Originally published online as doi:10.1189/jlb.1103536 on April 1, 2004
Published online before print April 1, 2004
(Journal of Leukocyte Biology. 2004;76:42-47.)
© 2004
by Society for Leukocyte Biology
Post-transcriptional regulation of proinflammatory proteins
Paul Anderson1,
Kristine Phillips,
Georg Stoecklin and
Nancy Kedersha
Division of Rheumatology, Immunology and Allergy, Brigham and Womens Hospital and Harvard Medical School, Boston, Massachusetts
1Correspondence: Division of Rheumatology, Immunology and Allergy, Brigham and Womens Hospital, Smith 652, One Jimmy Fund Way, Boston, MA 02115. E-mail: panderson{at}rics.bwh.harvard.edu
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ABSTRACT
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Post-transcriptional mechanisms play a critical role in regulating the expression of numerous proteins that promote inflammatory arthritis. The mRNAs encoding a subset of these proteins possess adenine/uridine-rich elements (AREs) in their 3'-untranslated regions that profoundly influence the rate at which mRNA is degraded and translated into protein. Tristetraprolin (TTP) and T cell intracellular antigen-1 (TIA-1) are ARE-binding proteins that dampen the expression of this class of proteins by promoting mRNA degradation and protein translation, respectively. We have discovered that TIA-1 and TTP function as arthritis-suppressor genes: TIA-1/ mice develop mild arthritis, TTP/ mice develop severe arthritis, and TIA-1/TTP/ mice develop very severe arthritis. Paradoxically, lipopolysaccharide (LPS)-activated macrophages derived from TIA-1/TTP/ macrophages produce less tumor necrosis factor
(TNF-
) than TIA-1/ or TTP/ macrophages. The bone marrows of these mice exhibit increased cellularity, reflecting the presence of mature neutrophils that secrete TNF-
in response to LPS stimulation. We hypothesize that TIA-1/TTP/ neutrophils are a source of arthritigenic TNF-
, which promotes severe erosive arthritis in these mice.
Key Words: tristetraprolin T cell intracellular antigen-1 adenine/uridine-rich elements
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INTRODUCTION
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In prokaryotes, the coordinate expression of genes encoding components of a metabolic pathway is often accomplished by expressing an mRNA transcript that encodes more than one protein. For example, the Lac operon in Escherichia coli transcribes a single mRNA that encodes ß-galactosidase, permease, and transacetylase, proteins required for the use of lactose as a carbon source [1
]. Unlike their prokaryotic ancestors, processed eukaryotic transcripts generally encode a single protein. In eukaryotes, the coordinate expression of protein components of a complex functional program such as the inflammatory response is accomplished by the use of regulatory nucleic acid sequences that determine rates of transcription, translation, and mRNA decay. During the typical inflammatory response, coordinate transcriptional control is accomplished by the selective use of promoter elements that are recognized by specific transcription factors. For example, the transcription factor nuclear factor (NF)-
B moves from the cytoplasm to the nucleus in T cells and macrophages that are exposed to inflammatory stimuli [2
]. Nuclear NF-
B binds to a nucleotide sequence element common to the promoters of several genes that encode inflammatory effector proteins [3
]. Mammalian cells have evolved post-transcriptional mechanisms that further regulate the expression of these potentially injurious proteins. Post-transcriptional control is usually conferred by cis-acting elements located in the 3'-untranslated regions (UTR) of these transcripts. An important example is the adenine/uridine-rich element (ARE), a cis-acting element composed of AUUUA repeats, which dampens protein expression by promoting mRNA decay and inhibiting protein translation [4
]. Expression of proteins encoded by ARE-containing transcripts requires the regulated suppression of ARE-dependent, inhibitory mechanisms [5
].
Several proteins that are encoded by ARE-containing transcripts are critical components of the effector phase of inflammatory arthritis. Of particular importance is tumor necrosis factor
(TNF-
), a proinflammatory cytokine produced by activated macrophages, mast cells, and lymphocytes [6
, 7
]. TNF-
expression is regulated transcriptionally and post-transcriptionally [8
9
10
11
]. Post-transcriptional control of TNF-
expression requires the ARE-dependent regulation of mRNA stability and translation [8
, 9
]. Transgenic mice expressing TNF-
transcripts lacking the ARE develop chronic inflammatory polyarthritis and inflammatory bowel disease, a consequence of pathological overexpression of TNF-
[9
]. Neutralizing antibodies to TNF-
prevent arthritis in this animal model [12
, 13
]. Thus, abrogation of ARE-dependent, post-transcriptional control of TNF-
production is sufficient to induce the onset of inflammatory arthritis in mice. These preclinical studies provided the rationale for clinical trials that established the efficacy of TNF-
blockade in patients with rheumatoid arthritis [14
].
ARE-dependent, post-transcriptional mechanisms also regulate the production of cyclooxygenase-2 (COX-2) [15
, 16
] and matrix metalloproteinase-13 (MMP-13) [16
]. COX-2 is an enzyme that converts arachidonic acid into proinflammatory prostaglandins [17
, 18
]. Pharmacologic inhibitors of COX-2 are potent, anti-inflammatory agents, which significantly reduce the severity of inflammatory arthritis [17
]. MMP-13 is a TNF-
-induced collagenase that has been implicated in proinflammatory, angiogenic, and destructive processes within the joint of patients with rheumatoid arthritis [19
20
21
22
]. Thus, ARE-dependent, post-transcriptional mechanisms can coordinately regulate the expression of metabolic enzymes and proteases as well as proinflammatory cytokines. An understanding of the molecular mechanisms of ARE-dependent, post-transcriptional control should identify new targets for the development of anti-inflammatory drugs.
Trans-acting factors that bind to the ARE are essential determinants of mRNA stability and translational competence [4
]. Individual ARE-binding proteins can promote or inhibit the expression of inflammatory effector proteins. ARE-binding proteins that dampen the expression of inflammatory effectors may suppress inflammatory arthritis. The best characterized examples of inhibitory ARE-binding proteins are tristetraprolin (TTP; GenBank accession #NP003398), T cell intracellular antigen-1 (TIA-1; GenBank accession #NP071320), and TIA-1-related (TIAR; GenBank accession #NP003243). TTP is a zinc-finger protein that promotes the degradation of TNF-
transcripts [23
24
25
26
]. In macrophages, its induction by lipopolysaccharide (LPS) appears to prevent the pathological overexpression of this proinflammatory cytokine [23
]. Mice lacking TTP develop an autoimmune syndrome characterized by cachexia, arthritis, dermatitis, and autoantibody formation [27
]. Arthritis is prevented by neutralizing antibodies against TNF-
and is not observed in TTP/TNF receptor-1/ mice, indicating that TNF-
is essential for the development of inflammatory arthritis [28
]. In macrophages lacking TTP, TNF-
transcripts are stabilized, resulting in the pathological overexpression of TNF-
mRNA and protein [23
, 27
]. Like TNF-
transcripts, granulocyte macropahge-colony stimulating factor (GM-CSF) transcripts are destabilized by TTP [29
]. Overproduction of GM-CSF by bone marrow stromal cells activates medulary and extramedulary granulopoiesis [27
], causing abnormal accumulations of mature neutrophils in the bone marrow, lymph nodes, spleen, and peripheral blood.
TIA-1 and TIAR are closely related members of the RNA recognition-motif family of RNA-binding proteins, which inhibit the translation of TNF-
transcripts in macrophages [30
31
32
] but not in T lymphocytes [33
]. BALB/c mice lacking TIA-1 are phenotypically normal [32
]. Although LPS-activated macrophages derived from wild-type and TIA-1/ mice express similar amounts of TNF-
transcripts, macrophages lacking TIA-1 produce significantly more TNF-
protein than wild-type controls [32
, 33
]. In macrophages lacking TIA-1, the percentage of TNF-
transcripts found in polysomes is significantly increased, suggesting that TIA-1 functions as a translational silencer [32
]. The overexpression of TNF-
protein in macrophages lacking TIA-1 is strain-dependent. TIA-1/ macrophages derived from BALB/c mice produce three to five times more TNF-
than wild-type controls, whereas TIA-1/ macrophages derived from C57BL/6 mice produce nearly 10 times more TNF-
than wild-type controls [33
]. Moreover, C57BL/6 mice spontaneously develop mild arthritis [34
]. Thus, unidentified genetic modifiers determine whether TIA-1/ mice develop arthritis.
Much of what we know about the mechanism of TIA-1-induced translational repression comes from studies of the general translational arrest triggered by environmental stress (e.g., heat, oxidative conditions, energy deprivation) [30
, 31
, 35
]. Stress-induced translational arrest is characterized by the activation of one or more members of a family of serine/threonine kinases [e.g., double-stranded RNA-dependent protein kinase R (PKR), PKR-like endoplasmic reticulum kinase (PERK), GCN2, and heme-regulated inhibitor kinase; refs. 36
37
38
39
]. These kinases phosphorylate eukaryotic initiation factor 2
(eIF2
), a component of the ternary complex that loads tRNAiMet onto the small ribosomal subunit to initiate protein synthesis [40
]. Phosphorylation of eIF2
inhibits protein translation by reducing the availability of an active ternary complex [41
]. Under these conditions, TIA-1 promotes the assembly of a noncanonical translation-initiation complex that is directed to discrete cytoplasmic foci known as stress granules (SGs) [31
], as shown in the model illustrated in Figure 1A
(depicting normal translation initiation and Figure 1B
(depicting translationinitiation during stress) [42
43
44
]. This model predicts that TIA-1 interacts with specific components of the initiation complex that are assembled at the 5'-end of the transcript. By tethering TIA-1 to the 3'-end of selected transcripts, the ARE appears to increase the likelihood that TIA-1 will assemble a translationally incompetent complex at the 5'-end of the transcript [32
] (Fig. 1C)
. Although SGs are visible only when large numbers of transcripts are simultaneously subjected to translational arrest, the underlying translational control mechanism (i.e., assembly of stalled initiation complexes) regulates protein expression in stressed and unstressed cells [30
, 31
].

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Figure 1. Schematic depiction of translational initiation in the absence (A) or presence (B) of stress. In the absence of stress, the 48S preinitiation complex assembles at the 5'-end of the transcript, scans to the AUG start codon, and then recruits the large ribosomal subunit. Under stress conditions, phosphorylation of eIF2 results in the depletion of the eIF2guanosine 5'-triphosphate (GTP)tRNAMet ternary complex and assembly of a noncanonical 48S preinitiation complex that is routed to SGs. (C) TIA-1 is tethered transcripts containing AREs in their 3'-UTR. This increases the assembly of the stalled translation-initiation complex and inhibits protein synthesis. GDP, Guanosine 5'-diphosphate; PKR, protein kinase R; 1, 2, 3, 4, 5: translation initiation factors.
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In activated macrophages, expression of proteins encoded by ARE-containing transcripts requires activation of the p38-mitogen-activated protein kinase (MAPK)/MAPK-activated protein (MAPKAP) kinase-2 cascade (Fig. 2
) [9
, 10
, 45
46
47
48
49
]. As a consequence, pharmacological inhibitors of p38MAPK prevent the expression of TNF-
, COX-2, MMP-13, and other proinflammatory proteins [50
51
52
53
54
55
]. Activation of p38MAPK stabilizes and promotes the translation of ARE-containing transcripts. One of the candidate substrates for p38MAPK is TTP [56
, 57
]. In extracts of 293 cells, calf intestinal alkaline phosphatase-induced dephosphorylation of recombinant TTP increases its affinity for AREs [56
]. This result suggests that phosphorylation of TTP might prevent it from binding to ARE transcripts.

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Figure 2. Schematic depiction of post-transcriptional regulation of ARE-containing transcripts encoding proinflammatory proteins. CSAID, Cytokine-suppressive anti-inflammatory drug; ARE-BP: AU-rich element-binding protein; PAK, p21-activated kinase; MKK, MAPK kinase; MK2, MAPKAP kinase 2.
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We have discovered that TTP is also a component of SGs [58
]. TTP is recruited to SGs assembled in response to p-trifluoromethoxyphenyl hydrazone, a metabolic poison that reduces the availability of cellular adenosine 5'-triphosphate. In contrast, TTP is not recruited to SGs assembled in response to arsenite-induced oxidative stress. The exclusion of TTP from arsenite-induced SGs was found to be a consequence of arsenite-induced activation of the p38MAPK/MK2 kinase cascade. We found that MK2-induced phosphorylation of TTP results in the assembly of 14-3-3:TTP complexes, which are actively excluded from SGs. We identified serine residues 52 and 178 as sites that are phosphorylated following p38MAPK/MK2 activation to create 14-3-3-binding sites. When these sites are mutated to alanine residues (TTP-AA), the mutant TTP is recruited to arsenite-induced SGs. The TTP-AA mutant is more effective than wild-type TTP at promoting the degradation of ARE-containing transcripts, suggesting that 14-3-3 binding negatively regulates the function of TTP. Thus, exclusion of TTP from SGs correlates with inhibition of TTP activity, which suggests that TTP induces the degradation of translationally stalled mRNAs. Figure 3
shows a schematic depiction of the role of TTP:14-3-3 complexes in the regulation of TTP function. In this model, the p38MAPK/MK2 kinase cascade determines whether TTP can associate with ARE-containing transcripts in SGs. SG-associated transcripts that bind to TTP are thought to be selectively delivered to a degradative pathway.

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Figure 3. Model depicting the role of the p38MAPK/MK2 kinase cascade in the regulation of TTP function. MK2-induced phosphorylation of TTP results in the acquisition of two 14-3-3-binding sites. The TTP:14-3-3 complex is sequestered from SGs, resulting in the stabilization of ARE-containing transcripts.
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At the SG the composition of messenger ribonucleoprotein (mRNP) particles is monitored to determine whether individual transcripts will be degraded, reinitiated, or stored. Although SGs are microscopically visible in cells subjected to environmental stress, the underlying regulatory mechanism (i.e., assembly of stalled translation-initiation complexes) may also occur in unstressed cells. Indeed, this process may determine how many times a polysomal mRNA is translated before it is disassembled and degraded. We hypothesize that mRNPs that include destabilizing proteins (e.g., TTP) will be targeted for degradation, whereas mRNPs that include stabilizing proteins (e.g., HuR) will be reinitiated. This process requires that the regulation of mRNA stability and mRNA translation must be closely linked.
Mutant mice lacking TTP and TIA-1 develop spontaneous inflammatory arthritis that is significantly more severe than the arthritis observed in mice lacking TIA-1 or TTP alone [34
]. Although macrophages derived from TIA-1//TTP/ mice overexpress TNF-
mRNA, they express less TNF-
protein than TIA-1/ or TTP/ macrophages [34
]. Whether this results from defective nuclear export of TNF-
transcripts, defective translation, or defective processing of TNF-
protein remains to be determined. The source of arthritigenic cytokine in mice lacking TIA-1 and TTP may be an expanded population of neutrophils found in the bone marrow and peripheral blood. The marked increase in neutrophils observed in TTP/ bone marrow and peripheral blood is potentiated in mice that also lack TIA-1. The mechanism whereby TIA-1 and TTP cooperate to increase the maturation and/or survival of neutrophils is not known. Whereas wild-type neutrophils produce little or no TNF-
in response to LPS stimulation, neutrophils lacking TTP secrete significant amounts of TNF-
in response to LPS [34
]. It is therefore possible that neutrophils are an important source of this proarthritic cytokine in mice lacking TIA-1 and TTP.
Although neutrophils clearly contribute to the pathogenesis of arthritis [59
, 60
], our understanding of their precise contribution to the inflammatory process is incomplete. Neutrophils are the predominant cell type found in inflammatory synovial fluid (but not synovial pannus) derived from patients with rheumatoid arthritis. They are an important source of arachadonic acid-derived inflammatory mediators (e.g., prostaglandins, leukotrienes, and lipoxins). They are essential components of the inflammatory process in animal models of inflammatory arthritis [61
]. The ability of TIA-1 and TTP to cooperatively regulate neutrophil maturation and function suggests that these cells could be a major source of inflammatory cytokine production in a subset of patients with rheumatoid arthritis.
Received November 4, 2003;
revised January 6, 2004;
accepted January 29, 2004.
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