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Blood, Vol. 90 No. 8 (October 15), 1997: pp. 2911-2915

RAPID COMMUNICATION

Interleukin-1beta Secretion Is Impaired by Inhibitors of the Atp Binding Cassette Transporter, ABC1

By Yannick Hamon, Marie-Françoise Luciani, Frederic Becq, Bernard Verrier, Anna Rubartelli, and Giovanna Chimini

From the Centre d'Immunologie INSERM-CNRS de Marseille-Luminy, Marseille, France; the Laboratoire de Neurobiologie Cellulaire du CNRS, Marseille, France; and the Istituto Scientifico Tumori, Genova, Italy.


    ABSTRACT
Abstract
Introduction
Methods
Results
Discussion
References

The production of interleukin-1beta (IL-1beta ), a powerful mediator of inflammation, is tightly regulated at several levels. However, in some pathologic conditions, a pharmacologic treatment is required to control the toxicity of excessive extracellular IL-1beta . Because of the heavy side effects of most therapies used in IL-1beta -mediated pathologies, a goal of pharmacologic research is the development of selective anti-IL-1beta drugs. We show here that the sulfonylurea glyburide, currently used in the oral therapy of noninsulin dependent diabetes, is an inhibitor of IL-1beta secretion from human monocytes and mouse macrophages. Glyburide reduces dramatically the recovery of extracellular 17-kD IL-1beta in the absence of toxic effects on the cells and without affecting the synthesis or processing of the IL-1beta precursor. IL-1beta belongs to the family of leaderless secretory proteins released from the cell by a nonclassical secretory route. In bacteria and yeast Atp binding cassette (ABC) transporters are involved in the secretion of leaderless secretory proteins. Interestingly, glyburide blocks the anion exchanger function of ABC1, a mammalian member of the family of ABC transporters. We thus investigated the involvement of ABC1 in IL-1beta secretion, through the analysis of the effects of drugs known to inhibit IL-1beta secretion, on the activity of ABC1 and in turn the ability of known inhibitors of ABC1 of blocking IL-1beta secretion. Our data show that IL-1beta secretion and the function of ABC1 as an anion exchanger are sensitive to the same drugs, therefore suggesting an involvement of the ABC1 transporter in the secretion of leaderless proteins in mammals.

    INTRODUCTION
Abstract
Introduction
Methods
Results
Discussion
References

INTERLEUKIN-1beta (IL-1beta ) is one of the most effective mediators of inflammatory reactions primarily produced by activated monocytes or macrophages. Agents able to impair its production or secretion are therefore of high therapeutic impact. However, unfortunately, the molecular mechanism underlying IL-1beta secretion is still obscure.1-3

IL-1beta is unique among cytokines, because it is not secreted via the classical exocytic pathway. The lack of a secretory signal peptide hampers its targeting to the endoplasmic reticulum. Large amounts of IL-1beta , synthesized as a precursor polypeptide of 33 kD, are found in the cytosol, from which the cytokine gains access to the extracellular medium. An additional step is required, because the propolypeptide has to be proteolitycally cleaved by the IL-1beta converting enzyme (ICE or caspase I)4,5 to the mature, fully active 17-kD form. ICE-mediated processing and the secretory step appear to occur cotemporally and lead to the exclusive recovery of the mature form in the extracellular medium. The subcellular site where maturation takes place is still an open question. Indeed, whereas ICE and IL-1beta colocalize in the cytosol of IL-1beta -secreting macrophages, the enzymatic activity of ICE is undetectable in the cells.6 Recently, Singer et al7 have proposed on the basis of IEM data that the maturation takes place during the translocation of the precursor (proIL-1beta ) along a transmembrane channel in which active ICE had previously or concomitantly docked.

Because similar pathways in prokaryotes and lower eukaryotes use dedicated Atp binding cassette (ABC) translocators, it is reasonable to hypothesize that mammalian ABC transporters act as exporters for IL-1beta and other leaderless secretory proteins (see for review Kucher et al8 ). Indeed, ABC transporters can handle a wide variety of substrates and are able to mediate energy-dependent membrane translocation of proteins of fairly large molecular weight such as toxins secreted by gram-negative bacteria.9 We have recently characterized a novel member of this family of protein, ABC1, conserved in mice and humans.10 ABC1 is expressed by macrophages, where it is required during the engulfment of apoptotic corpses.11 When expressed in the heterologous system of Xenopus oocytes, ABC1 behaves as an electroneutral anion exchanger with a characteristic pharmacologic profile.12

We report here on the dramatic inhibitory effect of the sulfonylurea glyburide on IL-1beta secretion both in the human and mouse systems. Glyburide happens to be one of the most potent inhibitors of ABC1 activity as an anion transporter in X oocytes and in mouse peritoneal macrophages. Hence, we extended the investigation to other ABC1 blockers and, in turn, to inhibitors of IL-1beta secretion13-15 to show that these two effects share a similar pharmacology.

    MATERIALS AND METHODS
Abstract
Introduction
Methods
Results
Discussion
References

Preparation of mouse peritoneal macrophages. Thioglycollate-elicited peritoneal macrophages (2 mL intraperitoneal injection of thioglycollate medium 4 days previously) were harvested by peritoneal washes from 8- to 12-week-old B6/CBA mice, extensively washed in complete medium (RPMI 1640 supplemented with 10% fetal calf serum [FCS]), and plated at 2 × 105 cells/well in 96-well microtiter plates for secretion studies or at 4 × 105/well in 48-well plates for efflux studies. After incubation at 37°C for 2 hours, nonadherent cells were removed and monolayers were incubated overnight at 37°C. When required, lipopolysaccharide (LPS) stimulation was performed for 3 hours at 1 µg/mL, followed by 30 minutes of incubation in the presence of 5 mmol/L ATP.

Cytokine detection. The levels of murine cytokines (IL-1beta , IL-1alpha , tumor necrosis factor alpha [TNFalpha ], and IL-6) were measured by specific enzyme-linked immunosorbent assay (ELISA) kits (Genzyme, Cambridge, MA), following the manufacturer's instructions, on the supernatants of the 30-minute ATP stimulation. When necessary, the same peritoneal macrophage supernatants were used for the simultaneous detection of the four cytokines. The drugs were added at the indicated concentrations during the 30 minutes of ATP incubation. Each experimental point was assessed on four individual wells.

Preparation of human monocytes and assessment of cytokine release by Western blotting. Peripheral blood mononuclear cells (PBMC) were isolated from buffy coats from healthy donors by Ficoll-Hypaque gradients, resuspended at 107/mL in RPMI medium containing 10% FCS, and plated as described.2 After 1 hour at 37°C, nonadherent cells were removed and adherent cells were activated for 1 hour with 5 µg/mL LPS (Sigma, St Louis, MO) in RPMI/FCS. Supernatants were then replaced with RPMI 1% Nutridoma (Boehringer Mannheim, Mannheim, Germany) and incubation was performed for additional 30 minutes in the presence of 1 mmol/L ATP or 4 hours in the absence of ATP.16 At the end of incubation, supernatants were concentrated by precipitation with 10% trichloroacetic acid (TCA) and cells were lysed in 0.25% NP40. Aliquots of cell lysates and supernatants were boiled in Laemmli sample buffer containing 2beta mercaptoethanol (2ME), resolved by 12% sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE), and blotted to Hybond-ECL (Amersham International, Little Chalfont, UK), as described.17 Blots were probed with anti-IL-1beta monoclonal antibody 3ZD or with the polyclonal goat anti-IL-6 (generous gift of F. Cozzolino, Rome, Italy), followed by peroxidase-conjugated secondary antibody (Dakopatts, Glostrup, Denmark) and developed with the ECL system (Amersham) following the manufacturer's instructions.

Oocytes preparation. Stage V Xenopus laevis oocytes were prepared and injected with ABC1 encoding cRNA or water as previously described in detail.12 Each batch of oocytes was tested for faithful expression of ABC1 transporter by immunoprecipitation with anti-ABC1 specific antibody.

Iodide efflux measurements. The procedure for I125 efflux measurements from X oocytes is described in detail in Becq et al.12 For peritoneal macrophages, the procedure is essentially as described in Becq et al.18 Briefly, macrophages cultured overnight in complete medium in 48-well plates were washed twice in modified Earle's salt solution (ESS) and loaded with 1 mL of 1 µmol/L KI (0.1 µCi/mL of NaI125 ) in ESS for 30 minutes at 37°C. After a few washes to achieve equilibration, the amount of radioactive iodide in the efflux medium was measured at 1-minute intervals for 11 minutes. The first two points were used to establish a stable efflux baseline. At the end of incubation (t8), the medium was recovered and the amount of cell associated radioactivity was counted after lysis of the monolayers in 1 N NaOH. The drugs to be tested were dissolved in dimethyl sulfoxide (DMSO; final concentration, 0.1%) and added during the ATP incubation and the efflux washes. For both oocytes and macrophages experiments, efflux curves were generated by plotting the percentage of total radioactivity released for each time point versus time. Data are presented as the mean ± SD for n observations. Statistical significance is assessed at the 95% confidence level with the Student's t-test.

Chemicals. Glyburide, 4,4'-diisothiocyanostilbene-2,2'-disulfonic acid (DIDS), sulphobromophtaleine (BSP), and ATP were purchased from Sigma; Tenidap and UK5099 were provided by Pfizer (Grotow, CT); and the peptide inhibitor of ICE, AcYVAD-chloromethylketone, was purchased from Bachem Biochemica (Bubendorf, CH). When necessary, the compounds were dissolved in DMSO and used at a final DMSO concentration never exceeding 0.1%. LPS (Escherichia coli strain 0111:B4) was purchased from Calbiochem (La Jolla, CA).

    RESULTS
Abstract
Introduction
Methods
Results
Discussion
References

Glyburide blocks IL-1beta secretion from mouse macrophages and human monocytes. Thioglycollate-elicited mouse peritoneal macrophages were stimulated with LPS (1 µg/mL for 3 hours) and ATP (5 mmol/L for 30 minutes) in the presence of increasing concentrations of glyburide (1, 10, or 100 µmol/L), and the amount of IL-1beta recovered in the supernatant of the ATP incubation was measured by ELISA (Fig 1A). The results showed that glyburide induces a dose-dependent reduction of IL-1beta secretion. To control the specificity of this effect, the supernatants at the most effective doses were used to measure the secretion of IL-1alpha , which also leaves the cells via unusual mechanisms, and of TNFalpha and IL-6, which are exocytosed by the classical ER-Golgi pathway.19 In each experiment, four individual samples were measured and averaged for each experimental point. As shown in Fig 1B, glyburide treatment leaves almost unaffected the amounts of secreted IL-1alpha (n = 4), TNFalpha (n = 6), or IL-6 (n = 4).


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Fig 1. Glyburide inhibits the secretion of IL-1beta from mouse peritoneal macrophages without affecting the release of IL-1alpha , TNFalpha , or IL-6. (A) Dose-dependent inhibition of IL-1beta release from macrophage monolayers as assessed by ELISA. Results are averaged from four individual assays and expressed as a percentage of release in the absence of the drug. Absolute values in picograms per milliliter are indicated. (B) Comparative effect of 100 µmol/L glyburide on the secretion of IL-1beta IL-1alpha , TNFalpha , or IL-6. Results (averaged from 6 experiments for IL-1beta and TNFalpha and from 4 for IL-1alpha and IL-6) are expressed as a percentage of the amount released in the absence of drug.

Similar experiments were performed on metabolically labeled cells and the analysis of immunoprecipitated IL-1beta showed no effect of glyburide on the intracellular amounts of the cytokine, whereas the recovery of extracellular 17-kD IL-1beta mirrored the results of the ELISA (not shown).

Glyburide exerts a similar inhibition on IL-1beta secretion from activated human monocytes, as assessed by Western blot analysis, both after long-term LPS stimulation or after ATP enhancement (Fig 2A and B). As already reported,1 extracellular IL-1alpha was undetectable in both conditions (not shown). No modifications on IL-6 secretion were detected after treatment with glyburide (Fig 2C).


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Fig 2. Glyburide inhibits IL-1beta release from human monocytes without affecting the processing. Cell lysates (cyt) and supernatants (sup) from untreated human activated monocytes (U) or cells exposed to Glyburide (G; 100 µmol/L) were analyzed using Western blotting and probed with an anti-IL-1beta specific antibody ([A] after LPS and ATP stimulation and [B] after long-term LPS stimulation). Reduced amounts of the 17-kD mature form of IL-1beta are recovered in the supernatants of treated cells in the absence of a detectable difference in the intracellular profiles. In (C), the absence of effect of glyburide on the secretion of IL-6 is shown. In (D), supernatants from human activated monocytes either untreated (U) or treated with 100 µmol/L glyburide (G) or 100 µmol/L AcYVAD-CHO or both were analyzed using Western blotting. Whereas AcYVAD treatment leads to extracellular accumulation of proIL-1beta and blocks its processing to the mature form, the treatment with glyburide clearly impairs the recovery of the precursor both in the absence and in the presence of ICE inhibitors.

Glyburide had no effect on the activity of recombinant human ICE in vitro (not shown), thus ruling out the possibility that the reduced recovery of the 17-kD IL-1beta resulted from pharmacologic interference with ICE-mediated processing.

In addition, we compared the molecular forms of IL-1beta secreted by monocytes treated with acYVAD-CHO, as a specific inhibitor of ICE,20 in the presence or absence of glyburide (100 µmol/L). As shown in Fig 2D, the treatment with acYVAD-CHO leads to the accumulation in the extracellular medium of the unprocessed 33-kD proIL-1beta form21; this accumulation is effectively prevented by glyburide treatment.

The anion transporter activity of ABC1 and IL-1beta secretion are affected by the same drugs. As already reported, the expression of ABC1 transporter in X oocytes generates a specific anion efflux that can be inhibited in a dose-dependent fashion by glyburide and other compounds belonging to different pharmacologic classes, such as DIDS and BSP (inhibition of 88%, 84%, and 79%, respectively).12 We therefore analyzed the effect of the latter compounds on the secretion of IL-1beta , IL-1alpha , TNFalpha , or IL-6. Figure 3A and B shows that these ABC1 blockers also inhibit IL-1beta secretion while only marginally affecting the secretion of the other cytokines. On the contrary, the classical MDR reversal agent verapamil had no effect on the secretion of IL-1beta (data not shown). These data indicate a clear pharmacologic correlation between ABC1 activity and IL-1beta secretion.


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Fig 3. (A) The ABC1 blockers, DIDS and BSP, inhibit the secretion of IL-1beta in a dose-dependent fashion. Results are expressed as a percentage of the secretion from untreated macrophage monolayers. Absolute amounts (average from 4 individual points) of IL-1beta in picograms per milliliter are reported. (B) Comparative effect of DIDS and BSP on the secretion of IL-1beta , IL-1alpha , TNFalpha , or IL-6. Results (averaged from 6 experiments for IL-1beta and TNFalpha and from 4 for IL-1alpha and IL-6) are expressed as a percentage of the amount released in the absence of drug.

We then tested the effect on ABC1 activity of two anti-inflammatory agent, Tenidap and UK 5099, known to reduce IL-1beta secretion possibly via the perturbation of anionic fluxes that they provoke.15 Both drugs show a dose-dependent inhibition of the ABC1-mediated anion efflux from X oocytes (maximal inhibition at 100 µmol/L; data not shown).

To investigate the activity of ABC1 in cells physiologically expressing the transporter, we investigated the anion efflux from ex vivo peritoneal macrophages in basal conditions and after LPS/ATP stimulation.16,22,23 An anion efflux of 51.7% ± 6.1% (n = 16) can be detected at t8 in basal conditions, and this is increased to 67.7% ± 6.6% (n = 20) after LPS/ATP stimulation. We then tested the effect of the various drugs on the basal and induced anion flux. Our data showed that a fraction of this efflux, which increases after stimulation, is sensitive to the panel of compounds. In fact, in basal conditions, efflux values at t8 were 33% ± 1% (n = 2) in the presence of DIDS (500 µmol/L); 42% ± 2% (n = 2) in the presence of BSP (500 µmol/L); and 49% ± 1% (n = 2) in the presence of glyburide (100 µmol/L).

After stimulation with LPS and ATP, DIDS reduces the efflux to 32.5% ± 3% (n = 6), BSP to 46.8% ± 2% (n = 3), and glyburide to 35.7% ± 12% (n = 3). In these conditions, the incubation with Tenidap (200 µmol/L) and UK5099 (100 µmol/L) reduces anion effluxes to 44.6% ± 5% (n = 5) and 46% ± 6% (n = 2). All the compounds are inhibitory in a dose-dependent fashion, as shown in Fig 4A through C. We concluded from these results that, in mouse peritoneal macrophages, a fraction of the anion effluxes is dependent from the activity of ABC1 transporter.


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Fig 4. Sensitivity profile of anion fluxes from mouse peritoneal macrophages to DIDS and BSP (A), Tenidap and UK5099 (B), and Glyburide (C). I125 efflux was measured in the presence of the indicated concentrations of drugs from cells stimulated by LPS/ATP and in basal conditions. The difference between the flux in the absence of the drug from stimulated and unstimulated cells was considered the reference value. The effect of the drug is reported as a percentage of the reference flux. Absolute values are reported below each panel.

    DISCUSSION
Abstract
Introduction
Methods
Results
Discussion
References

In this report, we show that glyburide is a potent inhibitor of the secretion of the leaderless cytokine IL-1beta . The inhibition is selective, because secretion via the classical exocytic pathway is not impaired and is devoid of toxic effect, because macrophage viability and the rate of protein synthesis are unaffected. We have previously reported that glyburide is one of the inhibitors of the anion exchanger activity of the ABC transporter, ABC1, in the heterologous expression system of X oocytes.16 The data presented here show a precise correlation between the pharmacologic inhibition of the ABC1 activity and of the secretion of IL-1beta . Indeed, in addition to glyburide, BSP and DIDS also inhibit both ABC1 and IL-1beta secretion. In turn, two other compounds known to affect IL-1beta secretion also inhibit ABC1.

The finding that ABC1 exerts a detectable anion exchanger function in the physiologic system of mouse peritoneal macrophages and that, in these cells, both IL-1beta secretion and ABC1 activity are impaired by the same drugs suggests the involvement of ABC1 in IL-1beta secretion.

The hypothesis that a member of the ABC transporter family may play a role in leaderless secretion in mammals arises from the evidence of their involvement in analogous pathways both in yeast and procaryotes. However, experiments trying to unambiguously demonstrate a direct involvement have failed so far. Moreover, drugs able to inhibit the activity of known ABC transporters such as MDR do not affect IL-1beta secretion (A.R. and M.F.L., unpublished result). This is in line with our observation that ABC1 sensitivity profile is original among ABC transporters, because verapamil, a typical MDR reversing agent, does not affect ABC1 function; conversely, cystic fibrosis transmembrane regulator (CFTR) is insensitive to the ABC1 inhibitor DIDS. Although glyburide sensitivity is not exclusive to ABC1 but it is shared by CFTR and sulfonylurea receptor (SUR), the involvement of CFTR can be ruled out due to its DIDS insensitivity, whereas SUR involvement is unlikely because of its different sensitivity to glyburide and its barely detectable expression in cells of the macrophage lineage.24

Whereas glyburide profoundly affects IL-1beta secretion, it only sligthly decreases, in the mouse system, the release of IL-1alpha , another leaderless secretory protein. Whether this means that IL-1alpha follows a distinct route remains to be elucidated. However, it is of note that, at least in the human system, IL-1beta is the major secreted form, with IL-1alpha being almost undetectable extracellularly.

The molecular mechanism underlying the inhibitory effect of ABC1 blockers on IL-1beta secretion is still unclear. However, the reduced secretion of IL-1beta did not result from altered synthesis or increased instability of intracellular pools, because the treatment with these drugs did not modify the amounts of the intracellular cytokine. Moreover, we could exclude any effect of glyburide on the processing of the precursor by ICE. Indeed, glyburide shows no inhibitory effect on recombinant ICE in vitro and prevents the extracellular accumulation of proIL-1beta induced by ICE inhibitors. Our data support the hypothesis that proIL-1beta is a secretory competent form and imply that the molecular step affected by ABC1 inhibitory drugs is dissociated from the proteolytic maturation of IL-1beta . Thus, our results allow to surmize an implication of ABC1 or a closely related transporter in the alternative secretory pathway for the export of the cytokine. Whether this transporter is indeed the channel through which IL-1beta translocates the membrane or fulfills a permissive role for the process to take place remains to be investigated.

    FOOTNOTES

   Submitted May 28, 1997; accepted July 28, 1997.
   Supported by institutional grants from INSERM and CNRS and specific grants from ARC, AIRC, and LLNC. F.B. was supported by a postdoctoral fellowship from AFLM.
   Address reprint requests to Giovanna Chimini, MD, Centre d'Immunologie de Marseille-Luminy, Parc Scientifique de Luminy, Case 906, 13288 Marseille Cedex 09, France.

   The publication costs of this article were defrayed in part by page charge payment. This article must therefore be hearly marked ``advertisment'' in accordance with 18 U.S.C. section 1734 solely to indicate this fact.

    ACKNOWLEDGMENT

The authors thank A. Diu-Hercend and O. Krebs (Roussel-Uclaf ) for testing the effects of glyburide, DIDS, and BSP on recombinant human ICE; C. Gabel (Pfizer Inc) for discussion and for having provided Tenidap and UK5099; F. Cozzolino for the anti-IL-6 antiserum; C. Reynolds for the 3ZD antibody; and B. Verrier and M. Gola for discussion. The Centro Trasfusionale of Gaslini Hospital (Genova, Italy) is also thanked for the generous gift of buffy coats.

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Methods
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Discussion
References

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© 1997 by The American Society of Hematology.

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