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Previous Article | Table of Contents | Next Article 
Blood, 15 June 2001, Vol. 97, No. 12, pp. 3941-3950
PHAGOCYTES
Plasmin-induced expression of cytokines and tissue factor in
human monocytes involves AP-1 and IKK -mediated NF- B
activation
Tatiana Syrovets,
Marina Jendrach,
Angela Rohwedder,
Almut Schüle, and
Thomas Simmet
From the Department of Pharmacology of Natural Products
and Clinical Pharmacology, University of Ulm, Germany; and the
Department of Virology, University of Bochum, Germany.
 |
Abstract |
It was previously shown that plasmin activates human peripheral
monocytes in terms of lipid mediator release and chemotactic migration.
Here it is demonstrated that plasmin induces proinflammatory cytokine
release and tissue factor (TF) expression by monocytes. Plasmin 0.043 to 1.43 CTA U/mL, but not active site-blocked plasmin, triggered concentration-dependent expression of mRNA for
interleukin-1 (IL-1 ), IL-1 , tumor necrosis factor-
(TNF- ), and TF with maximum responses after 4 hours.
Plasmin-mediated mRNA expression was inhibited in a
concentration-dependent manner by the lysine analogue trans-4-(aminomethyl)cyclohexane-1-carboxylic acid
(t-AMCA). Increases in mRNA levels were followed by concentration- and
time-dependent release of IL-1 , IL-1 and TNF- and by TF
expression on monocyte surfaces. Neither cytokines nor TF could be
detected when monocytes were preincubated with actinomycin D or
cycloheximide. Electrophoretic mobility shift assays indicated
plasmin-induced activation of NF- B; DNA-binding complexes were
composed of p50, p65, and c-Rel, as shown by supershift experiments.
Nuclear translocation of NF- B/Rel proteins coincided with I B
degradation. At variance with endotoxic lipopolysaccharide, plasmin
elicited the rapid degradation of another cytoplasmic NF- B
inhibitor, p105. Proteolysis of NF- B inhibitors was apparently due
to transient activation of I B kinase (IKK) that reached maximum
activity at 1 hour after plasmin stimulation. In addition, AP-1 binding
was increased in plasmin-treated monocytes, with most complexes
composed of JunD, c-Fos, and FosB. These findings further substantiate
the role of plasmin as a proinflammatory activator of human monocytes
and reveal an important new link between the plasminogen-plasmin system
and inflammation.
(Blood. 2001;97:3941-3950)
© 2001 by The American Society of Hematology.
 |
Introduction |
Most blood cells, including monocytes, bind plasmin
and plasminogen through low-affinity binding sites, a fact that has
usually been regarded in terms of fibrinolytic activity.1
However, several studies2-5 suggest that the serine
protease plasmin might have physiological functions beyond
fibrinolysis. Thus, plasmin induces neutrophil aggregation, platelet
degranulation, and arachidonate release from endothelial cells,
implying activity as a proinflammatory agonist.6-8
Moreover, plasmin was found to be a potent and selective stimulus for
human peripheral monocytes.2-4 In monocytes, plasmin triggered the release of lipid mediators, such as the chemotactic leukotriene B4, and a chemotactic response equipotent to
that of
N-formyl-methionine-leucine-phenylalanine.2-4
Studies with transgenic mice revealed that plasmin is important for
monocyte recruitment to sites of inflammation and for the development
of atherosclerotic lesions.5,9 Additional support for an
extended pathophysiological function of plasmin in vivo comes from
clinical studies showing elevated levels of plasmin in synovial fluid
from arthritic joints and an increased expression of fibrinolytic
genes in atherosclerotic lesions.9-11
Nuclear factor- B (NF- B) is a ubiquitous transcription factor
that regulates the expression of numerous genes, including early-response genes encoding cytokines, adhesion molecules, and tissue
factor.12-14 Disorders in NF- B activation have been
linked to inflammatory reactions associated with arthritis,
atherosclerosis, septic shock, and various other
diseases.12-14 In resting cells, the NF- B/Rel nuclear
factors reside in the cytoplasm bound to inhibitory
proteins.12 Five members of the NF- B family have been
identified. The most abundant form of NF- B is a heterodimer composed
of a p65 subunit and a p50 or p52 subunit. Other complexes, such as
p65/c-Rel, have also been detected.12-14
Although NF- B is considered a genetic switch for
early-response genes, the synergistic interaction of NF- B with other
transcription factors is essential for the optimal induction of
distinct gene expression.15-17 Cooperative and coordinate
binding of NF- B and AP-1 transcription factors enhances the activity
of cytokine and TF gene promoters.15-18 Transcription
factor AP-1 is composed of Jun homodimers or Jun/Fos heterodimers. AP-1
is activated by a wide array of stimuli and is implicated in such
different processes as cell cycle progression, cell cycle arrest, and
apoptosis19 and in leukocyte activation and
differentiation.17
In the present study, we have investigated the plasmin-induced
activation of human peripheral monocytes in terms of pro-inflammatory gene expression. We demonstrate that in human peripheral monocytes, plasmin stimulates proinflammatory cytokines and TF expression associated with proinflammatory activation of
macrophages,20 indicating a new link between the
plasminogen/plasmin system and inflammation. We further show that
plasmin-induced signal transduction entails the activation of
transcription factors NF- B and AP-1.
 |
Materials and methods |
Materials
Purified human plasmin (lots 354915 and 352817; specific
activity, 14.83 CTA U/mg) was from Fluka (Deisenhofen, Germany). Antibodies against nuclear factors, I B and I B , IKK and
IKK , and tagged I B fusion protein were from Santa Cruz
Biotechnology (Santa Cruz, CA). Double-stranded oligonucleotides
containing the NF- B, AP-1, AP-2, and SP-1 binding sites and T4
polynucleotide kinase were purchased from Promega (Madison, WI).
Anti-CD41 and anti-CD14 monoclonal antibodies were obtained from
Immunotech (Marseilles, France). Mouse monoclonal antibodies against
human TF and control MOPC21 mouse IgG1 were from American
Diagnostica (Greenwich, CT) and Sigma (St Louis, MO), respectively.
Lysine-free RPMI 1640, the Limulus amebocyte lysate assay
cycloheximide, trans-4-(aminomethyl)cyclohexane-1-carboxylic acid (t-AMCA), and lipopolysaccharide (LPS; Escherichia coli
serotype 055:B5) were also from Sigma. Actinomycin D and
D-valyl-L-phenylalanyl-L-lysine chloromethyl ketone were from
Calbiochem (San Diego, CA). Percoll was from Pharmacia Biotech
(Uppsala, Sweden). The plasmin substrate S-2251
(H-D-valyl-leucyl-L-lysine-P-nitroanilide dihydrochloride) was supplied by Chromogenix (Mölndal, Sweden).
Oligo(dT)25 magnetic beads were from Dynal (Oslo, Norway).
Other chemicals were of analytical grade.
Monocyte preparation and incubation
Peripheral monocytes were isolated by Percoll gradient
centrifugation.2-4 Preparations with 94% or more
CD14+ cells were used. Contaminating cells were lymphocytes
(2%-6%). Flow cytometry of cells stained additionally with anti-CD41
antibodies did not reveal any platelets associated with monocytes.
Monocytes were generally incubated in lysine-free RPMI 1640 in the
presence or absence of LPS (1 µg/mL), a concentration that was found
to yield maximum responses in terms of tumor necrosis factor-
(TNF- ) and TF biosynthesis, or LPS-free human plasmin (0.043-1.43 CTA U/mL). All plasmin batches were regularly checked for LPS
contamination with the Limulus amebocyte lysate assay. Occasionally,
plasmin was added in the presence of the lysine analogue t-AMCA.
In some experiments, monocytes were treated for 4 hours with active
site-blocked plasmin, equivalent to 0.43 CTA U/mL native plasmin.
D-Val-Phe-Lys chloromethyl ketone (VPLCK) was used to block the
catalytic center of plasmin.3,4 Active site-blocked plasmin had no detectable residual plasmin activity, as tested with
S-2251 as a substrate. Controls and LPS-stimulated samples received the
appropriate amounts of VPLCK.
Semiquantitative reverse transcription-polymerase chain
reaction analysis
mRNA isolated from monocytes (0.5 × 106
cells/assay) with oligo(dT)25 magnetic beads was analyzed
by reverse transcription-polymerase chain reaction (RT-PCR) with
primers specific for interleukin-1 (IL-1 ), IL-1 , TNF- , and
TF.21,22 Conditions were such that the PCR reactions did
not reach the saturation phase.
Control experiments showed no DNA contaminations. Normalization of
semiquantitative PCR was carried out using HLA(B) as an internal
standard.23 The identity of the PCR products was confirmed by direct sequencing (Abi Prism 310; Applied Biosystems, Foster City, CA).
For determination of mRNA stability, monocytes were stimulated with
plasmin (1.43 CTA U/mL) or LPS (1 µg/mL) for 4 hours before the
addition of actinomycin D (5 µg/mL). Levels of corresponding cytokines or TF mRNA at the beginning of the actinomycin D chase (time
point, 0 hour) were set to 100%. Curves fitted by least-squares regression were used for the calculation of the half-life of each mRNA.
Cytokine and TF biosynthesis
Cytokines were assayed in cell-free supernatants using
enzyme-linked immunosorbent assay (ELISA) specific for IL-1
(Cytimmune; College Park, MD), IL-1 , interferon (IFN)-
(Biosource, Camarillo, CA), and TNF- (R&D Systems, Minneapolis, MN).
TF was analyzed in whole cell extracts using a TF-specific ELISA from
American Diagnostica. In some experiments, monocytes were preincubated for 15 minutes with cycloheximide (10 µg/mL) or actinomycin D (5 µg/mL) before stimulation with 1.43 CTA U/mL plasmin for 8 hours.
For flow cytometry of TF expression, monocytes plated on hydrophobic
Petriperm dishes (In Vitro Systems, Osterode, Germany) were stimulated
with plasmin (0.43 CTA U/mL) or LPS (1 µg/mL) for 8 hours. Cells were
carefully detached by scraping. Then they were washed with 15 mM 6-aminohexanoic acid and phosphate-buffered saline (PBS) to remove
bound plasmin, stained with either monoclonal antihuman TF or control
MOPC21 and anti-CD14 monoclonal mouse antibodies, and analyzed by
FACScan (Becton Dickinson, San Jose, CA).
Electrophoretic mobility shift assays
Monocytes (5 × 106 cells/assay) were stimulated
with plasmin (0.43 CTA U/mL) or LPS (1 µg/mL). Nuclear extracts for
NF- B and AP-1 electrophoretic mobility shift assay (EMSA) were
prepared as described.24,25 DNA-protein interactions were
assayed by incubating 5 µg nuclear extract with 50 000 cpm
32P-end labeled double-stranded NF- B site-specific probe
in the presence of 1 µg poly [dI-dC] (Pharmacia Biotech) in 20 µL
binding buffer, pH 5.0 (10 mM Tris-HCl, 10% glycerol, 1.0 mM EDTA, 40 mM NaCl, 1.0 mM dithiothreitol, and 4.0 mM MgCl2) at 24°C
for 30 minutes. AP-1 EMSA was assayed as described25,26
except for 10% glycerol in the buffer. In supershift experiments,
nuclear extracts were incubated with the corresponding antibodies (2 µg) for 1 hour at 4°C after the addition of 32P-end
labeled NF- B DNA or for 12 hours at 4°C before the addition of the
32P-labeled AP-1 probe.25,26
Western blot analysis and immunostaining
Monocytes (5 × 106 cells/assay) were cultured on
hydrophobic Petriperm membranes in the presence of plasmin (0.43 CTA
U/mL) or LPS (1 µg/mL). Cells were lysed in 30 µL PBS, pH 7.4, containing 1% Igepal CA-630 (Sigma), 0.5% Na-deoxycholate, 0.1%
sodium dodecyl sulfate (SDS), and 0.3 µL protease inhibitor cocktail
set III (Calbiochem). Samples containing equal amounts of protein were resolved by 10% SDS polyacrylamide gel electrophoresis (PAGE) and electroblotted onto nitrocellulose membranes. Membranes were incubated with appropriate antibodies (1 µg/mL) and subsequently with
secondary antibodies conjugated with horseradish peroxidase (1:1000).
Antibody complexes were visualized using the enhanced chemiluminescence
Western blotting detection reagent system (ECL; Amersham Pharmacia
Biotech, Buckinghamshire, United Kingdom) and subsequent exposure to
Hyperfilm ECL (Amersham).
Immunoprecipitation and kinase assay
Monocytes (5 × 106 cells/assay) were lysed with
500 µL buffer, pH 8.0 (25 mM Tris-HCl, 100 mM NaCl, 25 mM
-glycerophosphate, 100 µM Na-orthovanadate, 2 mM EDTA, 2 mM EGTA,
10% glycerol, 1% Triton X-100, 5 µL protease inhibitor cocktail set
III [Calbiochem]), and supernatants were precleared by incubation
with 1 µg normal rabbit IgG and 10 µL protein A-agarose. For
immunoprecipitation of IKK and IKK , precleared cell lysates were
further incubated for 1 hour at 4°C with 1 µg anti-IKK or
anti-IKK rabbit polyclonal antibodies. Afterward, 10 µL protein
A-agarose was added, and incubations were continued for 1 hour. IKKs
attached to the agarose beads were extensively washed and finally
resuspended in 15 µL kinase buffer (20 mM HEPES, pH 7.5, 10 mM
MgCl2, 20 mM -glycerophosphate, 100 µM
Na-orthovanadate, 1 mM dithiothreitol). Fifteen microliters IKK, 10 µM adenosine triphosphate (ATP), and 5 µCi
[ -32P]-ATP (6000 Ci/mmol, 10 mCi/mL; Amersham) were
incubated with substrate I B (1 µg) tagged fusion protein
corresponding to the full-length I B (amino acids 1-317) of human
origin (Santa Cruz Biotechnology) at 30°C for 20 minutes. Samples
were resolved by 10% SDS-PAGE, blotted on nitrocellulose, visualized
by autoradiography, and quantified using a PhosphorImager (Molecular
Dynamics, Sunnyvale, CA). To check loading and for confirmation of IKK
immunoprecipitation, blots were immunostained with 1:500 dilutions of
IKK or IKK mouse monoclonal antibodies, respectively.
Statistical analysis
Values shown represent mean ± SEM where applicable.
Statistical significance was calculated with the Newman-Keuls test.
Differences were considered significant for P < .05.
 |
Results |
Expression of cytokine and TF mRNA
By semiquantitative RT-PCR analysis, human monocytes did not
express detectable cytokine or TF mRNA at 0 hour (Figure
1A). Compared with controls, stimulation
of monocytes with plasmin (1.43 CTA U/mL) induced the time-dependent
expression of mRNA for IL-1 , IL-1 , and TNF- and for TF (Figure
1A-B). All 4 mRNAs investigated followed similar kinetics, with maximum
expression 4 hours after stimulation and a slight decrease at 8 hours.
IL-1 , IL-1 , and TF mRNA expression was comparable in monocytes
stimulated with either plasmin or LPS, though the kinetics differed.
Within 1 hour of 1 µg/mL LPS stimulation, a rapid increase of mRNA
expression occurred, whereas mRNA expression in the presence of plasmin
was delayed. In accordance with the existing
literature,26,27 culture of the monocytes led to weak
adherence-induced gene expression (Figure 1B). Adhesion of
monocytes28 was, however, not promoted by plasmin (0.43 to
1.43 CTA U/mL), nor did it induce homotypic aggregation as measured by
either spectrophotometric aggregometry29 or flow
cytometric doublet discrimination (data not shown). Therefore, plasmin-induced changes in mRNA expression are not secondary to any
such events.

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| Figure 1.
Plasmin stimulates time-dependent expression of IL-1 ,
IL-1 , TNF- , and TF mRNA in human monocytes.
Monocytes (0.5 × 106/mL) were cultured in the presence
of plasmin 1.43 CTA U/mL ( ) or LPS 1 µg/mL ( ) or in the absence
of any stimulus ( ). At indicated times cells were harvested, and
mRNA was extracted and subjected to RT-PCR. HLA(B) was used for
normalization. (A) Representative gels are shown. (B) Semiquantitative
analysis of the mRNA expression. Results are the mean ± SEM of 5 independent experiments.
|
|
RT-PCR products had the expected molecular weights and were identified
by sequencing. Each PCR band represented a single PCR product, with
more than 99% sequence identity with the investigated cytokine or TF
(data not shown).
Plasmin triggered a concentration-dependent expression of IL-1 ,
IL-1 , TNF- , and TF mRNA in monocytes incubated for 4 hours (Figure 2). By contrast, unstimulated
controls expressed only small amounts of cytokine and TF mRNA. Although
0.043 CTA U/mL plasmin already increased IL-1 , IL-1 , TNF- , and
TF mRNA expression, increases were significant at 0.143 CTA U/mL
plasmin (n = 5; P < .05 vs unstimulated controls). The
concentration of 0.43 CTA U/mL plasmin appeared to be optimal for
cytokine expression because there was almost no further mRNA
augmentation with plasmin 1.43 CTA U/mL. Consistent with previous
studies, up to 1.43 CTA U/mL plasmin for 8 hours did not alter monocyte
viability, as assessed by trypan blue dye exclusion, nor did it induce
apoptosis in terms of annexin V binding to externalized
phosphatidylserine.30 By contrast, UV (254 nm, 150 J/m2)-irradiated monocytes stained positive (data not
shown).

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| Figure 2.
Plasmin triggers concentration-dependent expression of
IL-1 , IL-1 , TNF- , and TF mRNA in human monocytes.
Monocytes were incubated with the indicated concentrations of LPS-free
plasmin for 4 hours. Expression of mRNA was measured by
semiquantitative RT-PCR. HLA(B) was used for normalization. Results are
the mean ± SEM of 5 independent experiments.
*P < .05 and **P < .01. versus
unstimulated controls.
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An intact plasmin catalytic center is essential for the effects
observed because active site-blocked plasmin was unable to trigger
either mRNA expression (Figure 3A) or
corresponding protein release (data not shown). The plasmin inhibitor
VPLCK had no effect on mRNA expression in untreated or LPS-stimulated
monocytes (Figure 3A). Similarly, the lysine analogue t-AMCA (3.0 mM)
had no effect on LPS-stimulated mRNA expression, nor did it modulate
basal control expression (Figure 3B). By contrast, t-AMCA at 0.3 and
3.0 mM induced a concentration-dependent inhibition of plasmin-induced mRNA expression (Figure 3B), implying the necessity of the plasmin molecule to bind through its lysine-binding sites.

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| Figure 3.
Role of the intact catalytic center and lysine binding
sites for the plasmin-induced expression of IL-1 , IL-1 , TNF- ,
and TF mRNA in human monocytes.
(A) Effect of active site-blocked plasmin. The catalytic center of
plasmin was blocked by preincubation with the irreversible inhibitor
VPLCK. Monocytes were cultured in the absence of any stimulus (lane 1),
VPLCK 25 µM (lane 2), LPS 1 µg/mL (lane 3), LPS 1 µg/mL, and
VPLCK 25 µM (lane 4), in the presence of plasmin 0.43 CTA U/mL (lane
5) or with 0.43 CTA U/mL active site-blocked plasmin (VPLCK-plasmin,
lane 6). (B) Effects of t-AMCA. Monocytes were cultured in the absence
of any stimulus (lane 1), t-AMCA 3 mM (lane 2), LPS 1 µg/mL (lane 3),
LPS 1 µg/mL, and t-AMCA 3.0 mM (lane 4), in the presence of plasmin
0.43 CTA U/mL (lane 5) and with plasmin 0.43 CTA U/mL and t-AMCA 0.3 mM
(lane 6) or 3.0 mM (lane 7), respectively. In both experiments, cells
were harvested after 4 hours, and mRNA was extracted and subjected to
RT-PCR. HLA(B) was used for normalization. Results of 1 of 3 experiments are shown in each case.
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Effects of plasmin on mRNA stability were investigated by monitoring
the decay of cytokine and TF mRNA in monocytes stimulated with plasmin
(1.43 CTA U/mL) or LPS (1 µg/mL). Exponential regression analysis of
the data indicated that stimulation with plasmin unexpectedly reduced
the stability of cytokine and TF mRNA compared with LPS (Figure
4). The mRNA half-life in
plasmin-stimulated monocytes ranged from 0.9 hours for IL-1 to 2.2 hours for IL-1 . In LPS-stimulated cells, mRNA half-life varied
between 1.9 hours for TNF- and 10.4 hours for IL-1 .

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| Figure 4.
Stability of IL-1 , IL-1 , TNF- , and TF mRNA in
plasmin-treated monocytes.
Monocytes were stimulated for 4 hours with plasmin 1.43 CTA U/mL ( )
or LPS 1 µg/mL ( ). The level of the corresponding cytokine or TF
mRNA at this time point was 100%. Actinomycin D (5 µg/mL) was added,
and incubation continued for the indicated time. Poly(A)+
RNA was isolated and subjected to RT-PCR. HLA(B) was used for
normalization; its stability over 4 hours was not significantly
different in controls than in plasmin- or LPS-treated cells. Results
are the mean ± SEM of 3 independent experiments. Curves were
fitted by least-squares regression analysis and were used to calculate
the half-life of each mRNA species.
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Plasmin stimulates cytokine release and TF biosynthesis
Cytokine mRNA expression does not inevitably lead to
translation.27,31,32 Similar to LPS, plasmin triggers
time- and concentration-dependent release of IL-1 , IL-1 , and
TNF- from monocytes (Figure 5). Cytokines and TF were detectable as early as 2 to 4 hours after stimulation. Plasmin at 0.43 and 1.43 CTA U/mL was at least as potent
as 1 µg/mL LPS with respect to IL-1 release. However, LPS
triggered a more rapid and extensive release of IL-1 , indicating clear differences between LPS- and plasmin-mediated activation of
monocytes. Although the release of TNF- was delayed in
plasmin-stimulated monocytes, at 2 hours after exposure there was no
significant difference in the amount of TNF- released by cells
stimulated with either 1.43 CTA U/mL plasmin or LPS 1 µg/mL.
Similarly, TF production analyzed in whole-cell extracts commenced with
some delay in plasmin-treated monocytes; however, at 6 to 8 hours after the onset of stimulation with 0.43 or 1.43 CTA U/mL plasmin, monocytes generated even more TF than LPS-stimulated cells (Figure 5). Monocytes pretreated with inhibitors of transcription (5 µg/mL actinomycin D)
or translation (10 µg/mL cycloheximide) produced no detectable amounts of cytokines or TF after stimulation with 1.43 CTA U/mL plasmin
(data not shown). There was no detectable release of IFN- by
cultured cells at any of the time points investigated (data not shown).

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| Figure 5.
Generation of IL-1 , IL-1 , TNF- , and TF by
plasmin-stimulated human monocytes.
Monocytes were incubated with various concentrations of plasmin for the
times indicated. Monocytes treated with LPS 1 µg/mL served as
positive controls. Supernatants were collected, and the release of
IL-1 , IL-1 , and TNF- was analyzed by ELISA. Cell-associated TF
was measured in whole-cell lysates. Results are the mean ± SEM of
4 to 6 independent experiments. *P < .05 and
**P < .01. versus unstimulated controls.
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TF expression is up-regulated in plasmin-stimulated
monocytes
Flow cytometric analysis of CD14+ cells revealed TF
expression on the surfaces of plasmin-stimulated monocytes. In
agreement with published data,33 unstimulated monocytes
expressed only low levels of TF. Stimulation with 0.43 CTA U/mL plasmin
for 8 hours led to significantly increased TF expression, comparable to
that of cells stimulated with LPS 1 µg/mL (Figure
6). TF could not be detected in
supernatants of plasmin-stimulated monocytes (data not shown),
indicating that membrane-bound TF was not proteolytically released by
plasmin. LPS-stimulated cells did not release TF either (data
not shown).

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| Figure 6.
Induction of TF expression on the monocyte membrane by
plasmin.
Flow cytometric analysis of TF on human monocytes incubated for 8 hours
with plasmin 0.43 CTA U/mL (black), LPS 1 µg/mL (black), or
unstimulated controls (gray). Cells were stained with unspecific
IgG1 (MOPC21, negative control, white) and antihuman TF
antibodies. Binding of primary antibodies was visualized by anti-mouse
IgG PE-conjugated secondary antibodies. Results of 1 of 3 experiments
are shown.
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Plasmin triggers nuclear translocation of the NF- B
complex
NF- B-binding sites are present in the promoter regions of many
cytokine genes.13 Transcription of the TF gene is also
strongly dependent on the activation of NF- B/Rel
proteins.18 Increased binding of nuclear extracts to an
NF- B DNA probe was observed as early as 10 minutes after stimulation
of monocytes with 0.43 CTA U/mL plasmin; it reached a maximum at 1 hour
and declined after 2 hours (Figure 7A). A
similar time-course of NF- B activation was found in LPS-stimulated
monocytes, though the DNA-binding activity was stronger. The
specificity of NF- B binding was confirmed in competition
experiments; a 100-fold molar excess of unlabeled NF- B, but not of
AP-2 consensus oligonucleotides, abolished binding of the nuclear
extracts to the labeled NF- B-binding site sequence (Figure 7B). The
protein composition of the DNA-protein band was further investigated
through EMSA. Of the 5 known mammalian NF- B/Rel proteins, p50, p52,
c-Rel, and p65 are highly expressed in monocytes and macrophages; a
high expression of RelB is confined to maturing and differentiated
dendritic cells.14,34 Stimulation of monocytes with 0.43 CTA U/mL plasmin resulted in the nuclear translocation of p50, p65, and
c-Rel but not of p52 (Figure 7B).

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| Figure 7.
NF- B activation by plasmin.
(A) Kinetic study. Monocytes were stimulated with plasmin 0.43 CTA U/mL
or LPS 1 µg/mL (positive control) for the times indicated. Cells were
lysed, and nuclei were isolated. Nuclear extracts (5 µg) were
subjected to EMSA with a 32P-labeled DNA probe containing
the NF- B binding site. (B) Supershift and competition study.
Monocytes were stimulated with plasmin 0.43 CTA U/mL for 1 hour.
Nuclear extracts were incubated for 1 hour with anti-p65, anti-c-Rel,
anti-p50, and anti-p52 antibodies or with unlabeled NF- B or AP-2
specific oligonucleotides (100-fold molar excess). Supershift assay
revealed binding of p65, c-Rel, and p50, but not of p52 nuclear factor.
Preincubation with NF- B-specific oligonucleotide sequence abolished
formation of the NF- B complex. AP-2-specific oligonucleotides had
no effect on the NF- B/DNA complex formation. Results of 1 of 3 experiments are shown.
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I B and p105 are differentially degraded in plasmin- and
LPS-stimulated monocytes
The effect of plasmin on the degradation of I B was analyzed
in immunoblots of cell extracts. Control cells showed no significant changes in I B protein during 2 hours (Figure
8A). Stimulation of monocytes with 1 µg/mL LPS for 10 minutes was sufficient for the rapid degradation of
I B . By 30 minutes, only 30% of the initially present I B
was detectable. However, 1 hour after stimulation, the level of
I B started to increase and reached almost the initial level by 2 hours. The degradation of I B in monocytes stimulated with 0.43 CTA U/mL plasmin was delayed. Proteolysis of I B was detectable
after 10 minutes, but almost complete (80%) degradation was not
observed until after 1 hour. As in LPS-stimulated cells, 2 hours after
plasmin stimulation I B returned almost to its initial level. This
normalization of I B coincided with the decrease of NF- B
binding, as measured by EMSA (Figure 7A).

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| Figure 8.
Proteolytic degradation of I B and p105 in
plasmin-stimulated monocytes.
(A,B) Kinetic study. Cells were either unstimulated (control) or
treated with LPS 1 µg/mL (positive control) or plasmin 0.43 CTA U/mL
for the times indicated. (C) Detailed time- and concentration-dependent
effects of plasmin from 0.043 to 0.43 CTA U/mL on p105 degradation.
Cell extracts were prepared and used for immunoblots with specific
anti-I B (A) and anti-p50 (B,C) antibodies. Because p105 contains
the complete sequence of p50, it is also recognized by anti-p50
antibodies. Positions of I B (37 kd), p105 and p50 (105 kd and 50 kd, respectively) are indicated. In each case, a representative blot of
3 independent experiments is shown.
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Proteolytic degradation of p105, a cytoplasmic inhibitor of NF- B/Rel
nuclear factors and a putative precursor of p50, has been implicated in
cell activation.35,36 Levels of p50 and p105 were analyzed
by immunoblotting. Antibodies directed against p50 also recognized
p105. There were no changes in the levels of p50 or p105 in control
cells (Figure 8B). Stimulation with 1 µg/mL LPS caused partial
degradation of p105, with approximately 50% reduction at 2 hours. In
contrast, stimulation of monocytes with 0.43 CTA U/mL plasmin almost
resulted in the disappearance of the p105 band 10 minutes after
stimulation (Figure 8B). However, this degradation did not lead to an
accumulation of the p50 product, indicating that plasmin induces the
proteolysis of p105 but not of its processing to p50. The profound
effect of plasmin stimulation on p105 degradation was studied in
greater detail (Figure 8C). Plasmin 0.043 to 0.43 CTA U/mL induced a
concentration-dependent proteolysis of p105. Analysis of the time
dependence between 0 and 20 minutes revealed proteolytic degradation as
early as 2 minutes after plasmin stimulation and confirmed the maximum
effect at 10 minutes.
Differential activation of IKK and IKK
Lysis of the monocytes in the presence of 1% Triton X-100
disrupts the integrity of the signalsome complex37
and thus allows separate analysis of IKK and IKK activities after
immunoprecipitation of the I B kinases from the cellular extracts.
The protein composition of the precipitates was analyzed, and
homogeneity and equal sample distribution were confirmed by immunoblot
analysis with anti-IKK (data not shown) and anti-IKK antibodies
(Figure 9A). IKK assays revealed that, in
contrast to unstimulated cells, monocytes stimulated with 0.43 CTA U/mL
plasmin elicited rapid activation of IKK detectable within 10 minutes. IKK activity peaked at 1 hour and decreased by 2 hours,
indicating the transient character of the activation (Figure 9A). LPS
(1 µg/mL) was a more potent activator of IKK and led to
approximately 100-fold activation within 10 minutes (Figure 9B).
Plasmin did not affect IKK activity (data not shown).

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| Figure 9.
Induction of IKK activation by plasmin.
(A) Kinetic study of IKK activation. Monocytes were either
unstimulated or stimulated with plasmin 0.43 CTA U/mL for the indicated
times. IKK was precipitated from the cell extracts with a specific
rabbit anti-IKK antibody and protein A-agarose. In vitro kinase
assays (KA) were performed using I B -tagged fusion protein
corresponding to the full-length human I B (amino acids 1-317) as
a substrate. Composition of the immunoprecipitates was analyzed by
immunoblot with mouse anti-IKK (IB). Results of 1 of 3 experiments
are shown. (B) Monocytes were incubated with or without plasmin 0.43 CTA U/mL or LPS 1 µg/mL for 10 minutes. IKK was immunoprecipitated
with a specific rabbit anti-IKK antibody. Precipitates were analyzed
for kinase activity (KA). Phosphorylated substrate was visualized by
autoradiography and quantified densitometrically.
*P < .05 and
**P < .01 versus unstimulated controls. Results are the
mean ± SEM of 3 independent experiments.
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Plasmin triggers activation of AP-1
Nuclear proteins from monocytes stimulated for 2 hours with 0.43 CTA U/mL plasmin were subjected to EMSA with a DNA probe containing the
AP-1 binding site. Plasmin induced strong binding to the AP-1 probe
(Figure 10A). Binding specificity was
confirmed using 100-fold molar excess of unlabeled AP-1 and nonspecific SP-1 probes. The identity of the Fos/Jun proteins involved in the
plasmin-induced AP-1 DNA binding in human monocytes was characterized in supershift assays with specific antibodies (Figure 10B). Anti-c-Fos induced a slight supershift, whereas anti-FosB induced a stronger supershift. The AP-1 shift was also strongly retarded in the presence of anti-JunD, but not in the presence of JunB, FRA-1, or FRA-2 antibodies (Figure 10B).

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| Figure 10.
AP-1 activation in plasmin-stimulated monocytes.
Binding to the AP-1 site was analyzed using EMSA. (A) Nuclear extracts
(10 µg) from monocytes either unstimulated or stimulated for 2 hours
with plasmin 0.43 CTA U/mL were incubated with the
32P-labeled DNA probe containing the AP-1 binding site. In
competition experiments the effects of specific (AP-1) and nonspecific
(SP1) competitors at 100-fold molar excess were analyzed. (B)
Composition of the AP-1 complexes was characterized by supershift
analysis with antibodies against Jun and Fos proteins. Results of 1 of
3 experiments are shown.
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Discussion |
Monocytes play a central role in host defense, largely because of
the release of effector molecules, such as cytokines and TF, that may
in turn mediate systemic effects. Tight regulation of this process is
indispensable for the prevention of undue tissue damage. Here we show
that the proinflammatory activity of the serine protease plasmin
extends to proinflammatory gene expression. Plasmin triggers monocytes
to release TNF- , IL-1 , and IL-1 and to express TF on the cell
membrane. Because numerous immediate-early genes, including cytokines
and TF, are transcriptionally regulated by NF- B/Rel and AP-1 nuclear
factors,13,16,38-40 we studied the role of distinct
members of the NF- B and AP-1 signaling pathways in the
plasmin-induced monocyte activation.
Endotoxic LPS, one of the most potent stimuli of
monocytes16,25,37 that signals through
NF- B,25,26,37-39 was used for comparison. Apart from
LPS, signaling through other activators, such as TNF- , IL-1 , or
PMA, also converges in NF- B activation in monocytes and monocytic
cells, though the signaling cascades triggered by these stimuli appear
to differ markedly.35-38,40
In monocytes, plasmin induces rapid expression of TNF- , IL-1 ,
IL-1 , and TF mRNA, followed by corresponding protein biosynthesis. TNF- was detected in the supernatant of plasmin-stimulated monocytes as early as 1 hour after stimulation. Although these data suggested a
direct response to plasmin, indirect monocyte stimulation through autocrine loops were excluded in additional experiments. Thus, LTB4 released by plasmin-stimulated
monocytes2,3 has been implicated in the augmentation of
cytokine release from monocytes by some authors41 but not
by others.42 Using 2 structurally different inhibitors of
5-lipoxygenase, zileuton, and MK-886, at concentrations that totally
abolished plasmin-induced formation of LTB4, we could show
that this lipid mediator did not contribute to TNF- expression
(Syrovets et al, unpublished results, July 1998). Another
candidate would be IFN- that might be released by contaminating
lymphocytes. Indeed, IFN- has been reported to exert a priming
effect on LPS-induced production of TNF- and IL-1 by human
monocytes.43,44 However, for enhanced cytokine production,
at least the costimulation of LPS with IFN- is
required43; optimal TNF- expression occurred only after
pretreatment with IFN- .44 In any case, we could not
detect any IFN- in the supernatants of plasmin-stimulated monocytes,
excluding the possibility that IFN- contributed to the
plasmin-induced cytokine expression.
LPS led to quicker and specifically in the case of TNF- stronger
mRNA expression than did stimulation with plasmin. However, except for
IL-1 , monocytes stimulated with plasmin released similar or even
higher amounts of cytokines and generated more TF. This discrepancy
could be explained by the fact that cytokine production is regulated on
multiple levels, such as mRNA stability, translation, processing and
secretion.13,31,45,46
Regulation of mRNA stability is an important control mechanism of
cytokine and TF gene expression.31,45 Although changes in
the half-lives might differ only slightly, they can affect mRNA
abundance by orders of magnitude over a short time period. LPS
up-regulates mRNA of many cytokines and TF.16,18 This
up-regulation is partially caused by mRNA stabilization and seems to
play a role in the LPS induction of IL-1 .31,45 Because
expression of cytokine and TF mRNA in unstimulated monocytes was barely
detectable, we compared the stability of the cytokine and TF mRNA in
plasmin and LPS-stimulated cells. Compared with LPS, the stability of all plasmin-induced mRNAs investigated was decreased, most profoundly in IL-1 . This indicates that in plasmin-treated monocytes, the stabilization of mRNA contributed less to gene expression than it did
in LPS-stimulated cells.
Cytokine production is also regulated on the level of translation.
Stimulation of monocytic cells with C5a, hypoxia, or clotting blood
induces the synthesis of large amounts of IL-1 mRNA without significant translation into IL-1 protein.31 This
dissociation between transcription and translation is characteristic of
IL-1 but also of TNF- . Although the above stimuli might not
suffice as translational signals despite their being robust signals for transcription, LPS effectively triggers both processes.31
In this context plasmin is obviously a less potent inducer of IL-1 than LPS, but not so for TNF- . Further, the degree of mRNA
polyadenylation might influence the rate of translation. Thus, LPS
stimulation of RAW 264.7 macrophages leads to a 200-nucleotide increase
in the 3' poly(A) tail, which promotes the association of mRNA with polysomes and the initiation of translation.32 Because
mRNA degradation is coupled to ongoing translation of
mRNA,45 the reduced stability of the mRNA might reflect
the increased translation of the corresponding cytokine or TF in
plasmin-stimulated monocytes compared with LPS-treated cells. Comparing
the amounts of mRNA with the corresponding protein expression, such a
mechanism cannot be excluded for IL-1 , TNF- , and TF. However,
compared with LPS-stimulated controls, the 8-fold decreased stability
of IL-1 mRNA in plasmin-treated cells was paralleled by a profoundly
reduced protein expression, indicating that the accelerated mRNA decay
was apparently not caused by an enhanced translation rate.
Processing and secretion processes may be particularly relevant in the
case of IL-1 , IL-1 , and TNF- , which are generated in
pro-forms. Proteolytic processing of the precursors of IL-1 and
IL-1 by calpains and caspase-1, respectively, results in generation
of the mature forms.31 The precursor of TNF- is anchored to the cytoplasmic membrane and subsequently cleaved into
mature, soluble TNF- .46 This processing may proceed
through matrix metalloproteinases and also through serine
proteases.46 The reported ability of the serine protease
plasmin to promote secretion of biologically active IL-147
might also contribute to the release of cytokines by plasmin-stimulated monocytes.
The NF- B/Rel superfamily of nuclear factors provides a molecular
basis for cellular responses to various stimuli. Binding sites for
NF- B/Rel were found in promoter regions of different proinflammatory
genes, including IL-1 , IL-1 , TNF- , and
TF.12,18,48,49 Stimulus-specific regulation of
proinflammatory genes is assured through different patterns of NF- B
binding activity.14 LPS induction of TNF- in monocytic
cells leads to nuclear translocation of p50/p65
heterodimers.16 Activation of the TF gene by LPS, however,
requires binding of c-Rel/p65 heterodimers to the B sites.18 In line with these findings, plasmin triggers the
nuclear translocation of p50, p65, and c-Rel proteins crucial for the expression of cytokine and TF genes.
In unstimulated cells, NF- B dimers are kept in the cytoplasm through
interaction with inhibitory I B proteins.12 I B
degradation |