Abstract
Dental pulp stem cells (DPSCs), one type of mesenchymal stem cells, are considered to be a type of tool cells for regenerative medicine and tissue engineering. Our previous studies found that the stimulation with lipopolysaccharide (LPS) might introduce senescence of DPSCs, and this senescence would have a positive correlation with the concentration of LPS. The β-galactosidase (SA-β-gal) staining was used to evaluate the senescence of DPSCs and immunofluorescence to show the morphology of DPSCs. Our findings suggested that the activity of SA-β-gal has increased after repeated stimulation with LPS and the morphology of DPSCs has changed with the stimulation with LPS. We also found that LPS bound to the Toll-like receptor 4 (TLR4)/myeloid differentiation factor (MyD) 88 signaling pathway. Protein and mRNA expression of TLR4, MyD88 were enhanced in DPSCs with LPS stimulation, resulting in the activation of nuclear factor-κB (NF-κB) signaling, which exhibited the expression of p65 improved in the nucleus while the decreasing of IκB-α. Simultaneously, the expression of p53 and p21, the downstream proteins of the NF-κB signaling, has increased. In summary, DPSCs tend to undergo senescence after repeated stimulation in an inflammatory microenvironment. Ultimately, these findings may lead to a new direction for cell-based therapy in oral diseases and other regenerative medicines.
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Introduction
Dental pulp stem cells (DPSCs), one type of mesenchymal stem cells (MSCs), are multipotent cells which originate from dental pulp tissue, have been becoming tool cells for regenerative medicine and tissue engineering (Kolf et al. 2015; Meng et al. 2015). DPSCs can differentiate into distinct cell types, such as osteoblasts, chondroblasts, neuroblast, adipocytes, myoblasts, etc. (D’Alimonte et al. 2013; Hilkens et al. 2013). However, the differentiating capability of MSCs or DPSCs may be inhibited once those stem cells show senecsence (Sui et al. 2016; Trial et al. 2016). When those stem cells are transplanted into recipient region, they would be surrounded by the unclear microenvironment which includes stress state or cytokines released from ambient cells of the recipient tissue (Yang et al. 2012). Lipopolysaccharide (LPS), a major component of the cell wall of gram-negative bacteria, plays an important role in infectious diseases such as periodontitis and pulpitis (Huang et al. 2015; Rutherford and Gu 2000). LPS can induce the expression of proinflammatory cytokines, such as interleukin-6 (IL-6) and IL-8 and tumour necrosis factor-α (TNF-α) (Kalaiyarasu et al. 2016; Marques et al. 2016) and it exerts its biological effects by promoting the production of various inflammatory mediators. It has been proven that inflammatory mediators can stimulate MSCs to differentiation or senescence or some other physiological and pathological processes in different conditions (Brennen et al. 2013; Mantovani et al. 2014; Zhu et al. 2013). In our previous researches, we used LPS to imitate an inflammatory microenvironment, and we have proven that repeated LPS stimulation promotes senescence of DPSCs (Feng et al. 2014). The β-galactosidase (SA-β-gal) activity was stronly associated with senescent cells, since it was not detectable in quiescent cells or terminally differentiated cells, although there are exceptions. SA-β-gal activity is now a widely used biomarker in studies of cellular senescence in culture and in vivo (Debacq-Chainiaux et al. 2009; Dimri et al. 1995). SA-β-gal staining would be used to evaluate the senescence of DPSCs. Several signaling pathways, including MAPK, AP-1, NF-κB, have been proven to participate in LPS mediated senescence of DPSCs (Jung et al. 2016). However, the mechanism that LPS targets DPSCs on senescence is still unclear.
Increasing evidence suggested that LPS is a specific ligand of toll-like receptor 4 (TLR4) (Andonegui et al. 2009), and TLR4 plays a critical role in the recognition of G- bacterial components (LPS). Previous studies have shown that LPS can induce inflammatory liver injury via TLR4/myeloid differentiation factor (MyD) 88 signal pathway (Yao et al. 2016). TLR4 will activate NF-κB protein once stimulated by LPS via two major signaling pathways: a MyD88-dependent pathway that acts via NF-κB to induce pro-inflammatory cytokines such as TNF-α, and a MyD88-independent pathway that acts via type I interferons to enhance the expression of interferon-inducible genes (Broad et al. 2007; Hernandez et al. 2016). On the other hand, NF-κB signaling also plays an important role in the response to inflammation, and its activation leads to the expression of various proinflammatory cytokines including IL-1β, IL-6 and TNF-α, and the expression of p65 in nucleus will be increased while inhibitor of nuclear factor κB alpha (IκB-α) will be decreased in this process (Imam et al. 2015; Zhao et al. 2014, 2016). At the same time, the expression of p53 and p21, the downstream signal of NF-κB which had been reported in other inflammatory diseases, will be increased (Debelec-Butuner et al. 2014; O’Prey et al. 2010).
Senescence acts as a physiological or pathological phenomenon, which is characterized by a functional disorder, a decline of homoeostasis, and reduced capacity to respond properly to impair (Faner et al. 2012; Sui et al. 2016). Accumulating evidence has proven that the activation of p53 and p21 plays a key role in the senescence of the cells (Kim et al. 2016a; Oren 2003; Wang et al. 2016b). It has been proven that microenvironmental pathologic factors, such as inflammation factors LPS, TNF-α, IL, impair the biological functions of MSCs such as osteogenesis (Sui et al. 2016). Senescence will be evaluated by senescence-associated β-galactosidase (SA-β-gal) staining, which has been proven that the SA-β-gal-positive cells would increase along with the number of the aging cells increasing (Wang et al. 2016a). However, the mechanisms at the molecular level which act in inflammation microenvironment signals induce the senescence of DPSCs are not fully understood.
Materials and methods
Cell cultures
Normal human impacted third molars were collected from patients 13–23 years of age (n = 9) after giving the informed consents which had been approved by the Ethics Committee of the Affiliated Hospital of Nantong University. The ethical committee approval number was 2016–077. All subjects were free of carious lesions and oral infection. We isolated DPSCs by cleaning the tooth surface, cutting around the cementoenamel junction using sterilized dental fissure burs and then opening to reveal the pulp chamber. The pulp was then digested in a solution of 3 mg/ml collagenase type I for 1 h at 37 °C. Single-cell suspensions were obtained by passing the digested tissues through a 70-µm cell strainer (BD Falcon, Bedford, MA, USA). Cell suspensions of dental pulp were seeded into 25 cm2 culture dishes and cultured in Dulbecco modified Eagle medium (DMEM) supplemented with 10% fetal bovine serum (FBS), 100 U/ml penicillin and 100 µg/ml streptomycin at 37 °C in 5% CO2. The medium was changed every 3 days. Approximately 7–10 days after seeding, the cells became nearly confluent. Cells were passaged at the ratio of 1:3 when they reached 85–90% confluence. The adherent cells were released from the dishes with 0.25% trypsin (Gibco, USA) and seeded into new fresh culture flasks. All the experiments described below were performed using DPSCs from the mixed population of cells at passage 3 (P3). In our previous expressions, our colleagues have analyzed the immunophenotype of DPSC (Feng et al. 2013), with both being highly positive for CD29 and CD105, but negative for CD31 and CD34. DPSCs were further identified by osteogenic, chondrogenic and adipogenic differentiation (Feng et al. 2013, 2014). The culture received either Escherichia coli LPS serotype 0111:B4 (Sigma, ST. Louis, MO, USA) stimulation (10 ng/ml) at the indicated times or normal saline as a control. Four groups were analyzed with the following stimuli added to the culture: (1) DPSCs stimulated with normal saline as a control; (2) DPSCs stimulated with LPS once for 6 h; (3) DPSCs stimulated with LPS 3 times, once every 48 h for 6 h each, and (4) DPSCs stimulated with LPS 6 times, once every 24 h for 6 h each (Yu et al. 2012). After stimulation, all groups were cultured in the SA-β-gal assay.
Cell proliferation assay
The LPS-treated DPSCs proliferation assay was performed using the BrdU assay kit according to the manufacturer’s protocol. Generally, cells were incubated with 100 μM BrdU labeling solution for 4 h at 37 °C. After removing the culture medium, the cells were fixed and the DNA was denatured by FixDenat solution. The anti-BrdU-POD working solution and substrate solution were then added, and the absorbances of the samples were measured by an ELISA plate reader at 370 nm wave length.
Determination of cell number
DPSCs were seeded at 0.7 × 104 cells/well into 6-well plates in triplicate for each experimental condition. DPSCs were collected after plating and dissociated. The total cell numbers were counted.
SA-β-gal assay
The SA-β-gal assay was used to detect cell senescence. The SA-β-gal activity was determined using a kit from the Chemical Company following the manufacturer’s instructions (Abcam, Cambridge, MA, USA). In brief, cells were cultured on slips in the 24-well plates overnight and fixed with paraformaldehyde. After incubation with SA-β-gal overnight, the slips were washed and analyzed under the microscope. The senescent cells were identified as blue-stained cells by standard light microscopy, and a total of 1000 cells were counted in 20 random fields on a slide to determine the percentage of SA-β-gal-positive cells.
siRNAs and Transfection
Double-stranded RNA nucleotides targeted to human p65 were obtained from Santa Cruz Biotechnology. Transfection of DPSCs with duplex synthetic siRNA was performed using Lipofectamine 2000 reagent (Invitrogen) according to the manufacturer’s instructions. Cells were assayed after 48 h of transfection. Cells were further stimulated by LPS.
Western blot
Cells were lysed in buffer consisting of 50 mM TRIS, 150 mM NaCl, 2% sodium dodecyl sulfate (SDS) and a protease inhibitor mixture. After centrifugation at 12,000 rpm for 12 min, protein concentrations were determined using the Bradford assay (Bio-Rad, Berkeley, CA, USA). The resulting supernatant (50 µg of protein) was subjected to SDS–polyacrylamide gel electrophoresis (PAGE). The separated proteins were transferred onto polyvinylidene fluoride (PVDF) membranes at 350 mA for 2.5 h in a blotting apparatus (Bio-RAD). Membranes were blocked with 5% nonfat milk and incubated with primary antibodies (1:400) at 4 °C overnight and subsequently with anti-rabbit horseradish peroxidase-conjugated secondary antibodies (1:1000) for 2 h at room temperature. Concomitantly, GAPDH was run as a reference protein. The following primary antibodies were used: GAPDH (anti-rabbit, Santa Cruz Biotechnology, Santa Cruz, CA, USA), p65 (anti-rabbit, Santa Cruz Biotechnology), β-actin (anti-rabbit, Santa Cruz Biotechnology), IκBα (anti-rabbit, Sigma), p53 (anti-rabbit, Sigma), p21 (anti-rabbit, Sigma).
Immunofluorescent staining
DPSCs were fixed with 4% PFA for 1 h, washed with phosphate buffer solution (PBS) containing 0.1% Triton X-100 (PBST), and blocked for 30 min in PBST supplemented with 10% FBS. Cells were then incubated with one of the following primary antibodies (1:100) in the same solution overnight at 4 °C: F-actin (anti-rabbit, Santa Cruz Biotechnology), p65 (anti-rabbit, Santa Cruz Biotechnology), p53 (anti-rabbit, Sigma), p21 (anti-rabbit, Sigma). Cells were then washed and incubated in secondary antibodies for 2 h at room temperature. Nuclei were stained with (4′6′-diamidino-2-phenylindole dihydrochloride) (DAPI) (1:800, Santa Cruz). The cells were examined using a Leica fluorescence microscope (Wetzlar, Germany). For immunofluorescence assay of the skeleton of DPSCs, DPSCs were washed once with PBS and fixed in 4% paraformaldehyde (PFA) for 15 min. After permeabilization and blocking, they were incubated with fluorescein isothiocyanate-conjugated phalloidin. The stained cells were then examined using a Leica fluorescence microscope. The total cell number of every field was estimated by counting DAPI stained nuclei.
Reverse transcription-polymerase chain reaction (RT–PCR) analysis
Total cellular RNA was isolated from cells and reverse transcribed using conventional protocols. PCR was performed to test the mRNA level of TLR4, MyD88, p53, p21, GAPDH and β-actin. Primers of mRNA for PCR analysis are listed in Table 1. All primer sequences were determined using established GenBank sequences. The primers were used to amplify the duplicate PCR reactions. Each sample was analyzed in triplicate and GAPDH or β-actin was used as a control.
Nucleocytoplasmic separation
Cultured DPSCs were collected, washed with PBS and suspended in hypotonic buffer to achieve nuclear extracts. The cultured DPSCs were homogenized, and the nuclei were pelleted. Then we removed the cytoplasmic extracts and re-suspended nuclei in a low-salt buffer. A high-salt buffer was added to release soluble proteins from the nuclei, and the nuclei were removed by centrifugation. The nuclear extracts were dialyzed into a moderate salt solution.
Statistical analysis
All data are presented as mean ± SEM from at least three independent experiments, each performed with triplicate samples. Differences between groups were tested for statistical significance using ANOVA. Student’s t test was used to determine significance with SPSS 16.0 software. A value for P < 0.05 was considered as statistically significant.
Results
Effects of LPS on DPSCs senescence
The number of SA-β-gal-positive DPSCs obviously increased after treatment with LPS, furthermore the strongest staining were seen in LPS stimulation 6 times (Fig. 1a, b). The proliferation of DPSCs was measured with a BrdU assay. The result suggested that the growth of DPSCs was slower after repeated stimulation with LPS for 3 or 6 times (Fig. 1c). After repeated stimulation with LPS for 3 or 6 times, the total number of DPSCs declined (Fig. 1d). The F-actin distribution was disordered and accumulated around the nuclear region in the LPS-treated DPSCs (Fig. 1e). These results indicated that repeated LPS stimulation promoted senescence of DPSCs.
LPS-induced expression of TLR4 and MyD88, and TLR4/MyD88 signaling promoted the nuclear translocation of p65
We examined the expression of TLR4 and MyD88 by RT–PCR. The results showed that expression level of TLR4 and MyD88 were up-regulated in a repeated-times dependent manner after stimulation with LPS (Fig. 2a, b). We also tested the expression of IκB-α and p65 by Western blot after LPS stimulation. The results suggested that the expression level of nuclear p65 had increased while the expression of IκB-α had been reduced dependent on the repeated-times of LPS stimulation (Fig. 2c, d). The immunofluorescence result also proved that LPS stimulation increased the nuclear translocation of p65 (Fig. 2e). These results indicated that repeated LPS stimulation enhanced the TLR4/MyD88 signaling, and the NF-κB pathway had been activated through the nuclear translocation of p65 and the inhibition of IκB-α.
The up-regulation of p53 and p21 expression was induced by LPS in DPSCs
We examined the expression of p53 and p21 by Western blot and RT–PCR. The results indicated after stimulation with LPS, that the expression of p53 and p21 was up-regulated in a repeated-times dependent mode both at a protein and messenger RNA level (Fig. 3a–d). The immunofluorescence staining showed the number of p53 and p21-positive cells significantly increased after treatment with LPS 6 times (Fig. 3e). These results indicated that repeated LPS stimulation enhanced the expression of p53 and p21.
Knockdown of p65 expression reversed the senescence characteristics of DPSCs treated with LPS
To further confirm the role of p65 in LPS induced senescence, p65 siRNA was transfected in DPSCs which stimulated with LPS. We found that the expression of p65 protein was remarkably decreased in the p65 siRNA-transfected DPSCs (Fig. 4a, b). Less SA-β-gal-positive cells were observed when p65 expression was knocked down in DPSCs treated with LPS (Control—34 ± 3.5%, LPS 6 times—81 ± 6.7%, p65 siRNA—44 ± 4.7%) (Fig. 4c, d). The proliferation was reversed in p65-knockdown DPSCs with LPS-treatment (Control—89 ± 8.2%, LPS 6 times—36 ± 3.2%, p65 siRNA—63 ± 5.6%) (Fig. 4e) and the total number of DPSCs had the same change in the above process (Fig. 4f). Further, the abnormal distribution of F-actin was effectively ameliorated in p65-knockdown LPS-treated DPSCs (Fig. 4g). The results indicated that p65 plays an antagonistic role in the process of senescence in DPSCs induced by LPS-stimulation.
Discussion
In our experiments, we demonstrated for the first time that TLR4/MyD88-NF-κB-p53/p21 signaling pathway was activated in the senescence of DPSCs treated by LPS. As the expression of TLR4 and MyD88 in an inflammatory microenvironment increased, the expression of the senescence marker SA-β-gal was also increased while the proliferation and the total number of DPSCs were declined and the F-actin distribution was disordered. The above changes were reversed in the p65 siRNA-transfected DPSCs, which siRNA of p65 can weaken the NF-κB signal, and then influence the senescence of DPSCs.
An intimate relationship between inflammation and aging had been demonstrated in previous studies (Tran et al. 2016). Several signaling pathways, such as TLR4/p16INK4A, involved in this process have been reported (Feng et al. 2014). Previous experiments showed that LPS induced the expression of TLR-4 in DPSCs (Botero et al. 2010). DPSCs can be isolated from the inflammatory microenvironment, and the endodontist is the most common disease. DPSCs, from inflamed-pulps, would not lose the potential of tissue regeneration in vivo as well as the periodontal ligament stem cells isolated from the periodontitis tissue (Alongi et al. 2010; Liu et al. 2016). Replicative senescence and stress-induced premature senescence are two main types of senescence, and the latter is the situation at which stimulators such as inflammation or oxidative stress evoke a senescent cell phenotype (Dierick et al. 2002). Not only LPS but TNF-α or other inflammation factors may lead the senescence of stem cells (Qu et al. 2016; Yang et al. 2016). Our experiment tried to explain that the inflammation induced by LPS is a critical effector that leads to the premature senescence of DPSCs. The results also showed that the shape of DPSCs receiving repeated LPS stimulation were disordered observed through F-actin distribution compared to control cells or cells once stimulated. Additionally, as a maker of senescence, more SA-β-gal-positive cells were found after repeated LPS stimulation. Studies demonstrated that SA-β-gal activity was related to the increase of lysosomal enzymes which are probably linked to increased lysosomal biogenesis observed in senescent cells (Kurz et al. 2000; Lee et al. 2006). SA-β-gal was not detectable in quiescent cells or terminally differentiated cells in most situations (Debacq-Chainiaux et al. 2009; Price et al. 2002). Our findings are similar to previous evidence that an inflammatory microenvironment induces cell senescence, and so does it in DPSCs. Therefore, the way of fighting against inflammation will be searched continuously. A recent study found that the immunogenicity of human gingival mesenchymal stem cells would be reduced after treatment by Cannabidiol (Libro et al. 2016). More attention should be paid to promote the ability of multipotential differentiation or other biological function of DPSCs.
Comprehensive evidences suggest that the NF-κB signaling pathway plays an important role in the process of senescence (Rovillain et al. 2011). TLR4 is the pattern recognition receptor for the G− bacterial wall component LPS (Dunzendorfer et al. 2004). Two different pathways, MyD88-dependent and MyD88-independent or TRIF-dependent, were involved in the synthesis and secretion of a variety of inflammatory cytokines after activation of TLR4 signaling (Akira and Takeda 2004; Cinel and Opal 2009; Lu et al. 2008). MyD88 has been considered a kernel adaptor protein in signal transduction pathway of most TLRs and can interact with TLRs, leading to activation of the NF-κB or other pathways (Imai et al. 2008; Smyth et al. 2013). In addition, it has been proven that TLR4/NF-κB signaling seemed to play a role during osteogenic differentiation of adipose-derived mesenchymal stromal cells and proliferation in vitro stimulated by LPS in an appropriate condition (Kim et al. 2016b). More studies should be performed in this aspect to find the positive effect of LPS in clinical application of DPSCs. Recent data have also shown that the expression of the downstream molecules of TLR4/MyD88, such as IκBα which is an inhibitor of NF-κB signaling, would be significantly decreased, while the p65, an active subunit of NF-κB, would translocate into the nucleus (Yu et al. 2016; Zhang et al. 2016). Our results also showed similar changes that confirmed that NF-κB signaling pathway was activated (Fig. 2). After NF-κB signaling activation, p53 and p21, the downstream molecules, transmitted the stimulation of LPS sequentially, and led to correspondingly biological effect (Genov et al. 2016; Gu et al. 2013). Recent studies also suggested that NF-κB induces cell senescence by directly activating p53 and p21 (Ferrand et al. 2015; Rovillain et al. 2011). p53 activation is a typical response observed in cellular and replicative senescence (Beausejour et al. 2003). It had been reported that the p53/p21 pathway was found to play a more important role than the p38 MAPK/p16INK4a pathway in the senescence of CEP cells in vivo and in vitro (Zhou et al. 2016). Our experiment also concluded that p53/p21 pathway was involved in the senescence of DPSCs through TLR4/MyD88-NF-κB signaling stimulated by LPS (Fig. 3). Conversely, we acquired the knockdown p65 with siRNA so that we could test the influence of p65 in DPSCs senescence. Knockdown of p65 (siRNA-p65) could reverse the senescence of DPSCs acted as less SA-β-gal-positive cells, enhancing the proliferation and the increase of the total number of DPSCs with less abnormal distribution of F-actin (Fig. 4).
In summary, our data demonstrate that TLR4/MyD88-NF-κB-p53/p21 performed a link between inflammation led by LPS and senescence. Further studies should be undertaken to prevent senescence so that to extend the DPSCs strategies for the treatment of the diseases surrounding by inflammation.
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This work was supported by Natural Science Foundation of China Grant (Nos. 81500809, 81501076). Jiangsu Province Young Medical Key Talents Project of China (QNRC2016407). Nantong Health Bureau Youth Foundation of China (WQ2015016).
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Feng, G., Zheng, K., Cao, T. et al. Repeated stimulation by LPS promotes the senescence of DPSCs via TLR4/MyD88-NF-κB-p53/p21 signaling. Cytotechnology 70, 1023–1035 (2018). https://doi.org/10.1007/s10616-017-0180-6
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DOI: https://doi.org/10.1007/s10616-017-0180-6