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Academic Units of
* Respiratory Medicine and
Cell Biology, Division of Genomic Medicine, University of Sheffield, Sheffield, UK; and
# Institute for Lung Health, Department of Infection, Inflammation and Immunity, Leicester-Warwick Medical School and University Hospitals of Leicester, Leicester, UK
1Correspondence: Academic Unit of Respiratory Medicine, Division of Genomic Medicine, University of Sheffield, M Floor, Royal Hallamshire Hospital, Sheffield, S10 2JF, UK. E-mail i.sabroe{at}sheffield.ac.uk
SPECIFIC AIMS
To determine the roles of cooperative networks between inflammatory and tissue cells, and between TLR3 and TLR4, in the regulation of inflammation.
PRINCIPAL FINDINGS
1. A TLR3 agonist, poly(I:C), activates a broad range of tissue cell types
TLR3 is thought to be involved in the detection of viral infections through its ability to respond to dsRNA and may have a role in detecting tissue damage through its ability to recognize mRNA. We observed that TLR3 was expressed in primary human airway smooth muscle cells and an immortalized lung epithelial cell line. Primary human vascular and airway smooth muscle cells, primary human umbilical vein endothelial cells, and immortalized airway epithelial cells all responded to poly(I:C) with proinflammatory cytokine production, with the potential to mediate specific aspects of antiviral responses or pathological states (such as the recruitment of mast cells to the airway in asthma). Activation of TLR3 airway smooth muscle was also associated with up-regulation of adhesion molecules used by some respiratory viruses to gain access to tissue cells. Responses to poly(I:C) showed synergy with proinflammatory cytokines (interleukin-1ßbeta; (IL-1ßbeta;, TNF
). In contrast, leukocytes (which do not express TLR3) did not respond to poly(I:C).
2. Responses to poly(I:C) correlate with TLR3 expression
In keeping with our work showing a lack of leukocyte responses to poly(I:C), others have shown that TLR3 expression is limited to certain dendritic cell populations only. Consistent with the functional responses we observed, we found that TLR3 was expressed intracellularly in airway smooth muscle cells and both intra- and extracellularly on airway epithelial cells. Endosomal acidification was required for poly(I:C) signaling in smooth muscle cells but not epithelial cells.
3. Networks regulate inflammatory responses to some TLR agonists
We previously showed that very small numbers of TLR4 expressing monocytes could enable potent responses to LPS in unresponsive tissue cells. In this setting, LPS-activated monocytes released IL-1, which resulted in a potent amplification of proinflammatory responses through actions on airway smooth muscle. In the current study we also observed that addition of LPS to a coculture of epithelial cells and peripheral blood mononuclear cells (PBMCs) caused activation of the tissue cells. Similarly, cocultures of endothelial cells or vascular smooth muscle cells and purified monocytes were profoundly activated by LPS. We observed that airway smooth muscle cells also required the presence of PBMC to respond to agonists of TLR7/8. In contrast, responses to poly(I:C) were not amplified by the presence of PBMCs/ monocytes in coculture with smooth muscle, endothelial, or epithelial cells, consistent with the lack of TLR3 expression in most leukocytes.
4. TLRs can cooperate to induce inflammatory responses in cell networks
At sites of inflammation, leukocytes are present in tissues and exposed to multiple TLR agonists arising from endogenous damage and infections. We therefore stimulated cocultures of PBMCs and either epithelial cells or airway smooth muscle with agonists of TLR4 (acting principally on the monocyte) and TLR3 (acting principally on the tissue cell). We noted that the combined TLR4/monocyte activation and TLR3/tissue cell activation resulted in a cooperative response leading to a further enhancement of cytokine generation from the cocultures (Fig. 1
).
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CONCLUSIONS AND SIGNIFICANCE
At inflammatory sites, there are many opportunities for leukocytes to interact with tissue cells and with multiple TLR agonists. For example, a viral infection may present agonists for TLR3 (viral double-stranded RNA) and TLR4 (e.g., viral coat proteins), and damage to local tissues may also provide agonists for these receptors (mRNA for TLR3, a variety of endogenous agonists for TLR4). Viral infections at some sites, such as the lung, are typically accompanied by the presentation of other TLR agonists (e.g., endotoxin in inhaled air or superadded bacterial infections). The response to a given stimulus will thus depend on the network of cells and TLRs that are activated. The outcome with respect to the inflammatory response will therefore be dependent on 1) the pattern of TLR expression on leukocytes and tissue cells, 2) the interaction between leukocytes and tissue cells, and 3) the nature of the agonist(s) and the TLRs with which it interacts.
We have shown here that TLR3, a receptor involved in responses to viruses and tissue damage, is widely expressed by a range of primary human tissue cell types. Responses to agonists of TLR3 are dependent on tissue cell expression of TLR3: leukocytes such as monocytes do not amplify responses to TLR3 agonists. Nonetheless, we show here that peripheral blood mononuclear cells can contribute to the antiviral response or the response to tissue damage at a potentially wide range of tissue sites through their ability to enable a cooperative response in tissue cells to agonists of either TLR7/8 or TLR4. In the case of receptors not widely expressed by tissue cells at high levels, as exemplified by TLR4, the presence of monocytes dramatically up-regulates the resulting inflammatory response.
Since infectious and noninfectious damage stimuli are always likely to activate multiple TLRs, and responses to such agonists will be regulated by cell networks, we determined whether cooperative responses between TLR agonists could be seen in cocultures of tissue cells and monocytes. When TLR3 and TLR4 agonists were added to cocultures of monocytes and either ASMCs or epithelial cells, a cooperative response occurred with a further amplification of inflammatory responses as measured by cytokine production.
These data indicate that the inflammatory response is regulated by cooperative networks that can be modeled in vitro with primary human cells. We have shown that such networks will provide important opportunities to understand and model the mechanisms of inflammation in responses to infection and in inflammatory pathologies. The models we have developed here demonstrate the capability of cells and receptors to cooperate, and suggest that such cooperative networks will be of more importance than the response of an individual cells when examining the processes of acute TLR-driven inflammation in vitro.
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FOOTNOTES
To read the full text of this article, go to http://www.fasebj.org/cgi/doi/10.1096/fj.05-5910fje
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