Vol. 83, No. 4, 1978
BIOCHEMICAL
AND BIOPHYSICAL
RESEARCH COMMUNICATIONS Pages
August 29,1978
1595-1601
THE INFLUENCEOF CYSTICFIBROSIS SERUM ANDCALCIUM ON SECRETIONIN THE RABBIT TRACHEAL MUCOCILIARY APPARATUS
J.H. Conover and E.J. Conod Denartment of Pediatrics St. Vincent's Hospital and Medical Center of New York and New York University Medical School New York, New York Received
July
25,1978
SUMM4RY: Cystic Fibrosis serum or its isolated component IgG fraction and calcium ionophore A23187 all produced a quantitatively greater increase of mucus glyconrotein secretion in the rabbit tracheal epithelium than did control serum or its isolated component IgG fraction. These values were determined by dry weight secretion per gram of tissue and on subsequent sialic acid content of secretions. This demonstrable increase in mucus production represents a measurable difference in the functioning of the cultured mucociliarv apparatus due to the influence of cystic fibrosis serum. Cystic fibrosis the ciliary cultured
(CF) sera has been shown to adversely affect
and mucous components of the microscopically rabbit
tracheal
ciliated
epithelium
(1,2).
both
observed
Hhile the dual
nature of this CF serum-induced response is well known, much of the attention
has previously
hence the term ciliary
been focused on the prominent ciliary dyskinesia factor
shown that both secretory
and ciliarv
(CDF) (3,4).
asnects of
the
vector--
He have recently mucociliary
res-
ponse are induced by CF sera and are mediated by calcium ions (1,5,(i). In these instances, specific the total
chelation of calcium in CF sera eliminated
CDF response and control
cium ionophore A23187 generated of which was distinctly Both light
identified
typical
CDF resoonse--each
complete
by electronmicroscopy
and electron microscopic cellular
gested that mucoussecretion lium after
a
sera supplemented bv 2 X 1W4M cal-
observations have sug-
is increased in the rabbit
exposure to CF affected
and carrier
(6).
tracheal epithe-
sera or their
purified
IgG
0006-291X/78/0834-1595$01.00/0 1595
Copyright 0 1978 by Academic Press, Inc. All rights of reproduction in any form reserved.
Vol. 83, No. 4, 1978
fractions tions,
as compared together
clinically sera
with
with
the
control
led
mucous
mucous
substances.
production
do control
or in
This
and heterozygotes
report
stimulate sera.
purified
serum-derived
sociated
substance
in viscositv
could
whether
that
production were
IgG fractions,
further
in the pathophysiology
mucus seen
in the
rate
of one or more specific
demonstrate
Such increases
ohserva-
CF and CF carrier
an increase
the production
greater
These
of nulmonarv
potentiate
will
RESEARCH COMMJNKATIONS
or IgG fractions.
us to investigate
IgC fractions,
of total
AND BIOPHYSICAL
sera
increase
in CF subjects
or their
than
BIOCHEMICAL
sera
of r&hit similarly
CF patients
tracheal
extended
imolicating
of this
from
mucus
to individual
TgG and/or
some as-
disorder.
Rabbit tracheal tissue was prepared according to our orevious renort separated luminal epithelial mucosa (4), except that the mechanically (tracheal sheath) was used as a whole intact unft without mincing into smaller pieces. These tracheal sheaths are composed of both submucosa and mucosa as defined bv electronmicroscopy (6) and in general contain a large abundance of mucous-producing epithelial gohlet cells, and a variable degree of the predominantlv mucous-producjng tubule-alveolar glands. Four intact tracheal sheaths nrepared in this fashion were immediately placed in a common Petri dish (35 X 10 mm) containing 2.5 ml of either CF, CF obligate heterozygote CF-H or normal control sera. Replicate Petri dishes for each test sera were incubated at 37OC for different intervals (1,2,4,6,8 and 24 hours). At the end of each incubation period, the test serum of each dish was collected and the respective tracheal sheaths removed and gently agitated with forceps in another Petri dish containing 5 ml of Hanks' Ralanced Salt Solution without phenol red indicator at pi! 7.0. In each instance, the wash, containing apparent mucus-like insoluble material, was combined with its respective test serum and centrifuged at 2fWO mm for lo minutes to isolate the insoluble mucus-like material. Tn every instance, the re suiting pellet was washed twice with 5 ml distilled water and resuspended reisolated bv centrifugation and finally in 0.5 ml of distilled water, placed in a pre-weighed glass ampule where it was lyophilized for 24 hours. Each of the washed intact tracheal sheaths was blotted once on filter paper and also ulaced in pre-weighed glass amnules for lyophilization. The resulting lyophilized secretions and tissues were then weighed on a ?fettler H 20 T balance and secretions expressed as dry sialic acid (measured as weight per gram tissue. Subsequently, N-acetylneuraminic acid) by the thiobarbituric acid method of Warren (7) and DNA measured by the method of Schneider (8) were performed on each test sample secretion. Figure as control evidenced: It
1 demonstrates sera
in this
dry weight
can be seen that
DNA content
a typical
of this
test
system.
of secretion, after system
time-response
2 hours rises
All
three
sialic
acid
of incubation sharply.
1596
This
curve test
parameters
(NANA) with
for
CF as well are
and DNA.
any sera,
that
mav be due to a noted
the
BIOCHEMICAL
Vol. 83, No. 4, 1978
AND BIOPHYSICAL RESEARCH COMMUNICATIONS
180 170 160 I!%l1
.-g. -I c m140
l
2 mz IlO-. i=
l
Em F goz 2, 00t; 70-
’ is E"
l
0 l
0. ‘W! :. 0
60-
50403020-
‘,’
INCUBATION
igure
1.
Time-resvonse curve sera. Open circles represent CF sera.
Figure
2.
Tracheal secretory response heterozygotes and controls.
microscopic
appearance
which
serves
earlier
than
the
NANA and mucous appreciably Figure
lower
2 depicts
tracheal
tissue,
The vertical grout:
CF=76.6+5.4
control=30.4+2.6 between
line
one-hour
production, than
the
2 hour
Vhile
also
(S.E.Y.)
used
of the wejehts
mr:
me secretion. and control
1597
for
substances for
this
and 15 normal
was
study. aer
gram
control
the mean value
subjects. for
each
CF-F-69.73.6
mp: secretion;
t-test,
the mean difference
Ry Student's subject
intervals
of secretion
indicates
secretion;
wash solution,
seemed effective
interval
each column
CF patients,
time
of these
13 CF, 21 V-1'
emnloying across
value
from
fn the hanks'
damage.
the quantity
the results
CF homozygotes
to sera
cells
of tissue
listed
CONTROL
of tracheal explants to CF and control represent control sera; closed circles
of epithelial
as an index
CF
02
AT 37” c (SCOURS)
is
significant
(p