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receptor (CD44) expression and function in human peripheral blood monocytes and alveolar macrophages. Martine. Culty Thomas. E. O'Mara,T. Charles.
Hyaluronan receptor (CD44) expression and function in human peripheral blood monocytes and alveolar macrophages Culty Thomas P Swartz’

Martine

Rodney

Abstract:

*Department

of Cell

Washington,

DC

CD44

Biology

glycoproteins

are

E. O’Mara,T and

tpulmonary

present

on

Charles and

the

B. Underhill

Critical

sur-

Care

ple

Medicine,

Henry Georgetown

proinflammatory

and cytokine release [14, density of CD44 is increased with the degree of synovial

explanted human peripheral hibit a major CD44 band

tous

alveolar ranging began

180

macrophages from 85 to 200 expressing new

kDa.

Newly

(AM) kDa. CD44

(PBMs) exautologous

express multiple isoforms Within 4 h in culture, PBMs isoforms of 120, 150, and

explanted

AM

specifically

bound

[3H]hyaluronan (135 cpm/cg protein), but newly cxplanted PBMs did not. However, in vitro cultured PBM progressively acquired the ability to bind [3H]hyaluronan and exhibited specific binding of hyaluronan similar to that of AMcb (113 cpm/tg protein) after 4 days in culture. In both cases, the binding of [3H]hyaluronan was specifically inhibited by the addition of monoclonal antibody directed against CD44. AM4 readily degraded 3H]hyaluronan and reached a plateau after 4 days in culture (115 cpm/g protein). Newly explanted PBM exhibit no hyaluronan degradation and only a small degradative activity after 4 days in culture (6 to 11 cpm/sg protein). Thus, CD44 expression and function appear to change as PBM mature in vitro resembling more that found in AMcb.J.

Key ronan

Leukoc.

Words: human

Biol. macrophage

56:

605-611; monocyle

1994. CD44

receptor

diseases,

Jr.,’

University

Medical

functions,

faces of many hematopoietic cells and in some cases can bind hyaluronan, a major component of the extracellular matrix. In the present study, we have found that newly blood monocytes of 85 kDa, whereas

Yeager,

CD44

Center,

including

15].

T

cell

In

rheumatoid on synovial cells inflammation [16].

expression

granuloma formation The expression of change with maturation

and

and CD44

is

increased

fibrosis

[4].

has previously granulocyte,

in

activation

arthritis, the and correlates In granulomain the area of been cell,

T

shown to and B cell

lineages [17-19]. The presence of CD44 complexes on monocytes and alveolar macrophages has also been reported [1, 15]. Although monocytes are the immature hematopoietic precursors of macrophages, there has been no comparative study In

of CD44 this

peripheral

different explanted hyaluronan. bind and maturation

expression

in humans. human blood monocytes (PBM5) and AM express isoforms of CD44. We also demonstrate that newly PBMs are incapable of binding and degrading In contrast, newly explanted AM4 efficiently degrade hyaluronan. Moreover, we find that upon in culture, PBMs express different CD44 isopaper

we

and

function

report

in these

that

newly

cells

explanted

forms than are present on newly explanted PBMs. More important, they also develop the ability to bind hyaluronan. However, the ability of cultured PBMs to degrade hyaluronan does not increase to the same extent and stays very low compared with that of mature AM, suggesting that the acquisition of this function may require other regulatory factors.

hyalu-

MATERIALS INTRODUCTION

AND METHODS

Volunteers

Hyaluronan, a major component of the extracellular matrix, has been shown to increase in certain stages of the developing lung [1] and tissues undergoing inflammation and repair [2-4]. Elevated levels of hyaluronan have also been reported in experimental bacille Calmette-Gu#{233}rin (BCG) infections in rodents, and hyaluronan-protein complexes have been referred to as “macrophage agglutinating factors” [5]. In vitro, hyaluronan has been shown to have variable effects on phagocytic cells including human alveolar macrophages (AM4) [6, 7], and has been shown to bind cytokines [8]. The turnover of hyaluronan is in part mediated by its cell surface receptor, which is a member of the CD44 family of glycoproteins. CD44 is expressed on several human cell types, including lymphocytes, alveolar macrophages, fibroblasts, and numerous tumor cells [9]. CD44 mediates the uptake and degradation of hyaluronan by rodent alveolar macrophages and transformed fibroblasts. In addition, CD44 is considered to be a cell adhesion molecule and has been involved in functions such as lymphocyte homing, hyaluronan-dependent cell aggregation, and cell migration [10-13]. CD44 has multi-

After rum

informed consent was obtained, were obtained from 19 healthy,

and senons-

mokers, 18-34 years of age, with no indications of respiratory tract infections and with normal chest roentgenograms and ventilatory tests. The protocol was approved by the Human Research Committee, Georgetown Medical Center, and was carried out according to the principles of the Declaration of Helsinki.

Abbreviations: monocyte; BALC, solution; PBS-FT,

AM, alveolar bronchoalveolar phosphate-buffered

0.05%

DOC

Tris,

Tween-20;

pH

Reprint

8.0;

SDS,

requests:

buffer,

of

Leukocyte

macrophage; lavage cell; saline, 0.01%

sodium

dodecyl

Martine

Culty,

Dental Building, Georgetown Road, NW, Washington, DC Received January 26, 1994;

Journal

AM4, PBMs, male and female

Biology

PBM, peripheral blood HBSS, Hanks’ balanced salt 10% fetal bovine serum,

deoxycholate,

sulfate;

0.5

LPS,

Department

University 20007. accepted

Volume

of Cell

Medical June

56,

15,

M

NaCl,

0.02

M

lipopolysaccharide. Center,

Biology,

3900

Medical-

Reservoir

1994.

November

1994

605

Antibodies

temperature.

The hybridoma cells body (rat anti-human Butcher (Department School, Stanford, cites fluid of nude

producing CD44) of

blood

isolation

monocyte

and

culture

purchased

passed MA)

through before

a use.

blood cells and PBMs

produced 90-95% agnostics, 2.0 the

(St.

PBMs

were

performed

Alveolar

macrophage

cell and

counts Nathan

Western

Diof

were determined [21].

by

collection

Bronchoalveolar lavage cells (BALCs) were obtained by fiber-optic bronchoscopy and sterile saline lavage in a bronchoscopy suite [22]. After local anaesthetic, the right lower lobe was lavaged with four 60-ml quantities of sterile, nonpyrogenic, 0.9% sodium chloride, pH 5.5, 25#{176}C.The lavage fluid was removed by gentle suction, pooled, and kept on ice. The pooled lavage fluid was centrifuged (400g 20 mm, 4#{176}C). The pelleted BALCs were washed three times in cold HBSS and resuspended in ExCell-320 medium. BALC viability was 80-85% as determined by trypan blue dye exclusion. For all assays, the BALCs were adjusted to approximately I x I0 viable BALCs/ml of ExCell-320 medium and 0.2-mi aliquots were dispensed into 24-well tissue culture plates. The AM4 were allowed to adhere to the wells for 1 h at 37#{176}C, 5% CO2. The nonadherent cells were removed by vigorous washing with warm HBSS, and 1.0 ml of medium was added to each well. The resulting AM-enriched cultures AM

consisted of 95-97% per well. Total cell

method

of Nakagawara

Serum

collection

and

AM4 counts

at approximately were determined

Nathan

2.0 by

x 10 the

[21].

Fresh autologous human serum was obtained from nonheparinized peripheral whole blood. The blood was allowed to clot in glass tubes at room temperature for 20 mm, placed on ice for 30 mm, then centrifuged at l500g for 1 h at room

606

Journal

of Leukocyte

Biology

Volume

56,

November

cultures were prepared as described above. Immedifollowing the attachment step, the PBMs were washed with HBSS to remove nonadherent cells and medium. PBMs were then cultured in either medium alone or 5 to 100% autologous were harvested for

human Western

serum. Afblot analysis

of CD44.

5 x 106 viable cells/mi. Aliquots (0.2 24-well tissue culture plates (Costar, PBMs were allowed to adhere to the 37#{176}Cin 5% humidified CO2. The removed by vigorous washing of the balanced salt solution (HBSS), and added to the cultures. This protocol

PBMs/well. Total of Nakagawara

studies

medium containing ter 24 h, the PBMs

were suspended in serumBiosciences, Lenaxa, KS). trypan blue dye and ad-

enriched cultures consisting of approximately PBMs as determined by Diff-Quik stain (Dade Aquada, PR), yielding a final average number

x i0 method

PBM ately twice The

[20]. Briefly, peripheral blood was and the mononuclear cells were on Ficoll-Paque solution (PharViability was assessed by trypan

blue dye exclusion, and the cells less medium (ExCell-320; JRH Viable cells were counted using justed to approximately ml) were dispensed into Cambridge, MA). The well bottoms for 1 h at nonadherent cells were wells with warm Hanks’ 1.0 ml of medium was

Sigma

collection of human

as previously described obtained by venipuncture separated by centrifugation macia, Piscataway, NJ).

from

asby

of peripheral

and Bedford,

Serum

was

from IN)

Teflon plate cultures

removed

rat immunoglobulin Louis, MO).

G (IgG)

was isolated Indianapolis,

was

(Millipore,

filter

chromatography on DEAE Affi-gel blue (Bio-Rad, Richmond, CA). The K-3 monoclonal antibody (mouse antihamster CD44) was isolated from ascites fluid by chromatography on a protein A-Sepharose column [ii]. The BU-52 monocional antibody (mouse anti-human CD44) was purchased from The Binding Site (San Diego, CA). Nonspecific

The

The antibody (Bioproducts,

antiby Dr. Medical

serum

membrane

Mononuclear cells (2.0 x 106) were isolated from blood as described above and were added directly to Teflon culture plates (Scientific Specialties Service, Randallstown, MD) in 5 ml of ExCell-320 medium. PBMs, allowed to attach to plastic for 30 mm, were scraped free, washed in HBSS, and 1.0 x 106 were added to Teflon culture plates in 5 ml of ExCell-320 medium. At 24 h, the cultures were harvested for Western blot analysis of CD44.

Peripheral

CA). mice

Hermes-i monoclonal were kindly donated Pathology, Stanford

The

0.45-sm

blotting

The medium was removed from cultures and the cell layers were washed with HBSS and then dissolved in Laemmli sample buffer [23] lacking $-mercaptoethanol. Each sample (standardized to protein content or cell number) and highmolecular-weight prestained standards (Bio-Rad Laboratories, Melville, NY) were electrophoresed on an 8% sodium dodecyl sulfate (SDS)-polyacrylamide gel (Miniprotean II, Bio-Rad Laboratories) and then transferred to a sheet of nitrocellulose (Immobilon-NC, Millipore, Bedford, MA) at 0.9 amperes for 30 mm using a Trans-Blot Cell (Idea, Corvalis, OR). The nitrocellulose sheet was blocked in 5% nonfat milk for I h and incubated for 1 h with mouse antihuman CD44 monoclonal antibody, BU52, diluted to 1:10,000 in PBS-FT (phosphate-buffered saline, 10% fetal bovine serum, 0.05% Tween-20). The blots were washed twice with PBS-FT and incubated for 1 h with a peroxidaselabeled anti-mouse immunoglobulin (Ig) secondary antibody. The blots were extensively washed with distilled water and incubated in a color reagent solution (0.03% H202, 0.2 mg/ml 3-amino-9-ethylcarbazole in 0.05 M sodium acetate, pH 5.0).

Assay for [3Hlhyaluronan Hyaluronan modified 25]. The M NaCI, quots volume

rated and tubes

binding

activity

binding activity was determined using a version of the method previously described [24, cells were dissolved in 0.1% Na deoxycholate, 0.5 0.02 M Tris, pH 8.0 (DOC buffer) and 200-1d ali-

were

incubated

with

1 tg

of

[3H]hyaluronan

in

a final

250 p1 After shaking for 20 mm, 250 l of satu(NH4)2SO4 was added followed by 25 l of nonfat milk the samples were centrifuged at 9000g for 5 mm. The were rinsed twice with 50% saturated (NH+)2SO4 and of

the pellets were tion counting.

dissolved in water The background

and level

processed of binding

for scintillawas deter-

mined by including an excess of nonlabeled hyaluronan (60 cg) in some samples and was subtracted from each value. The results are expressed as cpm of bound [3Hjhyaluronan normalized to protein, which was measured for each cell extract using the bicinchoninic acid assay (Pierce, Rsckford, IL). To assess the effect of blocking antibodies on the binding of [3H]hyaluronan to CD44, the monoclonal antibodies

1994

Hermes-i or K-3 were incubated with the prior to the addition of the [3H]hyaluronan. IgG

was

Assay

used

as

control

cell

extracts Nonspecific

15

mm rat

antibody.

for [3H]hyaluronan

2O5-.

degradation

The extent of [3H]hyaluronan degradation by AM and PBM cultures was determined as previously described [13]. To each well of AM and PBMs, 2 tg/ml [3H]hyaluronan was added. At various times after the addition, the incubations were stopped by adding 200 jl of pronase E (20 mg/ml solution;

Sigma

Chemical

Company)

to

the

cultures.

116-.’80-.’

The

cells were digested with protease overnight. The digests were centrifuged in Centricon-30 microconcentrators (Amicon, Danvers, MA). The material passing through the membrane was collected and processed for scintillation counting. This procedure has been shown to give similar results to molecular-sieve chromatography for determining the degradation of [3H]hyaluronan [13]. Background levels of degradation were determined by incubating [3H]hyaluronan in a cell-free medium for identical time periods and were subtracted from each value. The data are expressed in terms of cpm of hyaluronan fragments produced per tg of protein in the cell layer. This latter value was determined by extracting representative wells with DOC buffer and assaying them for protein as described above.

0.5

-205 -116

1. Western

peripheral

blood

blot

analysis monocytes

of CD44

(PBMs)

expression

and

on

alveolar

newly

explanted

macrophages

human

(AM).

Lanes I and 3 are the PBMs and AM& respectively, from donor A. Lanes 2 and 4 are the PBMs and AM, respectively, from donor B. Cells (2 x l05/well) were solubilized in 60 sl of Laemmli buffer without 3mercaptoethanol and 20 jslwas electrophoresed in 8% SDS-polyacrylamide gel. Presence of CD44 on nitrocellulose was detected using a monoclonal antibody (BU52) and a peroxidase-coupled secondary monodonal antibody. Arrows on the left indicate the location of CD44 bands. Arrows on the right

indicate

the positions

of various

molecular

weight

standards.

6

tured

Western

analysis

PBMs

ExCell-320

were

medium.

Laemmli

in

blot

PBMs. buffer

8%

of CD44

cultured

Cells

without

(2

antibody

expression plastic

x l05/well)

gel.

and

culturing

the the

of AM

at

and

tissue

times culture

solubilized 20

isoforms a

various

24-well

were

CD44

(BU52)

monoclonal antibody. Arrows on bands. Arrows on the left indicate standards.

vitro

(hr)

fi-mercaptoethanol

SDS-polyacrylamide

monoclonal

on

24

tl

was

were

in

60

detected

in

sl

of

using

a

secondary

right indicate the positions of various

7 days

cul-

electrophoresed

peroxidase-coupled

for

in plates

location molecular

resulted

of CD44 weight

in

little

change in the CD44 profIle. However, under the same conditions, CD44 expression by PBMs changed within the first 24 h in culture (Fig. 2). While the 85-kDa CD44 band remained unchanged, there was an increased expression of the 120-, 150-, and 180-kDa isoforms. Newly explanted AM4 were able to bind [3H]hyaluronan (135 cpm/&g protein) (Fig. 3). In contrast, newly explanted PBMs However,

exhibited the

no PBMs

significant progressively

binding

of acquired

[3H]hyaluronan. the ability

to

bind [3H]hyaluronan and exhibited a specific binding of [3Hjhyaluronan of 113 cpm/ig protein after 4 days in culture, remaining at similar binding levels for the following days. When monoclonal antibodies that have been shown to block CD44 function (Hermes-I; K-3) [25] were added to the 2- and 24-h cell extracts 15 mm prior to the addition of [3H]hyaluronan, the binding of [3H]hyaluronan was significantly reduced, whereas the addition of nonspecific rat IgG had little effect (Table 1). AM4 exhibited the ability to degrade [3H]hyaluronan in vitro, with the level of hyaluronan fragments formed plateauing by 4 days (Fig. 4). In contrast, PBMs exhibited no ability to degrade hyaluronan in the first days of incubation and reached very low levels of hyaluronan fragment production after 4 days in culture (ranging from 6 to 11 cpmJtg protein in different experiments). To determine what mechanisms may be altering the expression of CD44 in cultured PBMs, we examined the effects of altering the culture conditions of the PBMs (Fig 5). Since lipopolysaccharide (LPS) has been shown to alter PBM ac-

-80 Fig.

2.

Fig.

In

band at 85 kDa. Of the 19 individuals tested, PBMs from 13 showed only the 85-kDa form of CD44 and PBMs from 6 individuals exhibited three additional faint bands at higher molecular masses of 120, 150, and 180 kDa.

4

time

RESULTS Western blot analysis of newly explanted AM/ demonstrated a diffuse pattern indicative of CD44 isoforms ranging in molecular size from approximately 85 to 200 kDa (Fig. 1, lanes 3 and 4). When less protein was loaded, the same diffuse pattern was observed (data not shown). In contrast, newly explanted PBMs (lanes 1 and 2) exhibited a major

2

tivity myxin negate

[26, 27], we supplemented the medium with polyB, an antibiotic that binds to and inactivates LPS, to the effect of any contaminating LPS. Western blot analysis (Fig. 5A) showed no difference in CD44 expression between PBMs cultured with polymyxin B (lane 2) and control cultures (lane 1). We assessed the effect of the presence of lymphocytes (Fig. 5B) on the expression of CD44 at 0.5 and 24 h by comparing cultures of nonfractionated buffy coat cells (lymphocytes and

Cu!ty

et a!.

CD44

expression

and

function

in monocytes

607

monocytes = B), adherent PBMs (P), and nonadherent cells (predominantly lymphocytes = L). Both lymphocytes and PBMs expressed the 85-kDa CD44. The presence of lymphocytes in the PBM cultures did not decrease the appearance of the higher-molecular-weight CD44 isoforms but rather the combination of both cell populations showed in-

250

200

creased expression of all CD44 bands cultured in the absence of lymphocytes. Adherence of PBMs has been shown [28-30]. Therefore we assessed whether

J

150

.AM#{216} 100

5/1

PBM

.01234567

Incubation Fig.

3.

Binding

of

3Hjhyaluronan.

blood monocytes were cultured ExCell-320 medium supplemented

time

periods

quots room

were

cpm

for

of two

to

were

solubilized

with

1 sg

scintillation Each

nine

and

of

[3H]hyaluronan

counting.

to

point

independent

results

protein

(mean

and

are as

range)

±

activity may alter

culture of CD44 nonadherent

plates (T). The appeared in PBMs cells. However,

higher-molecular-weight cultured as both the magnitude

adherof the

150

in

mm

20

sulfate,

The

normalized

time

plates

At various buffer. Mifor

ammonium

their

peripheral

culture

serum. in deoxycholate

with

bound,

Methods.

days

macrophages

24-well plastic tissue with 5% autologous

precipitated

[3Hhyaluronan

and

average

incubated

then

processed

of

Materials

on

the cells

of 250 sl were temperature,

pellets as

in culture,

time,

Alveolar

to alter adherence

PBMs

expression was greater in the PBMs cultured in Teflon plates. Buffy coat cells (PBM + lymphocytes), which had always been cultured in Teflon and thus never adherent (NA), expressed very low amounts of the higher-molecular-weight isoforms. We tested whether the presence of autologous serum may alter the CD44 profile observed after 24 h culture of PBMs. Adherent cultures of PBMs were incubated for 24 h in ExCell-320 medium, alone or supplemented with 5, 10, 25, 50, 75, or 100% autologous serum. Western blot analysis indicates that the expression of CD44 is enhanced by increasing the concentration of autologous serum up to 50%.

7

rnO

0

with

CD44 expression (Fig. SC). After the initial purification by adherence for 30 mi PBMs were incubated for 24 h as adherent cultures on plastic wells (A) or as suspension cultures

I

in Teflon isoforms ent and

50

compared

at

the

C

in

0

expressed

described represents

the

experiments.

C)

100

E 0 TABLE

1.

Effect

of Specific

Antibodies

AM4

and

on

[3HjHyaluronan

Binding

C

to

PBM?

0 Cell

Culture (h)

type

added

2

PBM

24

0

234

±

10

212

±

7

K-3

30

Alveolar

bodies:

monoclonal The

of [‘Hjhyaluronan 8

sg for

Mean

608

and

range

Journal

4

0

28±4

5

6

and

of duplicate

normalized

to

24

h AM;

CD44 and

2

-

±

3

79

monocytes with

8

Biology

both

anti-

blocking

monodonal

content.

sg for

are

(PBM5)

CD44

antibody. Results

Protein 2 and

#{176} cpm

content:

24 h PBMs.

given.

Volume

56,

November

0 7

0123456

Aliquots

the various

Methods.

protein

determinations

of Leukocyte

53

±

anti-hamster

anti-human Materials

4

24 h in culture.

15 mm

for

in

for

86 ±

blood

and

2

K-3,

IgG;

Hermes-i,

sg

after

incubated

rat

is described 18

peripheral

x

24

80

buffer were

72

24±9

None

bound,

2 h AMt’;

±

9

(AM)

9

130±3

0

nonspecific assay

171

None

antibody;

binding

0

5

in deoxycholate

IgG,

6

30

jsl) of the cell extracts

(250

±

Hermes-I

macrophages

solubilized

66

K-3

C) 0

80

5 25

50

-

47±3

IgG

Hermes-l

were

protein)

25

None

Inhibition (%)

bound

IgG

Hermes-I 24

[‘I-l]Hyaluronan (cpm/sg

(pg)

None

2

AMI

Amount

Antibody

Incubation Fig. 4. peripheral plates the

in presence

Degradation of blood monocytes ExCell-320 of 2 sg/ml

medium

time,

13H]hyaluronan. were cultured

Alveolar on

supplemented

[3H]hyaluronan.

days

with At

macrophages

plastic

various

24-well

5%

tissue

autologous

times,

the

and culture serum

cultures

in were

digested with Pronase-E and applied to Centricon 30 microconcentrators. The material passing through the membrane was collected and processed for scintillation counting. The results are expressed as cpm of [3H]hyaluronan fragments formed normalized to protein. Data are mean ± range of duplicate determinations from one representative experiment.

1994

205-*116 80-’-

Si

2

PLB

B -4

P

Ohr 5.

Fig.

Effect

of various

culture

conditions

on

CD44

LPA

TNA



expression

24hr

in PBMs.

PBMs

were

24hr

Ohr

cultured

on

plastic

24-well

tissue

culture

plates

in ExCell-320

medium

except where noted. Arrows on the right indicate the location of CD44 bands. Arrows on the left indicate the positions of various molecular weight standards. Total protein per lane 6 sg. (A) Effect of LPS. S, Standard molecular weight markers; I, PBMs cultured for 24 h in medium alone; 2, PBMs cultured in medium supplemented with 2 g/ml polymyxin B. (B) Effect of lymphocytes. B, PBMs cultured with lymphocytes; P, PBMs cultured alone; L, lymphocytes cultured alone. Cells were harvested after 30 mm (time 0) and 24 h in culture. (C) Effect of adherence on CD44 expression. P, Freshly isolated cells (PBMs + lymphocytes); A, PBMs cultured for 24 h as adherent cells on plastic; T, nonadherent PBMs in Teflon plates; NA, PBMs + lymphocytes never adherent

However, weight

and

cultured

at CD44

totally

50%, isoforms

in

the

Teflon

plates

for

24

h.

expression of the higher-molecularappear to be retarded in the first

day

of culture (Fig. 6). Longer exposures to high amounts of serum led to enhanced expression of all CD44 forms by PBMs (data not shown). However, it is not clear whether the longterm effects are specific or due to a general improvement of

the

cell

by

presence

In

this

tially

study,

form

805

1025

5075100

%serum ‘ig. 6. Effect of autologous serum on CD44 expression of adherent PBMs. BMs (2 x l05/well) were cultured for 24 h on plastic 24-well tissue culture lates in ExCell-320 medium with increasing concentrations of serum. S, tandard molecular weight markers; C, PBMs at 0.5 h; 0-100, PBMs at 24 cultured in medium supplemented with serum. Western blot analysis of D44 was performed on all samples as described in the legend of Figure 1. krrows on the right indicate the location of CD44 bands. Arrows on the left ndicate

the

positions

of

various

molecular

weight

we

have

that

explanted

of

However,

0

their of

morphology

serum

standards.

after

extended

was

a few

our

85

kDa,

of human

whereas

mature

days

improved in

culture.

previous

observations

AM.

PBMs

present

AM4

after

a few

hours

in

a major

express

molecules ranging from 85 to phages represent a heterogeneous phagocytes that have been shown functions and surface markers ogeneity found in the expression the diversity of functions found

$11111.’ I1IIL sc

levels

the hyaluronan receptor (CD44) to the human system. We present evidence that the expression changes as PBM mature in vitro, such that it par-

resembles

Newly

116-

because

of high

DISCUSSION

concerning macrophage of CD44

205-

functions,

a variety

CD44 isoof CD44

200

kDa. Alveolar macropopulation of mature to exhibit a wide variety of [31-33]. Thus, the heterof CD44 may correspond to in alveolar macrophages.

culture,

PBMs

begin

to

express

isoforms of CD44 of 120, 150, and 180 kDa, which are not present or barely detectable in circulating monocytes of most individuals. The expression of fewer CD44 isoforms by PBMs (immature phagocytes) may reflect their more limited repertoire of activities. At present, the mechanism(s) underlying the appearance of these new forms of CD44 remains unknown. This could result either from the formation of splice variants or posttranslational modifications, as both types of alterations have been implicated in the formation of various CD44 molecules [9]. In addition, it is still unclear why the newly explanted PBMs from 6 out of 19 individuals tested presented high-molecular-weight CD44 bands.

Cult,

ci al.

CD44

expression

and

function

in

monocytes

609

To assess relevance, hyaluronan the main

whether these changes could have any functional we then examined the interactions of CD44 and in these cells, because this glycosaminoglycan is ligand for CD44. A comparative study of the hyaluronan binding activity of PBMs and AM revealed that AM4 are very efficient in binding hyaluronan whereas newly explanted PBMs do not bind hyaluronan. However, after 4 days in culture, PBMs acquire hyaluronan binding activity similar to that of AM4. Monoclonal antibodies that have previously been shown to block CD44 function (K-3; Hermes-i) [24] effectively reduced the hyaluronan binding capability of both AM and PBMs, indicating that the majority of the binding of hyaluronan is through CD44. Because we have previously shown that CD44 mediates hyaluronan degradation in rodent macrophages [13], we examined whether human PBMs and AMq bility. Our results indicate that, initially, the ability to degrade hyaluronan, but

also have this capaPBMs do not have they slowly acquire

this function when cultured for a few days. However, the observed level of hyaluronan degradation remained very low compared with that observed in AM4, suggesting that an additional signal(s) is most likely necessary to stimulate the hyaluronan degradation in PBMs to levels observed with the mature AM4,. We examined the possible involvement of several parameters in producing the alterations in CD44 expression by PBMs. One possibility is that the cultures may have contained a small amount of contaminating LPS. The effects of LPS are in part mediated through interleukin-1 and tumor necrosis factor, both of which have been shown to influence CD44 expression in human lung fibroblasts [34]. The change in CD44 expression in our studies did not appear to be driven by LPS, as the addition of polymyxin B to negate the LPS had no effect on CD44 expression in PBMs. It is also possible that lymphocytes (and their products) present in the PBM cultures had an effect on CD44 expression. To test this possibility, monocytes were cocultured with lymphocytes. The changes in CD44 expression were enhanced, indicating that the presence of lymphocytes may potentiate this process. Such an effect may be due to the production of specific cytokines from one or both cell populations. This point is now under investigation. Adherence to plastic or glass has been shown to alter some macrophage activities [32]. Our data comparing PBMs adherent to plastic versus PBMs cultured in Teflon plates indi-

At concentrations CD44 isoforms lying this effect It is probably press

610

Journal

of Leukocyte

Biology

Volume

56,

November

be

the

bind

and

blood

serum exact

appears

under-

elucidated. for the immature

degrade

stream

to retard

mechanism(s) PBMs

hyaluronan

to

their

to

until

normal

target

exthey

tissue

or a site of inflammation, where they will encounter hyaluronan, a major component of the extracellular matrix. Therefore, the changes observed in the expression and function of CD44 must be controlled by specific signals. The determination of these factors clearly requires further investigation. Among the probable candidates are cytokines secreted by the monocytes

in the

as

serum

they

or

maturate

at

the

in

surface

Under normal conditions, in regulating hyaluronan

vivo

and

of the mature

levels

present endothelium.

a factor(s)

vascular AMcb

in

the

may be involved as suggested by

lung,

our results showing that they bind and degrade hyaluronan efficiently. The acquisition by PBMs of these activities may reflect (1) their normal maturation into specific macrophage populations and/or (2) their activation under pathological situations. Along these lines, hyaluronan levels have been shown

to

repair reported

[2,

increase

in

tissues

3]. Elevated in experimental

undergoing

could be important properly in both

inflammation

levels of hyaluronan BCG infections

hyaluronan-protein complexes rophage agglutinating factors ring in CD44 expression and

have been [5]. Thus, its interaction

and

have also in rodents,

been and

referred to as macthe changes occurwith hyaluronan

for the maturing macrophage to function normal and pathological situations.

ACKNOWLEDGMENTS The authors thank preparation of the part by U.S. Health

M. Shizari manuscript. Services

for technical support in This work was supported grant HL41565.

the in

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