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The Journal of Immunology, 2001, 167: 6615-6622.
Copyright © 2001 by The American Association of Immunologists

Trypsin Induces Activation and Inflammatory Mediator Release from Human Eosinophils Through Protease-Activated Receptor-21

Satoshi Miike*, Andrew S. McWilliam{dagger} and Hirohito Kita2,*

* Departments of Medicine (Division of Allergic Diseases) and Immunology, Mayo Clinic, Rochester, MN 55905; and {dagger} Department of Microbiology, QEII Medical Centre, University of Western Australia, Nedlands, Western Australia


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Protease-activated receptors (PARs) are a unique class of G protein-coupled receptors, which are activated by proteolytic cleavage of the amino terminus of the receptor itself. PARs are most likely involved in various biological responses, such as hemostasis and regulation of muscle tone; however, the roles of PARs in the functions of inflammatory and immune cells are poorly understood. Because eosinophils are most likely involved in allergic inflammation and are exposed to a variety of proteases derived from allergens and other inflammatory cells, we investigated whether PARs regulate effector functions of eosinophils. Human eosinophils constitutively transcribe mRNA for PAR2 and PAR3, but not those for PAR1 and PAR4. The expression of PAR2 protein was confirmed by flow cytometry. When trypsin, an agonist for PAR2, was incubated with eosinophils, it potently induced superoxide anion production and degranulation; 5 nM trypsin induced responses that were 50~70% of those induced by 100 nM platelet-activating factor, a positive control. In contrast, thrombin, an activator for PAR1, PAR3, and PAR4, showed minimal effects. The stimulatory effect of trypsin was dependent on its serine protease activity and was blocked 59% by anti-PAR2 Ab. Furthermore, a specific tethered peptide ligand for PAR2 potently induced superoxide production and degranulation; the effects of peptide ligands for PAR1, PAR3, and PAR4 were negligible. These findings suggest that human eosinophils express functional PAR2, and serine proteases at the inflammation site may play important roles in regulating effector functions of human eosinophils. The expression and functional relevance of other PARs still need to be determined.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Eosinophils most likely play important roles in the pathophysiology of bronchial asthma and other allergic diseases (reviewed in Ref. 1). In such diseases, mediators released by T cells and other inflammatory cells induce migration of eosinophils from blood into the affected tissues (reviewed in Ref. 2). Subsequently, appropriate stimuli trigger eosinophil activation, resulting in the local release of a series of inflammatory mediators, such as lipid metabolites (3), superoxide anion (4), and toxic cationic granule proteins (5). Indeed, eosinophilic infiltration in the epithelium and lamina propria of the airways has been a consistent finding even in mild, stable, and newly diagnosed asthma (6). Correlations have been observed between the number of infiltrating eosinophils and asthma disease severity (6). Despite such strong associations between eosinophils and allergic diseases, the activation mechanisms of eosinophils in vivo are poorly understood. During allergic inflammation, eosinophils can be exposed to a milieu of inflammatory mediators potentially able to activate and to induce mediator release from eosinophils. They include Ig (e.g., secretory IgA) (5), lipid mediators (e.g., platelet-activating factor (PAF)3) (7), cytokines (e.g., IL-5 and GM-CSF) (8), and complement fragments (e.g., C5a) (9). Furthermore, proteases derived from allergens (e.g., mites, fungi, pollens) (10, 11, 12, 13) or those released by inflammatory cells (e.g., mast cells) (14, 15) are abundant at the sites of allergic inflammation (16).

There is now substantial evidence that certain proteases can regulate target cells by cleaving and activating a family of G protein-coupled protease-activated receptors (PARs) (17). Four members of this receptor family have been cloned and designated PAR1 (18, 19), PAR2 (20), PAR3 (21), and PAR4 (22, 23). Protease cleavage of these receptors creates a neo-NH2 terminus, which acts as a tethered ligand and activates the seven-transmembrane segment of the PAR. Human PAR1, PAR3, and PAR4 are activated by thrombin (18, 19, 21, 22, 23), whereas PAR2 is activated by trypsin, but not by thrombin (20). The discovery of PAR1 and PAR4 resulted from a successful search for the platelet receptor responsible for the cellular actions of thrombin (i.e., platelet aggregation) (18, 19, 22, 23) and, therefore, it is widely accepted that PAR1 and PAR4 play important roles in hemostasis (24). PAR2 is expressed by endothelial cells, epithelial cells, and smooth muscle cells in a variety of tissues and can regulate the activities of these cell types (reviewed in Ref. 25). For example, recent in vivo studies have demonstrated the ability of PAR2 to regulate blood pressure and vascular tone (reviewed in Ref. 26). PAR2-activating peptide promoted recovery of myocardial function after ischemia-reperfusion injury (27). Activation of PAR2 also elicited the relaxation of murine airway preparations through the release of PGE2 (28). Thus, PAR2 activation appears to play a homeostatic or protective role for the host via the epithelium and vascular endothelium.

Potential roles for PARs in inflammation have also been proposed. For example, because platelets can produce inflammatory mediators, such as serotonin and chemokines, platelet activation by thrombin through PAR1 might amplify inflammatory responses by or recruitment of inflammatory cells (24). Thrombin also triggered endothelial production of IL-6 and IL-8 (29). Trypsin and PAR2-activating peptides stimulated production of neuropeptides, such as calcitonin gene-related peptide and substance P, from spinal afferent neurons and induced edema formation in rat paw in vivo (30). Furthermore, i.p. administration of PAR2-activating peptides induced leukocyte rolling, adhesion, and extravasation through endogenous production of PAF (31). Thus, there is evidence that stimulation of PARs induces production of inflammatory mediators from platelets and interstitial cells and promotes inflammatory responses in the tissues. However, little is known about the direct participation of PAR2 and other PARs in the activation and functioning of immune and inflammatory cells. Indeed, not only interstitial cells, but also inflammatory cells, such as neutrophils and T cells, express PAR2 (32, 33, 34). The potential roles of eosinophils and proteases in allergic inflammation prompted us to investigate whether perturbation of PARs by serine protease might induce cellular activation and release of inflammatory mediators from human eosinophils. In this study, we examined the expression of PARs and the effects of serine protease on eosinophil activation and functions. The involvement of PARs was studied by protease inhibitors, specific PAR-activating peptides, and PAR-blocking Ab.


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

Trypsin (T8658), thrombin (T7009), and R-PE conjugate goat anti-rabbit IgG (whole molecule, P9795) were purchased from Sigma-Aldrich (St. Louis, MO). Taq DNA polymerase and AMV reverse transcriptase were purchased from Roche Molecular Biochemicals (Indianapolis, IN). TRIzol reagent, oligo(dT)12–18 primer, and dNTP mix were purchased from Life Technologies (Grand Island, NY). CytoStain kit was purchased from PharMingen (San Diego, CA).

Tethered ligand peptides specific for human PAR used in this study are as follows: PAR1 peptide SFLLRN-NH2 (control peptide FSLLRN-NH2) (23, 31), PAR2 peptide SLIGKV-NH2 (control peptide LSIGKV-NH2) (23, 31), PAR3 peptide TFRGAP-NH2 (control peptide FTRGAP-NH2) (31), and PAR4 peptide GYPGQV-NH2 (control peptide GYPGVQ-NH2) (23, 31). All peptides were made in house or purchased from Bachem (Torrence, CA). Z-Ala-Arg-OMe HCl (C-3845), a substrate for the measurement of serine protease activity, was purchased from Bachem.

Polyclonal Abs to human PAR2 and PAR3 were generated by immunizing rabbits with receptor peptides. The synthetic peptides SLIGKVDGTSHVTGKGVC (corresponding to human PAR2 aa 37–53 plus C-terminal cysteine residue) (35) and AKPTLPIKTFRGAPPNSFEEFPFSALEGC (corresponding to human PAR3 aa 31–58 plus carboxyl glycine-cysteine) (33, 36) were conjugated to keyhole limpet hemocyanin and used to generate polyclonal antisera in rabbits. The potency and specificity of Abs were confirmed using an ELISA. Specific Abs were isolated from antisera by affinity chromatography with the immunization peptides used to generate the PAR2 and PAR3 Abs.

Eosinophil isolation

Human eosinophils were purified from normal individuals or patients with mild allergy by Percoll density gradient centrifugation and magnetic cell sorting using MACS anti-CD16 microbeads, as described by Hansel et al. (37). Briefly, after peripheral blood was overlaid on an isotonic Percoll solution (1.084 g/ml; Sigma), the blood was centrifuged at 1000 x g for 30 min at 4°C. Mononuclear cells at the interface were removed, and erythrocytes in the sediment were lysed by two cycles of hypotonic water lysis. Isolated granulocytes were washed twice in PIPES buffer (25 mM PIPES, 50 mM NaCl, 5 mM KCl, 25 mM NaOH, 5.4 mM glucose, pH 7.4) containing 1% bovine calf serum (HyClone Laboratories, Logan, UT). Cells were then incubated with an equal volume of anti-CD16 mAb MACS microbeads for 60 min at 4°C with occasional gentle mixing. After 60 min of incubation on ice, cells were loaded onto the separation column positioned in the MACS magnetic field. Cells were eluted three times with 5 ml PIPES buffer with 1% bovine calf serum. The purity of eosinophils counted by Randolph’s stain was >98%. The contaminating cells were neutrophils, and no mononuclear cells or basophils were present. Purified eosinophils were used immediately for experiments.

Reverse-transcription PCR

Total RNA was prepared from eosinophils using TRIzol reagent. For cDNA synthesis, 1 µg total RNA was denatured and reverse transcribed in a reaction buffer containing 50 µg/ml oligo(dT)12–18 and 50 U AMV reverse transcriptase. PCR amplification (94°C for 1 min, 55°C for 1 min, and 72°C for 1 min; 30 cycles) was performed in a PerkinElmer (Norwalk, CT) thermal cycler. The PCR-amplified samples were run on 1% agarose gel and visualized using ethidium bromide. Primers used in this study were as follows (33): PAR1 (sense, CAG TTT GGG TCT GAA TTG TGT CG and antisense, TGC ACG AGC TTA TGC TGC TGA C), PAR2 (sense, TGG ATG AGT TTT CTG CAT CTG TCC and antisense, CGT GAT GTT CAG GGC AGG AAT G), PAR3 (sense, TCC CCT TTT CTG CCT TGG AAG and antisense, AAA CTG TTG CCC ACA CCA GTC CAC), PAR4 (sense, AAC CTC TAT GGT GCC TAC GTG C and antisense, CCA AGC CCA GCT AAT TTT TG), and G3PDH (sense, GTC AAC GGA TTT GGT CGT ATT and antisense, AGT CTT CTG GGT GGC AGT GAT). All the primers were synthesized at the Mayo Clinic Molecular Biology Core Facility.

Flow cytometry

To detect intracellular PAR, isolated eosinophils were washed once with staining buffer (PBS without Ca2+ or Mg2+, 0.1% calf serum, 0.09% NaN3, pH 7.4), fixed by suspending in Cytofix/Cytoperm solution (BD PharMingen) at 5 x 105 cells/sample, and kept at 4°C for 20 min. After centrifugation, cells were permeabilized and washed with Perm/Wash solution (PharMingen) and incubated in 100 µl Perm/Wash solution with 2 µl each of preimmune rabbit serum, rabbit anti-PAR2 or PAR-3 polyclonal Ab, or rabbit anti-major basic protein polyclonal Ab as a positive control for 30 min at 4°C. After washing in Perm/Wash solution, PE-conjugated goat anti-rabbit IgG was added, and cells were incubated for 30 min at 4°C. The cells were then washed, resuspended in 375 µl staining buffer and 125 µl of 4% paraformaldehyde solution, and kept at 4°C in the dark until analyzed in a FACScan flow cytometer (BD Immunocytometry Systems, Mountain View, CA).

To detect cell surface PAR, eosinophils (5 x 105 cells/sample) were washed once with PAB buffer (PBS containing 0.1% NaN3 and 1% BSA), and incubated in 100 µl PAB with 2 µl rabbit IgG or affinity-purified rabbit anti-PAR polyclonal Ab (1 mg/ml) for 30 min at 4°C. After washing in PAB, PE-conjugated goat anti-rabbit IgG was added, and cells were incubated for 30 min at 4°C. The cells were then washed, resuspended in 375 µl staining buffer and 125 µl 4% paraformaldehyde solution, and kept at 4°C in the dark until analyzed in a FACScan flow cytometer.

Eosinophil superoxide production and degranulation assays

To monitor eosinophil function in response to proteases or synthetic PAR-activating peptides, we used superoxide anion generation by and degranulation of human eosinophils. Superoxide generation was measured by superoxide dismutase-inhibitable reduction of cytochrome c, as previously described (38), with slight modifications. In brief, freshly isolated eosinophils were washed and resuspended in HBSS with 25 mM HEPES and 0.01% gelatin (Sigma) and 100 µM cytochrome c at 5 x 105 cells/ml. Cell suspension (100 µl) was dispensed onto the wells of 96-well tissue culture plates, followed by 100 µl trypsin (1–5 nM), thrombin (100–500 nM), PAR-activating peptides or control peptides (50–1000 µM), PAF (100 nM) as positive control, or medium alone. Immediately after addition of stimuli, the reaction wells were measured for absorbance at 550 nm in a microplate autoreader (Thermomax; Molecular Devices, Menlo Park, CA), followed by repeated readings. Between absorbance measurements, the plate was incubated at 37°C. Each reaction was conducted in duplicate and compared with an identical control reaction that contained 20 µg/ml superoxide dismutase (Sigma). Superoxide anion generation was calculated with an extinction coefficient of 21.1 x 103 cm-1 M-1 for reduced cytochrome c at 550 nm and was expressed as nanomoles of superoxide produced per 106 cells.

After incubation and repeated measurements of superoxide production at 37°C and 5% CO2 for 4 h, cell-free supernatants from 96-well tissue culture plates were collected and stored at -20°C until assayed for eosinophil degranulation. To quantitate eosinophil degranulation, the concentrations of eosinophil-derived neurotoxin (EDN) in the sample supernatants were measured by specific RIA, as previously described (38). The RIA is a double-Ab competition assay in which radioiodinated EDN, rabbit anti-EDN Ab, and burro anti-rabbit IgG are used (5). The sensitivity of EDN RIA was 2 ng/ml. All assays were performed in duplicate.

To examine the role of protease activity, serine proteases were preincubated with or without 2 mM serine protease inhibitor, 4-(2-aminoethyl)-benzenesulfonyl fluoride (AEBSF; Roche Molecular Biochemicals), for 30 min at 37°C before addition to eosinophils. To examine the involvement of PAR2 in the eosinophil response, eosinophils were preincubated with or without 1.5 µg/ml PAR2 Ab or rabbit IgG for 30 min at room temperature. After the preincubation, eosinophils were activated with or without 5 nM trypsin for 4 h at 37°C, and superoxide production by and EDN release from eosinophils were measured.

Quantitation of serine protease activity

To confirm the presence of serine protease activities in trypsin and thrombin and to ensure the effective inhibition of protease activity by AEBSF, we used a microplate protease activity assay with a specific substrate for serine protease (39). In brief, 150 µl substrate mix (6.3 mM Z-Ala-Arg-OMe, 6.3 mM bicine buffer, 0.068% phenol red, pH 9) was mixed with 40 µl enzyme solution (serial dilutions of thrombin or trypsin in distilled water with 2 mM CaCl2 and 1 mg/ml BSA) in the wells of 96-well tissue culture plates. To monitor kinetics, the changes in A580 were read initially at 30 s after the addition of enzyme/substrate mix and subsequently at 1-min intervals. The rate of substrate hydrolysis was determined from OD values within the first 10 min.

Statistical analysis

Data from at least three experiments using different eosinophil preparations from different donors were summarized and presented as mean ± SD. Statistical analyses were performed using Student’s t test, Mann-Whitney U test, or Wilcoxon test.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Expression of mRNA for PARs by human eosinophils

To our knowledge, there were no reports regarding expression of PARs by human or mouse eosinophils. Therefore, to investigate the roles of proteases and PARs in human eosinophils, we first investigated the expression of mRNA for PARs. As shown in Fig. 1GoA, RT-PCR analyses of human eosinophils revealed that they express PAR2 and PAR3 mRNA; in contrast, PAR1 and PAR4 mRNA were undetectable. Neutrophils also expressed PAR2 and PAR3 mRNA, and PBMC expressed all four classes of PAR mRNA, which are consistent with previous findings (33). These observations were reproducible among five different donors that we have investigated. In Fig. 1GoB, the results of five experiments are summarized using densitometric analysis. The results clearly show that PAR2 mRNA is consistently expressed by human eosinophils, as well as by neutrophils and PBMC. Furthermore, when we performed the RT-PCR analysis without reverse transcription, no PCR products were detected, ruling out the possibility of genomic DNA contamination (data not shown). Thus, eosinophils as well as neutrophils most likely express mRNA for PAR2 and PAR3.



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FIGURE 1. A, RT-PCR analyses of mRNA expression encoding PAR1, PAR2, PAR3, and PAR4 by human leukocytes. An oligo(dT)-primed cDNA was prepared from total RNA obtained from eosinophils (E), neutrophils (N), or PBMC (P). PCR was performed using specific primer sets for PAR1, PAR2, PAR3, PAR4, or G3PDH, and the PCR products were run and visualized on a 1% agarose gel. B, Densitometric analysis of PAR2 mRNA expression by human eosinophils (E), neutrophils (N), and PBMC (P). The density of PAR2 mRNA was normalized to the density of G3PDH, and expressed as mean ± SEM from experiments using five different donors.

 
Expression of PAR2 protein by human eosinophils

After knowing the expression pattern of PAR mRNA, we sought to examine the expression of PAR proteins by eosinophils. Antiserum and affinity-purified Abs to PAR2 and PAR3 were generated in rabbits immunized with peptides representing the NH2-terminal exodomains of these receptors (33, 35, 36). We performed flow cytometry analyses to detect PAR protein expressed within or on the cell surface of eosinophils. As shown in Fig. 2GoA, fixation, permeabilization, and subsequent intracellular staining with anti-PAR2 antiserum detected marked intracellular PAR2 protein in human eosinophils. Affinity-purified anti-PAR2 Ab was used to detect surface expression of PAR2. As shown in Fig. 2GoB, small, but detectable binding of anti-PAR2 Ab to eosinophils was observed compared with control rabbit IgG. A summary of four different experiments showed 135 ± 4% mean fluorescence intensity with anti-PAR2 Ab compared with control Ab (mean ± SEM, n = 4). Similar experiments were repeated with anti-PAR3 Ab; however, we were unable to detect any intracellular and surface expression of PAR3 protein (data not shown). Taken together, these data suggest the presence and surface expression of the PAR2 protein in human eosinophils.



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FIGURE 2. Flow cytometric analyses for intracellular (A) and cell surface (B) PAR2 in human eosinophils (n = 4). A, After fixation and permeabilization, intracellular PAR2 within the cells was detected by incubation with rabbit anti-PAR2 Ab serum (solid line) or preimmune rabbit serum (shaded area) as negative control, followed by PE-conjugated goat anti-rabbit IgG. Histograms of PE-fluorescence (FL2)-positive cells are shown. B, Without permeabilization, eosinophils were incubated with affinity-purified rabbit anti-PAR2 Ab (solid line) or rabbit IgG (shaded area) as negative control, followed by PE-conjugated goat anti-rabbit IgG. Histograms of PE-fluorescence (FL2)-positive cells are shown.

 
Effects of trypsin and thrombin on effector functions of eosinophils

Although human eosinophils seem to express PAR2, the surface expression level was relatively small. Therefore, we examined the functional relevance of PAR2 expressed by eosinophils using authentic agonist proteases for this PAR. It is generally accepted that PAR2 is activated by a serine protease, trypsin (20, 25), while another serine protease, thrombin, selectively activates PAR1, PAR3, and PAR4 (19, 21, 22, 23, 25). As shown in Fig. 3GoA, isolated human eosinophils incubated with trypsin produced superoxide anion in a concentration-dependent manner. Trypsin-induced superoxide production reached a plateau at 5 nM trypsin, and at this concentration, superoxide production was approximately 70% of that induced by 100 nM PAF, which is one of the strongest agonists for human eosinophils (8, 38).



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FIGURE 3. Superoxide anion production (A) and degranulation (B) from human eosinophils stimulated with trypsin or thrombin. A, Eosinophils were stimulated with different concentrations of trypsin (1–5 nM), PAF (100 nM), or medium alone (control) for up to 4 h at 37°C. Superoxide production was measured by superoxide dismutase-inhibitable reduction of cytochrome c, as described in Materials and Methods. The kinetics of superoxide production was examined by repeated readings with a microplate autoreader. Data are presented as mean ± SD from five experiments using different eosinophil donors. B, Eosinophils were stimulated with different concentrations of trypsin (3–5 nM), thrombin (100–500 nM), PAF (100 nM), or medium alone (control, C) for 4 h at 37°C. After incubation, cell-free supernatants were collected, and the concentrations of EDN were measured by RIA as an indication of eosinophil degranulation. Data are presented as mean ± SD from five experiments using different eosinophil preparations. * and **, Significant differences compared with control (p < 0.01 and p < 0.001, respectively).

 
Furthermore, as shown in Fig. 3GoB, we also found that trypsin induced eosinophil degranulation, as measured by EDN release, in a concentration-dependent manner. At 5 nM, trypsin induced 201.9 ± 49.6 ng EDN release/106 cells (mean ± SD, n = 5), which corresponds to 46% of the EDN release induced by 100 nM PAF and approximately 21% of the total cellular EDN content. In contrast, thrombin induced only 6.7 ± 3.2 and 19.8 ± 15.5 ng EDN release/106 cells at 100 and 500 nM, respectively (mean ± SD, n = 5). These findings suggest that trypsin, but not thrombin, potently stimulates human eosinophils and induces superoxide production and degranulation.

Blocking protease activity of trypsin inhibits trypsin-induced eosinophil activation

To address whether the ability of trypsin to stimulate eosinophils is due to its protease activity or due to any unknown contaminants, we examined the effect of a serine protease inhibitor. In a preliminary experiment, we used a microplate protease activity assay to determine the optimal conditions for inhibition of serine protease activity (39). Incubating 5 nM trypsin with a potent serine protease inhibitor, 2 mM AEBSF, for 30 min at 37°C abolished the serine protease activity. Accordingly, this condition was used to test the effect of intact vs inactivated serine protease on eosinophil activation.

Fig. 4GoA shows the effect of AEBSF on trypsin- and PAF-induced superoxide anion production by human eosinophils. Superoxide production from eosinophils stimulated with 5 nM trypsin, which was pretreated with AEBSF, was significantly lower than that from eosinophils stimulated with untreated trypsin (p < 0.001, n = 4), suggesting that serine protease activity of trypsin is required to induce eosinophil activation. In contrast, superoxide production after stimulation with 100 nM PAF was not affected significantly by pretreatment of PAF with AEBSF. Thus, AEBSF most likely does not adversely affect the ability of eosinophils to respond to other agonist(s) and to produce superoxide. Furthermore, as shown in Fig. 4GoB, trypsin-induced eosinophil degranulation was markedly inhibited when trypsin was pretreated with AEBSF (p < 0.001, n = 4). There was little effect after AEBSF pretreatment on PAF-induced eosinophil degranulation (mean inhibition 7.8%, n = 4). Thus, the ability of trypsin to stimulate eosinophil effector functions is most likely dependent on its serine protease activity.



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FIGURE 4. Effect of treatment of trypsin with a serine protease inhibitor, AEBSF, on superoxide anion production (A) and degranulation (B) from eosinophils. Medium alone, 5 nM trypsin, or 100 nM PAF was preincubated without (-) or with (+) AEBSF (2 mM) for 30 min at 37°C. Then eosinophils were stimulated with treated medium or agonists for 4 h at 37°C. The amounts of superoxide anion production (A) and degranulation (B) were measured as described in Fig. 3Go. Data are presented as mean ± SD from four experiments using four different eosinophil preparations. *, Denotes significant differences compared with trypsin without AEBSF (p < 0.001).

 
Inhibitory effect of anti-PAR2 Ab on eosinophil activation induced by trypsin

The results described above suggest that eosinophils express a functional receptor(s) that responds to the protease activity of trypsin and is presumably PAR2. Therefore, to examine the role of PAR2 in eosinophil activation induced by trypsin, affinity-purified anti-PAR2 Ab (see above) was used. As shown in Fig. 5GoA, preincubation of eosinophils with anti-PAR2 Ab, but not control rabbit IgG, significantly inhibited trypsin-induced superoxide anion production by 58% (p < 0.01, n = 5). In contrast, anti-PAR2 Ab did not affect eosinophil superoxide production stimulated with PAF. Similarly, as shown in Fig. 5GoB, pretreatment with anti-PAR2 Ab significantly inhibited eosinophil degranulation induced by 5 nM trypsin by 59% (p < 0.01, n = 5). PAF-induced degranulation was not affected by anti-PAR2 Ab. These findings suggest PAR2 plays a major role in eosinophil activation and functions in response to trypsin. In contrast, PAR2 does not seem to be involved in eosinophil activation stimulated with a nonprotease agonist, such as PAF.



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FIGURE 5. Effect of anti-PAR2 Ab on superoxide anion production (A) and degranulation (B) from eosinophils stimulated with trypsin. Eosinophils were preincubated with medium alone, 10 µg/ml rabbit IgG, or 10 µg/ml anti-PAR2 Ab, and stimulated with 5 nM trypsin or 100 nM PAF for 4 h at 37°C. The amounts of superoxide anion production (A) and degranulation (B) were measured as described in Fig. 3Go. Data are normalized to values of agonist alone without IgG or Ab as 100%. Data are presented as mean ± SD from five experiments using four different eosinophil preparations. *, Denotes significant differences compared with rabbit IgG (p < 0.01).

 
Effects of PAR peptides on eosinophil functions

One of the ultimate tests for the roles of PAR in cell activation and functions is the use of peptides that mimic the tethered ligands. The peptide ligands for PAR1, PAR2, and PAR4 have been used successfully for studies in vitro and in vivo (23, 25, 31, 33). The potential peptide ligand for PAR3 has also been proposed (40). As shown in Fig. 6GoA, incubation of eosinophils with a PAR2-activating peptide (SLIGKV) induced superoxide production. A control peptide (LSIGKV) showed no or minimal effects. In contrast, as shown in Fig. 6GoB, neither a PAR3 peptide (TFRGAP) nor its control peptide (FTRGAP) induced eosinophil superoxide production.



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FIGURE 6. Superoxide anion production from human eosinophils stimulated with PAR2- and PAR3-tethered ligand peptides. A, Eosinophils were stimulated with medium alone (control), 500 µM PAR2-tethered ligand peptide (SLIGKV-NH2), or 500 µM control peptide (LSIGKV-NH2) for up to 4 h at 37°C. B, Eosinophils were stimulated with medium alone (control), 500 µM PAR3-tethered ligand peptide (TFRGAP-NH2), or 500 µM control peptide (FTRGAP-NH2) for up to 4 h at 37°C. The kinetics of superoxide production was measured by superoxide dismutase-inhibitable reduction of cytochrome c. The results are presented as mean ± SD from three experiments using different eosinophil preparations.

 
The effects of tethered ligand peptides for various PARs on eosinophil functions were monitored using degranulation. As shown in Fig. 7Go, A and B, EDN release from eosinophils incubated with the PAR2-activating peptide (SLIGKV) was most pronounced. At its optimal concentration (500 µM), PAR2 peptide induced 363.4 ± 73.7 ng EDN release/106 cells (mean ± SD, n = 3), corresponding to approximately 40% of total cellular EDN. In contrast, a control peptide for PAR2 (LSIGKV) showed no effect. Interestingly, PAR1-activating peptide (SFLLRN) also induced eosinophil degranulation (57.8 ± 4.1 ng EDN release/106 cells at 500 µM peptide, mean ± SD, n = 3), but the magnitude was <20% of that induced by the PAR2-activating peptide (SLIGKV). On the other hand, PAR3- and PAR4-specifc peptide (TFRGAP and GYPGQV, respectively) showed no effects. These findings are consistent with the effects of trypsin, and suggest that PAR2 is a major functional PAR expressed by human eosinophils.



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FIGURE 7. Degranulation of eosinophils stimulated with tethered ligand peptides for various PARs. A, Eosinophils were stimulated with medium alone (control) or serial dilutions of tethered ligand peptides for PAR1, PAR2, PAR3, or PAR4 for 4 h at 37°C. The amino acid sequences of peptides are shown. After stimulation, cell-free supernatants were collected, and the amounts of EDN were measured by RIA as an indication of eosinophil degranulation. B, Eosinophils were incubated with control peptides for tethered ligand peptides. All the experiments shown in A and B were performed in parallel to enable the direct comparison of different agonists. The results are presented as mean ± SD from three experiments using different eosinophil preparations.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
This is the first report that human eosinophils express PAR2 and are activated by serine proteases through this receptor. This conclusion is based on several observations: 1) eosinophils expressed PAR2 mRNA and protein; 2) a serine protease and a stimulus for PAR2, namely trypsin, induced superoxide anion production and degranulation by eosinophils; 3) a serine protease inhibitor, AEBSF, inhibited trypsin-induced eosinophil activation; 4) anti-PAR2 Ab blocked trypsin-induced, but not PAF-induced, eosinophil activation; and 5) a tethered ligand peptide for PAR2 strongly induced eosinophil functional responses. Together, these findings indicate that, when exposed to certain serine proteases, human eosinophils are activated and release inflammatory mediators. Furthermore, our findings also suggest that the roles of PARs are not limited to platelets or interstitial cells, but that inflammatory cells or immune cells, such as eosinophils, can be stimulated directly with serine proteases through PARs.

The differences in the inhibitory effects of the protease inhibitor, AEBSF, and anti-PAR2 Ab need clarification. As shown in Fig. 4Go, inhibition of trypsin’s protease activity by AEBSF completely abolished both trypsin-induced eosinophil superoxide production and degranulation. On the other hand, as shown in Fig. 5Go, the inhibitory effect of anti-PAR2 Ab was partial, resulting in approximately 60% inhibition of the trypsin-induced cellular responses. This relatively weaker effect of anti-PAR2 Ab could be explained by a lower affinity between this Ab and PAR2 compared with the interaction between trypsin and PAR2. Alternatively, eosinophils may express a low level of another PAR, such as PAR1 and PAR4, and thus respond to serine protease in a PAR2-independent manner. This speculation is consistent with Fig. 7Go, which shows the PAR1-activating peptide inducing small, but significant, degranulation of human eosinophils. Finally, eosinophils may also express novel or as yet unidentified subtype(s) of PAR or PAR-like molecule(s). Indeed, we found recently that human eosinophils are activated by both serine proteases and by cysteine proteases, such as papain and a mite allergen, Der p 1 (S. Miike and H. Kita, manuscript in preparation). Thus, the eosinophil’s expression of PARs and the consequent responses to proteases may be more common than anticipated. Therefore, it will be important to define the full repertoire of PARs and proteases that signal through PARs in eosinophils.

Eosinophils seem to be exquisitely sensitive to trypsin. PAF is one of the strongest known agonists for eosinophil degranulation and can induce eosinophil degranulation at a concentration of 100-1000 nM (8, 38). Similarly, a complement fragment, C5a, and a chemokine, eotaxin, induce eosinophil exocytosis at about 100 nM (9, 41). In this study, trypsin, as low as 3 nM, induced marked eosinophil degranulation and superoxide production (Fig. 3Go). Although the maximal degranulation induced by trypsin was approximately 50% less than that induced by 100 nM PAF, trypsin effectively stimulated eosinophil responses at <10 nM. A similarly effective action of trypsin at low concentrations was reported in cells transfected with PAR2 (42). As a downstream signal transduction mechanism, PARs as well as receptors for PAF, C5a, and chemokines use G proteins (24, 43). Therefore, the question arises as to how low concentrations of trypsin can so effectively stimulate eosinophil functions. The potential heterogeneity of G proteins coupled to PARs and other classical G protein-coupled receptors (e.g., PAF receptor) may explain the differences in their sensitivities to ligands. Another explanation may be at the level of the receptor/ligand interaction. Unlike a classical G protein-coupled receptor (e.g., PAF receptor or C5a receptor), the peptide ligand unmasked by proteolytic cleavage remains tethered to PARs (24, 43), resulting in longer-lasting activation of the receptors. Moreover, acting as an enzyme, one trypsin molecule might cleave and activate several molecules of PAR2. Thus, PAR2 may represent a unique class of receptors expressed by human eosinophils that enables eosinophils to respond sensitively to the changes in microenvironment and to exert their effector functions.

These observations may have important implications in our understanding of the regulation of eosinophil activation at inflammation sites in patients with asthma and allergic diseases. Many allergens, such as fungi (10), mites (11, 12), and pollens (13), are not inert proteins, but most likely have protease activities, such as serine and cysteine protease activities. Furthermore, during an allergic response, mast cells release their granular contents that include serine proteases, such as tryptase (15, 16, 44) and chymase (45). Therefore, once eosinophils are recruited into an allergic inflammation site, these allergens or granule enzymes may directly activate eosinophils through the interaction of their serine protease activities and eosinophil PARs and may induce inflammatory mediator release from eosinophils. Therefore, once allergic responses are initiated, eosinophils interacting with serine proteases may exacerbate the inflammation and disease process by producing more inflammatory mediators. Conversely, removal of protease activity from the sites of inflammation or blockade of eosinophil PARs may benefit patients with allergic diseases by dampening this vicious cycle of allergic inflammation.

It has been known that platelets express PAR1, PAR3, and PAR4 and are activated by a serine protease, thrombin (18, 19, 21, 22, 23). In this study, we found that human eosinophils express PAR2 and are activated by another protease, trypsin, but not by thrombin. Therefore, the specificity of serine proteases to PARs may determine the roles of these proteases in tissue homeostasis and inflammation. Thrombin or thrombin-like serine proteases are most likely critical in coagulation. In contrast, trypsin-like serine proteases may activate inflammatory cells, such as eosinophils, through PAR2 and may be involved in immunity and inflammation. These potential proinflammatory effects of trypsin-like proteases raise several important questions: 1) Among the various serine proteases produced by microorganisms, allergens, and inflammatory cells, which ones actually have trypsin-like activities? 2) Whether and how do these proteases affect functions of inflammatory cells? 3) Are there any diseases that induce cellular expression of other PARs by inflammatory cells (e.g., PAR1), allowing them to respond to different types of serine proteases? The answers to these questions may elucidate the, as yet poorly defined, roles of PARs and serine proteases in the complex inflammatory network of human immunity and diseases.


    Acknowledgments
 
We thank Linda H. Arneson for secretarial assistance and Cheryl Adolphson for editorial assistance.


    Footnotes
 
1 This work was supported by Grants AI 34486, AI 34577, and AI 49235 from the National Institutes of Health and by Mayo Foundation. Back

2 Address correspondence and reprint requests to Dr. Hirohito Kita, Departments of Medicine and Immunology, Mayo Clinic and Foundation, Rochester, MN 55905. E-mail address: kita.hirohito{at}mayo.edu Back

3 Abbreviations used in this paper: PAF, platelet-activating factor; AEBSF, 4-(2-aminoethyl)-benzenesulfonyl fluoride; EDN, eosinophil-derived neurotoxin; PAR, protease-activated receptor. Back

Received for publication June 8, 2001. Accepted for publication September 26, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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