The Journal of Immunology, 2001, 167: 6609-6614.
Copyright © 2001 by The American Association of Immunologists
The Endogenous Opioid Spinorphin Blocks fMet-Leu-Phe-Induced Neutrophil Chemotaxis by Acting as a Specific Antagonist at the N-Formylpeptide Receptor Subtype FPR
Thomas S. Liang,
Ji-Liang Gao,
Omid Fatemi,
Mark Lavigne,
Thomas L. Leto and
Philip M. Murphy1
Laboratory of Host Defenses, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892
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Abstract
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Spinorphin is an endogenous heptapeptide
(leucylvalylvalyltyrosylprolyltryptophylthreonine), first isolated from
bovine spinal cord, whose sequence matches a conserved region of
-hemoglobin. Also referred to as LVV-hemorphin-4 and a member of the
nonclassical opioid hemorphin family, spinorphin inhibits
enkephalin-degrading enzymes and is analgesic. Recently, spinorphin was
reported to block neutrophil activation induced by the chemotactic
N-formylpeptide
N-formylmethionylleucylphenylalanine (fMLF), suggesting
a potential role as an endogenous negative regulator of inflammation.
Here we use both gain- and loss-of-function genetic tests to identify
the specific mechanism of spinorphin action on neutrophils. Spinorphin
induced calcium flux in normal mouse neutrophils, but was inactive in
neutrophils from mice genetically deficient in the fMLF receptor
subtype FPR (N-formylpeptide receptor). Consistent with
this, spinorphin induced calcium flux in human embryonic kidney 293
cells transfected with mouse FPR, but had no effect on cells expressing
the closely related fMLF receptor subtype FPR2. Despite acting as a
calcium-mobilizing agonist at FPR, spinorphin was a weak chemotactic
agonist and effectively blocked neutrophil chemotaxis induced by fMLF
at concentrations selective for FPR. Spinorphin did not affect mouse
neutrophil chemotaxis induced by concentrations of fMLF that
selectively activate FPR2. Thus, spinorphin blocks fMLF-induced
neutrophil chemotaxis by acting as a specific antagonist at the fMLF
receptor subtype FPR.
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Introduction
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The generation
of opioid peptides from endogenous proteins has been characterized in
milk protein, mitochondrial cytochrome b, and hemoglobin
(1, 2, 3). Hemorphins are nonclassical opioid peptides found
in human pituitary gland, cerebrospinal fluid, adrenal gland, blood,
and bronchoalveolar lavage fluid as well as bovine brain that have
amino acid sequences identical with a conserved region of the
-chain
of bovine and human hemoglobin (4, 5, 6, 7, 8, 9, 10). Peritoneal
macrophages (11) and proteolytic enzymes such as aspartic
endopeptidase (12) and cathepsin D (13) have
been implicated in hemorphin processing and production. Hemorphins have
been reported to function as agonists at AT4 angiotensin receptors in
brain and as antagonists at enkephalinases and angiotensin-converting
enzyme (14, 15, 16, 17), suggesting potential modulatory roles in
memory, pain, and blood pressure control.
Spinorphin, or LVV-hemorphin-4, has the amino acid sequence
leucyl-valyl-valyl-tyrosyl-prolyl-tryptophyl-threonine, which matches
positions 3238 of human
-hemoglobin (5). Like
other hemorphins, spinorphin is an angiotensin-converting enzyme
antagonist, and inhibits enkephalin-degrading enzymes such as neutral
endopeptidase
(NEP2/CD10),
aminopeptidase, and dipeptidyl aminopeptidase (18).
Spinorphin has been identified in human cerebrospinal fluid and bovine
spinal cord (10, 18). Concentrations in vivo are not
known, but high levels (115300 nM) of the related hemorphin
LVV-hemorphin-7 have been measured in cerebrospinal fluid from a
patient with cerebrovascular bleeding (9). Spinorphin has
been shown to have analgesic activity for morphine-resistant pain
pathways (19).
Expression of the spinorphin targets NEP and aminopeptidase N (CD13) on
blood phagocytes (20, 21, 22, 23, 24) has suggested a potential role
for spinorphin in modulating inflammatory responses. NEP degrades and
inactivates the potent phagocyte chemoattractant fMLF
(25), suggesting that spinorphin might act to potentiate
responses to this peptide. In fact, the opposite is the case;
spinorphin inhibits fMLF-induced calcium flux, chemotaxis, exocytosis,
and superoxide production in human neutrophils (26). The
mechanism appears to involve competition for fMLF binding to surface
receptors. Spinorphin has also been shown to block carrageenan-induced
polymorphonuclear neutrophil accumulation in mouse air pouches
(27).
Here we address the molecular basis of spinorphin action by testing its
specificity for known fMLF receptors. Two human neutrophil fMLF
receptor subtypes have been cloned, N-formylpeptide receptor
(FPR) and FPR-like 1 receptor (FPRL1R) (28, 29, 30, 31, 32). These
receptors are members of the G protein-coupled receptor superfamily and
have 69% amino acid identity. Compared with FPR, FPRL1R binds fMLF
with lower affinity and has additional agonists, including lipoxin A4,
and serum amyloid A (33, 34). In the mouse the FPR
homologue has been clearly identified (35), but two other
related receptors have been cloned that are equally homologous to human
FPRL1R (36). To date one has been characterized as a
lipoxin A4 receptor and is known as LXA4R (37), whereas
the other, known as FPR2, is a functional receptor for fMLF (low
affinity compared with mouse FPR) and serum amyloid A (38, 39). Here we use gene transfected cell lines and FPR knockout
mice to prove that spinorphin blocks fMLF-induced chemotaxis
of neutrophils by specifically antagonizing FPR.
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Materials and Methods
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Peptides
fMLF was purchased from Sigma (St. Louis, MO). Spinorphin was
synthesized by the Peptide Synthesis and Analysis Unit, Research
Technologies Branch, National Institute of Allergy and Infectious
Diseases, National Institutes of Health (Bethesda, MD). HPLC analysis
indicated that the peptide was 93% pure. Both fMLF and spinorphin were
dissolved in DMSO, and 10 mM stocks were kept at -20°C until
use.
Mouse leukocyte purification
Development of an FPR knockout mouse has been reported
previously (40). Mice used in this study were littermates
from FPR+/- x FPR+/-
matings of an F1 backcross of
FPR+/- 129/Sv with wild-type C57BL/6 mice.
Leukocytes were harvested from the peritoneal cavity after
thioglycolate irritation, as described previously (40).
Cells obtained after 3 h were >90% neutrophils, as determined by
the morphologic appearance of Diff-Quick-stained preparations.
Cell lines
Human embryonic kidney (HEK) 293 cell lines expressing mouse FPR
and mouse FPR2 have been previously described (37). Cells
were cultured in DMEM plus 10% FBS and 1 mg/ml G418 at 37°C and were
collected for analysis in PBS at room temperature.
Intracellular Ca2+ measurements
Cells were incubated in PBS (107 cells/ml)
containing 2.5 µM fura-2/AM (Molecular Probes, Eugene, OR) for 30 min
at 37°C in the dark. Cells were washed twice and resuspended in HBSS.
Cells (3 x 106), continuously stirred in a
2-ml cuvette at 37°C, were stimulated by fMLF or spinorphin in a
fluorometer (Photon Technology, South Brunswick, NJ). The data were
recorded every 200 ms as the relative ratio of fluorescence emitted at
510 nm after sequential excitation at 340 and 380 nm.
Chemotaxis
Leukocytes were resuspended at 1.5 x
106 cells/ml in RPMI 1640 supplemented with 1%
BSA and 20 mM HEPES. Spinorphin and fMLF were loaded at varying
concentrations in the lower compartment of a 48-well microchemotaxis
chamber (NeuroProbe, Cabin John, MD). The chamber was soaked in 1% SDS
overnight and washed before each experiment. A 3-µm pore size
polyvinylpyrrolidone-free polycarbonate filter was used. Fifty
microliters of 1.5 x 106 cells/ml was
loaded in the upper compartment, and the chemotaxis chamber was
incubated at 37°C, 100% humidity, and 5% CO2
for 1 h. The filter was then removed, washed, fixed, and stained.
Cells that migrated through the filter were counted microscopically
under high power. All conditions were tested in triplicate.
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Results
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Spinorphin is a partial agonist at mouse FPR
To identify specific spinorphin receptors, we used a calcium flux
assay to test as candidates the two known mouse
N-formylpeptide receptor subtypes (FPR and FPR2), expressed
in HEK 293 cells by stable transfection with appropriate plasmids.
Untransfected HEK 293 cells do not normally express these receptors or
respond to fMLF and did not respond to spinorphin (not shown). As
expected, each cell line responded specifically to fMLF with a typical
rise in the intracellular Ca2+ concentration,
followed by a rapid return to resting levels (Fig. 1
). As previously reported
(38), each receptor could be distinguished
pharmacologically by the EC50 of fMLF for
activation and by reactivity to selective agonists (data not shown).
Neither cell line responded to stimulation with irrelevant
chemoattractant agonists, such as the chemokine macrophage inflammatory
peptide-1
.

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FIGURE 1. Spinorphin is a functional ligand for the fMLF receptor subtype FPR,
but not for the related receptor FPR2. Calcium mobilization was
measured as relative cell fluorescence in HEK 293 cells transfected
with mouse FPR and mouse FPR2. The arrows indicate test molecules,
concentrations, and time of addition for each tracing. Each tracing
corresponds to the receptor indicated to the left of the
row in which it is found. Data are from a single representative
experiment repeated at least three times.
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Spinorphin also induced calcium flux in FPR-transfected cells, but not
in cells expressing FPR2 (Fig. 1
); the EC50 was
128 ± 24 µM (n = 3; Fig. 2
). To confirm that spinorphin and fMLF
share the same signaling pathway via FPR, we performed real-time
sequential stimulation experiments, again monitoring calcium flux. A
saturating concentration of spinorphin added first (500 µM) caused a
marked reduction in the response of the cells to 5 µM fMLF given
second, and 5 µM fMLF added first almost completely desensitized the
cells to 300 µM spinorphin given second (Fig. 3
). This interference pattern suggests
usage of the same signaling pathway by these two agonists

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FIGURE 2. Potency of spinorphin for activation of mouse FPR. HEK 293 cells
expressing mouse FPR were stimulated with spinorphin at the
concentration indicated to the right of each tracing,
and calcium flux was measured as the relative change in cell
fluorescence. Data are from a single experiment repeated six
times.
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FIGURE 3. Desensitization of FPR by spinorphin. HEK 293 cells expressing mouse
FPR were stimulated sequentially with spinorphin and fMLF at the times
and concentrations indicated, and calcium flux was measured as the
relative change in cell fluorescence. Data are from a single experiment
repeated at least six times.
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FPR is a functional neutrophil receptor for spinorphin
We previously reported that FPR and FPR2 are both expressed in
primary mouse neutrophils (38). To test whether our
results from studying the cloned receptors in HEK 293 cell
transfectants accurately reflect the properties of the receptors when
expressed endogenously in primary cells, we compared functional
responses from thioglycolate-elicited peritoneal neutrophils obtained
from wild type (+/+) and FPR knockout (-/-) mice (Fig. 4
). In neutrophils from
FPR+/+ mice, spinorphin induced dose-dependent,
saturable calcium flux responses (Fig. 4
A), whereas
neutrophils from FPR-/- mice did not respond
even at 100 µM spinorphin (Fig. 4
B). In sequential
stimulation experiments, 100 µM spinorphin added first dramatically
reduced the response of FPR+/+ neutrophils to 1
µM fMLF given second. This concentration of fMLF induces a maximal
response in HEK 293 cells transfected with mouse FPR. Conversely, 200
nM fMLF abolished the response of the cells to 100 µM spinorphin
given second (Fig. 4
C).

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FIGURE 4. Spinorphin is an agonist at endogenous FPR expressed in mouse
neutrophils. Calcium mobilization in thioglycolate-elicited peritoneal
neutrophils obtained from wild-type (A and
C) and FPR-knockout (B) mice.
A, Dose response of spinorphin in FPR+/+
neutrophils. B, Specificity of spinorphin for endogenous
FPR. C, Cross-desensitization of calcium flux responses
by fMLF and spinorphin in FPR+/+ neutrophils. Data are from
a single representative experiment representative of three independent
experiments.
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These results are consistent with the idea that FPR functions as a
shared calcium-mobilizing mouse neutrophil receptor for spinorphin and
fMLF. Moreover, the failure of 100 µM spinorphin to induce calcium
flux in FPR-/- neutrophils or to block the
response of FPR-/- neutrophils to 10 µM fMLF,
which is the EC50 for activation of FPR2,
strongly suggests that spinorphin is neither an agonist nor an
antagonist of endogenous FPR2 (Fig. 4
C). Thus, there is
agreement between the gain- and loss-of-function genetic tests of these
receptors in transfected HEK 293 cells and primary mouse
neutrophils.
Spinorphin acts as an antagonist at FPR to block fMLF induction of
neutrophil chemotaxis
We next tested whether spinorphin can affect neutrophil
chemotaxis. In control experiments, fMLF was approximately 100-fold
more potent in inducing chemotaxis of thioglycolate-elicited peritoneal
neutrophils from FPR+/+ mice compared with cells
from FPR-/- mice (Fig. 5
), which confirms our previous report
(38). fMLF appears to induce chemotaxis of
FPR-/- neutrophils via FPR2, since both these
cells and FPR2-transfected HEK 293 cells respond chemotactically to
fMLF over a similar dose range. To understand the spinorphin results
that follow, it is important to realize that the dose-response curve
for fMLF induction of chemotaxis in wild-type neutrophils has two
optima at 1 and 100 µM (Fig. 5
A), reflecting the
well-known bell shape of chemotaxis dose-response curves and the
responsiveness of FPR and FPR2 in these cells at low and high
concentrations of fMLF, respectively (38).

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FIGURE 5. Spinorphin is a weak chemoattractant for mouse neutrophils. Chemotaxis
was measured as the number of cells migrated per high power field (hpf)
for wild-type (+/+) and FPR knockout (-/-) neutrophils in response to
the indicated concentrations of fMLF and spinorphin. Data are the
mean ± SE of triplicate determinations and are representative of
two independent experiments.
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Although spinorphin was an effective calcium-mobilizing agonist for
neutrophils from FPR+/+ mice, it was an extremely
poor direct chemoattractant of these cells (Fig. 5
), which agrees with
previously reported results using human neutrophils (26)
and provides an additional example of the nonequivalence of calcium
flux and chemotaxis pathways in neutrophils. The maximal chemotactic
index was consistently <2 at optimal spinorphin concentrations (1050
µM; Fig. 5
A). Spinorphin-induced chemotaxis was not
observed in neutrophils from FPR-/- mice,
indicating that the activity, albeit weak, was specifically mediated by
FPR (Fig. 5
B). In contrast to this weak intrinsic agonist
activity, spinorphin specifically and effectively antagonized
fMLF-induced chemotaxis of neutrophils from
FPR+/+ mice (Fig. 6
). This agrees with the reported ability
of spinorphin to block fMLF-induced chemotaxis of human neutrophils
(26). Selectivity for FPR was suggested by the ability of
100 µM spinorphin to inhibit chemotaxis of wild-type neutrophils over
the full chemotactic concentration range of fMLF (101000 nM) for FPR
(Fig. 6
A) but not at 10 µM fMLF, which induces chemotaxis
via FPR2, not FPR (38), as well as by the inability of
spinorphin to affect chemotaxis of wild-type mouse neutrophils to an
unrelated agonist, the chemokine SDF-1 (Fig. 6
B).

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FIGURE 6. Spinorphin is a specific antagonist of fMLF-induced neutrophil
migration. Migration was measured in vitro for thioglycolate-elicited
peritoneal neutrophils obtained from wild-type mice. A,
Spinorphin antagonism of chemotaxis induced by increasing
concentrations of fMLF. B, Spinorphin specificity for
FPR. The name and concentrations of stimuli in the lower chemotaxis
well are indicated below each bar. Data are the mean ± SE of
triplicate determinations from a single experiment and are
representative of two experiments.
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When an fMLF concentration that is both selective for FPR over FPR2 and
optimal for FPR-mediated neutrophil chemotaxis was used to stimulate
neutrophils from FPR+/+ mice, spinorphin
inhibited the activity in a dose-dependent manner. The
IC50 was approximately 30 µM (Fig. 7
A). At the highest
concentration of spinorphin tested (100 µM) the inhibitory efficacy
was about 70%. In contrast, when an fMLF concentration that is optimal
for FPR2-mediated neutrophil chemotaxis was used to stimulate
neutrophils from FPR-/- mice, the activity was
unaffected by spinorphin throughout the concentration range tested
(Fig. 7
B). This is consistent with the calcium flux
experiments in mouse receptor-transfected HEK 293 cells and
FPR-/- mouse neutrophils and supports the
conclusion that spinorphin is highly selective for mouse FPR compared
with FPR2.

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FIGURE 7. Potency of spinorphin antagonism of fMLF-induced neutrophil chemotaxis.
Migration was measured in vitro for thioglycolate-elicited peritoneal
neutrophils obtained from wild-type (A) and FPR knockout
(B) mice. A, Spinorphin dose dependence
for antagonism of chemotaxis induced by a concentration of fMLF
selective for FPR. The indicated concentrations of spinorphin were
incubated with 10-6 M fMLF in the lower well of the
chemotaxis chamber. B, Lack of spinorphin antagonism of
chemotaxis induced by a concentration of fMLF selective for FPR2. The
indicated concentrations of spinorphin were incubated with
10-4 M fMLF in the lower well of the chemotaxis chamber.
Data are the mean ± SE of triplicate determinations from a single
experiment and are representative of two independent experiments.
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Spinorphin has also been reported to block human neutrophil oxidant
production triggered by fMLF (26). However, fMLF induction
of oxidant production in mouse neutrophils was weak, and spinorphin
quenched the Diogenes reagent that is most sensitive for detecting
superoxide protection; therefore, analysis of spinorphin modulation of
this pathway could not be accomplished.
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Discussion
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In this study we have used genetic gain- and loss-of-function
criteria to prove that the hemorphin family member spinorphin blocks
fMLF induction of mouse neutrophil chemotaxis by acting as a specific
antagonist at the fMLF receptor subtype FPR. Spinorphin also exhibited
partial agonist activity at FPR, since it was able to directly induce
calcium flux and to weakly induce chemotaxis in wild-type mouse
neutrophils, but not in FPR-/- neutrophils. Our
results are consistent with and provide a specific molecular mechanism
for the findings of Yamamoto et al. (26), who reported
that spinorphin could inhibit fMLF induction of human neutrophil
chemotaxis, superoxide generation, and exocytosis and could inhibit
fMLF binding to human neutrophils. That result did not specify a
molecular mechanism of spinorphin action because of the existence of at
least one other fMLF receptor subtype, FPR2, which we now show does not
appear to interact with spinorphin, and because of the possibility that
spinorphin could cross-desensitize fMLF receptors through an
independent pathway.
FPR is the first membrane receptor identified for spinorphin. Other
members of the hemorphin family have been shown to bind angiotensin
receptors (14, 15), which, like FPR, are members of the
peptidergic group of G protein-coupled receptors (41).
However, interaction of spinorphin with angiotensin receptors and
interaction of other hemorphins with FPR have not been reported. FPR
ligands were originally thought to be restricted to formylated peptides
potentially derived from bacterial and mitochondrial proteins
(42), but are now known to also include several
nonformylated peptides, all of which, with the exception of spinorphin,
are synthetic peptides derived from random peptide libraries or HIV
proteins (43, 44). These peptides imply that there may
also exist nonformylated endogenous peptide agonists for FPR, but to
date none has been found.
Limiting phagocyte accumulation and activation in the tissue is crucial
in preventing inappropriate inflammatory responses and disease;
however, to date the mechanisms that negatively regulate phagocyte
chemotaxis are not well defined. In addition to interrupting
ligand-receptor binding, endogenous chemoattractant blocking agents may
work by scavenging (45, 46), degrading, or processing the
chemoattractant (25, 47) or by desensitizing the receptor
through phosphorylation and/or internalization mechanisms
(48). Spinorphin has been shown to block fMLF binding to
neutrophils (26), but since it is a partial agonist at
FPR, it could also work by desensitizing and down-regulating the
receptor. We refer to it as an FPR antagonist to emphasize its very
weak chemotactic agonist activity at this receptor and strong
inhibition of fMLF-induced chemotaxis. To date very few examples of
endogenous antagonists of chemoattractant receptors have been
identified. Apart from spinorphin no others have been reported for FPR
and FPR2. The approximately 50 known members of the chemokine family
typically have strong agonist activity, although two endogenous
chemokine antagonists active at CXCR3 have recently been reported
(49).
Although the role of endogenous antagonists in the regulation of the
inflammatory response remains undefined in vivo, the identification of
specific spinorphin antagonism at FPR increases the biological
plausibility of such a mechanism. Based on the specificity of FPR for
phagocytes and the fact that spinorphin is cleaved from
-hemoglobin,
such a mechanism is most likely to operate in the setting of acute
inflammation and may be of general importance rather than restricted to
a specific tissue type.
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Footnotes
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1 Address correspondence and reprint requests to Dr. Philip M. Murphy, National Institutes of Health, Building 10, Room 11N113, Bethesda, MD 20892. E-mail address: pmm{at}nih.gov 
2 Abbreviations used in this paper: NEP, neutral endopeptidase; fMLF, N-formyl-methionyl-leucyl-phenylalanine; FPR, N-formylpeptide receptor; FPRL1R, FPR-like 1 receptor; HEK, human embryonic kidney. 
Received for publication December 8, 2000.
Accepted for publication September 24, 2001.
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