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Infection and Immunity, March 2002, p. 1042-1048, Vol. 70, No. 3
0019-9567/02/$04.00+0 DOI: 10.1128/IAI.70.3.1042-1048.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
First Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus, Okinawa,1 Division of Molecular Immunology, Research Section of Molecular Pathogenesis, Institute for Genetic Medicine, Hokkaido University, Sapporo,2 Immuno-Biological Laboratories Co., Ltd., Gunma, Japan3
Received 15 June 2001/ Returned for modification 15 August 2001/ Accepted 1 November 2001
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Osteopontin (OPN), a phosphoprotein originally isolated from bone, contains an RGD sequence similar to that of other extracellular matrix and serum proteins, including fibronectin, vitronectin, collagen, thrombospondin, and fibrinogen (7, 30, 42). OPN promotes integrin- and CD44-mediated cell adhesion and chemotaxis of osteoclasts, smooth muscle cells, macrophages, and T cells (30). OPN production is elevated in various pathophysiological conditions, such as atherosclerosis, nephritis, malignancy, pulmonary fibrosis, wound healing, and bone remodeling (6, 9, 13, 21, 28, 35, 41). OPN is also abundantly produced by T cells and macrophages during the formation of granulomatous lesions in sarcoidosis and tuberculosis (4, 25, 27, 29).
Recently, a new aspect of OPN was reported by Ashkar and coworkers (1). OPN-deficient mice showed severe impairment in developing a Th1 response to herpes simplex virus type 1 and Listeria monocytogenes and granuloma formation caused by polyvinylpyrrolidone. The production of IL-12 and gamma interferon was diminished while the synthesis of IL-10 was elevated in these mice, and OPN treatment restored the reduced production of IL-12 from their macrophages. These findings suggested that OPN may polarize the Th1 cytokine response and contribute to host defense against infectious pathogens. In early studies, the OPN gene was proposed to relate to the susceptibility of mice against Orientia tsutsugamushi infection (31). Recently, Nau et al. (26) revealed the reduced clearance of Mycobacterium bovis BCG and the increased formation of granulomas in OPN-deficient mice. Thus, accumulating evidence supports the above hypothesis for a murine system. However, to our knowledge, no reports have demonstrated such an aspect of OPN for human cells.
In the present study, we elucidated the role of OPN in IL-12 production from peripheral blood mononuclear cells (PBMCs) stimulated with P. marneffei. For this purpose, we examined the kinetics of mRNA expression and protein secretion for OPN and IL-12 during coculturing of PBMCs with P. marneffei. Next, we tested the effect of anti-OPN monoclonal antibodies (MAb) on the secretion of IL-12 and the ability of native OPN to induce IL-12 from PBMCs. Furthermore, we investigated the involvement of granulocyte-macrophage colony-stimulating factor (GM-CSF) in the production of OPN from P. marneffei-stimulated PBMCs. Finally, the effects of various antagonists against the mannose or ß-glucan receptor were examined to define the mechanism of PBMC recognition of the fungal organism leading to OPN synthesis.
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) MAb, and isotype control mouse IgG1 antibody were obtained from Genzyme-Techne (Minneapolis, Minn.); laminarin was obtained from Sigma (St. Louis, Mo.); laminariheptaose was obtained from Seikagaku Co. (Tokyo, Japan); and
-mannan and ovalbumin were obtained from Sigma. Recombinant human OPN and anti-OPN MAb (mouse IgG1) were kindly provided by Immuno-Biological Laboratories Co., Ltd. (Gunma, Japan). Preparation of PBMCs. PBMCs were isolated from heparinized blood of healthy adult volunteers by standard density gradient centrifugation over Ficoll-Paque PLUS (Amersham Pharmacia Biotech, Little Chalfont, United Kingdom). Interface PBMCs were pelleted, washed twice, and resuspended in RPMI 1640 medium supplemented with 10% fetal calf serum, 100 U of penicillin/ml, 100 µg of streptomycin/ml, and 50 µM 2-mercaptoethanol.
Microorganisms and culture conditions. A clinical strain of P. marneffei, designated H1140 and registered by the American Type Culture Collection (ATCC 201013), was isolated from a blood sample of a patient with AIDS at Chiang Mai University, Chiang Mai, Thailand, and kindly provided by Parasit Tharvichitkul from the same university. Methods for preparation of the yeast cell suspension were described in detail previously by Kudeken et al. (20). PBMCs were cocultured at 5 x 106/ml with P. marneffei (2.5 x 106/ml) for different times.
Extraction of RNA and reverse transcription-PCR. Total cellular RNA was extracted from PBMCs cultured with P. marneffei after various incubation periods with Isogen (Wako, Osaka, Japan), followed by reverse transcription (14). The obtained cDNA was then amplified in an automatic DNA thermal cycler (Perkin-Elmer Cetus, Norwalk, Conn.) with specific primers: 5'-CCACATTCCTACTTCTC-3' (sense) and 5'-GTCTATTCCGTTGTGTC-3' (antisense) for IL-12p40, 5'-CCAAGTAAGTCCAACGAAAG-3' (sense) and 5'-GGTGATGTCCTCGTCTGTA-3' (antisense) for OPN, and 5'-ACCACCATGGAGAAGGCTGG-3' (sense) and 5'-CTCAGTGTAGCCCAGGATGC-3' (antisense) for glyceraldehyde-3-phosphate dehydrogenase (GAPDH). We added 1.0 µl of the sample cDNA solution to 49 µl of the reaction mixture, which contained the following components: 10 mM Tris-HCl (pH 8.3), 50 mM KCl, 1.5 mM MgCl2, 10 µg of gelatin/ml, deoxynucleoside triphosphates (each at a concentration of 200 µM), 1.0 µM each sense and antisense primers, and 1.25 U of AmpliTaq DNA polymerase (Perkin-Elmer Cetus). PCR conditions of denaturation at 94°C for 1 min, primer annealing at 55°C for 1 min, and extension at 72°C for 2 min were used for IL-12p40. The sequence of amplification for OPN involved initial denaturation at 94°C for 2 min, followed by 30 cycles of denaturation at 94°C for 0.5 min, annealing at 55°C for 2 min, and extension at 72°C for 2 min. Cycling conditions for GAPDH were 94°C for 0.5 min, 55°C for 0.5 min, and 72°C for 2 min for 26 cycles. The PCR products were electrophoresed on 2% agarose gels, stained with 0.5 µg of ethidium bromide/ml, and observed with a UV transilluminator. The obtained bands of amplified DNA were quantitated using the NIH image analysis software application, and the level of expression of OPN or IL-12p40 mRNA was quantitated relative to that of GAPDH mRNA.
Measurement of cytokines. The concentration of OPN in PBMC culture supernatants was measured by an antigen capture enzyme-linked immunosorbent assay (ELISA) as previously described (15). The IL-12p40 concentration was measured with a commercial ELISA kit (Biosource International, Inc., Camarillo, Calif.). The sensitivities of these assays were 5 ng/ml and 8.2 pg/ml for the respective cytokines.
Depletion of cell subsets from PBMCs. CD3+, CD14+, or CD56+ cells were depleted from PBMCs with a magnetic cell separation system (MACS) under standard conditions. Briefly, 2 x 107 to 3 x 107 PBMCs were incubated with anti-CD3, -CD14, or -CD56 MAb-conjugated MACS beads (Miltenyi Biotec, Bergisch Gladbach, Germany), and the labeled cells were separated on a MACS column. Depleted cell suspensions contained less than 0.5, 0.5, or 0.6% contaminating CD3+, CD14+, or CD56+ cells, respectively.
Preparation of human T cells, NK cells, and monocytes. T cells, NK cells, and monocytes were separated on the basis of CD3, CD56, and CD14 expression by magnetic cell sorting with the MACS, respectively. Briefly, PBMCs (2 x 107 cells/80 µl) in MACS buffer (Ca2+- and Mg2+-free phosphate-buffered saline supplemented with 1% bovine serum albumin and 10 mmol of EDTA/liter) were labeled with the respective MAb conjugated with MACS superparamagnetic microbeads for 20 min at a concentration of 20 µl/107 cells at 6 to 12°C. After two washes in MACS buffer, cells were separated on a magnetic stainless steel wool column according to the protocol provided by the manufacturer. Cells positive for respective cell surface markers attached to the magnetized matrix were obtained after removal of the column from the magnet and were flushed with MACS buffer into another tube. Flow cytometric analysis of the collected cells showed 99% CD3, 98% CD14, and 99% CD56 positivity.
Statistical analysis. Statistical analysis was performed with Statview II software (Abacus Concept, Inc., Berkeley, Calif.) on a Macintosh computer. Data are expressed as mean and standard deviation (SD). Differences between groups were examined with the analysis of variance test and post hoc analysis (Fishers protected least significant difference test). A P value of less than 0.05 was considered significant.
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FIG. 1. Kinetics of OPN and IL-12p40 mRNA expression in P. marneffei-stimulated PBMCs. (A) PBMCs were cocultured with P. marneffei for various times, and total RNA was extracted from the cells. Subsequently, reverse transcription-PCR was carried out for OPN and IL-12p40. GAPDH was used as an internal control. Lanes: M, DNA size marker; 1, 0 h; 2, 1 h; 3, 3 h; 4, 6 h; 5, 12 h; 6, 24 h; 7, 48 h. (B) The levels of expression of IL-12p40 (closed triangles) and OPN (open triangles) mRNAs were quantitated relative to that of GAPDH mRNA. The results are expressed as a percentage relative to the peak level for each cytokine. Each symbol represents the mean for three independent cultures. (C) For some cultures, supernatants were collected at various times, and the concentration of each cytokine was measured. Each bar represents the mean and SD for three independent cultures. ND, not detected.
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FIG. 2. Involvement of OPN in the production of IL-12 from PBMCs stimulated with P. marneffei. (A) PBMCs were cocultured at 5 x 106/ml with P. marneffei (2.5 x 106/ml) in the presence or absence of 1 µg of anti-OPN MAb or control IgG/ml for 48 h. (B) PBMCs were cultured at 5 x 106/ml in the presence or absence of increasing doses of native OPN for 48 h. The concentrations of IL-12p40 in culture supernatants were measured. Each bar represents the mean and SD for three independent cultures. NS, not significant; an asterisk indicates a P value of <0.01 in a comparison with IL-12 production by P. marneffei-stimulated PBMCs in the absence of antibody (-). ND, not detected.
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FIG. 3. Removal of CD14+ cells abrogates OPN production. PBMCs or CD3-, CD14-, or CD56-depleted PBMCs at 5 x 106/ml were cocultured and stimulated with P. marneffei (2.5 x 106/ml) for 48 h. The concentrations of OPN in culture supernatants were measured. Each bar represents the mean and SD for three independent cultures. Open bars, undepleted; closed bars, depleted. NS, not significant; a single asterisk and double asterisks indicate P values of <0.05 and<0.01, respectively, in comparisons with OPN production by undepleted PBMCs.
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TABLE 1. Monocytes are the major source of OPN productiona
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and IL-1ß in nonimmune cells (31, 36). Therefore, to elucidate the contribution of these cytokines to OPN synthesis by PBMCs, we examined the effects of neutralizing MAb against TNF-
and IL-1RI on such production caused by P. marneffei. Unexpectedly, none of these antibodies had an inhibitory effect on OPN production by PBMCs stimulated with P. marneffei (Fig. 4). Other studies have shown that OPN production is induced by GM-CSF in mouse bone marrow cells (22). To examine the involvement of this cytokine, a neutralizing anti-GM-CSF MAb was added to cultures of PBMCs stimulated with P. marneffei at a concentration of 1 µg/ml. As shown in Fig. 5A, this treatment significantly reduced the synthesis of OPN, while control IgG did not have such an effect. These results suggested that GM-CSF might be involved in the synthesis of OPN by PBMCs. In order to confirm this possibility, we tested whether recombinant GM-CSF (rGM-CSF) directly caused the secretion of OPN. As shown in Fig. 5B, the administration of rGM-CSF stimulated such production by PBMCs in a dose-dependent manner, with an optimal dose of 10 ng/ml. Furthermore, the same treatment enhanced the synthesis of OPN by P. marneffei-stimulated PBMCs (Fig. 5C).
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FIG. 4. Failure of anti-TNF- and -IL-1RI MAb to inhibit OPN production. PBMCs were cocultured at 5 x 106/ml with P. marneffei (2.5 x 106/ml) in the presence or absence of 1 µg of anti-TNF- or -IL-1RI MAb or control IgG/ml for 48 h. The concentrations of OPN in culture supernatants were measured. Each bar represents the mean and SD for three independent cultures. NS, not significant in comparisons with OPN production by P. marneffei-stimulated PBMCs in the absence of antibody (-).
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FIG. 5. Involvement of GM-CSF in the production of OPN from PBMCs stimulated with P. marneffei. (A). PBMCs were cocultured at 5 x 106/ml with P. marneffei (Pm) (2.5 x 106/ml) in the presence or absence of 1 µg of anti-GM-CSF MAb or control IgG/ml for 48 h. (B and C) In other experiments, PBMCs were cultured at 5 x 106/ml with increasing doses of rGM-CSF in the absence (B) or presence (C) of P. marneffei (2.5 x 106/ml) for 48 h. The concentrations of OPN in culture supernatants were measured. Each bar represents the mean and SD for three independent cultures. NS, not significant; an asterisk indicates a P value of <0.01 in a comparison with OPN production by P. marneffei-stimulated PBMCs in the absence of antibody.
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FIG. 6. The mannose receptor but not the ß-glucan receptor mediates OPN production from P. marneffei-stimulated PBMCs. PBMCs were cocultured at 5 x 106/ml with or without P. marneffei (Pm) (2.5 x 106/ml) in the presence or absence of the indicated doses of mannose receptor antagonists (A) or ß-glucan receptor antagonists (B) for 48 h. The concentrations of OPN in culture supernatants were measured. Each bar represents the mean and SD for three independent cultures. NS, not significant; a single asterisk and double asterisks indicate P values of <0.05 and <0.01, respectively, in comparisons with OPN production by P. marneffei-stimulated PBMCs in the absence of antagonists. MAN, -mannan; OVA, ovalbumin; LAM, laminarin; LAMH, laminariheptaose.
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OPN exists in multiple forms, depending on the posttranslational modification. In addition to sulfation (24), glycosylation (38), and transglutamination (2), it undergoes extensive phosphorylation. The highly phosphorylated form has been isolated from mineralized extracellular matrix of bone tissue (34) and is synthesized by osteoblasts (10, 11). Breast milk has also been shown to contain highly phosphorylated OPN (37). OPN is usually secreted in both nonphosphorylated and phosphorylated forms (5, 16, 35, 37). In the present study, we did not elucidate which form of OPN was secreted from P. marneffei-stimulated PBMCs, because the ELISA used recognizes both. Interestingly, a native form of OPN obtained from human breast milk induced considerable production of IL-12, while a recombinant form derived from human OPN gene-transfected CHO cells failed to do so (data not shown). These findings are consistent with earlier reports demonstrating that dephosphorylation of native OPN abolished IL-12 stimulatory activity and, in contrast, that phosphorylation of recombinant OPN at specific sites restored such activity (1).
The OPN gene has been independently identified as an early T-cell activation gene (Eta-1), and its product is the most abundant early RNA transcript in concanavalin A-activated murine T cells (31). Recently, Nagai and coworkers (23) reported that OPN mRNA was preferentially expressed in activated human Th1 cells. On the other hand, Nau et al. (25) demonstrated that the OPN gene was the most prominent early gene which was specifically upregulated by peritoneal and alveolar macrophages after in vitro infection with Mycobacterium tuberculosis. The OPN protein is also an early protein expressed by natural killer cells (33). In the present study, we extended these early findings by identifying peripheral blood monocytes as an additional and major producer of OPN in PBMCs stimulated with P. marneffei. Furthermore, our results suggested that OPN enhanced IL-12 production via autocrine and paracrine mechanisms.
OPN production by nonimmune cells is regulated by proinflammatory cytokines, such as TNF-
and IL-1ß (31, 36). In contrast, we did not observe any inhibitory effect of neutralizing anti-TNF-
or -IL-1RI MAb on OPN production by P. marneffei-stimulated PBMCs. However, neutralization of GM-CSF bioactivity by a specific antibody resulted in a significant reduction of such synthesis. In addition, the administration of GM-CSF caused abundant production of OPN by uninfected PBMCs. Our data suggested that GM-CSF mediated a critical regulatory mechanism for OPN. This hypothesis is compatible with a previous report by Lin et al. (22) indicating that OPN released as a result of IL-3 or GM-CSF signaling contributed to the survival-promoting activities of these two cytokines.
Finally, we demonstrated that antagonists against the mannose receptor but not the ß-glucan receptor almost completely abrogated the production of OPN from P. marneffei-stimulated PBMCs. A set of observations suggests that the mannose receptor, when engaged by microorganisms or particles, may be a signal-transducing receptor for triggering the secretion of cytokines (39). Cao et al. (3) recently cloned the Mp1 gene, which encodes an abundant antigenic cell wall mannoprotein (Mp1p), a 462-amino-acid protein, from P. marneffei. They showed that Mp1p was located specifically in the cell wall of the yeast form of P. marneffei and was evenly spread throughout the entire thickness of the yeast cell wall. Furthermore, Pitzurra and coworkers (32) revealed that mannoprotein, a cryptococcal envelope antigen, was responsible for the early production of IL-12 by human peripheral blood monocytes. For mannoprotein-induced cytokine secretion, two different processes are required: (i) recognition of this protein by a specific receptor on monocytes and (ii) its internalization via the endocytic pathway. Taken together, our results suggested the possible involvement of such a mechanism mediated by mannoprotein in the production of OPN by monocytes upon stimulation by P. marneffei.
In conclusion, we have provided sufficient evidence in the present study indicating that OPN promotes a Th1 response through the induction of IL-12 synthesis by human macrophages, similar to earlier findings described for mice. We have also demonstrated that OPN production by monocytes is regulated by GM-CSF. These findings provide another option for investigating the mechanism of Th1-cell development under various pathological conditions, including infectious diseases, in humans.
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