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The Journal of Immunology, 1999, 163: 2858-2866.
Copyright © 1999 by The American Association of Immunologists

Superoxide Attenuates Macrophage Apoptosis by NF-{kappa}B and AP-1 Activation That Promotes Cyclooxygenase-2 Expression1

Andreas von Knethen, Dagmar Callsen and Bernhard Brüne2

Department of Medicine IV, Experimental Division, Faculty of Medicine, University of Erlangen-Nürnberg, Erlangen, Germany


    Abstract
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 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Macrophages are a major source of cytokines and proinflammatory radicals such as superoxide. These mediators can be both produced and utilized by macrophages in autocrine-regulatory pathways. Therefore, we studied the potential role of oxygen radical-regulatory mechanisms in reprogramming macrophage apoptosis. Preactivation of RAW 264.7 cells with a nontoxic dose of the redox cycler 2,3-dimethoxy-1,4-naphtoquinone (5 µM) for 15 h attenuated S-nitrosoglutathione (1 mM)-initiated apoptotic cell death and averted accumulation of the tumor suppressor p53, which is indicative for macrophage apoptosis. Preactivation with superoxide promoted cyclooxygenase-2 induction that was NF-{kappa}B and AP-1 mediated. NF-{kappa}B activation was confirmed by p50/p65-heterodimer formation, I{kappa}B-{alpha} degradation, and stimulation of a NF-{kappa}B luciferase reporter construct. Furthermore, a NF-{kappa}B decoy approach abrogated cyclooxygenase-2 (Cox-2) expression as well as inducible protection. The importance of AP-1 for superoxide-mediated Cox-2 expression and cell protection was substantiated by using the extracellular signal-regulated kinase-inhibitor PD98059 and the p38-inhibitor SB203580, which blocked Cox-2 expression. In corroboration, Cox-2 expression was hindered by a dominant-negative c-jun mutant (TAM67). Protection from apoptosis was verified in human macrophages with the notion that superoxide promoted Cox-2 expression, which in turn attenuated nitric oxide-evoked caspase activation. We conclude that the sublethal generation of oxygen radicals reprograms macrophages by NF-{kappa}B and AP-1 activation. The resulting hyporesponsiveness reveals an attenuated apoptotic program in association with Cox-2 expression.


    Introduction
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 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cyclooxygenase-2 (Cox-2),3 also known as prostaglandin H synthase, catalyzes the rate-limiting steps in formation of prostaglandin endoperoxides (1). Cox-2 is induced by LPS and cytokines in vitro and is expressed at a high rate at inflammation sites in vivo (2). Recently, enforced or naturally occurring high Cox-2 expression rates were associated with cancer progression and inhibition of apoptosis (3, 4, 5). This is supported by the discovery that overexpression of Cox-2 is an early and central event in colon carcinogenesis, which provides an important understanding in the chemoprotective effects resulting from aspirin intake (6, 7). High amounts of Cox-2 are also found in macrophages following their activation with diverse agonists (8, 9). These cells are a major component of the innate immune defense system directed against pathogens or tumor cells and represent one of the main cellular sources of cytokines and oxygen- as well as nitrogen-based radicals (10, 11). High amounts of NO· and superoxide (O2-) are used during host defense with the implication to elicit apoptotic or necrotic target cell death (12). Control of macrophage responsiveness may be of primary importance for the host and may limit proinflammatory responses to protect the host from excessive destructive processes during inflammation and infection. Macrophage function is therefore orchestrated by compensatory mechanisms as a result of cytokine or radical formation that can be both produced and utilized by macrophages in processes known as autocrine-regulatory pathways.

Free radicals were studied within the context of a direct, destructive role in biology. Although this is true for high radical concentrations, it appears that some reactive oxygen (ROS) or nitrogen species play physiologically important cellular messenger roles. ROS are increasingly recognized to control signal transduction via activation of mitogen-activated protein kinases (MAPK) or being implicated in the regulation of transcription factors such as NF-{kappa}B or AP-1 (13). Activation of NF-{kappa}B is an important component for cytokine-induced Cox-2 expression (14, 15), and more generally is assumed as a classical redox-sensitive, i.e., ROS-responsive target system (16, 17). NF-{kappa}B activation promotes the expression of various stress genes (18), some of which may contribute to cell survival in close association with an antiapoptotic role of NF-{kappa}B-regulated genes (19). Among the potential protein kinases identified in phosphorylating the NF-{kappa}B inhibitor I{kappa}B, both ERK- and c-Jun N-terminal kinase/stress-activated protein kinase (JNK/SAPK)-signaling pathways were identified (20, 21). Moreover, superoxide-mediated activation of MAPK may promote phosporylation of other substrates such as c-Jun, ATF2, and Elk-1, all of which are associated with a transcriptional activity of AP-1 (22, 23). AP-1 is a protein dimer composed of the protooncogene products Fos and Jun (24). Its activation is achieved, among others, by growth factors, cytokines, UV irradiation, superoxide, as well as the phorbol ester 12-O-tetradecanoylphorbol-13-acetate (TPA) (25, 26), and hence the name TRE (TPA-responsive element) is used for its recognition site. A role of AP-1 in Cox-2 induction has been established in v-src-transformed cells (27, 28).

Radicals, i.e., ROS, can no longer be regarded solely as damaging species. Its appears important to characterize their contribution to the control of gene transcription and protein expression. The striking possibility to reprogram the apoptotic behavior of macrophages by using sublethal concentrations of superoxide prompted us to explore the molecular mechanisms in detail. We established NF-{kappa}B and AP-1 activation by the O2--generator DMNQ in close association with Cox-2 expression. For murine and human macrophages, we envision how ROS circumvent cell death, i.e., apoptosis, supporting the notion that expression of Cox-2 attenuates programmed cell death.


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

Diphenylamine and LPS (Escherichia coli serotype 0127:B8) were purchased from Sigma (Deisenhofen, Germany). The Cox-2 Ab was bought from Transduction Laboratories (Lexington, KY). The p50- and p65-supershift Abs as well as the I{kappa}B-{alpha} Ab were obtained from Santa Cruz Biotechnology (Heidelberg, Germany). Murine rIFN-{gamma} was provided by Boehringer Mannheim (Mannheim, Germany). RPMI 1640, cell culture supplements, and FCS were ordered from Biochrom (Berlin, Germany). The luciferase-assay kit was obtained from Promega (Mannheim, Germany), and the ß-galactosidase (ß-gal) detection kit came from Tropix (Mannheim, Germany). Oligonucleotides (+/- fluorescein labeled) were provided by Eurogentec (Seraing, Belgium). DMNQ was kindly provided by Dr. Nicotera, University of Konstanz (Konstanz, Germany). PD98059, SB203580, and Ac-DEVD-AMC were from Biomol (Hamburg, Germany). All other chemicals were of the highest grade of purity and commercially available.

Cell culture

The mouse monocyte/macrophage cell line RAW 264.7 was maintained in RPMI 1640 supplemented with 100 U/ml penicillin, 100 µg/ml streptomycin, and 10% heat-inactivated FCS (complete RPMI). All experiments were performed using complete RPMI. GSNO and LPS were dissolved in water and added as indicated. PD98059 and SB203580 were dissolved in DMSO. Appropriate solvent controls were performed. Preliminary experiments were performed with variable doses of all agents, and results are shown for optimal nontoxic concentrations of each agent.

Cell survival

The number of alive RAW 264.7 macrophages, following treatment with different agents, was determined by the trypan blue dye exclusion assay.

Monocyte isolation and culture

For each experiment, cells were isolated from 50-ml buffy coats (Transfusionsmedizin, Erlangen, Germany). Blood was diluted 1/2 with PBS and layered on a Ficoll-Isopaque gradient (p = 1077 g ml-1). The interphase containing PBMC was obtained following centrifugation (800 x g, 20 min). Cells were recovered, washed twice in PBS, and were allowed to adhere on culture dishes (Primaria 3072; Becton Dickinson, Heidelberg, Germany) for 90 min at 37°C. Nonadherent cells were removed. The medium was exchanged to fresh RPMI 1640 containing 10% heat-inactivated human AB serum (Sigma) and antibiotics (100 U/ml penicillin, 100 µg/ml streptomycin). Monocytes (5 x 106) were cultured in a volume of 10 ml per plate. Medium was changed every 2 to 3 days. After 6 days of culture, monocytes acquired a macrophage-like phenotype (29) and were used for the experiments. Flow cytometry confirmed that the macrophage-like population was 90–95% pure (CD14+ vs CD14-).

RNA extraction and semiquantitative RT-PCR

RNA was extracted using RNAClean (AGS, Heidelberg, Germany) according to the distributor’s manual. Reverse-transcription reactions and PCR for murine and human Cox-2 and GAPDH were performed using the SuperScript RNase H- Reverse Transcriptase (Life Technologies, Karlsruhe, Germany) and recombinant Taq DNA polymerase (Life Technologies). The sequence of the primers was as follows: human Cox-2 574–878(574–878) (30), TA = 52°C: 5'>3'-TTC AAA TGA GAT TGT GGG AAA AT; 3'>5'-TTC TAT GAG TCC GTC TCT ACT AGA; and GAPDH (human 155–759) (31), TA = 60°C: 5'>3'-GAA GGC CAT GCC AGT GAG CTT CC; 3'>5'-CCA TCA ACG ACC CCT TCA TTG ACC.

The number of amplification cycles (25 for GAPDH; 30 for human and murine Cox-2) was necessary to achieve exponential amplification in which product formation is proportional to starting cDNA. Products were run on 1.5% agarose gels and visualized by ethidium bromide staining.

Nuclear protein extracts

Preparation of crude nuclear extracts was basically as described (32). Briefly, following cell activation for the times indicated, 4 x 106 RAW 264.7 macrophages were washed in 1 ml of ice-cold PBS, centrifuged at 1,000 x g for 5 min, resuspended in 400 µl ice-cold hypotonic buffer (10 mM HEPES/KOH, 2 mM MgCl2, 0.1 mM EDTA, 10 mM KCl, 1 mM DTT, 0.5 mM PMSF, pH 7.9), left on ice for 10 min, vortex mixed, and centrifuged at 15,000 x g for 30 s. Pelleted nuclei were gently resuspended in 50 µl ice-cold saline buffer (50 mM HEPES/KOH, 50 mM KCl, 300 mM NaCl, 0.1 mM EDTA, 10% glycerol, 1 mM DTT, 0.5 mM PMSF, pH 7.9), left on ice for 20 min, vortex mixed, and centrifuged at 15,000 x g for 5 min at 4°C. Aliquots of the supernatant that contain nuclear proteins were frozen in liquid nitrogen and stored at -70°C. Protein was determined using a Bio-Rad II Kit (Richmond, CA).

Fluorogenic caspase-3-like activity determination

Cells (2 x 106) were incubated as indicated, recovered from cultured plates, and centrifuged (1,200 x g, 4°C, 5 min). Cell pellets were resuspended in lysis buffer (100 mM HEPES, pH 7.5, 10% sucrose, 0.1% 3-[(3-cholamidopropyl)dimethylammonio]-1-propanesulfonate (CHAPS), 1 mM PMSF, 10 µg/ml pepstatin, 10 µg/ml leupeptin, and 1 mM EDTA) and left on ice for 30 min. Following sonification (Branson sonifier, 10 s, duty cycle 100%, output control 1) and centrifugation (10,000 x g, 10 min, 4°C), protein was determined with the DC Protein Assay. Cell supernatants (30 µg protein) were incubated in 100 mM HEPES, pH 7.5, 10% sucrose, 0.1% CHAPS, 1 mM EDTA, 1 mM PMSF, and 10 µg/ml leupeptin at 30°C with 12 µM of the caspase-3-like substrate Ac-DEVD-AMC. Substrate cleavage and accumulation of AMC were followed fluorometrically with excitation at 360 nm and emission at 460 nm during a 120-min incubation period. Substrate cleavage during the linear phase of the reaction was quantitated by internal AMC standards. Enzyme activity was expressed as nM AMC per minute per milligram protein (nM/min x mg).

Electrophoretic mobility shift assays

An established EMSA method, with slight modifications, was used (33). Nuclear protein (5 µg) was incubated for 20 min at room temperature with 20 µg BSA, 2 µg poly(dI-dC) from Pharmacia (Piscataway, NJ), 2 µl buffer D (20 mM HEPES/KOH, 20% glycerol, 100 mM KCl, 0.5 mM EDTA, 0.25% Nonidet P-40, 2 mM DTT, 0.5 mM PMSF, pH 7.9), 4 µl buffer F (20% Ficoll-400, 100 mM HEPES/KOH, 300 mM KCl, 10 mM DTT, 0.5 mM PMSF, pH 7.9), and 20,000 cpm of a 32P-labeled oligonucleotide in a final volume of 20 µl. Supershift Abs (2 µg) were added as indicated. DNA-protein complexes were resolved at 180 V for 4 h in a taurine-buffered, native 6% polyacrylamide gel (4% for supershifts), dried, and visualized (autoradiography using a Fuji x-ray film). Oligonucleotide probes were labeled by a filling reaction using the Klenow fragment (Boehringer Mannheim, Mannheim, Germany). Oligonucleotide (1 pmol) was labeled with 50 µCi of [{alpha}-32P]dCTP (3000 Ci/mmol; Amersham, Braunschweig, Germany), cold nucleotides (dATP, dTTP, dGTP from Life Technologies, Eggenstein, Germany), purified on a CHROMA SPIN-10 column (Clontech, Heidelberg, Germany), and stored at -20°C until use. The following oligonucleotide sequences were used: the NF-{kappa}B site from the mouse Cox-2 promoter (34), 5'-GAG GTG AGG GGA TTC CCT TAG-3' and 3'-AC TCC CCT AAG GGA ATC AATC-5', and a mutated NF-{kappa}B-site, 5'-GAG GTG AGG GCC TTC CCT TAG-3' and 3'-AC TCC CGG AAG GGA ATC AATC-5'; the AP-1 site from the human collagenase gene (35), 5'-AGC TAA AGC ATG AGT CAG ACA GCC T-3' and 3'-TT TCG TAC TCA GTC TGT CGG ATC GA-5' (the oligonucleotide was kindly provided by Dr. P. Angel, Deutsches Krebsforschungszentrum, Heidelberg, Germany); and the specific p53 binding site (36), 5'-GGG CAT GTC CGG GCA TGT-3' and 3'-GTA CAG GCC CGT ACA GG-5'.

Immunoblot analysis

Cell lysis was achieved with lysis buffer (50 mM Tris, 5 mM EDTA, 150 mM NaCl, 0.5% Nonidet P-40, 1 mM PMSF, pH 8) and sonication (Branson sonifier; 20 s, duty cycle 100%, output control 60%). Following centrifugation (14,000 x g, 5 min), protein was determined. Proteins (100 µg) were resolved on 10% polyacrylamide gels and blotted onto nitrocellulose. Equal loading was confirmed by Ponceau S staining. Filters were incubated overnight at 4°C with the Cox-2 Ab (1:250; Dianova, Hamburg, Germany), the p53 antiserum (hybridoma supernatant, clone PAb122, 1:5; kindly provided by Dr. H. Stahl, Homburg/Saar, Germany), or the I{kappa}B-{alpha} Ab (1:500). Proteins were detected by a HRP-conjugated polyclonal Ab (1:10,000) using the ECL method (Amersham, Braunschweig, Germany).

Quantitative DNA fragmentation analysis

DNA fragmentation was measured with the diphenylamine assay, as reported elsewhere (37). Briefly, following incubations, cells were scraped off the culture plates; resuspended in 250 µl 10 mM Tris, 1 mM EDTA, pH 8 (TE buffer); and incubated with additional 250 µl lysis buffer (5 mM Tris, 20 mM EDTA, pH 8, 0.5% Triton X-100) for 30 min at 4°C. After lysis, intact chromatin (pellet) was separated from DNA fragments (supernatant) by centrifugation for 15 min at 13,000 x g. Pellets were resuspended in 500 µl TE buffer, and samples were precipitated overnight by adding 500 µl 10% TCA at 4°C. DNA was pelleted by centrifugation (4,000 x g, 10 min) and the supernatant was removed. After addition of 300 µl 5% TCA, samples were boiled for 15 min. DNA contents were quantitated using the diphenylamine reagent (38). The percentage of fragmented DNA was calculated as the ratio of the DNA content in the supernatant to the amount in the pellet.

Transient transfection of a dominant-negative c-jun mutant (TAM67)

To target transcription factor activation by transient transfection of upstream signaling components requires high transfection efficiency and/or selection of cells expressing the mutant protein. One day before transfection, cells were seeded at a density of 1 x 106 cells/ml into 10-cm non-cell culture plates. RAW 264.7 macrophages were transiently transfected with 15 µg of the expression vector (TAM67) that contains the sequence of a dominant-negative c-jun mutant (kindly provided by Dr. E. Gulbins, Tübingen, Germany) (39, 40). For positive selection of TAM67-positive cells, the vector pMACS4, designed to express a truncated human CD4 molecule, was cotransfected (ratio 1:10 compared with the TAM-67 expression vector). Transfection was achieved using a Pro Gentor II electroporator (Hoefer Scientific Instruments, San Francisco, CA). A total of 3 x 106 cells was resuspended in 400 µl complete medium, transferred to a cuvette, and pulsed (260 V, 1080 µF, 26 ms). Transfected cells were pooled and seeded in 10 ml complete medium into a 10-cm non-cell culture petri dish. Overnight (15-h) cultured cells were harvested and CD4-positive clones were enriched using a MiniMACS system (Miltenyi Biotech, Bergisch-Gladbach, Germany), according to the manufacturer’s instructions. Briefly, transfected cells were harvested and washed with PBS supplemented with 5 mM EDTA. A total of 1 x 107 cells was resuspended in 320 µl PBS, 0.5% BSA, 5 mM EDTA (PBE), and 80 µl MACSelect 4 Microbeads to achieve magnetic labeling of transfected cells. After 15 min on ice, the volume was adjusted to 2 ml with PBE. Cells were applied to a positive selection column (MS+), which was placed in the magnetic field of a Mini MACS separator. Unbound cells were washed out (2 ml PBE); the column was removed from the separator; and positive cells were collected, pooled, and seeded. In control examinations, 15 h has been determined as the most effective period for allowing the CD4 surface marker expression in RAW 264.7 macrophages.

Luciferase plasmid expression containing the NF-{kappa}B site of the mouse Cox-2 promoter

NF-{kappa}B reporter constructs, cloned into the pGL3-enhancer plasmid (Promega), contained four copies of the NF-{kappa}B element taken from the murine Cox-2 promoter (NF-{kappa}B-sense) or its mutated form (NF-{kappa}B-mut) (see EMSA). Corresponding sequences were verified by DNA sequencing. RAW 264.7 macrophages were transiently transfected using the DEAE-dextran method, as previously described (41). Cell selection was unnecessary because the synthesis of two macrophage-unrelated proteins was analyzed. Briefly, one day before transfection, cells were seeded in suspension at a density of 1 x 106 cells/ml. A total of 1 x 107 cells was harvested, washed twice with PBS, and incubated for 3 h at 37°C in 1 ml RPMI 1640 supplemented with 50 mM Tris-HCl (pH 7.3), 400 µg DEAE-dextran, 20 µg luciferase-reporter construct (NF-{kappa}B-sense or NF-{kappa}B-mut), and 5 µg CMV-ß-gal plasmid as an internal control. To discard the DNA/DEAE-dextran mixture, cells were washed twice with PBS and seeded at a density of 1 x 106 cells/ml and cultured for 24 h. Afterward, cells were stimulated for 12 h with 5 µM DMNQ. Cell extracts were assayed for luciferase and ß-gal activity. For calculations, luciferase activity was normalized for ß-gal by using the formula: luciferase activity/ß-gal activity.

Decoy approach

RAW 264.7 cells were exposed to a NF-{kappa}B or mutated NF-{kappa}B decoy oligonucleotides. One day before transfection, cells were seeded at a density of 1 x 106 cells/well into six-well plates. Decoy oligonucleotides (3 µM) were added 24 h before cell stimulation. After changing the medium, cell stimulation was performed as indicated. Decoy-oligonucleotide sequences were identical with those used for EMSA.

Statistical analysis

Each experiment was performed at least three times, and statistical analysis was performed using the two-tailed Student’s t test. Otherwise, representative data are shown.


    Results
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 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cox-2 and p53 accumulation are inversely related in RAW 264.7 macrophages

Incubation of macrophages with a high dose of the NO donor GSNO (1 mM) led to accumulation of the tumor suppressor p53 after 4 h and promoted 30–35% DNA fragmentation after 8 h. This is in corroboration with other studies and substantiates NO·-initiated apoptotic cell death (42, 43). Assuming a gene-regulatory potency of superoxide (O2-), we analyzed, in a first set of experiments, the influence of a nontoxic dose of the superoxide-generating agent DMNQ on subsequent NO·-mediated DNA fragmentation and p53 accumulation. GSNO was used as the NO donor because high doses were shown to generate high amounts of NO leading to apoptosis in macrophages (42). DMNQ was described to continuously generate O2- through redox cycling (44), thereby stimulating growth, triggering apoptosis, or causing necrosis depending on the dose and the duration of exposure.

Previous studies (5, 45) pointed to Cox-2 induction and subsequent cAMP-evoked gene activation as the underlying mechanisms to confer resistance against high dose NO-mediated toxicity. As a result of these examinations, we incubated RAW 264.7 macrophages with 5 µM DMNQ for 15 h. Prestimulation promoted Cox-2 expression (Fig. 1GoA, lane 2) and attenuated the p53 response following GSNO addition (Fig. 1GoA, lane 4 compared with lane 3). DNA fragmentation detected by the diphenylamine assay was significantly increased in response to GSNO, but preactivation with 5 µM DMNQ for 15 h reduced GSNO-elicited DNA fragmentation to control values (Fig. 1GoC, lanes 3 and 4). The impact of Cox-2 in promoting protection was assured by using the Cox-2-specific inhibitor NS398 (Fig. 1GoB). NS398 has been described to be a specific competitive inhibitor for Cox-2 (4). NS398 did not affect DMNQ-elicited Cox-2 expression, but restored the NO-evoked p53 response, thus pointing to an active Cox-2 in conveying cell protection. In analogy, inhibition of Cox-2 by NS398 restored DNA fragmentation in response to 1 mM GSNO (Fig. 1GoC, last three columns) despite DMNQ prestimulation. This is in line with our previous notion that enforced Cox-2 overexpression protected macrophages from apoptosis (5). Our results point to an inverse expression of Cox-2 and p53 that obviously is closely correlated to initiation of apoptosis or its inhibition. Superoxide-evoked protection encouraged us to identify molecular mechanisms leading to Cox-2 expression.



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FIGURE 1. A, Inverse expression of Cox-2 and p53 in RAW 264.7 macrophages. Western blot analysis of Cox-2 and p53 in RAW 264.7 macrophages. Cells were stimulated with 5 µM DMNQ for 15 h. Following the addition of 1 mM GSNO or vehicle, incubations went on for an additional 4-h period (total incubation period of 19 h). GSNO-mediated p53 accumulation (lane 3) was measured after 4 h. Details are described under Materials and Methods. The blot is representative of three similar experiments. B, NS398 restored p53 accumulation. Western blot analysis of Cox-2 and p53 in RAW 264.7 macrophages. Cells were stimulated with 10 µM NS398 or simultaneously with 5 µM DMNQ and 10 µM NS398 for 15 h. Following stimulation, 1 mM GSNO was added where indicated, and incubations went on for an additional 4-h period (total incubation period of 19 h). Details are described under Materials and Methods. The blot is representative of three similar experiments. C, DMNQ protected against NO-mediated apoptosis. DNA fragmentation was assessed by the diphenylamine method, as described under Materials and Methods. Cells were prestimulated with 5 µM DMNQ, 10 µM NS398, or a combination of both for 15 h. Following prestimulation, 1 mM GSNO was added for an additional 8-h incubation period, as indicated. Data are means ± SD of three individual experiments (*, p <= 0.005 vs GSNO-treated samples).

 
NF-{kappa}B activation by low dose DMNQ

With the notion that Cox-2 expression is regulated at least in part by NF-{kappa}B (14, 34), we analyzed NF-{kappa}B activation in response to the O2--generating compound DMNQ. Based on gel-shift analysis, we proved dose-dependent NF-{kappa}B activation by DMNQ (Fig. 2GoA). Activation was minor in response to 0.5 µM DMNQ, was stronger following the addition of 1 µM DMNQ, and was strongest with 5 µM of the O2- generator.



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FIGURE 2. A, Activation of NF-{kappa}B by DMNQ. Activation of NF-{kappa}B was analyzed by EMSA using a specific NF-{kappa}B oligonucleotide, derived from the mouse Cox-2 promoter, as described in Materials and Methods. Macrophages were stimulated with a combination of LPS (10 µg/ml) and IFN-{gamma} (100 U/ml), or DMNQ at the indicated concentrations for 4 h, or remained unstimulated. B, NF-{kappa}B supershift analysis. Supershift analysis of the active NF-{kappa}B complex was performed as described in Materials and Methods. Macrophages were stimulated with 5 µM DMNQ for 4 h. For supershift analysis, a p50 Ab or a p65 Ab was included. Gel-shift analysis without Ab addition is used as a control (lane 1). Data are representative of three similar experiments. C, I{kappa}B-{alpha} degradation following macrophage activation. I{kappa}B-{alpha} Western blot analysis in RAW 264.7 macrophages following stimulation with 5 µM DMNQ for times indicated. Controls were analyzed after 4 h. Details are described under Materials and Methods. The blot is representative of three similar experiments. D, NF-{kappa}B-driven luciferase activity. RAW 264.7 macrophages were cotransfected with NF-{kappa}B-luciferase plasmid constructs and with a plasmid encoding ß-gal. Luciferase and ß-gal expression were analyzed, after both activities were normalized, as described under Materials and Methods. Cells were stimulated with 5 µM DMNQ with or without the addition of NF-{kappa}B decoy oligonucleotides or vehicle (control). Data are means ± SD of three individual experiments. E, NF-{kappa}B decoy oligonucleotides abrogated DMNQ-induced Cox-2 expression. Western blot analysis of Cox-2 in RAW 264.7 macrophages. Cells were prestimulated with 5 µM DMNQ for 15 h in the presence or absence of NF-{kappa}B decoy oligonucleotides (3 µM). Details are described under Materials and Methods. The blot is representative of three similar experiments.

 
Active NF-{kappa}B was absent in unstimulated cells, but was noticed following the addition of LPS/IFN-{gamma}, well-established NF-{kappa}B-activating agents (Fig. 2GoA, second lane). The response to 5 µM DMNQ and LPS/IFN-{gamma} was comparable. Higher concentrations of DMNQ have not been analyzed because of their proapoptotic and/or necrotic behavior (data not shown). Gel-shift examinations with an oligonucleotide that contained a mutated NF-{kappa}B sequence (replacement of two bases) demonstrated no shift and therefore referred to the specificity of the NF-{kappa}B/oligonucleotide binding (data not shown).

The identity of the NF-{kappa}B complex was further analyzed by supershift experiments. Addition of either an anti-p50 or an anti-p65 Ab shifted the existing NF-{kappa}B complex to a higher m.w. or diminished binding completely (Fig. 2GoB), which is in accordance with previous studies (46). Therefore, it can be concluded that NF-{kappa}B consists of the p50 and p65 (Rel A) subunits. This complex has been shown to include a DNA binding domain (p50) as well as transactivation domain (p65), therefore enhancing or promoting gene induction.

In additional experiments, we paid attention to the time course of NF-{kappa}B activation by following the degradation/disappearance of the NF-{kappa}B-specific inhibitor I{kappa}B-{alpha} (Fig. 2GoC). Western blot analysis revealed a time-dependent decrease of I{kappa}B-{alpha} expression, leading to almost complete disappearance of the inhibitor after a 4-h treatment with 5 µM DMNQ. These results substantiate O2--mediated NF-{kappa}B activation.

NF-{kappa}B activation and subsequent gene transcription were verified in a transactivation assay following transient transfection of a luciferase reporter assay (Fig. 2GoD). A luciferase reporter construct containing four copies of the NF-{kappa}B site derived from the murine Cox-2 promoter revealed a 3-fold induction of luciferase activity in response to 5 µM DMNQ. Corresponding plasmids that contained a mutated NF-{kappa}B site showed no luciferase transactivation. Luciferase activity that indicated NF-{kappa}B activation in response to DMNQ was attenuated by the addition of NF-{kappa}B decoy oligonucleotides. Decoy oligonucleotides, by competing with promoter regions in target genes for the activated transcription factor, revealed effective suppression of NF-{kappa}B-mediated gene activation. This was verified by abrogating DMNQ-induced Cox-2 expression following NF-{kappa}B decoy-oligonucleotide addition (Fig. 2GoE).

Our studies substantiate superoxide-mediated NF-{kappa}B activation leading to an enhanced expression of Cox-2, a NF-{kappa}B-responsive gene.

AP-1 activation by low dose DMNQ

In another set of experiments, we wished to study activation of the redox active transcription factor AP-1, which is composed of c-Jun homodimers or c-Jun/c-Fos heterodimers. Initial examinations considered two MAPK-specific inhibitors such as PD98059 (MEK-specific kinase inhibitor) and SB203580 (p38-kinase inhibitor) on DMNQ-elicited Cox-2 expression (Fig. 3GoA). Western blot analysis revealed a dramatically decreased DMNQ-stimulated Cox-2 expression in the presence of PD98059 (20 µM). SB203580 (5 µM) showed a less potent, albeit significant inhibition (70 ± 8% SD vs control). PD98059 and SB203580 could not be used at higher concentration because of toxic side effects, as judged by trypan blue uptake. The used inhibitors completely abrogated ERK-specific kinase and p38-kinase activity (data not shown).



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FIGURE 3. A, MAP kinase inhibitors attenuated Cox-2 induction. Western blot analysis of Cox-2 in RAW 264.7 macrophages. Cells were stimulated with 5 µM DMNQ in the presence or absence of 20 µM PD98059 or 5 µM SB203580 for 15 h. Details are described under Materials and Methods. The blot is representative of three similar experiments. B, c-Jun induction by DMNQ. Western blot analysis of c-Jun in RAW 264.7 macrophages. Cells were stimulated with 5 µM DMNQ for the times indicated or remained unstimulated (C, 4 h). Details are described under Materials and Methods. The blot is representative of three similar experiments. C, DMNQ-mediated activation of AP-1. Activation of AP-1 was analyzed by EMSA using a specific oligonucleotide, derived from the human collagenase gene promoter, as described in Materials and Methods. Macrophages were stimulated with increasing DMNQ concentrations for 4 h or remained unstimulated. The blot is representative of three similar experiments. D, MAP kinase inhibitors attenuated AP-1 induction. Activation of AP-1 was analyzed as described in C. Macrophages were stimulated with 5 µM DMNQ in the presence or absence of 20 µM PD98059 or 5 µM SB203580 for 4 h. Details are described under Materials and Methods. The EMSA is representative of three similar experiments. E, Transfection of TAM67 abrogated Cox-2 expression and restored p53 accumulation. Western blot analysis of Cox-2 in RAW 264.7 macrophages (upper panel) and EMSA for p53 (lower panel). Transient TAM67-transfected cells or controls were prestimulated with 5 µM DMNQ or vehicle for 15 h. Following prestimulation, 1 mM GSNO was added for an additional 4-h incubation period (total incubation period of 19 h). GSNO-mediated p53-binding activity (lane 3) was measured after 4 h. Details are described under Materials and Methods. The Western blot and the EMSA are representative of three similar experiments.

 
Cox-2 expression vanished completely when both MAPK inhibitors were combined (Fig. 3GoA, lane 5). These results encouraged us to explore expression of c-Jun, which resembles one component of AP-1, in response to low level of the O2--generator DMNQ (Fig. 3GoB). Western blot analysis showed up-regulation of c-Jun in response to DMNQ. Expression was low at 1 h, increased after 2 h, and revealed highest expression after a 4-h incubation period. Additional experiments such as electrophoretic mobility shift analysis were undertaken to demonstrate a transcriptionally active AP-1 in response to DMNQ (Fig. 3GoC). Activation was low in response to 0.5 µM DMNQ, became stronger after the addition of 1 µM DMNQ, and showed maximal activation after a 5 µM challenge. With respect to the time dependency, AP-1 activation in response to 5 µM DMNQ peaked at 4 h, with a lower gel-shift response at 2 and 6 h, respectively (data not shown).

To correlate AP-1 activation to the inhibitory action of MAPK inhibitors on Cox-2 expression, we sought to explore the potency of PD98059 and SB203580 in AP-1 gel shifts (Fig. 3GoD). Addition of PD98059 completely attenuated AP-1 activation in response to DMNQ. SB203580 showed a minor, but still significant inhibitory action, while the combination of both MAPK inhibitors was again fully preventive. Our data indicate that DMNQ promotes AP-1 activation in RAW 264.7 macrophages. AP-1 activation and Cox-2 expression are partially blocked by SB203580 and completely attenuated by PD98059, thus suggesting the involvement of at least two MAPK-signaling pathways.

To verify these results and to link AP-1 activation to Cox-2 expression, we transiently transfected RAW 264.7 macrophages with a dominant-negative c-jun mutant (TAM67) (Fig. 3GoE). Transfection with TAM67 abrogated DMNQ-induced Cox-2 expression (Fig. 3GoE, upper panel, lane 4 compared with 2) and restored a functional p53 response following the addition of GSNO (Fig. 3GoE, lower panel, lane 6 compared with 5). To examine the DNA-binding capacity of p53, its accumulation was determined using the EMSA. There were no differences in the amount of accumulated p53 detected by Western blot analysis (data not shown) compared with the response noticed in the DNA-binding assay (EMSA) (Fig. 3GoE, lower panel). Control transfections with an empty vector were without any influence on Cox-2 or p53 levels (data not shown). These results underscore the involvement of AP-1 in superoxide-mediated Cox-2 expression and protection from apoptosis and further point to the inverse relation of Cox-2 and p53.

NF-{kappa}B and AP-1 in protection from apoptosis

In a final set of experiments, we examined the contribution of DMNQ-evoked NF-{kappa}B and AP-1 activation in protection from GSNO-mediated apoptosis (Fig. 4Go). Therefore, NF-{kappa}B-elicited gene activation was antagonized by decoy oligonucleotides, whereas AP-1 activation was attenuated in TAM67-transfected cells. Apoptosis was assessed by the diphenylamine assay. For control reasons, a mutated decoy oligonucleotide was used, and TAM67-unrelated transfections (control transfections) were conducted in parallel.



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FIGURE 4. NF-{kappa}B decoy oligonucleotides and TAM67-attenuated inducible protection in RAW 264.7 macrophages. DNA fragmentation was assessed as described under Materials and Methods. Cells were prestimulated with 5 µM DMNQ in the absence or presence of NF-{kappa}B decoy and mutated oligonucleotides (3 µM) or following transient transfection of TAM67 for 15 h, as indicated. Following prestimulation, 1 mM GSNO was added for an additional 8-h incubation period to assay DNA fragmentation by the diphenylamine method. Data are means ± SD of three individual experiments (*, p <= 0.005 vs inhibited controls).

 
Protection from GSNO (1 mM)-elicited apoptosis resulted from preincubation with DMNQ, which was unaffected by the mutated NF-{kappa}B decoy-oligonucleotide approach. However, eliminating NF-{kappa}B by the use of specific decoy oligonucleotides abrogated DMNQ-evoked protection. Also, protection from apoptosis was eliminated in TAM67-transfected cells, whereas protective principles remained intact when control transfections were performed.

Conclusively, our data imply that low level superoxide confers protection from apoptosis via AP-1 and NF-{kappa}B activation, thus leading to Cox-2 induction.

Cox-2 expression in primary human macrophages attenuated NO-mediated apoptosis

To verify our results obtained with the murine macrophage-like cell line RAW264.7 in primary macrophages, we isolated human monocytes, followed by their differentiation to macrophages. In a first set of experiments, we explored expression of Cox-2 in response to DMNQ (5 µM). Semiquantitative PCR showed low expression at 1 h, increased levels after 2 h, and revealed highest mRNA amounts after a 4- or 6-h incubation period (Fig. 5GoA). Relative appearance of Cox-2 fragments was verified in proportion to the occurrence of GAPDH PCR fragments (data not shown). As a positive control known to affect Cox-2 transcription, we analyzed LPS-evoked Cox-2 mRNA accumulation during a 2- to 6-h incubation period.



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FIGURE 5. A, Cox-2 induction by DMNQ in human macrophages. LPS (10 µg/ml) and DMNQ (5 µM) were assayed for Cox-2 mRNA induction. Primary macrophages generated from peripheral human blood monocytes were harvested at individual times as indicated, and Cox-2 mRNA was determined by semiquantitative RT-PCR. For details, see Materials and Methods. Experiments are representative for three determinations. B, DMNQ protected against NO-mediated apoptosis in human macrophages. Caspase-3-like cleavage of Ac-DEVD-AMC was detected as described under Materials and Methods. Cells were prestimulated with 5 µM DMNQ alone or in combination with 10 µM NS398 for 15 h. Following prestimulation, 1 mM GSNO was added for an additional 4-h incubation period, as indicated. Data are means ± SD of three individual experiments (*, p <= 0.01 vs DMNQ-treated samples; **, p <= 0.05 vs DMNQ/GSNO-treated samples).

 
Exposure of human macrophages to GSNO resulted in caspase activation, which is indicative for apoptosis (Fig. 5GoB). Prestimulation of human macrophages for 15 h with the O2--generating compound DMNQ (5 µM) blocked NO-initiated caspase activation (Fig. 5GoB), while the further addition of the Cox-2-specific inhibitor NS398 completely restored caspase activation. We conclude that preactivation of murine or human macrophages for an extended time with DMNQ attenuated NO-induced apoptosis by a pathway demanding an active Cox-2 enzyme.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In the present study, we provide experimental evidence for the induction of macrophage tolerance toward initiation of apoptosis by preactivating murine and human cells with a subtoxic dose of the superoxide-generating agent DMNQ. Macrophage unresponsiveness is controlled by activation of the redox-sensitive transcription factors NF-{kappa}B and AP-1, which both contribute to induction of Cox-2. The active enzyme has been shown to convey resistance to apoptosis in different cell types (5, 47, 48). This is achieved by the production of prostaglandins (PGE2) that led to an increase of intracellular cAMP, which in turn promoted cAMP-evoked gene induction. We further provide evidence for an inverse expression of Cox-2 and p53, which reflect protection from cell death and apoptosis-related pathways, respectively. Our data support the notion that ROS are efficient regulators of gene activation, clearly allowing to dissect this signaling component from oxygen radical-mediated toxicity.

The generation of ROS is an established response during inflammation or infection and is implicated, among others, in TNF- or platelet-derived growth factor-evoked signal transmission (49, 50, 51). Oxygen- or nitrogen-based radicals are produced in part by specialized cells such as macrophages and neutrophils with the implication of immunological host defense (52, 53, 54). A delicate balance between formation and detoxification of radicals exists and is regarded an important determinant of cell survival and cell death. Protection of cells involved in immunological host defense such as macrophages against naturally occurring apoptotic cell death must be considered to have a major impact on immunoregulation.

Activation of NF-{kappa}B and AP-1 by ROS and reactive nitrogen species is established and, especially in the case of TNF-{alpha}-mediated apoptosis activation of NF-{kappa}B, seems to convey protection, i.e., prevention of apoptosis (19). In response to DMNQ, we established activation of a functional p50/p65 heterodimer by supershift analysis, observed I{kappa}B-{alpha} degradation, substantiated NF-{kappa}B activation in a luciferase transactivation assay, and provided evidence that inducible protection as well as Cox-2 expression were sensitive to NF-{kappa}B decoy oligonucleotides. This is in line with the work of Wang et al. (55) and Quillet-Mary et al. (56), who noticed NF-{kappa}B activation in response to H2O2-elicited oxidative stress. Although we have been working with a O2--generating compound, we cannot exclude the possibility that disproportionation of O2- by superoxide dismutase with the resulting formation of hydrogen peroxide actually causes NF-{kappa}B activation. Decoy-oligonucleotide approaches were used to scavenge active transcription factors, thereby blocking their binding to the promoter regions in target genes (57, 58, 59). Our results are in line with the report of Schmedtje et al. (60), who eliminated hypoxia-induced Cox-2 expression by NF-{kappa}B p65 decoy oligonucleotides in human endothelial cells.

In addition to NF-{kappa}B, we noticed activation of AP-1 in response to DMNQ. Activation of AP-1 by ROS has been described by Zwacka and coworkers (13), who reduced ischemia/reperfusion-based redox activation of AP-1 by adenoviral-enforced overexpression of mitochondrial superoxide dismutase. Moreover, Manna et al. (61) showed that manganese superoxide dismutase overexpression attenuated TNF-induced AP-1 activation by quenching reactive oxygen intermediates. Several potential oxygen radical-generating sources such as NAD(P)H oxidases, cyclooxygenases, the mitochondrial respiratory chain, or xanthine oxidase are known that may initiate radical signal transmission (1, 4, 62, 63). One possible mechanism for Cox-2 in attenuating NO-induced apoptosis may stem from its peroxidase function that generates peroxyl radicals (1, 62). These radicals may directly scavenge NO·, thereby eliminating potential damaging species. However, based on observations that Cox-derived prostanoids that provoke an intracellular cAMP increase reproduce protection make the radical interaction theory less favorable.

Activation of NF-{kappa}B and AP-1 is inevitably related to macrophage protection. Attenuating NF-{kappa}B or AP-1 activation by decoy oligonucleotides or transfection of a dominant-negative c-jun mutant resulted in a parallel block of inducible protection and Cox-2 expression. Our results substantiate the obligatory role of NF-{kappa}B in promoting Cox-2 expression, which is fully compatible with the observation of a NF-{kappa}B binding site in the promoter region of the murine Cox-2 enzyme (34). Binding of AP-1 to the murine Cox-2 promoter is rationalized and most probably achieved via a CRE site because AP-1-enforced Cox-2 expression through this promoter site has been noticed (28). This is verified when we showed a time- and concentration-dependent AP-1 activation by DMNQ that was blocked by the ERK-specific kinase inhibitor PD98059 and in part by the p38-kinase inhibitor SB203580. Both inhibitors were described to be selective at the concentrations used (64, 65). Our results are in line with the report of Hwang and coworkers, in which LPS-induced Cox-2 expression was inhibited by the two MAPK kinase inhibitors PD98059 and SB203580 (14).

The potential antiapoptotic role of Cox-2 is in analogy to examinations in which Cox-2 blocked butyrate-mediated apoptosis (47). Further proof for a survival-promoting function of Cox-2 came from genetic studies that point to the early involvement of the protein in the progression leading to colon cancer or from correlative investigations showing a high incidence of Cox-2 expression in human tumors (4). For macrophages, it seems conceivable to assume PGE2 formation as a result of Cox-2 expression that, in a self-regulatory feedback loop, will enhance intracellular cAMP formation. Interestingly, intervention in the macrophage cyclic nucleotide system, i.e., supplementation of lipophilic cAMP analogues (59) or the addition of PGE2 will attenuate apoptosis (66). In some analogy, preactivation of macrophages with LPS/IFN-{gamma}/NG-monomethyl-L-arginine (NAE) promoted protection from NO·-elicited apoptosis, which was Cox-2 mediated (5). Attenuating macrophage apoptosis reminds of the unique property of endotoxin to achieve low responsiveness, a phenomenon known as endotoxin tolerance (67, 68, 69). Control of endotoxin responsiveness may limit proinflammatory macrophage responses. Low level ROS formation may be used as an indicator for oxidative stress and may signal gene expression and thus protective protein synthesis. This rescue system allows macrophages to evade apoptosis. We show that NF-{kappa}B and AP-1 activation promotes Cox-2 expression and protects RAW 264.7 macrophages against NO-induced apoptosis. Protection is reversed by AP-1 or NF-{kappa}B inhibition, thus restoring a functional p53 response, which is indicative for NO-mediated apoptosis. Murine and human macrophages may use ROS as an autocrine-regulatory pathway to maintain cell viability, a process that contributes and fulfills a fundamental role during immunologic homeostasis.


    Acknowledgments
 
We thank Sabine Häckel for expert technical assistance.


    Footnotes
 
1 This work was supported by the Deutsche Forschungsgemeinschaft and the Deutsche Krebshilfe. Back

2 Address correspondence and reprint requests to Dr. Bernhard Brüne, Faculty of Medicine, University of Erlangen-Nürnberg, Loschgestrasse 8, 91054 Erlangen, Germany. E-mail address: Back

3 Abbreviations used in this paper: Cox-2, cyclooxygenase-2; Ac-DEVD-AMC, N-acetyl-Asp-Glu-Val-Asp-7-amino-4-methylcoumarin; DMNQ, 2,3-dimethoxy-1,4-naphtoquinone; ERK, extracellular signal-regulated kinase; GSNO, S-nitrosoglutathione; MAPK, mitogen-activated protein kinases; ROS, reactive oxygen species; ß-gal, ß-galactosidase; I{kappa}B, inhibitory protein that dissociates from NF-{kappa}B. Back

Received for publication November 2, 1998. Accepted for publication June 11, 1999.


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