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The Journal of Clinical Endocrinology & Metabolism Vol. 86, No. 2 783-791
Copyright © 2001 by The Endocrine Society


Original Studies

Leptin Directly Induces the Secretion of Interleukin 1 Receptor Antagonist in Human Monocytes1

Cem Gabay2, Magali G. Dreyer2, Nathalie Pellegrinelli, Rachel Chicheportiche and Christoph A. Meier

Department of Internal Medicine, Division of Rheumatology (C.G., N.P.), Division of Endocrinology and Diabetes (M.G.D., C.A.M.), and Division of Immunology and Allergy (R.C.), University Hospital Geneva, CH-1211 Geneva, Switzerland

Address correspondence and requests for reprints to: Dr. Christoph A. Meier, Division of Endocrinology and Diabetes, University Hospital Geneva, 24, rue Micheli-du-Crest, 1211 Geneva 14, Switzerland. E-mail: cameier{at}bluewin.ch


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Besides its actions on the regulation of appetite, leptin has also been implicated in regulating reproductive and immune functions. Because leptin-deficient mice are more susceptible to lipopolysaccharide- and tumor necrosis factor-{alpha}-induced shock, which is associated with lower levels of interleukin 1 receptor antagonist (IL-1Ra), we investigated whether leptin is a direct regulator of IL-1Ra in human monocytes. In human moncytic cells, leptin was capable of inducing a 6- to 10-fold increase in secreted IL-1Ra in a time- and dose-dependent manner. Moreover, leptin induced the messenger RNA for IL-1Ra within 8 h and specifically activated the promoter for this gene. However, leptin had no effect on the expression or secretion of IL-1 in THP-1 cells. This effect of leptin on monocytic cells requires the presence of the functional leptin receptor OB-Rb, which we have shown to be present in human monocytes by RT-PCR and by measuring the activation of the Jak/STAT pathway.

In summary, we have demonstrated that leptin is capable of inducing the expression and secretion of IL-1Ra by human monocytes, an effect that is potentially mediated through the presence of functional leptin receptors on these cells. These findings suggest that leptin may have immunomodulatory functions in vivo.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
LEPTIN, THE PRODUCT of the ob gene, is a 16-kDa nonglycosylated peptide hormone synthesized almost exclusively by adipocytes, regulating appetite and energy homeostasis at the hypothalamic level (1). However, it has become increasingly apparent that leptin also has direct effects on nonneural cells such as on hematopoietic stem cells, adipocytes, ovary, and pancreas (2, 3, 4, 5). Because leptin has a cytokine-like tertiary structure and the long isoform of the leptin receptor (OB-Rb) presents structural and functional similarities with the gp130 cytokine-receptor family, the putative effects of leptin on the immune system have received particular attention. For example, the OB-Rb, which is considered to be of prime importance for leptin signaling, is expressed in lymphoid tissues, where leptin has been demonstrated to play an important role in the macrophage- and T-cell-mediated immune response (6). Specifically, leptin enhances the secretion of the proinflammatory tumor necrosis factor (TNF)-{alpha}, interleukin (IL)-6 and IL-12 by peritoneal macrophages, as well as of interferon (IFN)-{gamma} by T cells, whereas it inhibits the production of Th2 cytokine by the latter cells (7, 8).

Leptin-deficient (ob/ob) mice have recently been shown to exhibit an increased susceptibility to lipopolysaccharide (LPS)- and TNF-{alpha}-induced mortality, with a protective effect of exogenously administrated recombinant leptin (9, 10). Measurement of circulating levels of cytokines following LPS injection revealed that ob/ob mice had significantly lower concentrations of IL-1 receptor antagonist (IL-1Ra) compared with their lean littermates (ob/+), whereas the levels of other cytokines, including IL-1ß, IFN-{gamma}, macrophage inflammatory protein-1{alpha}, and TNF-{alpha} were not significantly different in ob/ob and ob/+ mice (9). These results suggested that the relative deficiency of IL-1Ra may contribute to the enhanced mortality in ob/ob mice following treatment with LPS. In vitro, leptin enhanced the effect of LPS on the production of different cytokines by murine peritoneal macrophages, including IL-1Ra, IL-6, IL-12, and TNF-{alpha} (8). In addition, leptin alone was demonstrated to induce a 1.4-fold increase in IL-1Ra secretion by the murine macrophage cell line RAW 264.7, suggesting that leptin has a direct effect on the regulation of this cytokine antagonist (9). Similarly, leptin has recently been shown to activate human monocytes in vitro by inducing the expression of cell-surface markers and of cytokines, including IL-6 and TNF-{alpha} (11).

IL-1Ra is a member of the IL-1 family that binds to IL-1 receptors but fails to induce any cellular response and, hence, inhibits the effects of IL-1 on its target cells (12). Administration of exogenous IL-1Ra has been shown to exert anti-inflammatory effects in vivo in several experimental disease models, including septic shock, arthritis, and colitis (13). Recent studies have demonstrated that the balance between agonists (IL-1{alpha} and IL-1ß) and an antagonist (IL-1Ra) of the IL-1 receptor may play an important role in the regulation of inflammatory responses, as evidenced by the enhanced sensitivity of IL-1Ra knockout mice to septic shock and their predisposition to the spontaneous development of inflammatory disorders (14, 15, 16). Similarly, an imbalance between IL-1ß and IL-1Ra is present in the rheumatoid synovium and in inflammatory lesions of Crohn’s disease (17, 18). Hence, understanding the factors selectively inducing IL-1Ra secretion and altering the balance of IL-1 to IL-1Ra is of interest. However, although IL-1Ra has been suggested to be weakly induced by leptin in murine macrophages, this has not been examined in human monocytic cells and no data regarding the specificity or mechanism of this observation are available. Therefore, we have now examined the effect of leptin on the production of IL-1Ra and IL-1ß in the human monocytic cell line THP-1 and in peripheral blood mononuclear cells (PBMCs). In addition, we investigated whether THP-1 cells express functional OB-Rb.

Our results demonstrate that leptin has a direct effect on the production of IL-1Ra by THP-1 cells and PBMCs and that THP-1 cells express functional OB-Rb with activation of the signal transducer and activator of transcription (STAT) intracellular signaling pathway in response to leptin. Moreover, leptin is able to activate transcription from the IL-1Ra promoter in an OB-Rb-dependent manner.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Reagents

LPS (0111:B4) and polymyxin B sulfate were obtained from Sigma (St. Louis, MO), recombinant murine leptin from Pepro Tech (Rocky Hill, SC). RPMI 1640 and L-glutamine, as well as penicillin-streptomycin were obtained from Life Technologies, Inc. (Paisley, UK). Primers were synthesized by Microsynth (Balgach, Switzerland). EDTA and EGTA were obtained from Fluka (Buchs, Switzerland). Complete, a protease inhibitor mixture, was purchased from Boehringer Mannhein (Mannheim, Germany).

Cell culture

The THP-1 cell line was obtained from Dr. J.-M. Dayer (Division of Immunology and Allergy, University Hospital Geneva). The PBMCs were isolated by a Ficoll density gradient from blood samples obtained from healthy volunteers of the University Hospital of Geneva Transfusion Center. The cells were maintained in RPMI 1640 supplemented with 10% heat-inactived FBS, 50 IU/mL penicillin-streptomycin, and 2 mM L-glutamine in a 5% CO2-air humidified atmosphere at 37 C. THP-1 cells were stimulated at a density of 4 x 105 cells/mL with different concentrations of leptin or 100 ng/mL LPS during 1–72 h. Total RNA was prepared using Trizol (Life Technologies, Inc.), and culture supernatants were stored at -80 C for further analysis.

Measurement of cytokines

IL-1Ra concentrations were measured in the supernatants from THP-1 cells and human PBMCs using a sandwich enzyme-linked immunosorbent assay (ELISA), as described previously (19). The levels of IL-1ß were determined by the EIA IL-1ß ELISA kit (Immunotech, Marseille, France). The sensitivity of the immunoassays for IL-1Ra and IL-1ß was 80 pg/mL and 10 pg/mL, respectively.

RNase protection assay

THP-1 cells and human PBMCs were cultured in the presence or absence of leptin or LPS for 1, 6, 19, and 48 h. Total RNA was extracted at different time points, quantitated spectrophotometrically, and its integrity verified by agarose gel electrophoresis. RNase protection assays were performed using 10 µg or 2 µg total RNA from THP-1 cells or PBMCs, respectively. A specific probe for the different isoforms derived from the human IL-1Ra gene was generated by PCR and subcloned, as described previously (19). This probe specifically recognizes the different IL-1Ra isoforms as protected fragments of distinct sizes after treatment with RNases. The plasmids containing the probes for IL-1Ra and glyceraldehyde 3-phosphate deshydrogenase (GAPDH) messenger RNA (mRNA) were linearized with EcoRI and transcribed with T7 RNA polymerase and 32P-labeled UTP. Total RNA from THP-1 cells and PBMCs was hybridized simultaneously with antisense 32P-labeled riboprobes for IL-1Ra and GAPDH, and the RNase protection assay was performed as described (19). The protected fragments were analyzed on denaturing 6% acrylamide-8 M urea gels. Autoradiography was performed, and the fragments of interest were quantitated by PhosphorImager (ImageQuant; Molecular Dynamics, Inc., Sunnyvale, CA).

RT-PCR

Five micrograms of total RNA were reverse-transcribed in a total volume of 67 µL using 800 U Moloney murine leukemia virus of reverse transcriptase (Life Technologies, Inc.), 0.3 U/µL RNasin (Promega Corp., Madison, WI), 7.5 µM oligo(dN)6, 1.2 mM dNTP, and 5x buffer with 12 µM DTT. Samples were first diluted with DEPC H2O to a RNA concentration of 0.17 µg/µL and heated at 80 C for 10 min. After cooling for 5 min on ice, the other components were added and two cycles of RT were performed at 37 C for 40 min. Two microliters of Moloney murine leukemia virus were added at the start of each cycle. At the end, samples were heated at 95 C for 5 min to terminate the reaction. Two microliters of RT product were subsequently used for PCR amplification.

PCR reactions were performed in 25 µL with 10x reaction buffer and 2 µM of each dNTP, 1.5 mM MgCl2, 0.05 U/µL Taq polymerase (Life Technologies, Inc.), and sense and antisense primers (2 µM each). The sequences for the sense and antisense primers for hOB-Rb were 5'-GTAATTGTGCCAGTAATTATTTCC-3' and 5'-CAGAGAAGTTAACACTGTT-3', respectively. The sequences for the sense and antisense primers for the ribosomal 36B4 internal standard were 5'-CTCAACATCTCCCCCTTCTC-3' and 5'-CAAATCCCATATCCTCGTCC-3', respectively. PCR amplification was carried out for 40 or 35 cycles with annealing temperatures of 50 C or 60 C to detect OB-Rb or 36B4, respectively.

Preparation of nuclear extracts and gel mobility shift assays for STATs

Nuclear extracts from THP-1 cells were prepared as described previously (3). The THP-1 cells were cultured in the absence or presence of 625 nM leptin or 10 ng/mL IL-6 for 10 min or 30 min. The cells were harvested and centrifuged. The pellet was homogenized in 10 mM KCl, 10 mM HEPES (pH 7.9), 1 mM DTT, 0.1 mM EDTA, 0.1 mM EGTA, and 1 mM phenylmethylsulfonyl fluoride. The cells were left to swell on ice for 15 min, after which 25 µL 1% NP40 were added and the tubes vortexed vigorously. The homogenate was centrifuged for 30 sec at full speed in a microfuge. The pellet was resuspended in a cold hypertonic buffer containing 20 mM HEPES (pH.7.9), 0.4 M NaCl, 1 mM EDTA, 1 mM EGTA, 1 mM DTT, 1 mM phenylmethylsulfonyl fluoride, and 20% glycerol. After incubation, the tubes were centrifuged and the supernatants were stored at -80 C. Two double-stranded oligonucleotides containing binding sites for either STATs 1, 3, and 4 (M67-SIE), or for STATs 5 and 6 (ß casein), were labeled by fill-in with Klenow DNA polymerase in the presence of [{alpha}-32P] dATP (3). Eight micrograms of nuclear extracts from THP-1 cells were then incubated with 30,000 cpm of the labeled probe and 2 µg poly [d(I-C)] in electromobility shift assay binding buffer [50 mM KCl, 20 mM HEPES, 20% glycerol, 0.05% NP40, and 10 mM ß-mercaptoethanol (pH 7.5)] in a final volume of 25 µL. Incubation was performed at room temperature for 20 min, and the samples were analyzed on a 5% polyacrylamide gel in 0.5x TBE [44.5 mM Tris, 44.5 mM boric acid, and 1 mM EDTA (pH 8)] for 75 min at 300 V. Gels were dried and autoradiographed.

Transfection experiments

NIH 3T3 fibroblasts were cultured in DMEM supplemented with 50 IU/mL penicillin-streptomycin, 2 mM glutamin, and 10% heat-inactived FBS. Cells were cultured in 6-well plates with complete medium and 5% of heat-inactived FBS and transiently transfected using the calcium phosphate method. Luciferase reporter activity was determined and normalized for protein concentrations, as described (20). The transfected cells were then stimulated by leptin for 24 h in a medium with 2.5% heat-inactived FBS. The pCDNA3-OB-Rb expression plasmid containing the complete complementary DNA (cDNA) for the mouse cDNA was kindly provided by Dr. R. Skoda (University of Basel, Basel, Switzerland; Ref. 21). The psIL-1Ra-Luc and the picIL-1Ra-Luc reporter plasmids contain the 1680 or 4555 bp of the 5'-flanking regions relative to the first exons of sIL-1Ra or icIL-1Ra1, respectively. These fragments were previously shown in in vitro and in vivo studies to contain the cis-acting elements responsible for the cell type-specific and inducible expression of sIL-1Ra and icIL-1Ra1, respectively (22, 23).

Statistical methods

Results are expressed as means ± 1 SEM. The Student’s t test (unpaired, two-tailed) was used for comparisons between specified conditions.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Dose-dependent stimulation of IL-1Ra secretion by THP-1 cells in response to leptin

The production of IL-1Ra was examined in the supernatants of THP-1 cells cultured in the absence or presence of increasing concentrations of recombinant leptin. As shown in Fig. 1Go, leptin stimulated the production of IL-1Ra in a dose-dependent manner. The levels of IL-1Ra were already significantly increased in response to 50 nM leptin (P < 0.05). In contrast, leptin even at high doses did not stimulate the production of IL-1ß, and LPS only marginally stimulated the secretion of IL-1Ra.



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Figure 1. Dose-dependent effect of leptin on the secretion of IL-1Ra and IL-1ß. THP-1 cells were cultured in the absence or presence of increasing concentrations of recombinant leptin (10–625 nM) or LPS (100 ng/mL) for 48 h. The concentrations of IL-1Ra () and IL-1ß ({blacksquare}) were measured by ELISA in culture supernatants (see Materials and Methods). The values represent the mean ± SEM of triplicates (*, P < 0.05 in comparison with unstimulated cells).

 
Leptin rapidly stimulates the expression and secretion of IL-1Ra, but not IL-1ß, by THP-1 cells

The concentrations of IL-1Ra and IL-1ß were measured in the supernatants of THP-1 cells cultured in the presence of different concentrations of leptin (50–625 nM) for different time periods (Fig. 2Go, A and B). IL-1Ra increased rapidly after 8 h of stimulation with leptin and peaked after 24 h, remaining elevated throughout the subsequent 48 h (Fig. 3AGo). However, no alterations in IL-1ß secretion were observed (Fig. 2BGo), and IL-1{alpha} levels were also undetectable before or after treatment with leptin (data not shown).



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Figure 2. Leptin stimulated the production of sIL-1Ra protein and mRNA, but not IL-1ß, by THP-1 cells. Monocytic THP-1 cells were cultured in the absence ({blacksquare}) or presence ({square}) of 625 nM recombinant leptin for different periods of time. The levels of IL-1Ra (A) and IL-1ß (B) were determined by ELISA in culture supernatants. The values represent the mean ± SEM of triplicates. C, Total RNA was prepared from the same experiment and analyzed by RNase protection assay. Ten micrograms of total RNA from THP-1 cells were hybridized simultaneously with 32P-labeled riboprobes complementary to IL-1Ra and GAPDH mRNA and then digested with RNase A and T1 (see Materials and Methods). D, The gel from panel C was quantitated by PhosphorImager. The values represent the IL-1Ra/GAPDH mRNA ratio x 103. Total RNA from A431 cells and from U937 cells cultured in the presence of phorbol 12-myristate 13-acetate and LPS were included as controls.

 


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Figure 3. Leptin induced directly and specifically the production of IL-1Ra by THP-1 cells. A, THP-1 cells were cultured in the absence or presence of leptin (50–625 nM) for different periods of time. The cells and the conditioned media were harvested and centrifuged. The cell supernatants were used to determine IL-1Ra concentrations ({blacksquare}), and a cell count () was performed for each condition. The values represent the mean ± SEM of triplicates. B, THP-1 cells were cultured in the absence or presence of 625 nM leptin or 100 ng/mL LPS with or without the addition of 1 µg/mL or 10 µg/mL polymyxin B. The values represent the mean ± SEM of triplicates (*, P < 0.01 as compared with cells cultured in the absence of polymyxin B).

 
To examine the relative production of the various mRNA isoforms of IL-1Ra in response to leptin, we used a riboprobe that recognizes secreted (s) IL-1Ra and intracellular (ic) IL-1Ra1 mRNA as two fragments of different size after RNase treatment (19). Besides the total RNA from the THP-1 cells, RNA from A431 keratinocyte cells and U937 monocytic cells were included as controls for the various IL-1Ra isoforms, as described previously (19). As shown in Fig. 2Go, C and D, sIL-1Ra steady-state mRNA levels increased already after 8 h of stimulation with 625 nM leptin and decreased at the later time points. In contrast, no detectable icIL-1Ra1 mRNA was produced by THP-1 cells. The absence of icIL-1Ra1 mRNA in THP-1 cells was also confirmed by RT-PCR (data not shown).

To exclude an effect of leptin on the proliferation rate of THP-1 cells, we determined the cell number after different times of exposure to various concentrations of leptin. The results summarized in Fig. 3AGo demonstrate the absence of any significant alterations in cell number although the concentrations of IL-1Ra increased in a time- and dose-dependent manner. Thus, the increased levels of IL-1Ra induced by leptin were not related to cell proliferation but to a stimulatory effect of leptin on IL-1Ra secretion.

To determine whether the stimulatory effect of leptin could be partially related to the presence of contaminating LPS, THP-1 cells were cultured with leptin or LPS in the absence or presence of polymyxin B, an inhibitor of LPS binding to its CD14 receptor. The results in Fig. 3BGo showed that polymyxin B at concentrations of 1 and 10 µg/mL did not significantly alter the effect of leptin on the production of IL-1Ra, whereas the modest response to 100 ng/mL LPS was completely blocked by the addition of 10 µg/mL of polymyxin B (P < 0.01).

Leptin stimulates the production of IL-1Ra by human PBMCs

To determine whether leptin was able to induce the production of IL-1Ra by human monocytes in primary culture, human PBMCs were isolated from healthy donors and cultured in the absence or presence of leptin or LPS. Culture supernatants were collected after 24 h for determination of IL-1Ra and IL-1ß levels. As shown in Fig. 4AGo, both 625 nM leptin and 100 ng/mL LPS stimulated the production of IL-1Ra and IL-1ß in PBMCs. However, the ratio of IL-1Ra over IL-1ß in the culture supernatants was 6.2 and 2.2 for leptin and LPS stimulation, respectively, indicating that leptin had a more potent effect on IL-1Ra production. The stronger effect of LPS on the production of IL-1Ra by PBMCs compared with THP-1 cells is likely due to the higher expression of CD14 on primary cells. Therefore, we also examined the effect of polymyxin B on the production of IL-1Ra by PBMCs after stimulation with leptin or LPS. As shown in Fig. 4BGo, the addition of polymyxin B did not alter the stimulatory effect of leptin on IL-1Ra production, whereas the stimulating effect of LPS was significantly inhibited (P < 0.01). Hence, the stimulatory effect of leptin on the production of IL-1Ra by PBMCs cannot be related to the presence of a contamination by LPS.



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Figure 4. Leptin stimulated the production of sIL-1Ra protein and mRNA by PBMCs. PBMCs were cultured in the absence or presence of 625 nM leptin or 100 ng/mL LPS for 24 h. A, The levels of IL-1Ra () and IL-1ß ({blacksquare}) were measured by ELISA in the culture supernatants. The results represent the mean ± SEM of triplicates. B, PBMCs were then cultured in the absence or presence of 625 nM leptin or 100 ng/mL LPS with or without the addition of polymyxin B. The values represent the mean ± SEM of IL-1Ra levels in culture supernatants (*, P < 0.01 as compared with cells cultured in the absence of polymyxin B). C, IL-1Ra mRNA isoforms were analyzed by RNase protection assay in PBMCs treated with leptin or LPS. Two micrograms of total RNA from PBMCs were hybridized simultaneously with 32P-labeled riboprobes complementary to IL-1Ra and GAPDH mRNA, then digested with RNase A and T1 (see Materials and Methods). D, The gel from panel C was quantitated by PhosphorImager. The values represent the IL-1Ra/GAPDH mRNA ratio x 103. Total RNA from synovial fibroblasts stimulated by IL-1 was included as control.

 
The expression of IL-1Ra by PBMCs was also examined at the mRNA level by RNase protection assay. Total RNA was extracted from PBMCs cultured in the absence or presence of leptin or LPS for 8 h and 19 h and hybridized simultaneously with antisense riboprobes for IL-1Ra and GAPDH mRNA. Total RNA from synovial fibroblasts was also included because these cells express the icIL-1Ra1 and sIL-1Ra mRNA isoforms when stimulated with IL-1. These experiments demonstrated that the production of sIL-1Ra mRNA was strongly induced by leptin and LPS after 8 h and 19 h (Fig. 4Go, C and D). The PBMCs were also able to produce small amounts of icIL-1Ra1 mRNA, which is compatible with recent reports (24).

THP-1 cells express functional leptin receptors

To examine whether THP-1 cells express functional OB-Rb, we performed RT-PCR and gel mobility shift experiments. Using cDNA from THP-1 cells, we were able to detect the presence of transcripts for the OB-Rb (data not shown). When gel-shift experiments were performed with nuclear extracts from THP-1 cells prepared at 0, 10, or 30 min after stimulation by vehicle, leptin (625 nM), or IL-6 (10 ng/mL), a strong band shift was observed on the M67-SIE binding site, suggesting that leptin activated STATs 1, 3, and/or 4 in these cells (Fig. 5Go). The band shift induced by IL-6 was weaker but migrated at the same position. In contrast, binding activity to the ß-casein element was only weakly induced, suggesting that STATs 5 and 6 play a quantitatively minor role in the signal transduction by the OB-Rb in THP-1 cells, which is concordant with previous reports in nonmonocytic cells (3).



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Figure 5. Presence of functional OB-Rb in THP-1 cells. The effect of leptin on STAT binding activity was examined by electromobility shift assay. Nuclear extracts were prepared from THP-1 cells cultured in the absence or presence of 625 nM leptin or 10 ng/mL IL-6 for 10 min or 30 min, and examined using 32P-labeled oligonucleotides containing the M67 or ß-casein binding sites for STATs (see Materials and Methods). NE, Nuclear extracts; *, shift; **, free probe.

 
The sIL-1Ra promoter is activated by leptin in as OB-Rb-dependent manner

To test whether leptin and the OB-Rb directly activate transcription from the IL-1Ra promoter, we transiently transfected NIH 3T3 fibroblasts with IL-1Ra reporter constructs and an OB-Rb expression vector. As shown in Fig. 6Go, the promoter for the secreted IL-1Ra promoter was not activated by leptin in NIH 3T3 cells, indicating that these cells do not contain functional OB-Rb. However, on the transfection of the OB-Rb, leptin increased the activity of the sIL-1Ra reporter 1.7-fold (Fig. 6Go), whereas no leptin-dependent trans-activation occurred on the icIL-1Ra1 reporter (data not shown). These data are perfectly compatible with the RNase protection data obtained in THP-1 cells, where leptin induced sIL-1Ra but not icIL-1Ra1 mRNA (Fig. 2CGo).



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Figure 6. Leptin activates the sIL-1Ra promoter in an OB-Rb-dependent manner. NIH 3T3 cells were transiently transfected with 0.2 µg pCDNA3 or the pCDNA3-OB-Rb expression vector together with 1 µg sIL-1Ra-luciferase reporter construct. After transfection, the cells were treated for 24 h with either vehicle or 625 nM leptin.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Leptin was initially discovered as an adipocyte-derived hormone involved in the regulation of satiety (1). However, over the past years it became increasingly clear that leptin has a variety of other functions, including the regulation of puberty and reproduction, as well as of lymphocyte function (4, 7). We now demonstrate that leptin also has direct effects on monocytes, resulting in the decreased expression and secretion of the anti-inflammatory cytokine IL-1Ra. In contrast, leptin had a weaker or no effect on IL-1 secretion, suggesting that leptin may exert an overall anti-inflammatory effect on IL-1 signaling. It is intriguing to note that leptin has been found to induce IL-1ß immunoreactivity in the hypothalmus and this cytokine is required for the lowering of food intake by leptin as evidenced by the inhibitory effect of centrally administered IL-1Ra on the effects of leptin (25). Together with our present findings, these data suggest that leptin has cell-specific effects on IL-1 production. However, whether the leptin-induced increase in the secretion of IL-1Ra by peripheral monocytes is able to antagonize the hypothalamic effects of IL-1 on food intake and body temperature is currently unknown.

The term IL-1Ra refers to four different peptides, one secreted (sIL-1Ra) and three intracellular (icIL-1Ra1, 2, and 3), which are isoforms derived from the same gene. sIL-1Ra, icIL-1Ra1, and icIL-1Ra2 are the products of different mRNAs, whereas icIL-1Ra3 is synthesized by alternative translation initiation primarily from sIL-1Ra mRNA (reviewed in Ref. 13). Recent studies in human and mouse PBMCs, as well as macrophages showed that both sIL-1Ra and icIL-1Ra1 mRNA are produced in response to LPS, although sIL-1Ra is the predominant isoform (24, 26). Similarly, our data demonstrate the selective induction of sIL-1Ra in THP-1 and human PBMCs, although a marginal increase in the mRNA for icIL-1Ra1 was present in PBMCs.

Several questions arise from these observations, notably the specificity of the effects of leptin on monocytes and their physiological relevance. Although a maximal effect of leptin was observed at supraphysiological levels (500 nM), a nearly 2-fold increase in IL-1Ra secretion was already observed at 50 nM. Although the leptin levels required to induce the secretion of IL-1Ra in vitro were significantly higher than those observed under most circumstances in vivo, it is still possible that monocytes are more sensitive to leptin in vivo and/or that local levels of leptin may exceed those in the circulation (e.g. in sc inflammatory disorders). Furthermore, the leptin levels required for the release of IL-1Ra could be achievable by the exogenous administration of leptin, thereby providing a potential novel anti-inflammatory therapeutic agent. However, because leptin has also proinflammatory effects on macrophages and T cells resulting in the enhanced secretion of TNF-{alpha}, IL-6, and IFN-{gamma}, it is difficult to predict the net effect on the inflammatory response in vivo (6, 7, 8). Although we demonstrate that the effect of leptin on IL-1Ra is not due to any contaminating LPS, as evidenced by the lack of an appreciable effect of LPS on the secretion of IL-1Ra by THP-1 cells as well as the persistence of the activity of leptin in the presence of polymyxin B, it cannot be formally ruled out that leptin acts through a monocytic non-OB-Rb receptor, such as other members of the gp130 family. However, such a mechanism has not been demonstrated so far, because leptin is inactive in some cells expressing gp130 receptors but lacking cell-surface OB-Rb (27). In hepatocytes, for example, leptin is unable to induce the production of acute-phase proteins (Gabay, C., unpublished data), whereas these cells respond to IL-6 and other cytokines acting through gp130 receptors (28). More importantly, our present transfection experiments clearly show that the induction of the sIL-1Ra promoter by leptin occurs in a strictly OB-Rb-dependent manner in fibroblasts, demonstrating that 1) leptin induces IL-1Ra, at least in part, by the induction of gene transcription, and 2) this effect is entirely dependent on the presence of the long form of the leptin receptor.

One of the most intriguing findings of our study is the selective stimulation of the secretion of IL-1Ra, but not IL-1ß, suggesting an overall anti-inflammatory action of leptin. This is in keeping with the enhanced susceptibility of leptin-deficient animals to LPS- or TNF-{alpha}-induced mortality, which can be partially reversed by the administration of exogenous leptin to these animals (9, 10). Similarly, the injection of a synthetic leptin receptor antagonist enhanced the TNF-{alpha}-induced mortality in normal mice (10). In addition, two recent studies showed that in patients with sepsis circulating levels of leptin were significantly higher in survivors than in nonsurvivors, suggesting that leptin has also protective effects in endotoxic shock in humans (29, 30). Although many stimuli concomitantly enhance IL-1ß and IL-1Ra secretion, leptin is not the only cytokine increasing the balance between IL-1Ra and IL-1. Th2 cytokines such as IL-4, IL-10, and IL-13 have been shown to enhance the stimulatory effect of LPS on production of IL-1Ra by monocytes, whereas they decrease the synthesis of IL-1 (31, 32, 33). Similarly, IL-4 and, to a lesser extent, IL-10 increase the secretion of IL-1Ra on their own, whereas they down-regulate the release of IL-1 by rheumatoid synovial explants in vitro (34). The molecular basis for the selective induction of IL-1Ra over IL-1 by leptin is speculative. Because we demonstrate that monocytic cells express functional OB-Rb, and because mice deficient in leptin receptors seem to lack an anti-inflammatory counter regulatory response (10), it is plausible to assume that the selective effects of leptin on IL-1Ra production are mediated through this receptor. The OB-Rb as a member of the gp130 IL-6 receptor family is known to activate STATs 1, 3, and 5, depending on the cellular model (27). In addition, the OB-Rb was recently shown to activate the ERK1/2 and potentially the p38 stress kinase pathways (35). However, it is unclear which of these pathways is critical for the induction of IL-1Ra.

Taken together with the previously described effects of leptin on lymphocytes and hematopoiesis, our findings support a model whereby leptin has immunomodulatory functions, which may partly explain the altered immune response during starvation, as well as open potential therapeutic approaches. Hence, it will now be of interest to assess the anti-inflammatory potential of physiological and pharmacological doses of leptin in various animal models of inflammatory diseases.


    Acknowledgments
 
We are grateful to Dr. Jean-Michel Dayer (Division of Immunology and Allergy, University Hospital Geneva) for helpful discussions.


    Footnotes
 
1 Supported by Swiss National Science Foundation Grants 3231-51 957.97 and 3200-52 192.97 (to C.A.M.) and 3200-054955.98 and 3231-054954.98 (to C.G.), as well as the Wilsdorf Foundation (to C.A.M.). Back

2 These authors contributed equally to this work. Back

Received September 13, 2000.

Revised October 26, 2000.

Accepted October 30, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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