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The Journal of Immunology, 2002, 169: 5874-5880.
Copyright © 2002 by The American Association of Immunologists

Toll-Like Receptor 4 and Toll-IL-1 Receptor Domain-Containing Adapter Protein (TIRAP)/Myeloid Differentiation Protein 88 Adapter-Like (Mal) Contribute to Maximal IL-6 Expression in Macrophages1

Dagmar Schilling*, Karen Thomas{dagger}, Kathryn Nixdorff{ddagger}, Stefanie N. Vogel{dagger} and Matthew J. Fenton2,*

* Pulmonary Center, School of Medicine, Boston University, Boston, MA 02118; {dagger} Department of Microbiology and Immunology, School of Medicine, University of Maryland, Baltimore, MD 21205; and {ddagger} Department of Microbiology and Genetics, Darmstadt University of Technology, Darmstadt, Germany


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Previous studies have shown that engagement of Toll-like receptors (TLR) 2 and 4 can induce macrophages to express a variety of proinflammatory cytokines. We have recently demonstrated that TLR2 agonists poorly induce a subset of TLR4-inducible proinflammatory genes (e.g., inducible protein (IP)-10, inducible NO synthase (iNOS), monocyte chemoattractant protein-5, IL-12p40), due in part to differential activation of IFN-{beta} production and phosphorylation of the transcription factor STAT1. TLR4, but not TLR2, agonists can induce IFN-{beta} expression via a mechanism that requires the adapter protein Toll-IL-1R domain-containing adapter protein (TIRAP)/myeloid differentiation protein 88 (MyD88) adapter-like (Mal), but not the adapter protein MyD88. Thus, the failure of TLR2 agonists to induce STAT1-dependent genes results, in part, from their failure to induce the expression of IFN-{beta}. In this study, we show that IL-6 expression is also preferentially induced by activation of TLR4. TLR4-dependent induction of IL-6 expression did require Toll-IL-1R domain-containing adapter protein (TIRAP)/MyD88 adapter-like (Mal), but unlike iNOS and IP-10, it did not require the expression of IFN-{beta}. Although exogenous IFN-{beta} and IFN-{gamma} could synergize with TLR2 agonists to restore high levels of iNOS expression and NO production, these IFNs could not synergize with TLR2 agonists to induce high levels of IL-6. Similarly, neutralizing anti-IFN Abs could block iNOS gene expression in LPS-stimulated murine macrophages, whereas these Abs had little effect on IL-6 gene expression in these cells. Together, these studies demonstrate that IL-6, like iNOS and IP-10, is differentially expressed in macrophages stimulated via TLR2 vs TLR4, although these differences appear to arise from distinct signaling mechanisms.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Macrophages play a central role in inflammation and host defense. Recently, it has been shown that receptors belonging to the mammalian Toll-like receptor (TLR)3 family are involved in these processes (1). Ten members of this closely related type I transmembrane protein family, termed TLR1–10, have been identified. These receptors share a characteristic extracellular leucine-rich domain that is presumed to be responsible for pathogen recognition and an intracellular part, which contains a C-terminal Toll-IL-1R (TIR) homology domain that is important for protein-protein interactions. TLR2 and TLR4 have been demonstrated to be the key signaling molecules for a large number of pathogens. TLR2 signaling is initiated by a variety of Gram-positive bacterial products, whereas signaling via TLR4 is induced by Gram-negative enterobacterial LPS and lipid A (the active component of LPS). The anti-tumor agent Taxol, heat shock protein 60, and the F protein of respiratory syncytial virus also function as TLR4 agonists (2, 3, 4, 5, 6).

Activation of TLR2 or TLR4 results in recruitment of one or more adapter proteins capable of interacting with the TIR domain of the receptor. The myeloid differentiation protein 88 (MyD88), an adapter protein previously known to be essential for IL-1 and IL-18 signaling (7), was the first molecule identified as being involved in TLR signal transduction and NF-{kappa}B activation (8). The finding that a TLR4 agonist could induce NF-{kappa}B activation in MyD88-deficient mice (9), however, suggested that other adapter molecules must exist that can mediate signaling independently of MyD88. A novel adapter protein, TIR domain-containing adapter protein (TIRAP) (10), also termed MyD88 adapter-like (Mal) (11), was found to control activation of a MyD88-independent signaling pathway activated by TLR4. Unlike MyD88, TIRAP/Mal does not participate in IL-1 signaling. Furthermore, the dsRNA-dependent protein kinase (PKR) was also reported to be a downstream target of TIRAP/Mal (10).

Previous studies have shown that cellular responses induced by TLR2 agonists, such as Porphyromonas gingivalis LPS or the synthetic lipopeptide Pam3Cys, differ from those induced by TLR4 agonists, such as Escherichia coli LPS (12, 13). TLR2-dependent expression of inflammatory genes is much more restricted, which led to the suggestion that some signaling pathways elicited by activation of TLR4 are absent in TLR2 signaling. Previously, our laboratories showed that IFN-{beta}-induced STAT1 phosphorylation was one of the signals involved in the activation of a subset of TLR4-inducible proinflammatory genes (e.g., inducible NO synthase (iNOS), inducible protein (IP)-10, monocyte chemoattractant protein (MCP)-5) that are poorly or not at all induced via TLR2 (13). We found that TLR4 agonists induce IFN-{beta} expression via a mechanism that requires TIRAP/Mal, but not MyD88. Thus, the inability of TLR2 agonists to activate these genes appears to result, in part, from the inability of these agonists to induce TIRAP/Mal-dependent IFN-{beta} secretion and STAT1 phosphorylation.

In the current study, we show that expression of the proinflammatory cytokine IL-6, like iNOS and IP-10, is also preferentially induced via TLR4 signaling by a mechanism dependent on both MyD88 and TIRAP/Mal. In contrast to iNOS and IP-10, TLR4-dependent IL-6 expression does not depend on IFN-{beta} secretion and new protein synthesis. Together, these findings support the existence of a novel TLR4- and TIRAP/Mal-dependent signaling pathway that is independent of IFN-{beta}.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cells and cell culture

The RAW 264.7 murine macrophage cell line (TIB-71) was obtained from American Type Culture Collection (Manassas, VA), and cultured as we have previously described (14). C57BL/6J mice were purchased from The Jackson Laboratory (Bar Harbor, ME). RNA from PKR knockout mice (backcrossed >12 generations onto C57BL/6 background) were provided by Dr. T. Hamilton (Cleveland Clinic Foundation, Cleveland, OH), and were previously described (15). All of the animal use protocols were approved by the Institutional Animal Care and Use Committee. Thioglycollate-elicited, peritoneal exudate macrophages (PECs) were prepared and cultured as previously described (1). Bone marrow-derived macrophages (BMDM) were prepared and cultivated as described in Schilling et al. (16, 17) with slight modifications. Briefly, bone marrow stem cells were isolated from the femurs of 6- to 8-wk-old mice and washed twice in basic medium (RPMI 1640 medium; Life Technologies, Frederick, MD) supplemented with 10% (v/v) FBS (HyClone Laboratories, Logan, UT), 10 mM HEPES, 1 mM sodium pyruvate, 1% nonessential amino acids, 0.05 mM 2-ME, 100 U/ml penicillin/streptomycin). The stem cells were cultured at a density of 5 x 106 cells/30 ml in autoclaved 5 x 30-cm Teflon bags (bioFOLIE; Sartorius, Goettingen, Germany) in basic medium plus 7.5% FBS, 5% horse serum, 1.5 mM glucose, and 30% L929 cell-conditioned medium as a source of M-CSF (18). To avoid adherence of the cells, the bags were prepared with the hydrophobic surface facing inward (19). The bags were incubated at 37°C under a humidified atmosphere with 5% CO2 for 7 days. At the end of this incubation period, at least 98% of the cells were macrophages. These resulting BMDM were cultivated in basic medium and incubated 1 day in tissue culture plates before stimulation.

Reagents and Abs

LPS (purified from E. coli K-235) was purchased from Sigma-Aldrich (St. Louis, MO), phenol/water was extracted by the method of Hirschfeld et al. (20), and stored in small aliquots as a 0.5 mg/ml stock solution in sterile water at -20°C. The synthetic lipopeptide Pam3Cys (S-[2,3-bis-(palmitoyloxy)-(2-RS)-propyl]-N-palmitoyl-(R)-Cys-(S)-Ser-Lys4-OH, trihydrochloride) was obtained from EMC Microcollections (Tuebingen, Germany) and was stored as a 1 mg/ml stock solution in sterile LPS-free water at -20°C. A partially purified Mycobacterium tuberculosis H37Ra-conditioned culture broth, termed soluble tuberculosis factor (STF), was prepared under LPS-free conditions as previously described (21). Recombinant IFN-{beta} and IFN-{gamma} were purchased from R&D Systems (Minneapolis, MN). Cycloheximide was purchased from Sigma-Aldrich and stored as -80°C. Sheep polyclonal anti-mouse IFN-{alpha}{beta} Abs were obtained from BioSource International (Camarillo, CA), and sheep IgG was obtained from Sigma-Aldrich. The TIRAP blocking peptide (TIRAP-BP; NH2-RQIKIWFQNRRMKWKKLQLRDAAPGGAIVS-OH) consisted of the Drosophila antennapedia protein leader sequence positioned at the NH2-terminal end of a mouse TIRAP peptide (10). The control peptide consisted of the antennapedia sequence positioned at the NH2-terminal of the reversed TIRAP peptide sequence. Both peptides were synthesized by Biosynthesis (Lewisville, TX), reconstituted to 10 mM in sterile DMSO and stored at -20°C. Phosphorothioate CpG DNA immunostimulatory oligonucleotides (5'-TCC ATG ACG TTC CTG ACG TT-3') were synthesized by Oligos Etc. (Wilsonville, OR) and were stored as a 1 mg/ml solution in sterile LPS-free water at -80°C.

Measurements of cytokine and NO levels

Murine macrophages were cultures in 24-well plates at a density of 8 x 105 cells per well, incubated overnight and stimulated for 24 h. After the stimulation period the IL-6 and TNF-{alpha} protein levels were determined in culture supernatants by using a specific ELISA (OptEIA set; BD PharMingen San Diego, CA), as recommended by the manufacturer. Levels of NO catabolite nitrite in the culture supernatants were measured using Griess reagent assay as previously described (22). All assays were performed in triplicate, and data are expressed as mean values ± SD.

Measurement of IL-6, iNOS, IP-10, and {beta}-actin mRNA gene expression by RT-PCR

Murine macrophages were cultured in 6-well plates at a density of 2 x 106 cells per well, incubated overnight, and then stimulated for different time periods (2–6 h). Total RNA was extracted from the cells using RNeasy (Qiagen, Valencia, CA) according to the manufacturer’s protocol. Reverse transcriptase reactions were performed using 2 µg of total RNA in a 20-µl mixture of 1 mM dNTPs (each), 0.5 ng/µl oligo (dT)15 primer, 62.5 U of rRNasin ribonuclease inhibitor and 32.5 U of AMV RT (Promega, Madison, WI) for 1 h at 42°C, followed by 5 min at 92°C. The cDNA obtained was stored at -20°C.

Semiquantitative PCR were performed using 2 µl of cDNA, 0.12 µM gene specific oligonucleotide primer (each), 2 mM MgCl2, 0.2 mM dNTPs, and 1 U of Taq DNA polymerase (Promega), in a final reaction volume of 25 µl. PCR was conducted for 29 cycles (except for detection of IP-10 gene expression, where 25 cycles were used) with the following parameters: denaturation at 94°C for 1 min, annealing at 55°C for 1 min, extension at 72°C for 1 min, and a final extension at 72°C for 10 min. All PCR primers were purchased from Life Technologies. Primers for the measurement of iNOS and {beta}-actin gene expression are described in Jones et al. (21). PCR primers used for the detection of IL-6 and IP-10 gene expression are: sense strand IL-6 primer, 5'-CAT GTT CTC TGG GAA ATC GTG G-3'; antisense strand IL-6 primer, 5'-AAC GCA CTA GGT TTG CCG AGT A-3'; sense strand IP-10 primer, 5'-GTG TTG AGA TCA TTG CCA CGA-3'; and antisense strand IP-10 primer, 5'-GCT TAC AGT ACA GAG CTA GG-3'. As a control for contaminating genomic DNA, parallel PCR were performed in which the template nucleic acids were not reverse-transcribed. After amplification, the PCR products were electrophoresed on 2% agarose gels containing 0.4 mg/ml ethidium bromide. All procedures for the detection of specific mRNA for PKR, IL-6, and hypoxanthine phosphoribosyltransferase (HPRT) by semiquantitative RT-PCR and Southern blot analysis were described in detail elsewhere (13, 21, 23, 24).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
TLR2 agonists poorly induce IL-6 production in macrophages

We previously showed that a variety of proinflammatory genes (e.g., iNOS, IP-10, MCP-5) were preferentially induced in macrophages by the TLR4 agonist E. coli LPS, whereas all TLR2 agonists tested failed to induce these genes (Ref. 13 and references therein). In contrast, both TLR2 and TLR4 agonists strongly elicited expression of the proinflammatory cytokines IL-1{beta} and TNF-{alpha}. We subsequently sought to determine whether IL-6 expression was differentially induced by TLR2 vs TLR4. IL-6 production was measured in the supernatants of RAW 264.7 murine macrophages stimulated for 24 h with either E. coli LPS or different concentrations of the synthetic lipopeptide Pam3Cys or STF. As shown in Fig. 1GoA, the TLR4 agonist E. coli LPS induced a high level of IL-6 secretion. In contrast, both TLR2 agonists (Pam3Cys and STF) induced little IL-6 secretion, even at concentrations that were comparable to E. coli LPS in their capacities to induce TNF-{alpha} secretion (Fig. 1GoB). Together, these studies show that IL-6 production is selectively and maximally activated in macrophages stimulated by TLR4 agonists.



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FIGURE 1. TLR2 agonists are weak inducers of IL-6 production in macrophages. Murine RAW 264.7 macrophages were stimulated with E. coli LPS (100 ng/ml) or the indicated concentrations of Pam3Cys and STF. IL-6 and TNF-{alpha} (inset) levels in the culture supernatants were measured by ELISA 24 h after stimulation. Data are representative of three separate experiments. Unstim, unstimulated cells.

 
Exogenous IFN-{beta} and IFN-{gamma} do not strongly synergize with TLR2 agonists to induce IL-6 production

Our previous data demonstrated that TLR2 agonists fail to induce macrophage expression of STAT-dependent genes such as iNOS or IP-10 as a consequence of their failure to induce IFN-{beta}, whereas TLR4-dependent induction of IFN-{beta} promotes their expression via STAT1 activation (13). We also demonstrated that exogenous IFN-{beta} could restore iNOS mRNA gene expression in macrophages stimulated via TLR2. In this study, we found that the addition of exogenous IFN-{beta} to TLR2 agonist-stimulated RAW 264.7 macrophages also restored NO secretion. As shown in Fig. 2GoA, the TLR2 agonists Pam3Cys and STF alone poorly induced NO secretion by murine macrophages, whereas addition of these TLR2 agonists plus exogenous IFN-{beta} or IFN-{gamma} led to the same levels of NO production that were induced by the TLR4 agonist E. coli LPS (100 ng/ml) alone. Neither IFN-{beta} nor IFN-{gamma} alone could activate the macrophages to secrete NO. IL-6 levels were subsequently measured in these various culture supernatants (Fig. 2GoB). In contrast to NO production, IL-6 secretion was not restored to the levels induced by E. coli LPS alone by stimulating the cells with exogenous IFNs plus the TLR2 agonists. Thus, exogenous IFNs can synergize with TLR2 agonists to induce maximal levels of NO secretion, but not maximal levels of IL-6 secretion.



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FIGURE 2. Differential capacities of IFN-{beta}, IFN-{gamma}, LPS, and TLR2 agonists to synergistically induce NO and IL-6 production. Murine RAW 264.7 macrophages were stimulated with E. coli LPS (100 ng/ml), Pam3Cys (10 ng/ml), or STF (10 µl/ml) in the absence or in the presence of recombinant IFN-{beta} (10 and 200 U/ml) or IFN-{gamma} (10 U/ml). Levels of (A) NO and (B) IL-6 were measured in the culture supernatants 24 h after stimulation. RAW 264.7 cells were also stimulated with Pam3Cys (10 or 100 ng/ml) in the absence or presence of the indicated concentrations of E. coli LPS. Cells were stimulated with 100 ng/ml E. coli LPS as a positive control. Levels of (C) NO and (D) IL-6 were measured in the culture supernatants 24 h after stimulation. Data are representative of three separate experiments. Unstim, unstimulated cells.

 
We subsequently asked whether low levels of LPS could affect the levels of NO and IL-6 secretion induced by TLR2 agonists. Therefore, we stimulated RAW 264.7 macrophages for 24 h with the TLR2 agonist Pam3Cys in the presence or absence of increasing concentrations of E. coli LPS (0.1–1000 pg/ml). As a positive control, the cells were incubated with 100 ng/ml E. coli LPS alone. As shown in Fig. 2Go, C and D, there was little detectable NO or IL-6 in culture supernatants of the cells stimulated with Pam3Cys alone (10 or 100 ng/ml), or in combination with 0.1 or 1 pg/ml E. coli LPS. But at a concentration of 100 pg/ml LPS, there was a significant increase in TLR2-induced IL-6 secretion (Fig. 2GoD), and an even stronger increase in NO secretion (Fig. 2GoC). The combination of 1 ng/ml E. coli LPS and Pam3Cys induced macrophages to secrete levels of IL-6 and NO that were similar to levels induced by 100 ng/ml E. coli LPS alone. These data demonstrate that as little as 100 pg/ml LPS can strongly synergize with TLR2 agonists to augment the secretion of NO and IL-6 compared with cells stimulated with each agonist alone.

iNOS, but not IL-6, gene expression is synergistically induced by TLR2 agonists plus exogenous IFN-{beta} and IFN-{gamma}

We also investigated the effect of exogenous IFNs on TLR2- and TLR4-induced iNOS and IL-6 gene expression in the murine RAW 264.7 macrophages. As shown in Fig. 3Go, the TLR4 agonist E. coli LPS activated iNOS and IL-6 mRNA expression in macrophages, whereas the TLR2 agonists Pam3Cys and STF alone did not induce detectable amounts of iNOS mRNA or IL-6 mRNA. Stimulation of cells with the TLR2 agonists in the presence of IFN-{beta} or IFN-{gamma} significantly increased iNOS gene expression. Conversely, there was only a poor increase in IL-6 gene expression detected in response to TLR2 agonists plus IFN-{beta} or IFN-{gamma}. These results were consistent with results obtained for NO and IL-6 secretion by macrophages stimulated with TLR2 agonists in the presence and absence of IFNs (Fig. 2Go, A and B).



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FIGURE 3. TLR2 agonists plus exogenous IFN-{beta} and IFN-{gamma} can synergistically induce iNOS, but not IL-6, gene expression. Murine RAW 264.7 macrophages were stimulated for 4 h with the indicated concentrations of E. coli LPS, Pam3Cys, and STF in the absence or presence of recombinant IFN-{beta} (200 U/ml) or IFN-{gamma} (10 U/ml), as indicated. Total cellular RNA was analyzed by semiquantitative RT-PCR to determine levels of iNOS, IL-6, and {beta}-actin gene expression. PCR products were visualized by agarose gel electrophoresis and ethidium bromide staining. Data are representative of four separate experiments.

 
In primary macrophages, exogenous IFN-{beta} and IFN-{gamma} also synergize poorly with TLR2 agonists to induce IL-6

We subsequently sought to confirm these findings using primary peritoneal and BMDM. BMDM from C57BL/6 mice were stimulated with LPS, Pam3Cys, or STF in the absence or presence of IFN-{beta} or IFN-{gamma}, and NO and IL-6 levels in the cell culture supernatants were measured 24 h later. As shown in Fig. 4GoA, NO secretion was strongly induced in cells incubated with a TLR2 agonist in the presence of exogenous IFN-{beta} or IFN-{gamma}. In contrast, the TLR2 agonists alone, and the IFNs alone, induced little or no NO secretion compared with TLR4 agonist E. coli LPS (Fig. 4GoA). Moreover, IFN-{beta} and IFN-{gamma} did not strongly synergize with the TLR2 agonists to induce IL-6 secretion, and maximal IL-6 production was only observed in BMDM stimulated with E. coli LPS (Fig. 4GoB). Similar results were obtained using PECs (data not shown).



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FIGURE 4. Exogenous IFN-{beta} and IFN-{gamma} strongly synergize with TLR2 agonists to induce NO, but not IL-6 production, in primary macrophages. BMDM from C57BL/6 mice were stimulated with E. coli LPS (100 ng/ml), Pam3Cys (10 ng/ml), or STF (10 µl/ml) in the absence or presence of recombinant IFN-{beta} (10 and 200 U/ml) or IFN-{gamma} (10 U/ml). Levels of (A) NO and (B) IL-6 were measured in the culture supernatants 24 h after stimulation. Data are representative of two separate experiments. Unstim, unstimulated cells.

 
TLR4-induced IL-6 gene expression is not dependent on IFN-{alpha}{beta} secretion

We previously demonstrated that TLR2 agonists failed to induce iNOS expression and STAT1 phosphorylation (13). Furthermore, TLR4-dependent activation of STAT1 phosphorylation was largely attributable to the action of LPS-induced IFN-{beta}. As shown in Fig. 5Go, E. coli LPS-induced iNOS gene expression was significantly decreased in macrophages incubated with neutralizing anti-IFN-{alpha}{beta} Abs. In contrast, no inhibitory effect was observed for E. coli LPS-induced IL-6 gene expression when using the same Abs. PCR performed using fewer cycles to minimize the possibility of nonlinear amplification also revealed that the neutralizing anti-IFN-{alpha}{beta} Abs had no effect on LPS-induced IL-6 gene expression (data not shown). These data demonstrate that, unlike iNOS gene expression, IFN-{beta} secretion does not mediate the induction of IL-6 gene expression via TLR4.



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FIGURE 5. A neutralizing anti-IFN-{alpha}{beta} Ab inhibits TLR4-induced iNOS, but not IL-6, gene expression. Murine RAW 264.7 macrophages were stimulated for 6 h with E. coli LPS in the absence or presence of a 1/25- and 1/50-diluted polyclonal anti-IFN-{alpha}{beta} neutralizing Ab. Sheep IgG was used as a control Ab. Total cellular RNA was analyzed by semiquantitative RT-PCR to measure iNOS, IL-6, and {beta}-actin mRNA levels. Data are representative of three separate experiments.

 
IL-6 gene expression is not dependent on de novo protein synthesis

The failure of neutralizing anti-IFN-{alpha}{beta} Abs to block IL-6 mRNA induced by LPS excluded IFN-{beta} as a mediator of maximal TLR4-induced IL-6 production. To determine whether there was any requirement for de novo protein synthesis, murine macrophages were stimulated with E. coli LPS for 2 h in the absence or presence of the protein synthesis inhibitor cycloheximide. As shown in Fig. 6Go, iNOS gene expression was significantly decreased with increasing concentrations of cycloheximide. In contrast, the protein synthesis inhibitor had no effect on LPS-induced IL-6 gene expression. Thus, de novo protein synthesis does not appear to be required for TLR4-induced IL-6 gene expression, and activation of the IL-6 promoter is a direct consequence of TLR4 signaling.



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FIGURE 6. De novo protein synthesis is required for TLR4-induced iNOS, but not IL-6, gene expression. Murine RAW 264.7 macrophages were stimulated for 4 h with E. coli LPS in the absence or presence of indicated concentrations of the protein synthesis inhibitor cycloheximide (CHX). Total cellular RNA was analyzed by semiquantitative RT-PCR to measure iNOS, IL-6, and {beta}-actin mRNA levels. Data are representative of three separate experiments.

 
TLR4-induced IL-6 gene expression is TIRAP-dependent

As we reported previously, TLR4-induced IFN-{beta} gene expression was dependent on TIRAP/Mal, but not MyD88 (13). Nevertheless, TIRAP/Mal is not sufficient for most TLR4-dependent cellular responses, as shown by the inability of MyD88-deficient macrophages to secrete NO and IL-6 following stimulation with E. coli LPS (Ref. 9 and unpublished observations). These findings led us to investigate whether TLR4-induced IL-6 gene expression in macrophages was also dependent on TIRAP/Mal. The data shown in Fig. 7Go demonstrate that in the presence of a TIRAP-BP, the induction of endogenous IL-6 gene expression by E. coli LPS was inhibited. As a control for the efficacy of the TIRAP-BP, the peptide was shown to completely inhibit LPS-induced IP-10 gene expression in the same experiment. Specificity of the blocking peptide was demonstrated by the finding that the peptide did not inhibit IP-10 gene expression induced by CpG DNA. Activation of TLR9 signaling by CpG DNA was previously shown to be TIRAP-independent (10). Taken together with published data (9), these findings demonstrate that induction of IL-6 gene expression via TLR4 is both MyD88- and TIRAP/Mal-dependent.



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FIGURE 7. A TIRAP/Mal-BP inhibits TLR4-induced endogenous IL-6 and IP-10 gene expression. Murine RAW 264.7 macrophages were stimulated for 2 h with E. coli LPS and the TLR9 agonist CpG DNA in the absence or presence of a cell-permeable TIRAP-BP or a control peptide. Total cellular RNA was analyzed by semiquantitative RT-PCR to measure IL-6, IP-10, and {beta}-actin mRNA levels. DMSO was used to reconstitute the TIRAP-BP and control peptide, and incubation of cells with DMSO (without and with LPS) shows that there is no effect of DMSO on LPS stimulation. Data are representative of two separate experiments.

 
TLR4-induced IL-6 gene expression is PKR-independent

It has been reported that PKR is a downstream mediator of TIRAP signaling (10), although molecular targets for this kinase in TIRAP-dependent signaling have not yet been identified. We previously showed that E. coli LPS-induced IFN-{beta} and iNOS gene expression are TIRAP-dependent, but are PKR-independent (13). We sought to determine whether LPS-induced IL-6 expression was dependent on PKR in macrophages. Fig. 8Go shows that, like IFN-{beta} and iNOS gene expression, IL-6 mRNA was also comparably inducible by E. coli LPS in PKR+/+ and PKR-/- macrophages. Thus, TLR4-induced IL-6 gene expression is both MyD88- and TIRAP/Mal-dependent, but is PKR-independent.



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FIGURE 8. TLR4-mediated signaling for IL-6 gene expression is PKR-independent. PECs from wild-type (PKR+/+) and PKR-/- mice were stimulated for 6 h with indicated concentrations of E. coli LPS. Total cellular RNA was analyzed by semiquantitative RT-PCR for IL-6 gene expression by RT-PCR and Southern blot analysis (see Materials and Methods). Analysis of PKR mRNA levels was used to confirm the lack of the expression of this gene in macrophages obtained from the PKR-/- mice, and HPRT mRNA levels were measured as a control. Data are representative of two separate experiments.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We previously reported that differences in TLR signaling are responsible for the differential gene expression observed in macrophages stimulated with TLR2 vs TLR4 agonists (12, 13, 21). A variety of proinflammatory genes (e.g., iNOS, IP-10, MCP-5) are preferentially induced by TLR4 agonists (12), which is mediated by TLR4-dependent IFN-{beta} production and phosphorylation of the transcription factor STAT1. TLR2 agonists failed to induce macrophage expression of STAT1-dependent genes as a consequence of their failure to activate IFN-{beta} gene expression (13). In this study, we investigated TLR-dependent production of the proinflammatory cytokine IL-6. The TLR4 agonist, E. coli LPS, stimulated macrophages to secrete high levels of the cytokine IL-6, whereas IL-6 production was only poorly activated in RAW264.7 macrophages by all TLR2 agonists tested (Figs. 1Go and 3Go). These data confirm results of a previous study using the TLR2 agonist P. gingivalis LPS in which induction of IL-6 mRNA was substantially lower than message levels induced via TLR4 (12). In this study, we have also shown that differential IL-6 production induced by TLR2 and TLR4 is a characteristic of different macrophage populations. Similar results were obtained using RAW264.7 cells, BMDM, and PECs. All three macrophage populations showed diminished production of IL-6 in response to the TLR2 agonists Pam3Cys and STF compared with the TLR4 agonist E. coli LPS.

We report in this study that the TLR2 agonists Pam3Cys and STF alone did not induce substantial IL-6 secretion in the RAW264.7 macrophage cell line. Using primary murine bone marrow macrophages (Fig. 4Go) and peritoneal macrophages (data not shown), Pam3Cys stimulation was sufficient to induce IL-6 secretion, but always to levels substantially lower than those induced by E. coli LPS. Moreover, several investigators have previously shown that TLR2 agonists can induce IL-6 secretion by human and murine macrophages (4, 25, 26). Most recently, DNA microarray analysis was used to demonstrate that LPS induced higher levels of steady-state IL-6 mRNA in elutriated human monocytes, compared with monocytes stimulated by the TLR2 agonists lipoteichoic acid and muramyl dipeptide (27). Our findings extend these studies by directly comparing TLR2 and TLR4 agonists, and demonstrate that TLR4-dependent signaling via TIRAP/Mal is necessary for maximal IL-6 secretion.

Our results appear to contradict an earlier study in which the TLR2 agonist Staphylococcus aureus peptidoglycan (PGN) was shown to induce substantial secretion of IL-6 and NO by peritoneal macrophages (3). Takeuchi et al. (3) clearly showed that TLR2-deficient macrophages could not be activated by PGN, whereas wild-type and TLR4-deficient macrophages responded similarly. Although the reason for these differences remains unclear, one possible explanation could be that PGN activates a distinct TLR2-containing receptor complex, compared with Pam3Cys and STF. As discussed below, TLR2 has been reported to function in association with other TLR proteins, such as TLR1 and TLR6 (28). Thus, it is possible that the TLR2-containing receptor complexes engaged by Pam3Cys and STF do not activate signaling molecules necessary for IL-6 and NO secretion, whereas the complex engaged by PGN recruits additional signaling molecules that can mediate IL-6 and NO secretion. It also important to note that there is a strong synergistic response when cells were stimulated via TLR2 in the presence of picogram quantities of E. coli LPS (Figs. 2Go, C and D). It is possible that many purified TLR2 agonists contain small quantities of LPS, and that these low levels of contaminating LPS would fail to induce IL-6 and NO secretion in the absence of the TLR2 agonist. When present together, these TLR agonists can induce cellular responses of a magnitude similar to those induced by high concentrations of LPS. Our studies imply that care must be taken to exclude LPS contamination when using commercially available and purified natural TLR2 agonists.

By using dominant-negative forms of either TLR1, 2, and 6, Ozinsky et al. (28) showed that TLR2 is capable of forming a functional signaling complex with either TLR1 or TLR6. The capacity of TLR2 to discriminate between pathogen-associated molecular patterns may depend on the heterodimerizing receptor partners. The fact that TLR2 does not appear to function as a homooligomeric complex (e.g., a homodimer), but can confer responsiveness to bacterial lipopeptides in the presence of TLR1 and TLR6, led these investigators to suggest that there may be additional partners for TLR2. It remains to be determined whether receptor complexes containing TLR2 plus TLR1 and TLR2 plus TLR6 activate distinct signal transduction pathways. In vitro studies showed that dominant-negative mutants of TLR2 or TLR6 inhibit the cellular activation by STF in TLR2-transfected human dermal endothelial cells (29), implying that STF signaling occurs via receptor complexes containing both TLR2 and TLR6. Similarly, Pam3Cys has recently been shown to activate receptor complexes containing both TLR2 and TLR1 (30). Our findings suggest that IL-6 production is only poorly activated via both the TLR2/1 and TLR2/6 signaling pathways. Lastly, we cannot exclude the possibility that TLR2 could form complexes with TLR proteins other than TLR1 and 6, or with as yet unidentified receptors, that can induce IL-6 production.

As reported by Toshchakov et al. (13), the inability of TLR2 agonists to induce iNOS gene expression arose from their inability to activate IFN-{beta} production. In contrast, IFN-{beta} did not appear to play an intermediary role in IL-6 gene expression. Furthermore, exogenous IFN-{beta} failed to synergize with TLR2 agonists to induce maximal levels of IL-6 (Figs. 2Go and 4Go). In addition, studies using neutralizing Abs revealed that LPS-induced IL-6 gene expression was not dependent on TLR4-mediated IFN-{beta} induction (Fig. 5Go). In contrast to iNOS gene expression, de novo protein synthesis was not required for TLR4-dependent induction of IL-6 mRNA expression (Fig. 6Go). Taken collectively, these data suggest that IL-6 production is a direct consequence of TLR signaling.

All TLR proteins appear to use the adapter protein MyD88 for signaling (7, 8). However, TLR4 can also signal via a MyD88-independent pathway. Kawai et al. (9) previously published that IL-6 gene expression and secretion occurs via a TLR4-signaling pathway that is MyD88-dependent, as evidenced by impaired IL-6 production in LPS-stimulated MyD88-/- macrophages. By using a cell-permeable blocking peptide, we showed in this study that IL-6 production in LPS-stimulated macrophages is also dependent on the adapter molecule TIRAP/Mal. This is consistent with a previous study that reported TIRAP/Mal mediated IL-6 production in LPS-stimulated dendritic cells (10). Because TIRAP/Mal specifically mediates activation of cells via TLR4, and not TLR2 (L. O’Neill, unpublished observation), it is likely that TIRAP/Mal signaling leads to the activation of the putative pre-existing protein described above. Taken together, our findings imply that both MyD88 and TIRAP/Mal mediate TLR4-specific signaling, which, in combination with NF-{kappa}B, mediate LPS-induced IL-6 production. A proposed model for this is presented in Fig. 9Go.



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FIGURE 9. Proposed model for distinct TLR4- and TIRAP/Mal-dependent signaling mechanisms leading to IL-6 and iNOS gene expression.

 
Like TLR2, the IL-1R uses MyD88, but not TIRAP/Mal, for signal transduction (31). IL-1 has been reported to induce IL-6 secretion by fibroblasts and endothelial cells, but not the macrophage cell lines P388D1 and J774A.1 (32). This is consistent with our contention that MyD88 signaling, via TLR2 or the IL-1R, is not sufficient to induce maximal IL-6 secretion in macrophages. The IL-6 promoter contains regulatory elements that bind the transcription factors NF-{kappa}B, AP-1, CREB, and C/EBP (33). We have previously shown that TLR2 and TLR4 agonists are equally capable of inducing NF-{kappa}B and AP-1 activation in RAW264.7 macrophages (21). Thus, it is likely that activation of NF-{kappa}B and AP-1 by TLR2 agonists is sufficient to induce a modest level of IL-6 gene expression. In contrast, TLR4 engagement by E. coli LPS, which can activate all four of these transcription factors, consequently leads to maximal IL-6 transcription. Unlike the iNOS promoter, the IL-6 promoter does not appear to contain regulatory elements that are activated by IFN signaling (e.g., IFN-stimulated response and IFN-{gamma} activation site elements). This is consistent with our finding that exogenous IFN-{beta} and IFN-{gamma} failed to induce any significant production of IL-6 by RAW 264.7 cells and primary murine macrophages (Figs. 2Go and 4Go). This lack of IFN-responsive elements within the IL-6 promoter is a likely explanation for why exogenous IFNs failed to strongly synergize with TLR2 agonists to induce IL-6 secretion, but could strongly synergize to induce NO production (Fig. 2Go).

Lastly, a proposed downstream target of TIRAP/Mal is PKR (10). Although both LPS-inducible IFN-{beta} and iNOS gene expression are TIRAP-dependent, we could not identify a role for PKR in these responses (13). In this study, we have shown that LPS-activated macrophages from wild-type and PKR-deficient mice produced equivalent levels of IL-6 mRNA (Fig. 8Go). Thus, like IFN-{beta} gene expression, induction of IL-6 gene expression is also TIRAP/Mal-dependent and PKR-independent. As we proposed previously for IFN-{beta} gene expression, the PKR independence of IL-6 expression could arise from bifurcation of the signaling pathway distal to TIRAP/Mal, which may separate the activation of PKR from both IFN-{beta} and IL-6 gene expression (Fig. 9Go). Overall, several questions remain unanswered by our studies. It is unclear whether induction of IFN-{beta} and IL-6 gene expression relies on the same TLR4- and TIRAP/Mal-dependent mechanisms. Also, the biological rationale for why IL-6 production is preferentially induced by TLR4 engagement, in contrast to the other proinflammatory cytokines TNF-{alpha} and IL-1{beta}, remains to be determined. These questions will be the focus of future studies.


    Footnotes
 
1 D.S. received support from the Ministry of Science and Art of the state of Hessen, Germany. This work was also supported by National Institutes of Health Grants AI-47233 (to M.J.F.) and AI-18797 (to S.N.V.). Back

2 Address correspondence and reprint requests to Dr. Matthew J. Fenton, Pulmonary Center, R-220, School of Medicine, Boston University, Boston, MA 02118-2394. E-mail address: mfenton{at}bu.edu Back

3 Abbreviations used in this paper: TLR, Toll-like receptor; TIR, Toll-IL-1R; MyD88, myeloid differentiation protein 88; TIRAP, TIR domain-containing adapter protein; Mal; MyD88 adapter-like; iNOS, inducible NO synthase; IP, inducible protein; MCP, monocyte chemoattractant protein; PEC, peritoneal exudate macrophage; BMDM, bone marrow-derived macrophage; TIRAP-BP, TIRAP blocking peptide; STF, soluble tuberculosis factor; PKR, dsRNA-dependent protein kinase; PGN, peptidoglycan. Back

Received for publication July 11, 2002. Accepted for publication September 16, 2002.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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I. Sabroe, L. R. Prince, E. C. Jones, M. J. Horsburgh, S. J. Foster, S. N. Vogel, S. K. Dower, and M. K. B. Whyte
Selective Roles for Toll-Like Receptor (TLR)2 and TLR4 in the Regulation of Neutrophil Activation and Life Span
J. Immunol., May 15, 2003; 170(10): 5268 - 5275.
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