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The Journal of Immunology, 2001, 166: 6287-6293.
Copyright © 2001 by The American Association of Immunologists

Cell Density Regulates Neutrophil IL-8 Synthesis: Role of IL-1 Receptor Antagonist and Soluble TNF Receptors

Katja Hattar, Ludger Fink, Karin Fietzner, Barbara Himmel, Friedrich Grimminger, Werner Seeger and Ulf Sibelius

Department of Internal Medicine, Justus-Liebig University, Giessen, Germany


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Although cytokine synthesis in polymorphonuclear leukocytes (PMN) was shown to be modulated by soluble mediators, the impact of microenvironmental conditions has not been elucidated. In this study, we investigated the effect of cell density on cytokine release from human neutrophils. PMN were cultured at various cell densities (10 x 106 PMN/ml; 60 x 106 PMN/ml), and LPS-induced release of cytokines was quantified by ELISA technique. Upon an increase in PMN density, secretion of the CXC chemokine IL-8 was progressively reduced. This effect was paralleled by a decrease in IL-8 mRNA. In contrast, TNF-{alpha} and IL-1{beta} rose proportionally with increasing cell density. The inhibition of IL-8 secretion was reproduced by conditioned media of PMN at high cell density, but was not affected by blocking {beta}2 integrin-dependent adhesion. When analyzing the supernatant of LPS-challenged neutrophils, large amounts of soluble TNFRs p55 and p75 (sTNFRI, sTNFRII), and IL-1R antagonist (IL-1RA), rising constantly with the cell density, were detected. Interestingly, combined blocking of the bioactivities of these mediators completely restored neutrophil IL-8 secretion at high cell densities, with the anti-IL-1RA Ab being the more potent agent. Moreover, combined application of exogenous IL-1RA and sTNFRs to 10 x 106 PMN/ml reproduced the suppression of IL-8 generation. We conclude that neutrophil IL-8 synthesis is autoregulated, being suppressed under conditions of high cell density. IL-1RA and sTNFRs, accumulating under these circumstances, seem to be centrally involved in this regulatory mechanism by interfering with the IL-1{beta}- and TNF-{alpha}-dependent IL-8 generation. This feedback mechanism may control further neutrophil recruitment and activation in a neutrophil-rich environment, thereby preventing tissue destruction.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The recruitment and activation of polymorphonuclear leukocytes (PMN)2 are essential for nonspecific host defense against infectious agents. Neutrophil recruitment is directed by a number of exogenous and endogenous peptide and lipid mediators, such as fMLP, C5a, and leukotriene B4. Additionally, chemotactic cytokines, the so-called chemokines, act as potent neutrophil chemoattractants (1). Among the neutrophil-attracting chemokines, IL-8 is the best characterized. IL-8 belongs to the CXC family of chemokines, and was originally described as a monocyte-derived neutrophil chemoattractant (2, 3). In addition, IL-8 stimulates neutrophil adherence, degranulation, respiratory burst, and lipid mediator synthesis (4). Although traditionally defined as terminal effector cells with little capacity of de novo protein synthesis, neutrophils themselves recently became known to be capable of synthesizing IL-8, and other cytokines, including TNF-{alpha}, IL-1{beta}, M-CSF, and G-CSF, as well as IL-1R antagonist (IL-1RA) (5, 6, 7). While TNF-{alpha}, IL-1{beta}, and growth factors represent classic proinflammatory cytokines, IL-1RA inhibits the proinflammatory effects of IL-1{alpha} and IL-1{beta} by competitive binding to IL-1Rs (8, 9). Moreover, neutrophils have the capacity to release soluble receptors for TNF-{alpha} (sTNFRs), which block TNF activity by competing for it with cell surface TNFRs (10, 11, 12). As neutrophils predominate over other cell types in many variants of acute and chronic inflammatory conditions, PMN-derived cytokines may be centrally involved in the regulation of inflammatory and immune processes in vivo (13).

Although much attention has been paid to the onset of neutrophil recruitment and activation, little is known about mechanisms limiting neutrophil activity. Such mechanisms are, however, of major importance for the control of inflammation in vivo, as excessive neutrophil activation may cause severe tissue destruction (14, 15). Pneumococcal pneumonia is an example of initial massive neutrophil accumulation and subsequent complete resolution of pulmonary injury with maintenance of lung structure (16, 17). The neutrophil microenvironment may be a critical factor for the control of neutrophil kinetics and activity. In the present study, we investigated whether the neutrophil density per se regulates inflammatory cell functions, focusing on neutrophil cytokine release. In essence, an increase in cell density (from 10 x 106 to 60 x 106 PMN/ml) was found to dramatically down-regulate the release of the CXC chemokine IL-8 upon stimulation with LPS. Suppression of neutrophil chemokine generation was not attributable to {beta}2 integrin-dependent adhesion, but was mediated by soluble factor(s) arising in the supernatant of neutrophils cultured at high cell density. Biochemical analysis and function-blocking Abs identified IL-1RA and sTNFRs as suppressor agents. The observed down-regulation of neutrophil IL-8 generation at high cell density may represent a negative feedback mechanism helping to control neutrophil inflammatory activity by preventing further neutrophil recruitment and activation in a neutrophil-rich microenvironment.


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

Ficoll-Paque was purchased from Pharmacia (Uppsala, Sweden), FCS from Greiner (Frickenhausen, Germany), and all other media and supplements were from Life Technologies (Eggenstein, Germany), unless otherwise indicated. LPS (Escherichia coli, 0111:B4), indomethacin, {alpha}1-antitrypsin ({alpha}1AT), superoxide dismutase (SOD), and adenosine deaminase (ADA) were purchased from Sigma (Deisenhofen, Germany), while MK-886 and CV-6209 were from Calbiochem (La Jolla, CA). All Abs used for cytokine ELISAs as well as recombinant cytokines were purchased from R&D Systems (Wiesbaden, Germany): mAbs against TNF-{alpha} (mAb 610), IL-1{beta} (mAb 601), IL-8 (mAb 208), and IL-10 (mAb 217); biotinylated Abs against TNF-{alpha} (BAF 210), IL-1{beta} (BAF 201), IL-8 (BAF 208), and IL-10 (BAF 417); as well as recombinant human TNF-{alpha} (210-TA), IL-1{beta} (201-LB-005), IL-8 (208-TA-010), and IL-10 (217-IL-005). For the detection of IL-1RA, sTNFRs, IL-4, IL-13, and IFN-{gamma}, commercial ELISA kits were used (R&D Systems). Neutralizing Abs targeting IL-1RA (AF-280-NA) and sTNFRs (mAb 225 for sTNFRI(p55) and mAb 226 for sTNFRII(p75)) were also from R&D Systems, as well as recombinant IL-1RA (280-RA-010) and sTNFRs (636-R1-025; 226-B2-025). Peroxidase-conjugated streptavidin (HRP) and ABTS were purchased from Zymed Laboratories (San Francisco, CA), while the anti-CD18 Ab MHM23 was from Dako (Hamburg, Germany). The Dynabeads mRNA direct kit was from Dynal (Oslo, Norway), and the SYBR Green PCR Core Reagents were from Applied Biosystems (Weiterstadt, Germany). Cell culture plasticware was purchased from Falcon (Mannheim, Germany).

Isolation of human neutrophils

Neutrophils were isolated from venous blood of healthy donors by centrifugation over a Ficoll-Paque gradient, as previously described (18). In brief, EDTA-anticoagulated blood was layered over Ficoll-Paque and centrifuged at 400 x g for 35 min. After removal of mononuclear cells, erythrocytes were sedimented in 1% polyvinyl alcohol. Residual erythrocytes were removed by hypotonic lysis, and cells were washed twice in Ca2+/Mg2+-free PBS and finally resuspended in RPMI containing 1% FCS at 10 x 106 to 60 x 106 PMN/ml. Cell purity was >97%, as quantified by flow cytometry, and cell viability was >96%, as assessed by trypan blue dye exclusion.

Cell culture and stimulation

In the standard protocol, neutrophils were resuspended in RPMI supplemented with 1% FCS, plated in 24-well tissue culture plates at 10 x 106 to 60 x 106/ml (500 µl/well), and incubated at 37°C in a 5% CO2-humidified atmosphere. Neutrophils were cultured with media alone (control) or stimulated with 10 ng/ml LPS. In experiments designed to investigate the effects of IL-1RA or sTNFRs, neutralizing Abs were coapplied with LPS and used at 20 µg/ml. All other agents were also coapplied with LPS: ADA was used at 400 U/ml; the platelet-activating factor (PAF) receptor antagonist CV-6209, the cyclooxygenase-inhibitor indomethacin, and the 5-lipoxygenase inhibitor MK-886 were used at 10 µM; whereas the anti-CD18 Ab (MHM23) was used at 50 µg/ml. {alpha}1AT was applied at 100 µg/ml, and the O2- scavenger SOD was used at 100 U/ml. After 4, 8, and 16 h of incubation, cells and cell supernatants were separated by centrifugation at 13,000 x g, and cell supernatants were harvested and stored at -80°C until further processing. To assess the levels of intracellularily stored cytokines, cell pellets were resuspended in 500 µl RPMI. Cells underwent two freezethaw cycles using liquid nitrogen, debris was removed by centrifugation at 13,000 x g, and lysates were stored at -80°C.

Cytokine ELISA

Release of TNF-{alpha}, IL-1{beta}, IL-8, and IL-10 was determined by self-developed direct sandwich ELISAs. In brief, immunoassay plates were coated with mouse anti-human TNF-{alpha}, IL-1{beta}, IL-8, or IL-10 mAbs at a concentration of 4 µg/ml. After a blocking period with 1% BSA in PBS, samples were added. Recombinant human TNF-{alpha}, IL-1{beta}, IL-8, and IL-10 were used for standard titration curves. To sandwich the trapped Ag, biotinylated Abs were applied at the following concentrations: 400 ng/ml anti-TNF-{alpha}, 200 ng/ml anti-IL-1{beta}, 40 ng/ml anti-IL-8, or 200 ng/ml IL-10. Next, plates were incubated with HRP-conjugated streptavidin, followed by addition of substrate (H2O2 and ABTS). Absorbance was measured at 450 nm in a microplate reader using SLT Lab Instruments software (Creilsheim, Germany) to analyze the generated data. IL-8 and IL-10 ELISA were sensitive to 15 pg/ml, IL-1{beta} and TNF-{alpha} ELISA to 7 pg/ml. IL-1RA, sTNFRs, IL-4, IL-13, and IFN-{gamma} were determined in a commercial ELISA system, sensitive to 15 pg/ml each. In separate recovery experiments, the effect of cell debris on the determination of IL-8 was evaluated. Therefore, rIL-8 was dissolved in the supernatants of unstimulated neutrophils cultured at the various cell densities, and cytokine ELISAs were performed exactly as described. Equal values (deviation <5%) were obtained for the determination of IL-8 either if dissolved in the supernatant of 10 x 106 PMN/ml or in that of 60 x 106 PMN/ml.

mRNA extraction

Aliquots of 0.5 x 106 cells derived from neutrophils cultured at the various cell densities were transferred into 1.5-ml reaction tubes. After centrifugation at 300 x g, the supernatant was removed and the pellet was lysed in 300 µl lysis buffer of the Dynabeads mRNA direct kit. Based on magnetic separation, mRNA is caught by attachment to oligo(dT) fragments that are coupled to supermagnetic glass particles. Per sample, 150 µg beads were applied. Isolated mRNA was finally dissolved in 20 µl diethyl pyrocarbonate-treated H2O.

cDNA synthesis and real-time PCR

For cDNA synthesis, reagents and incubation steps were applied as described (19). Ten microliters each of the isolated mRNA were applied for reverse transcription. The reactions were set up with the SYBR Green PCR Core Reagents, according to the manufacturer’s protocol. Using the oligonucleotide primer pairs given in Table IGo, 1 µl of each primer (10 µM) and 2 µl cDNA were added to a final volume of 50 µl. Cycling conditions were adapted to 95°C for 6 min, followed by 40 cycles of 95°C, 20 s; 58°C, 30 s; and 73°C, 30 s. PCR products were routinely identified by 2.5% agarose gel electrophoresis.


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Table I. Sequences, amplicon sizes, and exon localization of the primers1

 
Relative mRNA quantitation

Relative mRNA quantitation was performed by the Sequence Detection System 7700 (Applied Biosystems) and real time PCR. (T0/R0) = K x (1 + E)(CT,R - CT,T) in which T0 is the initial number of target gene mRNA copies, R0 is the initial number of standard gene mRNA copies, E is the efficiency of amplification, CT,T is the threshold cycle of target gene, CT,R is the threshold cycle of standard gene, and K is the constant.

On the basis of the given equation, we used comparative quantitation ({Delta}CT), normalizing IL-8 to an unregulated internal standard gene (19). Therefore, mRNA transcribed from the gene encoding hypoxanthine-guanine phosphoribosyltransferase (HPRT) was used. Afterward, values of relative mRNA expression were normalized to the value of 10 x 106 PMN/ml after 1 h of LPS challenge. In preliminary experiments, we could show that amplification efficiency of HPRT and IL-8 primer sets was approximately equal and amounted to 0.95 ± 0.02 (= 95 ± 2%). K is assumed to be equal within a definite primer system and thus does not influence the comparison of calculated relative ratios. Due to the nonselective dsDNA binding of the SYBR Green, gel electrophoresis was performed to confirm the exclusive amplification of the expected PCR product.

Statistics

For statistical comparison, one-way ANOVA was performed, followed by Tukey‘s honestly significant difference test when appropriate. A level of p < 0.05 was considered to be significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IL-8 synthesis is suppressed upon increase in neutrophil density

Whereas unstimulated neutrophils released only small amounts of IL-8 into the cell supernatant (data not given in detail), stimulation of 10 x 106 PMN with 10 ng/ml LPS resulted in progressive liberation of this CXC chemokine into the cell supernatant (Fig. 1GoA). Significant accumulation of IL-8 was already noted after 4 h of endotoxin stimulation, and rose steadily up to 16 h of stimulation. Interestingly, with increasing cell density, the levels of IL-8 in the supernatant volume did not increase, but were instead dramatically reduced (Fig. 1GoA). As compared with 10 x 106 PMN/ml, IL-8 liberation was reduced to ~35% in 60 x 106 PMN/ml after 8 and 16 h of stimulation (1746 ± 316 vs 677.5 ± 180 pg/ml after 8 h, and 4350 +/- 1001 vs 1796 ± 448 pg/ml after 16 h, n = 6). When calculations were performed per cell number, this corresponds to a suppression of IL-8 release to <10% per single cell under conditions of high cell density. Importantly, any debris in the cell supernatants of neutrophils at high cell density did not affect the determination of IL-8 in the currently used ELISA system, as assessed in separate recovery experiments.



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FIGURE 1. Effect of cell density on neutrophil IL-8 synthesis in response to LPS. Increasing concentrations of neutrophils (10 x 106 PMN/ml to 60 x 106 PMN/ml) were challenged with LPS (10 ng/ml). At indicated time points, reactions were stopped, and cell supernatants (A) and cell lysates (B) were collected. IL-8 is given in picograms per milliliter. Means ± SEM of at least six independent experiments are shown. Values marked differ significantly from corresponding values with 10 x 106 PMN/ml.

 
To assess whether inhibition of chemokine liberation rather than synthesis was underlying the observed reduction of IL-8 in supernatants of neutrophils at high cell density, cell lysates were analyzed. A corresponding decrease of IL-8 with increasing cell density was again detected (Fig. 1GoB), indicating that down-regulation of neutrophil IL-8 release at high cell density was attributable to reduced de novo synthesis of this chemokine. mRNA quantification by real-time RT-PCR, as performed after 1 and 4 h of LPS stimulation, revealed a comparable decrease in IL-8 mRNA as normalized to HPRT-mRNA in 60 x 106 PMN/ml (Fig. 2Go).



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FIGURE 2. Effect of cell density on neutrophil IL-8 mRNA expression in response to LPS. Increasing concentrations of neutrophils (10 x 106 PMN/ml to 60 x 106 PMN/ml) were challenged with LPS (10 ng/ml). After 1 and 4 h, aliquots of 0.5 x 106 cells were collected, and mRNA was extracted and subjected to quantitative RT-PCR. Relative expression of IL-8 mRNA is normalized to the number of IL-8 transcripts in 10 x 106 PMN/ml after 1 h of LPS stimulation (100%). Values marked differ significantly from corresponding values with 10 x 106 PMN/ml.

 
TNF-{alpha} and IL-1{beta} are continuously liberated upon increase in neutrophil density

To assess whether the down-regulation of IL-8 synthesis was paralleled by the suppression of other neutrophil-derived cytokines, supernatants of LPS-stimulated PMN at various cell densities were analyzed for TNF-{alpha} and IL-1{beta}. Contrary to IL-8, the liberation of these cytokines increased proportionally with increasing PMN density (Fig. 3Go). After 16 h of incubation, LPS-induced release of IL-1{beta} from 10 x 106 PMN/ml was 165 ± 32.5 pg/ml, while 838 ± 201 pg/ml IL-1{beta} was liberated from 60 x 106 PMN/ml (Fig. 3GoA). When calculating IL-1{beta} synthesis per single cell, this corresponds to 165 ± 32.5 pg/10 x 106 PMN at the lowest cell density and 138 ± 19.45 pg/10 x 106 PMN at the highest cell density, indicating that the liberation of this cytokine was not undergoing any substantial down-regulation by cell density. Similarly, LPS-induced liberation of TNF-{alpha}, quantified after 16 h of stimulation, was 75.6 ± 14.3 pg/ml from 10 x 106 PMN/ml, and increased to 410.3 ± 60.6 pg/ml in 60 x 106 PMN/ml (Fig. 3GoB), corresponding to a TNF-{alpha} liberation of 75.6 ± 14.3 pg/10 x 106 PMN cultured at the lowest cell density, and 68.4 ± 10.1 pg/10 x 106 PMN kept in the highest cell density.



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FIGURE 3. Effect of cell density on neutrophil IL-1{beta} and TNF-{alpha} synthesis in response to LPS. Increasing concentrations of neutrophils (10 x 106 PMN/ml to 60 x 106 PMN/ml) were challenged with LPS (10 ng/ml). At indicated time points, reactions were stopped, and cell supernatants were collected. IL-1{beta} (A) and TNF-{alpha} (B) are given in picograms per milliliter. Means ± SEM of at least four independent experiments are shown. Values marked differ significantly from corresponding values with 10 x 106 PMN/ml.

 
Down-regulation of neutrophil IL-8 synthesis at high cell density is mediated by a soluble mediator arising in the cell supernatant

Next, we investigated whether the selective down-regulation of neutrophil IL-8 generation was caused by direct cell-to-cell interactions, or was due to a soluble mediator arising in the cell supernatant of neutrophils cultured at high cell density. Inhibition of {beta}2 integrin-dependent adhesion with the function-blocking Ab MHM23, targeting the {beta}-chain of LFA-1, did not restore neutrophil IL-8 generation at high cell density (Table IIGo), indicating that integrin-mediated cell-to-cell interactions were not underlying neutrophil down-regulation. Therefore, a transfer of the putative down-regulatory mediator derived from neutrophils at high cell density was undertaken to neutrophils at constant density. For this purpose, constant concentrations of neutrophils (10 x 106 PMN/ml) were stimulated for 8 h with LPS in conditioned medium derived from neutrophils (originating from the same donor) cultured at the varying cell densities (10 x 106–60 x 106 PMN/ml). Conditioned media were obtained after an incubation period with 10 ng/ml LPS for 8 h. As depicted in Fig. 4Go, inhibition of IL-8 secretion was reproduced with conditioned media from neutrophils cultured at high cell density: when stimulated in conditioned medium derived from neutrophils at 60 x 106/ml, IL-8 release of 10 x 106 PMN was reduced to ~20% of that upon use of conditioned medium from PMN at the lowest cell density (431 ± 33 pg IL-8/10 x 106 PMN cultured in conditioned medium from 60 x 106 PMN/ml vs 1808 ± 220 pg IL-8/10 x 106 PMN cultured in conditioned medium from 10 x 106 PMN/ml).


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Table II. Lack of impact of other neutrophil-derived metabolites on the down-regulation of IL-8 synthesis with increasing cell density1

 


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FIGURE 4. Effect of conditioned medium from neutrophils cultured at increasing cell density on LPS-induced IL-8 release from a separate set of neutrophils. Conditioned medium was obtained by incubating neutrophils at increasing cell density (10 x 106 PMN/ml to 60 x 106 PMN/ml) for 8 h with 10 ng/ml LPS. Constant PMN concentrations (10 x 106 PMN/ml) of the same donor were then stimulated with LPS (10 ng/ml) in the presence of the respective conditioned media for an additional 8 h. Cell supernatants were collected, and IL-8 release was determined separately for the conditioned media, and for the additional 8-h stimulation of 10 x 106 PMN in the respective media. By calculating the difference, this figure gives the IL-8 release of 10 x 106 PMN/ml stimulated in the conditioned media for 8 h. Means ± SEM of at least three different experiments are shown. Values marked differ significantly from neutrophils cultured in conditioned medium from 10 x 106 PMN/ml.

 
Down-regulation of neutrophil IL-8 generation at high cell density is mediated by IL-1RA and sTNFRs

To identify the soluble factor(s) involved in the down-regulation of neutrophil IL-8 generation at high cell density, cell supernatants were analyzed for potentially inhibitory cytokines or cytokine antagonists. While the antiinflammatory cytokines IL-4, IL-10, and IL-13 were not detected (data not given), excessive quantities of IL-1RA (>30 ng/ml for 60 x 106 PMN/ml) and both types of soluble TNFRs (>10 ng/ml for 60 x 106 PMN/ml), rising dramatically upon increase in cell density, were recovered from LPS-treated neutrophils (Fig. 5Go).



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FIGURE 5. Accumulation of IL-1RA and sTNFRs in the supernatants of LPS-treated neutrophils upon increase in cell density. Increasing concentrations of neutrophils (10 x 106 PMN/ml to 60 x 106 PMN/ml) were challenged with LPS (10 ng/ml). At indicated time points, reactions were stopped, and cell supernatants were collected. IL-1RA (A), sTNFRI (B), and sTNFRII (C) are given in ng/ml. Means ± SEM of at least four independent experiments are shown. Values marked differ significantly from corresponding values with 10 x 106 PMN/ml.

 
As LPS-induced IL-8 formation in neutrophils is largely dependent on endogenously formed TNF-{alpha} and IL-1{beta} (20), we speculated that down-regulation of neutrophil IL-8 generation was due to blockage of this autocrine loop by IL-1RA and sTNFRs. Indeed, when blocking the bioactivity of these mediators, LPS-induced synthesis of IL-8 was restored, rising proportionally with increasing cell density: as depicted in Fig. 6Go, combined application of neutralizing Abs (20 µg/ml) targeting IL-1RA and both types of soluble TNFRs was the most efficient approach, provoking a ~20-fold increase in IL-8 liberation from neutrophils cultured at the highest cell density (12,024 ± 1,028 pg/ml in the presence of neutralizing Abs vs 572 ± 36.4 pg/ml in the absence of neutralizing Abs). Sole neutralization of IL-1RA induced a ~15-fold increase in IL-8 liberation from 60 x 106 PMN/ml, while sole inhibition of sTNFR bioactivity was less efficient, but still resulted in the liberation of 4,323 ± 663 pg/ml IL-8 from 60 x 106 PMN vs 572 ± 36.4 pg/ml IL-8, thus corresponding to a ~7.5-fold increase. Application of neutralizing Abs per se in the absence of LPS challenge did not provoke neutrophil IL-8 release (data not given).



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FIGURE 6. Effect of neutralization of IL-1RA and sTNFRs on the down-regulation of LPS-induced neutrophil IL-8 generation upon increase in cell density. Increasing concentrations of neutrophils (10 x 106 PMN/ml to 60 x 106 PMN/ml) were challenged with LPS (10 ng/ml) in the absence or presence of neutralizing Abs targeting IL-1RA, sTNFRI, or sTNFRII. All Abs were used at 20 µg/ml. Reactions were stopped after 16 h, and cell supernatants were collected. IL-8 is given in pg/ml. Means ± SEM of at least four independent experiments are shown. Values marked differ significantly from corresponding values without neutralizing Abs.

 
Exogenous IL-1RA and sTNFRs suppress LPS-induced IL-8 release from neutrophils at constant cell density

To further prove the inhibitory effect of IL-1RA and sTNFRs on LPS-induced neutrophil IL-8 release, these mediators were added to neutrophils at constant concentrations (10 x 106 PMN/ml) exposed to LPS challenge, with the amounts of exogenous IL-1RA (40 ng/ml) and sTNFRs (20 ng/ml) corresponding to the levels of these mediators secreted from neutrophils at high cell density. As depicted for IL-8 release after 16 h of LPS challenge, combined application of IL-1RA and both types of soluble TNFRs resulted in a most impressive inhibition of LPS-induced IL-8 generation, decreasing from 3585.3 ± 522.6 pg/ml IL-8 in the absence of cytokine antagonists to 1003.3 ± 206.6 pg/ml in their presence (Fig. 7Go). As anticipated from the studies with function-blocking Abs, sole application of IL-1RA exerted more efficient inhibition of IL-8 release than sole sTNFR challenge.



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FIGURE 7. Effect of exogenous IL-1RA and sTNFRs on LPS-induced IL-8 release from neutrophils incubated at constant cell density. Constant concentrations of neutrophils (10 x 106 PMN/ml) were challenged with LPS (10 ng/ml) in the absence or presence of exogenous IL-1RA, sTNFRs, or a combination of IL-1RA and sTNFRs. IL-1RA was applied at 40 ng/ml, while each sTNFR was given at 20 ng/ml. Reactions were stopped after 16 h, and cell supernatants were collected. IL-8 is given in pg/ml. Means ± SEM of at least three independent experiments are shown. Values marked differ significantly from mono-LPS-stimulated PMN.

 
Control experiments

In separate experiments, we addressed further neutrophil-derived mediators concerning a putative role in the down-regulation of IL-8 generation upon increase in cell density. Although the cyclooxygenase product PGE2 was continuously liberated from neutrophils upon increase in cell density (data not given in detail), application of the cyclooxygenase inhibitor indomethacin (10 µM) did not restore chemokine synthesis at high cell density. Moreover, interference with neutrophil 5-LO metabolism by using the specific inhibitor MK-886 (10 µM), or inhibition of PAF activity by the receptor antagonist CV-6209 (10 µM) was ineffective. Furthermore, neither scavenging oxygen radicals with SOD (100 µM), nor antagonizing neutrophil proteases with {alpha}1AT (100 µg/ml) restored neutrophil IL-8 synthesis, and a potential inhibitory role for endogenous adenosine was excluded by addition of appropriate concentrations of ADA (400 U/ml). Also upon stimulation of neutrophils with higher (1 µg/ml) or lower (0.1 ng/ml) LPS concentrations, a down-regulation of IL-8 generation was observed. All data are given in Table IIGo.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The present study focused on mechanisms that control the recruitment and activation of polymorphonuclear neutrophils. Microenvironmental conditions may be of major importance in this aspect, and some very recent studies demonstrated that upon contact of neutrophils with physiological matrices, e.g., adherence to endothelial cells, inflammatory neutrophil functions are profoundly modulated (10, 21, 22). The main finding of the present study is that neutrophil density per se represents an important variable controlling phagocyte inflammatory activity. Upon increase in neutrophil density, a dramatic down-regulation of LPS-induced IL-8 generation was noted. In contrast, TNF-{alpha} and IL-1{beta} secretion were not inhibited by the cell density. Supernatant transfer experiments suggested that the down-regulation of IL-8 secretion was attributable to secreted factor(s), and these were identified as IL-1RA and sTNFRs by immunodetection, by experiments with specific blocking, and by studies employing exogenous IL-1RA and sTNFRs.

Enhancing neutrophil density, achieved by increasing the total number of neutrophils in a given volume, exerted a profound influence on the LPS-induced liberation of the CXC chemokine IL-8, which decreased to <10% per single neutrophil at the highest (60 x 106 PMN/ml) vs the lowest (10 x 106 PMN/ml) cell density. As intracellular levels of IL-8 were equally diminished, the down-regulation of IL-8 was obviously not due to reduced liberation, but was caused by reduced de novo synthesis of the chemokine. Well in line with this reasoning, a corresponding decrease in IL-8 message was obtained for the highest neutrophil density (60 x 106 PMN/ml) when analyzed by quantitative RT-PCR. As in 20 x 106 PMN/ml, a significant decrease in IL-8 mRNA could not be detected; a posttranscriptional mechanism may additionally be involved in the regulation of IL-8 synthesis at that cell density. Importantly, any debris possibly present in the cell supernatant of more densely cultured neutrophils did not affect the determination of IL-8 in the currently used ELISA system, as assessed in separate recovery experiments. Moreover, the reduced IL-8 generation was unlikely to be an unspecific toxic effect of the high neutrophil density, as release of lactate dehydrogenase was consistently below 5% of the total cellular content, and as other neutrophil metabolic properties demanding cellular integrity, such as TNF-{alpha} and IL-1{beta} formation, were unaffected by PMN density.

When attempting to elucidate the mechanism(s) involved in the down-regulation of chemokine generation upon increase in cell density, supernatant transfer experiments clearly indicated that a soluble agent arising from the densely cultured neutrophils was responsible for the suppression of IL-8 generation. Neutrophil IL-8 generation was previously shown to be regulated by a wide variety of soluble agonists. Among the cytokines, IL-4, IL-10, IL-13, and IFN-{gamma} (23, 24, 25) have been implicated in inhibition of LPS-induced IL-8 formation. However, these cytokines were not detected in the cell supernatants of LPS-treated neutrophils at any cell density; therefore, an inhibitory role for these agonists could be excluded for the present experimental system. Interestingly, IL-10 was found in the lysates of neutrophils, but was not liberated, and addition of neutralizing anti-IL-10 Abs did not restore neutrophil chemokine generation (data not given). Besides antiinflammatory cytokines, prostanoids have been shown to down-regulate neutrophil IL-8 generation (26). Although PGE2 was continuously secreted from neutrophils at increasing cell densities, the cyclooxygenase inhibitor indomethacin had no effect on IL-8 generation. Moreover, interference with other neutrophil-derived mediators, namely 5-LO-metabolites, PAF, proteases, and reactive oxygen species, was ineffective. Endogenous adenosine, an autacoid known to accumulate in neutrophil suspensions (27), has recently been implicated in the regulation of a variety of neutrophil functions, including cytokine generation (28), and was thus considered as a further candidate contributing to the presently observed down-regulation of neutrophil IL-8 generation. However, the lack of effect of ADA, added at high concentrations to neutrophil suspensions, seriously questions a role of endogenous adenosine in the present setup.

Compelling evidence was, however, provided that the inhibition of IL-8 synthesis was centrally linked to IL-1RA and soluble TNFRs, secreted progressively upon neutrophil culturing in high cell densities. First, excessive quantities of IL-1RA (>30 ng/ml) and sTNFRs (>10 ng/ml), rising in parallel with the increase in cell density, were recovered from the supernatants of LPS-treated PMN. Second, blocking the bioactivity of these mediators by application of neutralizing Abs completely restored chemokine generation under conditions of high neutrophil density, thus resulting in a proportional increase in IL-8 with increasing cell density. These studies with function-blocking Abs suggested that the different cytokine antagonists synergized in inhibiting IL-8 release, with IL-1RA being a more efficacious agent than the soluble TNFRs, as antagonizing sole IL-1RA activity provoked a ~15-fold increase in IL-8 secretion from 60 x 106 PMN, vs a ~7.5-fold increase in IL-8 observed after neutralizing sTNFRs. And third, exogenous addition of recombinant IL-1RA and sTNFRs, in concentrations comparable with those detected in the supernatants of LPS-treated neutrophils at high cell density, reproduced the suppression of LPS-induced IL-8 liberation, thus confirming the key role previously suggested for TNF-{alpha} and IL-1{beta} as autocrine facilitators of LPS-induced formation of IL-8 (20, 29). Thus, at high neutrophil cell density, this autocrine loop is apparently blocked, as although IL-1{beta} and TNF-{alpha} are present, their cell surface receptor occupancy is competitively inhibited by IL-1RA and sTNFRs.

IL-1RA was produced in an ~80-fold excess over IL-1{beta}, and sTNFRs were in ~40-fold excess over TNF-{alpha} in populations with high neutrophil density. Such an excess over the respective agonists is well known to be necessary to block the physiological actions of IL-1{beta} and TNF-{alpha} (8, 9), probably due to decreased affinity of IL-1RA to IL-1Rs as compared with the agonist IL-1{beta}, and due to preferred engagement of cell surface TNFRs by circulating TNF-{alpha}. Hence, in 10 x 106 PMN/ml, function-blocking Abs targeting IL-1RA and sTNFRs did not amplify LPS-induced neutrophil IL-8 generation (Fig. 6Go), indicating that this regulatory loop was only operative when a certain excess of the cytokine antagonists over the respective agonists was given, just as occurring in high neutrophil cell density. In vivo, such excessive amounts of neutrophil-derived cytokine antagonists should not only down-regulate inflammatory neutrophil functions, but exert an overall antiinflammatory effect on various cellular immune effector cells. In this respect, release of sTNFR p75 by neutrophils has recently been postulated to be implicated in the regulation of TNF bioactivity in vivo (30), and exogenous application of IL-1RA and sTNFRs has been shown to reduce the mortality of endotoxin shock in numerous animal models (31, 32, 33).

Neutrophils represent the first line of defense against infections or nonself agents, and a wide variety of systemic mediators was shown to regulate neutrophil activity. In the present study, we found that the neutrophil density per se represents a critically variable-limiting excessive neutrophil activation. IL-1RA and soluble TNFRs, accumulating massively under conditions of high neutrophil density, are centrally involved in this regulatory mechanism by interfering with the IL-1{beta}- and TNF-{alpha}-dependent amplification of IL-8 generation. As a result, IL-8 synthesis and release are dramatically reduced at high neutrophil density. This negative feedback mechanism is to be assumed to result in the inhibition of further neutrophil recruitment and activation in a neutrophil-rich microenvironment, thereby contributing to the control of inflammatory functions in vivo.


    Acknowledgments
 
We thank M. M. Stein for skillful technical assistance.


    Footnotes
 
1 Address correspondence and reprint requests to Dr. Ulf Sibelius, Department of Internal Medicine, Justus-Liebig University, 35392 Giessen, Germany. Back

2 Abbreviations used in this paper: PMN, polymorphonuclear leukocyte; {alpha}1AT, {alpha}1-antitrypsin; ADA, adenosine deaminase; HPRT, hypoxanthine-guanine phosphoribosyltransferase; IL-1RA, IL-1R antagonist; s, soluble; SOD, superoxide dismutase. Back

Received for publication November 27, 2000. Accepted for publication March 5, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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