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J. Biol. Chem., Vol. 279, Issue 47, 48760-48766, November 19, 2004
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From the
**Department of Physiology, University of Sydney, New South Wales 2006, Australia, the
Department of Physiology and Pharmacology, University of Queensland, Queensland 4072, Australia, the
Department of Pathology, University of Sydney, New South Wales 2006, Australia, and the ¶John Curtin School of Medical Research, Australian National University, Australian Capital Territory 2606, Australia
Received for publication, August 25, 2004 , and in revised form, September 7, 2004.
| ABSTRACT |
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| INTRODUCTION |
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Given the importance of ion transport across the respiratory epithelium in determining the volume of the lung surface fluid, it is not surprising that disturbances in it lead to pathological changes in the volume of lung fluid. Hence excessive activity of epithelial Na+ channels, such as occurs in cystic fibrosis (4), leads to dehydration of the respiratory surfaces, whereas reduced activity of epithelial Na+ channels, such as occurs in pseudohypoaldosteronism type I, is associated with an increase in lung surface fluid (3). Similarly, reduced activity of the epithelial Na+ channels in the respiratory epithelium has been implicated in the development of high altitude pulmonary edema (5), neonatal respiratory distress syndrome (6), cardiogenic pulmonary edema (7), and serous otitis media (8).
Parainfluenza viruses are a major cause of respiratory disease (9), producing laryngotracheobronchitis (croup) in children (10) as well as bronchiolitis and pneumonia in children (11, 12) and in adults (13). They are disseminated by large droplet spread and are highly contagious, over 75% of children are infected by parainfluenza viruses at least once during their first 5 years of life (9). The infections caused by them are associated with fluid accumulation in the respiratory tract, which ranges in severity from rhinitis (9) and serous otitis media (14) to a life-threatening adult respiratory disease syndrome (15). The question thus arises whether parainfluenza viruses could be directly affecting ion transport by the respiratory epithelium. One common respiratory virus, the influenza virus, has been shown to directly inhibit Na+ absorption by the respiratory epithelium (16). This inhibition is because of the binding of the hemagglutinin in the viral coat to a neuraminidase-sensitive receptor in the apical membrane of the epithelium and is mediated by activation of phospholipase C
and protein kinase C (16). Despite the similarity of their names, which reflects the similarity of the clinical features they produce, influenza viruses and parainfluenza viruses are unrelated (9). Influenza viruses have a segmented genome and replicate in the nucleus, whereas the parainfluenza viruses have a non-segmented genome and replicate in the cytoplasm (9). Thus it is not possible to assume that parainfluenza viruses affect epithelial ion transport in the same way as influenza viruses.
In the present study we performed experiments to determine whether parainfluenza viruses rapidly alter ion transport by respiratory epithelia. We found that not only do they inhibit the absorption of the Na+ by these epithelia, they also activate epithelial secretion of Cl. Furthermore, we found that the mechanism by which parainfluenza viruses alter epithelial ion transport differs markedly from that used by influenza viruses.
| EXPERIMENTAL PROCEDURES |
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Cell CultureM-1 mouse cortical-collecting duct cells, provided by Dr. C. Korbmacher (University of Erlangen, Germany), were grown to confluence for 3 days on permeable supports (Transwell-Coll, Costar, Cambridge, MA) in Dulbecco's modified Eagle's medium/F12 medium containing 10% fetal calf serum, glutamine (2 mM), penicillin (100,000 units/liter), streptomycin (100,000 units/liter) and dexamethasone (0.1 µM).
Ussing Chamber ExperimentsQuackenbush-Swiss mice were killed by cervical dislocation. The trachea were then removed, freed of connective tissue, opened longitudinally, and divided into small pieces that were stored in a chilled solution containing 145 mM NaCl, 3.8 mM KCl, 5 mM D-glucose, 1 mM MgCl2, 5 mM HEPES, 1.3 mM calcium gluconate, pH 7.4. Each tracheal piece was mounted in an Ussing chamber (18) having a circular aperture of 0.95 mm2. The apical and basolateral surfaces of the epithelium were perfused continuously with aerated solutions at a rate of 1020 ml/min (chamber volume 1 ml) at 37 °C. The bath solution contained 145 mM NaCl, 0.4 mM KH2PO4, 1.6 mM K2HPO4, 5 mM D-glucose, 1 mM MgCl2, 1.3 mM calcium gluconate, pH 7.4. All experiments were carried out under open circuit conditions. The transepithelial potential difference (Vte) was recorded relative to the serosal side, and current was defined as positive when conventional current flowed in the apical to serosal direction. The transepithelial resistance (Rte) was determined, and the equivalent short circuit current was calculated as described previously (16).
Compounds3-Isobutyl-1-methylxanthine, forskolin, amiloride, bumetanide, UTP, pertussis toxin holoenzyme, pertussis toxin B oligomer, carbachol, BAPTA-AM,1 bisindolylmaleimide I (BIM), hexokinase, and suramin were all obtained from Sigma. The phospholipase C inhibitors, U-73122 and edelfosine, the inactive analogue of U-73122, U-73343, the MAP kinase inhibitors, SB-203580 and U-0126, and the purinergic receptor antagonist, pyridoxalphosphate-6-azophenyl-2',4'-disulfonic acid (PPADS) were all from Calbiochem. 1-Phenyl-2-hexadecanoylamino-3-morpholino-1-propanol (PPMP) was from Adelab Scientific (Norwood, SA). Neuraminidase was from Roche Applied Science. The anti-ASGM1 antibody was from Wako (Japan).
StatisticsResults are presented as the means ± S.E. (n = number of tissues tested). Statistical significance was assessed using unpaired Student's t tests at a probability level of p < 0.05. Asterisks in figures indicate statistically significant differences from control.
| RESULTS |
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To make these measurements, we placed a small piece of trachea in an Ussing chamber, an organ bath that permits the luminal and interstitial surfaces of the tissue to be superfused by separate solutions and the continuous measurement of transepithelial potential and resistance. Under control conditions, we found the potential difference across the tracheal epithelium to be 7.3 ± 0.6 mV (n = 23), with the lumen being negative to the interstitium and the electrical resistance of the epithelium to be 79.4 ± 5.2
cm2 (n = 23). From these measurements we calculated the short circuit current across the epithelium to be 98.3 ± 7.8 µAcm2 (n = 23). This current flow was largely because of the transport of Na+ through amiloride-sensitive Na+ channels, as the application of amiloride (10 µM), a selective inhibitor of these channels, to the apical surface of the epithelium reduced the short circuit current by 90.2 ± 6.9 µA cm2 (n = 23), a 92% reduction.
The Effects of Sendai VirusExposure of the apical membrane of mouse tracheal epithelium to the Sendai virus (106 pfu/ml) caused the transepithelial potential and the short circuit current to become transiently more negative (Fig. 1A,
Vte = 1.2 ± 0.2 mV, n = 8;
Isc = 43.1 ± 9.0 µA cm2). This transient occurred within
1 min of adding the virus to the epithelium and lasted
5 min. It could have been due either to an increase in the rate of Cl secretion or to an increase in the rate of Na+ absorption. We found that it could not be prevented by inhibiting Na+ absorption by the addition of 10 µM amiloride to the apical membrane (data not shown), and hence could not be attributed to an increase in the rate of Na+ absorption. It could be inhibited, however, by blocking the secretion of Cl by the addition to the basolateral membrane of 100 µM bumetanide, an inhibitor of the Na+-K+-2Cl cotransporter (data not shown). Hence the initial transient stimulation of the short circuit current was because of an increase in the rate of Cl secretion. We further found that this transient stimulation of short circuit current required an increase in the intracellular concentration of Ca2+, as it could be prevented by maneuvers that clamp cytosolic Ca2+ at a low level, such as the removal of extracellular Ca2+ or loading the cytosol with the Ca2+ chelator, BAPTA (see Fig. 4). Hence the initial increase in short circuit current produced by Sendai virus was because of the activation of Ca2+-activated Cl channels in the apical membrane of the epithelium.
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cm2 (n = 8) to 67.5 ± 8.4
cm2 (n = 8). From these measurements we calculated that the short circuit current across the epithelium had declined from 117.7 ± 17.1 µAcm2 (n = 8) to 52.7 ± 6.6 µA cm2 (n = 8). This decrease in current flow during prolonged exposure to parainfluenza virus was almost entirely because of a reduction in the rate of amiloride-sensitive Na+ transport (Fig. 1B). In paired control experiments, the ion transport activity of the epithelium did not change over this period (Fig. 1B). The addition of allantoic fluid also did not affect the ion transport activity of the epithelium (data not shown). We further found that, as we had previously observed for influenza virus (16), the action of the Sendai virus on the epithelium was not prevented by an UV inactivation of the virus. A UV light-inactivated virus produced an initial transient increase in the short circuit current of 23.4 ± 6.0 µA cm2 (n = 5) and, after 1 h of exposure, reduced the rate of amiloride-sensitive Na+ absorption from 89.4 ± 9.3 µAcm2 (n = 5) to 50.1 ± 4.2 µA cm2 (n = 5). To check whether the Sendai virus exerted a nonspecific toxic effect, we examined the other parameters of the function of the tracheal epithelium. In particular, we examined the effect of the virus on (i) the rate of Cl secretion by the epithelium in response to an increase in intracellular cyclic AMP produced by exposure to the activator of the adenylate cyclase forskolin (18), (ii) the rate of Cl secretion in response to an increase in intracellular Ca2+ produced by the muscarinic agonist carbachol (18, 19), and (iii) the rate of electrogenic cotransport of Na+ and glucose across the epithelium (16, 20). We found (Fig. 1C) that although exposure to the Sendai virus (106 pfu/ml) for 1 h reduced the response to 100 µM forskolin, it did not affect the response to 100 µM carbachol or the rate of electrogenic glucose transport. The virus thus appears not to have exerted a nonspecific toxic effect.
Finally, we examined the dependence of the ion transport effects of the Sendai virus on the concentration of virus bathing the apical membrane. We found that both the initial transient stimulation of the short circuit current (Fig. 1D) and the longer term inhibition of the amiloride-sensitive Na+ absorption (Fig. 1E) were dependent on the viral concentration over the range 104106 pfu/ml. By comparison, the levels of the Sendai virus in the lungs of infected mice reach 7 x 106 pfu/g of wet weight of lung tissue or higher (2123).
The Apical Membrane Target for Sendai VirusWe have previously reported that the effects of the influenza virus on ion transport in the mouse trachea can be inhibited by the treatment of the apical membrane with neuraminidase (16). In the present study, however, we found that pre-incubation with neuraminidase (0.1 and 1 units/ml) for 30 min had no impact on the actions of the Sendai virus (data not shown). Because glycolipids have been reported to act as membrane receptors for Paramyxoviruses, including Sendai (24), we also examined the possibility that the effects of Sendai virus might be mediated by a glycolipid. We first examined the effect of blocking glycolipid synthesis using PPMP, an inhibitor of the enzyme glucosylceramide synthase that requires 24 h or more to be effective (25). Because we found that the incubation of the excised tracheal epithelium for 24 h led to an irreversible deterioration of its ion-transporting function, we performed these studies using monolayers of the M1 mouse collecting duct cell line, a cell line that, like the tracheal epithelium, absorbs Na+ through amiloride-sensitive Na+ channels (26, 27). Furthermore, M1 cells respond to Sendai virus in a similar manner to tracheal epithelium, showing an initial transient stimulation in short circuit current followed by a longer term inhibition in the amiloride-sensitive current (Fig. 2, E and F). We found that preincubation of M1 mouse collecting duct cells in PPMP (2040 µM) for 24 h almost completely inhibited both the initial transient stimulation of short circuit current (Fig. 2F) and the reduction of the amiloride-sensitive current (Fig. 2E) that follows the addition of 106 pfu/ml Sendai to the apical bathing solution. In contrast, the inhibition of the amiloride-sensitive current produced by the influenza virus in M1 cells was not affected by pre-incubation in PPMP (data not shown).
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Sendai Virus Acts by Triggering ATP ReleaseWe next investigated whether the Sendai virus acted by triggering the release of ATP, as has been reported following the exposure of human respiratory cells to Pseudomonas aeruginosa (28). We found that enzymatic destruction of ATP secreted from the epithelium by the inclusion in the apical solution of hexokinase plus glucose (30) completely inhibited the effects of the Sendai virus (Fig. 3, AC). Furthermore, the effects of the virus were inhibited by the purinergic receptor antagonists, suramin, and PPADS (Fig. 3, CE).
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The findings that the effects of the Sendai virus are mediated by ATP acting on purinergic receptors and that they are mediated in part by increasing intracellular Ca2+ suggested roles also for phospholipase C
and protein kinase C. Consistent with this we found that U-73122 (10 µM; Fig. 5, D and F) and edelfosine (10 µM; data not shown), which are blockers of phospholipase C, inhibited the effects of the virus, whereas the inactive isomer of U-73122, U-73343 (20 µM), was without effect (data not shown). We also found that an inhibitor of protein kinase C, BIM I (100 nM), partially inhibited the transient response to the Sendai virus (Fig. 5F), although it did not prevent the inhibition of amiloride-sensitive Na+ absorption (Fig. 5E).
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Finally, we examined whether a pertussis toxin-sensitive G protein mediates the effects of the Sendai virus. We performed these studies in the presence of BIM I, an inhibitor of protein kinase C, because we have previously found that the B-oligomer of the toxin, which is enzymatically inactive, acts as a hemagglutinin and inhibits amiloride-sensitive Na+ absorption in mouse tracheal epithelium as a result of activating protein kinase C (32). When we added Sendai virus to the tracheal epithelium that had been pre-treated with pertussis toxin in the presence of BIM I (100 nM), we found that the magnitude of the transient stimulation of short circuit current was not different from that observed in the presence of BIM I alone (Fig. 5F). This treatment, however, abolished completely the effects of the Sendai virus on the amiloride-sensitive Na+ absorption (Fig. 5C). Exposure of the epithelium to the isolated B-oligomer of the toxin in the presence of BIM I was without effect (data not shown). Thus the action of Sendai virus on the amiloride-sensitive Na+ absorption would appear to be mediated by a pertussis toxin-sensitive G protein.
The Actions of UTP on the Tracheal Epithelium Have a Similar Pharmacology to Those of Sendai VirusAs reported above, the effects of Sendai virus on epithelial ion transport are mediated by the autocrine action of ATP on apical P2Y receptors. Direct activation of these receptors by exogenous nucleotides should therefore reproduce the effects of the virus. We have previously shown that apical UTP (100 µM) causes a rapid stimulation of Ca2+-activated Cl secretion followed by inhibition of amiloride-sensitive Na+ absorption (32) (Fig. 6, compare A with B) in the tracheal epithelium. Furthermore, the P2Y antagonist, suramin, inhibits both the activation of Cl secretion (data not shown) and the inhibition of the amiloride-sensitive Na+ absorption (Fig. 6B) produced by UTP. Both actions of UTP were also blocked by the inhibitor of phospholipase C, U-73122 (32) (Fig. 6B). Finally, UTP shows a similar divergence in the mechanisms by which it controls Cl secretion and Na+ absorption to what we had observed with Sendai virus; treatment of the epithelium with the protein kinase C inhibitor BIM I inhibits the effect of UTP on Cl secretion but leaves the inhibitory effect of UTP on the amiloride-sensitive Na+ absorption unchanged (32) (Fig. 6B).
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| DISCUSSION |
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The mechanism by which Sendai produces its effects is summarized in Fig. 7. It first binds to a glycolipid, which may be asialoGM1, although our findings with the anti-sialoGM1 antibody are also consistent with the weak agonist activity of this antibody having desensitized the glycolipid target for Sendai virus. The binding of the virus then triggers an ATP release leading to the autocrine activation of apical P2Y receptors and activation of phospholipase C
. The pathways that activate Cl secretion inhibit amiloride-sensitive Na+ absorption then diverge. The activation of Cl secretion is dependent on an increase in intracellular Ca2+ as well as on the activation of protein kinase C, whereas the inhibition of the amiloride-sensitive Na+ absorption is independent of increases in intracellular Ca2+ and the activity of protein kinase C. It is noteworthy that this divergence in the regulation of these two ion transport processes is also observed when apical P2Y receptors are directly stimulated by UTP or ATP (this work and Refs. 32 and 34).
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, which then increases intracellular Ca2+ and triggers Cl secretion by intestinal villus cells (3537). It is not known whether ATP release mediates these actions of NSP4, although the present findings suggest that this possibility should be considered. The present findings also need to be considered in the light of the recent report that respiratory syncytial virus infections inhibit the rate of fluid clearance from the airways (38). In their studies, Davis and colleagues (38) showed that 3 days after the infection of mice with respiratory syncytial virus there was a marked inhibition in the rate of clearance of a standardized volume of fluid instilled into the lungs through the trachea. This inhibition was accompanied by a decline in the amiloride-sensitive component of the fluid clearance and was apparently mediated by the secretion of UTP from the respiratory mucosa. From these studies, it was not possible to determine whether these effects were the direct result of the contact of the virus with the epithelium or the consequence of an immune response to the infection. The findings in the present study, however, suggest that they are likely to be because of a direct interaction between the viral particles and the epithelium.
The phenomenon that most closely resembles the action of the Sendai virus on epithelial transport is the stimulation of epithelial cytokine and mucus production by exposure to P. aeruginosa and Staphylococcus aureus. These bacteria trigger mucus and interleukin production by binding apical asialoglycolipids, leading to the release of ATP, autocrine activation of purinergic receptors, and increased intracellular Ca2+ (28, 29). Taking these reports together with our present finding that the Sendai virus modulates epithelial ion transport we propose that altered epithelial ion transport and the production of mucus and cytokines are all part of a stereotypic response of airway epithelia to contact with pathogens. In this response, an increase in the volume of fluid bathing the surface of the epithelium hydrates the increased amounts of mucus being secreted and leads to an increase in the rate of mucus clearance so as to facilitate transport of the pathogens out of the lung (39). The possibility that the acute changes in electrolyte transport we have observed form part of a stereotyped epithelial response to pathogens is supported by reports that both P. aeruginosa and Klebsiella pneumoniae inhibit Na+ transport by the respiratory epithelium (4043). A further implication of our findings is that the release of ATP from epithelia, which has been considered to be an epithelial response to mechanical stimuli (44), may also play a critical role in coordinating epithelial responses to pathogens.
| FOOTNOTES |
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|| Fellows of the Medical Foundation of the University of Sydney. ![]()

To whom correspondence should be addressed: Dept. of Physiology, School of Medical Sciences, Anderson Stuart Bldg. (F13), University of Sydney, NSW 2006, Australia.
1 The abbreviations used are: BAPTA-AM, 1,2-bis(2-aminophenoxy)ethane-N,N,N',N'-tetraacetic acid tetrakis(acetoxymethyl ester); BIM, bisindolylmaleimide I; MAP, mitogen-activated protein; PPADS, pyridoxalphosphate-6-azophenyl-2',4'-disulfonic acid; PPMP, 1-phenyl-2-hexadecanoylamino-3-morpholino-1-propanol; pfu, plaque-forming unit;
, ohm; GM1, Gal
13GalNAc
14(Neu5Aca2-3)Gal
14Glc
1-1'Cer. ![]()
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