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Published online before print March 9, 2007
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Divisions of
* Clinical Neurology and
Molecular and Clinical Immunology, University of Nottingham, Nottingham, United Kingdom
1 Correspondence: Division of Clinical Neurology, Queens Medical Centre, Medical School, University of Nottingham, Nottingham NG7 2UH, UK. E-mail: cris.constantinescu{at}nottingham.ac.uk
| ABSTRACT |
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. IFN-ß, a Type I IFN used in the treatment of multiple sclerosis, has been shown to significantly increase the expression of the anti-inflammatory cytokine IL-10, a major suppressor of Th1 cytokines. The beneficial immunomodulatory effects of IFN-ß may in part be a result of its ability to suppress IL-12. However, IL-12 and IFN-ß signal via the STAT4 pathway. Our aim was to investigate the relationship between IL-12 and IFN-ß by observing the effect of prior exposure to IL-12 or IFN-ß on the ability of T cells to subsequently respond to the other cytokine. We report that IFN-ß increases IL-12-induced STAT4 phosphorylation and up-regulates IL-12 receptor ß1 and ß2 expression. However, despite this up-regulation, IFN-ß suppressed IL-12-induced IFN-
expression. Our results suggest that this may be a result of the parallel induction of IL-10 by IFN-ß.
Key Words: human signal transduction IFN-gamma interleukin-10
| INTRODUCTION |
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by effector cells of the innate and adaptive immune systems [1
]. Previous studies have indicated that although IL-12 exerts effects that are independent of IFN-
, induction of Th1 cells is reduced when IFN-
is blocked [2
]. IL-12 acts via the STAT4 signaling pathway. Signal transduction through the IL-12 receptor (IL-12R) induces tyrosine phosphorylation of the Janus family kinases JAK2 and TYK2, which in turn phosphorylate STAT4 [3
]. Phosphorylated STAT4 (pSTAT4) dimerizes, translocates to the nucleus, and instigates DNA transcription [4
]. IL-12 is critical in the development of Th1 differentiation [1
], is protective in a variety of intracellular infections, and has shown potent antitumor activity [5
, 6
]. However, IL-12 also has a clear potential to cause injury to the host and is thought to contribute to the pathogenesis of immune-mediated, inflammatory disorders including multiple sclerosis (MS) and rheumatoid arthritis [7
]. The Type I interferon, IFN-ß, is the best-characterized and most-used disease-modifying treatment for MS. It has been demonstrated that IFN-ß significantly increases the expression of the anti-inflammatory cytokine IL-10 [8 ], a major suppressor of Th1 cytokines [9 , 10 ]. Like IL-12, IFN-ß also acts via the STAT4 pathway.
The beneficial immunomodulatory effects of IFN-ß may in part be a result of its ability to suppress IL-12 [11 ]; however, IFN-ß has also been shown to up-regulate IL-12Rß2 chain expression [12 ]. Immunoregulatory cytokine networks are rarely simple, and the relationship between IL-12 and Type I IFNs is no exception. As IL-12 and IFN-ß signal via the STAT4 pathway, we wanted to investigate the effects of one cytokine on STAT4 activation by the other and the downstream influences on important biological effects of these molecules such as cytokine induction. We observe the effect of prior exposure to IL-12 or IFN-ß on the ability of T cells to subsequently respond to the other cytokine.
| MATERIALS AND METHODS |
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Cytokines and antibodies
The following reagents were obtained: recombinant human IL-12 (PeproTech EC, London, UK), IFN-ß (Rebif®, a gift of Dr. Paul Byrne, Serono, London, UK), and polyclonal rabbit anti-pSTAT4 antibody (Zymed Laboratories, Inc., San Francisco, CA, USA). Antihuman CD3-PE mAb, antihuman IFN-
receptor-1 (IFNAR-1) mAb, antihuman IFN-
-FITC mAb, antihuman IL-10-IgG2a mAb (unlabeled), antihuman IL-12Rß1-PE mAb, and mouse IgG isotype control were purchased from R&D Systems (Oxford, UK). Purified rat antihuman IL-12Rß2 mAb was purchased from BD PharMingen (San Diego, CA, USA). Antihuman IL-10-PE mAb, goat antimouse-FITC secondary antibody, goat antirabbit-PE secondary antibody, and goat antirat-PE secondary antibody were purchased from Caltag Laboratories (S. San Francisco, CA, USA). IFN-
and IL-10 solid-phase sandwich ELISAs were purchased from PharMingen (BD OptEIATM BD Biosciences, Oxford, UK). CD4+ and CD8+ T cell-negative selection kits were purchased from StemCell Technologies Inc. (London, UK).
Cell preparation
PBMC from healthy donors were isolated by standard gradient centrifugation with Histopaque 1077 (Sigma-Aldrich, Dorset, UK). The mononuclear cells were prepared at 1 x 106 cells/ml in media consisting of RPMI 1640, 2 mM glutamine, 20 mM Hepes, 0.1 mg/ml penicillin and streptomycin, and 10% FCS (Sigma-Aldrich). The cells were cocultured with 10 µg/ml PHA (Sigma-Aldrich) at 37°C and 5% CO2 for 72 h. Following PHA-induced proliferation, the cells were washed with media and stimulated with 100 U/ml IL-2 (R&D Systems, Minneapolis, MN, USA) at 37°C and 5% CO2 for a further 24 h. The cells were then allowed to rest for 24 h in serum-free media under the same conditions.
Cell stimulation
PHA/IL-2-induced T cell blasts (1x106cells/ml) were left untreated or treated with 10 ng/ml IFN-ß or 0.1 µg/ml IL-12 at 37°C for 30 min. Subsequently, the cells were left unstimulated or incubated with 10 ng/ml IFN-ß or 0.1 µg/ml IL-12 at 37°C for a further 30 min. The method used was refined so that the optimum concentrations of cytokines were used. Varying concentrations of IFN-ß and IL-12 were analyzed for their effect on STAT4 phosphorylation; the concentrations used in this experiment were those that produced the peak pSTAT4 value. The effect of duration of stimulation on STAT4 phosphorylation was also observed. Optimal stimulation was achieved after 30 min.
PBMC-derived CD3+ cells were isolated by FACS sorting. PBMC were washed by centrifugation in 2% FCS RPMI, the supernatant was poured off, and the cells were resuspended in the residue, to which 10 µl antihuman CD3-PE-labeled mAb was added and incubated on ice for 30 min. The cells were washed again by centrifugation in 2% FCS RPMI. Cells were sorted in 1 ml 10% FCS RPMI and left overnight in fresh media until stimulation. CD4+ T cells and CD8+ T cell populations were separated using an immunomagnetic cell selection procedure using EasySep® mAb, magnetic nanoparticles, and magnet following the manufacturers protocol (StemCell Technologies Inc.). The sorted cells were also left overnight in fresh media until stimulation.
Intracellular staining
Intracellular staining for STAT4, IFN-
, and IL-10 was done as described previously [13
]. Briefly, the cells were fixed in ice-cold 70% ethanol and incubated on ice for 20 min. The cells were then washed by centrifugation at 300 g for 5 min. The supernatant was poured off, and the cells were resuspended in the residue, to which 0.5 µg primary STAT4 or pSTAT4 antibody or 10 µl antihuman IFN-
-FITC mAb or antihuman IL-10-PE mAb was added and incubated for 30 min. Following incubation, the cells were washed by centrifugation with saponin buffer. The cells incubated with STAT4 or pSTAT4 primary antibodies were incubated with the secondary antibody, 1 µg PE-conjugated goat antirabbit IgG for 30 min. All cells were washed with saponin buffer before resuspension in 0.5% formaldehyde for flow cytometry.
Surface staining
Following incubation with IFN-ß or IL-12, the cells were washed by centrifugation in 2% FCS RPMI, the supernatant was poured off, and the cells were resuspended in the residue, to which 10 µl IFNAR-1, IL-12Rß1-PE-labeled, or IL-12ß2 antibodies were added and incubated on ice for 30 min. The cells were washed again by centrifugation in 2% FCS RPMI. Those cells incubated with nonconjugated, primary antibodies (IFNAR and IL-12Rß2) were incubated with the secondary antibody, 5 µl goat antimouse FITC and goat anti-rat-PE, respectively, and incubated for a further 30 min on ice. All cells were washed twice in 1 ml 2% FCS RPMI before resuspension in 500 µl 0.5% formaldehyde for flow cytometry.
Cytokine assay using ELISA
PHA/IL-2-induced T cell blasts (1x106cells/ml) were left untreated or pretreated with 10 ng/ml IFN-ß or 0.1 µg/ml IL-12 at 37°C for 18 h. Subsequently, the cells were left unstimulated or incubated with 10 ng/ml IFN-ß or 0.1 µg/ml IL-12 at 37°C for a further 18 h. The cell supernatants were removed for cytokine assay. IFN-
and IL-10 levels were measured using a solid-phase sandwich ELISA following the manufacturers instructions.
Small interfering (si)RNA transfection
Approximately 24 h before transfection, PHA/IL-2 T cell blasts were plated in normal growth medium (10% FCS RPMI) so that they would be 5070% confluent after 24 h. Transfection was performed using the transfection reagent siPORT Amine (Ambion, Inc., Austin, TX, USA) following the manufacturers instructions. siRNA to target STAT4 (Ambion, siRNA ID 4595) and Silencer® negative-control siRNA (Ambion) were transfected. Initially, the cells were cultured for 6 h with the siRNA in 200 µl media. Following this incubation, 1 ml fresh medium (10% FCS RPMI) was added to each well. The cells were cultured for a further 24 h to maximize cell growth and prevent potential cytotoxicity. The cells were then harvested, and the level of siRNA-mediated STAT4 silencing was measured using flow cytometry. Transfected and nontransfected cells were stimulated with 10 ng/ml IFN-ß; IL-10 production was also measured by flow cytometry.
Neutralization of human IL-10 bioactivity
PHA/IL-2-induced T cell blasts (1x106 cells/ml) were left untreated or pretreated with 0.5 µg/ml mouse antihuman IL-10 antibody to neutralize its bioactivity or 0.5 µg/ml mouse IgG isotype control antibody as a negative control. The cells were left untreated or pretreated with 10 ng/ml IFN-ß for 18 h and then were subsequently incubated with 0.1 µg/ml IL-12 at 37°C for a further 18 h. Following incubation, the cells were stained intracellularly for IFN-
and analyzed using flow cytometry.
Measurements
The PHA/IL-2 blasts were evaluated following antibody staining on an Epics XL flow cytometer (Beckman Coulter, Fullerton, CA, USA), and the results were analyzed using the computer software WINMDI 2.8. Each experiment was repeated five times, using five independent donors (see Table 1
). IFN-
and IL-10 levels were also measured using a solid-phase sandwich ELISA. Statistical analysis was performed using the Friedman nonparametric test for multiple related groups. To compare between paired groups, the Wilcoxon test was performed.
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| RESULTS |
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Our results show that IFN-ß increases subunits ß1 and ß2 of the IL-12R, in part, consistent with previous studies showing IFN-ß to increase IL-12Rß2 [14 ] (IL-12Rß1 expression was not reported in that study). No change was observed in IFN-ßR expression by IL-12 exposure (Table 1 ).
Induction of IFN-
and IL-10 by IL-12 and IFN-ß
We next determined whether the reciprocal effects on receptor and STAT4 signaling translate into influences on key biological effects of IFN-ß and IL-12.
We show that IFN-ß induces IL-10 production in human T cells, confirming previous results [8
, 15
]. Incubation with IL-12 prior to IFN-ß stimulation resulted in similar IL-10 generation when compared with cells incubated with IFN-ß alone (Fig. 3A
). These results were confirmed using ELISA (Fig. 3C)
. As expected, we also show increased production of IFN-
by IL-12 in human T cells. However, pretreatment of these cells with IFN-ß reduced the induction of IFN-
by IL-12 (Fig. 3B)
. Again, these results were confirmed using ELISA (Fig. 3C)
.
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Transfection with the siRNA to target STAT4 resulted in 90% reduction in STAT4 expression as measured by flow cytometry (Fig. 4 ). This reduction was not observed when just the transfection agent or the scrambled siRNA was added.
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Neutralization of IL-10 bioactivity
In addition to enhancing the level of STAT4 activation by IL-12, IFN-ß up-regulated its receptor. Thus, one would expect an enhancing effect of IFN-ß on biological effects of IL-12, including IFN-
induction. However IFN-ß suppressed IL-12-induced IFN-
expression. As shown, IFN-ß induces IL-10 production, and IL-10 and IFN-
antagonize one another [17
, 18
]; therefore, we postulated that exposure to IFN-ß induces IL-10, which in turn inhibits IFN-
production. To investigate the role of IL-10 in the IFN-ß-mediated suppression of IL-12-induced IFN-
, we used a neutralizing anti-IL-10 antibody. In the presence of this IL-10 antibody, the suppression of IL-12-induced IFN-
by IFN-ß was abrogated (see Fig. 4C
), and therefore, no significant difference in IFN-
production was observed between IL-12-induced cells and IFN-ß; then IL-12 stimulated cells in the presence of IL-10 antibody (P=0.68). In the presence of the isotype-matched control antibody, IFN-ß suppressed IL-12-induced IFN-
production (Fig. 4C)
.
| DISCUSSION |
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[19
]. IFN-ß also has a variety of immunoregulatory effects [20
] and has been shown to significantly increase the expression of the anti-inflammatory cytokine IL-10 [8
, 15
]. IFN-ß has the ability to inhibit IL-12 induction and block its downstream effects [20
]. Conversely, it increases the induction of the IL-12Rß2 [12
]. In MS, IFN-ß dampens the Th1 response [8 ], and IL-12 promotes Th1 cell differentiation [19 , 21 ]. However, IL-12 and IFN-ß signal via STAT4. Our aim, therefore, was to investigate the effects of one cytokine on STAT4 activation by the other. Prior exposure to IL-12 did not affect the level of STAT4 activation by IFN-ß. Also, no change was observed upstream at the IFN-Rß level, and there was no effect of IL-12 exposure on IFN-ß-induced IL-10. Previous studies have shown that CD4+ and CD8+ T cells exhibit lineage-specific differences in some aspects of STAT4 signaling [22 , 23 ]. Therefore, we also observed the effects of one cytokine on STAT4 activation by the other on CD4+ and CD8+ cells. The same results as observed with the PHA/IL-2 cell blasts and CD3+ were obtained.
We demonstrated a differential effect of IFN-ß on the ability of T cells to respond to IL-12. We show that prior exposure to IFN-ß enhances the effect of IL-12 on STAT4 activation and up-regulates both IL-12R subunits. However, we also show that IFN-ß does not enhance the ability of IL-12 to induce IFN-
but instead, reduces the level of IFN-
induced by IL-12.
Type I IFN-mediated inhibition of IL-12 production was demonstrated, first in murine systems. IFN-
and IFN-ß inhibited bacterially induced production of IL-12 by murine splenic leukocytes [24
]. More recently, it has been shown that Type I IFNs can inhibit IL-12 p40 and p70 production by primary human monocytes [11
]. How Type I IFNs suppress IL-12 production remains unclear; possible mechanisms include inhibition of IFN-
priming of IL-12 production and the induction of anti-inflammatory cytokines such as IL-10.
We hypothesize that the effect of IFN-ß on IL-10 production is a contributing factor to the suppression of IFN-
production by IFN-ß. From an immunotherapeutic perspective, an important property of IL-10 is its capacity to inhibit Th1 cells [25
]. The inhibition of the Th1 cell pathway by IL-10 is mediated by several mechanisms, including inhibition of IL-12 production by APCs and blocking of IFN-
synthesis by differentiated Th1 cells [26
].
In this study and previously [15
], we have shown that IFN-ß induces IL-10 production. Here, we show that by neutralizing IL-10 bioactivity, the observed suppression of IL-12-induced IFN-
by IFN-ß was abrogated.
In contrast to this study Van Weyenbergh et al. [27
] concluded that although IFN-ß by itself only induced modest amounts of IFN-
, IFN-ß was able to synergize with IL-12 for IFN-
induction. In our study, the cells were pretreated with IFN-ß before being stimulated with IL-12, and in the Van Weyenbergh et al. [27
] study, the human PBMC were stimulated simultaneously with IFN-ß and IL-12. Under these conditions, there would not be enough time for IL-10 production to be induced first, and therefore, its inhibitory effects may not have been developed, enabling increased IFN-
production (perhaps through the up-regulation of IL-12R and signaling pathway by IFN-ß).
The IL-12Rß2 chain is the binding and signaling component of the IL-12R, selectively expressed on Th1 cells and crucial for the maintenance of IL-12 responsiveness and Th1 lineage commitment [28 ]. A study by Wandinger et al. [12 ] also showed that induction of the IL-12Rß2 chain by IFN-ß was paralleled by a dose-dependent up-regulation of IL-10 gene expression and that the presence of IFN-ß during antigen-specific T cell activation resulted in a marked suppression of IL-12p40 gene expression and a simultaneous induction of IL-10 transcription. These results suggest that although IFN-ß is observed, as in our study, to up-regulate IL-12R expression, this may not have a proinflammatory, biological consequence, as the concurrent inhibition of IL-12 would result in reduced ligand being available to engage the receptor. The up-regulation of IL-10 would also suppress IL-12 production and thus, reduce the amount of IL-12 even further.
STAT4 signaling is known to promote IFN-
expression in the human and the mouse, and it has been demonstrated clearly in this study and previously that IFN-ß can activate STAT4 in the human [29
]. In this study, we have also shown that prior exposure to IFN-ß enhances the effect of IL-12 on STAT4 activation. STAT4 may not be the only pathway to IFN-
expression in the human. Although stimulation through the TCR for CD4 T cell IFN-
induction requires STAT4, equivalent stimulation of CD8 T cell IFN-
responses does not [23
], suggesting that there are STAT4-independent pathways to IFN-
expression.
Our siRNA experiments indicate that the STAT4 signaling pathway is in some way involved in the ability of IFN-ß to induce IL-10 production. This finding, also suggested by our previous work [15
], is interesting. Previously, it has been shown that another Type I IFN, IFN-
, induces IL-10 via IFN regulatory factor 1 and STAT3 [30
]. Whether the effect of STAT4 is direct or indirect is subject to our current investigation.
The suppression of IFN-
by IFN-ß may also be a result of a direct effect on the promoter. However, we think the contribution of this direct effect is likely to be minor, as basal production of IFN-
in the absence of a stimulus such as IL-12 is much lower. We suggest that the effect of IFN-ß on IL-10 production is an important factor in the suppression of IFN-
production.
Previous studies have looked at the direct effect of IFN-ß on IL-12 itself [20
, 31
]. Here, we are more interested in the relationship between IL-12 and IFN-ß with regard to STAT4 activation, and how the ability of T cells to respond to IL-12 by producing IFN-
is affected by prior exposure to IFN-ß.
In conclusion, despite the up-regulation of IL-12R expression and IL-12 signaling through STAT4 by IFN-ß, the net effect does not appear to be proinflammatory, as a result of the parallel induction of IL-10 by IFN-ß. This is relevant for situations in which these cytokines can coexist, for example, in the treatment of MS. IL-12 is increased [21
] and presumed detrimental [32
] in MS, but IFN-ß treatment does not appear to pose the risk of potentiating its proinflammatory effects. It is interesting that the progressive stage of MS is characterized by a loss of the ability of IL-10 to suppress IFN-
and IL-12 [33
], and this is the stage in which IFN-ß treatment loses efficacy considerably [34
].
| ACKNOWLEDGEMENTS |
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Received October 13, 2006; revised January 16, 2007; accepted February 2, 2007.
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