Elevated miR-155 Promotes Inflammation in Cystic Fibrosis
by Driving Hyperexpression of Interleukin-8*□S
Received for publication,October 28, 2010, and in revised form, January 24, 2011 Published, JBC Papers in Press, January 31, 2011, DOI 10.1074/jbc.M110.198390
Sharmistha Bhattacharyya‡, Nagaraja S. Balakathiresan‡, Clifton Dalgard§, Usha Gutti‡, David Armistead¶,
Cathy Jozwik§, Meera Srivastava§, Harvey B. Pollard§, and Roopa Biswas‡1
From the ‡Department of Health Systems, Risk, and ContingencyManagement, Graduate School of Nursing, and the §Department
of Anatomy, Physiology and Genetics, School of Medicine, Uniformed Services University of the Health Sciences, Bethesda,
Maryland 20814 and ¶Applied Biosystems, Foster City, California 94404
Cystic Fibrosis (CF) is characterized by a massive proinflam-
matory phenotype in the lung arising from profound expression
of inflammatory genes, including interleukin-8 (IL-8). We have
previously reported that IL-8 mRNA is stabilized in CF lung
epithelial cells, resulting in concomitant hyperexpression of
IL-8 protein. However, the mechanistic link betweenmutations
in CFTR and acquisition of the proinflammatory phenotype in
the CF airway has remained elusive. We hypothesized that spe-
cificmicroRNAs (miRNAs)mightmediate this linkage. To iden-
tify the potential link, we screened an miRNA library for differ-
ential expression in �F508-CFTR and wild type CFTR lung
epithelial cell lines. Of 22 differentially and significantly
expressed miRNAs, we found that expression of miR-155 was
more than 5-fold elevated in CF IB3-1 lung epithelial cells in
culture, compared with control IB3-1/S9 cells. Clinically, miR-
155 was also highly expressed in CF lung epithelial cells and
circulating CF neutrophils biopsied from CF patients. We
report here that high levels of miR-155 specifically reduced lev-
els of SHIP1, thereby promoting PI3K/Akt activation. However,
overexpressing SHIP1 or inhibition of PI3K in CF cells sup-
pressed IL-8 expression. Finally, we found that phospho-Akt
levels were elevated in CF lung epithelial cells and were specifi-
cally lowered by either antagomir-155 or elevated expression of
SHIP1.We therefore suggest that elevatedmiR-155 contributes
to the proinflammatory expression of IL-8 in CF lung epithelial
cells by lowering SHIP1 expression and thereby activating the
PI3K/Akt signaling pathway. These data suggest that miR-155
may play an important role in the activation of IL-8-dependent
inflammation in CF.
Cystic fibrosis (CF),2 the most common autosomal recessive
disease in the United States and Europe, is caused bymutations
in the cystic fibrosis transmembrane conductance regulator
(CFTR) gene (1–4). CFTR mutations, of which the most com-
mon is�F508-CFTR, cause amassive proinflammatory pheno-
type in the lung, which manifests in the airway by high levels of
IL-8 and other proinflammatory cytokines and chemokines
(5–7). IL-8 is the most potent known chemotactic agent for
neutrophils (8) and is constitutively secreted from CF lung epi-
thelial cells (9). The enhanced secretion of IL-8 seems to be an
intrinsic property of the CF epithelium because fetal CF lung
epithelium also spontaneously secretes high IL-8 levels into the
airway as early as the 15th week of gestation (10, 11). However,
the mechanism by which a mutation in CFTR causes up-regu-
lated levels of IL-8 expression remains poorly understood.
The expression of proinflammatory genes, such as IL-8, is
known to be regulated by post-transcriptionalmechanisms. For
example, the stability of mRNAs encoding many inflammatory
genes, including IL-8, is regulated by interactions between AU-
rich elements (AREs) in the 3�-untranslated region (3�-UTR)
and specific ARE-binding proteins. In the case of CF lung epi-
thelial cells in culture, which constitutively secrete high levels
of IL-8, we have recently reported that high levels of IL-8
mRNA are sustained by mutation-dependent reduction in the
ARE-binding protein tristetraprolin (TTP) (12). We also found
a similarly low level of TTP in primary CF lung cells, which had
been obtained acutely by brush biopsy of CF patients. Finally,
we found experimentally that elevation inTTPdirectly reduced
the stability of IL-8 mRNA, and, concomitantly, reduced the
level of secreted IL-8. Thus hypersecretion of IL-8 from the CF
lung epithelium seems to involve a loss of post-transcriptional
regulation byTTP.However, it also became clear that low levels
ofTTPmight not be the onlymechanismunderpinningCF lung
inflammation. For example, as mentioned above, the CF airway
is characterized not only by high levels of IL-8 but also by high
levels of TNF�, IL-6, and many other potent proinflammatory
analytes (5–7). Furthermore, many of the CF-specific proin-
flammatory processes have been associated with up-regulation
of both TNF�/NF�B signaling (13, 14) and TGF�-1 signaling
(15). Thus, the CFTR mutation appears to target a proinflam-
matory regulatory mechanism with simultaneous deleterious
effects on many proinflammatory genes.
MicroRNAs (miRNAs) may provide such a pleiotropic
mechanism. miRNAs mediate mRNA instability by action in
the 3�-UTRs of target genes (16–19). There are nearly 1000
unique miRNAs in the human genome, each of which individ-
ually targets �200 different mRNAs (20–25). Furthermore, it
has been reported that, in response to certain kinds of stress,
* This study was supported by USU-Intramural Funds (to R. B.), National Insti-
tutes of Health (RO1-DK053051, to H. B. P.) and Cystic Fibrosis Foundation
(to R. B. and H. B. P.).
□S The on-line version of this article (available at http://www.jbc.org) contains
supplemental Figs. S1 and S2.
1 To whom correspondence and reprint requests should be addressed: Grad-
uate School of Nursing, Rm. B4024, Uniformed Services University of the
Health Sciences, Bethesda, MD 20814. E-mail: rbiswas@usuhs.mil.
2 The abbreviations used are: CF, cystic fibrosis; CFTR, cystic fibrosis trans-
membrane conductance regulator; miRNA, microRNA; TTP, tristetraprolin;
ARE, AU-rich element; IPA, ingenuity pathway analysis; qPCR, quantitative
PCR; PIP3, phosphatidylinositol 3,4,5-trisphosphate; PIP2, phosphatidylino-
sitol 4,5-bisphosphate.
THE JOURNAL OF BIOLOGICAL CHEMISTRY VOL. 286, NO. 13, pp. 11604–11615, April 1, 2011
Printed in the U.S.A.
11604 JOURNAL OF BIOLOGICAL CHEMISTRY VOLUME 286•NUMBER 13•APRIL 1, 2011
miRNAs can switch from a normally translational repressor
mode to that of a translational activator (26, 27). Taken
together, it appears that a relatively fewmiRNAs can regulate as
much as 20–30% of the human genome. Recently, specific
miRNAs have been reported to be associated with diabetes (28,
29), cancer (30–33), heart disease (34, 35), cell cycle (36),
and development (17). Importantly, functional suppression of
miRNAs can be achieved, both in vitro and in vivo, by antago-
mirs, which are chemically engineered oligonucleotides that
are antisense to miRNAs (37). However, the possibility of an
association between specific miRNAs and the pathophysiology
of cystic fibrosis has not yet been described. Thus, if aberrant
elevation of a CF-specific miRNA could be identified, then it
might lead to a candidate therapeutic agent.
We report here the results of a hypothesis-based discovery
study formiRNAs associatedwith the proinflammatory pheno-
type for cystic fibrosis. We specifically hypothesized that
uniquely expressedmiRNAsmight aid in identifying themech-
anism by which mutant CFTR induces the characteristic pro-
inflammatory phenotype in theCF lung. To test this hypothesis,
we have performed a comprehensive and systematic analysis of
all miRNAs in CF IB3-1 lung epithelial cells that are differen-
tially affected by the presence of natural abundance �F508-
CFTR. Among 22 miRNAs that are aberrantly expressed in CF
cells, we have identified miR-155 as the most abundantly ele-
vated species, both in vitro and in vivo. Furthermore, we found
that a reduction in miR-155, mediated by either antisense or
antagomir constructs, resulted in suppression of IL-8 mRNA
and concomitantly reduced expression of IL-8 protein. The
mechanism of miR-155 action in CF cells is to inhibit transla-
tion of SHIP1, an inositol phosphate phosphatase. Loss of
SHIP1 results in elevated signaling of the PI3K/Akt pathway,
with downstream effects on the IL-8 system. We suggest that
miR-155may play an important role in the regulation of inflam-
mation in CF lung epithelial cells.
EXPERIMENTAL PROCEDURES
Reagents—LHC-8 media, trypsin-EDTA (0.05%), and Lipo-
fectamine transfection reagent were purchased from Invitro-
gen. Bronchial epithelial growth medium and the normal
human bronchial epithelial cells were purchased from Lonza.
The miRVana kit and RiboPure kit for isolation of total RNA
from CF cells were purchased from Ambion Inc. (Austin, TX).
Taqman low density V1 arrays, miRNA primer pools, and
pMIR-Report luciferase vector were purchased from Applied
Biosystems (Foster City, CA). Wortmannin was purchased
from EMD Chemicals (Gibbstown, NJ), and CFTRinh-172 was
obtained from Sigma.
Cell Culture—IB3-1 CF lung epithelial cells and the control
CFTR-repaired IB3-1/S9 cells were maintained in LHC-8
serum-free medium in humidified 5% CO2 as described previ-
ously (13).
RNA Isolation—Total RNA was isolated from the IB3-1 and
IB3-1/S9 cells using the miRVana isolation kit (Ambion). The
primary bronchial epithelial cells were obtained from lung
brush biopsies of CF patients as described earlier (12), and the
bloodwas collected fromCF patients and controls under a Uni-
formed Services University of the Health Sciences Institutional
ReviewBoard-approved protocol. The cells were stored in RNA
later or TRIzol, and total RNA was isolated using the miRVana
kit.
Real-time Quantification of miRNAs by Stem-Loop RT-PCR—
Multiplex Reverse Transcription was performed with the
TaqMan microRNA reverse transcription kit (Applied Biosys-
tems). Following reverse transcription, each reverse transcrip-
tion reaction was diluted andmixedwith TaqMan gene expres-
sion Master Mix (2�). 100 �l of the reverse transcription
reaction-specific PCR mix was loaded into the corresponding
fill ports of the TaqMan low density human microRNA panel
version 1.0 (Early Access). The CF brush biopsy samples were
similarly analyzed using the Taqman version 2.0 low density
arrays. Individual microRNA assays were performed using spe-
cific TaqMan MicroRNA assay kit (ABI).
miRNA Expression Arrays—miRNA expression arrays were
probed essentially as described (Ambion). Five micrograms of
total RNA from IB3-1 or IB3-1/S9 cells were end-labeled with
30 �Ci of [�-33P]dATP (3000 Ci/mmol) by T4 polynucleotide
kinase and purified using the QIAgen nucleotide removal kit.
Membranes were first prehybridized in MicroHyb hybridiza-
tion buffer (ResGen) at 37 °C for at least 30 min, followed by an
overnight hybridization in the same solution containing RNA
probe. Following hybridization membranes were washed twice
with 2� SSC, 0.5% SDS at 37 °C. The second wash was per-
formed in 1� SSC, 0.5% SDS at 37 °C. Membranes were
exposed to a phosphor storage screen and scanned using a
PhosphorImager, and hybridization signals were quantified
using ImageQuant software (Amersham Biosciences).
Statistical Data Analyses—Real-time PCR data were ana-
lyzed using the R and the Bioconductor package as well as with
STATMINER (a statistical analyses package from ABI). Data
were filtered forCt values of�35, and the datawere normalized
to the endogenous control gene RNU44. If an assay measure-
ment was not detected in both experimental subgroups, the
assay was not included in the pairwise statistical analysis. Fur-
thermore, if an assay measurement was not detected in more
than 50% of samples in an experimental subgroup, it was
deemed undetected for that subgroup. For all detectable assays,
an unpaired Student’s t test was performed on the �Ct values.
Adjusted p values (false discovery rates) were calculated using
the Benjamini Hochberg procedure. -Fold changes were calcu-
lated using the comparativeCtmethod. Hierarchical clustering
based upon Euclidean distances was performed on differen-
tially expressed samples with p values of�0.05.
Illumina mRNA Expression Processing and Analysis—Bea-
darray data were obtained from whole-genome expression
HumanRef-8 version 2.0 as well as human HT-12 BeadChips
using the iScan system and BeadScan software (Illumina, San
Diego, CA). Non-background, non-normalized array data were
generated using BeadStudio 3.2.7 software. Preprocessing of
array data bymodel-based or offset background correction and
robust spline normalization was performed using MATLAB or
the Lumi 1.8.3 package from Bioconductor 2.3 on the R 2.8
programming language platform. The processed Illumina array
data are MIAME-compliant and have been submitted to the
NCBI Gene Expression Omnibus (GEO) data base. Processed
array data were analyzed using ingenuity pathway analysis
miR-155 Regulates IL-8 Expression
APRIL 1, 2011•VOLUME 286•NUMBER 13 JOURNAL OF BIOLOGICAL CHEMISTRY 11605
(IPA). MicroRNA and mRNA relationship analysis was gener-
ated using TargetScan release 5.1 (Whitehead Institute) for
miRNA biological target prediction and IPA.
RESULTS
CF Lung Epithelial Cells Express Mutation-specific miRNAs—
As shown in Table 1, we used two independent methods to
identify CF-specific microRNAs in CF lung epithelial cells.
Using the new technology, quantitative Taqman� qPCR
miRNAarray platform, we find that of 365miRNAs tested, only
22 significantly distinguish between the natural abundance
IB3-1 CF cell and the wild type CFTR-repaired daughter cell,
IB3-1/S9 (see Table 1, left). For this analysis, we analyzed
three independent cultures of both IB3-1 and IB3-1/S9 cells and
identified any miRNAs for which the -fold difference was at
least�50%, and the p value for the difference was�0.05. Of the
22 differentially expressed miRNAs, 18 were elevated in the CF
cells, and four were reduced. The data in Table 1, ordered by
-fold change, indicate that the miRNAs with the highest differ-
ential expression (�4-fold) are miR-155 and let-7c. We also
validated the miR-155 and miR-let7c data with independent
Taqman� miRNA assays (see Fig. 1B). Of the remaining 16
elevatedmiRNAs, all were changed by 1.3–3.4-fold. Of the four
down-regulated miRNAs, only miR-615 has a �2-fold reduc-
tion, whereas miR-660, miR-194, and miR-192 exhibit reduc-
tions only in the 1.2–1.6-fold range.
However, these differently expressed miRNAs all appear to
contribute to a composite CF microRNA signature. For exam-
ple, Fig. 1A shows that when all 22 microRNAs are compared
using a hierarchical cluster algorithm, the dendrogram clearly
distinguishes between three independent experiments with CF
IB3-1 and three independent experiments with CFTR-repaired
IB3-1/S9 daughter cells. Thus, despite quantitative differences
in expression, all of the significantly aberrantmiRNAs, from the
most aberrantmiR-155 to the least, appear tomake a concerted
contribution to the CF phenotype in the CF IB3-1 lung epithe-
lial cell system.
To further validate the Taqman� data, we also tested the CF
lung epithelial cell samples using a conventional, semiquantita-
tive Ambion Bioarray� platform (see Table 1, right). The data
with this different type of system consistently replicated 12 of
the 18 miRNAs predicted by the Taqman� platform. The com-
mon directions of change are indicated by upward or down-
ward arrows. Horizontal double-headed arrows indicate satu-
rated expression. The validatedmiRNAs includedmiR-155 and
many of the other miRs with predicted high -fold differences.
Several of the low -fold changes are also confirmed. However,
consistent saturation problems were encountered with two of
the high -fold different miRs, let7c and miR-21, and were not
pursued further. Inasmuch as we had independently validated
the let7c by PCR (Fig. 1B), we did not pursue this technical
saturation problem further. Of the microRNAs with a�2-fold
difference from control, 6 were not detectable at all on the
microarray platform (markedND). Based on low levels in either
platform, we also chose not to pursue this technical sensitivity
problem any further. We therefore conclude that both the quan-
titative Taqman� and the semiquantitative Ambion Bioarray�
platforms agree with similar identifications for most of the
miRNAs with high -fold differences between CF IB3-1 and wild
type CFTR-repaired IB3-1/S9 cells, includingmiR-155.
Ex Vivo Clinical CF Cells Also Exhibit Elevated miR-155
Levels—To test the extent to which microRNA data from the
IB3-1 cell system might parallel microRNA expression in cells
from CF patients, we used the Taqman� qPCR miRNA array
platform tomeasuremicroRNA expression in bronchial brush-
ings and neutrophils obtained from CF patients homozygous
for the �F508 mutation. As a control for the CF lung epithelial
cells obtained by brush biopsy, we measured miR-155 in pri-
mary non-CF normal human bronchial epithelial cells. As a
control for CF neutrophils, we used neutrophils from normal
individuals. Of the 22 differentially expressed microRNAs
found to be differentially expressed in the CF IB3-1 cell system,
only massively elevated miR-155 expression was noted. We
therefore validated this finding using independent Taqman�
miRNAassays. As shown in Fig. 1C, we found thatmiR-155was
significantly elevated in CF bronchial brushings (versus normal
human bronchial epithelial cells, 10.8-fold elevated) and in CF
neutrophils (CD66�CF versus control neutrophils, 2.4-fold ele-
vated). We conclude that these differences therefore appear to
closely parallel the differences in the CF lung epithelial IB3-1
cell system (IB3-1 versus IB3-1/S9, 8.6-fold elevated). Addition-
ally, the inhibition ofWTCFTR functionwithCFTR-172 inhib-
itor in CFBE41o-wtCFTR cells, a human bronchial epithelial
cell line, has been shown to produce a similar effect on inflam-
matory signaling as is observed in CF cells (38). As depicted in
Fig. 1D, treatment of the IB3-1/S9 CFTR-repaired control cells
TABLE 1
miRNA expression levels in IB3-1 CF cells relative to control cells (p<
0.05)
The miRNAs that exhibit altered expression, analyzed by Taqman qPCR miRNA
arrays, are listed with respective -fold changes in expression in the IB3-1 CF cells
compared with IB3-1/S9 control cells; the 18 miRNAs up-regulated (1) and the
four that are down-regulated (2) in CF cells are indicated. Additionally, themiRNA
expression profile obtained by miRNA microarrays (Bioarray, Ambion) is also
depicted. The miRNAs that indicate similar expression profile by these two inde-
pendent methods are indicated in boldface type. NP, not present; ND, not detecta-
ble;7, saturated expression.
miR-155 Regulates IL-8 Expression
11606 JOURNAL OF BIOLOGICAL CHEMISTRY VOLUME 286•NUMBER 13•APRIL 1, 2011
with CFTR-172 inhibitor induced an 8-fold up-regulation of
miR-155. These data indicate that elevation inmiR-155 expres-
sion is closely tied to failure of CFTR channel activity, either by
chemical inhibition or by mutation. The data thus consistently
suggest that further specific interest in miR-155 is warranted.
Aberrantly Expressed miRNAs Have Predicted Effects on
mRNA Expression in CF Cells—To further understand the
mechanism by which miR-155 and the other CF-specific
microRNAs might affect the CF phenotype, we used the
ILLUMINA� bead chip system to analyze levels of �24,000
transcripts, in both CF IB3-1 andwild type CFTR-repaired IB3-
1/S9 cells. Table 2 is ordered by starting with top-ranked miR-
155 and then proceeding in the order of declining values of -fold
elevation, followed by -fold reduction in CF cells. For each of
the miRNAs, the changes are listed for the top six specific
mRNAs, chosen from among the predicted target mRNAs for
the respectivemiRNA. In each box,mRNAs that are targeted by
more than one of the CF-specific microRNAs are shown in
bol