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* Cardiovascular Medicine Unit, Eric Bywaters Centre, Faculty of Medicine, Imperial College, Hammersmith Hospital, and
William Harvey Research Institute, Barts and the London, Queen Mary University of London, London, United Kingdom; and
Brigham and Womens Hospital, Harvard Medical School, Boston, MA 02115
| Abstract |
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and TNF-
and the particulate stimulus, zymosan. Although no defects in leukocyte responses induced by the cytokines were observed, zymosan-induced leukocyte firm adhesion and transmigration was suppressed in NE-/- mice. These responses were also inhibited in wild-type mice when zymosan was coinjected with a specific NE inhibitor. Quantification of inflammatory mediator levels in homogenates of zymosan-stimulated tissues indicated reductions in levels of IL-1
, KC, and macrophage inflammatory protein-1
in NE-/- mice. Furthermore, phagocytosis of fluorescent zymosan particles, as observed by intravital microscopy, was diminished in NE-deficient animals. Collectively, the findings of this study indicate a nonredundant role for NE in zymosan-induced leukocyte firm adhesion and transmigration, and that this defect is associated with impaired generation of proinflammatory mediators as well as phagocytosis of zymosan particles in vivo. | Introduction |
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6
1 in leukocyte migration through the perivascular basement membrane in vivo (5, 6, 7, 8). In addition to adhesion molecules, leukocyte proteases, through their ability to disrupt endothelial cell junctional complexes (9) and to degrade key components of the basement membrane (10, 11, 12), have also been implicated in the process of leukocyte migration through the vessel wall. One such protease that has been extensively studied in this context is neutrophil elastase. Neutrophil elastase (NE) is a serine proteinase, stored in neutrophil azurophilic granules, along with other serine proteinases such as cathepsin G. Due to its capacity to cause damage to endothelial cells (13) and to cleave key endothelial cell-associated adhesion molecules (e.g., ICAM-1 and VCAM-1) (14, 15) as well as its ability to hydrolyze components of the basement membrane and extravascular tissue (16), NE is widely viewed as a mediator of vascular and tissue injury. Indeed, inappropriate release of NE has been associated with the pathology of a number of inflammatory disease states such as ischemia/reperfusion injury (17) and chronic obstructive pulmonary disease (18, 19) and in animal investigations, elastase inhibitors exhibit protective effects against neutrophil-mediated tissue injury in numerous models of inflammation (20, 21, 22, 23). In support of these findings, while there is evidence to suggest that NE inhibitors can suppress leukocyte migration in vivo (24) other studies have found no such effects (25). Similar discrepancies in the role of NE in neutrophil migration through endothelial cells and/or basement membrane-like structures have also been found in vitro (26, 27, 28, 29, 30). As some of these inconsistencies may be related to potential nonspecific, or variable, activities of the inhibitors in different animal species, the availability of NE-deficient mice has provided a valuable tool for further investigations into the functional role of this protease in leukocyte migration in vivo.
NE-deficient (NE-/-) mice have categorically demonstrated a protective role for NE in host immunity in that they exhibit a significant reduction in clearance of Gram-negative bacteria and fungal pathogens (31, 32). However, the limited studies performed with these mice to date have not indicated a generalized role for NE in leukocyte migration in vivo. Specifically, NE-/- mice exhibit normal leukocyte infiltration in response to bacterial infections (31) and to a nonspecific inflammatory stimulus, thioglycolate (32). However, in a model of acute arthritis induced by passive transfer of Abs against collagen, NE-/- mice exhibited reduced leukocyte infiltration into the subsynovial tissue space (33). In the same study, mice deficient in both NE and cathepsin G showed reduced neutrophil migration in response to a reverse passive Arthus reaction and zymosan particles in an air-pouch model (33). In the light of the existing discrepancies in the studies using NE inhibitors and the limited number of in vivo investigations using the NE-/- mice, the aim of the present work was to extend the above studies by using a combined approach of genetic deletion and pharmacological blockade to further investigate the role of this enzyme in leukocyte migration in vivo using primarily the experimental approach of intravital microscopy (IVM). Collectively, while the results do not demonstrate a role for NE in leukocyte migration induced by the cytokines IL-1
and TNF-
, the findings indicate a nonredundant role for NE in zymosan-induced neutrophil migration, a role that appears to be associated with generation of proinflammatory cytokines and chemokines and phagocytosis of zymosan particles in vivo.
| Materials and Methods |
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NE-/- mice were generated by targeted gene disruption as previously detailed (31). These mice (
25g), on a mixed C57BL/6/129Sv or C57BL/6 background (F6), were used with appropriate genetic background, age, and weight-matched wild-type (WT) controls with the majority of the studies being conducted using C57BL/6 mice.
Reagents
ONO-5046 was a gift from ONO Pharmaceuticals (Osaka, Japan). Soluble TNFR (p55) IgG-fusion protein and its control IgG-fusion protein, cSF25, reactive to human pan adenocarcinoma Ag, were a gift from Centocor (Malvern, PA). The following rat anti-mouse mAbs were purchased from BD Biosciences (Cowley, U.K.) unless otherwise stated: HM
2 (anti-
2); PS/2 (anti-
4; Serotec, Oxford, U.K.); 5H10-27 (anti-
5); GoH3 (anti-
6); 9EG7 (anti-
1); GAME-46 (anti-
2); MEL-14 (anti-L-selectin); MEC 13 · 3 (anti-PECAM-1); M1/70 (anti-CD11b); 2A11 (anti-dectin 1; a gift from Dr. G. Brown (University of Oxford, Oxford, U.K.)). All other general reagents were purchased from Sigma-Aldrich (Poole, U.K.), unless indicated in the text.
Peritoneal inflammation
Leukocyte migration into the peritoneal cavity of mice was induced by i.p. administration of 1 ml of recombinant murine IL-1
(10 ng) or TNF-
(100 ng) (Serotec). Control mice received saline. After 4 h, mice were sacrificed by CO2 asphyxiation and the peritoneal cavity was lavaged using PBS supplemented with 2 mM EDTA and 0.25% BSA. Total cell counts were determined following staining of exudate samples with Kimura stain and differential cell analysis was determined in exudate smears prepared in a cytocentrifuge and stained with May-Grünwald/Giemsa stains.
IVM of murine cremasteric venules
IVM was used to observe leukocyte responses within mouse cremasteric venules following intrascrotal (i.s.) administration of IL-1
(30 ng), TNF-
(300 ng), or zymosan particles (30300 µg). Control mice received i.s. saline (400 µl). In selected animals, stimuli were coinjected i.s. with other reagents such as a soluble TNFR (p55) IgG fusion protein or the specific NE inhibitor, ONO-5046.
The cremaster muscle of anesthetized mice was surgically exteriorized for observation by IVM as previously described (6, 7, 34). Leukocyte rolling flux, rolling velocity, firm adhesion, and transmigration in postcapillary venules were quantified as previously detailed (35). To visualize leukocyte subtypes, cremaster muscles were stained with topical application of the nuclear dye, acridine orange (1 mg/ml), and were observed using a Zeiss LSM 5 Pascal laser-scanning confocal microscope (Göttingen, Germany) attached to a Zeiss Axioscop 2 FS using a 488 nm Argon laser line as the excitation source. In selected experiments, microvascular centerline erythrocyte velocity and peripheral leukocyte counts were determined as previously detailed (5, 7).
Quantification of phagocytosis in vivo
Fluorescent zymosan particles (Alexa Fluor 488-labeled; 30 µg/mouse) or Escherichia coli particles (FITC-labeled; 1 x 107 particles/mouse) (Molecular Probes, Eugene, OR), were injected i.s. and 6 h later the cremaster muscle was prepared for IVM. Fluorescent particles were visualized using a silicon-intensified low-level light camera (Hamamatsu Photonics, Enfield, U.K.). Phagocytosis was quantified as the number of transmigrated leukocytes containing fluorescent particles per field of view (>12/tissue were quantified). In some experiments, the phagocytosis response was normalized for the number of infiltrating leukocytes and hence the data is presented as index of phagocytosis (%).
Quantification of neutrophil phagocytosis and elastase cell surface expression/release in vitro
Neutrophils were isolated from the bone marrow of WT and NE-/- mice. Briefly, dissected femurs were flushed with sterile HBSS and neutrophils were purified using a discontinuous Percoll gradient (purity typically >80%). Neutrophils were added to BSA-coated (1 µg/ml) 96-well plates (5 x 105 neutrophils/well) and allowed to adhere for 15 min at 37°C before addition of stimuli. Opsonized (serum-treated) zymosan particles (0.0033 mg/ml) or modified PBS (0.25% BSA/5 mM glucose/1 mM Ca2+/Mg2+) was added to neutrophils and plates were incubated at 37°C for a further 30 min. Plates were then centrifuged to allow for removal of supernatants for subsequent analysis of released elastase. Pelleted cells were then fixed using 3% paraformaldehyde/0.5% glutaraldehyde and finally resuspended in Tris buffer (0.2M Tris Base, 0.15M NaCl, 0.02M CaCl2 at pH 8.5) for assay of cell surface NE as previously described (36).
Enzyme activity was assayed using a fluorogenic substrate specific for elastase, MeOSuc-Ala-Ala-Pro-Val-AFC (Enzyme Systems Products, Livermore, CA) (36). Briefly, fixed cells, supernatants, or purified human NE (50 µl; Merck Biosciences, Nottingham, U.K.) were incubated with 400 µM substrate in Tris buffer (50 µl). After incubation at 37°C for 25 min, the level of liberated 7-amino-4-trifluoromethyl coumarin was quantified in a fluorescent plate reader (Millipore, Watford, U.K.) using excitation 409 nm and emission 530 nm. A standard curve was established using commercially obtained purified human NE and was used to represent the results in terms of murine neutrophil enzyme activity equivalent to the activity detected from nanograms per milliliter of purified human NE. Finally, assay supernatants were removed from the plates and the cells were washed and stained with May-Grünwald and Giemsa stains to enable quantification of phagocytosis of zymosan particles by microscopy.
Chemokine and cytokine assays
Cremaster tissues were dissected and snap-frozen in liquid nitrogen. Tissues were then homogenized in ice-cold PBS containing a commercially available mixture of protease inhibitors, centrifuged, and supernatants were collected for assays. Levels of IL-1
, TNF-
, KC, and macrophage inflammatory protein (MIP)-1
, were quantified using commercially available ELISA kits (R&D Systems, Abingdon, U.K.). Levels were normalized according to the weight of tissue samples and presented as picograms per milligram of tissue.
Flow cytometry analysis
Whole blood taken by cardiac puncture from WT and NE-/- animals was collected in EDTA. Indirect immunostaining and flow cytometry was used to quantify cell surface expressions of selected molecules as previously described (6). The ratio of fluorescence intensities associated with the binding of primary mAbs and isotype-matched control mAbs was used to express specific binding of test mAbs in terms of relative fluorescence intensity (RFI).
Statistical analysis
Results are given as mean ± SEM and analyzed using either an unpaired t test or one-way ANOVA and Newman-Keuls post test with p < 0.05 taken as significant (Prism; GraphPad Software, San Diego, CA). Calculation of unknown values in the assay of NE and ELISAs was achieved using a GraphPad Prism linear regression standard curve algorithm.
| Results |
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and TNF-
is normal in NE-deficient mice
The role of NE in IL-1
- and TNF-
-induced leukocyte migration was investigated using two models of leukocyte infiltration, migration into the peritoneal cavity, and through cremasteric venules as observed by IVM. In the peritonitis model, in both WT and NE-/- mice, local injections of IL-1
(10 ng) and TNF-
(100 ng) induced comparable and significant degrees of neutrophil infiltration within 4 h, as compared with saline-injected mice (Fig. 1, a and b). However, no significant differences were observed between responses in the two strains of animals.
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(30 ng) or TNF-
(300 ng) were injected i.s. and responses in cremasteric venules were quantified 4 h later. In agreement with the findings in the peritonitis model, no defects in leukocyte responses of firm adhesion or transmigration were identified in the NE-/- mice, as compared with WTs (Fig. 1, c and d). The two strains of mice also exhibited similar levels of leukocyte rolling flux (results not shown). Characterization of zymosan-induced leukocyte responses within murine cremasteric venules
To extend the above studies, leukocyte responses elicited by the particulate inflammatory stimulus, zymosan, was next investigated. Using a 4-h in vivo test period, i.s. zymosan (30300 µg) induced significant, and largely dose-dependent, leukocyte firm adhesion and transmigration responses within mouse cremasteric venules (Fig. 2a). The submaximal dose of 30 µg was chosen for all subsequent studies including investigations into the time course of responses induced by zymosan. Although no significant increases in leukocyte rolling flux were observed in response to zymosan particles (results not shown), leukocyte firm adhesion and transmigration increased in a time-dependent manner during the 4-h observation period (Fig. 2b). Within this time period, the primary infiltrating leukocyte subtype in zymosan-stimulated cremasters was the neutrophil, as identified based on its characteristic size and nuclear morphology in acridine orange-stained tissues (Fig. 2, c and d).
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Leukocyte firm adhesion and transmigration in zymosan (30 µg)-stimulated cremaster muscles was significantly suppressed in NE-/- mice (inhibitions of 65 and 66%, respectively; p < 0.001) (Fig. 3, a and b). In contrast, no statistically significant differences were observed in leukocyte rolling flux or rolling velocity in WT and NE-/- mice (results not shown). Furthermore, quantification of peripheral blood counts, mean arterial pressure, and erythrocyte velocity showed no significant differences between the two strains (results not shown).
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As collectively, the above series of in vivo experiments indicated the functional importance of local NE enzyme activity in regulation of leukocyte responses elicited by zymosan, we next examined whether this stimulus could directly induce the cell surface expression and/or release of active NE from neutrophils in vitro. For this purpose, bone-marrow mouse neutrophils were stimulated with zymosan particles (0.0033 mg/ml) for 30 min before NE was assayed. Zymosan induced a dose-dependent increase in both cell-associated (Fig. 4a) and released (Fig. 4b) NE activity above PBS-treated cells. Neutrophils isolated from NE-/- mice were included in the experiments to demonstrate the specificity of the enzyme assay for NE. Of relevance, bone marrow-derived neutrophils exhibited a similar profile of responsiveness to that obtained from murine blood neutrophils with respect to NE release/cell surface expression (data not shown).
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Having observed a defect in leukocyte responses induced by zymosan particles in NE-/- mice, we next aimed to address the mechanism by which this occurred. For this purpose, initial studies investigated the expression profile of key adhesion and zymosan-binding sites on the cell surface of neutrophils from WT and NE-/- mice, as quantified by flow cytometry. Neutrophils from WT and NE-/- mice exhibited comparable levels of expression of the adhesion molecules
2,
4,
5,
6,
1, and
2 integrins, as well as L-selectin and PECAM-1 (Table I). Furthermore, NE-/- neutrophils responded normally to an exogenous stimulus, PMA (100 ng/ml for 20 min), with respect to increased expression of
2 integrins. Finally, no significant difference between expressions of zymosan binding molecules CD11b and dectin-1 was found on the cell surface of neutrophils obtained from the two strains of animals.
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As zymosan-induced leukocyte migration is associated with the generation of endogenous inflammatory mediators, we next examined the role of NE in this response. For this purpose, control or zymosan-stimulated cremaster muscles, obtained from both WT and NE-/- mice, were homogenized and assayed by ELISA for the cytokines IL-1
and TNF-
, and the chemokines, KC and MIP-1
.
As compared with saline-treated tissues, zymosan-stimulated cremasters exhibited a significantly elevated level of immunoreactive IL-1
in WT mice (Fig. 5a), a response that was significantly suppressed in NE-/- animals (61% inhibition, p < 0.01). In contrast, no significant levels of TNF-
could be detected in zymosan-stimulated tissues from either WT or NE-/- mice (Fig. 5a). These negative detection results were in agreement with functional observations where a soluble TNF-
-receptor (p55) fusion protein (10 µg), when coinjected with zymosan particles, exerted no inhibitory effects (Fig. 5, b and c). In parallel studies, this reagent did however inhibit TNF-
-induced leukocyte migration in the cremaster muscle (data not shown), in agreement with its effects on TNF-
-elicited responses in other models (38).
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(Fig. 6, a and b), responses that were again significantly reduced in tissues from NE-/- animals (inhibitions of 70 and 57% for KC and MIP-1
, respectively, p < 0.05). To investigate the possibility that the reduced level of KC in zymosan-stimulated tissues of NE-/- mice was as result of reduced leukocyte infiltration, NE-/- mice were injected with a combination of zymosan particles and IL-1
(30 ng), the latter being used as a mediator that induces normal leukocyte transmigration in NE-/- animals (Fig. 1). Although coadministration of zymosan and IL-1
in NE-/- mice elicited a leukocyte transmigration response comparable to that induced by zymosan alone in WT animals (Fig. 6c), the levels of KC in the NE-/- mice were still significantly reduced (Fig. 6d). These results indicate that the low KC level in NE-/- mice was not attributable to the reduced infiltration of leukocytes in the tissues analyzed but was as a result of the animals NE deficiency.
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As phagocytosis of particulate stimuli is closely associated with generation of inflammatory mediators, in a final series of experiments, we investigated the ability of NE-/- neutrophils to phagocytose zymosan particles in vitro and in vivo. In vitro, bone-marrow derived neutrophils were stimulated with serum-opsonized zymosan particles (0.33 mg/ml) and the number of phagocytosing neutrophils was quantified by microscopy. All concentrations of zymosan tested led to a phagocytic response from both WT and NE-/- neutrophils with no significant difference between the two cell types being detected (results not shown).
As in vitro assays of phagocytosis are highly simplistic, we also investigated neutrophil phagocytosis using a novel in vivo experimental approach. Briefly, the above cremaster muscle IVM model was extended so that we could simultaneously quantify established parameters of leukocyte responses as well as leukocyte phagocytosis. For this purpose, responses to fluorescent zymosan particles (30 µg i.s.) were quantified using an in vivo test period of 6 h, an observation period during which we observed readily quantifiable, reproducible, and significant phagocytosis responses in WTs. Of relevance, zymosan-induced leukocyte transmigration, quantified in this set of studies as per field of view, was suppressed in NE-/- mice (81%, p < 0.01, Fig. 7a), in agreement with previous observations using a 4-h reaction time (Fig. 3b).
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| Discussion |
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and TNF-
were found to be unaltered in mice deficient in NE, zymosan-induced leukocyte firm adhesion and transmigration was significantly suppressed. This inhibition appeared to be associated with a defect in zymosan-induced generation of proinflammatory cytokines and chemokines and phagocytosis of zymosan particles in vivo, demonstrating a role for NE in a broad-spectrum of inflammatory responses induced by this particulate stimulus.
NE-/- mice were used to investigate the functional role of NE in leukocyte migration induced by the cytokines IL-1
and TNF-
using two inflammatory models, namely leukocyte infiltration into the peritoneal cavity and migration through cremasteric venules, as observed by IVM. In both models, locally administered cytokines elicited significant leukocyte transmigration in WT and NE-/- mice with no significant differences being observed between the responses in the two strains of animals. Although NE inhibitors have previously been indicated to suppress IL-1
- and/or TNF-
-induced neutrophil adhesion to cultured endothelial cells in vitro and cytokine-induced neutrophil migration in vivo (20, 41), this is the first reported study on the profile of leukocyte responses elicited by these cytokines in NE-/- mice. The normal neutrophil infiltration responses observed in the present models are in agreement with the reported normal infiltration of neutrophils induced by i.p. injection of Gram-negative bacteria or the nonspecific inflammatory stimulus, thioglycolate (31, 32). In addition, in vitro, NE-/- bone-marrow-derived neutrophils exhibited normal transmigration through TNF-
-stimulated cultured murine endothelial cells under conditions of flow (42). Taken together, these findings indicate that NE does not have an essential role in mediating neutrophil migration elicited by IL-1
or TNF-
.
To extend the study to investigations into the role of NE in a broader range of inflammatory responses associated with leukocyte migration, e.g., endogenous mediator generation and phagocytosis, responses elicited by the particulate stimulus, zymosan, were studied. Local administration of zymosan elicited a dose- and time-dependent increase in leukocyte firm adhesion and transmigration in mouse cremasteric venules (within 46 h), with the predominant infiltrating leukocytes being neutrophils. In this model, in contrast to the responses elicited by preformed cytokines, zymosan-induced leukocyte firm adhesion and transmigration was significantly inhibited in NE-/- animals (65 and 66%, respectively). As the ratio of firmly adherent leukocytes to transmigrated leukocytes in the two mouse strains was identical (2.5 for both WT and NE-/- mice), the findings indicate that the resultant suppressed leukocyte transmigration response was directly associated with defects in leukocyte firm adhesion.
In agreement with the findings in NE-/- mice, coinjection of the specific elastase inhibitor, ONO-5046 (37), with zymosan particles significantly inhibited leukocyte firm adhesion and transmigration in cremasteric venules of WT mice. The levels of inhibition detected under conditions of pharmacological blockade or genetic deletion of NE were highly comparable. As the NE inhibitor was administered i.s. together with zymosan particles, its efficacy indicates the importance of locally generated NE, and its enzyme activity, in the process of leukocyte migration. These results provide the first direct evidence for a nonredundant role for locally generated NE in regulation of leukocyte firm adhesion to venular endothelium in vivo. Although in vitro studies indicated that opsonized zymosan particles could directly stimulate murine neutrophils for increased cell surface and released NE activity, the mechanism by which this response was associated with leukocyte migration was unclear and required further investigation.
Quantification of expression of key adhesion molecules on the cell surface of control or PMA-stimulated neutrophils from WT and NE-/- mice did not show any significant differences. In addition, no defects in expression of key zymosan-binding molecules, Mac-1 and dectin-1 as opsonic and nonopsonic receptors for zymosan, respectively (43, 44), were detected on the surface of NE-/- neutrophils. Thus, potential defects in expression profiles of key leukocyte adhesion molecules (or receptors) does not appear to account for the defect in leukocyte firm adhesion observed in zymosan-treated NE-/- mice. The normal leukocyte infiltration detected in the NE-/- mice in response to IL-1
and TNF-
also strongly argues against any potential defects in expression of key endothelial cell-associated adhesion molecules such as ICAM-1 or E-selectin.
As zymosan is a potent inducer of endogenously generated inflammatory mediators (45, 46, 47, 48, 49, 50, 51), we investigated the potential role of NE in generation of mediators in zymosan-stimulated cremaster muscles. For this purpose, levels of the cytokines, IL-1
and TNF-
, and the chemokines, KC and MIP-1
, in homogenates of zymosan-stimulated cremaster muscles were quantified by ELISA. In WT mice, zymosan-stimulated cremaster muscles exhibited a marked increase in levels of IL-1
, KC, and MIP-1
, but not TNF-
, as compared with saline-injected tissues, responses that were all significantly suppressed in tissues obtained from NE-/- animals. These findings are in agreement with the observations of Adkison et al. (33) where, using mice deficient in both NE and cathepsin G, reduced levels of cytokines were detected in response to zymosan within an air pouch model. The present findings could clearly provide an explanation for the reduced leukocyte firm adhesion response detected in zymosan-stimulated cremasteric venules of NE-/- mice. However, because neutrophils are themselves a rich source of inflammatory mediators (e.g., chemokines) (52, 53, 54), it is possible that the reduced level of mediators in tissues from NE-deficient mice was at least partly due to the reduced neutrophil infiltration response. To address this possibility, the ability of IL-1
to induce normal neutrophil migration in NE-/- mice was exploited. Coinjection of IL-1
and zymosan into NE-/- mice induced a neutrophil migration response similar to that induced by zymosan alone in WT animals. Despite this comparable leukocyte infiltration response, tissue levels of KC remained significantly low in the NE-/- mice demonstrating that the reduced levels of KC quantified were attributable to the absence of NE and not impaired neutrophil transmigration. The mechanism by which NE enhances mediator levels in zymosan-stimulated tissues is unclear but may involve direct effects of released NE on resident inflammatory cells and/or infiltrating leukocytes. In support of this possibility, neutrophil-derived NE has been shown to directly stimulate the release of proinflammatory mediators from macrophages (55). Furthermore, in recent years a number of proteases have been associated with the cleavage and/or processing of cytokines/chemokines and/or their receptors and as a result there is much interest in the role of proteases as regulators of mediator bioactivity and availability (56). In line with these findings, the results of the present study, together with other published data (33, 57), strongly support such a role for NE. However, while it is conceivably possible that NE may be directly involved in regulation of mediator generation and/or action in response to zymosan, it is also possible that NE may have an indirect role in this process. In this context, as phagocytosis is a key cellular response leading to inflammatory mediator generation (46, 53, 54, 58), in a final series of experiments the potential role of NE in phagocytosis of zymosan particles was investigated both in vitro and in vivo.
Initial studies compared the ability of neutrophils from WT and NE-/- mice to phagocytose opsonized zymosan particles in vitro. In this assay, no significant difference in phagocytosis was observed between WT and NE-/- neutrophils. To investigate phagocytosis in vivo, fluorescently conjugated zymosan particles were injected i.s. in WT and NE-/- mice and responses were observed by IVM as a novel extension of the cremaster muscle model. The findings indicated that NE-/- mice had an impaired ability to phagocytose zymosan particles. This defect appeared to be stimulus specific as phagocytosis of fluorescently labeled E. coli particles was normal in the NE-/- mice, in agreement with the work of Belaaouaj et al. (31). Furthermore, Tkalcevic et al. (32) found no defects in the ability of peritoneal neutrophils derived from NE-/- mice in phagocytosis of Candida albicans. The reason for the contrasting findings of our in vitro and in vivo assays of phagocytosis are unknown but may clearly be due to the complexities of this response within the in vivo scenario, as opposed to the simple conditions used in vitro. For example, while in vitro, zymosan particles were opsonized using serum, in vivo, other mechanisms, such as cell-derived complement products, (59, 60) may be used which may lead to phagocytosis via more heterogeneous mechanisms, some involving NE. Furthermore, the observed in vivo defect in phagocytosis of zymosan particles may be associated with a potential role for NE in regulation of expression of uncharacterized zymosan-binding molecules, physical breakdown of the particles (thus aiding their uptake), and/or priming of neutrophils for the phagocytic response through regulated availability and activity of inflammatory mediators or adhesive mechanisms.
Collectively, we have identified a significant nonredundant role for neutrophil elastase in zymosan-induced leukocyte firm adhesion and transmigration in vivo. Although the precise mechanism by which NE mediates this response is unclear, the results indicate that it is associated with regulation of phagocytosis of zymosan particles and subsequent generation and/or release of proinflammatory mediators. However, because zymosan-induced neutrophil migration was not totally blocked in the NE-deficient mice, in the light of the present findings, and previous observations reported by others (46, 47, 49, 58), one can hypothesize that zymosan-induced neutrophil infiltration may have two broad phases, an NE-independent and an NE-dependent phase. The initial NE-independent phase may be mediated by early generation of potent chemoattractants through activation of the complement cascade leading to the generation of C5a and/or zymosan-induced generation of lipid mediators such as leukotriene B4 and platelet-activating factor from resident inflammatory cells. Once in the extravascular tissue, neutrophils within this first phase of infiltrate may then phagocytose opsonized zymosan particles, a response that can lead to further release, generation, and/or processing of inflammatory mediators, initiating the second NE-dependent phase of leukocyte migration. Although details of the mechanisms by which NE mediates these latter cellular and molecular events are at present unknown, the findings provide further evidence for a significant role for neutrophil elastase in the host immune reaction in response to infiltrating pathogens.
| Footnotes |
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2 Address correspondence and reprint requests to Dr. Sussan Nourshargh, Reader in Microvascular Biology, Cardiovascular Medicine Unit, Eric Bywaters Centre, Faculty of Medicine, Imperial College London, Hammersmith Hospital, Du Cane Road, London W12 ONN, U.K. E-mail address: s.nourshargh{at}imperial.ac.uk ![]()
3 Abbreviations used in this paper: PECAM-1, platelet endothelial cell adhesion molecule-1; NE, neutrophil elastase; WT, wild type; IVM, intravital microscopy; i.s., intrascrotal; MIP, macrophage inflammatory protein; RFI, relative fluorescence intensity. ![]()
Received for publication November 24, 2003. Accepted for publication January 28, 2004.
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