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The Journal of Immunology, 1998, 161: 1007-1016.
Copyright © 1998 by The American Association of Immunologists

Respiratory Syncytial Virus-Induced RANTES Production from Human Bronchial Epithelial Cells Is Dependent on Nuclear Factor-{kappa}B Nuclear Binding and Is Inhibited by Adenovirus-Mediated Expression of Inhibitor of {kappa}B{alpha}1

L. H. Thomas*, J. S. Friedland2,*, M. Sharland{dagger} and S. Becker{ddagger}

* Department of Infectious Diseases, Imperial College School of Medicine (Hammersmith Campus), and {dagger} Pediatric Infectious Diseases Unit, St. George’s Hospital Medical School, London, United Kingdom; and {ddagger} Environmental Protection Agency, Chapel Hill, NC 27514


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Respiratory syncytial virus (RSV) infection is an important cause of lower respiratory tract illness, the severity of which may be partly due to cellular recruitment. RSV infection activates chemokine secretion from airway epithelial cells by largely unknown mechanisms. We investigated the regulation of RSV-induced activation of the chemokine RANTES in the bronchial epithelial cell line BEAS-2B and primary normal human tracheobronchial epithelial cultures. RANTES protein and mRNA were detected at 24 h and up until 72 h from cultures of BEAS-2B infected with replicating virus, but not with UV-inactivated RSV. RSV infection of BEAS-2B or normal human tracheobronchial epithelial cells stimulated NF-{kappa}B translocation to the nucleus and binding to the RANTES-specific {kappa}B-binding sequences within 2 h, with levels peaking at 24 h. Supershift assays indicated that binding was due to p50/p65 heterodimers. BEAS-2B cells were transfected with a replication-deficient adenoviral vector, expressing a mutated, nondegradable form of I{kappa}B{alpha}. I{kappa}B{alpha} overexpression specifically blocked NF-{kappa}B translocation and inhibited mRNA accumulation and secretion of RANTES induced by RSV or TNF-{alpha} plus IFN-{gamma}. Adenoviral transfection did not interfere with RSV replication or significantly induce apoptosis. Further, a control adenovirus, expressing the ß-galactosidase gene, did not alter cellular functions. Thus, NF-{kappa}B nuclear translocation is a critical step in RSV induction of RANTES secretion. Elucidating the mechanisms of cellular activation by RSV and targeting specific areas may lead to novel therapeutic approaches in the treatment of RSV.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Respiratory syncytial virus (RSV)3 infection is a major cause of bronchiolitis and pneumonia in infants and children, resulting in at least 91,000 hospital admissions each year in the U.S. (1, 2) and approximately 20,000 admissions annually in the United Kingdom (3). Infection rates may be as high as 60% in the first year of life (4). In addition, RSV is emerging as a significant contributor to illness in adult populations (5, 6). Further, RSV is a potential trigger of episodes of asthma and may predispose susceptible individuals to recurrent wheezing in later life (7, 8). RSV infection usually results in damage to small and medium-sized bronchioles. Bronchiolitis is partly due to virus-induced damage to epithelial tissue, but is also caused by inflammatory and immune cells recruited to the site of infection. Severe childhood illness is associated with development of an extensive inflammatory infiltrate in the lower airways, comprising neutrophils (9) together with T cells and eosinophils (10, 11). In established infection and human postmortem studies, T lymphocytes and monocytes are the predominate cell types (12). Logistic problems associated with sampling from children and neonates means that more detailed information on cellular influx has been studied in animal models of infection. RSV-infected BALB/c mice demonstrated a marked increase in T lymphocytes in bronchoalveolar lavage specimens, and CD8+ cells predominated over CD4+ cells (13). It has also been shown that a large virus-induced eosinophil influx into the lungs occurs in mice previously sensitized with the RSV G protein (14). However, the mechanisms controlling the influx of specific inflammatory cells remain poorly understood.

Chemokines are chemoattractant cytokines that appear critical in cellular recruitment to sites of RSV infection. The chemokine family is divided, on structural criteria, into two main groups (15, 16). The C-X-C chemokines, typified by IL-8, are mainly neutrophil and T cell chemoattractants, while C-C chemokines are involved in recruitment of monocytes, T lymphocytes, and eosinophils to areas of infection and inflammation (17, 18, 19). Human alveolar macrophages (20) and neutrophils (21) may secrete IL-8 following in vitro RSV infection. However, the respiratory epithelium is the primary target for viral infection, and epithelial cells have a pivotal role in initiation of cellular recruitment. RSV infection of human respiratory epithelial cell lines is known to induce transcription-dependent secretion of the C-X-C chemokine IL-8 (22, 23) and of the C-C chemokine RANTES, but not that of other C-C chemokines, monocyte chemotactic protein-1 or -3 or macrophage inflammatory protein-1ß (24). RANTES is a potent chemoattractant for CD4+ T cells of the memory phenotype, monocytes, basophils, and eosinophils (25, 26, 27). RANTES, but not IL-8, was detected in RSV-infected cultures of primary human respiratory epithelial cells (28), although both chemokines have been detected in clinical samples (24, 29). The mechanisms regulating the secretion of this chemokine in response to RSV are not well understood.

NF-{kappa}B is an important family of rel-related transcription factors that is necessary, although not sufficient, for transcription of many chemokine and other proinflammatory genes. NF-{kappa}B is retained in an inactive form in the cytoplasm through its association with the inhibitory protein I{kappa}B{alpha} (30). Following cellular stimulation, phosphorylation, then ubiquitination and subsequent proteolysis of I{kappa}B{alpha}, frees NF-{kappa}B to translocate to the nucleus, where it regulates transcription of responsive genes by interacting with {kappa}B binding sites (31, 32). There is a consensus binding site for NF-{kappa}B in the RANTES promoter at position -30 relative to the transcriptional start site (33). It has been shown that TNF and IL-1ß may up-regulate RANTES gene expression in respiratory epithelial cells (34, 35), and both these cytokines are known to activate NF-{kappa}B (36). There are currently no specific data concerning the mechanisms by which RSV is able to regulate RANTES gene expression in epithelial cells.

The purpose of this study, therefore, was to determine whether RSV activates RANTES secretion by up-regulating its transcription in respiratory epithelial cells. Further, we have specifically examined the involvement of the transcription factor NF-{kappa}B in RSV-induced RANTES expression. We found that active virus was required for RANTES gene expression and that this was preceded by specific translocation of the p65/p50 NF-{kappa}B heterodimer to the nucleus in both respiratory epithelial cell lines and primary cells. To demonstrate that such NF-{kappa}B activity was critical in the regulation of RANTES secretion, cells were transfected with an adenovirus that constitutively expresses a stable form of the inhibitory protein I{kappa}B{alpha}. The adenoviral I{kappa}B{alpha} vector did not significantly affect RSV replication, but did abolish RSV-induced nuclear translocation of NF-{kappa}B and consequent RANTES gene expression and secretion. Thus, RSV infection of human respiratory epithelial cells causes NF-{kappa}B trans-activation of the RANTES gene.


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

Keratinocyte growth medium and bronchial epithelial growth medium (BEGM) for cell culture were purchased from Clonetics (San Diego, CA), while medium 199-Eagle’s MEM was supplied by Life Technologies (Grand Island, NY). Trypsin (0.05%) with 0.02% EDTA was purchased from Biosciences (Lenexa, KS). The cytokines TNF-{alpha} and IFN-{gamma} were both purchased from R&D Systems (Minneapolis, MN). The protease inhibitors leupeptin, E64, chymostatin, pepstatin, antipain, bestatin, and Pefabloc were purchased from Boehringer Mannheim (Indianapolis, IN). Santa Cruz Biotechnology (Santa Cruz, CA) supplied rabbit polyclonal Abs to I{kappa}B{alpha}, p50, p65, c-Rel, and C/EBP-ß. FITC-labeled donkey anti-rabbit Ab was obtained from Jackson Laboratories (Beverly, MA). The reagents for RT-PCR were obtained as follows: Moloney murine leukemia virus reverse transcriptase was from Life Technologies (Gaithersburg, MD), dNTP was from Pharmacia (Pleasant Hill, CA), RNasin was from Promega (Madison, WI), and Taq polymerase was from Boehringer Mannheim. All other chemical reagents were purchased from Sigma (St. Louis, MO).

Cell culture

The human bronchial epithelial cell line BEAS-2B (37) was cultured in serum-free keratinocyte growth medium. The human alveolar epithelial cell line A549 (38) was maintained in RPMI containing 10% endotoxin-free FBS and 20 µg/ml gentamicin. Normal human tracheobronchial epithelial cells (NHBE) were obtained by brush biopsy during bronchoscopy of healthy volunteers. Briefly, a bronchoscopy cytologic brush (Bard, Tewksbury, MA) was inserted through the bronchoscope, and epithelial cells were removed by gentle brushing in the tracheobronchial region. The cells were removed from the brush by vigorous pipetting and were disaggregated in BEGM containing 3 mM DTT for 15 min. After washing in BEGM, cells were plated onto collagen-coated 16-mm diameter culture wells and grown to confluence. NHBE cells were used in the assays at passages 3 and 4. All cells were routinely cultured in 100-mm petri dishes. For experiments, the cells were detached using 0.05% trypsin with 0.02% EDTA and seeded at 2 x 105 cells/24-mm well in 12-well culture plates or at 3 x 106 cells/100-mm culture dish.

Preparation of RSV

Long strain RSV (American Type Culture Collection, Rockville, MD) was propagated in HEp-2 cell cultures according to methods described (39). Supernatants from these cells were harvested, and virus was precipitated with 50% polyethylene glycol. This precipitate was then dissolved in 50 mM Tris-HCl plus 1 mM EDTA and overlaid onto a discontinuous sucrose gradient of 60, 45, and 30% in Eagle’s MEM. After centrifugation for 90 min at 85,000 x g, virus was collected from the 30 to 45% interface, aliquoted, and stored at -80°C. Virus titer was measured by placing 10-fold dilutions of virus preparations onto 70% confluent layers of HEp-2 cells in 48-well plates. After 1 h, the virus-containing medium was replaced with 2 ml of overlay medium consisting of 1.2% methylcellulose and 2% FBS in DMEM. The plates were incubated for 4 days at 37°C, then fixed and stained with cresyl violet, and plaques were counted under a light microscope. The virus titer, expressed as plaque-forming units (PFU) per milliliter, was determined as the reciprocal of the dilution of virus causing one plaque per well. RSV preparations used for experiments contained 1.4 x 107 PFU/ml. For experiments examining the effects of noninfectious RSV (UV-RSV), virus preparations were UV-inactivated with 1800 mJ of UV light in a UV Stratalinker (Stratagene, La Jolla, CA).

RSV infection of epithelial cells

Cultures of BEAS-2B, A549, and NHBE were infected with RSV at a multiplicity of infection (MOI) of 0.3 PFU/cell. The virus was added to cells in the appropriate serum-free medium and allowed to adsorb for 1 h, after which the supernatant was removed and replaced with fresh medium. The cells were then incubated for up to 72 h. At specific time points, cell-free supernatants were collected for cytokine detection. The cells were either harvested into 4 M guanidine isothiocyanate for RNA isolation or lysed for cellular protein detection. Samples were stored at -80°C until further analysis.

Transfection of cells with adenoviral vectors

Recombinant replication-deficient adenovirus 5 (Ad5) containing mutated I{kappa}B{alpha} was constructed using the methods of Graham et al. (40) in the laboratory of Dr. D. Brenner (University of North Carolina, Chapel Hill) and provided through the Gene Therapy Core facility at University of North Carolina. In brief, plasmid pRc/CMV-I{kappa}B S32A/S36A (provided by Dr. J. Dinato, University of San Diego, San Diego), which contains a hemagglutinin-tagged human super-repressor of NF-{kappa}B, was subcloned into the XbaI site of the pACCMV.PLPASR(+) plasmid to construct the plasmid pACCMV/IÍB, in which I{kappa}B is driven by the CMV promoter/enhancer. The plasmid DNA was prepared by the alkaline lysis method and purified by CsCl-ethidium bromide density centrifugation. The recombinant Ad5-I{kappa}B{alpha} was then constructed by cotransfection of the 293 embryonic kidney cell line with the pACCMV/IÍB plasmid plus the purified fragment of ClaI-digested DNA from E1-deleted Ad5. The presence of mutant I{kappa}B{alpha} sequence packaged into recombinant Ad5 was confirmed by PCR and Western blotting. The I{kappa}B{alpha} gene was constructed such that the translated protein was mutated at positions 32 and 36 to replace serine in each case, thus preventing the normal sites for phosphorylation that signal subsequent degradation of I{kappa}B{alpha} (41). Ad5-I{kappa}B{alpha} was grown in 293 cells and purified by banding twice on CsCl gradients. Viral titer was determined by optical densitometry (particles per milliliter) and by plaque assay. Recombinant virus was then stored in 10% (v/v) glycerol at -20°C. Ad5-LacZ, which contains Escherichia coli, ß-galactosidase gene, was also grown and purified as described above and used as the control virus. The adenoviruses were added to epithelial cells at an MOI of 100 virus particles/cell and incubated for 1 h at 37°C. For experiments involving study of RSV infection, both the RSV and adenovirus vector were added to cell cultures simultaneously. In other experiments, the transfection medium was first removed and replaced with fresh medium. Cells were then stimulated with either TNF-{alpha} (10 ng/ml), IFN-{gamma} (10 ng/ml), or TNF-{alpha} and IFN-{gamma} together at the same concentrations.

Western blotting and SDS-PAGE electrophoresis

Expression of adenoviral vector proteins over 96 h was confirmed by Western blotting. For detection of I{kappa}B{alpha}, cells were lysed with ice-cold PBS containing 0.1% SDS, 0.1% Nonidet P-40, 0.5% deoxycholate, 10 mM NaF, 1 mM VaSO4, 170 µg/ml PMSF, and a mixture of protease inhibitors (leupeptin, E64, chymostatin, pepstatin, antipain, bestatin, and Pefabloc; all at 1 µg/ml). Lysates were harvested and centrifuged at 800 x g for 5 min at 4°C to pellet debris. Supernatant was removed, and an equal volume of loading buffer (containing 50 mM HEPES (pH 6.8), 10% glycerol, 5% ß-ME, 2% SDS, and bromophenol blue) was added. The samples were boiled for 5 min and then immediately frozen at -80°C. Protein were separated by SDS-PAGE, and transferred by electroblotting to a nitrocellulose membrane (0.45-µm pore size; Bio-Rad, Hercules, CA). Western blots were blocked with PBS containing 0.05% Tween-20 and 3% milk protein before being incubated at 4°C overnight with 1 µg/ml rabbit anti-human I{kappa}B{alpha}. After washing with PBS containing 0.05% Tween-20, the blot was incubated with peroxidase-conjugated goat anti-rabbit IgG, and bands were detected using enhanced chemiluminescence reagents and film according to the manufacturer’s instructions (Amersham, Arlington Heights, IL; DuPont-New England Nuclear, Wilmington, DE). Unstimulated HeLa cell extracts (New England BioLabs, Beverly, MA) were used as a positive control for wild-type I{kappa}B{alpha}.

Assessment of ß-galactosidase activity

In cells exposed to Ad5-LacZ, transfection was assessed by staining for ß-galactosidase activity. The cell monolayers were fixed in 5% glutaraldehyde, then incubated for 30 min at room temperature with X-Gal (5-bromo-4-chloro-3-indolyl ß-D-galactoside) (1 mg/ml) in PBS plus 5 mM KFe3(CN)6, 5 mM KFe4(CN)6, and 1 mM MgCl2. The monolayers were then washed, and the proportion of cells stained blue was determined by assessing the percent area positive for staining in 20 fields/well.

Assessment of cell viability and apoptosis

The effect of adenovirus transfection on cell viability was assessed by trypan blue exclusion of trypsinized cells. Numbers of viable cells from wells that had been transfected with adenovirus or left untreated for 48 h were stained with 0.4% trypan blue and counted in triplicate. For apoptosis measurements, cells were fixed with 4% paraformaldehyde for 10 min, then stained with Hoescht 33258 (1 µg/ml in PBS plus 0.1% Triton X-100). Cells were then viewed by fluorescence microscopy. Cells with large, round nuclei were designated healthy, while those with pyknotic nuclei and chromosomal fragmentation were counted as apoptotic.

Isolation of nuclear extracts and electromobility shift assays (EMSAs)

BEAS-2B and NHBE cells were plated into petri dishes and inoculated with 0.3 MOI of RSV. Dishes were processed after 0, 2, 8, 24, or 48 h. At each time point, nuclear extracts were prepared using a modified version of the protocol of Durand et al. (42), and protein levels were quantified spectrophotometrically at 590 nm using the Bradford assay system (43). Two micrograms of nuclear extract was added to 0.3 ng of 32P end-labeled double-stranded DNA probe in a binding buffer containing 10 mM Tris-HCl (pH 7.9), 50 mM NaCl, 0.25 mM EDTA, 1 mM DTT, 0.25 mg/ml BSA, 5 µg/ml poly(dI-dC), and 4% Ficoll. The probes used were those specific for the RANTES NF-{kappa}B site, (5'-TAGGGGATGCCCCTC-3') (33) and the consensus binding region for the Sp1 transcription factor (5'-ATTCGATCGGGGCGGGGCGAG-3'; Promega). Bound and free probes were separated by PAGE and visualized using the PhosphorImager system (Molecular Dynamics, Sunnyvale, CA). Competition assays were conducted by adding a 10-fold excess of unlabeled probe to the reaction or an unrelated probe specific for the binding region of the transcription factor activating protein-1 (AP-1; 5'-CGCTTGATGAGTCAGCCGGAA-3'; Promega). For supershift assays 1 µg of Abs to the NF-{kappa}B subunits p50, p65, and c-Rel or to the unrelated factor C/EBP-ß was added to the binding mix and incubated for 15 min at room temperature before running on an SDS-PAGE gel.

Fluorescence cell staining

BEAS-2B cell monolayers grown on glass coverslips in 12-well plates were treated with adenovirus vectors and stimulated with RSV (0.3 MOI) for 24 h. The cells were then fixed with 70% ice-cold acetone/30% methanol for 10 min. After rinsing with physiologic saline containing 20% human serum albumin (Sa-HSA), rabbit Abs to NF-{kappa}B p65 (2 µg/ml) and I{kappa}B{alpha} (1 µg/ml) in Sa-HSA were added for 60 min at room temperature. The wells were rinsed five times with Sa-HSA, and then FITC-donkey anti-rabbit Ab was added for 30 min. Coverslips were rinsed and mounted, and the image of fluorescently labeled cells was captured by a Zeiss CCD camera system (New York, NY).

RNA isolation and RT-PCR

RNA was harvested from cells using 4 M guanidine isothiocyanate, then purified as described previously (44, 45). cDNA was then generated by reverse transcribing 0.1 µg of RNA with 10 U/µl reverse transcriptase, 0.5 mM dNTP, 1 U/µl, 0.5 mM spermidine, and 5 mM random hexamers in a reaction buffer consisting of 10 mM Tris-HCl (pH 9.3), 50 mM KCl, 3 mM MgCl2, and 0.1 mg/ml BSA. PCR amplification was performed on 2 ml of cDNA using 0.025 U/µl Taq polymerase, 0.05 mM dNTP, and 0.1 to 0.2 pM RANTES primer pairs (sense, GCTGTCATCCTCATTGCTAC; antisense, TCCATCCTAGCTCATCTCCA) in the reaction buffer. The PCR was initiated by a single cycle of 1 min at 94°C, 1.5 min at 56°C, and 2 min at 72°C, followed by cycles in which the denaturation step was reduced to 30 s. The identity of PCR sequences was confirmed by sequencing and Northern blotting with a probe for an internal DNA sequence. Standardization of cDNA was achieved using primer pairs for GAPDH in the reaction. Ten microliters of PCR product from cycles 28 and 31 to 34 was run out on 2% agarose, and the gels were stained with ethidium bromide (5 µg/ml). DNA was visualized under UV light and photographed with type 55 positive/negative film (Polaroid, Cambridge, MA).

Cytokine assay

RANTES concentrations in supernatants were measured by specific ELISAs. ELISA kits for RANTES were obtained from R&D Systems, and the manufacturer’s instructions were followed. The lower limit of sensitivity of the assay was 8 to 15 pg/ml.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Kinetics of RANTES expression and secretion

BEAS-2B cells were infected with 0.3 MOI RSV, UV-inactivated RSV, or control medium and incubated for 72 h at 37°C. Tissue culture supernatants and RNA extracts were harvested at specific time points. RANTES protein was detectable in supernatants of RSV-infected cells after 24 h, and concentrations continued to increase up to 72 h in these cells (Fig. 1GoA). RT-PCR analysis of cellular mRNA demonstrated that message for RANTES was just detectable at 8 h, was clearly expressed by 24 h, and increased up to 72 h (Fig. 1GoB). No RANTES expression or secretion was observed in cells stimulated by medium alone or by UV-inactivated virus, which confirmed our previous observation that activation of this chemokine is dependent upon active virus replication within cells (24). In view of findings that MIP-1{alpha} plays a key role in the inflammatory response to influenza in mice (46), we also measured secreted MIP-1{alpha} levels; however, RSV caused only small amounts (<100 pg/ml) to be released (data not shown). Further, we did not detect any mRNA or protein for eotaxin, another potent eosinophil attractant of the ß-chemokine family with homology to RANTES (data not shown).



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FIGURE 1. Kinetics of RSV-induced RANTES gene expression and secretion from BEAS-2B cells. A, BEAS-2B cells were infected with either RSV or UV-inactivated RSV or were cultured with medium alone. Supernatants from the cells were harvested at 24, 48, and 72 h, and RANTES was measured by ELISA. Results are the mean ± SEM of three separate experiments. B, RANTES mRNA extracted at specific time points and amplified by RT-PCR in BEAS-2B cells infected with RSV or UV-RSV or exposed to control medium. cDNA was run out on a 2% agarose gel and visualized with ethidium bromide. GAPDH gene expression was used as a control.

 
Activation of NF-{kappa}B in RSV-infected cells

To further elucidate the mechanisms underlying RSV-induced RANTES gene activation, the binding of NF-{kappa}B to the RANTES NF-{kappa}B sequence following epithelial cell stimulation by RSV was examined. Nuclear proteins were extracted from BEAS-2B and NHBE cells at 0, 2, 8, 24, and 48 h post-RSV or UV-RSV infection before performing EMSAs (Fig. 2Go). Extracts from both BEAS-2B (Fig. 2GoA) and NHBE (Fig. 2GoB) showed clear NF-{kappa}B binding, which was detectable after 2 h, peaked at 24 h, and was still apparent after 48 h. This time course of activation is temporally coincident with the gene expression and secretion of RANTES from RSV-infected cells. Addition of an excess of cold probe specific for the RANTES NF-{kappa}B site blocked binding to the labeled probe, whereas excess cold oligonucleotide specific for the AP-1 binding site had no effect, thus verifying the specificity of the binding reaction. BEAS-2B extracts were also run on EMSA and probed with an oligonucleotide specific for the binding sequence for Sp-1 to demonstrate extract loading, since it has been found that RSV does not up-regulate Sp-1 binding, nor is Sp-1 is present in the RANTES promoter (33). As predicted, no change in the binding patterns was observed following exposure to RSV or control stimuli (Fig. 2GoC). Supershift assays on extracts taken 24 h after RSV infection revealed that the NF-{kappa}B binding activity involved both the p50 and p65 subunits, but not c-Rel (Fig. 3Go). In addition, the irrelevant Ab C/EBP-ß did not affect NF-{kappa}B binding. Identical shifting patterns were observed in the BEAS-2B cell line and in primary NHBE cells, indicating that both cell types exhibit similar responses to RSV.



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FIGURE 2. Effect of RSV infection on NF-{kappa}B nuclear binding activity to the RANTES gene. Nuclear extracts from BEAS-2B (A) and NHBE (B) were added to labeled, double-stranded oligonucleotide sequence for the RANTES NF-{kappa}B binding site and run out on 5% polyacrylamide gels as described in Materials and Methods. In lane 13, nuclear extract taken from RSV-infected cells at 24 h was run out with labeled probe in the presence of a 10-fold excess of unlabeled probe. In lane 14, the same competition experiment was performed using a 10-fold excess of an oligonucleotide probe specific for the sequence of the AP-1 binding site. These experiments (two righthand lanes) demonstrate the specificity of NF-{kappa}B binding. C shows nuclear extracts from BEAS-2B cells binding to the sequence for the irrelevant Sp-1 site, which demonstrates equal protein loading between samples.

 


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FIGURE 3. Supershift analysis to investigate the specific subunits involved in RSV-stimulated NF-{kappa}B binding activity in the nucleus of respiratory epithelial cells. The nuclear extract taken from BEAS-2B cells (A) or NHBE cells (B) at 24 h post-RSV infection was incubated with Abs to the p50, p65, or c-Rel subunits of NF-{kappa}B or with anti-C/EBP-ß for 15 min, and evidence of supershifting bands was visualized by EMSA.

 
Transfection of epithelial cells using adenovirus vectors

To determine the importance of NF-{kappa}B translocation to the nucleus in RSV-induced RANTES production, replication-deficient Ad5 vectors were used to introduce the gene and overexpress the protein for I{kappa}B{alpha}. BEAS-2B cells transfected with the adenoviruses were cultured for up to 96 h to investigate the kinetics of I{kappa}B{alpha} protein synthesis and the stability of transfections. Cell lysates were obtained from Ad5-I{kappa}B{alpha}-transfected cells, and equal amounts of cellular protein run in Western blots to detect I{kappa}B{alpha} (Fig. 4GoA). Substantial levels of the adenoviral I{kappa}B{alpha} were present 24 h after introduction of the virus, and levels diminished slightly but nonetheless persisted throughout the 96-h period examined. Levels of endogenous I{kappa}B{alpha} did increase over the time period examined; however, expression of the adenoviral I{kappa}B{alpha} markedly exceeded that of the endogenous protein present in either untreated or transfected cells. In parallel to these experiments cells transfected with Ad5-LacZ were fixed at each time point and stained for ß-galactosidase activity using the substrate X-Gal. Again, protein production was evident at 24 h and was maintained through 96 h (Fig. 4GoB). No staining was observed in untreated cells. All future experiments with the adenoviruses were performed at either the 24 or 48 h points, when transfection was both effective and stable, and endogenous I{kappa}B{alpha} activation was minimal.



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FIGURE 4. Stability of transfection of BEAS-2B cells with adenoviruses. A, BEAS-2B cells were transfected with Ad5-I{kappa}B{alpha} and cultured for 24, 48, 72, or 96 h, and then cytoplasmic proteins were extracted and separated by PAGE. Western blotting was used to detect I{kappa}B{alpha} protein. Lane 1, Positive control (HeLa cell extract); lanes 2, 4, 6, and 8, untransfected cells at 24, 48, 72, and 96 h, respectively; lanes 3, 5, 7, and 9, Ad5-I{kappa}B{alpha}-transfected cells at the same time points. The Ad5-I{kappa}B{alpha} appears as a heavier molecule than endogenous protein due to the addition of an hemagglutinin tag. B, Stability of transfections with the control adenovirus Ad5-LacZ was assessed by staining for ß-galactosidase activity. The table shows the mean percent area positive for staining in 20 fields for each time point. Untransfected cells did not show any blue coloration when incubated with X-Gal.

 
Effect of adenovirus vectors on RSV replication

It was a concern that although the adenoviruses themselves were unable to replicate, they might interfere with the infection and replication of RSV within epithelial cells, a prerequisite for RANTES secretion. Further I{kappa}B{alpha} overexpression itself had the potential to alter viral replication. The effects of Ad5-I{kappa}B{alpha} and Ad5-LacZ on RSV replication were therefore investigated by measuring virus titer in supernatants collected 48 h after simultaneous RSV infection and adenovirus transfection of BEAS-2B cells. Supernatants were placed onto HEp-2 cell layers and overlaid with methylcellulose, and the number of plaque-forming units was assessed after 4 days. There was a slight, but insignificant, decrease in infectious RSV titer in samples from adenovirus-treated cells (Fig. 5Go). There was no difference in viral titers obtained from Ad5-I{kappa}B{alpha} vs Ad5-LacZ cell supernatants (Ad5-I{kappa}B{alpha} titer = 0.52 ± 0.10 x 106; Ad5-LacZ titer = 0.59 ± 0.17 x 106). These data show that RSV replication is NF-{kappa}B independent.



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FIGURE 5. Effect of adenovirus transfections on RSV infection and replication. BEAS-2B cells were transfected with adenovirus and infected with RSV, then cultured for 48 h. Cell-free supernatants were then harvested and snap-frozen. RSV in the supernatants was titrated on a HEp-2 cell plaque assay and expressed as plaque-forming units per milliliter. Results are expressed as the mean ± SEM from three separate experiments.

 
Effect of adenovirus vectors on cell viability and apoptosis

To ensure that adenovirus transfection was in no way toxic to cells, transfected BEAS-2B cells were assessed alongside control cells for viability and apoptosis (see Table IGo). These experiments showed that although adenovirus transfection itself caused a slight decrease in the viability of BEAS-2B cells, there was no appreciable difference between those cells transfected with Ad5-I{kappa}B{alpha} and those transfected with Ad5-LacZ. Similarly, apoptosis was slightly increased in transfected cells vs controls, but no difference was seen between Ad5-I{kappa}B{alpha}- and Ad5-LacZ-transfected cells. Further, these experiments, which were performed 48 h post-transfection, showed that under any of these conditions, <10% of BEAS-2B cells exhibited signs of apoptosis. Further, these experiments showed that <3% of NHBE cells became apoptotic under any condition (data not shown). Thus, Ad5-I{kappa}B{alpha} does not appear to have any significant effect on cell viability or apoptosis; therefore, apoptosis cannot account for changes in cell responses due to I{kappa}B{alpha}.


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Table I. The effect of adenovirus vectors on cell viability and apoptosis1

 
Effect of I{kappa}B{alpha} overexpression on NF-{kappa}B activity

Having established the efficacy of adenoviral transfection for these studies, the functional effect of I{kappa}B{alpha} overexpression on NF-{kappa}B translocation was then confirmed by both EMSA and fluorescent cell staining. For EMSAs, nuclear proteins were harvested from BEAS-2B cells exposed to adenovirus and infected with RSV. Extracts were obtained 24 and 48 h following RSV addition. RSV induced NF-{kappa}B binding activity at both 24 and 48 h in nontransfected cells, and this was essentially unchanged in cells infected with Ad5-LacZ, but was totally absent in cells transfected with Ad5- I{kappa}B{alpha} (Fig. 6Go). Using direct immunofluorescence, it was confirmed that Ad5-I{kappa}B{alpha} prevented translocation of NF-{kappa}B from the cytoplasm to the nucleus (Fig. 7Go). In unstimulated, Ad5-LacZ-transfected cells there was even cytoplasmic distribution of NF-{kappa}B which, after RSV infection, was redistributed to and around the nucleus. Cells that were transfected with Ad5-I{kappa}B{alpha} displayed intense staining for I{kappa}B{alpha} throughout the cytoplasm. However, NF-{kappa}B initially localized to the cytoplasm in these cells did not translocate to the nucleus following RSV infection. Thus, the vector-expressed I{kappa}B{alpha} functions in an identical manner to endogenously synthesized protein. Further, the lack of effect of Ad5-LacZ indicates that the addition of adenovirus vectors per se does not activate the cells.



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FIGURE 6. The effect of adenovirus vectors on RSV-induced NF-{kappa}B binding to the RANTES promoter. BEAS-2B cells were transfected with either Ad5-I{kappa}B{alpha} or Ad5-LacZ and infected with RSV. Nuclear extracts were harvested at 24 h (lanes 1–6) and 48 h (lanes 7–12), and EMSAs were performed ut as described. The NF-{kappa}B-specific band was inhibited by Ad5-I{kappa}B{alpha}, but not by Ad5-LacZ.

 


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FIGURE 7. Fluorescent staining of adenovirus-transfected BEAS-2B cells. BEAS-2B were transfected with adenovirus, then stimulated 24 h later with RSV. After 1 h, cells were fixed, then Abs to I{kappa}B{alpha} (A and D) or NF-{kappa}B p65 (B, C, E, andF) were added. Bound Ab was labeled using FITC-donkey anti-rabbit Ab, and fluorescent cells were visualized. A, B, and C show cells containing Ad5-LacZ, while D, E, and F are Ad5-I{kappa}B{alpha}-transfected cells. There is only weak staining for I{kappa}B{alpha} in Ad5-LacZ-transfected cells (A), but intense cytoplasmic staining occurs when Ad5-I{kappa}B{alpha} is present (D). NF-{kappa}B is distributed evenly within the cytoplasm in all unstimulated cells (B andE); however, NF-{kappa}B is translocated to the nucleus in RSV-infected Ad5-LacZ cells (C), but not in cells expressing I{kappa}B{alpha} (F).

 
Effect of I{kappa}B{alpha} overexpression on RANTES gene expression and secretion

To assess the effect of transfection with Ad5-I{kappa}B{alpha} on RANTES gene expression and secretion, BEAS-2B and NHBE cells, transfected with either Ad5-I{kappa}B{alpha} or Ad5-LacZ, were infected with RSV or stimulated with TNF-{alpha} plus IFN-{gamma} (10 ng/ml each). Cells were then cultured for 48 h before supernatants and RNA were harvested. Similar experiments were performed using the A549 cell line, which is alveolar in origin and frequently used in experimental models of RSV infection. The Ad5 vectors themselves did not cause any cell type to secrete appreciable levels of RANTES into tissue culture medium (Fig. 8Go, A–C, lefthand bars). The vectors also did not stimulate any IL-8 secretion (data not shown). However, RSV-induced RANTES protein production was drastically decreased by overexpression of I{kappa}B{alpha}. It was not significantly affected in cells containing Ad5-LacZ. These results were consistently found in experiments using BEAS-2B cells (Fig. 8GoA), NHBE cells (Fig. 8GoB), or A549 cells (Fig. 8GoC). Similarly, RANTES secretion in response to stimulation of epithelial cells with TNF-{alpha} plus IFN-{gamma} was ablated by Ad5-I{kappa}B{alpha}, but not Ad5-LacZ, in all cell types. Interestingly, neither TNF-{alpha} nor IFN-{gamma} alone was able to induce epithelial cells to secrete RANTES. This specific inhibitory effect of Ad5-I{kappa}B{alpha} was also seen on RANTES mRNA levels in BEAS-2B, NHBE, and A549 cells (Fig. 9Go), indicating that inhibition of NF-{kappa}B by overexpression of I{kappa}B{alpha} activity directly decreases transcription of this chemokine gene in RSV-infected human airway epithelial cells.



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FIGURE 8. Effects of adenovirus vectors on RANTES secretion. Supernatants were collected from untreated cells (open bars), Ad5-I{kappa}B{alpha}-transfected cells (hatched bars), or Ad5-LacZ-transfected cells (solid bars) after 48 h of culture either unstimulated or following post-RSV infection or TNF-{alpha} and IFN-{gamma} stimulation at a final concentration of 10 ng/ml, and analyzed for RANTES protein content. Graph A shows data for experiments involving BEAS-2B cells, graph B shows data for experiments using NHBE cells, and graph C shows data for experiments with A549 cells. Results are expressed as the mean ± SEM of at least three independent experiments. Note the different scales on the vertical axes.

 


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FIGURE 9. Effects of adenovirus vectors on expression of RANTES mRNA. RNA was isolated from control, Ad5-I{kappa}B{alpha}-transfected, or Ad5-LacZ-transfected cells after 48-h culture either unstimulated or following RSV infection or TNF-{alpha} plus IFN-{gamma} stimulation (10 ng/ml each). cDNA was then prepared by RT, amplified by PCR, and run out on 2% agarose gels. Levels of RANTES message were visualized with ethidium bromide and compared with GAPDH as a control. A shows data from experiments with BEAS-2B cells, B shows data from experiments with NHBE cells, and C shows data from experiments with A549 cells.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this study we have demonstrated that RSV-induced RANTES gene activation is critically dependent on both viral replication and NF-{kappa}B nuclear binding. Such gene expression was abolished by overexpression of I{kappa}B{alpha} following transfection with an adenoviral vector. Trans-activation of NF-{kappa}B did not occur in respiratory epithelial cells exposed to UV-inactivated RSV. NF-{kappa}B translocation to the nucleus was necessary for the large induction of RANTES gene activity in both primary cells and the BEAS-2B cell line. In RSV infection, RANTES secretion begins by approximately 24 h and increases over the next 48 h, a time course consistent with both the delayed onset of proinflammatory symptoms in infants (47) and the presence of RANTES in clinical specimens (24). Such a delay may indicate that transcription factors in addition to NF-{kappa}B may be involved in activation of the RANTES gene. The levels of RANTES measured within supernatants in this study are broadly similar to those found in a comparable study of human epithelial cells by Saito et al. (30).

NF-{kappa}B is a family of rel-related transcription factors, comprising dimers of at least five different subunits in various combinations, that have varied stimulatory and inhibitory effects on the promoter regions of different genes (48). Thus, binding of specific family members is an additional mechanism giving specificity to proinflammatory gene activation. Supershift assays performed in the present study have demonstrated that the binding of BEAS and NHBE nuclear extracts to the {kappa}B-binding site in the RANTES promoter was attributable to both p50 and p65 (RelA) subunits. This is similar to the pattern seen in RANTES production from an activated T cell line in which both p50/p65 heterodimers and p50/p50 homodimers are reported to bind {kappa}B sequences (49). In addition, heterodimers of p50 and p65 as well as homodimers of p50 have been reported to be trans-activated following IL-1ß stimulation of RANTES in human bronchial epithelial cells (50). RelA binding was also shown to be involved in RSV-induced IL-8 secretion from A549 cells (51). c-rel which, in association with p65, is important in switching on several inducible proinflammatory genes, such as that of granulocyte-macrophage CSF (52), was not supershifted in our experiments.

The data we obtained with cells overexpressing a nondegradable mutant of I{kappa}B{alpha} provides evidence for the central role of NF-{kappa}B in the regulation of RANTES secretion in RSV-infected respiratory epithelial cells. These studies also demonstrate that NF-{kappa}B itself is not necessary for RSV replication within epithelial cells. Under resting physiologic conditions, cytosolic NF-{kappa}B is prevented from entering the nucleus because it is bound to endogenous I{kappa}B{alpha} in the cytoplasm (53, 54). Appropriate stimuli cause site-specific phosphorylation of I{kappa}B{alpha} and subsequently its proteolysis, thereby freeing NF-{kappa}B to translocate to the nucleus. However, the gene for the protein expressed by Ad5-I{kappa}B{alpha} has been specifically mutated to replace serines 32 and 36, thus preventing the normal phosphorylation of I{kappa}B{alpha} (41). The high levels of the adenoviral protein expressed ensured that NF-{kappa}B remained bound in the cytoplasm (Fig. 7Go). Ad5-I{kappa}B{alpha} vectors, whose use as transfection agents has only previously been reported in studies of endothelial cell activation (55), have a number of advantages over other approaches in the investigation of NF-{kappa}B function. Pharmacologic inhibitors of NF-{kappa}B activity (56), such as antioxidants like pyrrolidine dithiocarbamate, are relatively nonspecific, exhibiting actions on other transcription factors (57), and do not directly block NF-{kappa}B activation. Oligonucleotides have also been used to compete with endogenous {kappa}B sites for NF-{kappa}B binding, but large concentrations were required to achieve this (58). Transfections via electroporation have also been employed to overexpress I{kappa}B{alpha} (59), but these have a much lower transfection efficiency than that using adenoviruses, with which transfection routinely occurs in approximately 70% of all cells in our experiments. In addition, it has been shown that neither Ad5-LacZ nor wild-type Ad5 cause any IL-6 or IL-8 secretion from human epithelial cells (60), and we, too, found no induction of IL-8 or RANTES by the vectors themselves. Although NF-{kappa}B has been found to inhibit apoptosis in some cells (61, 62), we found no significant increases in apoptotic activity or cell death with Ad5-I{kappa}B{alpha} transfection vs Ad5-LacZ or controls. Thus, these vectors represent an excellent mechanism by which specific intracellular pathways may be manipulated.

Transfection of epithelial cells with the Ad5-I{kappa}B{alpha} vector caused RSV-induced RANTES gene expression and secretion to be markedly reduced. This effect was observed in NHBE cells as well as in both BEAS-2B and A549 cell lines, suggesting that it is of fundamental importance in the immune response of respiratory epithelial cells to RSV. Similar data were obtained when epithelial cells were stimulated with TNF-{alpha} and IFN-{gamma} together, but TNF-{alpha} alone was not able to induce RANTES secretion. Since TNF-{alpha} alone is a potent inducer of NF-{kappa}B (63, 64), this is evidence that NF-{kappa}B is necessary, but not sufficient, for RANTES gene activation, and that other, as yet unidentified, factors also play roles. The fact that Ad5-I{kappa}B{alpha} vector transfection did not completely abolish RSV-dependent RANTES secretion is supportive of additional transcription factors being involved in the regulation of this chemokine gene by RSV. Indeed the regulation of RANTES expression is known to be complex and tissue specific. For example, distinct transcription factors differentially regulate early and late RANTES expression in T lymphocytes (65). There are also multiple binding sites for other transcription factors, including AP-1, AP-3, and Common Factor-1 (CF-1), in the RANTES promoter (33). In addition, it is apparent from studies in T lymphocytes that not only may distinct binding sites for transcriptional regulators be important, but also that novel regulatory proteins may bind to known {kappa}B-like sequences (49, 65). Further, it is evident that direct interactions between transcription factors may provide an additional level of gene regulation. We are therefore currently investigating the roles of other transcription factors in RANTES-specific gene activation.

In contrast to our findings with RANTES, NF-{kappa}B-dependent activation of the IL-8 gene has been demonstrated upon stimulation of airway epithelial cells with both live and UV-inactivated RSV, suggesting differential regulation of the two chemokines (22, 51, 66). In A549 cells, IL-8 gene activation appeared to occur in a biphasic manner. A rapid, but transient, burst of IL-8 production, which is independent of viral replication (67), is followed by a more delayed, replication-dependent phase of IL-8 secretion (68). Also, in vivo studies have detected an early peak of IL-8 secretion in nasal lavage samples, followed by a gradual increase in both IL-8 and RANTES protein in RSV-infected adults (69). mRNA for RANTES, but not for IL-8, was increased in epithelial cells taken at this later time point, indicating that the epithelium is probably not the main source of the late phase IL-8 in this infection (T. L. Noah, F. W. Henderson, I. A. Wortman, J. Carson and S. Becker, unpublished observations). Further, NF-IL-6 appears to be critical in the early activation of the respiratory epithelial cell IL-8 gene in response to RSV (66, 67), but there are no data indicating that binding of this transcription factor to the RANTES promoter region is necessary for gene expression, supporting the idea that RANTES and IL-8 are in part regulated by distinct mechanisms.

The fact that inhibition of NF-{kappa}B translocation by Ad5-I{kappa}B{alpha} was so effective at blocking the accumulation of RANTES mRNA and secretion of protein by RSV not only demonstrates that NF-{kappa}B is critical for the activation of RANTES by RSV, but opens up possible novel therapeutic approaches. Given the problems associated with the development of a suitable vaccine against RSV, alternative effective treatments are certainly needed for RSV infections, which can cause severe illness in both infants and immunocompromised individuals. Although NF-{kappa}B itself, which influences a wide range of cellular functions, does not seem to be a suitable target, more specific inhibitors of C-C chemokine activation, delivered locally to the site of excessive inflammation in patients with RSV, have the potential to dampen down-recruitment of inflammatory cells to areas of infection. For more specific target sites to be found, a greater understanding of the mechanisms by which the different transcription factors specifically interact to control activation of the RANTES promoter in RSV infection is required.


    Acknowledgments
 
We thank William Reed for help and advice, and Joleen Soukup and Jacqueline Quay for their excellent technical expertise.


    Footnotes
 
1 This work was supported by Action Research (U.K.; to L.H.T., M.S., and J.S.F.). The research described in this article has been supported by the U.S. Environmental Protection Agency. It has been subjected to Agency review and has been approved for publication. Approval does not necessarily reflect the views of the Agency and no official endorsement should be inferred. Mention of trade names and commercial products does not constitute endorsement or recommendation for use. Back

2 Address correspondence and reprint requests to Dr. J. S. Friedland, Department of Infectious Diseases, Imperial College School of Medicine (Hammersmith Campus), Du Cane Rd., London, United Kingdom W12 0NN. E-mail address: Back

3 Abbreviations used in this paper: RSV, respiratory syncytial virus; I{kappa}B, inhibitor of {kappa}B; BEGM, bronchial epithelial growth medium; NHBE, normal human tracheobronchial epithelial; PFU, plaque-forming units; MOI, multiplicity of infection; Ad5, adenovirus type 5; EMSA, electrophoretic mobility shift assay; AP-1, activating protein-1; Sa-HSA, physiologic saline containing 20% human serum albumin; GAPDH, glyceraldehyde-6-phosphate dehydrogenase; X-Gal, 5-bromo-4-chloro-3-indolyl ß-D galactoside. Back

Received for publication October 22, 1997. Accepted for publication March 24, 1998.


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