Journal of Leukocyte Biology Myeloid cells, immune suppression, tumor immunology
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(Journal of Leukocyte Biology. 2001;69:885-892.)
© 2001 by Society for Leukocyte Biology

Combinatorial signals by inflammatory cytokines and chemokines mediate leukocyte interactions with extracellular matrix

Gayle G. Vaday*, Susanne Franitza*, Hagai Schor*, Iris Hecht*, Alexander Brill*, Liora Cahalon*, Rami Hershkoviz{dagger} and Ofer Lider*


* Department of Immunology, Weizmann Institute of Science, Rehovot 76100, Israel, and
{dagger} Department of Internal Medicine, Meir Hospital, Kfar Saba, Israel

Correspondence: Ofer Lider, Ph.D., Department of Immunology, Weizmann Institute of Science, Rehovot 76100, Israel. E-mail: ofer.lider{at}weizmann.ac.il


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 REFERENCES
 
On their extravasation from the vascular system into inflamed tissues, leukocytes must maneuver through a complex insoluble network of molecules termed the extracellular matrix (ECM). Leukocytes navigate toward their target sites by adhering to ECM glycoproteins and secreting degradative enzymes, while constantly orienting themselves in response to specific signals in their surroundings. Cytokines and chemokines are key biological mediators that provide such signals for cell navigation. Although the individual effects of various cytokines have been well characterized, it is becoming increasingly evident that the mixture of cytokines encountered in the ECM provides important combinatorial signals that influence cell behavior. Herein, we present an overview of previous and ongoing studies that have examined how leukocytes integrate signals from different combinations of cytokines that they encounter either simultaneously or sequentially within the ECM, to dynamically alter their navigational activities. For example, we describe our findings that tumor necrosis factor (TNF)-{alpha} acts as an adhesion-strengthening and stop signal for T cells migrating toward stromal cell-derived factor-1{alpha}, while transforming growth factor-ß down-regulates TNF-{alpha}-induced matrix metalloproteinase-9 secretion by monocytes. These findings indicate the importance of how one cytokine, such as TNF-{alpha}, can transmit diverse signals to different subsets of leukocytes, depending on its combination with other cytokines, its concentration, and its time and sequence of exposure. The combinatorial effects of multiple cytokines thus affect leukocytes in a step-by-step manner, whereby cells react to cytokine signals in their immediate vicinity by altering their adhesiveness, directional movement, and remodeling of the ECM.

Key Words: chemokines • cytokines • cytoskeleton • metalloproteinase • T lymphocytes


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 REFERENCES
 
Inflammation is marked by the transendothelial migration of leukocytes from vascular circulation into a microenvironment termed the extracellular matrix (ECM), which may be specialized among different organs and tissues. In addition to serving as a structural scaffold composed of macromolecules [e.g., fibronectin (FN), collagen, laminin, and heparan sulfate proteoglycans] to support cell adhesion and tissue integrity, the ECM functions as a reservoir for a myriad of inflammatory mediators, including cytokines and chemokines. Growing evidence suggests that various combinations of such mediators, as presented in the context of the ECM, may provide the intrinsic signals needed to direct and coordinate leukocyte adhesion to ECM molecules and migration toward their destined sites. The relationship between ECM and extravasated leukocytes is bidirectional, since activated leukocytes may modify the composition of the ECM by secreting cytokines, which may become ECM bound, and degradative enzymes such as matrix metalloproteinases (MMPs), heparanases, and serine proteases. Moreover, expression of such enzymes may be transcriptionally regulated by cytokines, which may, in turn, be subjected to enzymatic cleavage that yields bioactive cytokine products [1 ]. During different stages of inflammation, various stimuli may cause the composition of ECM to be dynamically altered from a latent form, which undergoes natural turnover, to an activated form containing new combinations of ECM moieties and bound mediators. Together, these dynamic modifications to ECM composition may facilitate leukocyte movement through the ECM by modulating sites for cell adhesion and creating a trail of signals for efficient navigation into target tissues.

To better understand these concepts, our laboratory posed several questions about the regulation of leukocyte interactions with ECM: (1) Do certain ECM-bound proinflammatory cytokines impede leukocyte migration, thus presenting a stop signal, in the presence of a chemoattractant gradient? (2) What are the net effects of two chemokines on leukocyte adhesion and migration through the ECM when both chemokines are encountered either sequentially or simultaneously? (3) Can an individual cytokine influence leukocyte adhesion to ECM glycoproteins in a particular way when encountered alone but in a different way when encountered together with other cytokines? (4) How do combinations of cytokines which are likely to be encountered in inflamed sites either sequentially or simultaneously affect MMP expression by leukocytes?

Herein, we describe the studies undertaken in our laboratory to address these issues. The results provide further evidence that the context of the ECM microenvironment, as encountered by infiltrating leukocytes, provides a fine-tuning of the inflammatory response through alterations in its balance of moieties, degradative enzymes, and bound cytokines or chemoattractants. These molecules guide leukocytes with informational cues as they travel in short trajectories through the ECM network, providing signals for how and in what direction the cells should negotiate their way through the ECM [2 ]. Thus, decision-making processes are largely dependent on the spatial arrangement and combination of inflammatory mediators, for which leukocytes express specific receptors, and the step-by-step encounters made with migrating leukocytes. We further believe that by being active participants in the regulation of ECM deposition and degradation, immune cells help to define the path toward their destined tissue sites, ultimately contributing to the restoration of homeostasis.

FN-associated tumor necrosis factor (TNF)-{alpha}— a stop signal for leukocyte chemotaxis
Although the use of Boyden chambers or transwell chemotaxis units has long been a conventional method of studying cell migration toward chemoattractants, these models are limited in their in vitro simulation of three-dimensional (3-D) movement within the ECM. Analysis of cell migration in 3-D matrices provides not only a means to study the rapid interactions between cell surface receptors and their matrix ligands but also the opportunity to follow cell movements by video microscopy. Several studies have implemented 3-D matrices composed solely of agarose [3 ], collagen [4 5 6 7 8 ], or fibrin [9 , 10 ] to track the movements of leukocytes. However, chemotactic cell migration along gradients of chemoattractants has not been extensively studied in complex ECM-like matrices, particularly using T lymphocytes. Recently, we reported the development of a novel system to track T-lymphocyte chemotaxis in real time, within 3-D ECM-like gels composed of the major ECM glycoproteins collagen type IV, FN, and laminin [11 ]. This system, which uses time-lapse video microscopy, was designed to facilitate the differentiation between random and directional migration of individual T cells in chemokine gradients and the accompanying changes in cell morphology. This type of analysis also enables us to analyze the kinetics of T-cell locomotion and the involvement of adhesion molecules, such as ß1 integrins, and specific signaling pathways by using neutralizing antibodies or compounds. As shown in Figure 1 , the migration chamber contains three depots of ECM which, when connected, form a chemokine gradient [e.g. regulated on activation, normal T expressed and secreted (RANTES)] for T cells to sense and integrate into their movement. Thus, this system represents a useful method for real-time and computer analysis of cell migration, as well as a suitable model to study the combined effects of multiple cytokines or mediators [11 ].



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Figure 1. Scheme of 3-D ECM-like gels for migration assays to analyze the combinatorial effects of TNF-{alpha} and SDF-1{alpha} or RANTES. Drop I contains purified T lymphocytes (150–250 cells), Drop II contains the ECM components either in complex with TNF-{alpha} (250 pg/ml) or not, and Drop III contains either SDF-1{alpha} (150 ng/mL) or RANTES (100 ng/mL) (A). A distance of 1.5 mm separates the adjacent drops. When the drops are connected, a chemoattractive gradient is formed (B), and the migration of the T cells away from the origin is examined in a defined zone by time-lapse video microscopy. •, T cell; {blacktriangleup}, TNF-{alpha}; open stars, SDF-1{alpha} or RANTES. Adapted from references 11 and 16.

 
Since the ECM may, at certain stages of inflammation, contain various combinations of immunomodulatory molecules (e.g., TNF-{alpha} [12 ], interleukin [IL]-2 [13 ], transforming growth factor [TGF]-ß [14 ], and RANTES [15 ]) it is likely that cytokine receptors and ECM-specific integrins expressed on leukocytes cooperatively regulate cell activation, adhesion, and migration. This concept was strongly supported by previous studies demonstrating that TNF-{alpha}, a potent proinflammatory cytokine expressed in high concentrations at inflamed sites, forms complexes with ECM-FN and enhances ß1 integrin-mediated T-lymphocyte adhesion to FN [12 ]. Deposition of TNF-{alpha} into the ECM and its subsequent binding to FN or other ECM moieties could thereby yield highly localized signals that T lymphocytes integrate with other signals as they adapt their activities to the local microenvironment. Indeed, when peripheral-blood T lymphocytes were incubated in wells containing FN that had previously formed a complex with TNF-{alpha}, with or without the addition of other agonists, the bound cytokine augmented the adhesion induced by other agonists, specifically RANTES and stromal-cell-derived factor (SDF)-1{alpha}. In contrast, immobilized TNF-{alpha} alone caused only a marginal increase in T-cell adhesion to FN [16 ]. This suggested that the complex comprising ECM and TNF-{alpha} does not exhibit proadhesive properties by itself but, rather, strengthens ß1-integrin binding to FN.

We postulated that, in addition to its adhesion-strengthening properties, TNF-{alpha} in complex with FN elicits other effects on cell-matrix interactions as T lymphocytes navigate through ECM-containing gradients of chemokines. Thus, the combined effects of FN-bound TNF-{alpha} with those of either chemokine SDF-1{alpha} or RANTES on T-cell migration were examined in the 3-D ECM gel system developed in our laboratory [11 ]. For these experiments, T cells were placed in Drop I, TNF-{alpha} previously formed into a complex with FN was placed in Drop II, and either SDF-1 or RANTES was placed in Drop III, as illustrated in Figure 1 . On connection of the ECM depots to form the chemokine gradient, the migratory pathways of individual T cells were tracked in real time for analysis of cell polarization, as well as random and directional migration. Cell polarization, an early activation-dependent step in cell adhesion and motility, is characterized by the distribution of chemokine receptors to the leading edge of migrating cells, as well as the formation of a rear uropod [17 ]. Although random migration may be defined as nonspecific movements known as chemokinesis, directional migration involves specific locomotion toward a source of chemoattractant.

We found that when TNF-{alpha} (250 pg/mL) was placed in the migratory zone (Drop II), T-cell polarization was altered in a time-dependent manner, shifting to a spherical morphology. Furthermore, when T cells encountered TNF-{alpha} in the migratory zone, random migration also decreased steadily over time. To examine whether such changes in motility evoked by TNF-{alpha} also affect directional migration toward chemokines, CD45RO+ T lymphocytes were placed in Drop I, RANTES (100 ng/mL) or SDF-1{alpha} (150 ng/mL) was added to Drop III, and chemotaxis was analyzed in a migratory zone (Drop II) containing FN and TNF-{alpha} in complex. As expected, in the absence of TNF-{alpha}, directional T-cell migration was induced along the RANTES or SDF-1{alpha} gradients within 60 min of the start of the assay. However, the presence of TNF-{alpha} in the migration zone resulted in nearly complete suppression of directional migration toward the chemokines. Microdynamic analyses indicated marked decreases in both the total distance and vectorial path lengths of individual migrating cells, caused specifically by a stop signal from TNF-{alpha}. Computerized tracking of the pathways taken by individual cells in the migration zone further demonstrated that migration patterns along a chemokine gradient in the presence of matrix-associated TNF-{alpha} were significantly altered. Although a fraction of cells retained their directional migration toward the chemokine gradient, the majority of cells either traveled short distances toward the chemokine before completely stopping or their paths of directional migration were shortened due to the presence of TNF-{alpha}. The stop signal delivered by TNF-{alpha} was found to be dependent on signaling through TNF-{alpha} receptor II but independent of any changes in the expression of chemokine receptors or ß1 integrins [16 ].

This study also highlighted a putative hierarchy in the ability of certain proinflammatory cytokines to serve as stop signals via strengthening of T-cell adhesion. In contrast to TNF-{alpha}, IL-2, another proadhesive and promigratory cytokine involved in inflammation [11 ], did not cause a stoppage effect on T-cell chemotaxis [16 ]. Thus, while both cytokines have been shown to interact with ECM moieties, augment T-cell adhesion to ECM [12 , 13 ], and regulate the expression of chemokine receptors on immune cells [18 ], the ability to influence T cells to stop migrating is clearly specific to TNF-{alpha} but not to IL-2. Moreover, the proadhesive and ECM-binding capacities of cytokines are separately regulated from the ability to deliver such stop signals.

Our findings significantly support the idea that the step-by-step navigation of leukocytes into tissues is regulated by the context of the chemotactic field [3 ]. Combinations of different mediators such as chemokines and cytokines provided the appropriate regulatory signals for determining the ultimate localization of leukocytes. Figure 2 summarizes our observations of how T cells move within ECM-associated chemotactic gradients. These factors likely present checkpoints for leukocytes to integrate specific signals that, taken together as a vector sum, affect cell orientation as well as cell memory, whereas movements are prioritized according to the context of their environment. Not only are the specific combinations important in such regulation, but the concentrations, spatial arrangements, and sequences of presentation also determine the ultimate positioning of a leukocyte by affecting directional migration or random movement or by causing complete arrest [2 , 16 ]. Since TNF-{alpha} delivers a stop signal in a rapid manner (i.e., <60 min), further studies should determine whether such depots of TNF-{alpha} provide other downstream migration-modifying signals, such as expression of cytokines or degradative enzymes after a prolonged time.



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Figure 2. Individual cell tracking in ECM-associated chemotactic fields. Purified human T cells were applied as drops [Drop I (see Fig. 1 legend)] into the migration chamber. The indicated cytokines or chemokines were applied as drops [Drop III (see Fig. 1 legend)]. The shaded circles (C and D) represent the migration zone containing pre-complex-stage TNF-{alpha} in Drop II (see Fig. 1 legend) and a gradient of either TNF-{alpha} (C) or RANTES (D). The migration of individual T cells was tracked after connecting Drops I, II, and III. The starting position is indicated by an open circle in the shape of the cell, and the end position is indicated by an open-ended line. Adapted from reference 16.

 
Combinatorial effects of chemokines on leukocyte adhesion and migration
Extravasated leukocytes encounter and can respond to multiple chemoattractants derived from various cell types within inflamed tissues [19 , 20 ]. Several recent studies have examined the modifying effects of two chemoattractants encountered either simultaneously or sequentially in a migration field [2 , 21 ]. This has led to the postulation that one chemoattractant, such as N-formyl-methionyl-leucyl-phenytalanine, may deliver a dominant signal that either modifies or suppresses cell migration toward another chemoattractant, such as IL-8 or leukotriene B4 [2 , 22 ]. Sequential encounters with different chemoattractants thus present leukocytes with a complex string of signals that are interpreted into cellular maneuvers through the ECM. Despite substantial evidence that supports these concepts, the mechanisms used by multiple chemoattractants during their modulation of leukocyte adhesion or migration are only beginning to be elucidated.

A diverse array of biological characteristics and functions is shared by chemokines, including promiscuous binding to multiple receptors [23 , 24 ], induction of cell adhesion and migration [16 , 25 26 27 ], and binding to ECM moieties [15 ]. Moreover, the binding of one chemokine to its receptor(s) on leukocytes may lead to heterologous desensitization of other receptors and thereby inhibit the binding of a second chemokine [28 ]. The putative role of these characteristics in the regulation of leukocyte navigation led us to preliminarily investigate the combined effects of two chemokines, specifically SDF-1{alpha} and either macrophage inflammatory protein-1ß (MIP-1ß) or RANTES [19 ], on T lymphocyte adhesion to ECM and chemotaxis.

The proadhesive properties of the C-X-C chemokine SDF-1{alpha} or the C-C chemokines RANTES and MIP-1ß, when used alone, have been demonstrated in their induction of T-cell adhesion to ECM and FN [16 , 29 ]. We examined the adhesiveness of T lymphocytes to FN when incubated with dual combinations of these chemokines. T cells were preexposed to either RANTES or MIP-1ß for 30 min, then incubated together with SDF-1{alpha} for 30 min on FN substrates. Analyses of cell adhesion indicated that preexposure to the C-C chemokines (RANTES or MIP-1ß) caused marked abrogations of cell adhesion induced by any of the chemokines alone (i.e., RANTES, MIP-1ß, or SDF-1{alpha}). Such decreases in adhesion were selective and specific to chemokines, since IL-2, which by itself induces T-cell adhesion, had no apparent combinatorial effects when combined with SDF-1{alpha}.

Leukocyte adhesion to ECM components via cell surface molecules is a required and coupled step in leukocyte migration to adjacent inflamed sites, such that modification of cell adhesion often leads to alterations in cellular migration. Chemokines clearly play a significant role in the trafficking of leukocytes into tissues by affecting inflammatory-cell recruitment, adhesion, and migration [30 , 31 ]. The pronounced decrease found in T-cell adhesion in response to two chemokines prompted us to explore the effects of these combinations of chemokines on cell migration through the ECM. Migration assays were performed in transwell chambers containing FN-coated filters. The addition of SDF-1{alpha} (250 ng/mL) to the lower chamber induced peripheral-blood T lymphocytes and CD45RO memory T cells to migrate from the upper chamber through FN and into the chemoattractant area. A coactivating chemokine (e.g., RANTES, MIP-1ß, or SDF-1{alpha}) or cytokine (e.g., IL-2) was placed in both the upper and lower chambers to determine their combined effects with SDF-1{alpha} on T-cell migration. We assumed that placement of the second activator in both the upper and lower chambers did not create another chemotactic gradient. We found that the migration toward SDF-1{alpha} by either peripheral-blood T lymphocytes or memory T cells was significantly reduced in the presence of RANTES, MIP-1ß, or SDF-1{alpha} in both chambers. Similar to our finding that IL-2 had no effect on SDF-1{alpha}-induced cell adhesion, chemotaxis toward SDF-1{alpha} was not affected by IL-2. The antimigratory effects of RANTES and MIP-1ß were not due to an enhancement or interference of SDF-1{alpha}-induced CXC receptor 4 internalization, as found using fluorescein-activated cell sorter analysis. Therefore, the stoppage of T-cell migration or its inhibition by two chemokines corroborated findings that their antiadhesive effects occur, possibly through a cross-regulation or heterologous desensitization of CXC receptor 4 by MIP-1ß or RANTES, independently of receptor internalization [32 ]. Taken together, these results further supported the notion that the combination of mediators encountered by leukocytes transmits complex signals that are integrated into cell navigation.

To evaluate the possible signaling mechanisms involved in RANTES-MIP-1ß inhibition of SDF-1{alpha}-induced adhesion and migration, we focused on the tyrosine kinase Pyk-2 and the mitogen-activated protein kinase extracellular regulated kinase (ERK)-1/2. Pyk-2 is an important participant in the formation of focal contacts, and its phosphorylation is pivotal in the transduction of intracellular signals, including the activation of ERK-1/2 [33 ]. Recent evidence has shown that Pyk-2 is activated upon stimulation with RANTES [34 ]. We examined the phosphorylation and activation of Pyk-2 and ERK-1/2, affected by combinations of RANTES or MIP-1ß with SDF-1{alpha}, in T cells incubated on FN. Whereas SDF-1{alpha} markedly up-regulated phosphorylation of both Pyk-2 and ERK-1/2, the addition of RANTES or MIP-1ß inhibited such activation. These findings thus support the notion that combinations of chemokines have effects on intracellular signaling mechanisms which may differ considerably from the effects of a single chemokine [34 ].

Collectively, these preliminary results lend strong support to the concept that multiple chemokines within inflamed loci selectively and competitively affect each other’s proadhesive and promigratory functions, depending on their concentrations, proximity, and simultaneous or sequential exposure to leukocytes. The redundancy in functions and promiscuous receptor binding among several individual chemokines illustrated that these mediators encompass an extensive range of overlapping bioactivities [23 , 24 ]. Further characterization of the mechanisms regulating such chemokine effects, particularly receptor desensitization and reciprocal downstream signaling events, will be the aim of future studies.

Context-dependent TGF-ß activities: Leukocyte adhesion
Since different inflammatory reactions require various leukocyte effector functions, the components of extracellular matrices and migration zones within inflamed tissues present a mixture of signals necessary for directing leukocyte adhesion and migration into the target locus. Considering the prominent role of cytokines and chemokines in the regulation of leukocyte activities and their abundance in sites of inflammation, it is likely that certain cytokines have differential effects, depending on the context of the microenvironment. Contextual changes may include modifications in the spatial pattern, concentration, kinetics, and, as described thus far, the combination of particular cytokines and ECM moieties. Thus, the whole context may signal a given cytokine to induce certain leukocyte activities or, conversely, to abate certain activities in the onset, peak, or resolution phase of inflammation [1 , 2 , 35 ].

The complexity of such processes is perhaps best illustrated by one of the most versatile and pleiotropic cytokines, namely TGF-ß. Originally described as a growth factor for various cell types, TGF-ß has been found to be a key inflammatory mediator involved in the regulation of many immune cell functions [36 , 37 ]. For example, TGF-ß induces the chemotaxis of mast cells [38 ], monocytes [39 ], dendritic cells [40 ], and neutrophils [41 ]; adhesion of monocytes to FN; and expression of ß1 integrins, MMP-9, and MMP-2 [42 ]. The diversity of these functions underscores the importance of other cytokines that, in various combinations, possibly serve to modify TGF-ß activity.

Although the majority of studies done with TGF-ß have focused on its long-term effects on immune processes, it is reasonable to assume that the cytokine may also rapidly exert its effects. We recently undertook a study to examine the influence of TGF-ß, either alone or together with IL-2 or SDF-1{alpha}, on T-lymphocyte adhesion to FN. Incubation with TGF-ß for 1 h was found to augment T-cell adherence in a VLA-4- and -5-dependent manner. In contrast, combinations of TGF-ß with either IL-2 or SDF-1{alpha}, which by themselves increase T-cell adhesion, resulted in a down-regulation of adhesion. Furthermore, the combinatorial effects of TGF-ß on T-cell adhesion are apparently selective for cytokines, as TGF-ß does not alter T-cell adhesion induced by phorbol esters. These divergent actions of TGF-ß are independent of changes in the cell surface expression of ß1 integrins or cytokine receptors. Changes in the phosphorylation and thus activation of Pyk-2 by TGF-ß may be a potential mechanism for regulation of the dual contrasting effects of TGF-ß on T-cell adhesion to FN. Although TGF-ß alone up-regulates the phosphorylation of Pyk-2, it also inhibits the induction of Pyk-2 phosphorylation by IL-2, and such effects depend on ß1 integrin and TGF-ß receptor II binding.

In summary, TGF-ß appears to function in opposing ways during the regulation of T-cell adhesion to the ECM, depending on the combination of TGF-ß with other cytokines. Its action rapidly induces T-lymphocyte adhesion to the ECM, but it also rapidly inhibits adhesion induced by other cytokines. These findings may have significant meaning in the rapid attachment and detachment process, which is essential during cell migration through matrices [43 ]. These dual functions of TGF-ß also present another example of a combination of signals which, when encountered by leukocytes migrating toward a chemoattractant source, may provide important cell-navigational information. Future studies should concentrate on the regulatory effects of TGF-ß on leukocyte migration in combination with other modulatory cytokines or chemokines.

Context-dependent TGF-ß activities: MMP production
One of the most highly regulated groups of inflammatory mediators secreted by leukocytes is the family of MMPs. Leukocyte extravasation and penetration into tissues during inflammatory episodes is facilitated by MMPs, which have a collective ability to degrade every ECM substrate [35 ]. Considering their significance in numerous inflammatory diseases and pathologies, as well as normal tissue remodeling during development and wound repair, MMP activities demand a high degree of regulation at the levels of activation from zymogenic to active forms, proteolytic activity, and gene transcription. MMP zymogen activation is accomplished by proteolytic conversion by other enzymes, such as plasmin or other active MMPs, and thus, this activation involves a complicated regulatory network of enzymes and inhibitors, including tissue inhibitor of metalloproteinases [44 , 45 ].

Several studies have highlighted the ability of certain cytokines to regulate MMP production by leukocytes [44 , 46 47 48 ]; however, few studies have characterized the effects of combinations of cytokines that cells are more likely to encounter at inflamed sites [49 ]. TGF-ß, in combination with other cytokines or stimuli, can inhibit induction of metalloelastase [50 ], gelatinase [51 ], and collagenase expression [52 ]. The duality of TGF-ß function as either a stimulator or suppressor of leukocyte adhesion, depending on its combination with other cytokines, prompted us to examine TGF-ß effects on MMP production in monocytes. We reasoned that by differentially regulating leukocyte-matrix interactions such as cell adhesion, migration, and MMP secretion, TGF-ß indeed functions as a versatile immunomodulatory agent at multiple steps in inflammation.

Recent findings in our laboratory and others have indicated that soluble TNF-{alpha} and FN-associated TNF-{alpha} stimulate the expression of MMP-9 in human monocytes [1 , 46 , 48 ]. We extended these findings by examining the combinatorial effects of TGF-ß on TNF-{alpha}-induced monocyte MMP-9 expression. Although TGF-ß alone was found to up-regulate the amount of MMP-9 secreted from both peripheral-blood monocytes and the monocytic cell line MonoMac-6, lower doses decreased the basal levels of MMP-9. It is interesting that TGF-ß also markedly reduced TNF-{alpha}-induced MMP-9 gene expression, protein synthesis, and secretion, with a bell-shaped, dose-dependent inhibition optimum at 1 ng/mL. The concentration of TNF-{alpha} used to induce MMP-9 was not a significant factor, as TGF-ß inhibited even the highest concentration of TNF-{alpha} studied (50 ng/mL). We also found that tissue inhibitor of metalloproteinase-1 secretion was unaffected by TGF-ß, indicating that TGF-ß regulation of MMP-9 is independent of modifications to one of the enzyme’s natural inhibitors [53 ].

Many studies have identified the prostaglandin E2 (PGE2)-cyclic AMP (cAMP) signaling pathway as an important mechanism in the regulation of cytokine-induced monocyte MMP expression [49 , 54 55 56 ]. To determine whether this pathway also mediates TGF-ß suppression of MMP-9 secretion, PGE2 secretion was measured from the supernatants of monocytes treated with TNF-{alpha}, TGF-ß, or TNF-{alpha} + TGF-ß. These treatments were also used to study the effects of a specific inhibitor of the PGE2-cAMP pathway, namely indomethacin. Our findings indicated that TGF-ß caused a significant decrease in the amount of PGE2 secreted from control and TNF-{alpha}-treated cells. Moreover, exogenous PGE2 and the cAMP analogue Bt2cAMP restored the blockage effects of both TGF-ß and indomethacin on MMP-9 secretion. Thus, the PGE2-cAMP pathway, as well as the cytokine concentrations and order of encounters with the cells, are elemental components of the signaling network involved in TGF-ß-mediated MMP-9 suppression. Taken together, the results we have described of the combined effects of TGF-ß and TNF-{alpha} on leukocyte-ECM interactions may lead to the study of other combinations of cytokines. Such studies will likely reveal many different modes of regulation of leukocyte activities through an overall dependency on the context of the inflammatory milieu.

Concluding remarks
As leukocytes make their passage from the vascular system into tissues, they encounter an assortment of molecules within the ECM that likely govern their subsequent activities. This mélange of ECM moieties, cytokines, and enzymes seems to engage in important "dialogues" with migratory leukocytes, which ultimately determine the fate of these cells. By presenting intrinsic signals to immune cells, cellular navigation can be controlled in a progressive manner by the ECM microenvironment, whereby each contact with an ECM component or ECM-associated factor may communicate a signal that is integrated through cell surface receptors or adhesion molecules. Through their spatial arrangement, specific ECM signals may mark a trail for incoming leukocytes. Reciprocal cell responses to these signals may, in turn, further alter the environmental composition, through the secretion of modifying enzymes or other mediators of cell-matrix interactions. Perhaps even more remarkable changes in immune cell behavior are brought about by combinations of these signals, which cells may encounter sequentially or simultaneously, in different concentrations, at highly localized sites within their surroundings (Table 1 ). Such signals may dictate, step-by-step, in which direction a cell must orient itself, what enzymes or other mediators the cell must produce to reach its destination, and what effector functions are needed for a specific inflammatory episode [57 ]. As we discuss herein, excellent examples of these scenarios include TNF-{alpha} and TGF-ß, both of which exhibit differential effects such as chemotactic stop signals and MMP induction or suppression, depending on their concentrations, combination with other cytokines, and sequence of encounters with leukocytes. Furthermore, specific subsets of recruited leukocytes may react differently to the same combination of signals within the ECM milieu, thereby providing a fine-tuning of the inflammatory response.


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Table 1. Examples of Combinatorial Effects on Leukocyte Activities

 
Future studies should be aimed at further identifying the combinatorial effects of different inflammatory cytokines and chemokines that are encountered by leukocytes within the ECM. These studies could ultimately yield a system for determining which cytokine in a mixture of cytokines may be a dominant mediator of immune cell activities within the ECM. It seems likely that, in the presence of multiple cytokines, intracellular signaling along certain pathways is crossed, diverted, or halted. Thus, potential topics of study may include the identification of specific intracellular signaling pathways, as well as detailed analyses of cytokine receptor functions affected by certain combinations of cytokines. Not only will a clearer understanding of the regulation of cell-matrix interactions be reached, but the steady stream of findings on cytokines in the context of the ECM may also convey the significance of sending "mixed signals" to immune cells.


    ACKNOWLEDGEMENTS
 
Several studies described in this review were supported by the Israel Science Foundation, founded by The Israel Academy of Sciences, The Robert Koch-Minerva Center for Research in Autoimmune Diseases, and The Center for the Study of Emerging Diseases. G. G. Vaday is the recipient of a Feinberg Fellowship from the Weizmann Institute of Science. S. Franitza is the recipient of the Stifterverband Fellowship fur die Deutsche Wissenschaft, donated by Dr. Alexander Besser-Stiftung and Dr. Rita Besser-Stiftung. O. Lider is the incumbent of the Weizmann League Career Development Chair in Children’s Diseases.

Received December 18, 2000; revised February 8, 2001; accepted February 9, 2001.


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