TSLP regulates mitochondrial ROS-induced mitophagy via histone modification in human monocytes

Thymic stromal lymphopoietin (TSLP) is a Th2-like cytokine involved in asthma pathogenesis. Excessive reactive oxygen species (ROS) production can lead to airway inflammation, hyperresponsiveness and remodeling. Mitophagy, followed by ROS production, is the selective degradation of mitochondria by autophagy and often occurs in defective mitochondria. In the present study, we aimed to examine the effects of TSLP on ROS production and mitophagy in human monocytes and to investigate the underlying mechanisms, including epigenetic regulation. TSLP induced ROS generation, and the effects were reversed by the antioxidant N-acetylcysteine (NAC) in THP-1 cells. Transmission electron microscopy images showed donut-shaped mitochondria that lost the cristae ultrastructure after TSLP stimulation. A decrease in mitochondrial membrane potential, decreased MTCO2 expression, and increased mitochondrial DNA release after TSLP stimulation were found. TSLP enhanced mitochondrial complex I and complex II/III activity and increased mitochondrial copy numbers and the expression of the complex II SHDA gene. TSLP-induced SHDA expression was inhibited by the histone acetyltransferase inhibitor anacardic acid (AA) and the histone methyltransferase inhibitor methylthioadenosine (MTA), and chromatin immunoprecipitation assays revealed that TSLP enhanced H3 acetylation, H4 acetylation, and H3K4 and H3K36 trimethylation in the SHDA promoter. Confocal laser microscopy showed that TSLP treatment increased the signals of the mitophagy-related proteins PINK1, LC3, phospho-parkin and phospho-ubiquitin, and pretreatment with AA and MTA reduced TSLP-induced PINK1 and LC3 accumulation in mitochondria. Western blot analysis showed that TSLP significantly increased phosphor-AMPK signal intensity, and the effects were inhibited by the antioxidant NAC. The increased signal intensities of the mitophagy-related proteins PINK1, Parkin and LC3 I/II were decreased by dorsomorphin, an AMPK inhibitor. TSLP decreased M1-related cytokine CXCL-10 production and increased M2-related cytokine CCL-1 and CCL-22 production, which was suppressed by the mitophagy inhibitor Mdivi-1 and PINK1 gene knockdown. Epithelial-derived TSLP regulates ROS production and mitophagy through AMPK activation and histone modification and alters M1/M2 chemokine expression in human monocytes.


Background
Asthma is one of the most common chronic diseases in childhood, and its prevalence has been increasing in industrializing countries. Thymic stromal lymphopoietin (TSLP), interleukin (IL)-25 and IL-33 are upstream epithelial cytokines and play important roles in allergic diseases [1,2]. TSLP can be produced by epithelial cells, smooth muscle cells and mast cells in allergic diseases [1]. Furthermore, TSLP drives the development of strong allergic Th2 responses and IL-4, IL-5 and IL-13 release through the upregulation of OX40 ligand expression in dendritic cells [3]. The expression of TSLP and TSLP receptors is significantly higher in asthmatic children than in nonasthmatic children [4]. The exhaled breath condensate levels of TSLP are significantly higher in patients with asthma than in controls [5]. TSLP overexpression in the airways of asthmatic patients has been reported, and TSLP polymorphisms are linked to asthma susceptibility [6,7].
Oxidative stress, which is physiological damage due to reactive oxygen species (ROS), has been demonstrated to induce smooth muscle contraction, airway hyperresponsiveness, mucus secretion, and epithelial shedding [8,9]. Excessive ROS production induced by TGF-β may lead to the development and persistence of pulmonary fibrosis [10]. ROS are also considered vital mediators of pulmonary vascular cell proliferation by enhancing vascular endothelial growth factor expression, leading to increased pulmonary arterial wall thickness and promoting vascular remodeling in airway and pulmonary diseases [11].
Mitophagy, which is mitochondrial autophagy, is important for mitochondrial quality control and essential for providing cellular energy, calcium homeostasis, redox signaling and apoptotic signaling [12,13]. Mitophagy often occurs in defective mitochondria following damage or stress. Exposure to high levels of ROS causes mitochondrial damage [13]. The signaling pathway mediated by PTEN-induced putative kinase 1 (PINK1) and the E3 ubiquitin ligase parkin that induces mitophagy in mammalian cells has been reported [12]. PINK1 accumulates on the outer membrane of damaged mitochondria, activates parkin activity, and recruits parkin to damaged mitochondria; then, parkin ubiquitinates outer mitochondrial membrane proteins to induce mitophagy [14]. Microtubule-associated protein 1 light-chain 3 (LC3) is one of the components in the autophagy pathway [15]. ROS-induced mitophagy in alveolar macrophages contributes to pulmonary fibrosis [16].
Histone acetylation and methylation controlled by histone acetyltransferase (HAT), histone deacetylase (HDAC), and histone methyltransferase epigenetically regulate gene expression. Acetylation of histone 3 (H3) and H4 and trimethylation of H3K4 and H3K36 are associated with gene activation [17]. Asthma is considered to be the result of complex interactions between genetic predispositions and environmental influences via epigenetic regulation during intrauterine life and infancy [18,19].
Both TSLP and ROS production are important for the pathogenesis of asthma and other allergic diseases. However, the effects of TSLP on ROS production remain unclear. In the present study, we investigated the effects of TSLP on ROS production and mitophagy and the detailed mechanisms, including epigenetic regulation.

TSLP induced ROS production and promoted mitochondrial complex activity in THP-1 cells
We first investigated whether TSLP could induce ROS production in monocytes. THP-1 cells were pretreated with different concentrations of TSLP. Pretreatment with TSLP (2, 10 and 40 ng/mL) significantly increased ROS production in THP-1 cells at the 2-h time point (Fig. 1A), and the effects were suppressed by the antioxidant N-acetylcysteine (NAC) (Fig. 1B). Then, we examined the effects of TSLP on mitochondrial complex activity to investigate whether mitochondria were involved in TSLPinduced ROS production. The activities of mitochondrial complex I and complex II/III were significantly increased after 2 h of TSLP stimulation in a dose-dependent manner (Fig. 1C, D). These data indicated that mitochondria were involved in TSLP-induced ROS production.

TSLP altered mitochondrial integrity and induced mitophagy in THP-1 cells
We performed transmission electron microscopy (TEM) analysis to observe whether TSLP alters mitochondrial integrity and induces mitophagy. We found that mitochondria decreased in size, cristae were lost, and autophagic vacuoles contained damaged mitochondria after TSLP treatment ( Fig. 2A). We also investigated the change in mitochondrial membrane potential, MTCO2 (mitochondrial inner membrane protein) expression, and mitochondrial DNA (mtDNA) release of mitochondria upon TSLP treatment. A decrease in the red/green fluorescence intensity ratio indicated that TSLP promoted mitochondrial depolarization in a dose-dependent manner (Fig. 2B). Western blotting showed significantly decreased MTCO2 protein expression upon TSLP treatment for 4-8 h (Fig. 2C). Quantitative real-time PCR showed that TSLP (40 ng/mL) stimulation up-regulated mtDNA-79 (3.81 ± 0.93 folds) and mtDNA-230 (2.35 ± 0.87 folds) in THP-1 cells. TSLP increased the fraction of mitophagy-induced release of mtDNA (Fig. 2D). Furthermore, we used mitophagy detection dye to quantify THP-1 cell mitophagy by TSLP treatment. It showed significantly increased fluorescence with TSLP 40 ng/mL (Fig. 2E). All of these results indicated that TSLP altered mitochondrial integrity and promoted mitophagy in THP-1 cells. To investigate TSLP-induced changes in mitochondria, we performed a mitochondrial biogenesis experiment by determining mitochondrial copy number and respiratory chain complex I-V gene expression. As shown in Fig. 3, TSLP stimulation for 2 h significantly increased the mitochondrial copy numbers and uncoupling proteins (UCPs). The gene expression of ND1 (respiratory chain The change in mitochondrial membrane potential upon TSLP treatment was measured by flow cytometry with JC-1 dye. A decrease in the red/green fluorescence intensity ratio indicated that TSLP promoted mitochondrial depolarization. C western blotting showed significantly decreased MTCO2 (mitochondrial inner membrane protein) expression upon TSLP treatment for 4, 6, and 8 h. D RT-qPCR was simultaneously performed to assess the cell-free mtDNA-79 and mtDNA-230 copies. E Mitophagy detection dye to quantify THP-1 cell mitophagy showed significantly increased fluorescence upon treatment with 40 ng/mL TSLP. *p < 0.05, **p < 0.01 and ***p < 0.001 between THP-1 cells with and without TSLP treatment complex I), SDHA (respiratory chain complex II), CYTB (respiratory chain complex III), COX1 (respiratory chain complex IV) and ATP6 (respiratory chain complex V) was screened using qRT-PCR, and we found that TSLP significantly increased the expression of the complex II gene SDHA but not the others (Fig. 3).

TSLP promoted the expression of respiratory chain complex II SDHA via epigenetic regulation
We investigated whether SHDA is involved in TSLPinduced mitophagy. The fluorescence intensity of mitophagy was significantly increased upon TSLP treatment in the nontargeting control (Additional file 1: Fig. S1). When the SHDA gene was knocked down, the increased fluorescence intensity of TSLP-induced mitophagy was inhibited. The results indicated that the SHDA gene is necessary for TSLP-mediated mitophagy activation. We further examined the epigenetic status of the SHDA promoter to determine the mechanism of TSLP-induced SDHA expression. The data showed that TSLP-induced SHDA expression was inhibited by the HAT inhibitor anacardic acid (AA) and the histone methyltransferase inhibitor methylthioadenosine (MTA) (Fig. 4A, B). These data indicated that histone acetylation and methylation were involved in TSLP-induced SHDA expression. Therefore, we examined acetylation at H3 and H4 sites and trimethylation at the H3K4, H3K9, and H3K36 sites of the SHDA promotor. The ChIP assay revealed that TSLP enhanced H3 acetylation and H4 acetylation in the SHDA promoter. Moreover, TSLP also significantly enhanced H3K4 and H3K36 trimethylation in the SHDA promoter ( Fig. 4C-G).

TSLP regulated mitochondrial biogenesis and promoted mitophagy via AMPK activation
AMPK is a critical sensor of cellular energy status and has been reported to mediate mitophagy and promote mitochondrial fission [20]. Some studies have reported that AMPK activates both PINK1 and parkin phosphorylation [21,22]. Thus, we examined whether TSLPinduced mitophagy is mediated by AMPK signaling and interplays with PINK1-Parkin signaling. Western blot analysis showed that TSLP significantly increased phospho-AMPK signal intensity (Fig. 6A), and the effect was inhibited by the antioxidant NAC (Fig. 6B). Moreover, TSLP-induced PINK, phospho-Parkin and LC3 signal intensity was decreased by dorsomorphin, an AMPK inhibitor (AMPKi), as shown by western blot analysis ( Fig. 6C-E). These data indicated that TSLP regulated AMPK activation, which medicated mitochondrial biogenesis and promoted mitophagy-related protein signaling.

Discussion
TSLP, IL-33 and IL-25 are epithelial cell-derived cytokines that stimulate group 2 innate lymphoid cells (ILC2s) to release type 2 cytokines such as IL-5 and IL-13 and play an important role in asthma pathogenesis [23]. It has been reported that rhinovirus (RV) infection of respiratory epithelial cells leads to TSLP production, which recruits ILC2s that amplify inflammation and promote airway fibrosis [24]. RV infection in allergic mice induces neutrophilic exacerbation and increases lung TSLP exclusively at sites of inflammation [25]. RV infection has been suggested to be associated with the development of . Cells were pretreated with AA or MTA for 1 h prior and then stimulated with TSLP for 2 h. ChIP analysis revealed that TSLP enhanced C H3 acetylation and D H4 acetylation in the SHDA promoter. TSLP also significantly enhanced H3K4 and H3K36 trimethylation (E and G) but did not enhance H3K9 trimethylation (F) in the SHDA promoter. *p < 0.05, **p < 0.01 and ***p < 0.001 between THP-1 cells with and without TSLP treatment asthma, and RV16 infection upregulates TSLP and IL-33 expression in human lung epithelial cells [26]. In the present study, TSLP induced ROS production, suggesting that RV may further induce ROS production and associated inflammation via the induction of TSLP.
Inflammatory cells that are recruited to the asthmatic airway have an exceptional capacity to produce a variety of ROS, contributing to tissue damage and airway inflammation [8]. Environmental factors, including ozone, diesel exhaust particles, tobacco smoke and respiratory phospho-Parkin (p-parkin), and C LC3 after treatment with different concentrations (0, 2, 10, 40 ng/mL) of TSLP for 8 h was determined by western blotting. The standard deviations of the optical density data were calculated from three independent experiments, and one representative result of the set of three is shown. *p < 0.05 and **p < 0.01 for the comparison with and without TSLP treatment. D Confocal laser microscopy showed that TSLP (10 ng/mL) treatment for 24 h significantly increased PINK1 signals and promoted PINK1 colocalization with mitochondria. Pretreatment with the histone acetyltransferase inhibitor AA and the histone methyltransferase inhibitor MTA reduced TSLP-induced PINK1 signals in mitochondria. E Confocal laser microscopy showed that TSLP (10 ng/mL) treatment for 24 h significantly increased LC3 signals and promoted LC3 colocalization with mitochondria. Pretreatment with AA and MTA reduced TSLP-induced LC3 signals in mitochondria, as determined by confocal laser microscopy. Confocal laser microscopy showed that TSLP (10 ng/mL) treatment for 24 h significantly increased F phosphor-parkin (p-Parkin) and G phospho-ubiquitin (p-Ubiquitin) signals and promoted mitophagy-related protein colocalization with mitochondria virus infections, increase the levels of cellular ROS and induce mitochondrial dysfunction in the airway epithelium, which exacerbates allergic inflammation in asthma [27]. The responses of Th2-like cytokines, such as TSLP, to ROS and the electron transport chain have yet to be assessed. In the present study, we found that TSLP could induce marked ROS production, which is an important factor in the pathophysiology of asthma. Furthermore, we also provided an understanding of the mechanisms underlying TSLP-induced ROS production. In the present study, TSLP promoted complex I and II/III activity, suggesting that mitochondria were involved in TSLPinduced ROS production. Recently, complex I and III redox centers have been implicated as the major sites of mitochondrial ROS production, and complex II is also capable of producing ROS [28,29]. UCPs are members of the anion carrier protein family on the inner mitochondrial membrane and cannot transport protons in the absence of specific activators; however, UCPs transport protons and increase the net proton conductance of mitochondria in the presence of specific activators, including ROS [30,31]. We found that mitochondrial copy number, UCPs and complex II SDHA gene expression were significantly increased by TSLP. These data indicated that TSLP regulated mitochondrial redox in human monocytes.
Another novel finding of the present study is the epigenetic regulation of TSLP-induced ROS production. Histone acetylation and trimethylation, which are usually carried out by a variety of HATs or methyltransferases, are associated with gene activation [17]. In this study, TSLP increased H3 acetylation and H3K4 and H3K36 trimethylation in the complex II SHDA gene promoter. Confocal laser microscopy showed that pretreatment with AA and MTA also reduced TSLP-induced PINK1 and LC3 expression in mitochondria. These findings , and E LC3 were suppressed by an AMPK inhibitor, as shown by western blot analysis. The standard deviations of the optical density data were calculated from three independent experiments, and one representative result of the set of three is shown. *p < 0.05, **p < 0.01 and ***p < 0.001 suggest that epigenetic regulation may be an important mechanism by which TSLP induces ROS production and mitophagy.
TSLP shifts macrophage polarization to an M2-like phenotype [32]. According to the concept of classic (M1) and alternatively (M2) activated macrophages, M1 macrophages are very sensitive to excessive ROS because of their high oxidative stress response [33]. In contrast, M2 macrophages inhibit ROS through metabolic regulation [34]. In the present study, we found that TSLP shifted M1/M2 chemokine expression. Our data suggest that TSLP promotes M2-like effects in a human monocyte cell line. Based on these M1/M2 characteristics in response to ROS, inflammatory M1 macrophages may be sensitive to TSLP-induced ROS-mediated injury (mitophagy/ apoptosis), and allergic M2 macrophages may inhibit TSLP-induced ROS-mediated injury, thereby altering macrophage polarization toward allergic phenotypes.
Mitochondria not only play a vital metabolic role but also cause cell death via toxic products associated with oxidative phosphorylation and mitochondrial quality control at the protein, organelle and suborganelle levels [35]. Mitophagy is a selective form of autophagy that eliminates dysfunctional mitochondria to maintain overall mitochondrial health. Mitophagy plays an important role in supporting the immune system. Increased mitophagy is a component of the lung response to inflammation [36,37]. AMPK, a master energy-sensing kinase, is activated in response to rising AMP levels following ATP hydrolysis and is a guardian of metabolism and mitochondrial homeostasis [20,38]. It has been reported that PINK1 can be induced by TGF-β1 in pulmonary fibrosis [10]. In the present study, we found that TSLP clearly induced ROS production and subsequently increased the signals of the mitophagy-associated proteins PINK1, Parkin and LC3 through the AMPK signaling pathway. Our findings suggested that TSLP-induced ROS production and mitophagy in monocytes-macrophages may be associated with pulmonary fibrosis in asthma.

Conclusion
TSLP, a Th2-like cytokine, plays an important role in the pathogenesis of asthma, allergies, and other airway diseases. Understanding the possible mechanisms of the effect of TSLP on ROS production can help us identify targets for therapy or find novel pharmaceutical strategies to reduce asthma morbidity. All the findings in the present study suggest that epithelial-derived TSLP may induce not only Th2-related cytokine expression but also ROS production, subsequently influencing cellular oxidative stress and mitochondrial quantity, regulating mitophagy and shifting M1/M2 chemokine expression through the AMPK signaling pathway and histone modification in monocytes (Fig. 8). These findings broaden the knowledge of the effects of TSLP on ROS-related mitophagy and chemokine expression in allergic and inflammatory diseases.

Cell culture and measurement of ROS production
THP-1 cells (American Type Culture Collection, Rockville, MD, USA) were cultured in RPMI-1640 medium (Gibco, Carlsbad, CA, USA). The cells were resuspended in fresh media at a concentration of 1 × 10 5 /mL and pretreated with or without TSLP (PEPROTECH, New Jersey, USA) for 2 h. ROS production was measured with a dichlorodihydrofluorescein diacetate (DCFH-DA, Sigma-Aldrich, MO, USA) assay by flow cytometry according to the methods described in previous studies [39,40]. Following treatment with TSLP, THP-1 cells were probed with 1 mM DCFH-DA and then washed with PBS once for immediate detection of dichlorofluorescein (DCF).

Fig. 8
The proposed intracellular mechanisms underlying TSLP-mediated regulation of ROS production and mitophagy in human monocytes. TSLP increased ROS production, regulated mitochondrial biogenesis and mitophagy, and then shifted M1/M2 chemokine expression via the AMPK signaling pathway and histone modification in human monocytes

Mitochondrial complex activity
The mitochondrial fraction was isolated from THP-1 cells using a mitochondrial isolation kit, and the activities of complex I and complex II/III in whole cell lysates or isolated mitochondria were measured using a microplate assay kit (Abcam, Cambridge, MA, USA) according to the manufacturer's instructions.

Measurement of ΔψM and transmission electron microscopy
THP-1 cells were treated with TSLP for 8 h, and JC-1 dye (Invitrogen, Waltham, USA) was used to measure the mitochondrial membrane potential by LSR II flow cytometry (Becton Dickinson, San Jose, CA). JC-1 dye exhibits potential-dependent accumulation in mitochondria, indicated by a fluorescence emission shift from green (525 nm) to red (590 nm). Mitochondrial depolarization is indicated by a decrease in the red/green fluorescence intensity ratio. After TSLP treatment, the cells were prepared for JEM-2000EXII transmission electron microscopy (JEOL Ltd. Tokyo, Japan) to observe the morphology of mitochondria and mitophagy.

Preparation of mitochondrial DNA (mtDNA) and relative quantification of mtDNA fragments
The total mtDNA of THP-1 cells were isolated after 8-h TSLP stimulation by a mitochondrial DNA isolation kit (BioVision, Milpitas, USA) following the manufacturer's instructions. Two primer sets specific for the mitochondrial ribosomal 16SRNA, mtDNA-79 and mtDNA-230, were designed as described in a previous study [41,42]. The 79-bp fragment (mtDNA-79) represents mitophagymediated mtDNA generated by enzymatic cleavage in apoptotic cells. In contrast, the 230-bp fragment (mtDNA-230) corresponds to mtDNA released by nonapoptotic types of cell death (i.e., necrosis) or active secretion [41][42][43]. Quantitative analysis of mtDNA fragments was performed by quantitative real-time PCR, and the data were evaluated for mtDNA fragments relative to housekeeping gene (ACTB) expression.

Mitophagy assay
To detect mitophagy, we used the Mitophagy Detection Kit (Dojindo Molecular Technologies, Inc., Rockville, MD, USA) according to the manufacturer's instructions. Briefly, THP-1 cells were incubated with serum-free RPMI containing 100 nM mitophagy dye at 37 °C for 30 min. After washing and discarding the supernatant, the cells were stimulated with 40 ng/mL TSLP in complete medium for 12 h. Mitophagy dye fluorescence was detected by an LSR II flow cytometer (Becton Dickinson, San Jose, CA) with a PerCP Cy5.5 channel. The data were analyzed using FCS Express 4 Flow Research (De Novo Software, California, USA).

Quantitative real-time reverse transcription polymerase chain reaction (qRT-PCR) analysis of respiratory chain and mitochondrial biogenesis factors
The gene expression of mitochondrial copy numbers, respiratory chain complexes I-V, including NADH dehydrogenase, subunit 1 (MT-ND1, MT complex I), succinate dehydrogenase complex, subunit A, flavoprotein (SDHA, MT complex II), mitochondrial cytochrome b (MT-CYTB, MT complex III), cytochrome c oxidase I (COXI, MT complex IV), ATP synthase, H + transporting, mitochondrial Fo complex, subunit F6 (MT-ATP6, MT complex V), and mitochondrial proton carrier: uncoupling protein 2 (UCP2) were detected to investigate mitochondrial involvement. After treatment with TSLP for different durations, total RNA (1 μg) was reverse transcribed by SuperScript II using an anchored oligo-dT primer as instructed by the manufacturer (Invitrogen, Carlsbad, CA, USA), and the resulting DNA was used as template for qRT-PCR. The primer sequences and qRT-PCR were performed as described in our previous work [44,45].

Chromatin immunoprecipitation (ChIP) assay
ChIP was performed as described previously with minor modifications [46]. Primers and probes were designed to analyze the proximal promoter regions relative to the transcription start site of the SDHA gene (− 2975/− 2577, including the AP-1 binding site) according to MatInspector (Genomatix Software, München, Germany). The primer sequences were as follows: forward: 5′-CTG ACC ACA CTA CCT CAG CA and reverse: 5′-CAG TGC TTG CTT CTT GGT GA. All TaqMan reagents were purchased from Applied Biosystems. The relative intensities of the amplified products were normalized to the input DNA levels.

Gene knockdown
THP-1 cells were transduced using shRNA lentiviral particles at a multiplicity of infection (MOI) of 1. A MOI is the number of transducing lentiviral particles per cell. All shRNA lentiviral particles were purchased from the RNA technology platform and gene manipulation core of Academia Sinica. The lentivirus encoded either a nontargeted (nt) shRNA (TRCN0000208001) or a shRNA directed against PINK1 (#TRCN0000007101, #TRCN0000007097, and #TRCN0000199446). A nontargeting (nt) shRNA (#TRCN0000208001) or shRNA targeting SHDA (#TRCN0000028085, #TRCN0000028093, and #TRCN000028118) was used to investigate whether SHDA was involved in TSLP-induced mitophagy. PINK1knockdown cells were pretreated with TSLP for 2 h and then polarized to form M2 macrophages with PMA (20 ng/mL) and IL-4 (20 ng/mL). The supernatants were collected, and the CCL-22 concentration was measured after 48 h by ELISA.

Statistical analysis
GraphPad Prism (Version 5, GraphPad Prism Software, Los Angeles, CA, USA) and IBM SPSS statistical software (Version 19, IBM Company, Armonk, NY, USA) were used for statistical analysis. The Mann-Whitney U test was used for pairwise comparisons between samples with and without TSLP treatment. The immunoreactivities of mitophagy-related proteins in western blot analysis were normalized to those of the total proteins. The western blot results were analyzed by the Wilcoxon signedrank test. Multiple nonparametric comparisons to assess the effects of TSLP on chemokines were analyzed by the Kruskal-Wallis test with post hoc analysis. Statistically significant differences were considered if a p value < 0.05.