Study approval. All mouse studies were approved for use by the Institutional Animal Care and Use Committee of the University of Vermont under protocol number X9-016.
HDM. HDM (XPB70D3A2.5) was purchased from GREER and suspended in Phosphate Buffered Saline (PBS). HDM concentration was determined by protein concentration.
Human bronchial epithelial cell culture experiments. HBEC-3KTs (ATCC CRL-4051) were plated in 2mL DMEM/F12 (Gibco 11330057) with added growth factors at 4 X 106 cells per dish in 35mm dishes and allowed to adhere overnight. Cells were then exposed to either 50µg HDM or PBS control, after a 2-hour starvation period in DMEM/F12 without added growth factors. Cells were subsequently exposed to the same HDM concentration again 48 hours later, and supernatants and cell lysates were collected at corresponding time points. Cells used for immunofluorescence were plated on chamber slides (Nunc Lab-Tek II CC2 Chamber Slide System 154852) at 2.5 X 106 cells per chamber and put through the same exposure protocol.
Primary mouse tracheal epithelial cell culture experiments. Primary MTECs were isolated and cultured, as previously described (23), from mice containing LoxP sites flanking exons 3 and 5 of Drp1. Drp1loxp/loxp mice were obtained from Dr. Hiroma Sesaki at Johns Hopkins University (13). MTECs were plated in 35mm dishes coated with 100µg monomeric rat tail collagen (Corning 354236) at 7 X 106 cells per dish and allowed to adhere overnight. Cells were infected with adenovirus expressing Cre recombinase (Vector BioLabs 1700) at an MOI of 8 per cell to delete Drp1 (adenovirus expressing GFP – Vector BioLabs 1300 – was used as a control). Cells were incubated for 3 to 5 days before being exposed to HDM in the same manner as described for the HBECs and supernatants and cell lysates were collected at corresponding time points. Cells used for immunofluorescence were plated on chamber slides coated with collagen at 4 X 106 cells per chamber and subjected the same adenoviral and HDM protocols.
Transgenic mice. Bi-transgenic mice, obtained from Dr. Whitsett at Cincinnati Children’s Hospital (24), were crossed with Drp1loxp/loxp mice. The bi-transgenic mice contained two genetic inserts, rat club cell secretory protein promoter linked to reverse tetracycline transactivator (CCSP-rtTA) and a tetracycline operon linked with Cre recombinase (TetOP-Cre). The resulting mice (CCSP-rtTA+, TetOP-Cre+, Drp1loxp/loxp) could deplete DRP1 from club cells (∆Epi-Drp1) upon induction by doxycycline, introduced via mouse chow (6 g/kg; Purina Diet Tech, St Louis, Mo). Mice were given doxycycline-containing chow 10 days before HDM exposure and were maintained on doxycycline-containing chow for the duration of the experiment. Littermates missing one of the three genetic inserts (CCSP-rtTA+/TetOP-Cre + or CCSP-rtTA+/Drp1loxp/loxp) also given doxycycline-containing chow were used as controls (Ctrl).
AHR assessment. Mice were anesthetized using sodium pentobarbital (90mg/kg) via intraperitoneal injection and tracheotomized using 18-guage cannula. Mice were mechanically ventilated at a rate of 200 breaths/minute using a FlexiVent computer-controlled small-animal ventilator (SCIREQ). Newtonian resistance (Rn), tissue dampening (G), and tissue elastance (H) were measured in the mice after exposure to increasing concentrations of aerosolized methacholine. Results are shown as the average of three peak measurements with a COD value greater than 0.85.
Bronchoalveolar lavage fluid processing. Bronchoalveolar lavage fluid (BALF) was collected by washing the airways with 1mL of cold, sterile PBS. Cells were then isolated via centrifugation and total cell counts were determined by using a hemocytometer (Hausser Scientific). Cytospins were conducted and cells were stained using Hema3 stain reagents (Thermo Fisher Scientific) to obtain differential cell counts. 300 cells minimum were counted to determine differential counts.
ELISAs. For cell culture experiments, supernatants were collected 24 hours after the second HDM dose and used to assess secreted levels of IL8, IL6, CCL20, and G-CSF (R&D Systems) per the manufacturer’s instructions. For mouse experiments, right side lung lobes were flash frozen immediately after harvest and crushed to make lysates in buffer containing 137 mM Tris-HCL (pH 8.0) 130 mM NaCl, and 1% NP-40. Samples were normalized to total lung protein and used to assess expression levels of IL5, IL6, IL33, CXCL1, Eotaxin-1 (R&D Systems DuoSet ELISA Kits), IL4, and IL13 (eBioscience) per manufacturer’s instructions.
Western blots. For cell culture experiments, cells were lysed in buffer containing 137 mM Tris-HCL (pH 8.0) 130 mM NaCl, and 1% NP-40. For mouse experiments lungs were flash frozen, pulverized and crushed and lysates were made in the same buffer. The desired soluble proteins were separated from insoluble proteins via ultracentrifugation. Following protein quantification, samples were resuspended in loading buffer with dithiothreitol (DTT) and resolved by SDS-PAGE. Proteins were transferred to PVDF and membranes were probed using standard immunoblotting protocol. Membranes were probed for phosphorylated DRP1 (pDRP1 – Cell Signaling Technology 3455S), total DRP1 (tDRP1 – BD 611113), and β-actin (Sigma A5441). Quantification of protein expression was determined by densitometry using ImageJ software (NIH, https://imagej.nih.gov/ij/).
Immunofluorescence. For cell culture experiments, cells were fixed at corresponding time points following HDM exposure using freshly prepared 4% paraformaldehyde for 10 minutes and permeabilized for 30 minutes in 0.2% Tween-20 in PBS at room temperature. For mouse experiments, left lung lobes were formalin fixed overnight at 4° C, mounted in paraffin, and sectioned at 5µm thickness. Sections were fixed to glass slides and prepared for immunofluorescence by deparaffinization using xylene and rehydration through a series of ethanol washes. Lung antigen retrieval was achieved by submersing slides in sodium citrate buffer (pH 6.0) with 0.05% TWEEN-20 at 95°C for 20 minutes. For both cells and lung sections, samples were blocked in 1% BSA in PBS for 1 hours, followed by overnight incubation on primary antibody, diluted in PBS, at 4°C. For cells, pDRP1 was used at a concentration of 1:200 and VDAC (Invitrogen PA1-954A) was used at 1:300. For lung sections, CC10 (Santa Cruz sc-390313) and cleaved caspase-3 (Cell Signaling Technology 9661) were used at a concentration of 1:300. Slides were then washed 3 X 5 minutes in PBS and subsequently incubated for 1 hour at room temperature in fluorescent-conjugated secondary antibodies (Life Technologies) at half the concentration of the primary antibodies in 1% BSA in PBS. Samples were counterstained with DAPI at 1:4000 in 1% BSA in PBS for 10 minutes at room temperature and mounted using AquaPoly mounting medium (Polysciences 18606). Images were taken on a Nikon Laser Scanning Confocal Microscope (Nikon A1R-ER). Brightness and contrast were adjusted equally for corresponding images and images were analyzed for mean fluorescence intensity (MFI) and for mitochondrial form factor (FF = perimeter2/4π*area) using ImageJ software.
Analysis of mRNA expression. MUC5AC and MUC5B were quantified in mouse by extracting RNA from flash frozen, pulverized left lung lobes using TRIzol (Invitrogen 15596018). RNA was purified using the RNeasy kit (Qiagen). 1µg of RNA was reverse transcribed to cDNA (Promega) and SYBR Green Supermix (Bio-Rad) was used to quantify mRNA expression using RT-qPCR. For Drp1 quantification, lung epithelial cells were isolated from lungs of ∆Epi-Drp1 mice on doxycycline diet for 10 days using the GentleMACS lung dissociation kit (Miltenyi Biotech) followed by the EasySep mouse epithelial cell enrichment kit II (STEMCELL Technologies). Isolated epithelia were lysed in TRIzol and RNA was isolated and reverse transcribed in the same manner as whole lung lysates. Drp1 expression in MTECs was also quantified by RT-qPCR following TRIzol lysis. Expression values were normalized to the geometric mean of GAPDH, PP1, and RP2 using the ∆∆CT method. Sequences of primers used in this study are listed in Table 1.
Mucus metaplasia quantification. Paraffin-embedded 5 µm tissue sections were mounted on slides, deparaffinized and rehydrated, and antigen retrieval was performed. PAS staining was conducted, and images were captured on a Leica VERSA8 whole slide imager. Mucus metaplasia was measured in the airways by measuring positive PAS-stained area using the Positive Pixel Count algorithm of Aperio ImageScope Software (Aperio Technologies).
Caspase assay. 25 µg of tissue lysates were diluted to 25 µL in dH2O and incubated with 25 µL Caspase-Glo 3/7 assay reagent (Promega) in an opaque plate in the dark at room temperature for 30 minutes. Total luminescence was measured using a Synergy HTX plate reader (Biotek) and values were recorded as relative activity.
Microarray analysis. GEO2R (http://www.ncbi.nlm.nih.gov/geo/info/geo2r.html) was used to compare differentially expressed genes between moderate and severe asthmatics, as classified by the American Thoracic Society, and non-asthmatic controls on GSE43696 (25, 26). GEO2R performs a base 2-log transformation.
Statistics. Outliers were determined using the ROUT method in GraphPad Prism 8 with a Q = 2%. The Shapiro-Wilk normality test was run. Normal data were analyzed by either two-tailed student’s t-test or two-way ANOVA, accordingly. For two-way ANOVA analysis, Tukey’s post-hoc test was used to adjust for multiple comparisons. If one or more of the groups did not pass the Shapiro-Wilk normality test, those data were analyzed by two-way ANOVA followed by 2-stage linear step-up procedure of Benjamini, Krieger, and Yekutieli to control for false discovery rate. A p-value < 0.05 was considered significant. Data were averaged and expressed as the mean ± SEM.