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Vol. 18, Issue 12, 4969-4978, December 2007
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*Department of Medicine, Palo Alto Veterans Affairs Medical Center, Palo Alto, CA 94304;
Stanford University Digestive Disease Center, Stanford, CA 94305;
Division of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China; and ||Biosciences, Department of Biology, Abo Akademi University, FI-20520, Turku, Finland
Submitted February 27, 2007;
Revised August 6, 2007;
Accepted September 14, 2007
Monitoring Editor: Asma Nusrat
| ABSTRACT |
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| INTRODUCTION |
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-helical rod domain that is interrupted by linkers and flanked by non-
-helical N-terminal "head" and C-terminal "tail" domains (Fuchs and Cleveland, 1998
Keratin networks are versatile structures that undergo dynamic reorganization in response to a variety of intra- and extracellular cues. Posttranslational modifications and keratin-binding partners are essential in mediating such responses (Coulombe and Omary, 2002
; Omary et al., 2006
). Among the posttranslational modifications, phosphorylation is the best studied, and several K8/K18 in vivo phosphorylation sites have been identified, including K8 S23/S73/S431 and K18 S33/S52 (Omary et al., 2006
). An increase in K8/K18 phosphorylation occurs in response to numerous stimuli, including stress, apoptosis, and mitosis, and such phosphorylation regulates keratin filament reorganization and interaction with binding proteins (Omary et al., 1998
, 2006
). Furthermore, site-specific keratin phosphorylation serves an important cytoprotective function in the liver, as demonstrated using transgenic mouse models that overexpress the phosphomutant keratins K18 S52A (Ku et al., 1998
; Ku and Omary, 2006
) or K8 S73A (Ku and Omary, 2006
), and it is a marker of progression of human liver disease (Toivola et al., 2004
).
The use of keratin-related transgenic mouse models has provided a powerful tool in helping clarify the important cytoprotective function of keratins that would otherwise have been difficult to demonstrate using cell culture systems. For example, overexpression of mutant K14 in transgenic mice causes a blistering skin disease (Vassar et al., 1991
) that led to the subsequent identification of K14 mutations as a cause of epidermolysis bullosa simplex (Coulombe et al., 1991
). For simple-type epithelial keratins, the liver is the major disease-related target of keratin mutation or absence, likely due to the expression of only K8/K18 in hepatocytes (unlike other epithelia, e.g., intestinal that express additional keratins), coupled with the obligate heteropolymeric nature of keratins. For example, transgenic mice that overexpress K18 R89C (Ku et al., 1996
), and K8-null or K18-null mice (Loranger et al., 1997
; Toivola et al., 1998
; Caulin et al., 2000
; Zatloukal et al., 2000
; Ku and Omary, 2006
) are highly susceptible to drug-induced liver injury, and their hepatocytes are exquisitely fragile upon liver perfusion. K18 Arg89 is a highly conserved IF residue whose mutation causes disruption of the hepatocyte cytoplasmic keratin filament network. These findings, coupled with studies of patients with liver disease of multiple etiologies, collectively show that K8/K18 serve an essential protective role in the liver and support the importance of KRT8 and KRT18 genes as susceptibility markers for liver disease progression (Ku et al., 2001
, 2005
; Strnad et al., 2006
).
In contrast to the liver, the functional significance of K8/K18 in the pancreas is very different despite a relatively comparable keratin expression profile in both mouse organs. For example, ductal cells of both organs share similar keratin expression patterns, whereas pancreatic acinar cells consist of two different keratin filament compartments: cytoplasmic filaments that consist predominantly of K8/K18, and apicolateral-proximal filaments that contain K8/K18/K19 (Toivola et al., 2000a
) and low levels of K20 (Zhong et al., 2004
). Surprisingly, K8-null mice, which lack pancreatic acinar cell keratins (due to degradation of K18/K19/K20 in the absence of their binding partner K8), and K18 R89C mice (which have a disrupted cytoplasmic filament network) had similar susceptibility to injury as wild-type mice in two independent pancreatitis models (Toivola et al., 2000a
,b
). This apparent cytoprotective dispensability of keratins in the pancreas raised the hypothesis that keratin mutation or absence triggers a unique compensatory response in the pancreas that allows the keratin-mutant mice to cope with insults directed to the exocrine pancreas. We tested this hypothesis by using an unbiased expression profiling approach, and we noted marked up-regulation of several regenerating islet-derived (Reg) family members. The Reg proteins are established stress-inducible proteins that ameliorate pancreatic injury (Graf et al., 2002
; Bimmler et al., 2004
; Zhang et al., 2004
) and may therefore functionally compensate for the lack of keratins in the pancreas. We also examined changes in Reg expression in keratin mouse models that have altered keratin filament organization or phosphorylation.
| MATERIALS AND METHODS |
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Mouse Strains and Acute Pancreatitis Models
We used K8, K18, or K19 null mice and transgenic mouse lines that overexpress wild-type (WT) human (h) K18 or K18 R89C (Ku et al., 1995
), K18 S33A (Ku et al., 2002
), or K18 S52A (Ku et al., 1998
). For the K18 S33A and S52A mice, two independent mouse lines for each mutation were used (S33A1 and S33A2; S52A1 and S52A2). All mice are in an FVB/n genetic background except for the K18-null mice, which are in a mixed 129/Sv and MF-1 background (Magin et al., 1998
). Nontransgenic FVB/n and BALB/c mice (Taconic Farms, Germantown, NY) were also used. K8-null (Baribault et al., 1994
) and K18-null (Magin et al., 1998
) mice (both available through The Jackson Laboratory), and K19-null (Hesse et al., 2000
; Tamai et al., 2000
) mice (–/–) and their wild type (+/+) littermates were generated by interbreeding of heterozygous (+/–) mice and subsequent polymerase chain reaction (PCR) genotype screening. Transgenic mice of the various strains were obtained by breeding heterozygous males with FVB/n females. PCR screening was done using primers specific for hK18 as described previously (Ku et al., 1995
).
Two well-established mouse experimental pancreatitis models were used (Toivola et al., 2000a
; Zhong and Omary, 2004
; Zhong et al., 2004
), and in all comparative cases age and sex-matched animals were used. For caerulein-induced pancreatitis (Jensen et al., 1980
), mice were fasted (solid food only; 12–16 h) and then injected intraperitoneally seven times hourly with saline (vehicle control) or with 50 µg/kg caerulein (Research Plus, Bayonne, NJ). For the choline-deficient diet (CDD)-induced pancreatitis (Lombardi et al., 1975
), female BALB/c mice weighing 14–19 g (typically 21–25 d old) were fasted (solid food only; 12–16 h) and then fed CDD (Harlan Teklad, Madison, WI) supplemented with 0.5% DL-ethionine (Sigma-Aldrich, St. Louis, MO) or normal Formulab 5008 chow (control group) (Deans Animal Feeds, Redwood City, CA) for 3 d and then switched to a standard diet. At the indicated times, animals were euthanized using CO2 inhalation, and pancreata were immediately removed for subsequent analysis.
Peptide Synthesis and Anti-Regenerating Islet-derived (Reg)-II Antibody Generation
Two rabbit Abs were generated (Anaspec, San Jose, CA) by immunizing with keyhole limpet hemocyanin conjugated to the peptide CHDPKSNRRWHWSSGS. This peptide is relatively conserved among Reg-I and Reg-II, but not among other Reg family members (Figure 3A). A Cys residue (underlined; which is not part of the Reg protein) was introduced to the N terminus to facilitate coupling to the carrier. Two antibodies, Ab 2817 and Ab 2818, were generated. Ab 2817 showed superior reactivity (data not shown), and it was used for all the described experiments. Specificity of the generated Abs was confirmed by mixing the Ab (1:500 dilution) with or without 200 µg/ml Reg peptide for 30 min before immunoblotting. Preimmune sera were also obtained from the rabbits before immunization and used as a negative control.
Microarray Analysis
Mouse cDNA microarrays were produced at the Stanford Functional Genomics Facility (Stanford, CA). The microarray experiments and data analysis were performed as described previously (Eisen and Brown, 1999
; Zhou et al., 2005
). Total RNA (80–100 µg) was extracted from pancreatic tissue using RNase midi kit (QIAGEN, Valencia, CA) and reverse transcribed into cDNA by using SuperScript II (Invitrogen, Carlsbad, CA) and random hexamer primers. K8-WT and K8-null derived cDNA were labeled with Cy3- and Cy5-deoxyuridine triphosphate, respectively (GE Healthcare, Chalfont St. Giles, United Kingdom). Twelve independent pairs of K8-null and K8-WT mouse cDNA probes were hybridized with a mouse 42K cDNA array. Fluorescence signals were acquired with a GenePix 4000b microarray scanner, and the images were processed with the GenePix Pro3.0 software (Axon Instruments, Foster City, CA). The original data files were entered into the Stanford Microarray Database and normalized (http://genome-www5.stanford.edu//), and they can be accessed by choosing "public login" and then selecting experimenter "XHJI" and experiments BJI1–12.
A filter was set to select array elements with a regression correlation of r > 0.6. To identify the up-regulated or down-regulated genes in K8-WT versus K8-null mouse pancreata, 1-class significance analysis of microarray (SAM) was performed. This analysis generated a list of genes with an average Cy5/Cy3 ratio significantly different from 1.0, together with an estimate of how many of these genes are false positive (at 90% confidence). The percentage of false-positive genes (i.e., false discovery rate [FDR]) is based on permutations of repeat measurements, and in our analysis we only included genes with an FDR of <1%. Genes were assigned manually to a functional pathway based on information retrieved from the Stanford Online Universal Resource for Clones and Expressed sequence tags (http://genome-www5.stanford.edu.laneproxy.stanford.edu/cgi-bin/SMD/source/sourceSearch).
Reverse Transcription PCR and Immunoblotting
Real-time reverse transcription-polymerase chain reaction (RT-PCR) was performed as described previously (Zhong et al., 2004
) by using an ABI Prism 7900 Sequence Detection System (Applied Biosystems). Briefly, total RNA was isolated from pancreatic tissue using an RNeasy midi kit (QIAGEN) and reverse transcribed into cDNA using the SuperScript II reverse transcriptase kit (Invitrogen, Carlsbad, CA) and either random hexamer or oligo(dT) amplification. The selected target genes were amplified using intron-spanning primers (Table 1), and their expression levels were compared with L7 ribosomal protein (used as an internal control reference). Samples were analyzed in quadruplicates, and each experiment was performed at least three times. For immunoblotting, tissues were homogenized using a Teflon homogenizer in a buffer containing 0.187 M Tris-HCl, 3% SDS, and 5 mM EDTA, and the protein concentration was measured using the BCA protein assay (Pierce Chemical, Rockford, IL) (Ku et al., 2004
). Equal amounts of proteins were separated by SDS-polyacrylamide gel electrophoresis, transferred to polyvinylidene difluoride membranes, and then immunoblotted and visualized by enhanced chemiluminescence (PerkinElmer Life and Analytical Sciences, Boston, MA). Quantification of the increase in Reg-II protein was carried out by immunoblotting of pancreatic total tissue lysates from two K8 WT and two K8-null mice, analyzed on the same gel with serial dilution of pancreatic lysates from one of the two K8-null mice. Sequential fractionation of a detergent-free, Nonidet P-40–soluble, Empigen-soluble, and remaining pellet solubilized in 2% SDS-containing sample buffer was carried out as described previously (Ku et al., 2004
).
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| RESULTS |
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), were up-regulated in K8-null mouse pancreas, and of these Regs, Reg-II had the highest overall change (
15-fold by array analysis; Table 2). Tumor rejection antigen P1A (Trap1a) was the most down-regulated gene (
8-fold). We then tested the microarray results of the most altered genes, and we confirmed the changes in the Reg genes, particularly Reg-II, by using real-time RT-PCR (Table 2). Not all the changes observed by microarray analysis could be confirmed by real-time RT-PCR (e.g., Trap1a; Table 2).
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17 kDa in K8-null pancreatic homogenates, which is in good accordance with the predicted size of Reg proteins (Unno et al., 1993
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K18 R89C
K18 S52A > K18 S33A
K19-null
WT, whereas Reg-I is much less affected.
Reg-II, but Not Reg-I, Is up-Regulated during Experimental Mouse Acute Pancreatitis
Because Reg family members are established stress-inducible proteins, we examined their expression during mouse acute pancreatitis. Reg-II protein levels increased dramatically in two different pancreatitis models (Figure 6), whereas Reg-I showed limited induction after CDD feeding (Figure 6A) or only moderate up-regulation after caerulein-induced pancreatitis (Figure 6B). Similar findings were noted after immune staining of pancreata before and after caerulein (Figure 4). The increased Reg-II protein is triggered by the pancreatic injury and remains sustained during the recovery phase (Figure 6). Comparison of Reg-II expression by ISH 2 d after caerulein-induced pancreatitis in K8-null and WT mouse pancreata still shows abundant Reg-II mRNA in the K8-null mice (Figure 7), which is consistent with the Reg-II protein levels. The distribution of Reg-II mRNA after injury is found primarily in acinar cells (Figure 7) as noted under basal conditions (Figure 2).
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| DISCUSSION |
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The Reg Family Members and Response to Injury
The Reg family comprises a heterogeneous group that is divided into four subfamilies (Reg-I–IV) based on structure homology (De Reggi and Gharib, 2001
; Zhang et al., 2004
). The composition of the Reg family varies among species (De Reggi and Gharib, 2001
; Zhang et al., 2004
). For example, mice express one type I and one type II members (termed Reg-I and Reg-II, respectively), whereas humans express two type I Regs (Reg-I
and Reg-Iβ), but no type II (i.e., Reg-II) counterpart (De Reggi and Gharib, 2001
; Zhang et al., 2004
). The literature pertaining to the nomenclature of the Reg family members is not uniform, because some published work refers to mouse Reg-II when in fact the study pertains to Reg-IIIβ, which is also termed pancreatitis-associated protein I (Unno et al., 1993
; Graf et al., 2006
; Lieu et al., 2006
). Reg-I and Reg-II are independent gene products but highly homologous proteins sharing 76% amino acid sequence identity, and they are found predominantly in the exocrine pancreas under basal conditions (Unno et al., 1993
). Changes in Reg-II and its role in pancreatitis are not known, and its function remains elusive with few studies to date focused on Reg-II (Unno et al., 1993
; Perfetti et al., 1996
; Baeza et al., 1997
). In contrast, there is significant evidence supporting an important role for Reg-I in the endocrine and exocrine pancreas. Reg-I is a luminally secreted acinar cell product that is found in pancreatic stones, and it is mitogenic to ductal and islet cells (Zenilman et al., 1996
; Unno et al., 2002
; Patard et al., 2003
). It is also induced in regenerating islets (Terazono et al., 1988
) (hence, the name Reg), and it can ameliorate surgical diabetes (Okamoto, 1999
). Reg-I is up-regulated during rat pancreatitis, although the extent of induction varies among different studies (Zenilman et al., 2000
; Graf et al., 2002
). With regard to other Regs, members of the Reg-III subfamily are also up-regulated during mouse pancreatitis, and the use of antisense oligonucleotides directed toward Reg-III exacerbates the severity of rat pancreatitis (Zenilman et al., 2000
; Graf et al., 2002
; Zhang et al., 2004
; Norkina et al., 2006
).
As reported herein, Reg-II, but less so Reg-I, is markedly up-regulated in several keratin-deficient or keratin-mutant mouse lines under basal conditions, and in normal mice subjected to two models of experimental pancreatitis. Therefore, Reg-I represents more of a constitutive gene in the context of exocrine pancreatitis, whereas Reg-II is highly inducible. Differential expression of both genes was found in two other independent studies, which analyzed Reg levels during aging and in nonobese diabetic mice (Perfetti et al., 1996
; Baeza et al., 1997
), and it is supported by the lower homology in 5'-flanking sequence and no significant homology in intervening sequences of both genes (Unno et al., 1993
). Furthermore, both Reg genes exhibit slightly different expression patterns. For example, Reg-I is expressed in the gallbladder, but Reg-II is not (Unno et al., 1993
). Therefore, despite the striking amino acid homology among them, Reg-I and Reg-II posses several unique characteristics, and they may serve different roles.
Reg-II as a Potential Compensatory Pancreatic Stress Protein in Response to Keratin Absence or Mutation
Reg-II gene expression is markedly up-regulated in K8-null pancreata under basal conditions, and in normal nontransgenic mice in response to pancreatic injury. Reg-II is also up-regulated in K8-null mice after pancreatitis, but the level of induction is less than that noted in WT controls (data not shown). In mouse liver, mRNA for Reg-II was detected at low levels (Unno et al., 1993
), but we do not detect Reg-II protein after immunoblotting of WT or K8-null mouse livers (data not shown). However, Reg-IIIβ is expressed in the liver and Reg-IIIβ-null mice have an increased susceptibility to Fas-mediated liver injury and impairment in liver regeneration after partial hepatectomy (Lieu et al., 2006
). Together, with the already known effects of other Regs, our results suggest that Reg-II overexpression is likely to compensate for the lack of K8 and might account, at least in part, to the differences in susceptibility of keratin-deficient mice to liver and pancreatic injury. The mechanism for a potential Reg-II-mediated protective effect remains to be defined, because there is no clearly established Reg-II function. By analogy with other Regs, Reg-II may function at one or more levels by enhancing the regenerative capacity (Okamoto, 1999
; Patard et al., 2003
); or by imparting anti-inflammatory, antiapoptotic, and/or mitogenic effects (Malka et al., 2000
; Vasseur et al., 2004
; Gironella et al., 2005
). It will be important to address whether the effect of Reg-II is paracrine, endocrine, or autocrine. Under normal conditions, Reg-II is secreted into the pancreatic ductal system; however, its fate during and after injury remain to be investigated.
In addition to Reg-II, other factors may also contribute to the dispensability of keratins in terms of cytoprotection in the pancreas. For example, actin is more prominently induced upon pancreatic injury in K8-null mice versus control mice, which raises the possibility that other cytoskeletal proteins may also substitute for the lack of keratins (Zhong and Omary, 2004
). However, actin levels under basal conditions are similar in WT and K8-null pancreata (Zhong and Omary, 2004
).
Potential Signaling Pathways Regulating Reg-II Expression in Keratin Mutant Animals and during Pancreatitis
One important finding herein is that not only K8 absence but also keratin cytoplasmic filament disruption (in mice that express K18 R89C), cytoplasmic keratin filament absence (in mice that lack K18, with retained apicolateral filaments), and site-specific phosphomutant K18 S52A but not S33A result in pancreas up-regulation of Reg-II under basal conditions. The K18 S52A mutation does not affect keratin filament organization in the pancreas (or the liver) under basal conditions, whereas the K18 S33A mutation maintains acinar cell cytoplasmic filaments, although they become retracted toward the apical pole (Ku et al., 2002
). These findings suggest that a signaling event that involves K18 Ser52 is likely to be important in modulating downstream up-regulation of Reg-II expression. Because filament disruption due to K18 R89 mutation is associated with increased K18 S52 phosphorylation in the liver under basal conditions (Ku et al., 2003
), the roles of K18 Ser52 phosphorylation and an intact cytoplasmic filament network are likely to be independent in modulating Reg-II expression. Based on available data, K18 S33 and S52 phosphorylation have different cell response behaviors and functions. S33 phosphorylation mediates K18 binding with 14-3-3 proteins, and S33 phosphorylation decreases during apoptosis (Ku et al., 2002
, 2003
). In contrast, K18 S52 phosphorylation increases during apoptosis (Ku et al., 2003
), and its mutation predisposes mice to hepatotoxic injury but the role of these two phosphorylation sites in pancreatic injury has not been studied.
Several emerging lines of evidence support a role for keratins in cell signaling events (Ku and Omary 2006
; Pallari and Eriksson 2006
), which provide indirect support for the observed involvement of keratin filament organization and site-specific phosphorylation in the up-regulation of Reg-II. For example, K8/K18 bind to tumor necrosis factor (TNF) receptor 2 and Raf-1 kinase (Omary et al., 1992
; Liao and Omary, 1996
; Caulin et al., 2000
; Ku et al., 2004a
). In addition, keratin-deficient endodermal cells exhibit increased nuclear factor (NF)-
B and c-Jun NH2-terminal kinase activation in response to TNF-
(Caulin et al., 2000
). TNF-
is induced in acute pancreatitis (Granger and Remick, 2005
), and increased TNF signaling could be involved in Reg-II overexpression seen in both keratin-deficient animals and in the pancreatitis models, because it modulates the overexpression of other Regs, including Reg-I and Reg-III (Dusetti et al., 1996
; Malka et al., 2000
). NF-
B signaling may play a role because it occurs during pancreatitis and in keratin-deficient mouse models (Caulin et al., 2000
; Algul et al., 2002
; Zhong et al., 2004
), and it associates with Reg-III (Graf et al., 2006
) and keratin induction in response to injury (Ma et al., 1997
; Komine et al., 2000
; Zhong and Omary, 2004
). Another potential candidate modulator is IL-6, given that the Reg promoter contains interleukin (IL)-6 consensus sequences (Unno et al., 1993
) that can be activated by IL-6 stimulation (Dusetti et al., 1996
; Okamoto, 1999
), and the observation that IL-6 also induces K8 expression in intestinal epithelial cells (Wang et al., 2007
).
| ACKNOWLEDGMENTS |
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| Footnotes |
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The online version of this article contains supplemental material at MBC Online (http://www.molbiolcell.org). ![]()
These authors contributed equally to this work. ![]()
Address correspondence to: M. Bishr Omary (mbishr{at}stanford.edu).
Abbreviations used: Ab, antibody; CDD, choline-deficient diet; FDR, false discovery rate; H&E, hematoxylin and eosin; Hsp, heat-shock protein; h, human; IF, intermediate filament; ISH, in situ hybridization; K, keratin; Reg, regenerating islet-derived; SAM, significance analysis of microarray; WT, wild type.
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