Mendelian predisposition to mycobacterial infections in humans

Selective susceptibility to poorly pathogenic mycobacteria, such as bacille Calmette-Guérin (BCG) vaccine and environmental non-tuberculous mycobacteria (NTM), bas long been suspected to be a mendelian disorder but its molecular basis has remained elusive. Recently, recessive mutations in the interferon gamma receptor ligand-binding chain (IFN gamma R1), interferon gamma receptor signalling chain (IFN gamma R2), interleukin 12 p40 subunit (IL-12 p40), and interleukin 12 receptor beta 1 chain (IL-12R beta 1) genes have been identified in a number of patients with disseminated BCG or NTM infection. Although genetically distinct, these conditions are immunologically related and highlight the essential role of interferon gamma-mediated immunity in the control of mycobacteria in man.     

Human deficiencies in type 1 cytokine receptors reveal the essential role of type 1 cytokines in immunity to intracellular bacteria

Studies on patients with idiopathic, severe infections due to poorly pathogenic mycobacteria and Salmonella have revealed that many of these patients are unable to produce or respond to interferon-gamma (IFN-gamma). This inability results from causative, deleterious genetic mutations in either one of four different genes in the type 1 cytokine cascade, encoding interleukin-12Rbeta1 (IL-12Rbeta1), IL-12p40, IFN-gammaR1 or IFN-gammaR2. The immunological phenotypes resulting from the seven groups of complete or partial deficiencies in type 1 cytokine (receptor) genes that have been distinguished thus far will be summarized and discussed, and placed in a broader context in relation to disease susceptibility.     

IL-12Rβ1 deficiency in two of fifty children with severe tuberculosis from Iran, Morocco, and Turkey

Background and Objectives

In the last decade, autosomal recessive IL-12Rβ1 deficiency has been diagnosed in four children with severe tuberculosis from three unrelated families from Morocco, Spain, and Turkey, providing proof-of-principle that tuberculosis in otherwise healthy children may result from single-gene inborn errors of immunity. We aimed to estimate the fraction of children developing severe tuberculosis due to IL-12Rβ1 deficiency in areas endemic for tuberculosis and where parental consanguinity is common.

Methods and Principal Findings

We searched for IL12RB1 mutations in a series of 50 children from Iran, Morocco, and Turkey. All children had established severe pulmonary and/or disseminated tuberculosis requiring hospitalization and were otherwise normally resistant to weakly virulent BCG vaccines and environmental mycobacteria. In one child from Iran and another from Morocco, homozygosity for loss-of-function IL12RB1 alleles was documented, resulting in complete IL-12Rβ1 deficiency. Despite the small sample studied, our findings suggest that IL-12Rβ1 deficiency is not a very rare cause of pediatric tuberculosis in these countries, where it should be considered in selected children with severe disease.

Significance

This finding may have important medical implications, as recombinant IFN-γ is an effective treatment for mycobacterial infections in IL-12Rβ1-deficient patients. It also provides additional support for the view that severe tuberculosis in childhood may result from a collection of single-gene inborn errors of immunity.     

Cytokine profiles in asthma families depend on age and phenotype

Background

Circulating cytokine patterns may be relevant for the diagnosis of asthma, for the discrimination of certain phenotypes, and prognostic factors for exacerbation of disease.

Methodology/Principal Findings

In this study we investigated serum samples from 944 individuals of 218 asthma-affected families by a multiplex, microsphere based system detecting at high sensitivity eleven asthma associated mediators: eotaxin (CCL11), granulocyte macrophage stimulating factor (GM-CSF), interferon gamma (IFNγ), interleukin-4 (IL-4), IL-5, IL-8, IL-10, IL-12 (p40), IL-13, IL-17 and tumor necrosis factor alpha (TNFα). Single cytokine levels were largely similar between asthmatic and healthy individuals when analysing asthma as single disease entity. Regulatory differences between parental and pediatric asthma were reflected by six of the eleven mediators analyzed (eotaxin, IL-4, IL-5, IL-10, IL-12, TNFα). IL-12 (p40) and IL-5 were the best predictor for extrinsic asthma in children with an increased odds ratio of 2.85 and 1.96 per log pg/ml increase (IL-12 (p40): 1.2–6.8, p = 0.019, and IL-5: 1.2–2.5, p = 0.025). Frequent asthma attacks in children are associated with elevated IL-5 serum levels (p = 0.013). Cytokine patterns seem to be individually balanced in both, healthy and diseased adults and children, with various cytokines correlating among each other (IL-17 and IFNγ (r_s = 0.67), IL-4 and IL-5 (r_s = 0.55), IFNγ and GM-CSF (r_s = 0.54)).

Conclusion/Significance

Our data support mainly an age- but also an asthma phenotype-dependent systemic immune regulation.     

A 1,100-year-old founder effect mutation in IL12B gene is responsible for Mendelian susceptibility to mycobacterial disease in Tunisian patients

Mendelian susceptibility to mycobacterial disease (MSMD) is a rare disorder predisposing apparently healthy individuals to infections caused by weakly virulent mycobacteria such as bacille Calmette–Guerin (BCG), environmental mycobacteria, and poorly virulent Salmonella strains. IL-12p40 deficiency is the first reported human disease due to a cytokine gene defect and is one of the deficiencies that cause MSMD. Nine mutant alleles only have been identified in the IL12B gene, and three of them are recurrent mutations due to a founder effect in specific populations. IL-12p40 deficiency has been identified especially in countries where consanguinity is high and where BCG vaccination at birth is universal. We investigated, in such settings, the clinical, cellular, and molecular features of six IL-12p40-deficient Tunisian patients having the same mutation in IL12B gene (c.298_305del). We found that this mutation is inherited as a common founder mutation arousing ~1,100 years ago. This finding facilitates the development of a preventive approach by genetic counseling and prenatal diagnosis especially in affected families.     

Increased Cytokine Production in Interleukin-18 Receptor ��-deficient Cells Is Associated with Dysregulation of Suppressors of Cytokine Signaling

Since interleukin (IL)-18 is a proinflammatory cytokine, mice lacking IL-18 or its ligand-binding receptor (IL-18R) should exhibit decreased cytokine and chemokine production. Indeed, production of IL-1α, IL-6, and MIP-1α was reduced in IL-18 knock-out (ko) mouse embryonic fibroblast (MEF)-like cells. Unexpectedly, we observed a paradoxical 10-fold increase in IL-1β-induced IL-6 production in MEF cells from mice deficient in the IL-18R α-chain (IL-18Rα) compared with wild type MEF. Similar increases were observed for IL-1α, MIP-1α, and prostaglandin E₂. Likewise, coincubation with a specific IL-18Rα-blocking antibody augmented IL-1β-induced cytokines in wild type and IL-18 ko MEF. Stable lines of IL-18Rα-depleted human A549 cells were generated using shRNA, resulting in an increase of IL-1β-induced IL-1α, IL-6, and IL-8 compared to scrambled small hairpin RNA. In addition, we silenced IL-18Rα with small interfering RNA in primary human blood cells and observed up to 4-fold increases in the secretion of lipopolysaccharide- and IL-12/IL-18-induced IL-1β, IL-6, interferon-γ, and CD40L. Mechanistically, despite increases in Stat1 and IL-6, induction of SOCS1 and -3 (suppressor of cytokine signaling 1 and 3) was markedly reduced in the absence of IL-18Rα. Consistent with these observations, activation of the p38α/β and ERK1/2 MAPKs and of protein kinase B/Akt increased in IL-18Rα ko MEF, whereas the negative feedback kinase MSK2 was more active in IL-18 ko cells. These data reveal a role for SOCS1 and -3 in the seemingly paradoxical hyperresponsive state in cells deficient in IL-18Rα, supporting the concept that IL-18Rα participates in both pro- and anti-inflammatory responses and that an endogenous ligand engages IL-18Rα to deliver an inhibitory signal.Often shown to function as a proinflammatory cytokine, structurally related to IL-1β,³ and requiring caspase-1 for processing of its inactive precursor into an active cytokine (1–3), IL-18 is a unique member of the IL-1 family. For example, IL-18 and IL-18 receptor α-chain (IL-18Rα) knock-out (ko) mice unexpectedly overeat and spontaneously become obese, developing insulin resistance and atherosclerosis (4, 5). This phenotype does not occur in mice deficient in other members of the IL-1 family. In the absence of IL-12 and similar co-stimulatory cytokines, IL-18 can act as a typical Th2 cytokine in murine models (6, 7). The affinity of the naturally occurring IL-18-binding protein (IL-18BP) for IL-18 is higher than that of IL-18 for its cognate receptor; thus, low levels of this naturally occurring antagonist effectively neutralize the activity of IL-18 (8–11). In some studies, IL-18 opposes the proinflammatory properties of IL-1β (12). In dextran sodium sulfate-induced colitis, neutralizing antibodies to IL-18 or IL-18BP ameliorate the disease (13, 14), whereas in other studies, mice deficient in IL-18Rα exhibit worsening of the disease (15).IL-18 Induces Several Proinflammatory Cytokines, Such as IL-1β and TNFα, as well as chemokines, nitric oxide, and vascular adhesion molecules (reviewed in Ref. 16). Using mice deficient in IL-18 or neutralization of IL-18, the cytokine appears to play an important role in models of rheumatoid arthritis (17), lupus-like autoimmune disease (18), metastatic melanoma (19), graft versus host disease (20), and myocardial suppression (21, 22). Unlike IL-1, IL-18 also induces Fas ligand and has been proposed as a key mediator of macrophage activation syndrome (23).We have previously reported that whereas deficiency in IL-18 attenuated inflammatory responses to various exogenous stimuli, these responses paradoxically were exaggerated in IL-18Rα ko mice (24). In addition to rejecting insulin-producing islet allografts, splenocytes and peritoneal macrophages from IL-18Rα ko mice produced significantly greater amounts of several proinflammatory cytokines upon stimulation with concanavalin A, TLR2 agonist heat-killed Staphylococcus epidermidis, or anti-CD3 antibodies (24).In the present study, we set out to investigate the fundamental differences in cytokine production between IL-18 ko and IL-18Rα ko mice using mouse embryonic fibroblasts (MEF), which are highly responsive to IL-1 and TNFα stimulation. We also studied the role of IL-18Rα in human cells. IL-18Rα was silenced in human A549 epithelial cells using small hairpin RNA (shRNA) to the IL-18R (shIL-18R) as well as in freshly obtained human peripheral blood mononuclear cells (PBMC). Furthermore, using inhibitors as well as kinase activation studies, real time PCR, and Western blotting, we shed light on the IL-18Rα ko-mediated differences in expression and activation of signaling mediators, such as the suppressors of cytokine signaling (SOCS), MAPKs, protein kinase B/Akt, NF-κB, MSK2/RSKβ, and p70 S6 kinase. The mechanisms underlying the disinhibition of inflammatory responses in IL-18Rα-deficient cells appear to be due to a yet unidentified anti-inflammatory ligand of the IL-18 receptor.     

Unusual Water-mediated Antigenic Recognition of the Proinflammatory Cytokine Interleukin-18

The unique cytokine interleukin-18 (IL-18) acts synergistically with IL-12 to regulate T-helper 1 and 2 lymphocytes and, as such, seems to underlie the pathogenesis of various autoimmune and allergic diseases. Several anti-IL-18 agents are in clinical development, including the recombinant human antibody ABT-325, which is entering trials for autoimmune diseases. Given competing cytokine/receptor and cytokine/receptor decoy interactions, understanding the structural basis for recognition is critical for effective development of anti-cytokine therapies. Here we report three crystal structures: the murine antibody 125-2H Fab fragment bound to human IL-18, at 1.5 Å resolution; the 125-2H Fab (2.3 Å); and the ABT-325 Fab (1.5 Å). These structures, along with human/mouse IL-18 chimera binding data, allow us to make three key observations relevant to the biology and antigenic recognition of IL-18 and related cytokines. First, several IL-18 residues shift dramatically (>10 Å) upon binding 125-2H, compared with unbound IL-18 (Kato, Z., Jee, J., Shikano, H., Mishima, M., Ohki, I., Ohnishi, H., Li, A., Hashimoto, K., Matsukuma, E., Omoya, K., Yamamoto, Y., Yoneda, T., Hara, T., Kondo, N., and Shirakawa, M. (2003) Nat. Struct. Biol. 10, 966–971). IL-18 thus exhibits plasticity that may be common to its interactions with other receptors. Related cytokines may exhibit similar plasticity. Second, ABT-325 and 125-2H differ significantly in combining site character and architecture, thus explaining their ability to bind IL-18 simultaneously at distinct epitopes. These data allow us to define the likely ABT-325 epitope and thereby explain the distinct neutralizing mechanisms of both antibodies. Third, given the high 125-2H potency, 10 well ordered water molecules are trapped upon complex formation in a cavity between two IL-18 loops and all six 125-2H complementarity-determining regions. Thus, counterintuitively, tight and specific antibody binding may in some cases be water-mediated.Interleukin (IL)³ -18 is a proinflammatory cytokine that participates in the regulation of innate and acquired immunity (2, 3). IL-18 acts alone or in concert with IL-12 to amplify the induction of proinflammatory and cytotoxic mediators, such as interferon-γ. For example, in IL-18 knock-out mice, levels of interferon-γ and cytotoxic T cells decrease despite the presence of IL-12. Inhibition of IL-18 activity has been found to be beneficial in several autoimmune disease animal models (e.g. collagen-induced arthritis (4) and colitis (5)). Furthermore, IL-18 expression is dramatically increased by the chronic inflammatory state extant in human autoimmune diseases, such as rheumatoid arthritis (6), multiple sclerosis (7, 8), and Crohn''s disease (9). These observations suggest that blockade of IL-18 may be a useful human therapeutic modality (10).Despite functional divergence from the IL-1 cytokine family, IL-18 shares many similarities with IL-1. First, human IL-18 is synthesized as a biologically inactive 24-kDa precursor. Like IL-1β, IL-18 is activated and secreted following cleavage by caspase-1 (and possibly other proteases) that generates the mature 18-kDa polypeptide. Despite low sequence homology to IL-1β (17%), the three-dimensional structure of IL-18 closely resembles the IL-1β β-trefoil fold, as shown by a recent IL-18 NMR structure determination (1). The IL-1 and IL-18 receptors are also homologous; IL-18 binds either to the IL-18Rα chain alone or to the heterodimeric IL-18Rα/IL-18Rβ receptor complex. IL-18 binds to IL-18Rα with ∼20 nm affinity, but signaling occurs only upon formation of the high affinity (0.2 nm) IL-18Rα·IL-18·IL-18Rβ ternary complex (11, 12). Surface mutational analysis has identified two sites for IL-18 binding to IL-18Rα that are similar to those observed in the IL-1β·IL-1Rα binary complex (13) as well as one site important for binding to IL-18Rβ (1).In a recent study, a potent (0.2 nm) IL-18-neutralizing murine monoclonal antibody (mAb), 125-2H, inhibited binding of IL-18 to IL-18Rα alone but not the heterodimeric IL-18Rα/IL-18Rβ receptor complex, despite rendering the ternary complex with IL-18 non-functional (14). The structural basis for the unusual properties of 125-2H are unclear; the authors suggested that conformational changes in IL-18Rα occur upon formation of the IL-18Rα/IL-18Rβ receptor, thereby altering the interactions with 125-2H (14).To understand the intricate interactions between IL-18 and this antibody, we have determined the co-crystal structure of human IL-18 and the 125-2H antigen-binding fragment (Fab) at 1.5 Å resolution. This structure rationalizes epitope mapping data, based on human/murine IL-18 chimeras (14), in which the primary antigenic recognition loop is located near the COOH terminus. A secondary loop bolsters the interactions between IL-18 and several 125-2H complementarity-determining regions (CDRs). Comparison of this complex structure with that of the unbound 125-2H Fab (2.3 Å resolution) shows that 125-2H is preorganized for antigen binding. Last, we also have determined the 1.5 Å resolution crystal structure of the Fab fragment of a fully human mAb, ABT-325, that binds a distinct IL-18 epitope, as confirmed by biochemical studies. ABT-325 is entering clinical trials for a variety of autoimmune disease indications.     

Fighting mycobacteria through ISGylation

The role of ISGylation in humans has been a long-standing question. A recent groundbreaking study by the Casanova group shows it is essential in the defence against mycobacterial disease but dispensable for other types of infection.Bogunovic et al. (2012). Science, Epub: Aug 2. DOI: 10.1126/science.1224026Our bodies use interferon (IFN) signalling as a central pathway to limit the spread of pathogens, such as viruses, bacteria and parasites. After pathogen exposure, IFN production leads to the activation of immune cells—such as natural killer cells, macrophages and T lymphocytes—which mediate pathogen clearance. There are two main types of IFN signalling, type I and II. In type I signalling, IFNs α and β—produced mainly by leukocytes and fibroblasts, respectively—stimulate macrophages and natural killer (NK) cells to initiate an antiviral response. In type II signalling, IFNγ from activated T cells and NK cells potentiate type I signalling and promote inflammation. During type I signalling IFNα and IFNβ bind to their cognate receptors, which results in the induction of IFN-stimulated genes (ISGs). A key function of ISGs is to interfere with viral replication, hence the name interferon. One of the most strongly induced ISGs is ISG15, a small protein consisting of two ubiquitin folds connected with a hinge spacer, thus resembling di-ubiquitin [1]. It has been proposed that ISGylation is antiviral in mice, but its effects on human virus infection or other functional roles have been a long-standing question in the field. A study by the Casanova group provides important new insights into the role of ISG15 in humans, showing it is essential in the defence against mycobacterial disease but dispensable for other types of infection [2].Similarly to ubiquitin, ISG15 can be conjugated to other proteins and several hundred targets have been suggested from proteomic studies [3]. However, few targets have been carefully evaluated, among them JAK1, STAT1, ERK1/2, PLCγ1, p63, PML-RARα, UBC13, filamin B and several viral proteins. In analogy to the ubiquitin system, ISG15 conjugation is mediated by an enzymatic cascade consisting of an E1 activating enzyme Ube1L, an E2 conjugating enzyme UbcH8 and a HECT-domain containing E3 ligase HERC5 (Fig 1A). Notably, both ISG15 and the E1/E2/E3 cascade are induced by type I IFN signalling.Open in a separate windowFigure 1ISGylation and its function in the antimycobacterial response. (A) The ISG15 conjugation system. ISG15 is activated by an E1 enzyme and conjugated to substrates (green) by the action of E2 and E3 enzymes. HERC5 (HERC6 in mice) is the main ISGylating E3. (B) Mycobacterial infection induces IFNα/β production, which stimulates ISG15 synthesis and secretion in granulocytes. Secreted ISG15 can then activate NK cells to produce IFNγ, which stimulates immune system cells. See text for details. (C) HERC5 has been described to bind to polysomes and to promote cotranslational ISGylation of newly synthesized proteins. EFP, oestrogen-responsive finger protein; HERC5/6, HECT and RLD domain containing E3 ubiquitin protein ligases 5/6; HHARI, human homologue of Drosophila ariadne; IFNα/β/γ;, interferon α/β/γ; IFNαR, interferon α receptor; IL-12, interleukin 12; ISG15, interferon-stimulated gene 15; Lys, lysine; mRNA, messenger RNA; NK, natural killer; TLR, Toll-like receptor; UbcH8, ubiquitin conjugating enzyme H8; Ube1L, ubiquitin activating enzyme E1-like.Knowledge of the biological functions of ISGylation comes mainly from the analysis of knockout mice for ISG15, Ube1L and from in vitro studies. ISG15^−/− mice are more prone to infection by certain viruses, such as Sindbis, influenza A/B and herpes simplex 1 [4]. Ube1L^−/− mice are also sensitized towards Sindbis and influenza infections [5]. Furthermore, ISG15 can inhibit the budding of certain viruses and modify viral proteins, and some viruses have developed strategies to inhibit ISGylation, underscoring the function of ISG15 and ISGylation in the antiviral response [6]. However, other viruses—such as vesicular stomatitis and lymphocytic choriomeningitis virus—have similar effects on ISG15^−/− and wild-type mice [7], suggesting specialized functions of ISGylation after viral infection. In addition, a closer look at the role of ISG15 in regulating human viruses complicates the picture further: ISG15 has been found to stimulate rather than inhibit hepatitis C virus production in vitro, probably by preventing the degradation of viral proteins through competition between ISGylation and ubiquitylation [8]. Considering the limited number of viral infections common to both mice and man, it has been difficult to extrapolate what the in vivo functions of ISGylation might be in humans.The Bogunovic et al [2] study is a clear step forward in our understanding of ISG15 function in infection biology. By analysing patients with the rare paediatric syndrome, Mendelian susceptibility to mycobacterial disease (MSMD), they identified mutations in ISG15 that lead to its loss of expression and suggest that these mutations cause the disease. Importantly, these patients do not suffer from increased sensitivity to viral infections but show severe clinical symptoms when exposed to weakly pathogenic mycobacteria, such as Mycobacterium bovis.As has been shown in ISG15^−/− and Ube1L^−/− mice, Bogunovic et al found that cells from MSMD patients lack ISG15 expression after IFNα/β stimulation, but other ISGs are induced normally, confirming that ISG15 is not essential to elicit an IFN response [2]. Furthermore, patient cell lines are not more susceptible to infection by viruses such as herpes simplex virus, Sindbis virus and vesicular stomatitis virus. Secretion of ISG15 by granulocytes from gelatinase and secretory granules is probably an important process in response to mycobacterial infection that cannot be triggered by, for example, bacterial lipopolysaccharides (Fig 1B). Monocytes and lymphocytes are known to secrete ISG15, and Casanova and colleagues show that even transfected HEK293T cells can do so—suggesting that ISG15 is both an intracellular and a secreted protein—independently of the cellular context. The main function of secreted ISG15 seems to be the triggering of IFNγ release, preferentially from NK cells, but also from T cells. Interestingly, IFNγ secretion is also stimulated by modified ISG15 that can no longer be conjugated to target proteins. This indicates that immune cells either have an ISG15 receptor or that secreted ISG15, which is endocytosed, can induce a response without being conjugated to an intracellular target. Importantly, ISG15 secretion is lost in cells from MSMD patients and, consistently, MSMD leukocytes stimulated with mycobacteria produce greatly reduced amounts of IFNγ, which can be restored by providing recombinant ISG15. In addition, the study also demonstrates that ISG15^−/− mice are more susceptible to mycobacterial infection than their wild-type littermates.Thus, the Bogunovic study identifies a common function of ISG15 in vertebrates: the ability to counteract mycobacterial infections by activating NK cells. The data also suggest that some viruses and bacteria must share pathogen-associated molecular patterns that resemble those of mycobacteria, thus initiating a similar response that involves IFNα/β, which is required for ISG15 induction. The initial activation of this mechanism by mycobacteria remains to be identified and seems to be complex, as treatment of macrophages with IFNα/β during mycobacterial infection has been shown to induce the loss of their mycobacteriostatic properties [9]; partly at odds with the conclusions from this study. These discrepancies notwithstanding, the new insights reveal an essential function for ISG15 in antimycobacterial signalling. Mycobacterial infections are hard to fight and thus the finding that ISG15 is a major effector between granulocytes and NK cells might help develop new treatment strategies. Other cellular mediators, such as the macrophage–T-cell pathway, are a crucial host defence against pathogenic (M. tuberculosis) and nonpathogenic mycobacteria (M. bovis), as well as salmonella, in other variants of MSMD. Hence, Casanova and colleagues speculate that the granulocyte–NK-cell pathway, which involves ISG15 and IFNγ, might constitute a more innate complement to the macrophage–T-cell pathway, which requires IL-12/IFNγ. However, they also report a synergistic effect of a combined treatment of cells with ISG15 and IL-12, which rather argues that the granulocyte–NK-cell and the macrophage–T-cell systems act together. Furthermore, both granulocytes and macrophages express Toll-like receptors (TLRs) that recognize mycobacterial structures—such as TLR2 for the lipomannan of M. tuberculosis.Finally, whether covalent modification of target proteins within cells by ISG15 is important during infection remains unclear. It is difficult to speculate what the main effects would be, as ISG15 modifies targets in diverse cellular pathways. Notably, the E3 ligase for ISG15 conjugation HERC5 has been shown to be associated physically with polysomes, leading to cotranslational ISGylation of newly synthesized proteins, which probably inhibits protein function in general (Fig 1C; [10]). Thus, ISG15 might have two roles in preparing cells to fight pathogens: intracellular proteome remodelling and initiating antimicrobial signalling pathways. It will be interesting to see if and how these functions intersect.     

Convergence of IL-1β and VDR Activation Pathways in Human TLR2/1-Induced Antimicrobial Responses

Antimicrobial effector mechanisms are central to the function of the innate immune response in host defense against microbial pathogens. In humans, activation of Toll-like receptor 2/1 (TLR2/1) on monocytes induces a vitamin D dependent antimicrobial activity against intracellular mycobacteria. Here, we report that TLR activation of monocytes triggers induction of the defensin beta 4 gene (DEFB4), requiring convergence of the IL-1β and vitamin D receptor (VDR) pathways. TLR2/1 activation triggered IL-1β activity, involving the upregulation of both IL-1β and IL-1 receptor, and downregulation of the IL-1 receptor antagonist. TLR2/1L induction of IL-1β was required for upregulation of DEFB4, but not cathelicidin, whereas VDR activation was required for expression of both antimicrobial genes. The differential requirements for induction of DEFB4 and cathelicidin were reflected by differences in their respective promoter regions; the DEFB4 promoter had one vitamin D response element (VDRE) and two NF-κB sites, whereas the cathelicidin promoter had three VDREs and no NF-κB sites. Transfection of NF-κB into primary monocytes synergized with 1,25D3 in the induction of DEFB4 expression. Knockdown of either DEFB4 or cathelicidin in primary monocytes resulted in the loss of TLR2/1-mediated antimicrobial activity against intracellular mycobacteria. Therefore, these data identify a novel mechanism of host defense requiring the induction of IL-1β in synergy with vitamin D activation, for the TLR-induced antimicrobial pathway against an intracellular pathogen.     

Genetic heterogeneity of Mendelian susceptibility to mycobacterial infection

Mendelian susceptibility to poorly virulent mycobacterial species, such as bacillus Calmette-Guérin (BCG) and environmental nontuberculous mycobacteria (NTM), is a phenotypically heterogeneous syndrome. It has therefore long been suspected to be genetically heterogeneous. In the past 5 years, this prediction has been confirmed and different types of mutations (dominant or recessive, nonfunctional or hypofunctional) in four genes (IFNGR1, IFNGR2, IL12B, IL12RB1) have revealed both allelic and nonallelic heterogeneity. The eight disorders resulting from these mutations are genetically different but immunologically related, as impaired IFN-gamma-mediated immunity is the common pathogenic mechanism accounting for mycobacterial infection in all patients. The severity of the phenotype depends on the genotype. Complete IFN-gammaR1 and IFN-gammaR2 deficiencies predispose patients to a more severe clinical course than partial IFN-gammaR1 and IFN-gammaR2 deficiencies and complete IL-12 p40 and IL-12Rbeta1 deficiencies.     

Tryptophan (W) at position 37 of murine IL-12/IL-23 p40 is mandatory for binding to IL-12Rβ1 and subsequent signal transduction

Interleukin (IL)-12 and IL-23 are composite cytokines consisting of p35/p40 and p19/p40, respectively, which signal via the common IL-12 receptor β1 (IL-12Rβ1) and the cytokine-specific receptors IL-12Rβ2 and IL-23R. Previous data showed that the p40 component interacts with IL-12Rβ1, whereas p19 and p35 subunits solely bind to IL-23R and IL-12Rβ2, resulting in tetrameric signaling complexes. In the absence of p19 and p35, p40 forms homodimers and may induce signaling via IL-12Rβ1 homodimers. The critical amino acids of p19 and p35 required for binding to IL-23R and IL-12Rβ2 are known, and two regions of p40 critical for binding to IL-12Rβ1 have recently been identified. In order to characterize the involvement of the N-terminal region of p40 in binding to IL-12Rβ1, we generated deletion variants of the p40-p19 fusion cytokine. We found that an N-terminal deletion variant missing amino acids M23 to P39 failed to induce IL-23-dependent signaling and did not bind to IL-12Rβ1, whereas binding to IL-23R was maintained. Amino acid replacements showed that p40W37K largely abolished IL-23-induced signal transduction and binding to IL-12Rβ1, but not binding to IL-23R. Combining p40W37K with D36K and T38K mutations eliminated the biological activity of IL-23. Finally, homodimeric p40D36K/W37K/T38K did not interact with IL-12Rβ1, indicating binding of homodimeric p40 to IL-12Rβ1 is comparable to the interaction of IL-23/IL-12 and IL-12Rβ1. In summary, we have defined D36, W37, and T38 as hotspot amino acids for the interaction of IL-12/IL-23 p40 with IL-12Rβ1. Structural insights into cytokine–cytokine receptor binding are important to develop novel therapeutic strategies.     

Distinct Structural Requirements for Interleukin-4 (IL-4) and IL-13 Binding to the Shared IL-13 Receptor Facilitate Cellular Tuning of Cytokine Responsiveness

Both interleukin-4 (IL-4) and IL-13 can bind to the shared receptor composed of the IL-4 receptor α chain and the IL-13 receptor α1 chain (IL-13Rα1); however, the mechanisms by which these ligands bind to the receptor chains are different, enabling the principal functions of these ligands to be different. We have previously shown that the N-terminal Ig-like domain in IL-13Rα1, called the D1 domain, is the specific and critical binding unit for IL-13. However, it has still remained obscure which amino acid has specific binding capacity to IL-13 and why the D1 domain acts as the binding site for IL-13, but not IL-4. To address these questions, in this study we performed mutational analyses for the D1 domain, combining the structural data to identify the amino acids critical for binding to IL-13. Mutations of Lys-76, Lys-77, or Ile-78 in c′ strand in which the crystal structure showed interaction with IL-13, and those of Trp-65 and Ala-79 adjacent to the interacting site, resulted in significant impairment of IL-13 binding, demonstrating that these amino acids generate the binding site. Furthermore, mutations of Val-35, Leu-38, or Val-42 at the N-terminal β-strand also resulted in loss of IL-13 binding, probably from decreased structural stability. None of the mutations employed here affected IL-4 binding. These results demonstrate that the D1 domain of IL-13Rα1 acts as an affinity converter, through direct cytokine interactions, that allows the shared receptor to respond differentially to IL-4 and IL-13.Interleukin-4 (IL-4)² and IL-13 are related cytokines. IL-4 binds to a heterodimeric complex composed of the IL-4R α chain (IL-4Rα) and the common γ chain (γc), or of IL-4Rα and the IL-13R α1 chain (IL-13Rα1), called type I or type II IL-4R, respectively (1, 2). In contrast, IL-13 binds to type II IL-4R, but not type I IL-4R. Therefore, type II IL-4R is also called IL-13R. This means that IL-4 and IL-13 share the same receptor, type II IL-4R·IL-13R, which explains why IL-4 and IL-13 exert similar activities. However, the principal functions of IL-4 and IL-13 are different. As type I IL-4R is mainly expressed on hematopoietic cells, IL-4 acts on these cells, inducing Th2 differentiation in T cells and immunoglobulin class switching to IgE in B cells (1, 3). In contrast, type II IL-4R·IL-13R expresses ubiquitously, including nonhematopoietic cells, and IL-13 plays a central role in the pathogenesis of bronchial asthma by acting on these cells, including epithelial cells and fibroblasts (1, 4). Thus, it can be said that the principal role of IL-4 is an immunoregulatory cytokine, whereas that of IL-13 is an effector cytokine (5).The assembly mechanism for the binding of either IL-4 or IL-13 to type II IL-4R·IL-13R is unique. IL-4 first binds to IL-4Rα with high affinity (K_d = 1 nm), followed by recruitment of IL-13Rα1 with low affinity. In contrast, IL-13 first binds to IL-13Rα1 with low affinity (K_d = 30–37 nm), and then the complex recruits IL-4Rα, forming a high affinity receptor (K_d = 0.03–0.4 nm (6, 7)). This means that, although both IL-4 and IL-13 use IL-4Rα and IL-13Rα1, the roles of IL-4Rα and IL-13Rα1 as the primary or secondary binding unit are the opposite of those for IL-4 and IL-13. Furthermore, these differences in affinity between the ligand, the primary binding unit, and the secondary binding unit can result in that in nonhematopoietic cells on which IL-131 is expressed more abundantly than IL-4α, the number of the IL-13 receptor complex continues to rise as the IL-13 concentration increases, whereas the formation of the IL-4 receptor complex is saturated at a low IL-4 concentration. This can explain why IL-13 transduces stronger signals than IL-4 in nonhematopoietic cell such as epithelial cells and fibroblasts.We previously found that the N-terminal Ig-like domain in IL-13Rα1, called the D1 domain, is the specific and critical binding unit for IL-13, but not for IL-4, using the D1 domain-deleted IL-13Rα1 (8). LaPorte et al. recently described the crystal structure of the IL-13·IL-13Rα1·IL-4Rα, showing that the c′ strand of the D1 domain of IL-13Rα1 and the C-D strand of IL-13 generate an antiparallel β-sheet structure (7). Furthermore, this structural analysis showed that the polar bonds between IL-4 and IL-4Rα were diminished in the IL-13·IL-4Rα complex, possibly suggesting why IL-4Rα has high and no affinity with IL-4 and IL-13, respectively. These results confirmed that the unique assembly mechanism of type II IL-4R·IL-13R for IL-4 and IL-13 is dictated by the D1 domain and indicated that the c′ strand in the D1 domain is the binding site of IL-13Rα1 to IL-13. It is thought that IL-13Rα1 has evolved from γc, which does not have the extra Ig domain, acquiring the D1 domain probably from IL-2Rα or IL-15Rα (7, 9). In other words, the acquisition of the D1 domain enables the cells to respond to IL-13 in addition to IL-4. In this sense, the D1 domain appears to be an affinity converter that has evolved differential interactions with IL-4 and IL-13 to respond to the two cytokines distinctly, based on receptor expression levels and cytokine concentration. Thus, the evolution of distinct interactions of D1 with IL-4 versus IL-13 is an unprecedented example of divergent evolution of function of the same structure. Interestingly, in the structural study, it was observed that the c′ strand of the D1 domain of IL-13Rα1 can also generate an antiparallel β-sheet structure with IL-4 that appears similar to that of IL-13 (7), leaving open the question of whether it is energetically important for IL-13 but not IL-4, and whether direct interactions are required.From these studies, several questions remain unresolved. The structures did not make it clear if this differential effect is indirect, or through direct interaction with the cytokines. Are the c′ contacts with cytokines energetically important and distinct for IL-4 and IL-13? If this is the case, then the second question is which amino acid in the c′ strand has specific binding capacity to IL-13. The third question is why does this portion act as the binding site specific for IL-13, but not IL-4. To address these questions, we took advantage of the mutational approach for the D1 domain, combining data from the structural study, and identified the amino acids critical for binding to IL-13.     

Non-Canonical Interleukin 23 Receptor Complex Assembly: P40 PROTEIN RECRUITS INTERLEUKIN 12 RECEPTOR β1 VIA SITE II AND INDUCES P19/INTERLEUKIN 23 RECEPTOR INTERACTION VIA SITE III*

IL-23, composed of the cytokine subunit p19 and the soluble α receptor subunit p40, binds to a receptor complex consisting of the IL-23 receptor (IL-23R) and the IL-12 receptor β1 (IL-12Rβ1). Complex formation was hypothesized to follow the “site I-II-III” architectural paradigm, with site I of p19 being required for binding to p40, whereas sites II and III of p19 mediate binding to IL-12Rβ1 and IL-23R, respectively. Here we show that the binding mode of p19 to p40 and of p19 to IL-23R follow the canonical site I and III paradigm but that interaction of IL-23 to IL-12Rβ1 is independent of site II in p19. Instead, binding of IL-23 to the cytokine binding module of IL-12Rβ1 is mediated by domains 1 and 2 of p40 via corresponding site II amino acids of IL-12Rβ1. Moreover, domains 2 and 3 of p40 were sufficient for complex formation with p19 and to induce binding of p19 to IL-23R. The Fc-tagged fusion protein of p40_D2D3/p19 did, however, not act as a competitive IL-23 antagonist but, at higher concentrations, induced proliferation via IL-23R but independent of IL-12Rβ1. On the basis of our experimental validation, we propose a non-canonical topology of the IL-23·IL-23R·IL-12Rβ1 complex. Furthermore, our data help to explain why p40 is an antagonist of IL-23 and IL-12 signaling and show that site II of p19 is dispensable for IL-23 signaling.     

Dectin-1 interaction with Mycobacterium tuberculosis leads to enhanced IL-12p40 production by splenic dendritic cells

Dectin-1 is a fungal pattern recognition receptor that binds to beta-glucans and triggers cytokine production by facilitating interaction with TLR2 or by directly activating spleen tyrosine kinase (Syk). To assess the possible role of Dectin-1 in the innate response to mycobacteria, we used an in vitro system in which IL-12p40 production is measured in splenic dendritic cells (SpDC) following exposure to live Mycobacterium tuberculosis bacilli. Treatment of SpDC with laminarin or glucan phosphate, two molecules known to block Dectin-1-dependent activity, led to a reduction in M. tuberculosis-induced IL-12p40 as well as IL-12p70 production. Moreover, SpDC from Dectin-1-/- chimeric mice displayed reduced IL-12p40 production in response to mycobacteria when compared with Dectin-sufficient DC. Laminarin treatment also inhibited mycobacterial-induced IL-12p40 production in DC from TLR2-/- mice, arguing that Dectin-1 functions independently of TLR2 signaling in this system. Importantly, a Dectin-1 fusion protein was found to directly bind to live mycobacteria in a laminarin-inhibitable manner indicating the presence of ligands for the receptor in the bacterium and laminarin pretreatment resulted in reduced association of mycobacteria to SpDC. In additional experiments, mycobacterial stimulation was shown to be associated with increased phosphorylation of Syk and this response was inhibited by laminarin. Furthermore, pharmacologic inhibition of Syk reduced the M. tuberculosis-induced IL-12p40 response. Together, these findings support a role for Dectin-1 in promoting M. tuberculosis-induced IL-12p40 production by DC in which the receptor augments bacterial-host cell interaction and enhances the subsequent cytokine response through an unknown mechanism involving Syk signaling.     

The role of IL-12, IL-23 and IFN-gamma in immunity to viruses

IL-12, IL-23 and IFN-gamma form a loop and have been thought to play a crucial role against infectious viruses, which are the prototype of "intracellular" pathogens. In the last 10 years, the generation of knock-out (KO) mice for genes that control IL-12/IL-23-dependent IFN-gamma-dependent mediated immunity (STAT1, IFN-gammaR1, IFNgammaR2, IL-12p40 and IL-12Rbeta1) and the identification of patients with spontaneous germline mutations in these genes has led to a re-examination of the role of these cytokines in anti-viral immunity. We here review viral infections in mice and humans with genetic defects in the IL-12/IL-23-IFN-gamma axis. A comparison of the phenotypes observed in KO mice and deficient patients suggests that the human IL-12/IL-23-IFN-gamma axis plays a redundant role in immunity to most viruses, whereas its mouse counterparts play a more important role against several viruses.     

Regulation of progranulin expression in human microglia and proteolysis of progranulin by matrix metalloproteinase-12 (MMP-12)

Background

The essential role of progranulin (PGRN) as a neurotrophic factor has been demonstrated by the discovery that haploinsufficiency due to GRN gene mutations causes frontotemporal lobar dementia. In addition to neurons, microglia in vivo express PGRN, but little is known about the regulation of PGRN expression by microglia.

Goal

In the current study, we examined the regulation of expression and function of PGRN, its proteolytic enzyme macrophage elastase (MMP-12), as well as the inhibitor of PGRN proteolysis, secretory leukocyte protease inhibitor (SLPI), in human CNS cells.

Methods

Cultures of primary human microglia and astrocytes were stimulated with the TLR ligands (LPS or poly IC), Th1 cytokines (IL-1/IFNγ), or Th2 cytokines (IL-4, IL-13). Results were analyzed by Q-PCR, immunoblotting or ELISA. The roles of MMP-12 and SLPI in PGRN cleavage were also examined.

Results

Unstimulated microglia produced nanogram levels of PGRN, and PGRN release from microglia was suppressed by the TLR ligands or IL-1/IFNγ, but increased by IL-4 or IL-13. Unexpectedly, while astrocytes stimulated with proinflammatory factors released large amounts of SLPI, none were detected in microglial cultures. We also identified MMP-12 as a PGRN proteolytic enzyme, and SLPI as an inhibitor of MMP-12-induced PGRN proteolysis. Experiments employing PGRN siRNA demonstrated that microglial PGRN was involved in the cytokine and chemokine production following TLR3/4 activation, with its effect on TNFα being the most conspicuous.

Conclusions

Our study is the first detailed examination of PGRN in human microglia. Our results establish microglia as a significant source of PGRN, and MMP-12 and SLPI as modulators of PGRN proteolysis. Negative and positive regulation of microglial PGRN release by the proinflammatory/Th1 and the Th2 stimuli, respectively, suggests a fundamentally different aspect of PGRN regulation compared to other known microglial activation products. Microglial PGRN appears to function as an endogenous modulator of innate immune responses.