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Division of Clinical Immunology and Allergy, University of Naples Federico II, Naples, Italy
| Abstract |
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| Introduction |
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The sPLA2s are considered digestive, neurotoxic, myotoxic, and anticoagulant enzymes (9, 10). However, more recently, sPLA2s have been reported to exert also proinflammatory and antibacterial activities (11, 12, 13). The recovery of large quantities of group IIA sPLA2 from inflammatory fluids and increased levels of this enzyme in plasma of patients with inflammatory diseases such as septic shock, adult respiratory distress syndrome, and acute pancreatitis led to the hypothesis that sPLA2s may play a role in inflammation and tissue damage (14). One mechanism by which sPLA2s may participate in inflammatory reactions is by generating arachidonic acid, the precursor of eicosanoids (15, 16). These molecules are potent mediators of inflammation by influencing vascular and bronchial responses and promoting inflammatory cell recruitment (17). However, it is becoming increasingly evident that many effects of sPLA2s are unrelated to their enzymatic activity; rather, they can be attributed to the engagement of specific receptors on target cells (18, 19, 20). One of the receptors for sPLA2s, the M-type, displays a high degree of homology with the mannose receptor, a member of the lectin-binding family of receptors, constitutively expressed on macrophages (21). Binding of the mannose receptor on macrophages activates phagocytosis (22) and the production of proinflammatory cytokines (23). These observations raised the question of whether sPLA2s activate human macrophages by binding to specific membrane receptors. Macrophages play a central role in inflammatory and immune responses by releasing a variety of mediators and cytokines (24). In addition, macrophages are abundant at sites where group IIA sPLA2 is released in vivo, such as the synovial fluid (25) or the alveolar space (26). Our hypothesis was that macrophages may be activated by sPLA2s to produce different proinflammatory mediators. To test this hypothesis we explored the abilities of two different sPLA2s (group IA and IIA) to induce the release of the lysosomal enzyme ß-glucuronidase and the production of IL-6 from human lung macrophages.
| Materials and Methods |
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Group IA sPLA2 (from Naja mossambica mossambica venom), p-aminophenyl-mannopyranoside-BSA (mp-BSA), LPS, Percoll, L-glutamine, antibiotic-antimycotic solution (10,000 IU/ml penicillin, 10 mg/ml streptomycin, and 25 µg/ml amphotericin B), fatty acid-free HSA, Triton X-100, and phenolphthalein glucuronide were purchased from Sigma (St. Louis, MO). RPMI and FCS were purchased from ICN (Costa Mesa, CA). Arachidonoyl trifluoromethyl ketone (AACOCF3) was purchased from Biomol (Plymouth Meeting, PA). The mAb anti-human synovial PLA2 was purchased from Cayman Chemical (Ann Arbor, MI). Group IIA (recombinant human synovial) PLA2 was a gift from Dr. James Winkler (SmithKline and Beecham, King of Prussia, PA). LY311727 was a gift from Dr. Jerome H. Fleisch (Lilly Research Laboratories, Indianapolis, IN). The anti-mannose receptor Ab (PAM-1) was a gift from Dr. Silvano Sozzani (Istituto Mario Negri, Milan, Italy). A 100-bp DNA ladder was purchased from Life Technologies (Gaithersburg, MD). IL-6 and ß-actin primers were designed by Dr. David Essayan (Johns Hopkins University, Baltimore, MD) and were produced and purified by The Johns Hopkins DNA Core Facility. All other reagents were obtained from Carlo Erba (Milan, Italy).
PIPES buffer was composed of 25 mM PIPES (Sigma), 110 mM NaCl, and 5 mM KCl, pH 7.4. Glycine buffer was composed of 400 mM glycine and 400 mM NaCl, pH 10.3 (27).
Isolation and purification of human lung macrophages
Macrophages were obtained from the lung parenchyma of patients
undergoing thoracic surgery for lung carcinoma as previously reported
(28). Macroscopically normal tissue was minced finely with
scissors and washed extensively with PIPES buffer over Nytex cloth (120
µm pore size; Tetko, Elmsford, NY). The macrophage suspension was
enriched (7585%) by flotation over Percoll density gradients as
previously described (28), and the cells were resuspended
(106 cells/ml) in RPMI containing 5% FCS, 2 mM
L-glutamine, and 1% antibiotic-antimycotic solution. In
selected experiments we used macrophages isolated from the
bronchoalveolar lavage of patients undergoing diagnostic bronchoscopy
for lung carcinoma. The bronchoalveolar lavage procedure and the
isolation of macrophages were previously described (29).
The cells were then incubated in 24-well plates (Falcon, Becton
Dickinson, Franklin Lakes, NJ) at 37°C in a humidified atmosphere of
5% CO2 and 95% air. After 12 h the medium
was removed, and the plates were gently washed three times with RPMI.
Adherent cells were >95% macrophages as assessed by
-naftylacetate
esterase staining (30).
Cell incubations
Macrophages adherent to 24-well plates were incubated (37°C, 15 min to 18 h) in RPMI containing various concentrations of group IA PLA2 (from N. mossambica mossambica), group IIA sPLA2 (recombinant human synovial PLA2) or mp-BSA. The sPLA2 preparations were frequently checked and were found to be free of LPS contamination. FCS was not used in these incubations, because preliminary experiments indicated that it significantly reduced macrophage responses to sPLA2s. In selected experiments, preincubation with LY311727 (10 µM), AACOCF3 (10 µM), or a blocking Ab anti-group IIA sPLA2 (10 µg/ml) was conducted for 45 min at 37°C before the addition of sPLA2s. In the experiments with the anti-mannose receptor the cells were incubated (4°C, 20 min) with PAM-1 (10 µg/ml), washed three times with RPMI, and subsequently incubated with mp-BSA or group IIA sPLA2. At the end of the experiment the supernatant was removed, centrifuged twice (1000 x g, 4°C, 5 min), and stored up to 72 h at -80°C for subsequent determination of ß-glucuronidase and IL-6 release. At the end of each experiment, an aliquot of cells was stained with trypan blue to determine cell viability. The cells remaining in the plates were lysed with 0.1% Triton X-100 for determination of the total cellular content of proteins and ß-glucuronidase.
ß-Glucuronidase assay
ß-Glucuronidase release in cell-free supernatants or in cell lysates was measured by a colorimetric assay (31). Briefly, 200 µl of supernatants or 100 µl of cell lysates were incubated (37°C, 18 h) with 400 µl of 0.1 M acetate buffer, pH 4.5, containing 1 µmol of phenolphthalein glucuronide. At the end of the incubation, 2 ml of glycine buffer were added to each tube, and the mixture was transferred into a 3-ml cuvette for OD reading at 540 nm. ß-Glucuronidase release was expressed as a percentage of the total cellular content determined in cells lysed with 0.1% Triton X-100. All experiments were conducted in duplicate determinations. Controls were performed to exclude the presence of contaminating ß-glucuronidase activity in the sPLA2s used in these experiments.
IL-6 ELISA assay
IL-6 release in the culture supernatant of macrophages was measured in duplicate determinations by a commercially available ELISA (Euro Clone, Torquay, U.K.) according to the manufacturers instructions. The linearity range of the assay was between 5150 pg/ml. Because the number of adherent macrophages can vary in each well and in different experiments, the results were normalized for the total protein content in each well, determined in the cell lysates (0.1% Triton X-100) by the Lowry method (32).
IL-6 gene expression assay
Macrophages (5 x 106/2 ml) were incubated (37°C, 12 h) in RPMI containing 5% FCS in six-well plates. The cells were then washed and incubated in FCS-free medium alone or with group IA sPLA2 (1 µg/ml) or LPS (10 µg/ml; 37°C, 3 h). At the end of the incubation RNA was isolated by the RNAzol B technique (Tel-Test, Friendswood, TX), according to the manufacturers instructions. Diethylpyrocarbonate-treated water without SDS was used for the final resuspension step; RNA was stored at -80°C. RT was performed with 5 mM MgCl2, oligo(dt)16 primer, and Moloney leukemia virus reverse transcriptase according to the manufacturers instructions (Perkin-Elmer, Norwalk, CT) on a thermocycler (GeneAmp PCR System 2400, Perkin-Elmer). PCR was performed using Taq polymerase (12.5 U/reaction) at the annealing temperature of 60°C with target-specific primers for IL-6 (5'-ATGAACTCCTTCTCCACAAGCGC-3' and 3'-GAAGAGCCCTCAGGCTGGACTG-5' at 0.21 µM/primer) at subsaturating cycle number (30 cycle). Normalization of RNA was achieved by RT-PCR for the constitutive marker gene ß-actin at subsaturating cycle numbers. Strict RNase-free conditions were maintained throughout the procedure (33). All PCR products were visualized by ethidium bromide-stained gel electrophoresis and photographed.
Determination of the enzymatic activity of sPLA2s
The enzymatic activity of group IA and IIA sPLA2 was determined as previously described (20), using [3H]arachidonate-labeled Escherichia coli membranes (New England Nuclear, Boston, MA). The data are expressed as nanomoles of arachidonate released per hour.
LDH assay
LDH release at the end of the incubations was determined as an index of cytotoxicity. LDH was measured in cell-free supernatants using a commercially available kit (Sigma).
Statistical analysis
The data are expressed as the mean ± SE of the indicated number of experiments. p values were determined with t test for unpaired samples with Bonferronis correction (34).
| Results |
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Initial experiments were performed to determine whether group IA
and IIA sPLA2s induced the release of the
lysosomal enzyme ß-glucuronidase from human lung macrophages. The
cells were incubated (37°C, 2 h) with various concentrations of
snake venom sPLA2 (group IA) or human synovial
sPLA2 (group IIA). Fig. 1
shows that both
sPLA2s induce the release of ß-glucuronidase
from macrophages in a concentration-dependent fashion. Group IA
sPLA2 was
10-fold more potent than group IIA
sPLA2. In addition, the maximum response with
group IA sPLA2 (16.2 ± 2.4%) was higher
than that obtained with group IIA sPLA2
(13.1 ± 1.5%). Concentrations of group IA
sPLA2 >10 µg/ml or of group IIA
sPLA2 >20 µg/ml did not induce further release
of ß-glucuronidase. It is important to note that the group IA and IIA
sPLA2s used in these experiments have an
equivalent enzymatic activity as assessed by their ability to release
arachidonate from labeled E. coli membranes (3.1 and 3.4
nmol/h with 1 µg of group IA and IIA, respectively).
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To explore further the activation of macrophages induced by
sPLA2s, we determined whether, in addition to a
preformed mediator such as ß-glucuronidase, group IA and IIA
sPLA2s were able to induce the production of
IL-6, a major cytokine produced by human macrophages (36).
In these experiments the cells were incubated with increasing
concentrations of sPLA2s for 6 h. Both group
IA and group IIA sPLA2 significantly increased
the basal secretion of IL-6 from macrophages (Fig. 3
). As for ß-glucuronidase, group IA
sPLA2 was
10-fold more potent than group IIA
sPLA2 in inducing the release of IL-6. The
maximum increases in IL-6 release over basal production were 275 and
220% with group IA and IIA sPLA2, respectively.
Kinetic analysis of IL-6 secretion induced by
sPLA2s revealed that this event required 46 h
of incubation to become evident (Fig. 4
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In addition, there was no difference in the kinetics of IL-6 release
induced by optimal concentrations of group IA (1 µg/ml) and group IIA
(10 µg/ml) sPLA2s.
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The sPLA2s are able to mobilize arachidonic
acid and to induce the production of eicosanoids in a variety of
inflammatory cells, including macrophages (37). This
effect may be due either to a direct enzymatic effect of
sPLA2 or to the generation of membrane signals
inducing the activation of the cytosolic (group IV)
PLA2 (20, 37, 38). Therefore,
ß-glucuronidase and IL-6 release may be secondary to
sPLA2s-mediated activation of arachidonate
metabolism and leukotriene B4 production.
Leukotriene B4 is the major eicosanoid produced
by human macrophages (30), and it induces enzyme and
cytokine release from these cells (39). To evaluate the
possibility that ß-glucuronidase and IL-6 release may be secondary to
arachidonate mobilization, we preincubated (37°C, 45 min) macrophages
with LY311727, an inhibitor of the enzymatic activity of group IIA
sPLA2 (37), with
AACOCF3, an inhibitor of cytosolic
PLA2 (40) or vehicle (0.1% DMSO),
and subsequently stimulated the cells with group IIA
sPLA2. At the concentrations used in these
experiments (10 µM), LY 311727 inhibited by 92% the hydrolytic
activity of sPLA2s. Fig. 6
shows that incubation with LY311727 or
AACOCF3 did not influence the release of
ß-glucuronidase from macrophages stimulated with group IIA
sPLA2. In contrast, the release of
ß-glucuronidase was completely inhibited when macrophages were
preincubated with a blocking mAb anti-IIA
sPLA2, used as a positive control.
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The latter group of experiments showed that the release of ß-glucuronidase and the de novo synthesis of IL-6 from human macrophages were due neither to the hydrolytic activity of sPLA2s nor to their ability to activate a cytosolic PLA2. Increasing evidence indicates that at least some of the biological activities of low m.w. PLA2s are mediated by the activation of specific membrane receptors (M-type and N-type) (15, 18, 19, 41, 42, 43). The group IA sPLA2 used in our experiments (from N. mossambica mossambica) is reported to recognize both receptors (43), whereas group IIA sPLA2 binds only to the M-type (21). Furthermore, the M-type receptor is homologous to the mannose receptor (21), and it is activated by mannose-containing proteoglycans (20). To test the hypothesis that activation of the mannose receptor was involved in the release of ß-glucuronidase and IL-6 induced by the sPLA2s, we incubated the macrophages with mp-BSA, a known ligand of the mannose receptor (20, 21, 44, 45). In addition, we explored whether there was interference between the three ligands (group IA and IIA sPLA2 and mp-BSA), so as to obtain initial information on the types of receptors expressed on human macrophages.
Fig. 7
shows that mp-BSA alone induced a
significant release of ß-glucuronidase from macrophages (7.6 ±
1.3% of the total cellular content). The maximal concentration of
mp-BSA used was 30 µg/ml, because higher concentrations were found to
be cytotoxic for macrophages. Similar concentrations of nonglycosylated
BSA had no effect on ß-glucuronidase release (data not shown),
indicating that the release of ß-glucuronidase induced by mp-BSA was
not due to a nonspecific effect of proteins. Preincubation with mp-BSA
followed by group IA sPLA2 induced a greater
release of ß-glucuronidase than that induced by the two stimuli alone
(additive effect). Similarly, incubation with group IIA
sPLA2 followed by the addition of group IA
sPLA2 significantly enhanced the release of
ß-glucuronidase induced by group IA sPLA2
alone. In contrast, incubation with mp-BSA followed by group IIA
sPLA2 had no additive effect. These data are
compatible with the hypothesis that mp-BSA and group IIA
sPLA2 activate the same receptor, i.e., either
the mannose or the M-type receptor. To understand the role of the
mannose receptor, macrophages were incubated with a blocking Ab
anti-mannose receptor (PAM-1) and subsequently stimulated with
mp-BSA or group IIA sPLA2 at approximately
equimolar concentrations (
0.3 µM). Fig. 8
shows that preincubation with PAM-1
significantly inhibits the release of ß-glucuronidase induced by
group IIA sPLA2. As expected, PAM-1 also
inhibited ß-glucuronidase release induced by mp-BSA, a known ligand
of the mannose receptor (44, 45). Taken together, these
data suggest that mp-BSA and group IIA sPLA2 are
acting on the same receptor (presumably the mannose receptor) and that
the group IA sPLA2 may be acting on a different
receptor (presumably the N-type) or on both receptors (N-type and
mannose/M-type).
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| Discussion |
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These data indicate that sPLA2s generate an intracellular signal that activates both exocytosis and cytokine gene transcription in macrophages. The simultaneous effect of sPLA2s on degranulation and gene expression suggests that these molecules may influence not only the proinflammatory potential but also other functions of macrophages, including the interaction with T and B cells, phagocytosis, and bacterial killing (47, 48).
ß-Glucuronidase is a lysosomal enzyme whose release is generally used as a marker of exocytosis in phagocytic cells (49). This enzyme is involved in Ag processing and in the killing of intracellular pathogens. When released, ß-glucuronidase plays a role in tissue damage and remodeling, two key features of inflammation (49).
IL-6 is a pleiotropic cytokine involved in hemopoietic cell differentiation and in B-cell proliferation and activation (36). It is also a hepatocyte-stimulating factor, and it induces the expression and release of acute-phase proteins (50). Group IIA sPLA2 shares many features with acute-phase proteins: it is released in vivo during systemic inflammation, and it can be secreted in vitro by hepatocytes stimulated with proinflammatory cytokines such as IL-1, IL-6, and GM-CSF (51). Although many studies have documented that cytokines, particularly IL-6, may induce the expression and release of group IIA sPLA2 (51, 52, 53), our study provides the first evidence that sPLA2 is a potent stimulus for cytokine production by human macrophages. Therefore, sPLA2 and IL-6 may synergistically cooperate to the development of the inflammatory response by potentiating each others synthesis.
In vivo administration of exogenous sPLA2 in
experimental animals elicits a severe inflammatory reaction. For
example, intratracheal administration of group IA
sPLA2 in rats induces interstitial and alveolar
edema associated with neutrophil influx and impaired gas exchange and
high mortality (12). These changes strongly resemble those
observed in patients with adult respiratory distress syndrome.
Similarly, the intra-articular injection of group IIA
sPLA2 induces inflammation with a predominantly
neutrophilic infiltrate and extensive tissue damage (11).
Although sPLA2 can directly activate neutrophils
(16), this effect may be at least in part induced by the
activation of resident macrophages. Studies are currently ongoing to
determine whether sPLA2 can stimulate human
macrophages to release, in addition to IL-6, other cytokines active on
neutrophils, such as IL-1, IL-8, TNF-
, and GM-CSF.
The concentrations of sPLA2s sufficient to elicit exocytosis and IL-6 production from macrophages are comparable with those detectable in vivo. For example, plasma concentrations of sPLA2 in conditions such as septic shock or extensive burns increase to between 0.1 and 1 µg/ml (54), and levels as high as 4 µg/ml are reported in acute pancreatitis (55). Even higher concentrations can be reached in inflammatory fluids, such as the synovial, bronchoalveolar lavage, or peritoneal fluid. Therefore, activation of resident macrophages clearly occurs at sites of sPLA2 release in vivo.
Like other effects of sPLA2 increasingly reported in the literature (18, 19, 20, 42, 53, 56), the stimulation of ß-glucuronidase and IL-6 release from human macrophages is apparently independent from its direct or indirect (via cPLA2) arachidonate-mobilizing activity. This concept is supported by at least three lines of evidence. First, exocytosis induced by sPLA2 is not blocked by LY311727 and AACOCF3, two previously characterized inhibitors of sPLA2 (37) and cPLA2 (40), respectively. Second, there is no correlation between the enzymatic activities of the sPLA2s, which are similar for groups IA and IIA, and their capacities to release ß-glucuronidase and IL-6, with group IA being 10-fold more potent than group IIA. Third, mp-BSA, a molecule that has no direct arachidonate-releasing capacity, also induces the release of ß-glucuronidase. The observation that removal of extracellular Ca2+, which is necessary for the hydrolytic activity of sPLA2, also inhibits ß-glucuronidase release can be explained by the fact that Ca2+ is required for activation of exocytosis in macrophages (24). In fact, initial experiments indicate that sPLA2s generate a cytosolic Ca2+ signal in human macrophages (M. Triggiani et al., unpublished observation). Taken together, these observations suggest the existence of specific binding sites for sPLA2s on human macrophages.
Several sPLA2 receptors have been demonstrated in cells, including mast cells (57), vascular smooth muscle cells (56), platelets (58), neutrophils (16), chondrocytes (59), fibroblasts (60), hepatocytes (51), and mesangial cells (53), and in tissues such as brain (41), lung (18), and skeletal muscle (42). The two best characterized receptors for sPLA2 are the M-type and the N-type. The different dose-response curves of group IA sPLA2, active on both the M-type and the N-type, and group IIA sPLA2, active only on the M-type, suggest that both receptors may be present on human macrophages. The M-type receptor has been included in a family of lectin-binding receptors (61), including the mannose receptor, uniquely expressed on macrophages (44), and the DEC-205, expressed on dendritic cells (62). mp-BSA, which is a ligand of the mannose receptor, induces ß-glucuronidase release quantitatively similar to that induced by group IIA sPLA2. In addition, the simultaneous exposure of macrophages to both mp-BSA and group IIA sPLA2 has no additive effect suggesting that mp-BSA and group IIA sPLA2 share a common receptor. This hypothesis is further supported by the experiments showing that blockade of the mannose receptor results in a significant inhibition of exocytosis induced by both mp-BSA and group IIA sPLA2. Although these data do not exclude the presence of the M-type receptor, they strongly implicate the mannose receptor as the binding site activated by group IIA sPLA2 on human macrophages. Although the binding of sPLA2s to the mannose receptor has been shown previously (46, 63), our data provide the first evidence that this interaction is functionally coupled with exocytosis in human macrophages. In contrast, the effect of group IA sPLA2 is significantly enhanced when macrophages are preincubated with either mp-BSA or group IIA sPLA2. Taken together, these data are compatible with the hypothesis that at least two sPLA2 receptors may be present on human macrophages, one of which may be the mannose receptor.
In conclusion, our data provide the first demonstration that sPLA2s are potent stimuli of exocytosis and IL-6 production in human macrophages in vitro via activation of the mannose receptor and probably another specific receptor(s). This effect may play a major role in the proinflammatory activity of sPLA2s, and it may concur, along with the arachidonate-mobilizing capacity of these enzymes, to the mechanism of sPLA2-induced inflammatory responses and tissue damage. The relative abundance of macrophages at sites where sPLA2 is released during inflammatory diseases, such as the joints, the airways, and the peritoneal cavity, strengthens the in vivo relevance of this finding.
| Footnotes |
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2 Address correspondence and reprint requests to Dr. Massimo Triggiani, Division of Clinical Immunology and Allergy, University of Naples Federico II, Via Pansini 5, 80131 Naples, Italy. ![]()
3 Abbreviations used in this paper: PLA2, phospholipase A2; sPLA2, secretory PLA2; AACOCF3, arachidonoyl trifluoromethyl ketone; HSA, human serum albumin; mp-BSA, p-aminophenyl-mannopyranoside-BSA; LDH, lactate dehydrogenase. ![]()
Received for publication October 25, 1999. Accepted for publication February 17, 2000.
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