The JI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     
 


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Vallejo, J. G.
Right arrow Articles by Sivasubramanian, N.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Vallejo, J. G.
Right arrow Articles by Sivasubramanian, N.
The Journal of Immunology, 2000, 165: 419-425.
Copyright © 2000 by The American Association of Immunologists

Group B Streptococcus Induces TNF-{alpha} Gene Expression and Activation of the Transcription Factors NF-{kappa}B and Activator Protein-1 in Human Cord Blood Monocytes1

Jesus G. Vallejo2,*, Pascal Knuefermann{dagger},{ddagger}, Douglas L. Mann{dagger},{ddagger} and Natarajan Sivasubramanian{dagger},{ddagger}

* Infectious Diseases Section, Department of Pediatrics; Cardiology Section, Department of Medicine; and {dagger} Winters Center for Heart Failure Research, {ddagger} Veterans Affairs Medical Center, § Baylor College of Medicine, Houston, TX 77030


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
It has been postulated that production of TNF-{alpha} is central to the pathogenesis of septic shock induced by group B Streptococcus (GBS). In vitro studies using human cord blood monocytes have demonstrated that GBS induces TNF-{alpha} secretion, but little is known about the intracellular signaling pathways of TNF-{alpha} induction. In this report we show that heat-killed serotype III GBS induces host cell signal transduction pathways that lead to activation of the transcription factors NF-{kappa}B and AP-1. Using adenoviral transfer of I{kappa}B{alpha} (I{kappa}B{alpha} overexpression), the production of TNF-{alpha} induced by whole GBS was inhibited by only 20%. We also show that the p38 mitogen-activated protein kinase (MAPK) pathway is involved in GBS-induced TNF-{alpha} secretion, because TNF-{alpha} protein and mRNA levels in the presence of a specific inhibitor of p38 MAPK, SB 202190, were dramatically diminished. EMSAs showed that SB 202190 inhibited GBS-induced AP-1 activation, but had no effect on NF-{kappa}B-DNA binding activity. These results indicate that both NF-{kappa}B and AP-1 (via p38 MAPK) are involved in the regulation of TNF-{alpha} production in GBS-stimulated neonatal monocytes. Therefore, disrupting the signal transduction pathways induced by GBS has the potential to attenuate the production of immune response mediators, thereby halting or possibly reversing the course of this potentially fatal disease.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Neonatal sepsis due to group B Streptococcus (GBS)3is life threatening and is estimated to affect 1.8 infants/1000 live births in the United States (1). In the most severe cases, GBS elicits a host response leading to septic shock and multiorgan failure that is clinically indistinguishable from that induced by Gram-negative bacteria. A number of studies have examined the role of cytokines in the pathogenesis of experimental neonatal GBS sepsis (2, 3, 4). In this model of Gram-positive sepsis, GBS produces many of the manifestations of septic shock by inducing overproduction of the proinflammatory cytokine TNF-{alpha}. Supporting this model, passive immunization against TNF-{alpha} affords significant protection from an otherwise lethal infection with GBS (4, 5). Based on these findings, several investigators have proposed that optimal therapy of human neonatal GBS sepsis may require administration of antibiotics and Abs directed against TNF-{alpha} (4, 5). However, similar experimental results with endotoxin-induced shock have not translated into beneficial outcomes in human clinical trials of anticytokine therapy in Gram-negative sepsis (6, 7, 8). Therefore, in an effort to develop more effective strategies to treat patients with sepsis, investigators have sought to understand the molecular mechanisms by which specific bacteria induce TNF-{alpha} production.

To date, the majority of studies have focused on the role of LPS-induced TNF-{alpha} synthesis in the setting of Gram-negative sepsis (9, 10). These studies have shown that LPS is sufficient to induce TNF-{alpha} biosynthesis through a pathway that involves p38 mitogen-activated protein kinase (MAPK) and increased activation of NF-{kappa}B and AP-1 (11, 12, 13). However, little is known about the basic mechanisms that are responsible for TNF-{alpha} biosynthesis following human infection with Gram-positive organisms such as GBS. Therefore, in the present study we sought to determine the molecular mechanisms responsible for GBS-induced TNF-{alpha} production following stimulation of human umbilical cord blood monocytes. We show that GBS interaction with cord blood monocytes induces host cell signal transduction pathways that result in activation of the transcription factors NF-{kappa}B and AP-1 through a pathway that involves phosphorylation of the p38 MAPK. Thus, these studies suggest that Gram-positive and Gram-negative bacteria may activate similar signal transduction pathways in the setting of human sepsis. Accordingly, these studies raise the interesting possibility that it may be feasible to develop new therapeutic strategies that may be effective as adjunctive therapy in both Gram-positive and Gram-negative sepsis.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Bacterial strain and growth conditions

An encapsulated type III GBS strain (COH1) originally isolated from the blood of an infant with GBS sepsis was used in the experiments (provided by Dr. Craig J. Rubens, University of Washington, Seattle, WA). Bacteria were grown to log phase in Columbia broth and heat killed by incubating the organisms at 56°C for 1 h. Aliquots were stored at -70°C for later use. At a bacterial concentration of 108 CFU/ml, the endotoxin contamination was <=10 pg/ml as measured by the Limulus amebocyte lysate assay (Chromogenic LAL, BioWhittaker, Walkersville, MD; test performed by Dr Edward O. Mason, Jr., C. T. Parker Laboratory, Texas Children’s Hospital, Houston, TX).

Isolation of human umbilical cord blood monocytes

Umbilical cord blood was collected immediately after delivery of the placenta during uncomplicated elective cesarean section. Monocytes were purified by gradient density centrifugation and enriched by adherence to tissue culture plates. As previously reported by our group (14), this technique results in an adherent cell population consisting of 85–90% monocytes. Viability, determined by trypan blue exclusion, was consistently >95%. Cells were maintained in RPMI 1640 (Life Technologies, Gaithersburg, MD) tissue culture medium supplemented with L-glutamine, 1% heat-inactivated human serum, 25 mM HEPES, and gentamicin (50 µg/ml). All reagents and culture media used in monocyte isolation and stimulation studies contained <0.03 endotoxin units/ml by Limulus amebocyte lysate assay (Associates of Cape Cod, Woods Hole, MA). Monocytes were cultured at a density of 107 cells/ml for mRNA extraction, nuclear extraction experiments, adenoviral infection studies, p38 MAPK measurements, and I{kappa}B-{alpha} measurements. A total of 106 cells/ml were stimulated for TNF-{alpha} protein production. For all experiments monocytes were incubated at 37°C in a 5%CO2 atmosphere.

Adenoviral vectors and their propagation

An adenovirus encoding porcine I{kappa}B{alpha} (AdvI{kappa}B{alpha}) with a CMV promoter and a nuclear localization sequence was provided by Dr. R. de Martin (Vienna, Austria). A recombinant, replication-deficient, adenoviral vector encoding Escherichia coli ß-galactosidase (Adv-ßgal) was provided by Dr. Alan Davis (Center for Cell and Gene Therapy, Baylor College of Medicine). Vector propagation and titrating were performed in the 293 human embryonic kidney cell line at the Baylor Center for Cell and Gene Therapy using standard methods (15).

Infection techniques

Infection of monocytes was performed exactly as described by Bondeson et al. (16). The isolated monocytes were incubated at 107/ml in RPMI 1640 with 25 mM HEPES and 2 mM L-glutamine supplemented with 5% (v/v) heat-inactivated FCS and 50 µg/ml gentamicin. The isolated monocytes were pretreated with macrophage CSF (100 ng/ml; R&D Systems, Minneapolis, MN) for 48 h. The cells were subsequently infected for 2 h with a multiplicity of infection of 80:1 (determined in dose-response experiments) of either AdvI{kappa}B{alpha} or Adv-ßgal in serum-free RPMI 1640. Cells were then incubated in RPMI supplement as described above for 48 h to allow significant overexpression of I{kappa}B{alpha}. The efficiency of infection was assessed by expression of ß-gal using the ß-gal staining kit as recommended by the manufacturer (Invitrogen, Carlsbad, CA).

Stimulation of cells

Monocytes were stimulated for various time periods with heat-killed, but intact, serotype III GBS (108 CFU/ml) in the presence of 5% heat-inactivated human serum. Supernatants for TNF-{alpha} protein determination were harvested at 0, 30, 60, 120, and 240 min. Total RNA was isolated at 4 h, and nuclear protein extracts were prepared at 0, 30, and 60 min after GBS stimulation of monocytes. For NF-{kappa}B studies, monocytes stimulated for 60 min with LPS E. coli strain 055:B5 (1 µg/ml; Sigma, St. Louis, MO) or recombinant human TNF-{alpha} (25 ng/ml; R&D Systems) were used as controls. For I{kappa}B-{alpha} degradation and p38 MAP kinase activity, cells were stimulated from 0–30 min. To evaluate the role of the p38 MAPK pathway in GBS-induced TNF-{alpha} production, monocytes were pretreated (1 h) with varying concentrations of SB 202190 (Calbiochem, La Jolla, CA) and subsequently stimulated with GBS for 4 h. SB 202190 is a cell-permeable pyridinyl imidazole that acts as an inhibitor of p38 MAPK without significant effect on the activity of extracellular regulated kinase or c-Jun amino-terminal kinase subgroups. This compound has been reported to block LPS-induced TNF-{alpha} and IL-1ß production in mice (17).

TNF-{alpha} ELISA

To detect TNF-{alpha} production, monocytes (106 cell/ml) were suspended in RPMI 1640 containing 5% heat-inactivated human serum. Cells were subsequently stimulated with GBS (108 CFU/ml) at 37°C for various times. Cell-free supernatants were harvested and analyzed for TNF-{alpha} production using a commercially available ELISA kit (Genzyme, Cambridge, MA). Samples were quantified by reference to a standard curve constructed using human recombinant TNF-{alpha} standards (15–1200 pg/ml). Results were expressed as the mean ± SEM of three independent experiments.

RNA isolation and Northern blot analysis

Total RNA was extracted from monocytes (107 cell/ml) by the guanidinium thiocyanate method (18). Total RNA (5 µg/lane) was denatured at 90°C for 5 min, size fractionated on a 1% agarose gel containing 2.2 M formaldehyde, transferred onto a nylon membrane (Gene-Screen, DuPont-NEN, Boston, MA), and hybridized sequentially to random primed cDNA probes. The following probes were used for Northern blot analyses: a 1.1-kb PstI fragment of human TNF-{alpha} (American Tissue Culture Collection, Manassas, VA) and a 0.5-kb Xba/HindIII fragment of human GAPDH gene, which was used as an internal control. Autoradiograms were prepared by exposure of blots to Hyperfilm MP (Amersham Pharmacia Biotech, Piscataway, NJ) at -70°C. The signals were quantified with ImageQuant software (Personal Densitometer I, Molecular Dynamics, Sunnyvale, CA).

Preparation of nuclear protein extracts

At the indicated intervals after stimulation, nuclear extracts were prepared as described by Tran-Thi et al. (19). In brief, cord blood monocytes were washed with cold PBS and suspended in 1 ml of buffer. After 15 s of centrifugation at 14,000 x g, cell pellets were lysed with 35 µl of cold buffer C (20 mM HEPES-NaOH (pH 7.9), 25% glycerol, 420 mM NaCl, 1.5 mM MgCl, 0.2 mM EDTA, 0.5 mM PMSF, and 0.5 mM DTT). After 30 min on ice, cell lysates were centrifuged at 14, 000 x g at 4°C for 15 min. The nuclear proteins were quantified by the bicinchoninic acid method (Pierce, Rockford, IL) and stored in aliquots at -70°C.

Electrophoretic mobility shift assays

The NF-{kappa}B consensus oligonucleotide probe (5'-AGTTGAGGGGACTTTCCCAGGC-3') and the AP-1 oligonucleotide probe (5'-CGCTTGATGACTCAGCCGGA-3') were purchased from Santa Cruz Biotechnology (Santa Cruz, CA). The probes were labeled with [{gamma}-32P]ATP using T4 polynucleotide kinase (Life Technologies) and were purified in Bio-Spin chromatography columns (Bio-Rad, Hercules, CA). For EMSA, 10 µg of nuclear proteins were preincubated with EMSA buffer (12 mM HEPES-NaOH (pH 7.9), 60 mM KCl, 1 mM EDTA, 1 mM DTT, 2 µg poly(dI-dC), and l0% glycerol) on ice for 10 min before addition of the radiolabeled probe for an additional 30 min at room temperature. Competition studies were conducted with 50- and 100-fold molar excesses of unlabeled oligonucleotides added to the reaction mixtures before addition of the radiolabeled oligonucleotides. DNA-protein complexes were resolved by electrophoresis on native 4% polyacrylamide gels in 0.5x Tris borate-EDTA buffer for 2 h at 160 V. Gels were transferred to Whatman 3M paper (Whatman, Clifton, NJ), dried under a vacuum at 80°C for 2 h, and exposed overnight to Hyperfilm MP (Amersham Pharmacia Biotech) at -70°C with an intensifying screen.

I{kappa}B{alpha} Western blot analysis

Cytoplasmic extracts were prepared from 107 cell/ml at different times after stimulation with GBS. Cells were lysed with lysis buffer (50 mM Tris-HCl; 150 mM NaCl; 1% Triton X-100 (pH 8.0); 1 µg/ml each of leupeptin, pepstatin, and antipain; 1 mM PMSF; 1 mM NaF; and 1 mM Na3VO4), and protein concentrations were determined using the bicinchoninic acid method (Pierce). Whole cell lysates were boiled in equal volumes of loading buffer (125 mM Tris-HCl (pH 6.8), 4% SDS, 20% glycerol, and 10% 2-ME), and 30 µg of protein was loaded per lane in 12% polyacrylamide gels. Proteins were separated electrophoretically and transferred to nitrocellulose membranes (Bio-Rad) using the Bio-Rad MiniGel system. For immunoblotting, membranes were blocked with 5% nonfat dried milk in Tris-buffered saline (25 mM Tris buffer (pH 7.6) containing 137 mM NaCl) with 0.05% Tween 20 (TBST) for 1 h. Immunostaining for I{kappa}B-{alpha} was performed with polyclonal rabbit anti-human I{kappa}B-{alpha} (diluted 1/1000; Santa Cruz Biotechnology) Ab. After washing three times with TBST, the blots were incubated with a 1/1000 dilution of secondary Ab consisting of HRP-conjugated anti-rabbit IgG (Amersham Pharmacia Biotech) Ab for 2 h. Blots were washed three times with TBST, incubated in enhanced chemiluminescence reagents (ECL-Plus, Amersham Pharmacia Biotech), and exposed to photographic film.

p38 MAPK Western blot analysis

Protein phosphorylation of p38 has been shown to be an accurate indicator of its activation (20). To determine the protein phosphorylation of p38 MAPK at different times after stimulation with GBS, monocytes (107 cells/ml) were washed with cold PBS containing 1 mM Na3VO4 and subsequently lysed in lysis buffer (50 mM Tris-HCl; 150 mM NaCl; 1% Triton X-100 (pH 8.0); 1 µg/ml each of leupeptin, pepstatin, and antipain; 1 mM PMSF; 1 mM NaF; and 1 mM Na3VO4). Proteins were separated by 12% SDS-PAGE, transferred, and blocked as described above. Membranes were subsequently incubated with 1/500 diluted primary rabbit Ab against Thr180/Tyr182-phosphorylated p38 MAPK (New England Biolabs, Beverly, MA) at 4°C overnight. After washing three times with TBST, the blots were incubated with 1/1000 diluted secondary Ab of HRP-conjugated anti-rabbit IgG (Amersham Pharmacia Biotech) for 2 h. Blots were washed three times with TBST, incubated in enhanced chemiluminescence reagents (ECL-Plus, Amersham Pharmacia Biotech), and exposed to photographic film. Membranes were also probed with primary Ab raised against unphosphorylated p38 MAPK (New England Biolabs).

Statistical analysis

The results represent the mean ± SEM of three experiments unless otherwise specified. One-way ANOVA was used to test for mean differences in TNF-{alpha} production after treatment with the p38 MAPK inhibitor SB 202190. A p value <0.05 was considered significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Induction of TNF-{alpha} after stimulation of cord blood monocytes with GBS

The kinetics of TNF-{alpha} production were examined (n = 3) by incubating monocytes with GBS (108 CFU/ml) for varying time points (Fig. 1GoA). Measurable TNF-{alpha} protein biosynthesis in the supernatant was detected within 2 h of exposure and increased dramatically by 4 h. Unstimulated monocytes (0, 0.5, 1, 2, and 4 h) and those stimulated for 30–60 min produced low, but detectable, amounts of TNF-{alpha}. This finding is in accordance with previous studies reported from this laboratory (14).



View larger version (25K):
[in this window]
[in a new window]
 
FIGURE 1. GBS stimulation induces TNF-{alpha} protein biosynthesis and mRNA expression in human cord blood monocytes. A, Monocytes were exposed to GBS (108 CFU/ml) for the indicated time period, and TNF-{alpha} was measured by ELISA. Data are expressed as the mean ± SEM of three experiments with different blood donors. B, TNF-{alpha} gene expression was assessed by Northern blot analyses in monocytes stimulated for various times with GBS (108 CFU/ml); the expression of GAPDH mRNA was used as an internal control. This Northern blot is representative of three experiments.

 
Northern blot analyses (n = 3) were performed to correlate the kinetics of TNF-{alpha} gene expression with the appearance of TNF-{alpha} in the supernatant of stimulated cells (Fig. 1GoB). An increase (from baseline) in TNF-{alpha} mRNA expression was first detected 1 h after stimulation with GBS and increased dramatically by 4 h. These data suggested that GBS-induced TNF-{alpha} biosynthesis was at least in part regulated at the transcriptional level.

Activation of transcription factors NF-{kappa}B and AP-1 by GBS

Incubation of GBS with cord blood monocytes may induce alterations in signal transduction pathways that modulate cellular transcription factors. Furthermore, the activation of transcription factors and proinflammatory cytokines such as TNF-{alpha} may be coordinately inducible in GBS-stimulated monocytes. To elucidate the mechanism(s) by which GBS induces the transcriptional activity of the TNF-{alpha} gene, we analyzed the binding activities of NF-{kappa}B and AP-1 in GBS-exposed monocytes by EMSA. Cells treated with TNF-{alpha} or LPS served as positive controls. At different time points after challenge, nuclear extracts were assayed for NF-{kappa}B-DNA binding activity using a radiolabeled specific oligonucleotide probe. As shown in Fig. 2GoA (n = 3), nuclear extracts from unstimulated monocytes contained low basal levels of NF-{kappa}B binding activity. In accordance with the kinetics of GBS-induced TNF-{alpha} biosynthesis and TNF-{alpha} mRNA induction, inducible NF-{kappa}B binding activity was detected within 30 min and increased progressively (60 min) following exposure to GBS. Cold oligonucleotide competition demonstrated that the binding of NF-{kappa}B was specific, as the unlabeled NF-{kappa}B oligonucleotide prevented formation of radiolabeled protein-DNA complexes. As another measure of NF-{kappa}B activation we examined the changes in cytoplasmic I{kappa}B{alpha} (37-kDa) protein levels in GBS-stimulated monocytes. Immunoblotting analysis revealed that GBS rapidly induced the disappearance of I{kappa}B{alpha} within 15–30 min (Fig. 2GoB) after stimulation of monocytes.



View larger version (46K):
[in this window]
[in a new window]
 
FIGURE 2. GBS stimulation increases NF-{kappa}B binding activity and I{kappa}B-{alpha} degradation in human cord blood monocytes. A, Kinetics of NF-{kappa}B-DNA binding activity in monocytes exposed to GBS as detected by EMSA. Monocytes were exposed to medium alone (UN) or were stimulated with GBS for 30 min (GBS-30') to 60 min (GBS-60'). Cells stimulated for 60 min with TNF (TNF-{alpha}-60') or LPS (LPS-60') served as controls. Competition experiments were performed using 50 (50x) and 100 (100x) molar excesses of unlabeled NF-{kappa}B oligonucleotide. B, The kinetics of I{kappa}B-{alpha} degradation were determined in untreated (UN) cells and in cells stimulated for various time periods. The EMSA and Western blot are representative of results obtained in three experiments with different blood donors.

 
From the experiments described above, we suggest that activation of NF-{kappa}B represents a critical event in the induction TNF-{alpha} by heat-killed GBS. To further define the role of NF-{kappa}B in the downstream signaling after exposure to GBS, we asked whether I{kappa}B{alpha} overexpression (AdvI{kappa}B{alpha}) could block TNF-{alpha} mRNA up-regulation and protein biosynthesis. As shown in Fig. 3GoA, overexpression of I{kappa}B{alpha} abrogated (100%; n = 3) NF-{kappa}B-DNA binding in monocytes stimulated with either GBS or LPS. However, I{kappa}B{alpha} overexpression decreased GBS-induced TNF-{alpha} mRNA up-regulation and protein biosynthesis by only 15 and 20%, respectively (Fig. 3Go, B and C). In contrast, I{kappa}B{alpha} overexpression inhibited LPS-induced TNF-{alpha} mRNA and protein up-regulation by 70 and 65%, respectively (Fig. 3Go, B and C). Interestingly, in parallel experiments the proteosome inhibitors MG-132 and N-tosyl-L-phenylalanine chloromethyl ketone abrogated GBS-induced NF-{kappa}B activation and decreased both TNF-{alpha} gene expression and protein synthesis by >85% (data not shown).



View larger version (29K):
[in this window]
[in a new window]
 
FIGURE 3. Effect of I{kappa}B{alpha} overexpression on NF-{kappa}B activation, TNF-{alpha} gene expression, and protein biosynthesis following exposure to GBS (108 CFU/ml) or LPS (1 µg/ml). The EMSA and Northern blot are representative of three different experiments.

 
To determine whether AP-1 activation was associated with GBS stimulation of monocytes, we examined AP-1 nuclear translocation by EMSA using radiolabeled target DNA containing Jun/Jun and Fos/Jun binding motifs. Incubation of cord blood monocytes with GBS induced AP-1 activation in a time-dependent manner (Fig. 4Go). Cold oligonucleotide competition experiments showed that the DNA-protein interaction was AP-1 specific.



View larger version (58K):
[in this window]
[in a new window]
 
FIGURE 4. GBS stimulation induces AP-1-DNA binding activity in human cord blood monocytes as detected by EMSA. Monocytes were exposed to medium (UN) or were stimulated with GBS for 30 min (GBS-30') to 60 min (GBS-60'). Competition experiments were performed using a 100-fold molar excess of unlabeled AP-1 oligonucleotide. The EMSA is representative of results obtained in three experiments with different blood donors.

 
GBS stimulation of cord blood monocytes induces activation of the p38 MAPK pathway

Various members of the MAPK family of proteins may modulate regulation of AP-1 activity through phosphorylation (21). In addition, recent studies have suggested that the p38 MAPK pathway may be involved in the activation of NF-{kappa}B (22, 23). Therefore, we examined the capacity of GBS to induce activation of the p38 MAPK pathway in stimulated monocytes. As shown in Fig. 5GoA, cellular p38 MAPK became phosphorylated (and hence activated) in a time-dependent manner in monocytes following stimulation with GBS. The findings were confirmed by examining total cellular p38 MAPK, and Fig. 5GoA indicates that the differences observed for the induced protein phosphorylation of the cellular MAPK did not result from differences in loading or from cellular protein digestion.



View larger version (28K):
[in this window]
[in a new window]
 
FIGURE 5. Activation of p38 MAP kinase in human cord blood monocytes and effect of SB 202190 on TNF-{alpha} production. A, Monocytes were exposed to GBS (108 CFU/ml) for the indicated time periods. Whole cell lysates were prepared, and cellular proteins were separated on 12% SDS-PAGE. Western blotting was performed using Abs specific for phosphorylated p38 and total p38. These results are representative of three similar experiments. B, Monocytes were pretreated (1 h) with the indicated concentrations of SB 202190 and then stimulated with GBS for 4 h. The amount of TNF-{alpha} present in the supernatant was measured by ELISA. Results are expressed as the mean ± SEM of three independent experiments. C, SB 202190 attenuated TNF-{alpha} gene expression in GBS-exposed monocytes.

 
To investigate whether a p38 MAPK-dependent pathway mediates the GBS-stimulated TNF-{alpha} induction, a specific inhibitor, SB 202190, was used to block p38 MAPK activity. At concentrations ranging from 0.1–100 µM, this compound has been shown to effectively inhibit phosphorylation of myelin basic protein and ATF2 by recombinant p38 (24). As shown in Fig. 5GoB, stimulation of monocytes with GBS in the absence of SB 202190 led to a significant increase in TNF-{alpha} production. Addition of SB 202190 reduced TNF-{alpha} secretion following stimulation with GBS by 90% (p <= 0.05, 5 µM SB 202190 vs no inhibitor). To further investigate the molecular mechanisms of the regulation of TNF-{alpha} expression by the p38 MAPK pathway, TNF-{alpha} mRNA levels were studied by Northern blot analyses in GBS-exposed monocytes in the absence or the presence of SB 202190 (5 µM). Fig. 5GoC shows that treatment of cells with 5 µM SB 202190 resulted in an 86% reduction (normalized for GAPDH) in TNF-{alpha} transcripts induced by GBS. Taken together, these data demonstrate that the p38 MAPK pathway plays a key role in mediating GBS-induced TNF-{alpha} production by cord blood monocytes.

Effect of SB 202190 on GBS-induced AP-1 and NF-{kappa}B activation

The above data demonstrate a transcriptional control of TNF-{alpha} by p38 MAPK in GBS-stimulated monocytes. Recent studies have suggested a possible role for p38 MAPK in the regulation of AP-1 and NF-{kappa}B (23). We therefore investigated the effect of SB 202190 on GBS-induced AP-1and NF-{kappa}B activation monocytes. Cord blood monocytes were treated with SB 202190 (5 µM) and subsequently stimulated with GBS for 60 min. As shown in Fig. 6GoA, SB 202190 completely inhibited the GBS-induced activation of AP-1, as determined by EMSA. In an identical nuclear extract used in AP-1 studies, it was found that SB 202190 was not able to prevent GBS-induced NF-{kappa}B-DNA binding activity (Fig. 6GoB), suggesting that inhibition of the p38 MAPK pathway did not interfere with release of NF-{kappa}B from I{kappa}B.



View larger version (37K):
[in this window]
[in a new window]
 
FIGURE 6. Inhibition of AP-1-DNA binding activity, but not NF-{kappa}B, by the p38 MAPK-specific inhibitor SB 202190. A, Cord blood monocytes were pretreated (1 h) with SB 202190 (5 µM) or medium (with 0.1% DMSO) and subsequently exposed to medium (UN) or GBS for 60 min (GBS-60'). Nuclear extracts were analyzed by EMSA using a specific AP-1 32P-labeled oligonucleotide. B, The same nuclear extracts as those used in A were analyzed for NF-{kappa}B activity. These results are representative of three similar experiments.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Given the proposed central role of TNF-{alpha} in the development and progression of GBS septic shock, it is important to understand the mechanisms by which this bacterium triggers TNF-{alpha} production. We show here that GBS stimulation of cord blood monocytes results in a dose-dependent increase in immunoreactive TNF-{alpha} detectable in cell supernatants. In accordance with earlier studies from this laboratory (14), substantial TNF-{alpha} secretion by monocytes was only detected after 2 h of incubation (Fig. 1GoA). Northern blot analyses suggested that the GBS-induced increase in TNF-{alpha} production was mediated at least in part by transcriptional activation of the gene encoding TNF-{alpha} (Fig. 1GoB). Furthermore, the observed increase in TNF-{alpha} transcripts in GBS-stimulated monocytes was accompanied by the activation of the transcription factors NF-{kappa}B (Fig. 2GoA) and AP-1 (Fig. 4Go). Analysis of the cytoplasmic levels of the NF-{kappa}B inhibitory protein I{kappa}B{alpha} showed that stimulation with GBS caused its disappearance within 15–30 min (Fig. 2GoB). To substantiate a possible relation between NF-{kappa}B activation and GBS-induced TNF-{alpha} production, I{kappa}B{alpha} was overexpressed (Adv-I{kappa}B{alpha}) in monocytes before stimulation with GBS. Under these conditions, NF-{kappa}B-DNA binding activity was markedly reduced following exposure to GBS. However, TNF-{alpha} mRNA expression and protein synthesis were only minimally affected. In contrast, as previously reported (16), I{kappa}B{alpha} overexpression inhibited LPS-induced NF-{kappa}B activation and significantly reduced TNF-{alpha} biosynthesis. These findings suggest that transcription factors other than NF-{kappa}B may also play an important role in the induction of TNF-{alpha} by whole GBS in human monocytes.

Indeed, our studies also show that GBS induces activation of the transcription factor AP-1 through a p38-dependent pathway. AP-1 complexes are sequence-specific transcriptional activators composed of homodimers or heterodimers of the Fos and Jun families of leucine zipper-containing proteins (20). The human TNF-{alpha} gene contains an AP-1 binding site, and a number of studies suggest that AP-1, in combination with other transcriptional activators, is required for optimal gene expression. Recently, studies by Yao et al. (25) have demonstrated that multiple activators binding to AP-1/cAMP response element, NF-{kappa}B, and Sp1/Erg-1 sites are necessary for maximal LPS induction of TNF-{alpha} gene expression in the human monocytic cell line THP-1. Mackman et al. (26) also reported that maximal LPS-induced expression of the human tissue factor gene in THP-1 cells required activation of both NF-{kappa}B and AP-1. In addition, Wang et al. (27) recently reported that peptidoglycan from Staphylococcus aureus induces activation of the transcription factors cAMP response element binding protein/ATF and AP-1 in THP-1 cells via a CD14-dependent pathway.

Medvedev et al. (28) have recently demonstrated that GBS cell wall extracts induce NF-{kappa}B activation and TNF-{alpha} production in CHO cells expressing CD14; however, the upstream components involved in GBS-induced-NF-{kappa}B or AP-1 activation have not been elucidated. In this study we also analyzed the capacity of heat-killed, but intact, GBS to induce stress response kinase pathways leading to NF-{kappa}B and AP-1 activation in cord blood monocytes. There are at least three main groups of mitogen-activated protein kinases: extracellular signal-related kinase (ERK), c-Jun N-terminal kinase (JNK), and p38. In general, the ERKs are largely involved in pathways leading to cell proliferation as a consequence of growth factor stimulation, whereas JNK and p38 MAPK are activated in response to a variety of cytokines and stress conditions (29). In particular, we studied the p38 MAPK pathway, as recent studies have suggested its involvement in the regulation of both NF-{kappa}B and AP-1 (23). We found that GBS induces rapid phosphorylation of p38 in cord blood monocytes (Fig. 5GoA). The effect of SB 202190 demonstrated that activation of this signaling pathway is necessary for TNF-{alpha} induction by GBS. This compound decreased TNF-{alpha} mRNA accumulation by 86% (Fig. 5GoC) and TNF-{alpha} biosynthesis by 90% in stimulated cells. In agreement with previous reports indicating that p38 MAPK is required for the activation of several transcription factors, including cAMP response element-binding protein (30), c-Fos, and c-Jun (21), we have shown that GBS induction of AP-1 requires activation of the p38 MAPK pathway. Thus, the effect of SB 202190 on TNF-{alpha} mRNA (Fig. 5GoC) is probably due in part to a decrease in the abundance of the AP-1 components c-Fos and c-Jun. Furthermore, recent studies have suggested that p38 MAPK plays an important role in mRNA stabilization in primary monocytes stimulated with LPS (31). It is possible that instability caused by SB 202190 could have contributed to the observed decrease in mRNA after GBS stimulation. In contrast, inhibition of p38 MAPK had no effect on NF-{kappa}B-DNA binding activity as detected by EMSA (Fig. 6GoB). Very recently, several investigators have shown that SB 203580 (a p38 inhibitor) or a dominant-negative mutant of MAPK kinase-6 is capable of blocking NF-{kappa}B-mediated luciferase trans-activation in response to TNF-{alpha} without affecting NF-{kappa}B translocation (23, 32). Furthermore, Garcia et al. (33) also have shown that the p38 MAPK pathway is required for NF-{kappa}B activation in macrophages stimulated with lipid-associated membrane proteins from Mycoplasma fermentans. Together, our results and those of others underscore the important role that p38 MAPK plays in cytokine regulation and nuclear responses following stimulation with Gram-positive and Gram-negative bacteria (34, 35).

In conclusion, our data agree with and extend earlier findings concerning the molecular mechanisms by which GBS induces the production of TNF-{alpha} (28). It remains to be determined whether CD14 is required for NF-{kappa}B/AP-1 activation and TNF-{alpha} production in human neonatal monocytes stimulated with whole GBS. Preliminary data from our laboratory suggest that whole GBS and its cell wall components induce TNF-{alpha} production in human neonatal monocytes via a CD14-independent pathway. In addition, Cohen et al. (36) recently reported that mice deficient in CD14 expression are not resistant to GBS infection and actually have higher serum TNF-{alpha} levels than wild-type animals. Thus, elucidating the signaling pathways activated by specific pathogens is the most accurate means for analyzing the steps involved in the induction of the inflammatory response. As shown here, inhibition of the p38 MAPK pathway by the synthetic compound SB 202190 effectively blocked monocyte signal transduction pathways involved in the initiation of the acute inflammatory response induced by heat-killed GBS. Therefore, SB 202190 and other inhibitors of signal transduction (i.e., protein tyrosine kinase inhibitors) have the therapeutic potential to interfere with the cascade of events leading to septic shock and end-organ dysfunction. The use of such agents could be effective for a variety of both Gram-positive and Gram-negative bacteria, especially in the early stages of infection, when the identity of the etiologic agent is not known.


    Acknowledgments
 
We gratefully acknowledge the obstetricians and surgical staff at the Woman’s Hospital of Texas for their help with the harvesting of cord blood. We thank Drs. Morven S. Edwards, Carol J. Baker, and Sheldon L. Kaplan for critically reviewing this manuscript. We also thank Claire M. Skeeter for excellent technical assistance.


    Footnotes
 
1 This work was supported by grants from the Minority Medical Faculty Development Program of the Robert Wood Johnson Foundation (to J.G.V.) and the Child Health Research Center at Baylor College of Medicine (to J.G.V). Back

2 Address correspondence and reprint requests to Dr. Jesus G. Vallejo, Department of Pediatrics, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030. Back

3 Abbreviations used in this paper: GBS, group B Streptococcus; MAPK, mitogen-activated protein kinase; AdvI{kappa}B{alpha}, adenovirus encoding porcine I{kappa}B{alpha}; Advßgal, adenovirus encoding Escherichia coli ß-galactosidase; ß-gal, ß-galactosidase. Back

Received for publication March 1, 1999. Accepted for publication April 13, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Schuchat, A., K. Deaver-Robinson, B. D. Plikaytis, K. M. Zangwill, J. Mohle-Boetani, J. D. Wenger. 1994. Multistate case-control study of maternal risk factors for neonatal group B streptococcal disease. Pediatr. Infect. Dis. J. 13:623.[Medline]
  2. Gibson, R. L., G. J. Redding, W. R. Henderson, W. E. Troung. 1991. Group B Streptococcus induces tumor necrosis factor in neonatal piglets. Am. Rev. Respir. Dis. 143:598.[Medline]
  3. Teti, G., G. Mancuso, F. Tomasello, M. S. Chiofalo. 1992. Production of tumor necrosis factor {alpha} and interleukin-6 in mice infected with group B streptococci. Circ. Shock 38:138.[Medline]
  4. Teti, G., G. Mancuso, F. Tomasello. 1993. Cytokine appearance and effects of anti-tumor necrosis factor {alpha} in a neonatal rat model of group B streptococcal infection. Infect. Immun. 61:227.[Abstract/Free Full Text]
  5. Givner, L. B., L. Gray, T. M. O’Shea. 1995. Antibodies to tumor necrosis factor-{alpha}: use as adjunctive therapy in established group B streptococcal disease in newborn rats. Pediatr. Res. 38:551.[Medline]
  6. Fisher, C. J., S. M. Opal, J. F. Ghainaut, S. Stephens, J. L. Zimmerman, P. Nightingale, S. J. Harris, R. M. H. Schein, E. A. Panacek, J. L. Vincent, et al 1993. Influence of anti-tumor necrosis factor monoclonal antibody on cytokine levels in patients with sepsis. Crit. Care Med. 21:318.[Medline]
  7. Abraham, E., R. Wunderink, H. Silverman, T. M. Perl, S. Nasraway, H. Levy, R. Bone, R. P. Wenzel, R. Balk, R. Alfred, et al 1995. Efficacy and safety of monoclonal antibody to human tumor necrosis factor-{alpha} in patients with sepsis syndrome. JAMA 273:934.[Abstract/Free Full Text]
  8. Fisher, C. J., J. M. Agosti, S. M. Opal, S. F. Lowry, R. A. Balk, J. C. Sadoff, E. Abraham, R. M. H. Schein, E. Benjamin. 1996. Treatment of septic shock with tumor necrosis factor receptor: Fc fusion protein. N. Engl. J. Med. 334:1697.[Abstract/Free Full Text]
  9. Mathison, J. C., E. Wolfson, R. L. Ulevitch. 1988. Participation of tumor necrosis factor in the mediation of Gram-negative bacterial lipopolysaccharide-induced injury in rabbits. J. Clin. Invest. 81:1925.
  10. Beutler, B., V. Kruys. 1995. Lipopolysaccharide signal transduction, regulation of tumor necrosis factor biosynthesis, and signaling by tumor necrosis factor itself. J. Cardiovasc. Pharmacol. 25:S1.
  11. Collart, M. A., P. Baeuerle, P. Vassalli. 1990. Regulation of tumor necrosis factor {alpha} transcription in macrophages: involvement of four {kappa}B like motifs and of constitutive and inducible forms of NF-{kappa}B. Infect. Immun. 10:1498.
  12. Han, J., T. Brown, B. Beutler. 1990. Endotoxin-responsive sequences control cachectin/tumor necrosis factor biosynthesis at the translational level. J. Exp. Med. 171:465.[Abstract/Free Full Text]
  13. Lee, J. C., P. R. Young. 1996. Role of CSBP/p38/RK stress response kinase in LPS and cytokine signaling mechanisms. J. Leukocyte Biol. 59:152.[Abstract]
  14. Vallejo, J, C. J. G., C. J. Baker, M. S. Edwards. 1996. Roles of bacterial cell wall and capsule in induction of tumor necrosis factor {alpha} by type III group b streptococci. Infect. Immun. 64:5042.[Abstract]
  15. Nyberg-Hoffman, C., P. Shabram. W. Li, D. Giroux, E. Aguilar-Cordova. 1997. Sensitivity and reproducibility in adenoviral infectious titer determination. Nat. Med. 3:808.[Medline]
  16. Bondeson, J., K. A. Browne, F. M. Brennan, B. M. Foxwell, M. Feldmann. 1999. Selective regulation of cytokine induction by adenoviral gene transfer of I{kappa}B{alpha} into human macrophages: lipopolysaccharide-induced, but not zymosan-induced, proinflammatory cytokines are inhibited, but IL-10 is nuclear factor-{kappa}B independent. J. Immunol. 162:2939.[Abstract/Free Full Text]
  17. Lee, J, J. T. C., P. C. Laydon, T. F. McDonnell, S. Gallagher, D. Kumar, D. Green, M. J. McNulty, J. R. Blumenthal, S. W. Heys, S. W. Landvatter, et al 1994. A protein kinase involved in the regulation of inflammatory cytokine biosynthesis. Nature 372:739.[Medline]
  18. Chomczynski, P., N. Sacchi. 1987. Single-step method of RNA isolation by acid guanidinium thiocyanate-phenol-choloroform extraction. Anal. Biochem. 162:156.[Medline]
  19. Tran-Thi, T. A., K. Decker, P. A. Baeuerle. 1995. Differential activation of transcription factors NF-{kappa}B and AP-1 in rat liver macrophages. Hepatology 22:613.[Medline]
  20. Raingeaud, J., S. Gupta, J. S. Rogers, M. Dickens, J. Han, R. J. Ulevitch, R. J. Davis. 1995. Proinflammatory cytokines and environmental stress cause p38 mitogen-activated protein kinase activation by dual phosphorylation on tyrosine and threonine. J. Biol. Chem. 270:7420.[Abstract/Free Full Text]
  21. Whitmarsh, A. J., R. J. Davis. 1996. Transcription factor AP-1 regulation by mitogen-activated protein kinase signal transduction pathways. J. Mol. Med. 74:589.[Medline]
  22. Beyaert, R., A. Cuenda, W. V. Berghe, S. Plaisance, J. C. Lee, G. Haegeman, P. Cohen, W. Fiers. 1996. The p38/rk mitogen activated protein kinase pathway regulates interleukin-6 synthesis in response to tumor necrosis factor. EMBO J. 15:1914.[Medline]
  23. Wesselborg, S., M. K. A. Bauer, M. Vogt, M. L. Schmitz, K. Shulze-Osthoff. 1997. Activation of transcription factor NF-{kappa}B and p38 mitogen-activated protein kinase is mediated by distinct and separate stress effector pathways. J. Biol. Chem. 272:12422.[Abstract/Free Full Text]
  24. Jiang, Y., H. Gram, M. Zhao, L. New, J. Gu, L. Feng, F. Di Padova, R. J. Ulevitch, J. Han. 1996. Characterization of the structure and function of the fourth member of p38 group mitogen-activated protein kinases, p38{delta}. J. Biol. Chem. 272:30122.[Abstract/Free Full Text]
  25. Yao, J., N. Mackman, T. S. Edgington, S. T. Fan. 1997. Lipopolysaccharide induction of the tumor necrosis factor-{alpha} promoter in human monocytic cells: regulation by Erg-1, c-Jun, and NF-{kappa}B transcription factors. J. Biol. Chem. 272:17797.
  26. Mackman, N., K. Brand, T. S. Edgington. 1991. Lipopolysaccharide mediated transcriptional activation of the human tissue factor gene in THP-1 cells requires both activator protein-1 and nuclear factor {kappa}B binding sites. J. Exp. Med. 174:1517.[Abstract/Free Full Text]
  27. Gupta, D., Q. Wang, C. Vinson, and D. Roman. Bacterial peptidoglycan induces CD-14 dependent activation of transcription factors CREB/ATF and AP-1. J. Biol. Chem. 274:14012.
  28. Medvedev, A. E., T. Flo, R. R. Ingalls, D. T. Golenbock, G. Teti, S. N. Vogel, T. Espevik. 1998. Involvement of CD14 and complement receptors CR3 and CR4 in nuclear factor-{kappa}B activation and TNF production induced by lipopolysaccharide and group b streptococcal cell walls. J. Immunol. 160:4535.[Abstract/Free Full Text]
  29. Derijard, D., J. Raingeaud, T. Barrett, I. H. Wu, J. Han, R. J. Ulevitch, R. J. Davis. 1995. Independent human MAP kinase signal transduction pathways defined by MEK and MKK isoforms. Science 267:682.[Abstract/Free Full Text]
  30. Tan, Y., J. Rouse, A. Zhang, S. Cariati, P. Cohen, M. J. Comb. 1996. FGF and stress regulate CREB and ATF-1 via a pathway involving p38 MAP kinase and MAPKAP kinase-2. EMBO J. 15:4629.[Medline]
  31. Dean, J. L. E., M. Brook, A. R. Clark, J. Saklatvala. 1999. P38 mitogen-activated protein kinase regulates cyclooxygenase-2 mRNA stability and transcription in lipopolysaccharide-treated human monocytes. J. Biol. Chem. 274:264.[Abstract/Free Full Text]
  32. Bergmann, M., L. Hart, M. Lindsay, P. J. Barnes, R. Newton. 1998. I{kappa}B{alpha} degradation and nuclear factor-{kappa}B DNA binding are insufficient for interleukin-1ß and tumor necrosis factor-{alpha} induced {kappa}B-dependent transcription. J. Biol. Chem. 273:6607.[Abstract/Free Full Text]
  33. Garcia, J., B. Lemercier, S. Roman-Roman, G. Rawadi. 1998. A Mycoplasma fermentans-derived synthetic lipoprotein induces AP-1 and NF-{kappa}B activity and cytokine secretion in macrophages via activation of mitogen-activated protein kinase pathways. J. Biol. Chem. 273:34391.[Abstract/Free Full Text]
  34. Schumann, R. R., D. Pfeil, D. Freyer, W. Buerger, N. Lamping, C. J. Kirschning, U. B. Goebel, J. R. Weber. 1998. Lipopolysaccharide and pneumococcal cell wall components activate the mitogen activated kinases (MAPK) erk-1, erk-2 and p38 in astrocytes. Glia 22:295.[Medline]
  35. Ajizian, S. J., B. K. English, E. A Meals. 1998. Specific inhibitors of both p38 and erk MAP kinase pathways block inducible nitric oxide synthase and tumor necrosis factor {alpha} accumulation in murine macrophages stimulated with lipopolysaccharide and interferon-{gamma}. J. Infect. Dis. 179:939.
  36. Cohen, L., S. C. Gangloff, A. Haziot, G. Teti, S. M. Goyert. 1999. CD14 downregulates the TNF-{alpha} response, but plays no major role in shock induced by group B Streptococcus infection. Pediatr. Res. 45:267A. (Abstr. 1574).



This article has been cited by other articles:


Home page
Infect. Immun.Home page
S. Kenzel, S. Santos-Sierra, S. D. Deshmukh, I. Moeller, B. Ergin, K. A. Fitzgerald, E. Lien, S. Akira, D. T. Golenbock, and P. Henneke
Role of p38 and Early Growth Response Factor 1 in the Macrophage Response to Group B Streptococcus
Infect. Immun., June 1, 2009; 77(6): 2474 - 2481.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
S. Kenzel, G. Mancuso, R. Malley, G. Teti, D. T. Golenbock, and P. Henneke
c-Jun Kinase Is a Critical Signaling Molecule in a Neonatal Model of Group B Streptococcal Sepsis.
J. Immunol., March 1, 2006; 176(5): 3181 - 3188.
[Abstract] [Full Text] [PDF]


Home page
Infect. Immun.Home page
O. Levy, R. M. Jean-Jacques, C. Cywes, R. B. Sisson, K. A. Zarember, P. J. Godowski, J. L. Christianson, H.-K. Guttormsen, M. C. Carroll, A. Nicholson-Weller, et al.
Critical Role of the Complement System in Group B Streptococcus-Induced Tumor Necrosis Factor Alpha Release
Infect. Immun., November 1, 2003; 71(11): 6344 - 6353.
[Abstract] [Full Text] [PDF]


Home page
Infect. Immun.Home page
G. Lagoumintzis, M. Christofidou, G. Dimitracopoulos, and F. Paliogianni
Pseudomonas aeruginosa Slime Glycolipoprotein Is a Potent Stimulant of Tumor Necrosis Factor Alpha Gene Expression and Activation of Transcription Activators Nuclear Factor {kappa}B and Activator Protein 1 in Human Monocytes
Infect. Immun., August 1, 2003; 71(8): 4614 - 4622.
[Abstract] [Full Text] [PDF]


Home page
Infect. Immun.Home page
S. Ghosh, S. Bhattacharyya, M. Sirkar, G. S. Sa, T. Das, D. Majumdar, S. Roy, and S. Majumdar
Leishmania donovani Suppresses Activated Protein 1 and NF-{kappa}B Activation in Host Macrophages via Ceramide Generation: Involvement of Extracellular Signal-Regulated Kinase
Infect. Immun., December 1, 2002; 70(12): 6828 - 6838.
[Abstract] [Full Text] [PDF]


Home page
Infect. Immun.Home page
N.-H. Cho, S.-Y. Seong, M.-S. Huh, N.-H. Kim, M.-s. Choi, and I.-s. Kim
Induction of the Gene Encoding Macrophage Chemoattractant Protein 1 by Orientia tsutsugamushi in Human Endothelial Cells Involves Activation of Transcription Factor Activator Protein 1
Infect. Immun., September 1, 2002; 70(9): 4841 - 4850.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
G. Mancuso, A. Midiri, C. Beninati, G. Piraino, A. Valenti, G. Nicocia, D. Teti, J. Cook, and G. Teti
Mitogen-Activated Protein Kinases and NF-{kappa}B Are Involved in TNF-{alpha} Responses to Group B Streptococci
J. Immunol., August 1, 2002; 169(3): 1401 - 1409.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
P. Knuefermann, P. Chen, A. Misra, S.-P. Shi, M. Abdellatif, and N. Sivasubramanian
Myotrophin/V-1, a Protein Up-regulated in the Failing Human Heart and in Postnatal Cerebellum, Converts NFkappa B p50-p65 Heterodimers to p50-p50 and p65-p65 Homodimers
J. Biol. Chem., June 21, 2002; 277(26): 23888 - 23897.
[Abstract] [Full Text] [PDF]


Home page
DiabetesHome page
L. R. James, D. Tang, A. Ingram, H. Ly, K. Thai, L. Cai, and J. W. Scholey
Flux Through the Hexosamine Pathway Is a Determinant of Nuclear Factor {kappa}B- Dependent Promoter Activation
Diabetes, April 1, 2002; 51(4): 1146 - 1156.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Vallejo, J. G.
Right arrow Articles by Sivasubramanian, N.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Vallejo, J. G.
Right arrow Articles by Sivasubramanian, N.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS