Type I interferons (IFN-α/β) play diverse roles in adaptive and innate immune responses. Although they were first noted for their anti-viral properties, type I IFNs also activate macrophages and NK cells, promote T cell survival and dendritic cell maturation, and increase the production of Th1-polarizing cytokines (
1). Cells of the innate immune system, such as macrophages and dendritic cells, produce type I IFNs upon detection of pathogens through pattern recognition receptors (PRRs) that include the Toll-like receptors (TLRs) (
2). These PRRs bind conserved motifs found on pathogens such as LPS (TLR4), dsRNA (TLR3 and RIG-I) and hypo-methylated CpG DNA (TLR9). TLRs may also mediate responses to “endogenous” products released during tissue necrosis such as hyaluronic acid, heparin sulfate, fibrinogen, and heat shock proteins (
3).
IFN-β appears to be the primary cytokine that mediates macrophage type I IFN responses to the TLR4 agonist LPS(
4). IFN-β deficient animals were shown to be much more susceptible to lethal sepsis from several strains of pathogenic bacteria, presumably through weakened host inflammatory responses (
5). Mice deficient in IFN-β are also more susceptible to particular viral infections, have lower numbers of macrophages and mature B cells, and exhibit reduced bone mass (
6–
8).
The regulation of IFN-β transcription in the setting of viral infection has been well studied. Briefly, in the uninfected cell, a nucleosome obstructs the 1+ start site, preventing transcription. During infection, a group of transcription factors including NF-κB, AP-1, interferon regulatory factor 7 (IRF-7) and IRF-3 cooperatively assemble over a 55bp stretch of DNA, between −102 to −47 bp upstream of the transcriptional start site (
9). This grouping, termed the “enhanceosome” recruits histone acetylases such as CREB binding protein (CBP/p300), a large flexible transcription co-activator that may interact simultaneously with multiple transcription factors (ATF-2, c-Jun, p65 and IRF3/7) (
10,
11). CBP-p300 thus acts as a signal integrator. Histone acetylation facilitates the recruitment of chromatin modifiers that slide the nucleosome off the TATA box start site, thus enabling transcription(
12,
13). Less is known about the induction of IFN-β transcription following LPS stimulation, although it appears slightly different. For instance, although viral infection induces recruitment of IRF-7 to the enhanceosome, LPS-induced IFN-β appears to depend upon IRF-3 rather than IRF-7 (
14–
16).
Our previous studies had shown that macrophages undergoing an intracellular stress response called the “Unfolded Protein Response” (UPR) respond to LPS and dsRNA with greatly enhanced IFN-β production (
17). The UPR is an adaptive response initiated by environmental stressors (hypoxia, nutrient deprivation, hypoglycemia) or internal derangements (increased protein load, misfolding proteins, calcium gradient deregulation) that disrupt ER function. When ER function is perturbed, excess unfolded protein competes with the ER resident proteins, inositol requiring 1 (IRE-1), protein kinase receptor-like ER kinase (PERK), and activating transcription factor (ATF) 6, for binding of the folding chaperone Ig binding protein (BiP/GRP78). IRE-1 is an endonuclease activated after release of BiP that cleaves a 26bp intron from the X-box binding protein 1 (XBP-1) transcription factor mRNA. This unusual splicing event removes a premature stop-codon through frame shifting the open reading frame, thus allowing for the translation of the full-length XBP-1 transcription factor. Upon release of BiP, PERK transiently inhibits global protein translation apart from select transcripts (e.g. ATF4). Finally, ATF6 leaves the ER and traffics to the Golgi, where it is processed to an active form. UPR target genes aimed at resolving ER stress include folding chaperones and proteins that aid in ER associated protein degradation. If these and other adaptations fail, the UPR results in apoptosis (
18).
The UPR appears to play a physiologic role in highly secretory cells such as pancreatic acinar cells, hepatocytes and plasma cells (
19). However, the UPR has also been implicated in such diverse pathologic processes as cardiovascular disease, ischemia-reperfusion injury, neurodegenerative diseases, diabetes, viral infections and cancer (
20). It is becoming increasingly apparent that the UPR also plays a role in immune function. For instance, the differentiation of B-cells into plasma cells requires splicing of XBP-1(
21). XBP-1 deficiency in intestinal epithelial cells leads to spontaneous enteritis and increased susceptibility to Listeria (
22). Cholesterol loaded macrophages undergoing a UPR secrete the inflammatory cytokines TNF-α and IL-6(
23). ER-stress leads to the proteolytic activation of cyclic-AMP response element binding protein (CREB) H (processed similarly to ATF6), a transcription factor that induces the production of serum amyloid and C-reactive proteins (
24).
Understanding how ER stress regulates IFN-β responses may shed light on disease processes in which both UPR and type I IFNs have been implicated such as ischemia-reperfusion injury and viral infections, as well as diseases where they may be related (HLA-B27 associated Spondyloarthritis and inflammatory myopathies) (
25–
29). Previous work has supported a critical role for the UPR-regulated transcription factor XBP-1 in mediating synergistic IFN-β induction upon TLR stimulation (
17). However, the underlying molecular mechanism behind the synergy was not clear. We hypothesized that XBP-1, as a transcription factor, may regulate IFN-β induction by either a direct or epigenetic mechanism during ER stress. In this report we demonstrate binding of XBP-1, CBP and IRF-3 to a DNA region 6.1kb downstream of the
ifnb1 gene during conditions of concomitant ER stress and LPS stimulation. Binding of these factors at this +6kb site correlated temporally with increased recruitment of CBP and IRF-3 to the
ifnb1 promoter. Finally, the presence of the +6kb site significantly enhanced
ifnb1 promoter activity. Together, these data suggest that this newly described region 6kb downstream of the
ifnb1 gene is a cis-acting XBP-1-dependent enhancer of IFN-β production that provides a mechanistic link between ER stress and augmented IFN-β induction. As a broader consideration, these findings provide an explanation for how ER stress may drive the pathogenesis of type I IFN-related diseases.