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FJ
EXPRESS SUMMARY ARTICLE The Full-length version of this article is also available, published online October 6, 2000 as doi:10.1096/fj.00-0359fje. |
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Institute of Immunology and
* Department of Internal Medicine III, University of Vienna, A-1090 Vienna, Austria
2Correspondence: Institute of Immunology, Borschkegasse 8a, A-1090 Vienna, Austria. E-mail: Gerhard.Zlabinger{at}univie.ac.at
SPECIFIC AIMS
Important clues to understand the anti-inflammatory action of the bacterial product butyrate in vivo might come from the analysis of the cytokine-modulating capabilities of this substance in immune cells. Here, we investigated whether butyrate influences the production of pro- and anti-inflammatory cytokines in leukocytes.
PRINCIPAL FINDINGS
1. Butyrate suppresses the production of interleukin-12 (IL-12) in
peripheral blood monocytes
Staphylococcus aureus cells (SAC, 75 µg/ml) induced a
massive production of the proinflammatory cytokines IL-12p40 and tumor
necrosis factor
(TNF-
) in purified peripheral blood monocytes.
Addition of butyrate to these cultures inhibited dose-dependently the
production of both cytokines (Fig. 1A
). Moreover, butyrate effectively inhibited IL-12p70
heterodimer secretion, indicating that interferon
(IFN-
)
priming does not overcome the inhibitory effects of butyrate on IL-12
production. While inhibiting IL-12 and TNF-
production, butyrate
markedly increased SAC-induced release of the anti-inflammatory
cytokine IL-10 resulting in a bell-shaped dose response curve (Fig. 1B
). In the absence of bacterial stimulation, butyrate did
not induce cytokine secretion. Analysis of IL-12p40 and IL-12p35 mRNA
by means of semiquantitative reverse transcription-polymerase chain
reaction demonstrated that butyrate significantly inhibited both genes,
indicating transcriptional suppression of both chains of the IL-12
heterodimer by butyrate. Determination of cell viability by means of
FACS analysis 24 h after culture initiation did not reveal
differences in butyrate-treated cultures vs. control cultures.
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2. Butyrate does not inhibit IL-12 production via IL-10 or other
endogenous inhibitors of IL-12
Impairment of IL-12 production by butyrate might result from
increased IL-10 secretion. Although neutralization of IL-10 via
anti-IL-10 mAb (10 µg/ml) in SAC-treated monocytes enhanced IL-12p70
secretion compared to untreated cultures, butyrate also inhibited IL-12
production in the presence of neutralizing IL-10 mAb. Similarly,
pretreatment of monocytes with anti-transforming growth factor ß1
or indomethacin (to block the production of prostaglandins) did not
reverse the inhibition of IL-12p70 by butyrate, indicating additional
critical mechanism(s) involved in butyrate-mediated suppression of
IL-12.
3. Butyrate modulates cytokine secretion by activated
peripheral blood leukocytes
Since the functional characteristics of antigen-presenting
cells determine the nature of the developing immune response, we
evaluated the effects of butyrate on cytokine production in human
peripheral blood mononuclear cell (PBMC) stimulated via T cell receptor
ligation with CD3 mAb. While butyrate inhibited T cell proliferation,
this substance also suppressed the production of the Th1-associated
cytokines IL-2 and IFN-
. The observed inhibition of IFN-
secretion in butyrate-treated cultures was associated with a
dose-dependent suppression of IL-12 release. Since impaired IL-12
production might be responsible for decreased IFN-
secretion by
butyrate, we added exogenous IL-12 (2 ng/ml) to restore deficient
IFN-
production. Indeed, recombinant IL-12 (rIL-12) led to complete
restoration of IFN-
secretion in cultures treated with butyrate at
0.25 mM. At higher concentrations of butyrate, however, the
effect of rIL-12 was incomplete.
4. Butyrate inhibits cell surface expression of
IL-12-receptor ß 1 (IL-12R ß 1) and IL-12R ß 2 chains on
activated leukocytes
Then we examined the possibility that butyrate reduced
IFN-
secretion in anti-CD3-stimulated PBMC by inhibition of
IL-12Rß1 and IL-12Rß2 expression. After a 72 h culture period,
the anti-CD3-stimulated enhancement of IL-12Rß1 and IL-12Rß2
expression in PBMC was profoundly suppressed by addition of butyrate,
indicating that down-regulated expression of IL-12R on activated
leukocytes further contributes to impaired IFN-
production in
butyrate-treated cultures.
CONCLUSIONS
The four-carbon fatty acid butyrate plays a central role in the
homeostasis of the gastrointestinal tract. Apart from its well-known
function as an essential energy source for colonocytes, an
anti-inflammatory role in certain states of mucosal inflammation has
recently emerged. Here we demonstrate that butyrate strongly inhibits
the production of proinflammatory cytokines IL-12 and TNF-
by
monocytes upon bacterial stimulation.
Monocytes/macrophages encountering bacteria or bacterial products
release massive amounts of IL-12, which subsequently bind to its
receptor (Fig. 2A
). This interaction guarantees optimal production
of IFN-
, which further primes monocytes/macrophages for effector
functions, including the production of more IL-12. In regions of the
gastrointestinal tract with abundant bacterial colonization, such as
the terminal ileum and colon, the concentrations of butyrate and other
short-chain fatty acids are the highest, reaching up to 30 mM depending
on quality and quantity of daily food intake. Since butyrate occurs in
the portal blood at 0.04 mM, it is conceivable that sufficiently high
concentrations of butyrate occur in the mucosa to exert
anti-inflammatory effects on leukocytes. In our proposed model of the
anti-inflammatory role of butyrate in intestinal mucosal compartments
(Fig. 2B
), both IL-12 production upon bacterial stimulation
and IL-12R expression on activated T cells are suppressed. Butyrate
further promotes a state of IL-12 deficiency, since the action of
IFN-
on monocytes/macrophages to activate the IL-12 gene promoter is
prohibited. Simultaneously, the up-regulation of
monocytes/macrophages-derived IL-10 by butyrate would further
contribute to an anti-inflammatory state apart from the suppressed
IL-12/IL-12R feedback loop.
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Mounting evidence suggests that some forms of mucosal inflammation, such as Cohns disease, are triggered by the nonpathogenic gut microbiota. In such patients as well as in many animal models of mucosal inflammation, IL-12 is critical for the initiation and maintenance of the disease; moreover, in experimental models, neutralization of IL-12 can prevent or even cure the disease process. Since a disturbed microbial/host relationship appears to be involved in the pathogenesis of these inflammatory diseases, such an anti-inflammatory bacterial factor might be of particular relevance in pathophysiological conditions of mucosal immunity. The crucial role of IL-10 in the gut is best illustrated in IL-10 knockout mice suffering from severe enterocolitis due to a Th1-dominated disease that manifests after significant colonization of the colon with nonpathogenic bacteria. Since butyrate selectively increases IL-10 production while strongly suppressing the production of IL-12, it is tempting to speculate that the induction of pro- and anti-inflammatory cytokines by the intestinal microbiota is differentially modulated by this bacterial metabolite to promote an anti-inflammatory state.
IL-12 is the most important factor in governing the differentiation and magnitude of a Th1 response and plays an important role in the defense of microbial infections. Therefore, it is conceivable that several pathogens have developed mechanisms to counteract IL-12 production in order to escape immune surveillance. Indeed, potent IL-12 suppression has been demonstrated for measles virus, rhinovirus, or cholera toxin, for example. We hypothesize that butyrate has a similar role also for commensal bacteria. Since the resident microflora grants nutritional advances for the host, an impediment of defense mechanisms against commensal bacteria is critical. Particular bacterial products may thus contribute to the delicate balance between the intestinal flora and the mucosal immune system.
Despite the evidence provided, the definite molecular mechanism
for the anti-inflammatory effect of butyrate in monocytes remains
unresolved. Since most cytokines are commonly controlled by the
inducible nuclear factor NF-
B, it could be hypothesized that
interference with activation or mobilization of NF-
B is responsible
for the inhibitory effects of butyrate on cytokine secretion observed
in this study. In contrast to IL-12, the promoter region of IL-10
contains crucial cAMP-responsive elements, but no NF-
B binding
sites. Therefore, it has to be tested whether butyrate also influences
cAMP-dependent events.
We demonstrate here that the bacterial metabolite butyrate differentially modulates cytokine secretion in peripheral blood immune cells. These data demonstrate a novel anti-inflammatory property of butyrate that may have broad implications for the regulation of immune responses in vivo. Moreover, the molecular mechanisms of the described actions of butyrate could help to explore new therapeutic approaches in inflammatory conditions.
FOOTNOTES
1 To read the full text of this article, go to http://www.fasebj.org/cgi/doi/10.1096/fj.00-0359fje To cite this article, use (October 6, 2000) FASEB J. 10.1096/fj.00-0359fje ![]()
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