Endocrinology Vol. 140, No. 2 888-896
Copyright © 1999 by The Endocrine Society
Interleukin-1ß and Catecholamines Synergistically Stimulate Interleukin-6 Release from Rat C6 Glioma Cells in Vitro: a Potential Role for Lysophosphatidylcholine
John W. Zumwalt,
Brian J. Thunstrom and
Bryan L. Spangelo
Department of Chemistry, University of Nevada Las Vegas, Las Vegas,
Nevada 89154-4003
Address all correspondence and requests for reprints to: Bryan L. Spangelo, Department of Chemistry, University of Nevada Las Vegas, 4505 Maryland Parkway, Las Vegas, Nevada 89154-4003. E-mail:
spangelb{at}nevada.edu
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Abstract
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Interleukin-1ß (IL-1ß) and interleukin-6 (IL-6) are proinflammatory
cytokines that affect the secretion of several neuroendocrine hormones.
In addition, glial cells synthesize and release IL-6, suggesting a
paracrine role for this cytokine in the brain. We have examined the
regulation of IL-6 release from glial cells by cytokines and
catecholamines. Forty ng/ml IL-1ß induced a maximal 30-fold
stimulation of IL-6 release (P < 0.01); higher and
lower concentrations of IL-1ß were less effective. In the presence of
(Bu)2cAMP, IL-1ß induced a strongly synergistic response
with respect to IL-6 release; thus, the combination of these two agents
resulted in a release of IL-6 that was much larger that the release
attributed to either agent alone (i.e. 30-fold higher).
Similarly, the combination of IL-1ß and the diterpene forskolin (but
not the inactive analog 1,9-dideoxyforskolin) or cholera toxin also
resulted in a synergistic stimulation of C6 glioma IL-6 release. Thus,
increases in intracellular cAMP concentrations act in a synergistic
fashion with the IL-1ß signaling pathway for IL-6 release. Because
catecholamines increase intracellular cAMP levels, we investigated the
effects of dopamine, epinephrine, and norepinephrine on IL-6 release.
The combination of 1.0 to 100 µM of each catecholamine
with IL-1ß resulted in the synergistic stimulation of IL-6 release.
The coincubation of the ß-agonist isoproterenol and IL-1ß resulted
in a striking 25-fold synergistic induction of IL-6 release. The
synergistic increases in IL-6 release caused by IL-1ß and
isoproterenol as well as IL-1ß and norepinephrine were blocked by the
pretreatment of C6 cells with the ß-receptor antagonist propranolol.
Because lysophosphatidylcholine (LPC) may function as a second
messenger for IL-1ß, we also investigated the effects of LPC.
Exogenous LPC (5 to 40 µM) stimulated IL-6 release from
C6 glioma cells in a concentration-related manner
(P < 0.01). The coincubation of LPC with
norepinephrine provoked a synergistic release in IL-6 comparable with
that obtained with IL-1ß and norepinephrine. Exposure of
[3H]choline-labeled C6 cells to IL-1ß resulted in an
increase in the [3H]LPC species as well as a decrease in
[3H]phosphatidylcholine. Finally, while TNF
was less
efficacious than IL-1ß for the stimulation of IL-6 release from C6
cells, the combination of IL-1ß and TNF
resulted in a significant
synergistic induction of IL-6 release. We have demonstrated that
IL-1ß stimulates IL-6 release from rat C6 glioma cells via a
noncAMP-mediated mechanism that may involve LPC. The synergistic
induction by cytokines and catecholamines of glial cell-derived IL-6
may subsequently affect inflammatory, neurodegenerative or neurotropic
processes in the CNS.
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Introduction
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THE INTERLEUKINS are multifunctional
polypeptides localized in primary and secondary lymphatic tissues as
well as neural and glial elements in the CNS. The primary inflammatory
cytokines interleukin-1 (IL-1), interleukin-6 (IL-6), and tumor
necrosis factor-
(TNF
) have been implicated in several
inflammatory disease states and CNS degenerative disorders including
Alzheimers disease (reviewed in Ref. 1). IL-1 may contribute to
plaque formation and eventual neuronal cell death by increasing
ß-amyloid expression. The increased production of IL-6 by IL-1ß or
TNF
may affect the course of neurodegenerative diseases. Amyloid
precursor protein messenger RNA (mRNA) is induced in rat cortical
neurons by IL-6, indicating a possible role for this cytokine in
ß-amyloid deposition in Alzheimers disease (2).
The IL-1 family consists of two polypeptides, IL-1
and IL-1ß, and
a receptor antagonist (IL-1ra; reviewed in Ref. 3). IL-1 causes
systemic fever and the activation of the hypothalamic-pituitary-adrenal
(HPA) axis after peripheral injection (reviewed in Ref. 4). IL-1ß
injected sc increases protein transcription in the anterior and
posterior lobes of the pituitary as well as in the choroid plexus,
subfornical organ, and the dentate gyrus (5). Imposition of stress also
activates the biosynthesis and secretion of IL-1ß in the hypothalamic
region of the rat brain (6). Additionally, IL-1 is expressed in human
microglia following trauma (7).
IL-6 is a glycosylated, monomeric protein that has been implicated in
inflammatory disease and is involved in activation of the HPA axis,
neural cell differentiation, and B-cell differentiation (reviewed in
Refs. 8, 9). As a cytokine, IL-6 is secreted by monocytes,
macrophages, fibroblasts, and endothelial cells. IL-1
and IL-1ß
stimulate the release of IL-6 from primary cultures of rat anterior
pituitary cells in vitro (10) and from human pituitary
adenomas (11). The probable cellular source of IL-6 in nontumoral
anterior pituitary tissue is the folliculostellate element, a S-100
protein-containing and glial-like cell thought to represent a form of a
resident macrophage. Similarly, the IL-1ß- and endotoxin-induction of
neurointermediate pituitary lobe IL-6 is undoubtedly due to the
presence of the pituicyte, a resident astroglial cell (12). Thus, IL-1
and IL-6 are produced in central and neuroendocrine structures for the
possible paracrine regulation of inflammation and hormone
secretion.
Because the increased production of cytokines in the CNS is associated
with neurodegenerative disorders, we have investigated the regulation
of glial cell-derived IL-6 production by cytokines and
neurotransmitters. We used the rat C6 glioma cell line, which has
several characteristics in common with the anterior pituitary
folliculostellate cell and the posterior lobe pituicyte. C6 cells
contain the S-100 protein as well as the glial fibrillary acidic
protein (GFAP) (13). IL-1ß stimulated IL-6 release from C6 cells, and
in combination with compounds that increase intracellular
concentrations of cAMP, evoked a pronounced synergistic induction of
IL-6 release. Norepinephrine also generated the synergistic stimulation
of IL-6 release in the presence of IL-1ß, an effect mediated by the
ß-adrenergic receptor. These effects were mimicked by
lysophosphatidylcholine (LPC), a postulated second messenger of IL-1ß
in C6 cells. Thus, elevations in CNS cytokines and catecholamines may
contribute to the abnormal regulation of IL-6 production characteristic
of certain neurodegenerative disorders.
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Materials and Methods
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Reagents
(Bu)2cAMP, gentamycin sulfate, isoproterenol,
lysophosphatidylcholine stearoyl (LPC 18:0), ß-mercaptoethanol, MTT
(3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide),
penicillin-G, phosphatidylcholine distearoyl (PC), propranolol, and
streptomycin sulfate were purchased from Sigma Chemical Co. (St. Louis, MO). DMEM, Hams F-10, RPMI-1640, FCS,
fungizone, horse serum, and trypsin were purchased from Gibco BRL (Grand Island, NY). Cholera toxin, forskolin,
1,9-dideoxyforskolin, dopamine, epinephrine, norepinephrine, and TNF
were purchased from Research Biochemicals International
(Natick, MA). Recombinant murine IL-6 (rmIL-6) was obtained from
R & D Systems (Minneapolis, MN). The 7TD1 cell line was
generously provided by Dr. J. Van Snick, Ludwig Institute (Brussels,
Belgium). The C6 glioma cell line was obtained from the American Type Culture Collection (Rockville, MD). Recombinant human
IL-1ß was obtained from the Biological Response Modifiers Program,
National Cancer Institute. IL-1ß was dissolved directly into DMEM at
a concentration of 100 µg/ml.
C6 glioma cell culture
For the IL-6 release studies, C6 glioma cells were maintained in
continuous culture in a humidified atmosphere of 5%
CO2-95% air at 37 C in DMEM supplemented with 10% FCS and
antibiotics (7.5 µg/ml steptomycin, 15 µg/ml gentamycin, 19 µg/ml
penicillin, 0.6 µg/ml fungizone). After 23 days in culture, cells
were removed from the tissue culture flasks with 0.25% trypsin in PBS,
resuspended in serum-free DMEM, counted by hemacytometer, and either
placed in continuous culture (1.0 x 106 cells per
flask) or dispersed into 96-well tissue culture plates (Greiner
Labortechnik, Intermountain Scientific Corp., Kaysville, UT) at
100 x 103 cells/well with DMEM supplemented with 10%
FCS and antibiotics. The cells in 96-well plates were allowed to adhere
for 24 h, rinsed twice with serum-free DMEM (vehicle), and then
incubated for 24 h with vehicle in the absence or presence of
IL-1ß, catecholamines, LPC 18:0, or other agents (250 µl per well).
In some experiments, C6 cells were pretreated with propranolol for 0.5
to 1 h in serum-free DMEM medium and subsequently exposed to the
compounds of interest in the absence or presence of IL-1ß.
Conditioned media were removed and stored at 4 C pending analysis for
IL-6.
IL-6 bioassay
The accumulation of IL-6 in the C6 glioma cell conditioned media
was quantified using the IL-6-dependent 7TD1 hybridoma bioassay as
previously described (14), with minor modifications. This particular
IL-6-sensitive hybridoma has not responded to a variety of cytokines or
hormones including IL-1, interferon-
and -ß, TNF-
, PRL, or GH
(15). The 7TD1 cells were maintained in continuous culture in a
humidified atmosphere of 5% CO2-95% air at 37 C in 10 ml
RPMI-1640 supplemented with 5% FCS (Fetal Clone I; Hyclone Laboratories, Inc., Logan, UT), 50 µM
ß-mercaptoethanol, 5 pg/ml rmIL-6, and antibiotics. Approximately
400 x 103 7TD1 cells were distributed in a 25
cm2 flask (Corning, Corning, NY) for continuous culture.
Conditioned medium (0.610 µl) was cultured in 96-well tissue
culture plates in duplicate for 72 h in the presence of 4,000 7TD1
cells/well in 200 µl of RPMI 1640 supplemented with 5% FCS, 50
µM ß-mercaptoethanol, and antibiotics. The extent of
7TD1 proliferation was determined using the tetrazolium salt MTT, which
is cleaved in active mitochondria to form a dark blue formazan product.
After a 72 h incubation period, 20 µl of 5 mg/ml MTT was added
to each well for 4 h. Following removal of 150 µl medium from
each well, the dark blue crystals were dissolved by the addition of 150
µl of 0.04 M HCl/isopropanol. After an overnight
incubation in the dark, optical densities were obtained in a microelisa
instrument using a test wavelength of 570 nm and a reference wavelength
of 630 nm (Dynatech Corp. MR5000). A standard curve of
rmIL-6 (0.12516.0 pg/well) was generated in each assay. Maximally
effective concentrations of the test agents had no effect on the
proliferation of the 7TD1 cells in the absence or presence of
rmIL-6.
High performance thin layer chromatography (HPTLC) phospholipid
analysis
The C6 cells were removed from the tissue culture flasks and
cultured in 12-well plates (800 x 103 cells/2
ml/well) in serum-free Hams F-10 for 24 h in the presence of
[3H]choline (25 µCi/well; New England Nuclear,
Boston, MA). The radiolabeling medium was removed and the cells rinsed
twice in serum-free Hams F-10. Cells were exposed to vehicle (Hams
F-10) or 50 ng/ml IL-1ß for 30 min (n = 4). The incubations were
terminated by withdrawing the medium and adding 400 µl of 5
mM Na3VO4 for 1 min while placing
the culture plates on ice. The Na3VO4 was
subsequently removed from the wells and the tissue culture plates were
stored at -70 C.
In preparation for the measurement of [3H]LPC and the
parent [3H]PC compound by HPTLC, the sample plates were
allowed to warm to room temperature and the C6 cells were extracted
into 300 µl of 5 mM EGTA/15 mM KCl (pH 7.4).
The wells were rinsed with 200 µl of this solvent to raise the total
extraction volume to 500 µl. Chloroform-methanol (2 ml of a 1:1
solution) was added to each sample in glass tubes, which were vortexed,
and subsequently centrifuged (500 x g) for maximal
phase separation. The bottom layer of each sample was retained and
evaporated under a stream of N2 gas (N-EVAP Analytical
Evaporator, Organomation Associates, Inc., Berlin, MA). The sample
residue was dissolved in chloroform and subjected to HPTLC.
Precoated HPTLC Silica Gel 60 plates with a concentrating zone for
nano-TLC (10 x 20 cm; Merck, Darmstadt, Germany) were scored into
multiple lanes and activated at 400 F for 2 h. Samples
(supplemented with 20 µg of PC and LPC) were spotted 23 mm from the
top of the concentration zones and the plates were developed in tanks
preequilibrated with HPLC-grade chloroform:methanol:acetic acid:water
(25:15:4:1.5 vol/vol). After 2030 min, the plates were air dried and
exposed to iodine vapor for the visualization of individual lipid
bands. The bands were removed, dissolved in scintillation cocktail, and
the radioactivity in each sample was determined with a liquid
scintillation counter (Packard 1600CA, Packard Instruments, Laguna
Hills, CA). Using this HPTLC technique in our laboratory the standard
Rf values for PC and LPC were 0.266 ± 0.014 and
0.132 ± 0.011, respectively (mean ± SEM, n
= 4).
Statistical analysis
ANOVA and the Bonferroni analysis for multiple comparisons were
used for statistical evaluation of the data. A P value
of
0.05 was considered significant. Unless noted otherwise,
data are expressed as the mean ± SEM of groups
consisting of three to four observations and each experiment was
performed independently at least two to three times.
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Results
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IL-1ß stimulates IL-6 release from rat C6 glioma cells in vitro:
effect of increasing intracellular cAMP concentrations
IL-1ß increased the release of IL-6 up to 40-fold from 100
x 103 C6 cells/well in a concentration and time-dependent
manner (Fig. 1
). The 40 ng/ml
concentration of IL-1ß generated the maximal elevation in IL-6
release which began to plateau after 24 h of incubation. Other
concentrations of IL-1ß were less efficacious compared with 40
ng/ml.

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Figure 1. Interleukin-1ß stimulates IL-6 release from C6
glioma cells in vitro. Cultured C6 cells (100 x
103 cells/well) were exposed to either vehicle (DMEM
containing antibiotics) or different concentrations of IL-1ß for
448 h. IL-1ß significantly stimulated IL-6 release at 12 h
(vehicle vs. 10 to 100 ng/ml, P <
0.01), 24 h (vehicle vs. 10 to 100 ng/ml,
P < 0.01), 36 h (vehicle vs.
1.0 to 100 ng/ml, P < 0.01), and 48 h
(vehicle vs. 1.0, P < 0.05; 10 to
100 ng/ml, P < 0.01). The data are expressed as
the mean ± SEM of groups consisting of three to four
observations.
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IL-1ß does not increase intracellular concentrations of cAMP in rat
anterior pituitary cells, indicating a noncAMP dependent signaling
cascade (10). However, the intracellular elevation of cAMP
concentrations in rat anterior pituitary and neurointermediate
pituitary lobe cells following (Bu)2cAMP treatment results
in the synthesis of IL-6 (12, 16). Therefore, we subjected C6 glioma
cells to 0.0110 mM (Bu)2cAMP in the absence
and presence of 50 ng/ml IL-1ß for 24 h (Fig. 2
). IL-1ß stimulated an 8-fold increase
in IL-6 release; 1 mM (Bu)2cAMP also
significantly increased IL-6 release (P < 0.01). The
combination of these two agents resulted in a striking synergistic
response that was highly significant (e.g. a 30-fold
increase in the presence of 1 mM (Bu)2cAMP and
IL-1ß compared with IL-1ß alone). This response was much greater
than could be attributed to any additive effect of the two agents
acting independently. These data provide evidence that IL-1ß
stimulates IL-6 release from rat C6 glioma cells via a cAMP-independent
mechanism.

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Figure 2. Interleukin-1ß stimulates IL-6 release from C6
glioma cells in vitro: synergistic induction of IL-6
release in the presence of Bu2cAMP. Cultured C6 cells
(100 x 103 cells/well) were exposed to either vehicle
(DMEM containing antibiotics), IL-1ß, Bu2cAMP, or IL-1ß
+ Bu2cAMP for 24 h. IL-1ß (50 ng/ml) and
Bu2cAMP (1 mM) significantly stimulated basal
IL-6 release (P < 0.01). The combination of
IL-1ß with 0.1 to 10.0 mM Bu2cAMP resulted in
the synergistic induction of IL-6 release (IL-1ß vs.
IL-1ß + 0.1 to 10.0 mM Bu2cAMP,
P < 0.01). The data are expressed as the mean
± SEM of groups consisting of three to four
observations.
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Forskolin and cholera toxin also act to increase intracellular cAMP
concentrations. Forskolin directly activates adenylate cyclase and 5
µM of this agent significantly stimulated IL-6 release
from C6 cells (P < 0.01). When forskolin was used in
combination with 50 ng/ml IL-1ß, a synergistic induction of IL-6
release was obvious (e.g. a 38-fold increase in the presence
of 5 µM forskolin and IL-1ß compared with IL-1ß
alone). In contrast, the inactive analog of forskolin,
1,9-dideoxyforskolin, had no significant effect on IL-6 release in the
absence or presence of IL-1ß (Fig. 3
).
The G protein ribosylating agent cholera toxin (2.5250 ng/ml)
significantly stimulated IL-6 release (P < 0.01). Once
again the combination of cholera toxin and 50 ng/ml IL-1ß resulted in
an impressive synergistic induction of IL-6 release from C6 glioma
cells (e.g. a 10-fold increase in the presence of 250 ng/ml
cholera toxin and IL-1ß compared with IL-1ß alone; Fig. 4
). Therefore, the elevation of
intracellular cAMP in the presence of IL-1ß results in the robust
synergistic stimulation of IL-6 release.

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Figure 3. Interleukin-1ß stimulates IL-6 release from C6
glioma cells in vitro: synergistic induction of IL-6
release in the presence of forskolin. Cultured C6 cells (100 x
103 cells/well) were exposed to either vehicle (DMEM
containing antibiotics), IL-1ß, forskolin, dideoxyforskolin, or
IL-1ß + forskolin/dideoxyforskolin for 24 h. IL-1ß (50 ng/ml)
and forskolin (5 µM) significantly stimulated basal IL-6
release (P < 0.01). The combination of IL-1ß
with 0.5 to 5.0 µM forskolin resulted in the synergistic
induction of IL-6 release (IL-1ß vs. IL-1ß + 0.5 to
5.0 µM forskolin, P < 0.01). The
inactive analog of forskolin, 1,9-dideoxyforskolin, did not affect
either the basal nor the IL-1ß induction of IL-6 release. The data
are expressed as the mean ± SEM of groups consisting
of three to four observations.
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Figure 4. Interleukin-1ß stimulates IL-6 release from C6
glioma cells in vitro: synergistic induction of IL-6
release in the presence of cholera toxin. Cultured C6 cells (100
x 103 cells/well) were exposed to either vehicle (DMEM
containing antibiotics), IL-1ß, cholera toxin, or IL-1ß + cholera
toxin for 24 h. IL-1ß (50 ng/ml) and cholera toxin (2.5 to 250
ng/ml) significantly stimulated basal IL-6 release
(P < 0.01). The combination of IL-1ß with 2.5 to
250 ng/ml cholera toxin resulted in the synergistic induction of IL-6
release (IL-1ß vs. IL-1ß + 2.5 to 250 ng/ml cholera
toxin, P < 0.01). The data are expressed as the
mean ± SEM of groups consisting of three to four
observations.
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IL-1ß stimulates IL-6 release from rat C6 glioma cells in vitro:
effect of catecholamines and isoproteronol
We next investigated the possible synergistic responses of IL-1ß
and the catecholamines for IL-6 release from C6 glioma cells. Each
catecholamine induced a modest, concentration-responsive basal
stimulation in IL-6 release; however, in this and subsequent
experiments the level of increase was less than that caused by IL-1ß
(Fig. 5
). In the presence of 50 ng/ml
IL-1ß, 100 µM of each catecholamine generated a
significant synergistic stimulation of IL-6 release. Thus, the
coincubation of 10 and 100 µM norepinephrine with IL-1ß
produced 6- and 9-fold increases in IL-6 release compared with IL-1ß
alone, respectively. Similarly, 10 and 100 µM epinephrine
and 100 µM dopamine in the presence of IL-1ß caused
significant synergistic responses in IL-6 release.

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Figure 5. Interleukin-1ß stimulates IL-6 release from C6
glioma cells in vitro: synergistic induction of IL-6
release in the presence of catecholamines. Cultured C6 cells (100
x 103 cells/well) were exposed to either vehicle (DMEM
containing antibiotics), IL-1ß, dopamine, epinephrine,
norepinephrine, or IL-1ß + each of the catecholamines for 24 h.
IL-1ß (vehicle vs. 50 ng/ml, P <
0.01), dopamine (vehicle vs. 100 µM,
P < 0.05), epinephrine (vehicle vs.
10 µM, P < 0.05; 100
µM, P < 0.01), and norepinephrine
(vehicle vs. 100 µM, P
< 0.05) each significantly stimulated IL-6 release. The combination of
IL-1ß with 1.0 to 100 µM of each of the catecholamines
resulted in the synergistic induction of IL-6 release (IL-1ß
vs. IL-1ß + 100 µM dopamine,
P < 0.01; IL-1ß vs. IL-1ß + 10
and 100 µM epinephrine, P < 0.01;
IL-1ß vs. IL-1ß + 10 and 100 µM
norepinephrine, P < 0.01). The data are expressed
as the mean ± SEM of groups consisting of three to
four observations.
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Norepinephrine enhances intracellular cAMP levels via the
ß-adrenergic receptor. To determine the effects of stimulating or
inhibiting ß-adrenergic receptors on the norepinephrine-IL-1ß
synergistic response, the antagonist propranolol and the agonist
isoproterenol were introduced into C6 glioma cell cultures for a
24 h incubation (Fig. 6
). IL-1ß
induced a 15-fold increase in C6 IL-6 release. Compared with IL-1ß
alone, isoproterenol (10 µM) and IL-1ß produced a
dramatic 25-fold synergistic stimulation of IL-6 release. This
synergistic response was completely blocked by the preincubation of 10
µM propranolol, indicating that the ß-adrenergic
receptor was essential for the isoproterenol/IL-1ß synergistic
induction of IL-6 release (Fig. 6
). Similarly, norepinephrine (10
µM) and IL-1ß produced a synergistic response that was,
however, smaller than the isoproterenol/IL-1ß response. The
ß-adrenergic receptor antagonist propranolol also blocked this
synergistic induction.

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Figure 6. Interleukin-1ß stimulates IL-6 release from C6
glioma cells in vitro: synergistic induction of IL-6
release in the presence of isoproteronol. Cultured C6 cells (100
x 103 cells/well) were exposed to either vehicle (DMEM
containing antibiotics), IL-1ß, propranolol (PRO), isoproteronol
(IPT), norepinephrine (NE), or IL-1ß + each of these agents for
24 h. IL-1ß (50 ng/ml) significantly stimulated IL-6 release
(P < 0.01). The combination of IL-1ß with 10
µM isoproteronol resulted in the synergistic induction of
IL-6 release (IL-1ß vs. IL-1ß + 10.0
µM isoproteronol, P < 0.01).
Additionally, 10 µM propranolol significantly blocked
this synergistic response (isoproteronol + IL-1ß vs.
propranolol + isoproteronol + IL-1ß, P < 0.01).
The combination of IL-1ß with norepinephrine was similarly inhibited
by propranolol. The data are expressed as the mean ±
SEM of groups consisting of three to four observations.
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LPC stimulates IL-6 release from rat C6 glioma cells in vitro:
effect of norepinephrine
IL-1ß stimulates phospholipase A2 activity and
arachidonic acid mobilization in rat anterior pituitary cells in
vitro (17). The putative by-product of arachidonic acid formation,
LPC 18:0, increased IL-6 release from rat anterior pituitary cells in a
concentration-related manner (18). In the present study, 20 and 40
µM LPC 18:0 caused a significant increase in C6 glioma
cell IL-6 release (Fig. 7
). The
coincubation of 10 µM norepinephrine with either 20 or 40
µM LPC 18:0 produced a synergistic response in IL-6
release compared with LPC 18:0 alone (P < 0.01). In
addition, the stimulation of IL-6 release due to the norepinephrine/LPC
18:0 coincubation was comparable in magnitude to that obtained by
the norepinephrine/IL-1ß treatment group (Fig. 7
). Therefore, similar
to IL-1ß, LPC 18:0 in the presence of catecholamine induced a
synergistic stimulation of IL-6 release from C6 glioma cells.

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Figure 7. Interleukin-1ß stimulates IL-6 release from C6
glioma cells in vitro: synergistic induction of IL-6
release in the presence of LPC. Cultured C6 cells (100 x
103 cells/well) were exposed to either vehicle (DMEM
containing antibiotics), IL-1ß, norepinephrine, LPC, IL-1ß +
norepinephrine, or LPC + norepinephrine for 24 h. IL-1ß (50
ng/ml), and LPC (20 and 40 µM) significantly stimulated
basal IL-6 release (P < 0.01). The combination of
IL-1ß with 10 µM norepinephrine resulted in the
synergistic induction of IL-6 release (IL-1ß vs.
IL-1ß + 10.0 µM norepinephrine, P
< 0.01). The combination of LPC with 10 µM
norepinephrine also resulted in the synergistic induction of IL-6
release (20 µM LPC vs. 20 µM
LPC + 10.0 µM norepinephrine, P <
0.01; 40 µM LPC vs. 40 µM
LPC + 10.0 µM norepinephrine, P <
0.01). The data are expressed as the mean ± SE of
groups consisting of three to four observations.
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IL-1ß-induction of LPC synthesis
Because IL-1ß and LPC 18:0 were both synergistic with respect to
IL-6 release in the presence of catecholamines, we hypothesized that
IL-1ß would increase the accumulation of cell associated LPC 18:0.
Following a 30 min incubation, IL-1ß (50 ng/ml) induced a modest
increase in LPC 18:0 production in C6 glioma cells prelabeled for
24 h with [3H]choline (P < 0.05;
control: 1268 ± 157 vs. IL-1ß: 1835 ± 175). In
addition, IL-1ß exposures resulted in a significant decrease in PC
content (P < 0.05; control: 20340 ± 1660
vs. IL-1ß: 13922 ± 1427). Thus, IL-1ß stimulates
the accumulation of LPC 18:0 as well as the decrease in the parent
species of this lysophospholipid.
IL-1ß stimulates IL-6 release from rat C6 glioma cells in vitro:
effect of TNF
To illustrate the influence of another inflammatory cytokine on
IL-6 release, C6 glioma cells were incubated with 1100 ng/ml TNF
for 24 h (Fig. 8
). Treatment with
TNF
resulted in a concentration-dependent increase in IL-6 release
that was smaller in magnitude compared with IL-1ß and significant
only at 100 ng/ml TNF
(P < 0.05). However, when
TNF
was coincubated with 50 ng/ml of IL-1ß, a significant
synergistic response was observed at all three concentrations of TNF
(P < 0.01).
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Discussion
|
|---|
This study demonstrates that IL-6 release from C6 glioma cells is
synergistically induced by IL-1ß in the presence of agents that
increase intracellular levels of cAMP. Increasing IL-1ß
concentrations to approximately 50 ng/ml maximally stimulated IL-6
release, whereas higher concentrations of IL-1ß (e.g. 100
ng/ml) were markedly less effective. Because this effect was noticeable
after a 24 h incubation, this may represent a desensitization of
the IL-1ß receptor by the cognate ligand. We stimulated various
components of the cAMP generating pathway to confirm whether C6 glioma
IL-6 production is also induced by this second messenger. The
coadministration of IL-1ß and (Bu)2cAMP generated a
remarkably synergistic stimulation of glioma cytokine release
(i.e. the combination of these two agents resulted in a
release of IL-6 that was much larger than the release attributed to
either agent alone). Similarly, activation of adenylate cyclase either
indirectly by cholera toxin or directly with forskolin increased basal
IL-6 concentrations and resulted in the synergistic induction of IL-6
release when each was combined with IL-1ß. Therefore, increasing
intracellular cAMP concentrations by a variety of mechanisms provides
for the synergistic induction of IL-6 release in the presence of
IL-1ß. These results suggest that IL-1ß stimulates IL-6 release in
a noncAMP dependent manner.
The ß-adrenergic receptor class contains three subtypes, each of
which are G protein-coupled. The ß1-, ß2-,
and ß3-adrenergic receptors activate adenylate cyclase
through Gs. Because C6 glioma cells express the
ß1- and ß2-adrenergic receptors (19), we
investigated the catecholamine induction of C6 cell IL-6 release. Both
norepinephrine and epinephrine induced modest stimulations of IL-6
release. However, in the presence of IL-1ß and either norepinephrine
or epinephrine, IL-6 concentrations were synergistically elevated.
Although epinephrine has an approximately 10-fold higher affinity than
norepinephrine for the ß2 receptor (20), both of these
catecholamines had similar potencies for the synergistic stimulation of
IL-6 release. Because the C6 glioma cells express the ß1
adrenergic receptor predominately (ß1 to ß2
ratio is 7:3, 19), we suggest that the ß1 receptor is
central to the catecholamine/IL-1ß synergistic induction of IL-6
release. Dopamine receptors are either D1-like
(D1 and D5 receptors) or D2-like
(D2, D3, and D4). The predominant
effecter pathway activated by the D1-like receptors is the
stimulation of adenylate cyclase. Thus, similar to norepinephrine and
epinephrine, dopamine in the presence of IL-1ß induced a synergistic
stimulation of IL-6 release. Because D2-like receptors
inhibit adenylate cyclase, dopamine probably increases C6 intracellular
cAMP concentrations via the D1 receptor class for the
synergistic production of IL-6.
Isoproteronol is an agonist for ß-adrenergic receptors while
propranolol acts as an antagonist. Although isoproteronol had little
effect on basal IL-6 release, in the presence of IL-1ß this
ß-agonist induced a dramatic synergistic release of IL-6.
Importantly, this synergistic induction was completely blocked
(i.e. to IL-1ß stimulated levels) by the general
ß-adrenergic receptor antagonist propranolol. Similarly, propranolol
blocked the norepinephrine/IL-1ß synergistic stimulation of IL-6
release. These data confirm the importance of the ß-adrenergic
receptor class to the isoproteronol and norepinephrine synergistic
inductions of IL-6 release. Other investigators have described the
IL-1ß and norepinephrine synergistic activation of IL-6 release in
rat astrocytes (21, 22).
We previously reported that IL-1ß enhanced IL-6 release and
phospholipase A2 (PLA2)-mediated hydrolysis of
PC in rat anterior pituitary cells in vitro (17). In
addition, we found no effect of IL-1ß on PLC or PLD activities
specific for PC. We subsequently demonstrated that LPC 18:0 stimulated
IL-6 release from rat anterior pituitary cells (18). Thus, we
hypothesize that LPC may function as a second messenger for IL-1ß. In
the present study, this lysophospholipid species also stimulated IL-6
release from C6 glioma cells in a concentration-dependent manner.
Importantly, LPC 18:0 in the presence of norepinephrine increased IL-6
release to concentrations similar to those obtained by IL-1ß and
norepinephrine. Because IL-1ß and LPC 18:0 possessed similar
capacities to stimulate the synergistic release of IL-6 in the presence
of norepinephrine, we investigated the possible production of LPC 18:0
in C6 glioma cells. LPC 18:0 levels significantly increased by 45%
while the amount of the PC parent species was decreased. Because the
decrease in the absolute number of cpm in the PC lipid class was not
matched by a similar increase in cpm in the LPC 18:0 species, we
suggest that LPC is rapidly degraded resulting in the relatively modest
measured increase in this lysophospholipid. For example, in rat
anterior pituitary cells, IL-1ß induced the complete deacylation of
PC to glycerophosphorylcholine (17).
The cytokine TNF
stimulated C6 IL-6 release in a
concentration-dependent manner, and in combination with IL-1ß,
produced a maximal 60-fold synergistic increase in IL-6 release. The
TNF
signaling pathway may involve the stimulation of a
sphingomyelinase activity, leading to the production of ceramide that
activates a ceramide-activated protein kinase (23). Although we have
not measured sphingomyelinase activity in IL-1ß and TNF
-treated
cells, the synergistic stimulation of IL-6 release by these two
cytokines indicates that IL-1ß may not activate the sphingomyelinase
pathway in C6 glioma cells. Several other neuropeptides were evaluated
for their effects on IL-6 release in C6 glioma cells (data not shown).
Oxytocin, vasopressin, GHRF, PRL, CRF, and vasoactive intestinal
polypeptide (VIP) had no significant effect on IL-6 release. Other
neurotransmitters and growth factors reportedly affect the expression
of glial-derived IL-6. Serotonin increased IL-6 mRNA accumulation in
rat astrocytes (24). Granulocyte-macrophage colony stimulating factor
(GM-CSF) stimulated IL-6 release from microglial cells but not
astrocytes (25). Substance P increased IL-6 release from the human
astrocytoma cell line U373MG (26), and this neuropeptide potentiated
IL-1ß-stimulated IL-6 release from human astrocytes (27). Calcitonin
increased IL-6 release from and cAMP accumulation in human A172
glioblastoma cells (28). Adenosine but not glutamate increased IL-6
release from murine astrocytes (29). In contrast, somatostatin
inhibited basal IL-6 release from rat cortical type I astrocytes (30).
Thus, glial-derived IL-6 expression is potentially subject to complex
regulatory pathways mediated by multiple neurotransmitters and
cytokines.
The exact pathway of IL-1ß signal transduction in glial cells is
unknown. The participation of inositol 1,4,5-trisphosphate (31), cAMP
(32), non-cAMP (33), protein kinase C (PKC; 34) and tyrosine kinase
(35, 36) pathways in IL-1ß signal transduction have been reported in
astrocytes and glial cells. In general, IL-1ß activates PKC isoforms,
the MAP kinases or tyrosine kinases for IL-6 production (reviewed in
Ref. 37). In C6 glioma cells, IL-1
and IL-1ß activated the NF-
B
transcription factor (38). Sparacio et al. (39) reported
that the IL-1ß and TNF
stimulations of IL-6 promoter activity in
astrocytes required an NF-
B binding site. We hypothesize that the
synergistic stimulation of C6 glioma IL-6 release may result from the
interaction of cAMP and LPC (Fig. 9
); the
exact nature of this interaction is unknown. Occupancy of the IL-1ß
type I receptor leads to the activation of PLA2 and
consequently to the rapid formation of arachidonic acid and LPC (17).
The transient formation of LPC may stimulate membrane-associated PKC
isoforms, the MAP kinases or tyrosine kinases to phosphorylate
trans-acting enhancers (e.g., NF-
B, NFIL-6).
The LPC stimulation of IL-6 release from rat anterior pituitary cells
was blocked by the PKC inhibitors H7 and chelerythrine chloride
(18).

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Figure 9. Possible synergistic signaling pathways resulting
in IL-6 release from C6 glioma cells. AA, Arachidonic acid; ß-AdR,
ß-adrenergic receptor; IL-1ß, interleukin-1ß; IPT, isoproteronol;
LPC, lysophosphatidylcholine; MAPK, mitogen-activated protein kinases;
NE, norepinephrine; NF-IL-6; nuclear factor IL-6; NF- B, nuclear
factor B; PC, phosphatidylcholine; PKC, protein kinase C;
PLA2, phospholipase A2; PRO, propranolol.
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The potential synergistic elevation of cytokine levels may affect
disease processes in the CNS. Alzheimers disease progression is
correlated with the appearance of neuritic plaques and neurofibrillary
tangles that are diagnostic for this neurodegenerative disorder.
The neuritic plaques contain dystrophic neurites as well as
extracellular deposits of ß-amyloid protein. Also intrinsic to the
neuritic plaques are activated glial cells that overexpress cytokines.
Microglial cells have been localized to Alzheimers disease plaques,
whereas astrocytes encircle and extend processes into the cores of
these structures (1). Production of IL-1 and IL-6 in senile plaques may
contribute to the pathogenesis of this disease (reviewed in 1, 40). The
enhanced accumulation of IL-1 and IL-6 may increase levels of
ß-amyloid precursor protein in neuronal cells leading to eventual
ß-amyloid deposition and neuronal cell death (2). An elevation in
central IL-1ß levels may increase catecholamime concentrations (41),
which could allow for the synergistic induction of IL-6 release. IL-6
expression has been localized largely to the diffuse plaque population
of Alzheimers disease patients, indicating that this cytokine is
present in plaques before the onset of neuritic degeneration (42). The
synergistic induction of IL-6 release by IL-1ß and the catecholamines
begins to elucidate a potential mechanism for IL-6 overproduction in
diffuse plaques before neuritic plaque formation.
 |
Acknowledgments
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|---|
We thank Dr. J. Van Snick (Ludwig Institute, Brussels, Belgium)
for supplying the 7TD1 cell line. This work was supported by a grant
(to B.L.S.) from the National Institute of Diabetes and Digestive and
Kidney Diseases (DK-42059).
Received June 16, 1998.
 |
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