Journal of Immunology, Infection & Inflammatory Diseases Research Article Cysteine p Guanidine-Oligodeoxynucleotide Upregulates Interleukin-6 in Human B-Lymphocytes through Complement Receptor-2 (CR2/CD21) and Toll-Like Receptor 9 Signaling This article was published in the following Scient Open Access Journal: Journal of Immunology, Infection & Inflammatory Diseases Received January 02, 2017; Accepted February 11, 2017; Published February 17, 2017 Rengasamy Asokan1*, Szakonyi Gerda2 and Gizinski M. Alison3 Division of Rheumatology, School of Medicine, University of Colorado Denver, Aurora, CO 80045, USA 2 Institute of Pharmaceutical Analysis, University of Szeged, Hungary, Europe 3 University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA 1 Abstract Human complement receptor type 2 is a receptor for complement C3d, Epstein Bar virus- gp350, IgE receptor CD23, Interferon-α (IFN-α) and DNA. It plays a central role in systemic lupus erythematosus (SLE). The objective of this study was to examine the role of human CR2 in CpG-induced NF-kB, IL-6 and IFN-α up-regulation in B cell signaling. We show by using ELISA as well as Surface Plasmon Resonance (SPR) techniques that CpG and TLR9 binds to CR2. The equilibrium dissociation constant (kd/ka) between the bindings of CR2 SCR1-4 to CpG and rhu TLR9 was 3.1×10-2/5.4×105 and 1.1×10-2/2.4×106 with a maximal binding constant (KD) of 571 nM and 42 nM respectively. Anti-CR2 an inhibitory mAb against the first two (SCRs) completely blocked the binding of full-length CR2 between CpG and TLR9. A significant dose-dependent activation of NF-kB, IL-6 and IFN-α was seen when primary B lymphocytes were treated with CpG however, GC modification or methylation of CpG led to the loss of its ability to stimulate these signaling targets. Treatment of B lymphocytes with an inhibitory anti-CR2 mAb or anti-factor B mAb resulted in 15%, 25%, 33% inhibition of NF-kB, IL-6 and IFN-α respectively indicating that CR2 is partially involved in CpG binding and activation of above mentioned signaling proteins. Treatment of B lymphocytes with chloroquine, a known inhibitor of TLR9 signaling, showed an additive inhibitory effect. These studies indicated that the majority of CpG was bound through the cell surface TLR9 to activate the IL-6, 79% in contrast to the IFN-α, 42%. Stimulation of B lymphocytes with lipopolysacchride showed a dose-dependent activation of IL-6. Chloroquine inhibited LPS-induced IL-6 indicating the inhibition of TLR4 mediated activation. All these findings demonstrate that CR2 functionally interact with CpG which mimics bacterial CpG rich DNA and TLR9 on B lymphocytes to activate the cell signaling. Keywords: Complement Receptor-2, Protein-Protein interactions, Cysteine p Guanidine-oligodexonucleotide, B-lymphocyte activation assay, Interluekin-6, Systemic Lupus Erythematosus Introduction Human complement receptor type 2 (CR2/CD21) is a multi-functional cell surface receptor expressed predominantly on B cells and follicular dendritic cells (FDC), although a subset of peripheral and thymic T cells has also been express CR2 [1,2]. CR2 has been implicated in the pathogenesis of systemic lupus erythematosus (SLE) [3,4]. CR2 has five well-characterized classes of ligands, including complement C3 fragments such as iC3b, C3dg and C3d [5-9], Epstein-Barr virus viral coat protein, gp350/220 [1013], a low affinity receptor for IgE, CD23 [14], interferon-α (IFN-α) [15] and DNA [16]. *Corresponding Author: Rengasamy Asokan, Ph.D, Division of Rheumatology Box, B-115,School of Medicine, University of Colorado Denver, 1775 Aurora Court, Aurora, CO 80045, USA, Tel: 303-724-7593, Email: [email protected] Volume 2 • Issue 1 • 008 CR2 is a 145 kD transmembrane glycoprotein containing 15 or 16 short consensus repeats (SCRs) followed by a 28 amino acid transmembrane domain and a 34 amino acid intra cytoplasmic domain. Each SCR’s are composed of 60-70 amino acid in length and connected by a 4-8 amino acid linker peptide [17,18]. All four ligands i.e. C3d, EBVgp350, IFN-α and DNA binds to the first two SCRs of CR2 receptor [5,7,10,11,15,16,1922]) for CD23 [14,12] except for the low affinity receptor for IgE, CD23 which binds to an additional site located at SCR domain 5-8. CR2 can act as a B cell co-receptor to trigger antigen-mediated signal transduction. CR2 co-ligation with surface IgM, using mAbs [23,24] or with antigen-C3d complex [25] or with anti IgM-C3dg complexes promoted the release of an intra-cellular calcium [26]. This functional activation is due to the association of CR2, CD19 and CD81 in a signaling complex [26-28]. In addition www.scientonline.org J Immunol Infect Inflam Dis Citation: Rengasamy Asokan, Szakonyi Gerda, Gizinski M. Alison (2017). Cysteine p Guanidine-Oligodeoxynucleotide Upregulates Interleukin-6 in Human B-Lymphocytes through Complement Receptor-2 (CR2/CD21) and Toll-Like Receptor 9 Signaling Page 2 of 12 to this, CR2 ligation independently involved in several functional events such as homotypic adhesion [29], NF-kB activation [30] IL-6 generation[31], antigen uptake and presentation to T cells and actin polymerization [32]. In mice CR2 receptor is encoded by single CR1 gene which generates two receptors from a common mRNA by alternative splicing [33,34]. In human two different genes on chromosome 1 generates two different receptors, CR1 and CR2. Cr2 -/- mice not only have defective antigen presentation but also T cell dependent and independent immune responses [35] Cr2 -/mice also showed defects in B cell memory and natural antibody generation [36]. Recent studies also suggest that mouse CR2 plays a major role in maintaining tolerance to self-antigens such as dsDNA, chromatin and histone complex and the development of SLE [37], although the molecular mechanism of this function is unknown. Bacterial DNA activates the innate immune system. The bacterial cell wall containing repeating sugar molecules, the lipopolysaccrides (LPS) or the bacterial-DNA containing unmethylated CpG motif is the prime structural molecule that can acts as an activators of the immune cells. CpG motifs are 20 folds more common in bacterial DNA than in vertebrate DNA. However, these CpG motifs are suppressed and methylated in eukaryotic DNA [38]. Mammalian-DNA is generally non-immunogenic and contains reduced numbers of CpG dinucleotides which are mostly methylated. In addition, mammalian-DNA has a potential inhibitory activity on the innate immune system activation processes through the TLR9. The defective clearance of the apoptotic dead cell-DNA results in an increased level of nuclear antigen as a “biological garbage” in the body retaining most of its hypomethylated DNA fragments. The host cell-DNA in the circulation is recognized by the TLR9 [39] as well as by B cells. At present we do not know the presence of any DNA binding receptor on the surface of B cells and we hypothesized that the B cell surface CR2 can bind and mediate clearing “biological garbage” in vivo. These DNA fragments effectively cleared in the healthy individuals by B cells but it was defective in SLE patients. Recent studies have also suggested that a synthetic CpG ODN retain its stimulating capacity similar to bacterial unmethylated DNA; hence researchers used an identical synthetic CpG ODN to study the innate immune system activation in B cells [40]. It was also used as a therapeutic drug for treatment of diseases such as anti-cancer, allergy, asthma and infectious diseases [41,42]. In addition, recent studies also suggest that the hypomethylated mammalian genomic self-DNA containing CpG motif mimic like bacterial DNA to stimulate anti-DNA antibody production but the mechanism of action is not known [43,44] CpG inhibitory oligonucleotide efficiently impair TLR9 immune response in human immune cells [45]. Finally these CpG rich DNA recognize and binds TLR9 receptor for subsequent cell signaling leading to biological functions. TLR9 is a Type I trans membrane glycoprotein with 116 kDa MW containing 1032 amino acids which shares common structural feature with other TLR family of proteins. The TLR9 receptors are expressed on various cells but it is predominately on plamacytoid precursor, dendritic cells and on B cells and to a lesser extent also on monocytes. CpG DNA not only directly activates FDCs but in humans the autoantibody-DNA activates dendritic cells in cooperation with CD32 and TLR9 [46]. CpG DNA does not Volume 2 • Issue 1 • 008 stimulate B cells but it can synergies with some antigen and leads the B cell proliferation and expression [41,47]. CpG and TLR9 play a protective immune response in lung fibrosis in mice [48]. Here we report that the CpG rich DNA as well as the CpG ODN containing specific CpG motif binds to the CR2. In SLE, IL-6 gene is over expressed and contributes to the disease pathogenesis. CpG ODN was used to characterize the human IL-6, human IFN-α and NF-kB up-regulation using human primary B cells derived from PBMCs. We found that the CpG ODN binds to cell surface CR2 receptors and activated the cell signaling. This binding as well as cell signaling was specific because anti-CR2 inhibitory antibody inhibited these interactions. This study suggested that CR2 functionally interacted with the CpG in B cell signaling. Materials and Methods Purification of human CR2 SCR1-4, SCR1-15, complement C3d, EBV-gp350 and Bir A recombinant proteins Human CR2 SCR1-4-BCCP was prepared as we have described earlier [15,16]. Human CR2 SCR1-15 produced in baculoviral Sf 9 cells was prepared as described in previously published methods [49]. EBV-gp350 protein was produced and purified as described earlier [50]. Bir A enzyme was prepared and biotinylated as described earlier [15,16,51]. The purity of all recombinant proteins were determined using non-reducing SDS-PAGE and Western blot analysis as described in the method [15,16]. The absorption coefficient for each protein calculated at A280 was used to determine protein concentrations. These recombinant proteins were used for protein-protein interaction studies by ELISA and surface Plasmon Resonance Analysis (SPR). Source of Cysteine p Guanidine-Oligodeoxynucleotide 2006 and recombinant human TLR9 B-class CpG ODN 2006-TCGTCGTTTTGTCGTTTTGTCGTT and GpC ODN 2006 -5′-TGCTGCTTTTGTGCTTTTGTGCTT--3′ negative control was obtained from (Operon Biotechnologies Inc, Huntsville, AL). The class B, CpG ODN 2006 was used to examine the binding of CR2-CpG in solution phase ELISA and by the SPR. We further characterized the relative role of cell surface CR2 in CpG induced NF-KB p50, human IL6 and human IFN-α up regulation using human primary B cells derived from PBMCs of healthy control subjects. A truncated recombinant human toll-like receptor 9 (rhuTLR9) (Abonova corporation, Taiwan), containing first 215 amino acid from n-terminal side with 38.87 kDa protein, was used to examine the bindings between TLR9 and bacterial DNA (Micrococus luteus) (CpG-rich DNA) (Sigma, St Louis, MO) and human CR2 receptors. Examination of specific interactions between CR2 and CpG ODN 2006 ELISA was used to determine the specific binding between CR2 and CpG ODN 2006. A 96 well ELISA plate (Costar) was precoated, overnight at 4ºC, with CpG ODN (2 µg/ml) in sodium bicarbonate buffer (pH 9.0). Bovine serum albumin (BSA) (2 µg/ ml) was used a negative control. After washing three times with ELISA plates were blocked for one hour with 1XPBS (1% BSA and 0.05% Tween 20). Different concentrations (2, 1, 0.5 and 0.25 µg / ml) of human CR2-SCR1-15 were then added to the wells followed www.scientonline.org J Immunol Infect Inflam Dis Citation: Rengasamy Asokan, Szakonyi Gerda, Gizinski M. Alison (2017). Cysteine p Guanidine-Oligodeoxynucleotide Upregulates Interleukin-6 in Human B-Lymphocytes through Complement Receptor-2 (CR2/CD21) and Toll-Like Receptor 9 Signaling Page 3 of 12 by incubation for 1 hour at 37ºC. After washing three times, human CR2 SCR1-15 bound to the CpG-ODN was detected using a mouse anti-CR2 mAb, HB5 (dilution 1:1000). Goat anti-mouse (HRP-conjugated) (Jackson Immuno Research Laboratories) was used as a secondary antibody (dilution 1:1000). Color was developed using ABTS, and stopped using 2M H2S04. The OD was measured at an absorbance of 405 nm. In order to determine whether the first two SCRs of CR2 receptor were directly involved in binding to the CpG ODN, human CR2-SCR1-15 was pre-incubated for 1 hour at 37°C with an inhibitory anti-CR2 mAb, called 171. In parallel, an irrelevant, inhibitory anti-factor B mAb, called 1379 was also used as a negative control. Various concentrations (10, 20, 30 and 40 µg/ ml) of 171 and 1379 were used to inhibit SCRs1-2 of human CR2SCR1-15 [49]. Pre-mixed and pre-incubated samples of human CR2-SCR1-15, 171 and 1379 were then added to the CpG ODN pre-coated ELISA plate followed by incubation for 1 hour at 37°C. The amount of CR2 SCR1-15 bound to the CpG ODN was detected and measured as mentioned above by using an identical set of primary and secondary antibodies. The percent inhibition was calculated by using the following formula 1-[(Average Experimental OD - Background OD)/ (Maximum Average OD - Background OD)] x 100 The interactions between human CR2 SCR1-15 and CpG ODN were also confirmed by SPR technique (Picataway, NA) with known ligand C3d and gp350 using 1250 RU of CR2 SCR 1-4 BCCP on SA chip as described earlier [15,16]. Examination of specific interaction between CR2 with TLR9 Dose-dependent binding of human CR2 SCR1-15 to the adherent human recombinant TLR9 (hurTLR9) was examined using ELISA. ELISA plates were pre-coated with a constant amount of hurTLR9 (2 µg/ml) or BSA (2 µg/ml) in biocarbonate buffer (pH 9.0) overnight at 4ºC. BSA was used as a negative control. Plates were then washed and blocked with 1XPBS containing 1% BSA and Tween 20. Various concentrations of human CR2 SCR1-15 (2, 1, 0.5 and 0.25 µg/ml) added to the plate. In parallel, human CR2 SCR 1-15 pre-incubated with various concentrations of 171 mAb or chloroquine (10, 5, 2.5 and 1.25 µg/ml final concentrations) for one hour and then added to the TLR9 pre-coated plate followed by incubation for 1 hour at 37ºC. After washing again, human CR2 SCR1-15 bound to the TLR9 was detected using anti-CR2 mAb, HB5 (dilution 1:1000). HB5 antibody specifically recognizes CR2 SCRs, 3-4. Goat anti-mouse was used as a secondary antibody (dilution 1:1000) (Jackson ImmunoResearch Laboratories). Color was developed using ABTS, and the OD was measured at an absorbance of 405 nm. The interactions between human CR2 SCR1-15 and hurTLR9 were also confirmed by SPR technique (Picataway, NA) with known ligand C3d and gp350 using 1250 RU of CR2 SCR 1-4 BCCP on SA chip as described earlier [15,16]. Examination of interactions between CR2 and TLR9 and/ or bacterial DNA Dose-dependent binding of human CR2 SCR1-15 to plate bound hurTLR9 followed by Micrococcus luteus DNA was studied Volume 2 • Issue 1 • 008 using the ELISA. A 2 µg/ml hurTLR9 in biocarbonate buffer (pH 9.0) was immobilized on 96 well ELISA plates for overnight at 4ºC. ELISA plates were then washed and blocked with 1XPBS Tween 20 containing 1% BSA. Subsequently 2 µg/ml Micrococcus luteus DNA was added to the wells in PBS containing 50 mM NaCl (pH 7.4) and allowed to incubate for 1 hr binding at 37ºC. After washing in 1XPBS, Tween 20 containing 1% BSA, a serially diluted human CR2 SCR1-15 protein (2, 1, 0.5 and 0.25 µg/ml) was added to the wells and incubated for 1hr. After washing again, human CR2 SCR1-15 bound to Micrococcus lutues DNA was detected using a primary anti-CR2 mAb, HB5 (dilution 1:1000) and secondary goat anti-mouse antibody (dilution 1:1000). Color was developed using ABTS, and the OD was measured at an absorbance of 405 nm. Purification of human primary B-lymphocytes from PBMCs Human blood was collected from healthy subjects according to the University of Colorado Denver pre-approved COIMRP protocol. B cells were purified from the PBMCs using a B cell enrichment kit (Stem Cell Technology). The purity of isolated B cells was determined by flowcytometry technique using CD20 and CD14 mAb. The purity of B cells was ~95%. Purified B cells were cultured at a density of 1 × 106 cells/ml in RPMI 1640 medium supplemented with L-glutamine (1.5 mM), Penicillin (100 U/ml), Streptomycin (100 mM) and 2% FBS at 37ºC, 5% CO2. Effect of CpG ODN 2006 on B-lymphocytes for IL-6 generation in vitro To examine the effect of CpG ODN, B cells were cultured with medium containing different concentrations of CpG ODN (0.125, 0.25, 0.5 and 1.0 µg/ml) or its negative control for 24 hrs. After 24 hrs, supernatant obtained for the culture were harvested and human IL-6 was measured by ELISA (Biosource, CA). To measure the specific role of cell surface CR2 in IL-6 release, B cells 1×106 cells/ml were pre-treated with anti-CR2 mAb, 171 (1 and 10 µg/ml) or anti-factor B control antibody (1 and 10 µg/ml) for 1hr. Later on these cells were cultured in medium containing CpG (0.125 µg/ml) for an additional 24 hrs. The absolute levels of IL-6 in the supernatants, collected after 24 hrs, were measured by using ELISA. To characterize the relative role of TLR9 in human IL-6 release, a known inhibitor of TLR9 signaling, chloroquine was used. B cells 1×106 cells/ml were pre-treated with anti-CR2 antibody, mAb 171 (10 µg/ml), chloroquine (10 µg/ml), or antiCR2 antibody mAb 171 with chloroquine or appropriate controls for 1 hr. Cells were then transferred to a 12-well tissue culture plate, and CpG ODN (0.125 µg/ml) was added. The absolute levels of IL-6 in the supernatants, collected after 24 hrs, were measured by using ELISA. Effect of CpG ODN 2006 on B-lymphocytes for IFN-α generation in vitro Purified B cells were cultured at a density of 1×106 cells/ ml in 12-well tissue culture flat-bottom plates as mentioned above. B cells were cultured with medium containing different concentrations of CpG ODN (0.125, 0.25, 0.5 and 1.0 µg/ml) or its negative control for 24 hrs. The absolute levels of IFN-α, in the supernatants collected after 24 hrs, were measured by using ELISA (Biosource, CA). www.scientonline.org J Immunol Infect Inflam Dis Citation: Rengasamy Asokan, Szakonyi Gerda, Gizinski M. Alison (2017). Cysteine p Guanidine-Oligodeoxynucleotide Upregulates Interleukin-6 in Human B-Lymphocytes through Complement Receptor-2 (CR2/CD21) and Toll-Like Receptor 9 Signaling Page 4 of 12 To characterize the relative role of CR2 and TLR9 in IFN-α release, a known inhibitor of TLR9 signaling, chloroquine was used. B cells 1×106 cells/ml were pre-treated with anti-CR2 antibody mAb 171 (10 µg/ml), chloroquine (10 µg/ml), or antiCR2 antibody mAb 171 with chloroquine or appropriate controls for 1 hr. Cells were then transferred to 12 well tissue culture plates, and CpG ODN 2006 (0.125 µg/ml) was added. After 24 hrs, culture supernatants obtained were utilized to measure the absolute levels of IFN-α by ELISA. Effect of LPS on B-lymphocytes for IL-6 generation in vitro B cells at a density of 1×106 cells/ml were cultured in the presence of different concentrations (0.00625, 0.0125, and 0.025 µg/ml) of LPS (E. coli 0111 : B4) (Chemicon International, Temecula, CA) for 36 hrs. After 36 hrs, cell supernatants obtained were utilized to determine the absolute levels of IL-6 by ELISA (Biosource, CA). To characterize the role of cell surface CR2 in LPS mediated IL-6 release, B cells 1×106 cells/ml were pre-treated with antiCR2 mAb 171 (10 µg/ml) for 1 hr, transferred to 12 well tissue culture plates and then LPS (0.025 µg/ml) was added and cultured for 36 hrs. After 36 hrs, culture supernatants obtained were utilized to measure the human IL-6. To characterize the relative role of TLR9 in human IL-6 release, a known inhibitor of TLR9 signaling, chloroquine was used. B cells 1×106 cells/ml were pre-treated with anti-CR2 antibody mAb 171 (10 µg/ml), chloroquine (10 µg/ml), or anti-CR2 antibody mAb 171 with chloroquine or appropriate controls for 1 hr. Cells were then transferred to 12 well tissue culture plates, and LPS (0.025 µg/ml) was added. After 36 hrs, culture supernatants obtained were utilized to measure the absolute levels of human IL-6. Effect of CpG ODN 2006 on B-lymphocytes for NF-kB activation To determine the activation of NF-kB p50 induced by CpG ODN, purified B cells (1×108 cells/ml) were stimulated with different concentrations of CpG ODN (0.125, 0.25, 0.5 and 1 µg/ ml) of for 24hrs. Cell lysates were used to quantify NF-kB p50 by ELISA (Biosource, CA). To characterize the specific role of cell surface CR2 in the NFkB activation, B cells (1×108 cells/ml) were pre-treated with antiCR2 mAb 171 (10 µg/ml) for 1 hr, transferred to a 12-well plate followed by the addition of CpG ODN (0.125 µg/ml) and cells were incubated for 24 hrs. Cell lysates were used to quantify NFkB p50 by ELISA. To characterize the relative role of TLR9 in NF-kB activation, a known inhibitor of TLR9 signaling, chloroquine was used. B cells (1×108 cells/ml) were pre-treated with anti-CR2 mAb 171 (10 µg/ml), chloroquine (10 µg/ml), or anti-CR2 mAb 171 with chloroquine or appropriate controls for 1 hr, transferred to 12 well tissue culture plates and then CpG ODN 2006 (0.125 µg/ml) was added and cultured for 24 hrs, and then cell lysate supernatant quantitated for NF-kB p50 by ELISA. Statistical Analysis Analyses were performed using two tail Student’s t test. Volume 2 • Issue 1 • 008 Results Recombinant proteins preparations and characterization for binding studies The ligand binding site within the amino-terminal two short consensus repeats (SCR) of CR2 has previously been reported for C3d, EBV-gp350, IFN-α, DNA and CD23 [7,12,15,16,22] respectively. To study these CR2-CpG ODN 2006 and TLR9 interactions in comparison to known protein ligands C3d and EBV-gp350, we utilized one previously described form of soluble recombinant CR2 containing SCRs 1-15, which interacts with C3d and EBV-gp350 [6,15]. In addition, for this current study we used a newly generated form of soluble recombinant CR2 SCR 1-4 with BCCP, a biotinylation site, at the carboxyterminus region. The addition of the SCR3-4 domain allowed us to detect binding of this protein to ligands with the non-ligand-blocking mAb HB5, which reacts with the SCR3-4 domain. In addition, the incorporation of a biotinylation site at the carboxy-terminus allowed us to reproducibly orient the ligand binding domain of CR2 to a SA chip, as previously described [51]. We utilized the mammalian cells NSO and HEK 293 cells to express CR2 SCR14-BCCP, and proteins were purified using mAb HB5-Sepharose affinity column as described earlier [15,16]. The same protein was used for this study. The ligands C3d were expressed in E. coli and purified as described earlier [6,21]. EBV-gp350 was also expressed and purified using an established method [50]. In the present CR2-ligand interaction studies, CpG ODN 2006 and TLR9 were commercially obtained. The B-class CpG ODN 2006 was used to induce human primary B-lymphocytes to characterize the relative role of cell surface CR2 and cell surface TLR9 in human IL6, human IFN-α and NF-KB p50 in B cell signaling. All the other reagents prepared as mentioned in the material and methods section. Dose-dependent binding of human CR2 SCR 1-15 to CpG ODN 2006 To study whether CR2 SCR1-15 binds to CpG ODN 2006 we performed by ELISA. Figure 1A demonstrates the results of binding of CR2 with CpG ODN 2006 or BSA as a control, is first bound to an ELISA plate. Subsequently, decreasing doses of CR2 SCR1-15 was added, followed by washing and detection of bound CR2 by anti-CR2 mAb HB5. These results demonstrate a remarkable consistency in which highly specific interactions and dose-dependent interactions are readily detected with CpG ODN 2006 tested. Previous studies using inhibitory mAbs as well as crosscompetition of ligands have demonstrated that the binding sites for C3d and EBV-gp350 overlap within the SCR1-2 domain [49,52]. In the next experiments, we determined whether an antiCR2 mAbs generated to and reactive with the SCR1-2 domain that we had previously created [49] would inhibit the binding of CpG ODN 2006 to CR2. As shown in Figure 1B, a very similar pattern of inhibition was found when comparing the relative ability of mAbs to block CpG ODN 2006 binding to CR2 as found when comparing them to C3d and EBV- gp350 as reported previously [15,16,49]. These results suggest that CpG ODN 2006 bind to a closely related site on CR2 SCR1-2. www.scientonline.org J Immunol Infect Inflam Dis Citation: Rengasamy Asokan, Szakonyi Gerda, Gizinski M. Alison (2017). Cysteine p Guanidine-Oligodeoxynucleotide Upregulates Interleukin-6 in Human B-Lymphocytes through Complement Receptor-2 (CR2/CD21) and Toll-Like Receptor 9 Signaling Page 5 of 12 A CpG ODN 2006 BSA A 405 1.5 1.0 100 % Inhibition 2.0 0.5 B 75 mAb 171 50 25 0.0 2 1 0.5 0 0.25 CR2 (µg/ml) 0 10 20 30 mAb 171 (µg/ml) 40 50 Figure 1: Dose-dependent binding measured by ELISA of CR2 SCR1-15 to its plate-bound CpG ODN 2006 (A) and competion ELISA measuring relative ability of anti-CR2 mAb 171 to block full length CR2 SCR1-15 binding to plate bound CpG ODN 2006 (B). Binding was measured using anti-CR2 mAb HB5 that will bind to CR2 SCR 3-4. Mean ±SD for three experiments is shown. 1.2 A 100 TLR9 1.0 BSA % Inhibition 75 0.8 A 405 B 0.6 0.4 mAb 171 50 25 0.2 0 0.0 2 1 0.5 CR2 (µg/ml) 0 0.25 1.00 20 30 mAb 171 (µg/ml) 40 50 CR2 CR2+Chloroquine 0.75 A 405 10 C 0.50 0.25 0.00 10 5 2.5 Chloroquine (µg/ml) 1.25 Figure 2: Dose-dependent binding measured by ELISA of CR2 SCR1-15 to its plate-bound TLR9 (A), competition ELISA measuring relative ability of anti-CR2 mAb 171 (B) chloroquine (C) to block full length CR2 SCR1-15 binding to plate bound TLR9. Binding was measured using anti-CR2 mAb HB5 that will bind to CR2 SCR 3-4. Mean ±SD for three experiments is shown. Dose-dependent binding of human CR2 SCR 1-15 to TLR9 To study whether CR2 SCR1-15 binds to TLR9 we performed by ELISA. Figure 2A demonstrates the results of binding of CR2 with TLR9 or BSA as a control, is first bound to an ELISA plate. Subsequently, decreasing doses of CR2 SCR1-15 was added, followed by washing and detection of bound CR2 by anti-CR2 mAb HB5. These results demonstrate a remarkable consistency in which highly specific interactions and dose-dependent interactions are readily detected with TLR9 tested. In the next set of experiments, we determined whether an antiCR2 mAbs generated to and reactive with the SCR1-2 domain that we had previously created [49] would inhibit the binding of CR2 to TLR9. As shown in Figure 2B, a very similar pattern of inhibition Volume 2 • Issue 1 • 008 was found when comparing the relative ability of mAbs to block TLR9 binding to CR2 as found when comparing them to C3d and EBV-gp350 as reported previously [15,16,49]. These results suggest that TLR9 binds to a closely related site on CR2 SCR1-2. To see the relative role of CR2-TLR9 binding, a known TLR9 inhibitor, chloroquine was used. Figure 2C, demonstrate remarkable inhibition. These results clearly suggested that both anti-CR2 mAb 171 and chloroquine blocks the CR2-TLR9 binding. Kinetic analysis of the interaction of CR2 SCR1-4 with CpG ODN 2006 and TLR 9 by SPR In this study, we have examined the interaction of CR2 with CpG ODN 2006 and TLR9 by Surface Plasmon Resonance using a Biacore 3000 using surface-attached CR2 SCR1-4 on SA chip. In these experiments, carboxyterminal biotin-tagged CR2 SCR1- www.scientonline.org J Immunol Infect Inflam Dis Citation: Rengasamy Asokan, Szakonyi Gerda, Gizinski M. Alison (2017). Cysteine p Guanidine-Oligodeoxynucleotide Upregulates Interleukin-6 in Human B-Lymphocytes through Complement Receptor-2 (CR2/CD21) and Toll-Like Receptor 9 Signaling Page 6 of 12 4-BCCP on a SA chip was used and the known ligands human C3d and EBV-gp350 were included as solution phase analytes to compare with CpG ODN 2006 and TLR9. Measured and calculated were the association and dissociation rates as well as the KD for each of the ligands (Figures 3A-3D, Table 1). In these experiments, we examined the interaction of CpG ODN 2006 and TLR9 as a solution phase analyte to the immobilized CR2 SCR1-4-BCCP on a SA chip. We found that the binding reaction was dose-dependent but not saturable at the highest tested concentration of 125 nM. The tested ligands the CpG ODN 2006 and TLR9 gave the maximal kD of 571 and 42 nM respectively. These values are comparable to C3d and EBV-gp350, which demonstrated dose-dependent binding that, was saturable at the highest tested concentration of 125 nM and with a kD 286 and 392 nM, respectively (Figure 3A-3D, Table 1). Ligand Analytea kd1(1/s/kal(1/Ms)b KD1c X2d CR2 Complement C3d 6.6×10-2/2.3×105 0.286µM 3.1 CR2 EBV-gp350 3.1×10-2/7.9×104 0.392µM 2.8 CR2 CpG ODN 2006 3.1×10-2/5.4×105 0.571µM 6.9 CR2 TLR9 1.1×10-2/2.4×106 0.042µM 10.0 a.Experiments performed at 50m M NaCl(Average values represent from 3 determinations). b. Ka,on rate;kd,off rate. c. Equilibrium dissociation constant (kd/ka). d. Chi -square goodness -of-fit parameter. Table 1: Kinetic values for the binding of C3d,EBV-gp350,CpG ODN 2006 and TLR9 to the immobilized biotinylated CR2 SCR 1-4 using surface plasmon resonance. (A) We used BIA evaluation software version 3.1 to evaluate whether these ligand-receptor pairs exhibited simple 1:1 binding or whether more than one binding site could be detected. The data analysis revealed that the binding reaction of the experimental curve (colored line) does not fit well to a simple 1:1 Langmuir binding model but rather fits to a two-site binding model (solid lines). These analyses suggest the presence of one high affinity binding site and a second much lower (2-3 logs or greater difference) affinity binding site in the CR2 SCR1-4 domain. For this interaction, we report only the higher affinity binding site KD1 values (Table 1). chi2 values are the goodness of fit parameter describing how precisely the experimental curve fits to the proposed binding model. The chi2 values range from 2.8 – 10.0 (Table 1) and show that a two-site binding model fits well to the experimental data. Dose-dependent binding of human CR2 SCR 1-15 with TLR9 and Micrococcus luteus DNA In this experiment to see whether CR2 SCR1-15 binds to plate bound TLR9 and Micrococcus lutes DNA. Figure 4 demonstrate dose-dependent binding of CR2 SCR-15 to plate bound TLR9Micrococus luteus DNA or BSA control. These results demonstrate a remarkable consistency in which highly specific interactions and dose-dependent interactions are readily detected with CpG rich Micrococcus lutes DNA tested. Here CpG rich Micrococcus lutes DNA act as bridging molecule between the plates bound TLR9 and solution phase CR2. (B) Complement C3d 800 720 560 480 125 nM 62.5 nM 30 nM 15 nM 400 320 240 160 Resp. Diff. (RU) Resp. Diff. (RU) 640 480 240 120 0 0 125 nM 62.5 nM 30 nM 15 nM 360 80 0 EBV-gp350 600 60 120 180 240 300 360 420 480 540 600 0 60 120 180 240 300 360 420 480 540 600 Time (Seconds) Time (Seconds) (C) (D) ODN 2006 250 TLR9 400 360 320 150 100 125 nM 62.5 nM 30 nM 50 Resp. Diff. (RU) Resp. Diff. (RU) 200 280 240 200 125 nM 62.5 nM 30 nM 160 120 80 40 0 0 0 50 100 150 200 250 300 350 400 450 0 50 100 150 200 250 300 350 400 450 Time (Seconds) Time (Seconds) Figure 3: Surface plasmon resonance sensograms demonstrating the association and dissociation of protein ligands C3d (A) EBV-gp350 (B) CpG ODN 2006 (C) and TLR9 (D) with immobilized biotinylated CR2 SCR1-4 BCCP. Nanomolar concentrations of injected analyte are indicated at the right hand side of each sensogram. Solid lines are the result of global fitting analysis, and the colored lines are the normalized experimental sensogarm kinetic data. Volume 2 • Issue 1 • 008 www.scientonline.org J Immunol Infect Inflam Dis Citation: Rengasamy Asokan, Szakonyi Gerda, Gizinski M. Alison (2017). Cysteine p Guanidine-Oligodeoxynucleotide Upregulates Interleukin-6 in Human B-Lymphocytes through Complement Receptor-2 (CR2/CD21) and Toll-Like Receptor 9 Signaling Page 7 of 12 1.5 Dose-dependent activation of human IL-6 by CpG ODN 2006 from human primary B-lymphocytes and inhibition by anti-CR2 mAb 171 and chloroquine TLR-9 + Micrococus luteus DNA BSA Purified human primary B-lymphocytes were treated with CpG ODN 2006—TCGTCGTTTTGTCGTTTTGTCGTT and negative control GpC ODN 2006-5′-TGCTGCTTTTGTGCTTTTGTGCTT--3′. Figure 5A demonstrate a nice, dose-dependent activation of human IL-6 was found that was specific to CpG, but as GC modification or methylation of CpG led to loss of its potent ability to stimulate human IL-6 secretion. A 405 1.0 0.5 0.0 2 1 0.5 To characterize the relative role of cell surface CR2 in human IL6 release, treatment of B-lymphocytes with anti CR2 inhibitory mAb 171 or control antibody, resulted mAb 171 blocks the release of human IL-6 by 25% indicated that CR2 partially involved in CpG binding and activation of human IL-6 compared to control anti-factor B antibody (Figure 5B; p < 0.05.). Treatment of B-lymphocytes with Chloroquine a known inhibitor of TLR9 signaling showed additive inhibitory effect indicated that CpG 0.25 CR2 (µg/ml) Figure 4: Dose-dependent binding measured by ELISA of CR2 SCR 1-15 to its plate bound TLR9 and Micrococus luteus DNA. Binding was measured using anti-CR2 mAb HB5 that will bind to CR2 SCR3-4. Mean ± SD for three experiments is shown. 250 200 A 140 Human IL-6 (pg/ml) Human IL-6 (pg/ml) 300 GpC CpG 150 100 50 0 B IL-6 120 * 100 80 60 40 20 0 100 C Human IL-6 (pg/ml) IL-6 80 * 60 40 20 * 0 Figure 5A: Dose-dependent activation of human primary B-lymphocytes by CpG ODN2006 and control ODN. Human primary B lymphocytes were seeded at 1×106 cells/ml and stimulated different concentration of ODN for 24hrs and supernatant quantitated for human IL-6 ELISA. Mean ± SD of three experiments is shown. Figure 5B: Anti-CR2 mAb 171 inhibition of human IL-6 upon stimulation with CpG ODN2006 from human primary B-lymphocytes. Mean ± SD of three experiments is shown. * p<0.05. Figure 5C: Anti-CR2 mAb 171 and chloroquine inhibition of human IL-6 upon stimulation with CpG ODN2006 from human primary B–lymphocytes. Mean ± SD of three experiments is shown. Significance relative to the CpG stimulated controls was *p<.0001. Volume 2 • Issue 1 • 008 www.scientonline.org J Immunol Infect Inflam Dis Citation: Rengasamy Asokan, Szakonyi Gerda, Gizinski M. Alison (2017). Cysteine p Guanidine-Oligodeoxynucleotide Upregulates Interleukin-6 in Human B-Lymphocytes through Complement Receptor-2 (CR2/CD21) and Toll-Like Receptor 9 Signaling Page 8 of 12 predominantly (79%) binds through cell surface TLR9 in order to activate the human IL-6 compared to anti-CR2 mAb 171 or other appropriate controls (Figure 5C; p < 0.0001). Dose-dependent activation of human IFN-α by CpG ODN 2006 from human primary B-lymphocytes and Inhibition by anti-CR2 mAb 171 and chloroquine Purified human primary B-lymphocytes were treated with dose-dependent CpG ODN 2006-TCGTCGTTTTGTCGTTTTGTCGTT and negative control GpC ODN 2006-5′-TGCTGCTTTTGTGCTTTTGTGCTT--3′ concentrations. Resulted a nice, dose-dependent activation of human IFN-α was found that was specific to CpG (Figure 6A), as but GC modification or methylation of CpG led to loss of its potent ability to stimulate human IFN-α secretion (data not shown). To characterize the relative role of cell surface CR2 in human IFN-α release, treatment of B cells with anti CR2 inhibitory mAb 171, resulted mAb 171 blocks the release of human IFN-α by 33% indicated that CR2 partially involved in CpG binding and activation of human IFN-α compared to CpG simulation (Figure 6B; p < 0.05).. Treatment of B-lymphocytes with Chloroquine a known inhibitor of TLR9 signaling showed additive inhibitory effect indicated that CpG partially binds (42%) through cell surface TLR9 in to order activate the human IFN-α, (Figure 6B; p < 0.0001). compared to anti-CR2 mAb 171 or other appropriate controls. The inhibition profile reveals that in addition to CR2 and TLR9 pathway, the CPG ODN 2006 could bind to other receptor such as DEC-205, a multilectin receptor for CpG mediated cell signaling. Dose-dependent activation of human IL-6 by LPS (E. coli 0111:B4) from human primary B-lymphocytes and 0.20 0.15 0.10 0.05 0.00 Purified human primary B-lymphocytes were treated with a positive control LPS (0.00625, 0.0125, 0.025 µg/ml final concentrations) showed a nice dose-dependent activation of human IL-6, compared to media alone (Figure 7A). In the next experiment treatment of anti-CR2 mAb 171 did not block the human IL-6 release indicated that LPS does not activate through cell surface CR2 (Figure 7B). Further we tested using chloroquine, to see any additive effect as we have done for the CpG ODN 2006 and resulted predominant inhibition was observed. Results demonstrate that LPS can act through only TLR4 receptor to induce human IL-6 release from B cells (Figure 7C; p < 0.0001). This chloroquine not only blocks the CpG-TLR9 binding but also LPS-TLR4 binding as evidenced from the data. Dose and time-dependent activation of NF-kBp50 by CpG ODN 2006 from human primary B-lymphocytes and inhibition by anti-CR2 mAb 171 and chloroquine In this experiment we performed dose-dependent activation of NF-kB p50 by CpG ODN 2006 by ELISA. Result showed a nice dose-dependent activation of NF-KB p50 was observed in the cell lysate supernatant as detected by ELISA analysis, indicating the appropriate signaling for further release of human IL6 (Figure 8A). To see whether anti-CR2 mAb 171 blocks the NFkB p50 expression demonstrates mAb 171 blocks the NF-kB p50 expression partially (15%) (Figure 8B; p < 0.05).. Furthermore, to see the relative role of TLR9 in NF-kB p50 activation, chloroquine, partially blocks as like anti-CR2 mAb 171 (data not shown). Discussion In a previous study we have reported that different forms of DNA binds to CR2/CD21 among which CpG-rich bacterial DNA A 0.5 IFN- α Human IFN-α (A450) Human IFN-α (A450) 0.25 inhibition by anti-CR2 mAb 171 and chloroquine B 0.4 0.3 IFN- α * * 0.2 0.1 0.0 Figure 6A: Dose-dependent activation of human primary B-lymphocytes by CpG ODN2006 and control ODN. Human primary B lymphocytes were seeded at 1×106 cells/ml and stimulated different concentration of ODN for 24hrs and supernatant quantitated for human IFN-α ELISA. Mean ± SD of two experiments is shown.. Figure 6B: Anti-CR2 mAb 171 and chloroquine inhibition of human IFN-α upon stimulation with CpG ODN2006 from human primary B–lymphocytes. Mean ± SD of two experiments is shown. Significance relative to the CpG stimulated controls was * p<0.05; *p<.0001. Volume 2 • Issue 1 • 008 www.scientonline.org J Immunol Infect Inflam Dis Citation: Rengasamy Asokan, Szakonyi Gerda, Gizinski M. Alison (2017). Cysteine p Guanidine-Oligodeoxynucleotide Upregulates Interleukin-6 in Human B-Lymphocytes through Complement Receptor-2 (CR2/CD21) and Toll-Like Receptor 9 Signaling Page 9 of 12 80 A. 80 Human IL-6 (pg/ml) Human IL-6 (pg/ml) IL-6 60 40 20 B IL-6 60 40 20 0 0 70 C Human IL-6 (pg/ml) 60 IL-6 50 40 30 20 * 10 0 Figure 7A: Dose-dependent activation of human primary B-lymphocytes by LPS. Human primary B lymphocytes were seeded at 1×106 cells/ml and stimulated different concentration of LPS for 36hrs and supernatant quantitated for human IL-6 ELISA. Mean ± SD of three experiments is shown. Figure 7B: Anti-CR2 mAb 171 inhibition of human IL-6 upon stimulation with LPS from human primary B-lymphocytes. Mean ± SD of three experiments is shown. Figure 7C: Anti-CR2 mAb 171 and chloroquine inhibition of human IL-6 upon stimulation with LPS from human primary B–lymphocytes. Mean ± SD of three experiments is shown. Significance relative to the CpG stimulated controls was *p<.0001. 0.3 A 0.20 NF-kB p50 B NF-kB p50 0.2 0.1 0.0 NF-kB p50 (A450) NF-kB p50 (A450) * 0.15 0.10 0.05 0.00 Figure 8A: Dose-dependent activation of human primary B-lymphocytes by CpG ODN 2006. Primary B lymphocytes were seeded at 1×108 cells/ml and stimulated with different concentration of CpG for 24hrs and then cell lysate supernatant quantitated for NF-kB p50 by ELISA. Mean ± SD of two experiments is shown. Figure 8B: Anti-CR2 mAb 171 inhibition of NF-KB p50 upon stimulation with CpG ODN 2006. Mean ± SD of two experiments is shown. Significance relative to the CpG stimulated controls was * p < 0.05. Volume 2 • Issue 1 • 008 www.scientonline.org J Immunol Infect Inflam Dis Citation: Rengasamy Asokan, Szakonyi Gerda, Gizinski M. Alison (2017). Cysteine p Guanidine-Oligodeoxynucleotide Upregulates Interleukin-6 in Human B-Lymphocytes through Complement Receptor-2 (CR2/CD21) and Toll-Like Receptor 9 Signaling Page 10 of 12 binds at higher affinity [16]. Recently another group has shown the binding of complement receptor 1 (CR1, CD35) to CpG-DNA by flowcytometry analysis [53]. CpG DNA acts as immune response modifier in innate immunity [54]. Bacterial DNA plays a major role as potential factor in the innate immune system activation through a continual apoptotic process of host immune cells by virulent pathogenic attack. In this context, the bacterial cell wall containing repeating sugar molecules, the lipopolysaccrides (LPS) or the bacterial-DNA containing unmethylated CpG motif is the prime structural molecule that can act as an activator of the immune cells which does not exist in mammalian cells as effective as in bacteria. In bacteria at least a 20 fold greater frequent content of CpG motif exist in its structure than in mammaliansDNA. Use of CpG ODN mimics like a bacterial CpG rich DNA. CpG ODN has been used for the immunotherapeutic purpose to treat several disease such as anti-cancer, allergy, asthma and infectious disease [41,42]. These studies were encourage us to think how bacterial CpG rich DNA/CpG motif/CpG ODN when they interact with human primary B-lymphocytes cell surface CR2/CD21 in vivo and what is the consequences in terms of binding stohiometry, cell signaling, biological functions and disease pathogenesis. Since bacterial DNA binds to CR2/CD21 at higher affinity [16], in this study we have utilized a B-class CpG ODN 2006 which mimics like bacterial DNA binding with CR2 as well as to induce human primary B-lymphocytes for the up regulation of NF-kB p50, human IL6 and human IFN-α. Recently [55] reported that using CpG ODN 2006, 1982, 2395, 2216, and 2243 to induce to release human IL6 and human IFN-α from human primary B-lymphocytes. Among which CpG ODN 2006 and 2395 gave maximal release of human IL6. In this study we utilized CpG ODN 2006 to characterize the relative role of cell surface CR2/CD21 in NF-kB p50, human IL6 and human IFN-α in B cell signaling. Human IL6 was over expressed in SLE patients [56]. We characterize the relative role of cell surface CR2 in human IL6 up regulation in the pathogenesis of SLE. We found that CR2 binds to plate bound CpG ODN 2006 and TLR9 dose-dependently by ELISA. In a surface Plasmon resonance analysis CR2 bind to CpG ODN 2006 and TLR9 dose-dependently and gave a maximal KD of 571nM and 42 nM respectively. These binding was blocked by anti-CR2 inhibitory mAb171 indicated that CpG ODN 2006 and TLR9 binds at first two SCR as like the well-known ligands binding tested before for C3d and EBV-gp350 proteins [15,16,49] and chloroquine blocking TLR9. Similar study has been reported by [57] that both mouse and human DEC-205 a multilectin cell surface receptor binds to CpG ODN by ELISA and SPR. In the current study, interestingly, a dose-dependent binding of CR2 SCR1-5 was observed to the plate-bound TLR9 and CpG rich Micrococcus lutes DNA, suggesting that CpG rich Micrococcus lutes DNA, act as bridging molecules between TLR9 and CR2. CpG-CR2 binding might play a potential role in therapeutic importance. In in vivo a tiny amount of a molecule/trigger is substantial in activating the cell signaling leading to biological function and disease pathogenesis. Since CR2-CpG ODN 2006 binding was substantial by ELISA and SPR analysis further we used this CpG ODN 2006 to induce human primary B-lymphocytes dose-dependently to induce human IL6 release, resulted nice dose-dependent activation. GC modification or methylation leads to loss of it potent ability to stimulate the human IL6 release. Subsequently an anti-CR2 Volume 2 • Issue 1 • 008 inhibitory mAb 171 blocks this release by 25% indicating that CR2 is partially involved in activation of human IL6 as reported earlier for EBV-gp350 protein activation of human IL6 is through CR2/CD21 receptor dependent fashion from human primary B cells [31]. Subsequently, to characterize the relative role of TLR9 in CpG ODN 2006 binding and subsequent activation, chloroquine, a known inhibitor of TLR9 was utilized revealed chloroquine block the 79% of human IL-6 release confirming that CpG ODN 2006 can bind through cell surface TLR9 predominantly to induce human IL-6 release. CpG DNA signaling was more special and complex. A previous report suggested that inhibitors of endosomal maturation like chloroquine were able to block CpG DNA signaling [58]. Another study suggested that CpG signaling is a two-step process, 1) first CpG-DNA hast to be taken up via a receptor mediated process (cell surface/cellular receptors). This step is independent of the presence of CpG motifs yet can be modified by backbone modifications and other sequence motifs. 2) Subsequently endosomes undergo maturation and then CpG motif recognition takes place via TLR9 which is delivered to the late endosome for the ER as assed by experiments using fluorescent fusion protein [59]. In this current study in addition to cellular TLR9, a cell surface TLR9 receptor is exists. This presence was stained with FITC-labelled-anti-TLR9 antibody by flowcytometry analysis (data not shown) and a cell surface CR2 can play coordinated role in taken up of the CpG DNA by these receptor in order to activate other cellular signaling events including NF-kB p50, human IL-6 and human IFN-α. It has been reported that the presence of cell surface TLR9 in human hepato cellular carcinoma cells [60] which is consistent that presence of cell surface TLR9 from B-lymphocytes which is consistent with the current study that the possibility of CpG ODN predominantly binds with B cell surface TLR9 to activate the NF-kB p50, human IL6 and human IFN-α. Role of CpG ODN 2006 in human IFN-α release showed a nice dose-dependency from human primary B-lymphocytes. Inhibition with anti-CR2 mAb 171 and chloroquine resulted, which is not completely blocks the IFN-α release indicated that the cell surface CR2 (33%) and TLR9 (42%) receptors plays partial role. In addition CpG ODN 2006 could activate other receptors such as a mutilectin dendritic cells and B-cell surface receptor DEC205 as reported by others [57] for impairment of this receptor resulted unable to make IL12 in mice. But we do not know about the additive human IFN-α release observed in this study after blocking these two potential pathways, possibly which may be a DEC-205 B-cell surface receptor dependent process. By contrast, a positive control, LPS from E. coli 0111:B4 induce the dose-dependent human IL-6 release as reported by other study [61] but anti-CR2 inhibitory mAb 171 did not block this release as like it does for CpG ODN 2006, indicating that LPS can bind only through cell surface TLR4 receptor to mediate the cell signaling. Chloroquine, a known inhibitor of TLR9 signaling blocks the LPS induced TLR4 signaling of human IL-6 release as reported for other study that chloroquine protects mice from challenge with CpG ODN and LPS by decreasing pro-inflammatory cytokine release [62]. Furthermore, NF-kB p50 up regulation was analyzed by ELISA and western blots analysis. Resulted a nice dose-dependent www.scientonline.org J Immunol Infect Inflam Dis Citation: Rengasamy Asokan, Szakonyi Gerda, Gizinski M. Alison (2017). Cysteine p Guanidine-Oligodeoxynucleotide Upregulates Interleukin-6 in Human B-Lymphocytes through Complement Receptor-2 (CR2/CD21) and Toll-Like Receptor 9 Signaling Page 11 of 12 activation was observed by ELISA. This activation was inhibited by anti-CR2 mAb 171 to 15% and chloroquine partially (data not shown). These results clearly demonstrate that CpG-motif/CpG rich DNA/CpG ODN can bind through cell surface CR2 and cell surface TLR9 to activate NF-kB p50 cell signaling. The interaction of CpG DNA and TLR9 holds many promises for the therapeutic intervention such as vaccination, anti-tumor immunity, asthma and certain infectious disease [47]. Similarly the potential interaction of cell surface CR2 to CpG-motif/bacterial CpG rich DNA/CpG ODN promises many functional significant and possible roles in therapeutic applications in CR2 mediated disease pathogenesis. Finally, the present study clearly demonstrated that CR2 could play a partial role in CpG-motif/bacterial CpG rich DNA/CpG ODN mediated immune response in vivo. The B class CpG ODN used in this study can mimics like bacterial CpG rich DNA might be optimal system in the immune therapy to treat inflammatory cytokines in SLE pathogenesis. In addition to that CR2 could play a direct role in clearing the native endogenous as well as invaded disease causing pathogenic CpG rich bacterial DNA in vivo as innate immune response against the threat of pathogenic attack. Conclusion CR2/CD21 partially plays a role in responding to CpG-motif/ bacterial CpG rich DNA/CpG ODN. The TLR9 predominantly plays a role in responding to CpG binding. Thus the current study clearly revealed that the cell surface CR2 and cell surface TLR9 play an overlapping cell signaling mechanism from primary B-lymphocytes in order to stimulate human IL6, human IFN-α and NF-kBp50. The specific use of CpG ODN may be a potent therapeutic drug to treat SLE by controlling the over expression of human IL6 gene and other inflammatory cytokines in SLE pathogenesis. Acknowledgements This work was supported by the NIH R0-1 AI31105 to V. Michael Holers and Lupus Research Institute to V. Michael Holers and R.A. We thank Dr. John D. Lambris (Department of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, PA) for providing BirA expressing clone. Dr. Paul J. 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