Vol. 86, No. 3, 1979 February

AND BIOPHYSICAL RESEARCH COMMUNICATIONS

BIOCHEMICAL

Pages 465-472

14, 1979

COLLAGEN SYNTHESIS BY CULTURES OF STROMAL CELLS FROM NORMAL HUMAN AND KERATOCONUS CORNEAS* Beatrice

Y.J.T.

Yue,

Jules

L, Baumt and Barbara

D. Smith

Department of Ophthalmology New England Medical Center Hospital Tufts University School of Medicine and Connective Tissue-Aging Research Laboratory, Veterans Administration Outpatient Clinic Received

November

28,

1978

Summary Keratoconus is a disease which thins and scars the central cornea. Confluent cultures of cornea1 stromal cells were derived from patients with keratoconus. The collagen synthesized by these cultures was compared to the collagen synthesized by age-matched normal human cornea1 stromal cultures, Although the amount of collagen and the types of collagen synthesized were similar, relative proportion of type I collagen and A, B chains produced was significantly altered in keratoconus cultures. The DEAE-cellulose chromatograms of procollagen in the medium fraction were different, not only between normal control and keratoconus cultures but also among keratoconus patients. Introduction Keratoconus tion

is

a disease

of the central

cribed

(l-4),

noted

that

joints, tive

It

(5)

(8,9)

are distributed

(7)

is

of this

sometimes

suggesting

established

and possibly

exist

condition

tissues

It

has been

hypermobility disorder

distinct

of collagen,

and cell manner.

have been des-

of the of connec-

(6),

genetically types

and distor-

unclear.

with

heritable

syndrome

additional

in a tissue-specific

remains

a generalized

four

thinning changes

seen in patients

that

in mammalian

in a gradual

ultrastructural

such as Ehlers-Danlos

is now well

of collagen chains

keratoconus

results

Although

the pathogenesis

an association tissue

cornea.

which

cultures.

In cornea1

types

(I-IV)

such as A and B These strona,

collagens the collagen

*

This investigation was supported in part by research the National Eye Institute and in part by the Medical the Veterans Administration,

grant EY 01793 from Research Service of

t

Requests for reprints should be addressed to Jules L, Baum, MI,D, Department of Ophthalmology, New England Medical Center Hospital, 171 Harrison Avenue, Boston, MA 02111, 0006-291X/79/030465-08$01,00/0 465

Copyright All rights

@ 1979 by Academic Press, Inc. in any form reserved.

of reproduction

Vol. 86, No. 3, 1979

is highly

glycosylated

Type III

(12)

stroma.

The collagen

studied

(15)

have been

mainly

increased

biochemical reason

in the

(13)

cornea

suggested.

have also

abnormalities

It

of type

of patients

of lysine,

I collagen been

with

has also

been reported

12), in cornea1

keratoconus

in the collagen

of structural

(11,

identified

and the glycosylation

and the amount

has not been

cross-linking of hydroxylsine

that

the total

glycoprotein

is relati-

(15).

grown

in tissue

analyses

keratoconus were

culture

have

in relation

we have established

experiments

chains

although

is decreased

Cells

with

and consists

the hydroxylation

collagen vely

AND BIOPHYSICAL RESEARCH COMMUNICATIONS

and A, B-like

extensively,

(14),

BIOCHEMICAL

to examine performed

to various

cultures

normal

a good system

diseases

of cornea1

the synthesis with

provided

stromal

of collagen. human cornea1

(16,

for

17).

cells

detailed

For this from patients

Parallel stromal

cell

cultures

as controls. Materials

and Methods

Age-matched normal human corneas were obtained from the New England Eye Bank. Cornea1 buttons from patients with keratoconus were placed into McCarey-Kaufman medium (18) and sent to our laboratory, The middle portion of the cornea1 stromal layer was explanted and cultured as described previously (19). After 3-4 weeks, when cultures cells were trypsinized and passed. Normal control and were confluent, keratoconus cells appeared similar under phase contrast microscopy. Collagen studies were performed between the 2nd and the 7th passages. Four flasks (75 cm2) of confluent cornea1 cultures were incubated for 24 hours with Eagles' minimum essential medium (Cat.{/ 12-1258, Microbiological Co.) containing 5 pCi/ml each of (3H)glycine and (3H)proline in the presence of @aminopropionitrile and ascorbic acid (100 pg/ml). After labeling, the medium was removed from each flask and pooled, The cultures were washed six times with 8 ml of Dulbecco's phosphate buffered saline (1 x, pH 7.0, Cat.# 17-5138, Microbiological Co,), and then combined with the medium fraction. The cells were harvested in 0.5 M acetic acid and broken with a Polytron homogenizer as the cell layer fraction, Aliquots of the cell layer and the medium fraction were dialyzed extensively against distilled water, lyophilized, and the amount of collagenous and non-collagenous proteins were determined with a purified bacterial collagenase (Advance Biofactures, Form IV) as described previously (20). All experiments were performed in duplicate. The cell layer together with 5 mg of carrier type I collagen [prepared from lathyritic rat skin (21)] was extracted with 0.5 M acetic acid at 4OC overnight. After centrifugation at 15,000 x g for 40 minutes, the supernatant was dialyzed against 0.05 M sodium acetate buffer, pH 4.8, heated and placed on a column of carboxylmethyl (CM)-cellulose as previously described (22), Certain cell homogenates were suspended in

466

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86,

No.

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AND

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0.5 M acetic acid and treated with pepsin (1 mg/lO ml) for 16 hours at 4'C before analyses by CM-cellulose column chromatography. The individual c1 chains were obtained from the CM-cellulose column, for slab gel pooled, desalted by a Biorad P-2 column, and lyophilized electrophoresis. Samples were treated with 1% sodium dodecyl sulfate (SDS) at 80°C for 5 min, and certain samples were reduced with 10 mM of dithiothreitol prior to layering onto 5% SDS-polyacrylamide slab gels (23). After the completion of electrophoresis, the gels were fixed and stained in Coomassie Blue. The radioactively labeled bands were detected by fluorography (24), The medium fraction was dialyzed against solutions of 0,15 M NaCl, 0,05 M Tris and 0.02 M EDTA, pH 7.4, containing the protease inhibitors phenylmethyl sulfonyl fluoride (10 mM) and p-chloromercuribenzoate (1 mM). Samples were prepared and chromatographed on DEAE-cellulose columns as previously described (25) to separate collagen, procollagen Type I, and procollagen type III. Results

and Discussion

Collagen

synthesis

human stroma synthesized products

is

shown in Table

by these were

The labeled cultures

together

with

carrier

samples.

samples

(open

elution

patterns of a,(I)

material

(Fig, various crete

1, closed peaks

found

between

The CM-cellulose circles) compared

a 1 and a2 peaks.

and percentage

of collagen

More labelled than

layer

type

of cell

in all

it

chromatogram

normal

samples

of the

and five

labeled

from normal

between

the

are shown in Fig.

cultures

1,

kera-

normal

control

Similar corneas,

2,O and 2.3.

with

the

The labeled

and the a2 peaks was collagenase

was collagen. of samples

showed marked to normal

samples

standard

preceeding

and an a2 peak,

the al(I)

that

on CM-cellulose

peak,

slightly

and normal

The carrier

layer

profile

layer.

of keratoconus

S12 component

from four

collagenous

in the cell

I collagen.

and a2 peaks with

to a2 varying

demonstrating

The amount

fraction

had an al(I)

were

and normal

similar.

The radioactivity

appearing

sensitive

skin

profiles

circles)

of keratoconus

and chromatographed

patterns

typical

cultures

from the cell

rat

al(I),

toconus

ratio

were

was extracted

The elution

representing

I.

in the medium

protein

had the typical a2 peak,

cultures

found

control

by confluent

control

The radioactivity

467

from keratoconus

differences samples.

cultures

in the proportions There

in the region

was no disbetween

al(I)

of

Vol. 86, No. 3, 1979

BIOCHEMICAL

Table synthesis by and keratoconus

Collagen human

Cell

Age of Donor (years)

Type

(3H)proline incorporated proteins(cpm/mg Cell

Normal human

Keratoconus

Each essential 24 hours and

flask medium in

the

percentage

as described

17

3164

26 40 51

2255

23 31 44 48 68

of

in

I 50

( 3 H)glycine collagenous of dry weight) Cell

f 3 H)collagenous as % of total

+ Medium

2.9

1177 2130

2.0 2.4

3234 2556 2745 6530 3079

22937 13677 11040 8465 12347

26171 16233 13785 14995 15426

2.6 3.0 2.3 3.8 3.0

of

cultures

was

5 uCi/ml

each

incubated of

with

and

proteins

were

Medium 8.9 11.0 16.9 19.6

3.0

(3H)proline

B-aminopropionitrile

proteins (3H)proteins

Cell

11156 14602 10084

(3H)collagenous

Material

Medium

of normal cells

15718

containing

of

and into

I cultures stromal

12617 8901 13425 7954

confluent

presence

AND BIOPHYSICAL RESEARCH COMMUNICATIONS

3 ml and

ascorbic

determined

of

18.9 9.2 9.8

Eagle's

(3H)glycine acid.

by

18.5 17.7

minimum for

The amount

collagenase

assays

and Methods.

I 100

I 150

EFFLUENT

I 200

I 250

VOLUME, m/

468

! 300

I 350

400

BIOCHEMICAL

Vol. 86, No. 3, 1979

and CL chains 2 cultures

was increased

as opposed

AND BIOPHYSICAL RESEARCH COMMJNICATIONS

to 40-50%

to 20-25%

in normal

could

be procollagen

(26),

based

on its

from CM-cellulose

elution

To further keratoconus

samples

extension

peptides,

of these

proteins

migrating

slower

type

eluting

than

of type

This

I collagen

stromal

III

differs

treated

still

with

contained the a

1

of

pepsin

to re-

by CM-cellulose proportions

and u 2 chains,

region

(8).

is

in keratoconus (27)

product

consistent

and normal

which

showed

in normal

column

cultures

cultures

(closed

(open

II,

approximately

of cornea1

chromatography, procollagens

by SDS-gel at peak

fraction

circles)

circles), electrophoresis which

Fig,

cultures

2 shows the

from the most

severely

and the representative The product as type

was completely

appearing

control

that

human cornea1

were

collagenase

6-15% of the radioactivity

analyzed

elution affected normal

at peak

I procollagen,

I was

The

digestable, in four

normal

chromatogram of labeled collagen isolated Figure 1. CM-cellulose from the cell layer of keratoconus (o---o) and normal control cultures (o---o). The column (1.5 x 10 cm) was equilibrated with 0.05 M sodium acetate buffer pH 4.8 and elution was performed with a linear gradient from 0 to 0.1 M NaCl over a total volume of 400 ml. Fractions Carrier collagen of 5 ml were collected and assayed for radioactivity. was type I collagen isolated from lathyritic rat skin,

469

bands

No radioactive

indicating

therefore,

report

Analysis

in two radioactive

dithiothreitol

The data, chains

set

similar

resulted

with

collagenous

in the medium

of radioactive

keratoconus

represented

(8)

cultures,

patterns

component

material

A, B chains

another

When examined

from a previous

was the only

by DEAE-cellulose

identified

were

reduction

collagen,

This

and/or

material,

between

of A, B-like

Procollagens

control

(16),

electrophoresis

even after

keratoconus

cultures.

the a1 band in the A, B chain

the idenfication

cultures.

samples

by SDS-gel

band was found

with

collagenous

these

in all

columns.

control

proteins

control

collagen

and normal

chromatography,

the absence

III

this

of collagenous

cl

type

identify

move the procollagen column

of the total

Vol. 86, No. 3, 1979

BIOCHEMICAL

0

I 0

I

AND BIOPHYSICAL RESEARCH COMMUNICATIONS

I

I

I 500

100

Figure 2, DEAE-cellulose from the medium fraction cultures (o---o).

chromatogram of keratoconus

I 600

of the procollagen purified (e---e) and normal control

Column was equilibrated with 0.05 M Tris pH 8,0, 2 M urea. Chromatography was performed at 4OC with an elution volume of 600 ml and the gradient from 0 to 0.2 M NaCl. Fractions of 11 ml were collected and assayed for radioactivity.

control

cultures,

approximately

but was increased 30-70%

of the

total

in five procollagen

keratoconus

cultures

depending

to

on the patient

analyzed. Variation with

keratoconus

This

has also

with

osteogenesis

found

in the DEAE-cellulose

suggests occurred

that in studies

imperfecta

cornea1

buttons,

a scarred

present

whether

the defects

diseased

cells

themselves

this

area

cornea1 with

(16),

chromatograms

skin

disease

among patients

is heterogeneous.

fibroblasts

from patients

In some of the keratoconus

was observed,

in the collagen or are associated

repair.

470

It

is not

synthesis with

clear

at

are due to the

the process

of

Vol.

86,

No.

3, 1979

BIOCHEMICAL

We have also glycosaminoglycans synthesis

matrix

produced

of cell

reduced

(28), which

demonstrated

This

AND

BIOPHYSICAL

abnormalities by these

layer-related suggests

shows modifications

sulfate

keratoconus in both

COMMUNICATIONS

in the metabolism

same keratoconus

heparan that

RESEARCH

is

cultures.

The

significantly

may be a disease

collagen

of

of

and glycosaminoglycan

syntheses. Acknowledgements We thank for

their

and Dr,

MS, Rasma Niedra,

technical A. Boruchoff

assistance. for

supplying

Mr,

John Salem,

We also

wish

and Mr, William to thank

Dr.

some of the keratoconus

P,R.

Lavin Laibson

cornea1

buttons,

References 1. 2. 3. 4. 5. 6, 7. 8. 9. 10. 11. 12. 13.. 14, 15, 160 17. 18, 19, 20. 21, 22. 23, 24,

Teng, C.C. (1963) Amer. J. Ophthalmol. 55, 18-47. (1970) Arch, Ophthalmol, Patta, CL,, Loyon, L,, and Roucher, F. (Paris) 30, 403-417. Kim, J.O., and Hassard, D,T,R. (1972) Canad. 9. Ophthalmol, 7, 176-180. Iwamoto, T., and Devoe, A.G. (1975) Arch. Ophthalmol. (Paris) 35, 65-72. Robertson, I. (1974) Aust, J. Ophthalmol. 2, 144-147. Uitto, J., and Prockop, D.J, (1974) Molecular Pathology, pp. 670-688, Thomas, Springfield, Illinois. Miller, E.J. (1976) Molecular and Cellular Biochemistry 13, 165-192. Burgeson, R.E., El Adli, F.A., Kaitila, I-I,, and Hollister, D.W, (1976) Proc. Natl. Acad, Sci. USA 12, 2579-2583, Chung, E., Rhodes, R.K., and Miller, E.J. (1976) Biochem. Biophys, Res, comm, 71, 1167-1169, Katzman, R.L., Kang, A.H,, and Dixit, S.N, (1974) Biochim. Biophys. Acta, 336, 367-369. Freeman, I.L, (1978) Invest. Ophthalmol. and Vis. Sci. 17, 171-177, Schmut, 0. (1977) Exp. Eye Res. 25, 505-509, Hong, B,S., Cannon, D.J. and Davison, P.F. (1978) Fed. Proc, 37, 1528, Cannon, J. and Foster, C.S. (1978) Invest. Ophthalmol. and Vis. Sci. l7-, 63-65. Robert, L,, Schillinger, G,, Moczar, M., Junqua, S., and Moczar, E. (1970) Arch. Ophthalmol. (Paris) 30, 590-607. Penttinen, R.P,, Lichtenstein, J,R., Martin, G.R,, and McKusick, V.A, (1975) Proc. Natl, Acad. Sci. USA 72, 586-589. Dorfman, A., and Matalon, R. (1976) Proc, Natl. Acad. Sci. USA 73, 630-637. McCarey, B.E., and Kaufman, H.E. (1974) Invest., Ophthalmol, 2, 165-173. Baum, J,L., Niedra, R,, Davis, C., and Yue, B,Y,J,T. Arch. Ophthalmol. (in press). Peterkofsky, B., and Diegelmann, R, (1971) Biochemistry I& 988-994, Piez, K.A. (1967) Treatise on collagen, Vol, 1, Chemistry of Collagen, ppO 201-248, Academic Press, New York. Miller, E.J., Martin, G,R,, Piez, K.A., and Powers, M,J. (1967) J. Biol, Chem, 242, 5481-5489. Laemmli, U,K. (1970) Nature 227, 680-685, Laskey, R.A., and Mills, A.D. (1975) Eur, J, Biochem. 56, 335-341.

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25, 26, 27, 28.

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AND BIOPHYSICAL RESEARCH COMMUNICATIONS

(1972) Proc, Natl. Acad, Sci. Smith, B.D., Byers, P.H,, and Martin, G.R, USA 69, 3260-3262. (1977) Arch. Biochem, Biophys. 182, 33-41. Moro, L., and Smith, B.D, Stoesser, T.R., Church, R.L., and Brown, S.I. (1978) Invest. Opthalmol, and Vis. Sci. l7, 264-271, Yue, B.Y.J.T,, Baum, J.L,, and Silbert, J.E. Manuscript submitted for publication,

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Collagen synthesis by cultures of stromal cells from normal human and keratoconus corneas.

Vol. 86, No. 3, 1979 February AND BIOPHYSICAL RESEARCH COMMUNICATIONS BIOCHEMICAL Pages 465-472 14, 1979 COLLAGEN SYNTHESIS BY CULTURES OF STROMA...
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