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RESEARCH |
1 Lady Davis Institute for Medical Research, 2 Department of Medicine, 3 Department of Pharmacology and 4 Department of Physiology, McGill University, 3755 Cote Sainte-Catherine Road, Montreal, Quebec, H3T 1E2 Canada
Correspondence should be addressed to V Blank; Email: volker.blank{at}mcgill.ca
| Abstract |
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light polypeptide gene enhancer in B-cells (NF
B), pentraxin-related gene (PTX3), and tumor necrosis factor
-induced protein 3/A20 (TNFAIP3/A20). We also found up-regulation of chemokines like C-X-C motif ligand 3 (CXCL3) and extracellular matrix remodeling signaling molecules like tenascin C (TNC). Our data suggest that IL-1ß elicits the rapid activation of a cellular network of genes particularly implicated in inflammatory response that may create a cellular environment favorable for myometrial cell contraction. Our results provide novel insights into the mechanisms of uterine smooth muscle cell regulation and possibly infection-induced preterm labor. | Introduction |
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(TNF
), and the chemotactic protein IL8 attracts additional macrophages as well as eosinophils and neutrophils. The release of proinflammatory cytokines induces phospholipid metabolizing enzymes and the release of prostaglandins (Zaragoza et al. 2006). It has been reported that expression of prostaglandin-endoperoxide synthase 2 gene (PTGS2), a major regulator of parturition, is induced by IL-1ß, and this induction is accompanied by a threefold increase in prostaglandin E2 (PGE2; Bartlett et al. 1999, Rauk & Chiao 2000). In addition, cytokine signaling also activates extracellular matrix (ECM) remodeling enzymes and matrix metalloproteinases. Proinflammatory cytokines are present at the maternal–fetal interface throughout human pregnancy and labor (Lappas et al. 2002). Under normal conditions, elevated levels of IL-1ß are observed in amniotic fluid only late in pregnancy. In contrast, upon infection, the levels of IL-1ß, IL6, TNF
, and IL8 are significantly increased, possibly leading to the early onset of labor (Romero et al. 1989, Saji et al. 2000, Suzuki et al. 2006). Recent data in nonhuman primate and mouse models further support the notion that specifically IL-1ß and TNF
play a pivotal role in triggering preterm labor (Hirsch et al. 2006, Sadowsky et al. 2006). In this study, we wanted to further explore the link between the presence of proinflammatory cytokines and myometrial cell function. In particular, we were interested in uncovering the early response of uterine smooth muscle cells to IL-1ß exposure. First, we demonstrated that PHM1-31 uterine smooth cells are able to contract using a recently developed collagen lattice-based retraction assay. We then performed genome-wide expression profiling of PHM1-31 cells following exposure to IL-1ß to identify the network of cytokine-activated genes in uterine smooth muscle cells. Our data suggest that myometrial cells specifically respond to IL-1ß resulting in gene expression changes that create an endocrine environment that might promote uterine smooth muscle cell contraction.
| Results |
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2.0-fold change in transcript levels in untreated versus IL-1ß-treated PHM1-31 cells. These genes are primarily involved in inflammatory response, transcriptional regulation, cell adhesion, and signal transduction.
Table 1
lists all the genes that are induced at least threefold, whereas Table 2
lists all the genes down-regulated by IL-1ß treatment. A cutoff of twofold has been chosen for the down-regulated genes since we did not detect any genes reduced more than threefold upon IL-1ß treatment in PHM1-31 cells. Overall, in our microarray, the number of up-regulated genes by IL-1ß is greater than the number of down-regulated genes. This was not unexpected since previous studies in other cell lines have shown a similar pattern (Rossi et al. 2005, Ha et al. 2006). This data could be explained by the fact that IL-1ß is an activator of pathways more than a repressor. The heat map in Fig. 2
shows the transcript levels in untreated and IL-1ß-treated cells for the three independent sets of experiments to underscore the reproducibility of the data.
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-induced protein 3/A20 (TNFAIP3/A20), p105 subunit of the nuclear factor of
light polypeptide gene enhancer in B-cells (NF
B1), v-maf musculoaponeurotic fibrosarcoma oncogene homolog F (MAFF), and plasminogen activator urokinase (PLAU). We confirmed by Northern blot experiments the expression-level changes observed for CXCL3, PTX3, TNC, and PLAU in the microarray studies for 1 h of 1 ng/ml IL-1ß treatment (Fig. 3A
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B p50 protein as early as 30 min after IL-1ß stimulation of PHM1-31 cells (Fig. 4A
B (Krikos et al. 1992). After 30 min of IL-1ß exposure, TNFAIP3/A20 protein level is already induced and this induction is gradually increased until 24 h (Fig. 4A
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| Discussion |
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Previously, various functional genomic approaches have been used to identify events occurring during the parturition process. These studies examined rodent or human models, comparing the gene expression profiles before and after the onset of labor (Girotti & Zingg 2003, Havelock et al. 2005) in laboring and non-laboring myometrium specimens (Aguan et al. 2000, Bethin et al. 2003, Girotti & Zingg 2003) and in preterm and term myometrium samples (Charpigny et al. 2003, Girotti & Zingg 2003).
It is well established that cytokines are involved in the events leading to preterm labor with intrauterine infection (Hirsch et al. 2006, Sadowsky et al. 2006). Thus, using a genechip array approach, we identified a large number of IL-1ß responsive genes in human PHM1-31 myometrial cells suggesting a complex cellular response to cytokine stimulation (Tables 1
and 2
). The predominant changes in gene expression are those associated with inflammatory and/or immune response (
15% of the induced genes). This observation corroborates previous microarray studies showing an important role of the inflammatory response in the uterus during labor (Girotti & Zingg 2003, Havelock et al. 2005). Among the inflammatory response genes, we identified PTX3 (or TNFAIP5) as a gene up-regulated by IL-1ß. PTX3 has been initially identified as an IL-1ß-inducible gene in endothelial cells (Breviario et al. 1992). It has been demonstrated recently that PTX3 expression is higher in the maternal plasma of women with preterm delivery compared with women delivering at term (Assi et al. 2007). Hence, our data may add support to the speculation that PTX3 is implicated in the labor process in uterine smooth muscle cells, in particular during an inflammatory response.
We also identified TNFAIP3/A20 as an inflammatory response gene strongly induced by IL-1ß in PHM1-31 cells. It is well established that TNFAIP3/A20 is an NF
B target gene (Krikos et al. 1992). More recently, it has been shown that TNFAIP3/A20 blocks NF
B signaling via a negative feedback loop (Wertz et al. 2004). We found that TNFAIP3/A20 transcript and protein levels are rapidly induced in PHM1-31 cells by 30 min and its expression is kept at a high level for at least 24 h. Previously, it has been reported that the binding of the general transcriptional machinery and particularly the transcription factor specificity protein 1 (Sp1) to the TNFAIP3/A20 promoter is essential for a rapid induction of this gene through the NF
B pathway in response to TNF
(Ainbinder et al. 2002). We hypothesize that a similar mechanism occurs in myometrial cells to regulate TNFAIP3/A20. This is of interest as NF
B has been shown to a play a major role in cytokine signaling in uterine smooth muscle cells (Zaragoza et al. 2006) and possibly in parturition (Condon et al. 2005). Indeed, many inflammatory response genes such as TNFAIP3/A20, superoxide dismutase 2 (SOD2), IL6, and leukemia inhibitory factor (LIF) have been demonstrated to be NF
B-dependent (Xu et al. 1999, Legrand-Poels et al. 2000, Ainbinder et al. 2002, Fan et al. 2004).
In addition to NF
B protein, the MAFF transcription factor, a member of the Maf family of basic leucine zipper transcription factors, may be of particular interest for IL-1ß response in myometrial cells. We confirmed data of our earlier study with respect to the induction of the MAFF by IL-1ß (Fig. 2
and Table 1
; Massrieh et al. 2006). Originally, human MAFF had been identified in a one-hybrid assay as a factor binding to regulatory sequences of the oxytocin receptor gene (Kimura et al. 1999). Interestingly, MAFF is highly expressed in term myometrium but is not present in early gestation (14 weeks) and nonpregnant myometrial tissue (Kimura et al. 1999, Bethin et al. 2003). In accordance with earlier data (Massrieh et al. 2006), we also showed in our microarray studies that the transcript levels of the highly homologous MAFG and MAFK genes are not significantly altered (1.16- and 1.19-fold changes respectively) in 1 h following IL-1ß treatment (data not shown). Our results suggest that MAFF, but not MAFG and MAFK, may function as a transcriptional mediator of the early inflammatory response in myometrial cells.
Cytokine stimulation of PHM1-31 cells also results in an increased chemotaxis as shown, for example, by induction of CXCL3 gene expression. Chemotaxis could be defined as a cellular response leading to migration and activation of monocytes and macrophages in the site of inflammation. In this process, chemotactic cytokines, also called chemokines, play a major role and are considered as secondary pro-inflammatory mediators (Dimitriadis et al. 2005). Thus, elevated mRNA level of CXCL3, a gene encoding a small cytokine belonging to the CXC chemokine family, in PHM1-31 cells 1 h following IL-1ß treatment can be considered as an early indicator of inflammatory response in those cells. Other chemokines (listed in Tables 1
and 2
in the inflammatory response section) are also significantly induced by IL-1ß clearly establishing the myometrium as a tissue mediating a strong inflammatory response.
We have also noted that IL-1ß treatment enhances expression of several ECM remodeling enzymes such as TNC and PLAU. It has been shown that TNC, an ECM glycoprotein, is up-regulated in the myometrium of pregnant rabbits compared with non-pregnant myometrium (Cario-Toumaniantz et al. 2003). Nevertheless, further experiments are required to uncover the role of TNC as well as the function of PLAU in myometrial cells and particularly during preterm labor.
Uterine activation results from the coordinated expression of a cassette of contraction-associated proteins including oxytocin receptor, connexin-43, and prostaglandin receptors (Cook et al. 2000). Prostaglandins play a major role in preterm and term labor, particularly in response to cytokines (Mitchell et al. 1993, Keelan et al. 2003, Park et al. 2005). It is well established that IL-1ß is a major activator of the crucial and rate-determining enzyme in prostaglandin biosynthesis (PTGS2, also called COX-2; Rauk & Chiao 2000). This action is likely mediated by the nuclear factor NF
B (Ackerman et al. 2004, Soloff et al. 2004). In agreement with these data, expression of PTGS2 and NF
B genes is strongly induced by IL-1ß (7.9- and 10.9-fold increase for PTGS2 and NF
B respectively).
Based on our data, we propose a novel hypothetical model of IL-1ß signaling in myometrial cells as depicted in Fig. 5
. In PHM1-31 cells, IL-1ß induces an inflammatory and immune response and increases the expression of key transcription factors like NF
B. Consequently, chemotaxis and synthesis of prostaglandins occur. In parallel, IL-1ß increases the expression of the ECM remodeling enzymes. Our genechip data indicate that 1 h exposure of IL-1ß has no effect on gene expression of key molecules required for contraction (i.e., oxytocin receptor and connexin 43) in PHM1-31 cells (data not shown). Hence, we hypothesize that PHM1-31 cells exposed to IL-1ß for 1 h are in an intermediate phase between the quiescent state and an activated state leading to uterine activation. Interestingly, it has recently been demonstrated that preterm labor in monkeys can be provoked through an intraamniotic infusion of IL-1ß or TNF
(Sadowsky et al. 2006). In addition, it has been recently shown that absence of both IL-1ß and TNF
in knockout mice clearly delays labor (Hirsch et al. 2006). Hence, the action of multiple cytokines may be required to convert myometrial cells into a fully contractile state. In agreement with these data, we observed a significant induction of interleukins IL6 (8.6-fold induction; Schmid et al. 2001) and IL8 (7.3-fold induction; Arntzen et al. 1998) mRNA levels in response to IL-1ß. In addition, it has been demonstrated that PHM1-31 cells retain the ability to respond to oxytocin and thapsigargin with an increase in intracellular calcium (Shlykov et al. 2003). Nevertheless, PHM1-31 cells appear to lack significant L-type Ca2+ channel expression, which suggest that the entry of Ca2+ into the cells may be through a passive leak or another mechanism to be elucidated (Sanborn 2001, Shlykov et al. 2003). Moreover, the role of calcium mobilization in the contraction of myometrium remains to be clarified. In this respect, it has been previously demonstrated that the sarcoplasmic reticulum calcium ATPase 2b (SERCA) is increased in primary-cultured human myometrial smooth muscle cells exposed to IL-1ß for 24 h (Tribe et al. 2003). We did not observe any change in SERCA gene transcript levels (data not shown), probably due to the early timepoint examined.
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| Materials and Methods |
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Contraction assay
The collagen lattice-based retraction assay was performed as described previously (Devost & Zingg 2007). Shortly, collagen type 1 was prepared from rat tail and resuspended overnight in 0.01 M HCl to prepare a 5 mg/ml stock solution and kept at 4 °C until use. To maintain the pH between 7.0 and 7.5, 5xPBS and 0.1 M NaOH were added and the preparation was subsequently diluted to 1.5 mg/ml with DMEM/F-12 supplemented with 0.5% FBS. Ice-cold collagen solution (0.5 ml) was added to individual wells of a 24-well plate and incubated at 37 °C for 1 h to allow gelling of the collagen. The collagen lattice was then covered with 1 ml DMEM/ F-12 medium supplemented with 0.5% FBS containing 2.5x104 PHM1-31 myometrial cells. The cells were left to settle for 2 h at 37 °C. The collagen lattice was detached from the bottom of the well with a spatula, and left overnight at 37°C in the absence or presence of 100 nM oxytocin (Sigma). The lattices were fixed overnight at 4 °C by adding 1 ml 8% (w/v) paraformaldehyde in PBS at pH 7.4 to stop the contraction and were stored at 4 °C until analysis. To quantify the surface area of the lattices, the liquid of each well was aspirated and the plate was photographed using the Alpha Innotech Imaging System (Alpha Innotech, San Leandro, CA, USA) with an Olympus C-5060 digital camera. The surface area was quantified using the AlphaEase 5.5 densitometry program (Alpha Innotech). The contraction assay was done at least in quadruplicates and the data were expressed as percentage contraction. Percentage contraction was taken as the percentage of lattice size diminution relative to the size area of the well. The contraction assay was repeated in four independent experiments.
Genechip expression array analysis
Total RNA from untreated PHM1 cells and PHM1-31 cells treated with IL-1ß for 1 h was prepared using Trizol reagent (Invitrogen). The quality of the purified RNA was verified using an Agilent 2100 Bioanalyzer (Agilent Technologies, Palo Alto, CA, USA). Probe synthesis, hybridization, and scanning were done according to standard Affymetrix protocol. The detailed protocol is available on the following website: http://www.affymetrix.com/support/technical/manual/expression_manual.affx. The microarray used was a HG-U133_Plus_2 genechip expression array (Affymetrix, Santa Clara, CA, USA) covering ~38 500 genes of the human genome. The microarray analysis was repeated in three independent experiments.
Microarray analysis
Robust multi-array average (RMA) analysis was used to analyze the microarray data. It involves three steps: a model-based background correction, quantile normalization at the probe level, and median polish to produce a robust average of probe intensities for expression summary. Intensity values in log (base 2) scale were then converted into fold change, allowing the identification of differentially expressed genes in control and IL-1ß-treated cells.
A heat map was generated with the TIGR MultiExperiment Viewer (MeV 4.0) software (http://www.tm4.org/mev.html).
Northern blot hybridization
Total RNA was extracted using the Trizol reagent (Invitrogen) according to the manufacturers instructions. RNA was quantified using standard spectrophotometry. Ten micrograms of RNA were denatured, subjected to electrophoresis on a 1% (w/v) agarose gel containing 6% (v/v) formaldehyde, transferred overnight onto a HYBOND-XL nylon membrane (Amersham Biosciences), fixed by u.v. cross-linking, and was hybridized (Church & Gilbert 1984) with 32P-labeled probes. The cDNA probes were prepared from PHMI-31 total RNA by a standard RT-PCR procedure. Forward and reverse PCR primers used to generate cDNA probes were as follows (GenBank accession numbers are provided in parentheses): CXCL3 (BC065743), 5'-GCAGGGAATTCACCTCAAGA-3' and 5'-GGTGCTCC-CCTTGTTCAGTA-3' ; TNC (NM_002160), 5'-AGAGAAC-CAGCCAGTGGTGT-3' and 5'-GCCTGCTCCTGCAGTACATT-3'; PLAU (BC013575), 5'-TCACCACCAAAATGCTGTGT-3' and 5'-AGGCCATTCTCTTCCTTGGT-3'; PTX3 (BC039733), 5'-TGCGATTCTGTTTTGTGCTC-3' and 5'-TGAAGAGCTTGT-CCCATTCC-3' .
To generate the TNFAIP3/A20 probe, a HindIII digestion of the FLAG-A20 plasmid, kindly provided by Dr R. Lin (Lady Davis Institute for Medical Research, Montreal, Canada), was performed and the resulting 340 bp fragment was used for labeling (Lin et al. 2006). The cDNA fragments were radiolabeled with [
-32P]dCTP by random priming according to the instructions of the manufacturer (Roche). Hybridization and washes were performed using standard procedures. Membranes were exposed to a phosphorscreen and analyzed by Phosphor-Imager (Molecular Dynamics, Sunnyvale, CA, USA).
Immunoblot analysis
Whole cell extracts were prepared by scraping the PHM1-31 cells using 1x PBS followed by centrifugation. The pellets were then resuspended in lysis buffer (250 mM sucrose, 420 mM NaCl, 10 mM Tris/HCl, 2 mM MgCl2, 1 mM CaCl2, 1% (v/v) Triton X-100) containing protease inhibitors (Roche) supplemented with 0.5 mM dithiothreitol and 0.2 mM phenylmethylsulphonyl fluoride. After 10 min swelling on ice, samples were briefly centrifuged, and the supernatant was collected. Protein concentrations were determined using a protein assay kit (Bio-Rad). Thirty micrograms of the lysate were loaded on a gel and electrophoresed in NuPAGE 4–12% Bis-Tris gels (Invitrogen). Resolved proteins were transferred electrophoretically to a polyvinylidene difluoride membrane (Millipore, Billerica, MA, USA). After membrane saturation at room temperature for 1 h with TBS (0.1 M Tris–HCl (pH 8.0), 0.15 M NaCl) containing 0.05% (v/v) Tween 20 and 5% (v/v) milk, the blots were incubated in the same solution overnight with antibodies specific for either human actin (1:10 000; Sigma, #A-5441), human TNFAIP3/A20 (5 µg/ml; ab13597; Abcam, Cambridge, MA, USA), human NF
B p50 (1:400; sc-7178; Santa Cruz Biotechnology, Santa Cruz, CA, USA), or human MAFF (1:5000; Massrieh et al. 2006). After two washes in TBS containing 0.05% (v/v) Tween 20, primary antibody was detected using 1-h incubation with secondary HRP-conjugated antibodies. A goat anti-mouse antibody (1:30 000; 31430; Pierce, Rockford, IL, USA) was used for actin and TNFAIP3/A20 detection and a goat anti-rabbit antibody (1:30 000; 31 460; Pierce) for NF
B and MAFF detection. Subsequently, the proteins were visualized by exposure to X-ray films (Kodak) using Immobilon Western (Millipore) as a source of chemiluminescent HRP substrate. Membranes were stripped for 15 min at room temperature in Restore buffer (Pierce) and washed four times in TBS before a new hybridization was performed.
Quantification and statistical analysis
Quantification of Northern blot experiments was performed using PhosphorImager and Image Quant software (version 5.2; Molecular Dynamics). Immunoblots were quantified by densitometry using Genetools software (Syngene, Frederick, MD, USA). The results represent a mean±S.E.M. of at least three independent experiments. To evaluate the significance of differences among means, a Students t-test was performed (*P<0.05, **P<0.01, ***P<0.001).
| Acknowledgements |
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| Footnotes |
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