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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Gastroenterology
2014 ; 147
(4
): 835-46
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Activation of pattern recognition receptors up-regulates metallothioneins,
thereby increasing intracellular accumulation of zinc, autophagy, and bacterial
clearance by macrophages
#MMPMID24960189
Lahiri A
; Abraham C
Gastroenterology
2014[Oct]; 147
(4
): 835-46
PMID24960189
show ga
BACKGROUND & AIMS: Continuous stimulation of pattern recognition receptors
(PRRs), including nucleotide-binding oligomerization domain-2 (NOD2) (variants in
NOD2 have been associated with Crohn's disease), alters the phenotype of
myeloid-derived cells, reducing production of inflammatory cytokines and
increasing microbe clearance. We investigated the mechanisms by which microbial
clearance increases in macrophages under these conditions. METHODS: Monocytes
were purified from human peripheral blood mononuclear cells and differentiated to
monocyte-derived macrophages (MDMs). We also isolated human intestinal
macrophages. Bacterial clearance by MDMs was assessed in gentamicin protection
assays. Effects of intracellular zinc and autophagy were measured by flow
cytometry, immunoblot, reverse-transcription polymerase chain reaction, and
microscopy experiments. Small interfering RNAs were used to knock down specific
proteins in MDMs. NOD2-/- and C57BL/6J mice, maintained in a specific
pathogen-free facility, were given antibiotics, muramyl dipeptide (to stimulate
NOD2), or dextran sodium sulfate; intestinal lamina propria cells were collected
and analyzed. RESULTS: Chronic stimulation of human MDMs through NOD2
up-regulated the expression of multiple genes encoding metallothioneins, which
bind and regulate levels of intracellular zinc. Intestinal myeloid-derived cells
are stimulated continually through PRRs; metallothionein expression was
up-regulated in human and mouse intestinal myeloid-derived cells. Continuous
stimulation of NOD2 increased the levels of intracellular zinc, thereby
increasing autophagy and bacterial clearance. The metal-regulatory transcription
factor-1 (MTF-1) was required for regulation of metallothionein genes in human
MDMs. Knockdown of MTF-1 did not affect baseline clearance of bacteria by MDMs.
However, the increase in intracellular zinc, autophagy, and bacterial clearance
observed with continuous NOD2 stimulation was impaired in MDMs upon MTF-1
knockdown. The addition of zinc or induction of autophagy restored bacterial
clearance to MDMs after metallothionein knockdown. NOD2 synergized with the PRRs
Toll-like receptors 5 and 9 increase the effects of metallothioneins in MDMs. In
mice, the intestinal microbiota contributed to the regulation in expression of
metallothioneins, levels of zinc, autophagy, and bacterial clearance by
intestinal macrophages. CONCLUSIONS: In studies of human MDMs and in mice,
continuous stimulation of PRRs induces expression of metallothioneins. This leads
to increased levels of intracellular zinc and enhanced clearance of bacteria via
autophagy in macrophages.