Inflammatory mediators such as endotoxin, interleukin-l,6 (IL-lp) and tumor necrosis factor~ (TNF-=) dose-dependently incr~ the expression of tissue factor on the surface of cultured bovine aortic endothelial ¢¢11s (ABAE), human umbilical vein endothelial cells (HUVEC) and human monocytes. In ABAE, ¢ndotoxin-, IL-Ip-and TNFa-induced tissue factor expression was suppressed by interleukin-4 (IL-4) which also neutralized the pyrogeni¢ effect of ¢ndotoxin in HUVEC and moaocytes. IL-4 did not alter TN F-a-induced proeoagulant changes in HUVEC and monocytes but strongly protected the monoeyte surface against IL-I/~-induced proeoagulant changes.
1, INTRODUCTIONTissue factor (TF) is an ubiquitous membrane-anchored glycoprotein that initiates blood coagulation by forming a complex with circulating factors VI I and Vlla We investigated the effect of IL-4 on the expression of TF induced by various inflammatory mediators on the surface of endothelial cells and monocytes.
MATERIALS AND METHODS
CellsAdult bovine aortic endothelial cells (ABAE) (passage 7-10) were isolated and cultured as already d~cribed [7] Human ambilical vein endothelial cells (HUVEC) (passage 3-10) were isolated and cultured as described [8] in 96-well mlcroplates in F l ~-I lure'S medium supplemented with 10% fetal calf serum, endothelial cell growth factor (30/~g/ml) and heparin (100/tg/ml) (Sigma, France).Mononuclear cells were obtained from human heparinized blood as described by Boyum [9]. Cells were plated for 30 rain at 370C into 96-well microplates (10 s calls/well). Non-adherent ¢¢11s were then harvested and adherent monoeyte (5 x 10 ~ cells/well) were used for the assay.
Determination of tLssue factor activity on the cellsProcoagulant activity was assayed according to $uprenant ¢tal. [10l. Briefly, adherent cells were incubated at 37"C in M-199 (without Phenol red) with ¢ndotoxin (LPS-lipopolysaccharide from E. coti strain: 055:B5) (Sigma, France), IL-I/~ or TNF~ (Teba, France) in the absence or presen~ of the indicated concentrations of IL-4 (Tebu, France). Incubation lasted for 18 h for ABAE and monoeytes and 6 h for HUVEC. The mediam was removed and wells were washed twice with 1 ml of phosphate-bulTered saline (PBS) and incubated for 45 rain at 37"C with 250 pl of M-199 containlng PPSB (0.44 U/ml FVII) (lntertran~fusion, France) and 100/t~/ml of substrate $2222 (Kabi, Sweden). The optical density (OD) was measured at 405 nm. The TF activity was obtained from a standard curve (log [~OD~o~/min] vs. log [U/roll) using serial dilations of rabbit brain thromboplastin in M-199 assayed as described above. Undiluted thromboplastin was arbitrarily assigned a value of I U/ml. The TF activity was normalized to the cell counts from the same well and expressed as,aU of TF/10 s ¢¢11s.
RESULTS AND DISCUSSION
Effect of LPS, IL-I~ and TNF-~ on TF expressionin ABAE, HUVEC and monocytes The addition of LPS, IL-I/~ or TNF-0t to adherent cells resulted in a time-dependent expression of TF on the cell surface (Fig. 1)