Originally published online as doi:10.1189/jlb.0806529 on February 28, 2007
Published online before print February 28, 2007
(Journal of Leukocyte Biology. 2007;81:1477-1486.)
© 2007
by Society for Leukocyte Biology
De novo C16- and C24-ceramide generation contributes to spontaneous neutrophil apoptosis
Grégory Seumois*,
Marianne Fillet
,
Laurent Gillet
,
Céline Faccinetto
,
Christophe Desmet*,
Cédric François*,
Benjamin Dewals
,
Cécile Oury
,
Alain Vanderplasschen
,
Pierre Lekeux* and
Fabrice Bureau*,||,1
* Departments of Physiology,
Analytical Pharmaceutical Chemistry,
Immunology and Vaccinology,
Human Genetics, and
|| Biochemistry and Molecular Biology, University of Liège, Liège, Belgium
1 Correspondence: Laboratory of Biochemistry and Molecular Biology, Faculty of Veterinary Medicine, University of Liège, Boulevard de Colonster, Bâtiment B42, Sart-Tilman, B-4000, Liège, Belgium. E-mail: fabrice.bureau{at}ulg.ac.be

ABSTRACT
Neutrophils rapidly undergo spontaneous apoptosis following
their release from the bone marrow. Although central to leukocyte
homeostasis, the mechanisms that regulate neutrophil apoptosis
remain poorly understood. We show here that apoptosis of cultured
neutrophils is preceded by a substantial increase in the intracellular
levels of 16 and 24 carbon atom (C
16- and C
24)-ceramides, which
are lipid second messengers of apoptosis and stress signaling.
Treatment of neutrophils with fumonisin B
2, a selective inhibitor
of the de novo pathway of ceramide synthesis, prevented accumulation
of C
16- and C
24-ceramides. Moreover, fumonisin B
2 significantly
reduced caspase-3, -8, and -9 activation and apoptosis in these
cells. Conversely, 3-O-methylsphingomyelin and fantofarone,
which are specific inhibitors of neutral and acid sphingomyelinases,
respectively, neither inhibited C
16- and C
24-ceramide production
nor decreased the apoptosis rate in neutrophils, indicating
that in these cells, ceramides are not generated from membrane
sphingomyelin. Further experiments showed that increasing endogenous
C
16- and C
24-ceramide levels by using DL-threo-1-phenyl-2-palmitoylamino-3-morpholino-1-propanol
and (1S,2R)-D-erythro-2-(N-myristoylamino)-1-phenyl-1-propanol,
two inhibitors of ceramide metabolism, enhances caspase-3, -8,
and -9 activity and increases neutrophil apoptosis. Similarly,
apoptosis was induced rapidly when synthetic C
16- and/or C
24-ceramides
were added to neutrophil cultures. Finally, GM-CSF, a cytokine
that delays neutrophil apoptosis, abrogated C
16- and C
24-ceramide
accumulation totally in cultured neutrophils, whereas Fas ligation
accelerated apoptosis in these cells without affecting de novo
ceramide production. We conclude that de novo generation of
C
16- and C
24-ceramides contributes to spontaneous neutrophil
apoptosis via caspase activation and that GM-CSF exerts its
antiapoptotic effects on neutrophils, at least partly through
inhibition of ceramide accumulation.
Key Words: caspases GM-CSF granulocytes survival

INTRODUCTION
Neutrophils represent 60% of the total circulating leukocytes
in humans and play a central role in host defense against infectious
microorganisms. Of all the cells of the immune system, the neutrophil
has the shortest half-life, estimated to be between 6 h and
18 h [
1
,
2
]. After release into the bloodstream, mature neutrophils
rapidly undergo spontaneous apoptosis and are eliminated through
phagocytosis by spleen, bone marrow, and liver macrophages [
1
2
3
].
The consequence of the short half-life of circulating neutrophils
is that 10
11 neutrophils need to be produced daily in the bone
marrow to maintain homeostasis [
4
]. The reasons why bloodstream
neutrophils die rapidly are not clear but may be related to
the capacity of these cells to inflict tissue damage if they
are activated inappropriately [
1
]. In response to pathogen
invasion, neutrophils migrate into peripheral tissues, where
they kill pathogens using several microbicidal mechanisms, including
phagocytosis, production of reactive oxygen intermediates, and
release of proteases [
5
,
6
]. To optimize pathogen elimination,
the lifespan of extravasated neutrophils is extended by a range
of inflammatory mediators, including cytokines such as GM-CSF
[
7
] and bacterial components including LPS [
8
]. After killing
the ingested microorganisms, the neutrophils enter apoptosis
and are phagocytosed by resident macrophages, preventing loss
of neutrophil contents and tissue destruction [
3
,
9
]. It thus
appears that regulation of neutrophil lifespan is essential
to prevent tissue damage and to ensure the maintenance of neutrophil
homeostasis, the efficient removal of pathogens, and the resolution
of the inflammatory process. However, the molecular mechanisms
involved in the control of neutrophil apoptosis remain poorly
understood.
Ceramides are bioactive sphingolipids, which mediate antiproliferative responses such as cell cycle arrest, senescence, and apoptosis [10
, 11
]. The most common ceramides have acyl chain lengths of 1624 carbon atoms (C16C24) and are produced in response to various stress stimuli, including TNF-
, Fas ligand (FasL), oxidative stress, anticancer drugs, ionizing radiation, and ultraviolet light [10
, 11
]. Ceramides are generated from the major membrane sphingolipid sphingomyelin by acid and neutral sphingomyelinases (ASMase and NSMase) or through the de novo synthesis pathway [11
12
13
]. De novo ceramide biosynthesis requires coordinate action of serine palmitoyl transferase and ceramide synthase to generate ceramides. Serine palmitoyl transferase catalyzes the condensation of serine and palmitoyl-CoA to form 3-ketosphinganine, which is reduced to sphinganine and subsequently, N-acylated by ceramide synthase to form dihydroceramide. Finally, a double bond is introduced by dihydroceramide desaturase to produce ceramides. However they are formed, accumulating ceramides may induce cytochrome c release, caspase activation, and apoptosis [10
, 11
]. Once generated, ceramides may be converted into a variety of metabolites [12
, 13
]. Phosphorylation by ceramide kinase generates ceramide 1-phosphate, and deacylation by ceramidases yields sphingosine. Ceramides may also be converted back to sphingomyelin by sphingomyelin synthase. Finally, ceramides can be glycosylated by glucosylceramide synthase to form glucosylceramides.
It has been shown previously that the apoptotic program may be initiated in neutrophils through reactive oxygen species (ROS)-induced ASMase activation and subsequent ceramide accumulation [14
]. In the present study, we have further investigated the role of ceramides in regulating neutrophil apoptosis and show that de novo synthesis of C16- and C24-ceramides is a crucial event in the induction of spontaneous neutrophil death. Moreover, we demonstrate that GM-CSF reduces accumulation of de novo-generated C16- and C24-ceramides in neutrophils, a mechanism that could account for the antiapoptotic function of this cytokine.

MATERIALS AND METHODS
Cell sorting, culture, and treatment
Human blood neutrophils, lymphocytes, and monocytes were obtained
from buffy coats (Transfusion Center, Liege, Belgium). Neutrophils
were separated from mononuclear cells by density centrifugation
(Histopaque, Sigma-Aldrich, Bornem, Belgium). Contaminating
erythrocytes were removed from the neutrophil fraction by hypotonic
lysis. Lymphocytes and monocytes were isolated from the mononuclear
fraction by positive magnetic selection using microbeads coated
with anti-CD3 and anti-CD22 antibodies (lymphocytes) or anti-CD14
antibodies (monocytes) (CD3, CD22, and CD14 MicroBeads, Miltenyi
Biotec, Paris, France). Neutrophil, lymphocyte, and monocyte
purity, as determined by counting of cytospin preparations stained
with Diff-Quick (Dade Behring, Dudingen, Germany), was always
>95%. Blood cells were cultured at a density of 2
x 10
6 cells/ml
in RPMI 1640 supplemented with 1% glutamine, 10% FCS, 50 µg/ml
streptomycin, and 50 IU/ml penicillin (all from Gibco-BRL, Grand
Island, NY, USA). HCT-116, human embryonic kidney (HEK)-293,
HeLa, ovarian carcinoma (OVCAR), Phoenix, Jurkat, and Raji cell
lines were obtained from American Type Culture Collection (Manassas,
VA, USA). These cell lines were cultured in DMEM (HeLa, HEK-293,
and Phoenix cells), McCoys 5A (HCT-116 cells), or RPMI
1640 (OVCAR, Jurkat, and Raji cells), supplemented with 1% glutamine,
10% FCS, 50 µg/mL streptomycin, and 50 IU/mL penicillin.
Neutrophils were cultured in the presence or absence of human
recombinant GM-CSF (PeproTech EC, London, UK), fumonisin B
2 (Biomol, Plymouth Meeting, PA, USA), 3-O-methylsphingomyelin
(3-OMS; Biomol), fantofarone (SR33557; Sanofi Pharm. N.V., Brussels,
Belgium), DL-threo-1-phenyl-2-palmitoylamino-3-morpholino-1-propanol.HCl
(PPMP; Biomol), (1S,2R)-D-erythro-2-(N-myristoylamino)-1-phenyl-1-propanol
(MAPP; Biomol), synthetic C
16- or C
24-ceramides (Acros Organics,
Geel, Belgium), or soluble FasL (sFasL; PeproTech EC). GM-CSF
and sFasL were dissolved in PBS. Fumonisin B
2 and PPMP were
dissolved in water. MAPP, 3-OMS, and fantofarone were dissolved
in ethanol. C
16- and C
24-ceramides were dissolved in ethanol/dodecan
(99.8/0.2, v/v). An equal amount of solvent was always added
to control cultures.
Measurement of intracellular ceramide levels
Liquid chromatography-electrospray ionization tandem-mass spectrometry (LC-ESI-MS/MS) was used to measure intracellular ceramide levels as described previously [15
]. Standard solutions for optimization of LC-ESI-MS/MS were prepared by dissolving ceramides in a 99.8/0.2 (v/v) mixture of ethanol/formic acid to reach a concentration of 1 µg/ml. For extraction of cellular lipids, cells were rinsed twice with ice-cold PBS, and centrifuged at 800 g. The resulting pellet was homogenized in distilled water by sonication. An aliquot of the cell homogenate was reserved for determination of protein levels. C12-ceramide (10 ng; as an internal standard) was added to samples of cell lysates containing 300 µg protein. Lipids were extracted using Folchs partition with a mixture of chloroform and methanol (2/1, v/v). Samples were then centrifuged at 1500 g and washed with chloroform, methanol, and water (5/48/47, v/v/v). The organic phase was evaporated to near dryness under a gentle stream of dry nitrogen. The samples were reconstituted by vortexing with 100 µl of a mixture of ethanol/formic acid (99.8/0.2) until they were dissolved completely. To avoid any loss of lipids, the entire procedure was performed in siliconized glassware. The LC-ESI-MS/MS procedure we used detects endogenous ceramides C14, C16, C18, C20, C22, and C24 [15
]. The levels of each ceramide species were expressed as their relative abundance compared with C16-ceramide level in untreated neutrophil.
Detection of apoptosis by cytochemical staining
Apoptosis was assessed by staining with Annexin-V-FITC and propidium iodide (PI) using the Annexin-V-Fluos staining kit (Roche, Mannheim, Germany), following the recommendations of the manufacturer. Flow cytometry analyses were performed with a FACSAriaTM (BD Biosciences, San Jose, CA, USA).
Assay of caspase activity
Caspase activities were determined using the CaspaTagTM caspase-3, caspase-8, and caspase-9 in situ assay kits (Chemicon International, Billerica, MA, USA). These are fluorochrome-labeled caspase inhibitors [sulforhodamine-labeled Asp-Glu-Val-Asp-fluoromethylketone (fmk) for caspase-3, fluorescein-labeled Leu-Glu-Thr-Asp-fmk for caspase-8, and fluorescein-labeled Leu-Glu-His-Asp-fmk for caspase-9), which are cell-permeable and nontoxic and covalently bind only active caspases. Analysis of caspase activity was performed using flow cytometry. Briefly, freshly isolated neutrophils and neutrophils that were cultured for 5 h in the absence or presence of 50 µM fumonisin B2, 50 µM MAPP, or 30 µM PPMP were washed and resuspended in complete RPMI supplemented with fluorochrome-peptide-fmk for 1 h at 37°C under 5% CO2. Cells were washed twice and resuspended in fixing buffer. The cells were analyzed immediately by flow cytometry.
Statistical analysis
Data are presented as means ± SD. The difference between mean values was estimated using an ANOVA with subsequent Fishers protected least significant difference tests or a Students t-test for unpaired data. A value of P < 0.05 was considered significant. All presented results are representative of at least three similar experiments.

RESULTS
Parallelism between C16- and C24-ceramide accumulation and triggering of apoptosis in cultured neutrophils
To determine the role of ceramides in spontaneous neutrophil
apoptosis, human blood neutrophils were isolated from buffy
coats and cultured for 0, 3, 6, 12, 18, and 24 h before measurement
of C
1424-ceramide content by LC-ESI-MS/MS and assessment
of apoptosis by the Annexin-V-FITC/PI detection method (
Fig. 1A
and 1B
).
Figure 1A
shows that high levels of C
16- and C
24-ceramides
were detected in freshly isolated neutrophils. C
16- and C
24-ceramide
rates remained unchanged until 3 h but then increased gradually
to peak at 12 h. C
24-ceramide levels returned to baseline at
18 h, whereas C
16-ceramide rates decreased slightly to reach
intermediate values at 18 h and 24 h. C
14-, C
18-, C
20-, and
C
22-ceramides were barely detectable at any time-point. Freshly
isolated neutrophils contained very few apoptotic cells
(Fig. 1B)
.
Apoptosis rates remained low until 6 h but increased dramatically
at 12 h. At this time-point,

62% of neutrophils were dead. The
apoptotic rate then continued to increase gradually, reaching
values of

80% at 24 h. It is noteworthy that the increase in
C
16- and C
24-ceramide levels (between 3 h and 12 h) just preceded
the increase in neutrophil apoptosis (12 h; compare
Fig. 1A
and 1B
).
The experiments shown in
Figure 1A
and 1B
, have been reiterated
with neutrophils isolated from freshly sampled blood ("fresh
neutrophils") rather than with "buffy coat neutrophils." Fresh
neutrophils provided similar results than did buffy coat neutrophils
(data not shown). Finally, the relative abundance of C
16- and
C
24-ceramides in blood neutrophils were compared with those
in various other cell types, namely, primary lymphocytes and
monocytes, and the HCT-116, HEK-293, HeLa, OVCAR, Phoenix, Jurkat,
and Raji cell lines. C
24-ceramide levels in neutrophils were
comparable with those in the other cell types, except that only
low C
24-ceramide rates were found in freshly isolated and 12
h-cultured, primary lymphocytes
(Fig. 1C)
. Conversely, C
16-ceramide
levels were much higher in neutrophils than in any of the other
cell types examined
(Fig. 1C)
. These results show that C
16-ceramide
production is elevated in neutrophils and that C
16- and C
24-ceramide
accumulation precedes apoptosis in these cells.
C16- and C24-ceramides are generated via the de novo pathway in neutrophils and contribute to spontaneous apoptosis of these cells
Ceramides can be generated from sphingomyelin through activation
of SMases or from activation of the de novo pathway. To determine
the source of C
16- and C
24-ceramides in neutrophils, we have
treated cultured neutrophils with 3-OMS, fantofarone (SR33557),
or fumonisin B
2. 3-OMS is a specific NSMase inhibitor [
16
],
whereas fantofarone selectively blocks ASMase [
17
]. Fumonisin
B
2 is a specific inhibitor of ceramide synthase, blocking the
conversion of sphinganine to dihydroceramide in the de novo
pathway [
18
,
19
]. As depicted in
Figure 2A
, treatment of
cultured neutrophils with fumonisin B
2 totally prevented C
16-
and C
24-ceramide accumulation at 6 h and 12 h. C
16-ceramide
levels even declined below the baseline in fumonisin B
2-treated
neutrophils. Conversely, 3-OMS and fantofarone had no effect
on ceramide production
(Fig. 2A)
. Consistent with these observations,
fumonisin B
2, but neither 3-OMS nor fantofarone, reduced the
rate of neutrophil apoptosis significantly at 12, 18, and 24
h
(Fig. 2B)
. Taken together, these results indicate that C
16-
and C
24-ceramides generated via the de novo pathway accumulate
in neutrophils, thereby contributing to the induction of spontaneous
apoptosis. Moreover, it also appears that basal production of
C
16-ceramide is at least partly dependent on the de novo pathway.
Increasing endogenous C16- and C24-ceramide levels using inhibitors of ceramide metabolism increases neutrophil apoptosis
To further explore the role of ceramides in neutrophil apoptosis,
we have amplified the endogenous ceramide levels in cultured
neutrophils by using PPMP and MAPP, two inhibitors of ceramide
metabolism. PPMP specifically inhibits glucosylceramide synthase,
thus blocking ceramide glycosylation [
20
]. MAPP is a selective
inhibitor of the alkaline ceramidase, which breaks down ceramides
to sphingosine [
21
]. As shown in
Figure 3A
, PPMP increased
C
16- and C
24-ceramide levels substantially in cultured neutrophils,
whereas MAPP enhanced C
16-ceramide levels without affecting
C
24-ceramide rates. The effects of PPMP and MAPP were observed
as early as 3 h after treatment and were maintained until 24
h
(Fig. 3A)
. For example, at 3 h, C
16- and C
24-ceramide levels
in PPMP-treated cells were equal to or even greater than those
measured in control cells at 12 h. Similarly, C
16-ceramide levels
were higher in MAPP-treated cells at 3 h than in untreated cells
at 12 h. Elevation of endogenous ceramide levels was paralleled
by a significant increase in the apoptosis rates in PPMP- and
MAPP-treated neutrophils, as compared with untreated cells
(Fig. 3B)
,
confirming that C
16- and C
24-ceramides may play an active role
in inducing the apoptotic program in these cells.
Rapid onset of apoptosis in neutrophils treated with synthetic C16- and C24-ceramides
To ascertain that C
16- or C
24-ceramide accumulation is sufficient
to induce neutrophil apoptosis, freshly isolated neutrophils
were treated for 6 h with synthetic C
16- or C
24-ceramides before
apoptosis was assessed by Annexin-V-FITC/PI staining. Treatment
with synthetic C
16-ceramide significantly increased the intracellular
levels of C
16-ceramide without changing the C
24-ceramide contents
(
Fig. 4A
, left panel). Similarly, treatment with synthetic
C
24-ceramide drastically enhanced the intracellular levels of
C
24-ceramide (
Fig. 4A
, middle panel). The apoptotic rate was
increased significantly in the presence of synthetic C
16- or
C
24-ceramides
(Fig. 4B)
. However, synthetic C
16-ceramide was
more potent than C
24-ceramide in inducing neutrophil apoptosis
(
Fig. 4B
, compare left and middle panels). Alternatively, neutrophils
were treated with a combination of synthetic C
16- and C
24-ceramides.
Addition of C
16- and C
24-ceramides led to a significant increase
in intracellular levels of both ceramide species (
Fig. 4A
,
right panel). Moreover, exogenously added C
16- and C
24-ceramides
had an additive effect on neutrophil apoptosis (
Fig. 4B
, compare
right panel with left and middle panels). These data establish
that accumulation of C
16- and/or C
24-ceramides is sufficient
to trigger neutrophil apoptosis.
De novo-generated C16- and C24-ceramides work upstream of caspase-3, -8, and -9 in neutrophils
Several studies have demonstrated a critical role for caspase-3,
-8, and -9 in spontaneous neutrophil apoptosis [
14
,
22
23
24
25
26
].
The CaspaTag
TM method was used to follow the activation of these
three caspases in cultured neutrophils. Increased activity of
caspase-3, -8, and -9 was already detected at 6 h in untreated
neutrophils (
Fig. 5
). The addition of fumonisin B
2 to the culture
medium clearly reduced caspase activation at this time-point
(Fig. 5)
. Conversely, treatment with MAPP and PPMP significantly
increased caspase activity at 6 h
(Fig. 5)
. Together, these
results indicate that de novo-generated C
16- and C
24-ceramides
act upstream of caspase-3, -8, and -9 in neutrophils.
GM-CSF prevents C16- and C24-ceramide accumulation in neutrophils
Numerous inflammatory mediators are able to promote neutrophil
survival in vitro and in vivo [
27
]. Among these molecules,
GM-CSF crucially contributes to inhibition of neutrophil apoptosis
at the site of inflammation [
28
]. Evidence for such an antiapoptotic
effect of GM-CSF is provided in
Figure 6A
, where it can be
seen that apoptosis of GM-CSF-treated neutrophils is delayed
significantly as compared with that of untreated controls.
Figure 6B
shows that treatment of cultured neutrophils with GM-CSF totally
prevented accumulation of de novo-generated C
16- and C
24-ceramides,
a finding that could partly explain the antiapoptotic function
of this cytokine.
Fas ligation accelerates neutrophil apoptosis without affecting de novo ceramide generation
Resting neutrophils respond to Fas engagement by accelerating
their apoptosis rate [
29
], a finding that we confirmed in the
present study (
Fig. 7A
). Indeed, a threefold increase in apoptosis
was observed at 6 h in sFasL-treated neutrophils when compared
with untreated controls. At 12, 18, and 24 h, the differences
in apoptosis between sFasL-treated and untreated neutrophils
were less pronounced but still significant.
Figure 7B
shows
that treatment with sFasL did not alter the levels of C
16- and
C
24-ceramides in neutrophils, indicating that sFasL-induced
acceleration of neutrophil apoptosis is not dependent on a rise
in de novo ceramide production.

DISCUSSION
Blood neutrophils enter apoptosis spontaneously and are removed
from the circulation by macrophages within 2448 h of
leaving the bone marrow [
1
,
2
]. Therefore, the neutrophil
turnover is rapid, minimizing the risk of loss of their toxic
contents to the surrounding tissues. Although central to homeostasis,
the mechanisms that control neutrophil apoptosis remain elusive.
In this study, we have addressed the question of what is the
exact role of ceramides in regulating neutrophil lifespan. Ceramides
are lipid second messengers involved in many antiproliferative
responses such as cell-cycle arrest, senescence, and apoptosis
[
10
,
11
]. Previous reports have implicated ceramides in neutrophil
physiology. First, lactosylceramide-enriched glycosphingolipid
signaling microdomains mediate superoxide generation in neutrophils
through the PI-3K-, p38 MAPK-, and protein kinase C-dependent
signal transduction pathway [
30
]. Second, apoptosis may be
induced in neutrophils through ROS-induced ASMase activation
and subsequent ceramide accumulation [
14
]. In our study, treatment
with fumonisin B
2, a selective ceramide synthase inhibitor [
18
,
19
], not only blocked C
16- and C
24-ceramide accumulation but
also reduced apoptosis in neutrophils. Conversely, 3-OMS and
fantofarone, which are specific inhibitors of NSMase and ASMase,
respectively, neither affected intracellular ceramide levels
nor prevented apoptosis in these cells. Our results therefore
provide evidence that de novo-generated C
16- and C
24-ceramides
play a role in spontaneous neutrophil apoptosis. C
16- and C
24-ceramide
accumulation was inhibited completely by fumonisin B
2 and therefore
appeared to be exclusively dependent on the de novo synthesis
pathway. However, fumonisin B
2 only slowed down neutrophil apoptosis,
indicating that de novo C
16- and C
24-ceramides play a role but
are not absolutely required for the apoptotic process in these
cells and that other signaling mechanisms, independent of ceramide
biosynthesis, are involved in induction of spontaneous neutrophil
death. Prominent among these mechanisms appears to be the gradual
loss of Mcl-1, an antiapoptotic protein of the Bcl-2 family,
in aging neutrophils [
31
]. More recently, Zhu et al. [
32
]
have demonstrated that deactivation of the phosphatidylinositol
3,4,5-trisphosphate/Akt signaling pathway also plays a key role
in induction of neutrophil spontaneous death.
Under normal conditions of de novo sphingolipid synthesis, ceramides are not considered to be end-products with biological activities, as they serve as substrates for sphyngomyelin synthase and glucosylceramide synthase, enzymes of complex sphingolipid synthesis. However, there is now a growing body of evidence to implicate de novo-generated ceramides in induction of apoptosis [11
]. For example, consistent with our findings, accumulation of de novo C16- and/or C24-ceramides provokes apoptosis in lymphoma cells following BCR stimulation [33
], in LNCaP prostate cancer cells after androgen ablation [34
], and in dendritic cells (DC) cultured in the presence of tumor supernatants [35
].
An intriguing question that remains is: What are the molecular mechanisms that boost the de novo ceramide synthesis pathway, thereby leading to accumulation of C16- and C24-ceramides and eventually to apoptosis in neutrophils? It has been demonstrated that the de novo pathway may be activated in response to TNF-
[36
], free palmitoyl-CoA [37
], lymphotoxin [38
], BCR cross-linking [33
], and chemotherapeutic agents such as daunorubicin [39
], hexadecylphosphocholine [40
], and etoposide [41
]. In our study, neutrophils were left untreated, indicating that cell autonomous mechanisms are involved in the activation of the de novo pathway. Further investigations are needed to decipher these mechanisms.
The use of LC-MS to identify specific molecular species of ceramide has revealed the selective formation of C16- and C24-ceramide during operation of the de novo pathway, indicating that those ceramides are a potential signature for this pathway [11
]. Accumulation of de novo-generated C16-ceramide has been reported to be responsible for apoptosis induction in various cell types. For example, BCR-induced apoptosis of lymphoma cells involves a highly selective increase in the levels of C16-ceramide, formed specifically through the de novo pathway [32
]. Moreover, Eto et al. [34
] showed that increases in C16-ceramide levels generated via the de novo pathway play a key role during the apoptosis induced by androgen ablation in the androgen-dependent LNCaP prostate cancer cell line. Here, we provide several lines of evidence extending the role of de novo-generated C16-ceramide to the initiation of spontaneous neutrophil apoptosis. First, C16-ceramide was by far the predominant ceramide species present in neutrophils and was much more abundant in neutrophils than in any of the other cell types investigated. Second, fumonisin B2 totally abrogated C16-ceramide accumulation and substantially reduced apoptosis in cultured neutrophils. Finally, exogenously supplied C16-ceramide was particularly potent in inducing neutrophil death. Our data, however, also implicate a participation of de novo-generated C24-ceramide in spontaneous neutrophil apoptosis. Indeed, C24-ceramide rates increased significantly before apoptosis detection in cultured neutrophils, a process that was inhibited by fumonisin B2. Moreover, synthetic C24-ceramide, although less potent than C16-ceramide, was able to induce neutrophil death. Finally, exogenously added C16- and C24-ceramides had an additive effect on neutrophil apoptosis. Our findings are therefore consistent with a previous report that de novo-generated C24-ceramide, in combination with de novo-synthesized C16-ceramide, participates in tumor-induced DC apoptosis [35
].
Once generated, ceramides can be phosphorylated by ceramide kinase to yield ceramide-1-phosphate or can serve as substrates for the synthesis of sphingomyelin or glucosylceramides. Alternatively, ceramide can be metabolized by ceramidases to yield sphingosine. In this study, we have used PPMP (namely, a selective inhibitor of glucosylceramide synthase) and MAPP (namely, a specific ceramidase inhibitor) to block ceramide metabolism and to demonstrate definitively that accumulation of ceramides may trigger the apoptotic program in neutrophils. PPMP increased C16- and C24-ceramide levels significantly in cultured neutrophils, whereas MAPP only enhanced C16-ceramide concentrations in these cells, indicating that C16-ceramide is converted into glucosylceramide or sphingosine, and C24-ceramide is only transformed into glucosylceramide. These findings show that the different ceramide species can be processed through distinct metabolic pathways in neutrophils.
Activation of caspase-3, -8, and -9 plays a crucial role in the induction and execution of spontaneous neutrophil apoptosis [14
, 22
23
24
25
26
]. We have therefore examined whether de novo-generated ceramides participate in caspase activation in neutrophils. It has been reported that short-chain ceramides can induce poly(ADP-ribose) polymerase proteolysis and caspase activation, two key events in the apoptotic process [42
, 43
]. Moreover, ceramides produced by the action of sphingomyelinases are also potent inducers of caspase activity [44
]. The first studies to examine the role of de novo-generated ceramides in apoptosis were by Perry et al. [41
]. Their results provided evidence that ceramides from the de novo synthesis pathway and caspases activate an independent pathway during etoposide-induced apoptosis of Molt-4 leukemia cells. In their model, de novo-synthesized ceramides induce caspase-independent cell death by effecting changes in the membrane structure, whereas caspases provoke DNA fragmentation in a ceramide-independent manner. Consistent with this model, tumor-induced DC apoptosis requires de novo formation of C16- and C24-ceramides but occurs via a caspase-independent pathway [35
]. However, other studies placed de novo-generated ceramides upstream of caspase activation in the apoptotic program. Indeed, caspase activation and subsequent apoptosis are consecutive to de novo ceramide production in IgM-stimulated lymphoma cells and androgen-deprived LNCaP prostate cancer cells [33
, 34
]. In the present study, treatment of neutrophils with fumonisin B2 substantially reduced activation of caspase-3, -8, and -9, whereas treatment with MAPP and PPMP enhanced caspase activity, demonstrating that de novo-generated ceramides act upstream of caspases in these cells. Moreover, as caspase-8 activation leads to the cleavage of Bid in neutrophils and therefore precedes mitochondrial depolarization in these cells [14
], we also conclude that de novo generation of C16- and C24-ceramides is an early event (upstream of mitochondrial depolarization) in spontaneous neutrophil apoptosis.
Neutrophils have a short half-life, which is extended at the inflammatory site by a range of inflammatory mediators and bacterial components. Among these factors, GM-CSF potently delays neutrophil apoptosis in vivo [28
]. The molecular mechanisms by which GM-CSF controls neutrophil apoptosis are not fully understood. It has been demonstrated that the protective effects of GM-CSF involve tyrosine kinase activity and subsequent activation of MAPKs [45
]. In addition, it has been shown that GM-CSF-delayed apoptosis in neutrophils is associated with a cooperative regulation of Mcl-1, an antiapoptotic protein of the Bcl-2 family, by the Janus kinase/STAT and PI-3K pathways [46
]. In parallel, it has been reported that the survival effect of GM-CSF is caused by a PI-3K-dependent phosphorylation and cytosolic translocation of Bad, a proapoptotic member of the Bcl-2 family [47
]. In this study, we show that GM-CSF totally abrogates accumulation of de novo-generated C16- and C24-ceramides, thereby providing a new mechanism by which GM-CSF may prevent neutrophil apoptosis. However, as GM-CSF had a greater effect on inhibiting neutrophil apoptosis than did fumonisin B2 (compare Fig. 2B
, left panel, with Fig. 6A
), it is evident that inhibition of C16- and C24-ceramide production is not the sole mechanism accounting for the antiapoptotic effects of GM-CSF. Further studies are underway to clarify the importance of inhibition of de novo ceramide synthesis in GM-CSF-mediated antiapoptosis.
Stimulation of the Fas death pathway results in rapid apoptosis in neutrophils [29
]. We therefore sought to determine whether de novo-generated ceramides participate in Fas-induced neutrophil apoptosis. Fas engagement triggers de novo ceramide production and apoptosis in Jurkat cells [48
]. However, although de novo-generated ceramides are implicated in regulating the dephosphorylation of serine/arginine-rich proteins in response to Fas activation in Jurkat cells [49
], it appears that de novo-produced ceramides do not act as critical mediators of Fas-induced apoptosis in these cells [48
]. In the present study, treatment of neutrophils with sFasL accelerated apoptosis but did not modify the levels of C16- and C24-ceramides, indicating that Fas-induced neutrophil apoptosis does not require an increase in de novo ceramide generation.
In conclusion, we show that de novo-generated C16- and C24-ceramides contribute to spontaneous neutrophil apoptosis by acting upstream of caspase-3 activation. Moreover, we provide evidence that GM-CSF exerts its antiapoptotic effects on neutrophils, at least partly through inhibition of de novo ceramide accumulation.

ACKNOWLEDGEMENTS
This work was partly supported by UCB Pharma (Braine-lAlleud,
Belgium). The authors thank Sanofi (Brussels, Belgium) for kindly
providing fantofarone (SR33557), Drs. Pierre Châtelain,
Bruno Fuks, and Roy Massingham for helpful discussions, and
Martine Leblond and Ilham Sbaï for excellent technical
and secretarial assistance. L. Gillet is a postdoctoral researcher,
M. Fillet and C. Oury are research associates, and A. Vanderplasschen
is a research director at the Fonds National de la Recherche
Scientifique (FNRS), Belgium. C. Faccinetto is a research fellow
at the Fonds de la Formation à la Recherche dans lIndustrie
et lAgriculture (FRIA), Belgium.
Received August 22, 2006;
revised January 9, 2007;
accepted January 29, 2007.

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