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(Journal of Leukocyte Biology. 2001;69:622-630.)
© 2001 by Society for Leukocyte Biology

Adenoviral gene delivery can inactivate Kupffer cells: role of oxidants in NF-{kappa}B activation and cytokine production

Michael D. Wheeler, Shunhei Yamashina, Matthias Froh, Ivan Rusyn and Ronald G. Thurman

Laboratory of Hepatobiology and Toxicology, Department of Pharmacology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

Correspondence: Michael D. Wheeler, CB# 7365 Mary Elllen Jones Building, Chapel Hill, NC 27599. E-mail: wheelmi{at}med.unc.edu


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Kupffer cells play a significant role in the pathogenesis of several liver diseases; therefore, a potential therapeutic strategy would be to inactivate the Kupffer cell with a gene-delivery system. Although recombinant adenovirus provides robust, transgene expression in parenchymal cells, whether adenovirus transduces Kupffer cells is unclear. Thus, the purpose of this study was to evaluate this possibility. In animals infected with adenovirus, Kupffer cells were identified positively to express adenoviral transgenes by immunohistochemical techniques and Western blot analysis, indicating that Kupffer cells are transduced in vivo. Indeed, isolated Kupffer cells were transduced in vitro with recombinant adenovirus in a dose-dependent manner. Moreover, adenoviral transduction of Kupffer cells was blocked by inhibitors of {alpha}Vß5 integrin, the co-receptor for adenovirus binding, supporting the hypothesis that adenovirus transduces Kupffer cells via an {alpha}Vß5 integrin-dependent mechanism. Indeed, it is shown here that Kupffer cells express {alpha}Vß5 integrins. In a functional assay, infection of isolated Kupffer cells with adenovirus containing superoxide dismutase or I{kappa}B{alpha} super-repressor blunted LPS-induced nuclear transcription factor kappa B (NF-{kappa}B) activation and tumor necrosis factor {alpha} (TNF-{alpha}) production but not IL-10 production. Moreover, superoxide production was blocked by expression of superoxide dismutase. These data support the hypothesis that LPS-induced NF-{kappa}B activation and TNF-{alpha} production in Kupffer cells are oxidant-dependent. These findings suggest that Kupffer cell-targeted approaches may be a potential therapeutic strategy against many inflammatory diseases including early alcohol-induced liver injury.

Key Words: alpha V beta 5 integrins • TNF-{alpha} • superoxide dismutase • I{kappa}B{alpha}


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Kupffer cells play a significant role in the pathogenesis of several liver diseases such as alcohol-induced liver injury, endotoxemia, and primary nonfunction following organ transplantation, in part through the production of toxic cytokines [1 2 3 4 ]. Therefore, if inactivation of Kupffer cells through anti-inflammatory genes were possible, potential new therapies could be developed. The approach of gene delivery using recombinant adenoviruses provides transient, robust transgene expression in hepatocytes and many other cell types; however, whether Kupffer cells can be transduced by adenovirus remains unknown.

Recent evidence indicates that blood monocytes/macrophages can be induced by the growth factor granulocyte-macrophage colony-stimulating factor (GM-CSF) to express alpha V beta 5 ({alpha}Vß5) integrin [5 ]. Moreover, the {alpha}Vß5 integrin acts as a co-receptor with the coxsackieadenovirus receptor (CAR). The receptor complex is responsible for adenovirus binding and internalization and is presumed to be expressed on all adenovirus-permissive cell types [6 , 7 ]. Indeed, adenovirus transduced blood monocytes/macrophages following treatment with GM-CSF [8 ].

It is hypothesized that several growth factors such as CSFs (i.e., GM-CSF and G-CSF) are the cell differentiation switches causing blood-derived monocytes to become adherent, fixed-tissue macrophages (e.g., splenic macrophages, alveolar macrophages, and Kupffer cells) [5 ]. In fact, it is well-known that CSFs regulate the maturation and differentiation of bone macrophage-like osteoclast from their monocyte precursors [9 ]. Moreover, mice deficient in the CSF-1 gene had reduced numbers of Kupffer cells and dendritic macrophages markedly, along with a loss of osteoclasts [10 ]. These findings indicate that CSFs are critical growth factors for producing certain macrophage populations, in particular, the Kupffer cells, presumably by causing up-regulation of specific cell-surface adhesion molecules. Thus, it was hypothesized that Kupffer cells express {alpha}Vß5, making them permissive to adenovirus infection.

It is known that activation of Kupffer cells by endotoxin leads to oxidant production through reduced nicotinamide adenine dinculeotide phosphate (NADPH) oxidase [11 ]. It has been hypothesized that oxidants generated by Kupffer-cell NADPH oxidase activate nuclear factor {kappa}B (NF-{kappa}B) directly, causing an increase in tumor necrosis factor {alpha} (TNF-{alpha}) production [12 13 14 15 ]. This may be important in the pathogenesis of alcohol-induced liver injury. This idea is supported by the fact that alcohol-induced injury, as well as TNF-{alpha} production in liver, was reduced in rats treated with Cu/Zn-superoxide dismutase (SOD) delivered via adenovirus [16 ]. Certainly, TNF-{alpha} is critical for pathogenesis, because it was shown recently that TNF receptor-deficient mice were resistant to alcohol-induced liver injury [17 ]. However, which cell types are involved remains unclear. Therefore, recombinant adenoviral vectors containing SOD and I{kappa}B{alpha} super-repressor were used here with isolated Kupffer cells to address the role of oxidant production in activation of NF-{kappa}B and production of TNF-{alpha}. These data support a clear role of oxidants in the activation of NF-{kappa}B and subsequent production of TNF-{alpha} by Kupffer cells. Moreover, the data indicate that adenoviral vectors may be potentially useful, new, therapeutic tools to inhibit Kupffer-cell activation in disease states.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Virus preparation
Recombinant adenovirus containing the transgene for enhanced, green fluorescent protein (Ad.EGFP) or ß-galactosidase (Ad.lacZ) was prepared as described elsewhere [18 , 19 ]. Briefly, the transgene cDNA was subcloned into the adenoviral shuttle-plasmid vector by standard cloning protocols as described by Sambrook et al. [20 ]. Adenoviral plasmids were transfected into the permissive human embryonic kidney (HEK) 293 host-cell line to generate recombinant Ad.EGFP and Ad.lacZ, respectively. Viral stocks containing Cu/Zn-SOD (Ad.SOD1), Mn-SOD (Ad.SOD2), and extracellular SOD (Ad.SOD3) were obtained from the UNC Vector Core (Chapel Hill, NC) and were the kind gift of Dr. Beverly Davidson (University of Iowa, Iowa City, IA). Preparation of adenovirus containing the transgene for hemagglutinin (HA)-tagged I{kappa}B{alpha} super-repressor (Ad.I{kappa}B{alpha}) has been described previously [21 ] and was prepared by the UNC Vector Core. The Ad.I{kappa}B{alpha} is a dominant-negative protein that contains Ser32 -> Ala and Ser36 -> Ala mutations that inhibit phosphorylation and prevent NF-{kappa}B dissociation and translocation into the nucleus. The virus isolates were plaque-purified and propagated in HEK 293 cells, isolated, concentrated, and titered by plaque assay.

Adenoviral infection
Male Sprague-Dawley rats (250–300 g) were infected with adenovirus [1x109 plaque-forming units (pfu)] containing the transgene for HA-tagged Ad.I{kappa}B{alpha} or Ad.EGFP. The virus was diluted in 500 µL 0.9% saline and injected via a tail vein. Kupffer cells were harvested 3 days after viral infection (see below).

Kupffer cell isolation and culture
Kupffer cells were isolated from naïve Sprague-Dawley rats (250–300 g) or rats infected with Ad.EGFP (1x109 pfu) 3 days earlier. Briefly, livers were isolated following pentobarbital anesthesia [60 mg/kg intraperitoneally (i.p.)] and perfused via the portal vein for 10 min with Krebs-Ringer-HEPES buffer containing 115 mM NaCl, 5 mM KCl, 1 mM KH2PO4, 25 mM HEPES, 1 mM CaCl2, and 0.016% collagenase (pH 7.4) followed by 10 min of perfusion with calcium-free buffer containing 0.5 mM EGTA. Liver cells were dispersed by gentle shaking in phosphate-buffered saline (PBS; pH 7.4, 4°C), and the nonparenchymal cell fraction was separated from parenchymal cells by centrifugation through Percoll gradients based on a method developed by Smedsrod and Pertoft [22 ].

Kupffer cells (1x106 cells/ml) were resuspended in Dulbecco’s modified Eagle’s medium (DMEM)-H culture medium containing 10% heat-inactivated fetal bovine serum (FBS), 10 mM HEPES, 100 U/ml penicillin G, and 100 µg/ml streptomycin sulfate, then seeded onto glass coverslips or 24-well plates, and cultured at 37°C in a 5% CO2 atmosphere. After 1 h, nonadherent cells (e.g., endothelial and stellate cells) were removed by replacement with fresh-culture medium. Phagocytosis of 1 µm latex beads was used to verify that these cells are indeed Kupffer cells. Cells were also incubated with resorufin-ß-D-glucoside to detect contaminating hepatocytes [23 ].

Transgene detection
Immunohistochemical staining
Formalin-fixed, paraffin-embedded sections (6 µm) were mounted on glass slides. Sections were deparaffinized and rehydrated and then stained with horseradish peroxidase-conjugated mouse anti-HA-tagged primary antibody (C12A5; Boehringer Mannhiem, Mannheim, Germany) for 30 min or mouse anti-myeloid cell antigen (ED1; Serotek, Raleigh, NC) for 1 h. The immunostaining was visualized using the DAKO immunostaining kit (Dako, Carpinteria, CA). Slides were counterstained with hematoxylin. Primary antibody dilutions were 1:50 for anti-HA tag antibody and 1:250 for anti-myeloid antigen in PBS with 1% Tween-20.

Biochemical detection of ß-galactosidase
Naïve Kupffer cells were isolated and plated in 24-well plates and in DMEM-H containing 10% FBS and cultured for 24 h. Cells were then infected with recombinant adenovirus (0.01–1000 pfu/cell) in the presence of EGTA (2 mM), Gly-P-Gly-Arg-Gly-Asp-Ser-Pro-Cys-Ala (cyclical) (Gibco BRL, Life Technologies, Rockville, MD) peptide (0–2 mg/mL), or P1F6 neutralizing antibody (5 µg/mL) in DMEM-H containing 2% FBS. After 2 h, cells were washed with cold PBS and cultured in fresh DMEM-H containing 10% FBS for 24 h. Cells were washed with cold PBS and then incubated in 250 µL solution containing 5 mM potassium ferricyanide, 5 mM potassium ferrocyanide, 2 mM magnesium chloride, 0.02% Nonidet P-40 (w/v), 0.01% sodium deoxycholate (w/v), and 1 mg/ml 5-bromo-4-chloro-3-indolyl-ß-D-galactopyranoside (X-gal; Sigma Chemical Co., St. Louis, MO) for 1 h at 37°C. Supernatant was collected and centrifuged at 10,000 g to remove debris, and blue color was measured spectrophotometrically at 590 nm.

Measurement of superoxide (O2) production
Kupffer cell O2 production was measured by the SOD-inhibitable reduction of ferricytochrome c [24 ]. Cells were plated in 24-well tissue-culture plates at 106 cells/well and cultured at 37°C for 24 h in DMEM-H with 10% FBS. Cell were then incubated in the presence of adenovirus (10 pfu/cell) containing Ad.lacZ, Ad.SOD1, Ad.SOD2, Ad.SOD3, or Ad.I{kappa}B{alpha} in DMEM-H containing 2% FBS. Cells were incubated in the presence of adenovirus for 2 h and then washed and cultured in fresh DMEM-H containing 10% FBS for 24 h. Supernatant was replaced with Hanks’ balanced saline solution (HBSS) containing Mg2+ and Ca2+ supplemented with ferricytochrome c (0.8 mg/mL, final concentration). Infected Kupffer cells were then stimulated with lipopolysaccharide (LPS; 10 µg/mL). The reduction of ferricytochrome c was measured after 30 min in the presence and absence of purified SOD (85 U/ml). The difference in absorbance of ferricytochrome c, measured at 550 nm, was used to calculate the amount of O2 produced, using a molar-extinction coefficient of 18,500.

Electomobility shift assay
Nuclear extracts were isolated as described by Dignam et al. [25 ] with minor modifications. Binding conditions for NF-{kappa}B were characterized, and electrophoretic mobility shift assay (EMSA) was performed as described elsewhere [26 ]. Briefly, nuclear extracts from Kupffer cells (10 µg) were preincubated 10 min on ice with 1 µg poly (dI-dC) and 20 µg bovine serum albumin (BSA; Pharmacia Biotech, Piscataway, NJ) and 2 µl 32P-labeled DNA probe (10,000 cpm/µl; Cerenkov) containing 1 ng double-stranded oligonucleotide in a total volume of 20 µl. Mixtures were incubated 20 min on ice and resolved on 5% polyacrylamide (29:1 cross-linking) and 0.4 x TBE gels. After electrophoresis, gels were dried and exposed to X-OMAT LS Kodak film. Data were quantitated by scanning autoradiograms with GelScan XL (Pharmacia LKB, Uppsala, Sweden).

Measurement of cytokine release in culture media
Isolated Kupffer cells were cultured and infected with adenoviral vectors as described above. Cells were then incubated with LPS (1 µg/mL) at 37°C for 4 h for TNF-{alpha} or 16 h for interleukin (IL)-10. Standard enzyme-linked immunosorbent assay kits were used to determine levels of TNF-{alpha} (Genzyme, Cambridge, MA) and IL-10 (R&D Systems, Minneapolis, MN) in the culture media.


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Kupffer cells are transduced by recombinant adenovirus in vivo
To address whether Kupffer cells could be infected with adenovirus, animals were infected with recombinant adenovirus (1x1011 pfu/kg), which encoded the HA-tagged I{kappa}B{alpha} super-repressor under the control of the Ad.I{kappa}B{alpha}, which was used in these experiments, because the transgene is fused to an exogenous peptide marker, making detection convenient using HA antibodies. Three days after infection, animals were sacrificed, and liver sections were stained for HA-tagged I{kappa}B{alpha} expression. (Fig. 1A ). Nearly 70% of the parenchymal cells expressed HA-tagged transgene as expected; however, positive staining was also observed in cells in the hepatic sinusoid (i.e., Kupffer cells, hepatic stellate cells, and endothelial cells). In serial sections, Kupffer cells were identified by immunohistochemical analysis using an anti-myeloid, cell-surface antigen (ED1; Serotek) antibody. Many sinusoidal cells, which were positive for the HA-tag epitope, were also stained positive using the ED1 antibody, as indicated by the arrows (Fig. 1A and 1B) .



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Figure 1. Transduction of liver by adenovirus. Serial sections of liver from animals infected with adenovirus contained Ad.I{kappa}B{alpha} and were stained with (A) anti-HA antibodies to demonstrate transgene expression or (B) anti-myeloid cell antigen (ED1) to identify Kupffer cells (400x, original magnification). Arrowheads designate ED1-positive cells, which also express transgene (A and B). (C) Kupffer cells (KC) and hepatocytes (PC) were isolated from animals infected with Ad.lacZ (1x109 pfu). Kupffer cell and hepatocyte homogenates were evaluated for ß-galactosidase expression by Western blot analysis as described in Materials and Methods. Lysate from HEK 293 cells infected with Ad.lacZ was used as positive controls. Data are representative of three individual experiments.

 
To further address whether Kupffer cells are transduced in vivo, Kupffer cells and hepatocytes were isolated from animals infected with Ad.lacZ, and the expression of ß-galactosidase was evaluated by Western blot analysis (Fig. 1C) . Kupffer cells from animals infected with Ad.lacZ expressed ß-galactosidase. Hepatocytes also expressed ß-galactosidase as expected. As controls, extract from Ad.lacZ-infected tissue culture, HEK 293 cells was used. These data clearly indicate that adenovirus transduces Kupffer cells in addition to hepatocytes in vivo.

To quantify the amount of Kupffer cells transduced by adenovirus, recombinant adenovirus containing the transgene for A. victorius-enhanced Ad.EGFP (1x109 pfu) was injected intravenously. Three days after infection, Kupffer cells were isolated, purified, and plated. Positive cells were counted by fluorescent microscopy and expressed as a percentage of the total number of Kupffer cells isolated. About 15% of the Kupffer cells were transduced under these conditions (unpublished results). Thus, Kupffer cells can indeed be transduced by adenovirus in vivo.

Kupffer cells are transduced in vitro by adenovirus
Because Kupffer cells scavenge and phagocytize particles and cellular debris, it could be argued that Kupffer cells in adenovirus-infected animals had taken up cellular debris from infected hepatocytes, and transgene was detected because it had not yet been degraded. To test this hypothesis, Kupffer cells were isolated from naive animals, cultured, and tested for purity using fluorescein isothiocyanate (FITC)-labeled, 1 µm latex-bead uptake (Fig. 2 ). Nearly 100% of the Kupffer cells took up the beads, indicating that the Kupffer cell cultures were viable and free of contaminating cells. Next, Kupffer cell cultures were stained with rusorufin-ß-glucopuranoside, a hepatocyte-specific stain, to test for contamination by hepatocytes (Fig. 2) . No viable hepatocytes were found in Kupffer-cell cultures, indicating that Kupffer cells were isolated and cultured in the absence of parenchymal cells.



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Figure 2. Determination of purity of hepatocytes and Kupffer cells. Cells were isolated, and hepatocytes and Kupffer cells were plated on coverslips and cultured for 24 h as described in Materials and Methods. Cells were then stained with resorufin-ß-D-glucopyranoside (0.1 mM), which labels only hepatocytes. Cells were also incubated with FITC-labeled latex beads (1 µm; Polysciences, Warrington, PA), which are taken up selectively by phagocytes (e.g., Kupffer cells). Staining was then evaluated in situ by fluorescent microscopy using FITC and Texas Red fluorescent filters. Data are representative of three individual experiments.

 
Isolated Kupffer cells were then infected with Ad.lacZ with increasing multiplicity of infection (0.1–1000 pfu/cell) and were cultured for 24 h to allow for the expression of the transgene. To quantitate Kupffer-cell transduction with adenovirus in vitro, ß-galactosidase expression was determined by enzymatic cleavage of the ß-galactosidase substrate X-gal. Kupffer cells expressed ß-galactosidase in a dose-dependent manner with nearly 100% of the Kupffer cells transduced with 100 pfu/cell (Fig. 3A ). These data indicate clearly that Kupffer cells can be transduced in vitro. Moreover, Kupffer cells were transduced in vitro with adenovirus in a dose-dependent manner (half-maximal dose, about 10 pfu/cell).



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Figure 3. Evaluation of Kupffer cells transduction by adenovirus in vitro. (A) Naive Kupffer cells were infected with recombinant adenovirus (0.1–1000 pfu/cell) containing the bacterial reporter ß-galactosidase (Ad.lacZ) for 2 h and then cultured for 24 h. ß-Galactosidase expression was determined by hydrolysis of X-gal colorimetrically as described in Materials and Methods. Data are expressed as mean ± SE and are representative of four individual experiments. Naive Kupffer cells were infected with recombinant adenovirus (10 pfu/cell) containing the bacterial reporter ß-galactosidase (Ad.lacZ) for 2 h in the presence of (B) neutralizing P1F6 antibody (5 µg/mL), or (C) a selective {alpha}Vß5 peptide inhibitor cycloGRGDSPCA (0–2 mg/mL) or control RGE peptide and then cultured for 24 h. ß-Galactosidase expression was determined as described above. Data are expressed as mean ± SE and are representative of four individual experiments. *, p < 0.05; linear regression (A and C) or Student’s t-test (B).

 
Adenoviral transduction is blunted by specific inhibitors of the {alpha}Vß5 integrin
To test the hypothesis that Kupffer-cell transduction by adenovirus is mediated by the cell-adhesion molecule {alpha}Vß5, neutralizing monoclonal antibody P1F6 (Fig. 3B) and specific RGD peptide inhibitors (Fig. 3C) were used. Isolated Kupffer cells were infected with Ad.lacZ (10 pfu/cell) in the presence of P1F6 antibody (Chemicon, El Segundo, CA; 5 µg/mL). Transduction of Kupffer cells was reduced by nearly 80% compared with immunoglobulin G (IgG)-isotype, antibody-treated control cells. Kupffer cells were also infected with adenovirus (10 pfu/cell) in the presence of increasing concentrations of the RGD-peptide inhibitor, cycloSRGDSE (Gibco BRL, Grand Island, NY), which is a selective inhibitor of {alpha}Vß5-integrin binding. Kupffer-cell transduction was inhibited by ~50% with <0.05 mg/ml cycloSRGDSE peptide. Moreover, control peptide Gly-Arg-Gly-Glu-Ser-Pro (Gibco BRL, Life Technologies) had no effect. Further, treatment of Kupffer cells with cytochalasin, a potent, nonspecific inhibitor of phagocytosis/endocytosis, also inhibited adenoviral transduction (unpublished results). These data are consistent with the hypothesis that Kupffer cells are transduced by adenovirus via mechanisms dependent on {alpha}Vß5 integrins. To rule out an alternative hypothesis that adenovirus is taken up nonspecifically by Kupffer cells via phagocytosis, isolated Kupffer cells were incubated in the presence of PIF6 neutralizing antibody or RGD peptide inhibitor and given FITC-labeled latex beads (Fig. 4A ). Kupffer cells took up beads in the presence of {alpha}Vß5 integrin inhibitors, suggesting that inhibition of adenoviral transduction by these agents was not a result of nonspecific inhibition of Kupffer-cell phagocytosis. Conversely, phagocytosis of latex beads was inhibited by pre-treatment with cytochalasin. Collectively, these data demonstrate that adenoviral transduction of Kupffer cells is dependent on {alpha}Vß5 integrins.



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Figure 4. Kupffer cell phagocytosis in not affected by {alpha}Vß5 inhibition. (A) Cells were isolated, and Kupffer cells were plated on coverslips and cultured for 24 h as described in Materials and Methods. (A in A) Cells were incubated with FITC-labeled latex beads (1 µm; Polysciences), which are taken up selectively by Kupffer cells. Cells were also pretreated for 10 min with (B in A) anti-{alpha}Vß5-neutralizing antibody (5 µg/mL) or (C in A) cycloSRGDSE (cRGD) peptide (2 mg/mL; Gibco BRL). For control, cells were treated with cytochalasin D to inhibit phagocytosis (D in A). Latex-bead uptake was then evaluated in situ by fluorescent microscopy using FITC-fluorescent filters. (B) Naive Kupffer cells were cultured for 24 h, washed, and fixed with 2% paraformaldehyde. (A in B) Cells were incubated with FITC-conjugated, anti-mouse IgG secondary antibody alone (A in B) or with antibody specific for the {alpha}Vß5 integrin (anti-{alpha}Vß5 mouse IgG, 1:300) followed by secondary antibody (B in B). Original magnification, 400x.

 
Next, the hypothesis that Kupffer cells express {alpha}Vß5 integrins was tested. Isolated Kupffer cells were immunostained with the F1P6, antibody-specific for {alpha}Vß5 integrin, followed by incubation with a FITC-labeled, anti-mouse antibody (Fig. 4B) . Indeed, Kupffer cells stained positively for the expression of {alpha}Vß5 integrin. Control experiments included incubation with primary antibody alone and secondary antibody alone. No immunofluorescence was detected in either of the control-treatment groups. These data indicate that Kupffer cells indeed express {alpha}Vß5 integrins, making the cells permissive to adenoviral infection and transduction.

Adenovirus encoding SOD and I{kappa}B{alpha} inhibit Kupffer-cell oxidant, NF-{kappa}B, and TNF-{alpha} production
To evaluate the therapeutic value of adenoviral transduction of Kupffer cells and to address the role of oxidants and NF-{kappa}B in cytokine production, cells were isolated and infected with Ad.lacZ (10 pfu/cell) or adenovirus containing the human genes for cytosolic Ad.SOD1, Ad.SOD2, Ad.SOD3, or Ad.I{kappa}B{alpha}, an inhibitor of NF-{kappa}B activation. Twenty-four hours after infection, cells were stimulated with LPS (10 µg/mL), and superoxide was measured 30 min later (Fig. 5A ). Basal rates of superoxide production were not affected by adenoviral infection, and LPS increased superoxide production significantly in uninfected Kupffer cells and cells infected with Ad.lacZ, as expected. However, superoxide production was blunted by nearly 60% in Ad.SOD1- and Ad.SOD2-infected cells and 90% in Ad.SOD3-infected cells. Ad.I{kappa}B{alpha} infection had only minimal effects on LPS-induced superoxide production. Thus, expression of extracellular SOD attenuated the production of superoxide nearly completely, whereas I{kappa}B{alpha} had little effect.



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Figure 5. Kupffer-cell production of superoxide and activation of NF-{kappa}B. (A) Naive Kupffer cells were infected with recombinant adenovirus (10 pfu/cell) containing the bacterial reporter Ad.lacZ, Ad.SOD1, Ad.SOD2, Ad.SOD3, or Ad.I{kappa}B{alpha} for 2 h and then cultured for 24 h prior to experiments as described above. Cells were stimulated with LPS (10 µg/mL), and superoxide generation was measured by the reduction of ferricytochrome c as described in Materials and Methods. Data are expressed as mean ± SE and are representative of three individual experiments [*, p<0.05; **, p<0.01; analysis of variance (ANOVA), followed by Tukey’s multiple comparisons for post-hoc analysis]. (B) Under similar conditions, cells were stimulated with LPS (1 µg/mL) for 1 h, and NF-{kappa}B activation was measured in isolated nuclear extracts by electromobility shift assay as described in Materials and Methods. Data are expressed as the mean ± SE for the increase relative to basal NF-{kappa}B activation. Data are representative of three individual experiments.

 
Activation of NF-{kappa}B was measured 4 h after LPS addition by electromobility shift assay (Fig. 5B) . NF-{kappa}B was activated by LPS nearly fivefold in saline and Ad.lacZ-treated cells. This phenomenon was blunted nearly 50% in Ad.SOD1-infected cells, whereas it was completely inhibited by expression of Ad.SOD2, Ad.SOD3, and Ad.I{kappa}B{alpha}.

LPS-induced TNF-{alpha} production was also evaluated because TNF-{alpha} is pivotal in early alcohol-induced liver disease and several other liver diseases. Ad.SOD1 and Ad.SOD2 infection blunted LPS-induced TNF-{alpha} production by >50% compared with saline and Ad.lacZ-treated cells (Fig. 6A ). Moreover, expression of Ad.SOD3 and I{kappa}B{alpha} inhibited TNF-{alpha} production completely. It is important that attenuation of TNF-{alpha} production correlated positively with inhibition of NF{kappa}B by SOD and I{kappa}B{alpha}. IL-10 production was also evaluated under these conditions (Fig. 6B) . Basal levels of IL-10 (~52 pg/mL) were not affected by adenoviral infection, and LPS caused a significant increase in IL-10 production in saline-treated Kupffer cells as well as Ad.lacZ-treated cells. Overexpression of SOD or I{kappa}B{alpha} had no effect on the LPS-induced increases in IL-10 production.



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Figure 6. LPS-induced cytokine production. Naive Kupffer cells were infected with recombinant adenovirus (10 pfu/cell) containing the bacterial reporter Ad.lacZ, Ad.SOD1, Ad.SOD2, Ad.SOD3, or Ad.I{kappa}B{alpha}. Cells were stimulated with LPS (1 µg/mL) and TNF-{alpha}, and IL-10 production was determined by enzyme-linked immunosorbent assay (ELISA). Data are expressed as mean ± SE and are representative of three individual experiments (*, p<0.05; **, p<0.01; ANOVA, followed by Tukey’s multiple comparisons for post-hoc analysis).

 

    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Kupffer cells are infected by adenovirus
Kupffer cells, the resident hepatic macrophage, are involved in the pathogenesis of several inflammatory diseases, such as early alcohol-induced liver injury [27 ], D-galactosamine toxicity [28 ], liver ischemia-reperfusion [29 30 31 ], endotoxemia [32 ], and primary nonfunction after transplantation [4 ]. Certainly, transduction of Kupffer cells with specific genes could be very useful in treating many diseases involving this important, inflammatory cell type. Indeed, Kupffer cells can be transduced by adenovirus (Figs. 1 and 3) . However, theoretically, Kupffer cells could scavenge proteins from dead hepatocytes, which have been infected with the recombinant adenovirus in vivo, possibly resulting in the detection of transgene in the Kupffer cell. Indeed, Kupffer cells and other phagocytic macrophages are hypothesized to be partially responsible for the rapid loss of adenoviral-transduced cells in many studies [33 ]. However, because Kupffer cells are transduced in vitro (Fig. 3) , it is concluded that Kupffer cells are indeed infected directly and transduced by adenovirus, resulting in the expression of a functional transgene.

Kupffer cells express the adenovirus co-receptor {alpha}Vß5 integrin
Adenovirus transduction is a receptor-mediated process involving the CAR, which is nearly ubiquitously expressed, and {alpha}Vß5 integrins, known as the vitronectin receptors and playing a role in cell adhesion, thus expressed on many stationary cell types [34 ]. Most likely, this explains why adenovirus transduces many fixed-tissue cell types readily but transduces circulating cell types, such as white blood cells, inefficiently [35 ]. Recently, however, it was shown that monocytes, macrophages, and dendritic cells can be induced to express {alpha}Vß5 by GM-CSF and G-CSF, thus making them permissive to adenovirus transduction [8 , 35 ]. Moreover, mice deficient in genes for CSFs lack mature, resident macrophages, particularly Kupffer cells and dendritic cells [10 ]. From these two independent findings, it was hypothesized that mature Kupffer cells expressed {alpha}Vß5 integrins, making them permissive to adenoviral infection. Indeed, selective inhibitors of {alpha}Vß5 function inhibited nearly completely transduction of Kupffer cells by recombinant adenovirus in vitro (Fig. 3) . Moreover, immunofluorescence using antibodies specific for {alpha}Vß5 demonstrated clearly the expression of this integrin on naive Kupffer cells (Fig. 4B) . This is the first study demonstrating that Kupffer cells are permissive to adenoviral transduction as well as providing a plausible mechanism for infection. Although many attempts have been made to infect Kupffer cells with adenovirus, little success has been shown until now. Positive results were obtained, however, in lung macrophages and lymphocytes in vitro [35 ]. Because adenovirus transduction requires the expression of alpha V integrins on the cell surface, it is clear that the isolation procedures and culture conditions are very important [36 ]. The loss of pivotal receptors in isolation or culture may explain why attempts to transduce primary cells in culture have not been successful previously.

Kupffer cells can be inactivated by expression of anti-inflammatory transgenes
Because this work demonstrates that Kupffer cells can be transduced in culture, the possibility that therapeutic transgenes can be introduced to inactivate Kupffer cells in particular inflammatory conditions exists. Recently, it was demonstrated that delivery of Ad.SOD2 by adenovirus reduced ischemia-reperfusion injury in mouse liver [37 ]. Also, adenovirus containing Ad.SOD1 was used to reduce early alcohol-induced liver injury and primary nonfunction following liver transplantation [16 , 38 ]. The fact that recombinant adenovirus transduces a significant number of parenchymal cells is one likely explanation for protection against oxidative stress in these models. However, many studies have implicated Kupffer cells in alcohol-induced liver injury and primary nonfunction [4 , 39 , 40 ]. Based on the observation that Kupffer cells can be transduced in vivo and the findings that SOD and I{kappa}B{alpha} super-repressor blunted activation of Kupffer cells, conclusions should be re-evaluated to include the possibility that inactivation of Kupffer cells with recombinant adenovirus may at least contribute to or be solely responsible for protection against oxidative stress in the liver by genes delivered via adenovirus.

Oxidant-NF-{kappa}B-TNF-{alpha} axis in Kupffer-cell activation
The finding that Kupffer cells are transduced by adenovirus has potentially important implications in terms of inflammatory conditions in vivo but also allows mechanistic questions to be addressed in vitro. For example, it has been hypothesized that Kupffer cells are activated by LPS to generate superoxide through membrane-associated NADPH oxidase [11 , 14 ]. Oxidants are also potent activators of NF-{kappa}B, which drives production of key inflammatory cytokines such as TNF-{alpha} [13 , 15 ]. The LPS-oxidant-NF-{kappa}B-TNF-{alpha} pathway (Scheme 32) is the proposed mechanism for Kupffer-cell production of TNF-{alpha}, which has been shown to be involved critically in several models of liver injury, including early alcohol-induced liver injury [17 , 41 ]. However, this hypothesis has been difficult to address because of the lack of specific antioxidants and inhibitors. Thus, using adenovirus, which contains the transgene for SOD or I{kappa}B{alpha} super-repressor, important mechanistic questions could be addressed definitively. Here, expression of Ad.SOD3 blunted LPS-induced superoxide production completely; whereas, intracellular isoforms of SOD reduced superoxide generation only modestly, and I{kappa}B{alpha} had no effect (Fig. 6) . It is interesting that all SOD isoforms and I{kappa}B{alpha} blocked LPS- induced NF-{kappa}B activation nearly completely and TNF-{alpha} production (Figs. 7 and 8A). Although the signaling pathway between LPS stimulation and activation of NF-{kappa}B is still largely unknown, recent studies have demonstrated that toll-like receptors (i.e., TLR-2/4), which associate with the LPS receptor CD14, can mediate NF-{kappa}B activation presumbly via IL-1 receptor-associated kinase (IRAK), NF-{kappa}B-interacting kinase (NIK), and I{kappa}B kinases (IKKs). However, there have been many recent studies demonstrating several signaling molecules involved in NF-{kappa}B activation including IRAK, IKK, and I{kappa}B{alpha} to be sensitive to changes in the redox state of the cell (reviewed by Bowie and O’Neill [42 ]). Moreover, data presented here are consistent with several studies demonstrating a role of oxidants in NF-{kappa}B activation and cytokine production [43 ]. Conversely, IL-10 production under similar conditions was not affected by overexpression of SOD or I{kappa}B{alpha} (Fig. 6B) . These data suggest that different mechanisms for TNF-{alpha} and anti-inflammatory IL-10 production may exist and support the hypothesis that LPS-induced IL-10 production is independent of NF-{kappa}B as shown recently [44 ]. These data support firmly the hypothesis that LPS increases the generation of oxidants likely via Kupffer-cell NADPH oxidase. Subsequently, oxidants activate NF-{kappa}B, which then drives the expression of TNF-{alpha}. Because NF-{kappa}B also plays a critical role in apoptosis in many cell types, it is reasonable to propose that antioxidant gene delivery may also have pronounced effects on cell survival. Whether inhibition of NF-{kappa}B in Kupffer cells under these conditions plays any role in Kupffer-cell apoptosis is uncertain.



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Figure 7. Working hypothesis. LPS activates Kupffer cells leading to the assembly and activation of NADPH oxidase in the plasma membrane. This produces superoxide, which diffuses readily across the membrane where it activates the transcription factor NF-{kappa}B, which is translocated to the nucleus and drives the expression of several critical inflammatory cytokines, particularly TNF-{alpha}. The expression of SOD decreases superoxide extracellularly or intracellularly. I{kappa}B{alpha} super-repressor binds NF-{kappa}B and prevents its activation even in the presence of oxidants. Thus, blocking superoxide generation with SOD or preventing NF-{kappa}B activation with I{kappa}B{alpha} super-repressor inhibits activated Kupffer cells from producing TNF-{alpha}.

 
Potential clinical application
It has been shown recently that Ad.SOD1 is protective in models of early alcohol-induced liver disease and liver transplantation [16 , 38 ], where Kupffer cells are known to play a role. Indeed, findings presented here suggest that the protective effects of gene delivery of Cu/Zn-SOD in vivo are related to transduction of Kupffer cells. Because Kupffer cells are involved critically in many liver diseases, development of specific Kupffer cell therapies would be an interesting approach. Indeed, adenovirus may be a useful tool in facilitating Kupffer cell-specific therapies by providing expression of particular therapeutic transgenes such as SOD or I{kappa}B{alpha} under the control of Kupffer cell-specific promoters. Whether this concept will provide therapeutic effects is not known, but it clearly demonstrates a potential application. It is important that the potential of developing new Kupffer cell-specific therapies for many inflammatory conditions, such as alcohol-induced liver injury, endotoxemia, and primary organ nonfunction, exists.


    ACKNOWLEDGEMENTS
 
The authors thank Julie Verobiov and Charlotte Walters of the Immunotechnologies Cor of the UNC Center for Gastrointestinal Biology and Disease (NIH DK 34987) for their assistance with the measurement of TNF-{alpha} and IL-10.

Received April 11, 2000; revised November 14, 2000; accepted November 16, 2000.


    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
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