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Toxicological & Environmental Chemistry
To cite this article: Jesus Olivero-Verbel, Robert A. Roth & Patricia E. Ganey (2011): Dioxin alters
inflammatory responses to lipopolysaccharide, Toxicological & Environmental Chemistry, 93:6,
1180-1194
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Toxicological & Environmental Chemistry
Vol. 93, No. 6, July 2011, 1180–1194
Department of Pharmacology and Toxicology, Center for Integrative Toxicology, Michigan State
University, East Lansing, MI 48824, USA
(Received 25 November 2010; final version received 30 March 2011)
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Introduction
2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD) is one of the most potent environmental
pollutants. TCDD may be found as a contaminant in the ecosystem as a byproduct of
waste incineration, combustion, and industrial processes, among other sources (Kulkarni,
Crespo, and Afonso 2008; Xu et al. 2009). In addition, the excessive production of
electronic waste has recently increased awareness about TCDD-like compounds not only
for the environment but also for potential human exposure (Chan et al. 2007; Chatterjee
2007). The primary adverse effects due to TCDD identified in humans include chloracne
(Pape and Stahlmann 2007), central neurotoxicity, and hepatotoxicity (Pelclová et al.
2006). Most of these effects depend on the activation of the aryl hydrocarbon receptor
(AhR), which acts as a transcription factor. TCDD binds to AhR, activating signal
transduction networks that trigger changes in the expression of target genes involved in
cell stress responses (Matsumura and Vogel 2006), matrix metabolism (Hillegass et al.
2006), lipid and glucose metabolism (Sato et al. 2008), growth regulation (Patel et al.
2006), and reproduction (Miyamoto 2004), among many other responses.
There is considerable evidence of crosstalk between TCDD-activated signaling
networks and those elicited by chemical stressors or pathogens (Khan et al. 2007; Neff-
LaFord et al. 2007). The findings with pathogens support the notion that processes evoked
by infection may be impacted by TCDD exposure (Ilbäck and Friman 2007). During
infection, inflammation is a common response to pathogens. For example, the cell walls of
Gram-negative bacteria contain lipopolysaccharide (LPS), a macromolecule that induces
inflammation by modulating signaling pathways that lead to activation of the innate
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Experimental protocol
Mice were treated with sesame oil vehicle or 30 mg kg1 TCDD (499%, purchased from
Supelco, Bellefonte, PA) by oral gavage (p.o.). Four days later, saline or LPS (0.01–
3.2 [ 107] endotoxin units (EU)/kg, lot 024K4067, derived from Escherichia coli serotype
055:B5, Sigma Aldrich, St Louis, MO) was administered by i.p. injection. These doses were
selected based upon results of preliminary experiments and on published data (North et al.
2009). At various times afterwards, animals were anesthetized with sodium pentobarbital
(50 mg kg1 i.p.). Blood for preparation of plasma was collected via the caudal vena cava
into tubes containing sodium citrate (final concentration 0.76%). Livers were removed
surgically for histopathological studies. Sections of the middle and left lateral liver lobes
were isolated and fixed in 10% neutral buffered formalin, and, 24 h later, preserved in 70%
ethanol. Additional sections were frozen immediately in liquid nitrogen and stored at
80 C. These experiments were repeated twice with similar results.
1182 J. Olivero-Verbel et al.
Histological examination
Hepatic tissue fixed in 10% neutral buffered formalin was embedded in paraffin, sectioned
at 8 mm, and stained with hematoxylin and eosin (H&E) using standard histological
techniques. Frozen sections stained with oil Red O were used to detect hepatocellular lipid
accumulation.
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Statistical analysis
Data are expressed as the mean SEM. Statistical analysis for comparisons between
treatment groups was performed using one-way analysis of variance (ANOVA). Multiple
comparisons were performed using the Tukey–Kramer method. p-Values less than 0.05
were considered statistically significant. All calculations were performed using SigmaStat
Software (Aspire Software International, VA).
Toxicological & Environmental Chemistry 1183
40,000 3500 600
Vehicle/Saline Vehicle/Saline Vehicle/Saline
IL-6 3000 * IL-10 IL-12
* TCDD/Saline TCDD/Saline 500 TCDD/Saline
* Vehicle/LPS Vehicle/LPS Vehicle/LPS
30,000
)
)
)
2500
–1
–1
–1
TCDD/LPS TCDD/LPS TCDD/LPS
400
IL-6 (pg mL
IL-12 (pg mL
IL-10 (pg mL
2000
20,000 300
1500
200
1000
10,000
500 100
0 0 0
0 4 8 12 16 20 24 0 4 8 12 16 20 24 0 4 8 12 16 20 24
Hours after LPS Hours after LPS Hours after LPS
)
–1
Vehicle/LPS Vehicle/LPS
)
–1
Vehicle/LPS
–1
2500
IFN-g (pg mL
TCDD/LPS TCDD/LPS
TNF-a (pg mL
MCP-1 (pg mL
TCDD/LPS
1500 2000 30,000
500
0 0 0
0 4 8 12 16 20 24 0 4 8 12 16 20 24 0 4 8 12 16 20 24
Hours after LPS Hours after LPS Hours after LPS
Results
Inflammation in TCDD/LPS-treated mice
The time course of changes in plasma concentrations of cytokines was determined
(Figure 1). The concentration of interleukin (IL)-6 in plasma of vehicle-treated mice was
small and did not change significantly over 24 h. Similarly, treatment with TCDD alone
did not markedly affect the plasma concentration of IL-6. LPS produced an increase in
plasma IL-6 concentration by 2 h that returned to baseline by 8 h. In TCDD/LPS-treated
mice, the peak concentration of IL-6 was three-fold greater than that seen with LPS alone.
A similar pattern was observed for IL-10, interferon (IFN)- , and tumor necrosis factor
(TNF)- . TCDD also augmented the LPS-induced rise in monocyte chemoattractant
protein (MCP)-1, but the magnitude of this effect was small compared to the other
mediators. TCDD did not markedly affect the LPS-mediated increase in IL-12.
LPS produced a dose-dependent rise in the concentration of IL-6 in plasma at 4 h
(Figure 2). Pretreatment with TCDD resulted in a shift of this dose–response relationship
to the left, with significant differences observed at LPS doses of 0.05 107 and
0.2 107 EU kg1 LPS.
Figure 2. Dose–response relationship for plasma concentration of IL-6 in mice treated with TCDD
and/or LPS. Mice received a single administration of TCDD (30 mg kg1) or its vehicle, p.o., and 4
days later they were given saline or a single administration of LPS (0.01–3.2 x 107 EU kg1, i.p.). Mice
were anesthetized and plasma taken 4 h after administration of LPS. Values are means SEM; n ¼ 5.
*Significantly different from vehicle at the same dose of LPS.
IL-6 mRNA (Relative expression)
14 300
Vehicle *
IL-6 Vehicle IL-10 ** IL-12
50 TCDD 12 Vehicle *
TCDD 250
TCDD
40 * 10
200
*
8 *
30 150
6
20 100
4
10 50
2
0 0 0
Saline LPS Saline LPS Saline LPS
MCP-1 mRNA (Relative expression)
TNF-α mRNA (Relative expression)
IFN-γ mRNA (Relative expression)
100 120
Vehicle Vehicle *
Vehicle *
30 TCDD IFN-g TNF-a 100 MCP-1 *
** TCDD * TCDD
80
80
20 60
60
40
40
10
20 20
0 0 0
Saline LPS Saline LPS Saline LPS
Figure 3. mRNA expression of cytokines in livers from mice treated with LPS and/or TCDD. Mice
were treated as described in the legend to Figure 1, and livers were collected for measurement of
mRNA by RT-PCR immediately before or 2 h after LPS administration. For calculation of relative
changes, the average expression for the vehicle group before treatment with LPS (time 0) was set as 1.
Values are means SEM from at least three animals/group.
*Significantly different from respective group treated with saline.
**Significantly different from the respective group not exposed to TCDD.
Table 1. Time course of ALT activity in plasma of mice treated with TCDD and/or LPS.
Treatment 0 2 4 8 12 24
Veh/Sal 27.5 1.4 (12) 44.5 7.4 (5) 44.5 3.1 (9) 31.3 2.3 (9) 35.7 1.8 (5) 55.2 3.9 (5)
TCDD/Sal 102.8 10.7* (14) 71.5 14.0 (6) 92.7 14.6* (8) 52.9 6.8 (7) 63.4 3.7 (6) 79.0 6.6 (6)
Veh/LPS NA 44.2 4.0 (5) 58.7 6.8 (9) 53.4 5.5 (9) 47.4 6.3 (7) 110.3 31.2 (7)
TCDD/LPS NA 94.9 7.8* (7) 108.4 15.1* (7) 84.7 14.8** (7) 80.2 10.5* (8) 95.8 8.1 (5)
Notes: Mice received a single administration of TCDD (30 mg kg1) or its vehicle, p.o., and 4 days later were given a single dose of LPS
(0.05 107 EU kg1, i.v.) or its saline vehicle. Mice were anesthetized immediately before (time 0) or 2, 4, 8, 12, or 24 h after administration of LPS or its
vehicle, and plasma was collected for determination of the activity of ALT. Data were analyzed within time by one-way ANOVA. Numbers in parentheses
represent n for each group.
*Significantly different from respective group in the absence of TCDD treatment.
**Significantly different from respective group in the absence of LPS treatment.
Toxicological & Environmental Chemistry
1185
1186 J. Olivero-Verbel et al.
histologically (Figure 4). Intracytoplasmic lipid droplets were prominent in livers from
animals treated only with TCDD, and occasional foci of inflammatory cells (mononuclear
and neutrophils) were observed in isolated foci throughout the liver sections. Livers of
mice treated only with LPS had abundant neutrophils scattered throughout the lobules
(not in isolated foci) but no necrosis. In livers of mice co-treated with TCDD and LPS,
steatosis was prominent, and neutrophils appeared in large foci of inflammatory cells.
The number of neutrophils in liver was quantified (Figure 5). LPS administration
produced an increase in the number of hepatic neutrophils by 2 h that was sustained for at
least 12 h. Except for a small reduction at 2 h, TCDD did not markedly affect this response
to LPS.
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Discussion
AhR agonists such as dioxins modulate diverse biochemical and physiological processes
including oxidative stress, metabolism, circadian rhythm, cell proliferation and differen-
tiation, tumor formation, and teratogenesis (Barouki, Coumoul and Fernandez-Salguero
2007; Lin et al. 2007; Shimba and Watabe 2009). In this study, the effects of TCDD on
LPS-induced inflammation were investigated in vivo, showing evidence of synergistic
effects of TCDD on LPS-induced cytokine production.
Co-treatment of mice with TCDD and LPS led to greater protein expression of several
cytokines/chemokines compared to treatment with either agent alone (Figures 1 and 2).
Interactions between TCDD and LPS have been studied both in vitro and in vivo, and
diverse results were noted. For instance, in LPS-sensitized RAW 267.4 cells, a murine
macrophage cell line, TCDD amplified mRNA expression of IL-6 and -1 , but not TNF-
(Pestka and Zhou 2006). On the other hand, TCDD reduced LPS-stimulated IL-6 mRNA
and protein expression in a bone marrow stromal cell line (Jensen et al. 2003).
Furthermore, TCDD exerted no marked effect on IL-6 or IL-8 production induced by
LPS or granulocyte colony-stimulating factor in human airway epithelial cells, alveolar
macrophages, or peripheral blood leukocytes (Lang et al. 1998). In vivo studies showed
that TCDD alters the LPS-suppressed IgM antibody-forming cell number (North et al.
2009), as well as modulates caspase activity in LPS-treated animals independently from
NFkappaB (Patterson, Stachlewitz, and Germolec 2003) and increased lethality from LPS
(Rosenthal et al. 1989). Thus, the effect of interaction of TCDD and LPS in vitro and
in vivo varies with cell type and with treatment conditions.
Despite significant increases in plasma cytokine concentrations, TCDD led to
enhanced mRNA expression in liver only for IFN- and IL-10. One explanation for
this is that the cytokines for which hepatic mRNA expression was not raised are produced
in other tissues. For instance, IL-6 and TNF- are also produced in adipose tissue (Ishii
and Yoshida 2010; Tilg 2010). Another possibility is that cytokines are produced by
nonparenchymal cells in the liver, and the contribution of these cells to total mRNA
Toxicological & Environmental Chemistry 1187
(A)
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(B)
(C)
(D)
Figure 4. Histopathology and neutrophil accumulation in livers of mice treated with TCDD and/or
LPS. Mice were treated as described in the legend to Figure 1. Liver samples were taken before
(A:Veh, B:TCDD) or 2 h after (C:Veh/LPS, D:TCDD/LPS) LPS treatment. Livers were stained for
neutrophils as described in ‘‘Materials and methods’’, and these cells appear red in the
photomicrographs. Sections on the left were photographed at a magnification of 600 . Sections
on the right were photographed at a magnification of 200 and are presented to show the
distribution of neutrophils and lesions.
1188 J. Olivero-Verbel et al.
20
Vehicle
TCDD
Hepatic Neutrophils/HPF
15
10
*
5
0
0 2 12 24
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Figure 5. Quantification of neutrophil accumulation in livers from mice treated with TCDD and/or
LPS. Mice were treated as described in the legend to Figure 1, and liver samples were taken before
(time 0) or 2, 12, or 24 h after LPS treatment. Neutrophils were quantified as described in Materials
and methods. Values are means SEM from at least three animals/group.
*Significantly different from vehicle at the same time.
Veh/Sal Veh/LPS
TCDD/Sal TCDD/LPS
Figure 6. Lipid accumulation in livers of mice treated with TCDD and/or LPS. Mice were treated as
described in the legend to Figure 1. Liver samples were taken 24 h after LPS treatment, and lipid
deposition was detected by staining with oil Red O as described in Materials and methods (Original
magnification 200).
Treatment of rats in vivo with TCDD led to greater nitric oxide and TNF- production
in response to LPS (Glover et al. 2000); the latter result is similar to results presented here
for mice (Figure 1). In some studies in which LPS was co-administered with other agents
with resultant elevation in plasma concentrations of proinflammatory cytokines in excess
of those produced by LPS alone, animals developed liver damage (Barton et al. 2001; Yee,
Ganey, and Roth 2003; Shaw, Ganey, and Roth 2009). This is in contrast to findings
presented here for TCDD in which co-treatment led to larger foci of inflammatory cells
and greater lipid accumulation, but no frank injury. In other studies, co-treatment of mice
with TCDD and LPS led to greater serum ALT activity and increased hepatic apoptosis
compared to treatment with either agent alone, but these effects were not observed until 10
and 14 days after exposure, respectively (Patterson, Stachlewitz, and Germolec 2003). In
addition, the dose of TCDD used in that study was greater (100 mg kg1) than the one
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used here.
Earlier studies suggested that TCDD alone has proinflammatory properties. For
example, in human macrophages, TCDD induced several cytokine and chemokine genes in
a manner dependent on RelB (Vogel, Sciullo, and Matsumura 2007), a subunit of
NF-kappa B that physically interacts with AhR (Vogel et al. 2007b). TCDD enhanced the
hepatic expression of MCP-1 and keratinocyte chemoattractant (KC) in mice within 1 day
of treatment (Vogel et al. 2007a). The rise was sustained for 10 days and accompanied by
an elevation in expression of a marker for macrophages at day 7. Moreover, at least in the
case of KC, a functional AhR was necessary for the induction. Furthermore, Clark and
Taylor (1994) proposed that some of the toxicity of TCDD might be attributed to TNF-
production. These results are in contrast to data presented here demonstrating that 4 days
after treatment, TCDD alone did not alter hepatic gene expression or plasma protein
concentration for a number of cytokines (Figures 1 and 3). Others also observed a lack of
induction of proinflammatory mediators after treatment with TCDD alone (Glover et al.
2000; Patterson, Stachlewitz, and Germolec 2003).
TCDD augmented the plasma levels of IL-6, IL-10, and IFN- induced by LPS. Nandi
et al. (2010) reported that IL-6 can attenuate liver injury induced by LPS, probably by
modulating the release of IL-10, a potent anti-inflammatory cytokine. This might explain
the lack of frank hepatic necrosis in TCDD/LPS-treated mice. However, Gomez et al.
(2009) linked IL-6 to tissue injury, although its role may be insult-specific. Regarding
IFN- , the effects of TCDD on LPS-induced expression are similar to those observed for
ovalbumin (Nohara et al. 2009), an effect attributed to AhR activation on T-cells.
Inflammation is associated with accumulation of inflammatory cells, particularly
neutrophils, in tissue (Alves-Filho et al. 2008). Unlike the effect to increase plasma
concentrations of cytokines, TCDD produced a mild decrease in neutrophil accumulation
in the livers 2 h after LPS injection. This effect might be the result of neutrophil migration
toward large foci of inflammatory cells, decreasing the apparent number of cells per field.
Vorderstrasse and Lawrence (2006) showed that treatment of mice with TCDD prior to
intranasal infection with Streptococcus pneumoniae increased survival but decreased the
number of neutrophils in the lungs. In this study, large foci of inflammatory cells
(mononuclear cells and neutrophils) were observed in livers of co-treated mice. These
mixed cell infiltrations, were also found in immature, ovariectomized mice treated with
larger doses of TCDD (Kopec et al. 2008), and were linked with changes in expression of
immune signaling-related genes (Swindell, Johnston, and Gudjonsson 2010).
As shown here, liver steatosis induced by TCDD increased after treatment with LPS.
Hepatic lipid accumulation is a hallmark of TCDD exposure (Chang et al. 2005). Steatosis
has been considered as a predisposing factor for more severe inflammation-related
1190 J. Olivero-Verbel et al.
pathological conditions such as fibrosis (Yilmaz et al. 2007) and cirrhosis (Reddy and Rao
2006; Björnsson and Angulo 2007). Steatosis has also been linked to minor increases in
serum activity of ALT in animal models and humans (Guzzaloni et al. 2000), and this
might explain the small increases in plasma ALT activity observed in mice treated with
TCDD in the studies presented here (Table 1). Moreover, TNF- induces hepatic steatosis
by enhancing gene expression of sterol regulatory element binding protein-1c (SREBP-1c)
(Endo et al. 2007), and TCDD augmented the rise in TNF- plasma concentration induced
by LPS.
Evidence is accumulating that agonists of the AhR, such as TCDD (this study),
3-methylcholanthrene (Sekine et al. 2009), benzo[a]pyrene (Andreou et al. 2004), and
indirubin-30 -monoxime (Springs and Rice 2006), alter expression of genes and proteins
involved in inflammation-related processes. These effects might be important in the
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Acknowledgments
This study was supported by the National Institutes of Health, National Institute of Environmental
Health Sciences [Grant ES004911]. Jesus Olivero-Verbel was supported in part by the Postdoctoral
Training Program of Colciencias (2006–2007), Bogotá, Colombia, and the University of Cartagena,
Cartagena, Colombia.
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