Originally published as JHC exPRESS on May 3, 2007. doi:10.1369/jhc.7A7203.2007
Volume 55 (9): 899-909, 2007 Copyright ©The Histochemical Society, Inc. Loss of Caveolin-1 in Bronchiolization in Lung Fibrosis
First Department of Medicine, Hokkaido University School of Medicine, Sapporo, Japan Correspondence to: Tomoko Betsuyaku, MD, PhD, First Department of Medicine, Hokkaido University School of Medicine, N-15, W-7, Kita-ku, Sapporo 060-8638, Japan. E-mail: bytomoko{at}med.hokudai.ac.jp
Bronchiolization is a key process in fibrosing lung in which the proliferative status of bronchiolar epithelium changes, leading to abnormal epithelial morphology. Within the context that caveolin-1 acts to suppress epithelial proliferation, we postulated that stimulating epithelial injury would lead to caveolin-1 downregulation and encourage proliferation. The present study evaluates the expression of caveolin-1, especially in bronchiolization, in C57BL/6J mice with bleomycin-induced lung fibrosis and in various types of re-epithelialization in human interstitial pneumonias (IPs). Immunohistochemically, levels of caveolin-1 decreased in the bronchiolar epithelium of mice treated with bleomycin. Levels of caveolin-1 mRNA in the whole lung were decreased at 7 and 14 days. Caveolin-1 mRNA was also decreased in laser-capture microdissection- retrieved bronchiolar epithelial cells at 7 days. Among patients with 12 IPs, including four usual IPs (UIPs) and eight nonspecific IPs (NSIPs), whole lung caveolin-1 was significantly decreased compared with 12 controls at both mRNA and protein levels. By scoring immunointensity, caveolin-1 was significantly reduced in bronchiolization and squamous metaplasia as well as in bronchiolar epithelium in 23 IPs (12 UIPs and 11 NSIPs) compared with bronchiolar epithelium from seven controls. These data suggested that loss of caveolin-1 is associated with abnormal re-epithelialization in lung fibrosis. (J Histochem Cytochem 55:899–909, 2007)
Key Words: caveolin-1 bleomycin lung fibrosis bronchiolization laser-capture microdissection
EPITHELIAL REPAIR after injury is an important step in normal wound-healing processes (Fukuda et al. 1985
Caveolae are 50- to 100-nm vesicular invaginations of the cell surface plasma membrane that are thought to arise due to the local accumulation of cholesterol, glycosphingolipids, and the 21- to 24-kDa integral membrane protein caveolin-1, which is a principal component of caveolar membranes and plays physiological roles in intracellular vesicular transport such as transcytosis and endocytosis and signal transduction (Liu et al. 2002
Animals and Experimental Protocols Male C57BL/6J mice (6–8 weeks old) were housed in plastic chambers with free access to food and water in a pathogen-free animal facility. After an IP injection of ketamine and xylazine for sedation and anesthesia, 0.05 U of bleomycin (Blenoxane; Nippon Kayaku, Tokyo, Japan) was intratracheally administered as described (Betsuyaku et al. 2000
Tissue Processing of Mouse Lungs
Patients and Tissue Collection
Written informed consent was obtained from all patients, and the Ethics Committee of Hokkaido University School of Medicine approved the study. Vital capacity (VC), forced expiratory volume in 1 sec (FEV1), and diffusing capacity for carbon monoxide (DLCO) were measured in all patients (CHESTAC-55V; Chest Co., Tokyo, Japan) before surgery. All patients also underwent high-resolution computed tomography scans, arterial blood gas analysis, and serum Krebs von den Lungen-6 (KL-6) measurements (Yokoyama et al. 1998
Immunohistochemistry
Semiquantitative Immunohistochemistry for Caveolin-1 in Human Lungs
Laser-Capture Microdissection (LCM) of Bronchiolar Epithelial Cells in Mouse Lung
Quantitative Reverse Transcriptase–Polymerase Chain Reaction
Western Blotting
Statistical Analysis
Localization of Caveolin-1 in Normal and Fibrotic Lungs in Mice We immunohistochemically localized caveolin-1 in normal and fibrotic mouse lungs. Caveolin-1 was ubiquitously expressed in type I cells and endothelial cells in the normal lungs (Figure 1A ) and remained in those cells in alveolar walls even in the damaged lungs induced by bleomycin (Figures 1B–1F). Caveolin-1 was also detected at the apical side of some bronchiolar epithelial cells (Figure 1A), whereas bronchiolar caveolin-1 was barely detected in these cells at 7 days after bleomycin treatment (Figure 1B). At 14 days, caveolin-1 was negative in bronchiolar epithelial cells and in bronchiolization within fibrotic areas (Figures 1C and 1D). Alveolar bronchiolization was identified as cells resembling bronchiolar epithelium lining normal or thickened alveolar walls, often in an acinar formation, as previously described (Betsuyaku et al. 2000
Caveolin-1 mRNA and Protein in Fibrotic Lung in Mice Whole lung caveolin-1 mRNA expression was significantly decreased in mice at 7 and 14 days after intratracheal bleomycin administration compared with controls (0.6 ± 0.1 and 0.7 ± 0.1, respectively, vs 1.5 ± 0.1, p<0.01) (Figure 2A ). Figure 2B shows a representative Western blot of caveolin-1 protein at 22 kDa in whole lung homogenates. Although caveolin-1 protein levels were decreased after bleomycin treatment, differences did not reach statistical significance at 7 days and 14 days after bleomycin treatment compared with untreated controls (3.0 ± 1.5 AU vs 7.8 ± 2.0, p=0.05; 3.8 ± 1.3 vs 7.8 ± 2.0, NS, respectively) (Figure 2C).
Caveolin-1 mRNA in LCM-retrieved Bronchiolar Epithelial Cells in Mice We harvested bronchiolar epithelial cells from the lungs using LCM to quantify caveolin-1 mRNA expression in vivo. Figure 3 shows the selective retrieval of terminal bronchiolar epithelium from the mouse lung 7 days after intratracheal bleomycin using LCM. After bleomycin administration, numerous inflammatory cells appeared in the interstitium and additional collagen was deposited around bronchoalveolar junctions (Figure 3A). The tissue retrieved by LCM was confined to terminal bronchiolar epithelium (Figures 3B and 3D), and the tissue remaining after LCM further demonstrated the selectivity of this procedure for removing terminal bronchiolar epithelium (Figure 3C). LCM was not applicable at 14 days after bleomycin exposure. Fibrous deposition at that time surrounded the bronchiolar epithelial cells, thus requiring a more intense or longer laser pulse, either of which enlarged the field and resulted in the retrieval of additional cell types. Caveolin-1 mRNA was detected in bronchiolar epithelial cells retrieved using LCM, and expression levels were significantly decreased at 7 days after bleomycin administration compared with normal lungs (0.3 ± 0.1 vs 0.6 ± 0.1, p<0.01) (Figure 4 ).
Patient Characteristics Table 1 summarizes the clinical characteristics of patients with IP. Mean interval between onset of symptoms and pathological diagnosis was 13.7 months (UIP, 15.3 months; NSIP, 20.1 months). Two NSIP patients were medicated with oral corticosteroids. None of the patients or normal controls had received any drugs that might cause drug-induced pneumonitis at the time of this study. Vital capacity (% pred) and DLCO (% pred) in IP patients were lower than normal controls. Age, pulmonary function tests, and serum arterial blood gas values did not differ significantly between patients with UIP or NSIP.
Caveolin-1 mRNA and Protein in Human IPs We evaluated caveolin-1 mRNA in whole lung homogenates using quantitative RT-PCR. Whole lung caveolin-1 mRNA was significantly decreased in IP patients (n=12) including four UIPs and eight NSIPs compared with normal controls (n=12) (0.5 ± 0.1 vs 1.1 ± 0.1, p<0.01) (Figure 5A ). Consistent with the mRNA results, Western blotting showed that the protein levels of caveolin-1 in whole lung were significantly decreased in patients with IP (n=12) including 4 UIPs and 8 NSIPs, compared with normal controls (n=12) (2.7 ± 1.0 AU vs 9.7 ± 1.2, p<0.01) (Figures 5B and 5C).
Localization of Caveolin-1 in Human IPs Caveolin-1 staining was intense in type I epithelial, endothelial, and smooth muscle cells as well as in the apical side of bronchiolar epithelial cells of normal lungs (Figure 6A ), but not in type II epithelial cells. In lungs of all patients with NSIP, alveolar walls were thickened with edema, fibrosis, inflammatory cell infiltration, and abnormal re-epithelialization. Epithelial cells lining bronchioles within fibrotic areas of IP (Figure 6B), along with areas of abnormal re-epithelialization such as squamous metaplasia (Figure 6C) and non-ciliated (Figure 6D) and ciliated (Figure 6E) bronchiolization were slightly stained for caveolin-1. Ki-67 staining also demonstrated that the rate of proliferation was increased in bronchiolized epithelial cells (see inset in Figure 6D). In addition, caveolin-1 was barely detectable in fibroblastic foci (Figure 6F) as well as in alveolar macrophages and lymphocytes in IPs. In lungs of all patients with UIP, fibrotic zones showed temporal heterogeneity with dense acellular collagen, scattered fibroblastic foci with intervening nearly normal alveoli, honeycombing with complete destruction of the architecture, and abnormal re-epithelialization. Distribution of caveolin-1 in UIP was similar to that of NSIP. Immunoreactive intensity of caveolin-1 was scored for bronchiolar epithelial cells and each type of abnormal re-epithelialization in each patient (Table 2 ). Caveolin-1 scores did not differ significantly among the types of epithelial cells between UIP and NSIP. Therefore, we combined the UIP and NSIP scores for further analysis. Because there were no differences in staining scores for caveolin-1 between non-ciliated and ciliated bronchiolization (0.4 ± 0.2 vs 0.3 ± 0.1, NS), we averaged the staining score for caveolin-1 in bronchiolization for both cell types. The score was significantly lower in bronchiolization, squamous metaplasia, and bronchiolar epithelial cells in fibrotic areas when compared with bronchiolar epithelium in control lungs (n=7) (0.4 ± 0.1, 0.1 ± 0.1, and 0.4 ± 0.1, respectively, vs 1.9 ± 0.3, p<0.01) (Figure 7 ). Caveolin-1 expression among bronchiolization, squamous metaplasia, and bronchiolar epithelium did not differ significantly in IP patients.
We demonstrated in this study that levels of caveolin-1 decrease in bleomycin-induced lung injury in mice and in human IPs. Furthermore, we found that caveolin-1 is lost in the aberrant re-epithelialization observed in fibrotic regions in mice and humans.
Cell renewal in injured bronchioles and alveoli comprises diversified repair mechanisms, and whether the appearance of abnormal epithelial cells protects against or promotes fibrosis is uncertain (Portnoy and Mason 2004
The role of caveolin-1 in airway epithelium has been ignored, partly because of inconsistent identification; caveolin-1 has been detected in bronchiolar epithelial cells by immunohistochemistry in some studies (Kasper et al. 1998
Fibroblastic foci did not express caveolin-1 in the fibrotic lungs of mice and humans in this study, which agrees with the recent finding that fibroblasts harvested from IPF lungs express less caveolin-1 than those from normal lungs (Wang et al. 2006
Caveolin-1 suppresses the proliferation and migration of various types of cancer cells in vitro and in vivo (Cohen et al. 2004
In tumor cells, downregulation of caveolin-1 leads to the loss of E-cadherin, increases transcriptional activity of ß-catenin, causes epithelial-to-mesenchymal transition (EMT), and enhances tumor invasion (Lu et al. 2003 In summary, we demonstrated a significant decrease of caveolin-1 expression, especially in bronchiolar epithelium and in abnormal re-epithelialization in fibrotic lungs.
We thank Ms. Yoko Suzuki for technical assistance with laser-capture microdissection.
Received for publication February 1, 2007; accepted April 9, 2007
American Thoracic Society/European Respiratory Society (2002) International multidisciplinary consensus classification of the idiopathic interstitial pneumonias. Am J Respir Crit Care Med 165:277–304 Barth K, Bläsche R, Kasper M (2006) Lack of evidence for caveolin-1 and CD147 interaction before and after bleomycin-induced lung injury. Histochem Cell Biol 126:563–573[CrossRef][Medline] Betsuyaku T, Fukuda Y, Parks WC, Shipley JM, Senior RM (2000) Gelatinase B is required for alveolar bronchiolization after intratracheal bleomycin. Am J Pathol 157:525–535 Betsuyaku T, Griffin GL, Watson MA, Senior RM (2001) Laser capture microdissection and real-time reverse transcriptase/polymerase chain reaction of bronchiolar epithelium after bleomycin. Am J Respir Cell Mol Biol 25:278–284 Betsuyaku T, Kadomatsu K, Griffin GL, Muramatsu T, Senior RM (2003a) Increased basigin in bleomycin-induced lung injury. Am J Respir Cell Mol Biol 28:600–606 Betsuyaku T, Senior RM (2004) Laser capture microdissection and mRNA characterization of mouse airway epithelium: methodological considerations. Micron 35:229–234[CrossRef][Medline] Betsuyaku T, Tanino M, Nagai K, Nasuhara Y, Nishimura M, Senior RM (2003b) Extracellular matrix metalloproteinase inducer is increased in smokers' bronchoalveolar lavage fluid. Am J Respir Crit Care Med 168:222–227 Chilosi M, Poletti V, Zamo A, Lestani M, Montagna L, Piccoli P, Pedron S, et al. (2003) Aberrant Wnt/ß-catenin pathway activation in idiopathic pulmonary fibrosis. Am J Pathol 162:1495–1502 Cohen AW, Hnasko R, Schubert W, Lisanti MP (2004) Role of caveolae and caveolins in health and disease. Physiol Rev 84:1341–1379 Couet J, Sargiacomo M, Lisanti MP (1997) Interaction of a receptor tyrosine kinase, EGF-R, with caveolins. Caveolin binding negatively regulates tyrosine and serine/threonine kinase activities. J Biol Chem 272:30429–30438 de Boer WI, Sont JK, van Schadewijk A, Stolk J, van Krieken JH, Hiemstraet PS (2000) Monocyte chemoattractant protein 1, interleukin 8, and chronic airways inflammation in COPD. J Pathol 190:619–626[CrossRef][Medline] Drab M, Verkade P, Elger M, Kasper M, Lohn M, Lauterbach B, Menne J, et al. (2001) Loss of caveolae, vascular dysfunction and pulmonary defects in caveolin-1 gene-disrupted mice. Science 293:2449–2452 Engelman JA, Wykoff CC, Yasuhara S, Song KS, Okamoto T, Lisanti MP (1997) Recombinant expression of caveolin-1 in oncogenically transformed cells abrogates anchorage-independent growth. J Biol Chem 272:16374–16381 Fukuda Y, Ferrans VJ, Schoenberger CI, Rennard SI, Crystal RG (1985) Patterns of pulmonary structural remodeling after experimental paraquat toxicity. The morphogenesis of intraalveolar fibrosis. Am J Pathol 118:452–475[Abstract] Galbiati F, Volonte D, Engelman JA, Watanabe G, Burk R, Pestell RG, Lisanti MP (1998) Targeted downregulation of caveolin-1 is sufficient to drive cell transformation and hyperactivate the p42/44 MAP kinase cascade. EMBO J 17:6633–6648[CrossRef][Medline] Galbiati F, Volonte D, Liu J, Capozza F, Frank PG, Zhu L, Pestell RG, et al. (2001) Caveolin-1 expression negatively regulates cell cycle progression by inducing G(0)/G(1) arrest via a p53/p21(WAF1/Cip1)-dependent mechanism. Mol Biol Cell 12:2229–2244 Glare EM, Divjak M, Bailey MJ, Walters EH (2002) ß-Actin and GAPDH housekeeping gene expression in asthmatic airways is variable and not suitable for normalising mRNA levels. Thorax 57:765–770 Hnasko R, Ben-Jonathan N (2005) Developmental regulation of PV-1 in rat lung: association with the nuclear envelope and limited colocalization with Cav-1. Am J Physiol Lung Cell Mol Physiol 288:L275–284 Kasper M, Reimann T, Hempel U, Wenzel KW, Bierhaus A, Schuh D, Dimmer V, et al. (1998) Loss of caveolin expression in type I pneumocytes as an indicator of subcellular alterations during lung fibrogenesis. Histochem Cell Biol 109:41–48[CrossRef][Medline] Kato T, Miyamoto M, Kato K, Cho Y, Itoh T, Morikawa T, Okushiba S, et al. (2004) Difference of caveolin-1 expression pattern in human lung neoplastic tissue. Atypical adenomatous hyperplasia, adenocarcinoma and squamous cell carcinoma. Cancer Lett 214:121–128[CrossRef][Medline] Kogo H, Aiba T, Fujimoto T (2004) Cell type-specific occurrence of caveolin-1 Koslowski R, Barth K, Augstein A, Tschernig T, Bargsten G, Aufderheide M, Kasper M (2004) A new rat type I-like alveolar epithelial cell line R3/1: bleomycin effects on caveolin expression. Histochem Cell Biol 121:509–519[Medline] Krasteva G, Pfeil U, Drab M, Kummer W, Konig P (2006) Caveolin-1 and -2 in airway epithelium: expression and in situ association as detected by FRET-CLSM. Respir Res 7:108[CrossRef][Medline] Liu P, Rudick M, Anderson RG (2002) Multiple functions of caveolin-1. J Biol Chem 277:41295–41298 Liu P, Ying Y, Ko YG, Anderson RGW (1996) Localization of the PDGF stimulated phosphorylation cascade to caveolae. J Biol Chem 271:10299–10303 Lu Z, Ghosh S, Wang Z, Hunter T (2003) Downregulation of caveolin-1 function by EGF leads to the loss of E-cadherin, increased transcriptional activity of ß-catenin, and enhanced tumor cell invasion. Cancer Cell 4:499–515[CrossRef][Medline] Nettesheim P, Szakal AK (1972) Morphogenesis of alveolar bronchiolization. Lab Invest 26:210–219[Medline] Odajima N, Betsuyaku T, Nasuhara Y, Itoh T, Fukuda Y, Senior RM, Nishimura M (2006) Extracellular matrix metalloproteinase inducer in interstitial pneumonias. Hum Pathol 37:1058–1065[CrossRef][Medline] Portnoy J, Mason RJ (2004) Role of alveolar type II epithelial cells in pulmonary fibrosis. In Lynch JP III, ed. Idiopathic Pulmonary Fibrosis. New York, Marcel Dekker, 573–608 Ramos-Nino ME, Heintz N, Scapoli L, Martinelli M, Land S, Nowak N, Haegens A, et al. (2003) Idiopathic pulmonary fibrosis. Gene profiling and kinase screening in asbestos-exposed epithelial cells and lungs. Am J Respir Cell Mol Biol 29:S51–58[Medline] Razani B, Woodman SE, Lisanti MP (2002) Caveolae: from cell biology to animal physiology. Pharmacol Rev 54:431–467 Sato E, Koyama S, Masubuchi T, Takamizawa A, Kubo K, Nagai S, Izumi T (1999) Bleomycin stimulates lung epithelial cells to release neutrophil and monocyte chemotactic activities. Am J Physiol Lung Cell Mol Physiol 276:L941–950 Selman M, King TE Jr, Pardo A (2001) Idiopathic pulmonary fibrosis: prevailing and evolving hypotheses about its pathogenesis and implications for therapy. Ann Intern Med 134:136–151 Simon RH, Paine R (1995) Participation of pulmonary alveolar epithelial cells in lung inflammation. J Lab Clin Med 126:108–118[Medline] Tang W, Chang SB, Hemler ME (2004) Links between CD147 function, glycosylation, and caveolin-1. Mol Biol Cell 15:4043–4050 Tang W, Hemler ME (2004) Caveolin-1 regulates matrix metalloproteinases-1 induction and CD147/EMMPRIN cell surface clustering. J Biol Chem 279:11112–11118 Thrall RS, Scalise PJ (1995) Bleomycin. In Phan SH, ed. Pulmonary Fibrosis. New York, Marcel Dekker, 231–292 Torres VA, Tapia JC, Rodríguez DA, Párraga M, Lisboa P, Montoya M, Leyton L, et al. (2006) Caveolin-1 controls cell proliferation and cell death by suppressing expression of the inhibitor of apoptosis protein surviving. J Cell Sci 119:1812–1823 Volonte D, Zhang K, Lisanti MP, Galbiati F (2002) Expression of caveolin-1 induces premature cellular senescence in primary cultures of murine fibroblasts. Mol Biol Cell 13:2502–2517 Wang XM, Zhang Y, Kim HP, Zhou Z, Feghali-Bostwick CA, Liu F, Ifedigbo E, et al. (2006) Caveolin-1: a critical regulator of lung fibrosis in idiopathic pulmonary fibrosis. J Exp Med 203:2895–2906 Williams TM, Lisanti MP (2005) Caveolin-1 in oncogenic transformation, cancer, and metastasis. Am J Physiol Cell Physiol 288:C494–506 Williams TM, Sotgia F, Lee H, Hassan G, Vizio DD, Bonuccelli G, Capozza F, et al. (2006) Stromal and epithelial caveolin-1 both confer a protective effect against mammary hyperplasia and tumorigenesis. Caveolin-1 antagonizes cyclin D1 function in mammary epithelial cells. Am J Pathol 169:1784–1801 Yokoyama A, Kohno N, Hamada H, Sakatani M, Ueda E, Kondo K, Hirasawa Y, et al. (1998) Circulating KL-6 predicts the outcome of rapidly progressive idiopathic pulmonary fibrosis. Am J Respir Crit Care Med 158:1680–1684
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