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* Department of Medicine, Harvard Thorndike Laboratories, Charles A. Dana Research Institute, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215; and
Pulmonary Center, Boston University School of Medicine, Boston, MA 02118
| Abstract |
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| Introduction |
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IL-16 may participate in other forms of inflammation, including inflammatory bowel disease (13), in which eosinophils may be a source of IL-16 (14). The functions of IL-16 in these varied forms of immunologically mediated diseases may be complex. For instance, IL-16 can inhibit MLR- and anti-CD3-activated lymphocyte responses (15, 16), can participate in dendritic cell-T cell interactions (4, 17), can enhance pro-inflammatory cytokine release from monocytes (18), and can inhibit IL-5 production by Ag-stimulated T cells in atopic subjects (19).
We had previously shown that IL-16 was a potent
(ED50
10-12 M)
chemoattractant for human eosinophils and that this activity was
dependent on CD4 expressed by eosinophils (2). IL-16,
however, did not appear to enhance other responses of eosinophils, such
as their capacity for enhanced leukotriene C4
(LTC4)3
formation or their capacity to "degranulate," as assessed by fluid
phase assays of granule-derived arylsulfatase B release
(2). Just as there is an increasing recognition of the
varied activities of IL-16, there has been an increased understanding
of the complexities of eosinophil cell biology and functioning in
varied immunologic responses. Eosinophils may have functions in immune
responses extending beyond their conventional "degranulation"-based
effector responses, and these may include functioning as APCs to
promote Th2 CD4+ responses (20, 21).
Eosinophils are now recognized to contain preformed stores of diverse
cytokines and chemokines within their cytoplasmic granules
(22). Thus, in addition to their distinctive cationic
proteins, eosinophil granules contain chemokines (e.g., eotaxin
(23) and RANTES (24, 25)) and cytokines with
disparate and potentially opposing activities, notably including the
prototypical Th2 cytokine IL-4 (26, 27, 28) and the Th1
cytokine IL-12 (29, 30, 31). The regulated release of these
preformed cytokines occurs not by exocytotic fusion of granules with
the plasma membranes to extrude all granule contents, but rather by
selective processes based on vesicular mobilization and transport of
these granule-derived cytokines (32, 33, 34).
We have now applied more sensitive, recently developed investigative methods (32, 33) to evaluate whether IL-16 can promote LTC4 formation by eosinophils and whether IL-16 can participate in the regulated and potentially differential release of chemokines or cytokines that are preformed within human eosinophils. Our data demonstrate that IL-16 can activate specific responses of human eosinophils and in a CD4-dependent manner elicit the release of RANTES and eotaxin from eosinophils, which then function as CCR3-mediated autocrine activators to enhance eosinophil eicosanoid formation, and a selective release of specific cytokines from eosinophil granule stores.
| Materials and Methods |
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Peripheral blood was obtained with informed consent from 16 normal donors, and eosinophils were isolated as described (32). Briefly, after citrate-anticoagulated blood was mixed with 6% dextran-saline (MacGaw, Irvine, CA) to facilitate erythrocyte sedimentation, the leukocyte-enriched plasma was overlaid onto Ficoll-Paque (Amersham Pharmacia, Uppsala, Sweden) and centrifuged at 250 x g for 20 min. Granulocyte-enriched cell pellets were collected, washed at 4°C with calcium- and magnesium-free HBSS (HBSS-/-), and depleted of erythrocytes by hypotonic saline lysis. Eosinophils were negatively selected using the MACS system (Miltenyi Biotec, Auburn, CA) with anti-CD16 immunomagnetic beads. The viability of freshly isolated cells was >95% (by trypan blue exclusion) and eosinophil purity was >99% (by HEMA3 staining, Fisher Scientific, Pittsburgh, PA). Purified cell suspensions were adjusted to 1 x 106 or 15 x 106 cells/ml in RPMI 1640 medium containing 0.1% endotoxin-free OVA (Sigma-Aldrich, St. Louis, MO) for use in fluid- or gel-phase assays, respectively.
Lipid body induction, staining, and enumeration
Eosinophil suspensions (106/ml) were incubated (37°C) with IL-16 (0.01100 nM; R&D Systems, Minneapolis, MN) or medium alone for 1 h and then cytocentrifuged (350 rpm, 4 min) onto glass slides. Cytospin slides, while still moist, were fixed with 2% paraformaldehyde in HBSS-/-, rinsed in 0.1 M cacodylate buffer (pH 7.4), stained in 1.5% OsO4 (30 min), rinsed in dH2O, immersed in 1% thiocarbohydrazide (5 min), rinsed with 0.1 M cacodylate buffer, restained with 1.5% OsO4 (3 min), rinsed, and then dried and mounted (35). Lipid bodies were enumerated by light microscopy with a x100 objective lens in 50 consecutively scanned cells. For each condition there was a unimodal distribution of lipid body numbers per eosinophil without wide variations.
LTC4 measurements
After samples were taken for lipid body enumeration, cell suspensions (106/ml) were washed in HBSS-/-, resuspended in 1 ml of HBSS containing calcium and magnesium, and then stimulated with 0.1 µM A23187 (Sigma-Aldrich) for 15 min (37°C). Reactions were stopped on ice, cell suspensions were centrifuged (500 x g for 10 min; 4°C), and supernatants were assayed for LTC4 by enzyme immunoassay (EIA) (2) (sensitivity, <7.8 pg/ml) (Cayman Chemicals, Ann Arbor, MI). Intracellular formation of LTC4 within eosinophils embedded in an agarose matrix was evaluated as described previously using carbodiimide fixation of newly formed LTC4 before its immunofluorescent localization with an Alexa488-labeled (Molecular Probes, Eugene, OR) rat anti-LTC4/LTD4/LTE4 mAb (clone 6E7; Sigma-Aldrich) (35).
EliCell assay for detection of released IL-4, IL-12, and RANTES
The EliCell assay, a gel-phase dual-Ab capture and detection assay based on microscopic observations of individual viable cells, was performed as detailed (32) to enumerate the proportions of eosinophils releasing preformed cytokines or chemokines (IL-4, IL-12, or RANTES) and to electronically quantitate (in arbitrary units x 106) the average relative amounts of each cytokine released extracellularly. Biotinylated goat polyclonal Abs against IL-4, IL-12, and RANTES (each at 20 µg/ml; R&D Systems) were used as capturing Abs and paired with Alexa546-labeled mouse anti-IL-4, anti-IL-12, and anti-RANTES mAb (400 µl of 10 µg/ml; R&D Systems) to detect released IL-4, IL-12, and RANTES, respectively. Alexa546 labeling was performed per a protocol from Molecular Probes. Controls to ascertain the specificity of extracellular immunodetection of these three cytokines and to confirm that the detected cytokines were not from the intracellular pool were performed. No IL-4, IL-12, or RANTES staining were found either when Alexa546-labeled mouse IgG1 was used as a nonimmune isotype control or when the biotinylated capture Abs (necessary to immobilize cytokines at their extracellular sites of release) was substituted with a biotinylated irrelevant control Ab. As evaluated by LIVE/DEAD fluorescent assay (Molecular Probes), eosinophil viability at the end of assays was >80%.
Stimuli and treatments
Eosinophils were stimulated with IL-16 (0.01100 nM; R&D Systems), RANTES, or eotaxin (6 nM; R&D Systems) for time periods ranging from 5 min to 3 h. For inhibitor studies, cells were pretreated for 30 min with pertussis toxin (PTX) (20 ng/ml; Calbiochem, La Jolla, CA), recombinant soluble CD4 (sCD4) (50 ng/ml; R&D Systems), Fab of anti-CD4 (clone OKT4; American Type Culture Collection, Manassas, VA) and anti-HLA class I (clone W6/32; Sigma-Aldrich) mAbs (1 µg/ml), anti-CCR3 mAb (clone 61828.111; R&D Systems), or isotype control rat IgG2a at 10 µg/ml (BD PharMingen, San Diego, CA), met-RANTES (60 nM; R&D Systems), the platelet-activating factor (PAF) receptor antagonists CV6209 and BN52021 (10 µM; Biomol, Plymouth Meeting, PA), brefeldin A (BFA) (0.1 and 1 µg/ml; Biomol), or their vehicles, as indicated. Alternatively, cells were co-incubated with 10 µg/ml of anti-eotaxin (clone 43911.11) and anti-RANTES (clone 21445.1) mAb (each from R&D Systems) or with their matching nonimmune mouse IgG1. Inhibitors were prepared in RPMI 1640 containing 0.1% of endotoxin-free OVA. PTX was prepared in DMSO, and the final DMSO concentration was <0.01% and had no effect on eosinophils. A peptide from domain 4 of human CD4, peptide 2:H-Q346CLLSDSG(353)-amide, and a scrambled control peptide 3:H-DLGQSLSC-amide, were purchased from Research Genetics (Huntsville, AL) (36).
Statistical analysis
Data were expressed as means ± SD. Percentage inhibition with antagonists was calculated in comparison with stimulated increases in lipid body numbers, LTC4 production, or IL-4 release above baselines. Statistical comparisons were done by ANOVA followed by Newman-Keuls Students test. Differences were considered significant when p < 0.05. Correlation coefficients evaluating lipid body numbers vs quantities of LTC4 released were determined from the means of four different experiments by linear regression with significance (F test) at p < 0.05.
| Results |
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IL-16 very effectively primed eosinophils for increased
LTC4 release in response to a submaximal 0.1 µM
concentration of calcium ionophore A23187. Prestimulation of
eosinophils for 1 h with IL-16 dose dependently elicited increases
in A23187-induced LTC4 production (Fig. 1
B). At 100 nM, IL-16-primed
eosinophils released
6-fold as much LTC4 as
did eosinophils challenged with A23187 alone. Because the formation of
lipid bodies and LTC4 synthesis at these
organelles provides a basis for this enhanced capacity for
LTC4 release (35), we analyzed the
effect of IL-16 on the number of cytoplasmic lipid bodies. Resting
eosinophils contained
9.4 ± 2.3 lipid bodies (mean ± SD,
n = 10). IL-16 dose dependently induced the
formation of new lipid bodies withineosinophils, doubling their
initial numbers (Fig. 1
A). The increased quantities of
LTC4 generated by eosinophils primed with
increasing concentrations of IL-16 correlated highly with the increased
numbers of lipid bodies (r = 0.89; p <
0.05; n = 4), in accord with similar correlations
observed previously with other specific chemoattractants (i.e, PAF,
eotaxin, eotaxin-2, eotaxin-3, and RANTES) (35, 37, 38, 39).
In the absence of A23187 activation, eosinophils stimulated for 1
h with IL-16 only (100 nM) did not release extracellular quantities of
LTC4 sufficient to be detectable by EIA (data not
shown), but they did synthesize new LTC4
immunodetectable at lipid bodies within 33 ± 7% (mean ±
SD, n = 3) of IL-16-stimulated eosinophils (Fig. 2
D).
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Eosinophils contain preformed stores of almost two dozen cytokines
resident largely within eosinophil-specific granules (22),
and these include IL-4 and IL-12, two cytokines with potentially
disparate and opposing activities. As detected with a sensitive
solid-phase dual-Ab capture and detection assay developed to detect the
extracellular release of eosinophil chemokines and cytokines
(32), IL-16 stimulated the release of IL-4 from
eosinophils. IL-16-stimulated eosinophils showed a punctate pattern of
immunoreactive IL-4 released at discrete loci proximate to the cell
surface, compatible with a vesicular transport-mediated process of IL-4
release (Fig. 2
A). No IL-4 staining was found with
nonstimulated eosinophils (Fig. 1
, C and D), when
the Alexa546-labeled anti-IL-4 detection Ab was replaced by an
Alexa546-labeled isotype nonimmune control (data not shown), or when
biotinylated anti-IL-4 capture Ab (which immobilizes IL-4 at its
extracellular sites of release) was substituted with a biotinylated
irrelevant control (data not shown). The last condition assured that
neither intracellular nor membrane-bound IL-4 was being detected in the
nonpermeabilized eosinophils. In contrast, IL-16 did not stimulate the
release of IL-12 from eosinophils (Fig. 2
B), another
cytokine stored preformed within eosinophils (29, 30, 31), nor
did RANTES or eotaxin (data not shown).
CD4 receptors mediate the effects of IL-16 on eosinophils
Because the chemoattractant activity of IL-16 for human
eosinophils is mediated by IL-16 engagement of CD4 (2), we
evaluated whether IL-16 promotion of LTC4 and
IL-4 release was likewise mediated through CD4 expressed on
eosinophils. Treatment of eosinophils with either soluble CD4 or
neutralizing Fab of OKT4 anti-CD4 mAb (but not with a control mAb
to surface-expressed class I MHC protein) blocked lipid body formation,
priming for enhanced LTC4 production and IL-4
release from eosinophils stimulated with IL-16 (Fig. 3
, left panels). Of note, Fab
were used because the binding of CD4 with whole OKT4 mAb mimics IL-16
stimulation of eosinophils (2). Thus, IL-16-elicited
eosinophil activation was mediated via CD4 expressed by
eosinophils.
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Although membrane-bound CD4 molecules are not G
protein-coupled receptors (GPCRs), we evaluated whether endogenously
generated ligands that signal via GPCR might be downstream mediators of
responses initiated by IL-16 engagement of CD4. Inhibition of G protein
activation by PTX pretreatment blocked IL-16-elicited lipid body
formation, priming for enhanced LTC4 production
and IL-4 release from eosinophils (Fig. 3
, left panels).
PTX-sensitive GPCRs known to elicit lipid body formation and enhanced
eicosanoid synthesis include the PAF receptor (38, 39, 41)
and CCR3 (35, 37). Pretreatment with two specific PAF
receptor antagonists (CV6209 and BN52021) did not inhibit
IL-16-elicited lipid body formation, priming for enhanced
LTC4 production, or IL-4 release from eosinophils
(Fig. 3
, right panels). In contrast, IL-16-mediated
activation of eosinophils was blocked by pretreatment with either the
CCR3 antagonist met-RANTES (42) or a neutralizing
anti-CCR3 receptor mAb (but not by an isotype control Ab) (Fig. 3
, right panels). These findings suggested that actions of
IL-16 to enhance LTC4 and IL-4 release from
eosinophils might be mediated by endogenous CCR3-acting chemokines.
Eosinophils contain two chemokines, eotaxin and RANTES, that act via
CCR3 and are stored preformed within eosinophil granules
(23, 24, 25). We have shown that both RANTES and eotaxin
induce lipid body formation, prime for enhanced
LTC4 production (35), and elicit
vesicular transport-mediated IL-4 release (43) from
eosinophils via CCR3 activation. With the EliCell assay, we evaluated
whether IL-16 elicited release of endogenous, preformed RANTES from
eosinophils. Indeed, IL-16 stimulated the rapid release of RANTES that
temporally preceded IL-16-induced IL-4 release (Fig. 4
). Consistently, in kinetic studies with
three different donors, IL-16 induced RANTES release as early as 5 min,
whereas at least 30 min were needed for detectable IL-4 release, a time
course consistent with autocrine intermediary roles for endogenously
derived CCR3 agonists. With eosinophils incubated for 1 h with 100
nM IL-16 (n = 3), 57.6% exhibited extracellular RANTES
release, and addition of sCD4 or OKT4 Fab anti-CD4 mAb during
incubation with IL-16 inhibited the numbers of eosinophils releasing
RANTES by 91.8 and 87.6%, respectively (Table II
). In a punctate pattern similar to
that for IL-4 release, released RANTES also appeared as extracellular
focal spots close to eosinophil membrane, again indicating a vesicular
transport-dependent secretory process (Fig. 2
C).
Interestingly, exogenous eotaxin also induced the rapid release of
endogenous RANTES (Fig. 4
, left panel). The RANTES-releasing
activity of eotaxin was fully inhibited by PTX and a CCR3-blocking mAb
and was partially inhibited by met-RANTES (Table II
). These inhibitors
of RANTES release, however, did not inhibit IL-16-induced release of
RANTES.
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| Discussion |
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IL-16 dose dependently elicited new lipid body formation, intracellular LTC4 formation at lipid bodies, and priming for enhanced calcium ionophore-activated LTC4 release. In our earlier studies with IL-16 (2), lesser concentrations of IL-16, a greater concentration of activating calcium ionophore, and a lack of methods to detect intracellular LTC4 formation contributed to an inability to recognize that IL-16 stimulation of eosinophils could enhance the formation of the 5-lipoxygenase pathway-derived eicosanoid LTC4. IL-16 also elicited BFA-inhibitable, vesicular transport-mediated release of preformed RANTES and IL-4, but not IL-12, from eosinophils. Although studies in CD4-knockout mice indicate that IL-16 may act on monocytes and dendritic cells via as yet unidentified CD4-independent mechanisms (44, 45), with human and mouse T cells CD4 is the recognized IL-16R (1). We previously established that IL-16-elicited chemotaxis of human eosinophils was CD4-dependent (2). In support of a central role for eosinophil-expressed CD4 in functioning as the signal-transducing receptor on eosinophils for IL-16, we demonstrated that anti-CD4 Fab, sCD4, and a CD4 domain 4-based IL-16 blocking peptide inhibited the actions of IL-16 on eosinophils.
That IL-16 was not directly acting to enhance eosinophil
LTC4 formation and IL-4 release was indicated by
the inhibition found with PTX, which catalyzes the ADP ribosylation of
certain G protein
-subunits and uncouples PTX-sensitive G proteins
from cell surface receptors (46). Potentially, CD4 on
eosinophils might be interacting with the PTX-sensitive CXCR4, which is
expressed on eosinophils (47). Alternatively,
PTX-sensitive receptors for PAF or for chemokines acting via CCR3 might
be involved. Bartemes et al. (41) recently documented a
central role for endogenous PAF and its receptor in the augmented
functional responses of eosinophils elicited by IL-5 or IgG, and these
included enhanced LTC4 formation and correlative
increases in lipid body formation. Endogenous PAF generation and
signaling through its receptor were not involved in IL-16-mediated
signaling, because two PAF receptor antagonists (CV6209 and BN52021)
were without effect. Instead, IL-16 actions were mediated by the
autocrine activities of endogenous CCR3-acting chemokines. IL-16
induced the rapid vesicular transport-mediated release of RANTES, which
temporally preceded later IL-4 release (Fig. 4
). The effects of IL-16
were blocked by CCR3 inhibitors (met-RANTES and anti-CCR3 mAb) and
by neutralizing anti-eotaxin and anti-RANTES mAbs. Both RANTES
and eotaxin each enhanced LTC4 and IL-4 (but not
IL-12) release.
Thus, IL-16 acts to initiate the release of specific chemokines and
cytokines that are stored preformed within eosinophils. Our findings
provide insights into the mechanisms that regulate this mobilization
and release process. First, as indicated by the finding that exogenous
eotaxin also induced the rapid release of endogenous RANTES (Fig. 4
, left panel; Table II
), chemokines acting via CCR3 can
enhance the release of additional CCR3 active chemokines from within
eosinophils. This could provide a positive feedback loop amplifying the
initial IL-16-elicited chemokine release and consequent eosinophil
activation. Second, the vesicular transport-mediated process of
eosinophil "degranulation" was highly selective. Notably, the
IL-16-initiated transport and release of RANTES occurred in vesicles
that were not also loaded with IL-4, whose release occurred only later
in vesicles formed in response to the CCR3-active chemokines.
Additional selectivity in the regulated release of eosinophil-derived
cytokines was evident in the release of IL-4, but not of IL-12, by the
IL-16- or CCR3 chemokine-activated eosinophils. Because eosinophils
also contain preformed IL-16 (3), an ability for further
autocrine activation of eosinophils exists, but at present the
mechanisms that physiologically elicit IL-16 release from eosinophils
have not been defined.
Thus, the capacity of IL-16 to activate specific functional responses of eosinophils has the potential to influence the nature of immunologic responses. IL-16 can direct eosinophils to make new LTC4 and release the chemokines, RANTES, and eotaxin. These chemokines can act in an autocrine fashion on eosinophils via CCR3 and potentially on other cells that express CCR3, including basophils (48), mast cells (49), airway epithelial cells (50), and Th2 cells (51). Moreover, the differential release of IL-4, which can contribute to the polarization toward Th2 differentiation, promote IgE class switching, and stimulate other cellular responses pertinent to allergic inflammation (52) (in contrast to IL-12, which can suppress Th2-type responses and the manifestations of allergic inflammation (53, 54)), provides a means by which IL-16 and CCR3 chemokines may promote specific eosinophil contributions to allergic and other types of inflammation.
| Footnotes |
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2 Address correspondence and reprint requests to Dr. Peter F. Weller, Beth Israel Deaconess Medical Center, DA-617, 330 Brookline Avenue, Boston, MA 02215. E-mail address: pweller{at}caregroup.harvard.edu ![]()
3 Abbreviations used in this paper: LTC4, leukotriene C4; EIA, enzyme immunoassay; PTX, pertussis toxin; sCD4, soluble CD4; PAF, platelet-activating factor; BFA, brefeldin A; GPCR, G protein-coupled receptor. ![]()
Received for publication December 20, 2001. Accepted for publication February 15, 2002.
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