Growth Hormone Aggregates Activation of Human Dendritic Cells Is Controlled by Rac1 and PI3 Kinase Signaling Pathways

Growth Hormone Aggregates Activation of Human Dendritic Cells Is Controlled by Rac1 and PI3 Kinase Signaling Pathways

Journal Pre-proof Growth hormone aggregates activation of human dendritic cells is controlled by Rac1 and PI3 kinase signaling pathways Myriam Nabhan,...

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Journal Pre-proof Growth hormone aggregates activation of human dendritic cells is controlled by Rac1 and PI3 kinase signaling pathways Myriam Nabhan, Yann Gallais, Marc Pallardy, Isabelle Turbica PII:

S0022-3549(19)30577-5

DOI:

https://doi.org/10.1016/j.xphs.2019.09.007

Reference:

XPHS 1708

To appear in:

Journal of Pharmaceutical Sciences

Received Date: 14 June 2019 Revised Date:

30 August 2019

Accepted Date: 6 September 2019

Please cite this article as: Nabhan M, Gallais Y, Pallardy M, Turbica I, Growth hormone aggregates activation of human dendritic cells is controlled by Rac1 and PI3 kinase signaling pathways, Journal of Pharmaceutical Sciences (2019), doi: https://doi.org/10.1016/j.xphs.2019.09.007. This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. © 2019 Published by Elsevier Inc. on behalf of the American Pharmacists Association.

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Growth hormone aggregates activation of human dendritic cells is controlled by Rac1 and PI3

2

kinase signaling pathways

3

Myriam Nabhan , Yann Gallais , Marc Pallardy and Isabelle Turbica

4

1 Inflammation Chimiokines et Immunopathologie, INSERM, Fac. de pharmacie - Univ.Paris-Sud,

5

Université Paris-Saclay, Châtenay-Malabry, France.

6

2 Formerly: Inflammation Chimiokines et Immunopathologie, INSERM, Fac. de pharmacie - Univ.Paris-

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Sud, Université Paris-Saclay, Châtenay-Malabry, France.

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Current address: CEA-Saclay, Institute Frederic Joliot, Service d'Ingénierie Moléculaire des Protéines,

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Gif-sur-Yvette, France

1,§

2,§

1

1*

10 11

§: Both authors contributed equally to this work.

12 13

* Corresponding Author: [email protected]; +33(0)146835299

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KEYWORDS: protein aggregation, immunogenicity, immune response, in vitro model(s), cell biology

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SHORT TITLE: CXCL10 regulation by growth hormone aggregates

1

16

ABSTRACT

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The presence of protein aggregates in biological products is suggested to promote immunogenicity,

18

leading to the production of anti-drug antibodies with neutralizing capacities. This suggests a CD4 T-cell

19

dependent adaptive immune response thus a pivotal role for antigen presenting cells, such as dendritic

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cells (DC). We previously showed that human growth hormone (hGH) aggregates induced DC maturation,

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with notably an increase in CXCL10 production. DC phenotypic modifications were sufficient to promote

22

allogeneic CD4+ T-cell proliferation with Th1 polarization. In this work, we identified the main intracellular

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signaling pathways involved in DC activation by hGH aggregates, showing that aggregates induced p38

24

MAPK, ERK and JNK phosphorylation, as well as NF-κB subunit p65 nuclear translocation. Next,

25

investigating the implication of Rho GTPases and phosphoinositide 3-kinase (PI3K) in activated DC

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showed that Rac1 and Cdc42 regulated the phosphorylation of MAP kinases, whereas PI3K was only

27

implicated in JNK phosphorylation. Furthermore, we showed that Rac1 and PI3K pathways, but not

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Cdc42, regulated the production of CXCL10 via the MAP kinases and NF-κB. Taken together our results

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bring new insight on how protein aggregates could induce DC activation, leading to a better understanding

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of aggregates role in therapeutic proteins immunogenicity.

+

31 32

Abbreviations: DC: dendritic cells; ERK: extracellular signal-regulated kinase; hGH: human growth

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hormone; JNK: c-Jun N-terminal kinase; MAPK: mitogen-activated protein kinase; moDC: monocyte-

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derived dendritic cells; NF-κB: nuclear factor κB ; PI3K: phosphoinositide-3 kinase; Th: T helper.

2

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INTRODUCTION

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Patients treated with biological products (BP) frequently develop anti-drug antibodies (ADA) with

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potentially neutralizing capacities leading to loss of clinical response

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BP have been suggested as one of the factors promoting immunogenicity, as their occurrence seems to

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be correlated with ADA development in mice models

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dependent adaptive immune response and therefore a pivotal role for antigen presenting cells, such as

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dendritic cells (DC) 3. We, and others, have previously shown that protein aggregates could act as a danger

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signal and be recognized by dendritic cells inducing their maturation and CD4 T-cell response

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previous work, we demonstrated that hGH aggregates were able to induce monocyte-derived DC (moDC)

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maturation, showed by a significant increase of surface markers expression and a high production of pro-

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inflammatory cytokines and inflammatory chemokines with notably an increase in CXCL10 secretion

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compared to the native protein. Moreover, moDC phenotype induced by the hGH aggregates was able to

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drive allogeneic CD4 T cells towards a T helper 1 (Th1) profile. In this previous work, aggregates were

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generated by submitting native human growth hormone (hGH, Somatropin) to a stir stress .

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CXCL10, also called IP-10 (interferon γ-induced protein 10), is an inflammatory chemokine that binds to

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CXCR3, a receptor expressed on a wide range of immune cells including T lymphocytes, natural killer

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cells (NK), DC and macrophages, thus favoring their activation and recruitment

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upregulates T-bet expression as well as IFN-γ (interferon-γ) production in CD4 T cells thus promoting

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Th1 polarization . The secretion of CXCL10 in response to external stimuli is dependent on an array of

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transcription factors including NF-κB (nuclear factor κB), AP-1 (activator protein 1) and ISRE (interferon-

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stimulated response element)

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pathways that could be involved in particles internalization and actin cytoskeleton reorganization

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Following these observations, we raised the hypothesis that protein aggregates could trigger specific

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signaling pathways in human dendritic cells. hGH aggregates could also act differently than aggregates

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from therapeutic antibodies usually used as a model. In the present work, we searched for pathways that

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could be rapidly activated by these aggregates. CXCL10 is an important chemokine for T-cell biology and

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in our hand it is produced by moDC treated with hGH aggregates but not with therapeutic antibody

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aggregates

1,2

. The presence of aggregates in

3,4

+

. Production of ADA suggests a CD4 T-cell

+

5,6

. In a

+

5

7,8

. Moreover, CXCL10

+

9

10

. These transcription factors are regulated by upstream signaling 11

.

12

. CXCL10 can then be used as a specific biomarker of DC activation by GH-type

3

63

aggregates. For the first time, our results highlighted the involvement of small GTPases and of

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phosphoinositide-3 kinase (PI3K) in the regulation of the signaling pathways induced by aggregates in

65

moDC.

4

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MATERIAL AND METHODS

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Samples preparation

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Lyophilized human Growth Hormone (hGH) was purchased from European Pharmacopoeia (ref:

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S0947000; EDQM Council of Europe, Strasbourg, France) and diluted to a final concentration of 1 mg mL

70

1

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samples were stirred at 1000 rpm for 72 hours at room temperature in 5 mL glass tubes with an 8x2 mm

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Teflon stirrer bar. Endotoxin was quantified for native and aggregated hGH by using a colorimetric assay

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(ToxinSensor, Genscript, Paris, France), according to the manufacturer’s instructions.

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Generation of human monocyte-derived dendritic cells (moDC)

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Peripheral blood mononuclear cells (PBMC) were purified from buffy coats obtained from Etablissement

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Français du Sang (EFS Rennes, France) by density centrifugation on a Ficoll gradient (lymphocyte

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separation medium; GE Healthcare, Buc, France). Healthy donors gave their written consent for the use

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of blood donation for research purposes. MoDC preparation was previously described .

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Treatment of moDC

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After differentiation, moDC were stimulated with 50 µg mL

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times. In some experiments, moDC were pretreated for 30 min with PD98059 (20 µM), SP600125 (20

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µM) or SB203580 (20 µM) and for 1 h with Bay 11-7085 (3 µM). For Rho GTPases and PI3K

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experiments, moDC were pretreated for 1h with Ly294002 (25 µM), Rac1 inhibitor (50 µM) or ML141 (10

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µM). All inhibitors (diluted in DMSO) were purchased from Calbiochem, Darmstadt, Germany.

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Quantitative real-time RT-PCR assay of CXCL10 in moDC

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Total RNA was extracted after lysis of treated cells pretreated or not with inhibitors, using the Nucleospin

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RNA kit (Macherey Nagel, Hoerdt, France), according to the manufacturer’s instructions. First-strand

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cDNA was synthesized from total RNA, as previously described

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performed by use of the SYBR Green technology on a CFX96 system (Bio-Rad Laboratories, Marnes la

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Coquette, France), as previously described

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CFX Manager software. Ratios were calculated as the geometrical mean of (1 + E)

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the efficiency and ∆∆Ct is the target gene expression of treated cells compared with untreated cells,

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corrected to the expression of the reference genes gapdh and β-actin. Results were expressed as the

-

5

with sterile PBS. Aggregates preparation by stir stress was previously described . In brief, 1 mL

5

-1

of native or aggregated hGH for indicated

13

. Real-time quantitative PCR was

13

. Quantification was performed with Bio-Rad Laboratories -∆∆Ct

values, where E is

5

-∆∆Ct

-∆∆Ct

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fold-factor induction [ratio of (1 + E)

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specific primers, purchased from Eurofins Genomics (Ebersberg, Germany), were used (forward and

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reverse, respectively): cxcl10: 5’-TCT AAG TGG CAT TCA AGG AGT ACC-3’ and 5’-AAA GAC CTT GGA

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TTA ACA GGT TGA-3’ ; gapdh: 5’-CAG CCT CAA GAT CAT CAG CA-3’ and 5’-TGT CGT CAT GAG

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TCC TTC CA-3’; β-actin: 5’-GGC ATC CTC ACC CTG AAG TA-3’ and 5’-GCA CAC GCA GCT CAT TG

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TAG-3’.

of treated cells/(1 + E)

of untreated cells]. The following

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Immunoblot analysis of signaling pathways in moDC

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After pretreatment or not with inhibitors, moDC were incubated for 30 min with native or aggregated hGH,

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harvested and washed in cold phosphate buffered saline before lysis. 30 micrograms of denatured protein

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were loaded onto 12% SDS-PAGE gels and transferred to polyvinylidene difluoride membranes, which

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were successively incubated with antibodies directed against the phosphorylated forms of JNK

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(Thr183/Tyr185), p38 MAPK (Thr180/Tyr182), ERK1/2 (Thr202/Tyr204) and the NF-κB p65 subunit

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(Ser536) and an antibody against total p38 MAPK as a loading control (Ozyme, Montigny-Le-Bretonneux,

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France). Immunoreactive bands were detected by their chemiluminescence by use of the ChemiDoc

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XRS+ System (Bio-Rad Laboratories, Marnes-La-Coquette, France). Bands were quantified with

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ImageLab software. In some experiments, NF-κB activation was also evaluated by a pull-down assay, as

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described previously

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lysed in NP-40 lysis hypertonic buffer. Whole-cell extracts (150 µg) were incubated at 4°C for 90 min with

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2 µg double-stranded 59-biotinylated oligonucleotide coupled to 30 mL streptavidin-agarose beads

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(Sigma-Aldrich, St-Quentin Fallavier, France). Complexes were washed in binding buffer and eluted by

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boiling in reducing sample buffer before protein separation by SDS-PAGE gel, followed by Western blot

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analysis of the NF-κB p65 subunit, as described above.

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CXCL10 quantification in moDC supernatants

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After pretreatment or not with inhibitors, moDC were stimulated for 24 h with native or aggregated hGH.

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Meso Scale Discovery (MSD, Rockville, Maryland, USA) U-plex assay was performed on culture

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supernatants according to the manufacturer’s instructions to measure CXCL10 (IP-10). The quantification

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range for CXCL10 is: 2.2–9040 pg mL .

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Statistical analysis

14

. In brief, after a 30 min incubation with native or aggregated hGH, moDC were

-1

6

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Data are expressed as means ± SEM. Differences between groups were evaluated with the Mann–

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Whitney U-test (Prism software, GraphPad, La Jolla, CA). P-values below 0.05 were considered to denote

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statistical significance.

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RESULTS

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MAPKs and NF-κB are activated in response to hGH aggregates

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In order to study the involvement of mitogen-activated protein kinase (MAPKs) and NF-κB pathways in

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moDC in response to aggregates, we first analyzed their phosphorylation by Western blotting. Native

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hGH had little effect on proteins phosphorylation after 30 min of incubation compared to non-stimulated

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cells (Fig. 1(a)). However, aggregated hGH significantly increased phosphorylation of p38 MAPK,

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extracellular signal-regulated kinase (ERK), c-Jun N-terminal kinase (JNK) and NF-κB subunit p65 (Fig.

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1(a)). Using a pull-down assay, we showed an increased NF-κB p65 DNA-binding activity after 30 min of

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treatment with aggregated hGH compared to native hGH (Fig. 1(b)). The overall results confirmed the

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involvement of p38 MAPK, ERK, JNK and NF- κB in the intracellular signaling mediated by hGH

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aggregates in moDC.

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Control of p38 MAPK, ERK & JNK activation by Rho GTPases & PI3K

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Particles and aggregates are known to provoke cell membrane alterations leading to cytoskeleton

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reorganization and small G proteins activation

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MAPKs activation following hGH aggregates treatment by using pharmacological inhibitors of these small

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G proteins (Rac1 inhibitor and ML141, a Cdc42 inhibitor). Cells were pretreated for 1 h with these

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inhibitors and then stimulated for 30 min with hGH aggregates. We first assessed the effect of the

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inhibitors alone. Indeed, Cdc42 inhibitor alone slightly increased the phosphorylation of ERK whereas

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PI3K inhibitor alone slightly increased JNK phosphorylation (Supplementary Fig. S1). Then, we

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determined the effect of hGH aggregates on MAPKs activation, by taking into account the by stander

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effect of the inhibitors (Fig.2). We observed that p38 MAPK and ERK phosphorylation was significantly

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decreased by the inhibitors of Cdc42 and Rac1 whereas JNK phosphorylation showed a trend to

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decrease with Cdc42 inhibitor (Fig. 2 (a) and (b)).

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Knowing that PI3K is also involved in controlling cytoskeletal changes upon large particles’

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internalization , we investigated PI3K impact on the MAPKs activation in response to hGH aggregates.

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Cells were pretreated for 1 h with a PI3K inhibitor (Ly294002) and then stimulated for 30 min with hGH

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aggregates. We observed that p38 MAPK and ERK phosphorylation was not altered by the PI3K inhibitor.

15

. Therefore, we assessed if these proteins could regulate

15

8

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However, JNK phosphorylation showed a trend to decrease after pretreatment with this inhibitor (Fig. 2

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(a) and (b)).

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hGH aggregates regulate cxcl10 mRNA expression via MAPK and NF-κB pathways

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In order to connect the upregulation of MAPKs and NF-κB signaling pathways induced by aggregated

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with cellular responses, we used well-described pharmacological inhibitors of these pathways and

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investigated their implication in cxcl10 expression. At day 4, cells were pretreated for 1 h with Bay 117085

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(a NF-kB inhibitor), or for 30 min with either PD98059 (an ERK inhibitor), SP600125 (a JNK inhibitor) and

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SB203580 (a p38 MAPK inhibitor) and then stimulated for 4 h with hGH aggregates. Inhibitors

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concentrations and treatment timelines were optimized to avoid cellular toxicity, according to previous

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studies

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inhibitors, suggesting that hGH aggregates modulate cxcl10 expression via NF-κB, ERK, JNK and p38

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MAPK signaling pathways (Fig. 3(a)).

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Rac1 and PI3K control hGH aggregates-mediated production of CXCL10

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Next, using the pharmacological inhibitors of Rho GTPases and PI3K, we analyzed the impact of Rac1,

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Cdc42 and PI3K on CXCL10 secretion in aggregates-treated moDC. Cells were pretreated for 1 h with

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inhibitors and then stimulated for 24 hours with hGH aggregates. We observed that PI3K and Rac1

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inhibitors downregulated CXCL10 production, whereas Cdc42 inhibitor had little effect on CXCL10

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secretion (Fig. 3(b)). These results suggest that PI3K and Rac1 are involved in DC activation induced by

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hGH aggregates

16

. Results showed that cxcl10 expression was decreased when moDC were pretreated with these

9

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DISCUSSION

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Aggregation of therapeutic proteins has been associated with an increased susceptibility to develop an

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immune response targeting the BP

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immune danger signal and initiate a protein-specific adaptive immune response, we analyzed the impact

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of hGH aggregates on the regulation of the intracellular mechanisms leading to moDC maturation. We

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had previously shown that hGH aggregates, generated under stir stress, induced moDC maturation,

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increasing the expression of the surface markers CD80, CD83, CD86 and HLA-DR as well as the

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secretion of the cytokines IL-6, IL-8, IL-12p40, and the chemokines CCL2, CCL3, CCL4 and CXCL10 . In

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the present study, we confirmed this inflammatory phenotype and used the production of the inflammatory

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chemokine CXCL10 as a biomarker of moDC activation in response to hGH aggregates. The choice to

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focus on CXCL10 was made for two main reasons: first, it is an important chemokine playing a central

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role in T-helper cell polarization and second, we described its production in response to hGH aggregates

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but not with therapeutic antibody aggregates

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To study intracellular mechanisms regulated in aggregates-stimulated moDC, we first showed that

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aggregates increased phosphorylation of p38 MAPK, ERK, JNK as well as NF-κB subunit p65 binding.

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This observation seems in agreement with a recent study by Polumuri et al. also showing the implication

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of intravenous immunoglobulin (IVIG) and bevacizumab aggregates (shaken or stirred) in the activation of

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MAPKs in human peripheral blood mononuclear cells

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phosphorylation, but not p38 or JNK, was induced in moDC in response to infliximab aggregates

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Previous reports also demonstrated activation of MAPKs and NF-κB subunit p65 in moDC in response to

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danger signals such as lipopolysaccharide (LPS) and contact sensitizers, such as nickel

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then interested in the upstream signaling pathways that participated in DC response to hGH aggregates.

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Both Rac1 and PI3K are highly involved in actin remodeling observed in phagocytosis, the internalization

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mechanism of large insoluble particles by innate immune cells such as macrophages, neutrophils and

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dendritic cells

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to hGH aggregates and these aggregates, having a diameter larger than 0.5 µm , induced cytoskeletal

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changes leading to their possible internalization via phagocytosis. A previous report on sub-visible

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aggregates effect on moDC showed that stir-stressed rituximab was efficiently uptaken by moDC and

3,17

. In order to further understand how protein aggregates act as an

5

12

.

18

. Furthermore, we recently showed that ERK 12

.

14,16,19

. We were

11

. Our observations suggest that Rac1 and PI3K are implicated in the response of moDC 5

10

20

199

rapidly accumulated in late endosomes

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aggregates recognition and internalization mechanisms by DC. The involvement of small G protein

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signalization suggests that the cell membrane could somehow be affected by GH particulates. Therefore,

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it is possible that GH aggregates could follow different pathways than those described for antibodies

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aggregates with involvement of Toll-like receptors and Fc receptors . However, it is unlikely that GH

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aggregates bind to GH receptors expressed on moDC since aggregates formation often requires

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conformational misfolding of the monomers to favor interactions. Indeed, we previously showed that GH

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aggregates formation induced a loss of α-helix in secondary structure .

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In order to link the intracellular events upregulated by hGH aggregates with the inflammatory moDC

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phenotype, we addressed the question of the implication of MAPK and NF-κB pathways in the regulation

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of CXCL10 after aggregates stimulation by using well-described pharmacological inhibitors of these

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pathways. Our results showed that cxcl10 mRNA increased expression in response to hGH aggregates

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was dependent on p38 MAPK, ERK, JNK and NF-κB pathways. This is consistent with findings that

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previously reported that regulation of the cxcl10 gene was mainly controlled by NF-κB, AP-1 and ISRE

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(interferon-stimulated response element) factors

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cxcl10 expression have been studied in different cell lines and in response to various stimuli acting as

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danger signals. Shen et al, showed that p38 MAPK, JNK and NF-κB played an essential role in LPS/IFN-

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γ induction of cxcl10 expression in a mouse microglial cell line, while ERK inhibition had little effect on the

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chemokine’s expression

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demonstrated in human microvascular endothelial cells where CXCL10 secretion in response to TNFα

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and IFN-γ was suppressed after pretreatment with an ERK inhibitor

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We then showed that Rac1, member of the Rho family of small G proteins, regulated the secretion of

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CXCL10 via ERK, JNK and p38 MAPK, while PI3K regulation of CXCL10 secretion was independent of

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ERK, JNK and p38 MAPK pathways. Cdc42, another small G protein, did not regulate CXCL10

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production but was involved in the MAPKs activation. The regulation of MAPKs activation by Rac1 has

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been well documented in several cell lines, such as endothelial cells

225

murine fibroblasts

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of CXCL10 production by Rac1. On one hand, Wang et al. showed that knockdown of Neuropilin-1, a co-

, however further investigations are needed to define

6

5

25

21

7,10

. Signaling pathways involved in the regulation of

. Nevertheless, the involvement of ERK in CXCL10 secretion has been

and airway epithelial cells

22

.

23

and human nuclear killer cells

24

,

26

. However only two other reports studied the regulation

11

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receptor of several structurally diverse ligands, suppressed CXCL10 expression in human brain

228

microvascular endothelial cells in a Rac1-STAT1-dependent manner

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al. showed that loss of Rac1 in keratinocytes increased the expression of CXCL10

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of PI3K, our results were consistent with a previous study reporting that CXCL10 expression was

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defective in the absence of PI3K regulatory subunits in embryonic fibroblasts from p85 knockout mice

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Another report also showed that CXCL10 production in Mycobacterium bovis BCG-infected epithelial cells

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was PI3K-dependent

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Taken together our findings bring new insights on how protein aggregates could induce dendritic cells

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activation. Indeed, protein aggregates can act as danger signals recognized by DC leading to the activation

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of specific DC intracellular mechanisms involved in actin remodelling (Rac1 and PI3K) as well as in DC

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maturation (see summary in Fig. 4).

27

. On the other hand, Pedersen et 28

. Concerning the role

29

.

30

.

12

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ACKNOWLEDGEMENTS: Authors would like to thank Claudine Deloménie from the IPSIT

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Transcriptomic and Proteomic Platform (TRANSPROT) for technical assistance in quantitative real-time

240

PCR.

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FUNDING: This research did not receive any specific grant from funding agencies in the public,

242

commercial, or not-for-profit sectors.

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CONFLICT OF INTEREST: The authors state no conflict of interest.

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SUPPLEMENTARY DATA: This article contains supplementary material available from the authors by

245

request.

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FIGURE LEGENDS

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Figure 1. hGH aggregates induce p38 MAPK, ERK and JNK phosphorylation in stimulated moDC and

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trigger NF-κB p65 subunit nuclear translocation.

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Immature moDC were stimulated for 30 min with native (N) or aggregated (A) hGH (50 µg mL ). (a)

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Immunoblotting of whole-cell extracts was used to quantify the phosphorylated forms of p38 MAPK, ERK,

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JNK and NF-κB p65 subunit. The results of 5 independent experiments are shown, with values for each

324

donor represented by one given symbol. (b) p65 DNA-binding activity was evaluated using an

325

oligonucleotide pull-down assay. The results of 4 independent experiments are shown, with values for

326

each donor represented by one given symbol. Bands were quantified using ImageLab software. Results

327

are expressed as the fold induction, representing the ratio of the normalized intensity of specific bands of

328

treated cells divided by the normalized intensity of specific bands of untreated cells. *: P < 0.05; **: P <

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0.01, Mann-Whitney U-test. NS: non-stimulated cells.

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330 331

Figure 2. Regulation of p38 MAPK, ERK and JNK activation by RhoGTPases & PI3K in moDC treated

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with hGH aggregates.

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Immature moDC were pretreated for 1 h with either Ly294002 (25 µM), ML141 (10 µM) or Rac1 inhibitor

334

(50 µM) and then stimulated for 30 min with native (N) hGH or aggregates (A) (50 µg mL ).

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Immunoblotting of whole-cell extracts was used to quantify the phosphorylated forms of p38 MAPK, ERK

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and JNK. (a) Representative Western blotting results, showing bands for phosphorylated p38 MAPK (P-

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p38), ERK1/2 (P-ERK), JNK (P-JNK) and total p38 MAPK. (b) Bands were quantified using ImageLab

338

software. Results are expressed as fold induction. For cells treated with N GH or A GH, folds are

339

calculated as the ratio of the normalized intensity of specific bands of treated cells divided by the

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normalized intensity of specific bands of untreated cells. For cells treated with inhibitors and A GH, folds

341

are calculated as the ratio of the normalized intensity of specific bands of treated cells divided by the

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normalized intensity of specific bands of cells treated with the corresponding inhibitor alone. The results

343

of 4 independent experiments are shown, with values for each donor represented by one given symbol. *:

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P < 0.05, Mann-Whitney U-test. NS: non-stimulated cells.

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Figure 3. Implication of hGH aggregate-induced signaling pathways in CXCL10 production by moDC.

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(a) MAPK and NF-κB pathways implication in aggregate-mediated cxcl10 mRNA expression. Immature

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moDC were pretreated for 1 h with Bay 11-7085 (3 µM) or for 30 min with either SP600125 (20 µM),

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PD98059 (20 µM) or SB203580 (20 µM) and then stimulated for 4 h with native (N) or aggregated (A)

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hGH (50 µg mL ). Cxcl10 mRNA levels were quantified by real-time RT-PCR. Results were normalized to

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non-stimulated moDC and corrected by the expression of β-actin and gapdh. The results of 4

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independent experiments are shown, with values for each donor represented by one given symbol. *: P <

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0.05, Mann-Whitney U-test. NS: non-stimulated cells.

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(b) Rho GTPases and PI3K implication in CXCL10 secretion induced by hGH aggregates. Immature

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moDCs were pretreated for 1 h with either Ly294002 (25 µM), ML141 (10 µM) or Rac1 inhibitor (50 µM)

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and then stimulated for 24 h with hGH aggregates (A) (50 µg mL ). CXCL10 concentration in culture

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supernatants was analyzed in duplicate using an electroluminescence assay. The results of 4

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independent experiments are shown, with values for each donor represented by one given symbol. *: P <

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0.05, Mann-Whitney U-test.

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359 360

Figure 4. Growth hormone aggregates induced CXCL10 production in human dendritic cells via Rac1

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and PI3K signaling pathways.

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We previously showed that growth hormone aggregates induced dendritic cells maturation with a notably

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strong production of CXCL10, a T-lymphocyte chemoattractant. Indeed this maturation was sufficient to

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drive an allogeneic CD4+ T-cell response towards a Th1 polarization . Here we showed that the

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increased secretion of CXCL10 in response to hGH aggregates is regulated by Rac1 pathway via p38

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MAPK, JNK and ERK and by NF-κB and PI3K pathways.

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367 368

Supplementary figure S1: Immature moDC were pretreated for 1 h with either Ly294002 (25 µM),

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ML141 (10 µM) or Rac1 inhibitor (50 µM) and then stimulated or not for 30 min with native (N) hGH or

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aggregates (A) (50 µg mL ). Immunoblotting of whole-cell extracts was used to quantify the

371

phosphorylated forms of p38 MAPK, ERK and JNK. Bands were quantified using ImageLab software.

372

Results are expressed as the fold induction, representing the ratio of the normalized intensity of specific

-1

18

373

bands of treated cells divided by the normalized intensity of specific bands of untreated cells. The results

374

of 4 independent experiments are shown.

19