Literature DB >> 24501422

miR-218 regulates focal adhesion kinase-dependent TGFβ signaling in fibroblasts.

Fen Guo1, David E Carter, Andrew Leask.   

Abstract

Scarring, which occurs in essentially all adult tissue, is characterized by the excessive production and remodeling of extracellular matrix by α-smooth muscle actin (SMA)-expressing myofibroblasts located within connective tissue. Excessive scarring can cause organ failure and death. Oral gingivae do not scar. Compared to dermal fibroblasts, gingival fibroblasts are less responsive to transforming growth factor β (TGFβ) due to the reduced expression, due to the reduced expression and activity of focal adhesion kinase (FAK) by this cell type. Here we show that, compared with dermal fibroblasts, gingival fibroblasts show reduced expression of miR-218. Introduction of pre-miR-218 into gingival fibroblasts elevates FAK expression and, via a FAK/src-dependent mechanism, results in the ability of TGFβ to induce α-SMA. The deubiquitinase cezanne is a direct target of miR-218 and has increased expression in gingival fibroblasts compared with dermal fibroblasts. Knockdown of cezanne in gingival fibroblasts increases FAK expression and causes TGFβ to induce α-smooth muscle actin (α-SMA). These results suggest that miR-218 regulates the ability of TGFβ to induce myofibroblast differentiation in fibroblasts via cezanne/FAK.

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Year:  2014        PMID: 24501422      PMCID: PMC3967977          DOI: 10.1091/mbc.E13-08-0451

Source DB:  PubMed          Journal:  Mol Biol Cell        ISSN: 1059-1524            Impact factor:   4.138


INTRODUCTION

In adult humans, scarring is a normal response to tissue injury. Excessive deposition of scar tissue can cause fibrotic diseases, which are characterized by progressive tissue damage often resulting in organ failure and death. Collectively these diseases represent one of the largest groups of disease for which there is no treatment (Wynn and Ramalingam, 2012). Scarring, a natural response to wounding in adult tissue, including skin, does not occur in the oral cavity (Schor ). Instead of a fibrocontractile response characterized by the presence of abundant α-smooth muscle actin (SMA)–containing myofibroblasts, the fibrotic response in oral tissue is principally fibroproliferative and is largely devoid of myofibroblasts (Sakamoto ; Martelli ; Damasceno ). Understanding why gingiva and skin behave differently in response to fibrotic stimuli should yield valuable insights into how to achieve scarless repair. Connective tissue is largely composed of extracellular matrix (ECM) and fibroblasts (Canady ). Fibroblasts display distinct gene patterns based on their location in the body; accordingly, it is reasonable to hypothesize that fibroblasts at different locations in the body are, in fact, distinct differentiated cell types (Chang ). Thus differential responses of gingival versus dermal fibroblasts to fibrogenic stimuli could underlie scarless tissue repair. Consistent with this idea, we showed that compared with dermal fibroblasts, gingival fibroblasts are less responsive to mechanical strain and to the potent fibrogenic cytokine transforming growth factor β (TGFβ; Guo ). TGFβ potently induces myofibroblast differentiation, as observed by α-SMA mRNA and protein expression, in dermal but not gingival fibroblasts (Ghosh ; Shephard ; Guo ). TGFβ signals through cell adhesion via src/focal adhesion kinase (FAK) to promote collagen production and myofibroblast differentiation (Thannickal ; Mishra ; Liu ). Compared to dermal fibroblasts, gingival fibroblasts express less FAK and are less adhesive to ECM (Guo ). This difference in adhesive capacity appears to underlie the differential responses of dermal and gingival fibroblasts to TGFβ (Guo , b). However, the molecular basis for the reduced expression of FAK and hence for the relative inability of TGFβ to induce α-SMA expression in gingival fibroblasts is unclear. MicroRNAs (miRNAs)—small, noncoding RNAs that act to modulate posttranscriptional and transcriptional gene regulation—are well conserved in evolution and are believed to represent an ancient component of gene regulation. Several different miRNAs have been shown to be dysregulated in fibrotic conditions (Mann and Mann, 2013), and thus it is possible that alterations in miRNA expression patterns may underlie the phenotypic differences between gingival and dermal fibroblasts. In this article, we evaluate this hypothesis. Our results therefore suggest a basis for the relative inability of TGFβ to induce myofibroblast differentiation in gingival fibroblasts and hence offer potential insight into the basis of scarless tissue repair.

RESULTS

miR-218 shows reduced expression in human gingival fibroblasts

Previously we found that gingival fibroblasts are relatively less responsive to TGFβ than are dermal fibroblasts (Guo ). In particular, the ability of TGFβ to induce α-SMA protein and mRNA in gingival fibroblasts is severely impaired compared with dermal fibroblasts (Guo ); the differential ability of TGFβ to signal in gingival fibroblasts was attributed to reduced FAK expression and FAK/src-dependent signaling in this cell type (Guo , b). To begin to identify miRNAs that might be responsible for this difference, we conducted microarray analysis of RNAs prepared from dermal and gingival fibroblasts. We identified 24 miRNAs that were increased in dermal fibroblasts (Table 1). Of these, miR-218 was selected for further analysis, as this miRNA is activated by src (Li ). Real-time PCR analysis confirmed that miR-218 was reduced in gingival fibroblasts compared with dermal fibroblasts (Figure 1).
TABLE 1:

microRNAs up-regulated in human dermal fibroblasts (>1.7-fold) compared to human gingival fibroblasts.

Affymetrix IDmiRNARefSeqFold up-regulated, HDFs vs. HGFs
7976806MIR136NR_0296992.6105
8079165MIR138-1NR_0297001.70398
8109157MIR143NR_0296841.96644
8109159MIR145NR_02968622.1957
7976850MIR154NR_0297041.81056
8068022MIR155NR_0307842.08332
8157800MIR181A2NR_0296111.71064
7923173MIR181B1NR_0296123.71318
7916984MIR186NR_0297071.86843
8008885MIR21NR_0294932.50076
8094340MIR218-1NR_02963112.8934
8172266MIR221NR_0296353.33848
8172268MIR222NR_0296363.90433
8175683MIR224NR_0296383.53014
7976830MIR299NR_0298411.84823
8142975MIR29ANR_0295032.37767
8160439MIR31NR_0295054.24258
8163107MIR32NR_0295062.96918
7976832MIR323NR_0298902.02766
7976842MIR382NR_0298742.14901
7976848MIR453NR_0299692.32701
7957608MIR492NR_0301711.79965
7969574MIR622NR_0307547.58325
8087881MIRLET7GNR_0296602.83576
FIGURE 1:

Expression levels of miR-218 are higher in human dermal fibroblasts than in human gingival fibroblasts. As described in Materials and Methods, RNA was prepared from human dermal fibroblasts (HDFs) and human gingival fibroblasts (HGFs) and subjected to real-time PCR analysis to detect miR-218. Relative expression compared with HGFs (N = 3, *p < 0.05, Student's t test).

Expression levels of miR-218 are higher in human dermal fibroblasts than in human gingival fibroblasts. As described in Materials and Methods, RNA was prepared from human dermal fibroblasts (HDFs) and human gingival fibroblasts (HGFs) and subjected to real-time PCR analysis to detect miR-218. Relative expression compared with HGFs (N = 3, *p < 0.05, Student's t test). microRNAs up-regulated in human dermal fibroblasts (>1.7-fold) compared to human gingival fibroblasts.

miR-218 regulates FAK expression in fibroblasts

TGFβ synergizes with ET-1 to promote myofibroblast differentiation (Shephard ). Previously we found that the reduced TGFβ responsiveness observed in gingival fibroblasts compared with dermal fibroblasts could be explained by reduced endothelin-1 (ET-1) production due to decreased FAK expression and FAK/src activity in gingival fibroblasts (Guo ). Moreover, gingival fibroblasts are less adherent to ECM than dermal fibroblasts (Guo ). To assess whether miR-218 modulated FAK and ET-1 production in fibroblasts, we introduced the miR-218 precursor pre–miR-218 into gingival fibroblasts. In addition, we introduced anti–miR-218 into dermal fibroblasts. Real-time PCR analysis of RNAs prepared from gingival and dermal fibroblasts 48 h posttransfection indicated that ET-1 and FAK mRNAs were sensitive to miR-218 (Figure 2A). Moreover, transfection of the miR-218 precursor pre–miR-218 into gingival fibroblasts elevated FAK and ET-1 protein production in this cell type (Figure 2B). In addition, genome-wide expression profiling of RNA isolated from gingival fibroblasts 48 h posttransfection with the miR-218 precursor pre–miR-218 revealed that a series of profibrotic mRNAs was up-regulated in the presence of pre–miR-218, including α-SMA and CCN2 (Table 2). The expression of mature miR-218, α-SMA, and CCN2 (Leask, 2013) was verified by real-time PCR (Figure 2A). Finally, transfection of the miR-218 precursor pre–miR-218 into gingival fibroblasts promoted the adhesive ability of this cell type (Figure 3). Collectively these results suggest that miR-218 controls the adhesive ability of fibroblasts.
FIGURE 2:

miR-218 modulates profibrotic gene expression in dermal and gingival fibroblasts. As described in Materials and Methods, HDFs and HGFs were transfected with anti–miR-218 or anti-miRNA negative control and pre–miR-218 or pre-miRNA negative control, respectively. Forty-eight hours posttransfection, RNA was harvested and subjected to real-time PCR analysis to detect (A) miR-218, FAK, endothelin-1, α-SMA, and CCN2 mRNAs. Average relative expression compared with HGFs ± SD (N = 3, *p < 0.05, **p < 0.01, ***p < 0.001, one-way ANOVA test). (B) Protein was assessed by Western blot analysis to detect anti-FAK and anti–β-actin antibodies or enzyme-linked immunosorbent assay (ELISA) to detect ET-1.

TABLE 2:

Cluster analysis of mRNAs (out of 228 total) up-regulated in human gingival fibroblasts after pre–miR-218 transfection.

Affymetrix IDRefSeqGene nameFold up-regulated, pre-miR218 vs. control
Cell adhesion
7936968NM_003474ADAM metallopeptidase domain 121.8241
7969438NM_005358LIM domain 71.54555
8148435NM_003882WNT1 inducible signaling pathway protein 12.19884
7962579NM_001143668Adhesion molecule with immunoglobulin-like domain 23.16115
7918064NM_001854Collagen, type XI, α11.60543
8148070NM_021110Collagen, type XIV, α11.61149
8129562NM_001901Connective tissue growth factor2.21101
7902687NM_001554Cysteine-rich, angiogenic inducer, 611.9717
8112971NM_001884Hyaluronan and proteoglycan link protein 11.97773
7989985NM_001004439Integrin, α111.76727
7977854NM_032876Jub, ajuba homologue (Xenopus laevis)1.87499
8162388NM_005014Osteomodulin2.01788
7961142NM_002543Oxidized low-density lipoprotein (lectin-like) receptor 11.72096
8040473NM_004040Ras homologue gene family, member B1.67505
7903358NM_001078Vascular cell adhesion molecule 11.75193
Cytoskeleton
7934906NM_001141945Actin, α2, smooth muscle, aorta2.6501
7987315NM_005159Actin, α, cardiac muscle 11.63043
8042788NM_001615Actin, γ2, smooth muscle, enteric2.85741
8136347NM_033138Caldesmon 11.51663
8013015NM_181716Centromere protein V1.68434
8109843NM_004946Dedicator of cytokinesis 21.51402
8098263NM_001166108Palladin, cytoskeletal-associated protein1.52893
7984079NM_000366Tropomyosin 1 (α)2.12499
8108873NM_015071Rho GTPase–activating protein 261.83145
8136347NM_033138Caldesmon 11.51663
8116780NM_004415Desmoplakin1.58565
8047926NM_002374Microtubule-associated protein 21.60628
8169249NM_012216Midline 21.63874
8095834NM_020859Shroom family member 31.53651
7984079NM_000366Tropomyosin 1 (α)2.12499
FIGURE 3:

Transfection of pre–miR-218 into human gingival fibroblasts results in increased cell adhesion to fibronectin. As described in Materials and Methods, HGFs were transfected with pre–miR-218 or pre-miRNA negative control and subjected to a cell adhesion assay on fibronectin. Adherent cells were detected using MTT assay. Average ± SD (N = 3, *p < 0.05, Student's t test).

miR-218 modulates profibrotic gene expression in dermal and gingival fibroblasts. As described in Materials and Methods, HDFs and HGFs were transfected with anti–miR-218 or anti-miRNA negative control and pre–miR-218 or pre-miRNA negative control, respectively. Forty-eight hours posttransfection, RNA was harvested and subjected to real-time PCR analysis to detect (A) miR-218, FAK, endothelin-1, α-SMA, and CCN2 mRNAs. Average relative expression compared with HGFs ± SD (N = 3, *p < 0.05, **p < 0.01, ***p < 0.001, one-way ANOVA test). (B) Protein was assessed by Western blot analysis to detect anti-FAK and anti–β-actin antibodies or enzyme-linked immunosorbent assay (ELISA) to detect ET-1. Transfection of pre–miR-218 into human gingival fibroblasts results in increased cell adhesion to fibronectin. As described in Materials and Methods, HGFs were transfected with pre–miR-218 or pre-miRNA negative control and subjected to a cell adhesion assay on fibronectin. Adherent cells were detected using MTT assay. Average ± SD (N = 3, *p < 0.05, Student's t test). Cluster analysis of mRNAs (out of 228 total) up-regulated in human gingival fibroblasts after pre–miR-218 transfection.

miR-218 regulates TGFβ activity in fibroblasts

To extend these data and provide a link between these observations, we transfected gingival fibroblasts with pre–miR-218. For RNA analysis, cells were treated with or without TGFβ1 for an additional 6 h. For protein analysis, cells were treated with or without TGFβ1 for an additional 24 h. The ability of pre–miR-218 to restore the ability of TGFβ1 to induce α-SMA mRNA and protein was shown by real-time PCR and Western blot analysis, respectively (Figure 4, A and B). Furthermore, this ability was blocked in the presence of the ALK5 inhibitor SB431542, the FAK/src inhibitor PP2, or the endothelin receptor antagonist PD145065 (Figure 4C). Conversely, the ability of TGFβ to induce ET-1 mRNA was increased in the presence of pre–miR-218 but was sensitive only to SB431542 and PP2 (Figure 4D). These results are consistent with the notion that miR-218 controls the ability of TGFβ to induce α-SMA expression via the FAK/src-dependent induction of ET-1.
FIGURE 4:

miR-218 enhances TGFβ responses in gingival fibroblasts. (A) miR-218 promotes TGFβ-induced α-SMA expression in HGFs: RNA analysis. HGFs were treated with or without pre-miRNA negative control or pre-miR218 miRNA and treated with or without TGFβ1 for 6 h. Simultaneously, HDFs were treated with or without TGFβ1 for 6 h. RNA was harvested and subjected to real-time PCR analysis to detect α-SMA mRNA. Average ± SD (N = 3, **p < 0.01, one-way ANOVA test). (B) miR-218 promotes TGFβ-induced α-SMA expression in HGFs: protein analysis. HGFs were treated with or without pre-miRNA negative control or pre-miR218 miRNA and treated with or without TGFβ1 for 24 h. Protein was extracted and subjected to Western blot analysis with anti–α-SMA and anti–β-actin antibodies. (C, D) Effect of the ALK5 receptor inhibitor SB431542, the FAK/src inhibitor PP2, and the ET receptor antagonist PD145065 on the ability of pre–miR-218 to enhance TGFβ responses in gingival fibroblasts. Cells were treated and transfected as in A but were pretreated for 45 min before addition of TGFβ with or without DMSO, SB431542, PP2, or PD145065, as indicated. RNA was harvested and subjected to real-time PCR analysis to detect (C) α-SMA or (D) ET-1 mRNA. Average ± SD (N = 3, **p < 0.01, ***p < 0.001, one-way ANOVA test).

miR-218 enhances TGFβ responses in gingival fibroblasts. (A) miR-218 promotes TGFβ-induced α-SMA expression in HGFs: RNA analysis. HGFs were treated with or without pre-miRNA negative control or pre-miR218 miRNA and treated with or without TGFβ1 for 6 h. Simultaneously, HDFs were treated with or without TGFβ1 for 6 h. RNA was harvested and subjected to real-time PCR analysis to detect α-SMA mRNA. Average ± SD (N = 3, **p < 0.01, one-way ANOVA test). (B) miR-218 promotes TGFβ-induced α-SMA expression in HGFs: protein analysis. HGFs were treated with or without pre-miRNA negative control or pre-miR218 miRNA and treated with or without TGFβ1 for 24 h. Protein was extracted and subjected to Western blot analysis with anti–α-SMA and anti–β-actin antibodies. (C, D) Effect of the ALK5 receptor inhibitor SB431542, the FAK/src inhibitor PP2, and the ET receptor antagonist PD145065 on the ability of pre–miR-218 to enhance TGFβ responses in gingival fibroblasts. Cells were treated and transfected as in A but were pretreated for 45 min before addition of TGFβ with or without DMSO, SB431542, PP2, or PD145065, as indicated. RNA was harvested and subjected to real-time PCR analysis to detect (C) α-SMA or (D) ET-1 mRNA. Average ± SD (N = 3, **p < 0.01, ***p < 0.001, one-way ANOVA test).

Cezanne is overexpressed in gingival fibroblasts, regulates FAK and TGFβ-induced α-SMA in fibroblasts, and is a direct target of miR-218

Diminished FAK expression and activity is a feature of gingival fibroblasts (Guo , b). Previously it was shown that the proinflammatory transcription factor NF-κB is a key transcriptional regulator of FAK (Cox ; Ko , 2013). NF-κB activity is very tightly regulated by endogenous cellular negative signaling regulators; for example, cezanne, a newly identified member of the A20 family of deubiquitinases, was shown to act as a negative feedback regulator of the NF-κB pathway under physiological conditions (Enesa ; Evans ). To assess whether alterations in cezanne expression might explain the reduced expression of FAK in gingival fibroblasts, we first used Western blot analysis to show that cezanne was overexpressed in gingival fibroblasts compared with dermal fibroblasts (Figure 5A). To assess whether the production of FAK in gingival fibroblasts depended on cezanne, we transfected small interfering RNA (siRNA) into gingival fibroblasts. Western blot analysis confirmed that the siRNA target cezanne could decease the expression of cezanne in gingival fibroblasts (Figure 5A). Introduction of siRNA recognizing cezanne into gingival fibroblasts caused an increase in both FAK (Figure 5, A and B) and endothelin 1 (Figure 5C) mRNA and protein expression. Similarly, the cezanne siRNA rescued the ability of gingival fibroblasts to respond to TGFβ by inducing α-SMA mRNA (Figure 5D).
FIGURE 5:

Cezanne siRNA increases FAK and TGFβ-induced α-SMA expression in gingival fibroblasts. (A) HGFs were treated with or without control siRNA or siRNA recognizing cezanne. Simultaneously, HDFs were cultured as a control. Forty-eight hours later, protein was harvested and subjected to Western blot analysis with antibodies detecting cezanne, FAK, or β-actin protein levels, Alternatively, HGFs treated as in A were subjected to (B) real-time PCR analysis to detect cezanne or FAK or (C) real-time PCR analysis or ELISA to detect ET-1 levels. (N = 3, *p < 0.05, ***p < 0.001, Student's t test). (D) Cezanne siRNA enhances TGFβ-induced α-SMA expression in HGFs. HGFs were treated with or without control siRNA or cezanne siRNA and treated with or without TGFβ1 for 6 h (for RNA analysis) or 24 h (for protein analysis). RNA was harvested and subjected to real-time PCR analysis to detect α-SMA mRNA. Average ± SD (N = 3, **p < 0.01, one-way ANOVA test). Protein was subjected to Western blot analysis to detect α-SMA or β-actin protein.

Cezanne siRNA increases FAK and TGFβ-induced α-SMA expression in gingival fibroblasts. (A) HGFs were treated with or without control siRNA or siRNA recognizing cezanne. Simultaneously, HDFs were cultured as a control. Forty-eight hours later, protein was harvested and subjected to Western blot analysis with antibodies detecting cezanne, FAK, or β-actin protein levels, Alternatively, HGFs treated as in A were subjected to (B) real-time PCR analysis to detect cezanne or FAK or (C) real-time PCR analysis or ELISA to detect ET-1 levels. (N = 3, *p < 0.05, ***p < 0.001, Student's t test). (D) Cezanne siRNA enhances TGFβ-induced α-SMA expression in HGFs. HGFs were treated with or without control siRNA or cezanne siRNA and treated with or without TGFβ1 for 6 h (for RNA analysis) or 24 h (for protein analysis). RNA was harvested and subjected to real-time PCR analysis to detect α-SMA mRNA. Average ± SD (N = 3, **p < 0.01, one-way ANOVA test). Protein was subjected to Western blot analysis to detect α-SMA or β-actin protein. TargetScan and DIANA identified two miR-218 recognition sequences between 398 and 426 and between 1414 and 1442 in the 3′ untranslated region (UTR) of cezanne (Figure 6A). The sequences 398–426 and 1414–1442 were then subcloned into pMIR-REPORT vectors and cotransfected into gingival fibroblasts with pGL4.74 in the presence or absence of pre–miR-218. The addition of prexmiR-218 reduced the luciferase activity of both pmiR-cezanne 398–426 and pmiR-cezanne 1414–1442 (Figure 6A). Mutation of these sites blocked the ability of pre–miR-218 to reduce luciferase activity (Figure 6A). In addition, real-time PCR confirmed the expression change of cezanne after overexpression or inhibition of miR-218 (Figure 6B). Western blot analysis also confirmed the change of cezanne protein level after pre–miR-218 transfection (Figure 6C). Thus pre–miR-218 targets two separate regions of the cezanne 3′ UTR. These data are consistent with the notion that miR-218 regulates TGFβ signaling by regulating cezanne/FAK. Figure 7 is a schematic diagram illustrating our findings.
FIGURE 6:

Cezanne expression is a direct target of miR-218. (A) Promoter-reporter constructs containing two predicted miR-218 recognition sequences or with the putative sequences mutated were transfected into cells with pre-miRNA negative control or pre–miR-218. Cells were cotransfected with control vector expressing Renilla luciferase. Adjusted average expression values ± SD (N = 3, **p < 0.01, ***p < 0.001, Student's t test). (B). HGFs were transfected with pre-miRNA negative control or pre–miR-218. In addition, HDFs were treated with anti-miRNA negative control or anti–miR-218. Forty-eight hours later, cells were harvested for RNA and subjected to real-time PCR analysis to detect cezanne (N = 3, **p < 0.01, ***p < 0.001, Student's t test). (C) HGFs were transfected with pre-miRNA negative control or pre–miR-218. As a control, HDFs were cultured in parallel. Forty-eight hours later, protein was harvested and subjected to Western blot analysis with anti-cezanne or anti–β-actin protein.

FIGURE 7:

Summary of the findings. Compared to HGFs, in HDFs there is elevated miR-218 expression. miR-218 suppresses the deubiquitinase cezanne, leading to elevated FAK expression. Thus HDFs show elevated FAK-dependent transcriptional responses to TGFβ1 compared with HGF.

Cezanne expression is a direct target of miR-218. (A) Promoter-reporter constructs containing two predicted miR-218 recognition sequences or with the putative sequences mutated were transfected into cells with pre-miRNA negative control or pre–miR-218. Cells were cotransfected with control vector expressing Renilla luciferase. Adjusted average expression values ± SD (N = 3, **p < 0.01, ***p < 0.001, Student's t test). (B). HGFs were transfected with pre-miRNA negative control or pre–miR-218. In addition, HDFs were treated with anti-miRNA negative control or anti–miR-218. Forty-eight hours later, cells were harvested for RNA and subjected to real-time PCR analysis to detect cezanne (N = 3, **p < 0.01, ***p < 0.001, Student's t test). (C) HGFs were transfected with pre-miRNA negative control or pre–miR-218. As a control, HDFs were cultured in parallel. Forty-eight hours later, protein was harvested and subjected to Western blot analysis with anti-cezanne or anti–β-actin protein. Summary of the findings. Compared to HGFs, in HDFs there is elevated miR-218 expression. miR-218 suppresses the deubiquitinase cezanne, leading to elevated FAK expression. Thus HDFs show elevated FAK-dependent transcriptional responses to TGFβ1 compared with HGF.

DISCUSSION

Unlike skin, oral gingivae do not scar (Schor ). Instead, fibrotic responses within oral tissue are characterized by hyperproliferation and the relative absence of highly contractile myofibroblasts (Sakamoto ; Martelli ; Damasceno ). Consistent with these observations, we previously showed that, in contrast to results previously obtained using dermal fibroblasts (Kessler ), neither mechanical stress nor TGFβ potently induced α-SMA expression in gingival fibroblasts (Guo ). This difference was due to diminished basal ET-1 production caused by reduced FAK/src activity in gingival fibroblasts (Guo , b). Indeed, elevated adhesive signaling observed in dermal fibroblasts compared with gingival fibroblasts appeared to be crucial for the differences in TGFβ responses between the two cell types. In this article, we show that miR-218 is decreased in gingival fibroblasts and ultimately responsible for the differential TGFβ responses observed in gingival versus dermal fibroblasts. Intriguingly, miR-218 was recently shown to be down-regulated postdifferentiation of dental stem cells (Gay ) and to suppress proliferation of cancer cells (Hidaka ). To our knowledge, the concept that cezanne plays a role in TGFβ responses or fibrosis has not previously been reported. It is also interesting to note that miR-486 also regulates cezanne (Song ). We believe that these data are important for suggesting that the fundamental basis of scarless tissue repair could be due to epigenetic changes such as altered miR-218 expression leading to the reduced adhesive potential production of gingival fibroblasts and hence to altered TGFβ signaling. Modulating miR-218/cezanne or adhesive signaling might be useful in controlling scarring in response to injury.

MATERIALS AND METHODS

Cell culture

Gingival fibroblasts from three different human donors, identical to those previously described, were used (Thompson ; Guo , b). Each experiment using gingival fibroblasts was conducted with cells isolated from all three individuals. Human dermal fibroblasts were purchased (American Type Culture Collection, Manassas, VA). Experiments were performed on cells between passages 5 and 7. Cells were cultured in DMEM supplemented with 10% fetal bovine serum (FBS) and 1% antibiotic-antimycotic (Invitrogen, Burlington, ON, Canada) at 5% CO2 and 37°C. For all experiments at least three biological replicated were used, as indicated.

Real-time PCR

Real-time PCR was performed as previously described (Thompson ; Guo , b). Total RNA was isolated (TRIzol; Life Technologies, Burlington, Canada) and then was reverse transcribed and amplified using TaqMan Assay-on-Demand (Life Technologies) in a 15-μl reaction volume containing two unlabeled primers and a 6-FAM–labeled TaqMan minor groove binder. Samples were combined using One-Step Master Mix (Life Technologies), and amplified sequences were detected using the ABI Prism 7900HT Sequence Detector (Perkin Elmer Cetus, Waltham, MA) according to the manufacturer's instructions. Triplicate samples were run. Expression values were standardized to values obtained with control 18S RNA primers, using the 2−ΔΔ method.

Quantitative RT-PCR for mature miRNA

miR-218 expression in gingival and dermal fibroblasts was evaluated using TaqMan microRNA Assay (Applied Biosystems, Foster City, CA) as specified in the manufacturer's protocol. Real-time PCR was performed using Taqman Universal PCR master mix and ABI Prism 7900HT Sequence Detector. All reactions were performed in triplicate. Expression levels of mature microRNAs were evaluated using the 2−ΔΔ method.

Transfection assays

Pre–miR-218 and pre-miRNA negative control, anti–miR-218, and anti-miRNA negative control were purchased from Ambion, Burlington, Canada. SMARTpool ON-TARGET cezanne siRNA (si-cezanne) and negative control were purchased from Thermo Scientific, Ottawa, Canada. For all the assays based on miR-218 overexpression, gingival fibroblasts were cultured in DMEM/10% FBS and then transfected using siPORT NeoFX transfection agent (Invitrogen) with pre-miRNA or negative control at a final concentration of 10 nM. Cells were used for further treatment 48 h after transfection. For all the assays based on the inhibition of miR-218 expression, human dermal fibroblasts were transfected with anti-miRNA or negative control with the same method. For all the assays based on the inhibition of cezanne expression, human gingival fibroblasts were transfected with si-cezanne or negative control with the same method.

Enzyme-linked immunosorbent assays

Secreted ET-1 levels were determined in triplicate using a Quantiglo Human Endothelin-1 Immunoassay (R&D Systems, Minneapolis, MN). We used 100-μl culture supernatants in the Quantiglo immunoassay, which was performed according to the manufacturer's instructions. A standard curve (linear between 0.34 and 250 pg/ml ET-1) was conducted for each assay.

Western blotting

Protein samples (100 μg/lane) were subjected to SDS–PAGE and then transferred to polyvinylidene difluoride membranes (Invitrogen). The resultant membranes were blocked with 5% milk–Tris-buffered saline/Tween 20 (TBST) for 1 h at room temperature and then incubated with anti-FAK (Cell Signaling), anti-cezanne (Abcam), anti-CCN2 (Santa Cruz), and anti–α-SMA antibody (Sigma) overnight at 4°C, washed with TBST, incubated with appropriate secondary antibody (1:5000; Jackson Immuno­Research) conjugated to horseradish peroxidase, washed, and visualized with ECL Western Blotting Detection Reagents (Amersham Biosciences). After stripping with Restore Western Blot Stripping Buffer (Pierce) for 20 min at room temperature, membranes were processed similarly with β-actin antibody (1:10,000 dilution, Sigma-Aldrich, St. Louis, MO) as a loading control.

Expression profiling

Expression profiling was conducted essentially as previously described (Thompson ; Guo ) at the London Regional Genomics Centre (Robarts Research Institute, London, Canada; www.lrgc.ca). RNA quality was assessed (Agilent Technologies, Palo Alto, CA). Single-stranded complementary DNA was prepared from 200 ng of total RNA as per the Ambion WT Expression Kit for Affymetrix GeneChip Whole Transcript WT Expression Arrays (www.ambion.com/techlib/prot/fm_4411973.pdf; Applied Biosystems, Carlsbad, CA) and the Affymetrix GeneChip WT Terminal Labeling kit and Hybridization User Manual (http://media.affymetrix.com/support/Downloads/manuals/wt_term_label_ambion_user_manual.pdf; Affymetrix, Santa Clara, CA). Total RNA was converted to cDNA and then in vitro transcribed to make cRNA. Single-stranded cDNA, 5.5 μg, was synthesized, end labeled, and hybridized for 16 h at 45°C to Human Gene 1.0 ST arrays. All liquid-handling steps were performed by a GeneChip Fluidics Station 450, and GeneChips were scanned with the GeneChip Scanner 3000 7G (Affymetrix) using Command Console, version 1.1. Probe-level (.CEL file) data were generated using Affymetrix Command Console, version 1.1. Probes were summarized to gene-level data in Partek Genomics Suite, version 6.5 (Partek, St. Louis, MO) using the RMA algorithm. Partek was used to determine gene-level analysis of variance (ANOVA) p values, fold changes, and Gene Ontology enrichment using a chi-squared test. Gene lists were then made based on fold change and p-value filters.

Adhesion assays

Cell adhesion assays were performed essentially as previously described (Guo ). Wells of 96-well plates were incubated overnight at 4°C with 1 μg/ml fibronectin (Sigma-Aldrich) in phosphate-buffered saline (PBS). Wells were blocked for 1 h in 1% BSA in PBS at room temperature. Gingival fibroblasts cells transfected with pre–miR-218 or negative control were harvested using 2 mM EDTA in PBS (20 min at room temperature) and then washed twice with serum-free DMEM containing 1% BSA (Sigma-Aldrich). Cells were then resuspended in the same medium (2.5 × 105 cells/ml), and 100 μl of suspension was then placed into each well for the times indicated to allow cells to attach to matrix. Nonadherent cells were removed by washing with PBS. Adherent cells were quantified by incubation with 10 μl of 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) solution for 4 h at 37°C, after which formazan reaction products in each well were dissolved in 100 μl of dimethyl sulfoxide (DMSO) and A570 was measured. Comparison of adhesive abilities was performed by using Student's unpaired t test. A p < 0.05 was considered as statistically significant.

Target in vitro luciferase report assay

The pMIR-REPORT plasmids for miR-218 target cezanne 3′-UTR were constructed as pmiR-cezanne 398–426 and pmiR-cezanne 1414–1442 containing the miR-218 response element from cezanne 3′-UTR. The sequences used to create the pmiR-cezanne 398–426 are as follows: forward, 5′-CTAGTGCTCAGCAGGTTGGGAAAAAGCACATA-3′; reverse, 5′-AGCTTATGTGCTTTTTCCCAACCTGCTGAGCA-3′. The sequences used to create the pmiR-cezanne 1414–1442 are as follows: forward, 5′-CTAGTGCTCAGCCGCATT TTGCACAAAGCACAAA-3′; reverse, 5′-AGCTTTTGTGCTTTGAGCAA AATGCGGCTGAGCA. The oligonucleotides were annealed and inserted into the pMIR-REPORT vector (Ambion). When indicated, point mutations were introduced into putative recognition sequences (Figure 6A). HEK-293 cells were plated at 55% confluency in 24-well plates and then transfected with 150 ng of the reporter plasmids, 50 ng of pGL4.74 vector, and, where applicable, 20 pmol of pre–miR-218 or control using Lipofectamine 2000 per the manufacturer's instructions (Invitrogen). Luciferase activity was measured 48 h after transfection using the Dual Luciferase Reporter Assay System (Promega, Madison, WI). Firefly luciferase activity was normalized to Renilla luciferase activity for each transfected well. Each experiment was repeated at least three times.
  28 in total

1.  ALK5 inhibition blocks TGFß-induced CCN2 expression in gingival fibroblasts.

Authors:  K Thompson; D W Hamilton; A Leask
Journal:  J Dent Res       Date:  2010-10-05       Impact factor: 6.116

2.  Diversity, topographic differentiation, and positional memory in human fibroblasts.

Authors:  Howard Y Chang; Jen-Tsan Chi; Sandrine Dudoit; Chanda Bondre; Matt van de Rijn; David Botstein; Patrick O Brown
Journal:  Proc Natl Acad Sci U S A       Date:  2002-09-24       Impact factor: 11.205

Review 3.  Subpopulations of fetal-like gingival fibroblasts: characterisation and potential significance for wound healing and the progression of periodontal disease.

Authors:  S L Schor; I Ellis; C R Irwin; J Banyard; K Seneviratne; C Dolman; A D Gilbert; D M Chisholm
Journal:  Oral Dis       Date:  1996-06       Impact factor: 3.511

4.  Isolation and characterization of two novel A20-like proteins.

Authors:  P C Evans; E R Taylor; J Coadwell; K Heyninck; R Beyaert; P J Kilshaw
Journal:  Biochem J       Date:  2001-08-01       Impact factor: 3.857

Review 5.  New concepts regarding focal adhesion kinase promotion of cell migration and proliferation.

Authors:  Braden D Cox; Meera Natarajan; Michelle R Stettner; Candece L Gladson
Journal:  J Cell Biochem       Date:  2006-09-01       Impact factor: 4.429

6.  Myofibroblast differentiation by transforming growth factor-beta1 is dependent on cell adhesion and integrin signaling via focal adhesion kinase.

Authors:  Victor J Thannickal; Daniel Y Lee; Eric S White; Zongbin Cui; Jose M Larios; Raquel Chacon; Jeffrey C Horowitz; Regina M Day; Peedikayil E Thomas
Journal:  J Biol Chem       Date:  2003-01-16       Impact factor: 5.157

7.  Disruption of transforming growth factor beta signaling and profibrotic responses in normal skin fibroblasts by peroxisome proliferator-activated receptor gamma.

Authors:  Asish K Ghosh; Swati Bhattacharyya; Gabriella Lakos; Shu-Jen Chen; Yasuji Mori; John Varga
Journal:  Arthritis Rheum       Date:  2004-04

8.  Dissecting the roles of endothelin, TGF-beta and GM-CSF on myofibroblast differentiation by keratinocytes.

Authors:  Pierre Shephard; Boris Hinz; Sigrun Smola-Hess; Jean-Jacques Meister; Thomas Krieg; Hans Smola
Journal:  Thromb Haemost       Date:  2004-08       Impact factor: 5.249

Review 9.  Histochemical, immunohistochemical, and ultrastructural studies of gingival fibromatosis: a case report.

Authors:  Ryoichi Sakamoto; Tetsuya Nitta; Yoshiaki Kamikawa; Seishi Kono; Yasuko Kamikawa; Kazumasa Sugihara; Shinichiro Tsuyama; Fusayoshi Murata
Journal:  Med Electron Microsc       Date:  2002-12

10.  Myofibroblast differentiation is induced in keratinocyte-fibroblast co-cultures and is antagonistically regulated by endogenous transforming growth factor-beta and interleukin-1.

Authors:  Pierre Shephard; Gail Martin; Sigrun Smola-Hess; Georg Brunner; Thomas Krieg; Hans Smola
Journal:  Am J Pathol       Date:  2004-06       Impact factor: 4.307

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  13 in total

1.  Increased Expression of MicroRNA 551a by c-Fos Reduces Focal Adhesion Kinase Levels and Blocks Tumorigenesis.

Authors:  Lakshmi Arivazhagan; Ganesh Venkatraman; Suresh K Rayala
Journal:  Mol Cell Biol       Date:  2019-03-19       Impact factor: 4.272

Review 2.  Wound healing and fibrosis: a contrasting role for periostin in skin and the oral mucosa.

Authors:  Georgia Nikoloudaki; Kendal Creber; Douglas W Hamilton
Journal:  Am J Physiol Cell Physiol       Date:  2020-04-08       Impact factor: 4.249

3.  Epithelial Mesenchymal Transition: a double-edged sword.

Authors:  Guislaine Barriere; Pietro Fici; Giulia Gallerani; Francesco Fabbri; Michel Rigaud
Journal:  Clin Transl Med       Date:  2015-04-14

4.  Transforming growth factor (TGF)-β1-induced miR-133a inhibits myofibroblast differentiation and pulmonary fibrosis.

Authors:  Peng Wei; Yan Xie; Peter W Abel; Yapei Huang; Qin Ma; Linghai Li; Junfeng Hao; Dennis W Wolff; Taotao Wei; Yaping Tu
Journal:  Cell Death Dis       Date:  2019-09-11       Impact factor: 8.469

5.  TGF-β1-induced miR-424 promotes pulmonary myofibroblast differentiation by targeting Slit2 protein expression.

Authors:  Yapei Huang; Yan Xie; Peter W Abel; Peng Wei; Jocelyn Plowman; Myron L Toews; Heather Strah; Aleem Siddique; Kristina L Bailey; Yaping Tu
Journal:  Biochem Pharmacol       Date:  2020-07-24       Impact factor: 5.858

6.  Differential Expression of microRNAs in Thymic Epithelial Cells from Trypanosoma cruzi Acutely Infected Mice: Putative Role in Thymic Atrophy.

Authors:  Leandra Linhares-Lacerda; Cintia Cristina Palu; Marcelo Ribeiro-Alves; Bruno Diaz Paredes; Alexandre Morrot; Maria Rosa Garcia-Silva; Alfonso Cayota; Wilson Savino
Journal:  Front Immunol       Date:  2015-08-21       Impact factor: 7.561

7.  Regulation of matrix remodelling phenotype in gingival fibroblasts by substratum topography.

Authors:  Shawna S Kim; Weiyan Wen; Paul Prowse; Douglas W Hamilton
Journal:  J Cell Mol Med       Date:  2015-03-12       Impact factor: 5.310

8.  Tensile forces drive a reversible fibroblast-to-myofibroblast transition during tissue growth in engineered clefts.

Authors:  Philip Kollmannsberger; Cécile M Bidan; John W C Dunlop; Peter Fratzl; Viola Vogel
Journal:  Sci Adv       Date:  2018-01-17       Impact factor: 14.136

9.  Irradiated Human Umbilical Vein Endothelial Cells Undergo Endothelial-Mesenchymal Transition via the Snail/miR-199a-5p Axis to Promote the Differentiation of Fibroblasts into Myofibroblasts.

Authors:  Minxiao Yi; Bo Liu; Yang Tang; Fang Li; Wan Qin; Xianglin Yuan
Journal:  Biomed Res Int       Date:  2018-02-12       Impact factor: 3.411

10.  In vitro biocompatibility of biohybrid polymers membrane evaluated in human gingival fibroblasts.

Authors:  Bin Guo; Chuhua Tang; Mingguo Wang; Zhongqi Zhao; Hassan A Shokoohi-Tabrizi; Bin Shi; Oleh Andrukhov; Xiaohui Rausch-Fan
Journal:  J Biomed Mater Res B Appl Biomater       Date:  2020-02-25       Impact factor: 3.368

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