Narasimhulu Simma1, Tanima Bose2, Sascha Kahlfuss3, Judith Mankiewicz4, Theresa Lowinus5, Fred Lühder6, Thomas Schüler7, Burkhart Schraven8,9, Martin Heine10, Ursula Bommhardt11. 1. Institute of Molecular and Clinical Immunology, Otto-von-Guericke-University Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany. Narasimhulu.Simma@st.ovgu.de. 2. RG Molecular Physiology, Leibniz Institute of Neurobiology, Brenneckestr. 6, 39118, Magdeburg, Germany. tbose@lin-magdeburg.de. 3. Institute of Molecular and Clinical Immunology, Otto-von-Guericke-University Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany. sabiotic@st.ovgu.de. 4. Institute of Molecular and Clinical Immunology, Otto-von-Guericke-University Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany. Judith.Mankiewicz@st.ovgu.de. 5. Institute of Molecular and Clinical Immunology, Otto-von-Guericke-University Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany. Theresa.Lowinus@st.ovgu.de. 6. Department of Neuroimmunology, Institute for Multiple Sclerosis Research and The Hertie Foundation, Waldweg 33, 37073, Göttingen, Germany. fred.luehder@med.uni-goettingen.de. 7. Institute of Molecular and Clinical Immunology, Otto-von-Guericke-University Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany. Thomas.Schueler@med.ovgu.de. 8. Institute of Molecular and Clinical Immunology, Otto-von-Guericke-University Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany. Burkhart.Schraven@med.ovgu.de. 9. Department of Immune Control, Helmholtz Centre for Infection Research, Inhoffenstr. 7, 38124, Braunschweig, Germany. Burkhart.Schraven@med.ovgu.de. 10. RG Molecular Physiology, Leibniz Institute of Neurobiology, Brenneckestr. 6, 39118, Magdeburg, Germany. Martin.Heine@lin-magdeburg.de. 11. Institute of Molecular and Clinical Immunology, Otto-von-Guericke-University Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany. Ursula.Bommhardt@med.ovgu.de.
Abstract
BACKGROUND: B cells are important effectors and regulators of adaptive and innate immune responses, inflammation and autoimmunity, for instance in anti-NMDA-receptor (NMDAR) encephalitis. Thus, pharmacological modulation of B-cell function could be an effective regimen in therapeutic strategies. Since the non-competitive NMDAR antagonist memantine is clinically applied to treat advanced Alzheimer`s disease and ketamine is supposed to improve the course of resistant depression, it is important to know how these drugs affect B-cell function. RESULTS: Non-competitive NMDAR antagonists impaired B-cell receptor (BCR)- and lipopolysaccharide (LPS)-induced B-cell proliferation, reduced B-cell migration towards the chemokines SDF-1α and CCL21 and downregulated IgM and IgG secretion. Mechanistically, these effects were mediated through a blockade of Kv1.3 and KCa3.1 potassium channels and resulted in an attenuated Ca(2+)-flux and activation of Erk1/2, Akt and NFATc1. Interestingly, NMDAR antagonist treatment increased the frequency of IL-10 producing B cells after BCR/CD40 stimulation. CONCLUSIONS: Non-competitive NMDAR antagonists attenuate BCR and Toll-like receptor 4 (TLR4) B-cell signaling and effector function and can foster IL-10 production. Consequently, NMDAR antagonists may be useful to target B cells in autoimmune diseases or pathological systemic inflammation. The drugs' additional side effects on B cells should be considered in treatments of neuronal disorders with NMDAR antagonists.
BACKGROUND: B cells are important effectors and regulators of adaptive and innate immune responses, inflammation and autoimmunity, for instance in anti-NMDA-receptor (NMDAR) encephalitis. Thus, pharmacological modulation of B-cell function could be an effective regimen in therapeutic strategies. Since the non-competitive NMDAR antagonist memantine is clinically applied to treat advanced Alzheimer`s disease and ketamine is supposed to improve the course of resistant depression, it is important to know how these drugs affect B-cell function. RESULTS: Non-competitive NMDAR antagonists impaired B-cell receptor (BCR)- and lipopolysaccharide (LPS)-induced B-cell proliferation, reduced B-cell migration towards the chemokines SDF-1α and CCL21 and downregulated IgM and IgG secretion. Mechanistically, these effects were mediated through a blockade of Kv1.3 and KCa3.1 potassium channels and resulted in an attenuated Ca(2+)-flux and activation of Erk1/2, Akt and NFATc1. Interestingly, NMDAR antagonist treatment increased the frequency of IL-10 producing B cells after BCR/CD40 stimulation. CONCLUSIONS: Non-competitive NMDAR antagonists attenuate BCR and Toll-like receptor 4 (TLR4) B-cell signaling and effector function and can foster IL-10 production. Consequently, NMDAR antagonists may be useful to target B cells in autoimmune diseases or pathological systemic inflammation. The drugs' additional side effects on B cells should be considered in treatments of neuronal disorders with NMDAR antagonists.
B cells are important mediators of the adaptive immune response by
their ability to provide antigen presentation and costimulation for T cells and to
differentiate into antibody secreting plasma cells. B cells are activated through
the ligation of their antigen-specific B-cell receptors (BCR) and costimulatory
ligands such as CD40, which drive their proliferation, survival and differentiation
[1]. In addition, B cells can be
stimulated by innate signals like lipopolysaccharide (LPS), a major constituent of
the gram-negative bacterial cell wall that binds to Toll-like receptor 4 (TLR4)
expressed on B cells [2,3]. TLR4 plays a pivotal role in the initiation of
inflammation and is considered as a potent drug target to prevent severe sepsis, the
leading cause of death amongst critically ill patients [4-6].
Systemic inflammation induced by LPS also seems to affect neuronal pathology, for
instance in multiple sclerosis, Alzheimer’s and Parkinson’s disease [7-10].Ligation of the BCR leads to the activation of several signaling
cascades resulting in Ca2+-mobilization [11-13], induction of
Ca2+/calmodulin-dependent transcription factors like NFAT
[14,15] and the activation of Erk1/2 and PI-3K-Akt-mTOR signaling
pathways [16-20]. The complex TLR4 signaling pathway relies on
the recruitment of MyD88 and other adaptor and intermediate signaling molecules to
the receptor, but ultimately also involves activation of the MAPK and Akt pathways
[21-23]. Activated B cells differentiate into various B-cell subsets
which contribute to a protective humoral immune response. Among them are IL-10
producing regulatory B cells (B10 cells) [24-27] which require
for their formation BCR engagement and activation via the CD40 molecule or LPS
stimulation [28-30]. B10 cells play a crucial role in preventing
inflammatory and autoimmune pathologies [24,29,31,32] and a lack of or inhibition of B10 cells has been associated with
exacerbated experimental autoimmune encephalitis (EAE) [33,34], collagen-induced arthritis [35] or colitis in mice [36]. However, B cells can also contribute to or induce diseases by
production of auto-antibodies as in rheumatoid arthritis, lupus erythematosus and
some neuronal disorders [7,37]. Auto-antibodies against transmitter receptors
or voltage-gated ion channels in the brain influence the opening behaviour of
neuronal ligand- and voltage-gated ion channels [38], leading to synaptic dysfunction, and are found in Rassmussen
encephalitis [39], Lambert-Eaton
myasthenic syndrome [40] or
anti-N-methyl-D-aspartate-receptor (NMDAR) encephalitis [41,42]. Thus, pharmaceuticals that regulate B-cell function by
modulating BCR- or TLR4-induced signaling are of interest as anti-inflammatory
agents and immunotherapeutics [43,44].NMDAR antagonists block the activity of ionotropic glutamate
receptors of the NMDA type, which play a central role in synaptic transmission,
memory formation and neuronal excitotoxicity [45]. NMDAR antagonists like memantine and ketamine are in use or
trial to treat neuronal disorders like Alzheimer’s disease and resistant depression,
respectively [46,47]. The possibility of their oral application and
their non-competitive action on the channel pore, but not the glutamate binding
site, make those antagonists suitable to control the glutamatergic transmission in
the brain in chronic treatments of neurological diseases [48,49].In view of the implication of B cells as source for antibodies
against receptors and ion channels causing neuronal autoimmune diseases, their
immune regulatory function [50] and
role in LPS-induced inflammation [51],
we investigated how non-competitive NMDAR antagonists modulate B-cell function. We
found that the drugs impair B-cell migration, BCR- and LPS-induced proliferation and
immunoglobulin (Ig) production. For both stimulatory conditions, inhibition was
mediated through cross-inhibition of Kv1.3 and
KCa3.1 potassium channels and attenuated B-cell signaling.
However, antagonist ifenprodil could enhance the production of IL-10, fostering an
anti-inflammatory B10 phenotype. Hence, non-competitive NMDAR antagonists may be
suitable drugs to dampen pathological inflammatory reactions and to modulate B-cell
function in autoimmune diseases. The additional effects of NMDAR antagonists on B
cells may be beneficial in treating neuronal disorders.
Results
NMDAR antagonists block B-cell proliferation induced by BCR or LPS
stimulation
Splenic B cells were stimulated with anti-IgM
(Fab’)2 fragment goat anti-mouse (α-IgM) to mimic BCR
triggering by antigens, or with the TLR4 ligand LPS. B-cell proliferation was
determined by 3[H]-Thymidine incorporation at 24 h in
the presence or absence of the NMDAR antagonists memantine, an NMDAR open-channel
blocker, ifenprodil, a non-competitive inhibitor of the GluN2B subunit of NMDARs,
or the competitive NMDAR antagonist D-APV [49,52]. Memantine
and ifenprodil inhibited α-IgM- as well as LPS-induced DNA synthesis in a
concentration dependent manner (Figure 1A
and B). In contrast, the competitive antagonist D-APV had no effect, even at very
high doses (300 μM). The proliferative response of B cells activated with PMA and
ionomycin (IO) was also inhibited by ifenprodil and memantine, but not by D-APV
(Figure 1C). Costimulation by CD40 Abs
enhanced α-IgM- and LPS-induced B-cell proliferation, and under these conditions
the antagonists only had a weak inhibitory effect, reducing DNA synthesis by
29-32%, respectively, compared to a 72-90% reduction in the absence of CD40
stimulation (Figure 1D).
Figure 1
Effects of NMDAR antagonists on B-cell proliferation
and apoptosis. A-D) NMDAR antagonists impair BCR-, TLR4- and
PMA/IO-induced B-cell proliferation. Splenic B cells were stimulated with
A) α-IgM (10 µg/ml) B) LPS (10 µg/ml), C) PMA and ionomycin (IO) or D) α-IgM or LPS in combination with CD40 Abs (5 µg/ml) in
the presence or absence of the indicated concentrations of memantine,
ifenprodil or D-APV. Proliferation was determined by
3[H]-Thymidine incorporation (cpm) at 24 h.
Data in the graphs represent the mean + SD relative proliferation of at
least two experiments. E) NMDAR
antagonists enhance B-cell apoptosis. B cells were stimulated with α-IgM
or LPS plus/minus CD40 Abs in the presence or absence of ifenprodil or
memantine (30 μM each) for 24 h. Apoptosis was measured with Annexin V and
propidium iodide (PI) staining and flow cytometry. The percentage of
AnnexinV+ PI−
early and
AnnexinV+PI+ late
apoptotic cells is indicated in the dot plots (left). Data in the right
graphs show the percentage of apoptotic cells as mean + SD calculated from
two experiments.
Effects of NMDAR antagonists on B-cell proliferation
and apoptosis. A-D) NMDAR antagonists impair BCR-, TLR4- and
PMA/IO-induced B-cell proliferation. Splenic B cells were stimulated with
A) α-IgM (10 µg/ml) B) LPS (10 µg/ml), C) PMA and ionomycin (IO) or D) α-IgM or LPS in combination with CD40 Abs (5 µg/ml) in
the presence or absence of the indicated concentrations of memantine,
ifenprodil or D-APV. Proliferation was determined by
3[H]-Thymidine incorporation (cpm) at 24 h.
Data in the graphs represent the mean + SD relative proliferation of at
least two experiments. E) NMDAR
antagonists enhance B-cell apoptosis. B cells were stimulated with α-IgM
or LPS plus/minus CD40 Abs in the presence or absence of ifenprodil or
memantine (30 μM each) for 24 h. Apoptosis was measured with Annexin V and
propidium iodide (PI) staining and flow cytometry. The percentage of
AnnexinV+ PI−
early and
AnnexinV+PI+ late
apoptotic cells is indicated in the dot plots (left). Data in the right
graphs show the percentage of apoptotic cells as mean + SD calculated from
two experiments.The effects of NMDAR antagonists on apoptosis was evaluated on B
cells activated for 24 h with α-IgM, α-IgM + CD40, LPS, and LPS + CD40
(Figure 1E). 5-10% more apoptotic cells
were detected in antagonist-treated cultures whereby ifenprodil had stronger
effects than memantine, especially on B cells stimulated with α-IgM only. In case
of CD40 costimulation, B-cell apoptosis was much lower and both antagonists had no
enhancing effect on cell death.
NMDAR antagonists induce membrane depolarization and inhibit
Kv1.3 and KCa3.1 channels in B
cells
We previously reported that protein expression of functional NMDARs
in murine T cells is elusive and that NMDAR antagonists inhibit
Kv1.3 and KCa3.1 channels
[53], which are considered as
potent targets for immunosuppression [54,55]. These
potassium channels are also expressed on B cells and their inhibition was found to
differentially influence B-cell proliferation after BCR activation or PMA/IO
stimulation [56-59]. Since KCa3.1 and
Kv1.3 channel activities influence membrane
depolarization and, thereby, the Ca2+-flux into the
cell [60], we first determined the
drugs’ effects on the membrane potential. Ifenprodil (20 μM) and memantine (30 μM)
reduced the membrane potential of α-IgM- or LPS-activated B cells from ~ −40 mV
to ~ −20 mV and ~ −10 mV, respectively. Addition of KCl served as a positive
control for membrane depolarization (Figure 2A). Next, we recorded Kv1.3
channel-mediated currents from activated B cells and the dose response curves in
the presence of inhibitors were calculated from maximal transient current
amplitudes. Ifenprodil and memantine markedly reduced Kv1.3
channel currents irrespective whether B cells were stimulated with α-IgM or LPS
(Figure 2B). IC50
and Hill slope values for α-IgM-activated B cells were ~20 μM and ~1.3 for
ifenprodil and ~40 μM and ~1.8 for memantine. For LPS-treated B cells,
IC50 and Hill slope values were ~18 μM and ~1.4 for
ifenprodil and ~45 μM and ~1.2 for memantine. For B cells stimulated by BCR
ligation, we additionally recorded KCa3.1 channel-mediated
currents (Figure 2C).
KCa3.1 currents were not detected in LPS-activated B
cells. IC50 values for ifenprodil and memantine were ~30 μM
and ~50 μM and Hill slopes were ~1.4 and ~1.6. However, the competitive NMDAR
antagonist D-APV, which blocks neuronal NMDARs at the 1 μM range, had no effect on
Kv1.3 and KCa3.1 channels, even at
10-time higher concentrations (300 μM) (Figure 2D). Thus, Kv1.3 and
KCa3.1 channels, whose specific blockade abolishes B-cell
activation [56,59], are partially inhibited by the
non-competitive NMDAR antagonists ifenprodil and memantine.
Figure 2
Effects of NMDAR antagonists on B-cell membrane
potential and K
channel activity. B cells were activated
with α-IgM or LPS (10 μg/ml each) for 24–48 h. A) NMDAR antagonists lead to a depolarization of the
membrane potential. Activated B cells were analyzed for changes in the
membrane potential upon addition of ifenprodil or memantine in
concentrations as indicated. KCl treatment served as a control for cell
integrity. B-D) Ifenprodil and memantine
inhibit K+ channel activity. Dose-inhibition curves of B) Kv1.3 and C) KCa3.1 channels in the presence of
ifenprodil or memantine were plotted from the recorded maximal transient
currents. Insets show one particular trace of control and inhibiting
current along with the protocol used for measuring B) Kv1.3 and C) KCa3.1 channels. D) Data in the graphs represent the relative
inhibition of Kv1.3- and
KCa3.1-mediated currents in the presence of the
competitive NMDAR antagonist D-APV. All data were calculated from 5–6
cells of four experiments and are represented as mean ± SD.
Effects of NMDAR antagonists on B-cell membrane
potential and K
channel activity. B cells were activated
with α-IgM or LPS (10 μg/ml each) for 24–48 h. A) NMDAR antagonists lead to a depolarization of the
membrane potential. Activated B cells were analyzed for changes in the
membrane potential upon addition of ifenprodil or memantine in
concentrations as indicated. KCl treatment served as a control for cell
integrity. B-D) Ifenprodil and memantine
inhibit K+ channel activity. Dose-inhibition curves of B) Kv1.3 and C) KCa3.1 channels in the presence of
ifenprodil or memantine were plotted from the recorded maximal transient
currents. Insets show one particular trace of control and inhibiting
current along with the protocol used for measuring B) Kv1.3 and C) KCa3.1 channels. D) Data in the graphs represent the relative
inhibition of Kv1.3- and
KCa3.1-mediated currents in the presence of the
competitive NMDAR antagonist D-APV. All data were calculated from 5–6
cells of four experiments and are represented as mean ± SD.
BCR- and LPS-induced B-cell signaling is attenuated by NMDAR
antagonist
Next, we assessed the antagonists’ effects on B-cell signaling and
Ca2+mobilization, which is critical for B-cell
activation and proliferation [11,13,61]. Indo-1 AM-labelled B cells showed a
concentration-dependent inhibition of BCR-induced
Ca2+-flux upon treatment with ifenprodil or memantine
(Figure 3A). Furthermore, the levels of
phosphorylated Akt, S6 and Erk1/2 were significantly lower in α-IgM-activated B
cells in the presence of ifenprodil compared to untreated cells
(Figure 3B, left panel). Notably, B
cells stimulated with LPS showed a very similar inhibition of Akt, S6 and Erk1/2
activation by ifenprodil (Figure 3B, right
panel). In long-term stimulation, α-IgM- and LPS-activated B cells cultured with
ifenprodil exhibited lower levels of pErk1/2 and pS6 in the cytoplasm
(Figure 3C) and a reduced nuclear
accumulation of pErk1/2 and NFATc1 (Figure 3D). Thus, NMDAR antagonists downregulate major signaling events
of two distinct B-cell activating receptors that play an important role in innate
and antigen-specific B-cell responses [18,62]. Since CD40
costimulation rescued the inhibitory effects of NMDAR antagonists on BCR-induced
B-cell proliferation and apoptosis (Figure 1), we analysed pErk1/2 and pS6 expression under costimulatory
conditions and found an enhanced activation of both signaling molecules compared
to α-IgM stimulation alone (Figure 3E).
However, although addition of ifenprodil reduced pErk1/2 and pS6 levels in α-IgM +
CD40-treated B cells, these levels were still above those found after α-IgM
treatment. Hence, antagonist-induced attenuated signaling in CD40 costimulated B
cells is still above a critical threshold needed for B-cell activation.
Figure 3
Effects of NMDAR antagonists on B-cell signaling.
A) Reduced Ca2+-flux in
BCR-activated B cells in the presence of NMDAR antagonists. Indo-1
AM-labelled B cells were stimulated with α-IgM (10 μg/ml) in the presence
or absence of ifenprodil (left) or memantine (right) and
Ca2+-flux was determined by flow cytometry.
Corresponding graphs show the mean + SD relative
ΔCa2+-flux of three experiments. B-E) NMDAR antagonists attenuate BCR- and
LPS-induced activation of important signaling molecules. B cells were
activated with α-IgM (10 µg/ml) or LPS (10 µg/ml) or α-IgM plus CD40 Abs
(5 µg/ml) in the presence or absence of ifenprodil (30 μM) in B) short-term and C-E) long-term stimulation. Activation of the indicated
signaling proteins in B) total, C, E) cytoplasmic and D) nuclear protein extracts was analyzed by Western blot.
β-Actin and Lamin B expression served as controls for protein loading.
Indicated numbers give the relative protein expression after
quantification and normalization to controls. Data are the representative
of two (E) and three (B-D) independent experiments.
Effects of NMDAR antagonists on B-cell signaling.
A) Reduced Ca2+-flux in
BCR-activated B cells in the presence of NMDAR antagonists. Indo-1
AM-labelled B cells were stimulated with α-IgM (10 μg/ml) in the presence
or absence of ifenprodil (left) or memantine (right) and
Ca2+-flux was determined by flow cytometry.
Corresponding graphs show the mean + SD relative
ΔCa2+-flux of three experiments. B-E) NMDAR antagonists attenuate BCR- and
LPS-induced activation of important signaling molecules. B cells were
activated with α-IgM (10 µg/ml) or LPS (10 µg/ml) or α-IgM plus CD40 Abs
(5 µg/ml) in the presence or absence of ifenprodil (30 μM) in B) short-term and C-E) long-term stimulation. Activation of the indicated
signaling proteins in B) total, C, E) cytoplasmic and D) nuclear protein extracts was analyzed by Western blot.
β-Actin and Lamin B expression served as controls for protein loading.
Indicated numbers give the relative protein expression after
quantification and normalization to controls. Data are the representative
of two (E) and three (B-D) independent experiments.
NMDAR antagonists impair B-cell migration and Ig production
The migratory response of B cells within the activating lymphoid
environment or at inflammatory sites is a key feature for their differentiation
and function. We investigated whether NMDAR antagonists affect chemokine-induced
migration and found a strong reduction in the migratory response of B cells to the
chemokines SDF-1α and CCL21 in the presence of ifenprodil (Figure 4A). Antibody secretion is the major effector
function of B cells. In order to determine the impact of ifenprodil on IgM and IgG
production, B cells were stimulated with LPS or LPS + IL-4. Ifenprodil was added
at days 1, 2 or 3 and ELISA was performed at day 4. As shown in
Figure 4B, the blockade of IgM and IgG
secretion was most efficient after addition of ifenprodil at day 1. With
increasing time, the inhibitory effect of ifenprodil declined but was still
detectable. Hence, NMDAR antagonists not only inhibit B cell proliferation and
migration but also antibody secretion.
Figure 4
NMDAR antagonists affect B-cell migration and Ig
production. A) Ifenprodil impairs chemokine-induced B-cell
migration. The migration of splenic B cells towards SDF-1α and CCL21 in
the absence or presence of ifenprodil (30 μM) was determined and the
relative + SD migration was calculated from three experiments. Migration
of B cells in the absence of ifenprodil was set as 100%. B) Ifenprodil blocks Ig production. B cells were
activated with LPS or LPS plus IL-4 in the presence or absence of
ifenprodil (10 μM) and IgM and IgG secretion was determined at day 4 with
ELISA. Ifenprodil was added at day 1, day 2 or day 3. Data are
representative for two experiments.
NMDAR antagonists affect B-cell migration and Ig
production. A) Ifenprodil impairs chemokine-induced B-cell
migration. The migration of splenic B cells towards SDF-1α and CCL21 in
the absence or presence of ifenprodil (30 μM) was determined and the
relative + SD migration was calculated from three experiments. Migration
of B cells in the absence of ifenprodil was set as 100%. B) Ifenprodil blocks Ig production. B cells were
activated with LPS or LPS plus IL-4 in the presence or absence of
ifenprodil (10 μM) and IgM and IgG secretion was determined at day 4 with
ELISA. Ifenprodil was added at day 1, day 2 or day 3. Data are
representative for two experiments.
NMDAR antagonists modulate IL-10 production
Since several B-cell responses were negatively regulated by NMDAR
antagonists, we asked whether the drug-induced attenuated signaling would
influence the production of IL-10, the immunosuppressive cytokine made by B10
cells [18,32,33,35]. Mitogenic
stimulation of B cells with PMA and IO leads to the induction of IL-10 mRNA
[24,31,63]. Thus, we
stimulated B cells with these mitogens for 16 h in the absence or presence of
ifenprodil. Drug treatment lead to a strong repression of IL-10 transcripts
compared to untreated B cells (Figure 5A).
We then asked whether ifenprodil has effects on B cells that were pre-activated
with α-IgM + CD40 Abs, LPS or agonistic CD40 Abs, which are known to give rise to
regulatory B10 cells [25,28,35,64]. Ifenprodil
was added at day 1, and IL-10 and IFN-γ production were determined at day 2 or 3
(Figure 5B). IFN-γ production was not
altered by ifenprodil. Low levels of IL-10 production were induced in 8% of α-IgM
+ CD40-stimulated and in 19-27% of CD40- or LPS-activated B cells, which showed
low to high levels of IL-10. Ifenprodil had either no effect or lowered the
percentage of IL-10 producing B cells in CD40- or LPS-stimulated cultures. In
contrast, addition of ifenprodil to α-IgM + CD40-activated B cells increased the
frequency of IL-10 producers 1.5-2-fold, although absolute IL-10 expression levels
remained low. Experiments with B cells from IL-10-GFP knock-in tigermice
[65] supported these results. α-IgM
+ CD40-activated B cells, with ifenprodil treatment started after 21–25 h, showed
a 50% increase in the percentage of IL-10-GFP+ B cells
at day 2 (Figure 5C) and when measured at
day 4 a 6-fold increase (Figure 5D).
Therefore, ifenprodil can foster the generation of an IL-10 producing
phenotype.
Figure 5
Ifenprodil modulates IL-10 production of B cells.
A) Ifenprodil reduces IL-10 mRNA transcripts in
PMA/IO-activated B cells. Splenic B cells were left untreated or were
activated with PMA and IO in the absence or presence of ifenprodil (10 and
30 μM, lanes 3 and 4) for 16 h. Cells were restimulated with PMA/IO and
monensin for 6 h and RT-PCR for IL-10 and β-actin expression was
performed. Data are the representative of two experiments. B-D) IL-10 production in BCR + CD40-stimulated B
cells is enhanced upon ifenprodil treatment. B) B cells were activated with α-IgM + CD40, CD40 Abs alone
or LPS for 2–3 days. Ifenprodil (10 μM) was added at day 1. The production
of IFN-γ and IL-10 was analyzed by intracellular staining and flow
cytometry. The percentage of cells positive for IL-10 (gates were set
according to staining with isotype controls, right panel) is indicated in
each dot plot. The graphs represent the relative + SD percentage of IL-10
expressing B cells in α-IgM + CD40, CD40 and LPS cultures treated with
ifenprodil. For each stimulation condition, data were related to the
percentage of IL-10+ B cells generated in the
absence of ifenprodil, which was set as 1.0. Data for 48 h were calculated
from three, for 72 h from two to four experiments. C, D) B cells from
IL-10-GFP tiger mice were activated with α-IgM+CD40 or LPS. Ifenprodil (10
and 20 μM) was added after 21-25 h and expression of IL-10-GFP at
C) day 2 or D) day 4 was determined with flow cytometry. Data are from
two independent experiments.
Ifenprodil modulates IL-10 production of B cells.
A) Ifenprodil reduces IL-10 mRNA transcripts in
PMA/IO-activated B cells. Splenic B cells were left untreated or were
activated with PMA and IO in the absence or presence of ifenprodil (10 and
30 μM, lanes 3 and 4) for 16 h. Cells were restimulated with PMA/IO and
monensin for 6 h and RT-PCR for IL-10 and β-actin expression was
performed. Data are the representative of two experiments. B-D) IL-10 production in BCR + CD40-stimulated B
cells is enhanced upon ifenprodil treatment. B) B cells were activated with α-IgM + CD40, CD40 Abs alone
or LPS for 2–3 days. Ifenprodil (10 μM) was added at day 1. The production
of IFN-γ and IL-10 was analyzed by intracellular staining and flow
cytometry. The percentage of cells positive for IL-10 (gates were set
according to staining with isotype controls, right panel) is indicated in
each dot plot. The graphs represent the relative + SD percentage of IL-10
expressing B cells in α-IgM + CD40, CD40 and LPS cultures treated with
ifenprodil. For each stimulation condition, data were related to the
percentage of IL-10+ B cells generated in the
absence of ifenprodil, which was set as 1.0. Data for 48 h were calculated
from three, for 72 h from two to four experiments. C, D) B cells from
IL-10-GFPtigermice were activated with α-IgM+CD40 or LPS. Ifenprodil (10
and 20 μM) was added after 21-25 h and expression of IL-10-GFP at
C) day 2 or D) day 4 was determined with flow cytometry. Data are from
two independent experiments.
Discussion
Here, we show that non-competitive NMDAR antagonists attenuate
adaptive (BCR) as well as innate (LPS/TLR4) B-cell signaling. The drugs inhibited
IgM and IgG secretion, B cell migration and impaired B-cell proliferation and
viability, which were partially overcome by CD40 costimulation. Since the
non-competitive antagonists ifenprodil and memantine, but not the competitive
antagonist D-APV, blocked the activity of Kv1.3 and
KCa3.1 channels, the used non-competitive antagonists seem
to act mainly via inhibition of those K+ channels, which
maintain a favourable electrochemical gradient that is required for a sustained
Ca2+-entry through
Ca2+-release activated channels (CRAC) [15,66]. Due to the similar action of the non-competitive NMDAR
antagonists on Kv1.3 and KCa3.1
channels as described for the action of specific K+
channel inhibitors [57-59], a differential modulation seems excluded and
is probably the cause for their effects reported here. In line with the inhibition
of both K+ channel types in B cells, BCR-induced
Ca2+-flux was reduced and BCR- and TLR4-induced
downstream activation of Erk1/2, Akt, S6, and NFATc1 was dampened. Ifenprodil added
to B cells pre-activated with BCR/CD40 Abs fostered IL-10 production, but when added
at the beginning of B-cell stimulation reduced IL-10 transcripts. Thus, the
enhancement of IL-10 production seems to depend on the timing and concentration of
drug application, although further experimentation is required for identification of
the underlying mechanisms. IL-10 expression is regulated by
Ca2+-level [63], Bruton’s tyrosine kinase (Btk), the adaptor protein
BLNK/SLP65, CamKII, Erk1/2, and transcription factors like CREB, STAT3, NFκB or NFAT
[13,18,67-72]. The activation of Erk1/2 in B cells in turn
is dependent on Ca2+-flux and PI-3K activation
[73,74]. IL-10 secretion is differentially controlled depending on the
activation stimulus and availability of IL-21 [26,75]. Furthermore,
IL-10 production by B10 cells seems to be transient [76]. We found that ifenprodil impairs BCR/CD40-induced Erk1/2 and
Akt activation and thus speculate that upon ifenprodil treatment subtle differences
in Ca2+-level [77] and the activity of Erk1/2, Akt and other signaling molecules
favour IL-10 production. Interestingly, genetic deletion or inhibition of
Kv1.3 channels in T cells was found to increase IL-10
production in T cells along with an amelioration of experimental autoimmune
encephalomyelitis and allergic asthma [78,79]. Since NMDAR
antagonists block Kv1.3 and KCa3.1
channels in B cells, the increase of IL-10 production in BCR/CD40-activated B cells
may result from similar mechanisms.Our data suggest that application of non-competitive NMDAR
antagonists during chronic treatments of neurological disorders like Alzheimer`s
disease may not only involve neuronal NMDARs, but may also have additive
side-effects by targeting B cells, which are assumed to contribute to these
disorders [7,9,10].
Given that the drugs impaired several B-cell functions, but enhanced IL-10
production in BCR/CD40-stimulated B cells, their employment in systemic inflammation
or autoimmune diseases, for instance in sepsis or anti-NMDARencephalitis, appears
promising. Here, antagonists may limit B-cell hyper-reactivity and antibody
production or mediate immunomodulation or suppression through an enhanced frequency
of IL-10 secreting B cells. IL-10 producing B cells also target T cells as they
induce IL-10 producing CD4+ T cells, suppress Th1 cell
differentiation and increase the number of
CD4+CD25+Foxp3+
regulatory T cells in vivo [29]. Furthermore, although action of
non-competitive NMDAR antagonists on memory B cells is not investigated,
pharmacological modulation of memory B-cell differentiation or secondary B-cell
responses can be envisaged. Since specific blockade of Kv1.3
and KCa3.1 channels results in immunosuppression of T and B
cells [54,59] and non-competitive NMDAR antagonists block
these two K+ channels in B cells, application of NMDAR
antagonists may also be useful to treat acute and chronical allograft rejections
driven by B cells. Memantine, which passed clinical trials and is in use to treat
advanced Alzheimer`s disease, might show similar effects as the specific
Kv1.3 and KCa3.1 blockers Shk and
TRAM-34 in treating allograft vasculopathy or kidney allograft rejection
[80,81]. However, further studies are required to determine the drug’s
suitability for in vivo treatment of these immune
disorders.
Conclusions
Through their nonspecific action on Kv1.3 and
KCa3.1 potassium channels, non-competitive NMDAR
antagonists are potent modulators of LPS/TLR4- and BCR-induced proliferation,
migration, Ig production and anti-inflammatory IL-10 production by B cells. Thus,
they may be useful to target B cells under pathological inflammatory conditions.
They may also have beneficial side effects during chronic treatments of neurological
disorders like Alzheimer’s disease.
Methods
Mice
C57BL/6 mice were used at the age of 6–10 weeks. IL-10-GFP knock-in
mice, designated interleukin-ten ires gfp-enhanced reporter (tiger) mice
[65] were 8 or 28 weeks old and
kindly provided by J. Hühn, HZI Braunschweig, Germany. All animal work performed
was in compliance with the German and local guidelines for the Use of Experimental
Animals.
Cell isolation and proliferation assay
Splenic B cells were isolated with the B-cell isolation kit from
Miltenyi Biotech (Bergisch Gladbach, Germany) according to the manufacturer’s
protocol. Purity of B cells was 90-95%. B cells were activated with α-IgM
(10 μg/ml, Jackson Immunoresearch Laboratories, Hamburg, Germany),
lipopolysaccharide (LPS, 10 μg/ml, E. coli 0111:B4, Sigma-Aldrich, Taufkirchen,
Germany), or PMA (100 ng/ml, Calbiochem, Darmstadt, Germany) and IO (700 ng/ml,
Sigma) in complete RPMI1640 medium (Biochrom AG, Berlin, Germany) supplemented
with 10% FCS, 50 μM β-mercaptoethanol, 1% penicillin/streptomycin. NMDAR
antagonist ifenprodil, memantine, or D-APV (diluted in
ddH2O, all from Tocris Biosciences, Bristol, Great Britain)
were added in concentrations as given. Proliferation was measured at 24 h of
culture by 3[H]-Thymidine incorporation (0.2 μ Ci/well,
MP Biochemicals Europe, Heidelberg, Germany) for 16 h.
Apoptosis measurement
Apoptosis was determined with the Apoptosis detection kit from BD
Pharmingen (Heidelberg, Germany). 2×105 splenic B cells
were left untreated or were activated with α-IgM (10 μg/ml) or LPS (10 μg/ml)
without or with costimulation by CD40 Abs (5 μg/ml, Biolegend, San Diego, CA, USA)
in the presence or absence of ifenprodil (30 μM, Tocris Biosciences). At 24 h of
culture cells were harvested, stained with Annexin V-FITC (BD Pharmingen) and
propidium iodide (PI, Sigma-Aldrich) according to manufacturer’s protocol and
analyzed by flow cytometry using a FACSFortessa and Cell Quest software (BD
Biosciences). The percentage of viable cells was determined by gating on
AnnexinV−PI− cells.
Western blot
5×106 splenic B cells were activated
with α-IgM (10 μg/ml), LPS (10 μg/ml) or α-IgM (10 μg/ml) plus CD40 Abs (5 μg/ml)
in the presence or absence of ifenprodil (30 μM) for the indicated time points.
Cells were lysed and total, cytoplasmic or nuclear protein extracts were obtained
as described before [82]. Protein
lysate (10–15 μg) was subjected to 8-10% SDS-PAGE and proteins were transferred
onto nitrocellulose membrane, which was blocked with 5% non-fat milk powder in
TBST. Primary Abs for the detection of signaling proteins were: pErk1/2
(Thr202/Tyr204), pAkt
(Ser473, DE9), pS6
(S240/244) (all from Cell Signaling Technology,
Frankfurt, Germany), NFATc1 (7A6, Alexis Biochemicals, Lörrach, Germany), β-actin
(AC 40, Sigma-Aldrich), and Lamin-B (Santa Cruz, Biotechnology, Santa Cruz, CA,
USA). HRP-coupled mouse anti-rabbit, goat anti-mouse or donkey anti-goat secondary
Abs (Jackson ImmunoResearch Laboratories, Dianova) and the ECL detection system
(Thermo Scientific Pierce, Rockford, IL, USA) were applied to reveal primary
antibodies. Quantification of immune reactive bands was done with Kodak
software.
Ca2+-flux measurement
Splenocytes were stained with Indo-1 AM (4 μM, Life Technologies,
Darmstadt, Germany) for 45 min at 37°C. Cells were washed, stained for CD8 and CD4
surface expression and suspended in Hank’s buffer (Biochrom) supplemented with
1 mM CaCl2. NMDAR antagonists ifenprodil (10 or 30 μM) and
memantine (30 or 50 μM) were added for 5 min before B cells were activated with
α-IgM (10 μg/ml) to induce Ca2+-flux. Ionomycin (IO,
2 μM, Calbiochem) was added at the end to control cell reactivity.
Ca2+-flux was measured with a LSRII flow cytometer
(BD Biosciences). Data were analyzed with FlowJo V3.6.1 software (Tree Star,
Ashland, OR, USA), mean Ca2+-flux of unlabelled B cells
was calculated and data were further processed by IgorPro5.04B software
(WaveMetrics Inc., Portland, OR, USA). ΔCa2+-flux
represents the difference between the maximum and minimum values of
Ca2+-intensity.
Migration assay
Splenocytes (4×106) were left untreated
or were incubated with ifenprodil (30 μM) for 30 min in D-MEM medium (Biochrom)
supplemented with 0.1% BSA and 10 mM HEPES pH7.4. Cells were transferred unto
fibronectin-coated (6.5 μg/ml, Roche Diagnostics, Basel, Switzerland) transwell
chambers (3.0 μm pore size, Corning Costar, Tewksburry, MA, USA) and SDF-1α
(100 ng/ml) or CCL21 (300 ng/ml, both from PeproTech, Hamburg, Germany) was added.
Migration was performed for 150 min at 37°C and stopped with 0.1 M EDTA. Migrated
cells were stained with rat anti-mouse B220-FITC Ab (RA3-6B2, BD Pharmingen) and
measured for 30 s at a FACS Fortessa. The number of B cells migrated in the
presence of chemokine (set as 1.0) was divided by the number of cells migrated in
the absence of chemokine to obtain the relative migration values.
Intracellular cytokine staining and IL-10-GFP induction
Splenic B cells were stimulated with α-IgM (10 μg/ml) plus CD40 Abs
(5 μg/ml), CD40 Abs alone (5 μg/ml), or LPS (10 μg/ml) for 48 h or 72 h.
Ifenprodil (10 μM) was added once and at day 1. Before harvest, cells were treated
with IO (800 ng/ml) and PMA (500 ng/ml) for 4 h in the presence of Brefeldin A
(3 μg/ml, all from Calbiochem). Thereafter, cells were fixed and stained with
IL-10-PE and IFN-γ-FITC Abs using IgG2b-PE/FITC isotype controls (all from
eBiosciences, Frankfurt, Germany) and the FoxP3 staining buffer kit (eBiosciences)
according to manufacturer’s protocol. Cells were analyzed by flow cytometry and
the percentage of live cells producing IL-10 or IFN-γ was determined with
Cell-Quest Pro. B cells isolated from IL-10-GFPtigermice were activated with
α-IgM/CD40 or LPS and cultured in 96-well plates for 2 or 4 days. Ifenprodil (10
and 20 μM) was added at 21–25 h and cells were harvested either at day 2 or day 4.
Before harvest, cells were re-stimulated with PMA (100 ng/ml) and IO (800 ng/ml)
and monensin (10 μg/ml) for 4 h. IL-10-GFP expression was analyzed on gated live
cells with flow cytometry.
Electrophysiology
For all experiments the whole-cell configuration of the patch-clamp
technique was applied at room temperature (RT) (20-24°C) using an EPC10 amplifier
and PatchMaster v.2.11 (HEKA Electronic, Lambrecht, Germany). Patch pipettes from
borosilicate glass used for recordings had a resistance between 3–5 MΩ. For
recording Kv1.3 currents the external solution contained
145 mM NaCl, 5 mM KCl, 10 mM HEPES, 1 mM MgCl2, 2.5 mM
CaCl2, 5.5 mM glucose, pH7.4 (NaOH). The pipette solution
contained 140 mM KF, 11 mM EGTA, 10 mM HEPES, 1 mM CaCl2,
2 mM MgCl2, pH7.2 (KOH) [83]. In both cases osmolarity was set to 300–340 mOsM.
Kv1.3 currents were measured with depolarizing voltage
steps up to +60 mV from a holding potential of −80 mV every 30 s and sampling rate
of 5 kHz. KCa3.1 channel currents were measured with an
external solution composed of 160 mM Na-aspartate, 4.5 mM KCl, 2 mM
CaCl2, 1 mM MgCl2, 10 mM HEPES and
an internal solution of 145 mM K-aspartate, 8.5 mM CaCl2,
2 mM MgCl2, 10 mM EGTA, 10 mM HEPES adjusted to pH7.4 and
pH7.2, respectively. This current was recorded by a 200 ms voltage ramp from −120
to +40 mV from a holding potential of −80 mV every 15 s. For membrane potential
experiments, cells were recorded in the current clamp mode with 0 pA holding
current immediately after establishment of the whole-cell configuration.
Ifenprodil, memantine or D-APV (Tocris) were added during the recording with a
constant inhibitor concentration. Transient currents were analyzed in HEKA
FitMaster v.2×53 and GraphPad Prism 5.0 to determine the dose–response curve and
Hill slope and statistical analysis.
RNA isolation and RT-PCR
Splenic B cells were stimulated with PMA (100 ng/ml) and IO
(700 ng/ml) for 16 h in the presence or absence of ifenprodil (20 and 30 μM) or
were left unstimulated. Before harvest cells were re-stimulated for an additional
6 h with PMA and IO and monensin (10 μg/ml). RNA was extracted with TRIzol reagent
(Life Technologies, Darmstadt, Germany) and reverse transcribed with a
First-Strand cDNA Synthesis Kit (Thermo Scientific, Karlsruhe, Germany) according
to the manufacturer’s protocol. PCR primers were: IL-10: forward
5’-TGCCTTCAGTCAAGTGAAGACT-3’ and reverse 5’-AAACTCATTCATGGCCTTGTA-3’ and β-actin:
forward 5´-CCAGGTCATCACTATTGGCAAGGA-3 and reverse 5`-GAGCA GTAATCT
CCTTCTGCATCC-3’.
ELISA
For detection of secreted IgM and IgG, B cells were activated with
LPS (10 μg/ml) or LPS plus IL-4 (20 ng/ml, ImmunoTools, Friesoythe, Germany) in
triplicates in 96-well plates (Nunc Maxisorp, Thermo Fisher-Scientific, Marietta,
OH, USA). Ifenpodil (10 μM) was added at day 1, day 2 or day 3 and culture
supernatant was taken on day 4. Plates were coated over night with 50 μl goat
anti-mouse Ig (Southern Biotech, Birmingham, AL, USA) 1:500 in 50 mM sodium
carbonate puffer. After washing with PBS/0.05% Tween 20 the wells were blocked
with PBS/5% BSA for 1 h. The samples were diluted in PBS/5% BSA and incubated for
2 h at RT. After washing, POD-coupled anti-mouse IgM or IgG (Sigma-Aldrich,
Taufkirchen, Germany) were added at 1:250 in PBS/5% BSA for 1 h at RT, followed by
substrate development with TMB reagent (BD Biosciences). OD at 450 nm was
determined with an ELISA reader (Sunrise, Tecan, Männedorf, Switzerland).
Statistical analysis
Data are given as mean values ± standard deviation (SD). Student’s
t test was used to determine statistical
significances, with *p < 0.05, **p < 0.01 and ***p < 0.001.
Authors: S W Rogers; P I Andrews; L C Gahring; T Whisenand; K Cauley; B Crain; T E Hughes; S F Heinemann; J O McNamara Journal: Science Date: 1994-07-29 Impact factor: 47.728
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