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J. Biol. Chem., Vol. 278, Issue 35, 32801-32809, August 29, 2003
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-converting Enzyme



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From the
CNRS UMR 5540, IFR 66, Université
Bordeaux 2, 146 rue Léo Saignat, 33076 Bordeaux, France and the
¶Department of Genetics, Osaka University Medical
School, Osaka 565-0871, Japan
Received for publication, September 30, 2002 , and in revised form, June 3, 2003.
| ABSTRACT |
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converting enzyme (TACE) cleaved the
purified CD40 ectodomain/Fc chimeric protein in vitro, giving rise to
an sCD40 form similar to that shed from B cell cultures. Moreover, spontaneous
production of sCD40 by mCD40-transfected human embryonic kidney cells
(constitutively expressing TACE) was enhanced by the overexpression of TACE
and abrogated by co-transfection with a dominant-negative TACE mutant. These
results provide strong evidence that sCD40 production is an active process
regulated by the engagement of mCD40 and its proteolytic cleavage by TACE or a
related MP disintegrin. Given the antagonistic activity of sCD40 on the
CD40/CD154 interaction, this shedding mechanism might represent an important
negative feedback control of CD40 functions. | INTRODUCTION |
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Many cell-membrane proteins are subjected to limited proteolysis (called
shedding) that gives rise to soluble forms consisting of the extracellular
domain of the protein (for review see Refs.
2326).
The matrix metalloproteinase (MMP) family consists of structurally related
enzymes that play an important role in tissue breakdown and remodeling during
normal and pathological processes. Some MMPs have potential transmembrane
protein cleavage activity, as demonstrated for matrylisin, which processes
TNF-
(27) and Fas
ligand in vitro (28).
Among the proteases involved in membrane-anchored protein shedding, the
metalloproteinases (MP) of the ADAM (for a disintegrin and MP) family are
particularly important (for review see Refs.
29 and
30). Of the ADAM family
members, the TNF-
converting enzyme (TACE) plays a critical role in the
ectodomain shedding of pro-TNF-
(31,
32), TNF receptors I and II
(33), L-selectin
(34), CD30
(35), growth hormone receptor
(36), macrophage
colony-stimulating factor receptor
(37),
-amyloid precursor
protein (38), interleukin-6
receptor (24), TNF-related
activation-induced cytokine
(39), fractalkine
(40,
41), and the cellular prion
protein (42).
The aim of the present study was to investigate the mechanism leading to sCD40 production by B lymphocytes. We provide evidence that the triggering of CD40 is sufficient to induce the rapid release of significant amounts of sCD40 and an associated decrease in the amount of membrane-anchored CD40 (mCD40) expression by either Epstein-Barr virus-transformed B cell lines or purified tonsil B cells. Finally, we demonstrated that the ADAM family member TACE cleaved a CD40-Fc chimeric molecule in vitro or mCD40 on the cell surface, leading to the production of its soluble counterpart. This processing might represent a way to both regulate the CD40 density at the cell membrane and generate a CD40 antagonist, ultimately achieving efficient negative feedback control of the CD40/CD154 interaction.
| EXPERIMENTAL PROCEDURES |
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Antibodies and Reagents
The agonistic MAB89 anti-CD40 monoclonal antibody (mAb)
(44) was a kind gift from
Schering Plough Laboratory (Dardilly, France). Anti-CD40 3B2 and 10C6 mAbs,
and anti-leukemia inhibitory factor 1F10
[PDB]
mAb (used as an isotype-matched
irrelevant antibody) were produced in our laboratory. The non-blocking
anti-CD40 FITC-conjugated mAb (clone EA-5) used to reveal mCD40 expression and
the anti-TACE polyclonal antibody were both purchased from France Biochem
(Meudon, France). The anti-actin polyclonal antibody was from Sigma.
Phorbol 12-myristate 13-acetate, brefeldin A, chloroquin, and monensin were from Sigma. The MP inhibitor GM6001 was purchased from France Biochem and the active recombinant tissue inhibitor of metalloproteinase-2 (TIMP-2) was a generous gift from Dr. A. Noël (Liège, Belgium). The inhibitor of furin convertase dec-RVKR-cmk was purchased from Alexis Biochemicals (Coger S.A, Paris, France) and the TACE peptide substrate (NH2-LAQAVRSSSR-CONH2) was produced by Cybergene (Evry, France).
Activation of B Cells with the Anti-CD40 mAb
Twenty four-well culture plates were coated with 10 µg/ml (unless
otherwise stated) of anti-CD40 MAB89 or isotype-matched irrelevant control mAb
overnight at room temperature in carbonate-bicarbonate buffer (0.2
M NaHCO3, 0.8 M Na2CO3,
pH 9.6). The wells were then washed once in phosphate-buffered saline (PBS)
and then in RPMI 1640 without FCS. The JY cell line or tonsil B cells were
washed in RPMI 1640 without FCS (to avoid inhibition of MP activity by the
inhibitors present in the FCS), and plated (0.5 x 106
cells/well) in RPMI 1640 without FCS and supplemented with 2 mM
L-glutamine, 5 IU/ml penicillin, and 5 µg/ml streptomycin (all from
Invitrogen). The cells were then cultured for the indicated periods of time at
37 °C and 5% CO2. Cell viability at the end of the culture
period was always controlled by propidium iodide staining and flow cytometry
analysis.
Enzyme-linked Immunoabsorbent Assay (ELISA) for the Detection of
sCD40
Cell culture supernatants were spun for 10 min at 15,000 rpm to avoid
contamination with the mCD40 that was associated with cell membrane fragments.
The sCD40 level in samples was measured with an ELISA set up in our laboratory
as follows. Maxisorp plates (Nunc, Merck, Strasbourg, France) were coated with
the anti-CD40 MAB89 (1 µg/ml) in carbonate-bicarbonate buffer. The
standards for the calibration curves were determined with recombinant sCD40
(consisting of the extracellular domain of CD40, amino acids 1193
(22), produced in transfected
COS cells and purified on a MAB89 affinity column). The binding of sCD40 was
then revealed with the biotinylated 3B2 anti-CD40 mAb (0.5 µg/ml).
Steptavidin peroxidase (Amersham, 1:1000) was used to develop the reaction
with tetramethyl benzidine in phosphatecitrate buffer. Each sample was
measured in duplicate and the mean concentration was calculated. The detection
limit of the ELISA was around 3 pg/ml.
Flow Cytometry Analysis of mCD40 Expression and Total TACE
Expression
Cells were harvested, washed in PBS, 0.1% bovine serum albumin, and stained
for surface CD40 expression with a non-blocking FITC-conjugated anti-CD40
(clone EA-5) antibody able to recognize CD40 even in the presence of
CD40-bound MAB89 (data not shown). The relative mean fluorescence intensity
(relative MFI) was calculated with the following formula: (MFI (anti-CD40
FITC) MFI (isotypic control Ab))/MFI (isotypic control Ab).
For the detection of total TACE expression, 106 tonsil B cells, JY, or HEK cells were fixed in 150 µl of fluorescence-activated cell sorter lysing solution (BD Biosciences), washed with PBS, and permeabilized with permeabilizing solution following the manufacturer's instructions (BD Biosciences). Cells were then stained for both membrane and intracytoplasmic TACE with an anti-TACE phycoerythrin-conjugated antibody (R&D systems, Abingdon, United Kingdom).
Cell-surface Protein Labeling Experiments
JY cells or tonsil B cells were washed twice in ice-cold PBS and subjected
to cell-surface protein biotinylation with sulfosuccinimidobiotin (Pierce)
according to the manufacturer's instructions. After extensive washes, the
cells were resuspended in culture plates coated with MAB89 or control Ab.
sCD40 was allowed to accumulate for 24 h in the culture supernatant that was
then harvested and spun down for 10 min at 10,000 rpm. The cells were washed
twice in ice-cold PBS and resuspended in lysate buffer containing 50
mM Tris-HCl, pH 7.5, 150 mM NaCl, 1 mM EDTA,
1% Triton X-100, supplemented with 1 mM phenylmethanesulfonyl
fluoride and 2.5 µg/ml aprotinin (all from Sigma) for 30 min at 4 °C.
Total cell lysate or culture supernatant were equally split for subsequent
immunoprecipitation with Sepharose beads covalently coupled either with
anti-CD40 10C6 mAb or control mAb. Immunoprecipitated materials were then run
on a 10% SDS-polyacrylamide gel under reducing conditions, transferred onto a
polyvinylidene difluoride membrane (Amersham Biosciences), and the
biotinylated proteins were revealed with streptavidin peroxidase (1:2000 final
dilution). The positive bands were visualized using an ECL chemiluminescence
kit (Amersham Biosciences).
Detection of TACE by Western Blot
Lysates were prepared from 10 x 106 cells (JY, tonsil B
cells, or Jurkat cells) as described above. When mentioned, MP inhibitor
GM6001 was added to the lysis buffer at 20 µM to enable the
detection of either the pro- or the mature form of TACE, as previously
described by Schlöndorff and colleagues
(62). The insoluble material
was then pelleted in a microcentrifuge at 15,000 rpm for 20 min at 4 °C,
and the resulting supernatant was transferred to a fresh tube. Protein
concentrations were determined using a bicinchoninic acid assay (Sigma).
Normalized amounts of total protein (5 µg per lane) were loaded in SDS
buffer under non-reducing conditions onto an 8% SDS-polyacrylamide gel, as
required for TACE to be recognized by the antibody. Following electrophoresis,
the proteins were electrotransferred onto a polyvinylidene difluoride membrane
(Amersham Biosciences). The membrane was blocked in Tris-buffered saline with
0.1% Tween supplemented with 5% nonfat dried milk for 1 h at room temperature,
then incubated with 5 µg/ml rabbit polyclonal anti-TACE or anti-actin
antibody as indicated. After extensive washes in Tris-buffered saline with
0.1% Tween, the blots were probed with goat anti-rabbit (Zymed Laboratories
Inc.) horseradish peroxidase-conjugated antibody, then washed to remove
unbound material. The bands were visualized with an ECL chemiluminescence
kit.
In Vitro CD40-Fc Cleavage Assay
The CD40-Fc chimeric protein (100 ng) comprising the extracellular domain
of CD40, amino acids 1193, fused to the Fc fragment of a human IgG1
(22), was incubated with 1
µg/ml recombinant TACE (R & D) with or without 100 µM
GM6001 or TACE-specific substrate peptide for 5 h at 37 °C in 25 µl of
total reaction mixture. The mixture was then fractionated by 10%
SDS-polyacrylamide gel electrophoresis under reducing conditions. Recombinant
sCD40 was also loaded as a control. After semi-dry transfer, the labeling was
revealed with anti-CD40 H-10 (Santa Cruz Biotechnology, Santa Cruz, CA)
antibody followed by sheep anti-mouse horseradish peroxidase-conjugated
antibody (Amersham Biosciences) and ECL.
Cell Transfection Experiments
Plasmid ConstructsThe cDNA for CD40 has already been
described elsewhere (22). The
FLAG-tagged TACE and TACE
M cDNA, respectively, encoding the full-length
and a dominant-negative form of TACE lacking the metalloprotease catalytic
domain, have also been previously described
(45).
Transfection ExperimentsTransfections were set up using the
calcium-phosphate precipitation technique. Briefly, 4 x 105
HEK cells were seeded in plates with 6 flat-bottom wells, 24 h before
transfection. Fresh medium was then added and the cells were incubated
overnight at 37 °C with the transfection mixture: 0.5 or 0.25 µg of
CD40 cDNA with or without 0.19 µg of TACE or TACE
M cDNA in
transfection medium (Hepes-buffered saline, pH 7.05, with 1 M
CaCl2). After 18 h of incubation, the medium was replaced with
Dulbecco's modified Eagle's medium without FCS and sCD40 was allowed to
accumulate in the culture medium for 48 h. The culture supernatant was then
harvested and spun 15 min at 15,000 rpm.
| RESULTS |
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As shown in the left panel of Fig. 1, the activation of JY cells and tonsil B cells by the anti-CD40 mAb (clone MAB89) induced sCD40 production in a dose-dependent manner, whereas an irrelevant isotype-matched mAb had no effect. As noted in previous studies (22, 46), we observed a minimal basal production of sCD40 (around 200 pg/ml) by non-activated JY cells, and much higher sCD40 levels secreted upon CD40 triggering by these cells than by tonsil B cells. In parallel, mCD40 staining was diminished on the surface of tonsil B cells and to a lesser extent on JY cells, when activated with coated anti-CD40 (middle panels). This was because of a decrease in the amount of mCD40 rather than to the masking of mCD40 detection by putative residual anti-CD40 mAb from the coating (MAB89), because the antibody used for cell labeling (clone EA5) recognized mCD40 even in the presence of MAB89 (data not shown). As shown in the right panels of Fig. 1, sCD40 production was induced within the first 3 h following activation with the coated anti-CD40 antibody in both B cell types. sCD40 release was associated with a prompt down-regulation of mCD40 staining (data not shown).
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Soluble CD40 Is Generated through Proteolytic Cleavage of mCD40 by a Membrane-anchored MPThe mechanism of the production of the sCD40 form has not been known. A recent study suggested the CD40 mRNA might be alternatively spliced, leading to the expression of a truncated CD40 missing the intracellular and transmembrane domains (47). However, our results showing a rapid production of sCD40 upon activation and the concomitant disappearance of mCD40 pledged in favor of a direct shedding of CD40 from the cell surface. This latter process, unlike the de novo synthesis and secretion of a soluble truncated form of CD40, should not involve the intracellular transport of the soluble molecule and should thus be resistant to inhibitors of the Golgi and vesicular traffic. Accordingly, the addition for 6 h of brefeldin A, the weak amine chloroquin, or monensin to B lymphocytes activated by the anti-CD40 mAb did not affect sCD40 production (Fig. 2A). This result suggested that sCD40 production was the result of the direct shedding of CD40 from the cell surface. To formally demonstrate this hypothesis, JY cells were surface-labeled using sulfosuccinimidobiotin. As depicted in Fig. 2B, the engagement of cell-surface CD40 by MAB89 led to the specific recovery of a 28-kDa molecular species corresponding to the CD40 ectodomain, after the anti-CD40 was immunoprecipitated from the cell culture supernatant.
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The proteolytic cleavage of numerous surface receptors is the result of the MP activity of the MMP or ADAMs family. We therefore next investigated the involvement of these enzymes in sCD40 regulation by testing the effect of two MP inhibitors in our culture model: GM6001, a broad spectrum synthetic inhibitor of MP, and recombinant TIMP-2, a natural inhibitor of MMP-2, which has also been shown to inhibit other MMPs, such as collagenase and gelatinase (48). As depicted in Fig. 3A, increasing doses of GM6001 inhibited the sCD40 production induced by CD40 ligation in both JY and tonsil B cells. Furthermore, the addition of GM6001 enabled the mCD40 expression to return to basal levels in both cell types (Fig. 3B). The decrease in mCD40 expression after CD40 ligation and its inhibition by GM6001 was confirmed using cell-surface biotinylation experiments followed by a specific CD40 immunoprecipitation (Fig. 3C). In sharp contrast, TIMP-2 did not have any effect, either on sCD40 shedding or on mCD40 expression (Fig. 3, A and B), even at 200 µM, a concentration fully preventing the gelatinase activity of MMP-2 and MMP-9 in gelatin zymography assays (data not shown). Accordingly, stimulation of tonsil B or JY cells with anti-CD40 mAb coated on plastic never increased the levels of the MMP-2 or MMP-9 gelatinase activities found in culture supernatant, which is in contrast to their strong up-regulation by phorbol 12-myristate 13-acetate, which did not affect sCD40 production (data not shown). These results supported the idea that CD40 was cleaved proteolytically by an MP that was different from gelatinases and collagenases (data not shown).
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Transmembrane MPs of both the membrane-type MMP (MTMMP) and the ADAM family are converted to their active forms by an intracellular furin convertase of the paired basic amino acid-cleaving enzyme family (for review see Ref. 49). Peptidylchloromethyl ketones are competitive inhibitors of these convertases, and thus are specific inhibitors of transmembrane MPs. To determine whether CD40 shedding is mediated by one of these membrane-anchored MPs, we tested in a third step the capacity of dec-RVKR-cmk, one of the most effective inhibitors, to inhibit sCD40 release in our assay. When dec-RVKR-cmk was added to anti-CD40 activated B cells, sCD40 production was inhibited in a dose-dependent manner (Fig. 4), indicating that the shedding of CD40 from the B cell surface relies mainly on the enzymatic activity of a membrane-anchored MP.
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TACE Is Able to Cleave Membrane-anchored CD40 and the Soluble CD40-Fc Chimeric ProteinOne candidate putatively able to mediate CD40 shedding from the cell surface is TACE (ADAM-17), a transmembrane protease belonging to the ADAM family.
As a first step, we investigated whether TACE was expressed by B cells. Western blot (Fig. 5A) and flow cytometry (Fig. 5B) analyses revealed the constitutive expression of the 110-kDa pro-form of TACE by tonsil B cells and JY cells. In the Western blot experiment (Fig. 5A), the mature 80-kDa form of the MP was not detectable, probably because it was degraded during cell lysate preparation, as previously noted by Schlondörff and colleagues (62). However, the addition of GM6001 to cell lysates allowed the detection of the pro-(110 kDa) and mature (80 kDa) forms of TACE (Fig. 5C). Surprisingly, no modification in the expression of either form was seen during anti-CD40-induced sCD40 release in JY cells (Fig. 5C) and tonsil B cells (not shown) compared with the non-activated condition. Interestingly, pretreatment of JY cells with dec-RVKR-cmk hampered the expression of the mature form of the enzyme (80 kDa) and increased the expression of the pro-form (110 kDa) (Fig. 5D), confirming that this compound inhibits TACE processing and maturation, as previously described (37). Because dec-RVKR-cmk also abrogated sCD40 production (Fig. 4), this result suggests that TACE might be involved in the cleavage of mCD40.
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To obtain further information about the putative implication of TACE in CD40 shedding, we next tested if CD40 could be cleaved by TACE in an in vitro setting. Recombinant TACE was incubated for 5 h at 37 °C with the CD40-Fc chimeric molecule, consisting of the Fc fragment of human IgG1 fused to the entire extracellular domain of CD40 (50). The mixtures were then fractionated by SDS-PAGE under reducing conditions and Western blotting was performed to detect sCD40. As depicted in Fig. 6, when CD40-Fc was incubated in the presence of recombinant TACE, a 28-kDa band appeared that corresponded to the size exhibited by recombinant sCD40. The addition of 100 µM GM6001 or 20 µM of a synthetic peptide cleaved by TACE (NH2-LAQAVRSSSR-CONH2) and used as a specific competitor completely inhibited CD40-Fc processing, confirming that TACE could process CD40.
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We then tested the consequence of blocking the endogenous TACE activity on
sCD40 release. To this end, we expressed in HEK 293 cells a dominant-negative
form of TACE (TACE
M), which lacks the catalytic MP domain
(45), and was previously shown
to prevent TACE-mediated TNF-
and TNFR I and II shedding
(33,
45). HEK 293 cells, which
constitutively expressed TACE as shown in
Fig. 7A, also
expressed the CD40-cleaving protease, because mCD40-transfected HEK cells
spontaneously produced high levels of sCD40
(Fig. 7B). This
production was abrogated in the presence of GM6001. HEK cells were then
co-transfected with the cDNA coding for full-length mCD40 and with the cDNA
coding for either TACE or TACE
M. When mCD40 cDNA was co-transfected
with increasing amounts of TACE cDNA, CD40 shedding was enhanced in a
dose-dependent manner (Fig.
7C). Conversely, co-transfection with TACE
M cDNA
inhibited sCD40 release (Fig.
7D).
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| DISCUSSION |
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to the cell surface and its cleavage
(33), whereas TGF-
is
rapidly shed from the cell surface independent of vesicular traffic
(51). The process of shedding is important, as it up-regulates the production of soluble receptors that compete with the membrane receptor for ligand binding, and also reduces the amount of surface receptor, thus modulating the capacity of the cell to signal.
CD40 engagement has been reported to induce several extracellular
matrix-degrading activities, such as MMP-1, MMP-2, MMP-9, and MMP-3 in the
monocytic cell line THP-1, as well as peripheral blood monocytes and
monocyte-derived macrophages
(52,
53) and endothelial cells
(54). However, the potential
involvement of these MMPs in CD40 shedding is uncertain, insofar as TIMP-2,
which inhibits MMP activity, had no inhibitory effect on CD40 shedding. In
contrast, several lines of evidence have implicated TACE in CD40 shedding.
First, it has been implicated in the shedding of other members of the TNF
receptor family, namely CD30
(35) and TNF receptors I and
II (33). Second, TACE-mediated
TNF-
release is inhibited by broad spectrum metalloprotease inhibitors
such as GM6001 (55,
56), but not by TIMP-2, as is
sCD40 release in B cells. Third, we showed that TACE maturation is inactivated
by dec-RVKR-cmk in B cells, thus confirming that its prodomain has to be
removed by the action of a furin-type convertase in the late Golgi compartment
to convert TACE to its active form
(38,
57). The production of sCD40
by B cells is also inhibited by dec-RVKR-cmk. Although TACE expression has
been well documented in monocytic lines, fibroblasts
(31), and T lymphocyte lines
(58), little was known about
its expression in B lymphocytes. Here, we showed the constitutive expression
of TACE in JY and human tonsil B cells equivalent to that exhibited by the T
cell line Jurkat.
We then confirmed the involvement of TACE in CD40 shedding. First, in
vitro cleavage assays of the chimeric protein CD40-Fc implicated a role
for TACE in CD40 processing. Second, the overexpression of TACE in
CD40-transfected HEK cells increased CD40 shedding, whereas co-expression of
TACE
M, a dominant-negative form of TACE, inhibited CD40 shedding in a
dose-dependent manner. Similarly, the expression of TACE
M in HEK cells
transfected with TNF-
cDNA markedly inhibited TNF-
shedding
(33,
45). However, the possible
involvement of another protease in CD40 shedding cannot be excluded. Indeed,
ADAM-10, which is closely related to TACE, has been described as processing
TNF-
(59) and the
-amyloid precursor protein
(60).
Flow cytometry and Western blot analyses did not show any increase in the total TACE expression in tonsil B cells and or JY cells, when incubated with anti-CD40 mAb coated on plastic. Similarly, neither the amount of TACE on the cell surface nor the extent of its processing activity are modified during the period of phorbol 12-myristate 13-acetate-induced shedding of TACE targets (31, 61). On the other hand, Schlöndorff and colleagues (62) did not show any alteration in the global membrane distribution of TACE during phorbol 12-myristate 13-acetate activation in COS-7 cells. It is possible that the engagement of mCD40 leads it to undergo a conformational change that allows its proteolytic cleavage by TACE, as this enzyme is more sensitive to conformation than to sequence. Another hypothesis is that CD40 engagement induced the relocation of CD40 into domains in which TACE usually resides, allowing for the substrate to be cleaved. Indeed, the engagement of mCD40 induces its relocation into cholesterol-rich plasma membrane microdomains on the surface of B cells (6366) and dendritic cells (67).
This better understanding of mCD40 regulation also offers a new perspective on emerging approaches to cancer therapies that involve activating anti-tumoral immunity. The use of an agonistic monoclonal antibody against CD40 or recombinant CD154 has emerged as one of the most effective ways to boost the immune response against infectious agents or to fight cancer (6870). However, agonistic anti-CD40 antibody also induces immunosuppression in certain circumstances (71). Recently, Erickson et al. (72) showed in a murine model that heightened engagement of CD40 dramatically altered long-lived humoral immunity by inhibiting germinal center formation and the production of memory and long lived bone marrow plasma cells. Our results are consistent with this, and suggest that the constant activation of mCD40 by circulating antibody could induce abnormal CD40 shedding that could in turn down-regulate B cell activation. In conclusion, this study highlights a new mechanism for sCD40 production that promotes our understanding of the CD40-dependent regulation of B cell activation.
| FOOTNOTES |
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Supported by a grant from the Fondation pour la Recherche Médicale
and the Ligue Nationale contre le Cancer. ![]()
|| To whom correspondence should be addressed. Tel.: 33-5-57-57-14-71; Fax: 33-5-57-57-14-72; E-mail: julie.dechanet{at}umr5540.u-bordeaux2.fr.
1 The abbreviations used are: TNF-
, tumor necrosis factor-
;
sCD40, soluble CD40; mCD40, membrane-anchored CD40; MP, metalloproteinase;
MMP, matrix metalloproteinase; ADAM, a disintegrin and metalloproteinase;
TACE, tumor necrosis factor-
-converting enzyme (ADAM-17); FITC,
fluorescein isothiocyanate; FCS, fetal calf serum; mAb, monoclonal antibody;
TIMP, tissue inhibitor of metalloproteinase; PBS, phosphate-buffered saline;
ELISA, enzyme-linked immunosorbent assay; MFI, mean fluorescence
intensity. ![]()
2 Contin, C., Pitard, V., Itai, T., Nagata, S., Moreau, J.-F., and
Déchanet-Merville, J. (2003) Immunology, in press. ![]()
| ACKNOWLEDGMENTS |
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