goat Ab (Cappel-Organon Teknika, Durham, NC) (both at a 1:1000 dilution) and alkaline phosphatase substrate color development (Bio-Rad Laboratories, Hercules, CA).

Statistical analysis

In groups with equal variances, data sets were analyzed using one-way ANOVA, and individual group means were then compared with the Student-Newman-Keuls multiple comparison test. In groups containing unequal variances, Kruskal-Wallis ANOVA was performed followed by Dunnett’s method for multiple comparison. All values were expressed as mean ± SEM. Significance was assigned where p < 0.05. For percentage change between groups, values obtained from negative controls were subtracted from each data point.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Effects of Anti-C5a and Anti-TNF-{alpha} on in vitro production of chemokines

In experiments involving in vitro stimulation with IgG immune complexes, a concentration of 100 µg immune complexes per milliliter was used. For each condition, negative controls consisted of no treatment or addition of 20 µg BSA/ml, 100 µg anti-C5a or anti-TNF-{alpha}/ml, or 100 µg anti-BSA/ml (in the absence of BSA). The results are shown in Fig. 1Go. The presence of BSA, anti C5a, anti-TNF-{alpha}, and anti-BSA (IgG) alone resulted in no increase in basal level of MIP-2 (34.2 ± 1.94 ng/ml). As expected, in vitro stimulation of alveolar macrophage monolayers with IgG immune complexes in presence of nonspecific IgG led to increased MIP-2 production, with levels rising to 90.8 ± 5.33 ng/ml (p < 0.05). The addition of anti-C5a reduced IgG immune complex-induced expression of MIP-2 by 60.9% (p < 0.05), falling to 54.1 ± 0.83 ng/ml. Anti-TNF-{alpha} had a similar effect, reducing MIP-2 levels by 38.5% (p < 0.05), to 69.0 ± 2.56 ng/ml (Fig. 1GoA). In supernatant fluids from alveolar macrophages, CINC levels rose from 76.6 ± 7.2 ng/ml in negative controls (untreated) to 703 ± 51.8 ng/ml after addition of IgG immune complexes and nonspecific IgG (Fig. 1GoB). The presence of anti-C5a led to a 32.8% (p < 0.05) decrease, to 497 ± 27.1 ng CINC/ml, while the blockade of TNF-{alpha} was similarly effective, causing a 30.6% reduction (p < 0.05), to 511 ± 26.1 ng/ml). Nonstimulated macrophage monolayers generated MCP-1 levels of 9.65 ± 0.71 ng/ml (Fig. 1GoC). Similar low levels of MCP-1 were found when BSA, anti-C5a, anti-TNF-{alpha}, or anti-BSA (IgG) was added to macrophages. After 4 h of stimulation with IgG immune complexes together with nonspecific IgG, MCP-1 levels rose to 19.4 ± 0.32 ng/ml (p < 0.05). These levels dropped by 42.0% (p < 0.05) in the presence of anti-C5a (to 15.3 ± 0.77 ng/ml) and by 43.6% (p < 0.05) in the presence of Ab to TNF-{alpha} (to 15.17 ± 0.41 ng/ml). Supernatant fluids of untreated macrophages contained no measurable MIP-1{alpha} (<1 ng/ml), but MIP-1{alpha} levels rose to 392 ± 38.5 ng/ml in the presence of IgG immune complexes and nonspecific IgG (Fig. 1GoD). Again, the presence of anti-C5a reduced production of MIP-1{alpha} by 40.2% (p < 0.05), to 234 ± 19.0 ng/ml, while the presence of anti-TNF-{alpha} resulted in a 39.7% (p < 0.05) drop, to 236 ± 16.9 ng/ml. Finally, for MIP-1ß, the baseline level of 15.7 ± 3.19 ng/ml in negative control culture fluids rose to 280 ± 8.22 ng/ml in the presence of IgG immune complexes in the copresence of nonspecific IgG (Fig. 1GoE). Levels of MIP-1ß were attenuated by 46.3% (p < 0.05) in the presence of anti-C5a (157 ± 9.58 ng/ml). Anti-TNF-{alpha} had a similar protective effect, causing a 41.3% reduction (p < 0.05) of MIP-1ß generation (to 171 ± 9.06 ng/ml).



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FIGURE 1. Chemokine production by macrophages in vitro after stimulation of alveolar macrophages (1 x 106) with 100 µg/ml IgG immune complexes (IC) for 4 h. IgG IC were preformed by incubation of BSA with rabbit IgG rich in anti-BSA. Blocking Abs were added to cell cultures at concentrations of 100 µg/ml simultaneously with the immune complex stimulus. Controls are described in the text.

 
Western blot analysis of macrophage cell culture supernatant fluids

To account for the inhibitory effects of anti-C5a Ab in vitro, we hypothesized that alveolar macrophages not only produce the complement component C5 but also contain an enzyme capable of cleaving C5 into its active C5a fragment. Western blot analysis of supernatant fluids of stimulated macrophages was performed using extraction of C5a by immunoprecipitation with anti-C5a immobilized on beads, revealing a band at the 14-kDa position, which aligned with a product obtained from complement-activated rat serum. Since serum carboxypeptidase was not blocked in the activated serum, the more intense band likely represents C5adesArg. The faint, more slowly migrating band likely represents C5a consistent with the electrophoretic mobilities of rat C5a and C5adesArg 26 . Immunoprecipitation using supernatant fluids from nonstimulated cells failed to produce a similar band. Furthermore, this Ab did not react with fresh rat serum that had not been complement activated (Fig. 2Go). Thus, stimulated alveolar macrophages release a product that is defined as C5a/C5adesArg by immunochemical analysis.



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FIGURE 2. Western blot analysis of macrophage cell culture supernatant fluids using immunoprecipitation with anti-C5a Ab. As a positive control, immunoprecipitation with complement-activated rat serum is shown, demonstrating a band for C5a at the 14-kDa position and a faint slower migrating band. These likely represent C5adesArg and C5a, respectively. No band was detectable in nonactivated serum. Cell culture supernatant fluids of stimulated macrophages produced a band aligning with the main band isolated from activated serum, whereas nonstimulated macrophages fail to show a product using the immunoprecipitation technique.

 
Effects of anti-C5a and anti-TNF-{alpha} on in vivo lung expression of chemokines

The finding that in vitro production of chemokines by IgG immune complex-stimulated alveolar macrophages was suppressible by anti-C5a and anti-TNF-{alpha} led to companion in vivo experiments. For these experiments, animals were treated intratracheally or i.v. with anti-C5a or anti-TNF-{alpha}. The amount of blocking Ab (present as IgG) employed (400 µg) was based on earlier reports 2, 11 and preliminary studies (data not shown). The results are shown in Fig. 3Go. Negative controls (untreated) consisted of animals receiving anti-BSA intratracheally in the absence of i.v. infused BSA. In BAL fluids from negative control animals only traces of MIP-2 were detectable (0.55 ± 0.63 ng/ml) (Fig. 3GoA). After intrapulmonary IgG immune complex deposition in the presence of intratracheally instilled nonspecific goat IgG, MIP-2 levels rose 80-fold, to 42.4 ± 2.19 ng/ml. In animals that had been treated intratracheally with anti-C5a, MIP-2 levels in BAL fluids decreased by 43.6% (p < 0.05), to 24.1 ± 2.48 ng/ml. Intratracheal instillation of anti-TNF-{alpha} had a similar effect, with a 31.1% (p < 0.05) reduction in levels of MIP-2, to 29.41 ± 3.71 ng/ml. i.v. blockade of C5a or TNF-{alpha} proved to be less effective, but nevertheless statistically significant, with reductions of 28.8% (p < 0.05) in BAL MIP-2 for anti-C5a, and 25.9% (p < 0.05) for anti-TNF-{alpha}, respectively. CINC was undetectable (<1 ng/ml) in BAL fluids from negative untreated control animals (Fig. 3GoB). Four hours after injury, BAL levels of CINC rose to 1291 ± 44.9 ng/ml in positive control animals receiving 400 µg nonspecific goat IgG intratracheally. Intratracheal administration of anti-C5a caused a reduction of 48.6% (p < 0.05), to 663 ± 50.6 ng/ml, whereas the treatment with anti-TNF-{alpha} led to a 27.8% (p < 0.05) decrease in BAL levels of CINC (to 931 ± 118 ng/ml). The impact of i.v. treatment with anti-C5a or anti-TNF-{alpha} was less effective. The i.v. blockade of C5a caused a 28% drop (p < 0.05) of CINC levels in BAL fluids, while anti-TNF-{alpha} administered i.v. led to a 24.8% decline (p < 0.05). No measurable MCP-1 was found in BAL fluids of untreated negative control animals (<1 ng/ml) (Fig. 3GoC). After lung injury, MCP-1 levels rose to 14.4 ± 0.46 ng/ml. In the presence of anti-C5a administered intratracheally, MCP-1 levels in BAL fluids dropped by 17.4% (p < 0.05), to 11.9 ± 0.41 ng/ml. While the intratracheal blockade of TNF-{alpha} led to a 26.3% decrease (p < 0.05) in MCP-1 to 10.6 ± 0.21 ng/ml, there was no significant effect when anti-TNF-{alpha} was administered i.v. For reasons that are not understood, the blocking Ab to C5a proved to be more effective when given i.v. with a 39.7% drop (p < 0.05) of MCP-1 levels in BAL fluids. No constitutive expression of lung MIP-1{alpha} was detected in untreated negative control animals (<1 ng/ml) (Fig. 3GoD). In BAL fluids of positive controls MIP-1{alpha} receiving nonspecific goat IgG intratracheally, levels rose to 1764 ± 111 ng/ml. The intratracheal treatment with anti-C5a resulted in a 56.2% attenuation, p < 0.05, to 771 ± 31.3 ng/ml, compared with a 43% (p < 0.05) decline when administered i.v. The intratracheal administration of anti-TNF-{alpha} led to a 37.3% (p < 0.05) decrease of MIP-1{alpha} (to 1104 ± 33.2 ng/ml), while i.v. blockade of TNF-{alpha} reduced MIP-1{alpha} levels by 33.8%, p < 0.05. The regulation of MIP-1{alpha} and MIP-1ß appeared to be similar for in vitro (Fig. 1Go) and in vivo (Fig. 3Go) conditions. In BAL fluids of untreated negative control animals, a baseline expression for MIP-1ß of 8.91 ± 3.2 ng/ml was found (Fig. 3GoE). Lung injury caused by IgG immune complex deposition in the presence of nonspecific IgG instilled intratracheally led to strong up-regulation of MIP-1ß, rising to 448 ± 13.8 ng/ml, p < 0.05. When treated with anti-C5a intratracheally, the MIP-1ß levels in BAL fluids dropped by 50.7% (p < 0.05), to 225 ± 46 ng/ml. The intratracheal presence of anti-TNF-{alpha} at onset of injury decreased MIP-1ß by 36.5% (p < 0.05), to 287 ± 9.18 ng/ml. The i.v. blockade of C5a was less effective when compared with the intratracheal intervention, resulting in a drop of MIP-1ß levels by 37.1%, p < 0.05. Anti-TNF-{alpha} given i.v. had no significant effect on BAL content of MIP-1ß.



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FIGURE 3. Chemokine levels in bronchoalveolar lavage (BAL) fluids 4 h after deposition of IgG IC in lung. For in vivo blocking experiments, 400 µg goat anti-rat TNF-{alpha} or 400 µg goat anti-rat C5a was administered i.v. or intratracheally as indicated. Positive reference control animals received 400 µg nonspecific goat IgG. Untreated animals were negative controls receiving anti-BSA intratracheally in the absence of an i.v. infusion of BSA. Absolute concentrations of chemokines found in BAL fluids are described in the text. These data represent the mean ± SEM from five animals per group.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
An important role of complement and, in particular, C5a has been shown in acute pulmonary inflammatory responses in a variety of models 17, 20, 24, 27 . When lung injury was induced by systemic activation of complement by cobra venom factor, i.v. administration (but not intratracheal instillation) of anti-C5a produced a dose-dependent reduction in lung permeability and in lung neutrophil accumulation 17 , at least in part due to a resulting decrease in up-regulation of lung vascular P-selectin 28 . After IgG immune complex deposition in the lung, intratracheal instillation of anti-C5a caused a 60% decrease in vascular permeability and neutrophil accumulation, but the blocking effect was not seen when anti-C5a was infused i.v. 17 , indicating that, in this model, C5a formation occurred in the distal airway compartment and not in the vascular compartment. Blocking of C5a resulted in greatly reduced BAL levels of TNF-{alpha} and a profound reduction in the up-regulation of lung vascular ICAM-1 17 . Using genetically altered mice with an induced deficiency of C5aR or the receptor for substance P (NK-1R), complete protection against lung injury in the model of IgG immune complex-induced alveolitis was demonstrated 20 . In mice with C5aR deficiency, intrapulmonary challenge with immune complexes resulted in lower, but statistically not significant, concentrations of BAL TNF-{alpha} with wide variances. In contrast, a substantial decrease of levels of TNF-{alpha} in peritoneal fluids was found in mice deficient in C5aR when the inflammatory reaction was induced by i.p. challenge with immune complexes 21 . It is unclear whether the discrepancies in intrapulmonary TNF-{alpha} levels in rats and C5aR-deficient mice are due to differences of species, or if, with smaller error bars, the decrease in TNF-{alpha} levels might be statistically significant in C5aR-deficient mice.

The finding that anti-C5a inhibits rat alveolar macrophage production of chemokines after stimulation suggests that these cells are generating C5a, which binds with membrane C5aR, and that this process enhances generation of chemokines. In data described above, we have shown that supernatant fluids of alveolar macrophages stimulated in vitro contain immunoreactive C5a, which was not detected in supernatant fluids of nonstimulated macrophages. Synthesis of C5, among other complement components, by monocytes and macrophages has been described 14, 15 , and we speculate that, under conditions of cell activation, locally produced C5 is cleaved to generate C5a, rendering alveolar macrophages autonomous from plasma-derived complement. As noted above, serine proteases from granulocytes have the ability to cleave C5 at neutral pH, generating C5a. Since macrophages are known to produce much more matrix metalloproteases than serine proteases, these matrix metalloproteases seem more likely to be readily available for the cleavage of locally generated C5. Alternatively, C5 cleavage could occur by complement-specific convertases, the components for which are also produced by macrophages 29, 30 . Against the hypothesis of locally assembled complement-specific convertases are reports of a normal inflammatory reaction of mice deficient in C3 or C4 in a skin model of IgG immune complex-mediated injury 31 . Assuming local generation and cleavage of C5, it seems unlikely in these deficient mice that complement convertases could cause C5 cleavage, implying the involvement of some other enzyme. Thus, it is possible in C3- or C4-deficient mice that the inflammatory response is C5 dependent, with a noncomplement-derived C5 convertase coming into play.

Intrapulmonary blockade of TNF-{alpha} by Ab causes a substantial decrease in lung injury, with a 60% reduction of vascular permeability and 67% drop of neutrophil influx as assessed by myeloperoxidase analysis of lung tissue 3, 18 . Lung injury in this model requires intrapulmonary recruitment of neutrophils. The reduced tissue accumulation of neutrophils in the presence of blocking Ab to TNF-{alpha} has been shown to be at least partly due to significantly decreased intrapulmonary vascular ICAM-1 6 .

In the current study, using IgG immune complex stimulation in vitro and in vivo, it seems clear that endogenously generated TNF-{alpha} and C5a each promote chemokine production, which appears in vivo to be essential for full recruitment of neutrophils. When CINC, MIP-2, or MIP-1{alpha} were blocked after IgG immune complex deposition in vivo, reductions of injury in terms of permeability (approximately 40%) and neutrophil accumulation (approximately 70%) were noted 13, 23 . It is clear that intratracheal blockade of C5a or TNF-{alpha} is, in general, more effective than i.v. intervention in reducing generation of chemokines. This supports the concept of locally produced complement activation products and cytokines by lung macrophages. It remains to be determined whether C5a and TNF-{alpha} exert their regulatory function on chemokine generation by similar or different mechanisms. Experiments combining the blockade of C5a and TNF-{alpha} did not result in a further decrease in protection or in chemokine levels compared with either intervention alone (data not shown). Since the Ab preparations used were whole IgG fractions, the combination of anti-C5a and anti-TNF-{alpha} resulted in administration of a large amount of IgG, representing a proinflammatory stimulus (data not shown). To overcome this technical problem, affinity-purified Ab preparations will be used to reduce the total mass of IgG instilled into the airways. Because MIP-1{alpha} appears to act as an autocrine stimulator for TNF-{alpha} production 23 , it is obvious that reducing expression of this chemokine attenuates the positive feedback mechanism for TNF-{alpha}, thereby enhancing the ability of anti-C5a to suppress generation of this and other chemokines. It can now be speculated that, like MIP-1{alpha}, C5a and TNF-{alpha}, both of which appear to be produced by activated macrophages, function as autocrine activators resulting in enhanced chemokine generation. It is to be noted that blockade of C5a or TNF-{alpha} does not completely inhibit chemokine production in vitro and in vivo. This might indicate other involved pathways or mediators upstream of complement and early response cytokines, for example direct activation of macrophages by Fc receptor engagement, as has been demonstrated for IL-8 production in human monocytes 32 .

In conclusion, our observations indicate that blocking TNF-{alpha} or C5a not only causes reduced expression of vascular adhesion molecules in vivo but also decreased chemokine expression. The knowledge of stimulatory patterns for chemokine expression not only provides a basis for a better understanding of the early onset of the acute inflammatory response but also suggests new therapeutic approaches for suppressing chemokines that are thought to play important roles in a variety of inflammatory responses, such as in shock/sepsis, adult respiratory distress syndrome, physical trauma, and burn trauma.


    Acknowledgments
 
We thank Beverly Schumann for excellent secretarial assistance in preparation of the manuscript.


    Footnotes
 
1 These studies were supported in part by National Institutes of Health Grant HL-31963. Back

2 Address correspondence and reprint requests to Dr. Boris J. Czermak, Department of Pathology, University of Michigan Medical School, Room 7520 MSRB I, 1301 Catherine Road, Ann Arbor, MI 48109-0602. E-mail address: Back

3 Abbreviations used in this paper: MIP, macrophage inflammatory protein; CINC, cytokine-induced neutrophil chemoattractant; MCP, monocyte chemoattractant protein; IC, immune complexes; BAL, bronchoalveolar lavage. Back

Received for publication May 14, 1998. Accepted for publication November 2, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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