Background
Allergic asthma involves complex inflammatory pathways that manifest symptoms and pathology that are generally accepted to be influenced by functions of Th2 cells and their products including IL-4, IL-5 and IL-13 [
1-
3]. These contribute to mechanisms of immune cell accumulation, alterations in airway hyper-responsiveness, excess mucus secretion and increased extracellular deposition around airways [
4-
7]. Activation of stromal or structural cells such as fibroblasts and airway smooth muscle cells contribute to the process [
8,
9]. These cells can be regulated by a variety of small molecular weight mediators, growth factors and cytokines to contract and/or to release molecules that further influence inflammation and matrix remodeling. Indeed, the production of cytokines by stromal cells (fibroblasts, epithelial cells and smooth muscle cells) could contribute significantly to the load of a chemokine such as MCP-1/CCL-2. These chemokines can attract monocytes/lymphocytes and fibrocytes [
10,
11] that potentially generate myofibroblasts and extracellular matrix accumulation. Eotaxin-1 has also been recently shown to stimulate fibrocyte chemotaxis [
12] and can be released from human airway smooth muscle cells (HASMC)
in vitro upon IL-1 or TNF stimulation [
13]. HASMC can respond directly to Th2 cytokines [
14,
15] and with synergy in response to Th2 cytokine and IL-1 combinations [
16]. More recently, the role of Th17 cells has become prominent in paradigms of T-helper cell subsets that include Th17, Th1, Th2 and regulatory T cells. IL-17A is the most characterized of the IL-17 family of cytokines (IL-17A through IL-17 F) that also play roles in inflammation, T cell responses and autoimmunity as previously reviewed [
17,
18]. IL-17A interacts with a receptor complex of IL-17RA/IL-17RC, which is generally expressed on a wide variety of cell types [
18]. IL-17A has been detected in asthmatic subjects and been shown to regulate lung fibroblasts [
19], epithelial cells[
20]and functions of airway smooth muscle cells including chemokine release [
21-
23],proliferation [
24] and contraction [
25].
In addition to typical Th2 and Th17 derived cytokines, several sets of studies have implicated the involvement of certain members of the gp130 cytokine family, such as IL-6, and IL-11 (reviewed in [
26,
27]) in inflammatory airway diseases. The gp130 cytokines include IL-6, IL-11, CT-1, LIF, Oncostatin M (OSM) and IL-31 among others, and are grouped together generally on the basis of their utilization of receptor complexes that require the gp130 signaling chain (with the exception of IL-31). Various family members can function in inflammation, immunity, hematopoiesis, cell differentiation and the regulation of extracellular matrix [
28-
31]. Among this group, OSM has been demonstrated to regulate stromal cell expression of cytokines and extracellular matrix modulators and have been found to be elevated in chronic conditions such as arthritis [
32,
33] and psoriasis [
34,
35]. In addition, evidence indicates elevated levels of OSM in airway inflammation [
36-
38] and severe asthma [
39], where potential roles may involve effects on various structural cells including lung fibroblasts [
40], airway epithelial cells [
41-
43] and airway smooth muscle cells [
36,
37,
44]. Reports have described synergy with OSM /IL-4 combination in inducing eotaxin-1, and OSM/IL-1 combination in inducing VEGF [
36,
37] expression by HASMC
in vitro. Here, we assess OSM modulation of IL-17A responses in context of activities of LIF, IL-31, IL-6 and IL-11
in vitro. We observe that OSM, but not LIF, IL-31 or other gp130 cytokines, can synergize with IL-17A, IL-4 or IL-13 in chemokine induction, correlating with STAT-3 signaling but not receptor chain alterations. The results indicate that OSM functions in sensitizing HASMC to the presence of Th17 cytokines as well as inflammatory and Th2 cytokines, suggesting an expanded role in exacerbation of airway inflammation in human disease.
Methods
Cell cultures and stimulation
Cultures of human airway smooth muscle cells (HASMC) were generated from airways obtained from lung cancer patients (ex–smokers, five diagnosed with COPD and 2 with no other conditions) undergoing thoracic surgery at St Joseph’s Healthcare Hamilton after obtaining their informed consent and with the approval of the local Research Ethics Board (approval RP#00-1839). Smooth muscle cells were isolated from disease-free areas of the airways and expanded in RPMI supplemented with 10% fetal bovine serum (FBS) and 1% L-Glutamine for up to 8 passages as previously described [
45]. For analysis of cytokine synthesis, HASMC were plated at a cell density of 10,000- 20,000 cells per well in 24-well or 96-well tissue culture plates and incubated overnight. Cells were washed with phosphate-buffered saline (PBS) and incubated for 3 hours with fresh media containing 2% FBS. Cells were then stimulated with the indicated cytokines in 2% FBS containing media, and 18–24 hour supernatants were later collected and stored for future analysis by ELISA. Recombinant human cytokines, (OSM, LIF, IL-31, IL-11, IL-6, IL-17A, IL-4, IL-13 and IFNγ, azide-free) were purchased from R&D systems (Cedarlane, Burlington, Canada). The STAT-3 inhibitor, Stattic, was purchased from Abcam Biochemical (Toronto, Canada) and used at the indicated concentrations applied for 30 minutes before stimulation with cytokines. The p38 inhibitor (SB203580) and Akt inhibitor (Akt X) were purchased from Calbiochem (San Diego, CA). Cells were pre-treated for 1 hour prior to cytokine stimulation with 10 uM SB203580 or 5 uM Akt X inhibitor.
Enzyme-linked Immunosorbent Assay (ELISA)
Levels of cytokines in the cell culture supernatants were quantified by ELISA using Duoset antibody pairs for IL-6 and eotaxin-1 purchased from R&D Systems Inc and MCP-1/CCL-2, purchased from Biolegend (San Diego, CA), used as per manufacturer’s protocols. Limit of detection of each ELISA was 15 pg/ml or less.
RNA extraction and real-time PCR
For RNA analysis, confluent HASMC in T75 culture flasks were washed with phosphate-buffered saline (PBS) and incubated for 3 hours with fresh RPMI media containing 2% FBS. Cells were then washed again and stimulated with fresh medium (2% FBS/RPMI) with the indicated cytokines for 6 or 18 hours. Total RNA was prepared as per manufacturer’s protocols using PureLink RNA Mini kits (Life Technologies, Burlington, Canada), and then analyzed by quantitative real-time PCR (TaqMan) using predetermined assay reagents (PDAR) purchased from Life Technologies (Burlington, Canada) for MCP-1/CCL-2, IL-6, eotaxin-1, eotaxin-3, IL-8, IL-17RA, IL-17RC, IL-4Rα, gp130/IL-6ST and OSMRβ.
Immunoblots
HASMC were plated at a cell density of 90,000 cells per well in 6-well costars and incubated overnight. Cells were washed with PBS, and incubated for 3 hours in RPMI media containing 2% FBS. Cells were then stimulated in fresh 2% FBS/RPMI containing indicated cytokines for 20 minutes. Cells were then lysed in 200 μL of ice cold RIPA buffer containing protease inhibitors and sheared by passing the cells through a 21-gauge needle 5 times. Protein concentrations of total cell lysates were determined using Bradford assays (Bio-Rad) and denatured by boiling in SDS-containing reducing buffer. 15 μg of total protein were separated by 8% SDS-PAGE and transferred to a nitrocellulose membrane by standard methods. Blots were blocked for 1 hour at room temperature using Licor odyssey blocking buffer (Mandal, Guelph, Canada) and were then probed for the indicated phosphorylated or non-phosphorylated proteins, as indicated in figures, at 4°C overnight. Primary antibodies specific for p-Y-STAT-1, STAT 1, p-Y-STAT3, STAT3, p-Y STAT5, STAT5, p-Y-STAT6, pT/Y-p38, p38, p-T/Y-JNK, p-S-Akt, and Akt were purchased from Cell Signaling Technology (New England Biolabs Ltd., Canada). Primary antibodies specific for Actin and STAT6 were purchased from Santa Cruz Biotechnology (Santa Cruz, CA). Primary antibodies were diluted 1:1000 in odyssey buffer and were detected using Licor anti-Rabbit or anti-Goat IRDye infrared secondary antibodies at 1:5000 dilution (Mandal), and imaged using a Licor odyssey infrared scanner (Mandal).
Statistical analysis
GraphPad Prism version 5.0 for Macs (GraphPad Software, San Diego, CA) was used for generating graphs and statistical analyses. Figures represent mean values ± standard deviation (SD). The student’s one-tailed t test, One- or Two-Way analysis of variance (ANOVA) with Tukey or Bonferroni post-tests were used to assess statistical differences between means; where values of p < 0.05 were considered statistically significant.
Discussion
Collectively, our results indicate that OSM has a unique function in HASMC by stimulating synergistic responses to IL-17A in selective genes, (MCP-1/CCL-2, IL-6 and IL-8 but not eotaxin-1). This is supported by data assessing both the protein released on cell culture supernatants (Figures
1,
2 and
3) and mRNA analysis (Figure
4). In addition, the synergistic responses by OSM were not associated with regulation of the receptor chains for IL-17A (IL-17RA and IL-17RC), but were correlated with the level of STAT-3 and p38 activation (Figure
3 and Figure
7). Furthermore, related gp130 cytokine family members LIF, IL-6, or IL-31 could not regulate such synergistic responses (Figure
3, Additional file
1: Figure S1), indicating novel activities of OSM in the regulation of chemokine expression by HASMC
in vitro. OSM could dose-dependently lower the threshold to IL-17A responses with OSM concentrations as low as 0.1 ng/ml and was clearly evident at 1 ng/ml (Figures
1 and
2). These concentrations are within the range of those detected in sputum samples of patients with severe asthma as described by Simpson et al. [
39] and indicate physiological relevance of the observations suggesting OSM regulation of HASMC function in lung inflammation
in vivo.
Previous work examining HASMC responses to IL-17A showed induction of IL-8 (CXCL-8) [
21] and induction of eotaxin-1/CCL-11 [
22] through a STAT3-dependent pathway [
48]. Our results are consistent with the regulation of IL-8 by IL-17A alone, and show additional synergistic elevation of IL-8 at both the mRNA and protein levels upon OSM/IL-17A co-stimulation. We also observed markedly high levels of eotaxin-1/CCL-11 or MCP-1/CCL-2 with OSM/IL-4 or OSM/IL-13 stimulation (Figures
2 and
3) consistent with previous work by others [
36]. In contrast to previous studies on eotaxin-1/CCL-11 expression [
22,
48], which were completed in serum-free conditions, in our study here (culture conditions of 2% FBS/RPMI) we found minimal regulation of eotaxin-1 using IL-17A alone or in combination with OSM. Figure
6A and B shows the analysis with densitometry averaged from 3 separate cell lines, all showing a lack of IL-17A induction of either STAT3 or p38 in our system. To address this, we compared 2% FBS/RPMI to serum-free conditions but observed the same trend in our system (two different cell lines tested, Additional file
1: Figures
4C and
6C). Furthermore, IL-17A/OSM-induced responses were clearly evident for IL-8, MCP-1 and IL-6 in the same supernatants assessed for eotaxin-1, and in the same samples assessed at the mRNA level. It is not clear why our observations are not consistent with these previous works on IL-17A (alone) induction of STAT3 or eotaxin-1 but may relate to phenotypic differences in the cell cultures selected by chance for our study in context of the IL-17A concentrations we used. Collectively, we suggest that the comparative role of IL-17A in eotaxin-1 expression by HASMC is less than that of IL-4 or IL-13 in the presence of OSM.
The gp130 cytokine family members have overlapping functions in various cells however it is also clear that unique functions can be ascribed to individual gp130 cytokines on the basis of differential cell signaling pathway engagement and/or differences in cell/tissue receptor chain expression [
41,
49]. In human systems, OSM can bind and signal through either the specific OSMR complex (OSMRβ chain and gp130 chain, termed OSMR Type II) or the LIFR complex (LIFRα and gp130, also termed OSMR Type I). The OSM receptor complex utilizes the OSMRβ chain that is also a necessary chain of the IL-31 receptor complex [
31].
Since LIF did not regulate detectable HASMC cytokine release, and low/absent STAT-3 activation, we conclude that LIFR complex (or OSMR Type I) is minimally functional in HASMC (likely due to low expression of LIFRα subunit) and that OSM functions in HASMC are through the specific complex OSMR Type II. IL-31 appears to have a suppressive role in models of Th2-induced lung inflammation [
50] although evidence also suggests it can induce dermatitis in animal models [
51]. In our system here, IL-31 did not induce HASMC responses, suggesting its roles may not include modulation of airway smooth muscle cells.
Previous reports have shown elevation of IL-4Rα expression in HASMC by OSM stimulation and our results confirm this at the mRNA level, however OSM did not induce detectable alterations in the IL-17RA or IL-17RC receptor chain mRNA (Figure
5). Collectively, these observations suggest that OSM/IL-17A synergistic responses may not involve receptor regulation, unlike that of OSM/IL-4 or OSM/IL-13 responses. The regulation of OSM/IL-17A responses appears to involve multiple signaling pathways, where pharmacological STAT-3 or p38 inhibition modulated MCP-1/CCL-2 and IL-6 responses. p38 inhibition selectively modulated MCP-1/CCL-2 responses to OSM/IL-17A stimulation and not OSM/IL-4 or OSM/IL-13 stimulation of MCP-1/CCL-2 in this system (Figure
7). The results suggest that targeting p38 MAPK may reduce IL-6 but not other important chemokines such as MCP-1/CCL2, and that targeting STAT signaling may reduce MCP-1/CCL2 in airway smooth muscle in asthma.
The OSM-induced synergy with IL-17A will likely add to the mediation of cell responses in mixed cytokine milieus in inflammatory conditions. OSM can synergize with IL-4/IL-13 as previously shown by others [
36] who have also shown OSM/IL-1 synergy [
37]. HASMC respond directly to Th2 cytokines [
14] and Okada et al. [
52] suggests differential regulation of eotaxin-1 by Th1 and Th2 cytokines. In our study here, we did not observe activity of IFNγ nor of OSM/IFNγ combinations (Figure
2). Thus, we speculate that OSM selectively accentuates Th2 and Th17 cytokine responses in HASMC by decreasing the concentrations of such cytokines required to activate these cells. This would enable higher responses to low levels of IL-17A, IL-4 and IL-13 and thus contribute to more marked inflammatory effects such as those seen in severe asthma.
Summary and conclusion
The regulation of cytokine/chemokine expression in HASMC may contribute significantly to mechanisms of pathology in asthma. MCP-1/CCL-2 interacts with CCR-2 and has chemoattractant activity for CCR-2 positive cells such as monocytes/T cells and in addition is chemotactic and an activator for fibrocytes in mouse [
53] or human [
11] systems. Fibrocytes, a circulating population of CD45+ coll1+ cells that accumulate at sites of inflammation, are thought to contribute to the increased extracellular matrix in inflammatory lung conditions including asthma [
10,
54,
55]. OSM can enhance IL-4, IL-13 or IL-17A induction of MCP-1/CCL-2, suggesting multiple ways by which OSM may contribute to monocyte and fibrocyte involvement in increased fibrosis seen in severe asthmatic patients. Taken together, the synergy of OSM with IL-4/IL-13 or IL-17A on cytokine and chemokine production by HASMC suggests a potential role for OSM in perpetuating airway inflammation and remodeling. OSM activity will likely include other cell types
in vivo such as lung fibroblasts, which respond to OSM through STAT3 mediation with functions that promote tissue remodeling [
56] .The observations that OSM can sensitize HASMC responses to the presence of lower concentrations of several cytokines implicated in asthma suggest a significant contribution to the severity of exacerbations and inflammatory pathology. It may be particularly relevant in patients with severe asthma who have incomplete bronchodilator reversibility [
35] given its role in modulating airway smooth muscle biology.
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Competing interests
The authors declare that they have no competing interests.
Authors’ contributions
KK conducted experiments involving mRNA analysis, immunoblots, dose-responses and pharmacological inhibitors, prepared HASMC cultures, participated in the design and analysis of the study and drafted the manuscript. MS participated in experiments comparing gp130 cytokines in MCP-1 and IL-6 levels and participated in the design of the study. RR participated in conducting experiments with IL-4 /IL-13 and IFNγ dose–response experiments and preparing HASMC cultures. JG participated in HASMC culture preparations. KR isolated and prepared primary HASMC cultures from the large airways. PN participated in critically reviewing the study design and manuscript. CDR conceived the study, participated in its design and coordination and finalized the manuscript. All authors read and approved the final manuscript with the exception of MS (passed away).