Abstract
In wild-type FVB mice, leukocyte recruitment to lipopolysaccharide was sexually dimorphic, with a greater number of leukocytes recruited in females. In male β2-adrenergic receptor knock out mice (bred on a congenic FVB background) the number leukocytes recruited was increased ~4-fold, while in females there was no change, eliminating sexual dimorphism in leukocyte migration. While there were significantly fewer recruited CD62L+ and CD11a+ leukocytes in wild-type males, only in male β2-adrenergic receptor knock out mice was there an increase in the number of recruited CD11a+ leukocytes, again eliminating sexual dimorphism. Thus, leukocyte migration and CD11a+ adhesion molecule expression in male, but not in female, leukocytes is β2-adrenergic receptor-dependent. Our findings provide support for a role of β2-adrenergic receptor mechanisms in the inflammatory response, and suggest that β2-adrenergic receptor on male leukocytes contributes to sexual dimorphism in the effect of stress on inflammatory diseases.
Keywords: β2–adrenergic receptor, leukocyte recruitment, sexual dimorphism, knock out mice, adhesion molecules
1. Introduction
Leukocyte infiltration is an important pathological feature of many inflammatory diseases (Ajuebor et al., 2002; Edwards and Hallett, 1997; Goulding et al., 1998; Kasama et al., 2005), they are recovered from bronchoalveolar lavage fluid in asthmatic patients, indicating that they move through the endothelium and extracellular matrix and migrate across epithelium into airways (Liu et al., 1999), and are also found in arthritic joints at the pannus–cartilage junction, the site of joint-destroying erosions (Mohr and Menninger, 1980); neutrophils within the joint are now recognized to participate directly in chronic inflammation (Chen et al., 2006).
Stress can affect inflammatory diseases (see Black, 2002(Black, 2002a) for review), in part mediated by the effect of stress hormones on leukocyte function (Bierhaus et al., 2006; Bilbo et al., 2002; Dhabhar, 2002; Landmann et al., 1984; O’Leary et al., 1996; Shephard, 2003), and catecholamines mediate interactions between the sympathetic and the immune systems, to alter immune cell activity (Benschop et al., 1997; Downing and Miyan, 2000; Elenkov et al., 2000; Oberbeck, 2006; Straub et al., 1998). Norepinephrine, released from sympathetic nerve terminals, and epinephrine, released from the adrenal medulla (Elenkov et al., 2000), act primarily on α2 and β2 adrenergic receptors expressed on most resting and activated immune cells (Barnes, 1995; Barnes, 1999; Kin and Sanders, 2006; Maestroni, 2006; Wahle et al., 2005). Stimulation of the β2-adrenergic receptor has been shown to play a role in regulating leukocyte homing, immune cell surface phenotype and mature immune cell function. While the contribution of the β2-adrenergic receptor in inflammation is well established clinically, in view of their potent anti-inflammatory properties (Barnes, 1999; Cobelens et al., 2002; Sekut et al., 1995), its role in modulating leukocyte recruitment has received remarkably little attention (de Coupade et al., 2004; Straub et al., 2000b). The few studies investigating the role of β2-adrenergic receptor agonists on leukocyte function in vivo are mostly limited to examination of their effects on cytokine production and cell adhesion.
Many inflammatory diseases are sexually dimorphic, often more prevalent or severe in women (Ansar Ahmed et al., 1999; Castagnetta et al., 2002; Da Silva, 1995; Da Silva, 1999; Green, 1992; Wilder et al., 1982). Since β2-adrenergic mechanisms have been reported to be sexually dimorphic (Barker et al., 2005; de Coupade et al., 2004; Hinojosa-Laborde et al., 1999; Krieg et al., 1986; Mills et al., 1996; Tan et al., 1997; Wheeldon et al., 1994), the present study investigated the ability of β2-adrenergic receptors to modulate neutrophil recruitment, using wild-type (FVB) and β2-adrenergic receptor knockout mice (bred on a congenic FVB background). Of note, in a comparison of inflammation in the lungs of 9 mouse strains, after ovalbumin sensitization and aerosol challenge the FVB strain had fewer infiltrating leukocytes than 4 other strains, but similar to BALB/C, C57/BL and C3H/HeJ strains (Whitehead et al., 2003). Thus, strain differences in immune responses need to be taken into consideration when extrapolating data obtained from a single mouse strain, as reported in this current study.
Since most inflammatory responses and effector functions involve leukocyte adhesions, we also studied sex differences in two cell adhesion molecules that have been shown to be particularly affected by β-adrenergic receptor activation (Kurokawa et al., 1995; Miles et al., 1998; Mills et al., 2002a): i) CD62L (L-selectin), which mediates the early phase of leukocyte diapedesis, forming weak bonds to allow rolling adhesion on the endothelium, and ii) the integrin CD11a which forms stable bonds mediating leukocyte extravasation into sites of inflammation.
Even though β2-adrenergic receptor knockout mice express no alteration in their ability to mount adaptive immune responses (Sanders et al., 2003), in this study we show that in mice lacking β2-adrenergic receptors LPS-induced leukocyte recruitment is altered in males but not females, suggesting a mechanism for sexual dimorphism in inflammatory diseases.
2. Materials and Methods
Animals
Male and female FVB mice, 22-26 g (6 weeks old), were obtained from Charles River (Hollister, CA). Mice, with targeted deletions of the β2-adrenergic receptor, were a generous gift from Dr. Brian Kobilka (Stanford University, CA); β2-adrenergic receptor mice are bred on a congenic FVB background (Chruscinski et al., 1999).
Chemicals
Lipopolysaccharide (LPS) (Sigma Chemical Co., St. Louis, MO); anti-neutrophil fluorescein isothiocyanate (FITC)-labeled monoclonal antibody, a rat anti-mouse 7/4 antigen produced against neutrophil-rich cultured bone-marrow populations that defines a polymorphic neutrophil differentiation antigen (Hirsch and Gordon, 1983) (Cedarlane Laboratories Ltd. Hornby, Ontario, Canada); anti-mouse CD4 phycoerythrin (PE) (recognizing the L3T4 antigen, a marker for T helper lymphocytes; Caltag, South San Francisco, CA); PE anti-mouse CD11a and FITC anti-mouse CD62L (BD Biosciences, San Jose, CA).
Chemotaxis in vivo (murine air pouch)
Air pouches were produced on the backs of 6-week-old male and female β2-adrenergic receptor knockout and wild-type mice. Experiments were performed as described by Hachicha (Hachicha et al., 1999). Briefly, a dorsal air pouch was created by injecting 3 ml of sterile air subcutaneously in the back of the mouse on day zero, and again on day three. On day six, saline or LPS were directly injected in the pouch. Four hours after injection, mice were euthanized and their air pouches washed three times with 1 ml sterile phosphate buffered saline (PBS). This time point was chosen since we are interested in the neutrophil component of the early inflammatory response and neutrophil recruitment into the air pouch is maximal around four hours after LPS (Santos et al., 2003). The lavage exudates were centrifuged, cell pellets, containing ~1×106 cells, resuspended in 1 ml of PBS + 1% BSA + 1 μg/ml propidium iodide + 5 μg/ml Hoechst-33342 and viable cells counted by flow cytometry using a dual-laser FACStar cell sorter (Becton Dickinson, San Jose, CA). Data acquisition and analysis were accomplished with FlowJo version 8.3 software (Treestar, Ashland, OR).
Flow cytometry
Cells were incubated for 30 min at 4°C with saturating concentrations of the indicated mouse monoclonal antibodies labeled either with FITC or phycoerythrin (PE), specifically: FITC anti-PMN 0.25 pg/tube, PE anti-CD4 0.25 pg/tube, PE anti-CD11a 0.5 pg/tube, FITC anti CD62L 0.5 pg/ml. Cells (5×103) were then washed and resuspended in cold PBS-1% BSA and the cell-associated light scatter and fluorescence were determined by flow cytometry
Statistical analysis
Data are expressed as mean ± SEM of n distinct observations. Statistical analysis was performed using statistical software from SPSS, Inc. or with Origin 6.1. Statistical comparisons were made by a two-tailed Student’s t test (for one or two independent populations) and by one-way ANOVA for comparing multiple treatments.
3. Results
To establish β2-adrenergic receptor-dependence for leukocyte chemoattraction, a critical mechanism in the acute inflammatory response, we examined in vivo leukocyte recruitment induced by LPS in the murine dorsal air pouch of male and female β2-adrenergic receptor knockout compared to wild-type mice. Six-day old air pouches in the back of the mice were injected with saline or LPS and four hours later, mice were euthanized and leukocytes harvested for flow cytometric analysis.
Involvement of β2-adrenergic receptors in sexual dimorphism for neutrophil recruitment
In wild-type animals, LPS (100 ng/ml suspended in 1 ml sterile PBS) induced markedly higher recruitment of neutrophils into the air pouch in females than in males (~3-fold higher, wild-type males vs. wild-type females P<0.01, Figure 1). The absence of functional β2-adrenergic receptors had no significant effect on the number of leukocytes in the pouch following either vehicle (PBS) or LPS in females (wild-type females vs. knock out females P=0.311 and P=0.925, Figure 1). The number of peripheral blood leukocytes was also unchanged (wild-type females 7.10 ± 0.68×106 n=6 vs. knock out males 5.36 ± 0.71×106 N=6 P=0.107) In males, while there was no difference in number of leukocytes in the air pouch of wild-type and β2-adrenergic receptor knockouts after administration of vehicle (PBS), there was a dramatic, 3.6-fold, increase in numbers of leukocytes following administration of LPS (wild-type males vs. knock out males P<0.005, Figure 1). The number of peripheral blood leukocytes was significantly lower in knockouts (wild-type males 7.39 ± 0.83×106 n=6 vs. knock out males 4.79 ± 0.79×106 N=6 P=0.048). There was no sex difference in peripheral blood leukocyte counts in either the wild-type (P=0.793) or knockout mice (P=0.603). LPS-induced leukocyte recruitment in the β2-adrenergic receptor knock out male was not significantly different from that in the female (P=0.890, Figure 1).
Characterization of air pouch cellular infiltrate
To characterize the cells that infiltrated the air pouch in response to LPS, exudates were stained with a FITC–labeled anti-neutrophil antibody or with a phycoerythrin (PE) labeled anti-T helper lymphocyte CD4 antibody. Four hours following LPS administration leukocytes were recovered from the pouch. Most of these leukocytes were neutrophils, with a small proportion of lymphocytes; in table inset, Figure 1, the mean values are given for these populations. While the total number of cells recruited into the air pouch was greater in females (Figure 2), for LPS-recruited neutrophils there was no dimorphism in sex (female neutrophil wild-type vs. male neutrophil wild-type P=0.820; female neutrophil knockout vs. male neutrophil knockout P=0.738) or β2-adrenergic receptor (female neutrophil wild-type vs. female neutrophil knockout, P=0.912; male neutrophil wild-type vs. male neutrophil knockout, P=0.411), and for the percentage of LPS-recruited T cells, while there was a significant sex difference in wild types (female CD4 wild-type vs. male CD4 wild-type P=0.043), there was no sex dimorphism in knockouts (female CD4 knockout vs. male CD4 knockout P=0.554) or in β2-adrenergic receptor in wild-type or knockouts (male CD4 wild-type vs. male CD4 knockout P=0.072; female CD4 wild-type vs. female CD4 knockout, P=0.366).
CD62L and CD11a expressing leukocytes and density of adhesion molecule expression
In responses to LPS-stimulation, CD62L is down-regulated and shed from neutrophils prior to rolling adhesion on the vessel wall (Nakamura et al., 2001). Our data show that CD62L down-regulation did not differ significantly either by sex or between wild-type and β2-adrenergic receptor knock out groups of mice (data not shown). However, in contrast to CD62L, there were both sex– and β2-adrenergic receptor-dependent differences in CD11a cell populations. CD11a is expressed on all leukocytes and is involved in leukocyte adhesion to its ligands playing a role in most immune/inflammatory responses. In wild-type mice there was an almost 3-fold higher number of CD11a+ leukocytes recruited into the air pouch in female compared to male wild-type mice (P<0.05; Figure 3), but this difference was abolished in knock out mice. In knock out males, there was a significant increase (>2-fold increase over wild-type) in the numbers of CD11a+ cells migrating into the pouch (P<0.05; Figure 3); there was no significant difference in number of CD11a+ cells from the air pouch in wild-type and knock out females (P>0.05, Figure 3). Of note, there was a significant decrease in the fluorescent intensity for PE-CD11a in males (P<0.05), but no significant change in PE-CD11a fluorescence intensity in leukocytes from females, and no change for CD62L fluorescent intensity in either sex (Figure 4).
4. Discussion
Using the murine air pouch model to characterize the impact of β2-adrenergic receptor mechanisms in leukocyte recruitment in vivo. In this model, an air pouch is established on the backs mice by injection of sterile air (3ml on day 0 and a further 3 ml on day 3), and into 6-day old pouch LPS (30 ng) is injected to recruit leukocytes that are harvested for flow cytometric analysis. We showed that the markedly greater leukocyte recruitment in females was abolished in β2-adrenergic receptor knockout mice; leukocyte recruitment was markedly enhanced in male but unchanged in female β2-adrenergic receptor knockout mice. There was also an enhancement in the number of CD11a+ leukocytes recruited into the air pouch in β2-adrenergic receptor knockout males, but not females.
In β2-adrenergic receptor knock out female mice there appeared to be an emergence of double-positive (neutrophil 7/4+/CD4+, Figure 1) cells. While the monoclonal 7/4 antibody defines a polymorphic neutrophil differentiation antigen (Hirsch and Gordon, 1983), more recently it has been shown to also weakly recognize immune activated macrophages (Kaposzta et al., 1998) and monocytes although the 7/4 antigen expression is reduced after exposure to LPS (Taylor et al., 2003). This emergence of this double positive 7/4+/CD4+ population in β2-adrenergic receptor knock out female mice may represent a further regulation of cell surface marker by β2-adrenergic receptor in a subpopulation of myeloid cells
Most actions of catecholamines on immune cells are believed to be mediated via β2- (Barnes, 1999), α1- (during chronic inflammation (Roupe van der Voort et al., 2000)), and α2- adrenergic receptors (Straub et al., 2000a). Our study demonstrates an increased LPS-induced neutrophil recruitment in β2-adrenergic receptor knockout male mice suggesting that the constitutive activity of the β2-adrenergic receptor suppresses cell migration. Importantly, β2-adrenergic receptors do not appear to have such a role in females. Our results are consistent with sex differences in host defense mechanisms reported by us, and others (Dina et al., 2001; Green et al., 2001; Majetschak et al., 2000; Spitzer, 1999; St Pierre Schneider et al., 1999). Since catecholamines augment the host response to LPS by inducing the synthesis of the acute phase reactant LPS binding protein, which neutralizes the toxicity of LPS (Black, 2002a), catecholamines are likely to play a key role in modulating the immune response, although it is unknown if this mechanism also occurs in females. In support of this hypothesis, sympathectomy increases recruitment of inflammatory cells into tissues during the innate immune response in male mice (although female mice were not evaluated in this study)(Rice et al., 2002).
While our current study concerned the role of β2-adrenergic receptors, it is possible that α-adrenergic receptors may also play a role in modulating immune cell function. The leukocyte population that we evaluated (i.e. that recruited into the pouch over the first 4 h post LPS) consisted predominantly (~70%) of neutrophil, as these cells are the first to be recruited by an inflammatory stimulus. While there do not appear to be reports describing the presence of α adrenergic receptors on neutrophils in rodents (Altenburg et al., 1997; Madden et al., 1995), α2-adrenergic receptors do appear to exist in low abundance on human neutrophils (Varani et al., 2002). Furthermore, in several species, including mice, other blood cells, notably platelets (Hamilton et al., 1986; Maes et al., 2002; Mishra et al., 1985), macrophages (Garcia et al., 2003; Ignatowski et al., 2000; Javierre et al., 1975; Miles et al., 1996) and lymphocytes (Amenta et al., 2002; Felsner et al., 1995; Veglio et al., 2001), appear to either express α adrenergic receptors or respond to direct action by α-adrenergic receptor agonists. While α-adrenergic receptor agonists may affect neutrophil mobilization, it has been hypothesized that this is due to an indirect effect of α-adrenergic receptor stimulation on lymphocytes to release pro-inflammatory factors such as TNFα which then act on neutrophils and other cells (Altenburg et al., 1997). With the greater involvement of other leukocytes, such as macrophages and monocytes in chronic inflammatory conditions it is possible that there could be a contribution of α-adrenergic receptors in modulating leukocyte function. Of note, estradiol decreases platelet α2-adrenergic receptors number and function (Brodde, 1983; Mishra et al., 1985), and the role of sex steroids in inflammation, which we have previously investigated in other models (Barker et al., 2005; Green et al., 2001; Green et al., 1999a; Green and Levine, 2005) is also an important question. However, to establish any sex steroid contribution to adrenergic mechanisms in leukocyte recruitment, at minimum we would need to perform male and female gonadectomy, sex steroid replacement with testosterone and dihydrotestosterone (to determine the contribution of estradiol) in males, and estradiol and progesterone in females. Future studies will address these key questions.
We also observed an increase in the number of CD11a+ cells in β2-adrenergic knock out males compared to wild-type males (no change was observed in females). This increase in CD11a+ may, at least in part, contribute to the enhanced recruitment of leukocytes in β2-adrenergic knock out males since CD11a is an important adhesion molecule facilitating migration of leukocytes into sites of inflammation (Parkos, 1997). While there is evidence that CD11a is regulated by adrenergic mechanisms (e.g. stress alters CD11a expression in leukocytes (Kuhlwein et al., 2001; Mills et al., 2002b)), to the best of our knowledge, sex differences in this relationship have not previously been reported.
Our data provide further evidence for a close relationship between the adrenergic system and the immune system, and adds a crucial finding of a marked sex dimorphism in this relationship. We have previously shown that chronic stress leads to a significant enhancement in neutrophil recruitment to LPS in male but not in female rats; this effect appeared to be β-adrenergic– and male sex steroid–dependent (Barker et al., 2005). This, as well as another study showing that high β2-adrenergic agonist levels produced during chronic stress in male mice increase neutrophil recruitment (Forsythe et al., 2004), appear to contrast with the current study in which there was an enhancement of leukocyte migration in β2-adrenergic knockout males. This difference may be related to chronic stress down regulating β2-adrenergic receptor density, as has been shown to occur on lymphocytes (Miller and Chen, 2006; Mills et al., 2004), or because the β2-adrenergic receptor gene deletion during embryogenesis may produce adaptive compensatory changes resulting in unexpected effects. This limitation on the use of knock out animals notwithstanding, the key finding of this study remains, namely the importance of β2-adrenergic–dependent mechanisms in leukocytes from male mice. In addition, age-related changes in β2-adrenergic receptor expression could contribute to differences in results from previous studies. Age-related changes in the expression of β2-adrenergic receptors have been reported, but are conflicting. β2- adrenergic receptor expression has exhibited age-related reduction (on human (Feldman et al., 1984) and murine (Kohno et al., 1986) lymphocytes), no change (on human (Landmann et al., 1981) or rat (De Blasi et al., 1987) monocytes and on human (Abrass and Scarpace, 1981) or rat (Pieri, 1991) lymphocytes), and increase (on human lymphocytes (Fitzgerald et al., 1984; Gietzen et al., 1989; O’Hara et al., 1985) and human (Pende et al., 1991) or murine (Vanscheeuwijck et al., 1990) monocytes).
This study has particular relevance in understanding sex differences in inflammatory diseases, such as rheumatoid arthritis and systemic lupus erythematosus, which have a markedly greater incidence in women, and in sub-acute stress such as trauma following burn injury in which women have a 50% increased risk of death when compared with men (Kerby et al., 2006). This sexual dimorphism is dependent not only on sex steroids but also on the hypothalamic–pituitary–adrenal and sympathoadrenal stress axes (Black, 2002b; Cutolo et al., 2003; Da Silva, 1999; Gaillard and Spinedi, 1998; Green et al., 1999b; Spinedi et al., 1997). Our data not only suggests novel relationships between sex, the β2-adrenergic receptor, leukocyte adhesion molecules and migration, but also suggests novel targets for therapeutic intervention in inflammatory diseases.
Table 1. Percent of neutrophils and CD4+ cells determined after counting 5,000 cells.
LPS-induced leukocyte population in air pouch exudate (%) | ||||||
---|---|---|---|---|---|---|
Wild-type | Knock out | |||||
NEUTROPHILS
(FITC-neutrophil) |
T-HELPER
(PE-CD4) |
n | NEUTROPHILS
(FITC-neutrophil) |
T-HELPER
(PE-CD)4 |
n | |
Female | 70.44±3.80 | 3.18±0.74 | 8 | 69.60±7.33 | 4.45±1.24 | 5 |
Male | 71.66±3.26 | 1.11±0.34 | 6 | 66.55±5.21 | 3.39±1.17 | 5 |
Acknowledgments
This study was supported by a NIH R01AR05210.
Abbreviations
- LPS
lipopolysaccharide
- FITC
fluorescein isothiocyanate
- PE
phycoerythrin
- PBS
phosphate buffered saline
- BSA
Bovine serum albumin
- ANOVA
analysis of variance
- N.S.
not significant
- SEM
standard error of the mean
Footnotes
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