Originally published In Press as doi:10.1074/jbc.M112456200 on February 28, 2002
J. Biol. Chem., Vol. 277, Issue 19, 17239-17247, May 10, 2002
Tyrosine Kinase c-Src Constitutes a Bridge between Cystic
Fibrosis Transmembrane Regulator Channel Failure and MUC1
Overexpression in Cystic Fibrosis*
Anatilde M.
González-Guerrico
,
Eduardo G.
Cafferata
§,
Martín
Radrizzani
§,
Florencia
Marcucci
,
Dieter
Gruenert¶,
Omar H.
Pivetta§,
Roberto R.
Favaloro
,
Rubén
Laguens
,
Sergio V.
Perrone
,
Guillermo C.
Gallo**, and
Tomás A.
Santa-Coloma

From the
Instituto de Investigaciones
Bioquímicas Fundación Campomar (UBA, CONICET), 1405 Buenos Aires, Argentina, § Centro Nacional de Genética
Médica, ANLIS, 1425 Buenos Aires, Argentina, ¶ Human
Molecular Genetics Unit, Department of Medicine, University of Vermont,
Burlington, Vermont 05405,
Fundación Favaloro, 1093 Buenos Aires, Argentina, and ** Hospital de
Pediatría Prof. Dr. Juan P. Garrahan, 1425 Buenos Aires, Argentina
Received for publication, December 28, 2001, and in revised form, February 22, 2002
 |
ABSTRACT |
Cystic fibrosis (CF), a disease caused by
mutations in the cystic fibrosis transmembrane regulator (CFTR)
chloride channel, is associated in the respiratory system with the
accumulation of mucus and impaired lung function. The role of the CFTR
channel in the regulation of the intracellular pathways that determine the overexpression of mucin genes is unknown. Using differential display, we have observed the differential expression of several mRNAs that may correspond to putative CFTR-dependent
genes. One of these mRNAs was further characterized, and it
corresponds to the tyrosine kinase c-Src. Additional results suggest
that c-Src is a central element in the pathway connecting the CFTR
channel with MUC1 overexpression and that the overexpression of mucins is a primary response to CFTR malfunction in cystic fibrosis, which
occurs even in the absence of bacterial infection.
 |
INTRODUCTION |
Although it has been clearly established that mutations in the
cystic fibrosis transmembrane regulator
(CFTR)1 chloride channel are
responsible for cystic fibrosis (CF) (1), the role of this channel,
besides transporting chloride anions, is largely unknown (2).
Therefore, the role of CFTR in the overexpression of mucins that is
observed in CF patients is unclear. Within the respiratory system, the
main issue has been the difficulty in establishing whether mucin
overexpression is a response to subsequent infections with
Pseudomonas aeruginosa or whether failure of the CFTR
channel is indeed primarily responsible for this overexpression. To
determine the mechanisms involved in mucin overexpression is extremely
important for therapy, since its early control may decrease the
patient's susceptibility to P. aeruginosa infection (3). Using differential display (4, 5) and cultured tracheobronchial CFDE
cells, we have identified the tyrosine kinase c-Src (6) as a bridge
connecting CFTR failure with the overexpression of MUC1. These results
suggests that the overexpression of mucins in the airways is a primary
effect due to CFTR malfunction and that this occurs before any P. aeruginosa infection.
 |
MATERIALS AND METHODS |
Cell Lines--
CFDE are tracheobronchial epithelial cells
obtained from a CF patient of unknown genotype (7), and transformed
with linearized pSVori
(8), a plasmid containing a
replication-deficient simian virus 40 (SV40) genome. The CFDE cells,
assayed by 36Cl
efflux,
6-methoxy-N-(3-sulfopropyl)quinolinium (a chloride-sensitive dye), and patch clamp, are defective in cAMP-dependent
chloride transport that is characteristic of CFTR (7). CFDE/6RepCFTR cells are CFDE cells in which episomal expression of wild-type (WT) CFTR corrects the defective cAMP-dependent
chloride transport (7). These cells were cultured as previously
described (7). HT29 cells (human colorectal adenocarcinoma cells, ATCC
HTB-38) and FHC cells (epithelial cells from normal human fetal colonic mucosa, ATTC CRL-1831) were cultured under the same conditions.
Differential Display, Cloning, and Sequencing--
Differential
display (DD) of mRNA was carried out as described by Liang and
Pardee (4, 5), with some modifications to avoid false positive results
(9). For the assay, total mRNA was isolated from CFDE cells,
CFDE/6RepCFTR cells, and CFDE/6RepCFTR cells treated with the
Cl
transport inhibitor
5-nitro-2-(3-phenylpropylamino)benzoic acid (NPPB; 100 µM, 4 h), which causes these cells to revert to a CF phenotype. The oligonucleotide primers were 5'-GTGACATGCC-3' (random primer) and 5'-T12(ACG)C-3'. The cDNA fragments
isolated after DD were cloned into a pGem-T vector (Promega, Madison,
WI) containing flanking EcoRI sites.
Northern Blots--
The cloned plasmid was digested with
restriction enzyme (EcoRI) to prepare
32P-labeled probes for Northern blots, as previously
described (9).
Blocking CFTR Expression by Antisense Oligodeoxynucleotide
Treatment--
An antisense oligodeoxynucleotide,
5'-CAGAGGCGACCTCTGCAT-3', complementary to nucleotides 1-18 of CFTR
mRNA, was used to inhibit the expression of CFTR protein (10). The
corresponding sense oligodeoxynucleotide was used as a control. CFDE
and CFDE/6RepCFTR cells were cultured to 30-40% confluence. After
growth, the medium was removed, and the oligonucleotides (10 µM) in serum-free medium, were added to the cells. After
a 30-min incubation at 37 °C with the oligonucleotides,
heat-inactivated serum (final concentration 10%) was added to the
medium. The same procedure was used to replenish the
oligodeoxynucleotides (10 µM) every 12 h for 48 h (10).
Immunoblotting of c-Src and c-Yes--
Proteins from CFDE and
CFDE/6RepCFTR cells, cultured for 1 day in serum-free Dulbecco's
modified Eagle's medium/F-12, were isolated using the Trizol kit from
Invitrogen. Western blots were then performed as previously
described (11), using antibodies for c-Src (rabbit polyclonal,
N-terminal pp60c-Src-specific; catalog no. sc-19; Santa Cruz
Biotechnology Inc., Santa Cruz, CA) and c-Yes (rabbit polyclonal,
N-terminal pp62-Yes specific; catalog no. sc14; Santa Cruz Biotechnology).
Determination of c-Src Kinase Activity--
c-Src activity was
measured using a commercial kit (Upstate Biotechnology, Inc., Lake
Placid, NY) that includes a synthetic peptide substrate
(KVEKIGEGTYGVVYK) specific for the c-Src family of kinases (12),
following the instructions of the manufacturer. The cells were lysed,
and the protein was immunoprecipitated from 500 µg of total cellular
proteins, as described by Dehm et al. (13), using a specific
rabbit anti-c-Src polyclonal IgG (rabbit polyclonal, N-terminal
pp60c-Src-specific; catalog no. sc-19; Santa Cruz Biotechnology).
Additional samples were immunoprecipitated with specific antibodies
against pp62c-Yes (rabbit polyclonal, N-terminal pp62-Yes-specific;
catalog no. sc14; Santa Cruz Biotechnology), another member of the Src
family of kinases, and the activity of c-Yes was measured with the same substrate.
Immunocytochemistry and Immunohistochemistry--
CFDE and
CFDE/6RepCFTR cells were cultured on coverslips (Nalge Nunc
International, Naperville, IL) coated with a fibronectin-collagen solution, as described previously (14). After culture, the cells were
washed twice with phosphate-buffered saline, pH 7.4 (PBS) at room
temperature and fixed with a 4% paraformaldehyde solution containing
4% sucrose in PBS for 20 min at room temperature. Nonspecific binding
sites were blocked with PBS, 5% bovine serum albumin for 1 h, and
the cells were exposed to polyclonal primary antibodies (1:30; sc-19;
Santa Cruz Biotechnology) overnight at 4 °C in PBS with 1% bovine
serum albumin. Control and CF human lung slices (corresponding to seven
patients with CF) were obtained as paraffin tissue sections (5 µm).
The sections were stained with Giemsa (1:10 diluted Giemsa staining
solution from Merck (Darmstadt, Germany)). Microwave pretreatment was
performed following the technical protocols from Pharmingen (San Diego,
CA). Nonspecific binding sites were blocked with PBS, 5% bovine serum
albumin for 1 h, and the slices were exposed to polyclonal primary
antibodies (1:30; sc-19; Santa Cruz Biotechnology) overnight at 4 °C
in PBS with 1% bovine serum albumin. The slices or cells were then
rinsed with PBS, incubated with secondary antibody (1:100) for 1 h, rinsed again with PBS, and developed with 3,3'-diaminobenzidine
tetrahydrochloride dihydrate (Invitrogen). The primary antibodies
directed against c-Src (sc-19) and MUC1 (a goat polyclonal IgG that is
specific for the MUC1 C-terminal and does not react with MUC2 or MUC3; catalog no. sc-6827) and the secondary antibody (donkey anti-goat IgG)
were obtained from Santa Cruz Biotechnology, and the other secondary
antibody, horseradish peroxidase-linked goat anti-rabbit IgG, was from
Sigma. To test the effect of the c-Src inhibitor 4-amino-5-(4-chlorophenyl)-7-(t-butyl)pyrazolo[3,4-d]pyrimidine (PP2; 10 µM, 48 h) on MUC1 expression in CFDE cells,
the same procedure was used. To test the effects of NPPB (100 µM, 24 h), glibenclamide (50 µM,
24 h), and CFTR antisense oligonucleotide (10 µM,
48 h) on MUC1 expression in CFDE and CFDE/6RepCFTR cells, the same
primary antibody against MUC1 was used (MUC1 C-terminal-specific goat
polyclonal IgG), followed by labeling with fluorescein
isothiocyanate-linked secondary donkey anti-goat IgG (catalog no.
sc-2024; Santa Cruz Biotechnology), and cells were observed under
confocal fluorescence microscopy (Zeiss LSM510 microscope).
Transfection of CFDE Cells with c-Src Mutants--
CFDE cells
grown as described above were transfected with different concentrations
of a plasmid encoding a c-Src dominant negative mutant (0, 0.5, 1, and
3 µg/ml) and with a plasmid containing WT c-Src (6 µg/ml) to
overexpress the c-Src protein (15). As a control, the empty plasmid was
transfected. For transfection, the ProFection Mammalian Transfection
System-Calcium Phosphate kit was used (Promega), following the
protocols included in the kit. Forty-eight hours after transfection,
the cells were washed twice with PBS at room temperature and fixed with
a 4% paraformaldehyde solution containing 4% sucrose in PBS for 20 min at room temperature. Immunocytochemical analysis for MUC1 protein
was performed. Confocal fluorescence in situ hybridization
(FISH) was used, as described below, to determine MUC1 mRNA levels,
with slides prepared and treated as described above.
Confocal Fluorescence in Situ Hybridization for MUC1
mRNA--
To determine MUC1 mRNA levels, confocal FISH was
performed as described by other authors (16), with the following
modifications. CFDE and CFDE/6RepCFTR cells were cultured on coverslips
as described above and treated with plasmids encoding WT c-Src (6 µg/ml) or the dominant negative mutant of c-Src (6 µg/ml). The
probe,
biotin-TCATGGTGGTGGTGAAATGGGTGGGGAGGGGGCAGAACAGATTCAAGCAGCCAGGGAATTC (61 bp), was designed using the GCG program (Accelrys, Madison, WI) to
hybridize to MUC1 mRNA. After in situ hybridization, the cells were visualized using streptavidin-Cy3 and observed using a Zeiss
LSM510 confocal microscope.
Quantification and Statistical Analysis--
Northern blots,
immunocytochemical preparations, and Western blots were scanned with an
HP4C scanner and quantified using NIH Image software (available on the
World Wide Web at www.scioncorp.com). Densitometric analysis for
immunocytochemical preparations was performed as described previously
(17). Sample loading for Northern blots was quantified using methylene
blue staining. A linear dose response to staining was observed up to 40 µg of total RNA (11). The figures are representative of at least four
different results performed in duplicate. Analysis of variance and
Tukey tests were used for statistical analysis.
 |
RESULTS |
Differential Display Applied to CFDE and CFDE/6RepCFTR
Cells--
We used differential display to test the hypothesis that
CFTR is involved in other complex functions besides chloride transport, such as indirect gene regulation. Several previously described strategies were applied to avoid false positive/negative results (9).
As a model system, we used a cultured cell line derived from a CF
patient (CFDE cells) and the same cell line transfected with WT CFTR
(CFDE/6RepCFTR cells) (14). In addition, CFDE/6RepCFTR cells were
treated with the chloride channel inhibitor
5-nitro-2-(3-phenylpropylamino)benzoic acid (NPPB) (18, 19). Using this
model system, we were able to show that several genes might be under
CFTR control. As shown in Fig.
1A, several differentially
expressed mRNAs were detected in CFDE and CFDE/6RepCFTR cells. As
expected, after NPPB treatment, the differential display pattern of
some mRNAs, probably regulated by CFTR activity, reverted in the
CFDE/6RepCFTR cells, becoming similar to the pattern found in CFDE
cells. The characterization of these putative
CFTR-dependent genes will open the way to a better
understanding of CF pathology and the mechanisms involved and help
identify new possible targets for therapy.

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Fig. 1.
Differential display of CFDE and
CFDE/6RepCFTR airway epithelial cells. A, DD of CFDE
cells (derived from a cystic fibrosis patient) and CFDE/6RepCFTR cells
(CFDE cells transfected with WT CFTR). NPPB,
CFDE/6RepCFTR cells treated with the Cl channel inhibitor
NPPB (100 µM, 4 h). B, sequence
corresponding to the cDNA fragment indicated with an
arrow in A. PCR amplification, cloning, and
sequencing showed that the fragment has 100% sequence identity with
tyrosine kinase c-Src. C, Northern blots using the c-Src
fragment cloned from the DD as probe. Both NPPB (100 µM,
for 4 h) and the CFTR antisense oligodeoxynucleotide (10 µM, 48 h) increased the levels of c-Src mRNA in
CFDE/6RepCFTR cells. Values are means ± S.E. expressed as
percentages of levels in CFDE cells. An asterisk indicates a
significant difference between bars connected by
arrows (p < 0.05).
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Identification of c-Src as a CFTR-dependent
Gene--
One gene that was overexpressed in CFDE cells compared with
CFDE/6RepCFTR cells and that reverted to CFDE levels with NPPB treatment of CFDE/6RepCFTR cells was selected for further
characterization. The corresponding cDNA fragment (Fig.
1A, arrow) was isolated from the differential
display gel, PCR-amplified, purified by agarose gel electrophoresis,
cloned, and sequenced (9). The sequence (Fig. 1B) was
identical to the sequence encoding the human tyrosine kinase c-Src
(pp60c-Src, GenBankTM AF077754). Northern blots were probed
with the 32P-radiolabeled cDNA fragment isolated by DD
and confirmed the differential expression of c-Src mRNA in CFDE
cells (Fig. 1C). Since NPPB is not CFTR-specific, these
results were further confirmed by treatment of CFDE/6RepCFTR cells with
a CFTR antisense oligonucleotide that inhibits CFTR protein expression
and the cAMP-activated chloride current but does not affect the
calcium-activated chloride currents (10). The CFTR antisense
oligonucleotide produced a reversion to c-Src mRNA levels similar
to those obtained with NPPB (Fig. 1C). These results are in
agreement with the concept that c-Src mRNA is modulated by
CFTR.
Immunoblotting of c-Src--
We next examined whether the c-Src
protein levels correlate with mRNA levels and are modulated by
CFTR. Western blot analysis applied to CFDE and CFDE/6RepCFTR cells
indicated that this is the case (Fig.
2A). Levels of c-Src protein
(pp60c-Src) increased in CFDE cells (cystic fibrosis cells) compared
with CFDE/6RepCFTR (expressing normal CFTR protein). Treatment with
glibenclamide (50 µM, 48 h), a CFTR chloride channel
inhibitor (20), restored the c-Src protein levels in CFDE/6RepCFTR
cells to levels similar to those found in CFDE cells (Fig. 2,
A and B). In contrast, c-Yes, another member of
the Src-like family of kinases and very closely related to Src, showed
no change in protein levels between CFDE and CFDE/6RepCFTR cells (Fig.
2A) or with glibenclamide treatment (Fig.
2B).

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Fig. 2.
Western blotting, immunohistochemistry, and
activity of c-Src protein. A, immunoblot for c-Src and
c-Yes in CFDE and CFDE/6RepCFTR cells. Although c-Src levels were
diminished in CFDE/6RepCFTR cells, levels of the c-Src-like kinase,
c-Yes, remained constant. B, glibenclamide (50 µM, 48 h) treatment of CFDE/6RepCFTR or colon cells
(FHC, HT29) increased c-Src but not c-Yes protein levels. C,
after specific c-Src immunoprecipitation from cell extracts, the
activity of c-Src was measured by 32P incorporation into
the Tyr of a specific synthetic peptide substrate of c-Src. A 5-fold
increase in c-Src activity was observed in CFDE cells. Specifically
immunoprecipitated c-Yes was also measured as a control, and no changes
in its activity were observed. D, a partial reversion
(50-100%) of c-Src activity in CFDE/6RepCFTR cells was observed with
50 µM glibenclamide treatment for 48 h.
E, the expression of c-Src in normal and CF human lungs was
also determined (only one sample is shown of those of seven CF patients
studied). CF (a and a') and non-CF (b
and b') human lung tissues were studied by
immunohistochemistry of paraffin sections (c-Src
immunoperoxidase-3,3'-diaminobenzidine tetrahydrochloride dihydrate
plus Giemsa staining). a and b, using an antibody
specific for the c-Src protein. a' and b',
negative controls, in which the primary antibody was treated with a
blocking peptide for the c-Src antibody (0.5 µg of peptide/0.2 µg
of antibody). The c-Src protein was highly expressed in CF lung tissue
(a) compared with non-CF lung tissue (b).
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Since CF also affects the intestinal tract, we also studied c-Src
protein levels in the HT29 colon cell line (transformed colon cells)
and the FHC cell line (nontransformed colon cells), blocking CFTR
activity with glibenclamide (50 µM, 48 h) (20). The
levels of c-Src protein increased in FHC, HT29, and CFDE/6RepCFTR cells
after glibenclamide treatment (Fig. 2B), suggesting that the
regulation of c-Src protein by CFTR occurs not only in airway CFDE
cells but also in other cell types expressing WT CFTR. The c-Src-like
kinase, c-Yes, did not show changes in FHC cells with or without
glibenclamide (50 µM, 48 h) (Fig. 2B),
indicating again that the levels of c-Yes are not dependent on CFTR activity.
Determination of c-Src Kinase Activity--
Src-like tyrosine
kinases contain N-terminal Src homology 2 and 3 domains, the kinase
domain, and the regulatory domain that contains a tyrosine residue
(Tyr-527 for c-Src). An additional regulatory tyrosine residue (Tyr-192
for c-Src) is present in the Src homology 2 domain. The activity of Src
kinases is generally tightly regulated by phosphorylation of the
C-terminal tyrosine residue through C-terminal Src kinase (Csk kinase)
(21). Dephosphorylation of this residue induces a conformational change
that activates the kinase domain, inducing the autophosphorylation of a
stimulatory tyrosine in the kinase domain (Tyr-416 for Src) (for a
review of Src, see Ref. 22). For this reason, increased expression of
c-Src does not necessarily imply that c-Src kinase activity also
increases. To determine whether the elevated levels of c-Src mRNA
and protein observed in CF cells were reflected in c-Src activity,
c-Src activity was measured using a peptide substrate (KVEKIGEGTYGVVYK)
specific for the Src family of kinases (12). To assure specificity,
c-Src was first immunoprecipitated using a specific polyclonal
antibody. In agreement with elevated mRNA and protein levels, a
significant (p < 0.001) 5-fold increase in c-Src
kinase activity was observed in CFDE cells compared with CFDE/6RepCFTR
cells (Fig. 2C). In contrast, under the same assay conditions, immunoprecipitated c-Yes displayed low activity, similar to
basal c-Src, with no difference in activity between CFDE and CFDE/6RepCFTR cells (Fig. 2C), implying that c-Yes activity
and protein levels (as shown previously by immunoblotting) are not up-regulated by CFTR in these cells. Nevertheless, other members of the
Src-like family of kinases might still be under CFTR regulation (particularly c-Fyn; see "Discussion") (23). c-Src activity was
also measured in CFDE cells and CFDE/6RepCFTR cells treated with
glibenclamide (50 µM, 48 h). As shown in Fig.
2D, the low activity observed in CFDE/6RepCFTR cells was
partially restored to CFDE values by glibenclamide treatment (in some
experiments, restoration was 100%, but only the average is shown).
Immunohistochemistry of c-Src in Human CF and Normal Lungs--
To
determine whether the overexpression of c-Src observed in CFDE cells is
actually reflected in the CF human airway, the expression of c-Src
protein was studied by immunohistochemistry. As shown in Fig.
2E, overexpression of c-Src was observed in human lung
tissue derived from CF patients (six other patients were studied with
similar results, not shown), suggesting that c-Src is also
overexpressed in vivo. However, it is clearly still possible that the secondary effects of infection with P. aeruginosa
contribute to the observed high levels of c-Src in these patients (23, 24).
Effect of c-Src Overexpression/Inhibition on MUC1 Protein
Levels--
Several lines of evidence suggested to us that the mucin
MUC1 might be elevated as a consequence of the up-regulation of c-Src (see "Discussion"). To test this hypothesis, the levels of MUC1 protein in CFDE and CFDE/6RepCFTR cells were determined using immunocytochemistry. As expected, MUC1 was overexpressed in CFDE cells
compared with CFDE/6RepCFTR cells (Fig.
3). Most importantly, CFDE cells treated
with the c-Src inhibitor PP2 (25) showed decreased MUC1 expression
(Fig. 4A), suggesting that
this phenomenon was not only a correlation but also a cause-effect
relationship. To confirm this, CFDE cells were transfected with a
plasmid expressing a dominant negative mutant of c-Src, and again, MUC1
was inhibited (Fig. 4B), with the inhibition following a
clear dose-response curve (Fig. 4C). Because simultaneous
inhibition of other members of the c-Src family by the c-Src dominant
negative mutant was a possibility, the up-regulation of MUC1 by c-Src
was further supported by transfection of CFDE/6RepCFTR cells with a
plasmid containing WT c-Src. Again, increased MUC1 protein expression was observed (Fig. 5). These results
strongly suggest that MUC1 expression is under the control of c-Src in
these CF cells.

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Fig. 3.
Expression of MUC1 in CF cells.
Immunohistochemistry of MUC1 protein in CFDE cells (A) and
CFDE/6RepCFTR cells (B). A' and B',
negative controls, in which the primary antibody was omitted. Increased
expression of MUC1 was observed in the CFDE cells (A)
compared with the CFDE/6RepCFTR cells. Results are representative of
four independent experiments.
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Fig. 4.
c-Src activity modulates MUC1 expression.
A, immunocytochemistry of MUC1. a, control, with
primary antibody omitted; b, MUC1 expression in CFDE cells;
c, MUC1 expression in CFDE cells plus the c-Src inhibitor
PP2 (10 µM, 48 h). B, immunocytochemistry
of MUC1 in Src-transfected cells. a, CFDE cells treated with
1 µg of control plasmid for 48 h; b, CFDE cells;
c, CFDE cells treated with 1 µg of plasmid encoding
dominant negative mutant c-Src for 48 h. C,
quantification of MUC1 protein expression in CFDE cells treated with
increasing amounts of a plasmid encoding a c-Src dominant negative
mutant. Results are representative of four independent experiments
performed in duplicate. Values are means ± S.E.
(n = 2) expressed as a percentage of values for
untreated CFDE cells.
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Fig. 5.
Overexpression of c-Src up-regulates MUC1
protein in CFDE/6RepCFTR cells. CFDE/6RepCFTR cells were
transfected with a plasmid expressing WT c-Src, and the levels of MUC1
were determined. A, CFDE/6RepCFTR cells, which express low
levels of MUC1 protein. B, CFDE/6RepCFTR cells transfected
with control plasmid. C, CFDE/6RepCFTR cells transfected
with a plasmid expressing WT c-Src. The overexpression of WT c-Src
increased MUC1 levels.
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Confocal FISH of MUC1 mRNA--
To determine whether c-Src
also regulates MUC1 mRNA levels, confocal FISH was applied to CFDE
(CF cells) and CFDE/6RepCFTR cells (CFTR-restored CF cells). As shown
in Fig. 6, CFDE cells showed high levels
of MUC1 mRNA compared with CFDE/6RepCFTR cells. As expected from
the results obtained for MUC1 protein expression, the c-Src dominant
negative mutant caused down-regulation of MUC1 mRNA in CFDE cells.
Furthermore, transfection of CFDE/6RepCFTR with WT c-Src restored these
cells to a CF phenotype, with increased MUC1 mRNA expression (Fig.
6). These results imply that MUC1 mRNA levels are also under c-Src
control.

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Fig. 6.
MUC1 mRNA steady-state levels in CFDE and
CFDE/6RepCFTR cells transfected with the c-Src dominant negative mutant
or WT c-Src. CFDE and CFDE/6RepCFTR cells were transfected with a
plasmid expressing WT c-Src or a plasmid expressing the dominant
negative c-Src mutant. MUC1 mRNA levels were determined by
hybridization with a biotinylated oligonucleotide probe complementary
to MUC1 mRNA, using streptavidin-Cy3 as the fluorescent stain with
which the probe was visualized. A, MUC1 mRNA expression
in CFDE cells, which express high levels of MUC1 mRNA.
B, CFDE cells transfected with a plasmid expressing the
dominant negative mutant of c-Src. Lower MUC1 mRNA expression was
observed (compared with A). C, CFDE control, in
which the probe is omitted. D, CFDE/6RepCFTR cells, which
normally express lower MUC1 levels compared with CFDE cells
(A). E, CFDE/6RepCFTR cells, transfected with a
plasmid expressing WT c-Src. Overexpression of MUC1 was observed in
some cells (compared with untransfected cells in D).
F, CFDE/6RepCFTR control, in which the probe is omitted.
White lines indicate scale (20 µm). These
results suggest that the expression of MUC1 mRNA is also under
c-Src control in these CF cells.
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Effects of the Chloride Transport Inhibitors NPPB and Glibenclamide
on MUC1 Protein Expression--
We have shown in the results described
above that CFTR is associated with c-Src modulation and that c-Src in
turn modulates MUC1 levels. Therefore, to test the hypothesis that
c-Src constitutes a bridge between CFTR failure and MUC1 overexpression
(CFTR
c-Src
MUC1), the chloride transport inhibitors NPPB (100 µM, 24 h) and glibenclamide (50 µM,
24 h) were added to CFDE and CFDE/6RepCFTR cells, and the MUC1
protein levels were assessed after 24 h using confocal
fluorescence microscopy. As expected, overexpression of MUC1 was
observed in CFDE/6RepCFTR cells after treatment with either NPPB or
glibenclamide (Fig. 7). The levels of
MUC1 protein attained after the inhibition of chloride transport in
CFDE/6RepCFTR cells were similar to those found in CFDE cells. It
should be pointed out here that, although glibenclamide is a more
specific CFTR inhibitor than the nonspecific Cl
channel
inhibitor, NPPB (26), it may also affect other sulfonylurea-sensitive ion channels, such as the ATP-dependent potassium channel
(27). Therefore, to confirm these results, CFDE/6RepCFTR cells were treated with 10 µM CFTR antisense oligonucleotide for
48 h, to inhibit the expression of CFTR protein. The results (Fig.
7) were in agreement with those obtained with NPPB and glibenclamide, further supporting the CFTR
c-Src
MUC1 link. These cell
cultures, however, lack polarization. Therefore, the results should be
accepted with caution because the expression of CFTR and MUC1 may be
different in culture-polarized cells.

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Fig. 7.
Effects of NPPB, glibenclamide, and CFTR
antisense oligonucleotide on MUC1 protein levels in CFDE and
CFDE/6RepCFTR cells. CFDE (CF cells; A-C) and
CFDE/6RepCFTR cells (expressing WT CFTR; D-I) were
incubated for 24 h in the presence or absence of the chloride
channel inhibitors NPPB (100 µM; B and
E) or glibenclamide (50 µM; C and
F). After incubation, confocal immunofluorescence detection
was used with an MUC1-specific goat antibody and a secondary antibody
labeled with fluorescein isothiocyanate. Overexpression of MUC1 protein
was observed in CFDE cells (A), and very low levels of
expression were observed in CFDE/6RepCFTR cells (D).
Treatment with NPPB or glibenclamide had no appreciable
effect on CFDE cells (B and C,
respectively). In contrast, CFDE/6RepCFTR cells showed very low
MUC1 protein levels in untreated cells (D) that were
up-regulated by either NPPB or glibenclamide treatments (E
and F, respectively). G, control for
CFDE/6RepCFTR cells with the primary antibody omitted. No fluorescein
isothiocyanate signal was observed in control CFDE cells (not shown).
H, CFDE/6RepCFTR cells expressing low levels of MUC1 in the
presence of CFTR sense oligonucleotide (control). I,
CFDE/6RepCFTR cells showing high MUC1 expression in the presence of
CFTR antisense oligonucleotide. The scale in red
indicates 10 µm (magnification, ×1000).
|
|
 |
DISCUSSION |
Applying differential display to CFDE (human CF cells) and
CFDE/6RepCFTR (human CF cells transfected with WT CFTR) cells, we found
differential expression of different genes that may be under CFTR
regulation, as the lower or higher levels of several of the genes
products observed in CFDE/6RepCFTR cells reverted to CFDE levels after
treatment with the chloride channel inhibitor, NPPB. Among these gene
products, we selected one for further characterization; it proved to
encode the tyrosine kinase c-Src. Overexpression of c-Src mRNA in
CFDE cells was confirmed by Northern blots, and the low levels of c-Src
mRNA in CFDE/6RepCFTR cells reverted to the levels seen in CFDE
cells when either antisense CFTR or NPPB was applied. This last result
suggests an association between the levels of c-Src mRNA and CFTR
transport activity, although NPPB might also affect the interaction of
CFTR with other CFTR-interacting proteins. We further demonstrated that
c-Src protein levels correlate with c-Src mRNA levels in CFDE and
CFDE/6RepCFTR cells. Moreover, c-Src protein and c-Src activity were
also modulated by CFTR transport inhibition with glibenclamide. Similar
results were obtained using the intestinal HT29 cell line (derived from
a colon tumor) and FHC cells (derived from normal colon tissue),
suggesting that this regulation may operate in the intestine and
perhaps in other tissues as well as in the respiratory system. When
human lungs from CF patients were analyzed, overexpression of c-Src was
also observed. However, some contribution to c-Src overexpression
resulting from a secondary bacterial infection (23) in these patients cannot be completely ruled out.
How might CFTR control gene expression? When we first initiated this
work, it was difficult to envision how a chloride channel might
regulate specific genes. One possibility was a direct connection between the CFTR protein and other membrane proteins that might serve
as transducers for CFTR signaling after putative conformational changes
induced by the activation of chloride transport or by CFTR
phosphorylation that allows such transport. Another possibility was the
presence of proteins or pathways sensitive to changes in membrane
potential, due to the impairment in chloride transport in CF, which
might indirectly regulate several genes. Similar mechanisms could also
explain the reversion of mRNA levels observed with NPPB treatment.
However, while this work was in progress, a PSD95/Dlg/ZO-1 protein
(PDZ)-domain binding C-terminal consensus (-T(K/R)L) sequence was
identified in CFTR, and several other CFTR-associated proteins have
been found (28, 29). Therefore, the presence of transducer proteins for
CFTR has now emerged as a clear possibility. Nevertheless, this
possibility does not exclude the others.
The finding that c-Src modulates CFTR activity (30) suggests that the
effect might operate in both directions, as occurs with other channels
regulated by members of the c-Src family of kinases (including
K+ channels, the inositol 1,4,5-trisphosphate receptor,
other Ca2+ channels, and glutamate, NMDA, and
N-acetylcholine receptors) (22), and that CFTR plays a
direct role in the regulation of c-Src activity. However, in the
experiments reported here, CFTR negatively regulated c-Src activity,
and therefore, the mechanism of activation may be indirect. On the
other hand, inhibition of CFTR transport activity in CFDE/6RepCFTR
cells induced c-Src stimulation, and this effect may involve a
conformational change affecting proteins sensitive to cell
depolarization (membrane potential) rather than the CFTR-linked
proteins specifically. Therefore, it is also possible that other
proteins sensitive to changes in membrane potential are involved, in
addition to anchor and transducer proteins. It is clear that further
work is required to identify the mechanisms involved in CFTR
transduction, which may be of various different types.
After establishing an association between CFTR modulation and c-Src
mRNA, protein, and activity, the next step was to attempt to
identify the possible c-Src target in CF. Several lines of evidence
directed us toward the mucins. In CF, the major pathological problem
results from the accumulation of mucins within the respiratory and
digestive systems. The airway can then become susceptible to subsequent
infections with P. aeruginosa (3), because mucus constitutes
a favorable niche for bacterial growth (31). Airway mucins are produced
mainly by goblet cells in the surface epithelium and by glands in the
submucosal tissue. Among the better studied mucins (MUC1-4, MUC5AC,
MUC5B, MUC6, MUC7, and MUC8), all but MUC6 appear to be produced by the
epithelial goblet cells. It has been suggested that the monomeric
mucins, such as MUC1, play an important role in the pathogenesis of CF
(32). Mice lacking functional CFTR suffer from intestinal obstruction
due to large amounts of mucus in the lumen, an effect that is abrogated
in double-knockout mice that also lack MUC1 (33). Therefore, MUC1 may
have a major role in intestinal obstruction. It has also been postulated that early CF pathology may involve MUC1 in the respiratory system and both MUC1 and MUC2 mucins in the intestine (34). Therefore,
MUC1 seemed to be relevant as a possible c-Src-responsive protein in CF
cells. c-Src is a kinase involved in the control of MUC2 transcription
by the mammalian respiratory mucosa in response to diverse challenges,
including P. aeruginosa infection (31). The finding by Li
et al. (24), that activation of NF-
B via a
Src-dependent Ras-MAPK-pp90rsk pathway is required
for P. aeruginosa-induced MUC2 overproduction in epithelial
cells, also suggests that MUC2 is under CFTR regulation via c-Src. In
fact, expression of all of the genes for gel-forming mucins that are
clustered on chromosome 11p15, including those for MUC2, MUC5AC, MUC5B,
and MUC6, are under c-Src control (35). Since no data were available
regarding the regulation of MUC1 expression by c-Src, we decided to
determine whether the increased expression and activity of c-Src in
CFDE cells, due to CFTR failure, leads to the overexpression of MUC1.
When MUC1 expression was studied by immunocytochemistry and confocal
FISH, overexpression of MUC1 protein and mRNA levels were indeed
observed when CFDE cells were compared with CFDE/6RepCFTR cells.
Furthermore, transfection of CFDE/6RepCFTR cells with a plasmid
expressing WT c-Src produced up-regulation of MUC1 mRNA and protein
expression. The levels of MUC1 mRNA and protein were also decreased
in CFDE cells transfected with a dominant negative c-Src mutant.
Finally, a rise in MUC1 protein levels could be induced by the
inhibition of CFTR with NPPB, glibenclamide, or CFTR antisense
oligonucleotides in CFDE/6RepCFTR cells. These results strongly suggest
that the increased activity of c-Src observed in CFDE cells is
responsible for the overexpression of MUC1. They also suggest a CFTR
c-Src
MUC1 link and suggest that c-Src might constitute a
bridge between CFTR failure and mucin overexpression in CF. However,
MUC1 levels have not yet been determined in CF lungs; nor were the
levels of other mucins measured in our experiments. Therefore, the
potential for tissue specificity and functional differences should be
taken into account.
The genes for the transmembrane mucin MUC1 (36, 37) and the four
gel-forming mucins, MUC2, MUC5AC, MUC5B, and MUC6, are clustered on the
p15 arm of chromosome 11, and their expression is regulated by c-Src
(35). Therefore, a CFTR
c-Src
MUCX link may also operate in
different CF-affected tissues, through the elevation of c-Src or
c-Src-like kinase activities. In this context, the protein kinase c-Src
or other members of this family of kinases may be possible new targets
for CF therapy. However, it is important to note that lymphocytes, for
example, regulate the outwardly rectifying chloride channels through
Lck (p56-Lck) (38), another member of the c-Src family of kinases,
which is abundant in immune cells and the brain (22). Although elevated Lck may compensate CFTR failure to some degree, its inhibition via an
Src-like inhibitor could be detrimental for the immune system.
Another interesting observation is that MUC1 constitutes a receptor for
P. aeruginosa (39) and that CF cells have a clear impairment
in their ability to phagocytose this bacterium. Together, these
variables may contribute to the high susceptibility of CF patients to
P. aeruginosa infection. However, the problem appears to be
far more complex. We have observed that interleukin-1
modulates CFTR
synthesis in a biphasic manner (11), partially through NF-
B (40),
with inhibition observed at doses of interleukin-1
similar to the
levels found in CF patients. In consequence, the chronic inflammation
that occurs with elevated interleukin-1
in CF patients (41, 42)
might contribute to the further reduction of the already low levels of
CFTR, with a consequent rise in c-Src activity, mucin overproduction,
and exacerbation of the disease. In this context, the susceptibility to
P. aeruginosa infection in individuals with CF seems to be a
multifactorial and complex system.
It is also important to note that the inhibition of c-Src, using PP2 or
the dominant negative mutant, was enough to restore a normal
(CFDE/6RepCFTR), low level mucin phenotype in CF cells, suggesting that
c-Src is a key component in the regulation of MUC1. Moreover, Li
et al. (36, 37) recently found that the MUC1 cytoplasmic
domain interacts with c-Src tyrosine kinase in human ZR-75-1 breast
carcinoma cells, thereby increasing the binding of MUC1 to
-catenin,
leading to the translocation of
-catenin into the nucleus for
signaling (43). Because c-Src is overexpressed in CF cells, its effects
on the wingless
-catenin
Tcf/LEF-1 pathway may have a role
in determining the CF phenotype, which may include increased cell
motility, increased proliferation, gap-junction disruption, and other
effects typical of the activated Wnt/wingless signaling pathway
(44).
In conclusion, c-Src appears to constitute a bridge between CFTR
failure and the overproduction of MUC1 in CFDE cells. Our results also
suggest that c-Src overexpression in cultured CF cells is a primary
effect due to CFTR malfunction, occurring in the absence of P. aeruginosa or any other bacterium. Because c-Src modulates the
expression of not only MUC1 but also all of the mucins encoded in the
p15 arm of chromosome 11 (MUC2, MUC5AC, MUC5B, MUC6, and MUC5AC) (35),
c-Src may be responsible for the overexpression of several mucins in CF
tissues, and this may occur before any bacterial infection. This does
not preclude the possibility that in subsequent CF stages, after an
infection is established, P. aeruginosa or other bacteria
contribute further to the overproduction of mucins.
 |
ACKNOWLEDGEMENTS |
The c-Src plasmids were a gift from Dr. Joan
Brugge, Harvard Medical School (Boston, MA). Human lung slices were
generously provided by the "Hospital de Pediatría Prof. Dr.
Juan P. Garrahan" and the "Fundación Favaloro" (Buenos
Aires, Argentina). We also thank Dr. Marcelo Dankert for helpful
suggestions, continuous support of our work, and critical reading of
the manuscript.
 |
FOOTNOTES |
*
This work was supported in part by grants from the
Universidad de Buenos Aires (UBA) (to T. A. S.-C.), Consejo Nacional
de Investigaciones Científicas y Técnicas (CONICET) (to
T. A. S.-C.), Asociación FIPAN (local cystic fibrosis
association; to O. H. P. and T. A. S.-C.), the Third World Academy
of Science (to T. A. S.-C.), and Fundación Antorchas (to
T. A. S.-C.).The costs of publication of this
article were defrayed in part by the
payment of page charges. The article
must therefore be hereby marked
"advertisement" in
accordance with 18 U.S.C. Section
1734 solely to indicate this fact.

To whom correspondence should be addressed: Laboratory of
Cellular and Molecular Biology, Instituto de Investigaciones
Bioquímicas Fundación Campomar, 435 Patricias Argentinas,
1405 Buenos Aires, Argentina. Tel.: 54-11-4863-4011/4019 (ext. 2307);
Fax: 54-11-4865-2246; E-mail: tasc@iib.uba.ar.
Published, JBC Papers in Press, February 28, 2002, DOI 10.1074/jbc.M112456200
 |
ABBREVIATIONS |
The abbreviations used are:
CFTR, cystic
fibrosis transmembrane regulator;
CF, cystic fibrosis;
WT, wild type;
DD, differential display;
PBS, phosphate-buffered saline;
PP2, 4-amino-5-(4-chlorophenyl)-7-(t-butyl)pyrazolo[3,4-d]pyrimidine;
FISH, fluorescence in situ hybridization;
NPPB, 5-nitro-2-(3-phenylpropylamino)benzoic acid.
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