Anti-Inflammatory & Anti-Allergy Agents in Medicinal Chemistry

ISSN: 1871-5230

Anti-Inflammatory & Anti-Allergy Agents in Medicinal Chemistry
Volume 8, Number 4, December 2009


Contents

Innate Immunity Molecules S100A8/A9 Involved in Stress Response and Cancer Biology
Guest Editors: Claus Kerkhoff and Saeid Ghavami



Editorial Pp. 279-281


How Important are S100A8/S100A9 Calcium Binding Proteins for the Activation of Phagocyte NADPH Oxidase, Nox2 Pp. 282-284
S. Berthier, A. Baillet, M.-H. Paclet, P. Gaudin and F. Morel
[Abstract] [Full text article]


Anti-Infective Protective Properties of S100/Calgranulins Pp. 285-305
K. Hsu, C. Champaiboon, B.D. Guenther, B.S. Sorenson, A. Khammanivong, K.F. Ross, C.L. Geczy
and M.C. Herzberg
[Abstract] [Full text article]


S100A8/A9 as a Pro-inflammatory Cytokine in Obstructive Airway Disease Via the Multi-Ligand Receptor, RAGE Pp. 306-317
A.J. Halayko and P. Sharma
[Abstract] [Full text article]


Apoptosis-Inducing Activity of the S100A8/A9 Heterodimer Pp. 318-328
M. Hashemi, S. Chitayat, S.R. Ande
and W.J. Chazin
[Abstract] [Full text article]


Dual Role of S100A8 and S100A9 in Inflammation-Associated Cancer Pp. 329-336
J. Németh, P. Angel
and J. Hess
[Abstract] [Full text article]


A Concept of Homeostatic Inflammation Provided by Endogenous TLR4 Agonists that Function Before and After Danger Signal for Metastasis Pp. 337-347
Y. Maru
[Abstract] [Full text article]


S100A8/A9 Proteins in Diseases of the Exocrine Pancreas Pp. 348-356
R. Ossig and J. Schnekenburger
[Abstract] [Full text article]


General Articles


Recent Advances in Improving Sub-Unit Vaccine Efficacy Using Cytokines as more Specific Immune Inducing Adjuvants Pp. 357-365
S.D. Cesare, D. Abourbih, R.N. Belfort, L.A. Petruccelli and M.N. Burnier Jr.
[Abstract] [Full text article]


Hapten Recognition by T Cells: A Functional and Molecular View Pp. 366-376
A. Franco
[Abstract] [Full text article]


Inflammation Induces Glucocorticoid Resistance in Patients with Bronchial Asthma Pp. 377-386
Yasuhiro Matsumura
[Abstract] [Full text article]




Abstracts


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Editorial: Innate Immunity Molecules S100A8/A9 Involved in Stress Response and Cancer Biology

Members of the S100 protein family comprise a multigenic group of non-ubiquitous cytoplasmic Ca2+-binding proteins of the EF-hand type, differentially expressed in a wide variety of cell types. They are small acidic proteins (10–12 kDa) that are found exclusively in vertebrates, and have been implicated in the regulation of many diverse processes such as signal transduction, cell growth and motility, cell-cycle regulation, transcription, differentiation, and cell survival.

A large number of different human diseases have been associated with the variety of S100 proteins and their defective functions, e.g., cancer, inflammation, cardiomyopathies, neurodegenerative diseases, and allergies. Most S100 genes are located in a gene cluster near a region on human chromosome 1q21, which is responsible for a number of chromosomal abnormalities and has been frequently rearranged in human cancer. In addition, the S100 gene cluster is close to the epidermal differentiation complex as well as to a psoriasis susceptibility region, the PSORS4 locus. These data are important indications for the involvement of S100 genes in inflammatory as well as neoplastic disorders. The rearrangements may result in a deregulated expression of S100 genes associated with neoplasia. Furthermore, there is also an extensive interest in researching the possibility of using S100 proteins/specific antibodies in clinical diagnosis.

It is worth mentioning that the first link between S100 family members and a specific disease was made for S100A8 and S100A9. It was speculated for considerable time that these two proteins could represent the proteins responsible for cystic fi-brosis, a speculation now superseded by the cloning of the gene encoding the membrane protein cystic fibrosis conductance regulator. Nevertheless, it has been shown that S100A8- and S100A9-expressing cells belong to the early infiltrating cells and dominate acute inflammatory lesions. Phagocytes expressing S100A8 and S100A9 are found in a variety of inflammatory conditions, including rheumatoid arthritis, allograft rejections, and inflammatory bowel and lung diseases. Inflammatory disorders such as chronic bronchitis, cystic fibrosis, and rheumatoid arthritis are associated with elevated plasma levels of S100A8/A9. There are high correlations between S100A8/A9 plasma concentrations and clinical and laboratory markers of inflammation, as well as the rapid normalization following clinical improvement suggesting that these proteins track disease activity. Therefore, S100A8 and S100A9 are widely used as marker proteins for activated or recruited phagocytes as well as a diagnostic marker for disease activity. However, over the last decade they have gained increasing interest in many files of medicine due to their deregulated epidermal expression as a response to stress and in association with neoplastic disorders.

S100A8 and S100A9 are predominantly expressed in myeloid cells. Except for inflammatory conditions, the expression of S100A8 and S100A9 is restricted to a specific stage of myeloid differentiation since both proteins are expressed in circulating neutrophils and monocytes but are absent in normal tissue macrophages and lymphocytes. Under chronic inflammatory conditions, such as psoriasis and malignant disorders, they are also expressed in the epidermis.

S100A8 and S100A9 show a strong tendency to form heteromeric protein complexes. This preference for the formation of the heterodimeric protein complexes over S100A8 and S100A9 homodimers in both the apo- and holo-states has been demonstrated by several biochemical, biophysical and structural methods. Complex formation is not calcium-dependent as shown in various studies. However, the binding of calcium results in structural changes leading to the exposure of hydrophobic surfaces upon calcium binding. These conformational changes are proposed to provide for specific interaction with target proteins. Previous studies have reported that S100A8 and S100A9 are frequently co-expressed and their expression appears to be coordinately regulated. Vice versa, it has been demonstrated that either gene knock-out or gene silencing of one S100 gene caused the absence of the other at protein level. Therefore, it is nowadays widely accepted that heteromeric protein complexes are the most functionally relevant form to study.

Despite a number of distinct functions have been attributed to the S100 proteins, their biological functions still remain unclear. The present AIAAMC Hot Topic Issue is therefore dedicated to the role of the two S100 proteins in innate immunity; their stress response induced expression as well as their association with tumor development, cancer invasion or metastasis. This specific issue brings together a set of reviews and new articles that reflect the range of molecular investigations that are current in the field of S100A8/A9 biology, and provides insight into the common and unifying themes that are emerging.

In phagocytes, the heteromeric complex of S100A8 and S100A9 has been shown to represent the entire arachidonic acid-binding capacity. Arachidonic acid is an essential factor for NADPH oxidase due to its binding to gp91phox that induces structural changes in cytochrome b558. S100A8/A9 participates in phagocyte NADPH oxidase activation by transferring arachidonic acid to membrane-bound Nox2 (gp91phox) during interactions with cytosolic oxidase activation factors. The functional relevance of S100A8/A9 in the phagocyte NADPH oxidase activation has been demonstrated by the impairment of NADPH oxidase activity in neutrophil-like NB4 cells, after specifically blocking S100A9 expression, and employing bone marrow-derived PMNs from S100A9 deficient mice. The article of Berthier et al. (pages 282 – 289) investigates the molecular mechanisms by which S100A8/A9 promotes NADPH oxidase activation. The authors highlight the importance of the interaction of S100A8/A9 with cytosolic phox proteins in the allosteric regulation of NADPH oxidase activity. S100A8 and S100A9 potentiate oxidase activation by mediating enhancement of p67phox affinity for cytochrome b558 in synergy, in vivo, with p47phox, p40phox and Rac1/2. Respective function of S100A8 and S100A9 has to be determined; while S100A8 is strategic, efficiency of NADPH oxidase regulation depends on the presence of both S100A8 and S100A9 proteins.

Recent investigations suggest that S100A8 and S100A9 (as well as the functional homolog S100A12) are involved in the first line of defense against infection and inflammation. The S100/calgranulin proteins are expressed in those cells that form physical barriers to keep pathogens from entering. S100A8 and S100A9 are expressed in squamous mucosal keratinocytes and innate immune cells present at mucosal surfaces. The S100/calgranulin proteins are abundant in myeloid cells whereas their expression is induced in epidermal keratinocytes, gastrointestinal epithelial cells and fibroblasts during inflammation. Hsu et al. (pages 290 – 305) decipher the protective anti-infective and anti-inflammatory functions of the S100/calgranulins for the mammalian host. The proteins may serve as leukocyte chemoattractants and display protective functions including oxidant scavenging, antimicrobial activity, and chemokine-like activities. Each function may reflect the concentration of the S100/calgranulins, post-transcriptional modifications, oligomeric forms, and the proximal intracellular or extracellular environments. The authors conclude that S100/calgranulins play important roles in resistance of the host to infection and protection against adverse affects of inflammation.

Neutrophils abundantly expressing S100A8 and S100A9 are engaged to the lung during acute asthma exacerbation and could be detected very rapidly in bronchial biopsies and sputum. Airway neutrophil inflammation after withdrawal of inhaled corticosteroid is a prediction of un-controlled asthma exacerbation. On the other hand, the receptor of advanced glycation endproducts (RAGE) is a putative receptor for S100A8/A9, and is highly expressed in lung tissue. There are also some recent reports indicating the importance of RAGE in airway remodeling during bleomycin-induced lung injury. To date there has been little focus on the possible role S100A8/A9 and its consequences in allergic asthma, which could be of particular relevance in neurtrophilic-dependent severe asthma. Halayko and Sharma (pages 306 – 317) therefore have investigated the possible role of S100A8/A9 in two murine models of allergic airway inflammation with differential neutrophilia. Preliminary data indicate that S100A8/A9 levels were enhanced in the bronchoalveolar lavage fluid of acute ovalbumin and chronic house dust mite challenged BALB/c mice. Flow cytometry analysis revealed specific binding of S100A8/A9 on primary cultured human airway smooth muscle cells which highly expressed RAGE as measured by RT-PCR and Western blot analysis. These cells treated with S100A8/A9 showed both enhanced cell growth and increased synthesis and secretion of eotaxin-1 and IL-8 compared to control, indicative for the importance of S100A8/A9 in allergic airways inflammation. In their current review they dicuss the possible cellular pathways that might be involved in S100A8/A9 effect in airway remodeling during asthma.

The demonstrations that S100A8/A9 exerts apoptotic/cytotoxic effects against various tumor cells, and S100A8- and S100A9-positive cells, macrophages and polymorphonuclear leukocytes, accumulate along the invasive margin of carcinoma has prompted several investigators to study the possible participation of S100A8/A9 in carcinoma regression. Hashemi et al. (pages 318 – 328) summarize in their review the current knowledge about the molecular mechanisms by which S100A8/A9 performs its role as a novel apoptotic agent. In the past the apoptosis-inducing activity of S100A8/A9 was proposed to be due to the ability to bind divalent metal ions including Zn2+, Mn2+ and Cu2+ at sites that are distinct from Ca2+-binding sites. However, recent reports now indicate that S100A8/A9 exerts its activity by two different mechanisms a) chelation of trace metal ions such as Zn2+ and b) cell surface receptor mediated pathways. Although a number of receptors have been shown to bind S100A8/A9, the nature of the receptor involved in S100A8/A9-induced cell death remains to be elucidated. Experiments with certain cell lines either deficient for or over expressing components of the death signaling machinery as well as RAGE gene silencing and blocking RAGE-specific antibody approaches excluded both RAGE and the classical death receptor to be involved in S100A8/A9-induced cell death, even though S100A8/A9 can specifically bind to cancer cells and RAGE mediates the growth-promoting activity obvious at low micromolar concentrations of S100A8/A9. Clearly, investigations to identify the receptor involved in S100A8/A9-induced cell death are critical.

Chronic inflammation increases the risk for the expansion of transformed cells and aggravates the development of many recognized malignancies in as much as inflammation promotes angiogenesis, induces the expression of tumor growth-promoting cytokines and anti-apoptotic genes, and feeds forward signaling in tumor cells through cell surface receptors such as RAGE. Several lines of evidence identified an enhanced expression of S100A8 and S100A9 in pathological conditions of chronic inflammation and inflammation-associated carcinogenesis. Genetically modified mouse models and cell lines derived thereof have provided important new insights into the regulation and molecular function of S100A8 and S100A9 in vivo and in vitro. Nemeth et al. (pages 329 – 336) present a review of the current knowledge on S100A8 and S100A9 regulation and function on tumor cell signaling and survival, as well as the establishment of an inflammatory, pro-tumorigenic microenvironment. These findings provide a strong rationale to interfere with S100A8/A9-mediated signaling as a novel therapeutic option for treatment of inflammatory diseases as well as cancer.

Pancreatitis is inflammation of the pancreas that may occur as an acute, painful attack, or may be a chronic condition developing gradually over time. It is caused when pancreatic enzyme secretions build up and begin to digest the organ itself. Another term for this condition is auto digestion, which occurs when, for some unknown reason, the pancreas' powerful enzymes are activated in the pancreas itself rather than in the duodenum. It is believed that trypsin sets off a domino effect, activating other enzymes to speed the auto digestive process thereby inducing an inflammatory cascade. The progression of this inflammatory cascade depends on the rapid infiltration of leukocytes into pancreatic tissue, and consequently, inhibition of leukocyte infiltration was shown to reduce the severity of acute pancreatitis. Ossig and Schnekenburger (pages 348 – 356) report that S100A9 deficient mice display less severity of acute experimental pancreatitis compared to wild-type mice as analyzed by measuring serum amylase and lipase activities, intrapancreatic trypsin activation, and pancreatic morphology. Interestingly, leukocyte infiltration in pancreas and lungs was strongly reduced in S100A9 deficient mice suggesting a crucial function of infiltrating leukocytes not only for the progression of acute pancreatitis towards systemic inflammation but also in the initiation of the intra-acinar cell zymogen activation cascade. Furthermore, these authors discuss the recent postulate of a pathway from chronic pancreatic inflammation to pancreas tumor development, in view of the recent finding that S100A8/A9 proteins were found in myeloid cells within tumor-associated stroma.

Metastasis is thought to be a multistep process requiring the concerted actions of multiple genes. Specific genes allow tumor cells to shed from the primary tumor and these cells travel through the blood vessels to secondary sites, attach to endothelial cells, invade through proteolysis of the extracellular matrix and finally cause macrometastases at distant organs. Tumor-associated cells, such as macrophages and hematopoietic bone-marrow progenitors enhance metastasis because they prepare the environment for invasion in potential premetastatic organs. In a previous study, Maru and colleagues searched for genes related to the premetastatic phase, and found that S100A8/A9 attracts Mac-1+ myeloid cells to the lung tissue. Recruited Mac-1+ myeloid cells in lung in turn produce S100A8/A9 in response to primary malignant cells in a so called “premetastatic phase”. This phase shows the general characteristics of an inflammation state which facilitates the micro-environmental changes required for the migration and implantation of primary tumor cells to lung tissue. After preparation of the target tissue for accepting the malignant cells, tumor cells mimic Mac-1+ myeloid cells in response to S100A8/A9 chemotactic signaling and migrate to lung. Maru (pages 337 – 347) continues this issue by presenting a novel so-called “homeostatic inflammation” concept that extends the concept of danger signals. This concept includes the toll-like receptor 4 (TLR4) and its endogenous ligands S100A8 and serum amyloid A3 (SAA3) that signals a pseudo-alarm before destruction actually takes place such as those in pre-metastatic microenvironment and possibly even in physiological conditions. This concept suggests the endogenous TLR4 ligands S100A8 and SAA as attractive targets for the development of strategies counteracting tumor metastasizing to certain organs.

The present AIAAMC Hot Topic Issue on “Innate Immunity Molecules S100A8/A9 involved in Stress Response and Cancer Biology” demonstrates the diverse intracellular and extracellular functions of S100A8 and S100A9 in normal and pathophysiological conditions. Intra- as well as extracellular roles has been proposed. Intracellular S100A8/A9 promotes NADPH oxidase subsequently followed by NF-κB activation. The secreted form has chemotactic as well as cytokine-like properties, and the binding to cell surface receptor(s) induces the expression of cytokine(s). S100A8/A9 is released from activated phagocytes and has been shown to induce apoptosis in various cancer cells. This cellular response could be important for the antitumor response of PMNs. On the other hand, it has been shown that cancer cells utilize S100A8 and S100A9 as guidance for the adhesion and invasion of disseminating malignant cells. Moreover, S100A8/A9-mediated NF-κB (and Akt) activation could also function as a reversible signal for cellular proliferation with relevance for tumorgenesis. The promiscuity of the two S100 proteins is provocative, however, also implying a range of potential effects on human health. Therefore, further investigations are necessary to discover the biological function of S100A8/A9 in the immune response and its relationship to inflammation-associated cancerogenesis.


Claus Kerkhoff

Guest Editor
Anti-Inflammatory & Anti-Allergy Agents in Medicinal Chemistry

Institute of Immunology
Roentgenstr. 21, 48149 Muenster
Germany
Tel: +49 251 8352942
Fax: +49 251 8356549
E-mail: kerkhoc@uni-muenster.de


Saeid Ghavami
Guest Editor
Anti-Inflammatory & Anti-Allergy Agents in Medicinal Chemistry

Department of Physiology
University of Manitoba
730 William Avenue
(Basic Science Building)
Winnipeg, MB Canada R3E 3J7
Canada
E-mail: ghavami@cc.umanitoba.ca


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How Important are S100A8/S100A9 Calcium Binding Proteins for the Activation of Phagocyte NADPH Oxidase, Nox2
Sylvie Berthier, Athan Baillet, Marie-Hélène Paclet, Philippe Gaudin and Françoise Morel

S100A8 and S100A9 are two soluble calcium-binding proteins highly expressed in myeloid cells, mainly neutrophils (45% of cytosolic proteins) or monocytes (1-5%) and also early differentiated macrophages. In neutrophils, they are believed to be expressed as a 1/1 non covalent heterodimer; the process of dimer and mainly tetramer formation is calcium dependent. The S100A8/S100A9 calcium loaded complex binds arachidonic acid and shuttles between cytosol and plasma membrane upon neutrophil stimulation.

Neutrophils display, upon stimulation, a respiratory burst in which the cells catalyze NADPH oxidase activity through a redox membrane hemoprotein, cytochrome b558, which is constituted of 2 subunits: gp91-phox, the redox core and p22-phox the stabilizing partner. In neutrophils, this activity is transitory: to be active, regulatory cytosolic factors, p67-phox, p47-phox, p40-phox and Rac1/2 assemble with membrane cytochrome b558.

Both S100A8 and S100A9 were recently introduced as partners for NADPH oxidase activation and associate with the cytosolic activating factors especially p67-phox and Rac1/2. Moreover, S100A8/S100A9 potentiates NADPH oxidase activity. This was observed ex vivo after co-transfection of genes encoding both S100A8 and S100A9 in B lymphocytes that express all the components of the phagocyte oxidase, but display a very low NADPH oxidase activity (in these cells, S100A8 and S100A9 are not present endogenously). In the biological function of S100A8/S100A9, S100A8 is a strategic protein that needs to be active in vivo as in vitro, its specific partner S100A9. New data introduce S100A8 and S100A9 as positive effectors in allosteric regulation of phagocyte NADPH oxidase activity.


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Anti-Infective Protective Properties of S100 Calgranulins

Kenneth Hsu1, Chantrakorn Champaiboon, Brian D. Guenther, Brent S. Sorenson, Ali Khammanivong, Karen F. Ross, Carolyn L. Geczy1 and Mark C. Herzberg

The calgranulins are a subgroup of proteins in the S100 family (calgranulin A, S100A8; calgranulin B, S100A9 and calgranu-lin C, S100A12) that provide protective anti-infective and anti-inflammatory functions for the mammalian host. In this review, we discuss the structure-function relationships whereby S100A8 and S100A9, and for comparison, S100A12, provide intra- and extracellular protection during the complex interplay between infection and inflammation and how the calgranulins are regulated to optimally protect the host. Ideally located to support epithelial barrier function, calprotectin, a complex of S100A8/S100A9, is expressed in squamous mucosal keratinocytes and innate immune cells present at mucosal surfaces. The calgranulins are also abundantly produced in neutrophils and monocytes, whereas expression is induced in epidermal keratinocytes, gastrointestinal epithelial cells and fibroblasts during inflammation. The calgranulins show species-specific expression and function. For example, S100A8 is chemotactic in rodents but not in humans. In humans, S100A12 appears to serve as a functional chemotactic homolog to murine S100A8. Transition metal-binding and oxidation sites within calgranulins are able to create structural changes that may orchestrate new protective functions or binding targets. The cal-granulins thus appear to adopt a variety of roles to protect the host. In addition to serving as a leukocyte chemoattractant, protective functions include oxidant scavenging, antimicrobial activity, and chemokine-like activities. Each function may reflect the concentration of the calgranulin, post-transcriptional modifications, oligomeric forms, and the proximal intracellular or extracellular environments. Calprotectin and the calgranulins are remarkable as multifunctional proteins dedicated to protecting the intra- and extracellular environments during infection and inflammation.


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S100A8/A9 as a Pro-inflammatory Cytokine in Obstructive Airway Disease Via the Multi-Ligand Receptor, RAGE
Andrew J. Halayko
and Pawan Sharma

Asthma and chronic obstructive pulmonary disease (COPD) are persistent inflammatory conditions that have exhibited significantly increased prevalence in the past two decades. Though many current medications relieve the symptoms of obstructive airway disease, morbidity can still increase over time in individual patients. With particular respect to asthma, despite satisfactory control of symptoms in most patients with inhaled steroids, a sub-phenotype of subjects, representing ~15% of all asthmatics, do not respond to steroids – these patients can exhibit severe asthma, which accounts for ~50% of asthma health care costs. Moreover, inhaled steroids are not recommended as a sole therapy for COPD, and there is limited evidence for their effectiveness in preventing disease pathogenesis. Thus, it is important to better understand mechanisms for severe asthma and COPD and identify mediators released by cells, such as neutrophils, that are unresponsive to steroid therapy. This review focuses on the probable role of one the most abundant neutrophil proteins, called S100A8/A9, in asthma. S100A8/A9 is released in abundance in rheumatoid arthritis, inflammatory bowel disease and cancer, but there are no definitive studies on its role in obstructive airways disease. A primary receptor for S100A8/A9, which is uniquely expressed in high abundance in the lung, is the multi-ligand receptor for advanced glycated end-products (RAGE) of the immunoglobin-like receptor family. RAGE participates in mediating fibroproliferative lung remodeling in idiopathic pulmonary fibrosis, and in bleomycin-exposed animal models. This review provides an overview of the S100A8/A9-RAGE axis, and discusses its potential in mediating chronic airway inflammation and tissue remodeling in asthma and COPD.


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Apoptosis-Inducing Activity of the S100A8/A9 Heterodimer
Mohammad Hashemi, Seth Chitayat, Sudharsana Rao Ande
and Walter J. Chazin

The S100A8/S100A9 heterodimer, commonly referred to as calprotectin (CP), is a member of the S100 sub-family of EF-hand calcium binding proteins that is largely expressed in activated monocytes and macrophages and has well-defined functions in acute and chronic inflammation. Indeed, certain S100 proteins including S100A8/A9 are exported from cells by an as-yet unknown mechanism. Once outside the cell, S100A8/A9 activates cell surface receptors such as the receptor for advanced glycation end products (RAGE) and has also been shown to inhibit the growth of pathogenic bacteria through the chelation of trace metal ions such as zinc (Zn2+) and manganese (Mn2+). The binding of these metal ions by S100A8/A9 has also been shown to induce apoptosis in various tumor cell lines. However, several lines of evidence have suggested that S100A8/A9-dependent apoptosis is not solely due to its ability to sequester Zn2+ from cells. Rather, it appears that trace metal binding to S100A8/A9 triggers a novel conformational switch in the protein, which promotes binding to specific sites on the surface of cells or through interaction with yet unidentified cell surface receptors. This review summarizes what is currently known regarding the molecular mechanisms by which S100A8/A9 performs its role as a novel apoptotic agent.


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Dual Role of S100A8 and S100A9 in Inflammation-Associated Cancer
Julia Németh, Peter Angel
and Jochen Hess

Human cancer is a chronic disease that originates from transformed tumor cells harboring genetic as well as epigenetic altera-tions. It develops via a multi-step process that can be divided both operationally and mechanistically into three phases: initiation, promotion and progression. However, cancer is not merely an autonomous mass of mutant cells, but is composed of multiple cell types, such as fibroblasts and epithelial cells, innate and adaptive immune cells, and cells forming blood vessels and lymphatic vasculature. A striking feature of many cancers is an underlying persistent and unresolved inflammation, which often orchestrates a tumor supporting microenvironment. Several lines of evidence identified an enhanced expression of S100A8 and S100A9 proteins in pathological conditions of chronic inflammation and inflammation-associated carcinogenesis in patient specimens as well as cell culture and experimental animal models. More recently, the analysis of genetically modified mouse models and cell lines derived thereof has provided important new insights into the regulation and molecular function of S100A8 and S100A9 proteins in vivo and in vitro. In this review, we will summarize our current knowledge on S100A8 and S100A9 regulation and function on tumor cell signaling and survival, as well as the establishment of an inflammatory, pro-tumorigenic microenvironment. Based on this knowledge, this review will discuss potential strategies to interfere with S100A8 and S100A9 function as a novel option to develop innovative strategies for cancer prevention or therapy.


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A Concept of Homeostatic Inflammation Provided by Endogenous TLR4 Agonists that Function Before and After Danger Signal for Metastasis
Yoshiro Maru

Provoked by the discovery of metastasis-inducing endogenous ligands of TLR4 that has been recognized as a sensor for extrinsic pathogens, I propose an extended concept for danger signal that originally meant sentinels over tissue destruction by cancer. The so-called “homeostatic inflammation” concept includes signals before destruction actually takes place such as those in pre-metastatic microenvironment and possibly even in physiological conditions. It is orchestrated by tight cross-talks between growth factor and chemokine signaling.


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S100A8/A9 Proteins in Diseases of the Exocrine Pancreas
Rainer Ossig and Jürgen Schnekenburger

The function of the exocrine pancreas is the production and secretion of digestive enzymes. Major pathologies of the exocrine pancreas are pancreatitis, a sterile inflammation, and pancreatic adenocarcinoma, a highly lethal tumor. Both diseases involve cells of the immune system and calcium binding proteins of the S100 family. Here, we review the known function of these proteins in pancreatitis and pancreas cancer.

Few S100 proteins were detected during pancreatitis and only for the S100A8/A9 complex data are available that elucidate a presumable function. In a rodent model of caerulein-induced acute pancreatitis, pancreatic S100A8/A9 expression was exclusively detected in infiltrating leukocytes. S100A9 knockout animals developed less pancreatic tissue damage, no significant edema formation, and the intrapancreatic infiltration of leukocytes was inhibited. Purified S100A8/A9 dissociated calcium-dependent cell-cell contacts between pancreatic acinar cells in vitro and in vivo. These results indicate that the dissociation of epithelial cell-cell contacts mediated by secreted S100A8/A9 is crucial for the infiltration of leukocytes into the pancreas.

Several studies revealed an expression of S100 proteins in pancreatic cancers. Especially S100A8/A9 proteins were found in myeloid cells within tumor-associated stroma. Whether these proteins contribute to a recruitment of specific immune cells to tumors or to other steps of pancreatic tumor progression is not clear. None of the S100 proteins has been clearly confirmed as a pancrea tumor marker.

Taken together, S100A8/A9 proteins are essential for the inflammation induced infiltration of leukocytes in murine pancreatic tissue a mechanism which may also support tumor progression and metastasis.


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Recent Advances in Improving Sub-Unit Vaccine Efficacy Using Cytokines as more Specific Immune Inducing Adjuvants
Sebastian Di Cesare, Daniel Abourbih, Rubens N. Belfort, Luca A. Petruccelli and Miguel N. Burnier Jr.

Current vaccine research is now heavily focused on improving the efficacy and potency of sub-unit peptide vaccines. Many successful vaccines developed in past decades have been able to sufficiently prime proper immune responses without the use of any specific adjuvant immune mediators. Due to the intrinsic nature of more immune-evading pathogens and neoplasms, novel “tricks” are needed to elucidate a proper and protective immune response. It is important to note that without cytokines, proper execution of the immune response would be completely inhibited. They are responsible for the recruitment and chemo-tactic movement of most innate cellular effectors such as polymorphonucleocytes (PMN), macrophages, and dendritic cells. Most importantly, the entire Th1/Th2 balance is completely dependent on the unique nature and signature of differential cytokine production. These expression signatures are crucially needed to tip the scale either way, depending on which immune reaction is appropriate. This review will specifically explain the use of Th1 inducing cytokines as an adjuvant in current vaccine development. This rapidly developing field aims to produce more powerful and effective Th1 responses in the hopes of improving the treatment of cancer, intracellular infectious agents, and autoimmune diseases.


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Hapten Recognition by T Cells: A Functional and Molecular View
Alessandra Franco

T cells specific for haptens determine immunopathology, as for the recognition of the β-lactamic ring by CD4+ T helper cells, responsible for the severe immune response to Penicillin in allergic patients.

In this review we report studies that address functional and molecular aspects of hapten recognition by α/β T cells, enlightening the most relevant examples of hapten-specific T cells and their role in vivo.

Using Trinitrophenyl as a contact allergen model and tumor associated carbohydrate antigens (TACA) as antigen models in cancer, our laboratory extensively studied T cell recognition by hapten-specific T cells suggesting new, unexplored avenues for T cell-based immunotherapy.

In fact, the evidence of hapten recognition by “conventional” α/β T cells is of a critical importance in designing new immunotherapeutic approaches to treat allergies, cancer and chronic viral diseases.


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Inflammation Induces Glucocorticoid Resistance in Patients with Bronchial Asthma
Yasuhiro Matsumura

Glucocorticoids (GCs) represent the cornerstone of treatment of patients with bronchial asthma; however, inflammation in bronchial asthma is sometimes incompletely controlled. GCs switch on the expression of anti-inflammatory genes by binding to DNA and recruiting transcriptional coactivator molecules. In contrast, they can switch off activated inflammatory genes by recruiting transcriptional repressor molecules such as histone deacetylase (HDAC) 2.

Proinflammatory transcriptional element activator protein-1 (AP-1) and transcription factor nuclear factor kappa B (NF-κB), and upstream kinase p38 and c-Jun-N-terminal kinase (JNK) amplify inflammation and resistance to the actions of GCs. The activity of histoneacetyltransferase (HAT) and HDAC influences the expression of inflammatory genes. Cytokines, inflammatory mediators, allergens, viral or bacterial infections, oxidative stress, smoking, and vitamin D deficiency may all lead to a worsened clinical outcome by influencing these pathways.

Conventional therapy acts by inhibiting NF-κB, enhancing glucocorticoid receptor (GR) functions, and restoring HDAC activity, resulting in helpful add-on therapy. Targeting kinases such as inhibitor of κB kinase (IKK)2, mitogen activated protein (MAP) kinase (MAPK)s and phospho-inositol (PI)3 kinase (PI-3K) should be effective as therapy. Decoy oligonucleotides for AP-1and NF-κB are also candidates for the treatment of glucocorticoid-resistant (GC-R) asthma.

Since various factors affect GC response, the pathogenesis of GC-R asthma is considered to be heterogeneous. Most GC nonresponsiveness in these patients is relative and not absolute, suggesting that resistance is dependent on the intensity of localized inflammation. A better understanding of the inflammatory mechanisms of asthma may signal the management of GC-R asthma.




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