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1Mucosal Immunology Laboratories, Massachusetts General Hospital, Charlestown, Massachusetts; and 2Department of Microbiology and Molecular Genetics, Harvard Medical School, Boston, Massachusetts
Submitted 12 September 2005 ; accepted in final form 27 October 2005
| ABSTRACT |
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lung inflammation; arachidonic acid; eicosanoid; polymorphonuclear cells; neutrophils
Several studies have suggested that the epithelial barrier at mucosal surfaces plays a key role in orchestrating the movement of PMNs from the bloodstream to the luminal space where the majority of P. aeruginosa are believed to reside (9, 14, 15, 19). To reach the airway lumen, PMNs are required to travel through several distinct tissue compartments within the alveolar wall (6, 22). PMNs must first escape the alveolar capillary, which involves the termination of their flow through the vessel followed by adherence to the lumen surface of the endothelium. The majority of PMNs migrate across the junctions that connect the endothelial cells. Once across the endothelial barrier, PMNs navigate the endothelial basement membrane through preexisting holes allowing PMNs to gain access to the interstitial space. PMNs then must travel though the extracellular matrix that encompasses the interstitial space, where fibroblasts are thought to provide further directional guidance. PMNs can then interact with the epithelial basement membrane and basolateral surface of the epithelium. Finally, PMNs migrate between the epithelial cells to the apical surface of the epithelial barrier where they gain access to the airway lumen (6, 22). This process involves the integrated actions of multiple cell types, various cytokines, adhesion molecules with specificity for particular ligands, and highly timed and compartmentalized secretion of various PMN-specific chemokines (6, 22).
To investigate the final step in this complex process, namely the migration of PMNs across the epithelial barrier into the air space, we have developed an in vitro model using lung epithelial cells grown on permeable Transwell filters (15). Using this model, we have discovered that P. aeruginosa infection of the apical surface of lung epithelial monolayers results in the directed migration of PMNs from the basolateral side to the infected apical side (15). This process is mediated by epithelial production and release of the PMN chemoattractant hepoxilin A3 (HXA3). HXA3 is an eicosanoid that is produced by lung epithelial cells in response to infection by P. aeruginosa in a protein kinase C-dependent manner (15).
Eicosanoids represent a class of bioactive lipid molecules that are derived from arachidonic acid (AA) and have been reported to be involved in numerous inflammatory processes (7). In addition to our report implicating the eicosanoid HXA3 as a mediator of inflammation, several other eicosanoids have been shown to be involved in inflammation, including prostaglandins and leukotrienes, and these molecules have quite distinct roles despite their structural similarities (7). Increased production of a specific eicosanoid, such as HXA3, might occur by a shift in activity of the numerous enzymes such as the lipoxygenases and cyclooxygenases within a cell that metabolize AA, transforming it into the various eicosanoids. Alternatively, increased production of certain eicosanoids may result from an increase in the activity of enzymes responsible for the release of AA, the eicosanoid precursor, from membrane phospholipids. It has been suggested that the rate-limiting step for production of eicosanoids by various cell types is the availability of the precursor molecule AA (7, 17). Two mechanisms to generate free AA for conversion to eicosanoids by lipoxygenases and cyclooxygenases are by the actions of phospholipase A2 (PLA2) or by the enzyme diacylglycerol (DAG) lipase. PLA2 is capable of breaking down phospholipid membranes into free AA (5, 17, 18). There are numerous reports demonstrating the induction of enhanced PLA2 activity in response to various inflammatory stimuli, suggesting that PLA2 is a major player in the inflammatory response (17, 23, 30, 31). DAG lipase, on the other hand, acts in sequence with monoacylglycerol lipase resulting in the liberation of AA from DAG rather than directly from membrane phospholipids (5, 18). The objective of this report is to determine whether P. aeruginosa infection results in an increase in the release of AA, and, if so, whether PLA2 and/or DAG lipase play a role in the process of P. aeruginosa-induced PMN transepithelial migration.
| MATERIALS AND METHODS |
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·cm2 (28). Polarized monolayers of A549 and Calu-3 are grown and maintained on the underside of 0.33-cm2 collagen-coated Transwell filters to study PMN migration in the physiological basolateral-to-apical direction as previously described (15, 20). Bacterial strains. P. aeruginosa (PAO1) and the Escherichia coli K12 strain (MC1000) were grown in Luria-Bertani overnight at 37°C under aerobic conditions to a stationary growth phase. For infection of epithelial cells, overnight cultures were washed once in HBSS and resuspended at a concentration of 6 x 107 bacteria/ml of HBSS.
PMN isolation. PMNs are isolated from whole blood anticoagulated with acid citrate/dextrose obtained from healthy human volunteers. The protocol for PMN isolation was approved by the Massachusetts General Hospital institutional review board, and informed written consent was obtained from each volunteer. The buffy coat was obtained by centrifugation. Plasma and mononuclear cells were removed by aspiration, and the majority of the red blood cells (RBCs) were removed using a 2% gelatin sedimentation technique. Residual RBCs were removed by lysis in cold NH4Cl lysis buffer. This technique allows for rapid isolation of functionally active PMNs (>98%) at 90% purity (15, 20).
PMN transmigration assay. The PMN transmigration assay using inverted cell culture monolayers of polarized cells has been described (15, 20). Briefly, the apical surface of lung epithelial cells was exposed for 1 h to 25 µl of various doses of bacteria with the standard concentration for the majority of the experiments being 6 x 107 bacteria/ml. For a positive control, 108 µM formyl-methionyl-leucyl-phenylalanine (fMLP) was added to the bottom (apical) chamber of uninfected monolayers. PMNs (1 x 106) were then added to the top (basolateral) chamber, and the plate was placed at 37°C for 2 h. PMNs were quantified by the myeloperoxidase assay. Data are displayed as means (SD) of at least three independent monolayers/condition.
AA release assay. This assay has been previously described (25). A549 and Calu-3 cells were grown in 24-well plates and used 57 days after seeding. Cells were washed three times with PBS(), treated with media containing 0.2 µC/ml [3H]AA, and incubated for 1824 h to allow [3H]AA incorporation into membrane phospholipids. After 1824 h, cells were washed three times to remove unincorporated [3H]AA and treated with 0.5 ml of bacteria (6 x 107 bacteria/ml). Supernatants (100 µl) were collected at various time points, filtered, and measured by scintillation counting. At the completion of 5 h, cells were solubilized with 500 µl/well of 1% SDS and 1% Triton X-100 and then sampled (250 µl) for measurement by scintillation counting.
Drug treatment. For experiments involving drug treatments, epithelial cells were pretreated for 2 h with either of the PLA2 inhibitors ONO-RS-082 and N-(p-amylcinnamoyl) anthranilic acid (ACA) or with the DAG lipase inhibitor RHC-80267 (Biomol) (5, 26). After pretreatment, the drug was removed by washing before lung epithelial cells were infected with PAO1. The inhibitors presented in this study did not affect cell viability in the presence or absence of bacterial infection as assessed by both the lactose dehydrogenase (LDH) assay and the barrier integrity assay. None of the drugs had any major effect on the amount of bacteria adhering to the A549 monolayers.
Cell viability assay.
To determine whether the bacterial infection resulted in toxicity to the A549 monolayers grown on either Transwells or 24-well plates, release of the enzyme LDH into the supernatant of monolayers under infected conditions was compared with uninfected monolayers. As a positive control for cell death, Triton X-100 was added to monolayers. Monolayers were washed and equilibrated in HBSS for
30 min. Monolayers were then treated for 1 h with HBSS alone or with bacteria. After 1 h, cells were washed three times and placed in HBSS or Triton X-100 for 25 h. The amount of LDH released into the supernatant was quantified using the LDH assay (Sigma, St. Louis, MO). In some experiments, monolayers were pretreated for 2 h with PLA2 inhibitors before assay was performed.
Detection of cytosolic PLA2 activation. A cell fractionation protocol was used to obtain membrane-soluble proteins, as cytosolic PLA2 (cPLA2) becomes phosphorylated and accumulates in the membrane upon activation (12). A549 monolayers seeded on six-well plates or 4.5-cm2 permeable filters were treated with HBSS alone, 1 µM PMA, or 6 x 107 bacteria/ml for 45 min. Cells were scraped off the permeable filters in buffer containing 150 mM Tris, pH 8.0, 15 mM EDTA, 6 mM EGTA, 200 mM PMSF, 4 mM Na3VO4, 40 mM NaF, and 1 Complete Mini Protease Inhibitor Cocktail tablet/10 ml buffer. Scraped cells were subjected to sonication followed by centrifugation at 55,000 rpm for 1 h. Cell pellets were resuspended in a lysis buffer containing 0.1% Triton X-100, 0.2% SDS, 50 mM Tris, pH 8.0, 5 mM EDTA, 2 mM EGTA, 200 mM PMSF, 4 mM Na3VO4, 40 mM NaF, and 1 Complete Mini Protease Inhibitor Cocktail tablet/10 ml buffer. Lysates were again subjected to sonication followed by centrifugation at 30,000 rpm for 10 min. The supernatant was collected and concentrated using Centricon filters (30,000 mol wt cut off), and lysates were normalized for protein concentration and electrophoresed on an 816% gradient polyacrylamide gel (Bio-Rad Laboratories, Hercules, CA) followed by transfer to nitrocellulose. Blots were probed with anti-cPLA2 antibody or anti-phospho cPLA2 antibody (Cell Signaling) followed by incubation with horseradish peroxidase-conjugated goat anti-rabbit antibody and detection with ECL reagent.
| RESULTS |
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We, therefore, sought to determine whether infection of A549 cells with PAO1 resulted in an increase in release of free AA from epithelial cells. To accomplish this, we utilized the previously described AA release assay (25). The A549 cells were preincubated with [3H]AA to allow incorporation into membrane phospholipids. Tritiated cells were then washed to remove unincorporated [3H]AA and infected with either the lung pathogenic P. aeruginosa strain PAO1 or the nonpathogenic E. coli K12 strain MC1000. As controls, cells were incubated in HBSS alone or in the presence of PMA, a global signaling pathway activator previously shown to induce the release of AA from the membranes of certain cell types (12). As shown in Table 1, PAO1 results in a significant increase in the percentage of AA released into the cell supernatant as soon as 1 h when compared with untreated cells. The magnitude of difference between PAO1-infected and untreated A549 cells increases over time and reaches a difference of >10-fold after 5 h of infection. Infection with the nonpathogenic E. coli MC1000 resulted in only minimal increases in AA release over the first 3 h, with a small but significant increase at 5 h. PMA did not cause any significant increase of AA release before 5 h of treatment. The substantial release of [3H]AA from PAO1-infected A549 cells was not a consequence of a loss in A549 cell viability. A549 cells infected with the same concentration of PAO1 did not release any additional LDH over the course of 5 h when compared with uninfected A549 cells, indicating that the lung epithelial cells remained viable under the experimental conditions (data not shown).
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, IL-1
, and IFN-
(30, 31). Activation of cPLA2 involves phosphorylation at various serine residues and translocation from the cytosol to the membrane where it can interact with phospholipids to cause the liberation of AA (17). To investigate whether cPLA2 is activated, we assessed the amount of phosphorylated cPLA2 present in A549 cell membrane lysates. Briefly, A549 monolayers were infected with PAO1 at a concentration of 6 x 107 bacteria/ml for 45 min and subjected to a lysis protocol to isolate and concentrate cell membrane proteins. Membrane-associated protein fractions were normalized for the amount of protein they contain and were electrophoresed on SDS-PAGE gels and subjected to Western blotting and probed with either cPLA2 or phosphorylated cPLA2 antibodies. Infection of A549 cells with PAO1 resulted in a 13.6-fold increase in the amount of phosphorylated cPLA2 compared with untreated HBSS buffer control (Fig. 3). Although infection with the nonpathogenic E. coli strain MC1000 also resulted in an increase in phosphorylated cPLA2 (6.7-fold), the total amount was less substantial compared with PAO1 infection. Treatment with the cell activator PMA, a strong activator of many cellular processes, resulted in an increase of cPLA2 phosphorylation as expected. The amount of total cPLA2 was unchanged in each of the cell fractions regardless of the cell treatment condition (Fig. 3). Together, these data indicate that PAO1 infection leads to phosphorylation of cPLA2, and this event may contribute to the AA release described above.
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·cm2) after growing 710 days on Transwell filters. We performed the PMN transmigration assay across PAO1-infected Calu-3 monolayers using a wide range of infection concentrations (1.25 x 104 2 x 108 PAO1/monolayer). We observed a strikingly similar pattern as previously observed in P. aeruginosa-induced PMN migration across A549 monolayers (15). At the highest concentrations of PAO1 infection, very little migration occurred, whereas significant migration occurred at the mid-level concentrations of PAO1 infection, reaching a maximal response at 3.1 x 106 PAO1/monolayer (Fig. 4). As PAO1 is further diluted from the mid-level concentrations, the PMN transmigration response diminished in a dose-dependent fashion. As reported with A549 cells (15), the loss in PMN transmigration response in Calu-3 monolayers infected with high concentrations of bacteria was not due to destruction of the Calu-3 monolayers, as determined using the LDH assay.
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| DISCUSSION |
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In this report, using the same in vitro lung epithelial model, we have further defined the mechanism preceding HXA3 production and PMN transepithelial migration in response to infection with P. aeruginosa. Infection of A549 cells with P. aeruginosa resulted in a substantial increase in release of AA, suggesting that a potential mechanism for production of HXA3 from A549-infected cells is through the increase in availability of the HXA3 precursor. The P. aeruginosa-induced increase in AA release observed in our system was partially prevented by pretreatment of A549 cells with specific inhibitors of PLA2 and DAG lipase. Thus P. aeruginosa-induced enhancement of AA release from A549 cells, at least in part, involves the actions of both PLA2 and DAG lipase. Interestingly, at doses affecting P. aeruginosa-induced AA release, the PLA2 inhibitors completely inhibited the PMN transepithelial migration response to P. aeruginosa, whereas the DAG lipase inhibitor did not have any effect on PMN transmigration. These data suggest that PLA2 activity is crucial for mediating PMN transmigration, most likely through its ability to generate the precursor AA for the 12-lipoxygenase, which catalyzes the conversion of AA to HXA3. AA generated by the actions of DAG lipase may not be made available to 12-lipoxygenase since inhibition of DAG lipase does not interfere with P. aeruginosa-induced PMN transepithelial migration.
In line with our evidence that PLA2 activity was increased in A549 cells in response to P. aeruginosa infection, we detected a significant increase in the amount of phosphorylated cPLA2 enzyme. Phosphorylation of cPLA2 significantly enhances its activity and represents a mechanism by which the cell regulates this enzyme's function. The activation of cPLA2 has been implicated as a key step in the production of multiple eicosanoids in various cell types, including lung epithelial cells (17, 30, 31). For example, bronchial epithelial cells produce PGE2 in response to infection with influenza virus (23). The phosphorylation of cPLA2 induced by influenza virus is strongly implicated as a prerequisite event to the increased production and release of PGE2 from infected bronchial epithelial cells (23). These data lead us to the hypothesis that PAO1 infection of A549 cells causes the phosphorylation of cPLA2, which leads to an increase in the liberation of AA from cellular membranes. This event potentially creates a pool of free AA that can then be converted by 12-lipoxygenase to HXA3. The HXA3 produced is then released from the apical membrane of A549 cells and establishes a gradient that directs PMNs across the infected lung epithelial monolayers.
Interestingly, a P. aeruginosa-secreted exotoxin known as ExoU has recently been identified as a PLA2 with homology to the catalytic domain of human cPLA2 (27). This exotoxin has been established as a virulence factor displaying cytotoxicity toward airway epithelial cells whose potency is dependent on functional PLA2 activity (27). It is currently unknown whether this molecule, which is injected directly into cells by a type III secretion system, can modulate the generation of eicosanoids; however, it is believed that the PLA2 activity exhibited by ExoU is an important contributor to disease pathogenesis (27). Many pathogenic P. aeruginosa strains, including PAO1 used in this study, lack the gene encoding ExoU. Here we show that an ExoU negative P. aeruginosa strain is capable of increasing the activity of epithelial cell-derived cPLA2, and this event may be important to the disease process.
Although this P. aeruginosa-mediated increase in phosphorylated cPLA2 could explain the P. aeruginosa-induced increase in AA release, it must be pointed out that there are other PLA2 enzymes that may also be contributing to AA release, and we cannot rule out their potential importance in mediating PMN transmigration. In addition to cPLA2 there are two other groups of PLA2 enzymes termed secretory PLA2 (sPLA2) and calcium-independent PLA2 (iPLA2) (1, 24). The sPLA2 subfamily consists of small (1419 kDa) enzymes that are secreted by cells and act on the luminal surface of cell membranes to liberate AA, which can then be processed further by lipoxygenases or cyclooxygenases (24). The iPLA2 group consists of enzymes that are similar in size to the cPLA2 family,
85 kDa, and, like cPLA2 enzymes, reside in the cytosol and act in the membrane, but unlike cPLA2, their activation is independent of calcium (1). Future studies will explore the relative contribution of each of the three PLA2 groups in terms of mediating AA release, HXA3 production, and PMN transepithelial migration to determine which activity is critical to these processes. Furthermore, it is also conceivable that PAO1 could possess a functional PLA2 enzyme that might contribute to generation of free AA in airway epithelial cells. Several bacterial pathogens possess functional PLA2(s) including Yersinia species (YplA and pldA), E. coli (PldA), Klebsiella pneumoniae (PldA), and Legionella pneumoniae (PlaB) (4, 10, 13). Determination of the particular PLA2 responsible for orchestrating PMN transepithelial migration may lead to targeted therapies designed to dampen inflammation in the lung.
Because our in vitro model investigates mechanisms of bacteria-induced PMN transepithelial transmigration in the absence of other cellular compartments that PMNs must travel through to reach the lumen, such as blood vessels and interstitial space, clearly it will be important to test whether this inflammatory pathway (involving the actions of PLA2 and the production of HXA3) is active in the epithelium under in vivo conditions. Thus, as an important future extension of these current studies, it will be important not only to identify the specific PLA2 gene(s) mediating this process, but also to determine how prevalent this pathway is using alternative in vitro lung epithelial models (11). To this end, we have extended our finding beyond one isolated lung epithelial cell line. In this report, we demonstrate that P. aeruginosa induces PMNs to migrate across the bronchial epithelial cell line Calu-3 in a pattern remarkably similar to the A549 cells. In addition, P. aeruginosa activates cPLA2 and causes an increase in the amount of AA released. Although the existence and relative importance of this newly described inflammatory pathway need to be evaluated in more complex models, its potential relevance is reinforced by our observation of its existence in other lung epithelial cell in vitro models. Thus this observation justifies further analysis of this inflammatory pathway.
In summary, we have shown that PLA2 activity is required for PAO1-induced PMN transepithelial transmigration. Upon infection, lung epithelial cells phosphorylate cPLA2 and release significantly more AA from membrane stores. It is our hypothesis that increased PLA2 activity, which mediates AA release, is required for production of the eicosanoid HXA3, which is responsible for orchestrating PMN movement across lung epithelial monolayers.
| GRANTS |
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| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
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