© 2002 American Thoracic Society
Lung Microvascular and Arterial Endothelial Cells Differ in Their Responses to Intercellular Adhesion Molecule-1 LigationDivision of Integrative Biology, Department of Pediatrics, Rainbow Babies and Children's Hospital and Case Western Reserve University, Cleveland, Ohio; and Department of Pharmacology, University of South Alabama, Mobile, Alabama Correspondence and requests for reprints should be addressed to Claire M. Doerschuk, M.D., Rainbow Babies and Children's Hospital and Case Western Reserve University, Room 787, 11100 Euclid Avenue, Cleveland, OH 44106. E-mail: cmd22{at}po.cwru.edu
Neutrophil adherence to tumor necrosis factor- (TNF- )treated human pulmonary microvascular endothelial cells (PMECs) induces cytoskeletal changes in endothelial cells that require intercellular adhesion molecule-1 (ICAM-1)dependent signaling events. This study determined whether similar changes occurred in rat PMECs and whether rat pulmonary arterial endothelial cells (PAECs) responded differently. Neutrophil adherence induced an increase in the formation of F-actin and in the apparent stiffness of TNF- treated rat PMECs. These responses, however, were absent in PAECs. To determine the mechanisms underlying these differences, ICAM-1mediated signaling events were compared. Upregulation of ICAM-1 by TNF- and redistribution of ICAM-1 induced by cross-linking antibodies were similar in both cell types. However, neutrophil adherence induced production of reactive oxygen species only in PMECs and not in PAECs. Moreover, phosphorylation of p38 mitogen-activated protein kinase induced by ICAM-1 cross-linking occurred only in PMECs and not in PAECs. This increase in p38 phosphorylation in PMECs was inhibited by allopurinol, a xanthine oxidase inhibitor. These data demonstrated that whereas TNF- upregulated ICAM-1 and ICAM-1 cross-linking induced a similar redistribution of ICAM-1 on the endothelial cell surface, ICAM-1 ligation initiated p38 activation and cytoskeletal rearrangements only in PMECs and not in PAECs. Thus, neutrophil adhesion through ICAM-1 induced signaling events leading to cytoskeletal changes only in PMECs, the site of neutrophil emigration and edema formation, and not in PAECs.
Key Words: intercellular adhesion molecule-1 signaling lung endothelial cell
Neutrophil adhesion to pulmonary capillary endothelial cells (ECs) is thought to be required for neutrophil emigration during many pulmonary inflammatory responses. The mechanisms regulating neutrophil migration along ECs to EC borders after adhesion are not clearly defined. Recent studies using cultured human pulmonary microvascular endothelial cells (PMECs) demonstrate that neutrophil adherence to tumor necrosis factor (TNF)- treated ECs induces changes in the F-actin cytoskeleton in ECs, as indicated by an increase in the apparent stiffness of ECs and in the formation of F-actin in ECs (1, 2). These changes in the EC cytoskeleton depend on intercellular adhesion molecule-1 (ICAM-1)induced signaling events. Ligation of ICAM-1 by neutrophils or cross-linking antibodies initiates production of reactive oxygen species (ROS) and subsequent activation of p38 mitogen-activated protein kinase (MAPK) (1, 3). Activation of p38, in turn, induces phosphorylation of heat shock protein 27, an actin-binding protein that may mediate actin polymerization upon phosphorylation, and is required for the EC stiffening response as well as for neutrophil migration toward EC borders (3). These studies suggest that ICAM-1dependent activation of ECs induced by neutrophil adherence plays important roles in modulating neutrophil migration toward EC borders. In culture, rat PMECs form tighter junctions than do pulmonary arterial endothelial cells (PAECs), and only PAECs respond to calcium ionophores by increasing their permeability (4), suggesting that there may be site-specific differences in the response of ECs during inflammation. The hypothesis of the present study is that ICAM-1mediated signaling events that are initiated by neutrophil adhesion are different in PAECs compared with PMECs, the site of neutrophil emigration and edema formation. This study compared the cytoskeletal changes in response to neutrophil adherence in PMECs and PAECs isolated from rats. These results led to studies comparing ICAM-1initiated signaling events, including ICAM-1 clustering, activation of xanthine oxidase, production of intracellular oxidants, and activation of p38 MAPK.
Rat Neutrophil Isolation Rat neutrophils were isolated from venous blood using neutrophil isolation medium-2 density gradients according to the manufacturer's protocols, with purity higher than 95% (Cardinal Associates, Santa Fe, NM).
Isolation and Cultivation of Rat PAECs and PMECs
Measurement of ICAM-1 Expression Fold change at time X = the fluorescence intensity at time X/the average fluorescence intensity at time 0.
Biomechanical Properties of ECs Evaluated Using Magnetic Twisting Cytometry
F-actin Visualization and Quantification
Evaluation of Xanthine Oxidase Activity in ECs upon Neutrophil Adherence
Measurement of Oxidant Production in ECs
ICAM-1 Cross-Linking
Visualization of ICAM-1 Distribution
Detection of p38 MAPK Phosphorylation
Statistical Analysis
Neutrophil Adherenceinduced Cytoskeletal Changes in TNF- treated PMECs and PAECsChanges in the actin cytoskeleton in TNF- treated ECs in response to neutrophil adherence were evaluated by magnetic twisting cytometry using ferromagnetic beads coated with antiß1-integrin antibody (1, 2). In TNF- treated rat PMECs, neutrophil adherence for 215 minutes increased the apparent stiffness of ECs (Figure 1A)
. Addition of buffer rather than neutrophils had no effect on the apparent stiffness of ECs. This increase in the apparent stiffness of ECs required pretreatment with TNF- because addition of neutrophils to untreated ECs had no effect on the apparent stiffness of ECs (data not shown). These observations were similar to those made using cultured human PMECs (1, 2). In striking contrast, the apparent stiffness of PAECs was less than half that of PMECs, and neutrophil adherence to PAECs for 215 minutes did not increase their apparent stiffness (Figure 1B).
To further evaluate the cytoskeletal changes in these two types of ECs in response to neutrophil adherence, the average staining intensity of F-actin in TNF- treated ECs was measured. Neutrophil adherence for 210 minutes induced a significant increase in the F-actin staining in PMECs but not in PAECs (Figure 2) . This difference was not due to less neutrophil adhesion because neutrophils adhere similarly to TNF- treated PMECs and PAECs. After 10 minutes of adhesion, the number of neutrophils adherent to TNF- treated PMECs and PAECs was 6.6 ± 1.0 and 6.5 ± 1.1 per x600 field, respectively. Taken together, these studies demonstrate that neutrophil adherence induces cytoskeletal responses only in PMECs and not in PAECs.
ICAM-1 Expression Induced by TNF- and ICAM-1 Redistribution Induced by Cross-Linking Antibodies in PMECs and PAECsPrevious studies demonstrated that neutrophil adherenceinduced cytoskeletal changes in TNF- treated human PMECs require ICAM-1mediated signaling events (1, 3). The expression of ICAM-1 in response to TNF- treatment was therefore examined to determine whether the different responses elicited by neutrophils in PAECs and PMECs were due to differences in ICAM-1 expression. Treatment with TNF- for 4 or 24 hours induced a significant increase in ICAM-1 expression in both cell types, and the increase was similar in these two cell types (Figure 3)
.
Previous studies demonstrated that ICAM-1induced signaling events require cross-linking with a secondary antibody, suggesting that ICAM-1 clustering may be required (1, 3). ICAM-1 distribution with or without the addition of a cross-linking secondary antibody in TNF- treated PMECs and PAECs was then examined. The addition of a secondary antibody induced ICAM-1 redistribution and formation of ICAM-1 aggregates similarly in both cell types (Figure 4)
. These data demonstrate that ICAM-1 clustering in response to a cross-linking antibody is not differentially regulated in these cell types.
ICAM-1Dependent Signaling Events in TNF- treated PMECs and PAECs: Activation of Xanthine Oxidase, Generation of ROS, and Activation of p38 MAPKPrevious studies demonstrated that ICAM-1dependent, allopurinol-inhibitable production of ROS and subsequent activation of p38 MAPK are required for the cytoskeletal changes in human PMECs induced by neutrophil adherence (3). Because neutrophil-induced EC stiffening and cytoskeletal changes only occur in rat PMECs, these signaling pathways induced by ICAM-1 ligation in PMECs and PAECs were compared.
The activity of xanthine oxidase was examined by in-gel activity stain, using hypoxanthine as the substrate (Figure 5)
. A standard curve was constructed using purified xanthine oxidase at different concentrations (Figure 5A). For each experiment, purified xanthine oxidase (0.132 µU) was used as a standard to calculate the activity of xanthine oxidase in the samples. Cell lysates containing 100150 µg proteins were used to measure xanthine oxidase activity in PAECs and PMECs. The densitometric values were always less than one and were therefore located on the region of the standard curve that fits all the data points (Figures 5A and 5B). Treatment with TNF-
This observed difference in xanthine oxidase activity in PAECs and PMECs, both basally and that induced by neutrophil adherence, led us to examine the production of ROS in ECs by measuring the changes in DCF fluorescence in response to addition of neutrophils or buffer. In the absence of neutrophil adherence, neither the baseline DCF fluorescence nor the rate of changes in DCF fluorescence was different in PAECs and PMECs (Figure 6) . In PMECs, addition of neutrophils induced a time-dependent increase in DCF fluorescence compared with the addition of buffer, indicating that ROS production in ECs occurred in response to neutrophil adherence (Figure 6A). In contrast, no increase in DCF fluorescence was observed in PAECs when neutrophils adhered (Figure 6B).
Because p38 MAPK is a downstream target of ROS production in human PMECs on ICAM-1 ligation (3), this difference in ROS production in PAECs and PMECs led us to examine p38 activity in response to ICAM-1 cross-linking using an antibody that recognizes the diphosphorylated form of p38 MAPK (activated p38). Cross-linking ICAM-1 with a secondary antibody for 215 minutes induced a significant increase in p38 phosphorylation only in PMECs and not in PAECs (Figures 7A and 7B) .
To determine whether activation of xanthine oxidase was required for p38 phosphorylation in rat PMECs, cells were pretreated with allopurinol, a xanthine oxidase inhibitor. In cells pretreated with control vehicle, ICAM-1 cross-linking for 6 minutes induced a significant increase in p38 phosphorylation (Figure 8) . This increase was completely inhibited by allopurinol. These data, together with our previous observations (3), demonstrate that p38 activation in response to ICAM-1 cross-linking is ROS dependent in both rat and human PMECs.
This study demonstrated that neutrophil adherenceinduced cytoskeletal changes occurred only in TNF- pretreated PMECs and not in PAECs. Neutrophil adherenceinduced EC stiffening response and increases in F-actin formation were observed only in TNF- pretreated PMECs, the site of neutrophil emigration and edema formation during pulmonary inflammation. Subsequent studies compared ICAM-1dependent signaling events, including ICAM-1 clustering, activation of xanthine oxidase, ROS production, and p38 MAPK activation. These studies showed that the ICAM-1dependent signaling events required for these cytoskeletal changes were differentially regulated in these two EC types, and the differences in the signaling pathways appeared to lie downstream of ICAM-1 clustering but upstream of ROS production and subsequent p38 MAPK activation. These studies indicate that there appear to be distinct differences in neutrophil-induced cytoskeletal changes in ECs and in the underlying signaling mechanisms between these two cell types.
The increased expression of ICAM-1 induced by TNF-
Examination of downstream signaling events induced by ICAM-1 ligation revealed marked differences in the activity of xanthine oxidase and in neutrophil-induced ROS production between PAECs and PMECs. First, the activity of xanthine oxidase in untreated or TNF- This increase in ROS production in PMECs and not in PAECs, in turn, resulted in the activation of p38 MAPK in PMECs and not in PAECs. Indeed, xanthine oxidasedependent activation of p38 MAPK in response to ICAM-1 cross-linking was observed only in PMECs and not in PAECs. These data demonstrated that the signaling pathways leading to ROS production and subsequent p38 MAPK activation in response to ICAM-1 cross-linking in PMECs were absent in PAECs. The absence of these ICAM-1initiated signaling pathways in PAECs may likely account for the absence of cytoskeletal rearrangements in these cells in response to neutrophil adherence. This study, together with our previous studies on human PMECs, supports a role for xanthine oxidase in ICAM-1initiated signaling events and cytoskeletal changes in PMECs during neutrophil adherence. In human PMECs, neutrophil adherenceinduced ROS production in ECs is inhibited by an antiICAM-1 antibody and is partly inhibited by allopurinol, a xanthine oxidase inhibitor (1). In addition, neutrophil adherence or cross-linking ICAM-1induced changes in the PMEC cytoskeleton are inhibited by allopurinol as well as by scavengers of ROS (1). This study presents direct evidence for the activation of xanthine oxidase in response to neutrophil adherence in PMECs but not in PAECs. Moreover, allopurinol inhibits activation of p38 MAPK in response to ICAM-1 ligation in human and rat PMECs, and activation of p38 in ECs is required for the changes in actin cytoskeleton in PMECs as well as for neutrophil migration toward EC borders (3). All these data suggest that activation of xanthine oxidase occurs in response to ICAM-1 ligation and is required for downstream events, including p38 activation and actin cytoskeletal changes. The present study demonstrated that ECs derived from different vascular beds had distinct characteristics, as also revealed by studies from many other laboratories. We found that PAECs had much higher xanthine oxidase activity and that neutrophil-induced ROS production, p38 activation, and EC stiffening occurred only in PMECs and not in PAECs. In addition, Murphy and colleagues (13) showed that PMECs are more susceptible to injury induced by the adhesion of phorbol 12-myristate 13-acetate (PMA)activated neutrophils than are PAECs. Moreover, Kelly and coworkers (6) demonstrated that thapsigargin, an agent that activates store-operated Ca2+ entry, or calcium ionophores induce increases in permeability in cultured rat PAECs and not in PMECs, despite similar Ca2+ changes in both cell types. In vivo, administration of thapsigargin to isolated lungs induces edema accumulation and gap formation in vessels whose diameters are greater than 100 µm but not around microvessels (14). Taken together, these studies support the hypothesis that the differences observed in isolated ECs from different vascular beds in vitro may reflect their physiologic responses and functions in vivo. In summary, this study demonstrated that neutrophil adherence induced EC stiffening and an increase in F-actin formation only in PMECs, the site of neutrophil emigration during pulmonary inflammation, and not in PAECs. These differences were due to the differences in ICAM-1dependent signaling events in these two cell types. Understanding these differences may help in the interpretation of the physiologic functions of these changes in regulating neutrophil transmigration during inflammatory responses in the lung. Our previous studies demonstrate that inhibition of neutrophil-induced signaling events in ECs prevents neutrophil migration toward EC borders, the site of most neutrophil transmigration during pulmonary inflammation (3, 15). Because neutrophil sequestration and emigration underlie many acute pulmonary inflammatory responses including pneumonia and acute respiratory distress syndrome (reviewed by Lee and Downey [10]), understanding the molecular and cellular mechanisms regulating neutrophil emigration will help better understand how to enhance this process when it is beneficial to the host and to prevent it when it is harmful. Ultimately, this may help identify novel targets for therapeutic interventions.
The studies examining EC stiffness were performed at the Physiology Program, Harvard School of Public Health, Boston, MA.
Supported by NIH HL 48160, HL 33009, and a Clinical Scientist Award in Translational Research from the Burroughs Wellcome Fund (C.M.D.) and NHLBI F32 HL10177-01, a research grant from the American Lung Association, and Parker B. Francis Fellowship from the Francis Families Foundation (Q.W.). Received in original form January 7, 2002; accepted in final form June 20, 2002
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