Suppression of microRNA-384 enhances autophagy of airway smooth muscle cells in asthmatic mouse

Injury to airway smooth muscle (ASM) cells hallmarks the pathological progression of asthma, a chronic inflammatory airway disease. MicroRNAs (miRNAs) play essential roles in the development of asthma as well as airway remodeling. Here we studied the involvement of miRNAs in the regulation of autophagic survival of ASM cells and airway disorder. We analyzed autophagy-associated factors LC3 and Beclin-1 by RT-qPCR and protein blotting in purified airway smooth muscle cells from ovalbumin (OVA)-induced asthmatic mice. The biological activity of miRNA targeting Beclin-1 was explored by bioinformatics method and confirmed in a dual luciferase reporter assay. Loss of function experiment was performed via transplantation of miRNA in OVA-induced asthmatic mice. We detected high autophagy levels in ASM cells, which appeared to result from augmentation of Beclin-1 protein, rather than Beclin-1 mRNA, suggesting presence of post-transcriptional control of Beclin-1. Next, miR-384 was figured out to be a Belcin-1-targeting miRNA, which significantly decreased after OVA treatment. Mechanistically, binding of miR-384 to 3’-UTR of Beclin-1 mRNA potently suppressed Beclin-1 protein translation in ASM cells, similar to previous finding in another cell type. In vivo, transplantation of miR-384 significantly attenuated Belcin-1 protein levels in ASM cells, resulting in reduced autophagy of ASM cells and attenuation of asthmatic features by OVA. Together, these data suggest that re-expression of miR-384 may reduce augmentation of Beclin-1-dependent autophagy of ASM cells, as a novel promising treatment for asthma.


INTRODUCTION
Asthma is a common chronic disease characterized by bronchial inflammation, airway hyper-responsiveness, and airflow disorder and obstruction. Asthma affects nearly 30 million people in the United States and many more worldwide. As the most common chronic disease in childhood, the effective control and treatment of asthma appears to be essential for health protection of millions of children [1,2].
Airway smooth muscle (ASM) cells are main effector cells of airway disorder, narrowing and obstruction [3]. Airway hyper-responsiveness, inflammation and remodeling are also partially attributable to airway smooth muscle, since ASM cells exhibit exaggerated responses to bronchoconstrictor stimuli under airway hyper-responsiveness, alter cell mass and deposition of extracellular matrix, as well as secrete inflammationassociated cytokines, chemokines and growth factors [3]. However, the effects of autophagic survival of ASM cells on asthma development remain unknown.
Autophagy is a biological choice for the cells to survive nutrient deprival or harsh environment through recycling degraded cellular compartments [4].

Research Paper
During autophagy, autophagosomes engulf degraded cellular compartments, leading to conjugation of cytosolic microtubule-associated protein 1A/1B-light chain 3 (LC3-I) to phosphatidylethanolamine LC3phosphatidylethanolamine conjugate (LC3-II). The ratio of LC3-II to LC3-I levels is thus a representative for the autophagic activity to be used commonly [4][5][6]. Autophagy-associated protein 6 (Atg6, or Beclin-1) is an essential autophagy regulator that potently coordinates the initiation and progression of autophagy [7]. Interestingly, small non-coding RNAs, or microRNAs (miRNAs), were recently shown to control Beclin-1 levels in some type of cells. Specifically, miR-384 was a miRNA that was involved in the regulation of neural functions [8,9], and targeted Beclin-1 to control macrophage autophagy in the development of atherosclerosis [10]. However, the role of this regulatory axis in ASM cells and asthma development has not been examined. Here, we addressed this question.

Enhanced ASM cell autophagy is detected in mouse lung after OVA treatment
A mouse allergic asthma model was applied as described before [11]. Briefly, mice were first sensitized to alum-adsorbed OVA for 2 weeks, and then exposed to repeated airway provocation for another 7 weeks to establish airway hyper-sensitivity ( Figure 1A). The asthma establishment was validated by a dose-dependent increase in lung resistance (Rl) ( Figure 1B) and a dose-dependent decrease in dynamic compliance (Cdyn) in response to methacholine, a cholinergic stimulus ( Figure 1C). Next, we purified ASM cells from lung digests at the end of 7-weeks' OVA challenge, based on Ng2 expression, by flow cytometry ( Figure 1D). We found that the purified Ng2postive cells in lung digests from either control (CTL) mice or OVA mice were highly enriched for α-smooth muscle actin (α-SMA), a specific marker for ASM cells in lung ( Figure 1E). We thus examined the autophagy levels in these purified ASM cells. Significant higher LC3-II/I ratio was detected in ASM cells from OVAtreated mice, compared to CTL mice ( Figure 1F), likely resulting from augmentation of the protein levels of autophagy-regulator Beclin-1 ( Figure 1G). However, unlike protein, the mRNA levels of Beclin-1 did not alter in ASM cells from OVA-mice ( Figure 1H). Thus, the transcription of Beclin-1 in ASM cells remained unchanged but the Belcin-1 protein increased to enhance autophagy, which suggests presence of post-transcriptional control for Beclin-1 after OVA treatment.

Enhanced autophagy in ASM cells from OVA-treated mice likely results from loss of suppression of protein translation of Beclin-1 by miR-384
Hence, we examined whether Beclin-1 protein translation might be regulated by miRNA-mediated suppression. Bioinformatics were thus performed, showing that miR-384 is such a miRNA that targets 3'-UTR of Beclin-1 mRNA at one binding site (Figure 2A), and decreased expression level in ASM cells after OVA ( Figure 2B). The expression levels of miR-384 in ASM cells was altered by transfection with miR-384 mimics, antisense for miR-384 (as-miR-384) or null controls (null), shown by RT-qPCR ( Figure 2C). Next, luciferase reporters containing the 3'-UTR of Beclin-1 mRNA or a mutated 3'-UTR of Beclin-1 mRNA in the miR-384 binding site were constructed ( Figure 2A). We found that miR-384 markedly inhibited the luciferase activity of the vector containing the wild-type binding site, whereas the as-miR-384 increased the luciferase activity in ASM cells ( Figure 2D). On the other hand, transfection of either miR-384 or as-miR-384 did not affect the luciferase activity of the reporter for 3'-UTR of Beclin-1 mRNA carrying the mutated miR-384 binding site in ASM cells ( Figure 2E). Together, these data suggest that enhanced autophagy in ASM cells from OVAtreated mice may result from loss of suppression of protein translation of Beclin-1 by miR-384.

Generation of specific ASM-expressing viruses
In order to figure out the effects of the suppressed autophagy of ASMs on asthma development or airway hypersensitivity, we generated Adeno-associated viruses (AAVs) carrying miR-384 (AAV-miR-384) or null (AAV-CTL) under control of an α-SMA promoter, to specifically express the transgene in ASM cells ( Figure 3A). These viruses also carried a GFP reporter to allow visualization the transduced cells ( Figure 3B). The transduced cultured ASM cells were examined for miR-384 by RT-qPCR ( Figure 3C), and Beclin-1 by Western blotting ( Figure  3D), which confirmed the overexpression of miR-384 and suppression of Beclin-1 protein in these cells.

Successful in vivo re-expression of miR-384 in ASM cells
Then, we used these AAVs to treat OVA mice. Four group of mice of 10 of each were included in this experiment. Group 1, the mice received PBS only as control for OVA (CTL). Group 2, mice received OVA treatment only (OVA). Group 3, mice received OVA and intranasal injection of AAV-CTL (OVA+AAV-CTL). Group 4, mice received OVA and intranasal injection of AAV-miR-384 (OVA+AAV-miR-384) ( Figure 4A). At analysis, we detected exclusive expression of GFP on α-SMA-positive www.impactjournals.com/oncotarget ASM cells ( Figure 4B). (Transduced) ASM cells were thus isolated from 4 groups by flow cytometry ( Figure 4C).
We found that the purified ASM cells in lung digests from either groups were highly enriched for α-SMA ( Figure 4D). Mice were first sensitized to alum-adsorbed OVA for 2 weeks, and then exposed to repeated airway provocation for another 7 weeks to establish airway hyper-sensitivity.

Overexpression of miR-384 in ASM cells significantly reduces ASM cell autophagy and attenuates OVA-induced airway hypersensitivity
Overexpression of miR-384 in ASM cells by AAV-miR-384 transduction was confirmed by RT-qPCR in purified ASM cells ( Figure 5A), resulting in abolishment of increases in Beclin-1 protein levels by Western blotting ( Figure 5B). Moreover, overexpression of miR-384 in ASM cells by AAV-miR-384 significantly reduced the OVA-induced dosedependent increase in RI ( Figure 5C) and significantly attenuated the OVA-induced dose-dependent decrease in Cdyn in response to methacholine ( Figure 5D). These data demonstrate that re-expression of miR-384 in ASM cells significantly reduces ASM cell autophagy and attenuates OVA-induced airway hypersensitivity.

DISCUSSION
Asthma is a chronic respiratory disease afflicting 200 million people worldwide including a great percentage of children [1,2]. Asthma manifests many symptoms including wheezing, breathlessness and chest tightness, and interacts with other diseases like sinusitis, obstructive sleep apnea and cardiac dysfunction [1,2].
ASM cells are key players in airway disorder, augmented inflammation, narrowing and remodeling. Increased ASM cell mass has been suggested to contribute to all asthma-associated features, and is traditionally believed to result from increased proliferation and reduced apoptosis [3]. However, recent studies on cell biology revealed that autophagy, as a highly conserved catabolic process in which misfolded or unnecessary proteins and damaged organelles are delivered to lysosomes for degradation and recycling, may contribute to alteration of cell mass in vivo [12]. However, whether autophagic status of ASM cells in the asthma setting may be altered is unknown [13]. Hence, we addressed this question here.
One typical hallmark of autophagy is the formation of double-membrane autophagosomes, which fuse with lysosomes to form autophagolysosomes [14]. LC3 is a protein that targets to the autophagosomal membranes. LC3 has 2 forms: LC3-I (18 kDa) and LC3-II (16 kDa). Newly synthesized LC3 are cleaved immediately to produce cytosolic LC3-I. LC3-I undergoes a series of ubiquitination-like modifications to generate tightly membrane-bound protein LC3-II which is potently attached to the preautophagosomal structure and autophagosomes. The relative amount of membranebound LC3-II reflects the abundance of autophagosomes, as an exclusive marker for autophagy [14]. Therefore, we used ratio of LC3-II vs LC3-I to evaluate autophagy levels of the cells.
Ng2 is a specific marker for ASM cells [15]. Although α-SMA is a more commonly used marker for ASM cells, it is a cytosolic protein which could not be used as a surface marker for isolation of ASM cells [15]. Thus, we used α-SMA to prove the purity of Ng2-positive cells as ASM cells, but used α-SMA promoter to drive the transgene to express it specifically in ASM cells. The specificity of these viruses were further confirmed in the flow cytometry based analysis and sorting. While in CTL and OVA conditions, no GFP+ cells were detected in the lung digests, suggesting that the GFP+ cells in the other 2 conditions with AAVs were not autofluorescent cells.  In OVA+AAV-CTL and OVA+AAV-miR-384 conditions, most Ng2+ cells are GFP+ cells, confirming the specific transduction of ASM cells, and the high transduction efficiency of the system. We applied both OVA and OVA+AAV-CTL as controls in in vivo studies, and got similar results. These data suggest that the viral infection itself, although may have an effect on immunity, has little effects on the conditions that we examined here, and should not affect our interpretation of the data [16].
Here, our work highlights a critical role of miRNAs in the regulation of pathogenesis of asthma. The exact mechanism that leads to the alteration of miR-384 levels in ASM cells after OVA is still unknown and should be addressed in future studies. To summarize, here we showed evidence for miR-384 as a novel target to experimentally control the development of asthma and airway hypersensitivity.

Protocols and animals
All mouse experiments were approved by research committee of Zhengzhou University. Male C57BL/6 mice of 10 weeks of age (Experimental Animal Centre of Zhengzhou University, Zhengzhou, China) and kept in a specific pathogen-free environment for the duration of the current study.

Experimental animal models
Male C57BL/6 mice of 10 weeks of age housed in a specific Pathogen-free condition were sensitized with an intraperitoneal injection of 50 μg OVA (OVA, grade V; Sigma-Aldrich, St. Louis, MO, USA) with 2mg aluminum hydroxide gel (Alum; Sigma-Aldrich) at a frequency of once per week from week 0 to week 2. Mice were then challenged with 50 μg OVA by intranasal administration 3 times per week from week 3 to week 9. Mice that received PBS of same volume and frequency were used as control (CTL). For AAVs injection, mice received intranasal injection of 3X10 11 AAVs at the beginning of the study (week 0).

Airway hyper-responsiveness
Airway hyper-responsiveness was determined using restrained invasive plethysmography assay. Briefly, after the mice were anesthetized, the trachea was exposed to allow a cannula that connects an inline nebulizer and ventilator to be inserted. Mice were then challenged with aerosolized PBS followed by increasing doses of methacholine (Sigma-Aldrich). Airway resistance (AR) and dynamic compliance (Cdyn) were determined by analysis of pressure and flow waveforms.

Flow cytometry
Mouse lung was dissociated into single cells by incubation with 0.015% Trypsin at 37°C for 40-50 minutes. The single cell fraction was incubated with Alexa Fluor 647-conjugated Ng2 antibody (Becton-Dickinson Biosciences, San Jose, CA, USA) for 15 minutes before subjected to florescence-activated cell sorting. GFP was detected by direct fluorescence.

Plasmid and AAV production
The miR-384 mimics, or null control plasmids were cloned into a pAAV-CAG-GFP plasmid (Clontech, Mountain View, CA, USA), the CAG promoter of which was replaced by an α-SMA promoter cloned from mouse genomic DNA. To generate AAVs, HEK293T cells were co-transfected with 10 μg of the prepared plasmids (pAAVα-SMAp-miR-384-GFP or pAAV-α-SMAp-GFP) and 5 μg each of packaging plasmids using Lipofectamine-2000 (Invitrogen, CA, Carlsbad, USA). The viruses were purified using CsCl density centrifugation and the titrated with a quantitative densitometric dot-blot assay.

RT-qPCR
Total RNA was extracted from purified ASM cells by column method using the RNeasy Mini kit (Qiagen, Valencia, CA, USA) according to manufacturer's instructions and quantified with the Nanodrop system (Thermo Scientific, Waltham, MA, USA). cDNA was obtained from the extracted RNA by reverse transcription with the RT2 First Strand Kit (Qiagen) as instructed. The cDNA was then subjected to RT2 SYBRgreen qPCR and analyzed using the 2-ΔΔCt method. All primers were purchased from Qiagen. Values of gene of interest were first normalized against housekeeping gene and then compared to the experimental control.