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RESEARCH REPORT |
1 Department of Oral Medicine and Diagnostic Sciences, University of Illinois at Chicago, College of Dentistry (M/C 838), 801 S. Paulina St., Room 556, Chicago, IL 60612-7213, USA;
2 Department of Medicine,
3 Howard Hughes Medical Institute, and
4 Department of Oral and Maxillofacial Surgery, University of California at San Francisco, San Francisco, CA, USA
* corresponding author, sroussih{at}uic.edu
| ABSTRACT |
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KEY WORDS: S100A8 anti-inflammatory fugetaxis oxidation neutrophil
| INTRODUCTION |
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Infectious lesions of the mucosa and skin are generally associated with the recruitment of an acute and/or chronic inflammatory leukocytic infiltrate. In contrast, hairy leukoplakia, a benign oral lesion associated with Epstein-Barr virus, is characterized by the absence of leukocyte infiltrates (Daniels et al., 1987). S100A8, a small acidic protein with reported chemotactic effect (Ryckman et al., 2003), is heavily over-expressed in the lesion (J. Palefsky, unpublished observation). It is possible that high levels of the S100A8 protein repel or inhibit the recruitment of leukocytes. Consistent with this hypothesis, the S100A8 null mouse is associated with lethal infiltration of the S100A8 null fetus with heterozygous maternal cells (Passey et al., 1999).
S100A8 and its hetero-dimerization partner S100A9 are members of the S100 family of proteins. This family is comprised of low-molecular-weight protein members of the EF-hand endowed superfamily of calcium-binding proteins. S100A8 and S100A9 lack a leader sequence or a transmembrane region and are secreted by a novel secretory pathway (Rammes et al., 1997). S100A8 and S100A9 are detected at high levels in a wide variety of inflammatory conditions (Gabrielsen et al., 1986), both locally in epithelium and in the saliva and circulation (Muller et al., 1994; Lugering et al., 1995a,b). They are expressed in cells of myeloid lineage, representing up to 45% of neutrophil cytosolic protein weight (Edgeworth et al., 1991), in monocytes and tissue macrophages, and in epithelial cells in diseases such as psoriasis (Nagpal et al., 1996). Normal buccal mucosal epithelium expresses S100A8 and S100A9 constitutively at low levels (Wilkinson et al., 1988), whereas keratinized epithelium expresses the two proteins only under pathologic conditions (Marionnet et al., 2003).
The murine homologue of S100A8 is a strong chemoattractant for peripheral monocytes and neutrophils at a very low concentration (1013 M) (Lackmann et al., 1993). Studies of the chemoattractant properties of human S100A8 have yielded variable results. Whereas Ryckman et al.(2003) reported chemotactic activity for human S100A8, others have been unable to demonstrate a similar effect (Lackmann et al., 1993). This discrepancy could be attributed to differences in methodology used to produce and assay the proteins. Thus, the effect of S100A8 on leukocyte migration remains controversial.
In this study, we used in vitro and in vivo assays to address this issue. We hypothesized that the human S100A8 protein possesses fugetactic properties in vitro, and that these may correspond to an anti-inflammatory effect in vivo.
| MATERIALS & METHODS |
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Transwell Migration Assays of Peripheral Neutrophils
The assays were adapted from methods previously described by others (Wu et al., 2001; Hanson and Quinn, 2002; de Coupade et al., 2004). Blood was obtained according to a protocol approved by the Committee on Human Research of the University of California, San Francisco (UCSF), with informed consent.
Peripheral neutrophils were isolated from heparinized blood on a Ficoll gradient from healthy adult volunteers. A 100-µL quantity of RPMI containing 100,000 neutrophils was placed in the upper chamber of a Transwell apparatus (6.5 mm, 3-µm pore, polycarbonate membrane, Corning Costar Inc., Corning, NY, USA). The Transwells were incubated at 37°C, 5% CO2 for 3 hrs. The cells that migrated through the upper chambers filter to the lower chamber were collected and counted by flow cytometry and/or a hemocytometer. For the pertussis toxin (PTX) inhibition experiments, cells were pre-incubated with different concentrations of Bordetella pertussis toxin (Sigma, St. Louis, MO, USA) for 30 min at room temperature.
In vivo Chemotaxis Assay in the Air-pouch Model
Assays were conducted according to a protocol that was approved by the Committee on Animal Research at UCSF. Air-pouch rats were anesthetized with 23% isoflurane in oxygen. Their backs were shaved and swabbed with 70% ethanol, and a 20-mL quantity of sterile air (passed through a 0.2-µm filter) was injected subcutaneously to form an air-pouch. Three days later, this procedure was repeated, except that only a 10-mL quantity of sterile air was injected. Rats were used for assessment of leukocyte recruitment 3 days following the second air injection.
Leukocyte Harvesting
Rats were injected with 300 µL LPS (30 ng) or sterile PBS into the seven-day-old air-pouch. Three hrs later, the rats were anesthetized with pentobarbital (65 mg/kg), and cells were collected by the injection of 5 mL of sterile PBS into the pouch. Cell-containing fluid was aspirated, placed into sterile culture tubes, and centrifuged at 1500 rpm for 10 min (25°C). Supernatant was aspirated and cells re-suspended in 1 mL PBS containing 1% bovine serum albumin at room temperature. For separation of nucleated cells from red blood cells, we added 10 µL of 1 mg/mL Hoechst 33342 (bisbenzimide) (Serotec, Raleigh, NC, USA) to flow cytometry tubes for at least 40 min in the dark for antibody labeling (see below); we used 100 µL of sample. A 1-µL quantity of 1 mg/mL propidium iodide (Sigma, St. Louis, MO, USA) was added immediately before flow cytometry, so that nucleated cell viability could be assessed.
Flow Cytometry
We performed leukocyte quantitation using nuclear content, forward-scatter, and side-scatter patterns obtained from excitation at 488-nM and 354/63-nM wavelengths. We used FITC-labeled rabbit anti-rat polymorphonuclear leukocyte (PMN) antibody (Accurate, Berkshire, UK) to quantify the number of PMNs recruited to the air-pouch. Log fluorescence was measured for 30 sec at constant pressure for each sample, by means of a triple laser Vantage SE cell sorter (Becton Dickinson, San Jose, CA, USA). Data acquisition was performed with CellQuest Pro software, version 4.01 (Becton Dickinson), and off-line analysis was performed with FlowJo, version 4.5 (Tree Star, Inc., Ashland, OR, USA).
Data Analysis
Data are presented as mean ± SD. Data were analyzed with a one-way ANOVA analysis with Statview 5.0.1. For the statistical analysis, ANOVA (with repeated measures) and Scheffé constants were used for comparison of more than two variables for determination of significance.
| RESULTS |
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To determine if human S100A8-mediated fugetaxis was similarly regulated, we mutated the cysteine 42 residue to an alanine (ala42S100A8). The mutant protein was unable to form a covalently bound homodimer of S100A8, even after treatment with 105 M sodium hypochlorite for 15 min (Fig. 2A
). Monoclonal antibodies directed against WT S100A8 detected ala42S100A8 in a Western blot (Fig. 2B
). Ala42S100A8 displayed a fugetactic effect similar to that observed with the WT S100A8 protein on peripheral neutrophils. However, in contrast to WT S100A8, ala42S100A8 fugetaxis was dose-dependent, but oxidation-resistant (Fig. 2C
). We also noted a shift in the maximal fugetactic effect between WT S100A8 and ala42S100A8, from 109 M to 108 M, respectively, similar to the effect on chemotaxis observed by investigators using mutated murine S100A8 (Harrison et al., 1999).
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| DISCUSSION |
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i trimeric GTPase pathway may play a role in S100-mediated fugetaxis. Murine S100A8 activity has been shown to be regulated by oxidation, and we explored the role of oxidation in modulating human S100A8 activity. S100A8 activity was abrogated by oxidation, and, conversely, we were able to create a mutant of S100 resistant to oxidation by mutating the cysteine residue at position 42 to alanine. The ensuing molecule (ala42S100A8) displayed a fugetactic effect similar to that of the wild-type S100A8 except for its resistance to inhibiting oxidation. This finding not only supported a role for oxidation in the regulation of S100A8 fugetaxis, but also offered a potential strategy for efficient anti-inflammatory intervention.
This strategy was explored in a set of experiments in which ala42S100A8 displayed a potent and dose-dependent anti-inflammatory effect in an LPS-driven inflammation in a rat air-pouch model in vivo. This model, widely used for the in vivo study of synovial arthritis (Dransfield et al., 1992; Perretti et al., 2002), was used to test the effect of S100A8 on the recruitment of neutrophils in vivo. Using this model, we showed that ala42S100A8 had a potent anti-inflammatory effect, abrogating the ability of endotoxins to recruit neutrophils to the pouch.
The results presented in our paper differ from previous chemotaxis reports (Ryckman et al., 2003). One explanation for this discrepancy is that previous investigators reported chemotaxis at concentrations several logs below physiological concentrations of S100A8 and S100A9, thus raising the question as to its biologic relevance (Roth et al., 2003).
Overall, our findings support an important role for S100A8 in the regulation of inflammatory processes, and suggest that S100A8 may create a chemical barrier to inflammatory infiltrates, possibly explaining the paucity of inflammatory responses in hairy leukoplakia. Future studies should determine the level of expression and the oxidation status of S100A8, since this may be a potential local controlling factor in mucosal inflammatory conditions. We propose a model in which oxidative modification of S100A8 by neutrophil enzymes secreted during acute inflammation may attenuate this barrier, allowing for leukocyte translocation and migration to extravascular spaces.
Finally, our findings may have important therapeutic implications, and our results indicate the feasibility and effectiveness of the therapeutic anti-inflammatory effect of ala42S100A8. The concentration of ala42S100A8 required to achieve fugetaxis in the air-pouch model was low and likely to be pharmacologically achievable for therapeutic purposes. Further studies will be needed to establish the mechanisms and the utility of the findings described in this report.
| ACKNOWLEDGMENTS |
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Received August 26, 2005; Last revision May 9, 2006; Accepted May 18, 2006
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