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Infection and Immunity, January 2004, p. 89-93, Vol. 72, No. 1
0019-9567/04/$08.00+0 DOI: 10.1128/IAI.72.1.89-93.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Selective Induction of Tumor Necrosis Receptor Factor 6/Decoy Receptor 3 Release by Bacterial Antigens in Human Monocytes and Myeloid Dendritic Cells
Sunghee Kim,1,
William J. McAuliffe,1 Liubov S. Zaritskaya,1 Paul A. Moore,1 Lurong Zhang,2 and Bernardetta Nardelli1*
Human Genome Sciences Inc., Rockville, Maryland 20850,1
Lombardi Cancer Center, Washington, D.C. 200642
Received 30 June 2003/
Returned for modification 4 August 2003/
Accepted 30 September 2003

ABSTRACT
Tumor necrosis factor (TNF) receptor 6/decoy receptor 3 (TR6/DcR3)
is an antiapoptosis soluble receptor of the TNF family produced
by tumor cells. In this study, TR6 expression in human immune
cells was investigated. TR6 mRNA and protein were detectable
in selected antigen-presenting cells. Monocytes and myeloid-derived
dendritic cells (MDC) released the protein exclusively following
stimulation of Toll-like receptor 2 (TLR2) and TLR4 by gram-positive
and gram-negative bacterial antigens. Plasmacytoid dendritic
cells, activated by bacterial antigens via TLR9 or by viral
infection, did not produce the protein. Similarly, activated
T cells did not release TR6. The release of TR6 by MDC was dependent
on the activation of p42/p44 mitogen-activated protein kinases,
Src-like protein tyrosine kinases, and phosphatidylinositol
3-kinase, signaling pathways important for MDC maturation and
survival. In agreement with the in vitro data, TR6 levels in
serum were significantly elevated in patients with bacterial
infections. Overall, these data suggest a novel role for TR6
in immune responses to bacteria.

INTRODUCTION
Tumor necrosis factor (TNF) receptor 6 (TR6), also called decoy
receptor 3 (DcR3) or M68, is a member of the TNF receptor family
that is produced as a secreted protein (
3,
25,
35). Similar
to other members of the family, TR6 binds with high affinity
to multiple ligands, including Fas ligand (FasL), LIGHT, and
TL1A (
18,
25,
35). Since TR6 lacks a transmembrane domain, it
can function as an inhibitor by competing with the signal-transducing
receptor for the ligand. The recombinant protein was indeed
able to inhibit in vitro and in vivo FasL-induced apoptosis
(
5,
25). Because of TR6 overexpression in a substantial number
of tumors (
23,
28), it has been postulated that the decoy receptor
promotes the survival of tumor cells by helping them to escape
FasL-dependent cell death (
3,
25). In addition, several studies
have suggested a role for TR6 in immunity, through the modulation
of T-cell responses. TR6 was found to inhibit the interaction
of TL1A, a T-cell costimulatory cytokine, with its receptor
DR3 (
18). Soluble protein was also shown to downmodulate the
cytotoxic activity of T lymphocytes and ameliorate heart allograft
rejection in mice, possibly by interfering with LIGHT/TR2 binding
(
36). In another study, solid-phase TR6 was reported to stimulate
proliferation and cytokine production in T lymphocytes by reverse
signaling through LIGHT (
32). Lastly, TR6 was reported to modulate
dendritic cell maturation (
10).
Little is known about the regulation of TR6 expression in nonmalignant cells. TR6 mRNA is expressed in endothelial cells and keratinocytes (16, 35), and the protein was detected in epithelial cells of the colon (3). The mRNA was also detected at low levels in other healthy human tissues, such as stomach, lymph node, lung, and spleen tissues (3). The involvement of TR6 in immune responses raised the possibility that the expression of the protein may be regulated in cells of the immune system. Therefore, the aim of our study was to investigate the expression and release of TR6 by immune cells.

MATERIALS AND METHODS
Reagents.
Cytokines were purchased from PeproTech (Rocky Hill, N.J.);
Staphylococcus aureus Cowan I, PD98059, SB203580, herbimycin
A, and wortmannin were purchased from Calbiochem (San Diego,
Calif.); phytohemagglutinin (PHA), lipopolysaccharide (LPS),
and lipoteichoic acids (LTA) were purchased from Sigma-Aldrich
(St. Louis, Mo.); and CD40 ligand (CD40L) and a TNF-

enzyme-linked
immunosorbent assay (ELISA) kit were purchased from R&D
Systems (Minneapolis, Minn.).
Cell cultures.
Monocytes were obtained from human peripheral blood mononuclear cells (PBMC) by centrifugation of leukopheresis preparations (BRT Inc., Baltimore, Md.) through Histopaque gradients (Sigma-Aldrich) followed by counterflow centrifugal elutriation. Cell purity was greater than 92%. Cells were cultured in complete medium consisting of RPMI 1640 medium (GIBCO BRL, Rockville, Md.) supplemented with 10% heat-inactivated fetal bovine serum, 2 mM L-glutamine, and 50 µg of gentamicin (Biofluids Inc., Rockville, Md.)/ml. Myeloid dendritic cells (MDC) were obtained by culturing monocytes for 7 to 10 days in complete medium supplemented with 1% nonessential amino acids, 1% sodium pyruvate (Biofluids), 5 x 10-5 M 2-mercaptoethanol (Sigma), 50 ng of granulocyte macrophage-colony stimulating factor/ml, and 20 ng of interleukin-4 (IL-4)/ml. Over 90% of the cells were shown by flow cytometry to express high levels of CD1a and low levels of CD14 and showed characteristic dendrite formations on examination with phase-contrast light microscopy. Plasmacytoid dendritic cells (PDC) were purified from PBMC by magnetic-bead separation (Miltenyi Biotec, Auburn, Calif.) as previously reported (7). T, B, and natural killer (NK) cells were purified from PBMC by the magnetic-bead procedure. For the determination of TR6 and TNF-
release, cells were incubated with LPS or LTA for 24 h at a concentration of 106 cells/ml (for monocytes and T cells) or 0.5 x 106 cells/ml (for MDC and PDC) in 0.5 ml/well.
Quantitative RT-PCR.
Total RNA (25 ng) was used in a one-step quantitative reverse transcription (RT)-PCR with a 25-µl reaction mixture. To control for genomic contamination, parallel reactions were set up without reverse transcriptase. The abundance of TR6-specific mRNA relative to that of 18S rRNA was measured with the Applied Biosystems Prism 7700 sequence detection system. Reactions were carried out at 48°C for 30 min and 95°C for 10 min, followed by 40 cycles of 95°C for 15 s and 60°C for 1 min. Reactions were performed in triplicate. Total RNA was purified from cells, reverse transcribed, and amplified with the TR6 probe 5'-TCTACATCCTTGGCACCCCACTTGCA-3' and the primers 5'-CTGATCCTGGCCCCCTCTTA-3' and 5'-TTCTTCTATTTAAAAAAAAGCCTCTTTCA-3'. Probes were labeled at the 5' end with the reporter dye 6-FAM (6-carboxyfluorescein) and at the 3' end with the quencher dye TAMRA (6-carboxytetramethylrhodamine; Biosource International, Camarillo, Calif.).
TR6 ELISA.
Anti-TR6 monoclonal antibodies (MAbs) were generated by the fusion of mouse myeloma P3X63Ag8.653 cells with splenocytes from BALB/c mice immunized with TR6.Fc protein. For TR6-specific ELISA, MAb 9E02 (3 µg/ml) was used to coat Maxisorp plates (Nunc, Rochester, N.Y.) overnight at 4°C. The plates were washed and blocked with 3% bovine serum albumin in phosphate-buffered saline. Serial dilutions of culture supernatants or serum samples were prepared in diluent buffer (phosphate-buffered saline containing 0.05% Tween 20 and 0.1% bovine serum albumin) and incubated for 2 h at room temperature on the coated microplates. The plates were washed, and biotinylated anti-TR6 MAb 12B03 (200 ng/ml) was added for 2 h at room temperature. After washing, streptavidin-peroxidase conjugate (1:2,000 [vol/vol]; Vector Laboratories, Burlingame, Calif.) was added for 1 h. The peroxidase reaction was developed with the 3,3',5,5'-tetramethylbenzidine substrate (Kirkegaard & Perry, Gaithersburg, Md.). Light absorbance was measured at 450 nm with a SpectraMax 3000 plate reader (Molecular Devices, Sunnyvale, Calif.). Each value was calculated as the mean ± standard deviation for triplicate samples. The sensitivity limit of the ELISA is typically <30 pg/ml.

RESULTS AND DISCUSSION
To identify immune cells with the potential to release the decoy
receptor, TR6 mRNA levels in purified cell populations obtained
from PBMC from healthy donors were analyzed by quantitative
RT-PCR (Fig.
1). The addition of specific activating factors
to B cells (LPS or
S. aureus Cowan I), T cells (PHA or CD3/CD28
stimulation), and NK cells (IL-2 and IL-12) did not significantly
increase the low basal level of TR6 transcript in the cells.
In contrast, the treatment of monocytes with the bacterial antigen
LPS produced a significant increase in the TR6 mRNA level. This
observation suggests that the recognition of pathogen-associated
molecular patterns by antigen-presenting cells (APC) might induce
TR6 expression. Thus, our subsequent work focused on the analysis
of the receptor's expression in monocytes and in the two subsets
of dendritic cells, MDC and PDC.
APC respond to bacterial and viral infections through stimulation
of specific Toll-like receptors (TLR) (
11,
12,
31). Monocytes
and MDC express all the known TLR, except TLR7 and TLR9. They
respond to pathogen-associated molecular patterns of gram-positive
bacteria through TLR2 and to those of gram-negative bacteria
through TLR4. PDC, which, in contrast, express only TLR7 and
TLR9, are activated by bacterial DNA sequences via ligation
of TLR9 (
9). In our experiments with APC, the cells were incubated
with LPS or LTA, components of the cell wall of gram-negative
or gram-positive bacteria, respectively. These two bacterial
products share many pathophysiological properties and the usage
of CD14 and TLR (
8). Their effect was compared to those of the
stimulatory cytokines gamma interferon (IFN-

), IFN-

, and TNF-

.
As shown in Fig.
2 (left panel), only LPS and LTA treatment
affected TR6 mRNA expression in monocytes, inducing average
increases of 10- and 15-fold, respectively, in the donors tested
(
n = 4). Similarly, stimulation of MDC with LPS or LTA induced
approximately a ninefold increase in TR6 expression, while stimulation
with T-cell-derived signals (CD40L in combination with IFN-
and TNF-

) or IFN-

induced a marginal increase in TR6 mRNA expression
(Fig.
2, middle panel). In contrast and as expected, treatment
of PDC with LPS or LTA was ineffective (Fig.
2, right panel),
since the cells lack TLR2 and TLR4. In addition, incubation
of PDC with a stimulatory bacterial DNA sequence, that of CpG-oligodeoxynucleotide
(CpG-ODN) 2006 (
4), did not upregulate TR6 transcript.
To provide evidence that enhanced TR6 mRNA levels resulted in
secretion of the soluble receptor, conditioned media from APC
cultures were tested in a TR6-specific ELISA (Fig.
3). TR6 was
found in the supernatants of monocytes and MDC activated by
LPS or LTA. In contrast, TR6 release was not enhanced by the
stimulation of monocytes with the cytokines IFN-

, TNF-

, or IFN-
or by the stimulation of MDC with CD40L plus IFN-

plus TNF-
(data not shown). Costimulation of the MDC cultures with IFN-
and the bacterial products resulted in slight inhibition of
LPS- and LTA-induced TR6 release (data not shown). MDC stimulated
with LTA purified from various strains of bacteria, including
Bacillus subtilis,
S. aureus, and
Streptococcus faecalis, released
similar concentrations of the soluble receptor. A comparable
effect was observed following treatment with peptidoglycan,
another microbial ligand for TLR2 (data not shown). In contrast
to MDC, PDC did not release substantial levels of TR6 when stimulated
with CpG-ODN 2006 or with viral infection, although the cells
were activated by the treatments, since they released large
amounts of IFN-

(>2 ng/ml). In agreement with the mRNA data
shown in Fig.
1, anti-CD3- or PHA-treated T cells did not release
significant amounts of TR6. Similar results were also obtained
with conditioned media of stimulated Th1 and Th2 cells (data
not shown). In summary, our results demonstrate that TR6 is
specifically released in vitro by APC of the myeloid lineage
following bacterial stimulation of TLR2 and TLR4.
To substantiate the in vitro results, we analyzed serum samples
from 27 patients with bacterial infections and 36 healthy donors
(Fig.
4). The diagnoses of the patients included bacteremia,
cellulitis, osteomyelitis, and urosepsis. Interestingly, serum
TR6 levels in the patients were significantly higher (mean,
3.46 ng/ml) than those in healthy donors (mean, 0.38 ng/ml),
indicating that upregulation of TR6 release occurs in vivo during
infections. It is possible that TR6-expressing cells other than
APC, e.g., endothelial cells, epithelial cells, and keratinocytes
(
3,
16,
35), contribute to the enhanced levels of the protein
in the patients' blood. Nonetheless, these results indicate
that TR6 production cannot be considered an exclusive marker
for malignant tumors. An increase in the relative expression
level of the TR6 gene was also reported for silicosis patients
(
24).
The aim of the next series of experiments was to identify signaling
pathways regulating TR6 release. LPS has been shown to activate
multiple signaling pathways in MDC, including the p42/p44 mitogen-activated
protein kinase (MAPK), p38 stress-activated protein kinase,
and phosphatidylinositol 3-kinase (PI3K) pathways (
2). While
p42/p44 and p38 MAPKs mediate various aspects of MDC maturation,
such as cytokine release (
15,
27,
29,
15), PI3K is important
for the survival of LPS-stimulated cells (
2). In our experiments,
MDC were treated with LPS or LTA in the absence or presence
of defined kinase inhibitors. Specifically, we used PD98059,
an inhibitor of p42/p44 MAPK; SB203580, an inhibitor of p38
MAPK; herbimycin A, an inhibitor of Src-like protein tyrosine
kinases; or wortmannin, an inhibitor of PI3K. The conditioned
media from the cell cultures were then collected and assayed
by ELISA to determine the TR6 and TNF-

levels (Fig.
5). Exposure
to PD98059 or herbimycin A reduced both TR6 and TNF-

release
in LPS- or LTA-stimulated MDC. Treatment with wortmannin did
not inhibit the release of TNF-

as reported previously (
29);
in contrast, it suppressed the release of TR6. Conversely, treatment
with SB203580 inhibited TNF-

release but did not affect TR6
release. Thus, TLR-induced TR6 release is dependent on the activation
of p42/p44 MAPKs, protein tyrosine kinases, and PI3K. The results
obtained in the present study, moreover, indicate that the release
of TR6 and TNF-

follows the activation of similar but not identical
signaling pathways in MDC. These data are in agreement with
those of a previous report showing that in MDC, PI3K is part
of the signaling pathway activated by TLR2 and TLR4 and regulating
cytokine production (
26). Recruitment of PI3K by TLR2 was also
demonstrated in an additional study, although it was not observed
for TLR4 (
1). In our experiments, the same pattern of inhibition
by the chemicals was observed for both LPS- and LTA-induced
TR6 release, indicating that the triggering of different TLRs
by gram-positive and gram-negative bacteria activates a common
cascade of intracellular events leading to TR6 production. This
conclusion may not apply to all of the cytokines released by
MDC, since it was reported that activation of the cells by TLR2
or TLR4 agonists promoted the production of different sets of
cytokines (
26).
The results of our study demonstrate that TR6 is produced by
immune cells, specifically by myeloid APC, in response to bacterial
products. The specific pattern of TR6 production (i.e., release
by myeloid-derived APC, which control the differentiation of
T helper 1 cells, and not by PDC, which control the differentiation
of T helper 2 cells [
14,
19]) suggests that the protein preferentially
plays a role in cell-mediated immune responses. An appropriate
expression of pro- and antiapoptotic molecules is implicated
in the regulation of the inflammatory reaction to pathogens
(
6). In this context, TR6 release might decrease Fas-mediated
deaths of effector cells or lessen Fas-related damage of the
healthy tissues surrounding the sites of infection (
13,
17,
20,
30,
34). Alternatively, production of the decoy receptor
could be a mechanism used by the bacteria to escape the immune
system by inhibiting Fas-dependent apoptosis of infected cells
and dampening T-cell responses (
21,
22,
33). Further investigation
of the potential involvement of TR6 in antibacterial immunity
may increase our understanding of the factors regulating the
interaction between innate and acquired immunity following bacterial
challenge.

ACKNOWLEDGMENTS
We thank V. Kao and D. Shah for technical assistance, H. Olsen
for providing CpG-ODN 2006, and D. Russell, D. Hilbert, and
M. Bowen for helpful discussions.
This work was funded by Human Genome Sciences, Inc.

FOOTNOTES
* Corresponding author. Mailing address: Human Genome Sciences Inc., 9800 Medical Center Dr., Rockville, MD 20850. Phone: (240) 314-4400. Fax: (301) 340-7159. E-mail:
bernardetta_nardelli{at}hgsi.com.

Editor: F. C. Fang
Present address: Department of Biological Sciences, University of Alabama, Tuscaloosa, AL 35487. 

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Infection and Immunity, January 2004, p. 89-93, Vol. 72, No. 1
0019-9567/04/$08.00+0 DOI: 10.1128/IAI.72.1.89-93.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
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