Abstract
Bpifa1 (BPI fold-containing group A member 1) is an airway host-protective protein with immunomodulatory properties that binds to LPS and is regulated by infectious and inflammatory signals. Differential expression of Bpifa1 has been widely reported in lung disease, yet the biological significance of this observation is unclear. We sought to understand the role of Bpifa1 fluctuations in modulating lung inflammation. We treated wild-type (WT) and Bpifa1−/− mice with intranasal LPS and performed immunological and transcriptomic analyses of lung tissue to determine the immune effects of Bpifa1 deficiency. We show that neutrophil (polymorphonuclear cells, PMNs) lung recruitment and transmigration to the airways in response to LPS is impaired in Bpifa1−/− mice. Transcriptomic analysis revealed a signature of 379 genes that differentiated Bpifa1−/− from WT mice. During acute lung inflammation, the most downregulated genes in Bpifa1−/− mice were Cxcl9 and Cxcl10. Bpifa1−/− mice had lower bronchoalveolar lavage concentrations of C-X-C motif chemokine ligand 10 (Cxcl10) and Cxcl9, interferon-inducible PMN chemokines. This was consistent with lower expression of IFNγ, IFNλ, downstream IFN-stimulated genes, and IFN-regulatory factors, which are important for the innate immune response. Administration of Cxcl10 before LPS treatment restored the inflammatory response in Bpifa1−/− mice. Our results identify a novel role for Bpifa1 in the regulation of Cxcl10-mediated PMN recruitment to the lungs via IFNγ and -λ signaling during acute inflammation.
INTRODUCTION
The airway epithelium plays an important role in the innate immune response to pathogens. This complex response includes the expression of cytokines and chemokines, antimicrobial proteins, and immune mediators and epithelial interactions with inflammatory cells. Bpifa1 (BPI fold-containing group A member 1), is an airway-secreted protein that regulates multiple aspects of epithelial host defense through its antimicrobial, ion transport, and immunomodulatory properties (16).
Bpifa1, also known as Splunc1 (short palate lung and nasal epithelium clone 1), is a member of the bactericidal/permeability-increasing protein fold-containing (Bpif) superfamily, a heterogeneous group of proteins sharing the structure of bactericidal/permeability-increasing protein (BPI), a lipopolysaccharide (LPS)-binding protein with antimicrobial and immunomodulatory properties (1, 4, 7, 10, 13, 19). Genomic and proteomic studies have reported differential expression of Bpifa1 in lung disease, yet the biological significance of this observation remains unclear (15, 28, 31, 48, 49).
Bpifa1 is expressed primarily in the respiratory tract, a site of high exposure to environmental pathogens and irritants (9, 17, 22). Its distribution and abundance make it readily available to serve as an antimicrobial and early regulator of innate immune responses. Bpifa1 is known to inhibit bacterial and viral proliferation, regulate ion transport, and work as a surfactant (1, 2, 12, 16, 27, 50). These functions act in synergy to promote mucociliary clearance and maintain airway epithelial integrity. Furthermore, Bpifa1 modulates inflammation in models of gram-negative infection and noninfectious airway inflammation (3, 29, 30, 37, 56, 57). Like other members of the BPIF family, its binding to LPS may be one mechanism by which Bpifa1 exerts its immunomodulatory role (11, 42, 54).
Our previous studies focused on Bpifa1 fluctuations in response to infection and inflammation. Under basal conditions, Bpifa1 is highly concentrated in the respiratory tract and rapidly decreases in response to pathogen-associated molecular patterns (PAMP) and cytokines. In addition to infectious stimuli, we identified interferon-γ (IFNγ) as a rapid and potent inhibitor of Bpifa1 expression (17). In this previous work, we proposed that decreased Bpifa1 during infection serves as a sensor of pathogen exposure that regulates local immunity to maintain homeostasis.
Two patterns of immunomodulatory effects have been described in models of Bpifa1 dysregulation. In the absence of Bpifa1, Bpifa1−/− mice infected with gram-negative bacteria had increased inflammation, possibly due to the absence of antimicrobial effects of Bpifa1, leading to increased pathogen burden (20, 21, 26, 32, 37–39, 47, 56). However, in a noninfectious model using inhaled carbon nanotubes as an irritant, mice that overexpressed Bpifa1 had increased inflammation (23, 51). Thus, in one model Bpifa1 promoted inflammation, and in another it protected against it. Here, we sought to understand the role of Bpifa1 in modulating acute lung inflammation triggered by LPS derived from Pseudomonas aeruginosa, rather than P. aeruginosa itself, therefore excluding contributions from active bacterial growth. These studies show that Bpifa1 serves an important function in regulating neutrophilic responses to gram-negative bacterial products and suggest that Bpifa1 is important to IFN-inducible responses to pathogens in the airways.
METHODS
Mice, LPS model of lung inflammation and Cxcl10 reconstitution.
C57BL/6 Bpifa1−/− mice were generated from C57BL/6 ES cells containing a gene-ablating deletion of the Bpifa1 gene in chromosome 2. Six- to twelve-week-old Bpifa1−/− mice and age- and sex-matched wild-type (WT) C57BL/6 littermate controls were used in all experiments. Mice received LPS from P. aeruginosa, strain PAO1, administered intranasally (5 μg per mouse; Sigma-Aldrich, St. Louis, MO). Animals were euthanized at time points as indicated. For experiments reconstituting C-X-C motif chemokine ligand 10 (Cxcl10), we administered recombinant mouse Cxcl10 intraperitoneally (0.6 μg per mouse; BioLegend, San Diego, CA) 30 min before intranasal LPS. All animal experiments were performed according to guidelines of and approved by Yale Animal Care and Use Committee.
Assessment of lung inflammation.
Bronchoalveolar lavage (BAL) was performed by cannulation of the trachea and instillation of 1 ml of PBS. BAL was collected for ELISA and measurement of inflammatory mediators. Cells were counted as previously described (43). To count lung leukocytes, we performed lung tissue digestion with collagenase type IV at 150 U/ml (Worthington Biochemical, Lakewood, NJ) and DNase at 10 U/ml (Sigma-Aldrich) for 1 h at 37°C and passed tissue through a wire mesh to dissociate the cells. Cytospin preparations of BAL and lung cells were stained with Diff-Quik (Baxter Healthcare, Deerfield, IL), and differentials were performed on 200 cells on the basis of morphology and staining characteristics.
Lung histology, immunohistochemistry, and immunofluorescence.
Lung tissue was dissected, fixed in 4% PFA, and incubated overnight at 4°C. The next day, tissue was washed twice with PBS and placed in 70% ethanol before paraffin embedding. Lung tissue sections were deparaffinized with xylene, rehydrated with graded alcohol solutions, and washed with deionized water. A hematoxylin-eosin stain was used to assess overall inflammation and the distribution of lung infiltrating cells (peribronchial and alveolar) in 10 random fields at ×20 magnification for each sample. The number of cells in alveolar or peribronchial distribution in each field was quantified using an Inflammatory Infiltration Histology Score (modified from Dubin et al.) (6, 24). To detect differences in inducible expression of Cxcl10 by infiltrating leukocytes and other lung cell types during inflammation, we used immunohistochemistry (IHC) and immunofluorescence (IF) stains, colocalizing Cxcl10 protein and specific cell/tissue markers. Heat-induced antigen retrieval with target retrieval solution (pH 6.0; Dako, Carpinteria, CA) was performed. Sections were blocked with serum-free protein blocking buffer (Dako) and incubated with the following primary antibodies overnight at 4°C: 1) F4:80 rat anti mouse (11-4801-81; Invitrogen, Carlsbad, CA), 2) Ly6G rat anti-mouse (MCA-771EL; Bio-Rad, Hercules, CA), 3) Cxcl10 rabbit anti-mouse (701225; ThermoFisher, Waltham, MA), 4) pan-cytokeratin rabbit anti-cow (Dako), and 5) von Willebrand factor rabbit anti-human (A0082, Dako). For IHC, samples were washed by immersion in PBS and incubated with the following secondary antibodies: 1) alkaline phosphatase-conjugated goat anti-rabbit (GR602 H; Biocare Medical, Pacheco, CA), 2) horseradish peroxidase (HRP)-conjugated goat anti-rabbit (K3467, Dako), and 3) alkaline phosphatase-conjugated goat anti-rat (GAP515, Biocare Medical). For IF, samples were washed by immersion in PBS and incubated with the following secondary antibodies: Dylight 549 anti-rabbit (DI-1549; Vector Laboratories, Burlingame, CA), Alexa fluor 488 conjugate anti-rat (4416; Cell Signaling Tech, Danvers, MA). Finally, samples were washed again by immersion in PBS and mounted with Prolong Gold mounting medium with DAPI (Life Technologies, Carlsbad, CA). For IHC staining, after chromogen was applied, slides were counterstained with hematoxylin and mounted with mounting medium. Rabbit IgG (ThermoFisher Scientific) was used as an isotype control. The entire lung was surveyed for each mouse, and four to six images were taken from each lung. Images were acquired with Nikon Eclipse Ti (IF) and Nikon Eclipse Ni (IHC) microscopes (Nikon, Tokyo, Japan).
RNA extraction, real-time PCR, and analysis of microarray data.
RNA was isolated from whole lung tissue homogenates (TRIzol, Invitrogen) and used as a template to generate cDNA (iScript kit, Bio-Rad). RNA quantity was determined by NanoDrop at 260 nm. Labeling was performed using the Agilent Technologies Low Input Quick Amp Labeling kit (Agilent Technologies, Santa Clara, CA). After purification and fragmentation, aliquots of each sample were hybridized to SurePrint G3 Mouse Gene Expression v.2 8 × 60K microarrays (Agilent Technologies). Each array was sequentially washed and scanned with an Agilent Technologies microarray scanner. Arrays were visually inspected for hybridization defects, and quality control procedures were applied. Intensity information from captured array images and the annotation information from the microarray experiments were determined using Agilent Feature Extraction 12.0.0 software. The Agilent microarray processed signals were normalized using Quantile normalization as previously described (5, 14). Interquartile normalization was applied to normalize the gene expression signals by BRB-ArrayTools v.4.5.0 (https://brb.nci.nih.gov/BRB-ArrayTools/). We selected only transcripts with annotated Entrez ID. Given that gene expression microarrays contain multiple replicated probes for the same transcript, we selected the transcripts with the highest interquartile range (IQR) variation. Data were visualized by generating heat maps with Java TreeView. The microarray data were deposited at the National Center for Biotechnology Information (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?token=yvctemmwrtyttgj&acc=GSE84901) under accession number GSE84901. Microarray data analyses were performed using GeneSpring (Agilent Technologies). A multivariate permutation t-test (1,000 permutations) for unpaired samples was used to identify differentially expressed transcripts between WT and Bpifa1−/− mice at baseline. A two-way ANOVA was used to identify gene expression differences in WT vs. Bpifa1−/− mice after differences in expression changes were accounted for over time at 0, 8, and 24 h. Results of the two-way ANOVA were corrected for multiple hypothesis testing using the Benjamini & Hochberg false discovery rate (FDR) approach. This correction works by ranking the P value of each gene from smallest to largest, multiplying the rank number by the false discovery rate selected, and then dividing by the total number of tests performed (8). If the value obtained is less than 0.05, it is considered statistically significant. This is done sequentially for every value on the rank list.
Pathway enrichment analysis was performed using GeneSpring. Statistical significance was defined as a FDR < 0.05, and we focused on genes with a statistically significant fold change (FC) greater than 1.5. Changes in mRNA expression are represented as FC in Bpifa1−/− mice relative to WT. Pathway analysis was performed with Ingenuity Pathway Analysis software (IPA, Ingenuity Systems, Redwood City, CA). The IPA software package (http://www.ingenuity.com) uses a curated database containing gene expression and gene annotation and information from multiple sources (52). IPA calculates single P values for the enrichment of each gene category by using Fisher’s exact test, taking into consideration the total number of molecules from the analyzed data set and the total number of molecules linked to the same gene. The software generates a Z-score that represents an approximate interaction between the focus molecule and each network (34, 46, 52).
For real-time PCR, RNA expression was measured by quantitative PCR reaction (SYBR FAST; KAPA Biosystems, Woburn, MA). Murine PCR primers used for amplification are detailed in Table 1. For each set of primers, validation experiments showed a linear dependency of threshold cycle values at different RNA concentrations. The data were analyzed after mouse genes were normalized to gapdh or tubbulin-5 (tubb5). Statistical analyses were performed using SAS v. 9.4 (SAS, Cary, NC), GraphPad Prism v. 7.0 (GraphPad Software, La Jolla, CA), and Data Assist software, v. 2.0 (Applied Biosystems, Carlsbad, CA). Changes in mRNA expression are represented as fold change (FC) in Bpifa1−/− relative to WT mice.
Table 1.
Gene | Forward | Reverse |
---|---|---|
Bpifa1 | GTCCACCCTTGCCACTGAACCA | CACCGCTGAGAGCATCTGTGAA |
Tubb-5 | CGGTGCTAAGTTCTGGGAGGTGATA | TGAGCGAACGGAGTCCATAGTC |
Ifna2 | GATGAGGAGGCTCCCCTTTCT | GATGGCTTGAGCCTTCTGGAT |
Ifnb1 | AGCTCCAAGAAAGGACGAACA | GCCCTGTAGGTGAGGTTGAT |
Ifng | ATGAACGCTACACACTGCATC | CCATCCTTTTGCCAGTTCCTC |
Ifnl2/3 | ACCCTGAAGGTCTGGGAGAA | AAGCTGTGTACAGGTCTGC |
Cxcl10 | TCCATATCGATGACGGGCCA | TTCATCGTGGCAATGATCTCAAC |
Cxcl9 | TGCGACTTCACTCCAACACAG | AGGGTTCCTCGAACTCCACAC |
Irf7 | TGCTCTGCCCACACAGGTTC | GGTTCCTCGTAAACACGGTCT |
Oas1g | CCTTTGATGTCCTGGGTCATGG | CAGATGAGGATGGTGTAGATTAAGG |
Ccl12 | ATTTCCACACTTCTATGCCTCCT | ATCCAGTATGGTCCTGAAGATCA |
Ccl7 | TCCCTGGGAAGCTGTTATCTTCAA | AAGGCTTTGGAGTTGGGGTT |
Mx1 | GACCATAGGGGTCTTGACCAA | AGACTTGCTCTTTCTGAAAAGCC |
Cxcl1 | CCGAAGTCATAGCCACACTC | TCCGTTACTTGGGGACACCT |
Tnfa | TAGCCCACGTCGTAGCAAAC | ACAAGGTACAACCCATCGGC |
Ccl2 | CACTCACCTGCTGCTACTCA | GCTTGGTGACAAAAACTACAGC |
Il6 | CCGGAGAGGAGACTTCACAG | TTGCCATTGCACAACTCTTTT |
Ifitm3 | CCCCCAAACTACGAAAGAATCA | ACCATCTTCCGATCCCTAGAC |
Isg15 | GGTGTCCGTGACTAACTCCAT | TGGAAAGGGTAAGACCGTCCT |
Bpifa1 ELISA and quantitative analysis of cytokines, chemokines, and leukotriene B4 in BAL.
Plates were coated with BAL, followed by polyclonal sheep anti-mouse Bpifa1 antibody (R&D, Minneapolis, MN), followed by anti-sheep HRP (Millipore, Billerica, MA). Reactions were developed as previously described (17) and were measured at optical densities of 450 and 550 nm. Total protein (BCA protein assay; Abcam, Cambridge, MA) and LDH activity (colorimetric assay; Thermo Scientific, Rockford, IL) were quantified in BAL according to the manufacturer’s specifications. Leukotriene B4 was measured in BAL by ELISA (Enzo Life Sciences, Farmingdale, NY). Cytokines and chemokines in BAL fluid were assessed using a 25-multiplexed Luminex assay (Milliplex MAP Mouse Cytokine/Chemokine Kit, Millipore) and read on a Bio-plex 200 system.
Neutrophil isolation and chemotaxis assays.
Heparinized mouse blood was obtained by flushing bone marrow from the long bones of WT and Bpifa1−/− mice. Polymorphonuclear cells (PMN) were isolated by negative selection (EasySep Mouse Neutrophil Enrichment Kit, StemCell Technologies, Vancouver, BC, Canada). Chemotaxis assays were performed using a modified Boyden chamber technique (ECM515, Millipore). A solution containing 105 PMN in 100 μl was placed in the upper chamber, and PMN were stimulated with keratinocyte chemoattractant (KC; 50 ng/ml, Peprotech), N-formyl-methionyl-leucyl-phenylalanine (fMLP; 105 M, Sigma-Aldrich), and recombinant mouse Cxcl9 (50 ng/ml, R&D Systems) and Cxcl10 (100 ng/ml, BioLegend). Cells were lysed and collected, and cell migration was estimated based on relative fluorescence units (RFU) after 2 h at 37°C in a 5% CO2 incubator.
Statistical analysis.
Data were analyzed using GraphPad Prism v. 7.0 and SAS v. 9.4. Results are reported as mean ± SE unless otherwise specified. Statistical significance was determined using the Mann-Whitney test for data with a nonnormal distribution. In experiments with repeated measures and multiple time points, we used a generalized linear mixed models (GLIMMIX) procedure in SAS statistical software. This approach fitted statistical models to data with nonconstant variability and with nonnormal distributions while accounting for repeated measures of the same sample, variability within samples, and multiple comparisons. Statistical significance was defined as a P value <0.05.
RESULTS
Bpifa1 deficiency impairs airway neutrophilic inflammation in response to LPS.
We administered LPS intranasally to Bpifa1−/− and WT control mice to characterize the immunomodulatory effects of Bpifa1. BAL concentrations of Bpifa1 decreased in response to LPS and reached nadir at 24 h (Fig. 1A, gray triangular markers). Neutrophil counts were significantly lower in the airways and lungs of Bpifa1−/− compared with WT mice after LPS administration (Fig. 1, A and B). Bpifa1−/− mice had 31% fewer airway PMN at 8 h (3.62 vs. 6.5 × 105/ml, P = 0.0455) and 66% fewer airway PMN at 24 h (Fig. 1A, 7.65 vs. 22.42 × 105/ml, P = 0.0317). In whole lungs, PMN counts were also lower in Bpifa1−/− compared with WT mice at 8 and 24 h (Fig. 1B; 8 h, 2.98 vs. 4.92 × 106/ml, 39% reduction, P = 0.03; 24 h, 4.87 vs. 8.11 × 106/ml, 32% reduction, P = 0.009). In addition to PMN differences, BAL macrophage counts were modestly increased in Bpifa1−/− mice at 24 h (Fig. 1C). Although the total number of macrophages increased throughout the experiment in WT and Bpifa1−/− mice, there were no differences in lymphocyte or eosinophil counts throughout the experiment (Fig. 1, C and D). There were no significant differences in PMN counts in the lungs or airways of untreated Bpifa1−/− and WT mice. These data show that, in Bpifa1−/− mice, the response to LPS is characterized by reduced airway and lung PMN infiltration at 8 and 24 h. These findings suggest that the role of Bpifa1 in LPS-induced inflammation involves promoting PMN accumulation in the lungs.
Bpifa1-deficient mice have limited peribronchial and alveolar inflammation in response to LPS.
To determine whether impaired PMN inflammation was associated with a specific histological distribution within the lungs, we assessed the distribution of inflammatory cells in the peribronchial and alveolar compartments after LPS (6, 24). This analysis demonstrated a significant decrease in inflammatory infiltration in the alveolar and peribronchial compartments of Bpifa1−/− mice relative to WT controls (Fig. 2, A–C). These findings suggested that Bpifa1 controls inflammation by modulating PMN ability to infiltrate the peribronchial and alveolar compartments.
Bpifa1 regulates expression of IFN-driven pathways.
To identify mechanisms driving impaired PMN accumulation in the lungs of Bpifa1−/− mice, we analyzed gene expression microarrays in LPS-treated mice at 0, 8, and 24 h and found differential expression of 379 genes (Fig. 3, A and B). Cxcl10, Cxcl9, and IFN-regulatory factor 7 (Irf7) were the lowest expressed genes at 8 and 24 h in LPS-treated Bpifa1−/− compared with WT mice (Tables 2 and 4). Cxcr3, a receptor for these chemokines, was also reduced at all time points. Many genes involved in IFNγ signaling pathways that affect PMN recruitment and function were also reduced (Tables 2 and 4). Pathway analysis showed that “IFN signaling” and “activation of IRFs by pathogen recognition receptors (PRRs)” were the most strongly impaired pathways in Bpifa1−/− mice (Fig. 3C). Our gene expression analysis also highlighted decreased expression of genes important to granulocyte adhesion and diapedesis, including C-X-C motif receptor 3 (cxcr3), integrin β2-like (Itgb2l), cadherin 2 (cdh2), lymphocyte selectin (sell), and platelet-ligand selectin (selplg) (Table 2). These genes may further contribute to abnormal adhesion, accumulation, and transmigration of inflammatory cells in our model. In untreated Bpifa1−/− compared with WT mice, there were significant differences in 10 genes (Table 3). The most strongly downregulated genes included schlafen 4 (slfn4, an IFNγ-inducible molecule that disrupts myelopoiesis), plasminogen activator urokinase (plau, involved in thrombolysis and extracellular matrix degradation), and Z-DNA-binding protein-1 (zbp1, a protein that stimulates type I and -II IFN and IRF expression in response to viral DNA). Consistent with these findings, our ANOVA also uncovered significant impairments in the expression of the downstream IFN-stimulated gene (ISG) response (Table 4). In summary, we identified broad defects in IFN-inducible genes that regulate host defense and cell recruitment, adhesion, and transmigration to the lungs.
Table 2.
Symbol | 0 h | 8 h | 24 h | P | |
---|---|---|---|---|---|
Chemokines and cytokines | |||||
Chemokine (C-X-C motif) ligand 9 | Cxcl9 | −1.38 | −1.69 | −5.42 | 0.049 |
Chemokine (C-X-C motif) ligand 10 | Cxcl10 | −1.06 | −1.99 | −4.56 | 0.036 |
Chemokine (C-C motif) ligand 7 | Ccl7 | −1.12 | −1.79 | −3.83 | 0.021 |
Chemokine (C-C motif) ligand 12 | Ccl12 | −1.12 | −1.47 | −3.80 | 0.018 |
Interleukin 10 | Il10 | −1.01 | −2.70 | −2.79 | 0.018 |
Chemokine (C-X-C motif) ligand 16 | Cxcl16 | −1.16 | −1.09 | −1.61 | 0.010 |
Chemokine (C-X-C motif) ligand 15 | Cxcl15 | 1.22 | 1.22 | 1.50 | 0.029 |
Cytokine receptors | |||||
Chemokine (C-C motif) receptor 5 | Ccr5 | −1.31 | −1.59 | −2.24 | 0.036 |
Interleukin 12 receptor, β1 | Il12rb1 | 1.07 | −1.77 | −2.09 | 0.036 |
Interleukin 2 receptor, β-chain | Il2rb | −1.10 | −1.95 | −1.83 | 0.015 |
Chemokine (C-X-C motif) receptor 3 | Cxcr3 | −1.16 | −1.56 | −1.66 | 0.015 |
Interleukin 2 receptor, γ-chain | Il2rg | −1.10 | −1.44 | −1.60 | 0.015 |
Chemokine (C-C motif) receptor 2 | Ccr2 | −1.50 | −1.84 | −1.19 | 0.049 |
Involved in cell migration | |||||
Integrin β2-like | Itgb2l | 1.23 | −3.33 | −2.65 | 0.028 |
Cadherin, EGF LAG 7-pass G-type receptor 3 | Celsr3 | −1.13 | −1.73 | −1.52 | 0.046 |
Selectin, lymphocyte | Sell | −1.15 | −1.64 | −1.44 | 0.049 |
Selectin, platelet (p-selectin) ligand | Selplg | −1.05 | −1.51 | −1.43 | 0.019 |
Cadherin 2 | Cdh2 | 1.12 | 1.49 | 1.53 | 0.039 |
AMP and PRR signaling | |||||
Granzyme B | Gzmb | −1.15 | −1.48 | −2.30 | 0.042 |
Secretin | Sct | 1.18 | −1.43 | −2.24 | 0.016 |
Toll-like receptor 3 | Tlr3 | −1.14 | −1.32 | −1.41 | 0.044 |
Myeloid differentiation primary response gene 88 | Myd88 | −1.00 | −1.34 | −1.57 | 0.041 |
Surfactant-associated protein B | Sftpb | 1.23 | 1.40 | 1.60 | 0.013 |
Class I histocompatibility antigen superfamily | |||||
Histocompatibility 2, T region locus 9 | H2-T9 | −1.08 | −1.42 | −1.86 | 0.010 |
Histocompatibility 2, Q region locus 8 | H2-Q8 | −1.25 | −1.18 | −1.85 | 0.031 |
Histocompatibility 2, T region locus 10 | H2-T10 | −1.09 | −1.20 | −1.79 | 0.020 |
Histocompatibility 2, M region locus 11 | H2-M11 | −1.16 | −1.05 | −1.66 | 0.032 |
Histocompatibility 2, T region locus 24 | H2-T24 | −1.10 | −1.28 | −1.60 | 0.031 |
Histocompatibility 2, T region locus 23 | H2-T23 | −1.08 | −1.08 | −1.59 | 0.028 |
Histocompatibility 2, M region locus 3 | H2-M3 | −1.11 | −1.27 | −1.53 | 0.007 |
Whole lung microarray results showing differential gene expression in untreated mice (0 h) and at 8 and 24 h (8 h, 24 h) after intranasal instillation of lipopolysaccharide (LPS). Data are represented as fold change (FC) from wild-type (WT) gene expression. Negative FC values denote lower gene expression relative to WT. Two-way ANOVA, false discovery rate < 0.05, at least one time point with FC >1.5. Bpifa1−/−, BPI fold-containing group A member 1 deficient; AMP, antimicrobial proteins, PRR, pathogen recognition receptors.
Table 4.
Symbol | 0 h | 8 h | 24 h | P | |
---|---|---|---|---|---|
Interferon signaling | |||||
Suppressor of cytokine signaling 1 | Socs1 | −1.49 | −1.72 | −2.71 | 0.010 |
Signal transducer and activator of transcription 2 | Stat2 | −1.08 | −1.34 | −1.95 | 0.010 |
Janus kinase 2 | Jak2 | −1.07 | −1.19 | −1.31 | 0.025 |
Interferon regulatory factors (IRF) | |||||
Interferon regulatory factor 7 | Irf7 | −1.10 | −1.39 | −4.71 | 0.018 |
Interferon regulatory factor 1 | Irf1 | −1.09 | −1.21 | −1.76 | 0.015 |
Interferon regulatory factor 5 | Irf5 | −1.06 | −1.65 | −1.68 | 0.021 |
Interferon regulatory factor 9 | Irf9 | −1.05 | −1.11 | −1.52 | 0.009 |
Interferon-stimulated genes (ISG) | |||||
2′–5′-Oligoadenylate synthetase 1G | Oas1g | 1.11 | −1.93 | −4.24 | 0.037 |
Interferon-inducible GTPase 1B | Iigp1b | −1.40 | −2.92 | −4.11 | 0.029 |
ISG15 ubiquitin-like modifier | Isg15 | −1.31 | −1.47 | −3.72 | 0.018 |
2′–5′-Oligoadenylate synthetase-like 1 | Oasl1 | −1.18 | −1.60 | −3.72 | 0.012 |
Interferon-induced protein with tetratricopeptide repeats 2 | Ifit2 | −1.27 | −1.73 | −3.67 | 0.015 |
Myxovirus (influenza virus) resistance 1 | Mx1 | −1.03 | −1.56 | −3.64 | 0.013 |
Interferon-inducible GTPase 1 | Iigp1 | −1.30 | −1.60 | −3.54 | 0.049 |
Interferon γ-induced GTPase | Igtp | −1.15 | −1.75 | −3.50 | 0.014 |
Interferon-activated gene 204 | Ifi204 | −1.08 | −1.48 | −3.34 | 0.036 |
Interferon-induced protein with tetratricopeptide repeats 3 | Ifit3 | −1.44 | −1.58 | −2.99 | 0.004 |
2′–5′-Oligoadenylate synthetase 1A | Oas1a | −1.15 | −1.56 | −2.92 | 0.009 |
Interferon-induced protein 44 | Ifi44 | −1.15 | −1.82 | −2.90 | 0.021 |
Interferon-induced protein with tetratricopeptide repeats 1 | Ifit1 | −1.11 | −1.48 | −2.84 | 0.036 |
2′–5′-Oligoadenylate synthetase-like 2 | Oasl2 | −1.20 | −1.14 | −2.80 | 0.013 |
Myxovirus (influenza virus) resistance 2 | Mx2 | −1.13 | −1.79 | −2.73 | 0.014 |
2′–5′-Oligoadenylate synthetase 1F | Oas1f | −1.11 | −1.38 | −2.42 | 0.021 |
Interferon-induced transmembrane protein 3 | Ifitm3 | −1.14 | −1.51 | −2.08 | 0.014 |
Interferon-activated gene 203 | Ifi203 | −1.17 | −1.62 | −2.01 | 0.015 |
Interferon-stimulated protein | Isg20 | −1.00 | −1.62 | −1.94 | 0.009 |
Interferon-induced protein 35 | Ifi35 | 1.03 | −1.26 | −1.65 | 0.037 |
Interferon-induced transmembrane protein 6 | Ifitm6 | −1.66 | −2.13 | −1.34 | 0.022 |
Whole lung microarray results showing differential gene expression in untreated mice (0 h), and at 8 and 24 h after intranasal instillation of lipopolysaccharide (LPS). Data are represented as fold change (FC) from wild-type (WT) gene expression. Negative FC values denote lower gene expression relative to WT. Two-way ANOVA, false discovery rate < 0.05, at least one time point with FC > 1.5.
Table 3.
Genes | Symbol | FC | P |
---|---|---|---|
Schlafen 4 | Slfn4 | −2.41 | 0.034 |
Pyrin domain-containing 4 | Pydc4 | −2.05 | 0.010 |
Plasminogen activator, urokinase | Plau | −1.77 | 0.015 |
Interferon-induced transmembrane protein 6 | Ifitm6 | −1.66 | 0.022 |
Z-DNA binding protein 1 | Zbp1 | −1.61 | 0.005 |
Apolipoprotein L 9a | Apol9a | −1.61 | 0.005 |
Pyrin domain containing 3 | Pydc3 | −1.54 | 0.008 |
Chemokine (C-C motif) receptor 2 | Ccr2 | −1.50 | 0.049 |
Major facilitator superfamily domain-containing 2A | Mfsd2a | 1.64 | 0.023 |
Fatty acid-binding protein-12 | Fabp12 | 4.79 | 0.039 |
Whole-lung microarray results showing differential gene expression in untreated wild-type (WT) and Bpifa1−/−, BPI fold-containing group A member 1 deficient (Bpifa1−/−) mice [2-way ANOVA, false discovery rate < 0.05; fold change (FC) >1.5]. Negative FC values denote lower gene expression relative to WT.
Cxcl10 is decreased in Bpifa1−/− airways during early LPS-induced inflammation.
To evaluate the impact of decreased chemokine gene expression on airway cytokine concentrations and PMN lung recruitment, we quantified canonical and noncanonical PMN chemoattractants in Bpifa1−/− BAL (Fig. 4). IFN-inducible Cxcl10 was the only cytokine significantly decreased in Bpifa1−/− compared with WT mice at 8 h. This time point is important for the development of inflammation, because early changes in gene expression and cytokine expression will drive PMN recruitment at later time points, even though differences in PMN accumulation are not yet detectable (40, 53). At 8 h, there were no significant differences in granulocyte colony-stimulating factor (G-CSF), granulocyte-macrophage colony-stimulating factor (GM-CSF), interleukin-6 (IL-6), KC, tumor necrosis factor-α (TNFα), macrophage inflammatory protein-2 (MIP2), IL-1β, or leukotriene B4 in BAL fluid (Fig. 4, top row).
Twenty-four hours after LPS administration, significant reductions in IFNγ-inducing Ccl2, and IFNγ-inducible Cxcl2 appeared in Bpifa1−/− mice. These IFN-associated cytokines have a role in myeloid cell activation, adhesion, and recruitment to mucosal surfaces. IFNγ, a potent inducer of Cxcl10 and inhibitor of Bpifa1 expression, was below the level of detection in BAL (data not shown). There were no differences in canonical PMN-recruiting cytokines at 24 h in Bpifa1−/− BAL (Fig. 4, bottom row). There were no differences in total protein and LDH activity (indirect markers of acute lung injury, not shown).
To determine whether Bpifa1−/− PMN had intrinsic defects in chemotactic response, we performed chemotaxis assays using WT and Bpifa1−/− PMN. There was no difference in migration of Bpifa1−/− PMN compared with WT PMN in response to chemoattractants, including fMLP and KC, nor in response to the IFN-inducible cytokines Cxcl10, Cxcl9, or their combination (Fig. 5). In summary, these data show that Bpifa1 regulates the production of Cxcl10 early after exposure to PAMP, and this may serve to amplify PMN recruitment without specific effects on canonical PMN chemoattractants. They also show that Bpifa1−/− PMN do not have impaired chemotactic responses that contribute to this effect.
IFNγ and IFNλ expression is impaired in Bpifa1−/− mice during acute inflammation.
Since IFN levels were not detectable in BAL, we performed targeted RT-PCR for type I (ifnα2, ifnα4, ifnβ1), type II (ifnγ), and type III IFN (ifnλ2/3) in lungs from LPS-treated Bpifa1−/− and WT mice at 0, 8, and 24 h. IFNγ and IFNλ mRNA expressions were significantly lower at 24 h in Bpifa1−/− compared with WT mice (Fig. 6A). Type I IFN, ifnα2, ifnα4, and ifnβ1, showed a trend toward lower expression. We also confirmed decreased expression of IFN-stimulated cytokines and IFN-stimulated genes (ISG) by using this methodology (Fig. 6, B and C). Our findings suggest that lower expression of IFNγ and IFNλ in Bpifa1−/− mice reduces PMN accumulation in the lungs through downregulation of IFN-stimulated cytokines and ISG.
Cxcl10 upregulation is impaired in Bpifa1−/−-infiltrating myeloid cells during acute inflammation.
We hypothesized that PMN and other infiltrating cells would be the primary contributors to the acute inflammation gene signature. To test this, we costained lung sections for Cxcl10 and Ly6G (for PMN) or F4:80 (for macrophages). Twenty-four hours after intranasal LPS, Cxcl10 staining was lower in PMN and macrophages from Bpifa1−/− lung sections compared with WT mice (Fig. 7). These observations suggest that Bpifa1 regulates the induction of Cxcl10 in myeloid inflammatory cells (PMN and macrophages) to enhance PMN recruitment in response to LPS.
Reconstituting Cxcl10 in Bpifa1−/− mice restores lung PMN inflammation.
To determine whether Cxcl10 deficiency was critical to impaired airway PMN inflammation in Bpifa1−/− mice, we administered recombinant Cxcl10 intraperitoneally to WT and Bpifa1−/− mice before treatment with LPS and monitored their inflammatory response. PMN infiltration into the lungs was equivalent in LPS-treated WT and Cxcl10 pretreated Bpifa1−/− mice (Fig. 8), indicating that reconstitution of Cxcl10, in the absence of Bpifa1, can restore lung neutrophilic inflammation.
DISCUSSION
These studies show that Bpifa1 regulates PMN accumulation in the lung and reveal a novel immunomodulatory function of this protein. After LPS, Bpifa1−/− mice have fewer PMN in their lungs and impaired expression of IFN-stimulated genes. Decreased Cxcl10 expression, as we show here, plays an essential role in PMN recruitment in our model. Our previous studies showed that Bpifa1 is expressed at very high levels under basal conditions in untreated mice and that its expression quickly decreases in response to inflammatory signals. To isolate these immunomodulatory properties, we sought to exclude Bpifa1’s antimicrobial effects using LPS, rather than whole bacteria, whose growth could be inhibited by Bpifa1. It is important to note that, although LPS was derived from P. aeruginosa, this PAMP does not fully simulate the broad immune activation and responses triggered by the pathogen itself. We used Bpifa1−/− mice to simulate Bpifa1 downregulation after exposure to LPS, where Bpifa1 typically reaches nadir at less than 20% of its basal level. In the absence of Bpifa1, neutrophilia was impaired. Therefore we hypothesized that the downregulation of Bpifa1 in response to PAMP blunts PMN recruitment through its effects on IFN signaling pathways. These studies suggest that Bpifa1 fluctuation modulates inflammation, possibly to counterregulate excessive lung neutrophilia in response to inflammatory or infectious stimuli.
Bpifa1 is expressed abundantly, but not exclusively, in the proximal respiratory tract, where exposure to pathogens and irritants is high. This localization is consistent with its ability to inhibit bacterial growth and limit microbial invasion (2). The rapid downregulation of Bpifa1 within hours after some infections suggests that the antimicrobial effects of Bpifa1 may be limited in the hours following initial exposure to a pathogen; yet, others have shown that, even at low concentrations, Bpifa1 is important in protecting the airway epithelium from microbial invasion (17). Notably, there are other antimicrobials in the respiratory tract, not downregulated during infection, which also serve as immediate barriers against pathogen growth while Bpifa1 levels are dropping. This distinctive reduction in Bpifa1 suggests a role for Bpifa1 fluctuations in regulating the immune response to PAMPs. It is important to note that our findings contrast with studies using P. aeruginosa rather than LPS (37). In those studies, the authors showed that Bpifa1 deficiency resulted in increased bacterial loads and biofilm formation. This would likely increase immune activation and PMN infiltration. Since we focused on understanding the immunomodulatory properties of Bpifa1 in response to PAMP, we purposefully excluded bacterial organisms in order to study a discrete immune signaling cascade and limit the antimicrobial effects of Bpifa1. We propose that the inflammation differences observed between our studies reflect antimicrobial effects of Bpifa1 on bacterial growth and subsequent inflammation. Our studies provide further understanding of the seemingly paradoxical downregulation of Bpifa1 and contribute the first report of a link among this protein, IFN signaling, and PMN responses in the lung.
In Bpifa1−/− mice we observed fewer PMN in lungs and airways 8 h after LPS administration. Yet, none of the canonical PMN chemotaxins, such as IL-6, KC, TNFα, G-CSF, or GM-CSF were decreased early on to suggest hat they drove this defect. Others had shown that Bpifa1 was itself a chemotaxin (47). We tested this mechanism with chemotaxis assays, but we did not observe significant differences in PMN response to Bpifa1−/− and WT BAL obtained during acute inflammation (not shown).
To broadly define the mechanisms of impaired lung neutrophilia, we examined lung gene expression of LPS-treated WT and Bpifa1−/− mice. There were significant differences in the expression of Cxcl10, Cxcl9, and numerous IFN-responsive genes induced by IFNγ and IFNλ. Furthermore, we showed that Cxcl10 expression is reduced in both neutrophils and macrophages in Bpifa1−/− mice. Taken together, these data suggest that the downregulation of Bpifa1 preferentially affects inflammatory cells. We hypothesize that under basal conditions Bpifa1 modulates LPS-PRR interactions to enhance downstream IFN signaling and expression of IRF, Cxcl10, and Cxcl9.
To better understand the cellular source of this signature, we performed IHC using antibodies against Cxcl10 and cell-specific markers. This demonstrated that a larger number of WT myeloid inflammatory cells upregulated Cxcl10 expression after 24 h of acute inflammation compared with Bpifa1−/− myeloid cells. These findings support the hypothesis that the primary mechanism for impaired PMN inflammation in these mice is through defects in cytokine expression by inflammatory cells.
LPS-binding proteins (LBPs) modulate immune responses to pathogens by forming LPS-protein-CD14 complexes that bind to Toll-like receptor 4 (TLR4) (35, 44, 45). LBP, a proinflammatory LPS-binding molecule, enhances LPS-induced inflammation through the activation of TIR domain-containing adapter-inducing INFβ (TRIF)/TRIF-related adaptor molecule (TRAM) signaling, leading to IFN production (11, 35, 41, 55). Bpifa1 binds LPS, and it is likely to modulate IFN signaling through this mechanism (20). Bpifa1 may modulate TLR4 signaling by activating TRIF/TRAM pathways, explaining the defects observed in the IFN pathways and Cxcl10 in LPS-stimulated Bpifa1−/− mice (Fig. 9). IFNγ and IFNλ can exert pro- and anti-inflammatory effects during acute neutrophilic inflammation in the lungs and the intestinal tract (18, 25). Furthermore, the critical role of Cxcl10-Cxcr3 interactions in promoting PMN recruitment to the lung after acute lung injury and infection has been well characterized (33, 36). In our model, we observed significantly decreased expression of IFNγ (type II) and IFNλ (type III), potent inducers of Cxcl10. IFNα and IFNβ (type I) expression also decreased, but not as robustly as types II and III IFN. Importantly, we show that supplementing Cxcl10 restores the Bpifa1−/− phenotype to a WT-like response, indicating that this IFN-inducible cytokine is a primary mechanism responsible for impaired PMN recruitment. Cxcl9 expression was also decreased in our gene expression analysis, but the restoration of a WT-like phenotype in Bpifa1−/− mice with Cxcl10 suggests that Cxcl9 is less likely to be a major contributor to the limited inflammatory response.
Our work shows a novel mechanism of immune modulation that involves PAMP sensing by Bpifa1, leading to a Bpifa1-deficient state that suppresses IFNγ and IFNλ signaling. Decreased IFN signaling after Bpifa1 downregulation limits PMN recruitment and may serve as a protective mechanism to limit exaggerated PMN infiltration.
In summary, we show that Bpifa1 is necessary for normal neutrophilic responses to LPS. In the absence of Bpifa1, and likely during normal downward fluctuations triggered by environmental stimuli, decreased IFN signaling limits IFN-mediated cytokine induction and decreases PMN recruitment through effects on Cxcl10. These and our prior studies show that Bpifa1 and type II/III interferons work in a coordinated program to sense PAMP and modulate inflammatory responses to pathogen signals in the lung.
GRANTS
This work was supported by National Institutes of Health Grants R01-HL081160 and R21-AI-083475 (to L. E. Cohn) and T32-HL-007778 and K01-HL-125514-01 (to C. J. Britto) and Cystic Fibrosis Foundation through its Fifth Year Clinical Fellowship Award (to C. J. Britto).
DISCLOSURES
No conflicts of interest, financial or otherwise, are declared by the authors.
AUTHOR CONTRIBUTIONS
C.J.B. and L.E.C. conceived and designed research; C.J.B., N.N., S.K., L.H., J.H.-M., M.S., L.S., and C.S.D.C. performed experiments; C.J.B., N.N., S.K., L.H., J.H.-M., A.T., M.S., M.D.S., L.S., C.S.D.C., N.K., and L.E.C. analyzed data; C.J.B., N.N., S.K., L.H., J.H.-M., A.T., M.S., M.D.S., L.S., C.S.D.C., N.K., and L.E.C. interpreted results of experiments; C.J.B., S.K., J.H.-M., A.T., M.S., and C.S.D.C. prepared figures; C.J.B. and L.E.C. drafted manuscript; C.J.B., L.H., J.H.-M., A.T., M.S., M.D.S., L.S., C.S.D.C., N.K., and L.E.C. edited and revised manuscript; C.J.B., N.N., S.K., L.H., J.H.-M., A.T., M.S., M.D.S., L.S., C.S.D.C., N.K., and L.E.C. approved final version of manuscript.
ACKNOWLEDGMENTS
We thank Dr. Marie Egan from the Department of Cell Biology and Molecular Physiology at Yale University for thoughtful review and contributions in the development of this manuscript.
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