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(Journal of Leukocyte Biology. 2002;71:339-347.)
© 2002 by Society for Leukocyte Biology

Glutathione redox regulates lipopolysaccharide-induced IL-12 production through p38 mitogen-activated protein kinase activation in human monocytes: role of glutathione redox in IFN-{gamma} priming of IL-12 production

Mitsuyoshi Utsugi*, Kunio Dobashi*, Yasuhiko Koga*, Yasuo Shimizu*, Tamotsu Ishizuka*, Kunihiko Iizuka*, Junji Hamuro{dagger}, Tsugio Nakazawa{ddagger} and Masatomo Mori*

* First Department of Internal Medicine, Faculty of Medicine, School of Medicine, and
{ddagger} Faculty of Health Sciences, Gunma University, Maebashi, Japan; and
{dagger} Basic Research Laboratories, Ajinomoto Co., Kawasaki, Japan

Correspondence: Kunio Dobashi, M.D., Ph.D., First Department of Internal Medicine, Gunma University Faculty of Medicine, School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma, 371-8511, Japan. E-mail: dobashik{at}med.gunma-u.ac.jp


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ABSTRACT
 
We examined whether changes in intracellular reduced (GSH) or oxidized (GSSG) glutathione of human monocytes regulate lipopolysaccharide (LPS)-induced IL-12 production and defined the molecular mechanism that underlies glutathione redox regulation. Monocytes exposed to glutathione reduced form ethyl ester (GSH-OEt) or maleic acid diethyl ester (DEM) increased or decreased the intracellular GSH/GSSG ratio, respectively. LPS-induced IL-12 production and p38 mitogen-activated protein (MAP) kinase activation were enhanced by GSH-OEt but suppressed by DEM. Selective p38 inhibitors showed that p38 promoted GSH-OEt-enhanced IL-12 production. Furthermore, IFN-{gamma} priming increased the GSH/GSSG ratio and enhanced IL-12 production through p38, and DEM negated the priming effect of IFN-{gamma} on p38 activation and IL-12 production as well as on the GSH/GSSG ratio. These findings reveal that glutathione redox regulates LPS-induced IL-12 production from monocytes through p38 MAP kinase activation and that the priming effect of IFN-{gamma} on IL-12 production is partly a result of the glutathione redox balance.

Key Words: immune response • antigen-presenting cell • signal transduction


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INTRODUCTION
 
Interleukin (IL)-12 is a heterodimeric 70-kDa (p70) cytokine composed of two disulfide-linked glycosylated chains of 40 (p40) and 35 kDa (p35), encoded by two distinct genes [1 , 2 ]. This cytokine is mainly produced by monocytes, macrophages, and dendritic cells in response to bacterial products such as lipopolysaccharide (LPS) and intracellular pathogens [1 , 3 ] or upon interaction with activated T cells [4 , 5 ]. IL-12 plays a pivotal role in the regulation of cell-mediated immunity, exerting pleiotropic effect on T cells and natural killer (NK) cells. It also induces the development of T helper (Th) 1 responses, leading to interferon (IFN)-{gamma} and IL-2 production, and has an important role in maintaining the in vivo balance between Th1 and Th2 responses [1 ]. Several investigators have shown that the expression of p40 and p35 in human monocytes is highly regulated and that priming by IFN-{gamma} augments p40 and p35 mRNA expression in response to LPS [6 , 7 ].

Glutathione is the most abundant nonproteinous tripeptide containing a sulfhydryl group in virtually all cells, and it plays a significant role in many biological processes. It also constitutes the first line of the cellular defense mechanism against oxidative injury and is the major intracellular redox buffer in ubiquitous cell types [8 ]. Evidence suggests that the intracellular redox status regulates various aspects of cellular function [9 ]. Although studies have demonstrated that glutathione plays an important role in the initiation and maintenance of T-cell-dependent immune responses [10 11 12 ], little is understood about the relationship between glutathione and immune responses in antigen-presenting cells (APC) such as monocytes, macrophages, and dendritic cells. A recent study demonstrated that the glutathione level in murine APC determines which of the Th1 or Th2 response predominates [13 ]. We also showed that IL-12 production is regulated by the glutathione redox of murine macrophages [14 ]. In human APC, however, the redox regulation of IL-12 production has not been determined.

Many extracellular stimuli elicit specific biological responses through the activation of mitogen-activated protein (MAP) kinase cascades. The MAP kinases constitute an important group of serine/threonine signaling kinases that by modulating the phosphorylation, and hence the activation status of transcription factors, link transmembrane signaling with gene induction events in the nucleus. Three major subgroups of MAP kinases have been characterized in mammalian cells: extracellular signal-regulated kinase (Erk), c-Jun NH2-terminal kinase (JNK), and p38 MAP kinase [15 ]. Although LPS activates all three MAP kinases in monocytes [16 17 18 ], the relationship between the activation of these kinases and the induced cytokine expression remains obscure. Recent studies suggest that LPS activates p38 MAP kinase, which subsequently promotes the induction of IL-12 production in murine APC [19 , 20 ]. Conversely, a redox regulation of signal transduction that may involve glutathione has been suggested [21 ]. In fact, reduced glutathione (GSH) and oxidized glutathione (GSSG) by thiol/disulfide-exchange reactions influence the redox status and activity of redox-sensitive enzymes, including protein kinase and phosphatases [22 ]. However, the relationship between glutathione redox and MAP kinase activity in human monocytes is not still clear.

The present study shows that the intracellular redox balance of the GSH/GSSG ratio regulates LPS-induced IL-12 production through p38 MAP kinase activation in human monocytes. Furthermore, we demonstrate that the enhancement of LPS-induced IL-12 production by IFN-{gamma} priming of human monocytes is, at least in part, a result of the increased intracellular GSH/GSSG ratio leading to the enhanced p38 MAP kinase activation.


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MATERIALS AND METHODS
 
Reagents
Glutathione reduced form ethyl ester (GSH-OEt), maleic acid diethyl ester (DEM), L-buthionine-[S,R]-sulfoximine (BSO), and LPS (from Escherichia coli) were purchased from Sigma Chemical Co. (St. Louis, MO). IFN-{gamma} was obtained from Pepro Tech (Rocky Hill, NJ). Nicotinamide adenine dinucleotide phosphate reduced form (ß-NADPH), 5-5'-dithiobis-2-nitrobenzoic acid (DTNB), and glutathione reductase were obtained from Wako Pure Chemical Industries (Osaka, Japan). To specifically inhibit p38 MAP kinase activity [23 ], SB203580 and SKF86002 were obtained from Calbiochem-Novabiochem Corp. (La Jolla, CA) and dissolved in dimethylsulfoxide (DMSO; Sigma Chemical Co.).

Cell culture/human monocytes
Peripheral blood mononuclear cells (PBMC) were separated from leukocyte concentrates obtained from healthy volunteers by density gradient centrifugation in lymphocyte separation medium (ICN Biomedicals, Aurora, OH). To separate monocytes, PBMC were resuspended in fresh RPMI 1640 medium (Gibco BRL, Life Technologies, Rockville, MD) containing 10% fetal bovine serum (FBS; Equitech-Bio, Ingram, TX; complete medium) and seeded in flat-bottom polystyrene dishes. The cells were incubated for 1 h at 37°C to allow for attachment. Adherent cells consisted of more than 90% of monocytes, as assessed by differential counting on May-Giemsa-stained smears. In some experiments, monocytes were prepared by magnetic cell sorting and biomolecular separation (MACS; monocyte isolation kit; Miltenyi Biotec, Bergisch Gladbach, Germany). No difference was observed between MACS and adherent-purified monocytes with regard to the responses analyzed in this study. Monocytes were cultured in complete medium and maintained in humidified 5% CO2/95% air. For cytokine production, monocytes (2x105/500 µl) were incubated with or without 1000 U/ml IFN-{gamma} for 24 h. The cells were then washed and incubated with or without glutathione modulators in fresh RPMI 1640 medium containing 1% FBS. The cells were washed once again and stimulated with 1 µg/ml LPS in complete medium for 24 h. Thereafter, the cells were sedimented by centrifugation, and the supernatants were stored at -20°C before cytokine quantitation.

THP-1 cells
Human monocytic THP-1 cells (American Type Culture Collection, Rockville, MD) were cultured in RPMI 1640 medium with 4.5 g/l glucose, 10 mM HEPES, 1 mM sodium pyruvate, and 50 µM 2-mercaptoethanol supplemented with 10% FBS and maintained in humidified 5% CO2/95% air. Subconfluent cells were washed and resuspended with in fresh RPMI-1% FBS. THP-1 cells (1x106/500 µl) were incubated with 1.2% DMSO for 24 h, because DMSO enhances the ability of human myeloid cell lines to produce IL-12 [24 ]. Glutathione modulators or IFN-{gamma} were added, and then the cells were washed and stimulated as described above.

Cell exposure to glutathione modulators
To increase cellular GSH, monocytes or THP-1 cells were incubated with GSH-OEt for 4 h at various concentrations (0.05, 0.5, and 5 mM). To deplete cellular GSH, the cells were incubated with DEM (0.6, 6, and 60 µM) for 4 h or BSO (5, 50, and 500 µM) for 24 h [25 ]. Glutathione modulators were added in the presence of 1% FBS to minimize the influence of FBS on cellular GSH. Cell viability determined by trypan blue dye exclusion was always over 90%.

Measurements of intracellular GSH and GSSG concentrations
After incubation with glutathione modulators or IFN-{gamma}, monocytes or THP-1 cells were washed three times with cold washing buffer [0.1 M sodium phosphate, 5 mM ethylenediaminetetraacetate (EDTA), pH 7.5] and immediately thawed in 100 µl lysis buffer (0.1% Triton-X, 0.1 M sodium phosphate, 5 mM EDTA, pH 7.5). Five minutes later, the lysates were acidified with 15 µl of 0.1 N HCl, and protein was precipitated with 15 µl of 50% sulfosalicylic acid. After centrifugation, supernatants were collected for GSH and GSSG assays. The total cellular glutathione concentration was assayed by the GSSG-reductase-DTNB recycling procedure according to Tietze [26 ] as modified by Buchmuller-Rouiller and coworkers [25 ]. GSH was oxidized sequentially by DTNB and reduced by ß-NADPH in the presence of glutathione reductase. Formation of 2-nitro-5-thiobenzoic acid was monitored by comparing the absorbance at 405 nm with that of standard samples of GSH in the lysis buffer. GSSG was assayed according to Griffith [27 ]. Briefly, standard solutions of GSSG or aliquots of samples were supplemented with 2 µl 2-vinylpyridine per 100 µl sample volume. All solutions were adjusted to pH 7.5 with triethanolamine. After a 60-min incubation at room temperature, the assay proceeded as described for total glutathione.

Quantitation of IL-12 (p70), IL-1ß, and IL-8
The concentrations of the heterodimeric form (p70) of IL-12, IL-1ß, and IL-8 in resulting supernatants were measured using commercially available enzyme-linked immnunosorbent assay (ELISA) kits (Quantikine TM, R&D Systems, Minneapolis, MN), according to the manufacturer’s instructions. The assay detected >5 pg/ml IL-12 p70, >1 pg/ml IL-1ß, and >3 pg/ml IL-8.

Preparation of complementary RNA (cRNA) probes
A human IL-12 p40 cDNA fragment containing residues 625–1022 (Gen Bank accession no. M65290) [28 ] and a p35 cDNA fragment containing residues 583–908 (Gen Bank accession no. M65291) [28 ] were amplified by polymerase chain reaction (PCR). The synthesized sense and antisense PCR primers for IL-12 p40 were 5'-GAGTCTGCCCATTGAGGTCAT-3' and 5'-AATTTTCATCCTGGATCAGAACC-3'; those for p35 were 5'-TTTATGAAGACTTGAAGATGTACCAG-3' and 5'-TCAAAGTTTTATAAAAATGACAACGG-3' (Kurabo, Osaka, Japan) [29 ]. The PCR products were fractionated on agarose gels and then cloned into the pGEM-t Easy vector (Promega Corp., Madison, WI). Sequencing analysis (Perkin Elmer Corp. PE Applied Biosystems, Foster City, CA) confirmed the identity of the amplified DNA. Human glyceraldehyde-3-phosphate dehydrogenase (G3PDH) cDNA was cloned as described above, except that a fragment of it containing residues 71–1053 was amplified by PCR using a synthesized primer (5'-TGAAGGTCGGAGTCAACGGATTTGGT-3' sense; 5'-CATGTGGGCCATGAGGTCCACCAC-3' antisense) [30 ]. The cRNA probes for human IL-12 p40 and p35, human G3PDH were synthesized using [{alpha}-32P] UTP (ICN Biomedicals) and T7 RNA polymerase (Promega Corp.).

Northern blot hybridization
Total RNA was extracted from monocytes or THP-1 cells using the TRIzol reagent (Gibco BRL, Life Technologies) in a modification of the acid guanidinium thiocyanate-phenol-chloroform method of Chomczynski and Sacchi [31 ]. Total RNA from 2 x 106 monocytes or 15 µg total RNA from THP-1 cells per lane were size-fractionated by electrophoresis through 1.4% agarose gels containing 0.66 M formaldehyde and transferred overnight in 20x SSC (1x SSC=150 mM sodium chloride and 15 mM trisodium citrate) to Hybond-N membranes (Amersham Pharmacia Biotech, Tokyo, Japan). The RNA was then immobilized by UV irradiation on a UV Stratalinker (Stratagene, La Jolla, CA). After prehybridization, the membrane was hybridized at 60°C overnight in hybridization buffer [50% formamide, 0.2% sodium dodecyl sulfate (SDS), 5% dextran sulfate, 50 mM HEPES, 5x SSC, 5x Denhardt’s solution, and 100 µg/ml denatured salmon sperm DNA] containing a human IL-12 p40 or p35 cRNA probe. The membrane was washed and exposed to X-ray film (Hyperfilm; Amersham Pharmacia Biotech) at -70°C. After detecting IL-12 mRNA, the probes was stripped, and the blots were rehybridized with a control human G3PDH cRNA probe. The mRNA level was quantified by densitometry using NIH Image Version 1.62, and the optical density of the IL-12 p40 and p35 bands was corrected by comparison with G3PDH mRNA in the same blot.

Measurement of p38 MAP kinase and Erk activity
The activity of p38 MAP kinase was measured using commercially available kits (p38 MAP kinase assay kit, New England Biolabs, Beverly, MA), according to the manufacturer’s instructions. In brief, activated p38 MAP kinase was immunoprecipitated from equal amounts of cytoplasmic protein using antiphospho-p38 MAP kinase (Thr 180/Tyr 182) antibody. The in vitro kinase reaction was performed using the immunoprecipitated p38 MAP kinase and activating transcription factor 2 (ATF-2) as the substrate. ATF-2 phosphorylation was measured by Western blotting using antiphospho-ATF-2 (Thr 71) antibody. Erk activity was measured by analyzing Elk-1 phosphorylation as substrate using antiphospho-Elk-1 (Ser 383) antibody by Western blotting according to the manufacturer’s instructions (p44/42 MAP kinase assay kit, New England Biolabs). We normalized cytoplasmic protein contents using the bicinchoninic acid (BCA) protein assay (Pierce, Rockford, IL) and detected the contents of ß-actin in the blots using anti-ß-actin antibody.

Statistical analysis
All values are expressed as mean ± SE. The nonparametric analysis of variance (Kruskal-Wallis method) determined significance among groups. We used the Mann-Whitney U test to analyze significant differences between individual groups, and a value of P < 0.05 was considered significant.


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RESULTS
 
Effects of glutathione modulators on intracellular contents of GSH and the ratio of GSH/GSSG in human monocytes
GSH-OEt is a membrane-permeable compound that quickly increases the intracellular soluble pool of GSH [32 ]. Incubating monocytes for 4 h with 5 mM GSH-OEt promoted a significant increase in the intracellular GSH concentration and the ratio of GSH/GSSG (P<0.05; Table 1 ). In contrast, incubating monocytes for 4 h with 60 µM DEM, which is an electrophilic agent that rapidly depletes intracellular GSH by conjugation via a reaction catalyzed by GSH-S-transferase [32 ], promoted a significant decrease in the GSH concentration and the GSH/GSSG ratio (P<0.05; Table 1 ). In addition, an incubation with 5 mM GSH-OEt and 60 µM DEM negated the effects of glutathione modulators on GSH levels and the GSH/GSSG ratio (Table 1) .


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Table 1. Effects of Glutathione Modulators on Intracellular Contents of GSH and GSSG in Human Monocytes

Effects of glutathione modulators on LPS-induced IL-12 protein production and mRNA expression in human monocytes
IL-12 p70 protein was undetectable in unstimulated monocytes but induced by LPS stimulation (1 µg/ml, 24 h). Figure 1A shows that GSH-OEt significantly and dose-dependently enhanced IL-12 p70 protein production from monocytes stimulated with LPS (P<0.05), whereas DEM caused a dose-dependent inhibition. The production of LPS-induced IL-12 p40 subunit protein was also enhanced by GSH-OEt and inhibited by DEM (unpublished results). Furthermore, 5 mM GSH-OEt and 60 µM DEM together abrogated their own effects on IL-12 p70 production (Fig. 1A) . Neither GSH-OEt nor DEM alone induced IL-12 p70 protein (unpublished results). The production of IL-1ß was similar to IL-12: GSH-OEt significantly enhanced LPS-induced IL-1ß production (P<0.05), whereas DEM inhibited it (Fig. 1B) . Conversely, neither GSH-OEt nor DEM affected LPS-induced IL-8 production (Fig. 1C) .



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Figure 1. Effects of glutathione modulators on LPS-induced IL-12 production in human monocytes. Cells were incubated with GSH-OEt and/or DEM for 4 h and then stimulated with LPS (1 µg/ml) for 24 h. IL-12 p70 (A), IL-1ß (B), and IL-8 (C) proteins in culture supernatants were evaluated by ELISA. Values represent mean ± SE of five experiments. *, P < 0.05 compared with LPS-stimulated monocytes.

At the mRNA level, consistent with protein data, 5 mM GSH-OEt significantly augmented p40 (268%) and p35 (300%) subunit mRNA expression induced by LPS, and 60 µM DEM suppressed p40 and p35 (by 48% and 30%, respectively; Fig. 2A and B). Moreover, 5 mM GSH-OEt and 60 µM DEM together abrogated their own effects on p40 and p35 mRNA expression (Fig. 2A and 2B) . Neither p40 nor p35 mRNA was detectable in unstimulated monocytes (Fig. 2A) .



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Figure 2. Northern blots of the effects of glutathione modulators on LPS-induced IL-12 mRNA expression. (A) Human monocytes were incubated with GSH-OEt (5 mM) and/or DEM (60 µM) for 4 h and stimulated with LPS (1 µg/ml) for 6 h, and then total RNA was extracted and hybridized with human p40 and p35 cRNA probes. The blots were stripped, and then human G3PDH probe was used as a loading control. (B) The mRNA level was quantified by densitometry. The optical density of the p40 (open bars) or p35 (solid bars) mRNA band was corrected for G3PDH, and the results were expressed as a percentage of the value obtained for control (LPS-stimulated monocytes).

IL-12 mRNA expression in THP-1 cells
To gain more insight into the glutathione-dependent expression of IL-12 mRNA, we examined human monocytic THP-1 cells. GSH-OEt dose-dependently augmented the ratio of GSH/GSSG in DMSO-treated THP-1 cells (P<0.05; Fig. 3 B ). Unlike monocytes, DEM did not alter the GSH/GSSG ratio (Fig. 3D) . Therefore, we also examined the effect of BSO, a specific inhibitor of {gamma}-glutamylcysteine synthetase [32 ]. A 24-h incubation with BSO promoted a dose-dependent decrease in the GSH/GSSG ratio (P<0.05; Fig. 3C ).



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Figure 3. Effects of glutathione modulators and IFN-{gamma} on glutathione redox and LPS-induced IL-12 mRNA expression in THP-1 cells. After incubating DMSO-treated THP-1 cells with (A) IFN-{gamma} for 24 h, (B) GSH-OEt for 4 h, (C) BSO for 24 h, and (D) DEM for 4 h, the ratios of GSH/GSSG were determined by enzyme assay. Values represent the mean ± SE of five experiments. Amounts of GSH and GSSG did not differ among control cells in each group. *, P < 0.05 compared with control. (E) Cells were incubated with IFN-{gamma} (1000 U/ml), GSH-OEt (5 mM), BSO (500 µM), and DEM (60 µM) and stimulated with LPS (1 µg/ml) for 6 h, and then total RNA was extracted. The expression of IL-12 p40 mRNA was evaluated by Northern blotting as described in the legend to Figure 2 .

Figure 3E shows that 5 mM GSH-OEt enhanced LPS-induced IL-12 p40 mRNA expression (160%), whereas 500 µM BSO suppressed it (by 73%). It is interesting that 60 µM DEM did not influence IL-12 p40 mRNA expression. P35 mRNA was not induced in any cases (unpublished results).

Effect of IFN-{gamma} on glutathione redox and LPS-induced IL-12 production in THP-1 cells
Intracellular concentrations of GSH were increased in DMSO-treated THP-1 cells incubated for 24 h with IFN-{gamma}, and GSSG levels were decreased, resulting in a dose-dependently increased ratio of GSH/GSSG (P<0.05; Fig. 3A ). Although IL-12 p70 protein was undetectable in DMSO-treated THP-1 cells stimulated by LPS alone, exposure to 1000 U/ml IFN-{gamma} increased LPS-induced IL-12 p70 protein production to a detectable level (10.90±2.29 pg/ml, n=6). In addition, IFN-{gamma} augmented IL-12 p40 mRNA expression (340%; Fig. 3E ) in DMSO-treated THP-1 cells stimulated by LPS.

Effects of IFN-{gamma} in human monocytes and glutathione modulators in IFN-{gamma}-primed monocytes on glutathione redox and LPS-induced IL-12 production
In human monocytes, as in THP-1 cells, IFN-{gamma} (1000 U/ml, 24 h) increased intracellular GSH levels and decreased those of GSSG, resulting in a significantly increased ratio of GSH/GSSG (P<0.05; Table 2 ). Moreover, in IFN-{gamma}-primed monocytes (1000 U/ml, 24 h), GSH-OEt (5 mM, 4 h) increased GSH levels and the GSH/GSSG ratio further (Table 2) . Conversely, incubating IFN-{gamma}-primed monocytes with DEM (60 µM, 4 h) promoted a significant decrease in GSH levels and the GSH/GSSG ratio (P<0.05; Table 2 ) to those in the absence of IFN-{gamma}.


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Table 2. Effects of Glutathione Modulators on Intracellular Contents of GSH and GSSG in IFN-{gamma}-Primed Monocytes

Priming with IFN-{gamma} significantly enhanced LPS-induced IL-12 p70 protein production (P<0.05; Fig. 4A ) as well as the expression of p40 and p35 mRNA (355% and 443%, respectively; Fig. 4B ). Furthermore, 5 mM GSH-OEt increased LPS-induced IL-12 protein production and mRNA expression in IFN-{gamma}-primed monocytes (Fig. 4A and 4B) . Conversely, DEM significantly and dose-dependently inhibited LPS-induced IL-12 p70 protein production (P<0.05; Fig. 4A ) and considerably suppressed LPS-induced p40 and p35 mRNA expression (by 69% and 62%, respectively; Fig. 4B ) in IFN-{gamma}-primed monocytes. DEM negated the priming effect of IFN-{gamma} on LPS-induced IL-12 protein production and mRNA expression. Similarly, LPS-induced IL-1ß production was also enhanced significantly by priming with IFN-{gamma} (P<0.05; Fig. 4C ). Besides, in IFN-{gamma}-primed monocytes, GSH-OEt increased, and DEM (P<0.05) inhibited LPS-induced IL-1ß production significantly (Fig. 4C) and negated the priming effect of IFN-{gamma} on LPS-induced IL-1ß production.



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Figure 4. Effects of IFN-{gamma} in human monocytes and glutathione modulators in IFN-{gamma}-primed monocytes on LPS-induced IL-12 production. Human monocytes were primed with or without IFN-{gamma} (1000 U/ml) for 24 h, incubated with GSH-OEt and/or DEM for 4 h, and then stimulated with LPS (1 µg/ml). (A and C) After 24 h, IL-12 p70 (A) and IL-1ß (C) proteins in culture supernatants were evaluated by ELISA. Values represent mean ± SE of five experiments. *, P < 0.05 compared with LPS-stimulated monocytes. §, P < 0.05 compared with IFN-{gamma}-primed monocytes stimulated with LPS. (B) After 6 h, total RNA was extracted, and expression of IL-12 p40 and p35 mRNA was evaluated by Northern blotting as described in the legend to Figure 2 .

Effects of glutathione modulators and IFN-{gamma} on LPS-induced p38 MAP kinase and Erk activation in human monocytes
p38 MAP kinase is required for LPS-induced IL-12 production in murine APC [19 , 20 ]. Therefore, we investigated whether p38 MAP kinase pathways are involved in LPS signal transduction and whether glutathione modulators and IFN-{gamma} affect LPS-induced p38 MAP kinase in human monocytes. Little or no p38 MAP kinase was activated in unstimulated monocytes (Fig. 5 ). LPS significantly activated p38 MAP kinase, which was maximal at 10 min and sustained for up to 80 min (Fig. 5A) . The activation of LPS-induced p38 MAP kinase was enhanced by GSH-OEt and suppressed by DEM (Fig. 5B) . Furthermore, IFN-{gamma}, which increases the GSH/GSSG ratio, enhanced LPS-induced p38 MAP kinase activation, and DEM negated this effect of IFN-{gamma} (Fig. 5C) . GSH-OEt, DEM, or IFN-{gamma} alone failed to stimulate p38 MAP kinase activation (Fig. 5B and 5C) . In contrast to p38 MAP kinase, LPS-induced Erk activation was not modulated by GSH-OEt or DEM (Fig. 5D) .



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Figure 5. Effects of glutathione modulators and IFN-{gamma} on LPS-induced p38 MAP kinase activation. P38 MAP kinase activity was measured in an in vitro kinase reaction using ATF-2 as substrate and probing for antiphospho-ATF-2 (Thr 71) in Western blots. (A) Human monocytes were stimulated with LPS (1 µg/ml) for the indicated periods. (B) Human monocytes were incubated with GSH-OEt (5 mM; lanes 3 and 4) or DEM (60 µM; lanes 5 and 6) for 4 h and then stimulated with or without LPS for 10 min. (C) Human monocytes were primed with IFN-{gamma} (1000 U/ml; lanes 3–6) for 24 h, further incubated with DEM (60 µM; lanes 5 and 6) for 4 h, and then stimulated with or without LPS for 10 min. (D) Effects of glutathione modulators on LPS-induced Erk activation. Erk activity was measured in an in vitro kinase reaction using Elk-1 as substrate and probing for antiphospho-Elk-1 (Ser 383) in Western blots. Human monocytes were incubated with GSH-OEt (5 mM; lanes 3 and 4) or DEM (60 µM; lanes 5 and 6) for 4 h and then stimulated with or without LPS for 10 min. The corresponding bottom panels are Western blots using anti-ß-actin antibody to demonstrate the equality of cytoplasmic protein contents.

Effects of SB203580 and SKF86002 on LPS-induced IL-12 production in human monocytes
We examined the effect of SB203580, a specific inhibitor of p38 MAP kinase activity, on IL-12 production in monocytes. SB203580 notably inhibited LPS-induced IL-12 p70 protein production (P<0.01; Fig. 6A ). Furthermore, this compound markedly suppressed LPS-induced IL-12 production enhanced by GSH-OEt or IFN-{gamma} (P<0.01; Fig. 6A ). Similarly, SKF86002 significantly attenuated LPS-induced IL-12 production enhanced by GSH-OEt or IFN-{gamma} (P<0.01; Fig. 6B ).



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Figure 6. Effects of SB203580 and SKF86002 on LPS-induced IL-12 production in human monocytes. Human monocytes were cultured with 0.1% DMSO (control vehicle) or 10 µM SB203580 (A) and 0.1% DMSO (control vehicle) or 10 µM SKF86002 (B) for 1 h before stimulation with LPS (1 µg/ml). After 24 h, IL-12 p70 protein in culture supernatants was evaluated by ELISA. In addition, cells were incubated with GSH-OEt (5 mM) for 4 h (lanes 3 and 4) or IFN-{gamma} (1000 U/ml) for 24 h (lanes 5 and 6) before stimulation. Values represent mean ± SE of five experiments. *, P < 0.01 compared with LPS-stimulated monocytes. §, P < 0.01 compared with GSH-OEt-treated monocytes with LPS. #, P < 0.01 compared with IFN-{gamma}-primed monocytes stimulated with LPS.


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DISCUSSION
 
One key finding of the present study was that glutathione redox regulated LPS-induced IL-12 production from human monocytes through p38 MAP kinase activation. Another was that priming with IFN-{gamma} affected the glutathione redox balance and increased the intracellular GSH/GSSG ratio, which was likely to enhance LPS-induced p38 MAP kinase activation and IL-12 production. This is the first study of the redox regulation of IL-12 production and signal transduction in human monocytes.

The modulation of IL-12 production has an important role in controlling the balance between Th1 and Th2 responses [33 ]. A recent study by Peterson et al. [13 ] showed that glutathione depletion in murine APC decreases the production of IL-12 and leads to polarization from the typical Th1 cytokine profile toward Th2 response patterns, suggesting that glutathione levels in APC play a central role in determining which of the Th1 and Th2 cytokine responses predominate during an immune state. We have also shown that IL-12 production was positively or negatively polarized by augmenting or depleting the intracellular contents of GSH in murine peritoneal macrophages by GSH-OEt or DEM, respectively [14 ]. To study the importance of glutathione redox in cellular processes, many investigators have tested the effects of glutathione modulators that increase or deplete intracellular glutathione [13 , 14 , 25 , 34 , 35 ]. In the present study, we used three glutathione modulators, GSH-OEt, DEM, and BSO, and confirmed that GSH-OEt actually increased intracellular GSH and the ratio of GSH/GSSG in human monocytes, and DEM decreased them (Table 1) . Consistent with our previous observation in murine macrophages [14 ], we observed that LPS-induced IL-12 production was controlled arbitrarily by these agents in human monocytes. GSH-OEt enhanced, whereas DEM suppressed, LPS-induced IL-12 p70 protein production as well as the expression of p40 and p35 subunit mRNA (Figs. 1A and 2) . Conversely, LPS-induced IL-8 production was not modulated by GSH-OEt or DEM (Fig. 1C) . In addition, we considered that the inhibitory effect of DEM on LPS-induced IL-12 production was not attributed to DEM toxicity because coexistence of GSH-OEt and DEM negated the effect of DEM on IL-12 production consistent with the glutathione redox balance. Therefore, we suggest that the glutathione redox balance regulates LPS-induced IL-12 production via the expression of p40 and p35 subunit mRNA in human monocytes and that this balance is affected by the intracellular GSH/GSSG ratio. The latter theory is supported by the present study. GSH-OEt increased, and BSO decreased the GSH/GSSG ratio and LPS-induced IL-12 mRNA expression in THP-1 cells, respectively (Fig. 3B 3C and 3E) , but DEM did not alter the GSH/GSSG ratio or influence IL-12 mRNA expression (Fig. 3D and 3E) .

A recent study shows that LPS activates p38 MAP kinase, which promotes IL-12 production in murine macrophages [19 ]. In addition, another study has demonstrated that mice deficient in MKK3, the specific upstream MAP kinase kinase for p38 MAP kinase, have defects in p38 MAP kinase activation and IL-12 production [20 ]. The present study found that LPS is a powerful stimulator of p38 MAP kinase activation (Fig. 5A) and that the selective blockade of this kinase activation inhibited LPS-induced IL-12 production (Fig. 6) , suggesting that p38 MAP kinase activation positively regulates LPS-induced IL-12 production in human monocytes. Furthermore, we demonstrated that GSH-OEt augmented, and DEM suppressed LPS-induced p38 MAP kinase activity (Fig. 5B) , and the selective blockade of this kinase activation markedly abrogated the augmenting effect of GSH-OEt on LPS-induced IL-12 production (Fig. 6) . Conversely, the ERK pathway has also demonstrated to play a role in the control of LPS-induced IL-12 production [19 ]. However, we showed in this study that LPS-induced ERK activation was not modulated by GSH-OEt or DEM (Fig. 5D) . These findings suggest the pivotal role of intracellular glutathione redox on p38 MAP kinase activation in LPS-induced IL-12 production in human monocytes.

Many authors [6 , 7 , 36 37 38 ] have demonstrated that IFN-{gamma} priming of human monocytes increased their ability to produce IL-12. In particular, the priming effect of IFN-{gamma} on p40 gene promotor region has been analyzed in detail [36 37 38 ]. However, there are no studies that glutathione redox is related to the up-regulation of LPS-induced IL-12 production by IFN-{gamma}. In this study, IFN-{gamma} increased intracellular GSH levels and the ratio of GSH/GSSG in monocytes and THP-1 cells (Table 2 and Fig. 3A ), and IFN-{gamma} priming of these cells augmented LPS-induced IL-12 production (Figs. 3E and 4 , A and B) in agreement with demonstrated findings [6 , 7 ] . Moreover, IFN-{gamma} enhanced LPS-induced p38 MAP kinase activity (Fig. 5C) , and the selective blockade of this kinase activation largely inhibited the LPS-induced IL-12 production enhanced by IFN-{gamma} (Fig. 6) . These results agree with the finding that the increased GSH/GSSG ratio enhanced LPS-induced IL-12 production through p38 MAP kinase activation mentioned above. Furthermore, in IFN-{gamma}-primed monocytes, DEM negated the priming effect of IFN-{gamma} on the LPS-induced IL-12 production (Fig. 4A and 4B) and p38 MAP kinase activation (Fig. 5C) , as well as on the GSH/GSSG ratio (Table 2) . In addition, priming with IFN-{gamma} enhanced LPS-induced IL-1ß production as previously shown [39 , 40 ], and this priming effect was enhanced by GSH-OEt and abolished by DEM in accord with the change of the GSH/GSSG ratio (Fig. 4C and Table 2 ). Therefore, we propose that the enhancement of LPS-induced IL-12 production from monocytes by IFN-{gamma} priming is a result of a change in glutathione redox: The increased GSH/GSSG ratio activated p38 MAP kinase and up-regulated IL-12 production. This regulation can be observed in other cells. Recently, we have demonstrated that IFN-{gamma} and IL-4 affect glutathione redox balance, and this balance regulates LPS-induced IL-12 production from human alveolar macrophages [41 ]. However, IFN-{gamma} priming effect on IL-12 production cannot be explained only by the contribution of glutathione redox, because IFN-{gamma} priming dramatically increases IL-12 production despite a mild increase in the GSH/GSSG ratio, and multiple regulatory elements such as nuclear factor-{kappa}B (NF-{kappa}B) [37 ] and F1 complex including Ets-2, IFN-regulatory factor-1 (IRF-1), c-Rel, and Ets-related factors [36 , 38 ] have been implicated in IFN-{gamma} priming on the p40 gene promoter region.

Then the question would arise how the intracellular glutathione redox regulates p38 MAP kinase activation. Recently, Hashimoto et al. [42 ] proposed that tumor necrosis factor {alpha} (TNF-{alpha})-induced p38 MAP kinase activation is inversely regulated by intracellular GSH levels in human pulmonary vascular endothelial cells. The mechanism of this proposal is supported by their findings that reactive oxygen species (ROS) including H2O2, which induced by TNF-{alpha}, stimulate p38 MAP kinase activation and that scavenging of ROS by the increase in intracellular GSH attenuates TNF-{alpha}-induced p38 MAP kinase activation. Conversely, in this paper, we have already demonstrated that intracellular GSH positively regulates p38 MAP kinase activation. Therefore, we consider other mechanisms of glutathione redox regulation of this kinase activation.

Some enzymes that bear an accessible thiol essential for activity can form protein-mixed and intramolecular disulfides by reacting with small disulfide moieties, including those of glutathione, namely GSSG [22 ]. Conversely, GSH, which can reduce a wide variety of disulfides by transhydrogenation, is a major reductant of cellular protein disulfides [22 ]. These enzyme activities depend on protein S-thiolation/dethiolation, i.e., the oxidation of protein sulfhydryls to mixed disulfides and their reduction back to sulfhydryls [43 ]. Therefore, the balance of the reaction from cellular thiol to disulfide, including that of glutathione redox, must be able to regulate the activity of these enzymes [22 ]. Park et al. [44 ] examined whether the MAP kinase superfamily is regulated by the thiol redox mechanism. They showed that selenite, which can oxidize sulfhydryl groups, inhibits the p38 MAP kinase signaling pathways in human embryonic kidney cells. This observation is similar to our finding that the loss of the thiol/disulfide ratio of intracellular glutathione caused by DEM suppresses p38 MAP kinase activation. Hence, we postulate that glutathione redox regulates p38 MAP kinase activation through protein S-thiolation/dethiolation in the p38 MAP kinase signaling pathway, and further research is required to clarify this issue.

The present study suggests that LPS-induced IL-12 production from human monocytes is regulated by the glutathione redox, specifically the intracellular GSH/GSSG ratio, during the mediation of p38 MAP kinase activation and that IFN-{gamma} priming of monocytes leads to an increase in intracellular GSH/GSSG, which probably enhances LPS-induced p38 MAP kinase activation and IL-12 production. IL-12 is a key cytokine that differentiates Th0 from Th1. Therefore, the notion that the glutathione redox balance of APC, e.g., monocytes, macrophages, and dendritic cells, regulates the balance between Th1 and Th2 responses through IL-12 production may not only help explain the differences in "Th1" and "Th2" diseases but also provide a therapeutic option for altering the Th1-Th2 balance in allergic and autoimmune diseases, as well as in other conditions.


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ACKNOWLEDGEMENTS
 
The authors thank Ichiro Naruse, Hideki Hoshino, Osamu Araki, and Masami Murakami (Gunma University, Maebashi, Japan) for their expert technical support and Yukie Murata (Ajinomoto Co., Kawasaki, Japan) for valuable discussion. This work was supported in part by grants (No. 09670466) from the Ministry of Education, Science and Culture, Japan.

Received February 22, 2001; revised June 4, 2001; accepted September 28, 2001.


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