Activated macrophages play a critical role in controlling chronic tissue inflammation through the release of a variety of mediators including cytokines, chemokines, growth factors, active lipids, reactive oxygen, and nitrogen species. The mechanisms that regulate macrophage activation in chronic inflammation are poorly understood. A hallmark of chronic inflammation is the turnover of extracellular matrix components, and recent work has suggested that interactions with the extracellular matrix can exert important influences on macrophage effector functions. We have examined the effect of low molecular weight fragments of the extracellular matrix glycosaminoglycan hyaluronan (HA) on the induction of nitric-oxide synthase (iNOS) in macrophages. We found that HA fragments induce iNOS mRNA, protein and activity alone, and markedly synergize with interferon-␥ to induce iNOS gene expression in murine macrophages. In addition, we found that resident tissue alveolar macrophages respond minimally, but inflammatory alveolar macrophages exhibit a marked induction in iNOS expression in response to HA fragments. Finally, we demonstrate that the mechanism of HA fragment-induced expression of iNOS requires activation of the transcriptional regulator nuclear factor B. These data support the hypothesis that HA may be an important regulator of macrophage activation at sites of chronic tissue inflammation.
Nitric oxide (NO ⅐ )1 mediates a number of the host defense functions of activated macrophages, including antimicrobial and tumoricidal activity (1-7). NO ⅐ and its metabolites have also been implicated in the pathogenesis of the tissue damage associated with acute and chronic inflammation (8 -12). Macrophages generate NO ⅐ from the guanido moiety of L-arginine through a reaction catalyzed by the inducible form of nitricoxide synthase (2). In contrast to the constitutive, calcium-dependent form of the enzyme found in the central nervous system and endothelial cells, iNOS can be induced by numerous immune stimuli. Maximal, synergistic iNOS induction occurs in response to the combination of a priming stimulus, such as IFN␥, and a triggering stimulus, examples of which include LPS, tumor necrosis ␣, and interleukin-2 (6, 13, 14).Hallmarks of chronic inflammation include the accumulation of activated macrophages and of macrophage-derived mediators. However, the mechanisms of macrophage activation in this setting have not been clearly defined. The ECM undergoes increased degradation and turnover during inflammation, and fragments of ECM molecules have been found to possess biological activities distinct from their parent compounds (15-17). It has therefore been proposed that ECM fragments may be responsible for activating macrophages that infiltrate chronically inflamed tissues (18). We have recently demonstrated that fragments of the ECM component HA can bind to macrophages and induce the expression of a number of inflammatory genes (32), suggesting that HA fragments may be capable of activating macrophages at non-infectious sites of...