Redox-independent Activation of NF-κB by Pseudomonas aeruginosa Pyocyanin in a Cystic Fibrosis Airway Epithelial Cell Line*

The roles of the Pseudomonas aeruginosa-derived pigment pyocyanin (PYO) as an oxidant and activator of the proinflammatory transcription factor NF-κB were tested in a cystic fibrosis (CF) airway epithelial cell line, CF15. 100 μm PYO on its own had no effect or only small effects to activate NF-κB (<1.5-fold), but PYO synergized with the TLR5 agonist flagellin. Flagellin activated NF-κB 4–20-fold, and PYO increased these activations >2.5-fold. PYO could have synergized with flagellin to activate NF-κB by redox cycling with NADPH, generating superoxide (\batchmode \documentclass[fleqn,10pt,legalpaper]{article} \usepackage{amssymb} \usepackage{amsfonts} \usepackage{amsmath} \pagestyle{empty} \begin{document} \(\mathrm{O}_{2}^{{\bar{{\cdot}}}}\) \end{document}), hydrogen peroxide (H2O2), and hydroxyl radical (HO.). Cytosol-targeted, redox-sensitive roGFP1 and imaging microscopy showed that 1–100 μm PYO oxidized CF15 cytosol redox potential (Ψcyto) from -325 mV (control) to -285 mV. \batchmode \documentclass[fleqn,10pt,legalpaper]{article} \usepackage{amssymb} \usepackage{amsfonts} \usepackage{amsmath} \pagestyle{empty} \begin{document} \(\mathrm{O}_{2}^{{\bar{{\cdot}}}}\) \end{document} (derived from \batchmode \documentclass[fleqn,10pt,legalpaper]{article} \usepackage{amssymb} \usepackage{amsfonts} \usepackage{amsmath} \pagestyle{empty} \begin{document} \(\mathrm{KO}_{2}^{{\bar{{\cdot}}}}\) \end{document}. or xanthine + xanthine oxidase) or H2O2 oxidized Ψcyto dose-dependently but did not activate NF-κB, even in the presence of flagellin, and 400 μm H2O2 inhibited NF-κB. Overexpressing intracellular catalase decreased effects of PYO and H2O2 on Ψcyto but did not affect flagellin + PYO-activated NF-κB. Catalase also reversed the inhibitory effects of H2O2 on NF-κB. The HO. scavenger DMSO did not alter the effects of PYO on Ψcyto and NF-κB. The synergistic NF-κB activation was calcium-independent. Thus, in the presence of flagellin, PYO activated NF-κB through a redox- and calcium-independent effect.

Pseudomonas aeruginosa is commonly present in lungs of cystic fibrosis (CF) 2 and immunocompromised patients (1,2). The bacterium secretes a large number of products that contribute to virulence. These include type III-secreted exotoxins that disrupt the cytoskeleton and lyse the cells, as well as pro-teases, phospholipase, rhamnolipids, and hemolysin (3)(4)(5)(6)(7)(8). In addition, P. aeruginosa produce and secrete the blue pigment pyocyanin (PYO), which is found in the sputum of patients with CF and bronchiectasis at concentrations up to 100 M; this is responsible for the blue-green color often observed in CF sputum (4,5,9,10). PYO-deficient P. aeruginosa elicits less mortality in P. aeruginosa-mediated burn-sepsis model in mice, and PYO appears to be important for persistence of P. aeruginosa in lungs of CF patients (3,4,11). PYO has a multitude of effects on the physiology of epithelial cells, including inhibition or alteration of antioxidant enzymes (12,13), ciliary function (14), cellular metabolism, and organelle H ϩ v-ATPase (2,15). A key aspect of PYO pathology may result from its ability to trigger inflammation leading to the influx of neutrophils to the P. aeruginosa-infected region; PYO stimulates ICAM-1 and IL8 production on its own and also synergizes with IL1␤ and TNF␣ in stimulating IL8 production (16 -18). The resulting IL8 production triggers polymorphonuclear leukocyte infiltration. The polymorphonuclear leukocytes are critical for fighting infections through production of reactive oxygen species (ROS) and proteases, but these products also contribute to the tissue destruction characteristic of CF.
PYO activation of IL8 production may occur through effects on cellular signaling leading to activation of the transcription factors AP-1, NF-IL6/C-EBP, and/or NF-B, which control IL8 production (19). It is widely assumed that the effects of PYO on signaling are mediated at least in part through its ability to redox cycle with cellular NADPH and/or GSH leading to the production of ROS (9,13,20,21) and oxidation of the cytosol and/or mitochondria (21,22). Experiments using the electron spin resonance method showed that PYO caused the production of superoxide (O 2 . ) but not hydroxyl radical (HO ⅐ ), indicating that O 2 . and, through the action of superoxide dismutase, H 2 O 2 might contribute to proinflammatory signaling by PYO (16). In addition, the antioxidant N-acetylcysteine and the HO ⅐ scavenger DMSO reduced the proinflammatory effects of PYO, consistent with PYO triggering inflammatory processes through its pro-oxidant effects (18). However, none of these experiments made direct, quantitative measurements on the proposed effect of PYO to produce ROS and oxidize the cytosol. In addition, there were no direct tests of the role of this hypothesized oxidation on the activation of inflammatory signaling in airway cells. Furthermore, because PYO synergizes with IL1␤ in triggering IL8 production and IL1␤ and flagellin trigger similar signaling (23), it was predicted that PYO would similarly syner-gize with P. aeruginosa flagellin in activation of inflammatory signaling and production of IL8.
The present experiments were therefore designed to test the hypothesis that PYO activates inflammatory signaling by triggering production of the reactive oxygen species O 2 . , H 2 O 2 , and HO ⅐ that then oxidize the cytosol and activate NF-B. The experiments also tested whether this potentially proinflammatory effect was synergized in the presence of flagellin, the key product required for P. aeruginosa activation of inflammatory responses in airway epithelial cells (24,25). The general approach was to measure redox potentials in the cytosol (⌿ cyto ) of the CF nasal cell line CF15 using genetically targeted, redoxsensitive GFP (roGFP1) (26 -28)

EXPERIMENTAL PROCEDURES
Reagents-Unless otherwise specified, reagents and chemicals were obtained from Sigma. Thapsigargin was dissolved in DMSO at 1.0 mM and then dissolved into solutions at 1-10 M; these concentrations yielded similar effects on cellular functions.
Pyocyanin-PYO was purchased from Color Your Enzyme (Bath, Ontario, Canada). PYO was dissolved in PBS, pH 7.4, at 10 mM and diluted into medium or Ringer's solution as mentioned in the text. To ensure complete solubility, we also dissolved PYO in DMSO, which was then added to the cells at the appropriate concentrations. Total [DMSO] in these experiments was 0.5%, which did not affect cellular responses. We observed no differences in responses to PYO that had been dissolved initially in PBS, Ringer's, or DMSO.
Flagellin-P. aeruginosa flagellin (10 Ϫ3 g/ml in PBS, pH 7.4; Inotek, Beverly, MA) was stored at Ϫ20°C and diluted from the stock into the incubation media at concentrations stated in the text. This solution was vortexed vigorously and heated to 37°C before adding to the solutions to ensure dispersal as monomers. As described by Inotek, recombinant flagellin is expressed with tags in Escherichia coli and purified to Ͼ95% homogeneity by SDS-PAGE. Previous experiments showed that lipopolysaccharide contamination of this preparation is small and cannot account for effects of flagellin to activate NF-B (29). Flagellin isolated from Salmonella typhimurium (InvivoGen, San Diego) gave similar results. Flagellin was sensitive to freeze-thaw cycles, so comparisons among different treatment regimes were always performed with one batch of flagellin.
Measurement of Ca i -High concentrations of PYO have been shown to elicit small increases in cytosolic [Ca 2ϩ ], Ca i , through effects to release Ca 2ϩ from internal stores (presumably the endoplasmic reticulum) (20). Because increases in Ca i potently synergize with flagellin in stimulating NF-B in airway epithelial cells (19), this Ca i -stimulating effect of PYO could be particularly important when the bacteria also produce and release flagellin into the airway surface liquid. We therefore tested whether PYO or H 2 O 2 triggered changes in Ca i in CF15 cells. Cells grown on cover glasses were incubated with growth media containing 2 M fura-2/AM for 40 -60 min at room temperature and then washed three times with Ringer's solution to remove the extra dye. Fura-2-loaded cells were mounted onto a chamber on the stage of the imaging microscope and maintained at room temperature. Treatments with agonists were made by diluting stock solutions into Ringer's solution at the concentrations stated in the text. Fluorescence ratio imaging measurements of cytosolic Ca i were performed using methods that have been reported previously (19,31). Briefly, a Nikon Diaphot inverted microscope was used with a 40ϫ Neofluar objective (1.4 NA). A CCD camera collected emission (Ͼ510 nm) images during alternate excitation at 350 Ϯ 5 and 380 Ϯ 5 nm using a filter wheel (Lambda-10, Sutter Instruments, Novato, CA). Axon Imaging Workbench 4.0 (Axon Instruments, Foster City, CA) controlled both filters and collection of data. Calibration of fura-2 signals was performed as described by Grynkiewicz et al. (32). All images were corrected for background (region without cells).
Confocal Microscopy-Expression of roGFP1 in transiently transfected CF15 cells was analyzed on a Solamere spinning disk confocal microscope with excitation at 488 nm. Cells were bathed in Ringer's solution containing 500 M DTT to increase roGFP1 fluorescence intensity for excitation at 488 nm. Images were obtained using a 515 nm long pass emission filter and ϫ40 objective. Differential interference contrast images were also recorded to correlate cell morphology and roGFP1 fluorescence. Images were overlaid using Adobe Photoshop.
Redox Potential Measurements Using roGFP1 and Imaging Microscopy-Measurements of cytosolic redox potentials in CF15 cells were performed as described recently (28). Briefly, CF15 cells grown on cover glasses were transiently transfected with plasmids coding for a redox-sensitive GFP mutant roGFP1 (26, 27) using the Effectene transfection reagent according to the manufacturer's protocol (Qiagen, Valencia, CA). roGFP1expressing cells were bathed in Ringer's solution and mounted in a chamber on the stage of a Nikon Diaphot microscope with a ϫ40 Neofluar objective (1.4 NA). Ratiometric imaging was performed using a CCD camera, filter wheel (Lambda-10, Sutter Instruments, Novato, CA), and Axon Imaging Workbench 4 (Axon Instruments, Foster City, CA) to collect emission (Ͼ510 nm) images during alternate excitation at 385 Ϯ 5 and 474 Ϯ 5 nm. Cells were exposed to the various treatments in Ringer's solution, and roGFP1 ratios were recorded over time. Alternatively, ratios from multiple regions each containing Ն10 cells were recorded at the beginning of experiments and after 150 min of incubation with Ringer's solution, 100 M PYO, or 400 M H 2 O 2 . At this time the ratios reached a steady state, i.e. no further change in roGFP1 ratio.
Calibration of the roGFP1 ratios in terms of cytosolic redox potentials was performed using a protocol that has been described previously (27,28). Briefly, at the end of each experiment roGFP1 385:474 ratios were recorded during maximal oxidation by treatment with 10 mM H 2 O 2 and then during maximal reduction by treatment with 10 mM DTT. Images were background-subtracted, and normalized roGFP1 385:474 ratios were averaged and converted to redox potentials (mV) using an in situ calibration curve that has been published previously (28). The calibration curve was generated by first preparing the standard solutions consisting of trans-4,5-dihydroxy-1,2-dithiane and DL-DTT under nitrogen atmosphere to exclude oxidation by air. Then roGFP1-expressing cells were permeabilized by adding 1-5 g/ml digitonin for 5-10 min. The permeabilized cells were then perfused with different DTT standard solutions covering redox potentials from Ϫ330 to Ϫ195 mV at pH 7 (calculated using the Nernst equation (27)), and 385:474 nm excitation ratios were recorded. The roGFP1 excitation ratios were normalized to the values measured using 10 mM DTT red as 0% oxidation and 10 mM H 2 O 2 as 100% oxidation, and the normalized ratios were plotted against the calculated redox potentials of the DTT standard solutions to generate the curve (28) that was used for calibrating the experiments.

NF-B-Luciferase Adenovirus and NF-B Activation
Assays-A recombinant adenoviral vector expressing a luciferase reporter gene driven by NF-B transcriptional activation (Ad5HSVNF-B luciferase, termed adv-NF-B-luc) was used for studies to determine the effects of flagellin, PYO, and/or various other potential oxidants. This vector contained the luciferase gene driven by four tandem copies of the NF-B consensus sequence (33). Recombinant adenoviral stocks (6 ϫ 10 10 plaque-forming units) were stored in 10 mM Tris with 20% glycerol at Ϫ80°C. The virus was added to CF15 cells at 100 multiplicities of infection and returned to the incubator for 24 h, followed by washing of the adenovirus and further growth for 24 h. Control experiments with a ␤-galactosidaseor enhanced GFP-expressing adenovirus showed that this infection protocol generated expression in 75-100% of the cells (28). Adenoviral constructs were obtained from Gene Transfer Vector Core (University of Iowa, Iowa City). Cells were washed with fresh medium and exposed to the various agonists for 4 h. Cells were then washed and processed using the luciferase assay system with Reporter Lysis Buffer (Promega, Madison, WI) to measure NF-B-mediated transcriptional induction according to the manufacturer's protocol. Luciferase activity (relative light units) was analyzed with a TD-20/20 luminometer (Turner Designs, Sunnyvale, CA) in at least triplicate for each sample and normalized to the protein concentration (Bradford assay, Bio-Rad). These averages were then expressed relative to the average control value in the epithelial cells, which was set equal to 1.0.
Effects of Catalase on Redox and NF-B-Overexpression of human catalase was obtained by overnight incubation of CF15 cells with an adenovirus coding for human catalase (100 multiplicities of infection). To control for adenoviral infection cells were infected with an adenovirus coding for ␤-galactosidase (100 multiplicities of infection). Cytosolic redox potentials were analyzed in CF15 cells after transfection with roGFP1coding plasmids (see above), and transcriptional activation of NF-B was studied by co-infection of cells with adv-catalase adv-NF-B-luc in the presence of medium, [H 2 O 2 ], or PYO with or without flagellin.
Statistics-Data have been presented as original values or as means Ϯ S.D.; n refers to the number of averaged experiments. Significance was tested using t test for paired or unpaired samples as appropriate. Calculated p values Ͻ0.05 were considered significant.

Effects of PYO and Flagellin on NF-B-Inflammatory signal-
ing leading to the activation of NF-B was assayed in CF15 airway epithelia by measuring phosphorylation/degradation of involved mediators in the presence or absence of flagellin (0.1 g/ml, a submaximal dose; see Ref. 19) and PYO (100 M, concentration found in sputum of CF patients; see Ref. 10). NF-B signaling in many cells is characterized by kinase cascade-induced phosphorylations of IKK, p65, and IB, subsequent degradation of IB, and migration of p65 into the nucleus to activate production of proinflammatory cytokines and chemokines. Fig. 1A shows Western blots characterizing the phosphorylation of IKK␣/␤, p65, and IB␣ upon treatment with flagellin, PYO, and with both bacterial products for 20 and 40 min. These times were chosen because preliminary experiments using immunofluorescence imaging microscopy showed that NF-B (p65) migration into the nucleus during flagellin treatment occurred maximally after 45 min, so that activation/ phosphorylation of IKK␣/␤, p65, and IB␣ was expected to occur before this time. Treatment of cells with flagellin increased phosphorylation of IKK␣/␤, p65, and IB. After 40 min of treatment, loss/degradation of IB was observed. Treatment with PYO also increased phosphorylation of IKK␣/␤, p65, and IB, although effects were less pronounced compared with those of flagellin. PYO ϩ flagellin increased phosphorylation of p65 and IKK␣/␤ compared with either PYO or flagellin alone, but other effects of PYO ϩ flagellin were similar to those elicited by flagellin. The amount of nonphosphorylated p65 was not affected by either PYO or flagellin. Similar signals for ␤-actin for every experiment suggested that equal amounts of cell lysates were analyzed for each treatment. These data were consistent with flagellin and PYO both activating NF-B signaling, and the effects of PYO ϩ flagellin to phosphorylate IKK␣/␤ and p65 were larger than either stimulant alone.
Further experiments utilized NF-B-regulated luciferase to test the effects of PYO and flagellin on NF-B signaling. CF15 airway epithelia cells expressing the luciferase reporter gene driven by NF-B transcriptional activation were exposed to increasing concentrations of PYO in the absence and presence of flagellin (0.1 g/ml) (Fig. 1B). PYO on its own had a small stimulatory effect on NF-B compared with untreated controls only at the highest concentration tested, 100 M. Experiments were also performed to test the sidedness of these responses. Addition of flagellin and PYO to the apical side of cells grown to confluency on filter inserts activated NF-B with similar synergism compared with basal addition, although the magnitude of activation by flagellin and PYO was less when added to the basal side, perhaps because of restricted access to the membrane (Fig. 1C). Apical addition of flagellin and basal addition of PYO also yielded a synergistic activation of NF-B (13.5-fold increase) compared with flagellin (5.5-fold) and PYO (1.2-fold). These results showed that flagellin and PYO synergized in activating NF-B when they were exposed to either apical or basal side or even when flagellin and PYO were on opposite sides of the epithelium.
Effects . would be expected to oxidize the cytosolic redox potential. Expression of a redoxsensitive GFP mutant roGFP1 allowed the cytosol-specific analysis of the redox potential (⌿ cyto ) in response to PYO. Typical images of roGFP1 expressed in CF15 cells showed that the sensor was localized throughout the cytosol and also in the nucleus ( Fig. 2A). We detected no differences in the redox properties of the cytosol and nucleus of CF15 cells, consistent with previous results (26,28). Changes in the 385:474 excitation ratio of roGFP1 fluorescence were converted to ⌿ cyto (in mV) by applying a recently published calibration curve (28). As shown in Fig. 2B, PYO oxidized the cytosol of CF15 cells in a dose-and time-dependent way. 10 and 100 mM PYO both caused ⌿ cyto to oxidize slowly over the course of 30 -45 min to new steady values. These effects of PYO were relatively irreversible, as ⌿ cyto remained oxidized even after 60 min following removal of PYO from the bathing solutions for 60 min. On average 10 and 100 M PYO oxidized ⌿ cyto from Ϫ325 to Ϫ306 mV and Ϫ285 mV, respectively (Fig. 2C). Flagellin did not affect ⌿ cyto in the absence (data not shown) or presence of PYO (filled circle Fig. 2C). If PYO were activating NF-B through its effect to generate O 2 . and H 2 O 2 , it was expected that exogenous addition of these ROS would also oxidize the cytosol and activate NF-B. Effects of O 2 . were investigated by treating CF15 cells with either xan-thine ϩ xanthine oxidase or KO 2 . . Xanthine (X) alone or xanthine oxidase (XO) alone (not shown) had no effect on ⌿ cyto , but addition of both X ϩ XO caused rapid oxidation of ⌿ cyto by up to 50 mV (Fig. 3A). These results were consistent with the idea that extracellular X ϩ XO generated O 2 . , which entered the cell and oxidized the cytosol. Similar oxidation occurred during addition of KO 2 . (Fig. 3B). Although O 2 . (either from X ϩ XO or from KO 2 . ) effectively oxidized the cytosol, it did not activate NF-B either on its own or when added with flagellin (Fig. 3, C  and D).
Similarly, if PYO were activating NF-B through its effect to generate H 2 O 2 , exogenous addition of H 2 O 2 should oxidize the cytosol and activate NF-B. H 2 O 2 dose-dependently (threshold effect at 1 M, highest concentration applied 400 M) oxidized ⌿ cyto from Ϫ325 to Ϫ250 mV (Fig. 4, A and B). Although such single additions of H 2 O 2 effectively oxidized the cytosol, H 2 O 2 (added either alone or in combination with flagellin) did not affect NF-B-luciferase activity (Fig. 5A).
Previous experiments (35) showed that H 2 O 2 can be metabolized by cells and that repeated additions of H 2 O 2 to the media bathing the cells were required to maintain extracellular concentrations. We therefore tested the possibility that the lack of effect of H 2 O 2 on NF-B was caused by transient oxidation of  (Fig. 4D).
Armed with this information on the time and concentration dependence of effects of H 2 O 2 on redox potentials, we tested for effects on activation of NF-B in CF15 cells. Although 0.1 g/ml flagellin induced typical phosphorylation of IKK␣/␤, p65, and IB␣ after 30 and 40 min (Fig. 1A), 100 M H 2 O 2 elicited no changes in phosphorylation of IKK␣/␤, p65, and IB in the absence or presence of 0.1 g/ml flagellin (not shown). Further tests were performed using the sequential-addition protocol (Fig. 4D) to obtain relatively constant cellular oxidative redox potentials over the 4 h required for the NF-B-luciferase experiments. Using this protocol, H 2 O 2 had no effect (at 25, 50, and 100 M) or only inhibitory effects (at 400 M) on NF-B activity when added alone or in the presence of flagellin (Fig. 5B, open circles). 1 and 10 M H 2 O 2 also had small oxidizing effect on ⌿ cyto (Fig. 4A), but there were no effects of these concentrations of H 2 O 2 (added either alone or in the presence of flagellin) on NF-B (not shown).
A second approach to testing a role for H 2 O 2 in oxidizing ⌿ cyto and activating NF-B was to use an adenovirus to overexpress intracellular catalase (converts H 2 O 2 to H 2 O and O 2 ) in CF15 cells. ␤-Galactosidase (lacZ) adenovirus was used as a control. These cells were also infected with NF-B-luciferase adenovirus to measure NF-B activity or transfected with roGFP1 to measure ⌿ cyto . lacZ-infected (Fig. 4E) and uninfected control cells (Fig. 4A)   . Cells that were also exposed to 10 Ϫ7 g/ml flagellin (Flag) (closed circle) exhibited similar PYO-induced oxidation as cells that were not exposed to flagellin (open circles). *, p Ͻ 0.05 compared with control. Similar experiments were performed testing PYO. CF15 cells expressing either LacZ or catalase and transfected with roGFP1 were exposed to 100 M PYO. Catalase expression almost abolished PYO-induced oxidation of ⌿ cyto (Fig. 4F). These data indicated that the oxidative effect of PYO resulted from cytosolic production of H 2 O 2 and that overexpression of catalase prevented oxidation. However, the synergistic stimulation of NF-B in the presence of flagellin plus PYO was unaffected by intracellular catalase expression (Fig. 5C), indicating that changes in oxidation played no role in the responses.
We investigated whether PYO was activating NF-B through effects to produce HO ⅐ by treating cells with the HO ⅐ scavenger DMSO (36). CF15 cells expressing either roGFP1 or NF-Bluciferase were treated with 100 M PYO or 100 M PYO ϩ Ն50 mM DMSO. There were no effects of DMSO on the effects of PYO to oxidize ⌿ cyto (Fig. 6A) or to activate NF-B in the presence of flagellin (Fig. 6B).

Effects of PYO and Flagellin on NF-B: Role for Ca i ?-Previous
research showed 80 -300 M PYO triggered increases in Ca i in human bronchial epithelial cells and A549 cells (20) and that increases in Ca i synergized markedly with flagellin in activating NF-B and IL8 secretion (19). We therefore tested whether the synergism noted between flagellin and PYO in activating NF-B involved similar changes in Ca i in CF15 cells. As shown in Fig. 7, 100 M of PYO had no effect on Ca i (initial Ca i , 48 Ϯ 12 nM versus Ca i ; after PYO treatment, 64 Ϯ 11 nM), although a typical increase in Ca i was recorded upon stimulation with the known Ca iregulating agents ATP (activates purinergic receptors) and thapsigargin (blocks Ca 2ϩ pump in the endoplasmic reticulum, leading to loss of Ca 2ϩ into the cytosol) (see Ref. 19). Previous experiments also showed flagellin did not alter Ca i in CF15 cells (19). Therefore, the synergistic activation of NF-B by PYO and flagellin in CF15 cells did not require changes in Ca i .

DISCUSSION
PYO Synergizes with Flagellin in Activating NF-B-A major conclusion from these studies was that during the initial stages of exposure (0.5-4 h) PYO elicited no activation or only small activation of NF-B on its own, but large (Ͼ2.5-fold) synergistic stimulation when flagellin was also present. Unpublished experiments have shown similar synergism between PYO and TNF␣ in activating NF-B-luciferase (data not shown). 3 Previous experiments showed that 24 h of exposure to PYO elicited similar activation of NF-B in the presence of TNF␣ or IL1␤ (18). Thus, PYO elicited synergistic activation of NF-B in the presence of agonists that activated NF-B. The synergy between flagellin and PYO occurred during additions to the apical or basolateral side of the monolayers and also when flagellin was added apically and PYO basally. It therefore seems likely that the synergistic interactions between PYO and flagellin occurred through interactions among cytosolic signaling pathways and not through interactions at the cell surface. Because NF-B is a key regulator of IL8 production and secretion (19) and [PYO] in the sputum of CF patients can reach 100 M (4, 10, 15), these and previous (4,11) data show that PYO may be an important modulator of innate immune responses to P. aeruginosa in vivo. During chronic infections in CF, P. aeruginosa lose their flagella and become immotile, so the concentration of flagellin in the sputum will likely decrease. However, even in this condition PYO may be an important modulator of 3 C. Schwarzer and T. E. Machen, unpublished observations.

Redox and NF-B
OCTOBER 3, 2008 • VOLUME 283 • NUMBER 40 innate immune responses of airway epithelial cells because both neutrophils and macrophages release IL1␤ and TNF␣ and other proinflammatory cytokines that activate NF-B into the ASL, and PYO may then synergize with these to augment responses of the airway epithelia (17,18).

PYO Triggers Production of Cellular H 2 O 2 That
Oxidizes the Cytosol-A second major conclusion was that PYO induced the predicted oxidation of the cytosol, likely through redox cycling with cytosolic reductants and generation of O 2 . that is converted in the cells to H 2 O 2 . As determined from measurements of ⌿ cyto , [PYO] as low as 1 M caused small oxidation of ⌿ cyto , and 10 and 100 M PYO caused large and sustained oxidation of ⌿ cyto by 20 and 40 mV. These quantitative measurements of PYO-induced oxidation of the cytosol therefore confirm previous qualitative measurements based on the use of oxidation-dependent fluorescein derivatives (21,22) or electron spin resonance (16) that provide estimates of redox of the entire cell, including cytosol, mitochondria, and endoplasmic reticulum, all of which have unique redox potentials (28). Cytosol-targeted roGFP1 was advantageous compared with these other methods in providing specific, quantitative estimates of ⌿ cyto . Even though PYO is membranepermeant, its relatively slow effect to oxidize the cytosol (e.g. compared with H 2 O 2 ) may result from the slow redox cycling that occurs in interactions of PYO with cytosolic glutathione or NAD(P)H (13) (18) showed there were important roles for H 2 O 2 , HO ⅐ , and nitric oxide in the activation of IL8 and ICAM production over 1-2 days of exposure to PYO and one of its precursors, phenazine 1-carboxylic acid. A possible explanation for the differences between these previous (18) and present results could be that the redox-dependent proinflammatory effects of PYO and phenazine 1-carboxylic acid on IL8 and ICAM1 may be mediated through signaling pathways that lead to other transcription factors besides NF-B that are important for overall gene regulation, e.g. NF-IL6 and/or AP-1 in the case of the IL8 promoter (19). Another possibility is that the redoxdependent proinflammatory effects of PYO on IL8 and ICAM1 resulted from the longer time course of the previous experiments. Thus, the proinflammatory effects of PYO could result from nonredox activation of NF-B during 4-h incubations but by generating cellular ROS that activate proinflammatory signaling during 1-2-day incubations.
Because PYO oxidation of ⌿ cyto appeared not to be involved in activating NF-B, how does PYO work? Western analysis showed that PYO and flagellin each increased phosphorylation of IKK and p65, and there were increased phosphorylations in the presence of both PYO and flagellin. This may indicate that PYO activated one of the kinases in the MyD88/IRAK/TRAF/ TAK pathway (23) leading to NF-B.
Previous experiments have shown that high [PYO] (80 -300 M) stimulated inositol 1,4,5-trisphosphate production, apparent release of Ca 2ϩ from internal stores, and small increases (50 -300 nM) in Ca i in human bronchial epithelial cells and A549 cells (20). However, we were unable to detect any changes in Ca i during treatments of either CF15 (Fig. 7)     compartments besides the cytosol. Altering the redox properties of the endoplasmic reticulum could trigger an unfolded protein response that leads to activation of NF-B (37), but PYO did not activate the unfolded protein response (analyzed by IRE1␣-dependent splicing of XBP-1), 3 indicating that this was an unlikely explanation for the mechanism by which PYO synergizes with NF-B-activating agonists in stimulating NF-B. Previous work has indicated that PYO may oxidize mitochondria selectively (22), and such oxidation could couple to cytosolic signaling (38) to activate NF-B. By using mitochondria-targeted roGFP, we found that PYO oxidized mitochondrial redox potential (⌿ mito ), although about 20% less than ⌿ cyto , 3 indicating that PYOinduced oxidation of ⌿ mito could contribute to activation of NF-B. Further studies will be required to determine the role of mitochondrial redox in controlling proinflammatory signaling in the cytosol.
Too Much Oxidation Inhibits NF-B-Flagellin-activated NF-B was slightly inhibited by extracellular treatments with O 2 . , which oxidized ⌿ cyto from control Ϫ325 mV to about Ϫ270 mV (Fig. 3), and NF-B was nearly completely inhibited by 400 M H 2 O 2 , which oxidized ⌿ cyto to about Ϫ260 mV (Fig.  4). That this inhibitory effect on NF-B resulted directly from oxidizing effects of H 2 O 2 was shown by the reversal of the inhibition by overexpressing catalase. In contrast, overexpressing catalase prevented PYO-induced oxidation of ⌿ cyto but did not affect activation of NF-B. Taken together, these results indicated that the threshold for the inhibitory effect of excessive oxidation of ⌿ cyto on NF-B in CF15 cells may occur near Ϫ270 mV. Controversial Role of Redox Regulation of Inflammation-Previous data have shown that cytosolic oxidation on its own or in combination with cytokines activates NF-B (35,39,40) and that antioxidants may reduce proinflammatory signaling (18). In contrast, others have provided evidence showing that oxidation can mediate anti-inflammatory effects (41,42). The present data showed that NF-B activity was insensitive to oxidation of ⌿ cyto by up to 40 -50 mV, but further oxidations past this threshold had large inhibitory effects. These contrasting results indicate that responses to oxidation are likely to depend on subtle, cell-specific effects that may alter the magnitudes and localizations of oxidation. Furthermore, our data as well as that of others (43,44) emphasized that at least some redoxactive molecules can alter proinflammatory NF-B signaling through redox-independent mechanisms. Future quantitative investigations of the role of ⌿ cyto in controlling proinflammatory signaling may yield insights into why oxidants can either stimulate, inhibit, or have no effect on inflammatory signaling in different cells.