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Published in: Respiratory Research 1/2006

Open Access 01-12-2006 | Research

IL-4 induced MUC4 enhancement in respiratory epithelial cells in vitro is mediated through JAK-3 selective signaling

Authors: Gautam Damera, Baoyun Xia, Goverdhan P Sachdev

Published in: Respiratory Research | Issue 1/2006

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Abstract

Background

Recent studies have identified MUC4 mucin as a ligand for activation of ErbB2, a receptor tyrosine kinase that modulates epithelial cell proliferation following epithelial damage in airways of asthmatics. In this study, we investigated the potential role of IL-4, one of the Th2 inflammatory cytokines persistent in asthmatic airways, in regulating MUC4 expression using a cell line NCI-H650.

Methods

Real time PCR analysis was performed to determine concentration and time dependent effects of IL-4 upon MUC4 expression. Nuclear run on experiments were carried out to explore potential transcriptional modulation. Western blotting experiments using a monoclonal antibody specific to ASGP-2 domain of MUC4 were performed to analyze MUC4 glycoprotein levels in plasma membrane fractions. To analyze potential signal transduction cascades, IL-4 treated confluent cultures were co-incubated, separately with a pan-JAK inhibitor, a JAK-3 selective inhibitor or a MEK-1, 2 (MAPK) inhibitor at various concentrations before MUC4 transcript analysis. Corresponding transcription factor activation was tested by western blotting using a monoclonal p-STAT-6 antibody.

Results

MUC4 levels increased in a concentration and time specific fashion reaching peak expression at 2.5 ng/ml and 8 h. Nuclear run on experiments revealed transcriptional enhancement. Corresponding increases in MUC4 glycoprotein levels were observed in plasma membrane fractions. Pan-JAK inhibitor revealed marked reduction in IL-4 stimulated MUC4 levels and JAK3 selective inhibitor down-regulated MUC4 mRNA expression in a concentration-dependent fashion. In accordance with the above observations, STAT-6 activation was detected within 5 minutes of IL-4 stimulus. No effect in MUC4 levels was observed on using a MAPK inhibitor.

Conclusion

These observations signify a potential role for IL-4 in MUC4 up-regulation in airway epithelia.
Literature
2.
go back to reference Fahy JV: Remodeling of the airway epithelium in asthma. Am J Respir Crit Care Med 2001, 164:S46–51.CrossRefPubMed Fahy JV: Remodeling of the airway epithelium in asthma. Am J Respir Crit Care Med 2001, 164:S46–51.CrossRefPubMed
3.
go back to reference Laitinen LA, Heino M, Laitinen A, Kava T, Haahtela T: Damage of the airway epithelium and bronchial reactivity in patients with asthma. Am Rev Respir Dis 1985, 131:599–606.PubMed Laitinen LA, Heino M, Laitinen A, Kava T, Haahtela T: Damage of the airway epithelium and bronchial reactivity in patients with asthma. Am Rev Respir Dis 1985, 131:599–606.PubMed
4.
go back to reference Frew AJ, Moqbel R, Azzawi M, Hartnell A, Barkans J, Jeffery PK, Kay AB, Scheper RJ, Varley J, Church MK, et al.: T lymphocytes and eosinophils in allergen-induced late-phase asthmatic reactions in the guinea pig. Am Rev Respir Dis 1990, 141:407–413.CrossRefPubMed Frew AJ, Moqbel R, Azzawi M, Hartnell A, Barkans J, Jeffery PK, Kay AB, Scheper RJ, Varley J, Church MK, et al.: T lymphocytes and eosinophils in allergen-induced late-phase asthmatic reactions in the guinea pig. Am Rev Respir Dis 1990, 141:407–413.CrossRefPubMed
5.
go back to reference Azzawi M, Bradley B, Jeffery PK, Frew AJ, Wardlaw AJ, Knowles G, Assoufi B, Collins JV, Durham S, Kay AB: Identification of activated T lymphocytes and eosinophils in bronchial biopsies in stable atopic asthma. Am Rev Respir Dis 1990, 142:1407–1413.CrossRefPubMed Azzawi M, Bradley B, Jeffery PK, Frew AJ, Wardlaw AJ, Knowles G, Assoufi B, Collins JV, Durham S, Kay AB: Identification of activated T lymphocytes and eosinophils in bronchial biopsies in stable atopic asthma. Am Rev Respir Dis 1990, 142:1407–1413.CrossRefPubMed
6.
go back to reference Li D, Wang D, Griffiths-Johnson DA, Wells TN, Williams TJ, Jose PJ, Jeffery PK: Eotaxin protein and gene expression in guinea-pig lungs: constitutive expression and upregulation after allergen challenge. Eur Respir J 1997, 10:1946–1954.CrossRefPubMed Li D, Wang D, Griffiths-Johnson DA, Wells TN, Williams TJ, Jose PJ, Jeffery PK: Eotaxin protein and gene expression in guinea-pig lungs: constitutive expression and upregulation after allergen challenge. Eur Respir J 1997, 10:1946–1954.CrossRefPubMed
7.
go back to reference Lukacs NW, Strieter RM, Warmington K, Lincoln P, Chensue SW, Kunkel SL: Differential recruitment of leukocyte populations and alteration of airway hyperreactivity by C-C family chemokines in allergic airway inflammation. J Immunol 1997, 158:4398–4404.PubMed Lukacs NW, Strieter RM, Warmington K, Lincoln P, Chensue SW, Kunkel SL: Differential recruitment of leukocyte populations and alteration of airway hyperreactivity by C-C family chemokines in allergic airway inflammation. J Immunol 1997, 158:4398–4404.PubMed
8.
go back to reference Fujisawa T, Abu-Ghazaleh R, Kita H, Sanderson CJ, Gleich GJ: Regulatory effect of cytokines on eosinophil degranulation. J Immunol 1990, 144:642–646.PubMed Fujisawa T, Abu-Ghazaleh R, Kita H, Sanderson CJ, Gleich GJ: Regulatory effect of cytokines on eosinophil degranulation. J Immunol 1990, 144:642–646.PubMed
10.
go back to reference Gonzalo JA, Lloyd CM, Kremer L, Finger E, Martinez AC, Siegelman MH, Cybulsky M, Gutierrez-Ramos JC: Eosinophil recruitment to the lung in a murine model of allergic inflammation. The role of T cells, chemokines, and adhesion receptors. J Clin Invest 1996, 98:2332–2345.CrossRefPubMedPubMedCentral Gonzalo JA, Lloyd CM, Kremer L, Finger E, Martinez AC, Siegelman MH, Cybulsky M, Gutierrez-Ramos JC: Eosinophil recruitment to the lung in a murine model of allergic inflammation. The role of T cells, chemokines, and adhesion receptors. J Clin Invest 1996, 98:2332–2345.CrossRefPubMedPubMedCentral
11.
go back to reference Kim JS, McKinnis VS, Nawrocki A, White SR: Stimulation of migration and wound repair of guinea-pig airway epithelial cells in response to epidermal growth factor. Am J Respir Cell Mol Biol 1998, 18:66–74.CrossRefPubMed Kim JS, McKinnis VS, Nawrocki A, White SR: Stimulation of migration and wound repair of guinea-pig airway epithelial cells in response to epidermal growth factor. Am J Respir Cell Mol Biol 1998, 18:66–74.CrossRefPubMed
12.
go back to reference Davies DE, Polosa R, Puddicombe SM, Richter A, Holgate ST: The epidermal growth factor receptor and its ligand family: their potential role in repair and remodelling in asthma. Allergy 1999, 54:771–783.PubMed Davies DE, Polosa R, Puddicombe SM, Richter A, Holgate ST: The epidermal growth factor receptor and its ligand family: their potential role in repair and remodelling in asthma. Allergy 1999, 54:771–783.PubMed
13.
go back to reference Holbro T, Hynes NE: ErbB receptors: directing key signaling networks throughout life. Annu Rev Pharmacol Toxicol 2004, 44:195–217.CrossRefPubMed Holbro T, Hynes NE: ErbB receptors: directing key signaling networks throughout life. Annu Rev Pharmacol Toxicol 2004, 44:195–217.CrossRefPubMed
14.
go back to reference Carraway KL, Rossi EA, Komatsu M, Price-Schiavi SA, Huang D, Guy PM, Carvajal ME, Fregien N, Carraway CA, Carraway KL: An intramembrane modulator of the ErbB2 receptor tyrosine kinase that potentiates neuregulin signaling. J Biol Chem 1999, 274:5263–5266.CrossRefPubMed Carraway KL, Rossi EA, Komatsu M, Price-Schiavi SA, Huang D, Guy PM, Carvajal ME, Fregien N, Carraway CA, Carraway KL: An intramembrane modulator of the ErbB2 receptor tyrosine kinase that potentiates neuregulin signaling. J Biol Chem 1999, 274:5263–5266.CrossRefPubMed
15.
go back to reference Buisine MP, Devisme L, Copin MC, Durand-Reville M, Gosselin B, Aubert JP, Porchet N: Developmental mucin gene expression in the human respiratory tract. Am J Respir Cell Mol Biol 1999, 20:209–218.CrossRefPubMed Buisine MP, Devisme L, Copin MC, Durand-Reville M, Gosselin B, Aubert JP, Porchet N: Developmental mucin gene expression in the human respiratory tract. Am J Respir Cell Mol Biol 1999, 20:209–218.CrossRefPubMed
16.
go back to reference Audie JP, Tetaert D, Pigny P, Buisine MP, Janin A, Aubert JP, Porchet N, Boersma A: Mucin gene expression in the human endocervix. Hum Reprod 1995, 10:98–102.CrossRefPubMed Audie JP, Tetaert D, Pigny P, Buisine MP, Janin A, Aubert JP, Porchet N, Boersma A: Mucin gene expression in the human endocervix. Hum Reprod 1995, 10:98–102.CrossRefPubMed
17.
go back to reference Audie JP, Janin A, Porchet N, Copin MC, Gosselin B, Aubert JP: Expression of human mucin genes in respiratory, digestive, and reproductive tracts ascertained by in situ hybridization. J Histochem Cytochem 1993, 41:1479–1485.CrossRefPubMed Audie JP, Janin A, Porchet N, Copin MC, Gosselin B, Aubert JP: Expression of human mucin genes in respiratory, digestive, and reproductive tracts ascertained by in situ hybridization. J Histochem Cytochem 1993, 41:1479–1485.CrossRefPubMed
18.
go back to reference Moniaux N, Nollet S, Porchet N, Degand P, Laine A, Aubert JP: Complete sequence of the human mucin MUC4: a putative cell membrane-associated mucin. Biochem J 1999, 338 ( Pt 2):325–333.CrossRef Moniaux N, Nollet S, Porchet N, Degand P, Laine A, Aubert JP: Complete sequence of the human mucin MUC4: a putative cell membrane-associated mucin. Biochem J 1999, 338 ( Pt 2):325–333.CrossRef
19.
go back to reference Carraway KL, Perez A, Idris N, Jepson S, Arango M, Komatsu M, Haq B, Price-Schiavi SA, Zhang J, Carraway CA: Muc4/sialomucin complex, the intramembrane ErbB2 ligand, in cancer and epithelia: to protect and to survive. Prog Nucleic Acid Res Mol Biol 2002, 71:149–185.CrossRefPubMed Carraway KL, Perez A, Idris N, Jepson S, Arango M, Komatsu M, Haq B, Price-Schiavi SA, Zhang J, Carraway CA: Muc4/sialomucin complex, the intramembrane ErbB2 ligand, in cancer and epithelia: to protect and to survive. Prog Nucleic Acid Res Mol Biol 2002, 71:149–185.CrossRefPubMed
20.
go back to reference Carraway KL, Ramsauer VP, Haq B, Carothers Carraway CA: Cell signaling through membrane mucins. Bioessays 2003, 25:66–71.CrossRefPubMed Carraway KL, Ramsauer VP, Haq B, Carothers Carraway CA: Cell signaling through membrane mucins. Bioessays 2003, 25:66–71.CrossRefPubMed
21.
go back to reference Moniaux N, Varshney GC, Chauhan SC, Copin MC, Jain M, Wittel UA, Andrianifahanana M, Aubert JP, Batra SK: Generation and characterization of anti-MUC4 monoclonal antibodies reactive with normal and cancer cells in humans. J Histochem Cytochem 2004, 52:253–261.CrossRefPubMed Moniaux N, Varshney GC, Chauhan SC, Copin MC, Jain M, Wittel UA, Andrianifahanana M, Aubert JP, Batra SK: Generation and characterization of anti-MUC4 monoclonal antibodies reactive with normal and cancer cells in humans. J Histochem Cytochem 2004, 52:253–261.CrossRefPubMed
22.
go back to reference Venkayya R, Lam M, Willkom M, Grunig G, Corry DB, Erle DJ: The Th2 lymphocyte products IL-4 and IL-13 rapidly induce airway hyperresponsiveness through direct effects on resident airway cells. Am J Respir Cell Mol Biol 2002, 26:202–208.CrossRefPubMed Venkayya R, Lam M, Willkom M, Grunig G, Corry DB, Erle DJ: The Th2 lymphocyte products IL-4 and IL-13 rapidly induce airway hyperresponsiveness through direct effects on resident airway cells. Am J Respir Cell Mol Biol 2002, 26:202–208.CrossRefPubMed
23.
go back to reference Rankin JA, Picarella DE, Geba GP, Temann UA, Prasad B, DiCosmo B, Tarallo A, Stripp B, Whitsett J, Flavell RA: Phenotypic and physiologic characterization of transgenic mice expressing interleukin 4 in the lung: lymphocytic and eosinophilic inflammation without airway hyperreactivity. Proc Natl Acad Sci U S A 1996, 93:7821–7825.CrossRefPubMedPubMedCentral Rankin JA, Picarella DE, Geba GP, Temann UA, Prasad B, DiCosmo B, Tarallo A, Stripp B, Whitsett J, Flavell RA: Phenotypic and physiologic characterization of transgenic mice expressing interleukin 4 in the lung: lymphocytic and eosinophilic inflammation without airway hyperreactivity. Proc Natl Acad Sci U S A 1996, 93:7821–7825.CrossRefPubMedPubMedCentral
24.
go back to reference Kuperman D, Schofield B, Wills-Karp M, Grusby MJ: Signal transducer and activator of transcription factor 6 (Stat6)-deficient mice are protected from antigen-induced airway hyperresponsiveness and mucus production. J Exp Med 1998, 187:939–948.CrossRefPubMedPubMedCentral Kuperman D, Schofield B, Wills-Karp M, Grusby MJ: Signal transducer and activator of transcription factor 6 (Stat6)-deficient mice are protected from antigen-induced airway hyperresponsiveness and mucus production. J Exp Med 1998, 187:939–948.CrossRefPubMedPubMedCentral
25.
go back to reference Dabbagh K, Takeyama K, Lee HM, Ueki IF, Lausier JA, Nadel JA: IL-4 induces mucin gene expression and goblet cell metaplasia in vitro and in vivo. J Immunol 1999, 162:6233–6237.PubMed Dabbagh K, Takeyama K, Lee HM, Ueki IF, Lausier JA, Nadel JA: IL-4 induces mucin gene expression and goblet cell metaplasia in vitro and in vivo. J Immunol 1999, 162:6233–6237.PubMed
26.
go back to reference Seong JK, Koo JS, Lee WJ, Kim HN, Park JY, Song KS, Hong JH, Yoon JH: Upregulation of MUC8 and downregulation of MUC5AC by inflammatory mediators in human nasal polyps and cultured nasal epithelium. Acta Otolaryngol 2002, 122:401–407.CrossRefPubMed Seong JK, Koo JS, Lee WJ, Kim HN, Park JY, Song KS, Hong JH, Yoon JH: Upregulation of MUC8 and downregulation of MUC5AC by inflammatory mediators in human nasal polyps and cultured nasal epithelium. Acta Otolaryngol 2002, 122:401–407.CrossRefPubMed
27.
go back to reference Louahed J, Toda M, Jen J, Hamid Q, Renauld JC, Levitt RC, Nicolaides NC: Interleukin-9 upregulates mucus expression in the airways. Am J Respir Cell Mol Biol 2000, 22:649–656.CrossRefPubMed Louahed J, Toda M, Jen J, Hamid Q, Renauld JC, Levitt RC, Nicolaides NC: Interleukin-9 upregulates mucus expression in the airways. Am J Respir Cell Mol Biol 2000, 22:649–656.CrossRefPubMed
28.
go back to reference Kim CH, Song KS, Koo JS, Kim HU, Cho JY, Kim HJ, Yoon JH: IL-13 suppresses MUC5AC gene expression and mucin secretion in nasal epithelial cells. Acta Otolaryngol 2002, 122:638–643.CrossRefPubMed Kim CH, Song KS, Koo JS, Kim HU, Cho JY, Kim HJ, Yoon JH: IL-13 suppresses MUC5AC gene expression and mucin secretion in nasal epithelial cells. Acta Otolaryngol 2002, 122:638–643.CrossRefPubMed
29.
go back to reference Sharma PM, Sarkar MG, Virmani AK, Gazdar AF, Sachdev GP: Evidence of mucin secretion in human lung adenocarcinoma cell lines NCIH650 and NCIH2077 and effect of select secretagogues on mucin secretion. Biosci Rep 1999, 19:473–483.CrossRefPubMed Sharma PM, Sarkar MG, Virmani AK, Gazdar AF, Sachdev GP: Evidence of mucin secretion in human lung adenocarcinoma cell lines NCIH650 and NCIH2077 and effect of select secretagogues on mucin secretion. Biosci Rep 1999, 19:473–483.CrossRefPubMed
30.
go back to reference Argueso P, Balaram M, Spurr-Michaud S, Keutmann HT, Dana MR, Gipson IK: Decreased levels of the goblet cell mucin MUC5AC in tears of patients with Sjogren syndrome. Invest Ophthalmol Vis Sci 2002, 43:1004–1011.PubMed Argueso P, Balaram M, Spurr-Michaud S, Keutmann HT, Dana MR, Gipson IK: Decreased levels of the goblet cell mucin MUC5AC in tears of patients with Sjogren syndrome. Invest Ophthalmol Vis Sci 2002, 43:1004–1011.PubMed
31.
go back to reference Rolfe FG, Valentine JE, Sewell WA: Cyclosporin A and FK506 reduce interleukin-5 mRNA abundance by inhibiting gene transcription. Am J Respir Cell Mol Biol 1997, 17:243–250.CrossRefPubMed Rolfe FG, Valentine JE, Sewell WA: Cyclosporin A and FK506 reduce interleukin-5 mRNA abundance by inhibiting gene transcription. Am J Respir Cell Mol Biol 1997, 17:243–250.CrossRefPubMed
32.
go back to reference Rolfe FG, Sewell WA: Analysis of human interleukin-5 gene transcription by a novel nuclear run on method based on the polymerase chain reaction. J Immunol Methods 1997, 202:143–151.CrossRefPubMed Rolfe FG, Sewell WA: Analysis of human interleukin-5 gene transcription by a novel nuclear run on method based on the polymerase chain reaction. J Immunol Methods 1997, 202:143–151.CrossRefPubMed
33.
go back to reference Doucet C, Brouty-Boye D, Pottin-Clemenceau C, Canonica GW, Jasmin C, Azzarone B: Interleukin (IL) 4 and IL-13 act on human lung fibroblasts. Implication in asthma. J Clin Invest 1998, 101:2129–2139.CrossRefPubMedPubMedCentral Doucet C, Brouty-Boye D, Pottin-Clemenceau C, Canonica GW, Jasmin C, Azzarone B: Interleukin (IL) 4 and IL-13 act on human lung fibroblasts. Implication in asthma. J Clin Invest 1998, 101:2129–2139.CrossRefPubMedPubMedCentral
34.
go back to reference Kim YD, Kwon EJ, Park DW, Song SY, Yoon SK, Baek SH: Interleukin-1beta induces MUC2 and MUC5AC synthesis through cyclooxygenase-2 in NCI-H292 cells. Mol Pharmacol 2002, 62:1112–1118.CrossRefPubMed Kim YD, Kwon EJ, Park DW, Song SY, Yoon SK, Baek SH: Interleukin-1beta induces MUC2 and MUC5AC synthesis through cyclooxygenase-2 in NCI-H292 cells. Mol Pharmacol 2002, 62:1112–1118.CrossRefPubMed
35.
go back to reference Rose MC, Piazza FM, Chen YA, Alimam MZ, Bautista MV, Letwin N, Rajput B: Model systems for investigating mucin gene expression in airway diseases. J Aerosol Med 2000, 13:245–261.CrossRefPubMed Rose MC, Piazza FM, Chen YA, Alimam MZ, Bautista MV, Letwin N, Rajput B: Model systems for investigating mucin gene expression in airway diseases. J Aerosol Med 2000, 13:245–261.CrossRefPubMed
36.
go back to reference Smirnova MG, Kiselev SL, Birchall JP, Pearson JP: Up-regulation of mucin secretion in HT29-MTX cells by the pro-inflammatory cytokines tumor necrosis factor-alpha and interleukin-6. Eur Cytokine Netw 2001, 12:119–125.PubMed Smirnova MG, Kiselev SL, Birchall JP, Pearson JP: Up-regulation of mucin secretion in HT29-MTX cells by the pro-inflammatory cytokines tumor necrosis factor-alpha and interleukin-6. Eur Cytokine Netw 2001, 12:119–125.PubMed
37.
go back to reference Voynow JA, Young LR, Wang Y, Horger T, Rose MC, Fischer BM: Neutrophil elastase increases MUC5AC mRNA and protein expression in respiratory epithelial cells. Am J Physiol 1999, 276:L835–43.PubMed Voynow JA, Young LR, Wang Y, Horger T, Rose MC, Fischer BM: Neutrophil elastase increases MUC5AC mRNA and protein expression in respiratory epithelial cells. Am J Physiol 1999, 276:L835–43.PubMed
38.
go back to reference Borchers MT, Carty MP, Leikauf GD: Regulation of human airway mucins by acrolein and inflammatory mediators. Am J Physiol 1999, 276:L549–55.PubMed Borchers MT, Carty MP, Leikauf GD: Regulation of human airway mucins by acrolein and inflammatory mediators. Am J Physiol 1999, 276:L549–55.PubMed
39.
go back to reference Li JD, Dohrman AF, Gallup M, Miyata S, Gum JR, Kim YS, Nadel JA, Prince A, Basbaum CB: Transcriptional activation of mucin by Pseudomonas aeruginosa lipopolysaccharide in the pathogenesis of cystic fibrosis lung disease. Proc Natl Acad Sci U S A 1997, 94:967–972.CrossRefPubMedPubMedCentral Li JD, Dohrman AF, Gallup M, Miyata S, Gum JR, Kim YS, Nadel JA, Prince A, Basbaum CB: Transcriptional activation of mucin by Pseudomonas aeruginosa lipopolysaccharide in the pathogenesis of cystic fibrosis lung disease. Proc Natl Acad Sci U S A 1997, 94:967–972.CrossRefPubMedPubMedCentral
40.
go back to reference Li JD, Feng W, Gallup M, Kim JH, Gum J, Kim Y, Basbaum C: Activation of NF-kappaB via a Src-dependent Ras-MAPK-pp90rsk pathway is required for Pseudomonas aeruginosa-induced mucin overproduction in epithelial cells. Proc Natl Acad Sci U S A 1998, 95:5718–5723.CrossRefPubMedPubMedCentral Li JD, Feng W, Gallup M, Kim JH, Gum J, Kim Y, Basbaum C: Activation of NF-kappaB via a Src-dependent Ras-MAPK-pp90rsk pathway is required for Pseudomonas aeruginosa-induced mucin overproduction in epithelial cells. Proc Natl Acad Sci U S A 1998, 95:5718–5723.CrossRefPubMedPubMedCentral
41.
go back to reference Steinke JW, Borish L: Th2 cytokines and asthma. Interleukin-4: its role in the pathogenesis of asthma, and targeting it for asthma treatment with interleukin-4 receptor antagonists. Respir Res 2001, 2:66–70.CrossRefPubMedPubMedCentral Steinke JW, Borish L: Th2 cytokines and asthma. Interleukin-4: its role in the pathogenesis of asthma, and targeting it for asthma treatment with interleukin-4 receptor antagonists. Respir Res 2001, 2:66–70.CrossRefPubMedPubMedCentral
42.
go back to reference Henderson WRJ, Chi EY, Maliszewski CR: Soluble IL-4 receptor inhibits airway inflammation following allergen challenge in a mouse model of asthma. J Immunol 2000, 164:1086–1095.CrossRefPubMed Henderson WRJ, Chi EY, Maliszewski CR: Soluble IL-4 receptor inhibits airway inflammation following allergen challenge in a mouse model of asthma. J Immunol 2000, 164:1086–1095.CrossRefPubMed
43.
go back to reference Callard RE, Matthews DJ, Hibbert L: IL-4 and IL-13 receptors: are they one and the same? Immunol Today 1996, 17:108–110.CrossRefPubMed Callard RE, Matthews DJ, Hibbert L: IL-4 and IL-13 receptors: are they one and the same? Immunol Today 1996, 17:108–110.CrossRefPubMed
44.
go back to reference Kroegel C, Julius P, Matthys H, Virchow JCJ, Luttmann W: Endobronchial secretion of interleukin-13 following local allergen challenge in atopic asthma: relationship to interleukin-4 and eosinophil counts. Eur Respir J 1996, 9:899–904.CrossRefPubMed Kroegel C, Julius P, Matthys H, Virchow JCJ, Luttmann W: Endobronchial secretion of interleukin-13 following local allergen challenge in atopic asthma: relationship to interleukin-4 and eosinophil counts. Eur Respir J 1996, 9:899–904.CrossRefPubMed
45.
go back to reference Wills-Karp M, Luyimbazi J, Xu X, Schofield B, Neben TY, Karp CL, Donaldson DD: Interleukin-13: central mediator of allergic asthma. Science 1998, 282:2258–2261.CrossRefPubMed Wills-Karp M, Luyimbazi J, Xu X, Schofield B, Neben TY, Karp CL, Donaldson DD: Interleukin-13: central mediator of allergic asthma. Science 1998, 282:2258–2261.CrossRefPubMed
46.
go back to reference Seki Y, Hayashi K, Matsumoto A, Seki N, Tsukada J, Ransom J, Naka T, Kishimoto T, Yoshimura A, Kubo M: Expression of the suppressor of cytokine signaling-5 (SOCS5) negatively regulates IL-4-dependent STAT6 activation and Th2 differentiation. Proc Natl Acad Sci U S A 2002, 99:13003–13008.CrossRefPubMedPubMedCentral Seki Y, Hayashi K, Matsumoto A, Seki N, Tsukada J, Ransom J, Naka T, Kishimoto T, Yoshimura A, Kubo M: Expression of the suppressor of cytokine signaling-5 (SOCS5) negatively regulates IL-4-dependent STAT6 activation and Th2 differentiation. Proc Natl Acad Sci U S A 2002, 99:13003–13008.CrossRefPubMedPubMedCentral
47.
go back to reference Yasukawa H, Sasaki A, Yoshimura A: Negative regulation of cytokine signaling pathways. Annu Rev Immunol 2000, 18:143–164.CrossRefPubMed Yasukawa H, Sasaki A, Yoshimura A: Negative regulation of cytokine signaling pathways. Annu Rev Immunol 2000, 18:143–164.CrossRefPubMed
48.
go back to reference Temann UA, Prasad B, Gallup MW, Basbaum C, Ho SB, Flavell RA, Rankin JA: A novel role for murine IL-4 in vivo: induction of MUC5AC gene expression and mucin hypersecretion. Am J Respir Cell Mol Biol 1997, 16:471–478.CrossRefPubMed Temann UA, Prasad B, Gallup MW, Basbaum C, Ho SB, Flavell RA, Rankin JA: A novel role for murine IL-4 in vivo: induction of MUC5AC gene expression and mucin hypersecretion. Am J Respir Cell Mol Biol 1997, 16:471–478.CrossRefPubMed
49.
go back to reference Jayawickreme SP, Gray T, Nettesheim P, Eling T: Regulation of 15-lipoxygenase expression and mucus secretion by IL-4 in human bronchial epithelial cells. Am J Physiol 1999, 276:L596–603.PubMed Jayawickreme SP, Gray T, Nettesheim P, Eling T: Regulation of 15-lipoxygenase expression and mucus secretion by IL-4 in human bronchial epithelial cells. Am J Physiol 1999, 276:L596–603.PubMed
50.
go back to reference Chanez P, Bonnans C, Chavis C, Vachier I: 15-lipoxygenase: a Janus enzyme? Am J Respir Cell Mol Biol 2002, 27:655–658.CrossRefPubMed Chanez P, Bonnans C, Chavis C, Vachier I: 15-lipoxygenase: a Janus enzyme? Am J Respir Cell Mol Biol 2002, 27:655–658.CrossRefPubMed
51.
go back to reference Adler KB, Akley NJ, Glasgow WC: Platelet-activating factor provokes release of mucin-like glycoproteins from guinea pig respiratory epithelial cells via a lipoxygenase-dependent mechanism. Am J Respir Cell Mol Biol 1992, 6:550–556.CrossRefPubMed Adler KB, Akley NJ, Glasgow WC: Platelet-activating factor provokes release of mucin-like glycoproteins from guinea pig respiratory epithelial cells via a lipoxygenase-dependent mechanism. Am J Respir Cell Mol Biol 1992, 6:550–556.CrossRefPubMed
52.
53.
go back to reference Kim YD, Kwon EJ, Kwon TK, Baek SH, Song SY, Suh JS: Regulation of IL-1beta-mediated MUC2 gene in NCI-H292 human airway epithelial cells. Biochem Biophys Res Commun 2000, 274:112–116.CrossRefPubMed Kim YD, Kwon EJ, Kwon TK, Baek SH, Song SY, Suh JS: Regulation of IL-1beta-mediated MUC2 gene in NCI-H292 human airway epithelial cells. Biochem Biophys Res Commun 2000, 274:112–116.CrossRefPubMed
54.
go back to reference Longphre M, Li D, Gallup M, Drori E, Ordonez CL, Redman T, Wenzel S, Bice DE, Fahy JV, Basbaum C: Allergen-induced IL-9 directly stimulates mucin transcription in respiratory epithelial cells. J Clin Invest 1999, 104:1375–1382.CrossRefPubMedPubMedCentral Longphre M, Li D, Gallup M, Drori E, Ordonez CL, Redman T, Wenzel S, Bice DE, Fahy JV, Basbaum C: Allergen-induced IL-9 directly stimulates mucin transcription in respiratory epithelial cells. J Clin Invest 1999, 104:1375–1382.CrossRefPubMedPubMedCentral
55.
go back to reference Fischer BM, Cuellar JG, Diehl ML, deFreytas AM, Zhang J, Carraway KL, Voynow JA: Neutrophil elastase increases MUC4 expression in normal human bronchial epithelial cells. Am J Physiol Lung Cell Mol Physiol 2003, 284:L671–9.CrossRefPubMed Fischer BM, Cuellar JG, Diehl ML, deFreytas AM, Zhang J, Carraway KL, Voynow JA: Neutrophil elastase increases MUC4 expression in normal human bronchial epithelial cells. Am J Physiol Lung Cell Mol Physiol 2003, 284:L671–9.CrossRefPubMed
56.
go back to reference Kuwahara I, Lillehoj EP, Hisatsune A, Lu W, Isohama Y, Miyata T, Kim KC: Neutrophil elastase stimulates MUC1 gene expression through increased Sp1 binding to the MUC1 promoter. Am J Physiol Lung Cell Mol Physiol 2005, 289:L355–62.CrossRefPubMed Kuwahara I, Lillehoj EP, Hisatsune A, Lu W, Isohama Y, Miyata T, Kim KC: Neutrophil elastase stimulates MUC1 gene expression through increased Sp1 binding to the MUC1 promoter. Am J Physiol Lung Cell Mol Physiol 2005, 289:L355–62.CrossRefPubMed
57.
go back to reference Pflugfelder SC, Liu Z, Monroy D, Li DQ, Carvajal ME, Price-Schiavi SA, Idris N, Solomon A, Perez A, Carraway KL: Detection of sialomucin complex (MUC4) in human ocular surface epithelium and tear fluid. Invest Ophthalmol Vis Sci 2000, 41:1316–1326.PubMed Pflugfelder SC, Liu Z, Monroy D, Li DQ, Carvajal ME, Price-Schiavi SA, Idris N, Solomon A, Perez A, Carraway KL: Detection of sialomucin complex (MUC4) in human ocular surface epithelium and tear fluid. Invest Ophthalmol Vis Sci 2000, 41:1316–1326.PubMed
58.
go back to reference Zhang J, Perez A, Yasin M, Soto P, Rong M, Theodoropoulos G, Carothers Carraway CA, Carraway KL: Presence of MUC4 in human milk and at the luminal surfaces of blood vessels. J Cell Physiol 2005, 204:166–177.CrossRefPubMed Zhang J, Perez A, Yasin M, Soto P, Rong M, Theodoropoulos G, Carothers Carraway CA, Carraway KL: Presence of MUC4 in human milk and at the luminal surfaces of blood vessels. J Cell Physiol 2005, 204:166–177.CrossRefPubMed
59.
go back to reference Shuai K, Liu B: Regulation of JAK-STAT signalling in the immune system. Nat Rev Immunol 2003, 3:900–911.CrossRefPubMed Shuai K, Liu B: Regulation of JAK-STAT signalling in the immune system. Nat Rev Immunol 2003, 3:900–911.CrossRefPubMed
60.
go back to reference Hunt AE, Williams LM, Lali FV, Foxwell BM: IL-4 regulation of p38 MAPK signalling is dependent on cell type. Cytokine 2002, 18:295–303.CrossRefPubMed Hunt AE, Williams LM, Lali FV, Foxwell BM: IL-4 regulation of p38 MAPK signalling is dependent on cell type. Cytokine 2002, 18:295–303.CrossRefPubMed
61.
go back to reference Thompson JE, Cubbon RM, Cummings RT, Wicker LS, Frankshun R, Cunningham BR, Cameron PM, Meinke PT, Liverton N, Weng Y, DeMartino JA: Photochemical preparation of a pyridone containing tetracycle: a Jak protein kinase inhibitor. Bioorg Med Chem Lett 2002, 12:1219–1223.CrossRefPubMed Thompson JE, Cubbon RM, Cummings RT, Wicker LS, Frankshun R, Cunningham BR, Cameron PM, Meinke PT, Liverton N, Weng Y, DeMartino JA: Photochemical preparation of a pyridone containing tetracycle: a Jak protein kinase inhibitor. Bioorg Med Chem Lett 2002, 12:1219–1223.CrossRefPubMed
62.
go back to reference Tibbles HE, Vassilev A, Wendorf H, Schonhoff D, Zhu D, Lorenz D, Waurzyniak B, Liu XP, Uckun FM: Role of a JAK3-dependent biochemical signaling pathway in platelet activation and aggregation. J Biol Chem 2001, 276:17815–17822.CrossRefPubMed Tibbles HE, Vassilev A, Wendorf H, Schonhoff D, Zhu D, Lorenz D, Waurzyniak B, Liu XP, Uckun FM: Role of a JAK3-dependent biochemical signaling pathway in platelet activation and aggregation. J Biol Chem 2001, 276:17815–17822.CrossRefPubMed
63.
go back to reference DeSilva DR, Jones EA, Favata MF, Jaffee BD, Magolda RL, Trzaskos JM, Scherle PA: Inhibition of mitogen-activated protein kinase kinase blocks T cell proliferation but does not induce or prevent anergy. J Immunol 1998, 160:4175–4181.PubMed DeSilva DR, Jones EA, Favata MF, Jaffee BD, Magolda RL, Trzaskos JM, Scherle PA: Inhibition of mitogen-activated protein kinase kinase blocks T cell proliferation but does not induce or prevent anergy. J Immunol 1998, 160:4175–4181.PubMed
64.
go back to reference Malabarba MG, Kirken RA, Rui H, Koettnitz K, Kawamura M, O'Shea JJ, Kalthoff FS, Farrar WL: Activation of JAK3, but not JAK1, is critical to interleukin-4 (IL4) stimulated proliferation and requires a membrane-proximal region of IL4 receptor alpha. J Biol Chem 1995, 270:9630–9637.CrossRefPubMed Malabarba MG, Kirken RA, Rui H, Koettnitz K, Kawamura M, O'Shea JJ, Kalthoff FS, Farrar WL: Activation of JAK3, but not JAK1, is critical to interleukin-4 (IL4) stimulated proliferation and requires a membrane-proximal region of IL4 receptor alpha. J Biol Chem 1995, 270:9630–9637.CrossRefPubMed
65.
go back to reference Johnston JA, Kawamura M, Kirken RA, Chen YQ, Blake TB, Shibuya K, Ortaldo JR, McVicar DW, O'Shea JJ: Phosphorylation and activation of the Jak-3 Janus kinase in response to interleukin-2. Nature 1994, 370:151–153.CrossRefPubMed Johnston JA, Kawamura M, Kirken RA, Chen YQ, Blake TB, Shibuya K, Ortaldo JR, McVicar DW, O'Shea JJ: Phosphorylation and activation of the Jak-3 Janus kinase in response to interleukin-2. Nature 1994, 370:151–153.CrossRefPubMed
66.
go back to reference Witthuhn BA, Silvennoinen O, Miura O, Lai KS, Cwik C, Liu ET, Ihle JN: Involvement of the Jak-3 Janus kinase in signalling by interleukins 2 and 4 in lymphoid and myeloid cells. Nature 1994, 370:153–157.CrossRefPubMed Witthuhn BA, Silvennoinen O, Miura O, Lai KS, Cwik C, Liu ET, Ihle JN: Involvement of the Jak-3 Janus kinase in signalling by interleukins 2 and 4 in lymphoid and myeloid cells. Nature 1994, 370:153–157.CrossRefPubMed
67.
go back to reference Iwashita J, Sato Y, Sugaya H, Takahashi N, Sasaki H, Abe T: mRNA of MUC2 is stimulated by IL-4, IL-13 or TNF-alpha through a mitogen-activated protein kinase pathway in human colon cancer cells. Immunol Cell Biol 2003, 81:275–282.CrossRefPubMed Iwashita J, Sato Y, Sugaya H, Takahashi N, Sasaki H, Abe T: mRNA of MUC2 is stimulated by IL-4, IL-13 or TNF-alpha through a mitogen-activated protein kinase pathway in human colon cancer cells. Immunol Cell Biol 2003, 81:275–282.CrossRefPubMed
68.
go back to reference Perrais M, Pigny P, Ducourouble MP, Petitprez D, Porchet N, Aubert JP, Van Seuningen I: Characterization of human mucin gene MUC4 promoter: importance of growth factors and proinflammatory cytokines for its regulation in pancreatic cancer cells. J Biol Chem 2001, 276:30923–30933.CrossRefPubMed Perrais M, Pigny P, Ducourouble MP, Petitprez D, Porchet N, Aubert JP, Van Seuningen I: Characterization of human mucin gene MUC4 promoter: importance of growth factors and proinflammatory cytokines for its regulation in pancreatic cancer cells. J Biol Chem 2001, 276:30923–30933.CrossRefPubMed
69.
go back to reference Andrianifahanana M, Agrawal A, Singh AP, Moniaux N, van Seuningen I, Aubert JP, Meza J, Batra SK: Synergistic induction of the MUC4 mucin gene by interferon-gamma and retinoic acid in human pancreatic tumour cells involves a reprogramming of signalling pathways. Oncogene 2005. Andrianifahanana M, Agrawal A, Singh AP, Moniaux N, van Seuningen I, Aubert JP, Meza J, Batra SK: Synergistic induction of the MUC4 mucin gene by interferon-gamma and retinoic acid in human pancreatic tumour cells involves a reprogramming of signalling pathways. Oncogene 2005.
70.
go back to reference Mariette C, Perrais M, Leteurtre E, Jonckheere N, Hemon B, Pigny P, Batra S, Aubert JP, Triboulet JP, Van Seuningen I: Transcriptional regulation of human mucin MUC4 by bile acids in oesophageal cancer cells is promoter-dependent and involves activation of the phosphatidylinositol 3-kinase signalling pathway. Biochem J 2004, 377:701–708.CrossRefPubMedPubMedCentral Mariette C, Perrais M, Leteurtre E, Jonckheere N, Hemon B, Pigny P, Batra S, Aubert JP, Triboulet JP, Van Seuningen I: Transcriptional regulation of human mucin MUC4 by bile acids in oesophageal cancer cells is promoter-dependent and involves activation of the phosphatidylinositol 3-kinase signalling pathway. Biochem J 2004, 377:701–708.CrossRefPubMedPubMedCentral
71.
go back to reference Buisine MP, Devisme L, Degand P, Dieu MC, Gosselin B, Copin MC, Aubert JP, Porchet N: Developmental mucin gene expression in the gastroduodenal tract and accessory digestive glands. II. Duodenum and liver, gallbladder, and pancreas. J Histochem Cytochem 2000, 48:1667–1676.CrossRefPubMed Buisine MP, Devisme L, Degand P, Dieu MC, Gosselin B, Copin MC, Aubert JP, Porchet N: Developmental mucin gene expression in the gastroduodenal tract and accessory digestive glands. II. Duodenum and liver, gallbladder, and pancreas. J Histochem Cytochem 2000, 48:1667–1676.CrossRefPubMed
72.
go back to reference Buisine MP, Devisme L, Maunoury V, Deschodt E, Gosselin B, Copin MC, Aubert JP, Porchet N: Developmental mucin gene expression in the gastroduodenal tract and accessory digestive glands. I. Stomach. A relationship to gastric carcinoma. J Histochem Cytochem 2000, 48:1657–1666.CrossRefPubMed Buisine MP, Devisme L, Maunoury V, Deschodt E, Gosselin B, Copin MC, Aubert JP, Porchet N: Developmental mucin gene expression in the gastroduodenal tract and accessory digestive glands. I. Stomach. A relationship to gastric carcinoma. J Histochem Cytochem 2000, 48:1657–1666.CrossRefPubMed
74.
go back to reference Reid CJ, Gould S, Harris A: Developmental expression of mucin genes in the human respiratory tract. Am J Respir Cell Mol Biol 1997, 17:592–598.CrossRefPubMed Reid CJ, Gould S, Harris A: Developmental expression of mucin genes in the human respiratory tract. Am J Respir Cell Mol Biol 1997, 17:592–598.CrossRefPubMed
75.
go back to reference Bernacki SH, Nelson AL, Abdullah L, Sheehan JK, Harris A, Davis CW, Randell SH: Mucin gene expression during differentiation of human airway epithelia in vitro. Muc4 and muc5b are strongly induced. Am J Respir Cell Mol Biol 1999, 20:595–604.CrossRefPubMed Bernacki SH, Nelson AL, Abdullah L, Sheehan JK, Harris A, Davis CW, Randell SH: Mucin gene expression during differentiation of human airway epithelia in vitro. Muc4 and muc5b are strongly induced. Am J Respir Cell Mol Biol 1999, 20:595–604.CrossRefPubMed
76.
go back to reference Gray T, Koo JS, Nettesheim P: Regulation of mucous differentiation and mucin gene expression in the tracheobronchial epithelium. Toxicology 2001, 160:35–46.CrossRefPubMed Gray T, Koo JS, Nettesheim P: Regulation of mucous differentiation and mucin gene expression in the tracheobronchial epithelium. Toxicology 2001, 160:35–46.CrossRefPubMed
77.
go back to reference Weed DT, Gomez-Fernandez C, Yasin M, Hamilton-Nelson K, Rodriguez M, Zhang J, Carraway KL: MUC4 and ErbB2 expression in squamous cell carcinoma of the upper aerodigestive tract: correlation with clinical outcomes. Laryngoscope 2004, 114:1–32.CrossRefPubMed Weed DT, Gomez-Fernandez C, Yasin M, Hamilton-Nelson K, Rodriguez M, Zhang J, Carraway KL: MUC4 and ErbB2 expression in squamous cell carcinoma of the upper aerodigestive tract: correlation with clinical outcomes. Laryngoscope 2004, 114:1–32.CrossRefPubMed
78.
go back to reference Ramsauer VP, Carraway CA, Salas PJ, Carraway KL: Muc4/sialomucin complex, the intramembrane ErbB2 ligand, translocates ErbB2 to the apical surface in polarized epithelial cells. J Biol Chem 2003, 278:30142–30147.CrossRefPubMed Ramsauer VP, Carraway CA, Salas PJ, Carraway KL: Muc4/sialomucin complex, the intramembrane ErbB2 ligand, translocates ErbB2 to the apical surface in polarized epithelial cells. J Biol Chem 2003, 278:30142–30147.CrossRefPubMed
79.
go back to reference Fischer BM, Cuellar JG, Byrd AS, Rice AB, Bonner JC, Martin LD, Voynow JA: ErbB2 activity is required for airway epithelial repair following neutrophil elastase exposure. Faseb J 2005, 19:1374–1376.CrossRefPubMed Fischer BM, Cuellar JG, Byrd AS, Rice AB, Bonner JC, Martin LD, Voynow JA: ErbB2 activity is required for airway epithelial repair following neutrophil elastase exposure. Faseb J 2005, 19:1374–1376.CrossRefPubMed
80.
go back to reference Walker C, Bauer W, Braun RK, Menz G, Braun P, Schwarz F, Hansel TT, Villiger B: Activated T cells and cytokines in bronchoalveolar lavages from patients with various lung diseases associated with eosinophilia. Am J Respir Crit Care Med 1994, 150:1038–1048.CrossRefPubMed Walker C, Bauer W, Braun RK, Menz G, Braun P, Schwarz F, Hansel TT, Villiger B: Activated T cells and cytokines in bronchoalveolar lavages from patients with various lung diseases associated with eosinophilia. Am J Respir Crit Care Med 1994, 150:1038–1048.CrossRefPubMed
81.
go back to reference Shahid SK, Kharitonov SA, Wilson NM, Bush A, Barnes PJ: Increased interleukin-4 and decreased interferon-gamma in exhaled breath condensate of children with asthma. Am J Respir Crit Care Med 2002, 165:1290–1293.CrossRefPubMed Shahid SK, Kharitonov SA, Wilson NM, Bush A, Barnes PJ: Increased interleukin-4 and decreased interferon-gamma in exhaled breath condensate of children with asthma. Am J Respir Crit Care Med 2002, 165:1290–1293.CrossRefPubMed
82.
go back to reference Matsumoto T, Miike T, Yamaguchi K, Murakami M, Kawabe T, Yodoi J: Serum levels of soluble IL-2 receptor, IL-4 and IgE-binding factors in childhood allergic diseases. Clin Exp Immunol 1991, 85:288–292.CrossRefPubMedPubMedCentral Matsumoto T, Miike T, Yamaguchi K, Murakami M, Kawabe T, Yodoi J: Serum levels of soluble IL-2 receptor, IL-4 and IgE-binding factors in childhood allergic diseases. Clin Exp Immunol 1991, 85:288–292.CrossRefPubMedPubMedCentral
83.
go back to reference Ordonez CL, Khashayar R, Wong HH, Ferrando R, Wu R, Hyde DM, Hotchkiss JA, Zhang Y, Novikov A, Dolganov G, Fahy JV: Mild and moderate asthma is associated with airway goblet cell hyperplasia and abnormalities in mucin gene expression. Am J Respir Crit Care Med 2001, 163:517–523.CrossRefPubMed Ordonez CL, Khashayar R, Wong HH, Ferrando R, Wu R, Hyde DM, Hotchkiss JA, Zhang Y, Novikov A, Dolganov G, Fahy JV: Mild and moderate asthma is associated with airway goblet cell hyperplasia and abnormalities in mucin gene expression. Am J Respir Crit Care Med 2001, 163:517–523.CrossRefPubMed
Metadata
Title
IL-4 induced MUC4 enhancement in respiratory epithelial cells in vitro is mediated through JAK-3 selective signaling
Authors
Gautam Damera
Baoyun Xia
Goverdhan P Sachdev
Publication date
01-12-2006
Publisher
BioMed Central
Published in
Respiratory Research / Issue 1/2006
Electronic ISSN: 1465-993X
DOI
https://doi.org/10.1186/1465-9921-7-39

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