Introduction
Many factors including hormonal, biochemical and physical factors have been identified that modulate growth and development of the lung (Keijzer et al., Reference Keijzer, Liu, Deimling, Tibboel and Post2000; Cardoso, Reference Cardoso2001; Copland and Post, Reference Copland and Post2004; Rajatapiti et al., Reference Rajatapiti, Kester, de Krijger, Rottier, Visser and Tibboel2005). Among the variety of biochemical agents identified so far, retinoids (active derivatives of vitamin A) play a clearly defined role in lung development at its different stages (Gallot et al., Reference Gallot, Marceau, Coste, Hadden, Robert-Gnansia, Laurichesse, Déchelotte, Labbé, Dastugue, Lémery and Sapin2005; Maden, Reference Maden2004). Vitamin A (retinol) exerts important effects upon a vast number of development processes via signalling through heterodimerization complexes comprising retinoic acid receptors (RARs) and retinoid X receptors (RXRs) (Chambon, Reference Chambon1996). These receptors belong to the steroid/thyroid hormone receptor super family of ligand-inducible transcription regulators known to control the expression of target genes. All members of this family share a strongly conserved modular structure with discrete functional domains for ligand binding, DNA binding and transactivation. There are three RAR isotypes (RARα, β, γ) activated by both all-trans and 9-cis retinoic acid (RA) and three retinoid X receptors (RXRα, β, γ) only activated by 9-cis RA (Bastien and Rochette-Egly, Reference Bastien and Rochette-Egly2004). The RAR and RXR proteins interact with each other to form RAR/RXR heterodimers which are able to bind to specific DNA sequences called RA responsive elements usually located within the 5′-regulatory region of retinoid-regulated genes.
The importance of vitamin A in vertebrate lung development was first demonstrated by the observation that foetuses from pregnant rats which were fed a vitamin A-deficient diet had either agenesis of the left lung or rudimentary lung buds (Warkany and Wilson, Reference Warkany and Wilson1948; Chazaud et al., Reference Chazaud, Dolle, Rossant and Mollard2003). Double mutant mice RARα, β− / − revealed defects comparable with the consequences of vitamin A deficiency including hypoplastic lungs (Mendelsohn et al., Reference Mendelsohn, Lohnes, Decimo, Lufkin, LeMeur, Chambon and Mark1994; Kastner et al., Reference Kastner, Mark, Ghyselinck, Krezel, Dupe, Grondona and Chambon1997; Mascrez et al., Reference Mascrez, Mark, Dierich, Ghyselinck, Kastner and Chambon1998). Abnormalities in the vitamin A status and/or metabolism may also play a role in the genesis of congenital diaphragmatic hernia (CDH). CDH can be induced in rodent by either maternal retinol deficiency during pregnancy (Anderson, Reference Anderson1941 and Reference Anderson1949; Warkany and Wilson, Reference Warkany and Wilson1948; Wilson et al., Reference Wilson, Roth and Warkany1953; Mendelsohn et al., Reference Mendelsohn, Lohnes, Decimo, Lufkin, LeMeur, Chambon and Mark1994; Lohnes et al., Reference Lohnes, Mark, Mendelsohn, Dolle, Decimo, LeMeur, Dierich, Gorry and Chambon1995), or administration of nitrofen, a retinal dehydrogenase type 2 (RalDH2) inhibitor reducing the RA production (Nakao and Ueki, Reference Nakao and Ueki1987; Kluth et al., Reference Kluth, Kangah, Reich, Tenbrinck, Tibboel and Lambrecht1990; Mey et al., Reference Mey, Babiuk, Clugston, Zhang and Greer2003). Therefore maternal administration of retinol or RA was recently proposed as a potential therapeutic measure to decrease foetal lung abnormalities in the rodent ‘nitrofen-toxic’ CDH model (Thebaud et al., Reference Thebaud, Tibboel, Rambaud, Mercier, Bourbon, Dinh-Xuan and Archer1999; Babiuk et al., Reference Babiuk, Thébaud and Greer2004; Oshiro et al., Reference Oshiro, Asato, Sakanashi, Ohta and Sugahara2005).
Mammalian lung development can be divided into five stages (embryonic, pseudo-glandular, canalicular, saccular and alveolar). Lung development in rabbits is relatively comparable with that of humans. The pseudoglandular phase extends over more than 75% of gestation (23 to 24 of 31 to 33 days). Being quite long, it allows for feasible surgical procedures on foetuses sufficiently large. The next three stages of development are gone through in 3 to 4 days time (Kikkawa et al., Reference Kikkawa, Motoyama and Gluck1968). Alveolisation starts prior to birth and is completed postnatally (Kikkawa et al., Reference Kikkawa, Motoyama and Gluck1968; Pringle, Reference Pringle1986). The rabbit is an inexpensive, widely available animal with limited housing demands and short gestational duration. A surgical CDH rabbit model has been described inducing the morphological lung changes observed in the human conditions both in the airways and in the vasculature (Fauza et al., Reference Fauza, Tannuri, Ayoub, Capelozzi, Saldiva and Maksoud1994; Wu et al., Reference Wu, Yamamoto, Gratacos, Ge, Verbeken, Sueishi, Hashimoto, Vanamo, Lerut and Deprest2000; Roubliova et al., Reference Roubliova, Verbeken, Wu, Yamamoto, Lerut, Tibboel and Deprest2004). However the molecular retinoic pathway has been poorly studied in the lung parenchymal tissue of this specie. The aim of this study was to determine the presence and expression of RARs and RXRs during the different stages of rabbit lung development.
Material and methods
Animal and tissues collections
The Ethical Committee for Animal Experimentation of the Katholieke Universiteit Leuven approved the experiments and all animals were treated according to current guidelines on animal welfare. New Zealand rabbits were housed in separate cages at normal room temperature and daylight, with free access to food and water. They were euthanased with a 3 ml slow intravenous injection of a mixture of embutramine 200 mg/ml, mebezonium iodide 50 mg/ml and tetracaine hydrochloride 5 mg/ml (T61; Marion Roussel, Brussels, Belgium). Tissue samples used were entire embryos (8th and 11th day of gestation), foetal lung (21st, 26th, 28th, 31st day of gestation) and post-natal lung (1st and 6th week of life) from New Zealand rabbits. These were either frozen at − 80°C for cloning and reverse transcription-polymerase chain reaction experiments or placed in moulds with embedding medium and frozen on the surface of dry ice for immunohistochemistry assays.
Partial cloning of retinoids receptors
A Dounce homogeniser was used for tissue disruption and Trizol (Invitrogen®, Cergy-Pontoise, France) to extract total RNA. The cDNA was generated using superscript first-strand synthesis system for the reverse transcription - polymerase chain reaction (RT-PCR) (Gibco-BRL®, Cergy-Pontoise, France). Using the highly conserved nature of the nuclear retinoid receptors (RARs and RXRs) gene family and of the house keeping gene 36B4, consensus PCR primers were designed (Web program ‘Primer3’) against regions of high homology between the mouse, rat and human sequences. These primers were used to amplify the portions of the coding regions using the cDNA of entire rabbit embryos. PCR amplification was carried out in an Eppendorf tube with initial denaturation at 95°C for 5 min, followed by denaturation at 95°C for 45 s, annealing at 53°C for 45 s, and extension at 72°C for 60 s (45 cycles), terminated by a final extension of 72°C for 7 min. The PCR products were separated on a 2% agarose gel, ligated into the plasmid pCRII-TOPO (Invitrogen®, Cergy-Pontoise, France) and sequenced on both strands by using the DNA dye terminator cycle sequencing kit (Applied Biosytems®, Courtaboeuf, France) and the Applied Biosystems model 377 DNA sequencer.
RT-PCR amplifications of the retinoids receptors
The temporal distribution of the RARα, β, γ and RXRα, β, γ mRNA in the lung samples was studied by RT-PCR assays. A Dounce homogeniser was used for tissue disruption and Trizol (Invitrogen®, Cergy-Pontoise, France) to extract total RNA. The cDNA was generated using superscript first-strand synthesis system for RT-PCR (Gibco-BRL®, Cergy-Pontoise, France). The RNA quantity was determined by spectrophotometeric measurement at 260 and 280 nm (ratio with proteins). The RNA quality was studied by the RNA/protein ratio (260 nm / 280 nm) and by gel electrophoresis (2% agarose) to observe the presence of intact 28S and 18S RNA bands. The oligonucleotide primers to amplify rabbit RARα, β, γ and RXRα, β, γ and 36B4 are described in Table 1. Two microlitres of cDNA from specimen harvested at the 21st (late pseudo-glandular stage), 26th (canalicular stage), 28th (saccular stage), 31st (alveolar stage) day of gestation as well as the 1st and 6th week of life were amplified by initial denaturation at 95°C for 10 min followed by denaturation at 95°C for 45 s, annealing at 55°C for 45 s and extension at 72°C for 1 min (32 cycles), followed by a final extension of 72°C for 7 min in a Eppendorf mastercycler. The PCR products were analysed by electrophoresis on a 12% polyacrylamide gel and sequenced as described earlier (Goncalves-Mendes et al., Reference Goncalves-Mendes, Blanchon, Meiniel, Dastugue and Sapin2004). Amplification of the housekeeping gene acidic ribosomal phosphoprotein P0 (36B4) was used as positive control. A negative control for amplimer contamination was set up using a complete PCR reaction mix without cDNA.
† Specific primers for retinoic acid receptors (RARα, β and γ), retinoid X receptors (α, β and γ) and 36B4 (ribosomal house-keeping gene) were designed using the strong sequence homologies found in human, rat and mouse species. The calculated values of optimal hybridisation temperature (Tm) and the predictive length (base pairs, bp) were noted respectively for each primer and each potential amplified sequence.
Immuolocalization of the retinoids receptors
The translation into RARα, β, γ and RXRα, β, γ proteins was demonstrated by immunohistochemistry. Sectioning and immunohistochemistry were performed as previously described (Goncalves-Mendes et al., Reference Goncalves-Mendes, Blanchon, Meiniel, Dastugue and Sapin2004) using six primary polyclonal specific epitope antibodies against RARα, β, γ and RXRα, β, γ, respectively Santa-Cruz (sc) 551, 552, 550, 553, 831, 555 (SantaCruz®, Tebu-France, Le Perray en Yvelines, France). The cryosections of lung were fixed in 4% paraformaldehyde in PBS (pH 7.4) at 25°C for 10 min, rinsed three times with PBS, and incubated in PBS with 3% bovine serum albumin (Sigma Aldrich, Saint-Quentin-Fallavier, France) at 25°C for 30 min. Using the Historodent® kit (Cliniscience, Montrouge, France), the antibodies diluted at 1/200 were incubated 15 min at room temperature followed by incubation with anti-rabbit IgG FITC-conjugated secondary antibody during 5 minutes at room temperature. Histological examination was performed after DAPI (nuclear) staining (1 min, dilution in PBS: 1/500) using a Zeiss Axiophot microscope (Carl Zeiss, Oberkochen, Germany).
Results
Rabbit RARs and RXRs mRNA fragments were obtained by RT-PCR, using entire embryos mRNA: DQ102471 / RARα, DQ102472 / RARβ, DQ102474 / RARγ, DQ102473 / RXRα, DQ102475 / RXRβ and DQ102476 / RXRγ? (Figure 1a). Rabbit RAR and RXR cDNA sequences displayed a strong homology to those reported for mouse, rat and human (87 to 100% for RARs and 84 to 95% for RXRs; see Figure 2). Similar homology was found in terms of predictive amino acid sequence (96 to 100% for RARs and 93 to 100% for RXRs, data not shown). At all developmental stages RARα, β and RXRα, β mRNA were detected by RT-PCR assays. In contrast, the transcripts of RARγ and RXRγ were not detected at any stage of lung development (Figure 1b). The developmental expression pattern was similar in the left and right lung (Table 2). No postnatal modification of RARs and RXRs transcript expression was detected at the 1st or 6th week of life. Translation into RARα, β and RXRα, β proteins was demonstrated by immunohistochemistry at all developmental stages analysed by the RT-PCR approach. All of them presented similar bronchial expression (Figure 3 and data not shown).
† L: left lung; R: right lung.
Discussion
Our cloning results established the presence of all six nuclear retinoid receptors in the New Zealand rabbit embryo, completing the previous description of one single sequence (AF126242 / rabbit kidney) related to nuclear retinoid pathways. The identification of the retinoid receptors in the rabbit species supports the molecular actions of RA previously described in rabbit trachea (Nervi et al., Reference Nervi, Vollberg, George, Zelent, Chambon and Jetten1991; Inayama et al., Reference Inayama, Kitamura, Shibagaki, Usuda, Ito, Nakatani and Kanisawa1996) and rabbit stomach development (Karam et al., Reference Karam, Ansari, Al-Dhaheri and Alexander2004). The necessity to design the primers in highly conserved regions in order to clone the rabbit retinoid receptors probably contributed to the high degree of sequence homology with the other species. Nevertheless this strong homology for each RAR and RXR was anticipated by the phylogenic studies of Escriva et al. (Reference Escriva, Bertrand and Laudet2004). Similar homology was found in terms of predictive amino acid sequence (96 to 100% for RARs and 93 to 100% for RXRs, data not shown).
We demonstrated the expression of RARα, β and RXRα, β mRNA during the pseudo-glandular, canalicular, saccular and alveolar stages of the rabbit lung development. Immunohistochemistry confirmed the strong correlation between the mRNA and the proteins pattern of expression for retinoid receptors. The presence and co-localization of RAR and RXR in the developing rabbit lung supports the formation of RAR/RXR heterodimers, the molecular actors of nuclear RA signalling pathway (Bastien and Rochette-Egly, Reference Bastien and Rochette-Egly2004). Data from a variety of studies conducted in the mouse model established that retinoids play a crucial role during lung development. At the embryonic stage, retinoids participate in the initial budding of the lungs from the foregut (Dolle et al., Reference Dolle, Fraulob, Kastner and Chambon1990 and Reference Dolle, Ruberte, Leroy, Morriss-Kay and Chambon1994; Mendelsohn et al., Reference Mendelsohn, Lohnes, Decimo, Lufkin, LeMeur, Chambon and Mark1994; Mascrez et al., Reference Mascrez, Mark, Dierich, Ghyselinck, Kastner and Chambon1998). No lung abnormalities have been described in other species like rabbits or humans after maternal retinol deficiency or impairment of the retinoid signalling pathway during the embryonic stage (Wilcox et al., Reference Wilcox, Irish, Holm and Glick1996). Early maternal administration of nitrofen, a toxic reducing RA synthesis, only induces lung hypoplasia and diaphragmatic hernia in the murine model. This lack of evidence for an early critical role of retinoids in rabbit lung development led us to give up microdissection of the rabbit lungs at day 8 and 11 (retinoid receptors expression demonstrated in the total embryo). During the subsequent stages, RARα, β and RXRα, β were expressed. During the pseudo-glandular stage, the mouse model established that RA works as an inhibitor in distal branching (Malpel et al., Reference Malpel, Mendelsohn and Cardoso2000). This activity is supported by the transcriptional regulation of RA target genes implicated in lung development such as transforming growth factor (TGF) β3, Sonic hedgehog, fibroblast growth factor (FGF) 10, Homeobox genes (a2, a4, a5, b5 and b6), receptor of epidermal growth factor (EGF) or midkine (Maden, Reference Maden2004,). RARα, RXRα and β are associated with epithelial cell differentiation and structural changes during the transition from the glandular to the canalicular stage of lung development (Belloni et al., Reference Belloni, Garvin, Mao, Bailey-Healy and Leaffer2000). In human, ultrasonographic prenatal screening usually occurs at 22 weeks of gestation, i.e. after the transition from the glandular to the canalicular stage. Therefore, most of lung abnormalities are detected at this stage of development. It enlightens the interest to demonstrate retinoid receptors expression after the pseudo-glandular stage rather than earlier because retinoids as a potential therapy could not be used earlier when the diagnosis is still not established. During the saccular period, RA stimulates proliferation of the stem cells of the alveolar epithelium through an EGF-mediated pathway (Schuger et al., Reference Schuger, Varani, Mitra and Gilbride1993; Massaro and Massaro, Reference Massaro and Massaro1996). During the alveolar period, retinoids are effective in promoting alveolar subdivision or septation (Hind et al., Reference Hind, Corcoran and Maden2002; Biesalski and Nohr, Reference Biesalski and Nohr2003).The absence of RXRγ and RARγ expression was already established during lung development in mice (Dolle et al., Reference Dolle, Fraulob, Kastner and Chambon1990 and Reference Dolle, Ruberte, Leroy, Morriss-Kay and Chambon1994) and rats (Grummer et al., Reference Grummer, Thet and Zachman1994) even if some studies supported the presence of some isoforms of RARγ? (Grummer et al., Reference Grummer, Thet and Zachman1994; McGowan et al., Reference McGowan, Harvey and Jackson1995; Hind et al., Reference Hind, Corcoran and Maden2002; Biesalski and Nohr, Reference Biesalski and Nohr2003). Three RARs and three RXRs have been demonstrated in the developing human lung (Rajatapiti et al., Reference Rajatapiti, Kester, de Krijger, Rottier, Visser and Tibboel2005). Our results complete the list of nuclear receptors previously described to be expressed in the rabbit developing lung including pregnane X receptor (Savas et al., Reference Savas, Wester, Griffin and Johnson2000), glucocorticoid receptor (GR) (Hummelink and Ballard, Reference Hummelink and Ballard1986), androgen receptor (Giannopoulos and Smith, Reference Giannopoulos and Smith1982), thyroid receptor (TR) (Ballard et al., Reference Ballard, Hovey and Gonzales1984), progesterone receptor (Camacho-Arroyo et al., Reference Camacho-Arroyo, Ruiz, Gamboa-Dominguez, Perez-Palacios and Cerbon1994) and peroxisome proliferator activated receptor (Michael et al., Reference Michael, Lazar and Mendelson1997). In both humans (Rajatapiti et al., Reference Rajatapiti, Kester, de Krijger, Rottier, Visser and Tibboel2005) and rabbits, developing lungs express receptors TR, RAR, RXR and GR.
In conclusion, our study demonstrates the partial cloning, the presence of retinoid receptors and their expression during lung development in rabbits. These results are a crucial step to determine the role of retinoids at a molecular level in the pathophysiology of lung development including the surgical model of congenital diaphragmatic hernia.
Acknowledgements
We thank Dr Graham Hutchings for his valuable contribution in reviewing the manuscript. D. Gallot was supported by grants from Société Française de Médecine Périnatale and Collège National de Gynécologues et Obstétriciens Français. G. Marceau and V. Sapin were supported by INSERM grants (respectively Poste Accueil and Contrat Interface). The ‘ARDEMO’ team was supported by the French Research Department (Jeune Equipe 2447).