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Am. J. Respir. Cell Mol. Biol., Volume 17, Number 2, August 1997 129-140

RAPID COMMUNICATION
Rapid Activation of PDGF-A and -B Expression at Sites of Lung Injury in Asbestos-exposed Rats

Jing-Yao Liu, Gilbert F. Morris, Wei-Hong Lei, Charles E. Hart, Joseph A. Lasky, and Arnold R. Brody

Lung Biology Program and Departments of Pathology, Medicine, and Environmental Health Sciences, Tulane University Medical Center, New Orleans, Louisiana


    Abstract
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

The development of interstitial pulmonary fibrosis is associated with a variety of inflammatory mediators, including peptide growth factors and cytokines. In the work presented here, we have asked whether or not platelet-derived growth factor (PDGF)-A and -B genes and proteins are expressed in anatomic and temporal patterns consistent with this factor playing a role in the disease process. Using an established rat model of asbestos-induced fibroproliferative lung disease, we demonstrate elevated levels of PDGF-A and -B mRNAs in total lung RNA immediately after a single 5-h exposure to ~ 1,000 fibers/ml of chrysotile asbestos. In situ hybridization revealed the PDGF-A and -B in RNAs primarily in macrophages and bronchiolar-alveolar epithelial cells at sites of initial fiber deposition and lung injury. There was clear evidence of PDGF-A and -B mRNAs in interstitial cells as well. The pattern of in situ hybridization was entirely consistent with the appearance (established by immunohistochemistry) of PDGF-A and -B proteins by 24 h post-exposure in the same cell types. Both mRNAs and proteins remained detectable at the fiber deposition sites for almost 2 wk post-exposures. These findings are consistent with our previous studies showing increased mesenchymal cell proliferation and fibroproliferative lesions that progress at the sites where PDGF-A and -B are expressed. Although it is clear that multiple growth factors are produced simultaneously at sites of initial injury, we suggest that the PDGF isoforms could be playing a central role in the disease process based upon their potent mitogenic effects upon mesenchymal cells.


    Introduction
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

Platelet-derived growth factor (PDGF) could be a significant mediator of fibroproliferative disease (1, 2). This postulate follows a series of studies showing a primary role for PDGF in lung development (3), atherosclerotic disease (4), kidney sclerosis (5), and wound healing (6). PDGF is the most potent mitogenic factor yet found for a wide variety of mesenchymal cells (1, 2). The factor was originally described as the major growth promoting agent in serum (7), explaining in large part how sera support the long-term maintenance of mesenchymal cell cultures. PDGF is stored in the alpha granules of blood platelets and is released in vivo at sites of inflammation and injury (1, 6, 7).

PDGF consists of 3 isoforms that result from the disulfide bridging of peptides from 2 separate genes coding for the A chain and B chain (8). This results in the AA, AB, and BB isoforms, each of which is a potent mesenchymal cell mitogen, but only in the dimeric forms. In addition, it is clear that the 3 isoforms bind to specific membrane receptors, designated as alpha (alpha ) and beta (beta ), which also must dimerize on the cell surface to be biologically active (9). The AA isoform binds only to the alpha -alpha receptor, AB binds to the alpha -beta and beta -beta , while the BB isoform binds to all 3 receptors, stimulating cells through a tyrosine kinase signaling pathway (10).

We have been studying the fibroproliferative disease process associated with asbestos-induced lung injury (11). This interstitial process results in increased numbers of mesenchymal cells and extracellular matrix as the disease develops its diffuse character after continued exposure (11). Our studies have focused on the earliest lesions associated with fiber inhalation (12, 13) in order to understand the initial cellular, biochemical and molecular events that could be mediating a fibroproliferative process in the lung. This is most likely to be the result of multiple interactive cell signaling pathways that activate oxygen radicals, peptide growth factors, and cytokines, which are released simultaneously and at varying times from several cell types during disease development. A major challenge facing investigators is to elucidate the precise roles for these potential mediators. Proving whether or not a given factor is expressed, in the appropriate cell types and in meaningful anatomic and temporal patterns, would allow investigators to establish those mediators that are most likely to be significant in disease development.

In the work presented here, we show for the first time in an animal model of fibroproliferative lung disease, the expression of PDGF-A and -B chain mRNAs and proteins, primarily in bronchiolar-alveolar epithelium as well as in macrophages and mesenchymal cells at sites of initial fiber deposition and cell injury. PDGF mRNA levels increase within the first 5 h of exposure, whereas protein is apparent 24 h later. Our data show that PDGF-A and -B chain expression remains elevated for at least 2 wk after a single 5-h exposure. The association of PDGF expression with the precise anatomic sites preceding development of fibroproliferative lesions supports the view that this potent peptide plays an integral role in the disease process.

    Materials and Methods
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

Animals, Exposure and Tissue Preparation

Animals and exposures to chrysotile asbestos (10 mg/m3 respirable mass), iron (50 mg/m3) and air were described previously (14). From each exposure group of 35 animals, 5 animals were killed immediately post-exposure and at 1, 2, 4, 8, 14, and 30 days post-exposure. After cutting the renal artery, the right bronchus was tied off, and the right lung was removed and placed in liquid nitrogen. The remaining left lung was fixed by intratracheal perfusion with 4% paraformaldehyde as previously described (14). Tissue blocks were embedded in paraffin and sections stained with H & E for analysis or left unstained for in situ hybridization or immunohistochemistry as described below. The results reported here are combined from 2 separate exposures to the asbestos aerosol.

RNase Protection Assay for PDGF-A and -B mRNA Levels

Total lung RNA was prepared with the Ultraspec RNA Isolation System (Biotecx Laboratories, Houston, TX) as described by the supplier. Ribonuclease protection assays were performed as described previously (15). The 32P radiolabeled RNA probes were prepared by T3 transcription of a Nco I digested linear PDGF-A cDNA plasmid (described further below) and by T7 transcription of a Bam HI digested linear PDGF-B cDNA containing plasmid (described further below). For PDGF-A, the probe was 477 nucleotides and the protection product, 418 nucleotides. For PDGF-B the probe was 535 nucleotides and the protection product was 480 nucleotides.

In Situ Hybridization

Tissue and probe preparation. In situ hybridization to detect PDGF-A and PDGF-B mRNAs at the indicated times post-exposure was as described previously (14). Briefly, the antisense RNA probes of PDGF-A and -B were transcribed from the pBluescript SK+ vector containing an ~ 0.8 kb Sma I fragment and 0.5 kb fragment, respectively, derived from the cloned rat PDGF-A and PDGF-B cDNAs (16), kindly provided by Dr. Dai Katayose (NHLBI/NIH, Bethesda, MD). For PDGF-A, the Nco I digested plasmid was transcribed by T3 RNA polymerase to generate digoxigenin-labeled antisense, and the Bam HI digested plasmid was transcribed with T7 RNA polymerase to generate digoxigenin-labeled sense RNA probes. For PDGF-B, the Bam HI digested plasmid was transcribed with T7 RNA polymerase to prepare the antisense and the Hind III digested plasmid was transcribed with T3 RNA polymerase to generate the sense probe (Genius 4NA Labeling Kit; Boehringer Mannheim Corp.).

Hybridization. Hybridization in 4× SSC + 50% formamide at 43°C and post-hybridization washes + RNase A digestion were carried out as described previously (14). The hybrids were detected with alkaline phosphatase conjugated anti-digoxigenin antibodies followed by visualization within NBT/NCIP chromogen as described by the manufacturer (Boehringer Mannheim). As routine controls in each experiment, no signal was detected if the probe was excluded or the sense probe was employed, or if the section was pretreated with ribonuclease A.

Immunohistochemistry

Immunohistochemical staining for PDGF-AA, -BB and vimentin proteins was performed using the immunoperoxidase technique described previously (14). In summary, detection of AA and AB isoforms was with a rabbit anti-human PDGF-A chain IgG polyclonal antibody (5 µg/ml; ZymoGenetics Inc., Seattle, WA) pretreated with 0.1% pepsin at 37°C for 30 min. This antibody has < 1% cross-reactivity to the PDGF-BB chain and reacts with both human and rat tissues (17, 18). The PDGF-BB and -AB isoforms were detected with PGF 007, a mouse anti-human PDGF-BB monoclonal antibody (5 µg/ml; Mochida Pharmaceutical Co., Tokyo, Japan) that reacts with human and rat PDGF-BB (19, 20). PGF 007 was generated to a 25-amino acid peptide located near the COOH-terminus of B chain of PDGF (residues 73-97 of the mature B chain) and recognizes PDGF-BB and -AB, but not PDGF-AA (21). Detection of vimentin was with V9, a mouse anti-vimentin monoclonal antibody (4 µg/ml; Dako, Carpinteria, CA). Primary antibodies were incubated in 0.1% gelatin/1% BSA-PBS for 1 h at room temperature followed by a wash with 0.1% gelatin/1% BSA-PBS. After the incubation with the primary antibody, the slides were incubated with biotinylated goat anti-rabbit and -mouse IgG (Jackson Immunoresearch, West Grove, PA) diluted 1:4,000 in 0.1% gelatin/1% BSA-PBS for 1 h followed by 2 washes in the same buffer without antibody. Visualization of immune conjugates was achieved by oxidation of diaminobenzidine (DAB) by streptavidin-conjugated horseradish peroxidase as described previously (14). For negative controls, an equivalent dilution of normal rabbit or mouse IgG replaced the primary antibodies for all immunostaining.

Quantitative Analysis

Results were quantified as described previously (14). Briefly, two sections from each of the 5 animals at each time point of the 3 treatment groups were evaluated. Fifteen hundred epithelial cells and 1,000 interstitial cells were counted from 4 to 6 bronchiolar alveolar duct units, each including a terminal bronchiole, the alveolar walls between the terminal bronchiole and first alveolar duct bifurcation, as well as the first alveolar duct bifurcation itself. Stained cells were counted by light microscopy at ×400 magnification for PDGF-AA and PDGF-BB, -AB immunostaining to generate the percentages of positive cells. Epithelial and interstitial cells were identified by anatomic location relative to the basement membrane. Three-way analysis of variance (ANOVA) was carried out to determine differences among independent variables (i.e., trial, exposure time). One-way ANOVA was performed to establish differences between exposures at each time point.

    Results
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

Whole Lung mRNA by RNase Protection Assay

PDGF is a potent mitogen for mesenchymal cells with an essential role in lung development. Thus it could be a mediator of the fibrogenic effects caused by inhaled toxic agents. To determine whether or not there was increased PDGF mRNA that could be detected in whole lung homogenates of asbestos-exposed rats, we used the sensitive RNase protection assay (RPA) (15). RNA was extracted from the lungs of rats exposed for 5 h to an aerosol of chrysotile asbestos fibers at various times post-exposure to assess changes in the level of PDGF mRNA. The analysis included two simultaneously processed control groups that consisted of animals exposed to an aerosol of carbonyl iron spheres or sham-exposed to air. Equal amounts of lung RNA from an animal in each group were probed for PDGF-A and PDGF-B mRNAs by RNase protection (Figure 1). Unexposed animals expressed low levels of PDGF-A and PDGF-B mRNAs in the lung throughout the experimental time course (Figure 1). Inhaled asbestos produced a 3.5-4.0-fold increase in the level of both PDGF-A and PDGF-B mRNAs in the lung as determined by densitometry (data not shown). Higher levels were detected immediately after the 5-h exposure to asbestos (0 h) and remained high at the 2-wk time point post-exposure (Figure 1). In contrast, inhaled nonfibrogenic carbonyl iron particles, which deposit with a pattern similar to asbestos, did not induce a significant increase in PDGF-A or PDGF-B mRNA levels at any time (Figure 1). Control experiments with yeast tRNA verified the specificity (not shown) and demonstrated equal inputs of lung RNA in each assay (Figure 1). These data indicate that asbestos induces a rapid and prolonged increase in the levels of PDGF mRNA in the lung, but to make a specific association of PDGF expression with the sites of fiber deposition and lung injury requires in situ hybridization and immunostaining experiments described below.


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Figure 1.   RNase protection assay detects elevated levels of PDGF-A and PDGF-B mRNAs in the lung. (A) Rats were unexposed (lanes 3, 6, and 9), exposed to an aerosol of iron beads (lanes 2, 5, and 8), or to an aerosol of asbestos fibers (lanes 1, 4, and 7). Immediately after the 5-h exposure period (0 h; lane 1-3), 2 days post-exposure (lanes 4-6) and 2 wk post-exposure (lanes 7-9) total lung RNA was prepared from three different animals in each exposure group. Equal amounts of RNA (20 µg) were probed by ribonuclease protection assay with a radioactive RNA probe for rat PDGF-A mRNA. The radiolabeled protection products from the assay were fractionated in polyacrylamide gel containing 7 M urea. Only the relevant portion of the gel is shown for one animal at each point. The findings were the same for all three animals analyzed. Asbestos exposure clearly induced increased PDGF-A mRNA expression at all three time points assessed. The lower portion of the figures depicts the input lung RNA sample displayed in an agarose gel that was subsequently stained with ethidium bromide. The integrity and relative amounts of each RNA sample analyzed in the ribonuclease protection assay appear to be equivalent. The 28S and 18S rRNAs are indicated. (B) Same as A except PDGF-B mRNA levels were assessed at the indicated times for one animal in each of the exposure groups.

Vimentin Immunohistochemistry

In previous studies, we presented the histopathology and morphometry of the fibroproliferative lesions caused by brief exposures to chrysotile asbestos in rats and mice (11- 13). Here we add to the earlier findings the dramatic effect on the peribronchiolar-alveolar interstitium as demonstrated by immunohistochemistry of vimentin expression (Figure 2). This intermediate-filament protein becomes prominent as the interstitial mesenchymal cell populations expand and the macrophages (both alveolar and interstitial) are activated to migrate to the sites of fiber deposition and lung injury (13, 22). These vimentin-rich regions serve to highlight the anatomic locations upon which we have focused the studies reported below using immunohistochemistry and in situ hybridization.


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Figure 2.   Vimentin immunohistochemistry. (A) The bronchiolar-alveolar duct regions in unexposed animals exhibited little staining by an anti-vimentin antibody. (B) These same regions became hyperplastic and hypertrophic consequent to asbestos exposure. By 48 h post-exposure, numerous macrophages and interstitial mesenchymal cells of the peribronchiolar and duct interstitium stain clearly for vimentin. (C) Bronchiolar-alveolar duct region enlarged from Figure B (in box). (D) The staining intensity is reduced by 2 wk post-exposure, but numerous cells remain positive. Br = bronchiole; AD = alveolar duct. Bars = 20 µm.

In Situ Hybridization

We predicted that gene expression for PDGF-A and -B would be most prominent at sites of initial fiber deposition and lung injury. As seen in Figures 3 and 4, this is the case. Several key controls are necessary to validate in situ hybridization as a specific marker of gene expression. First, in Figures 3A and 4A, we show that unexposed animals exhibit little labeling by antisense mRNA in any cell types. Second, the sense mRNA probes for PDGF-A and -B do not produce a signal within the tissues, even in obvious asbestos-induced lesions (Figures 3B and 4C). Iron-exposed rats also showed little labeling with antisense mRNA (not shown). PDGF-B chain message could be detected in a few cells immediately after the 5-h exposure (Figure 4B), and the signal persisted for at least 2 wk post-exposure in both A and B chain studies (Figures 3D and 4F).


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Figure 3.   In situ hybridization---PDGF-A. (A) Low magnification view of the bronchiolar-alveolar duct region from a sham (air)-exposed rat. These tissues were hybridized with the antisense probe for PDGF-A, and essentially no staining was observed. (B) In an animal exposed to chrysotile asbestos for 5 h, several fibroproliferative lesions are seen (arrows) 48 h post-exposure, but the tissue was treated with the sense probe for PDGF-A, and no staining reaction is noted. (C) 48 hours after asbestos exposure, multiple lesions of the alveolar duct walls are observed (boxes). These tissues treated with the antisense probe demonstrate the distribution of PDGF-A mRNA in macrophages as well as in epithelial and interstitial cells of the lesions. Three of the lesions are boxed in this figure and are magnified in C1-3. (C1-3) Here, epithelial cells (arrows), macrophages (M), and interstitial cells (arrowheads) clearly have hybridized with the antisense probe. (D) The signal has waned but is present in the lesions and surrounding macrophages at 2 wk post-exposure. Bars  = 20 µm.


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Figure 4.   In situ hybridization---PDGF-B. (A) Unexposed animals exhibit no apparent expression of PDGF-B mRNA. (B) Immediately after the 5-h exposure, no lesions are apparent, but some bronchiolar epithelial cells (arrow) and macrophages (M) have hybridized with the PDGF-B antisense mRNA. (C) A prominent alveolar duct lesion (arrow) remains unstained by the sense probe. (D) 48 h post-exposure, the bronchiolar-alveolar duct regions of the lung exhibit clear hybridization of the antisense PDGF-B mRNA. Epithelial cells of the bronchiole (Br) and duct bifurcation (box) are intensely labeled. (E) Higher magnification of the area boxed in Figure D. Hybridized epithelial (arrows) and interstitial cells (arrowheads) are apparent. (F) 2 wk post-exposure, few hybridized cells are apparent (arrows) in the bronchioles and alveolar ducts. Bars = 20 µm.

In Figures 3C and 4C are shown typical asbestos-induced fibrogenic lesions hybridized with the antisense mRNA probes for PDGF-A and -B, respectively. There is clear labeling of increased numbers of bronchiolar-alveolar epithelial cells, macrophages, and interstitial cells, particularly at 48 h post-exposure (Figures 3C and 4D). We demonstrate in Figures 3D and 4F that the hybridization is reduced but still obvious at 14 days post-exposure. The labeled cells include Clara cells of the terminal bronchioles, cuboidal epithelial cells covering the alveolar duct bifurcations, alveolar and interstitial macrophages, as well as populations of interstitial cells, although the precise identity of each cell type in this compartment is not entirely clear. Scattered type II cells are labeled in the lung parenchyma adjacent to the bronchiolar-alveolar duct regions (Figures 3 and 4).

An estimate of the number of PDGF mRNA containing cells was carried out by reviewing slides from exposed animals, with the observer blinded as to time after exposure. Control animals were not included in this exercise because they are obviously negative. Table 1 shows time-related changes with the largest number of cells hybridized for both PDGF-A and -B mRNAs appearing in the tissues at 48 h post-exposure (see Figures 3C and 4D). The epithelial cells appeared to hybridize most intensely compared to macrophages and interstitial cells, but this feature does not lend itself well to quantitation.

                              
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TABLE 1
Expression of PDGF-A and -B mRNAs at bronchiolar-alveolar regions in the lung of the rats exposed to asbestos

Immunohistochemistry

The first evidence of increased immunostaining for PDGF-A and -B chain proteins appeared at 24 h post- exposure. No staining could be ascertained immediately after the 5-h exposure (not shown) although the mRNAs were apparent at this time (see Figures 1, 3 and 4). The lungs of unexposed and iron-exposed rats exhibited little staining (Figures 5A and 6A). By 48 h post-exposure, the most intense reaction was apparent, with epithelial cells, macrophages, and interstitial fibroblasts clearly staining (Figures 5C and 6C). Non-immune serum did not produce staining of adjacent histologic sections (Figures 5B and 6B). Clara cells lining the bronchioles as well as type II alveolar cells and cuboidal epithelial cells covering the alveolar duct bifurcations exhibited brilliant immunohistochemical reactions (Figures 5 and 6). Spindle-shaped mesenchymal cells (i.e., fibroblasts or myofibroblasts) contained PDGF-A and -B in the lung interstitium (Figures 5D and 6D). The number of cells positive for the immunostain was maintained for 8 days and waned by 2 wk post-exposure (Figures 5I and 6H). Little staining was observed after 3 wk (not shown), consistent with the in situ hybridization data described above.


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Figure 5.   Immunohistochemistry---PDGF-A. (A) Lung tissue from unexposed animals exhibits essentially no staining with the antibody to PDGF-A protein. (B) Peribronchiolar-alveolar duct lesions (arrows) in animals 48 h post-exposure do not stain if an IgG fraction is substituted for the primary antibody. (C) An adjacent section exhibits clear staining of the alveolar duct lesion (boxed and magnified in D). (D) This fibroproliferative lesion shows epithelial (arrows) and interstitial cells (arrowheads) stained with the anti-PDGF-A antibody. (E) (and enlarged in [F]) 4 days post-exposure, the antibody stains epithelial (arrows) and interstitial cells (arrowhead). (G) (and enlarged in [H]) By 2 wk post-exposure, staining is obvious but the number of stained cells is reduced in the lesions. Bars = 20 µm.


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Figure 6.   Immunohistochemistry---PDGF-B. (A) Tissue from unexposed animals does not stain with the antibody to PDGF-B. (B) Staining with non-specific IgG is negative. (C) (and enlarged in [D]) This fibroproliferative lesion (boxed) developed by 48 h post-exposure and exhibits a number of intensely stained epithelial cells. Only one unstained epithelial cell (asterisk) is apparent on the bifurcation surface. Several obvious interstitial cells, probably macrophages and myofibroblasts (arrowheads), stain intensely with the antibody against PDGF-B. (E) (and enlarged in [F]) 4 days post-exposure, epithelial cells (arrow), macrophages (M) and interstitial cells (arrowheads) are stained in the lesions. (G) (and enlarged in [H]) The epithelium (arrows) remains positively stained around the duct lesions at 2 wk post-exposure. Bars = 20 µm.

Again, we quantified the number of stained cells with the observer blinded as to the time post-exposure (Figure 7). As can be seen in the light micrographs of immunostained tissues (Figures 5 and 6), it is not difficult to ascertain the numbers of stained cells in both alveolar and interstitial compartments, although it was not possible in every case to establish the precise cell types. Expressed as percentages of cells immunolabeled in either the epithelial or interstitial compartments, PDGF-A and -B peptides follow the same general time course (Figure 7). The major difference appears to be that the percentages of stained cells were fewer by 50% in the interstitium of the alveolar lesions compared to the stained cells in lesions of the interstitium of the bronchiolar-alveolar duct walls 48 h post- exposure (not shown). In addition, the percentages of stained epithelial cells, for both A and B proteins, were consistently higher at almost every time point after exposure than the values for the interstitial cells. There are several points to note concerning these quantitative data: (1) few stained cells could be identified immediately after exposure; (2) the unexposed and iron-exposed animals exhibited few labeled cells at any time during the observation period; and (3) by 1 mo post-exposure, the number of positive cells had returned to the normal low level.


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Figure 7.   Semi-quantitative analysis of immunostained cells. The time course of PDGF-A and -B proteins is expressed as a percentage of total cells counted. There were about twice the numbers of stained epithelial cells compared with interstitial cells in a given anatomic compartment through the 2-wk time point post-exposure. (Note the different scales of the Y-axis for the two cell types). Immunostaining returned to background levels by 1 mo post-exposure, but the interstitial lesion remains prominent at this time (see references 13 and 25). Temporal and anatomic distribution of PDGF-A and -B appeared similar, consistent with the patterns of gene expression (see Figure 3). a = P < 0.001; b = P < 0.01; c = p < 0.05.

    Discussion
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

We have demonstrated that both PDGF-A and -B are increased in the epithelium, interstitium, and macrophages of the bronchiolar-alveolar duct regions of rat lungs consequent to a 5-h exposure to chrysotile asbestos fibers. The mRNAs coding for these proteins were upregulated during the 5-h exposure period (Figures 1, 3 and 4). This rapid mRNA increase and protein elaboration is consistent with the pattern of cell proliferation we have documented previously in this animal model (11, 12). For example, a single brief (1- or 3-h) exposure to asbestos induced a significant increase in the percentages of mesenchymal cells and vascular smooth muscle cells incorporating tritiated thymidine by 12 h post-exposure (12, 23), and the numbers and volume of these cells increased accordingly by 2 days after exposure (13, 23, 24). These cell types are major components of hyperplastic, hypertrophic interstitial lesions measured at 1 mo and 6 mo after a brief asbestos exposure (13, 25). Smooth muscle cells, fibroblasts, and myofibroblasts are the cell types most richly endowed with cell surface receptors for the PDGF isoforms (1, 2). The fact that these cell types are responding vigorously in vivo supports our working hypothesis that this potent growth factor is playing a role in the fibroproliferative response leading to fibrogenic lung disease. Further experiments using transgene and knockout technology are necessary to establish whether or not our postulate will hold true. Two recent papers, one using PDGF-A deficient mice (3), and the other using instillation of PDGF-BB into the trachea (26), strongly support a role for the PDGF isoforms in myofibroblast proliferation during lung development and in mediating interstitial fibrogenesis.

Clearly there are a number of growth factors and cytokines that induce cell proliferation (27). The major problem in establishing the mechanisms of fibrogenic disease is due to this simultaneous elaboration of multiple factors that could be playing a role. Thus, investigators must choose the appropriate technologies to sort out those factors that are most likely to be contributors to the process. Current findings suggest that multiple factors are involved in the development of fibrogenic lung disease. For example, transforming growth factor beta (TGF-beta ) is believed to be central to the development of bleomycin-induced interstitial fibrosis (28). Also, transgenic mice overexpressing TGF-alpha develop severe interstitial pulmonary fibrosis (29), and an antibody to tumor necrosis factor alpha (TNF-alpha ) has been shown to reduce experimental silicosis in mice (30). In addition, human lung tissues exhibiting various stages of fibrosis have been stained for the presence of multiple growth factors including TGF-beta (31), TGF-alpha (32), TNF-alpha (33) and PDGF (34). Indeed, studies in animal models and human tissues support the concept of multiple factors contributing to the fibrogenic process. In the experiments reported here, we opted to use in situ hybridization and immunohistochemistry to ask whether or not PDGF-A and -B chains are present in the appropriate anatomic locations and temporal sequence associated with developing fibrogenic lesions. While the data indicate a spatial and temporal pattern of expression consistent with our postulate that PDGF is integral to fibroproliferative lung disease, we are only slightly closer to knowing if the growth factor is playing a mechanistic role. If the genes and proteins were not expressed as predicted, it might be possible to exclude PDGF as a significant mediator of the early fibroproliferative response. Thus, we must continue pursuit of the technologies that will allow definitive answers to the fundamental questions. In our view, the current methods to produce transgenic and knockout mice hold the key.

Based upon what is known about gene and protein expression in animal models of lung injury, it is possible to reconstruct a partial scenario of how several growth factors may be functioning. Using asbestos-induced lung fibrosis as a paradigm of lung injury, it is clear that multiple events lead to the fibroproliferative process. For example, elegant studies from Mossman's laboratory (35) show a rapid upregulation of genes coding for antioxidant enzymes. This has been interpreted to mean that tissue-damaging oxygen radicals are being generated soon after asbestos exposure, and this could be the initial mechanism through which inhaled fibers injure the bronchiolar-alveolar epithelium (36). Such injury consequently could activate the expression of epithelial cell mitogens like TGF-alpha (14), mesenchymal mitogens (e.g., PDGF), and inducers of extracellular matrix elements like TGF-beta . This view of events is supported by a recent study from our group showing that a single 5-h exposure to asbestos upregulates TGF-alpha expression, primarily in macrophages and the bronchiolar-alveolar epithelium (14). As demonstrated here for PDGF, TGF-alpha was found only at sites of lung injury, and not in unexposed or control iron-exposed animals. The major difference in the pattern of expression between PDGF and TGF-alpha is that PDGF is demonstrated in significantly more interstitial cells than TGF-alpha , and PDGF gene expression can be detected more rapidly, i.e., immediately after the exposure versus 24 h post-exposure for TGF-alpha . Whether or not these findings tell us anything about the function of these factors is not known at this time, particularly since it is becoming apparent that cells responding to injury can exhibit alterations in PDGF-alpha receptor expression and respond accordingly (37). This concept of PDGF-alpha receptor upregulation by injury or membrane perturbation adds another variable to an already complex pathobiology, as we have suggested previously (2). In addition, not only are multiple "pro-growth" factors being elaborated as a result of injury, there are "anti-growth" factors. The best characterized of these are prostaglandins and interferons that reduce fibroblast growth (38), interleukin 10 (39), and TGF-beta (40). This potent factor not only blocks both epithelial and mesenchymal cell proliferation, it also induces extra-cellular matrix production by fibroblasts (40), a distinct feature of the fibroproliferative process. We have shown that TGF-beta is expressed in these asbestos-exposed animals (41) as part of the developing scenario of growth factor elaboration, but the distribution of interferons, arachidonic acid metabolites or interleukins remains undefined in this model. Thus, as a result of deposition of fibers and the consequent injury, macrophages are summoned by complement proteins (22) and numerous fibers are phagocytized on the alveolar surfaces (2, 11, 13). Many of the inhaled fibers are transported to the lung interstitium by the alveolar epithelium (42), activating growth factor genes in macrophages, alveolar epithelium and interstitial mesenchymal cells, shown here for PDGF and referenced above for TGF-alpha and -beta . With the brief, intense exposures used in our experiments, cell proliferation peaks rapidly and returns to normal within 1 or 2 wk, depending upon the duration of exposure (12, 14, 23, 25). This is consistent with the growth factor expression shown here and in our earlier studies (14). Even though cell proliferation and growth factor presence wane, obvious fibroproliferative lesions develop and persist for at least 6 mo post-exposure (25). Of course, we do not know if it is the epithelial, mesenchymal, or macrophage-derived factors, singly or in combination, that are the central mediators of lesion development. We also propose that continuous or repeated exposure to a toxic agent like asbestos will induce chronic expression of the growth factors, thus inducing the diffuse nature of the interstitial process (43).

New findings from our laboratory show that the p53 tumor suppressor protein is expressed with similar temporal and anatomic features as the PDGF, TGF-alpha (14), and TGF-beta proteins described above (44). Our findings are consistent with studies in a swine model of wound healing after acute cutaneous injury where PDGF-B and PDGF-beta receptor expression precede the appearance of p53 (45). PDGF appeared to be expressed during the cell proliferation stage of healing, and p53 became apparent at later times. It was proposed that this inverse relationship of PDGF and p53 expression reflected their reciprocal roles in the healing process. However, the recent finding that p53 can activate expression of the TGF-alpha gene (46) suggests a potential role for the p53 protein at the earliest events critical to the initiation of fibroproliferative disease. We currently are using transgenic mouse models, asking whether or not p53 is significant in cytokine gene expression in asbestos-exposed mice.

The rapid activation of PDGF expression shown here in asbestos-exposed rats suggests that PDGF may initiate or amplify other early events associated with asbestos- induced lung injury. The rapid activation of transcription factors such as AP-1 (47) or NF-kappa B (48) that is observed in asbestos-exposed cells in culture could promote production of PDGF. Moreover, PDGF can stimulate the activity of AP-1 (49) and NF-kappa B (50). Thus, asbestos exposure may stimulate a positive feedback loop that promotes mesenchymal cell proliferation via PDGF as we previously proposed (2, 51). This postulate is reasonable because it now is clear that asbestos exposure upregulates PDGF gene expression and protein production in the interstitial compartment of the lung at sites of developing fibroproliferative lesions (see Figures 3-7). Furthermore, new information from this model system shows an increase in PDGF-alpha -receptor mRNA and protein in the lung interstitium following asbestos exposure (J. Lasky, unpublished observations).

The main message we wish to convey is that the genes for multiple growth factors, anti-growth factors, antioxidants, and regulatory proteins are upregulated during the development of fibroproliferative lung disease. We show here that PDGF-A and -B chain expression fits neatly into the scenario as a potent mesenchymal cell mitogen. It obviously is not the only one, and we will not understand the precise role of each element in the process until the appropriate technologies are applied.

    Footnotes

Address correspondence to: Arnold R. Brody, Ph.D., Lung Biology Program and Department of Pathology, Tulane University Medical Center, 1430 Tulane Avenue; SL-79, New Orleans, LA 70112. E-mail: abrody{at}tmc.tulane.edu

(Received in original form March 10, 1997 and in revised form April 11, 1997).

   The authors want to thank MOCHIDA Pharmaceutical Co., Ltd. for the gift of PGF 007 and the staff of Tulane Medical Center Anatomic Histopathology Laboratory for technical assistance.

Acknowledgments: This work was supported by NIH grants RO1 ES06766 (A.R.B.), R29 ESO7856 (G.F.M.), and K08HL03374 (J.A.L.). The authors also acknowledge the continued support of the Tulane Center for Bioenvironmental Research and The Tulane Cancer Center.

Abbreviations ANOVA, analysis of variance; IHC, immunohistochemistry; ISH, in situ hybridization; PDGF, platelet-derived growth factor; TGF, transforming growth factor; TNF, tumor necrosis factor.

    References
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

1. Ross, R., E. W. Raines, and D. F. Bowen-Pope. 1986. The biology of platelet-derived growth factor. Cell 46: 155-169 [Medline].

2. Bonner, J. C., A. L. Goodell, P. G. Coin, and A. R. Brody. 1993. Chrysotile asbestos upregulates gene expression and production of alpha-receptors for platelet-derived growth factor (PDGF-AA) on rat lung fibroblasts. J. Clin. Invest. 92: 425-430 .

3. Boström, H., K. Willetts, M. Pekny, P. Levéen, P. Lindahl, H. Hedstrand, M. Pekna, M. Hellström, S. Gebre-Medhin, M. Schalling, M. Nilsson, S. Kurland, J. Törnell, J. K. Heath, and C. Betsholtz. 1996. PDGF-A signaling is a critical event in lung alveolar myofibroblast development and alveogenesis. Cell 85: 863-873 [Medline].

4. Ferns, G. A. A., E. W. Raines, K. H. Sprugel, A. S. Motani, M. A. Reidy, and R. Ross. 1991. Inhibition of neointimal smooth muscle accumulation after angioplasty by an antibody to PDGF. Science 253: 1129-1132 [Abstract/Free Full Text].

5. Levéen, P., M. Pekny, S. Gebre-Medhin, B. Swolin, E. Larsson, and C. Betsholtz. 1994. Mice deficient for PDGF-B show renal, cardiovascular, and hematological abnormalities. Genes Dev. 8: 1875-1887 [Abstract/Free Full Text].

6. Pierce, G. F., J. E. Tarpley, R. M. Allman, P. S. Goode, C. M. Serdar, B. Morris, T. A. Mustoe, J. Vande, and Berg. 1994. Tissue repair processes in healing chronic pressure ulcers treated with recombinant platelet-derived growth factor BB .  Am. J. Pathol. 145: 1399-1410 [Abstract].

7. Ross, R., J. A. Glomset, B. Kariya, and L. Harker. 1974. A platelet-dependent serum factor that stimulates the proliferation of arterial smooth muscle cells in vitro. Proc. Natl. Acad. Sci. USA 71: 1207-1210 [Abstract/Free Full Text].

8. Heldin, C. H., A. Östman, and B. Westermark. 1993. Structure of platelet-derived growth factor: implications for functional properties. Growth Factors 8: 245-252 [Medline].

9. Seifert, R. A., C. E. Hart, P. E. Philips, J. W. Forstrom, R. Ross, M. Murray, and D. F. Bowen-Pope. 1989. Two different subunits associate to create isoform-specific platelet-derived growth factor receptors. J. Biol. Chem. 264: 8771-8778 [Abstract/Free Full Text].

10. Heldin, C.-H., A. Ernlund, C. Rorsman, and L. Rönnstrand. 1989. Dimerization of B-type platelet-derived growth factor receptors occurs after ligand binding and is closely associated with receptor kinase activation. J. Biol. Chem. 264: 8905-8912 [Abstract/Free Full Text].

11. Brody, A. R. 1992. Asbestos exposure as a model of inflammation inducing interstitial pulmonary fibrosis. In Inflammation: Basic Principles and Clinical Correlates. J. Gallin, A. Goldstein, and R. Snyderman, editors. Raven Press, Ltd., New York. 1033-1049.

12. Brody, A. R., and L. H. Overby. 1989. Incorporation of tritiated thymidine by epithelial and interstitial cells in bronchiolar-alveolar regions of asbestos-exposed rats. Am. J. Pathol. 134: 133-144 [Abstract].

13. Chang, L. Y., L. H. Overby, A. R. Brody, and J. D. Crapo. 1988. Progressive lung cell reactions and extracellular matrix production after a brief exposure to asbestos. Am. J. Pathol. 131: 156-170 [Abstract].

14. Liu, J.-Y., G. F. Morris, W.-H. Lei, M. Corti, and A. R. Brody. 1996. Up-regulated expression of transforming growth factor-alpha in the bronchiolar-alveolar duct regions of asbestos-exposed rats. Am. J. Pathol. 149: 205-217 [Abstract].

15. Morris, G. F., and M. B. Mathews. 1991. The adenovirus E1A transforming protein activates the proliferating cell nuclear antigen promoter via an activating transcription factor site. J. Virol. 65: 6397-6406 [Abstract/Free Full Text].

16. Hammacher, A., U. Hellman, A. Johnsson, A. Ostman, K. Gunnarson, B. Westermark, A. Wasteson, and C.-H. Heldin. 1988. A major part of PDGF purified from human platelets is a heterodimer of one A chain and one B chain. J. Biol. Chem. 263: 16493-16498 [Abstract/Free Full Text].

17. Ansel, J. C., J. P. Tiesman, J. E. Olerud, J. G. Krueger, J. F. Krane, D. C. Tara, G. D. Shipley, D. Gilbertson, M. L. Usui, and C. E. Hart. 1993. Human keratinocytes are a major source of cutaneous platelet-derived growth factor. J. Clin. Invest. 92: 671-678 .

18. Qu, Z., M. Picou, T. T. Dang, E. Angell, S. R. Planck, C. E. Hart, and J. T. Rosenbaum. 1994. Immunolocalization of basic fibroblast growth factor and platelet-derived growth factor-A during adjuvant arthritis in the Lewis rat. Am. J. Pathol. 145: 1127-1139 [Abstract].

19. Ross, R., J. Masuda, E. W. Raines, A. M. Gown, S. Katsuda, M. Sasahara, L. T. Malden, H. Masuko, and H. Sato. 1990. Localization of PDGF-B protein in macrophages in all phases of atherogenesis. Science 248: 1009-1012 [Abstract/Free Full Text].

20. Iida, H., R. Seifert, C. E. Alpers, R. G. K. Gronwald, P. E. Phillips, P. Pritzl, K. Gordon, A. M. Gowh, R. Ross, D. F. Bowen-Pope, and R. J. Johnson. 1991. Platelet-derived growth factor (PDGF) and PDGF receptor are induced in mesangial proliferative nephritis in the rat. Proc. Natl. Acad. Sci. USA 88: 6560-6564 [Abstract/Free Full Text].

21. Shiraishi, T., S. Morimoto, K. Itoh, H. Sato, K. Sugihara, T. Onishi, and T. Ogihara. 1989. Radioimmunoassay of human platelet-derived growth factor using monoclonal antibody toward a synthetic 73-97 fragment of its B-chain. Clin. Chim. Acta 184: 65-74 [Medline].

22. Warheit, D. B., G. George, L. H. Hill, R. Snyderman, and A. R. Brody. 1985. Inhaled asbestos activates a complement-dependent chemotactic factor for macrophages. Lab. Invest. 52: 505-514 [Medline].

23. McGavran, P. D., L. M. Moore, and A. R. Brody. 1990. Inhalation of chrysotile asbestos induces rapid cellular proliferation in small pulmonary vessels of mice and rats. Am. J. Pathol. 136: 695-705 [Abstract].

24. McGavran, P. D., C. J. Butterick, and A. R. Brody. 1990. Tritiated thymidine incorporation and the development of an interstitial lesion in the bronchiolar-alveolar regions of the lungs of normal and complement-deficient mice after inhalation of chrysotile asbestos. J. Env. Pathol. Toxicol. Oncol. 6: 377-392 .

25. Coin, P. G., A. Osornio-Vargas, V. L. Roggli, and A. R. Brody. 1996. Pulmonary fibrogenesis after three consecutive inhalation exposures to chrysotile asbestos. Am. J. Respir. Crit. Care Med. 154: 1511-1519 [Abstract].

26. Yi, E. S., H. Lee, S. Yin, P. Piguet, I. Sarosi, S. Kaufmann, J. Tarpley, N.-S. Wang, and T. R. Ulich. 1996. Platelet-derived growth factor causes pulmonary cell proliferation and collagen deposition in vivo. Am. J. Pathol 149: 539-548 [Abstract].

27. Sporn, M. B., and A. B. Roberts, editors. 1991. Peptide Growth Factors and Their Receptors, Vol. I-II. Springer-Verlag, New York.

28. Zhang, K., K. C. Flanders, and S. H. Phan. 1995. Cellular localization of transforming growth factor-beta expression in bleomycin-induced pulmonary fibrosis. Am. J. Pathol. 147: 352-361 [Abstract].

29. Korfhagen, T. R., R. J . Swantz, S. E. Wert, J. M. McCarty, C. B. Kerlakian, S. W. Glasser, and J. A. Whitsett. 1994. Respiratory epithelial cell expression of human transforming growth factor-alpha induces lung fibrosis in transgenic mice. J. Clin. Invest. 93:1691-1699.

30. Piguet, P. F., M. A. Collart, G. E. Grau, A. P. Sappino, and P. Vassalli. 1990. Requirement of tumor necrosis factor for development of silica-induced pulmonary fibrosis. Nature 344: 245-247 [Medline].

31. Broekelmann, T. J., A. H. Liuper, T. V. Colby, and J. A. McDonald. 1991. Transforming growth factor beta 1 is present at sites of extracellular matrix gene expression in human pulmonary fibrosis. Proc. Natl. Acad. Sci. USA 88: 6642-6646 [Abstract/Free Full Text].

32. Yasui, W., J. Zhong-Qiang, H. Kuniyasu, A. Ayhan, H. Yokozaki, H. Ito, and E. Tahara. 1992. Expression of transforming growth factor-alpha in human tissues: immunohistochemical study and Northern blot analysis. Virchows Arch. 421: 513-519 .

33. Piguet, P. F., C. Ribaux, V. Karpuz, G. E. Grau, and Y. Kapanci. 1993. Expression and localization of tumor necrosis factor alpha  and its mRNA in idiopathic pulmonary fibrosis. Am. J. Pathol. 143: 651-655 [Abstract].

34. Antoniades, H. N., M. A. Bravo, R. E. Avila, T. Galanopoulos, J. Neville-Golden, M. Maxwell, and M. Selman. 1990. Platelet-derived growth factor in idiopathic pulmonary fibrosis. J. Clin. Invest. 86: 1055 .

35. Quinlan, T. R., K. A. BéruBé, J. P. Marsh, Y. M. W. Janssen, P. Taisi, K. O. Leslie, D. Hemenway, P. T. O'Shaughnessy, P. Vacek, and B. T. Mossman. 1995. Patterns of inflammation, cell proliferation, and related gene expression in lung after inhalation of chrysotile asbestos. Am. J. Pathol. 147: 729-739 .

36. Mossman, B. T., J. P. Marsh, A. Sesko, S. Hill, A. Shatos, J. Doherty, K. Petruska, B. Adler, D. Hemenway, R. Mickey, P. Vacek, and E. Kagan. 1990. Inhibition of lung injury, inflammation, and interstitial pulmonary fibrosis by polyethyleneglycol conjugated catalase in a rapid inhalation model of asbestosis. Am. Rev. Respir. Dis. 141: 1266-1271 [Medline].

37. Lindner, V., and M. A. Reidy. 1995. Platelet-derived growth factor ligand and receptor expression by large vessel endothelium in vivo. Am. J. Pathol. 146: 1488-1497 [Abstract].

38. Badgett, A., J. C. Bonner, and A. R. Brody. 1996. Interferon-gamma modulates lung macrophage production of PDGF-BB and fibroblast growth. J. Lipid Mediat. Cell Signal. 13: 89-97 [Medline].

39. Moore, K. W., A. O'Garra, R. deWaal, Malfut, P. Viera, and R. Mossman. 1993. Interleukin 10.  Annu. Rev. Immunol. 11: 165-190 [Medline].

40. Roberts, A. B., M. A. Anzano, L. M. Wakefield, N. S. Roche, D. F. Stern, and M. B. Sporn. 1985. Type beta  transforming growth factor: a bifunctional regulator of cellular growth. Proc. Natl. Acad. Sci. USA 82: 119-123 [Abstract/Free Full Text].

41. Perdue, T. D., and A. R. Brody. 1994. Distribution of transforming growth factor-beta 1, fibronectin, and smooth muscle actin in asbestos-induced pulmonary fibrosis in rats. J. Histochem. Cytochem. 42: 1-10 [Abstract].

42. Brody, A. R., L. H. Hill, B. Adkins Jr., and R. W. O'Connor. 1981. Chrysotile asbestos inhalation in rats: deposition pattern and reaction of alveolar epithelium and pulmonary macrophages. Am. Rev. Respir. Dis. 123: 670-679 [Medline].

43. Rom, W. N., W. D. Travis, and A. R. Brody. 1991. Cellular and molecular bases of the asbestos-related diseases. Am. Rev. Respir. Dis. 143: 408-422 [Medline].

44. Mishra, A., J.-Y. Liu, A. R. Brody, and G. F. Morris. 1996. Inhaled asbestos fibers induce p53 expression in the rat lung. Am. J. Respir. Cell Mol. Biol. 15: 479-485 .

45. Antoniades, H. N., T. Galanopoulos, J. Neville-Golden, C. P. Kiritsy, and S.  E. Lynch. 1994. p53 expression during normal tissue regeneration in response to acute cutaneous injury in swine. J. Clin. Invest. 93: 2206-2214 .

46. Shin, T. H., A. J. Paterson, and J. E. Kudlow. 1995. p53 stimulates transcription from the transforming growth factor alpha promoter: a potential growth-stimulatory role for p53. Mol. Cell. Biol. 15: 4694-4701 [Abstract].

47. Heintz, N. H., Y. M. Janssen, and B. T. Mossman. 1993. Persistent induction of c-fos and c-jun expression by asbestos. Proc. Natl. Acad. Sci. USA 90: 3299-3303 [Abstract/Free Full Text].

48. Janssen, Y. M., A. Barchowsky, M. Treadwell, K. E. Driscoll, and B. T. Mossman. 1995. Asbestos induces nuclear factor kappa B (NF-kappaB) DNA-binding activity and NF-kappa B-dependent gene expression in tracheal epithelial cells. Proc. Natl. Acad. Sci. USA 92: 8458-8462 [Abstract/Free Full Text].

49. Olashaw, N. D., T. F. Kowalik, E. S. Huang, and W. J. Pledger. 1992. Induction of NF-kappa B-like activity by platelet-derived growth factor in mouse fibroblasts. Mol. Biol. Cell 3: 1131-1139 [Abstract].

50. Freter, R. R., J. A. Alberta, G. Y. Hwang, A. L. Wrentmore, and C. D. Stiles. 1996. Platelet-derived growth factor induction of the immediate-early gene MCP-1 is mediated by NF-kappa B and a 90-kDa phosphoprotein coactivator. J. Biol. Chem. 271: 17417-17424 [Abstract/Free Full Text].

51. Lasky, J. A., P. G. Coin, P. M. Lindroos, L. E. Ostrowski, A. R. Brody, and J. C. Bonner. 1995. Chrysotile asbestos stimulates gene expression and secretion of PDGF-AA by rat fibroblasts in vitro: evidence for an autocrine loop. Am. J. Respir. Cell Mol. Biol. 12: 162-170 [Abstract].





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