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Previous Article | Table of Contents | Next Article 
Blood, Vol. 96 No. 2 (July 15), 2000:
pp. 732-739
PHAGOCYTES
Molecular cloning and characterization of a human metalloprotease
disintegrin a novel marker for dendritic cell
differentiation
Jana Fritsche,
Markus Moser,
Stefan Faust,
Alice Peuker,
Reinhard Büttner,
Reinhard Andreesen, and
Marina Kreutz
From the Department of Hematology/Oncology and the Institute of
Pathology, University of Regensburg, Regensburg, Germany.
 |
Abstract |
The 1 ,25-dihydroxyvitamin D3
(1,25- [OH]2VD3) modulates the
differentiation of monocytic cell lines and monocytes (MOs) in vitro.
Up to now several target genes of 1,25(OH)2VD3
have been described in monocytic cell lines; however, little is known
about target genes in primary MOs. With the Differential Display
technique, we found a transcript up-regulated by
1,25(OH)2VD3 in short-term cultured human blood
MOs, which we called MADDAM (metalloprotease and disintegrin dendritic
antigen marker; EMBL/GenBank/DDBJ accession no. Y13786). Northern blot
analysis confirmed this result and revealed a signal of MADDAM
messenger RNA (mRNA) at about 7.5 kilobases (kb). Long-term culture
(more than 20 hours) of MOs during macrophage (MAC) differentiation led
to a rapid and complete down-regulation of MADDAM
expression. In contrast, MADDAM expression was maintained in MOs
differentiated along the dendritic cell (DC) pathway and induced in
CD34+-derived DCs. In addition, in situ hybridization
revealed signals of MADDAM mRNA in follicles of human lymph nodes and
MADDAM mRNA was detected in freshly isolated human blood-DCs by reverse
transcription-polymerase chain reaction (RT-PCR). By means of a
database search, we found that MADDAM is a member of the ADAM (a
metalloprotease and disintegrin) family, the human homologue to murine
meltrin- (ADAM 19). From these data, we conclude that MADDAM is an
important marker for the differentiation and characterization of DCs
and the distinction between MACs and DCs.
(Blood. 2000;96:732-739)
© 2000 by The American Society of Hematology.
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Introduction |
Cells of the mononuclear phagocyte system, like
monocytes (MOs), macrophages (MACs), and dendritic cells (DCs), are
important effector cells of the immune response. Beside their
nonspecific activity against microorganism and tumor
cells1,2 MOs and MACs are involved in antigen
presentation, thereby leading to a specific immune
response.3 DCs, in contrast, are professional antigen-presenting cells,4-6 and much more potent than
MOs/MACs in stimulating primary immune response.7 In vitro
MACs as well as DCs can be generated from human blood MOs, depending on
the culture conditions.8 The in vitro differentiation
process of MOs to MACs is induced by human serum,9 but can
also be initiated by the active form of vitamin D3,
1 ,25-dihydroxyvitamin D3
(1,25[OH]2VD3),10,11 that also
influences the functions of other hematopoetic cells like T and B
lymphocytes.12-16 Most of the
1,25(OH)2VD3 effects are mediated by the
vitamin D receptor (VDR), which is a member of the superfamily of
nuclear steroid, thyroid, and retinoic acid receptors, acting as a
transcription factor in the form of a homodimer or
heterodimer.17-19 The distribution of the VDR is
ubiquitous,20-22 and MOs/MACs also express this
receptor.23 Nevertheless, only a few genes in MOs/MACs are
known to be regulated by 1,25(OH)2VD3, eg,
CD14, a monocytic differentiation marker,24 and macrophage colony-stimulating factor (M-CSF), a survival factor of
MOs/MACs.25,26 For a better understanding of the effects of
1,25(OH)2VD3 on the differentiation
process of human MOs to MACs, we were interested in
1,25(OH)2VD3-regulated genes during
short- and long-term culture.
The in vitro differentiation of human blood MOs along the DC pathway is
regulated by fetal calf serum (FCS), granulocyte-macrophage colony-stimulating factor (GM-CSF), and interleukin-4 (IL-4), leading
to an "immature" type of DC, 27-29 whereas the
terminal differentiation of these cells can be induced by the addition of tumor necrosis factor-alpha (TNF- ), lipopolysaccharide
(LPS), or CD40 ligand.29-31 Up to now the
characterization of DCs at the various differentiation and activation
stages is difficult, because only few specific marker are available. As
several clinical trials use DCs in different protocols as cellular
vaccines against malignant diseases,32-34 an exact
characterization of this cell type and its functions is of great importance.
In this report we describe the isolation and cloning of
metalloprotease and disintegrin dendritic antigen marker (MADDAM), a
novel human metalloprotease disintegrin belonging to the ADAM family35-38 that is up-regulated during DC differentiation
in vitro, but not expressed in MO-derived MACs. Therefore, MADDAM can
serve as a marker for the early distinction between MACs and DCs.
 |
Materials and methods |
Chemicals
All chemical reagents used were purchased from Sigma (Deisenhofen,
Germany), unless otherwise noted. The
1,25(OH)2VD3 was kindly provided by
Hoffmann-LaRoche (Basel, Switzerland), and recombinant human IL-4 by
Schering-Plough (Kenilworth, NJ).
Cell separation and culture
Peripheral human blood mononuclear cells (MNCs) were isolated by
leukapheresis of healthy donors, followed by density gradient centrifugation over Ficoll/Hypaque (Pharmacia, Freiburg, Germany). MOs
were obtained from these cells by countercurrent centrifugation in a
J6M-E centrifuge (Beckmann, Munich, Germany), as described previously.39 They were more than 90% pure, as determined
by morphology and expression of the CD14 antigen. MOs of single donors were cultured under serum-free conditions at a density of
106 cells/mL in petri dishes with RPMI (Biochrom, Berlin,
Germany), supplemented with 50 mmol/L mercaptoethanol, antibiotics (50 U/mL penicillin and 50 mg/mL streptomycin), 1 mmol/L pyruvate,
1 × MEM nonessential amino acids (GIBCO BRL, Eggenstein,
Germany), 1 × MEM vitamins (GIBCO BRL), and 0.22 mg/mL
L-glutamin (GIBCO BRL). For control experiments different elutriation
fractions containing lymphocytes were used.
MACs were generated in petri dishes by culturing MOs for the indicated
time with 2% AB-serum (Sigma, Deisenhofen, Germany) or under
serum-free conditions with 10 7 mol/L
1,25(OH)2VD3.
DCs were generated by 3 different methods: (1) For isolation of
blood-DCs, we used a pool of 1 × 109 cells of the
blood-DC-enriched fractions IIc (74 mL/min.), IIb (82 mL/min.), and
IIc (92 mL/min.) obtained during monocyte elutriation. Starting with
these fractions (2%-4% blood-DCs) the blood-DCs were isolated with
the Blood Dendritic Cell Isolation Kit and the SuperMACS II system
(Miltenyi, Bergisch Gladbach, Germany), following the manufacturer's
instructions. The purity of the blood-DCs (90%-98%) was determined by
FACS analysis (FACS Calibur, Becton Dickinson) by using the 4-color
assay containing anti-lin-1-FITC, anti-CD123-PE, anti-HLA-DR-PerCP, and
anti-CD11c-APC (Becton Dickinson, San Jose, CA). (2) DCs were obtained
by culturing MOs for the indicated time, either under serum-free
conditions (CellGrow DC medium, Cell Genix, Freiburg, Germany) or with
RPMI medium plus 10% FCS (c.c.pro, Karlsruhe, Germany), respectively,
and with 35 ng/mL GM-CSF (Sandoz-Essex, Munich, Germany) and 500 U/mL
IL-4 (Schering-Plough) in culture flasks.27-29 In some
experiments, 10 ng/mL TNF- (BASF, Knoll AG, Ludwigshafen, Germany)
was added after 5 days of culture. (3) DCs were also generated from
CD34+ cells. CD34+ cells were isolated from the
blood after in vivo mobilization with G-CSF and cultured with 10% FCS,
200 ng/mL GM-CSF, 10 ng/mL stem cell factor (R&D Systems, Minneapolis,
MN), and 10 ng/mL TNF- for 2 weeks.40-43
The human cell lines, HL-60, HT29, Daudi, Jurkat, K562, HaCat, MelEi,
N1 (fibroblasts), and HepG2 were cultured in RPMI supplemented with the
additives described above and 10% FCS. For the induction of dendritic
cell differentiation, HL-60 were cultured for up to 48 hours with 180 ng/mL calcium ionophore A23187 (Sigma).
RNA preparation
Total RNA was isolated from primary cells and cell lines by the
method of Chomczynski and Sacchi.44 Only total RNA of
blood-DCs was obtained by using RNeasy Mini Kit (Qiagen, Hilden, Germany).
Northern blot analysis
Total RNA (10 µg per lane) was electrophoretically separated on a
1% agarose formaldehyde gel, transferred to nylon membranes (Magna NT,
MSI, Westborough, MA) and ultraviolet (UV) cross-linked. The
complementary DNA (cDNA) fragment of MADDAM obtained by the Differential Display technique (DD) was phospholabeled with
gene-specific primers and Klenow enzyme (Boehringer, Mannheim,
Germany). Hybridization was performed overnight at 65°C in Church
buffer (0.5 mol/L sodium phosphate buffer, pH 7.2, 7% SDS, 1 mmol/L
EDTA, and 150 µg/mL transfer RNA [tRNA]).45,46 In
control experiments, membranes were rehybridized with an 18S
ribosomal RNA (rRNA)-oligonucleotide (5'-ACG GTA TCT GAT CGT CTT
CGA ACC-3') or a glyceraldehyde-3-phosphate dehydrogenase
(GAPDH)-oligonucleotide complementary to the nucleic acids +1101 base
pairs (bp) to +1187 bp of the published sequence labeled by T4 Kinase
(5'-End Labelling Kit, Amersham, Buckinghamshire, UK).47
For nonradioactive Northern blot analysis the Digoxigenin (DIG)-System
(Boehringer) was used according to the manufacturer's protocol. The DD
cDNA-fragment of MADDAM was labeled with gene-specific primers and
DIG-dUTP using the "DIG DNA Labelling and Detection Kit" by PCR
with the conditions: 2 minutes, 95°C, 10 cycles: 10 seconds,
95°C; 30 seconds, 60°C; 2 minutes, 72°C and 20 cycles: 10 seconds, 95°C; 30 seconds, 60°C; 2 minutes (+20 seconds
extension per cycle), 72°C and afterwards 7 minutes, 72°C.
Messenger RNA differential display technology
This method was performed using the RNAmap-system (GenHunter,
Nashville, TN).48 Total RNA (30 µg) of MOs cultured under different conditions was digested with 10 units DNAse I (Boehringer) as
described previously.49 The 0.3 µg RNA was reverse
transcribed with the 2 base-anchored oligo-dT primer T12MC
and amplified by PCR using AmpliTaq (Perkin Elmer, Weiterstadt,
Germany) and the primer combination T12MC and AP1
(5'-AGC CAG CGA A-3') in the presence of (33P)
deoxycytidine triphosphate. The amplified cDNA was separated on a 6%
polyacrylamide gel. After autoradiography bands of interest were
excised, the cDNA fragments were isolated, amplified, cloned by
inserting into the EcoRI site of the plasmid vector pCR 2.1 (TOPO TA cloning kit, Invitrogen, San Diego, CA), and sequenced.
Screening of the complementary DNA library
Plaque screening was performed as previously
described.46 In brief, C600hfl bacteria were
infected with 5 × 105 plaque-forming units of a
gt10 lymph node cDNA library (Clontech) and plated on
LBbroth-Agar-coated petri dishes containing 10 mmol/L MgSO4. After formation of plaques, phage DNA was
transferred to NitroPlus membranes (MSI) and denatured
(0.5 mol/L NaOH, 1.5 mol/L NaCl). After neutralization (0.5 mol/L
Tris/HCl, pH 8.0, 1.5 mol/L NaCl), membranes were UV cross-linked and
hybridized with 2 different 32P-labeled cDNA-fragments of
MADDAM (1: +6186 bp to +6489 bp; 2: +2787 bp to +3214 bp). Positive
plaques were excised, resuspended in phage-buffer, and subjected to a
second round of screening. The inserts of isolated gt10 phages were
PCR-amplified using vector-specific primers ( gt 1: 5'-TGG GTA
GTC CCC ACC TTT TGA GCA AGT TCA G-3', gt 2: 5'-CAG AGG
TGG CTT ATG AGT ATT TCT TCC AGG GT-3'), and the KlenTaq-system
(Clontech). The PCR conditions were 5 minutes, 95°C; 2 minutes,
72°C; adding the enzyme and 35 cycles with 30 seconds, 94°C; 30 seconds, 65°C; and 6 minutes, 72°C. After separation on an
agarose gel cDNA inserts were excised, extracted, and sequenced using
the vector primers ( gt 1 and gt 2) and gene-specific primers.
Sequence analysis
The cDNA were sequenced by Dye Deoxy Terminator Cycle Sequencing
(Applied Biosystems, Weiterstadt, Germany) according to the manufacturer's instructions on the Applied Biosystems DNA
Sequencing System (model 373 A).
Flow cytometry
In brief, the cells were harvested, washed twice with cold
phosphate-buffered saline (PBS) containing 0.1% sodiumazide and 0.6 mg/mL immunoglobulin, and incubated for 30 minutes at 4°C with
specific fluorescein isothiocyanate (FITC)- or phycoerythrin (PE)-conjugated monoclonal antibodies, respectively. The following antibodies were used: CD1a-PE (Coulter, Krefeld, Germany), CD14-FITC (Coulter), CD83-PE (Immunotech, Marseille, France), HLA-DR-FITC (Pharmingen, Hamburg, Germany), and CD86-FITC (Pharmingen). After 2 additional washes, the cells were fixed with 1% paraformaldehyde in
PBS and analysis was performed using a FACScan (Becton Dickinson, Mountain View, CA).
In situ hybridization
One microgram of the linearized pBluescript plasmid containing the
1019-bp cDNA fragment of MADDAM (+5470 bp to +6489 bp) was transcribed
using T3 and T7 RNA-polymerase (Stratagene, Heidelberg, Germany) and
33P-UTP (Amersham) to obtain sense or antisense cRNA
probes. Paraffin-embedded tissue sections from human lymph nodes were
generated by fixation in 4% paraformaldehyde/0.5% glutaraldehyde
overnight and in situ hybridization was performed as previously
described.50 Briefly, proteinase K-treated slides were
prehybridized for 4 hours at 50°C (50% formamide, 10% dextran
sulfate, 10 mmol/L Tris (pH 8.0), 10 mmol/L sodium phosphate (pH 7.0),
2 × SSC, 5 mmol/L EDTA (pH 8.0), 150 µg/mL tRNA, 10 mmol/L
DTT, 10 mmol/L -mercaptoethanol) and hybridized at 50°C
overnight with a 5 × 104 cpm/µL antisense probe.
Slides were washed (50% formamide, 2 × SSC, 20 mmol/L
mercaptoethanol) and single strand RNA was digested with RNase A (20 µg/mL) for 30 minutes at 37°C. After further washing and
dehydrating, slides were coated with Kodak NTB2 emulsion (Rochester,
NY) and exposed for 2 weeks.
Reverse transcriptase-polymerase chain reaction
Total RNA (250 ng) of blood-DCs, MACs, and DCs were reverse
transcribed for 60 minutes at 42°C using 5 µmol/L
oligo(dT12) primer (Boehringer) and 200 units of
Superscript Reverse Transcriptase (Life Technologies, Eggenstein,
Germany). For amplification of MADDAM cDNA, we used the primers:
5'-GGC CGT GTG GTG CTT TGC TAG-3' (sense) and 5'-AAG
GAT GAC CCA CGG CAA GGA C-3' (antisense), and for -actin cDNA
the primers: 5'-TGA CGG GGT CAC CCA CAC TGT GCC CAT CTA-3'
(sense) and 5'-CTA GAA GCA TTT GCG GTG GAC GAT GGA GGG-3
(antisense). The amplification was performed with 4 µL (MADDAM) or 2 µL ( -actin) of the reverse transcription reaction, 1 µmol/L sense and antisense primer, 25 µmol/L of each deoxynucleotide triphosphate and 5 units Taq DNA polymerase (Boehringer) in a total
volume of 50 µL and the conditions: 94°C, 30 seconds; 65°C, 30 seconds; and 72°C, 2 minutes for 18 and 22 cycles ( -actin) or
26 and 30 cycles (MADDAM). Six microliters of the PCR products were
analyzed in a 1.5% agarose gel with 0.5 µg/mL ethidium bromide.
 |
Results |
Identification of MADDAM as a 1 ,25-dihydroxyvitamin
D3-regulated gene in monocytes
To identify 1,25(OH)2VD3-responsive genes,
we cultured freshly isolated human blood MOs with or without
10 7 mol/L 1,25(OH)2VD3 for 4 hours in the absence or presence of 2% serum. With the use of the mRNA
DD technology, we detected a stronger signal of a cDNA fragment in MOs
cultured with 1,25(OH)2VD3 compared with
unstimulated MOs (Figure 1A). The cDNA
fragment (290 bp) was excised, reamplified, cloned into a plasmid
vector, and sequenced.

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| Fig 1.
Differential display and Northern blot analysis of the
MADDAM cDNA fragment.
Differential Display (DD) of cDNA of different short-term
cultured MOs (A) and Northern blot analysis of MADDAM expression in
human blood MOs, lymphocytes, and mononuclear cells (B,C). MOs
were stimulated for 4 hours with 1,25(OH)2VD3
in the absence (2) or presence (4) of serum. Control cells were
cultured for 4 hours without 1,25(OH)2VD3 under
serum-free conditions (1) or with serum (3). RNA was extracted and cDNA
amplified with the primer set AP1 and T12MC. The cDNA
fragment of MADDAM is marked (A). Total RNA of freshly isolated MOs (0 hours) or MOs cultured for 4 hours in the presence (serum) or absence
( ) of serum with or without 10 7 mol/L
1,25(OH)2VD3 (VD) was isolated and Northern
blot was performed according to "Materals and methods." As a
control for RNA loading, the membrane was rehybridized with an 18S
rRNA-oligonucleotide and MADDAM signals were normalized to the
corresponding 18S signals (B). In (C), the mRNA expression of
MADDAM in mononuclear cells (MNCs), an elutriated lymphocyte
fraction (LY), and elutriated MOs, stimulated for 4 hours with
10 7 mol/L VD under serum-free conditions, was
compared by Northern blot analysis.
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Northern blot analysis with the cloned 290 bp DD cDNA fragment, which
we called MADDAM, revealed weak signals at about 7.5 kilo bases (kb) in
MOs cultured for 4 hours in the presence or absence of serum without
1,25(OH)2VD3. Both signals were further up-regulated by stimulation with 10 7 mol/L
1,25(OH)2VD3. In freshly isolated MOs, no
signal was detected (Figure 1B). To exclude the possibility that
nonmonocyte contaminants are responsible for the MADDAM expression, we
compared the expression of MADDAM in mononuclear cells, lymphocytes,
and elutriated MOs. We found no MADDAM mRNA expression in the
lymphocyte fraction (less than 1% MOs), a weak signal in MNCs
(10%-15% MOs), and a strong expression in MOs (Figure 1C).
Molecular cloning of MADDAM
We obtained the full-length sequence of the mRNA
transcript (MADDAM) by screening of a lymph node library (Clontech)
with different probes of MADDAM. The combined sequence of 6489 kb
contains a putative open reading frame of 2757 bp and an unusual
polyadenylation site (ATTAAA) 34 nucleotides upstream of the
poly(A)+tail (data not shown). The open reading frame
encoded for a putative protein with 919 amino acids (101 kd), that
showed a strong homology of 84% to the murine
meltrin- 51 belonging to the ADAM-family, which is also
named MDC (metalloprotease disintegrin cysteine-rich) family (Figure
2).35,37 Further comparison of
MADDAM with sequences of the database (EMBL/GenBank/DDBJ) revealed
strong homologies to other members of this family, eg, 48% to human
ADAM 12 and 41% to Xenopus laevis ADAM 13. In correlation with
these homologies, the deduced amino acid sequence of MADDAM contains a
metalloprotease domain with a zinc-binding active site, a disintegrin
domain, and cysteine-rich domain. In addition, the putative cysteine
switch (at amino acid position 174) and the furin cleavage site (at
amino acid position 200-204) were present in the protein sequence of MADDAM, and they are very important for the protease
activity.52

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| Fig 2.
Comparison of the amino acid sequences of MADDAM and
murine meltrin- .
The putative cysteine switch, furin cleavage site, and zinc-binding
active site are marked. The sequence data are available from
EMBL/GenBank/DDBJ under accession number Y13786.
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Expression of MADDAM messenger RNA during the in vitro
differentiation of monocytes
During the in vitro differentiation of MOs to MACs, a
transient mRNA expression of MADDAM was detected after 4 hours, which was completely down-regulated after 1 day of culture. However, during
the differentiation of MOs to dendritic cells (DCs), MADDAM mRNA
expression was induced in short-term cultured cells and maintained at a
high level (data not shown). Therefore, we investigated in particular the MADDAM expression in dendritic cells.
First, we analyzed the influence of different medium
supplements normally used for generation of DCs from MOs. Only in DCs cultured with IL-4 in combination with GM-CSF did we observed signals
of MADDAM mRNA after 7 days of culture (Figure
3A). To exclude a role of
FCS for the regulation of MADDAM, MOs were also cultured for 7 days in serum-free DC medium (Cell Genix, Freiburg, Germany) with IL-4 and GM-CSF. As expected, MADDAM mRNA
was expressed under serum-free conditions as well. For the induction of
terminal DC maturation, we added 10 ng/mL TNF- after 5 days of
culture for another 2 days. We analyzed the terminal differentiated DCs on day 7 by flow cytometry analysis, which revealed a strong expression of CD1a and HLA-DR and an up-regulation of CD83 by TNF- (data not
shown). Concerning the MADDAM expression, we found a strong increase by culture of immature DCs with TNF- either under
serum-free or serum-containing culture conditions (Figure 3B).

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| Fig 3.
MADDAM mRNA expression in MAC compared with immature and
mature DCs on day 7 of culture.
MOs were cultured with either human serum to induce MAC differentiation
or FCS + IL-4, FCS + GM-CSF, and FCS + IL-4 + GM-CSF, respectively, to
induce DC differentiation (A). In addition, MOs were cultured under
serum-free conditions with IL-4 + GM-CSF with or without the addition
of TNF- on day 5 (B). In (C), DCs were generated from either MNCs or
different elutriation fractions containing MOs with IL-4 + GM-CSF + FCS
and the addition of TNF- on day 5. In (D), MOs into MAC
differentiation under serum-free conditions with 100 ng/mL M-CSF was
switched to the DC differentiation pathway on day 4 by culture with
FCS, IL-4, and GM-CSF or the other way around. Total RNA was extracted
and the Northern blot analysis was performed as described in
"Materials and methods." As a control for RNA loading, the
membrane was rehybridized with an 18S rRNA-oligonucleotide (A-D).
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In addition, we analyzed the influence of non-MO contaminants on MADDAM
expression in mononuclear cells (10%-15% MOs), an elutriation
fraction containing about 50% lymphocytes and 50% MOs and elutriation
purified MOs (more than 90% MOs). Dependent on the MO content in the
starting cell preparation, MADDAM expression increased (Figure 3C). In
addition, DCs derived from MOs purified by MACs sorting (more than
95%) with anti-CD14 superparamagnetic beads (Miltenyi) showed a
comparable MADDAM mRNA expression (data not shown).
As recently described by Palucka and colleagues,53 the
differentiation of MOs into DCs can be switched on day 4 into the MAC
differentiation pathway by cultivation of the cells with M-CSF for another 4 days. In line with our results, we found that
the MADDAM expression was completely shut down after M-CSF culture. However, the switch of the MACs to the DC differentiation pathway led
to an induction of MADDAM expression (Figure 3D).
MADDAM expression was independent on the progenitor cells used for DC
generation, because MO-derived DCs, as well as DCs generated from
CD34+ cells, expressed MADDAM. No MADDAM mRNA expression
was found in CD34+ cells on day 0 of culture, but after 8 and 15 days, strong MADDAM signals were detected (Figure
4A). During this time, the number of
CD1a+ and CD14+ cells slightly increased
(Figure 4B).


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| Fig 4.
Expression of MADDAM mRNA during the differentiation
process of CD34+ cells into DCs in vitro.
CD34+ cells were cultured up to 15 days with FCS, stem cell
factor, TNF- , and GM-CSF (A). Total RNA was isolated and Northern
blot analysis was performed as described in "Materials and
methods." As a control for RNA loading, the membrane was
rehybridized with an 18S rRNA-oligonucleotide and MADDAM signals were
normalized to the corresponding 18S signals. In parallel, flow
cytometry analysis was performed with anti-CD1a-PE, anti-CD14-FITC, and
isotype control antibodies at day 8 and day 15 of culture. The median
fluorescence and the number of positive cells are shown (B).
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Distribution of MADDAM in tissues and cell lines
Next, we investigated the expression of MADDAM in various human cell
lines and tissues by Northern blot analysis. MADDAM mRNA was detected
in HT29, a colon adenocarcinoma cell line, in Daudi, a B-lymphoma cell
line, and fibroblasts (N1), but not in Jurkat, a T-lymphoma cell line,
and in MelEi, a melanoma cell line. Only weak signals were found in
K562, a chronic myeloid cell line, and in HaCat, a keratinocyte cell
line (Figure 5A). It is known that
1,25(OH)2VD3 induces differentiation of many
cell types, especially myelomonocytic cell lines. Therefore, we
cultured different myelomonocytic cell lines, HL-60, U937, and THP-1
cells either with 10 7 mol/L
1,25(OH)2VD3 or 10 8 mol/L
PMA in the presence of 10% FCS, up to 3 days to induce MAC
differentiation and examined the expression of MADDAM by Northern blot
analysis of total RNA. In none of the myelomonocytic cell lines, MADDAM
mRNA was expressed neither constitutively nor after induction of
differentiation with 1,25(OH)2VD3 or PMA for 3 days (data not shown). Koski and colleagues54 demonstrated
that HL-60 cells cannot only differentiate into MACs, but also develop
DC morphology after culture for 2 days with calcium ionophore.
Therefore, we cultured HL-60 for up to 2 days with 180 ng/mL calcium
ionophore A23187 and found a weak induction of the expression of MADDAM mRNA after stimulation with calcium ionophore (data not shown).

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| Fig 5.
Expression of MADDAM mRNA in human cell lines and
tissues.
(A) Human cell lines; (B) tissues. The commercially available tissue
blot contained poly(A)+RNA of the indicated tissues
(Multiple tissue Northern blot II; Clontech). Northern blot analysis
was performed as described "Materials and methods." As a control
for RNA loading, membranes were rehybridized with an 18S rRNA- (A) or
GAPDH-oligonucleotide (B).
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Investigation of the MADDAM mRNA distribution in different tissues
revealed a strong expression in lymph nodes, spleen, and blood. A weak
expression was detected in thymus, bone marrow, and fetal liver (Figure
5B).
In situ expression of MADDAM mRNA in human lymph nodes and in blood
dendritic cells
On the basis of the Northern blot analysis of human tissues
of the immune system, we were interested in the localization of the
MADDAM mRNA expression in human lymph nodes and performed in situ
hybridization with 33P-labeled sense (Figure
6A) and antisense (Figure 6B,C) cRNA probes of MADDAM. We found specific MADDAM mRNA signals distributed over the
whole follicle (Figure 6B,C).

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| Fig 6.
Localization of MADDAM mRNA in human lymph nodes by in
situ hybridization.
Human lymph node paraffin embedded series sections were generated and
hybridized with 33P-labeled sense (A) or antisense (B,C)
probes of MADDAM as described in "Materials and methods." In A
and B, a 10 × magnification, in C a 100 × magnification
is shown.
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To further confirm the expression of MADDAM in DCs in vivo, we isolated
blood-DCs by using the "Magnetic Cell Sorting" technique. Instead
of the Northern blot analysis, we performed RT-PCR with the blood-DC
RNA because only a small amount of cells (1-2 106 blood-DCs
per isolation) could be obtained. As negative and positive controls,
respectively, we used RNA of MO-derived MACs and DCs. According
to the Northern blot analysis, we found signals of MADDAM in MO-derived
DCs, but not in MO-derived MACs. Interestingly, blood-DCs showed a
strong expression of MADDAM similar to the expression in MO-derived
DCs. The -actin cDNA was amplified as a control and after either 18 or 22 cycles, the amount of amplified cDNA was equal in all samples
(Figure 7).

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| Fig 7.
Expression of MADDAM in freshly isolated blood-DCs
detected by RT-PCR.
For comparison MADDAM expression in MO-derived MACs and DCs generated
from MOs with or without TNF- is shown. As a control -actin was
amplified. No signals were detected by amplification of the
corresponding amount of RNA omitting the RT step.
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 |
Discussion |
MOs are common precursor cells of MACs and DCs in vitro, but
little is known about the respective differentiation pathways in
vivo.8 The aim of this study was to identify genes involved in the differentiation process of MOs to MACs. We identified a transcript, named "MADDAM," that was up-regulated in short-term cultured human blood MOs by 1,25(OH)2VD3.
Surprisingly, beside the expression of MADDAM in short-term cultured
MOs, but not in MACs, MADDAM was expressed in DCs derived from MOs or
CD34+ cells, indicating a role of MADDAM in DC differentiation.
The MADDAM sequences revealed strong homology to members of the ADAM (a
disintegrin and metalloprotease) family, which is also known as MDC
(metalloprotease/disintegrin/ cysteine-rich) family. The strongest
homology was obtained to murine meltrin- , which has been cloned
recently by Inoue and colleagues.51 Proteins of the ADAM
family contain several distinct protein modules, including a prodomain
and metalloprotease domain, a disintegrin domain, a cysteine-rich
domain, and an EGF repeat domain.35 They are involved in
sperm-egg fusion,38,55 cell-cell fusion of
myoblasts,56 and in processing of cytokines such as TNF-
and TRANCE.57-59 Meltrin- is expressed in mouse
fibroblasts and regulated by 1,25(OH)2D3 in
mouse osteoblasts.51 Accordingly, we found MADDAM mRNA in human fibroblasts and the expression was up-regulated by
1,25(OH)2D3 in human MOs. In addition, murine
meltrin- is strongly expressed in various tissues such as bone
marrow, heart, spleen, and brain, whereas the expression of MADDAM
seems to be more restricted and was only weakly detected in bone
marrow, fetal liver, or thymus by Northern blot analysis. Despite the
fact of some differences in the expression pattern, we suggest, on the
basis of the strong homology of 84% to the amino acid sequence of
murine meltrin- , that MADDAM is the human homologue of meltrin- .
As MADDAM contains a putative transmembrane region and a signal
peptide, it is likely to be expressed on the surface of the respective
cell. In contrast, decysin, a metalloprotease, which has
recently been described in CD4+CD11c+
dendritic cells isolated from tonsils, lacks a transmembrane region and
therefore is possibly a secreted protein.60 In
addition, there is also evidence that another metalloprotease,
gelatinase B, is expressed in dendritic cells.61
MADDAM was not expressed in freshly isolated blood MOs and rapidly
down-regulated during MO to MAC differentiation, but was induced during
short-term culture of blood MOs by adherence and 1,25(OH)2D3. The role of
1,25(OH)2D3 for the expression of MADDAM in
human MOs is unclear. The 1,25(OH)2D3 could
either directly regulate MADDAM gene expression via the
1,25(OH)2D3 receptor and/or regulate the
expression indirectly by the up-regulating of MO adhesion.10 In contrast to MOs, where
1,25(OH)2D3 is a known differentiation
agent,10,11 1,25(OH)2D3 has been
reported to suppress the differentiation of DCs.62 Our
preliminary data indicate no influence of
1,25(OH)2VD3 on the regulation of MADDAM during
the differentiation process of DCs.
The time course of MADDAM expression in MOs on the one hand and the
possible function as metalloprotease and disintegrin on the other hand
supports the hypothesis that MADDAM may be important for the early
adhesion and migration process of MOs in vivo during their
extravasation from the blood through the endothelium into the tissue.
If MOs reach the tissue, adhere, and differentiate into MACs, they may
become independent of MADDAM function and therefore the expression of
this protein is silenced. However, the expression of another
metalloprotease in human MOs/MACs, gelatinase B (type IV collagenase),
is up-regulated during the final maturation of MOs to MACs in
vitro,46 also suggesting a role of matrix proteins for the
function of mature macrophages as described for fibronectin by Perri
and colleagues.63
In contrast to MACs that are a more sessile type of immune cell, DCs
have to be very mobile. During their early differentiation process,
they migrate to different tissues, eg, skin, where they encounter and
uptake antigens. Then, during the next step of differentiation, they
mature and have to find their way to the lymph nodes, where they
present the processed antigen to T lymphocytes, thereby inducing a
specific immune response.7 These specific migration
processes of DCs require the capacity to digest matrix proteins, eg,
need to express metalloproteases such as MADDAM. Recently, it has been shown by Kobayashi64 that matrix metalloproteinase-9, but
not matrix metalloproteinase-2, is involved in the migration and
differentiation of murine Langerhans cells. MADDAM was expressed during
the whole differentiation process of DCs in vitro, independent of
whether we analyzed DCs generated from MOs or CD34+stem
cell preparations. The final maturation of MO-derived DCs in vitro
induced by TNF- 29,30,65 led to an increased MADDAM expression and therefore perhaps to an up-regulated migration. In
addition, freshly isolated blood-DCs also showed a significant MADDAM
expression. In the light of the recent publication of Randolph and
colleagues,66 the capacity of MOs to reverse transmigrate after reaching the subendothelial compartment is a key event for the
differentiation of MOs to DCs. MOs unable to reverse transmigrate become MACs. If MADDAM is involved in MO migration, the regulation of
this metalloprotease may determine the fate of MOs, eg, differentiation into either DCs or MACs.
As other members of the ADAM family, such as the metalloprotease
"TNF- converting enzyme" (TACE/ADAM 17) and ADAM 10, are involved in TNF- processing,57,58,67 MADDAM may also
play a role in the autocrine regulation of cytokines, regulating DC differentiation to a more mature type of antigen-presenting cell.
In situ hybridization revealed expression of MADDAM in lymph follicles,
but the assignment of MADDAM expression to a certain cell type of the
follicle is difficult. Our data showed the expression of MADDAM in
Daudi, a B-lymphoma cell line, and in freshly isolated blood-DCs, which
are probable progenitor cells of the CD4+CD11c+
DC subpopulation in germinal centers of lymph follicles.68 This may point out that either the CD4+CD11c+
germinal center DC population or B cells may be responsible for the
respective signals of MADDAM in the lymph nodes. Most likely both cell
types express MADDAM.
In conclusion, we isolated a
1,25(OH)2VD3-regulated mRNA transcript
(MADDAM) in human blood MOs. On the basis of the GenBank data and the
analysis of the amino acid sequence of the putative protein, we
identified the human homologue to murine meltrin- (ADAM 19), a new
human member of the ADAM family. Because of the different expression
pattern of MADDAM in MACs and DCs, we suggest that MADDAM may serve as
a novel marker for the distinction of DCs from other cells of the
myeloid pathway and may be directly involved in the divergence along
the 2 distinct pathways toward DCs or MACs. Further investigations will
clarify the possible role of MADDAM for the function of DCs and other
cell types, such as B lymphocytes, in vitro and vivo.
 |
Acknowledgments |
We thank Prof Dr C. Bogdan for the helpful criticism in the
preparation of the manuscript, Dr S. W. Krause for carrying out the FACS analysis of blood-DC, A. Pietryga-Krieger for
performing the cDNA sequencing and S. Seegers for excellent
technical assistance.
 |
Footnotes |
Submitted August 12, 1999; accepted March 14, 2000.
Supported by Deutsche Forschungsgemeinschaft (An 111/6-6).
Reprints: M. Kreutz, Department of
Hematology/Oncology, University of Regensburg,
Franz-Josef-Strauß-Allee 11, D-93042 Regensburg, Germany; e-mail:
marina.kreutz{at}klinik.uni-regensburg.de.
The publication costs of this
article were defrayed in part by
page charge payment. Therefore,
and solely to indicate this fact,
this article is hereby marked
"advertisement"
in accordance with 18 U.S.C.
section 1734.
 |
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