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The Journal of Immunology, 1998, 160: 410-418.
Copyright © 1998 by The American Association of Immunologists

Inhibition of Proinflammatory Molecule Production by Adenovirus-Mediated Expression of a Nuclear Factor {kappa}B Super-Repressor in Human Intestinal Epithelial Cells1

Christian Jobin*, Asit Panja{ddagger}, Claus Hellerbrand{dagger}, Yuji Iimuro{dagger}, Joseph Didonato§, David A. Brenner{dagger} and R. Balfour Sartor2,*,{dagger}

* Departments of Medicine, Microbiology, Immunology and {dagger} the Center for Gastrointestinal Biology and Disease, University of North Carolina, Chapel Hill, NC 27599; {ddagger} Division of Clinical Immunology, Mount Sinai Medical Center, New York, NY 10029; and § Department of Pharmacology, University of California, San Diego, CA 92093


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
NF-{kappa}B plays a major role in the transcriptional regulation of many proinflammatory genes in multiple cell lineages, including intestinal epithelial cells (IEC). Activation of NF-{kappa}B requires both phosphorylation and degradation of its natural cytoplasmic inhibitor, I{kappa}B. We tested whether a super-repressor of NF-{kappa}B activity, which is a mutated nondegradable I{kappa}B{alpha} resistant to phosphorylation and degradation, could be delivered into IEC using an adenoviral vector (Ad5I{kappa}B) and determined the anti-inflammatory potential of this inhibitor following different stimuli. We showed for the first time that recombinant adenovirus efficiently infected (>80%) transformed as well as primary IEC. Cytoplasmic levels of the NF-{kappa}B super-repressor protein were more than 50-fold higher than those of endogenous I{kappa}B, and this mutated I{kappa}B was resistant to IL-1ß-induced degradation. Immunofluorescent RelA nuclear staining was strongly inhibited in Ad5I{kappa}B-infected IEC compared with control Ad5LacZ, and NF-{kappa}B, but not AP-1 binding activity, was reduced by more than 70% as measured by electrophoretic mobility shift assay (EMSA). Induction of inducible nitric-oxide synthase (iNOS), IL-1ß, and IL-8 genes by IL-1ß, TNF-{alpha}, or PMA was blocked in Ad5I{kappa}B-infected cells but not in Ad5LacZ controls as assayed by RT-PCR and ELISA. In addition, IL-1ß-induced IL-8 secretion was totally inhibited by Ad5I{kappa}B in primary colonic IEC. We conclude that an adenoviral vector efficiently transfers a nondegradable I{kappa}B in both transformed and native IEC. The strong inhibition of NF-{kappa}B activity and the resulting down-regulation of multiple proinflammatory molecules by Ad5I{kappa}B suggests an exciting approach for in vivo intestinal gene therapy and illustrates the key role of NF-{kappa}B in transcriptional regulation of the inflammatory phenotype of IEC.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Intestinal epithelial cells (IEC)3 represent the first line of defense against various intestinal pathogens and are active participants in the mucosal immune system (1, 2). For example, IEC are able to process and present Ags to T cells (3), express cell adhesion molecules (4, 5), secrete various cytokines (1, 6, 7), and release eicosanoids (8) and nitric oxide (NO; (9)) upon various stimuli. Because of their central role in the mucosal immune system and accessibility to luminal therapeutic agents, there is a growing interest for modulating IEC activities in various intestinal diseases.

Many cellular genes involved in the early process of immune, acute phase and inflammatory responses are regulated at the level of transcription by NF-{kappa}B (10, 11). NF-{kappa}B is an inducible dimeric transcription factor that belongs to the Rel family of transcription factors (12), whose prototype in many cells is composed of the RelA (p65) and NF-{kappa}B1 (p50) heterodimer subunits. This heterodimer is the most potent gene trans-activator among the NF-{kappa}B family (13, 14) and is also the major NF-{kappa}B protein found in the nucleus of cytokine-stimulated IEC (15). A wide variety of agents (e.g. phorbol esters, IL-1, TNF-{alpha}, dsRNA, cAMP, viral trans-activators, and reactive oxygen metabolites) are able to activate NF-{kappa}B (10). NF-{kappa}B activation is tightly regulated by its endogenous inhibitor, I{kappa}B, which complexes NF-{kappa}B in the cytoplasm. Phosphorylation and proteolytic degradation of I{kappa}B allows the release and nuclear transmigration of NF-{kappa}B (16, 17). Inducible I{kappa}B degradation is linked to phosphorylation of serine residues 32 and 36 located in the N-terminal part of the polypeptide (18, 19, 20, 21, 22). Mutation of these two amino acids has been shown to effectively prevent I{kappa}B degradation and NF-{kappa}B activation (18, 19, 22, 23).

Viral vectors are potent vehicles for in vivo/in vitro gene delivery into various cells (24, 25, 26). Among the viral vectors, adenoviruses are particularly attractive for gene therapy since they can easily be rendered replication deficient, are efficient gene delivery vehicles, transduce dividing and nondividing cells from different organs and tissues, and from the practical stand point can be produced at high titers (24, 25). We constructed an adenoviral vector bearing a mutant form of I{kappa}B where serine 32 and 36 were replaced by alanine residues (S32A/S36A), therefore preventing the inducible I{kappa}B phosphorylation. Such a mutant, I{kappa}B has been shown to act as an NF-{kappa}B super-repressor (27). The infectibility, as well as the anti-inflammatory properties of this adenoviral vector (Ad5I{kappa}B), was tested in transformed and primary IEC. We report an efficient transduction of exogenous super-repressor NF-{kappa}B into both primary and transformed IEC. This super-repressor blocked NF-{kappa}B activation and prevented inducible nitric oxide synthase (iNOS), IL-1ß, and IL-8 gene induction by IL-1ß, TNF-{alpha}, or PMA. Our data show that Ad5I{kappa}B is a powerful anti-inflammatory tool and represents a promising candidate for in vivo intestinal gene therapy. Moreover, complete blockade of inducible IL-8 secretion by a nondegradable form of I{kappa}B{alpha} illustrates the key regulatory role of this endogenous inhibitor in IEC.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell culture

Transformed human HT-29 epithelial cells (ATCC HTB 38) were used between passages 10 and 25, and Caco-2 epithelial cells (ATCC HTB 37) were used between passages 29 and 40. HT-29 cells were grown in DMEM with high glucose (Life Technologies, Grand Island, NY) and Caco-2 cells in Eagle’s minimum essential medium (EMEM; Life Technologies), both supplemented with 10% heat-inactivated FBS (Life Technologies), 2 mM L-glutamine, antibiotics (Pen/Strep/Fungizone, 1X; Life Technologies), and 1% nonessential amino acids. Cells were cultured in a water-saturated atmosphere of 95% air and 5% CO2.

Isolation and stimulation of IEC

Colonic epithelial cells were isolated from resected specimens obtained from patients without inflammation by dispase treatment and percoll density gradient centrifugation, as previously described (28). Enriched epithelial cells were free of B cells and monocytes/macrophages with 2 to 4% contaminating T cells, as assayed by flow cytometric analysis using anti-CD14, anti-CD3, anti-CD20, and L-12 (anti-epithelial cell) mAbs (28). Viability was assessed by trypan blue and propidium iodide staining. Cells were used for experiments only when viability was >95%.

Ad5I{kappa}B construction

The recombinant replicative-deficient adenovirus was constructed by the method of Graham et al. (29). The I{kappa}B{alpha} S32A/S36A plasmid used in this study was previously described (30). In brief, the cDNA insert of plasmid pRc/CMV-I{kappa}B{alpha} S32A/S36A, which expresses an I{kappa}B super-repressor, was subcloned into the XbaI site of the pACCMV.PLPASR (+) plasmid to construct the plasmid pACCMV/I{kappa}B, in which I{kappa}B is driven by the CMV promoter/enhancer (see Fig. 1Go). The plasmid DNA was prepared by the alkaline lysis method and purified by Cesium chloride-ethidium bromide density gradient centrifugation. Recombinant adenovirus I{kappa}B{alpha} (Ad5I{kappa}B) was constructed by cotransfection of 293 cells (embryonic human kidney cells) with the pACCMV/I{kappa}B plasmid plus the purified fragment of ClaI-digested DNA from E1-deleted adenovirus type 5.4 The presence of the mutant I{kappa}B sequence packaged into the recombinant Ad5 virus (Ad5I{kappa}B) was confirmed by PCR and by Western blotting as described below. Ad5I{kappa}B was grown in 293 cells and purified by banding twice on cesium chloride gradients. Viral titers were determined by optical densitometry (particles per ml) and by plaque assay; recombinant viruses were then stored in 10% (v/v) glycerol at -20°C. The Ad5I{kappa}B gene contains an extra 27 base pair DNA nucleotides coding for a peptide derived from hemagglutinin gene (YPYDVPDYA) to discriminate between endogenous and exogenous I{kappa}B. Ad5LacZ, which contains the Escherichia coli ß-galactosidase gene, was grown and purified as described above and used as a control virus throughout the study.4



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FIGURE 1. Schematic representation of the I{kappa}B S32A/S36A mutant.

 
IEC infection

IEC cell lines were cultured to post confluency, after which they were infected with Ad5I{kappa}B or Ad5LacZ in serum-free media (Opti-MEM; Life Technologies) at different multiplicity of infection (MOI; 0, 1:10, 1:50, and 1:100 IEC/viral particules) for 12 h. The adenovirus was then washed off, fresh media-containing serum was added to the transfection media, and cells were incubated for another 12 h. Cells were treated at various time points with IL-1ß (2 ng/ml), TNF-{alpha} (10ng/ml; both from Intergen, Purchase, NY), or PMA (100 ng/ml). Primary IEC were treated identically except that the infection period was decreased to 4 h because of the limited period of viability of freshly isolated IEC.

RNA extraction and amplification by RT-PCR

Infected Ad5I{kappa}B or Ad5LacZ cells were stimulated with IL-1ß (2 ng/ml), TNF-{alpha} (10 ng/ml), or PMA (100 ng/ml) for 3 h. RNA was isolated using the Trizol method (Life Technologies), and 1 µg of total RNA was reversed transcribed and amplified (RT-PCR) using specific primers for IL-1ß, IL-8, I{kappa}B, and actin as described previously (15). The iNOS oligonucleotide primers were: (5) 5'-AGG ATC CAG TGG TCC AAC C-3' and (3) 5'-GCC CAC TTC CTC CAG GAT G-3.

Northern blot analysis

Total RNA (10 µg) was electrophoresed on 1.5% denaturing gels as described (31). The RNA was blotted onto Hybond-N paper (Amersham, Arlington Heights, IL) overnight, followed by UV fixation. Integrity of RNA was checked by methylene blue staining as described (31). Membranes were hybridized to [32P]dCTP-labeled cDNA probe encoding human IL-8, washed, and exposed as described previously (32).

Nuclear extracts and EMSA

Infected Ad5I{kappa}B and Ad5LacZ cells were stimulated 30 min with IL-1ß (2 ng/ml) or TNF-{alpha} (10 ng/ml), lysed, and nuclear protein extracts were prepared as described previously (15). Nuclear extracts (5 µg) were incubated with double-stranded class I MHC {kappa}B sites (GGCTGGGGATTCCCCAT CT), separated by electrophoresis, and analyzed by autoradiography as described previously (15). For AP-1 binding activity, HT-29 cells were starved in 0.5% serum for 24 h. Nuclear proteins were prepared as described above with the inclusion of a phosphatase inhibitor mixture as described previously (33). The AP-1 probe used in the shift assay was derived from the consensus AP-1 site found in the human collagenase gene (5'-TAAAGCATGAGTCAGGACACCTC-3'). The specificity of the probe was evaluated by incubating the nuclear extract with an excess (100X) of unlabeled AP-1 oligonucleotide. In addition, Jun Ab (1 µl) was used to ascertain the identity of the shifted complexes.

Western blot analysis

Uninfected or Ad5I{kappa}B-infected cells were lysed in Laemmli buffer and 20 µg of proteins were electrophoresed on 10% SDS-polyacrylamide gels. Immunoreactive I{kappa}B{alpha} was detected using the enhanced chemiluminescence (ECL) light-detecting kit (Amersham) as described previously (15).

Immunofluorescence study and ß-galactosidase staining

Uninfected, Ad5I{kappa}B- or Ad5LacZ-infected cells were stimulated 30 min with IL-1ß (2 ng/ml). Cells were fixed with 100% ice cold methanol. Blocking was performed using 25% nonimmune goat serum (NGS; Sigma, St. Louis, MO) for 30 min. After blocking, rabbit anti-RelA Ab (diluted 1:200 in 25% NGS) or rabbit anti-I{kappa}B{alpha} Ab (1 µg/ml; C-21, Santa Cruz Biotechnology, Santa Cruz, CA) was added for 30 min after which rhodamine isothiocyanate-conjugated goat anti-rabbit IgG Ab (Jackson ImmunoResearch, West Grove, PA) diluted 1:100 in 25% NGS was added for 30 min. RelA and I{kappa}B{alpha} expression was visualized with a fluorescent light microscope. For ß-galactosidase staining, Ad5LacZ-infected cells were fixed 24 h postinfection in a solution of 1% glutaraldehyde for 15 min. ß-galactosidase staining was detected using a solution of 10 mM K4Fe(CN)6, 10 mM K4Fe3(CN)6, 2 mM MgCl2 (Sigma), and 400 µg/ml of 5-bromo-4-chloro-3-indolyl ß-D-galactoside (Boehringer Mannheim, Indianapolis, IN).

IL-8 ELISA

An IL-8 ELISA of cell culture supernatants from noninfected, Ad5LacZ-infected, and Ad5I{kappa}B-infected IEC was performed in duplicate according to the manufacturer’s specifications (R&D Systems, Minneapolis, MN).

Statistical analysis

Data are expressed as means ± SEM. Statistical significance was performed by the two-tailed Student t test for paired data and considered significant if p values were <0.05.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Construction and characterization of Ad5I{kappa}B

The I{kappa}B{alpha} S32A/S36A mutant (Fig. 1Go) was cloned into the adenoviral transfer vector pACCMV.PLPASR, and recombinant adenoviruses were generated by cotransfection of the transfer vector with adenoviral DNA restriction endonuclease fragment. Among the different adenoviral clones (6 of 20) expressing high level of mutant I{kappa}B{alpha}4, one clone was further characterized (clone 18). IEC infectibility was evaluated by using different multiplicity of infection (MOI) of either Ad5I{kappa}B or Ad5LacZ (control virus). Large numbers of positively transfected HT-29 cells (>80%) could be detected with increased MOI by either ß-galactosidase staining (Fig. 2GoA) or I{kappa}B immunofluorescence staining (Fig. 2GoB). Western blot analysis performed from both Ad5I{kappa}B-infected Caco-2 and HT-29 cell protein extracts revealed an increased expression of exogenous mutant I{kappa}B with increased MOI (Fig. 2GoC). The level of exogenous I{kappa}B was approximately 50-fold higher than levels of endogenous I{kappa}B at an MOI of 50. Based on data provided by the ß-galactosidase staining, I{kappa}B immunofluorescence and Western blots, subsequent analysis of Ad5I{kappa}B function was then performed using an MOI of 50. These data show that Ad5I{kappa}B efficiently transduced the I{kappa}B super-repressor into IEC.



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FIGURE 2. Infectibility of intestinal epithelial cells to Ad5I{kappa}B and Ad5LacZ. A, HT-29 cells were infected with different Ad5LacZ multiplicity of infection (MOI; 0–100 cells:virus) and 24 h postinfection stained for ß-galactosidase activity. B, HT-29 cells were infected with different Ad5I{kappa}B MOI, and I{kappa}B expression was visualized 24 h postinfection using an anti-I{kappa}B{alpha} Ab followed by a rhodamine-conjugated Ab. C, Caco-2 and HT-29 cells were infected with different Ad5I{kappa}B MOI, and, 24 h postinfection, total protein was extracted and 20 µg of protein was subjected to SDS-PAGE followed by immunoblotting of I{kappa}B{alpha} using the ECL technique as described in Materials and Methods. Note that the I{kappa}B{alpha} standard used as a control contains seven extra amino acids (I{kappa}B-tag) compared with the endogenous epithelial I{kappa}B{alpha}. The recombinant I{kappa}B contains a hemagglutinin tag. The position of endogenous and exogenous I{kappa}B are indicated by arrows. These results are representative of three different experiments.

 
We next analyzed exogenous I{kappa}B expression and resistance to IL-1ß-induced proteolysis following Ad5LacZ or Ad5I{kappa}B infection of IEC. Constitutive I{kappa}B mRNA was detected in resting (nonstimulated) Ad5I{kappa}B-infected IEC but not in noninfected or Ad5LacZ-infected cells (Fig. 3GoA) as measured by RT-PCR. When protein was extracted from Ad5I{kappa}B infected or noninfected IEC after IL-1ß stimulation and analyzed by Western blot, no degradation of the mutated exogenous I{kappa}B was observed (Fig. 3GoB). More importantly, levels of exogenous I{kappa}B remained much higher than endogenous I{kappa}B, consistent with data present in Figure 2Go. Note that endogenous I{kappa}B from IL-1ß-stimulated Caco-2 cells was totally degraded as opposed to incomplete degradation in HT-29 cells. This altered HT-29 I{kappa}B degradation pathway is typical of most transformed IEC lines and primary IEC, as previously reported by our group (15). These data show that following Ad5I{kappa}B infection, the I{kappa}B super-repressor is efficiently transcribed and translated into a protein that is resistant to IL-1ß-mediated proteolysis.



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FIGURE 3. Ad5I{kappa}B is transcribed, translated, and is resistant to IL-1ß-induced I{kappa}B proteolysis. A, IEC were infected with Ad5LacZ, Ad5I{kappa}B, or left untreated for 24 h, and total RNA was extracted, reverse transcribed, and amplified using specific I{kappa}B or actin primers. PCR products were run on a 2% agarose gel and stained with ethidium bromide. B, IEC were infected with Ad5I{kappa}B or left untreated for 24 h, after which cells were stimulated with IL-1ß (5 ng/ml) or media alone at 0 to 60 min. Total protein was extracted after IL-1ß stimulation, and 20 µg of protein was subjected to SDS-PAGE followed by I{kappa}B{alpha} immunoblotting using the ECL technique as described above. Positions of endogenous and exogenous I{kappa}B are indicated by the arrow. These results are representative of four different experiments.

 
Inhibition of NF-{kappa}B activity by Ad5I{kappa}B

The high level of Ad5I{kappa}B expression combined with its resistance to degradation suggested a potential inhibitory effect of this reagent on NF-{kappa}B activity. Effects of Ad5I{kappa}B on NF-{kappa}B activation was investigated by studying RelA nuclear translocation and NF-{kappa}B binding activity. Noninfected, Ad5I{kappa}B-infected, and Ad5LacZ-infected IEC were stimulated with IL-1ß after which RelA nuclear localization was visualized by immunofluorescence. A strong nuclear staining was observed in IL-1ß-stimulated Ad5LacZ-infected Caco-2 cells but only modest staining in HT-29 cells compared with control (Fig. 4Go; compare panels 2 and 5 with 1 and 4, respectively). This pattern of staining is consistent with our previous findings (15). In Ad5I{kappa}B-infected IEC, a clear cytoplasmic pattern of RelA staining with no appreciable nuclear immunofluorescence was observed (Fig. 4Go; compare panel 3 with 2 and 6 with 5). We next sought to demonstrate NF-{kappa}B DNA binding activity using a consensus {kappa}B-probe. Nuclear extracts derived from uninfected, Ad5I{kappa}B-infected, or Ad5LacZ-infected IEC were analyzed 30 min after media or IL-1ß stimulation. IL-1ß strongly induced NF-{kappa}B binding activity in both Ad5LacZ-infected Caco-2 or HT-29 cells (Fig. 5GoA). A significant reduction of NF-{kappa}B binding activity was observed in Ad5I{kappa}B-infected IEC when compared with stimulated control virus. The specificity of Ad5I{kappa}B-mediated NF-{kappa}B inhibition was tested by measuring AP-1 binding activity. Figure 5GoB shows that AP-1 binding activity was not affected in Ad5I{kappa}B-infected HT-29 cells nor in Caco-2 cells (data not shown). In contrast to NF-{kappa}B, AP-1 is constitutively present in the nucleus of IEC lines and is not significantly activated by IL-1ß (1.3-fold over nonstimulated).



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FIGURE 4. Ad5I{kappa}B inhibits IL-1ß-stimulated RelA nuclear migration in IEC. IEC were infected with either Ad5I{kappa}B or Ad5LacZ or left untreated for 24 h, after which cells were stimulated with IL-1ß (5 ng/ml) or media alone. RelA localization was visualized using an anti-RelA Ab followed by a rhodamine-conjugated Ab as described in Materials and Methods. Panels 1–3 are Caco-2 cells and panels 5–6 are HT-29 cells. Cells were treated as indicated. These results are representative of three different experiments.

 


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FIGURE 5. Inhibition of NF-{kappa}B binding activity in Ad5I{kappa}B-infected IEC. IEC were infected with either Ad5I{kappa}B or Ad5LacZ for 24 h, after which cells were stimulated with IL-1ß (5 ng/ml) or media alone. Nuclear extracts were tested for {kappa}B binding activity (upper panel) or AP-1 binding activity (lower panel) by EMSA 30 min after IL-1ß stimulation. These results are representative of four different experiments.

 
Inhibition of iNOS, IL-1ß, and IL-8 gene expression by Ad5I{kappa}B

The strong inhibition of NF-{kappa}B activity by Ad5I{kappa}B in IEC lines suggested that cytokine-mediated {kappa}B-dependent gene induction could be down-regulated by this reagent. As shown in Figure 6GoA, IL-1ß induction of iNOS, IL-1ß, and IL-8 mRNA expression is inhibited in Ad5I{kappa}B-infected IEC when compared with control Ad5LacZ-infected cells. Inhibition of IL-8 mRNA accumulation by Ad5IkB was also measured by Northern analysis. Figure 6GoB shows that Ad5IkB strongly inhibits IL-1ß-induced IL-8 mRNA accumulation in Caco-2 cells. Interestingly, Ad5LacZ but not Ad5I{kappa}B leads to an up-regulation of IL-8 mRNA in HT-29 cells in the absence of exogenous stimuli (Fig. 6GoC). A two- to threefold increased in IL-8 secretion was also found in Ad5LacZ-infected but not in Ad5I{kappa}B-infected HT-29 cells (Fig. 6GoD). Nevertheless, IL-1ß-induced IL-8 mRNA accumulation was totally inhibited in Ad5I{kappa}B-infected cells but not in Ad5LacZ cells as shown in Figure 6Go, A to C. These data suggest that adenoviral infection stimulates IL-8 secretion in HT-29 but not in Caco-2 cells. This effect is blocked when the gene delivered is an NF-{kappa}B super-repressor. This inhibitory effect was verified at the protein level by measuring IL-8 secretion from infected or noninfected IEC lines stimulated with IL-1ß. IL-8 secretion induced by IL-1ß was blocked in Ad5I{kappa}B-infected but not in Ad5LacZ-infected cells after 12 h of IL-1ß stimulation (Fig. 6GoD).



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FIGURE 6. Effect of Ad5I{kappa}B on iNOS, IL-1ß, and IL-1ß gene expression in stimulated and unstimulated IEC as measured by RT-PCR. (A and C), Northern blot (B), and ELISA (D) techniques. A, IEC were infected with either Ad5I{kappa}B or Ad5LacZ for 24 h, after which cells were stimulated with IL-1ß (5 ng/ml) or media alone for 3 h. Total RNA was extracted, reverse transcribed, and amplified using specific IL-8, IL-1ß, or actin primers. PCR products were run on a 2% agarose gel and stained with ethidium bromide. These results are representative of four separate experiments. B, HT-29 cells were treated and RNA isolated as described above. IL-8 Northern blot was performed as described in Materials and Methods. C, HT-29 cells were treated and RNA isolated as described above. RT-PCR analysis was performed as described in A. D, IEC were treated as described in A and incubated with media or IL-1ß (5 ng/ml) for 12 h, after which immunoreactive IL-8 concentrations were measured in cell supernatants using an ELISA technique. These results are expressed as means ± SEM of triplicate determinations and are representative of four different experiments. *, p < 0.005 vs Ad5LacZ + IL-1ß.

 
We next investigated if Ad5I{kappa}B would be able to prevent IL-8 secretion resulting from other stimuli. Ad5LacZ- or Ad5I{kappa}B-infected HT-29 cells were stimulated with either TNF-{alpha} (10 ng/ml) or PMA (100 ng/ml) for 3 h after which IL-8 expression was analyzed by RT-PCR. TNF-{alpha} and PMA-mediated IL-8 mRNA induction was also inhibited in Ad5I{kappa}B-infected cells (Fig. 7GoA; compare lanes 2 and 3 with 4 and 5, respectively). In addition, IL-8 secretion induced by TNF-{alpha} was suppressed in Ad5I{kappa}B-infected HT-29 cells after 12 h stimulation (Fig. 7GoB); similar results were obtained following the PMA induction (data not shown).



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FIGURE 7. Inhibition of PMA- or TNF-{alpha}-induced IL-8 gene expression in Ad5I{kappa}B-infected HT-29 cells measured by RT-PCR (A) and ELISA (B) technique. A, HT-29 cells were infected with either Ad5I{kappa}B or Ad5LacZ for 24 h, after which cells were stimulated with TNF-{alpha} (10 ng/ml), PMA (100 ng/ml), or media alone for 3 h. Total RNA was extracted, reverse transcribed, and amplified using specific IL-8 or actin primers. PCR products were run on a 2% agarose gel and stained with ethidium bromide. These results are representative of four different experiments. B, HT-29 cells were treated as described above and incubated with TNF-{alpha} (10 ng/ml) or media alone for 12 h, after which immunoreactive IL-8 concentrations were measured from cell supernatants using an ELISA technique. These results are expressed as means of duplicate determinations and are representative of three different experiments.

 
The infectibility as well as the inhibitory effect of Ad5I{kappa}B was then investigated in cultured primary IEC. Cells freshly isolated from resected normal colon specimens were infected with Ad5I{kappa}B or Ad5LacZ for 4 h and then stimulated with IL-1ß (100 ng/ml) for 12 h. Figure 8GoA demonstrates that protein extract from Ad5I{kappa}B-infected but not Ad5LacZ-infected or noninfected primary IEC shows the presence of an immunoreactive mutant I{kappa}B protein as assayed by Western blot. The I{kappa}B mutant delivered into primary IEC by the adenovirus was functional as seen in Figure 8GoB where Ad5I{kappa}B-infected primary IEC showed a total inhibition of IL-8 secretion when compared with media controls. Therefore, Ad5I{kappa}B was able to infect both transformed and primary IEC and blocked proinflammatory gene expression. These data proved that Ad5I{kappa}B is a potent inhibitor of NF-{kappa}B activation in IEC and therefore could potentially be used in vivo as a tool to down-regulate inflammation.



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FIGURE 8. Inhibition of IL-1ß-induced IL-8 gene expression in Ad5I{kappa}B-infected cultured primary colonic epithelial cells. A, Primary IEC were infected with either Ad5LacZ, Ad5I{kappa}B, or left untreated for 4 h. Total protein was extracted and 20 µg of protein was subjected to SDS-PAGE followed by I{kappa}B{alpha} immunoblotting using the ECL technique as described above. Position of endogenous and exogenous I{kappa}B are indicated by the arrow. B, Primary IEC were infected with either Ad5I{kappa}B or Ad5LacZ for 4 h and then incubated with IL-1ß (5 ng/ml) or media alone for 12 h. Immunoreactive IL-8 concentrations were measured from cell supernatants using an ELISA technique. These results are expressed as means of duplicate experiments. These results are representative of two different experiments.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Adenoviral-mediated gene transfer of an NF-{kappa}B super-repressor represents a novel means to block NF-{kappa}B activity in many types of mammalian cells. Since NF-{kappa}B is a key transcription factor in a number of mucosal immune responses and represents a master switch in many chronic inflammatory diseases (11), blocking its activity is conceptually superior to independently blocking each different inflammatory mediator. Our group has shown that cytokine and adhesion molecule expression could be modulated in IEC by targeting the I{kappa}B/NF-{kappa}B system with pharmacologic products (15, 34, 35). For example, blockade of I{kappa}B{alpha} degradation by proteasome inhibitors almost completly attenuated cytokine-induced IL-8 and ICAM-1 gene expression (15, 35). In this study, we report the generation of an adenovirus bearing an NF-{kappa}B super-repressor (Ad5I{kappa}B) and explore the possibility of using this virus to suppress the induction of several inflammatory mediators. We show for the first time that a recombinant adenovirus can efficiently infect (>80%) transformed IEC as well as primary colonic epithelial cells. IEC expressed high levels of the mutant I{kappa}B, which resists IL-1ß-induced proteolysis due to its inability to be phosphorylated at serines 32 and 36. High Ad5I{kappa}B expression levels combined with proteolysis resistance leads to almost total inhibition both of NF-{kappa}B activity and of iNOS, IL-1ß, and IL-8 gene expression in IEC following stimulation with several different inducing agents. Identical inhibitory responses in two transformed IEC lines with different degrees of I{kappa}B{alpha} degradation (Caco-2 and HT-29; (15)) and primary colonic epithelial cells demonstrate universality of this approach to IEC in various stages of differentiation. These results suggest that Ad5I{kappa}B is a potential candidate for in vivo intestinal gene therapy and illustrate the central role of I{kappa}B{alpha} as a regulator of IEC proinflammatory gene expression.

The balance between inactive and active NF-{kappa}B following cell stimulation relies mostly on I{kappa}B. Overexpression or degradation of I{kappa}B can disrupt this balance and shift NF-{kappa}B toward an inactive or active state, respectively. Most of the different approaches to inhibit NF-{kappa}B activity have focused on endothelial or mononuclear hemopoietic cells. Most of these strategies have targeted I{kappa}B{alpha}, such as proteasome blockade, phosphorylation inhibition, and protein overexpression (36, 37, 38, 39, 40) although antisense oligonucleotides to RelA (p65) inhibit experimental colitis (41). In this study, we demonstrated the feasibility of delivering an NF-{kappa}B super-repressor into IEC. The I{kappa}B protein delivered into IEC was a S32A/S36A mutant form of I{kappa}B that mutated the inducible amino acid phosphoreceptor and therefore abolished the degradation process. This approach is conceptually superior to delivering the wild-type protein that is still degradable and therefore solely relies on overexpression of the exogenous gene to achieve NF-{kappa}B inhibition.

The vehicle used for delivering the exogenous gene is also a critical parameter in determining response of the transfected cell population to stimulation. For example, less than 10% of HT-29 cells are positively transfected using the lipofectamine method (15). Therefore, endogenous gene expression will likely not be inhibited at such a low level of transfected cells. In contrast, in vitro and in vivo adenovirus infection achieves a high percentage of cells bearing the exogenous gene. Although adenoviruses efficiently infect in vivo a number of different organs including hepatocytes and respiratory epithelial cells (25), there is still no data available on cells derived from the intestine (25). The intestine constitutes an attractive site for viral gene therapy because of its accessibility by endoscopy or site-specific oral delivery systems. Our data demonstrate for the first time that adenoviruses have the potential to effectively deliver in vitro an NF-{kappa}B super-repressor into both transformed and primary IEC. However, the ability of Ad5I{kappa}B to infect IEC is more efficient in transformed than in primary IEC. This could be due to the heterogeneity of the cell populations isolated from our resected tissue, which contain a distribution of crypt to villous cells. Cells at various stage of differentiation express various levels of adenoviral receptor that potentially influence the infection susceptibility. The biggest remaining challenges for in vivo intestinal gene therapy are to overcome the natural antiviral defenses provided by the mucus barrier and the rapid turnover of intestinal epithelial cells.

Primary IEC spontaneously release high levels of IL-8 into the cell supernatant without exogenous stimulation, as previously shown by Yang et al. (42). This IL-8 production might originate from cell activation triggered during the isolation procedure. The inability of Ad5I{kappa}B to prevent this release could be explained by the fact that the super-repressor inhibits only new gene transcription. Therefore, any previous IL-8 mRNA transcripts present in the isolated cells before Ad5I{kappa}B infection will continue to be translated and released into the cell supernatant. The incomplete inhibition of IL-8 production in Ad5I{kappa}B-infected transformed IEC may be explained by a partial suppression of NF-{kappa}B activity and/or by release of IL-8 by the uninfected cells, which comprise ~20% of the total population. In addition, it is possible that transcription factors other than NF-{kappa}B participate in the induction of IL-8 in IEC. Nevertheless, we demonstrated that Ad5I{kappa}B significantly suppresses new IL-8 protein released by IL-1ß-stimulated IEC.

Another theoretical barrier to in vivo gene therapy with viral vectors is a local inflammatory response, as suggested by induction of cytokine expression (Fig. 6Go, C and D) following Ad5LacZ infection of IEC. An inflammatory response has been previously documented in the literature (36, 43). In accordance with these findings, we documented that Ad5LacZ infection leads to an up-regulation of the IL-8 gene in IEC. This effect was not seen when Ad5I{kappa}B was used to infect IEC. This suggests that any potential in vivo inflammation caused by recombinant adenovirus infection will be prevented or suppressed by the Ad5I{kappa}B encoding gene. The development of a new generation of adenoviral vector with less immunogenic properties combined with oral tolerance should eventually decrease this inflammation response.

It should be emphasized that overexpression of the nondegradable form of I{kappa}B will not only affect the phenotype of infected IEC but also would prevent the release of proinflammatory molecules that affect adjacent epithelial cells and lamina propria immune cells. Eckmann and Kagnoff have postulated that IEC are the sentinels that detect bacterial and parasite invasion and initiate the mucosal immune response (6, 7). We have reported that inhibition of NF-{kappa}B activation with different proteasome inhibitors totally suppresses TNF-{alpha}-mediated ICAM-1 gene expression in IEC (35). It is reasonable to speculate that inhibition of IL-8 secretion and ICAM-1 protein synthesis by epithelial cells could prevent neutrophil recruitment and transepithelial inflammatory cell migration (7, 44, 45). In addition, our data show that iNOS gene expression, which catalyzes the production of NO, is inhibited by AD5I{kappa}B. This supports a previous finding that emphasizes the critical role of NF-{kappa}B in iNOS gene expression (46).

NO concentration is increased in the mucosa of patients with inflammatory bowel diseases and may be implicated in the pathophysiology of these disorders (47). Therefore, inhibition of a wide variety of proinflammatory molecules by transfection of a nondegradable I{kappa}B{alpha} molecule illustrates the key role of NF-{kappa}B transcriptional regulation of the inflammatory response in IEC. In addition, IEC could theoretically be induced to secrete immunosuppressive molecules delivered by gene therapy. It remains to be seen if utilizing in vivo IEC as a factory for production of secreted immunosuppressive proteins (e.g. IL-4, IL-10, IL-RA, TGF-ß) or whether nondegradable I{kappa}B{alpha} expression will down-regulate experimental inflammation.

The altered I{kappa}B degradation in IEC and the striking difference in RelA nuclear staining pattern between IL-1ß-stimulated Caco-2 and HT-29 cells have been previously reported by us (15). In the present study, we demonstrate again strong nuclear RelA staining with a concomitant decrease in cytoplasmic immunoreactivity in IL-1ß-stimulated Caco-2 cells. In contrast, HT-29 cells shows only a modest RelA nuclear staining with no attenuation of cytoplasmic staining following IL-1ß stimulation. Despite the small amount of nuclear RelA, HT-29 cells secrete at least as much IL-8 as Caco-2 cells following IL-1ß stimulation, as demonstrated in Figure 6Go and our previous report (15). This suggests that there is no direct correlation between RelA nuclear translocation and amount of IL-8 production in HT-29 cells. The effect of Ad5I{kappa}B is then best appreciated in Caco-2-infected cells where more than 90% of the cells show a strong inhibition of RelA nuclear staining. Nevertheless, both cell lines show a strong inhibition of NF-{kappa}B binding activity and IL-8 gene expression after Ad5I{kappa}B infection, validating the biologic effects of the NF-{kappa}B super-repressor in different IEC with variable patterns of I{kappa}B degradation, possibly representing different stages of epithelial cell differentiation.

The constitutive presence of nuclear AP-1 binding activity and lack of significant enhanced AP-1 activity following IEC cytokine stimulation contrasts with the inducible feature of this pathway reported in many cell types (48). The oligonucleotide probe used to measure AP-1 DNA binding in our study is derived from the human collagenase promoter, a known inducible promoter (48). Wu et al. have reported that the IL-8 promoter region of Caco-2 cells constitutively exhibit AP-1 binding activity that is not up-regulated following IL-1ß stimulation (49). In addition, porcine aortic endothelial cells show constitutive AP-1 binding activity that is not up-regulated following LPS stimulation (36). It appears therefore that modulation of AP-1 binding activity is cell type specific and that IEC exhibit constitutive AP-1 binding activity, in contrast to the inducible nature of NF-{kappa}B DNA binding. The key role of NF-{kappa}B and the lack of a contribution of AP-1 in transcriptional regulation of IL-8 gene expression is documented by almost complete blockade of IL-8 secretion following highly selective trapping of NF-{kappa}B by Ad5I{kappa}B.

In summary, our results clearly demonstrate the anti-inflammatory properties of Ad5I{kappa}B in IEC and the pivotal role of NF-{kappa}B transcriptional regulation of a number of proinflammatory molecules following cytokine stimulation. These findings suggest a potential new therapeutic tool for intestinal gene therapy if an efficient in vivo administration protocol can be developed for the intestine.


    Acknowledgments
 
The authors thank Julie Mitchell for expert assistance in IL-8 quantification and Dr. Adérson Damião for primary intestinal epithelial cell isolation.


    Footnotes
 
1 This work was supported by National Institutes of Health Grants DK 47700, DK 34987, and GM-41804 Back

2 Address correspondence and reprint requests to Dr. R. Balfour Sartor, Division of Digestive Diseases and Nutrition, CB No. 7080, Burnett-Womack Bldg, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7080. Back

3 Abbreviations used in this paper: IEC, intestinal epithelial cells; I{kappa}B, inhibitor {kappa}B; Ad5, adenovirus type 5; LacZ, ß-galactosidase; EMSA, electrophoretic mobility shift assay; iNOS, inducible nitric oxide synthase; NO, nitric oxide; NGS, nonimmune goat serum; MOI, multiplicity of infection; ECL, enhanced chemiluminescence. Back

4 Y. Iimuro, T. Nishiura, C. Hellerbrand, K. Behrns, R. Shoonhoven, J. Grisham, and D. Brenner. NF-{kappa}B prevents apoptosis in liver disfuncton during liver regeneration. Submitted for publication. Back

Received for publication June 18, 1997. Accepted for publication September 15, 1997.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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