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Department of Nephrology, Soroka University Medical Center, Ben-Gurion University of the Negev, Faculty of Health Sciences, Beer-Sheva, Israel.
Correspondence to Dr. Amos Douvdevani, Nephrology Laboratory, Soroka Medical Center, P.O. Box 151, Beer-Sheva 84101, Israel. Phone: + +972-7-6403214; Fax: + +972-7-6281361; E-mail: amosd{at}bgumail.bgu.ac.il
Abstract. Limited data are available concerning the interaction
between lymphocytes and human peritoneal mesothelial cells (HPMC) during
peritonitis. CD40 is a member of the tumor necrosis factor (TNF) family of
receptors whose ligand (CD154) is mainly expressed on the membrane of
activated CD4-positive lymphocytes. CD154-CD40 cross-linking is a central
event in antigen presentation, B-cell activation by T cells, and regulation of
cytokine secretion from various types of cells. The goal of this study was to
demonstrate in vitro the presence of CD40 on HPMC and to test its
functionality in inducing interleukin-15 (IL-15) and RANTES. We assayed the
levels of CD40 by reverse transcription-PCR and flow cytometry and IL-15 and
RANTES by enzyme-linked immunosorbent assay. Genetically modified L cells that
express elevated levels of CD154 (CD40L cells) were used to stimulate CD40.
HPMC express CD40 mRNA and protein. After stimulation with interferon-
(IFN
, 5U/ml) or TNF
(1 ng/ml), there was a small increase in
CD40 mRNA and protein levels; when both cytokines were applied, the increase
in CD40 levels was more than threefold. CD40 ligation induced IL-15 production
by HPMC and was additive to IFN
stimulation. CD40 ligation was strongly
synergistic with IFN
in induction of RANTES (20-fold as compared with
unstimulated HPMC), whereas neither ligation nor IFN
alone could induce
RANTES. Pretreatment of HPMC with TNF
and IFN
increased the
response to CD40 ligation in magnitudes that correlated with the elevation of
CD40 levels induced by the pretreatment. To conclude, the presence of a
functional CD40 on HPMC whose ligation induced IL-15 and RANTES production was
detected. It is possible that this receptor acts as a major mediator of
T-cellregulated immune and inflammatory response during
peritonitis.
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