The upper airways are lined with a pseudostratified bronchial epithelium that forms a barrier against unwanted substances in breathing air. The transcription factor p63, which is important for stratification of skin epithelium, has been shown to be expressed in basal cells of the lungs and its ΔN isoform is recognized as a key player in squamous cell lung cancer. However, the role of p63 in formation and maintenance of bronchial epithelia is largely unknown. The objective of the current study was to determine the expression pattern of the ΔN and TA isoforms of p63 and the role of p63 in the development and maintenance of pseudostratified lung epithelium in situ and in culture. We used a human bronchial epithelial cell line with basal cell characteristics (VA10) to model bronchial epithelium in an air-liquid interface culture (ALI) and performed a lentiviral-based silencing of p63 to characterize the functional and phenotypic consequences of p63 loss. We demonstrate that ΔNp63 is the major isoform in the human lung and its expression was exclusively found in the basal cells lining the basement membrane of the bronchial epithelium. Knockdown of p63 affected proliferation and migration of VA10 cells and facilitated cellular senescence. Expression of p63 is critical for epithelial repair as demonstrated by wound healing assays. Importantly, generation of pseudostratified VA10 epithelium in the ALI setup depended on p63 expression and goblet cell differentiation, which can be induced by IL-13 stimulation, was abolished by the p63 knockdown. After knockdown of p63 in primary bronchial epithelial cells they did not proliferate and showed marked senescence. We conclude that these results strongly implicate p63 in the formation and maintenance of differentiated pseudostratified bronchial epithelium.
Citation: Arason AJ, Jonsdottir HR, Halldorsson S, Benediktsdottir BE, Bergthorsson JT, Ingthorsson S, et al. (2014) deltaNp63 Has a Role in Maintaining Epithelial Integrity in Airway Epithelium. PLoS ONE 9(2): e88683. https://doi.org/10.1371/journal.pone.0088683
Editor: Vladimir V. Kalinichenko, Cincinnati Children’s Hospital Medical Center, United States of America
Received: April 16, 2013; Accepted: January 9, 2014; Published: February 12, 2014
Copyright: © 2014 Arason et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Funding: This work was supported by grants from Icelandic Research Fund (grant number 120423021), Landspitali University Hospital Research Fund, University of Iceland Research Fund and Eimskip University Fund. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Competing interests: The authors have declared that no competing interests exist.
Stratified epithelial tissues depend on somatic progenitor cells to maintain their integrity and homeostasis. It has been demonstrated that p63-positive basal epithelial cells serve as a source of other differentiated cells in stratified epithelial tissues including skin (reviewed in ). The epithelial layer of the upper airways is lined with a pseudostratified columnar epithelium. A fundamental difference between stratified and pseudostratified epithelia is that all cells of the pseudostratified epithelium are connected to the basement membrane i.e. differentiation does not confer loss of basement membrane adhesion.
Deregulation of repair mechanisms and cell differentiation in the bronchial epithelium are important factors in the pathogenesis of several lung diseases such as asthma, chronic obstructive pulmonary disease (COPD), pulmonary fibrosis and carcinoma , . Understanding the molecular events regulating hierarchical differentiation and repair mechanisms in airway epithelia is therefore of major interest. p63 expressing basal cells of the mouse trachea and human bronchial tree have been identified as potential progenitor cells during lung development and epithelial repair. This has been shown by different experimental approaches including lineage tracing, injury infliction on the mouse lung and human in vitro culture models , . Furthermore, p63 has been shown to regulate the expression of cytokeratin (CK) 14 which under normal circumstances is expressed in isolated clusters of basal cells in the bronchial epithelium but is upregulated during airway epithelial repair following injury –. It has been hypothesized that in the mouse lung, p63 positive basal cells give rise to early progenitor luminal cells positive for CK8 through a notch-dependent mechanism. Later, these cells differentiate terminally to ciliated, clara or goblet cells based on secondary notch signaling processes . Other factors such as the cytokine interleukin 13 (IL-13) have been shown to affect goblet cell differentiation in the airways, with goblet cell hyperplasia reported to be a major contributing factor in diseases like asthma , .
The p63 protein belongs to the p53 family of transcription factors that also includes p53 and p73. It has been shown to regulate the epithelial differentiation program, especially in stratified squamous epithelia such as skin. Unlike the uniform expression of its relative p53, p63 is mostly restricted to basal cells of diverse stratified epithelia including skin, prostate and breast. Functional characterization of the p63 gene is complicated by alternative promoter usage and/or splicing events leading to the generation of at least ten different isoforms. These isoforms can be divided into two major groups, i.e. TA-p63 and ΔN-p63. Their transcription is driven from separate promoters (P1 and P2) generating the TA-p63 isoform containing a transactivating (TA) domain at the N-terminus (P1) or the ΔN-isoform (P2) which does not have a functional transactivating domain. Both types of isoforms can then further be alternatively spliced at the carboxy terminus in five different ways (α, β, γ δ and ε) generating a total of ten different isoforms – (reviewed in ).
Initial reports on the p63-knockout phenotype raised fundamental questions regarding the role of p63 in regulating the epithelial differentiation program. Although two independent studies initially generating p63-knockout mice described similar phenotypic observations such as epithelial disruption, abnormal limb and craniofacial development, their conclusions on the role of p63 differed , . Mills et al. argued that p63 was essential for the commitment of simple ectoderm to epidermal lineages , whereas Yang et al. suggested a role in maintaining the proliferative potential of epithelial stem cells , .
In most basal epithelial cells the predominant isoforms are of the ΔNp63 type and in adult epithelium these are believed to be master regulators of epithelial differentiation in stratified epithelium . Recently, the ΔNp63 isoform was specifically silenced in adult epithelial tissues revealing a major role for ΔNp63 in epithelial stratification and skin stem cell renewal .
Although many studies have provided insight into the role of p63 in the regulation of stratification in the skin, much less is known about the role of p63 in the airway epithelium. p63−/− newborn mice lack basal cells in the tracheobronchial epithelium and the pseudostratified epithelium in the upper airways is replaced by a simple epithelial lining . On the other hand, overexpression of ΔNp63 in the mouse lung may result in squamous metaplasia of the alveolar region . Furthermore, ectopic expression of TAp63 can induce metaplastic lesions in simple lung epithelia . The importance of ΔNp63 is highlighted in a recent publication of the Cancer Genome Atlas Research Network aimed at identifying critical gene alterations in squamous cell lung cancer. The study underlined the importance of genes involved in squamous cell differentiation (mutated in 44% of samples) including SOX2 and ΔNp63 . Although there is still controversy regarding roles of specific isoforms of p63, it is clearly important for stratification and stem cell biology of the airway epithelium.
We have recently established a human bronchial epithelial cell line (VA10) with basal cell characteristics –. In conventional 2-D monolayer culture this cell line maintains a predominant basal cell phenotype, expressing p63 and other basal markers such as CK5 and −14. Interestingly, when VA10 is cultured under air-liquid interface (ALI) conditions on transwell filters, the cells undergo a differentiation process forming a functional bronchial layer, with mature tight junctions. Under these conditions, the VA10 epithelium contains both undifferentiated p63 expressing cells in a basal position, and differentiated p63-negative cells towards the luminal/air side mimicking the normal tracheobronchial epithelium . In this study we used this basal cell model to study the role of p63 in generating and maintaining pseudostratified bronchial epithelium in vitro and to test if p63 is necessary for terminal differentiation of cells in the bronchial epithelium.
Materials and Methods
Lung tissue samples were provided by written informed consent from patients undergoing lung surgical procedures. This procedure has been approved by the Landspitali Hospital Ethics Committee. Reference number 88374–96345.
The bronchial epithelial cell line VA10 was previously established at the laboratory . The VA10 cell line is available upon request for all academic investigators for non-commercial purposes. Cells were cultured in LHC9 medium (Invitrogen, NY, USA) supplemented with 50 IU/ml penicillin and 50 µg/ml streptomycin (Invitrogen). For air-liquid interface cultures, cells were seeded on the upper layer of Transwell cell culture filters (Corning®Costar®) pore size 0.4 µm, 12 mm diameter, polyester membrane) (Sigma-Aldrich, St. Louis, USA) at density of 2×105 cells per well. The cultures were maintained on LHC9 for 5 days, 0,5 ml in the upper chamber and 1.5 ml in the lower chamber. After 5 days medium was changed to DMEM/F-12 (Invitrogen), supplemented with 2% Ultroser G (Cergy-Saint-Christophe, France) for another 5 days. For air-liquid interface culture, the medium was aspired from the apical side and rinsed with PBS. Primary cells were isolated from patient material with enzyme digestion and cultured in chemically defined bronchial cell growth medium as previously described  Isolated cells were maintained on collagen coated flasks (VitroCol, Advanced BioMatrix) and cultured in chemically defined bronchial epithelial cell medium (BEGM, Life Technologies/Sigma) as previously described .
Production of Lentivirus and Cell Transduction
For production of lentivirus containing scrambled hairpin (pLKO.1 shSCR) (Addgene plasmid 17920)  or shRNA against p63 (shp63alpha pLKO.1 puro) (Addgene plasmid 19120) , general online guidlines for pLKO.1 vectors from addgene.com were followed with modifications. Arrest-in (Open Biosystems) was used according to the manufacturer’s specifications, instead of the recommended FuGENE. 70% confluent HEK-293T cells were cultured for 24 h w/o antibiotics and transfected with lentiviral transfection constructs and packaging plasmids (psPAX2 and pMD2.G) (Addgene plasmids 12260 and 12259, respectively). Culture medium containing the virus was harvested 24 and 48 hours post transfection and centrifuged at 1250 rpm at 4°C for 5 minutes and filtered through 0,45 µm filter.
Transduction of cells was done as indicated in guidlines for pLKO.1 vectors from addgene.com. Lentiviral particle solution was added to culture medium (containing 8 mg/ml polybrene) of 70% confluent cells at low MOI volume (70 µl per 6 cm target plate) and incubated for 20 hours. Cells were then cultured for 24 hours on fresh culture media. Infected cells were then selected with puromycin at a final concentration of 0,7 µg/ml, which according to titration assays was determined sufficient to eliminate uninfected cells in 48 hours.
Paraffin embedded tissue samples of normal lung biopsies were obtained from the Department of Pathology, Landspitali University Hospital. The samples were deparaffinized, refixed in methanol/acetone (1/1) for 5 minutes at −20°C and stained with EnVision®+ System-HRP kit (Dako). Primary antibodies (ncl-p63 (clone 7JUL) from Leica Microsystems and ΔNp63, provided by Dr. Sat Sinha, (University of Buffalo, NY) were incubated overnight at 4°C. Cell cultures were fixed in 3,7% formaldehyde. For nuclear protein staining, cells were also fixed in methanol/acetone (1/1) for 5 minutes at −20°C. They were then washed two times for 10 minutes at room temperature with PBS, and blocked with 10% goat serum in IF-buffer (0.2% Triton X-100; 0.1% BSA and 0.05% Tween-20 in PBS). Primary antibodies (ncl-p63 (clone 7JUL)) and ΔNp63, (RR-14, ), were incubated overnight at 4°C, followed by three 10 minute washes in PBS. Isotype specific secondary antibody conjugates Alexa Fluor® (Invitrogen) were incubated for 2 hours at RT. After PBS rinsing, nuclear staining was performed with TO-PRO-3® (Invitrogen) for 30 minutes followed by 3×10 minute washes. The samples were then embedded in Fluormount-G (Southern Biotech, Birmingham, AL) for microscopic analysis.
Immunofluorescence was visualized and captured using laser scanning Zeiss LSM 5 Pascal Confocal Microscope (Carl Zeiss AG, Munich, Germany). Bright-field and phase-contrast images of Matrigel cultures were captured using a Leica DFC320 digital camera attached to a Leitz Fluovert microscope (Wetzlar, Germany).
Assessment of Cellular Senescence
A commercially available kit for detection of senescense associated β-galactosidase (Cell Signaling, #9860) was used according to the manufacturer specifications. After fixation, cells were incubated with staining solution overnight at 37°C. Ten representative images were taken of each flask. CellProfiler (cellprofiler.org) was used to measure area occupied by blue stained cells. A pipeline was made to correct for illumination difference within each image, after which the image was thresholded to give a binary image where blue stained cells appeared white on a black background. White areas were then measured as a ratio of total area. Data is represented as a ratio of β-galactosidase levels compared with control cells (VA10Scr).
50.000 starved cells were seeded in DMEM/F12 basic medium on Falcon® (BD) cell culture inserts with 8 µm pore size in triplicates. LHC9 medium (Invitrogen) was used as a chemoattractant in the lower chamber. After 12 h incubation, cells in upper chamber were removed with a cotton swab and migrated cells in lower chamber fixed with 3,7% formaldehyde, stained with 0,1% crystal violet, rinsed with PBS and counted.
20.000 cells per well were seeded onto 12 well culture plates (Falcon®, BD). Each day, three wells from each culture were fixed with 3,7% formaldehyde, rinsed and stained with 0,1% crystal violet for 15 min. After staining, the cells were rinsed again with PBS. After the culture period, the crystal violet was released using acetic acid. Absorbance was measured at 590 nm.
Transepithelial Electrical Resistance (TEER) Measurements
TEER of ALI cultured VA10 cell layers was measured with Millicell-ERS volthometer (Millipore, MA, USA). Prewarmed PBS was added to the apical side of ALI cultured cells to be able to measure the TEER. The corrected TEER value was obtained after subtraction of the background from the cell-free culture insert.
ALI cultured VA10 cell layers were used in the sodium fluorescein (Flu-Na) (Sigma-Aldrich) permeation studies to determine the permeability of the paracellular epithelial barrier. Prior to the permeation studies, the cell layers were washed twice with prewarmed Hanks Balanced Salt Solution (HBSS) and allowed to equilibrate in the incubator for 30 min in HBSS (0.5 mL apical and 1.5 mL basolateral). Flu-Na was dissolved in HBSS buffer to a final concentration of 50 µM. Before the permeation studies were started, the HBSS buffer was aspirated from the apical surface and replaced by 0.52 mL of prewarmed HBSS test solution, with 1.50 mL of HBSS in the basolateral chamber. Immediately, a sample (20 µL) of the test solution was removed to determine the initial concentration (C0). The cells were incubated at 37°C and agitated on an orbital shaker at 80 rpm. Sampling from the basolateral compartment (100 µL) was done after 20, 40, 60, 80 and 120 min and replaced with equal volume of fresh HBSS buffer.
Samples from Flu-Na studies were directly added to black 96 well plates and 10 mM NaOH aqueous solution (100 µL) was added to each sample. Fluorescence was measured with excitation wavelength of 485 nm and emission of 535 nm using a fluorospectrometry (Tecan GENios microplate reader). Apparent permeability (Papp) coefficients were calculated from the Flu-Na permeation experiment according to equation 1, where dQ/dt is the flux, A is the surface of the cell filter (1.12 cm2) and Co is the initial concentration in donor chamber. .
RNA was isolated using Tri Reagent® solution (Ambion) and cDNA preparation was carried out using RevertAid™ First strand cDNA Synthesis Kit (Fermentas) according to the manufacturer’s instructions. Real-time PCR using Power SYBR Green PCR Master mix (Applied Biosystems) was used to detect the relative quantity of Muc5ac. The following primers were used for Muc5ac; fwd: 5′-ggcgatgatgaagaaggttga-3′, rev: 5′-gacactgagcctggatgg-3′ (Integrated DNA Technologies, IDT). Tubulin was used as the endogenous reference gene and amplified using the following primers; fwd: 5′-cctccttccgtaccacatc-3′, rev: 5′-gccagatctttagaccagacaa-3′ (IDT). For quantification of specific isoforms of p63 we used a labeled probe real-time PCR assay based on the following primers; TAp63 fwd: 5′-gtgcgacaaacaagattgagattag-3′, Tap63 rev: 5′-tgttcaggagccccaggtt-3′. ΔNp63 fwd: 5′-aaaggacagcagcattgatcaa-3′, ΔNp63 rev: 5′- tgttcaggagccccaggtt-3′ (TAG Copenhagen). The fluorochrome labeled probes were as follows; TAp63; 5′-Fam-acctgagtgaccccatg-BHQ-1-3′, ΔNp63; 5′-Hex-cttacagctaacatgttgtacc-BHQ-1-3′ (TAG). GAPDH was used as the endogenous reference gene and amplified using commercially available primers from Applied Biosystems (part number 4326317E).
For evaluation of p63 knockdown in primary bronchial cells; real-time PCR using Light Cycler fast start DNA master plus SybrGreen I (Roche) was used to detect the relative quantity of p63. Cycle profile, 10 min at 95°C; 45 cycles of 10 s at 95°C, 20 s at 50°C, and 20 s at 72°C; followed by a melting curve step to confirm product specificity. Relative gene expression was calculated using the 2−ΔΔCt method. Endogenous control was 18S rRNA based on the following primers fwd: 5′-gctggaattacccgcggct-3′, rev: 5′-cggctaccacatccaaggaa-3′ (Microsynth, Switzerland).
Wound Healing Assay
VA10Scr and VA10p63kd were cultured to confluence in 2-well chamber slides (BD). Confluent monolayers were scratched with a P200 pipette tip to inflict wounds. Live cell imaging was performed on a Leica DMI6000B inverted microscope, fitted with an incubation chamber and local CO2 control. Automated imaging of 4 locations for each cell line was performed at 2 minute intervals. Wound healing was estimated at 2,4,6,8 and 10 hours post scraping using CellProfiler image analysis software .
Cells were cultured for 5 days on LHC-9 and then for 5 days on DMEM/UG in a submerged culture. After 5 days of ALI culture, IL-13 (Peprotech, London, UK) was added to basal side to a final concentration of 25 ng/ml and cultured for 14 days.
Cells were harvested and washed twice with cold PBS and resuspended in 1x binding buffer at concentration 1×106 cells/ml. Then 100 µl of the solution (1×105 cells) were transferred to a 15 ml centrifuge tube. 5 µl of FITC Annexin V (BD Pharmingen) were added to the cells and incubated at RT in the dark for 30 minutes. 400 µl of 1x binding buffer were added to each tube and 5 µl of propidium iodide (PI) (BD Pharmingen) 10 minutes before at least 10.000 cells from each sample were analyzed in MACSQuant (Miltenyi).
ΔNp63 is Expressed in Bronchial Basal Epithelial Cells in situ and in ALI Culture
ΔNp63 isoforms are proposed to be the most abundant isoforms of p63 in epithelial tissues . These prominent isoforms have been shown to be expressed in basal epithelial cells in diverse epithelial organs where they are believed to be regulators of differentiation and stratification . VA10 has been shown to generate bronchial epithelium in ALI culture . To examine the expression pattern of p63 in the human lung we used a pan-p63 (non-isoform specific p63) and a ΔNp63 isoform specific antibody to stain a normal lung that was compared to the ALI cultured VA10 in vitro model. The ΔNp63 isoform specific antibody indicates expression in the basal layer of the human bronchial epithelium, in close proximity to the basement membrane (Fig. 1a). This pattern of expression is identical to staining with a non-isoform specific p63 antibody on duplicate samples, where only basal cells stain positive (Fig. S1a). In VA10-ALI culture, the staining closely mimics this expression pattern observed in the normal lung, with ΔNp63 isoform expression in nuclei located basally in the culture while nuclei lining the apical side were negative (Fig. 1b, Video S1). This pattern of expression is identical to staining with a non-isoform specific p63 antibody in VA10 ALI cultures (Fig. S1b). A quantitative real-time PCR (q-PCR) comparing the expression of the ΔNp63 isoform to the TA-p63 isoform in the ALI model further indicated that the ΔNp63 isoform is the major p63 isoform in VA10 epithelium (Fig. 1c).
ΔNp63 is expressed in basal cells in normal human bronchi (a). VA10 cells cultured in ALI express ΔNp63 at the basolateral side and not on the apical side (b). ΔNp63 shows 167,5 fold expression compared to TAp63 in bronchial basal cell line VA10, as calculated by ΔΔct obtained by qRT-PCR. GAPDH was used as endogenous control. (c). Scale bars 50 µm. ***p≤0.001.
Knockdown of p63 Affects Viability and Phenotype of Bronchial Basal Cells
To test the functional significance of p63 in bronchial epithelial cells, we performed a lentiviral based knock-down of p63 in primary bronchial epithelial cells and the VA10 cell line (VA10p63kd). Using this approach, we saw a 71,5% knockdown of p63 in primary bronchial epithelial cells (Fig. S2a). However, p63-knockdown cells were unable to proliferate further and stained strongly with senescence-associated β-galactosidase (Fig. S2b and S2c, respectively). In VA10 knockdown cells, we found a significant downregulation of p63 protein levels by western blotting (Fig. 2a left) and a corresponding 25-fold reduction in p63 mRNA expression by q-PCR (Fig. 2a right). The knockdown of p63 in VA10 cells led to phenotypic changes in a subset of cells that became more elongated (Fig. 2b). This elongated phenotype disappeared when cells became confluent (Fig. 2b, insert). The VA10p63kd cells showed decreased expression of the bronchial basal cell marker CK5/6 but not the basal cell marker CK17. Expression of CK14, a marker of reactive bronchial epithelium was diminished, as was the expression of the type III intermediate filament vimentin. Expression of the pan-epithelial differentiation antigen EpCAM was increased in VA10p63kd (Table 1 and Fig. S3). To assess if p63 plays a role in proliferation of bronchial basal cells, 20,000 cells were seeded on each plate and their proliferation was monitored over a period of 7 days. By the 5th day of cell culture, VA10p63kd proliferated significantly less compared to scrambled control (VA10Scr) and this difference increased on the following days. On day seven, the crystal violet absorbance from VA10p63kd cells was 60% compared to VA10Scr (fig. 2c).
Western blot showing lentiviral siRNA knockdown of p63 in VA10 (a). A subset of VA10p63kd (KD) cells obtains an elongated morphology in monolayer culture (b). A proliferation assay reveals 40% decrease in proliferation of KD cells compared to scrambled. Error bars represent 95% confidence intervals (c). A transwell migration assay shows reduced ability of KD cells to migrate through the filter (d). ***p≤0.001, **p≤0.01.
To test the effects of the p63 knockdown on cellular migration 50,000 VA10Scr and VA10p63kd cells were seeded, respectively, on a filter with 8,0 µm pore size with a nutrient-rich medium placed in the lower chamber. VA10p63kd showed markedly reduced migratory properties in this assay compared to scrambled control, with 226(+/−130 SEM) cells/well migrating through the filter after 24 h, compared to 772(+/−83) VA10Scr/well (fig. 2d).
These observations led us to hypothesize that VA10p63kd cells had reduced wound healing properties. To test this, we performed wound healing assays where confluent monolayers of VA10p63kd cells and VA10Scr cells were scratched with a pipette tip and wound healing measured (Fig. 3a). The VA10p63kd cells had a markedly slower repair response compared to the control VA10Scr cells. VA10Scr fully repaired the wound in approx. 6 h while the VA10p63kd cells repaired the wound in approx. 10 h (Fig. 3b, Videos S2 and S3).
Wound healing assay shows decreased healing capacity of VA10p63kd cells (right) compared to VA10Scr cells (left) after 1,3 and 6 hours (a). Images represent results obtained from 4 independent experiments. Graph showing relative wound healing speed between VA10p63kd cells and VA10Scr cells (b). ***p≤0.001, **p≤0.01, *p≤.0.5.
p63 has been linked to cell survival and been reported to help cells bypass cellular senescence . To test this in lung basal cells, we cultured VA10scr and VA10p63kd over a prolonged period. After reaching confluence, the cells were further cultured for 14 days. By that stage, a substantial number of VA10p63kd had detached from the monolayer. To determine whether the VA10p63kd cells were undergoing senescence, the cultures were stained with β-galactosidase (Fig. 4a). A three-fold increase in β-galactosidase activity, as measured by pixel intensity, was observed (Fig. 4b) suggesting that VA10p63kd are predisposed to senescence. To test if cells were senescent earlier in culture, we stained early confluent cell cultures. A minor population of cells stained positive. Compared, VA10p63kd cells showed 35% increase in positive cells to VA10Scr (Fig. S4). We then set out to address if the loss of cells was due to apoptosis. Confluent cultures of VA10Scr and VA10p63kd cells were analyzed with flow cytometry using Annexin V and PI stainings, but increase in apoptosis of VA10p63kd cells was not observed (Fig. S5).
VA10p63kd (KD) cells enter senescence when cultured for prolonged period in monolayer, as shown with β-galactosidase staining (a). To quantify the senescence the pixel intensity is represented in bars for VA10Scr compared to VA10p63kd. Scale bars 50 µm. *p≤.0.5.
Loss of p63 Affects Epithelial Integrity and Impairs Stratification
VA10 cells were cultured under ALI to study the involvement of p63 in bronchial epithelial integrity. VA10 cells in ALI culture generate a pseudostratified-like bronchial epithelium with high transepithelial electrical resistance (TEER) . To test the functional role of p63 in generating intact pseudostratified-like epithelial lining, we compared the VA10p63kd cells to their counterpart (scrambled siRNA) in ALI culture. After 2 weeks of ALI initiation, the epithelium in the VA10p63kd cells was morphologically different with the lining predominantly forming a simple non-stratified epithelium (Fig. 5a and 5b) while clusters were seen as soon as one week of ALI, where cells formed irregular stratification. In these clusters, p63 expression was evident in the basal layer (Fig. S6). There was marked downregulation of CK14 in the VA10p63kd cells (Fig. 5b). Furthermore the integrity of VA10p63kd epithelia was disrupted as evidenced by lack of measurable TEER, compared to the control cells treated with scrambled siRNA that generated a resistance of 740 Ω*cm2 after 16 days in culture (Fig. 5c). In addition, the knockdown epithelium was highly permeable to the paracellular permeation marker Flu-Na compared to the scrambled control (Fig. 5c). Due to the marked effects of p63 knockdown on proliferation in primary bronchial epithelial cells we were not able to test them in the ALI culture model.
VA10p63kd cells form simple epithelium with random epithelial budding (7 days after initiation of ALI) (a) and significant downregulation of CK14 (14 days after initiation of ALI) (b). The VA10p63kd epithelium does not form transepithelial electrical resistance (c) and has high permeability of Flu-Na (d) compared to scrambled control (14 days after initiation of ALI). Scale bars 50 µm. ***p≤0.001.
VA10p63kd Cells Fail to Show Goblet Cell Differentiation after IL-13 Stimulation
It is well documented that interleukin-13 (IL-13) is an inducer of goblet cell differentiation in both human and murine airways and this IL-13 induced differentiation has been suggested to explain the goblet cell hyperplasia in asthma , . In the conventional ALI culture model, the VA10Scr cells form ciliated cells as demonstrated by acetylated tubulin staining (Fig. 6). Addition of IL-13 to these culture conditions stimulates goblet cell differentiation in the control VA10Scr cells resulting in a mixed population of ciliated (acetylated tubulin positive) and goblet cells (Muc5ac positive) (Fig. 6). When VA10p63kd ALI epithelium was stimulated with IL-13, no goblet cell differentiation was observed. (Fig. 6).
In this study, we show that p63 is an important factor in the regulation of human bronchial epithelial integrity. We demonstrate that the ΔNp63 isoform is expressed in basal cells of the human bronchi, and is the major isoform expressed in an in vitro model of pseudostratification using VA10 basal cells in an ALI culture. Furthermore, knockdown of p63 in VA10 basal cells decreased cell proliferation, migration and wound healing properties. It also affected cell survival by facilitating cellular senescence in confluent culture. Furthermore, knockdown of p63 in VA10 cells led to disrupted epithelial integrity in ALI culture by inhibiting pseudostratification. This was accompanied with loss of TEER and increased paracellular permeability. We also observed suppressed IL-13 induced goblet cell differentiation in the p63 knockdown cells. Knockdown of p63 in primary bronchial epithelial cells resulted in growth arrest. Taken together, p63 appears to play an important role in forming and maintaining the viability and integrity of the human bronchial epithelium.
p63 is a critical transcription factor expressed exclusively in basal cells in many organs , , . Initial studies on the effects of p63 in a mouse models described phenotypes with squamous epithelial disruption and abnormal limb and craniofacial development , . Furthermore, it has been shown that ΔNp63 is necessary to maintain the clonogenic and proliferative potential of the basal progenitor cells in stratified epithelial cells in vitro , , and inactivation of p63 results in increased expression of ink4a and Arf tumor suppressors and , thus linking p63 to the control mechanism of cellular senescence and apoptosis. The finding of the chromatin remodeling protein Lsh as a direct target of ΔNp63αand an essential mediator of senescence bypassing, further supports these claims . Vanbokhoven et al. suggested that p63 affected proliferative capacity of cells by either controlling proliferation directly or by preventing cell death . DeCastro et al. reported that induction of miR203 in breast epithelial cell lines leads to downregulation of ΔNp63 and induces slower proliferation rate and even cell cycle arrest . These effects could then be reverted with forced expression of ΔNp63. Our data indicate that similar mechanisms are probably also in play in human basal bronchial cells and this might explain the growth halt of primary cells after p63 knockdown.
The role of p63 in the human lung epithelium has not been well studied. We found that knockdown of p63 led to elongation of a subset of basal cells, consistent with studies from Barbieri et al. that showed squamous cell lines lacking ΔNp63 to possess more spindle shaped morphology than those expressing ΔNp63 . p63 has been shown to affect proliferation of cells in vitro , . The relationship between p63 and cell motility seems to differ between organs and whether the cells are of native or carcinogenic origin. Studies on keratinocytes and head and neck squamous carcinoma show that loss of p63 leads to increased migration , . In the repairing cornea, the β and γ isoforms of ΔNp63 have been shown to be upregulated in proliferating and migrating limbal and corneal cells . In our model, loss of p63 appears to result in decreased migrational properties of bronchial basal cells.
To test the effects of p63 on cellular differentiation, we used IL-13, a common inducer of goblet cell differentiation. VA10p63kd cells were unable to form goblet cells compared to the scrambled control. IL-13 induced goblet cell hyperplasia is one of the major hallmarks of the respiratory epithelium in asthma  and our finding, that p63 knockdown cells are unable to respond to IL-13, suggests a role for this transcription factor in upper airway basal cell differentiation. This could be due to less responsiveness to IL-13 or that the p63 plays a role in maintaining the basal cell in progenitor state, as has been suggested in skin basal cells , .
In addition to normal epithelial differentiation, p63 might also play a role in lung carcinogenesis, especially squamous cell carcinoma. Under chronic exposure to environmental pollutants (e.g. smoking) the mucociliated pseudostratified epithelium undergoes squamous metaplasia and cellular hyperplasia. This reduces mucociliary clearance, further aggravating the disease process. The resulting metaplasia is postulated to be a precursor lesion for infiltrating squamous cell carcinoma. The precise cellular mechanisms explaining squamous hyperplasia and metaplasia are not known. Interestingly, amplification of the p63 locus (on chromosome 3q27) frequently occurs in squamous cell carcinomas . Furthermore, a strong association is seen between expression of p63 and squamous metaplasia and squamous cell carcinomas, suggesting a role for p63 in these pathological processes –. The recent demonstration that ΔNp63 is amplified and overexpressed in human squamous lung cancer and along with SOX2 function as oncogenes in a squamous differentiation program highlights the importance of p63 in lung cancer . Defects in the control mechanisms regulating the expression of p63 may promote the undifferentiated phenotype, proliferation, and/or inhibition of apoptosis and therefore may play a role in tumorigenesis , , .
In summary, our data suggest a critical role for the transcription factor ΔNp63 in maintaining the pseudostratified epithelial lining of the upper airways. Basal epithelial cells lacking p63 have diminished proliferative and migratory ability and increased sensitivity to cellular senescence. Furthermore, our data suggest that p63 might have a role in IL-13 induced goblet cell differentiation.
p63 is expressed in basal cells of the bronchial epithelium and in an in vitro model. p63 (brown) is expressed in basal cells lining the basement membrane of the bronchial epithelium (a). It is also expressed basally (green) and not apically in VA10 epithelium cultured in an in vitro air-liquid interface model (b).
Primary bronchial cells enter growth arrest following knockdown of p63. Quantitative real time PCR shows a 71,5% knockdown of p63 in bronchial basal cells compared to scrambled vector (a). The p63 knock down cells did not proliferate when re-seeded following puromycin selection but cells infected with scrambled vector did (b). The surviving p63 knockdown cells stained positive for β-galactoside at day p10 (c).
Expression of selected epithelial markers following knockdown of p63 in VA10 cells. DAB staining on VA10Scr and VA10p63kd cells shows downregulation of CK5/6, CK14 and Vimentin, upregulation of ESA and no difference in CK17 expression. The data shown represent results from two independent experiments that yielded similar results.
Low portion of VA10Scr and VA10p63kd cells are senescent at early confluency. β-galactosidase staining reveals low levels of senescent cells at confluency of VA10Scr (upper) and VA10p63kd (lower) cells (a). When compared, VA10p63kd cells show a 35% increase in senescence compared to VA10Scr (b).Error bars represent standard error of the means. Scale bars 50 µm. ***p≤0.001.
Knockdown of p63 does not affect apoptosis in monolayer VA10 cells. FACS analysis of Annexin V and PI stainings on confluent monolayer VA10Scr and VA10p63kd cells show similar portions of cells in early (Annexin high, PI low) and late (Annexin hign, PI high) apoptosis. Inset numbers represent percentage of each population in the quadrants. The data shown are represent results from two independent experiments that yielded similar results.
Rare patches of p63 positive cells are found in VA10p63kd epithelium. When VA10p63kd cells are cultured in ALI culture, rare patches of p63 positive cells can be found. These patches are able to form stratification and apical cells are p63-negative.
z-stack of VA10p63kd ALI culture stained with ΔNp63 antibody. Expression is limited to the basal layer and not to the apical side.
A representative video of VA10Scr cell wound healing process.
We would like to sincerely thank Dr. Robert Weinberg for sharing the shp63alpha pLKO.1 puro plasmid, Dr. Sheila Stewart for sharing the pLKO.1 shSCR plasmid and Dr. Didier Trono for sharing the psPAX2 and pMD2.G plasmids on addgene.com.
Conceived and designed the experiments: AJA OB TG MKM. Performed the experiments: AJA HRJ SH BEB JTB SI. Analyzed the data: AJA HRJ SH BEB JTB SI OB TG MKM. Contributed reagents/materials/analysis tools: SS. Wrote the paper: AJA JTB MKM TG.
- 1. Vanbokhoven H, Melino G, Candi E, Declercq W (2011) p63, a story of mice and men. J Invest Dermatol 131: 1196–1207.
- 2. Postma DS, Timens W (2006) Remodeling in asthma and chronic obstructive pulmonary disease. Proc Am Thorac Soc 3: 434–439.
- 3. Konigshoff M (2011) Lung cancer in pulmonary fibrosis: tales of epithelial cell plasticity. Respiration 81: 353–358.
- 4. Rock JR, Onaitis MW, Rawlins EL, Lu Y, Clark CP, et al. (2009) Basal cells as stem cells of the mouse trachea and human airway epithelium. Proc Natl Acad Sci U S A 106: 12771–12775.
- 5. Hong KU, Reynolds SD, Watkins S, Fuchs E, Stripp BR (2004) Basal cells are a multipotent progenitor capable of renewing the bronchial epithelium. Am J Pathol 164: 577–588.
- 6. Hong KU, Reynolds SD, Watkins S, Fuchs E, Stripp BR (2004) In vivo differentiation potential of tracheal basal cells: evidence for multipotent and unipotent subpopulations. Am J Physiol Lung Cell Mol Physiol 286: L643–649.
- 7. Romano RA, Ortt K, Birkaya B, Smalley K, Sinha S (2009) An active role of the DeltaN isoform of p63 in regulating basal keratin genes K5 and K14 and directing epidermal cell fate. PLoS One 4: e5623.
- 8. Randell SH, Comment CE, Ramaekers FC, Nettesheim P (1991) Properties of rat tracheal epithelial cells separated based on expression of cell surface alpha-galactosyl end groups. Am J Respir Cell Mol Biol 4: 544–554.
- 9. Ooi AT, Mah V, Nickerson DW, Gilbert JL, Ha VL, et al. (2010) Presence of a putative tumor-initiating progenitor cell population predicts poor prognosis in smokers with non-small cell lung cancer. Cancer Res 70: 6639–6648.
- 10. Rock JR, Gao X, Xue Y, Randell SH, Kong YY, et al. (2011) Notch-dependent differentiation of adult airway basal stem cells. Cell Stem Cell 8: 639–648.
- 11. Wills-Karp M, Luyimbazi J, Xu X, Schofield B, Neben TY, et al. (1998) Interleukin-13: central mediator of allergic asthma. Science 282: 2258–2261.
- 12. Thavagnanam S, Parker JC, McBrien ME, Skibinski G, Heaney LG, et al. (2011) Effects of IL-13 on mucociliary differentiation of pediatric asthmatic bronchial epithelial cells. Pediatr Res 69: 95–100.
- 13. Petitjean A, Hainaut P, Caron de Fromentel C (2006) TP63 gene in stress response and carcinogenesis: a broader role than expected. Bull Cancer 93: E126–135.
- 14. Candi E, Dinsdale D, Rufini A, Salomoni P, Knight RA, et al. (2007) TAp63 and DeltaNp63 in cancer and epidermal development. Cell Cycle 6: 274–285.
- 15. McKeon F (2004) p63 and the epithelial stem cell: more than status quo? Genes Dev 18: 465–469.
- 16. Mangiulli M, Valletti A, Caratozzolo MF, Tullo A, Sbisa E, et al. (2009) Identification and functional characterization of two new transcriptional variants of the human p63 gene. Nucleic Acids Res 37: 6092–6104.
- 17. Yang A, Schweitzer R, Sun D, Kaghad M, Walker N, et al. (1999) p63 is essential for regenerative proliferation in limb, craniofacial and epithelial development. Nature 398: 714–718.
- 18. Mills AA, Zheng B, Wang XJ, Vogel H, Roop DR, et al. (1999) p63 is a p53 homologue required for limb and epidermal morphogenesis. Nature 398: 708–713.
- 19. Signoretti S, Waltregny D, Dilks J, Isaac B, Lin D, et al. (2000) p63 is a prostate basal cell marker and is required for prostate development. Am J Pathol 157: 1769–1775.
- 20. Candi E, Cipollone R, Rivetti di Val Cervo P, Gonfloni S, Melino G, et al. (2008) p63 in epithelial development. Cell Mol Life Sci 65: 3126–3133.
- 21. Romano RA, Smalley K, Magraw C, Serna VA, Kurita T, et al. (2012) DeltaNp63 knockout mice reveal its indispensable role as a master regulator of epithelial development and differentiation. Development 139: 772–782.
- 22. Daniely Y, Liao G, Dixon D, Linnoila RI, Lori A, et al. (2004) Critical role of p63 in the development of a normal esophageal and tracheobronchial epithelium. Am J Physiol Cell Physiol 287: C171–181.
- 23. Koster MI, Kim S, Mills AA, DeMayo FJ, Roop DR (2004) p63 is the molecular switch for initiation of an epithelial stratification program. Genes Dev 18: 126–131.
- 24. Hammerman PS, Hayes DN, Wilkerson MD, Schultz N, Bose R, et al. (2012) Comprehensive genomic characterization of squamous cell lung cancers. Nature 489: 519–525.
- 25. Halldorsson S, Asgrimsson V, Axelsson I, Gudmundsson GH, Steinarsdottir M, et al. (2007) Differentiation potential of a basal epithelial cell line established from human bronchial explant. In Vitro Cell Dev Biol Anim 43: 283–289.
- 26. Halldorsson S, Gudjonsson T, Gottfredsson M, Singh PK, Gudmundsson GH, et al. (2010) Azithromycin maintains airway epithelial integrity during Pseudomonas aeruginosa infection. Am J Respir Cell Mol Biol 42: 62–68.
- 27. Franzdottir SR, Axelsson IT, Arason AJ, Baldursson O, Gudjonsson T, et al. (2010) Airway branching morphogenesis in three dimensional culture. Respir Res 11: 162.
- 28. Steinmann J, Halldorsson S, Agerberth B, Gudmundsson GH (2009) Phenylbutyrate induces antimicrobial peptide expression. Antimicrob Agents Chemother 53: 5127–5133.
- 29. Fulcher ML, Gabriel S, Burns KA, Yankaskas JR, Randell SH (2005) Well-differentiated human airway epithelial cell cultures. Methods Mol Med 107: 183–206.
- 30. Lechner JF, LaVeck MA, (1985) A serum free method for culturing normal human bronchial epithelial cells at clonal density. Journal of Tissue Culture Methods 9.
- 31. Saharia A, Guittat L, Crocker S, Lim A, Steffen M, et al. (2008) Flap endonuclease 1 contributes to telomere stability. Curr Biol 18: 496–500.
- 32. Godar S, Ince TA, Bell GW, Feldser D, Donaher JL, et al. (2008) Growth-inhibitory and tumor- suppressive functions of p53 depend on its repression of CD44 expression. Cell 134: 62–73.
- 33. Kamentsky L, Jones TR, Fraser A, Bray MA, Logan DJ, et al. (2011) Improved structure, function and compatibility for CellProfiler: modular high-throughput image analysis software. Bioinformatics 27: 1179–1180.
- 34. Parsa R, Yang A, McKeon F, Green H (1999) Association of p63 with proliferative potential in normal and neoplastic human keratinocytes. J Invest Dermatol 113: 1099–1105.
- 35. Keyes WM, Pecoraro M, Aranda V, Vernersson-Lindahl E, Li W, et al. (2011) DeltaNp63alpha is an oncogene that targets chromatin remodeler Lsh to drive skin stem cell proliferation and tumorigenesis. Cell Stem Cell 8: 164–176.
- 36. Pellegrini G, Dellambra E, Golisano O, Martinelli E, Fantozzi I, et al. (2001) p63 identifies keratinocyte stem cells. Proc Natl Acad Sci U S A 98: 3156–3161.
- 37. Senoo M, Pinto F, Crum CP, McKeon F (2007) p63 Is essential for the proliferative potential of stem cells in stratified epithelia. Cell 129: 523–536.
- 38. Truong AB, Kretz M, Ridky TW, Kimmel R, Khavari PA (2006) p63 regulates proliferation and differentiation of developmentally mature keratinocytes. Genes Dev 20: 3185–3197.
- 39. Su X, Cho MS, Gi YJ, Ayanga BA, Sherr CJ, et al. (2009) Rescue of key features of the p63-null epithelial phenotype by inactivation of Ink4a and Arf. EMBO J 28: 1904–1915.
- 40. DeCastro AJ, Dunphy KA, Hutchinson J, Balboni AL, Cherukuri P, et al. (2013) MiR203 mediates subversion of stem cell properties during mammary epithelial differentiation via repression of DeltaNP63alpha and promotes mesenchymal-to-epithelial transition. Cell Death Dis 4: e514.
- 41. Barbieri CE, Tang LJ, Brown KA, Pietenpol JA (2006) Loss of p63 leads to increased cell migration and up-regulation of genes involved in invasion and metastasis. Cancer Res 66: 7589–7597.
- 42. Wang H, Liu Z, Li J, Zhao X, Wang Z, et al. (2012) DeltaNp63alpha mediates proliferation and apoptosis in human gastric cancer cells by the regulation of GATA-6. Neoplasma 59: 416–423.
- 43. Gu X, Coates PJ, Boldrup L, Nylander K (2008) p63 contributes to cell invasion and migration in squamous cell carcinoma of the head and neck. Cancer Lett 263: 26–34.
- 44. Di Iorio E, Barbaro V, Ruzza A, Ponzin D, Pellegrini G, et al. (2005) Isoforms of DeltaNp63 and the migration of ocular limbal cells in human corneal regeneration. Proc Natl Acad Sci U S A 102: 9523–9528.
- 45. Kettunen E, el-Rifai W, Bjorkqvist AM, Wolff H, Karjalainen A, et al. (2000) A broad amplification pattern at 3q in squamous cell lung cancer–a fluorescence in situ hybridization study. Cancer Genet Cytogenet 117: 66–70.
- 46. Choi HR, Batsakis JG, Zhan F, Sturgis E, Luna MA, et al. (2002) Differential expression of p53 gene family members p63 and p73 in head and neck squamous tumorigenesis. Hum Pathol 33: 158–164.
- 47. Glickman JN, Yang A, Shahsafaei A, McKeon F, Odze RD (2001) Expression of p53-related protein p63 in the gastrointestinal tract and in esophageal metaplastic and neoplastic disorders. Hum Pathol 32: 1157–1165.
- 48. Hu H, Xia SH, Li AD, Xu X, Cai Y, et al. (2002) Elevated expression of p63 protein in human esophageal squamous cell carcinomas. Int J Cancer 102: 580–583.
- 49. Barbieri CE, Barton CE, Pietenpol JA (2003) Delta Np63 alpha expression is regulated by the phosphoinositide 3-kinase pathway. J Biol Chem 278: 51408–51414.
- 50. Park JJ, Sun D, Quade BJ, Flynn C, Sheets EE, et al. (2000) Stratified mucin-producing intraepithelial lesions of the cervix: adenosquamous or columnar cell neoplasia? Am J Surg Pathol 24: 1414–1419.