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(Journal of Leukocyte Biology. 2002;71:890-904.)
© 2002 by Society for Leukocyte Biology

Regulation of NRAMP1 gene expression by 1{alpha},25-dihydroxy-vitamin D3 in HL-60 phagocytes

E. A. Roig*, E. Richer*, F. Canonne-Hergaux{dagger}, P. Gros{dagger} and M. F. M. Cellier*

* INRS-Institut Armand-Frappier, Laval, PQ, Canada; and
{dagger} Department of Biochemistry, McGill University, Montréal, PQ, Canada

Correspondence: M. F. M. Cellier, INRS-Institut Armand-Frappier, 531 Bd des prairies, Laval, H7V 1B7, PQ, Canada. E-mail: mathieu.cellier{at}inrs-iaf.uquebec.ca


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS AND DISCUSSION
 CONCLUSIONS
 REFERENCES
 
The natural resistance-associated macrophage protein 1 (Nramp1) is a proton-dependent transporter of divalent metals. We studied NRAMP1 expression during HL-60 differentiation induced by VD and VD agonists. NRAMP1 and CD14 gene expression differed in kinetics of induction, mRNA levels and stability, and response to VD combined with PMA, whereas a combination of VD and IFN-{gamma} induced similar up-regulation. NRAMP1 protein expression paralleled the accumulation of mRNA and was localized in the phagosomal membrane after phagocytosis. A promoter construct extending 647 bp upstream of NRAMP1 ATG showed myeloid-specific transcription in transient transfection assays, which was up-regulated by VD in HL-60. In HL-60 clones stably transfected with this construct, transcription was apparently induced through indirect VD genomic effects, and there was accordance between the levels of reporter transcription and endogenous NRAMP1 mRNA in response to VD but not to IFN-{gamma}. Thus, VD genomic effects stimulate NRAMP1 transcription and protein expression in maturing phagocytes.

Key Words: monocytic differentiation • interferon-{gamma} • Northern blot • immunofluorescence • luciferase reporter gene


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS AND DISCUSSION
 CONCLUSIONS
 REFERENCES
 
The mouse natural resistance-associated macrophage protein (Nramp1) is expressed in the membrane of vacuoles from the late endosome-lysosome compartments of resting macrophages, together with the marker Lamp1 [1 ]. Nramp1 is recruited to the phagosomal membrane after phagocytosis of a particle by mouse macrophages [1 ]. Nramp1 protein influences the maturation of the phagosome containing live mycobacteria [2 ] and contributes directly to control the intracellular replication of Salmonella typhimurium [3 ]. The antibacterial role of Nramp1 could be a result of the extrusion of protons and divalent metal ions such as Mn2+ from the phagosome lumen toward the cytoplasm as a result of the combined electrochemical gradient of the proton, positive and acidic inside the phagosome as a result of V-type ATPases [4 ]. Restricting pathogen access to divalent metal ions such as Mn2+ may impair their intracellular survival and replication [5 ].

Nramp1 was discovered in the laboratory mouse by positional cloning of the genetic factor responsible for innate susceptibility to several intravacuolar parasites such as Mycobacterium spp., S. typhimurium, and Leishmania donovani [6 ]. A recessive point mutation is responsible for inactivation of the encoded protein [7 ]. The human ortholog NRAMP1 was located in a conserved group of synteny at 2q35 [8 ]. NRAMP1 and Nramp1 genes are expressed specifically in the myeloid lineage (monocytes, macrophages, and polymorphonuclear neutrophils) [9 , 10 ], contrasting with their parologous genes NRAMP2 and Nramp2, which are expressed almost ubiquitously and required for iron homeostasis [11 ]. In vitro maturation of human monocytes (Mn) into macrophages is accompanied by NRAMP1 mRNA up-regulation, consistent with mRNA levels in explanted alveolar macrophages that are higher than those found in blood monocytes. The human leukemia cell line HL-60 was shown to be a useful model to study the regulation of NRAMP1 gene expression during experimentally induced granulocytic and monocytic differentiation [9 ].

NRAMP1 gene expression is induced in HL-60 cells treated with the active form of vitamin D [1{alpha}, 25-(OH)2D31{alpha},25-dihydroxyvitamin D3 (VD)], a seco-steroid hormone known to stimulate the production and terminal maturation of bactericidal macrophages. VD is viewed as a general regulator of cell growth, function, and differentiation, because virtually all cells can express the VD receptor (VDR), which acts as a transcriptional regulator in the cell nucleus after binding VD. In vivo, the VD endocrine system is linked to calcium and phosphate metabolism [12 ]. VD is also recognized as a specific regulator of the differentiation and activation of the macrophage. VD influences myelopoiesis, favoring the development of the granulocyte-macrophage colony-forming precursor toward the mononuclear lineage [13 ] and further stimulating the differentiation of monocytes toward the macrophage and osteoclast cell types [12 , 14 ], but not toward monocyte-derived dendritic cells [15 ]. VD also stimulates the phagocytosis and expression of natural defenses by macrophages [16 , 17 ], which could suggest a basis for the positive effects on tuberculostasis shown for this hormone [18 ].

Susceptibility to tuberculosis involves several predisposing genes inherited in a complex manner. Allelic polymorphisms in the VDR gene [19 ] and others at the NRAMP1 locus [20 , 21 ] were associated with mycobacterial diseases. VD deficiency was also correlated with increased risk of tuberculosis [22 ]. In vitro studies indicate that VD pretreatment enhances MN control of the intracellular growth of mycobacteria, and VD action can be reinforced by a combination with interferon-{gamma} (IFN-{gamma}) and tumor necrosis factor {alpha} (TNF-{alpha}) [23 ]. VD, alone or in combination with IFN-{gamma} or TNF-{alpha}, also induces the expression of the inducible nitric oxide synthase (iNOS) and suppresses intracellular growth of Mycobacterium tuberculosis in human monocytes [24 ]. Because VD is an important modulator of macrophage differentiation and activation that could be relevant to tuberculosis resistance, we undertook a study of the kinetics and possible mechanisms controlling NRAMP1 protein expression during VD-induced differentiation of HL-60 cells.

VD mediates its biological activities primarily at the level of gene transcription. The mechanisms of action of VD seem to operate via two independent receptors, the VDR, a member of the family of steroid hormone receptors [25 ], and a cell surface receptor identified as annexin II [26 , 27 ]. The interaction of VD with a particular receptor is determined by the shape of the molecule of VD and conformationally restricted VD analogs enabled to discriminate between genomic (VDR-mediated) and (rapid) nongenomic effects of VD [28 ]. Nongenomic and genomic effects of VD appear required for monocytic differentiation [29 , 30 ]. Rapid (within minutes), nongenomic effects of VD include alterations of ion fluxes (e.g., Ca2+, Cl-) and activation of protein kinase C (PKC) and mitogen-activated protein kinases (MAPK) [12 , 31 ]. In this study, we used the 6-s-cis conformer of VD, 1{alpha},25(OH)2-lumisterol3 (JN), which is unable to bind to VDR, as an agonist of VD nongenomic effects, and the analog 1ß,25(OH)2D3 (HL) as an antagonist of the VD nongenomic effects [27 , 31 , 32 ]. VD genomic effects are mediated by the VDR in homo or heterodimers with other steroids or retinoid receptors and additional transcriptional coregulators [33 ]. Several genes, including the cyclin-dependent kinase inhibitor p21waf1/cip1 and the homeobox transcription factor HOXA10, are targets for VDR-dependent up-regulation in myeloid cells at the onset of VD-induced differentiation [34 ]. In this study, we have used the analogs 20-epi-22-oxa-24a,26a,27a-tri-homo-1,25(OH)2D3 (KH 1060) and [1(S), 3(R)-dihydroxy-20(R)-(5'-ethyl-5'-hydroxy-hepta-1'(E),3'(E)-dien-1'-yl)-9,10-secopregna-5(Z),7(E),10(19)-triene] (EB 1089) as potent agonists of VD genomic effects.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS AND DISCUSSION
 CONCLUSIONS
 REFERENCES
 
Cell lines and culture
The promyelocytic leukemia-derived HL-60 and the macrophage-like histocytic lymphoma U-937 were originally obtained from the American Type Culture Collection (ATCC; Manassas, VA) and were maintained in RPMI 1640 (Life Technologies, Grand Island, NY) containing 10% heat-inactivated fetal calf serum (HyClone, Logan, UT) or the substitute insulin-transferrin-selenium (Life Technologies) for serum-free conditions, 2 mM L-glutamine, 100 U/ml penicillin, 100 µg/ml streptomycin, and 25 mM HEPES, pH 7.4, at 37°C in a 5% CO2 humidified atmosphere. For differentiation, cells were seeded at 3 x 105 cells/mL (2x105 cells/mL for untreated cells). For cells induced to differentiate until day 5, an equal amount of culture medium supplemented with inducers was added on day 3. Final alcohol concentration did not exceed 0.1% in the cultures. Viability was assessed by the Trypan blue exclusion method. Differentiation efficiency was monitored using flow cytometry to follow surface expression of CD14 from day 0 through day 5. All experiments were repeated at least twice.

Differentiation agents
9-cis-Retinoic acid (RA) and all-trans-RA (ATRA; TRC Chemicals, Toronto, Canada) were dissolved in ethanol at 4 x 10-3 M and 2.5 x 10-3 M as stock solutions. Phorbol 12-myristate 13-acetate (PMA) was from Sigma Chemical Co. (St. Louis, MO). 1{alpha},25(OH2)D3 and analogs KH 1060 and EB 1089 were generously provided by Dr. Lise Binderup (Leo Pharmaceutical Products, Ballerup, Denmark). Stock solutions were in isopropanol at 4 x 10-3 M and were stored at -20°C protected from light. Analogs JN and HL were a kind gift of Dr. Anthony Norman from the University of California (Riverside). Stock solutions were in ethanol at 1 x 10-4 M and stored at -20°C protected from light. Actinomycin D obtained from Sigma Chemical Co. was dissolved in 10% ethanol. Recombinant human IFN-{gamma} was obtained from Endogen (Woburn, MA).

Flow cytometric analysis and monoclonal antibodies (mAb)
Phenotypic analysis of cells was performed using mouse mAb detected by fluorescein isothiocyanate (FITC)-conjugated, affinity-purified donkey anti-mouse immunoglobulin G (IgG; Jackson ImmunoResearch, West Grove, PA). The following mAb were used: 3C10 (IgG2b, anti-CD14) and OKM1 (IgG2b, anti-CD11b) from ATCC. Cultured cells (5x105) were harvested, centrifuged, and resuspended in blocking solution [phosphate-buffered saline (PBS)-0.1% bovine serum albumin (BSA) supplemented with 5% donkey or goat normal serum depending on secondary Ab used] for 15 min. A 30-min incubation on ice followed with primary antibody or isotype-matched control (Cedarlane, Canada). This was followed by three washing steps with PBS, and finally with a 30-min incubation with secondary antibody. After washing three times, cells were resuspended in PBS-5% BSA. Ten thousand cells were analyzed considering a viable cell gate as delimited by forward and right-angle light scatter parameters using an Epics flow cytometer (Coulter, Hialeah, FL).

Phagocytosis
HL-60 cells were seeded in poly-D-lysine culture slides (Biocoat, BD-Falcon, Becton Dickinson, Franklin Lakes, NJ) and were exposed to differentiation inducers for 3 or 5 days. Culture medium was replaced by fresh medium containing heat-inactivated Candida albicans (Ca) at a cell:Ca ratio of 1:100. Incubation was at 37°C for 1 h. Following extensive washing steps, preparations were incubated again for 1 h to enable complete phagocytosis. Slides were washed and processed for light microscopy or epi-immunofluorescence as described below.

Immunofluorescence
Cells were allowed to differentiate on culture slides for phagocytosis experiments. Following 20 min fixation in Bouin’s solution, cells were washed extensively, permeabilized for 10 min in 0.1% Triton-X 100 in PBS, washed again in PBS and PBS-100 mM glycine, and blocked for 1 h at room temperature in PBS-1% BSA-20% heat-inactivated donkey or goat serum depending on secondary antibody. Primary antibody was incubated in blocking solution for 16 h at 4°C [rabbit polyclonal serum anti-NRAMP1 (see below, 1/50 dilution)] or for 1 h at room temperature (anti-c-Myc, 1/200 dilution, 9E10; Santa Cruz Biotechnology, Santa Cruz, CA). After washing with PBS-0.5% Tween 20, secondary antibodies were incubated for 1 h at room temperature (donkey R-phyco-erythrin-anti-rabbit, 1/200, Jackson ImmunoResearch; or goat FITC-anti-mouse, 1/400, Sigma Chemical Co.). After washing with PBS-0.5% Tween 20, culture slides were mounted with GelTol (Shandon, Pittsburgh, PA) and examined using a Leitz microscope with a 40x objective (400x magnification). Polyclonal- serum was generated against the N-terminus of human NRAMP1 protein, which was produced as a recombinant antigen fused to the glutathione-S-transferase as described previously [34 ]. The oligodeoxynucleotides 5HF 5'-TCG GAT CCT CAA TGA CAG GTG AC-3' and 5HR 5'-TAG AAT TCG CAG GCT GAA GGT G-3' were used to polymerase chain reaction (PCR)-amplify a fragment of 156 bp using 0.2 unit Taq DNA polymerase (Gibco-BRL, Burlington, Ontario), 1 µM each oligonucleotide, 25 µM dXTP, and 1.25 mM MgCl2 in a 25 µL reaction of 1x reaction buffer supplied by the manufacturer. Plasmid C4 [8 ] was used as template, and 25 cycles were performed (45 s at 94°C, 45 s at 42°C, 45 s at 72°C). The PCR fragment obtained was cloned after digestion with BamHI and EcoRI into the vector pGEX-2 [35 ] and was sequenced with primers 5HF and 5HR. One clone encoding the linker peptide GSS followed by NRAMP1 sequence MTGDK. ... . TFSLR was used to immunize rabbits. The NRAMP1 insert was excised from the pGEX-2 vector and was subcloned into the bacterial expression vector pQE40 (Qiagen, Mississauga, Ontario) to produce a His6-dihydrofolate reductase fusion chimera, which was used to affinity-purify the anti-NRAMP1 polyclonal serum as described previously [11 ]. The specificity of the purified antibody was established by Western blots of crude extracts and crude membrane preparations of transfected cells expressing a NRAMP1-c-Myc-tagged construct as described previously [11 ].

RNA isolation and Northern hybridization
Total RNA was isolated from 107 cells by the guanidine isothiocyanate method (Tri-reagent, Sigma Chemical Co.). Following electrophoresis in 1.2% agarose/formaldehyde gel, RNA was blotted onto GeneScreen + membranes (NEN Life Science Products, Boston, MA) in 20x saline sodium citrate (SSC). After cross-linking with UV, blots were prehybridized overnight at 65°C in 1 M NaCl, 10% dextran sulfate, 1% sodium dodecyl sulfate (SDS), and 200 µg/mL heat-denatured herring sperm DNA. Hybridization probes for NRAMP1 and CD14 genes were as described [9 ] using 2 x 106 cpm/mL hybridization mix. The same blots were probed for glyceraldehyde-3-phosphate dehydrogenase (GAPDH) to assess equal loading per well, using 5 x 104 cpm/mL hybridization mix. Hybridization was performed overnight at 65°C in prehybridation solution containing 2 x 106 cpm/mL denatured [32P]-dCTP-labeled random-primed DNA probe. Membranes were washed one time in 1x SSC, two times with 1x SSC-0.1% SDS-0.02% lauryl sarcosyl, then three times with 0.1x SSC-0.1% SDS-0.02% lauryl sarcosyl. Filters were then exposed to Kodak XAR X-ray films at -70°C with intensifying screens or to a phosphorimaging system (Molecular Dynamics, Sunnyvale, CA).

Construction of human NRAMP1 promoter-Luciferase reporter
Restriction endonucleases were purchased from New England BioLabs (NEB; Mississauga, Ontario), except SacI, BglII, XbaI, and SmaI, which were from Amersham Pharmacia Biotech (APB; Baie d’Urfé, Quebec). Enzymatic reactions were performed following the supplier’s suggested conditions. A 290-bp fragment (base numbering starting at NRAMP1 ATG) was PCR-amplified using as template the 5' promoter region of NRAMP1 gene cloned in plasmid pKSB2-5 [8 ] and the cloned Pfu DNA polymerase (Stratagene, La Jolla, CA) and primers ER1 5'-GGGAGGGGAACAAA GGTCCACT-3' (sense) and ER2 5'-CTGCCxATGGxAAATGCCGACTTCA-3' (antisense). The bases that were mutated to introduce an NcoI cleavage site surrounding the ATG are underlined. PCR conditions included five cycles (45 s at 94°C, 45 s at 55°C, 1 min at 72°C) followed by 25 cycles (45 s at 94°C, 45 s at 60°C, 1 min at 72°C). The PCR product of 290 bp was purified using a microspin S300 HR column (APB), digested with NcoI and ligated with the T4 DNA ligase (APB) to the pGL3 basic vector (Promega, Madison, WI) treated with NcoI and the calf intestine phosphatase (APB). The orientation of the insert was determined by digestion with EagI. One clone corresponding to the promoter fragment in sense orientation showing a sequence identical to the parental DNA was denominated pGL3 NR1S, and another corresponding to the antisense orientation was named pGL3 NR1AS.

A 645-bp promoter construct (pGL3 NR1L) was generated by ligation of three gel-purified fragments using the Geneclean II kit (Bio101, Vista, CA), including a 480-bp fragment produced by digestion of the plasmid pKSB2-5 with EagI and BstY and a 4276-bp EagI-BsrGI fragment derived from pGL3 NR1S and a 661-bp BsrGI-BglII fragment derived from the vector pGL3 basic. Two independent clones giving the expected pattern of restriction fragments after digestion with EagI, PstI, and NcoI were selected.

A shorter construct containing 584 bp of the promoter (pGL3 NR1M) was obtained by digestion of the plasmid pGL3 NR1L with the restriction endonucleases PstI and SacI and was treated with the T4 DNA polymerase (NEB) to produce blunt ends. The fragment of 5327 bp was gel-purified using the Geneclean II kit (Bio101) and self-ligated with T4 DNA ligase (APB). Two independent, resulting clones were verified with the restriction endonuclease BamHI and XhoI, giving the expected fragment of 5323 bp.

The construct pGL3 NR1dL containing a promoter region of 3629 bp was obtained using the 5350-bp NheI-NsiI DNA fragment derived from plasmid pGL3 NR1L and the 3032-bp XbaI-NsiI DNA fragment produced with the plasmid pB2-5. These restriction fragements were gel-purified using QIAquick gel extraction kit (Qiagen) and were ligated with T4 DNA ligase (NEB). The resulting clone was verified with the restriction endonucleases BamHI, BglII, and SmaI, giving the expected fragment of 8382 bp and with PstI, ScaI, and NcoI.

Transient tranfection assays
Large-scale plasmid purifications of all the constructions were performed with the EndoFree MaxiPrep kit (Qiagen) according to the manufacturer’s recommendations. The plasmids containing the luciferase reporter construction are described in the preceding section. The plasmid pXP2 with cytomegalovirus promoter driving the expression of the human growth hormone-coding sequence was a gift from Dr. D. G. Tenen (Harvard Institutes of Medicine, Boston, MA). Electroporations of the HL-60 cell line were performed as described [36 ] with the following modifications: Day 2 (D2) differentiated cells (10-8 M VD and 10-8 M KH or the equivalent volume of solvent alone) were diluted to a concentration of 5 x 105 cells/mL. On D3, cells were electroporated with 19 µg reporter plasmid and 1 µg control pXP2 human growth hormone (hGH) plasmid at 300 V and 975 µF, incubated on ice for 15 min, and resuspended in 9 mL complete RPMI 1640. Cells were incubated at 37°C for 1 h before reincubating in the presence of inducer. Cells were incubated further at 37°C for 3 h before being harvested for luciferase extraction (Promega) and hGH quantification (Roche Diagnostics, Laval, Quebec). The tests were performed according to the manufacturer’s protocols. Jurkat cells were electroporated in conditions similar to those for HL-60 cells. 293-T cells were transfected with cationic lipids according the manufacturer indications (GenePORTER, Gene Therapy Systems, San Diego, CA).

Generation and analysis of stable transfectants
The promoter of the integrative expression vector Sr{alpha} puromycin was removed by partial restriction of the plasmid with EcoRI and HindIII, and the fragment of 4 kb was purified using the QIAquick gel extraction kit (Qiagen). DNA overhangs were filled-in with the T4 DNA polymerase (NEB) in the presence of dXTP. Following ligation with the T4 DNA ligase (NEB), two independent clones verified by restriction with HindIII, SmaI, and BamHI were selected and named Sr{alpha}-. This vector was digested with restriction endonucleases SmaI and BamHI, treated with the calf intestinal phosphatase (NEB), and gel-purified. It was ligated to a 2770-bp DNA fragment, which was gel-purified after digestion of plasmid pGL3 NR1L with endonucleases BamHI, NotI, and AseI. This fragment was ligated in the digested vector Sr{alpha}- using the T4 DNA ligase (NEB). One clone (SrL) giving the expected length when digested with BamHI was sequenced using the primers ER2 and RVp3 (Promega). The plasmid SrL was produced with the EndoFree MaxiPrep kit (Qiagen). The day preceding the electroporation, the cells were washed and resuspended at a concentration of 5 x 105 cells/mL. Cells (1.4x107) were electroporated in the same conditions as for the transient transfection assays with 40 µg undigested DNA, incubated on ice for 15 min, resuspended in 10 mL complete RPMI medium, and incubated at 37°C for 48 h. Viable cells (~4x106) were seeded into 96-well trays at 4 x 104 cells/well in a total volume of 200 µL, and puromycin was added at a concentration of 1.5 µg/mL. After 2 weeks, half the medium was replaced with fresh medium containing puromycin. After 1–3 additional weeks, clones resistant to puromycin were detected in few wells (0.3%) and were amplified separately. Clones were tested by reading luciferase activity before and after differentiation with KH 10-8 M for 3 days, which was monitored by analysis of CD14 expression by flow cytometry and Northern blot. For luciferase assays, cells (2x105-1x106) were washed once with PBS, resuspended in 100 µL reporter lysis buffer (Promega), and then subjected to two freeze-and-thaw cycles. The lysate (20 µL) was used to quantify the luciferase as described in the transient transfection assays. Luciferase activity measured with a luminometer Lumat LB9507 (Berthold, Australia) was normalized with determination of total protein levels in each extract with the BCA-200 protein assay kit (Pierce, Rockford, IL) according to the manufacturer’s protocol. Seven clones were isolated out of five electroporations (frequency, 1x10-7). Of these, three were positive for luciferase expression and named clones HSRL1, HSRL4, and HSRL5.


    RESULTS AND DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS AND DISCUSSION
 CONCLUSIONS
 REFERENCES
 
Kinetics of NRAMP1 gene expression during VD-induced differentiation
CD14, a pattern recognition surface receptor of phagocytes, represents a myeloid cell marker expressed specifically after VD-induced maturation toward macrophages. Induction of monocytic differentiation with VD can be divided in at least two stages with a transient phase of cell proliferation preceding cell-cycle arrest and terminal maturation. CD14 gene expression is induced before the cell-cycle arrest that occurs between 24 and 48 h [37 , 38 ]. Up-regulation of CD14 expression reflects transcriptional activation of the gene [39 ] and has been quantified at the cell surface by flow cytometry to monitor cellular differentiation. HL-60 cells were induced to differentiate in cultures supplemented with 10 nM VD compounds. Kinetic experiments showed that CD14 surface expression was induced after 24 h of treatment (Fig. 1A , VD and No treatment), peaking around 48 h after VD-induced differentiation, and persisted at slightly decreased levels from day 3 to day 5. Parallel accumulation levels were observed for CD14 mRNA by Northern analyses (Fig. 1B , left panel), consistent with the known transcriptional control of CD14 expression during differentiation.



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Figure 1. NRAMP1 is expressed late in the macrophage differentiation program induced by VD. (A) Time-course study of CD14 cell-surface expression by flow cytometry using viable HL-60 cells that were differentiated with 10 nM VD or the genomic agonists KH 1060 and EB 1089 (dark line) and isotype-matched control (thin line). D1, D3, and D5 indicate the time points (days after initiation of differentiation) at which analyses were performed. Histograms display cell numbers (vertical axis) and staining intensity (horizontal axis). (B) Time course of NRAMP1 and CD14 mRNA expression was analyzed by Northern blot at days 1–5 following induction of differentiation. Total RNA was analyzed each day during HL-60 cell differentiation induced with 10 nM VD compound. Expression of the housekeeping gene GAPDH is shown as control for sample loading. Hybridization signals were revealed by autoradiographic exposure with one intensifying screen. The results presented correspond to exposure length of 24 h (NRAMP1), 3 days (CD14), and 17 h (GAPDH).

 
The expression of the NRAMP1 gene followed a distinct kinetic, showing a delay in the induction and the time necessary to reach maximum expression levels (Fig. 1B , left panel). NRAMP1 mRNA accumulation was detected only after 2 days of treatment and persisted until day 5 of differentiation (Fig. 1B , left panel). These results confirmed previous studies, showing a similar pattern of accumulation of NRAMP1 transcript after 6 days of differentiation [8 , 9 ]. Because the levels of NRAMP1 mRNA were relatively low, we tested whether the use of VD genomic agonists, known to induce more potent HL-60 cell differentiation, would increase NRAMP1 signal. HL-60 cells were treated with the agonists EB and KH, which are known to affect VDR dimerization [40 ] and transcriptional activity differentially [41 ]. VD genomic agonists stimulated CD14 mRNA and protein expression to higher and more sustained levels than those obtained with the same concentration of VD (Fig. 1A and 1B) . NRAMP1 mRNA accumulation was also induced more efficiently by KH and EB, beginning at day 2 and increasing progressively until day 5 of differentiation. This indicated that compared with CD14, NRAMP1 expression is restricted to the later stages of macrophage differentiation, thus seeming more similar in kinetics and expression levels to other functional markers such as CD11b [38 ]. Similar results were obtained with HL-60 cells cultured in serum-free conditions (unpublished results). Assuming that CD14 gene transcription is stimulated in the first hours after induction of differentiation with VD in HL-60 cells [34 ], the results obtained for NRAMP1 suggested the gene could be activated more tardily. For instance, NRAMP1 promoter might not be accessible to VDR as a result of the chromatin conformation in undifferentiated cells; alternatively the NRAMP1 gene may not be under the direct control of VDR, representing a secondary target that is activated later in the monocytic differentiation process induced with VD genomic analogs.

Cooperative effects of VD genomic agonists and IFN-{gamma} stimulate NRAMP1 gene expression
VD and IFN-{gamma} can exert additive effects on macrophage activation for bacteriostatic functions [42 ] and on monocytic differentiation of HL-60 cells [43 ]. Because IFN-{gamma} is a key immunoregulatory cytokine required for tuberculostasis [23 ] and up-regulates the autocrine production of VD by tissue macrophages [44 ], we analyzed the effect of the combination of IFN-{gamma} and VD compounds on NRAMP1 gene expression.

IFN-{gamma} alone is a poor inducer of HL-60 differentiation and CD14 cell-surface expression when compared with VD (Fig. 2A ). However, the combination of IFN-{gamma} with VD genomic agonist EB strongly stimulated cell-surface expression of CD14 (Fig. 2A) . Figure 2B shows strong up-regulation of CD14 mRNA for the combination of EB and IFN-{gamma} and little accumulation after stimulation with IFN-{gamma} alone, thus indicating that CD14 cell-surface expression levels reflected mRNA accumulation levels. Determination of NRAMP1 mRNA levels in the same conditions revealed a very similar pattern of up-regulation, with high levels for the combination of the VD genomic agonist EB and IFN-{gamma}, followed by the combination of VD compounds, then VD alone, and low NRAMP1 levels for cells induced only with IFN-{gamma}. Hence, NRAMP1 and CD14 genes were similarly up-regulated in response to the combination of EB and IFN-{gamma}.



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Figure 2. IFN-{gamma} cooperates with EB 1089 to up-regulate NRAMP1 mRNA accumulation. (A) Analysis of CD14 surface expression by viable cells after 3 days of differentiation induced with various treatments combining VD compound (10 nM) and IFN-{gamma} (100 U/ml): No treatment (NT), VD, IFN-{gamma}, EB 1089, VD EB 1089, IFN-{gamma} EB 1089. (B) Quantification of CD14 and NRAMP1 mRNA expression levels detected by Northern blot after signal digitalization using a PhosphorImager. (C) Determination of NRAMP1 (top), CD14 (middle), and GAPDH (bottom) mRNA stability in HL-60 cells differentiated for 3 days with KH 1060 and further treated with actinomycin D for the time indicated. mRNA levels were detected by Northern analysis.

 
To further understand the regulation of NRAMP1 gene expression, the half-life of the mRNA was determined by Northern blot and phosphorimaging (Fig. 2C , top). Because NRAMP1 transcript levels were very low in the first days following induction of differentiation, cells that had been treated for 3 days with the genomic agonist KH were used for treatments with the RNA synthesis inhibitor actinomycin D. As a control, the t1/2 of CD14 mRNA was measured and estimated at approximately 2 h (Fig. 2C , middle), in agreement with a previous determination in VD-treated THP-1 cells [39 ]. The housekeeping gene GAPDH exhibited a much longer t1/2 in the range of 6 h (Fig. 2C , bottom), whereas the t1/2 of NRAMP1 mRNA was estimated at 4 h (Fig. 2C , top).

Together, the results indicate that NRAMP1 and CD14 mRNA have different kinetics and turnover of expression. The combination of VD genomic agonist and IFN-{gamma} had similar cooperative effects on NRAMP1 and CD14 gene expression, despite their different regulation. This could be a result of cross-talk between the corresponding signaling pathways acting at the level of gene transcription, because VD and IFN-{gamma} can trigger rapid responses to initiate monocytic differentiation. Up-regulation of NRAMP1 gene expression was also observed after 3-day treatments using combinations of VD and granulocyte macrophage-colony stimulating factor (GM-CSF) or interleukin-6. The effect was dependent on the dose of cytokine used but remained modest in comparison with the combination of EB and IFN-{gamma}. Up-regulation of NRAMP1 mRNA levels was even stronger in cells treated with VD, IFN-{gamma}, and GM-CSF (unpublished results), a combination shown previously to exert synergistic effects on HL-60 differentiation [45 ] and on activation for macrophage bacteriotoxic functions [46 , 47 ]. Therefore, the strong up-regulation of the NRAMP1 gene in response to the combination of VD genomic agonist and IFN-{gamma} probably reflects a cooperative effect of these compounds to induce macrophage differentiation and up-regulation of antibacterial functions.

Contribution of VD genomic and nongenomic effects to the induction of NRAMP1 gene expression
To gain further insight into the mechanism of action of VD on NRAMP1 gene expression, various treatments were assayed combining the native hormone VD and conformationally restricted VD analogs or retinoids (RA, ATRA). Combinations with other independent regulators of cellular transcriptional activity that stimulate macrophage maturation and activation, such as phorbol ester and IFN-{gamma}, were also assayed. The effects of selected combinations on the expression of NRAMP1 and CD14 genes were determined after 3 days by Northern analysis (Fig. 3A ), phosphorimaging, and normalization of signal intensities to the level of GAPDH signal per sample (Fig. 3B) . Combination treatments (20 nM VD compounds; e.g., 2VD, 20 nM VD; VD KH, 10 nM VD; and 10 nM KH) were performed to evaluate the relative influence of genomic versus rapid responses induced by VD on NRAMP1 gene expression.



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Figure 3. Analysis of NRAMP1 gene expression induced by VD alone or in combination with various compounds including modulators of VDR activity. Agents that can modulate VDR activity directly through homo- and heterodimerization include the agonists of VD genomic effects (KH and EB) and the retinoids ATRA and 9 cis-RA. JN and HL represent one agonist and one antagonist of VD nongenomic effects, which act on signaling pathways independent of the VDR and can influence cell differentiation. PMA and IFN-{gamma} represent potent transcriptional stimulators that are known to enhance VD-induced differentiation. (A) Northern blots were performed using probes for NRAMP1, CD14, and GAPDH genes, and hybridization signals were detected after exposure with one intensifying screen for 96 h, 48 h, and 17 h, respectively. (B) Hybridization signals were quantified after digitalization using a PhosphorImager.

 
The VD genomic agonists KH and EB were each more effective than VD to induce NRAMP1 and CD14 mRNA accumulation, consistent with the results observed in time course experiments (Fig. 1) . This suggests that stimulation of NRAMP1 gene expression involves some VDR-mediated genomic effects of VD. Combinations of VD and KH or EB were as effective as the use of a single agonist or both agonists together (Fig. 3A and 3B) . These similar effects further suggest that VDR may not act directly on the NRAMP1 promoter but through the relay of other transcription factors involved later in the differentiation process.

Combinations of VD and retinoids such as the RA receptor (RAR) ligand, ATRA, and the RXR ligand, 9-cis RA, were also assayed because retinoids are known to potentialize HL-60 differentiation through the formation of VDR heterodimers [48 ]. Equimolar combinations with VD (Fig. 3A and 3B , lanes VD ATRA 10-8 M, and VD 9-cis RA 10-8 M) appeared similarly effective than VD alone to stimulate CD14 and NRAMP1 gene expression. Induction levels for both genes were inferior to those obtained with combinations of VD and genomic agonists (Fig. 3A and 3B , lanes KH VD and EB VD). 9-cis RA showed clear dose-dependent inhibition of NRAMP1 and CD14 expression (Fig. 3 , lane VD 9-cis RA 10-9 M), whereas ATRA inhibited minimally NRAMP1 and CD14 mRNA levels (Fig. 3 , lane VD ATRA 10-9 M and VD ATRA 10-7 M). These results suggest that NRAMP1 gene expression induced by VD can be modulated by cotreatment with 9-cis RA, further supporting a role for VDR in the stimulation by VD of NRAMP1 gene expression. The relatively weak effects observed with combinations of VD genomic agonists and retinoids contrast with the known abilities of these compounds to stimulate cellular differentiation strongly and could be a phenomenon of the HL-60 cell line [48 ]. These results support the view that the NRAMP1 gene is probably not a direct target for VDR and suggest that VDR-dependent up-regulation of NRAMP1 expression might be mediated via homodimers of this transcription factor [40 , 49 ].

To examine a possible contribution of the non-VDR signaling pathway, the effects of combinations of VD and the analogs JN and HL were tested. Equimolar combinations of VD and the agonist of VD nongenomic effects JN (Fig. 3A and 3B , lane VD JN 10-8 M) gave expression levels for CD14 or NRAMP1 mRNA that are similar to those obtained with VD (lane 2VD) and inferior to those obtained with VD and KH or EB (Fig. 3 , lanes KH VD or EB VD). In addition, dose-dependent stimulation of VD effects was observed with JN compound on mRNA levels of CD14 and NRAMP1 (Fig. 3 , compare lanes VD JN 10-7 M and VD JN 10-9 M). However, no stimulation was observed using JN as sole inducer (unpublished results). The combination of equimolar amounts of VD and the antagonist of nongenomic VD effects (HL) showed a strong inhibitory effect on the expression of NRAMP1 and CD14 genes induced by VD alone (Fig. 3A and 3B , lanes VD HL 10-8 M and 2VD). This effect was not clearly dose-dependent in the conditions tested (Fig. 3A and 3B , lanes VD HL 10-9 M and VD HL 10-7 M). Together, the results suggest that in addition to VDR-dependent signaling, the rapid, nongenomic responses induced by VD could contribute to up-regulate the NRAMP1 gene expression.

The JN agonist is thought to act in part through PKC stimulation [50 ]. Up-regulation of NRAMP1 mRNA observed in response to JN (Fig. 3A and 3B) suggested that PKC could stimulate NRAMP1 gene expression. The phorbol ester PMA is a pharmacological stimulator of PKC, whose isoform ß (PKC-ß) is required for macrophage differentiation of HL-60 cells [51 ], and a combination of VD and PMA increases macrophagic differentiation of HL-60 cells and iNOS-dependent production of NO [52 ]. In addition, previous studies showed that PMA induced accumulation of NRAMP1 mRNA in HL-60 cells, albeit less efficiently than VD [9 ]. Cotreatment of HL-60 cells with VD and PMA potentialized NRAMP1 gene expression, particularly in combination with low concentrations of PMA (Fig. 3A and 3B , lanes VD PMA 1–100 ng/mL). In contrast, CD14 gene expression was relatively inhibited. The latter result is consistent with the absence of CD14 mRNA accumulation in PMA-treated HL-60 cells [9 ]. Together, the results suggest that the VDR-dependent regulation of NRAMP1 mRNA may be modulated via PKC signaling, possibly involving nongenomic effects of VD.

The most potent differentiation treatment tested so far included KH, IFN-{gamma}, and GM-CSF. It was about fivefold more efficient at inducing NRAMP1 gene expression than the equimolar combination of JN, IFN-{gamma}, and GM-CSF (unpublished results). Thus VDR-mediated genomic effects of VD would be predominant in stimulating NRAMP1 expression, and nongenomic signals induced by VD could also contribute to this process. In addition, potent transcriptional activators that are important for macrophage differentiation and that signal through independent pathways exerted cooperative effects with VD to up-regulate NRAMP1 gene expression. Together, the data indicate a link between macrophage differentiation, up-regulation of antibacterial functions, and NRAMP1 gene expression.

IFN-{gamma} and PMA cooperate with KH to induce NRAMP1 protein expression in HL-60 cells
NRAMP1 gene expression induced by VD seemed to correlate with terminal differentiation, and combinations of VD with PMA or IFN-{gamma}, which potentialize the induction of phagocytic and bactericidal functions in HL-60 cells [43 , 52 ], induced the highest levels of NRAMP1 accumulation (Fig. 3) . Therefore, we hypothesized that HL-60 cells differentiated with combinations of the VD genomic agonist KH and PMA or IFN-{gamma} should express NRAMP1 protein at detectable levels. A polyclonal antibody specific for NRAMP1 was generated. The purified polyclonal serum recognized NRAMP1 specifically in crude membrane preparations of stable U-937 transfectants (Fig. 4K ). The minor bands observed could be a result of differences in glycosylation of the protein or could indicate limited proteolysis during membrane preparations. This specific antibody was used to study the protein expression by indirect immunofluorescence. This technique enabled previous detection of the endogenous membrane protein in the mouse [53 ] and suggested by analogy that NRAMP1 may be concentrated in intracellular vesicles of phagocytes. Therefore, an in situ immunofluorescence technique was chosen to favor detection in case the protein may be expressed at relatively low levels in HL-60 cells.



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Figure 4. Microscopic evaluation of the expression of NRAMP1 protein in HL-60 cells differentiated into mononuclear phagocytes. Cells were induced to differentiate for 5 days on culture slides and were then fixed and incubated with antibodies before processing for visualization by epi-fluorescence. Some preparations were allowed to phagocytose heat-killed C. albicans (G, H, J). Cell preparations were differentiated in the presence of 10 nM KH and 100 U/mL IFN-{gamma} (A–F and J). Indirect immunofluorescence using an affinity-purified rabbit anti-NRAMP1 antibody was performed with cells that were permeabilized (A and J) or not (B), and permeabilized cells were also incubated with the control rabbit preimmune serum (C). CD14-specific cell labeling was detected by indirect immunofluorescence using the mAb 3C10 and differentiated cells that had been permeabilized (D) or not (E), whereas negative control was performed using only the secondary anti-mouse antibody and permeabilized cells (F). Cells differentiated in the presence of KH and PMA were also analyzed after fixation and permeabilization (G–I). Phase-contrast image (G) and the corresponding immunofluorescence micrograph (H) show that a phagocytosed particle, indicated by a large arrow (black in G and white in H), is decorated by NRAMP1-specific immunofluorescence. The intracellular pattern of NRAMP1-specific fluorescence observed after phagocytosis is different from the pattern observed in cells that have not ingested particles (H, I). Similar difference of intracellular distribution of NRAMP1 protein localization could be observed after phagocytosis by cells differentiated with KH and IFN-{gamma} (compare A and J; original magnification, x400). (K) Western blot of crude membrane preparations obtained from transfected U-937 cells expressing a NRAMP1-c-Myc-tagged construct.

 
NRAMP1 protein expression was examined using cells differentiated for 5 days with a combination of 10 nM KH and 100 U/mL IFN-{gamma} (Fig. 4A 4B 4C 4D 4E 4F and 4J) or 10 nM KH and 10 nM PMA (Fig. 4G 4H 4I) . As expected from Northern studies (Figs. 2 and 3) , NRAMP1 protein was expressed at high levels in HL-60 cells differentiated with KH and IFN-{gamma} (Fig. 4A and 4J) and KH and PMA (Fig. 4H and 4I) . Detection of NRAMP1 protein required cell permeabilization and revealed an intracellular punctate pattern in resting cells (Fig. 4A) , which appeared similar to the intracellular distribution shown previously for Nramp1 in mouse macrophages [1 ]. Nonpermeabilized cells (Fig. 4B) and permeabilized cells analyzed with the preimmune serum (Fig. 4C) did not show comparable signal (Fig. 4A 4B 4C) . HL-60 cells differentiated with KH and IFN-{gamma} were also analyzed with an anti-CD14 antibody, used as a control for cell-surface protein expression independent of cell permeabilization (Fig. 4D 4E 4F) . Cell-surface fluorescence specific to CD14 was observed with cells that had been permeabilized (Fig. 4D) or not (Fig. 4E) but was not observed when omitting anti-CD14 antibody (Fig. 4F) . Thus, high levels of NRAMP1 protein expression are correlated with the highest levels of NRAMP1 mRNA (Figs. 2 and 3) , suggesting that NRAMP1 expression may be controlled primarily at the level of transcription and mRNA stabilization.

Redistribution of NRAMP1 protein localization was observed after phagocytosis of heat-killed C. albicans by HL-60 cells differentiated with KH and PMA (Fig. 4G 4H 4I) . Figure 4I shows NRAMP1-specific intracellular fluorescence in resting cells that had not been challenged with any particles. Phase-contrast and fluorescence visualizations of the same field are shown in Figure 4G and 4H , respectively. Extracellular and intracellular Candida are identified in Figure 4G by the small and large arrows, respectively. The fluorescent image of the same intracellular particle, marked in Figure 4H by a replicate large, white arrow, shows decoration of the membrane surrounding the particle with anti-NRAMP antibody (Fig. 4H) . Similar images were visualized with phagocytic HL-60 cells differentiated with KH and IFN-{gamma} (Fig. 4J) . The pattern observed was apparently similar in resting cells (Fig. 4I) and in cells that did not ingest particles (Fig. 4H) , suggesting that phagocytosis itself triggered the subcellular redistribution of NRAMP1 protein toward the phagosomal membrane. Additional in situ analyses of protein expression in freshly explanted cells showed relatively little NRAMP1 protein in adherent MN, whereas most of MN-derived Mac were positive for NRAMP1 protein expression, including in the presence of VD (unpublished results). Therefore, NRAMP1 protein expression seems to parallel mRNA levels detected in MN and MN-derived Mac [9 ], suggesting that the expression of the antimicrobial NRAMP1 protein is a result of transcriptional up-regulation in terminally differentiated phagocytes [54 ]. These results suggest a physiological significance for VD-dependent NRAMP1 expression in HL-60 cells, thus emphasizing the usefulness of this model for the study of the regulation of NRAMP1 gene expression.

The 5'-proximal region of the NRAMP1 gene is VD-responsive and contains myeloid-specific elements
NRAMP1 promoter activity was quantified by luciferase reporter assays using five constructs representing different lengths of the NRAMP1 5'-untranslated region. Luciferase activity was analyzed 4 h after electroporation of differentiated HL-60 cells, which had been treated for 3 days with a combination of VD and KH and reincubated with the inducers after transfection. A 263-bp NcoI fragment containing the NRAMP1 ATG mutated to an NcoI site was inserted in both orientations (S, sense; AS, antisense) in 5' upstream of the luciferase open-reading frame (ORF) from pGL3 basic plasmid. As expected, only the S construct gave significant reporter activity in nondifferentiated HL-60 cells [~175 relative luciferase units (RLU/s); Fig. 5A ], suggesting that basic elements for transcription initiation were present in this short fragment. Luciferase activity driven by the S construct was not up-regulated in VD-differentiated HL-60 cells (Fig. 5A) . Three other constructs extending 588 bp, 647 bp, and 3633 bp upstream of the ATG, respectively, M, L, and dL, were also active in HL-60. Constructs M and L exhibited similar luciferase activity (~500 RLU/s; Fig. 5A ; P<0.05), representing approximately threefold the level measured for construct S, and which was further stimulated twofold after treament with VD and KH (~1100 RLU/s; Fig. 5A ; P<0.05). This suggests that the 5' region of the NRAMP1 gene extending 588 bp upstream of the ATG contained cis elements conferring high-level expression in untreated HL-60 cells, as well as VD responsiveness in these cells. Finally, construct dL exhibited relatively lower activity in untreated HL-60 cells, suggesting that negative elements may be located further upstream of the proximal promoter (~600 bp). VD responsiveness could still be detected with the dL construct (Fig. 5A) , but the low levels of expression dampen the analysis. These results demonstrate that transcriptional up-regulation can contribute to NRAMP1 protein expression during VD-induced differentiation and further suggest that cis-active elements conferring VD responsiveness in HL-60 may be localized between 588 and 262 bp upstream of NRAMP1 ATG.



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Figure 5. Tissue-specific, transcriptional up-regulation of the NRAMP1 gene during VD-induced differentiation. Transcriptional fusions were obtained by ligation of NRAMP1 promoter fragments to the ORF encoding the luciferase from pGL3 basic plasmid, using an NcoI site overlapping the ATG. A fragment extending 263 bp upstream of NRAMP1 ATG was inserted in AS and S orientations, and longer fragments extending 588 bp (M), 647 bp (L), and ~3.6 kb (dL) upstream of the ATG were inserted in the sense orientation. Transcriptional activity was studied after electroporation of the constructs together with control plasmid pXP2 hGH in cells undifferentiated (ND) or differentiated for 3 days with KH VD. RLU/s were normalized for transfection efficiency measured by the production of GH. The fold induction observed between untreated and differentiated cells is indicated on the right side of the figure. (A) Schematic representation of the luciferase constructs used and transcriptional activity of the NRAMP1 gene in HL-60 cells and in HL-60 cells differentiated with KH VD. At least three independent experiments were performed for each condition, and the mean and standard error of the mean are presented. Statistical significance was determined by pairwise Student’s t-tests and is indicated by * (P<0.05) and ** (P<0.01). (B) RLU/s measured after transfection of NRAMP1 gene constructs in Jurkat cells untreated or incubated for 3 days with KH VD. The data presented correspond to one experiment that is representative of three independent experiments. (C) NRAMP1 promoter transcriptional activity in 293-T cells. The data are representative of two independent experiments. (Note: The cell lines displayed important differences in transfection efficiency. The values presented on the graph were normalized to the expression levels measured in HL-60, using the activity measured with the construct AS as an index. The actual values of RLU/s obtained with 293-T cells were 100-fold higher, and those obtained with Jurkat cells were fourfold higher than those indicated.)

 
To gain further understanding in the regulation of NRAMP1 gene expression, the same constructs were used to transfect nonmyeloid cell types. Reporter activity was measured in the embryonal kidney cell line 293, which can be transfected with high efficiency. The results showed that the AS construct exhibited negligible activity when compared with the other constructs (Fig. 5C) . However, the shortest sense construct, S, appeared the most efficient at driving luciferase expression in 293 cells (~350 RLU/s; Fig. 5C ), whereas constructs M and L were also very efficient (~300 RLU/s; Fig. 5C ), and construct dL showed slightly lower levels of reporter activity (~300 RLU/s; Fig. 5C ). A similar picture emerged from transfection studies in the lymphoid cell line Jurkat (Fig. 5B) . The AS construct again showed negligible activity, whereas the sense constructs S and L gave similar levels of reporter activity (~400 RLU/s). Maximum and minimum levels of reporter activity were observed with constructs M and dL, respectively (~550 RLU/s and ~125 RLU/s). Lymphocytes constitute a target tissue for some immunosuppressive activities of VD that are mediated by the VDR [55 ]. Therefore, we tested in conditions similar to the studies with HL-60 cells whether the NRAMP1 promoter showed similar VD responsiveness in Jurkat T cells. Importantly, we found that none of the constructs tested were responsive to VD induction in Jurkat cells.

Together, these results demonstrate that the segment of 263 bp upstream NRAMP1 ATG contains minimal elements required for basal transcriptional activity, which is not restricted to myeloid cells. In contrast, possible myeloid-specific determinants are contained in the region spanning from 588 and 262 bp upstream of the ATG of the NRAMP1 gene. This region also contains elements that are required to mediate myeloid-specific VD responsiveness.

Transcriptional activation of NRAMP1 647-bp promoter is induced through VD genomic effects in stable transfectants
Sequence analyses of the 647-bp promoter region using the software MatInspector V2.2 [56 ], the database Transfact, and the software SignalScan [57 ] with the Transfact [58 ] and Transcription Factor databases [59 ] failed to detect any VD response element. The region was also inspected visually for any motif of sequence A/G G G/T T N N (3 or 6) A/G G G/T T N N, which represents the consensus VDR-binding site [60 , 61 ]. Therefore, it appeared more likely that NRAMP1 promoter activity did not result from direct binding of VDR but rather from stimulation by other transcription factors that may be activated later in the monocytic differentiation program. As a first step to study the soluble factors responsible for the activation of the NRAMP1 promoter, stable transfectants were established in HL-60 cells to verify the transcriptional activity of the 647-bp construct in a chromosomal context.

The level of luciferase activity obtained after 3 days of differentiation induced with VD, KH, and EB was quantified in three independent clones (Fig. 6A ). Induction ratios in the range of 1.5–2.5 were obtained with VD and in the range of 2.5–4.5, with VD genomic analogs EB and KH. Kinetic studies of luciferase expression in clone HSRL5 confirmed the delayed expression of the NRAMP1 gene (Fig. 6B) . Luciferase expression was induced significantly by VD and the genomic agonist EB at day 2 of differentiation, reaching a peak of expression at day 3. These data are consistent with the levels and kinetics of expression that were measured with the same inducers by Northern blot analysis (Fig. 1) , confirming that the region starting 647 bp upstream of the ATG is sufficient to drive VD-dependent expression of NRAMP1.



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Figure 6. Transcriptional activation of a fragment of the NRAMP1 promoter during VD-induced differentiation in stable transfectants. The VD-responsive transcriptionnal fusion of the plasmid pGL3NR1L was inserted into the integrative vector Sr{alpha}-puro and then used to generate stable transfectants expressing luciferase. (A) Three independent clones show higher levels of induction in response to the VDM genomic analogs KH and EB. (B) Kinetics of induction in clone HSRL5 show that significant expression of the gene occurs at about day 2 following induction. The combination of IFN-{gamma} and VD or EB has additive effects on the expression, and the expression levels induced by IFN-{gamma} alone appear superior to those induced with the VD genomic analogs. (C) The induction of luciferase activity in clone HSRL5 in response to VD and KH is dose-dependent. VD induction peaks around 10-7–10-6, and KH induction peaks at 10-8 M. JN used alone does not induce significant activation of the promoter. IFN-{gamma} induces time- and dose-dependent activation of the NRAMP1 promoter, and combination of IFN-{gamma} with KH has additive effects. The mean ± SE of three (A), four (B), and three (C) independent experiments is presented.

 
We also followed luciferase expression in response to IFN-{gamma} because Northern analyses revealed that IFN-{gamma} is a weak inducer of NRAMP1 expression, which stimulates EB- and VD-dependent expression strongly (Figs. 2 and 3 , respectively). However, we could not detect IFN-{gamma}-dependent stimulation of the NRAMP1-luciferase construct in transient transfection assays using VD-differentiated cells (unpublished results). Here, strong expression of the NRAMP1 construct was induced by IFN-{gamma} alone, and merely additive effects were obtained by a combination of IFN-{gamma} with VD or EB to stimulate luciferase expression (Fig. 6B) . These results were unexpected from our previous Northern analyses (Fig. 2) and indicated that unlike the regulation by VD genomic agonists, there is a clear difference in the response to IFN-{gamma} between the transcriptional activity of the NRAMP1 647-bp promoter construct and the regulation of NRAMP1 mRNA levels.

The clone HSRL5 was also used to verify that the transcriptional activity of the NRAMP1 647-bp construct in response to induction with the VD genomic agonists was dose-dependent (Fig. 6C) . KH analog was used to show it is between ten- and 100-fold more potent than VD to induce NRAMP1 transcription, which is consistent with the relative potency for induction of monocytic differentiation shown for this analog [62 ]. In contrast, the nongenomic agonist of VD, JN, showed no noticeable effect on the promoter region conferring VD responsiveness during monocytic differentiation. This result further suggests that the NRAMP1 647-bp promoter is the key determinant for the gene and protein expression in monocyte/macrophage in response to VD genomic effects. Because NRAMP1 mRNA accumulation and gene transcription are not significant before 48 h of differentiation and because no VDRE was found in the 647-bp region, it is logical to propose that transcription factors distinct from VDR, presumably involved in myeloid-specific expression, are the primary transacting factors for NRAMP1 gene expression.

The response of the NRAMP1 647-bp construct to IFN-{gamma} was also dose-dependent, and combination with the VD-genomic agonist KH had only additive effects on luciferase activity (Fig. 6C) , as observed in combinations of IFN-{gamma} with VD and EB (Fig. 6B) . To demonstrate that the stimulation of the NRAMP1 promoter construct by IFN-{gamma} did not reflect the endogenous regulation accurately, we compared NRAMP1 mRNA levels and NRAMP1-dependent luciferase activity in the clone HSRL5. NRAMP1 and CD14 mRNA were stimulated very weakly in response to IFN-{gamma} compared with KH, and IFN-{gamma} had a potentializing effect on the accumulation of these mRNA induced by KH (Fig. 7A and 7C ). These results are consistent with our previous analyses in HL-60 cells (Figs. 2 and 3) , but this picture is clearly different from the results of luciferase activity obtained with clone HSRL5 (Fig. 7B) , which shows the abnormally elevated response of the NRAMP1 promoter construct to IFN-{gamma}. These results suggest that the transcriptional response to IFN-{gamma} requires for proper regulation additional cis elements that are not present in the 647-bp promoter fragment of the NRAMP1 gene.



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Figure 7. Absence of correlation between the transcriptional activation of the NRAMP1 647-bp promoter fragment and the accumulation of NRAMP1 mRNA in response to IFN-{gamma}. The clone HSRL5 was used in these analyses in which half of the cells treated was used for Northern blot analysis and mRNA signal quantification (A and C, respectively), and the other half was used to prepare cell extracts for total protein determinations and luciferase measurements (B).

 

    CONCLUSIONS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS AND DISCUSSION
 CONCLUSIONS
 REFERENCES
 
Previously, we had shown that high-level expression of the NRAMP1 gene is restricted in vivo to mature myeloid cells: PMN and tissue macrophages [8 , 9 ]. Herein, using CD14 as an early marker of differentiation induced by VD, we demonstrate that NRAMP1 mRNA and protein expression occur late during monocytic differentiation of HL-60 cells. Despite different kinetics of induction and turnover, the expression of NRAMP1 and CD14 mRNA was increased similarly using different genomic agonists that are more potent than VD, indicating that up-regulation of the expression of both genes involves VDR. A combination of VD or a genomic agonist with IFN-{gamma}, by itself a poor inducer of NRAMP1 and CD14 genes, strongly stimulated their expression at the mRNA and protein levels. Immunofluorescence analyses of NRAMP1 protein expression in HL-60 cells differentiated with VD and IFN-{gamma} showed a pattern typical of intracellular vesicles in resting cells. After phagocytosis, NRAMP1 protein was redistributed at the phagosomal membrane, where it is believed to mediate its antimicrobial function. Similar relocalization of NRAMP1 protein expression after phagocytosis was also observed after differentiation with VD and phorbol ester, a treatment that does not induce CD14 expression. Thus, HL-60 represents a valuable model to study the regulation of expression of NRAMP1 during the myelomonocytic differentiation induced by VD and more potent pharmacological VDR ligands. VDR ligands are known as potent immunomodulators that act directly on monocytes and their progeny (macrophages, dendritic cells) and on T-lymphocyte populations and that exert a dual role on the immune system. On one hand, their action on myeloid dendritic cells and T lymphocytes inhibits specific immune responses [63 , 64 ], and on the other hand, their action on promyelocytes, monocytes, and macrophages stimulates innate, nonspecific immunity by the up-regulation of microbicidal functions such as iNOS [65 ] and reduced nicotinamide adenine dinucleotide phosphate oxidase [56 , 66 ]. It is interesting that the differentiation of monocytes toward dendritic cells is accompanied by down-regulation of NRAMP1 expression [67 ] and is inhibited in the presence of VD [64 , 68 ]. In this context, it is tempting to suggest that up-regulation of NRAMP1 expression at the level of the phagosome by VDR ligands in monocytes could contribute to enhance innate immunity. Thus, it will be important to characterize the molecular control of NRAMP1 gene expression by VDR ligands. The HL-60 model presented here will be valuable because we demonstrated that a DNA fragment extending 647 bp upstream of NRAMP1 ATG was sufficient to mediate transcriptional activation in response to VDR ligands in a dose- and time-dependent manner consistent with the induction of HL-60 differentiation. Of note, assays of NRAMP1 promoter activity in epithelial and lymphoid cell types gave patterns of transcriptional activation, which were similar between these two unrelated, nonmyeloid cellular backgrounds but clearly distinct from the activity observed in HL-60. This could suggest that NRAMP1 promoter activity in HL-60 cells is representative of myeloid cells, and further work will be required to demonstrate that this promoter operates in other myeloid cell lines. Contrarily to the regulation by VDR ligands, there was a clear discrepancy between NRAMP1 gene transcriptional activity and mRNA accumulation in response to IFN-{gamma}. Thus, it is likely that additional cis elements outside the 647-bp DNA fragment contribute to regulate the expression of the NRAMP1 gene. Among the putative binding sites for transcription factors that may be important for VDR-dependent regulation is a motif located in the region spanning from -588 to -262 bp upstream of the ATG, which appears conserved with mouse and chicken promoter Nramp1 sequences [9 ]. This site could bind the transcription factor PU.1 that is required for tissue-specific expression of various effector functions of professional phagocytes [9 , 69 ]. Further studies are required to identify cis-acting elements contained in the basic promoter of the NRAMP1 gene and those involved in the transcriptional up-regulation of the NRAMP1 gene in response to VD in myeloid cells and to localize additional IFN-{gamma}-responsive regions. These studies will reveal some molecular determinants controlling the expression of a divalent metal ion transporter that is expressed in mature phagocytes and important for host resistance to infection.


    ACKNOWLEDGEMENTS
 
This work was supported by grants from the Natural Sciences and Engineering Research Council of Canada (M. F. M. C.; 203297-98) and the Fonds pour la Recherche en Santé du Québec (M. F. M. C.; 970122-103). E. A. R. and E. R. are equally contributing authors. We wish to thank L. Binderup, M.D. (Leo Pharmaceuticals Products, Dk), for generously providing samples of VD and VD genomic agonists KH and EB and Pr. A. W. Norman (University of California, Riverside) for kindly providing the VD nongenomic analogs JN and HL. We also thank D. G. Tenen, M.D. (Harvard Institutes of Medicine), for support and kindly providing pXP2-derived plasmid. E. A. R. is the recipient of a J-L. Lévesque/Biochem-Pharma fellowship from the Fondation Armand-Frappier, and E. R. is supported by the FRSQ.

Received October 18, 2001; revised January 16, 2002; accepted January 22, 2002.


    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS AND DISCUSSION
 CONCLUSIONS
 REFERENCES
 

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