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* Department of Immunopathology, Womens and Childrens Hospital, North Adelaide, South Australia;
Department of Pediatrics, Adelaide University, Adelaide, South Australia; and
School of Pharmaceutical, Molecular and Biomedical Sciences, University of South Australia, Adelaide, South Australia
| Abstract |
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3 fatty acids eicosapentaenoic acid, docosahexaenoic acid, and linolenic acid failed to stimulate TNFR expression. Although fMLP and LPS reduced the neutrophil expression of TNFR, when pretreated with AA, fMLP caused an increase in TNFR expression. Consistent with this result was the finding that AA prevented the fMLP-induced receptor release in neutrophil cultures. AA also caused an increase in TNFR expression in matured HL-60 cells (neutrophil-like cells), but a decrease in nonmatured cells and HUVEC. The AA effects were independent of the lipoxygenase and cyclooxygenase pathways, but dependent on protein kinase C, the extracellular signal-regulated kinases 1 and 2, and cytosolic phospholipase A2. The data demonstrate a unique effect of AA in the inflammatory reaction, through its action on neutrophil TNFR expression, and suggest that AA may regulate the response of neutrophils to TNF by altering its receptor number. | Introduction |
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is a highly pleiotropic cytokine that plays a key role in inflammation, defense against microbial pathogens, and cancer (1). Among the important properties of TNF is its ability to promote neutrophil-microbial killing (2, 3). This cytokine acts via two types of receptors, a 55-kDa TNFR1 (CD120a) and 75-kDa TNFR2 (CD120b) (4). Although both receptors show strong similarities in amino acid sequence in their extracellular domain (both exhibiting cysteine-rich repeats in this region), they exhibit little similarity in the sequence of their intracellular domain, consistent with their use of different signal transduction pathways (4). Both TNFR are expressed on neutrophils (5). Numbering 500-6000 receptors (6), the TNFR on the surface of neutrophils are susceptible to cleavage following cell activation (7, 8). Neutrophils stimulated with LPS, fMLP, GM-CSF, and opsonized microbial pathogens show down-regulation of surface TNFR expression (7, 8, 9, 10). Thus, it is evident that many exogenous and endogenous inflammatory mediators generated in inflammatory exudates regulate neutrophil responses by down-regulating TNFR expression. This has at least two implications. First, neutrophil responses to TNF become down-regulated, and second, the released receptor fragments act as TNF inhibitors.
During inflammation, activation of the cytosolic phospholipase A2 (cPLA2) 4 releases arachidonic acid (AA) from membrane phospholipids (11, 12). At concentrations found in biological fluids, AA stimulates neutrophil superoxide production, degranulation (13, 14, 15), and the expression of complement receptors type 3 (CR3) (15). In this manner, AA can perpetuate the inflammatory reaction. Because regulation of TNFR expression is considered of importance in inflammation, it was of interest to determine whether or not AA modulated the expression of TNFR on neutrophils. The data presented demonstrate that AA plays a unique role in the regulation of TNFR expression on neutrophils during inflammation. Although all agonists studied to date have been shown to down-regulate the expression of TNFR, AA caused a marked up-regulation of these receptors in a protein kinase C (PKC)/extracellular signal-regulated kinase (ERK)/PLA2-dependent manner.
| Materials and Methods |
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AA, eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA), and linolenic acid (LNA) were purchased from Sigma-Aldrich (St. Louis, MO); 15-hydroperoxyeicosatetraenoic acid (15-HPETE) and AA methyl ester (ME) were prepared, as described previously (16). Stocks of the fatty acids and derivatives were mixed with dipalmitoyl phosphatidylcholine (DPC) in chloroform in a ratio of fatty acid:DPC of 1:4 (w/w), respectively. The solvent was evaporated under nitrogen, and the lipids were dispersed by sonication in HBSS (Ystrom System Ultra Sonicator, Westwood, NJ). These were then added to the cells at the indicated concentrations. Control cells received equivalent concentration of vehicle (DPC or ethanol).
Biochemicals
LPS from Escherichia coli, serotype 0127:B8, lucigenin, and fMLP were purchased from Sigma-Aldrich. These were dissolved in HBSS and DMSO, respectively. Arachidonyltrifluoromethyl ketone (AACOCF3), a cPLA2 inhibitor, and the PKC inhibitor, GF109203X, were purchased from Biomol Research Laboratories (Plymouth Meeting, PA). The mitogen-activated protein kinase/ERK kinase-1 (MEK-1) inhibitor, PD 098059, was obtained from New England Biolabs (Beverley, MA). Indomethacin (IM) and nordihydroguaiaretic acid (NDGA) were purchased from Sigma-Aldrich. GF109203X and PD098059 were prepared in DMSO. AACOCF3, NDGA, and IM stocks were prepared in ethanol. All of these inhibitors were diluted with HBSS immediately before use. Control cells received the appropriate dilutions of vehicle.
Neutrophils
Neutrophils were isolated from blood of healthy volunteers by the rapid single-step method involving centrifugation of blood on Hypaque-Ficoll (3). The neutrophils, harvested from the lower leukocyte band, were 9699% pure and >99% viable, judged by their ability to exclude trypan blue.
Endothelial cells
HUVEC were isolated from umbilical cords by collagenase digestion (17). The identity of endothelial cells was confirmed by morphology (contact-inhibited cobblestone morphology) and by positive staining for factor VIII-related Ag using peroxidase-conjugated rabbit anti-human von Willebrand factor Ab (DAKO, Glostrup, Denmark A/S) and 3,3'-diaminobenzidine. The cells were plated in gelatin-coated 96-well microtiter plates (Linbro; Flow Laboratories, McLean, VA) and were used when cultures were confluent (3648 h).
Neutrophil chemiluminescence response
Neutrophil chemiluminescence was measured by the reduction of lucigenin, which is a measure of superoxide production by the cells, as described previously (18). Neutrophils (1 x 106) were preincubated with AA (10 µM) or vehicle at 37°C for 30 min. The cells were transferred to an LB 953 Autolumat Plus tube luminometer (Berthold Technologies, Bad Wildbad, Germany) and TNF (1000 U/ml) or HBSS and 500 µl of 250 µg/ml lucigenin were added. The light emission was recorded over 12 min, and the data were imported into Microsoft Excel (Redmond, WA). Peak rate of chemiluminescence (cpm) was calculated.
Culture of HL-60 cells
Human promyelocytic leukemia HL-60 cells were maintained at a density of <1 x 106/ml in RPMI 1640 medium supplemented with 10% FCS and antibiotics in a humidified atmosphere of 5% CO2 in air at 37°C. The cells were matured along the granulocytic pathway with retinoic acid (100 nM) for 89 days (19). Maturation was verified by morphology after staining with Giemsa. The viability of the differentiated cells was 95%, as judged by the ability to exclude trypan blue.
Expression of CR3 (
-chain) and TNFR
Surface expression of the
-chain of CR3 (CD11b), TNFR1, and TNFR2 was measured by flow cytometry. Neutrophils at 106 cells/ml were treated with agonists or vehicle for the times indicated in the figure legends. The vehicle did not affect the expression of CD11b or TNFR. The cells were washed in ISOTON II supplemented with 0.1% BSA and then incubated for 30 min on ice with saturating concentrations of a PE-conjugated mAb to human CD11b or isotype IgG1 control (BD Biosciences, San Jose, CA), or anti-human TNFR1 and TNFR2 mAb (or
1/
2 isotype-matched mAb) (R&D Systems, Minneapolis, MN). The cells were then incubated with FITC-conjugated goat anti-mouse IgG Ab (AMRAD Operations, Melbourne, Australia) for 30 min (for TNFR), fixed with paraformaldehyde (1% w/v), and analyzed on a BD Biosciences FACS analyser. Mean fluorescence intensity (MFI) was obtained and corrected by subtraction of values for isotype-matched negative controls
Assay for soluble TNFR2
The amount of soluble TNFR2 was quantified by a commercially available ELISA kit (R&D Systems). In this assay, an immobilized anti-TNFR2 mAb is used to capture the receptor, which is then detected by a peroxidase-conjugated polyclonal Ab. According to the manufacturer, in this immunoassay, TNF does not show any significant cross-reactivity and exhibits only a low level interference (10% decrease in the observed value using TNF at 5 ng/ml).
Statistics
Results are expressed as the mean ± SEM of 310 experiments, using neutrophils from healthy donors. Statistical analyses were performed by the two-tailed Students t test for paired or unpaired data using Graphpad Software (Cricket Software, 1985, Philadelphia, PA) or by ANOVA. Where appropriate, multiple comparisons with one control were performed using Dunnetts modification.
| Results |
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Neutrophils were treated with 30 µM of AA or the equivalent amount of vehicle for 30 min at 37°C and then examined for TNFR expression by flow cytometry. The results showed that AA caused a marked increase,
8-fold, in the expression of TNFR1 and TNFR2 (Fig. 1). No change in receptor expression was seen in response to the vehicle. The histograms demonstrate that a major proportion of the neutrophil population showed an increase in TNFR1 and TNFR2 expression when treated with AA (Fig. 1, B and C). There was a clearly dramatic shift in TNFR expression by the majority of cells. In seven experimental runs, the mean ± SEM of the population of cells with an increase in TNFR1 and TNFR2 was 78.7 ± 4.0 and 73.5 ± 5.0, respectively.
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Alterations in the TNF-induced superoxide response in AA-activated neutrophils
In view of the increased expression of TNFR on neutrophils, it was of interest to determine whether or not this translated into a functional difference when such neutrophils were exposed to TNF. In these investigations, neutrophils were first incubated for 30 min with AA or vehicle and then stimulated with TNF or diluent. The chemiluminescence response was measured over time as a marker of superoxide produced by the neutrophils. Neutrophils that had been pretreated with AA showed increased superoxide production in response to TNF compared with those treated with vehicle (Fig. 3).
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Previous work has demonstrated that the anti-inflammatory effects of
3 polyunsaturated fatty acids are related to their metabolism into poorly proinflammatory metabolites compared with AA metabolites and inhibition of cytokine production (20, 21, 22, 23). However, many neutrophil functions have been shown to be increased by both
3 and
6 fatty acids. These include activation of respiratory burst, degranulation, and CR3 receptor expression (15). It was therefore of interest to see whether the
3 fatty acids also increased the expression of TNFR on neutrophils. We compared the effects of
6 fatty acids, AA, with the
3 fatty acids, LNA, EPA, and DHA.
To examine these effects, neutrophils (1 x 106) were treated with 20 µM of one of the following fatty acids: EPA, DHA, AA, and LNA, or the equivalent amount of vehicle (ethanol) for 30 min at 37°C, and then examined for expression of TNFR1 and TNFR2. The results showed that while neutrophils treated with AA displayed a 6-fold increase in TNFR1 expression, DHA and EPA significantly decreased the expression of TNFR1 (Fig. 4). LNA had no significant effect on the TNFR1 expression on neutrophil (Fig. 4). Similar results were obtained for TNFR2 expression in neutrophils treated with 20 µM fatty acids (Fig. 4).
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It has been previously reported that both LPS and fMLP reduce TNFR expression (7); thus, it was therefore relevant to examine the effects of these agonists under conditions in which AA increased both TNFR1 and TNFR2 expression. Neutrophils were incubated with LPS (0.1 µg/ml), fMLP (10-6 M), or vehicle alone at 37°C for 30 min, and expression of TNFR was determined. LPS caused a 3035% reduction in TNFR1 and TNFR2 expression (Fig. 5). fMLP reduced the expression of both receptors by 5560% (Fig. 5). In contrast, fMLP increased the expression of CD11b by
13-fold (Fig. 5). These results are consistent with the findings of Berger et al. (24), who reported that expression of CD11b on the surface of neutrophils was increased several-fold by fMLP.
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TNFR down-regulation is believed to be due to proteolytic cleavage. The unique effect of AA on TNFR on neutrophils could be related to interference with the proteolytic activity in the neutrophil. If this were the case, then it would be expected that pretreatment of neutrophils with AA should prevent fMLP-induced down-regulation of TNFR. Neutrophils were treated with 30 µM AA for 30 min and then with 10-6 M fMLP, and the effect on TNFR1 and TNFR2 expression was examined. The results showed that fMLP did not cause a down-regulation in expression of TNFR1 and TNFR2 in AA-stimulated neutrophils (Fig. 6). In fact, in the presence of AA, fMLP caused a further and significant increase in TNFR1 and TNFR2 expression (Fig. 6).
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Neutrophil activation by various agonists has been shown to lead to the release of soluble TNFR in fluids as a consequence of proteolytic cleavage of the extracellular portion of the receptor. Neutrophils were treated with either AA or vehicle and then with or without fMLP. The supernatants were collected, and the amount of soluble TNFR2 was determined by ELISA. The data shown in Fig. 6 demonstrate that fMLP induced the release of soluble TNFR. In contrast, AA caused a decrease in basal receptor release. It was also evident that if neutrophils had been pretreated with AA, fMLP failed to cause a release of TNFR in the culture fluids (Fig. 6). In these experiments, we used a longer incubation period of 30 min than previous studies (7) because we wanted to maintain conditions consistent with the present experiments on the expression of TNFR. It is likely that the high basal release of receptors was due to the increased incubation time. Because of this increase, the release induced by fMLP is also likely to be underestimated.
Effects of AA on TNFR expression in HL-60 cells
AA significantly reduced the surface expression of both TNFR1 and TNFR2 on HL-60 cells (Fig. 7A). However, when the HL-60 cells were matured by retinoic acid to neutrophil-like cells, AA caused an increase in the expression of both receptors in these cells (Fig. 7A).
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AA induces down-regulation of TNFR on vascular endothelial cells (HUVEC)
The lining of the vascular endothelium controls the trafficking of cells and molecules into underlying tissues, and is therefore a potential primary target for the action of inflammatory mediators. Cytokines such as TNF and IL-1 dramatically alter many responses of cultured endothelial cells in vitro that are believed to play key roles in the development of atherosclerosis, inflammation, and septic shock (25). Both TNFR1 and TNFR2 have been detected on the surface of HUVEC (26). We therefore analyzed the effect of AA on TNFR on HUVEC. Treatment of HUVEC with 30 µM AA for 30 min resulted in a decrease in the expression of both the TNFR1 and TNFR2 on the surface of endothelial cells (Fig. 7C).
The effects of 15-HPETE and ME derivatives on the expression of TNFR
AA is a substrate for lipoxygenases and cyclooxygenases. The first step in the oxygenation of AA by the lipoxygenase pathway results in the formation of HPETE, which is the precursor of monohydroxyeicosatetraenoic acids as well as the leukotrienes. Some of these AA metabolites can regulate neutrophil responses. However, our previous studies in neutrophils have demonstrated that modification of AA by the addition of a hydroperoxy moiety or converting AA to its ME results in the loss of biological activity (15). To investigate whether the unmodified AA structure was required for the up-regulation of TNFR, neutrophils were incubated for 30 min with 15-HPETE (30 µM), and the expression of TNFR was determined. The data in Fig. 8 demonstrate that 15-HPETE did not alter the expression of either TNFR1 or TNFR2, in contrast to AA. These results demonstrate that the addition of a hydroperoxy group to AA results in a loss in the ability to stimulate TNFR1 and TNFR2 expression. Converting AA to its ME, which masks the carboxyl group, also resulted in loss of this property of AA (Fig. 8).
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The effects of NDGA, a nonselective lipoxygenase inhibitor, and IM, a cyclooxygenase inhibitor, on AA-induced TNFR expression in neutrophils were also examined. Neutrophils were pretreated with either NDGA (10 µM) or IM (100 µM) or with vehicle for 15 min at 37°C, before being stimulated with 30 µM AA or with vehicle for 30 min at 37°C. NDGA did not affect the ability of AA to up-regulate the expression of either TNFR1 or TNFR2 (Fig. 8). Interestingly, IM caused a significant enhancement of the AA-induced increase in both TNFR1 and TNFR2 (Fig. 8).
The role of PKC, ERK1/ERK2, and cPLA2
We have previously demonstrated that AA stimulates the activities of PKC, ERK1/ERK2, and phospholipase A2 (27, 28). To understand the mechanisms by which AA caused the up-regulation of TNFR, the chemical inhibitors, GF109203X, PD098059, and AACOCF3, were used to target PKC, ERK1/ERK2, and the cPLA2, respectively. These inhibitors have been used previously in neutrophils with respect to other agonists such as fMLP. Thus, GF109203X has been reported to inhibit fMLP-stimulated p47phox phosphorylation, superoxide production, and ERK1/ERK2 activation (29, 30). PD98059 has been reported to inhibit fMLP-stimulated chemotaxis, p47phox phosphorylation, and superoxide production (29, 31, 32), and AACOCF3 has been shown to inhibit fMLP-stimulated H+ efflux (33).
Neutrophils were pretreated with the PKC inhibitor,GF109203X, for 10 min at 37°C, and then stimulated with 30 µM AA or vehicle. After further 30-min incubation at 37°C, expression of TNFR was determined. The results presented in Fig. 9A demonstrate that GF109203X dose dependently inhibited the AA-induced increase in expression of TNFR1 on neutrophils (p < 0.001). The inhibition was 40 and 80% at concentrations of 1 and 100 nM of GF109203X, respectively. The expression of TNFR2 was also inhibited by GF109203X (p < 0.05), although the degree of inhibition was less than that observed for TNFR1 (Fig. 9A). Thus, PKC was required for the increased expression of TNFR induced by AA, in particular for TNFR1.
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To determine the role of cPLA2, the effects of the pharmacological inhibitor of cPLA2, AACOCF3, on the AA-induced increase in the expression of TNFR were examined. Neutrophils were pretreated with AACOCF3 or vehicle for 5 min at 37°C before being stimulated with 30 µM AA or vehicle for 30 min at 37°C.
Pretreatment of neutrophils with AACOCF3 significantly inhibited the AA-stimulated increase in TNFR1 expression (Fig. 9C). Maximum inhibition (8090%) occurred at an AACOCF3 concentration of 0.5 and 5 µM (p < 0.001). In contrast, the inhibitory effect of AACOCF3 on TNFR2 expression was less prominent (3050%) (p < 0.05) compared with its effects on TNFR1 expression. These effects were very similar to those observed with the PKC and MEK inhibitors (Fig. 9, A and B).
| Discussion |
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, PMA, calcium ionophore (A23187), and platelet-activating factor, cause the down-regulation of TNFR expression on neutrophil surfaces through proteolytic cleavage of the extracellular portion of these receptors (7, 8, 9). Recently, it has been reported that a membrane-bound, nonmatrix serine metalloproteinase, possibly a disintegrin and metalloprotease-17 (36), may be involved in the cleavage of TNFR. Elastase has also been suggested to contribute to the release of the soluble TNFR (37). The up-regulation of TNFR expression by AA was unique to neutrophils because AA-treated HL-60 cells showed depressed expression of TNFR. Interestingly, when matured to neutrophil-like cells, AA caused a significant increase in TNFR expression on these cells. This up-regulation of TNFR by AA is most likely due to the ability of neutrophils to readily mobilize TNFR from granules, upon cell activation, which is consistent with the AA-induced effect being rapid, causing a significant increase in TNFR expression in the first 10 min. Also, AA-treated HUVEC showed a significant reduction in TNFR expression.
AA is a complete neutrophil secretagogue, causing the release of constituents from both specific and azurophilic granules (15). It is most likely that this results in the mobilization of TNFR from storage granules to the surface membrane. However, to date, evidence has only been presented for the storage of TNFR1 in specific granules (38). TNFR2 was found to be associated only with the plasma membrane fraction. Thus, our data showing that TNFR2 was increased in expression to a similar extent as TNFR1 suggest that it is likely to be mobilized from other intracellular locations. Although some of the above agonists that cause TNFR down-regulation are weak secretagogues, others such as A23187 and fMLP in the presence of cytochalasin B (38) induce marked degranulation. It is therefore surprising that these agents do not increase receptor expression. This is most likely related to their ability to also stimulate proteolytic cleavage of the receptors, and thus, any increase in receptor expression is masked by loss of surface protein. Because AA caused a down-regulation of TNFR in both HL-60 cells and endothelial cells, it is unlikely that AA inhibits TNFR cleavage in these cells, and indeed is likely to stimulate proteolysis for this receptor. However, this may not apply to neutrophils because neutrophils that had been pre-exposed to AA showed a significant increase in fMLP-induced receptor expression. These findings would be best explained by suggesting that AA, by a mechanism yet to be identified, inhibits cleavage of receptors specifically in neutrophils. This was supported by the finding that AA inhibited the fMLP-induced release of TNFR in neutrophil cultures.
Because of the existence of multiple cellular targets for AA, it is difficult to readily decipher the mechanisms involved in TNFR up-regulation. Badwey et al. (39) pointed out that AA readily partitions into membranes that result in changes to the physical properties of the membranes (40). However, Corey and Rosoff (41) excluded a detergent-like action of AA on neutrophil oxidase activity, and our recent studies (42) and those of others (43) have demonstrated that cell activation by AA can occur via the ErbB receptor family. AA can be readily esterified into membrane phospholipids, and so can 15-HPETE (44), which did not alter the expression of TNFR. This suggests that membrane incorporation is insufficient for the observed action. The ME derivative is likely to cause membrane perturbation, but is unable to promote TNFR expression. Furthermore, we found no evidence for a need to convert AA to lipoxygenase and cyclooxygenase metabolites because inhibition of these enzymes did not prevent the actions of AA. Indomethacin actually enhanced the effect, and others have reported that leukotriene B4 decreases TNFR expression (7). Whether or not the stimulating effects of indomethacin are due to an effect through the cyclooxygenase pathway remains to be established.
AA induces the activation of several intracellular signaling molecules that have been shown to be responsible for its biological effects (15). Using chemical inhibitors of these pathways, we have identified some of the mechanisms by which AA stimulates TNFR expression on neutrophils. The effects on TNFR1 were very sensitive to GF109203X, PD098059, and AACOCF3, showing a role for PKC, ERK, and cPLA2, respectively. These inhibitors caused greater than 80% inhibition of the effect of AA. Although similar results were obtained with respect to TNFR2, the inhibitors caused only a 30% inhibition of this response. The reason for this difference in requirement of the signaling between the two receptors remains to be identified, but is consistent with the findings of Porteu and Nathan (38), who found the TNFR1 and TNFR2 to have different cellular localization.
The above findings are not surprising given that we have demonstrated in neutrophils that AA caused an increase in the intracellular concentration of Ca2+ (18) and activation of ERK1/ERK2 (45), which are essential for the activation of the cPLA2. Indeed, we have demonstrated that exogenous AA caused the activation of the cPLA2 and secretory PLA2 (28). This was accompanied by the release of [3H]AA from prelabeled cells, and this could be inhibited by AACOCF3. As with AA-induced up-regulation of TNFR, AACOCF3 also inhibited AA-stimulated superoxide production (28). Our results therefore support the existence of a signaling loop involving AA, which stimulates PKC and the mitogen-activated protein kinases, which together with an increase in intracellular Ca2+, result in the activation of the cPLA2.
The proinflammatory properties of AA are associated with several of its effects on neutrophil functions (15). These include the stimulation of oxygen radical production (13, 14, 39, 40, 41), degranulation and cell adhesion (15), and migration inhibition (46). This study has revealed a unique biological effect of AA on neutrophil TNFR expression that is likely to have a significant impact on our present concepts on mechanisms of regulation of the inflammatory reaction, and thus it is not surprising that AA and TNF cause synergistic responses in neutrophils (47). The belief that neutrophils dramatically decrease their expression of TNFR during inflammation as a result of exposure to a range of agonists is therefore questioned by our findings that AA caused a marked increase in the expression of these receptors. Thus, as the levels of AA increase during inflammation, there is a bias toward increased expression of TNFR and increased responsiveness to TNF. Furthermore, it has been argued that the release of TNFR from neutrophils provides a source of soluble TNFR to regulate inflammation and prevent TNF-promoted tissue damage (7, 8, 9). This may not only be of relevance in acute inflammation, but also in chronic inflammatory diseases that experience infiltration of large numbers of neutrophils during exacerbations of the diseases in which soluble TNFR can act as TNF inhibitors (48). However, once AA has been generated, neutrophil TNFR expression will be substantially increased, promoting inflammation and tissue damage. This is consistent with the value of anti-TNF therapy in diseases such as rheumatoid arthritis (49), and the high levels of the secretory PLA2 found in rheumatoid arthritis patients (50).
Particularly interesting was the finding that the
3 polyunsaturated fatty acids, EPA, DHA, and LNA, not only failed to increase TNFR expression on neutrophils, but also that EPA and DHA significantly depressed the TNFR expression. Thus, in this study, we see another aspect of how
3 fatty acids may function to inhibit the inflammation response. Incorporation of increased amounts of
3 fatty acids in membrane phospholipids not only is likely to compromise the generation of highly inflammatory eicosanoids and cytokines, but also to prevent the increased expression of TNFR on neutrophils.
| Footnotes |
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2 Current address: Department of Medicine, Rush-Presbyterian, St. Lukes Medical Center, Chicago, IL 60612. ![]()
3 Address correspondence and reprint requests to Dr. Antonio Ferrante, Department of Immunopathology, The Womens and Childrens Hospital, 72 King William Road, North Adelaide South Australia 5006. E-mail address: antonio.ferrante{at}adelaide.edu.au ![]()
4 Abbreviations used in this paper: cPLA2, cytosolic PLA2; AA, arachidonic acid; CR3, complement receptor 3; DHA, docosahexaenoic acid; DPC, dipalmitoyl phosphatidylcholine; EPA, eicosapentaenoic acid; ERK, extracellular signal-regulated kinase; HPETE, hydroperoxyeicosatetraenoic acid; IM, indomethacin; LNA, linolenic acid; ME, methyl ester; MEK, mitogen-activated protein kinase/ERK kinase; MFI, mean fluorescence intensity; NDGA, nordihydroguariaretic acid; PKC, protein kinase C; PLA2, phospholipase A2. ![]()
Received for publication December 23, 2002. Accepted for publication June 24, 2003.
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