(American Journal of Pathology. 1998;153:1377-1381.)
© 1998 American Society for Investigative Pathology
Intracerebroventricular Injection of Anti-Fas Activates the Hypothalamus-Pituitary-Adrenal Axis and Induces Peripheral Interleukin-6 and Serum Amyloid A in Mice
Comparison with Other Ligands of the Tumor Necrosis Factor/NerveGrowth Factor Receptor Superfamily
Fabio Benigni*
,
Silvano Sacco*
,
Luigi Aloe
and
Pietro Ghezzi*
From the Laboratory of Neuroimmunology,*
Mario Negri
Institute for Pharmacological Research, Milano, and the Institute of
Neurobiology,
Consiglio Nazionale delle
Ricerche, Rome, Italy
 |
Abstract
|
|---|
Fas is a receptor of the tumor necrosis factor (TNF)/nerve growth
factor (NGF) receptor superfamily that mediates apoptosis and some
inflammatory changes. As the central administration of TNF is known to
activate the hypothalamus-pituitary-adrenal axis (HPAA) and to induce
peripheral responses including induction of serum interleukin (IL)-6
and serum amyloid A (SAA), we investigated the effects of
intracerebroventricular (i.c.v.) administration of agonist anti-Fas
monoclonal antibody Jo2. Centrally administered anti-Fas (1
µg/mouse, i.c.v.) induced elevated levels of
corticosterone, IL-6, and SAA comparable to those
observed after i.c.v. administration of recombinant murine TNF. On the
other hand, administration of murine NGF did not elevate serum
corticosterone or IL-6, but induced SAA. Thus, Fas can
trigger a centrally mediated anti-inflammatory response (HPAA
activation) and induce a peripheral acute-phase response comparable to
that induced with TNF, whereas NGF induces only acute-phase
proteins.
 |
Introduction
|
|---|
Fas is a cell surface receptor belonging to the tumor necrosis
factor (TNF)/nerve growth factor (NGF) receptor superfamily that
mediates apoptotic death upon activation by Fas ligand or agonist
antibodies.1,2
Lymphocyte-mediated apoptosis may play a
role in a variety of autoimmune diseases,3
and Fas
expression was recently reported in the brain of multiple sclerosis
patients4
and was suggested to be involved in other
diseases of the central nervous system.5
In addition to
inducing apoptosis, Fas induces typical inflammatory changes, including
increase of interleukin (IL)-6 and IL-8 secretion and activation of
nuclear factor-
B.6,7
In vivo administration of Fas ligand or the
agonist anti-Fas monoclonal antibody (MAb) Jo2 induces fulminant
hepatitis8
and lethality in Propionibacterium
acnes-pretreated mice.8,9
One of the main protective mechanisms against TNF-mediated systemic
toxicity is represented by the activation of the
hypothalamus-pituitary-adrenal axis (HPAA), resulting in an increase in
serum corticosteroid levels.10,11
Several cytokines
activate the HPAA, including IL-112
and
TNF,13
whereas other cytokines, (IL-6, IL-11, ciliary
neurotrophic factor, leukemia inhibitory factor, and cardiotrophin-1)
potentiate this induction.14
Activation of the HPAA, either by cytokines or stress, represents a
negative feedback mechanism that inhibits the production of
pro-inflammatory cytokines.11,15
In fact, adrenalectomized
mice are extremely sensitive to cytokine-mediated
lethality.16
Activation of the HPAA is also important in
the recovery from experimental autoimmune
encephalomyelitis,17,18
and an impairment of this response
was associated with the susceptibility of Lewis rats to
arthritis.19
Activation of the HPAA is not the only action of pro-inflammatory
cytokines on the central nervous system. There is evidence that also
induction of peripheral responses (IL-6 and liver acute-phase proteins)
can be induced through a centrally mediated action. In fact, we
previously reported that intracerebroventricular (i.c.v.) injection of
lipopolysaccharide (LPS), TNF,20
or IL-121
induces higher circulating levels of IL-6 than when the inducer is
injected peripherally. It has also been known for a long time that
centrally injected IL-1 induces a liver acute-phase response at doses
that are ineffective when administered peripherally.22,23
In a recent study using agonist antibodies or knock-out mice, we have
shown that activation of the HPAA and induction of peripheral IL-6
induced by i.c.v. injection of TNF is mediated primarily by TNF
receptor (TNFR) p55.20
Due to the sequence homology and
functional similarities between Fas and the TNFR p55,1
we
investigated whether in the central nervous system Fas could mediate an
activation of the HPAA and an induction of a peripheral acute-phase
response.
For this purpose, we injected mice i.c.v. with the agonist anti-Fas MAb
Jo2 and measured serum corticosterone levels. We also measured serum
levels of IL-6 and of the liver acute-phase protein, serum amyloid A
(SAA). In these experiments, the effect of anti-Fas was compared with
that of murine recombinant (rm)TNF and murine nerve growth factor
(NGF), which was was previously shown to induce acute-phase proteins
in vivo.24
 |
Materials and Methods
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Animals and Treatments
Procedures involving animals and their care were conducted in
conformity with the institutional guidelines that are in compliance
with national (D.L. 116, G.U. supplement 40, 18 February, 1992,
Circolare 8, G.U. Luglio 1994) and international laws and policies (EEC
Council Directive 86/609, OJ L 358, 1, December 12, 1987; Guide for the
Care and Use of Laboratory Animals, U.S. National Research Council,
1996).
Male CD-1 mice (25 g body weight) from Charles River Italia, Calco,
Como, Italy, were used. Mice were housed five per cage and fed ad
libitum. The agonist anti-Fas MAb Jo2 (a kind gift from Dr.
Shigekazu Nagata, Osaka University Medical School, Osaka, Japan) was
injected i.c.v. via a 28-gauge needle into ether-anesthetized
mice25,26
at the dose of 1 µg/mouse. All i.c.v.
injections were made in a final volume of 10 µl. At 90 minutes, 3
hours, or 24 hours after injection, blood was obtained from the
retro-orbital plexus under light ether anesthesia, and serum was
prepared. Control mice received saline alone or an irrelevant MAb
(anti-human TNFR p55, a kind gift from Dr. Wim Buurman, University of
Limburg, Maastricht, The Netherlands), as previously
described.20
In some experiments, mice were injected
i.c.v. with 1 µg of rmTNF (kind gift of Prof. Walter Fiers, Ghent,
Belgium) or 2.5 µg of murine ß-NGF. Murine NGF (2.5S) was purified
from the salivary gland of adult male mice following the procedure
described by Bocchini and Angeletti.27
The
concentration of pure NGF was determined by molar extinction, and the
biological activity of the purified NGF was evaluated with the in
vitro bioassay.28
Biochemical Determinations
Serum corticosterone was measured by a radioimmunoassay using an
antiserum for corticosterone radioimmunoassay obtained from Sigma
(C-8784; Sigma Chemical Co., St. Louis, MO) and following
manufacturer's indications. [3H]Corticosterone was
purchased from Amersham (Arlington Heights, IL).
SAA was measured by a previously described ELISA (Hemagen Diagnostics,
Waltham, MA).
IL-6 was measured as hybridoma growth factor using 7TD1 cells (a kind
gift from Dr. Jacques van Snick, Brussels, Belgium) as previously
described.29
IL-6 activity is expressed as co-stimulatory
units per milliliter using rIL-6 as a standard. The sensitivity of the
assay was 50 U/ml.
 |
Results
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Mice received 1 µg of anti-Fas antibody and were bled at 1.5, 3,
or 24 hours for corticosterone or IL-6 and at 24 hours for SAA, based
on previous results showing that these are the optimal time points for
the effects under investigation when cytokines are injected i.c.v. It
should also be noted that anti-Fas-injected mice did not look sick
within this time frame (i.e., 24 hours).
Figure 1
shows the effect of an i.c.v.
injection of anti-Fas on serum corticosterone 1.5 and 3 hours after
injection. Control mice received saline i.c.v. alone. For purpose of
comparison, the effect of 1 µg of rmTNF (also given i.c.v.) is also
shown. It can be seen that both rmTNF and anti-Fas augmented
approximately two- to three-fold serum corticosterone levels.
Co-administration of the two resulted in an additive effect, although
no direct comparison of anti-Fas and rmTNF can be made in terms of
dose. In two separate experiments we tested an irrelevant antibody, as
described in Materials and Methods, at doses up to 6 µg/mouse, and
did not see any augmentation of serum corticosterone compared with
saline controls (data not shown), in agreement with previous
reports.20

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Figure 1. Central administration of anti-Fas activates the
hypothalamus-pituitary-adrenal axis. Mice were treated i.c.v. with 1
µg of anti-Fas, rmTNF, or both, and serum corticosterone was measured
1.5 and 3 hours later. Data are presented as mean ± SD
(n = 5). *P
<0.05 versus saline alone by Duncan's test.
|
|
Figure 2
shows that i.c.v. injection of
anti-Fas markedly induced serum IL-6 levels, to an extent comparable to
that of rmTNF. The levels of IL-6 after anti-Fas were 3512 U/ml at 1.5
hours and 6432 U/ml at 3 hours; those after rmTNF were 4433 U/ml and
1505 U/ml 1.5 and 3 hours later, respectively. As for corticosterone,
an additive effect was observed between anti-Fas and rmTNF. An
irrelevant isotype MAb (see Materials and Methods), at doses up to 6
µg, did not induce any significant augmentation of serum IL-6
compared with saline controls (6 µg of
hTNFR p55 produced
undetectable levels of serum IL-6, ie, <50 U/ml in one experiment and
149 ± 104 U/ml in a second experiment), in agreement with
previous reports.20

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Figure 2. Central administration of anti-Fas induces peripheral IL-6. Mice were
treated i.c.v. with 1 µg of anti-Fas, rmTNF, or both, and serum IL-6
was measured 1.5 and 3 hours later. Data are presented as mean ±
SD (n = 5).
**P <0.01 versus saline alone by Duncan's
test.
|
|
Under the experimental conditions described above, i.c.v.
administration of murine NGF (2.5 µg/mouse) did not elevate serum
corticosterone or IL-6 (data not shown).
As shown in Figure 3
, i.c.v.
administration of anti-Fas antibody induced marked levels (50 µg/ml)
of SAA 24 hours after treatment. The levels of SAA were very low after
saline injection (7 µg/ml). Also, rmTNF and murine NGF induced marked
levels of SAA.

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Figure 3. Central administration of anti-Fas induces SAA. Mice were treated
i.c.v. with 1 µg of anti-Fas, rmTNF, or 2.5 µg of mNGF, and SAA was
measured in serum 24 hours later. Data are presented as mean ± SD
(n = 5). **P
<0.01 versus saline alone by Duncan's test.
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 |
Discussion
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Our paper shows that one central effect of anti-Fas administration
is to increase serum levels of corticosterone, IL-6, and SAA. Elevation
of serum corticosterone might have various suppressive actions on the
immune system and, in particular, inhibit the synthesis of several
cytokines.10,11
Activation of the HPAA is generally viewed
as an anti-inflammatory feedback response, but corticosteroids may have
other actions, including induction of apoptosis in T cells.
Also, induction of IL-6 and SAA may be viewed as protective mechanisms.
In fact, previous works have shown that induction of hepatic
acute-phase proteins is important in the protective effect of IL-1
pretreatment against sepsis,30
and administration of
acute-phase proteins or their overexpression in transgenic animals is
protective against endotoxic shock or TNF-induced
lethality.31,32
Another acute-phase protein,
2-macroglobulin, has a protective effect in animal models of
experimental autoimmune encephalomyelitis.33
Furthermore, IL-6 might be regarded as protective. In fact, exogenous
administration of IL-6 inhibits TNF production in vitro and
in vivo34,35
and IL-6-deficient mice produce
more TNF in response to endotoxin.35,36
The fact that TNF, but not NGF, share with Fas the ability to induce
serum corticosterone and IL-6 is in agreement with the differences in
the various receptors of the TNF/NGF superfamily. This superfamily
includes the two TNF receptors, the low-affinity NGF receptors, and
other members. However, whereas the extracellular amino acid sequence
of the extracellular region is relatively conserved, the cytoplasmic
region is not, and in this case the similarities are restricted to Fas
and TNFR p55.37
If we consider that our previous work
indicated that TNFR p55 is responsible for the central effects reported
here,20
it is not surprising that the action of TNF is
shared only by Fas and not NGF. The observed induction of acute-phase
proteins after systemic24
or central (this paper)
administration of NGF might therefore be mediated either by the
peripheral NGF receptor or by a receptor subtype other than the
low-affinity one which belongs to the TNFR family.
It should be noted that Fas shares with the receptors for IL-1 and TNF
(IL-1RI and TNFR p55, respectively) a signaling cascade involving MAP3K
kinase ultimately resulting in the activation of
NF-
B,38
a transcription factor of particular importance
in the inflammatory response. As IL-1 and TNF, like Fas, are activators
of the HPAA, common pathways are likely candidates as the mediators
implicated in these effects. It is, however, difficult to explain the
lack of effect of NGF in our system within this frame, as controversial
reports have indicated either that NGF activates NF-
B39
or that, unlike TNF, NGF does not activate this transcription factor in
neural tissue.40,41
Thus, activation of the HPAA and induction of SAA seem to be a common
feature of anti-Fas and TNF. It seems likely that the elevation of SAA
by anti-Fas reported in this paper is mediated by IL-6, a key mediator
of the acute-phase response,42
which is produced in the
periphery after central administration of anti-Fas. This is very
similar to what occurs with IL-1 that, when injected i.c.v., induces a
peripheral acute-phase response,22,43
probably due to
centrally mediated induction of peripheral IL-6.21
The fact that central injection of anti-Fas activates the HPAA might
imply that hypothalamic neurons are responsive to Fas, ie, express Fas.
To our knowledge, there are no studies on the localization of Fas in
adult brain, but expression of Fas in the brain of adult mice was
reported.44
However, in vitro studies with cells of the central
nervous system have shown that Fas is expressed in oligodendroglia,
particularly astrocytes, rather than on neurons,45
and
similar results were obtained by immunohistochemistry in MS
brains.4
It is thus possible that the activation of the
HPAA reported in the present paper might be mediated by the activation
of the cytokine cascade, as suggested by the induction of IL-6,
although induction of serum corticosterone cannot be due only to
induction of IL-6 as administration of IL-6 alone does not
significantly increase serum corticosterone in our experimental
model.14,35
On the other hand, IL-6 is a potent inducer of SAA,14
and
it cannot be excluded that it mediates the elevation of SAA observed
after anti-Fas injection. The induction of an acute-phase protein by
Fas reported here might be important in the observed elevation of
acute-phase proteins in experimental autoimmune
encephalomyelitis.33,46,47
In conclusion, we have shown that activation of Fas in the central
nervous system results in an induction of an acute-phase response and
activation of the HPAA similar to those of TNF, previously reported to
be mediated by TNFR p55. These actions, particularly elevation of
corticosterone and of acute-phase proteins, might counteract
pro-inflammatory cytokines and thus have a protective effect in some
diseases associated with Fas activation.
 |
Acknowledgements
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We are gratefully indebted to Dr. Shigekazu Nagata, Osaka
University Medical School, Osaka, Japan, for the gift of anti-FAS MAb
Jo2.
 |
Footnotes
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Address reprint requests to Dr. Pietro Ghezzi, Laboratory of Neuroimmunology, Istituto di Ricerche Farmacologiche "Mario Negri", via Eritrea 62, 20157 Milano, Italy. E-mail: ghezzi{at}irfmn.mnegri.it
The contribution of L. Aloe is supported by Progetto biotecnologie, Minis-tero dell' Universita' e della Ricerca Scientifica e Tecnologica, Rome, Italy.
Accepted for publication July 24, 1998.
 |
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