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*(L)-ARGININE
*NITRIC OXIDE
The Journal of Immunology, 2001, 166: 2173-2177.
Copyright © 2001 by The American Association of Immunologists


CUTTING EDGE

Cutting Edge: Stat6-Dependent Substrate Depletion Regulates Nitric Oxide Production1

Robert Rutschman2,*, Roland Lang2,*, Matthias Hesse{ddagger}, James N. Ihle{dagger}, Thomas A. Wynn{ddagger} and Peter J. Murray3,*

Departments of * Infectious Diseases and {dagger} Biochemistry and Howard Hughes Medical Institute, St. Jude Children’s Research Hospital, Memphis, TN 38105; and {ddagger} Laboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
The cytokines IL-4 and IL-13 inhibit the production of NO from activated macrophages through an unresolved molecular mechanism. We show here that IL-4 and IL-13 regulate NO production through depletion of arginine, the substrate of inducible NO synthase (iNOS). Inhibition of NO production from murine macrophages stimulated with LPS and IFN-{gamma} by IL-4 or IL-13 was dependent on Stat6, cell density in the cultures, and pretreatment for at least 6 h. IL-4/IL-13 did not interfere with the expression or activity of iNOS but up-regulated arginase I (the liver isoform of arginase) in a Stat6-dependent manner. Addition of exogenous arginine completely restored NO production in IL-4-treated macrophages. Furthermore, impaired killing of the intracellular pathogen Toxoplasma gondii in IL-4-treated macrophages was overcome by supplementing L-arginine. The simple system of regulated substrate competition between arginase and iNOS has implications for understanding the physiological regulation of NO production.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
Nitric oxide production from activated macrophages is essential for the control of a variety of microbial infections (1). However, uncontrolled NO production can also be detrimental, resulting in tissue damage and cell dysfunction or death (2). In macrophages, NO is produced by the conversion of arginine and oxygen to citrulline and NO by the enzyme inducible NO synthase (iNOS)4 (1). iNOS levels in activated macrophages are regulated through complex transcriptional and posttranscriptional mechanisms (1, 3). These include transcriptional control dependent upon IFN-{gamma}-regulated IFN regulatory factor (IRF) 1 binding to the iNOS promoter synergistically acting with NF-{kappa}B (4, 5, 6) and regulation of mRNA stability, translation, protein stability, substrate availability, and the activity of NO scavengers (1, 3) or endogenous enzyme inhibitors (7). In contrast to the well-understood pathways of iNOS production, our understanding of how NO levels are reduced, inhibited, or removed are limited.

Three major classes of cytokines have been shown to play roles in negative regulation of NO production from activated macrophages. IL-10 is a relatively weak inhibitor of iNOS levels while TGF-{beta} negatively regulates iNOS levels through multiple mechanisms (8). Studies from mice lacking IL-10 or TGF-{beta}1 have shown that both cytokines play essential, but differing, roles in negative regulation of iNOS (9, 10). The third class includes IL-4 and IL-13, related cytokines that are powerful inhibitors of NO production from activated macrophages (11, 12, 13, 14). IL-4 and IL-13 are pleiotropic cytokines that play major roles in the regulation of T and B cell function as well as controlling macrophage activity (15). Because of the essential role of NO in antimicrobial immunity, we were interested in determining the molecular explanation for the inhibitory actions of IL-4/IL-13. Here, we present our conclusions to this question and identify IL-4/IL-13 as down-regulating NO by substrate depletion though Stat6-dependent production of arginase.


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

Stat6-deficient mice have been described previously (16) and were bred in the St. Jude Animal Resources Center. Control mice (129 xC57BL/6)F2) were derived from littermates of interbred Stat6 +/- mice or were purchased from The Jackson Laboratory (no.100903; Bar Harbor, ME). Mice were age (6–10 wk) and sex matched for experimental use. Suppressor of cytokine signaling-1 (SOCS1) -/-, IFN-{gamma}-/- mice were bred at St. Jude by intercrossing SOCS1+/-, IFN-{gamma}-/- mice. All procedures were performed in accordance with institutional guidelines for the care and handling of experimental animals.

Macrophage isolation and cell culture

Peritoneal-derived macrophages (PDMs) were isolated from the peritoneal cavities of mice injected with 3 ml Brewer’s thioglycolate 3 days before harvest. Residual erythrocytes were removed with red cell lysis buffer (Sigma, St. Louis, MO) and plated as described in each figure legend. Bone marrow-derived macrophages (BMDMs) were obtained by flushing bone cavities and isolating macrophages by differentiation in using L cell-conditioned medium as a source of CSF-1. Cells were plated to the densities described in each figure legend. Adherent macrophages were used 4–6 days after plating. For most experiments, IL-4 and IL-13 were used at a final concentration of 50 ng/ml, and LPS and IFN-{gamma} were used at a final concentrations of 100 and 2 ng/ml, respectively.

Reagents

Murine IL-4 was obtained from PeproTech (Rocky Hill, NJ). Murine IL-13 was obtained from R&D Systems (Minneapolis, MN). Recombinant murine IFN-{gamma} was made in Escherichia coli (P. J. Murray, unpublished observations) and contained endotoxin levels <0.06 endotoxin units/ml and was fully functional by titration against a commercially available standard. E. coli LPS was purchased from Sigma (St. Louis, MO). Cytokine stocks were made to 1 µg/ml in complete RPMI 1640 medium. Griess and arginase assay reagents and cycloheximide were all obtained from Sigma. Rabbit polyclonal anti-Stat6 Abs were a gift from Dr. Demin Wang (St. Jude), anti-iNOS Abs were purchased from Biomol (Plymouth Meeting, PA), anti-Grb2 Abs were obtained from Transduction Laboratories (Lexington, KY), anti-phospho-Stat1 Abs were obtained from New England Biolabs (Beverly, MA), and anti-Stat1 Abs (sc-346, E23) and anti-IRF-1 Abs (sc-640, M20) were purchased from Santa Cruz (Santa Cruz, CA). The SOCS1 cDNA probe was a gift from Evan Parganas (St. Jude). A mouse arginase I probe was isolated from IMAGE EST 492949 (GenBank accession number AA097468).

Enzyme assays

Griess assays were performed as described elsewhere (17). Arginase assays were performed using the method of Corraliza et al. (18). iNOS enzyme assays were performed as described by Stuehr (19).

Immunoblotting and immunoprecipitations

Immunoblotting was performed as described previously (9). Pulse radiolabeling of iNOS was performed as described elsewhere (20) using 0.2 mCi/ml [35S]methionine/cysteine (ICN Pharmaceuticals, Los Angeles, CA). Cell lysates were made in radioimmunoprecipitation assay buffer with the addition of protease inhibitors and immunoprecipitated for 3 h at 4°C. Immunoprecipitates were collected with protein A-Sepharose and separated by electrophoresis on 4–15% gradient gels. Gels were fixed in 10% acetic acid and soaked in 2 M sodium salicylate, dried, and exposed to film for 15 h at -80°C.

In vitro infections

PDMs were harvested from C57BL/6 mice injected 5 days previously with 3% Brewer’s thioglycolate. Cells were adjusted to 8 x 106 cells/ml in complete RPMI 1640 and plated at 50 or 250 µl/well in 96- or 24-well plates, respectively. After 4 h, nonadherent cells were washed away with ice-cold PBS and adherent cells allowed to recover in complete medium for 1 h. Cells were incubated with IL-4 (50 ng/ml) for 16 h. LPS and/or IFN-{gamma} was added to some wells and then infected with T. gondii parasites (0.2 parasites/macrophage) for 24 h and then pulsed with [3H]uracil (1 µCi/well), which is preferentially incorporated into parasites. Cultures were treated with or without exogenous arginine and parasite replication was measured by scintillation counting.


    Results and Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
IL-4 and IL-13 share the IL-4R{alpha} chain in their receptor complexes and both cytokines activate Stat6, which mediates a subset of their functions in T and B cells (16, 21, 22, 23) and has previously been shown to be required for inhibiting iNOS mRNA production in LPS- and IFN-{gamma}-activated macrophages (24). Our experimental system uses two populations of primary macrophages; thioglycolate-elicited peritoneal inflammatory macrophages (PDMs) and in vitro differentiated BMDMs. To test whether Stat6 was required for IL-4/IL-13 inhibition of NO production, we stimulated macrophages with IL-4 or IL-13 for 16 h and then treated them with LPS/IFN-{gamma} for another 16 h and measured NO with the Griess reaction (19). This assay detects nitrites as byproducts of NO generation in the culture supernatants (Fig. 1GoA). Both IL-4 and IL-13 inhibited NO from activated PDMs (Fig. 1GoA) and BMDMs (data not shown) in a Stat6-dependent manner. In these assays, macrophages must be pretreated with IL-4/IL-13 to observe NO inhibition. To test the dependence on time, we pretreated macrophages with IL-4 for different times before LPS/IFN-{gamma} treatment (Fig. 1GoB). The results show that macrophages must be treated for ~10 h in order for IL-4 to block NO completely (Fig. 1GoB). The time dependence of the effect is important for the interpretation of the experiments presented below. We also noted that the effects of IL-4 and IL-13 are highly dependent on the number of macrophages in the culture. To illustrate this, PDMs were plated at 1.25 x 105-7.5 x 105 cells/well in 24-well plates (Fig. 1GoC). IL-4 did not inhibit NO at 1.25 x 105 and 2.5 x 105 cells/well, while >90% inhibition was observed at 7.5 x 105 cells/well. Similar findings were observed with BMDMs (data not shown). The inhibition of NO production by IL-4/IL-13 was not due to the production of a molecule or substance that interfered with the Griess reaction and was also not due to the production of a Stat6-regulated soluble factor(s) as shown by transferring culture supernatants in the presence of neutralizing anti-IL-4 mAbs (data not shown).



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FIGURE 1. IL-4-mediated inhibition of NO production is Stat6, time, and cell density dependent. A, Stat6 is an essential component of the signaling pathway from the IL-4 or IL-13 receptors to block NO production. PDMs from wild-type (filled bars) or Stat6-/- mice (open bars) were plated at 1.5 x 106/ml in 0.5 ml in 24-well plates and stimulated with IL-4 or IL-13 for 16 h followed by LPS/IFN-{gamma} for another 16 h. Nitrites were measured with the Griess reagent. B, NO inhibition by IL-4 is dependent on the time of pretreatment. PDMs were plated as described for A and pretreated with IL-4 for the times indicated on the abscissa. Cells were then stimulated with LPS/IFN-{gamma} for 16 h and nitrites were measured with the Griess reagent. C, NO inhibition by IL-4 is dependent on the number of cells in the culture. PDMs were plated at a final number per well in 24-well plates as shown on the abscissa and pretreated with IL-4 followed by LPS/IFN-{gamma} as described for A. Note that PDMs are postmitotic and thus do not increase in number following plating.

 
At first appraisal, the simplest explanation for the role of IL-4/IL-13 in blocking NO is the likelihood of iNOS mRNA down-regulation. Indeed, several reports have implicated inhibition of IFN-{gamma} signaling, iNOS gene transcription and other mechanisms as being involved in IL-4 inhibition of NO production (11, 12, 24, 25). To test whether iNOS protein levels were reduced by IL-4/IL-13, we performed time course experiments to measure the accumulation of iNOS by immunoblotting. Both IL-4 and IL-13 inhibited NO production but iNOS levels were unchanged in either case (data not shown). IL-4/IL-13 also did not inhibit Stat1 phosphorylation or IRF-1 up-regulation when macrophages were stimulated with LPS/IFN-{gamma}, both prerequisites for high-level iNOS production, ruling out a role for IL-4/IL-13 inhibiting these signaling pathways under these conditions (data not shown). Minor inhibition of Stat1 phosphorylation was observed when macrophages were stimulated with IL-4 and IFN-{gamma}; however, this did not appear to inhibit IRF-1 or iNOS induction. Interestingly, IL-4 did inhibit the LPS-mediated induction of iNOS, indicating that IL-4 may activate alternate pathways that can reduce iNOS protein levels (data not shown). We also tested whether IL-4 regulated newly synthesized iNOS protein by pulse labeling and immunoprecipitation analysis. Again, these results failed to reveal any effect of IL-4 on iNOS synthesis (data not shown). We also tested whether the activity of iNOS enzyme was affected in macrophages treated with IL-4 and then LPS/IFN-{gamma}. Cell-free extracts were used to measure iNOS enzyme activity using a method established by Stuehr (19). Under these conditions, we found that iNOS activity was equivalent in lysates that had been previously treated with IL-4 and LPS/IFN-{gamma} or LPS/IFN-{gamma} alone, even though samples that had been pretreated with IL-4 showed complete inhibition of NO production (data not shown). Finally, since we had observed that IL-4 induces expression of SOCS1, a protein inhibitor of IFN-{gamma} signaling, the role of SOCS1 was also tested. Using Northern blotting to check for SOCS1 expression and SOCS1-/- macrophages, we failed to implicate this molecule in IL-4-mediated inhibition of NO production (data not shown). In summary, the results indicate that IL-4/IL-13 regulates NO production using a molecular mechanism distinct from inhibiting iNOS levels.

Previous studies have shown that arginase levels can be up-regulated in macrophages treated with IL-4 or IL-13 (26, 27). This has been postulated to be a mechanism where IL-4/IL-13-secreting Th2 T cells direct macrophages to make arginase. In contrast, Th1 T cells would direct iNOS production via IFN-{gamma} (26, 27). However, this hypothesis has not been directly tested in a situation where macrophages are exposed to both IL-4 and IFN-{gamma}. We first asked whether IL-4 controls arginase levels in a Stat6-dependent manner using a standard arginase assay (18). The results (Fig. 2GoA) show that indeed, arginase levels increase substantially following IL-4 treatment, independent of LPS/IFN-{gamma} treatment. The increase in arginase levels was strictly dependent on Stat6 as well as cell density in the cultures. Therefore, a simple explanation for the data presented in Fig. 1Go is that IL-4 up-regulates arginase which then depletes arginine from the cultures. The greater the cell density, the more arginine would be consumed, accounting for the cell density dependence of the effect (Fig. 1GoC). If this scenario was true, then replenishment of arginine levels in the cultures should restore NO production in cells treated with IL-4 and then LPS and IFN-{gamma}. To test this, macrophages were treated with IL-4 and then LPS/IFN-{gamma} with additional arginine (2 mM) added to the culture medium. Arginine addition completely rescued NO production, independent of arginase activity (Fig. 2GoB). Therefore, the simplest explanation of the data is that IL-4/IL-13 stimulates arginase activity that depletes arginine levels, leaving none available for iNOS to generate NO. This is reversible by the addition of exogenous arginine, providing sufficient substrate for both iNOS and arginase. iNOS has a significant Km advantage over arginase I for arginine, leading to the concept that iNOS would preferentially retain access to substrate (28, 29). Our data support and extend this idea since we were able to show that as long as arginine is present, iNOS is active, whether or not arginase is also actively consuming substrate. However, if arginase has been induced by Il-4/IL-13 before iNOS induction and substrate becomes limiting, no NO will be made by iNOS.



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FIGURE 2. IL-4 controls arginase levels and depletion of iNOS substrate. A, Arginase induction by IL-4 is Stat6 dependent. BMDMs from wild-type or Stat6-/- mice were plated at the densities shown in the abscissa in 24-well plates and stimulated with IL-4 for 16 h followed by LPS/IFN-{gamma} stimulation. Arginase activity in cell lysates was measured using the method of Corraliza et al. (18 ). B, Exogenous arginine addition restores NO production in IL-4-stimulated macrophages. BMDMs were plated at 2 x 106/well in 24-well plates and stimulated as shown on the abscissa. Exogenous arginine was added to the medium (2 mM) at the time of LPS/IFN-{gamma} addition (filled bars) or immediately before performing the Griess assay 16 h after LPS/IFN-{gamma} addition. Nitrites were measured in the culture supernatants and arginase activity was measured in cell lysates from the same cultures. C, Arginase I mRNA is regulated indirectly by Stat6. BMDMs from wild-type or Stat6-/- mice were plated at 8 x 106 in 10-cm dishes and stimulated with IL-4 for 0, 1, 2, or 6 h in the presence or absence of cycloheximide (CHX, 10 µg/ml). Total RNA was prepared and arginase I and GAPDH (loading control) levels were measured by Northern blotting.

 
Since previous studies have shown that arginase I (liver isoform) is up-regulated by IL-4 (27, 30), we would expect that this would occur in a Stat6-dependent manner. To test this, macrophages from wild-type or Stat6-/- mice were treated with IL-4 with or without cycloheximide, and arginase I mRNA levels were measured by Northern blotting. Arginase I mRNA levels increased over time and in a Stat6-dependent manner, but was also dependent on new protein synthesis, suggesting that Stat6 is unlikely to act directly on the arginase promoter (Fig. 2GoC). A previous report claimed six potential Stat6 binding sites are present in the rat arginase I promoter (30) but our own analysis of this promoter failed to reveal any sites correlating with the Stat6 consensus binding site (TTCC(A > T,N)GGAA; Ref. 31). There was a single site conforming to a potential Stat6 binding site (TTCNNNNGAA; Ref. 32); however, our observations showing that intermediate proteins are required downstream of Stat6 to regulate arginase I expression suggests that this site is unlikely to be physiologically relevant in the regulation of arginase I by IL-4. Finally, the Northern blot data reveal that ~6 h are required to observe significant arginase I mRNA levels, correlating with the time-dependent requirement for IL-4 pretreatment of macrophages (Fig. 1Go).

Since arginase and iNOS compete for arginine, we predicted that the depletion of substrate would play a significant role in macrophage-mediated immune mechanisms where NO is important. Therefore, we tested this concept in an in vitro T. gondii killing assay (Fig. 3Go). In this assay, macrophage anti-toxoplasma activity is dependent upon NO generation (33). IL-4 pretreatment significantly inhibited LPS/IFN-{gamma} killing of T. gondii, while no parasite replication was detected when macrophages were treated with LPS/IFN-{gamma}. Strikingly, addition of exogenous arginine restored complete killing of T. gondii in the IL-4-treated macrophages, suggesting that as long as substrate is available to iNOS the enzyme will actively generate NO (Fig. 3Go).



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FIGURE 3. L-Arginine restores NO production and inhibits the growth of T. gondii in IFN-{gamma}/LPS-activated macrophages pretreated with IL-4. Thioglycolate-elicited peritoneal macrophages from C57BL/6 mice were plated and activated as described in this figure. After a 16-h incubation, designated cells were stimulated with IFN-{gamma}/LPS, supplemented with L-arginine (2 mM), and all cells were infected with RH tachyzoites (0.2 parasites/cell). After an additional 24-h incubation, supernatants were removed for NO analysis and infected cells were pulsed with [3H]uracil. Growth of T. gondii was measured 24 h later and recorded as incorporated radioactivity in cpm (A). Background incorporation of similarly stimulated, noninfected macrophages was subtracted. Nitrite levels were analyzed as described and are shown in B. Results are representative of four similar experiments.

 
The results of this study have implications for our understanding of NO in macrophage-mediated immune responses. We can deduce that macrophages exposed to IL-4/IL-13 will elevate the level of arginase I, leading to competition for substrate and inhibition of the amount of NO that can be produced. This scenario is likely to play a role where arginine is limited rather than in well-perfused tissues (29). Examples could include granulomas in mycobacterial and schistosomal infections or autoimmune diseases, repairing tissues, airway hyperinflammation, solid tumors (34), or regions of the brain. In these examples, NO generation could be significantly reduced, even though iNOS levels could be high. Therefore, a consequence of this study is that immunological detection of iNOS as a marker for NO levels could have limited value if the same cells or tissues also express significant levels of arginase. Another prediction of this study is that arginine could be a useful therapeutic agent in cases where both arginase I and iNOS are competing for substrate. This has been observed in an in vivo model of Trypanosoma brucei infection where administration of arginine into the peritoneal cavity partially restored parasite killing, presumably by activated macrophages now capable of generating NO (35). Restoration of arginine may be a simple method of providing macrophages with the ability to overcome substrate starvation induced by Stat6-mediated activation of arginase I.


    Acknowledgments
 
We thank Angelica Hoffmeyer for the gift of SOCS1+/-, IFN-{gamma}-/- mice; Evan Parganas for analysis of the rat arginase I promoter and the SOCS1 cDNA probe; and Demin Wang for anti-Stat6 Abs.


    Footnotes
 
1 This work was supported by American Lung Association Grant RG-008-N (to P.J.M.), by the American Lebanese Syrian Associated Charities, and by Cancer Center CORE Grant P30 CA 21765. R.L. is supported by a fellowship from the Deutsche Forschungsgemeinschaft (La1262/1-1). Back

2 R.R. and R.L. contributed equally to this study. Back

3 Address correspondence and reprint requests to Dr. Peter J. Murray, Department of Infectious Diseases, St. Jude Children’s Research Hospital, 332 North Lauderdale Street, Memphis, TN 38105. Back

4 Abbreviations used in this paper: iNOS, inducible NO synthase; PDM, peritoneal-derived macrophage; BMDM, bone marrow-derived macrophage; IRF, IFN regulatory factor. Back

Received for publication October 30, 2000. Accepted for publication December 19, 2000.


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 Top
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 Introduction
 Materials and Methods
 Results and Discussion
 References
 

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