Secretion of Plasminogen Activator Inhibitor 2 by Human Peripheral Blood Monocytes Occurs via an Endoplasmic Reticulum–Golgi-Independent Pathway

Plasminogen activator inhibitor 2 (PAI-2) is a serine protease inhibitor (serpin) that is secreted and accumulated intracellularly by monocytes. We investigated PAI-2 synthesis by isolated human peripheral blood monocytes and found that a 47-kDa nonglycosylated form of PAI-2 was abundant in conditioned medium from monocytes. Secretion of PAI-2 by monocytes was not inhibited by agents that inhibit either ER–Golgi pathway-dependent secretion, brefeldin A, or N-linked glycosylation, tunicamycin. IL-1β served as a control for a protein that is secreted by an ER–Golgi-independent pathway, and secretion of IL-1β was not inhibited by brefeldin A. This was in contrast to secretion of TNFα, which was dependent on the ER–Golgi pathway. None of the treatments was cytotoxic toward monocytes, as measured by release of the intracellular enzyme lactate dehydrogenase (LDH) into the conditioned medium. Subcellular fractionation revealed that PAI-2 and IL-1β were colocalized. The mechanism for secretion of PAI-2 was not dependent on calcium or intracellular trafficking via the classical vesicular mechanism(s), distinguishing it from IL-1β secretion. These studies show that PAI-2 is secreted by primary human monocytes via an ER–Golgi-independent pathway.