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Receptors on Human Monocytes by Th1 and Th2 Cytokines1




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Department of Medicine, Hospital for Special Surgery and Weill Medical College of Cornell University, New York, NY 10021;
Laboratoire dImmunologie Cellulaire et Clinique, Institut National de la Santé et de la Recherche Médicale Unité 255, Institut Curie, Paris, France; and
Fakultät für Chemie, Universität Bielefeld, Bielefeld, Germany
| Abstract |
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R on phagocytes. We report in this study that an inhibitory
receptor, Fc
RIIb2, is expressed on circulating human monocytes, and
when co-cross-linked with stimulatory Fc
R it down-regulates effector
function. Fc
RIIb2 expression is increased by IL-4 and decreased by
IFN-
, in contrast to the activating receptor, Fc
RIIa, which is
increased by IFN-
and decreased by IL-4. Thus, Th1 and Th2 cytokines
differentially regulate the opposing Fc
R systems, altering the
balance of activating and inhibiting Fc
R. The detection and cytokine
modulation of Fc
RIIb2 in human myeloid cells provide evidence of a
negative regulator of immune complex-mediated responses in human
phagocytes and offer a new approach to limit Ab-triggered inflammation
in autoimmune disease. | Introduction |
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R, and the complement system. Although it is clear that tissue
damage requires activation of phagocytes through Fc
R, regulation of
the balance between stimulatory and inhibitory Fc
R by local
cytokines has not been characterized.
In the mouse, there are three families of Fc
R that may interact with
immune complexes. Fc
RI and Fc
RIII are multimeric receptors with
IgG-binding
-chains and
-chains containing a signaling
immunoreceptor tyrosine-based activation motif
(ITAM)3 (1, 2). In murine models of inflammation, activation responses
triggered by these stimulatory receptors are modulated by Fc
RIIb, a
family of single-chain receptors containing an immunoreceptor
tyrosine-based inhibitory motif (ITIM) in the cytoplasmic domain
(3, 4, 5). In vivo studies have demonstrated that
Fc
RIIB-deficient mice have augmented type I, II, and III
hypersensitivity reactions, whereas
-chain-deficient mice, lacking
ITAM-bearing Fc
Rs, are protected from the pathological consequences
of IgG-containing immune complexes (6, 7, 8). These results
obtained by targeted disruption of specific Fc
R genes in mice
have provided proof of concept that the balance of activating and
inhibitory Fc
R determines inflammatory effector cell function, and
they have raised the possibility that modulation of Fc
RIIB might
determine susceptibility and severity of immune complex-induced
disease. However, there are no reports of association between a
deficiency in inhibitory Fc
RIIb function and Ab-mediated human
diseases, such as systemic lupus erythematosus, autoimmune hemolytic
anemia, or Goodpastures syndrome. Indeed, the expression and
regulation of inhibitory Fc
R on human effector cells have not
previously been defined.
In humans, there are three types of Fc
Rs capable of triggering
cellular activation (1, 2, 9). Fc
RI and Fc
RIIIa,
like their murine counterparts, are multichain receptors with ITAMs
present in
-chain subunits. Fc
RIIa, unique to humans, is a
single-chain receptor with an ITAM. It is the most widely expressed
stimulatory human Fc
R, present on monocytes, neutrophils, platelets,
and dendritic cells, and it triggers phagocytosis, Ab-dependent
cytotoxicity, and release of inflammatory mediators.
Inhibitory human Fc
Rs are encoded by the Fc
RIIB gene. There are
two transcripts of Fc
RIIB generated by alternative splicing,
Fc
RIIB1 and Fc
RIIB2 (10). They are single-chain
receptors with extracellular domains similar to Fc
RIIA and
cytoplasmic domains containing an ITIM (11, 12). In cells
transfected with cDNA encoding Fc
RIIB, coaggregation of Fc
RIIb
with ITAM-bearing receptors suppressed effector responses triggered by
B cell receptor (BCR), TCR, Fc
RI, and Fc
Rs (5, 13).
This led to the prediction that inflammatory responses by human
phagocytes could be regulated by ITIM-bearing Fc
Rs. Whereas mRNA for
Fc
RIIB1 and Fc
RIIB2 have been detected in transformed human cell
lines, Fc
RIIb protein has not been identified in primary human
phagocytes, and mechanisms to modulate expression of inhibitory Fc
R
were unknown (14).
With this study, we report the first evidence for Fc
RIIb2 protein
expression in human blood monocytes and polymorphonuclear leukocytes
(PMN), and we demonstrate the capacity of Fc
RIIb to inhibit
Fc
RI-mediated activation responses. Our results show that cytokines
differentially regulate the expression of the two opposing Fc
R
systems, altering the balance of ITAM- and ITIM-containing Fc
R. The
detection of Fc
RIIb2 in normal human myeloid cells provides evidence
for the presence of a negative regulator of immune complex-mediated
responses in phagocytes. Given that the ratio of activating and
inhibitory Fc
R may determine the magnitude and the threshold of
effector cell activation, these results suggest new approaches to
modulate Ab-triggered inflammation and tissue injury in autoimmune
disease.
| Materials and Methods |
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The anti-CD32 mAb clone FLI8.26 (unconjugated and FITC
conjugated) was purchased from Research Diagnostics (Flanders, NJ).
F(ab')2 and intact IgG of anti-CD64 mAb clone
22.2 (IgG1) were obtained from Medarex (Annandale, NJ).
Affinity-purified F(ab')2 of goat anti-mouse
Abs were obtained from Jackson ImmunoResearch (West Grove, PA).
Anti-pan Fc
RII receptor blotting mAb (clone II1A.5) as well as
anti-Fc
RIIb specific blotting Abs (clone II8D2) were previously
described (15). Isotype control mouse mAb IgG2b
(MOPC141) was obtained from Sigma (St. Louis, MO). HRP-linked sheep
anti-mouse and donkey anti-rabbit Abs and ECL Western blotting
detection reagents were from Amersham Life Science (Arlington
Heights, IL).
Preparation of anti-Fc
RIIb Abs
A polyclonal Ab reactive with the intracellular (IC) domain of
Fc
RIIb (anti-Fc
RIIb IC) was prepared by hyperimmunization of
rabbits with a rGST fusion protein of the residues from the first to
the third IC domains of human Fc
RIIb1 (GST-IC). A RT-PCR fragment
obtained from Fc
RIIb1 cDNA was made by using the following
amplimers: 5'-GCTCTCCCAGGATACCCTGAGTGC-3' (sense) and
5'-AATACGGTTCTGGTC ATCAGGCTC-3' (antisense), and it was
cloned into pGEX-2T expression vector (Pharmacia Biotech, Uppsala,
Sweden) after addition of restriction sites. Expression of the GST-IC
protein in Escherichia coli was induced by isopropyl
-D-thiogalactoside, and the protein was
purified from periplasmic fraction by affinity chromatography on
glutathione agarose column (Sigma). The rabbits antiserum reacted
with Fc
RIIb1 and Fc
RIIb2, but not with Fc
RIIa, as shown by
Western blotting using A375 melanoma cells expressing recombinant
Fc
RIIa, Fc
RIIb1, or Fc
RIIb2, and using purified soluble
Fc
RIIa recombinant molecules (see Results)
(16).
Transfection
The cDNAs encoding human Fc
RIIa or Fc
RIIb2 were inserted
into an expression vector under the control of the Sr
promoter in
PBR322 in which a resistance gene to zeocin was introduced (NT-zeo)
(17). For transfection, 50 µg cDNAs linearized by
ScaI were transfected by electroporation at 260 V and 960
µF into 5 x 106 A375, a human melanoma
cell line (ATCC). The transfectants were selected by culture with 500
µg/ml of zeocin (Cayla, Toulouse, France). To prepare A375 cells
expressing Fc
RIIb1, cells were transfected with cDNA encoding human
Fc
RIIb1 inserted in pKC3-derived expression vector. After selection
in G418 (2 mg/ml), transfectants expressing high levels of Fc
RIIb1
were cloned by micromanipulation and cultured in RPMI 1640 and 10% FCS
and G418 (0.5 mg/ml). A375 transfectants recovered after selection were
cloned as described previously (18). The expression of
recombinant receptors by cloned cells was assessed by indirect
immunofluorescence.
Preparation of cells
Leukocytes were isolated from the venous blood of healthy
volunteers by centrifugation on a discontinuous two-step Ficoll-Hypaque
gradient. PMN were isolated from the lower interface, and contaminating
erythrocytes were lysed. PMN purity was 99%, as determined by
CD16-bright CD56-negative staining. Monocytes were purified from the
upper interface and separated from other mononuclear cells using a
CD14-positive magnetic selection procedure (StemCell Technologies,
Vancouver, Canada), following manufacturers instructions. Monocyte
purity, defined as cells positive for CD64, was 96.4 ± 1.4%
(n = 7). The CD64-negative population was
CD3 positive. Cells were resuspended to 5 x
106/ml in RPMI 1640 + 10% FCS. For modulation of
Fc
R expression, monocytes were cultured with 400 U/ml IFN-
(Genzyme, Cambridge, MA) or 200 ng/ml human rIL-4 (R&D Systems,
Minneapolis, MN) for indicated periods of time. EBV-transformed B cell
lines were a gift from Dr. Mary K. Crow (Hospital for Special Surgery,
New York, NY). The human T cell line Jurkat was obtained from American
Type Culture Collection (Manassas, VA) and was cultured in RPMI 1640
media supplemented with 10% FCS, penicillin (100 U/ml), and
streptomycin (100 µg/ml). P388D1 cell transfectants expressing human
Fc
RI were a gift from Dr. Jeffrey Edberg (University of
Alabama, Birmingham, AL) and were cultured as described previously
(19).
RNA isolation and RT-PCR amplification
RNA was extracted with Trizol (Life Technologies) according to
the manufacturers recommended procedure. RNA concentrations were
determined spectrophotometrically. First strand cDNA was synthesized
from 1 µg total cell RNA using the Superscript II reverse
transcriptase kit (Life Technologies, Grand Island, NY). The reaction
was held at room temperature for 10 min, incubated at 42°C for 1
h, and then heated at 90°C for 10 min to terminate. The reaction
mixture was diluted 1:2 with 20 µl of 1x reverse-transcriptase
buffer for a final volume of 40 µl. Ten microliters of the diluted
cDNA mixture (or 2-fold dilutions of this quantity, where indicated)
were amplified in a total volume of 50 µl containing 1x PCR buffer
(Perkin-Elmer/Cetus, Norwalk, CT), 200 µM of dNTPs, 750 µM
MgCl2, 1 µM of 5'-sense primer, 1 µM of
3'-antisense primer, and 1.5 U AmpliTaq DNA polymerase
(Perkin-Elmer/Cetus). The primer pairs 1S (5'-ATG TCT CAG AAT GTA TGT
CCC AGA-3') and 224 M (5'-CTC AAA TTG GGC AGC CTT CAC-3') were
complementary to a region in the first signal exon and the first
cytoplasmic exon, respectively, specific for Fc
RIIA. The primer
pairs 2S (5'-GGA ATC CTG TCA TTC TTA CCT GTC-3') and 241 M (5'-CCC AAC
TTT GTC AGC CTC ATC-3') were complementary to a region in the first
signal exon and the second cytoplasmic exon of Fc
RIIB, respectively
(14). The mixture was amplified for 33 cycles using a
Perkin-Elmer Cetus GeneAmp PCR System 9600. The PCR products were
analyzed by gel electrophoresis on 2% agarose gels. Analysis of
Fc
RIIA and Fc
RIIB RNA levels in monocytes cultured under
different conditions was performed by densitometry (Molecular Dynamics,
Sunnyvale, CA). Human Fc
RIIB1 and Fc
RIIB2 cDNAs were kindly
provided by Dr. Jeffrey V. Ravetch (Rockefeller University, New York,
NY) (10).
Immunoprecipitation and Western blotting
Cells (4 x 107 cells/ml) were
suspended in RPMI buffer, pelleted, and solubilized in lysis buffer
(1% Nonidet P-40; 10% glycerol; 16 mM
Na2HPO4; 4 mM
NaH2PO4; 70 mM NaCl; 50 mM
NaF; 5 mM EDTA; 0.4 mM
Na3VO4; 10 µg/ml each
aprotinin, leupeptin, soybean trypsin inhibitor, and pepstatin A; and
500 µg/ml pefabloc, pH 7.4) for 1 h at 4°C. The lysates
(2 x 107 cells/sample) were
immunoprecipitated using specific Abs (0.51 µg purified Ab) and
protein G-Sepharose beads (30 µl) for 2 h at 4°C. The
immunoprecipitates were analyzed by SDS-PAGE on 9% polyacrylamide
gels. The samples were electrophoretically transferred to
nitrocellulose membranes. Membranes were blocked and incubated with
specific blotting Abs (1 µg/ml) or specific polyclonal rabbit
antiserum (1:1000 dilution), followed by polyclonal sheep
anti-mouse or donkey anti-rabbit Abs (0.25 µg/ml) conjugated
with HRP (Amersham Life Science). The reaction was developed with an
ECL Western blotting detection kit (Amersham Life Science). Analysis of
radiograms was performed by densitometry. Background values from each
gel were subtracted to normalize measurements. Values are expressed as
relative densitometric units. Levels of Fc
RIIa and Fc
RIIb2
expression in monocytes cultured under different conditions were
compared with paired t tests.
Phagocytosis assay
Fc
R-specific probes of phagocytosis were prepared as
previously described (20). Briefly,
F(ab')2 and intact mIgG1 of anti-Fc
RI mAb
(clone 22.2) were biotinylated with N-hydroxysuccinimide
(long chain)-biotin (Pierce, Rockford, IL). To demonstrate that the
biotinylated preparations of 22.2 F(ab')2 and
22.2 IgG had equal capacity to bind Fc
RI, we incubated P388D1
tranfectants expressing human Fc
RI with both biotinylated
anti-Fc
RI reagents, and stained cells with FITC-conjugated
F(ab')2 of goat anti-mouse IgG
F(ab')2 specific (Jackson ImmunoResearch). The
mean fluorescence intensity of 22.2 F(ab')2 was
33 ± 4, and that of 22.2 IgG was 38 ± 5. Bovine
erythrocytes (E) (5 x 108) were
biotinylated with sulfo-N-hydroxysuccinimide-biotin
(Pierce), washed, and saturated with streptavidin (Boehringer Mannheim,
Indianapolis, IN). Biotin-streptavidin-coated bovine erythrocytes (EBA)
(8 x 107) were coated with 0.25 µg of
biotinylated 22.2 F(ab')2 or 22.2 IgG1. For all
experiments, the extent of opsonization on EBA with 22.2
F(ab')2 and 22.2 IgG1 was determined by flow
cytometry with FITC-conjugated F(ab')2 of goat
anti-mouse IgG F(ab')2 specific (Jackson ImmunoResearch). Only
probes with similar opsonization densities were used for paired
experiments. EBA-22.2 F(ab')2 and EBA-22.2 IgG1
were labeled with PKH26 lipophilic dye (Sigma) according to
manufacturers instructions. The capacity of monocytes to internalize
the PKH26-labeled EBA-22.2 F(ab')2 or EBA-22.2
IgG1 target particles was measured using a flow cytometric assay
previously described (21).
Statistical analysis
Experiments were performed in a matched-triplet design to
compare the effect of control medium, IFN-
, and IL-4 on Fc
R
expression at RNA and protein levels. The data are displayed as
mean ± SEM. The effects of cytokine modulation on Fc
R
expression and the effects of Fc
RIIb2 co-cross-linking on the
Fc
RI-mediated phagocytic capacity were analyzed using a paired
t test (two tailed). A probability of 0.05 was used to
reject the null hypothesis that there is no difference between the
conditions.
| Results |
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RIIB2 transcripts in monocytes and PMN by RT-PCR
Human Fc
RIIB has two splice variants: Fc
RIIB1 and
Fc
RIIB2. They are identical, except that Fc
RIIB2 lacks the first
IC exon resulting in a 19-aa deletion in the Fc
RIIb2 cytoplasmic
region. (3, 10). The Fc
RIIB-specific primers amplify
both Fc
RIIB1 and Fc
RIIB2 transcripts. The Fc
RIIB2 splice
variant is 57 bp shorter (10, 14). To document the
capacity to detect the 852-bp band (Fc
RIIB1) and 795-bp band
(Fc
RIIB2), we amplified Fc
RIIB1 and Fc
RIIB2 cDNAs with
Fc
RIIB-specific primers (Fig. 1
, lanes 8 and 9).
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RII family transcripts are present in primary
monocytes and PMN, we analyzed RNA from these cells along with control
lymphoid cell lines, using RT-PCR with Fc
RIIA-, Fc
RIIB-, and
actin-specific primers (Fig. 1
RIIB transcript was Fc
RIIB2. Jurkat cells
(lane 1) had no detectable expression of Fc
RIIB
transcripts, and EBV-transformed B cells expressed only the Fc
RIIB1
isoform (lane 7). As expected, Fc
RIIA transcripts
were only detected in myeloid cells.
Detection of Fc
RIIb2 protein in monocytes and PMN by Western
blotting
To investigate the expression of Fc
RIIb protein by Western
blotting, we generated rabbit polyclonal Abs against the IC domain of
human Fc
RIIb fused to GST (anti-Fc
RIIb GST-IC). We used two
other mAbs: anti-pan Fc
RII mAb (II1A.5), which recognizes both
Fc
RIIa and Fc
RIIb isoforms, and anti-Fc
RIIb mAb (II8D2),
which recognizes an epitope (SDPNFSI) in the second extracellular
domain of Fc
RIIb1 and Fc
RIIb2 isoforms, but not Fc
RIIa
(15). As shown in Fig. 2
, we
could distinguish Fc
RIIa and Fc
RIIb isoforms expressed in A375
melanoma cells when using combinations of these Abs. When cell lysates
from A375 cells transfected with vector alone or with cDNA encoding
human Fc
RIIA, or Fc
RIIB1, or Fc
RIIB2 were immunoprecipitated
with the anti-pan Fc
RII mAb (FLI8.26) and blots were probed with
anti-Fc
RIIb blotting mAb (II8D2) (Fig. 2
, left), a
band of
39 kDa was detected in A375 expressing human Fc
RIIb1 and
a band of
36 kDa was detected in A375 expressing human Fc
RIIb2.
No bands were detected in A375 cells transfected with vector alone or
in A375 cells expressing human Fc
RIIa. Thus, anti-Fc
RIIb mAb
(II8D2) specifically recognizes only Fc
RIIb isoforms. To demonstrate
the specificity of the rabbit anti-Fc
RIIb (GST-IC), the
experiment was repeated using this as the blotting reagent. The
anti-Fc
RIIb (GST-IC) polyclonal Ab reacted only with Fc
RIIb1
and Fc
RIIb2 isoforms (Fig. 2
, middle). When cell lysates
from A375 cells expressing Fc
RIIa, Fc
RIIb1, or Fc
RIIb2 were
immunoprecipitated with the anti-pan Fc
RII mAb (FLI8.26) and
blots were probed with anti-pan Fc
RII mAb (II1A.5), Fc
RIIa
was detected as a 40-kDa band, and Fc
RIIb1 and Fc
RIIb2 isoforms
were detected as a 39- and 36-kDa band, respectively, demonstrating
that II1A.5 mAb recognizes both Fc
RIIa and Fc
RIIb isoforms in
Western blotting (Fig. 2
, right).
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RIIb isoforms on circulating human
phagocytes, we used the Ab panel characterized in Fig. 2
RIIb (GST-IC), and
blots were probed with anti-Fc
RIIb blotting mAb (II8D2) (Fig. 3
39 kDa representing Fc
RIIb1 in
EBV-transformed B cells (Fig. 3
RIIb2 isoform (lanes 2 and 3). In
previous studies, human rFc
RIIB2 transfected in Fc
R-negative
hamster BHK-21 and murine IIA1.6 cell lines was recognized by II8D2 mAb
as a 37-kDa band (15). Cell-specific and species-specific
glycosylation patterns may explain the observed differences in
m.w.
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RIIb2 in human
phagocytes, we performed an alternate experiment in which cell lysates
were immunoprecipitated with the anti-pan Fc
RII mAb (FLI8.26)
and blots were probed with the pan-Fc
RII mAb II1A.5 (Fig. 3
RIIb1 isoform was present in EBV-transformed B cells (Fig. 3
RIIa
and a 35-kDa band representing Fc
RIIb2 protein. No specific bands
were detectable in Jurkat cells (lane 1). No specific
bands were immunoprecipitated by isotype control mouse mAb IgG2b
(MOPC 141) (data not shown). These data indicate that Fc
RIIb2
protein is expressed in blood monocytes and PMN.
Differential regulation of Fc
RIIa and Fc
RIIb2
isoforms by IFN-
and IL-4
In the course of performing experiments on purified monocytes from
12 different disease-free individuals, we noted variation in the
expression of Fc
RIIb2 as compared with Fc
RIIa. The observed
variability among different donors raised the possibility that Fc
RII
isoforms might be differentially regulated by cytokines. As the
expression of Fc
RI and the associated ITAM-containing
-chain are
up-regulated by a prototypic Th1-type cytokine (IFN-
) and inhibited
by a prototypic Th2-type cytokine (IL-4) (22, 23, 24), we
investigated whether these cytokines could modulate Fc
RIIB2 and
Fc
RIIA. RNA was extracted from freshly isolated monocytes, monocytes
cultured overnight in complete medium, or cultured in medium
supplemented with IFN-
(400 U/ml) or IL-4 (200 ng/ml). Serial
dilutions of cDNA were amplified with Fc
RIIB-, Fc
RIIA-, and
actin-specific primers. Fc
RIIB2 RNA level increased minimally
following overnight culture as compared with freshly purified monocytes
(Fig. 4
). Treatment with IL-4 increased
Fc
RIIB2 transcripts, whereas IFN-
decreased Fc
RIIB2
transcripts (Fig. 4
A). The effects of these cytokines on
Fc
RIIB2 RNA levels were consistent and statistically significant
(IL-4 vs control p = 0.002 and IFN-
vs control
p = 0.01, n = 4 experiments) (Fig. 4
B). The pattern of cytokine modulation of Fc
RIIA RNA was
different from that of Fc
RIIB2, and the effects were of lesser
magnitude. IL-4 treatment decreased Fc
RIIA RNA levels in monocytes
(p = 0.001, n = 4) and IFN-
increased Fc
RIIA expression (p = 0.02,
n = 4) (Fig. 4
B). Thus, we observed distinct
and opposing patterns of regulation for Fc
RIIA and Fc
RIIB2 RNA in
human monocytes.
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RIIB2 RNA levels by
IFN-
and IL-4 results in different levels of protein, monocytes were
cultured for different time periods in complete medium or medium
supplemented with IFN-
or IL-4. Cell lysates were immunoprecipitated
and blotted with anti-Fc
RIIb (GST-IC). After 24 h in
culture with IFN-
, Fc
RIIb2 protein levels were decreased compared
with those of cells cultured in control medium. At 72 h,
Fc
RIIb2 levels remained lower in monocytes cultured with IFN-
(Fig. 5
RIIb2 protein at 24 h. The
increase in Fc
RIIb2 protein with IL-4, relative to cells incubated
in control medium, continued at 48 h (data not shown) and was
even greater after 72 h of culture (Fig. 5
RIIb2 protein by IL-4 and IFN-
persisted over the time interval studied.
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RIIb2 protein in relation to that of
Fc
RIIa, we repeated the experiment using anti-pan Fc
RII mAb
for immunoprecipitation and blotting (FLI8.26 and II1A5, respectively)
(Fig. 5
RIIa protein
and increased Fc
RIIb2 protein levels, while IFN-
treatment
resulted in a modest induction of Fc
RIIa and a decrease in
Fc
RIIb2. The results of densitometric quantitation of Fc
RIIa and
Fc
RIIb2 protein levels obtained in a series of separate experiments
with different donors are shown in Fig. 5
RIIb2 and
Fc
RIIa was a consistent, reproducible, and statistically significant
finding. Taken together, the results of the RNA and protein studies
demonstrate opposing effects of prototypic Th1 (IFN-
) and Th2 (IL-4)
cytokines on the expression of ITAM-containing Fc
RIIa and
ITIM-containing Fc
RIIb2 isoforms in human monocytes.
Inhibition of Fc
RI-mediated phagocytosis by Fc
RIIb2
coaggregation
Having demonstrated expression of Fc
RIIb2 on monocytes, we
sought to determine whether cocross-linking of Fc
RIIb2 with
stimulatory receptors on monocytes could attenuate surface
receptor-mediated activating signals. We investigated whether the
coclustering of Fc
RIIb2 would inhibit Fc
RI-mediated phagocytosis.
Fc
RI is constitutively expressed on monocytes and reacts
specifically with the mouse mAb 22.2 (mIgG1). Analogous to experiments
performed in B cells in which F(ab')2 of
anti-IgM were used to cross-link the BCR and intact IgG
anti-IgM Abs were used to coaggregate the BCR together with
Fc
RIIb1 (25, 26), we used E coated with
F(ab')2 of 22.2 mAb (EBA-22.2
F(ab')2) to cross-link Fc
RI alone and E coated
with intact 22.2 mIgG (EBA-22.2 IgG) to coaggregate Fc
RI with
Fc
RIIb2. We assessed the capacity of monocytes to bind and to
internalize these two types of target particles using a flow cytometric
assay. Attachment of EBA-22.2 IgG was slightly higher than that for
EBA-22.2 F(ab')2 (667 ± 173 vs 924 ±
281), but this difference did not reach statistical significance
(n = 7, p = 0.08) (Fig. 6
, left). Despite similar or
increased attachment, in 9 of 10 disease-free donors, co-cross-linking
of Fc
RI and Fc
RIIb2 by EBA-22.2 IgG probes resulted in
significantly decreased phagocytosis as compared with that for EBA-22.2
F(ab')2 (954 ± 151 vs 654 ± 126,
n = 10, p = 0.01) (Fig. 6
, right). We recognize that because of their similar binding
properties, Fc
RIIa as well as Fc
RIIb2 was bound by EBA-22.2 IgG;
yet the overall effects of co-cross-linking Fc
RI with Fc
RII
family members were negative. It is predicted that co-cross-linking of
only Fc
RI and Fc
RIIb2 would result in even greater inhibitory
effect. Our results indicate that Fc
RIIb2 functions as an inhibitory
receptor when coaggregated with ITAM-bearing Fc
R in human
phagocytes. It is likely that different levels of expression of ITAM vs
ITIM-containing Fc
R among individuals in our study determined
effector function.
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| Discussion |
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R by IgG-containing immune complexes initiates
signaling and elicits cellular responses. As most cells express more
than one type of Fc
R, interactions with immune complexes result in
coaggregation of different types of Fc
Rs. Several activating Fc
R
are coexpressed on human phagocytes: Fc
RI and Fc
RIIa on
monocytes; Fc
RI, Fc
RIIa, and Fc
RIIIa on macrophages; and
Fc
RIIa and Fc
RIIIb on neutrophils (2, 9, 27).
Coclustering of different Fc
R was seen as a mechanism to potentiate
and amplify activation of effector cells. In this study, we report the
detection of an inhibitory Fc
R, Fc
RIIb2, in human blood monocytes
and PMN. Coaggregation of inhibitory and stimulatory Fc
R provides a
mechanism for down-modulation of inflammatory responses. Similar to the
inhibition of B cell activation and Ab production that occurs with
coligation of the BCR and Fc
RIIb1 (4, 5, 26), we
observed that co-cross-linking Fc
RIIb2 and Fc
RI inhibited the
monocyte phagocytic function. Preliminary studies indicate that
co-cross-linking Fc
RI with Fc
RIIb also inhibits mitogen-activated
protein kinase activation, suggesting that other monocyte functions are
also down-modulated by Fc
RIIb2. Thus, Fc
RIIb-mediated negative
regulation of ITAM-dependent cell activation endows IgG-containing
immune complexes with the capacity to regulate B cells and inflammatory
cells. The balance between stimulatory and inhibitory inputs determines
the cellular response.
Our findings indicate that Fc
RIIB2 is the predominant Fc
RIIB
transcript expressed in human monocytes and PMN. Prior studies have
detected Fc
RIIB1 and Fc
RIIB2 transcripts in monocytic cell lines
(14). Because some Fc
R transcripts defined at the RNA
level are not productively translated into proteins (28),
we analyzed the distribution of Fc
RII isoforms at the protein level.
Using a novel anti-Fc
RIIb (GST-IC) mAb for immunoprecipitation
and anti-Fc
RIIb-specific II8D2 mAb for blotting
(15), neither of which recognizes Fc
RIIa, we identified
Fc
RIIb2 as a 35-kDa band in monocytes and PMN. Fc
RIIb2, the
ITIM-bearing isoform, was coexpressed with the ITAM-containing
Fc
RIIa isoform. The ratio of activating Fc
RIIa and inhibitory
Fc
RIIb2 expressed on freshly isolated human monocytes varied
considerably among different donors. Given our findings that IFN-
decreased Fc
RIIb2 and increased Fc
RIIa, whereas IL-4 had the
opposite effect, the variability in relative expression of Fc
RII
isoforms among individuals may be related to differences in cytokine
milieu or cellular activation. Alternatively, there may be
polymorphisms within the promoter regions of these human Fc
Rs, as
have been described for the Fc
RIIB promoter in autoimmune-prone
mouse strains, which could result in differential receptor expression
(29).
Engagement of monocyte Fc
R by immune complexes triggers the release
of reactive oxidants and inflammatory cytokines that modulate
inflammatory responses (7, 30, 31). That IFN-
(a
prototypic Th1 cytokine) and IL-4 (a prototypic Th2 cytokine)
differentially regulate the expression of Fc
R isoforms with opposite
functions provides a mechanism for regulation of activating and
inhibitory signals delivered by Fc
Rs on phagocytes. It has been
proposed that Fc
RIIb may function to modulate inflammatory responses
by determining the threshold of immune complex-stimulated activation of
macrophages (7, 32). During a Th2-driven response, IL-4
induction of inhibitory signaling through Fc
RIIb2 may limit immune
complex-triggered inflammatory responses. Alternatively, during a Th1
response, IFN-
increases expression of ITAM-bearing Fc
R and
decreases expression of Fc
RIIb2, which may lower the threshold for
cellular activation and allow macrophages to deliver more potent
cytolytic responses.
Cytokine-mediated changes in Fc
R expression also have the potential
to regulate the afferent component of an immune response. In the
process of differentiation of monocytes into dendritic cells, Fc
RIIa
is down-regulated (33). We noted that IL-4 treatment,
which increases Fc
RIIb2, was accompanied by phenotypic changes
characteristic of dendritic cells. Taken together, it is likely that in
the presence of IL-4 there might be decreased uptake and presentation
of opsonized Ags by monocyte-derived dendritic cells, thus limiting
immune responses. That deletion of Fc
RIIB in mice results in
increased susceptibility to autoimmune disease supports this
possibility (32).
In autoimmune diseases, immune complex-mediated injury results from
recruitment of phagocytes to sites of IgG deposition and initiation of
a local inflammatory response. Phagocytosis of immune complexes is
associated with generation of respiratory burst, release of proteolytic
enzymes, and inflammatory mediators. In murine models, severe
autoimmune injury has been associated with decreased inhibition by
Fc
RIIb and unopposed activation through ITAM-expressing Fc
R on
macrophages (6, 32). Thus, it has been suggested that
strategies to up-regulate the Fc
RIIb-inhibitory pathway or
down-regulate the Fc
RIIa or Fc
R
-chain pathways would reduce
IgG-triggered inflammatory responses. Our study provides the first
evidence that human monocytes express inhibitory Fc
R, and that the
magnitude of monocyte effector function may be modulated by
immunoregulatory factors that alter the balance of ITIM- and
ITAM-containing Fc
R. The understanding of expression, regulation,
and function of Fc
RIIb2 on human primary effector cells will enable
the study of its contribution to the pathophysiology of immune
complex-mediated human diseases such as systemic lupus erythematosus.
Taken together with the identification of cytokines that increase the
ratio of expression of inhibitory to stimulatory Fc
R, our findings
present a potential new approach for the treatment of chronic
autoimmune diseases.
| Acknowledgments |
|---|
RIIA-, Fc
RIIB1-, and
Fc
RIIB2-transfected A375 cells; and Frederic Vely (CIML, Marseille,
France) for the Fc
RIIb-IC-GST fusion protein. | Footnotes |
|---|
2 Address correspondence and reprint requests to Dr. Luminita Pricop, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021. ![]()
3 Abbreviations used in this paper: ITAM, immunoreceptor tyrosine-based activation motif; BCR, B cell receptor; E, bovine erythrocyte; EBA, biotin-streptavidin-coated bovine erythrocytes; IC, intracellular; ITIM, immunoreceptor tyrosine-based inhibition motif; PMN, polymorphonuclear leukocytes. ![]()
Received for publication July 27, 2000. Accepted for publication September 29, 2000.
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