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1 Dept of Pediatrics, Division of Newborn Medicine, Tufts University and Floating Hospital for Children, Boston, MA, USA, 2 Dept of Paediatric Pulmonology and Neonatology, Hannover Medical School, Hannover, Germany.
CORRESPONDENCE: C. E. L. Dammann, Dept of Paediatrics, Hannover Medical School, Carl-Neuberg-Str.1, 30625 Hannover, Germany, Fax: 49 5115326827. E-mail: dammann.christiane{at}mh-hannover.de
Keywords: Dimerisation, epidermal growth factor, neuregulin, phospholipase C
, surfactant synthesis
Received: November 11, 2005
Accepted July 14, 2006
| ABSTRACT |
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The present authors studied the effect of known promoters of foetal surfactant synthesis (namely dexamethasone and mature (i.e. NRG-containing) fibroblast-conditioned medium (FCM)) on erbB receptor activation, protein content and dimerisation patterns in foetal mouse lung type II cells.
Dexamethasone inhibited surfactant synthesis in immature type II cells at day (d)16 of gestation, while the mature FCM had stimulatory effects. Both treatments directly stimulated surfactant synthesis in more mature (d17) cells. At this gestational day, dexamethasone had only a small effect on phosphorylation, but it stimulated the protein levels of all four erbB receptors. Dexamethasone effects were distinct from those of mature FCM, which stimulated both protein content and phosphorylation of all erbB receptors and of the signalling intermediate phospholipase C
. Dexamethasone modulated erbB receptor dimerisation patterns, such that erbB2 became the main dimerisation partner for erbB4.
In conclusion, dexamethasone signalling involves erbB receptors in foetal type II cells, in a manner similar to, but distinct from, neuregulin-containing fibroblast-conditioned medium signalling.
Antenatal surfactant production by foetal lung type II epithelial cells is crucial for the perinatal transition from the aquatic intrauterine environment to the gaseous atmosphere. Insufficient surfactant production, a condition present mainly in pre-term infants, leads to respiratory distress syndrome (RDS) 1. Antenatal glucocorticoids decrease the incidence of RDS by
50%, but they do not change the incidence of bronchopulmonary dysplasia (BPD), a chronic lung disease affecting surviving pre-term infants. Most BPD infants had RDS 2, 3. The pre-natal administration of glucocorticoids has both stimulatory and inhibitory effects on the developing lung 4. Mesenchymeepithelial interactions play an important role in foetal lung development by controlling the appropriate initiation of foetal surfactant production. This cellcell communication process was described >25 yrs ago and is stimulated by glucocorticoids in the immature lung 5. However, there remains a lack of information on the exact signalling pathways and factors involved in both the fibroblasttype II cell communication process and how it is stimulated by glucocorticoids. A better understanding of these mechanisms is crucial for developing therapeutic strategies that will promote the optimal maturation of the foetal surfactant system while avoiding the deleterious side effects of glucocorticoid treatment.
The present authors recently reported that neuregulin (NRG), a ligand of the erbB3 and erbB4 receptors, is part of the fibroblasttype II cell signalling process that initiates type II cell maturation 6. Mature foetal lung fibroblasts in culture secrete NRG into the conditioned medium (fibroblast-conditioned medium (FCM)), and this NRG secretion is induced by glucocorticoids 6. Since the erbB receptors, especially erbB2, are involved in the stimulatory effect of dexamethasone on foetal type II cells, and NRG signals the endogenous onset of foetal surfactant synthesis in foetal type II cells, the present authors chose to study how dexamethasone and NRG-containing FCM affect erbB receptor signalling in foetal type II cells. It was hypothesised that even though glucocorticoids stimulate the endogenous maturation of the fibroblast, there are distinct and important differences between the endogenous and the glucocorticoid-induced effects on the mechanisms controlling development of foetal type II cell surfactant production. These differences were studied in primary cultures of foetal mouse type II cells at day (d)16 and d17 of gestation, and in an immortalised mouse lung type II cell line.
| MATERIALS AND METHODS |
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antibodies from Santa Cruz (Santa Cruz, CA, USA); and erbB2, erbB3, and monoclonal NRG1 antibodies (Ab-2 for the biological blockade of NRG1 bioactivity) from Neomarkers (Fremont, CA, USA). The recombinant epidermal growth factor (EGF)-like domain of NRG1ß (a gift from K. Carraway 3rd; UC Davis, CA, USA) was expressed and purified as previously described 7, 8. Mouse lung epithelial (MLE) 12 cells were purchased from the American Type Culture Collection (Manassas, VA, USA).
Experimental design
Isolated foetal d16 and d17 mouse type II cells and MLE 12 cells were used to compare the effects of dexamethasone and mature, NRG-containing FCM (both of which stimulate surfactant synthesis) on erbB receptor protein content, activation (tyrosine phosphorylation), dimerisation patterns, and activation of the downstream signal transduction intermediate PLC
.
Preparation of mature FCM from d18 foetal lung fibroblasts
The animal research protocol was approved by the institutional animal care and use committee. Animals were maintained in accordance with National Institutes of Health Guidelines and the Helsinki Conventions for the use and care of animals. Foetal lung fibroblast cultures were prepared as described previously 9. FCM was collected from confluent cells following a 24-h serum starvation and stored at 4°C until used. Only FCM from d18 female lungs was used, because of the well-described male delay in the timing of lung maturation, including the stimulation by FCM of type II cell surfactant synthesis 10, 11. FCM from d18 female lung fibroblasts is well-documented to stimulate type II cell surfactant synthesis 11 and to contain NRG as an active component 6.
Preparation of primary foetal type II epithelial cells
Type II cell isolation was continued after the first differential adherence for fibroblast cultures, as previously described 6. Purity and histochemical characterisation of the type II epithelial cell cultures isolated with this method were confirmed by methods of Post and Smith 12 and determined to be >92%, as previously published 13. This characterisation indicates that these cells retain morphological features of type II cells, including the presence of surfactant lamellar bodies. This indicates that these cells provide a good system for studies of biochemical events occurring during specific stages of lung development.
[3H]-choline incorporation into disaturated phosphatidylcholine
The stimulation of surfactant synthesis was determined by measuring the incorporation of [3H]-choline into disaturated phosphatidylcholine (DSPC) as previously described 6, 11. All experiments included FCM with known surfactant synthesis stimulatory activity as a positive control.
Immunoblotting of erbB receptors in foetal type II cells
Foetal d17 type II cells were grown in six-well plates in Dulbeccos Modified Eagle Medium (DMEM) with 20% charcoal-stripped foetal calf serum (FCS) until 8090% confluence. After a 24-h serum starvation, either FCM (with or without added NRG blocking antibody or a nonspecific immunoglobulin (Ig)G antibody, 10 µg·mL-1 each) or dexamethasone (10-8 M) was added for a further 24 h. Control cells were left in serum-free medium for the same time period. Cells were lysed and protein extracted. Aliquots of 20 µg of total protein per lane were separated by electrophoresis and detected by Western blot, as previously detailed 6. Blots were re-probed for the housekeeping gene ß-actin as an internal standard to control for possible loading differences.
Co-immunoprecipitation of the erbB receptors in MLE 12 cells
MLE 12 cells, rather than primary foetal type II cells, were used for erbB receptor co-immunoprecipitation (IP) experiments because of the need for larger amounts of protein for co-IP work. The present authors have shown that the effects of foetal FCM and NRG on DSPC synthesis in MLE 12 cells are similar to those seen in primary cultures of d18 foetal type II cells 6, and others have shown that MLE 12 cells exhibit characteristics of foetal type II cells, including the expression of surfactant proteins SP-B and SP-C and formation of microvilli and multivesicular bodies 14. MLE 12 cells express all four erbB receptors, as do foetal type II cells; however, erbB3 shows a higher level of constitutive phosphorylation in MLE 12 cells than it does in cultured foetal d18 type II cells 6.
Immunoprecipitation experiments in MLE 12 cells were carried out using a co-IP protocol to study the patterns of erbB receptor heterodimerisation in response to dexamethasone and mature FCM. Cell proteins were immunoprecipitated under low-stringency conditions with antibodies to each erbB receptor in order to lean about receptorreceptor interactions. MLE 12 cells were plated at a density of 2x106 cells in 100 mm dishes and grown in DMEM with 10% FCS until 8090% confluent. Cells were serum-starved in either DMEM (controls) or DMEM containing 10-8 M dexamethasone for 24 h. Cells were then: stimulated with either EGF (100 ng·mL-1), NRG (purified recombinant EGF-like domain of NRG1ß 7, 8; 33 nM) or DMEM (controls) for 2 min at 37°C; washed three times with ice-cold PBS; and lysed in co-IP buffer (20 mM Tris (pH 7.4); 150 mM NaCl; 1 mM MgCl2; 0,1% Triton X-100; 10% glycerol; 1 mM Na3VO4; 1 mM NaF; 1 mM ZnCl2; 10 mM ß-glycerolphosphate; 5 mM tetrasodium pyrophosphate; 1 mM phenylmethylsulphonylfluoride; and 0.4 µg·mL-1 each of aprotinin, leupeptin, and pepstatin), as described previously 15. For each IP, 500 µg of total protein was used. IP protocols were followed as published 6.
Data analysis
The effects of treatment on choline incorporation and the amount of erbB receptor protein (measured by densitometry and normalised to actin) were expressed as a percentage of their intra-experimental control values. FCM-blocking values were compared to their specific intra-experimental FCM-stimulated values. A two-tailed unpaired t-test, followed by a post hoc Bonferroni correction, where appropriate, was used to test for statistical significance. Data are presented as mean±SEM, unless otherwise stated.
| RESULTS |
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ErbB receptor protein expression and activation in primary foetal type II cells
Because both dexamethasone and mature FCM had similar stimulatory effects on DSPC synthesis in d17 type II cells, their effect on erbB receptor expression was investigated in these cells only. Mature FCM strongly stimulated endogenous tyrosine phosphorylation of erbB1 (EGFR), erbB2 and erbB4, without need for an additional stimulatory ligand (fig. 2a
, lane 2). To determine the specific role of NRG on this receptor-stimulatory activity, an inhibitory NRG1 antibody was added to the mature FCM. The antibody inhibited the stimulatory effect of the FCM on phosphorylation of these three erbB receptor proteins in the d17 type II cells (fig. 2
, lane 3). Dexamethasone, on the other hand, had no stimulatory effect on the endogenous phosphorylation of any of these proteins (fig. 2
, lane 5).
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An erbB receptor-induced increase in protein content and phosphorylation of the intracellular signalling protein PLC
after mature FCM treatment was also found. This increase was also blocked by the inhibitory NRG antibody, leading to the suggestion that one of the signalling pathways initiated by mature FCM in type II cell surfactant synthesis involves PLC
. Interestingly, dexamethasone did not significantly increase the protein content or phosphorylation of PLC
.
ErbB receptor protein expression and NRG-induced phosphorylation in MLE 12 cells
The foregoing studies showed effects of dexamethasone and NRG on erbB receptor protein content. To gain further insight into the effect on protein amount and on NRG-induced erbB receptor phosphorylation, immunoprecipitations for erbB receptors were performed, using MLE 12 cells. Exposure of the cells to dexamethasone for 24 h followed by immunoprecipitation with a receptor-specific antibody caused an increase in erbB1 protein content to 159±32% (n = 9), in erbB2 to 186±27% (n = 17; p = 0.006), and in erbB4 to 193±23% (n = 11; p = 0.002), compared with untreated control cells (fig. 3a
). ErbB3 protein content was decreased to 88±13% (n = 12; fig. 3a
). Dexamethasone exposure changed the NRG-induced activity of the erbB receptors, measured by receptor phosphorylation. NRG increased the phosphorylation of erbB2 and erbB4 to 272±47% (n = 8; p = 0.008) and 161±14% (n = 6; p = 0.009) respectively, over baseline (fig. 3b
). However, the phosphorylation of erbB3, which is highly constitutively phosphorylated in these cells 6, was reduced by NRG to 71±8% (n = 5; p = 0.024) of baseline (fig. 3b
).
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| DISCUSSION |
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In order to elucidate the differences in erbB receptor activation induced by dexamethasone and mature FCM, the present authors studied erbB receptor content, phosphorylation and heterodimer formation, all elements that determine receptor responses to ligands such as NRG. Dexamethasone increased the protein content of all four erbB receptors in d17 foetal type II cells, similar to NRG-containing FCM. Dexamethasone did not affect baseline erbB receptor phosphorylation, but produced an upregulation of NRG-induced erbB2 phosphorylation. The present authors have previously shown that pre-treatment of immature (d17) foetal lung fibroblasts with dexamethasone produces an FCM which induces erbB2 phosphorylation in type II epithelial cells. This effect was similar to the effect of mature NRG-containing d18 FCM, but was not seen after exposure to FCM from d17 foetal fibroblasts 6. ErbB2 lacks the ability to bind a ligand directly; it is activated indirectly in a ligand-dependent manner via the formation of heterodimers with the other three erbB receptors 17. When activated, erbB2 is a potent receptor strongly involved in cancer biology 17 and frequently involved in cross-talk with other signalling pathways, including those of cytokines 18. The present findings suggest that dexamethasone signalling affects erbB2 signalling in a similar manner to findings in ovarian carcinoma epithelial cells 19.
The complexity and diversity of the erbB receptor signalling network and the resulting variety of biological effects following erbB receptor activation are mediated through receptor activation by specific ligands and utilisation of specific receptor dimers. This allows the initiation of specific signalling cascades and is likely to account for the markedly different biological results erbB receptors can induce 17. The present results indicate that dexamethasone exposure disturbs the preferred dimerisation of erbB1/erbB4 previously described in type II epithelial cells 16, promoting the dimerisation of erbB2 with erbB4. It is known that different circumstances preferentially induce the formation and activation of different erbB receptor dimer pairs 20, 21 leading to distinct profiles of gene expression 15. The current data suggest that, although it exerts stimulatory effects on the surfactant system, dexamethasone might have effects on other processes in lung development, e.g. on alveolarisation, through upregulation of erbB2.
One of the major signalling pathways of activated erbB1 involves the activation of PLC
, which is known to be associated with cell differentiation 22. PLC
is upregulated in the foetal lung shortly before the onset of foetal surfactant synthesis 23. In contrast to FCM containing NRG, dexamethasone did not promote erbB receptor-induced PLC
expression. This is in agreement with the changes in dimerisation pattern, where erbB1 appears to play a less prominent role after dexamethasone treatment. Because upregulation of PLC
appears to be involved in the physiological induction of foetal surfactant synthesis, it might be speculated that differences in signalling between mature FCM and dexamethasone might explain the differences in the biological effects seen in these cells. The deleterious effects of dexamethasone on alveolarisation might involve changes in the erbB receptor signalling network involving erbB2 upregulation and erbB1 downregulation.
The current results are potentially of clinical importance, because glucocorticoids, as known stimulators of foetal lung maturation 24, are recommended in the clinical setting of pre-term labour to stimulate foetal lung maturation 25. Pre-natal glucocorticoids have a stimulatory effect on: structural development 26; the oxidative system by inducing antioxidative enzymes 27; vascular development by decreasing vascular permeability 28; and development of the foetal surfactant system 2931. There is also a growing literature showing inhibitory effects of glucocorticoids on other aspects of lung development such as alveolarisation 4, 32. More detailed information on the signalling pathways affected by glucocorticoids is needed to define means to decrease the unwanted side-effects of glucocorticoids.
In conclusion, dexamethasone not only stimulates the maturation of the surfactant system by inducing the production of neuregulin 6 by foetal lung fibroblasts, but also changes the expression and dimerisation patterns of erbB receptors in foetal type II cells to enhance specific yet diverse signalling pathways in the developing foetal lung. Differences in erbB receptor activation between mature fibroblast-conditioned medium and dexamethasone might provide an explanation for some of the adverse effects of dexamethasone (e.g. arrest of alveolarisation) in the developing foetal lung. Further research is necessary to elucidate the exact signalling mechanisms through the erbB signalling network in this context. A better insight into the interaction of signalling pathways of hormones and growth factors in foetal lung cell maturation would enable more specific induction of maturational processes and a reduction in effects that disturb other components of lung maturation following pre-natal exposure to glucocorticoids 33, 34.
| ACKNOWLEDGEMENTS |
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and diacylglycerol in fetal lung. Am J Physiol Lung Cell Mol Physiol 2003;284:L808L816.This article has been cited by other articles:
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E. Purevdorj, K. Zscheppang, H. G. Hoymann, A. Braun, D. von Mayersbach, M.-J. Brinkhaus, A. Schmiedl, and C. E. L. Dammann ErbB4 deletion leads to changes in lung function and structure similar to bronchopulmonary dysplasia Am J Physiol Lung Cell Mol Physiol, March 1, 2008; 294(3): L516 - L522. [Abstract] [Full Text] [PDF] |
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