Abstract
It has been suggested that cyclooxygenase-2 (COX-2)-mediated prostaglandin synthesis is associated with liver inflammation and carcinogenesis. The aim of this study is to identify the cellular source of COX-2 expression in different stages, from acute liver injury through liver fibrosis to cholangiocarcinoma (CC). We induced in rats acute and “chronic” liver injury (thioacetamide (TAA) or carbon tetrachloride (CCl4)) and CC development (TAA) and assessed COX-2 gene expression in normal and damaged liver tissue by RT-PCR of total RNA. The cellular localization of COX-2 protein in liver tissue was analyzed by immunohistochemistry as well as in isolated rat liver cells by Western blotting. The findings were compared with those obtained in human cirrhotic liver tissue. The specificity of the antibodies was tested by 2-DE Western blot and mass spectrometric identification of the positive protein spots. RT-PCR analysis of total RNA revealed an increase of hepatic COX-2 gene expression in acutely as well as “chronically” damaged liver. COX-2-protein was detected in those ED1+/ED2+ cells located in the non-damaged tissue (resident tissue macrophages). In addition COX-2 positivity in inflammatory mononuclear phagocytes (ED1+/ED2−), which were also present within the tumoral tissue was detected. COX-2 protein was clearly detectable in isolated Kupffer cells as well as (at lower level) in isolated “inflammatory” macrophages. Similar results were obtained in human cirrhotic liver. COX-2 protein is constitutively detectable in liver tissue macrophages. Inflammatory mononuclear phagocytes contribute to the increase of COX-2 gene expression in acute and chronic liver damage induced by different toxins and in the CC microenvironment.
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Introduction
COX-1 and COX-2 are two isoforms of the enzyme cyclooxygenase (COX), also known as prostaglandin H synthase (PGHS) or prostaglandin endoperoxide synthase (PTGS). Both COX isoforms are associated with inner membranous compartments (Bayly et al. 1999; Picot et al. 1994) and represent key enzymes in the conversion of arachidonic acid to prostaglandin (PG). COX-1 is constitutively expressed in most cell types and is involved in the homeostasis of various physiological functions, while COX-2 is considered to be a mitogen-inducible form, associated with biologic events such as injury, inflammation, and proliferation (O’Banion et al. 1991, 1992; Kirschenbaum et al. 2000). COX-2 gene expression was demonstrated in vitro in different cell types, e.g. in monocytes, human umbilical vein endothelial cells, vascular smooth muscle cells, and fibroblasts (Hla and Neilson 1992), but only a few data are available for tissue macrophages (Ahmad et al. 2002).
COX-2-derived PGE2 can stimulate angiogenesis by induction of the vascular endothelial growth factor (Simmons et al. 2004; Tsujii et al. 1998). Furthermore, it has been shown that tumor angiogenesis and growth of explanted tumors are reduced in COX-2 null mice (Williams et al. 2000). PGE2 also has an effect on the immune system by regulating cytokine production in leukocytes (Betz and Fox 1991; Kunkel et al. 1986a; Kunkel et al. 1988; Kunkel et al. 1986b). Bennett et al. (1977) showed that large amounts of PGs are produced by certain tumor cells and it has been suggested that PGE2 is associated with cancer through depression of the immune system (Simmons et al. 2004). It is therefore believed that COX-2 plays an important role in carcinogenesis and COX-2 has been studied extensively as a key rate-limiting enzyme for prostanoid biosynthesis.
COX-2 has been implicated in the carcinogenesis of various human cancers, including colorectal cancer and also CC (Endo et al. 2002; Gasparini et al. 2003; Hu 2003; Han et al. 2004; Han and Wu 2005; Wu 2005; Eisinger et al. 2007; Zhang et al. 2005). In many cases, however, the presence of mononuclear phagocytes in the tumor samples has not been considered.
Several conflicting reports exist in the literature about COX-2 expression in liver. For example, some publications described COX-2 immunodetection in normal or damaged hepatocytes, and it has been suggested that COX-2 expression could be related to the inflammatory phenomena present in the early phases of different chronic liver diseases and is probably also related to the induction of hepatocarcinogenesis (Chariyalertsak et al. 2001; Giannitrapani et al. 2009) while others have established that adult hepatocytes fail to express the COX-2 gene (Casado et al. 2007; Mohammed et al. 2004). Furthermore, COX-2 positivity has been described in CC cells by immunohistology using immunoperoxidase staining (Endo et al. 2002).
COX-2 has attracted particular interest because of the cancer preventive and therapeutic potential of its inhibition and because of its possible role in the early phases of CC development. Furthermore, in several reports it has been assumed that malignant cells became able to express the COX-2 gene and that these cells may be the target of COX-2 inhibitors (Zhang et al. 2004; Thakur and Sanyal 2010). In fact, it has been shown that COX-2 inhibitors reduced the in vitro growth of 5 human COX-2-expressing CC cell lines (Zhang et al. 2004).
We recently established an animal model of CC in the rat by administering TAA in drinking water which have morphological similarities with CC observed in human pathology (Mansuroglu et al. 2009a,b). We investigated the expression of COX-2 at various stages of acute and chronic liver injury up to CC development using this model. Moreover, we worked at identifying the cell type(s) expressing COX-2 in the same rat liver. For comparison one other rat model of hepatocellular damage and inflammation was used. In addition, human liver tissue samples were also studied. We found that COX-2 protein is constitutively expressed in liver tissue macrophages and that the increased expression during inflammation is however not only due to an upregulation of the gene in those cells but newly recruited inflammatory mononuclear phagocytes also contribute to increased COX-2 gene expression. Neither hepatocytes nor CC cells seem to be able to express COX-2 in this experimental setting.
Materials and methods
Chemicals and antibodies
The majority of the chemicals and solutions used were purchased from Sigma (Steinheim, Germany): DL-dithiothreitol (DTT), lipopolysaccharide (LPS), phenylmethylsulfonyl fluoride (PMSF), phorbol 12-myristate 13-acetate (PMA), phosphatase inhibitor cocktail 1 and 2, TAA, thiourea, urea; from Merck KGaA (Darmstadt, Germany): glycerine, HCl; from PAA Laboratories GmbH (Cölbe, Germany) we purchased: RPMI 1640 medium, fetal calf serum (FCS), penicillin/streptomycin, and phosphate-buffered saline (Dulbecco’s PBS); were obtained from Biochrom AG (Berlin, Germany): medium M199, l-glutamine and from Bio-Rad (Munich, Germany): a Bio-Rad protein assay kit and ampholytes (Bio-Lyte® 3/10). Bromphenol blue and Tris came from Carl Roth GmbH (Karlsruhe, Germany) and 3-[(3-cholamidopropyl)dimethylammonio]-1-propanesulfonate (CHAPS) from AppliChem GmbH (Darmstadt, Germany). Bovine serum albumin (BSA) and sodium dodecyl sulfate were purchased from Serva (Heidelberg, Germany). Primer pairs of COX-2, ED1, ubiquitin C (UBC), protector RNAse inhibitor, and 1x RT buffer were supplied by Invitrogen (Darmstadt, Germany). Fast Sybr Green master mix was supplied by AB (Applied Biosystem, USA). 4’,6-diamidino-2-phenylindole (DAPI) was delivered by Molecular Probes (Leiden, The Netherland) and moloney murine leukaemia virus reverse transcriptase (M-MLV RT) by Promega (Mannheim, Germany). The antibodies used in this study are shown in Table 1.
Animals
Male Sprague–Dawley rats weighing 330–370 g were used for TAA and CCl4 experiments; they were provided by Charles River (Sulzfeld, Germany) and Harlan Winkelmann (Borchen, Germany). The animals were kept under standard conditions with 12-h light/dark cycles; food and water were available ad libitum and they received care according university policies and the relevant guidelines for care and use of laboratory animals of the German National Institute of Health. All animal experiments performed were approved by the ethics review board and were constantly supervised by the local ethics commission. Animals of all experimental groups were killed under pentobarbital anesthesia. Livers were rinsed and snap-frozen in liquid nitrogen. Samples were stored at −80°C until further use. All experiments were repeated in three series. Four animals were killed at each time point.
Induction of acute liver injury, liver fibrosis, and CC development by TAA
Acute liver damage was induced by a single intraperitoneal (i.p.) injection of TAA dissolved in sterile sodium saline. Control rats received only a single i.p. injection of sterile sodium saline. Four animals in each group were killed 1, 3, 6, 12, 24, 48, 72 and 96 h after a single-dose TAA administration.
Induction of liver fibrosis and CC by TAA administration was conducted according to Yeh et al. (2008) as described elsewhere (Mansuroglu et al. 2009a, b). Animals were divided into two groups, i.e. a control group and an experimental group. The experimental group received TAA in their drinking water every day up to the time they were euthanized. Four animals in each group were killed at various time points. By week 16, 80% of the TAA-treated rats had developed CC and the experiment was stopped at week 18, when 100% of the TAA-treated rats had developed CC.
Induction of acute and chronic liver injury by CCl4
Acute liver damage was induced by orally administered CCl4 as described previously (Knittel et al. 1999; Neubauer et al. 1995). A single dose of 150 μl CCl4/corn oil solution (50%, v/v) per 100 g body weight was given to each rat. Control rats received only corn oil. Rats were killed 3, 6, 9, 12, 24, 48, 72, and 96 h after the CCl4 administration.
Chronic liver injury was induced according to the protocol by Proctor and Chatamra (1982). The experimental group received CCl4 orally once a week. After a period of 8 and 13 weeks, the animals were killed and livers were obtained.
Isolation of hepatocytes, tissue macrophages (Kupffer cells), and myofibroblasts from rat livers
Hepatocytes from male Sprague–Dawley rats were isolated by in situ perfusion and cultured as reported previously (Neubauer et al. 1995; Knittel et al. 1992). Kupffer cells and myofibroblasts of normal liver were isolated as described by Knook and Sleyster (1976) with some modifications (Armbrust et al. 1993; Neubauer et al. 2008).
Isolated cells were cultured for 24 h and protein extracts were prepared from Kupffer cells, hepatocytes, and myofibroblasts. For mRNA isolation, Kupffer cells (in duplicate) were stimulated with 10 μg/ml LPS, and mRNA was obtained 2, 4, and 6 h from LPS-treated as well as from control cultures.
Isolation of mononuclear phagocytes from damaged rat livers
Mononuclear phagocytes from TAA- and CCl4-damaged rat livers were isolated by in situ perfusion. Centrifugal elutriation was performed to separate small KC from large KC. The first fraction was collected at flow rates ranging from 19 up to 28 ml/min (Beckmann centrifuge J2-21, J-6B rotor, 2,500 rpm) and the second fraction at flow rates ranging from 28 up to 55 ml/min. Each fraction was sedimented, resuspended in culture medium (M199, 15% FCS, 100 U penicillin/ml, 100 μg streptomycin/ml), and counted in a Neubauer chamber after Trypan Blue-staining. Cells were then plated onto 24-well plates (5 × 105 cells/well). Two hours after plating, the cultures were washed intensively to eliminate non-adherent cells. Cultures were kept in a 5% CO2 atmosphere and saturated humidity at 37°C. Total protein extracts and mRNA were obtained.
Human liver tissue
Four specimens of cirrhotic human livers were obtained from patients undergoing transplantation after developing HCC or CC and four specimens of cirrhotic liver without tumor. Specimens were frozen in liquid nitrogen immediately after surgical removal. Human liver samples were used for immunohistochemical analysis.
Culture and activation of macrophage cell line
The monocytic/macrophage cell line RAW 264.7 (Lüder et al. 2003; Raschke et al. 1978) was a gift from the Department of Bacteriology, Georg-August University Goettingen (UMG, Goettingen, Germany). RAW 264.7 cells were incubated with RPMI 1640 medium containing 10% FCS, 100 U/ml penicillin, 100 mg/ml streptomycin, 2 mmol/l l-glutamine, and 2.5 g/l d-glucose at 37°C, 20% O2, and 5% CO2. Cells were used to determine the specifity of COX-2 antibody binding and the effect of stimulation on COX-2 expression. Cells were activated with 10 μg/ml LPS and 10 ng/ml PMA. PMA was dissolved in DMSO (0.5 mg/ml) and aliquots were stored at −20°C; LPS was dissolved in PBS. Control cells were incubated with the DMSO vehicle only. For protein or mRNA isolation, cells were seeded at 0.2 × 107 cells in 75 cm2 tissue culture flasks (Sarstedt AG & Co., Nümbrecht, Germany).
RNA isolation and real-time PCR
RNA was isolated from all control and TAA-treated rat livers. RNA quality was tested by agarose gel electrophoresis and visualized with UV light. RNA concentration was quantified by measuring the absorbance at 260/280 nm. The cDNA was generated by reverse transcription of 3.0 μg of total RNA with 100 nmol/l of dNTPs, 50 pmol/l of primer oligo(dT)15, 200 units of M-MLV RT, 16 units of protector RNAse inhibitor, 1× RT buffer, and 2.5 ml of 0.1 mol/l DTT for 1 h at 40°C as described previously (Kondo et al. 1999). Gene expression of COX-2 (forward primer 5′-TACCGGACTGGATTCTAG-3′, reverse primer 5′-AAGTTGGTGGGCTGTCAATC-3′), and ED1 (forward primer 5′-ATTGAACCCGAACAAAACCA-3′, reverse primer 5′-GCTTGTGGGAAGGACACATT-3′) were analyzed using a Fast Sybr Green master mix. UBC (forward primer 5′-CACCAAGAAGGTCAAACAGGAA-3′, reverse primer 5′-AAGACACCTCCCCATCAAACC-3′) was used as housekeeping gene in the TAA model. The amplification was performed through two-step cycling (95–60°C) for 40 cycles in a StepOne Plus RT-PCR detection system, following the instructions of the supplier (AB, Applied Biosystem, USA). All samples were assayed in duplicate. The results were normalized to the controls, and fold change of the gene expression was calculated using threshold cycle (Ct) values.
Total protein extraction from rat liver, isolated rat liver cells, and monocytic/macrophage cell line RAW 264.7
Total protein extracts were prepared from all controls, TAA/CCl4-treated rat livers, and dissected CC tissues, as well as from isolated hepatocytes, myofibroblasts, Kupffer cells, and RAW 264.7 cells. Tissues were washed in ice-cold PBS to remove blood and homogenized at room temperature in cell lysis buffer containing 7 mol/l urea, 2 mol/l thiourea, 4% (w/v) CHAPS, 2% ampholytes, 1% (w/v) DL-dithiothreitol and 10 mmol/l phenylmethylsulphonyl fluoride, as well as 1% (v/v) phosphatase inhibitor cocktail 1, and 1% (v/v) phosphatase inhibitor cocktail 2 with a homogenizer (Ultra-Turrax, Jahnke and Kunkel GmbH & CO.KG, Staufen, Germany). The protein concentration was calculated according to Bradford (1976) using the Bio-Rad protein assay kit. The protein samples were stored at −80°C until further analysis.
1-DE/2-DE Western blot analysis of total protein lysates from rat liver tissue, isolated rat liver cells, and RAW 264.7cells
For 1-DE Western blot analysis, 50 μg total protein was loaded on a 4–12% NuPAGE Bis–Tris gel (Invitrogen, Darmstadt, Germany) and separated for 2 h by electrophoresis at 80 V. For 2-DE Western blot analysis, 140 μg total protein lysate from rat liver tissues or from macrophage cell line RAW 264.7 and a trace of bromphenol blue were loaded on immobilized pH gradient (IPG) strips with a nonlinear pH range of 3–10. After rehydration, isoelectric focusing was performed in a Protein IEF Cell (Bio-Rad) at 20°C set to 32,000 Vh. The IPG strip was equilibrated with equilibration buffer (6 mol/l urea, 30% glycerine, 2% sodium dodecyl sulphate, 0.05 mol/l Tris/5 N HCl to pH 8.8 and a trace of bromophenol blue) containing 15 mmol/l DTT, followed with equilibration buffer containing 40 g/l iodoacetamide. Afterwards, the strip was loaded onto a vertical 12% polyacrylamide SDS-PAGE for separation by molecular weight for 19 h at 4°C and 90 V. After Western blot, Ponceau staining was performed as a control for successful protein transfer. Nitrocellulose membranes were blocked in blocking buffer containing 5% BSA and were incubated overnight at 4°C with different anti-COX-2 antibodies (33/Cox-2, ab15191, sc-1746, sc-7951). The secondary antibodies were conjugated with horseradish peroxidase. The membranes were developed with an ECL chemiluminescence kit (GE Healthcare, Munich, Germany). Antibodies and dilutions used are listed in Table 1.
Silver-staining of proteins
2-DE gels were fixed and washed and silver-staining was performed according to the modified silver-staining method of Blum et al. (1987). Gels were scanned (CanoScan 8400F, Canon) and finally dried for further storage (Gel Dryer, Model 583; Bio-Rad).
Protein identification
In-gel digestion was carried out according to a modified protocol of Shevchenko et al. (1996). Spots of interest were the positive spots from the ECL staining after 2-DE blots. These were excised and after de-staining with potassium ferricyanide and sodium thiosulphate; proteins/peptides were digested with trypsin. Gel slices were washed and equilibrated with ammonium bicarbonate followed by incubation with acetonitrile (ACN). Peptides were extracted using trifluoroacetic acid and ACN. Solutions with digested protein/peptide were dried in a speed vacuum system (UniEquip GmbH, Munich, Germany) and stored at −20°C until further analysis. Dried samples were diluted in 0.1% formic acid and 1 μl was loaded for chromatographic separation on a CapLC-System (Waters, Milford, MA, USA). Peptide sequence analysis was carried out on a Q-TOF Ultima Global mass spectrometer (Micromass, Manchester, UK) equipped with a nanoflow ESI Z-spray source in positive ion mode, as described previously (Schultze et al. 2010). Data were processed using Protein Lynx Global Server (2.0, Micromass) and searched against MSDB and SwissProt data bases through the Mascot search engine with oxidation (M) and carbamidomethyl (C) modification, when appropriate.
Histochemical analysis and immunohistochemical investigations
Tissue sections were first analyzed by hematoxylin and eosin staining (HE). Liver tissue sections (5 μm thick) of three representative rats as well as three control rats were analyzed at the following time points: 0, 24, 48, 96 h, 8, 16, and 18 weeks. Furthermore, specimens of four cirrhotic human livers after developing HCC or CC and four specimens of cirrhotic liver without tumor were analyzed. After blocking of non-specific binding with 1% BSA and 10% goat serum (DAKO, Hamburg, Germany) containing PBS for 1 h at room temperature, two primary antibodies were simultaneously incubated on the sections overnight at 4°C. We used primary antibodies: rabbit polyclonal anti-COX-2; mouse monoclonal anti-COX-2 (33/Cox-2), mouse monoclonal anti-CK-19; mouse monoclonal anti-Hep Par-1; mouse monoclonal anti-ED1, mouse monoclonal anti-CD68, and mouse monoclonal anti-ED2. Rabbit polyclonal antibodies were detected with AlexaFluor-555-conjugated goat anti-rabbit secondary antibody and mouse monoclonal antibodies were visualized with AlexaFluor-488-conjugated goat anti-mouse secondary antibody. Antibody dilutions used are listed in Table 1.
In the double staining immunohistochemistry, ED1+/COX-2+ positive cells were counted in five randomly selected areas (0.51 mm2/area) in the centrilobular area of the hepatic lobule at a magnification of 100×.
Negative control immunostainings were performed by omission of the primary antibodies, use of non-immune serum, and by isotype matching control immunoglobulin. Sections were counter-stained with DAPI and observed with an epifluorescence microscope (Axiovert 200 M, Zeiss, Jena, Germany).
Alkaline phosphatase anti-alkaline phosphatase (APAAP) technique
We used the mouse monoclonal anti-COX-2 antibody (33/Cox-2) in this experiment. To make the antigen (COX-2)/antibody reaction visible, the APAAP technique was performed (Cordell et al. 1984). The APAAP complex is stained with neufuchsin, which stains the COX-2-positive cells red. The remaining tissue is made visible by counterstaining with hematoxylin.
Statistical analysis
The data were analyzed with GraphPad Prism 4.0 software (San Diego, USA) and SPSS (V14.0 for Windows; Chicago, IL, USA). The results are shown as means ± standard deviation. Significant difference was assessed at P < 0.05 against the control group and calculated according to the Mann–Whitney U test.
Results
COX-2 gene expression in normal and damaged rat liver
COX-2 specific mRNA
COX-2 mRNA was detectable in normal liver tissue and an upregulation up to 15-fold was detected during acute (Fig. 1a) and chronic liver injury (Fig. 1b). Significant upregulation of COX-2 gene expression (P < 0.05) during acute liver injury was observed 12 h (7.2 ± 2.3-fold), 24 h (14.69 ± 5.99-fold), 48 h (8.76 ± 0.36-fold), and 72 h (4.48 ± 1.2-fold) after TAA administration. Chronic liver injury revealed significant upregulation (P < 0.05) after 12 weeks (4.31 ± 0.65-fold), 16 weeks (3.56 ± 0.65-fold), and 18 weeks of TAA administration (4.34 ± 1.94-fold), as well as in dissected CC tissue (4.94 ± 1.78-fold).
COX-2 localization in liver tissue
Immunofluorescence staining
Double immunofluorescence staining was performed using the polyclonal (ab15191) and/or monoclonal (33/Cox-2) COX-2 antibody combined with antisera specific for CK-19, Hep Par-1, ED1 or ED2.
In healthy adult rat liver, the bile duct epithelial cells were strongly positive for CK-19, a typical bile duct cell antigen. CK-19+ cells were COX-2− as were Hep Par1+ hepatocytes (Fig. 2a, b). Only ED1+/ED2+ cells (tissue macrophages) in normal liver parenchyma were COX-2+ (Fig. 2c).
After administration of the toxins (TAA or CCl4), an increasing number of ED1+/ED2− mononuclear cells became detectable in the areas of damage. These cells showed only a weak positivity for COX-2. In contrast, the ED1+/ED2+ cells of the non-damaged tissue were clearly COX-2+. There was no difference in the distribution between ED1+ and COX-2+ cells (Fig. 3).
The cell counting performed in both models (TAA and CCl4) of liver damage showed a significant increase of the total number of ED1+/COX-2+ cells after 24 h (1.4-fold) as well as after 48 h (1.86-fold).
ED1+/COX-2+ cells located in the non-damaged area were ED2+ as well. Their number was not significantly altered after 24 h (1.08-fold) and 48 h (0.73-fold) in comparison with the control.
ED1+/COX-2+ cells located in the damaged area were predominantly ED2− and only a few cells with a weak ED2+ were detectable. These cells showed a significant increase after 24 h (4.29-fold) and after 48 h (12-fold).
In chronically injured livers a strong increase of CK-19+ cells is observable but these CK-19+ cells remained COX-2− as did those localized within the CC region (Fig. 4a). However, COX-2+ and ED1+/ED2+ cells were observed within the “regenerating” nodules. While ED1+/ED2+ cells within the regenerating nodules strongly correlated with COX-2+ cells (ED1 and COX-2 co-localization), ED1+/ED2− cells within the CC region were COX-2− (Fig. 4c).
In human cirrhotic livers, co-expression of CD68 (tissue macrophages) and COX-2 was confirmed in the “regenerating” nodules, whereas no co-expression of Hep Par-1 and COX-2, nor of CK-19 and COX-2 were observed (Fig. 5). There was no difference between cirrhotic livers after developing HCC or CC and cirrhotic livers without tumor.
Immunohistochemistry by APAAP method
After specificity analysis performed by 2-DE Western blot analysis and characterisation of the identified proteins we realized the potentially non-specific binding of other proteins. For immunohistochemistry with the APAAP method, we used the COX-2 monoclonal antibody (33/Cox-2). The results of APAAP staining of acute damaged livers confirmed the results of immunofluorescence staining. Nonspecific staining, particularly in the area of injury (“inflamed hepatocytes”), did not appear (Fig. 6).
In the chronically damaged liver (tumor region), some weakly COX-2+ cells were detectable within the tumor microenvironment (Fig. 7).
COX-2 gene expression in a macrophage cell line RAW 264.7 and in isolated rat liver cells
Specifity of the antibodies was controlled by using proteins from macrophage cell line RAW 264.7 and isolated rat liver macrophages. RAW 264.7 cells do not constitutively express COX-2. However, the protein can be quickly induced by treatment of the cells with endotoxin (Fig. 8a). COX-2 protein was tested in isolated rat liver cells using Western blotting (Fig. 8b). Specific COX-2 protein band (70 kDa) was clearly visible only in cultured Kupffer cells 24 h after plating. As also isolated resident tissue macrophages constitutively express COX-2 gene treatment with LPS aimed to show that COX-2 gene expression can be further upregulated. RT-PCR analysis of total RNA revealed an increase of COX-2 gene expression in isolated Kupffer cells after LPS-administration (Fig. 8c). COX-2 protein in isolated fraction 3 (inflammatory) and 4 (resident) macrophages showed a higher total protein amount in fraction 4 than in fraction 3 48 h after CCl4-induced acute liver injury (Fig. 8d).
2-DE Western blot analysis and specificity of antibodies
The specificity of the COX-2 antibodies was verified by 2-DE Western blot analysis and subsequently by mass spectrometric identification of the corresponding spots in silver-stained gels. We used total protein lysates from rat liver and from RAW 264.7 cell line (as a positive control). We tested three different polyclonal COX-2 antibodies (ab15191, sc-1746, sc-7951) and one monoclonal COX-2 antibody (33/Cox-2).
Total protein of rat liver
The polyclonal antibody SC1746 revealed two clearly visible protein spots. One of these spots could be successfully identified by mass spectrometry as Vimentin (VIME). The polyclonal antibody SC7951 showed five protein spots. Two of these spots could be successfully identified as Procollagen-lysine, 2-oxoglutarate 5-dioxygenase 3 (PLOD3), and heat shock 70 kDa protein 1A/1B (HSP71). The third tested polyclonal antibody (ab15191) showed up several clearly visible protein spots (Fig. 9, left side). The mass spectrometric identification of 12 protein spots revealed six different proteins (DnaJ homolog subfamily C member 3 (DNJC3), Alpha-enolase (ENOA), D-3-phosphoglycerate dehydrogenase (SERA), Arginase-1 (ARGI1), Cystathionine gamma-lyase (CGL), and Fructose-bisphosphate aldolase B (ALDOB)). Arginase 1 was represented by six different protein spots. The monoclonal antibody (33/Cox-2) showed no specific signal (data not shown). Neither the polyclonal nor the monoclonal antibody detected COX-2 from the 2-DE-gel containing total protein lysates from rat liver.
Overall, a good correlation was found between the observed and the calculated isoelectric point and molecular weight of the identified proteins (Table 2; Suppl. Table 1).
Total protein from the RAW 264.7 cell line
As a positive control, the total protein lysate of the macrophage cell line RAW 264.7 was used. The review of the polyclonal (ab15191) and monoclonal (33/Cox-2) antibody revealed a specific signal in the range of 70 kDa for both antibodies. While the monoclonal antibody, however, showed two spots in the region of 70 kDa, the polyclonal antibody showed several additional spots in the range of 30–80 kDa, as was observable when total protein lysates from rat liver tissue were used. The two spots of the monoclonal antibody were examined by mass spectrometry. One protein spot could be successfully identified as Chain A, Cyclooxygenase-2 (Prostaglandin Synthase-2) complexed with a non-selective Inhibitor, Flurbiprofen (PGH2) (Fig. 9, right side; Table 3; Suppl. Table 1). For the second spot no corresponding protein spot in the silver-stained gel was found.
Discussion
In this study we show that COX-2 is constitutively expressed in macrophages of normal liver tissue and that COX-2 gene expression increases in acutely, as well as in chronically damaged liver in two rat models. Two different models of liver injury were studied in an attempt to show that COX-2 gene is expressed in mononuclear phagocytes of healthy and damaged liver independently of the toxin used as well as in human liver tissue. The increase is due to the increased expression in the resident liver tissue macrophages and to recruited inflammatory mononuclear phagocytes. Contrary to what we expected, COX-2 immuno-detection in tumoral tissue is not found in tumoral cells but only in those macrophages of the tumor microenvironment and of the non tumoral tissue. The constitutive COX-2 expression in tissue macrophages was confirmed in isolated rat Kupffer cells. The results obtained by the in vitro treatment of Kupffer cells with LPS indicates that the COX-2 expression can be further stimulated in resident macrophages as suggested by the data obtained in vivo.
COX-2 mRNA expression showed a significant increase at different time points after TAA administration with a maximum value after 24 h and during chronic liver injury starting from 8 weeks of TAA administration. According to immunohistology, this increase was not due to either the “inflamed” hepatocytes (cells located around the inflamed areas) (Chariyalertsak et al. 2001; Giannitrapani et al. 2009) or to the CC cells (Endo et al. 2002).
Administration of TAA or CCl4, two well-known hepatotoxicants, altered not only epithelial cells, but also provoked centrilobular inflammation/necrosis. The inflamed areas were populated mainly by infiltrating monocytes/macrophages, identified by ED1 antigen expression (Neubauer et al. 2008; Laskin et al. 2011; Zborek et al. 2006). In order to demonstrate that recruited inflammatory mononuclear phagocytes may also be responsible for the increase of COX-2 gene expression, double immunofluorescence staining studies were performed using anti-ED1, anti-ED2 (Ramadori and Saile 2004), and anti-COX-2-antibodies. Interestingly, COX-2 positivity was found not only in the ED1+/ED2+ (resident) macrophages but also in the ED1+/ED2− mononuclear phagocytes of the damaged areas and of the tumor microenvironment. The presence of the COX-2 protein was confirmed in isolated inflammatory phagocytes. In the past, COX-2 positivity in mononuclear cells located within the tumor microenvironment was not underlined, but it is possible that these cells were responsible for the presence of the COX-2 mRNA level measured in total RNA extracted from tissue samples (Bamba et al. 1999; Sheehan et al. 2005).
To be sure of the specificity of the different available antibodies, 2-DE and mass spectrometric analysis of COX-2-positive protein spots were performed. The lack of any specific signal in total protein lysates from rat liver for all tested COX-2 antibodies in the range of 70 kDa could be due to the small total amount of this protein and may be partly due to limitations in the method used. To ensure that 2-DE is suitable for the detection of this protein, we used (as a positive control) total protein lysates of the macrophage cell line RAW 264.7. And indeed, a specific binding of the monoclonal antibody (33/Cox-2) to COX-2 protein could be detected by mass spectrometry. However, the COX-2 protein spot in the total protein lysate of the macrophage cell line was a rather small protein spot. This could be interpreted as a further indication of an only limited total amount of this protein. This assumption is supported by the absence of COX-2 detection in various other studies of proteome of the liver conducted to date (Kawase et al. 2009; Li et al. 2004; Sun et al. 2010).
The results of 2-DE were reflected also in immunohistochemistry. The monoclonal antibody (33/Cox-2), whose specific binding could be demonstrated, was strictly correlated with ED1+ cells. In contrast, the polyclonal antibody (ab15191) showed not only a clear correlation with ED1+ cells, but also a weak positivity in hepatocytes. However, this antibody also binds to other proteins, including ARGI1. ARGI1 is involved in the urea cycle and appears to play a role in liver injury and NO synthesis (Reid et al. 2007). In a recent study, ARGI1 was introduced as a possible new immunohistochemical marker for hepatocytes and hepatocellular neoplasms (Yan et al. 2010). This may explain the weak hepatocyte positivity detectable in the present study using the polyclonal COX-2 antibody (ab15191).
Similar results are obtained with two other tested polyclonal COX-2 antibodies (SC1746, SC7951). Infact, vimentin (VIME) was detected by the polyclonal COX-2 antibody SC1746 and recently described as a potential biomarker for HCC (Sun et al. 2010). Furthermore, COX-2 expression was described in hepatocytes during liver regeneration using COX-2 antibody SC7951 (Fernández-Martínez et al. 2004). This antibody, however, in our hands also binds to HSP71 which is upregulated in hepatocytes in liver regeneration (Brockmann et al. 2005; Shi et al. 2007). These potentially non-specific bindings, depending on the antibodies used, may explain the conflicting results reported in the literature regarding the hepatic COX-2 expression.
Conclusion
This work shows that COX-2 is constitutively expressed in tissue macrophages of rat and human liver. Increase of COX-2 gene expression in damaged liver tissue is due to increased expression in resident macrophages and inflammatory cells which are also present in tumoral tissue. Cholangiocarcinoma cells of this model are COX-2 negative. The contribution of mononuclear phagocytes should be taken into account when total RNA extracted from tumoral tissue is studied.
Abbreviations
- CC:
-
Cholangiocarcinoma
- COX-2:
-
Cyclooxygenase-2
- TAA:
-
Thioacetamide
- CK-19:
-
Cytokeratin-19
References
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Acknowledgments
We greatly appreciate the skillful technical assistance of Mrs. D. Fey and C. Dunaiski. We thank Dr. Lüder from the Dept. of Bacteriology, Georg-August-University Goettingen, Germany, for the RAW 264.7 cell line. We thank Professor H. Urlaub from the MPI Goettingen for mass spectrometric identification of the samples. The contribution of Dr. Marta Wójcik in this study was supported by Grant no. N N308 3169 33 from the Ministry of Science and Higher Education, Poland.
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Expression of cyclooxygenase-2 (COX-2) is restricted to tissue macrophages and to recruited mononuclear phagocytes in rat liver injury and cholangiocarcinoma. Our results indicate that the targets of COX-2 inhibitors are not the tumor cells themselves, but the tissue macrophages of the tumor microenvironment.
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418_2011_889_MOESM1_ESM.doc
Suppl. Table 1 Score and matched peptides of the identified proteins using nano-LC MS/MS from liver proteome (ab15191, SC1746, SC7951) and RAW 264.7 proteome (33/Cox-2) after 2-DE blot using different COX-2 antibodies. Supplementary material 1 (DOC 49 kb)
418_2011_889_MOESM2_ESM.tif
Suppl. Fig. 1 Immunolocalization of COX-2, CK-19, Hep Par-1, and ED1 in TAA-induced acute rat liver injury (48 h). Immunofluorescence staining of (A) COX-2 (red) and CK-19 (green); (B) COX-2 (red) and Hep Par-1 (green); (C) COX-2 (red) and ED1 (green). Co-localization of COX-2 and ED1 is detectable. Polyclonal COX-2 antibody (ab15191) was used. The blue staining with DAPI represents the nuclei (×100/×400 original magnification). pv: portal vein; bd: bile duct. Bar 50 μm. Supplementary material 2 (TIFF 2597 kb)
418_2011_889_MOESM3_ESM.tif
Suppl. Fig. 2 Immunolocalization of COX-2 in TAA-induced acute rat liver injury (48 h). Polyclonal COX-2 antibody (ab15191, red) and monoclonal COX-2 antibody (33/Cox-2, green) were used. The blue staining with DAPI represents the nuclei (×100/×400 original magnification). Bar 50 μm. Supplementary material 3 (TIFF 2783 kb)
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Wójcik, M., Ramadori, P., Blaschke, M. et al. Immunodetection of cyclooxygenase-2 (COX-2) is restricted to tissue macrophages in normal rat liver and to recruited mononuclear phagocytes in liver injury and cholangiocarcinoma. Histochem Cell Biol 137, 217–233 (2012). https://doi.org/10.1007/s00418-011-0889-9
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DOI: https://doi.org/10.1007/s00418-011-0889-9