Mechanistic aspects of differential STAT induction in response to IFN-β
The aims of this study were to investigate how certain primary human blood cells signal in response to IFN-β and to explore how such signals might be related to apoptosis or cell survival. Up to now, non-immune cells and cell lines have mainly been used to study type I IFN signaling and to elucidate the mechanisms by which these IFNs regulate transcription. We developed a flow-cytometry-based assay to detect at the single cell level the activation of specific STATs in primary human leukocytes. IFN-α/β-induced activation of STAT1, which results mainly in the formation of the ISGF3 complex, but also leads to the formation of STAT1 homodimers in adherent and non-adherent cell lines, is a hallmark of type I IFN signaling. The human leukemic B cell line HT and the leukemic CD4
+ T cell line Jurkat form abundant amounts of PY-STAT1 in response to IFN-β (, and unpublished results). Unexpectedly, we found that only a small fraction of primary human B cells activated STAT1 in response to IFN-β, and that this activation was independent of the concentration of IFN used (500–10,000 IU/ml) or the time of stimulation (10–75 min, ). We tested IFN-β-induced signaling in 41 different individuals. Although most of the time we saw that a maximum of 25% of the B cells responded by activating STAT1, in 7% of these individuals, we detected >65% of the B cells positive for PY-STAT1 induction (3 out of 41). It may be that these persons have an underlying disease that has not been diagnosed or that this response is normal during a subclinical virus infection. Nevertheless, despite individual variations, we found that many fewer B cells showed activation of STAT1 compared to monocytes, CD4
+ and CD8
+ T cells after stimulation with 2000 IU/ml IFN-β (). To begin to understand the mechanism, we studied IFNAR expression and found that 100% of primary human B cells, monocytes, CD4
+ and CD8
+ T cells expressed the IFNAR2 chain (), which has a long cytoplasmic tail containing 2 conserved tyrosine residues that are crucial for activation of STAT1, 2 and 3 (
1–
4). Although IFNAR2 expression was found to be equal, the functionality of this receptor chain could still be different in B cells. An explanation for the low activation of STAT1 could be decreased activation of STAT2, because activation of STAT1 depends on the activation of STAT2 in fibrosarcoma cells and primary fibroblasts (
37,
42). However, STAT2-deficient peritoneal macrophages retained the ability to activate STAT1, highlighting intriguing differences in the ability of the IFNAR to activate STAT1 in fibroblasts and monocytic cells (
42). Nothing is known about this function of the IFNAR in other leukocyte subsets, but we found low activation of STAT1 in primary human B cells at every IFN-β concentration and in CD4
+ T cells at lower IFN-β concentrations, despite normal activation of STAT2. At the optimal time point for IFN-β-induced STAT activation, we found the highest activation of STAT5 in primary human CD4
+ T cells and we also found activation of STAT5 and STAT3 in primary human B cells, suggesting that the Type I IFN receptor is functional in B cells.
It will be important to investigate whether low STAT1 activation is an intrinsic property of mature B cells and CD4
+ T cells, or whether it is a result of other factors present in whole blood. Notably, our results comparing IFN-α1, IFN-α2b and IFN-γ with IFN-β showed very similar low activation of STAT1 in B cells (), suggesting that the same mechanism is involved. By influencing activation of the JAKs, SOCS1 can diminish the activation of STAT1 by both the type I and type II IFN receptors (
39). SHP1 and TCP45 are both protein tyrosine phosphatases that decrease tyrosine phosphorylation of STAT1 (
40–
41). Although SOCS1, SHP1 and TCP45 are excellent candidates to explain the lack of PY-STAT1 induction in B cells by type I and II IFNs, we could not find evidence of their enhanced protein expression in B cells only. Based on our experiments we propose nevertheless that either physical properties of STAT1 protein itself are altered or that a selective negative regulator of STAT1 tyrosine phosphorylation is present in the majority of B cells. B cells are a heterogeneous population, and it will be important to characterize the minor fractions that do show activation of STAT1 by studying the expression of CD markers, chemokine receptors and adhesion molecules. Perhaps the STAT1-activating cells are immature, since type I IFNs inhibit B and T cell lymphopoiesis (
43). In contrast, IFN-α induces STAT1-dependent proliferation in dormant haematopoietic stem cells (
44), suggesting that the response to type I IFNs may change during the maturation of leukocyte subsets. Future experiments could address this issue by analyzing subsets separated on the basis of lineage and differentiation markers expressed on their surfaces.
Biological consequences of differential STAT activation
Type I IFNs cause apoptosis in many cancer cell lines and are used to treat several different types of tumors (
22,
23). Similarly, type I IFNs induce apoptosis in primary monocytes (
20,
21) but, in contrast, increase the survival and proliferation of primary B cells and T cells (
14–
19). In agreement, we found the highest activation of caspase 3, a hallmark of apoptosis induction, in monocytes, followed by CD8
+ T cells and the least in CD4
+ T cells and B cells after stimulation with IFN-β. Interestingly, during virus infection of mice, only CD8
+ T cells with low STAT1 activation will proliferate in response to type I IFNs, due to lower STAT1 protein expression (
45). The apoptosis-inducing capacity of type I IFNs is largely attributed to the activation of STAT1 (
11,
46), whereas the activation of STAT3 and STAT5 by type I IFNs is related to survival and proliferation (
12,
13,
47). By performing double staining of IFN-β-stimulated cells with anti-PY-STAT1/PY-STAT3 or anti-PY-STAT1/PY-STAT5 antibodies, we were able to detect the activation of STAT1/STAT3 and STAT1/STAT5 together, in individual cells. Notably, the percentage of PY-STAT1
+/PY-STAT3
− monocytes found in response to IFN-β after 45 min correlated significantly with percentage of activated caspase 3-positive monocytes after 8 h (). Enhanced STAT3 protein levels in monocytes have been demonstrated to suppress DNA-binding of STAT1 homodimers by sequestering STAT1 into STAT1/STAT3 heterodimers (
48). Therefore, it is to be expected that the PY-STAT1
+/PY-STAT3
− monocytes would become apoptotic first, and that PY-STAT1
+/PY-STAT3
+ monocytes are protected from apoptosis induction only if PY-STAT3 levels are high enough to sequester activated STAT1. However, after longer stimulation with IFN-β (beyond 10 h), the percentage apoptotic cells is doubled or tripled compared to the percentage at 8 h, indicating that even PY-STAT1
+/PY-STAT3
+ monocytes eventually die. Very few B cells are PY-STAT1
+/PY-STAT3
− and, because STAT1 activation is so low in these cells, it is more likely that enhanced PY-STAT3 levels could suppress DNA-binding of STAT1 homodimers by sequestering STAT1 into STAT1/STAT3 heterodimers in PY-STAT1
+/PY-STAT3
+ B cells than in monocytes (
48). It is interesting that CD4
+ T cells that show the highest percentage of PY-STAT1
+/PY-STAT3
− cells in response to IFN-β after 45 min display the lowest apoptosis induction, along with B cells (). Both leukocyte subsets have very low numbers of PY-STAT1
+/PY-STAT5
− cells and significant numbers of PY-STAT1
+/PY-STAT5
+ cells, suggesting that the activation of STAT5 in the majority of CD4
+ T cells and B cells protects against apoptosis induction. Indeed, the anti-apoptotic and mitogenic properties of type I IFNs in mouse T cells are dependent on the activation of STATs 3 and 5 (
47). Strangely, despite the fact that monocytes also generate very high numbers of PY-STAT1
+/PY-STAT5
+ cells in response to IFN-β, they are the most sensitive to apoptosis induction. This disparity between monocytes, B cells and CD4
+ T cells might be explained by the fact that our anti-PY-STAT5 antibody recognizes both activated STAT5A and STAT5B, and human monocytic cells activate only STAT5A (
49), in contrast to human T cells, which activate both STAT5A and STAT5B in response to type I IFNs (
8).
In accordance with above-mentioned data, when monocytes and B cells were compared for pro-apoptotic mRNA induction by IFN-β, we only found enhancement of CDKN1A, BAK1, CASP3 and STK3 mRNA in monocytes ( and ). Evidence that the induction of these mRNAs depends upon phosphorylated STAT1 homodimers is as following. First, IFN-γ does not induce cyclin-dependent kinase inhibitor 1A (CDKN1A or p21) in STAT1-deficient U3A fibrosarcoma cells, but does enhance p21 expression in U3A cells in which STAT1 has been reintroduced (
27), and enhancement of caspase 3 (CASP3) expression is dependent on PY-STAT1 formation (
28). Secondly, because BCL-2 homologous antagonist/killer 1 (BAK1) expression is induced directly in HT-29 cells by IFN-γ (
29), its induction probably depends on the formation of STAT1 homodimers. Finally, because both type I and type II IFNs enhance serine/threonine-protein kinase 3 (STK3) expression (
www.interferome.org), it is likely that the induction of this mRNA occurs through activation of STAT1. CDKN1A, BAK1, CASP3 and STK3 are known to be involved at different stages of the intrinsic apoptotic pathway. For instance, increased p21 leads to cell cycle arrest in the G1 phase of fibrosarcoma and Burkitt’s lymphoma cells, and the induction of G1 arrest in Burkitt’s B cell lymphoma by type I IFNs is followed by induction of apoptosis (
26). BAK1 is a member of the BCL-2 family of pro-apoptotic proteins which, upon activation by IFN-α, forms oligomers or heterodimers that interact with the mitochondria, leading to the release of cytochrome c and apoptosis induction (
50,
51). Notably, it has been shown that apoptosis induction through activation of STAT1 is mediated by activation of the effector caspase 3, among others (
46). Interestingly, STK3 is a direct substrate of caspase 3 and, following cleavage, translocates to the nucleus and induces chromatin condensation, followed by inter-nucleosomal DNA fragmentation (
52,
53). However, increased levels of STK3 can also accelerate apoptosis induction through the activation of caspase 3 (
52).
Induction by IFN-β of CDKN1A, BAK1, CASP3 and STK3, all involved in the intrinsic apoptotic pathway, seems to occur only in monocytes, whereas the induction of certain pro-apoptotic genes was not found in B cells exclusively. Nevertheless, in both monocytes and B cells, TRAIL mRNA was increased by 7–24 fold after IFN-β stimulation (). Although TRAIL expression induces apoptosis in tumor and virus-infected cells, it exhibits no apparent adverse affect on normal cells (
30,
54). Moreover, TRAIL engagement on T cells can even lead to increased proliferation, but it is not known if this is also true for B cells (
55). However, the expression of TRAIL on monocytic cells might still have inhibitory effects, because the rapid maturation of monocytes into short-lived dendritic cells by IFN-β is associated with TRAIL expression (
21). TRAIL induction by IFN-β in fibrosarcoma cells is dependent on ISGF3 binding to the ISRE element in the promoter (
56). The fact that our data suggest that TRAIL mRNA was increased in B cells by IFN-β, despite low activation of STAT1, could be explained by the binding of either STAT2dimer/IRF9 or STAT2/STAT6/IRF9 to the ISRE (
4,
5), because primary human B cells can activate both STAT2 and STAT6 (, and preliminary results). Alternatively, formation of STAT3, STAT5 or STAT6 homodimers (
5) in response to IFN-β could be responsible for the observed increase of IRF-1 in primary human B cells (), that is, IRF1 dimers could subsequently bind to the ISRE in the TRAIL promoter (
57). In addition to TRAIL induction, we found that, in both monocytes and B cells, the mRNA for the death receptor FAS was increased by 3–4 fold (). Upon FASL binding, the extrinsic apoptosis pathway could be triggered by recruitment of FAS-associated death domain protein (FADD), activation of caspase 8 and cleavage of the pro-apoptotic BCL-2 family member Bid (
31,
50). However, we did not observe any simultaneous increase of FASL mRNA expression in B cells or monocytes. Of note, FAS also has non-apoptotic functions (
31), because individuals with homozygous caspase-8 reduction-of-function mutations display defects in FAS signaling and impaired proliferation of B, T and NK cells (
58).
Very low percentages of PY-STAT1
+/PY-STAT3
− and PY-STAT1
+/PY-STAT5
− were observed in B cells, the only leukocyte subset in which the PY-STAT1
−/PY-STAT3
+ and PY-STAT1
−/PY-STAT5
+ combinations were induced upon IFN-β stimulation (). These findings together are likely to be responsible for decreased induction of apoptosis and increased induction of the PY-STAT3- or PY-STAT5-dependent mRNAs that are responsible for increased survival and proliferation. Notably, the probable PY-STAT3-dependent B cell activating factor (BAFF) (
36), which our preliminary data suggest to be increased 3.5-fold more in B cells compared to monocytes (), has been shown to overcome any negative effects from FAS-signaling and increase the survival of B cells (
59). Another activated STAT3-dependent mRNA (
35), pre-B cell colony-enhancing factor 1 (PBEF1) increased in B cells only (, ) and not in monocytes in response to IFN-β. Notably, PBEF inhibits the induction of apoptosis in neutrophils and epithelial cells by reducing the activity of caspases 3 and 8 (
34). In addition, PBEF1 synergizes with IL-7 in pre-B cell colony formation (
33). We did not observe increased BCL-2 or BCL-xL expression, which was previously suggested to be the anti-apoptotic mechanism of IFN-β in B cells (
15). The promoters of both BCL-2 and BCL-xL are typical targets of activated STAT5 in response to several growth factors, and the STAT5-dependent induction of resistance to apoptosis functions through these proteins (
13). Because we studied only early mRNA transcription in response to IFN-β, the induction of BCL-2 and BCL-xL in B cells might need more than 3 h of stimulation with IFN-β. We propose that the low activation of STAT1 and much higher activation of STAT3 and STAT5, and consequently the absence of induction of genes participating sequentially in the intrinsic apoptosis induction pathway (as observed in monocytes), is an important mechanism to enable primary human B cells to survive in response to IFN-β. More in-depth studies using Chip assays to determine the residence of specific STATs on specific promoters are necessary to understand in detail how STATs 1, 3, and 5 activated by IFN-α/β exert their pro-apoptotic and mitogenic effects in specific immune subsets. In addition, it will be vital to unravel the mechanism of low STAT1 activation in the great majority of primary human B cells.
Although to enable survival, few B cells activate STAT1 in response to type I and II IFNs, it is nevertheless important that the anti-viral effects of IFNs are preserved. mRNAs derived from virus-responsive genes such as MxA, OAS, PKR, ISG15, IFI44 and IFITM3 increased at least 2-fold in both B cells and monocytes in response to IFN-β (data not shown). It seems that only the promoter of MxA harbors a classical ISRE element (
57), and increased MxA transcription in B cells despite low STAT1 activation by IFN-β could be the result of activation of similar transcription factor complexes as mentioned above for TRAIL. All the other typical virus-responsive genes are suggested to belong to a new subtype of ISRE termed ETS/IRF response elements (EIRE), which can bind either IRF dimers (similar as classic ISRE) or an ETS/IRF dimer (
57). Because B cells express IRF4, IRF8, PU.1 and other ETS family members (
57), an IRF/ETS dimer could possibly bind to these promoters in primary B cells after IFN-β stimulation. Therefore, the inability of most B cells to activate STAT1 does not lead to a deficient anti-viral response in B cells, but the mechanism has still to be elucidated. These results have important implications for understanding more fully the influence of IFN-α/β on leukocyte subsets during virus infection in humans, as well as the effects of treatment with IFN-α/β on these subsets in patients with multiple sclerosis, hepatitis and cancer.