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(Journal of Leukocyte Biology. 2001;69:605-612.)
© 2001 by Society for Leukocyte Biology

CD38 expression and functional activities are up-regulated by IFN-{gamma} on human monocytes and monocytic cell lines

Tiziana Musso*, Silvia Deaglio{dagger}, Luisa Franco{ddagger},§,||, Liliana Calosso{dagger}, Raffaele Badolato#, Giovanni Garbarino**, Umberto Dianzani{dagger}{dagger} and Fabio Malavasi{dagger}


* Department of Public Health and Microbiology,
{dagger} Laboratory of Cell Biology, Department of Genetics, Biology and Biochemistry, and
** Institute of Internal Medicine, University of Turin, Turin, Italy;
{ddagger} Biocrystallography Center CNR, University Federico II, Naples, Italy;
§ Institute G. Gaslini, Genoa, Italy;
|| Department of Biochemistry, University of Genoa, Genoa, Italy;
# Department of Pediatrics, University of Brescia, Brescia, Italy; and
{dagger}{dagger} Department of Medical Science, A. Avogadro University of Eastern Piedmont, Novara, Italy

Correspondence: Tiziana Musso, Ph.D., Department of Public Health and Microbiology, University of Turin, via Santena, 9, 10126 Torino, Italy. E-mail: musso{at}molinette.unito.it


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ABSTRACT
 
Human CD38, a surface molecule expressed by immature and activated T and B lymphocytes, has been characterized as a molecule transducing activation and proliferation signals, and intervening in adhesion to endothelium via its ligand CD31. CD38 is also a complex ectoenzyme featuring ADP-ribosyl cyclase/cyclic ADP-ribose hydrolase activities, leading to the synthesis and degradation of cADPR, a Ca+-mobilizing agent. We investigated the effects of monocyte-activating stimuli (IFN-{gamma}, IL-2, LPS, TNF-{alpha}, and GM-CSF) on the expression and function of CD38, starting from the observation that human monocytes and the derived lines U937, THP-1, and Mono-Mac-6 bear the molecule on their surface. Our results indicate that IFN-{gamma} is a strong up-modulator of CD38, and IL-2 increases its expression only modestly. LPS, TNF-{alpha}, and GM-CSF had no detectable effects. Treatment with IFN-{gamma} produced a dose- and time-dependent up-regulation of CD38 in monocytes and monocytic lines, which was paralleled by increased ADP-ribosyl cyclase/cyclic ADP-ribose hydrolase activities. Furthermore, CD38 ligation by specific MoAb reduced the IFN-{gamma}-dependent enhancement of monocyte-dynamic adhesion to endothelial monolayers. These findings identify IFN-{gamma} as a modulator of monocytic CD38 expression and indicate that CD38 plays a specific role in the activation and adhesion processes performed by monocytes.

Key Words: cytokines • ADP-ribosyl cyclase • cADPR hydropase


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INTRODUCTION
 
Monocytes play an important role in the immune response as immunomodulators, antigen-presenting cells, and effector cells. In conditions of chronic inflammation and immune-mediated reactions, monocytes infiltrate sites by adhering to endothelium and subsequent diapedesis. The initial contacts of monocytes with endothelium depend on low-affinity binding of monocyte selectins to their endothelial ligands (MadCam, PECAM, CD31) [1 ]. Integrins such as CD18 and CD29 support firm adhesion and transmigration through a high-affinity binding with intercellular adhesion molecules (ICAMs) and other ligands [2 3 4 ]. Activating stimuli [e.g., tumor necrosis factor (TNF), interferon {gamma} (IFN-{gamma}), and lipopolysaccharide (LPS)] are known to enhance the adherence of leukocytes to endothelial cells and their accumulation at inflammatory foci by increasing the expression of selectins and/or integrins on monocytes and the counter-receptor on endothelial cells [2 , 5 ]. Moreover, IFN-{gamma} enhances the expression of a variety of surface molecules important in cell-mediated immune responses, including major histocompatibility complex (MHC) class I and II antigens, B7, cytokine and immunoglobulin (Ig)-Fc receptors [5 6 7 8 ].

CD38 is a type II transmembrane glycoprotein widely used as a marker to study T and B lymphocyte activation and differentiation: Resting T and B cells are CD38-, and thymocytes and activated lymphocytes are CD38+ [9 ]. The molecule is also expressed constitutively on mature plasma cells, natural killer (NK) cells, and resting monocytes [10 ]. These differences in the cellular expression of CD38 reflect important regulatory functions of the molecule on activation and/or proliferation processes. CD38 ligation by specific MoAb triggers calcium mobilization, cell proliferation, and cytokine release in T, B, and NK cells [11 12 13 ]. CD38 ligation has contrasting effects on B-lineage cells preventing apoptosis in mature B cells and inhibiting the growth of the specific precursors [14 15 16 ]. CD38 also has a role in regulating cell-to-cell interactions, as shown by the observation that T-lymphocyte adhesion to human umbilical vein endothelial cells (HUVEC) is blocked by CD38 MoAb binding [17 ].

CD38 ligation by specific MoAbs is believed to mimic events triggered by the binding with a natural ligand. Indeed, one CD38 ligand (CD38L) has been identified as a 130-Kd protein that corresponds to CD31, a well-characterized adhesion molecule highly expressed on endothelial cells and, to a lower extent, on T, B, and NK cells, monocytes, and platelets [18 ].

As predicted based on its homology with the ADP-ribosyl cyclase isolated from the Aplysia californica [19 ], CD38 acts as an ectoenzyme; an extracellular domain present in murine and human CD38 mediates the hydrolysis of NAD+ and the synthesis/hydrolysis of cyclic ADP-ribose (cADPR) [20 21 22 23 ]. This function is endowed with relevant biological implications, because cADPR regulates calcium release from intracellular stores through an independent pathway. cADPR formation and calcium mobilization are important signaling events that regulate several cellular activities including lymphocyte proliferation, activation, and adhesion [10 , 20 , 24 ].

The purpose of the present investigation was to determine if CD38 expression on peripheral blood monocytes and monocytic cell lines is modulated by cytokines or other agents, such as LPS, involved in the regulation of monocytic functions. The results obtained show that IFN-{gamma}, but not LPS, up-regulates surface expression of CD38. Increased expression of CD38 following IFN-{gamma} activation is paralleled by a proportional increase in ectoenzymatic functions. In addition, the adhesion of IFN-{gamma}-activated monocytes to endothelial cells is reduced after CD38 ligation by specific MoAb. These results indicate that CD38 plays important roles in the activation and adhesion processes of monocytes.


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MATERIALS AND METHODS
 
Monocyte isolation
Peripheral blood mononuclear cells were prepared by using gradient centrifugation (Lymphoprep; Nycomed, Oslo, Norway) of buffy coats obtained from the local blood bank. Monocytes were obtained from mononuclear cells by centrifugation on a discontinuous (46%) gradient of iso-osmotic (285 mOsmol) Percoll (Pharmacia Fine Chemicals, Uppsala, Sweden). Monocytes (90% pure as assessed by the nonspecific esterase) were activated by culturing 3 ml of a cell suspension (1x106 cells/ml) in RPMI 1640 complete medium (see Cell Lines).

Cell lines
U937 (a promonocytic tumor cell line), THP-1 (a monocytic cell line), and HL-60 (a promyelocitic cell line; American Type Culture Collection, Manassas, VA) were cultured in RPMI 1640 containing penicillin (100 U/ml), streptomycin (100 U/ml), L-glutamine (2 mM), HEPES (20 mM; Sigma Chemical Co., St. Louis, MO), and 10% fetal calf serum (FCS; HyClone Laboratories, Logan, UT; hereafter referred to as RPMI 1640 complete medium). The acute leukemia monocytic cell line Mono-Mac-6 (German Collection of Microorganism and Cell Cultures, Braunschweig, Germany) was maintained in complete medium supplemented with 1 mM sodium pyruvate and 9 µg/ml bovine insulin (Sigma).

Cytokines and reagents
LPS (from Escherichia coli 0111: B4) was purchased from Sigma. Human recombinant interleukin-4 (rhIL-4), IL-2, granulocyte-macrophage colony-stimulating factor (GM-CSF), TNF-{alpha}, IFN-{gamma}, IL-10, and IL-13 were obtained from PeproTech (Rocky Hill, NJ). TGF-ß was purchased from Genzyme (Boston, MA).

Antibodies
Anti-HLA class I (O1.65, IgG2a), anti-CD38 (IB4, IgG2a), anti-CD31 (Moon-1, IgG1) [25 ], anti-HLA class II (Ab2.9, IgG1), anti-CD19 (CB19, IgG1), and anti-CD11a (Ab8.28, IgG1) JAS (anti-gp 120) were used as isotype-matched IgG control. MoAbs were produced and purified in the laboratory. The F(ab')2 fragmentation of the IB4 MoAb was obtained, as previously described [12 ]. Goat F(ab')2 anti-mouse Ig, FITC-labeled (GAMIg-FITC), was obtained from Southern Biotechnology Associates, Inc. (Birmingham, AL).

Flow cytometry analysis
Cells for indirect immunofluorescence (IIF) tests were collected, washed twice with phosphate-buffered saline (PBS) containing 1% bovine serum albumin (BSA), and 0.01% NaN3 and then incubated with MoAbs for 1 h at 4°C. The cells were then washed twice and incubated with GaMIg-FITC for a further 30 min at 4°C. After incubation, the samples were washed twice and resuspended in PBS containing 0.01% NaN3, and at least 10,000 viable cells were analyzed on a FACSort (Becton-Dickinson, Rutherford, NJ).

Enzymatic activity assays
NGD+ (Sigma), a NAD+ analogue previously shown to be a convenient substrate of ADP-ribosyl cyclase activity [26 ], was used to assay surface-cyclase activity as shown elsewhere [27 ]. Treated and untreated cells were rinsed with PBS and counted after trypan blue staining. Cells (2x105) were incubated at 37°C in 0.2 ml PBS, 5 mM glucose, and 0.3 mM NGD+. At various incubation times (0-, 30-, 60-, 120-, and 180-min intervals), aliquots were withdrawn, centrifuged, and the cyclic GDP-ribose (cGDPR) content of the supernatants was determined directly by high-pressure liquid chromatography (HPLC) analysis [27 ]. Results were expressed as nanomoles of cGDPR produced by 106 cells/min.

To test cADPR hydrolase activity, the rate of cADPR hydrolysis by intact cells was estimated for the cyclase activity, but the cells were incubated in the presence of 0.2 mM cADPR (Sigma). The amount of ADPR produced in the supernatants obtained at the same times of incubation was determined by HPLC analysis [27 ]. Activities are expressed as nanomoles of ADPR produced by 106 cells/min.

Adhesion assay
A dynamic adhesion assay was used to minimize integrin-mediated adhesion [17 ]. Adhesion was evaluated at 4°C on 24-well plates lying on a rocking shelf to prevent static interactions between cells. Briefly, HUVEC were isolated from segments of normal-term, umbilical-cord veins and cultured to confluence in RPMI 1640 complemented with 10% FCS and containing phorbol 12-myristate 13-acetate (PMA; 5 ng/ml) for 2 days in 24-well plates. HUVEC-coated wells were then washed three times with complete medium. PMA treatment was found to improve significantly the adhesion of HUVEC to the culture wells and reduced the risk of HUVEC detachment during washing in the adhesion assay. Cells to be tested in the adhesion assay were labeled with 50 µl 51Cr (Amersham, Buckinghamshire, UK) for 1 h, washed twice with PBS, and seeded at 5 x 105 cells/well on the HUVEC-coated plates in complete medium in the presence of the appropriate MoAb (10 µg/ml). After 15 min incubation, plates were spun at 800 rpm for 30 sec, laid on a rocking shelf, and incubated for a further 20 min. The experiment was performed at 4°C by working in a cold room, keeping cells on ice, and using cold medium (0.5 ml/well). The wells were then washed gently three times with 1 ml cold, complete medium dispensed with a 10-ml pipette. Bound cells were lysed with 1 ml 2% Triton X-100, and radioactivity was measured using a {gamma}-counter.

The absolute adhesion was calculated as follows: (sample counts - minimal control counts)/(maximal control counts - minimal control counts) x 100.

Minimal control counts were obtained by seeding cells in wells without HUVEC, whereas maximal control counts were obtained by measuring the total radioactivity of the cell aliquots seeded in each well.

The % relative adhesion was calculated as follows: (absolute sample adhesion/absolute control adhesion) x 100, where samples and control adhesion were measured in the presence and absence of the relevant MoAb, respectively.

Statistical analysis
Comparison among treatments was performed by Student’s t-test or by analysis of variance as appropriate. When a difference among multiple treatments was found, the Newman-Keuls, multiple-comparison test was used to identify which of the means was significantly different from the others at the 0.05 significance level.


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RESULTS
 
Regulation of CD38 expression on human monocytes
Monocytes respond to IFN-{gamma} or LPS with phenotypical, functional, and biochemical changes including up-regulation of several genes. Many of the monocyte activities induced by IFN-{gamma} as well as other monocyte activators can be down-regulated by IL-4. In addition, IL-4 induces the expression of selected monocyte-surface antigens including MHC class II and CD23 [5 , 28 29 30 31 ]. To examine whether CD38 could be modulated significantly during activation, human peripheral blood monocytes were cultured for 24 h with medium alone or supplemented with IFN-{gamma} (500 U/ml), LPS (1 µg/ml), IL-4 (100 U/ml), or their combination and then analyzed by flow cytometry for the expression of CD38 and its ligand CD31.

As shown in Figure 1 , CD38 is expressed constitutively by the majority of peripheral blood monocytes; treatment with IFN-{gamma} increased CD38 expression, and IL-4 alone did not influence CD38 expression nor affect the CD38 up-regulation induced by IFN-{gamma}. Other cytokines known as inhibitors of monocyte activation, such as IL-13 (100 U/ml), IL-10 (50 ng/ml), and TGF-ß (100 U/ml), also failed to modulate CD38 expression (unpublished results). IFN-{gamma} treatment did not affect the expression of CD31 significantly, and LPS alone reduced slightly the constitutive levels of CD38 and CD31 on cell surface (Fig. 1) .



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Figure 1. Expression of CD38 on human peripheral blood monocytes. Human peripheral blood monocytes were cultured for 24 h in complete medium (shaded histogram) or in the presence of IFN-{gamma} (500 U/ml), IL-4 (100 U/ml), LPS (1 µ/ml), or their combinations (thick line). CD38 and CD31 expression was analyzed by flow cytometry, using the anti-CD38 MoAb IB4, the F(ab')2 fragment of the IB4, and the anti-CD31 MoAb Moon-1. The thin line indicates the staining with the isotype-matched control. Results are representative of three independent experiments.

We next investigated the effect of IL-2 on CD38 expression, because this cytokine, like IFN-{gamma}, stimulates several monocytic functions [32 ]. Treatment of human monocytes with IL-2 (1000 U/ml) led to a reproducible increase in CD38 expression although smaller than that produced by IFN-{gamma}. Conversely, TNF-{alpha} (100 U/ml) and GM-CSF (100 U/ml) failed to induce any CD38 modulation (Fig. 2 ).



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Figure 2. Effects of IFN-{gamma}, IL-2, TNF-{alpha}, and GM-CSF on CD38 expression on human peripheral blood monocytes. Peripheral blood monocytes were cultured for 24 h with IFN-{gamma} (500 U/ml), IL-2 (1,000 U/ml), TNF-{alpha} (100 U/ml), or GM-CSF (100 U/ml) and stained with IB4 MoAb using IIF. Percent variation of CD38 expression after exposure to the different cytokines is shown in comparison with monocyte cultured in complete medium, represented by the horizontal line. Results are representative of three independent experiments.

Taken together, these results suggest that the up-regulation of CD38 is not a general consequence of monocyte activation but is induced specifically by IFN-{gamma} and IL-2, both produced by activated T cells.

CD38 expression on myeloid cell lines
Cell lines representing different maturation stages of the myelomonocytic cell lineage were studied for CD38 expression. As shown in Table 1 , CD38 is expressed constitutively in U937, THP-1, and Mono-Mac-6. In all these cell lines, IFN-{gamma} treatment enhanced CD38 expression. In contrast, no induction of CD38 expression was seen after IFN-{gamma} treatment in HL-60, a CD38- myeloid line (unpublished results).


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Table 1. CD38 Expression in Different Myelomonocytic Cell Lines

The increased CD38 expression in response to different doses of IFN-{gamma} was determined after 24 h of treatment of U937 (Fig. 3A ). As little as 5 U/ml IFN-{gamma} was sufficient to produce a 20% increase in CD38 expression, and 500 U/ml IFN-{gamma} induced a 38% increase in the same experiment. The kinetic analysis of CD38 induction on U937 demonstrates that the peak response occurs after 48 h of treatment (Fig. 3B) . Similar results were obtained with human peripheral blood monocytes and THP-1 (unpublished results).



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Figure 3. Dose-response and time-response curves of IFN-{gamma} effects on CD38 expression. U937 were cultured with complete medium alone or with the indicated amount (U/ml) of IFN-{gamma} for 24 h (A). (B) Cells were treated with IFN-{gamma} (500 U/ml) for the indicated times. Cells stained with IB4-FITC MoAb were analyzed by FACSort, gating for viable cells, and acquiring 10,000 events. Results are representative of three independent experiments.

IFN-{gamma} increases the CD38 ectoenzymatic activities in monocytes and monocytic cell lines
As CD38 expression is associated with ADP-ribosyl cyclase and cADPR hydrolase-ectoenzyme activities [20 , 24 , 33 ], we asked if the de novo-expressed CD38 maintains the catalytic properties of the native glycoprotein. NGD+ is a convenient substrate to study the formation of compounds cyclized by CD38, because it is converted into cyclic GDP ribose, which is not a substrate of CD38 hydrolase activity [26 , 27 ]. Human monocytes, THP-1, and U937 treated with IFN-{gamma} (500 U/ml) showed increased cyclase activity compared with untreated cells (Fig. 4 ). As shown for THP-1 in Figure 5 , increased cADPR hydrolase activity was also detected upon treatment with IFN-{gamma}, and the increment of both activities paralleled the induction of CD38 membrane expression as measured by flow cytometry. Similar results were obtained with human monocytes, U937, and Mono-Mac-6 (unpublished results). These findings suggest that the peculiar, bifunctional, enzymatic characteristics of CD38 in the de novo-expressed glycoprotein are maintained upon IFN-{gamma} treatment.



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Figure 4. Levels of cyclase-ectoenzyme activity in untreated and IFN-{gamma}-treated monocytic cells. Peripheral blood monocytes (A), THP-1 (B), and U937 (C) cells treated for 48 h with complete medium alone (solid bar) or with IFN-{gamma} (500 U/ml; open bar) were incubated for 2 h at 37°C with 0.3 mM NGD+ as described in Materials and Methods. Aliquots of the incubation medium were removed, and their cGDPR content was determined by HPLC. Results are expressed as the means of triplicates ± SD.



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Figure 5. Level of cyclase and hydrolase activities after IFN-{gamma} treatment of THP-1 parallels CD38 expression. Following 48 h incubation in complete medium alone or with IFN-{gamma} (500 U/ml), THP-1 were assayed for GDPR cyclase and cADPR hydrolase activities and for CD38 cell-surface expression as detailed in Materials and Methods. Log x mean fluorescence is represented by lines, and histograms represent cyclase (A) and hydrolase (B) activities. Results are expressed as mean ± SE of three different experiments. *, Significant increase P < 0.05.

CD38 is involved in monocyte adhesion to HUVEC upon exposure to IFN-{gamma}
The next step was to attribute a functional role to the observed up-modulation of CD38 on monocytes. In view of the known relevance of CD38/CD31 interaction in lymphocyte/endothelial adhesion, we evaluated the effects of monocyte treatment with IFN-{gamma} on cell adhesion to HUVEC. Assays were performed in conditions that minimize the integrins-mediated adhesion and allowed to detect the adhesion mediated by CD38 [17 ]. The adhesion between peripheral blood monocyte and HUVEC is potentiated by treatment with IFN-{gamma}: Similar effects were seen using Mono-Mac and U937 lines (Fig. 6 ). The contribution of CD38 and CD31 to the adhesion was tested by performing blocking experiments with specific MoAbs. As expected, monocyte, Mono-Mac, and U937 adhesion to HUVEC was inhibited by MoAbs to CD38 or CD31, but the inhibition was increased significantly for cells treated with IFN-{gamma} (percent inhibition was 42%, 60%, and 70% with anti-CD38 and 41%, 55%, and 70% with anti-CD31 for monocytes, Mono-Mac, and U937, respectively) compared with untreated cells (percent inhibition was 14%, 36%, and 30% with anti-CD38 and 12%, 30%, and 42% with anti-CD31 for monocytes, Mono-Mac, and U937, respectively). Further adding to the specificity of the event is the observation that control MoAbs to CD11a and HLA class II did not interfere with the adhesion process.



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Figure 6. Effect of anti-CD38 on dynamic adhesion to HUVEC by monocytes, Mono-Mac-6 cells, and U937 cells. Monocytes, Mono-Mac, and U937 were cultured in complete medium alone (solid bar) or with IFN-{gamma} (500 U/ml; open bar) for 24 h and incubated on HUVEC in the absence (control) or presence of anti-CD38, anti-CD31, anti-CD11a, and anti-HLA-DR MoAbs. Results are expressed as relative adhesion % (see Materials and Methods) and represent the mean ± SE of three different experiments. The cell adhesion displayed by untreated cells in the absence of MoAbs (control) is 100% relative adhesion and corresponds to a mean absolute cell adhesion (i.e., the percentage of seeded cells that were bound to the cell-coated plates, see Materials and Methods) of 20% for monocytes, 23% for Mono-Mac cells, and 21% for U937 cells. *, Significant inhibition P < 0.05.


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DISCUSSION
 
Activated Th1 lymphocytes secrete large amounts of IFN-{gamma} and IL-2 that activate monocytes by increasing tumoricidal and microbicidal activities and other functions related to antigen presentation [5 , 32 ]. Our results indicate that IFN-{gamma} up-regulates constitutive CD38 expression on peripheral blood monocytes and monocytic cell lines. In addition, we demonstrate that IL-2 treatment of monocytes increases CD38 expression, although to a lesser extent than IFN-{gamma}. Conversely, other monocyte activators such as LPS do not affect CD38 expression by monocytes, thereby suggesting that the observed up-regulation is not a general consequence of monocyte activation but is induced specifically by IFN-{gamma} and IL-2. Other cytokines, such as IL-4, IL-13, or IL-10, known to counteract IFN-{gamma}-mediated activation of monocytes, failed to influence in any way the constitutive expression of CD38 or to affect the up-regulation of the molecule induced by IFN-{gamma} [29 30 31 ].

On the basis of our observation that IFN-{gamma} enhances CD38 expression by monocytes, we analyzed whether CD38 was involved in functional activities regulated by this cytokine, such as monocyte-endothelial cell interactions. Previous studies demonstrated that lymphocyte rolling on endothelial monolayers is in part mediated by interaction of CD38 with its ligand CD31 expressed on the surface of endothelial cells [17 ]. Because we found that the increase of dynamic adhesion induced by IFN-{gamma} was inhibited by MoAbs directed against CD31 or CD38, it is reasonable to hypothesize that these molecules may increase low-affinity interactions of circulating monocytes with endothelium, enhancing monocyte extravasation to the tissues.

The specific role of IFN-{gamma} in CD38 induction is supported by the identification of three interferon-responsive elements (IRF-1) in the CD38 promoter [34 ]. Analysis of cell-surface expression of CD38 in myelomonocytic cell lines such as HL-60, U937, and THP-1, representative of distinct steps of myeloid differentiation, revealed that IFN-{gamma} up-regulates CD38 expression on cells that are already committed toward monocyte differentiation (e.g., U937, THP-1, Mono-Mac-6) but does not induce CD38 on the promyelocytic line HL-60 [35 ].

The different outcome of CD38 expression following IFN-{gamma} treatment also recurs in other cell types responsive to the cytokine, such as T and B lymphocytes [33 , 35 ]. IFN-{gamma}, endowed with a potent ability to up-modulate CD38 in B cells, has indeed no influence on the expression of this molecule in activated T cells [10 , 36 ]. A likely interpretation of this observation is that the IFN-{gamma}-signaling pathway ruling CD38 induction can be controlled differently in different cells depending on other transcription factors that are specific to these cell types.

The extracellular portion of CD38 encompasses a domain acting as ectoenzyme and controlling synthesis and hydrolysis of cADPR, a universal second messenger that mediates mobilization of Ca2+ independently from inositol trisphosphatase (IP3) [20 , 21 , 37 , 38 ]. We observed that the up-regulatory effects mediated by IFN-{gamma} on CD38 expression are paralleled by simultaneous increases of cyclase and hydrolase activities, suggesting that IFN-{gamma} was inducing the expression of a fully functional molecule.

The role of CD38 in vivo is still a matter of debate, as well as its role as ectoenzyme in a milieu where NAD+ is present in amounts close to nil. Moreover, a link between the enzymatic and receptorial functions is still missing. Although Zocchi et al. [39 ] showed that CD38 activation and internalization could result in increased, intracellular concentrations of cADPR, other data point to a vision where receptor and enzyme operate in a dichotomous fashion [40 ]. The modalities through which CD38 delivers its messages are also a matter of fierce controversies, because of the intrinsic inability of the molecule to transduce signals via its short cytoplasmic domain. A possible explanation is that CD38 signals by exploiting other molecules specialized in signaling such as CD3 in T cells, BCR in B lymphocytes, and CD16 in NK cells [41 42 43 ]. The candidate molecules associated with CD38 in monocytes are Fc{gamma}RII and HLA class II [44 ]. In fact, it has been shown recently that human CD38 may cooperate with MHC class II by acting as co-receptor in superantigen-induced activation [45 ]. Moreover, the role of CD38 as transducing molecule in monocytes is supported by the study that CD38 stimulation in monocytes results in regulation of their functional response to respiratory-burst activators such as formyl-Met-Leu-Phe (fMLP) [46 ]. In addition, CD38 triggering in macrophage or monocytic cell lines increases cytokine release and enhances antigen-presentation ability by increasing cell-surface expression of MHC class II and B7 [12 , 47 ].

Our observation that IFN-{gamma} induces enhancement of CD38 expression leads us to speculate that IFN-{gamma} stimulation of monocytes may affect other functional activities involving CD38, such as antigen presentation or T-cell activation. In addition, our findings suggest that the effect of IFN-{gamma} in the up-regulation of CD38/CD31 interaction may play a critical role during extravasation of monocytes from vessels in conditions such as bacterial infections or autoimmune diseases characterized by the prevalence of Th1 cells [48 , 49 ].


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ACKNOWLEDGEMENTS
 
This work was supported partly by grants from Second National Project on "Tuberculosis" (to T. M.) and "AIDS", Istituto Superiore di Sanità, Rome, Italy; Telethon (Rome, Italy); AIRC (Milan, Italy); and Biotechnology (MURST/CNR; to F. M.). The Compagnia di SanPaolo, Cariverona, and Ghirotti Foundations along with the Regione Piemonte provided valuable financial contributions (to F. M.). L. C. and S. D. are students of the Postgraduate School of Clinical Pathology and of Medical Oncology, University of Turin, Turino, Italy, respectively.

Received July 27, 2000; revised December 5, 2000; accepted December 6, 2000.


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