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(Journal of Leukocyte Biology. 2001;69:158-160.)
© 2001 by Society for Leukocyte Biology

Protein kinase C agonists enhance phagocytosis of P. aeruginosa by murine alveolar macrophages

John-Paul Heale and David P. Speert

Division of Infectious and Immunological Diseases, Department of Pediatrics, University of British Columbia, Vancouver, Canada

Correspondence: John-Paul Heale, University of British Columbia, Department of Pediatrics, Faculty of Medicine, The Research Institute, Room 381, 950 West 28th Avenue, Vancouver, BC, Canada, V5Z 4H4. E-mail: jpheale{at}interchange.ubc.ca


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 REFERENCES
 
Pulmonary alveolar macrophages (AM{phi}s) are incompetent to phagocytose unopsonized Pseudomonas aeruginosa, but ingestion by other macrophage phenotypes (i.e., peritoneal macrophages) occurs efficiently. The purpose of this study was to explore factors that might control such phenotypic differences. Our laboratory has demonstrated that AM{phi}s exposed to sodium azide display enhanced phagocytosis of P. aeruginosa. Here we report that the phagocytic-enhancing effect of sodium azide was abrogated by inhibitors of protein kinase C (PKC). Furthermore, the addition of PKC agonists, such as phorbol myristate acetate (PMA), and tumor necrosis factor {alpha} (TNF-{alpha}), mimicked the phagocytic enhancing effect of sodium azide. We conclude that AM{phi}s are normally incompetent to phagocytose P. aeruginosa. Factors that up-regulate AM{phi} function (azide, PMA, TNF-{alpha}) can reverse the phagocytic incompetence in vitro. Although these compounds are not appropriate candidate therapeutic agents, their effects provide insights for understanding of the pathways responsible for regulation of P. aeruginosa phagocytosis.

Key Words: phorbol myristate acetate • tumor necrosis factor {alpha} • azide


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 REFERENCES
 
Pseudomonas aeruginosa, an opportunistic pathogen of cystic fibrosis (CF) patients, causes persistent infection of the lung with severe morbidity [1 ]. Persistence of P. aeruginosa in the CF lung may be due in part to an inability of alveolar macrophages (AM{phi}s) to phagocytose the bacteria [2 ]. Our experiments were designed to better understand the control of P. aeruginosa phagocytosis and to determine why freshly explanted AM{phi}s are unable to phagocytose unopsonized P. aeruginosa. Our ultimate goal is to understand the factors that regulate phagocytosis of P. aeruginosa in order to enhance this primary host defense mechanism within the lungs of CF patients.

We have previously demonstrated that freshly explanted murine AM{phi}s are able to increase their capacity to ingest P. aeruginosa when briefly exposed to sodium azide [3 ]. Sodium azide poisons oxidative respiration, specifically inhibiting cytochrome oxidase [4 ], the main metabolic pathway by which AM{phi}s derive energy in the high O2 tension of the lung [5 ]. In response to sodium azide-induced stress, AM{phi} kinase pathways are probably altered. We observed that staurosporine, an inhibitor of protein kinase C (PKC) [6 ], abrogates the increase in phagocytosis brought about by sodium azide (Table 1 ).


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Table 1. Effect of Staurosporine on the Enhancing Effect of Sodium Azide upon Phagocytosis of P. aeruginosa

 
AM{phi}s were recovered from the lungs of 6-week-old, female BALB/c mice by bronchoalveolar lavage (BAL); 3.0 x 105 AM{phi}s were adhered to glass coverslips in 24-well Falcon tissue culture plates in RPMI 1640 medium supplemented with 5% fetal calf serum (GIBCO-BRL). AM{phi}s were incubated for 90 min in tissue culture medium alone (control), with 1 mM sodium azide or with 1 mM sodium azide and 500 nM staurosporine. After the 90-min incubation, the medium was replaced with fresh tissue culture medium without azide or staurosporine for a further 90-min incubation to allow the AM{phi}s to recover. The medium was then removed and replaced with 450 µL phagocytosis buffer (PB: 100 mM Tris, pH 7.4, 150 mM NaCl, 0.6 mM CaCl2, 1.0 mM MgCl2, 10 mM D-glucose) and 50 µL of P. aeruginosa strain P1 culture [7 ] (grown overnight and adjusted to an absorbance at A600 of 1.0 = 300 bacteria per AM{phi}). The AM{phi}s and bacteria were incubated at 37°C for 60 min, after which AM{phi}s were washed with fresh PB. Uningested bacteria were lysed by exposure to 5 mg/mL lysozyme and subsequent osmotic shock with dH2O [2 ]. AM{phi}s were fixed with 4% formaldehyde, stained with 2% Giemsa, and ingested bacteria enumerated by visual inspection.

AM{phi}s incubated in the presence of sodium azide phagocytosed over twice as many P. aeruginosa as controls (5.7±0.8 vs. 2.5±0.3 bacteria per AM{phi}, P<0.05, Table 1 ). However, AM{phi} incubated with sodium azide and staurosporine ingested 1.8 ± 0.2, significantly below control levels (P<0.05). Based on these observations, PKC agonists such as phorbol myristate acetate (PMA [6 ]) and tumor necrosis factor {alpha} (TNF-{alpha}; inflammatory cytokine [6 ]) were chosen in addition to sodium azide to investigate their capacity for up-regulation of phagocytosis by AM{phi}s.

AM{phi}s were incubated for 15 min with 1 mM sodium azide, 5 nM TNF-{alpha}, or 60 ng/mL PMA before the addition of P. aeruginosa (50 µL of A600 0.5=150 bacteria per AM{phi}) and the 1-h phagocytosis assay in PB. PKC agonists enhanced AM{phi} phagocytosis 2.5-fold over untreated controls (4.4±0.2, sodium azide; 4.2±0.9, TNF-{alpha}; 4.1±0.9, PM; vs. 1.7±0.2, control, Fig. 1A ). Such a rapid up-regulation of phagocytosis suggests activation of a preformed receptor on the surface of AM{phi}s. Cells that had been washed of agonists after a 90-min exposure, and allowed to recover in tissue culture medium alone, showed progressively lower levels of phagocytosis (Fig. 1B) . For those AM{phi}s incubated in each of the agonists for 90 min, followed by a 270-min recovery in tissue culture medium alone (350-min time point, Fig. 1B ), the phagocytosis levels were not statistically different from control levels. A second cytokine, interferon-{gamma} (IFN-{gamma}), has previously been shown to suppress phagocytosis of either opsonized or unopsonized P. aeruginosa [8 ]. When 100 U/mL IFN-{gamma} was included in the tissue culture medium, in a manner identical to that described above, phagocytosis levels were suppressed ~50% below control levels (Fig. 1) .



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Figure 1. Effect of PKC agonists and IFN-{gamma} on phagocytosis of P. aeruginosa by AM{phi}s. Freshly explanted AM{phi}s were seeded onto coverslips and treated with sodium azide, TNF-{alpha}, PMA, IFN-{gamma}, or buffer alone (control) for 15–90 min. (A) The enhancing effect of PKC agonists on macrophage phagocytosis of P. aeruginosa after a brief 15-min exposure. (B) The decline of enhanced phagocytosis after a 90-min exposure to PKC agonists, IFN-{gamma}, or buffer alone (control), followed by washing and replacement of culture media without any PKC agonists or IFN-{gamma}. AM{phi}s were allowed to recover until the time point indicated, at which time a phagocytosis assay was performed. Each time point was calculated from the mean phagocytic result of three separate replicates (60 AM{phi}s each) with error bars representing the standard deviation.

 
Phagocytosis of P. aeruginosa was next evaluated in AM{phi}s after prolonged incubation with the PKC agonists. Sodium azide was not included in these experiments because of the toxicity observed. Prolonged exposure of freshly explanted AM{phi}s to TNF-{alpha} increased phagocytosis from 2.6 ± 0.3 (control) to 8.4 ± 0.5 at 12 h (Fig. 2 ). For TNF-{alpha}-exposed AM{phi}s, the phagocytic enhancement was short-lived; at 24 h TNF-{alpha} treatment, phagocytosis was 3.2 ± 0.4, comparable to control levels (2.7±0.5). TNF-{alpha} effects at 36 and 48 h were indistinguishable from 24 h (3.2±1.4 and 3.2±0.3, respectively). Prolonged PMA exposure also yielded enhanced phagocytosis at 12 h (5.5±0.9), which persisted at 24 h (5.6±1.0) and then fell to levels comparable with the control at 36–48 h (3.6±0.5 and 3.7±0.3, respectively). Phagocytosis by control AM{phi}s gradually increased over time from 1.8 ± 0.3 at time 1.5 h, to 3.8 ± 0.3 at 48 h. IFN-{gamma} treatment inhibited phagocytosis below control values (Fig. 2) . These results suggest that PKC agonists are able to activate AM{phi}s to phagocytose P. aeruginosa to a level that is statistically greater than control values. However, continued exposure to PKC agonists does not result in phagocytic enhancement. Similar effects have been documented for PKC-dependent activation of complement receptor 3 [6 ]. We are currently attempting to identify the receptor that is pivotal in mediating ingestion of P. aeruginosa by AM{phi}s.



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Figure 2. Effect of prolonged exposure of AM{phi}s to PKC agonists and IFN-{gamma}. Freshly explanted AM{phi}s were seeded onto coverslips and treated with TNF-{alpha}, PMA, IFN-{gamma}, or buffer alone (control) for 1.5–48 h, after which monolayers were washed and phagocytosis of P. aeruginosa assessed. Each time point was calculated from the mean phagocytic result of three separate replicates (60 AM{phi}s each) with error bars representing the standard deviation.

 
Our results demonstrate a transient increase in P. aeruginosa phagocytosis by murine AM{phi}s exposed to TNF-{alpha}. Murine resistance to P. aeruginosa lung infection is directly related to the level of secreted TNF-{alpha} within the animal’s lung [9 ]. Similarly, intratracheal inoculation of recombinant TNF-{alpha} in mice at the time of P. aeruginosa lung infection improves bacterial clearance [10 ]. Because gram-negative bacterial (i.e., P. aeruginosa) lipopolysaccharide induces TNF-{alpha} release from macrophages [11 ], our results may be relevant to the early inflammatory response within the lung. When AM{phi}s detect LPS, they release TNF-{alpha}, which in turn promotes neutrophil emigration to the site of infection [12 ]. Given the in vitro results described, we hypothesize that AM{phi}s may be rendered phagocytically competent during the initial stages of P. aeruginosa infection, until such time as neutrophils are recruited. The dynamics of phagocytic cell recruitment and function, combined with the modulatory activity of inflammatory cytokines, are currently being investigated in a murine model of P. aeruginosa lung infection.


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 ABSTRACT
 INTRODUCTION
 REFERENCES
 

  1. Wilmott, R. W., Tyson, S. L., Matthew, D. J. (1985) Cystic fibrosis survival rates. The influences of allergy and Pseudomonas aeruginosa Am. J. Dis. Children 139,669-671
  2. Everett, K. D., Barghouthi, S., Speert, D. P. (1996) In vitro culture of murine peritoneal and alveolar macrophages modulates phagocytosis of Pseudomonas aeruginosa and glucose transport J.Leukoc. Biol. 59,539-544[Abstract]
  3. Speert, D. P., Wong, S. Y., Macdonald, M., Sargeant, R. (1997) Modulation of macrophage function for defense of the lung against Pseudomonas aeruginosa Behring Inst. Mitt. 98,274-282
  4. Leary, S. C., Battersby, B. J., Hansford, R. G., Moyes, C. D. (1998) Interactions between bioenergetics and mitochondrial biogenesis Biochim. Biophys. Acta 1365,522-530[Medline]
  5. Simon, L. M., Robin, E. D., Phillips, J. R., Acevedo, J., Axline, S. G., Theodore, J. (1977) Enzymatic basis for bioenergetic differences of alveolar versus peritoneal macrophages and enzyme regulation by molecular O2 J. Clin. Invest. 59,443-448
  6. Ross, G. D., Vetvicka, V. (1993) CR3 (CD11b, CD18): a phagocyte and NK cell membrane receptor with multiple ligand specificities and functions Clin. Exp. Immunol. 92,181-184[Medline]
  7. Speert, D. P., Eftekhar, F., Puterman, M. L. (1984) Nonopsonic phagocytosis of strains of Pseudomonas aeruginosa from cystic fibrosis patients Infect. Immun. 43,1006-1011[Abstract/Free Full Text]
  8. Speert, D. P., Thorson, L. (1991) Suppression by human recombinant gamma interferon of in vitro macrophage nonopsonic and opsonic phagocytosis and killing Infect. Immun. 59,1893-1898[Abstract/Free Full Text]
  9. Gosselin, D., DeSanctis, J., Boule, M., Skamene, E., Matouk, C., Radzioch, D. (1995) Role of tumor necrosis factor alpha in innate resistance to mouse pulmonary infection with Pseudomonas aeruginosa Infect. Immun. 63,3272-3278[Abstract]
  10. Buret, A., Dunkley, M. L., Pang, G., Clancy, R. L., Cripps, A. W. (1994) Pulmonary immunity to Pseudomonas aeruginosa in intestinally immunized rats: roles of alveolar macrophages, tumor necrosis factor alpha, and interleukin-1 alpha Infect. Immun. 62,5335-5343[Abstract/Free Full Text]
  11. Ohlsson, K., Linder, C., Lundberg, E., Axelsson, L. (1996) Release of cytokines and proteases from human peripheral blood mononuclear and polymorphonuclear cells following phagocytosis and LPS stimulation Scand. J. Clin. Lab. Invest. 56,461-470[Medline]
  12. Hachicha, M., Rathanaswami, P., Naccache, P. H., McColl, S. R. (1998) Regulation of chemokine gene expression in human peripheral blood neutrophils phagocytosing microbial pathogens J. Immunol. 160,449-454[Abstract/Free Full Text]



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