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* Department of Microbiology & Immunology, Albert Einstein College of Medicine, Bronx, NY;
Department of Exploratory Science, Biogen Idec, Cambridge, MA;
Department of Pathology, Albert Einstein College of Medicine, Bronx, NY;
Division of Nephrology, Hannover Medical School, Hannover, Germany; and
¶ Irving and Ruth Claremon Research Laboratory, Division of Rheumatology, Albert Einstein College of Medicine, Bronx, NY 10461
| Abstract |
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-induced protein 10 kDa, and CXCL1/KC. The induced levels of chemokines were comparable to those found following mesangial cell exposure to potent proinflammatory stimuli such as TNF-
+ IL-1
. CXCL11/interferon-inducible T cell
chemoattractant, CXCR5, mucosal addressin cell adhesion molecule-1, and VCAM-1 were up-regulated by TWEAK as well. TWEAK stimulation of mesangial cells resulted in an increase in phosphorylated I
-B, while pretreatment with an I
-B phosphorylation inhibitor significantly blocked chemokine induction, implicating activation of the NF-
B signaling pathway in TWEAK-induced chemokine secretion. Importantly, the Fn14-mediated proinflammatory effects of TWEAK on kidney cells were confirmed using mesangial cells derived from Fn14-deficient mice and by injection in vivo of TWEAK into wild-type vs Fn14-deficient mice. Finally, TWEAK-induced chemokine secretion was prevented by treatment with novel murine anti-TWEAK Abs. We conclude that TWEAK induces mesangial cells to secrete proinflammatory chemokines, suggesting a prominent role for TWEAK in the pathogenesis of renal injury. Our results support Ab inhibition of TWEAK as a potential new approach for the treatment of chemokine-dependent inflammatory kidney diseases. | Introduction |
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TNF-like weak inducer of apoptosis, or TWEAK,3 is a member of the TNF ligand superfamily originally described in 1997 (2). The TWEAK gene encodes for the synthesis of a type II transmembrane protein that, similar to TNF, is cleaved into a circulating trimeric form that mediates its biologic effects (2, 3, 4). The TNFR superfamily member Fn14 (TweakR) was conclusively identified as the receptor for TWEAK in 2001 (5). Fn14 mRNA is widely expressed, and can be found in endothelial and vascular smooth muscle cells, PBMC, kidney, heart, lung, skin, spleen, and brain. Further details regarding this relatively new ligand-receptor pair can be found in recent comprehensive reviews (6, 7, 8).
Although initial studies focused on a potential role for TWEAK/Fn14 interactions in apoptosis, more recent evidence demonstrates significant and physiologically relevant effects of TWEAK in angiogenesis and inflammation. In HUVECs, TWEAK (alone or in combination with other growth factors) enhances cell proliferation, migration, and resistance to apoptosis, and induces ICAM-1, E-selectin, CCL2/MCP-1, and IL-8 expression (9, 10, 11, 12). Proinflammatory cytokine secretion has also been recently described following TWEAK stimulation of synoviocytes, fibroblasts (13), bronchial epithelial cells (14), and macrophages (15).
Chemokines that are induced in response to TWEAK are pivotal in the pathogenesis of many inflammatory renal diseases. However, while Fn14 mRNA is detected in normal kidney (5), it is not known which cells (if any) actually express the TWEAK receptor, or whether kidney cells are in fact responsive to TWEAK. In this study, we characterize the response of mesangial cells to TWEAK, primarily in induction of proinflammatory chemokine secretion, and identify a possible novel role for TWEAK in the pathogenesis of inflammatory renal diseases.
| Materials and Methods |
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Immortalized mesangial cells from BALB/c mice were derived, as described (16). Immortalized mesangial cells derived from C57BL/6 mice were a gift from M. Madaio (University of Pennsylvania School of Medicine, Philadelphia, PA). The B cell lines ZA8A3 and 71CF4 derived from C57BL/6 mice were a gift from C. Mohan (Southwestern Medical Center, Dallas, TX). Cell lines were maintained on tissue culture-treated plates in 10% DMEM (DMEM supplemented with 10% FCS, nonessential amino acids, glutamine, pyruvate, HEPES, and penicillin-streptomycin).
Primary mesangial cells were generated as follows: kidneys from 6-wk-old mice were diced in cold PBS, and passed through a series of progressively smaller stainless steel sieves (180, 100, and 71 µm). The resultant suspension was centrifuged at 2300 rpm for 5 min, and the supernatant was discarded. The glomeruli were digested with a 100 µg/ml solution of collagenase IV-S (Sigma-Aldrich) diluted in Lefferts buffer for 30 min with gentle vortexing every 10 min, spun down, and washed twice in 20% DMEM. The enriched glomerular fraction was resuspended in 20% DMEM in a cell culture flask, and left undisturbed for 3 days. The primary culture was split after 1014 days when the mesangial cells outgrew the other cell types. After the fourth passage, the medium was changed to D-valine DME (US Biological). The cells were used for experiments between the 10th and 15th passage. Before use, transformed or primary cells were detached from the plates with 2 mM EDTA in PBS, resuspended in fresh medium, and plated at a concentration of 2 x 106 cells/ml. Cells were allowed to attach for 24 h in 20% DMEM before any additional experimental manipulations.
Flow cytometry
Mesangial cells were detached with 2 mM EDTA in PBS, washed, and resuspended in 4 x 106 cells/ml in PBS/1% BSA (FACS buffer). A total of 2 x 105 cells (50 µl) was aliquoted into tubes, and incubated with 100 ng/ml Fc-TWEAK for 30 min at room temperature. The cells were washed in FACS buffer three times, and incubated with a 1/200 dilution of PE-labeled goat anti-human IgG-Fc (Jackson ImmunoResearch Laboratories) for 30 min at room temperature in the dark. Following three additional washes with FACS buffer, the cells were resuspended in 1% paraformaldehyde in PBS and analyzed by flow cytometry (BD Immunocytometry Systems).
ELISA
ELISA for CCL2/MCP-1, CCL5/RANTES, CXCL10/IFN-
-induced protein 10 kDa (IP-10), and CXCL1/KC in cell supernatants were performed using kits from R&D Systems and the manufacturers protocols. Murine TNF-
and IL-1
were from R&D Systems. LPS was purchased from Sigma-Aldrich.
Multiplex bead assay
Cell culture supernatants were analyzed using the Beadlyte Cytokine Profiler system (Upstate Cell Signaling Solutions), according to the following protocol. Samples or standards were incubated with the capture bead sets for the different cytokines in a 96-well filter plate for 2 h at room temperature. The capture beads with bound cytokine analytes were washed in the filter plate, and biotinylated reporter Abs were added for 1.5 h to complete the sandwich immunoassay. Streptavidin-PE was then added to each well and, after 30-min incubation, the beads were washed and resuspended in assay buffer. The median fluorescence intensity of 50 beads per cytokine was read using a Luminex100 instrument (Luminex). Concentrations were interpolated from standard curves, and samples were run in duplicate.
Design of primers, probes, and oligonucleotide standard templates for real-time PCR (TaqMan)
Oligonucleotide primers and TaqMan minor groove binder probes were designed from Affymetrix consensus sequences using Primer Express version 2.0.0 (Applied Biosystems). TaqMan minor groove binder probes were designed with a 5' covalently linked fluorescent reporter dye and a minor groove binder/nonfluorescent quencher covalently linked to the 3' end. Oligonucleotide standard templates were designed by the addition of 10 bp of gene-specific sequence to the 5' and 3' ends of the amplicon. Reverse-phase HPLC-purified primers and oligonucleotide standard templates were purchased from Biosearch Technologies. HPLC-purified probes were purchased from Applied Biosystems. Primers and probe for GAPDH, used as an internal control, were purchased from Applied Biosystems.
cDNA synthesis and oligonucleotide standard curves
For preparation of RNA, 5 x 106 mesangial cells were detached from tissue culture plates and mixed with 1.5 ml of TRIzol reagent (Invitrogen Life Technologies), according to the manufacturers protocol, with an additional phenol:chloroform:isoamyl alcohol (25:24:1 (pH 6.6)) extraction. Purified total RNA was resuspended in diethyl pyrocarbonate H20 (Ambion), and the absorbance at 260 and 280 nm was recorded (Spectra Max Plus; Molecular Devices). Residual DNA was removed from 5 µg of total RNA using 5 U of DNase I amplification grade (Invitrogen Life Technologies) at 20°C for 15 min, followed by enzyme inactivation, according to manufacturers protocol. The DNase-treated RNA was used in a cDNA synthesis reaction using a high capacity cDNA archive kit, according to the manufacturers protocol (Applied Biosystems). cDNA reactions were stored at 20°C until use. Oligonucleotide templates were pooled and then serially diluted 1/10 eight times in 25 ng/µL yeast RNA (Ambion) to include a final range of 500 fM to 5 zM.
TaqMan thermal cycling
PCR for samples and standards were mixed in a 96-well plate, transferred to a 384-well optical plate (Applied Biosystems), and cycled in a 7900HT (Applied Biosystems) thermal cycler under the following conditions: 50°C for 2 min (uracil N-deglycosylase digest), 95°C for 10 min (activation of Taq thermostable polymerase), and 40 cycles of 95°C for 15 s and 60°C for 60 s. The fluorescence emission was collected every 7 s for the length of the run for each reaction well. Relative transcript quantities were determined for each sample by comparison with an oligonucleotide standard curve using Sequence Detection Software (Applied Biosystems).
Real-time PCR by SYBR green
Primers were designed using the PRIMER3 program (
http://frodo.wi.mit.edu/cgi-bin/primer3/primer3_www.cgi
), based on published sequence data from the Ensembl database (
www.ensembl.org/Mus_musculus/
). At least one intron was included to avoid genomic DNA amplification. Amplicons ranged from 80 to 120 bp. Total RNA was reverse transcribed, and real-time PCR was performed in triplicate by the SYBR green method and the ABI PRISM 7900HT Sequence Detection System (Applied Biosystems), using the following conditions: 10 min at 95°C, and 45 cycles of 95°C for 10 s, 60°C for 20 s, and 72°C for 30 s.
Signal transduction
A total of 3 x 106 mesangial cells was grown in 5 ml of tissue culture-treated plates for 24 h. The medium was removed, and fresh medium alone (standard medium) or medium + 100 ng/ml TWEAK was added to each plate for 0, 5, 20, 40, or 60 min. At the end of each time point, the cells were collected using the protocol provided by Cell Signaling Technology with the following modifications. Five hundred microliters of Laemmli buffer (Bio-Rad) with 50 mM DTT were added to each plate. The cells were collected by scraping, and the cell solution was passed six times through a 21-gauge needle. The lysates were boiled for 5 min, cooled on ice, and then run on a 1020% Tris-HCl polyacrylamide gel (Bio-Rad). Using standard transfer techniques, the gel was transferred to a polyvinylidene difluoride membrane (Bio-Rad). The membrane was then probed with Abs against unphosphorylated and phosphorylated I
B-
(Cell Signaling Technology).
Generation of TWEAK-deficient mice and isolation of anti-TWEAK mAbs
To generate TWEAK-deficient mice, a 8.12-kb HindIII subclone containing 3.36 kb of upstream sequence and the first five exons of the TWEAK gene was obtained from a BAC clone of 129 sv/J genomic DNA (Genome Systems). The targeting vector was constructed from this subclone using the bacterial recombination method, as described (17). Construction of the targeting vector introduced an in-frame human CD2 cDNA upstream of a loxP-flanked neomycin gene in place of the TWEAK sequences spanning the translational start site through exon 3, thereby removing the first three TWEAK exons. TWEAK-deficient mice were generated by standard procedures using homologous recombination in embryonic stem cells (18). The neomycin expression cassette was excised from the locus by mating TWEAK heterozygous mice with MSX2-Cre recombinase-expressing mice (19). Homozygous TWEAK-deficient, neomycin-deleted mice were generated by breeding heterozygous mice. Absence of TWEAK mRNA expression in knockout mice was confirmed by RT-PCR and Northern blot assays.
Murine Abs to TWEAK were generated by immunizing TWEAK knockout mice with 25 µg of TWEAK in CFA, followed by two to three boosts with 25 µg of murine TWEAK in IFA. A final boost just before fusion was with 25 µg of murine TWEAK in the RIBI adjuvant system (Corixa). Hybridoma supernatants from splenocyte fusions were screened for binding activity using standard methods of solid-phase ELISA, flow cytometry, and cell-based functional assays.
Generation of TWEAK and Fn14 constructs
Soluble mouse rTWEAK was generated with a 6x His tag attached at the N terminus of TWEAK (aa 106249) with the N139Q substitution at the N-linked glycosylation site, and was expressed in Pichia, followed by purification with a precharged Ni Sepharose column (below referred to as TWEAK).
The human (h)Fc-TWEAK construct was generated by fusing the Fc portion of human IgG1 (20) to the N terminus of a cDNA fragment encoding soluble human TWEAK (aa 106249). The construct was transfected into the 293T cell line to generate a stable expression line for protein production and subsequent protein A purification, as described (21). The murine (m)Fc-TWEAK construct (used for in vivo studies) was generated based on this hFc-TWEAK construct. Briefly, a DNA fragment encoding the soluble portion of mouse TWEAK was generated by PCR to replace the human TWEAK portion of the hFc-TWEAK construct, to obtain hFc-mTWEAK. Subsequently, a DNA fragment encoding the Fc portion of mIgG2a was generated by PCR to replace the hFc portion of hFc-mTWEAK, thus obtaining the final mFc-TWEAK construct. A stable Chinese hamster ovary cell line expressing mFc-TWEAK was generated for protein production.
To generate the Fn14-Fc construct, a cDNA fragment encoding the extracellular portion of murine Fn14 (aa 175) was ligated to the pEAG293 vector containing mouse IgG2a. The resulting murine Fn14-mFc was subsequently subcloned into the pV90 vector for stable expression in a Chinese hamster ovary cell line, as described (21). Due to high sequence homology (6, 7), the human Fc-TWEAK and murine Fn14-Fc constructs each recognized human and murine TWEAK receptor and ligand, respectively.
Cell proliferation assay
Mesangial cells (103 cells/well) were plated in 96-well plates in quadruplicate and left to attach for 24 h. Cytokines (TWEAK at 100 ng/ml and/or IFN-
at 80 IU/ml) were added on day 2, and the cells were refed 2 days later. Seventy-two hours after initial addition of the cytokines, 20 µl of the CellTiter 96 Aqueous One reagent (Promega) was added per well. Plates were read at 490 nm after 3060 min.
TUNEL staining
A total of 5 x 105 mesangial cells was grown in tissue culture-treated plates for 16 h. The medium was removed, and 100 ng/ml TWEAK, 100 IU/ml IFN-
, or 100 ng/ml TWEAK + 100 IU/ml IFN-
was added to each well for 48 h. The cells were collected using trypsin/EDTA, and TUNEL was stained using the In Situ Death Detection kit (Roche). TUNEL staining was detected by flow cytometry, and the data were analyzed using the CellQuest program.
Injection of mFc-TWEAK in vivo
Four- to 6-wk-old female C57BL/6-SCID mice were obtained from The Jackson Laboratory. Female Fn14-deficient C57BL/6 mice were generated at Biogen Idec, as described (22), and used at 46 wk of age. Mice were injected i.v. with 200 µg/mouse (in 100 µl of PBS) mFc-TWEAK or P1.17 (an irrelevant mouse IgG2a mAb (American Type Culture Collection), which shares the same Fc as mFc-TWEAK), or the same volume of PBS alone. Sixteen hours following the injection, the mice were sacrificed and the kidneys were obtained for RNA isolation and real-time PCR, as described above.
Studies involving animals
Animal studies were approved by the appropriate institutional review committees at the Albert Einstein College of Medicine and Biogen Idec.
| Results |
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Although Fn14 mRNA expression is detected in kidney tissue (5), it is unknown which cells express the receptor and whether actual protein is being displayed. Using real-time PCR, we found that transformed mesangial cell lines from the BALB/c (data not shown) and C57BL/6 mouse strains express Fn14 mRNA, comparable to the positive control murine Eph4 mammary epithelial cells (21). B cells, which do not express Fn14, were negative in this assay (Fig. 1A). We then examined whether there is cell surface expression of the TWEAK receptor on mesangial cells by flow cytometry. We found that there was significant binding to the surface of murine mesangial cells by hFc-TWEAK (Fig. 1B), but not by a CTLA4-Ig control fusion protein (R&D Systems) or a human IgG1 mAb (PHP010; Serotec), which share the same IgG1 Fc as hFc-TWEAK (data not shown). To confirm the specificity of the interaction of TWEAK with a mesangial membrane receptor, blocking experiments were performed by preincubating hFc-TWEAK with an excess of Fn14-Fc before incubation with the mesangial cells. Prior incubation with Fn14-Fc eliminated the binding of hFc-TWEAK to mesangial cells (Fig. 1B). Our results indicate that a TWEAK receptor is indeed expressed on mesangial cells, and that the binding of hFc-TWEAK to mesangial cells is not mediated by the Fc portion of the fusion protein. Flow cytometry experiments using an anti-Fn14 mAb confirmed that Fn14 is the TWEAK receptor expressed on murine mesangial cells (data not shown).
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TWEAK induces CCL2/MCP-1 in endothelial cells and CCL5/RANTES and CXCL10/IP-10 secretion in fibroblasts and synoviocytes (9, 13). To determine whether TWEAK can up-regulate CCL2/MCP-1 and CCL5/RANTES in mesangial cells, we examined mRNA levels by real-time PCR in mesangial cells treated with 100 ng/ml TWEAK for 24 h. TWEAK treatment of transformed C57BL/6 mesangial cells up-regulated CCL2/MCP-1 mRNA by almost 5-fold, and CCL5/RANTES mRNA by 2-fold (data not shown). Similar induction of CCL2/MCP-1 and CCL5/RANTES mRNA expression was also seen using primary mesangial cells.
To analyze the effects of TWEAK treatment on chemokine secretion, we measured chemokine levels by sandwich ELISAs in conditioned medium from mesangial cells treated with TWEAK. We used primary and transformed cells from BALB/c and C57BL/6 for our experiments; because similar responses were observed in the various cell lines, only the data from the C57BL/6 mesangial cell line will be presented. TWEAK (11000 ng/ml) induces a dose-dependent increase in CCL2/MCP-1, CCL5/RANTES, and CXCL10/IP-10 secretion in murine mesangial cells (Fig. 2). CCL2/MCP-1 secretion was significantly higher than in control-treated cells (medium alone) at 10, 100, and 1000 ng/ml TWEAK (p < 0.015, 0.004, and 0.0003, respectively). Furthermore, increased CCL2/MCP-1 concentrations were observed with escalating doses of TWEAK from 1 to 10 ng/ml (p < 0.0025), 10 to 100 ng/ml (p < 0.0055), and 100 to 1000 ng/ml (p < 0.0035). Very similar results were seen with CCL5/RANTES and CXCL10/IP-10 induction, with chemokine concentrations increasingly significant vs medium beginning at 10 and 5 ng/ml TWEAK (p < 0.015 and p < 0.003, respectively), and likewise displaying significant dose-dependent increases between the different TWEAK concentrations tested (1 or 510 ng/ml (p < 0.03 for CCL5/RANTES and p < 0.007 for CXCL10/IP-10), 10100 ng/ml (p < 0.0015 and p < 0.0045), and 100-1000 ng/ml (p < 0.006 and p < 0.02)). In all cases, chemokine secretion was significantly blocked by preincubation of TWEAK with Fn14-Fc (CCL2/MCP-1, p < 0.0045; CCL5/RANTES, p < 0.00005; and CXCL10/IP-10, p < 0.01). The magnitude of the chemokine response induced by higher levels of TWEAK was in a similar range to that induced by LPS or a combination of TNF-
and IL-1
, which are known proinflammatory stimuli for mesangial cells (Fig. 2).
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, IL-4, IL-6, IL-10, IL-12, and GM-CSF, were not detectable in cell supernatants from TWEAK-stimulated mesangial cells. CXCL10/IP-10 was not available for measurement in this assay format. However, TWEAK treatment more than doubled the levels of CXCL1/KC from 1975 ± 29 pg/ml in control-treated cells to 4400 ± 115 pg/ml in TWEAK-treated cell supernatants (p < 0.002). A dose-dependent increase in CXCL1/KC in response to TWEAK was subsequently also confirmed by ELISA (data not shown).
We next performed time course analyses to quantify further the induction of chemokines in response to TWEAK treatment of mesangial cells. There was an increase over time in the concentrations of secreted CCL2/MCP-1, CCL5/RANTES, and CXCL1/KC, with the peak chemokine concentrations in this study measured at 24 h (Fig. 3). CCL2/MCP-1 induction relative to medium was significant at 6 h (p < 0.0004), with concentrations increasing further between 6 and 12 h (p < 0.007) and between 12 and 24 h (p < 0.003). A very similar pattern was seen for CCL5/RANTES and CXCL1/KC in response to TWEAK, with induction relative to medium that was significant at 6 h (p < 0.0025 and p < 0.008, respectively), and chemokine concentrations increasing further between 6 and 12 h (p < 0.0045 and p < 0.2, respectively) and between 12 and 24 h (p < 0.0004 and p < 0.004, respectively). Chemokine induction in response to TWEAK was inhibited by Fn14-Fc, but not by P1.17. Addition of TNF-
to TWEAK-treated cells further increased chemokine levels, at least for CCL5/RANTES at 12 h (Fig. 3). However, chemokine stimulation in response to TWEAK plus TNF-
was usually less than additive, perhaps because a suboptimal concentration of TNF-
would be required to observe such an effect.
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chemoattractant), CXCR5, mucosal addressin cell adhesion molecule-1, and VCAM-1 in mesangial cells (Fig. 5).
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, IL-6, or TNF-
IL-1
and IL-6 have been shown to induce chemokine secretion in several different cell types, including mesangial cells. Therefore, we tested for induction of these cytokines in the supernatants of treated cells to determine whether TWEAK stimulation of chemokines might be indirect. However, we did not detect any significant levels of IL-1
and/or IL-6 in the supernatants of TWEAK-stimulated mesangial cells in the multiplexed bead assay. To further verify that the stimulatory effect of TWEAK on chemokine secretion by mesangial cells was not due to levels of IL-1
and IL-6 below the detection limit of the bead assay, we repeated the TWEAK stimulation experiments with addition of Abs to IL-1
and IL-6 (R&D Systems). Anti-IL-1
had no effect on the production of CCL2/MCP-1 and CXCL1/KC relative to the isotype-matched control; anti-IL-1
decreased CCL5/RANTES secretion, but significantly less than the isotype-control Ab or soluble Fn14 (p < 0.0002 for each comparison) (Fig. 7). Similarly, the effect of the anti-IL-6 Ab on TWEAK-induced chemokine secretion was equivalent (in the case of CCL2/MCP-1, p = 0.2) or less (p < 0.008 for CCL5/RANTES, and p < 0.02 for CXCL1/KC) than any inhibition seen with the isotype-matched rat Ab. Blocking TNF-
using a rat anti-mouse TNF-
mAb (clone MP6-XT3; eBioscience) also had no effect on TWEAK-induced chemokine production (data not shown). The latter experiment indicates that in contrast to KYM-1 rhabdomyosarcoma cells (23), the effect of TWEAK on mesangial cells is direct and not mediated by endogenous TNF-
.
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B-
It has been previously shown that TWEAK activates the NF-
B signaling cascade in fibroblasts (24); to determine whether a similar mechanism may be operative in mesangial cells, we examined I
B-
phosphorylation in TWEAK-treated mesangial cells. Mesangial cells displayed progressive I
B-
phosphorylation, beginning at 5 min after exposure to 100 ng/ml TWEAK and increasing throughout the first 60 min of stimulation (Fig. 8A). The relatively delayed kinetics of TWEAK-induced I
B-
phosphorylation in mesangial cells, as compared with that induced by TNF-
, has been reported also in bronchial epithelial cells (14).
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B activation or whether there is a major contribution of other signaling pathways (7), we treated mesangial cells with BAY11-7082 (E-3-(4-methylphenylsulfonyl)-2-propenenitrile; Calbiochem), an I
B-
phosphorylation inhibitor (25), at 5 µM for 30 min before TWEAK stimulation (14). Treatment of mesangial cells with BAY11-7082 significantly reduces chemokine production in response to TWEAK (Fig. 8B), confirming that TWEAK-induced chemokine secretion in these cells is mediated by activation of the NF-
B signaling pathway. Murine anti-TWEAK mAbs block the proinflammatory effect of TWEAK on mesangial cells
We developed mouse anti-TWEAK Abs as reagents for blocking the activities of TWEAK. A panel of anti-TWEAK Abs was derived by TWEAK immunization of TWEAK knockout 129/B6 mice, followed by recovery of anti-TWEAK mAbs by standard hybridoma technology. From the series of anti-TWEAK Abs that were generated, two Abs (2.P5.G9 and 2P2.D10) showed the most effective blocking of TWEAK and were chosen for further study. Treatment of mesangial cells with the anti-TWEAK mAbs 2.P5.G9 and 2P2.D10 (both of the IgG2a isotype) prevented the proinflammatory effects of TWEAK on these cells (Fig. 9). The 2.P5.G9 and 2P2.D10 each significantly decreased CCL2/MCP-1 secretion from TWEAK-stimulated mesangial cells (p < 0.002), while the P1.17 isotype-matched control Ab showed no effect (p = 0.7). Similarly, while control P1.17 inhibition showed a minimal effect on CCL5/RANTES induction, the 2.P5.G9 and 2P2.D10 anti-TWEAK Abs displayed much more pronounced and significant effects (vs TWEAK-treated cells, p < 0.002 and p < 0.0004, respectively) (Fig. 9). The ability of these Abs to block chemokine induction in mesangial cells suggests their potential utility as novel inhibitors of chemotaxis and cellular infiltration in the treatment of kidney inflammatory diseases.
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, induces apoptosis of mesangial cells
Depending on the cell type and physiologic context, TWEAK can promote cell proliferation and/or cell death (3, 26). To determine which effect, if any, is induced in mesangial cells, we examined the effects of TWEAK on cell proliferation. Treatment with TWEAK and IFN-
each had a small, but significant inhibitory effect on cell proliferation, relative to medium alone (p < 0.05). However, treatment using a combination of TWEAK and IFN-
was synergistic, and significantly inhibited mesangial cell proliferation relative to treatment with either cytokine alone (p < 0.003) (Fig. 10A). To determine whether TWEAK induces apoptosis, TWEAK-treated mesangial cells were stained by TUNEL and analyzed by flow cytometry. Treatment with TWEAK or IFN-
alone induced apoptosis in a small percentage of mesangial cells as compared with no treatment. However, in combination with IFN-
, TWEAK had a synergistic effect in inducing mesangial cell apoptosis (Fig. 10B). The proapoptotic effect of TWEAK in combination with IFN-
was confirmed using propidium iodide and annexin V staining. Furthermore, TWEAK-induced apoptosis in mesangial cells could be blocked using the ITEM-4 anti-Fn14 or the 2.P5.G9 mAb (data not shown).
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| Discussion |
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B signaling pathway. Chemokine induction in response to TWEAK was time and dose dependent, and was abolished by blocking TWEAK with soluble Fn14 and by two novel murine IgG2a anti-TWEAK Abs. Finally, injection of TWEAK in vivo significantly up-regulated the kidney gene expression of CCL2/MCP-1 and CXCL10/IP-10, an effect mediated by the Fn14 receptor. Chemokines are critical for the recruitment of specific leukocyte subsets to areas of tissue injury and inflammation (27). In the context of the kidney, chemokines and chemokine receptors are crucially involved in initiation, amplification, progression, and resolution of renal disease from a variety of inflammatory insults, both immune mediated (such as nephrotoxic serum nephritis, lupus nephritis, immune complex glomerulonephritis, and experimental tubulointerstitial disease) and nonimmune mediated (such as renal ischemia and ureteral obstruction) (27, 28, 29, 30, 31).
Among the many chemokines described in association with experimental kidney disease models and human diseases, CCL2/MCP-1 and CCL5/RANTES play prominent roles in inflammatory renal syndromes through their effects in the local recruitment of monocytes and activated T cells (32). As an example, several lines of evidence, including temporal expression patterns in the kidney, support an important role for CCL2/MCP-1 and CCL5/RANTES in the pathogenesis of lupus nephritis (32, 33, 34). Moreover, enhanced kidney expression of CCL5/RANTES accelerates renal disease in the lupus-prone MRL-lpr/lpr mouse strain (35), while down-regulating the effects of CCL2/MCP-1 using a small molecule inhibitor (36) or by genetic approaches (37, 38) ameliorates lupus nephritis in this mouse model. We describe in this study two murine anti-TWEAK Abs, and find that these Abs prevent CCL2/MCP-1 and CCL5/RANTES secretion in response to TWEAK. These in vitro results are very promising, and suggest a novel therapeutic approach to the treatment of renal disease: Ab inhibition of local and circulating TWEAK, an intervention intended to block the proinflammatory effects of TWEAK on resident glomerular cells, lower chemokine levels, and prevent leukocyte migration into the kidney.
We observed as well enhanced CXCL10/IP-10 secretion in response to TWEAK stimulation of mesangial cells. Cells positive for CXCR3, the receptor for CXCL10/IP-10, are prominent in interstitial infiltrates in kidney biopsies in several renal diseases, including IgA nephropathy, lupus nephritis, and membranoproliferative glomerulonephritis. Furthermore, the number of CXCR3-positive cells shows a positive correlation with decreased renal function, proteinuria, and glomerulosclerosis, all important predictors of the ultimate renal prognosis (39). Although by no means definitive, these latter results would suggest that CXCL10/IP-10 binding to CXCR3 is an important determinant in the progressive loss of renal function that may occur following a variety of inflammatory insults.
The chemokine CXCL1/KC induced by TWEAK may be involved in a positive feedback loop that promotes glomerular inflammation. CXCL1/KC is a known chemoattractant stimulus for neutrophils and mesangial cells (40). Furthermore, CXCL1/KC up-regulates chemokine expression in mesangial cells, and may also stimulate its own synthesis (41). Therefore, TWEAK stimulation of CXCL1/KC production, as observed in our studies, may serve to perpetuate cellular recruitment and renal infiltration by inflammatory cells in different forms of nephritis.
Our in vivo experiments with i.v. administration of Fc-TWEAK corroborate our studies with mesangial cells in vitro. It is possible that kidney cells other than mesangial cells also display Fn14 and may have contributed to the response seen following i.v. administration of TWEAK. In contrast, despite mesangial cells being only a small fraction of the cellular composition of the kidney (which also contains tubular, epithelial, and glomerular endothelial cells), we still were able to demonstrate that TWEAK leads to a significant increase in kidney CCL2/MCP-1 and CXCL10/IP-10 gene expression in vivo. Therefore, we believe that these in vivo studies lend further support to our in vitro findings in mesangial cells and indicate a role for circulating TWEAK as a novel mediator in inflammatory kidney diseases.
Although proinflammatory effects of TWEAK engagement have been described in several cell types, the complete scope of TWEAK effects has yet to be fully appreciated. In human endothelial cells, TWEAK up-regulates surface expression of the adhesion molecules ICAM-1 and E-selectin, and enhances secretion of CCL2/MCP-1 and IL-8 (9). In synoviocytes and fibroblasts, PGE2, MMP-1, IL-8, CCL5/RANTES, and CXCL10/IP-10 induction were seen (13). TWEAK treatment stimulates the secretion of IL-8 and GM-CSF from bronchial epithelial cells (14), and of CCL5/RANTES (but not CCL2/MCP-1 or IL-8) from keratinocytes (4). Finally, proinflammatory effects induced by TWEAK were also reported in astrocytes (42) and macrophages (15). However, kidney cells, and specifically mesangial cells, were not previously recognized as being TWEAK responsive. It is also important to note that while there are some chemokines/cytokines induced in response to TWEAK that are secreted by more than one cell type (e.g., CCL2/MCP-1), there are also important differences in the pattern of chemokine/cytokine induction. Indeed, we found that in addition to CCL2/MCP-1, CCL5/RANTES, and CXCL10/IP-10, TWEAK stimulates the expression of CXCL1/KC, CXCL11/interferon-inducible T cell
chemoattractant, CXCR5, mucosal addressin cell adhesion molecule-1, and VCAM-1, the latter all not previously known to be regulated by TWEAK. The proinflammatory effects of TWEAK on kidney and other cell types will most likely depend on the type of cell being stimulated, its state of activation, and which additional stimulatory and inhibitory factors are present. Furthermore, TWEAK does not stimulate mesangial cells indiscriminately, as we found multiple chemokines and cytokines that were unaffected by TWEAK treatment. Rather, the effect of TWEAK on mesangial cells is specific for certain, but not other chemokines.
The effects of TWEAK on cell survival are context dependent. On one hand, TWEAK displays a proapoptotic effect on several human tumor cell lines (26, 43), although the effect is usually weak, as the name of this cytokine suggests. In contrast, in endothelial cells, TWEAK has a proliferative and prosurvival effect, either alone or in combination with other endothelial cell growth factors (11, 12). Moreover, TWEAK was found to play a dual role as an angiogenic regulator, with induction of endothelial cell survival in cooperation with basic fibroblast growth factor, while antagonizing a morphogenic response to vascular endothelial growth factor without affecting vascular endothelial growth factor-induced proliferation (11). We found that in mesangial cells, similar to what is observed in some tumor cell lines, TWEAK can synergize with IFN-
to induce a measurable and significant increase in apoptosis. It is interesting that glomerular cell apoptosis has been linked to the pathogenesis and progression of lupus nephritis (44, 45), despite the proliferative phenotype observed in lupus renal disease. Nevertheless, the possibility that in certain cellular microenvironments TWEAK will demonstrate a proliferative effect on mesangial cells has not yet been completely excluded.
Polek et al. (46) reported that TWEAK can induce differentiation into osteoclasts of RAW cells that reportedly do not display the Fn14 receptor. As no other TWEAK receptor has been demonstrated to date, this observation may be explained by the recent finding by De Ketelaere et al. (47) that soluble TWEAK can internalize into several cell lines (not via Fn14) and translocate directly to the nucleus, leading to nuclear translocation of GSK-3
and p65 and induction of NF-
B-driven gene expression. Because in our studies TWEAK did not induce any measurable increase in chemokine production in Fn14-deficient mesangial cells, it appears that Fn14 alone mediates the inflammatory effects of TWEAK in these cells.
Fn14, the shortest TNFR superfamily member associated to date, displays a single putative TNFR-associated factor (TRAF) binding site that associates with TRAFs 1, 2, 3, and 5 (48, 49). Association of TRAFs is known to activate NF-
B-associated intracellular signaling pathways. Furthermore, the induction of NF-
B-regulated genes such as IL-6, IL-8, CCL5/RANTES, and ICAM-1 in TWEAK-treated cell lines also points to a role for the NF-
B pathway in transducing TWEAK signaling intracellularly (6), as indeed confirmed by several investigators (7). However, the blocking of chemokine secretion in TWEAK-treated astrocytes by an inhibitor of p38 (42) indicates that additional signaling pathways may also be involved. Nevertheless, while we have not ruled out that other pathways may be operative as well, in mesangial cells we clearly demonstrated that TWEAK-induced chemokine secretion is mediated by NF-
B signaling.
In conclusion, we demonstrate that TWEAK stimulation induces dose- and time-dependent secretion of potent chemoattractant cytokines in mesangial cells. As the chemokines induced by TWEAK are known to have an essential role in the pathogenesis of a variety of renal disorders, our results suggest a possible, previously unappreciated pathogenic role of TWEAK in immunological as well as in nonimmune mediated kidney disease. Although hamster anti-TWEAK Abs have been reported previously (13), Abs of murine origin that are likely to be less immunogenic and have a longer t1/2 in vivo would be very helpful in studying murine models of kidney disease. Thus, studies to support or disprove our hypothesis concerning an essential role for TWEAK in kidney diseases will be greatly facilitated by the availability of the novel blocking anti-TWEAK Abs of murine origin described in this work. Finally, we propose that TWEAK blockade may be a promising new approach for the treatment of chemokine-dependent renal diseases.
| Acknowledgments |
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| Disclosures |
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| Footnotes |
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1 Work in the laboratory of C.P. was supported by a Hulda Irene Duggins Arthritis Investigator Award from the Arthritis Foundation, a Target Identification in Lupus Award from the Alliance for Lupus Research, Biogen Idec, and National Institutes of Health Grants R01-AR-48692 and P01-AI-51392. S.C. is supported by a Minority Predoctoral Fellowship Award from the National Cancer Institute. ![]()
2 Address correspondence and reprint requests to Dr. Chaim Putterman, Division of Rheumatology, Forchhemier 701N, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461. E-mail address: putterma{at}aecom.yu.edu ![]()
3 Abbreviations used in this paper: TWEAK, TNF-like weak inducer of apoptosis; hFc-TWEAK, human Fc-TWEAK; IP-10, IFN-
-induced protein 10 kDa; mFc-TWEAK, murine Fc-TWEAK; TRAF, TNFR-associated factor. ![]()
Received for publication September 1, 2004. Accepted for publication November 11, 2005.
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