Phagocytes |
1 Laboratory of Molecular Immunology
2 Immunobiology, Rega Institute, K.U.Leuven, Leuven, Belgium
Correspondence: Paul Proost, Laboratory of Molecular Immunology, Rega Institute, K.U.Leuven, Minderbroedersstraat 10, 3000 Leuven, Belgium. E-mail:paul.proost{at}rega.kuleuven.be
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Design and Methods: The ability to provoke leukocytosis was assessed by intravenous administration of citrullinated CXCL8 in rabbits. Adsorption of citrullinated CXCL8 to the Duffy antigen/receptor for chemokines on human or rabbit erythrocytes was evaluated using a competitive binding assay. Finally, surface expression of adhesion molecules was studied after stimulating neutrophils with citrullinated CXCL8.
Results: Citrullination of CXCL8 significantly increased this chemokines ability to recruit neutrophils into the blood circulation. In addition, the competitive binding properties of CXCL8 for the Duffy antigen/receptor for chemokines were impaired upon citrullination. Since the Duffy antigen/receptor for chemokines is an important scavenging receptor for CXCL8 in the blood stream, citrullination may delay CXCL8 clearance from the circulation. Furthermore, the shedding of CD62L (L-selectin) and the upregulation of CD11b (β2-integrin) protein expression on CXCL8-induced neutrophils were improved by deimination of CXCL8, possibly contributing to the neutrophil egress from the bone marrow. Conversely, surface expression of CD15, the neutrophilic ligand of endothelial selectins, was equally well upregulated by intact and citrullinated CXCL8.
Conclusions: These data show that citrullination of CXCL8 enhances leukocytosis, possibly through impaired chemokine clearance from the blood circulation and prolonged presentation to the bone marrow.
Key words: chemokine, peptidylarginine deiminase, CXCL8, leukocytosis, neutrophil.
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Post-translational modifications of chemokines constitute an important regulatory pathway in the immune response, since structural alterations can profoundly affect the biological characteristics of chemokines.9 Partial NH2-terminal proteolysis of CXCL8 into CXCL8(6–77) potentiates its in vitro and in vivo neutrophil chemotactic properties 3- to 10-fold, whereas truncation in or beyond the ELR (Glu-Leu-Arg) motif abolishes its biological functions.10–14 Recently, our group discovered a new post-translational modification of chemokines, i.e. the deimination of arginine (Arg) into citrulline (Cit).14,15 Indeed, a naturally citrullinated CXCL8 isoform was isolated and identified in which Arg at position 5 was converted into Cit, designated CXCL8(1–77)Cit5. Peptidylarginine deiminase (PAD) 2 and 4 efficiently and specifically modify Arg5 in CXCL8. CXCL8 citrullination only moderately alters its in vitro activities, but resulted in a considerable reduction of glycosaminoglycan binding properties. In addition, citrullination of CXCL8 prevented proteolysis by plasmin or thrombin into CXCL8(6–77). Furthermore, this modification of CXCL8 abrogated the chemokines in vivo capacity to recruit neutrophils into the peritoneal cavity, whereas angio-genic properties were retained.14
Chemokines (e.g. CXCL8) influence mobilization of leukocytes from the bone marrow into blood.16–20 In complementation of our recent studies, we evaluated the effect of CXCL8 citrullination on the recruitment of neutrophils into the blood vessels by intravenous administration of different CXCL8 isoforms. In addition, further explanation is provided on the previously documented decreased intraperitoneal recruiting potency of citrullinated CXCL8.14 Finally, the effect of chemokine citrullination on the regulated expression of adhesion molecules was assessed.
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Leukocytosis assays
Induction of leukocytosis was measured in New Zealand white rabbits by i.v. injection (1 mL) of 10 µg of chemokine in phosphate-buffered saline (PBS).19 Blood samples were collected from a peripheral ear vein into potassium EDTA-coated tubes at several time intervals before and after treatment. Total leukocytes were counted in triplicate and the percentage of granulocytes was determined in quadruplicate by 100-cell differential cell counts on blood smears stained with Hemacolor solutions. All animal studies were approved by the review board of the ethical committee of the K.U.Leuven and experiments were performed according to Belgian and European legislation, including the Helsinki declaration. Statistical analyses were performed using the Mann-Whitney test on paired values.
Isolation of neutrophils and erythrocytes
Freshly isolated buffy coats (Blood Transfusion Center, Red Cross Leuven, Belgium) were subjected to sedimentation in hydroxyethyl-starch (Plasmasteril, Fresenius, Bad Homburg, Germany) and subsequently to gradient centrifugation using Ficoll-sodium metrizoate (Lymphoprep, Nycomed, Oslo, Norway).21 Alternatively, rabbit blood, collected from ear veins, was subjected to gradient centrifugation using Nycodenz solution (NycoPrep, Nycomed).22 Neutrophils recovered from the pellet were subjected to hypotonic shock and washed twice in PBS before use in binding assays. Alternatively, human blood withdrawn from a healthy donor or rabbit blood from ear veins was centrifuged at 125 g at 4°C for 10 min. Plasma and buffy coat were removed by aspiration, and erythrocytes were washed twice with PBS.
Binding competition assay
Competition for 125I-labeled CXCL8(6–77) binding was measured on freshly isolated neutrophils or erythrocytes in binding buffer [50 mM HEPES pH 7.2 containing 1 mM CaCl2, 5 mM MgCl2 and 0.1% (w/v) bovine serum albumin]. Briefly, 2x106 neutrophils or 2x108 erythrocytes were incubated for 2 h at 4 °C with 125I-CXCL8(6–77) (PerkinElmer) and unlabeled chemokine. Cells were centrifuged and washed three times with 2 mL of binding buffer supplemented with 0.5 M NaCl and the radioactivity was measured in a
counter (Triathler Multilabel Tester, Hidex, Finland). Statistical analyses were performed using the Mann-Whitney test on paired values. IC50 values were calculated by performing linear regression on the descending part of the curves of individual experiments.
Adhesion molecule staining in peripheral blood
Blood samples from healthy volunteers were collected by venipuncture, using a 21 G needle, into lithium heparin-treated tubes (Vacutainer, BD Biosciences, San Jose, CA, USA). Blood samples were handled with care in order not to activate the cells and immediately diluted in warm PBS (37°C) to 106 leukocytes/mL in sterile tubes containing prewarmed dilutions of chemokines or fMLP (Sigma-Aldrich.). After incubation for 10 min at 37°C in the presence of 5% CO2, the samples were immediately placed on ice and three volumes of ice-cold PBS were added to the tubes to stop the signal transduction cascades at once. The Fc-receptors were blocked by storing the samples in ice-cold PBS containing 2% fetal calf serum (FCS) for 15 min, prior to staining for flow-assisted cell sorting (FACS). Antibodies used for staining were purchased from BD Biosciences (anti-human CD16 labeled with phycoerythrin, CD11b labeled with CyChrome) or from eBioscience (San Diego, CA, USA) (CD15 labeled with fluorescein isoth-iocyanate, CD62L labeled with allophycocyanin). Subsequently, red blood cells were lysed after washing the cells three times with PBS enriched with 2% FCS and 15 min of fixation with PBS containing 2% FCS and 2% formaldehyde. FACS analysis and data acquisition were performed with a BD FACSCalibur cytometer (BD Biosciences) using CellQuest software (BD Biosciences). Neutrophils were first selected by side/forward scatter and subsequently by CD16 positivity. Statistical analyses were performed using the Mann-Whitney test on paired values.
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Figure 1. Effect of citrullination on granulocytosis induced by CXCL8 in vivo. Induction of leukocytosis was measured in New Zealand white rabbits after i.v. injection of 10 µg of CXCL8(1–77) ( ) or CXCL8(1–77)Cit5 ( ) (1 mL in PBS). Blood samples were collected from a peripheral ear vein into potassium EDTA-coated tubes. Total and differential leukocyte concentrations were determined 15 min pre-injection and at different time points following the injection. Results represent the mean (± SEM) number of circulating granulocytes measured by counting the total amount of leukocytes and determining the percentage of granulocytes by 100-cell differential cell counts on blood smears, both determined double-blind by four researchers. Independent experiments were carried out in three rabbits. [*p<0.05, **p<0.01, ***p<0.001 for the comparison with CXCL8(1–77)]
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Figure 2. Neutrophil and erythrocyte binding properties of citrullinated CXCL8. Receptor binding properties of human CXCL8(1–77) ( ), CXCL8(1–77)Cit5 ( ) or CCL2 ( ) were evaluated in receptor binding competition assays. Increasing concentrations of unlabeled chemokine were added together with 125I-CXCL8(6–77) to freshly isolated human neutrophils (A), rabbit neutrophils B ( ), human erythrocytes (C) or rabbit erythrocytes (D). Results represent the mean % (± SEM) of remaining specific 125I-CXCL8 binding. [n=3 to 6; *p<0.05 for the comparison with CXCL8(1–77) at the same concentration] IC50 values (± SEM) and p values for the comparison of CXCL8(1–77) with CXCL8(1–77)Cit5 binding curves are shown in the left corner.
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Effect of citrullination on the expression of adhesion molecules on human neutrophils in peripheral blood
Transcellular and intercellular migration of neutrophils across the endothelium requires selectin and integrin activation.25–27 The effects of CXCL8(1–77) and CXCL8(1–77)Cit5 on the neutrophilic expression of adhesion molecules were determined after whole blood stimulation (Figures 3–5).
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Figure 3. Effect of citrullination on expression of CD15. Expression patterns of the selectin ligand CD15 were evaluated following activation of neutrophils for 10 min with 0.1 to 100 nM human CXCL8(1–77), CXCL8(1–77)Cit5, 10–7 M fMLP or PBS as a control (co). Results (± SEM) are presented as the acquired mean fluorescence intensity (MFI) on the CD16+ neutrophils relative to the MFI obtained in PBS-treated neutrophils (set at 100%). [n=3 to 16; *p<0.05 for the comparison of chemoattractant with buffer].
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Figure 5. Citrullination of CXCL8 enhances upregulation of CD11b on neutrophils. Whole blood neutrophils were activated for 10 min with 0.1 to 100 nM human CXCL8(1–77), CXCL8(1–77)Cit5, 10–7 M fMLP or PBS as a control (co) and subsequently stained with fluorescently labeled anti-CD16 and anti-CD11b. (A) The figures show a representative experiment of the acquired CD11b fluorescence data on CD16+ neutrophils (gate R1). The percentage CD16+ neutrophils upregulating CD11b is displayed in the upper right quadrant. (B) Results (± SEM) are presented as the acquired mean fluorescence intensity (MFI) on the CD16+ neutrophils relative to the MFI obtained in PBS-treated neutrophils (set at 100%, dashed line). [n=3 to 16; **p<0.01 or *p<0.05 for the comparison of chemoattractant with buffer; ![]() p<0.01 or p<0.05 for the comparison of CXCL8(1–77) with CXCL8(1–77)Cit5]
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Next, the shedding of L-selectin (CD62L) and upregulation of integrins (CD11b) on CXCL8-activated neutrophils were investigated. In contrast with CD15 upregulation, these processes were improved by citrullination of CXCL8 (Figures 4 and 5). Although the CXCL8 isoforms were less efficient than bacterial formyl peptide fMLP, 100 nM CXCL8(1–77) provoked a significant decrease of CD62L expression (Figure 4). CXCL8(1–77)Cit5 already significantly enhanced shedding of CD62L on neutrophils at a concentration of 30 nM. Besides, 3 nM CXCL8(1–77)Cit5 notably increased the CD16/CD11b+/+ population, whereas CXCL8(1–77) only induced a significant rise of CD11b expression from concentrations of 30 nM upwards (Figure 5). These results indicate that citrullinated CXCL8 is 3 to 10 times more potent than intact CXCL8 in causing CD62L shedding and CD11b upregulation.
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Figure 4. CXCL8-induced downregulation of CD62L is altered on neutrophils by chemokine citrullination. Neutrophils in whole blood were stimulated for 10 min with 0.1 to 100 nM human CXCL8(1–77), CXCL8(1–77)Cit5, 10–7 M fMLP or PBS as a control (co) and subsequently stained with fluorescently labeled anti-CD16 and anti-CD62L. (A) The figures illustrate a representative experiment on the acquired CD62L fluorescence on CD16+ neutrophils (gate R1). The percentage of CD16+ neutrophils that undergoes downregulation of CD62L is depicted in the lower right quadrant. (B) Results (± SEM) are presented as the acquired mean fluorescence intensity (MFI) on the CD16+ neutrophils relative to the MFI obtained in PBS-treated neutrophils (set as 100%, dashed line). [n=3 to 16; ***p<0.001 or *p<0.05 for the comparison of chemoattractant with buffer; or ![]() ![]() p<0.001 or p<0.05 for the comparison of CXCL8(1–77) with CXCL8(1–77)Cit5]
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In conclusion, all these data suggest that citrullination of CXCL8 reduces the clearance of this chemokine from the blood circulation. These results may provide an explanation for the previously documented deficient recruitment of neutrophils from the blood circulation towards inflamed tissue.14,15 Indeed, intra-peritoneal administration of CXCL8(1–77)Cit5 in mice did not result in an infiltration of the peritoneal cavity by neutrophils, whereas intact CXCL8(1–77) and truncated CXCL8(6–77) were highly potent at mobilizing neutrophils from the blood circulation. This insufficient pro-inflammatory response after citrullination indicates an inherent protective role for PAD during local inflammation but may also guarantee a constant mobilization of neutrophils from the bone marrow to keep cell numbers equivalent in the circulation after extravasation into inflamed tissue.
Although PAD is normally expressed in the cytoplasm and occasionally in the nucleus, extracellular localization of PAD2 and PAD4 from infiltrated leukocytes has been detected in inflamed synovial tissue.32–35 When the citrullinated chemokines appear in the blood flow, they may contribute to the development of generalized inflammation.
Leukocyte mobilization into the circulation and recruitment into tissues requires upregulation and activation of adhesion molecules.25–27 Neutrophils express CD15 or Lewis-X sialic acid, which binds selectins on endothelial cells. In this study, no increase in the upregulation of CD15 was detected after citrullination of CXCL8. In contrast to extravasation from blood vessels into the interstitium that occurs through cell-cell junctions, mobilization from the bone marrow seems to involve transcytosis through pores in the endothelial cells.36 Bone marrow neutrophils do not appear to require tethering on the endothelium, although L-selectin/CD62L is significantly downregulated upon inflammation, suggesting that CD62L acts as a retention factor, in analogy with its lymphocyte homing function in lymph nodes.37,38 In this study, it was found that CD62L was shed when neutrophils were stimulated with citrullinated CXCL8. In fact, citrullination converted CXCL8(1–77) into a significantly more potent down-modulator of CD62L. After binding of the chemokines to their appropriate receptors, several intracellular cascades are activated, including upregulation and activation of integrins, which are implicated in the immobilization of leukocytes on the vessel wall.39 The expression of β2-integrin (CD11b) on neutrophils was found to be improved after citrullination of CXCL8(1–77). Thus, citrullination of CXCL8 prolongs the presence of the chemokine in the circulation and increases the shedding of CD62L and upregulation of CD11b expression. Such processes may contribute to the sustained intravasation of neutrophils from the bone marrow through the sinusoidal endothelium into the circulation.
Overall, these data shed light on the greater capacity of CXCL8(1–77)Cit5 to recruit neutrophils from the bone marrow. Indeed, it may be valuable to explore the use of citrullinated chemokines as an additional clinical approach to mobilize progenitor cells into the blood. Growth-related oncogen-β (GROβ/CXCL2), another CXCR2 agonist, synergizes with granulocyte colony-stimulating factor in mobilizing hematopoietic progenitor cells from the bone marrow.40–43 Interestingly, citrullination is a natural and irreversible reaction and we showed that it protects CXCL8 against proteolysis.14,44 Furthermore, significantly elevated leukocytosis was obtained by citrullinating CXCL8. Thus, these data suggest that citrullination of CXCL8 or other chemokines could be a potential mechanism to assist granulocyte colony-stimulating factor in the recruitment of hematopoietic cells from the bone marrow into the blood.
TL, GO and PP performed the experiments; TL and PP collected and analyzed the data; TL, GO, JVD and PP designed the research and wrote the manuscript. All authors approved the final version of the manuscript and declare that they have no conflicts of interest.
Funding: this work was supported by the Center of Excellence (Credit no. EF/05/15) of the K.U.Leuven, the Concerted Research Actions (G.O.A.) of the Regional Government of Flanders, the Fund for Scientific Research of Flanders (F.W.O.-Vlaanderen), the Interuniversity Attraction Poles Programme (I.U.A.P.) – Belgian State –Belgian Science Policy, and the European Union 6FP EC contract INNOCHEM (grant LSHB-CT-2005-518167).
Received for publication February 5, 2009. Revision received April 30, 2009. Accepted for publication April 30, 2009.
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