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Production in Human Monocytes1 ,2




*
Department of Physiology and Biophysics, and
The Price Institute of Surgical Research, Department of Surgery, University of Louisville, School of Medicine, Louisville, KY 40292; and
Health Care Discovery, Novo Nordisk, Novo Allé, Bagsvaerd, Denmark
| Abstract |
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production from
monocytes. We have previously demonstrated that HBP is internalized in
monocytes. In the current study, we hypothesize that HBP is
internalized in monocytes via endocytosis, and this internalization is
an important mechanism by which HBP enhances LPS-induced TNF-
release. Using whole blood from healthy donors and flow cytometry, we
found that colchicine (0.110 mM), cytochalasin D (1000 µM),
NH4Cl (1050 mM), and bafilomycin A1 (0.13 µM)
significantly reduced the affinity of FITC-HBP for CD14-positive
monocytes. Using isolated human monocytes and ELISA, we found that
colchicine (0.1 mM), cytochalasin D (30 and 300 µM),
NH4Cl (30 mM), and bafilomycin A1 (1 µM) significantly
reduced the effect of HBP (10 µg/ml) to enhance LPS (10
ng/ml)-induced TNF-
release after 24 h. These findings
demonstrate that internalization of HBP in monocytes is essential for
the enhancement of LPS-induced TNF-
release. Transport of HBP to an
activating compartment depends on intact F-actin polymerization and
endosomal acidification, an important mechanism for endosomal protein
sorting and trafficking. | Introduction |
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production (4).
LPS is an important component of the outer membrane of all
Gram-negative bacteria and has a vital function for bacterial
viability. In humans and experimental animals, the presence of LPS
signals the presence of Gram-negative bacteria and induces a vigorous
cellular response, and LPS is believed to be responsible for many of
the toxic manifestations of severe Gram-negative sepsis (5). LPS is
known to interact with a variety of cell types, including endothelial
cells, smooth muscle cells, granulocytes, thrombocytes, and
macrophages/monocytes. In monocytes/macrophages, the binding of LPS to
CD14 induces the activation of many inducible genes and bioactive
substances, such as cytokines (e.g., TNF-
), adhesive proteins, and
enzymes that produce low m.w. proinflammatory mediators (6, 7).
Collectively, these products up-regulate host defense systems with the
apparent goal of eliminating the bacterial infection (8, 9).
Unfortunately, these same mediators also contribute to the development
of septic shock (10, 11).
After murine peritonitis is induced by cecal ligation and puncture
(12), we have shown that i.p. administration of HBP increases monocyte
recruitment into the peritoneum and increases survival. This indicates
that HBP may play a critical role during sepsis. Previous studies have
established that HBP has a high affinity for human monocytes, but not
for the LPS receptor CD14, and that HBP enhances the LPS-induced
release of prostaglandin E2 from isolated monocytes
(13), suggesting a generalized monocyte activation. In confocal
microscopy studies, we have found that HBP is internalized in monocytes
within 30 min at 37°C (13). In other studies, we have found that the
affinity of HBP for monocytes is reduced by the addition of fucoidan
(14). Fucoidan is a substance known to compete for binding sites on the
scavenger receptor that mediates endocytosis via the clathrin-coated
pathway (15). These results suggest that endocytosis-mediated
internalization of HBP in monocytes is a potentially important step for
the enhancement of LPS-induced TNF-
release. In the current
study, we inhibited endocytosis at different levels and assessed the
effect of HBP on LPS-induced TNF-
production from isolated human
monocytes.
Considerable knowledge about the organization and function of endocytic processes has been accumulated over the past decade, but current knowledge of the entire endocytic pathway is still fragmentary (16, 17). Macromolecular entry to the cell is mediated via different pathways: caveolae, nonclathrin-coated vesicles, clathrin-coated pits and vesicles, macropinosomes, and phagosomes. The clathrin-coated vesicle is the best-characterized mechanism for entry into the cell. Endocytosis vesicles with membrane proteins, lipids, and solutes deliver their cargo to the early endosome for further processing. From the early endosome, the internalized substrates are directed to late endosomes and lysosomes along the endocytic pathway.
Acidification of the early endosomes (pH 6.06.5) plays a crucial role in the sorting of internalized ligands, receptors, and solutes in intracellular trafficking and proteolytic cleavage (18). Ammonium chloride (NH4Cl) and bafilomycin A1, a specific inactivator of the proton pump vacuolar ATPase (19), inhibit acidification of the early endosome and impair the transport between early and late endosomes. Lysosomes are the site of degradation of obsolete extracellular macromolecules following endocytosis and phagocytosis (20). Some endocytosed receptors are recycled back to the cell surface from the early endosome via a highly tubulated, colchicine-sensitive, recycling compartment. There is now a large body of evidence showing that microtubules play an important role in membrane traffic. In contrast, the role of the actin cytoskeleton in membrane traffic is not completely understood (16).
Classic studies of endocytosis have characterized two fates for
endocytosed protein: degradation following transport to lysosomes or
return to the cell surface, such as occurs with class II MHC-restricted
Ag presentation. However, it is now clear that the endocytic pathway is
more complex, and that many cells have the capacity to sequester some
endocytosed proteins into specialized compartments (16). It is
currently unclear whether the internalization of HBP (13) is a process
that is needed to enhance LPS-induced TNF-
production in monocytes
or merely a pathway that leads to the lysosome and degradation.
We hypothesize that HBP is internalized in monocytes via endocytosis,
and this internalization is an important mechanism by which HBP
enhances LPS-induced TNF-
release from isolated human monocytes.
Herein, we show that internalization of HBP in monocytes is essential
for the enhancement of LPS-induced TNF-
release, and trafficking of
HBP to an activating compartment depends on intact F-actin
polymerization and endosomal acidification.
| Materials and Methods |
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HBP was expressed in Spodopterea frugiperda (SF9) cells (Invitrogen, San Diego, CA) and purified as previously described (4). Briefly, we constructed a 770-bp BamHI-HindIII fragment from a human bone marrow cDNA library (Clontech Laboratories, Heidelberg, Germany) by using PCR technology. We then inserted the fragment into the baculovirus transfer vector pBlueBacIII (Invitrogen), which resulted in the transfer plasmid pSX556. SF9 cells were transfected using linear Autographa californica nuclear polyhedrosis virus DNA and transfection plasmid (Invitrogen). We collected the insect cell culture medium 34 days after transfection and purified HBP by glass microfiber filtration (Whatman GF/A), CM-Sepharose cation exchange columns (Pharmacia, Piscataway, NJ), and Sephadex G-25 gel-filtration columns (Pharmacia).
Reagents and mAbs
Colchicine, cytochalasin D, NH4Cl, bafilomycin A1,
potassium bicarbonate, DMSO, EDTA, trypan blue, and Escherichia
coli 0111:B4 LPS were purchased from Sigma (St. Louis, MO).
Phycoerythrin (PE)-coupled monoclonal anti-CD14 Ab Mo2 was
purchased from Coulter (Hialeah, FL). Enzyme-linked immunosorbent assay
was used to measure TNF-
(BioSource, Camarillo, CA).
HBP affinity studies
Whole blood from healthy volunteers was collected in acid citrate dextrose Vacutainers (Becton Dickinson, Cockeysville, MD) at room temperature. The affinity studies were conducted in a final volume of 100 µl. Whole blood was preincubated for 60 min with increasing concentrations of colchicine, cytochalasin D, NH4Cl, and bafilomycin A1. FITC-HBP (10 µg/ml, final concentration) was added, and the samples were incubated for 60 min at 37°C with 5% CO2. At the end of the incubation with FITC-HBP, Mo2-PE (500 ng in 5 µl) was added, and the samples were incubated for 25 min at 4°C. Subsequently, erythrocytes were removed by hypotonic lysis (150 mM NH4Cl, 12 mM potassium bicarbonate, 0.1 mM EDTA), samples were washed twice with FTA hemagglutination buffer with 0.1% sodium azide (Becton Dickinson), fixed in 1% paraformaldehyde, and analyzed by flow cytometry.
Flow cytometry
A FACScan from Becton Dickinson with an argon laser (488 nm) was used to assess FITC-HBP fluorescence on CD14-positive cells. Fluorescence values derived from FITC-HBP were measured at 530 nm (FL1). CD14-positive monocytes were gated based on the combination of fluorescence derived from the anti-CD14 Ab Mo2-PE (measured at 580 nm) and the sideways light scatter. A total of 40005000 CD14-positive monocytes were analyzed per sample, and acquired data were processed with Cellquest version 1.2 software (Becton Dickinson). The FL1 fluorescence distribution was displayed as a single histogram. The percentage of FL1 fluorescent cells and the mean fluorescence intensity were determined in each case.
Monocyte isolation and culture
Human monocytes were isolated by dextran sedimentation and density gradient centrifugation (21). Briefly, whole blood was collected in EDTA Vacutainers, and 1 part of 6% dextran-500 in 0.9% saline (w/v) (Sigma) was added to 10 parts of EDTA blood. Leukocyte-rich plasma was harvested after 45 min of sedimentation and layered on top of 3 ml of 1-Step-Monocyte (1068 gradient; Accurate Scientific, Westbury, NY). The gradient was centrifuged at 600 x g for 15 min at room temperature. The upper layer consisted of plasma and was discarded. The middle layer contained the monocytes and was harvested and washed twice with a washing solution that contained 0.9% saline, 0.13% EDTA (Sigma), and 1% FCS (BioWhittaker, Walkerville, MD). The cell suspension was centrifuged for 7 min at 600 x g and eventually resuspended in culture medium. Culture media (RPMI 1640 with glutamine; Sigma) was supplemented with 1% antibiotics (100 µg/ml streptomycin, 100 U/ml penicillin; BioWhittaker) and 1% antimycotics (0.25 µg/ml, amphotericin B; BioWhittaker). The cells were counted with a hemocytometer, and the percentage of CD14-positive monocytes was assessed by flow cytometry. A total of 2 x 105 cells in 250 µl of supplemented culture medium were added to each well (96-well plate; Costar, Cambridge, MA) and incubated at 37°C with 5% CO2. Cells were pretreated for 60 min with colchicine (0.1 mM, final concentration), cytochalasin D (30 and 300 µM, final concentration), NH4Cl (100 µg/ml, final concentration), bafilomycin A1 (1 µM, final concentration) and stimulated for 24 h with LPS (10 ng/ml, final concentration), HBP (10 µg/ml, final concentration), or a combination of LPS + HBP.
Phagocytosis assay
Whole blood was obtained from healthy volunteers and collected in acid citrate dextrose Vacutainers. A modification of a previously described method (22, 23) was used to assess phagocytosis in granulocytes and monocytes. Whole blood (90 µl) was incubated with different doses of cytochalasin D (10 µl; final concentration, 30 µM-3 mM) for 60 min before the addition of Bodipy-E. coli (Molecular Probes, Eugene, OR). The number of neutrophils from each donor was assessed with an automated cell counter (Coulter) and confirmed with a hemocytometer.
The number of E. coli was adjusted to a ratio of five bacteria per one neutrophil. After 30 min, the phagocytosis process was interrupted by the addition of 4°C-cold lysing reagent (150 mM NH4Cl, 12 mM potassium bicarbonate, 0.1 mM EDTA), and samples were kept at 4°C for 6 min to lyse erythrocytes. Samples were washed twice with FTA-azide (Becton Dickinson), fixed in 1% paraformaldehyde, and analyzed by flow cytometry for fluorescence of Bodipy (530 nm, FL1). To quench adherent Bodipy E. coli, trypan blue (Sigma) was added at a final concentration of 5 mM to each tube before the samples were acquired (24, 25).
Statistical analysis
Statistical significance was determined with ANOVA and Fishers probable least-squares difference analysis (Statview 4.5; Abacus Concepts, Berkeley, CA) to compare data between multiple groups. A p value <0.05 was considered significant.
| Results |
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In the first experiments, we blocked microtubule assembly with
colchicine (26) and measured the effect of colchicine on HBP
internalization and monocyte activation. Pretreatment with colchicine
significantly reduced FITC-HBP fluorescence in CD14-positive monocytes
(Fig. 1
, A and B).
Fluorescence values decreased from 220 ± 7 in the saline-treated
group to 42 ± 2 at the highest concentration of colchicine (10
mM).
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from isolated monocytes, and HBP significantly enhanced this
LPS-induced production of TNF-
(Fig. 2
from monocytes
pretreated with colchicine was markedly reduced after stimulation with
LPS (10 ng/ml) or a combination of HBP + LPS. LPS still induced a
significant (p = 0.0003) increase in TNF-
release in the colchicine-treated group (190 ± 19 pg/ml) when
compared with saline (30 ± 9 pg/ml), but HBP did not enhance the
LPS-induced release of TNF-
from monocytes.
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from monoctyes. To rule out that TNF-
had not been produced and
"trapped" within the colchicine-treated monocytes, we conducted a
separate experiment. We lysed the adherent monocytes/macrophages used
in our current study by adding 150 µl of ultrapure water and then
freeze-thawing the samples. The lysate was analyzed for TNF-
by
ELISA and showed low TNF-
values (83 ± 22 to 114 ± 29
pg/ml), with no difference between the stimulated and nonstimulated
samples in saline control or the colchicine-treated groups. Effect of cytochalasin D
In the second set of experiments, we assessed the effect of
cytochalasin D on HBP internalization and monocyte activation.
Cytochalasin D blocks actin filament elongation by binding to high
affinity sites that are associated with F-actin (27). Cytochalasin D
concentrations of 30, 100, 300, and 1000 µM were used to test whether
FITC-HBP fluorescence would decrease in CD14-positive monocytes (Fig. 3
A). Fluorescence values in
the saline group (186 ± 24) were not different compared with
cytochalasin D at 30 µM (220 ± 12), 100 µM (194 ± 11),
or 300 µM (190 ± 6). However, cytochalasin D at the highest
concentration of 1000 µM significantly (p <
0.05) reduced FITC-HBP fluorescence (164 ± 4) when compared with
the equimolar DMSO control group (219 ± 5).
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Pretreatment with 30 µM of cytochalasin D (Fig. 4
) significantly
(p < 0.001) prevented the effect of HBP to
enhance the LPS-induced release of TNF-
(1775 ± 554 pg/ml for
HBP + LPS in cytochalasin D compared with 5511 ± 1029 pg/ml for
HBP + LPS in DMSO control). However, this 30 µM concentration of
cytochalasin D did not reduce (p = 0.513) the
TNF-
release produced by LPS alone (2192 ± 754 pg/ml for LPS
in cytochalasin D compared with 2702 ± 625 pg/ml for LPS in DMSO
control). Even though the internalization of HBP is not inhibited by
cytochalasin D, as these results indicate (Fig. 3
A),
intracellular trafficking after internalization is necessary for HBP to
enhance the LPS-induced release of TNF-
because F-actin acts only
inside the cell (Fig. 4
).
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In the third set of experiments, we used NH4Cl to
prevent endosomal acidification (28, 29). This selective alkalization
of endosomes by NH4Cl has been reported to inhibit protein
sorting and trafficking and to inhibit intracellular dissociation of
receptor-ligand complexes (18). Pretreatment with NH4Cl
significantly (p < 0.05) reduced FITC-HBP
fluorescence in CD14-positive cells (Fig. 5
A). Fluorescence values were
255 ± 10 in the saline control group compared with 149 ±
20, 97 ± 17, and 64 ± 6 in the NH4Cl-treated
group (10 mM, 30 mM, and 50 mM, respectively).
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from isolated monocytes (1254 ± 154 pg/ml
for LPS in NH4Cl compared with 1758 ± 163 pg/ml for
LPS in saline). NH4Cl also significantly
(p = 0.0005) reduced the release of TNF-
in
the HBP + LPS group (2012 ± 191 pg/ml for HBP + LPS in
NH4Cl compared with 2937 ± 355 pg/ml for HBP + LPS in
saline). However, 30 mM of NH4Cl did not block the effect
of HBP to enhance the LPS-induced release of TNF-
from isolated
monocytes.
Combined, these data indicate that NH4Cl inhibits
intracellular trafficking of HBP, and that the effects of HBP to
enhance the LPS-induced TNF-
release depends, in part, on
NH4Cl-sensitive, but also non-NH4Cl-sensitive
pathways.
Effect of bafilomycin A1
In the fourth set of experiments, we specifically blocked
the vacuolar type ATPase (19) with bafilomycin A1 to inhibit endosomal
acidification (30) and to reduce the delivery of internalized molecules
from mature multivesicular endosomes to lysosomes (28). Pretreatment
with bafilomycin A1 significantly reduced FITC-HBP fluorescence in
CD14-positive cells in a concentration-dependent manner (Fig. 6
A). Fluorescence values at
the lowest concentration of bafilomycin A1 (0.1 µM in 0.03% DMSO)
were 210 ± 7 for the bafilomycin A1-treated group compared with
258 ± 10 for the DMSO control group. At the highest concentration
of bafilomycin A1 (3 µM in 0.9% DMSO), FITC-HBP fluorescence values
were 79 ± 4 for the bafilomycin A1-treated group compared with
218 ± 10 for the DMSO control group. Interestingly, DMSO alone
reduced FITC-HBP fluorescence somewhat compared with values for saline
(250 ± 12), but this was statistically significant only at the
highest DMSO concentration (0.9% DMSO).
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(2704 ± 477 pg/ml for HBP + LPS in bafilomycin A1
compared with 4238 ± 300 pg/ml HBP + LPS in DMSO control). In
both the DMSO control and bafilomycin A1-treated groups, HBP alone
induced the release of TNF-
, confirming a previously established
variability in HBP responsiveness (13), which could be similar to the
genetically determined variability of LPS-induced TNF-
production
(31). However, HBP still enhanced the LPS-induced release of TNF-
(Fig. 6
(1549 ± 197 pg/ml for LPS in DMSO control
compared with 1788 ± 217 pg/ml for LPS in bafilomycin A1). These
data demonstrate that endosomal acidification is an important step for
the effect of HBP to enhance the LPS-induced release of TNF-
from
isolated monocytes. | Discussion |
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release from human monocytes. In the
current studies, we further established that the internalization of HBP
in human monocytes is an important mechanism for the effect of HBP to
enhance LPS-induced TNF-
release. We conclude that HBP must enter
the cell to generate the enhancement of the LPS-induced release of
TNF-
from isolated monocytes. We demonstrated this by using four
substances to inhibit endocytosis at different levels of intracellular
trafficking: colchicine, cytochalasin D, NH4Cl, and
bafilomycin A1. Intracellular F-actin polymerization is a critical step
for the effect of HBP to enhance this LPS-induced TNF-
release.
Colchicine is a potent drug that interferes with microtubule assembly,
both in vivo and in vitro (26). Colchicine poisons microtubule assembly
by initially binding to the soluble 6S dimer and then subsequently
attaching to the end of the growing microtubule as a colchicine-dimer
complex during the normal process of microtubule assembly. This
integration of colchicine aborts further polymerization and microtubule
assembly (26). In our experiments, colchicine concentrations ranging
from 0.1 mM (26) to 10 mM (32) showed that HBP internalization was
dependent on intact microtubular assembly. Our study also demonstrated
that colchicine blocked the effect of HBP to enhance LPS-induced
TNF-
release. Furthermore, intact microtubular assembly was
important for LPS-induced release of TNF-
from monocytes. This
effect of colchicine to reduce TNF-
release was not surprising
because microtubules are involved in many intracellular transport
mechanisms, including exocytosis of macromolecules. Treatment with
colchicine led to a 90% reduction of TNF-
release, but
interestingly, LPS still activated monocytes to produce six to seven
times more TNF-
than saline. These data suggest that colchicine did
not completely abrogate the ability of monocytes to release TNF-
.
Cytochalasins are a family of substances that block actin-filament
elongation by binding to high affinity sites that are associated with
F-actin (27). In the experiments of Flanagan and Lin (27), a small
amount of filamentous F-actin was added to a solution of globular
G-actin assay. The resulting rapid polymerization was blocked by
cytochalasin D at concentrations of 100 nM or more. Other investigators
(32) who studied F-actin polymerization in cells used 2000-fold higher
concentrations of cytochalasin D (200 µM). We used cytochalasin D
concentrations between 30 µM and 1000 µM to test for a decrease in
FITC-HBP fluorescence from CD14-positive monocytes. Our 30-µM
concentration of cytochalasin D did not inhibit HBP fluorescence from
monocytes, indicating that internalization of HBP was not reduced by
these low concentrations of cytochalasin D. However, this 30-µM
concentration of cytochalasin D did inhibit F-actin polymerization as
shown in the phagocytosis assay and abrogated the effect of HBP to
enhance the LPS-induced TNF-
release from monocytes. More
importantly, 30 µM of cytochalasin D did not reduce the release of
TNF-
produced by LPS alone, indicating that LPS-induced cell
signaling, and the HBP enhancement of that response occurs by different
mechanisms. These results demonstrate that there is an
F-actin-dependent trafficking of HBP, which is necessary to enhance
LPS-induced TNF-
release from monocytes.
In our study, we used two treatments for endosomal alkalization: NH4Cl and bafilomycin A1. Endosomal alkalization alters the kinetics of endocytic uptake. For FITC-albumin endocytosis, this kinetic alteration has been shown by Gekle et al. (18) in intact proximal tubule-derived opossum kidney cells. These authors have demonstrated that endosomal pH is an important determinant for the kinetics of receptor-mediated endocytic uptake of albumin in the proximal tubule but not for fluid-phase endocytosis. Hence, endosomal alkalization disturbs intracellular ligand handling and receptor trafficking, reducing endocytic capacity and affinity.
NH4Cl has been used by many investigators to study endocytosis (28, 29). Gekle et al. (18) demonstrated that during prolonged exposure of cells to NH4Cl, endosomal pH was elevated, but cytoplasmic pH was not significantly different from control. This selective alkalization of endosomes by NH4Cl is thought to inhibit protein sorting and trafficking and to inhibit intracellular dissociation of receptor-ligand complexes. This would decrease the production and recycling of free receptors for continuation of receptor-mediated endocytosis (33).
Bafilomycin A1 is a specific inhibitor of the vacuolar type ATPase (19) and is structurally related to macrolide antibiotics that are isolated from Streptomyces. Bafilomycin A1 inhibits acidification and protein degradation in late endosomes and lysosomes (30), and thereby reduces the delivery of internalized molecules from mature multivesicular endosomes to lysosomes (28).
NH4Cl produced a modest, but significant reduction in the
effect of HBP to enhance LPS-induced TNF-
release, indicating a role
for endosomal acidification in this process. Our results from the
bafilomycin A1 experiments showed that specific blockade of endosomal
acidification reduced the internalization of HBP as well as reduced the
effect of HBP to enhance LPS-induced TNF-
production. Moreover,
bafilomycin A1 did not reduce LPS-induced TNF-
release. This
suggests that endosomal acidification is not a mechanism used for
LPS-induced TNF-
release from monocytes. However, the physiological
acidification of the early endosome is important in protein sorting,
protein trafficking, and receptor recycling (18, 33). Therefore, we
propose that bafilomycin A1 reduced the effect of HBP to enhance
LPS-induced TNF-
release by altering the intracellular trafficking
and delivery of HBP to an activating compartment.
The NH4Cl and bafilomycin A1 data (Figs. 5
and 6
) show that
HBP internalization is only partly dependent on endosomal acidification
and that altered endosomal acidification significantly reduces, but
does not completely abrogate, the effect of HBP to increase LPS-induced
TNF-
release. These data indicate that endosomal acidification is
not the only determining factor, suggesting that other factors (e.g.,
cellular motor elements) are equal or even more important for this
process to occur. The colchicine experiments (Fig. 2
.) demonstrate that
microtubule assembly modulates the effect of HBP to enhance the LPS
response and that microtubular assembly is very important for the
effect of LPS alone. However, with cytochalasin D, internalization of
HBP is dissociated from the effect of HBP to enhance the LPS response
(Figs. 3
and 4
). Cytochalasin D did not prevent internalization, but it
did abrogate the effect of HBP to enhance LPS-induced TNF-
release.
This occurred without alteration of the response of LPS alone.
Together, our data demonstrate that the magnitude of inhibition of
internalization is not correlated with the reduction of LPS-induced
TNF-
response. Pugin and colleagues (34) recently demonstrated that
cytochalasin D inhibited both LPS and CD14 internalization but did not
prevent LPS-dependent activation, confirming our results and again
indicating that these two processes are also dissociated.
In summary, our experiments with different inhibitors of endocytosis
provide evidence that: 1) internalization of HBP in monocytes is
essential for HBP to enhance LPS-induced TNF-
release; 2) the
trafficking of HBP to an activating compartment depends on intact
F-actin polymerization and endosomal acidification; and 3) the
mechanisms by which HBP enhances LPS-induced TNF-
release are
different from the mechanisms induced by LPS alone.
| Acknowledgments |
|---|
| Footnotes |
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2 Presented in part at the Eighteenth Annual Meeting of the Surgical Infection Society, New York, NY, April 30-May 2, 1998. ![]()
3 Address correspondence and reprint requests to: Dr. Michael Heinzelmann, c/o M. Abby, Editorial office, Department of Surgery, University of Louisville, Louisville, KY 40292. E-mail address: ![]()
4 Abbreviations used in this paper: HBP, heparin-binding protein; CAP37, cationic antimicrobial protein of molecular mass 37 kDa; FL1, fluorescence measured at 530 nm; PE, phycoerythrin. ![]()
Received for publication July 22, 1998. Accepted for publication January 4, 1999.
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