Animal welfare
All experimental procedures were performed according to the animal welfare regulations of Yamagata University Faculty of Medicine.
The study protocol was approved by the Animal Subjects Committee of Yamagata University Faculty of Medicine (Approval number 29050, Date of approval March 9th, 2017, Approved by Hiroshi Iizuka (Chairman of Animal Research Committee Director (Research) Yamagata University)).
The investigation conformed to the Guide for the Care and Use of Laboratory animals published by the U.S. National Institutes of Health (NIH Publication, 8th Edition, 2011).
Materials and reagents
L-methionine, D,L-Hcy, vitamin B12, and folate were purchased from Sigma-Aldrich (St. Louis, MO, USA). Rabbit monoclonal anti-phospho- eIF2α and rabbit polyclonal anti-β-Tubulin were purchased from Cell Signaling Technologies (Danvers, MA, USA). Rabbit polyclonal anti-phospho- IRE1α and mouse monoclonal anti-ATF6 were purchased from Novus Biologicals (Littleton, CO, USA). Rabbit polyclonal anti-t-IRE1α, rabbit polyclonal anti-GRP78, mouse monoclonal anti-CHOP, and rabbit polyclonal anti-Hcy were purchased from Abcam (Cambridge, MA, USA). Annexin V-FITC Kit was purchased from MBL (Nagoya, Japan).
Animal maintenance and diet-induced HHcy mice model
Seven- to nine-week-old male C57BL/6 mice were housed in standard cages (2–5 per cage) in a temperature-controlled room with a 12/12-h light/dark cycle and were fed a normal diet (Oriental Yeast Co., Ltd, Tokyo, Japan). A report showed that methionine supplementation at concentrations of 1% in water induced HHcy in male C57BL/6 mice (42). The mice were administered to normal water or L-methionine (Met) at 1% concentrations in drinking water and were exposed to the air or CS of five nonfiltered cigarettes (Peace; Japan Tobacco Inc., Japan) for 30 min, twice per day, 5 days per week, using a whole-body smoking exposure apparatus (INH03-CIGR01A; MIPS, Osaka, Japan). For sample size determination, we determine a reasonable number of animals that can be statistically tested, do not involve excessive animal sacrifice, and refer to similar experimental reports in the previous study (43). All mice that had completed drug administration or smoking exposure were included in the analysis.
Measurement of plasma Hcy
Blood was collected from the inferior vena cava to the tubes containing K2 EDTA. Plasma was separated by centrifugation at 4°C, 1300 × g for 15 min. Plasma Hcy level was measured using high-performance liquid chromatography (44), with the cooperation of the Japan Institute for the Control of Aging, NIKKEN SEIL Co., Ltd.
Histological analysis
To examine the development of pulmonary emphysema, the lungs were fixed with intratracheal instillation with 4% buffered formalin at a constant pressure of 25 cmH2O, and paraffin-embedded lung blocks were prepared. Three-µm-thick lung sections were stained with hematoxylin and eosin. The mean linear intercept (MLI), as a measure of the interalveolar septal wall distance (45), was measured using light microscopy at 400× magnification. The MLI was obtained by dividing the length of a line drawn across the lung section by the total number of intercepts encountered in 50 lines per mouse lung, as described previously (43).
Cell culture
Human lung alveolar epithelial A549 cells were purchased from the Cell Resource Center for Biomedical Research, Institute of Development, Aging and Cancer, Tohoku University, Japan, and were cultured in DMEM supplemented with 10% fetal calf serum, L-glutamine, and an antibiotic-antimycotic solution (100 units/ml of penicillin, 100 µg/ml of streptomycin, and 0.025 µg/ml of amphotericin B; Gibco) in a humidified incubator at 37°C with 5% CO2. To examine the cytotoxic effects of Hcy and cigarette smoke extract (CSE), A549 cells were stimulated using varying concentrations of Hcy (0‒10 mM) and/or 20% of CSE.
Preparation of cigarette smoke extract
CSE was produced as described previously (35, 46). Briefly, smoke from one stick of cigarette was bubbled through 25 ml of Hanks’ Balanced Salt Solution. The resultant product was defined as 100% CSE.
Vitamin treatment
In the previous study, vitamin B12 and folate supplementations have been reported to reduce ER stress caused by Hcy (16). Vitamin B12 were dissolved in water. Folate was dissolved in 0.1 M NaOH. Compounds with the same vitamin B12 and folate concentration ranging 5‒50 µM were diluted in a cultured medium to examine whether these compounds can restore ER stress in a dose-dependent manner.
Flow cytometry
A549 cell apoptosis was investigated following the addition of fluorescein isothiocyanate (FITC)-conjugated Annexin V and propidium iodide according to the manufacturer’s protocol. Apoptosis was regarded as the cell percentage in the Q3 quadrant. The results were analyzed using flow cytometry (EC800 Flow Cytometry Analyzer; Sony Biotechnology Inc. Tokyo, Japan).
Western blotting analysis
A549 cells were lysed in ice-cold radioimmunoprecipitation assay lysis buffer containing 50 mM Tris-HCl, pH 7.5, 150 mM NaCl, 1mM EDTA, 0.1% NP-40, 1 mM DTT, 0.1% SDS, 100 mM PMSF, 100 mM NEM, 100 mM iodoacetamide, and 1% phosphatase inhibitor. The protein concentration of each sample was determined using the BCA protein assay (Bio-Rad Laboratories, Inc., Hercules, CA, USA). Equal amounts of protein were electrophoresed on 8–10% sodium dodecyl sulfate-polyacrylamide gels and electrotransferred onto polyvinylidene difluoride membranes (GE Healthcare UK Ltd, Little Chalfont, UK). Membranes were blocked with 20 mM Tris-HCl, pH 7.4, containing 150 mM NaCl, 0.1% Tween (TBS-T), and 5% milk or 5% BSA at room temperature for 1 h. Then the membranes were probed with primary antibodies diluted in TBS-T. After incubation with horseradish peroxidase-conjugated secondary antibodies diluted in TBS-T containing 5% milk or 5% BSA, immunoreactive bands were detected using an ECL kit (Amersham Biosciences, Piscataway, NJ, USA) (47). The expression levels of GRP78, IRE1α, eIF2α, ATF6 and CHOP were examined. GRP78 (also known as BiP and HSPA5) is sequestered by binding to unfolded or misfolded polypeptide chains and/or unassembled multisubunit proteins, thereby leading to the release and, consequently, the activation of the ER-stress sensors such as IRE1α and PKR-like ER kinase (PERK) (48). Each sensor introduces its own unfolded protein response signaling pathways, activated PERK phosphorylate eIF2α, causing apoptosis cascade by upregulating CHOP transcription in chronic ER stress (49). The expression of CHOP, a pro-apoptotic protein, is currently used as a marker of chronic ER stress and subsequent apoptosis (50).
Statistical analysis
Data are expressed as the mean ± standard error or median and interquartile range. Differences between groups were assessed using analysis of variance, which was followed by the Tukey–Kramer test or Steel–Dwass test. Significance was inferred for P values < 0.05. Statistical analyses were performed using JMP version 12.2 software (SAS Institute, Cary, NC, USA).