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Originally published online as doi:10.1189/jlb.0603294 on April 23, 2004

Published online before print April 23, 2004
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(Journal of Leukocyte Biology. 2004;76:433-440.)
© 2004 by Society for Leukocyte Biology

Monosodium urate monohydrate crystals induce the release of the proinflammatory protein S100A8/A9 from neutrophils

Carle Ryckman*, Caroline Gilbert{dagger}, Rinaldo de Médicis{ddagger}, André Lussier{ddagger}, Karen Vandal* and Philippe A. Tessier*,1

* Centres de Recherche en Infectiologie and
{dagger} Rhumatologie et Immunologie, CRCHUL, Université Laval, Quebec, Canada; and
{ddagger} Unité des maladies rhumatismales, Centre Hospitalier Universitaire, Université de Sherbrooke, Quebec, Canada

1Correspondence: Centre de Recherche en Infectiologie, Room RC 709, CRCHUL, Université Laval, 2705, Laurier Blvd., Sainte-Foy, Quebec, Canada G1V 4G2. E-mail: Philippe.Tessier{at}crchul.ulaval.ca


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ABSTRACT
 
The neutrophil cytoplasmic protein S100A8/A9 (along with S100A8 and S100A9) is chemotactic and stimulates neutrophil adhesion by activating the ß2-integrin CD11b/CD18. It is also essential to neutrophil migration in vivo in response to monosodium urate monohydrate (MSUM) crystals, the principal etiologic agent of gout. S100A8/A9 is present in the synovial fluid of patients with gout and arthritis and is secreted by activated monocytes; however, its mechanism of release by neutrophils remains unknown. The aim of this study was to identify the mechanism of stimulation of the release of S100A8/A9 by MSUM-activated neutrophils. Here, we show that S100A8/A9 is released by neutrophils stimulated with MSUM crystals and that this release could be enhanced by preincubating neutrophils with granulocyte macrophage-colony stimulating factor. Antibodies directed against CD11b and CD16 blocked the release induced by MSUM crystals, suggesting that Fc receptor for immunoglobulin G (Fc{gamma}R)IIIB (CD16) and CD11b/CD18 were involved in the stimulation by MSUM crystals. Neutrophil preincubation with the Src kinase inhibitor 4-amino-5-(4-chlorophenyl)-7-(t-butyl) pyrazolo[3,4-d]pyrimidine and the Syk tyrosine kinase inhibitor trans-3,3',4,5'-tetrahydrozystilbene significantly reduced the release of S100A8/A9, suggesting that the Src tyrosine kinase family and Syk were involved. In addition, wortmannin reduced neutrophil release of S100A8/A9, indicating a potential involvement of phosphatidylinolitol-3 kinase in this release. Preincubation of neutrophils with the tubulin depolymerization promoters nocodazole and vincristine reduced MSUM-induced release, suggesting a tubulin-associated pathway of release. These results indicate that S100A8/A9 is released by MSUM crystal-stimulated neutrophils following activation of CD11b, CD16, Src kinases, Syk, and tubulin polymerization.

Key Words: leukocytes • inflammation • cellular activation • calcium-binding proteins


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INTRODUCTION
 
The precipitation of sodium urate crystals within joints triggers a strong inflammatory reaction that is the root cause of gouty arthritis. Monosodium urate monohydrate (MSUM) crystals stimulate the secretion of proinflammatory agents and chemotactic factors by monocytes, platelets, synoviocytes, macrophages, and especially neutrophils within the articulation, leading to the accumulation of neutrophils and the enhancement of the inflammatory response [1 2 3 4 5 ]. We recently demonstrated that S100A8 and S100A9 are released following local injection of MSUM in the murine air pouch model and play an important role in neutrophil migration induced by MSUM [6 ]. High concentrations (up to 100 µg/ml) of S100A8/A9 are also present in synovial fluids and plasma of patients with gout, further revealing their involvement in gout pathogenesis [6 ].

S100A8 and S100A9 are small, cytosolic proteins that exist as homodimers, but the presence of calcium seems to increase the formation of the heterocomplex S100A8/A9 [7 8 9 ], which is the major form found in the extracellular milieu. S100A8 and S100A9 are highly expressed in neutrophil and monocyte cytosols but can also be expressed by other cell types such as keratinocytes, epithelial, and endothelial cells [10 11 12 13 14 15 ]. S100A8, S100A9, and S100A8/A9 stimulate leukocyte chemotaxis, adhesion, and migration [16 17 18 19 ]. As these proteins are found on the endothelium near inflammatory sites, they are suspected to play a role in leukocyte migration to inflammatory sites [20 ].

Elevated serum levels of S100A8/A9 (more than 1 µg/ml) are detected in patients suffering from various infections and inflammatory pathologies such as cystic fibrosis, tuberculosis, and juvenile rheumatoid arthritis [7 , 21 , 22 ]. Local release of the proteins has also been detected in periodontal infections and in experimental murine abscesses [23 , 24 ]. The extracellular presence of S100A8/A9 suggests that S100A8 and S100A9 can be released actively or as a result of cell necrosis. Like interleukin (IL)-1 and fibroblast growth factor ß (FGFß), S100A8 and S100A9 are expressed and stored in the cytosol, indicating that they are secreted via a secretion pathway distinct from the endoplasmic reticulum (ER)/Golgi classical route. It has been shown that pokeweed mitogen-stimulated as well as Mycobacterium bovis-infected monocytes release S100A9 and S100A8/A9 but not S100A8 [21 , 25 ]. This secretion was inhibited by combined treatment with the T helper cell type 2 cytokines IL-10 and IL-4 [25 ]. Active secretion of S100A8 and S100A9 by monocytes following activation of protein kinase C has also been demonstrated [26 ]. Moreover, that release occurred through a tubulin-associated pathway [26 ]. Specific release of S100A8/A9 by stimulated neutrophils has also been reported by monitoring the disappearance of S100A8/A9 from neutrophil cytosol following stimulation with C5a and formyl-Met-Leu-Phe (fMLP) [27 ]. However, the signal-transduction pathway, leading to S100A8/A9 secretion by neutrophils and the mechanism of secretion, remains unknown.

We recently showed the involvement of S100A8, S100A9, and S100A8/A9 in neutrophil recruitment during MSUM crystal-induced inflammatory reaction in a murine air pouch model [6 ]. The release of S100A8, S100A9, and S100A8/A9 correlated with neutrophil infiltration to the pouch, suggesting neutrophils as the major source of these proteins. We therefore set out to investigate and characterize the release of S100A8/A9 by MSUM crystal-stimulated neutrophils in vitro. In the present study, we show that S100A8/A9 is specifically released by MSUM crystal-activated neutrophils. S100A8/A9 release was stimulated through the receptors CD11b/CD18 [membrane activated complex-1 (Mac-1)] and CD16 [Fc receptor for immunoglobulin G (IgG; Fc{gamma}R)III], which have been previously identified as the two major receptors implicated in neutrophil stimulation by MSUM crystals [28 ]. The release of S100A8/A9 occurred at least in part through a tubulin-associated mechanism and was dependent on Src kinases, Syk, and phosphatidylinositol-3 kinase (PI-3K), confirming that this release was an active phenomenon.


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MATERIALS AND METHODS
 
Reagents
Production of recombinant human (rh)S100A8 and S100A9 and their specific polyclonal antisera has been described previously [29 ]. S100A8/A9-specific antibody 5.5 was a generous gift from Dr. Nancy Hogg (Imperial Cancer Research Fund, London, UK). Triclinical MSUM crystals were generated as described previously [30 ]. rh-Granulocyte macrophage-colony stimulating factor (GM-CSF) was obtained from PeproTech (Rocky Hill, NJ). Peroxidase-labeled donkey anti-rabbit IgG antibody was purchased from Jackson ImmunoResearch (Mississauga, Canada). The peroxidase substrate solution 3, 3', 5, 5'-tetramethylbenzidine (TMB-S) was obtained from Research Diagnostics Inc. (Flanders, NJ). Wortmannin, 4-amino-5-(4-chlorophenyl)-7-(t-butyl) pyrazolo[3,4-d]pyrimidine (PP2), and trans-3,3',4,5'-tetrahydrozystilbene (piceatannol) were purchased form Calbiochem (San Diego, CA). Mouse monoclonal anti-human CD16 (Fc{gamma}RIII) was purchased from Accurate Chemical and Scientific Corp. (Westbury, NY). Mouse monoclonal anti-human CD11b (MEM-170) was purchased from EXBIO Praha, A.S. (Vídenská, Czech Republic). Antilactate dehydrogenase (anti-LDH) and all other reagents were purchased from Sigma Chemical Co. (St. Louis, MI).

Neutrophil purification
Peripheral blood was collected in heparinized tubes from healthy adult volunteers. Neutrophils were isolated as described previously by Boyum [31 ] with some modification. Briefly, leukocytes were obtained after erythrocyte sedimentation in 2% Dextran T-500 followed by centrifugation on Ficoll-Paque cushions. Contaminating erythrocytes were removed by hypotonic (water) lysis for 15 s. Neutrophils were resuspended in Hanks’ balanced saline solution (HBSS) containing 1.3 mM Ca2+ and 10 mM HEPES, pH 7.4 (H-HBSS). The purity and cell viability of neutrophil preparations were consistently greater than 98%, as assessed by acetic blue staining and trypan blue exclusion, respectively. Cell preparation with nonspherical cell morphology (an indication of preactivation) or exhibiting any other activation-related phenotype was excluded from the study.

Purification of S100A8/A9
Neutrophils were lysed by sonication and centrifuged at 15,000 gfor 5 min, and the supernatant was collected. S100A8/A9 was purified by fast performance liquid chromatography using a UNOTMQ-12 anion exchange column from Bio-Rad (Hercules, CA). Buffer A contained 50 mM Tris/HCl, pH 8.5, 1 mM dithiothreitol, 1 mM EDTA, and 1 mM EGTA and Buffer B, made of Buffer A plus 1 M NaCl. The proteins were separated in a 0–20% gradient of Buffer B in Buffer A. Elution profiles were obtained by reading the absorption at 280 nm. Fractions containing the eluted S100A8/A9 were identified by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) before being pooled and dialyzed overnight in phosphate-buffered saline (PBS) containing 1 mM CaCl2. S100A8/A9 purity was confirmed by SDS-PAGE. Less than 20% of the S100A8 and S100A9 was in homodimer forms. This preparation was used as a standard in S100A8/A9 enzyme-linked immunosorbent assay (ELISA).

Neutrophil activation
Neutrophils were resuspended in H-HBSS to a final concentration of 10 x 106 cells/ml and were incubated at 37°C with 0.1–3 mg/ml MSUM crystals for increasing periods. Stimulation was stopped by centrifugation at 17,000 g for 15 s, and the supernatants containing S100A8 and S100A9 were harvested for detection by ELISA. In separate experiments, neutrophils (10x106 cells/ml) were primed with 200 pM GM-CSF for 30 min at 37°C before being washed with H-HBSS and incubated with the stimuli or preincubated with 10 µM vincristine, 500 ng/ml nocodazole, and 5 µg/ml cytochalasin B at 37°C for 1 h; or increasing concentrations of wortmannin, PP2, or piceatannol for 20 min before the addition of the stimuli. Alternatively, neutrophils (15x106 cells/ml) were preincubated with 5 µg/ml anti-CD16 and/or 5 µg/ml anti-CD11b or 5 µg/ml isotype-control IgG and/or IgM for 2 min at 37°C before addition of the stimuli. Neutrophils were then stimulated with 1.5 mg/ml MSUM crystals for 1 h.

Immunoblot analysis
Cell lysates and supernatants from stimulated neutrophils were separated on 15% SDS-PAGE and transferred to Sequi-Blot polyvinylidene difluoride 0.2 µm membranes (Bio-Rad) by electroblotting. Nonspecific binding sites on the membranes were blocked by incubating the filters in Tris-buffered saline (TBS)–Tween 20 0.2% containing 5% powered skim milk for 1 h at room temperature. The membranes were then incubated for 1 h at room temperature with Rab1-8 (1/1000) polyclonal antibody or anti-LDH-specific antibody. All antibodies were diluted in TBS–Tween 20 0.2% containing 0.5% powdered milk. After four washes with TBS–Tween 20 0.2%, the membranes were incubated with peroxidase-conjugated donkey anti-rabbit IgG (1/10,000) or goat anti-mouse IgG (1/10,000) for 1 h at room temperature. Following incubation, the filters were washed four times in TBS–Tween 20 0.2%, and peroxidase activity was revealed by developing the membranes in Renaissance chemiluminescence reagent (NEN, Ville St. Laurent, Canada).

Detection of cell necrosis
Following neutrophil incubation with MSUM crystals or H-HBSS, propidium iodide was added to a final concentration of 50 ng/ml in H-HBSS or H-HBSS containing 0.5% Triton X-100 as positive control for the detection of lysed cells, and neutrophils were incubated for 5 min at room temperature. Neutrophils were then centrifuged at 17,000 g for 15 s and resuspended in H-HBSS.Cells were then deposited on microscope slides, and the fluorescence was visualized using an inverted confocal microscope (Olympus, Melville, NY). The presence of propidium iodide staining inside the nuclei indicated cellular lysis.

ELISA
Costar high-binding 96-well plates (Corning, NY) were coated with 100 µl/well S100A8/A9 conformational epitope-specific monoclonal antibody 5.5, diluted to a concentration of 1 µg/ml in 0.1 M carbonate buffer, pH 9.6, and left overnight at 4°C. Following incubation, the plates were washed with PBS/0.1% Tween-20 and blocked with PBS/0.1% Tween-20/2% bovine serum albumin (BSA; 100 µl/well) for 30 min at room temperature. The samples and standards (100 µl) were added and incubated for 40 min at room temperature. After three washes with PBS/0.1% Tween-20, the plates were incubated with 100 µl/well S100A9 polyclonal antibody (Rab1-14, diluted 1/10,000 in PBS/0.1% Tween-20/2% BSA) for 40 min at room temperature. Following incubation, the plates were washed three times and incubated with 100 µl/well peroxidase-conjugated donkey anti-rabbit IgG at a dilution of 1/7500 in PBS/0.1% Tween-20/2% BSA for 40 min at room temperature. After three washes, the presence of IgG was detected with 100 µl TMB-S, according to the manufacturer’s instructions; the reaction was stopped by adding 100 µl 0.18 M H2SO4, and the optical density was read at 500 nm.


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RESULTS
 
Release of S100A8/A9 by neutrophils stimulated with MSUM crystals
The release of S100A8/A9 by neutrophils was first analyzed following stimulation with increasing concentrations of MSUM crystals. As shown in Figure 1A , up to 30 µg/ml S100A8/A9 was released when neutrophils were incubated for 1 h with 3 mg/ml MSUM crystals. S100A8/A9 release was rapid, being detectable as early as 15 min after stimulation (Fig. 1B) . Maximum release occurred between 2 and 3 h of incubation with MSUM crystals, after which time, it remained stable (data not shown). Other crystalline particles (silica and sodium urate) did not induce the release of S100A8/A9 (data not shown), demonstrating that this release was not a result of nonspecific interactions or punctures of neutrophils by crystalline particles.



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Figure 1. Release of S100A8/A9 by MSUM-activated human neutrophils. (A) Neutrophils (10x106 cells/ml) were incubated at 37°C for 1 h with increasing concentrations of MSUM (MSU) crystals. (B) Neutrophils (10x106 cells/ml) were stimulated with medium alone [H-HBSS (HBSS)] or 3 mg/ml MSUM (MSU) crystals for increasing periods of time. The reactions were stopped by centrifugation at 17,000 g for 15 s, and the supernatants were collected. Levels of S100A8/A9 in the supernatants were analyzed by ELISA. Results are mean ± SEM of three independent experiments performed on different donors.

To confirm that the release of S100A8/A9 was not a result of cellular lysis, neutrophils were stimulated with the highest concentration of MSUM crystals used in this study (3 mg/ml), and the presence of LDH was evaluated in the supernatant. As shown in Figure 2 , MSUM crystal-stimulated neutrophils released trace quantities of LDH. However, there was proportionally more S100A8 than LDH released in MSUM crystal-stimulated supernatants compared with total cellular content. To confirm that the release of S100A8/A9 was not a result of membrane disturbance, neutrophils were stimulated with MSUM crystals, labeled with the cell membrane-impermeable dye propidium iodide, and observed using confocal microscopy. Staining of nuclei with propidium iodide would thus reveal the presence of cell lysis and/or loss of cell membrane integrity. The level of staining of H-HBSS- and MSUM-incubated neutrophils was similarly low, demonstrating that MSUM crystals did not affect cellular integrity (Fig. 3A and 3C ). In contrast, disturbance of cell-membrane integrity by addition of 0.5% Triton X-100 resulted in the detection of propidium iodide in neutrophil nuclei (Fig. 3B and 3D) . The absence of propidium iodide in MSUM-stimulated neutrophils confirmed that the release of S100A8/A9 detected was not a consequence of neutrophil lysis.



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Figure 2. Release of LDH and S100A8 by MSUM crystal-stimulated neutrophils. Neutrophils were stimulated with MSUM (MSU) crystals (3 mg/ml) for 1 h at 37°C. The reaction was stopped by centrifugation at 17,000 g for 15 s, and the supernatant was collected and separated on SDS-PAGE. Total cell lysates (Cells) were obtained by lysing the neutrophils in loading buffer. LDH and S100A8 were detected by immunoblot. Results are from one experiment representative of two other experiments performed on neutrophils from different donors.



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Figure 3. Confocal images demonstrating the absence of cellular lysis when neutrophils are stimulated with MSUM crystals. Cells were incubated in medium alone (A and B) or stimulated with 1.5 mg/ml MSUM crystals (C and D) for 1 h at 37°C. After stimulation, propidium iodide was added to a final concentration of 50 ng/ml and incubated for 5 min at room temperature. Neutrophils were then centrifuged at 17,000 g for 15 s and resuspended at a concentration of 40 x 106 cells/ml in H-HBSS (A and C) or H-HBSS containing 0.5% Triton X-100 as positive control for the detection of lysed cells (B and D). Confocal images are from one experiment representative of two others performed on neutrophils from different donors.

Effect of GM-CSF on the release of S100A8/A9 by MSUM-stimulated neutrophils
The state of activation of neutrophils influences their responses to exogenous stimuli. To determine if priming neutrophils with GM-CSF could influence the release of S100A8/A9, neutrophils were preincubated for 30 min with GM-CSF before being stimulated with MSUM crystals. Incubation of neutrophils with GM-CSF alone did not affect the release of S100A8/A9 by neutrophils (Fig. 4 ). However, priming neutrophils with GM-CSF significantly increased the release of S100A8/A9 by almost twofold when neutrophils were stimulated with MSUM crystals (Fig. 4) . This result demonstrates that the quantity of S100A8/A9 released from neutrophils depends on the state of activation of the cells.



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Figure 4. Priming of neutrophils with GM-CSF enhances S100A8/A9 release when neutrophils are stimulated with MSUM (MSU) crystals. Neutrophils (10x106 cells/ml) were pretreated with 200 pM GM-CSF or its control buffer [H-HBSS (HBSS)] for 30 min at 37°C. Cells were stimulated with MSUM crystals (1.5 mg/ml) for 1 h at 37°C. The reaction was stopped by centrifugation at 17,000 g for 15 s, and the supernatant was collected. Levels of S100A8/A9 in the supernatant were analyzed by ELISA. Results are the mean ± SEM of three experiments performed on different donors. *, P < 0.05, paired t-test.

Effect of anti-CD11b and anti-CD16 on S100A8/A9 release from MSUM crystal-stimulated neutrophils
There is evidence that activation of neutrophils by MSUM crystals occurs through Fc{gamma}RIIIb (CD16) and Mac-1 (CD11b/CD18) [28 ]. To determine if those two molecules were involved in the stimulation of S100A8/A9 release by neutrophils following activation with MSUM crystals, cells were stimulated with MSUM crystals with or without specific blocking antibodies. Antibodies directed against CD11b or CD16 blocked the release of S100A8/A9 induced by MSUM crystals by 48–58% (Fig. 5 ). This inhibition climbed to 77% when the two antibodies were combined. As expected, isotype-matched antibodies had no effect on the release of S100A8/A9 by activated neutrophils, demonstrating the specificity of the effect detected. These results demonstrate the involvement of CD11b and CD16 in the stimulation of S100A8/A9 release by MSUM crystal-stimulated neutrophils.



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Figure 5. Stimulation of S100A8/A9 release from MSUM crystal-stimulated neutrophils occurs through CD16 and CD11b. Neutrophils were preincubated with 5 µg/ml anti-CD16 and/or 5 µg/ml anti-CD11b or 5 µg/ml isotype-matched antibody for 2 min at 37°C before addition of MSUM (MSU) crystals at a final concentration of 1.5 mg/ml. After 1 h incubation, the levels of S100A8/A9 in the supernatant were analyzed by ELISA. Results are the mean ± SEM of six experiments from different donors. *, P < 0.05, and **, P < 0.01, compared with control, Dunnett multiple comparison test.

Role of the Src tyrosine kinase family, the tyrosine kinase Syk, and PI-3K in MSUM crystal-induced release of S100A8/A9
To further decipher the events leading to S100A8/A9 release, we turned our attention on phosphorylation events known to be associated with integrin activation. The Src tyrosine kinase family has been shown to be associated with phagocytosis and adhesion of neutrophils via the integrin CD11b/CD18 (Mac-1) [32 33 34 ]. As shown in Figure 6A , preincubation of neutrophils with the Src kinase family inhibitor PP2 diminished the release of S100A8/A9 by MSUM-stimulated neutrophils in a dose-dependent manner. Maximum inhibition (67%) was observed when neutrophils were incubated with 10 µM PP2 before stimulation (cf.d., with neutrophils incubated with H-HBSS), confirming the involvement of Src kinase(s) in the stimulation of S100A8/A9 release by MSUM crystal-activated neutrophils. PP2 had no effect on neutrophil viability at this concentration as assessed by trypan blue exclusion (data not shown).



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Figure 6. Inhibition of Src tyrosine kinase family, Syk tyrosine kinase, or PI-3K reduces S100A8/A9 release from MSUM (MSU) crystal-stimulated neutrophils. Neutrophils were preincubated with increasing concentrations of (A) the Src tyrosine kinase family inhibitor PP2, (B) the Syk tyrosine kinase inhibitor piceatannol, or (C) the PI-3K inhibitor wortmannin for 20 min at 37°C and stimulated with 1.5 mg/ml MSUM crystals for 1 h at 37°C. The reaction was stopped by centrifugation at 17,000 g for 15 s, and the supernatant was harvested. The levels of S100A8/A9 in the supernatant were analyzed by ELISA. Results are the mean ± SEM of five experiments from different donors. *, P < 0.05, and **, P < 0.01, compared with control, Dunnett multiple comparison test.

Syk plays a critical role in the signal-transduction pathway following MSUM crystal stimulation [35 ], although it is not clear if this event is upstream, downstream, or parallel to Src kinase activation. Therefore, we set out to investigate the role of Syk in the stimulation of S100A8/A9 release. Inhibition of Syk with piceatannol led to a 65% inhibition of S100A8/A9 release induced by MSUM crystals compared with neutrophils incubated with H-HBSS. This inhibition was maximal when neutrophils were incubated with 20 µM piceatannol (Fig. 6B) , a concentration that did not affect neutrophil viability as demonstrated by trypan blue exclusion (data not shown).

We also evaluated the role of PI-3K in a MSUM, crystal-stimulated transduction pathway leading to S100A8/A9 release, as PI-3K has also been associated with neutrophil functions such as chemotaxis and phagocytosis. [36 37 38 39 ]. Preincu-bation with the PI-3K inhibitor wortmannin reduced the release of S100A8/A9 from neutrophils stimulated with MSUM crystals in a dose-dependent manner (Fig. 6C) . Maximum inhibition was observed in the presence of 200 nM wortmannin with a 74% reduction of S100A8/A9 release compared with neutrophils incubated with MSUM alone. Similar results were obtained using LY294002, another PI-3K inhibitor (data not shown). Together, these results also confirm that the release of S100A8/A9 by MSUM crystal-stimulated neutrophils is an active phenomenon.

Effect of tubulin inhibitors on S100A8/A9 release
Being cytosolic, S100A8/A9 must follow a secretion pathway different from the classical secretory vesicule pathway. The alternative secretion pathway used by several cytoplasmic proteins such as IL-1 and FGFß remains mostly unknown or not completely characterized. Moreover, it is unclear whether all proteins secreted via this alternative pathway follow a similar route of secretion. In the case of S100A8/A9, activated monocytes were shown to release S100A8/A9 via a microtubule polymerization mechanism [26 ]. To investigate if the same mechanism was involved in S100A8/A9 release by neutrophils, cells were incubated with the microtubule polymerization inhibitors nocodazole and vincristine. S100A8/A9 release was inhibited by up to 42% or 38% when neutrophils were incubated in the presence of nocodazole or vincristine, respectively (Fig. 7 ), suggesting that like monocytes, the release of S100A8/A9 by neutrophils follows a tubulin-dependent pathway. Cytochalasin B, an actin polymerization inhibitor, diminished MSUM-induced S100A8/A9 release by 57% (as compared with nonstimulated neutrophils incubated with cytochalasin B). This suggests that cell movement, phagocytosis, or both are involved in the release of S100A8/A9.



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Figure 7. Tubulin polymerization is involved in the release of S100A8/A9 by neutrophils stimulated with MSUM crystals. Neutrophils (10x106 cells/ml) were pretreated for 1 h at 37°C with H-HBSS (Control), nocodazole (500 ng/ml), vincristine (10 µM), or cytochalasin B (5 µg/ml) and were stimulated with MSUM crystals (1.5 mg/ml) for 1 h at 37°C. The reaction was stopped by centrifugation at 17,000 g for 15 s, and the supernatant was harvested. S100A8/A9 in the supernatant was analyzed by ELISA. Results are the mean ± SEM of four experiments from different donors. *, P < 0.05, and **, P < 0.01, compared with control, Dunnett multiple comparison test.


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DISCUSSION
 
Recent findings by our laboratory showed that S100A8, S100A9, and S100A8/A9 are essentials for neutrophil recruitment to occur during MSUM crystal-induced inflammatory reaction [6 ]. In addition, high levels of S100A8/A9 were detected in the serum and even more so in synovial fluids of patients with gout, further indicating a role for these molecules in the pathogenesis of gouty arthritis. As the release of S100A8/A9 in experimentally MSUM crystal-induced inflammation correlated with neutrophil recruitment [6 ], and high levels of S100A8 and S100A9 are found in neutrophils cytosol, we suspected neutrophils as the major source of these proteins in the MSUM crystal-induced pathology. Here, we show that MSUM crystal-stimulated neutrophils release S100A8/A9 in a dose- and time-dependent manner. Although GM-CSF by itself did not induce the release of S100A8/A9 directly, priming of neutrophils with GM-CSF augmented the release induced by MSUM crystals, which stimulated S100A8/A9 release through CD16 and CD11b with members of the Src tyrosine kinase family, Syk, and PI-3K participating in the signal-transduction pathway. Finally, this release occurred at least in part through a tubulin-dependent mechanism.

Others [21 , 26 ] have reported secretion of S100A8/A9 from monocytes, but this secretion pathway remains mostly undefined. Although secretion of S100A8 and S100A9 by neutrophils has been suggested, the mechanism of their release is still unclear. A recent study suggested that S100A8/A9 is released following stimulation of neutrophils with fMLP or C5a [27 ]. Others have showed by immunohistochemistry that incubation of neutrophils with opsonized zymosan leads to the disappearance of S100A8 in neutrophil cytosol [40 ]. However, these studies relied on indirect methods to reveal the release of S100A8 and S100A8/A9 by neutrophils. Our results clearly show that neutrophils can specifically release S100A8/A9 in a dose- and time-dependent manner upon MSUM crystal stimulation. High concentrations of S100A8/A9 (10–5 M) were detected in MSUM-stimulated neutrophil supernatants. At these concentrations, S100A8/A9 stimulates neutrophil adhesion, and S100A8/A9 induces neutrophil chemotaxis at lower concentrations (10–10 M). High concentrations at the site of inflammation could thus contribute to the retention of neutrophils by enhancing their adhesion, and diffusion of S100 proteins from the inflammatory site could induce neutrophil chemotaxis.

Voganatsi et al. [41 ] associated the release of S100A8/A9 from Candida albicans-stimulated whole blood with the release of LDH, suggesting that S100A8/A9 release was a consequence of cellular lysis. However, it was unclear whether the same cells released LDH and S100A8/A9. In the present study, only traces of LDH were detected in the supernatant of neutrophils stimulated with MSUM crystals, confirming that the release of S100A8/A9 was not a consequence of cellular lysis. Furthermore, confocal microscopy showing the absence of propidium iodide staining in neutrophils provided clear evidence that the release of S100A8/A9 by MSUM-stimulated neutrophils was not the result of cellular lysis or temporary membrane disruption. Moreover, the inhibition of this release by specific inhibitors and the increase of this release when neutrophils are primed with GM-CSF provide further evidence for an active secretion. This result is in agreement with studies demonstrating that activation of neutrophils with MSUM crystals at concentrations as high as 3 mg/ml was not associated with cell necrosis as detected by trypan blue exclusion and LDH release [42 ].

Ruling out cell lysis as the cause of S100A8/A9 release, this prompted us to study its pathway of secretion. S100A8 and S100A9 do not possess a signal peptide to enable their secretion through the classic ER/Golgi/granule route used by enzymes such as gelatinase and cytokines, like IL-8, which would imply that they are secreted via an alternative pathway. It is plausible that as in phorbol 12-myristate 13-acetate-stimulated monocytes [26 ], the alternative secretory pathway used by S100A8/A9 in neutrophils involves tubulin polymerization. Indeed, vincristine and nocodazole, which promote microtubule depolymerization, impeded the release of S100A8/A9 following stimulation with MSUM crystals, which suggest that S100A8/A9 release is mediated by microtubule polymerization. Although the results suggest that S100A8/A9 release could be mediated in monocytes and neutrophils by a tubulin-dependent mechanism, tubulin polymerization inhibitors could also inhibit MSUM crystal-induced signal transduction [43 ]. Therefore, it is not possible to ascertain whether the effects of the tubulin polymerization inhibitors observed in the present study (that is, inhibition of S100A8/A9 release) are caused by inhibition within the secretory pathway or by inhibition of more upstream signaling events that promote secretion.

Despite numerous findings, the transduction signals leading to the activation of neutrophils by MSUM crystals remain mostly unknown. Nevertheless, tyrosine phosphorylation is known to play a critical role in MSUM crystal activation of numerous signaling pathways [44 , 45 ]. The Src family tyrosine kinase [32 , 46 ] as well as Syk [35 ] and PI-3K [47 , 48 ] are associated with MSUM crystal activation. Results presented here demonstrate the involvement of these molecules in the induction of S100A8/A9 release by MSUM crystal-stimulated neutrophils. It is unclear whether Src kinases, Syk, and PI-3K participate in a single or parallel signal-transduction pathways leading to S100A8/A9 release. Indeed, the lack of total inhibition by the specific inhibitors points toward parallel routes of transduction signal. However, the possibility that the inhibitors used did not completely inhibit their target kinases (possibly explaining the partial inhibition detected) cannot be ruled out. In addition, the order in which they are involved also remains unknown. Further studies are needed to answer these questions.

Neutrophil activation by MSUM crystals is thought to occur primarily through Fc{gamma}RIIIB (CD16) and Mac-1 (CD11b/CD18) [28 ]. Here, we show that the same molecules are associated with the release of S100A8/A9 following activation with MSUM crystals. Occupation of CD11b and CD16 with specific antibodies inhibited the release of S100A8/A9 by 77%. Inhibitors of Src kinases, Syk, and PI-3K, which are also linked to CD11b and CD16 transduction pathways [49 50 51 52 53 54 55 56 ], blocked neutrophil release of S100A8/A9 by approximately the same order of magnitude. These findings suggest that the release of S100A8/A9 by MSUM crystal-stimulated neutrophils could result from a direct activation of CD16 and CD11b. The lack of total inhibition also suggests the contribution of another as-yet unknown receptor using a different transduction pathway.

Several studies showed that the presence of neutrophils is necessary to induce an inflammatory reaction by MSUM crystals [57 , 58 ]. This implies that the proinflammatory factors released by neutrophils during MSUM stimulation are crucial for enhancing the inflammatory response. We previously demonstrated that S100A8 and S100A9 are essentials to neutrophil migration in response to MSUM crystals [6 ]. In this study, we demonstrate for the first time that neutrophils release the proinflammatory protein S100A8/A9. These results therefore further contribute to understanding the mechanisms leading to the inflammatory response associated with gout.


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ACKNOWLEDGEMENTS
 
This work was supported by a grant and a scholarship to P. A. T. from the Arthritis Society of Canada. C. R. and C. G. are supported by studentships from the K. H. Hunter Charitable Foundation and the Canadian Institutes of Health Research.

Received June 26, 2003; revised March 3, 2004; accepted March 17, 2004.


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