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Department of Pediatrics, Division of Newborn Medicine, Tufts University (C.E.L.D., S.M.R., D.D.M., L.D.P., H.C.N.), Boston, Massachusetts 02111; and Department of Cell Biology, Harvard Medical School, Division of Signal Transduction, Beth Israel Deaconess Medical Center (C.E.L.D.), Boston, Massachusetts 02215
Address all correspondence and requests for reprints to: Christiane E. L. Dammann, M.D., Department of Pediatrics, Division of Newborn Medicine, Tufts University, Boston, Massachusetts 02111. E-mail: cdammann{at}lifespan.org
| Abstract |
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| Introduction |
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The onset of surfactant synthesis is regulated by fibroblast-type II cell communication (9, 10, 11, 12, 13, 14, 15). The fetal lung fibroblast produces a differentiation factor, which stimulates the type II cell to mature and produce surfactant (16). This process of lung cell maturation is known to be influenced by many hormones and growth factors (9).
Epidermal growth factor (EGF) is a potent mitogen that stimulates cell proliferation and cell differentiation (17, 18, 19). EGF promotes fetal lung type II cell maturation by advancing fibroblast-type II cell communication through specific stages of development (20). EGF causes stimulation of type II cell disaturated phosphatidylcholine (DSPC) synthesis and surfactant protein A and C (SP-A, SP-C) expression (12, 21). EGF receptor (EGF-R) activity peaks in fetal lung fibroblasts at the gestation corresponding to the onset of fibroblast-type II cell communication that stimulates fetal lung surfactant synthesis. This peak in EGF-R activity occurs later in gestation in the male fetus (22).
Transforming growth factor-ß1 (TGFß1), a cellular mitogen, is produced by immature fetal lung fibroblasts (23). TGFß1 inhibits fetal lung maturation by inhibiting fibroblast-type II cell communication, type II cell DSPC synthesis, and SP-A and SP-C expression (12, 23, 24, 25). TGFß1 exerts development-specific effects on lung fibroblasts, stimulating adult, but inhibiting immature, fetal lung fibroblast proliferation (26). It has been speculated that androgens mediate their inhibitory effect on lung maturation through TGFß1 mechanisms (23). For example, androgen inhibition of fibroblast-type II cell communication has been reversed with antibodies to TGFß1 (23). Because the fetal lung expresses TGFß receptor (TGFß-R), the inhibitory effect of TGFß1 on lung maturation must be overcome with advancing gestation. We previously reported that TGFß-R binding and total receptor number decrease in late gestation fetal lung fibroblasts. This decrease happened earlier in gestation in female cells. Furthermore, late gestation female fibroblasts treated with androgens showed increased TGFß-R binding. All of these events were accompanied by an alteration in the relative proportions of receptor subtypes and an altered proliferative response to TGFß1 stimulation (27).
The androgen regulation of signaling pathways in the process of fetal lung maturation, especially the effect on the regulation of EGF-R and TGFß-R, is unknown. We proposed that the inhibitory effect of androgens on the development of fibroblast-type II cell communication is mediated by an alteration of the developmental changes in these receptors. Specifically, we hypothesized that chronic intrauterine androgen exposure down-regulates EGF binding and EGF-R phosphorylation and up-regulates TGFß-R binding and TGFß1-induced cell proliferation in fetal lung fibroblasts, with consequent inhibition of type II cell differentiation, reflected by inhibition of SP-B and -C messenger RNA (mRNA) expression. We therefore studied the effect of androgen on these signaling pathways in the fetal lung. Exogenous DHT treatment in a supraphysiological dose (4) started early in lung development was used to delay the maturational process in both sexes. The effect of DHT on EGF-R and TGFß-R activity was measured in late gestation when differences in maturation have resolved (28, 29), and the baseline activities of these receptors are similar in both sexes (22, 27).
| Materials and Methods |
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Fetal mouse lung fibroblast cultures
The animal research protocol was approved by the institutional
animal research committee. Time-dated pregnant mice were treated for 7
days with a continuous infusion of 2 mg/day DHT or with vehicle using
either Alzet minipumps or DHT pellets implanted on day 11 of gestation
as described previously (30, 31). This dose of DHT was chosen because a
similar dose was used in mice to study androgen effects on fetal sexual
differentiation (32) and to document androgen effects on the fetal lung
(4, 8). Animals were killed by CO2 inhalation on
gestational day 18. The uterus was removed under sterile conditions by
laparotomy and kept on ice. Fetuses were kept in DMEM on ice, and fetal
sex was identified by the method of Nielsen and Torday (33). The lungs
were removed en block under a laminar airflow
hood. Some lungs were frozen on liquid nitrogen for RNA extraction.
Fibroblast cell cultures were prepared using procedures previously
described (20, 22, 27, 34). The lungs were put into sterile HBSS,
pooled separately according to sex, and minced into
1-mm3 pieces with a razor blade. The minced lungs
were dissociated in HBSS containing deoxyribonculease and 250 mg
trypsin in a 37 C water bath for 1012 min using a stirring bar to
disrupt the tissue physically. The reaction was stopped by adding
ice-cold DMEM containing 10% charcoal-stripped FCS
(FCS-). The cells were filtered through a
sterile 70-µm pore size cell strainer and centrifuged at 650 x
g for 10 min at 4 C. The pellet was resuspended in DMEM
containing 10% FCS- and plated in six-well
plates (binding assays), 24-well plates (thymidine incorporation
assay), or 100-mm culture dishes (immunoprecipitation) for 60 min at 37
C to allow for differential adherence of lung fibroblasts. The medium
was changed to DMEM with 10% FCS-, with DHT
(10-8 M) added to cultures
from lungs treated with DHT in utero. This dose of
10-8 M was chosen based on
dose-response curves performed in earlier studies (34), although the
physiological levels of DHT in the amniotic fluid or plasma may be
somewhat lower (35, 36). During growth the medium was changed every
24 h, and the cells were kept in culture for 45 days for the
binding studies and protein determination. Thymidine incorporation was
started earlier, after approximately 23 days, when the cells reached
50% confluence.
[125I]EGF binding assay
EGF binding was measured using methods previously described by
us (22, 34). For each treatment condition, fibroblast cultures at
9095% confluence were washed twice with 2 ml prewarmed DMEM and
incubated in serum-free DMEM for 30 min at 37 C. Nonspecific binding
was determined in triplicate using wells containing 1 ml DMEM that were
first incubated in a 500-fold excess (200 ng/ml) of unlabeled EGF
(receptor grade) for 20 min at room temperature. At the end of this
incubation period, 0.4 ng/ml [125I]EGF was
added to all wells (nonspecific and total binding). After 60-min
incubation at room temperature, the cells were washed three times with
2 ml ice-cold PBS (pH 7.4), to remove the unbound EGF and scraped in 1
ml PBS. Radioactivity was measured using a
-counter. In each
experiment specific EGF binding was measured in two or three wells and
was determined by subtracting the radioactivity of the mean nonspecific
binding (average binding in triplicate wells preincubated with
unlabelled EGF) from the total binding (binding in wells not
preincubated with unlabeled EGF). DNA was measured as deoxyribose
content in duplicate aliquots (37).
Immunoprecipitation and Western blotting of the EGF-R
Female fibroblast cultures were grown in 100-mm culture dishes
in DMEM with 10% FCS- until they reached
8090% confluence. After a 24-h serum starvation, cells were rinsed
and stimulated for 2 min with EGF (100 ng/ml) or DMEM (controls). Cells
were then washed with ice-cold PBS and lysed in lysis buffer [20
mM Tris (pH 7.4), 150 mM NaCl, 1 mM
MgCl2, 1% Nonidet P-40, 10% glycerol, 1
mM Na3VO4, 1
mM NaF, 1 mM ZnCl2, 10
mM ß-glycerolphosphate, 5 mM tetrasodium
pyrophosphate, 1 mM PMSF, and 4 µg/ml each of aprotinin,
leupeptin, and pepstatin]. Lysates were cleared by microcentrifugation
for 10 min at 4 C, and 200 µg total protein, quantified by the Lowry
assay (38), were immunoprecipitated with anti-EGF-R or
antiphosphotyrosine antibody (as indicated in the figure legends) for
1.5 h at 4 C with gentle rocking. Protein A-Sepharose was added to
each sample, and the incubation was continued for an additional
1.5 h at 4 C. Beads were collected by microcentrifugation and were
washed three times in immunoprecipitation buffer [20 mM
Tris (pH 7.4), 150 mM NaCl, 1 mM
MgCl2, 1% Nonidet P-40, 10% glycerol, 1
mM Na3VO4, 1
mM NaF, 10 mM ß-glycerolphosphate, 5
mM tetrasodium pyrophosphate, 0.2 mM PMSF, and
4 µg/ml each of aprotinin, leupeptin, and pepstatin]. Beads were
boiled in Laemmli sample buffer, and proteins were separated by
10% SDS-PAGE and transferred to nitrocellulose membranes. Blots were
blocked in 1% BSA in Tris-buffered saline with 0.1% Tween-20 for
1 h at room temperature, incubated with antiphosphotyrosine
antibody PC20 overnight at 4 C, and washed three times with
Tris-buffered saline/Tween, and proteins were visualized by enhanced
chemiluminescence using x-ray film.
[125I]TGFß-R binding assay
The assay was performed as previously described by us with
modifications (27). Cultures (at 9095% confluence) were washed with
and then incubated in dissociation buffer (DMEM containing 25
mM HEPES and 0.1% BSA) for 2 h at 37 C to allow for
dissociation or internalization of endogenous bound TGFß1. The cells
were then washed with and preincubated for 30 min at 4 C in ice-cold
binding buffer (128 mM NaCl, 5 mM KCl, 5
mM MgSO4, 1.2 mM
CaCl2, 50 mM HEPES, and 10 mg/ml BSA,
pH 7.5), after which 50 pM
[125I]TGFß1 with or without a 500-fold excess
of unlabeled TGFß1 (to determine nonspecific binding) was added.
Experiments were performed in triplicate wells. All binding experiments
were performed at 4 C to minimize internalization and/or degradation of
radiolabeled TGFß1. After an incubation period of 4 h on a
rotary shaker (150 rpm), the unbound
[125I]TGFß1 was removed by washing with
binding buffer. Bound [125I]TGFß1 was
solubilized with solubilizing buffer [1% (vol/vol) Triton X-100, 10%
(vol/vol) glycerol, 25 mM HEPES, and 10 mg/ml BSA] and
counted in a
-counter. The average nonspecific binding was
subtracted from the total binding to yield the specific binding.
Additional wells were used to measure the amount of DNA per well on the
same plate (37). Specific binding was expressed as counts per min/nmol
DNA.
[3H]Thymidine incorporation
Mitogenesis was measured using
[3H]thymidine incorporation as described by
Zhou to measure the effect of DHT on TGFß-induced cell proliferation
(26). At 50% confluence, cells were serum starved for 24 h,
treated with 5 µg/ml TGFß1 for 20 h, and pulsed with 2
µCi/ml [3H]thymidine. After cells were rinsed
three times with ice-cold PBS, they were disrupted using
trypsinization. An aliquot was used to assay the total DNA
concentration (37). Incorporated [3H]thymidine
was measured by ß-counter. The results were expressed as
disintegrations per min/nmol DNA.
Northern blot analysis of surfactant protein mRNA
Rat complementary DNA (cDNA) probes for SP-B and SP-C were
previously cloned by us using RT-PCR, as described in detail (39).
Total RNA was isolated using TRIzol reagent. Fifteen micrograms of RNA
were then size fractionated on a 1% agarose formaldehyde gel and
transferred onto GeneScreen Plus by capillary action. After baking the
blots at 80 C for 2 h, the Northern blots were prehybridized at 42
C for 2 h in 50% formamide, 5 x SSPE (containing 750
mM NaCl, 150 mM
NaH2PO4, and 6
mM EDTA, pH 7.4), 5 x Denhardts solution, 1% SDS,
10% dextran sulfate, and 100 µg/ml denatured sheared salmon sperm
DNA. The blots were then hybridized in the same solution containing
32P-labeled cDNA probe (prepared by random primer
labeling with SA >5 x 108 dpm/µg) at 42
C for 1620 h. After hybridization the blots were washed twice in
2 x SSPE at room temperature for 15 min each time, followed by a
45-min wash in 2 x SSPE containing 2% SDS at 65 C. Some blots were
washed in 0.1 x SSPE containing 0.1% SDS at room temperature for 15
min to reduce nonspecific hybridization. Blots were stripped at 100 C
in 0.1% SSC containing 1% SDS for 15 min and then hybridized with
32P-labeled ribosomal protein L32 (RPL32) under
the hybridization conditions described above. The blots were analyzed
and quantified using a phosphorimager, and the results are expressed as
the ratio of surfactant protein mRNA to RPL32 mRNA.
Data analysis
Binding and thymidine incorporation data were expressed as a
percentage of their intraexperimental control values. Because our
initial hypothesis was specific about the changes expected (decreased
EGF binding and SP-B and SP-C expression, increased TGFß binding, and
TGFß1-induced thymidine incorporation in DHT-treated cells), a
one-tailed t test was used to evaluate the results.
| Results |
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| Discussion |
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The DHT dose used was based on previous dose-response studies of DHT in utero administration (4) to alter lung maturation and on previous studies in which we administered DHT specifically to alter lung maturation in the fetal mouse (8). The dose-response studies showed that a dose of 1 mg/kg maternal BW lowered female surfactant production to male levels without affecting males, whereas 10 mg/kg had a small effect on males, and 50 mg/kg had a significant effect on males as well as females. The DHT dose we used for this study was in the higher range, because the goal of affecting both sexes was to be able to more conclusively evaluate how androgen alters basic mechanisms of lung development. Although the fetal androgen level is probably supraphysiological (4), the fact that both males and females are affected provides significant support for the conclusion that androgen affects mechanisms of cell growth and differentiation in the fetal lung. These studies extend observations on fetal lung growth and differentiation using experimental designs in which fetal lungs were exposed in vivo to unchanging but physiological androgen levels (6, 24, 31, 43). Importantly, they show that androgen does regulate basic mechanisms controlling cell growth and differentiation in both sexes.
The lung expresses androgen receptors and is, therefore, a candidate organ for direct androgen effects. Androgen receptors bind to DNA to up-regulate or down-regulate gene expression. It is likely that chronic DHT exposure alters the expression of genes that are ultimately involved in the direct control of lung cell differentiation. However, the signal transduction processes affected by the androgen-induced reduction of surfactant synthesis are unknown. Both EGF-R and TGFß-R mechanisms are involved in the control of lung maturation (12, 23, 24, 25). As both are affected by DHT exposure, our data suggest that androgen effects on lung maturation normally involve the regulation of both of these signaling mechanisms.
Our study found alterations of two regulators of positive and negative control of fetal lung maturation. First, we found that DHT exposure reduced EGF-R binding and EGF-R phosphorylation in fetal lung fibroblasts. This occurred at a time during gestation when EGF binding in the fetal lung fibroblast has normally reached a maximum (22), coincident with fibroblast induction of surfactant synthesis in the type II cells. This contrasts with our previous findings that acute in vitro DHT treatment of primary fetal lung fibroblast cultures from late gestation results in increased EGF binding and EGF-R protein expression (34) and indicates that the androgen delay of lung maturation involves effects on the maturational development of signals controlling cell differentiation. Chronic DHT exposure appears to prolong fibroblast immaturity in the developing lung by inhibiting the late gestation ontogenesis of the EGF-R. This mechanism might constitute one step in the process of androgen-mediated delay in surfactant synthesis. In normal male fetal development, androgen levels peak during lung immaturity, then decline as lung maturation is initiated (44, 45, 46).
Second, we found that TGFß-R binding, which normally reaches its nadir on day 18 in the fetal mouse lung in both sexes (27), was elevated on day 18 after DHT exposure. TGFß1 is produced by the immature fibroblast and has an inhibitory effect on type II cell maturation (23). As maturation of the fetal fibroblast progresses, TGFß-R activity is down-regulated at least in part by a decrease in TGFß-R binding (27). As TGFß is usually produced by immature fetal lung fibroblasts (23), we speculate that altered production might be an additional mechanism by which DHT exposure prolongs fibroblast immaturity through prolongation of TGFß-R activity.
Third, we found that TGFß-induced cell proliferation was increased in DHT-pretreated female cells compared with controls. Although early lung development is characterized by cell proliferation, late lung development is predominantly governed by cell differentiation processes during which proliferation is markedly reduced (43). This suggests that in addition to increased TGFß-R binding, there is prolongation by DHT of specific receptor-mediated events that promote proliferation. Although these events are unknown, we speculate that this involves increased amounts of signal transduction intermediates, which allow the proliferative response to TGFß to predominate. It is possible that the higher endogenous androgen level in the male fetus is the reason why enhanced proliferation after chronic DHT exposure was not also seen in male fibroblasts, although there was a similar effect on the EGF-R and TGFß-R as well as surfactant protein mRNA in both sexes. This is similar to our previous finding that when fetal mouse lung fibroblasts from an earlier gestational age were treated with DHT cell growth was inhibited in male cells and was promoted in female cells (27).
Fourth, DHT treatment significantly decreased surfactant protein B and C mRNA expression. An effect of DHT on surfactant protein gene expression has not been previously described. Our results of the androgen effect on surfactant protein mRNA expression show that androgen inhibits other aspects of type II cell maturation in addition to surfactant phospholipid synthesis. The stimulatory effects of EGF and the inhibitory effects of TGFß1 on SP-A expression have been described (12). We have previously shown that in late gestation fetal rat lung fibroblasts EGF-R overexpression followed by receptor activation had a stimulatory effect on type II cell DSPC synthesis but no effect on surfactant protein B and C mRNA expression (47). It is possible that the down-regulation of surfactant protein genes after chronic DHT exposure is mediated by direct or indirect effects on type II cells through the TGFß-R.
From our data we propose a model of lung development in which DHT
inhibits the EGF-promoted fibroblast-type II cell communication and
also promotes the inhibitory effect of TGFß1 on this cell-cell
communication process (Fig. 6
). Chronic
intrauterine androgen exposure delayed the development of the EGF-R and
TGFß-R as well as surfactant protein ontogenesis for approximately
12 gestational days compared with the findings of previous studies
(22, 27, 34, 41). These results may explain the delay in surfactant
synthesis seen in normal male fetal development.
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| Acknowledgments |
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| Footnotes |
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Received December 27, 1999.
| References |
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