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The Journal of Neuroscience, July 1, 1999, 19(13):5236-5244
Interleukin-6 (IL-6) Production by Astrocytes: Autocrine
Regulation by IL-6 and the Soluble IL-6 Receptor
Nicholas J.
Van Wagoner,
Jae-Wook
Oh,
Pavle
Repovic, and
Etty N.
Benveniste
Department of Cell Biology, The University of Alabama at
Birmingham, Birmingham, AL 35294-0005
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ABSTRACT |
In the CNS, astrocytes are a major inducible source of
interleukin-6 (IL-6). Although IL-6 has beneficial effects in the CNS because of its neurotrophic properties, its overexpression is generally
detrimental, adding to the pathophysiology associated with CNS
disorders. Many factors have been shown to induce IL-6 expression by
astrocytes, particularly the cytokines tumor necrosis factor-
(TNF- ) and interleukin-1 (IL-1 ). However, the role of IL-6 in
its own regulation in astrocytes has not been determined. In this
study, we examined the influence of IL-6 alone or in combination with
TNF- or IL-1 on IL-6 expression. IL-6 alone had no effect on IL-6
expression; however, the addition of the soluble IL-6 receptor (sIL-6R)
induced IL-6 transcripts. Addition of TNF- or IL-1 plus
IL-6/sIL-6R led to synergistic increases in IL-6 expression. This
synergy also occurred in the absence of exogenously added IL-6,
attributable to TNF- - or IL-1 -induced endogenous IL-6 protein
production. IL-6 upregulation seen in the presence of TNF- or
IL-1 plus IL-6/sIL-6R was transcriptional, based on nuclear run-on
analysis. Experiments were extended to other IL-6 family members to
determine their role in IL-6 regulation in astrocytes. Oncostatin M
(OSM) induced IL-6 alone and synergized with TNF- for enhanced
expression. These results demonstrate that IL-6/sIL-6R and OSM play an
important role in the regulation of IL-6 expression within the CNS,
particularly in conjunction with the proinflammatory cytokines TNF-
and IL-1 .
Key words:
glial cells; cytokines; interleukin-6; central nervous
system; receptors; astrocytes
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INTRODUCTION |
Interleukin-6 (IL-6) is a regulator
of inflammatory and immunological responses, and belongs to a family of
neuropoietic factors including ciliary neurotrophic factor (CNTF),
leukemia inhibitory factor (LIF), oncostatin M (OSM), IL-11, and others
(for review, see Taga and Kishimoto, 1997 ; Heinrich et al.,
1998 ). Characteristic of this family is the pluripotency and
redundancy of biological responses elicited by its members, which stem
from the use of a common signal transducing receptor, gp130 (for
review, see Taga and Kishimoto, 1997 ). IL-6 acts on target cells
through a receptor complex composed of an IL-6-binding subunit, the
IL-6 receptor- (IL-6R ), and the signal transducing receptor
gp130. Initiation of IL-6 signaling occurs when IL-6 binds to the
IL-6R , leading to an association with gp130. This event leads to
activation of gp130-associated Janus kinases (JAKs), activation of
various signaling pathways (JAK/STAT, MAPK), and
subsequent gene activation (for review, see Taga and Kishimoto, 1997 ).
The IL-6R is found in both membrane-bound and soluble (sIL-6R )
forms (Lust et al., 1992 ; Müllberg et al., 1993 ). The sIL-6R
can complex with IL-6, bind, and signal through gp130, thus serving as
an agonist of IL-6-induced responses (for review, see Rose-John and
Heinrich, 1994 ). The sIL-6R can be generated by shedding of the
membrane-bound receptor or by mRNA alternative splicing (Lust et al.,
1992 ; Müllberg et al., 1993 ).
Under physiological conditions, IL-6 levels in the CNS remain low.
However, in CNS injury and inflammation, IL-6 levels become elevated
(for review, see Gruol and Nelson, 1997 ; Benveniste, 1998 ). Elevated
levels of IL-6, as well as the proinflammatory cytokines IL-1 and
tumor necrosis factor (TNF)- , are detected in the CSF of
patients with multiple sclerosis, Alzheimer's disease, meningitis, and
stroke (for review, see Zhao and Schwartz, 1998 ). These cytokines
mediate inflammation and contribute to the neuropathology and
pathophysiology associated with the inflamed CNS (for review, see Eng
et al., 1996 ; Benveniste, 1997 ). Data from transgenic mice suggest that
overexpression of IL-6 leads to reactive gliosis, neurodegeneration,
breakdown of the blood-brain barrier (BBB), and angiogenesis (Campbell
et al., 1993 ). However, other reports suggest a beneficial role of IL-6
in the CNS. Occlusion of the middle cerebral artery leads to IL-6
bioactivity in the ischemic hemisphere, and injection of IL-6 into the
ischemic region significantly reduces brain damage (Loddick et al.,
1998 ). IL-6, in the presence of the sIL-6R, enhances neuronal survival
in the absence of nerve growth factor in rat sympathetic neurons
(März et al., 1998a ). Our laboratory has shown that IL-6 plus the
sIL-6R inhibits TNF- -induced expression of vascular cell adhesion
molecule-1 (VCAM-1) in astrocytes (Oh et al., 1998 ). These studies
demonstrate the need for tight regulation of IL-6 to maintain
beneficial actions and prevent IL-6-induced neuropathology.
Astrocytes are the major source of IL-6 in CNS injury and inflammation
(for review, see Gruol and Nelson, 1997 ). In vitro analysis
of IL-6 production by astrocytes indicates that many stimuli can
upregulate its production, in particular, the cytokines TNF- and
IL-1 (Benveniste et al., 1990 , 1994 ). However, the role of IL-6 in
its own regulation is less well defined. In this study, we have
examined the role of IL-6 and the sIL-6R in IL-6 induction, with an
emphasis on the ability of IL-6/sIL-6R to modulate TNF- - and
IL-1 -induced IL-6 expression in astrocytes.
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MATERIALS AND METHODS |
Cell lines and primary human astrocyte cultures. The
U373-MG astroglioma cell line was grown in DMEM supplemented
with 10 mM HEPES, pH 7.2, 2 mM
L-glutamine, 100 U/ml penicillin, 100 µg/ml streptomycin,
0.1 mM nonessential amino acid mixture, 1 mM
sodium pyruvate, and 10% fetal bovine serum (FBS), as described
previously (Oh et al., 1998 ). CRT human astroglioma cells were
grown in RPMI 1640 medium supplemented with 10 mM HEPES, pH
7.2, 2 mM L-glutamine, 100 U/ml penicillin, 100 µg/ml streptomycin, and 10% FBS as described previously (Rosenman et
al., 1995 ). Biopsy material from patients undergoing surgery to treat
intractable epilepsy was used to prepare human adult astrocyte cultures
as described previously (Barnum et al., 1992 ). Primary human adult
astrocytes were obtained after 30 d in culture and were grown in
DMEM, high glucose formula supplemented with 2 mM
L-glutamine, 0.1 mM nonessential amino acid
mixture, 0.1% gentamicin, 2.5 µg/ml amphotericin B, and 10% FBS.
Astrocytes were 87-90% GFAP positive (Barnum et al., 1992 ). Human
astrocytes obtained from this source have many of the same functional
responses as do primary cultures of rat astrocytes (Benveniste et al.,
1994 ; Oh et al., 1998 ).
Reagents. Human recombinant TNF (rTNF)- (9.0 × 107 U/mg) and human rIL-1 (2.0 × 108 U/mg) were purchased from Genzyme (Cambridge,
MA), and human rIL-6 (7.0 × 103 U/µg),
sIL-6R [100 active units (AU)/µg], rTGF- 1
(2.5 × 104 U/µg), rOSM (4.4 × 103 AU/µg), rLIF (8.3 × 104 U/µg), rCNTF (10 AU/µg), soluble rCNTFR (3.3 AU/µg), and rIL-11 (6.6 × 103 AU/µg) were
purchased from R & D Systems (Minneapolis, MN). Hyper-IL-6 (H-IL-6) was
the kind gift of Professor Stefan Rose-John (Universität Mainz)
and was prepared as described previously (Fischer et al., 1997 ).
Anti-human IL-6, anti-human IL-6R, and anti-human gp130 neutralizing
antibodies were obtained from R & D Systems. Purified mouse
IgG1 (anti-TNP) (used as an isotype control) was purchased from PharMingen (San Diego, CA).
IL-6 production in astrocytes. U373-MG cells, CRT cells, and
primary human astrocytes were resuspended in their respective media
containing 10% FBS and plated at 0.5 × 106
cells/well into six-well (35 mm) plates (Costar, Cambridge, MA). The
cells were allowed to reach ~90% confluency, media was aspirated, and fresh serum-free media was added to cells for 12 hr. After this
time, cells were washed once with sterile PBS, and fresh serum-free
media was added to each well. Astrocytes were treated with various
reagents (TNF- , IL-1 , IL-6, sIL-6R, TGF- , CNTF, sCNTFR, LIF,
and IL-11) alone or in combination for 24 hr, then supernatants were
collected, centrifuged to remove contaminating cells, and stored at
70°C until use.
Measurement of IL-6 activity. IL-6 activity in astrocyte
culture supernatants was determined in a biological assay using the IL-6-dependent B cell hybridoma B9, as described previously (Norris and
Benveniste, 1993 ). Briefly, B9 cells (6 × 103
cells/well) were plated in 96-well microtiter plates, then serial dilutions of astrocyte-conditioned medium and recombinant human IL-6
(used as a standard) were added and incubated at 37°C for 72 hr.
Triplicate cultures were set up for each condition. After 72 hr, B9
cell growth was assessed using the MTT assay as described previously
(Norris and Benveniste, 1993 ). In this assay, the amount of IL-6 in
astrocyte-conditioned supernatants was determined by comparison to a
recombinant human IL-6 standard in which colorimetric change versus
recombinant human IL-6 concentration (picograms per milliliter) is
known. The reagents used in this study to stimulate IL-6 production
(TNF- , IL-1 , sIL-6R, TGF- , OSM, LIF, CNTF, sCNTFR, and
IL-11) do not support B9 growth when added directly to B9 cells or when
added to astrocyte cultures immediately before collecting supernatants
(data not shown).
RNA isolation, riboprobes, and RNase protection assay (RPA).
U373-MG cells were plated at 4 × 106 cells per
100 mm2 dish (Costar, Cambridge, MA). Upon
confluency, cells were serum-starved for 12 hr. Total cellular RNA was
isolated from resulting confluent monolayers of astrocytes that had
been incubated for various times with cytokines. RNA isolation was
performed as described previously (Lee et al., 1997 ). A pGem4Z plasmid
containing a 349 bp fragment corresponding to 194-542 bp of the human
IL-6 cDNA was linearized with EcoRI. In vitro
transcription of this linearized plasmid with T7 RNA polymerase
generated an antisense probe 408 nucleotides in length (note that this
probe contains a portion of the pGem4Z plasmid). A pAMP-1 vector
containing a fragment of the human glyceraldehyde-3-phosphate dehydrogenase (GAPDH) cDNA (corresponding to 43-531 bp) was linearized with NcoI, which digests within the GAPDH cDNA insert.
In vitro transcription of this linearized plasmid with T7
RNA polymerase generates a 290 bp antisense RNA probe.
In vitro transcription of riboprobes and RPA were conducted
as described previously (Lee and Benveniste, 1996 ). Total RNA (15 µg)
was hybridized with IL-6 (30 × 103 cpm) and
GAPDH (25 × 103 cpm) riboprobes at 42°C
overnight. The hybridized mixture was then treated with RNase A/T1
(1:200 dilution) at room temperature for 1 hr and analyzed by 5%
denaturing (8 M urea) PAGE, and the gels were exposed to
x-ray film. The protected fragments of the IL-6 and GAPDH riboprobes
are 349 and 230 nucleotides in length, respectively. Quantification of
protected RNA fragments was performed by PhosphorImager (Molecular
Dynamics, Sunnyvale, CA). Values for IL-6 mRNA expression were
normalized to GAPDH mRNA levels for each experimental condition. GAPDH
mRNA was used as a control gene because its levels are not affected by
cytokine treatment. The RPA shown in this article is overexposed for
GAPDH because the signal for IL-6 is weaker. Quantification of the
original gel was performed on a PhosphorImager to arrive at accurate values.
Nuclear run-on analysis. Nuclear run-on analysis was
performed as described previously (Bethea et al., 1992 ; Chung et al., 1992 ; Shrikant et al., 1994 ). Nuclei were isolated from confluent monolayers of astrocytes that were incubated for 30-45 min in the
presence or absence of stimulus (IL-6/sIL-6R, TNF- , IL-1 , TNF- + IL-6/sIL-6R, and IL-1 + IL-6/sIL-6R). The cells (30 × 106) were collected, washed once with cold PBS, and
pelleted. Nuclei were isolated by lysing the cells with 10 mM Tris, pH 7.4, 2 mM MgCl2,
10 mM NaCl, and 0.5% Nonidet P-40, followed by
centrifugation at 1000 × g. The nuclei were stored at
80°C in buffer containing 50 mM Tris, pH 8.3, 40%
glycerol, 5 mM MgCl2, and 0.1 mM EDTA. To perform run-on transcriptional analysis, the
nuclei were thawed on ice and incubated for 30 min at 30°C in
reaction buffer containing 10 mM DTT, 1 mM each
of ATP, CTP and GTP, and 0.25 mCi [32P]UTP (3000 Ci/mM) (Amersham, Arlington Heights, IL). After the reaction, DNA digestion was performed in the presence of 0.5 M NaCl, 50 mM MgCl2, 2 mM CaCl2, and 10 mM Tris, pH
7.4, and DNase (10 mg/ml) (Promega, Madison, WI) for 5 min at 30°C.
Protein digestion was then performed in the presence of 5% SDS, 0.5 M Tris, pH 7.4, 0.125 M EDTA, and proteinase K
(20 µg/sample) for 30 min at 42°C. Nuclei were lysed and RNA was
harvested as described in RNA isolation. Denatured circular plasmid DNA
was immobilized on nitrocellulose paper using a Millipore (Bedford, MA)
Milliblot S system. After UV cross-linking the DNA to the
nitrocellulose, prehybridization was performed at 65°C for at least 3 hr in a solution of 50% formamide, 0.1% SDS, 5× SSC, 2.5×
Denhardt's, 250 µg/ml tRNA, and 50 mM
Na2PO4, pH 6.5. For hybridization,
9 × 106 cpm of labeled and denatured RNA was
used in 1 ml of hybridization solution and incubated at 65°C for 48 hr. The filters were washed twice for 30 min at 65°C in 2× SSC, 30 min at 37°C in 2× SSC with 10 µg/ml ribonuclease A/T1, and finally
for 30 min at 37°C in 2× SSC. The filters were exposed to the
PhosphorImager (Molecular Dynamics) for quantification. The increase of
transcriptional activation was determined by comparing the ratios of
IL-6/GAPDH values obtained for each stimulus.
Statistical analysis. Significance between experimental
values was determined using two-way ANOVA. *p < 0.05, **p < 0.01, and ***p < 0.001.
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RESULTS |
Treatment of U373-MG cells with TNF- and the sIL-6R induces
IL-6 production
We were interested in determining the role of IL-6 and the sIL-6R
(IL-6/sIL-6R) in its own regulation. Because of the obvious difficulty
of measuring IL-6 protein production in the presence of exogenously
added IL-6, an endogenous source of IL-6 was used for initial studies.
Previously, our laboratory has shown that IL-6 protein secretion is
upregulated by TNF- in primary rat astrocytes (Benveniste et al.,
1990 ). To determine whether similar IL-6 induction is seen in the human
glioma cell line U373-MG, cells were treated with TNF- (50 ng/ml)
for 24 hr, and supernatants were analyzed for IL-6 protein secretion by
the B9 bioassay. This concentration of TNF- was previously
determined to be optimal for IL-6 production by astrocytes (Oh et al.,
1998 ). Constitutively, U373-MG cells express low levels of IL-6
protein, and after 24 hr of stimulation with TNF- , IL-6 protein
levels in supernatants increased by ~10-fold, reaching levels over
200 pg/ml (Fig. 1A). To
determine whether endogenous IL-6, induced by TNF- , could complex
with exogenous sIL-6R and affect IL-6 secretion, U373-MG cells were
treated with sIL-6R (100 ng/ml) alone or in combination with TNF-
for 24 hr, and supernatants were analyzed for IL-6 secretion. Treatment
with the sIL-6R alone did not increase IL-6 expression in U373-MG
cells; however, co-stimulation with TNF- and the sIL-6R
significantly increased IL-6 protein levels in the supernatants to
~1900 pg/ml (Fig. 1A), indicating a synergistic interaction between TNF- and the sIL-6R. Identical experiments have
been performed on human adult primary astrocytes and the human
astroglioma cell line CRT (Table 1). In
all cases, results are qualitatively similar, suggesting that this
effect is not specific to U373-MG cells but extends to all astrocyte
sources thus far tested.

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Figure 1.
Stimulation of IL-6 bioactivity in U373-MG cells
by TNF- and the soluble IL-6 receptor. U373-MG cells were incubated
with TNF- (50 ng/ml) and the sIL-6R (100 ng/ml) alone and in
combination for 24 hr, and supernatants harvested and then analyzed for
IL-6 activity as described in Materials and Methods.
***p < 0.001 (A).
Neutralizing antibodies to the IL-6R (2 µg/ml) were preincubated with
sIL-6R for 30 min at room temperature after which it was added to
U373-MG cells alone or in combination with TNF- , or U373-MG cells
were preincubated for 30 min at room temperature with neutralizing
antibodies to gp130 (1 µg/ml), then TNF- , sIL-6R, or TNF- + sIL-6R were added to the cells. Supernatants were analyzed for IL-6
activity (B). Cells were treated with TNF-
alone (50 ng/ml), TNF- plus increasing concentrations of the sIL-6R
(0-100 ng/ml), or sIL-6R alone (C). Results are
the mean ± SD of three experiments analyzed in triplicate.
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Addition of neutralizing antibodies to the IL-6R and gp130 blocked
induction of IL-6 in the presence of TNF- and the sIL-6R, reducing
levels to those seen on treatment with TNF- alone (Fig. 1B). Addition of an isotype-matched antibody did not
affect IL-6 expression by U373-MG cells in the presence of TNF- and
the sIL-6R (Fig. 1B). Taken together, these data show
that the significant increase of IL-6 in the presence of TNF- and
the sIL-6R is specific to the sIL-6R and requires gp130. As well,
induction of IL-6 by the sIL-6R in the presence of TNF- is dose
dependent, with maximal responses observed using 50-100 ng/ml of
sIL-6R (Fig. 1C). The concentration of 100 ng/ml was used
for all subsequent experiments.
Effect of TNF- and IL-6/sIL-6R on IL-6 mRNA levels
To directly examine the role of IL-6/sIL-6R in IL-6 regulation,
analysis was performed at the mRNA level. U373-MG cells were incubated
in the presence of exogenous IL-6 (5 ng/ml) and the sIL-6R (100 ng/ml),
and RNA was isolated at the indicated times and analyzed by RPA.
Results indicate that IL-6/sIL-6R treatment has a modest effect on IL-6
mRNA, raising levels approximately fourfold above constitutive
expression at 1 hr and declining thereafter (Fig.
2). IL-6 at a concentration of 5 ng/ml
was determined in a dose-response experiment to be optimal for IL-6
induction in the presence of 100 ng/ml of the sIL-6R (data not shown).
Similar time course analysis was performed on U373-MG cells treated
with TNF- . TNF- -induced IL-6 mRNA also peaked at 1 hr, with
levels approximately eightfold above constitutive levels and declining thereafter (Fig. 2). On treatment of U373-MG cells with TNF- plus
IL-6/sIL-6R, IL-6 mRNA levels reached ~12-fold at 1 hr; this reflects
an additive effect of TNF- and IL-6/sIL-6R. However, at 6 hr,
samples treated with TNF- plus IL-6/sIL-6R were significantly elevated (~15-fold induction), although the levels induced by IL-6/sIL-6R or TNF- alone were quite low (Fig. 2). These data indicate that IL-6 mRNA levels at 1 hr are increased in the
presence of TNF- plus IL-6/sIL-6R over treatment with either factor
alone and remain elevated at 6 hr.

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Figure 2.
IL-6 mRNA induction by IL-6/sIL-6R and TNF-
alone and in combination. U373-MG cells were treated with IL-6 (5 ng/ml)/sIL-6R (100 ng/ml), TNF- (50 ng/ml), or both, for 1 or 6 hr.
RNA was extracted and examined by RPA for IL-6 and GAPDH mRNA
expression. PhosphorImager quantification of the blots was performed,
and data were normalized to GAPDH expression and represented as fold
induction above constitutive IL-6 expression. Results are the mean ± SD of three experiments. ***p < 0.001;
N.S., not significant.
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IL-6 is required for the synergistic induction seen in the
presence of TNF- and sIL-6R
We speculated that endogenous IL-6, induced by TNF- , could
complex with exogenous sIL-6R and affect IL-6 secretion. On treatment of U373-MG cells with TNF- plus the sIL-6R, high-level expression of
IL-6 protein was seen (Fig. 1). However, we have not shown the absolute
necessity for IL-6 in this response. To address this issue, U373-MG
cells were treated with TNF- plus sIL-6R or TNF- plus IL-6/sIL-6R
for 6 hr, and IL-6 mRNA expression was analyzed by RPA. As shown
previously, IL-6/sIL-6R or TNF- stimulation induces a modest
increase in IL-6 mRNA expression at 6 hr (Fig. 3A, lanes 4 and
5). Addition of IL-6 plus TNF- does not affect IL-6 mRNA
compared with TNF- alone (compare lanes 5 and
6). Inclusion of IL-6/sIL-6R plus TNF- induces a
synergistic increase in IL-6 mRNA expression (lane 9), and
the addition of neutralizing antibody to IL-6 abrogates this response
(lane 10). As well, addition of sIL-6R plus TNF- enhances
IL-6 mRNA expression over that seen with TNF- alone (compare
lanes 5 and 7), and neutralizing antibody to IL-6 blocks this effect (lane 8). Quantification is shown
in Figure 3B. These results provide evidence that endogenous
or exogenous IL-6 is required to complex with the sIL-6R to initiate
signaling.

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Figure 3.
TNF- , the sIL-6R, and endogenous or exogenous
IL-6 induce IL-6 mRNA expression. U373-MG cells were treated with
TNF- (50 ng/ml), sIL-6R (100 ng/ml), IL-6 (5 ng/ml), or anti-IL-6
neutralizing antibody (1 µg/ml) alone and in various combinations for
6 hr. RNA was extracted and examined by RPA for IL-6 and GAPDH mRNA
expression (A). PhosphorImager quantification of
the blot is shown in B. Data have been normalized to
GAPDH expression and are represented as fold induction above
constitutive IL-6 expression (lane 1, Medium). These
data are representative of two experiments. Cells were treated
with TNF- , IL-6, sIL-6R, or H-IL-6 (10 ng/ml) alone and in various
combinations for 6 hr. RNA was analyzed for IL-6 mRNA as described
above (C). Data have been normalized to GAPDH expression
and are represented as fold induction above constitutive IL-6
expression. These data are representative of two
experiments.
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To further characterize this response, the ability of Hyper-IL-6
(H-IL-6) to induce IL-6 mRNA expression alone and in combination with
TNF- was compared with IL-6/sIL-6R treatment in U373-MG cells.
H-IL-6 is a recombinant protein composed of the functional domains of
IL-6 and the IL-6R. It has been shown to have greater bioactivity than
IL-6 and sIL-6R added separately (Fischer et al., 1997 ). As
demonstrated by RPA, H-IL-6 (10 ng/ml) is a slightly better inducer of
IL-6 mRNA than IL-6 plus sIL-6R (Fig. 3C). Co-treatment of
U373-MG cells with TNF- and H-IL-6 led to ~27-fold increase over
unstimulated cells, whereas treatment with TNF- and IL-6/sIL-6R gave
an ~18-fold increase (Fig. 3C).
IL-1 , but not TGF- , synergizes with sIL-6R to enhance
IL-6 expression
Inducers of IL-6 in astrocytes include the proinflammatory
cytokines TNF- and IL-1 and the anti-inflammatory cytokine
TGF- (Benveniste et al., 1990 , 1994 ). Therefore, studies were
extended to determine whether similar synergy with the sIL-6R would be seen with these other inducers of IL-6. A 24 hr incubation in the
presence of IL-1 (2 ng/ml) or TGF- (10 ng/ml) alone or in combination with the sIL-6R revealed that IL-1 is a potent inducer of IL-6 and, as well, that synergy does occur with this cytokine and
the sIL-6R (Table 2). The levels of
IL-1 induction are specific to IL-1 , because the addition of the
IL-1 receptor antagonist (IL-1RA, 100 ng/ml) blocked IL-1 induction
(data not shown). TGF- alone induced expression of IL-6 to levels
similar to those seen for TNF- ; however, significant increases were
not seen on addition of the sIL-6R (Table 2). Analysis at the mRNA
level correlated with the results obtained for IL-6 protein levels. Both TNF- and IL-1 synergized with IL-6/sIL-6R to increase IL-6 mRNA expression, whereas TGF- did not (Fig.
4).

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Figure 4.
TNF- and IL-1 , but not TGF- , synergize
with IL-6/sIL-6R for IL-6 mRNA expression. U373-MG cells were treated
with TNF- (50 ng/ml), TGF- (10 ng/ml), or IL-1 (2 ng/ml) alone
and in combination with IL-6 (5 ng/ml) and the sIL-6R (100 ng/ml) for 6 hr. RNA was extracted and examined by RPA for IL-6 and GAPDH mRNA
expression. PhosphorImager quantification of the blot is shown. Data
have been normalized to GAPDH expression and are represented as fold
induction above constitutive IL-6 expression. These data are
representative of two experiments.
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TNF- - and IL-1 -induced IL-6 message is not stabilized by the
addition of IL-6/sIL-6R
To determine whether the synergy between TNF- or IL-1 and
IL-6/sIL-6R on IL-6 mRNA expression was occurring at the
transcriptional or post-transcriptional level,
t1/2 experiments were performed to assess
the stability of the IL-6 message. U373-MG cells were incubated with
TNF- , IL-6/sIL-6R, or TNF- plus IL-6/sIL-6R for 6 hr, then
actinomycin D (ACT-D; 5 µg/ml) was added for an additional 30-120
min. RNA was isolated at the indicated time points and analyzed for
IL-6 and GAPDH mRNA levels by RPA. As shown in Figure 5A, the
t1/2 of IL-6 mRNA induced by IL-6/sIL-6R
was ~30 min, that for TNF- -induced IL-6 was ~90 min, and that of
TNF- plus IL-6/sIL-6R-induced IL-6 mRNA was ~30 min. These results indicate that IL-6/sIL-6R does not promote stabilization of
TNF- -induced IL-6 message. Identical results were obtained when IL-6
message stability was assessed after a 1 hr stimulation with TNF- ,
IL-6/sIL-6R, or TNF- plus IL-6/sIL-6R (data not shown). Comparable
experiments were performed with IL-1 as the stimulus. We initially
assessed IL-6 steady-state mRNA levels induced by IL-1 in the
absence or presence of IL-6/sIL-6R at 1 and 6 hr. As shown in Figure
5B, IL-1 induced an approximately sevenfold induction of
IL-6 mRNA at 1 hr, and inclusion of IL-6/sIL-6R increased induction to
~17-fold. After a 6 hr incubation, IL-1 treatment induced a
~25-fold increase, and addition of IL-6/sIL-6R led to a further
increase to ~69-fold (Fig. 5B). These findings with
IL-1 differ from those using TNF- as the stimulus (Fig. 2); in
those experiments, peak IL-6 mRNA expression was seen after a 1 hr
treatment with TNF- , with levels declining thereafter. We next
assessed IL-6 message stability in the presence of IL-1 or
IL-6/sIL-6R, or both, after a 1 or 6 hr stimulation period. The
t1/2 of IL-6 message induced by a 1 hr
stimulation with IL-1 was ~60 min, and that of IL-1 plus
IL-6/sIL-6R-induced mRNA was ~30 min (Fig. 5C). Thus,
IL-6/sIL-6R does not enhance the stabilization of IL-1 -induced IL-6
message. When the stimulation period with IL-1 was extended to 6 hr,
a different pattern of IL-6 mRNA stability emerged. The
t1/2 of IL-1 -induced IL-6 mRNA was
>18 hr, because there was no degradation of IL-6 message during this
time period (Fig. 5D). The inclusion of IL-6/sIL-6R did not
affect the t1/2 of IL-1 -induced IL-6 message (Fig. 5D). These results indicate that (1) IL-1
stimulation for a prolonged time period (6 hr) promotes stabilization
of the IL-6 message, and (2) IL-6/sIL-6R treatment likely does not
influence IL-1 -induced IL-6 gene expression at the
post-transcriptional level.

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Figure 5.
IL-6/sIL-6R does not affect TNF- - or
IL-1 -induced IL-6 mRNA stability. U373-MG cells were incubated with
TNF- , IL-6/sIL-6R, and TNF- plus IL-6/sIL-6R for 6 hr, then
actinomycin D (ACT-D; 5 µg/ml) was added, cells were harvested at the
indicated times, and RNA was subjected to RPA for IL-6 and GAPDH mRNA.
IL-6 mRNA at time 0 (before the addition of ACT-D) was plotted as
100%. The average of two experiments is presented
(A). Cells were incubated with medium, IL-1 (2 ng/ml) or IL-6/sIL-6R, or both, for 1 or 6 hr.
PhosphorImager quantification of the blots was performed, and data were
normalized to GAPDH expression and represented as fold induction above
constitutive IL-6 expression. Results are the mean ± SD of two
experiments. *p < 0.05; **p < 0.01 (B). U373-MG cells were incubated
with IL-1 , IL-6/sIL-6R, and IL-1 plus IL-6/sIL-6R for 1 hr
(C) or 6 hr (D), then ACT-D
was added, cells were harvested at the indicated times, and RNA was
analyzed for IL-6 and GAPDH mRNA. IL-6 mRNA at time 0 (before the
addition of ACT-D) was plotted as 100%. The average of two experiments
is presented.
|
|
Enhancement of TNF- - and IL-1 -induced IL-6 expression by
IL-6/sIL-6R is transcriptional
Our results examining the increase in IL-6 mRNA expression after a
1 hr stimulation with TNF- , TNF- plus IL-6/sIL-6R, IL-1 , or
IL-1 plus IL-6/sIL-6R indicate that the effect is not
post-transcriptional (Fig. 5A,C), suggesting an influence at
the transcriptional level. Nuclear run-on analysis was performed on
U373-MG cells treated with the above-mentioned factors alone and in
combination for 30-45 min. The nuclei were isolated, and the RNA
transcripts that had been initiated were allowed to complete in the
presence of [32P]UTP. Labeled RNA transcripts were
then hybridized to slot-blotted cDNA encoding human IL-6, human GAPDH,
or DNA vector as a negative control. The levels of IL-6 transcription
were normalized to that of GADPH. As shown in Figure
6, IL-6/sIL-6R treatment induced IL-6
transcription by ~5.8-fold, TNF- by ~6.7-fold, and IL-1 by
~13.3-fold. Synergistic increases in IL-6 transcription were observed
in the presence of TNF- plus IL-6/sIL-6R (~36.8-fold induction) or
IL-1 plus IL-6/sIL-6R (~45.9-fold induction). These results
support the hypothesis that enhancement of TNF- - and IL-1 -induced
IL-6 gene expression by IL-6/sIL-6R is transcriptional.

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Figure 6.
IL-6 transcription in the presence of TNF- ,
IL-1 , and IL-6/sIL-6R. U373-MG cells were incubated in the presence
of medium, TNF- , IL-1 , and IL-6/sIL-6R alone and in combination
for 30-45 min. Labeled transcripts were prepared as described in
Materials and Methods and hybridized to filters containing 5 µg of
nonspecific DNA, human IL-6 cDNA, or human GAPDH cDNA. The blots were
exposed to the PhosphorImager, and IL-6 values were normalized to the
value of GAPDH for each sample. These data are representative of two
experiments.
|
|
Regulation of IL-6 by other members of the IL-6
cytokine family
Members of the IL-6 family are known to elicit redundant responses
(for review, see Taga and Kishimoto, 1997 ); therefore, we were
interested in determining whether OSM, CNTF plus the soluble CNTF
receptor, LIF, or IL-11 had the capacity to regulate IL-6 expression in
U373-MG cells. Cells were treated for 24 hr with the above-mentioned
cytokines alone or in combination with TNF- , and supernatants were
isolated and analyzed for IL-6 bioactivity as described previously. OSM
and LIF alone were able to induce IL-6 bioactivity. In combination with
TNF- , OSM induced high levels of IL-6, similar to levels seen on
treatment with TNF- and the sIL-6R (Fig.
7). LIF did not function in a synergistic manner with TNF- for enhanced IL-6 expression, whereas CNTF/sCNTFR and IL-11 had no significant effect either alone or with TNF- (Fig.
7). Comparable results were obtained using human adult astrocytes and
CRT astroglioma cells (data not shown).

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Figure 7.
Stimulation of IL-6 bioactivity in U373-MG cells
by IL-6 family members. U373-MG cells were incubated with sIL-6R (100 ng/ml), OSM (10 ng/ml), LIF (50 ng/ml), CNTF (100 ng/ml) plus sCNTFR
(100 ng/ml), and IL-11 (50 ng/ml) alone and in combination with TNF-
(50 ng/ml) for 24 hr, and supernatants were harvested and then analyzed
for IL-6 activity as described in Materials and Methods. Results are
the mean ± SD of three experiments analyzed in triplicate.
***p < 0.001; N.S., not
significant.
|
|
 |
DISCUSSION |
IL-6 has been shown to have beneficial potential in the CNS
because of its neurotrophic and neuroprotective effects (Satoh et al.,
1988 ; Hama et al., 1989 ; Gadient and Otten, 1997 ; Loddick et al., 1998 ;
März et al., 1998b ), and anti-inflammatory actions through the
inhibition of VCAM-1, intercellular adhesion molecule-1, and TNF-
expression by CNS cells (Benveniste et al., 1995 ; Shrikant et al.,
1995 ; Oh et al., 1998 ). However, other reports suggest that IL-6 is
detrimental and adds to the pathophysiology associated with CNS
disorders (Campbell et al., 1993 ; Klein et al., 1997 ). Collectively,
these studies illustrate the pleiotropic nature of IL-6 in the CNS and
stress the need for an understanding of IL-6 regulation in the CNS.
Previously, we have shown that human astrocytes express low levels of
the IL-6R and require the addition of the sIL-6R for IL-6-mediated
responses (Oh et al., 1998 ). Herein, we have shown that treatment of
astrocytes with IL-6 and the sIL-6R leads to modest increases in IL-6
mRNA expression. However, co-treatment with either TNF- or IL-1
plus IL-6/sIL-6R leads to synergistic increases in IL-6 gene expression.
We speculated that TNF- stimulation of astrocytes would provide a
source of endogenous IL-6 that would then interact with the sIL-6R and
possibly influence IL-6 expression. The addition of TNF- and the
sIL-6R led to synergistic increases in IL-6 expression by U373-MG
cells, primary human astrocytes, and CRT cells (Fig. 1, Table 1). These
results suggest that the sIL-6R plays a pivotal role in determining the
levels of IL-6 expressed by astrocytes in the CNS and furthermore
influences IL-6 function in the CNS. This is supported by several
reports that CNS cells that are normally slightly responsive or
unresponsive to IL-6 become responsive on addition of the sIL-6R. In
the absence of nerve growth factor, IL-6 weakly enhances sympathetic
neuron survival, and the addition of the sIL-6R enhances neuronal
survival (März et al., 1998a ). In human astrocytes, IL-6 alone
has no effect on 1-antichymotrypsin expression, whereas
addition of the sIL-6R leads to expression (Kordula et al., 1998 ). In
the presence of the sIL-6R, IL-6 inhibits TNF- -induced VCAM-1
expression in astrocytes (Oh et al., 1998 ). These findings suggest that
the sIL-6R is a functionally relevant CNS molecule. In this regard,
sIL-6R is detectable in the CSF of normal individuals (0.8-1.67 ng/ml)
(Frieling et al., 1994 ; Rose-John and Heinrich, 1994 ), although the
source of sIL-6R in the CNS is unknown. A likely source of CNS sIL-6R
is Purkinje neurons, which exhibit intense immunostaining for the IL-6R
(Nelson et al., 1999 ). As well, IL-6R immunoreactivity has been
detected in hypoglossal nerve cell bodies in the brainstem and in
dorsal root ganglion neurons (Hirota et al., 1996 ; Thier et al., 1999 ). Other potential CNS sources of sIL-6R, particularly under inflammatory conditions, are activated macrophages and T-cells (Müllberg et al., 1993 ; Banning et al., 1998 ; Jones et al., 1998 ). Preliminary results from our laboratory indicate that sIL-6R, in the range of
300-900 pg/ml, can be detected from human brain extracts (our unpublished observation). Circulating levels of sIL-6R are considerably higher (~70 ng/ml) and may increase CNS levels on disruption of the
BBB, thereby providing an endogenous CNS source of sIL-6R sufficient to
elicit functional responses.
Addition of TNF- plus IL-6/sIL-6R led to an increase in the
overall level of IL-6 mRNA as well as the duration of expression (Fig. 2). To determine the basis of this increase, mRNA stability assays were performed. As shown in Figure 5A, the
t1/2 of TNF- -induced IL-6 message was
~90 min, and the inclusion of IL-6/sIL-6R did not affect the
t1/2 of the IL-6 message. Therefore, the synergistic effect of TNF- and IL-6/sIL-6R on IL-6 gene expression is likely caused by transcriptional regulation. Nuclear run-on analysis
indicated that both TNF- and IL-6/sIL-6R induce IL-6 transcription,
which is enhanced in the presence of both stimuli (Fig. 6).
IL-1 alone is a more potent inducer of IL-6 mRNA and protein than
TNF- (Fig. 4, Table 2). Our results provide the explanation for
this: enhanced IL-1 induced IL-6 transcription and stabilization of
the IL-6 message. Nuclear run-on analysis revealed that IL-1 induced
IL-6 gene transcription to a greater extent than TNF- (6.7-fold for
TNF- vs 13.3-fold for IL-1 ) (Fig. 6). As well, IL-1 induces a
more stable IL-6 message than TNF- (Fig. 5A,D). Interestingly, IL-1 stimulation of cells for 1 hr induced an IL-6
message with a t1/2 of ~60 min, whereas
a 6 hr stimulation with IL-1 resulted in an IL-6 message that did
not undergo any appreciable decay for up to 18 hr (Fig.
5C,D). Thus, it appears that there is a time dependence for
IL-1 -mediated stabilization of the IL-6 message. In this regard,
there are several reports of IL-1 stabilization of IL-6 message. In
murine mast cells, IL-1 alone has no effect on IL-6 expression, but
it enhances expression induced by c-kit ligand and IL-10
(Lu-Kuo et al., 1996 ). In fibroblasts, TNF- and IL-1
synergistically stimulate IL-6 expression that is caused in part by
stabilization of the IL-6 message (Elias and Lentz, 1990 ).
Interestingly, in those two studies, IL-1 alone did not stabilize
the IL-6 message, which is what we have observed in the U373-MG cells.
Thus, the ability of IL-1 to stabilize the IL-6 message may occur in
cell type-specific manner.
IL-1 induction of IL-6 protein expression was significantly enhanced
in the presence of sIL-6R (Table 2), and elevated levels of IL-6 mRNA
were detected in cells treated with IL-1 plus IL-6/sIL-6R over
treatment with either stimulus alone (Fig. 5B). The
synergistic effect of IL-1 plus IL-6/sIL-6R appears to be caused by
increased transcription of the IL-6 gene in the presence of both
stimuli (Fig. 6) because IL-6/sIL-6R does not affect the
t1/2 of IL-6 message induced by IL-1
at either 1 or 6 hr (Fig. 5C,D). IL-6/sIL-6R has been shown
to induce its own synthesis in osteoblasts by transcriptional
mechanisms (Franchimont et al., 1997 ), and our study also documents an
effect of IL-6/sIL-6R on IL-6 transcription.
Co-treatment with TGF- plus the sIL-6R did not lead to
synergistic increases in IL-6 mRNA and protein expression (Fig. 4, Table 2). The difference in the ability of TNF- and IL-1 , versus TGF- , to synergize with IL-6/sIL-6R may be dependent on
transcriptional regulation. TNF- and IL-1 regulate IL-6
transcription by similar mechanisms that involve use of NF- B and
CCAAT enhancer binding protein (C/EBP) binding sites (Akira et al.,
1990 ; Sparacio et al., 1992 ; Matsusaka et al., 1993 ; Miyazawa et al.,
1998 ). Treatment of U373-MG cells with TNF- and IL-1 , but not
TGF- , leads to NF- B interactions with the NF- B response
element in the IL-6 promoter, as determined using electrophoretic
mobility shift assays (data not shown). We hypothesize that synergy
between TNF- or IL-1 and IL-6/sIL-6R requires NF- B activation
as well as the activation of an undetermined IL-6 inducible
transcription factor, possibly C/EBP . C/EBP has been shown to
function in the positive regulation of the IL-6 promoter as well as
other IL-6 inducible promoters (Miyazawa et al., 1998 ). Maximal IL-6
transcription as seen by TNF- or IL-1 plus IL-6/sIL-6R may
involve the interactions of NF- B and C/EBP , as has been shown for
IL-8 and serum amyloid A gene expression (Stein and Baldwin, 1993 ;
Kunsch et al., 1994 ; Ray et al., 1995 ).
Most members of the IL-6 cytokine family act through ligand-specific
receptors that interact with gp130 on binding ligand. OSM differs from
this model in that OSM interacts first with gp130 (Gearing et al.,
1992 ; Sporeno et al., 1994 ), then recruits either the LIFR
(Thoma et al., 1994 ), a receptor used by various members of this
family, or the OSMR, a receptor specific to OSM (Mosley et al.,
1996 ). Other members of the IL-6 cytokine family were tested for
effects on IL-6 expression; OSM induced IL-6 protein expression and
strongly synergized with TNF- for enhanced IL-6 expression. LIF
alone induced a modest level of IL-6 protein but did not synergize with
TNF- (Fig. 7). On the basis of the ability of OSM to significantly
influence IL-6 expression, we propose that OSM along with IL-6 may
affect the function of astrocytes. To our knowledge, no studies have
been conducted to determine OSM expression in the brain. However,
preliminary data indicate that human astrocytes, on stimulation, can
produce OSM protein (our unpublished observation). This suggests a
potential CNS source of this cytokine.
In summary, data presented herein support a positive autoregulatory
role of IL-6 and the sIL-6R in astrocytes for IL-6 regulation. These
findings may be relevant to inflammatory conditions in the brain, where
cytokines such as TNF- and IL-1 play an essential role in this
process through the induction of chemokines and adhesion molecules,
recruitment of immune cells into the CNS parenchyma, and ultimately,
activation of immune cells and endogenous glial cells (for review, see
Benveniste, 1997 ). In this context of elevated CNS expression of
TNF- , IL-1 , and IL-6, and the presence of the sIL-6R, a cytokine
circuitry is established by which high levels of expression of IL-6 can
occur, which may lead to some of the neuropathology associated with CNS
inflammation. The ultimate biological effect of IL-6 in the CNS will
depend on the availability of IL-6 receptors, both membrane bound and
soluble forms, as well as the levels of soluble gp130, which can
neutralize IL-6/sIL-6R complexes, thereby acting as an antagonist (for
review, see Heinrich et al., 1998 ). Whether soluble gp130 exists in the
CNS is not currently known; however, the expression of this component
of the IL-6 receptor signaling complex will impact on IL-6 biological effects in the CNS.
 |
FOOTNOTES |
Received Nov. 18, 1998; revised April 2, 1999; accepted April 3, 1999.
This work was supported by National Institutes of Health Grants NS29719
and MH55795 (E.N.B.). N.J.V. was supported by a National Institutes of
Health Predoctoral Fellowship (5-T32 GM08111), and J-W.O. is supported
by a Postdoctoral Fellowship (FG1308-A-1) from the National Multiple
Sclerosis Society. We thank Evelyn Rogers for secretarial assistance
and Professor Stefan Rose-John (Universität Mainz) for the
Hyper-IL-6.
Correspondence should be addressed to Dr. Etty N. Benveniste,
Department of Cell Biology, The University of Alabama at Birmingham, 1918 University Boulevard, MCLM 350, Birmingham, AL
35294-0005.
 |
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