Journal of Leukocyte Biology Myeloid cells, immune suppression, tumor immunology
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Originally published online as doi:10.1189/jlb.0906586 on March 30, 2007

Published online before print March 30, 2007
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(Journal of Leukocyte Biology. 2007;82:161-172.)
© 2007 by Society for Leukocyte Biology

Localization of hCAP-18 on the surface of chemoattractant-stimulated human granulocytes: analysis using two novel hCAP-18-specific monoclonal antibodies

Jamal Stie, Andrew V. Jesaitis, Connie I. Lord, Jeannie M. Gripentrog, Ross M. Taylor, James B. Burritt and Algirdas J. Jesaitis1

Montana State University, Department of Microbiology, Bozeman, Montana, USA

1 Correspondence: Montana State University, Department of Microbiology, 109 Lewis Hall, Bozeman, MT 59715, USA. E-mail: umbaj{at}montana.edu


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The well-described antimicrobial and immunoregulatory properties of human cathelicidin antimicrobial protein 18 (hCAP-18) derive in part from the ability of its proteolytic fragment, LL-37 (a.k.a. CAP-37), to associate with activated immune and epithelial cells during inflammation. We now show a stable association between hCAP-18 and the cell surface of formyl-Met-Leu-Phe (fMLF)-stimulated neutrophils using two novel hCAP-18-specific mAb, H7 and N9, which recognize a single 16-kDa band, identified by N-terminal sequencing and mass spectrometry as hCAP-18. Phage display analysis of epitope-binding sites showed that both mAb probably recognize a similar five amino acid sequence near the C terminus of the prodomain. Immunoblot analysis of degranulated neutrophil supernatants resulted in mAb recognition of the 14-kDa prodomain of hCAP-18. Subcellular fractionation of unstimulated neutrophils on density gradients showed expected cosedimentation of hCAP-18 with specific granule lactoferrin (LF). fMLF stimulation resulted in an average 25% release of specific granule hCAP-18, with ~15% of the total cellular hCAP-18 recovered from culture media, and ~10% and ~75%, respectively, codistributing with plasma membrane alkaline phosphatase and specific granule LF. Surface association of hCAP-18 on fMLF-stimulated neutrophils was confirmed by immunofluorescence microscopy and flow cytometry analysis, which also suggested a significant up-regulation of surface hCAP-18 on cytochalasin B-pretreated, fully degranulated neutrophils. hCAP-18 surface association was labile to 10 mM NaOH treatment but resistant to 1 M NaCl and also partitioned into the detergent phase following Triton X-114 solubilization, possibly suggesting a stable association with one or more integral membrane proteins. We conclude that fMLF stimulation promotes redistribution of hCAP-18 to the surface of human neutrophils.

Key Words: inflammation • leukocyte • exocytosis • cathelicidin


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Over the past 30 years, numerous structurally diverse, cationic peptides exhibiting broad-spectrum antimicrobial activity have been described in plants and animals [1 ]. Although subject to species-specific patterns of expression and differences in post-translational modification and regulation, all peptide families described thus far target and disintegrate microbial membranes by charge-based interactions and bilayer-penetrating, amphipathic associations [2 , 3 ]. The human cathelicidin antimicrobial protein 18 (hCAP-18) comprises one of two main peptide families expressed in mammals and is transcribed as a single-gene product in humans, which is translated as a precursor molecule of 170 residues. This precursor molecule contains a 30-amino acid signal peptide, which is processed proteolytically during translation to yield the mature form of the molecule, containing residues 31–170, and is commonly referred to as hCAP-18. During the inflammatory response, hCAP-18 is made functionally active by protease cleavage of the antimicrobial C-terminal 37-amino acid peptide, LL-37 (a.k.a. CAP-37) [4 , 5 ]. The region N-terminal to the active peptide, referred to here as the prodomain, sequesters and inactivates the antibiotic function of the C terminus in the mature protein.

During inflammation, hCAP-18 is produced and secreted by activated epithelial cells. Neutrophils, the dominant immune cell type involved in innate immune function, are another principal source of hCAP-18, which is stored preformed within specific granules and released into inflamed tissue as a result of granule exocytosis. Once secreted, the hCAP-18 is cleaved and thus activated by proteinase-3, a component of neutrophil primary granules [6 ]. Beyond its core properties of microbicidal [7 ] and LPS-sequestering activity [8 ], LL-37 is implicated in the regulation of innate and humoral immune responses, wound healing, and tissue repair. The capacity of LL-37 to regulate the innate and humoral immune responses is at least partially a result of its ability to bind the surface of host cells. LL-37 binds several cellular receptors specifically, including the chemoattractant receptor formyl-peptide receptor-like 1, expressed by human neutrophils, monocytes, macrophages, T cells, and mast cells [9 , 10 ], and the P2X7 receptor, expressed on LPS-primed human monocytes [11 ]. Such interactions are implicated in the recruitment of immune cells to inflamed tissue [12 ], mast cell degranulation [13 ], modulation of dendritic cell maturation [14 ], induction of endothelial cell angiogenesis [15 ], and the re-epithelialization of skin wounds [16 ].

Investigations into the cellular interactions of hCAP-18 within inflammatory networks provide a major emphasis for research in this area but have focused primarily on LL-37. The aim of this study was to examine the subcellular distributions of hCAP-18 in human neutrophils using two novel, hCAP-18-specific mAb developed in this laboratory. Based on this study, it is apparent that a substantial fraction of hCAP-18 is bound to the plasma membrane and presented on the surface of human neutrophils upon cell activation by N-formylated peptide chemoattractants.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Materials
HRP goat antimouse and HRP goat antirabbit IgG antibodies were obtained from Bio-Rad Laboratories (Hercules, CA, USA); bovine liver superoxide dismutase (SOD), diisopropylfluorophosphate (DFP), and PMSF from Calbiochem (La Jolla, CA, USA); gelatin from Fisher Scientific (Pittsburg, PA, USA); polyvinylidene fluoride (PVDF) membranes from Bio-Rad; and sucrose and rabbit antilactoferrin (anti-LF) antisera from ICN Biomedicals (Aurora, OH, USA). Gammabind-Sepharose and cyanogen bromide-Sepharose were obtained from Amersham (Piscataway, NJ, USA), and ultrafiltration units used for concentration of protein samples were obtained from Amicon (Millipore, Beverly, MA, USA). Trypsin Gold was obtained from Promega (Madison, WI, USA), and acetonitrile, isopropanol, and trifluoroacetic acid were from J. T. Baker (Phillipsburg, NJ, USA). Dodecylmaltoside (DDM) was purchased from Anatrace (Maumee, OH, USA), and {alpha}-cyano-4-hydroxycinnamic ({alpha}-CHC) acid and the stainless steel MALDI plate were from Bruker (Billerica, MA, USA). The Zorbax 300SB-C18 HPLC-Chip used for liquid chromatography (LC)-mass spectrometry (MS)/MS analysis was purchased from Agilent (Santa Clara, CA, USA), and Labsafe Gel Blue was obtained from G Biosciences (St. Louis, MO, USA). Fluoromount-G was obtained from Southern Biotechnology (Birmingham, AL, USA), and the FITC-conjugated goat antimouse antibody was from Bethyl Laboratories (Montgomery, TX, USA). Wheat germ agglutinin (WGA) was obtained from EY Laboratories (San Mateo, CA, USA). Goat serum was obtained from MP Biomedicals (Irvine, CA, USA); bovine rhodopsin mAb K16 [17 ] was produced in this laboratory (Montana State University, Bozeman, MT, USA); mAb 7D5 (recognizing an extracellular epitope of flavocytochrome b) was the kind gift of Dr. Michio Nakamura (Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan); and cytochrome b-specific mAb 44.1 and 54.1 were produced in this laboratory. All additional materials were purchased from Sigma Chemical Co. (St. Louis, MO, USA).

Blood-neutrophil isolation
Human neutrophils were isolated by a dextran-based procedure as described previously [18 ].

mAb generation
The hCAP-18-specific mAb H7 and N9 were produced together with a number of flavocytochrome b-specific mAb using standard hybridoma technology as described [19 ]. BALB/c mice were immunized against Triton X-100-solubilized preparations of integral membrane protein purified from cytochalasin B-pretreated, formyl-Met-Leu-Phe (fMLF)-stimulated human neutrophils by WGA- and heparin agarose-affinity chromatography as described [20 ]. Hybridomas were screened by ELISA and/or immunoblot for immunogen-specific, IgG-producing clones. Positive cultures were cloned twice by limiting dilution and grown in RPMI medium containing 5% FCS. For purification, antibody was bound to Gammabind-Sepharose beads and eluted with 100 mM glycine, 150 mM NaCl, pH 2.5, into neutralization buffer and dialyzed against 150 mM NaCl, 10 mM Na2HPO4 (pH 7.4).

N-terminal protein sequence analysis
For protein sequence analysis, antigen was immunopurified using mAb H7-Sepharose beads as described below, and the bead-eluate was separated by SDS-PAGE. After minimal staining with Coomassie, a single ~16-kDa protein was visualized. Following electrotransfer onto PVDF membranes, the band was excised and sent to Harvard Microchem (Cambridge, MA, USA) for sequence analysis.

SDS-PAGE/immunoblot analysis
These analyses were performed as described previously [18 ].

Immunoprecipitation (IP) assays
mAb H7, N9, and K16 were conjugated separately to cyanogen bromide-activated sepharose beads according to the manufacturer’s directions. IP assays were performed with purified plasma membranes from fMLF-stimulated, cytochalasin B-pretreated (fully degranulated) neutrophils. Antibody beads were incubated with purified plasma membrane fractions from 5 x 107 to 1 x 108 cell equivalents in 1.4 ml (1:1 v/v) of PBS (pH 7.4) with 1% DDM. Incubations were for 1 h at 25°C. Beads were then washed six to eight times in PBS (pH 7.4), 1% BSA, and 0.2% DDM and separated by SDS-PAGE. Analysis of immunoprecipitates from mAb H7 or N9 yielded similar results by direct protein staining or by immunoblot analysis.

Cell treatment
Neutrophils were stimulated with fMLF in the presence or absence of cytochalasin B using the following method. After isolation from blood, neutrophils were suspended in Dulbecco’s PBS supplemented with 0.9 mM MgCl2, 0.5 mM CaCl2, 0.1% BSA, and 0.1% dextrose (DPBS4+) at 108 cells/ml and incubated 7 min (37°C), at which time, 1 µM fMLF was added, and incubation continued for an additional 3 min. Reactions were stopped with a fivefold volume of ice-cold DPBS4+ supplemented with 2 mM EDTA, 100 µM PMSF, and protease inhibitor cocktail (Sigma Chemical Co., Catalog Number P8340), sedimented at 740 g for 10 min (4°C), and washed one to two times in DPBS4+. Fully degranulated neutrophil populations were obtained by adding 2 µg/ml cytochalasin B (which promotes full degranulation by inhibiting cortical F-actin polymerization) with 80 µg catalase and 10,000 activity units bovine liver SOD to the fMLF-stimulation buffer at the beginning of the above 7-min incubation period (37°C). Cells were then fMLF-stimulated as above, and catalase and SOD were added to reduce cellular damage. NADPH oxidase-generated superoxide and its toxic oxygen products were released during the full degranulation of neutrophils. fMLF-stimulated neutrohpils, partially and fully degranulated, were analyzed for hCAP-18 expression by flow cytometry or indirect immunofluorescence microscopy as indicated in Results. Alternatively, hCAP-18 was immunoprecipitated from plasma membrane fractions isolated from fully degranulated neutrophils.

Subcellular fractionation
Plasma membranes from fully degranulated neutrophils were isolated by sedimentation of postnuclear fractions (obtained as described in ref. [18 ]) at 100,000 g for 1 h (4°C) using a Beckman Ti-75 rotor. Purified plasma membranes were determined to be granule-free by examining membrane fractions for latent LF activity as described below.

Isopycnic sucrose density gradient sedimentation was performed as described previously [18 ]. Plasma membrane-enriched gradient regions [indicated by peak activity of alkaline phosphatase (AP)] were examined for the presence of intact, hCAP-18-enriched, specific granules by ELISA analysis of latent LF activity as described below. No latent LF activity was detectable in plasma membrane fractions from gradients made from the unstimulated or stimulated neutrophil populations examined in this study.

AP and LF activity
AP and LF activities were used as plasma membrane and specific granule marker activities, respectively, and measured in fractions collected from isopycnic sucrose density gradients as described previously [18 ]. Plasma membrane fractions isolated by isopycnic sucrose gradient density fractionation or by 100,000 g sedimentation were examined for hCAP-18-enriched specific granule contamination by ELISAs designed to detect latent LF activity. Exocytosed and surface-localized LF, such as that observed on the fMLF-stimulated neutrophils examined in this study (see Go Go Go Go Fig. 5B ), are accessible to anti-LF antibody in ELISAs performed in the absence of detergent. By contrast, specific granule-sequestered LF is inaccessible to antibody in the absence of detergent and can only be evaluated after vesicle disruption (e.g., detergent solubilization). This inaccessible fraction of LF is thus referred to as latent, and latent LF activity was measured as the activity difference in LF detected by ELISAs performed in the presence versus absence of 0.2% Triton X-100.


Figure 1
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Figure 1. IP of 16 kDa antigen from fMLF-stimulated cytochalasin B-pretreated neutrophil plasma membranes. (A) Neutrophil plasma membranes were isolated as described in Materials and Methods, solubilized in DDM, and immunoprecipitated with mAb H7 (right lane) or K16 (left lane). Eluate from mAb H7 and K16 beads was separated on SDS-PAGE and stained for protein content. Molecular mass standards flank left and right sample lanes. (B) Protein gels were electrotransferred onto PVDF membrane and immunoblotted with mAb H7. Arrows indicate hCAP-18 with a relative molecular mass of ~16 kDa. The protein gel and immunoblot shown are representative for three independent experiments.

 

Figure 2
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Figure 2. Identification of membrane-associated hCAP-18 by MALDI and nanospray MS. Following IP from crude neutrophil membrane fractions, samples were resolved by SDS-PAGE and stained with Labsafe Blue G, and the observed 16-kDa band was subject to in-gel tryptic digestion. (A) MALDI spectrum generated using the matrix {alpha}-CHC following the preparation of digest samples as outlined in Materials and Methods. Peaks assigned to the hCAP-18 by the program Mascot are labeled with the observed monoisotopic masses, and the monoisotopic mass observed at 720.36 (*) was assigned manually to the N-terminal tryptic peptide of hCAP-18 containing a cyclized 31Gln residue (pyrrolidone carboxylic acid modification, –17.03 Da). (B) Nanospray LC-MS/MS spectrum confirming the assignment of a cyclized 31Gln residue in hCAP-18. The positive ion mass spectrum for residues 31–36 of hCAP-18 is shown with the identified b and y ions. Hyphens indicate sequence information obtained from the MS/MS analysis, and the lowercase representation of Gln (q) represents a pyrrolidone carboxylic acid modification of this residue. m/z, Mass-to-charge ratio.

 

Figure 3
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Figure 3. Epitope mapping of mAb H7 and N9 by phage display analysis. (A) Shown are sequences from phage clones selected against mAb N9 (left) or mAb H7 (right) with common residues in bold type. The common consensus motif NARGZ was obtained, where "Z" indicates an aromatic amino acid. (B) Primary structure of the human cathelicidin with the location of the H7/N9 epitope shown in bold. The dashed-dotted line indicates the signal peptide (residues 1–30). The mature protein (hCAP-18) begins at residue 31 and ends and residue 170. The hCAP-18 molecule is composed of an N-terminal prodomain (dotted line) and a C-terminal antimicrobial peptide (solid line). *, The N-terminal 31Gln (which we observe to be cyclized to pyrrolidone glutamine acid following immunopurification of the intact protein). Amino acids corresponding to the phage consensus sequence shown in A include residues 115, 117–119, and 121, located near the C terminus of the prodomain, and are emphasized in bold.

 

Figure 4
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Figure 4. Specific binding of mAb H7 to 16 and 14 kDa proteins present in the supernatant from fully degranulated neutrophils, which were stimulated with fMLF in the presence of cytochalasin B, as described in Materials and Methods. After terminating cellular activation, supernatants were isolated, concentrated by ultrafiltration, and analyzed by immunoblot with mAb H7. Lane A, The 16-kDa hCAP-18 from intact, specific granules, purified by sucrose density gradient sedimentation of unstimulated neutrophils. Lane B, Supernatant from degranulated neutrophil supernatants. Lane C, Mixture (1:1) of samples shown in Lanes A and B. Immunoblots performed with mAb N9 gave indistinguishable results (data not shown).

 

Figure 5
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Figure 5. Subcellular distribution of the 16-kDa hCAP-18 in unstimulated versus fMLF-stimulated neutrophils. Postnuclear fractions were separated on sucrose density gradients and gradient fractions processed by SDS-PAGE for immunoblot analysis with mAb H7. (A) hCAP-18 codistributes with the specific granule marker, LF, in unstimulated neutrophils. (B) Following fMLF stimulation and partial, specific granule exocytosis, hCAP-18 codistributes with the plasma membrane marker, AP, as well as specific granule LF. (A and B) Data are shown as percent total activity as a function of percent sucrose from three independent experiments. (C) Unstimulated (–fMLF) or fMLF-stimulated (+fMLF) neutrophils were labeled with mAb H7 or control antibody (Control) in the absence (left) or presence (right) of saponin and examined by indirect immunofluorescence microscopy. Differential interference contrast (DIC; left) and fluorescence (right) micrographs are shown. Controls show expected fluorescence patterns for surface localization (Control, left) and cytoplasmic localization (Control, right). No signal was observed with labeling of secondary antibody alone or an irrelevant, primary mAb K16 (data not shown). Original bar, 5 µm.

 
MALDI and nanoelectrospray MS
In-gel tryptic digestion and mass analysis of affinity-purified hCAP-18 were carried out as described previously [21 ].

Phage display analysis
The epitope structure of mAb H7 and N9 was examined by selecting peptide sequences, which mimic the hCAP-18 binding site from the J404 nonapeptide library, a collection of 5 x 108 unique, M13-based bacteriophage members. Each clone of the library displays up to five copies of a unique, nine-residue peptide displayed at the N-terminus of the pIII capsid protein and contains the nucleotide segment encoding the unique peptide within the genome. Three sequential rounds of selection and amplification of phage display peptide library clones were carried out in these studies. For the initial round of selection, 0.4 mg antibody was allowed to react with 1012 PFU overnight at 4°C, and then antibody was captured on 0.1 ml of the Gammabind-Sepharose matrix for 1 h at 25°C. Following extensive washing of the matrix to remove unbound phage clones, adherent phage displaying immunoreactive peptides were eluted in low pH and amplified in host K91 cells as described [22 ]. After sequential rounds of selection and amplification, the sequences of displayed peptides were deduced by nucleotide sequence analysis of the isolated clones as described [23 ].

Isolation of hCAP-18 and its prodomain from intact, degranulated neutrophil supernatants
Freshly isolated neutrophils were stimulated with 1 µM fMLF in the presence of cytochalasin B. Following termination of cellular activation, supernatants were isolated and concentrated through an Amicon ultrafiltration membrane with a nominal molecular weight cutoff of 30,000. Filtrates were then separated by SDS-PAGE and immunoblotted as described below.

Indirect immunofluorescence
Freshly isolated neutrophils were treated with 3 mM DFP in DPBS (pH 7.4) for 15 min at 4°C. Cells were stimulated with fMLF, as described above, or left unstimulated. Cells were then washed in the DPBS and fixed with 3% paraformaldehyde (in PBS, pH 7.4) for 15 min at 25°C and then washed several times in the same buffer. Fixed cells were resuspended with PBS (pH 7.4) and 0.2% gelatin, with or without 0.01% saponin (referred to as blocking buffer) and incubated overnight at 4°C. Antibody labeling was performed in 100 µl reaction volumes using 106 neutrophils. Primary labeling used 1 µg each mAb H7 and flavocytochrome b-specific control mAb 7D5 (against extracellular epitope) and 44.1 (recognizing intracellular epitope) used to control for surface and cytoplasmic staining, respectively. mAb H7 labeling experiments were performed alternatively, with or without saponin permealization to label for surface and intracellular antigen, respectively. Control labeling experiments with mAb 7D5 were performed without saponin, and those with mAb 44.1 were performed with the detergent. Irrelevant mAb control or controls without primary antibody indicated no fluorescence and are not shown. After primary labeling, reactions were quenched with 4.5 ml ice-cold blocking buffer, with or without saponin, as indicated in Results, followed by two additional, low-speed washings. After primary labeling, the goat antimouse antibody, anti-IgG-FITC (diluted 1/400 in blocking buffer±saponin), was added and reactions quenched and washed as above. All incubations were for 30 min at 37°C. Stained cells were finally resuspended in 3.5 ml PBS and then distributed in 100 µl aliquots onto glass slides using a Cytospin 2 centrifuge. Cells were then mounted using 50 µl Fluoromount-G and viewed microscopically using a Zeiss Axioskop 2 Plus instrument equipped with a CD camera to allow video imaging via microcomputer and AxioVision Rel. 4.4 software.

Flow cytometry analysis
After blood isolation, neutrophils were resuspended in DPBS4+, distributed at 106 cells/tube, and labeled with 1 µg mAb H7, 1 µg control antibody, or no primary antibody for 30 min on ice. Reactions were quenched by adding a 50-fold vol of ice-cold DPBS4+, followed by sedimentation at 360 g for 8 min (4°C). Neutrophils were then labeled with secondary, FITC-conjugated goat antimouse antibody, washed as described above, resuspended in PBS, and analyzed by flow cytometry. The negative controls used in these experiments included secondary labeling (without primary labeling), primary labeling with irrelevant mAb K16, and primary labeling with mAb 44.1, specific for the cytoplasmic domain of the flavocytochrome b subunit p22phox (a cytoplasmic control to insure the plasma membrane integrity of cells). Negative controls were virtually identical in relative intensity, so only data from the mAb 44.1 control are included in the histogram (see Fig. 6 ).


Figure 6
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Figure 6. Surface hCAP-18 expression is enhanced on neutrophils induced to fully degranulate by fMLF stimulation in the presence of cytochalasin B. Intact neutrophils were immunolabeled with mAb H7 and analyzed by flow cytometry. A representative histogram is shown above with the bar graph below. Data from the bar graph are expressed as relative mean fluorescence intensity of surface hCAP-18. The negative controls used, including secondary antibody alone, irrelevant mAb K16, or mAb 44.1 (specific for the cytoplasmic aspect of flavocytochrome b), gave similar results, so only data from the 44.1 control are shown.

 
Membrane preparation for immunoblot analysis
Degranulated membranes were treated consecutively with DPBS (pH 7.4), 1 M NaCl, and 10 mM NaOH for 10 min (per treatment) on ice. After each incubation, aliquots were removed and processed for immunoblot analysis as described above, and the remaining sample sedimented at 100,000 g for 30 min (4°C) using a TLA 100.2 rotor in preparation for the next treatment. The percent total distribution of hCAP-18 in pellet and supernatant fractions was determined by arbitrarily assigning the amount of hCAP-18 present in membranes prior to the initial treatment as 100%. Immunoblots performed with mAb H7 or N9 yielded similar results, so only data from mAb H7 are presented. In additional experiments, the phase behavior of surface hCAP-18 in 1 M NaCl-washed membranes was examined directly as described below.

Triton X-114 phase separation
NaCl-washed plasma membranes (1 M; isolated from fully degranulated neutrophils) were subjected to Triton X-114 phase analysis as described by Borregaard and Tauber [24 ].


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Generation and characterization of mAb N9 and H7
The hCAP-18-specific mAb N9 and H7 were produced in mice using an immunization protocol designed to elicit antibody specific for the human neutrophil flavocytochrome b. Each mAb recognized an antigen of relative molecular mass of ~16 kDa when immunoblotted against flavocytochrome b-enriched immunogen preparations of detergent-solubilized and WGA and heparin agarose affinity-purified membrane fractions (data not shown). To determine the identity of this mAb-reactive, 16-kDa band, the corresponding antigen was immunopurified using mAb H7. The SDS-PAGE profile of proteins purified from mAb H7- or irrelevant mAb K16-coated beads is shown in Figure 1A . Two bands are evident, including a 16-kDa band present only in mAb H7-bound material and a 14-kDa contaminant present in the eluted material of both mAb. For antigen identification, the specific 16-kDa band was electrotransferred, stained, and excised for N-terminal sequence analysis. A corresponding immunoblot is shown in Figure 1B . Table 1 shows exact alignment of the eight N-terminal residues (starting at Ser 50), which were sequenced by this method with the corresponding residues of hCAP-18 primary structure. It is important that previous studies using N-terminal sequence analysis and MALDI peptide mass mapping have suggested that 31Gln of hCAP-18 contains a pyrrolidone carboxylic acid modification, which prohibits N-terminal sequence analysis [25 , 26 ]. Taken together, our N-terminal sequence analysis is consistent with hCAP-18 having a blocked N-terminus and appears to have detected a proteolyzed form of hCAP-18 containing Ser 50 as the N-terminal residue.


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Table 1. N-Terminal Sequence Analysis of H7-Bound Antigen

 
To confirm the assignment of hCAP-18 as the antigen for mAb H7 and N9, the affinity-purified, 16-kDa band was subject to in-gel tryptic digestion for analysis by MALDI and nanoelectrospray MS. The MALDI spectrum together with the LC-MS/MS data shown in Figure 2A provided 77% sequence coverage of hCAP-18 and is summarized in Table 2 . These results confirm the antigen identification provided by N-terminal sequence analysis and show that the antigen contains all the major, functional domains of hCAP-18, including LL-37, depicted in Figure 3B . In Figure 2A , the monoisotopic mass at 720.36 (*) was assigned to the N-terminal tryptic peptide of hCAP-18 (31QVLSYK), assuming a pyrrolidone carboxylic acid modification (–17.03 Da from the predicted peptide mass for the cyclization of the N-terminal Gln residue), as described previously [25 , 26 ]. It is important that the MALDI peptide mass mapping shown in Figure 2A allowed for the assignment of two additional tryptic peptides (37EAVLR-587.28 Da and 42AIDGINQR-886.44 Da), providing complete sequence coverage of the region spanning the predicted N-terminus of hCAP-18 (31Gln) and the initial amino acid residue detected by N-terminal sequence analysis (50Ser). Importantly, the assignment of a pyrrolidone carboxylic acid modification at 31Gln (previously inferred from a blocked N-terminus of hCAP-18 and MALDI peptide mass mapping [25 , 26 ]) was demonstrated directly by nanospray LC-MS/MS, where the fragmentation of a singly protonated parent ion (observed at 720.5 Da) provided near-complete sequence coverage of the N-terminal tryptic peptide (Fig. 2B) . The observation of a cyclized Gln 31 residue in hCAP-18 isolated by different methods and from different sources suggests this modification to be physiologically relevant and not simply an artifact of the isolation procedures.


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Table 2. Identification of hCAP-18 by MS

 
In addition to identification of hCAP-18 as the specific mAb H7 antigen, the 14-kDa band recovered from mAb H7 and K16 IP assays was identified as lysozyme by MALDI peptide mass mapping (63% sequence coverage, data not shown). These data could suggest that mAb H7 cross-reacts with lysozyme; however, lysozyme is not recognized by mAb H7 when tested against immunoblots containing mAb H7-immunopurified antigen (Fig. 1B) or purified human lysozyme (data not shown). In addition, although the protease-cleaved prodomain of hCAP-18 has a relative molecular mass similar to that of lysozyme of 12–14 kDa (see below), the tryptic peptides derived from the hCAP-18 prodomain were not detected in the mass analysis of the 14-kDa band, which was nonspecifically bound to mAb H7 or its isotype-matched, irrelevant control, K16. Similar results were obtained when experiments were repeated with mAb N9 (data not shown).

Epitope mapping of mAb H7 and N9
To characterize these novel, hCAP-18-specific mAb further, the composition and structure of the amino acid sequence motif targeted by mAb H7 and N9 were examined using phage display analysis. Sequence analysis of phage clones complementary to the epitope of both mAb revealed virtually identical consensus motifs (Fig. 3A) . These findings suggested that mAb H7 and N9 recognized a similar or identical probable epitope sequence in hCAP-18 primary structure. A consensus sequence of NARGY was obtained upon initial comparison of phage clones. This was later modified to NARGZ (where Z is an aromatic residue) to facilitate precise alignment in hCAP-18 primary structure (Fig. 3B) . The NARGZ consensus was assigned to residues 115, 117–119, and 121, located at the C-terminal end of the prodomain (Fig. 3B) , and is consistent with the secondary structure or surface folding, found in numerous other protein epitopes [22 , 27 ]. In light of this phage display data and the fact that indistinguishable results were obtained with mAb H7 and N9 in each of the experiments described below, only data from mAb H7 are presented in the remainder of this study.

To confirm mAb H7 recognition of the prodomain of hCAP-18, immunoblots were performed against supernatants collected from fully degranulated neutrophils. By stimulating cells with fMLF in the presence of cytochalasin B, degranulation is potentiated by inhibiting actin polymerization within the cortical barrier of plasma membranes. Within supernatants collected from fully degranulated cells, hCAP-18 becomes accessible to proteinase-3 (normally sequestered in primary granules), which catalyzes LL-37 cleavage [6 ]. A representative immunoblot from three independent experiments is shown in Figure 4 , indicating mAb H7 recognition of a 16-kDa band (Lanes A–C), identified above as the hCAP-18 and a 14-kDa band (Lanes B and C). The latter band is within the molecular weight range (12–14 kDa) expected for the prodomain [28 ]. No detectable signal was observed in the molecular weight range (3–4 kDa) of LL-37 on immunoblots from high-percentage polyacrylamide gels (data not shown). The 16- and 14-kDa bands labeled in Figure 4 were subsequently coimmunopurified from degranulated neutrophil supernatants and their identity confirmed by MALDI peptide mass mapping (data not shown). Lysozyme was also detected as a component of the 14-kDa band in these experiments (data not shown). These data support results from phage display analysis indicating mAb recognition of the hCAP-18 prodomain.

Subcellular distribution of hCAP-18 in unstimulated and fMLF-stimulated neutrophils
The immunogen preparation used to elicit mAb H7 and N9 consisted of cell surface-transmembrane membrane proteins purified from fMLF-stimulated, cytochalasin B-pretreated, fully degranulated neutrophils [20 ]. The generation of mAb that recognize hCAP-18, using membrane fractions as the source of immunogen, suggested the specific association of hCAP-18 with the cell surface of neutrophils following their activation. This observation was of interest, as the association of hCAP-18 with neutrophil membranes had yet to be described. Fully degranulated cells, however, are nonphysiological, so that the surface translocation of hCAP-18 observed in this population might be an in vitro artifact. Therefore, additional experiments were performed to determine surface translocation of hCAP-18 in response to fMLF stimulation without cytochalasin B pretreatment. In these studies, we determined the subcellular distribution pattern of hCAP-18 in unstimulated (Fig. 5A ) versus fMLF-stimulated (Fig. 5B) neutrophils in parallel experiments (n=3) using the same number of cells per experiment. In these experiments, postnuclear fractions were prepared and sedimented on sucrose density gradients as described in Materials and Methods. The data shown in Figure 5A indicate the cosedimentation of the 16-kDa hCAP-18 with the specific granule marker LF at ~42% sucrose in unstimulated neutrophils. In this set of experiments, hCAP-18 could not be detected in the peak plasma membrane fraction (identified by AP) at ~30% sucrose and thus, suggested the absence of hCAP-18 from the surface of unstimulated cells.

We observed that fMLF stimulation resulted in losses of 20–30% and 25–38% for specific granule hCAP-18 and LF, respectively, relative to unstimulated neutrophils (n=3, data not shown). When the subcellular distribution of hCAP-18 was examined in fMLF-stimulated neutrophils, a bimodal sedimentation pattern was detected (Fig. 5B) with peak activities in the specific granule (LF) and plasma membrane (AP) compartments. The latter peak suggested that following exocytosis, hCAP-18 partially redistributes to the cell surface. An average 10.3% of the total cellular hCAP-18 could be recovered from neutrophil plasma membranes after fMLF stimulation, with 16.3% recovered from supernatants and 73.3% remaining associated with intact granules. It is interesting that the amount of cellular hCAP-18 recovered from the cell surface increased by several fold (comprising >50% of the total cellular hCAP-18) when neutrophils were fully degranulated by fMLF stimulation in the presence of cytochalasin B prior to fractionation on sucrose density gradients (data not shown; see below). We also found that the proform of hCAP-18, shown to have a relative molecular weight of 13,630 ± 120 (n=3; see Fig. 4 above), was not detected in the plasma membrane fractions from partially or fully degranulated cells. This was evident from five independent determinations of hCAP-18, 15,950 ± 180 (n=5), including immunoprecipations and direct immunoblot analyses of membrane fractions. With regard to fMLF-stimulated (partially degranulated) neutrophils, we also noted that degranulated LF appeared to redistribute to the plasma membrane in a pattern similar to hCAP-18, as evidenced by the cosedimentation of LF and AP (Fig. 5B) . These latter observations are consistent with previous reports demonstrating the stable association of LF with plasma membranes of agonist-stimulated neutrophils [29 , 30 ].

To confirm sucrose density gradient studies outlined above, the subcellular localization pattern of hCAP-18 in unstimulated and fMLF-stimulated neutrophils was examined further by indirect immunofluorescence microscopy. Figure 5C shows representative DIC and fluorescence micrographs of neutrophils labeled with mAb H7 (–fMLF, +fMLF) or control mAb (Control) in the absence (left) or presence (right) of permeabilizing detergent, saponin, from five independent experiments per neutrophil population. Labeling with control mAb 7D5 (Control, left; specific for an extracellular epitope of flavocytochrome b) in the absence of saponin produced the typical, ringed fluorescence pattern expected for the labeling of surface-exposed epitopes. Labeling with control mAb 44.1 (Control, right; specific for cytoplasmic epitope of flavocytochrome b) in the presence of saponin produced the expected pattern for cytoplasmic staining with prominent nuclear exclusion. In unstimulated neutrophils (–fMLF), fluorescence signal with mAb H7 was only observed when cells were labeled in the presence of saponin (right) and resulted in typical cytoplasmic staining with nuclear exclusion. This indicated that hCAP-18 is predominately intracellular in unstimulated neutrophils and consistent with the observed single peak of hCAP-18 and LF cosedimentation in this population (Fig. 5A) . By contrast, fMLF-stimulated neutrophils (+fMLF) exhibited a characteristic, ringed fluorescence when labeled with mAb H7 in the absence of saponin (left). These results indicate the localization of hCAP-18 on the cell surface of this population and are consistent with the codistribution of hCAP-18 and AP in sucrose density gradients (Fig. 5B) . A much more intense signal was obtained when fMLF-stimulated cells (+fMLF) were labeled in the presence of saponin (right), indicating that hCAP-18 remains predominantly intracellular in this population, also consistent with our sucrose density sedimentation studies. No labeling was observed by control, irrelevant, isotype-matched mAb K16 in the presence or absence of saponin for unstimulated or fMLF-stimulated cells. This control confirms that the nonspecific binding of lysozyme by IgG1 antibodies observed in Figure 1 is insignificant for immunofluorescence studies.

Surface expression of hCAP-18 on neutrophils following stimulation in the presence and absence of cytochalasin B
To determine if differences existed in the levels of surface hCAP-18 between fMLF-stimulated, partially and fully degranulated cells, neutrophils were stimulated with fMLF in the absence (for partial degranulation) or the presence (for full degranulation) of cytochalasin B and examined by flow cytometry for surface hCAP-18 expression. The histogram shown in Figure 6 (upper) is representative of results obtained from three independent experiments and indicates a progressive right-shift in the signal intensity of surface expression of hCAP-18 on partially versus fully degranulated cells. The averaged increases in relative fluorescence intensity are indicated in the bar graph of Figure 6 (n=3), showing that full degranulation increases surface hCAP-18 five- to sixfold. Together, these experiments suggest that hCAP-18 progressively accumulates on the surface of stimulated neutrophils in parallel with specific granule exocytosis.

Properties of hCAP-18 surface expression
The capacity of hCAP-18 to associate with stimulated neutrophil plasma membranes suggests its capacity for surface electrostatic interactions, bilayer insertion, or specific binding to one or more membrane-bound proteins. We performed additional experiments to obtain insight into the nature of hCAP-18 plasma membrane interaction. The relative strength and/or nature of hCAP-18 membrane association were examined by washing membranes in various buffer solutions. High pH or high ionic strength buffers can remove peripherally associated membrane proteins from purified plasma membrane fractions with varying degrees of efficiency (see below, refs. [31 , 32 ]) and are therefore useful in distinguishing peripheral versus transmembrane associations. For these studies, plasma membrane fractions were purified from fully degranulated neutrophils and washed consecutively with DPBS alone, 1 M NaCl, and 10 mM NaOH. After each wash, aliquots were removed and assayed for hCAP-18 content by immunoblot analysis. We noted that a relatively small fraction of the surface hCAP-18 (~8%) could be removed after washing with DPBS (Table 3 ). However, the major fraction of surface hCAP-18 retained after washing in DPBS (~92%) also remained membrane-associated after washing with 1 M NaCl (Table 3) . These data suggested that hCAP-18 may interact with the cell surface through low- and high-affinity associations. Whereas some high-affinity, peripheral associations may withstand 1 M NaCl treatment, 10 mM NaOH is a much harsher treatment, which removes such strongly bound peripheral associations completely [31 ] and can disrupt receptor-ligand interactions through protein denaturation. Neither treatment affects the associations of integral or hydrophobically associated proteins [31 , 32 ]. Accordingly, upon further treatment with 10 mM NaOH, the resulting membranes were nearly devoid of surface hCAP-18 (Table 3) . Taken together, these data may suggest that hCAP-18 principally interacts with the cell surface through highly stable peripheral associations with the membrane bilayer or through a receptor-mediated interaction.


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Table 3. Percent Distribution of Membrane-Associated hCAP-18 after the Indicated Treatment or Phase Extraction

 
A further examination of the nature of the 1 M salt-resistant hCAP-18 plasma membrane associations described above was obtained by examining the phase-partitioning behavior of membrane-associated hCAP-18 [24 ]. In this assay, salt-washed neutrophil plasma membrane fractions were solubilized with Triton X-114 (4°C) as described in Materials and Methods. Following membrane solubilization, detergent-enriched and detergent-insoluble phases were then separated by 37°C incubation and low-speed sedimentation in a 37°C chamber. In this system, transmembrane and other hydrophobic proteins preferentially partition into the detergent-enriched phase, and peripheral membrane proteins partition into the aqueous phase. In our studies of neutrophil membranes, the detergent-rich and aqueous phases were processed by SDS-PAGE for immunoblot analysis with mAb H7 and 54.1. mAb 54.1 is specific for the transmembrane protein, gp91phox, and was included in this assay as a control to verify the appropriate partitioning of proteins between the two phases. The gp91phox control was found exclusively within the detergent-enriched phase (Table 3) . The membrane-bound hCAP-18 was also largely recovered from the detergent-rich phase (Table 3) . The recovery of hCAP-18 from this phase was unexpected, given the sensitivity of surface association to 10 mM NaOH as described above. Considered together, these data may suggest that following cell stimulation, hCAP-18 associates with the neutrophil cell surface by stably interacting with a hydrophobic transmembrane receptor or directly with the plasma membrane through insertion in the bilayer. In light of these possibilities, one explanation of the observed NaOH sensitivity of hCAP-18 association may be that the conformational changes induced during NaOH denaturation destabilize hCAP-18 membrane association. Altogether, our data indicate that hCAP-18 associates differentially with the surface of human neutrophils in an interaction that is highly stable and specific for a defined cellular activation state.


    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Results reported in this study provide the first evidence for the interaction of hCAP-18 with the surface of fMLF-stimulated neutrophils (partially and fully degranulated). The two novel mAb used in this study, H7 and N9, were shown to recognize antigens migrating in SDS-PAGE with relative molecular weights of ~16,000. These antigens were identified initially as an N-terminally truncated hCAP-18 fragment-detected N-terminal sequence analysis. MALDI and nanospray LC-MS/MS analysis of tryptic digests subsequently confirmed that the antigen contained peptides spanning residues 31Gln–167Arg, representing 77% of sequence coverage. This coverage suggests that but for three C-terminal residues (168TES), the entire 16,016-kDa, 140-amino acid residue hCAP-18 antigen, including peptides derived from the LL-37 microbicidal peptide domain, is represented. Phage display epitope mapping, indicating that mAb H7 and N9 recognize a 5-amino acid consensus sequence, NARGZ, suggested the epitope most probably incudes the primary sequence 115NXARGXZ121 (where X and Z indicate omitted and aromatic amino acids, respectively), present in the C-terminal region of the prodomain. It is interesting that the relative molecular mass of 16 kDa observed in this study for hCAP-18 matches the 16,016-Da mass predicted for the 140 amino acid residue protein shown in Figure 3B , beginning at 31Gln. The SDS-PAGE relative molecular mass we observed differs slightly from the 18-kDa estimate reported in other studies [33 34 35 36 37 ]. However, as MALDI and LC-MS/MS analysis of the mAb H7 affinity-purified hCAP-18 demonstrated the presence of the LL-37 domain, this discrepancy is most likely a result of limitations in SDS-PAGE for quantitative evaluation of molecular weight [38 39 40 41 ].

As discussed previously [42 ], residues 1–30 of human neutrophil hCAP-18 provide a signal sequence, which is processed proteolytically during biosynthesis and targeting of the protein to specific granules. However, the N-terminal sequence determined for our affinity-purified hCAP-18 was found to occur 20 amino acids downstream of 31Gln (the predicted N-terminus of the mature protein without signal sequence; see Fig. 3B ). Examination of the immunopurified antigen by nanoelectrospray MS confirmed 31Gln cyclization to pyrrolidone glutamic acid at the N-terminus of hCAP-18, previously implicated by MALDI analyses performed by others [25 , 26 ]. This modification inhibits sequential Edman degradation [43 ], thus explaining our exclusive detection of a proteolyzed form of hCAP-18 lacking residues 31Gln–49Arg by N-terminal sequence analysis (Table 1) . It is interesting that Malm et al. [35 ] reported observing a doublet hCAP-18 band in immunoblots of SDS-PAGE-separated human seminal plasma, possibly suggesting conservation of this species in other tissues. In addition, the cyclization of N-terminal 31Gln to pyrrolidone glutamic acid, which has also been observed to occur in nonhuman cathelicidins [44 ], is known to alter the functional and/or regulatory state of other proteins and/or peptides [45 , 46 ], and may play a role in human immune function [47 ]. Thus, it will be interesting to determine whether the structural alterations of hCAP-18 observed in this study are important for its biological function in neutrophils.

Given that hCAP-18 is a well-characterized component of neutrophil-specific granules [25 ], results from subcellular fractionation studies further supported the identity of the H7/N9 antigen as hCAP-18 by showing the expected codistribution of this molecule with specific granule LF in unstimulated neutrophils. However, further analysis of hCAP-18 distribution in fMLF-stimulated, partially degranulated neutrophils showed cosedimentation of hCAP-18 with specific granule LF and the plasma membrane marker AP. In conjunction with the fact that mAb H7 and N9 were generated using a detergent-solubilized membrane fraction as the immunogen, the above observation suggested a novel capacity of soluble hCAP-18 to interact with intact neutrophils. In the present study, surface hCAP-18 association on fMLF-stimulated neutrophils was confirmed separately by indirect immunofluorescence microscopy and flow cytometry analysis and in immunopurification assays, by using purified plasma membrane fractions from fully degranulated cells.

hCAP-18 surface expression on intact, fMLF-stimulated, partially and fully degranulated neutrophils shown by flow cytometry in Figure 6 indicates that surface hCAP-18 expression increased in parallel with the exocytosis of hCAP-18-enriched specific granules. Neutrophils contain 0.63 µg hCAP-18/106 cells [34 ]. From our subcellular fractionation studies (Fig. 5) , we estimate that fMLF stimulation induces 10% of this amount or 0.06 µg hCAP-18/106 cells to be bound on the cell surface. Full degranulation results in a five- to sixfold increase or 0.3 µg hCAP-18/106 cells and represents ~50% of the content of specific granules. This amount is more than three times the amount observed to be bound to the surface of human spermatozoa [35 ]. Malm et al. [35 ] suggest that such amounts are suggestive of a microbicidal function for surface-bound hCAP-18 on spermatozoa, if only from the release of LL-37 by exposure to the serine protease acrosin released upon fertilization. Given that large amounts of proteinase-3 are released from neutrophil primary granules upon full degranulation, the plasma membrane-bound hCAP-18 could also serve as a targeted source of hCAP-18 for the production of LL-37.

It is interesting that we are unable to detect significant amounts of hCAP-18 on the surface of unstimulated neutrophils by indirect immunofluorescence or subcellular fractionation. A recent study reported hCAP-18 to be a significant component of normal human plasma in complex with lipoproteins at a concentration of 1.2 µg/ml [48 ] or approximately one-third the amount stored in neutrophils in the same volume of whole blood. This consideration suggests that unstimulated neutrophil plasma membranes are incapable of stably interacting with hCAP-18 in the blood. This property could be a result of differences in membrane composition between unstimulated and stimulated neutrophils or the inability of the lipoprotein-bound hCAP-18, which is constitutive in human plasma, to interact with the surface of circulating, quiescent neutrophils.

The expression of low-density lipoprotein receptors (LDLR; ref. [49 ]) by human neutrophils, considered together with the observed association of hCAP-18 with plasma lipoproteins [26 ], suggests that plasma lipoproteins might mediate the binding of hCAP-18 to the surface of human neutrophils. However, it is unlikely that plasma lipoproteins contribute to the surface association of hCAP-18 observed in the present study, given that our experiments were performed in the absence of plasma lipoprotein. In addition, as we could not detect hCAP-18 on the surface of unstimulated neutrophils, which reportedly express LDLR [49 ] and are exposed to lipoprotein and hCAP-18 prior to blood withdrawal, it seems unlikely that plasma lipoprotein or neutrophil LDLR expression contributes to hCAP-18 surface association observed here. It is interesting, however, that results from the present and previous studies do not exclude the possibility that neutrophils express a hCAP-18-specific receptor, which is expressed differentially on the surface of activated human neutrophils.

The positive correlation of surface hCAP-18 expression with the extent of neutrophil activation observed in Figure 6 is interesting considering that neutrophil activation and the expression level of hCAP-18 within tissues are highly regulated responses to inflammation. Several previous reports have documented the ability of human neutrophils to occupy functionally diverse, cellular activation states [50 51 52 53 54 ]. This phenomenon is associated with a graded as opposed to an all-or-nothing cellular response to microenvironmental stimuli, which in turn suggests a functional basis for the cell surface localization of hCAP-18 observed in this study. Specifically, plasma membrane-bound hCAP-18 could contribute to the microbicidal efficacy of neutrophils within inflamed tissue. For example, surface hCAP-18 would be ideally situated for the in situ killing and degradation of microbes during their phagocytic uptake. Such proximity could confer a spatial specificity on hCAP-18 activation by extracellular proteases by concentrating antimicrobial action at this interface, thus facilitating microbial destruction and simultaneously minimizing damage to surrounding tissues. In this context, it is possible that hCAP-18 plasma membrane association is mediated by one or more membrane proteins, which upon binding hCAP-18, contribute to cell-signaling processes involved in phagocytosis and/or other mechanical functions (e.g., substrate adherence) in a manner analogous to interactions involving plasma membrane-bound LF [55 , 56 ].

Reports documenting expression of hCAP-18 on cell surface membranes have, up to now, been confined to germ-line cells, which can be coated with as many as 6.6 million copies of hCAP-18 per cell [33 , 35 ]. Although a function for hCAP-18 in reproductive biology has not yet been identified, the possibility that the active maintenance of hCAP-18 at the cellular microenvironmental interface could supplement the defensive capacity of such cells has been postulated [5 ]. In addition, previous studies have indicated that neutrophil hCAP-18 is likely soluble within specific granules [25 , 34 , 57 , 58 ] and that as much as 25% of this cellular fraction can be lost during fMLF stimulation in the absence of phagocytosis [52 ]. This suggests that significant quantities of hCAP-18 might be released during the process of neutrophil extravasation and their subsequent transit into infected tissues, which could in turn limit the use of this antimicrobial protein by neutrophils at the infection site and subject uninfected tissues to damage. In this regard, the substantial, progressive cell surface association of hCAP-18 with agonist-stimulated neutrophils might also serve as a mechanism to maximize the recovery and transport of soluble hCAP-18 or its fragments into sites of microbial infection, as well as enhance the efficacy and specificity of their antimicrobial action. In spite of the implied uncertainties of this study, which does not directly address the antimicrobial action of surface-associated hCAP-18, we speculate that surface localization enhances the efficiency of delivery to inflammatory sites, where there could be increased coordinate action [59 ] of hCAP-18 or its proteolytic fragments with other defenses unleashed in the phagosome or extracellular milieu. Collectively, the findings presented in this study offer a basis for additional investigation into the biology and function of hCAP-18 and introduce two highly specific anti-hCAP-18 mAb for use in future research.


    ACKNOWLEDGEMENTS
 
This work was supported by United States Public Health Service grants 2R01-AI26711 and 2R01-AI22735 to A. J. J. and American Heart Association Scientist Development grant 06302S3N to R. M. T. J. S. was funded by a National Institutes of Health (National Institute of Allergy and Infectious Diseases)-sponsored Medical Mycology Predoctoral Training grant T32 AI 07465.

Received September 22, 2006; revised January 29, 2007; accepted January 29, 2007.


    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 

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