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The Journal of Immunology, 1999, 162: 2939-2945.
Copyright © 1999 by The American Association of Immunologists

Selective Regulation of Cytokine Induction by Adenoviral Gene Transfer of I{kappa}B{alpha} into Human Macrophages: Lipopolysaccharide-Induced, But Not Zymosan-Induced, Proinflammatory Cytokines Are Inhibited, But IL-10 Is Nuclear Factor-{kappa}B Independent1

Jan Bondeson, Kylie A. Browne, Fionula M. Brennan, Brian M. J. Foxwell and Marc Feldmann2

Kennedy Institute of Rheumatology, Hammersmith, London, United Kingdom


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Macrophages are the major cytokine producers in chronic inflammatory diseases, but the biochemical pathways regulating cytokine production are poorly understood. This is because genetic tools to dissect signaling pathways cannot be used in macrophages because of difficulties in transfection. We have developed an adenoviral technique to achieve high efficiency gene delivery into macrophages and recently showed that spontaneous TNF-{alpha} production in rheumatoid arthritis joint cells, chiefly from macrophages, is 75% blocked by adenoviral transfer of I{kappa}B{alpha}. In this report we use the same adenovirus to investigate whether the production of a number of proinflammatory cytokines (e.g., TNF-{alpha}, IL-1ß, IL-6, and IL-8) from human macrophages depends on NF-{kappa}B. While the cytokine response to certain inducers, such as LPS, PMA, and UV light, is blocked by overexpression of I{kappa}B{alpha}, the response to zymosan is not. In contrast, anti-inflammatory mediators (IL-10 and IL-1 receptor antagonist) induced by LPS are only marginally inhibited by I{kappa}B{alpha} excess. These studies demonstrate several new points about macrophage cytokine production. First, there is heterogeneity of mechanisms regulating both the proinflammatory and anti-inflammatory cytokines within populations of a single cell type. In addition, the results confirm the utility of the adenoviral technique for functional analysis of cytokine induction. The results also confirm that there are autocrine and paracrine interactions regulating cytokine synthesis within a single cell type. The selectivity of NF-{kappa}B blockade for proinflammatory but not anti-inflammatory mediators indicates that in macrophages, NF-{kappa}B may be a good target for the treatment of chronic inflammatory diseases.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
There is increasing evidence that in various chronic inflammatory diseases, notably rheumatoid arthritis and Crohn’s disease, a major aspect of the pathogenesis involves overproduction of TNF-{alpha} and, consequently, other proinflammatory cytokines 1, 2 . The most definitive evidence in humans comes from the success of clinical trials in these diseases, using strategies of blocking TNF-{alpha} through mAbs (e.g., Remicade or Infliximab; Centocor, Malvern, PA) 3 or soluble TNF receptors (Enbrel; Immunex, Seattle, WA) 4 . The anti-inflammatory mediators and cytokines, such as IL-10, the soluble TNF receptors, and the IL-1 receptor antagonist (IL-1ra),3 are also up-regulated in rheumatoid synovial tissue, but they are only partly able to antagonize the effects of the proinflammatory mediators 1 .

The successful clinical trials of anti-TNF-{alpha} Ab in rheumatoid arthritis 3, 5 , reviewed in Reference 2, and Crohn’s disease 6 have prompted considerable interest in alternative strategies to inhibit the production of TNF-{alpha}. Because macrophages are the major producers of TNF-{alpha} and other proinflammatory cytokines in the rheumatoid joint 1 , as well as of the anti-inflammatory cytokines, understanding the signaling pathways involved in the induction of these mediators is of major importance for developing novel therapeutic strategies in chronic inflammatory diseases.

In a previous paper 7 , we described a novel technique to achieve efficient, virtually 100%, adenoviral gene transfer into human macrophages, subsequent to up-regulation of integrins. This technique was used to effect adenoviral transfer of the I{kappa}B{alpha} molecule into human macrophages, as previously reported in endothelial cells 8 . Massive overexpression of I{kappa}B{alpha} was achieved, with consequent inhibition of NF-{kappa}B activity. It was observed that the LPS-induced expression of TNF-{alpha} in human macrophages was potently inhibited by the blocking NF-{kappa}B. This was in contrast to previous studies in human cells, which did not indicate a role for NF-{kappa}B in TNF expression 47, 48 . However, unlike our studies, these had been performed in transformed cell lines mainly of lymphoid origin, which may not reflect the situation in normal macrophages.

In this paper, the effect of NF-{kappa}B down-regulation on a spectrum of proinflammatory cytokines, namely IL-1ß, IL-6, and IL-8, and anti-inflammatory molecules IL-10, IL-1ra, and the p55 and p75 soluble TNF-receptors is studied. The aim was to resolve some of the conflicting evidence concerning macrophage production of cytokines. While there is reasonably good evidence that TNF-{alpha} 9, 10 , IL-1ß 11, 12 , and IL-6 13 can be regulated by NF-{kappa}B in various cell types, there are few data concerning the other cytokines of interest. The lack of {kappa}B binding sites in the human IL-10 promoter made it unlikely that IL-10 was under direct NF-{kappa}B control 14 .

Another aim of this study was to use the I{kappa}B adenovirus as a tool to determine whether different macrophage activators, e.g., LPS, PMA, UV light, and zymosan, were dependent on NF-{kappa}B. In the RAW 264.7 macrophage-like cell line, the UV-induced TNF-{alpha} response has been proposed not to involve NF-{kappa}B activation, since it was unaffected by mutation of all four {kappa}B sites within the TNF-{alpha} promoter 15 . With regard to the activation of monocytic cells induced by PMA, results disagree: some studies 16, 17 suggest that NF-{kappa}B is involved, and others 18 do not. Recently, in a model of THP-1 cells modified through stable retroviral gene transfer of I{kappa}B, PMA-induced IL-1, IL-6, and IL-8 were unaffected 19 . Zymosan particles are yeast cell derivatives that induce cytokines and are used to simulate receptor-mediated cell stimulation, probably in the ß-glucan receptor 20 . Both in mouse bone marrow-derived macrophages 21 and in human monocytes 22 , binding of zymosan induces rapid tyrosine phosphorylation of a number of protein substrates. In human monocytes, zymosan induces association of the p53–56lyn tyrosine kinases and the cytoskeleton 23 . The tyrosine kinase inhibitor genistein proved to be a potent inhibitor of zymosan-induced eicosanoid formation in mouse peritoneal macrophages 24 . There is some doubt, however, as to whether zymosan acts via NF-{kappa}B. In rat liver macrophages, zymosan is incapable of activating NF{kappa}B 18 , although it does activate the transcription factor activator protein-1 both in rat liver macrophages 18 and in the U937 human monocytic cell line 25 .

The adenoviral infection technique 7 has enabled us to address many of these issues regarding the NF-{kappa}B dependence or independence of the signal transduction pathways utilized by these various stimuli in human macrophages.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Isolation of peripheral blood monocytes

Single-donor plateletphoresis residues were purchased from North London Blood Transfusion Service (Colindale, U.K.). Mononuclear cells were isolated by Ficoll-Hypaque centrifugation preceding monocyte separation in a Beckman Instruments (Torrence, CA) JEL elutriator. Monocyte purity was assessed by flow cytometry and was routinely >90%.

Adenoviral vectors

Recombinant, replication-deficient adenoviral vectors encoding Escherichia coli ß-galactosidase or having no insert (Adv0) were generously provided by Drs. A. Byrnes and M. Wood (Oxford, U.K.). An adenovirus encoding porcine I{kappa}B{alpha} (AdvI{kappa}B{alpha}) with a CMV promoter and a nuclear localization sequence was generously provided by Dr. R. de Martin (Vienna, Austria). Viruses were propagated in the 293 human embryonic kidney cell line and purified by ultracentrifugation through two cesium chloride gradients. The titers of viral stocks were determined through a plaque assay on 293 cells, as described 26 .

Infection techniques

The elutriated human monocytes were incubated at ~2 x 106/ml in RPMI 1640 with 25 mM HEPES and 2 mM L-glutamine supplemented with 5% (v/v) heat-inactivated FCS and 10 U/ml penicillin/streptomycin. To optimize infection, purified human monocytes were pretreated with macrophage CSF (100 ng/ml; obtained from Genetics Institute, Boston, MA) for 48 h to allow up-regulation of integrin {alpha}Vß5, which has previously been shown to be essential for adenovirus infection of monocytes 27 . The cells were then replated on 100-mm petri dishes and infected for 2 h with a multiplicity of infection (MOI) of between 10:1 and 120:1 (in most experiments, 20:1, 40:1, or 80:1 was used) of either AdvI{kappa}B{alpha} or Adv0, in serum-free RPMI 1640. Cells were then incubated in RPMI 1640 supplemented as above for 48 h to allow for significant overexpression of I{kappa}B{alpha}, as assessed 7 . During the changes of medium involved, nonadherent cells were discarded, resulting in a further purification of monocyte-derived macrophages.

Cytokine analysis

For Northern blot analysis experiments, cells were replated at 5–10 x 106 cells per 100-mm petri dish and stimulated with LPS (10 ng/ml), PMA (10 nM), zymosan (30 µg/ml), ionomycin (1 µM), or UV irradiation (2000 J). After 4 h, cells were harvested, and mRNA was extracted and subjected to Northern blot analysis as in Reference 28.

In the assays for cytokine production, cells were replated at 5 x 105 cells per well on a 96-well dish and stimulated as above for 4 or 16 h. Supernatants were analyzed for TNF-{alpha} 29 , IL-1ß, IL-6 and IL-8 30 , IL-10 31, 32 , IL-1ra, and the p55 and p75 soluble TNF receptors 33 by ELISA. The proteosome inhibitor benzyloxycarbonyl-Ile-Glu(O-tert-butyl)-Ala-leucinal (PSI) was obtained from Calbiochem (Nottingham, U.K.).

Electrophoretic mobility shift assay

Nuclear extracts were prepared and 20 µg of protein was analyzed for NF-{kappa}B activity as previously described 34 .

Statistical methods

All statistical testing was performed using a paired comparison, one-sided Student’s t test, except when a Scheffé test of multiple comparisons was used as indicated 35 .


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cytokine production in response to various stimuli

LPS is capable of inducing all the cytokines (TNF-{alpha}, IL-1ß, IL-6, and IL-8) and inhibitors (IL-10, IL-1ra, and the soluble TNF receptors) assayed in this study (Table IGo; results are means of 4–11 experiments) each using blood from different donors. The induction of TNF-{alpha} mRNA by zymosan has previously been reported to be far weaker than LPS-induced TNF-{alpha} mRNA in mouse peritoneal macrophages 36 , but the TNF-{alpha} response to zymosan in macrophage CSF-treated human monocytes was equal to that of LPS (Table IGo).


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Table I. Cytokine production induced by various stimuli

 
LPS was a much stronger inducer of IL-1ß than any other stimulus used, in agreement with observations in mouse macrophages 36 . IL-6 was induced equally well by LPS and zymosan. IL-8 could be induced by the entire array of stimuli. Zymosan and LPS were the only stimuli to induce IL-10 and the p55 soluble TNF receptor (Table IGo), whereas PMA could induce IL-1ra and p75 soluble TNF receptor.

Does I{kappa}B{alpha} overexpression inhibit LPS-induced proinflammatory cytokines?

We previously observed that infection at an MOI of 20–80:1 with the I{kappa}B{alpha} adenovirus produced high levels of I{kappa}B{alpha} expression. This resulted in a potent inhibition of LPS-driven TNF-{alpha} induction in human macrophages by blocking NF{kappa}B function 7 . This was not due to loss of cells through apoptosis or other causes of cell death 7 . The induction of IL-1ß and IL-8 by LPS also appears to be strongly NF-{kappa}B dependent (Fig. 1Go, A and B), and there is potent inhibition of both of these cytokines already at 20:1 of AdvI{kappa}B{alpha}. Results using supernatants harvested after 4 h of incubation were similar to those after 16 h of incubation (not shown). In contrast to the other cytokines studied here, there was a potentiation of IL-6 production of ~20–30% in Adv0-infected cells, with LPS as well as with other stimuli (Fig. 1GoC), although adenovirus infection alone had no effect. Nevertheless, IL-6 expression was strongly inhibited by infection with AdvI{kappa}B{alpha} in human macrophages (Fig. 1GoC).



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FIGURE 1. Effect of AdvI{kappa}B{alpha} infection on LPS-induced IL-1, IL-6, and IL-8 expression by human macrophages. Effect of infection of human monocyte-derived macrophages with various titers of AdvI{kappa}B{alpha} or Adv0 on the LPS-induced production of IL-1ß (A), IL-8 (B), and IL-6 (C), expressed as a percentage of production of the cytokine in question induced by LPS (10 ng/ml) in uninfected cells. Error bars indicate SEM (n = 7–10).

 
Since TNF-{alpha} can induce the synthesis of other cytokines, e.g., IL-1ß, IL-6, and IL-8, the potent inhibition by AdvI{kappa}B{alpha} might be secondary to inhibition of TNF-{alpha}. Culturing with exogenous TNF-{alpha} partly abrogated the effect of I{kappa}B{alpha} overexpression on IL-1ß production (Fig. 2GoA), indicating at least a partial dependence on TNF-{alpha} (there was just a 20% inhibition in the presence of 100 ng/ml TNF-{alpha}, compared with 62% inhibition with no cytokine; difference was significant (p < 0.005) between these two comparisons using a Scheffé multiple-comparisons test). However, similar experiments showed no major role for TNF-{alpha} in LPS-induced expression of IL-6 and IL-8 (results not shown).



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FIGURE 2. Effect of exogenous TNF on IL-1ß and IL-6 production. Pretreatment with 20 or 100 ng/ml TNF-{alpha} abrogates the inhibitory effect of AdvI{kappa}B{alpha} infection on LPS-induced IL-1ß production (A). TNF-{alpha}-induced (20 ng/ml) IL-6 is potently inhibited by AdvI{kappa}B{alpha} infection (B), but TNF-{alpha}-induced IL-1 is only moderately affected (C). Error bars indicate SEM (n = 6–8).

 
To further investigate the signaling mechanisms involved, we sought to characterize whether the TNF-{alpha}-driven IL-1ß response might be less NF-{kappa}B dependent than the IL-1ß response induced by LPS. One difficulty in doing this was the fact that TNF-{alpha} is a weaker inducer of IL-1ß in our system than LPS (Table IGo). However, the I{kappa}B{alpha}-induced inhibition of TNF-{alpha}-induced IL-1ß was relatively less potent than that seen with TNF-{alpha}-induced IL-6 (Fig. 2Go, B and C), as expected from the restoration of IL-1ß synthesis by TNF-{alpha} in cells infected with AdvI{kappa}B{alpha}.

Does I{kappa}B{alpha} overexpression affect LPS-induced anti-inflammatory cytokines?

The major anti-inflammatory cytokine produced by macrophages is IL-10 37, 38 . In LPS-stimulated cells, there was gradual inhibition with increasing virus titers, but statistically significant inhibition (p < 0.05) was only noted at 60:1 or 80:1 of AdvI{kappa}B{alpha} (Fig. 3GoA). This inhibition was still quite modest (30% at most), and since the human IL-10 promoter lacks {kappa}B sites 14 , we investigated whether the inhibitory effects of AdvI{kappa}B{alpha} infection were indirect, occurring via its effects on proinflammatory cytokines that are known to influence IL-10 expression 32, 39, 40 . A combination of TNF-{alpha} and LPS considerably potentiated the IL-10 response and partially abrogated the inhibition by AdvI{kappa}B{alpha} (Fig. 3GoB). In contrast, IL-1 failed to have any significant effect (results not shown).



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FIGURE 3. Inhibition of NF-{kappa}B has only minor effects on IL-10 production. Effect of infection of human monocyte-derived macrophages with various titers of AdvI{kappa}B{alpha} or Adv0 on IL-10 production induced by LPS (10 ng/ml), expressed as a percentage of IL-10 production induced by the same stimulus in uninfected cells (A). In B, pretreatment with 20 ng/ml TNF-{alpha} abrogates the inhibitory effect of AdvI{kappa}B{alpha} infection on LPS-induced IL-10 production (pg/ml). Error bars indicate SEM (n = 7–10).

 
The LPS-induced production of IL-1ra was significantly (p < 0.05) inhibited (~30%) by I{kappa}B{alpha} overexpression (Fig. 4GoA). This response was only modestly affected by adding back IL-1 and TNF-{alpha} (Fig. 4GoB). In human macrophages, LPS induces the production of the p75 soluble TNF receptor and to a lesser extent the p55 soluble TNF receptor (Table IGo). Infection with 40:1 of AdvI{kappa}B{alpha} was observed to significantly (p < 0.001) inhibit the LPS-induced production of both of these soluble receptors (Fig. 5Go); this response was unaffected by adding back IL-1 or TNF-{alpha} (results not shown).



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FIGURE 4. Effect of I{kappa}B{alpha} infection on IL-1ra production. Effect of infection of human monocyte-derived macrophages with various titers of AdvI{kappa}B{alpha} or Adv0 on the LPS-induced production of IL-1ra, expressed as a percentage of the production of the same cytokine in uninfected cells challenged with the same stimulus (A). Pretreatment with IL-1 or TNF-{alpha} (20 ng/ml) alone does not affect the inhibitory effect of AdvI{kappa}B{alpha} infection on the LPS-induced production of IL-1ra, but treatment with both cytokines moderately reverses it (B). Error bars indicate SEM (n = 7–8).

 


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FIGURE 5. AdvI{kappa}B{alpha} infection inhibits LPS-mediated soluble TNF receptors. Shown is the effect of infection of human monocyte-derived macrophages with various titers of AdvI{kappa}B{alpha} or Adv0 on the LPS-induced production of the p55 (A) and p75 (B) soluble TNF receptors, expressed as a percentage of the production of the same cytokine in uninfected cells challenged with the same stimulus. Error bars indicate SEM (n = 7–8).

 
Does I{kappa}B{alpha} overexpression inhibit proinflammatory cytokines induced by PMA or UV light?

The induction of TNF-{alpha} by PMA is very potently (~90%) inhibited by I{kappa}B{alpha} overexpression, even more strongly than in LPS-stimulated (~80%) 7 or even UV light-stimulated cells (~80%) (Table IIGo). Again, results using supernatants harvested after 4 h of incubation were similar to those using 16 h of incubation (data not shown). A series of Northern blot analysis experiments demonstrated that, as for LPS-induced TNF-{alpha} 7 , the TNF-{alpha} mRNA expression in response to PMA and UV light was ablated by I{kappa}B{alpha} overexpression (Fig. 6Go, A and B).


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Table II. Effects of Adv1{kappa}B{alpha} infection on cytokine production induced by various stimuli1

 


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FIGURE 6. Inhibition of NF-{kappa}B selectively inhibits TNF-{alpha} mRNA. Infection with 40:1-MOI of AdvI{kappa}B{alpha}, but not with 40:1 of Adv0, inhibits TNF-{alpha} mRNA expression (top panels) induced by PMA (A) or UV light (B) as assessed by Northern blot analysis. Zymosan-induced TNF-{alpha} mRNA expression (C) is unaffected by infection with 80:1 of AdvI{kappa}B{alpha}. Bottom panels contain GADPH expression. Data shown are representative of three complete experiments.

 
As shown for TNF-{alpha}, the induction of IL-1ß and IL-6 by PMA or UV light was NF-{kappa}B dependent (Table IIGo). Once again, the inhibition of IL-1ß and IL-6 production by the AdvI{kappa}B{alpha} infection appears to be more potent in PMA-treated cells than in cells treated with LPS or UV light.

There was also significant (p < 0.001) inhibition (50–60%) of the IL-8 response when cells infected with AdvI{kappa}B{alpha} were stimulated with PMA or UV light (Table IIGo). Ionomycin, a stimulus that did not induce significant amounts of the other cytokines of interest, induced a discernible IL-8 response, which was also inhibited by I{kappa}B{alpha} overexpression (data not shown).

PMA did not induce detectable amounts of IL-10, but it induced a detectable p75 soluble TNF receptor response, which was significantly (p < 0.001) inhibited (75% at 40:1 of AdvI{kappa}B{alpha}) by I{kappa}B{alpha} overexpression, as was the PMA-induced production of IL-1ra (40% inhibition at 40:1 of AdvI{kappa}B{alpha}; p < 0.005).

Does I{kappa}B{alpha} overexpression affect zymosan-induced cytokines?

In contrast to the prior stimuli when the macrophages were activated with zymosan, infection with AdvI{kappa}B{alpha} had no effect whatsoever on TNF-{alpha} protein (Table IIGo) or mRNA expression (Fig. 6GoC), even at MOI of 80:1. The induction of IL-1ß and IL-8 by zymosan was also unaffected by the I{kappa}B{alpha} overexpression (Table IIGo), but there was a small (10–15% compared with uninfected cells) and statistically nonsignificant inhibition of IL-6. Zymosan-induced IL-10, IL-1ra (Table IIGo), and the soluble TNF receptors (not shown) were also refractory to inhibition by I{kappa}B{alpha} overexpression.

The independence from NF-{kappa}B of zymosan-induced TNF was further emphasized by studies with the proteosome inhibitor PSI. Inhibition of proteosome function inhibits I{kappa}B{alpha} degradation, thus preventing NF-{kappa}B nuclear translocation 41, 42 . PSI was very effective in blocking LPS-induced TNF production, but it did not affect the response to zymosan (Fig. 7Go).



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FIGURE 7. PSI inhibits LPS-mediated TNF-{alpha}, whereas it does not affect zymosan-induced TNF-{alpha}. Shown is the effect of the proteasome inhibitor PSI on LPS-induced ({blacksquare}) and zymosan-induced (•) TNF-{alpha} production. Error bars indicate SEM (n = 6–7).

 
To study the mechanisms involved in more detail, a series of electrophoretic mobility shift experiments was performed. While LPS (10 ng/ml) induced a rapid (20–30 min) and potent activation of NF-{kappa}B, the activation of this transcription factor by zymosan (30 µg/ml) was slower (detectable only after 60 min) and much weaker (Fig. 8Go). Increasing the zymosan concentration did not enhance its effect on NF-{kappa}B (not shown). The activation of NF-{kappa}B by either stimulus was inhibited by I{kappa}B{alpha} overexpression (Fig. 8Go). Although a 60-min incubation with TNF-{alpha} (1–10 ng/ml) activated NF-{kappa}B weakly, lower concentrations did not, and the amount of TNF-{alpha} produced after a 60-min incubation with zymosan is <100 pg/ml (not shown), arguing against a feedback loop of this kind being involved.



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FIGURE 8. Inhibition of NF{kappa}B function in cells stimulated by LPS or zymosan. Cells were left untreated or were treated with LPS (10 ng/ml) or zymosan (30 µg/ml) for 60 min before nuclear extracts were prepared, and 20 µg of protein was taken to analyze for NF-{kappa}B activity by electrophoretic mobility shift assay. The bottom band seen in the figure is a constitutive one, and the top band represents activation of NF-{kappa}B. Data shown are representative of three independent experiments.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We have recently shown that adenoviral gene transfer into macrophages provides a reliable, reproducible, and convenient method of studying intracellular signaling pathways 7 . Transfer of the I{kappa}B{alpha} effectively inhibits NF-{kappa}B activity in human macrophages, mainly through the overexpression of I{kappa}B{alpha} inhibiting nuclear translocation of the p65/p50 subunits of NF-{kappa}B. This blocked LPS-induced TNF-{alpha} both at the mRNA and the protein levels. Even more interesting, it was found that the endogenous production of TNF-{alpha} from rheumatoid synovial mononuclear cell cultures was also inhibited 7 .

The fact that LPS-induced TNF-{alpha}, IL-1ß, and IL-6 were all NF-{kappa}B dependent cytokines could be expected from the majority of data from murine cells and monocyte/macrophage cell lines 9, 10 . Our results on LPS-induced cytokines also agree well with the results of Makarov et al. 19 on LPS-induced IL-1ß, IL-6, and IL-8 in monocytic THP-1 cells stably modified through retroviral gene transfer of I{kappa}B. Among the LPS-induced, proinflammatory cytokines studied here, IL-6 was most potently inhibited (>85%) by overexpression of I{kappa}B{alpha}, whereas there was always some residual production of TNF-{alpha} or IL-1ß even in LPS-stimulated cells infected with high titers (120:1) of AdvI{kappa}B{alpha} (not shown). This may reflect a certain amount of preformed cytokine mRNA, but this could not be demonstrated in unstimulated cells (data not shown), and furthermore LPS 7 , PMA-induced or UV-induced (Fig. 6Go) TNF-{alpha} mRNA was profoundly down-regulated by I{kappa}B{alpha}. However, it could not be excluded that this residual cytokine production emanated from the few uninfected cells still present, and work is in progress to elucidate this question using intracytoplasmic staining for cytokines. Another nonexclusive hypothesis (discussed in more detail below) is that TNF-{alpha} and other proinflammatory cytokines can be induced through both NF-{kappa}B-dependent and NF-{kappa}B-independent pathways.

Our finding that UV light induces a whole spectrum of proinflammatory cytokines in a NF-{kappa}B-dependent manner is novel. It is in contrast to the earlier report that UV-induced TNF-{alpha} in RAW 264.7 cells does not involve NF-{kappa}B 15 . Similarly, the finding that the PMA-induced induction of TNF-{alpha} and other proinflammatory cytokines is profoundly down-regulated by I{kappa}B{alpha} overexpression disagrees with several earlier studies in stably transformed human cell lines 19 . In our hands, this stimulus was actually the one most strongly dependent on NF-{kappa}B, as judged by the percentage of inhibition, reproduced in seven separate experiments. These discrepancies between results obtained with human primary cells and those from various transformed cell lines indicate that, at least in some instances, the latter are questionable models for studying cytokine cell signaling occurring in primary cells, as is the case in vivo. In a way, this is not surprising, since there are interactions between the enzymes and transcription factors of the cell cycle machinery and the regulation of cytokine genes, e.g., Rb regulates ets, which is involved in cytokine activation 43 .

With regard to macrophage signal transduction, one of the most remarkable findings in the present study was that zymosan, although a very powerful macrophage activator, does not appear to require NF-{kappa}B for the induction of either pro- or anti-inflammatory cytokines. These findings would imply that there are, in human macrophages, both NF-{kappa}B-dependent and NF-{kappa}B-independent pathways of cytokine induction involved in the induction of TNF-{alpha} and other proinflammatory cytokines. Although zymosan does activate NF-{kappa}B, it does so more slowly and much less potently than LPS (Fig. 8Go), and it is likely that some other transcription factor mediates the zymosan-induced cytokine production. The modest (15%) inhibition of zymosan-induced IL-6 observed in cells overexpressing I{kappa}B{alpha} is of questionable significance and may reflect the observation that this cytokine was the most potently affected by I{kappa}B{alpha} overexpression, irrespective of stimulus (see Table IIGo).

Another finding of importance is that in human macrophages, IL-10 is under complex control, and in LPS-stimulated cells, it appears to be at least partially driven via LPS-induced TNF-{alpha} and IL-1. It is interesting to note that, even at 40:1 of AdvI{kappa}B{alpha}, when LPS-driven TNF-{alpha} is abrogated by >60% 7 , IL-10 is still not significantly inhibited (Fig. 3Go). At higher virus titers, resulting in even stronger inhibition of TNF-{alpha}, there is some effect also on IL-10, but never, even with 80:1 of the virus, exceeding 30%. This is completely reversible by adding back TNF-{alpha}, which implies that LPS-induced IL-10 is partly driven secondarily by TNF-{alpha}. This finding agrees well with previous reports 14, 32, 40, 44 and indicates that autocrine interactions can take place, even in short-term (16-h) cultures such as these.

Another intriguing finding was that the I{kappa}B{alpha}-induced inhibition of the LPS-induced production of IL-1ß (Fig. 2GoA), but not the production of IL-6, IL-8, or the soluble TNF receptors (data not shown), was also somewhat abrogated when TNF-{alpha} was restored. This indicates that TNF-induced IL-1ß is mainly independent of NF-{kappa}B. This finding also suggests that IL-1ß is also, although to a lesser extent than IL-10, driven partly by LPS-induced TNF-{alpha}. This result echoes the previous work in rheumatoid arthritis joint cell cocultures, in which TNF-{alpha} blockade was found to inhibit the production of IL-1 45 and subsequently of IL-6, IL-8, IL-10 and granulocyte-macrophage CSF 30, 46 , which has led to the concept of a TNF-{alpha}-dependent "cytokine cascade" in inflammatory sites such as the rheumatoid synovium 1 . The current macrophage cultures are shorter term than the rheumatoid synovial cultures (16 h vs 5 days), which may explain why the "cascade" appears more marked in the latter system.

The dissection out of signaling pathways in normal primary cells is necessary, as there are differences from cell lines (see above). This is now possible within human macrophages, from either normal or pathological specimens, using this adenoviral technique. The model of human macrophages infected with AdvI{kappa}B{alpha} has, from a cytokine point of view, provided results similar to those from infecting human synovial cocultures with the same virus 7 (J. Bondeson et al., manuscript in preparation). Taken together, the data suggest that NF-{kappa}B is an important therapeutic target in chronic inflammatory diseases, allowing profound down-regulation of macrophage-produced proinflammatory cytokines while not directly affecting the most important anti-inflammatory cytokines, IL-10 and IL-1ra. This would redress the disturbed equilibrium between these mediators 1 .


    Acknowledgments
 
We thank Dr. Rainer de Martin (Department of Vascular Biology and Thrombosis Research, University of Vienna, Vienna, Austria) for kindly providing the AdvI{kappa}B{alpha} adenovirus.


    Footnotes
 
1 This work was funded by the Arthritis Research Campaign (U.K.), the Wellcome Trust, the European Community Training and Mobility of Researchers Fellowships, and the Swedish Institute. Back

2 Address correspondence and reprint requests to Dr. Marc Feldmann, Kennedy Institute of Rheumatology, 1 Aspenlea Road, Hammersmith, London W6 8LH, U.K. E-mail address: Back

3 Abbreviations used in this paper: IL-1ra, IL-1R antagonist; Adv0, adenovirus with no insert; AdvI{kappa}B{alpha}, adenovirus encoding porcine I{kappa}B{alpha}; MOI, multiplicity of infection; PSI, benzyloxycarbonyl-Ile-Glu(O-tert-butyl)-Ala-leucinal. Back

Received for publication August 14, 1998. Accepted for publication November 16, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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Ligation of CD11b and CD11c {beta}2 integrins by antibodies or soluble CD23 induces macrophage inflammatory protein 1{alpha} (MIP-1{alpha}) and MIP-1{beta} production in primary human monocytes through a pathway dependent on nuclear factor-{kappa}B
Blood, May 15, 2001; 97(10): 2932 - 2940.
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Int ImmunolHome page
S. Yoshimura, J. Bondeson, B. M. J. Foxwell, F. M. Brennan, and M. Feldmann
Effective antigen presentation by dendritic cells is NF-{{kappa}}B dependent: coordinate regulation of MHC, co-stimulatory molecules and cytokines
Int. Immunol., May 1, 2001; 13(5): 675 - 683.
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J. Leukoc. Biol.Home page
M. D. Wheeler, S. Yamashina, M. Froh, I. Rusyn, and R. G. Thurman
Adenoviral gene delivery can inactivate Kupffer cells: role of oxidants in NF-{kappa}B activation and cytokine production
J. Leukoc. Biol., April 1, 2001; 69(4): 622 - 630.
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W. C. Russell
Update on adenovirus and its vectors
J. Gen. Virol., November 1, 2000; 81(11): 2573 - 2604.
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Ann Rheum DisHome page
B. M J Foxwell, J. Bondeson, F. Brennan, and M. Feldmann
Adenoviral transgene delivery provides an approach to identifying important molecular processes in inflammation: evidence for heterogenecity in the requirement for NFkappa B in tumour necrosis factor production
Ann Rheum Dis, November 1, 2000; 59(90001): i54 - 59.
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J. Immunol.Home page
J. S. Koh, Z. Wang, and J. S. Levine
Cytokine Dysregulation Induced by Apoptotic Cells Is a Shared Characteristic of Murine Lupus
J. Immunol., October 15, 2000; 165(8): 4190 - 4201.
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J. Immunol.Home page
A. K. De, K. M. Kodys, B. S. Yeh, and C. Miller-Graziano
Exaggerated Human Monocyte IL-10 Concomitant to Minimal TNF-{alpha} Induction by Heat-Shock Protein 27 (Hsp27) Suggests Hsp27 Is Primarily an Antiinflammatory Stimulus
J. Immunol., October 1, 2000; 165(7): 3951 - 3958.
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J. Immunol.Home page
E. M. Benkhart, M. Siedlar, A. Wedel, T. Werner, and H. W. L. Ziegler-Heitbrock
Role of Stat3 in Lipopolysaccharide-Induced IL-10 Gene Expression
J. Immunol., August 1, 2000; 165(3): 1612 - 1617.
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J. Immunol.Home page
J. G. Vallejo, P. Knuefermann, D. L. Mann, and N. Sivasubramanian
Group B Streptococcus Induces TNF-{alpha} Gene Expression and Activation of the Transcription Factors NF-{kappa}B and Activator Protein-1 in Human Cord Blood Monocytes
J. Immunol., July 1, 2000; 165(1): 419 - 425.
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J. Immunol.Home page
H. D. Brightbill, S. E. Plevy, R. L. Modlin, and S. T. Smale
A Prominent Role for Sp1 During Lipopolysaccharide- Mediated Induction of the IL-10 Promoter in Macrophages
J. Immunol., February 15, 2000; 164(4): 1940 - 1951.
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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
L. L. Reznikov, B. D. Shames, H. A. Barton, C. H. Selzman, G. Fantuzzi, S.-H. Kim, S. M. Johnson, and C. A. Dinarello
Interleukin-1beta deficiency results in reduced NF-kappa B levels in pregnant mice
Am J Physiol Regulatory Integrative Comp Physiol, January 1, 2000; 278(1): R263 - R270.
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Infect. Immun.Home page
S. Takashiba, T. E. Van Dyke, S. Amar, Y. Murayama, A. W. Soskolne, and L. Shapira
Differentiation of Monocytes to Macrophages Primes Cells for Lipopolysaccharide Stimulation via Accumulation of Cytoplasmic Nuclear Factor kappa B
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Proc. Natl. Acad. Sci. USAHome page
J. Bondeson, B. Foxwell, F. Brennan, and M. Feldmann
Defining therapeutic targets by using adenovirus: Blocking NF-kappa B inhibits both inflammatory and destructive mechanisms in rheumatoid synovium but spares anti-inflammatory mediators
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J. Biol. Chem.Home page
W. Ma, W. Lim, K. Gee, S. Aucoin, D. Nandan, M. Kozlowski, F. Diaz-Mitoma, and A. Kumar
The p38 Mitogen-activated Kinase Pathway Regulates the Human Interleukin-10 Promoter via the Activation of Sp1 Transcription Factor in Lipopolysaccharide-stimulated Human Macrophages
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S.-H. Young, J. Ye, D. G. Frazer, X. Shi, and V. Castranova
Molecular Mechanism of Tumor Necrosis Factor-alpha Production in 1right-arrow3-beta -Glucan (Zymosan)-activated Macrophages
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