Background
Gout is a metabolic disease that is usually characterized by hyperuricemia and the deposition of monosodium urate (MSU) crystals in the joints and subsequent induction of acute inflammatory response and cartilage destruction [
1]. The pathogenic process of gout is normally associated with numerous comorbidities, such as chronic kidney diseases, hypertension, obesity, diabetes, and cardiovascular disease [
2]. IL-1β is a major effector cytokine and plays a crucial role in the MSU-induced initiation of acute gout flares [
1]. Blocking of IL-1β can prevent peritoneal neutrophil accumulation in a mouse model of MSU-induced inflammation, and this appears to be an effective therapy for acute gouty arthritis [
3].
The expression and secretion of IL-1β are regulated by several signaling cascades. Highly purified MSU crystals could not solely induce IL-1β production or joint inflammation [
4]. The released microbial components (e.g., LPS) during infection and the metabolic compounds of food intake can offer a costimulatory signal that synergizes with MSU crystals to induce IL-1β production. Furthermore, free fatty acids with TLR2/4 are necessary for the induction of IL-1β mRNA and pro-IL-1β [
4]. It has been pointed out that the NLRP3 inflammasome is involved in crystal-induced inflammation, and subsequent activation of caspase-1 in the inflammasome can cleave the precursor pro-IL-1β to produce the active IL-1β protein (p17) [
5]. However, the underlying mechanism for the regulation of IL-1β production during these processes has not been fully elucidated.
miRNAs are a group of small, endogenous, single-stranded noncoding RNAs that regulate gene expression by mediating messenger RNA (mRNA) cleavage, translation repression, and mRNA destabilization [
6]. As tiny regulators of gene expression, miRNAs have been shown to have great potential in cellular processes such as differentiation, apoptosis, and other diverse diseases [
7]. However, only a few studies have investigated the role of miRNAs in the pathogenesis of gout [
8]. A previous study showed that miR-155 suppressed SH2-containing inositol-5′-phosphatase 1 (SHIP-1) levels and indirectly enhanced the production of proinflammatory cytokines such as tumor necrosis factor alpha (TNF-α) and IL-1β [
9]. In another report, overexpression of miR-146a could reduce the expression of IL-1β, TNF-α, monocyte chemoattractant protein-1 (MCP-1), and IL-8 against MSU treatment [
10]. However, the individual roles for miRNAs in gout have not been fully elucidated.
Our previous study revealed that miR-302b is a novel inflammatory regulator of TLR/NF-κB signaling in respiratory bacterial infections [
11]. To find out whether miR-302b regulates proinflammatory cytokines in the pathogenesis of gout, in the present study with bioinformatics and genetic approaches we defined that miR-302b fine-tuned IL-1β production by targeting the NF-κB pathway. It was further demonstrated that IRAK4 and EphA2 were the functional targets of miR-302b, and either enhancement of miR-302b or silence of EphA2 suppressed the migration of macrophages. These findings suggest that miR-302b plays an important role in the pathogenesis of MSU crystal-induced inflammation.
Methods
Cells
THP-1 cells from American Type Culture Collection (Manassas, VA, USA) were cultured in RPMI 1640 medium supplemented with 10% heat-inactivated FBS and penicillin–streptomycin. THP-1 cells were exposed to 100 ng/ml phorbol myristate acetate (PMA; Beyotime Biotechnology, Shanghai, China) on the day before the indicated experiment.
Mice
Eight-week-old male BALB/c mice were purchased from the Dossy Experimental Animals Company (Chengdu, China). Animals were housed in a specific pathogen-free facility of the State Key Laboratory of Biotherapy, Sichuan University, Chengdu, China. All animal studies were approved by the Ethics Committee of the State Key Laboratory of Biotherapy, Sichuan University.
Clinical serum sample collection
A total of 38 human serum samples were obtained from 18 patients diagnosed with acute gouty arthritis during an acute gout flare, and 20 healthy subjects were randomly selected from healthy individuals who participated in a physical examination at the West China Hospital from June 2017 and July 2017 (Additional file
1: Table S1). Once serum samples were collected, they were stored immediately at −80 °C. Written informed consents were provided by all participants, and the study was approved by the Ethics Committee of the West China Hospital, Sichuan University.
Reagents
MSU crystals were purchased from InvivoGen (San Diego, CA, USA) and used freshly for in-vitro treatment by dissolving in phosphate buffered saline (PBS). Antibodies for cleaved caspase-1 (p20), phospho-NF-κB p65 (ser536), and β-actin were purchased from Cell Signaling Technology (Danvers, MA, USA). Human and mouse mature IL-1β were measured using the IL-1β ELISA kit (Neobioscience, Shenzhen, China). PerCP-CD45, PE-F4/80, and APC-Gr-1 antibodies were obtained from BioLegend (San Diego, CA, USA).
Transfection
THP-1 cells were seeded in six-well or 24-well plates with 100 ng/ml PMA overnight. After washing the cells once with PBS, they were transfected with negative control miRNA mimics (NS-m), miR-302b mimics (302b-m), negative control siRNA (si-NC), IRAK4 siRNA (si-IRAK4), or EphA2 siRNA (si-EphA2) purchased from RiboBio Co., Ltd (Guangzhou, China) using Lipofectamine® 3000 (Life Technologies, Grand Island, NY, USA).
Measurement of miRNAs and mRNA expression
Total RNA was isolated from samples with TRIzol™ Reagent (Life Technologies) and dissolved in RNase-free water. For human serum samples,
Caenorhabditis elegans miRNA cel-miR-39 was added as a synthetic spike-in control RNA. For mature miRNA detection, reverse transcription was performed using a miScript II RT Kit (Qiagen, Valencia, CA, USA), and real-time qPCR was performed using a miScript SYBR® Green PCR Kit (Qiagen). For mRNA detection, reverse transcription was performed using a PrimeScript™ RT reagent Kit with gDNA Eraser (Takara, Dalian, China), and real-time qPCR was performed using SYBR® Premix Ex Taq™ II (Takara). The miRNA and mRNA detections were performed on a CFX96 Touch™ Real-Time PCR Detection System (Bio-Rad, Hercules, CA, USA), and the data were analyzed with CFX Manager™ software version 3.1 (Bio-Rad). The levels of mature miRNA were normalized against the control U6 snRNA (human source cell samples), sno202 (mouse source cell samples), or cel-miR-39 (human source serum samples). The levels of EphA2 and IRAK4 were normalized against GAPDH. The primers used in this study are presented in Additional file
1: Table S2.
Luciferase assay
THP-1 cells were cotransfected with miRNA (NS-m or 302b-m) and the luciferase reporter vector containing wild-type or point-mutated 3′ UTR (WT UTR or mutant UTR) of IRAK4 and EphA2 using Lipofectamine® 3000 (Life Technologies). Luciferase expression levels were measured at 24 h post transfection using a dual-luciferase reporter assay system according to the manufacturer’s instructions (Promega, Madison, WI, USA).
Western blot analysis
The antibodies for β-actin (1:1000), phosphor-NF-κB p65 (1:1000), and cleaved caspase-1 p20 (1:1000) were used for western blot analysis. The quantitative analysis for the results of the western blot analysis was performed using the Gel-Pro analyzer 4.0 (Media Cybernetics, Bethesda, MD, USA).
In-vitro migration assay
A Boyden chamber with an 8-μm porous membrane (Corning) in the 24-well plate was used for the migration assay. Briefly, THP-1 cells were transfected with NS-m, 302b-m, si-NC, or si-EphA2 for 48 h. The cell numbers were counted with a hemocytometer and resuspended with RPMI 1640 medium without serum. Then 500 μl cell suspension containing the indicated cell number was loaded into the Boyden chamber, whereas 1 ml RPMI 1640 medium with 5% serum was placed in the bottom compartment. After incubating at 37 °C for 24 h, cells on the upper side of membranes were removed. The migratory cells on the lower side of the membrane were stained with crystal violet and then counted under light microscope.
Confocal microscopy
THP-1 cells were transfected with NS-m or 302b-m and si-EphA2 or NC respectively for 48 h, and then the cells were treated with MSU for another 1 h. The cells were fixed with 4% paraformaldehyde and permeabilized with 0.3% Triton-X 100. Rhodamine phalloidin plus DAPI were diluted into PBS, and the cells were incubated at room temperature in the dark for 30 min. Rhodamine phalloidin-labeled F-actin (red) and DAPI-labeled nuclei (blue) were detected using confocal microscopy (Nikon TI-DH, Japan).
Mouse air pouch model
The backs of mice (four to seven mice per group) were subcutaneously injected with 2 ml sterile air and followed by a second injection of 3 ml sterile air after 3 days. The miR-302b agomir (302b-a) and negative control (NS-a) were injected into the air pouches on days 2 and 4. At 6 days after the first injection, 2 mg of MSU crystals in 0.5 ml of PBS or 0.5 ml of PBS alone were injected into the air pouches. After 6 h, the mice were anesthetized, and the air pouch fluids were lavaged with 3 ml of PBS. The lavages were centrifuged at 1000 × g for 5 min. The cell pellets were stained with CD45, Gr-1, and F4/80 antibodies for flow cytometry analysis, and the supernatants were used for ELISA. For immunoblot assays, air pouch lavages were precipitated to obtain protein pellets. For histological analysis, sagittal sections of air pouches were fixed in 10% paraformaldehyde and stained with hematoxylin and eosin (H&E).
Statistical analysis
All statistical analyses were conducted with SPSS 21.0 software. Data are presented as the mean ± SDEVs or SEMs. Statistical analysis was performed using Student’s t test for comparing two groups. Differences in the mean values were considered to be significant at p < 0.05.
Discussion
In the past few years, an increasing number of miRNAs were found to be associated with the regulation of inflammation [
26,
27]. Several studies have shown that many miRNAs, such as miR-155 and miR-451, were dysregulated in the synovial membrane and regulated the inflammatory response in clinical or experimental arthritis [
28‐
31]. These data indicated that miRNAs play important roles in the physiological and pathological processes of arthritis. The miR-302/367 family is involved in multiple kinds of diseases, including tumors, immune diseases, cardiovascular diseases, and so forth [
32‐
34]. miR-302b is a member of the miR-302/367 family. Researchers have shown that miR-302b can suppress tumor proliferation of esophageal squamous cell carcinoma (ESCC) via downregulation of the Erb-b2 receptor tyrosine kinase 4 (
ERBB4) gene [
35]. In our previous study, miR-302b could attenuate bacteria-induced inflammatory responses via a negative feedback for TLR signaling [
11]. In this study, we found that the expression of miR-302b was upregulated in THP-1 cells and mouse tissues after MSU treatment, as well as in the serum of GA patients. This finding suggested that miR-302b plays an important role in gouty arthritis.
Immune cells, especially local macrophages and their secretion of cytokines, play a very important role in the pathogenesis of gouty arthritis [
36]. IL-1β and TNF-α are thought to be important proinflammatory factors leading to acute and chronic gout arthritis in patients, whereas IL-1β plays a vital role in the development of GA [
12]. Dalbeth
et al. [
10] found that miR-146a was increased in intermittent episodes of gout, and overexpression of miR-146a could downregulate IL-1β, TNF-α, and IL-8 at protein level in MSU-induced acute inflammatory responses. In line with the study, we also found that overexpression of miR-302b suppressed TNF-α protein production, but the TNF-α protein level was not affected by the target genes of miR-302b, IRAK4, and EphA2 (Additional file
1: Figure S2). These findings suggested that miR-302b regulates the expression of TNF-α by targeting gene(s) beyond IRAK4 and EphA2.
Previous studies demonstrated that EphA2 regulated the migration of cells by promoting the activation of RhoA protein [
37]. Our results showed that silencing the EphA2 gene could affect F-actin formation and subsequently inhibit cell migration. Then we asked ourselves whether EphA2 regulates the migration of cells by affecting RhoA or other proteins during MSU stimulation. To this end, we firstly defined that EphA2 can regulate the cleavage of caspase-1 in the NLRP3 inflammasome, which may have an important influence on the pathogenesis of GA. However, the molecular mechanism needs to be studied in the future.
Conclusions
Taken together with all of the data for the function of miR-302b in MSU-induced inflammation and its mechanism, we believe that miR-302b could regulate the transcription and maturation of IL-1β by targeting IRAK4 and EphA2, respectively. Additionally, IRAK4 and EphA2 gene expression could downregulate MSU-induced IL-1β protein production. Based on these findings, miR-302b is likely an important negative regulator in the inflammation of gouty arthritis, and may have great potential to serve as a therapeutic target in gouty arthritis.
Acknowledgement
The authors thank the anonymous reviewer’s comments and suggestions.