From www.bloodjournal.org by guest on February 6, 2015. For personal use only. Neutrophils Activated by Granulocyte-Macrophage Colony-Stimulating Factor Express Receptors for Interleukin-3 Which Mediate Class I1 Expression By William B. Smith, Laura Guida, Qiyu Sun, Eija 1. Korpelainen, Cameron van den Heuvel, David Gillis, Catherine M. Hawrylowicz, Mathew A. Vadas, and Angel F. Lopez Freshly isolated peripheral blood neutrophils, unlike monocytes and eosinophils, do not bind interleukin-3 (IL-3) or respond t o IL-3. We show that neutrophils cultured for 24 hours in granulocyte-macrophage colony-stimulating factor (GM-CSF) express mRNA for theIL-3 receptor (R) a subunit, as shown byRNase protection assays, and lL-3Rn chain protein, as shown by flow cytometric analysis using t w o different specific monoclonal antibodies. This effect wasselective for GM-CSF, because granulocyte colony-stimulating factor, tumor necrosis factor-a, interferon-?, and IL-l failed t o induce the IL-3 receptor. Saturation binding curves with ’251IL-3 and Scatchard transformation showed thepresence of about 100 high-affinity and4,000 low-affinity receptors. Because neutrophils have been shown t o express human leukocyte antigen (HMI-DR in response t o GM-CSF, we examinedthepossibilitythat IL-3 could augment HLA-DR expression on GM-CSF-treated cells. We found thatneutrophils incubated with 30 ng/mL IL-3 as well as 0.1 ng/mL GMCSF expressed a mean of 2.1-fold higher levels of HLA-DR than with GM-CSF alone ( P < .005),confirming thesignatling competence of the newly expressed IL-3R. This increase was seen even at maximalconcentrations of GM-CSF and represents the first demonstration that GM-CSF and IL-3 can have an additive effect on mature human cells. The augmentation of HLA-DR by IL-3 was specific because it could be inhibited by a blocking anti-IL-BR antibody. Expression of class II molecules by neutrophils under these conditions may have significance for antigen presentation.These results providefurther evidence for the role of GM-CSF as an amplification inducing neutrophil responfactor in inflammationby siveness t o IL-3 produced by T cells or mast cells. 0 1995 by The American Society of Hematology. N specificity.’ Both chains are necessary for high-affinity binding and signalling.8 Neutrophils bind GM-CSF withhigh affinity, implying that they express the GM-CSF receptor a and p chains on the cell surface. On the other hand, the lack of binding of IL-3 suggests that neutrophils do not express the IL-3Ra chain. Using receptor subunit-specific monoclonal antibodies (MoAbs), RNase protection, and binding assays, we show here that, although IL-3R expression is undetectable on freshly obtained neutrophils from healthy donors, it is selectively induced after incubation with GMCSF. Furthermore, IL-3 is shown to act in synergy with GMCSF in the induction of human leukocyte antigen (HLA)-DR on human neutrophils. These results show that, in addition to directly stimulating neutrophil function, GM-CSF can render neutrophils responsive to IL-3, thus further amplifying their activation. EUTROPHILIC LEUKOCYTES are essential to host defence, and their function is regulated, at least in part, by various soluble factors. The hematopoietic growth factors granulocyte-macrophage colony-stimulating factor (GMCSF) and granulocyte colony-stimulating factor (G-CSF) are known to be important in stimulating the production and the functional activation of mature neutrophils.’ Interleukin-3 (IL-3) is a related growth factor that has been shown to stimulate and prolong survival of mature eosinophils, monocytes, and basophils* and, recently, to stimulate endothelial cells.’ However, unlike GM-CSF and G-CSF, IL-3 stimulates the production of neutrophils from bone marrow precursors but is unable to stimulate the function of these cells in short-term assays: suggesting that the IL-3 receptor (R) is lost during differentiation of the neutrophilic ~ e r i e sConsis.~ tentwith these findings, neutrophils freshly isolated from healthy donors were shown not to bind IL-3.6 However, in a system in which neutrophils were cultured for several days, a weak upregulation of class I1 by IL-3 was seen, suggesting that receptors might be re-expressed.’ The heterodimeric receptors for GM-CSF, IL-3, and IL-5 are structurally related and share a common /3 chain (pc), whereas the a chains are unique to each factor and confer From the Department of Immunology, St Mary’s Hospital Medical School, London, UK; and the Division of Human Immunology, Hanson Centre for Cancer Research, Adelaide, South Australia. Submitted May 5, 1995; accepted July 13, 1995. Supported in part by the Wellcome Trust, UK. W.B.S. was supported by a Postgraduate Research Scholarship and the C.J. Martin Postdoctoral Fellowship from the National Health and Medical Research Council (Australia). L.G. was supported bythe Arthritis and Rheumatism Council of Great Britain. The publication costsof this article were defrayedin part by page chargepayment. This article must therefore be hereby marked “advertisement” in accordance with I8 U.S.C. section 1734 solely to indicate this fact. 0 1995 by The American Society of Hematology. 0006-497//95/8610-0025$3.00/0 3938 MATERIALSAND METHODS IL-3 (human recombinant) was a kind gift of Genetics institute (Cambridge, MA) and had a specific activity of 0.17 U/ng. GMCSF (human recombinant) from two sources was used (gifts were from Dr A. O’Garra [DNAX, Palo Alto, CA] and Genetics Institute) with a specific activity of 50 Uhg. G-CSF (human recombinant) was obtained from Amgen (Thousand Oaks, CA). MoAbs. MoAb against the IL-3Ra chain (9F5), the GM-CSFRa chain (8G6), and pc (4F3) were raised and characterized as previously described.’,’ Purified antibodies (IgG1) were used at a final concentration of 1 pg/mL for staining cells. The control antibody was purified (nonimmune) mouse IgGl (Becton Dickinson, San Jose, CA). Blocking IL-3Ra antibody 7G3 (IgG2a) was raised and characterized as described.’“ Anti-HLA-DR (L243), anti-HLA-DP (B7/21), and anti-HLADQ (SPVL3), which were gifts from Dr H. Spits (Netherlands Cancer Research Institute, Amsterdam, The Netherlands), were purified and conjugated to fluorescein isothiocyanate (FITC) in the deparment using standard methods.” The control antibody was FITCconjugated IgG2a (Dako, Bucks, UK). Anti-CD16, conjugated to phycoerythrin (PE) or unconjugated, was a mouse IgG2a clone CLB-149 purchased from Eurogenetics Blood, Vol 86,No 10 (November 15). 1995:pp 3938-3944 From www.bloodjournal.org by guest on February 6, 2015. For personal use only. 3939 NEUTROPHIL IL-3 RECEPTORS (Teddington, UK). Anti-CD9 was purchased from the Binding Site (Birmingham, UK). Neutrophilisolation and cellculture. Heparinized blood from healthy volunteers was diluted 1:l with RPMI 1640 (Sigma, Poole, UK) and separated byFicolVHypaque (Nycomed, Oslo, Norway) gradient centrifugation. Red blood cells were lysed in ice-cold isotonic (155 mmol/L) ammonium chloride solution. Purity of preparations was greater than 95% neutrophils as judged by morphologic examination of Wright's-stained cytocentrifuge preparations. Contaminating cells were mostly eosinophils. For higher purity, neutrophils were prepared in some experiments by centrifugation of blood over a Percoll (Sigma) solution with a density of 1.082 g/mL (for improved separation from mononuclear cells). The granulocytes were incubated with anti-CD9 antibody (1 pg/mL), which binds to eosinophils and not neutrophils, and then with sheep antimouse-coated magnetic beads (10 beads/eosinophil; Dynabeads; Dynal, Oslo, Norway). The eosinophils bound to the beads were then removed with a magnet. This yielded neutrophil preparations of greater than 98% purity. In other experiments, where indicated, neutrophils were purified using metrizamide (Nycomed, Oslo, Norway) multistep gradients, as described," and were also greater than 98% pure. Neutrophils were cultured in 24-well (lo6 ceIls/well) or 96-well ( IO5 celldwell) tissue culture dishes (Nunc, Roskilde, Denmark) in RPMI 1640 (GIBCO, Life Technologies, Paisley, UK) with 5% fetal calf serum (FCS; Sigma), penicillin/streptomycin, and glutamine (GIBCO). TF1 cells" were maintained in RPMI 1640 medium containing 10% FCS and recombinant GM-CSF at 2 ng/mL. Flow cytometry. All flow cytometric analysis was performed using an EPICS Profile I1 cell analyzer (Coulter Electronics Ltd, Luton, UK). Neutrophils were prepared for flow cytometry by washing in phosphate-buffered saline (PBS) with 1% bovine serum albumin (BSA; Sigma) and 0.1% sodium azide and then incubated with 5% human AB serum (Sigma) or 5% rabbit serum (Sigma) on ice to block Fc receptor-mediated binding of MoAbs. Neutrophils were then incubated with saturating concentrations of MoAb on ice for 20 minutes. Directly stained cells were then either read immediately or fixed in PBS/0.4% formaldehyde/2% glucose/O.O2% sodium azide for later reading; indirectly stained cells went through a further incubation with FITC- or PE-conjugated goat antimouse antibody (Dako) diluted in PBS/BSA/azide with 2% goat Ig (Sigma). For dualstaining, cells were initially stained indirectly as described above and then underwent a further blocking step in 5% mouse serum before being incubated with directly conjugated antibody. Neutrophil preparations labeled indirectly for receptor expression were generally examined after approximately 20 hours of culture and were gated for live cells by forward and side scatter criteria. Neutrophils examined for major histocompatability complex (MHC) class I1 expression after approximately 40 hours of culture were dual-stained with CD16 antibody/goat antimouse PE and FITC-conjugated antibodies to HLA-DR, DP, and DQ. HLA expression was determined on cells gated for high CD16 expression. Results are generally expressed as the mean fluorescence intensity (Mm) of the entire (gated) cell population in linear units (histograms shown have a logarithmic scale). Background (negative control antibody, isotype-matched) fluorescence was subtracted in some of the figures, as indicated in the legends. Binding of '"iodine-labeled IL-3 ('2sl-IL,-3). Recombinant k3 was labeled with '1 using the iodine monochloride method.13 Freshly labeled L 3 was incubated with 2 X lo6 neutrophils per point for 3 hours at 22°C in medium containing 0.1% sodium azide (binding medium). Specific binding was established by subtracting the counts per minute (CPM) from parallel samples containing 100fold excess unlabeled IL-3. The Scatchard transformationL4was derived from a saturation binding curve using 3 X lo6 neutrophils B A Lop Fluorercence InI*nsiIy Log Fluorarcenc. Inl.nsily Fig 1. Flow cytometry shows expression of a-chain subunits for the GM-CSF and 11-3 receptors. Neutrophils were freshly isolated (A and B) or cultured overnight 120 hours) with medium alone (C and Dl or GM-CSF l nglmL (E and F). Cells were stained with negative control antibody mouse lgG1 (solid lined, anti-GM-CSFRa MoAb 866 (dashed lines; A, C, and E), and anti-IL-SRm MoAb 9F5 (dashed lines; B, D, and F). The cells were dual-stained with CD16 and gated for high expression. Single-donor neutrophils, representative of 7 to 9 donors; for pooled fluorescemce values, see Fig 2. (metrizamide preparation, >98% pure) in triplicate per point and 10 pmol/L to 30 n m o m IL-3. RNase protection assay. Total cellular RNA was isolated from purified neutrophils using guanidinium thiocyanate." A 10 pg sample of total RNA was analyzed by RNase protection assay, as previously described,I6except that only RNase A was used (20 pg/mL) and that the glyceraldehyde-3-phosphate dehydrogenase (GAPDH) probe used as an internal control was synthesised at a lower specific UTP at 4 Cilmmol. For probe synthesis, ILactivity using [cY-~*P] 3Ra chain cDNA was subcloned into pGEM2 and GAPDH cDNA into Bluescript KS. The probes protect the following fragments of the mRNA, with enzymes used tolinearize the transcription template shown in parentheses: 1119-1280 (PS?I) for IL-3Ra chain and 707810 (Sty I) for GAPDH. Gels were quantified by ImageQuant analysis (Molecular Dynamics, Menlo Park, CA), with GAPDH being used as an internal control. RESULTS Expression of receptors for K - 3 and GM-CSF on resting and activated neutrophils. Neutrophils freshly isolated from healthy donors clearly expressed flow cytornetrically detectable levels of GM-CSFRa (Fig lA), whereas the profile for IL-3Ra was indistinguishable from that of the control antibody (Fig 1B). ,Bc was also detectable withaprofile similar to that of GM-CSFRa on fresh cells (data not shown). From www.bloodjournal.org by guest on February 6, 2015. For personal use only. SMITH ET AL 3940 N=9 N=7 Fig 2. Pooled MFI values from 7 t o 9 donors confirmexpression of the subunits of receptors for GM-CSF and IL-3 on neutrophils and their regulation by GM-CSF. Neutrophils either fresh (A), cultured overnight in medium alone (B), or in 1 nglmL GM-CSF (C) were stained with purified mouse lgGl(D), 4F3, directed against the common P-chain( 0 ) ;866, against the GM-CSFR a-chain (B); or 9F5, against the IL-3R achain (m). Values are the pooled(average) MFI ? SEM for 7 t o 9 donors (NI. "P < .005, compared with negative control antibody withineach group, by Student's paired t-test. Expression of GM-CSFRa and IL-3Ra was significantly different between neutrophils cultured overnight with GM-CSF and neutrophils cultured in medium alone (ie, B and C; P < .001, Student's independent t-test). The average MFI for the IL-3Ra (8 donors) was not significantly different from that of the negative control (Fig 2A). Neutrophils incubated overnight (20 hours) in medium alone remained negative for IL-3Ra and positive for GM-CSFRa and p, (Figs IC, ID, and 2B). However, when incubated with 1 ng/mL GM-CSF, upregulation of the IL-3Ra was seen in all subjects (n = 9; Figs I E, IF, and 2C). Positive staining for IL-3Ra was seen when highly purified neutrophil preparations (>98%) were used and was also seen on dual-stained CD16hiph cells (Fig 1). A second MoAb directed against a different epitope of the IL-3Ra (7G3)";' produced equivalent results (data not shown). GM-CSF incubation resulted in downregulation of its own receptor a chain, which would be consistent with the expected effect of GM-CSF resulting in internalization of receptor. Interestingly. the 8. was still detectable after GMCSF incubation, suggesting that free pc might be available to pairwith the nascent IL-3Ra toform the high-affinity heterodimeric receptor. The concentration of GM-CSF required to induce IL-3Ra expression is shown in Fig 3. A slight increase was evident at 0.01 ng/mL of GM-CSF in this experiment, but the increase was more substantial at 0.1 and I .O ng/mL. Induction of IL-3Ra by GM-CSF correlated with the downregulation of GM-CSFRa. Incubation of neutrophils with other cytokines including IFN-y, TNF-a, and IL- I did not induce flow cytometrically detectable expression of IL-3Ra (data not shown). Induction qf rnRNA for the IL-3Ra inneutrophils. To investigate the mechanism of modulation of IL-3Ra expression, mRNA was purified from neutrophils incubated for 20 hours in medium alone, 2 nglmL GM-CSF, or 20 ng/mL GCSF. mRNA from TF-I cells was used as a control, because these cells express receptors for both IL-3 and GM-CSF." RNase protection assay detected a prominent band for IL~ R U in I ~ GM-CSF C -tycated neutcophk,whereaq anly faint bands were present in unstimulated or G-CSF-treated neutrophils (Fig 4). This was confirmed by quantitation of mRNA; in two experiments, IL-3Ra mRNA was increased fourfold and fivefoldby GM-CSF, whereas G-CSF treatment resulted in no increase. Rinding of "'I-IL-3 toneutrophils. Because flow cytometry demonstrated the presence of both a (low affinity) and p (converts a chains to high affinity) subunits of the IL-3 receptor on GM-CSF treated neutrophils, studies of the number and affinity of IL-3 receptors were performed. Specific binding (total binding CPM minus nonspecific binding) wasnot detected in fresh neutrophils from normal healthy donors, however '"I-IL-3 bound specifically to neutrophils incubated overnight in GM-CSF, but not G-CSF (data not shown). A saturation binding curve and Scatchard analysis of ''51-IL-3 binding to GM-CSF-treated neutrophils (high purity preparations, >98%) indicated both highand low-affinity receptors (Fig 5 ) . In experiment 1, receptor 41 0 0.01 0.1 1.o GM-CSF nglml Fig 3. Neutrophil expression of (I subunits for the 11-3 and GMCSF receptors after treatment with varying concentrations of GMCSF. Purified neutrophils were incubated for 20 hours in medium alone or with graded concentrations of GM-CSF. The cells were then incubated with saturating concentrations of 8G6.9F5. or mouse lgGl negative control and subsequently with fluorescein-conjugatedgoat antimouse antibody. Background (negative control antibody)MFI Values were subtracted trom theMF'I D5 'tht tQlXptQ53n%b&SS.The GM-CSFRcr ( 01is progressively downregulated with increasing concentrations of GM-CSF, whereas the IL-3Ra).( is progressive\y induced. Values are representative of two experiments. From www.bloodjournal.org by guest on February 6, 2015. For personal use only. 3941 NEUTROPHIL IL-3 RECEPTORS neutrophil t TF1 P M IL-3Ra GM-CSF ng/ml GAPDH - Fig 4. Induction of IL-3Rru chain mRNA in neutrophils by GM-CSF. RNase protection assay of lL-3Ra chain mRNA in neutrophils incubated with medium alone or with 2 ng/mL GM-CSF or 20 n g h L GCSF for 20 hours at 37°C. The samples were also probed for GAPDH mRNA, which isused as an internal control.RNA from TF1 cells was used as a positive control, and tRNA was used as a negative control (t). Lane P, undigested probes; lane M, the marker. Phosphorimage of the RNase protection gel is shown. affinities of 64 pmol/L (high affinity) and 35 nmol/L (low affinity) were found; the numbers of binding sites were 130 and 5,500, respectively. In experiment 2 (Fig 5 ) , affinities were 34 pmol/L and 11 nmol/L, with 50 and 2,900 binding sites, respectively. Induction of HLA-DR on neutrophils by GM-CSF and J: 0.04 Kdl= 34 pM I Concentration of 1251-IL-3 Bound (PM) Fig 5. Scatchard transformation of '251-1L-3 binding t o GM-CSFstimulated neutrophils. Binding curves were generated by the incubation of 3 x lo6 neutrophils (>g896 purity) with varyingconcentrations of '%lL-3 in triplicate foreach point. In addition to the binding affinities shown above, this analysis showed 50 high-affinity and 2,900 low-affinity bindingsites. Values are representative of two experiments. 11-3 nglml Fig 6. Expression of HLA-DR by neutrophils in response t o varying concentrations of GM-CSF and 11-3 in combination. (A) Neutrophils were incubated for40 hours with GM-CSF at graded concentrations, with ( W ) or without (0) 30 ng/mL IL-3. (B) Neutrophils wereincubated with IL-3 at graded concentrations with ( 0 )or without 10)GM-CSF at 0.1 ng/mL. HLA-DR expression was determined by flow cytometry (cells were stained with fluorescein-conjugated anti-HLA-DR. L2431 and expressed as MFI units, with thebackground MFI (negative control fluorescein-conjugated antibody) subtracted. (AI and (B) were different donors. Values are representative of three experiments. IL-3. To determine whether the expression of IL-3 receptors by GM-CSF-treated neutrophils was accompanied by signalling and functional activation, studies of neutrophil MHC class I1 molecule expression were performed. Class I1 molecules were not detected on fresh neutrophils. Purified neutrophils were cultured in medium alone, with 0.1 ng/mL GM-CSF, or with GM-CSF and 30 ng/mL L-3.HLA-DR (as well as DP and DQ) expression was measured after 2 days of culture at 40 hours. Only those neutrophils that were still expressing high levels of CD I6 were analyzed, because these cells have been shown to remain viable and functional, whereas the CD16'"" cells are in the process of apoptosis.'* This also served to definitively exclude any remaining contaminating eosinophils. In 9 experiments using separate donors, IL-3 increased HLA-DR expression, relative to GM-CSF alone, by a mean of 2.1-fold (range, 1.4- to 3.I-fold), from a mean MFI of 2.71 2 0.29 to 4.58 2 0.85 ( P .05, Student's t-test). Donor variability in induction of class I1 was noted, as has previously been described.' A subgroup of donors (3/9) expressed markedly higher levels of HLA-DR; the mean MFI of 4.11 2 0.08 with GM-CSF alone increased to 8.79 2 0.08 when L" was also present (P < .005). Neutrophil surface expression of HLA-DP and DQ was not detected by flow cytometry in any donor, although, as a positive control, the antibodies used clearly stained activated monocytes and dendritic cells (data not shown). L 3 had no effect on neutrophils in the absence of GM-CSF in the majority of donors; however, occasionally small increases in HLA-DR expression were seen (Fig 6 and data not shown). Few cells remained CD16high in the cultures without GM-CSF, but those present did not express detectable HLA-DR. Survival was equivalent between cultures with GM-CSF alone and those with GM-CSF plus L-3(data not shown). Dose titration experiments indicated that 0.1 to 1.0 ng/mL of GM-CSF From www.bloodjournal.org by guest on February 6, 2015. For personal use only. SMITH ET AL 3942 10 9 8 g 7 -A 6 $ 5 U 4 41 4 3 2 1 0 8G6 7G3 antiPGAL Antibody Fig 7. Inhibition of IL-3-mediated augmentation of neutrophil HLA-DR expression by a blocking IL-3Rru antibody. Neutrophils were incubated for 40 hours in the presence of either 0.1 nglmL of GM) or GM-CSF plus 30 nglmL IL-3 (B). Where indicated, MoAb 7G3 (IgGPa, anti-IL-BRru, blocking), 8G6 (IgG1, anti-GM-CSFRru, nonblocking), or the lgG2a anti-p-GAL were included in theculture at 1 pglmL. Values are representative of three experiments. induced optimal expression of KLA-DR, whereas the greatest augmentation of expression by L 3 was seen at 30 ngl mL (Fig 6). Checkerboard experiments confirmed that higher concentrations of either factor did not lead to further increases (data not shown). To confirm that IL-3 was indeed the active factor in augmentation of HLA-DR expression in these experiments and that it was acting via the newly expressed IL-3Ra, the antiIL-3Ra blocking antibody 7G3 was When 1 pg/mL of 7G3 was added to the IL-3 and GM-CSF-responsive leukemic cell line M07E, it blocked its proliferative response to 30 nglmL of IL-3 (by >95%) but not to GMCSF. 7G3 didnot reduce neutrophil HLA-DR expression in response to GM-CSF alone, but completely blocked the augmented expression seen when IL-3 was also present in the culture (Fig 7). Control antibodies 8G6 (binds to the GM-CSFRa but has no inhibitory effect) and anti-&GAL (isotype-matched IgG2a, against &galactosidase) did not block HLA-DR induction (6% and 2% reduction, respectively). DISCUSSION We have used three separate experimental approaches to show induction of the a chain for the IL-3R on neutrophils after their treatment with GM-CSF in overnight culture. Using antibodies specific for each receptor chain, we were able to show the presence and modulation of subunits of the receptors for both GM-CSF and IL-3 by flow cytometry. In addition, RNase protection assays showed the induction of mRNA for IL-3 receptor a chain, and binding studies confirmed the specific binding of radiolabeled L 3 to both highand low-affinity sites. Flow cytometric analysis provides clear evidence of IL3Ra expression by GM-CSF-activated neutrophils. Each cell is positively identified, first as a polymorphonuclear leukocyte on the basis of size and granularity and second as a viable neutrophil by the expression of high levels of CD16 (because the proportion of mononuclear cells was in all preparations <2%, contamination by CD16+ natural killer cells would be negligible). Although this methodmaybe less sensitive for receptor detection than radiolabeled binding assays, it excludes the possibility that receptors on small populations of contaminating cells such as monocytes or eosinophils could confound the results. Two separate IL3Ra antibodies gave consistent results compared with several different negative controls. The specificity of the antibodies has been confirmed? and the pattern of receptor expression on different leukocyte subpopulations (ie, neutrophils, monocytes, and eosinophils) determined by flow cytometry was consistent with previous studies using radiolabeled ligand (reviewed in Lopez et a12; data not shown). GM-CSF induced a concentration-dependent induction of the IL-3Ra on neutrophils, with a reciprocal concentrationdependent downregulation of the GM-CSFRa. Crossmodulation of the IL-3Ra by GM-CSF is interesting, because these receptors share a common pc that converts the binding of the respective factor to high affinity and is essential for signal transduction. We found that the pc was still immunologically detectable on the cell surface after GM-CSF treatment. This finding is in accord with the binding data, because high-affinity binding probably represents heterodimeric pairing between the low levels of available free pc and some of the IL-3Ra chains, whereas low-affinity binding is due to the excess free a chain monomers. The ability of GM-CSF to induce expression of IL-3Ra on the neutrophil surface appears to be unique, because other neutrophil-activating cytokines such as IFN-y,TNF-a, and IL-1 did not induce flow cytometrically detectable expression (data not shown) and G-CSF did not induce IL-3Ra mRNA. IL-3Ra expression is not an inevitable consequence of prolongation of neutrophil survival in vitro, because neutrophils surviving at 20 hours in unstimulated cultures did not express it and because IFN-yand G-CSF also effectively prolonged survival (data not shown). This pattern is quite different from that seen in endothelial cells (EC), in which TNF-a and IFN-y induce IL-3Ra and increase levels of the constitutively expressed /?c.3*19 This implies that a variety of different signalling pathways may be used to activate the IL-3Ra gene and that EC and neutrophils respond differently to signals from the same cytokines. Because the receptor for IL-3 could be induced on neutrophils, we sought to determine whether it could respond functionally. Previously, IL-3 has consistently been reported not to have any effect on mature neutrophils: adhesion to endothelium:' phagocytosis and intracellular killing:' adherence to antibody-coated matrices,22antibody-dependent cellular cytotoxi~ity?~ complement receptor 3 expressi~n?~ and prolongation of survival.25Monocytes but not neutrophils pro- From www.bloodjournal.org by guest on February 6, 2015. For personal use only. 3943 NEUTROPHIL IL-3 RECEPTORS duced IL-8 in response to IL-3.'6 Because resting cells do not express detectable receptors, these negative results were not surprising. However, neutrophils were recently reported to express MHC class I1 molecules when treated for 44 hours with IFN-7, GM-CSF, and, although less consistently and strongly, IL-3.' These cultures were supplemented with human semm and G-CSF and indicated that, under certain conditions, IL-3 can have a direct effect on neutrophils. We studied the effect of IL-3 on receptor-positive neutrophil populations, ie, having been incubated with GM-CSF for 20 hours. In preliminary studies, we found that GM-CSF alone induced significant expression of HLA-DR after 40 hours of incubation, whereas 1L-3 alone, in our hands, induced minimal or no expression. However, when IL-3 was combined with GM-CSF, a significant increase in HLA-DR expression above that produced by GM-CSF alone was seen. This was shown to be dependent on the expression of the IL-3Ra because an antibody to IL-3Ra that blocks binding of IL-3 was able to inhibit this augmentation. Surface expression of HLA-DP and -DQ, which is known to be much lower than -DR on other leukocyte types, was not detected on neutrophils under any conditions, which is in agreement with the results of a previous r e ~ o r t . ~ The significance of the expression of HLA-DR by neutrophils is speculative at this stage. Neutrophils also express intercellular adhesion molecule-l (ICAM-l), an accessory molecule that acts by adhesion to LFA-l on the T cell to enhance the interaction between the T-cell receptor and the antigen/MHC complex. However, they do not bear another major costimulatory molecule B7-l, even after culture with stimuli that cause maximal expression of class I1 (L.G., W.B.S., and C.M.H., unpublished results). Therefore, neutrophil HLA-DR may be important in presentation of antigen to CD4+ T cells that are already activated at inflammatory sites and have less stringent activation requirements or may alternatively induce T-cell nonresponsiveness because of inadequate costimulatory activity. Because both IL-3 and GM-CSF signal through the same p, transducing molecule, this is likely to be a limiting factor in their quantitative ability to stimulate cells. In eosinophils and monocytes, treatment with both IL-3 and GM-CSF produces no greater effect than either alone; in fact, these cytokines compete with each other for high-affinity binding, an observation that is explained by the hypothesis that the a subunits of their receptors are present in excess of, and compete for, (reviewed in Lopez et al'). Fresh neutrophils bind GM-CSF with high affinity only, implying that there is no free GM-CSFRa, ie, that the pc is present in at least equal amounts, and may be in excess.' This is supported by our finding that apparently free pcremains on the cell surface after GM-CSF treatment, when GM-CSFa chain is no longer detectable, and that high-affinity binding of IL-3, which requires both a and p chains, can be shown at that time. The ability of IL-3 and GM-CSF to act in synergy in their induction of HLA-DR on neutrophils also implies that the pc is present in excess and that occupation of both of the respective sets of a chains recruits a greater number of pc into signal transducing complexes than when either cytokine is used alone. However, it must be noted that the signals from each of these cytokines are transmitted at different times, ie, although the GM-CSF signal may commence immediately, the IL-3 signal cannot occur until IL-3Ra begins to appear. It is therefore possible that the L-3R uses p, that have been recycled after their internalization as part of a GM-CSFR complex. These results highlight the role of GM-CSF as an amplification factor in inflammation, because it induces responsiveness of neutrophils to IL-3, which may then lead to further activation. Potential sources of JL-3 at inflammatory sites include activated TH cells, mast cells,27 and eosinophik2*Indeed, IL-3 mRNA has been detected in lymphocytes from allergic rhinitis inflammatory tissues29and broncheoalveolar lavage fluid of asthmatics3' and in some patients with rheumatoid arthriti~.~' Therefore, this pathway is potentially implicated in inflammation of immunologic and allergic origin. ACKNOWLEDGMENT We acknowledge the contributions of Dr Thomas Kimber for conducting preliminary experiments, Alan Bishop for writing the SMOOTH program for presentation of flow cytometry data, and Dr Robyn OHehir for support and helpful discussions. REFERENCES 1. Metcalf D: The Haemopoietic Colony Stimulating Factors. Amsterdam, The Netherlands, Elsevier Science, 1984 2. Lopez AF, Elliott MJ, Woodcock J, Vadas MA: GM-CSF, IL-3 and IL-5: Cross-competition on human haemopoietic cells. Immunol Today 13:495, 1992 3. Korpelainen EI, Gamble JR, Smith WB, Goodall GJ, Qiyu S, Woodcock JM, Dottore M, Vadas MA, Lopez AF: The receptor for interleukin 3 is selectively induced in human endothelial cells by tumor necrosis factor (Y and potentiates interleukin 8 secretion and neutrophil transmigration. Proc Natl Acad Sci USA 90: 11137, 1993 4. Lopez AF, To LB, Yang Y, Gamble JG, Shannon MF, Bums GF, DysonPG, Juttner CA, Clark S, Vadas MA: Stimulation of proliferation, differentiation and function of human cells by primate interleukin 3. Proc Natl Acad Sci USA 84:2761, 1987 5. Lopez AF, Dyson PG, To LB, Elliott MJ, Milton SE, Russell JA, Juttner CA, Yang Y, Clark S, Vadas MA: Recombinant human interleukin-3 stimulation of haemopoiesis in humans: Loss of responsiveness with differentiation in the neutrophilic myeloid series. Blood 72:1797, 1988 6. Lopez AF, Eglinton JM, Gillis D, Park LS, Clark S, Vadas MA: Reciprocal inhibition of binding between interleukin 3 and granulocyte-macrophage colony-stimulating factor to human eosinophils. Proc Natl Acad Sci USA 86:7022, 1989 7. Gosselin EJ, Wardwell K, Rigby WFC, Guyre PM: Induction of MHC class I1 on human neutrophils by granulocyte/macrophage colony-stimulating factor, IFN-y, and IL-3. J Immunol 151:1482, 1993 8. Miyajima A, Mui A, Ogorochi T, Sakamaki K: Receptors for granulocyte-macrophage colony-stimulating factor, interleukin-3 and interleukin-5. Blood 82:1960, 1993 9. Woodcock JM, Zacharakis B, Plaetinck G, Bagley CJ, Qiyu S, Hercus TR, Tavemier J, Lopez AF: Three residues in the common 0 chain of the human GM-CSF, IL-3 and IL-5 receptors are essential for GM-CSF and IL-5 but not L 3 high affinity binding and interact with Glu21 of GM-CSF. EMBO J 13:5176, 1994 9a. Sun Q, Woodcock JM, Rapoport A, Stanski FC, Korpelainen EI, Bagley CA, Goodall GJ, Smith WB, Gamble JR. 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Interferon y upregulates the IL-3 receptor and synergizes with IL-3 in inducing MHC class 2 expression and cytokine production in human umbilical vein endothelial cells. Blood 86:176, 1995 20. Bochner BS, McKelvey AA, Sterbinsky SA, Hildreth JEK, Derse CP, Khmk DA, Lichtenstein LM, Schleimer RP: IL-3 augments the adhesiveness for endothelium and CD1 l b expression in human basophils but not neutrophils. J Immunol 145:1832, 1990 21. Fabian A, Kletter Y, Mor S, Geller-Bemstein C, Ben-Yaakov M, Volovitz B, Golde DW: Activation ofhuman eosinophil and SMITH ET AL neutrophil functions by haemopoeietic growth factors: Comparisons of IL-I, E-3, IL-5 and GM-CSF. Br J Haematol 80137, 1990 22. Gammon WR, Hendrix JD, Mangum K, Jeffes EW: Recombinant human cytokines stimulate neutrophil adherence to autoantibody-treated epithelial basement membranes. J Invest Dermatol 95: 164, 1990 23. 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Plaut M, Pierce JH, Watson CJ, Hanley-Hide J, Nordan RP, Paul WE: Mast cell lines produce lymphokines in response to crosslinkage of Fc epsilon RI or to calcium ionophores. Nature 339:64, 1989 28. Kita H, Ohnishi T, Okubo Y, Weiler D, Abrams JS, Gleich GJ: Granulocyte/macrophage colony-stimulating factor and interleukin 3 release from human peripheral blood eosinophils and neutrophils. J Exp Med 174:745, 1991 29. Durham SR, Ying S, VarneyVA, Jacobson MR, Sudderick RM, Mackay IS, Kay AB, Hamid Q: Cytokine messenger RNA expression for IL-3, IL-4, IL-5 and granulocyte/macrophage-colonystimulating factor in the nasal mucosa after local allergen provocation: Relationship to tissue eosinophilia. J Immunol 148:2390, 1992 30. Robinson DS, Hamid Q, Ying S , Tsicopoulos A, Barkans J, Bentley AM, Conigan C, Durham SR, Kay AB: Predominant TH2like bronchalveolar T-lymphocyte population in atopic asthma. N Engl J Med 326:298, 1992 31. Waalen K, Sioud M, Natvig JB, Forre 0: Spontaneous in vivo gene transcription of interleukin-2, interleukin-3, interleukin4, interleukin-6, interferon-gamma, interleukin-2 receptor (CD25) and proto-oncogene c-myc by rheumatoid synovial T lymphocytes. Scand J Immunol 36:865, 1992 From www.bloodjournal.org by guest on February 6, 2015. For personal use only. 1995 86: 3938-3944 Neutrophils activated by granulocyte-macrophage colony-stimulating factor express receptors for interleukin-3 which mediate class II expression WB Smith, L Guida, Q Sun, EI Korpelainen, C van den Heuvel, D Gillis, CM Hawrylowicz, MA Vadas and AF Lopez Updated information and services can be found at: http://www.bloodjournal.org/content/86/10/3938.full.html Articles on similar topics can be found in the following Blood collections Information about reproducing this article in parts or in its entirety may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#repub_requests Information about ordering reprints may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#reprints Information about subscriptions and ASH membership may be found online at: http://www.bloodjournal.org/site/subscriptions/index.xhtml Blood (print ISSN 0006-4971, online ISSN 1528-0020), is published weekly by the American Society of Hematology, 2021 L St, NW, Suite 900, Washington DC 20036. 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