Mechanisms of allergy and clinical immunology
Tissue factor–bearing exosome secretion from human mechanically stimulated bronchial epithelial cells in vitro and in vivo

https://doi.org/10.1016/j.jaci.2012.05.031Get rights and content

Background

Tissue factor (TF), a primary initiator of blood coagulation, also plays a pivotal role in angiogenesis. TF expression in the airways is associated with asthma, a disease characterized in part by subepithelial angiogenesis.

Objectives

To determine potential sources of TF and the mechanisms of its availability in the lung microenvironment.

Methods

Normal human bronchial epithelial cells grown in air-liquid interface culture were subjected to a compressive stress of 30 cm H2O; this is comparable to that generated in the airway epithelium during bronchoconstriction in asthma. Conditioned media and cells were harvested to measure TF mRNA and TF protein. We also tested bronchoalveolar lavage fluid and airway biopsies from asthmatic patients and healthy controls for TF.

Results

TF mRNA was upregulated 2.2-fold after 3 hours of stress compared with unstressed cells. Intracellular and secreted TF proteins were enhanced 1.6-fold and more than 50-fold, respectively, compared with those of control cells after the onset of compression. The amount of TF in the bronchoalveolar lavage fluid from patients with asthma was found at mean concentrations that were 5 times greater than those of healthy controls. Immunohistochemical staining of endobronchial biopsies identified epithelial localization of TF with increased expression in asthma. Exosomes isolated from the conditioned media of normal human bronchial epithelial cells and the bronchoalveolar lavage fluid of asthmatic subjects by ultracentrifugation contained TF.

Conclusions

Our in vitro and in vivo studies show that mechanically stressed bronchial epithelial cells are a source of secreted TF and that exosomes are potentially a key carrier of the TF signal.

Section snippets

Culture of bronchial epithelial cells

Primary NHBECs were expanded and maintained in a humidified environment containing 95% air and 5% CO2 as described previously.6 Passage-2 NHBECs were plated at a density of 2 × 104 cells/cm2 on 12-well Transwell plates with polyester membranes, 0.4-μm pores (Corning, Inc, Corning, NY) coated with 50 ng/mL of type 1 rat tail collagen (BD Biosciences, San Jose, Calif). Primary cells from 3 nonsmoker donors were used.

Exposure of NHBECs to compressive mechanical stress

To expose cells to compressive stress, nontoxic tapered silicon plugs were

Compressive mechanical stress induces TF mRNA expression and intracellular TF protein in well-differentiated NHBECs

Well-differentiated NHBECs grown in ALI conditions were exposed to 30 cm H2O transcellular compressive stress for 3 hours. As shown in Fig 1, A, this duration of compressive stress resulted in an increase in TF mRNA expression by 2.2-fold compared with that in time-matched controls. By 8 hours, the magnitude of the induction had fallen to 1.8-fold; both differences were significant compared with their time-matched controls. Intracellular TF protein (Fig 1, B) was detected constitutively, and

Discussion

Our experiments show that NHBECs constitutively express TF protein expression in cell lysates, but there is no detectable secretion into its culture medium under basal ALI culture conditions. Compressive mechanical stress (30 cm H2O), comparable in magnitude to that associated with asthmatic bronchoconstriction, led to modestly enhanced TF transcription and intracellular protein production and dramatically increased TF secretion. New RNA synthesis was required for the upregulated TF

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    This study was supported by National Institutes of Health grants HL88028 (to J.M.D.) and T32-HL007118 (to J.-A.P.) and Medical Research Council grant G0900453 (to P.H.).

    Disclosure of potential conflict of interest: J.-A. Park, A.S. Sharif, D.J. Tschumperlin, and J.M. Drazen have received grants from the National Institutes of Health. P. Howarth has received grants from the Medical Research Council. The rest of the authors declare that they have no relevant conflicts of interest.

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