Abstract
Purpose.:
To determine whether resolvin E1 (RvE1), an endogenous oxygenation product of eicosapentaenoic acid (EPA), induces increases in migration in human corneal epithelial cells (HCECs) and to identify signal pathways mediating this response.
Methods.:
Migration was measured with the scratch wound assay. Western blot analysis identified changes in the phosphorylation status of prospective intracellular signal transduction mediators. Immunocytochemistry probed for intracellular paxillin localization and actin reorganization.
Results.:
RvE1 enhanced HCEC migratory rates to levels comparable to those induced by epidermal growth factor (EGF). These increases were accompanied by increases in the phosphorylation status of epidermal growth factor receptor (EGFR), Akt, p38 MAPK, GSK-3α/β, and paxillin, which essentially persisted for up to 60 minutes. The EGFR inhibitor AG1478 blocked the subsequent effects of RvE1 to induce increases in phosphorylation status and cell migration. The PI3-K inhibitor LY294002 or wortmannin or the p38 inhibitor BIRB796 blocked resolvin-induced increases in cell migration. Either the matrix metalloproteinase (MMP) inhibitor GM6001 or the specific heparin-bound EGF-like growth factor inhibitor CRM197 suppressed RvE1-induced stimulation of EGFR/PI3-K/Akt phosphorylation and cell migration.
Conclusions.:
RvE1 enhances HCEC migration through MMP and sheddase-mediated EGFR transactivation. This response is dependent on PI3-K and p38-linked signaling eliciting paxillin (Tyr118) phosphorylation.
The corneal epithelium provides an effective barrier against ocular damage by noxious agents, infection, and environmental insults. Because the corneal epithelium may be the first point of contact for such stresses, maintenance of its integrity is critical for continued protection and retention of optical transparency. To preserve integrity, the corneal layers must undergo continuous renewal in a complex process controlled by a host of growth factors and cytokines that, through activation of their cognate receptors, regulate epithelial cell proliferation, migration, and differentiation.
1
Should corneal epithelial injury occur, some of these mediators undergo upregulation, which hastens wound healing and prevents losses in corneal transparency.
2,3 In some cases, these responses depend on complex interactions between different receptors and their linked cell signaling pathways. Both mitogen-activated protein kinase (MAPK) and PI3-K/Akt pathways are involved in mediating receptor control of migration and proliferation.
4 Characterization of the healing response has shown that EGF is one of the most efficacious endogenous mediators for the stimulation of corneal epithelial wound closure.
5,6 However, during persistent and severe corneal inflammation, wound healing is delayed or even unable to restore epithelial barrier function. Other contributors to an inappropriate healing response include scarification, which leads to loss in tissue transparency.
7 –9 Epithelial growth factor receptor (EGFR) transactivation is one type of receptor interaction contributing to corneal wound healing. It is elicited by endogenous mediators other than EGF, which induce responses underlying reepithelialization through EGFR-linked signaling pathway activation.
10 –21
RvE1 (5S, 12R, 18R-trihydroxyeicosapentaenoic acid; RX-10001) is an endogenous anti-inflammatory mediator formed as an oxygenation product of eicosapentaenoic acid (EPA), one of the main dietary essential fatty acids.
22 This lipid mediator was first identified in vivo during the spontaneous resolution phase of inflammation in exudates collected from inflamed dorsal pouches in mice fed EPA.
23 In acute and chronic models of inflammation, administration of RvE1 either before an insult or during elaboration of inflammation inhibited this response. The models in which this inhibitory effect was demonstrated include TNBS-induced colitis,
24,25 Porphyromonas gingivalis–induced periodontitis,
26,27 allergy-mediated lung inflammation,
28 and suppression of retinal angiogenesis.
29 Recently, in a murine model of desiccating stress, RvE1 reduced corneal surface fluorescein staining and inflammation, suppressed goblet cell losses, and restored tear secretion rates (Li N, et al.
IOVS 2008;49:ARVO E-Abstract 121; Gjorstrup P, et al.
IOVS 2008;49:ARVO E-Abstract 122). These improvements in ocular surface health may be attributed to the fact that inflammation suppression can hasten reepithelialization. Indeed, in a recent study,
30 application to mice of the endogenous lipid autocoids lipoxin A4 (LXA4) and neuroprotectin D1 (NPD1) decreased proinflammatory chemokine production by the stromal cells and accelerated corneal reepithelialization. However, the study did not determine whether stimulation of this response also involved a direct increase in cell migration.
30
Collectively, the data from these models of inflammation and tissue stress suggested that resolvins may also act through other mechanisms to promote tissue homeostasis. We now show that RvE1 induces in HCECs a dose-dependent increase in cell migration and that this effect is mediated through EGFR transactivation followed by transient activation of the PI3-K/Akt/GSK-3α/β and p38 MAPK signaling pathways. These responses are associated with increases in both paxillin phosphorylation and apparent heightened wound edge localization.
Cells were seeded onto chamber slides (Laboratory-Tek; Nunc, Naperville, IL) and were allowed to reach confluence. Cell layers were then washed twice with PBS, fixed in ice-cold PBS/4% paraformaldehyde for 30 minutes, washed three times with PBS, rendered permeable by a 10-minute incubation in 0.1% Triton-PBS solution, and blocked by 15-minute incubation in 3% bovine serum albumin (BSA)-PBS. These processed slides were incubated for 16 hours at 4°C with mouse anti–paxillin antibody (1:400; Millipore, Billerica, MA) made in 1.5% BSA-PBS. After the cells were washed, they were incubated for 30 minutes in a mix of AlexaFluor568-phalloidin (1:50) and AlexaFluor488-goat anti–mouse IgG (1:500; Invitrogen) at room temperature. Finally, sections were washed three times with PBS and mounted with antifade mounting medium containing 1.5 μg/mL DAPI (Santa Cruz Biotechnology). Fluorescence was visualized using a fluorescence microscope with a 60× oil objective lens. Images were processed using confocal laser scanning microscope software (LSM; Zeiss, Thornwood, NY) and image editing software (Photoshop 6.0; Adobe Systems Incorporated, San Francisco, CA).
D/F12, FBS, and PBS were from Invitrogen. Wortmannin, LY294002, GM6001, CRM197, heparin-bound EGF-like growth factor (HB-EGF), EGF, bovine insulin, gentamicin, and 0.05% trypsin-EDTA solution were purchased from Sigma RBI (St. Louis, MO). BIRB796 and RvE1 (RX-10001) were provided by Resolvyx Pharmaceuticals, Inc. (Bedford, MA).
Resolvin-Induced Increases in Cell Migration Elicited by PI3-K and p38 MAPK Pathway Signaling
Resolvins are highly potent endogenous anti-inflammatory mediators derived from the essential omega-3 polyunsaturated fatty acid eicosapentaenoic acid.
22,38 In both acute and chronic models of inflammation, the endogenous RvE1 was shown to accelerate the resolution of inflammation.
22,28,39 Although it would be expected that controlled resolution of an inflammatory process would more rapidly allow tissue homeostatic processes to normalize tissue function, nothing was known about a direct effect of resolvins on tissue repair.
We now show for the first time that RvE1 directly stimulates cell migration and hastens wound closure. The effects of RvE1 were concentration dependent and, at the highest concentration investigated, induced increases in cell migration to a level similar to that maximally induced by EGF. Its stimulation of cell migration was dependent on EGF release from its binding to heparin, followed by EGFR transactivation and subsequent stimulation of p38 MAPK and PI3-K signaling. There is ample evidence that a number of different receptor types elicit control of responses through EGFR transactivation in the corneal epithelium,
14 –19,21,40 and in numerous other tissues as part of a normal regulation of tissue function.
41 –49 G protein-coupled, receptor-mediated Erk1/2 and PI3-K activation often occur through the transactivation of receptor tyrosine kinases (RTKs), which leads to sequential activation of linked cell-signaling pathways.
41,50 Many corneal epithelial studies indicate a pivotal role for EGFR, including receptor transactivation, in mediating responses to wounding and other pathophysiological challenges.
10 –21 Initial evidence from our laboratory, including the inhibition by pertussis toxin, indicates that the GTP-binding protein G
i mediates resolvin-induced EGFR transactivation and stimulation of cell migration (data not shown).
Specifically in our study, blocking EGFR activation with AG1478, a selective tyrosine receptor kinase inhibitor, not only abolished the resolvin-induced migration responses, it also blocked the phosphorylation of both Akt and p38. Furthermore, inhibitors that blocked the phosphorylation of either Akt or p38, such as the PI3-K-specific inhibitor wortmannin or LY294002 or the specific p38 inhibitor BIRB796, also inhibited the migration responses to RvE1. EGFR transactivation commonly occurs in response to sheddase-dependent release of HB-EGF.
21 Adding either an MMP inhibitor (GM6001) or a direct HB-EGF inhibitor (CRM197) to the scratch-wound assay also blocked resolvin-meditated EGFR phosphorylation and inhibited the cell migratory responses, further confirming a dependence on EGFR transactivation. The inhibitory effects of CRM197 on resolvin-induced increases in migration were circumvented by supplementing the medium with HB-EGF. Similar response rescue results were described in another study using the same cell line.
51
EGFR transactivation by RvE1 induced persistent increases in GSK-3α/β and p38 MAPK phosphorylation. The time dependence of these changes was different from that induced by EGF.
36 With EGF, the induced changes were more transient than those elicited by RvE1. Nevertheless, the increases in cell migration induced by RvE1 and EGF in the present study are indistinguishable from one another. The fact that the same increase in cell migration can be induced through differences in cell signaling activation patterns reflects that there are other aspects of this process that require further elucidation. Some insight into this question stems from comparing the specific residues on paxillin that are phosphorylated by different EGFR-linked signaling pathways. We found that RvE1 induces Tyr118 phosphorylation on paxillin, whereas Erk1/2 and JNK/SAPK pathways induced Ser126 and Ser178 phosphorylation, respectively.
36,52 In each case, these effects led to increases in cell migration, even though different paxillin residues undergo phosphorylation. These differences suggest that cell migration can be stimulated by alternative phosphorylation of different residues on paxillin. Furthermore, they indicate that EGFR activation is both tissue and ligand specific. This means that in some cases an increase in migration can be elicited through different patterns of cell signaling activation, leading to phosphorylation of a variety of residues on one of the mediators of this response. In HCECs, such redundant control of paxillin phosphorylation affects focal-adhesion dynamics and cell migration. A recent study
37 shows that paxillin phosphorylation by ERK pathway stimulation enhances its interaction with FAK, thus promoting cell migration through focal adhesion disassembly. Therefore, different patterns of cell signaling activation can mediate the phosphorylation of paxillin on various residues, and phosphorylation of one or more of these residues may be sufficient to trigger an increase in cell migration.
Activation of the PI3-K/Akt pathway in HCECs suggested that resolvin may also activate prosurvival pathways, but this was not further studied. However, in a recent report
53 of myocardial ischemia/reperfusion injury in the rat, RvE1 administered at the time of reperfusion reduced the infarct size by up to 70%. The same study in isolated cardiomyocytes exposed to hypoxia/reoxygenation in vitro showed RvE1 to activate survival pathways, including PI3-K and Erk1/2, that were dependent on HB-EGF shedding and EGFR transactivation. The demonstration of profound cellular protective and repair pathway activation in two tissues as diverse as epithelial cells and myocardial cells may indicate that EGFR transactivation is a major mechanism for the tissue-homeostatic effects attributed to RvE1. These observations extend the importance of the resolvin biology beyond the effects linked to a resolution of inflammation, particularly in chronic models, including those of colitis,
25 lung inflammation,
28,54 and periodontitis.
26,27
Our current understanding of the mechanisms underlying resolvin-induced stimulation of HCEC migration is summarized in
Figure 8. In the corneal epithelium, increases in paxillin amino acid residue phosphorylation status is a complex response that is controlled by changes in the activation status of either the Akt, JNK/SAPK, or ERK/MAPK signaling pathway. Each of these can increase the phosphorylation status of paxillin at different residues on paxillin. In addition, Akt-induced GSK-3α/β inhibition (i.e., phosphorylation) prolongs ERK and p38 activation. This control by GSK-3α/β of ERK and p38 phosphorylation entails a negative feedback effect wherein GSK-3α/β activation is inversely related to the phosphorylation status of ERK and p38. Such control is elicited through GSK-3α/β regulation of the expression level of MAPK phosphatase 1 (MKP-1). When GSK-3α/β is active (i.e., dephosphorylated), GSK-3α/β phosphorylates MKP-1 and stabilizes its level of expression.
55 On the other hand, Akt-mediated GSK-3α/β phosphorylation inhibits GSK-3α/β, causing losses in MKP-1 levels. Declines in MKP-1 levels, in turn, prevent the dephosphorylation of these two MAPK intermediates, which prolongs their phosphorylation activity. Such prolongation, resulting from Akt phosphorylation, leads to increases in cell migration that are dependent on the duration of GSK-3α/β inactivation.
20,36,52,56
Finally, the present study used a corneal cell line generated by immortalization with the SV40-large T-antigen.
31 Although this cell line is frequently applied to study signal transduction events underlying the control of corneal epithelial migration, it is possible that immortalization altered signaling events, accounting for resolvin-induced stimulation of cell migration. Hence, notwithstanding the practical difficulties associated with working in vitro with rapidly differentiating primary corneal epithelial cells, future selective reconfirmation of our findings with the SV40 cell line are warranted. Some recent evidence mitigates concern regarding the physiological relevance of using the SV40 cell line for characterizing the signaling mechanisms controlling cell migration. Our comparison of microarray-based global gene expression in stratified HCECs cultured at an air-liquid interphase with whole fresh primary epithelium shows that though differentiation in the HCECs is markedly perturbed, the genes encoding signal transduction events investigated in the current report undergo only moderate changes (Wolosin M, unpublished observations, 2010).
57,58
In summary, RvE1 induces increases in cell migration through EGFR transactivation which is dependent on the shedding of HB-EGF. EGFR stimulation, in turn, activates PI3-K/Akt/GSK-3α/β, p38 (MAPK) signaling, leading to selective Tyr118 paxillin phosphorylation. This change on paxillin promotes lamellipodia extension into the wound edges. RvE1 may provide new strategies for promoting corneal barrier integrity as an added therapeutic feature to their well-established anti-inflammatory properties. The now demonstrated stimulation of epithelial wound healing could be of potential therapeutic benefit in hastening the restoration of epithelial barrier integrity.
Supported by National Institutes of Health Grants EY04795 and EY014878, by a research grant from Resolvyx Pharmaceuticals, Inc., and by Fight for Sight.
Disclosure:
F. Zhang, None;
H. Yang, None;
Z. Pan, None;
Z. Wang, None;
J.M. Wolosin, None;
P. Gjorstrup, Resolvyx Pharmaceuticals, Inc. (F, I, E), P;
P.S. Reinach, None
The authors thank Nathalie Chen for assistance with the experiments.