The Journal of Immunology, 2000, 164: 3862-3869.
Copyright © 2000 by The American Association of Immunologists
Induction of Functional IL-8 Receptors by IL-4 and IL-13 in Human Monocytes1
Raffaella Bonecchi*,
Fabio Facchetti
,
Stefano Dusi
,
Walter Luini*,
Daniele Lissandrini
,
Marleen Simmelink*,
Massimo Locati*,§,
Sergio Bernasconi*,
Paola Allavena*,
Ernst Brandt¶,
Filippo Rossi
,
Alberto Mantovani*,§ and
Silvano Sozzani2,*
*
Istituto di Ricerche Farmacologiche "Mario Negri", Milan, Italy;
Dipartimento di Patologia, Università di Brescia, Brescia, Italy;
Dipartimento di Patologia, Generale Sezione Patologia Generale, Università degli studi di Verona, Verona, Italy;
§
Dipartimento di Biotechologie Sezione di Patologia Generale Immunologia, Università di Brescia, Brescia, Italy; and
¶
Research Center Borstel, Borstel, Germany
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Abstract
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IL-8 and related Glu-Leu-Arg (ELR+) CXC chemokines are
potent chemoattractants for neutrophils but not for monocytes. IL-13
and IL-4 strongly increased CXCR1 and CXCR2 chemokine receptor
expression in human monocytes, macrophages, and dendritic cells. The
effect was receptor- and cell type-selective, in that CCRs were not
increased and no augmentation was seen in neutrophils. The effect was
rapid, starting at 4 h, and concentration dependent
(EC50 = 6.2 and 8.3 ng/ml for CXCR1 and CXCR2,
respectively) and caused by new transcriptional activity.
IL-13/IL-4-treated monocytes showed increased CXCR1 and CXCR2 membrane
expression. IL-8 and related ELR+ chemokines were potent
and effective chemotactic agents for IL-13/IL-4-treated monocytes, but
not for untreated mononuclear phagocytes, with activity comparable to
that of reference monocyte attractants, such as MCP-1. In the same
cells, IL-8 also caused superoxide release. Macrophages and dendritic
cells present in biopsies from Omenns syndrome and atopic dermatitis
patients, two Th2 skewed pathologies, expressed IL-8 receptors by
immunohistochemistry. These results show that IL-13 and IL-4 convert
IL-8 and related ELR+ chemokines, prototypic neutrophil
attractants, into monocyte chemotactic agonists, by up-regulating
receptor expression. Therefore, IL-8 and related chemokines may
contribute to the accumulation and positioning of mononuclear
phagocytes in Th2-dominated responses.
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Introduction
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Macrophages
play a central role in immune and inflammatory responses and carry out
a fundamental protective function against invading organisms
(1, 2, 3). To accomplish this function, macrophages leave the
blood compartment and accumulate at sites of inflammation and immune
response. The inflammatory signals present locally are responsible both
for recruitment, through the secondary induction of chemotactic
factors, and activation of macrophages. Macrophages exposed to
inflammatory agonists, such as endotoxin and IFN-
, become activated
with altered expression of surface Ags and receptors (e.g., Fc
receptors and MHC class II molecules), increased production of
proinflammatory cytokines (e.g., IL-1, IL-6, TNF, and chemokines), and
enhanced capacity to produce reactive oxygen intermediates and kill
intracellular pathogens (1, 2, 3, 4). Alternatively, macrophages
can be activated by IL-4 and IL-13, two Th2 cytokines, and these cells
express a different activated profile consisting in the induction of
the mannose receptor, MHC class II expression, IL-1 receptor
antagonist, and type II IL-1 decoy receptor. On the contrary,
alternative activated macrophages show reduced proinflammatory cytokine
secretion (e.g., IL-1, TNF, IL-6, and chemokines) (2, 5, 6, 7, 8, 9, 10, 11). Although IFN-
-activated macrophages resemble those
found during the early phases of inflammation, alternative activated
macrophages characterize chronic inflammatory diseases, psoriasis, and
wound healing (2).
Chemokines play a central role in leukocyte extravasation and migration
(12, 13, 14, 15, 16, 17). CC (or ß) chemokines (e.g., members of the
monocyte chemotactic protein, and macrophage inflammatory protein
clusters) are the main agonists for mononuclear leukocytes, including
monocytes, lymphocytes, NK, and dendritic cells. Alternatively, members
of the other major chemokine subfamily, the CXC (or
) chemokines
(e.g., IL-8, growth-regulated oncogene
(Gro)3 and
IFN-
-inducible protein-10 (IP-10)) are predominantly recognized as
chemoattractants for neutrophils and lymphocytes (12, 13, 14, 15, 16, 17).
The major factor that dictates chemokine specificity for target cells
is the regulated expression of chemokine receptors. Nine receptors for
CC chemokines (CCR19) and five receptors for CXC chemokines
(CXCR15) were cloned and characterized. Lymphotactin and fractalkine,
the only representatives of two additional chemokine families, also
bind specific receptors, XCR1 and CX3CR1, respectively (12, 13, 14, 15, 16, 18).
Inflammatory and immune signals are the major inducers of chemokine
production both in vitro and in vivo. Endotoxin, IL-1, and TNF induce
the production both of CC (e.g., monocyte chemotactic protein-1
(MCP-1), MCP-2, MCP-3, and macrophage inflammatory protein-1
(MIP-1
)), and CXC (e.g., IL-8, neutrophil activating protein-2
(NAP-2), and Gro) chemokines by many cellular types, including
mononuclear phagocytes and endothelial cells (12, 13, 14, 15, 17).
Of note, proinflammatory agonists also regulate the expression of
chemokine receptors on leukocytes. LPS, TNF, and IFN-
were shown to
down-regulate the expression of CCR2, the receptor for MCP-1 to -4, in
monocytes (19, 20) and CXCR1 and CXCR2, the two IL-8
receptors, in human neutrophils (21). Thus, the same
signals generated during an inflammatory response have a reciprocal and
opposite effect on chemokine and chemokine receptor expression on
inflammatory cells, and this may represent an important mechanism to
control chemokine specificity in vivo (12, 17).
The role of IL-4 and IL-13 on the chemokine system is more complex.
Both cytokines were reported to inhibit the LPS-induced expression of
MCP-1, MIP-1
, and IL-8 in monocytes, but were ineffective or indeed
synergize the production of the same chemokines in endothelial cells
(11, 12, 17). Furthermore, both IL-4 and IL-13 selectively
induce the expression of certain chemokines, such as macrophage-derived
chemokine (22, 23) and dendritic-cell-derived C-C
chemokine-1 (DC-CK1/AMAC-1/PARC) in monocytes (2, 24, 25).
The effect of these two Th2 cytokines on chemokine receptor expression
in mononuclear phagocytes is presently unknown.
This work was undertaken to investigate whether IL-4 and IL-13, two
cytokines that are able to induce a peculiar activation phenotype in
mononuclear phagocytes, might also reorient the responsiveness of human
monocytes by altering the expression of their chemokine receptor
repertoire.
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Materials and Methods
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Cytokines
Human recombinant MCP-1 was from PeproTech (Rocky Hill, NJ).
Human recombinant IL-8 was from Dainippon (Osaka, Japan). Human
recombinant Gro-ß and M-CSF were from Cetus (Emeryville, CA). Human
recombinant GM-CSF was from Sandoz (Milan, Italy). Human recombinant
IL-4 was from Schering-Plough (Kenilworth, NJ), and human IL-13 was a
kind gift from Dr. A. Minty (Sanofi Elf Bio Recherches, Labège,
France). Cytokines were endotoxin free as assessed by
Limulus amebocyte assay.
Cell preparation
Monocytes were obtained from buffy coats of healthy blood donors
through the courtesy of Centro Trasfusionale (Ospedale Sacco, Milan,
Italy). Blood was washed once with saline and spun at 300 x
g to remove plasma and platelets and then centrifuged on
Ficoll (Biochrom, Berlin, Germany) at 400 x g for 30
min at room temperature. Monocytes were purified by centrifugation on
46% iso-osmotic Percoll (Pharmacia, Uppsala, Sweden) gradient, as
previously described (26). These cells were >95%
monocytes as evaluated by morphological analysis. PMN were purified by
centrifugation on 63% iso-osmotic Percoll gradient, as previously
described (27). These cells were >95% neutrophils as
evaluated by morphological analysis. Neutrophil viability in control
and IL-4-treated cells was >80% at 24-h culture. Monocyte-derived
dendritic cells and CD34+ cell-derived dendritic
cells (CD34+-DC) were obtained by culturing in
vitro monocyte and cord blood-purified CD34+
cells exactly as previously described (28). Macrophages
were obtained incubating monocytes in petriperm dishes (Haereus,
Vienna, Austria) for 7 days in RPMI with 10% FCS supplemented with
1000 U/ml M-CSF. Cells (5 x 106/ml) were
stimulated with IL-4 and IL-13 in nonadhesion conditions in RPMI 1640
medium (Biochrom) with 10% FCS (HyClone, Logan, UT).
Northern blot analysis
Total RNA was extracted by the guanidinium thiocyanate method,
blotted and hybridized as described (26). Probes were
labeled by Megaprime DNA labeling system (Amersham, Buckinghamshire,
U.K.) with [
-32P]dCTP (3000 Ci/mmol,
Amersham). Membranes were prehybridized at 42°C in Hybrisol (Oncor,
Gaithersburg, MD) and hybridized overnight with 1 x
106 cpm/ml of 32P-labeled
probe. Membranes were then washed three times with 2x SSC (1x
SSC = 0.15 M NaCl, 0.015 M sodium citrate, pH 7.0), at room
temperature for 10 min, twice with 2x SSC, 1% SDS at 60°C for 20
min, and then with 0.1x SSC for 5 min, before being autoradiographed
using Kodak (Rochester, NY) XAR-5 films and intensifier screens at
-80°C. Specific CXCR1 probe was obtained with RT-PCR amplifying the
region from 999 to 1341 bp of the reported sequence (GB M68932) with
specific primers (5'-CTCAAGATCCTGGCTATGCATGG-3' and
5'-GAATGATGGTGCTTCGTTTCCATG-3'). Specific CXCR2 probe was
obtained by amplifying the region 995-1415 bp of the reported
sequence (GB M73969) with primers 5'-GGACTCCTCAAGATTCTAGCTATAC-3'
and 5'-GTATGCAGAGCTGTCTCACTGGAG-3'. The extent of the hybridization was
quantified by densitometric analysis with the entry level image system
(Immagini e computer, Milan, Italy).
Migration assay
Cell migration was evaluated using a chemotaxis microchamber
technique. Briefly, 27 µl of chemoattractant or control medium (RPMI
1640 with 1% FCS) were added to the lower wells of a chemotaxis
chamber (Neuroprobe, Pleasanton, CA) (26, 27). Fifty
microliters of cell suspension (1.5 x
106/ml) were seeded in the upper chamber. The two
compartments were separated by a polycarbonate filter (5 µm pore size
polyvinylpyrrolidone for monocytes and 5 µm pore size
polyvinylpyrrolidone free for neutrophils; Neuroprobe). The chamber was
incubated at 37°C in humidified atmosphere in the presence of 5%
CO2 for 90 min for monocytes and for 60 min for
neutrophils. At the end of the incubation, filters were removed and
stained, and five high power oil-immersion fields (x100) were counted.
Results are expressed as the mean of three replicates ± SD of a
single experiment representative of at least three independent
donors.
Flow cytometric analysis of CXCR1 and CXCR2 expression
A specific (29) anti-CXCR1 mAb (5A12) was
purchased from PharMingen (San Diego, CA). Anti-CXCR2 mAb (RII-115) was
obtained as described (30). Monocytes were incubated with
saturating amounts of mAbs and with fluorescein-conjugated
F(ab')2 goat anti-mouse Ig (Techno Genetics,
Turin, Italy). Analysis of fluorescence was performed by a
FACStarPlus calibrated with Calibrite Beads
(Becton Dickinson, Mountain View, CA).
Nuclear run-off
Nuclear run-off experiments were performed essentially as
described (19, 26). Nuclei were isolated after 18
h of stimulation with IL-13 (20 ng/ml). Then 60 µl of 5x run-off
buffer (25 mM Tris-HCl, pH 8, 12.5 mM MgCl2, 750
mM KCl, and 1.25 mM each of ATP, CTP, and GDP), 2 µl of RNase
inhibitors 1U/µl (Perkin-Elmer/Cetus, Norwalk, CT), and 200 µCi of
[
-32P]UTP 3000 Ci/mmol (Amersham) were added
to 220 µl of nuclei suspension and incubated at 30°C for 30 min.
Elongated transcripts were then isolated with the guanidine/cesium
procedure and as described (19). RNA was denatured at
65°C for 5 min and hybridized at 42°C for 48 h to 7 µg of
denatured DNA immobilized on nitrocellulose filters in a few
milliliters of hybridization solution (200 mM
NaHPO4, pH 7.2, 1 mM EDTA, pH 8, 7% SDS, 45%
deionized formamide, and 250 mg/ml yeast tRNA). Filters were then
washed one or two times at 37°C for 2030 min in 40 mM
NaHPO4-1% SDS and exposed for autoradiography.
Densitometric analysis was performed with the entry level image system
(Immagini e computer), and fold increase was calculated after
ß-actin normalization.
Oxygen free radical production
Monocytes cultured for various time points in the presence or
absence of IL-13 or IL-4 (20 ng/ml) were stimulated with 50 ng/ml PMA
(Sigma, St. Louis, MO) or with chemokines (1 µg/ml). The production
of H2O2 from monocytes was
estimated by dihydrorhodamine 123 (DHR) oxidation, as previously
described (31).
Electrophoresis and immunoblotting
Proteins were subjected to SDS-PAGE on 12% gels. Proteins were
transferred to nitrocellulose membranes (Bio-Rad, Richmond, CA) as
previously described (31). Blots were probed with rabbit
anti-gp91phox,
anti-p22phox,
anti-p67phox,
anti-p47phox, and
anti-p40phox diluted 1:500 at 4°C
overnight. Immunoreactive proteins were detected by enhanced
chemiluminescence (ECL; Amersham). Multiple exposure of the same blot
were performed to ascertain that the ECL signal was in the linear range
of sensitivity.
Immunohistochemistry
IL-8 receptor expression was tested by immunohistochemistry on
tissue samples from patients suffering from Omenns syndrome (two
lymph nodes) and atopic dermatitis (one skin biopsy). Lymph node
samples showing nonspecific reactive changes and normal skin biopsies
were used as controls. Tissues were fresh frozen immediately after
biopsy and stored at -80°C until used for immunostaining. mAb 5A12
was used at a dilution of 1:50, and immunoreactivity was developed
using a Streptavidin-biotin immunoperoxidase technique, as described
(32).
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Results
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The expression of chemokine receptors (CCR1 to CCR8, and CXCR1 to
CXCR4) in human monocytes was first investigated by Northern blot
analysis. By using this technique, no change in the basal expression
profile of CC chemokine receptors was observed following IL-13
treatment (20 ng/ml for 24 h; data not shown). Consistently with
previous results (33), the expression of CXCR1 and CXCR2
was barely detectable in resting monocytes. However, both IL-4 and
IL-13 incubation strongly up-regulated the mRNA levels of the two IL-8
receptors (Fig. 1
). CXCR3 expression was
detectable neither in resting nor in IL-13-activated cells, whereas the
expression of CXCR4 was slightly reduced in IL-13-activated cells (data
not shown). The induction of CXCR1 and CXCR2 expression was clearly
detectable after 4-h stimulation and became maximal at 24 h (Fig. 1
A) with no further increase at 48 h (n
= 2; data not shown). The effect of IL-13 was concentration dependent
reaching a plateau at 20 ng/ml (data not shown), with
EC50 values of 6.2 ± 1 ng/ml and 8.3
± 0.3 ng/ml IL-13 for CXCR1 and CXCR2, respectively (n
= 3; Fig. 1
B). IL-4 paralleled the effect of IL-13 both in
terms of concentration curve and kinetics (data not shown). The effect
of IL-13 on CXCR1 and CXCR2 expression was at the transcriptional
level, as assessed by nuclear run-off experiments. Resting monocytes
showed a low rate of transcription of CXCR1 and CXCR2 mRNA.
Transcription of both genes was strongly increased (
20-fold) by
IL-13 treatment (Fig. 1
C).

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FIGURE 1. Up-regulation of CXCR1 and CXCR2 by IL-13 and IL-4 in human monocytes.
A and B, Northern blot analysis of human
monocytes incubated for increasing times with 20 ng/ml IL-13 or IL-4
(A) or increasing concentrations of IL-13 for 24 h
(B). Ten micrograms of total RNA were purified from
monocytes and used in Northern blot analysis as described in
Materials and Methods. Results are representative of at
least three different donors. Ethidium bromide staining is shown in the
lower part of the two panels. C, Run-off analysis. Human
monocytes were incubated in the presence of 20 ng/ml IL-13 for 18
h. Equal loading of RNA probes were assessed by comparison to the
ß-actin gene. Result of one experiment, representative of three is
shown.
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Changes in monocyte mRNA levels were paralleled by an increase in
membrane expression of both CXCR1 and CXCR2 as assessed using specific
mAbs by flow cytometry. In resting conditions, 8.3 ± 3% (range
0.523%) and 30.8 ± 8% (range 763%) monocytes expressed
CXCR1 and CXCR2, respectively (n = 5). Both IL-13 and
IL-4 strongly enhanced the expression of the two IL-8 receptors (Fig. 2
). At their optimal concentrations (20
ng/ml), the effect of the two cytokines was already detectable after
4-h incubation and reached maximal levels after 24 h with 4.2
± 0.4- and 3.1 ± 0.9-fold of increase over control values for
CXCR1 (n = 4) and CXCR2 (n = 5),
respectively.

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FIGURE 2. Flow cytometry analysis of CXCR1 and CXCR2 expression by IL-13- and
IL-4-stimulated human monocytes. Human monocytes were incubated with
IL-13 or IL-4 (20 ng/ml) for 24 h. Cells were subsequently labeled
with anti-CXCR1 (5A12), anti-CXCR2 (RII 115) or isotype-matched
control mAbs followed by incubation with FITC goat anti-mouse Fab.
Results of a single experiment, representative of at least four, are
shown. Dotted and solid lines represents isotype control Ab and
anti-IL-8 receptor Abs, respectively. Percentages of positive cells
for CXCR1 and CXCR2 Abs and mean channel fluorescence (MCF) are
reported.
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The functional relevance of the increased number of IL-8 receptors on
IL-13-stimulated monocytes was investigated in terms of change in
chemotaxis and in the release of oxygen radicals in response to IL-8.
Fig. 3
shows that resting monocytes did
not migrate in response to IL-8, a CXCR1 and CXCR2 ligand, and to
Gro-ß a CXCR2 selective ligand (Fig. 3
, A and
B). As expected, in the same experimental conditions,
monocytes migrated in response to MCP-1 a chemokine active on monocytes
(Fig. 3
C). However, monocytes that had been exposed to IL-13
(20 ng/ml for 24 h) were able to respond to IL-8 in a chemotactic
assay (Fig. 3
A). Migration to IL-8 was concentration
dependent with activity already present at 30 ng/ml (3.6 nM) and
reaching a plateau between 100 and 1000 ng/ml (12120 nM) IL-8. At the
concentration of 300 ng/ml IL-8, the migration of monocytes was 62
± 8% (n = 9) of that observed in response to an
optimal concentration of MCP-1 (50 ng/ml). Similar results were
obtained when IL-4, instead of IL-13, was used (Fig. 3
C and
data not shown). Consistent with the kinetics observed by FACS
analysis, migration to IL-8, and to Gro-ß became detectable at 4-h
stimulation with maximal activity observed at 24 h of IL-13/IL-4
stimulation (Fig. 3
B and data not shown). Brief (3060 min)
exposure of monocytes to IL-13/IL-4 did not induce monocyte migration
to IL-8 (data not shown). Basal migration and chemotaxis to MCP-1 were
not modified by IL-13/IL-4 stimulation (Fig. 3
C).
Collectively, these results strongly suggest that the effect of IL-13
and IL-4 is not that of a general priming of monocyte migration but
rather that it is mediated by up-regulation of specific IL-8
receptors.

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FIGURE 3. Effect of IL-4 and IL-13 on chemotactic response of monocytes to CXC
chemokines. A, Monocytes were incubated in the presence
or absence of 20 ng/ml IL-13 for 24 h and then tested for their
ability to migrate across a 5 µm pore size policarbonate filter in
response to different concentrations of IL-8. B,
Monocytes were incubated with or without IL-13 for different times as
indicated and tested for their ability to migrate to IL-8 (300 ng/ml)
and to Gro-ß (300 ng/ml). C, Monocytes were incubated
with IL-4 and IL-13 (20 ng/ml for 24 h) and then tested for their
migration in response to IL-8 (1 µg/ml) and MCP-1 (50 ng/ml).
At the end of the incubation (90 min), the number of cells in
five high power microscope-immersion fields was evaluated. Results of
one experiment performed in triplicate are shown and are
representative of three independent experiments.
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IL-8 is known to induce release of oxygen radicals in human neutrophils
(34, 35). Oxidative burst experiments were performed to
assess whether IL-8 could also be active in inducing this response in
IL-13/IL-4-stimulated monocytes. Fig. 4
A shows that resting
monocytes do not release superoxide anions in response to IL-8, but
that this response was inducible in both IL-13- and IL-4-treated
cells. In the early phase of the response (<5 min) the amount of
IL-8-induced H2O2 release
was comparable to that induced by an optimal concentration of phorbol
ester (PMA). However, at longer times of stimulation (>5 min) PMA
action was stronger than IL-8, as expected (Fig. 4
B).
Gro-ß (1 µg/ml) was also able to induce a respiratory burst in
IL-4-treated monocytes, although it was a weaker agonist than IL-8
(1.56 and 2.4 nmol/5 min/3 x 106 cells for
Gro-ß and IL-8, respectively; n = 2). In the same
experimental conditions IL-13/IL-4 did not modify the response of
monocytes to PMA, or to MCP-1, a very weak activator of the oxidative
burst in monocytes (36, 37). Short incubations with IL-13
(3060 min) were not effective in inducing IL-8 response, and a 24-h
incubation of monocytes with IL-13 did not change the protein levels of
p40phox, p47phox,
p67phox, p22phox,
and gp91phox, five components of the NADPH
oxidase enzyme in phagocytes (Fig. 4
C) (38, 39). Again, collectively these results strongly suggest that
IL-13 does not induce priming of monocytes for the activation of the
oxidative burst, and that the response to IL-8 is mediated by the
increased number of IL-8 receptors.

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FIGURE 4. Induction of the respiratory burst in IL-13- and IL-4-treated monocytes
by IL-8. A and B, Monocytes were
incubated with IL-13 or IL-4 (20 ng/ml; A) or with 20
ng/ml IL-4 (B) for 24 h and then tested for their
ability to release oxygen free radicals after IL-8 (1 µg/ml),
MCP-1 (1 µg/ml), or PMA (100 nM) stimulation. C,
Western blot analysis of oxidase components. Proteins of resting and
stimulated (as above) monocytes were separated on 12% polyacrylamide
and subsequently blotted onto nitrocellulose. Blots were probed with
specific Abs as described in Materials and Methods. One
experiment representative of three is shown.
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Since IL-13 has been shown to regulate certain biological responses in
a cell-specific manner (40), the effect of IL-13 on CXCR1
and CXCR2 expression in different leukocyte subsets was investigated.
Fig. 5
shows that similarly to monocytes
IL-13 up-regulates the expression of IL-8 receptors in monocyte-derived
macrophages. Dendritic cells generated in vitro from both monocytes and
CD34+ precursors express basal levels of CXCR1
and CXCR2 (41, 42), and IL-13 is able to up-regulate this
expression. Interestingly, IL-13 has an opposite effect on neutrophils,
being able to down-regulate IL-8 receptor basal expression
(
20-fold). This effect is functionally relevant, because PMN
incubated with 20 ng/ml IL-13 show a significant inhibition in their
chemotactic response to IL-8 (47% inhibition with 100 ng/ml IL-8;
n = 2).

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FIGURE 5. Regulation of IL-8 receptor expression by IL-13 in leukocytes. CXCR1
and CXCR2 expression was evaluated by Northern blot analysis in human
monocytes, monocyte-derived macrophages, monocyte-derived dendritic
cells (mono-DC), CD34+ cell-derived dendritic cells
(CD34+-DC), and neutrophils (PMN) incubated in the presence
or absence of 20 ng/ml IL-13 for 24 h. Ten micrograms of total RNA
were purified and used in Northern blot analysis as described in
Materials and Methods. Results are representative of two
different donors.
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Finally, to gain insight into the possible in vivo relevance of these
results, the expression of IL-8 receptors was investigated in two
Th2-skewed pathologies characterized by the presence of IL-4 and IL-13,
namely the Omenns syndrome and atopic dermatitis (43, 44). As expected, on the basis of the observations obtained in
vitro, in normal tissues IL-8 receptor expression was detected only on
neutrophils, whereas various monocyte-derived cells (e.g., tingle-body
macrophages of germinal centers; interstitial macrophages) and
dendritic cells (e.g., interdigitating dendritic cells and Langerhans
cells) resulted completely negative (Fig. 6
, A and B). On the
contrary, in Omenns syndrome the macrophages and dendritic cells that
typically accumulate within lymph nodes (43) showed strong
reactivity for CXCR1 mAb (Fig. 6
C). Similarly, in atopic
dermatitis several CXCR1 immunoreactive mononuclear cells were detected
in the dermis (Fig. 6
D). In addition, collections of
mononuclear cells within the epidermis, immunophenotypically identified
as monocyte-derived cells (CD11b+/Mac1,
CD11c+, CD36+,
CD68+) or as immature dendritic cells
(CD1a+) (data not shown) were also recognizable
(Fig. 6
E). Finally, anti-IL8 receptor Abs strongly
labeled CD1a+ (data not shown) intraepidermal
cells with obvious dendritic morphology (Fig. 6
F).
Unfortunately, neither of the two anti-CXCR2 Abs tested (RII115 and
6C6) reacted in tissue sections, precluding a comparative analysis of
CXCR2 expression in these two pathologies (data not shown).

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FIGURE 6. Immunohistochemistry for IL-8 receptor expression in vivo. One lymph
node with nonspecific reactive changes (A and
B), one lymph node with Omenns syndrome
(C), and one skin biopsy from atopic dermatitis
(DF) were investigated for their immunoreactivity with
the 5A12 mAb. A and B, No
immunoreactivity for IL-8 receptors in the lymphoid cells and
macrophages populating the lymph node are shown; only intravascular
neutrophils are stained (B). Several macrophages and
dendritic cells are labeled by anti-IL-8 receptor in the case of
Omenns syndrome (C). In the skin with atopic
dermatitis, IL-8 receptor positive cells are represented by dermal
mononuclear cells (D), monocyte-derived cells forming
intraepidermal collections (E), and intraepidermal
dendritic cells (F). Immunoreactivity was detected
by immunoperoxidase technique and light counterstain with Mayers
haematoxylin. Magnifications showed are as follows: x160
(A) and x400 (BF).
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Discussion
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This study shows that IL-13 and IL-4, two prototypic Th2 cytokines
that share many anti-inflammatory effects, up-regulate the
expression of the two IL-8 receptors, CXCR1 and CXCR2, in human
monocytes and in related leukocytes, such as macrophages and dendritic
cells, in a time- (t1/2 = 15
and 12 h, respectively) and concentration-
(EC50 = 6.2 and 8.3 ng/ml for CXCR1 and CXCR2,
respectively) dependent fashion. CXCR1 and CXCR2 membrane expression on
IL-13-treated monocytes increased about 4- and 3-fold, respectively.
Increased expression of the two IL-8 receptors was paralleled by an
acquired responsiveness of monocytes to IL-8 and Gro-ß, a related CXC
chemokine. IL-8 was able to induce directional migration and activation
of the respiratory burst in IL-13/IL-4-treated monocytes in a range of
concentrations similar to that active on PMN (34, 35). In
these experimental conditions, IL-13/IL-4 did not induce a general
priming of monocytes but specifically induced functional IL-8
receptors. This conclusion is based on the following observations: 1)
the effect of the two cytokines required at least 4 h incubation
and it was not observed at shorter (e.g., minutes) incubation times
generally required for priming (45, 46, 47); 2) the kinetics
of monocyte response to IL-8 closely paralleled the induction of
membrane CXCR1 and CXCR2 expression; 3) IL-13/IL-4 treatment was
specific for IL-8 and Gro-ß with no effect on other monocyte agonists
(i.e., MCP-1, and PMA); and 4) IL-13/IL-4-treated monocytes did not
show changes in the expression of NADPH oxidase enzyme components.
IL-8 is part of a subset of CXC chemokines that share a tripeptide
motif (i.e., Glu-Leu-Arg, ELR) at the NH2
terminus. This group includes, in addition to IL-8, Gro (
/ß/
),
granulocyte chemotactic protein-2 (GCP-2), epithelial
neutrophil-activating protein-78, NAP-2, and platelet factor-4
(14, 16, 48). IL-8 and GCP-2 activate target cells through
the interaction with both CXCR1 and CXCR2, whereas all the other
members of the group use only CXCR2 (14, 16, 48). Although
CXCR1 and CXCR2 have been described to be expressed by a number of
different leukocyte subsets (e.g., neutrophils, T and B lymphocytes, NK
cells, mast cells, and eosinophils), ELR-CXC-chemokines are considered
to be relevant chemotactic signals only for granulocytes (14, 16, 17, 48). Human monocytes express low levels of surface IL-8
receptors (49, 50, 51), with CXCR2 being more expressed than
CXCR1 (Ref. 50 and Fig. 2
). These receptors can weakly
flux calcium and trigger a weak respiratory burst in Con A-primed
monocytes (47). Nevertheless, IL-8 cannot be considered an
activator of monocyte functions (14, 16, 17, 48, 52, 53).
The observations reported here indicate that freshly isolated human
monocytes do not respond to IL-8 in terms of chemotaxis and release of
oxygen radicals, but that these responses can be readily induced
following exposure to IL-4 and IL-13 and subsequent up-regulation of
CXCR1 and CXCR2. Regulation of chemokine receptor expression by pro-
and anti-inflammatory signals has recently emerged as a key
setpoint for chemokine action (19, 20, 21, 26, 54, 55).
Specifically, CXCR1 and CXCR2 expression were shown to be up-regulated
by G-CSF and down-regulated by LPS, GM-CSF, and TNF-
in neutrophils
(21, 56). However, different from all the previous
reports, the effect of IL-13 on CXCR1 and CXCR2 was at the level of
gene transcription rather than on mRNA stability (19, 20, 26, 54, 57, 58). Very recently it was reported that IL-8 can induce firm
adhesion of monocytes to vascular endothelium under flow conditions
(59), and that CXCR2 may mediate the accumulation of
macrophages in atherosclerotic lesions of low density lipoprotein
receptor-deficient mice (60). The present study extends
these observations and supports a role for ELR-chemokines in the
recruitment and activation of mononuclear phagocytes in pathological
conditions in which IL-4 and IL-13 are expressed, such as Th2 immune
responses (61).
This hypothesis is supported by the demonstration that monocyte-derived
cells and dendritic cells express IL-8 receptors in Omenns syndrome
and atopic dermatitis, two pathological conditions typically
characterized by a Th2-dominated immune response and IL-4 production
(43, 44, 61).
IL-8 has been shown to be an important mediator of chronic inflammatory
diseases like allergic bronchial asthma, rheumatoid arthritis, and
psoriasis (62, 63, 64). In vivo, neutrophils predominate at
early stages of inflammation, whereas monocytes and lymphocytes
characterize late inflammatory phase reactions and chronic inflammation
(65). Interestingly, we found that IL-4 and IL-13
down-regulate CXCR1 and CXCR2 expression in neutrophils and reduce
their ability to migrate in response to IL-8. This evidence is
confirmed in vivo in a mouse model of acute lung injury in which
exogenously administered IL-13 reduces neutrophil counts in
bronchoalveolar fluids, whereas an anti-IL-13 Ab has an opposite
effect in mice administered IgG immune complexes (66).
IL-13 down-regulates the expression of ICAM-1 in vascular endothelium
(40, 67). ICAM-1/ß2 integrin
interaction is a crucial event for neutrophil endothelial cell
transmigration in vitro and neutrophil recruitment in vivo (68, 69). On the contrary, IL-13 up-regulates the expression of
VCAM-1, the counterreceptor of very late Ag-4, a
ß1 integrin expressed by monocytes and
eosinophils and relevant for their interaction with cytokine-activated
endothelium (67, 70, 71). IL-13 and IL-4 can act in
synergism with TNF to promote the secretion of IL-8 by human
endothelial cells (67, 72, 73). Collectively, it is
tempting to speculate that IL-13 and IL-4 can trigger a biological
program that reorients the action of IL-8 from neutrophils to monocytes
and contributes to the formation of the mononuclear phagocyte
infiltrate that characterize chronic inflammatory lesions. In this
respect it is interesting to note that IL-8 is expressed by lesional
macrophage-derived foam cells (74), and KC/Gro is present
in atherosclerotic lesions (60).
The leukocyte infiltrate of IL-13-secreting tumors has a major
mononuclear phagocyte component (75). It is tempting to
speculate that IL-13 might act directly in the recruitment of monocytes
for its chemotactic activity (76), or by inducing the
expression of IL-8 receptors on these effector cells.
IL-8 and related CXC chemokines have long been known to be selective
neutrophil attractants in vitro and in vivo (53, 77, 78),
with little or no effect on monocytes. The results presented in this
paper show that IL-4 and IL-13 convert ELR+ CXC
chemokines into potent monocyte attractants by up regulating receptor
expression. Furthermore, this study reports that two Th2 pathologies
characterized by the presence of IL-4 and IL-13 are characterized by an
infiltrate of IL-8 receptor positive mononuclear cells. Therefore, IL-8
and other CXC chemokines, whose production is weakly induced in
endothelial cells by IL-4 and IL-13, may contribute to the accumulation
and positioning of alternatively activated macrophages in Th2-dominated
responses (2, 61).
 |
Footnotes
|
|---|
1 This work was supported by Istituto Superiore di Sanità, AIDS Project and Italy-U.S. Program on Therapy of Tumors, by 40% fund from Ministero dellUniversitá e della Ricerca Scientifica e Technologica (MURST), Italy, by grants of the Regione del Veneto, Giunta Regionale-Ricerca Sanitaria Finalizzata-Venezia-Italia, Progetto Sanità 1996/97, Fondazione Cassa di Risparmio di Verona, Vicenza, Belluno e Ancona, and has been conducted in part under a research contract with Consorzio Autoimmunità Tardiva C.A.U.T., Pomezia, Italy, within the "Programma Nazionale Farmaci-seconda fase" of the Italian Ministry of the University Scientific and Technological Research. The generous contribution of the Italian Association for Cancer Research (AIRC) is gratefully acknowledged. R.B. is a recipient of a Fondazione Italiana per la Ricerca sul Cancro (FIRC) fellowship. 
2 Address correspondence and reprint requests to Dr. Silvano Sozzani, Istituto di Ricerche Farmacologiche "Mario Negri," via Eritrea 62, 20157 Milan, Italy. E-mail address: 
3 Abbreviations used in this paper: Gro, growth-regulated oncogene; IP-10, IFN-
inducible protein-10; MCP, monocyte chemotactic protein; MIP, macrophage inflammatory protein; NAP, neutrophil activating protein; ELR, Glu-Leu-Arg. 
Received for publication November 4, 1999.
Accepted for publication January 14, 2000.
 |
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E. Rigamonti, C. Fontaine, B. Lefebvre, C. Duhem, P. Lefebvre, N. Marx, B. Staels, and G. Chinetti-Gbaguidi
Induction of CXCR2 Receptor by Peroxisome Proliferator-Activated Receptor {gamma} in Human Macrophages
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[Abstract]
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A. Matsuda, S. Fukuda, K. Matsumoto, and H. Saito
Th1/Th2 Cytokines Reciprocally Regulate In Vitro Pulmonary Angiogenesis via CXC Chemokine Synthesis
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T. Yamagata, H. Sugiura, T. Yokoyama, S. Yanagisawa, T. Ichikawa, K. Ueshima, K. Akamatsu, T. Hirano, M. Nakanishi, Y. Yamagata, et al.
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W. A. Boisvert, D. M. Rose, K. A. Johnson, M. E. Fuentes, S. A. Lira, L. K. Curtiss, and R. A. Terkeltaub
Up-Regulated Expression of the CXCR2 Ligand KC/GRO-{alpha} in Atherosclerotic Lesions Plays a Central Role in Macrophage Accumulation and Lesion Progression
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C. J. Scotton, F. O. Martinez, M. J. Smelt, M. Sironi, M. Locati, A. Mantovani, and S. Sozzani
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M. Vulcano, S. Dusi, D. Lissandrini, R. Badolato, P. Mazzi, E. Riboldi, E. Borroni, A. Calleri, M. Donini, A. Plebani, et al.
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M. Strasly, G. Doronzo, P. Capello, D. Valdembri, M. Arese, S. Mitola, P. Moore, G. Alessandri, M. Giovarelli, and F. Bussolino
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D. Leali, P. Dell'Era, H. Stabile, B. Sennino, A. F. Chambers, A. Naldini, S. Sozzani, B. Nico, D. Ribatti, and M. Presta
Osteopontin (Eta-1) and Fibroblast Growth Factor-2 Cross-Talk in Angiogenesis
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N. W. Lukacs, A. L. Miller, and C. M. Hogaboam
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A. Soruri, Z. Kiafard, C. Dettmer, J. Riggert, J. Kohl, and J. Zwirner
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A. L. Miller, R. M. Strieter, A. D. Gruber, S. B. Ho, and N. W. Lukacs
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J. H. Von der Thusen, J. Kuiper, T. J. C. Van Berkel, and E. A. L. Biessen
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P. L. Podolin, B. J. Bolognese, J. J. Foley, D. B. Schmidt, P. T. Buckley, K. L. Widdowson, Q. Jin, J. R. White, J. M. Lee, R. B. Goodman, et al.
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S L Traves, S V Culpitt, R E K Russell, P J Barnes, and L E Donnelly
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J. M. Schuh, K. Blease, and C. M. Hogaboam
CXCR2 Is Necessary for the Development and Persistence of Chronic Fungal Asthma in Mice
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M. Thivierge, J. Stankova, and M. Rola-Pleszczynski
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G. Penna, S. Sozzani, and L. Adorini
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A. Zernecke, K. S. C. Weber, L. P. Erwig, D. C. Kluth, B. Schroppel, A. J. Rees, and C. Weber
Combinatorial Model of Chemokine Involvement in Glomerular Monocyte Recruitment: Role of CXC Chemokine Receptor 2 in Infiltration During Nephrotoxic Nephritis
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D. C. Kluth, C. V. Ainslie, W. P. Pearce, S. Finlay, D. Clarke, I. Anegon, and A. J. Rees
Macrophages Transfected with Adenovirus to Express IL-4 Reduce Inflammation in Experimental Glomerulonephritis
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