1. Introduction
Cystic fibrosis (CF) is the most common life-threatening genetic disease in people with northern European ancestry. It is caused by mutations in the cystic fibrosis transmembrane regulator (
CFTR) gene, which encodes a chloride/bicarbonate channel [
[1]- Rowe S.M.
- Miller S.
- Sorscher E.J.
Cystic fibrosis.
]. According to the Cystic Fibrosis Foundation, today over 2000 mutations have been identified, and 80%−90% of patients have at least one copy of the phenylalanine 508 deletion (F508del). The F508del mutation results in a CFTR misfolding defect and absent functional surface protein, leading to insufficient ion transport primarily in epithelial cells [
[2]A new era in the treatment of cystic fibrosis: correction of the underlying CFTR defect.
]. This disorder involves multiple organs, including the lung, intestine, pancreas, and sweat glands, but pulmonary diseases account for the majority of morbidity and mortality. This is in part due to a complex interplay of chronic pulmonary infection as well as innate and adaptive immune responses to the chronic infection. Additionally, there is evidence that misfolded or absent CFTR may intrinsically affect lung epithelial inflammatory responses [
[3]- Deschamp A.R.
- Hatch J.E.
- Slaven J.E.
- Gebregziabher N.
- Storch G.
- Hall G.L.
- et al.
Early respiratory viral infections in infants with cystic fibrosis.
]. For example, our lab has shown that many inflammatory genes in CF primary HBE cells are epigenetically regulated [
[4]- Chen K.
- Campfield B.T.
- Wenzel S.E.
- McAleer J.P.
- Kreindler J.L.
- Kurland G.
- et al.
Antiinflammatory effects of bromodomain and extraterminal domain inhibition in cystic fibrosis lung inflammation.
]. However, there are several caveats of CF primary cells, including varying host genetic differences and the fact that many donors have significant lung disease. Thus, it is difficult in this system to isolate the effect of CFTR complementation per se.
To better characterize tools used for studying CFTR complementation, we undertook a comprehensive transcriptomic and epigenomic analysis on isogenic immortalized CFBE41o- cell lines, which were initially isolated from a CF patient homozygous for the F508del mutation and stably transfected with wild-type or F508del CFTR cDNA using HIV-based lentiviral vectors (named WTBE cells and CFBE cells, respectively, in this study) [
[5]- Buenrostro J.D.
- Giresi P.G.
- Zaba L.C.
- Chang H.Y.
- Greenleaf W.J.
Transposition of native chromatin for fast and sensitive epigenomic profiling of open chromatin, DNA-binding proteins and nucleosome position.
]. These isogenic subclones possess a high level of transgene-derived CFTR mRNA expression. Indeed, the cAMP-activated chloride transport of CFTR in WTBE cells has been restored via exogeneous expression of wt-CFTR, whereas endogenous F508del CFTR mRNA is at a minimal/undetectable level [
[6]Wise, C., Karp, P.H., Moninger, T.O., Weber, S.P., Nesselhauf, T.S., Launspach, J.L., et al. Epithelial cell culture protocols 2002:115–37. doi:10.1385/1-59259-185-x:115.
,
[7]Corces, M.R., Trevino, A.E., Hamilton, E.G., Greenside, P.G., Sinnott-Armstrong, N.A., Vesuna, S., et al. An improved ATAC-seq protocol reduces background and enables interrogation of frozen tissues. Biorxiv 2017:181206. doi:10.1101/181206.
]. Stable transfection of CFBE subclones with F508del CFTR provided a vector control to account for the effect of exogenous gene expression on WTBE and CFBE cell lines. Thus, we thought this system would be a good model for epithelial intrinsic changes that may occur upon CFTR complementation in CFTR gene replacement trials.
In this study, we performed an integrative study using RNA-seq to assay the transcriptome as well as ATAC-seq to assay chromatin structure [
[5]- Buenrostro J.D.
- Giresi P.G.
- Zaba L.C.
- Chang H.Y.
- Greenleaf W.J.
Transposition of native chromatin for fast and sensitive epigenomic profiling of open chromatin, DNA-binding proteins and nucleosome position.
]. Additionally, since CF lung disease is characterized by neutrophilic inflammation, we assayed the secretion of specific cytokines and chemokines in cell supernatants and their expression at the DNA and mRNA levels. Lastly, to understand how cell polarity affects the epigenomic and transcriptomic landscape, we conducted this study in submerged (SUB) as well as air-liquid interface (ALI) culture to model loss of polarities such as squamous metaplasia that can occur in COPD and other chronic lung diseases.
4. Discussion
This study provides the first comprehensive transcriptome analyses on gene expression and cytokine/chemokine productions in matched isogenic CF model cells, where expression of WT
CFTR is the sole difference. In this case, we will be able to interpret the cellular changes truly brought by
CFTR mRNA complementation and provide a well-understood cell model for the CF research community. Currently, two sets of stable CFBE41o- subclones are widely used. Both were generated by
CFTR cDNA electroporation but using two different vectors: an EBV-based episomal expression vector pCEP4 [
12- Shuto T.
- Furuta T.
- Oba M.
- Xu H.
- Li J.
- Cheung J.
- et al.
Promoter hypomethylation of Toll-like receptor-2 gene is associated with increased proinflammatory response towardbacterial peptidoglycan in cystic fibrosis bronchial epithelial cells.
,
13- Illek B.
- Maurisse R.
- Wahler L.
- Kunzelmann K.
- Fischer H.
- Gruenert D.
Cl transport in complemented CF bronchial epithelial cells correlates with CFTR mRNA expression levels.
,
14- John G.
- Yildirim A.Ö.
- Rubin B.K.
- Gruenert D.C.
- Henke M.O.
TLR-4–mediated innate immunity is reduced in cystic fibrosis airway cells.
] or an HIV-based lentiviral vector (analyzed in our study) [
[15]- Bebok Z.
- Collawn J.F.
- Wakefield J.
- Parker W.
- Li Y.
- Varga K.
- et al.
Failure of cAMP agonists to activate rescued ΔF508 CFTR in CFBE41o– airway epithelial monolayers.
,
[16]- Hampton T.H.
- Ballok A.E.
- Bomberger J.M.
- Rutkowski M.R.
- Barnaby R.
- Coutermarsh B.
- et al.
Does the ΔF508-CFTR mutation induce a proinflammatory response in human airway epithelial cells?.
]. Both sets of cell lines have been proved to express wt-CFTR or F508del-CFTR mRNA and display transgene-derived phenotypes. The pCEP4 transfected WTBE cells secrete higher intrinsic IL-6 and IL-8 concentrations than isogenic CFBE cells under ALI condition [
[14]- John G.
- Yildirim A.Ö.
- Rubin B.K.
- Gruenert D.C.
- Henke M.O.
TLR-4–mediated innate immunity is reduced in cystic fibrosis airway cells.
]. In contrast, our analyses (lentiviral vector transfected cells) showed an elevated IL-8 but similar IL-6 level in ALI WTBE cells compared with ALI CFBE cells. Although minor changes exist between the cytokine production of these two sets of cells, these data suggested that the F508del mutation in polarized CFBE cells compromises the immune responses, supporting the idea that immunological defects in CF exist prior to infection.
We further demonstrated that polarization using ALI culture has a dramatic effect on the chromatin landscape, mRNA expression, and cytokine secretion in both cell lines. Even though the genome-wide chromatin openness of cells was similar between ALI and SUB conditions, the accessibility of specific genes was different. For instance, the CXCL10 gene in ALI cells (both WTBE and CFBE cells) displayed substantially greater detectable peaks (accessible sites) than their SUB counterparts. The significantly differentiated pathways during polarization in mRNA-seq results were highly overlapped between CFBE and WTBE cells including antigen processing and presentation, cytokine-cytokine receptor signaling, and chemokine signaling pathway. These pathways were widely upregulated, indicating more sensitive responses to antigens or stimuli in polarized cells than the submerged cells. Therefore, culture condition clearly affects cell activities, we need to carefully choose the culture system in vitro and maximize the similarities between cell culture and the real physiological environment.
We also identified three genes,
FN1, B2M, and
FTH1, which are the top contributors in the PCA analysis among ALI WTBE and CFBE cells. Quaresma
et al. found that airway epithelium from CF patients lost a well-defined layer of fibronectin (FN1) and aberrantly activated epithelial-mesenchymal transition (EMT) [
[17]- Quaresma M.C.
- Pankonien I.
- Clarke L.A.
- Sousa L.S.
- Silva I.A.L.
- Railean V.
- et al.
Mutant CFTR Drives TWIST1 mediated epithelial–mesenchymal transition.
]. Shown by our mRNA-seq data, this loss can be compensated by wt-CFTR complementation as the ALI WTBE cells expressed significantly higher
FN1 mRNA than ALI CFBE cells. B2M is a critical component of major histocompatibility complex (MHC) class I, exerting pH-dependent antimicrobial activities in human broncho-alveolar-lavage (BAL) fluid. More specifically, B2M can destroy bacterial membranes under an acidic pH [
[18]- Chiou S.-J.
- Ko H.-J.
- Hwang C.-C.
- Hong Y.-R.
The double-edged sword of beta2-microglobulin in antibacterial properties and amyloid fibril-mediated cytotoxicity.
]. In our study, CFBE cells had slightly upregulated
B2M expression which may contribute to abnormal innate immune system in CF lung disease, where there is an acidic bronchial microenvironment. FTH1, a subunit of the iron storage protein ferritin, is involved in iron accumulation, innate immunity, and the ferroptosis pathway. Lower expression of the
FTH1 gene in ALI CFBE cells may lead to a potential loss of intracellular iron storage whereas extracellular iron accumulation in the airway could facilitate biofilm formation of
Pseudomonas aeruginosa (P. aeruginosa) [
[19]- Banin E.
- Vasil M.L.
- Greenberg E.P.
Iron and pseudomonas aeruginosa biofilm formation.
]. This proposed mechanism is consistent with relative iron deficiency in CF patients, which is directly related to the increased severity of pulmonary pathogenesis [
[20]- Reid D.W.
- Withers N.J.
- Francis L.
- Wilson J.W.
- Kotsimbos T.C.
Iron deficiency in cystic fibrosis relationship to lung disease severity and chronic pseudomonas aeruginosa infection.
]. While the close association of these genes with CF suggests their potential as CF markers, additional studies are needed to better define these relationships.
Several cytokine-related pathways were upregulated in CFBE cells suggesting their preexisting proinflammatory status. For example, the enrichment in TGF-β and Wnt signaling pathway in CFBE cells, shown by our ATAC-seq data, are coherent with the conclusion that activation of those pathways drives inflammatory cytokine secretions and exacerbates CF pathology [
[21]TGFβ as a therapeutic target in cystic fibrosis.
,
[22]- Jridi I.
- Canté-Barrett K.
- Pike-Overzet K.
- Staal F.J.T.
Inflammation and Wnt Signaling: target for immunomodulatory therapy?.
]. Among all cytokine-related pathways, the IL-17A associated pathways were compelling, providing considerable evidences about the role of IL-17 signaling pathway in CF lung pathogenesis. Researchers have shown that IL-17A and IL-17F are elevated in the
P. aeruginosa colonized sputum of CF patients during pulmonary exacerbation and are reduced under antibiotic therapy [
[23]- McAllister F.
- Henry A.
- Kreindler J.L.
- Dubin P.J.
- Ulrich L.
- Steele C.
- et al.
Role of IL-17A, IL-17F, and the IL-17 receptor in regulating growth-related oncogene-α and granulocyte colony-stimulating factor in bronchial epithelium: implications for airway inflammation in cystic fibrosis.
]. In addition, early inflammation in the CF lung is potentially initiated by Th17 cells, which secrete IL-17 to promote neutrophil recruitment and prime the CFTR dysfunctional airway epithelial cells into a hyperinflammatory state [
[24]- Tan H.-.L.
- Regamey N.
- Brown S.
- Bush A.
- Lloyd C.M.
- Davies J.C.
The Th17 pathway in cystic fibrosis lung disease.
,
[25]IL-17 primes airway epithelial cells lacking functional cystic fibrosis transmembrane conductance regulator (CFTR) to increase NOD1 responses.
]. Our mRNA-seq analyses showed that both WTBE and CFBE cells upregulated the IL-17 signaling pathway (Rank 1 of 10) and Th17 cell differentiation pathway (Rank 5 of 10) during polarization, but upregulation scale was greater in CFBE cells. Indeed, the accessibility of genes in the Th17 cell differentiation pathway was enhanced more than twofold in CFBE cells compared to WTBE cells. Moreover, IL-17A, which was predicted as the most potential upstream activator of all differentially expressed genes between CFBE and WTBE cells, is critical in Th17 effector cell function [
[26]- Cai Y.
- Xue F.
- Quan C.
- Qu M.
- Liu N.
- Zhang Y.
- et al.
A critical role of the IL-1β–IL-1R signaling pathway in skin inflammation and psoriasis pathogenesis.
]. Overall, our results re-emphasize the importance of the IL-17 signaling pathway in CF epithelial cells under a physiological environment.
Taken together, we have profiled the gene expression of WTBE and CFBE cells (under SUB and ALI culture) and revealed their culture-dependent changes in gene expression and regulation. Importantly, cells cultured fully submerged or on transwells are not interchangeable. The CFTR mutation in CFBE cells not only led to ion transport defects but also changed the cellular responses in many aspects. One limitation of this paper is that these corrected cells overexpress CFTR which may impact the implications of these findings in cells expressing physiological CFTR levels in non-CF individuals. However, these data may be relevant to subjects undergoing heterologous CFTR expression such as in the context of CFTR mRNA therapy. For instance, our data suggest a combination of upregulation in
ZNF43, FAM71F1, C5orf46 and downregulation in
FAR2, MSN, ZNF502 may serve as potential biomarkers for CFTR complementation in CFTR null-patients undergoing CFTR mRNA therapy.
ZNF43 is a gene that belongs to the C2H2-type zinc finger gene family involved in tissue development. Data in the human protein atlas (
www.proteinatlas.org) shows expression in human bronchial epithelium but whether it is regulated by CFTR expression per se is unclear.
FAM71F1 has mostly been studied in spermatogenesis as it controls acrosome assembly and male fertility [
[27]- Morohoshi A.
- Miyata H.
- Oyama Y.
- Oura S.
- Noda T.
- Ikawa M.
FAM71F1 binds to RAB2A and RAB2B and is essential for acrosome formation and male fertility in mice.
] which is a phenotype in CFTR deficient patients and whether there is a direct link of CFTR and FAM71F1 in these tissues remains to be determined.
C5orf46 is expressed in epithelial cells and has recently been reported to encode an antimicrobial protein with activity against gram negative bacteria [
[28]- Zhong K.
- Wang Y.
- Wang Z.
- Zhang Z.
- Zhao S.
- Li H.
- et al.
AP-64, encoded by C5orf46, exhibits antimicrobial activity against gram-negative bacteria.
]. Overall, these data provided a comprehensive resource for the CF community and support the existence of immunological changes in the CF airway independent of infections.
Article info
Publication history
Published online: July 05, 2022
Accepted:
June 21,
2022
Received in revised form:
June 21,
2022
Received:
February 3,
2022
Copyright
© 2022 The Authors. Published by Elsevier B.V. on behalf of European Cystic Fibrosis Society.