Abstract
In addition to their role as regulators of leukocyte migration and activation, chemokines and their receptors also function in angiogenesis, growth regulation, and HIV-1 pathogenesis — effects that involve the action of chemokines on nonhematopoietic cells.To determine whether chemokine receptors are expressed in human colonic epithelium, HT-29 cells were examined by RT-PCR for the expression of the chemokine receptors for lymphotactin, fractalkine, CCR1-10, and CXCR1-5. The only receptor consistently detected was CXCR4 (fusin/LESTR), although HT-29 cells did not express mRNA for its ligand, stromal cell–derived factor (SDF-1α). Flow cytometric analysis with anti-CXCR4 antibody indicated that the CXCR4 protein was expressed on the surface of roughly half of HT-29 cells. CXCR4 was also expressed in colonic epithelial cells in vivo as shown by immunohistochemistry on biopsies from normal and inflamed human colonic mucosa. The mRNA for SDF-1α and other CC and CXC chemokines was present in normal colonic biopsies. The CXCR4 receptor in HT-29 cells was functionally coupled, as demonstrated by the elevation in [Ca2+ ]i, which occurred in response to 25 nM SDF-1α and by the SDF-1α–induced upregulation of ICAM-1 mRNA. Sodium butyrate downregulated CXCR4 expression and induced differentiation of HT-29 cells, suggesting a role for CXCR4 in maintenance and renewal of the colonic epithelium. This receptor, which also serves as a coreceptor for HIV, may mediate viral infection of colonic epithelial cells.
Introduction
Colonic epithelial cells are increasingly recognized to play an important role in host defense against microorganisms in the intestinal lumen and in inflammatory responses. Epithelial cells have been shown to have receptors for a number of proinflammatory cytokines including IL-1α, TNF-α, and IFN-γ that can induce the production of inflammatory mediators such as the chemokines, which are upregulated in inflammatory bowel conditions (1, 2).
Chemokines are a family of chemoattractant proteins that are classified into 4 groups, depending on the arrangement of amino acids adjacent to conserved cysteine residues. In the CC chemokine family, the conserved cysteine residues are adjacent. Members of this group are mainly monocyte and T-cell chemoattractants and include MCP-1, MIP-1α, RANTES, and eotaxin. Lymphotactin is a unique lymphocyte chemoattractant with a single conserved cysteine (3), and fractalkine, a monocyte and T-cell chemoattractant that exists as a cell-bound and soluble form, is the sole member of the CXXXC family (4). The chemokines IL-8, PF-4, IP-10, Mig, and SDF-1α contain a CXC motif and are further subdivided depending on the presence or absence of a 3-amino acid domain (glu-leu-arg, the ELR motif). ELR-containing chemokines are neutrophil chemoattractants and potent angiogenic factors. The non-ELR chemokines (IP-10, Mig, and SDF-1α) chemoattract T cells and are generally angiostatic (5), although SDF-1α can induce neovascularization (6).
Cells respond to chemokines through a family of 7 transmembrane G protein–coupled receptors that are also divided into families: CCR1-10 bind the CC chemokines, CXCR1-5 bind CXC chemokines, and receptors for fractalkine and lymphotactin have also been identified. Each receptor has a distinct but overlapping ligand specificity (7).
Although originally identified for their ability to activate and chemoattract immune cells, chemokines and their receptors have now been shown to have additional important functions that extend beyond the regulation of leukocyte migration. In endothelial cells, CXC chemokines affect cell migration and consequently can function as angiogenic/angiostatic factors that have important implications for tumor growth and neovascularization (5). In smooth muscle, chemokines such as IP-10 and IL-8 can modulate proliferation and migration (8, 9), and MCP-1 can induce procoagulant activity that may enhance thrombosis in atherosclerotic plaques (10). MCP-1 can also inhibit the proliferation of smooth muscle cells (11) and upregulate ICAM-1 expression (12). In the rat, the chemokine TCA3 (human equivalent I309) binds to and activates smooth muscle cells and mesangial cells (13, 14). In glial and endothelial cells, SDF-1α is a potent chemoattractant (6, 15). In many cases, the receptors responsible for these responses have been identified. Endothelial cells express CXCR1-4 and DARC chemokine receptors (16), mouse microglial cells, and astrocytes express CXCR4 (15), smooth muscle cells express CCR1 and CCR2 (17), and CXCR4 mRNA has previously been detected in the HT-29 colonic epithelial cell line (18). The ability of members of the chemokine-receptor family, including CCR3, CCR5, and CXCR4, to act as cofactors for HIV infection (19) raises the possibility that expression of these receptors in epithelium may play a role in viral infection of epithelial cells.
In this study, we have looked for chemokine-receptor expression in human colonic epithelium with regard to the potential role played by chemokine receptors in normal epithelial cell physiology and gut homeostasis, as well as in intestinal infection and inflammation.
Methods
Reagents.
SDF-1α was supplied by Gryphon Sciences (San Francisco, California, USA). Other chemokines and IL-1β were from Peprotec EC Ltd. (London, United Kingdom). TNF-α was a gift from Bayer (Slough, United Kingdom). All cell culture reagents and heat-inactivated FBS (HI-FBS) were from GIBCO BRL (Paisley, United Kingdom). Oligonucleotide primers were synthesized by Perkin Elmer (Applied Biosystems Warrington, United Kingdom). The 12G5 anti-CXCR4 antibody was from PharMingen (San Diego, California, USA). Standard reagents were from Sigma-Aldrich Co. (Poole, Dorset, United Kingdom) or Fisons Chemicals (Loughborough, United Kingdom).
Cell culture.
HT-29 colonic epithelial cell line was obtained from the European Collection of Animal Cell Cultures (ECACC; Salisbury, Wiltshire, United Kingdom). HT-29 cells are an epithelial cell line derived from a colon adenocarcinoma that have characteristics of normal intestinal epithelium (20). The cells were passaged weekly and grown at 37°C in McCoy’s 5A medium supplemented with 10% FBS, penicillin/streptomycin (10 U/mL and 10 μg/mL, respectively), and Fungizone (0.5 μg/mL). To render cells quiescent, serum was removed 24 hours before experimentation.
Measurement of intracellular Ca2+ elevation.
HT-29 cells were washed with PBS and briefly exposed to 0.05% trypsin/0.02% EDTA to detach cells from culture flasks. Trypsin activity was quenched by washing in medium containing 10% FBS. Cells were then washed in HBSS containing 1 mM Ca2+ and Mg2+ and 1 mg/mL BSA, then loaded at 37°C for 30 minutes with the Ca2+-indicator dye, 5 μM fura-2/AM (Calbiochem-Novabiochem, Nottingham, United Kingdom). The cells were washed and resuspended to 1–5 × 106 cells mL–1. The Ca2+ flux was measured in response to chemokines using a PTI dual-wavelength spectrofluorometer (Photon Technology International, Surbiton, Surrey, United Kingdom) with excitation at 340 and 380 nm and emission at 510 nm. Experiments were also repeated using adherent cells with a fiber-optic light guide to illuminate a microscope slide.
RT-PCR.
Total RNA was extracted from 5 × 106 HT-29 cells (or other primary human cells used as controls) into RNAzol (Tel-Test Inc., Friendswood, Texas, USA) as described by the manufacturers. Biopsies taken from uninflamed regions of human colon were collected into sterile tissue culture medium and homogenized into RNAzol within 1 hour. Poly(A)+ RNA was purified using a Quick Prep micro-purification kit (Amersham Pharmacia Biotech, St Albans, Hertfordshire, United Kingdom). One hundred nanograms of mRNA was denatured at 70°C for 10 minutes in the presence of 5 μM oligo(dT)12-18 primer. It was then reverse transcribed in a 10-μL volume with Superscript II (GIBCO BRL), 1× RT buffer, 1 mM deoxyribonucleotide triphosphates (dNTPs), 5 mM dithiothreitol (DDT), and 2.5 U/μL RNAsin (Promega Corp., Southhampton, United Kingdom) at 42°C for 60 minutes. One-microliter aliquots of cDNA were PCR amplified in a 25-μL reaction, containing 1× PCR buffer and 2 mM MgCl2, 0.2 mM dNTPs, 0.5 μM sense and antisense primers, and 0.4 U High Fidelity Expand polymerase (Roche Molecular Biochemicals, Lewes, Sussex, United Kingdom). The oligonucleotide sequence and product size for each gene-specific primer pair used are shown in Table 1. The conditions for amplification were: 5 minutes at 94°C, 30 cycles of 30 seconds at 94°C, 30 seconds at 56°C or 60°C, 30 seconds at 72°C, followed by an extension for 7 minutes at 72°C. PCR products were resolved by electrophoresis on 2% agarose gels and viewed by ethidium bromide staining. Because chemokine-receptor genes do not contain intron sequences to control for genomic contamination, an identical parallel PCR reaction was performed containing starting material that had not been reverse transcribed.
Table 1.
Flow cytometry.
HT-29 cells were detached from the culture flasks by brief exposure to 0.05% trypsin/0.02% EDTA and washed with PBS containing 1% FBS/0.1% sodium azide. The cells were incubated at room temperature for 1 hour with 10 μg/mL anti-CXCR4 antibody (clone 12G5; PharMingen) or an isotype-matched control antibody. Cells were washed 3 times with PBS/1%FBS/0.1% azide, then incubated with 1:1000 dilution of an anti-mouse IgG2a fluorescein isothiocyanate–conjugated antibody (Sigma-Aldritch) for 30 minutes. The cells were washed again and analyzed by flow cytometry on a FACS Vantage cell sorter (Becton Dickinson, Oxford, United Kingdom), using excitation at 488 nm and fluorescence emission at 520 nm.
Northern blotting analysis.
Total RNA was extracted from HT-29 cells in RNAzol as described above. Approximately 10 μg of RNA was loaded per lane of a 1% agarose/formaldehyde gel. RNA was transferred to nylon membranes by capillary blotting and fixed by baking at 120°C. Membranes were hybridized overnight at 42°C with a digoxigenin-labeled probe against CXCR4 (Eurogentech, Abington, United Kingdom), ICAM-1, or β-actin (R&D Systems Europe Ltd., Abington, United Kingdom). Unbound probe was removed by washing for 10 minutes in 2× SSC (0.3 M NaCl, 0.03 M sodium citrate, pH 7.0) and for 10 minutes in 0.1× SSC (15 mM NaCl, 1.5 mM sodium citrate, pH 7.0). Bound probe was detected using anti-DIG Fab conjugated to alkaline phosphatase and a chemiluminescent substrate, CSPD (Roche Molecular Biochemicals), which was detected by exposure to x-ray film.
Immunohistochemistry.
Colonic biopsy specimens of normal bowel mucosa from patients undergoing colonoscopy for diverticular disease (n = 6), colon adenocarcinoma (n = 9), and from normal individuals (n = 5) were studied immunohistochemically for the presence of CXCR4 chemokine receptor in human colonic epithelium. In routine histologic examination, these samples had normal epithelium and a normal number of goblet cells; the morphology and number of glands were normal and did not show any inflammatory infiltration of the lamina propria (21).
In addition, biopsy specimens of inflamed colonic mucosa from ulcerative colitis (UC) patients (n = 14) undergoing diagnostic colonoscopy were studied for CXCR4 expression. All UC patients were newly diagnosed with moderate to severe disease activity at the time of colonoscopy. Patients were examined before treatment, and biopsy samples were taken from the areas of greatest involvement of the inflammatory process. Routine histology of these specimens demonstrated ulceration, mucin depletion, deformation of the glands, crypt abscesses, and inflammatory infiltration of the lamina propria (21).
Purified mouse anti-human mAb against the fusin/CXCR4 chemokine receptor was used in a streptavidin/biotin method to demonstrate the presence of CXCR4 in human colonic epithelium. Biopsy samples that had been fixed in formalin and embedded in paraffin were mounted on 3-amino-propyltriethoxylsilane–coated slides. Dewaxed paraffin sections were placed in a pressure cooker containing 0.01 M buffered sodium citrate solution (pH 6), boiled for 2 minutes, and chilled to room temperature to recover antigens (22). The mounted slides were then incubated for 1 hour at room temperature with anti-human CXCR4 antibody diluted 1:100 (10 mg/mL). Harris hematoxylin was used as a counterstain. Control sections from adjacent sections were stained with mouse IgG2a isotype-matched antibody (Sigma) under the same conditions to determine the specificity of antibody binding.
Results
Differential expression of chemokine receptor mRNA in HT-29 cells.
RT-PCR was performed on serum-starved HT-29 cells using primers for the chemokine receptors CCR1–CCR10, CXCR1–CXCR5, and the receptors for lymphotactin and fractalkine. Primer pairs were validated by examining their expression in leukocytes prepared from human blood or in the Jurkat cell line (for CCR8 and CCR9/10). Figure 1 shows the results of a representative experiment that was repeated at least 3 times with cells of different passage numbers. The only receptor to be consistently expressed after 30 cycles of PCR using the conditions shown in the Methods section, was the SDF-1α receptor, CXCR4 (fusin/LESTR). The PCR product was sequenced and shown to be identical to the expected CXCR4 sequence. None of the other chemokine-receptor mRNAs examined were consistently detected. Identical results were obtained when these experiments were repeated using non-serum-starved HT-29 cells (not shown).
CXCR4 protein is expressed on the surface of HT-29 cells.
The cell-surface expression of CXCR4 was evaluated by FACS analysis of HT-29 cells using a specific antibody against CXCR4 (Figure 2). There was a shift in the fluorescence intensity of the cells that had been treated with anti-CXCR4, compared with an isotype control antibody. In 3 independent experiments, CXCR4 was expressed by 48 ± 7% (mean ± SD) of HT-29 cells. The same percentage of cells stained regardless of whether the cells were growing or quiescent.
Effect of CXC and CC chemokines on change in [Ca2+]i in HT-29 cells.
To determine whether HT-29 cells express any functional chemokine receptors, chemokines were investigated for their ability to induce changes in [Ca2+]i. Chemokine-stimulated elevation of cytosolic [Ca2+]i is a characteristic response of most leukocyte chemokine receptors. A large increase in transient Ca2+ elevation was induced in HT-29 cells in response to 12.5 nM SDF-1α, the ligand for CXCR4 (Figure 3a). A number of other chemokines were also tested at 12.5 nM, including IP-10, Mig, MIP-1α, MCP-1, IL-8, RANTES, and eotaxin; none of them produced a response. This was consistent with the absence of mRNA by RT-PCR analysis (results not shown). The response to SDF-1α was concentration-dependent, with an optimum elevation of [Ca2+]i of 89 ± 12.6 nM (mean ± SEM, n = 14) with 25 nM SDF-1α (Figure 3b).
SDF-1α induces ICAM-1 mRNA expression in HT-29 cells.
Although indicating that the CXCR4 receptors on HT-29 cells are able to signal, measurement of the increased transient Ca2+ does not indicate what the functional outcome may be in the epithelial cell. We therefore looked to see whether SDF-1α, the only known ligand for CXCR4, could induce any factors that may be associated with inflammatory processes.
Colonic epithelial cell lines express a low basal level of the intercellular adhesion molecule ICAM-1, which can be upregulated by proinflammatory cytokines. We have used Northern analysis to determine whether SDF-1α could also upregulate ICAM-1 expression. As shown in Figure 4, 25 nM SDF-1α enhanced ICAM-1 mRNA expression after 6 hours, with a peak expression after 24-hour exposure.
Sodium butyrate inhibits CXCR4 mRNA expression in HT-29 cells.
Because SDF-1α is expressed in the colon constitutively we considered the possibility that SDF-1α and CXCR4 may play a role in maintaining the normal colon physiology. The colon is a constantly renewing tissue and, as such, epithelial cell proliferation must be strictly controlled. Maintenance of cell numbers requires a balance between proliferation, differentiation, and apoptosis. This balance is controlled by endogenous factors and may be influenced by dietary factors such as the short-chain fatty acid butyrate, which is a fermentation product of dietary fiber. A 24-hour treatment with 5 mM sodium butyrate caused an increased activity of the brush border enzyme alkaline phosphatase in HT-29 cells (results not shown). This indicated that the cells were starting to differentiate. Northern analysis showed that expression of the 1.8-kb CXCR4 mRNA transcript was completely inhibited by treatment with 5 mM butyrate over a time course from 3 to 24 hours. Expression of the housekeeping gene β-actin was not affected (Figure 5).
Chemokine expression in normal human colon and HT-29 cells.
We have shown previously that HT-29 cells stimulated with proinflammatory cytokines can secrete a number of chemokines including IL-8, MCP-1, and RANTES (23). When analyzed by 35 cycles of RT-PCR, unstimulated, serum-starved HT-29 cells were found to express MCP-1, MCP-3, MIP-1α, IL-8, and IP-10 with very low expression of Mig and SDF-1α mRNA. Upon stimulation with IL-1α, TNF-α, and IFN-γ, stronger bands were detected for MCP-1, IL-8, and Mig. The chemokines MCP-4 and SDF-1α were present as weak bands or nor at all. Thus, HT-29 cells have the CXCR4 receptor but do not express its ligand, SDF-1α (Figure 6). SDF-1α mRNA also could not be detected in a preparation of human white blood cells, nor was it expressed by purified T cells or T blasts (data not shown). A major source of SDF-1α mRNA is human bone marrow stromal cells that are known to produce this chemokine constitutively (24).
Chemokine expression was also investigated in normal human colonic biopsies; the results are shown in the bottom 2 panels of Figure 6. The following chemokines could be detected in colonic specimens: MCP-1, MCP-3, MCP-4, RANTES, MIP-1α, IP-10, Mig, and SDF-1α. IL-8 was not expressed in this uninflamed tissue. The CXCR4 receptor could also be detected. The presence of SDF-1α mRNA in colonic tissue indicates that in vivo epithelial cells will probably be exposed to the ligand for CXCR4. Differences between the HT-29 epithelial cells and the biopsies may reflect the fact that biopsy specimens contain other cell types in addition to epithelial cells, mainly fibroblasts and intraepithelial T cells.
Normal human colonic epithelial cells express CXCR4 protein.
To determine whether the expression of CXCR4 seen in HT-29 cells was unique to this cancerous cell line or a characteristic of “real” colonic epithelium as well, human colonic biopsies were stained with an antibody against CXCR4. In all cases of uninflamed colonic mucosa studied (n = 20), the colonic epithelial cells expressed appreciable amounts of CXCR4 chemokine receptor at the surface of the mucosa and the crypts. Interestingly, the staining was strongest in the epithelial cells at the base of the crypt (Figure 7, a and b). CXCR4 expression was also observed in leukocytes of the lamina propria, as was expected, and endothelial cells, as has been described previously (25). In addition, in all cases (n = 14) of inflamed mucosa from ulcerative colitis patients, colonic epithelial cells expressed CXCR4; again, staining was strongest in the crypt cells. The ulcerative colitis patients had a large inflammatory infiltration of the mucosa, and many CXCR4 positive cells were observed here (Figure 7c). No staining was seen in adjacent sections when an isotype control antibody was used (Figure 7d). In addition to the specimens of large bowel, biopsies from the adjacent terminal ileum were also studied. Intestinal epithelial cells from the small bowel also expressed the CXCR4 chemokine receptor (Figure 7e).
Discussion
Epithelial cells line the mucosal surface of the colon and form a mechanical barrier that separates the host from the external environment. In addition to providing a surface for absorption, epithelial cells also secrete and respond to a number of inflammatory mediators, thus enabling communication with cells of the immune system and ensuring that inflammatory responses are mounted against ingested pathogens.
In previous studies, we have shown that colonic epithelial cells exposed to the proinflammatory cytokines IL-1 and TNF-α can secrete chemokines such as IL-8, MCP-1, and RANTES (23). Here we have shown that mRNA for many chemokines from both the CC and the CXC families is expressed in uninflamed human colon. Some of these chemokines may be responsible for the recruitment of the specialized subset (mainly CD3+ and CD8+) of intraepithelial T cells, which can constitute up to 15% of the normal uninflamed human colonic epithelium (26). These T cells, together with the colonic epithelial cells, are the first to come into contact with intestinal antigens and are thought to play a role in immune surveillance. Increased production of chemokines has also been reported in colonic mucosa from patients with inflammatory bowel disease (27), which may be associated with enhanced influx of intestinal intraepithelial lymphocytes (28). Interestingly, we did not detect IL-8 mRNA in the normal colon, though it can be produced by cytokine-stimulated epithelial cells. Its role is probably in neutrophil recruitment, which occurs during acute inflammation. Chemokines produced from activated leukocytes, fibroblasts, or epithelial cells probably play a role in leukocyte recruitment for surveillance or in inflammation in the gut.
In the present study, we have investigated whether colonic epithelial cells are targets for autocrine or paracrine regulation by the wide array of chemokines produced by cells in the colonic mucosa. Our results have shown that the HT-29 epithelial cell line only expresses mRNA for one of the known chemokine receptors, CXCR4. This receptor was expressed as a protein at the cell surface on about 50% of HT-29 cells and was functional, as shown by a Ca2+ flux induced by its ligand, SDF-1α. Other chemokines from the CXC and CC families failed to induce any change in Ca2+ flux in HT-29 cells consistent with the absence of mRNA for their receptors. These colonic epithelial cells express fewer chemokine receptors than endothelial cells, which express mRNA for CXCR1-4 (16). CXCR4 mRNA was, however, abundantly expressed in unstimulated HT-29 cells, as shown by the ability to detect mRNA transcripts by Northern analysis; CXCR4 mRNA has also been shown to be the most abundant chemokine receptor expressed in vascular endothelium (25). We also demonstrated that CXCR4 is not only found on the HT-29 cell line, but is also present in epithelial cells of normal and inflamed colon and small bowel.
Further evidence that CXCR4 was functional was obtained by measuring the increased expression of the intercellular adhesion molecule, ICAM-1, in HT-29 cells in response to stimulation with SDF-1α. Previously, the CC chemokine, MCP-1, has been shown to induce ICAM-1 mRNA in smooth muscle cells after 2 hours (12). In HT-29 cells, the proinflammatory cytokines, IL-1 and TNF-α, induce ICAM-1 mRNA expression by 2 hours (data not shown), thus the effect of SDF-1α on HT-29 cells (where ICAM-1 expression peaked at 24 hours) is delayed. This suggests that it may operate through an indirect mechanism, possibly involving production of an unknown intermediate. Alternatively, it is possible that because SDF-1α is normally presented to cells by extracellular matrix proteins, it may only be fully active in this conformation, thus the extended time required to induce ICAM-1 may be because we used soluble SDF-1α. Although a good indicator that CXCR4 is functional, it does not necessarily follow that SDF-1α upregulates ICAM-1 expression in colonic epithelium in vivo, although it may be a mechanism involved in recruitment of leukocytes in inflammatory bowel conditions because SDF-1α can induce the arrest of rolling lymphocytes to ICAM-1 (29).
SDF-1α and its receptor CXCR4 are different in many aspects from other chemokine-receptor ligand pairs. CXCR4 is one of the few chemokine receptors for which only a single ligand has been identified so far. Although SDF-1α belongs to the CXC subfamily, it is almost equally related to both CC and CXC families, and the gene is located on a different chromosome from the other CXC group members (30). The structure of the molecule consists of an unusual packing of the alpha helix against the beta sheet, suggesting that it may be the least divergent from a primordial chemokine (31). This is also supported by the similarity of the mouse and human SDF-1α (32). CXCR4 is expressed constitutively in a broad range of tissues including brain, thymus, lymph nodes, spleen, stomach, kidney, and small intestine (30).
SDF-1α was cloned from a bone marrow stromal cell line (32). It is not expressed by hematopoietic progenitor cells or lymphocytes, but is expressed by fibroblasts, which may explain its expression in various organs including brain, heart, lung, kidney, thymus, spleen, and liver (32). SDF-1α is expressed constitutively and does not appear to be upregulated by proinflammatory cytokines. It has, therefore, been proposed that SDF-1α plays a role in immune surveillance and basal extravasation rather than in inflammation (24). The presence of TATA-less and GC-rich sequences in the 5′ flanking region of the SDF-1α gene is consistent with it being a housekeeping gene (33). SDF-1α is chemotactic for resting T lymphocytes and monocytes, again supporting an immune surveillance role for this chemokine. In the gut, it may be responsible for the recruitment of intraepithelial T cells. SDF-1α, which is also known as pre-B cell growth–stimulating factor (PBSF), stimulates proliferation of B-cell progenitors (30) and is involved in B-cell migration (34), is a chemoattractant for hematopoietic progenitors and enhances adhesion of megakaryocytes to endothelium (35).
Unlike most chemokines, SDF-1α plays a fundamental role in development. Deletion of the SDF-1α or the CXCR4 gene are both embryologically lethal in mice (36, 37). The action of SDF-1α appears to be essential for B cell lymphoiesis and bone marrow myelopoiesis, as well as for correct development of the ventricular septum. Correct vascularization of the gastrointestinal tract is also dependent on the presence of SDF-1α, as is fetal cerebellar development, suggesting a role for CXCR4/SDF-1α neuronal cell migration and patterning in the central nervous system (38).
Because SDF-1α appears to be expressed constitutively in most adult tissues, including the colon; its biological action is likely to be regulated at the level of the CXCR4 receptor. In T cells, IL-4 induced functional expression of CXCR4, thereby promoting SDF-1α–induced migration of these cells (39). It has been shown that CXCR4 expression in endothelial cells is sensitive to regulation with IL-1α, TNF-α, and IFN-γ. IFN-γ caused a rapid and sustained decrease in steady-state levels of CXCR4 mRNA, whereas IL-1α, TNF-α, and LPS mediate an immediate decrease in CXCR4, followed by a reversal and increase in steady-state levels (25). In serum-starved colonic epithelial cells and in both uninflamed and inflamed (patients with ulcerative colitis) colonic epithelial cells, we detected high constitutive levels of CXCR4, suggesting a physiological role for this receptor in normal gut homeostasis.
The role of CXCR4 in the normal colonic epithelium is not clear, but it is potentially active because its ligand, SDF-1α, has been detected in colonic tissue both in this study and previously (33). The colonic epithelial cell line HT-29 did not express SDF-1α mRNA. This may reflect the cancerous nature of the HT-29 cells because Shibuta et al. (33) have previously failed to find SDF-1α (also known as human intercrine reduced in hepatomas [hIRH]) expression in a premalignant colonic adenocarcinoma and found a reduction in SDF-1α expression in the majority of hepatoma and digestive tract carcinomas (including primary colon cancers) compared with that in adjacent noncancer tissue. It appears possible that SDF-1α may play a role in carcinogenesis as a tumor-suppressor gene (33). This effect may be mediated by the ability of SDF-1α to inhibit the neovascularization required for tumor growth, thus inhibition of SDF-1α production by the tumor cells may be advantageous for tumor growth (5).
Our immunohistochemical study demonstrated that it was the epithelial cells at the base of the crypts or glands that stained most strongly for CXCR4. Because these cells are undergoing cell division and subsequent maturation, this may suggest a role for SDF-1α and CXCR4 in the renewal and maintenance of the epithelium. Apoptosis is important in a colonic epithelial cell that is programmed to have a short life-span, such as cells in the crypt proliferate, those in the villus differentiate, and apoptose. CXCR4 has been shown to be the receptor that mediates the apoptotic effects of the HIV-1 gp120. Both gp120 and SDF-1α directly induce apoptosis in a human neuronal cell line (40) and in CD8+ T cells (41). In CD4+ T cells, gp-120 induces apoptosis through CXCR4, but SDF-1α inhibits the cell death (42). We were unable to demonstrate that SDF-1α could modulate apoptosis in HT-29 cells induced by IL-1, TNF, and IFN-γ (results not shown), possibly because this is a transformed cell line. However, in agreement with the reduced expression of CXCR4 in the cells of the villus, which are differentiated compared with the cells in the crypt, we found that the fatty acid, butyrate, in addition to causing HT-29 cell differentiation, also completely inhibited CXCR4 mRNA expression. This means that CXCR4 expression can potentially be regulated by dietary factors and supports the hypothesis that CXCR4 may be important in the growth of epithelial cells.
An unfortunate consequence of epithelial cell CXCR4 expression is that it may mediate HIV infection. CXCR4 is one of the cofactors required for entry of the T-tropic HIV into cells (43, 44). The second receptor is generally CD4; however, in non-CD4-expressing cells, such as glial and colonic epithelial cells, HIV-1 uses the glycolipid galactosylceramide as a second receptor in conjunction with CXCR4 (18, 45). There is also evidence that CXCR4 can function alone as a primary HIV-2 viral receptor (46). Unlike the M-tropic HIV coreceptor, CCR5, which is largely restricted to cells of the hematopoietic lineage, CXCR4 is expressed on a wide variety of different cell types. M-tropic virus strains appear to be responsible for the primary infection by HIV that occurs by sexual transmission. The emergence of T-tropic strains of HIV tends to correlate with a rapid progression to AIDS. At this stage HIV infection of nonhematopoietic cells, such as neural cells through CXCR4, may lead to dementia, and HIV-1 infection of colonic epithelial cells may alter ion secretion in the intestine and thus be the causative agent of the watery diarrhea associated with HIV-1 infection (47). It is also possible that other viruses also use CXCR4 to activate epithelial cells.
In summary, this study has shown that with the exception of CXCR4, all of the known chemokine receptors are not expressed constitutively by the colonic epithelial cell line HT-29; CXCR4 is strongly expressed by both HT-29 cells and real human colonic epithelium. Colonic tissue expresses SDF-1α, and this ligand is able to induce a Ca2+ flux in colonic epithelial cells. Further studies need to be undertaken in order to reveal the role of SDF-1α and CXCR4 for epithelial cell function in vivo, though it seems probable that CXCR4 may enable HIV infection of colonic epithelium, and SDF-1–induced ICAM-1 expression on HT-29 cells may mediate intraepithelial T-cell recruitment during an inflammatory response. CXCR4 expression may also be involved in renewal and maintenance of the epithelial layer.
Note added in proof. Dwinell et al. (48) have recently reported CXCR4 expresssion in HT-29 cells and colonic epithelium.
Acknowledgments
N. Jordan was supported by a grant from the British Heart Foundation.
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