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(Journal of Leukocyte Biology. 2001;69:280-288.)
© 2001 by Society for Leukocyte Biology

Involvement of protein kinases in the potentiation of lipopolysaccharide-induced inflammatory mediator formation by thapsigargin in peritoneal macrophages

Bing-Chang Chen*, Shie-Liang Hsieh{dagger} and Wan-Wan Lin*

* Department of Pharmacology, College of Medicine, National Taiwan University; and
{dagger} Department of Microbiology and Immunology, National Yang-Ming University School of Medicine, Taipei, Taiwan

Correspondence: W. W. Lin, Ph.D., Department of Pharmacology, College of Medicine, National Taiwan University, Taipei, Taiwan. E-mail: wwl{at}ha.mc.ntu.edu.tw


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
We have explored the regulatory roles played by Ca2+-dependent signaling on lipopolysaccharide (LPS)-induced nitric oxide (NO), prostaglandin E2 (PGE2), tumor necrosis factor {alpha} (TNF-{alpha}), and interleukin-6 (IL-6) release in mouse peritoneal macrophages. To elevate intracellular Ca2+, we used thapsigargin (TG) and UTP. Although LPS alone cannot stimulate NO synthesis, co-addition with TG, which sustainably increased [Ca2+]i, resulted in NO release. UTP, via acting on P2Y6 receptors, can stimulate phosphoinositide (PI) turnover and transient [Ca2+]i increase, however, it did not possess the NO priming effect. LPS alone triggered the release of PGE2, TNF-{alpha}, and IL-6; all of which were potentiated by the presence of TG, but not of UTP. The stimulatory effect of LPS plus TG on NO release was inhibited by the presence of Ro 31-8220, Go6976, KN-93, PD 098059, or SB 203580, and abolished by BAPTA/AM and nuclear factor {kappa}B (NF-{kappa}B) inhibitor, PDTC. PGE2, TNF-{alpha}, and IL-6 release by LPS alone were attenuated by Ro 31-8220, Go6976, PD 098059, SB 203580, and PDTC. Using L-NAME, soluble TNF-{alpha} receptor, IL-6 antibody, NS-398, and indomethacin, we performed experiments to understand the cross-regulation by the four mediators. The results revealed that TNF-{alpha} up-regulated NO, PGE2, and IL-6 synthesis; PGE2 up-regulated NO, but down-regulated TNF-{alpha} synthesis; and PGE2 and IL-6 mutually up-regulated reciprocally. Taken together, murine peritoneal macrophages required a sustained [Ca2+]i increase, which proceeds after TG, but not UTP, stimulation, to enhance LPS-mediated release of inflammatory mediators, particularly for NO induction. Activation of PKC-, ERK-, and p38 MAPK-dependent signaling also are essential for LPS action. The positive regulatory interactions among these mediators might amplify the inflammatory response caused by endotoxin.

Key Words: LPS • UTP • Ca2+ • protein kinase


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Invasion of pathogenic endotoxin lipopolysaccharide (LPS) induces a complex sequence of events known as the inflammatory responses. During inflammation a variety of microbicidal and proinflammatory mediators are generated, for example, nitric oxide (NO), prostaglandin E2 (PGE2), tumor necrosis factor {alpha} (TNF-{alpha}), and interleukin-6 (IL-6) [1 2 3 4 5 ]. The knowledge of the mechanisms involved in the control of inflammatory mediator synthesis from the major functional cells, macrophages, is a subject of current interest because of the multiple physiological and pathological effects elicited by these mediators.

Activated macrophages produce high levels of NO after induction of inducible nitric oxide synthase (iNOS), which can catalyze the formation of NO from the terminal guanidino nitrogen atom of L-arginine [6 ]. NO has been shown to be an effector in the antimicrobial and tumoricidal activities of murine macrophages [7 , 8 ]. TNF-{alpha} is among the earliest activated cytokines in inflammation, and its production by activated macrophages is crucial for the development of an early defense against many pathogens [9 ] and also appears to be involved in the pathogenesis of endotoxin shock as well as autoimmune inflammation [10 , 11 ]. PGE2, a potent inflammatory mediator, is an important negative regulator of TNF-{alpha} production [12 ]. IL-6 is an important cytokine required for acute-phase protein synthesis, antibody secretion, B cell growth, T cell activation, and maintenance of optimal immune function [13 , 14 ].

Previous studies have indicated that the induction of iNOS by mouse peritoneal macrophages is controlled by a two-signal process [15 , 16 ]. First, cells must be primed, either by in vivo treatment with immunostimulant such as trehalose dimycolate or in vitro treatment with interferon-{gamma} (IFN-{gamma}). Both treatments result in a number of biochemical and functional alterations of the macrophages, thus rendering them sensitive to triggering agents. Second, exposure of primed macrophages to a second signal such as LPS results in the activated macrophages capable of maximal NO production and cytotoxicity [17 , 18 ]. Several reports have shown that Ca2+ elevating agents, such as Ca2+ ionophore A23187 and thapsigargin (TG) can replace IFN-{gamma} as a priming signal [19 20 21 22 ]. However, it is unclear whether natural physiological processes are mimicked by TG.

Nucleotides contained in large amounts in cell cytosol can reach the extracellular compartment from cells at inflammatory sites undergoing cell damage and lysis. Released nucleotides can elicit multiple physiological actions via acting at the specific P2 receptors. Thus far five mammalian P2Y receptors, i.e., P2Y1, P2Y2, P2Y4, P2Y6, and P2Y11, have been cloned and characterized as G protein-coupled receptors capable of activating phosphoinositide-specific phospholipase C (PI-PLC) [see ref. 23 for review]. Our previous study showed that, in murine J774 macrophages, binding of UTP primarily to P2Y6 receptors stimulates PI breakdown, followed by the increase in intracellular calcium level ([Ca2+]i), activation of calmodulin-dependent protein kinase (CaMK), and thus resulting in the potentiation of LPS-induced iNOS expression [4 ]. These results indicate the possible physiological role of nucleotides in amplifying the inflammatory response. In this report, we would like to further address this possible action of nucleotides in the primary macrophage system with respect to their effects on NO, PGE2, IL-6, and TNF-{alpha} formation, and hope to understand the significant physiological relevance. For this purpose, we performed experiments in mouse peritoneal macrophages and examined the effects of nucleotides as well as TG. We also evaluated the roles of signal molecules, such as calcium, CaMK, protein kinase C (PKC), extracellular signal-regulated protein kinase (ERK), and p38 mitogen-activated protein kinase (MAPK).


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Materials
RPMI 1640, fetal bovine serum, the RNA PCR kit, penicillin, and streptomycin were obtained from GIBCO-BRL (Grand Island, NY). NG-nitro-L-arginine methyl ester (L-NAME), 2-methylthio-ATP (2MeSATP), and {alpha},ß-methylene-ATP ({alpha},ß-MeATP) were from RBI (Natick, MA). 1-[3-(amidinothio)propyl-1H-indoyl-3-yl]-3-(1-methyl-1H-indoyl-3-yl)-maleimide-methane sulfate (Ro 31-8220), 12-(-2-cyanoethyl)-6,7,12,13-tetrahydro-13-methyl-5-oxo-indolo-(2,3-a)pyrro-lo(3,4-c)carbazole (Go6976), KN-93, SB 203580, and NS-398 were purchased from Calbiochem (La Jolla, CA). IL-6, TNF-{alpha}, and IL-6 enzyme-linked immunosorbent assay (ELISA) kits, IL-6 antibody, and IgG antibody were obtained from R & D Systems (Minneapolis, MN). The ELISA kit for PGE2 was obtained from Cayman (Ann Arbor, MI). myo[3H]inositol (20 Ci/mmol) was purchased from New England Nuclear (Boston, MA). RNAzol was obtained from Biotecx Laboratories (Houston, TX). All other chemicals were obtained from Sigma (St. Louis, MO).

Cell culture
The peritoneal macrophages were prepared as previously described [24 ]. BALB/c mice that have been intraperitoneally injected with 1.5 mL 3% thioglycollate at 3 days before macrophage isolation were ether-anesthetized, and the peritoneal cavities were lavaged with ice-cold 0.9% NaCl to remove the elicited peritoneal macrophages and cultured at 37°C in RPMI 1640, supplemented with 10% fetal bovine serum and antibiotics (100 U/mL penicillin and 100 µg/mL streptomycin). Cells were cultured in 24-well plates (for nitrite, IL-6, PGE2, and TNF-{alpha} assays) or in 35-mm dishes [for PI turnover, [Ca2+]i, and reverse transcription-polymerase chain reaction (RT-PCR) assays] in a humidified atmosphere of 95% air/5% CO2.

Nitrite, PGE2, TNF-{alpha}, and IL-6 measurement
Inflammatory mediators accumulated in the cell culture medium were measured at the indicated time period after LPS with or without TG or UTP addition. To assess the effects of several inhibitors, drugs were added to the cells 20 min before LPS/TG addition. Nitrite, an indicator of NO synthesis, was measured by adding 100 µL of samples of culture medium to 100 µL of Griess reagent (1% sulfanilamide and 0.1% naphthylethylenediamide in 5% phosphoric acid), then the optical density at 550 nm was measured using a microplate reader, and the nitrite concentration calculated by comparison with the absorbance produced using standard solutions of sodium nitrite in culture medium. TNF-{alpha}, PGE2, and IL-6 production were measured in samples of cell culture supernatant through the use of ELISA kits. Assays were performed according to the manufacturer’s instructions.

RNA extraction and RT-PCR analysis of P2Y receptor subtypes
RNA was isolated using RNAzol reagent, and RT-PCR carried out with 10 µg of total RNA as a template, using an RNA PCR kit (GIBCO), according to the manufacturer’s instructions. The specific primers were synthesized as follows: P2Y1 (murine) receptor sense (661–680), 5’-ACG ACT GTG GCC ATG TTC TG-3’ and antisense (1051–1070), 5’-ATT TCT TCA CTC TTG GAT TG-3’; P2Y2 (human and murine) receptor sense (31–50), 5’-ACC ATC AAT GGC ACC TGG GA-3’ and antisense (374–393), 5’-CCG GTG CAC GCT GAT GCA GG-3’; P2Y4 (human) receptor sense, 5’-CAC CGA TAC CTG GGT ATC TG-3’ and antisense, 5’-CAG ACA GCA AAG ACA GTC AG-3’; P2Y6 (human and rat) receptor sense (315–334), 5’-GCT TCC TCT TCT ATG CCA AC-3’ and antisense (779–798), 5’-GTA GGC TGT CTT GGT GAT GT-3’; P2Y11 (human) receptor sense (94–113), 5’-CTG GTG GTT GAG TTC CTG GT-3’ and antisense (308–327), 5’-GTT GCA GGT GAA GAG GAA GC-3’. ß-actin mRNA levels were used as an internal control. The ß-actin primers used were as follows: sense (613–632), 5’-GAC TAC CTC ATG AAG ATC CT-3’ and antisense (1103–1122), 5’-CCA CAT CTG CTG GAA GGT GG-3’. Equal amounts of each RT product (1 µg) were PCR-amplified using Taq polymerase in 30 cycles consisting of 40 s at 95°C, 40 s at 48°C (for P2Y1 receptor), 54°C (for P2Y2 receptor), 55°C (for P2Y4, P2Y6 receptors and ß-actin), or 57°C (for P2Y11 receptor) and 2 min at 72°C. The amplified cDNA was run on 1% agarose gels and visualized by ethidium bromide.

Measurement of PI turnover
PI hydrolysis was measured by the accumulation of inositol phosphates (IP) in the presence of 10 mM LiCl, as described previously [25 ]. Confluent cells on 35-mm Petri dishes were labeled with myo[3H]inositol (2.5 µCi/dish) in the growth medium for 24 h, washed with physiological saline solution (118 mM NaCl, 4.7 mM KCl, 1.8 mM CaCl2, 1.2 mM MgCl2, 1.2 mM KH2PO4, 11 mM glucose, and 20 mM HEPES, pH 7.4) containing 10 mM LiCl and incubated at 37°C for 20 min. After this preincubation, the nucleotides were added and incubation continued for another 30 min. The reaction was terminated by aspiration of the reaction solution and addition of ice-cold methanol. The cells were scraped off and the [3H]IP was isolated with an AG-1X8 column (formate form, 100–200 mesh), eluted with 0.2 N ammonium formate/0.1 N formic acid, and counted by ß-counter. The agonist-elicited [3H]IP accumulation was expressed as percentages of the basal [3H]IP level (percent of control).

Measurement of intracellular calcium [Ca2+]i
Cells grown on glass slides were loaded with 3 µM Fura-2/AM and pluronic F-127 (0.02% v/v) in RPMI 1640 at 37°C for 45 min. The fluorescence was monitored on a PTI M-series spectrofluorometer with dual-excitation wavelengths of 340 and 380 nm and an emission wavelength of 510 nm. The intracellular calcium was calculated from the ratio of the fluorescence at the two excitation wavelengths, by use of a Kd value of 224 nM for the Fura-2/AM Ca2+ equilibrium, as described by Grynkiewicz et al. [26 ].

Statistical analysis
In each experiment all samples were set up in duplicate, and the data shown represent the mean ± SE from several independent experiments. P < 0.05 was considered significant by evaluation of the data with analysis of variance (ANOVA) and/or Dunnett’s test. The error bar was omitted when it was within the symbol representing the mean value.


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Peritoneal macrophages predominantly expressing P2Y6 receptors
Through the use of RT-PCR analysis to investigate the expression of five mammalian P2Y receptor subtypes, we found that peritoneal macrophages express P2Y6 receptors, but not P2Y1, P2Y2, P2Y4, and P2Y11 receptors (Fig. 1A ). Obviously expressing signals of P2Y1 and P2Y2 receptors in bovine pulmonary artery endothelial cells (CPAE), P2Y4 receptors in rat aortic smooth muscle cells (SMC), and weak signals of P2Y2 and P2Y11 receptors in J774 macrophages are all shown in Figure 1A as positive controls. Because P2Y receptors have seven-transmembrane-domains typical for a G protein-coupled receptor, we further characterized the biochemical signaling mediated by various nucleotide analogs. As shown in Figure 1B , UTP and UDP are the most effective agonists to activate PI-PLC, resulting in a comparable 3.3-fold increase in IP formation at 100 µM within 30 min. ATP (a nonselective P2Y receptor agonist) and 2MeSATP (a P2Y1 and P2Y11 receptor agonist) only increased IP accumulation by 81 ± 8.5 and 38 ± 6.7% (n = 3), respectively. {alpha},ß-MeATP (a P2X receptor agonist) and adenosine (a selective P1 receptor agonist) did not cause IP production at 100 µM (data not shown).



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Figure 1. Analysis of P2Y receptor subtypes and effects of nucleotides on PI turnover in peritoneal macrophages. (A) Total RNA was prepared from peritoneal macrophages, J774, bovine pulmonary artery endothelial cells (CPAE) and rat aortic smooth muscle cells (SMC). Then, RT-PCR analyses for five P2Y receptor subtypes and ß-actin were performed. (B) myo-[3H]inositol-labeled cells were incubated for 30 min with UTP, UDP, ATP, or 2MeSATP each at 100 µM, and IP accumulation was measured as described. The results were expressed as the mean ± SE from four independent experiments, each was performed in duplicate. The basal [3H]IP formation was 92 ± 15 cpm/dish (n = 4).

 
TG, but not UTP, potentiated LPS-elicited inflammatory mediator release
Treatment of peritoneal macrophages with LPS (3 µg/mL) for 24 h did not induce NO release but elicited PGE2, TNF-{alpha}, and IL-6 production (Fig. 2 ). Co-incubation with UTP (100 µM) for 24 h did not change the LPS responses (Fig. 2) , which is distinct from the P2Y6 receptor-mediated potentiation in J774 cells. In addition to UTP, we also examined several nucleotide analogs on these events. As shown in Table 1 , UDP, ATP, 2MeSATP, {alpha},ß-MeATP and adenosine, each at 100 µM, did not significantly affect LPS-induced mediator release.



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Figure 2. Effects of TG and UTP on LPS-induced NO, TNF-{alpha}, PGE2, and IL-6 formation in macrophages. Peritoneal macrophages were treated with LPS (3 µg/mL) alone or in the presence of 30 nM TG or 100 µM UTP for 24 h, then the amounts of NO (A), PGE2 (B), TNF-{alpha} (C), or IL-6 (D) release into the medium were determined. The data represent the mean ± SE of three experiments performed in duplicate. *P < 0.05 as compared to the LPS response alone.

 

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Table 1. Effects of Nucleotide Analogs, PMA, and Thapsigargin, on the LPS-Induced Nitrite, TNF-{alpha}, PGE2, and IL-6 Formation in Peritoneal Macrophages

 
To determine the non-effectiveness of UTP in peritoneal macrophages coming from the distinct regulation played by [Ca2+]i as seen in J774 macrophages, we examined the effects of TG, which is a potent inhibitor of the Ca2+ pump in endoplasmic reticulum and thereby elicits [Ca2+]i increase. As shown in Figure 2 , although TG (30 nM) itself did not change the four mediator release, it dramatically potentiated the responses of LPS on TNF-{alpha}, PGE2, and IL-6 release and primed the NO response upon simultaneous addition with LPS. The time-dependent potentiation or priming effects of TG were shown in Figure 3 . In the presence of 30 nM TG, the LPS-induced NO, TNF-{alpha}, PGE2, and IL-6 release within 24 h were increased by 4.5-fold (from 5.1 ± 0.4 µM to 23 ± 3.4 µM), 3.7-fold (from 2014 ± 168 pg/mL to 7452 ± 1370 pg/mL), 5.7-fold (from 5495 ± 485 pg/mL to 31,322 ± 5156 pg/mL), and 3.9-fold (from 2811 ± 231 pg/mL to 11,103 ± 2108 pg/mL), respectively.



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Figure 3. Time-dependent effects of LPS and TG on NO, TNF-{alpha}, PGE2, and IL-6 formation in macrophages. Cells were incubated with LPS (3 µg/mL), TG (30 nM), or both for different periods before assaying for TNF-{alpha} (A), PGE2 (B), IL-6 (C), or NO (D) release. The data represent the mean ± SE of three experiments performed in duplicate.

 
To investigate the role played by PKC activation, which is a bifurcate signaling pathway transduced from PI breakdown by P2Y receptor-activated PLC, we also examined the effects of phorbol 12-myristate 13-acetate (PMA). Although PMA did not potentiate LPS-induced NO formation, it caused slight potentiation on LPS-induced TNF-{alpha}, PGE2, and IL-6 release by 48 ± 18, 23 ± 13, and 37 ± 13% (n = 5), respectively (Table 1) .

Sustained [Ca2+]i increase responsible for TG potentiation
To explore the ineffectiveness of UTP vs. TG, we determined their effects on calcium mobilization, which has been reported to be essential for the priming signal [19 20 21 22 ]. Using Fura-2/AM fluorescence as an index of [Ca2+]i, as shown in Figure 4 , 30 nM TG caused a slow but sustained increase in [Ca2+]i for at least 7 min. By contrast, 100 µM UTP elicited a transient increase in the [Ca2+]i response, reaching its maximum at 1 min, from 122 ± 32 nM to 1008 ± 147 nM (n = 11), and then rapidly decreased. The levels of [Ca2+]i increase 5 min after the addition of UTP and TG were 93 ± 15 nM and 305 ± 25 nM, respectively.



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Figure 4. Effects of UTP and TG on [Ca2+]i levels in macrophages. Typical changes of [Ca2+]i in response to UTP and TG are shown. The traces are representatives of more than three experiments.

 
To confirm that the more sustained [Ca2+]i increase compared with UTP action is an essential factor for the potentiation of LPS-induced mediator release by TG, we added BAPTA/AM (30 µM), an intracellular Ca2+ chelator, at different time intervals after treatment with LPS plus TG. When BAPTA/AM was added at the same time as LPS, it attenuated LPS-induced TNF-{alpha}, PGE2, and IL-6 release by 72 ± 3, 42 ± 10, and 34 ± 4% (n = 3), respectively (data not shown). The inhibitory effects of BAPTA/AM on TG-elicited potentiation effects were shown in Figure 5 . Complete abolishment of TG response by BAPTA/AM was observed upon simultaneous addition of both, while the antagonization ability of BAPTA/AM time-dependently diminished as it was added at 30 min to 12 h after LPS/TG stimulation. In this context, the priming effects of TG on NO, TNF-{alpha}, PGE2, and IL-6 release began to restore, respectively, at 8-, 8-, 2-, and 12-h delay of BAPTA/AM addition. These results indicate the requirement of a more sustained [Ca2+]i to coordinate with LPS for efficient transcription of iNOS, TNF-{alpha}, COX-2, and IL-6 genes.



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Figure 5. Effects of BAPTA/AM on TG potentiation of LPS-induced NO, TNF-{alpha}, PGE2, and IL-6 release in macrophages. BAPTA/AM (30 µM) was added to the cell cultures at the same time as, or 0.5–12 h after, LPS (3 µg/mL) plus TG (30 nM). Twenty-four hours after LPS and TG addition, NO (A), TNF-{alpha} (B), PGE2 (C), and IL-6 (D) were determined. The data represent the mean ± SE of three experiments performed in duplicate. *P < 0.05 compared with the response that was elicited by LPS and TG upon BAPTA/AM addition at the same time.

 
The major concern that we are unable to mimic the potentiating action of TG with the physiological agent UTP are due to the facts that nucleotides are rapidly hydrolyzed by both serum- and cell-associated ecto-nucleotidase and the desensitization characteristic of G protein-coupled receptors. To address the first possibility, we decreased the serum concentration in the culture medium from 10 to 1%, and treated the ectonucleotidase inhibitor 5’FSBA together with UTP. We found that under both conditions UTP still could not trigger any potentiation effects on LPS (data not shown). To exclude the desensitization mechanism and also the hydrolyzing factor, we repeatedly added UTP at 30 or 100 µM every 30 min three or six times. Under this manipulation, the non-effectiveness of UTP on LPS response was still observed (data not shown).

Role of PKC, CaMK, ERK, p38 MAPK, and NF-{kappa}B on mediator release
To explore the underlying mechanism involved in the TG priming effect, the roles of PKC and NF-{kappa}B were investigated using pharmacological approaches. As shown in Figure 6 , the two PKC inhibitors, Ro 31-8220 (1 µM, a selective PKC inhibitor) [27 ] and Go6976 (100 nM, a selective inhibitor of conventional PKC{alpha}, -ß, and -{gamma}) [28 ] not only attenuated LPS-induced TNF-{alpha}, PGE2, and IL-6 release, but also reduced the priming effect of TG on nitrite and PGE2 formation. In the presence of PKC inhibitors, the TNF-{alpha} and IL-6 potentiation by TG were unaffected.



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Figure 6. Effects of protein kinase and NF-{kappa}B inhibitors on LPS and LPS/TG-induced NO, TNF-{alpha}, PGE2, and IL-6 formation in macrophages. Cells were incubated for 20 min with 1 µM Ro 31-8220, 1 µM Go6976, 10 µM KN-93, or 30 µM PDTC before addition of LPS (3 µg/mL) with or without TG (30 nM). After a 24-h incubation, the amount of NO (A), TNF-{alpha} (B), PGE2 (C), and IL-6 (D) released into the medium were determined. The data represent the means ± SE of three experiments performed in duplicate. *P < 0.05 compared with the control response (LPS ± TG) without treatment with protein kinase or NF-{kappa}B inhibitors.

 
Because NF-{kappa}B activation is required for iNOS, COX-2, IL-6, and TNF-{alpha} gene expression [3 , 5 , 29 , 30 ], the involvement of this transcription factor in TG effect was studied. As shown in Figure 6 , 30 µM pyrrolidine dithiocarbamate (PDTC), a NF-{kappa}B inhibitor, abolished these four inflammatory mediator formation induced by LPS, either alone or in combination with TG.

In murine J774 macrophages, we have reported that the Ca2+/CaMK-dependent pathway is responsible for the potentiation effect of UTP and TG on LPS-induced iNOS gene expression [4 ]. Here, using KN-93, a selective CaMK inhibitor [31 ], we also found a similar mechanism for TG effect in peritoneal macrophages. KN-93 at 10 µM markedly decreased the TG responses on all the four mediator releases, but failed to affect those of LPS alone (Fig. 6) . KN-93 inhibited the TG response on TNF-{alpha}, PGE2, IL-6, and NO release by 69 ± 8, 63 ± 14, 73 ± 4, and 74 ± 2% (n = 3), respectively. These results suggest the [Ca2+]i increase and subsequent CaMK activation mediated TG effect.

Because accumulating reports have indicated the involvement of ERK and p38 MAPK in iNOS, TNF-{alpha}, COX-2, and IL-6 gene expression in response to LPS or cytokines [4 , 32 33 34 35 36 37 38 ], we also like to address this issue in peritoneal macrophages. As shown in Figure 7 , PD 098059 (30 µM, a selective MEK inhibitor) [39 ] and SB 203580 (3 µM, a selective p38 MAPK inhibitor) [40 ] dramatically attenuated the responses of LPS/TG, particularly in terms of TNF-{alpha} and PGE2 release.



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Figure 7. Effects of MAPK inhibitors on LPS- and LPS/TG-induced NO, TNF-{alpha}, PGE2, and IL-6 formation in macrophages. Cells were incubated for 20 min with 30 µM PD 098059 or 3 µM SB 203580 before addition of LPS (3 µg/mL) with or without TG (30 nM). After a 24-h incubation, the amount of NO (A), TNF-{alpha} (B), PGE2 (C), and IL-6 (D) release into the medium were measured. The data represent the mean ± SE of three experiments performed in duplicate. *P < 0.05 compared with the control response (LPS ± TG) without treatment with MAPK inhibitors.

 
Cross-interaction between mediators
Next we address the possible cross-regulation among the four inflammatory mediators released by LPS. For this purpose, the effects of L-NAME (a NOS inhibitor), soluble TNF-{alpha} receptor (sTNFR), IL-6 specific antibody, NS-398 (a COX-2 inhibitor), and indomethacin (a nonselective COX inhibitor) were examined. As shown in Figure 8 , 300 µM L-NAME only reduced the NO response but did not affect the others. Upon released TNF-{alpha} being neutralized by sTNFR (5 µg/mL), the release of NO, PGE2, and IL-6 in response to LPS either with or without TG were attenuated. IL-6 antibody at a concentration completely neutralizing IL-6, 0.1 µg/mL, can reduce PGE2 release by 47 ± 12% (n = 3) in response to LPS and by 41 ± 9% (n = 3) in the presence of TG. IL-6 antibody did not affect LPS/TG-induced NO and TNF-{alpha} release, however, both mediator releases were not affected by IgG control antibody.



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Figure 8. Cross-talk between released NO, TNF-{alpha}, PGE2, and IL-6. Cells were treated with L-NAME (300 µM), sTNFR (5 µg/mL), IL-6 Ab (0.1 µg/mL), mouse IgG Ab (5 µg/mL), indomethacin (0.3 µM), or NS-398 (10 nM) together with LPS (3 µg/mL) alone or plus TG (30 nM). After a 24-h incubation, the NO (A), TNF-{alpha} (B), PGE2 (C), and IL-6 (D) release were measured. The data represent the mean ± SE from at least three independent experiments. *P < 0.05 compared with the control LPS ± TG response without L-NAME, sTNFR, IL-6 Ab, indomethacin, or NS-398 treatment.

 
With respect to the effects through PGE2 inhibition by COX inhibitors, the results as shown in Figure 8 revealed that indomethacin (0.3 µM) and NS-398 (10 nM) can inhibit LPS or LPS plus TG-induced NO and IL-6 production. In contrast, indomethacin and NS-398 potentiated TNF-{alpha} release in response to LPS with or without TG.

To further explore whether TG potentiation is due to the involvement of contaminated lymphocyte-generated IFN-{gamma}, which is also reported as a primer for LPS response [15 ], we checked the effects of anti-IFN-{gamma} antibody. We found that IFN-{gamma} antibody at 10 µg/mL did not affect TG-induced NO potentiation (data not shown).


    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Macrophages are the major functional cells of inflammation, and the study of the regulatory mechanism involved in the control of several mediator syntheses from macrophages is an important issue. In this study, we not only demonstrated the signaling cascades triggered by LPS responsible for inflammatory mediator release from peritoneal macrophages, but also emphasized the unique contribution of intracellular Ca2+ in this event.

Murine macrophage-derived NO, PGE2, TNF-{alpha}, and IL-6 release have been shown to be dramatically induced by LPS, and the regulation of these inflammatory mediators in macrophages is controlled, at least in part, at the level of gene transcription. A crucial transcription factor that regulates expression of these genes is NF-{kappa}B, which binds to the specific promoter sequences, {kappa}B binding sites, and induce gene transcription [41 ]. With regard to these well-documented notions, we have gotten support from our present studies in mouse peritoneal macrophages. With respect to signaling, particularly of the involvement of several protein kinases, our results here also confirmed our previous notion that PKC, ERK, and p38 MAPK are pivotal signaling molecules to transduce LPS action in macrophages. Despite these confirmed results, we have observed an additional regulatory pathway mediated by the increase in [Ca2+]i in integration with others and thus potentiating mediator release. Moreover, the reciprocal cross-amplification or inhibition between mediators also implies the physiological significance in the progress of inflammation.

The regulatory machinery required for iNOS induction seems to be not exactly the same in different macrophage cell types and quite depends on the nature of the cells [42 ]. At least as compared with J774 macrophages and peritoneal macrophages, the requirement of the priming signals is different. In the former, LPS treatment itself is sufficient to induce abundant NO production, whereas in the latter, LPS alone has little effect on NO production unless the cells were primed with either IFN-{gamma} or TG. As previously indicated, the capacity to express iNOS gene in mouse peritoneal macrophages is induced by a multi-step cascade of events. NO synthesis is induced by the sequential exposure of responsive peritoneal macrophages to priming and trigger signals such as IFN-{gamma} and LPS, respectively, for full activation [15 , 18 , 22 , 42 43 44 ]. Furthermore, calcium ionophores and TG are also playing triggering signals for the induction of NO synthesis in peritoneal macrophages [45 ]. Thus, calcium-elevating agents such as calcium ionophore and TG can replace either priming or triggering signals, but themselves cannot contribute to the induction of NO formation. Although elevation of [Ca2+]i is one of the mechanisms contributing to the induction of NO release, the relationship between priming effects and [Ca2+]i increase is complex, and the mechanism is still unknown.

Recent study has shown that in peritoneal macrophages, platelet-activating factor even inducing rapid and transient increases of [Ca2+]i did not elicit the priming effect with respect to LPS action [45 ]. Confirming these results, in this report, we observed the priming effects of TG, but not of UTP, on iNOS induction. Both TG and UTP can elicit [Ca2+]i increase in peritoneal macrophages to different extents. UTP via acting on P2Y6 receptors induced a much less sustained increase in [Ca2+]i than TG, whose response was maintained for at least 7 min as long as we examined. In this study we also provided evidence to support the requirement of intracellular Ca2+ in iNOS priming in peritoneal macrophages. Reduction of [Ca2+]i by BAPTA/AM at different periods after LPS initiating its triggering cascade further indicated that the Ca2+-dependent signaling event lasting at least for 8 h is required for iNOS priming. On the other hand, the potentiating effect in J774 macrophages only depends on a short period of [Ca2+]i elevation, because short-term presence of UTP for 30 min with LPS is sufficient to achieve the potentiation [4 ]. Thus, these results together suggest that a much more sustained Ca2+-dependent signaling pathway is necessary to integrate with LPS signaling for iNOS expression in peritoneal macrophages compared with J774 cells. Except NO production, the release of the other three mediators, PGE2, TNF-{alpha}, and IL-6, also were potentiated by TG and dependent on [Ca2+]i level, respectively, for 2, 8, and 12 h. Certainly, except intracellular Ca2+, other regulators with different significance involving the control of gene expression in various cell types need to be further explored.

Despite intensive research, the nature of the messengers that transduce TG priming signal in macrophages is still unclear. Our previous study has shown that in J774 macrophages, UTP and TG can potentiate the induced activation of NF-{kappa}B via a CaMK-dependent pathway [4 ]. In agreement with this notion, the priming effects of TG on several mediator releases in peritoneal macrophages were also shown to be inhibited by KN-93, indicating the CaMK activation as being a key step. The interesting aspect of Ca2+ signal, particularly of the frequency, duration, amplitude, and spatial distribution aspect, in its capacity to encode cellular responses has been previously demonstrated in several cell types. It means that these variables of Ca2+ signal were proposed as a means by which Ca2+ could achieve specificity in signaling. In this respect, lymphocytes, for example, require a prolonged Ca2+ stimulus for activation of immune response genes but respond to brief Ca2+ stimuli in other ways [46 ]. A large transient Ca2+ rise in B lymphocyte activates JNK, whereas NF-ATc translocation to the nucleus is induced by a low sustained Ca2+ plateau [47 ]. In activated T lymphocytes, sustained high intracellular Ca2+ is required for both full activation of calcineurin and JNK, which respectively maintains NF-ATc in the nucleus and activates AP-1 [48 49 50 ]. Accordingly, high levels of Ca2+ are required to activate NF-{kappa}B in both B cells [51 ] and microglial cells [52 ].

Previous studies have shown that the priming effect of elevating [Ca2+]i on iNOS induction did not involve PKC activation in peritoneal macrophages [53 ] and J774 macrophages [4 ]. In this study we also found that the two PKC inhibitors Ro 31-8220 and Go6976, although they inhibited the responses of LPS on TNF-{alpha}, IL-6, and PGE2 release, failed to affect the priming responses on TNF-{alpha} and IL-6. On the contrary, the priming effect on PGE2 release was attenuated by PKC inhibition. In addition to PKC, ERK and p38 MAPK are two important kinase molecules essential for LPS signaling on mediator release, as we can observe that all the four mediator releases caused by LPS alone or in the presence of TG were dramatically reduced by MEK inhibitor, PD 098059 and p38 MAPK inhibitor, SB 203580.

In this study we also showed the cross-interaction on the mediator synthesis between endogenous NO, PGE2, TNF-{alpha}, and IL-6. In accordance with a previous report observed in either macrophages or other cell types, PGE2 represents a positive feedback mediator in NO [54 , 55 ] and IL-6 synthesis [56 ], but as a negative regulator on TNF-{alpha} release [12 ]. TNF-{alpha} itself also plays a positive modulation on NO, PGE2, and IL-6 synthesis [37 , 57 , 58 ], whereas IL-6 can enhance PGE2 synthesis only.

Taken together, these results suggest that not only PKC, ERK, and p38 MAPK are all required for LPS action in peritoneal macrophages, but also the sustained increase in intracellular calcium elicits a priming event. The positive regulatory interactions among NO, PGE2, TNF-{alpha}, and IL-6 imply the amplified inflammatory response caused by endotoxin.


    ACKNOWLEDGEMENTS
 
This work was supported by the National Science Council of Taiwan (NSC89-2320-B002-022).

Received April 12, 2000; revised August 9, 2000; accepted September 25, 2000.


    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
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