Background
Worldwide, millions of people are occupationally exposed to crystalline silica (e.g. quartz) dust. Chronic exposure to quartz can lead to a variety of pulmonary diseases, including silicosis and cancer [
1]. Notably however, studies on quartz-induced carcinogenicity have revealed that the quartz hazard is a variable entity [
2], as carcinogenic outcomes seem to be inconsistent and show a rather large variation [
1]. Indeed, the toxicity of quartz is highly variable and has been demonstrated to largely depend on the reactivity of its particle surface [
3]. Currently, there is a large body of experimental evidence showing that modification of the particle surface by either grinding or coating with PVNO or aluminium salts modifies quartz-induced cytotoxicity, genotoxicity, inflammogenicity and fibrogenicity [
4‐
11].
It is now generally accepted that excessive and persistent formation of ROS and RNS plays a major role in quartz-induced silicosis and carcinogenicity [
3,
12‐
14]. During quartz exposure, ROS may be generated via two major routes: either from the quartz particles themselves, or indirectly, from the oxidative burst of pulmonary inflammatory cells (i.e. neutrophils and macrophages) that invade the lung upon exposure to quartz. Previously, we and others have demonstrated that the surface characteristics of quartz are involved in both of these pathways, since surface-modification significantly impacts on the generation of ROS by quartz particles in an acellular environment [
6,
15], as well as on the induction and persistence of pulmonary inflammation [
4,
7,
9,
11]. It has been also demonstrated that such quartz-surface modifications directly modify the release of ROS from neutrophils and macrophages upon
in vitro treatment with quartz [
6,
16‐
18]. Notably however, current evidence for a role of the reactive particle surface on the actual generation of ROS
in vivo and the oxidative stress response in lung tissue are merely associative.
In the context of the inflammation-mediated carcinogenic effects of quartz, it should be noted that ROS are on the one hand known to activate redox-sensitive signal transduction cascades, such as nuclear factor kappa B (NFκB) and activator protein (AP-1), which are involved in activation of genes controlling inflammation, proliferation and/or apoptosis [
11]. On the other hand, quartz-mediated formation of ROS is considered to drive oxidative DNA damage and associated mutagenesis [
13,
19]. The importance of inflammation-mediated ROS for quartz mutagenesis was initially provided by Driscoll and co-workers [
20]. Using a complementary
in vivo and
ex vivo/in vitro approach, they showed (a) that quartz particles are mutagenic to rat lung epithelial cells
in vivo in association with a persistent pulmonary inflammation, and (b) that BAL cells obtained from such quartz-treated rats are mutagenic to rat lung epithelial cells
in vitro. In concordance with these observations, quartz has been shown to induce the premutagenic oxidative DNA adduct 8-OHdG in rat lungs [
21,
22]. In an
in vitro co-incubation model we could then demonstrate that the induction of 8-OHdG in lung epithelial cells by neutrophils can be blocked by antioxidants [
23].
To cope with exogenous DNA damage, e.g. as may be induced upon quartz exposure, cells are equipped with multiple DNA repair enzymes. The repair of oxidative DNA lesions such as 8-OHdG, predominantly occurs via the base excision repair (BER) pathway. As such, altered expression of BER enzymes has been proposed as a sensitive marker of the induction of oxidative stress and oxidative DNA damage [
24,
25]. Among these repair proteins, the expression of the bifunctional protein APE/Ref-1 represents a highly interesting candidate [
25]. The protein APE/Ref-1 consists of two functionally independent domains, the highly conserved C-terminus, involved in both the short-patch and long-path pathways of BER, and the completely unconserved N-terminus, which exerts the control of several redox-sensitive transcription factors including NFκB and AP-1. Previously,
in vitro studies have shown that asbestos fibres enhance APE/Ref-1 expression in mesothelial cells as well as in alveolar macrophages, which has been linked to its role in oxidative DNA damage repair and ROS-mediated regulation of redox-sensitive transcription pathways, respectively [
26,
27]. So far, however, the role of quartz-elicited ROS generation on APE/Ref-1 expression
in vivo has not been elucidated.
The aim of our present study was to investigate whether inhibition of the surface reactivity of quartz particles modulates inflammation-mediated generation of ROS and RNS in the rat lung in vivo, and whether this impacts on pulmonary toxicity and more specifically, on the expression of the lung tissue sensors of oxidative stress/DNA damage 8-OHdG and APE/Ref-1. Therefore, BAL as well as lung tissue from rat lungs were analysed for pulmonary toxicity, inflammation, ROS/RNS generation and induction of 8-OHdG and APE/Ref-1, seven days after a single instillation with native quartz or quartz from which the surface was coated with either PVNO or AL.
Methods
Chemicals
2-2'-azinobis-(-3 ethylbenzothiazoline-6-sulphonate) (ABTS), dimethyl sulphoxide (DMSO), ethidium bromide, L-glutamine, Ham's F12 medium, Hank's balanced salt solution (HBSS), HEPES buffer, fetal calf serum (FCS), penicillin/streptavidin solution, phosphate buffered saline (PBS), were all obtained from Sigma (Germany). Horseradish peroxidase (HRP), guaiacol, phorbol-12-myristate-13-acetate (PMA), anti-mouse-IgG whole protein HRP-conjugated secondary antibody and the tubulin antibody as well as Diaminobenzidine were also purchased from Sigma (Germany). ABAP (2,2'-azobis-(-2-amidinopropane)HCl was from Polysciences, Warrington, USA. F12-K Nutrient Mixture was obtained from Invitrogen (Germany). Protease inhibitors in form of a Complete™ cocktail were purchased from Roche Diagnostics GmbH (Germany). The Bradford-protein assay was used from BioRad (Germany). ECL-reagent/detection system was obtained from Amersham Bioscience (Germany). The antibody against 8-OHdG was obtained from the Institute of Aging (Japan) and the antibody against APE/Ref-1 (C-4) was purchased from Santa Cruz Biotechnology (USA). For immunohistochemical detection secondary biotinylated horse-anti mouse antibody, the streptavidin-biotin-system (Vectastain Elite Kit) and mouse IgG were used from Vector Laboratories (USA). DePex was used from Serva (Germany). Hoechst 33342 was obtained from Sigma (Germany), and MFP488 goat anti-mouse IgG from MoBiTec (Germany). All other chemicals were from Merck (Germany) and were of highest purity.
Surface treatment of quartz
Surface modification of Quartz (DQ12, batch 6, IUF, Düsseldorf) was performed as described previously [
10]. Briefly, DQ12 was coated for 5.5 hours in a 5 mg/ml suspension in a 1% dilution of either PVNO or AL, dissolved in distilled deionised sterile water. Non-coated DQ12 was suspended in water without any further additions. After repetitive washings in sterile water, the particles were finally resuspended in sterile water at a concentration of 5 mg/ml in sterile glass tubes, and allowed to dry under a laminar flow chamber. All quartz processing was performed under sterile conditions, and a single batch of non-coated and coated quartz was prepared and used for the whole study to avoid possible variable coating efficiency. Atomic absorption spectrometry and spectrophotometry revealed coating efficiencies of respectively 11 μg PVNO/mg quartz and 1.6 μg aluminium/mg quartz, and transmission electron microscopy analysis showed that the coating procedures did not cause changes in particle size distribution or aggregation of the DQ12 [
11]. For intratracheal (i.t.) instillation, the dried quartz preparations were resuspended in 1 ml of PBS (without Mg
++ and Ca
++) and sonicated in a water bath (Sonorex TK52; 60 Watt, 35 kHz, 5 min).
Quartz instillation and bronchoalveolar lavage
Specific pathogen free female Wistar rats were used for the study (Janvier, Le Genest St. Isle, France). The animals were housed and maintained in an accredited on-site testing facility, according to the guidelines of the Society for Laboratory Animals Science (GV-SOLAS). Food and water were available ad libitum. When weighing 200–250 g (8 weeks old), animals were anaesthetised with isoflurane and i.t. instillation was performed using a laryngoscope. From the non-coated or coated quartz suspensions (5 mg/ml in PBS) 400 μl were instilled giving a final dose of 2 mg per rat (n = 5 per treatment and endpoint). Control rats were instilled with only PBS. Separate control animals received 22 μg PVNO or 35 μg AL (in PBS), amounts calculated from the coating efficiency of both substances, to assess possible direct effects of coating materials. After 7 days, animals were sacrificed by a single i.p. injection of Na-pentobarbital and subsequent exsanguination via the abdominal aorta. The lung was cannulated via the trachea and BAL was performed in situ by infusing the lungs with 5 ml aliquots of PBS. The BALF was drained passively by gravity and the procedure was repeated four times, giving a total BAL volume of 20 ml. Total cell number in the BAL was analysed using a hemocytometer chamber (Neubauer) and viability was assessed by trypan blue dye exclusion. BAL-cell differential was determined on cytospin preparations stained with May-Grünwald/Giemsa (MGG). The BALF was centrifuged twice (300 g to collect cells, followed by 1000 g to obtain BALF), and the cell-free supernatant was analysed for lung injury parameters, e.g. total protein, LDH and AP, as well as myeloperoxidase (MPO).
Measurement of cytotoxic and inflammogenic bronchoalveolar lavage parameters
Total protein was analysed according to the method described by Lowry. LDH and AP were assayed using diagnostic kits from Merck (Germany). MPO activity in the BALF was assayed according to the method originally described by Klebanoff et al [
28]. Briefly, 200 μl of cell-free BALF was mixed with 800 μl MPO assay solution, containing 107.6 ml H
2O, 12 ml 0.1 M sodium phosphate buffer, 0.192 ml Guaiacol, 0.4 ml 0.1 M H
2O
2. The generation of tetra-guaiacol was measured spectrophotometrically (Beckman) at 470 nm and the change of optical density per minute was calculated from the initial rate. The MPO activity was calculated from the formula: U/ml = ΔOD/minute × 0.752 and expressed as mU/ml. One unit of the enzyme is defined as the amount that consumes 1 μmol H
2O
2 per minute.
Measurement of hydrogen peroxide and nitrite in bronchoalveolar lavage fluid
Freshly obtained BALF was used to measure hydrogen peroxide according to the method of Gallati and Pracht [
29]. Therefore, 75 μl of BALF was mixed with 75 μl of a 3,3',5,5'-Tetramethylbenzidine solution (TMB solution EIA, solution A, Bio-Rad), containing 8.5 U/ml horseradish peroxidase. After 10 min incubation at RT, 50 μl H
2SO
4 (1 M) was added and absorption was measured at 450 nm using a microplate reader (Multiskan, Labsystems). The final concentration of H
2O
2 was calculated from a standard curve made up in BALF obtained from an untreated rat.
Nitric oxide levels in BALF were determined by analysis of its relative stable metabolite nitrite using the Griess reaction. Briefly, 100 μl of the cell free BALF was incubated with an equal volume of Griess reagent (0.1% naphthylene ethylene-diamide.2HCl, 1% sulfanilamide, 2.5% phosphoric acid) at room temperature for 10 minutes. Absorbance (540 nm) was then determined using a microplate reader and concentrations were calculated from a NaNO2 standard curve.
Measurement of ex vivo hydrogen peroxide by bronchoalveolar lavage cells
Freshly isolated BAL cells obtained from rats exposed to the quartz preparations were used to determine spontaneous and PMA-induced
ex vivo H
2O
2 release. H
2O
2 generation was measured as described by Pick and Keisari [
30]. Therefore, 1.5 × 10
5 cells were incubated in 24 well plates in 500 μl HBSS containing 8.5 U/ml horseradish peroxidase (HRP) and 0.28 mM phenol red (PRS solution). Cells were incubated with or without PMA (100 ng/ml) for 4h at 37°C, 5% CO
2. The reaction was stopped by addition of 10 μl NaOH (1 M), and absorption was read at 610 nm, against a standard curve of H
2O
2 in PRS solution.
Trolox equivalent antioxidant capacity assay
The TEAC (trolox equivalent antioxidant capacity) assay was performed according to Van den Berg et al. [
31], with minor modifications. An ABTS (2-2'-azinobis-(-3 ethylbenzothiazoline-6-sulphonate) radical solution was prepared by mixing 2.5 mM ABAP (2,2'-azobis-(-2-amidinopropane)HCl with 20 mM ABTS solution in 150 mM phosphate buffer (pH 7.4) containing 150 mM NaCl. The solution was heated for 10 min at 70°C and, if necessary, diluted to obtain a solution with an absorbance at 734 nm between 0.68 and 0.72. For measuring antioxidant capacity 100 μl of the cell-free BALF was mixed with 900 μl of the ABTS radical solution. Both native and deproteinized (10% TCA) BALF were tested. The decrease in absorbance at 734 nm 5 minutes after addition of the sample was used for calculating the TEAC. Trolox was used as reference compound. The TEAC of the sample is given as the concentration of a trolox solution that gives a similar reduction of the absorbance at 734 nm.
DNA isolation and analysis of 8-hydroxy-2'-deoxyguanosine by HPLC/ECD
Lung tissue was removed from the animals, chopped into small pieces, aliquots were snap frozen in liquid nitrogen and stored at -80°C until later measurement of 8-OHdG as described previously [
23]. Briefly, lung tissue was homogenated and lysed overnight at 37°C in a NEP/SDS solution (75 mM NaCl, 25 mM EDTA, 50 μg/ml proteinase K, 1% SDS). The DNA was dissolved in 5 mM Tris-HCl (pH 7.4) at a final concentration of 0.5 mg/ml. 8-OHdG formation was measured using high performance liquid chromatography with electrochemical detection (HPLC-ECD). Values were expressed as the ratio of 8-OHdG to deoxyguanosine (dG).
Western blotting
Lung tissue was removed from the animals, chopped into small pieces, aliquots were snap frozen in liquid nitrogen and stored at -80°C. For preparation of whole protein, lung tissue was homogenised within lysis buffer (1% NP-40, 0.5% sodium deoxycholate, 0.1% SDS in PBS) containing freshly added protease inhibitors. Homogenate-lysis buffer-mix was incubated for 30 min on ice and spun at 15.000 g for 20 min at 4°C. Protein concentrations were determined by BioRad-Assay (according to the Bradford method). Samples were electrophorezed at equal protein concentrations (10 μg) in 10% SDS-polyacrylamide gels, and transferred onto nitrocellulose membranes. Non-specific protein binding was blocked with 5% dried milk powder and 0.05% Tween-20 in PBS. Detection of the APE/Ref-1 protein was performed using a monoclonal antibody (1:2000) and an anti-mouse-IgG whole protein HRP-conjugated secondary antibody (1:5000). Blots were reprobed with an antibody against tubulin (1:5000) and a secondary anti-mouse-IgG whole protein HRP-conjugated antibody (1:5000) for protein normalisation. Band formation was visualised using an ECL-reagent/detection system. Quantification was performed by computer-assisted densitometry scanning using a documentation system (Bio-Rad, Germany) with appropriate software (Gel-doc, Bio-Rad, Germany). For each time point, samples of 4 animals per treatment group were quantitated.
Lung fixation and immunohistochemistry of 8-OHdG and APE/Ref-1
Lungs of five additional animals per treatment group were instilled in situ with 4% paraformaldehyde/PBS (pH 7.4) under atmospheric pressure, removed, fixed, dehydrated, and paraffin embedded. Serial sections of lungs were mounted on different slides and stained either for 8-OHdG or APE/Ref-1. For the detection of both antibodies basically the same method was applied, except for additional steps of RNA digestion and DNA-denaturation for the detection of 8-OHdG. Since both antibodies are monoclonal mouse antibodies, horse serum was used to block unspecific binding. The sections were then incubated with a primary antibody against 8-OHdG (1:100) or against APE/Ref-1 (1:500). Detection was performed by incubation with a secondary biotinylated horse-anti mouse antibody (1:200) followed by the streptavidin-biotin-complex according to the manufacturer's protocol. Diaminobenzidine (DAB) was used as a substrate, and the slides were counter stained with hematoxylin. After washing with distilled water, slides were dehydrated and covered in DePex. For the negative control, control sections were incubated with mouse IgG instead of the primary antibodies at the same IgG concentrations. Slides were analysed using a light microscope (Olympus BX60).
Quantification of 8-OHdG and Ref-1 staining following immunohistochemistry
For quantification of 8-OHdG or APE/Ref-1 five microscopic areas of the left lung lobe of 4 animals per treatment were randomly selected for analysis at an original magnification of × 1000 (oil immersion). Since the staining for 8-OHdG as well as for APE/Ref-1 predominantly occurred within the cell nucleus, in line with the location of the DNA and the action of its repair, all brown (DAB, positive signal) and blue (hematoxylin, negative signal) stained nuclei were counted and expressed as percentage of total cells. In the lungs of the animals that were treated with the non-coated quartz, we observed specific areas with increased an accumulation of inflammatory cells and early indications of tissue remodelling, likely as a result of the non-uniform lung distribution of the quartz-particles after instillation. Therefore, in this treatment group, quantification of each individual section was performed independently for regions with normal lung architecture and focal pathologically altered regions.
Analysis of expression and subcellular localisation of APE/Ref-1 in representative lung cell lines
In relation to the observed immunohistochemical staining in the lung sections as will be discussed later, APE/Ref-1 protein expression was further evaluated
in vitro, using Western blotting in the rat cell lines NR8383 and RLE, representing an alveolar macrophage and type II epithelial cell line, respectively [
32,
20]. NR8383 cells were cultured in F12-K Nutrient Mixture/15% FCS/penicillin/streptomycin, and RLE cells were cultured in Ham's 12 Mixture/5% FCS/penicillin/ streptomycin. Both cell lines were grown until near confluence and nuclear as well as cytosolic proteins were then prepared by the method of Staal et al. [
33]. Briefly, cells were harvested by gentle scraping and then lysed by incubation on ice in Buffer A (10 mM Hepes, 10 mM KCl, 2 mM MgCl2, 1 mM DTT, 0.1 mM EDTA containing freshly added protease inhibitors). After 15 min buffer B was added (Buffer A + 10% NP-40), and lysate was centrifuged at 950 g for 10 min. After collection of the supernatant (cytosolic fraction), the pellet containing cell nuclei was resuspended in buffer C (50 mM Hepes, 50 mM KCl, 300 mM NaCl, 0.1 mM EDTA, 1 mM DTT, 10% glycerol containing freshly added protease inhibitors). This nucleic suspension was incubated on ice by agitation for 20 min, followed by centrifugation at 18,000 g for 10 min. Nucleic proteins from this supernatant were collected and stored like the cytosolic proteins at -80°C until analysis. Before analysis of APE/Ref-1 expression by Western Blotting, protein concentration was determined using the BioRad-Assay (according to the Bradford method) and equal protein amounts of 10 μg were loaded.
For an independent evaluation of the subcellular expression of APE/Ref-1 in the RLE cells, also immunocytochemistry was used, as follows: RLE cells were cultured to near confluence on 4-chamber culture slides (Falcon), and immunocytochemistry was performed using the APE/Ref-1 antibody described before followed by a MFP488 goat anti-mouse IgG antibody. Nuclear counter-staining was performed using Hoechst 33342. Slides were analysed using a fluorescence microscope (Olympus BX60) at an original magnification of × 1000.
Statistical evaluation
Data are expressed as mean ± SD, unless stated otherwise. Statistical analysis was performed using SPSS version 10 for Windows. ANOVA was used to evaluate differences between treatments. Multiple comparisons where evaluated using Tukey's method. A difference was considered to be statistically significant when p < 0.05. Correlation analysis was performed using Pearson's test.
Discussion
The data presented in this paper are part of larger ongoing
in vitro and
in vivo investigations on the role of surface reactivity in quartz-induced genotoxic, proliferative and fibrogenic effects [
10,
11,
15]. Here we report on the effects of surface modification on quartz-induced generation of ROS and RNS in rat lungs in relation to their involvement in the induction of an oxidative stress response (DNA damage, APE/Ref-1 expression) in the lung tissue. Previously, we and others have shown that coating of quartz-particles with PVNO or AL impairs its ability to elicit pulmonary inflammation (i.e.
in vivo), as well as the generation of ROS by neutrophils or macrophages
in vitro [
4,
9‐
11,
16,
17]. In the present study we showed for the first time, that modification of the quartz-surface with PVNO or AL also abrogates
in vivo formation of ROS and RNS in rat lungs.
Our current observation that exposure to a pure quartz sample (DQ12) causes increased pulmonary levels of ROS and RNS in rat, is in line with earlier studies by others using Min-U-Sil quartz [
34,
35]. Moreover, we found strong relations between total numbers of phagocytes and RNS-levels as well as between total neutrophil numbers and H
2O
2-levels in the rat lungs in relation to the different particle treatments. Together, these observations contribute to the general opinion on the crucial impact of inflammatory cell-related processes in particle-induced lung diseases [
36].
For a clear discussion on the role of phagocytes in quartz-related oxidant generation, a distinction between ROS and RNS should be made. With respect to ROS, the present study has focused on the detection of H
2O
2, the relative stable dismutation product of superoxide, which is the initial product of the oxidative burst. It has been established that neutrophils are far more potent superoxide-releasing cells than alveolar macrophages [
37]. In agreement with this, both PVNO and AL coatings significantly reduced the quartz-induced neutrophil influx as well as H
2O
2 levels in the BALF, and both parameters were found to be significantly correlated. In contrast to these observations, previously we showed impaired ROS generation from neutrophils upon
in vitro treatment with PVNO-coated quartz, but not AL-coated quartz, when compared to treatment with native quartz [
10]. This contradiction possibly illustrates that direct particle-cell interactions, as mainly studied using
in vitro experiments, are of a minor relevance in determining neutrophilic ROS release
in vivo, i.e. within the lung. It also suggests that surface coatings of quartz primarily affect mechanisms regulating the neutrophil influx into the lung, rather than affecting their subsequent activation. The major contribution of neutrophils as a source of pulmonary H
2O
2 is, however, further illustrated by our current
ex vivo experiments, showing that the only BAL cells from non-coated quartz-treated rats, characterised by the highest proportion of neutrophils, could be significantly activated by PMA.
Apart from ROS, RNS are considered to be a major pool of oxidants that contribute to tissue damage during inflammatory processes. The present study has focused on nitrite, as it is a relative stable metabolite of the initial product NO. In our study the positive correlation between total number of macrophages and nitrite failed to reach statistical significance, suggesting the involvement of an additional cellular source of NO in response to silica, such as alveolar type II epithelial cells (35). In general however, alveolar macrophages are known as the major NO-generating cells in the lower lung, and these cells have been shown to produce much more NO than neutrophils [
38]. The major role of alveolar macrophages in particle-related NO-production is even better illustrated by studies from Huffman and colleagues [
39], who reported that in response to LPS or silica in rats, up to 100% of NOx produced by BAL phagocytes was derived from alveolar macrophages. Furthermore, it has been demonstrated that exposure to quartz results in a clear increase of iNOS mRNA levels in BAL cells [
34,
40]. Notably, we (data not shown) and others could not detect any
in vitro generation of nitrite by quartz-exposed macrophages [
41]. Thus it is likely to suggest that the reduction of nitrite levels in the lungs of coated-quartz treated animals mainly results from an inhibited macrophage influx into the lung, rather than from a direct inhibitory effect of coated-quartz on the NO-generation by the macrophages. This also suggests that other factors, including pulmonary cell-cell interactions play a crucial role in activation of NO-release by macrophages per se [
41]. This is illustrated by data from Huffman and colleagues [
42], who demonstrated that an interaction between macrophages and recruited neutrophils was a crucial factor in the
in vivo NO-production upon quartz exposure.
Oxidative stress is defined as a disturbance in the balance between production of ROS/RNS and antioxidant defence, in favour of the former, which causes potential damage [
43]. Thus in order to assess oxidative stress in our system, apart from determining ROS/RNS production
in vivo, we also evaluated the
in vivo antioxidant protection as well as its possibly resulting damage by BAL analysis of toxicity markers and lung tissue induction of 8-OHdG and APE/Ref-1. Silica exposure has been previously demonstrated to cause increased expression and activity of enzymatic antioxidants [
44]. In the current study, we applied the TEAC assay to evaluate the effects of quartz on the total non-enzymatic antioxidant capacity of the lung. It was shown that the increase in antioxidant capacity in the lung was most pronounced upon exposure to non-coated quartz, although this was predominantly associated with the protein fraction of the BALF. Nevertheless, in spite of this increased antioxidant protection, clear pulmonary toxicity (i.e. increased LDH and AP levels in BALF) was demonstrated, suggesting an imbalance between generation of ROS/RNS and protective antioxidant pathways. The present data also provide a possible explanation for our earlier observations on the effects of native versus coated quartz on the induction of DNA strand breakage and NFκB-pathway activation in rat lungs [
9‐
11]. In both processes ROS and RNS are considered as crucial mediators of effect [
45‐
47].
To evaluate the impact of the observed
in vivo ROS/RNS generation in relation to the different quartz-preparations that were applied, 8-OHdG induction in lung tissue DNA was analysed. 8-OHdG represents the best investigated oxidative and premutagenic DNA lesion, and accordingly it has been forwarded and used as a marker of oxidative stress [
21]. Previously, we showed that coating of DQ12 with PNVO or AL completely abrogates 8-OHdG induction in human lung epithelial cells
in vitro [
15]. In addition, using an
in vitro co-incubation model of activated neutrophils and lung epithelial cells, we also demonstrated 8-OHdG induction in epithelial DNA by neutrophil-generated ROS [
23]. As such, hypothetically, oxidative DNA damage by quartz in vivo may occur both or either from the surface-reactivity of the quartz particles themselves and/or from phagocyte-derived ROS during inflammation. Importantly however, using two well-established but independent methods (i.e. HPLC/ECD and immunohistochemistry), we did not observe any significant induction of 8-OHdG in our present study by the uncoated, markedly inflammogenic quartz sample. To further complicate this matter, Seiler and colleagues [
48] demonstrated, 21 days after a single i.t. instillation of 1.5 mg DQ12, an increase in 8-OHdG immunoreactivity in the DNA of lung alveolar cells, whereas at 3 days after instillation this increase was not detectable. Yamano and colleagues (1995) in contrast showed relatively rapid-increases in 8-OHdG/dG ratios by HPLC/ECD in lung homogenates of rats following i.t. instillation of 10 mg silica. They observed increased 8-OHdG between 1 and 28 days, although significance was only reached between 1 to 5 days after exposure, but not at 7 or 28 days. Several reasons for the discrepancies among these various studies and our current experiments may be given, including the use of different doses and exposure times, as well as the use of differently "hazardous" species or batches of quartz [
2]. In relation to the delayed up-regulation of 8-OHdG as observed by Seiler and co-worker [
48], it has been suggested that 8-OHdG induction would predominantly occur in proliferating tissue. However, we did observe neither a clear contrast in visual staining intensities of individuals cells nor any difference in the analysed proportion of positively stained cells for 8-OHdG within the focal versus the non-focal regions of individual lung sections of quartz-treated animals, that would support such possibility.
It has also been suggested that HPLC/ECD analysis may lead to artificial induction of 8-OHdG during the extraction and processing of isolated DNA, which might have lead to increased background levels in control animals and thereby obscuring actual occurring differences [
15]. However, this would not explain for the significant positive findings by Yamano and colleagues [
21] as well as our unexpected effects with the AL-coated, and more specifically the PVNO-coated quartz samples. A possible explanation for these observations might be that, in contrast to the severe inflammation induced by the non-coated quartz, very mild inflammatory responses as observed with the coated samples, fail to up-regulate compensatory feedback mechanisms such as antioxidants and/or oxidative DNA repair actions. At present we are however very cautious about such interpretation, all the more since in our current study the coating-associated effects on 8-OHdG could not be verified by immunohistochemistry.
The hallmark of our observations with regard to the oxidative DNA damage data in current study, was that despite the occurrence of a marked and persistent inflammation, characterised by a 100-fold increased number of neutrophils and a significant increase in pulmonary ROS/RNS levels, no enhanced steady-state expression of 8-OHdG was found by either method of analysis. We therefore hypothesised that quartz-particles and/or their associated inflammatory effects might have caused a compensatory steady-state induction of BER to prevent exponential increases in oxidative DNA damage during conditions of persistent stress. As such, we decided to evaluate the expression of APE/Ref-1, in view of its established
in vivo inducibility, its redox-sensitivity, as well as its rather broad action-spectrum in ROS mediated damage repair, compared to other BER proteins such as the 8-OHdG glycosylase Ogg-1 [
25,
49]. As an additional advantage, investigation of repair enzymes, including APE/Ref-1, has the advantage to being oxidation-artefact-free indices of
in vivo-induced oxidative DNA damage [
24].
Our investigations of whole lung homogenate revealed a significant increase in APE/Ref-1 protein expression following instillation of non-coated quartz, but not by the surface-modified quartz samples, in comparison to the control animals. These results were further confirmed by immunohistochemistry, where lung sections from the quartz-treated animals showed increased APE/Ref-1 protein expression in the same lung areas as analysed for 8-OHdG. Subsequent random analysis of the % of positively stained cells showed a significant increase, especially in focal pathologically-altered lung areas. To date, in the field of particle research, the induction of APE/Ref-1 has only been described
in vitro for asbestos fibres, namely in mesothelial cells and in alveolar macrophages [
26,
27]. Here we show for the first time that exposure to respirable quartz-dust leads to enhanced expression of APE/Ref-1 in rat lung
in vivo. With regard to its cell-specificity, intense nuclear staining was observed within alveolar macrophages but also epithelial cells, which are known for their involvement in quartz-induced inflammatory, proliferative, as well as genotoxic effects. In support of these
in vivo observations, concomitant
in vitro analysis of APE/Ref-1 expression in NR8383 alveolar macrophages and RLE lung epithelial cells, showed for both cell types a constitutive, predominantly nuclear expression of this protein. Whether the observed
in vivo effects on APE/Ref-1 expression are driven by possible direct action of the reactive quartz surface or indirectly via action of phagocyte-derived products including ROS or RNS remains to be clarified, and will be a major part of our further
in vitro investigations. Interestingly in this regard, H
2O
2 has recently been described to cause nuclear accumulation and
de novo synthesis of APE/Ref-1 protein in gastric epithelial cells [
40], in a process which could be inhibited by antioxidant pre-treatment. On the other hand, quartz particles may also be directly implicated in line with the
in vitro observations with asbestos [
26,
27]. Whereas in the mesothelial cell study, asbestos was reported to enhance both nuclear and mitochondrial APE/Ref-1 expression in relation to its DNA repair actions [
26], in the macrophage studies, the observed asbestos effect were connected to its regulation of redox-sensitive transcription [
27]. Similarly, apart from current indications for its role in oxidative DNA damage repair, also current
in vivo observations are indicative for a role of APE/Ref-1 in the well-known proliferative and fibrogenic effects of quartz [
19]. First of all, the currently observed immunohistochemical staining patterns for APE/Ref-1 are well in line with our previous work, were we showed that quartz, unlike coated-quartz, causes
in vivo activation of the NFκB pathway in alveolar macrophages and lung epithelial cells [
9,
11]. Furthermore, the comparatively stronger nuclear staining of APE/Ref-1 among cells within the focal pathologic lesions compared to non-focal locations as observed 7 days after quartz instillation, also points towards a possible role of this bifunctional protein in quartz-induced proliferation
in vivo. Accordingly, in our future studies we will further investigate the complex kinetics of APE/Ref-1 expression as a potential hallmark of quartz pathogenesis in relation to its dual involvement, i.e. oxidative DNA damage repair redox-regulation of inflammatory and proliferative signalling pathways.
Authors' contributions
CA: General study design and supervision (role of surface coating in quartz pathogenesis), instillation and sectioning, immunohistochemical assays and analysis, preparation of manuscript.
AK: Study design (investigations of oxidative stress), developed/conducted in vivo and ex vivo ROS/RNS assays, preparation of manuscript (equal contributions by CA and AK).
AB: Sectioning, analysis of toxicity markers in BAL
DH: Bronchoalveolar lavage and sectioning, analysis of cellular inflammation in BAL.
PH: Western blotting analyses.
FvS: Contribution to experimental design cf. HPLC/ECD analysis of 8-OHdG.
PB: Initial development and contribution to general study design (role of surface coating in quartz pathogenesis).
RS: Contribution to experimental design, statistics, editing of final version of manuscript.
All authors read and approved the final manuscript.