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Substance P Mediate Activation of Mast cell by Allowing Nerve-mast Cell interaction California State University, Los Angeles Bio 520: Advanced Immunology Seminar Abby Yilma: 2/2/09 Background • • • • • • Neurotransmitters Substance P Receptor molecule Mast cells Adhesion molecule Nerve-mast cell interaction Neurotransmitter • Chemicals that transmit nerve cell impulse from one cell to another cell – Can be neuron to neuron or neuron to other cells such as immune cells Neurotransmitter in side vesicles Vesicles fuse and release their contents into the synapse • The release of chemical is driven by – Arrival of action potential at the synapse • Effect of a neurotransmitter usually depends on – Chemical properties of the receptors Synaptic cleft Bind to a receptor on the postsynaptic membrane • Stimulatory or inhibitory www.nature.com/.../fig_tab/nm0907-1018_F1.html Class of Neurotransmitter Molecules Molecules Effects Acetycholine (Ach) Both stimulatory & inhibitory Monoamine group (dopamine) Stimulatory effects Amino acid group (Gamma aminobutyric acid) Inhibitory effects Peptide (Endorphaline, Enkephline, Inhibitory, Inhibitory, stimulatory and Substance P) Substance P (SP) • Discovered by Von Euler and Gaddum in 1931 – Extracts of horse brain and intestine contained a hypotensive and spasmogenic factor – Later found to be protein • Isolated and characterized by Leeman’s group in 1971 – Bovine hypothalamus O’Connor et al., 2004 Structure of SP • Polypeptide synthesized in the ribosome and then cleaved into undecapeptide (11 aa) – SP: Arg-Pro-Lys-Pro-Gln-GlnPhe-Phe-Gly-Leu-Met-NH2 • Belongs to tachykinin family – Share common carboxyterminal sequence – Essential for receptor interaction and activation O’Connor et al., 2004 Where is SP Found? • Widely distributed in the sensory neurons (afferent neuron) – Physical stimulation such as touch, vision and hearing – Chemical simulation such as capsaicin • Active component of chilly peppers & produce sensation of burning • Native to the gastrointestinal, respiratory tracts and genitourinary tract • Effect mediated by specific receptor called neurokinin-1 receptor (NK-1R) – Expressed in nervous cells and immune cells O’Connor et al., 2004 & Bulut et al., 2008 Neurokinin-1 Receptor (NK-1R) •Glycoprotein (407 aa, 46 kDa) •7 α-helical transmembrane loops •Many serine and threonin residue at cytoplasmic carboxyl terminal • Interaction via the third cytoplasmic loop • Cytoplasmic carboxyl terminus becomes phosphorylated – Cause desensitization of the receptor in response of repeated application of agonist O’Connor et al., 2004 SP’s Role in Regulating Body Functions • In the central nerve system • Participates in regulating neuronal survival and degeneration • In the spinal cord • Participates in neurotransmission of pain • Immune cells (?) mast cells? • Proinflammtory mediator • • Induces inflammation Contributes to chronicity of inflammatory response O’Connor et al., 2004 Mast cells • First describe by Paul Ehrlich in 1878 • A resident of several types of tissues Human skin mast cell grown on human skin fibroblast feeder layers – Contains many granules • Visible by light microscope – Rich in histamine • Involves in local immune response • Acts as neurotransmitter – Located in close proximity to nerves • Skin, intestinal mucosa www.aad.org/education/students/mastcellsfig1.htm Ito et al., 2006 Activation of Mast Cells Degranulating Mast cells • Direct injury – Physical or chemical • Cross-linking of immunoglobin (IgE) – Through Fc epsilon RI (FcєRI) • Complement protein – Produced in response to evasion • Substance P (?) http://instructional1.calstatela.edu/eporter/BIOL520/ Molecules Released By Mast Cells into the Extracellular Environment • Preformed mediators from the granules – Histamine – Heparin (anticoagulant) – Serine (phosphorylated by kinase during cell singling) • Newly formed lipid mediators from cell membrane – Prostaglandia D2 (inhibitor of platelet aggregation) – Leukotrien C4 ( act on inflammatory response) • Cytokines – Critical for development and function of innate and adaptive immunity – Example: IL-3, TNFa, and GM-CSF • GM-CSF stimulates stems cells to produce granulocytes and monocytes • Molecules that can influence neuronal activity upon interaction with nerve cells (?) Bulut et al., 2008 Molecules from Mast Cells That Act on Nerve Cells • Tryptase – Granule-derived serine proteinase – Used as marker for mast cell activation • Histamine – Released as a neurotransmitter – Regulating physiological function in the gut • Binds to proteinase- activated receptors 1 and 2 Ito et al., 2006 Nerve-mast Cell Interaction • Is a true chemical synapsis formed during the communication? Ito et al., 2006 & Furuno et al., 2005 Adhesion Molecules Common to Nerves and Mast cells • In 2003, Ito and colleagues discovered – Synaptic cell adhesion molecules (SynCAM) or spermatogenic immunoglobulin superfamily (SgIGSF) • In later work showed – SgIGSF/SynCAM is localized on both side of most synapses – Functions as a homophilic or heterophilic adhesion molecule • Depending the binding partners avialable – Can span the synaptic cleft – Drives synapse assembly Ito et al., 2006 and Furuno et al., 2005 Hypothesis • Mast cell activation requires not only a direct cell to cell interaction between nerve fibers and mast cells but also substance P, which is the main transmitter of nerve fibers Research Articles • In support of the hypothesis – Proximity between nerve and mast cells – Importance of MC/NC crosstalk in MC-driven inflammatory skin responses – Mast cells activation in the presence of Adhesion molecule • Refuting the hypothesis – Receptor-mediated SP activation of mast cells event – Activation of mast cells by substance P in vitro without nerve cells In support of the hypothesis • Importance of MC/SN crosstalk in MC-driven inflammatory skin responses – Mice were anesthetized – Surgically removed the sensory nerves from the ear skin • Employed histochemical/immunohistochemical detection technique using SN marker proteins (SP) – To test the importance of nerve function, denervated and control skin sites were treated with capsaicin and vehicle (control) • Capsaicin induces strong cutaneous neurogenic inflammation in normal skin • Measure increase in ear thickness at different time points using caliper Denervated Ear Skin Fail to Develop Inflammatory Reaction in Response to Capsaicin Control d = dermis dp = dermal papilla e = epidermis sg = sebaceous gland p < 0.05 ; *** p < 0.005 n=3 Nerve fiber presented at physiological site Suggests the importance of MS/SN crosstalk Denervation results in loss of functional skin nerves Siebenhaar et al., 2008 To examine the Proximity of Mast to Nerve cell • Mast cell distribution and proximity with nerve elements in urinary bladder and stomach – Normal tissue (+/+) from mouse bladder and stomach – Performed histochemical/Immunohistochemistry • For mast cells (stained with toluidine blue) • For nerve cells detection (neuron-specific enolase (NSE) polyclonal antibody) – Examined the submucosa layers in both tissues The Bladder and Stomach Contained Nerve Cells in Higher Proximity to Mast Cells Mast cell = black overhead Blood vessels = black arrow Nerve elements = white overhead Blood vessels play a role in virtually every medical condition The distribution of the mast cell and its contact with nerve element is varied in both tissues Andrea et al., 2005 • The role of SP on mast cells activation in vivo study – Female mice aged 8 weeks maintained for 1 week – Psychological stress (PS) and foot shock stress (FS) were administered – Killed the mice by decapitation – Analyze the skin portion using histochemistry /immunohistochemistry • Counted degranulated mast cells outside of the cell membrane and calculated the ratio of the degranulated mast cell to all mast cells • Determined SP-positive nerve fibers Degranulated Mast Cells and SP-positive Nerve Fibers Increased with Stressed Mice Control After stress was administered , the ratio of degranulated of mast cells increased significantly following FS and PS After FS and PS was administered, the number of SPpositive nerve fibers per/skin area was increased significantly SP-positive nerve fibers were detected in the upper and mid dermis *** p < 0.001 Substance P-positive nerve fibers in the skin Kawana et al., 2006 • Examine whether SgiGSF adhesion molecule involves in Mast cell degranulation – 8 to 10-week-old mice – Remove the mesentery portion • Surrounds part of small intestine – Stimulated mesentery part with capsaicin and electric pulse • The electric pulse applied at their nerve root – Employed histochemical/immunohistochemistry • Stained with alcian blue and nuclear fast red – Counted degranulated mast cells Capsaicin Caused Mesenteric mast cell Degranulation Degranulated stage = overheads arrow Arrows = stable stage This doesn’t rule out the possibility that capsaicin might directly activate mast cells, so the stimulated mesenteric nerve at their root 1/3 of mast cells were degranulated after capsaicin , which suggest that capsaicin caused degranulation Ito et al., 2007 SgIGSF Mediated Attachment of Mast Cell to Neuron Electric simulation will induce mast cells degranulation through releasing neurotransmitters from nerves * p < 0.05 n=7 >1/3 degranulated Both group failed to activate mast cells Mi wh = lack SgIGSF mivit = express less SgIGSF SP = nerve impulse transmitted Degranulation restored Ito et al., 2007 Refuting the Hypothesis • Mast cells dependent on NK-1R to develop relationship with nerve cells – 10-to-12 week-old mice lack NK1-R (NK1-R-/-) and mast cell with no expression of NK1-R (NK1-R BMR kit) – Removed tissue from bladder mucosa – Employed histochemistry/immunohistochemistry • For mast cells stained with toluidine blue • For nerve cells detection (neuron-specific enolase (NSE) polyclonal antibody) – Determined mast cells distribution – Assessed the contact between mast and nerve cells NK1-R Expression Affect the Contact Between Mast and Nerve Cells Mast cell = black overhead Blood vessels = black arrow Nerve elements = white overhead Suggests the contact between mast and nerve cells is mediated through NK1-R NK1-/- BMR kit = mast cell with no expression of NK1-R Ercan et al., 2006 • Substance P activates mast cells without nerve cells in Vitro – Culture human peripheral blood-derived CD34+ (HuMC) and LAD2 mast cells overnight • HuMC is primary cell line and LAD2 isolated from tissue – Degranulation assay • Cells were sensitized overnight with myeloma (cancer cells) IgE • Cell were preincubated overnight with IgE and then stimulated with anti-IgE and SP – FcєRI mediated activation • Measured β-hexosaminidase and cytokines release into supernatant LAD2 Stimulated with SP Released More β-hexosaminidase Potent activators of LAD2 SP activated LAD2 to degranulate Kulka et al., 2007 SP Activated Mast cells to Produce Large Cytokines HuMC cells N = 3; p< 0.01 SP stimulated HuMC cells to produce small quantities of TNF GM-CSF and IL-3 LAD2 cells SP induced LAD2 cells to produce large quntities of TNFα, GM-CSF and IL-3 Suggests that SP can activate mast cells without nerve cells Kulka et al., 2007 • Substance P fail to activate mast cells in human intestine – Human mast cells isolated from normal intestinal tissue were cultured for 1-2 weeks – Mast cells were challenged for 1 h with different Neuropeptide, including SP, mAB29C6, and ionomycin • mAB29C6 and ionomycin induces IgE receptor crosslinking used as positive controls – Measured histamine and sulphidoleukotriene (sLT) released in cell-free supernatants using radioimmunoassay SP Fail to Activate Mast cells Significantly ** p < 0.001; n = 2 Positive controls Positive controls Control Control Not only SP but also other neuropeptide fail to activate mast cells Bischoff et al., 2004 Summary: Supporting the Hypothesis • Siebenhaar et al., 2008 – Importance of MC/SN cross talk to develop inflammatory reaction • Andrea et al., 2005 – Nerve cells are in higher proximity to mast cells Capsaicin • Kawana et al., 2006 – Activation of mast cells by SP and mast-nerve cells interaction • Ito et al., 2007 – Importance of adhesion molecules for mast-nerve cells interaction Degranulation Summary: Refuting the Hypothesis • Ercan et al., 2006 – Receptor-mediated SP activation of human mast cells event – Questions the direct interaction • Kulka et al., 2007 – Substance P activates mast cell in vitro without nerve cell – Arguing nerve cells are not required for mast activation NK1-R • Bischoff et al., 2004 – Failure of SP to activate mast cells – Suggests that SP is not required for mast cells activation Capsaicin Degranulation X X Follow up Experiment • Using human model to characterize the presence of SgIGSF expression on other immune cells Inflammation response in reddish Mast cells SP Nerves SgIGSF Basophile Capsaicin treated skin tissue Machrophage www-biology.ucsd.edu/news/article_030603.html Conclusion • The different results presented from different research group on SP’s role and MC/SN crosstalk on mast cell activation suggests further investigation in this area, specially using human model • The conflicting results can place mast cells at the border of potential critical host-pathogen interactions Study on Proinflammatory Effects of SP in Immune Cells • Involves observation of abnormal level of SP, SP-nerve fibers, NK1R in disease tissue – Knockout experiment in animal model and coculture appraoch O’Connor et al., 2004