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B-Independent Pathway1
Division of Clinical Immunology, Department of Medicine, Johns Hopkins University School of Medicine, Asthma and Allergy Center, Baltimore, MD 21224
| Abstract |
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and IL-1
. A key signal for the recognition of intracellular viral infections is the presence of dsRNA. Viral infections and dsRNA treatment can activate several signaling pathways including the protein kinase R pathway, mitogen-activated protein kinase (MAPK) pathways, and NF-
B, which are important in the expression of inflammatory cytokines. We previously reported that activation of protein kinase R was required for dsRNA induction of TNF-
, but not for IL-1
. In this study, we report that activation of the p38 MAPK pathway by respiratory viral infections is necessary for induction of inflammatory cytokines in human bronchial epithelial cells. Inhibition of p38 MAPK by two different pharmacological inhibitors showed that expression of both TNF-
and IL-1
required activation of this signaling pathway. Interestingly, inhibition of NF-
B did not significantly reduce viral induction of either cytokine. Our data show that, during the initial infections of epithelial cells with respiratory viruses, activation of the p38 MAPK pathway is associated with induction of inflammation, and NF-
B activation may be less important than previously suggested. | Introduction |
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B are necessary for viral induction of inflammatory cytokines (12, 13, 14).
A common viral factor that is recognized by host cells and can lead to initiation of innate immune responses is dsRNA. dsRNA (>100 bp) is not present within normally growing cells but is almost universally present as a genomic fragment, a replicative intermediate, or a stem-and-loop structure during viral infections. Regardless of its source, dsRNA is a potent inducer of several cytokines and chemokines in a variety of cell types (3, 15, 16, 17, 18, 19, 20, 21). Thus far, the exact mechanisms that are required for viral and dsRNA induction of inflammatory cytokines in human epithelial cells are not completely understood. We recently reported that dsRNA induction of TNF-
required PKR activation, but that IL-1
induction followed a PKR-independent pathway (22).
Activation of PKR by dsRNA has been shown in several cell types, including airway epithelial cells, to result in phosphorylation of I
B and therefore activation of NF-
B (23, 24, 25, 26). Inasmuch as NF-
B activation is known to lead to the induction of several inflammatory genes (27), it is reasonable to hypothesize that this pathway may lead to the expression of inflammatory cytokines in virally infected human airway epithelial cells.
Another signaling pathway that is important in early events leading to up-regulation of inflammatory cytokines is the p38 MAPK (28, 29, 30). A variety of stimuli including LPS, osmotic shock, and growth factors can activate the p38 MAPK pathway (31, 32, 33, 34). Recently, studies by Goh et al. (35) showed that PKR was necessary for dsRNA activation of p38 MAPK. These data suggest that intracellular viral activation of PKR may also lead to the activation of p38 MAPK. Because p38 MAPK is an important signaling molecule in the induction of inflammation, it may provide a pathway distinct from NF-
B for viral induction of inflammatory cytokines.
TNF-
and IL-1
are key regulatory factors in the early induction of inflammation and innate immune responses. They induce other cytokines and chemokines and can up-regulate adhesion molecules, induce cell activation, and recruit and enhance cytotoxicity of macrophages and neutrophils (36, 37, 38, 39, 40). In addition, TNF-
can directly control viral infections and participate in both Th1 and Th2 immune responses (41, 42, 43, 44). In this study, we report that treatment of human epithelial cells with dsRNA or infection with respiratory viruses such as reovirus and respiratory syncytial virus (RSV) induces inflammatory cytokines by activation of p38 MAPK pathways. Notably, NF-
B does not appear to play a significant role in the virus and dsRNA induction of inflammatory cytokines.
| Materials and Methods |
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Primary human bronchial epithelial cells were generously provided by Dr. R. Schleimer (Johns Hopkins University, Baltimore, MD) or were purchased from Cambrex BioScience (Walkersville, MD), and were grown as monolayers in serum-free medium BEBM-2 (Cambrex BioScience). The human epithelial cell lines BEAS-2B and A549 were grown as monolayers in RPMI 1640 supplemented with 5% FCS and 10 µg/ml gentamicin at 37°C in a 5% CO2-humidified chamber. The dsRNA poly(I:C) was purchased from Sigma-Aldrich (St. Louis, MO), dissolved in PBS, and used at the concentrations indicated in the figures. Because we have observed significant differences in the capability of synthetic dsRNA poly(I:C) to activate PKR, we routinely test the fidelity of poly(I:C) by in vitro kinase assays detecting autophosphorylation of PKR as described (45).
The wild-type reovirus type 3 (T3) was grown in our laboratory, and human RSV A2 subtype was originally a generous gift from Dr. B. Graham (National Institutes of Health, Bethesda, MD). Primary epithelial cells and the cell lines were infected at 70% confluency, at a multiplicity of infection (MOI) of 2.5 PFU/cell, in serum-free medium. After 1 h of incubation at 37°C, complete medium was added, and the cells were incubated further for indicated times before harvesting. The p38 MAPK inhibitor SB203580 was purchased from Tocris Cookson (Ellisville, MO), and SB239063 was a generous gift from Dr. D. Underwood (GalaxoSmithKline, King of Prussia, PA).
RNA extraction and RT-PCR
RNA was isolated using the TRIzol total RNA isolation reagent (Life Technologies, Rockville, MD). First-strand cDNA was synthesized using SuperScript reverse transcriptase (Life Technologies); the cDNA was then amplified in the presence of 2 µg/ml primers, 100 µM dNTPs, 0.25 U of Taq polymerase (AmpliTaq; Applied Biosystems, Foster City, CA), 10 mM Tris-HCl (pH 9.0), 50 mM KCl, 1.02.5 mM MgCl2 (optimized for each primer set), and 0.001% gelatin in a final volume of 25 µl. The sequences of primers were as follows: IL-1
, forward, AAACAGATGAAGTGCTCCTTCAGG; IL-1
, reverse, TGGAGAACACCACTTGTTGCTCCA; TNF-
, forward, CAGAGGGAAGAGTTCCCCAG; and TNF-
, reverse, CCTTGGTCTGGTAGGAGACG; and for GAPDH, forward primer, CACAGTCCATGCCATCACTG, and reverse primer, TACTCCTTGGAGGCCATGTG, were used in the PCR. To collect the PCR products at the linear range, the number of PCR cycles was optimized for each primer set.
Western blot analysis
After each of the treatments indicated in the figures, cells were washed one time in PBS, and equal numbers of cells were lysed using 1x SDS-sample buffer containing 2.5% 2-ME. The proteins were denatured and reduced by heating the samples at 95°C for 5 min. The chromosomal DNA was then sheared by passing the samples through a 26-gauge needle. The proteins were resolved on a 12% SDS-PAGE and were electrotransferred onto nitrocellulose membranes. Polyclonal rabbit anti-p38 MAPK and anti-phospho-p38 MAPK (Cell Signaling, Beverly, MA) were used according to the manufacturers instructions. The immunoblotted proteins were visualized using the ECL Western blot detection system (Amersham, Arlington Heights, IL).
For stripping, the blots were placed in a buffer containing 1% SDS, 62.5 mM Tris-HCl (pH 6.8), and 100 mM DTT. The blots were then heated to 65°C for 15 min. The buffer was then removed, and the blots were washed extensively before reprobing with appropriate Abs.
EMSA
Cell extracts for EMSA were prepared according to Schreiber et al. (46). EMSAs were performed using
-32P-end-labeled NF-
B (from
L chain) consensus oligonucleotide (Promega, Madison, WI). The reactions (20 µl) consisted of 2 µl of nuclear extract in buffer containing 20 mM HEPES (pH 7.5), 50 mM KCl, 0.2 mM EDTA, 10% glycerol, 40 µg/ml poly(dI.C:dI.C), and 0.5 µl of labeled probe. After 30 min of incubation at 37°C, the protein/DNA complexes were resolved on 4.5% nondenaturing polyacrylamide gel and were visualized by autoradiography of the dried gels. The protein concentration was determined by the bicinchoninic acid assay (Pierce, Rockford, IL).
| Results |
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With the synthetic dsRNA poly(I:C), which is commonly used as a viral mimetic, we previously reported that dsRNA treatment of primary epithelial cells or the BEAS-2 epithelial cell line induced TNF-
and IL-1
. To examine the effects of respiratory virus infections on epithelial cells, we infected primary bronchial human epithelial cells with RSV and reovirus. Primary epithelial cells were isolated from human bronchi and grown as monolayers. The cells were infected at an MOI of 2.5 PFU/cell with RSV strain A2 and reovirus T3. At indicated times postinfection, cells were harvested, and total cellular RNA was extracted. To assess the level of cytokines, we then subjected the RNA to semiquantitative RT-PCR by using specific primers to human TNF-
, IL-1
, or GAPDH, as a control. As shown in Fig. 1, similar to our previous experiments with dsRNA, infection of epithelial cells with RSV or reovirus induced inflammatory cytokines in a time-dependent manner. Cytokines are induced more rapidly by reovirus than by RSV, perhaps because the genomic structure of reovirus is composed of dsRNA. In contrast, RSV is a single-stranded virus that may require more time to replicate and then form dsRNA.
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p38 MAPK is activated by dsRNA and viral infections
Several different stimuli including viral infections and dsRNA can activate the p38 MAPK pathway. Activation of this kinase leads to the induction of various inflammatory cytokines, initiation of innate immune responses, and activation of the adaptive immune lymphocytes (28, 29, 30, 47). To detect whether viral infections can activate p38 MAPK in human epithelial cells, we have infected primary bronchial epithelial cells with RSV and reovirus (Fig. 2A). The cells were infected at an MOI of 2.5 PFU/cell and then harvested at the indicated times; cellular proteins were extracted as described in Materials and Methods. To detect activation of p38 MAPK, the cellular proteins were separated by electrophoresis and immunoblotted by using a specific anti-phospho-p38 MAPK Ab. The level of total p38 MAPK protein in the cellular extracts was then determined by stripping the blot and reprobing with a specific anti-p38 MAPK Ab.
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Inhibition of p38 MAPK reduces viral and dsRNA induction of inflammatory cytokines
To determine the role of p38 MAPK in viral- and dsRNA-induced cytokine expression, we have used two relatively specific pharmacological inhibitors (SB203580 or SB239063) of p38 MAPK. We first determined the dose-response curve for inhibition of p38 MAPK in bronchial epithelial cells. BEAS-2B cells were pretreated with increasing concentrations of SB203580 and were then treated with dsRNA at 1 µg/ml. After 1 h, total cellular proteins were extracted and were subjected to Western blot analysis. The data show that IC50 for SB203580 is
5 µM (Fig. 3). Therefore, to achieve
80% inhibition, we have used the p38 inhibitors at 2040 µM in our experiments.
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200-fold increase in TNF-
and 6-fold increase in IL-1
expression. Both p38 MAPK inhibitors inhibited dsRNA induction of inflammatory cytokines; however, SB239063 was a more potent inhibitor of TNF-
than IL-1
(Fig. 4).
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and IL-1
in epithelial cells. Similar to the results obtained using dsRNA, inhibition of p38 MAPK reduced the viral induction of cytokines, and SB239063 was a more potent blocker of viral induction of TNF-
than IL-1
(Fig. 5).
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,
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, it is possible that, during viral infections, multiple p38 isotypes may be differentially activated to induce a specific set of cytokines. Also, this difference may reflect inhibitory effects of these pharmacological inhibitors on other signaling molecules (48, 49, 50).
Inhibition of NF-
B does not block viral-induced cytokine expression
NF-
B is a very well-studied signaling molecule that has been reported to activate many genes, including those for inflammatory cytokines. Viral infections and dsRNA are potent activators of NF-
B (23, 24, 25, 26, 51). Therefore, to determine the role of NF-
B in viral induction of cytokines in bronchial epithelial cells, we used two different inhibitors, namely sulfasalazine and N-acetylcysteine (NAC). The cells were first treated with NAC (1 mM) for 30 min and then infected with reovirus or treated with dsRNA. After the indicated times, the cells were harvested for RNA extraction and RT-PCR. The data show that treatment of cells with NAC at 1 mM resulted in a significant reduction in viral and dsRNA induction of both TNF-
and IL-1
(Fig. 6A).
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B inhibitor, sulfasalazine, in this response. The cells were first treated with sulfasalazine at increasing concentrations, and after 30 min, dsRNA was added at 1 µg/ml, or the cells were infected with reovirus or RSV at an MOI of 2.5 PFU/cell. Total cellular RNA was extracted and subjected to RT-PCR. Interestingly, the data in Fig. 6, BD, revealed that sulfasalazine treatment did not block dsRNA or virus induction of TNF-
or IL-1
. Because sulfasalazine treatment did not block the induction of TNF-
or IL-1
, we next performed EMSA experiments to establish whether NF-
B was inhibited under these conditions. Primary bronchial epithelial cells were incubated with sulfasalazine and then either treated with dsRNA or infected with RSV. After 1 h of dsRNA treatment or 8 h of RSV infection, cellular proteins were extracted and used in EMSA with a specific NF-
B consensus probe. As shown in Fig. 7, both dsRNA and RSV can activate NF-
B in epithelial cells, and this activation is efficiently inhibited by sulfasalazine. Because NAC is a known antioxidant (52), taken together, our data suggest that an oxidative step, but not NF-
B activation, is necessary for viral induction of TNF-
and IL-1
.
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| Discussion |
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and IL-1
. The initial site of viral infections is the epithelium; therefore, the induction of cytokines in epithelial cells can play an important role in the inflammatory and antiviral immune responses. Numerous investigators have identified cytokines and chemokines associated with viral infections both in mice and humans. To date, expression of TNF-
, IFN-

, IL-1, IL-4, IL-5, IL-6, IL-8, IL-10, IL-11, IL-12, GM-CSF, and the chemokine RANTES have been associated with viral infections (1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 21). The molecular mechanisms explaining how viruses induce these diverse inflammatory mediators are largely unknown.
A very well-studied transcription factor that has been reported to be involved in inflammatory cytokine expression is NF-
B (27). Previous reports have shown that activation of NF-
B by a variety of stimuli including viruses can induce several cytokines. Our data show that inhibition of NF-
B by sulfasalazine does not block the induction of TNF-
or IL-1
in virus-infected epithelial cells. Interestingly, induction of both cytokines was inhibited by prior treatment of the cells with NAC, which is also an inhibitor of NF-
B activation. This molecule is also a potent antioxidant and can block intracellular oxidative processes. Taken together, the data indicate that viral induction of TNF-
and IL-1
in human epithelial cells may require an oxidation step but may not require NF-
B activation. This is consistent with the previous data showing that induction of IL-6 and IL-8 by human rhinovirus infection in epithelial cells was independent of NF-
B activation (53).
To characterize further the signaling pathways that are necessary for viral induction of cytokines, we examined p38 MAPK activation. The p38 MAPK pathway can be activated by viral infections and dsRNA treatment (28, 29, 30, 54, 55). Upon stimulation, activated p38 MAPK then activates several transcription factors such as myocyte enhancer factor-2, ELK-1, and activating transcription factor-2 that are involved in inflammation and cytokine expression (56, 57). In our experiments, dsRNA treatment and viral infections activate p38 MAPK, and inhibition of this kinase reduced the dsRNA induction of TNF-
and IL-1
. It is noteworthy that SB203580 was more effective in blocking both cytokines as compared with SB239063, which reduced TNF-
more efficiently than IL-1
expression. At this point, the reason for the difference between the two inhibitors is not clear, but it could be due to selective inhibition of the four different isotypes of p38 MAPK or to partial inhibition of other members of the MAPK signaling pathway such as c-Jun N-terminal kinase and extracellular signal-regulated kinase (48, 58, 59, 60). In addition, the p38 MAPK inhibitor SB203580 has been reported to inhibit other signaling molecules such as c-Raf and cylooxygenase-1 and -2 (49, 50). Therefore, it is possible that inhibition of these signaling molecules by SB203580 may, in part, explain our observations.
The relevance of p38 MAPK to virus-induced inflammation was reported by Griego et al. (61) who showed that infection of the BEAS-2B cells with rhinovirus could also activate p38 MAPK. They further showed that treatment of cells with a pharmacological inhibitor of p38 MAPK (SB203580) resulted in a reduction in rhinovirus-induced IL-8, IL-6, and G-CSF expression. In the report by Griego et al. (61), p38 MAPK inhibitors were effectively used at 13 µM; however, in our experiments, between 1020 µM was necessary for a robust reduction in cytokine expression. The reason for this difference is not yet clear.
We recently showed that induction of TNF-
by dsRNA was mediated by the activation of PKR, but induction of IL-1
was PKR-independent (22). We report in this study that activation of p38 MAPK is necessary for both cytokines. Goh et al. (35) showed that PKR was necessary for p38 MAPK activation. Nevertheless, because there are multiple p38 MAPK subunits, the exact relationship between PKR activation and activation of p38 MAPK subunits is not yet clear. Taken together, these data suggest, but do not prove, that viral activation of PKR and subsequent activation of p38 MAPK are necessary for induction of TNF-
expression but not for IL-1
.
Recently, a Toll-like receptor (TLR) molecule (TLR3) was reported to recognize dsRNA and activate NF-
B (62). This pathway could provide an alternative mechanism for dsRNA induction of cytokines. However, our data show that NF-
B activation is not required for viral or dsRNA induction of TNF-
or IL-1
. There is a TLR3-mediated NF-
B-independent pathway that may be activated to induce cytokines. Our data do not exclude the possible involvement of this pathway in our observations. Recently, Jiang et al. (63) showed that dsRNA interaction with TLR3 may activate MAPK and PKR.
Innate immune responses are known to affect the adaptive immune responses by increasing adhesion molecules to recruit monocytes and lymphocytes to the site of infection. Innate responses can also affect B and T cell differentiation by inducing B cell activation and Ig class switching and T cell differentiation toward Th1 or Th2 phenotypes. We previously reported that dsRNA at low concentrations could induce IL-4 in human T cells and IgE class switching in human B cells (26, 64). Our present data are consistent with our previous work showing that dsRNA is a common link between innate and adaptive immune responses against viral infections. Future studies are necessary to delineate the other pathways that are activated by viral infections leading to immune activation and differentiation.
| Footnotes |
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2 Address correspondence and reprint requests to Dr. Farhad Imani, Division of Clinical Immunology, Department of Medicine, Johns Hopkins University School of Medicine, Asthma and Allergy Center, 5501 Hopkins Bayview Circle, Baltimore, MD 21224. E-mail address: fimani{at}jhmi.edu ![]()
3 Abbreviations used in this paper: PKR, protein kinase R; MAPK, mitogen-activated protein kinase; RSV, respiratory syncytial virus; MOI, multiplicity of infection; NAC, N-acetylcysteine; TLR, Toll-like receptor. ![]()
Received for publication March 31, 2003. Accepted for publication July 25, 2003.
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