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(The FASEB Journal. 2001;15:535-544.)
© 2001 FASEB

Delayed activation of PPAR{gamma} by LPS and IFN-{gamma} attenuates the oxidative burst in macrophages

ANDREAS VON KNETHEN and BERNHARD BRÜNE1

Department of Medicine IV-Experimental Division, University of Erlangen-Nürnberg, Faculty of Medicine, 91054 Erlangen, Germany

1Correspondence: University of Erlangen-Nürnberg, Faculty of Medicine, Loschgestrasse 8, 91054 Erlangen, Germany. E-mail: mfm423{at}rzmail.uni-erlangen.de


   ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
Desensitization of macrophages is important during the development of sepsis. It was our intention to identify mechanisms that promote macrophage deactivation upon contact with endotoxin (LPS) and interferon-{gamma} (IFN-{gamma}) in vitro. Macrophage activation was achieved with 12-O-tetradecanoylphorbol 13-acetate (TPA), and the oxidative burst (i.e., oxygen radical formation) was followed by oxidation of the redox-sensitive dyes hydroethidine and dichlorodihydrofluorescein diacetate. Prestimulation of macrophages for 15 h with a combination of LPS/IFN-{gamma} attenuated oxygen radical formation in response to TPA. Taking the anti-inflammatory properties of the peroxisome proliferator-activating receptor{gamma} (PPAR{gamma}) into consideration, we established activation of PPAR{gamma} in response to LPS/IFN-{gamma} by an electrophoretic mobility shift, supershift, and a reporter gene assay. The reporter contains a triple PPAR-responsive element (PPRE) in front of a thymidine kinase minimal promoter driving the luciferase gene. We demonstrated that PPRE decoy oligonucleotides, supplied in front of LPS/IFN-{gamma}, allowed a full oxidative burst to recover upon TPA addition. Furthermore, we suppressed the oxidative burst by using the PPAR{gamma} agonists 15-deoxy-{Delta}12,14-prostaglandin J2, BRL 49653, or ciglitazone. No effect was observed with WY 14643, a PPAR{alpha} agonist. We conclude that activation of PPARs, most likely PPAR{gamma}, promotes macrophage desensitization, thus attenuating the oxidative burst. This process appears important during development of sepsis.—von Knethen, A., Brüne, B. Delayed activation of PPAR{gamma} by LPS and IFN-{gamma} attenuates the oxidative burst in macrophages.


Key Words: anti-inflammatory • sepsis • desensitization • respiratory burst


   INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
INFLAMMATION PROVOKES THE generation of an impressive array of mediators including (among others) tumor necrosis factor {alpha} (TNF-{alpha}), interleukin-1 (IL-1), and interferon-{gamma} (IFN-{gamma}) that act both locally and systemically (1) . It is believed that monocytes/macrophages are an important source of these factors, with the implication that their excessive formation in response to gram-negative or gram-positive bacteria may lead to symptoms known as septic shock (2 , 3) . Endotoxin, a lipopolysaccharide (LPS) -containing molecule, interacts with the LPS binding protein and elicits monocyte activation and differentiation via the CD14 membrane receptor (4 , 5) as well as toll-like receptors, such as TLR2 and TLR4 (6 7 8 9) . This is followed by the formation and secretion of inflammatory cytokines and the generation of reactive oxygen (ROS) (2) and nitrogen species (10) . To balance inflammation, antiinflammatory components are an important determinant to counteract toxic cytokine and/or reactive oxygen formation. For example, in vitro, IL-10 attenuates TNF-{alpha} and IL-1 secretion, thereby attenuating proinflammatory responses of monocytes/macrophages (11 , 12) . During the development of sepsis, monocytes/macrophages exhibit a hyper-inflammatory state for hours to days, after which their function is shifted to a hypo-inflammatory state characterized by anergy to stimulation with LPS in vitro (13) . These cells no longer exert their function during the innate immune response.

Recently, the anti-inflammatory properties of the nuclear hormone receptor family known as peroxisome proliferator-activated receptors (PPARs) were established, although originally being implicated with obesity, diabetes, and atherosclerosis (14) . Three subtypes—PPAR{alpha}, PPARß (also known as PPAR{delta}), and PPAR{gamma}—have been described (15) . They all function as ligand-dependent transcription factors that, upon heterodimerization with the 9-cis retinoic acid receptor, bind to peroxisome proliferator-activated receptor response elements (PPRE), thus affecting target gene expression. However, detailed mechanisms of action are not yet being defined.

For PPAR{gamma}, it has been confirmed that specific activators such as the naturally occurring 15-deoxy-{Delta}12,14-prostaglandin J2 (15d-PGJ2) (16 , 17) or synthetic antidiabetic thiazolidinediones, such as ciglitazone or BRL 49653, effectively reduced proinflammatory cytokine as well as reactive nitrogen species (RNS) (nitric oxide, or NO) production in monocytes/macrophages (18 19 20) .

Considering the properties of PPAR{gamma}, we hypothesized a role of PPAR{gamma} in the process of LPS/IFN-{gamma}-evoked monocyte/macrophage desensitization. As a test system, we studied the oxidative burst in primary human macrophages and macrophage cell lines in response to 12-O-tetradecanoylphorbol 13-acetate (TPA). Activation of PPAR{gamma} provoked by LPS/IFN-{gamma} or synthetic PPAR{gamma}-agonists attenuated the oxidative burst, whereas scavenging of PPAR{gamma} by a decoy approach reversed macrophage desensitization. We conclude that activation of PPAR{gamma} by LPS/IFN-{gamma} is an important determinant of the activation/deactivation balance in macrophages.


   MATERIALS AND METHODS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
Materials
LPS (Escherichia coli serotype 0127:B8) and TPA were purchased from Sigma (Deisenhofen, Germany). L-NG-nitroarginine methyl ester (NAME), WY 14643, and the polyclonal anti-PPAR{gamma}2 antibody were from Alexis (Grünberg, Germany). The polyclonal anti-PPAR{alpha} antibody was from Santa Cruz Biotechnology (Heidelberg, Germany). Recombinant murine and human IFN-{gamma} were provided by Roche Diagnostics (Mannheim, Germany). Hydroethidine (HE) and dichlorodihydrofluorescein diacetate (DCF) were from Molecular Probes (Leiden, The Netherlands). Culture supplements and fetal calf serum were ordered from Biochrom (Berlin, Germany). 15d-PGJ2 and ciglitazone were bought from Biomol (Hamburg, Germany). The luciferase assay kit was obtained from Promega (Mannheim, Germany) and the ß-galactosidase detection kit was from Tropix (Mannheim, Germany). Oligonuceotides were ordered from Eurogentec (Seraing, Belgium). All other chemicals were of the highest grade of purity and commercially available.

Cell culture
The mouse monocyte/macrophage cell line RAW 264.7 and the premonocytic human cell line U937 were maintained in RPMI 1640 supplemented with 100 U/ml penicillin, 100 µg/ml streptomycin, and 10% heat-inactivated fetal calf serum (complete RPMI). All experiments were performed using complete RPMI.

Cell survival
After drug treatment, cell viability was determined by trypan blue dye exclusion.

Monocyte isolation and culture
For each experiment, cells were isolated from 50 ml buffy coats (Blutbank Erlangen, Germany). Blood was diluted 1:2 with phosphate-buffered saline (PBS) and layered on a Ficoll-Isopaque gradient (P=1077 g ml-1). The interphase containing peripheral blood mononuclear cells was obtained after centrifugation (800 g, 20 min). Cells were recovered, washed twice in PBS and left to adhere on culture dishes (Primaria 3072, Becton Dickinson, Heidelberg) for 90 min at 37°C. Nonadherent cells were removed. The medium was changed to fresh RPMI 1640 containing 10% heat-inactivated human AB serum (Sigma, Deisenhofen, Germany) and antibiotics (100 U/ml penicillin, 100 µg/ml streptomycin). Monocytes (5x105) were cultured in a volume of 10 ml per plate in an incubator. Medium was changed every 2–3 days. After 6 days of culture, monocytes acquired a macrophage-like phenotype (21) and were used for the experiments. Recovery of the cells after 6 days was 70%–80% compared to the starting monocyte population. Flow cytometry confirmed that the macrophage-like population was 90–95% pure (CD14+ vs. CD14-). Cell viability as judged by trypan blue dye exclusion at the time of the experiment was >= 80%.

Flow cytometry of oxygen radical production (hydroethidine assay)
Cells were cultured under nonadherent conditions in non-cell culture Petri dish (Greiner, Frickenhausen, Germany). After a prestimulation regime, 5 x 105 cells were incubated for 30 min with 1 µM TPA. Thereafter, 3 µM HE was added and incubations went on for 30 min. Cells were harvested, washed with PBS, and resuspended in 200 µl PBS. Flow cytometry analysis was performed using a Coulter Epics XL flow cytometer (Beckman Coulter, Krefeld, Germany) and HE was measured through a 630 nm long-pass filter (FL3). Data from 10,000 cells were collected to reach significance.

Oxygen radical production measured by the dichlorodihydrofluorescein assay
Cells were cultured under adherent conditions in 24-well plates at a density of 1 x 105 cells/well. After a prestimulation regime, medium was changed to 500 µl of a modified HBSS solution (22) (124 mM NaCl, 5.8 mM KCl, 10 mM dextrose, 20 mM HEPES, 0.3 mM CaCl2, pH 7.4) containing 1 µM TPA. After 30 min, 500 µl HBSS containing 1 µM TPA and 40 µM DCF (final concentration 20 µM) was added and incubated for 30 min. Accumulation of oxidized DCF was immediately followed fluorometrically (Spectrafluor Fluorescence Reader, Tecan, Crailsheim, Germany) with excitation at 485 nm and emission at 530 nm.

Nuclear protein extraction
Preparation of crude nuclear extract was basically as described (23) . Briefly, after cell activation for the times indicated, 4 x 106 cells were washed in 1 ml of ice-cold PBS, centrifuged at 1000 g for 5 min, resuspended in 400 µl ice-cold hypotonic buffer (10 mM HEPES/KOH, 2 mM MgCl2, 0.1 mM EDTA, 10 mM KCl, 1 mM DTT, 0.5 mM PMSF, pH 7.9), left on ice for 10 min, vortexed, and centrifuged at 15,000 g for 30 s. Sedimented nuclei were resuspended in 50 µl ice-cold saline buffer (50 mM HEPES/KOH, 50 mM KCl, 300 mM NaCl, 0.1 mM EDTA, 10% glycerol, 1 mM DTT, 0.5 mM PMSF, pH 7.9), left on ice for 20 min, vortexed, and centrifuged at 15,000 g for 5 min at 4°C. Aliquots of the supernatant containing nuclear proteins were frozen in liquid nitrogen and stored at -70°C. Protein was determined using a Bio-Rad II Kit.

Electrophoretic mobility shift assays (EMSA)
An established EMSA method, with slight modifications, was used (24) . Nuclear protein (5 µg) was incubated for 20 min at room temperature with 20 µg bovine serum albumin, 2 µg poly(dI-dC from Pharmacia (Piscataway, N.J.), 2 µl buffer D (20 mM HEPES/KOH, 20% glycerol, 100 mM KCl, 0.5 mM EDTA, 0.25% Nonidet P-40, 2 mM DTT, 0.5 mM PMSF, pH 7.9), 4 µl buffer F (20% Ficoll-400, 100 mM HEPES/KOH, 300 mM KCl, 10 mM DTT, 0.5 mM PMSF, pH 7.9), and 20,000 cpm of a [32P]-labeled oligonucleotide in a final volume of 20 µl. Supershift antibodies (2 µg) were added as indicated. DNA–protein complexes were resolved at 180 V for 4 h in a taurine-buffered, native 6% polyacrylamide gel (4% for supershifts), dried, and visualized (autoradiography using a Fuji X-ray film). Oligonucleotide probes were labeled by a filling reaction using the Klenow fragment (Roche Diagnostics, Mannheim, Germany). Oligonucleotide (1 pmol) was labeled with 50 µCi of [{alpha}-32P]-dCTP (3000 Ci/mmol, Amersham, Braunschweig, Germany), cold nucleotides (dATP, dTTP, dGTP from Life Technologies, Inc., Eggenstein, Germany), purified on a CHROMA SPIN-10 column (Clontech, Heidelberg, Germany), and stored at -20°C until use. Oligonucleotides with the consensus PPRE site (boldface letters) were used (25) :

5'-GGT AAA GGT CAA AGG TCA AT-3'

3'-A TTT CCA GTT TCC AGT TAG CCG-5'

PPRE reporter gene assay
The plasmid J3 thymidine kinase (TK) pGL3, containing three copies of the human apoAII gene promoter PPRE with a J site cloned upstream of the TK promoter in the pGL3 luciferase expression vector, was kindly provided by B. Staels (U325/INSERM, Institute Pasteur, Lille, France) (26) . Results were verified for a PPRE site of another gene. Therefore, the Aox-TK plasmid was used, which contains three copies of the acyl CoA oxidase gene promoter PPRE site cloned upstream of the TK promoter and a luciferase expression vector. This plasmid was a generous gift from C. K. Glass (University of California, La Jolla) (27) .

Macrophages were transiently transfected using the DEAE-dextran method as described previously (28) . Cell selection was unnecessary because the synthesis of a macrophage unrelated protein was analyzed. Briefly, 1 day before transfection cells were seeded in suspension at a density of 1 x 106 cells/ml. 1 x 107 cells were harvested, washed twice with PBS, and incubated for 3 h at 37°C in 1 ml RPMI 1640 supplemented with 50 mM Tris-HCl (pH 7.3), 400 µg DEAE-dextran, 20 µg luciferase reporter construct (J3 TK pGL3 or Aox-TK), and 5 µg CMV-ß-galactosidase plasmid as an internal control. To discard the DNA/DEAE-dextran mixture, cells were washed twice with PBS, seeded at a density of 1 x 106 cells/ml, and cultured for 24 h. Afterward cells were stimulated for 15 h with LPS/IFN-{gamma}/NAME, 15d-PGJ2, or ciglitazone. Cell extracts were assayed for luciferase and ß-galactosidase activity. For calculations, luciferase activity was normalized for ß-galactosidase using the formula: luciferase activity/ß-gal activity.

Decoy approach
Cells were exposed to an oligonucleotide containing a PPRE consensus site as specified for the EMSA. Cells were seeded at a density of 1 x 106 cells/well into 6-well plates. Oligonucleotides (3 µM) were added 24 h prior to cell stimulation. Cell stimulation was performed as indicated. Oligonucleotide sequences were identical to those used for EMSA. For control reasons, oligonucleotides with a mutated PPRE site were used (mutated sites in boldface letters):

5'-GGT AAA GAA CAA AGA ACA AT-3'

3'-A TTT CTT GTT TCT TGT TAG CCG-5'

Statistical analysis
Each experiment was performed at least three times and statistical analysis was performed using the two-tailed Student’s t test. Otherwise representative data are shown.


   RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
Desensitization of monocytes/macrophages in response to LPS/IFN-{gamma} prestimulation
We first set up a test system to follow oxygen radical production of macrophages in response to stimulation with TPA. Macrophage activation (i.e., the oxygen burst) was determined by using the fluorescence markers HE or DCF. To avoid any cell-specific or artificial cell culture response, we chose cell lines such as human premonocytic U937 cells, the murine macrophage-like cell line RAW 264.7, and human primary monocyte-derived macrophages as a model system. Activation of cells with TPA evoked ROS formation. Accumulation of oxidized HE was measured by flow cytometry, tracing the conversion of the nonfluorescent into a fluorescent molecule through oxidation. ROS formation was dose dependent and maximal with 1 µM TPA (data not shown). As shown for RAW 264.7 macrophages, TPA caused accumulation of oxidized HE (Fig. 1 ). To desensitize macrophages, we preactivated cells for 15 h with a combination of LPS and IFN-{gamma}. Since these agents are known activators of inducible NO synthase, at least in murine cells (25) , we routinely used NAME to suppress NO formation and thereby exclude any possible interference of RNS during ROS determination.



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Figure 1. Oxygen radical production in monocytes/macrophages under the influence of LPS/IFN-{gamma} prestimulation (hydroethidine assay). RAW 264.7 macrophages and U937 cells were prestimulated for 15 h with a combination of LPS (10 µg/ml), IFN-{gamma} (100 U/ml), and NAME (1 mM) (abbreviated LIN) or remained as controls. ROS production in response to 1 µM TPA was analyzed by flow cytometry using 3 µM HE as the redox-sensitive dye. Data are representative of three similar experiments. For details, see Materials and Methods.

When LPS/IFN-{gamma}/NAME was preincubated for 15 h, we noticed an attenuated oxidative burst in response to TPA. Inhibition was complete and was reproduced in U937 cells (Fig. 1) . In both cell lines, stimulation with LPS/IFN-{gamma}/NAME only slightly reduced basal ROS formation. We then verified these initial observations by using the redox-sensitive dye DCF (Fig. 2 ). Oxidation of the fluorescent molecule was determined in human primary macrophages, U937 cells, and RAW 264.7 macrophages in response to TPA.



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Figure 2. Oxygen radical production in monocytes/macrophages under the influence of LPS/IFN-{gamma} prestimulation (dichlorodihydrofluorescein assay). Human primary monocyte-derived macrophages, RAW 264.7 macrophages, and U937 cells were prestimulated for 15 h with a combination of LPS (10 µg/ml), IFN-{gamma} (100 U/ml), and NAME (1 mM) (abbreviated LIN) or remained as controls. ROS production in response to 1 µM TPA was analyzed fluorometrically using 20 µM DCF as the redox-sensitive dye. Data are mean values ± SD of three individual experiments (*P <=0.05 vs. TPA only). For details, see Materials and Methods.

Consistently, TPA-evoked oxidation of DCF was significantly antagonized with LPS/IFN-{gamma}/NAME prestimulation. The oxidative burst was strongest in RAW 264.7 cells, revealed an intermediate response in U937 cells, and was less pronounced in human macrophages. Inhibition of ROS formation varied between 50% and 75% in the individual cell systems.

Searching for a possible mechanism to explain macrophage desensitization, we considered PPARs since activation of PPAR{gamma} is negatively associated with NO synthase or cytokine expression (19 , 20 , 25) . During initial experiments, we asked whether PPAR{gamma} agonists would attenuate the oxidative burst as established for LPS/IFN-{gamma}/NAME.

Desensitization of monocytes/macrophages in response to PPAR{gamma} activation
15d-PGJ2, BRL 49653, and ciglitazone are known PPAR{gamma} agonists. We exposed RAW 264.7 macrophages to 15d-PGJ2, at a concentration ranging between 0.1 and 10 µM, and examined HE oxidation in response to TPA (Fig. 3A ). We noticed that 0.1 µM 15d-PGJ2 reduced the oxidative burst with low efficacy, whereas 1 µM 15d-PGJ2 completely attenuated ROS formation in response to TPA.



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Figure 3. Oxygen radical production in monocytes/macrophages under the influence of PPAR agonists. RAW 264.7 macrophages were prestimulated for 15 h with increasing concentrations of A) 15d-PGJ2 (0.1–10 µM), B) BRL 49653 (0.01–1 µM), C) 100 µM WY 14643, or remained as controls. ROS production in response to 1 µM TPA was analyzed by flow cytometry using 3 µM HE as the redox-sensitive dye. Data are representative of three similar experiments. For details, see Materials and Methods.

Preincubation of macrophages with 10 µM 15d-PGJ2 was as effective as 1 µM in suppressing the oxidative burst. However, in accordance with published data, 10 µM 15d-PGJ2 elicited an apoptotic response in macrophages (data not shown) that was absent at doses below 5 µM 15d-PGJ2. Therefore, a concentration of 1 µM 15d-PGJ2 was used for all subsequent examinations. BRL 49653 was used in a second set of experiments as a PPAR{gamma}-specific agonist. Preincubation of macrophages with 10 nM BRL 49653 significantly reduced the oxidative burst induced by TPA (Fig. 3B ). The amounts of 100 nM or 1 µM BRL 49653 were similarly effective and completely attenuated ROS formation in response to TPA. To prove the involvement of PPAR{gamma}, we analyzed the effect of the PPAR{alpha}-specific agonist WY 14643. Preincubation of macrophages with 100 µM WY 14643 left the TPA-induced oxidative burst unaltered (Fig. 3C ). Control studies revealed that neither PPAR agonists nor LIN pretreatment significantly altered basal ROS formation. Taken together, prestimulation of macrophages with specific PPAR{gamma} agonists as well as LPS/IFN-{gamma}/NAME attenuated the TPA-evoked oxidative burst, whereas the PPAR{alpha} agonist WY 14643 was not effective. The statistical evaluation of these flow cytometric results is summarized in Table 1 .


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Table 1. Statistical evaluation of flow cytometry results

We next examined the effect of 1 µM 15d-PGJ2 and 3 µM ciglitazone on DCF oxidation in primary human macrophages, U937, and RAW 264.7 cells (Fig. 4 ). Activation of PPAR{gamma} significantly attenuated ROS formation in response to TPA, in all systems with an equipotent action of 15d-PGJ2 and ciglitazone. The PPAR{gamma} agonist ciglitazone revealed no apoptotic response in macrophages at doses ranging from 0.3 to 6 µM.



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Figure 4. Oxygen radical production in monocytes/macrophages under the influence of PPAR{gamma} agonists. Human primary monocyte-derived macrophages, RAW 264.7 macrophages, and U937 cells were prestimulated for 15 h with 1 µM 15d-PGJ2, 3 µM ciglitazone, or remained as controls. ROS production in response to 1 µM TPA was analyzed fluorometrically using 20 µM DCF as the redox-sensitive dye. Data are mean values ± SD of three individual experiments (*P <=0.05 vs. TPA only). For details, see Materials and Methods.

Reduction of ROS formation was nearly complete in human macrophages, RAW 264.7, and U937 cells. To demonstrate activation of PPAR in response to 15d-PGJ2 and ciglitazone, we examined reporter gene activation in RAW 264.7 macrophages (Fig. 5 ) and performed gel shift analysis (Fig. 6A , B ).



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Figure 5. PPAR{gamma}-driven luciferase activity. RAW 264.7 macrophages were cotransfected with the Aox or the J3TK plasmid and with a plasmid encoding ß-galactosidase. We analyzed for luciferase and ß-galactosidase expression after both activities were normalized as described under Materials and Methods. Cells were stimulated for 24 h with 1 µM 15d-PGJ2, 3 µM ciglitazone, or vehicle (control). Data are means ± SD of three individual experiments (*P <=0.05 vs. control).



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Figure 6. Activation of PPAR{gamma} in response to LPS/IFN-{gamma}. Activation of PPAR{gamma} was analyzed by EMSA using a specific PPRE oligonucleotide derived from the human acyl-CoA synthase promoter, as described in Materials and Methods. A) Macrophages were stimulated with a combination of LPS (10 µg/ml), IFN-{gamma} (100 U/ml), and NAME (1 mM) (abbreviated LIN), or 1 µM 15d-PGJ2 for the indicated times. EMSA was performed using specified PPRE oligonucleotides. For controls cell stimulation was omitted. B) Supershift analysis of the active PPAR complex was performed as described in Materials and Methods. Macrophages were stimulated with LIN or PGJ2 for 15 h. For supershift analysis, a PPAR{gamma}2 antibody (lanes 2 and 5) or a PPAR{alpha} antibody was included (lanes 3 and 6). PPAR activation without antibody addition (lanes 1 and 4). Data are representative of three similar experiments. C) RAW 264.7 macrophages were cotransfected with the Aox or the J3TK plasmid and with a plasmid encoding ß-galactosidase. We analyzed for luciferase and ß-galactosidase expression after both activities were normalized, as described under Materials and Methods. Cells were stimulated for 24 h with LIN or vehicle (control). Data are means ± SD of three individual experiments (*P <=0.05 vs. control).

A reporter gene assay confirmed activation of PPAR{gamma} in response to 15d-PGJ2 and ciglitazone. Two reporter constructs, each containing three PPRE sites derived from two different promoters (see Material and Methods) in front of a minimal thymidine kinase promoter hocked up to the luciferase gene, revealed a three- to fivefold activation of PPAR{gamma} in response to agonists. Activation with 15d-PGJ2 and ciglitazone was equally potent. We conclude that PPAR{gamma} agonists such as 15d-PGJ2 and ciglitazone provoke PPAR{gamma} binding to its DNA recognition sites, which further culminates in trans-activation. This situation coincides with an attenuated oxidative burst in macrophages.

Activation of PPAR{gamma} in response to LPS/IFN-{gamma} and attenuated ROS formation
We wanted to demonstrate activation of PPAR{gamma} under conditions of prestimulation with LPS/IFN-{gamma}/NAME, a manipulation regime known to attenuate macrophage activation, i.e., ROS formation. First, we followed PPAR{gamma} activation in response to LPS/IFN-{gamma}/NAME by gel shift analysis (Fig. 6A ). The response was low under control situations; activation steadily increased up to 15 h and finally decreased at 24 h. Maximal activation achieved with LPS/IFN-{gamma}/NAME was comparable to the response seen with 1 µM 15d-PGJ2.

To provide unequivocal prove for the involvement of PPAR{gamma} in DNA binding, we performed a supershift analysis (Fig. 6B ). Activation achieved with 15d-PGJ2 or LPS/IFN-{gamma}/NAME was supershifted with a PPAR{gamma}2 antibody, whereas an unrelated PPAR{alpha} antibody left the response unaltered. In a second set of experiments, we used the luciferase reporter assay to demonstrate transcriptional activation of PPAR{gamma} after the addition of LPS/IFN-{gamma}/NAME (Fig. 6C ). In cells transfected with either of two different luciferase reporter constructs containing PPAR{gamma} binding sites in their promoter, the addition of LPS/IFN-{gamma}/NAME elicited a three- to fivefold increase of luciferase activity. Having established the effect of LPS/IFN-{gamma}/NAME in PPAR{gamma} activation, we demonstrated the role of PPAR{gamma} in attenuating the oxidative burst.

Decoy oligonucleotides can be used to scavenge and thereby to inactivate transcription factors (26 , 27) . Using this experimental approach, we provide evidence that LPS/IFN-{gamma}/NAME attenuated ROS formation via PPAR{gamma} activation (Fig. 7A , B ). As shown in Fig. 7A , oxidation of HE was elicited in response to 1 µM TPA in RAW 264.7 macrophages, whereas prestimulation with LPS/IFN-{gamma}/NAME abolished ROS formation. The presence of PPRE decoy oligonucleotides attenuated the down-modulatory behavior of LPS/IFN-{gamma}/NAME and allowed it to regain HE oxidation in response to TPA. A similar effect was observed using ciglitazone as a specific PPAR{gamma} agonist. Prestimulation with 3 µM ciglitazone abolished ROS formation, whereas PPRE decoy oligonucleotides fully restored the oxidative response.



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Figure 7. PPRE decoy oligonucleotides attenuated LIN-mediated desensitization. A) RAW 264.7 macrophages (1 x 106 cells) were incubated with decoy or control oligonucleotides for 24 h as described under Materials and Methods. After changing the medium, cells were prestimulated with a combination of LPS (10 µg/ml), IFN-{gamma} (100 U/ml), and NAME (1 mM) (abbreviated LIN) for 15 h, 3 µM ciglitazone for 15 h, or remained as controls. ROS production in response to 1 µM TPA was analyzed by flow cytometry using 3 µM HE as the redox-sensitive dye. Data are representative of three similar experiments. For details, see Materials and Methods. B) Primary monocyte-derived macrophages (1 x 105 cells) were incubated with a PPRE decoy, control oligonucleotides, or remained as controls for 24 h as described under Materials and Methods. After changing the medium, cells were incubated with a combination of LPS (10 µg/ml), IFN-{gamma} (100 U/ml), and NAME (1 mM) (abbreviated LIN) for 15 h or remained as controls. ROS production in response to 1 µM TPA was analyzed fluorometrically using DCF as the redox-sensitive dye. Data are mean values ± SD of three individual experiments (*P <=0.05 vs. LIN/TPA-treated samples). For details, see Materials and Methods.

In a next step, we reproduced results obtained with RAW 264.7 macrophages in human primary macrophages (Fig. 7B ). DCF oxidation occurred after the addition of TPA and was attenuated when LPS/IFN-{gamma}/NAME was prestimulated. Addition of PPRE decoy oligonucleotides restored DCF oxidation despite LPS/IFN-{gamma}/NAME prestimulation. In contrast, prestimulation of human macrophages with LPS/IFN-{gamma}/NAME that had been exposed to oligonucleotides containing a mutant PPRE site beforehand were unable to regain the oxidative response after TPA addition. We conclude that LPS/IFN-{gamma}/NAME causes activation of PPAR{gamma}, which in turn attenuates macrophage activation as shown here for the oxidative burst.


   DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
Here we provide evidence that prestimulation of monocyte cell lines or primary monocyte-derived macrophages with LPS and IFN-{gamma} provokes a profound reduction in the oxidative burst. Desensitization was the result of PPAR{gamma} activation. This was confirmed by gel shift analysis, a reporter gene assay, and a decoy oligonucleotide approach. Our notion on the involvement of PPAR{gamma} was strengthened by the finding that PPAR{gamma} agonists such as 15d-PGJ2; more important, BRL 49653 or ciglitazone reproduced the effect of LPS/IFN-{gamma} whereas the PPAR{alpha}-specific agonist left the TPA-induced oxidative burst unaltered. Obviously, PPAR{gamma} activation reduces the ability of macrophages to produce ROS and thus to act proinflammatory.

Macrophages are key players in the innate immune response (32) . Immunological activation of macrophages is achieved by the Th 1 cytokine IFN-{gamma} and LPS, the outer membrane constituent of gram-negative bacteria (10) . Cell activation results in the release of various proinflammatory products such as cytokines and reactive nitrogen as well as oxygen species (10) . A unique property of endotoxin is the ability to evoke a state of hypersensitivity contrasted by low responsiveness, known as endotoxin tolerance (33 , 34) . Tolerance development is controlled at the cellular level and may limit the extend of proinflammatory responses to protect the host from excessive destruction. This would require a highly orchestrated compensatory mechanism to control a whole battery of activation signals, including ROS formation. It was attractive to speculate on the involvement of PPAR{gamma}, a recently described member of the PPAR ligand dependent transcription factor family implicated in anti-inflammatory signaling (20 , 27) .

Although PPAR{gamma} is expressed at high levels in adipocytes and affects adipocyte gene expression and differentiation, it is also found at lower levels in several other cells (19) . Besides antidiabetic thiazolidinediones, fatty acids or their metabolites and components of oxidized low density lipoproteins have been described as PPAR{gamma} agonists (35) . We now provide evidence that the classic macrophage stimulators LPS/IFN-{gamma} promote PPAR{gamma} activation. This is established by gel shift analysis, a supershift response in the presence of PPAR{gamma} but not PPAR{alpha} antibodies, and a reporter gene assay coupled to luciferase activity. Whereas reporter gene assays do not discriminate between PPAR isoforms, our supershift experiment points to PPAR{gamma}. We assume that LPS/IFN-{gamma} induce a PPAR{gamma} response via production of activating ligands, which awaits further characterization. Possible candidates are 15d-PGJ2, a derivative of prostaglandin D2 synthesized by cyclooxygenase-2 (36) , 13-hydroxy octadecadienoic acid, or 15-hydroxyeicodatetraenoic acid, which are products of the 12/15 lipoxygenase pathway. These compounds have recently been implicated in PPAR{gamma} activation in macrophages (37) . Along this line, it appears that combined expression of cytosolic phospholipase A2, cyclooxygenase-2, and prostaglandin D synthase produce sufficient endogenous cyclopentenone prostaglandins to act anti-inflammatory (38) . Since in macrophages the expression and activation of cyclooxygenase-2 is a standard response to LPS/IFN-{gamma} (39) , we envision a subsequent PPAR{gamma} signaling pathway to limit further cell activation, thereby preventing a self-perpetuating autodestructive loop. Desensitization is evident at the level of ROS formation, a heretofore unrecognized feature of PPAR{gamma} action.

Our results support the anti-inflammatory properties of PPAR{gamma} and appear in line with the action of PPAR{gamma} in attenuating TNF-{alpha} formation or iNOS induction (20 , 40) . For the latter studies, synthetic PPAR{gamma} agonists have been used to inhibit TNF-{alpha} and iNOS gene expression in part by antagonizing transcription factors such as AP-1, STAT, and NF-{kappa}B (27 , 39) . Since cyclopentenone prostaglandins, which are proposed PPAR{gamma} agonists, directly block I{kappa}B kinase (IKKß), thereby exerting anti-inflammatory activity, the specificity of prostaglandin metabolites was questioned (40) . Other studies also challenge a direct relationship between the anti-inflammatory action of 15d-PGJ2 and PPAR{gamma} activation, based on the observation that only 15d-PGJ2, but not other PPAR{gamma} agonists, blocked cytokine formation (42) . Variations among studies may reside in the period of time that PPAR{gamma} agonists are present. Prestimulation with LPS/IFN-{gamma} required at least 12 h in order to block the oxidative burst. Short preincubation periods in the range of hours may activate preexisting PPAR{gamma}, whereas longer lasting incubation periods also allow transcriptional up-regulation of PPAR{gamma} and thus provoke stronger/diverse responses. These experimental drawbacks prompted us not only to use chemically diverse PPAR{gamma} agonist in attenuating the oxidative burst, but also to apply a decoy approach in more rigorously demonstrating the requirement of PPAR{gamma} for LPS/IFN-{gamma} action. As a further working hypothesis on molecular actions of PPAR{gamma} in attenuating ROS formation, we will examine whether gene activation and/or inhibition by PPAR{gamma} is required or whether PPAR{gamma} complexes with protein partners, thereby blocking activation of the NAD(P)H-oxidase.

During our studies, we noticed a proapoptotic action of 15d-PGJ2 at concentrations above 5 µM. This agrees somewhat with the study of Chinetti and co-workers, who reported activation of PPAR{gamma} to be association with programmed cell death (41) . At variance, activation of PPAR{gamma} is not a proapoptotic signal in general for the following reasons: 1) PPAR{gamma} activation and apoptotic signaling can be separated at lower agonist concentrations; 2) ciglitazone caused PPAR{gamma} activation but failed to initiate apoptosis; and 3) LPS/IFN-{gamma}/NAME stimulation was not proapoptotic either. Obviously, a general proapoptotic role for PPAR{gamma} in macrophages can be excluded and, moreover, can clearly be separated from its action in tolerance development.

Our notion that activation of PPAR{gamma} in macrophages may be of considerable importance for tolerance development under septic conditions correlates well with the work of Leininger et al. (43) . They observed induction of PPAR{gamma} to coincide with or to closely follow an endotoxin challenge and host responses to acute inflammation in peripheral porcine blood monocytes. It will be challenging to define conditions in vivo when activation of PPAR{gamma} contributes to a low responsiveness of macrophages and to see whether this is associated with tolerance development toward LPS.


   ACKNOWLEDGMENTS
 
We thank Sabine Häckel for expert technical assistance. This work was supported by the Deutsche Forschungsgemeinschaft (SFB 263) and Deutsche Krebshilfe. B. Staels and C. K. Glass are acknowledged for their generous gift of the PPRE reporter plasmids.

Received for publication April 3, 2000. Revision received July 24, 2000.
   REFERENCES
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 

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