Published ahead of print on March 2, 2006, doi:10.1165/rcmb.2005-0305OC
© 2006 American Thoracic Society DOI: 10.1165/rcmb.2005-0305OC Modulation of MUC7 Mucin Expression by Exogenous Factors in Airway Cells In Vitro and In VivoDepartment of Oral Biology, School of Dental Medicine, State University of New York at Buffalo, Buffalo, New York
The human MUC7 gene encodes a low-molecular-mass mucin that participates in the maintenance of healthy epithelium in the oral cavity, and possibly in respiratory tracts, by promoting the clearance of various bacteria. We examined whether MUC7 gene is expressed in primary normal human tracheobronchial epithelial cells and whether the expression is modulated by exogenous factors. By assessing MUC7 transcripts, we found that the MUC7 gene was induced by culturing the normal human tracheobronchial epithelial cells at the airliquid interface, in which the cells were well differentiated. When the cells were treated with a panel of cytokines (IL-1 , IL-4, IL-13, and TNF- ), epidermal growth factor, or a bacterial product (Pseudomonas aeruginosa lipopolysaccharide [LPS]), MUC7 transcripts and glycoprotein products were increased 1.7- to 3.2-fold. The effect of LPS on MUC7 gene expression was also studied in the airway tissues of MUC7 gene transgenic mice. In the in vitro cultured trachea and lung explants, the LPS-treated tissues showed over 2-fold increased levels of MUC7 mRNA compared with the untreated specimens. These results were confirmed by in vivo studies using the lungs and tracheas harvested from the transgenic mice irritated by LPS through the tracheal instillation. By immunohistochemistry, MUC7 glycoprotein was localized in tracheal submucosa within the serous cells. Upon LPS stimulation, the overexpressed MUC7 remains confined to the serous glands. In the lungs, MUC7 seems to be expressed within the respiratory epithelium at the level of the bronchioles. Upon stimulation with LPS, it seems to be overexpressed within the same cells and within the stromal tissue.
Key Words: intratracheal instillation immunohistochemistry MUC7 gene expression and regulation MUC7 gene transgenic mice real-time PCR tracheobronchial epithelial cells
The human oral cavity and respiratory, gastrointestinal, and reproductive tracts are coated by a thin film of viscoelastic liquid (mucus) that provides lubrication and protection to the epithelial surfaces. Normal mucus secretion is important in maintaining epithelial integrity and nonimmune mucosal defense (13). Excessive mucus is likely associated with inflammatory response and epithelial diseases. Chronic respiratory diseases such as asthma, chronic obstructive pulmonary disease, and cystic fibrosis (CF) are characterized by airway inflammation and mucus hypersecretion. The mucus hypersecretion by itself could result in impaired mucociliary movement and compromised protective functions of mucosa (4). The major components of mucus are mucin glycoproteins, which are also the determinants of the viscoelasticity of mucus secretions. Mucus hypersecretion is the culmination of several complex processes, including mucin overexpression. At least 17 human mucin genes have been identified and designated MUC14, MUC5AC, MUC5B, MUC69, MUC1113, MUC1517, and MUC19. These genes are expressed in a wide range of tissues. The expression levels and patterns of mucins are subjected to variation during an inflammatory process, tumor progression, and carcinogenesis. For example, MUC1 overexpression was observed in most adenocarcinomas of the breast, lung, stomach, pancreas, prostate, and ovary (5, 6). MUC2 overexpression was thought to be a common characteristic of colon and pancreatic carcinomas (7). MUC3 was also upregulated in colon cancers (5). Aberrant expression of MUC5B was found in gastric cancer (8). Differential expression of MUC7 was linked to invasive bladder carcinoma (9, 10). Airway mucins often show an enhanced expression in response to inflammatory conditions. The expression of gel-forming mucins (MUC2, MUC5AC, and MUC5B) was increased during bacterial invasion (11). A similar observation was extended to CF airways (4, 12). The major infectious pathogen in airways is Pseudomonas aeruginosa, which produces a virulence factor known as lipopolysaccharide (LPS) that has the ability to initiate a host defense response (13, 14). Airway mucins have also shown to be regulated by cytokines and growth factors (15, 16). These observations have been reported mainly for MUC2, MUC5AC, and MUC5B, and there is no information available about MUC7 regulation in response to exogenous modulations.
The human MUC7 gene encodes a relatively small mucin glycoprotein (MG2; Although MUC7 gene expression was originally detected in salivary glands (21), this gene regulation has not been studied in vivo or in vitro because there is no appropriate salivary gland cell model available for this purpose. More recently, MUC7 gene expression was found in respiratory tracts (2224) and likely contributes to the protection of airway epithelium. There is a great upsurge in studies of airway mucin expression with primary cultures of normal human tracheobronchial epithelial (NHTBE) cells. The so-called "airliquid interface" (ALI) culture was found to be effective in promoting NHTBE cell differentiation and mucin gene expression. NHTBE cells grown in this configuration retain many morphologic and functional characteristics of in vivo airway epithelium (25). In the present study, we examined whether MUC7 is expressed in primary NHTBE cells and whether the same agents that modulate the expression of MUC2, MUC5AC, and MUC5B (cytokines, growth factors, and P. aeruginosa LPS) also modulate MUC7 gene expression. Second, the modulation of the MUC7 gene expression by P. aeruginosa LPS was studied in MUC7 transgenic mice airway and salivary gland tissues in vitro (cultured tissue explants) and in vivo. The modulation of the mouse endogenous mucin gene, muc10 (26), was also examined in cultured tissue explants.
Human Airway Cells NHTBE cells were obtained from Clonetics Corp. (San Diego, CA). They were cultured in bronchial epithelial growth medium (BEGM) supplemented with bovine pituitary extract (50 µg/ml), hydrocortisone (0.5 µg/ml), human epidermal growth factor (0.5 ng/ml), epinephrine (0.5 µg/ml), transferrin (10 µg/ml), insulin (5 µg/ml), all-trans retinoic acid (0.1 ng/ml), tri-iodothyronine (6.5 ng/ml), gentamicin (50 µg/ml), amphotericin B (50 ng/ml), and BSA (1.5 µg/ml; Sigma, Saint Louis, MO). All reagents were from Clonetics Corp. unless otherwise indicated.
Cell Culture and Treatment
To stimulate cells, at Day 7, the cultures were individually treated with IL-1
Animals
LPS Stimulation of Mouse Tissues
Mouse Intratracheal Instillation
RNA Preparation and RT-PCR Reverse transcriptions were performed using M-MLV reverse trancriptase (Promega, Madison, WI) following the manufacturer's instructions. Briefly, first-strand cDNA was synthesized in 25 µl final volume, containing total RNA (2 µg), random hexamer primers (1 µg), dNTP (0.5 mM), rRNasin (25 U), M-MLV (200 U), and 5x first-strand buffer (5 µl). The reactions were incubated at 37°C for 60 min. Template contamination was monitored by including negative control reactions that did not contain reverse transcriptase or total RNA. PCR was performed on 2 µl of cDNA using specific pairs of primers. The primers for human MUC7 gene are 5'-CTGGACTGCTAGCT CACCAGAAGCCG-3' and 5'-GGGTGGGGCAGCTGTGGTGTCTTG-3', with an expected PCR product size of 361 bp (cDNA nucleotide position: 244605) (21). The primers for mouse muc10 gene are 5'-GGTTTCATTCCAAGCTCTCC-3' and 5'-TTAGGAGAACGG CGACTGAT-3', with an expected PCR product size of 161 bp (cDNA nucleotide position: 212372) (28). The primers for human glyceraldehyde-3-phosphate dehydrogenase (GAPDH) are 5'-ACCACAGTC CATGCCATCAC-3' and 5'-TCCACCACCCTGTTGCTGTA-3', with an expected PCR product size of 152 bp. PCR reactions were performed using the Advantage 2 PCR Kit (BD Biosciences, Palo Alto, CA) as described in the instructions. Thirty cycles of amplification were performed, and the products were analyzed on 1.2% ethidium bromidestained agarose gels run in 1x Tris/acetate/EDTA buffer. Quantitative real-time PCR was performed using Applied Biosystems 7500 (Foster City, CA) following the TaqMan Gene Expression Assay protocol. TaqMan primers and probes for human MUC7 and GAPDH (as an internal control) genes were pre-developed by Applied Biosystems. The primers were designed to span intron/exon boundaries to verify that PCR products were amplified from cDNA. Reactions were run in the presence of a FAM dye-labeled TaqMan probe. To optimize the reaction, serially diluted cDNA templates were tested, and the target gene products were plotted against threshold cycle. The plots of mRNA levels showed an increase in the fluorescent signal as a function of cycle number. PCR amplification was run under the control of SDS software (Sequence Detection Systems; Applied Biosystems). The data were analyzed with Relative Quantification Study Document. The relative quantity of MUC7 mRNA was normalized to GAPDH expression.
Northern Analysis
Cell Lysate Preparation and ELISA Assays
Immunolocalization of MUC7
Statistical Analysis
Differentiation-Dependent Expression of the MUC7 Gene To establish culture conditions optimal for the MUC7 gene expression in NHTBE cells, we have grown the cells in two ways: ALI culture and squamous culture. In the ALI culture, cells were fed from the basal sides with the apical sides facing air. In the squamous culture, the cells were submerged in medium. Cell morphology was examined microscopically, and MUC7 transcription was detected by RT-PCR each day from Day 1 to Day 10. A MUC7 transcript was detectable only when the cells were grown in ALI, increased in a time-dependent manner, and reached the highest level around Day 7 (Figures 1A and 1B). In contrast, when the cells were immersed in culture medium and maintained in the squamous condition, the MUC7 transcript was not detectable (Figure 1A, lane S, a representative of squamous cultures from Day 1 to Day 10, in which the cells had been grown for 7 d). MUC7 gene transcription was induced by the ALI culture condition. We consider this induction in ALI to be differentiation dependent because the NHTBE cells grown in ALI had a well differentiated appearance (Figure 1C). Microscopy examination revealed a basal layer overlaid by columnar cells with goblet morphology. In contrast, the cells grown under squamous conditions showed poor differentiation with a stratified appearance (Figure 1D). Thus, for subsequent experiments, we chose to grow the NHTBE cells in ALI for 7 d.
Cytokines, EGF, and P. aeruginosa LPS Modulate MUC7 Expression in NHTBE Cells To examine the effects of exogenous factors on MUC7 gene expression, the levels of MUC7 mRNA and the mucin glycoprotein in the control and stimulated NHTBE cells were assessed using quantitative real-time PCR and ELISA, respectively. When the cells that had been grown in ALI for 7 d were treated individually with an optimal dose of IL-1 , IL-4, IL-13, TNF- , EGF, or LPS, the MUC7 transcript increased by 1.7- to 2.8-fold (Figure 2A), and the MUC7 glycoprotein increased by 2.1- to 3.4-fold (Figure 2B). Thus, all of these exogenous factors showed stimulatory effects on MUC7 gene expression, suggesting that MUC7 upregulation may relate to airway inflammation because these factors are relevant to the host inflammatory response (31).
Effect of LPS on MUC7 Gene Transcription in Mouse Airways First, we examined the effect of P. aeruginosa LPS on the MUC7 using MUC7 transgenic mice tissue explants that were cultured in vitro and irritated with LPS. Up to 2.3-fold enhancement of the MUC7 mRNA level was found in the LPS-treated trachea and lung explants, compared with the control tissues (Figure 3), whereas no increase was observed in the salivary gland tissue (data not shown). For comparison, we determined the transcript levels of endogenous mouse mucin, muc10. Similarly to MUC7, the muc10 transcripts were increased upon the LPS stimulation in the airway tissues; up to 2.7-fold increase was found in the trachea (Figure 3), and no increase was detected in the salivary gland tissue (data not shown).
Next, we examined the LPS effect in vivo after administration of LPS to animal airways by intratracheal instillation. MUC7-transgenic mice and nontransgenic mice were used in this study. The mice in the control group received saline solution only. Two days later, breathing difficulties were observed in the mice that received the LPS (transgenic and nontransgenic). Because the single dose of LPS irritation of the mice was sufficient to elicit breathing difficulty, under the suggestions of veterinarians, no further LPS dose was administered. Animals were killed, and tissues were harvested. MUC7 mRNA levels were determined by Northern blot analysis. The MUC7 mRNA levels were increased 2-fold in the tissues of MUC7 transgenic mice that received LPS compared with control animals that received vehicle only (Figure 4). The MUC7 mRNA was not detectable at all in nontransgenic mice, even in those that received LPS, due to the absence of the MUC7 gene (Figure 4). These findings indicate that animal airways are sensitive to the bacterial product LPS and that MUC7 expression can be modulated by LPS in transgenic mice. The upregulation of the MUC7 gene by P. aeruginosa LPS may relate to airway inflammation as a consequence of bacterial infection. Consistent with the salivary gland explant experiment, the MUC7 expression was also not altered in the salivary glands of the animals irritated with the LPS by intratracheal instillation (data not shown). The fact that salivary glands are not sensitive to LPS suggests that these glands do not have LPS receptors.
Immunolocalization of MUC7 and Effect of LPS on MUC7 Glycoprotein Production in Transgenic Mice Airways The immonohistochemistry shows the MUC7 glycoprotein in lung and trachea tissues of MUC7 transgenic mice (Figures 5I5L). No MUC7 is detectable in BCF2 nontransgenic mice (Figures 5A5D). Upon incubation of the transgenic lung and trachea tissues with LPS, an overexpression of MUC7 can be observed (Figures 5M5P). No MUC7 is detectable upon incubation of nontransgenic tissues with LPS (Figures 5E5H). In transgenic trachea, MUC7 glycoprotein is expressed in the submucosa, within the serous glands (Figures 5I and 5J). Also, the overexpression of MUC7 glycoprotein upon LPS stimulation remains confined at the level of the serous glands (Figures 5M, 5N, 5Q, and 5R). In unstimulated and stimulated tissues, our immunolocalization analysis does not show expression of MUC7 within the respiratory epithelium containing goblet cells.
In transgenic lung, MUC7 glycoprotein seems to be expressed within the respiratory epithelium at the level of the bronchioles (Figures 5K and 5L). No MUC7 was detected in the alveolar epithelial cells. Upon stimulation with LPS, MUC7 glycoprotein seems to be overexpressed within the same cells of the respiratory epithelium and within the stromal tissue (Figures 5O, 5P, 5S, and 5T).
We examined the expression and regulation of the human MUC7 gene in normal human primary airway cells and in MUC7 transgenic mice. MUC7 gene expression was detectable only in ALI-cultured cells and was modulated by cytokines (IL-1 , IL-4, IL-13, and TNF- ), EGF, and bacterial LPS. Therefore, the MUC7 gene expression and regulation show similar patterns to other airway mucin genes, including MUC2 and MUC5AC. As previously discussed in the review article on control of mucin transcription by diverse injury-induced signaling pathways (32), it maybe speculated that each type of agent stimulates MUC7 transcription through distinct yet intersecting signaling pathways. Although MUC7 mucin is mainly secreted into human saliva, it is also a part of the respiratory mucin pool (22, 23). It has been proposed that growing NHTBE cells at the ALI provides an appropriate model system for studying airway mucin gene expression because the mucin genes showed a pattern of differentiation-dependent expression (33). In this work, we observed well differentiated morphology of NHTBE cells cultured in ALI and found that MUC7 transcription was also induced under these culture conditions (Figure 1). Thus, like other airway mucins (MUC3, MUC4, MUC5AC, MUC5B, and MUC6) (34), MUC7 expression is differentiation dependent. The expression of mucin genes upon epithelial cell differentiation represents a regulatory mechanism under normal physiologic conditions.
The stimulatory effect of P. aeruginosa LPS on MUC7 expression (transcription and glycoprotein production) was also observed in animal airways. The stimulatory effect of LPS was further extended to the endogenous mouse muc10 transcription. Bacterial LPS has a potential to elicit an inflammatory response in epithelial cells. Indeed, bacterial infection of pulmonary airways is often accompanied by mucus overproduction, a phenomenon that could lead to airflow obstruction. Excess mucus in airways can result from mucous cell metaplasia and enhanced production of mucins. P. aeruginosa is a primary causative pathogen in respiratory infections of hospitalized, immunosuppressed patients with CF (13). It has been reported that mouse airway mucus hypersecretion was induced by the onset and persistence of P. aeruginosa infection (3537). Several gel-forming mucins (MUC5B, MUC5AC, and MUC2) have shown aberrant expression during bacterial infection and contributed to mucus hypersecretion (13, 38). Bacterial LPS is able to induce a variety of primary inflammatory mediators, such as TNF- Although the adherence of organisms to respiratory mucins maybe important in the pathogenicity of some chronic colonization states or diseases, it also may be a mechanism by which the normal host can remove bacteria from the respiratory tract and can protect the underlying cell surfaces from microbial attachment. For example, rat tracheobronchial mucin has been shown to bind to P. aeruginosa and effectively inhibit its ability to adhere to injured tracheal cells in in vitro adhesion models (39). Other in vivo studies have confirmed that mucus and purified mucin binding to the bacterium inhibited its adherence to injured host tissues (40). In this study, we show for the first time that MUC7 expression in the primary airway cells and in the MUC7 transgenic mice airways can be upregulated by pathogenic agents. However, we cannot be certain whether the increased production of MUC7 has a protective or harmful (pathogenic) role. MUC7 mucin is a small and nongel-forming mucin. Its main function is thought to be clearance of various bacteria and thus inhibition of bacterial colonization. It has been shown to interact in vitro with many oral and respiratory micro-organisms, including P. aeruginosa (3, 17). Thus, we can speculate that the overproduction of MUC7 mucin may reduce the viscosity of the mucus and facilitate mucociliary clearance, thereby having a protective role in the lungs. Our immunohistochemical study determined which types of secretory cells in trachea and lungs of MUC7 transgenic mice produce MUC7 glycoprotein and respond to the LPS by overproduction of MUC7. We found that in transgenic mouse trachea, MUC7 glycoprotein is expressed in the serous cells of submucosal glands. This finding is consistent with a previous study investigating human mucin gene expression by in situ hybridization (23). In that study, MUC7 transcripts were localized to the serous cells of the submucosal glands of normal human trachea, and no hybridization was detected in mucous glands or in the surface epithelium. Our results are consistent also with the study by Sharma and colleagues (24), in which the expression of MUC7 and MUC5B was investigated in human bronchial airways by in situ hybridization and immunocytochemistry. By in situ hybridization, MUC7 was highly expressed in a subpopulation of serous tubules within submucosal glands and no MUC7 expression was found in the surface epithelium. Their immunocytochemical analysis showed the MUC7 expression also within a subpopulation of serous tubules of submucosal glands. In the present study, we found that the overexpression of MUC7 glycoprotein upon LPS stimulation remains confined at the level of the serous cells of submucosal glands. Our study further found that in transgenic mouse lung, MUC7 glycoprotein seems to be expressed within the respiratory epithelium at the level of the bronchioles, and no MUC7 was detected in the alveolar epithelial cells. These results are different from the previous in situ hybridization study (23), where MUC7 transcripts were not found in bronchioles or in alveolar epithelial cells. We speculate that this difference may be explained by the fact that our study used MUC7 transgenic mouse lung tissue, whereas the hybridization study used human lung tissue. Moreover, the present study showed that upon stimulation with LPS, in addition to the respiratory epithelium at the level of the bronchioles, MUC7 glycoprotein seems to be overexpressed within the stromal tissue. Our findings may give some insights into the MUC7 overexpression by the inflammatory actors in human airways.
Our future studies will focus on examining the effects of other factors (IL-1
The authors thank Dr. Moon-IL Cho for his helpful advice on tissue culture.
This work was supported by NHI/NIDCR grants DE009820 and T32-DE007034. Reprints and requests for reprints should be addressed to Libuse A. Bobek, Ph.D., Department of Oral Biology, School of Dental Medicine, State University of New York at Buffalo, 109 Foster Hall, 3435 Main Street, Buffalo, NY 14214. E-mail: lbobek{at}buffalo.edu Originally Published in Press as DOI: 10.1165/rcmb.2005-0305OC on March 2, 2006 Conflict of Interest Statement: None of the authors has a financial relationship with a commercial entity that has an interest in the subject of this manuscript. Received in original form August 5, 2005 Accepted in final form February 2, 2006
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