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eCAM 2004 1(3):259-267; doi:10.1093/ecam/neh043
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© 2004, the authors Evidenced-based Complementary and Alternative Medicine, Vol. 1, Issue 3 © Oxford University Press 2004; all rights reserved. The online version of this article has been published under an open access model. Users are entitled to use, reproduce, disseminate, or display the open access version of this article provided that: the original authorship is properly and fully attributed; the Journal and Oxford University Press are attributed as the original place of publication with the correct citation details given; if an article is subsequently reproduced or disseminated not in its entirety but only in part or as a derivative work this must be clearly indicated.

IL-12 Production Induced by Agaricus blazei Fraction H (ABH) Involves Toll-like Receptor (TLR)

H. Kasai1, L. M. He3, M. Kawamura2, P. T. Yang1, X. W. Deng2, M. Munkanta1, A. Yamashita1, H. Terunuma1, M. Hirama3, I. Horiuchi3, T. Natori3, T. Koga3, Y. Amano1, N. Yamaguchi4 and M. Ito1,*

1Interdiciplinary Graduate School of Medicine and Engineering, University of Yamanashi Faculty of Medicine Yamanashi, Japan, 2Department of Alternative Medicine, University of Yamanashi Faculty of Medicine Yamanashi, Japan, 3Japan Applied Microbiology Research Institute Ltd Tamaho, Yamanashi, Japan, and 4Department of Serology, Kanazawa Medical University Uchinada, Japan


   Abstract
Top
 Abstract
Introduction
 Subjects and Methods
 Results
 Discussion
 References
 
Agaricus blazei Murill is an edible fungus used in traditional medicine, which has various well-documented medicinal properties. In the present study, we investigated the effects of hemicellulase-derived mycelia extract (Agaricus blazei fraction H: ABH) on the immune system. First, we examined the cytokine-inducing activity of ABH on human peripheral mononuclear cells (PBMC). The results indicated that ABH induced expression of IL-12, a cytokine known to be a critical regulator of cellular immune responses. Flow cytometric analysis demonstrated the induction of IL-12 production by the CD14-positive cell population, consisting of monocytes/macrophages (Mo/M{phi}). Furthermore, the elimination of Mo/M{phi} attenuated IL-12 production in PBMC. ABH-induced IL-12 production was inhibited by anti-CD14 and anti-TLR4 antibodies but not by anti-TLR2 antibody. The activity of ABH was not inhibited by polymyxin B, while the activity of lipopolysaccharide used as a reference was inhibited. Oral administration of ABH enhanced natural killer (NK) activity in the spleen. These findings suggest that ABH activated Mo/M{phi} in a manner dependent on CD14/TLR4 and NK activity.

Keywords: Agaricus blazei Murill – IL-12, Toll-like Receptor – Monocyte/Macrophage


   Introduction
Top
 Abstract
 Introduction
Subjects and Methods
 Results
 Discussion
 References
 
Agaricus blazei Murill, an edible mushroom, shows immunomodulatory and antitumor activities (1–5). In Brazil, this fungus is used as a traditional medicine for the prevention of cancer, diabetes, hyperlipidemia, arteriosclerosis and chronic hepatitis. The polysaccharides, proteoglycans, polysaccharide–protein complexes, glycoproteins and steroids from Agaricus blazei Murill mycelia and fruiting body extracts possess antitumor cytotoxic activities (3–10). However, the mechanisms of the antitumor functions of these mushroom components have yet to be determined. The bacterial lipopolysaccharide, mycoplasma lipopeptide (MALP-2), interacts with toll-like receptors (TLRs) and induces cytokine production. Similarly, Dectin-1, a fungal ß-glucan receptor subunit, has been shown to interact with TLR2 and mediate cell activation (11,12). Agaricus blazei extract was shown to induce cytokine (IL-12) gene expression. Based on these observations, we hypothesized that Agaricus blazei Murill fraction H (ABH) may interact with TLRs and induce signals for IL-12 production. The specific objectives of this investigation were: (i) to identify the characteristics of the cell population in peripheral blood mononuclear cells (PBMC) stimulated by ABH; (ii) to determine the optimal concentration of ABH required to induce cytokine production in vitro; (iii) to identify the nature of TLR interacting with ABH on the cell surface; and (iv) to evaluate the influence of ABH on natural killer (NK) cell activity.


   Subjects and Methods
Top
 Abstract
 Introduction
 Subjects and Methods
Results
 Discussion
 References
 
Preparation of A.blazei Extracts

After 2 weeks in culture, A.blazei mycelia were digested with hemicellulase for 1 h at 45°C. Then, the enzymes were inactivated at 70°C and freeze-dried. This compound is similar to Agaricus Blazei Practical Compound (ABPC; Japan Applied Microbiology Research Institute. Ltd, Yamanashi, Japan) and all ABPC products were made from this compound. Samples of 1.5 g of A.blazei compound were ground and mixed with distilled water to a final concentration of 0.1 g/ml (w/v). After centrifugation, the supernatant was collected and passed through a 0.45 µm filter (Millipore Co., Bedford, MA) for use in the experiments.

Preparation of PBMCs

Heparinized human peripheral blood was obtained from healthy donors. PBMCs were isolated using the Ficoll-Hypaque density-gradient method, as described previously (13). Peripheral blood was centrifuged at 2000 r.p.m. for 10 min to remove plasma. Blood cells were diluted with phosphate buffered saline (PBS), then overlaid onto Ficoll-Hypaque solution (Amersham Pharmacia Biotech UK Ltd., Buckinghamshire, UK) and centrifuged at 2000 r.p.m. for 30 min. The PBMC layers were collected and washed twice with PBS. The cells were resuspended to a concentration of 1 x 106 cells/ml in RPMI-1640 medium supplemented with 10% foetal calf serum, 100 U/ml penicillin and 100 µg/ml streptomycin.

Reagents and Monoclonal Antibodies (mAb)

Anti-human (h) TLR4 mAb HTA125 (mouse IgG2a) and FITC-labelled HTA125 were purchased from BD Biosciences Clontech (San Jose, CA) and eBioscience (San Diego, CA). Anti-TLR2 mAb TL2.1 (mouse IgG2a) and FITC-labelled TL2.1 were purchased from eBioscience and Cascade Bioscience (Winchester, MA).

RNA Preparation Quantification and RNase Protection Assay

After stimulation of human PBMC, total RNA was extracted from the cells using TRIzol (Invitrogen Corp., Carlsbad, CA). RNase protection assay was performed using the hCK-2RiboQuant Multiprobe RNase Protection Assay system (BD Pharmingen, San Jose, CA) according to the manufacturer's instructions. Aliquots of 10 µg of RNA were used for each assay. Gels from three distinct experiments were analyzed using a BAS3000 and Image Gage (Fuji Film, Tokyo, Japan).

Quantification of IL-12p40 and p70 in Culture Supernatants

Isolated human PBMC were cultured in media containing ABH, 1 ml of 10% FCS/RPMI1640 with various concentrations of ABH, for 0–16 h. The levels of IL-12p40 in the supernatants were measured using an enzyme-linked immunosorbent assay (ELISA) kit, optEIATM ELISA kit (BD Pharmingen) according to the manufacturer's protocol. The concentration of IL-12p40 and p70 was determined using the data analysis program Softmax (Molecular Devices, Menlo Park, CA).

NK Activity Assay

NK activities of human PBMC and murine spleen cells were determined by lactate dehydrogenase (LDH) assay. The NK-sensitive mouse cell line YAC-1 was used as target cells. Target and effector cells were mixed at the indicated effector/target (E/T) ratios at 0.2 ml/well using 96-well round-bottomed multi-well plates (BD Labware, Lincoln Park, NJ). After incubation for 4 h, cells were centrifuged at 250 g for 4 min, and then the cell-free supernatant was collected for LDH assay using CytoTox96 (Promega, Madison, WI). The percentage of specific LDH release was calculated by the following formula: % cytotoxicity = [(experimental LDH release) – (spontaneous LDH release by effector and target)/(maximum LDH release) x (spontaneous LDH release)] x 100. For the control experiments, the target cells were incubated either in culture medium alone to determine spontaneous release or in a mixture of 2% Triton X-100 to define the maximum LDH release. The spontaneous release was always <10% of the maximum release. All assays were performed in triplicate.


   Results
Top
 Abstract
 Introduction
 Subjects and Methods
 Results
Discussion
 References
 
Treatment of PBMC with ABH induced IL-12 Production

Expression of IL-12 messenger RNA (both p35 and p40 subunits) was determined in PBMC with or without ABH stimulation by RNase protection assay. As shown in Figure 1, IL-12 messenger RNA expression (p40 subunit) was induced within 4 h after ABH stimulation. In unstimulated controls, IL-12 messenger RNA was not induced until 16 h. We quantified the release of IL-12 p40 protein in human PBMC culture supernatants in relation to ABH dose. As shown in Figure 2A, IL-12 p40 was induced significantly in all donors. The levels of IL-12 production were reduced at concentrations of ABH in excess of 170 ng/ml. Figure 2B shows induction of IL-12 p70 (heterodimer of p40 and p35) by ABH. These observations suggest that ABH induces IL-12 production by PMBC.



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  		Figure 1 ABH induces IL-12 gene expression. Ficoll-isolated human PBMCs were stimulated with 40 ng/ml ABH for the indicated times. RNase protection assay was performed with total RNA from stimulated PBMC. Aliquots of 10 µg of RNA were used for each determination. Lane 1, free probe; lane 2, yeast tRNA; lanes 3 and 4, unstimulated cells (–); lanes 5–8, cells stimulated with Agaricus blazei extract for the times indicated at the top of the panel. The upper panel shows IL-12p35 and p40 mRNA, and the lower panel shows L32 and GAPDH as a control. Data shown are representative of three independent experiments.

 


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  		Figure 2 ABH induces IL-12p40 and p70. (A) Ficoll-isolated human PBMC (1 x 106/sample) were stimulated with ABH at various concentrations as indicated at the bottom of the panels. After incubation for 16 h, supernatants were collected and the amounts of IL-12 p40 were determined. (B) PBMCs were stimulated with 0.17 ng/ml ABH for 16 h. The supernatant was collected and the amounts of IL-12 p70 were determined. (A and B) IL-12 p40 and p70 in culture supernatants were measured by ELISA. Data of IL-12 p40 and p70 shown are from four and two different donors, respectively.

 
CD14-positive Cells Produced IL-12 on Stimulation with ABH

To determine the target population of ABH, we analyzed IL-12-production levels of each population by intracellular cytokine staining method and flow cytometry. After 16-hour culture, only CD14 positive population was induced IL-12p40 (Figure 3). Neither normal media (control) nor peripheral dendritic cells (lin-/CD11c and HLA-DR+) induced production of IL-12 p40 protein (data not shown).



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  		Figure 3 CD14-positive cells showed induction of IL-12. Human PBMC was stimulated with 0.17 ng/ml ABH for 16 h. IL-12 production was quantified by flow cytometry (right panels). The flow cytometric data in the right panels represent three gated populations of CD14-positive and negative cells. Results of ABH stimulated and unstimulated samples shown as open and closed histograms respectively. The region indicated by the bar represents IL-12-producing cells (shown in left panels). Data shown are representative of three independent experiments.

 
We then added anti-CD3/CD19 and CD14 monoclonal antibody-conjugated Dynal beads to Ficoll PBMC fractions to deplete each fractions. IL-12 production was observed in PBMC from which CD3 and CD19 were depleted.

However, depletion of CD14 caused a 20% reduction in the level of IL-12p40 production (Figure 4).



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  		Figure 4 Depletion of CD14-positive cells reduced IL-12 production. (A) CD14-, CD3- or CD19-positive cells were depleted using beads conjugated with monoclonal antibodies specific for each surface marker, as indicated at the top of the panels. After depletion, CD14-, CD3- and CD19-positive cells were quantified by flow cytometry. (B) After treatment, PBMCs were stimulated with 0.17 ng/ml ABH for 16 h. Supernatants were examined by ELISA. Data shown are representative of three independent experiments.

 
Involvement of CD14 and TLR4 in IL-12 Induction by ABH

Human TLRs have been shown to transduce intracellular signals by some mycobacterial ligands. These reports suggest that TLRs initiate human innate immune responses and pattern recognition by TLRs regulates the nature of not only innate but also adaptive immune responses (14–16).

Using neutralising antibodies (anti-hTLR4:HTA125, anti-hTLR2:TL2.1 and anti-CD14), we examined whether TLR2, TLR4 and CD14 are involved in the induction of IL-12 expression by ABPC. Preincubation of PBMC with anti-hTLR4 mAb (HTA125) or anti-CD14 mAb (61D3) clearly inhibited IL-12 production in a dose-dependent manner. PBMC from three different donors were used, and the same results were observed in all cases. In contrast, pre-treatment with anti-hTLR2 (TL2.1) showed no effect (Fig. 5A).



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  		Figure 5 Anti-CD14 and anti-TLR4 monoclonal antibodies neutralized the IL-12-inducing effect of ABH. (A) PBMCs were pre-incubated with anti-CD14, anti-TLR4, anti-TLR2 or control monoclonal antibody at four different doses (1000, 100, 10, 1 ng). Agaricus blazei extract was added after 4 h and incubation was continued for 16 h. IL-12 p40 in supernatants was quantified by ELISA. Data from three independent donors are shown. (B) Cells pre-treated with 1 µg of control monoclonal antibody (b), 1 µg of anti-CD14 antibody (c) or 1 µg of anti-TLR4 antibody (d) were stimulated with ABH for 16 h (b–d). Then, IL-12-producing cells were quantified by flow cytometry. Unstimulated PBMCs (a) were included as controls. Data shown are representative of three independent experiments.

 
Furthermore, flow cytometry was performed to quantify the IL-12-producing cells. In PBMC pre-treated with anti-hTLR4 and anti-hCD14 monoclonal antibodies, the levels of IL-12 production by CD14-positive cells were reduced to 1.33% and to 0.19% in samples treated with anti-hTLR4 and anti-hCD14 mAb, respectively. No effect was observed in samples treated with control antibody. There were no differences in the ratio of CD14-positive cells in PBMC before and after antibody treatment (Fig. 5B). These results suggested that anti-hTLR4 and anti-hCD14 mAbs blocked signal transduction via TLR4 and CD14.

Induction of IL-12 by ABH was Not Inhibited by Polymyxin B

CD14 and TLR4 have been reported as subunits of the lipopolysaccharide (LPS) receptor complex. The CD14-TLR4-MD2 heterotrimer recognises the LPS/LBP-complex (17–20). Our results indicated that CD14 and TLR4 were essential components for induction of IL-12 by ABH. To exclude the possibility that cellular activation by ABH was a result of endotoxin contamination in the extracts, the abilities of ABH and reference LPS to induce IL-12 production by human PBMC were examined in the presence and absence of polymyxin B. Polymyxin B showed little effect on IL-12 induction by ABH, whereas that of LPS was inhibited completely (Fig. 6). We measured the amount of endotoxin in the ABH extract using an Endospecy kit for endotoxin quantification (Seikagaku Corp., Tokyo, Japan). The ABH extract used in the present study was essentially free from endotoxin contamination (data not shown).



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  		Figure 6 Influence of polymyxin B on IL-12-inducing activity of ABH. ABH (0.17 ng/ml) and reference LPS (10 ng/ml) were pre-treated with 5 µg of polymyxin B for 30 min, and then used to stimulate PBMC for 16 h. The IL-12 secreted into the supernatant was measured by ELISA.

 
ABH Extract Enhanced NK Activity

IL-12 is a critical factor in immune responses against pathogens and tumors as it is the most potent promoter of type 1 responses in CD4 T cells (Th1 responses). Th1 responses regulate proliferation, interferon-{gamma} (IFN-{gamma}) production and cytotoxic activities by T cells and natural killer cells (21–23). To evaluate its effects in vivo, we examined the effect of oral administration of ABH on NK cytotoxic activity of murine spleen cells.

ABH-treated mice showed significantly higher levels of NK cytotoxic activity than controls; the ABH-treated group showed 40% cytolysis, while the control group showed 25% cytolysis (Fig. 7). This result suggested that oral administration of ABH can induce NK activity in vivo.



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  		Figure 7 Oral administration of ABH enhanced NK cytotoxic activity in the spleen. The indicated amounts of ABH were administered for 21 consecutive days. Control mice were administered water. NK activity of spleen cells was quantified using CytoTox96 reagent (Promega). Results are expressed as means ± SEM, n = 6.

 

   Discussion
Top
 Abstract
 Introduction
 Subjects and Methods
 Results
 Discussion
References
 
Hemicellulase-digested A.blazei extract showed a very high degree of water solubility. Almost 95% by dry weight was extracted in water, in contrast to non-digested samples, which showed only about 20% extraction (data not shown). Various methods were employed to extract the components from A.blazei, including treatment with acid and organic solvent. These methods for extraction were not suitable for evaluation and analysis of total activity of all components of A.blazei. The high degree of water solubility obtained by hemicellulase digestion is a major advantage for analysis of the effects of Agaricus. In the present study, we were able to analyze the total effect of Agaricus extract as we could extract almost all of the components.

As the first step to determine the effects of ABH, we attempted to identify inducible or suppressible cytokines. We found the IL-12-inducing activity in the water extract. The optimum concentration of ABH for induction of IL-12 was from 170 to 510 ng/ml, and higher concentrations showed lower levels of induction.

Agaricus blazei extract was reported previously to show a suppressive effect against proliferation and cytokine expression using PBMC (24). The effects of elements with the ability to suppress cell activity may appear at high doses. Suppressive elements did not have sufficient effects to suppress the induction of IL-12 to <170 ng/ml.

The results of intracellular cytokine staining and population-specific elimination showed CD14 positive cells, monocytes/ macrophages (Mo/M{phi}) to be the target population of ABH. We detected no IL-12 production by peripheral dendritic cells (DC). Peripheral circulating Mo circulate for 1–3 days before entering tissues, where they differentiate into mature resident M{phi} or DCs (25). Our results suggested that ABH possessed the potential to activate immature Mo and promote the Th1 response in tissue. As a result of this activity, ABH maintains the Th1 response level and cellular immunity. ABH-treated mice have been reported to show higher levels of NK activity in the spleen than untreated controls. The ability of DCs to produce cytokines differs among DC subsets depending on the tissue to which they belong (26,27). Peripheral Mo heterogeneity was reported previously (28–30). Thus, we speculate that ABH may have different effects on different subsets of Mo and DC. Therefore, the effects of ABH should be analyzed from various viewpoints.

Various models to explain the mechanism of the immunomodulatory effects of many mycobacterial extracts and components have been reported. These include cell activation by intracellular signals transduced by TLRs. The results of the present study indicate that the activity of ABH to induce IL-12 production is dependent on CD14 and TLR4 (Fig. 5). LPS causes activation of Mo/M{phi} via the CD14/TLR4/MD2 receptor complex (31). The Limulus activity of ABH was 80 pg/ml, equivalent to E.coli LPS (data not shown). Therefore, the endotoxin content in the ABH used in the present study was <1 pg/ml, which was completely inactive in our system. On the other hand, polymyxin B-treated ABH also induced IL-12 production at almost the same level as untreated ABH (Fig. 6). This excluded the possibility that the activation of Mo/M{phi} was due to response to contamination of the ABH extract by LPS.

TLR2 was also reported to be a signal transducer for components of fungi (11,12,32). The anti-TLR2 mAb TL2.1 did not inhibit induction of IL-12 production by ABH. Agaricus blazei is rich in polysaccharides that can stimulate immune cells. One of these, ß-1,6-D-glucan, has been reported to be the main component responsible for this activity. Ohno et al. demonstrated that the functional centre of ß-1,6-D-glucan is a region rich in ß-1,3 links (33–35). ß-Glucans activate cells via TLR2 (32). The mannan fraction from Candida albicans and Saccharomyces cerevisiae induced TNF-{alpha} production in a manner dependent on CD14 and TLR4 (36). TLR4 is also involved in pattern recognition of soluble branched ß-(1,4)-glucans from Acetobacter AC-1 (37).

We speculate on two possible explanations for this observation: ß-Glucan in ABH may be recognised by a different receptor complex, or other components, such as mannan, may be mainly responsible for the IL-12-inducing activity of ABH. As ABH is a mixture of various components, it is necessary to identify and isolate the elements responsible for the action of ABH.

Some studies of the anti-tumor effects of A.blazei have demonstrated direct cytotoxic effects (1). The chloroform/ methanol extracts of A.blazei were shown to have antitumor activity against solid tumors. Ergosterol in this extract inhibits angiogenesis and causes the death of tumor cells by preventing neovascularisation (5). When the particles from fruiting bodies of A.blazei Murill (ABP-F) were reacted with human serum, the formation of complement-opsonised ABP, iC3b-ABP-F complexes, and binding of the complexes to human PBMCs were observed. In addition, PBMCs incubated in the presence of iC3b-ABP-F complexes inhibited the proliferation of a human tumor cell line in vitro (38).

These reports indicated that components of A.blazei have various activities. It was reported that A.blazei extract acts mainly through modulation of the immune system, activating macrophages, neutrophils and lymphocytes (3,4,8). On the other hand, ethanol extracts of A.blazei mycelia were shown to reduce the cytopathic effects of the western equine encephalitis (WEE) virus (39). Several fungi incubated with immune cells showed activation of some cells, especially antigen-presenting cells, and induced cytokine production (40–42,44–48). The ethanol extracts of A.blazei stimulated macrophages and induced expression of the cytokines IL-8 and TNF (49).

This report indicates that the extract of A.blazei mycelia induces IL-12 production. IL-12 exerts multiple biological activities, which include activation of CD8+ CTLs, differentiation of CD4+ T lymphocytes, induction of nitorogen oxide production by macrophages, induction of type 1 responses by helper T lymphocytes and NK cell activation (50,51). IL-12 has also been shown to possess potent antitumor activity in a wide variety of murine tumor models (49,52–55). Recent reports have demonstrated that the in vivo antitumor capacity of IL-12 is mediated via NK and/or NKT cells (56,57). The findings of the present study will help in furthering our understanding of the immunomodulatory and anti-viral effects of A.blazei. IL-12 promotes and sustains the cellular immune system. Oral administration of ABH was shown to enhance the NK activity of mouse spleen cells (Fig. 7). It is notable that ABH modulates immune responses not only in vitro but also in vivo. In the context of A.blazei administration as a functional food, the induction of IL-12 and enhancement of cellular immunity are important for various biological activities.

In conclusion, we have demonstrated that hemicellulase-derived ABH induces IL-12 production by human peritoneal monocytes via TLR4-CD14 and enhances cytotoxic activity against tumor cells in vivo. These responses may be involved in the biological activities of ABH, such as its anti-tumor, anti-infection and anti-allergic effects. ABH is a non-proliferative and non-pathogenic microbial component that can trigger an immune response that is useful in the fight against infectious diseases and cancer. The accumulation of such data concerning the effects of components and clarification of mechanisms of their action are essential to understand features of mushroom such as the biological response modifier (BRM).


  Footnotes
 
*For reprints and all correspondence: Masahiko Ito, Interdiciplinary Graduate School of Medicine and Engineering, University of Yamanashi Faculty of Medicine, Tamaho, Yamanashi 409-3898, Japan. Tel: +81-55-273-9539; Fax: +81-55-273-6728; E-mail: mito{at}yamanashi.ac.jp


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 Introduction
 Subjects and Methods
 Results
 Discussion
 References
 

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Received March 9, 2004; accepted September 16, 2004


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