Examination of the Role of Zip8 and Cadmium in the Development of Chronic Obstructive Pulmonary Disease
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EXAMINATION OF THE ROLE OF ZIP8 AND CADMIUM IN THE DEVELOPMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE DISSERTATION Presented in Partial Fulfillment of the Requirements for the Degree Doctor of Philosophy in the Graduate School of The Ohio State University By Jessica Rose Napolitano, B.A. Biomedical Sciences Graduate Program The Ohio State University 2014 Dissertation Committee: Daren L. Knoell, PharmD., Advisor Estelle Cormet- Boyaka, PhD. Mark Failla, PhD. Joanne Turner, PhD. Copyright by Jessica Rose Napolitano 2014 ABSTRACT Chronic obstructive pulmonary disease (COPD) is a complex respiratory disease primarily caused by cigarette smoking. Cadmium (Cd), a toxic metal abundantly present in cigarette smoke, has been implicated in the development of disease, and accumulates in the bodies of smokers. It was recently discovered that a zinc (Zn) transporter, SLC39A8 (ZIP8), is responsible for the primary import of Cd into cells. Our lab discovered ZIP8 is under the transcriptional regulation of the central inflammatory NF-κB pathway. We hypothesize that inflammation in the lung created by smoke exposure increases the expression of ZIP8 thereby facilitating Cd uptake and pathology associated with COPD. The first aim of our work addressed the role of ZIP8 in Cd-mediated epithelial cell toxicity using the adenocarcinomic alveolar epithelial A549 cell line. Cd-induced toxicity was enhanced by TNFα in an NF-κB-dependent manner, which stimulated expression of ZIP8. Use of an NF-κB (p65) inhibitor (Bay11- 7082) or ZIP8 siRNA resulted in a significant decrease in cell toxicity. Cell death was also reversible with increasing concentrations of the micronutrient Zn. Immunohistochemical analysis of primary human upper airway epithelial cells revealed preferential ZIP8 expression on the environmentally-facing apical ii membrane. Analysis of lung tissue from GOLD stage 0 cigarette smokers and non-smoking controls revealed ZIP8 mRNA and protein to be significantly increased in the lungs of smokers. We translated these findings into a mouse model of chronic cigarette smoke exposure using a transgenic ZIP8 overexpressing mouse line. ZIP8 overexpression dramatically increased emphysematic pathology, compared to smoke exposed C57/Bl6 control mice. In line with previous studies, our epidemiologic analysis of the 2011-2012 National Health and Nutrition Examination Survey revealed blood Cd levels of smokers correlated with lower Zn serum levels. Based on our findings, we contend ZIP8 is a potential mediator of COPD pathogenesis by creating an imbalance of the toxicant Cd and micronutrient Zn. Lastly, we investigated the contribution of Cd to macrophage dysfunction in COPD. We found Cd to significantly reduce a macrophages ability to respond to an endotoxin challenge, specifically by inhibiting NF-κB activity, an effect not observed in monocytes, a closely related cell type. Atomic absorption spectroscopy revealed a greater accumulation of Cd within macrophages than monocytes, suggesting fundamental differences in Cd metabolism. We postulate this may be an important mechanism by which Cd contributes to impaired immune responses observed in COPD patients. Taken together, this novel body of work suggests Zn metabolism may inadvertently contribute to COPD pathogenesis by facilitating cadmium import and thereby lung pathology. iii DEDICATION This document is dedicated to my future husband and best friend, Andrew. iv ACKNOWLEDGMENTS First, I would like to thank my advisor, Dr. Daren Knoell. You constantly challenged and encouraged me to become a better scientist, and I am deeply appreciative of your mentorship. I am grateful for your unwavering support in my pursuit of opportunities to diversify my training, as this has made all the difference as I begin to establish my career. You are an outstanding teacher and I am proud to have completed my training under your tutelage. Thank you. The members of my lab, past and current, have all played a significant role in my training. Ying Bao, thanks for always being so patient and taking the time to teach me nearly every bench technique I have learned. Mingjie Liu, I feel fortunate to have worked with a scientist as talented and meticulous as you, as you’ve set an outstanding example for me to follow. Charlie Pyle, thank you for all of your scientific discussion in lab meetings and over cups of Brennen’s coffee, they undoubtedly improved my work. Many thanks to my collaborators on the 4th floor of the DHLRI and beyond for your invaluable assistance and expertise. I would like to thank Drs. Amy Ferketich and Susan Olivo-Marston for their collaboration and encouragement to discover and pursue the science I love. I would also like to thank my committee members Dr. Estelle Cormet-Boyaka, Dr. Mark Failla and Dr. Joanne Turner whom have been incredibly generous with v their time, support and guidance. Your input has greatly improved this body of work and I sincerely appreciate your assistance. I would also like to thank my friends and family for their constant encouragement through graduate school. Ashley Bowers, I am so grateful for your friendship and all of our time spent together outside of the lab, you helped keep me balanced. To my sisters, Alyssa and Kelsey, you’ve been my biggest cheerleaders and I’m so appreciative of your friendship. To my parents, Thomas and Christine, thank you for recognizing my love of learning early, and nurturing my passion for science. You gave me the courage to pursue my Ph.D. and I cannot thank you enough for always believing in me, no matter the circumstances. And last but not least, thanks to my favorite classmate and husband-to-be, Andrew. Thank you for all of your love, patience and encouragement on this journey. I am so grateful to have found such a wonderful teammate in you, and I am so excited to see what life has in store for us. vi VITA March 13, 1987 ...................................... Born – New York, New York June 2005 ............................................... Mineola High School May 2009 ................................................ B.A. Biology, College of the Holy Cross July 2009 to present .............................. Graduate Research Associate, Department of Pulmonary, Critical Care, Allergy and Sleep Medicine, The Ohio State University PUBLICATIONS 1. Jessica R. Napolitano, Mingjie Liu, Shengying Bao, Estelle Cormet-Boyaka, Patrick Nana-Sinkam, Melissa Crawford, Daren L. Knoell. Cadmium toxicity requires NF-kB-mediated transcriptional activation of the human zinc transporter ZIP8 in lung epithelia. Am J Physiol Lung Cell Mol Physiol. 2012 May;302(9):L909-18 2. Liu M-J, Bao S, Napolitano JR, Burris DL, Yu L, et al. (2014) Zinc Regulates the Acute Phase Response and Serum Amyloid A Production in Response to Sepsis through JAK-STAT3 Signaling. PLoS ONE 9(4): e94934. doi:10.1371/journal.pone.0094934 FIELDS OF STUDY Major Field: Biomedical Sciences Graduate Program vii TABLE OF CONTENTS Abstract .................................................................................................................ii Dedication ............................................................................................................iv Acknowledgments ................................................................................................ v Vita ...................................................................................................................... vii List of Tables ....................................................................................................... xii List of Figures ..................................................................................................... xiii List of Abbreviations……………………………………………………………………….......xv Chapter 1: Introduction ........................................................................................ 1 1.1 General Introduction………………………………………………………..1 1.2 COPD……..………………………………………………………………….1 1.2.1 Clinical Pathology ………………………………………………..1 1.2.2 Cellular responses to tobacco smoke………………………….4 1.2.3 Tobacco constituents, cadmium and immune activation……..6 1.2.4 Inflammatory signaling…………………………………………...8 1.2.5 Hypothesized disease mechanisms………………………......12 1.3 Tobacco smoking………………………………………………………….14 viii 1.3.1 Epidemiology…………………………………………………….15 1.3.2 Cadmium toxicity………………………………………………..17 1.4 Zinc nutrition and metabolism……………………………………………19 1.4.1 Zinc biochemistry………………………………………………..19 1.4.2 Dietary zinc………………………………………………………20 1.4.3 Zinc metabolism………………………………………………...22 1.4.4 ZIP8 and inflammation…………………………………………23 1.4.5 ZIP8 and cadmium…………………………………………......25 1.5 Specific aims……………………………………………………………….26 1.6 Tables………………………………………………………………………29 1.7 Figures……………………………………………………………………...30 Chapter 2: Cd-mediated toxicity of lung epithelia is mediated through ZIP8 expression in vitro………………………………..……………………………30 2.1 Summary…………………………………………………………………...30 2.2 Results……………………………………………………………………...32 2.3 Discussion………………………………………………………………….37 2.4 Materials and methods……………………………………………………43 2.5 Figures……………………………………………………………………...50 Chapter 3: The contribution of Cd and ZIP8 to COPD pathogenesis in vivo……54 3.1 Summary…………………………………………………………………...54 3.2 Results……………………………………………………………………...56 3.3 Discussion………………………………………………………………....64 ix 3.4 Materials and methods……………………………………………………72 3.5 Figures……………………………………………………………………...80 Chapter 4: Determining the influence of Cd upon monocytes and macrophage immune function……………………………………………………………….86 4.1 Summary…………………………………………………………………...86 4.2