Vol. 275, Issue 3, L502-L508, September 1998
Cigarette smoke increases amosite asbestos fiber binding to
the surface of tracheal epithelial cells
A.
Churg,
J.-P.
Sun, and
K.
Zay
Department of Pathology, University of British Columbia,
Vancouver, British Columbia, Canada V6T 2B5
 |
ABSTRACT |
Binding of
asbestos fibers to the cell surface appears to be important in the
initiation of intracellular signaling events as well as in initiation
of particle uptake by the cell. We have previously shown that cigarette
smoke increases the uptake of asbestos fibers by tracheal epithelial
cells in explant culture. Whether smoke acts by increasing surface
binding of fibers is not known. In this study, we exposed rat tracheal
explants to air or cigarette smoke and then to a suspension of amosite
asbestos. Explants were harvested after 1 or 24 h of dust exposure and
washed by repeated dips in culture medium to remove loosely bound
fibers, and the number of fibers adhering to the apical cell surfaces was determined by scanning electron microscopy. Smoke-exposed explants
retained significantly more surface fibers than air-exposed explants.
After four washes, binding levels were similar at 1 and 24 h. The smoke
effect was still present when incubations were carried out at 4°C,
but binding was decreased ~25%. Preincubation of the asbestos fibers
with iron chloride to increase surface iron increased fiber binding in
both air- and smoke-exposed explants, whereas preincubation of the
fibers with the iron chelator deferoxamine decreased binding after air
exposure and completely eliminated the smoke effect. Inclusion of
mannitol or catalase in the medium or preincubation of the explants
with GSH produced decreases in binding of 10-25% in air-exposed
explants and generally greater decreases in smoke-exposed explants. We
conclude that 1) amosite binding is
a very rapid process that does not require active cellular metabolism,
2) cigarette smoke increases
adhesion of fibers to the epithelial surfaces, and
3) iron on the asbestos fiber
appears to play an important role in binding, probably through an
active oxygen species-mediated process.
mineral particle; epithelial uptake; surface binding
 |
INTRODUCTION |
THERE IS RECENT EVIDENCE to suggest that binding of
asbestos fibers (and presumably other types of particles) to the cell surface may lead to direct activation of the extracellular
signal-regulated kinases (ERKs) and to transcription of a variety of
genes associated with cell proliferation and inflammatory responses as
well as to apoptosis (15, 19). This process appears to proceed via activation of the epidermal growth factor receptor and is driven, at
least in part, by active oxygen species (AOS) (15; see
DISCUSSION). As well, particle
binding to the surface of pulmonary epithelial cells is believed to be
the first step in particle uptake (internalization) (1, 8, 10, 17), and
uptake is associated with a variety of deleterious effects including
inflammatory cytokine secretion (9), genotoxicity (reviewed in Ref.
14), and, after particle transport to the interstitium, interstitial
fibrosis (8).
Although it is clear that particle binding is important in the
development of pathological abnormalities, the factors that control
particle adhesion to the cell surface are poorly understood. To further
complicate matters, asbestos occurs in two physically and chemically
different forms that appear to bind quite differently. Chrysotile is a
magnesium silicate that carries a positive surface charge. Amphibole
types of asbestos (amosite and crocidolite) are magnesium iron and
sodium magnesium iron silicates that carry a negative surface charge.
Brody et al. (4) and Gallagher et al. (11), using scanning
electron microscopy (SEM), observed that adhesion of chrysotile fibers,
carbonyl iron spheres, or aluminum spheres, all of which carry a
positive surface charge, to red blood cells or alveolar macrophages
could be decreased by neuraminidase, suggesting that these particles
became bound to negatively charged sialic acid residues. They found
that neuraminidase treatment had no effect on the adhesion of
crocidolite asbestos or glass spheres, implying that negatively charged
particles did not bind to sialic acid residues but that these
substances did nonetheless bind to cell membranes.
Brown and colleagues (5, 6) investigated the adhesion of chrysotile,
crocidolite, and particularly amosite (also a negatively charged fiber)
asbestos to various cultured cell lines using gradient centrifugation
of fractionated radiolabeled cells in an attempt to sort out free
fibers from fibers bound to membranes. Adhesion varied considerably
from cell line to cell line. With V79 cells, amosite adhesion increased
with the addition of increasing amounts of serum to the medium;
addition of fibronectin mimicked the serum effect, and Arg-Gly-Asp
(RGD)-containing pentapeptides blocked adhesion, implying that
fibronectin was the adhesion mediator. Adhesion was decreased in
calcium-magnesium-free medium. Changing the fiber charge from negative
to positive by coating the fiber with
poly-L-lysine increased
adhesion. Brown et al. concluded that the coating of negatively charged
fibers with serum-derived fibronectin and subsequent adhesion to the
cellular RGD receptor was the primary mode of fiber adhesion.
Boylan et al. (3) used rabbit mesothelial cells in culture to examine
the adhesion of crocidolite asbestos and wollastonite, another
negatively charged fibrous calcium silicate. They incorporated a
fluorescent dye in the cell membrane and, using confocal scanning microscopy, counted fibers with a fluorescent rim as internalized and
nonfluorescent fibers as adherent. Boylan et al. observed that adhesion
of crocidolite fibers to the surface could be decreased by treatment
with trypsin-EDTA, whereas actual uptake of crocidolite fibers into the
cells was mediated via the vitronectin-binding integrin-
v
5.
Serum and exogenous vitronectin increased uptake, but fibronectin had
no effect on either adhesion or uptake.
Stringer et al. (22) employed A549 cells, a pulmonary epithelial cell
line, in culture to look at the adhesion of
TiO2, Fe2O3,
air particulates, and quartz. They used a flow cytometric technique and
measured right-angle scatter to define the amount of particle adhesion.
Particle adhesion was found to be calcium dependent for
TiO2 and
Fe2O3
but calcium independent for quartz. Heparin and polyinosinic acid
markedly decreased particle adhesion, but polyanion chondroitin sulfate
did not, suggesting that adhesion was mediated by scavenger-type
receptors and that the receptors were distinct from those found on
alveolar macrophages.
This whole set of observations suggests that different particles bind
to very different receptors. For positively charged fibers and
particles, binding may be primarily mediated by simple electrostatic
interactions with negatively charged moieties on the cell surface, but
charge binding has not been shown for negatively charged fibers and
particles. Specific integrins may be important in fiber and particle
binding; however, the available data are inconsistent and also
problematic because binding occurs in serum-free systems where there
are no adhesive proteins to coat the fibers. Thus the exact receptors
and mechanisms of particle binding remain obscure.
If rat tracheal explants are briefly submerged in a mineral dust
suspension and then maintained in air organ culture, dust becomes
adherent to the apical cell surfaces, and epithelial cells slowly take
up these mineral particles and transport them into and through the
cells (8). Using such an explant system, Churg (8)
previously showed that brief exposure to cigarette smoke increases the
internalization of amosite asbestos fibers as well as of other types of
mineral particles by the tracheal epithelial cells; this enhanced
uptake (i.e., increased fiber dose) may play a role in the increased
incidence of asbestosis and lung cancer seen in heavily exposed
asbestos workers who smoke. We also found that scavengers of AOS
abolish smoke-enhanced uptake, suggesting that uptake is mediated, at
least in part, by AOS (see Ref. 8 for details). These observations
raise the possibility that AOS are also important in fiber surface
adhesion. In this paper, we use a very simple system of determining and
quantifying "bound" fibers to investigate the role of iron, AOS,
and cigarette smoke in the binding of amosite asbestos to the cell
surface of tracheal explants.
 |
MATERIALS AND METHODS |
Dust exposure. Tracheal explants were
prepared from 250-g Sprague-Dawley rats with a modification of the
method of Mossman et al. (20) as previously described (16). Each test
group consisted of four or five segments. Explants were exposed to
either room air or cigarette smoke (five 20-ml puffs of whole smoke) for 10 min in a humidified 2-liter chamber. All explants were then
submerged, epithelial side up, in a 5 mg/ml suspension of Union
Internationale Centre le Cancer amosite asbestos in DMEM without serum for 1 h. In some experiments, the fibers were treated to
modify available surface iron, AOS scavengers were included with the
fiber suspension, or the explant GSH levels were changed as detailed in
Manipulation of GSH
levels. At the end of this time, the
explants were very carefully lifted from the medium so as not to
disturb the asbestos fibers adherent to the surface. Some explants were
maintained in an air plus 5% CO2
organ culture with basal feeding in an incubator at 37°C for 24 h,
whereas other explants were removed from the amosite suspension and
immediately washed to remove dust as described in
Determination of fiber binding.
Surface iron manipulations. Surface
iron levels were increased by incubating amosite asbestos overnight at
room temperature with a freshly prepared mixture of 1:1 10 mM iron(II)
and 10 mM iron(III) chloride. After the amosite was washed in saline,
surface iron levels were evaluated with the
dithionite-citrate-bicarbonate method (18). The iron-loaded or native
amosite was mixed with sodium dithionite in a citrate-bicarbonate
buffer at 80°C for 30 min, the mineral particles were centrifuged
out, and the supernatant was treated with
o-phenanthroline. Absorbance was
measured at 510 nm. A blank containing the color reagent but no iron
was used as the reference standard. This method reduces all surface
iron to the ferrous form and hence provides a measure of both ferrous and ferric surface iron.
Conversely, surface iron was rendered nonredox active by incubation
overnight with the iron chelator deferoxamine (DFX; Desferal, Ciby-Geigy) at a concentration of 10 mM. Fibers were washed two times
in saline before use.
Manipulation of GSH levels. To examine
the effects of boosting cellular antioxidant protection, explants were
first incubated with 10 mM GSH (Sigma) for a 1-h period, then washed
and exposed to smoke or air and asbestos as described in
Dust exposure. Intracellular GSH
levels were determined by HPLC as described below. Conversely, to
deplete intracellular GSH, rats were given an intraperitoneal injection
of diethylmaleate (Sigma) at a dose of 1 mg/kg body weight 2 h before
death.
GSH levels in the lungs and explants were assayed by a modification of
the method of Anderson (2) and Newton et al. (21). The tissues were
stored, frozen in 5%
t-sulfosalicyclic acid, then thawed
and homogenized in 5%
t-sulfosalicyclic acid. The homogenate
was centrifuged to remove solid debris. The supernatant was derivatized
with N-ethylmorpholine and
monobromobimane in the dark. HPLC analysis was performed with a Whatman
ODS-3 4-µm × 25-cm column and methanol-acetic acid
buffers. A fluorescence detector system was used, with an excitation
wavelength of 394 nm and detection wavelength of 480 nm. The detection
limit was <100 pg, with a signal-to-noise ratio of 5:1.
Scavenging of AOS. To examine the role
of AOS, experiments were performed in which mannitol (1 mM; Sigma), a
hydroxyl radical scavenger, or catalase (1600 U/ml; Boehringer
Mannheim), a hydrogen peroxide scavenger, was added to the dust
suspension.
Effects of temperature. To examine the
effects of temperature on surface binding, air or smoke and subsequent
asbestos exposures were carried out at 4°C. Initial experiments
showed poor cellular preservation at 24 h at 4°C so that adhesion
levels were only measured after 1 h in the cold.
Determination of fiber binding.
Exposure of the explants to asbestos for 1 h, as described in
Dust exposure, results in initial coating of the epithelial surface with fibers. To remove fibers not
bound to the surface and count actual adherent fibers, each explant was
carefully and slowly dipped in fresh culture medium one, two, or four
times. The explant was then dried under vacuum and prepared for SEM.
SEM photographs of randomly selected fields were taken at a
magnification of ×1,000. The proportion of the surface occupied
by fibers (areal fraction of fibers) was determined with a 42-point
transparent overlay, counting points that fell on fibers versus points
that fell on tissue (13). This approach avoids problems such as dealing
with touching fibers and irregular surfaces that occur if one attempts
to count numbers of fibers per unit area and is simple and relatively
rapid to apply.
Each group contained four or five explants, and differences among
groups were determined with analysis of variance with the SYSTAT
statistical package (23).
 |
RESULTS |
Figure 1 shows a representative scanning
micrograph illustrating fibers adherent to the tracheal surface. The
mucous cells are artificially prominent, and the cilia have collapsed
in this air-dried preparation.

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Fig. 1.
Representative scanning electron micrograph (air-dried preparation)
showing binding of amosite fibers to epithelial surface after smoke
exposure for 24 h. Areal fraction of fibers on surface is determined by
overlaying a multipoint grid and counting hits on fibers compared with
hits on tissue. Original magnification, ×1,000.
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Figure 2 shows the effects of smoke on
fiber surface adhesion immediately after the 1-h dust incubation (i.e.,
1 h after smoke exposure), and Fig. 3 shows
the effects after 24 h of organ culture (25 h after smoke exposure). At
1 h, significantly increased adhesion is seen in smoke-exposed explants
after two or four washes, and at 24 h, significantly increased adhesion
is seen in smoke-exposed explants after one, two, and four washes. The
differences between smoke and air exposure are more apparent at 24 h
and vary from two- to threefold.

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Fig. 2.
Effect of smoke exposure on fiber adhesion immediately after dust
exposure (1-h time point). Asb, amosite asbestos plus air exposure;
Asb/Sm, amosite asbestos plus smoke exposure. Values are means ± SD. After 2 and 4 washes, there is significantly greater adhesion of
fibers to smoke-exposed explants.
* P 0.05 compared with Asb.
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Fig. 3.
Effect of smoke exposure on fiber adhesion 24 h after dust exposure.
Values are means ± SD. Significantly greater adhesion of fibers to
smoke-exposed explants is seen after 1, 2, and 4 washes.
* P 0.05 compared
with Asb.
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On the basis of the data from Figs. 1 and 2, new experiments were run
as described in MATERIALS AND METHODS
for AOS effects, and segments were subjected to four washes. Figure
4 shows data for asbestos fibers loaded
with iron. Incubation with 10 mM iron chloride overnight boosted
surface iron levels from 110 ± 6.0 µg/g dust to 250 ± 6.0 µg/g dust (mean ± SD) and increased the number of adherent fibers
by 30% in air-exposed explants and 42-47% in smoke-exposed
explants. Conversely, as shown in Fig. 5,
loading the fibers with 10 mM DFX decreased the number of bound fibers by ~25% in air-exposed explants and ~70% in smoke-exposed
explants, completely abolishing the smoke effect.

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Fig. 4.
Effect of added surface iron on fiber binding at 1 (A) and 24 (B) h. Asb/Iron, iron-loaded amosite
asbestos plus air; Asb/Sm/Iron, iron-loaded amosite asbestos plus
smoke. Values are means ± SD. Iron loading produces significantly
greater fiber adhesion after both air and smoke exposures.
* P 0.05 compared with Asb or
Asb/Sm. Binding of fibers after smoke exposure without added iron is
also increased compared with air exposure.
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Fig. 5.
Effect of using deferoxamine-treated asbestos fibers on fiber adhesion
at 1 (A) and 24 (B) h. Asb/DFX, deferoxamine-treated
amosite asbestos; Asb/Sm/DFX, DFX-treated amosite asbestos plus smoke.
Values are means ± SD. At both times, smoke exposure produces a
significant increase in adhesion
(* P 0.05), and DFX treatment
abolishes smoke effect. DFX treatment also significantly decreases
adhesion in air-treated groups.
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Figure 6 shows the effects of including
mannitol in the incubation medium. Mannitol reduced adhesion by ~20%
in air-exposed explants and 20-25% in smoke-exposed explants.
Catalase (Fig. 7) had minimal effects on
the adhesion of fibers to air-exposed explants (a 15% decrease at 24 h
and a 4% increase at 1 h) and a 20-25% decrease in adhesion to
smoke-exposed explants.

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Fig. 6.
Effect of including mannitol in asbestos suspension after 1 (A) and 24 (B) h. Asb/Mann, amosite asbestos
plus mannitol; Asb/Sm/Mann, amosite asbestos plus smoke plus mannitol.
Values are means ± SD. After air exposure, there is a
15-20% decrease in binding in air-exposed groups. After smoke
exposure, there is an ~20% decrease in binding at both times
(* P < 0.05 compared with no
mannitol treatment).
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Fig. 7.
Effect of mixing catalase with asbestos suspension on fiber adhesion at
1 (A) and 24 (B) h. Asb/Cat, amosite asbestos
plus catalase; Asb/Sm/Cat, amosite asbestos plus smoke plus catalase.
Values are means ± SD. There is a small (~20%) but significant
decrease in binding after smoke plus catalase exposure compared with
smoke exposure alone (* P < 0.05).
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Loading the explants with GSH as described in
MATERIALS AND METHODS boosted cellular
GSH by close to 10-fold (0.10 ± 0.01 and 0.92 ± 0.07 µg/mg
tissue for untreated and GSH-treated explants, respectively). Boosting
GSH levels produced less than a 10% decrease in fiber adhesion in
air-exposed explants and about a 25% decrease in adhesion to
smoke-exposed explants (Fig. 8). Treatment
with diethylmaleate as described in MATERIALS AND
METHODS decreased GSH to undetectable levels but had no
effect on fiber adhesion (Fig. 9).

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Fig. 8.
Effect of loading tracheal explants with GSH before air or smoke and
asbestos exposures at 1 (A) and 24 (B) h. Asb/GSH, amosite asbestos
plus GSH loading; Asb/Sm/GSH, amosite asbestos plus smoke plus GSH
loading. Values are means ± SD. GSH produces only minimal and
nonsignificant decreases in binding with air exposure but about a 25%
decrease in binding with smoke exposure
(* P 0.05 compared with smoke
alone).
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Fig. 9.
Effect of reducing GSH by diethylmaleate treatment on fiber adhesion at
1 (A) and 24 (B) h. Asb/DEM, amosite asbestos
plus diethylmaleate treatment; Asb/Sm/DEM, amosite asbestos plus smoke
plus DEM treatment. Values are means ± SD. DEM produces no effects
on fiber binding.
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Exposure of the explants at 4°C produced about a 25% decrease in
binding with both air and smoke; smoke enhancement of binding was still
present (Fig. 10).

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Fig. 10.
Effect of air or smoke, and asbestos exposures at 4°C. Values are
means ± SD. There is an ~25% decrease in fiber binding at
4°C (* P 0.05 compared
with 37°C exposure).
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 |
DISCUSSION |
In this study, we have attempted to set up a simple system of measuring
surface binding of asbestos fibers. Our approach of defining a
"bound" particle as one resistant to removal by washing may be
criticized as arbitrary, but, as indicated in the introduction, there
is no agreement in the literature on the question of how binding
measurements should be made from a technical point of view, nor is
there even agreement about what constitutes a bound fiber.
Indeed, review of the various papers discussed in the introduction will
reveal that all approaches to particle adhesion, which is in itself a
labile and manipulable phenomenon, are fairly arbitrary because, with
harsh enough treatment, one can remove all fibers or particles from the
cell surface. As is evident from Figs. 2-10, the
approach used here does appear to produce quite reproducible results,
and we found that increasing the number of washes to 8 or 10 did not
produce appreciable changes in binding (data not shown). It should be
appreciated, as well, that uptake levels in the first 24 h are very low
with this system (8, 16), so that we do not have to make a correction
for fibers that have entered the epithelial cells.
A further advantage of using tracheal explants is that the cultured
cells maintain polarization and apical differentiation, features that
are frequently lost in monolayer cultures and that appear to be
important in determining binding and uptake (8). Thus, although
tracheal explants do not provide a direct model of uptake in the
alveoli, they do provide a realistic system for examining features
related to uptake and to extracellular signaling mechanisms, and the
system is directly relevant to the development of both fibrogenic and
neoplastic pulmonary disease.
One of the facts established by our experiments is that binding, at
least binding as defined here, is established quite rapidly because,
after four washes, there is very little difference in the number of
bound fibers in explants exposed to air plus dust for only 1 h and
those exposed for 24 h, and this is also true (with slightly greater
variability) of the smoke-exposed explants. Exposure to asbestos or to
asbestos and smoke at 4°C had remarkably little effect on binding;
smoke enhancement of binding was still present and binding in the
presence of smoke or air was decreased by ~25% compared with a
37°C exposure. These observations imply that binding does not
require active cellular metabolism or cytoskeletal rearrangment but
might proceed via changes in lipid-based cell membrane receptors
and/or chemistry because these processes are not dramatically
slowed at 4°C.
Our data also confirm our hypothesis that smoke affects particle
binding; there is a consistent difference in fiber adhesion between
smoke-exposed and air-exposed tracheal segments, with greater adhesion
after smoke exposure. Thus one way in which smoke increases particle
uptake appears to be by increasing surface adhesion, making more
particles available for eventual internalization. The mechanism behind
the smoke effect is not entirely clear, but surface iron clearly plays
an important role because boosting surface iron increased adhesion and
chelating surface iron decreased adhesion with both air and smoke
exposures. The results with smoke exposure were more marked, and, in
fact, DFX treatment completely abolished the smoke effect. These
observations may imply that surface iron is catalyzing the formation of
AOS [or possibly reactive nitrogen species (7, 12)]. This
idea is supported by the findings that mannitol, a hydroxyl radical
scavenger, and catalase, a hydrogen peroxide scavenger, decreased
adhesion. Boosting GSH levels also decreased adhesion, possibly by
scavenging AOS, although it is unclear why decreasing cellular GSH did
not have the opposite effect.
For the most part, the effects of modifying surface iron or scavenging
AOS were greater with smoke than with air exposure, perhaps implying
that surface iron plays its greatest role in the presence of exogenous
AOS or reactive nitrogen species, which are also formed in smoke (7).
However, these conclusions must be viewed with caution. A recent review
by Gold et al. (12) on the chemical reactivity of chelator-treated
amosite and crocidolite asbestos concluded that DFX diminishes the
redox reactivity of surface iron on the fibers, but they could find no
clear correlation among formation of hydroxyl radicals, reduction of
exogenous hydrogen peroxide, and the nominal amount or oxidation state
of surface iron. As well, it is obvious that AOS can only be a partial
determinant of fiber binding because AOS scavengers and iron chelators
never reduced binding below ~75% of the control values after air
exposure. It should be appreciated, also, that our results apply only
to amosite and probably crocidolite asbestos; whether smoke increases chrysotile asbestos binding is not known, but, if it does, both the
positive surface charge and the small amount of iron in chrysotile suggest that a different mechanism would be involved.
Last, it is intriguing to consider the results recently reported by
Jimenez et al. (15). These authors observed that DFX and catalase
decreased ERK activation by crocidolite asbestos fibers and concluded
that asbestos-induced ERK activation, which, as noted in the
introduction, appears to be a cell-surface effect, is probably mediated
via oxidant species. Combining their results with ours raises the
possibility that the level of asbestos-induced extracellular signaling
may be more specifically a function of the number of fibers bound to
the surface and that this function is determined by the generation of
AOS or other oxidant species.
 |
ACKNOWLEDGEMENTS |
This work was supported by Grant MA8051 from the Medical Research
Council of Canada.
 |
FOOTNOTES |
Address for reprint requests: A. Churg, Dept. of Pathology, Univ. of
British Columbia, 2211 Wesbrook Mall, Vancouver, BC, Canada V6T
2B5.
Received 8 July 1997; accepted in final form 4 May 1998.
 |
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