Epigenetic Silencing of Tumor Necrosis Factor α during Endotoxin Tolerance*

Sustained silencing of potentially autotoxic acute proinflammatory genes like tumor necrosis factor α (TNFα) occurs in circulating leukocytes following the early phase of severe systemic inflammation. Aspects of this gene reprogramming suggest the involvement of epigenetic processes. We used THP-1 human promonocytes, which mimic gene silencing when rendered endotoxin-tolerant in vitro, to test whether TNFα proximal promoter nucleosomes and transcription factors adapt to an activation-specific profile by developing characteristic chromatin-based silencing marks. We found increased TNFα mRNA levels in endotoxin-responsive cells that was preceded by dissociation of heterochromatin-binding protein 1α, demethylation of nucleosomal histone H3 lysine 9 (H3(Lys9)), increased phosphorylation of the adjacent serine 10 (H3(Ser10)), and recruitment of NF-κB RelA/p65 to the TNFα promoter. In contrast, endotoxintolerant cells repressed production of TNFα mRNA, retained binding of heterochromatin-binding protein 1α, sustained methylation of H3(Lys9), reduced phosphorylation of H3(Ser10), and showed diminished binding of NF-κB RelA/p65 to the TNFα promoter. Similar levels of NF-κB p50 occurred at the TNFα promoter in the basal state, during active transcription, and in the silenced phenotype. RelB, which acts as a repressor of TNFα transcription, remained bound to the promoter during silencing. These results support an immunodeficiency paradigm where epigenetic changes at the promoter of acute proinflammatory genes mediate their repression during the late phase of severe systemic inflammation.

Gene reprogramming during severe systemic inflammation generates, among other patterns, silencing of acute proinflammatory genes, such as TNF␣ 2 and IL-1␤, that initiate acute systemic inflammation and damage to multiple organs (1,2). The silencing of acute proinflammatory genes, which normally follows an initial activation phase (3), is clinically relevant in humans because it participates in generating an acquired state of immunodeficiency that correlates with poor prognosis and increased mortality (4). Gene silencing as a result of disrupted transcription occurs in circulating and tissue leukocytes during severe systemic inflammation in animals and humans (2,5,6). The silenced component of gene reprogramming is characterized by a tolerance to endotoxin and can persist for days or even weeks (5). Endotoxin tolerance is defined by the repressed expression of a set of proinflammatory genes in response to the stimulation of the Toll-like receptor 4 by endotoxin. Endotoxin tolerance is constitutively present in blood leukocytes obtained from humans and animals with severe systemic inflammation and can be generated in vitro by using endotoxin as a primary stimulus of macrophages (7).
The complex mechanisms responsible for gene silencing are regulated at many levels and continue to emerge. At the level of chromatin, covalent modifications of the NH 2 -terminal tails of the four core histones (H2A, H2B, H3, and H4) play an essential role in both activating or silencing gene expression (8,9). These modifications account for a "histone code" that generates specific binding sites for proteins that regulate both chromatin structure and transcription (10). Well characterized histone modifications associated with transcriptional regulation and activation include H3 phosphorylation of Ser 10 , demethylation of Lys 9 , and acetylation of Lys 9 and Lys 14 through the concerted activity of some known and many as yet unidentified mediators (11,12). For example, acetylation of histone on lysine residues relaxes the compact structure of the nucleosome and activates transcription, whereas histone deacetylation represses transcription (13). In addition, methylation of histone H3 on Lys 9 facilitates DNA methylation, heterochromatin formation, and gene silencing (14), whereas phosphorylation of histone H3 on Ser 10 correlates with activation of immediate response genes of which many acute proinflammatory proteins can be included (13,(15)(16)(17). This supports a chromatin-based "phosphorylation/methylation switch" where phosphorylation of histone residue adjacent to a methylation mark parallels a loss of binding of negative factors accompanied by the demethylation of that residue and the subsequent recruitment of transcription factors and co-activating proteins and gene activation (18). This binary switch may also play a negative role through recruitment of co-repressors such as the heterochromatin protein HP1, which also binds to methylated lysines on H3 and contributes to gene silencing by establishing heterochromatin formation (19). These changes in chromatin structure contain a molecular imprint that may underlie cell memory and epigenetic inheritance of cell progeny.
Chromatin remodeling influences the activity of transcription factors, such as members of the NF-B family (20). Post-translational modifications influence the transcription potential of NF-B (21)(22)(23) and can be critical for chromatinassociated activity and DNA binding of NF-B p65 as a heterodimer with p50 and for its assembly with IB␣ and nuclear export (24,25). For example, phosphorylation of NF-B p65 at Ser 276 and histone H3 at Ser 10 by MSK1 has been associated with activation of IL-6 promoter (26,27). Many if not all acute proinflammatory genes are regulated, at least in part, by NF-B, and we reported changes in NF-B binding that are associated with the silencing of IL-1␤ expression during endotoxin tolerance (28).
TNF␣ plays a pivotal role in coordinating host defense against infection (29) and is a crucial contributor to the pathophysiology of severe systemic inflammation and septicemia (30). Regulation of human TNF␣ in monocytes is complex and involves transcriptional and post-transcriptional mechanisms (31). Its expression is silenced in blood leukocytes during severe systemic inflammation (1). The silencing can be mimicked in normal monocytes or THP-1 promonocytes by inducing endotoxin tolerance in vitro (2,5,33).
We investigated the mechanism of TNF␣ gene silencing by comparing endotoxin-responsive with endotoxin-tolerant THP-1 cells. We report that epigenetic changes and formation of heterochromatin marks occurred during TNF␣ silencing. These include sustained binding of HP1␣ and methylation of H3(Lys 9 ), reduced phosphorylation of H3(Ser 10 ), and disrupted recruitment of NF-B RelA/p65 to the TNF␣ promoter. RelB also bound to the TNF␣ promoter and acted as a transcription repressor during gene silencing.

MATERIALS AND METHODS
Cell Culture and Induction of LPS Tolerance-The human promonocytic cells, THP-1, obtained from the American Type Culture Collection were maintained in RPMI 1640 medium (Invitrogen) supplemented with 100 units/ml penicillin, 100 g/ml streptomycin, 2 mM L-glutamine, and 10% fetal bovine serum (HyClone, Logan, UT) in a humidified incubator with 5% CO 2 at 37°C. For induction of tolerance (7), cells were incubated for 16 h with 1 g/ml Gram-negative bacterial LPS (Escherichia coli 0111:B4; Sigma). LPS-tolerant and LPS-responsive (normal) cells were washed with minimal medium, cultured at 1 ϫ 10 6 cells/ml, and stimulated with 1 g/ml LPS for the indicated times.
TNF␣ Enzyme-linked Immunosorbent Assay-The levels of total (intracellular and secreted) TNF␣ proteins were measured by enzyme-linked immunosorbent assay according to the manufacturer's instructions (R&D Systems, Minneapolis, MN). The samples were assayed in duplicate. The minimal detection limit of the assay was 1.6 pg/ml.
Chromatin Immunoprecipitation (ChIP) Assay-ChIP assay was performed to assess NF-B and modified histone protein binding to the TNF␣ promoter using the ChIP assay kit according to the manufacturer's instructions (Active Motif, Carlsbad, CA). Briefly after stimulation, cells were fixed in 1% formalde-hyde (to cross-link DNA-proteins) for 10 min at room temperature. Cross-linked chromatin was isolated and sheared with an enzyme mixture for 15 min at room temperature. These conditions generate chromatin fragments containing DNA ranging in size from 200 to 500 bp. The sheared chromatin was recovered by centrifugation at 12,000 rpm at 4°C. The chromatin solution was precleared with salmon sperm DNA/protein G-agarose for 2 h at 4°C. Ten microliters of the chromatin solution were reserved as "input" sample. The remaining chromatin was immunoprecipitated by incubation at 4°C overnight with antibodies specific to NF-B p65, p50, RelB (Santa Cruz Biotechnology, Santa Cruz, CA), HP1␣, total histone H3, phosphohistone H3 (p-H3(Ser 10 )), or dimethylhistone H3 (me2-H3(Lys 9 )) (Upstate Biotechnology, Lake Placid, NY). The immunoprecipitated complexes were further incubated for 1 h at 4°C with protein G-agarose, washed, and then eluted in a buffer containing 1% SDS and 0.1 M NaHCO 3 . The immunoprecipitated and input sample cross-links were reversed by heating at 65°C overnight. The resulting DNA was washed in a column and recovered in 100 l of H 2 O.
Semiquantitative PCR-PCR was performed in a 50-l volume containing 5 l of ChIP DNA, a 1 M concentration of each primer, 2 mM MgCl 2 , 0.2 M dNTPs, and 0.04 units/l AmpliTaq Gold DNA polymerase (Applied Biosystems). The PCR conditions were as follows: 1 cycle at 94°C for 5 min; 35 cycles at 94, 58, and 72°C for 30 s each; and a final cycle at 72°C for 5 min. Equal amounts of PCR products were run on a 1.2% ethidium bromide-stained agarose gel, and images were captured using a Quantity One imager (Bio-Rad). The primers used in PCR were designed to amplify a sequence in the human TNF␣ proximal promoter region containing the B3 site at Ϫ98 bp relative to the transcription start site (34) and were as follows: TNF␣ B3 forward (5Ј-TACCGCTTCCTCCAGAT-GAG-3Ј) and reverse (5Ј-TGCTGGCTGGGTGTGCCAA-3Ј).
Quantitative Real Time PCR-Real time PCR was performed to precisely quantify the TNF␣ promoter sequence in the ChIP DNA as well as the TNF␣ mRNA expression.
For ChIP DNA analysis, the same primers described above were used with an internal fluorogenic probe that was labeled with the fluorescent dyes carboxyfluorescein (FAM) as a reporter dye and N,N,N,ЈNЈ-tetramethyle-6-carboxyrhodamine (TAMRA) as a quencher dye (5Ј-FAM-CTTGGTG-GAGAAACC-TAMRA-3Ј) (Applied Biosystems). The PCR (25 l) contained 5 l of ChIP DNA, 12.5 l of 2ϫ TaqMan Universal Master Mix containing DNA polymerase and dNTPs, a 300 nM concentration of each primer, and 100 nM internal probe. The PCR conditions were 2 min at 50°C and 10 min at 95°C followed by 40 cycles with 15 s at 95°C and 1 min at 60°C (combined annealing and extension) using an ABI Prism 7000 Sequence Detection System (Applied Biosystems). An isotypematched IgG-immunoprecipitated DNA sample was also amplified as a negative control (data not shown). Sample data were normalized to the input DNA and are presented as -fold change relative to DNA from untreated cells (0 h).
For TNF␣ mRNA analysis, total RNA was isolated using RNA STAT-60 according to the manufacturer's protocol (Tel-Test, Friendswood, TX)). Two micrograms of RNA were reverse transcribed to cDNA in a 25-l volume containing 0.2 M dNTPs, 2.5 M oligo(dT), 5 mM MgCl 2 , and 0.25 units/l murine leukemia reverse transcriptase (Applied Biosystems). The PCR was performed using 5 l of cDNA and TNF␣ and glyceraldehyde-3-phosphate dehydrogenase predesigned TaqMan primer/probe kits (Applied Biosystems) under the conditions described above. Sample data were normalized to glyceraldehyde-3-phosphate dehydrogenase mRNA and are presented as -fold change relative to mRNA from untreated cells.
RNA Interference-Control and RelB-specific small interfering RNAs (siRNAs; Santa Cruz Biotechnology) were transfected by electroporation with 5 l (0.5 M) of siRNA in 100 l of transfection medium (Nucleofector; Amaxa, Gaithersburg, MD). Immediately after transfection, cells were left unstimulated or were stimulated with 1 g/ml LPS to induce tolerance. After 48 h, cells were harvested, washed with minimal medium, and stimulated for 3 h with 1 g/ml LPS. Cells were harvested, and RNA was isolated and used to determine the TNF␣ mRNA expression levels.
Statistical Analysis-Data were analyzed by Microsoft Excel 2003 and are presented as the mean Ϯ S.E. from at least three independent experiments. Student's t test was used to determine significant differences between groups. p values Ͻ0.05 were considered statistically significant.

TNF␣ Protein and mRNA Expression Are Silenced in LPStolerant THP-1 Cells-
The experimental model used in this study mimics the LPS-tolerant phenotype that occurs in blood leukocytes during the course of severe systemic inflammation in animals and sepsis in humans (35,36) where cytokine expression, including that of TNF␣, is silenced after the initial induction phase following LPS exposure (4,6,37). We first measured the TNF␣ protein and mRNA levels in LPS-responsive and LPS-tolerant cells. As shown in Fig. 1, the total TNF␣ protein level was significantly increased by 3 h poststimulation and remained elevated at 8 h. With the longer incubation times (data not shown), we observed a gradual decline in the protein levels starting at 10 h. In contrast, LPS-tolerant cells produced TNF␣ protein at a background level throughout the course of stimulation.
We also determined TNF␣ mRNA expression levels by real time PCR as shown in Fig. 1. TNF␣ mRNA was rapidly and significantly induced in responsive cells after 0.5 h of stimulation with LPS. The mRNA levels were dramatically decreased at 3 h. Consistent with the low protein levels, we detected very low TNF␣ mRNA levels in LPS-tolerant cells. Together these data demonstrate that TNF␣ protein and mRNA are induced by LPS in responsive THP-1 cells but are silenced in LPS-tolerant THP-1 cells.
Histone H3 Phosphorylation on Ser 10 and Demethylation on Lys 9 at the TNF␣ Promoter Are Induced by LPS in Responsive but Not LPS-tolerant Cells-To investigate whether histone modifications contributes to TNF␣ silencing during LPS tolerance, we examined histone H3(Ser 10 ) phosphorylation and H3(Lys 9 ) dimethylation levels at the TNF␣ promoter using ChIP DNA from responsive and tolerant THP-1 cells. We found that in untreated LPS-responsive cells, histone H3 was phosphorylated on Ser 10 at low levels. Ser 10 phosphorylation was significantly increased at 1 and 4 h after LPS stimulation and returned to a near basal level by 4 h (Fig. 2, A and B). In LPS-tolerant cells, histone H3(Ser 10 ) phosphorylation was only slightly increased at 1 h. We also found that histone H3 dimethylation on Lys 9 was significantly decreased in LPS-responsive cells by 0.5 h after LPS stimulation and gradually returned to its basal state at 4 h (Fig. 2, A and B). In LPS-tolerant cells, histone H3(Lys 9 ) was constitutively dimethylated and remained almost unchanged following LPS stimulation (Fig. 2, A and C). These data show a phosphorylation/methylation binary switch activity in responsive THP-1 cells that is impaired in silenced, LPStolerant THP-1 cells.
HP1␣ Dissociates from the TNF␣ Promoter in LPS-responsive but Not LPS-tolerant Cells-The data presented above demonstrated that H3(Lys 9 ) was persistently methylated in tolerant cells and that this histone modification correlated with TNF␣ silencing. Proteins that specifically interact with post-translational modifications of histone play a crucial role in mediating the functional role of histone marks (38,39). Methylation of the Lys 9 of histone H3 is an epigenetic mark for formation of heterochromatin and associated gene silencing (19,40). This phenotype is often associated with binding of repressor HP1␣ or -␤ wherein the chromodomain binds to methylated H3(Lys 9 ) and participates in gene silencing by establishing heterochromatin (19,40). We investigated whether HP1␣ is recruited to TNF␣ promoter during endotoxin silencing. Standard and real time PCR analysis of ChIP DNA using HP1␣ antibody showed that HP1␣ bound at the basal level in unstimulated cells (Fig. 3). The amount of HP1␣ bound to the promoter was significantly decreased in responsive cells after 0.5 h of LPS stimulation before it returned to a near basal level by 4 h. In contrast, HP1␣ remained bound in tolerant cells consistent with a role in repression of TNF␣ and contributing to the silenced phenotype of LPS tolerance.
LPS-induced NF-B p65 Binding to the TNF␣ Promoter Is Inhibited in LPS-tolerant Cells-Human TNF␣ promoter has three NF-B binding sites, B1, B2, and B3, known to be involved in its transcription regulation (34,41,42). Promoter proximal transcription binding sites are usually functionally associated with chromatin-based gene silencing. We examined the kinetics of NF-B protein binding to the NF-B binding site B3 in the TNF␣ promoter. We focused our investigation on the B3 site because of its close proximity to the transcription initiation site and the assembly of basal transcription machinery. Also this site binds NF-B proteins and contributes to the induction of TNF␣ in THP-1 cells (30,43). Standard PCR and quantitative real time PCR analysis of ChIP DNA revealed a basal level binding by p65 in unstimulated cells (Fig. 4). Upon LPS stimulation, we detected a significant increase (ϳ11-fold) in p65 binding at 0.5 and 1 h following LPS stimulation (Fig. 4,  A and B) that returned to near basal levels by 4 h. In LPStolerant cells, however, p65 binding occurred at the basal level and was not notably induced by LPS (Fig. 4, A and B). The low level binding of p65 at the TNF␣ promoter in tolerant cells occurs despite normal expression, nuclear translocation, and increased levels of p65 in LPS-tolerant THP-1 cells (44). We detected low levels of p50 binding to the TNF␣ promoter in both responsive and tolerant cells that were not significantly changed in response to LPS stimulation (Fig. 4, A and C).

. LPS-tolerant cells exhibit a different histone modification pattern.
ChIP assay was performed to monitor histone H3 phosphorylation and methylation at the TNF␣ promoter. Cross-linked chromatin was isolated and immunoprecipitated with antibodies specific to total histone H3, phosphorylated histone H3 (p-H3(Ser 10 )), and dimethylated histone H3 (me2-H3(Lys 9 )). Samples isolated before immunoprecipitation (Input) were used as internal controls. The presence of TNF␣ promoter sequences in the ChIP DNA (which reflects the relative in vivo binding) was analyzed by standard PCR (A) and real time PCR (B and C) using primers that flank the NF-B (kB3) binding site at Ϫ98 bp followed by ethidium bromide staining. Data were normalized to total H3 and are presented as -fold change relative to DNA from unstimulated cells (0 h). Results in B and C are mean Ϯ S.E. from at least three independent experiments. *, p Ͻ 0.05.

RelB Binds to the TNF␣ Promoter in LPS-tolerant Cells, and RelB Knockdown Reverses Tolerance and Restores TNF␣ mRNA
Induction by LPS-We previously reported that RelB, which is not expressed in the basal state in THP-1 cells, is induced following LPS stimulation and subsequently acts as a transcription repressor (44). A similar paradigm may occur in human blood leukocytes during severe systemic inflammation (44). To examine whether RelB, another NF-B family member, participates in silencing of TNF␣ in LPS-tolerant cells, we first analyzed its in vivo binding to the TNF␣ promoter. We found that RelB binds to TNF␣ promoter in responsive cells. Such binding slightly increased by 4 h of LPS stimulation (Fig. 4, A and D). In contrast, a significant increase in RelB binding occurred in LPStolerant cells and further increased by 4 h of LPS stimulation (Fig. 4, A and D).
Using RelB-specific siRNA, we further tested whether decreasing RelB could restore TNF␣ expression in tolerant cells. As shown in Fig. 5, transfection of RelB siRNA reversed LPS tolerance and restored the LPS-induced TNF␣ mRNA expression to a level close to that seen in LPS-responsive cells (compare responsive ϩ LPS with tolerant ϩ LPS).
In summary, we found that TNF␣ gene expression induced by LPS is associated with the activation of the phosphorylation/ methylation binary switch wherein histone H3 becomes phosphorylated on Ser 10 and demethylated on the adjacent Lys 9 . In contrast, a cell model of severe systemic inflammation and phenotypic acute proinflammatory gene silencing is associated with a deficiency in the binary switch and a persistent methylation in the TNF␣ promoter. This epigenetic silencing is characteristic of the formation of heterochromatin and included persistently bound HP1␣. Changes in NF-B binding to chromatin associated with silenced TNF␣ promoter were also observed, specifically decreased binding of NF-B p65 and increased binding of the NF-B repressor RelB.
Dysregulated transcription, a salient feature of the endotoxin-tolerant phenotype associated with severe sepsis, results in reprogramming of gene expression with sustained silencing of LPS-induced proinflammatory gene expression, which follows a burst in expression of autotoxic cytokines like TNF␣ (1). In this study, we found that the dysregulated transcription activation of TNF␣ expression during LPS tolerance and gene silencing is associated with chromatin modifications characterized by epigenetic silencing "marks" that are typically associated with formation of heterochromatin (15,18,51,52). The evidence for this epigenetic imprint includes persistent dimethylation of H3(Lys 9 ) and recruitment of HP1␣ to the proximal promoter coupled with reduced phosphorylation of H3(Ser 10 ). There was concomitant disruption of recruitment of NF-B p65 to the proximal promoter, but NF-B p50 remained bound, possibly as a homodimer. The silenced phenotype was also associated with recruitment of RelB to the proximal promoter where RelB facilitates transcription repression. In contrast, LPS-responsive cells showed the active transcriptional marks of demethylation of H3(Lys 9 ), phosphorylation of H3(Ser 10 ), and binding of NF-B p65 in the presence of p50, which likely represents a heterodimer.
Phosphorylation of H3 on Ser 10 is usually a transcription activation mark, which parallels the displacement of the HP1␣ and -␤ repressor proteins and their interactions with auxiliary factors such as histone demethylases, which can demethylate H3(Lys 9 ) (53)(54)(55)(56). This nucleosome-based process may enhance accessibility of NF-B sites (26) and increase recruitment of general transcription machinery (57). The nucleosomal "shift" and assembly of transcription factors may be interdependent. There are reports of connections between transcription activation and phosphorylation at H3(Ser 10 ) and recruitment of NF-B p65 to proximal promoter sites (58,59). If so, the precise mechanisms for interdependency are unknown, but several studies suggest that IB Kinase ␣ may be central in this pathway by phosphorylating both histone H3(Ser 10 ) and NF-B p65 (58 -60).
H3(Lys 9 ) di-or trimethylation, on the other hand, has been linked to the assembly of heterochromatin through HP1␣ or -␤ binding to methylation sites to sustain gene silencing, which may be passed during mitosis (51). Silencing cofactors such as histone methyltransferases and DNA CpG methylases as well as other recruited co-repressors may cooperate in this process (61)(62)(63). For example, artificial targeting of HP1 to euchromatin (transcriptionally active) sites significantly induces gene repression and local chromatin condensation coincident with recruitment of other chromatin-modifying proteins (64,65).
The disrupted binding of NF-B p65 to the proximal promoter we observed during silencing likely occurs at the B3 binding sequence. This sequence near the initiation site is active in transcription of TNF␣ in THP-1 cells as assessed by transfection analysis (30,43). We cannot exclude that more distal sites on enhancer regions of TNF␣ (30,42,43,66,67) are also involved in gene activation and silencing, but transcrip-tion-related DNA sequences near the initiation sites of the promoter are connected to the assembly of the general transcription machinery. In any event, disrupted binding of NF-B p65 provides an explanation for reduced transcription of acute proinflammatory genes during severe endotoxin tolerance and severe systemic inflammation, whereas nuclear levels of NF-B p65 are increased (5,37,68). Our results also showed sustained NF-B p50 binding to TNF␣ promoter in both responsive and LPS-tolerant cells. This supports that p50 binding to the TNF␣ promoter in tolerant cells may support repression by forming p50-p50 homodimers (29,42,43).
Our observations that RelB acts as a repressor during endotoxin tolerance extends our similar findings at the IL-1␤ promoter during silencing (44). It is not yet clear how RelB represses transcription. RelB may impair DNA binding activity of p65 in fibroblasts by sequestration or "squelching" in transcriptionally inactive p65-RelB complexes (69). LPS-tolerant THP-1 cells express p65 and RelB in the nucleus, and co-immunoprecipitation studies suggest that sequestration of p65 in the nucleus by RelB may play a role in silencing NFB-dependent IL-1␤ transcription (44). However, our data indicate that RelB may act as a repressor at the promoter. This is the first study showing in vivo binding of RelB to the TNF␣ promoter as part of a gene silencing mechanism during endotoxin tolerance. Our results showed low level binding of RelB to the TNF␣ promoter in the basal state with an increase following LPS stimulation in tolerant cells. This increase in RelB binding did not quantitatively parallel the decrease in p65 binding. This also suggests that post-translational modification changes in RelB with or without a quantitative increase in levels of RelB may be required for repressor function. For example, RelB becomes phosphorylated on serine 368 (70) and regulated by dimerization (71). Other transcription factors and proteins that repress promoters by a process that is interdependent with H3(Lys 9 ) methylation include TIF1␣, p53, and retinoblastoma (Rb) protein (72)(73)(74). The repressor functions of these proteins are associated with histone H3 methylation and recruitment of HP1. Dissociation of HP1 from the repressed promoter upon histone H3 phosphorylation could promote the removal of co-repressors associated with it.
Of particular interest and relevant to our epigenetic findings and repression by RelB are studies of fibroblasts that constitutively silence TNF␣ even in response to stimulation with LPS (75). This silencing is associated with DNA methylation, and such cells constitutively express RelB (75,76). When these silenced fibroblasts are rendered RelB Ϫ/Ϫ , they become responsive to LPS through augmentation of NF-B activity and impairment of postinduction repression of NF-B. It is possible that the RelB repressive function links both the disrupted recruitment of NF-B p65 and biochemical processes that modify chromatin during LPS tolerance. It is also possible that RelB cooperates with other co-repressors such as histone deacetylases to mediate gene repression. Histone deacetylases reverse acetylation of histone (77), and overexpression of histone deacetylase isoforms has been shown to inhibit TNF␣ transcription in monocytes (32). In any event, RelB is both necessary and sufficient in regulating some acute proinflammatory genes in connection with chromatin remodeling (44). In summary, our studies demonstrated marks of epigenetic silencing and disruption of NF-B transcriptional processes during silencing of TNF␣ expression in endotoxin-tolerant THP-1 cells. Studies are underway to apply this model to silencing of blood leukocytes during severe systemic inflammatory states in humans, including trauma and sepsis. We provide a theoretical model of silencing in Fig. 6 that includes both histone H3 and NF-B events. Histone H3(Ser 10 ) phosphorylation and p65 binding correlate with activation of TNF␣ expression in LPS-responsive cells, whereas in LPS-tolerant cells, there is persistent methylation of H3(Lys 9 ), HP1␣ binding, reduced phosphorylation of H3(Ser 10 ), disruption of NF-B p65 recruitment, and concomitant binding of transcriptional repressor RelB. Changes in chromatin structure may contribute to the sustained process of reprogramming of gene expression observed during severe systemic inflammation with endotoxin tolerance. We suggest that epigenetic controls play a major role in the process of inflammation whether it occurs locally or systemically. The diagram depicts the basal state in which the promoter is inactive due to the constitutive binding by p50 and the chromatin silencing by histone H3 methylation at Lys 9 and binding of heterochromatin protein HP1. In the active, LPS-responsive state, histone H3 becomes demethylated on Lys 9 and simultaneously phosphorylated on Ser 10 , allowing the recruitment of the transcriptionally active p65 and possibly other cofactors. In the LPS-tolerant cells, p65 is sequestered in the cytoplasm through binding to the repressive RelB, which also binds the promoter, most likely as part of p50 complex, therefore limiting the accessibility and binding of p65 to the promoter. In the meantime the chromatin becomes transcriptionally silent due to dephosphorylation of H3 on Ser 10 , remethylation on Lys 9 , and recruitment of HP1, which together with inaccessibility of p65 results in transcriptional silencing. Note that histone H3 methylation and phosphorylation may be mutually exclusive. meth, methylation (me); phos, phosphorylation (p).