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Photodynamic therapy (PDT), an anticancer treatment modality, has recently been shown to be an effective treatment for several autoimmune disease models including antigen-induced arthritis. PDT was found to induce the expression of IL-10 messenger RNA (mRNA) and protein in the skin, and this expression has similar kinetics to the appearance of PDT-induced suppression of skin-mediated immune responses such as the contract hypersensitivity (CHS) response. Some aspects of the UVB-induced suppression of the immune response have been linked to the induction of IL-10. IL-10 has been shown to inhibit the development and activation of Th1 cells, which are critical for many cell-mediated immune responses, including CHS. We have examined the effect of PDT and UVB irradiation on the activity of the IL-10 gene promoter and on IL-10 mRNA stability using the murine keratinocyte line, PAM 212. In vitro PDT induces IL-10 mRNA and protein expression from PAM 212 cells, which can be correlated with an increase in AP-1 DNA binding activity and activation of the IL-10 gene promoter by PDT. Deletion of an AP-1 response element from the IL-10 gene promoter was shown to abrogate the PDT-induced promoter activity indicating that the AP-1 response element is critical to IL-10 induction by PDT. In addition, PDT results in an increase in IL-10 mRNA stability, which may also contribute to the increased IL-10 expression in PAM 212 cells following PDT. In vitro UVB irradiation also results in activation of the IL-10 promoter. However, in contrast to PDT, UVB-induced activation of the IL-10 promoter is not AP-1 dependent and did not increase IL-10 mRNA stability.
Photodynamic therapy (PDT)† involves the activation of a photosensitizer (PS) by light of a specific wavelength (reviewed in Dougherty et al. ). Activated PS undergo oxygen-dependent photochemical reactions that lead to cytotoxicity at the site of PS localization and illumination. Although PDT was initially developed and is approved in the United States as a cancer therapy, recent interest has focused on the use of PDT in the treatment of nonmalignant maladies, specifically in the treatment of autoimmune and vascular diseases. Several preclinical studies have demonstrated that PDT is an effective therapy for antigen-induced arthritis, a model for rheumatoid arthritis (2,3). Additionally transcutaneous PDT, systemic delivery of the PS followed by whole-body irradiation, has been shown to inhibit disease onset and symptoms in murine experimental autoimmune encephalomyelitis (4). Transcutaneous PDT is under investigation for the treatment of psoriasis (5). Transcutaneous PDT has also been shown to be an effective treatment for age-related macular degeneration (AMD) (6).
Several mechanisms have been proposed for the suppression of autoimmunity by PDT. Activated lymphocytes have been shown to be more sensitive to PDT than naive cells (7–9); thus PDT may act to eliminate the autoreactive effector cells. PDT has also been shown to alter the antigen presenting capabilities, and therefore T cell stimulatory function, of dendritic cells by reducing the levels of major histocompatibility antigens (MHC) and costimulatory molecules (CD80, CD86) expressed on the cell surface (10).
We have demonstrated that cutaneous PDT induces IL-10 expression (messenger RNA [mRNA] and protein) in skin (11) and results in an increase in systemic levels of IL-10 (12). IL-10 is the key regulator of many aspects of the inflammatory response, has multiple effects on T cell function and is known to inhibit MHC expression and antigen presenting function of Langerhans cells (13–16). IL-10 has also been shown to play a key role in psoriasis (17); psoriatic individuals exhibit low levels of cutaneous IL-10 and IL-10 therapy has an antipsoriatic activity (18). Recent studies have suggested that IL-10 induction maybe the causative agent in transcutaneous PDT-induced suppression of the contact hypersensitivity (CHS) response (19). Thus it is possible that some aspects of PDT suppression of autoimmune reactions are mediated by IL-10. Increased IL-10 expression following UVB irradiation has also been shown to be involved in UVB-induced immunosuppression (14,20) and UVB is known to induce IL-10 expression in keratinocytes (21).
PDT has also been shown to induce several other cytokines including IL-1β, IL-2, IL-6, tumor necrosis factor-α, interferon-γ, and granulocyte colony-stimulating factor from a wide variety of cells, including leukocytes and tumor cells (11,22–28). However, few studies have investigated the mechanism behind cytokine induction by PDT. PDT is known to induce IL-6 (11,23) and the IL-6 gene promoter contains an AP-1 regulatory element. Kick et al. (26) have shown that PDT induces AP-1 DNA binding activity. In addition to inducing AP-1 activity, PDT induces prolonged expression of c-fos and c-jun, which make up the AP-1 heterodimer (29). Although direct analysis of the role of AP-1 in PDT-induced IL-6 expression was not performed, these studies suggest that induction of AP-1 binding activity by PDT is responsible for the increase in IL-6 levels. Like the IL-6 gene promoter, the murine IL-10 gene promoter also contains an AP-1 regulatory element (30). In this study, we provide functional evidence that the PDT-induced IL-10 mRNA and protein expression in a mouse keratinocyte line, PAM 212, is a result of increased AP-1 DNA binding activity. Deletion of the AP-1 regulatory element from the IL-10 promoter abrogates the effect of PDT on IL-10 induction indicating that this element is critical for PDT-induced transcription of IL-10. We also demonstrate that PDT increases IL-10 mRNA stability in PAM 212 cells. Thus the enhanced expression of IL-10 following PDT is due to both an increase in gene promoter activity and to an increase in mRNA stability.
PAM 212 cells (31) were obtained from Dr. Stuart Yuspa (National Cancer Institute, Bethesda, MD) and maintained in Roswell Park Memorial Institute 1640 supplemented with 10% fetal bovine serum, nonessential amino acids, glutamine, sodium pyruvate, 2-mercaptoethanol and antibiotics (all from GIBCO-BRL, Grand Island, NY) in a humidified atmosphere of 5% CO2 in air. Exponentially growing cells were exposed to 2.5 μg/mL Photofrin® in complete medium for 24 h, followed by exposure to drug-free complete medium for 3 h. Clinical-grade, pyrogen-free Photofrin® (QLT Inc., Vancouver, B.C., Canada) was reconstituted to 2.5 mg/mL in pyrogen-free 5% dextrose (D5W; Baxter Corp., Deerfield, IL) prior to use. At the end of the drug efflux period, cells were exposed to 630 nm light delivered with an argon-dye laser system (Spectra Physics, Mountain View, CA) for a total dose of 0.4 J/cm2 (lethal dose [~LD20]). At selected time points thereafter cells were collected for RNA, enzyme-linked immunosorbent assay (ELISA) or electrophoretic mobility shift assay (EMSA) analysis. In experiments in which the supernatant was collected, culture medium was replaced with CHO serum-free medium (GIBCO-BRL) supplemented as above (with the exception of serum) immediately following treatment. Cell viability was determined by the 3-(4,5-dimethylthiazole-2-yl)-2,5-biphenyl tetrazolium bromide assay (32).
PAM 212 cells were washed twice in phosphate buffered saline (PBS) and 0.5 mL of PBS was added to each 10 cm2 tissue culture dish. Cells were irradiated with a pair of FS20 sunlamps, which have an output peak at 310 nm, and received a total dose of 95 J/m2 at 3.8 W/m2 (~LD20). Following treatment, 8 mL of complete culture medium was added and the cells were cultured as described above.
Total RNA was isolated from cells with Ultraspec (Biotecx Laboratories, Inc., Houston, TX). RNA was quantified spectrophotometrically and diluted to a concentration of 2 μg/μL. Reverse-transcriptase polymerase chain reaction (RT-PCR) was done as previously described (11) using IL-10 (35 PCR cycles) or actin (25 PCR cycles) specific primers (Stratagene, La Jolla, CA). The reaction products were separated on a 2% agarose gel, stained with ethidium bromide, examined under UV light and subjected to densiotometry. Control PCR reactions were performed on samples prepared in the absence of reverse transcriptase to test for the presence of contamination by cellular DNA. Reagents were routinely checked for contamination and results were confirmed in three replicate experiments. RT-PCR results are presented as relative IL-10 mRNA. Relative mRNA levels are calculated following normalization to actin levels.
Supernatants were collected at various times following treatments and were concentrated 10-fold using 3K Microsep centrifugal concentrators (Pall Filtron Corp., Northborough, MA). Protein determinations were made using BioRad protein assay reagent (BioRad, Hercules, CA). ELISA assays were performed as described previously (11).
A DNA fragment containing the murine IL-10 promoter (−1626 to +92 bp) was isolated from an IL-10 genomic clone obtained from Dr. K. Moore, DNAX Research Inst., Palo Alto, CA (33). The fragment was subcloned into the pCAT3basic reporter plasmid (Promega Corp., Madison, WI) to generate pIL10pro(−1626)CAT. The pCAT3basic vector contains the coding region for chloramphenicol acetyltransferase (CAT). The 5′ deletion constructs (i.e. pIL10pro(−1033)CAT) were generated by restriction enzyme digestion of the full length promoter clone as follows: −1033 bp, Kpn I/Xba I; −885 bp, Bgl II/Xba I; −863 bp, Sca I/Xba I; −125 bp, Bgl I/Xba I. The deletion fragments were isolated and subcloned into the pCAT3basic plasmid. Deletion of the AP-1 regulatory element was performed by two-stage PCR as previously described (34), using the following primer pairs for the primary PCR:
|5′ fragment:||GCGACGCGTCAGTCAGGAGAGAGGG (−1625 bp to −1613 plus a Mlu I site)|
|GTTGGAATGGAAT/AGAACTGCTGCTCC (−1344 to −1357/−1365 to −1378 bp)|
|3′ fragment:||GGAGCAGCAGTTCT/AGGCCAGGCCAAC (−1378 to −1365/−1357 to −1344 bp)|
|TATCTCGTGCAGTTATTGTCTTCC (+96 to +74 bp plus a Xba I site).|
Primers were synthesized in the Roswell Park Biopolymer Core Facility. The primary PCR products were isolated and used for the secondary PCR reaction, along with the outermost primers from the primary PCR. The resulting fragment was isolated and subcloned into the Mlu I and Xba I sites of the pCAT3basic plasmid to create the pIL10pro(ΔAP1)CAT plasmid. All plasmid constructs were con-firmed by sequencing and were purified by double cesium chloride centrifugation.
Transient transfections were done using Superfect (Qiagen Inc., Valencia, CA) at a ratio of 2.5:1 with supercoiled DNA, according to the manufacturer’s protocol. Briefly, cells were plated at 7.5 × 105 cells/10 cm2 tissue culture dish the day before the transfection. The day of the trans-fection cells were washed two times with PBS and 3 mL of culture media containing Superfect and DNA complexes was added to the plates. Cells were incubated for 3 h at 37°C, 5% CO2. Following incubation, cells were washed twice with PBS and 8 mL of fresh culture medium was added. Cells were then incubated for 2 h, followed by addition of Photofrin® as described above. All transfections were done with 10 μg of pIL10pro DNA and included 5 μg of p-SEAP-control vector (Clontech Lab., Palo Alto, CA) as a transfection control.
CAT assays were done as previously described (34) with 100 μg of cell lysate collected 24–48 h after treatment. Following chromatography to separate the acetylated chloramphenicol products, results were analyzed using a Storm Phosphoimager (Molecular Dynamics, Redwood City, CA) and percent conversion of chloramphenicol to acetylated chloramphenicol was determined. To control for variance in transfection efficiencies each transfection contained 5 μg of pSEAPcontrol plasmid and all results were normalized by assaying for secreted alkaline phosphatase activity (SEAP Assay, Clontech). The data are representative of at least three independent transfections for a given recombinant and at least two independent preparations of each plasmid DNA were used.
Nuclear extracts were prepared as previously described (34) at various times after PDT or UVB treatment. EMSA was performed using 4 μg of nuclear extract incubated with 0.2–1 ng of 32P-labeled oligonucleotides for 20 min at room temperature (34). Oligonucleotides corresponding to the cyclic adenosine monophosphate (cAMP) response element (CRE), NF-κB, Oct-1 and AP-1 consensus sequences were obtained from Promega. One hundred nanograms of each oligonucleotide was end-labeled with T4 DNA kinase and separated from unincorporated radioactivity using Select-D G-25 columns (5-Prime-3-Prime, Inc., Boulder, CO). The specificity of the protein:DNA complexes was examined by incubating the nuclear extracts with a 100 or 500-fold molar excess of unlabeled competitor oligonucleotides for 15 min at room temperature prior to incubation with labeled oligonucleotides. The composition of the protein within the complex was determined by including rabbit polyclonal antibodies specific for either c-fos or c-jun/AP-1 (Santa Cruz Biotechnology, Santa Cruz, CA) or rabbit IgG (Sigma Chemical Co., St. Louis, MO). Antibodies were added to the extract in the presence of the oligonucleotide and incubated at 4°C overnight. A total of 4 μg of antibody was added to each reaction. Protein:DNA complexes were resolved by electrophoresis on 4% nondenaturing polyacrylamide gels, which were subsequently dried and exposed to Phosphoimager screens. Assays were performed on extracts isolated from a minimum of three independent experiments. To ensure equivalent nuclear extract activity, extracts were tested for binding activity to Oct-1, which was unchanged by PDT treatment (data not shown).
To determine whether PDT alters the stability of IL-10 mRNA, PAM 212 cells were treated with UVB or PDT, then incubated with actinomycin D (10 μg/mL) 1 or 4 h after activation, respectively, to stop further transcription. Total RNA was isolated from cells 0, 0.5, 1, 2 or 4 h after actinomycin D addition and subjected to RT-PCR as described above. Densitometry of the ethidium stained gel was performed and the results were normalized to the actin mRNA levels. A total of three independent experiments were performed and the results are presented as the mean ± standard error of mean of the relative IL-10 mRNA expression following normalization to the expression of actin mRNA.
We have previously shown that large cutaneous surface area PDT induces IL-10 mRNA and protein expression in mouse skin (11). UVB also induces IL-10 expression in the skin, which appears to be due in part to increased IL-10 expression from keratinocytes (21). To determine whether PDT also induces IL-10 expression in keratinocytes, PAM 212 cells were treated in vitro and the levels of IL-10 mRNA were measured by RT-PCR. As shown in Fig. 1A, PDT (~LD20) induces IL-10 mRNA within 3 h of treatment. The increased mRNA levels persist for at least 24 h after treatment. To determine whether the IL-10 mRNA induction was dose dependent PAM 212 cells were treated with increasing light dose following 24 h incubation with 2.5 μg/mL Photofrin®. The levels of IL-10 mRNA were determined by RT-PCR 4 h after PDT. The induction of IL-10 mRNA by PDT exhibits a sharp dose dependency with a minimal induction at 0.2 J/cm2 (LD<10) and maximal levels reached following illumination with 0.4 J/cm2 (LD20) (Fig. 1B). Treatment with 0.4 and 0.6 J/cm2 (LD50) were not significantly different in the level of mRNA induced. The decrease in mRNA levels at 0.8 J/cm2 is most likely a result of cell death as this dose represents the LD75 for these cells. The induction of IL-10 mRNA by drug alone could reflect either a minimal exposure to light during sample manipulation or minimal activation of IL-10 expression by Photofrin® alone as has been shown for other genes (35). The kinetics of IL-10 mRNA induction in PAM 212 cells by PDT are similar to those seen in the skin following in vivo PDT treatment (11).
The induction of IL-10 by PDT in PAM 212 cells was further confirmed by examining the levels of IL-10 secretion following light exposure. PDT induces IL-10 secretion from PAM 212 cells within 6 h of treatment and reaches a maximum at 24 h after treatment (Fig. 2). The levels of IL-10 remain above background levels for up to 72 h after treatment. Photofrin® incubation in the dark is able to slightly increase the IL-10 secretion within 48 h. This suggests that the increase in IL-10 secretion seen with drug alone is due to one of the following: a minimal exposure to light during sample manipulation, inadvertent exposure to light during the longer incubation periods or minimal activation of expression by Photofrin® alone.
An increase in protein expression can be a result of an increase in promoter activity, an increase in mRNA stability or an increase in mRNA translation. To determine whether the increase in IL-10 expression following PDT is a result of an increase in promoter activity, PAM 212 cells were transiently transfected with a CAT reporter plasmid containing the IL-10 gene promoter, pIL10pro(−1626)CAT. Transfected cells were treated with Photofrin®-PDT or for comparison, UVB irradiation at ~LD20 levels, and promoter activity was determined. As shown in Fig. 3, PDT significantly induces IL-10 gene promoter activity (P < 0.002 when compared to untreated cells). Minimal promoter activation was seen in untreated transfected cells or in transfected cells treated with light or drug alone. Therefore, the increase in IL-10 expression in PAM 212 cells post-PDT treatment is due, at least in part, to an increase in IL-10 gene promoter activity.
UVB irradiation has been shown to stimulate IL-10 expression in PAM 212 cells (21). As seen in Fig. 3, UVB irradiation also significantly induces IL-10 gene promoter activity (P < 0.001 when compared to untreated cells).
The murine IL-10 promoter is known to contain several potential response elements including AP-1, NF-κB, IL-6RE and a CRE (33). To determine if any of these elements are involved in the PDT induction of IL-10 gene promoter activity, 5′-deletion analysis of pIL10pro(−1626)CAT was performed. The schematic diagram of the IL-10 promoter shown in Fig. 4 indicates the sites of response elements that have been shown to be involved in redox reactions (AP-1, NF-κB, IL-6RE) or in IL-10 regulation (CRE). The deletion of the promoter region from −1626 to −1033 bp resulted in a significant ablation of the PDT induction of promoter activity. Promoter activity in cells transiently transfected with the truncated promoter constructs (pIL10pro(−1033)CAT; pIL10pro(−883)CAT; pIL10pro(−863)CAT; pIL10pro(−125)CAT) were not significantly different from each other or from activity in cells transfected with the control vector, pCAT3basic. Analysis of promoter activity in transiently transfected cells, which were either treated with drug alone (Fig. 4) or untreated (data not shown), demonstrated that 5′ deletion of the promoter had no effect on promoter activity in the absence of PDT as promoter activity in these cells remained low (Fig. 4). Therefore, it is unlikely that the deleted region contains a repressive element that suppresses promoter activity. In addition, these data suggest that PDT is not abrogating the activity of a repressive factor. The deletion of the −1626 to −1033 bp fragment did not render the promoter unresponsive to any stimulus; cells transiently transfected with the truncated promoter constructs were treated with UVB irradiation as above. UVB-induced promoter activity in cells transfected with the truncated promoter constructs was not significantly different from activity seen in cells transfected with the pIL10pro(−1626)CAT construct (Fig. 4). These results suggest that UVB and PDT regulate the IL-10 promoter differently and that the deleted promoter constructs are still functional.
Previous studies have shown that Photofrin®-PDT results in an increase in AP-1 and NF-κB binding activity in L1210 cells (36). Both NF-κB and AP-1 are known to be redox-regulated (37–40). EMSA analysis showed that PDT also increased AP-1 DNA binding activity in PAM 212 cells (Fig. 5A). AP-1 activity was increased by 3 h after treatment and remained high up to 6 h after treatment in three independent experiments. EMSA analysis performed with oligonucleotides corresponding to the CRE and NF-κB elements indicated no change in DNA binding activity following PDT treatment (data not shown). The specificity of the protein: DNA complex was confirmed by competition with excess cold oligonucleotides. Excess cold AP-1 oligonucleotide eliminated binding to radiolabeled oligonucleotide (Fig. 5B). Binding was not eliminated by inclusion of an 100-fold excess cold Oct-1 or NF-κB oligonucleotides; however, induction of NF-κB was seen following UVB treatment (data not shown). Minimal reduction in AP-1 DNA binding activity was observed in reactions performed in the presence of 500-fold excess Oct-1 or NF-κB oligonucleotides (Fig. 5B). To confirm the composition of the shifted complexes, EMSA analysis was performed with antibodies specific for c-fos or c-jun/AP-1. Both antibodies shifted the protein:DNA complex (Fig. 5C). Control antibodies (rabbit IgG) had no effect on the complex mobility.
To confirm that the AP-1 element was critical to induction of the IL-10 gene promoter by PDT, the AP-1 element was specifically deleted from the full length promoter. Deletion of the 7 bp AP-1 element (−1365 to −1357 bp) inactivated the promoter response to PDT (Fig. 6A; 31 vs 0%; P < 0.002) but had no effect on UVB induction of promoter activity (Fig. 6B; 41.5 vs 37%; P < 0.1602). These results indicate that the AP-1 regulatory element is critical to induction of IL-10 promoter activity by PDT and suggest that activation of AP-1 DNA binding activity by PDT results in an increase in IL-10 promoter activity.
Increased protein and mRNA expression can also be a result of increased mRNA stability. To determine whether PDT also increases the stability of the IL-10 mRNA, PAM 212 cells were treated with actinomycin D (10 μg/mL) 4 h after PDT treatment or 1 h after UVB irradiation. Previous studies have shown that UVB irradiation induces IL-10 mRNA within 1 h of treatment (21). Cells were harvested immediately (0 h) and 0.5, 1, 2 or 4 h after treatment, and the level of IL-10 mRNA was determined by RT-PCR. UVB-induced IL-10 mRNA is detectable up to 1 h after actinomycin D addition. However, PDT-induced IL-10 mRNA is detectable up to 4 h following actinomycin D addition, indicating that PDT prolongs the half-life of the IL-10 mRNA (Fig. 7). Kick et al. (29) have shown that PDT also prolongs the stability of the c-fos and c-jun mRNA.
This study demonstrates that PDT-induced IL-10 mRNA and protein expression in keratinocytes is a result of activation of the IL-10 gene promoter and increased mRNA stability. Kick et al. (26) have shown that PDT enhances AP-1 DNA binding activity in a protein kinase C-independent manner and have suggested that AP-1 mediates the induction of IL-6 by PDT. The current study has expanded these results using functional analysis to demonstrate conclusively that AP-1 has a critical role in the induction of IL-10 by PDT. AP-1 has been shown to be induced by changes in the redox potential (38–40) and hypoxia (41); therefore modulation of AP-1 activity by PDT in vitro might be mediated by changes in the oxidative potential as a result of the generation of singlet oxygen. In addition, PDT-induced hypoxia has the potential to affect AP-1 activity in vivo. AP-1 is composed of homodimers of the products of the c-jun gene family or heterodimeric combinations of c-jun and c-fos gene family members. PDT has been shown to induce prolonged expression of both c-fos and c-jun as a result of oxidative stress (29,42). AP-1 has also been shown to be involved in tumor necrosis factor-α induction of IL-10 in monocytes (43). In contrast T cells appear to regulate IL-10 expression through elements other than AP-1 (44,45).
The IL-10 promoter contains several other regulatory elements including CRE and SP-1 sites. Regulation of the IL-10 promoter in macrophages/monocytes appears to be stimuli dependent. The CRE element has been implicated in the induction of IL-10 in monocytes by cAMP elevating drugs (43,46). Recent studies have shown that SP1 and SP3 play a prominent role in lipopolysaccharide regulation of IL-10 in monocytes (45,47). Our data suggest that UVB and PDT regulate the IL-10 promoter by different mechanisms in keratinocytes, as UVB induction of the IL-10 promoter appears to be AP-1 independent. Thus, regulation of IL-10 appears to be both cell type and stimuli specific. Studies are currently underway to determine the UVB responsive site in the IL-10 gene promoter.
While our studies fail to demonstrate activation of NF-κB in PAM 212 cells by Photofrin®-PDT, several other studies have demonstrated NF-κB activation by PDT in other cell types. For example, Chen et al. (48) have shown that Photofrin®-PDT activates NF-κB in L1210 cells and Granville et al. (49) have demonstrated NF-κB activation by verteporfin-PDT in HL-60 cells. In contrast, similar to our studies Mu et al. (35) were unable to demonstrate NF-κB activation in HeLa cells with Photofrin®-PDT.
In addition to changes in promoter activity, increases in protein expression can be a result of increased mRNA stability and/or increased translational efficiency. Naora and Young (50) have shown that although transcriptional control is the predominant feature in regulation of IL-10 mRNA levels in T cells, mRNA stability also appears to play a role. Our results suggest that increases in mRNA stability may also contribute to alterations of IL-10 expression by PDT, as it does with alterations in expression of c-fos and c-jun (29). In our studies UVB irradiation is unable to stabilize IL-10 mRNA. A recent report by Powell et al. (51) has demonstrated that IL-10 gene expression in macrophages and T cells is regulated through AUUUA motifs in the 3′ untranslated region of the gene. This study suggests that variable expression levels and mRNA are determined by heterogeneity of mRNA-stabilizing signals. It appears as though UVB and PDT regulate IL-10 gene expression through different signals. Thus it is feasible that there are also differences in the mRNA stabilizing signal sent through these different stimuli.
Suppression of the CHS response by PDT has been shown to be a result of increased expression of IL-10 (19), and we have previously demonstrated that PDT induced IL-10 in the skin (11). In the current study we have shown that in vitro PDT-treated keratinocytes express high levels of IL-10. UVB irradiation also induces IL-10 expression in keratinocytes (14,20,21). UVB-induced IL-10 mediates suppression of delayed type hypersensitivity (52). However, keratinocyte-derived IL-10 does not appear to enter the circulation and systemic immunosuppression following UVB irradiation is thought to be the result of an alternative prostaglandin E2 dependent mechanism, involving IL-4 (53). We have recently demonstrated an induction of systemic IL-4 by PDT (Gollnick and Henderson, in preparation). Further studies are underway to determine what, if any, role IL-4 plays in the suppressive effects of cutaneous PDT on the immune system.
Previous work by this laboratory has demonstrated that tumor directed PDT, in contrast to transcutaneous PDT, can cause a decrease in IL-10 mRNA expression in the tumor bed. In these studies, IL-10 mRNA expression was examined in the total tumor bed, rather than in individual cell populations. As mentioned above, IL-10 regulation is cell type specific and thus a more detailed analysis of specific cell subsets is required before conclusions can be drawn regarding the molecular mechanisms of IL-10 regulation in the tumor bed. It is possible that tumor directed PDT is inducing keratinocyte expression of IL-10, however a much smaller area of skin is treated and thus any induction is unlikely to be detected. Additionally tumor directed PDT induces a strong inflammatory response, which is accompanied by an influx of granulocytes (1) and may result in further dilution of the IL-10 signal.
In summary, we have shown that in vitro PDT is able to induce IL-10 mRNA and protein secretion from PAM 212 cells. The induction of IL-10 by PDT in this cell line involves an increase in IL-10 gene promoter activity, which is mediated by activation of the trans-acting transcription factor, AP-1, as well as an increase in IL-10 mRNA stability.
We are grateful to Dr. Kevin Moore, DNAX Research Institute, for the gift of the murine IL-10 genomic clone and for his advice. We are also grateful to Dr. Shawn Murphy, Department of Immunology, and Dr. Adrian Black, Deartment of Experimental Therapeutics, for critical review of this manuscript. This work was supported by NIH Grant PO1 CA55791, The Roswell Park Alliance, and partially supported by shared resources of the Roswell Park Cancer Center support grant (P30 CA16056).
¶Posted on the website on 11 January, 2001.
†Abbreviations: cAMP, cyclic adenosine monophosphate; CAT, chloramphenicol acetyltransferase; CHS, contact hypersensitivity; CRE, cAMP response element; ELISA, enzyme-linked immunosorbent assay; EMSA, electrophoretic mobility shift assay; LD, lethal dose; PBS, phosphate buffered saline; PDT, photodynamic therapy; PS, photosensitizer; mRNA, messenger RNA; RT-PCR, reverse transcriptase-polymerase chain reaction.