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FJ EXPRESS SUMMARY ARTICLE
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Full-length version of this article is also available, published online March 28, 2003 as doi:10.1096/fj.02-0901fje.
Published as doi: 10.1096/fj.02-0901fje.
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(The FASEB Journal. 2003;17:899-901.)
© 2003 FASEB

A central role for the nuclear factor-{kappa}B pathway in anti-inflammatory and proinflammatory actions of mechanical strain 1

SUDHA AGARWAL2, PING LONG, AL SEYEDAIN, NICHOLAS PIESCO and ANU SHREE ROBERT GASSNER

McGowen Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA

2Correspondence: McGowen Institute of Regenerative, 589 Salk Hall, University of Pittsburgh, 3501 Terrace St., Pittsburgh, PA 15261-1964, USA. E-mail:sagar{at}pitt.edu

SPECIFIC AIMS

Mechanical signals play an integral role in bone homeostasis. The present report shows that signals generated by tensile strain of low magnitude (TENS-L) are anti-inflammatory and inhibit proinflammatory gene induction, whereas signals generated by tensile strain of high magnitude (TENS-H) induce proinflammatory genes in osteoblast-like periodontal ligament (PDL) cells. The objective of this study was to investigate the mechanisms of intracellular actions of TENS-L and TENS-H. We show that TENS-L and TENS-H exploit the nuclear factor {kappa}B (NF-{kappa}B) signal transduction pathway disparately as a central mechanism to modulate proinflammatory gene induction.

PRINCIPAL FINDINGS

1. Tensile strain exerts anti-inflammatory and proinflammatory effects in a magnitude-dependent manner
Tensile forces regulate responses of bone-like PDL cells to interleukin 1ß (IL-1ß), a cytokine known to mediate activation of multiple proinflammatory genes, including cyclooxygenase-2 (COX-2). To examine how various magnitudes of TENS modulate cellular responses, we used rhIL-1ß-dependent PGE2 production as a criterion of its actions. As expected, IL-1ß induced a marked up-regulation of PGE2 synthesis. However, concomitant exposure of PDL cells to IL-1ß and TENS-L (2–8% equibiaxial strain) significantly (P<=0.05) down-regulated IL-1ß-induced PGE2 production dose-dependently: a 39%, 72%, 86%, and 82% reduction was observed with 2%, 4%, 6%, and 8% TENS, respectively (Fig. 1 A). TENS-L alone did not affect PGE2 production. In contrast, TENS-H (10–18.5% equibiaxial strain) itself was proinflammatory and induced marked up-regulation of PGE2. In the presence of IL-1ß, TENS-H exhibited additive effects on PGE2 production.



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Figure 1. TENS-L inhibits IL-1ß-induced NF-{kappa}B nuclear translocation. A) Effect of TENS-L on the IL-1ß-dependent nuclear translocation of NF-{kappa}B. Cells were exposed to TENS-L (6%) in the presence or absence of IL-1ß for 30, 60, 90, or 120 min. The presence of NF-{kappa}B in the nuclear extracts by EMSA analysis shows a sustained inhibition of IL-1ß-induced nuclear translocation of NF-{kappa}B by TENS-L. B) Effect of TENS-L on IL-1ß-induced NF-{kappa}B nuclear translocation by immunofluorescence. Untreated control cells and cells exposed to TENS-L alone exhibit the presence of NF-{kappa}B in the cytoplasm, IL-1ß-treated cells show a near-complete nuclear translocation of NF-{kappa}B, and cells exposed to IL-1ß and TENS-L exhibit the presence of the majority of NF-{kappa}B in the cytoplasm demonstrating TENS-L-mediated inhibition of IL-1ß-dependent nuclear translocation of NF-{kappa}B. C) Effect of TENS-L on IL-1ß-induced I-{kappa}Bß degradation. Western blot analysis of cytoplasmic proteins of PDL cells showing a marked reduction of I-{kappa}B in IL-1ß-treated cells, and inhibition of IL-1ß-induced I-{kappa}Bß degradation by TENS-L. D) Effect of TENS-L on IL-1ß-induced I-{kappa}Bß degradation and resynthesis. PDL cells were treated as described in panel A, and the presence of I-{kappa}Bß was examined by immunofluorescence using rabbit anti-I-{kappa}Bß immunoglobulins. IL-1ß induced a marked reduction of I-{kappa}Bß within 30 min and its resynthesis over the next 90 min. Cells treated with IL-1ß and TENS-L reveal an inhibition of IL-1ß-induced I-{kappa}Bß degradation by TENS-L over a period of 120 min. B, D) White arrows indicate NF-{kappa}B and I-{kappa}Bß; red arrows indicate cellular ß-actin stained with FITC labeled phalloidin. Data represent 1 of 3 separate experiments.

2. Target sites of anti-inflammatory and proinflammatory actions of TENS are located upstream of COX-2 mRNA induction
To determine whether TENS acts on PDL cells at the transcriptional level, we measured COX-2 mRNA expression in the presence and absence of TENS-L. Semiquantitative assessment of PCR products revealed that TENS-L (3%, 6%, and 8%) significantly suppressed rhIL-1ß-induced COX-2 mRNA (53%, 86%, and 82%) within initial 4 h, suggesting target sites of TENS-L actions are located upstream of mRNA expression. TENS-L alone failed to induce COX-2 mRNA expression above that of untreated controls.

TENS-H (15%) rapidly up-regulated COX-2 mRNA expression and PGE2 synthesis. This indicated that TENS-H acts as a proinflammatory signal and its intracellular target sites are also located upstream of COX-2 mRNA induction.

3. NF-{kappa}B signal transduction pathway is central to the pro- and anti-inflammatory effects of tensile strain
NF-{kappa}B is the major transcription factor involved in signal transduction of proinflammatory molecules. The involvement of NF-{kappa}B as a possible intracellular target of TENS-L attenuation of IL-1ß-induced proinflammatory responses by electrophoretic mobility shift assay (EMSA) revealed a rapid nuclear translocation of NF-{kappa}B in IL-1ß-treated cells. This IL-1ß-induced NF-{kappa}B nuclear translocation was markedly inhibited after exposure of cells to TENS-L (6% strain, Fig. 1A ). Subunit structure analysis of NF-{kappa}B revealed that TENS-L directly inhibits the nuclear translocation of p65 and p50 subunits activated by IL-1ß. Similar to untreated controls, transactivation of NF-{kappa}B was not observed in cells treated with TENS-L alone. Immunofluorescence confirmed the findings that TENS-L inhibits IL-1ß-induced NF-{kappa}B nuclear translocation by sequestrating it in the cytoplasmic compartment of cells (Fig. 1B ). Upstream events in NF-{kappa}B pathway by Western blot analysis revealed that TENS-L alone did not induce I-{kappa}B degradation. However, TENS-L markedly abrogated IL-1ß-induced I-{kappa}Bß degradation within the first 30 min (Fig. 1C ). These experiments demonstrate that TENS-L exerts anti-inflammatory effects by inhibiting I-{kappa}Bß degradation and thus suppressing nuclear translocation of NF-{kappa}B (Fig. 1D ).

Next we investigated whether the TENS-H-induced expression of COX-2 mRNA is mediated by NF-{kappa}B transcription factors. EMSA analysis revealed that signals generated by TENS-H (15% strain) were sufficient to induce rapid nuclear translocation of NF-{kappa}B within 30 min, and the effect was sustained for 180 min (Fig. 2 A, B). In the presence of submaximal concentrations of IL-1ß, the effects of TENS-H were additive. Similar to IL-1ß, TENS-H also induced nuclear translocation of NF-{kappa}B heterodimers comprised of p65 and p50 subunits. A significant inhibition of the NF-{kappa}B nuclear translocation and subsequent COX-2 mRNA expression (Fig. 2C ) by caffeic acid phenyl ethylester (CAPE) further confirmed that actions of TENS-H are mediated via NF-{kappa}B. Collectively these results suggest that like IL-1ß proinflammatory signals generated by TENS-H are also transmitted by nuclear translocation of NF-{kappa}B.



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Figure 2. TENS-H induces nuclear translocation of NF-{kappa}B. A) EMSA analysis showing an increase in the nuclear translocation of NF-{kappa}B in the presence of 15% TENS or IL-1ß (0.4 ng/mL) and their additive effects by coexposure of cells with TENS-H and IL-1ß. Inset: Supershift EMSA analysis showing p65 and p50 subunits of NF-{kappa}B are activated by both TENS and IL-1ß. B) Nuclear translocation of NF-{kappa}B by TENS-H (15%) in the absence or presence of IL-1ß. Cells subjected to treatments described above were incubated with rabbit anti-NF-{kappa}B immunoglobulins and TRITC-conjugated goat anti-rabbit IgG. Untreated control cells exhibit cytoplasmic NF-{kappa}B, whereas cells treated with TENS-H induced nuclear translocation of NF-{kappa}B in the presence or absence of IL-1ß. C) Inhibition of COX-2 mRNA expression by CAPE, an inhibitor of NF-{kappa}B nuclear translocation, implicating a role for NF-{kappa}B transcription factors in TENS-H actions.

CONCLUSION

NF-{kappa}B has an established role in proinflammatory cytokine signaling through its nuclear translocation and subsequent activation of a plethora of proinflammatory genes. We demonstrate that the NF-{kappa}B signal transduction pathway is central to both proinflammatory and anti-inflammatory signaling of TENS, and emphasize three main points (Fig. 3 ): 1) TENS exerts its effects in a magnitude dependent manner and exploits NF-{kappa}B transcription factors to mediate its diverse effects; 2) Signals generated by TENS-L abrogate transcriptional activation of IL-1ß-induced proinflammatory genes by abrogating nuclear translocation of NF-{kappa}B via suppression of I-{kappa}Bß degradation; and 3) TENS-H induces transcriptional activation of proinflammatory genes by augmenting nuclear translocation of NF-{kappa}B via I-{kappa} degradation. TENS-L does not abrogate IL-1 actions by down-regulating IL-1ß receptors. Thus, it is likely that a molecule(s) involved in steps leading from IL-1 receptor complex activation to I-{kappa}Bß degradation may serve as the target(s) of TENS-L actions in the NF-{kappa}B signal transduction cascade.



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Figure 3. Schematic diagram describing a central role for NF-{kappa}B transcription factors in the regulation of anti-inflammatory and proinflammatory actions of TENS. Based on our findings, this overview shows that TENS-L induced anti-inflammatory signals down-regulate proinflammatory gene induction by abrogating IL-1ß-induced I-{kappa}B degradation and thus NF-{kappa}B nuclear translocation. On the contrary, TENS-H stimulates I-{kappa}Bß degradation and thus nuclear translocation of NF-{kappa}B to up-regulate proinflammatory gene induction.

Considering that mechanical signals play an important role in bone formation, these observations reveal an important mechanism of action of tensile strain that may provide a rationale to explain bone resorption under a field experiencing high magnitudes of strain and bone deposition in fields exposed to physiologic or low magnitudes of strain.

FOOTNOTES

1 To read the full text of this article, go to http://www.fasebj.org/cgi/doi/10.1096/fj.02-0901fje; to cite this article, use FASEB J. (March 28, 2003) 10.1096/fj.02-0901fje




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