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(Journal of Leukocyte Biology. 2000;68:38-46.)
© 2000 by Society for Leukocyte Biology

Adhesion of human lung mast cells to bronchial epithelium: evidence for a novel carbohydrate-mediated mechanism

Devika Sanmugalingam, Andrew J. Wardlaw and Peter Bradding

Division of Respiratory Medicine, Leicester University Medical School, United Kingdom

Correspondence: Dr. Peter Bradding, Department of Respiratory Medicine, Glenfield Hospital, Groby Rd., Leicester, LE3 9QP UK. E-mail: pbradding{at}hotmail.com


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Mast cells contribute to the pathophysiology of asthma through their immunomediator-secretory activity in response to both immunological and nonimmunological stimuli, and infiltrate the bronchial epithelium in this disease. We hypothesized that human lung mast cells (HLMC) localize to the bronchial epithelium via a specific cell-cell adhesion mechanism. We investigated the adhesion of HLMC to primary bronchial epithelial cells and the bronchial epithelial cell line BEAS-2B. HLMC adhered avidly to both primary cultures of bronchial epithelial cells and BEAS-2B cells (mean adhesion 68.4 and 60.1%, respectively) compared with eosinophil adhesion to BEAS-2B (mean adhesion 10.3%). HLMC adhesion did not alter after epithelial activation with cytokines, did not require Ca2+, and was not integrin-mediated. IgE-dependent activation of HLMC produced an approximately 40% inhibition of adhesion. There was significant attenuation of adhesion after incubation of HLMC with pronase, ß-galactosidase, and endo-{alpha}-N-acetylgalactosaminidase, indicating that HLMC adhere to bronchial epithelial cells via galactose-bearing carbohydrates expressed on a cell-surface peptide(s).

Key Words: adhesion molecules • galactose


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Asthma is characterized by the presence of bronchial mucosal inflammation, which is thought to account for much of the disordered airway function in this disease [1 ]. Mast cells contribute to this process through their immunomediator-secretory activities in response to both immunological and non-immunological stimuli [2 ]. The autacoid mediators histamine, prostaglandin D2 (PGD2), and leukotriene C4 (LTC4) induce bronchoconstriction, mucus secretion, and mucosal edema, and thus contribute to the symptoms of asthma, whereas a number of mast cell-derived proinflammatory cytokines including interleukin (IL)-4, IL-5, and IL-13, may contribute to the regulation of IgE synthesis and the development of eosinophilic inflammation [2 ].

An interesting pathological observation is that mast cells infiltrate the bronchial epithelium of asthmatic but not normal subjects, placing them at the portal of entry of noxious stimuli such as proteolytic allergenic peptides [3 4 5 6 ]. The factors controlling the migration of mast cells into the bronchial epithelium, and the mechanism by which they are retained there are unknown. Human lung mast cells (HLMC) express a number of integrins and immunoglobulin superfamily adhesion receptors including the ß1 integrins VLA-4 ({alpha}4ß1; CD49d/CD29) and VLA-5 ({alpha}5ß1; CD49e/CD29), the vitronectin receptor ({alpha}vß3; CD51/CD61), and ICAM-1 [7 ]. In addition, a proportion of human skin and uterine mast cells express CD18 [8 , 9 ]. Bronchial epithelial cells express a number of integrins, which are important for maintaining normal epithelial structure [10 ]. In addition, they express ICAM-1, the counter-ligand for LFA-1 (CD11a/CD18), and the human bronchial epithelial cell line, BEAS-2B, has been reported to express VCAM-1, the counter-ligand for VLA-4 [11 ].

Epithelial cells also express the homotypic and homophilic adhesion molecule E-cadherin, which can also mediate a specific interaction with the integrin {alpha}Eß7 (CD103) [12 13 14 ]. This latter integrin is expressed by a subset of T lymphocytes that home to intraepithelial sites at mucosal surfaces [15 ] and, in mice, mediates their adhesion to epithelial cells derived from breast and intestine [16 ]. The ability of mouse mast cells to express {alpha}Eß7 after exposure to transforming growth factor (TGF)-ß or anti-IgE has been interpreted as the mechanism by which mast cells localize to epithelial sites [17 , 18 ], although there is no functional data to support this hypothesis. In fact the only published study investigating the adhesion of mast cells to epithelium described the adhesion of dog mastocytoma cells to dog tracheal epithelium [19 ]. This study found that approximately 35% of dog mastocytoma cells adhered to tracheal epithelium, but that this did not require Ca2+ or energy, and was not mediated via mast cell CD18.

Because mast cells infiltrate the bronchial epithelium in asthma, but are scarce in bronchoalveolar lavage fluid and sputum compared with other cells like eosinophils [20 , 21 ], we hypothesized that HLMC adhere to bronchial epithelial cells through a specific interaction involving adhesion molecules expressed by the two cell types. To test this hypothesis, we have studied the adhesion of purified HLMC and the human mast cell line HMC-1 to both primary cultures of human bronchial epithelium and the human bronchial epithelial cell line BEAS-2B.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Antibodies
The following mouse IgG mAbs (IgG1 isotype unless otherwise stated) were purchased [the antigens they are directed against are shown in parentheses, i.e., clone (antigen)]. Mouse IgG controls, MHM23 (CD18), 2LPM19c (CD11b), KB90 (CD11c), UCHT1 (CD3), P1/33/2 (CD9) (Dako, Ely, Cambridge, UK); BBIG-I1 (ICAM-1), BBIG-V1 (VCAM-1), P4C10 (ß1-chain), HECD-1 (E-cadherin) (R & D, Abingdon, UK); SHE78-7 (E-cadherin, IgG2a), YB5B8 (CD117) (Cambridge Bioscience, Cambridge, UK); IB4 (CD18, IgG2a) (Alexis, Nottingham, UK); LM609 (CD51/61) (Chemicon International, Harrow, UK). Polyclonal anti-stem cell factor antibody (cat. no. 2370-01) was purchased from Genzyme (West Malling, Kent, UK); fluorescein isothiocyanate-labeled rabbit anti-mouse immunoglobulin was purchased from Dako. The following mAbs were generous gifts: CBL451 (CD11a) (Cymbus, Southampton, UK); LF61 ({alpha}Eß7) (leukocyte typing workshop 1996); Ber-Act-8 ({alpha}Eß7) (Dr. H. Dürkop, Freie Universität, Berlin, Germany); 29C6 (Fc{varepsilon}RI) (Dr. J. Hakimi, Hoffmann-LaRoche); HP1/2 ({alpha}4-chain) (Dr. F. Sánchez-Madrid, Hospital de la Princesa, Madrid, Spain); Act I ({alpha}4ß7) (Dr. A. I. Lazarovits, University Hospital, Ontario, Canada); 4B9 (VCAM-1) (Dr. R. Lobb, Biogen, Cambridge, MA); R6.5 F(ab)2 (ICAM-1) (Dr. R. Rothlein, Boehringer Ingelheim); B2C10 and A3A12 (galectin-3) (Dr. F-T. Liu, La Jolla Institute for Allergy and Immunology, San Diego, CA). Polyclonal galectin-1 rabbit antiserum was a generous gift from Dr. L. G. Baum (UCLA School of Medicine, Los Angeles, CA).

Cytokines and reagents
Stem cell factor (SCF), TGF-ß, tumor necrosis factor {alpha} (TNF-{alpha}), IL-1ß, and interferon-{gamma} (IFN-{gamma}) were purchased from R & D; pronase, heparinase I (heparinase, from Flavobacterium heparinum), heparinase III (heparatinase I from Flavobacterium heparinum), ß-galactosidase (from bovine testis), hyaluronidase type I-S (from bovine testis), endo-{alpha}-N-acetylgalactosaminidase (from Diplococcus pneumoniae), collagenase type IA (from Clostridium histolyticum), hyaluronic acid (from bovine trachea), EDTA, EGTA, manganese, paraformaldehyde, pertussis toxin, cholera toxin, cytochalasin D, genistein, sodium azide, deoxyglucose, phorbol myristate acetate (PMA), galactose, mannose, mannose-6-phosphate, and fucoidin were purchased from Sigma (Poole, Dorset, UK); neuraminidase (from Arthrobacter ureafaciens), and human myeloma IgE were purchased from Calbiochem-Novabiochem (Nottingham, UK); sheep polyclonal anti-human IgE was purchased from Serotec (Kidlington, Oxford, UK). Histamine and S-adenosyl-L-[methyl-3H]methionine was purchased from Amersham Life Sciences (Little Chalfont, Bucks, UK); rat kidney histamine methyl transferase was a generous gift from Dr. S. Harper (Astra Charnwood, Loughborough, UK).

Cell lines and culture media
The BEAS-2B epithelial cell line was purchased from the European Collection of Animal Cell Cultures (Porton Down, Wiltshire, UK); primary bronchial epithelial cells (normal human bronchial epithelial cells, NHBE) were purchased from TCS Biologicals (Buckingham, UK). The human mast cell line HMC-1 was a kind gift from Dr. J. H. Butterfield (Mayo Clinic, Rochester, MN). Small airway growth medium (SAGM) was purchased from BioWhittaker (Wokingham, UK); Iscove’s medium, iron-supplemented FCS, RPMI 1640/Glutamax/HEPES, antibiotic/antimycotic solution, minimum essential medium (MEM) nonessential amino acids, and fetal calf serum (FCS) were purchased from Life Technologies (Paisley, Scotland, UK); bovine serum albumin (BSA), human plasma fibronectin, and monothioglycerol were purchased from Sigma.

Human lung mast cell purification
HLMC were dispersed from macroscopically normal lung (n = 45 donors) obtained within 1 h of resection for lung cancer. The study was approved by the Leicestershire Research Ethics Committee. The enzymatic dispersal procedure used was as described previously [22 ], with the exception that cells were sensitized with human myeloma IgE (3 µg/mL) during the blocking stage with human IgG. Mast cells were then purified using immunomagnetic affinity selection with the mouse anti-c-kit mAb YB5.B8 (5 µg/mL) and anti-mouse IgG1 magnetic beads (Dynal, Wirral, UK) as previously described [22 ]. In latter experiments we used the Dynal rat anti-mouse IgG1 Cellection kit in accordance with the manufacturer’s instructions, permitting detachment of mast cells from beads using DNAse digestion. Final mast cell purity was 99.4 ± 0.4%, and viability 98.7 ± 0.6%.

Mast cell culture
After purification, HLMC were cultured overnight on 1% BSA-coated plastic (to prevent adhesion), in RPMI 1640/Glutamax/HEPES containing antibiotic/antimycotic solution, nonessential amino acids, 10% FCS, and 10 ng/mL SCF. Cells were activated overnight with sheep anti-human IgE as required. HMC-1 cells were cultured in Iscove’s medium containing 10% iron-supplemented FCS and 1.2 mM monothioglycerol.

Bronchial epithelial cell culture
The BEAS-2B cell line (passages 44–64) and NHBE (up to the fifth passage) were both grown in SAGM. BEAS-2B were seeded at 2 x 105 cells/mL in human plasma fibronectin-coated 96-well tissue culture plates and grown to confluence before use in adhesion assays. Monolayers were stimulated for 18–24 h as required with a cocktail of cytokines (50 ng/mL each of human IL-1ß, TNF-{alpha}, and IFN-{gamma}) and gently washed twice before use.

Eosinophil purification and culture
Eosinophils were purified from human peripheral blood by negative selection using the MACS system (Miltenyi Biotec, Bisley, Surrey, UK) as described previously [23 ]. Final eosinophil purity and viability were >98 and >99%, respectively.

FACS analysis for adhesion receptor expression on BEAS-2B and human mast cells
Expression of cell-surface adhesion receptors on epithelial and mast cells were analyzed by FACS. Briefly, cells were incubated with optimal dilutions of primary mouse mAb for 15 min at 4°C, washed, then labeled with fluorescein isothiocyanate (FITC)-conjugated F(ab’)2 fragments of rabbit anti-mouse Ig. Cells were analyzed with a FACScan (Becton Dickinson, Cowley, Oxford, UK). Controls were performed with an unrelated mouse IgG of appropriate isotype.

Mast cell-epithelial cell adhesion assay
Epithelial cells were grown to confluence in 96-well tissue culture plates. Bead-free HLMC were obtained either by allowing spontaneous detachment in overnight culture and separation with a magnet (MPC-1, Dynal; ~50% detachment), or in latter experiments using the Dynal Cellection kit (there was no difference in the level of HLMC adhesion between the two methods). HLMC (1 x 104) or HMC-1 (3 x 104), suspended in 100 µL of mast cell medium, were added to each well. After initial time-course studies, mast cells were allowed to adhere for 1 h at 37°C. After 1 h, 10 µL of supernatant was gently removed and stored for later histamine analysis in order to monitor release during the assay. The wells were then filled completely with medium, sealed with Mylar sealing tape (Sigma, Poole, UK), inverted, and then subjected to centrifugation at 15 g for 5 min to remove nonadherent cells. All medium was then removed, and the remaining adherent cells lysed in 100 µL sterile water. Plates were frozen at -80°C until later histamine analysis. HLMC (104) or HMC-1 (3 x 104) were lysed in sterile water and stored for measurement of total histamine content. All experiments were performed in triplicate. Percentage adhesion was calculated as the amount of histamine remaining in a well divided by the total amount of histamine added originally.

Analysis of adhesion using radiolabeling was also performed with HMC-1 cells for comparison with the histamine-based assay.

Adhesion to fibronectin
Human plasma fibronectin (40 µg/mL) was used to coat 96-well plates for 1 h at 37°C, and wells were washed gently with sterile phosphate-buffered saline (PBS). To block nonspecific sites, 1% BSA was allowed to bind for 1 h at 37°C, and the wells were washed gently again. HLMC were added for 1 h at 37°C, and the adhesion assay carried out as before, including relevant controls.

Eosinophil-epithelial cell adhesion assay
Eosinophils were radiolabeled with 51Cr, then washed to remove free 51Cr. The assay was then performed as described for mast cells above, except that 1 x 105 eosinophils were added per well, and adhesion was calculated as the percentage of radioactivity of total cells added.

Histamine assay
Histamine was measured by sensitive radioenzymic assay based on the conversion of histamine to [3H]methylhistamine in the presence of the enzyme histamine-N-methyl transferase [24 ]. Briefly, samples and control standards were incubated with rat kidney histamine methyl transferase and S-adenosyl-L-[methyl-3H]methionine. After organic extraction in a 4:1 mixture of toluene/isoamyl alcohol, the samples were read in a Tri-carb liquid scintillation analyzer (model 1500, Packard, Pangbourne, Berks, UK). Histamine concentrations were calculated from a standard curve that was run in triplicate in the range 500–7500 pg. This assay has a lower detection limit of 50 pg histamine, and is linear throughout the range 50 to 7500 pg. Intra- and interassay coefficients of variation are 2 and 3%, respectively.

Adhesion modulation assays
Adhesion-blocking mAb
The following well-characterized adhesion-blocking antibodies were incubated with the epithelial cell monolayers at room temperature for 15 min before the adhesion assay: R6.5 (ICAM-1), 15 µg/mL [25 ]; 4B9 (VCAM-1), 20 µg/mL [26 , 27 ]; HECD-1 (E-cadherin), 100 µg/mL [28 ]; SHE78-7 (E-cadherin), 1 µg/mL [29 ], B2C10 (galectin-3) 20 and 100 µg/mL [30 ]; polyclonal anti-SCF, 10 µg/mL. The following adhesion-blocking mAb were incubated with HLMC for 15 min at room temperature before the adhesion assay: BBIG-I1 (ICAM-1), 10 µg/mL; IB4 (CD18), 5 µg/mL [31 ]; HP1/2 ({alpha}4 chain), supernatant diluted 1:2 [26 ]; Ber-Act-8 ({alpha}Eß7), supernatant diluted 1:40 [16 ]; LM609 (CD51/61, vitronectin receptor), 10 µg/mL [32 ]; P4C10 (ß1 chain), 20 µg/mL [27 ]; B2C10 (galectin-3), 20 and 100 µg/mL. Controls were performed with IgG control up to 100 µg/mL. All of the above antibodies remained present during the adhesion assay.

Proteolytic digestion
HLMC were pretreated with pronase at concentrations of 1, 2.5, 7.5, and 10 µg/mL for 20 min at 37°C in serum-free medium. After 20 min, an equal volume of medium containing 10% FCS was added, and the cells then washed once.

Carbohydrates and proteoglycans
To determine whether cell-surface carbohydrates or proteoglycans are involved in the adhesion of mast cells to epithelial cells, HLMC and HMC-1 were pretreated with the following at room temperature for 30 min: heparin (1 mg/mL), hyaluronic acid (1 mg/mL), galactose (50 mM), lactose (50 mM and 200 mM, for 30 min and 2 h), mannose (50 mM), mannose-6-phosphate (3.3 mM), and fucoidin (1 mg/mL). BEAS-2B were incubated with these sugars (with the exception of mannose-6-phosphate) under the same conditions. These carbohydrates, which bind competitively [33 , 34 ] remained present during the adhesion assay. The following enzymes were used to pretreat mast cells at 37°C for 30 min: heparinase I (2 U/mL), heparinase III (2 U/mL), hyaluronidase (300 U/mL), neuraminidase (1 U/mL), ß(1–3, 4, 6)-galactosidase (0.5 U/mL), endo-{alpha}-N-acetylgalactosaminidase (0.3 U/mL). Mast cells exposed to enzymes were washed before the adhesion assay. ß-Galactosidase was also used on BEAS-2B monolayers under the same conditions. The concentrations of these carbohydrates and enzymes used were based on previously published data of our own and others [33 , 35 36 37 38 39 40 41 ].

Modulation of cell signaling and metabolism
HMC-1 and HLMC were pretreated with the following agents at 37°C: genistein 5 µM for 30 min; pertussis toxin 0.1 µg/mL for 2 h; cholera toxin 0.1 µg/mL for 2 h; sodium azide 0.01 M for 1 h; deoxyglucose/sodium azide 0.01 M/0.01 M for 1 h; cytochalasin D 12 µM for 30 min; PMA 0.05 µg/mL for 10 min.

Requirement for divalent cations
The Ca2+ and Mg2+ chelating agents EDTA (5 mM) and EGTA (5 mM) were added to HLMC at 37°C for 10 min before the assay. Because they cause detachment of the epithelial monolayer, the epithelial cells were fixed in 0.4 and 4.0% paraformaldehyde for 5 min at room temperature, then washed twice before use. Mast cells were also incubated with Mn2+ (5 mM) for 10 min at 37°C to assess the effect of integrin activation on adhesion.

Mast cell activation
HLMC were incubated overnight with sheep anti-human IgE with or without the tryptase inhibitor leupeptin (10 µg/mL), and with the calcium ionophore A23187 (500 nM). Cells were washed three times before the adhesion assay. Controls were performed with sheep serum (1%). To assess the effects of mast cell contents on mast cell adhesion, 1 x 106 mast cells were lysed in 900 µL sterile water, frozen, and then thawed. The lysate was then reconstituted with 100 µL 10x PBS. After centrifugation (11,500 rpm, 8 min), the lysate was incubated at various dilutions with mast cells for 20 min at 37°C before the adhesion assay.

To allow for histamine release from mast cells in response to the above experimental procedures (e.g., anti-IgE, A23187), appropriate aliquots of treated cells were kept for measurement of total histamine content. All experiments and procedures were performed at 37°C unless otherwise stated, and all experiments were performed in triplicate.

Cell viability
Mast cell viability was monitored before and after the above experiments by exclusion of trypan blue. No treatment was cytotoxic and mast cell viability was >97% in all experiments.

Data presentation and analysis
The percentage of cells adhering is expressed as mean ± SEM. N represents the number of mast cell donors studied or the number of times an experiment was performed with different passages of the HMC-1 cell line. Data comparing mast cell and eosinophil adhesion was compared using Student’s unpaired t test (two-tailed), and maneuvers aimed at modulating mast cell adhesion were analyzed using Student’s paired t test (two-tailed).


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Mast cell-epithelial cell adhesion assay
The histamine-based adhesion assay was highly reproducible with an intra-assay coefficient of variation of 12.5%. This compares favorably with 51Cr labeling, which in our hands gives an intra-assay coefficient of variation of 15.8%. There was no net release of histamine during the assay compared with control cells. An initial dose-response study demonstrated that mast cell concentration (up to 0.25 x 106/mL) had no effect on mast cell adherence; therefore 1 x 104 HLMC and 3 x 104 HMC-1 in 100 µL medium were used in further experiments. Initial time-course studies indicated that adhesion plateaued at about 15 min and remained stable for at least 1 h (data not shown). For convenience, cells were allowed to adhere for 1 h in further experiments. Histamine was not taken up by epithelial cell cultures, and there was no change in histamine release during the assay following any experimental procedures. None of the experimental procedures released histamine from mast cells other than IgE-dependent activation (% release based on cell content 23.7 ± 10.7% with 1% anti-IgE) and the calcium ionophore A23187 (% release based on cell content 50.8 ± 19.2%).

Mast cell adherence to bronchial epithelium under basal conditions
A high proportion of both HLMC and HMC-1 adhered to both BEAS-2B and NHBE cells (Fig. 1 ); this was in marked contrast to the relative paucity of eosinophil adhesion. Thus a mean 60.1 ± 2.5 and 68.4 ± 7.7% HLMC adhered to BEAS-2B (n = 45) and NHBE (n = 3), respectively, and a mean 52.0 ± 5.7% HMC-1 adhered to BEAS-2B (n = 13). In contrast, only a mean 10.3 ± 1.3% peripheral blood eosinophils adhered to BEAS-2B (n = 7; P = 0.0007 compared to both HLMC and HMC-1). HLMC were routinely cultured overnight in the presence of SCF before the adhesion assay, but omitting this from the culture conditions did not affect adhesion (adhesion without SCF 60.7 ± 13.2%, adhesion with SCF for 16 h 51.1 ± 10.5%, n = 3, P = 0.09). The histamine-based adhesion assay and 51Cr-based assay were compared using HMC-1 and gave comparable results (adherence 47.0 vs. 45.3%, respectively, n = 1).



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Figure 1. Adhesion of HLMC to BEAS-2B (n = 45) and NHBE (n = 3), and adhesion of HMC-1 (n = 13) and peripheral blood eosinophils (n = 7) to BEAS-2B. Expressed as mean ± SEM percentage of cells adhering. *P = 0.0007, **P = 0.018, ***P = 0.0007 compared to eosinophils.

 
Mast cell adherence after epithelial activation
Activating BEAS-2B and NHBE with a cocktail of IFN-{gamma}, TNF-{alpha}, and IL-1ß (50 ng/mL each) did not influence mast cell adhesion (Table 1 ), in spite of the observation that this combination of cytokines induces a marked increase in the epithelial expression of ICAM-1 as demonstrated by FACS (not shown).


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Table 1. Adhesion of HLMC to BEAS-2B After Incubation of HLMC with the Reagents Indicated Compared with Control

 
Attenuation of HLMC adhesion after IgE-dependent activation
After overnight activation (16 h) with 1% anti-IgE (i.e., 1% dilution of stock solution, which is equivalent to 5 µg/mL of anti-IgE), there was a consistent fall in adhesion of HLMC to BEAS-2B when compared with unactivated cells (mean 66.5 ± 6.6% vs. 41.2 ± 6.3%, respectively, P = 0.0008, n = 6). Three further experiments showed that this effect of anti-IgE was dose-dependent (Fig. 2 ). However, it was not reproduced by activation with calcium ionophore in either HLMC (n = 3; Table 1 ) or HMC-1 (n = 3, data not shown), suggesting it is not a consequence of degranulation. Attenuation of adhesion by anti-IgE was not inhibited by the tryptase inhibitor leupeptin (10 µg/mL; Fig. 2 ) in that adhesion in the presence of leupeptin plus anti-IgE was never higher than anti-IgE alone. Adhesion of HMC-1 (n = 1) or HLMC (n = 2) incubated in HLMC lysates for 20 min before the assay was not affected (Table 1) .



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Figure 2. Adhesion (mean ± SEM) of HLMC to BEAS-2B after overnight activation with increasing concentrations of anti-IgE alone or with anti-IgE in the presence of leupeptin (n = 3). *P = 0.033 compared to baseline for anti-IgE alone.

 
HLMC adhesion was not altered after incubation with genistein, pertussis toxin, cholera toxin, sodium azide, deoxyglucose/sodium azide, cytochalasin D, or PMA (Table 1) .

Mast cell adhesion to bronchial epithelium is not modulated by adhesion-blocking antibodies, integrin activation, or cations
There are several potential mast cell-epithelial cell integrin-immunoglobulin superfamily interactions that could mediate the adhesive process. Expression of several integrins and ICAM-1 on mast cells as analyzed by FACS is summarized in Table 2 , and a representative experiment is shown in Figure 3 . In contrast to previous reports [7 , 42 ], we found that a small but consistent number of HLMC expressed CD18, with smaller proportions expressing CD11b and CD11c. However, mast cell adhesion was not modulated by preincubation of mast cells with blocking anti-CD18, anti-VLA-4, anti-CD51/61 (vitronectin receptor) or anti-ICAM-1 mAb, or preincubation of epithelial cells with blocking anti-ICAM-1 or anti-VCAM-1 mAb (Fig. 4 ). Integrin activation on mast cells with Mn2+ was also without any effect (Table 1) , and integrin-blocking mAbs still had no effect after Mn2+ exposure, supporting the observation that adhesion is not integrin-mediated (data not shown). The ß1-blocking mAb P4C10 completely inhibited adhesion of HLMC cells to plasma fibronectin (control adhesion 49.4 ± 2.7%, anti-ß1 adhesion 2.6 ± 1.9%, n = 2) but had no effect on adhesion to epithelium (control adhesion 30.5%, anti-ß1 adhesion 42.3%, n = 1), indicating that mast cells were not adhering to the fibronectin required for epithelial cell anchorage.


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Table 2. Median Fluorescent Intensity of HLMC Surface Antigens Analyzed by FACS After Overnight Incubation in Medium, TGF-ß (5 ng/mL), or Anti-IgE (1%)

 


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Figure 3. Integrin expression on HLMC analyzed by FACS, with Fc{varepsilon}RI as a positive control (representative experiment). IgG control, open histogram; specific mAb, shaded histograms. Dotted line represents median fluorescent intensity for IgG control.

 


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Figure 4. Effect of integrin and immunoglobulin superfamily function-blocking mAbs on adhesion (mean ± SEM) of HLMC to BEAS-2B (n = 4).

 
We were unable to detect {alpha}Eß7 on HLMC or HMC-1 either at rest or after 24 h culture with TGF-ß (5 ng/mL) or anti-IgE (1%; Table 2 ). {alpha}Eß7 was not destroyed by the enzymatic dispersion procedure because it was clearly detectable on T cells in these preparations (data not shown). Furthermore, overnight culture with TGF-ß (5 ng/mL) had no effect on mast cell adhesion (mean adherence in unstimulated cells 41.8 ± 9.8 vs. 45.3 ± 11.9 in TGF-ß-treated cells, n = 3, P = 0.26). In addition, there was no inhibition of adhesion after incubation of HLMC with the {alpha}Eß7 function-blocking mAb Ber-Act-8 nor with two E-cadherin mAb known to block homotypic adhesion between E-cadherin molecules (not shown).

Integrin- and C-type lectin-mediated adhesion generally requires the presence of calcium [43 ]. Because epithelial monolayers detach in the presence of EDTA and EGTA, they were fixed in 0.4 and 4% paraformaldehyde before addition of EDTA/EGTA-treated mast cells. With 0.4% paraformaldehyde fixation, there was a small but nonsignificant fall in adhesion, and adhesion was not reduced further after chelation of cations with EDTA or EGTA (5 mM; n = 6; Table 1 ). Four percent paraformaldehyde fixation reduced adhesion from 61.3 ± 2.1 to 25.7 ± 2.5% (n = 3, P = 0.0016), and the remaining adhesion was also not altered by EDTA or EGTA. These observations further suggest that an integrin-mediated adhesive interaction is not operating.

Mouse mast cells are reported to adhere to mouse fibroblasts through an SCF receptor-SCF interaction [44 ]. Epithelial cells are also able to produce SCF [45 , 46 ], although whether or not they express the membrane-bound form like fibroblasts is not known. Incubation of epithelial monolayers with a neutralizing polyclonal goat anti-human SCF antibody did not reduce HLMC (n = 1) or HMC-1 adhesion (n = 3; data not shown).

Mast cell-epithelial adhesion is pronase-sensitive
Pre-incubation of HLMC with pronase demonstrated a clear dose-related reduction in adhesion, with a mean baseline value of 50.2 ± 8.7% falling to 6.5 ± 1.4% at 10 µg/mL (n = 3, P = 0.028; Fig. 5 ). Expression of CD9, CD18, ICAM-1, and CD69 on HMC-1 (analyzed by FACS) were markedly reduced after incubation with pronase (10 µg/mL) for 20 min (data not shown), confirming proteolytic activity under these conditions.



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Figure 5. Effect of increasing concentrations of pronase on HLMC adhesion (mean ± SEM) to BEAS-2B (n = 3). *P = 0.035 compared to baseline; **P = 0.028 compared to baseline.

 
Adhesion in the presence of carbohydrates and after glycosidase digestion
To determine whether cell-surface carbohydrates are responsible for the adhesion of mast cells to epithelial monolayers, we introduced several mono- and polysaccharides (heparin, hyaluronic acid, galactose, lactose, mannose, mannose-6-phosphate, fucoidin) into the assay medium that are known to competitively block various carbohydrate-mediated adhesive interactions (HLMC n >= 3, HMC n = 1) [33 34 35 36 37 , 39 , 40 ]. No significant effect on adhesion was seen with any of these carbohydrates (Table 1) . Next we used a panel of glycosidases to digest carbohydrates expressed on the mast cell surface. ß-Galactosidase reduced HLMC adhesion from 57.8 ± 6.4 to 15.0 ± 2.1% (n = 3, P = 0.031), and reduced adhesion of HMC-1 from 37.0 ± 1.8 to 7.8 ± 7.6% (n = 3, P = 0.045; Fig. 6 ). Endo-{alpha}-N-acetylgalactosaminidase was used only on HLMC and reduced adhesion from 51.1 ± 13.1% at baseline to 26.5 ± 8.1% (n = 3, P = 0.04; Fig. 6 ). ß-Galactosidase and endo-{alpha}-N-acetylgalactosaminidase (which is certified as protease-free) did not express proteolytic activity as analyzed by FACS. Heparinase I had a small but statistically significant effect in reducing HLMC adhesion (Table 1) , but no effect on HMC-1 adhesion (control adhesion 37.0 ± 1.8, heparinase I adhesion 34.4 ± 2.3, P = 0.58, n = 3). Heparinase III, hyaluronidase, and neuraminidase were without effect on HLMC (Table 1) or HMC-1 (data not shown). Incubating BEAS-2B with ß-galactosidase did not alter HLMC adhesion (data not shown).



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Figure 6. Adhesion (mean ± SEM) of HMC-1 and HLMC to BEAS-2B after incubation of mast cells with ß-galactosidase (n = 3 for both), and adhesion of HLMC to BEAS-2B after incubation of HLMC with endo-{alpha}-N-acetylgalactosaminidase (n = 3). *P = 0.045, **P = 0.031, ***P = 0.040 compared to medium control.

 
We could not find any evidence of galectin-1 or galectin-3 expression on BEAS-2B, HMC-1, or HLMC by FACS analysis. The galectin-3 adhesion-blocking antibody (B2C10) did not attenuate HLMC adhesion when pre-incubated with either HLMC or BEAS-2B (n = 2, Table 1 ).


    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
This is the first study to demonstrate that both human lung mast cells and the human mast cell line HMC-1 adhere to cultured human bronchial epithelial cells. The level of adhesion demonstrated under basal conditions, approximately 60% of mast cells, was high compared to eosinophils, which demonstrated about 10% adhesion. Mast cell adhesion was attenuated after IgE-dependent activation, fixation of epithelium in 4% paraformaldehyde, and pre-incubation of mast cells with pronase, ß-galactosidase, and endo-{alpha}-N-acetylgalactosaminidase. However, there was no evidence for involvement of integrins in the experiments conducted.

Mast cell adhesion to the BEAS-2B cell line demonstrated similar characteristics as adhesion to primary bronchial epithelial cells, suggesting that this cell line is a suitable model for studying this adhesion process. Both these cell types are typical of basal epithelial cells rather than pseudostratified columnar cells morphologically, and in that they divide, do not have cilia, and do not produce mucus in culture. Because mast cells are found between basal cells and between basal cells and columnar cells in the bronchial epithelium, we believe that the adhesion assay employed in this study is physiologically relevant. BEAS-2B express both ICAM-1 and VCAM-1 [11 ], the counterligands for which include CD11/CD18 and VLA-4 ({alpha}4ß1), respectively. HLMC are known to express VLA-4 ({alpha}4ß1), and in the present study we were able to demonstrate that about 20% of HLMC expressed CD18 as analyzed by FACS. This integrin has not been found on HLMC previously [7 , 42 ]. However, we were able to confirm its presence on HLMC by using immunomagnetic affinity selection on enzymatically dispersed lung cells (data not shown). The reason for this discrepancy with previous studies is not clear, but it is of note that human uterine mast cells do express CD18, and up to 50% of mast cells in inflamed skin also express CD18 [8 , 9 ]. Taking the above observations together, it might be predicted that HLMC would adhere to bronchial epithelium via a CD18/ICAM-1 and/or VLA-4/VCAM-1 pathway. However, it was clear from our studies that these molecules were not involved because appropriate function-blocking mAb did not inhibit adhesion, and adhesion did not require the presence of Ca2+ or Mg2+, and was not enhanced in the presence of manganese.

{alpha}Eß7 (CD103) is an integrin expressed on the surface of the intraepithelial subset of mucosal T cells [15 ], a ligand for which is E-cadherin expressed on the surface of epithelial cells [14 ]. In vitro, the binding of {alpha}Eß7 to E-cadherin mediates the adhesion of intraepithelial T cells to epithelial cells derived from a variety of sources including gut and breast [16 ], suggesting that this is the epithelial homing mechanism for this population of lymphocytes. {alpha}Eß7 is also expressed by mouse mast cells after in vitro activation with TGF-ß (5 ng/mL) or anti-IgE [17 ]. As a result of this, it has become the widely held view that this is also the mechanism through which mast cells localize to epithelial sites [17 , 18 ]. In the present study, however, in spite of demonstrating high levels of mast cell adhesion to bronchial epithelium, we have been unable to detect {alpha}Eß7 on HLMC or HMC-1 either at rest, which is in keeping with previous studies [7 ], or after overnight incubation with anti-IgE (vide infra) or TGF-ß. TGF-ß did not increase HLMC adhesion, and adhesion was not blocked by a function-blocking anti-{alpha}Eß7 mAb. This reiterates the important phenotypic differences that exist between mouse and human mast cells, and shows that caution is required in extrapolating mast cell data from mouse to humans.

There are many potential carbohydrate interactions between different cell types, the mechanics of which are still poorly understood [47 ]. To explore the potential role of mast cell-surface carbohydrates as adhesion molecules, we used neuraminidase to remove cell-surface carbohydrates bearing sialic acid residues, ß-galactosidase to remove terminal ß-linked galactose residues, and endo-{alpha}-N-acetylgalactosaminidase. This latter enzyme specifically cleaves Galß(1–3)GalNAc{alpha} disaccharides attached to the serine or threonine residues of glycoproteins [41 ], typical of the O-linked glycans present in mucin-like molecules. It is interesting that ß-galactosidase treatment of both HLMC and HMC-1, but not epithelium, produced a marked reduction in mast cell adhesion, suggesting that mast cell-expressed ß-galactosides are responsible for a large proportion of the adhesion seen. In addition, endo-{alpha}-N-acetylgalactosaminidase produced approximately a 40% reduction in adhesion, suggesting that mucin-like molecules are involved. Because endo-{alpha}-N-acetylgalactosaminidase specifically cleaves unsubstituted Galß(1–3)GalNAc{alpha} disaccharides linked to core proteins, and the terminal galactose residue of these is also susceptible to ß-galactosidase (our enzyme preferentially cleaves galß1–3 linkages), it is possible that these two enzymes are active on the same carbohydrate molecules. Heparinase I had a small but statistically significant effect at reducing adhesion of HLMC. However, there was no effect on HMC-1, and heparin did not inhibit adhesion, so the biological significance of this observation is uncertain. In contrast, neuraminidase was clearly without effect, indicating that sialic acid residues are not required for adhesion.

Lectins are carbohydrate-binding peptides often expressed on cell surfaces, and are classified into C-type (e.g., selectins), P-type (e.g., mannose-6-phosphate receptor), S-type (e.g., galectins), I-type (e.g., CD22), and others including heparin-binding proteins and pentraxins [47 ]. C-type lectin-dependent adhesion requires the presence of calcium, and can thus be excluded as a mast cell-epithelial cell adhesion mechanism in this study. P-type lectins bind mannose-6-phosphate, whereas S-type lectins (e.g., galectins) typically bind ß-galactosides. The inhibitory effect of ß-galactosidase treatment therefore suggests that a member of the galectin family is a candidate adhesion molecule [for review see ref. 48 ]. Adhesion mediated by galectins and other lectin subtypes can often be competitively and specifically inhibited by various mono- and polysaccharides. Using a variety of sugars at concentrations reported to inhibit lectin-mediated adhesion in other systems [33 34 35 36 37 , 40 , 49 ], we were unable to modulate adhesion. Lactose is particularly useful for inhibiting galectin interactions, and although it makes it unlikely that a galectin is involved, the lack of effect with lactose in our experiments does not completely rule out galectins because the affinity for lactose could be much lower than for a physiological ligand. We can, however, exclude a role for galectins-1 and -3 because our HLMC, HMC-1, and BEAS-2B did not express these molecules when analyzed by FACS, and an adhesion-blocking galectin-3 mAb was without effect. Taken together, our data suggest that HLMC and HMC-1 adhere to bronchial epithelial cells via mast cell-surface ß-galactosides including the unsubstituted Galß(1–3)GalNAc{alpha} disaccharide linked to a core peptide, but that this does not involve a recognized carbohydrate-receptor interaction.

To our knowledge, the only previous investigation of mast cell adhesion to epithelium reported adhesion of dog mastocytoma cells to dog tracheal epithelium [19 ]. The results of this study were remarkably similar to ours, in that the authors found high baseline adhesion in the order of about 35%, but that adhesion was not calcium-dependent, did not require energy because it was not blocked by sodium azide, but was sensitive to proteolytic digestion with pronase. We too found that pronase markedly reduced adhesion. Thus a mast cell-expressed peptide or peptides are also required for mast cells to adhere to bronchial epithelium, and are likely to be the scaffold for adhesion-mediating galactose-bearing carbohydrates. Most cell-surface proteins are decorated with carbohydrates to some extent, so it is not possible to speculate with any conviction as to whether any currently recognized molecules are involved.

A further study has described the adhesion of HMC-1 cells and human skin mast cells to human fibroblasts. Again, high baseline adhesion was observed, on the order of 95% for HMC-1 cells and 60% for skin mast cells. Adhesion of HMC-1 cells was studied in more detail and was not mediated by a number of known adhesion receptors and sugars, was only partially sensitive to calcium depletion, and was reduced by about 50% with trypsin and pronase [50 ]. These findings are not dissimilar to ours and suggest that human mast cells may adhere to fibroblasts and epithelial cells through a similar mechanism.

IgE-dependent activation of HLMC attenuated mast cell adhesion to epithelium in a dose-dependent manner. This was an interesting observation because it is hypothesized in mice that IgE-dependent mast cell activation will increase adhesion to epithelium through the up-regulation of {alpha}Eß7 as discussed above [17 , 18 ]. Also, mouse mast cell adhesion to laminin is increased after IgE-dependent activation [51 ]. However, adhesion of human skin mast cells to laminin clearly decreases after incubation with anti-IgE, demonstrating again important differences between mice and humans [52 ]. The mechanism(s) underlying the adhesion-modulating effect of IgE-dependent mast cell activation in the present study is not clear, but could include dilution of a membrane receptor after granule fusion with the plasma membrane, cleavage of a surface receptor by a mast cell protease, or Fc{varepsilon}RI-mediated down-regulation of a cell-surface receptor. Degranulation in response to calcium ionophore had no effect on adhesion, suggesting that the first two mechanisms are unlikely. Furthermore, lysates of HMC-1 or HLMC were without effect on mast cell adhesion. Interpretation of the effect of the tryptase inhibitor leupeptin was complicated by the fact that baseline adhesion in the presence of leupeptin was reduced, although adhesion in the presence of leupeptin was never higher than with anti-IgE. Taking the data together, we believe that a Fc{varepsilon}RI-mediated down-regulation of a cell-surface receptor is the most likely explanation for these observations. The biological significance of this finding can only be speculated upon, but could facilitate mast cell migration toward the epithelial surface in response to perceived noxious stimuli, or migration to regional lymph nodes after antigen exposure [53 ].

Finally, it is interesting that mast cells show much greater adhesion to epithelium than eosinophils. This may explain the observation that in spite of there being similar numbers of mast cells and eosinophils co-habiting the bronchial epithelium in asthma [6 ], far greater numbers of eosinophils are found in BAL fluid and sputum than mast cells [20 , 21 ]. This would suggest that there is continuous movement of eosinophils from the submucosa through the epithelium and into the bronchial lumen, whereas mast cells are retained in the epithelium and perhaps direct the traffic.

In summary, we have demonstrated that human mast cells adhere avidly to human bronchial epithelial cells in vitro, and provide evidence that this is mediated by a potentially novel mast cell-carbohydrate-dependent interaction with epithelium.


    ACKNOWLEDGEMENTS
 
This work was supported by a grant-in-aid from Astra Charnwood, Loughborough, UK. We are grateful to Drs. K. Hallam, S. Harper, and M. Biffen at Astra Charnwood for their helpful comments during the course of this study. We are grateful to Dr. L. Baum and Dr. Fu-Tong Liu for their helpful advice concerning galectin biology.

Received November 15, 1999; revised January 26, 2000; accepted January 28, 2000.


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 ABSTRACT
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 DISCUSSION
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D. Kaur, R. Saunders, P. Berger, S. Siddiqui, L. Woodman, A. Wardlaw, P. Bradding, and C. E. Brightling
Airway Smooth Muscle and Mast Cell-derived CC Chemokine Ligand 19 Mediate Airway Smooth Muscle Migration in Asthma
Am. J. Respir. Crit. Care Med., December 1, 2006; 174(11): 1179 - 1188.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Renal Physiol.Home page
M. C. Chen, C. S. Mudge, and D. J. Klumpp
Urothelial lesion formation is mediated by TNFR1 during neurogenic cystitis
Am J Physiol Renal Physiol, October 1, 2006; 291(4): F741 - F749.
[Abstract] [Full Text] [PDF]

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ThoraxHome page
A Sutcliffe, D Kaur, S Page, L Woodman, C L Armour, M Baraket, P Bradding, J M Hughes, and C E Brightling
Mast cell migration to Th2 stimulated airway smooth muscle from asthmatics
Thorax, August 1, 2006; 61(8): 657 - 662.
[Abstract] [Full Text] [PDF]