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Short Communication |



Department of Pathology,* Haartman Institute, University of Helsinki, and Helsinki University Central Hospital Laboratory Diagnostics, Helsinki, Finland; the Department of Medical Genetics,
University of Helsinki, Helsinki, Finland; and R.W. Johnson Pharmaceutical Research and Development,
San Diego, California
| Abstract |
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B4, CD11 integrins, IFN-
, NRAMP2, T-cell receptor
/
complex, and MHC2
are functional parts of the immune surveillance machinery that might be implicated in the development of IBDs. The molecular pathways associated with the tissue injury and regeneration in the mucosal epithelium, although equally important to the disease process, are less well-known. The risk of colorectal cancer is elevated both in patients with ulcerative colitis5
and with Crohns disease.6
This indicates that the epithelial cells are not inactive bystanders in the ongoing inflammation, but are engaged in the cross-talk between external stimuli and mucosal responses. Oxygen radicals produced by the neutrophils in the inflamed mucosa are genotoxic and contribute to the increased risk of oncogenic transformation in IBDs.7,8 We screened an Incyte LifeSeq database (Incyte Pharmaceuticals, Palo Alto, CA) for transcripts especially abundant in the gastrointestinal tract of ulcerative colitis- and Crohns disease-derived libraries. The aim was to find proteins associated with the IBD-related regenerative responses. Regenerating protein-like protein (RELP) was selected for detailed characterization because of its abundant expression in the libraries of interest, and of its homology with cell-growth- and migration-associated regenerating (REG) proteins.9-21 The structure of the gene and the predicted protein product, as well as the expression of the RELP protein in normal tissues and IBDs were investigated.
| Materials and Methods |
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RELP mRNA was detected as a cluster of expressed sequence tags (EST) in small-intestine- and colon-derived libraries in the Life Seq database (Incyte Pharmaceuticals). A full-length cDNA insert, encoding for the predicted RELP preprotein, was acquired and verified by sequencing. The human RELP nucleotide sequence data reported in this paper have been submitted to the GenBank/EMBL/DNA databases under accession numbers AY126670-AY126672.
A blast search in the NCBI EST database using human RELP cDNA yielded three highly homologous mouse sequences. The corresponding clones (IMAGE clone IDs 717371, 1079498, and 1096767) were acquired and sequenced. The cDNA for the mouse orthologue of RELP was subcloned into a pCR 2.1-TOPO vector (Invitrogen, Carlsbad, CA).
Antibodies
A C-terminal (CAEMSSNNNFLTWSSNE) RELP-derived peptide was synthesized, coupled to keyhole limpet hemocyanin, and used to produce polyclonal antibodies in rabbits. The sera were tested for reactivity against the peptide with enzyme-linked immunosorbent assay (ELISA), and the positive batches were affinity-purified. Anti-FLAG epitope antibodies were obtained from Sigma (ANTI-FLAG M2 Monoclonal Antibody; St. Louis, MO), and monoclonal mouse antibodies against chromogranin A from Chemicon (Temecula, CA). Secondary antibodies, HRP-conjugated swine anti-rabbit and rabbit anti-mouse immunoglobulins (IgGs), TRITC-conjugated swine anti-rabbit IgGs, and fluorescein isothiocyanate (FITC)-conjugated goat anti-mouse Ig were obtained from Dako (Glostrup, Denmark).
In Situ Hybridization
Human tissue samples were obtained from the Department of Pathology, University of Helsinki, in accordance with the Ethical Committee of the University Hospital. Formalin-fixed, paraffin-embedded tissue samples were cut into 5- to 7-µm sections, mounted on silane-coated glass slides, deparaffinized in xylene, and rehydrated through a graded series of ethanol solutions (100% to 70%). Thereafter, the samples were permeabilized, treated with proteinase K (Finnzymes, Helsinki, Finland), and postfixed in 3% paraformaldehyde. Positive charges were blocked by soaking the slides in 0.25% (v/v) acetic anhydride in 100 mmol/L triethanolamine. Finally, the slides were equilibrated in a solution of 4X standard saline citrate (SSC; 1X SSC is 150 mmol/L NaCl, 15 mmol/L sodium citrate, pH 7.0)/50% (v/v) deionized formamide at 37°C for 10 minutes. Prehybridization and hybridization were carried out in a solution composed of 40% formamide, 10% dextran sulfate, 4X SSC, 10 mmol/L dithiothreitol (DTT), 1X Denhardts solution (0.2 mg/ml each, bovine serum albumin, polyvinylpyrrolidone, and Ficoll), 1 mg/ml herring sperm DNA, and 1 mg/ml yeast tRNA. Relp-specific probes were prepared using the TA cloning kit (Invitrogen, San Diego, CA). A polymerase chain reaction (PCR)-amplified 0.4-kb RELP cDNA insert was cloned into the pCR-II vector (Invitrogen), and used as a template for antisense and sense digoxigenin-labeled RNA probes (RNA Labeling Kit; Boehringer-Mannheim, Mannheim, Germany). After hybridization the slides were washed twice in 2X SSC at 37°C for 5 minutes and then in 1X SSC at 37°C for 10 minutes followed by incubation with 5 µg/ml RnaseA (Boehringer-Mannheim) at 37°C for 30 minutes. After washing twice in 0.5X SSC at room temperature for 10 minutes the sections were incubated with alkaline phosphatase-conjugated anti-digoxigenin-AP Fab Fragments (dilution 1:250; Boehringer-Mannheim). The signals were visualized by incubating the sections in NBT/BCIP Stock Solution (Boehringer-Mannheim) for 1.5 hours.
Immunohistochemistry
Four-µm sections from formalin-fixed, paraffin-embedded tissues were mounted on 3-aminopropyl-triethoxy-silane-coated slides (Sigma), deparaffinized, and heated twice for 5 minutes in a microwave oven (650W) before exposure to the first antibody (polyclonal rabbit anti-RELP peptide antibody, dilution 1:2000). Elite ABC Kit (Vectastain; Vector Laboratories, Burlingame, CA) was used for immunoperoxidase staining, visualized with 3-amino-9-ethylcarbazole (Sigma).
Nucleotide Sequencing of the Human Relp Gene
A human genomic plasmid artificial chromosome (PAC) clone containing the genomic sequence of relp was obtained from GenomeSystems, Inc. (St.Louis, MO). The 120-kb insert was amplified by PCR with RELP-specific primers, subcloned into a TA vector (Invitrogen), and sequenced with vector-derived and RELP-specific primers. The sequencing data were used to complement and verify the genomic sequence derived from the public database.
Fluorescence in Situ Hybridization (FISH)
A human genomic PAC clone containing the relp gene was used as a probe to localize the relp gene in the human chromosomes. The PAC plasmid was labeled with biotin-16-dUTP by nick translation. Slides with human interphase and metaphase nuclei were hybridized with the probes, and the signal was detected with avidin-conjugated FITC and amplified with biotinylated anti-avidin antibodies. After washing, the slides were counterstained with 4,6-diamino-2-phenyl-indole (DAPI; ICN Biomedicals, Costa Mesa, CA), and mounted in an antifade solution.
Dot Blot and Northern Blot Analyses
Human Multiple-Tissue Expression (MTE) Array and Multiple Tissue Northern (MTN) blots Human II and Human III products (Clontech Laboratories, Inc., Palo Alto, CA) were used for dot blot and Northern blot analyses, with 32P-labeled (Multiprime DNA Labeling System kit; Amersham Pharmacia Biosciences, Inc., Helsinki, Finland), full-length RELP cDNA as a probe. For autoradiography, filters were exposed to Kodak Biomax MS film for 1 to 3 days.
In Vitro Translation
A cDNA fragment containing the full-length sequence of RELP cDNA was subcloned into the eukaryotic expression vector pCDNA 3 (Invitrogen) for expression regulated by the T7 RNA polymerase promoter. Rabbit reticulocyte lysate, with or without canine pancreatic microsomal membranes (Promega, Madison, WI), in the presence of 35S-methionine (Amersham Internationals Redivue L-35S-methionine, Amersham Pharmacia Biosciences, Inc.), was used for the induction of expression. Proteins obtained by in vitro translation were analyzed by sodium dodecyl sulfate polyacrylamide (12%) gel electrophoresis (SDS-PAGE), and visualized by autoradiography.
RELP Protein Expression in Cell Lines, Western Blot, and Immunofluorescence Staining
A cDNA-encoding RELP-C-terminal FLAG epitope fusion protein was amplified using 5' AGCATGGCTTCCAGAAGCATG 3' and 5' CTACTTGTCATCGTCATCCTTGTAATCTGGTCGGTACTTGCA 3' as forward and reverse primers, respectively, and cloned into a pcDNA 3.1/V5-HisTOPO vector (Invitrogen). Construct was transfected into COS 7 cells using Transfectam reagent (Promega, Madison, WI) according to the manufacturers instructions. The cells were lysed in Pawsons buffer (50 mmol/L HEPES pH 7.0, 150 mmol/L NaCl, 10% glycerol, 1% Triton X-100, 1.5 mmol/L MgCl2, 1 mmol/L ethylene glycol-bis-N'N'N'N'-tetraacetic acid (EGTA), 100 mmol/L NaF, 10 mmol/L Na4P2O7). The proteins were separated by 12% SDS-PAGE and analyzed by Western blotting using the affinity-purified rabbit anti-RELP C-terminal peptide antibodies and monoclonal anti-FLAG antibodies. Horseradish peroxidase (HRP)-conjugated swine anti-rabbit and rabbit anti-mouse immunoglobulins were used as secondary antibodies and detected by enhanced chemiluminescence.
MKN45, a gastric cancer cell line cell, was a gift from Dr. A. Ristimäki (Molecular/Cancer Laboratory, Biomedicum, University of Helsinki). The MKN45 cells were transiently transfected to express the RELP-C-terminal FLAG epitope fusion protein, fixed with 3.5% paraformaldehyde, and permeabilized with 0.05% NP-40 in PBS. Anti-FLAG antibodies (20 µg/ml) and FITC-conjugated goat anti-mouse antibodies (1:30) were used to visualize the fusion protein in the transfected cells. The images were obtained using a confocal microscope and associated software (Leica SP2 Laser scanning microscope; Leica Microsystems, Jena, Germany).
Double Immunofluorescence Staining
Tissue sections of formalin-fixed and paraffin-embedded normal duodenal mucosa were double-stained with the polyclonal rabbit peptide antibody against RELP (1:30; 25 µg/ml), and a monoclonal mouse antibody against chromogranin A (1:5000; 0.2 µg/ml), detected with tetramethylrhodamine isothiocyanate-conjugated swine anti-rabbit immunoglobulins and FITC-conjugated goat anti-mouse immunoglobulins. For controls, primary antibodies were replaced with the IgG fractions of non-immune rabbit and mouse sera.
| Results |
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Fluorescent in situ hybridization showed an exclusive signal for the relp-specific probe on chromosome 1 band p12 to 13.1 (Figure 1)
. The result agrees with the electronic localization of the relp gene to human chromosome 1 (Homo sapiens, chromosome 1 clone RP510425I8 map p11 to 13.2, GenBank Accession AL359752).
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webgene/wwwHC TATA.html). No apparent functional promoter was predictable in the region. Putative binding sites for Cdx-2 mammalian caudal-related intestinal transcription factor, interferon regulatory factor-1, steroidogenic factor 1 (SF1), serum response factor (SFR1), GATA binding factor 3 (GATA3), c-Ets-1 and hepatic nuclear factor 4 (HNF4) were found at 250, 232, 213, 156, 151, 144, and 66 nucleotides upstream from the presumed transcription initiation site. The analysis showed no TATA box, suggesting that the transcription might be driven from multiple initiation sites.
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RELP cDNA comprises 1518 nucleotides. The protein coding region is made up of 474 bp of nucleotides encoding a preprotein of 158 amino acids. The 5'-untranslated and 3'-untranslated regions contain 440 and 601 nucleotides, respectively. A polyadenylation signal (AATAAA) is located 510 bp downstream of the termination codon (Figure 2B)
. The calculated molecular weight of RELP is 18.229 kd, and the isoelectric point is 9.128. The aminoterminus of RELP is highly hydrophobic and contains a putative cleavable signal sequence of 22 amino acids, predicted by the SignalP program (SignalP V1.1 server at http://genome.cbs.dtu.dk/services/SignalP).
In the protein sequence of RELP, residues 37 through 155 represent a conserved calcium-dependent carbohydrate recognition domain (CRD) (Figure 2B)
. The four conserved cysteines and the two optional cysteines are CRD associated, involved in intramolecular disulphide bonds, and are conserved in RELP. Residues 50 through 53 represent a putative N-glycosylation site (NWS; Figure 2B
). The secondary structure of RELP is predicted to be similar to that of human REG1
, and the global folds of these proteins appear to be closely related, as shown by successful modeling (MSI Insight II) of RELP 3-D structure with the published fold of REG1
as a template (data not shown).
By its primary structure, human RELP is 37% identical and 47% similar to human REG1
, and 34% identical and 43% similar to human pancreatitis-associated protein (pap1). Human RELP is also similar to other single CRD domain proteins, such as chicken ovocleidin (36% identical, 44% similar) and snake venom galactose-specific lectin (36% identical, 43% similar).
Mouse Orthologue of RELP
The mouse orthologue of RELP was identified in a rodent EST database. The cDNA of the putative mouse RELP is 70% identical to that of human RELP (Figure 3A)
and the predicted mouse and human preproteins are 66% identical and 72% similar to each other (Figure 3B)
.
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In vitro translation of RELP resulted in a protein product with an apparent molecular weight of 18 kd as analyzed by SDS-PAGE, in agreement with the calculated molecular weight of RELP (18.2 kd). Since RELP was predicted to contain a cleavable signal peptide, the translation reaction was repeated in the presence of canine microsomal membranes to verify the expected processing of the preprotein. SDS-PAGE analysis of the resulting protein products confirmed the cleavage of a signal peptide by establishing the presence of a 17 kd protein, representing the mature form of RELP (Figure 4)
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Dot blot analysis verified the electronic Northern-based finding revealed expression of RELP message mainly in the gastrointestinal tract including the duodenum, jejunum, ileum, ileocecum, appendix, descending colon, pancreas, and a lower amount in the stomach and other parts of the colon (Figure 5A)
. After a lengthened exposure time, the autoradiographs showed hybridization signals in samples from the prostate and testes. Northern blot hybridization with the RELP cDNA probe detected a single 1.5-kb message in the RNA extracted from samples from the stomach, small intestine, colon, prostate, and testes. In the same assay, RELP mRNA was not detected in samples from the thyroid, spinal cord, adrenal gland, bone marrow, spleen, thymus, ovaries, or blood leukocytes (Figure 5, B and C)
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Expression of the RELP Protein in Human Tissues
The polyclonal anti-RELP C-terminal peptide antibodies and the monoclonal anti-FLAG antibodies detected the same major 18-kd band in Western blotting of lysates from COS 7 cells transiently expressing the RELP C-terminal FLAG construct (Figure 6)
. Immunohistochemical staining with the anti-RELP antibodies revealed the presence of RELP in the cytoplasm of selected epithelial cells in the duodenal (Figure 7a)
and ileal mucosa (Figure 8a)
. No specific immunostaining of duodenal mucosa was seen with anti-RELP antibodies pre-absorbed with the relevant RELP peptide (Figure 7b)
. Double immunofluorescence staining demonstrated a colocalization of RELP and chromogranin A in the neuroendocrine cells of the duodenal epithelium. In situ hybridization verified the presence of RELP mRNA in cells with the distribution in the duodenal mucosa identical to that of neuroendocrine cells (Figure 7, cg)
. This finding demonstrates a constitutive transcription and translation of the relp gene in neuroendocrine cells of the intestinal epithelium.
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Only a weak expression of RELP was seen in selected cells in normal colon mucosa (Figure 8d)
whereas a strong reactivity was seen in the cryptal epithelium of mucosa from patients with ulcerative colitis (Figure 8e)
. No specific staining was seen when the rabbit anti-RELP antibodies were replaced with the IgG fraction of preimmune rabbit serum (Figure 8, c and f)
. Positive staining was also found in the parietal cells in the gastric corpus mucosa (Figure 9, a and b)
. An up-regulated expression of the protein was present in epithelial cells at regenerating margins of peptic ulcers in the stomach and duodenum (not shown). Moreover, the expression of RELP was also induced in the goblet cells of glands representing intestinal metaplasia in the mucosa of the gastric antrum (Figure 9c)
. A similar robust enhancement of RELP expression was seen in goblet cells in intestinal metaplasia of the esophagus (Barrett's esophagus; not shown).
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To define the subcellular localization of the RELP protein, gastric carcinoma cell line MKN45 cells were transfected to transiently express RELP with the FLAG epitope. The fusion protein was visualized by immunofluorescence, and the images were captured using a confocal microscope. RELP-FLAG epitope protein was localized in granules around the nucleus, and less prominently in the peripheral. RELP-FLAG protein was readily secreted into the medium, as indicated by Western blot analysis (data not shown).
| Discussion |
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, MHC, T cell receptor
/
complex, ICAM1, C3, interleukin (IL)-3, IL-4, IL-5, IL-13, and CSF-2.2
HLA-DR and IL-1RA, the polymorphisms of which are linked to the pathogenesis of ulcerative colitis, play a role in immune surveillance.3
The elevated risk for cancer in IBDs is partially based on the damage that neutrophil-derived oxygen radicals cause on the DNA in the inflamed mucosa7,8
; however, the molecular events of the dysregulated regenerative responses of the inflammatory epithelium and its eventual transformation are poorly characterized. To understand the pathogenesis of IBDs and the underlying mechanisms leading to the development of cancer it is important to study the gene expression patterns of the mucosal epithelium. With that aim, we identified and characterized RELP. RELP is homologous to REG proteins, known to exert mitotic and motogenic activities in various cell types,9-22
although the exact mechanism of function is elusive. REG proteins are primarily localized to the pancreas,23,24
but are also expressed in the stomach25,26
and the gut,19,27
and in regenerating peripheral nerves.21
Recently, the sequence of the major transcript of relp was published, and the predicted protein product was annotated Reg IV.28
Because of the different chromosomal localization of relp and the human reg genes29,30
and different sizes of the genes,31,32
the relp gene could, however, be considered a separate entity. The RELP protein also displays lower homology with REG proteins than they share with each other. Relp appears to have segregated from the ancestral reg gene before the formation of the current reg gene cluster. The proximal promoter region for relp could not be predicted, making the interpretation of the regulation of its transcription intangible. While the members of the REG protein family are highly represented in the pancreas, RELP message is the most abundant in the small intestine and in IBD-derived libraries. Immunofluorescence double staining and in situ hybridization indicated that RELP is selectively expressed in neuroendocrine cells of normal intestinal mucosa. This is reminiscent of rat REG1 protein expression in the enterochromaffin-like cells of the gastric corpus.26 Given that RELP is also present in the parietal cells of the gastric mucosa, it might, analogously with REG1, act as a downstream effector for gastrin.27,33
Inflammatory mediators, such as various cytokines, might be involved in the regulation of the relp gene expression. This could provide an explanation for the robust accumulation of RELP protein in the goblet cells of mucosa affected by ulcerative colitis or Crohns disease and also in goblet cells of intestinal metaplasia in the antrum and the esophagus. The levels of RELP in serum and/or urine may also provide a marker for non-invasive estimations of the severity or activity of IBDs.
| Acknowledgements |
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| Footnotes |
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Supported in part by grants from The Finnish Cancer Society, The Finnish Academy of Science, The Sigrid Jusélius Foundation, The Novo Nordisk Foundation, and R.W. Johnson Pharmaceutical Research and Development.
Accepted for publication April 9, 2003.
| References |
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are associated with enterochromaffin-like cell tumor development in patients with hypergastrinemia. Gastroenterology 1999, 116:1310-1318[Medline]
, and mapping of all three types of REG family gene in a 75 kilobase mouse genomic region. Gene 2000, 246:111-122[Medline]
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