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Published ahead of print on July 27, 2006, doi:10.1165/rcmb.2006-0018OC

Am. J. Respir. Cell Mol. Biol., Volume 36, Number 1, January 2007, 20-31

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Submitted on January 17, 2006
Revised on July 25, 2006

TSG-6 Potentiates the Anti Tissue Kallikrein Activity of Inter-{alpha}-inhibitor through Bikunin Release

Rosanna Forteza1*, Susana M Casalino-Matsuda1, Maria Elena Monzon1, Erik Fries2, Marilyn S Rugg3, Caroline M Milner3, and Anthony J Day4

1 Division of Pulmonary and Critical Care Medicine, University of Miami, Miller School of Medicine, Miami, FL, USA, 2 Department of Medical Biochemistry and Microbiology, Uppsala University, Biomedical Center, Uppsala, Sweden, 3 Department of Biochemistry, MRC Immunochemistry Unit, University of Oxford, Oxford, United Kingdom, 4 Department of Biochemistry, MRC Immunochemistry Unit, University of Oxford, Oxford, United Kingdom; Faculty of Life Sciences, University of Manchester, Manchester, United Kingdom

* To whom correspondence should be addressed. E-mail: rforteza{at}miami.edu.

TSG-6 (the protein product of TNF-stimulated gene-6), an inflammation-associated protein, forms covalent complexes with heavy chains (HC) from inter-{alpha}-inhibitor (I{alpha}I) and pre-{alpha}-inhibitor (P{alpha}I), and associates non-covalently with their common bikunin chain, potentiating the anti-plasmin activity of this serine protease inhibitor. Here we show that TSG-6 and TSG-6[[rad]]HC complexes are present in bronchoalveolar lavage from asthmatics and increase following allergen challenge. Immunodetection demonstrated elevated TSG-6 in airway tissue and secretions of smokers. Experiments conducted in vitro with purified components revealed that bikunin[[rad]]HC complexes (byproducts of TSG-6[[rad]]HC formation) release bikunin. Immunoprecipitation revealed that bikunin accounts for a significant proportion of tissue kallikrein inhibition in BAL after allergen challenge but not in baseline conditions, confirming that bikunin in its free state, but not when associated with HCs, is a relevant protease inhibitor in airway secretions. In primary cultures of differentiated human airway epithelial and submucosal gland cells TSG-6 is induced by TNF-{alpha} and IL-1{beta} pointing towards those cells as responsible for TSG-6 release in vivo. Bikunin and HC3 (i.e., P{alpha}I) were also induced by TNF-{alpha} in primary cultures. Our results suggest that TSG-6 may play an important protective role in bronchial epithelium by increasing the antiprotease screen on the airway lumen.




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