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The Journal of Immunology, 2000, 164: 2479-2486.
Copyright © 2000 by The American Association of Immunologists

Specific Inhibition of Glucocorticoid-Induced Thymocyte Apoptosis by Substance P1

Rachel Dimri, Yedida Sharabi and Jacob Shoham2

Faculty of Life Sciences, The Gonda-Goldschmied Center, Bar-Ilan University, Ramat-Gan, Israel


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Glucocorticoids (GC) are strong inducers of thymocyte apoptosis. In the present study we looked into the possibility that the neuropeptide substance P (SP) might serve as an antagonist to GC-induced apoptosis. Indeed, SP inhibited hydrocortisone (HC)-induced apoptosis of CD4+CD8+ thymocytes in mice, both in vivo and in vitro. It also inhibited HC-induced apoptosis in the T cell hybridoma line 2B4.11, which is sensitive to GC. The inhibitory effect was complete if SP was given with HC or within 1 h after it; partial inhibitory effect could be seen at 2 h and no effect at 3 h. The presence of the SP antagonist nullified SP effect. The effect was specific to both components of the system (i.e., HC as apoptosis inducer and SP as its inhibitor), as judged from comparison to three other apoptosis-inducing means (irradiation, thymic epithelial cells, or retinoic acid), and to two other neuropeptides (somatostatin and vasoactive intestinal peptide). SP/HC antagonism was further demonstrated in two relevant molecular events: 1) HC augmented GC receptor production in our cell system and this was inhibited by SP; and 2) HC reduced the expression of the transcription factor NF-{kappa}B, SP increased it and when both were present, SP effect dominated. On the other hand, the level of I{kappa}B (NF-{kappa}B inhibitory molecule) was decreased by SP, preserved at a relatively high level with HC, and when both SP and HC were present, SP effect dominated. The intensity of SP effect, both in vivo and in vitro, its specificity, its inhibition by SP antagonist, as well as the previously documented presence of SP and its receptor in the thymus suggest that SP might be a physiological antagonist of the potent thymocyte apoptosis induced by GC.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Apoptosis is a dominant massive process in the thymus (1). It takes place either during T lymphocyte differentiation and acquisition of properly selected TCR, or as an important manifestation of stress conditions that induce thymus atrophy (2, 3). In both cases, the cells that are in a physiological state liable to undergo apoptosis in the thymus are the CD4+CD8+ double positive (DP)3 thymocytes (4). Apoptosis induction and execution in T cells is a complex process that has only recently started to be clarified (5). There is ample evidence that steroids are involved in stress-induced thymus atrophy and thymocyte apoptosis (6, 7). In addition, steroids, in interplay with the TCR trigger, may be involved in T cell differentiation-related life/death decisions in the thymus (8), decisions that are also being shaped by direct contact with thymic epithelial cells (TEC) (9). At any rate, regulation of steroid activity as potent inducers of thymocyte apoptosis conceivably necessitates equally effective antagonists. One such antagonistic mechanism occurs during T cell differentiation as a result of Ag stimulation via TCR (10, 11). On the other hand, antagonists to stress-induced steroid-mediated apoptosis were not described hitherto, in spite of theoretical expectation for their existence. We looked for such antagonists among neuropeptides, focusing primarily on substance P (SP) (12, 13, 14) for several reasons: 1) stress starts as a psychoneurological phenomenon that subsequently extends via neural and endocrine routes to other body systems, including the immune system, causing changes in their function (15); 2) peptidergic nerve fibers were described in lymphoid organs, including the thymus (16); 3) capsaicin (C-fiber-specific neurotoxin) treatment at birth significantly lowered thymic weight in rats (17); 4) SP containing nerve endings were found in close proximity to thymocytes (18) and SP binding sites were found in thymocytes (19, 20); and 5) SP and steroids have opposite effects on inflammation, SP being proinflammatory (21, 22, 23, 24), whereas steroids are well known for their potent anti-inflammatory activity (25, 26). Therefore, from these data we hypothesized that SP may act as an antagonist to steroid-induced apoptosis in the thymus. The present study was undertaken to experimentally test this hypothesis.


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

BALB/c male mice, 4–6 wk old, were bred locally or purchased from Tel-Aviv University Animal Research Center (Tel-Aviv, Israel) and were kept under specific pathogen-free conditions. All experimental procedures in animals were conducted according to accepted regulations of animal experimentation under the supervision of our Institutional Animal Care and Use Committee.

Reagents

FCS, penicillin, streptomycin, amphoterycin, L-glutamine, sodium pyruvate, and nonessential amino acids were purchased from Biological Industries (Beth Haemek, Israel). BSA, acrylamide, poly L-lysine, hydrocortisone (HC), propidium iodide (PI), SP, somtostatin, vasoactive intestinal peptide, and [D-Pro2, D-Trp7,9]-SP, [D-Arg1, D-Trp7,9, Leu11]-SP (two SP antagonists (SPA)) were purchased from Sigma (St. Louis, MO).

Antibodies

Fluorescinated anti-mouse CD8 mAb and PE-conjugated anti-mouse CD4 mAb were obtained from PharMingen (San Diego, CA); anti-glucocorticoid (GC) receptor (GR) mAb was from ABR-Affinity Bioreagents (Golden, CO); rabbit anti-SP was from Sigma; rabbit anti-NF-{kappa}B p65, and rabbit anti-I{kappa}B-{alpha} (C-21) were purchased from Santa Cruz Biotechnology (Santa Cruz, CA). FITC-conjugated F(ab')2 fragment of goat anti-rabbit or anti-mouse IgG (H+L), peroxidase-conjugated affinity-pure goat anti-rabbit, or anti-mouse IgG (H+L) were obtained from Jackson Immuno-Research (West Grove, PA). FITC-conjugated anti-leu-4 mAb (anti-human-CD3), from Becton Dickinson (Mountain View, CA), was used as an irrelevant Ab for flow cytometry.

Cells and cell cultures

Fresh thymocytes were dissociated from thymuses of BALB/c mice, washed in cold culture medium (RPMI 1640), and exposed to different treatments. The cell lines used in some of the experiments included a murine T cell hybridoma sensitive to HC (2B4.11), kindly provided by Dr. J. D. Ashwell (National Cancer Institute, National Institutes of Health, Bethesda, MD); and a transformed mouse TEC line (27), a kind gift from Dr. A. M. Kruisbeek (Cancer Institute, Amsterdam, The Netherlands). The cells were cultured in tissue culture dishes in RPMI medium for thymocytes and 2B4.11 cells or in DMEM for TEC cells, supplemented with 100 U/ml penicillin, 100 µg/ml streptomycin, 100 µg/ml amphoterycin, 2 mM L-glutamine, 1 mM sodium pyruvate, 1 mM nonessential amino acids, 5 x 10-2 mM 2-ME, and 10% inactivated FCS. The cultures were kept in a 37°C humidified incubator under an atmosphere of 6% CO2 in air.

Analysis of apoptotic death

Apoptosis was induced in thymocytes or 2B4.11 cells by HC (10-6 M), TEC (9), retinoic acid (10-6 M), or gamma irradiation (500 rad). SP (10-9 M) was added at time 0 or later. After 24 h, the cells were centrifuged at 200 x g, the pellet gently resuspended in 1 ml hypotonic fluorochrome solution (50 µg/ml PI, 0.01% sodium azide, 0.1% BSA, 1 mg/ml RNase, and 0.1% Triton X-100 in distilled water) and placed at 4°C in the dark. The stained nuclei were analyzed on a Becton Dickinson FACSCalibur flow cytometer. Apoptotic nuclei were distinguished by their hypodiploid DNA content, compared with the diploid content of normal nuclei.

Flow cytometric analysis of thymocyte subsets

A total of 1 x 106 thymocytes were taken from mice treated by SP and/or HC. Thymocytes were harvested and stained with FITC-conjugated CD4 mAb and PE-conjugated CD8 mAb. Nonspecific staining was assayed with irrelevant mAb (anti-leu-4). Stained cells were analyzed by flow cytometry.

Nucleus/cytoplasm fractionation

A total of 1 x 106 cells were spun in Eppendorf tube and resuspended in 400 µl of buffer A (10 mM HEPES, 10 mM KCl, 1 mM DTT, 1 mM PMSF, 1 mM benzamidine, 1 mM Na metabisulfite, 0.1 mM EDTA, 10 µg/ml leupeptin, 50 µg/ml aprotinin, and 1 µg/ml pepstatin). The cells were allowed to swell on ice for 15 min, and then 25 µl Nonidet P-40 (10%) was added. The tube was vortex mixed (10 s) and centrifuged (30 s). Supernatant (cytoplasmic fraction) was collected, and the pellet (nuclear fraction) was resuspended gently in 50 µl ice cold buffer C (same as buffer A with the exception of 0.4 M NaCl instead of 10 mM KCl and 500 µg instead of 50 µg aprotinin). The tube was rocked at 4°C for 15 min and spun in the cold for 10 min.

Immunostaining

For detection of SP in the thymus, cryosections of mouse thymus were fixed with methanol/acetone (1:1), incubated with rabbit anti-SP Abs, and then with FITC-labeled goat anti-rabbit IgG Abs. Detection of SP receptor on isolated washed thymocytes was accomplished by first incubating methanol/acetone fixed cells with SP, then proceeding as for SP detection. Staining for GR or NF-{kappa}B was done on thymocytes or 2B4.11 cells, which were adhered on poly L-lysine-coated slides, fixed with methanol/acetone (1:1), treated with 0.01% Triton X-100, and then incubated with the respective first and second Abs (see "Antibodies"). After incubation, the slides were washed, mounted, and examined under a fluorescence microscope or confocal microscope (MRC 1024; Bio-Rad, Richmond, CA) (28).

Immunoblotting

Cells were washed in PBS and lysed in lysis buffer (25 mM Tris base (pH 7.4), 50 mM NaCl, 0.5% Na-deoxycholate, 2% Nonidet P-40, 0.2% SDS, and 1 mM PMSF). The proteins were separated on 10% SDS-PAGE and transferred to nitrocellulose membranes. Membranes were blocked with milk and probed for 1 h with the first Ab, washed in PBS, and detected using a peroxidase-conjugated second Ab and its chemiluminescent substrate (Pierce, Rockford, IL) (9).

Statistical analysis

Each experiment was repeated three to five times. The pooled data were statistically analyzed by the Student’s t test.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
SP inhibits HC-induced apoptosis in vivo

We first addressed the question: could SP affect stress-induced deletion of thymocytes? To this end we selected HC as the main mediator of stress-induced thymus depletion. HC either alone or with SP was injected into adult mice (i.p). After 72 h thymocytes were counted and thymocyte subsets were determined by flow cytometry. As expected, HC induced a marked reduction in observed thymus size, which was accompanied by a 78% reduction in the number of thymocytes (Fig. 1GoA). This reduction was completely prevented by injecting SP together with HC. Flow cytometric analysis demonstrated (Fig. 1GoB) that the loss of cells by HC was mainly in the DP thymocyte subpopulation (90% reduction, as calculated from the percentage of DP cells (Fig. 1GoB) and total thymocyte counts (Fig. 1GoA)). SP completely abolished HC effect; it prevented the loss of thymocytes by rescuing the DP thymocytes from HC-induced death and not by increasing other thymocyte subpopulations (Fig. 1GoB). Addition of SPA ([D-Arg1, D-Trp7,9, Leu1] SP or [D-Pro2, D-Trp7,9] SP) blocked the effect of SP on thymocyte number (Fig. 1GoA) and subsets (Fig. 1GoB), suggesting that SP effect is a receptor-mediated effect. Injection of SP or SPA alone did not change either the total number of viable thymocytes nor the proportion of different thymocyte subsets.



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FIGURE 1. The inhibitory effect of SP on HC-induced thymocyte death in vivo, as determined by total thymocyte numbers (A) or thymocyte subpopulation distribution (B). Mice were treated by i.p. injection of medium (MED, control), HC (4 mg/mouse), and/or SP (2.6 ng/mouse) and/or SPA (300 ng/mouse). Mice were then sacrificed at 72 h and thymuses were dissociated to single cells for thymocyte counting and staining (total thymocytes in A). The percentage of DP thymocytes was determined by flow cytometry after staining with FITC conjugated anti-CD4 and PE-conjugated anti-CD8 mAb (B), and the number of DP cells per thymus calculated from the total (Total x %DP/100) (A). SP or SPA alone did not have any effect. Statistical analysis (Student’s t test) comparing HC + SP vs HC or HC + SP + SPA vs HC + SP - total thymocytes: *, p < 0.05; DP thymocytes: **, p < 0.005.

 
SP inhibits HC-induced apoptosis in vitro

The in vivo experiments left a basic question unanswered: is SP effect a direct one on thymocytes, or indirect via induction of other in vivo regulatory loops. Indeed, we confirmed previous reports (18, 19, 20) on the presence of SP in the thymus and SP binding sites on thymocytes (data not shown), suggesting that SP effect should conceivably be a direct one. However, we looked for a more conclusive answer to this question in vitro. Freshly isolated thymocytes from untreated mice were incubated in culture with HC for 24 h in the presence or absence of SP and analyzed for apoptosis by flow cytometry after nuclear staining with PI. Indeed, 37% of the thymocytes died within 24 h in culture medium; HC increased this percentage to 84%, and when both SP and HC were present, the percentage of apoptotic cells was the same as in the control (Fig. 2Go). Furthermore, addition of SPA to the culture inhibited the SP effect. Both SPAs had similar activity in neutralizing SP effect. Therefore, in subsequent experiments we used only one of the antagonists ([D-Arg1, D-Trp7,9, Leu11] SP). SP or SPA alone had no effect on thymocyte viability (Fig. 2Go). Thus, SP has a direct, receptor-mediated, antagonistic effect in preventing HC-induced thymocyte apoptosis.



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FIGURE 2. Inhibition of HC-induced thymocyte apoptosis by SP, in vitro. Freshly isolated mouse thymocytes were incubated in medium (MED) alone or in medium containing HC (10-6 M) or/and SP (10-9 M), or/and SPA (10-7). After 24 h cells were stained with PI and analyzed by flow cytometry. The percentage of hypodiploid cells represents the percentage of apoptotic cells.

 
SP inhibitory effect is specific

The effect of SP on thymocyte apoptosis induced by different means was assayed. SP did not have any effect on thymocyte apoptosis induced by irradiation, by retinoic acid, or by TEC (Table IGo), suggesting that SP blocks a specific HC induction step of cell death programming and not a step in the common final pathway of thymocyte apoptosis. Furthermore, two other neuropeptides, somatostatin and vasoactive intestinal peptide, which are known to be produced and secreted in lymphoid organs, had no effect on HC-induced thymocyte apoptosis (Table IIGo). These results indicate that the effect demonstrated here is specific to both HC and SP.


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Table I. Effect of SP on thymocyte apoptosis induced by different treatments

 

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Table II. Effect of different neuropeptides on HC-induced thymocyte apoptosis

 
SP effect is an early cellular event

The time at which SP can be added to HC containing thymocyte culture and still have a neutralizing effect on HC may give a clue as to the mechanism of effect. For these and subsequent experiments, we used the hybridoma cell line 2B4.11, which is sensitive to GC (8) and has very low background apoptosis (2–5% at 24 h). Incubation of 2B4.11 cells with HC resulted in 30–50% apoptosis (Fig. 3Go), an effect that could be neutralized by SP. As before, SP effect was antagonized by SPA (Fig. 3Go). In subsequent experiments with 2B4.11 cells, SP was added at various times after HC (1–5 h). The results indicate (Fig. 4Go) that at 1-h delay, SP was fully effective; at 2 h SP had only a partial effect, which disappeared completely at a 3-h delay. These results suggest that the effect of SP on HC-induced apoptosis should be looked for in events triggered by HC within the first 2 h.



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FIGURE 3. Inhibition by SP of HC-induced apoptosis in the hybridoma 2B4.11 cells. Experimental conditions are as in Fig. 2Go.

 


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FIGURE 4. Kinetics of SP effect on HC-induced apoptosis in 2B4.11 cells. SP was added either with HC (0 h) or at hourly intervals (1–5 h) later. The upper dashed line = HC alone. The lower dashed line = medium or SP controls.

 
Effect of SP on GR production and translocation

The fact that SP inhibits HC-induced apoptosis specifically and only when added at time 0–2 h suggests that SP exercises its inhibitory effect on an HC-specific early event. The central HC-related early event is HC binding to its cytoplasmic receptor (GR) in the cytoplasm, and translocation of the GR-HC complex to the nucleus (29, 30). Analysis of GR expression was performed on 2B4.11 cells by incubating the cells for 0–4 h with SP or HC or both and then extracting their cytoplasmic and nuclear fractions. Immunoblot analysis of GR expression indicated that GR level in cytoplasm (Fig. 5GoA) rises within 1 h after incubation with HC (densitometry (D); all D values are relative to control = 1.00; HC at 1 h = 3.06), peaks at 2 h (D = 6.18), and then declines; at 4 h GR levels were still higher than in the control (D = 1.87). A similar rise in GR level was observed in nuclear extract (Fig. 5GoB), with a peak sustained until the third hour (D = 3.73), and a decline at 4 h (D = 1.94), which did not reach yet control level. SP by itself had no effect on GR expression, but strongly inhibited the HC-induced rise in GR levels in both the cytoplasm (D at 1–4 h = 0.29–0.78) and the nucleus (D at 1–4 h = 0.7–1.95) (Fig. 5Go, A and B).



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FIGURE 5. Immunoblot analysis of HC and SP effects on GR expression in the cytoplasm (A) and the nucleus (B) of 2B4.11 cells. Cells were incubated with HC (10-6 M), SP (10-9 M), or both for 1–4 h, washed, lysed, fractionated to nucleus and cytoplasm, ran on SDS-PAGE, transferred to nitrocellulose membrane, incubated with anti-GR mAb, and then with peroxidase-conjugated goat anti-mouse IgG.

 
The morphology of this process was rather interesting. For these experiments, 2B4.11 cells were incubated as for immunoblotting and at 3 h were double stained with PI and Abs to GR. The cells were then observed with a confocal microscope (Fig. 6Go). In the control, GR is virtually undetectable (Fig. 6GoA); it is strongly stained in both the cytoplasm and the nucleus after 3 h incubation with HC (Fig. 6GoB). SP completely abolished detectable GR in the cytoplasm, which appeared as the control. However, in the nucleus, GR could be detected, in the cells treated by SP + HC, albeit at a clearly lower level than in HC-treated cells (Fig. 6GoC). The addition of SPA to the SP + HC incubation mixture resulted in GR appearance in both the cytoplasm and nucleus at about the same level as with HC alone. However, staining pattern was somewhat different: spotty with HC, and more diffuse with HC + SP + SPA (Fig. 6GoD). The significance of this difference is not clear at the moment. In conclusion, both immunoblotting and confocal microscopy clearly demonstrated strong and specific inhibitory effect of SP on GR production.



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FIGURE 6. GR expression and translocation into the nucleus of 2B4.11 cells 3 h after incubation in medium only (A), or in medium containing 10-6 M HC (B), HC in the presence of SP (10-9 M) (C), or as in C but also with SPA (10-7 M) (D). After incubation cells were stained with anti GR mAb followed by FITC-conjugated goat anti-mouse IgG, counterstained with PI, and observed with a confocal microscope (magnification, x1800).

 
Involvement of NF-{kappa}B/I{kappa}B system in HC/SP interaction

The NF-{kappa}B/I{kappa}B system, which is known to be modulated by both HC and SP (31, 32) and to be involved in apoptosis induction (33), was an obvious candidate for analysis in our model. Indeed, immunoblot analysis of 2B4.11 nuclear extracts (Fig. 7Go) indicated that SP by itself increased NF-{kappa}B expression (D = 1.00, 1.60, 2.43, and 2.69, at 0, 1, 2, and 3 h, respectively). HC decreased it (D = 0.18 and 0.43 at 1 and 2 h, respectively) and when both were present, SP effect dominated (D = 3.09 and 1.96 at 1 and 2 h, respectively). These results were confirmed by staining for NF-{kappa}B (counterstain, PI) and confocal microscopy (Fig. 8Go); SP enhanced NF-{kappa}B expression and translocation into the nucleus (Fig. 8GoB). HC slightly inhibited cytoplasmic expression and completely abolished nuclear translocation of NF-{kappa}B (Fig. 8GoC). In the presence of both HC and SP, the SP effect dominated (Fig. 8GoD).



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FIGURE 7. Immunoblot analysis of HC and SP effects on NF-{kappa}B expression. 2B4.11 cells were incubated with HC (10-6 M) or SP (10-9 M) or both for 1–3 h. Then nuclear extract was prepared and processed for immunoblotting as in Fig. 5Go using rabbit anti-NF-{kappa}B p65 and peroxidase-conjugated goat anti-rabbit IgG.

 


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FIGURE 8. NF-{kappa}B expression in 2B4.11 cells 3 h after incubation in medium only (A), in medium containing 10-9 M SP (B), or 10-6 M HC (C), or both (D). After incubation, cells were stained with rabbit anti-NF-{kappa}B p65 Abs followed by FITC-conjugated goat anti-rabbit IgG and counterstained with PI. Results were observed with a confocal microscope (magnification, x400).

 
Determination of I{kappa}B changes by immunoblot (Fig. 9Go) suggested that it is also involved in HC/SP antagonism; SP caused a progressive decrease in I{kappa}B levels (D = 1.00, 0.81, and 0.45 at 0, 2, and 3 h, respectively), HC preserved it at a relatively high level (D = 1.23 and 1.29 at 2 and 3 h, respectively), and in the presence of both HC and SP, SP effect dominated (D = 0.78 and 0.48 at the same times).



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FIGURE 9. Immunoblot analysis of HC and SP effects on I{kappa}B expression. Cytoplasmic fraction of 2B4.11 cells was processed for immunoblotting as in Fig. 7Go by using rabbit anti-I{kappa}B{alpha} Abs and peroxidase-conjugated goat anti-rabbit IgG.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this study we show that SP can efficiently suppress HC-induced apoptosis in thymocytes, an effect which is strong, consistent and occurs both in vivo and in vitro. Further analysis of this phenomenon of SP/HC antagonism indicated that: 1) SP effect is mediated directly to the thymocytes via a demonstrable SP-receptor on their surface, an effect which could be inhibited by a specific SP antagonist; 2) SP effect is specific to SP (compared with two other neuropeptides) and to HC induction of apoptosis (compared with three other induction means); 3) SP effect is an early event in that it completely inhibited HC-induced apoptosis when added within 1 h after HC, partially inhibited at 2 h, and its effect was nondemonstrable at 3 h. These data suggested that SP effect involve early events in the HC-specific pathway of apoptosis induction, rather than events of the final common pathway of apoptosis. We demonstrate in this paper that the relationships between HC and SP are effected in two key early events in apoptosis induction, assuming that other events may be targeted and modified as well.

The first key event is GR expression and translocation into the nucleus. GR is an intracellular receptor present in the cytoplasm in a complex which keeps it stable and inactive (34, 35, 36). When a specific ligand (HC or a semi-synthetic GC) enters the cell, the receptor is activated, passes into the nucleus (translocation), and binds to a specific regulatory DNA site in several genes. As a result, some of these genes will be transactivated and some will be transrepressed as a function of cell type, developmental stage, physiological state, and presence of other transcription factors (34, 35, 37, 38). The same gene may sometimes be transactivated and sometimes transrepressed. The GR gene itself is a good example. Activated GR autoregulates its own level (39, 40, 41), usually down-regulation (transrepression) (42), which is needed to temporally limit and attenuate the potent GC-induced physiological changes. However, up-regulation of GR production by GR (transactivation) was also reported in several cases, e.g., T but not B cell lines (39, 43, 44), either constantly or as an initial phase (biphasic regulation) (42). Such an amplified response may be required when the cell undergoes a profound physiological change, such as apoptosis induction (39).

We demonstrated a strong up-regulation of GR level induced by HC in addition to the process of GR translocation. These simultaneous processes were clearly seen both in the immunoblot (Fig. 5Go) and by GR staining and confocal microscopy (Fig. 6GoB). The increase in GR expression in our system reached a peak at 2 h, quicker than reported in other systems (39). The difference may be attributed to the different cell systems; thymocytes are most sensitive to GC effect. It may be interesting to comparatively study the mechanisms regulating GR levels in different cell systems (39, 40, 41, 42, 43, 44). SP had reduced GR levels in our system in a strong, specific, and consistent manner. The question still remains whether SP effect on the GR level is central for apoptosis inhibition. SP manifests a complete inhibitory effect when added to the cells 1 h after HC (Fig. 4Go), at a time when GR translocation (and DNA binding) takes place already (29, 30). Indeed, the final, no-return event in apoptosis induction by HC may be later than GR-DNA binding (7, 45), thus allowing SP to exert its effect on the process. Although this possibility may be further explored, a role for NF-{kappa}B, as an internal mediator of SP effect, looks more attractive for the following reasons.

NF-{kappa}B is a key transcription factor in immune and inflammatory processes (46, 47, 48, 49). It is also a central player in apoptosis, involved in its induction in some cell systems (50) and in protection from it in many other systems (51). In lymphoid cells, NF-{kappa}B usually serves an anti-apoptotic function (52). Out of several forms of NF-{kappa}B, the one containing RelA (p65) is most relevant for apoptosis inhibition (53). There are certain similarities between NF-{kappa}B and GR as transcription factors. Both are present constitutively in the cytoplasm in inactivating complex with proteins: heat shock and other proteins in the case of GR (30, 36), and I{kappa}B in the case of NF-{kappa}B (54). Upon specific activation they translocate into the nucleus and bind to their respective specific regulatory DNA segments. Furthermore, although these two factors are mostly antagonistic in their function, there is a meaningful cross-talk between them and, depending on the specific condition, one dominates over the other. GR inhibits NF-{kappa}B-mediated inflammatory responses, whereas a rise in NF-{kappa}B level inhibits GR-mediated gene transactivation (31). This cross-talk takes place by direct physical interaction of the two factors (55, 56, 57). Indeed, GC induce the synthesis of a NF-{kappa}B-specific inhibitor, I{kappa}B (58). However, it was questioned to what extent this effect is physiologically meaningful in controlling NF-{kappa}B activity (59). Finally, SP was recently found to be a potent inducer of NF-{kappa}B activity (32), an effective reasonable association of extra- and intracellular mediators of inflammation. Indeed, the fact that the optimal concentration of SP (10-8–10-12 M) is much lower than that of HC (10-5–10-7 M) (our work and Refs. 60 and 61) suggests that NF-{kappa}B amplifies the SP effect in the cells. All these data suggest that NF-{kappa}B should be most relevant in our system.

Indeed, SP induced an impressive increase in the NF-{kappa}B level, HC caused modest a decrease in it, and when both agents were present, the SP effect dominated. SP-induced NF-{kappa}B activation is a quick process: a substantial increase was observed within 1 h (Fig. 7Go), actually in 30 min (32) and maybe even less, leaving enough time for manifesting the anti-apoptotic effect of NF-{kappa}B, even when SP addition is delayed for 1 h. The conditions which allow NF-{kappa}B dominance over GR are not yet clear. One possibility is combined NF-{kappa}B/AP-1 activation, which probably takes place by SP (32, 62). One may speculate that a synergistic effect of these two factors may overcome the GC effect. It should be mentioned that both NF-{kappa}B and AP-1 interact physically with GR (38, 56). It will be interesting to test the involvement of AP-1 and other relevant transcription factors in the SP/HC interaction and to employ pharmacological and molecular inhibitors of NF-{kappa}B (63) to further analyze the role of NF-{kappa}B in the process. Finally, I{kappa}B is also modified by SP and HC, with SP dominating in the interaction. It has to be further elucidated how much it contributes to the modulation of NF-{kappa}B activity, in view of the conflicting reports on the subject (58, 59).

In the present study we demonstrated that SP acts strongly and efficiently against one of the most powerful and impressive activities of GC: apoptosis induction in DP thymocytes. The intensity of SP effect, both in vitro and in vivo, its specificity, as well as the presence of SP and its receptor in the thymus suggest that we are dealing with a fundamental physiological regulatory tool. Apoptosis is a key event in metazoa, and therefore it should be strictly controlled, both at the intracellular level and at the level of the whole organism. As in several other critical body systems, in which hyper- or hypofunction may endanger existence, precise regulation is achieved by multilevel, multifactorial control mechanisms, which complement or antagonize each other. The use of antagonistic mechanisms is vital to achieve fine tuning of the desired response. The present study suggests that SP is a most efficient antagonist of HC in the process of apoptosis induction. The two intracellular events analyzed here, changes in GR and NF-{kappa}B, should be regarded as representatives of a complex process, by which the antagonistic signals of SP and HC coming from the external milieu of the cell may be deciphered and direct cellular "decisions" about life and death.


    Footnotes
 
1 This study was supported in part by the Lusinchi Fund and by the Bar-Ilan University Cancer Fund. Back

2 Address correspondence and reprint requests to Prof. Jacob Shoham, Faculty of Life Sciences, The Gonda-Goldschmied Center, Bar-Ilan University, Ramat-Gan 52900, Israel. E-mail address: Back

3 Abbreviations used in this paper: DP, double positive (CD4+CD8+ T cells); D, densitometry; GC, glucocorticoid; GR, GC receptor; HC, hydrocortisone; PI, propidium iodide; SP, substance P; SPA, SP antagonist; TEC, thymic epithelial cell. Back

Received for publication May 18, 1999. Accepted for publication December 14, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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