Volume 52 (10): 1357-1365, 2004 Copyright ©The Histochemical Society, Inc. Cellular Prion Protein Is Expressed in a Subset of Neuroendocrine Cells of the Rat Gastrointestinal Tract
Department of Histology and Pathology (ZM,KP,MEB,MPS) and Morphology and Image Unit, School of Medicine, Foundation for Applied Medical Research (LG), University of Navarra, Pamplona, Spain Correspondence to: María P. Sesma, Dept. of Histology and Pathology, University of Navarra, 31008 Pamplona, Spain. E-mail: mpsesma{at}unav.es
Prion diseases are believed to develop from the conformational change of normal cellular prion protein (PrPc) to a pathogenic isoform (PrPsc). PrPc is present in both the central nervous system and many peripheral tissues, although protein concentration is significantly lower in non-neuronal tissues. PrPc expression is essential for internalization and replication of the infectious agent. Several works have pointed to the gastrointestinal (GI) tract as the principal site of entry of PrPsc, but how passage through the GI mucosa occurs is not yet known. Here we studied PrPc expression using Western blot, RT-PCR, and immunohistochemistry in rat GI tract. PrPc mRNA and protein were detected in corpus, antrum, duodenum, and colon. Immunoreactivity was found in scattered cells of the GI epithelium. With double immunofluorescence, these cells have been identified as neuroendocrine cells. PrPc immunostaining was found in subsets of histamine, somatostatin (Som), ghrelin, gastrin (G), and serotonin (5HT) cells in stomach. In small and large bowel, PrPc cells co-localized with subpopulations of 5HT-, Som-, G-, and peptide YY-immunolabeled cells. Our results provide evidence for a possible and important role of endocrine cells in the internalization of PrPsc from gut lumen. (J Histochem Cytochem 52:13571365, 2004)
Key Words: prion gastrointestinal tract neuroendocrine cells
THE TRANSMISSIBLE SPONGIFORM ENCEPHALOPATHIES are fatal neurodegenerative diseases caused by prions. They include Creutzfeldt-Jakob disease, Gertsmann-Sträussler-Scheinker syndrome, kuru, and fatal familial insomnia in humans, scrapie in sheep and goats, and bovine spongiform encephalopathy in cattle. Prion diseases are believed to result from the conformational change of the PrPc to PrPsc (Prusiner 1991
PrPc is a membrane sialoglycoprotein expressed at high concentrations in the CNS (Moudjou et al. 2001
To understand the process of how and where the infectious agent enters, it is important to know the cell types that express host PrPc along the GI wall. However, few studies have investigated PrPc in the GI tract, and those few have been carried out in mouse (Ford et al. 2002 The aims of the present work were to detect, by a combination of cellular and molecular techniques, the presence of PrPc in rat GI tract and to identify PrPc-producing cells.
Tissue Samples and Processing Adult Wistar rats (n=8) bred at Harlan-INTERFAUNA-IBERICA (Barcelona, Spain) were used in this study. Animals were treated according to the guidelines of the Ethical Commitee of the University of Navarra. Rats were anesthetized intraperitoneally with a mixture of ketamine (75 mg/kg), xylacine (10 mg/kg), and atropine (0.05 mg/kg). The abdominal cavity was then opened and samples (stomach, duodenum, and colon) were dissected and immersed in 4% neutral buffered formalin for 24 hr. After fixation, the tissues were paraffin-embedded and 3-µm-thick sections were made. Some samples were immediately frozen in liquid N2 to carry out Western blotting and RT-PCR. In addition, rat brain tissue was used as a positive control in all techniques.
Antisera
Western Blotting Tissue samples were submerged in lysis buffer (10 mM Tris, pH 7.4, 150 mM NaCl, 1% Triton-X-100, 1% deoxycholate, 0.1% SDS, 5 mM EDTA) with a protease inhibitor cocktail (Roche; Basel, Switzerland) and homogenized with a Polytron PT-K (Kinematica; Lucerne, Switzerland). After centrifugation the supernatant was removed and distributed into different tubes. The final protein concentration was determined with the BCA kit (Pierce; Rockford, IL). Protein extracts were electrophoretically separated on a 12% SDS-PAGE gel and run at 130 V for 90 min under reducing (5% ß-mercaptoethanol) conditions. One hundred µg of protein from the different organs was loaded into the sample wells. For brain extracts used as positive controls, 25 µg of protein was loaded. Proteins were transferred to 0.2 µm pore diameter nitrocellulose membranes (Bio-Rad; Hercules, CA) at 400 mA for 1 hr. The membranes were blocked for 1 hr in 10% PBSmilk and incubated overnight at 4C with the primary 6H4 anti-PrP antibody at a 1:6000 dilution. Membranes were washed four times in 0.1% Tween-20 in PBS and incubated with horseradish peroxidase-conjugated anti-mouse antibody at a 1:6000 dilution for 1 hr at room temperature. After four washes in 0.1% Tween-20 in PBS, immune complexes were detected with Lumi-LightPLUS Western Blotting Substrate (Roche) according to the supplier's instructions.
RNA Extraction and RT-PCR
Immunocytochemistry Paraffin sections were mounted on slides coated with Vectabond (Vector Laboratories; Burlingame, CA). Tissue sections were deparaffinized, rehydrated to water, and endogenous peroxidase was blocked with 3% H2O2 for 10 min. Slides were washed with distilled water for 5 min, placed in citrate buffer 0.01 M (pH 6), and heated in a microwave (Balay W-2112, 1150-700 W; Madrid, Spain) for 10 min at maximal power and 10 min at minimal power. Background blocking was performed with normal goat serum (DAKO; Glostrup, Denmark) before incubation with specific antiserum. Tissue sections were incubated overnight at 4C with 6H4 monoclonal or 91511 polyclonal antiserum diluted 1:800 for stomach, 1:400 for duodenum, and 1:200 for colon. After rinsing in Tris-HCl 0.05 M buffer, 0.5 M saline, pH 7.6 (TBS), single immunohistochemical staining for prion protein was performed using the EnVision System (DAKO) as previously described (Sanchez and Burrell 2002
Double Immunofluorescence
Western Blot Western blot analysis revealed an immunoreactive band corresponding to PrPc at the expected molecular weight of 33 kD in all regions of the GI tract (Figure 1)
. The level of PrPc detected in the rat GI tract was considerably lower than in brain, considering that four times more protein was loaded. Differences in the intensity of expression of the protein between regions were also found, being higher in the stomach than in the duodenum and colon. Both antibodies 6H4 and 91511 gave the same results, although band intensity was greater with the former.
Immunocytochemistry In rat tissues, labeling for PrPc was found throughout the GI tract (Figure 2) . Immunoreactivity was found in scattered cells of the GI mucosa. Both antibodies 6H4 and 91511 gave similar immunocytochemical results, although immunostaining was more intense when the latter was applied. In the stomach, PrPc-immunoreactive cells were scattered in both the fundic (Figure 2A) and pyloric (Figures 2B and 2C) glands and were preferentially located in the lower region of the glands. Immunoreactive cells showed round or oval morphology and sometimes presented slender cytoplasmic processes reaching the apical surface or extending towards neighboring cells (Figure 2C, arrows). Immunoreactivity was preferentially localized in the basal region of the cell, around the nucleus, but was also present within the cytoplasmic processes. PrPc-immunoreactive cells were more numerous in the pyloric (Figure 2B) than in the fundic (Figure 2A) mucosa. In the duodenum, immunostained cells appeared scattered in the epithelium of the villi (Figure 2D) and the crypts, and were less numerous than in the stomach. Some of these cells, mainly those of the villi, had the typical morphology of intestinal open endocrine cells with long apical processes reaching the lumen (Figure 2E). The labeling for PrPc extended throughout the cytoplasm reaching the luminal processes. The lowest amount of PrPc-positive cells was found in the colon. Cells appeared to be dispersed in the epithelium of the crypts (Figure 2F), and immunoreactivity was mainly located in the basal region of the cells (Figure 2G). In all GI regions, adsorption controls confirmed the specificity of the immunostaining (Figure 3) .
Double Immunofluorescence The first identification of PrPc-labeled cells as neuroendocrine cells was made on the basis of their morphology. Then, to determine the particular endocrine cell type displaying PrPc immunoreactivity, a double-immunofluorescence technique was performed (Figures 4 and 5) . In the corpus (Figures 4A4F), a few histamine-immunoreactive cells (Figure 4A) were also immunolabeled for PrPc (Figure 4B). In the same way, PrPc (Figure 4C) was detected in subpopulations of ghrelin-positive (Figure 4D) and Som-positive cells (Figures 4E and 4F). In the antrum (Figures 4G4L), most G-cells (Figure 4G) were immunoreactive for PrPc (Figure 4H), but occasional G-cells (Figure 4I) did not stain for PrPc (Figure 4J). In addition, a few PrPc-immunostained cells were identified as 5HT- (Figure 4K) and Som- (Figure 4L) producing cells. In duodenum (Figures 5A5H), some PrPc-immunolabeled cells (Figures 5A and 5C) displayed immunoreactivity for 5HT (Figures 5B and 5D), while others (Figure 5E) were detected as Som cells (Figure 5F). However, not all the 5HT and Som cells were also stained for PrPc. In addition, co-localization between some PrPc-labeled cells (Figure 5G) and a subpopulation of G-cells (Figure 5H) was also found. Finally, in colon (Figures 5I5P) partial co-localization between 5HT (Figures 5I and 5K) and PrPc (Figures 5J and 5L) was detected. Some PrPc-immunoreactive cells (Figure 5M) showed immunoreactivity for PYY (Figure 5N), but not all PYY cells stained for PrPc. As in duodenum, only a subset of Som cells were also positive for PrPc (Figures 5O and 5P).
RT-PCR Using the three different sets of primers (Table 2) to detect PrPc mRNA, the expected 784-, 775-, and 777-bp PCR products were found (Figure 6A) in control tissue (brain) and in the different regions of the rat GI tract (stomach, duodenum, and colon). Control transcript GAPDH from all samples was obtained (Figure 6B).
Here we demonstrate that PrPc is expressed in rat GI tract, as determined by several analytical techniques. PrPc expression has previously been found in mammalian GI tract, but this is the first report in rat GI tract. We have found that PrPc immunoreactivity is located in endocrine cells and that immunoreactive cell number decreases from the stomach to the small and large bowels.
Immunoreactivity for PrPc in epithelial cells of the GI tract had already been described in human (Fournier et al. 1998 Our immunocytochemical findings are in agreement with the Western blot results because the more intense bands were found in GI regions (antrum and corpus) in which a high number of PrPc-positive cells were detected. In addition, demonstration of PrPc mRNA by RT-PCR further supports the expression of prion protein in the rat GI tract.
Few works have demonstrated the nature of PrPc positive cells as endocrine cells using phenotypic markers. The first report related to PrPc immunoreactivity in endocrine cells was in human antrum (Pammer et al. 2000
The functional significance of the PrPc present in the neuroendocrine cells is not yet known. How the infectious agent crosses the gut wall and reaches germinal centers of lymphoid tissues or the peripheral nervous system also remains cryptic. The incorporation of PrPsc as a host PrPc-dependent process is a widely accepted idea because PrP knockout mice do not develop infection (Bueler et al. 1992
With regard to PrPsc interacting molecules, the infectious agent could interact with PrPc expressed by GI epithelial cells, forming a large molecular complex that would later be incorporated (Horiuchi et al. 1995
Only one theory exists about the role of enteroendocrine cells in the pathogenesis of spongiform encephalopathies. This theory postulates that changes in the properties of the GI epithelium might activate cells so that PrPsc could enter into them (Argenzio 1997 In summary, PrPc is present in some but not all neuroendocrine cell types along the rat GI tract. This specific pattern indicates both a highly regulated expression and a particular role of this protein in these cells. Moreover, our results suggest that neuroendocrine cells may play an important role in the internalization of the PrPsc from gut lumen. Nevertheless, further studies are needed to verify this hypothesis.
Supported by Departamento de Educación y Cultura del Gobierno de Navarra (and by a grant to Z.M.), the University of Navarra (PIUNA), and partially funded through the "UTE project CIMA." We thank Teresa Sabata, Paz Zamora, Silvia González, and Ainhoa Urbiola for technical assistance.
Received for publication March 22, 2004; accepted June 6, 2004
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