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*
Department of Molecular Biology,
First Department of Internal Medicine,
Department of Pathology, and
Second Department of Internal Medicine, Nagoya City University School of Medicine, Nagoya, Japan; and
¶
Choju Medical Institute, Fukushimura Hospital, Toyohashi, Japan
| Abstract |
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| Introduction |
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Local gastric ischemia lasting more than 30 min followed by reperfusion frequently causes gastric epithelial damage during the reperfusion period (11). Platelet activating factor (12, 13), acidosis (14) and free radicals (15, 16) have been reported to participate in mucosal injury induced by ischemia reperfusion (I/R). In our previous study, complement activation played an essential role in systemic shock following intestinal I/R (17). Results of the study suggested that complement was activated during I/R. We report here that expression of DAF is up-regulated on guinea pig (GP) gastric epithelial cells after gastric I/R injury. Furthermore, the up-regulation of DAF by I/R was abrogated in GPs with hypocomplementemia induced by cobra venom factor (CVF) treatment before I/R.
| Materials and Methods |
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Male Hartley GPs weighing 250300 g (Chubu Kagaku Shizai, Nagoya, Japan), were subjected to an overnight fast. After induction of anesthesia with pentobarbital sodium (30 mg/kg, i.p. administration), animals were placed on an electric heating pad in the supine position. Body temperature was maintained at 37°C throughout the experiment. Gastric ischemia was induced by clamping the left gastric and gastric epiploic arteries for 30 min. Before sacrifice, stomachs were removed at 0, 6, 12 and 24 h, and at 3 and 6 days after I/R, then washed with 0.9% NaCl.
In another series of experiments, GPs were divided into two groups: a group that was i.p. administered saline (-CVF group), and another that received 50 units of CVF that were i.p. injected 24 h before the experiment to deplete complement (+CVF group).
CVF
CVF was purified on DEAE cellulose from lyophilized cobra venom (Wako Pure Chemical Industries, Tokyo, Japan) and was further purified on a Mono Q column (Pharmacia Biotech, Tokyo, Japan) to remove phospholipase A. In GPs i.p. injected with 50 units of purified CVF, the complement activity as measured by the CH50 level had become undetectable by 24 h after injection.
Histology and immunohistochemistry
The stomach was cut open along the greater curvature, pinned out on a cardboard, and fixed with acetone at 4°C for 3 days. The presence and severity of mucosal epithelial injury was then evaluated by macroscopic and microscopic assessment. The area of macroscopic hemorrhage and erosion was assessed by planimetry (NIH image). The lesion index is the percentile of the lesion area to the total area of stomach. Two strips of tissue were removed from the most eroded part of the stomach of five animals at all time points and embedded in paraffin. Histological change was assessed on sections stained with hematoxylin and eosin.
Immunoreactivity was demonstrated with the streptavidin-biotin complex (sABC) method using a HISTFINE SAB-PO (M) kit (Nichirei, Tokyo, Japan). Paraffin sections were cut to a thickness of 3 µm, deparaffinized with xylene, and dehydrated with acetone. After washing with PBS, the sections were treated with 3% (v/v) hydrogen peroxide in a 1:10 dilution of nonimmune rabbit serum for 10 min to block nonspecific Ig binding sites. After blotting up the excess serum, incubation was conducted with a specific mAb for GP DAF (18) for 1 h at room temperature. Control sections were treated with PBS or nonimmune mouse IgG1 (Dako, Glostrup, Denmark). The sections were rinsed and incubated sequentially with biotin-labeled rabbit anti-mouse IgG Ab for 10 min. The sections were then washed with PBS, and incubation was performed with peroxidase-labeled streptavidin-biotin for 5 min. After the sections were washed with PBS, they were stained with 0.02% (w/v) 3,3' diaminobenzidine tetrahydrochloride (Sigma, St. Louis, MO) solution containing 0.003% (v/v) hydrogen peroxide and 10 mM sodium azide. The sections were then counterstained with hematoxylin solution, washed with PBS, dehydrated in graded concentrations of ethanol, and mounted on glass slides. DAF expression on epithelial cells was judged by a semiquantitative scoring system that included the number of positively stained epithelial cells as well as the staining intensity: 0 = no visible staining; 1 = moderate staining of a few cells with weak staining of surrounding cells; 2 = extensive staining of most cells in specific regions with weak staining of surrounding cells. Scoring was monitored by a second observer who had no knowledge of the experimental protocol.
RNA extraction and Northern blot analysis
Total RNA extracts were prepared from GP stomachs using the
TRIZOL system (Life Technologies, Tokyo, Japan). Polyadenylated RNA was
isolated as mRNA. Samples of mRNA (5 µg) were separated
electrophoretically on a 1% agarose gel containing 0.66 M
formaldehyde, and transferred to a hybond-N nylon membrane (Amersham
Japan, Tokyo, Japan). The membranes were baked for 2 h at 80°C.
An
0.9-kb PstI fragment of GP DAF cDNA corresponding to
the short consensus repeat (SCR) 1-SCR4 region was labeled with
[
-32P]dCTP using a Megaprime DNA labeling
system (Amersham Japan) and was used as a probe. Hybridization was
performed at 55°C in 1 M NaCl containing 50 mM Tris-HCl buffer (pH
8.0), 10 mM EDTA, 10x Denhardts solution, 1% salmon sperm DNA, and
0.1% SDS. Washing was performed at 65°C with 0.2x SSC and
0.1% SDS.
The densities of DAF and GAPDH mRNA signals were measured by scanning the bands of four replicate films (n = 4), using a Hewlett Packard Scanjet flatbed scanner (Palo Alto, CA). The bands were standardized with an internal control, GAPDH. Image densities were analyzed using Image Pro Plus image analysis software (Media Cybernetics, Silver Springs, MD). The DAF mRNA levels were standardized with GAPDH mRNA levels.
RT-PCR
The following oligonucleotides were synthesized and used as primers: P1, 5'-GACACTTACGAATATAG-3'; P2, 5'-TGGGAACAGACCTGATACCA-3'; P3, 5'-ATCAGGTCTGTTCCCAG-3'; and P4, 5'-CAGCTAGCCAATGATTA-3' (19). cDNAs were prepared from RNAs from stomachs using a cDNA Synthesis System (Amersham Japan). PCR amplification was performed at 95°C for 3 min, followed by 2030 cycles of 95°C for 0.5 min, 42°C for 0.5 min, and 72°C for 1 min, and then at 72°C for the final 5 min. The PCR products were analyzed on a 2% agarose gel or a 6% polyacrylamide gel.
In situ hybridization (ISH)
Samples of total RNA (15 µg) were separated
electrophoretically on a 1% agarose gel containing 0.66 M formaldehyde
and transferred to charged nylon membranes, which were then baked for
2 h at 80°C and treated with prehybridization buffer containing
5x SSC, 10x Denhardts solution, 10 mM
Na2HPO4 (pH 6.5), 0.5%
SDS, 0.1 mg/ml denatured salmon sperm DNA, and 50% deionized formamide
at 65°C for 4 h. An
570-bp fragment of GP DAF cRNA
corresponding to the SCR2-SCR4 region was labeled with digoxigenin. The
blotted RNAs were hybridized with the antisense and sense RNA probes (1
µg/ml) at 65°C for 16 h. After two washings with 2x SSC
containing 0.1% SDS for 15 min each, the membranes were visualized
using the alkaline phosphatase-conjugated anti-digoxigenin Ab and
the chemiluminescent detection method. The agarose gel was also stained
with ethidium bromide for detection of ribosomal RNA before the
transfer to the membrane.
For ISH, animals were anesthetized with pentobarbital and killed by transcardiac perfusion with PBS, followed by perfusion of 4% paraformaldehyde solution in 0.1 M phosphate buffer. Each stomach was divided into 5-mm-thick sections and postfixed with the same fixative for 5 h at 4°C, then dehydrated in an ascending series of ethanol and embedded in paraffin. Five-micrometer-thick sections were mounted on poly-L-lysine-coated glass slides and deparaffinized. Tissue sections were treated with proteinase K (10 µg/ml solution in 10 mM Tris-HCl (pH 8.0), and 1 mM EDTA) for 10 min at 37°C, and treated with 0.1 M triethanolamine-HCl (pH 8.0) buffer containing 0.25% acetic anhydride for 10 min at room temperature. Prehybridization, hybridization, and posthybridization were conducted as described by Matsukawa et al. (20) with minor modifications. For prehybridization, the specimens were incubated for 1 h at 50°C in a solution containing 50% formamide, 2x SSC, 25 mM DTT, 0.1% SDS, and 0.1 mg/ml salmon sperm DNA. Hybridization was performed for 18 h in a moist chamber at 50°C with 60 ng of antisense or sense riboprobe in a 150-µl hybridization solution. The nonhybridized probes were removed by two successive incubations at 55°C for 30 min with buffer containing 50% formamide, 10 mM Tris-HCl (pH 7.4), 1 mM EDTA, and 2x SSC, and treated at 37°C for 30 min with 20 µg/ml RNase A in a buffer containing 10 mM Tris-HCl (pH 7.4), 1 mM EDTA, and 0.5 M NaCl. For the detection of hybridization signals, the hybridized sections were treated with alkaline phosphatase-conjugated anti-digoxigenin Ab using high m.w. polyvinyl alcohol and subjected to the alkaline phosphatase indoxyl-nitroblue tetrazolium reaction. The specificity of the reaction was tested by incubation with the labeled sense probe, omission of the labeled anti-sense probe, and by competition between labeled and unlabeled antisense probes.
Data analysis
Dunnetts post hoc procedure and Fishers protected least significant difference were used to compare the mean values among the groups. All data are expressed as means ± SE. Significance was accepted at p < 0.05.
| Results |
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Lesion indices (see Materials and Methods section) at
0, 6, 12 and 24 h, and 3 and 6 days after I/R are shown in Fig. 1
. Mucosal damage was significant from
6 h to 3 days after I/R (p < 0.05), but,
at 6 days after I/R, no significant erosion remained. Significant
neutrophil infiltration was observed at around 6 h after I/R (Fig. 2
B) but was only slight at the
site of erosion at 0 h (Fig. 2
A), 24 h (Fig. 2
C), and 6 days (Fig. 2
D).
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Result of immunohistochemical staining performed with a mAb
against GP DAF is shown in Fig. 3
.
Although DAF immunoreactivity was consistently observed on mucosal
microvascular endothelial cells, only a minute amount of DAF
immunoreactivity was observed in normal GP gastric epithelial cells
(Fig. 3
A). But a strong immunoreactivity was observed
24 h after I/R, predominantly on the luminal surface of epithelial
cells (Fig. 3
C, indicated by arrows). Only a slight
immunoreactivity was detectable 6 days after I/R (Fig. 3
E).
No staining was observed at any time point with the control
nonimmune mouse IgG1 (Fig. 3
, B, D, and
F). Expression of DAF in GP gastric epithelial cells was
semiquantitatively scored into three grades and was statistically
analyzed. Although no significant change was observed until 6 h
after I/R, a significant increase in DAF expression was found at 12
and 24 h, and at 3 days (p < 0.05),
after which DAF expression decreased to less than significant levels
(Fig. 4
).
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Northern blot analysis with 0.9 kb GP DAF cDNA corresponding to
the SCR1-SCR4 region demonstrated two relatively broad bands of 2.4
to 2.5 kb and 1.6 to 1.8 kb. DAF mRNA was constitutively detected in
normal gastric mucosa, and the amount was significantly increased at
6 h, returning to a normal level at 24 h (Fig. 5
) (1 h, 149 ± 12% of control,
p < 0.05; 6 h, 228 ± 20%,
p < 0.001; 24 h, 105 ± 6%, NS).
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Gastric mucosal distribution of DAF mRNA
To determine the riboprobe specificity of the DAF mRNA to be used
in ISH, Northern blot analysis was performed using the alkaline
phosphatase-conjugated anti-digoxigenin Ab and chemiluminescent
detection. Two bands were detected with the antisense riboprobe (Fig. 7
), as in the case of Northern blot
analysis using 32P-labeled cDNA probe (Fig. 5
),
whereas no bands were detected with the sense riboprobe (data not
shown). Only a few signals specific for DAF mRNA were detectable in the
normal gastric mucosal cells (Fig. 8
A). A significant increase in
specific signals was detected at 6 h after I/R. Strong expression
was observed in the cytoplasm of the mucosal epithelial cells beneath
the area of erosion 6 h after I/R (Fig. 8
C). However,
only a few signals specific for DAF mRNA were detectable 24 h
after I/R (Fig. 8
E). A negative control with the sense probe
(Fig. 8
, B, D, and F) and another
without the anti-digoxigenin Ab (data not shown) showed no
reactivity.
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When GPs were i.p. injected with 50 units of purified CVF, serum
complement activity determined by the CH50 assay was found to have
decreased to less than detectable levels within 30 min, and this
condition lasted for at least 48 h (data not shown). When GPs were
i.p. injected with 50 units of purified CVF 24 h before I/R,
lesion indices were significantly reduced at 6, 12, or 24 h, or at
3 days after I/R (Fig. 9
A).
Expression of DAF in CVF-treated gastric epithelial cells was
significantly reduced at 12 h or 24 h, or at 3 days after the
I/R procedure (Fig. 9
B).
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| Discussion |
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DAF, which restricts complement activation on homologous cell membranes, is present on the apical side of human gastric epithelial cells (22). Similarly, in epithelial cells of the colonic mucosa, DAF is localized to the apical surface (10, 23, 24, 25), and DAF expression has been found to be enhanced in colonic epithelial cells of patients with ulcerative colitis (24, 25). Furthermore, expression of DAF on gastric epithelial cells is strongly enhanced in gastritis (22, 26).
To study the possible changes in DAF expression in gastric mucosa of experimental animals under pathological conditions, we used a mAb against GP DAF (18).
GP DAF was weakly detected on epithelial cells of normal gastric mucosa by immunohistochemical staining with mAb. However, the extent of staining was significantly increased after I/R. Since the stress of undergoing I/R increases local blood circulation and vascular permeability and may cause local bleeding, it is possible that inflammation may result in accidental exposure of epithelial cells to complement in the blood. Thus, increased expression of DAF on epithelial cells may protect them from complement-induced damage.
Significantly enhanced expression of DAF mRNA was observed 6 h
after I/R by Northern blotting (Fig. 5
), and this value corresponded to
increased level of DAF protein (Fig. 4
). However, the time lag between
the expression of the protein after the increased expression of mRNA
remains to be elucidated. DAF exhibits structural variability that is
species dependent. Human DAF has two isoforms generated by alternative
splicing; one is a GPI-anchored form and the other is a secreted form
that is produced in an amount that is one tenth that of the
GPI-anchored form (27). GP DAF exists as multiple isoforms
that are generated by alternative splicing and include GPI-anchored,
TM, and secreted forms with ST regions of various lengths
(19). In this paper, we analyzed the relative amounts of
the multiple isoforms of GP DAF using RT-PCR. These isoforms were
constitutively detected in normal GP gastric mucosa, although the
relative amounts of the various isoforms differed depending on the
length of the period after I/R. The GPI-anchored form was found to be
predominant in normal human intestinal tissue (28), and
our study indicates that the GPI-anchored form is also clearly
predominant in normal gastric mucosa of GPs. At 6 h after I/R,
however, it was the TM form that predominated. Although there may be
functional differences between GPI and TM forms of GP DAF, the length
of the ST region significantly affected its inhibitory effect
(28). In GPs, a longer ST region appears advantageous in
protection against C-mediated cytolysis. The ST-abc form, which has the
longest ST region, became relatively predominant after I/R (Fig. 6
). GP
polymorphonuclear cells and lymphocytes, cultured in RPMI 1640 (Nissui
Pharmaceuticals, Tokyo, Japan) containing 10% FBS (Atlanta
Biologicals, Atlanta, GA) for 6 h, expressed DAF largely in the TM
form (data not shown). This suggests that, since the TM forms on
leukocytes as well as on gastric mucosa are more sensitive to
stimulation than GPI-anchored forms, TM-isoform of DAF might play an
important role as an acute phase reactant at the site of inflammation.
The TM forms and longer ST forms may predominate when gastric injury
occurs. However, the biologic implication of preferential expression of
GPI and TM forms in gastric mucosa remains to be elucidated.
Localization of the cells that produce DAF mRNA was determined by ISH
using the digoxygenin method (29). DAF expression was
unclear in infiltrated neutrophils in the region surrounding the
erosion. However, at 6 h after I/R, strong DAF expression was
observed in the cytoplasm of cells beneath the eroded tissue (Fig. 8
C). The evidence corresponded to the results of Northern
blotting and RT-PCR.
A reduction in complement by administration of CVF inhibited shock
syndrome induced by intestinal I/R (17). Therefore, we
administered CVF before I/R to study the effect of complement in the
regulation of GP DAF. The CVF dose used (50 U/GP, i.p.) reduced CH50
values to undetectable levels without any noticeable change in gastric
mucosal histology (data not shown) or in the number of blood cells or
platelets 1224 h after injection (30). We failed to
demonstrate a change in C3 expression in gastric mucosa with
anti-GP C3 mAb due to the large amount of secreted C3 in the mucus,
which resulted in high background staining. However, CVF administration
resulted in a significantly smaller area of erosion after I/R (Fig. 9
A), and up-regulation of DAF expression was limited.
Therefore, up-regulation of gastric DAF may result from inflammatory
tissue reactions although the factors that stimulate epithelial cells
to up-regulate DAF expression remain to be identified.
| Acknowledgments |
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| Footnotes |
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2 Address correspondence and reprint requests to Dr. Hidechika Okada, Department of Molecular Biology, Nagoya City University School of Medicine, Mizuho-cho, Nagoya 467-8601, Japan. E-mail address: ![]()
3 Abbreviations used in this paper: DAF, decay-accelerating factor; GP, guinea pig; I/R, ischemia reperfusion; TM, transmembrane; CVF, cobra venom factor; ISH, in situ hybridization; SCR, short consensus repeat. ![]()
Received for publication July 20, 1999. Accepted for publication October 27, 1999.
| References |
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