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Institutes of 1 Physiological Chemistry, and 2 Pathology, 3 Anatomy, Dresden University of Technology, Dresden, Germany. 4 Dept of Pathology, Sackler Medical School, Tel-Aviv University, Israel
CORRESPONDENCE: R. Koslowski, Institute of Physiological Chemistry, Medical Faculty Carl Gustav Carus, Dresden University of Technology, Fiedlerstr. 42,, D-01307, Dresden, Germany. Fax: 49 3514586305
Keywords: lung fibrosis, myofibroblast, proteoglycans, xylosyltransferase
Received: September 28, 2000
Accepted March 29, 2001
This work was supported by the Bundesministerium für Bildung und Forschung, Germany (FKZ 01ZZ5904).
| Abstract |
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Rats were given, endotracheally, a single dose of bleomycin. Deposition of proteoglycans in lung tissue was assessed by immunohistochemistry and the catalytic activity of xylosyltransferase was determined with an acceptor peptide of the sequence Q-E-E-E-G-S-G-G-G-Q-G-G as a substrate.
The results show coincidence of increasing xylosyltransferase activities in lung tissue with accumulation of versican at alveolar entrance rings and in fibrotic regions in close proximity to
-smooth muscle actin-positive cells. In contrast, no changes in biglycan and decorin deposition in fibrotic lungs were observed, except for decorin in alveolar type II pneumocytes and alveolar macrophages. Bleomycin treatment of isolated rat lung fibroblasts resulted in a concentration-dependent increase of xylosyltransferase activity up to 2 mU bleomycin·mL1.
The data suggest a participation of myofibroblasts with increased xylosyltransferase activities in accumulation of versican in fibrotic foci of injured lung tissue at the early stages of development of lung fibrosis.
Pulmonary fibrosis develops in response to lung injuries caused by either radiation, chemical agents or pulmonary infection. It is characterized by alterations of alveolar epithelium, proliferation of fibroblasts, accumulation of components of the extracellular matrix and thickening of the alveolar walls 13. Pulmonary fibrosis is the major side-effect of the antineoplastic agent bleomycin. Intratracheal administration of bleomycin into the lung of rats is frequently used for induction of experimental lung fibrosis 1.
Proteoglycans consisting of glycosaminoglycan chains covalently attached to a core protein are major components of the nonfibrillar part of the extracellular matrix filling the space between the fibrous proteins. They modulate cellular adhesion, proliferation and cell migration 13. In the distal parts of the lung, proteoglycans are important for the structural integrity of the alveolar wall 14. In the alveolar interstitium, fibroblasts are the predominant source of proteoglycans 1618.
There are several lines of evidence suggesting involvement of altered proteoglycan deposition in the development of lung diseases, such as adult respiratory distress syndrome 17, sarcoidosis 20, bronchiolitis obliterans 17, extrinsic allergic alveolitis 20, tuberculosis 20, or idiopathic pulmonary fibrosis 20. In bleomycin-induced lung injury in the rat or hamster, accumulation of hyaluronan was described as preceding pulmonary fibrosis 4.
The small proteoglycans decorin and biglycan, which contain chondroitin sulphate or dermatansulphate chains, bind to dermal elastic fibres 25. Decorin is found closely associated with collagen in the lung 26 and it may play a role in the regulation of collagen fibrillogenesis 27. Both decorin and biglycan are able to bind transforming growth factor (TGF)-ß and to inactivate it 2932, giving rise to the hope of using decorin to decrease excessive levels of free TGF-ß observed in lung fibrosis 11. Westergren-Thorsson et al. 33 reported increased messenger ribonucleic acid (mRNA) levels and proteoglycan amounts for biglycan, and an opposite pattern for decorin in bleomycin-induced fibrosis in rats. It was suggested that versican, a large chondroitin sulphate proteoglycan (CSPG), forms a provisional matrix for collagen deposition in areas of developing pulmonary fibrosis 17.
An important step for the formation of most of the polysaccharide side chains of connective tissue proteoglycans, is the transfer of d-xylose from UDP-xylose to certain serine residues of proteoglycan core proteins by UDP-d-xylose: core protein ß-d-xylosyltransferase (UDP-xylosyltransferase; EC 2.4.2.2 [EC] .6). This enzyme initiates a series of post-translational modifications necessary for transport and secretion of proteoglycans 34.
This study describes the localization and increased deposition of chondroitin sulphate proteoglycans in the alveolar region of bleomycin-induced lung injury. The time course of changes in the proteoglycan deposition and in the activity of xylosyltransferase in lung tissue and in lung fibroblasts was investigated.
| Materials and methods |
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200 g, received under ketamine anesthesia, a single dose of 7.5 units bleomycin sulphate·kg1 body weight (Mack, Illertissen, Germany) dissolved in 0.25 mL of 0.9% NaCl solution, by endotracheal instillation as described previously 12. Controls received an equal volume of the vehicle. The animals were sacrificed at given times and the lungs were flushed free of blood across the right ventricle with phosphate-buffered saline (PBS), pH 7.4, containing 50 U heparin·mL1. Lung tissue was minced in two volumes of 100 mM Tris/HCl, pH 7.0, containing 250 mM NaCl, 1 mM ethylenediaminetetraacetic acid (EDTA), 5 mM benzamidine hydrochloride, 2 mM iodoacetic acid and 1 µM soybean trypsin inhibitor. After homogenization with a motor driven teflon pestle, the homogenate was centrifuged at 100,000xg at 4°C for 1 h. The supernatant was dialysed against 50 mM Tris/HCl, pH 7.0, containing 50 mM NaCl.
For immunohistochemical studies, lungs were fixed by immersion in 4% phosphate-buffered formalin and embedded in paraffin as described earlier 35. The time course of bleomycin-induced changes in CSPG and versican distribution was followed by examination of lungs fixed 7, 14, 21, 28, 35, or 42 days after treatment (n=2). Control lungs were obtained from two untreated animals. To evaluate bleomycin-induced fibrosis, sections of lung tissue were stained with polyclonal rabbit antirat collagen I (Chemicon, Temecula, CA, USA).
Preparation of lung fibroblasts and bleomycin treatment
Fibroblasts from the lungs of 3-month-old female Wistar rats were prepared by enzymic dissociation of lung tissue after vascular perfusion and repeated bronchoalveolar lavage with PBS using 0.2% collagenase type I (Sigma, Deisenhofen, Germany), 0.15% pronase (Boehringer, Mannheim), 0.08% dispase (Boehringer) and 0.9% DNase (Sigma). The isolated cells were filtered (filter holes 100 µm), collected by centrifugation and resuspended in Roswell Park Memorial Institute (RPMI) 1640 culture medium supplemented with 10% foetal calf serum (Biochrom, Berlin, Germany), 50 IU penicillin·mL1 and 50 µg streptomycin·mL1. Cells were passaged routinely and the media were changed every 3 days. Cells between passage numbers 4 and 20 were used for experiments.
For bleomycin treatment, subconfluent lung fibroblasts were deprived of serum for 24 h and treated with bleomycin for 1 h. The medium was then changed, the cells were kept free of serum for 12 h and harvested using 0.05% trypsin with 0.5% mM EDTA (Biochrom). Viability was checked by trypan blue exclusion.
For preparation of homogenates, cells were suspended in 100 mM Tris/HCl, pH 7.0, containing 250 mM NaCl, 1 mM EDTA, 5 mM benzamidine hydrochloride, 2 mM iodoacetic acid, 1 µM soybean trypsin inhibitor and 0.5% Triton X-100 with brief sonication. After incubation for 12 h, samples were centrifuged at 100,000xg at 4°C for 1 h, and the supernatant was dialysed against 50 mM Tris/HCl, pH 7.0 containing 50 mM NaCl for 12 h.
Determination of UDP-xylosyltransferase activity
UDP-xylosyltransferase activity was determined as described previously 34. Briefly, the reaction mixture contained in a final volume of 100 µL: 320 µM acceptor peptide of the sequence Q-E-E-E-G-S-G-G-G-Q-G-G, 0.46 µM UDP-[14C]-d-xylose, 68 µM UDP-d-xylose, 5 mM MnCl2 and cell or tissue homogenates. After incubation at 37°C for 1 h, protein was precipitated by addition of 0.5 mL 10% trichloroacetic acid/4% phosphotungstic acid, washed and redissolved in 1 M NaOH for liquid scintillation counting. Xylosyltransferase activity was calculated from the difference of UDP-d-xylose initially employed and d-xylose bound to the acceptor peptide. One mU of enzymic activity represents the incorporation of 1 nmol xylose·min1 into the acceptor peptide. The acceptor peptide was obtained by solid-phase peptide synthesis (9050 PepSynthesizer, MilliGen/Biosearch, Bedford, MA, USA). Protein concentrations were determined according to Bradford 36.
Immunoperoxidase staining of proteoglycans
For immunohistochemical localization of CSPGs, rabbit antichondroitin sulphate proteoglycan antiserum (Bioproducts, Ingelheim, Germany) was used. This antiserum reacts with proteoglycans containing glucuronic acid-N-acetyl-galactosamine (GlcU-GalNAc) units unmasked by chondroitinase ABC digestion. Versican was detected using anti-full-length human versican antiserum (kindly provided by E. Ruoslahti, Cancer Research Center, La Jolla, CA, USA 37). The antisera LF-106 against synthetic mouse biglycan peptide and LF-113 against synthetic mouse decorin peptide were the kind gift of L.W. Fisher, NIH, Bethesda, MD, USA 38. Antisera LF-106 and LF-113 are immunoreactive with rat proteoglycans and do not cross-react with each other 39.
Paraffin sections were mounted on silane coated slides, dried for 12 h, and dewaxed. Unless stated otherwise, the following steps were performed at 25°C. Sections to be stained for biglycan and decorin were processed without pretreatment. Tissue sections to be stained for CSPG were microwave-irradiated at 750 W (twice for 5 min each) in 10 mM sodium citrate, pH 6.0. The sections were then incubated in 50 mM Tris/HCl, pH 8.0, containing 50 mM NaCl and 0.5 µL chondroitinase ABC·mL1 from Proteus vulgaris (Sigma), at 37°C for 90 min. Dewaxed tissue sections to be stained for versican, and collagen type I were pretreated with 0.1% pronase (Merck, Darmstadt, Germany) in PBS for 15 min. After blocking of endogenous peroxidase and unspecific antibody binding, tissue sections were incubated with antisera against either CSPG (dilution 1:50), versican (dilution 1:50), decorin (dilution 1:100), biglycan (dilution 1:100) or collagen I (dilution 1:50, all dilutions in PBS) at 37°C for 1 h. For detection of primary antibodies, tissue sections were washed with PBS for 10 min and incubated with peroxidase-coupled goat antirabbit immunoglobulin-G (IgG) (horse radish peroxidase (HRP)77; H. Grossmann, Dresden, dilution 1:400 in PBS containing 50% foetal calf serum) for 60 min, followed by incubation with 1.67 mM diaminobenzidine for 8 min. The ABC Vectastain kit (Vector Laboratories Burlingame, CA, USA) was used to visualize the binding of the monoclonal anticollagen I antibody. After rinsing in PBS, counterstaining with haematoxylin was performed. To reduce background staining in the immunohistochemical localization of versican, PBS was supplemented with 0.1% acetylated bovine serum albumin (Aurion, Köln, Germany). For control of specificity, primary antibodies were replaced by PBS.
Detection of proteoglycans with cationic colloidal gold
Cationic colloidal gold (CCG) of 12 nm average diameter was stabilized with poly-l-lysine of 27 kDa molecular mass 41. For ultrastructural localization of polyanionic proteoglycans, pieces of normal and fibrotic lung tissue were fixed in 0.1 M sodium cacodylate containing 4% formaldehyde and 0.2% glutaraldehyde 41. As described earlier 43, the lungs were infiltrated with PBS containing 2.3 M sucrose, frozen in liquid nitrogen, cryo-substituted with methanol at 80°C, embedded in Lowycryl HM20 and polymerized at 30°C in a Reichert AFS (Leica, Hamburg, Germany). Ultrathin sections were mounted on 200 mesh nickel grids precoated with 3% colloidin. Sections from fibrotic lungs were incubated in 100 mM Tris/HCl, pH 7.0, containing 137 mM NaCl, 40 mM CaCl2 and 1 U of heparinase III·mL1 from Flavobacterium heparinum or in 50 mM Tris/HCl, pH 8.0, containing 50 mM NaCl and 1 U chondroitinase ABC·mL1 from Proteus vulgaris (Sigma), at 37°C for 2 h and washed thoroughly with PBS. Control sections were incubated with PBS containing 1% bovine serum albumin for 5 min. All sections were washed with PBS, labelled with CCG (dilution 1:40 in PBS) for 1 h, jet-washed with distilled water, and counterstained with saturated uranyl acetate in 50% ethanol for 30 min.
| Results |
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1.6-fold 7 days after bleomycin treatment and reached a maximum of
2-fold of controls at day 14. Xylosyltransferase activity remained at a high level up to 35 days post-bleomycin administration. Thereafter, the level declined and reached control values at day 42.
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1.6-fold of controls was observed at 2 mU bleomycin·mL1. At higher concentrations of bleomycin the UDP-xylosyltransferase activity was found at lower levels. Toxic effects of the cytostatic drug may interfere with the stimulatory effect on xylosyltransferase activity.
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The increasing deposition of both CSPG and versican was closely associated with the development of fibrotic alterations at alveolar entrance rings (fig. 3d, e
) and an increase in the number of
-smooth muscle actin-positive cells at sites of fibrotic lesions was observed. Fibrotic plugs showed prominent staining of the extracellular matrix in proximity to
-smooth muscle actin-positive cells for both CSPG and versican (fig. 3j
). In contrast, biglycan and decorin did not show any fibrosis-relevant changes, with the exception of the appearance of a weak intracellular staining of alveolar type II pneumocytes and macrophages for decorin (fig. 3h
). Deposition of collagen I was observed in the alveolar interstitium at alveolar entrance rings (fig. 4d
) and in regions showing thickened alveolar walls (fig. 4e
).
Detection of polyanionic components with cationic colloidal gold
In normal lung tissue, polyanionic components were localized at the basal lamina of the alveolar epithelium, whereas weak labelling was associated with collagen fibrils (fig. 5a
). Twenty-eight days after bleomycin treatment, increased labelling of the extracellular matrix with CCG was detected in fibrotic areas of lung tissue, particularly in association with bundles of collagen and elastin fibrils (fig. 5b
). To elucidate, if the polyanions associated with fibrous extracellular matrix components are proteoglycans belonging to CSPGs or heparansulphate proteoglycans (HSPGs), ultrathin sections of fibrotic lung tissue were treated with chondroitinase ABC or heparinase III. No CCG labelling of the collagen bundles was observed after heparinase treatment (fig. 5c, d
). Treatment with chondroitinase ABC did not result in any reduction of CCG labelling of collagen fibrils (data not shown).
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| Discussion |
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Proteoglycans consist of a core protein and glycosaminoglycan side chains. UDP-xylosyltransferase catalyzes the transfer of d-xylose from UDP-d-xylose to certain serine residues in the core proteins of proteoglycans as a rate-limiting step for glycosylation. There have been several potential attachment sites for glycosaminoglycan side chains reported for the versican core protein 13. The assembly of the entire molecule depends on the synthesis of the core protein and on the velocity of the glycosylation.
The increased immunoreactivity for versican observed at alveolar entrance rings and in fibrotic foci in bleomycin-injured rat lungs may be a sign for elevated core protein synthesis regardless of glycosylation, because the antiserum against versican recognizes the core protein. Anti-CSPG antiserum reacts with GlcU-GalNAc units unmasked by chondroitinase ABC digestion and, therefore, detects all CSPGs. The colocation of CSPG and versican observed in fibrotic areas of injured lung tissue indicates that a considerable fraction of the CSPG detected in these regions represents glycosylated versican, although the number of glycosaminoglycan side chains is unknown. Increased glycosylation of the core protein alone does not explain the increase in immunoreactivity for versican. At minimum, a coordinated regulation of both core protein synthesis and xylosyltransferase activity ensures the accumulation of the entire proteoglycan. After bleomycin administration, elevated catalytic activies of xylosyltransferase were found in injured lung tissue, accompanied by increased deposition of CSPG and versican. Bleomycin treatment of isolated lung fibroblasts resulted in concentration-dependent changes in xylosyltransferase activity. At low bleomycin concentrations, enzymic activity increased slightly, whereas at bleomycin concentrations >5 mU·mL1, xylosyltransferase activity was found decreased, probably due to toxic effects of bleomycin on the cells. UDP-xylosyltransferase was recently purified from rat ear cartilage and some properties were studied 34. So far, nothing is known about the regulation of the biosynthesis of this transferase. Kähäri et al. 44 reported that in human fibroblasts TGF-ß1 upregulates versican and biglycan mRNA synthesis, and downregulates decorin mRNA synthesis 44. Liu et al. 45 reported on platelet-derived growth factor (PDGF)-BB-induced stimulation of sulphate incorporation into biglycan without affecting the biglycan core protein mRNA level. TGF-ß and PDGF seem to be candidates involved in the regulation of xylosyltransferase.
Accumulation of versican starts in the interstitium of alveolar entrance rings. In the alveolar septa, myofibroblasts sharing morphologic and biochemical features of both fibroblasts and smooth muscle cells are prominent 46. At the tips of alveolar septa, a smooth muscle cell-type predominates.
-Smooth muscle actin is a reliable differentiation marker of myofibroblasts, but it does not allow differentiation between myofibroblasts and smooth muscle cells. Rat alveolar fibroblasts acquire
-smooth muscle actin as early as 24 h after intratracheal instillation of bleomycin, and these myofibroblasts are the predominant cells at sites of active fibrosis in the bleomycin-injured lung where they synthesize
1(I) procollagen 9. The present data suggest that the versican deposition at the septal tips is a result of increased synthesis by smooth muscle cells, as was shown by Wight et al. 13, whereas myofibroblast-like cells represent the source of versican in fibrotic foci. Close association of versican and collagen I with myofibroblasts in the extracellular matrix of fibrotic plugs of rat lung, as shown here, confirms the data presented by Bensadoun et al. 17 on accumulation of versican in early fibrotic foci of idiopathic pulmonary fibrosis and in granulomatous lung diseases in humans 20. The deposition of versican precedes the accumulation of collagen in the alveolar interstitium, suggesting versican is a constituent of a provisional matrix influencing functions of myofibroblasts embedded in this matrix 17.
The present results are partly in contrast to the report of Westergren-Thorsson et al. 33 who described increased biglycan levels and decreased decorin levels in bleomycin-induced lung fibrosis in rat. However, in their study 33, mRNA levels and proteoglycan amounts were determined after extraction and purification of proteoglycans. Veness-Meehan and coworkers 50 reported on immunohistochemical detection of biglycan and decorin in lungs of newborn Sprague-Dawley rats exposed to hyperoxia. The present study's results confirm the reports on decorin core protein detection surrounding blood vessels and immunoreactivity for both biglycan and decorin in association with airways 50. In 6-week-old control animals, Veness-Meehan et al. 50 showed an overall decrease of immunostaining for biglycan. The present study used 3-month-old Wistar rats and the difference in age, and probably in rat strain, may explain the lack of staining of alveolar epithelium and of alveolar walls in the present study.
Taken together, the data suggest that the deposition of versican is an early event throughout the development of bleomycin-induced pulmonary fibrosis, followed by accumulation of collagen at the same location where myofibroblasts predominate. The coincidence of the increase of UDP-d-xylose: core protein ß-d-xylosyltransferase activity with the accumulation of versican supports the hypothesis of a coordinated regulation of the synthesis of both xylosyltransferase and proteoglycans.
| Acknowledgements |
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| References |
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1(I) and
2(I) collagen gene expression in pulmonary fibrosis induced by endotracheal bleomycin injection. Lab Invest 1994;70:192202.[ISI][Medline]
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-smooth muscle actin expression and contractile phenotype in bleomycin-induced pulmonary fibrosis. Am J Pathol 1996;148:527537.[Abstract]
-smooth muscle actin expression during bleomycin-induced pulmonary fibrosis. Am J Pathol 1993;143:17541765.[Abstract]
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