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The Journal of Neuroscience, December 1, 2000, 20(23):8637-8642
Induction of Interleukin-6 by Depolarization of Neurons
Svea
Sallmann1,
Eric
Jüttler1,
Simone
Prinz1,
Nicole
Petersen1,
Udo
Knopf2,
Thomas
Weiser3, and
Markus
Schwaninger1
1 Department of Neurology, University of Heidelberg,
69120 Heidelberg, Germany, 2 Zentralinstitut für
Seelische Gesundheit, 68159 Mannheim, Germany, and
3 Boehringer Ingelheim Pharma KG, 55126 Ingelheim,
Germany
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ABSTRACT |
Interleukin-6 (IL-6) has neuromodulatory and neuroprotective
effects in vivo. It is expressed in glial cells and
neurons both under physiological conditions and in various neurological
diseases. Although the expression of IL-6 in glia has been intensely
investigated, little is known about the regulation of IL-6 production
by neurons. Therefore, we investigated the regulation of IL-6
expression in neurons. Membrane depolarization raised IL-6 mRNA
accumulation in primary cortical cells and the PC-12 cell line.
In vivo, IL-6 mRNA in the brain increased significantly
after epileptic seizures. To investigate IL-6 gene transcription, PC-12
cells were transfected with reporter gene constructs containing the
human IL-6 promoter. Membrane depolarization raised IL-6 transcription
twofold to fourfold. This increase could be blocked by lowering
extracellular Ca2+ levels or by inhibiting L-type
Ca2+ channels or
Ca2+/calmodulin-dependent protein kinases. Internal
mutations in various elements of the IL-6 promoter revealed the
glucocorticoid response element (GRE) 2 to be a
depolarization-responsive element. Although the GRE2 bound the
glucocorticoid receptor (GR) and was stimulated by dexamethasone, the
GR was not responsible for the effect of membrane depolarization
because a consensus GRE did not mediate stimulation by membrane
depolarization. Instead, another yet undefined factor that binds to the
IL-6 GRE2 may mediate the response to membrane depolarization. These
data demonstrate that the expression of IL-6 in neurons is regulated by
membrane depolarization and suggest a novel
Ca2+-responsive promoter element. Through this
mechanism, IL-6 may function as a neuromodulator induced by neuronal activity.
Key words:
IL-6; membrane depolarization; gene transcription; neurons; cytokine; calcium
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INTRODUCTION |
The cytokine interleukin-6 (IL-6) is
a systemic mediator of the acute phase response in infection. IL-6
induces the expression of acute phase proteins in the liver (Gauldie et
al., 1987 ), the differentiation of B lymphocytes (Kopf et al., 1994 ),
and protein breakdown in muscle (Goodman, 1994 ). It also coordinates
the neural component of the acute phase reaction by inducing fever and
sickness behavior and activating the hypothalamic-pituitary-adrenal
axis (Chai et al., 1996 ; Kozak et al., 1997 ; Ruzek et al., 1997 ). Glial cells express IL-6 when stimulated by virus, cytokines, or various neuromodulators (Frei et al., 1989 ; Benveniste, 1992 ; Schwaninger et
al., 1997 , 1999 ). An increased expression of IL-6 in the brain has been
described in various forms of meningitis or encephalitis, as well as in
models of systemic sepsis (Gadient and Otten, 1997 ).
Like the resident immunocompetent cells such as astrocytes or
microglia, neurons also have been shown to be a source of IL-6 both
in vivo and in vitro. Some authors have even
detected IL-6 in neurons under normal physiological conditions.
(Schöbitz et al., 1993 ; Gadient and Otten, 1994 ; März et
al., 1998 ). However, there is a pronounced increase in the expression
of neuronal IL-6 in cerebral ischemia and after axotomy (Murphy et al.,
1995 ; Suzuki et al., 1999a ,b ). IL-6 expression in neurons contributes
to the activation of glial cells (Fattori et al., 1995 ; Klein et al., 1997 ), protects neighboring neurons (Hama et al., 1991 ; Yamada and
Hatanaka, 1994 ; Matsuda et al., 1996 ; Loddick et al., 1998 ), and
supports the regeneration of peripheral nerves after a crush lesion
(Zhong et al., 1999 ). However, chronic exposure of neurons to IL-6
increases Ca2+ influx in response to NMDA
and causes neurodegenerative changes (Campbell et al., 1993 ; Qiu et
al., 1998 ).
Although numerous studies have been conducted on the regulation of IL-6
expression in glial cells, little is known about the regulation of IL-6
in neurons. Only interleukin-1 , tumor necrosis factor- , and a yet
undefined factor from mast cells have been reported to stimulate the
expression of IL-6 in cortical and sensory neurons (Ringheim et al.,
1995 ; Murphy et al., 1999 ). Here, we report study results indicating
that membrane depolarization induces IL-6 expression in neurons and
further investigate the underlying molecular mechanism.
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MATERIALS AND METHODS |
Cell culture and transfection. Cortical neurons were
prepared from embryonic day 14 (E14) rats. They were cultured in
Neurobasal medium supplemented with B27 (Life Technologies,
Karlsruhe, Germany), 25 mM glucose, 0.5 mM L-glutamine, penicillin
(50 IU/ml), and streptomycin (50 µg/ml). Cerebellar granule cells
were prepared from postnatal day 7 (P7) mice. Cells were plated
on poly-L-lysine precoated 24-well plates
(Sarstedt, Nümbrecht, Germany). Cells were seeded at a density of
400,000 cells per well in basal modified Eagle's (Life Technologies)
medium supplemented with 10% fetal calf serum (PAA Laboratories,
Cölbe, Germany), 20 mM KCl, penicillin (50 IU/ml), and streptomycin (50 µg/ml). On the first day in
vitro, cells were transfected with Transfast as described
previously (Ango et al., 1999 ). After 48 hr in culture,
cytosine- -D-arabinofuranoside (10 µM) was added. Cerebellar granule cells were
stimulated on the fourth day in culture. PC-12 cells were obtained from
DSMZ (Braunschweig, Germany) and were cultured in RPMI
containing 10% fetal calf serum, penicillin (50 IU/ml), and
streptomycin (50 µg/ml). Plates were coated with collagen (60 µg/ml) for 1 hr. Two days before transfection, the cells were
transferred to 24-well plates (200 µl/well). For transfection, 6 µl
of Transfast (0.4 mg/ml; Promega, Madison, WI), 1 µg of the first
reporter, and 0.05 µg of pRLSV40 (Promega) as a second reporter were
used according to the instructions of the manufacturer. Primary
astrocytes were cultured and transfected as described previously
(Schwaninger et al., 1999 ). After incubation for 42 hr in full medium,
PC-12 cells and primary astrocytes were stimulated for 6 hr and
harvested immediately afterward. The activity of firefly luciferase was measured as described previously (Schwaninger et al., 1993b ); for
Renilla luciferase, the Dual Luciferase Reporter Assay (Promega) was used. Luciferase vectors containing various mutations within the
IL-6 promoter have also been described previously (Schwaninger et al.,
1999 ). For the vectors 4xcGREIL6Luc, 4xGRE2IL6Luc, and 4xmGRE2IL6Luc, a
truncated form of the human IL-6 promoter ( 179/+8) was subcloned into
the XhoI and BglII sites of pXP2 (Nordeen, 1988 ).
Then, four copies of the following oligonucleotides were cloned in
front of the truncated IL-6 promoter: GRE2, 5'-CAG TTC AGA ACA TCT TTG
GTT-3'; mGRE2, 5'-CAG TTC AGC TGA TCT TTG GTT-3'; and cGRE,
5'-AG AAC AGA GTG TTC T-3'. All constructs were confirmed by sequencing.
Semiquantitative IL-6 reverse transcription-PCR. RNA
was extracted from cells and tissues with the RNA clean kit (Angewandte Gentechnologie Systeme, Heidelberg, Germany) according to the instructions of manufacturer. Total RNA (10 µg) was
transcribed with MMLV reverse transcriptase and random hexamers. For
PCR of rat IL-6 cDNA, the following primers were used: sense,
CTT CCA GCC ATG TGC CTT CT; and antisense, GAG AGC ATT GGA AGT TGG GG. PCR was performed according to the following protocol: 10 min at
94°C, 30 sec at 94°C, 40 sec at 56°C, and 45 sec at 72°C. The amplified products were subjected to gel electrophoresis (1.5% agarose) (Fig. 1).

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Figure 1.
Membrane depolarization stimulates the mRNA
accumulation of IL-6 in primary cortical cells and the neuron-like cell
line PC-12. Neurons were stimulated for 6 hr and PC-12 cells for 4 hr
by elevating the extracellular KCl concentration to 45 mM,
by 100 µM glutamate (Glut) or by 10 µM forskolin (Fors). N,
Negative PCR control; P, positive control;
M, marker. The product of the semiquantitative PCR is
496 bp in size. Amplification of -actin mRNA showed no difference
between treatment groups.
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Quantitative IL-6 reverse transcription-PCR. RNA extraction
and reverse transcription were performed as described above. For the
quantitative real-time PCR of IL-6 from mouse tissues, the following
primers were used: IL-6 sense, AAA GAG TTG TGC AAT GGC AAT TCT; IL-6
antisense, AAG TGC ATC ATC GTT GTT CAT ACA; glyceraldehyde-3-phosphate dehydrogenase (GAPDH) sense, CAT TGT GGA AGG GCT CAT GA; GAPDH antisense, TCT TCT GGG TGG CAG TGA TG; cyclophilin sense, AGG TCC TGG
CAT CTT GTC CAT; and cyclophilin antisense, GAA CCG TTT GTG TTT GGT
CCA. For PCR of IL-6 from rat cortical neurons, the following primers
were used: IL-6 sense, AAA GAG TTG TGC AAT GGC AAT TCT; IL-6 antisense,
CAG TGC ATC ATC GCT GTT CAT ACA; GAPDH sense, CAT CGT GGA AGG GCT CAT
GA; and GAPDH antisense, TCT TCT GAG TGG CAG TGA TG. PCR was performed
according to the following protocol: 10 min at 95°C, 15 sec at
95°C, and 1 min at 60°C (40 cycles). Amplification was quantified
with the Gene Amp 5700 sequence detector and the SYBR Green kit (PE
Diagnostik, Weiterstadt, Germany). A linear
concentration-response curve was established by diluting pooled
samples. The quantitation results for IL-6 PCR were normalized to those
for GAPDH or cyclophilin PCR in individual samples. The purity of the
amplified product was checked by the dissociation curve and gel
electrophoresis of selected samples. Furthermore, the identity of the
product was verified by sequencing after subcloning into the vector pCR
II-TOPO (Invitrogen, Groningen, The Netherlands).
Maximum electroshock test. Male mice (OF1; IFFA Credo,
Reims, France) weighing ~21-32 gm were used in the experiments. The animals were kept in groups of 10, without individual identification, in Makrolon cages type III bedded with soft wood granulate. They had
access to a standard pellet diet and tap water ad libitum in
an air-conditioned animal room (~25°C). The maximum electroshock test (Toman et al., 1946 ) was performed as follows: an electroshock (20 mA, 50 Hz, 200 msec) was applied to the mouse via saline-moistened eye
electrodes (Rodent shocker Type 221; Hugo Sachs Elektronik, March-Hugstetten, Germany). This had been determined in previous control experiments to be a supramaximal stimulus, resulting in a fully
developed tonic convulsion in 100% of the mice.
Gel shift assays. PC-12 cells on 6 cm plates were stimulated
for 2 hr if indicated. Nuclear extracts were prepared as described previously (Schreiber et al., 1989 ). Double-stranded
oligonucleotides with 5'-GATC overhangs and the following sequence from
the human IL-6 promoter were annealed and labeled by a fill-in reaction with [ -32P]dCTP and Klenow enzyme:
GRE2, GAT CCA GTT CAG AAC ATC TTT GGT TA. Labeled oligonucleotide and
nuclear extract were incubated on ice for 15 min in a buffer containing
20 mM HEPES, pH 7.9, 60 mM
KCl, 5 mM MgCl2, 0.05 µg/µl poly(dI-dC), 5 µg/µl bovine serum albumin, 10% glycerol, and 2 mM dithiothreitol (total volume, 20 µl). When
recombinant glucocorticoid receptor (GR) (Affinity BioReagents,
Grünberg, Germany) was used instead of nuclear extracts, the poly(dI-dC) concentration was reduced to 5 ng/µl. For
competition, the following double-stranded oligonucleotides were used:
mGRE2 (mutated sequence from the human IL-6 promoter), 5'-GAT CCA GTT CAG CTG ATC TTT GGT TA-3'; TYR-GRE (sequence from the human tyrosine aminotransferase promoter), 5'-GAT CTA GGC TGT ACA GGA TGT TCT GCC
TAG-3'; and B (sequence from the B promoter), 5'-GAT CCA GAG GGG
ACT TTC CGA GA-3'.
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RESULTS |
Expression of IL-6 is induced by membrane depolarization in
neuronal cells
Primary cortical neurons in cell culture were stimulated by
increasing the extracellular potassium concentration to 45 mmol/l. This
treatment depolarizes membranes whose resting potential depends on the
potassium permeability. The accumulation of IL-6 mRNA determined by
reverse transcription (RT)-PCR was reproducibly elevated by membrane
depolarization, although the cAMP agonist forskolin was more efficient
(Fig. 1A). Quantification of IL-6 mRNA with real-time PCR revealed a 9.7 ± 5.4-fold induction (n = 5;
p < 0.05). Membrane depolarization by elevated
potassium concentrations also stimulated the mRNA accumulation of IL-6
in the neuron-like cell line PC-12 (Fig. 1B). To
evaluate whether the IL-6 expression is also controlled in
vivo by membrane depolarization, we used the maximal electroshock model in mice. IL-6 mRNA was measured 6 hr after the shock by quantitative RT-PCR. In the brains of electroshocked mice, IL-6 mRNA
was significantly elevated. The calculated induction varied slightly
with the housekeeping gene that was used for normalization. If IL-6
RT-PCR was normalized to the GAPDH PCR product, the electroshock increased IL-6 mRNA to 158.0 ± 28.1 versus 100.0 ± 3.9% in
untreated animals (n = 8; p < 0.05).
Normalization to the cyclophilin PCR product resulted in an induction
of 234.2 ± 61.7 versus 100.0 ± 12.5% in untreated controls
(n = 8; p < 0.05).
As for other cytokines, the expression of IL-6 is regulated mainly at
the level of gene transcription. IL-6 gene transcription was
investigated by transfecting PC-12 cells with a reporter gene construct
containing the coding sequence of luciferase under transcriptional control of the human IL-6 promoter ( 1179/+9). Membrane depolarization enhanced IL-6 gene transcription twofold to fourfold (Fig.
2). Also in cerebellar granule cells,
elevation of the extracellular potassium concentration from 25 to 65 mM stimulated IL-6 gene transcription (Fig.
3C)

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Figure 2.
Stimulation of IL-6 gene transcription by membrane
depolarization depends on Ca2+ influx and activation
of CaM-dependent protein kinases. PC-12 cells were transfected with a
reporter gene construct containing the luciferase sequence as reporter
and the human IL-6 promoter ( 1179/+9). Cells were stimulated by 45 mM KCl for 6 hr. Inhibitors were added 1 hr before
stimulation. Data are mean ± SEM values of three to four
independent experiments, each done in duplicate. *p < 0.01 compared with untreated control. +p < 0.05 compared with cells stimulated with 45 mM KCl.
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Figure 3.
Stimulation of IL-6 gene transcription by membrane
depolarization is mediated by the GRE2 in the IL-6 promoter.
A, Scheme of the human IL-6 promoter. B,
PC-12 cells were transfected with reporter gene constructs containing
mutations in the indicated promoter elements. Basal luciferase
expression was affected by the mutations as follows [percent of
wild-type (wt) expression]: wt, 100.0 ± 15.9;
mGRE2, 77.0 ± 42.9; mGRE1, 11.1 ± 1.9; mutated TPA response
element (mTRE), 74.6 ± 16.9; mutated multiple
response element (mMRE), 76.5 ± 34.8;
mCAAT, 78.1 ± 35.6; m2 B, 51.4 ± 17.8; m2 B, 24.0 ± 5.8. *p < 0.05 compared with wtIL6Luc
stimulated with 45 mM KCl. C, Cerebellar
granule cells were transfected with reporter gene constructs containing
either the wild-type IL-6 promoter or the IL-6 promoter with a mutation
in the GRE2. *p < 0.05 compared with the untreated
control. D, Mutation of the GRE2 had no effect on IL-6
gene transcription in primary astrocytes that were stimulated by
mobilization of intracellular Ca2+ with 1 µM thapsigargin. Controls and stimulated cells were
treated with 333 nM
12-O-tetradecanoylphorbol-13-acetate. Data are
mean ± SEM values of at least three independent experiments, each
done in duplicate.
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Induction of IL-6 by membrane depolarization depends on
Ca2+ influx and
Ca2+/calmodulin-dependent protein kinases
Reducing the extracellular Ca2+
concentration by the chelator EGTA blocked the stimulatory effect of
membrane depolarization on IL-6 gene transcription in PC-12 cells (Fig.
2A). This indicates that an influx of
Ca2+ mediates the effect. Like primary
neurons, PC-12 cells express voltage-dependent
Ca2+ channels of the L-type. Because these
high-conduction ion channels have been implicated in the regulation of
gene transcription (Sheng et al., 1990 ), we used nifedipine, a
selective L-type channel blocker, to test whether they are involved
here as well. Indeed, nifedipine (10 µM)
abrogated the stimulation of IL-6 gene transcription by membrane
depolarization (Fig. 2B). In cerebellar granule
cells, IL-6 gene transcription was induced 1.6 ± 0.2-fold
(n = 9; p < 0.05) by elevation of the
potassium concentration to 65 mM; addition of 10 µM nifedipine blocked this induction (0.9 ± 0.2-fold of control; n = 12). The effect of membrane
depolarization in PC-12 cells was also inhibited by the calmodulin
antagonist W-13 (20 µM) (Fig. 2C) or
by KN-93 (10 µM), an inhibitor of
Ca2+/calmodulin-dependent protein kinases
(Fig. 2D). Although FK506 (10 nM to 10 µM) stimulated
luciferase expression, this effect was obviously not
attributable to inhibition of calcineurin because rapamycin and
cyclosporin A also stimulated luciferase expression, and the effects of
rapamycin and FK506 were additive (data not shown). These data suggests
that membrane depolarization induces IL-6 gene transcription in
neuron-like cells by an influx of Ca2+
through voltage-dependent Ca2+ channels of
the L-type and secondary activation of
Ca2+/calmodulin-dependent protein kinases.
Mapping of a new Ca2+-responsive element in the
IL-6 promoter
Several stimulus-responsive elements have been described in the
IL-6 promoter (Fig. 3A) (Sehgal, 1992 ). Among these, the
CAAT box, the cAMP response element (CRE), and the binding sites for activation protein 1 (AP1) and nuclear factor B (NF- B)
have been shown to mediate the Ca2+
responsiveness in the context of other promoters (Sheng et al., 1990 ;
Wegner et al., 1992 ; Frantz et al., 1994 ). To characterize the
Ca2+-responsive promoter element in the
neuron-like PC-12 cells, we transfected the cells with reporter gene
constructs containing internal mutations in various elements. None of
the mutations in the candidate elements, i.e., the CRE, the CAAT box,
or the binding sites for NF- B and AP-1, had any significant effect
on the stimulation by membrane depolarization and
Ca2+ influx (Fig. 3B). However,
an internal mutation within the glucocorticoid response element (GRE) 2 clearly diminished the depolarization-induced IL-6 transcription.
Mutation of the GRE2 also reduced the effect of membrane depolarization
in cerebellar granule cells (Fig. 3C). In contrast, the same
mutation in the GRE2 had no effect on the stimulation of IL-6
transcription through mobilization of intracellular Ca2+ by thapsigargin in astrocytes (Fig.
3D). A mutation in the GRE1 did not affect the induction of
IL-6 transcription by membrane depolarization in PC-12 cells (Fig.
3B).
The GRE1 and GRE2 in the IL-6 promoter have been described as
homologies to the consensus glucocorticoid element (Tanabe et al.,
1988 ) but have not yet been functionally characterized. Indeed, gel
shift assays demonstrated that recombinant human glucocorticoid receptor (rGR) binds to the GRE2 of the human IL-6 promoter (Fig. 4). rGR binding to the GRE2 of the IL-6
promoter was competed by an excess of a well characterized GRE from the
tyrosine aminotransferase promoter (TYR GRE). Conversely, the IL-6 GRE2
also competed for the TYR GRE binding to rGR (data not shown). Although
neurons and PC-12 cells are known to express GRs (Rozansky et al.,
1994 ), we were unable to detect a reproducible binding activity that corresponded to the GR in nuclear extracts from PC-12 cells using gel
shift assays.

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Figure 4.
rGR binds to the IL-6 GRE2. In gel shift
assays, the labeled IL-6 GRE2 was incubated with rGR. Increasing
concentrations of the IL-6 GRE2 or a typical GRE from the tyrosine
aminotransferase promoter competed for binding. The fold excess of
competitors over the labeled probe is given in the legend.
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IL-6 expression is inhibited by glucocorticoids; however, the
underlying mechanism does not involve the GRE1 or GRE2 (Ray et al.,
1990 ; Amano et al., 1993 ). In contrast, the transcription that was
directed by four copies of the IL-6 GRE2 was enhanced by the
glucocorticoid dexamethasone. The stimulation was sensitive to a
mutation in the GRE2, but a consensus GRE mediated a more pronounced
stimulation of gene transcription by dexamethasone (Fig.
5). Transcription directed through the
GRE2 was also stimulated by membrane depolarization, whereas a mutation
in the GRE2 abolished the effect of membrane depolarization. However,
transcription mediated by the consensus GRE was not stimulated by
membrane depolarization (Fig. 5), demonstrating that binding of the GR
alone is not sufficient to stimulate gene transcription by membrane
depolarization. This view was further supported by the effect of the
anti-glucocorticoid RU468 that did not interfere with stimulation of
IL-6 transcription by depolarization (data not shown). Using gel shift
assays, we found a factor in nuclear extracts of PC-12 cells that
migrated faster than rGR (Fig. 6).
Binding of this factor was reduced by an excess of the wild-type GRE2,
whereas the mutated GRE2 or an unrelated oligonucleotide had no effect.
The identity of the factor is unknown at present.

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Figure 5.
Stimulation of GRE-directed transcription by
dexamethasone and membrane depolarization can be dissociated in PC-12
cells. Whereas the IL-6 GRE2 responds to both dexamethasone and
membrane depolarization, a consensus GRE was only stimulated by
dexamethasone. Data are mean ± SEM values of three independent
experiments, each done in duplicate.
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Figure 6.
In gel shift assays of nuclear extracts
(NE) from PC-12 cells, a complex was found that bound in
a sequence-specific manner to the IL-6 GRE2 (arrow) as
it was reduced by a 300-fold excess of wild-type IL-6 GRE2 but not by a
mutated or an unrelated oligonucleotide as competitors
(Comp). Treatment of PC-12 cells with 10 µM dexamethasone (D) did not
influence the binding. Dot indicates unspecific binding.
U, PC-12 cells were untreated.
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DISCUSSION |
The cytokine IL-6 has been identified as an important mediator of
the immune system, and it has also become clear that IL-6 coordinates
the nervous component of the acute phase response and the activation of
immunocompetent glia within the brain. In this function, IL-6 is
expressed by glial cells. However, expression of IL-6 is not limited to
glia but has also been detected in neurons by several authors
(Schöbitz et al., 1993 ; Gadient and Otten, 1994 ; März et
al., 1998 ). Previously, the neuronal expression was only known to be
regulated by other cytokines, such as tumor necrosis factor or
IL-1 (Ringheim et al., 1995 ). Our data suggest, however, that
membrane depolarization and the neuronal activity itself may induce
IL-6 in neurons.
Pharmacological characterization indicated that
Ca2+ influx through voltage-dependent
Ca2+ channels of the L-type mediates the
effect of membrane depolarization on IL-6 gene transcription. The
effect of KN-93 further suggested that
Ca2+/calmodulin-dependent protein kinases
are involved. Elevating cytosolic Ca2+
concentrations has been reported to stimulate the transcription of the
IL-6 gene in macrophages and glia (Bost and Mason, 1995 ; Schwaninger et
al., 1999 ); however, in these paradigms,
Ca2+ is mobilized from intracellular pools
and activates other signaling pathways involving protein kinase C and
calcineurin (Burd et al., 1989 ). Ca2+
influx through the high-conductance L-type channel and the subsequent activation of CaM-dependent protein kinases is a well known cascade in
neuronal gene regulation. This cascade was first described in the case
of depolarization-induced c-fos gene transcription (Ghosh
and Greenberg, 1995 ) and has since been confirmed for several other
genes that are induced by membrane depolarization (Kilbourne et al.,
1992 ; Schwaninger et al., 1993a ). The IL-6 promoter binds at least two
transcription factors, cAMP response element-binding protein and
NF-IL6, which are activated by CaM kinases in other contexts (Ghosh and
Greenberg, 1995 ). Another Ca2+-responsive
regulator of IL-6 gene transcription is NF- B (Dolmetsch et al.,
1997 ). Surprisingly, none of these factors seems to be responsible for
the effect of membrane depolarization and
Ca2+ influx on IL-6 gene transcription.
Instead, the mutational analysis of the IL-6 promoter showed the GRE2
as the Ca2+ response element in neurons.
The GRE2 in the IL-6 promoter has been defined according to a sequence
homology to consensus GREs and is conserved in humans and mice (Tanabe
et al., 1988 ). To date, its function has not been analyzed. Although
the GRE2 was able to bind the GR and mediated an induction of gene
transcription by dexamethasone, the binding of the GR does not seem to
be responsible for the effect of membrane depolarization. In fact, gel
shift assays demonstrated a different factor binding close to the GR.
This factor is a candidate for mediating the
Ca2+ responsiveness because its binding to
the GRE2 showed the same mutational sensitivity as the
Ca2+ responsiveness. Furthermore, it may
displace the GR from its binding site and thereby restrict the effect
of glucocorticoids on GRE2-directed gene transcription, which could
explain why the overall effect of glucocorticoids on IL-6 gene
transcription is inhibitory (Ray et al., 1990 ). The identity of this
factor is unknown.
The induction of IL-6 gene transcription by membrane depolarization and
Ca2+ influx may explain the increased
expression of IL-6 after epileptic seizures that we and others have
observed (de Bock et al., 1996 ; Rosell et al., 1999 ). Moreover, it may
underlie the increased expression of IL-6 after in vivo
administration of excitatory amino acids (Minami et al., 1991 ; Schiefer
et al., 1998 ) and the upregulation of IL-6 in neurons of the
contralateral hemisphere after focal cerebral ischemia, a pattern that
closely resembles spreading depression (Suzuki et al., 1999b ). Both
peripheral and central neurons express IL-6 also after axotomy (Murphy
et al., 1995 ; Hans et al., 1999 ). In many paradigms, axotomy is
accompanied by a transient membrane depolarization and elevation of
intracellular Ca2+ concentrations and by a
prolonged increase in excitability (Berdan et al., 1993 ; Ziv and Spira,
1993 ; Zhang et al., 1997 ). In the case of large neurons of dorsal root
ganglia, an increase in neuronal activity may partially contribute to
the induction of IL-6 after axotomy, although other causes are
suggested by the fact that a more distal site of axotomy decreases the
excitability but increases IL-6 expression (Murphy et al., 1995 , 1999 ;
Liu et al., 2000 ). Moreover, induction of IL-6 by membrane
depolarization suggests a mechanism through which IL-6 may be regulated
under normal, physiological conditions in neurons. Recently, cytokines
have been implicated as neuromodulators in normal brain function
(Vitkovic et al., 2000 ). Evidence of altered emotional behavior in
IL-6-deficient mice supports such a role of IL-6 (Armario et al., 1998 ;
Butterweck et al., 2000 ). IL-6 released from neurons may exert its
modulatory effects on behavior by altering receptor-mediated membrane
responses and inhibiting long-term potentiation (Li et al., 1997 ; Qiu
et al., 1998 ; Xia et al., 1999 ). In neurological diseases, IL-6 may function like BDNF as a depolarization-induced neuroprotective factor
(Ghosh et al., 1994 ; Zhong et al., 1999 ). The induction of an important
immune mediator, such as IL-6, by neuronal activity may, furthermore,
provide a molecular mechanism in the brain to control immune functions.
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FOOTNOTES |
Received May 2, 2000; revised Aug. 31, 2000; accepted Sept. 15, 2000.
This study was supported by a grant from the Deutsche
Forschungsgemeinschaft to M.S. We greatly appreciate the generous gift of KN-93 from H. Hidaka (Nagoya, Japan), the help of B. Storch-Hagenlocher (Heidelberg, Germany) with the preparation of
primary cells, and the excellent technical assistance of G. Mengeling
(Boehringer Ingelheim Pharma KG).
Correspondence should be addressed to Dr. Markus Schwaninger,
Department of Neurology, University of Heidelberg, Im Neuenheimer Feld
400, 69120 Heidelberg, Germany. E-mail:
markus.schwaninger{at}med.uni-heidelberg.de.
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