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TRANSCRIPTIONAL ACTIVATION OF
INDOLEAMINE DIOXYGENASE BY
INTERLEUKIN 1 AND TUMOR NECROSIS
FACTOR IN INTERFERON-TREATED
EPITHELIAL CELLS
Tricia A. Babcock and Joseph M. Carlin
Although intracellular pathogens are sheltered induction rapidly depletes both intracellular and extra-
from humoral immune responses within the host cell, cellular tryptophan.6 Thus, IDO restricts the growth of
they remain susceptible to cytokine-mediated immune tryptophan auxotrophs by limiting the availability of
responses. In particular, IFN- has been implicated an amino acid required for protein synthesis. Among
as one of the principal immune effector molecules the pathogens known to be sensitive to IDO activity
that induces several antimicrobial mechanisms effective are Chlamydia trachomatis, C. psittaci, C. pneumoniae
at inhibiting the growth of intracellular patho- and Toxoplasma gondii.4,7–10 Several lines of evidence
gens. Among these mechanisms are the release of suggest that IDO-mediated inhibition of these patho-
reactive oxygen intermediates,1 the generation of gens is due to tryptophan starvation. Pathogen repli-
nitrogen intermediates by nitric oxide synthase,2,3 and cation can be reversed by the addition of excess
production of indoleamine 2,3-dioxygenase (IDO).4 tryptophan to the medium,8 and in a mutant cell line
IDO is a heme-containing enzyme that catalyses defective in IFN--induced IDO activity, IFN- fails
the oxidative cleavage of the indole ring of the essential to suppress the growth of these pathogens.11 Further-
amino acid -tryptophan to N-formylkynurenine;5 its more, expression of IDO activity in a cell line
transfected with a metallothionein-regulated IDO
From the Department of Microbiology, Miami University, Oxford, cDNA inhibits pathogen growth independent of other
Ohio 45056, USA IFN-induced proteins.12
Correspondence to: Joseph M. Carlin, Miami University, Regulation of IDO expression can be influenced
Department of Microbiology, Oxford, Ohio 45056, USA; E-mail:
CarlinJM@MUOhio.edu by several cytokines and immunomodulating agents,
Received 21 July 1999; received in revised form 22 November 1999; including TNF-, IL-1 and lipopolysaccharide (LPS).
accepted for publication 29 December 1999 Each can enhance the amount of IDO activity induced
2000 Academic Press
1043–4666/00/060588+07 $35.00/0 in IFN--treated macrophages and the myelomono-
KEY WORDS: indoleamine dioxygenase/interferon/interleukin 1/ cytic THP-1 cell line.13–16 Furthermore, this increase in
tumour necrosis factor/tryptophan IDO activity enhances the antimicrobial effect of
588 CYTOKINE, Vol. 12, No. 6 (June), 2000: pp 588–594
Activation of IDO in epithelial cells / 589
A B C
70
60
Specific catabolism (%)
50
40
30
20
10
0
0 0.05 0.5 5 50 0 0.003 0.03 0.3 3 0 0.01 0.1 1 10
TNF (ng/ml) IL-1 (ng/ml) LPS (ng/ml)
Figure 2. Enhancement of IFN-induced IDO activity by TNF, IL-1 or LPS.
Triplicate samples of HeLa cells were treated with increasing concentrations of TNF- (A) IL-1 (B) or LPS (C) alone ( ) or in combination with
IFN- (10 ng/ml) ( ) for 48 h before assessment of IDO activity. IDO activity is represented as percentage specific catabolismSE of three
separate experiments.
had a 13-fold increase in mean fluorescence intensity TNF- concentration (r2 =0.92 and 0.82 for TNF-
(MFI=77) over background fluorescence observed in concentrations <50 ng/ml and c50 ng/ml, respect-
unstimulated cells (MFI=6), illustrating that GFP ively). When IFN--stimulated cells were treated with
expression was under the control of the IDO promoter. TNF- at 50 ng/ml, MFI continued to increase, but
To determine if synergistic enhancement of IDO activity consistently decreased.
IDO activity was associated with increased transcrip-
tional activation, pEGFP/IDOp-transfected cells
(2105 cells/ml) were cultured with and without DISCUSSION
IFN- (10 ng/ml) in the presence of the TNF-
(5 ng/ml), IL-1 (3 ng/ml), LPS (10 ng/ml) or medium While previous studies on the regulation of expres-
alone. After 48 h incubation, cells were harvested and sion of the IDO gene in response to combined treat-
resuspended in PBS for flow cytometric analysis ment with IFNs and pro-inflammatory cytokines were
(Fig. 3B). Cells cultured with medium or immuno- performed in cells of a macrophage lineage,13–16 some
modulating agents alone showed no increase in MFI studies suggested that TNF- enhanced the anti-
(Fig. 4A). IFN--treated cells had a 12-fold increase in microbial effects of IFN- in an epithelial-like cell line
MFI over medium alone. Furthermore, cells cultured (HEp-2) by a tryptophan-dependent mechanism.9,19
with IFN- in combination with TNF- or IL-1 Although increased IDO activity was measured in only
showed a significant two-fold increase (P<0.001) in one of these studies,19 in both, administration of excess
MFI above that of IFN- alone. LPS in combination tryptophan was able to reverse the enhanced anti-
with IFN- had no effect on MFI. Transfected cells microbial effect of combined IFN- and TNF- treat-
were tested for IDO activity in parallel and showed a ment, indicating that synergistic enhancement of IDO
similar increase in IDO activity to that of untransfected activity could be demonstrated in non-macrophage cell
cells. While TNF-, IL-1, and LPS induced no IDO lines.
activity when used alone, both TNF- and IL-1 To extend these observations and more fully
induced two-fold increases in IDO activity in characterize the enhancing effect of pro-inflammatory
IFN-treated cells (Fig. 4B). cytokines on IFN--induced IDO activity, the HeLa
To correlate IDO activity with GFP expression, human epithelioid cervical carcinoma cell line was
duplicate sets of enriched pEGFP/IDOp-transfected chosen for study. Similar to what has been observed in
cells were cultivated with or without IFN- (10 ng/ml) macrophages (Currier et al., unpublished data),13
in the presence of increasing concentrations of TNF- TNF- and IL-1 synergistically increase IDO activity
(0.005–50 ng/ml). After 48 h incubation, one set of in IFN--treated HeLa cells. Furthermore, the concen-
stimulated cells was tested for IDO activity while the trations of IL-1 and TNF- that maximally enhanced
other set was analysed for GFP expression. A dose- IDO activity in macrophages and HeLa cells were
dependent increase in IDO activity was observed in the identical. However, there are some differences in IDO
transfected HeLa cells similar to that observed in induction in macrophages and HeLa cells. While
untransfected cells (Fig. 5). This dose-dependent IFN- at 1 ng/ml alone induced no IDO activity in
increase in IDO activity correlated with MFI that was macrophages, maximum IDO activity was induced
quantified in parallel cultures at all but the highest when it was used in combination with IL-1 or TNF-.
Activation of IDO in epithelial cells / 591
80
A
70
60
50
40
30
20
Relative cell number
10
0
B
70
60
50
40
30
20
10
0
100 101 102 103 104
Fluorescence
Figure 3. GFP expression is under the control of the IDO promoter.
HeLa cells were transfected with the pEGFP/IDOp reporter vector, cultured with medium alone, IFN- (10 ng/ml), or IFN- combined with
TNF- (5 ng/ml) for 48 h, and analysed for GFP expression by flow cytometry. Representative histogram overlays of unstimulated (– – – –) and
IFN--stimulated cells ( ) (A) and cells stimulated with IFN- ( ) or combined IFN- and TNF- ( ) (B) are presented.
This differs from HeLa cells, in which at least 3 ng/ml Initial work in characterizing the molecular mech-
of IFN- was required for enhancement of IDO anism involved in synergistic cytokine interactions
activity by TNF- and IL-1, and 30 ng/ml of IFN- in resulting in increased IDO enzyme activity evaluated the
combination with TNF- or IL-1 was required for relative changes in mRNA occurring in stimulated hu-
maximum IDO induction. Furthermore, HeLa cells did man macrophages and THP-1 cells by RT-PCR. When
not respond to LPS, even at 100 times the concen- these cells were stimulated with IFN- in combination
tration used to maximally enhance IDO activity in with IL-1 or LPS, each generated a dose-dependent
IFN--treated macrophages. This was not surprising, increase in IDO mRNA expression, and this increase
since macrophages are known for their responsiveness correlated with the increase in IDO activity.14,15
to sub-nanogram concentrations of LPS.20 Inasmuch as IFN- alone transcriptionally activates of
592 / Babcock and Carlin CYTOKINE, Vol. 12, No. 6 (June, 2000: 588–594)
160 220 35
200
140 30
Fluorescence ( )
Fluorescence (MFI)
140
100 20
120
80 100 15
80
60 10
60
40 40
5
20
20 0 0
0 0.005 0.05 0.5 5 50
0 [TNF] (ng/ml)
Figure 5. TNF- concentration-dependent increases in GFP
50 expression and IDO activity.
Specific catabolism (%)
activity by TNF- and IL-1. Alternatively, these treated with increasing concentrations of IFN- (1–30 ng/ml)
proinflammatory cytokines might upregulate IFN- alone or in combination with TNF (5 ng/ml), IL-1 (3 ng/ml)
receptor expression,24 resulting in greater sensitivity to or LPS (10 ng/ml). Plates were then incubated for 48 h at
sub-optimal concentrations of IFN-. 37C, at which time the IDO activity was determined.
Assessment of promoter activity in transfectants 8. Byrne GI, Lehmann LK, Landry GJ (1986) Induction of
tryptophan catabolism is the mechanism for gamma-interferon-
Transfected HeLa cells (2105 cells/ml) were plated in mediated inhibition of intracellular Chlamydia psittaci replication in
24-well plates and cultured with or without IFN- (10 ng/ml) T24 cells. Infect Immun 53:347–351.
in the presence of the TNF- (5 ng/ml), IL-1 (3 ng/ml), LPS 9. Summersgill JT, Sahney NN, Gaydos CA, Ramirez JA
(10 ng/ml) or medium alone. After 48 h incubation, half the (1995) Inhibition of Chlamydia pneumoniae growth in HEp-2 cells
pre-treated with gamma interferon and tumor necrosis factor alpha.
cultures were analysed for IDO activity as previously Infect Immun 63:2801–2803.
described. The other half of the cultures were harvested with 10. Schmitz JL, Carlin JM, Borden EC, Byrne GI (1989)
EDTA/trypsin and resuspended in 400 l of PBS for flow Beta-interferon inhibits Toxoplasma gondii growth in human
cytometric analysis using a FACScan flow cytometer (Becton monocyte-derived macrophages. Infect Immun 57:3254–3256.
11. Thomas SM, Garrity LF, Brandt CR, Schobert CS, Feng
Dickinson, San Jose, CA, USA). Dead cells and debris were GS, Taylor MW, Carlin JM, Byrne GI (1993) IFN--mediated
excluded from analysis based on forward angle and side antimicrobial response: indoleamine 2,3-dioxygenase-deficient
scatter light gating. At least 10 000 gated events were col- mutant host cells no longer inhibit intracellular Chlamydia spp. or
lected for analysis of each sample. Excitation of the enhanced Toxoplasma growth. J Immunol 150:5529–5534.
GFP was achieved using an argon laser tuned to 488 nm. 12. Gupta SL, Carlin JM, Pyati P, Dai W, Pfefferkorn ER,
Murphy MJ Jr (1994) Antiparasitic and antiproliferative effects
Green fluorescence was recorded in the FL1 emission channel of indoleamine 2,3-dioxygenase enzyme expression in human
containing a 530/30 nm filter. CELLQuest software (Becton fibroblasts. Infect Immun 62:2277–2284.
Dickinson) was used for analysis of the data. Mean fluor- 13. Hissong BD, Byrne GI, Padilla ML, Carlin JM (1995)
escence intensity was calculated using the linear value for Upregulation of indoleamine 2,3-dioxygenase in human macrophage
cultures by lipopolysaccharide, muramyl tripeptide and
each event. interleukin-1. Cell Immunol 160:264–269.
14. Hu B, Hissong BD, Carlin JM (1995) Interleukin-1
enhances indoleamine 2,3- dioxygenase activity by increasing specific
mRNA expression in human mononuclear phagocytes. J Interferon
Acknowledgements Cyto Res 15:617–624.
15. Hissong BD, Carlin JM (1997) Potentiation of interferon-
This work was supported by Public Health Service induced IDO mRNA in human mononuclear phagocytes by
lipopolysaccharide and interleukin-1. J Interferon Cyto Res 17:
Grant No. AI/OD39727 from the National Institute of 387–393.
Allergy and Infectious Diseases (JMC) and a Grant-in 16. Werner-Felmayer G, Werner ER, Fuchs D, Hausen A,
Aid from Sigma Xi (TAB). We thank Sondra Reibnegger G, Wachter H (1990) Neopterin formation and
tryptophan degradation by a human myelomonocytic cell line
Karipides for synthesizing the oligonucleotide primers (THP-1) upon cytokine treatment. Cancer Res 50:2863–2867.
used in this study, and Dr. George Babcock at the 17. Carlin JM, Weller JB (1995) Potentiation of interferon-
University of Cincinnati Medical Center for the use of mediated inhibition of Chlamydia infection by interleukin-1 in
human macrophage cultures. Infect Immun 63:1870–1875.
and assistance with the cell sorter. 18. Carlin JM, Borden EC, Byrne GI (1989) Interferon-induced
indoleamine 2,3-dioxygenase activity inhibits Chlamydia psittaci
replication in human macrophages. J Interferon Res 9:329–337.
19. Shemer-Avni Y, Wallach D, Sarov I (1989) Reversion of the
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