Abstract
Heme oxygenase (HO), the rate-limiting enzyme in the formation of bilirubin, is expressed in the lung and may serve as an antioxidant. This enzyme results in the formation of antioxidant bile pigments and the degradation of pro-oxidant heme. We wanted to evaluate the differences in expression of HO-1, the inducible form, and HO-2, the constitutive isoenzyme, during lung maturation and document whether lung HO expression was similar to that of other antioxidant enzymes. Lung total HO activity and HO-1 and HO-2 proteins as well as HO-1 and HO-2 mRNA were evaluated in animals from 16 d of gestation (e16.5) to 2 mo of age. Heme content was also evaluated because heme is the substrate of the reaction. HO-1 mRNA was maximal at e19.5 and e20.5, whereas HO-2 mRNA was not changed throughout maturation. Lung HO-1 protein was highest on the first days of life and lowest in adults, whereas HO-2 protein was maximally expressed at postnatal d 5 and then declined to reach adult values. As to HO activity, there was a prenatal peak at e20.5, a second lesser peak at d 5, and thereafter a decline to adult values. Lung heme content was inversely correlated with HO activity or protein as the highest heme values were seen in adults with the lowest HO activity. In response to hyperoxia, HO-1 mRNA was induced only in the adult lungs. A better understanding of the maturational regulation of lung HO will define a role for HO in newborns at risk for oxygen toxicity.
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Main
HO, the rate-limiting enzyme in the degradation of heme and the formation of bilirubin, has been shown to have various roles in antioxidant defense and stress response (1). In particular, HO-1, the inducible form, is up-regulated in hyperoxia (at least in adults) (2) and in other models of oxidative stress (3–6). Neonatal animals do not up-regulate lung HO-1 mRNA in response to hyperoxia (7); however, they are able to increase lung HO-1 mRNA in other circumstances of oxidative stress (8). It is not clear whether HO represents a neonatal antioxidant defense, and it would be important to understand whether the expression of HO parallels that of other antioxidant enzymes in development.
HO-2 is the constitutive isoenzyme, which does not get up-regulated in oxidative stress. However, HO-2 has been shown to have important functions in hyperoxia, as hyperoxia-exposed HO-2 knockouts died on average 5 d earlier in hyperoxia than similarly exposed wild-type animals and had a 3-fold increase in serum lipid hydroperoxides indicating increased oxidative stress (9). Therefore, it is also important to evaluate the expression of HO-2 in the lung throughout gestation.
There are many examples of AOEs such as catalase, superoxide dismutase, and glutathione peroxidase, which increase in the latter third of gestation (10). It is thought that this increase represents a preparation for the relatively hyperoxic environment that the newborn will face on delivery. If HO serves in a similar capacity as an antioxidant, one would anticipate that its expression would be increased in the latter part of gestation in preparation for delivery. We tested this hypothesis by evaluating the level of HO in fetal and neonatal rats and comparing it with that of older pups and postsuckling animals. Also, the response of HO-1 to hyperoxic induction was tested in animals of various ages to see whether increased expression of HO-1 in the youngest animals would be associated with a relative resistance to hyperoxia.
METHODS
Pregnant rat dams and litters were obtained from Simonsen (Amersham Biosciences Corp., Piscataway, NJ, U.S.A.). Animal protocols were reviewed and approved by the Animal Care Institutional Review Panel of Stanford University.
Pregnant dams were killed by CO2 narcosis. The uterus was externalized and the fetuses were extracted at e16.5, e19.5, and e20.5. The pups were then dissected so as to obtain the lungs. These were cleared of blood in ice-cold 1.15% KCl.
Pups aged 0 (day of birth), 1, 7, 14, and 21 d and adult male and female rats (2 mo) were killed by CO2 narcosis, and the lungs were excised and rinsed in ice-cold KCl to remove any Hb. None of the samples were visibly hemorrhagic.
Hyperoxic Exposure
In other experiments rats aged 0, 1, 7, 14, 21, and 60 d were exposed to air or hyperoxia in an airtight Plexiglas cylindrical exposure chamber (Vreman Scientifics, Los Altos, CA, U.S.A.) that had a port for gas entry and access to food and water. Greater than 95% oxygen (hyperoxia) was provided with commercial cylinders (Liquid Carbonic, Chicago, IL, U.S.A.) in a flow-through system. All suckling animals were placed in the chamber along with their mother. The mothers cross-nurtured pups of the other experimental litter (i.e. air or hyperoxia-exposed) every 24 h to obviate the effect of hyperoxia on the dams. Food and water was available to the dams ad libitum. The pups had access to the mothers at all times except for 10–15 min daily to allow for bedding changes and chamber cleaning. Adults were similarly exposed and given free access to food and water. After 3 d of exposure, the animals were killed by CO2 narcosis. The lungs were excised and rinsed in cold PBS on ice to remove any blood.
Assessment of HO Expression
Tissues were analyzed for total HO activity by gas chromatography as previously described (11), in subdued lighting. HO activity was also estimated by measuring VeCO in animals before hyperoxic exposure as described (12). Values were expressed as microliters of carbon monoxide per hour per kilogram of body weight.
Polyclonal rabbit anti-rat HO-1 antibodies were raised against a 30-kD soluble HO-1 protein expressed in Escherichia coli from rat liver cDNA (13) (gift of Angela Wilks, University of California San Francisco, CA, U.S.A.) as previously described (14). Rabbit anti-rat HO-2 antibodies were obtained from Stressgen (Vancouver, BC, Canada). Detection of HO-1 and HO-2 immunoreactive protein was performed by Western blot analysis as previously described (14). Equal loading was verified by Coomassie blue staining. Quantification was performed by densitometry (PDI, Sunnyvale, CA, U.S.A.).
Six-micrometer lung slices were incubated with a 1:25 dilution of rabbit anti-rat HO-1 overnight in a humidified chamber. After incubation, the slides were washed twice in PBS containing 0.03% saponin and 1% milk, and further incubated with a 1:50 dilution of FITC-conjugated goat anti-rabbit antibodies (Caltag, Burlingame, CA, U.S.A.) for 1 h at room temperature. Thereafter, the slides were incubated with HO-2 antibodies at a 1:25 dilution for 2 h at room temperature, followed by incubation in a 1:50 dilution of Texas red–labeled anti-rabbit antibodies. Lastly, some of the slides were incubated with a 1:25 dilution of anti-surfactant protein C antibodies and secondarily labeled with Cy5 anti-rabbit antibodies at a 1:100 dilution to detect type II cells. The slides were then mounted with antifade reagent in glycerol buffer (Slowfade; Molecular Probes, Eugene, OR, U.S.A.) and viewed with a Nikon fluorescence microscope (Japan) using a confocal laser scanning unit (model 2010; Molecular Dynamics, Sunnyvale, CA, U.S.A.). Excitation was set at 488 nm and emission at 515–545 nm for FITC. For Texas red, excitation was set at 568 nm and emission at >590 nm, and for Cy5 excitation was set at 635 nm and emission at >590 nm. Side-by-side images were processed on an SGI computer system (Molecular Dynamics). Negative controls for nonspecific binding, incubated with secondary antibody only, were processed and revealed no signal.
Lung RNA was isolated by the guanidinium thiocyanate–phenol extraction method (15), quantitated spectrophotometrically at 260 nm, and electrophoresed.
Determination of HO-1 and HO-2 mRNA Levels
Plasmid and probe preparation.
The plasmid pBKRHO1 was constructed in pBluescript II SK- using a rat HO-1 cDNA fragment prepared by reverse transcriptase-PCR as previously described (5). The housekeeping genes β-actin (American Type Culture Collection; Rockville, MD, U.S.A.) and GAPD were prepared as an Eco RI digest of the HHCPF19 plasmid. The full-length HO-2 (1269 bp) was constructed by isolation of a rat testes 972-bp HO-2 cDNA in a pRK-5 vector (gift of Solomon Snyder) with Sma I and Bam HI restriction enzymes. The recovered fragment was partially digested with Bam II to recover a 935-bp fragment, and a PCR-synthesized 372-bp overlapping 3′ end fragment derived from published rat testes HO-2 sequence including the Bam II site was also partially digested. The two Bam II-digested fragments were blunt-end ligated The final 1269-bp product was PCR amplified. [The latter primers were constructed based on the GeneBank entry for adult rat testes HO-2 cDNA (16).] The resultant full-length cDNA was sequenced to verify that it was indeed HO-2. Labeled probes were prepared by the random primer method (17) using 32P-dCTP.
Northern hybridization.
RNA was isolated by the guanidinium thiocyanate–phenol extraction method (15), and quantitated spectrophotometrically at 260 nm. RNA (20 μg) was electrophoresed and probed as previously described (5). For reprobing, membranes were stripped according to the manufacturer's protocol using boiling 0.5% SDS. HO-1, HO-2, and β-actin mRNA quantification was performed by densitometry (PDI), and the ratio of HO-1 to β-actin or GAPD was calculated. For HO-2, both bands were quantitated and the sum of both bands was used.
Membranes were probed with rat HO-1, rat HO-2, and the housekeeping gene GAPD (American Type Culture Collection) (14). Labeled probes were prepared by the random primer method (17) using 32P-dCTP. Quantification of HO-1, HO-2, and GAPD mRNA was performed by densitometry (PDI), and the ratio of HO-1 to GAPD was calculated. To allow comparison between membranes, the ratio of signal to GAPD for each day was compared with the ratio for d 0.
Determination of HO Substrate and Reaction Products
To detect alterations in the substrate of the HO reaction, cellular heme content was determined by quantitation of the hemochrome in a reaction with pyridine in alkali. Microsomes were prepared as previously described (7) and these were washed twice with cold 0.15 M KCl to remove any Hb, scraped and centrifuged. The samples were then resuspended in 0.9% NaCl, mixed with a solution of 25% (v:v) pyridine in 0.075 M NaOH and scanned at absorbance 350–600 nm. The hemochromes have strong Soret bands in the range of 405–440 nm. The absorbance peak corresponding to the Soret band (414 nm) in the samples was quantitated using a published molar extinction coefficient (18). Values were expressed as μM heme/mg protein.
Statistical Analysis
For comparison among age groups, the null hypothesis that there was no difference among group means was tested by a single-factor ANOVA for multiple groups (StatView 4.02; Abacus Concepts, Inc., Berkeley, CA, U.S.A.). Statistical significance (p < 0.05) was determined by means of the Fisher method of multiple comparisons.
RESULTS
In all evaluations, values did not differ between male and female adults; therefore the data were analyzed as one group.
Lung HO-1 and HO-2 mRNA were evaluated throughout development and in adult animals. Lung HO-1 mRNA peaked on gestational day e19.5 to e20.5 then decreased significantly from birth onward (Fig. 1A). Two transcripts of lung HO-2 mRNA were observed. There was no change in the expression of either the 1.9- or 1.3-kb HO-2 transcript throughout gestation although the 1.3-kb transcript was expressed at higher abundance (Fig. 1B).
Lung HO-1 protein peaked in the first days of life then decreased until adulthood (Fig. 2A). In contrast, HO-2 protein was high prenatally, except at the end of gestation and birth (e20.5 and 0). It was again increased in the first week of life and peaked at d 5. Thereafter, the levels of HO-2 protein decreased to adult values (Fig. 2A). The distribution of the two proteins differed in that immunoreactive HO-1 signal was initially observed in type II cells and in bronchiolar epithelium in the youngest animals and then was found predominantly in blood vessels in the adults (Fig. 2B). In contrast, HO-2 immunoreactive signal was found throughout the lung tissue (Fig. 2B).
Total lung HO activity was highest at day e20.5, but declined significantly at birth and in early postnatal life, then peaked to a lesser extent on d 5 and declined to adult values (Fig. 3).
Heme content was measured to evaluate whether abundance of the substrate dictated the expression of HO. Lung heme was inversely correlated to HO activity in that it was low prenatally and peaked on the day after birth and on d 14, then remained relatively elevated in the adults (Fig. 4).
To determine whether the abundance of HO was associated with resistance to induction, animals of various age groups were exposed to hyperoxia for 3 d. Only the adults demonstrated induction of HO-1 mRNA in response to hyperoxia (Fig. 5A). Nonetheless, d 7 animals demonstrated increased HO-1 protein (Fig. 5B) and increased HO activity (Fig. 5C) in hyperoxia, as did the adults. The other suckling animals (d 14 and 21) showed no increase in either lung HO-1 mRNA, protein, or activity after hyperoxia (Fig. 5).
DISCUSSION
We have demonstrated a distinct pattern of HO-1 and HO-2 expression throughout development. As with other AOEs (10), lung HO activity increased before delivery, but in contrast to other AOEs, the activity was lowest in adults. There was also lack of correlation between HO-1 and HO-2 RNA, protein, and activity. The lack of change in either transcript of HO-2 mRNA throughout development differs from what is observed in the liver (19) and the brain (20) and may reflect the constitutive nature of this enzyme (21) or organ-specific differences in HO-2 regulation. The lack of correlation between HO-1 mRNA and protein may be related to changes in protein or mRNA half-life (22).
Unlike the known protective AOEs, HO expression was highest in the prenatal period but showed a dramatic 50% reduction at birth and no postnatal increase right after birth, The lack of an increase at birth does not support the hypothesis that HO activity affords protection against oxidative injury associated with the transition to a relatively hyperoxic postnatal environment. This has been hypothesized as the reason for the prenatal increase of other AOEs such as superoxide dismutase, glutathione peroxidase, and catalase (10). Furthermore, other lung antioxidant enzyme activity remains high in adults (10) whereas HO activity does not. The lowered lung HO activity in adult animals and the brisk and significant induction of lung HO-1 with hyperoxia do not appear to offer protection against hyperoxia in this model.
Unlike other AOEs, HO-1 mRNA was less readily induced in neonates exposed to hyperoxia compared with adults, and this resistance to induction persisted throughout the suckling period. This is in agreement with other models in which cells that are resistant to hyperoxia, such as O2R95 hamster fibroblast cells, also show a less ready induction of HO-1 in response to hyperoxia than do hyperoxia-susceptible parent cells (14). Some publications suggest that induction of HO-1 is not always protective against oxidative stress if this induction exceeds a certain threshold (9, 23, 24). This suggests that beyond this threshold, no further induction is required or useful. Therefore, the neonates with already relatively high levels of HO compared with adults do not induce HO-1 further because this would be detrimental whereas adults with lower HO values induce HO-1 readily in hyperoxia as a protective response. This hypothesis is corroborated by the data presented here; however, what regulates the inducibility during maturation is not clearly understood. We have previously reported that neonatal mice have decreased activator protein 1 binding to lung DNA in hyperoxia (25). This transcriptional factor is an important regulator of HO-1 transcription in hyperoxia (2). This lack of activator protein 1 binding in neonates may partially explain their relative resistance to HO-1 hyperoxic induction.
Overall, the changes in HO mRNA, protein, and activity throughout development were not completely correlated, which suggests that there may be some posttranscriptional and posttranslational modification of HO-1 and HO-2 mRNA. This was also observed with hyperoxic exposure throughout the suckling period, as previously shown in the newly born rat pups (7). This lack of correlation between mRNA and protein has also been observed with other AOEs (26). Additionally, others have shown posttranslational activation of HO-2 in hippocampal and cortical neuronal cultures (27). Furthermore, the half-life of HO-1 mRNA and protein differ considerably, and this may help explain the discrepancy between HO-1 protein and mRNA (28). However, no one has determined whether the half-life of HO changes in development, and there is no clear understanding of posttranslational control of HO-1 or HO-2 protein.
Because heme is the substrate of the HO reaction, it could be that the lung HO activity depends on the availability of the substrate. It has been well documented that heme can mediate induction of HO-1 (22, 29). This did not appear to be the case in this study because lung heme levels were relatively low in the newly born animals compared with adults, yet they had the highest level of HO activity. However, the fact that heme levels were negatively correlated to the HO activity may simply indicate increased heme utilization when HO activity is highest. What regulates the increased HO activity in the newborn compared with adults is not yet clear. This remains to be determined.
CONCLUSIONS
In summary, overall lung HO expression was highest prenatally and lowest in adulthood. This was also associated with the relative resistance to further hyperoxic induction of HO-1 in the neonatal animals. We speculate that the expression of HO is tightly regulated in the lung to maintain the optimal level that provides protection against oxidative stress.
Abbreviations
- HO:
-
heme oxygenase
- en:
-
day (n) of embryonic life
- VeCO:
-
excretion of carbon monoxide
- GAPD:
-
glyceraldehyde-3-phosphate dehydrogenase
- dCTP:
-
deoxyribocytosine-triphosphate
- AOE:
-
antioxidant enzyme
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Acknowledgements
We thank Arthur Tatarov for his expert technical assistance and Lisa Raskin for preparing the slides for immunohistochemistry.
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Supported by the National Institutes of Health Grant HL-52701 and HL-58752 (P.A.D.) and the Mary L. Johnson and Hess and Court Ballanger funds of Stanford University.
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Dennery, P., Lee, C., Ford, B. et al. Developmental Expression of Heme Oxygenase in the Rat Lung. Pediatr Res 53, 42–47 (2003). https://doi.org/10.1203/00006450-200301000-00010
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DOI: https://doi.org/10.1203/00006450-200301000-00010
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