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The Journal of Immunology, 2002, 168: 1413-1418.
Copyright © 2002 by The American Association of Immunologists

C-Reactive Protein Induces Signaling Through Fc{gamma}RIIa on HL-60 Granulocytes1 ,2

Maoyen Chi*, Susheela Tridandapani{dagger}, Wangjian Zhong*, K. Mark Coggeshall{ddagger} and Richard F. Mortensen3,*

Departments of * Microbiology and {dagger} Internal Medicine, Ohio State University, Columbus, OH 43210; and {ddagger} Immunobiology and Cancer Program, Oklahoma Medical Research Foundation, Oklahoma City, OK 73104


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Human C-reactive protein (CRP) at acute phase levels of 10–200 µg/ml triggered the phosphorylation of Fc{gamma}RIIa, Syk kinase, and phospholipase C{gamma}2 in granulocytic HL-60 cells. CRP also stimulated translocation to the membrane of both phospholipase C{gamma}2 and phosphatidylinositol-3-kinase. The signaling response triggered by CRP was a rapid, early event with kinetics similar to the response elicited by human IgG. Both soluble-aggregated CRP and monomeric CRP cross-linked Fc{gamma}RII to generate a signal of the same intensity. The results are consistent with signaling through the intrinsic immunoreceptor tyrosine-based activation motif of the cytoplasmic domain of Fc{gamma}RIIa, the major CRP-receptor on monocytes and neutrophils that is responsible for CRP-mediated phagocytosis. The signaling events driven by CRP have the potential to regulate infiltrating neutrophil activities.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
C-reactive protein (CRP)4 is the prototypical acute phase protein or reactant in humans. CRP blood levels are widely used as an indicator of both the presence and severity of inflammatory and infectious diseases (1). CRP circulates as a stable, single pentamer of five noncovalently associated identical protomers or subunits arranged in a flat pentameric disk (2, 3). The recent resolution of the crystal structure of both CRP and CRP-phosphocholine (PC) complexes revealed that each subunit is composed of 14 antiparallel {beta}-strands in a single polypeptide chain of 206 aa arranged into two {beta}-sheets with two bound Ca2+ ions per subunit (4, 5). The two Ca2+ ions coordinate the binding of a single PC (5). The lectin-like PC-binding sites are all on the same "recognition-face" of the pentamer (3, 5). The opposite face of the pentamer is termed the "effector-face," which contains the critical residues regulating the binding and activation of C1q (6) and the amino acids that interact with specific leukocyte CRP receptors (CRP-R) (7, 8). The rapid, greatly amplified CRP gene expression by hepatocytes is driven by the synergistic interaction between IL-1{beta} and IL-6 that together synergistically induce transcription factors that also mediate specific immune responses (9, 10). The well-documented biological activities ascribed to CRP led to its appreciation as a link between innate and specific immunity (3, 8, 11). This link is best supported by the observations that CRP complexes activate the classical C pathway and inhibit alternative C pathway activation by binding factor H (12), as well as the conservation of its structure from invertebrates through the vertebrates (13). CRP also contributes directly to innate host defense by efficiently mediating phagocytosis in a manner analagous to specific IgG Ab (14). Expression of CRP transgenes, as well as passive transfer of human CRP, protects mice against certain microbial pathogens and endotoxin shock (8).

Specific leukocyte CRP-R until recently were thought to be distinct from Fc{gamma}R, yet shared many of their molecular properties (8, 14). Recent evidence clearly shows that the major CRP-R on human monocytes and neutrophils (polymorphonuclear neutrophil; PMN) is the 40-kDa low-affinity Fc{gamma}RII, which has a high affinity for CRP (15, 16). The structurally related pentraxin, serum amyloid P-component (SAP), has also recently been shown to use several of the Fc{gamma}R classes, including Fc{gamma}RII, to mediate phagocytosis (17). CRP-mediated signal transduction through Fc{gamma}RII has not yet been fully explored. Because PMN are the most abundant Fc{gamma}RII-bearing infiltrating cells to enter inflammatory sites where CRP or CRP complexes can localize (18), we examined the signaling response to CRP in differentiated HL-60 granulocytes (G), which possess abundant Fc{gamma}RII and share many PMN functions (19, 20). In the experiments reported here, we show that acute phase concentrations of CRP trigger tyrosine-phosphorylation (Tyr-P) of the immunoreceptor-tyrosine based activation motif (ITAM) of human Fc{gamma}RIIa and Syk kinase, as well as inducing both phosphorylation and membrane localization of phospholipase C (PLC){gamma}2, translocation to the membrane of phosphatidylinositol 3-kinase (PI-3K), and mobilization of intracellular Ca2+ stores. These findings are consistent with the selective activation of phagocytic leukocytes by CRP, and provide a molecular basis for the role of CRP in host protection.


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

The human promyelocytic cell line HL-60 was grown in RPMI 1640 supplemented with 4% defined FBS and 6% supplemented bovine calf serum (HyClone Laboratories, Logan, UT). HL-60 cells were differentiated into G cells by incubating 4 x 105 cells/ml with 1.25% DMSO for 5–7 days until >90% of the cells reduced nitroblue tetrazolium dye and were capable of rapid reduction of ferricytochrome c in response to PMA (19, 21). DMSO, Nonidet P-40, Na3VO4, ionomycin, human IgG1 myeloma, and the proteinase inhibitors (PMSF, leupeptin, pepstatin, chymostatin, and aprotinin) were purchased from Sigma Aldrich (St. Louis, MO). The p-aminophenyl-PC-Sepharose for purification of CRP was from Pierce Chemical (Rockford, IL). Recombinant protein G-Sepharose and mouse anti-Syk mAb were obtained from Zymed Laboratories (Burlingame, CA). Affinity-purified rabbit IgG anti-human PLC{gamma}2 (no. 407) was purchased from Santa Cruz Biotechnology (Santa Cruz, CA). Biotin-labeled goat-anti-mouse IgG ({gamma}-chain specific) and HRP-labeled streptavidin were from Kirkegaard & Perry Laboratories (Gaithersburg, MD). The mouse mAb specific for Fc{gamma}RIIa (IV.3) was obtained from Medarex (Hanover, NH). A mixture of mAb to Tyr-P consisting of Py20, Py72.10.5, and 4G10 in a ratio of 30:30:1 was used to detect Tyr-P proteins. Rabbit anti-p85 (PI-3K) specific for the human protein was generated to a purified GST-fusion protein as described previously (22). The rabbit Ab to part of the cytoplasmic tail of the {alpha}-chain of Fc{gamma}RIIa (CT-GST) was obtained from Dr. J.-L. Teillaud (Institut Curie, Paris, France) (23). ECL reagents and HRP-conjugated anti-rabbit-IgG were obtained from Kirkegaard & Perry Laboratories.

Cell activation and protein preparation

HL-60(G) cells were washed twice and resuspended in Earle’s balanced salt solution containing 10 mM HEPES (pH 7.4) at 10 x 106 cells/100 µl and kept on ice, and warmed to 37°C for 10 min just before the addition of 5–200 µg/ml of purified human CRP, purified human SAP, or human IgG1 myeloma. The cell activation reactions were stopped by sonication on ice for 1 min and centrifuging at 800 x g at 4°C for 10 min to remove nuclei and large debris. For immunoprecipitation the cells were lysed in Nonidet P-40 lysis buffer consisting of: 1% Nonidet P-40, 20 mM Tris at pH 7.4, 150 mM NaCl, 10 mM EDTA, 10 µg/ml aprotinin, 10 µg/ml leupeptin, and 3 mM Na3VO4.

Membrane preparation

The supernatant from the cell sonication was mixed with an extraction buffer of Tris (50 mM) at pH 7.5, EGTA (2 mM), Na3VO4 (10 mM), leupeptin (1 µg/ml), aprotinin (0.2 µg/ml), and fresh PMSF (2 mM). The suspension was centrifuged at 60,000 rpm at 4°C (TLA-100 rotor; Beckman Coulter, Fullerton, CA). The pellet was washed twice by resonicating in the extraction buffer to remove cytosolic proteins. The protein concentration was measured by the bicinchoninic acid method and the proteins solubilized in 1% Nonidet P-40 lysis buffer. Equal amounts of protein per lane (60–80 µg) were separated along with Rainbow protein m.w. markers by SDS-PAGE and immediately transferred to nitrocellulose membranes (Micron Separations, Westborough, MA) at 60 V for 1–2 h at 4°C. The membrane was saturated with 5% powdered milk in TBS plus 0.1% Tween 20, incubated for 2 h with one of the Ab probes, washed, and incubated with an HRP-labeled second reagent and the signal detected by chemoluminscence. Autoradiograms were developed on film (Kodak BioMax, Rochester, NY) and scanned for relative intensity.

Immunoprecipitation

Insoluble material from HL-60 (G) cells in the Nonidet P-40 lysis buffer was removed by centrifugation at 16,000 x g for 10 min, and the supernant was immunoadsorbed overnight at 4°C with 2 µg of specific IgG Ab mixed with 10 µl of recombinant protein G-Sepharose. Following immunoadsorption, unbound proteins were removed with four or five washes in the Nonidet P-40 lysis buffer containing 1 mM Na3VO4. Detection of Tyr-P proteins was accomplished by immunoprecipitation of the FcRIIa, Syk, or PLC{gamma}2 from whole cell lysates using limiting amounts of each of the following: mAb anti-FcRIIa (IV.3), mouse anti-Syk mAb, rabbit IgG anti-human PLC{gamma}2, and protein G-Sepharose beads (10 µl). Tyr-P proteins were detected using the anti-Tyr-P mixture and biotin-labeled goat-anti-mouse IgG and HRP-streptavidin.

Purification of CRP and SAP

Human CRP and SAP were purified exactly as described elsewhere (24, 25). Briefly, SAP was removed from CRP-containing ascitic fluids by passage through a column of agarose beads (A-15m; Bio-Rad, Hercules, CA). After extensive washing, the bound SAP was eluted in 10 mM EDTA and sized on a Sepharose column (25). The unbound protein from the agarose beads was passed through a 10 ml (20 mm diameter) column of p-aminophenyl-PC-Sepharose. The PC-Sepharose with bound protein was washed extensively with TBS plus 2 mM Ca2+, and the bound protein eluted in TBS + 10 mM EDTA. A second round of affinity purification on the PC-bearing matrix was used to remove trace amounts of other proteins. The concentration of CRP was determined by ELISA and radial immunodiffusion vs sheep anti-human CRP. The protein was >99% CRP based on reactivity in a competitive ELISA. The CRP preparations had <=0.01 µg/ml Ab (IgG + IgA), equivalent to <0.01 µg IgG/mg of CRP. The concentration of endotoxin in the purified CRP was 0.1–0.2 endotoxin U/mg CRP using the chromogenic Limulus assay (BioWhittaker, Walkersville, MD; LPS of <0.1 ng/mg of CRP).

Cytosolic Ca2+ measurement

Intracellular Ca2+ concentration ([Ca2+]i) was assessed by loading HL-60(G) cells with the noncharged ester form of indo-1 (indo-1-AM; Molecular Probes, Eugene, OR). Cells were washed, resuspended in medium at 5 x 106/ml, incubated with 1.0 µM indo-1 AM for 30 min at 37°C, washed, and resuspended to 2 x 106/ml in a buffer of 125 mM NaCl, 5 mM KCl, 1 mM Na2HPO4, 0.1% glucose, 0.1% BSA, 0.5 mM MgCl2, 1 mM CaCl2, and 25 mM HEPES (pH 7.4). Aliquots (500 µl) of cells were added to matched quartz cuvettes with stirring at 37°C in a recording spectrofluorometer (LS-5, PerkinElmer, Wellesley, MA). The excitation wavelength was 331 nM with a 5 nm slit width; the emission was continuously recorded at 410 nm with a 10 nm slit width. A baseline level of [Ca2+]i was recorded for 3 min before the agonist was added, and the emission monitored for 10 min or until the emitting light returned to baseline levels. The maximum emission (Fmax) was determined by permeablizing the cells with 50 µM digitonin; the minimum emission (Fmin) was determined by adding 4 mM EGTA. The Fmin and Fmax, respectively, were determined after the response to the agonist was obtained. Ionomycin at 100 ng/ml was used as a control. The [Ca2+]i was calculated as described using the equation: [Ca2+]i = F - Fmin/(Fmax - F) (26). The F value is the maximum emission recorded in the presence or absence of an agonist, and was obtained directly from the recording trace. Values for the transient change in [Ca2+]i were obtained from independent, triplicate measurements for each treatment per experiment.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Effect of CRP on phosphorylation of Fc{gamma}RIIa

Because the Fc{gamma}RII class of IgG receptors appears to account for most of the high affinity, receptor-specific CRP binding to human monocytes and PMN (15, 16), we examined whether CRP could trigger signaling events via this receptor by detecting its phosphorylation as Tyr-P. Fc{gamma}RIIa is the only human Fc{gamma}R class with an endogenous ITAM (20, 27). Therefore, the Fc{gamma}RII specific mAb IV.3 was used for immunoprecipitation to determine whether CRP signals via this receptor in HL-60 (G) cells. When CRP binds to HL-60(G) cells at 37°C in an aggregated, soluble form, Tyr-P of Fc{gamma}RIIa occurred in a dose-dependent manner (Fig. 1GoA). Maximum levels of signaling were reproducibly recorded at acute phase levels of CRP of 100–200 µg/ml. Purified CRP that had not been deliberately aggregated induced a similar level of phosphorylation of the receptor (Fig. 1GoA, lane 4 vs 5). Heat-aggregated, soluble human IgG1 at the same concentration triggered more extensive Tyr-P of Fc{gamma}RIIa than CRP as judged by signal intensity (Fig. 1GoA). Thus, the range of effective molar concentrations for CRP (120 kDa) for Fc{gamma}RII signaling is similar to that for human IgG1. CRP always induced an additional prominent Tyr-P band of ~72 kDa that coprecipitated with Fc{gamma}RIIa. The kinetics of Fc{gamma}RIIa Tyr-P was followed over an interval of 0.5–12 min with aggregated CRP (100 µg/ml). The most pronounced signal occurred at 1.5 min (Fig. 2GoA). The pattern of the time-course of the Tyr-P of Fc{gamma}RII was reproducible and transient with a return to baseline levels by 10–12 min. A similar quantity of Fc{gamma}RIIa protein was present in each lane (Fig. 2GoB). When either aggregated or monomeric CRP was allowed to bind to HL-60(G) cells before the addition of aggregated IgG, the signal intensity was not altered (data not shown). The 40 kDa signal always appeared as a diffuse band because this Fc{gamma}R is heavily glycosylated (20). These results indicate that Fc{gamma}RIIa Tyr-P is a rapid and early event triggered by clustering of the receptors by CRP.



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FIGURE 1. Effect of human CRP on Tyr-P of Fc{gamma}RIIa. HL-60 (G) cells at 10 x 106 per 100 µl were incubated with CRP at 37°C for 3 min. Cell lysates were immunoprecipitated with anti-Fc{gamma}RII (mAb IV.3) and separated by SDS-PAGE (7.5% gel). A, Membrane was probed with anti-Tyr-P and the relative intensity of the signal for the Fc{gamma}RII band was measured. B, The same membrane was reprobed with a rabbit IgG anti-Fc{gamma}RIIa specific for the "a" isoform. The Fc{gamma}RIIa ~40-kDa band is indicated by the arrow and heat aggregation by {Delta}. The blot is representative of four similar experiments.

 


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FIGURE 2. Kinetics of Tyr-P of Fc{gamma}RIIa in response to CRP. HL-60 (G) cells were incubated for different intervals with 100 µg/ml of heat-aggregated soluble CRP. Cell lysates were immunoprecipitated with mAb IV.3 and the separated proteins probed with anti-Tyr-P (A). The relative intensity of the Fc{gamma}RIIa band is shown on the bar graph. The membrane was reprobed with rabbit anti-Fc{gamma}RIIa (B). Results shown are from one of three identical experiments.

 
Effect of CRP on Syk phosphorylation

Srk gene family kinases are activated during the earliest stages of Fc{gamma}R-signaling and phagocytosis, although the activation mechanism for these tyrosine kinases by Fc{gamma}RIIa is not yet understood (28). The phosphorylation of the ITAM in Fc{gamma}RIIa permits the recruitment of the Src homology (SH)2-domain containing 72 kDa Syk kinase, which is present in the cytoplasm of resting leukocytes (28). Because Syk is required for ITAM-dependent activation of actin assembly and subsequent Fc{gamma}RIIa-mediated phagocytosis (29, 30), we assayed for its activation in response to CRP. Tyr-P of Syk in HL-60(G) cells was triggered by incubation with either aggregated or unaggregated CRP (Fig. 3GoA). The Tyr-P signal observed with acute phase concentrations of CRP (>=100 µg/ml) was similar to that induced by aggregated human IgG (Fig. 3GoA, lane 2 vs 5). Similar amounts of Syk protein were compared (Fig. 3GoB). In a separate time course experiment, the Tyr-P of Syk was detected as early as 1 min after stimulation with CRP, with a maximum signal observed by 2–3 min, which decayed by 12–20 min. (Fig. 4Go). This result correlates with the kinetics of phosphorylation of Fc{gamma}RIIa (Fig. 2GoA), suggesting that the Tyr-P of both Fc{gamma}RIIa and Syk are early, rapid events induced by CRP.



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FIGURE 3. Effect of CRP on the Tyr-P of Syk in HL-60 (G) cells. Cytosol preparations from HL-60 (G) cells incubated with aggregated or unaggregated CRP vs aggregated IgG were immunoprecipitated with anti-Syk and probed with anti-Tyr-P (A), followed by reprobing with anti-Syk mAb (B). The Syk band is ~72 kDa as shown. Blot shown is one of five identical experiments.

 


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FIGURE 4. Kinetics of Tyr-P of Syk in response to CRP. The time course for Tyr-P of Syk (72 kDa) in the cytosol of HL-60 (G) cells in response to aggregated CRP (100 µg/ml) was assessed. Na3VO4 was used as a positive control. A, Immunoblot probed with anti-Tyr-P and the relative intensity of the 72-kDa Syk band determined. B, The same membrane was reprobed with anti-Syk. One of five similar experiments is shown.

 
Effect of CRP on the association of Fc{gamma}RIIa and Syk

Syk contains N-terminal tandem SH2-domains that bind to either of the two Tyr-P within the ITAM of Fc{gamma}RIIa, and this binding is thought to induce a conformational change in Syk that increases its kinase activity (31). Therefore, we tested the effects of CRP on the binding interaction between Fc{gamma}RIIa and Syk. HL-60 (G) cells were stimulated with aggregated CRP, and Fc{gamma}RIIa was immunoprecipitated and then probed with either anti-Tyr-P or anti-Syk. The coprecipitating Syk became Tyr-P in response to CRP as well as aggregated IgG (Fig. 5Go). In addition, purified human SAP also induced the association of Syk with Fc{gamma}RIIa (Fig. 5Go, lane 5).



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FIGURE 5. Effect of CRP on the interaction between Syk and Fc{gamma}RIIa. HL-60 (G) cells (10 x 106 per 100 µl) were incubated with aggregated CRP, purified human SAP, or aggregated IgG. Cell lysates were immunoprecipitated with anti-Fc{gamma}RIIa mAb IV.3, and the coprecipitated proteins were blotted and probed with anti-Tyr-P, and subsequently with anti-Syk. The blot shown is representative of three similar experiments.

 
Effect of CRP on PLC{gamma}2 phosphorylation and membrane localization

One downstream signaling event following Fc{gamma}RIIa ligation and Syk activation in human neutrophils is the phosphorylation and recruitment to the membrane of PLC{gamma} (32), which generates inositol trisphosphate and diacylglycerol (33). The major PLC isoform in PMN and HL-60(G) cells is PLC{gamma}2 with a molecular mass of 145 kDa (33). Therefore, HL-60(G) cells incubated with increasing concentrations of aggregated CRP were used to test for membrane bound PLC{gamma}2. When CRP was used at an acute phase level of >=100 µg/ml, the phosphorylation of PLC{gamma}2 increased in a manner similar to the response to IgG (Fig. 6GoA), when equal amounts of PLC{gamma}2 protein were present in each lane (Fig. 6GoB). Translocation of PLC{gamma}2 from the cytosol to the membrane was also readily detected in response to aggregated CRP (Fig. 7GoA). These results are consistent with activation of PLC{gamma} in response to CRP, and suggests that CRP may induce changes in intracellular Ca2+ levels (32).



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FIGURE 6. Effects of CRP on Tyr-P of PLC{gamma}2. HL-60 (G) cells (10 x 106) were exposed to aggregated CRP or aggregated IgG for 10 min. Cell lysates immunoprecipitated with anti-PLC{gamma}2 were separated by SDS-PAGE (7.5% gel). The blot was probed first with anti-Tyr-P (A) and then reprobed with anti-PLC{gamma}2 IgG Ab (B). The PLC{gamma}2 band is ~145 kDa. The immunoblot shown is representative of five similar experiments.

 


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FIGURE 7. Effect of CRP on translocation of PLC{gamma}2 and PI-3K to the membrane. HL-60 (G) cells (20 x 106 per 200 µl) were treated with either aggregated CRP or IgG for 10 min and cell membranes isolated. An equal amount of membrane protein (60–80 µg per lane) was separated by SDS-PAGE and probed with either: rabbit anti-human PLC{gamma}2 (A); or rabbit Ab to the p85 subunit of PI-3K (B). Data are representative of three identical experiments.

 
Effect of CRP on PI-3K localization to the membrane

PI-3K plays a pivotal role in Fc{gamma}RIIa signaling because it generates lipid secondary messengers such as phosphatidylinositol 3,4,5-trisphosphate that are required for phagocytosis (34). Incubation of HL-60 (G) cells with acute phase concentrations of CRP induced translocation to the membrane of PI-3K when isolated membrane proteins were probed with an Ab to the p85 regulatory subunit of PI-3K (Fig. 7GoB). The results indicate that CRP mobilizes PI-3K via Fc{gamma}R in a manner analogous to human IgG.

Intracellular Ca2+ mobilization in response to CRP

The rapid mobilization of intracellular stores of Ca2+ in response to inositol trisphosphate is characteristic of signaling by Fc{gamma}Rs in human neutrophils (32, 35). Therefore, we tested the ability of CRP to elevate [Ca2+]i in indo-1 loaded HL-60 (G) cells. Both purified monomeric CRP and aggregated CRP at concentrations as low as 5 µg/ml induced a rapid, transient increase in [Ca2+]i that returned to baseline levels by 5–6 min. (Table IGo). The maximum response correlated with the dose of CRP with up to a 4-fold increase with acute phase levels of CRP (Table IGo). The response to the heat aggregated, but soluble complexes of CRP was significantly greater than the response to nonaggregated CRP, but only at the suboptimal level of 5 µg/ml (p < 0.05) (Table IGo). The transient Ca2+ response to cross-linking of Fc{gamma}RIIa with the receptor specific IV.3 mAb, with or without a second reagent, was of the same magnitude as the response to CRP (Table IGo). The transient change in [Ca2+]i in response to CRP was attenuated by >50% when 5 mM EDTA was added to the cell suspension just before the addition of CRP, suggesting that store-operated Ca2+ entry into the cells was also elicited. The intracellular Ca2+ mobilization response to CRP is entirely consistent with a cell activation signal.


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Table I. Effect of CRP and anti-Fc{gamma}RIIa mAb IV.3 on changes in [Ca2+]i in HL-60(G) cells

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Activation of neutrophils and macrophages is the key cellular event for effecting innate host resistance. Because CRP is considered one of the molecular links between the early systemic response and subsequent specific immunity (7, 8, 11), the signaling mechanism whereby CRP influences PMN activities is critical for understanding the antimicrobial activities of CRP. Therefore, the focus of this study was to determine whether CRP functions in a manner analagous to IgG Ab in terms of signaling via Fc{gamma}RIIa. The distribution of this human Fc{gamma}R class on almost all hematopoietically-derived cells (20) corresponds exactly with the distribution for CRP-R (8, 14). In addition, the Fc{gamma}RII class has been shown by DuClos and colleagues (15, 16, 17) to serve as the major functional leukocyte CRP-R. The unique property of Fc{gamma}RIIa is that the ITAM required for propagating the initial steps of signaling is intrinsic to the cytoplasmic domain of the receptor itself and not on an associated protein (27, 36). The new findings revealed in this study are that the CRP ligand, when presented as a monomer or as a multimer, not only triggers the Tyr-P of the Fc{gamma}RII ITAM, but also propagates the signal as indicated by the Tyr-P of the receptor-associated Syk kinase (30, 31) and the downstream effector PLC{gamma}2 (33). CRP-induced Fc{gamma}RIIa clustering also induced the translocation to the membrane of both PLC{gamma}2 and PI-3K, events required for phagocytosis via this receptor, at least by human PMN (32, 34, 35). These events triggered by CRP occurred with the same kinetics as IgG immune complexes, albeit lower levels of phosphorylation were observed with CRP indicating that perhaps an inhibitory or regulatory signal may accompany the activating signal (36). Overall, the findings are consistent with the proposed link between CRP and its receptor in augmenting innate host resistance (11, 18).

One issue raised by these findings is whether the signaling pathway initiated by CRP via Fc{gamma}RIIa is identical with that initiated by IgG. The proximal signal transduction events appear to be qualitatively the same in terms of the critical components of the signaling pathway that are activated (37). Furthermore, the relative efficiency of activation as judged by the kinetics is very similar for CRP and IgG. This result might have been anticipated if both agonists activate the initial kinase for phosphorylating the two Tyr within the tandem Y-X-X-I/L motifs of the ITAM of the receptor (27, 28). The initiating phosphotyrosine kinase for the Fc{gamma}Rs has so far only been identified as a Src family kinase (28, 38).

Recent work from one of our laboratories suggests that both Syk and PI-3K bind directly to the ITAMs through their SH2-domains (38). Because PI-3K is essential for signal transduction and for propagating downstream events leading to membrane movement and phagocytosis (34, 39), the documentation of its recruitment to the membrane in response to CRP is evidence that CRP is capable of generating the intracellular mediators needed for phagocytosis. In earlier experiments using the same system, we demonstrated an increase in the kinase activity of PI-3K in membrane fractions in response to CRP at levels >50 µg/ml (40). The activated PI-3K generates phosphatidylinositol-3,4,5-trisphosphate which promotes distal signaling events by binding to Pleckstrin homology domains of many different enzymes, including PLC{gamma}2 in neutrophils (33, 34, 41). The localization of PLC{gamma}2 to the membrane and mobilization of intracellular Ca2+ stores in response to CRP also represent crucial downstream events required for leukocyte movement and phagocytosis (32, 42).

Indirect evidence that CRP signaled via Fc{gamma}RIIa on PMN was first gathered by Zeller et al. (43), who found that CRP potentiated the aggregated IgG-induced activation of the respiratory burst of human PMNs, but that mAb IV.3 could not block the potentiation induced by CRP (44). Earlier attempts to define the CRP-R with specific mAb reagents, such as the IV.3 mAb, for Fc{gamma}Rs suggested that the recognition sites on Fc{gamma}RIIa for IgG and CRP are distinct (45). Because 93% of activated PMNs bind aggregated CRP (43, 44) and virtually all HL-60(G) cells (24), CRP may be able to "prime" PMNs for IgG-complex activation through Fc{gamma}RIIa when both are present. The structural basis for the functional similarity between CRP and the Fc of IgG has yet to be resolved. However, DuClos and colleagues (46) suggested that the shared, accessible sequence of 175YLGGP of CRP is involved in binding to Fc{gamma}RI. Only recently, the Tyr175 residue was shown to be critical for the binding of C1q to CRP, and is part of the unusual extended deep cleft of the central pore of the pentraxin (6). Because the pentagonal arrangement of the CRP subunits with the effector face on the plane of the pentraxin opposite, the PC-binding face is compatible with multipoint FcR clustering with each subunit binding to a single Fc{gamma}R (47). This may explain our observation that unaggregated monomers of CRP are sufficient for clustering. The specific findings of signaling of CRP via Fc{gamma}RIIa in this report does not preclude CRP-induced signaling via Fc{gamma}RI (46), or even Fc{gamma}RIII, which bind CRP and/or SAP (17). However, the HL-60 cell line, like PMN, does not express Fc{gamma}RI unless treated with IFN-{gamma} (36). The evolution of specific IgG Ab-mediated phagocytosis may have depended on the earlier existence of CRP-R. The regulation of CRP-mediated activation of PMN may involve the use of negative signaling receptors such as Fc{gamma}RIIb to recruit phosphatases (36). The inflammatory milieu where CRP accumulates may provide the critical density needed to eventually modulate infiltrating leukocyte activities.


    Acknowledgments
 
We thank the following undergraduate research assistants for their tireless efforts: Tom Lewis, Joe Dorado, and Jessica Lee. We also thank Dr. Clark Anderson for his continuous support of this work.


    Footnotes
 
1 This work was supported by U.S. Public Health Service Grant CA30015 (to R.F.M.), and Grants CA64268 and AI41447 (to K.M.C.). S.T. is a fellow, and K.M.C. a scholar, respectively, of the Leukemia Society of America. Back

2 This work was presented at the Society for Leukocyte Biology meeting, October 6, 2000, in Cambridge, MA. Back

3 Address correspondence and reprint requests to: Dr. Richard F. Mortensen, Department of Microbiology, Ohio State University, 484 West 12th Avenue, Columbus, OH 43210. E-mail address: mortensen.3{at}osu.edu Back

4 Abbreviations used in this paper: CRP, C-reactive protein; CRP-R, CRP receptor; G, granulocyte; PMN, polymorphonuclear neutrophil; SAP, serum amyloid P-component; ITAM, immunoreceptor tyrosine-based activation motif; PI-3K, phosphatidylinositol 3-kinase; PLC, phospholipase C; Tyr-P, tyrosine phosphorylation or phosphotyrosine; [Ca2+]i, intracellular or cytosolic free Ca2+ concentration; PC, phosphocholine; SH, Src homology. Back

Received for publication August 20, 2001. Accepted for publication November 28, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Gabay, C., I. Kushner. 1999. Acute-phase proteins and other systemic responses to inflammation. N. Engl. J. Med. 340:448.[Free Full Text]
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