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Molecular mechanisms of enhanced expression of the chemokine Interleukin 8 (CXCL8) in cystic fibrosis (CF) airway epithelial cells Anna Poghosyan, BM (Hons) Thesis submitted to the University of Nottingham for the degree of Doctor of Philosophy November 2014 1 ABSTRACT Cystic fibrosis (CF) is a fatal disease caused by a mutation of the CFTR gene and severe inflammation of the lungs. The inflammatory process is characterised by increased production of the potent neutrophil-attracting chemokine interleukin 8 (CXCL8), but the mechanism responsible is poorly understood. We tested the hypothesis that altered epigenetic regulation is responsible for the basal and cytokine-induced CXCL8 upregulation in CF airway epithelial cells. We found that CXCL8 protein levels and mRNA expression were higher in CF as compared to normal cells both basally and following cytokine stimulation. The difference in the expression was independent of increased mRNA stability or increased transcription factor activation and/or expression in CF cells. We found increased basal, but not cytokine-inducedtranscriptionfactorbindingtotheCXCL8promoterin achromatin environment in CF cells in comparison with normal cells, increased histone H3 lysine 4 trimethylation, hypomethylation of CpG sites and increased binding of BRD3 and BRD4 to the CXCL8 promoter. Disruption of BRD4 association with chromatin using the selective BET bromodomain inhibitor JQ1 decreased CXCL8 protein release from CF cells to the levels observed in normal cells. Our observations suggest that epigenetic alterations are responsible for the upregulationofCXCL8inCFandcouldbecomepotentialtargetsinthedevelopment ofnewtherapeuticstrategies. 2 ACKNOWLEDGEMENTS Firstly, I would like to express my sincere gratitude to Prof. Alan Knox for his support,patience,enthusiasm, and immense knowledge. Thiswork would not have beenpossiblewithouthisguidance,invaluableinsightsandexcellentadvice. I would like to express my sincere appreciation to the excellent research group of DivisionofRespiratoryMedicineandthankallthemembersforcontinuoussupport, help and encouragement throughout my PhD. I would like to express my special gratitudeto an extraordinaryperson,RachelClifford,for beinga constantsource of knowledge and invaluable advices, for all her inspiration, patience and continuous encouragement. Her faith in me and emotional support encouraged me to grow as aresearcherandindependentthinkermakingmyPhDyearsveryenjoyable. I must also thank the University of Nottingham for giving me an opportunity to carryoutaresearchprojectbyfundingit. And last, but not least, I would like to thank my parents for all the support, encouragementandunwaveringlovethroughoutmyPhD. 3 LIST OF PUBLICATIONS A. Poghosyan,R. L. Clifford,W. R. Coward, L.Pang, A.J.Knox.Enhancedexpression of interleukin 8 in cystic fibrosis airway epithelial cells. Eur Respir J 2013; 42: Suppl. 57, 2107 (abstract accepted for a thematic poster presentation at the European RespiratorySocietyAnnualCongress,Barcelona,Spain,2013). A. Poghosyan, R. L. Clifford, W. R. Coward, L. Pang, A. J. Knox. Molecular mechanisms of enhanced expression of Interleukin 8 in cystic fibrosis airway epithelial cells. The Journal of Cystic Fibrosis; Vol 12, Suppl. 1, 167, 2013 (abstract accepted for a thematic poster presentation at the 36th European Cystic Fibrosis Conference,Lisbon,Portugal,2013). 4 LIST OF ABBREVIATIONS aGM1 AsialoGM1receptor LPS Lipopolysaccharide ARE AU-richelement LZ Leucinezipper dimerizationdomain ASL Airwaysurfaceliquid MAPK Mitogen-activated proteinkinase ATP Adenosinetriphosphate MBD Methyl-CpG-binding domain β -M Beta -microglobulin MBP MethylCpGbinding 2 2 protein BAL Bronchoalveolar MBT Malignantbraintumour BCA Bicinchoninicacidprotein MDB Membranedesalting assay buffer BCC Burkholderiacepacia MEM Minimumessential complex mediumEagle BET Bromodomainsandextra- mg Milligram terminal BR Basicregion µl Microliter BRD Bromodomain mL Millilitre BSA Bovineserumalbumin mM mmol Ca2+ Calcium mM/L Mmol/Litre cAMP Cyclicadenosine M-MLVRT Moloneymurine monophosphate leukaemiavirusreverse transcriptase CARM1 Co-activator-associated MMP Matrix argininemethyltransferase1 metalloproteinase CBP cAMPresponseelement mRNA Messengerribonucleic bindingprotein(CREB) acid bindingprotein cDNA Complimentary MTT 3-(4,5-dimethythiazol-2- deoxyribonucleicacid yl)-2,5-diphenyl tetrazoliumbromide C/EBPβ CCAAT/enhancerbinding Na+ Sodium proteinbeta CF Cysticfibrosis NaCl- Sodiumchloride CFF CysticFibrosisFoundation NE Neutrophilelastase CFTR Cysticfibrosis NF-ĸB NuclearfactorkappaB transmembrane conductanceregulator CG Cytosine-guanine ng Nanogram ChIP Chromatin NLS Nuclearlocalisation immunoprecipitation signal Cl- Chloride nm Nanometre cm2 Squarecentimetre NO Nitricoxide Co-IP Co-Immunoprecipitation NPD Nasalpotential difference COPD Chronicobstructive NRE Negativeregulatory pulmonarydisease element CT Computedtomography NRF NF-ĸB-repressingfactor CXCL8 Interleukin8 Oct-1 Octamer1 ddH O Doubledistilledwater OligoDT Oligodeoxythymidylic 2 5 acid DEPC Diethylpyrocarbonate P Openprobability o DMSO Dimethylsulfoxide P.aeruginosa Pseudomonas aeruginosa DNMT DNAmethyltransferase PAMP Pathogen-associated molecularpattern DNA Deoxyribonucleicacid PBS Phosphatebuffered saline dNTP Deoxynucleoside PCAF p300-CBPassociated triphosphate factor DTT Dithiothreitol PCR Polymerasechain reaction ECLTM WesternLightning™ pg Picogram Chemiluminescence Reagent EDTA Ethylenediaminetetra-acetic PGE2 ProstaglandinE2 acid ELISA Enzyme-linked PIC Proteinaseinhibitor Immunosorbentassay cocktail ENaC Amiloride-sensitiveepithelial PMN Polymorphonuclear sodiumchannel neutrophil FAD Flavinadeninedinucleotide PMSF Phenylmethylsulfonyl fluoride FCS Foetalcalfserum PolII PolymeraseII g Relativecentrifugalforce PRMT Arginine methyltransferase GNAT Gcn5-relatedN- PRR Patternrecognition acetyltransferase receptor H Histone PVDF Polyvinylidene difluoride H O Hydrogenperoxide qPCR Quantitativereal-time 2 2 polymerasechain reaction H2A Histone2A R Arginine H2B Histone2B RAW1,2 Washbuffer1and2 H3K4 Histone3lysine4 RCF Relativecentrifugal force H3K4me Histone3lysine4 RD Regulatorydomain trimethylation H3K9me Histone3lysine9 rDNase Recombinant trimethylation deoxyribonuclease H3K27 Histone3lysine27 Re-ChIP Re-Chromatin immunoprecipitation precipitation H3K27me3 Histone3lysine27 RHD Relhomologydomain trimethylation H3K36 Histone3lysine36 RNA Ribonucleicacid H4K20 Histone4lysine20 RNAase Ribonuclease H4R3 Histone4arginine3 RNA-seA RinobucleaseA HAT Histoneacetyltransferase ROS Reactiveoxygenspecies HCO Bicarbonate RPM Rotationsperminute 3- 6 HDAC Histonedeacetylase RT Reversetranscription HDM Histonedemethylase RT-QPCR Real-timequantitative polymerasechain reaction H.influenza Haemophilus S Serine influenzae HMT Histonemethyltransferase S.aureus Staphylococcusaureus IFN-γ Interferongamma SDS Sodiumdodecyl sulphate IgG ImmunoglobulinG SDS-PAGE Sodiumdodecyl sulphatepolyacrylamide gelelectrophoresis IKK IĸB kinase SEM Standarderrorofthe mean IL Interleukin SET Suppressorof variegation-Enhancerof zeste-Trithorax IL1-β Interleukin1beta SRC-1 Steroidreceptor coactivator-1 IL-6 Interleukin6 Streptavidin- Streptavidin- HRP horseradish-peroxidase IL-10 Interleukin10 SUMO SmallUbiquitin-related MOdifierprotein IP Immunoprecipitation TBS-T Trisbufferedsalineplus Tween-20 JmjC Jumonji TD/TAD Transactivationdomain JNK JunN-terminalkinase TF Transcriptionfactor K Lysine TGF-ß Transforminggrowth factor-beta K+ Potassium TIF-2 Transcriptional intermediaryfactor-2 Kac Epsilon-N-acetyllysine TNF-α Tumournecrosisfactor- alpha kb Kilobase TNFR Tumournecrosisfactor receptor KC Keratinocyte USF Upstreamstimulatory chemoattractant factors kDa KiloDalton UV Ultraviolet LARII LuciferaseassayreagentII V Volt LF Lipofectamine WT Wildtype 7 TABLE OF CONTENTS ABSTRACT.................................................................................................................................2 ACKNOWLEDGEMENTS............................................................................................................3 LISTOFPUBLICATIONS.............................................................................................................4 LISTOFABBREVIATIONS..........................................................................................................5 1 INTRODUCTION.................................................................................................................14 1.1 Overviewofcysticfibrosis...........................................................................................15 1.1.1 Aetiology......................................................................................................................15 1.1.2 Symptomsanddiagnosis.............................................................................................16 1.1.3 Therapy........................................................................................................................19 1.2 Inflammationincysticfibrosis.....................................................................................21 1.2.1 CFTRdeficiencyandlungpathology............................................................................21 1.2.2 Bacterialpresenceinthelungs....................................................................................24 1.3 Inflammatoryresponse...............................................................................................25 1.3.1 Overviewofaninflammatoryprocess.........................................................................25 1.3.2 Inflammatorychemokines...........................................................................................27 1.4 CXCL8anditsroleinCFinflammation.........................................................................28 1.4.1 ExcessiveinflammationinCF.......................................................................................28 1.4.2 CXCL8andotherpathologies.......................................................................................30 1.4.3 CXCL8structure...........................................................................................................34 1.4.4 CXCL8functions...........................................................................................................35 1.5 NF‐κB ............................................................................................................................ 38 1.5.2 OthertranscriptionfactorsinvolvedinCXCL8transcription.......................................43 1.6 Epigeneticregulationofgenetranscription................................................................48 1.6.1 Conceptofepigeneticsandepigeneticmodifications.................................................48 1.6.2 Chromatinremodelling................................................................................................49 1.6.3 Epigeneticmodifications.............................................................................................51 1.6.4 EpigeneticregulationoftheCXCL8gene.....................................................................64 1.6.5 Diseaseepigenetics.....................................................................................................65 1.6.6 EpigeneticsofCF..........................................................................................................66 1.7 Summary......................................................................................................................68 2 HYPOTHESISANDAIMS....................................................................................................69 3 MATERIALSANDMETHODS..............................................................................................71 8 3.1 Celllines.......................................................................................................................72 3.1.1 Cellculture...................................................................................................................73 3.1.2 Cellcounting................................................................................................................73 3.1.3 Cellfreezing.................................................................................................................74 3.2 HumanCXCL8enzyme-linkedimmunosorbentassay(ELISA).....................................74 3.3 Bicinchoninicacid(BCA)proteinassay........................................................................76 3.4 Real-timepolymerasechainreaction(qPCR)..............................................................76 3.4.1 TotalRNAisolation......................................................................................................77 3.4.2 Reversetranscription...................................................................................................78 3.4.3 Quantitativereal-timepolymerasechainreaction(qPCR)..........................................78 3.5 Transfections...............................................................................................................79 3.6 Cellviabilityandproliferationassay............................................................................80 3.7 Chromatinimmunoprecipitation(ChIP)......................................................................81 3.7.1 Cellfixation..................................................................................................................81 3.7.2 Sonication....................................................................................................................82 3.7.3 Immunoprecipitation...................................................................................................82 3.7.4 QPCR….........................................................................................................................84 3.8 Co-Immunoprecipitation(Co-IP).................................................................................84 3.8.1 Isolationofnuclearandcytoplasmicproteins.............................................................84 3.8.2 Co-immunoprecipitation(Co-IP)..................................................................................86 3.8.3 Westernblotting..........................................................................................................86 3.9 Bisulphitesequencing..................................................................................................89 3.9.1 GenomicDNAextraction.............................................................................................89 3.9.2 Bisulphiteconversion..................................................................................................90 3.9.3 PCRofbisulphiteconvertedDNA................................................................................90 3.9.4 Pyrosequencing...........................................................................................................91 3.10 Statistics.......................................................................................................................92 4 DIFFERENCESINEXPRESSIONANDPRODUCTIONOFCXCL8INCFANDNON-CFAIRWAY EPITHELIALCELLS...................................................................................................................93 4.1 Introduction.................................................................................................................94 4.2 Aims.............................................................................................................................95 4.3 Methods.......................................................................................................................95 4.3.1 Concentrationresponseandtimecourseexperiments..............................................95 4.3.2 CXCL8mRNAexpression..............................................................................................96 9 4.3.3 CXCL8mRNAstabilityexperiments.............................................................................96 4.4 Results..........................................................................................................................97 4.4.1 IL-1ß stimulates increased CXCL8 protein production from CF airway epithelial cells…………………………………………………………………………………………………………………………………97 4.4.2 IL-1ßinducesincreasedCXCL8mRNAexpressioninCFairwayepithelialcells.........103 4.4.3 The effect of transcription inhibitor Actinomycin D on basal CXCL8 mRNA expression….........................................................................................................................107 4.5 Discussion..................................................................................................................109 5 NF‐ĸB, AP‐1 AND C/EBPß TRANSCRIPTION FACTORS ARE INVOLVED IN CXCL8 EXPRESSIONINCFAIRWAYEPITHELIALCELLS.....................................................................112 5.1 Introduction...............................................................................................................113 5.2 Aims...........................................................................................................................114 5.3 Methods.....................................................................................................................115 5.4 Results........................................................................................................................116 5.4.1 IL‐1β‐induced CXCL8 promoter activation requires C/EBPß, NF‐ĸB and AP‐1 transcriptionfactors.............................................................................................................116 5.4.2 Increased basal binding of NF‐κB p65 transcription factor to the CXCL8 promoter . 120 5.5 Discussion..................................................................................................................124 6 NF‐κB, HISTONE ACETYLATION/METHYLATION AND DNA METHYLATION AT THE CXCL8 PROMOTERINCFAIRWAYEPITHELIALCELLS......................................................................128 6.1 Introduction...............................................................................................................129 6.2 Aims...........................................................................................................................131 6.3 Methods.....................................................................................................................132 6.4 Results........................................................................................................................133 6.4.1 IncreasedhistoneH3lysine4trimethylation(H3K4me3)attheCXCL8promoterinCF airwayepithelialcells...........................................................................................................133 6.4.2 HistoneacetylationattheCXCL8promoterinCFairwayepithelialcells..................134 6.4.3 NF‐κB acetylation at the CXCL8 promoter in CF airway epithelial cells .................... 135 6.4.4 P300bindingtotheCXCL8promoterinCFairwayepithelialcells............................136 6.4.5 DNAmethylationattheCXCL8promoterinCFairwayepithelialcells.....................138 6.5 Discussion..................................................................................................................141 7 BETPROTEININHIBITORSABOLISHCXCL8EXPRESSIONINCFAIRWAYEPITHELIAL CELLS….................................................................................................................................146 7.1 Introduction...............................................................................................................147 7.2 Aims...........................................................................................................................149 7.3 Methods.....................................................................................................................149 10

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