IL-17 Is a Key Regulator of Mucin-Galectin-3 Interactions in Asthma

Mucus hypersecretion and chronic airway inflammation are standard characteristics of several airway diseases, such as chronic obstructive pulmonary disease and asthma. Increased mucus secretion from increased mucin gene expression in the airway epithelium is associated with poor prognosis and mortality. We previously showed that the absence of tissue inhibitor of metalloproteinase 1 (TIMP-1) enhances lung inflammation, airway hyperreactivity, and lung remodeling in asthma in an ovalbumin (OVA) asthma model of TIMP-1 knockout (TIMPKO) mice as compared to wild-type (WT) controls and mediated by increased galectin-3 (Gal-3) levels. Additionally, we have shown that in the lung epithelial cell line A549, Gal-3 inhibition increases interleukin-17 (IL-17) levels, leading to increased mucin expression in the airway epithelium. Therefore, in the current study, we further examined the relationship between Gal-3 and the production of IL-17-axis cytokines and critical members of the mucin family in the murine TIMPKO asthma model and the lung epithelium cell line A549. While Gal-3 may regulate a Th1/Th2 response, IL-17 could stimulate the mucin genes, MUC5B and MUC5AC. Gal-3 and IL-17 interactions induce mucus expression in OVA-sensitized mice. We conclude that Gal-3 may play an essential role in the pathogenesis of asthma, and modulation of Gal-3 may prove helpful in the treatment of this disease.


Introduction
Mucus hypersecretion and chronic airway inflammation are typical characteristics of obstructive airway diseases, such as chronic obstructive pulmonary disease and asthma [1]. Increased mucus secretion results from increased gene expression of the mucin family associated with increased goblet cell metaplasia in the airway epithelium [2]. Previous investigations of the mucin family's gene expression emphasized T helper type-2 (Th2) cytokines because of their pathophysiological role in allergic asthma [3]. We previously presented that the absence of TIMP-1 enhances allergic lung inflammation, airway hyperreactivity (AHR), and lung remodeling in asthma in an ovalbumin (OVA) asthma model of TIMP-1 knockout (TIMPKO) mice compared to wild-type (WT) controls [4]. We had revealed that a TIMPKO murine allergic asthma model exhibits an asthma phenotype, with airway hyperreactivity, enhanced eosinophilic inflammation, and TH 2 cytokine gene and protein expression following sensitization with ovalbumin. [4,5] In a prior study, we compared the expression of several members of the galectin family and other critical cytokines in a murine allergic asthma model utilizing wild-type and TIMPKO mice [5]. We observed a significant increase in galectin-3 (Gal-3), interleukin-17 (IL- 17), and transforming growth factor-β1 (TGF-β1) gene expression in lung tissue isolated from an allergic asthma murine model utilizing TIMPKO. Gal-3 gene and protein expression levels were also significantly higher in lung tissue from an allergic asthma murine model using TIMPKO [5]. We hypothesized that IL-17 provokes pulmonary neutrophilia and magnifies antigen-induced allergic response leading to increased mucus expression in OVA-sensitized mice, based on the premise that increased airway IL-17 stimulates mucin gene expression in asthmatic airways [6]. The goal of the current study was to examine the gene and protein expression levels of several key members of the mucin family, namely, MUC5AC and MUC5B, in the lung tissue obtained from the OVAsensitized TIMPKO mice and compare them to levels in the WT controls. Additionally, we also explored the effect of Gal-3 regulation of mucin gene expression using a specific Gal-3 inhibitor peptide (Ac-SDKP) in lung epithelial cells A549 to evaluate mucin gene expression, MUC5B, and MUC5AC.
We found that lung tissue from OVA-sensitized TIMPKO mice compared to the WT controls has increased Gal-3 expression. In contrast, inhibition using a Gal-3 inhibitor resulted in a significant increase in MUC5AC and MUC5B gene expression in lung epithelial cells A549. Thus, we speculate that Gal-3 can interact with a member of the mucin family to alter cell surface polarization, increase growth factor signaling pathways, and thereby modulate lung host defense.

Material and Methods
2.1. Animal Model. We utilized C57/BL6 TIMPKO and WT mice that were both SHAM and OVA-sensitized as previously described. [4] Institutional Animal Care and Use Committees of the University at Buffalo and Veterans Administration Health Care System of Western New York approved animal protocols. A total of n = 6 samples/group were obtained.

Real-Time Quantitative PCR (QPCR).
Gene expression studies were performed on lung tissue and A549 cells (1 × 10 5 cells/mL media) treated with and without the Gal-3 inhibitor (Ac-SDKP) (10 nmol). Relative abundances of MUC5AC, MUC5B, IL-17A, IL-17B, IL-17E, and NF-κβ mRNA were quantified using real-time PCR with untreated cells that were used as controls for the cell line. Gene expression levels were expressed as the relative abundance of a PCR amplified transcript via the transcript accumulation index (TAI) using the comparative CT method, as previously described. [5,7] 500 ng of total RNA was used for the reverse transcription reaction (25 μL total volume) with the firststrand cDNA synthesis kit (GE Healthcare, Piscataway, NJ), according to the manufacturer's instruction. qPCR was done using the Azuraview TM GreenFast qPCR Blue Mix LR (Azura Genomics Inc.), and well-validated PCR primer sequences were obtained from www.realtimeprimers.com. The housekeeping gene, β-actin, was used as an internal control. The final primer concentration used in the PCR was 0.1 μM. PCR was performed using a qPCR machine (Mx3005P, Stratagene, La Jolla, CA).

Immunofluorescence
Staining of Lung Tissue of TIMP-1 K/O and WT Mice. Standard immunofluorescent staining procedures were followed. Sections were stained using rabbit anti-mouse MUC1, MUC2, MUC4, MUC5B, MUC5AC, IL-17A, IL-17E, and IL-17B primary antibodies followed by staining with an Alexa Fluor 488-labeled anti-rabbit secondary antibody. DAPI was used as a nuclear stain. Sections were observed and photographed with a Zeiss microscope (Carl Zeiss, Oberkochen, Germany). The gene expression levels were quantified based on the intensity of the fluorescent signal analyzed using the Image J software [8] to normalize the Flour-488 (F488) intensity against the DAPI fluorescent intensity.
2.6. Statistical Analysis. Data are expressed as mean ± SD. Statistical comparisons were made between genotypes using a two-tailed T-test. A p value of <0.05 was considered statistically significant. Analyses were performed using Prism (GraphPad Software, Inc., San Diego, CA) software.

Secreted Mucin Expression Levels.
Mucins are predominantly produced by epithelial cells on the luminal surface, and their type and quantity vary depending on location [9]. Mucins are classified into two groups: secreted and membrane-bound with MUC5AC and MUC5B, the most prevalent secreted mucins located in lung tissues. These two mucin proteins make up the majority (90%) of the mucin content of sputum, and the membrane-bound mucins (MUC1, MUC4, and MUC16) making up the remaining 10% [10]. We employed immunofluorescent staining to understand the expression profile of critical mucins better. We compared the mucin expression profile between OVAsensitized WT (Group II), TIMPKO SHAM (Group III), OVA-sensitized TIMPKO-OVA (Group IV), and WT-SHAM (Group I) ( Figure 1). There was a significant increase in the MUC5AC (133% increase; p = 0:020) with a significant reduction in MUC5B expression (53% decrease; p < 0:003) between TIMPKO SHAM (Group III) compared to the WT-SHAM control (Group I) ( Figure 1). International Journal of Cell Biology    Figure 5). As seen in (b), we observed a significant increase in IL-17E expression in WT-OVA (Group II) (260% increase; p = 0:0004) and the TIMPKO-OVA (Group IV) (166% increase; p = 0:0028) when compared to the WT-SHAM group control group. We did not observe any difference in IL-17E expression between the TIMPKO-SHAM (Group III) vs. the WT-SHAM control group (Group I). As seen in (c), we observed a significant decrease in IL-17Rβ expression in the WT-OVA (Group II) (67% decrease; p = 0:0005) and the WT-SHAM group control group. We did not observe any difference in IL-17Rβ expression between the TIMPKO-OVA (Group IV), TIMPKO-Sham (Group III) vs. the WT-SHAM control group (Group I).    International Journal of Cell Biology expression of IL-17A and IL-17F in asthmatic patients' airways revealed an increase in IL-17A and IL-17F lung immunoreactivity noted in tissues obtained via bronchoscopy and showed increased IL-17A and IL-17F mRNA expression with increased asthma severity [11,12]. IL-17A interacts with various immune factors to contribute to lung remodeling in TH 17

Effect of Gal-3 Inhibitor Peptide Ac-SDKP on the Expression of MUC5AC and MUC5B Gene Expression.
We appraised the Gal-3 inhibition on the MUC5AC and MUC5B genes' expression by treating A549 cells with the Gal-3 inhibitor peptide Ac-SDKP (10 nmol). Our results (Figure 7(a)) revealed treatment with Gal-3 inhibitor peptide resulted in a 58% increase (p < 0:01) in MUC5AC gene expression and a 16% increase (p < 0:05) in MUC5B gene expression levels compared to the respective untreated controls (Figure 7(b)). Inhibition of Gal-3 results in increased MUC5AC and MUC5B in lung epithelial cells.
3.6. Effect of Gal-3 Inhibitor Peptide Ac-SDKP on the Expression of NF-κβ Gene Expression. NF-κβ is a ubiquitous transcription factor activated following the phosphorylation (catalyzed by Iκβ kinase) and dissociation of its inhibitor  International Journal of Cell Biology kappa-B subunit alpha (Iκβ-α). NF-κβ-induction is critical to the development of pulmonary inflammation [13]. Therefore, we examined the NF-κβ gene expression profile in the lung epithelial cell line A549 treated with 10 nmol of peptide Ac-SDKP. A Gal-3 inhibitor since NF-κβ signaling is critical to allergic asthma-related pulmonary inflammation. Our results (Figure 7) reveal that inhibition of Gal-3 leads to a 73% increase (p < 0:05) in NF-κβ gene expression levels as compared to the untreated control (Figure 7(c)).

Discussion
Mucus is one of the most conserved elements of host defense [14,15]. It is comprised of a complex assortment of water,  International Journal of Cell Biology ions, proteins, glycoproteins, and lipids. Mucus is a vital innate defense component of the respiratory tract [9]. Mucins are glycosylated proteins forming macromolecular constituents of mucus and are responsible for mucus' chemical and physical properties [15]. Mucin also participates in cell signaling by interacting with immune cell receptors [10]. Predominantly produced by epithelial cells, mucins have eight members expressed in the respiratory system [15]. Mucins can be categorized into either secreted and membrane-bound, with the prevailing secreted mucins in lung tissue that are MUC5AC and MUC5B, making the majority (90%) of the mucin content of sputum [16,17].
In our study, we examined the expression levels of critical members of the mucin family, specifically the secreted mucins MUC5AC and MUC5B, in addition to the membrane-bound mucins (MUC1, MUC4, and MUC2) in lung tissue obtained from the TIMPKO murine asthma model. We have previously published that OVA-treated TIMPKO mice develop an asthma phenotype data with airway hyperreactivity [4]. Additionally, we have shown that increased expression of Gal-3 protein in OVA-treated TIMPKO mice leads to increased inflammatory mediators such as TGF-β1 and IL-17 that exacerbate asthma [5]. We postulated that IL-17 augments the antigen-induced allergic response, provokes pulmonary neutrophilia, and increases mucus expression in OVA-sensitized mice. This hypothesis is based on the premise that increased lung levels of IL-17 stimulate mucin gene expression in asthmatic airways [6].
The goal of the current study was to examine the gene and protein expression levels of several key members of the mucin family, namely, MUC5AC and MUC5B and MUC1, MUC2, and MUC4 in the lung tissue obtained from the OVA-sensitized TIMPKO mice and compared them to levels in the WT controls. TH 17 cell-derived cytokines and factors appear to mediate airway neutrophilia in severe asthma [11]. Additionally, TH 17 -secreted IL-17A impacts airway smooth muscle (ASM) remodeling in severe asthma [12]. TH 17 -derived cytokines and diverse immune mediators modulate ASM functionality by interacting with airways' structural cells [24,25]. And there appears increased IL-17A and IL-17F mRNA expression with increased asthma severity [11,12]. We evaluated the IL-17A, IL-17B, and IL-17E gene expression in lung tissue obtained from mice in the four study groups: WT OVA (Group I), WT-SHAM (Group II), TIMPKO-SHAM (Group III), and TIMPKO-SHAM (Group IV). Our results ( Figure 5) showed an increase in IL-17A and IL-17B expression levels in TIMPKO-OVA compared to the WT-SHAM mice. However, there was no significant difference in IL-17E expression levels in TIMPKO-OVA than in the WT-SHAM. Our previous study showed increased TGF-β1 levels in TIMPKO mice, and we believe that it may be an essential mediator of TH 17 differentiation and IL-17A production [5]. Thus, we speculate that IL-17A and IL-17B interact with various immune factors, specifically TGF-β1, to contribute severity of asthma.
Gal-3 is a β-galactoside-binding lectin with various functions, including the regulation of Th1 and Th2 responses [26][27][28]. As indicated in studies above and this study, TH 17 cells may be important mediators of lung tissue inflammation and contribute to the lung pathophysiological processes that contribute to asthma progression, and Gal-3 may affect the IL-17 expression profile in asthma [29][30][31]. Studies have shown that Gal-3 inhibits the Th2 allergic asthma; however, it is important to recognize that the role of Gal-3 in Th1/Th2 immune and inflammatory responses may vary according to the experimental models used to study allergic asthma. Gal-3 inhibition could inhibit Th2 response and may have a valuable therapeutic role in allergic asthma [2,32].
NF-κβ plays a key role in IL-17A signaling cascades as evidenced by its stimulation of the degradation of Iκβ-α, followed by the nuclear translocation of p50 and p65 subunits of NF-κβ and induction of mucin gene expression, thus suggesting that NF-κβ-based transcriptional mechanisms are involved in the regulation of mucins via IL-17A activation in the airway epithelium [33,34].
Increased Gal-3 in mice with TIMPKO, murine asthma model is associated with decreased MUC5AC and MUC5B levels, while inhibition of Gal-3 results in increased MUC5AC and MUC5B in a lung epithelial cell line. The galectin known to associate with mucins is Gal-3, which interacts with MUC1, MUC4, and MUC16 to alter cell surface polarization and increase growth factor signaling pathways [14,35]. Gal-3 appears to be overexpressed in fibrotic tissue, indicating a possible role for Gal-3-directed therapeutics in fibrotic lung disease [36,37]. While the precise mechanism detailing Gal-3 association with fibrosis is unknown, and evidence suggests Gal-3 stimulates fibroblasts and TGF-β1-mediated signaling in vitro [37]. We have previously demonstrated TGF-1β activation in the lung tissue of TIMPKO mice [5]. In this study, we treated lung epithelial cells A549 with Gal-3 inhibitor and observed a significant increase in MUC5AC and MUC5B (Figure 7), corroborating the prior studies by Piyush et al. [35].
Furthermore, we report an increase in secreted mucins vs. decreased or no change in membrane-bound mucin expression levels in lung tissue of TIMPKO mice as compared to the WT-SHAM mice indicating that the secreted mucins MUC5AC and MUC5B may be more critical to airway defense and asthma disease progression compared to the membrane-bound mucins that may play a significant role in lung fibrosis and tumor progression. Further changes in the levels of secreted mucins may change the mucus barrier's physical properties, thereby modulating the immune response. Elucidating mucins' role in modulating the asthmatic immune response should identify novel therapeutic approaches for airway inflammation in asthma. Our data suggest that Gal-3 inhibition increases IL-17 levels, increasing mucins' expression, 9 International Journal of Cell Biology and potentially, a role for NF-κβ in the Gal-3 and IL-17 mediated MUC5AC and MUC5B regulation in the airway epithelium.
While our study has many strengths, there are some limitations that warrant further study in subsequent experiments. Our TIMPKO asthma model was developed with the C57BL/6 background which is more difficult to demonstrated allergic sensitization compared to BALB/c strains [38]. The animal model we explored is an acute allergy injury model, which may not fully represent a chronic allergic asthma phenotype. Also, the TIMPKO model likely has novel developmental aberrations in the pulmonary system which would be more precisely explored in a targeted conditional knockout model. Finally, TIMP-1 knockout likely has pleiotropic effects, and a targeted knock-in and knock-out models of Gal-3 should allow a more precise understanding of Gal-3 immunomodulatory effects.
We believe that allergen-reactive Th 2 cells and proinflammatory cytokine such as IL-17 play an essential role in the induction and continuation of the inflammatory cascade in allergic asthma. Gal-3 modulates the IL-17 axis, which regulates mucin gene expression of MUC5AC, leading to mucus hypersecretion and persistent airway inflammation in asthma.

Data Availability
The data supporting the study findings are available from the corresponding author upon pragmatic request.

Ethical Approval
Institutional Animal Care and Use Committees of the University at Buffalo and Veterans Administration Health Care System of Western New York approved animal use protocols.