Background
Acute respiratory distress syndrome (ARDS) is an acute, diffuse, inflammatory form of lung injury [
1]. Primarily, direct injuries include severe pneumonia and aspiration pneumonia, whereas the predominant indirect injuries are sepsis and shock. Sepsis is defined as systemic inflammatory response syndrome (SIRS) accompanied by infection [
2]. SIRS induces the overproduction of inflammatory cytokines and causes multiple organ dysfunction syndrome (MODS); ARDS is considered a component of MODS [
3]. A cohort study analyzing patients who visited the ICU reported mortality rates to be 34, 40, and 46% for mild, moderate, and severe ARDS, respectively [
4]. Although mechanical ventilation with a lower tidal volume results in decreased mortality and increases the number of days without ventilator use in patients with ARDS [
5], several other translational clinical ARDS studies failed to show a reduction in mortality rates [
6]. These reports suggest that ARDS is a life-threatening disease. Furthermore, no treatment has proven to be sufficiently effective in preventing ARDS.
The pathophysiology associated with ARDS, involves 1) activated macrophages overproducing inflammatory cytokines such as interleukin-1 beta (IL-1β) and interleukin-8 (IL-8), which activate neutrophils that have difficulty in passing through microvessels in the lung; 2) vascular endothelia in the lung overproduce adhesion molecules, and these phenomena result in neutrophil accumulation in the lung vessels; and 3) under the influence of chemoattractants released by macrophages, neutrophils migrate into the lung interstitium or pulmonary alveoli where they produce neutrophil elastase and reactive oxygen species, resulting in alveolar epithelial cell injuries [
7]. Therefore, a neutrophil elastase inhibitor is a key therapeutic target for ARDS; however, it only has partial effects on this disease. Hence, the development of new therapies for the treatment of ARDS is urgently needed.
Extracellular vesicles (EVs) are lipid bilayer-covered vesicles with a diameter of 40–100 nm that are found in body fluids [
8]. EVs mainly contain mRNAs, microRNAs (miRNAs), and proteins [
9]. miRNAs are small RNA molecules comprised of 21–25 nucleotides that exist in many organisms [
10]. They participate in homeostasis by regulating protein expression via the degradation of mRNA or suppression of translation after binding to target mRNA [
11]. Lotvall et al. reported that extracellular vesicle miRNAs from mouse mast cells can be transferred to human mast cells resulting in the production of mouse protein [
12]. Given that the progression of ARDS is mediated by altered intercellular communication in the lung, between immune and structural cells [
13], EVs and their contents are promising candidates for targeted ARDS therapy.
The NLRP3 inflammasome is a protein complex that activates caspase-1, a protease, and induces IL-1β secretion in macrophages [
14]. The inflammasome is composed of two pathways, namely priming and triggering. In the priming pathway, toll like receptor 4 (TLR4) in macrophages recognizes pathogen-associated molecular pattern (PAMP) or damage-associated molecular pattern (DAMP) molecules resulting in the production of pro-IL-1β [
15]. TLR4-mediated production of pro-IL-1β is regulated by the zinc finger protein A20 in the airway [
16]. In triggering this pathway, the P2X7 receptor in macrophages recognizes adenosine triphosphate (ATP), a danger signal released extracellularly after cell injury, activates caspase-1 through the NLRP3 inflammasome, and produces IL-1β from pro-IL-1β [
14]. Dolinay et al. reported that serum IL-1β levels can be increased by mechanical ventilation in patients who contracted sepsis accompanied by ARDS [
17]. However, the molecular mechanism underlying the regulation of the inflammasome in ARDS is not fully understood. As EVs have been reported to regulate the NLRP3 inflammasome [
18], we hypothesized that EV miRNA may regulate the NLRP3 inflammasome pathway and contribute to the pathophysiology of ARDS.
In this study, we show that expression of miRNA-466 g and miRNA-466 m-5p is increased in EVs that are secreted into the airways of mice after intratracheal administration of LPS. Transfection of bone marrow-derived macrophages (BMDMs) with miRNA-466 g and 466 m-5p resulted in increased IL-1β release after treatment with LPS and ATP, which is an established in vitro model of NLRP3 inflammasome activation. Furthermore, LPS-induced pro-IL-1β expression was accelerated by miRNA-466 g and 466 m-5p in BMDMs. Our study suggested that EV miRNA-466, which is secreted into the airways, can exacerbate inflammation in a mouse ARDS model via the NLRP3 inflammasome, and thus this pathway might represent a therapeutic target for ARDS.
Methods
Reagents
The following antibodies were used: goat anti-mouse IL-1β (clone AF-401-NA; R&D systems, Minneapolis, MN, USA); rabbit anti-mouse β-actin (#4967; Cell Signaling Technology, Tokyo, Japan); donkey HRP-linked anti-goat IgG (sc2020; Santa Cruz Biotechnology, Dallas, TX, USA); goat HRP-linked anti-rabbit IgG (#7074; Cell Signaling Technology, Tokyo, Japan). LPS derived from O55:B5 Escherichia coli (L-2880), ATP (A-2383), and the NLRP3 inflammasome inhibitor CP-456773 were purchased from SIGMA-Aldrich (St. Louis, MO, USA).
Animals and EV extraction
All animal care and experimental procedures used in the present study were approved by the Animal Care and Use Committee at Nihon University School of Medicine. Mice were housed in a temperature-controlled conventional room and supplied with laboratory chow and water ad libitum. We purchased C57BL/6 J male mice from Charles River (Yokohama, Japan). We prepared two groups of 8-week-old mice; after anesthesia with 2% isoflurane, one group was treated with intratracheal administration of 50 μL PBS, whereas the other group received 50 μL of a 1 μg/μL LPS solution. Twenty-four hours later, mice were euthanized with CO2 and received 1 mL of PBS intratracheally. BALF samples were obtained from both groups. All procedures were performed in such a way as to minimize animal suffering. BALF was centrifuged at 4 °C at 500×g for 10 min, and the supernatant was harvested. We extracted RNA from EVs using the Sera MirTM Exosome RNA Amplification Kit (System Biosciences, Palo Alto, CA, USA). We observed the morphology of EVs under a scanning electron microscope and counted the number of EVs using qNano (Meiwafosis, Tokyo, Japan). qNano measures particles using the Tunable Resistive Pulse Sensing (TRPS) principle, in which nanoparticles suspended in electrolytes are detected on a particle-by-particle basis as they pass through a nanopore. We measured the amount and size of RNA using the Agilent RNA6000 pico kit (Agilent Technologies, Santa Clara, CA, USA).
Comprehensive genetic analysis
EVs extracted from the BALF of 10 mice were pooled to comprise one sample to obtain sufficient amounts of RNA for comprehensive genetic analysis. RNA was labeled by Affymetrix Flash TaqTM Biotin HSR RNA Labeling Kits for Gene Chip® and applied to miRNA3.0 Array (Affymetrix, Santa Clara, CA, USA). We analyzed converted fluorescence intensity using the GeneChip Fluidics Station 450 and GeneChip scanner 3000 (Affymetrix, Santa Clara, CA, USA). The data were statistically analyzed with Partek Genomics Suite (Partek Inc., St. Louis, MO, USA). The data were subjected to principle component analysis using Partek Genomics Suite software for microarray quality control.
Real-time PCR analysis
We synthesized complementary DNA (cDNA) from RNA that was extracted from EVs of mouse BALF using the TaqMan MicroRNA Reverse Transcription Kit (Applied Biosystems, Foster City, CA, USA). Real-time quantitative PCR was performed with an Applied Biosystems 7300 standard real-time PCR system (Applied Biosystems). We used miRNA-466 g (Assay ID 241015_mat, Applied Biosystems), miRNA-466 m-5p (Assay ID 465329_mat, Applied Biosystems), and U6 (Assay ID 19173, Applied Biosystems), an endogenous standard, as TaqMan primers. The Ct values were determined by the initial threshold, and the amount of RNA was evaluated by the comparative ΔΔCT method.
Cell culture
We extracted bone marrow from the femur and tibia of C57BL/6 J mice. Cells were cultured in L929 cell conditioned medium until differentiation into BMDMs. The concentration of the supernatant of L929 cell conditioned medium was 30% for day 1 to 2 after the bone marrow was extracted, and 25% for day 3 to 7. We cultured BMDMs in Dulbecco’s modified Eagle’s medium (DMEM) - low glucose (SIGMA-Aldrich), containing 10% fetal bovine serum (FBS) (SAFC Biosciences, Lenexa, KS, USA), 1% penicillin-streptomycin (Nacalai Tesque, Kyoto, Japan), and L929 cell conditioned medium at 100% humidity and 37 °C.
Transfection
We transfected 50 nM of miRNAs into BMDMs cultured for 7 days on 24-well plates using Lipofectamine RNAiMAX (Life Technologies, Yokohama, Japan). We used miRNA mimic Negative Control #2 (Bioneer, Daedeok-gu, Korea), MMU-MIR-466 g mimic (Bioneer, Daedeok-gu, Korea), and MMU-MIR-466 m-5p mimic (Bioneer, Daedeok-gu, Korea). After transfection, we cultured BMDMs with DMEM - low glucose (SIGMA-Aldrich), containing of 10% FBS (SAFC Biosciences) and 20% L929 cell conditioned medium at 100% humidity and 37 °C.
ELISA
We collected the BMDM supernatant, without centrifugation or dilution, and measured mouse IL-1β using an ELISA kit purchased from Affymetrix (Santa Clara, CA, USA) in accordance with the manufacturer’s instructions.
Western blotting
We extracted proteins from BMDMs using radioimmunoprecipitation assay buffer. Lysates were boiled for 10 min in sample-loading buffer (XT sample buffer 4x and XT reducing agent 20x mix; BIO RAD, Hercules, CA, USA). Proteins were separated by electrophoresis using criterion XT Bis-Tris precast gels (4–12%) (BIO RAD, Hercules, CA, USA) and transferred to PVDF membranes (immobilon; Millipore, Burlington, MA, USA) by electroblotting. Samples containing 20 μg of protein were used for electrophoresis. The bands were detected using Amersham ECL Prime Western Blotting Detection Reagent (GE Healthcare, Tokyo, Japan) and a luminescence image analyzer LAS-4000IR (Fuji Film, Tokyo, Japan).
Statistical analysis
Data were analyzed with Graph pad prism 6 (GraphPad Prism Software, La Jolla, CA, USA) and provided as mean ± standard deviation (SD) or mean ± standard error (SE). Significant differences between groups were indicated at P < 0.05 after performing a student’s t - test or ANOVA test with Tukey’s multiple comparison test.
Discussion
It is generally accepted that ARDS is caused by inflammation, which is mediated by neutrophil activation [
7]. However, the effects of neutrophil elastase inhibition are not sufficient to treat ARDS [
21,
22]. Hence, additional studies are required to identify other inflammatory pathways involved in the onset of this disease. As such, we focused on the relationship between ARDS and inflammation via the NLRP3 inflammasome, and analyzed EVs that have been reported to regulate this process [
23,
24]. It is known that EVs mediate cell–cell communications in lung inflammation and injury [
25]. EVs are highly enriched in cytokines, chemokines, protein, and miRNAs, and target cells could receive the necessary concentration of these inflammation-related molecules via EVs. Although it has been reported that EVs in BALF of mice are rich in miRNA and that miRNA-enriched epithelial EVs trigger macrophage-mediated pro-inflammatory effects [
26], the underlying mechanisms remain to be elucidated. We found that expression of the miRNA-466 family molecules were enhanced in EVs isolated from the BALF of LPS-stimulated mice (Fig.
4 and Table
1). Furthermore, miRNA-466 g and miRNA-466 m-5p, which expression was validated by real-time PCR (Fig.
5), were transfected into BMDMs, followed by LPS and ATP stimulation, which induced an increase in IL-1β (Fig.
6a). LPS-induced pro-IL-1β expression was accelerated by miRNA-466 g and 466 m-5p (Fig.
6b). These findings indicate that EV miRNA-466 family molecules are secreted into the airways during ARDS, and that these molecules exacerbate inflammation via the NLRP3 inflammasome. In addition to important cellular functions, secreted EV miRNAs could serve as therapeutic targets for ARDS by inhibiting or eliminating EVs.
In this study, we compared the number of EVs and the amount of EV RNA in the BALF from LPS- or PBS-stimulated mice (Fig.
2). Although there was no significant difference in the number of EVs after LPS administration (Fig.
2a), the amount of EV RNA was significantly increased (Fig.
2b). Furthermore, we showed that EV RNAs from the BALF are small molecules (50–200 bp), suggesting the existence of miRNA (Fig.
3). Given that miRNA dramatically increased after LPS stimulation, this stimulus could result in the sorting of miRNAs into EVs, rather than EV biogenesis and release; which may be necessary to control the biological response to pathogenic microorganisms. However, little is known about whether and how cargo is sorted into vesicles, and thus further investigation is needed to explore the effect of LPS on the sorting of cargo, and especially miRNA, into EVs in the lung.
Next, we analyzed the expression of EV miRNAs in mouse BALF (Fig.
4). We identified 23 miRNA genes that were upregulated after LPS stimulation. Interestingly, the top 10 miRNAs belonged to the miRNA-466 family (Table
1). Several studies have been performed with regards to miRNA-466 expression and its regulatory roles [
27,
28]. miRNA-466 was shown to inhibit tumor growth and bone metastasis in prostate cancer [
27]. Furthermore, miRNA-466 g was found to regulate sodium and glucocorticoid regulated kinase 1 mRNA expression and epithelial sodium channel activity in the cortical collecting duct [
29]. However, the role of miRNA-466 in LPS-induced ARDS was previously unknown. LPS is a known activator of the NLRP3 inflammasome. Moreover, it has been reported that the NLRP3 inflammasome is related to ARDS [
23]. Therefore, in this study, we focused on the effect of the miRNA-466 family on the NLRP3 inflammasome. miRNA-466 g and 466 m-5p, transfected into BMDMs, facilitated the secretion of IL-1β after stimulation with LPS and ATP (Fig.
6a). LPS-induced intracellular pro-IL-1β production was accelerated by the transfection with miRNA-466 g or 466 m-5p (Fig.
6b). Our data indicated that miRNA-466 g and 466 m-5p act as precipitating factors for the inflammasome by regulating the priming pathway.
However, our study had several limitations. First, we did not establish whether EV miRNA-466 family molecules aggravate lung injury of mouse ARDS model in this study, whereas our data is consistent with previous study demonstrating that GW4869, an inhibitor of EV release, decreased serum levels of IL-1β in a sepsis-induced inflammation [
30]. We also did not investigate the function of all miRNAs that were upregulated in EVs from the mouse ARDS model. As other candidates, in addition to the miRNA-466 family, might have an important role in lung injury, further investigation is needed to evaluate their significance.
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