Air pollution has become an increasing threat to public health, particularly in urban areas. In 2016, the World Health Organization (WHO) reported that >80% of urban residents lived in places where WHO guidelines for air quality levels were not met (1). It has been estimated that urban air pollution contributes to approximately 1.3 million deaths worldwide per year (2). Particulate matter (PM) is the major air-polluting agent in urban areas worldwide. Epidemiologic data have shown that PM exposure has a high correlation with bronchial asthma (3), chronic obstructive pulmonary disease (4,5), lung cancer (6), atherosclerosis (7), ischemic stroke (8), congestive heart failure (9), myocardial ischemia (10) and birth defects (11).
The main sources of urban PM are road traffic, industrial emissions, construction processes, fuel combustion, resuspension of soil, and secondary emissions (12). The aerodynamic diameter and components of PM affect its biologic effects on humans, but vary with regard to sources, time and location. With respect to aerodynamic diameter, PM can be classified as “PM10” (≤10 µm), “PM2.5” (≤2.5 µm) and “PM0.1” (≤0.1 µm). The lungs are the first targets to be affected by air pollutants. PM2.5 and PM0.1 can be inhaled into small airways and alveoli, and even absorbed into blood to further damage other organs or tissues, but PM10 deposits only in large airways (7). The components of PM in air are complicated and vary according to influencing factors (13-15). Common components are sulfates, nitrates, ammonium, acids, heavy metals (including lead, copper, manganese, nickel, cadmium and titanium), polycyclic aromatic hydrocarbons (PAHs), crustal material, elemental and organic carbon, and biologic materials (e.g., allergens and microbial compounds) (16). However, the association between specific chemical components of PM in air and adverse human health outcomes is not clear.
Ambient exposure to PM can cause various biologic effects on different cell types in the lungs. The polarization of macrophages is induced by PM and the expression of several reactive oxygen species (ROS)-mediated pro-inflammatory cytokines (e.g., interleukin (IL)-6, IL-1β, tumor necrosis factor (TNF)-α and granulocyte-macrophage colony-stimulating factor) is increased (17). PM exposure also induces the apoptosis and pro-inflammatory response of airway epithelial cells via complicated signaling networks (18). In addition, PM induces epithelial-to-mesenchymal transition, which can result in cancer development and pulmonary fibrosis (19). Recently, many studies have focused on investigating the key components of PM that determine their biological effects. The metal contents or organic components of PM can lead to the release of pro-inflammatory cytokines via activation of oxidative stress (20). Oxidative stress is caused by an imbalance between oxidation and anti-oxidation to produce excessive ROS. Oxidative stress acts an important mediator in the pathology of various PM-induced human diseases (21). Furthermore, several signaling pathways, including toll-like receptors, mitogen-activated protein kinase (MAPK), phosphatidylinositol 3-kinase and nuclear erythroid 2-related factor 2, are activated by PM to regulate its biologic effects (18). However, the relationship between the specific components of PM and signaling pathways is not known.
The constituents of the reference urban dust material SRM 1649b (which is usually abbreviated to “1649b”) were identified for the present study. 1649b consisted mainly of PAHs, polychlorinated biphenyl congeners, pesticides, and dioxins, all of which are the main components of urban PM. However, the evidence that can clarify the molecular mechanism linking 1649b exposure to the regulation of inflammatory response is lacking. Here, we developed a human bronchial epithelial cell (HBEC) model to reveal the specific signaling pathway participating in a 1649b-induced inflammatory response. Furthermore, we established an in vivo model to demonstrate the key regulator of oxidative stress for 1649b-induced lung inflammation.
Reagents and antibodies
1649b was purchased from NIST (Gaithersburg, MD, USA). N-acetylcysteine (NAC), SP600125 and 2’,7’-dichlorofluorescin diacetate (DCFDA) were purchased from Beyotime (Shanghai, China). Dihydroethidium (DHE) was obtained from Sigma-Aldrich (Saint Louis, MO, USA). U0126, SB203580 and BAY 11-7082 were obtained from Selleck (Houston, Texas, USA). Antibodies against cyclooxygenase (COX)-2, phospho-ERK, ERK, phospho-JNK, JNK, phospho-p38 MAPK, p38 MAPK, phospho-NF-κB p65, and NF-κB p65 were purchased from Cell Signaling Technology (Danvers, MA, USA). Antibodies against GAPDH were purchased from Beyotime (Shanghai, China). The mRNA primers were synthesized by Synbio Technologies (Suzhou, China). The reagents used for real-time PCR reaction and cDNA synthesis kits were purchased from Takara Bio (Shiga, Japan). The reagents used for western blotting were obtained from Beyotime.
Cells and animals
HBECs were purchased from the Chinese Academy of Sciences (Shanghai, China) and cultured in RPMI-1640 medium (Hyclone, Logan, UT, USA) supplemented with 10% fetal bovine serum (Gibco, Waltham, MA, USA) and 50 U/mL penicillin and streptomycin (Gibco) at 37 °C in a 5% CO2 culture chamber. Male C57 mice (6–8 weeks, 20–22 g) were purchased from SLAC Laboratory Animals (Shanghai, China). All protocols for animal experiments were approved by the Animal Care and Use Committee of Zhongshan Hospital, Fudan University.
For in vitro experiments, PM was suspended in PBS at a stock concentration of 4 mg/cm3 and HBECs were treated with PM at different concentrations. Inhibitor NAC (5 mM), U0126 (10 µM), SP600125 (10 µM), SB203580 (10 µM) or BAY 11-7082 (5 µM) was used to treat HBECs 30 min before PM stimulation. For in vivo experiments, mice were treated with 100 µg PM in 25 µL PBS per day by intratracheal instillation for 2 consecutive days to establish a PM-induced model of acute lung inflammation, as reported previously (22). NAC (200 mg/kg, i.p.) was injected 1h before PM stimulation every day.
TRIzolTM (Invitrogen, Carlsbad, USA) was used to lyse cells. RNA extraction and reverse transcription were performed according to manufacturer instructions. Quantitative real-time PCR was done using SYBR® Premix Ex TaqTM (TaKaRa Bio) on a real-time PCR system (Bio-Rad Laboratories, Hercules, CA, USA). The primer sequences are shown in Table 1. The relative level of mRNA expression of each target gene is shown as a 2−△△Ct value.
Total protein of cells from different groups was obtained using RIPA buffer containing phenylmethanesulfonyl fluoride (PMSF, Beyotime) and phosphatase inhibitors (Biotool, Houston, TX, USA). The protein concentration was measured with a BCA Protein Assay kit (Beyotime). An identical amount of lysates (30 µg) underwent SDS-PAGE and was then transferred to a PVDF membranes. The latter were blocked with blocking buffer for 1 h and then incubated with different primary antibodies (1:1,000 dilution) overnight at 4 °C. After washing thrice in TBST, the PVDF membranes were incubated with anti-mouse or anti-rabbit horseradish peroxidase-conjugated secondary antibodies (1:5,000 dilution) for 1 h at room temperature. Immunoreactive bands were detected by ECL reagents (Thermo Scientific, Waltham, MA, USA) on A Bio-Rad Laboratories system. The intensity of protein bands was quantified by AlphaEaseFC v4.0.
After different treatments, HBECs were loaded with DCFDA (10 µM) in serum-free 1,640 medium for 20 min at 37 °C in a 5% CO2 culture chamber. Then HBECs were washed with PBS thrice and digested with trypsin-EDTA solution (Gibco). ROS quantitation was measured by flow cytometry (Aria III; Becton Dickinson, San Jose, CA, USA) based on fluorescence intensity. For in vivo studies, fresh lung tissues were embedded in OCT and sliced and stained with DHE for ROS detection, as described previously (23). DHE was oxidized by superoxide to emit red fluorescence which was detected by a fluorescence microscope (Olympus, Tokyo, Japan). The relative fluorescence intensity was analyzed by Image J v184.108.40.206.
Malondialdehyde (MDA) activity and hydrogen peroxide (H2O2) assay
Levels of MDA and H2O2 in lung tissues were detected using a lipid peroxidation MDA assay kit and H2O2 assay kit (Beyotime) according to manufacturer' instructions, respectively. Briefly, fresh lung tissues were lysed with RIPA and then centrifuged at 12,000 g for 10 min at 4 °C. The supernatant was harvested for the measurement of the MDA level and protein concentrations. Then the MDA level was normalized with the protein concentration. Similarly, fresh lung tissues were lysed and then centrifuged at 12,000 g for 5 min at 4 °C. The supernatant was collected for the measurement of H2O2 and protein concentration. Then, the H2O2 level was normalized according to the protein concentration.
Lungs from different groups were harvested and fixed in 4% paraformaldehyde. Then, lungs were embedded in paraffin and sliced and stained with hematoxylin and eosin (H&E) according to manufacturer’ instructions. Pathologic changes were imaged and scored as reported previously (24).
Bronchoalveolar lavage fluid (BALF) collection and inflammatory cell counts
BALF was collected according to methods detailed previously. Briefly, mice were anesthetized with avertin (25 mg/kg body weight, Sigma-Aldrich). Tracheas were dissociated and cannulated. Lungs were lavaged with 1 mL PBS thrice to obtain BALF. The latter was centrifuged at 800 g for 5 min at room temperature. Then supernatant was collected and stored at −80 °C for further analyses. Cell pellets were resuspended with 0.5 mL of PBS and the total cell number was counted. Then, 100 µL of the resuspended cells was spun to the slide and air-dried and then fixed with 4% paraformaldehyde overnight. Cells were stained with H&E and the number of macrophages and neutrophils in 200 cells was counted. The data were shown as 105/mL BALF.
Enzyme-linked immunosorbent assay (ELISA)
The concentration of IL-1β, IL-6, IL-8 and MMP-9 in BALF was measured using ELISA kits (4A Biotech, Beijing, China) according to manufacturer' protocols.
SPSS v19.0 (IBM, Armonk, NY, USA) was used for statistical analyses. Results were the mean ± SEM. Differences between groups were addressed using one-way analysis of variance. P<0.05 was considered significant.
PM induces an inflammatory response in HBECs
To investigate the pro-inflammatory effect of 1649b on HBECs, the latter were stimulated with 100, 300 or 500 µg/cm3 PM for 24 h, respectively. The mRNA levels of pro-inflammatory cytokines such as IL-1β, IL-6 and IL-8 were increased significantly in a dose-dependent manner (Figure 1A). MMPs play important parts in the pathologic processes of several respiratory diseases by causing tissue remodeling (25). Thus, MMP-9 expression was measured upon PM treatment. The mRNA level of MMP-9 was also increased in a dose-dependent manner (Figure 1A). COX-2 expression is induced by several inflammatory stimuli and COX-2 can regulate inflammatory processes in different cell types (26). Exposure of HBECs to PM increased COX-2 expression in a dose-dependent manner at gene and protein levels (Figure 1B-D). These results suggested that PM exposure could promote an inflammatory response in HBECs.
PM promotes ROS production in HBECs
Accumulating evidence suggests that ROS plays an important part in the inflammatory response of PM in different cell types (27). Here, HBECs were stimulated with PM at different doses and times to determine the level of ROS generation. When HBECs were treated with different concentrations of PM for 24 h, PM enhanced the ROS production significantly in a dose-dependent manner according to flow cytometry (Figure 2A). Furthermore, HBECs were exposed to 300 µg/cm3 PM for different time periods and the level of ROS generation was enhanced in a time-dependent manner (Figure 2B). There was a distinct increase in ROS levels in HBECs 1 h after PM treatment. These data suggested that ROS was increased significantly at the early stage of PM exposure, and might be an important mediator in the PM-induced inflammatory response.
To further clarify the role of oxidative stress in the PM-induced inflammatory response, HBECs were treated with the antioxidant NAC. Flow cytometry showed NAC (0.5 or 5 mM) could reduce PM-induced ROS generation significantly (Figure 2C). NAC attenuated PM-induced COX-2 expression in HBECs at gene and protein levels (Figure 2D-F). Moreover, the expression of IL-1β, IL-6, IL-8 and MMP-9 was inhibited significantly by pretreatment with NAC in PM-stimulated HBECs (Figure 2G). These results showed the key role of ROS in the PM-induced inflammatory response.
The MAPK pathway is involved in the PM-induced inflammatory response
The MAPK pathway can be divided into ERK, JNK and p38 MAPK pathways, which have a close association with inflammation, cellular growth and stress response (28). To define activation of the MAPK pathway upon PM treatment, western blotting was carried out. We showed that PM could activate the ERK, JNK, and p38 MAPK pathways in a time-dependent manner by measuring the phosphorylation of ERK, JNK, and p38 MAPK, respectively (Figure 3A,B). Expression of p-ERK, p-JNK, and p-p38 MAPK reached a peak 1 h after PM exposure and declined thereafter. In addition, pretreatment with NAC blocked PM-induced activation of ERK, JNK, and p38 MAPK pathways in HBECs (Figure 3C,D). These results suggested that MAPK activation was mediated by ROS and might be implicated in the PM-induced inflammatory response in HBECs.
To clarify the role of the MAPK pathway in the PM-induced inflammatory response, an ERK inhibitor (U0126), JNK inhibitor (SP600125), and p38 MAPK inhibitor (SB203580) were used, respectively. Pretreatment with U0126, SP600125 or SB203580 could significantly attenuate PM-induced expression of IL-1β and MMP-9. Compared with the PM treatment group, IL-6 expression was inhibited by pretreatment with U0126 or SB203580, whereas IL-8 expression was inhibited only by pretreatment with U0126 or SP600125, respectively (Figure 4A-C). In addition, PM-induced COX-2 expression was also inhibited significantly at gene and protein levels by pretreatment with U0126, SP600125 or SB203580, respectively (Figure 4A-I). Taken together, these results suggested that ROS-mediated MAPK pathway played an important part in the PM-induced inflammatory response.
Activation of NF-κB pathway regulates the PM-induced inflammatory response
Proteins of the NF-κB family are evolutionarily conserved mediators which respond to different stress stimuli to modulate cell growth, cell differentiation, immunity, and inflammation (29). Studies have indicated that metal-containing PM can activate the NF-κB pathway in different cell types (18). To investigate activation of a PM-induced NF-κB pathway, HBECs were treated with PM for different times. Western blotting showed that PM could increase activation of the NF-κB pathway in a time-dependent manner. Expression of p-p65 reached a peak 1 h after PM exposure and declined thereafter (Figure 5A,B). Pretreatment with NAC could inhibit activation of the NF-κB pathway significantly (Figure 5C,D). In addition, the NF-κB pathway could be blocked by pretreatment with U0126, SP600125 or SB203580 in PM-treated HBECs, respectively (Figure 5E,F). These results suggested that the NF-κB pathway was mediated by ROS and MAPK in the PM-induced inflammatory response.
To clarify the role of the NF-κB pathway in the PM-induced inflammatory response, an inhibitor of NF-κB pathway, Bay 11-7082, was used. Compared with the PM-treatment group, pretreatment with Bay 11-7082 could attenuate PM-induced expression of IL-1β, IL-6, IL-8 and MMP-9 significantly (Figure 5G). Moreover, expression of the mRNA and protein of COX-2 was inhibited by pretreatment with Bay 11-7082 in HBECs upon PM stimulation significantly (Figure 5H-J). Collectively, these results demonstrated that the NF-κB pathway was activated by ROS and MAPK, and was involved in regulating the PM-induced inflammatory response.
PM exposure increases ROS generation in lung tissues
A mice model of PM-induced acute lung inflammation was established with intratracheal instillation of PM suspension at 100 µg/day/mouse for two days. NAC was injected (i.p.) before PM exposure each time. The ROS level in lung tissues was detected with DHE staining, MDA activity and H2O2 assay. DHE staining showed that the ROS level in the bronchiolar and alveolar epithelium was increased significantly after PM exposure, and that NAC pretreatment reduced the PM-induced oxidant stress markedly in lung tissues compared with that in the PM group (Figure 6A,B). As markers of oxidant stress, levels of MDA and H2O2 in lung tissues were also increased significantly in the PM group compared with those in the control group, and both were inhibited significantly with antioxidant treatment compared with those in the PM group (Figure 6C,D). These results suggested that ROS was generated in lung tissues of PM-treated mice.
NAC attenuates the PM-induced acute lung inflammatory response in mice
To further demonstrate the pro-inflammatory effect of PM on lungs and the role of ROS in the PM-induced lung inflammatory response in vivo, lung histopathology, cell counts, and inflammatory cytokines in BALF were assessed. Histopathologic analyses in lungs showed that PM could obviously induce acute lung inflammatory response in mice. Lung tissues of the PM group exhibited obvious accumulation of inflammatory cells around PM deposits in the airways and alveolar cavity. However, pretreatment with NAC could attenuate the infiltration of inflammatory cells around deposits in lung tissues significantly (Figure 7A). In the PM group, the lung injury score increased significantly compared with that of the control group, but pretreatment with NAC obviously reduced the lung injury score compared with that in the PM group (Figure 7B). In accordance with these results, the total cell and inflammatory cell numbers in BALF were counted. PM exposure increased the number of total cells and macrophages, especially neutrophils in BALF significantly. Antioxidant treatment reversed the increased number of inflammatory cells in BALF (Figure 7C). In addition, ELISA showed that, compared with the control group, PM exposure in mice notably increased the production of pro-inflammatory cytokines IL-1β, IL-6, IL-8 and MMP-9 in BALF, whereas NAC administration could attenuate the secretion of these pro-inflammatory cytokines (Figure 7D). These results suggested that PM exposure could induce acute lung inflammatory response via oxidative stress in vivo.
This study indicated that PM could induce the expression of molecule associated with inflammation and destruction of the extracellular matrix, including IL-1β, IL-6, IL-8, and MMP-9. Moreover, the expression of COX-2, an important mediator in inflammation, was increased upon PM exposure. This inflammatory response was demonstrated to be mediated through ROS-dependent activation of ERK, JNK and p38 MAPK signaling pathways and then further activation of the NF-κB signaling pathway (Figure 8). Furthermore, oxidative stress was confirmed to play an important part in our PM-induced acute lung inflammation model and antioxidant treatment reversed the PM-induced inflammatory response in vivo.
Inflammation has been considered to be the central mechanism for the development of various PM-induced pulmonary diseases (30). An array of studies has shown that PM can trigger inflammation response in vivo and in vitro. However, the compositions of PM were often determined to cause different inflammation response. Wang et al. (31) collected ambient PM2.5 from different weather conditions during a sandstorm attack and found a marked association between PM constituents and the inflammatory response. That study suggested endotoxins in PM were positively linked with IL-6 (but not IL-8) production. Moreover, PM components such as silicon and chromium have different effects on IL-6 and IL-8 response. Kurai et al. (32) found that the components of PM2.5 had different biologic effects on airway epithelial cells. PAHs and elemental nickel could induce a higher percentage of apoptosis and IL-1β release whereas iron and chromium had closer associations with DNA damage. Jeong et al. (33) collected PM2.5 samples and obtained two extracts of PM2.5 with different extraction methods, including water-soluble (W-PM2.5) and organic-soluble (O-PM2.5) extracts. A cytokine antibody array showed different expression of pro-inflammation cytokines in human alveolar epithelial cells upon exposure to W-PM2.5 or O-PM2.5, respectively. Furthermore, the mice model showed a different response to W-PM2.5 or O-PM2.5, especially with regard to IL-8 expression. Similarly, Kurai et al. (32) found that the compositions of PM could cause different release of IL-5, IL-13, IL-6 and keratinocyte-derived chemokines in asthmatic mice. Our results demonstrated that the urban PM 1649b could induce the release of IL-1β, IL-6, and IL-8, and increase the expression of MMP-9 which participates in the breakdown of the extracellular matrix and is associated with tissue remodeling in various pulmonary diseases (34). Expression of pro-inflammatory cytokines was also increased significantly in the BALF of PM-exposed mice. COX-2 is a type of pro-inflammatory enzyme and has been reported to be associated with inflammatory response and cytotoxicity upon stimulation with PM from different sources (27,35,36). Here, we found, for the first time, that the urban PM 1649b could induce COX-2 expression in HBECs.
Oxidative stress is the consequence if an excess of ROS is generated while antioxidant defenses are suppressed (37). Several studies have supported the notion that oxidative stress is an important mechanism in the PM-induced inflammatory response, cytotoxicity and carcinogenesis (38). Moreover, oxidative stress is the common cellular response for different components of PM. Metal ions such as zinc, copper and iron have been found to cause redox-reaction dysfunction to generate ROS and to activate downstream signaling pathways to regulate the inflammatory response (18). Organic chemicals such as PAHs, quinones and organic carbon content have strong associations with oxidative stress because they cause mitochondrial injury (39). Our results demonstrated that the urban PM 1649b could increase the generation of ROS in a time- and dose-dependent manner significantly. In addition, 1649b could induce oxidative stress at an early stage in HBECs. For in vivo study, the increase in ROS formation in lung tissues upon PM exposure was detected by DHE staining (DHE can be oxidized to ethidium bromide by superoxide to emit red fluorescence). Meanwhile, the levels of MDA and H2O2 in lung tissues, as markers of oxidant stress, were increased significantly upon PM exposure. NAC has been demonstrated to be an antioxidant that can generate sulfhydryl groups for cells, acting as a ROS scavenger (40). We found that pretreatment with NAC could attenuate the PM-induced inflammatory response markedly in vitro and in vivo. Collectively, oxidative stress is a key modulator and initiator in PM-induced inflammation and could be an ideal target for the prevention and treatment of PM-related diseases.
Accumulated studies have demonstrated that PM can trigger several signaling pathways to regulate the PM-induced inflammatory response, including MAPK and NF-κB signaling pathways (18). The MAPK signaling pathway is one of the most critical intracellular signal-transduction systems, and, in general, is activated by a broad array of extracellular or intracellular stimuli (28). The MAPK pathway is usually activated via a triple kinase cascade: MAPK, MAPK kinase (MAPKK), and MAPKK kinase (MAPKKK). ERK, JNK, and p38 MAPK pathways, as three common members of the MAPK signaling pathway, often participate in different biologic processes in spite of some crosstalk between these signaling pathways at the upper level of cascades (41). In addition, the NF-κB signaling pathway is a ubiquitous modulator activated by a multitude of stimulants to regulate inflammation, cell cycle, and immune response (42). Rui et al. (43) found that PM2.5 samples could activate ERK, JNK, p38 MAPK and NF-κB pathways. We showed, for the first time, that the urban PM 1649b could also induce the phosphorylation of ERK, JNK, p38 MAPK and NF-κB. Furthermore, the ERK inhibitor U0126, JNK inhibitor SP600125, p38 MAPK inhibitor SB203580, and NF-κB inhibitor Bay 11-7082 could down-regulate the PM-induced inflammatory response significantly, but the JNK inhibitor SP600125 or p38 MAPK inhibitor SB203580 could not inhibit PM-induced release of IL-6 or IL-8, respectively. These data suggested that PM-induced expression of IL-6 and IL-8 was regulated by different signaling pathways. In addition, the ERK inhibitor U0126, JNK inhibitor SP600125, and p38 MAPK inhibitor SB203580 inhibited activation of the NF-κB signaling pathway upon PM exposure, suggesting that the PM-induced MAPK signaling pathway activated the NF-κB pathway downstream to promote the inflammatory response.
In conclusion, the present study showed that the urban PM 1649b could induce the inflammatory response in vitro and in vivo. This response was regulated by the oxidative stress-mediated MAPK/NF-κB pathway. Oxidative stress was confirmed to be the key regulator and initiator in PM-related release of pro-inflammatory cytokines and tissue remodeling. These data could contribute to a better understanding of PM-induced adverse health effects.
Funding: This research was supported by the State Key Basic Research Program (973) project (2015CB553404), Doctoral Fund of Ministry of Education of China (20130071110044), Shanghai Science and Technology Committee (15DZ1930600/15DZ1930602), Shanghai Municipal Commission of Health and Family Planning (201540370), National Natural Science Foundation of China (81490533), and National Natural Science Foundation of China (81500026).
Conflicts of Interest: The authors have no conflicts of interest to declare.
Ethical Statement: All protocols for animal experiments were approved by the Animal Care and Use Committee of Zhongshan Hospital, Fudan University.
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