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J Am Soc Nephrol 14:661-669, 2003
© 2003 American Society of Nephrology

Activation of the Gi Heterotrimeric G Protein by ANCA IgG F(ab')2 Fragments Is Necessary but not Sufficient to Stimulate the Recruitment of Those Downstream Mediators Used by Intact ANCA IgG

Julie M. Williams*, Anne Ben-Smith*, Peter Hewins*, Stephen K. Dove{dagger}, Philip Hughes{dagger}, Robert McEwan{dagger}, Michael J.O. Wakelam{ddagger} and Caroline O.S. Savage*

*Renal Immunobiology, {dagger}Department of Biochemistry, and {ddagger}Institute for Cancer Studies, MRC Centre for Immune Regulation, The Medical School, University of Birmingham, Birmingham, UK

Correspondence to Professor C.O.S. Savage, Renal Immunobiology, MRC Centre for Immune Regulation, The Medical School, University of Birmingham, Birmingham, B15 2TT, UK. Phone: 44-121-414-7042; Fax: 44-121-414-6840;


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
ABSTRACT. Anti-neutrophil cytoplasm autoantibodies (ANCA) are implicated in the pathogenesis of systemic vasculitis. Intact ANCA IgG activate superoxide generation in cytokine-primed neutrophils after binding their antigens and co-engaging Fc{gamma} receptors (Fc{gamma}R). The contribution of antigen binding via ANCA F(ab')2 fragments to signaling has been unclear. This study shows that both ANCA IgG and F(ab')2 fragments of ANCA IgG induce significant GTPase activity, which could be blocked with pertussis toxin and anti-Gi protein antibodies. Pertussis toxin inhibited ANCA IgG-induced superoxide generation but was without effect on superoxide production after conventional Fc{gamma}R ligation. ANCA F(ab')2 fragments did not induce superoxide generation. ANCA IgG activated PI 3-kinase–generating PIP3, activated protein kinase B (PKB), and p21ras; activation of each mediator was inhibited with pertussis toxin, but PI3K and PKB were not activated by ANCA IgG F(ab')2 fragments. Intact ANCA IgG induced tyrosine phosphorylation, whereas F(ab')2 fragments did not, and ANCA IgG-mediated superoxide generation was inhibited with genistein. Both genistein and pertussis toxin together completely abrogated the ANCA-induced oxidative burst. Genistein also inhibited ANCA IgG-induced PIP3 generation and p21ras activation. These data implicate a novel ANCA IgG stimulated signaling pathway that involves both F(ab')2-mediated antigen binding and Fc-mediated Fc{gamma}R ligation in cooperative interactions between Gi proteins and tyrosine kinases that facilitates activation of downstream mediators. E-mail: C.O.S.Savage@bham.ac.uk.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Anti-neutrophil cytoplasm antibodies (ANCA) directed against the enzymes proteinase 3 (PR3) and myeloperoxidase (MPO), are implicated in the pathogenesis of systemic vasculitis. In vitro, ANCA IgG can activate TNF-{alpha}–primed neutrophils, causing an oxidative burst, accelerated apoptosis, and damage to vascular endothelial cells (1), suggesting that ANCA IgG plays a role in disease pathogenesis or amplification of vascular injury (2).

Priming of neutrophils with cytokines such as TNF-{alpha}, as is likely to occur in vivo during episodes of infection or inflammatory disease, induces translocation of target antigens (PR3 and MPO) from cytoplasmic granules to the extracellular surface, where they are accessible to autoantibody binding (34). Binding of the antibody triggers signaling events that lead to neutrophil activation. It is contentious whether these signaling events are initiated by ANCA F(ab')2 binding to MPO or PR3 (2,5) or proceed via antibody binding to Fc{gamma}RIIa and Fc{gamma}RIIIb receptors (68) or both. We and others have reported that Fc{gamma} receptor ligation is important for ANCA-mediated neutrophil activation (69), and ANCA F(ab')2 fragments are not activating (67,9); whereas blocking Fc{gamma}R engagement by pretreating with anti-Fc{gamma}R antibodies inhibits ANCA IgG-induced superoxide production (10).

Despite this key role for Fc{gamma}R ligation, we have recently demonstrated that ANCA IgG activate neutrophils in a manner distinct from activation induced by conventional Fc{gamma}R ligation using either cross-linking antibodies or aggregated IgG (10). ANCA IgG activation of TNF-{alpha}–primed neutrophils, unlike conventional Fc{gamma}R cross-linking, does not activate phospholipase D (PLD) or generate phosphatidate or diacylglycerol (10). Unlike conventional Fc{gamma}R cross-linking, stimulation with ANCA IgG did not activate the phosphotyrosine-associated p85/p110 isoform of phosphatidylinositol (PI) 3-kinase, although there was significant production of PIP3 after ANCA IgG stimulation (10). Both ANCA IgG and conventional Fc{gamma}R cross-linking also activated protein kinase B (PKB/Akt), although the kinetics of the response were different (10). In this study, we have investigated the ability of ANCA IgG F(ab')2 fragments to contribute to signal transduction. The results demonstrate that ANCA IgG activate G{alpha}i-proteins, induce hydrolysis of GTP, and activate p21ras. However, ANCA IgG F(ab')2 are insufficient to recruit further downstream mediators such as PIP3 and PKB and, as previously observed (9), are unable to generate superoxide production at equivalent antigen-binding concentrations to intact ANCA IgG. Therefore, neutrophil activation by ANCA IgG seems to require binding of the intact molecule to both antigen and Fc receptors for effective signal transduction that leads to significant functional events.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Isolation of Neutrophils
Blood was obtained from healthy volunteers, and neutrophils were separated by centrifugation over a Percoll discontinuous density gradient (11).

Preparation of ANCA and Normal IgG
Serum samples were obtained from four MPO-ANCA IgG–positive patients with microscopic polyangiitis (MPA), four PR3-ANCA IgG–positive patients with Wegener granulomatosis (WG), and three healthy volunteers. The patients fulfilled the Chapel Hill definitions for MPA and WG (12); all samples were obtained at first acute presentation. IgG was prepared from these serum samples using selection on Protein G-sepharose columns (Amersham Pharmacia Biotech, Little Chalfont, UK) with endotoxin-free materials. The protein content of these samples was estimated, and the IgG used at either 200 or 250 µg/ml (unless otherwise stated) concentrations of ANCA, but not normal, IgG that were able to induce substantial superoxide generation in 105 TNF-{alpha}–primed neutrophils (200 µg/ml) or 2 x 107 TNF-{alpha}-primed neutrophils (250 µg/ml; data not shown). IgG samples were free of endotoxin contamination as assessed by a Limulus amoebocyte assay (Sigma-Aldrich, Poole, UK). All assays were done in the absence of serum to avoid endotoxin-induced binding and activation.

Preparation of F(ab')2 Fragments
F(ab')2 fragments were prepared from three MPO-ANCA, three PR3-ANCA, and three normal IgG samples as described previously (9), using endotoxin-free materials. F(ab')2 fragments were still able to bind to alcohol-fixed neutrophils, as shown by indirect immunofluorescence. An enzyme-linked immunosorbent assay (ELISA) using MPO- and PR3-coated wells (Binding Site, Birmingham, UK) was used to compare the binding activity of the parent ANCA IgG and F(ab')2 fragments as described previously (13) and used in subsequent assays at concentrations corresponding to equivalent antigen-binding capacity.

Treatment with Pertussis Toxin or Genistein
Freshly isolated neutrophils were resuspended at a concentration of 107 cells/ml and treated with 0.1 to 2 µg/ml pertussis toxin (Calbiochem-Novabiochem, Nottingham, UK) for 2 h or 150 µM genistein (Sigma) for 30 min at 37°C. The cells were resuspended at an appropriate concentration and primed with 2 ng/ml TNF-{alpha} (National Institute for Biological Standards and Control, Potters Bar, UK) for 15 min at 37°C before stimulation. These concentrations of inhibitors have been shown previously to abolish ANCA IgG-induced tyrosine phosphorylation (genistein) (9) and fMLP-induced superoxide generation (pertussis toxin) (10) with no associated cytotoxicity.

Superoxide Assay
Pertussis toxin and genistein-treated or untreated neutrophils were resuspended at a concentration of 5 x 105 cells/ml in Hanks’ Balanced Salt Solution (Sigma-Aldrich) containing 10 mM HEPES pH 7.4 (HBH) and primed with 2 ng/ml TNF-{alpha} for 15 min at 37°C. Aliquots of 105 cells were then stimulated either with 1 µM fMLP (Sigma-Aldrich), 200 µg/ml MPO-ANCA, PR3-ANCA, or normal IgG or F(ab')2 fragments at concentrations found to give equivalent antigen-binding compared with the corresponding whole parent antibody. Superoxide release was measured over 15 min using a microtitre plate assay based on the superoxide dismutase inhibitable reduction of ferricytochrome c as described previously (14).

All samples were tested in triplicate and all the experiments were repeated three times using different neutrophil donors.

Generation of Neutrophil Membrane Samples
Pertussis toxin-treated or untreated neutrophils were resuspended at a concentration of 2 x 107/ml in HBH and primed with 2 ng/ml TNF-{alpha} for 15 min at 37°C. Neutrophil membrane preparations were then generated as described previously (9). The protein content was assessed using the Bio-Rad method (Bio-Rad, Hemel Hempstead, UK), and the samples were stored at -80°C.

GTPase Activity Assay
The rate of hydrolysis of GTP was assessed in aliquots of 10 µg membrane samples after incubation with fMLP, MPO-ANCA, PR3-ANCA, normal IgG, or F(ab')2 fragments for 20 min at 37°C as described previously (15).

In other experiments, membrane samples were pre-incubated for 1 h at 37°C with 1/100 dilutions of either an anti-G0 {alpha}-subunit antibody or an anti-G{alpha}i-1,2,3 antibody (both rabbit polyclonal antisera, Calbiochem-Novabiochem) before assessment of GTPase activity.

All samples were tested in triplicate, and experiments were repeated three times using membranes that were prepared on separate occasions using different neutrophil donors and with whole ANCA or normal IgG or F(ab')2 fragments prepared from different patients and healthy volunteers.

Measurement of PIP3 Generation
Pertussis toxin or genistein treated or untreated neutrophils were resuspended at a concentration of 5 x 107/ml in HBH containing 0.1% fatty acid–free BSA (Sigma-Aldrich). The cells were labeled with 2 mCi/ml [32P]orthophosphate (Amersham Pharmacia Biotech), primed with TNF-{alpha}, and stimulated with 1 µM fMLP, 250 µg/ml MPO-ANCA, PR3-ANCA, or normal IgG or F(ab')2 fragments at concentrations found to give equivalent antigen-binding compared with the corresponding whole parent antibody. PIP3 generation was determined as described previously (10). All samples were tested in duplicate, and the experiment was repeated twice.

Preparation of Soluble Cell Lysates
Pertussis toxin-treated or untreated neutrophils were resuspended at a concentration of 2 x 107/ml in HBH and primed with 2 ng/ml TNF-{alpha} and stimulated with 1µM fMLP, 250 µg/ml MPO-ANCA, PR3-ANCA, normal IgG or F(ab')2 fragments at concentrations found to give equivalent antigen-binding compared with the corresponding whole parent antibody. Cell lysates were prepared as described previously (10).

Assessment of PKB Activation
Pertussis toxin-treated or untreated neutrophils were resuspended at a concentration of 5 x 106 cells, primed with 2 ng/ml TNF-{alpha}, and then treated with fMLP for 30 s or 250 µg ANCA IgG/normal IgG or equivalent F(ab')2 for 15 min at 37°C. Cells were pelleted and resuspended in an ice-cold solution of 10% TCA. After incubation on ice for 15 min, precipitated material was recovered by centrifugation at 13,000 rpm for 5 min at 4°C. Pellets were washed twice with ice-cold acetone and then dried. Samples were resuspended in 2x sample buffer (0.125 M Tris, 20% vol/vol glycerol, 4% wt/vol SDS, 0.2 M dithiothreitol, 0.025 mg/ml bromophenol blue) and boiled for 10 min. Proteins were resolved on an 8% separating gel and blotted onto polyvinylidene fluoride (PVDF). After blocking for 1 h in 5% BSA/Tris–buffered saline/0.1% Tween 20, blots were probed with an anti-phosphoPKB antibody raised against phosphoserine 473 (New England Biolabs, Hitchin, UK) overnight at a concentration of 1:1000. After application of a secondary sheep anti-rabbit HRP-conjugated antibody, bands were visualized by ECL-Plus (Amersham-Pharmacia Biotech). Blots were then stripped and reprobed for total PKB (anti-Akt, New England Biolabs) at 1:1000 overnight at 4°C. After application of a secondary sheep anti-rabbit HRP-conjugated antibody, bands were visualized by ECL plus. Experiments were repeated five times using neutrophils that were prepared on separate occasions using different donors and with intact ANCA IgG, normal IgG and F(ab')2 fragments prepared from different patients and healthy volunteers.

Ras Activation Assay
The Ras-binding domain (RBD) of human Raf-1 (amino acids 1 to 149; a generous gift from Dr. S.J. Cooke, Babraham Institute, Cambridge) was expressed in the GST-containing vector pGEX-KG using BL21 Escherichia coli. The IPTG-induced GST-fusion protein (GST-RBD) was purified from lysed bacteria using glutathione agarose.

Neutrophils were purified as described and resuspended at 5 x 106 cells/ml. Cells were treated with pertussis toxin, genistein, or vehicle followed by priming with TNF-{alpha} as above. Aliquots of 2.5 x 106 cells were stimulated with either 1 µM fMLP for 30 s at 37°C or 250 µg ANCA IgG/normal IgG or equivalent ANCA F(ab')2 for 15 min at 37°C. Pelleted cells were snap frozen then resuspended on ice in lysis buffer with protease and phosphatase inhibitors (50 mM Tris [pH 7.5], 100 mM NaCl, 1% Triton X-100, 12 mM MgCl2, 1 mM EDTA [pH 8.0], 1 mM EGTA [pH 8.0], 20 mM NaF, 1 mM Na3VO4, 1 mM PNPP, 10 mM benzamidine, 10 µg/ml aprotinin, 10 µg/ml pepstatin, 10 µg/ml leupeptin, 10 µg/ml trypsin inhibitor). Extraction proceeded for 30 min, insoluble matter was removed, and lysates were incubated with 50 µl of a 50% slurry of glutathione agarose bound to GST-RBD for 30 min at 4°C. Beads were subsequently washed with PBS containing 5 mM MgCl2 and 0.1% Triton X-100, and active Ras was eluted by boiling in 2x sample buffer (0.125 M Tris, 20% vol/vol glycerol, 4% wt/vol SDS, 0.2 M dithiothreitol, 0.025 mg/ml bromophenol blue). Samples were resolved on 12% separating gel, transferred to PVDF membrane, blocked with 5% milk solution/Tris-buffered saline/0.1% Tween 20 for 3 h and exposed to anti-Ras (Upstate, Botolph Claydon, Bucks) at 0.5 µg/ml overnight at 4°C. After application of a secondary sheep anti-mouse HRP-conjugated antibody, bands were visualized by ECL plus (Amersham-Pharmacia Biotech). Blots were then stripped and reprobed with anti-GST antibody (Sigma-Aldrich) 1:5000 overnight at 4°C. After application of a secondary sheep anti-mouse HRP-conjugated antibody, bands were visualized by ECL (Amersham-Pharmacia Biotech).

Western Blotting for Phosphotyrosine Residues
Neutrophils in HBH at 2 x 107/ml were treated with 2 mM diisopropylfluorophosphate (Sigma-Aldrich) for 20 min at room temperature. After being washed once, neutrophils were resuspended in fresh HBH and primed with 2 ng/ml TNF-{alpha} for 15 min at 37°C. Aliquots (100 µl) were then stimulated with ANCA-IgG (400 µg/ml) or ANCA-F(ab')2 (at the equivalent dose). At relevant time points, equal volumes of hot 2x Laemmli sample buffer (125 mM Tris-HCl [pH 6.8]; 8% SDS; 10% {beta}-mercaptoethanol; 17% glycerol; 5 mM orthovanadate; 20 µg/ml leupeptin, 20 µg/ml aprotinin, 0.025% bromophenol blue) were added, and samples were boiled for 7 min. Samples were subjected to SDS-PAGE and transferred to PVDF membranes for Western blotting. Blots were first blocked with 5% BSA in Tris-buffered saline (TBS)-Tween for 30 min at room temperature and then incubated overnight at 4°C with anti-phosphotyrosine antibody (PY99; Santa Cruz, Autogen Bioclear, Caln, UK) in 5% BSA in TBS-Tween. After washing, blots were incubated for 1 h at room temperature with HRP-conjugated anti-mouse Ig antibody, washed again, and visualized using ECL-Plus (Amersham Biosciences, Balfont, UK). To confirm equal protein loading, blots were stripped and reprobed with anti-p38 MAPK antibody (New England Biolabs Inc, Hitchin, Herts, UK).

Statistical Analyses
Results are expressed as means ± SEM. For each data set, results from all the replicate experiments were pooled. Statistical significance was evaluated using ANOVA (Minitab v.13.1) to assess whether there was a significant overall effect of treatment and time. Where significant effects were found, individual analyses were also performed using Tukey-Kramner multiple comparison tests (Minitab), with these results presented as probability values (P). P <= 0.05 was considered to be statistically significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
F(ab')2 Fragments of ANCA IgG Induce GTPase Activity but not Superoxide Generation
To investigate the involvement of Gi/o proteins in ANCA-induced activation, GTPase activity was measured in membrane preparations from TNF-{alpha}–primed neutrophils. Stimulation of these membranes with both fMLP and ANCA IgG lead to GTPase activity (Table 1). F(ab')2 fragments of ANCA IgG at concentrations that gave equivalent antigen binding to intact ANCA IgG also induced significant membrane GTPase activity (Table 1). Stimulation with normal IgG or F(ab')2 fragments of normal IgG did not induce significant GTPase activity.


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Table 1. GTPase activity in TNF-{alpha}-primed neutrophil membranesa
 
However, F(ab')2 fragments were unable to support a superoxide response. Stimulation of such neutrophils for 15 min with fMLP and ANCA IgG produced superoxide levels of 3.1 ± 0.26 nmol/105 cells (P < 0.01) and 1.8 ± 0.2 nmol/105 cells (P < 0.05), respectively, whereas stimulation with either ANCA IgG F(ab')2 fragments (at concentrations that gave equivalent antigen binding as intact ANCA IgG) or normal IgG resulted in levels of <0.7 nmol/105 cells. Thus, the ability of F(ab')2 fragments of ANCA IgG to induce GTP hydrolysis and their inability to induce superoxide production despite the induction of a pertussis toxin-sensitive superoxide response by intact ANCA IgG suggest that antigen binding by ANCA F(ab')2 is necessary but not sufficient for full ANCA IgG induced neutrophil activation.

Pertussis Toxin and Anti-G{alpha}i Antibodies Inhibit ANCA-Induced GTPase Activity
The oxidative burst stimulated by fMLP and ANCA IgG was inhibited by pretreatment of TNF-{alpha}–primed neutrophils with 0.1 to 2 µg/ml pertussis toxin in a dose-dependent manner, confirming previous studies (10). Thus, treatment with 0.1 µg/ml pertussis toxin lead to 66% inhibition of the fMLP response and 55 to 70% inhibition of the ANCA IgG response (P < 0.01). Treatment with 2 µg/ml pertussis toxin gave complete inhibition of the fMLP response and up to 86% inhibition of the ANCA IgG response (P < 0.001; data not shown).

The effect of pertussis toxin on ANCA IgG-induced responses was not due to nonspecific inhibition of TNF-{alpha}–induced cell surface expression of MPO or PR3, as there was no alteration detected by flow cytometry after pertussis toxin pretreatment (data not shown). This suggested a direct involvement of Gi/o proteins in ANCA IgG-mediated neutrophil activation. In contrast, pertussis toxin was without effect on the stimulation of superoxide generation by conventional Fc{gamma}R engagement of TNF-{alpha}–primed neutrophils, either using anti-Fc{gamma}R cross-linking antibodies or aggregated IgG for 15 min (data not shown). Thus stimulation of neutrophils by fMLP and ANCA IgG, but not by conventional Fc{gamma}R engagement, recruits pertussis toxin-sensitive G-proteins.

Agonist-induced GTPase activity was inhibited by pretreatment with pertussis toxin in a dose-dependent manner (Figure 1A); 2 µg/ml pertussis toxin inhibited the fMLP response by 85% (P < 0.01), the intact ANCA IgG-induced responses by 84 to 98% (P < 0.01), and the ANCA F(ab')2 responses by 89 to 97%(P < 0.02). Pertussis toxin ADP ribosylates and thereby inhibits both G0 and Gi proteins (16). To examine which pertussis toxin-sensitive G protein was being activated, anti-G{alpha} protein antibodies were included in the GTPase activity assays. Using the anti-G{alpha}0 antibody, a significant reduction of the fMLP-stimulated GTPase activity was observed (inhibition by 24 ± 7%; P < 0.02; Figure 1B), but there was no significant reduction of that induced by intact ANCA IgG or ANCA IgG F(ab')2 fragments. Pretreatment with the anti-G{alpha}i1,2,3 antibody led to almost complete abrogation of the fMLP response (inhibition by 92 ± 8%; P < 0.001) and significant inhibition (79 to 88%; P < 0.02) of the GTPase activity induced by both intact and F(ab')2 fragments of ANCA IgG (Figure 1B).



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Figure 1. Effect of pertussis toxin and anti-G{alpha} antibodies on fMLP- and anti-neutrophil cytoplasm autoantibodies (ANCA)–induced GTPase activity. GTPase activity in (A) pertussis toxin-treated (Ptx) or untreated membrane samples stimulated with 100 µM fMLP, intact 750 µg/ml MPO- or PR3-ANCA IgG, or concentrations of F(ab')2 fragments of ANCA IgG that gave equivalent binding and (B) membrane samples pretreated with 1/100 dilution of anti G{alpha}0 or anti G{alpha}i1,2,3 rabbit polyclonal antisera for 1 h at 37°C and stimulated with either 100 µM fMLP, 750 µg/ml intact MPO- or PR3-ANCA IgG, or concentrations of F(ab')2 fragments of ANCA IgG that gave equivalent binding for 20 min. Experiments were repeated four times on triplicate samples using membranes prepared on separate occasions with ANCA samples from different patients. The results show mean ± SEM of data pooled from all four experiments minus control (cells only) values. Intact or F(ab')2 fragments of normal IgG produced <0.4 pmol/min per mg of protein.

 
G-Protein Dependence of ANCA IgG-Induced PIP3 Generation but Inability of ANCA IgG F(ab')2 Fragments to Induce PIP3 Generation
Since F(ab')2 fragments did not induce superoxide generation, their ability to activate other downstream mediators, including PI 3-kinase and PKB, was examined. fMLP stimulated a threefold increase in PIP3 production after 30 s, which then decreased over 15 min (Figure 2). Stimulation with either MPO- or PR3-ANCA IgG for 15 min resulted in a twofold increase in PIP3 generation. Both the fMLP at 30 s and the ANCA IgG-induced PIP3 generation were abrogated by pretreatment of neutrophils with 1 µg/ml pertussis toxin (Figure 2).



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Figure 2. Effect of pertussis toxin on PI 3-kinase activation (PIP3 production) in fMLP and ANCA IgG-stimulated neutrophils. 2 x 107 neutrophils were pretreated for 2 h at 37°C with 1 µg/ml pertussis toxin, primed with 2 ng/ml TNF-{alpha}, and stimulated with either 1 µM fMLP or 250 µg/ml MPO-ANCA, PR3-ANCA, or normal IgG, and PIP3 production was measured. All samples were tested in duplicate and results (% dpm in 32P PIP3 fraction after 30-s and 15-min stimulation) show pooled data from two experiments.

 
Stimulation of TNF-primed neutrophils for 15 min with concentrations of ANCA F(ab')2 fragments that gave equivalent antigen binding as the intact ANCA IgG failed to induce significant PIP3 generation (% of total disintegrations per minute [dpm] found in PIP3 fraction, 0.75 to 0.78 x 10-3 after stimulation with ANCA F(ab')2 fragments; 0.99 to 1.14 x 10-3 after stimulation with intact ANCA IgG, and 0.69 to 0.73 x 10-3 after stimulation with intact or F(ab')2 fragments of normal IgG).

PKB is Activated in a Pertussis Toxin-Inhibitable Manner by ANCA IgG but Is not Activated by ANCA IgG F(ab')2 Fragments
Stimulation of TNF-{alpha}-primed neutrophils with fMLP induced rapid (30 s) phosphorylation of PKB, which then decreased to background levels by 15 min (data not shown). Phosphorylation of PKB was also stimulated by ANCA IgG, although this was slower, being detectable after 1 min (data not shown) and sustained for 15 min (Figure 3A). The F(ab')2 fragments of ANCA IgG failed to induce PKB phosphorylation at times when intact ANCA IgG induced significant PKB activation (Figure 3A), as did normal intact IgG (Figure 3B) and normal F(ab')2 fragments (data not shown). Pretreatment with 2 µg/ml pertussis toxin substantially inhibited both the fMLP stimulation at 30 s (data not shown) and the ANCA IgG-induced PKB phosphorylation at 15 min (Figure 3B). Thus, while ANCA F(ab')2 fragments can recruit pertussis toxin-sensitive Gi/o proteins, they are not adequate to activate PI 3-kinase, PKB, or indeed to mediate superoxide production.



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Figure 3. Protein kinase B (PKB) phosphorylation in TNF-{alpha}-primed neutrophils stimulated with ANCA IgG and ANCA IgG F(ab')2 fragments. (A) Phospho-PKB levels were assessed in blots from TNF-{alpha}-primed neutrophils, stimulated for 15 min with 250 µg/ml ANCA IgG and its equivalent F(ab')2 or had no stimulation (control). Lower panel shows blots stripped and reprobed for total PKB. (B) Phospho-PKB levels were assessed in pertussis toxin-treated (2 µg/ml for 2 h), TNF-{alpha}-primed neutrophils stimulated with either 250 µg/ml ANCA IgG or normal IgG for 15 min. Lower panel shows blots stripped and reprobed for total PKB. The results are representative of five independent experiments.

 
Both ANCA IgG and ANCA IgG F(ab')2 Fragments Can Activate Ras GTP
To further explore the potential for ANCA IgG F(ab')2 fragments to support signal transduction, the ability of fMLP, intact ANCA IgG, and ANCA IgG F(ab')2 fragments to activate p21ras was investigated. Stimulation of TNF-{alpha}-primed neutrophils with fMLP induced Ras activation at 30 s (Figure 4A). Intact ANCA IgG induced active Ras at 15 min as did ANCA IgG F(ab')2 but not normal IgG. Pretreatment with pertussis toxin and genistein decreased both the ANCA IgG and the ANCA IgG F(ab')2 response (Figure 4B).



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Figure 4. Ras activation in TNF-{alpha}-primed neutrophils stimulated with ANCA IgG and ANCA IgG F(ab')2 fragments. (A) Aliquots of 2.5 x 106 cells were primed with 2 ng/ml TNF-{alpha} and stimulated with 1 µM fMLP (F) for 30 sec at 37°C, vehicle (C), 250 µg PR3-ANCA IgG (A), 250 µg normal IgG (N), or equivalent PR3-F(ab')2 (Fa) for 15 min at 37°C. Active Ras was precipitated with GST-RBD agarose beads. Blots were stripped and reprobed for GST to show equal loading. The results are representative of at least three experiments. (B) Freshly isolated neutrophils were pretreated with either 2 µg/ml pertussis toxin for 2 h at 37°C, 150 µM genistein for 30 min at 37°C, or vehicle before the Ras activation assay (C, no stimulation; A, ANCA IgG; APTX, ANCA IgG with pertussis toxin; AGEN, ANCA IgG with genistein; F(ab')2, ANCA F(ab')2; FPTX, F(ab')2 with pertussis toxin; FGEN, F(ab')2 with genistein).

 
ANCA IgG, but not ANCA IgG F(ab')2 Fragments, Induce Tyrosine Phosphorylation: ANCA IgG-Induced Superoxide Generation Can Be Abrogated with Pertussis Toxin and Genistein
We have reported previously that ANCA IgG induced the tyrosine phosphorylation of several proteins that are completely inhibitable with genistein (9). In the present study, we compared tyrosine phosphorylation induced by ANCA IgG and ANCA F(ab')2. Whereas ANCA IgG induced tyrosine phosphorylation of several proteins as previously reported, ANCA F(ab')2 failed to significantly alter the tyrosine phosphorylation profile compared with that seen in unstimulated, primed neutrophils (Figure 5). Normal IgG and corresponding F(ab')2 fragments also failed to induce tyrosine phosphorylation. Reprobing for p38 MAPK showed a decrease in overall protein after stimulation with IgG, either ANCA or normal. This did not correlate with the pattern of tyrosine phosphorylation. The tyrosine phosphorylation response largely requires intact ANCA IgG and likely depends on Fc{gamma}R engagement. The overall intensity of ANCA IgG induced tyrosine phosphorylation was, however, weaker than that seen after Fc{gamma}R cross-linking using monoclonal antibodies (not shown), and it is possible that ANCA F(ab')2 mediate phosphorylation of certain proteins that are not detected by whole cell lysate western blotting.



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Figure 5. Tyrosine phosphorylation in neutrophils stimulated with ANCA IgG or ANCA F(ab')2 fragments. Neutrophils, 2 x 107/mL in HBH, were primed with 2 ng/ml TNF-{alpha} for 15 min at 37°C and then stimulated with 400 µg/ml ANCA-IgG or an equivalent dose of ANCA-F(ab')2. After 10 min, reactions were terminated as described in Materials and Methods, and proteins were subjected to SDS-PAGE followed by anti-phosphotyrosine Western blotting. Blots were stripped and reprobed for p38 MAP kinase as described in Materials and Methods. Lane 1, unstimulated; lane 2. ANCA IgG; lane 3, ANCA F(ab')2; lane 4, normal IgG; lane 5, normal F(ab')2.

 
In functional studies of the ANCA IgG-induced respiratory burst, the tyrosine kinase inhibitor, genistein, can partially inhibit ANCA IgG-induced superoxide production (9). Here we demonstrate that pertussis toxin and genistein together completely abolished ANCA IgG-induced superoxide generation (Figure 6). Thus, a combination of tyrosine phosphorylation (largely requiring intact ANCA IgG) and heterotrimeric G proteins (recruitable by ANCA IgG F(ab')2) are necessary for ANCA IgG-induced superoxide generation.



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Figure 6. Effect of pertussis toxin and genistein on superoxide production in fMLP and ANCA stimulated neutrophils. Freshly isolated neutrophils were pretreated with 0.5 µg/ml pertussis toxin (Ptx) for 2 h at 37°C, 150 µM genistein for 30 min at 37°C, or both Ptx and genistein. Aliquots of 105 cells each were primed with 2 ng/ml TNF-{alpha} and stimulated with 1 µM fMLP, 200 µg/ml MPO-ANCA IgG, 200 µg/ml PR3-ANCA IgG, or 200 µg/ml normal IgG for 15 min, and superoxide generation was measured. All experiments were repeated three times using neutrophils from different donors, three different MPO-ANCA, and PR3-ANCA IgG preparations, and two different normal IgG samples, and six replicates of all samples. Results show mean ± SEM of data pooled from all three experiments. Normal IgG produced <0.5 mmol of superoxide per 105 cells.

 
ANCA IgG-Induced PIP3 Generation Can Also Be Blocked with Genistein
To confirm whether tyrosine phosphorylation and G protein-dependent signaling, were both required for activation of mediators shown to be necessary for the ANCA-induced superoxide production, the effects of genistein on PIP3 generation were examined. Figure 7 demonstrates that pretreatment of TNF-{alpha}-primed neutrophils with 150 µM genistein abrogated both the fMLP and ANCA IgG-induced PIP3 generation. Consequently, both tyrosine phosphorylation and heterotrimeric G proteins are necessary for ANCA IgG-induced PI 3-kinase activation and subsequent superoxide generation.



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Figure 7. Effect of genistein on PIP3 generation in fMLP and ANCA-stimulated neutrophils. 2 x 107 neutrophils were pretreated with 150 µM genistein for 30 min at 37°C, primed with 2 ng/ml TNF-{alpha}, and stimulated with 1 µM fMLP or 250 µg/ml MPO- or PR3-ANCA IgG, or normal IgG for 15 min, and PIP3 production was measured. All samples were tested in duplicate. Results are expressed as % dpm in 32P PIP3 fraction.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Systemic vasculitis is an important cause of rapidly progressive glomerulonephritis with acute renal failure. Where ANCA IgG are present in such diseases, these autoantibodies have been strongly implicated in neutrophil-mediated vascular and endothelial cell damage (1,1718). The results presented in this study establish that ANCA IgG activate TNF-{alpha}-primed neutrophils and induce superoxide generation via a signaling pathway that involves Gi proteins. Stimulation with both ANCA F(ab')2 fragments and intact ANCA IgG induces pertussis toxin-sensitive membrane-bound GTPase activity, although only the intact ANCA IgG can induce PI 3-kinase activation, PKB activation, and superoxide generation. The generation of PIP3 by PI 3-kinase activation and the generation of superoxide can be inhibited by pretreatment with pertussis toxin and the tyrosine kinase inhibitor genistein, suggesting a cooperative stimulation through both Gi proteins and tyrosine kinases occurs. p21ras could be activated by both intact ANCA IgG and by ANCA F(ab')2 fragments and was inhibitable by both pertussis toxin and genistein, further supporting this proposal.

Superoxide generation after ANCA IgG stimulation, but not conventional Fc{gamma}R ligation, can be inhibited with pertussis toxin, implicating heterotrimeric G proteins in the ANCA IgG-induced respiratory burst. This is supported by both intact ANCA IgG and ANCA F(ab')2 fragments stimulating membrane-associated GTPase activity inhibitable by pertussis toxin and antibodies to G{alpha}i. Thus the G protein effects are mediated through recruitment and activation of Gi by ANCA F(ab')2 binding to its antigens (MPO or PR3) on the neutrophil cell surface. The manner by which ANCA F(ab')2 binding to its antigens recruits G proteins is unclear. Such binding may result in antigen aggregation and internalization, which could lead to Gi recruitment. Alternatively, because both MPO and PR3 are highly charged molecules, they may associate covalently with other as yet unidentified membrane components or receptors, which then recruit G proteins. Once activated by receptor-catalyzed GTP binding, the G{alpha}GTP subunit dissociates from the G{beta}{gamma} subunits (reviewed in reference 19), the latter can activate a large number of signaling molecules, including PI 3-kinase {gamma} (20), Ras, and the MAP kinases (2122); they are also postulated to activate various SH2-containing tyrosine kinases (reviewed in reference 19). We have shown previously that the ANCA IgG-induced oxidative burst requires activation of PI 3-kinase; however, no recruitment ANCA IgG of the phosphotyrosine-associated Class IA p85 PI 3-kinase was observed, implying a role for the G{beta}{gamma} subunits-activated Class IB, isoform p101/p110{gamma} (PI 3-kinase {gamma}) (23,10). MAP kinases have also been reported to be activated by ANCA IgG (24), and the results presented here suggest this is mediated by activating p21ras.

It is of particular interest that the F(ab')2 fragments of ANCA IgG are not inert, because they activate Gi proteins and p21ras; however, they do not activate PI 3-kinase (as assessed by PIP3 generation and PKB phosphorylation) or initiate superoxide generation at concentrations that give equivalent antigen binding as intact antibody. Although ANCA IgG F(ab')2 activation of Gi proteins and p21ras may play a role in the ANCA IgG-induced respiratory burst, other signaling pathways must be recruited. Tyrosine phosphorylation of a number of neutrophil proteins follows ANCA stimulation, and genistein can fully inhibit tyrosine phosphorylation and partially inhibit the ANCA IgG-induced respiratory burst (9). However, ANCA IgG F(ab')2 fragments have less marked effects on tyrosine phosphorylation as determined by Western blotting. These observations are in accordance with the requirement for Fc receptor ligation during ANCA-mediated neutrophil activation, because Fc{gamma}R typically recruit tyrosine kinases (reviewed in reference 25). Figures 2 and 7 show that pertussis toxin and genistein can each abolish ANCA IgG-induced PIP3 generation and together can abolish superoxide generation. A likely interpretation of these observations is that ANCA IgG activation of neutrophils requires cooperative signaling between Gi proteins and tyrosine kinases.

How ANCA IgG-activated G proteins cooperate with tyrosine kinases is not clear, although there are precedents for cooperative signaling between G proteins and tyrosine kinases (2630). In the monocytic U937 cell line, aggregation of Fc{gamma}RI led to the recruitment of heterotrimeric G proteins and activation of PI 3-kinase {gamma} (31). Moreover, aggregation of Fc{gamma}RI was associated with p85 PI 3-kinase activity, and all PI 3-kinase activity was blocked by pretreating cells with genistein. This suggested that activation of PI 3-kinase {gamma} occurred downstream of tyrosine kinases. However, we find that Gi activation occurs after antigen binding, suggesting a role for F(ab')2 rather than Fc/FcR interactions. The inhibitory effects of both genistein and pertussis toxin on PI 3-kinase activity suggest a cooperative rather than linear relationship between Gi and tyrosine kinases, this could possibly involve p21ras, which can be activated by both G protein- and tyrosine kinase-dependent routes; indeed, ANCA IgG and ANCA IgG F(ab')2 were both able to activate p21ras in a pertussis toxin- and genistein-sensitive manner.

In summary, ANCA IgG F(ab')2 activate G{alpha}i proteins, thus binding of ANCA IgG to its antigen ligands at the neutrophil cell surface is not an inert event. Whereas G-proteins are necessary for development of a full ANCA-stimulated respiratory burst, as shown by the ability of pertussis toxin to partially inhibit superoxide generation by intact ANCA IgG, activation of G proteins by F(ab')2 fragments is insufficient for development of such a respiratory burst. Both the current study as well as previous studies (69) indicate an important role for ligation of Fc{gamma}RIIa/IIIb to enable appropriate tyrosine kinase phosphorylation events and activation of PI 3-kinase and PKB. These data implicate a novel signaling pathway stimulated by ANCA IgG that involves both F(ab')2-mediated antigen binding and Fc-mediated Fc{gamma}R ligation in cooperative interactions between Gi proteins and tyrosine kinases. p21ras appears critical for permitting this cooperation because it was activated by both ANCA IgG and ANCA IgG F(ab')2 in a pertussis toxin- and genistein-inhibitable manner.


    Acknowledgments
 
We thank Professor E. Skolnik for his kind gift of the yeast farnesylated-p110 expression vector, Dr. S.J. Cooke for provision of the GST-RBD, Dr. R.L. Holder for statistical advice, and Mr. N. Perrera for technical advice. This work was supported by grants from The Medical Research Council (MRC), The Wellcome Trust, and The Stuart Strange Trust. SKD is an MRC Research Fellow.


    Footnotes
 
JMW and AB-S contributed equally to the studies.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Harper L, Savage COS: Pathogenesis of ANCA-associated systemic vasculitis. J Pathol 190: 349–359, 2000[CrossRef][Medline]
  2. Falk RJ, Terrell RS, Charles LA, Jennette JC: Anti-neutrophil cytoplasmic autoantibodies induce neutrophils to degranulate and produce oxygen radicals in vitro. Proc Nat Acad Sci USA 87: 4115–4119, 1990[Abstract/Free Full Text]
  3. Charles LA, Caldas ML, Falk RJ, Terrell RS, Jennette JC: Antibodies against granule proteins activate neutrophils in vitro. J Leukocyte Biol 50: 539–546, 1991[Abstract]
  4. Csernok E, Ernst M, Schmitt W, Bainton DF, Gross WL: Activated neutrophils express proteinase 3 on their plasma membrane in vitro and in vivo. Clin Exp Immunol 95: 244–250, 1994[Medline]
  5. Kettritz R, Jennette JC, Falk RJ: Cross-linking of ANCA antigens stimulates superoxide release by human neutrophils. J Am Soc Nephrol 8: 386–394, 1997[Abstract]
  6. Porges AJ, Redecha PB, Kimberly WT, Csernok E, Gross W, Kimberly RP: Anti-neutrophil cytoplasmic antibodies engage and activate human neutrophils via Fc{gamma}RIIa. J Immunol 153: 1271–1280, 1994[Abstract]
  7. Mulder AHL, Heeringa C, Brouwer E, Limburg PC, Kallenberg CGM: Activation of granulocytes by anti-neutrophil cytoplasmic antibodies (ANCA): a Fc{gamma}RII-dependent process. Clin Exp Immunol 98: 270–278, 1994[Medline]
  8. Kocher M, Edberg J, Fleit H, Kimberly R: Antineutrophil cytoplasmic antibodies preferentially engage Fc{gamma}RIIIb on human neutrophils. J Immunol 161: 6909–6914, 1998[Abstract/Free Full Text]
  9. Radford DJ, Lord JM, Savage COS: The activation of the neutrophil respiratory burst by anti-neutrophil cytoplasm autoantibody (ANCA) from patients with systemic vasculitis requires tyrosine kinases and protein kinase C activation. Clin Exp Immunol 118: 171–179, 1999[CrossRef][Medline]
  10. Ben-Smith A, Dove SK, Martin A, Wakelam MJO, Savage COS: Antineutrophil cytoplasm autoantibodies from patients with systemic vasculitis activate neutrophils through distinct signalling cascades: Comparison with conventional Fc{gamma} receptor ligation. Blood 98: 1448–1455, 2001[Abstract/Free Full Text]
  11. Jepsen JL, Skottum T: A rapid one-step method for the isolation of human granulocytes from whole blood. Scand J Clin Invest 42: 235–238, 1982[Medline]
  12. Jennette JC, Falk RJ, Andrassy K, Bacon PA, Churg J, Gross WL, Hagen EC, Hoffman GS, Hunder GG, Kallenberg CG, McCluskey RT, Sinico RA, Rees AJ, van Es LA, Waldheir R, Wiik A: Nomenclature of systemic vasculitides. Proposal of an international consensus conference. Arthritis Rheum 37: 187–192, 1994[Medline]
  13. Cockwell P, Brooks CJ, Adu D, Savage COS: Interleukin 8: A pathogenetic role in antineutrophil cytoplasmic autoantibody-associated glomerulonephritis. Kidney Int 55: 852–863, 1999[CrossRef][Medline]
  14. Mayo LA, Curnutte JT: Kinetic microplate assay for superoxide production by neutrophils and other phagocytic cells. Methods Enzymol 186: 567–575, 1990[Medline]
  15. McKenzie FR, Kelly ECH, Unson CG, Spiegel AM, Milligan G: Antibodies which recognize the C-terminus of the inhibitory guanine-nucleotide-binding protein (Gi) demonstrate that opoid peptides and foetal-calf serum stimulate the high-affinity GTPase activity of two separate pertussis-toxin substrates. Biochem J 249: 653–659, 1988[Medline]
  16. Milligan G: Techniques used in the identification and isolation of function of pertussis toxin-sensitive guanine nucleotide binding proteins. Biochem J 255: 1–13, 1988[Medline]
  17. Lesavre P: Antineutrophil cytoplasmic autoantibodies antigen specificity. Am J Kidney Dis 18: 159–163, 1991[Medline]
  18. Savage COS, Harper L, Holland M: New findings in the pathogenesis of ANCA-associated vasculitis. Curr Opinion in Rheum 14: 15–22, 2002[CrossRef][Medline]
  19. Hamm HE: The many faces of G protein signalling. J Biol Chem 273: 669–672, 1998[Free Full Text]
  20. Stephens L, Smrcka A, Cooke FT, R JT, Sternweiss PC, Hawkins PT: A novel phosphoinositide 3-kinase activity in myeloid-derived cells is activated by G protein {beta}{gamma} subunits. Cell 77: 83–93, 1994[CrossRef][Medline]
  21. Crespo P, Xu NZ, Simonds WF, Gutkind JS: Ras-dependent activation of MAP kinase pathway mediated by G-protein {beta}{gamma} subunits. Nature 369: 418–420, 1994[CrossRef][Medline]
  22. Koch WJ, Hawes BE, Allen LF, Lefkowitz RJ: Direct evidence that Gi-coupled receptor stimulation of mitogen-activated protein kinase is mediated by G{beta}{gamma} activation of p21ras. Proc Nat Acad Sci USA 91: 12706–12710, 1994[Abstract/Free Full Text]
  23. Vanhaesebroeck B, Leevers S, Panayotou G, Waterfield M: Phosphoinositide 3-kinases: A conserved family of signal transducers. Trends Biochem Sci 22: 267–272, 1997[CrossRef][Medline]
  24. Kettritz R, Schreiber A, Luft FC, Haller H: Role of mitogen-activated protein kinases in activation of human neutrophils by antineutrophil cytoplasmic antibodies. J Am Soc Nephrol 12: 37–46, 2001[Abstract/Free Full Text]
  25. Sanchez-Mejorada G, Rosales C: Signal transduction through immunoglobulin Fc receptors. J Leukocyte Biol 63: 521–533, 1998[Abstract]
  26. Muller-Weiland D, White MF, Behnke B, Gebhardt A, Neumann S, Krone W, Kahn CR: Pertussis toxin inhibits autophosphorylation and activation of the insulin receptor kinase. Biochem Biophys Res Comm 181: 1479–1485, 1991[CrossRef][Medline]
  27. Okamoto T, Katada T, Murayama Y, Ui M, Ogata E, Nishimoto I: A simple structure encodes G-protein activating function of the IGF-II/mannose 6-phosphate receptor. Cell 62: 709–717, 1990[CrossRef][Medline]
  28. Liang M, Garrison JC: The epidermal growth-factor receptor is coupled to a pertussis toxin-sensitive guanine nucleotide regulatory protein in rat hepatocytes. J Biol Chem 266: 13342–13349, 1991[Abstract/Free Full Text]
  29. Harnett MM, Klaus GGB: G protein coupling of antigen receptor stimulated polyphosphoinositide hydrolysis in B cells. J Immunol 140: 3135–3139, 1988[Abstract]
  30. Melamed I, Wang G, Roifman CM: Antigen receptor-mediated protein tyrosine kinase activity is regulated by a pertussis toxin-sensitive G protein. J Immunol 149: 169–174, 1992[Abstract]
  31. Melendez AJ, Gillooly DJ, Harnett MM, Allen JM: Aggregation of the human high affinity immunoglobulin G receptor (Fc{gamma}RI) activates both tyrosine kinase and G protein-coupled phosphoinositide 3-kinase isoforms. Proc Nat Acad Sci USA 95: 2169–2174, 1998[Abstract/Free Full Text]
Received for publication January 11, 2002. Accepted for publication November 3, 2002.




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