Negative Feedback Between Prostaglandin and α- and β-Chemokine Synthesis in Human Microglial Cells and Astrocytes This information is current as of June 17, 2017. Permissions Email Alerts J Immunol 1999; 162:1701-1706; ; http://www.jimmunol.org/content/162/3/1701 Information about subscribing to The Journal of Immunology is online at: http://jimmunol.org/subscription Submit copyright permission requests at: http://www.aai.org/About/Publications/JI/copyright.html Receive free email-alerts when new articles cite this article. Sign up at: http://jimmunol.org/alerts The Journal of Immunology is published twice each month by The American Association of Immunologists, Inc., 1451 Rockville Pike, Suite 650, Rockville, MD 20852 Copyright © 1999 by The American Association of Immunologists All rights reserved. Print ISSN: 0022-1767 Online ISSN: 1550-6606. Downloaded from http://www.jimmunol.org/ by guest on June 17, 2017 Subscription Nazila Janabi, Isabelle Hau and Marc Tardieu Negative Feedback Between Prostaglandin and a- and b-Chemokine Synthesis in Human Microglial Cells and Astrocytes1 Nazila Janabi,2,3 Isabelle Hau, and Marc Tardieu I nflammatory processes resulting from an intricate network of mediators play a central role in several central nervous system (CNS)4 diseases. The proinflammatory cytokines induce astrocytes and microglial cells to secrete several inflammatory mediators such as chemokines, lipid mediators, and free radicals (1– 6). Chemokines are involved in the activation and recruitment of monocytes and lymphocytes into the brain parenchyma (7). Products of arachidonic acid metabolism include prostanoids (derived from the cyclooxygenase pathway) that are involved in the control of body temperature, neuroendocrine function, sleep, cerebral ischemia, brain edema, and inflammation (8 –12). Prostanoids are also implicated in chemotaxis as well as in the modulation of blood flow and vascular permeability (12, 13). Although these inflammatory mediators are all constitutively expressed in brain parenchyma for regulation of normal CNS activities, their production has to be under strict control to prevent inflammatory tissue damage. Thus, cascade production of cytokines, positive and negative feedback, and synergistic mechanisms are parameters that characterize the action of these mediators in the inflammatory process. The role of chemokines and PGs in several biological effects induced by proinflammatory cytokines, as well as the presence of common events in the pathways of synthesis and signal transduction of these two classes of mediators such as phospholipase A2 activation and intracellular calcium mobilization (14, 15), prompted us to study a possible interaction between chemokine and PG pathways of synthesis. In this report, we demonstrate that human microglia and astrocytes produce a- and b-chemokines (IL-8, growth related proteina (GROa), RANTES, microphage inflammatory protein (MIP)-1a, and MIP-1b) and PGs under proinflammatory conditions. The production of b-chemokines in these cells is negatively regulated by their PG secretion, whereas PG production itself is limited by a-chemokine secretion. Materials and Methods Primary cultures of human CNS cells Laboratory of Virus, Neuron and Immunity, Unité de Formation et de Recherche, Kremlin Bicêtre, University of Paris-South, Paris, France Received for publication July 21, 1998. Accepted for publication October 16, 1998. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. 1 This work was supported by Institut National de la Santé et de la Recherche Médicale Research Contract 96-12, by grants from the Agence Nationale de Recherche sur le Sida, Sidaction and Université Paris XI, and by fellowships (to N.J. and I.H.) from the Fondation pour la Recherche Médicale. 2 Address correspondence and reprint requests to Dr. Nazila Janabi, Laboratoire “Virus, Neurone et Immunité,” Faculté de Médecine, 63 rue Gabriel Péri, 94276 Le Kremlin Bicêtre Cedex, France. 3 Present address: Laboratory of Molecular Medicine and Neuroscience, National Institutes of Health, 9000 Rockville Pike, Bethesda, MD 20892. Eight- to 10-wk-old human embryos were obtained after elective abortion in compliance with the recommendations of the French National Ethics Committee and following approval by the local ethics committee. Primary cultures of spinal cord and prosencephalon were prepared as described (16, 17). Briefly, tissues were dissected, trypsinized, and resuspended in MCDB 153 medium (Polylabo, Paris, France) completed by 5% FCS, 2 mM glutamine, 105 U/liter penicillin, and 0.1 g/liter streptomycin. The cell suspension was seeded at a density of 5 3 105 cells per well (24-well plates, Nunc, Roskilde, Denmark) coated with collagen (100 mg/ml). Cultures were kept at 37°C in a 10% CO2 atmosphere. The medium was changed completely after 48 h and then by half every 3 days. These cultures consisted of neurofilament-positive neuronal clusters lying on a monocellular layer containing 40% glial fibrillary acidic protein (GFAP)-positive astrocytes and 40% CD68-positive microglial cells associated with ,10% fibronectin-positive fibroblasts (16 –18). Purified cultures of human microglial cells and astrocytes 4 Abbreviations used in this paper: CNS, central nervous system; MIP, microphage inflammatory protein; GRO, growth related protein; GFAP, glial fibrillary acidic protein; MCP-1, monocyte chemotactic protein-1. Copyright © 1999 by The American Association of Immunologists To obtain purified microglial and astrocyte cultures, CNS cells were seeded at a density of 2 3 106 cells per well in 6-well plates. After plating (10 –15 0022-1767/99/$02.00 Downloaded from http://www.jimmunol.org/ by guest on June 17, 2017 The understanding of immune surveillance and inflammation regulation in cerebral tissue is essential in the therapy of neuroimmunological disorders. We demonstrate here that primary human glial cells were able to produce a- and b-chemokines (IL-8 > growth related protein a (GROa) .. RANTES > microphage inflammatory protein (MIP)-1a and MIP-1b) in parallel to PGs (PGE2 and PGF2a) after proinflammatory cytokine stimulation: TNF-a 1 IL-1b induced all except RANTES, which was induced by TNF-a 1 IFN-g. Purified cultures of astrocytes and microglia were also induced by the same combination of cytokines, to produce all these mediators except MIP-1a and MIP-1b, which were produced predominantly by astrocytes. The inhibition of PG production by indomethacin led to a 37– 60% increase in RANTES, MIP-1a, and MIP-1b but not in GROa and IL-8 secretion. In contrast, inhibition of IL-8 and GRO activities using neutralizing Abs resulted in a specific 6-fold increase in PGE2 but not in PGF2a production by stimulated microglial cells and astrocytes, whereas Abs to b-chemokines had no effect. Thus, the production of PGs in human glial cells down-regulates their b-chemokine secretion, whereas a-chemokine production in these cells controls PG secretion level. These data suggest that under inflammatory conditions, the intraparenchymal production of PGs could control chemotactic gradient of b-chemokines for an appropriate effector cell recruitment or activation. Conversely, the elevated intracerebral a-chemokine levels could reduce PG secretion, preventing the exacerbation of inflammation and neurotoxicity. The Journal of Immunology, 1999, 162: 1701–1706. 1702 CHEMOKINE AND PROSTAGLANDIN RETROREGULATIONS IN HUMAN GLIA FIGURE 1. a- and b-chemokine and PG production by human mixed glial cultures. A, IL-8 and GROa production tested at day 3 poststimulation with IFN-g, IL-1b, and TNF-a at 200 U/ml, or a combination of all of them. B and C, Accumulation of RANTES, MIP-1a, and MIP-1b in supernatants of human glial cells, tested at day 3 poststimulation with proinflammatory cytokines. D, PGF2a and PGE2 accumulated during the 3 days of stimulation of glial cells with the same combinations of cytokines. Mean 6 SD of three to five independent experiments performed in triplicate, using cells from three to six different brain specimens. Cell stimulations and reagents To stimulate cultures, cells were refed with serum-free MCDB 153 medium containing the tested inducers, inhibitors, or Abs. IL-1b (200 U/ml) was purchased from Genzyme (Cambridge, MA). TNF-a (200 U/ml) and IFN-g (200 U/ml) were purchased from Boehringer Mannheim (Maylan, France). All are recombinant human cytokines. Human rIL-8, GROa (500 ng/ml), and neutralizing Abs against human RANTES (polyclonal, 200 mg/ml), MIP-1a and MIP-1b (polyclonal, 100 mg/ml) (19 –22), IL-8, and GRO (monoclonal, 100 mg/ml) were purchased from R&D Systems (Minneapolis, MN). The specific inhibitor for cyclooxygenase (indomethacin, 5–15 mM) was purchased from Sigma (St. Louis, MO). PGF2a and PGE2 were purchased from Cayman Chemicals (Ann Arbor, MI; PGF2a and PGE2, 16 ng/ml) (23). Chemokine and PG titrations The concentrations of all tested mediators were measured by enzyme immunoassay (PGF2a and PGE2, Cayman Chemicals; a- and b-chemokines, R&D Systems). All assays were performed using standards and instructions supplied by the manufacturers. Statistical analysis Each measurement was performed at least in triplicate. Student’s t test was used for determination of statistical significance of two to five independent experiments. Results were considered significant at p # 0.05. Results Induction of a- and b-chemokine production by proinflammatory cytokines in human glial cultures Spontaneous IL-8 and GROa production was detected in the supernatant of mixed glial cultures. The effect of proinflammatory cytokines on this production was tested in the absence of serum: IL-1b and, to a lesser extent, TNF-a, but not IFN-g alone led to an increase in IL-8 and GROa production by glial cells at day 3 poststimulation (Fig. 1A). However, a combination of TNF-a 1 IL-1b was most efficient at inducing a-chemokine production (IL-8: 290,435 6 33,483 vs 2, 704 6 1,590 pg/ml; GROa: 64, 978 6 10, 884 vs 1, 516 6 977 pg/ml, (TNF-a 1 IL-1b)-stimulated vs control, n 5 5, p , 0.0001, Fig. 1A). RANTES secretion by mixed glial cultures was also induced in the presence of proinflammatory cytokines although the induction profile of the cytokine combinations differed (IFN-g 1 TNF-a . IFN-g 1 IL-1b . TNF-a 1 IL-1b, Fig. 1B). IL-1b, TNF-a, or IFN-g alone had no significant effect on RANTES production by these cells. The level of RANTES production by glial cells was at least 10-fold lower than that of a-chemokines (4,958 6 1, 190 vs 7 6 0.3 pg/ml, (IFN-g 1 TNF-a)-stimulated vs control, day 3, n 5 3, p 5 0.001). The same cytokines induced production of MIP-1a and MIP-1b in mixed glial cultures (TNF-a 1 IL-1b . IFN-g 1 IL-1b 5 IFN-g 1 TNF-a, Fig. 1C), which nonetheless remained low compared with RANTES (MIP-1a: 881 6 88 vs 11 6 1 pg/ml; MIP-1b: 1, 345 6 159 vs 36 6 7 pg/ml, (TNF-a 1 IL-1b)-stimulated vs control, day 3, n 5 3, p , 0.0001). Kinetics of IL-8, GROa, RANTES, MIP-1a, and MIP-1b production by cytokine-stimulated mixed glial cells demonstrated a similar profile of chemokine induction starting between 6 and 24 h poststimulation and accumulating over the 3 days tested (Fig. 2). All purified cultures of both microglia and astrocytes tested secreted high levels of IL-8, GROa, and RANTES, respectively, after TNF-a 1 IL-1b and IFN-g 1 TNF-a stimulation (Fig. 3, A and B). In contrast, only two of six purified cultures of microglia could be induced by TNF-a 1 IL-1b to produce MIP-1a, and three of six produced MIP-1b, whereas four of five purified cultures of astrocytes were induced to secrete both MIP-1a and MIP-1b under the same condition of stimulation (Fig. 3C). Accordingly, MIP-1a and MIP-1b secretion was induced more efficiently in purified cultures of astrocytes compared with microglia. Nevertheless, the level of MIP-1a and MIP-1b secretion in purified cultures of astrocytes remained low in comparison with mixed glial cultures. Regulation of b-chemokine production by PGs and of PG production by a-chemokines in human glial cells To investigate the possible involvement of PGs in the regulation of chemokine production by glial cells, we first tested the induction of PGF2a and PGE2 in the supernatant of mixed glial cultures after proinflammatory cytokine stimulation (PGE2: 19, 814 6 4, 315 vs 421 6 230 pg/ml; PGF2a: 23,596 6 3,739 vs 735 6 268 pg/ml, (TNF-a 1 IL-1b)-stimulated vs control, day 3, n 5 5, p , 0.0001, Fig. 1D). The induction of PG production was inhibited in the Downloaded from http://www.jimmunol.org/ by guest on June 17, 2017 days), the microglial cells were released by circular shaking, followed by a 20-min incubation at 37°C to select adherent cells, as described (17). These cells were subsequently grown in the same medium as the primary mixed cultures for 3 wk to 2 mo to obtain a monolayer containing .95% CD68/KiM-7 and EBM11-positive cells (17). The adherent cells remaining after release of microglial cells were trypsinized, plated, and passaged two to four times to obtain purified cultures of astrocytes (.95% GFAP-positive cells) (17). Under the usual experimental conditions, 5 3 105 astrocytes or microglial cells were seeded in 24-well plates and stimulations were performed at confluence. The Journal of Immunology 1703 FIGURE 2. Kinetics of a- and b-chemokine production in human mixed glial cultures during the 3 days poststimulation with proinflammatory cytokines (E, control; F, TNF-a 1 IL-1b; Œ, IFN-g 1 TNF-a). The increase in GROa, IL-8, MIP-1a, MIP-1b, and RANTES production started between 6 – 8 h after stimulation of glial cells with a combination of TNF-a 1 IL-1b and IFN-g 1 TNF-a, respectively, and accumulated until day 3 poststimulation. Results are the mean 6 SD of two independent experiments using cells from two different brain specimens. PGF2a secretion remained unchanged (Fig. 6). The enhancement of PGE2 levels in mixed glial cultures, in the presence of anti-IL-8 and anti-GRO Abs, was due to an increase in PGE2 production in both microglia and astrocytes (Fig. 6). The treatment of unstimulated glial cells by purified IL-8 and GROa did not significantly affect their spontaneous production of PGF2a or PGE2 (data not shown). Discussion The understanding of the different interactions between inflammatory mediators leading to a restricted local inflammatory reaction is important in the development of novel therapies to treat inflammatory CNS diseases. Our results describe the parallel production of a- and b-chemokines in human microglial cells and astrocytes. This is also the first demonstration of a negative retroregulatory loop between a- and b-chemokine and PG production in human glial cells. Studies on chemokine production by CNS resident cells of either human or rodent origin have focused mainly on a single class of chemokine in either microglial cells or astrocytes (5, 6, 24 –28). Here we describe the production of high amounts of IL-8 and GROa by microglia and astrocytes, either in close interaction or isolated, after stimulation with TNF-a in combination with IL-1b. Mixed glial cells were also induced by the same cytokines to secrete MIP-1a and MIP-1b but to a lesser extent compared with a-chemokines. This production was probably due to astrocytes rather than microglia because 80% of the astrocyte cultures tested could be induced to secrete MIP-1a and MIP-1b, compared with 20 –30% of microglial cultures. However, the observation of a higher level of MIP-1 production in mixed glial cultures than in astrocytes suggests that cell interactions between microglia and astrocytes facilitate MIP-1a and MIP-1b production. The difference in the ability of astrocytes and microglia to secrete MIP-1a and MIP-1b is reminiscent of previous data describing the inability of rodent microglial cells to produce monocyte chemotactic protein-1 (MCP-1) protein, whereas astrocytes from the same origin secreted MCP-1 under the same condition of stimulation (25). Moreover, it has been shown that LPS-stimulated murine alveolar and peritoneal macrophages expressed MIP-1a mRNA, whereas Downloaded from http://www.jimmunol.org/ by guest on June 17, 2017 presence of 5 mM indomethacin, a specific cyclooxygenase inhibitor (PGE2: 12,773 6 2,098 vs 147 6 24 pg/ml; PGF2a: 13, 983 6 2, 144 vs 287 6 25 pg/ml, (TNF-a 1 IL-1b)-stimulated vs (TNF-a 1 IL-1b 1 indomethacin)-treated). Both microglial cells and astrocytes were responsible for PG production as demonstrated previously (data not shown; see also Ref. 17). The effect of indomethacin was subsequently tested on the induced production of chemokines. Treatment of mixed glial cultures with 5–15 mM indomethacin at the time of stimulation led to a 37– 60% increase in the production of RANTES, MIP-1a, and MIP-1b induced, respectively, by IFN-g 1 TNF-a and TNF-a 1 IL-1b (Fig. 4, A and B, RANTES: 4,142 6 597 vs 6, 100 6 674; MIP-1a: 420 6 56 vs 661 6 57; MIP-1b: 602 6 45 vs 894 6 52 pg/ml, cytokine-treated vs (cytokine 1 5 mM indomethacin)-treated, day 3, n $ 4, p # 0.03). The effect of indomethacin was dose-independent in the range of the tested concentrations. This suggested a limitation of b-chemokine secretion by human glial cells in the presence of PGs. Addition of exogenous PGF2a and PGE2 to the culture supernatants abolished the effect of indomethacin on this chemokine production (Fig. 4, A and B), indicating a direct effect of PGs. In contrast, inhibition of PG secretion by indomethacin had no effect on GROa and IL-8 production in (TNF-a 1 IL-1b)-stimulated glial cells (Fig. 4C). To investigate the role of microglia and astrocytes in the regulation of b-chemokines by PGs, purified cultures of microglial cells and astrocytes were analyzed under the same conditions. Although all purified microglial or astrocyte cultures were induced with IFN-g 1 TNF-a to produce RANTES, this production was not significantly modified after inhibition of PG secretion by indomethacin (not shown). In contrast, indomethacin treatment of astrocytes led to a significant increase in MIP-1a and MIP-1b production by these cells after TNF-a 1 IL-1b stimulation (Fig. 5). To determine whether a- or b-chemokines could also regulate PG secretion by glial cells, we tested the effect of neutralization of chemokine activities on the induced production of PGs. Neutralization of GROa and/or IL-8, but not of b-chemokines, in the presence of neutralizing Abs led to a strong increase in the production of PGE2 by mixed glial cultures (Fig. 6A, 23,969 6 7,500 vs 147,218 6 14,320 pg/ml, cytokine-treated vs (cytokines 1 antiIL-8 1 anti-GRO)-treated, day 3, n 5 4, p , 0.0001), whereas 1704 CHEMOKINE AND PROSTAGLANDIN RETROREGULATIONS IN HUMAN GLIA only alveolar macrophages could produce MIP-1a protein in their supernatant after stimulation (29). The disparity in MIP-1a secretion between these two populations of macrophages was attributed to an impairment in MIP-1a protein translation and secretion in peritoneal macrophages (29). Another explanation for the differentially expressed MIP-1a and MIP-1b by astrocytes and microglia could be a difference in transcription factors between the two cell types such as activating transcription factor/cAMP response element binding protein (ATF/CREB)-, activating protein-1 (AP-1)-, NF-kB-, CCAAT/ enhancer binding protein (C/EBP), cellular-E 26-specific (C-ET)-related proteins, and/or MIP-1a nuclear protein (30 –32). However, the possibility remains that other stimuli are required for an efficient induction of these b-chemokines in microglial cells. Finally, the production of RANTES, which was less than that of a-chemokines but more than that of MIP-1a and MIP-1b, was increased in mixed or isolated glial cultures after stimulation by TNF-a in combination with IFN-g rather than IL-1b. The fact that the induction of different chemokines did not require the same combination of cytokines suggests different mechanisms of induction. The inducing effect of inflamma- tory cytokines might involve the induction of different transcription factors such as STAT1, NF-kB, or AP-1, as shown in certain cell types (33–36). FIGURE 5. Effect of PG secretion blockade by indomethacin on proinflammatory cytokine-induced production of MIP-1 in purified cultures of human astrocytes. MIP-1a- and MIP-1b-induced production was increased by $40% in the presence of indomethacin. Mean 6 SD of four independent experiments using four different isolated astrocyte cultures. Downloaded from http://www.jimmunol.org/ by guest on June 17, 2017 FIGURE 3. a- and b-chemokine production in purified cultures of human microglial cells and astrocytes. Both microglial cells and astrocytes were able to produce GROa, IL-8 (A) MIP-1a, MIP-1b (C), and RANTES (B) at day 3 poststimulation with TNF-a 1 IL-1b and IFN-g 1 TNF-a, respectively. Five independent experiments were performed in triplicate. Results shown are the mean 6 SD of five independently isolated glial cultures (for RANTES), of three and two of six isolated microglial cultures (for MIP-1a and MIP-1b, respectively) and of four out of five isolated astrocyte cultures (for MIP-1a and MIP-1b). FIGURE 4. Effect of PG secretion blockade by indomethacin on proinflammatory cytokine-induced production of a- and b-chemokines in human mixed glial cultures. A, IFN-g 1 TNF-a-induced RANTES production was increased by 37% in the presence of 15 mM indomethacin. This increase was reversed after exogenous addition of PGF2a and PGE2 (16 ng/ml). B, The 47% increase in (TNF-a 1 IL-1b)-induced MIP-1a and MIP-1b production in the presence of 15 mM indomethacin was also reversed after addition of PGF2a and PGE2. C, Inhibition of PG production in (TNF-a 1 IL-1b)-stimulated glial cells had no effect on their GROa and IL-8 production. Mean 6 SD of three to five independent experiments performed in triplicate, using cells from four to five different brain specimens. The Journal of Immunology 1705 FIGURE 6. Effect of a- and b-chemokine neutralization on (TNF-a 1 IL-1b)-induced production of PGs in human mixed glial cultures, purified microglia and astrocytes. Neutralizing Ab against RANTES was used at 200 mg/ml and neutralizing Abs against MIP-1a, MIP-1b, IL-8, and GRO at 100 mg/ml. Mean 6 SD of two to four independent experiments performed in triplicate, using cells from 2 to 10 different brain specimens. Numerous in vitro studies have demonstrated the role of a- and b-chemokines in inducing the migration of specific populations of leukocytes (6, 25, 27, 37). However, in vivo studies have demonstrated that the physiological functions of these chemokines are highly dependent on their level of production. In fact, transgenic mice overexpressing IL-8 exhibited a marked circulating neutrophilia and a decreased neutrophilic exudation into body cavities in response to acute inflammatory stimulants (38). Similarly, transgenic mice overexpressing MCP-1 displayed no monocyte infiltration into tissues and showed increased sensitivity to intracellular pathogens (39). In contrast, mice in which murine GROa or MCP-1 were expressed at lower levels and in anatomically restricted areas displayed an appropriate infiltration of neutrophils or monocytes to the site of chemokine production (40, 41). Thus, overproduction of chemokines in vivo might lead to a loss of their specific biological effect through either the inactivation of leukocytes by receptor desensitization or the abolition of the chemotactic gradient. We investigated whether chemokine production could be under the control of other inflammatory mediators such as PGs, secreted in parallel in proinflammatory cytokine-stimulated glial cells. Inhibition of PG production in glial cells by the cyclooxygenase inhibitor, indomethacin, resulted in an increase in glial secretion of RANTES, MIP-1a, and MIP-1b, but not of IL-8 and GROa. The reversion of this effect in the presence of exogenous PGs demonstrated that PGs are directly implicated in the specific limitation of b-chemokines. Again, differences were observed between isolated glial cultures and mixed glial cells. The blockade of PG secretion did not significantly modify RANTES production by microglia or astrocytes cultured in isolation. However, it did result in an increase in MIP-1 secretion (similar to that observed with mixed glial cells) in astrocytes, which are the main cells producing MIP-1a and MIP-1b (Fig. 5). This suggested that the feedback regulation of RANTES by PGs might be dependent on interactions between microglia and astrocytes. Thus, PGs may control local physiological production of b-chemokines, leading to an appropriate activation of monocytes and lymphocytes, and/or an appropriate recruitment of these cells to the inflammatory foci (Fig. 7). Surprisingly, inhibition of IL-8 and GRO activities in the supernatant of cytokine-stimulated glial cells by neutralizing Abs led to a specific sharp increase in microglial and astrocyte production of PGE2 but not of PGF2a. The addition of Abs to neutralize RANTES, MIP-1a, and MIP-1b had no effect on the induced production of PGs by glial cells. Thus, the high levels of a-chemokines produced under proinflammatory conditions might be responsible, in part, for maintaining intracerebral PG secretion at a low level. This observation suggests a role for a-chemokines in the protection of cerebral cells from PG toxicity during the inflammatory response (Fig. 7). The immune surveillance in CNS inflammation has to be tightly controlled so as to mount an efficient defense against pathogens. An imbalance between immunoregulatory factors during infectious or autoimmune diseases may have drastic effects on the integrity of the brain parenchyma. In this respect, studies of antiinflammatory treatments in different in vivo experimental systems are of great interest. Although in such models, anti-inflammatory drugs generally lead to the inhibition of vasoactive product secretion by effector cells (42– 44), the inconsistency of their effect on the neurological lesions reflects subtle and time-dependent retroregulations, which determine the final biological effect on neuron function and survival. Acknowledgments We thank Dr. J. C. Magnier for his precious support in tissue collection and Dr. Claire Wolfrom for valuable discussions. References 1. Lipton, S. A., M. Yeh, and E. B. Dreyer. 1994. Update on current models of HIV-related neuronal injury: platelet-activating factor, arachidonic acid and nitric oxide. Adv. Neuroimmunol. 4:181. Downloaded from http://www.jimmunol.org/ by guest on June 17, 2017 FIGURE 7. Proposed model of the different mechanisms of CNS injury during the inflammatory process. The recruitment of activated leukocytes following the enhancement of adhesion molecules on their surface and the release of proinflammatory cytokines such as IL-1, TNF, and IFN-g lead to the establishment of an inflammatory mediator network due to leukocytes and glial cells. This may induce the development of the deleterious effects of inflammation on brain parenchyma. Elevated production of PGs may lead to neurotoxicity through alteration of calcium homeostasis. Chemokines may also induce a secondary recruitment of leukocytes and in this manner lead to further intraparenchymatous injuries. 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