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Article
Nature Immunology  3, 859 - 866 (2002)
Published online: 12 August 2002; | doi:10.1038/ni828

Sensitization of IFN-big gamma Jak-STAT signaling during macrophage activation

Xiaoyu Hu1, Carmen Herrero2, Wai-Ping Li2, Taras T. Antoniv2, Erik Falck-Pedersen3, Alisa E. Koch4, 5, James M. Woods5, G. Kenneth Haines III6 & Lionel B. Ivashkiv1, 2

1 Graduate Program in Immunology, Weill Graduate School of Medical Sciences of Cornell University, New York, NY 10021, USA.

2 Department of Medicine, Hospital for Special Surgery, New York, NY 10021, USA.

3 Graduate Program in Molecular Biology, Weill Graduate School of Medical Sciences of Cornell University, New York, NY 10021, USA.

4 Veteran's Administration, Chicago Healthcare System, Lakeside Division, Northwestern University Medical School, Chicago, IL 60611, USA.

5 Department of Medicine, Northwestern University Medical School, Chicago, IL 60611, USA.

6 Department of Pathology, Northwestern University Medical School, Chicago, IL 60611, USA.

Correspondence should be addressed to Lionel B. Ivashkiv ivashkivl@hss.edu
A general paradigm in signal transduction is ligand-induced feedback inhibition and the desensitization of signaling. We found that subthreshold concentrations of interferon-bold gamma (IFN-bold gamma), which did not activate macrophages, increased their sensitivity to subsequent IFN-bold gamma stimulation; this resulted in increased signal transducer and activator of transcription 1 (STAT1) activation and increased IFN-bold gamma−dependent gene activation. Sensitization of IFN-bold gamma signaling was mediated by the induction of STAT1 expression by low doses of IFN-bold gamma that did not effectively induce feedback inhibition. IFN-bold gamma signaling was sensitized in vivo after IFN-bold gamma injection, and STAT1 expression was increased after injection of lipopolysaccharide and in rheumatoid arthritis synovial cells. These results identify a mechanism that sensitizes macrophages to low concentrations of IFN-bold gamma and regulates IFN-bold gamma responses in acute and chronic inflammation.
Interferon-gamma (IFN-gamma), or type II IFN, is a pleiotropic cytokine widely involved in the regulation of both innate and adaptive immune responses. The major biological activities of IFN-gamma include antiviral and antiproliferative properties, macrophage activation, control of apoptosis and promotion of antigen processing, presentation and T helper type 1 (TH1) differentiation1. Given the key role played by IFN-gamma in modulating immune responses, tight control of IFN-gamma action is important for maintaining homeostasis as well as eliciting competent immune responses. A lack of IFN-gamma responses, as occurs in IFN-gamma and IFN-gamma receptor (IFN-gammaR)−deficient mice, as well as in patients with mutations in the IFN-gammaR, results in impaired immunity to a variety of microbial pathogens2, 3, 4. On the other hand, uncontrolled or excessive IFN-gamma action is deleterious as well. Selective overexpression of IFN-gamma in the liver, pancreas or epidermis of transgenic mice results in chronic active hepatitis5, insulin-dependent diabetes mellitus6, 7 and lupus nephritis8, respectively. Hypersensitivity to IFN-gamma, as is seen in suppressor of cytokine signaling 1 (SOCS1)-deficient mice, leads to a complex fatal neonatal disease characterized by fatty degeneration of liver, monocytic infiltration of pancreas, heart and lung, abnormal cellularity in thymus, spleen and bone marrow and severe lymphopenia9, 10, 11, 12.

IFN-gamma action is regulated in two distinct ways: control of IFN-gamma production and modulation of IFN-gamma signaling. IFN-gamma production can be up-regulated by T cell receptor engagement in TH1 cells and by interleukin 12 (IL-12) and IL-18 in natural killer cells and CD8+ T cells. Once IFN-gamma is secreted and binds to its cell-surface receptor, the receptor-associated tyrosine kinases Janus kinase1 (Jak1) and Jak2 become activated, leading to the activation of signal transducer and activator of transcription 1 (STAT1) by phosphorylation of a conserved tyrosine residue13, 14. STAT1 plays a major role in mediating the immune and pro-inflammatory actions of IFN-gamma15, 16. Several mechanisms negatively regulate IFN-gamma signaling, including loss of expression of IFN-gammaR2 in T cells17, 18, attenuation of signaling by tyrosine phosphatases19, 20, 21, 22 and inhibition of IFN-gammaR−associated Jak1 and Jak2 by SOCS proteins, especially SOCS123. In addition, STAT1 DNA binding and transcriptional activity are suppressed by protein inhibitor of activated STAT1 (PIAS1) and PIASy24, 25. Several of these inhibitory mechanisms, for example, loss of IFN-gammaR2 expression and induction of SOCS expression, are activated by IFN-gamma itself. Thus, similar to most cytokines, IFN-gamma induces feedback inhibition to limit its own activity. Also similar to most cytokines that use the Jak-STAT signaling pathway, expression of STAT proteins is currently not thought to play a key role in the regulation of IFN-gamma signaling.

The molecular mechanisms of feedback inhibition and negative regulation of cytokine signal transduction pathways have been the subjects of extensive investigation23, but the sensitization of cytokine signaling is not well understood. IFN-gamma signaling is positively modulated by previous exposure to low, subthreshold, concentrations of the type I IFNs IFN-alpha and IFN-beta (IFN-alpha/beta)26. The mechanism of sensitization of IFN-gamma signaling by type I IFNs has not been completely defined, but depends upon low amounts IFN-alpha/beta signaling. This signaling leads to an association between the two non-ligand−binding receptor subunits IFN-alphaR1 and IFN-gammaR2 and increased dimerization of tyrosine-phosphorylated STAT126. We show here that low, subthreshold, concentrations of IFN-gamma induce autosensitization of IFN-gamma signaling by a distinct mechanism that involves increased expression of STAT1.

Results
IFN-bold gamma signaling is sensitized by soluble factors
We investigated whether the responsiveness of macrophages to IFN-gamma is regulated during cell differentiation via signal transduction. IFN-gamma signaling was assessed by measuring STAT1 DNA binding by electrophoretic mobility shift assay (EMSA) and tyrosine phosphorylation by immunoblotting. Three populations of human monocytes or macrophages at distinct stages of cellular differentiation or activation were studied: freshly isolated peripheral blood monocytes, CD14+ cells derived from 3-day peripheral blood mononuclear cell (PBMC) cocultures and macrophages cultured for 3 days with macrophage colony-stimulating factor (M-CSF). In a dose-response experiment, IFN-gamma did not induce detectable STAT1 DNA binding in fresh blood monocytes until the dose reached 100 U/ml (Fig. 1a, upper panel). Monocytes derived from PBMC cocultures responded strongly to 1 U/ml of IFN-gamma (Fig. 1a, lower panel). This indicated that IFN-gamma signaling became sensitized during culture, as defined by increased STAT1 activation in response to low doses of IFN-gamma. In contrast to the PBMC coculture system, where monocytes were mixed with other blood cell types during the course of culture, IFN-gamma responses were minimally increased when monocytes were purified before culture (Fig. 1a, lower panel); the slight increase in IFN-gamma responsiveness detected in cells cultured with M-CSF was not consistently observed and has not been further investigated.

Figure 1. Monocyte sensitization of IFN-bold gamma signaling during PBMC cocultures.
Figure 1 thumbnail

Blood monocytes were isolated from fresh PBMCs and used immediately. Cocultured monocytes corresponded to CD14+ cells purified from a 3-day PBMC coculture. M-CSF−cultured monocytes were obtained by culturing pure monocytes for 3 days with 20 ng/ml of M-CSF. All three cell types were activated with IFN-gamma for 10 min and total cell extracts were prepared. (a) STAT activation was measured by EMSA with the hSIE oligonucleotide. One representative of six experiments is shown. (b) Immunoblot of cell extracts analyzed with anti−tyrosine-phosphorylated STAT1 (pY-STAT1). The same filter was reprobed with anti-STAT1 or anti-STAT2. (c) Monocytes were isolated from PBMC cocultures and treated with 10 U/ml of IFN-gamma for 10 min. Cell extracts were analyzed for pY-STAT1 and STAT1 protein by immunoblotting. (d) Blood monocytes and PBMC cocultured monocytes were stimulated with 5 ng/ml of IFN-alpha or 10 ng/ml of IL-10. Cell extracts were analyzed for pY-STAT3 and STAT3 by immunoblotting.



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Phosphorylation of STAT1 Tyr701 is a prerequisite for its dimerization and activation of DNA binding. IFN-gamma−induced STAT1 tyrosine phosphorylation was markedly increased in monocytes derived from PBMC cocultures (Fig. 1b). Monocytes that were rendered more sensitive to IFN-gamma will be referred to as primed monocytes hereafter. Compared to blood monocytes, STAT1 was modestly increased in cocultured monocytes (Fig. 1b). Reprobing the same filter for STAT2 demonstrated comparable STAT2 amounts in all lanes (Fig. 1b). IFN-gamma signaling sensitization did not become apparent until the second day of PBMC coculture and increased in a time-dependent manner (Fig. 1c). STAT1 increased in parallel with the sensitization of IFN-gamma signaling (Fig. 1c), which was highly reproducible among >40 different blood donors. In approx50% of experiments, induction of STAT1 expression was marked and correlated with the increase in tyrosine phosphorylation (data not shown). The increase in STAT1 appeared insufficient to explain increased STAT1 tyrosine phosphorylation in the other approx50% of experiments (such as those in Fig. 1b,c). Jak-STAT signaling was not globally sensitized in PBMC coculture−primed monocytes, as STAT3 activation by IFN-alpha and IL-10 remained unchanged during the course of culture (Fig. 1d). These results demonstrated that IFN-gamma signaling in monocytes became sensitized during PBMC coculture and suggested that factors derived from lymphocytes or natural killer cells that were present in these cultures may induce sensitization.

Sensitization of IFN-gamma signaling could potentially be mediated by cell-cell contact between monocytes and other cell types and by soluble factor(s) secreted during PBMC coculture. To discriminate between these two possibilities, we used a culture system in which monocytes and CD14- blood cells were spatially separated by a cell-impermeable membrane in transwell plates. In transwell-cultured monocytes, IFN-gamma signaling was sensitized to a similar extent as in monocytes from PBMC cocultures (Fig. 2a), with a concomitant increase in STAT1 protein (Fig. 2a). In addition, sensitization could be induced by PBMC coculture supernatants (Fig. 2b). Both transwell and supernatant-transfer experiments implied the involvement of one or more soluble factors in the process of IFN-gamma signaling sensitization. Supernatant-induced sensitization occurred with faster kinetics than sensitization in transwell-cultured monocytes (Fig. 2b), which was consistent with the idea that the supernatants contained factors that were produced de novo during transwell or PBMC cocultures.

Figure 2. Soluble factors produced in PBMC cocultures mediate IFN-bold gamma signaling sensitization.
Figure 2 thumbnail

(a) Blood and cocultured monocytes were obtained as in Fig. 1. Monocytes were collected from the bottom chambers of transwells after 3 days of culture. Cells were subsequently activated with 10 U/ml of IFN-gamma for 10 min and cell extracts analyzed by immunoblotting for pY-STAT1 and total STAT1. (b) Monocytes were cultured in transwell chambers or with PBMC coculture supernatants before stimulation with 10 U/ml of IFN-gamma for 10 min. Cell extracts were subjected to EMSA with the hSIE oligonucleotide.



Full FigureFull Figure and legend (17K)
IFN-bold gamma itself mediates signaling sensitization
IFN-gamma signaling is sensitized through cross-talk between type I and type II IFN signal transduction pathways26. To assess the role played by IFNs in IFN-gamma signaling sensitization, monocytes were primed with supernatants derived from PBMC cocultures in the presence of neutralizing antibodies to IFNs or IFNRs. As expected and as assessed by EMSA, PBMC coculture supernatants induced IFN-gamma signaling sensitization (Fig. 3a, lane 4 versus 2). Antibodies directed against IFN-alphaR2, the ligand binding chain of IFN-alpha/betaR, or against IFN-alpha did not prevent sensitization of IFN-gamma signaling (Fig. 3a, lanes 8 and 10). In contrast, the addition of IFN-gamma antibodies during the priming culture blocked sensitization of signaling. STAT1 activation was essentially the same as observed in fresh blood monocytes (Fig. 3a, compare lane 6 to lanes 2 and 5). Consistent with the DNA-binding results, IFN-gamma antibodies also blocked the increase in STAT1 tyrosine phosphorylation, whereas IFN-alphaR2 blocking antibody had no effect (Fig. 3b). The increase in STAT1 protein during priming was blocked in parallel to suppression of IFN-gamma signaling (Fig. 3b). Similar results were obtained when soluble IFN-gammaRs were used to block IFN-gamma activity during priming (data not shown). Antibodies to IFN-alphaR2 and IFN-alpha were capable of completely inhibiting IFN-alpha−induced STAT1 activation, demonstrating that these reagents completely blocked type I IFN signaling (Fig. 3c).

Figure 3. Monocyte IFN-bold gamma signaling sensitization is mediated by IFN-bold gamma, but not by IFN-alpha, in PBMC cocultures.
Figure 3 thumbnail

(a) Monocytes were cultured with PBMC coculture supernatants for 3 days with saturating concentrations of neutralizing antibodies (0.5 mug/ml of anti−IFN-gamma, 2 mug/ml of anti−IFN-alphaR2 and 2 mug/ml of anti−IFN-alpha). Isotype-matched control antibodies were used at the same concentrations. At the end of culture, cells were extensively washed and treated with 10 U/ml of IFN-gamma for 10 min. STAT DNA binding in cell extracts was analyzed by EMSA as before. Primed with supernatant, cultured for 3 days with PBMC coculture supernatants. (b) Immunoblotting of the same extracts used in a. (c) Monocytes were incubated with 2 mug/ml of mAbs to human IFN-alphaR2 or IFN-alpha, this was followed by 10-min activation with IFN-alpha. Cell extracts were analyzed for both pY-STAT1 and total STAT1 protein by immunoblotting. (d) Supernatants were collected from five independent 3-day transwell cultures and the amounts of IFN-gamma and IFN-alpha present in culture supernatants were determined with ELISA.



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To determine whether the lack of any apparent sensitizing effect of type I IFNs was secondary to a lack of production of type I IFNs during these cultures, the amounts of IFN-alpha in PBMC coculture supernatants were determined. When a sensitive enzyme-linked immunosorbent assay (ELISA)—capable of detecting as little as 3 pg/ml of IFN-alpha—was used, no IFN-alpha was detected in any of the supernatants tested (Fig. 3d). Thus, these results do not conflict with a previous report26, which showed that type I IFNs can sensitize IFN-gamma signaling, because IFN-alpha was absent in our culture systems. In contrast to IFN-alpha, low amounts of IFN-gamma were detected in all culture supernatants that were tested (Fig. 3d). Taken together, our data suggested a role for IFN-gamma in the sensitization of its own signaling pathway in human monocytes.

Purified exogenous IFN-gamma was used to determine whether this cytokine alone is sufficient to sensitize its own signaling. Purified blood monocytes were incubated for 3 days with low doses of IFN-gamma, which corresponded to the concentrations detected in PBMC cocultures. As expected, culturing monocytes without exogenous IFN-gamma did not promote IFN-gamma−induced STAT1 DNA-binding activity (Fig. 4a, lane 4). Culturing monocytes with low concentrations of IFN-gamma sensitized IFN-gamma signaling in a dose-dependent manner (Fig. 4a,b, top panel). No baseline STAT1 activity was detected after priming cultures and before restimulation with IFN-gamma (Fig. 4a, lanes 8, 10 and 12). In contrast, when a saturating dose of IFN-gamma (100 U/ml) was used during the priming period, sensitization of IFN-gamma signaling was not observed, consistent with the development of feedback inhibition (Fig. 4b, right panel). When 100 U/ml of IFN-gamma was used, low baseline STAT1 tyrosine phosphorylation was inconsistently detected at the end of the priming period, but sensitization of IFN-gamma signaling was never observed (data not shown). Expression of STAT1 was increased in IFN-gamma−primed cells. In contrast to PBMC cocultures, when used at low concentrations, purified IFN-gamma consistently induced increased STAT1 protein expression that correlated with the increase in STAT1 tyrosine phosphorylation (Fig. 4b−d). IFN-gamma priming did not alter the amounts of STAT3 or other components of Jak-STAT pathway (Figs. 4b, and data not shown).

Figure 4. Subthreshold concentrations of exogenous IFN-bold gamma can sensitize IFN-bold gamma signaling in primary human monocytes and in macrophages from IFN-alpha/betaR−deficient mice.
Figure 4 thumbnail

(a) Monocytes were treated with increasing concentrations of IFN-gamma for 3 days (0.3, 1 and 3 U/ml correspond to 15, 50 and 150 pg/ml, respectively). Cells were then washed and stimulated with 10 U/ml of IFN-gamma for 10 min. STAT activation was measured by EMSA. Autoradiographs were exposed for 16 h (lanes 1−7) and 3 days (lanes 8−13) in order to visualize any baseline STAT1 activity after priming. (b) Cells were cultured for 3 days with low or high doses of IFN-gamma, and extracts were analyzed for pY-STAT1 and total STAT1 and STAT3 protein by immunoblotting. (c) Monocytes were primed for 1 day with 3 U/ml of IFN-gamma, washed and activated with 10 U/ml of IFN-gamma for 10 min. STAT activation was analyzed by EMSA and immunoblotting. (d) Monocytes were primed with 30 U/ml (150 pg/ml) of IFN-alpha or 3 U/ml (150 pg/ml) of IFN-gamma, washed and stimulated with 10 U/ml of IFN-gamma for 10 min. Cell extracts were analyzed for pY-STAT1 and total STAT1 by immunoblotting. (e) Bone marrow−derived macrophages from type I IFNR−deficient mice27 were cultured for 1 day with IFN-gamma, washed and restimulated for 10 min with 30 U/ ml of IFN-gamma. (f) Monocytes primed for 2 days with 1 or 3 U/ml of IFN-gamma were washed and stimulated with 5 ng/ml of IFN-alpha. Cell extracts were analyzed for pY-STAT1 and total STAT1 and STAT5 by immunoblotting.



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Because signaling sensitization occurred rapidly in monocytes primed with PBMC coculture supernatants (Fig. 2b), we tested whether IFN-gamma−mediated sensitization also occurred at early time points. In monocytes primed with IFN-gamma for 1 day, IFN-gamma signaling was already sensitized, as shown by increased IFN-gamma−induced STAT1 DNA binding and tyrosine phosphorylation (Fig. 4c). Low doses of IFN-alpha were also able to sensitize IFN-gamma signaling (Fig. 4d). To determine whether constitutively low amounts of type I IFNs were necessary for priming to occur, experiments were done with bone marrow−derived macrophages from mice deficient in the type I IFNR27. Priming with low doses of IFN-gamma effectively sensitized IFN-gamma signaling, with a concomitant increase in STAT1 protein, even in the absence of type I IFN signaling (Fig. 4e). Feedback inhibition became apparent as the priming dose of IFN-gamma was increased (Fig. 4e), similar to that seen with human macrophages (Fig. 4b). Because IFN-alpha also activates STAT1, the effects of priming with IFN-gamma on IFN-alpha signaling were tested. Low dose IFN-gamma effectively sensitized activation of STAT1 by IFN-alpha in macrophages (Fig. 4f). These results demonstrated that in macrophages, IFN-gamma signaling could be sensitized by both type I and type II IFNs and that sensitization by IFN-gamma was not dependent upon type I IFNs.

Sensitization of IFN-bold gamma−dependent gene activation
Macrophage activation by IFN-gamma is mediated by the activation of expression of genes important for macrophage effector functions. The regulation of several of these genes—including those encoding the chemokines monokine induced by IFN-gamma (MIG) and inducible protein-10 (IP-10), the transcription factor IFN regulatory factor 1 (IRF-1) as well as guanylate-binding protein (GBP) and IFN-stimulated gene 54 (ISG54)—is STAT1-dependent13, 14. We assessed the physiological role played by sensitization of IFN-gamma signaling by analyzing IFN-gamma induction of gene expression in monocytes primed with low doses of IFN-gamma. One prediction from the signaling studies is that gene expression would be induced by lower doses of IFN-gamma. Indeed in primed macrophages relative to blood monocytes, expression of MIG, GBP and ISG54 mRNA was induced by lower doses of IFN-gamma (Fig. 5a). Stimulation of primed monocytes with IFN-gamma also resulted in substantially higher expression of IP-10 and IRF-1 mRNA than in control monocytes (Fig. 5b). Thus, priming with low doses of IFN-gamma also sensitized IFN-gamma−dependent gene activation.

Figure 5. Priming with low doses of IFN-bold gamma sensitizes activation of IFN-bold gamma−inducible genes.
Figure 5 thumbnail

Blood monocytes or monocytes primed with 3 U/ml of IFN-gamma for 3 days were treated with IFN-gamma for 3 h. (a) Steady-state MIG, GBP, ISG54 and GAPDH mRNA were measured with semi-quantitative RT-PCR. (b) IP-10, IRF-1 and GAPDH mRNA were measured with quantitative real-time PCR. Amounts of IP-10 and IRF-1 mRNA, normalized relative to GAPDH mRNA, are shown.



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STAT1 and SOCS expression in primed monocytes
To determine the mechanism of IFN-gamma signaling sensitization, the effects of priming on the components of the IFN-gamma−Jak-STAT pathway were examined. Priming of macrophages with low dose IFN-gamma had no discernable effect on cell surface IFN-gammaR expression (Fig. 6a), and no changes in IFN-gammaR protein or mRNA expression were detected by immunoblotting or reverse transcription polymerase chain reaction (RT-PCR) (data not shown). Consistent with comparable IFN-gammaR expression, activation of Jak1 and Jak2 did not differ between M-CSF−cultured and IFN-gamma−primed cells (Fig. 6b). These results indicated that priming does not alter proximal steps in IFN-gamma signaling upstream of STAT1 activation and prompted us to examine the kinetics of STAT1 deactivation.

Figure 6. IFN-bold gamma signaling sensitization mediated by increased STAT1 protein expression.
Figure 6 thumbnail

(a) Flow cytometric analysis of surface expression of IFN-gammaR1 and IFN-gammaR2 (thin lines). Thick lines indicate staining with isotype-matched control antibodies. (Upper panels) M-CSF−cultured monocytes; (lower panels) IFN-gamma−primed monocytes. (b) M-CSF−cultured and IFN-gamma−primed monocytes were treated with 10 U/ml of IFN-gamma for 10 min. IFN-gamma−induced tyrosine phosphorylation of STAT1, Jak1, Jak2 and STAT3 was assessed by immunoblotting. (c) Monocytes were stimulated with IFN-gamma for 10 min, followed by the addition of 100 muM of genistein. STAT activation was assessed by EMSA with the hSIE oligonucleotide. (d) HeLa cells were infected with control GFP- or STAT1-encoding adenoviruses at a multiplicity of infection of 1000; 2 days after infection, cells were activated with 400 U/ml of IFN-gamma or 3000 U/ml of IFN-alpha. STAT DNA binding was assessed by EMSA with the hSIE oligonucleotide. pY-STAT1 and total STAT1 and STAT3 protein were analyzed by immunoblotting. (e) Monocytes were cultured with 3 U/ml (filled triangles) or 100 U/ml (open circles) of IFN-gamma, and SOCS1, SOCS3 and STAT1 mRNA were measured with real-time PCR. (f) Monocytes were pulsed with [35S]methionine (see Methods) and STAT1 was immunoprecipitated from cell extracts obtained after an additional 0, 6, 24, and 48 h. IP, immunoprecipitation.



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Similar to established protocols19, 28, IFN-gamma signaling input was terminated by removing IFN-gamma or adding genistein (to inhibit Jak kinase activity) (Fig. 6c). In both cases, STAT1 activity was terminated rapidly and with comparable kinetics (Fig. 6c and data not shown), indicating that rates of STAT1 deactivation did not differ between M-CSF−cultured and IFN-gamma−primed cells and excluding a role for phosphatases or SOCS proteins. We addressed the role of increased STAT1 expression in sensitization of IFN-gamma signaling using two approaches. First, forced overexpression of STAT1 in the absence of any priming stimulus resulted in sensitization of STAT1 signaling (Fig. 6d), thus indicating that increased STAT1 expression was sufficient to sensitize IFN-gamma signaling. Second, the effects of priming on IFN-gamma activation of STAT1 and STAT3 were compared. IFN-gamma weakly activated STAT3 in human monocytes (Fig. 6b), and STAT3 activation and STAT3 protein were minimally affected by priming. Comparable activation of STAT3 in M-CSF−cultured and IFN-gamma−primed cells was consistent with comparable IFN-gammaR expression and Jak activation (Fig. 6a,b). In contrast to STAT3, STAT1 expression greatly increased, as did STAT1 activation, when the same cells were treated with IFN-gamma (Fig. 6b). These results, taken together, implied a role for increased STAT1 expression in the sensitization of IFN-gamma signaling. When primed monocytes were stimulated with IFN-alpha, STAT1, but not STAT3, activation was sensitized (Fig. 4f and data not shown), suggesting that increased STAT1 expression can affect signaling by at least two receptors.

IFN-gamma induces SOCS1 expression, which feeds back and inhibits IFN-gamma signaling. The kinetics of SOCS1 mRNA expression were analyzed when monocytes were treated with either low (3 U/ml) or high (100 U/ml) concentrations of IFN-gamma that induce, respectively, priming or feedback inhibition. Low doses of IFN-gamma induced transient increases in SOCS1 mRNA that returned to baseline amounts after 4 h and remained low during the remainder of the priming period (Fig. 6e). In contrast, when high concentrations of IFN-gamma were used, SOCS1 mRNA continued to increase for 24 h and remained elevated for the duration of the priming period. STAT1 mRNA was elevated in a sustained manner with both priming and activating concentrations of IFN-gamma (Fig. 6e). Thus, priming of macrophages with low doses of IFN-gamma resulted in high expression of STAT1 in the absence of induction of feedback inhibition by SOCS1. The sustained increase in STAT1 mRNA indicated that activation of STAT1 gene expression contributed to the increase in amounts of STAT1. In addition, pulse-chase experiments showed that newly synthesized STAT1 protein was stable (Fig. 6f). The combination of sustained expression of STAT1 mRNA and the stability of STAT1 protein contributed to the increase in STAT1 protein observed during priming. In contrast, SOCS1 protein is extremely labile23, and we were not able to detect SOCS1 protein expression by immunoprecipitation or immunoblot.

IFN-bold gamma signaling and STAT1 expression in vivo
The physiological role of increased STAT1 expression was further investigated by analyzing its expression in vivo during conditions of acute and chronic inflammation. Preinjection of mice with a low dose of IFN-gamma (100 U) resulted in increased STAT1 protein and autosensitization of IFN-gamma signaling in vivo in resident peritoneal macrophages (Fig. 7a). When mice were injected with tenfold more IFN-gamma (1000 U), STAT1 protein increased further; in contrast, after restimulation with IFN-gamma, STAT1 tyrosine phosphorylation remained high but showed minimal additional increase. This indicated the induction of feedback inhibition that blunted the effects of increased STAT1 expression and showed that IFN-gamma−mediated sensitization and feedback inhibition of IFN-gamma signaling in vivo was similar to regulation in vitro.

Figure 7. Regulation of IFN-bold gamma signaling and STAT1 expression in vivo.
Figure 7 thumbnail

(a) Six-week-old C57BL/6J mice were injected with IFN-gamma; resident peritoneal macrophages were collected 1 day later and stimulated for 10 min with 100 U/ml of IFN-gamma. pY-STAT1 and total STAT1 and Jak1 protein were analyzed by immunoblotting. (b) Mice were injected with saline or LPS. (Upper panel) Immunoblotting of STAT1, Jak1 and Jak2 protein in cell extracts from splenic macrophages (CD11b+ populations) isolated 1 day after injection. (Lower panel) Immunoblotting of STAT1 protein in cell extracts from splenic macrophages isolated after injection. One representative of three experiments is shown. (c) Normal and RA synovial tissues were stained with anti-STAT1. Photomicrographs are representative of ten RA and nine normal specimens.



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Injection of lipopolysaccharide (LPS) serves as a model of septicemia and results in rapid IFN-gamma expression, which is thought to play an important role in LPS toxicity. Injection of mice with LPS induced STAT1 expression in splenic macrophages within 4 h, and increased STAT1 expression was sustained for at least 48 h (Fig. 7b). Rheumatoid arthritis (RA) is a chronic inflammatory condition primarily involving joints that is believed to represent a TH1 response. RA joint macrophages are strongly activated and express high amounts of IFN-gamma−inducible genes, despite low concentrations of extracellular IFN-gamma29. We investigated the expression of STAT1 in RA using immunohistochemistry to analyze inflammatory synovial tissue obtained during joint-replacement surgery. RA synovial tissue cells expressed high amounts of STAT1 relative to normal controls, especially in the macrophage-containing lining layer where cells are most highly activated (Fig. 7c). The differences in expression of STAT1 were statistically significant (RA versus normal, P < 0.05). These results demonstrated high STAT1 amounts in vivo in two inflammatory settings where strong IFN-gamma responses lead to tissue pathology and suggested that high STAT1 expression contributed to these inflammatory processes.

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Discussion
We found that low doses of IFN-gamma that did not themselves activate macrophages sensitized signaling in response to restimulation with IFN-gamma. The mechanism of IFN-gamma signaling sensitization involved increased STAT1 expression in the absence of feedback inhibition by SOCS1. This finding is reminiscent of a report demonstrating sensitization of IFN-gamma signaling by low constitutive amounts of type I IFNs that were subthreshold for detectable signaling events26. However, the mechanisms of sensitization appear to differ, as type I IFNs did not affect STAT1 tyrosine phosphorylation, but enhanced dimerization of phosphorylated STAT126. In contrast, we found that exposure to low doses of IFN-gamma markedly enhanced subsequent STAT1 tyrosine phosphorylation. Sensitization by IFN-gamma was independent of concomitant type I IFN signaling, as sensitization occurred in macrophages from mice deficient in type I IFNRs. Another difference appears to be that sensitization of IFN-gamma signaling by type I IFNs was constitutive in several cell types, whereas autosensitization of IFN-gamma signaling occurred preferentially in macrophages relative to lymphocytes and was regulated by glucocorticoids (unpublished data). IFN-gamma is a major activator of macrophages, and sensitization of IFN-gamma signaling may be particularly important to achieve full macrophage activation early in immune responses when IFN-gamma concentrations are low. Autoregulation of IFN-gamma signaling by IFN-gamma appears to be complex and cell-type specific, as IFN-gamma actually suppresses IFN-gamma signaling in lymphocytes by down-regulating expression of the IFN-gammaR17, 18.

A key paradigm in signal transduction is ligand-mediated desensitization and feedback inhibition of signaling, which limits the intensity and duration of signal transduction events and thus prevents the potentially deleterious consequences of excessive cellular responses. Desensitization can be mediated by a variety of mechanisms, including modification and endocytosis of receptors30, suppression of receptor expression17, 18 or induction of negative regulators of signaling, such as SOCS or PIAS23. In contrast, autoamplification of signal transduction, which would be helpful in the early phases of immune responses where rapid and strong activation of cells is required, is not well understood. The only previous example of which we are aware is the amplification of IL-2 signaling by IL-2 itself. This mechanism induces prolonged expression of high-affinity IL-2Rs, thus allowing for a burst of proliferation that is sustained over several days in response to low doses of IL-231. In contrast to IL-2, autosensitization of IFN-gamma signaling did not involve increased expression of ligand-binding receptor subunits. Instead, sensitization was mediated, at least in part, by increased expression of STAT1. STAT1 protein increased throughout the priming period, which could be explained by the sustained expression of STAT1 mRNA that leveled-off approx4 h after addition of IFN-gamma, combined with the stability of STAT1 protein. Thus, receptor-STAT interactions can be increased either by increasing receptor or STAT expression.

The differences between these two mechanisms are that increasing receptor expression will increase activation of multiple signaling pathways downstream of one receptor, whereas increasing STAT1 expression will selectively activate only one pathway downstream of Jaks and will have the potential to regulate activation of many different receptors that contain docking sites for STAT1. Selective activation of STAT1-dependent signaling will not only sensitize Jak-STAT signaling, but will alter the balance between STAT1-dependent and opposing signaling pathways downstream of the IFN-gammaR32, 33, and thus has the potential to qualitatively alter the outcomes of IFN-gamma signaling.

The Jak-STAT signaling pathway is typically regulated by modulation of the function of pre-existing Jak and STAT proteins, either by post-translational modification or by protein-protein interactions. Important post-translational modifications include tyrosine and serine phosphorylation of Jaks and STATs34, methylation of STATs35 and degradation by proteosomes23. Key protein-protein interactions include inhibition of Jak catalytic activity by SOCS proteins36 and of STAT DNA-binding activity by PIAS proteins37. STATs are broadly and constitutively expressed and, although forced overexpression of STATs affects signaling38, a role for physiologic modulation of STAT protein in regulating intensity of cytokine signaling has not previously been reported.

Here, we have provided several lines of evidence that support a role for increased STAT1 expression in IFN-gamma signaling sensitization. First, sensitization was not accompanied by any changes in expression of IFN-gammaRs or in activation of Jak1, Jak2 or STAT3 by IFN-gamma. These results indicated that IFN-gamma delivered a comparable proximal signal to both nonprimed and primed macrophages. Second, the rate of STAT1 deactivation was comparable in nonprimed and primed cells, indicating that priming did not inactivate a STAT1 phosphatase or suppress degradation by proteosomes. Third, sensitization of signaling was specific for STAT1 relative to STAT3 when either IFN-gamma or IFN-alpha were used to stimulate primed cells; this was consistent with increased expression of STAT1 but not STAT3. Finally, forced expression of STAT1 led to increased STAT1 activation. These data argue for a model in which increased intracellular STAT1 leads to more efficient docking onto the activated IFN-gammaR complex. A key component of this model is that low priming doses of IFN-gamma capable of activating sustained STAT1 expression did not effectively activate feedback inhibition by SOCS1. In contrast, high activating doses of IFN-gamma induced sustained expression of SOCS1, and thus engaged feedback inhibition.

In contrast to experiments in which purified IFN-gamma was used, in the PBMC coculture system the induction of STAT1 expression was variable and, in many experiments, the increase in STAT1 protein was insufficient to explain the increase in STAT1 tyrosine phosphorylation. Thus, other factors may also contribute to sensitization of IFN-gamma signaling. One possibility would be basal production of type I IFNs. Future experiments should aim to identify factors other than IFN-gamma present in PBMC cocultures that regulate IFN-gamma signaling.

A key question is under what conditions does the sensitization of IFN-gamma signaling we have described here occur in vivo. Macrophage responsiveness to IFN-gamma in vivo can vary39. We have shown that autosensitization of IFN-gamma signaling occurs in vivo after injection of low doses of IFN-gamma that mimic transient or low IFN-gamma production, such as may occur early in an immune response or with low amounts of antigens or pathogens. In addition, we have investigated the regulation of STAT1 expression and IFN-gamma signaling in vivo after LPS injection and in RA, which represent examples of, respectively, acute and chronic inflammation in which IFNs are expressed.

STAT1 protein expression rapidly increased after injection of LPS and was elevated in RA synovium, especially in the lining layer that contains the most highly activated macrophages. These results suggested that elevated STAT1 expression may play a role in regulating the intensity of IFN-gamma signaling in these inflammatory states. LPS injection, at the doses used, resulted in basal STAT1 activity and the induction of feedback inhibition, consistent with high expression of SOCS1 and SOCS340 (unpublished data). IFN-gamma signaling in RA macrophages was also partially suppressed by high expression of SOCS proteins41 (unpublished data). Thus, injection with high doses of LPS or chronic inflammation in RA appear to induce a state in which increased STAT1 expression is opposed by the induction of feedback inhibition, similar to that detected when macrophages are activated with high doses of IFN-gamma. SOCS proteins compete with STATs for docking to cytokine receptors23, including IFN-gammaR38; thus, high expression of STAT1 would serve the function of partially overcoming or balancing inhibition by SOCS proteins. This suggests that the sensitivity of macrophages to IFN-gamma is regulated by the opposition of STAT1 and SOCS proteins that are expressed at different relative amounts, depending upon the intensity or duration of an activating stimulus.

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Methods
Reagents and cell culture.
Experiments with animals were approved by the Hospital for Special Surgery animal care and use committee. Recombinant human IFN-gamma was from Roche Molecular Biochemicals (Indianapolis, IN), IFN-alphaA was from Biosource International (Camarillo, CA), and IL-10 and M-CSF were from R&D Systems (Minneapolis, MN). IFN-gamma neutralizing antibody was from R&D Systems, and mAbs to human IFN-alpha (MMHA2) and human IFN-alphaR2 (MMHAR2) were from PBL Biomedical Laboratories (New Brunswick, NJ). PBMCs were obtained from whole blood from disease-free volunteers using a protocol approved by the Hospital for Special Surgery institutional review board by density gradient centrifugation with Ficoll (Gibco-BRL, Gaithersburg, MD) and cultured in RPMI-1640 medium (Gibco-BRL) supplemented with 10% fetal bovine serum (Hyclone, Logan, UT). Human monocytes were purified from PBMCs immediately after isolation or after 1−3 days of culture by positive selection with anti-CD14 magnetic beads, as recommended by the manufacturer (Miltenyi Biotec, Auburn, CA). In some experiments, negative selection was used to purify monocytes. Similar results were obtained regardless of the method of monocyte purification. Purity of monocytes was >97%, as verified by flow cytometric analysis. In transwell cultures, transwell inserts with membranes of 0.4-mum pore size (Becton Dickinson, Franklin Lake, NJ) were used to separate CD14+ and CD14- cells. The ratio of CD14+ to CD14- cells in transwell cultures was 1:4, the typical composition of PBMCs. Bone marrow−derived macrophages were from type I IFNR−deficient mice27, obtained by culturing bone marrow with 10 ng/ml of M-CSF as described42.

EMSA, immunoblotting and metabolic labeling of STAT1.
Total cell extracts were obtained, and protein amounts quantified with the Bradford assay (BioRad, Hercules, CA), as described43. Cell extracts (5 mug) were incubated for 15 min at room temperature with 0.5 ng of 32P-labeled double-stranded high-affinity sis-inducible element (hSIE) oligonucleotide43, 5'-GTCGACATTTCCCGTAAATC-3', in a 15-mul binding reaction with 40 mM NaCl and 2 mug of poly(dI)poly(dC) (Pharmacia, Piscataway, NJ); complexes were resolved on nondenaturing 4.5% polyacrylamide gels. For immunoblotting, cell lysates (5 mug) were fractionated on 7.5% polyacrylamide gels with SDS-PAGE, transferred to polyvinylidene fluoride membranes (Millipore, Bedford, MA) and incubated with specific antibodies; enhanced chemiluminescence was used for detection. For pulse-chase experiments, cells were treated with IFN-gamma for 8 h followed by overnight labeling in medium that consisted of a 90/10 mixture of methionine-free and regular RPMI-1640 with 5% fetal bovine serum and 100 muCi/ml of [35S]methionine, as described44. Cells were then extensively washed to remove unincorporated [35S]methionine, and STAT1 immunoprecipitations were done at various times. Monoclonal antibodies (mAbs) to STAT1 (clone 1), STAT2 (clone 22), STAT3 (clone 84) and Jak1 (clone 73) were from BD Transduction Laboratories (Lexington, KY); polyclonal Jak2 antibody was from Upstate Biotechnology (Lake Placid, NY). The polyclonal antibody used for STAT1 immunoprecipitation was from Santa Cruz Biotechnology (Santa Cruz, CA). Phosphorylation-specific (Tyr701) STAT1 antibody (number 9171) and phosphorylation-specific (Tyr705) STAT3 antibody (number 9131) were from Cell Signaling Technology (Beverly, MA). Phosphorylation-specific Jak1 (Tyr1022/1023) antibody (number 44-442) and phosphorylation-specific Jak2 (Tyr1007/1008) antibody (number 44-426) were from Biosource International.

Analysis of mRNA.
For semi-quantitative RT-PCR, total cellular RNA was isolated with Trizol (Gibco-BRL) and treated with RNase-free DNase. cDNA was obtained with Moloney murine leukemia virus reverse transcriptase (MMLV-RT) (Gibco-BRL). Each cDNA (2.5%) was subjected to 22−25 PCR cycles with conditions that resulted in a single specific amplification product of the correct size: 30 s denaturation at 94 °C, 1 min annealing at 55 °C and 30 s extension at 72 °C in a GeneAmp 9600 thermal cycler (Perkin Elmer, Norwalk, CT). dNTPs were used at 100 muM and 1 muCi of [32P]alpha-dATP was added to each reaction. No amplification products were obtained when reverse transcriptase was omitted, which indicated the absence of contaminating genomic DNA. Amplification was empirically determined to be in the linear range. For real-time quantitative PCR, DNA-free RNA was obtained with the RNeasy MiniKit (Qiagen, Valencia, CA) with DNase treatment, and 1 mug of total RNA was reverse-transcribed with random hexamers and MMLV-RT. Real-time PCR was done in triplicate with the iCycler iQ thermal cycler and detection system (BioRad) and the PCR Core Reagents kit (Applied Biosystems, Foster City, CA) with 500 nM primers; the final Mg2+ concentration was adjusted to 4 mM, as described45. Fourfold serial dilutions of cDNAs were used to generate curves of log input amount versus threshold cycle, and comparable slopes, for a given primer set, were obtained for the group of cDNAs being tested (signifying comparable efficiencies of amplification). mRNA amounts were normalized relative to glyceraldehyde-3-phosphate dehydrogenase (GAPDH) mRNA. When RT was omitted, threshold cycle number increased by at least ten, signifying lack of genomic DNA contamination or nonspecific amplification; the generation of only the correct size amplification products was confirmed with agarose gel electrophoresis. Oligonucleotide primers used were as follows: MIG: 5'-TTGGGCATCATCTTGCTGGTTCT-3' and 5'-TGGCTGACCTGTTTCTCCCACTT-3'; GBP: 5'-TGAGCAGCACCTTCGTGTACAAT-3' and 5'-TAGGAACAGAAGTCTGCTACTTG-3'; ISG54: 5'-GTGATAGTAGACCCAGGCATAGT-3' and 5'-CCCTTGTTATTCCTCACC-3'; IP-10: 5'-TTGCTGCCTTATCTTTCTGACTC-3' and 5'-ATGGCCTTCGATTCTGGATT-3'; IRF-1: 5'-ATGAGACCCTGGCTAGAG-3' and 5'-AAGCATCCGGTACACTCG-3'; GAPDH: 5'-GTGAAGGTCGGAGTCAAC-3' and 5'-TGGAATTTGCCATGGGTG-3'; SOCS1: 5'-TGTTGTAGCAGCTTAACTGTATC-3' and 5'-AGAGGTAGGAGGTGCGAGT-3'; SOCS3: 5'-CACTCTTCAGCATCTCTGTCGGAAG-3' and 5'-CATAGGAGTCCAGGTGGCCGTTGAC-3'; STAT1: 5'-TGGGTTTGACAAGGTTCTT-3' and 5'-TATGCAGTGCCACGGAAAG-3'.

STAT1 overexpression.
Cells were infected with recombinant adenoviruses encoding both STAT1 and green fluorescence protein (GFP) or control viruses encoding GFP alone. Production of adenoviruses and cellular infection were as described46. The infection rate was >95%, as assessed by flow cytometry, and cell extracts were prepared 2 days after infection.

ELISA.
ELISAs were done with paired antibody sets, as recommended by the manufacturers (BD Pharmingen, San Diego, CA and Endogen, Woburn, MA).

Immunohistochemistry.
Synovial tissue was obtained from patients undergoing arthroplasty or total joint replacement who met the American College of Rheumatology criteria for RA47. Normal synovial