ARTICLE
Auteur(s) : Silvia Di Loreto, Rita Maccarone, Luigi
Corvetti, Pierluigi Sebastiani, Daniela Piancatelli, Domenico
Adorno
Istituto Trapianti d'Organo e Immunocitologia (ITOI), CNR,
L'Aquila, Italy
Accepted on 02 December 2002
Introduction
Conflicting roles in neuroinjury have been ascribed to some
cytokines, such as interleukin (IL)-1β, tumour necrosis
factor-alpha (TNF-α), and IL-6. Although it has been proposed that
IL-1β acts principally as a mediator in the pathogenesis of
ischemic/hypoxic damage, and many results confirm this opinion
[1-3], data from other researchers and our own research [4-7]
suggest a modulatory and neuroprotective role for IL-1β.
Furthermore, IL-1β induces, in a variety of cells, the production
of cytokines and factors such as IL-1β itself, TNF-α, and
IL-6 [8]. IL-6 is a multifunctional and pleiotropic
cytokine which plays a key role in neuroimmune interactions, and
potentially exerts a neuroprotective effect against
ischemic/hypoxic damage and excitotoxic neuronal loss [9-12]
via direct and indirect mechanisms. All data from in
vivo and in vitro experimental systems have reported an
increase in the expression and release of both cytokines (IL-1β and
IL-6) in response to neuronal insult [6-7, 13-14], and
consequently, particular interest is focussed on the interaction
between, and the opposing actions of, IL-1β and IL-6. The present
work examines the specific effects of IL-1β immunoneutralization on
the expression of IL-6, at the transcription and translation
levels, in pure cultures of hippocampal neurones and of glial cells
under physiological conditions, and after both experimental
subliminal hypoxia and recovery. Our previous research demonstrated
the constitutive release of IL-1β from neurones of the hippocampus
and an increase in this protein during exposure to hypoxia [6].
Furthermore, IL-1β is not defined exclusively as a disease-related
factor, and the IL-1β signal influences the production of factors
and cytokines, such as NGF and TNF-α, depending upon physiological
or pathological conditions [7]. In this study, we continue
investigation of the interactions among proinflammatory cytokines.
In addition the different mechanisms by which different types of
neural cells react to injury and their different contributions to
the process.
Materials and
methods
Neuronal cultures
Hippocampal cultures were generated from pregnant Sprague-Dawley
rats at 17-18 days gestation. Brains were removed from
foetuses and hippocampi were dissected under a stereomicroscope.
The tissue was collected under sterile conditions and dissociated
both chemically (papain, 20 U/ml) and mechanically
(10 – 12 pipette aspirations). Cells were
resuspended in Dulbecco's modified Eagle's medium (DMEM),
supplemented with 10% horse serum (HS), and plated into 3.5-mm
poly-D-lysine-precoated dishes at
2 × 105 cells/ml. After 3-4 hours,
the medium was replaced with N2-supplemented serum-free
medium, in order to inhibit non-neuronal cell proliferation and to
avoid serum interference in the experimental procedures that
followed. Cultures were placed in a humidified CO2 incubator, and
after 3 days in culture the division of non-neuronal cells was
halted by the addition of 10 µM cytosine arabinoside. The
culture medium was never changed, and the cells were not reefed
until experimental hypoxia. The neuronal cultures were used for
experiments after 8 – 10 days in vitro.
Astrocyte cultures
Primary cultures of rat cerebral cortical astrocytes were
prepared from cortices of new-born (P2-P3) Sprague-Dawley rats
[15]. Briefly, cortices were collected and dissociated as described
above. Cell suspensions were plated in untreated 75-ml flasks in
10 ml of DMEM/F12 medium with 10% foetal calf serum
(FCS). The medium was changed every 3 days, and after about
10 days the cultures were shaken at 400 rpm for
10 min, and the medium renewed to remove most of the
contaminating ameboid microglia and oligodendroglia [16]. To purify
cultures further, the culture flasks were shaken overnight at
250 rpm at 37°C, and the following day the medium was changed
for medium containing AraC (10-4 M) for 1-3 days.
Cells were detached from the flask surfaces by brief exposure to
0.1% trypsin, resuspended in DMEM + N2
supplement and were allowed to adhere to plastic culture dishes.
Astrocytes were used at confluence after 7-10 days.
Immunocytochemistry
Immunocytochemistry was performed after 8 days in
vitro to assess the characterisation of neuronal and glial
cultures. Cultures were double stained with antibodies for neuronal
and glial cells. Specifically, monoclonal antibody IgG1 to
neurofilament (NF) (BioGenex, San Ramon, CA, USA MU073-UC),
followed by the avidine-biotin immunoperoxidase method (Vectastain
Elite ABC Kit, Vector, Burligame, CA, USA) or anti-mouse IgG TRITC
conjugate (T-5393, Sigma) were used to mark the cytoskeletal
protein of neurones, whereas polyclonal antibody to glial
fibrillary acidic protein (GFAP) (BioGenex, HK099-5K) revealed by
anti-rabbit IgG-fluorescein, F(ab')2 fragment, was used to mark
astrocytes. The cultures were then washed in PBS, labelled with the
nuclear fluorochrome bisbenzimide (Hoechst 33342; Sigma), mounted
in aqueous mounting medium (BioGenex, HK099-5K), observed and
photographed using a Diaplan Leitz fluorescence microscope.
Immunoneutralization
For passive immunoneutralization, an IgG1 anti-mouse-IL-1β
monoclonal antibody (10 µg/ml; 1997-01, Genzyme Corp.,
Cambridge, MA, USA) was added to the culture media immediately
before exposure to hypoxia and maintained until the end of
recovery. This antibody recognises the IL-1β precursor and mature,
secreted forms of IL-1β, but not IL-1α. As reported in the
manufacturer's protocol, no detectable cross-reactivity was
observed with TNF-α or IFN-γ. As a sham control, parallel cultures
were treated with an irrelevant antibody, IgG1 MOPC 300, at the
same concentration [7]. The cultures used in all experiment were
always sister cultures from a single dissection.
In vitro hypoxia model
Cultures were exposed reversibly to hypoxia by placing the
plates in an airtight sealed Plexiglas chamber. The air pressure in
the chamber was reduced to 20 mmHg by aspiration and replaced
by flushing for 15 minutes with a gas mixture of 95%
N2 and 5% CO2. The resultant atmosphere contained no
oxygen, as confirmed by an oxymeter (BodyGuard 4 Gas Detector,
Bacharach, Pittsburgh, PA 15238, USA). The relative humidity was
maintained close to 95% by filling the bottom of the chamber with
deionized, sterile water. To maintain the temperature at 37°C, the
chamber was placed inside an incubator [6-7, 17] and hypoxia was
maintained for 6 hours. The chamber was opened and plates
reoxygenated in the incubator for a further 3 hours.
Viability cell assays
To evaluate the viability of neuronal and glial cultures, an
assay was performed by adding 1 volume of CellTiter
96 AQueous One Solution Cell Proliferation Assay
(Promega Corporation, San Luis Obispo, CA, USA) to 5 volumes
of culture medium in each well. After 1 hour at 37°C in a
humidified 5% CO2 atmosphere, the absorbance of the cultures at
490 nm was recorded using an ELISA plate reader.
RT-PCR analysis
Total RNA was extracted from collected cells (TRIzol Reagent,
Invitrogen, Life Technologies, Scotland, UK.) according to the
manufacturer's instructions. Total RNA (1 µg) was reverse
transcribed using RETROscriptTM (Ambion, Cambridgeshire,
UK) with random decamers used as first-strand primers. The cDNA
(2 µl) was used as the template for amplification in a 20-µl
PCR reaction. Multiplex RT-PCR was performed using the
Gene-Specific Relative RT-PCR kit (Ambion) to amplify IL-1β and
IL-6 mRNAs. The kit provides 18S rRNA as an internal control,
which is used in combination with 18S competimers and a
gene-specific PCR primer pair. Competimer technology is used to
modulate the amplification efficiency of a PCR template, and the
correct ratio between the 18S rRNA primers and 18S competimers was
determined empirically. We used a 2:8 ratio of 18S
primer/competimer for both IL-1β and IL-6 primers. The 18S
rRNA primer set produced a product of 495 bp, the
IL-6-specific primer pair produced an amplification product of
414 bp, and the product of the IL-1β primers was 240 bp.
The number of cycles was determined empirically by sampling
IL-6 and IL-1β amplicons between 22 and 40 cycles
and selecting the approximate midpoint of the linear amplifications
(35 cycles). PCR thermal cycling was performed under the
following conditions: initial denaturation for 2 minutes at
94°C; followed by the appropriate number of cycles of
30 seconds at 94°C, 40 seconds at 61°C, 30 seconds
at 72°C; and a final extension of 5 minutes at 72°C. All PCRs
were performed in duplicate. PCR products were separated on a 2%
agarose gel stained with ethidium bromide, and the relative
densities of the PCR fragments were determined and normalised using
a semiquantitative densitometric analysis (Total Lab, Phoretix, NEI
3JA UK). Values are given as relative units (RU).
ELISAs
Protein levels were evaluated in the culture media of different
neuronal and astrocyte cultures. The medium of each culture was
collected in a sterile cryotube and stored at – 80°C until
assay. The culture media were thawed, centrifuged briefly, and
processed with a rat IL-6 ELISA kit (ER2-IL-6; Endogen Inc.,
Woburn, MA, USA) and a rat IL-1β kit (ER2-IL-1β; Endogen Inc.,
Woburn, MA, USA) according to the manufacturer's protocol. The
sensitivity of this assay was 16 pg/ml and each sample was
analysed in duplicate.
Statistics
Data are presented as means ± standard errors (SEM).
One-way ANOVA was performed to determine the significant
differences in expression under different conditions. Scheffè's
post hoc test was used for the statistical analysis of group
differences. Wilcoxon's test was used for paired samples. All data
were analysed with SPSS software. Statistical significance was
assumed at p < 0.05.
Results
Culture characterisation and cell mortality
evaluation.
The purity of neuronal and glial cultures was assessed by
immunocytochemistry using specific anti-neurofilament (NF) and
anti-glial fibrillary acidic protein (GFAP) antibodies. In pure
hippocampal cultures, more than 95% of cells were immunopositive
for NF, the remaining small percentage was marked with GFAP [6-7]
(Figure 1A, B). Close
to 98% of cells in the glial cultures were polygonal GFAP-positive
(Figure 1C): in our
hands no cells were NF immunopositive but we do not exclude that
the remaining percentage (about 2%) could have been microglia. As
previously demonstrated, hypoxic stress was applied long enough to
elicit the biochemical response but was below the mortality
threshold. In fact, the percentage of dead neuronal cells under
subliminal hypoxia did not differ significantly from the percentage
of dead cells under normoxic conditions [7]. No mortality in
astroglial cultures was observed after six hours of hypoxia.
Protein expression and release
The expression and release of IL-1β protein were measured in
10 normal, hypoxic, or reoxygenated, cultured neuronal and
astroglial cell cultures. IL-1β mRNA was significantly increased in
pure neurones and astrocytes after mild hypoxia (Figure 2A). This increase was
followed by a consequent release in protein, as demonstrated by
ELISA (Figure 2B). In
contrast, the level of IL-6 displayed a different and
characteristic time course in neuronal cultures (N = 12).
In fact, in untreated cultures, both the expression and release of
IL-6 decreased significantly after mild hypoxia and did not
completely recover after three hours of reoxygenation, as shown in
Figures 3A and 3B. Interestingly, this behaviour was reversed by
pre-treatment with anti-IL-1β antibody. The effect of IL-1β
neutralisation had already been observed in normoxic neuronal
cells, as IL-6 decreased significantly in treated cultures (Figure 3A, B). Conversely,
the immunoneutralization of IL-1β induced a significant increase in
IL-6 of at least two-fold in hypoxic-pre-treated cultures as
compared with hypoxic-untreated cultures. This activatory effect
persisted in the recovery state when compared with untreated
cultures, even though data from gene expression, indicated a return
towards the level for treated normoxic cells (Figures 3A, 3B).
Under physiological conditions, the activation of IL-6 by the
IL-1β signal is evident from the direct correlation between the
levels of transcripts of these cytokines (Figure 4A). The significant
correlation also persists at the protein level, as demonstrated by
ELISA (Figure 4D). In
contrast, a negative correlation between the levels of IL-1β and
IL-6 mRNAs was demonstrated when neuronal cultures were
exposed to hypoxia (Figure
4B), and also between the release of IL-1β and
IL-6 proteins subsequent to gene expression (Figure 4E). After three hours
of reoxygenation, the direct correlation had been restored and was
significant for both transcript expression and release (Figure 4C, F).
The influence of IL-1β neutralisation on the expression of
IL-6 and its release from astrocytes was also studied. An
increasing trend in IL-6 mRNA expression, from normoxic to
recovery conditions, was detected in both pre-treated and untreated
glial cultures. Significant decreases in IL-6 mRNA were
measured in treated cells relative to untreated cells under
normoxic and hypoxic conditions (Figure 5A). Protein release
exhibited the same behaviour, except during reoxygenation where the
effects of immunoneutralization were not evident as was also seen
for protein mRNA (Figure
5A, 5B). Interestingly, as shown in Figure 5B, the
IL-1β-deprivation signal inhibited IL-6 expression in normal
and stressed glial cells, but activated IL-6 expression during
recovery. Linear regression analysis demonstrated that the levels
of IL-6 and IL-1β in untreated glial cultures, even if there
was a positive linear trend, did not significantly correlate with
each other, under either normoxic, hypoxic or reoxygenation
conditions (data not shown). Application of the control antibody to
both neurones or glia did not significantly affect either the
expression of IL-6 mRNA or the release of
IL-6 protein.
Discussion
In this study, we have demonstrated, for the first time, a
phenotype-related response to insult, insofar as the mechanisms by
which neurones and glia react to injury are quite different, at
least in terms of IL-1β and IL-6 expression. Our results can
be summarised in three main statements. Firstly, neurones promptly
react to mild injury; one symptom of this phenomenon is a change in
the regulation of cytokine expression. Secondly,
IL-6 expression is inhibited in neurones by IL-1β
immunoneutralization under physiological conditions. In contrast,
the same treatment provokes a significant increase in
IL-6 when a pathological stimulus is applied. Thirdly, the
anti-IL-1β neutralising monoclonal antibodies inhibit
IL-6 expression by both normal and stressed astrocytes.
Subliminal hypoxic stress was used as it mimics both a state of
“ischemic penumbra”, found in neural cells far from the “core” and
involved in delayed neurodegeneration, and a phenomenon known as
“ischemic tolerance”, that induces neuronal resistance to otherwise
lethal ischemia. This device allowed us to evaluate the potential
mechanism involved in the cells' response to insult, and to
investigate the harmful or protective processes initiated by mild
injury. Hippocampal neurones, mainly in CA1 zone, are most
susceptible to injury following ischemia/hypoxia, and a reduction
of protein synthesis that correlates with selective vulnerability
has been demonstrated [18]. On the other hand, the ischemic
tolerance of CA1-selectively vulnerable neurones, is associated
with early recovery of protein synthesis [19]. In a previous work
[7], we reported a decrease in TNF-α and NGF in neurones; here, we
demonstrate the decrease in IL-6 under the same conditions,
but contemporarily we observed an increase in IL-1β. The
supposition of a role for IL-1β in fine-tuning the regulation of
IL-6 is supported by the fact that the correlation between the
expression of these two proteins changes when conditions change. In
fact, as we have shown here and previously, the relationship exists
not only in the presence of injury but also under physiological
conditions. This regulating signal might influence the expression
of IL-6 directly at the transcriptional and translational
levels, because protein release was observed immediately after gene
expression. IL-1β fulfils opposing functions according to the
prevailing biological conditions, particularly in neurones. The
reaction of neuronal cells to subliminal stress is immediate and
quite different, insofar as IL-1β mRNA increases with a consequent
release of protein and IL-6 mRNA decreases with a parallel
decrease in protein. These results are surprising, especially the
amplitude and speed of the responses (Figures 2, 3, 5), suggesting
that, of the resident brain cells, neurones are the first to react
to insult. Obviously, this feature is a double-edged sword because
fast reactivity can make neurones more vulnerable. The
complementary roles of glia and neurones are also highlighted by
the data presented here. We demonstrate, for the first time, an
alternative way to respond to injury. Interleukin-1β exhibits a
different influence in astrocytes, because immunoneutralization of
IL-1β in glial cultures always induced a decrease in IL-6, under
both physiological and pathological conditions. This is an
intriguing phenomenon, in view of our understanding of the
protective and harmful mechanisms initiated by mild injury. The
influence of IL-1β on IL-6 can be compared with a similar
regulatory role previously reported for NGF [7]. The synergistic
action of IL-6 and NGF as growth factors [20], the increased
vulnerability of normoxic neurones deprived of the IL-1β signal,
and the inversion of this effect during hypoxic stress may suggest
a pivotal role for IL-1β in the CNS [7]. From our data, the
increase of IL-1β in both neuronal and glial cultures was
significant, in spite the fact that it was rather small. Moreover,
even if we can not exclude that α form of IL-1 could have
influenced the observed responses, linear regression analysis,
particularly from neuronal cultures, demonstrated a tight
relationship between IL-1β and IL-6.
The neuronal source of cytokines such as IL-1β [21-23] and
IL-6 [24], which are mainly expressed by microglia and
astrocytes, indicates that neurones are capable of participating in
the CNS cytokine network more directly than previously thought, and
that they may play an important role in the response to injury.
IL-1β itself does not seem to be directly involved in toxic
activity in normal neurones [4,6], but can enhance hypoxic brain
injury through its interaction with other molecules released or
induced by damage. We infer that the context of the mediators, at
any given time after brain injury, may well determine whether the
effects of IL-1β are protective or toxic. Our finding that mild
hypoxic injury without subsequent neuronal cell death is sufficient
to alter the expression of inflammatory cytokines in the brain has
fundamental implications for our understanding of CNS
immunoregulation. The results produced in an in vitro system
can contribute to our understanding of the basic mechanisms
involved in the preservation of homeostasis or in damage, although
they inevitably lack a complete biological in vivo context.
Nevertheless, both neuronal and glial cells in culture retain all
their physiological characteristics and perform biochemical
reactions. Therefore, by separately testing the main kinds of
nervous system cells, we hoped to achieve a better understanding of
their specific capacities, with particular regard to cytokine
regulation. To this end, a simplified model should be very valuable
in analysing the basic relationships and interactions among these
factors in specific neural phenotypes. An enhanced understanding of
cytokine interactions and signalling pathways may define a
potentially therapeutic role for combinatorial protective factors
in the treatment of neurotoxicity and oxidative stress.
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