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Journal of Lipid Research, Vol. 48, 683-692, March 2007 Modulation of the activity and arachidonic acid selectivity of group X secretory phospholipase A2 by sphingolipids
Departments of Medicine and Biochemistry & Molecular Genetics, University of Illinois at Chicago, Chicago, IL 60612 Published, JLR Papers in Press, December 5, 2006.
1 To whom correspondence should be addressed. e-mail: psubbaia{at}uic.edu
To investigate the role of sphingomyelin (SM) in the regulation of inflammatory reactions, we studied its effect on the activity and fatty acid specificity of group X secretory phospholipase A2 (sPLA2X). Compared with other phospholipases, recombinant sPLA2X released more arachidonate from HDL. Pretreatment of HDL with sphingomyelinase (SMase) C activated the sPLA2X activity, but the release of arachidonate was stimulated less than that of linoleate. In liposomes containing synthetic phosphatidylcholines (PCs), sPLA2X showed no clear selectivity among the various sn-2 unsaturated fatty acids. However, when SM was incorporated into liposomes at 30 mol%, the enzyme exhibited strong preference for arachidonate, although its overall activity was inhibited. Degradation of liposomal SM by SMase C resulted in sPLA2X activation and loss of its arachidonate preference. Incorporation of ceramide into HDL or PC liposomes activated the enzyme activity, the release of arachidonate being stimulated more than that of linoleate. SM-deficient cells released more arachidonate than normal cells in response to exogenous sPLA2X. SMase pretreatment of normal cells stimulated the release of arachidonate by the exogenous sPLA2X. These results show that SM not only inhibits sPLA2X activity but also contributes to its selectivity for arachidonate, whereas ceramide stimulates the hydrolysis of arachidonate-containing PCs.
Supplementary key words sphingomyelin ceramide fatty acid specificity inflammation Abbreviations: PC, phosphatidylcholine; SM, sphingomyelin; SMase, sphingomyelinase; sPLA2, secretory phospholipase A2
Sphingomyelin (SM) is the most abundant phospholipid, next to phosphatidylcholine (PC), in the plasma lipoproteins and is a major constituent of the plasma membrane of all mammalian cells. It is also a critical component of membrane rafts, which serve as platforms for several cellular functions, including receptor-ligand interactions and signal transduction (1, 2). The major metabolite of SM is ceramide, which is formed by the action of neutral or acid sphingomyelinases (SMases) and may be converted back to SM by the SM synthases. This SM-ceramide cycle is stimulated by various hormones, cytokines, and growth factors (3, 4) and plays an important role in the inflammatory response. Although the role of ceramide as a signaling molecule and as a promoter of apoptosis is well established (57), the possible direct role of SM in the membranes, other than as a structural component, has not received much attention. Previous studies from our laboratory and others showed that SM is a physiological inhibitor of several lipolytic enzymes, including LCAT (811), secretory phospholipase A2 IIa (sPLA2IIa) (12, 13), sPLA2V (13), cytosolic PLA2 (14), and lipoprotein lipase (15, 16), all of which use PC as a substrate. We proposed that, because of its structural similarity to PC, SM may act as a competitive inhibitor of the lipolytic enzymes by competing with PC in binding to the active site of the enzyme (8, 17). SM may also affect the interfacial properties of the substrate and inhibit the binding or penetration of the enzyme into the bilayer (9). The bulk of cellular SM is present in the outermost monolayer of the cells (18), and this property may be important in the protection of membrane phospholipids against unregulated hydrolysis by exogenous phospholipases. There are several known sPLA2s that are secreted by a variety of cells and that can potentially hydrolyze membrane phospholipids and cause cell damage. Approximately 10 different sPLA2s that differ in their structure, calcium requirements, and substrate specificity have been identified (19). Although the physiological roles of individual sPLA2s are not known, several studies indicate that they may be important in the inflammatory reactions (19, 20). Because the PLA2 reactions can generate not only arachidonic acid, the precursor of proinflammatory lipid mediators such as prostaglandins and leukotrienes, but also lyso PC, a proinflammatory and proatherogenic lipid (21), the regulation of these activities is physiologically important. By far the most important sPLA2 in the generation of arachidonate from the cell membranes is the group X sPLA2 (sPLA2X), which is secreted by several inflammatory cells, including macrophages and endothelial cells (19). Hanasaki et al. (22) reported that sPLA2X releases arachidonate from PC and monocytes more efficiently than sPLA2IB, sPLA2IIa, or sPLA2V. Bezzine et al. (23) similarly showed that exogenous sPLA2X efficiently releases arachidonate from the adherent mammalian cells, whereas sPLA2 groups IB, IIa, and V were not able to do so. Furthermore, the enzyme appears to release the arachidonate from the cells by direct hydrolysis of membrane phospholipids, unlike sPLA2V, which works through the activation of cytosolic PLA2 (24, 25). Recent studies by Pruzanski et al. (26) with lipoprotein substrates also showed a preferential hydrolysis of arachidonate-containing PCs by sPLA2X. Although we reported previously the regulation of sPLA2IIa and sPLA2V by SM and ceramide (13), the possible modulation of sPLA2X by the sphingolipids has not been investigated. Because of the enzyme's importance in the preferential release of the proinflammatory arachidonate from the cells, the regulation of its activity would be of greater clinical interest. Therefore, we studied the effect of SM and ceramide on the activity and fatty acid specificity of recombinant human sPLA2X acting on plasma lipoproteins, synthetic liposomes, and cultured cells. The results presented here show that the activity of sPLA2X is inhibited by SM but activated by ceramide. Furthermore, the enzyme shows greater specificity for arachidonate in the presence of the SM, apparently because SM preferentially inhibits the release of 18:2. On the other hand, ceramide appears to directly stimulate the release of 20:4. These results suggest that SM and ceramide may play important roles in the inflammatory response by cells.
Materials Recombinant sPLA2X was purified from Escherichia coli expressing the gene for human sPLA2X (23). The plasmid encoding the gene was kindly supplied by Dr. Michael Gelb (University of Washington). Egg SM, brain SM, egg ceramide, synthetic ceramides of various n-acyl chain lengths, snake venom PLA2, and SMase C from Staphylococcus aureus (120 U/mg) were all purchased from Sigma Chemical Co. (St. Louis, MO). SMase D from Corynbacterium pseudotuberculosis was purified from transfected E. coli as described previously (27). The SMase C and D activities were assayed using the Amplex Red SMase kit from Invitrogen. Synthetic PCs were purchased from Avanti%20Polar%20Lipids">Avanti Polar Lipids (Alabaster, AL) and were used without further purification. The positional purity of the PCs was determined from the composition of fatty acids released by the action of excess snake venom PLA2, which hydrolyzed the sn-2 acyl esters completely (28). The contamination of each PC with the corresponding positional isomer was as follows: 16:0-18:1 PC, 5%; 16:0-18:2 PC, 1.5%; and 16:0-20:4 PC, 12%. Labeled PCs with [14C]fatty acid at the sn-2 position (16:0-18:2 and 16:0-20:4) were purchased from American Radiolabeled Chemicals, Inc. (St. Louis, MO). Both preparations contained at least 97% of the label in the sn-2 position, as determined by snake venom PLA2. CHO cells deficient in serine palmitoyl transferase activity (Ly-B cells) and the corresponding control cells (Ly-B/cLCB1) (29) were kindly supplied by Dr. K. Hanada (National Institutes of Infectious Diseases, Tokyo, Japan). Mouse macrophage cell line RAW 274.7 was obtained from the American Type Culture Collection.
HDL preparation
Liposome substrate preparation
Enzyme assay
Fatty acid specificity The fatty acid specificity was also determined in the presence of a mixture of synthetic PCs. In this case, the reaction mixture contained an equimolar mixture of four synthetic PCs: 16:0-16:0, 16:0-18:1, 16:0-18:2, and 16:0-20:4 PCs, SM, or ceramide as indicated, 5 µg of sPLA2X, 100 mM Tris/Cl, pH 8.0, 0.1% BSA, and 10 mM CaCl2 in a final volume of 0.2 ml. The reaction was stopped by the addition of methanol, the lipids were extracted after adding 17:0 as an internal standard, and the composition of the free fatty acids was determined by GC as described above.
Correction for the positional impurity of synthetic PCs
Fatty acid specificity of sPLA2X To investigate the fatty acid specificity of sPLA2X in the presence of physiological substrates, we incubated normal human HDL with recombinant human sPLA2X and determined the composition of free fatty acids released. For comparison, the fatty acids released by sPLA2V under the same conditions were also determined. In addition, we analyzed the fatty acid composition of the sn-2 position of the HDL glycerophospholipids by treating HDL with excess snake venom PLA2, which is not known to exhibit fatty acid specificity and which hydrolyzed the HDL phosphoglycerides completely under the conditions used. As shown in Fig. 1 , the major fatty acids released by sPLA2X were 18:2 > 20:4 > 18:1 > 22:6, in agreement with the reports of Hanasaki et al. (32) and Pruzanski et al. (26). Minor fatty acids released (<1% of total) are not shown. As reported previously by us (13) and recently by Pruzanski et al. (26), the group V sPLA2 released a lower percentage of 20:4 than expected from the sn-2 acyl composition. In contrast, sPLA2X released a significantly higher percentage of 20:4 than expected from the sn-2 acyl composition. It also released more 22:6 and less 18:1 than expected, although the former was not statistically significant. These results confirm the relative preference of sPLA2X compared with sPLA2V for the release of 20:4 from physiological substrates.
Effect of SM on sPLA2X activity We next studied the effect of SM on the hydrolysis of 16:0-20:4 PC, which appears to be the preferred substrate of the enzyme, based on the results presented above as well as on the published data of Pruzanski et al. (26). For this purpose, we incorporated varying amounts of egg SM into liposomes containing 16:0-[14C]20:4 PC and determined the release of labeled fatty acid after incubation with recombinant sPLA2X. In addition, we pretreated the SM-containing liposomes with either SMase C or SMase D before incubation with sPLA2X to study the reversibility of the SM effect. SMase C hydrolyzes SM to ceramide and choline phosphate, whereas SMase D hydrolyzes it to ceramide phosphate and choline (27). As shown in Fig. 2 , SM inhibited the hydrolysis of 16:0-20:4 PC by 35% at 42 mol% concentration. This inhibition is lower than that found with sPLA2V (13) but was completely reversible by treatment with either SMase C or SMase D. Moreover, as observed with sPLA2V (13), treatment with SMase C stimulated the sPLA2X reaction above the SM-free control, showing that the ceramide generated by SMase stimulated the PC hydrolysis by sPLA2X. Treatment with SMase D restored the activity but did not stimulate it further. These results show that sPLA2X is similar to other phospholipases in being inhibited by SM and activated by ceramide.
SM and fatty acid specificity of sPLA2X To determine the possible effect of SM on the fatty acid specificity of the enzyme, we first studied the effect of egg SM in liposomes containing an equimolar mixture of four synthetic PCs that differ only in the sn-2 acyl group: 16:0-16:0, 16:0-18:1, 16:0-18:2, and 16:0-20:4. The SM was incorporated at 30 mol% total PC, and after the reaction with recombinant sPLA2X, we determined the fatty acids released by GC. In addition, the effect of SMase C treatment of the SM-containing substrate was determined. Because the synthetic PCs used here contained varying amounts of positional isomers with 16:0 in the sn-2 position, we also applied a correction factor for the values, using the results of snake venom PLA2 treatment of the liposomes, as described in Methods. As shown in Fig. 3 , the release of all unsaturated fatty acids was greater than 16:0 in the absence of SM, but no clear selectivity for 20:4 was seen. However, in the presence of 30 mol% SM, the enzyme showed a clear preference for the release of 20:4, although the overall activity was inhibited by 60%. When expressed as a percentage of the total fatty acids released (Fig. 3, bottom panel), 20:4 constituted 32% of the total in the absence of SM but 50% of the total in the presence of SM. Moreover, SM exerted a preferential inhibition of the release of 18:2, which decreased from 26% of the total in the absence of SM to 10% of the total in the presence of SM. The ratio of 20:4 to 18:2 in the released fatty acids increased from 1.2 to 4.9 by the presence of SM. Treatment of the SM-containing substrate with SMase C resulted in a 2.8-fold activation of the total activity of sPLA2X, but the activation of the individual fatty acids was unequal. Thus, the activation was highest for the release of 18:2 (6-fold) and lowest for the release of 20:4 (1.7-fold). Therefore, these results show that SM, in addition to inhibiting the overall activity of sPLA2X in the native lipoproteins and cell membranes, markedly influences the fatty acid specificity of the enzyme.
We next studied the effect of SM depletion of HDL on the composition of fatty acids released by sPLA2X to determine the effect of SM in the physiological substrates. Normal HDL was first treated with varying amounts of SMase C before reacting with sPLA2X and the determination of the fatty acids released. As shown in Fig. 4 , the release of all fatty acids was stimulated by treatment with SMase C, resulting in up to 4-fold stimulation of the overall activity. Quantitatively, 18:2 and 20:4 were the major fatty acids released in the control, but SMase C treatment stimulated the release of 18:2 more than that of 20:4 (Fig. 4, inset), similar to the results obtained with the synthetic substrates (Fig. 3). We also observed an unexpected stimulation in the release of saturated fatty acids (16:0 and 18:0) in these studies. Expressed as a percentage of the total fatty acids released, the release of the two saturated fatty acids increased by 6- to 20-fold after treatment with SMase C, although no increase was seen after treatment with SMase D (Fig. 5 ). On the other hand, the percentages of 20:4 and 18:2 decreased after SMase C treatment but not after SMase D treatment.
The increase in saturated fatty acids mentioned above is unlikely to be attributable to the action of sPLA2X itself but is probably the result of SMase C, for the following reasons. First, as mentioned above, the depletion of SM by SMase D did not have the same effect (Fig. 5). Second, the sPLA2X does not have any PLA1 or lysophospholipase activity. Third, whereas SMase C alone did not show any phospholipase activity when tested with labeled PC substrates (results not shown), the saturated fatty acids were released in higher amounts in the combined presence of SMase C and sPLA2X. These results suggest that the 16:0 and 18:0 were derived from the hydrolysis of lysophospholipids that were generated by the action of sPLA2X. This is also supported by the fact that the amounts of 16:0 and 18:0 released in the combined presence of SMase C and sPLA2X exceeded the amount of saturated fatty acids in the sn-2 position of the HDL phospholipids (results not shown). Further studies with labeled lyso PC are needed to investigate the apparent lysophospholipase activity of the commercial SMase C, because this enzyme is used widely for the specific depletion of SM from the cells (3335), and the hydrolysis of lyso PC by the enzyme may have unintended cellular effects.
Effect of ceramide on sPLA2X
To investigate the effect of ceramide under more defined conditions, we incorporated ceramide (at 20 mol%) into liposomes containing equimolar amounts of four synthetic PC species (16:0-16:0, 16:0-18:1, 16:0-18:2, and 16:0-20:4) and determined the fatty acids released by sPLA2X. The overall activity of the enzyme was stimulated by 50100% in the presence of 20 mol% ceramide (results not shown). Similar to the studies with HDL, ceramide stimulated the release of 20:4 more than that of the other fatty acids and inhibited the release of 16:0 (results not shown). The effect of ceramide concentration was also tested on the hydrolysis of individual PCs using sn-2 acyl-labeled substrates. Figure 7 shows the effect of the incorporation of increasing amounts of ceramide on liposomes containing either 16:0-[14C]20:4 PC or 16:0-[14C]18:2 PC. The results clearly show that ceramide stimulates the hydrolysis of 16:0-20:4 PC more than that of 16:0-18:2 PC. Furthermore, the ceramide must be incorporated into the same liposome as the PC substrate, because when the ceramide was added as separate liposomes to the reaction mixture containing 16:0-20:4 PC liposomes (exogenous ceramide), there was very little stimulation of enzyme activity. These results show that ceramide influences the properties of PC substrates rather than acts on the enzyme directly.
The structural requirements for ceramide activation were determined by incorporating ceramides of various n-acyl chain lengths into 16:0-20:4 PC liposomes at 20 mol% concentration. As shown in Fig. 8 , the short-chain ceramides (C2C8) were inhibitory, whereas the long-chain ceramides (C10C20) all stimulated the activity. Maximum stimulation was obtained with C14C17 ceramides, although the differences between the various long-chain ceramides were not statistically significant. Interestingly, the brain ceramide, which contains predominantly 18:0 and 24:0 acyl groups, was less active than the egg ceramide, which contains predominantly the C16:0 acyl group, suggesting that there is an optimum n-acyl chain length (C14C17) for the enzyme stimulation.
Effect of SM on the release of arachidonate from cultured cells sPLA2X has been shown to be the most effective sPLA2 in releasing arachidonate and in stimulating eicosanoid synthesis in inflammatory cells (22, 23). Because SM is concentrated in the outermost monolayer of the cells, it may inhibit the activity of the externally added sPLA2X. To test this possibility, we first used mutant CHO cells that are deficient in serine palmitoyltransferase activity because of a mutation in the LCB1 subunit of the enzyme (Ly-B cells; obtained from Dr. K. Hanada) (29). These cells have reduced levels of SM when grown in defined medium that is deficient in sphingolipids. We also used the corresponding control cells (also obtained from Dr. K. Hanada), in which the missing subunit of SPT is replaced (Ly-B/cLCB1) and that have normal levels of SM under the same conditions. If the SM in the plasma membrane is inhibitory to exogenous sPLA2X, we should find an increased release of arachidonate from Ly-B cells compared with the Ly-B/cLCB1 cells after exposure to the enzyme. The cells were first labeled with [14C]arachidonate by incubation with the labeled fatty acid for 18 h, and after washing with PBS to remove the excess label, they were incubated with the recombinant sPLA2X for 60 min and the labeled fatty acid in the medium and the cells was determined. As shown in Fig. 9 , there was significantly more arachidonate released from the Ly-B cells in response to sPLA2X compared with the control cells. As expected, the SM/PC ratio was significantly lower in the Ly-B cells. These results support the hypotheses that the membrane SM is a physiological inhibitor of exogenous sPLA2X and that the membranes deficient in SM release more arachidonate in response to the extracellular phospholipase A.
In another study, mouse leukemia-derived macrophages (RAW 264.7 cells) were prelabeled overnight with [14C]arachidonate and then treated with bacterial SMase C (0.05 units) or SMase D (0.125 units) for 60 min before incubation with the recombinant human sPLA2X for an additional 60 min. The amount of labeled arachidonate released into the medium was measured by scintillation counting and expressed as percentage increase over the release from untreated cells. As shown in Fig. 10 , neither SMase C nor SMase D by itself released much arachidonate from the cells, whereas sPLA2X alone released significant amounts. Treatment with either SMase followed by incubation with sPLA2X released significantly more arachidonate than a simple additive effect. These results further support the role of membrane SM in the inhibition of exogenous sPLA2X. Additional studies are needed to determine whether the eicosanoid synthesis is also stimulated in these cells after treatment with SMase C.
Although several secretory PLA2s have been identified in mammalian systems, the biological functions of these enzymes and their physiological regulation are poorly understood. Although all sPLA2s hydrolyze the glycerophospholipids with varying efficiencies, sPLA2X appears to be unique in its relative specificity for the release of arachidonate from the liposomes, lipoproteins, and cell membranes (22, 23, 26, 32). The regulation of arachidonate generation is of obvious clinical and physiological significance because the release of this fatty acid is the rate-limiting step in the synthesis of the proinflammatory eicosanoids, including prostaglandins and leukotrienes. Unlike sPLA2IIa and sPLA2V, which also can generate some arachidonate through stimulation of the cytosolic PLA2 (24, 25), sPLA2X acts directly on the cell membrane to hydrolyze the arachidonate-containing phosphoglycerides (41). Another important distinction between sPLA2X and other secretory phospholipases is that it is constitutively expressed in most tissues examined; therefore, its synthesis is not controlled by inflammatory cytokines or hormones (19). Consequently, the regulation of its function should occur by modulation of its activity. One possible mechanism to regulate the enzyme activity is through the presence of physiological inhibitors and activators, which may in turn be independently regulated. The results presented here suggest that SM, a major phospholipid of membranes and lipoproteins, and its metabolite ceramide may fulfill this function. The physiological role of SM in the regulation of various lipolytic enzymes has been reported by several laboratories. The list of enzymes inhibited by SM includes LCAT (811), triglyceride lipase (15, 16), hepatic lipase (P. V. Subbaiah, unpublished data), sPLA2IIa (12, 13), cytosolic PLA2 (14), and sPLA2V (13). Because it is concentrated in the cell surface that is exposed to the environment, the cellular SM is positioned ideally as a potential inhibitor of exogenous phospholipases. It is degraded primarily to ceramide by neutral or acidic SMases, which are in turn regulated by external stimuli such as cytokines, growth factors, and hormones (3, 4). Furthermore, the SM that is degraded by the SMases is rapidly regenerated by the SM synthases, ensuring the integrity of the plasma membrane and the restoration of the PLA2-inhibitory environment after the external stimulus is removed. It is significant that ceramide, the product of the SMase C reaction, is an independent activator of the sPLA2 reactions (13, 3639) and therefore provides another point of regulation of sPLA2 activity. The formation of ceramide by de novo synthesis or by SM degradation is known to be regulated by cytokines and stress conditions (5, 42, 43). Previous studies showed that ceramide disturbs the membrane bilayer and allows greater penetration of the membrane by PLA2 (36). Our results showing that only the long-chain ceramide activates the enzyme reaction (Fig. 9), and that the ceramide has to be incorporated into the PC liposomes to be effective (Fig. 8), support this mechanism. An important observation in this study is that SM not only affects the enzyme activity but also its fatty acid specificity. The presence of SM in the substrate particle enhanced the specificity of the enzyme for 20:4 release by a preferential inhibition of the hydrolysis of 18:2, the major unsaturated fatty acid in lipoproteins and cell membranes. Previous studies by Singer et al. (44) showed the sPLA2X does not exhibit a clear preference in defined liposomes, whereas it releases 20:4 preferentially when added to highly organized structures such as cell membranes. Based on the results presented here, the presence of SM in the membrane may be one factor responsible for the apparent specificity of the enzyme for the arachidonate in the organized structures. In contrast to SM, which increases the specificity for 20:4 release by preferential inhibition of 18:2 release, ceramide appears to directly stimulate the release of 20:4 in preference to 18:2. Koumanov et al. (39) previously reported that the incorporation of ceramide into phosphatidylethanolamine-phosphatidylserine substrate preferentially stimulated the hydrolysis of unsaturated phospholipids by sPLA2IIa. The mechanism by which SM and ceramide affect the fatty acid specificity of the enzyme is not clear. Our results show that although the enzyme releases more 20:4 than 18:2 from native HDL (relative to their concentrations in the sn-2 position), the SMase C treatment of HDL results in greater stimulation of the release of 18:2 compared with that of 20:4, indicating that the presence of SM in the native HDL suppresses the hydrolysis of 18:2 more than that of 20:4. This is also supported by our data with the liposomes containing an equimolar mixture of four synthetic PCs, in which the release of 18:2 is inhibited much more (85%) than that of 20:4 (38%) (Fig. 3). Because the 18:2-containing phospholipids are more abundant than the 20:4-containing phospholipids in HDL (45), this may reflect either the association of SM with the major PC species or a specific interaction between SM and the 18:2-containing phosphoglycerides. On the other hand, the inclusion of 20 mol% ceramide in the four PC mixture resulted in the stimulation of hydrolysis of all unsaturated PC species but the inhibition of hydrolysis of a disaturated PC. Furthermore, the hydrolysis of 16:0-20:4 PC was stimulated more than that of 16:0-18:2 PC. These results are in agreement with those of Koumanov et al. (39) with sPLA2IIa, who suggested that ceramide facilitates the phase separation of susceptible PC species.
SM and its metabolites have long been implicated in inflammatory reactions (46). The synthesis and secretion of SMases is increased significantly during the acute phase reaction (3). Similarly, the hepatic synthesis of sphingolipids is increased markedly by endotoxin administration, which results in the enrichment of lipoproteins with ceramide and SM (47). The cytokines, such as tumor necrosis factor- sPLA2X has been shown to be present in atherosclerotic lesions, and modification of LDL by it results in the increased uptake of LDL by macrophages, leading to foam cell formation (32). Interestingly, SMase C treatment of LDL also leads to increased uptake by the macrophages, albeit through a different mechanism that involves LDL aggregation (50, 51). It has also been reported that LDL-apolipoprotein B contains SMase C activity (52), which could also stimulate sPLA2 activity in the lesions. It is possible that the increased sPLA2X activity in the lesions could not only cause LDL modification but also increase arachidonate release from the hydrolysis of LDL and cell membrane phospholipids, leading to inflammatory conditions prevalent in the lesions.
This study was supported by Grant HL-68585 from the National Institutes of Health. The authors thank Dr. Michael Gelb (University of Washington) for the sPLA2X plasmid and Dr. K. Hanada (National Institutes of Infectious Diseases, Tokyo, Japan) for the supply of Ly-B and Ly-B/cLCB1 cells. Manuscript received September 22, 2006 and in revised form November 8, 2006 and in re-revised form December 5, 2006.
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