<?xml version='1.0'?>
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<art>
   <ui>1465-9921-10-114</ui>
   <ji>RRJ</ji>
   <fm>
      <dochead>Research</dochead>
      <bibl>
         <title>
            <p>Role of lysophosphatidic acid receptor LPA<sub>2 </sub>in the development of allergic airway inflammation in a murine model of asthma</p>
         </title>
         <aug>
            <au ca="yes" id="A1">
               <snm>Zhao</snm>
               <fnm>Yutong</fnm>
               <insr iid="I1"/>
               <email>yzhao@medicine.bsd.uchicago.edu</email>
            </au>
            <au id="A2">
               <snm>Tong</snm>
               <fnm>Jiankun</fnm>
               <insr iid="I1"/>
               <email>jtong@bsd.uchicago.edu</email>
            </au>
            <au id="A3">
               <snm>He</snm>
               <fnm>Donghong</fnm>
               <insr iid="I1"/>
               <email>dhe@medicine.bsd.uchicago.edu</email>
            </au>
            <au id="A4">
               <snm>Pendyala</snm>
               <fnm>Srikanth</fnm>
               <insr iid="I1"/>
               <email>spendyala@medicine.bsd.uchicago.edu</email>
            </au>
            <au id="A5">
               <snm>Evgeny</snm>
               <fnm>Berdyshev</fnm>
               <insr iid="I1"/>
               <email>eberdysh@medicine.bsd.uchicago.edu</email>
            </au>
            <au id="A6">
               <snm>Chun</snm>
               <fnm>Jerold</fnm>
               <insr iid="I2"/>
               <email>jchun@scripps.edu</email>
            </au>
            <au id="A7">
               <snm>Sperling</snm>
               <mi>I</mi>
               <fnm>Anne</fnm>
               <insr iid="I1"/>
               <email>asperlin@medicine.bsd.uchicago.edu</email>
            </au>
            <au id="A8">
               <snm>Natarajan</snm>
               <fnm>Viswanathan</fnm>
               <insr iid="I1"/>
               <email>vnataraj@medicine.bsd.uchicago.edu</email>
            </au>
         </aug>
         <insg>
            <ins id="I1">
               <p>Department of Medicine, The University of Chicago, Chicago, Illinois, USA</p>
            </ins>
            <ins id="I2">
               <p>Department of Molecular Biology, The Scripps Research Institute, La Jolla, California, USA</p>
            </ins>
         </insg>
         <source>Respiratory Research</source>
         <issn>1465-9921</issn>
         <pubdate>2009</pubdate>
         <volume>10</volume>
         <issue>1</issue>
         <fpage>114</fpage>
         <url>http://respiratory-research.com/content/10/1/114</url>
         <xrefbib>
            <pubidlist>
               <pubid idtype="pmpid">19930563</pubid>
               <pubid idtype="doi">10.1186/1465-9921-10-114</pubid>
            </pubidlist>
         </xrefbib>
      </bibl>
      <history>
         <rec>
            <date>
               <day>28</day>
               <month>5</month>
               <year>2009</year>
            </date>
         </rec>
         <acc>
            <date>
               <day>20</day>
               <month>11</month>
               <year>2009</year>
            </date>
         </acc>
         <pub>
            <date>
               <day>20</day>
               <month>11</month>
               <year>2009</year>
            </date>
         </pub>
      </history>
      <cpyrt>
         <year>2009</year>
         <collab>Zhao et al; licensee BioMed Central Ltd.</collab>
         <note>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<url>http://creativecommons.org/licenses/by/2.0</url>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</note>
      </cpyrt>
      <abs>
         <sec>
            <st>
               <p>Abstract</p>
            </st>
            <sec>
               <st>
                  <p>Background</p>
               </st>
               <p>Lysophosphatidic acid (LPA) plays a critical role in airway inflammation through G protein-coupled LPA receptors (LPA<sub>1-3</sub>). We have demonstrated that LPA induced cytokine and lipid mediator release in human bronchial epithelial cells. Here we provide evidence for the role of LPA and LPA receptors in Th2-dominant airway inflammation.</p>
            </sec>
            <sec>
               <st>
                  <p>Methods</p>
               </st>
               <p/>
               <p>Wild type, LPA<sub>1 </sub>heterozygous knockout mice (LPA<sub>1</sub><sup>+/-</sup>), and LPA<sub>2 </sub>heterozygous knockout mice (LPA<sub>2</sub><sup>+/-</sup>) were sensitized with inactivated <it>Schistosoma mansoni </it>eggs and local antigenic challenge with <it>Schistosoma mansoni </it>soluble egg Ag (SEA) in the lungs. Bronchoalveolar larvage (BAL) fluids and lung tissues were collected for analysis of inflammatory responses. Further, tracheal epithelial cells were isolated and challenged with LPA.</p>
            </sec>
            <sec>
               <st>
                  <p>Results</p>
               </st>
               <p>BAL fluids from <it>Schistosoma mansoni </it>egg-sensitized and challenged wild type mice (4 days of challenge) showed increase of LPA level (~2.8 fold), compared to control mice. LPA<sub>2</sub><sup>+/- </sup>mice, but not LPA<sub>1</sub><sup>+/- </sup>mice, exposed to <it>Schistosoma mansoni </it>egg revealed significantly reduced cell numbers and eosinophils in BAL fluids, compared to challenged wild type mice. Both LPA<sub>2</sub><sup>+/- </sup>and LPA<sub>1</sub><sup>+/- </sup>mice showed decreases in bronchial goblet cells. LPA<sub>2</sub><sup>+/- </sup>mice, but not LPA<sub>1</sub><sup>+/- </sup>mice showed the decreases in prostaglandin E2 (PGE2) and LPA levels in BAL fluids after SEA challenge. The PGE2 production by LPA was reduced in isolated tracheal epithelial cells from LPA<sub>2</sub><sup>+/- </sup>mice. These results suggest that LPA and LPA receptors are involved in <it>Schistosoma mansoni </it>egg-mediated inflammation and further studies are proposed to understand the role of LPA and LPA receptors in the inflammatory process.</p>
            </sec>
         </sec>
      </abs>
   </fm>
   <meta>
      <classifications>
         <classification id="endnote" subtype="user_supplied_xml" type="bmc"/>
      </classifications>
   </meta>
   <bdy>
      <sec>
         <st>
            <p>Background</p>
         </st>
         <p>Lysophosphatidic acid (LPA) is a naturally occurring bioactive lysophospholipid and is a component of plasma, biological fluids, and tissues <abbrgrp><abbr bid="B1">1</abbr><abbr bid="B2">2</abbr><abbr bid="B3">3</abbr></abbrgrp>. Many of the biological responses of LPA such as cell proliferation <abbrgrp><abbr bid="B4">4</abbr><abbr bid="B5">5</abbr></abbrgrp>, migration <abbrgrp><abbr bid="B6">6</abbr><abbr bid="B7">7</abbr></abbrgrp>, and cytokine release <abbrgrp><abbr bid="B8">8</abbr><abbr bid="B9">9</abbr><abbr bid="B10">10</abbr></abbrgrp> are mediated by a family of G-protein coupled receptors (GPCRs). At least six LPA receptors, LPA<sub>1-6</sub>, have been cloned and described in mammals, and the biological effects of LPA are mediated by ligation to specific LPA receptors that are coupled to heterotrimeric G-protein families, the G<sub>s</sub>, G<sub>i</sub>, G<sub>q</sub>, and G<sub>12/13 </sub><abbrgrp><abbr bid="B11">11</abbr><abbr bid="B12">12</abbr><abbr bid="B13">13</abbr><abbr bid="B14">14</abbr><abbr bid="B15">15</abbr><abbr bid="B16">16</abbr><abbr bid="B17">17</abbr></abbrgrp>.</p>
         <p>The role of LPA and LPA receptors in airway inflammatory diseases have been studied <it>in vitro </it>and <it>in vivo</it>. LPA is a potent stimulator of interleukin-8 (IL-8) secretion in primary cultured human bronchial epithelial cells (HBEpCs) <abbrgrp><abbr bid="B8">8</abbr><abbr bid="B10">10</abbr></abbrgrp>, and is a mitogen for airway smooth muscle cells <abbrgrp><abbr bid="B18">18</abbr><abbr bid="B19">19</abbr></abbrgrp>. Intratracheal administration of LPA in mice increased MIP-2 levels at 3 h and neutrophil infiltration at 6 h <abbrgrp><abbr bid="B20">20</abbr></abbrgrp>. Inhalation of LPA induced histamine release and enhanced the recruitment eosinophils and neutrophils to the guinea pig lung alveolar space <abbrgrp><abbr bid="B21">21</abbr><abbr bid="B22">22</abbr></abbrgrp>. While these studies suggest that LPA regulates airway inflammation via stimulating the release of cytokines and inflammatory mediators that modulate infiltration of neutrophils and eosinophils into the airway, others point out that LPA exhibits anti-inflammatory effects and promotes resolution of inflammation. In human bronchial epithelial cells, LPA induced IL-13 decoy receptor, IL-13R&#945;2 expression and release, and attenuated IL-13-induced phosphorylation of STAT6 <abbrgrp><abbr bid="B9">9</abbr></abbrgrp>. Further, LPA enhanced cyclooxygenase-2 (COX-2) expression and prostaglandin E2 (PGE2) release in HBEpCs <abbrgrp><abbr bid="B23">23</abbr></abbrgrp> suggesting a protective role in the innate immunity response and tissue repair process in airway inflammation <abbrgrp><abbr bid="B24">24</abbr><abbr bid="B25">25</abbr></abbrgrp>. Recently, Fan et al. showed that intravenous injection with LPA attenuated bacterial endotoxin-induced plasma TNF-&#945; production and myeloperoxidase activity in mouse lung, suggesting an anti-inflammatory role of LPA in a murine model of acute lung injury <abbrgrp><abbr bid="B26">26</abbr></abbrgrp>. In addition to its anti-inflammatory effect, LPA regulated E-cadherin intracellular trafficking and airway epithelial barrier integrity and intratracheal post-treatment with LPA reduced neutrophil influx, protein leak, and E-cadherin shedding in bronchoalveolar lavage (BAL) fluids in a murine model of LPS-induced acute lung injury <abbrgrp><abbr bid="B27">27</abbr></abbrgrp>. These data suggest a protective role of administrated LPA in airway inflammatory diseases.</p>
         <p>In contrast to several <it>in vitro </it>studies on the role of LPA as a pro- or anti-inflammatory mediator in airway epithelial and smooth muscle cells <abbrgrp><abbr bid="B8">8</abbr><abbr bid="B10">10</abbr><abbr bid="B18">18</abbr><abbr bid="B19">19</abbr><abbr bid="B20">20</abbr></abbrgrp>, there are a few reports linking LPA levels and LPA receptors to airway or lung inflammation and injury. We have recently shown that LPA was constitutively present in BAL fluids from normal and asthmatic subjects and segmental allergen challenge increased LPA levels in BAL fluids significantly <abbrgrp><abbr bid="B28">28</abbr></abbrgrp>. However, the source of LPA and the pathophysiological relevance of increased LPA after segmental allergen challenge to allergic inflammation remain to be elucidated. Similarly, LPA levels in BAL fluids from individuals with idiopathic pulmonary fibrosis were significantly higher compared to normal controls <abbrgrp><abbr bid="B29">29</abbr></abbrgrp>. Further, an increase in LPA levels in BAL fluid following lung injury was observed in the bleomycin model of pulmonary fibrosis, and mice lacking LPA<sub>1 </sub>were protected from fibrosis and mortality <abbrgrp><abbr bid="B29">29</abbr></abbrgrp>. These studies suggest a role for LPA receptors in linking lung injury in the murine bleomycin model of pulmonary fibrosis.</p>
         <p>Asthma is a chronic inflammatory disease of the airways involving T-lymphocytes and eosinophils infiltration, mucus overproduction and airway hyper-responsiveness. Inflammatory mediators including lipid mediators play a critical role in the pathogenesis of chronic airway diseases and facilitate the recruitment, activation, and trafficking of inflammatory cells in the airways. Very little is known on the physiological consequences of increased LPA levels and role of LPA receptors in asthma. To address the role of LPA receptors in Th2-mediated inflammation, we have used a well described <it>Schistosoma mansoni </it>eggs-sensitized murine model of allergic airway inflammation <abbrgrp><abbr bid="B30">30</abbr><abbr bid="B31">31</abbr><abbr bid="B32">32</abbr></abbrgrp>. Control wild type, <it>LPA</it><sub>1</sub><sup>+/- </sup>and <it>LPA</it><sub>2</sub><sup>+/- </sup>mice were sensitized and challenged with <it>Schistosoma mansoni </it>eggs. LPA<sub>2</sub><sup>+/- </sup>challenged mice compared to wild type showed decrease in cell numbers, eosinophils, and positive PAS staining. Interestingly, only <it>Schistosoma mansoni </it>eggs sensitized and challenged <it>LPA</it><sub>2</sub><sup>+/-</sup>, but not <it>LPA</it><sub>1</sub><sup>+/-</sup>, mice showed reduced PGE2 levels in BAL fluids which correlated with diminished COX-2 expression in LPA<sub>2</sub><sup>+/- </sup>mice. Furthermore, airway epithelial cells isolated from <it>LPA</it><sub>2</sub><sup>+/- </sup>mice exhibited reduced COX-2 expression and PGE2 release compared to cells from wild type mice. These results show for the first time a role for LPA<sub>2 </sub>in the development of airway inflammation and pathogenesis of asthma.</p>
      </sec>
      <sec>
         <st>
            <p>Materials and methods</p>
         </st>
         <sec>
            <st>
               <p>Animals</p>
            </st>
            <p>All the mice were bred and housed in a specific pathogen-free barrier facility maintained by the University of Chicago Animal Resources Center. The studies reported here conform to the principles outlined by the Animal Welfare Act and the National Institutes of Health guidelines for the care and use of animals in biomedical research.</p>
         </sec>
         <sec>
            <st>
               <p>PCR genotyping of LPA<sub>1</sub><sup>+/- </sup>and LPA<sub>2</sub><sup>+/- </sup>mice</p>
            </st>
            <p>Extract-N-Amp Tissue PCR kit (Sigma Aldrich, S. Louis) was utilized for isolating genomic DNA from mouse tail and amplifying DNA fragments. The primers for LPA<sub>1 </sub>and LPA<sub>2 </sub>knockout mice were described as previous studies <abbrgrp><abbr bid="B33">33</abbr><abbr bid="B34">34</abbr></abbrgrp>.</p>
         </sec>
         <sec>
            <st>
               <p><it>Schistosoma mansoni </it>eggs sensitization and challenge</p>
            </st>
            <p><it>Schistosoma mansoni </it>eggs sensitization and challenge to induce murine allergic airway disease were described before <abbrgrp><abbr bid="B31">31</abbr></abbrgrp>. In brief, at day 0, mice (6-8 weeks) were immunized by i.p. injection of 5,000 inactivated <it>Schistosoma mansoni </it>eggs. At day 7, the mice were challenged with 10 &#956;g of SEA by intratracheal aspiration. The mice were studied at day 11.</p>
         </sec>
         <sec>
            <st>
               <p>Analyses of BAL fluids</p>
            </st>
            <p>BAL fluids were performed by an intratracheal injection of 1 ml of PBS solution followed by gentle aspiration. The lavage was repeated twice to recover a total volume of 1.8-2.0 ml. The lavage was centrifuged and supernatant was processed for PGE2 or LPA measurement. The percentages of cell types in BAL fluids were determined by FACS analysis with cell type-specific markers.</p>
         </sec>
         <sec>
            <st>
               <p>Histology</p>
            </st>
            <p>Lungs were removed from mice and lobes were sectioned sagitally, embedded in paraffin, cut into 5-&#956;m sections. Periodic Acid Schiff (PAS) staining were performed by Pathology Core Facility in The University of Chicago.</p>
         </sec>
         <sec>
            <st>
               <p>Antibodies and flow cytometry</p>
            </st>
            <p>Antibody to mouse CCR3 (clone 831101.111) was obtained from R&amp;D Systems (Minneapolis, MN). Cells were fixed with 4% paraformaldehyde for 10 min and incubated with staining antibodies for 30 min at 4&#176;C. The samples were washed and analyzed on a FACS LSR-II (Becton Dickinson).</p>
         </sec>
         <sec>
            <st>
               <p>Isolation of tracheal epithelial cells</p>
            </st>
            <p>Briefly, mice were euthanized and their tracheas were isolated and digested with 0.1% protease (Type XIV, Sigma) overnight at 4&#176;C. The tracheal cell suspension were transferred to 15 ml tube and spun at 1500 rpm for 3 min at 4&#176;C and were pooled in BEGM medium (Lonza, Walkersville, MD).</p>
         </sec>
         <sec>
            <st>
               <p>LPA measurement by mass spectrometry</p>
            </st>
            <p>Lipids in BAL were extracted as described before <abbrgrp><abbr bid="B28">28</abbr></abbrgrp>. In brief, LPA levels were determined using liquid chromatography and tandem mass spectrometry (LC) with ABI-4000 Q-TRAP hybrid triple quadrupole/ion trap mass spectrometer (MS) coupled with an Agilent 1100 liquid chromatography system. Lipids were separated using methanol/water/HCOOH, 79/20/0.5, v/v, with 5 mM NH4COOH as solvent A and methanol/acetonitrile/HCOOH, 59/40/0.5, v/v, with 5 mM NH4COOH as Solvent B. LPA molecular species were analyzed in negative ionization mode with declustering potential and collision energy optimized for LPA.</p>
         </sec>
         <sec>
            <st>
               <p>PGE2 measurement</p>
            </st>
            <p>Mouse tracheal epithelial cells grown on 6-well plates were challenged with LPA for 3 h, medium were collected and centrifuged at 5,000 &#215; g for 10 min at 4&#176;C. The supernatant or BAL fluid supernatant were transferred to new 2.0 ml-eppendorf tubes and frozen in -80&#176;C for later analysis. Measurement of PGE2 levels, as 13, 14-dihydro-15-keto PGE2, was carried out using a commercial ELISA kit according to manufacture's instruction.</p>
         </sec>
         <sec>
            <st>
               <p>RNA isolation and Real-time RT-PCR</p>
            </st>
            <p>Total RNA was isolated from cultured mouse tracheal epithelial cells using TRIzol<sup>&#174; </sup>reagent (Life Technology, Rockville, MD) according to the manufacturer's instructions. RNA was quantified spectrophotometrically and 1 &#956;g of RNA was reversed transcripted using cDNA synthesis kit (Bio-Rad) and Real-time PCR and quantitative PCR were performed to assess expression of the COX-2, LPA<sub>1</sub>, LPA<sub>2</sub>, LPA<sub>3</sub>, LPA<sub>4</sub>, and LPA<sub>5 </sub>using primers designed based on mouse mRNA sequences (Table <tblr tid="T1">1</tblr>.). Amplicon expression in each sample was normalized to its 18S RNA content. The relative abundance of target mRNA in each sample was calculated as 2 raised to the negative of its threshold cycle value times 10<sup>6 </sup>after being normalized to the abundance of its corresponding 18S, [e.g., 2 <sup>-(Target Gene Threshold Cycle)</sup>/2 <sup>-(18S Threshold Cycle) </sup>&#215; 10<sup>6</sup>].</p>
            <tbl id="T1">
               <title>
                  <p>Table 1</p>
               </title>
               <caption>
                  <p>Primers for mouse LPA receptors and COX-2</p>
               </caption>
               <tblbdy cols="2">
                  <r>
                     <c ca="left">
                        <p>LPA<sub>1</sub></p>
                     </c>
                     <c ca="left">
                        <p>Forward: 5'-TCAACCTGGTGACCTTTGTG-3'</p>
                        <p>Reverse: 5'-GGTCCAGAACTATGCCGAGA-3'</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="2">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>LPA<sub>2</sub></p>
                     </c>
                     <c ca="left">
                        <p>Forward: 5'-ATATTCCTGCCGAGATGCTG-3'</p>
                        <p>Reverse: 5'-AAGCTGAGTAACGGGCAGAC-3'</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="2">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>LPA<sub>3</sub></p>
                     </c>
                     <c ca="left">
                        <p>Forward: 5'-ATTGCCTCTGCAACATCTCG-3'</p>
                        <p>Reverse: 5'-ATGAAGAAGGCCAGGAGGTT-3'</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="2">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>LPA<sub>4</sub></p>
                     </c>
                     <c ca="left">
                        <p>Forward: 5'-ACTGCGTTCCTCACCAACAT-3'</p>
                        <p>Reverse: 5'-CGATCGGAAGGGATAGACAA-3'</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="2">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>LPA<sub>5</sub></p>
                     </c>
                     <c ca="left">
                        <p>Forward: 5'-GCTCCAGTGCCCTGACTATC-3'</p>
                        <p>Reverse: 5'-CAGAGCGTTGAGAGGGAGAC-3'</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="2">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>COX-2</p>
                     </c>
                     <c ca="left">
                        <p>Forward: 5'-CCCCCACAGTCAAAGACACT-3'</p>
                        <p>Reverse: 5'-GGCACCAGACCAAAGACTTC-3'</p>
                     </c>
                  </r>
               </tblbdy>
            </tbl>
         </sec>
         <sec>
            <st>
               <p>Western blotting</p>
            </st>
            <p>Equal amounts of protein (20 &#956;g) were subjected to 10% SDS/PAGE gels, transferred to polyvinylidene difluoride membranes, blocked with 5% (w/v) BSA in TBST (25 mM Tris-HCl, pH 7.4, 137 mM NaCl and 0.1% Tween-20) for 1 h and incubated with anti-COX-2 antibody in 5% (w/v) BSA in TBST for 1-2 h at room temperature. The membranes were washed at least three times with TBST at 15 min intervals and then incubated with a rabbit horseradish peroxidase-conjugated secondary antibody (1: 3,000) for 1 h at room temperature. The membrane was developed with enhanced chemiluminescence detection system according to Manufacturer's instructions.</p>
         </sec>
         <sec>
            <st>
               <p>Statistical analysis</p>
            </st>
            <p>All results were subjected to statistical analysis using one-way ANOVA and, whenever appropriate, analyzed by Student-Newman-Keuls test. Data are expressed as means &#177; S.D. of triplicate samples from at least three independent experiments and level of significance was taken to P &lt; 0.05.</p>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Results</p>
         </st>
         <sec>
            <st>
               <p><it>Schistosoma mansoni </it>eggs sensitization and challenge increases LPA levels in BAL fluids</p>
            </st>
            <p>To investigate the role of LPA receptors in pathogenesis of asthma, we quantified LPA levels in BAL fluids from control and SEA-challenged mice. Mice were sensitized by i.p. injection of 5,000 inactivated <it>Schistosoma mansoni </it>eggs. At day 7, mice were challenged with or without 10 &#956;g of SEA by intratracheal aspiration and at day 11, BAL fluids were collected (Fig. <figr fid="F1">1</figr>) and lipid were extracted and LPA levels in BAL fluids were measured by LC-MS/MS with C17:0 LPA as an internal standard. As shown in Table <tblr tid="T2">2</tblr>, LPA was detectable (~1254.3 &#177; 357.0 pmole/ml) in control mice (sensitized with inactivated <it>Schistosoma mansoni </it>eggs but not SEA challenged), and there was a ~2.8 fold increase in LPA levels (~3557.9 &#177; 109.3 pmole/ml) in <it>Schistosoma mansoni </it>eggs sensitized and challenged mice, compared to control mice. Unsaturated molecular species of LPA (18:1, 20:4, 22:5, and 22:6) were detected in BAL fluids of control mice, which increased significantly after SEA challenge. These results show for the first time, to our knowledge, increase in LPA during allergic lung inflammation in a murine model of asthma.</p>
            <fig id="F1">
               <title>
                  <p>Figure 1</p>
               </title>
               <caption>
                  <p><it>Schistosoma mansoni </it>eggs sensitization and challenge induces murine asthmatic model</p>
               </caption>
               <text>
                  <p><b><it>Schistosoma mansoni </it>eggs sensitization and challenge induces murine asthmatic model</b>. At day 0, mice (6-8 weeks) were immunized by i.p. injection of 5,000 inactivated <it>Schistosoma mansoni </it>eggs. At day 7, mice were challenged with 10 &#956;g of SEA by intratracheal aspiration. Lung tissues and BAL fluids were collected at day 11.</p>
               </text>
               <graphic file="1465-9921-10-114-1"/>
            </fig>
            <tbl id="T2">
               <title>
                  <p>Table 2</p>
               </title>
               <caption>
                  <p>Quatification of LPA molecular species in BAL fluids</p>
               </caption>
               <tblbdy cols="3">
                  <r>
                     <c ca="left">
                        <p>
                           <b>LPA molecular species</b>
                        </p>
                     </c>
                     <c ca="center">
                        <p>
                           <b>Wt sensitization only (pmol/ml)</b>
                        </p>
                     </c>
                     <c ca="center">
                        <p>
                           <b>Wt sensitization and SEA challenged (pmol/ml)</b>
                        </p>
                     </c>
                  </r>
                  <r>
                     <c cspan="3">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>14:0-LPA</p>
                     </c>
                     <c ca="center">
                        <p>5.6 &#177; 3.1</p>
                     </c>
                     <c ca="center">
                        <p>14.6 &#177; 1.2</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="3">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>16:1-LPA</p>
                     </c>
                     <c ca="center">
                        <p>50.4 &#177; 37.0</p>
                     </c>
                     <c ca="center">
                        <p>160.9 &#177; 3.7</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="3">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>16:0-LPA</p>
                     </c>
                     <c ca="center">
                        <p>88.4 &#177; 51.7</p>
                     </c>
                     <c ca="center">
                        <p>253.6 &#177; 10.8</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="3">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>18:2-LPA</p>
                     </c>
                     <c ca="center">
                        <p>83.9 &#177; 54.6</p>
                     </c>
                     <c ca="center">
                        <p>274.4 &#177; 7.0</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="3">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>18:1-LPA</p>
                     </c>
                     <c ca="center">
                        <p>154.3 &#177; 114.7</p>
                     </c>
                     <c ca="center">
                        <p>517.6 &#177; 17.9</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="3">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>18:0-LPA</p>
                     </c>
                     <c ca="center">
                        <p>54.9 &#177; 27.4</p>
                     </c>
                     <c ca="center">
                        <p>153.7 &#177; 8.0</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="3">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>20:5-LPA</p>
                     </c>
                     <c ca="center">
                        <p>26.7 &#177; 22.0</p>
                     </c>
                     <c ca="center">
                        <p>95.7 &#177; 1.9</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="3">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>20:4-LPA</p>
                     </c>
                     <c ca="center">
                        <p>212.9 &#177; 168.2</p>
                     </c>
                     <c ca="center">
                        <p>739.0 &#177; 23.1</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="3">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>20:3-LPA</p>
                     </c>
                     <c ca="center">
                        <p>51.7 &#177; 39.8</p>
                     </c>
                     <c ca="center">
                        <p>165.2 &#177; 5.5</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="3">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>20:2-LPA</p>
                     </c>
                     <c ca="center">
                        <p>4.7 &#177; 3.4</p>
                     </c>
                     <c ca="center">
                        <p>14.1 &#177; 0.8</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="3">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>22:6-LPA</p>
                     </c>
                     <c ca="center">
                        <p>189.4 &#177; 114.4</p>
                     </c>
                     <c ca="center">
                        <p>548.9 &#177; 18.1</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="3">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>22:5-LPA</p>
                     </c>
                     <c ca="center">
                        <p>291.6 &#177; 166.2</p>
                     </c>
                     <c ca="center">
                        <p>576.9 &#177; 22.2</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="3">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>22:4-LPA</p>
                     </c>
                     <c ca="center">
                        <p>16.8 &#177; 9.5</p>
                     </c>
                     <c ca="center">
                        <p>41.1 &#177; 1.5</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="3">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>22:3-LPA</p>
                     </c>
                     <c ca="center">
                        <p>0.7 &#177; 0.6</p>
                     </c>
                     <c ca="center">
                        <p>1.9 &#177; 0.5</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="3">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>22:2-LPA</p>
                     </c>
                     <c ca="center">
                        <p>0.2 &#177; 0.1</p>
                     </c>
                     <c ca="center">
                        <p>0.2 &#177; 0.1</p>
                     </c>
                  </r>
                  <r>
                     <c cspan="3">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>Total LPA</p>
                     </c>
                     <c ca="center">
                        <p>1254.3 &#177; 357.0</p>
                     </c>
                     <c ca="center">
                        <p>3557.9 &#177; 109.3</p>
                     </c>
                  </r>
               </tblbdy>
               <tblfn>
                  <p>BAL fluids were collected and lipis were extracted. LPA molecular species were quantified by LC-MS/MS with 17:0LPA as standard.</p>
               </tblfn>
            </tbl>
         </sec>
         <sec>
            <st>
               <p><it>Schistosoma mansoni </it>eggs sensitization and challenge-induced airway inflammation is dependent on LPA<sub>1 </sub>and LPA<sub>2</sub></p>
            </st>
            <p>To determine the role of LPA receptors in airway inflammation mediated by <it>Schistosoma mansoni </it>eggs sensitization and challenge, we used LPA<sub>1 </sub>and LPA<sub>2 </sub>deficient mice, which were genetically engineered as described earlier <abbrgrp><abbr bid="B33">33</abbr><abbr bid="B34">34</abbr></abbrgrp>. The heterozygous LPA<sub>1</sub><sup>+/- </sup>and LPA<sub>2</sub><sup>+/- </sup>mice were housed and bred at the University of Chicago Animal Resources Center and described experiments were approved by the ACIU of the University of Chicago. Genotyping analyses with specific primers confirmed generation of wild type (+/+), heterozygous (+/-) and homozygous mice (-/-) from the genetically engineered LPA<sub>1 </sub>and LPA<sub>2 </sub>mice (data not shown). Since LPA<sub>1</sub><sup>-/- </sup>showed 50% neonatal lethality and impaired sucking in neonatal pups, all experiments were carried out with LPA<sub>1</sub><sup>+/- </sup>and LPA<sub>2</sub><sup>+/- </sup>mice to investigate the role of LPA receptors in <it>Schistosoma mansoni </it>eggs sensitization and challenge-mediated allergic inflammatory responses. To determine whether LPA<sub>1</sub><sup>+/- </sup>and LPA<sub>2</sub><sup>+/- </sup>mice reduced the effect of LPA, wild type, LPA<sub>1</sub><sup>+/- </sup>and LPA<sub>2</sub><sup>+/- </sup>mice were intratracheal challenged with 18:1LPA (5 &#956;M in 25 &#956;l PBS) for 6 h. As shown in Fig. <figr fid="F2">2</figr>, LPA challenge increased neutrophil infiltration, however, LPA<sub>1</sub><sup>+/- </sup>and LPA<sub>2</sub><sup>+/- </sup>mice reduced LPA-induced neutrophil infiltration in BAL fluids, suggesting that less LPA<sub>1 </sub>and LPA<sub>2 </sub>receptors in LPA<sub>1</sub><sup>+/- </sup>and LPA<sub>2</sub><sup>+/- </sup>mice reduce LPA-induced inflammation in lung and that LPA<sub>1</sub><sup>+/- </sup>and LPA<sub>2</sub><sup>+/- </sup>mice are useful models for investigating role of LPA receptors in lung inflammatory diseases.</p>
            <fig id="F2">
               <title>
                  <p>Figure 2</p>
               </title>
               <caption>
                  <p>LPA<sub>1</sub><sup>+/- </sup>and LPA<sub>2</sub><sup>+/- </sup>mice show reduced neutrophils infiltration to BAL fluids</p>
               </caption>
               <text>
                  <p><b>LPA<sub>1</sub><sup>+/- </sup>and LPA<sub>2</sub><sup>+/- </sup>mice show reduced neutrophils infiltration to BAL fluids</b>. 18:1LPA (5 &#956;M in 25 &#956;l PBS) were intratracheally injected to wild type, LPA<sub>1</sub><sup>+/-</sup>, and LPA<sub>2</sub><sup>+/- </sup>mice (n = 4-5) for 6 h. BAL fluids were collected and percentage of neutrophils in total cells were examined by Cytospin.</p>
               </text>
               <graphic file="1465-9921-10-114-2"/>
            </fig>
            <p>Wild type, LPA<sub>1</sub><sup>+/-</sup>, and LPA<sub>2</sub><sup>+/- </sup>mice were sensitized with inactivated <it>Schistosoma mansoni </it>eggs and challenged with or without SEA for 4 days, BAL fluids and lung tissues were collected, cell numbers were measured under microscope and total eosinophils were determined by flow cytometry using eosinophils specific antibody (anti-CCR3). Consistent with pervious reports <abbrgrp><abbr bid="B30">30</abbr><abbr bid="B32">32</abbr></abbrgrp>, <it>Schistosoma mansoni </it>eggs sensitized and challenged wild type mice showed significant increase in total cell numbers and eosinophils in BAL fluids; however, total cell numbers and recruitment of eosinophils were attenuated in LPA<sub>2</sub><sup>+/-</sup>, but not LPA<sub>1</sub><sup>+/- </sup>mice (Fig. <figr fid="F3">3</figr>). These results suggest a role for LPA<sub>2 </sub>in influx of eosinophils into alveolar space during allergic inflammatory response.</p>
            <fig id="F3">
               <title>
                  <p>Figure 3</p>
               </title>
               <caption>
                  <p>LPA<sub>2</sub><sup>+/- </sup>mice exhibit a decrease in cell numbers and eosinophils in BAL fluids</p>
               </caption>
               <text>
                  <p><b>LPA<sub>2</sub><sup>+/- </sup>mice exhibit a decrease in cell numbers and eosinophils in BAL fluids</b>. After wild type, LPA<sub>1</sub><sup>+/-</sup>, and LPA<sub>2</sub><sup>+/- </sup>mice (n = 4-6) were challenged with or without <it>Schistosoma mansoni </it>eggs at day 11, as described in Materials and Methods, BAL fluids were collected and total cell numbers were accounted <b>(A)</b>. Eosinophil numbers were examined by flow cytometry with antibody to CCR3 <b>(B)</b>.</p>
               </text>
               <graphic file="1465-9921-10-114-3"/>
            </fig>
            <p>Airway goblet cell metaplasia and mucus production, indices of degree of inflammation, are hallmarks of asthma. Goblet cell metaplasia and mucus production were determined by PAS staining of histological sections of lung tissues from <it>Schistosoma mansoni </it>eggs sensitized and challenged or non-challenged wild type, LPA<sub>1</sub><sup>+/-</sup>, and LPA<sub>2</sub><sup>+/- </sup>mice. As shown in Fig. <figr fid="F4">4A</figr>, PAS positive goblet cells were higher in <it>Schistosoma mansoni </it>eggs sensitized and challenged wild type mice, compared to <it>Schistosoma mansoni </it>eggs sensitized and non-challenged wild type mice (control mice), whereas significantly less PAS stained goblet cells were seen in <it>Schistosoma mansoni </it>eggs sensitized and challenged LPA<sub>1</sub><sup>+/- </sup>and LPA<sub>2</sub><sup>+/- </sup>mice, compared to <it>Schistosoma mansoni </it>eggs sensitized and challenged wild type mice. Scoring of the histological sections also confirmed a significantly higher percentage of bronchi for PAS positive stained cells in the sensitized and challenged control wild type mice compared to LPA<sub>1</sub><sup>+/- </sup>and LPA<sub>2</sub><sup>+/- </sup>mice (Fig. <figr fid="F4">4B</figr>). These results demonstrate that <it>Schistosoma mansoni </it>eggs sensitized and challenged LPA<sub>1</sub><sup>+/- </sup>and LPA<sub>2</sub><sup>+/- </sup>mice develop reduced goblet cell metaplasia and mucus production compared to control wild type mice. Together, these data suggest a role for LPA receptors for optimal induction of Th2-mediated airway inflammation.</p>
            <fig id="F4">
               <title>
                  <p>Figure 4</p>
               </title>
               <caption>
                  <p>LPA<sub>1</sub><sup>+/- </sup>and LPA<sub>2</sub><sup>+/- </sup>mice exhibit decreases in goblet cells</p>
               </caption>
               <text>
                  <p><b>LPA<sub>1</sub><sup>+/- </sup>and LPA<sub>2</sub><sup>+/- </sup>mice exhibit decreases in goblet cells</b>. <b>A) </b>Representative PAS staining sections from <it>Schistosoma mansoni </it>eggs unchallenged and challenged wild type, LPA<sub>1</sub><sup>+/-</sup>, and LPA<sub>2</sub><sup>+/- </sup>mice (n = 4-6) are shown. <b>B) </b>Percentage of PAS positive goblet cells in each bronchia (n = 3-5) were calculated.</p>
               </text>
               <graphic file="1465-9921-10-114-4"/>
            </fig>
         </sec>
         <sec>
            <st>
               <p>LPA<sub>2</sub><sup>+/-</sup>, but not LPA<sub>1</sub><sup>+/-</sup>, mice exhibit reduced LPA and PGE2 levels in BAL fluids, and COX-2 expression in lungs of <it>Schistosoma mansoni </it>eggs sensitized/challenged mice</p>
            </st>
            <p>Endogenous PGE2 is produced by airway epithelium, smooth muscle, dendritic cells, and macrophages in response to allergen challenge <abbrgrp><abbr bid="B35">35</abbr></abbrgrp>. PGE2 has been shown to be an anti-inflammatory lipid mediator and bronchodilator in the airway <abbrgrp><abbr bid="B24">24</abbr><abbr bid="B25">25</abbr></abbrgrp>; however, administration of PGE2 induced various side effects, including cough, enhanced mucus production, and sensory nerve stimulation <abbrgrp><abbr bid="B36">36</abbr></abbrgrp>. To determine the role of LPA receptors expression and PGE2 production in response to allergen challenge, we analyzed PGE2 levels in BAL fluids and COX-2 expression in lung tissues from <it>Schistosoma mansoni </it>eggs sensitized and challenged wild type mice. As shown in Fig. <figr fid="F5">5A</figr>, PGE2 levels were higher in control wild type and LPA<sub>1</sub><sup>+/- </sup>mice, compared to LPA<sub>2</sub><sup>+/- </sup>mice in response to <it>Schistosoma mansoni </it>eggs sensitization and challenge. <it>Schistosoma mansoni </it>eggs sensitization and challenge increased COX-2 expression in lung tissues of wild type mice while LPA<sub>2</sub><sup>+/- </sup>mice showed reduced COX-2 expression (Fig. <figr fid="F5">5B</figr>). Recently, we have shown that LPA induces COX-2 expression and PGE2 release in human bronchial epithelial cells <abbrgrp><abbr bid="B23">23</abbr></abbrgrp>. As <it>Schistosoma mansoni </it>eggs sensitization and challenge increased LPA levels in BAL fluids (Table <tblr tid="T2">2</tblr>), we measured LPA levels in BAL fluids from sensitized and SEA challenged LPA<sub>2</sub><sup>+/- </sup>mice. Compared to wild type mice, LPA levels in BAL fluids from LPA<sub>2</sub><sup>+/- </sup>mice were decreased after SEA challenge. Together, these results suggest that increased lung COX-2 expression, PGE2 and LPA production in BAL fluids by <it>Schistosoma mansoni </it>eggs sensitization and challenge is regulated by LPA<sub>2</sub>.</p>
            <fig id="F5">
               <title>
                  <p>Figure 5</p>
               </title>
               <caption>
                  <p>LPA<sub>2</sub><sup>+/- </sup>mice exhibit a decrease in PGE2 and LPA levels in BAL fluids and COX-2 expression in lung tissue</p>
               </caption>
               <text>
                  <p><b>LPA<sub>2</sub><sup>+/- </sup>mice exhibit a decrease in PGE2 and LPA levels in BAL fluids and COX-2 expression in lung tissue</b>. BAL fluids and lung tissue were collected from SEA unchallenged and challenged wild type, LPA<sub>1</sub><sup>+/-</sup>, and LPA<sub>2</sub><sup>+/- </sup>mice (n = 4-6). <b>A) </b>PGE2 levels were measured by ELISA kit. <b>B) </b>Lung tissues were subjected to SDS/PAGE gel and COX-2 expression was determined by Western blotting. Representative image were shown. <b>C) </b>LPA levels in BAL fluids were quantified by LC-MS/MS and changes in LPA levels between wild type and SEA challenge mice were normalized to control levels.</p>
               </text>
               <graphic file="1465-9921-10-114-5"/>
            </fig>
         </sec>
         <sec>
            <st>
               <p>LPA<sub>2 </sub>deficiency on airway epithelial cells leads to reduced LPA mediated COX-2 expression and PGE2 release</p>
            </st>
            <p>Having demonstrated a role for LPA<sub>2 </sub>in <it>Schistosoma. mansoni </it>eggs-induced COX-2 expression, PGE2 secretion and airway inflammation, we hypothesized that expression of LPA<sub>2 </sub>on airway epithelial cells may be involved in inflammatory responses to <it>Schistosoma. mansoni </it>eggs sensitization and challenge. To investigate the role of LPA<sub>2 </sub>in LPA-induced COX-2 expression and PGE2 production, tracheal epithelial cells were isolated from wild type and LPA<sub>2</sub><sup>+/- </sup>mice. Analysis of total RNA for mRNA expression of LPA receptors by real-time RT-PCR revealed that expression of LPA<sub>2</sub>>LPA<sub>4</sub>>LPA<sub>1 </sub>&#8805; LPA<sub>3 </sub>in mouse tracheal epithelial cells (Table <tblr tid="T3">3</tblr>). In contrast to mouse tracheal epithelial cells, LPA<sub>1 </sub>and LPA<sub>3 </sub>were predominantly expressed in human bronchial epithelial cells <abbrgrp><abbr bid="B37">37</abbr></abbrgrp>. In LPA<sub>2</sub><sup>+/- </sup>tracheal epithelial cells, expression of LPA<sub>2 </sub>mRNA was reduced to ~50%, compared to wild type mice, while there were no significant changes in expression levels of LPA<sub>1 </sub>and LPA<sub>3 </sub>mRNA (Fig. <figr fid="F6">6A</figr>). To determine the role of LPA<sub>2</sub>in LPA mediated COX-2 expression and PGE2 release, tracheal epithelial cells from wild type and LPA<sub>2</sub><sup>+/- </sup>mice were challenged with LPA (1 &#956;M) for 3 h, total RNA isolated and COX-2 mRNA expression determined by Real-time RT-PCR. LPA stimulated COX-2 mRNA expression in wild type mouse cells (~13 fold); however, LPA-induced COX-2 mRNA expression was reduced in LPA<sub>2</sub><sup>+/- </sup>mouse cells (~56% of wild type cells) (Fig. <figr fid="F6">6B</figr>). The media, after LPA challenge, were collected and PGE2 levels were determined. As shown in Fig. <figr fid="F6">6C</figr>, PGE2 release from LPA<sub>2</sub><sup>+/-</sup>mouse tracheal epithelial cells challenged with LPA was lower as compared to cells from wild type mice [PGE2 (pg/ml)-Wild type: vehicle, 268 &#177; 29; LPA, 432 &#177; 47; LPA<sub>2</sub><sup>+/-</sup>: vehicle, 283 &#177; 21; LPA, 374 &#177; 16]. These results suggest that a role for LPA<sub>2 </sub>in LPA-induced COX-2 expression and PGE2 release from mouse tracheal epithelial cells.</p>
            <fig id="F6">
               <title>
                  <p>Figure 6</p>
               </title>
               <caption>
                  <p>LPA induces COX-2 expression and PGE2 release through LPA<sub>2</sub></p>
               </caption>
               <text>
                  <p><b>LPA induces COX-2 expression and PGE2 release through LPA<sub>2</sub></b>. Tracheal epithelial cells from wild type and LPA<sub>2</sub><sup>+/- </sup>mice were isolated as described in Materials and Methods and were cultured in 6-well plates. <b>A) </b>Total RNA was isolated and LPA receptors mRNA levels were measured by Real-time RT-PCR. <b>B) </b>Cells were challenged with 18:1LPA (1 &#956;M) for 3 h, and COX-2 mRNA levels were measured by Real-time RT-PCR. <b>(C)</b>. Cells were challenged with 18:1LPA (1 &#956;M) for 3 h, and medium were collected. PGE2 levels in medium were measured by ELISA kit.</p>
               </text>
               <graphic file="1465-9921-10-114-6"/>
            </fig>
            <tbl id="T3">
               <title>
                  <p>Table 3</p>
               </title>
               <caption>
                  <p>LPA receptors mRNA expression in lung tissue</p>
               </caption>
               <tblbdy cols="6">
                  <r>
                     <c ca="left">
                        <p>
                           <b>LPA-Rs</b>
                        </p>
                     </c>
                     <c ca="center">
                        <p>
                           <b>LPA<sub>1</sub></b>
                        </p>
                     </c>
                     <c ca="center">
                        <p>
                           <b>LPA<sub>2</sub></b>
                        </p>
                     </c>
                     <c ca="center">
                        <p>
                           <b>LPA<sub>3</sub></b>
                        </p>
                     </c>
                     <c ca="center">
                        <p>
                           <b>LPA<sub>4</sub></b>
                        </p>
                     </c>
                     <c ca="center">
                        <p>
                           <b>LPA<sub>5</sub></b>
                        </p>
                     </c>
                  </r>
                  <r>
                     <c cspan="6">
                        <hr/>
                     </c>
                  </r>
                  <r>
                     <c ca="left">
                        <p>Normalized to 18S</p>
                     </c>
                     <c ca="center">
                        <p>49.5 &#177; 23.5</p>
                     </c>
                     <c ca="center">
                        <p>235.0 &#177; 15.5</p>
                     </c>
                     <c ca="center">
                        <p>46.0 &#177; 21.2</p>
                     </c>
                     <c ca="center">
                        <p>73.5 &#177; 6.7</p>
                     </c>
                     <c ca="center">
                        <p>n.d.</p>
                     </c>
                  </r>
               </tblbdy>
               <tblfn>
                  <p>Total RNA were isolated from wild type mouse trachial epithelial cells and LPA receptors mRNA levels were determined by real-time RT-PCR with primers designed based on mouse LPA receptors mRNA sequence.</p>
               </tblfn>
            </tbl>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Discussion</p>
         </st>
         <p>In the present study, we present several novel findings regarding LPA receptors expression, and its role in infiltration of eosinophils and lung inflammation in <it>Schistosoma mansoni </it>eggs sensitized and challenged murine model of asthma. We provide direct evidence for increased LPA levels in BAL fluids from <it>Schistosoma mansoni </it>eggs sensitized and challenged mice compared to control mice and a direct link between LPA<sub>2</sub>expression and lung inflammation mediated by <it>Schistosoma mansoni </it>eggs sensitization and challenge. The pro-inflammatory role of LPA<sub>2 </sub>is also evident from reduced PGE2 levels in BAL fluids and COX-2 expression in lung tissues of LPA<sub>2</sub><sup>+/- </sup>mice sensitized and challenged with <it>Schistosoma mansoni </it>eggs compared to controls. We also demonstrate that airway epithelial cells isolated from LPA<sub>2</sub><sup>+/- </sup>mice, compared to cells from wild type mice, exhibited reduced COX-2 expression and PGE2 release in response to LPA. To the best of our knowledge, this is the first report demonstrating a functional link between LPA, LPA<sub>2 </sub>and lung inflammation in a murine model of asthma.</p>
         <p>Asthma is a Th2-type immune disease of the lung that is characterized by chronic inflammation, infiltration of inflammatory cells, reversible obstruction of airway hyperresponsiveness, mucus hypersecretion by goblet cells and remodeling of the bronchoalveolar structures. Th1 and Th2 cytokines play a key role in orchestrating inflammatory and structural changes of the airway in asthma by recruiting, activating and promoting inflammatory cells into the airway <abbrgrp><abbr bid="B38">38</abbr><abbr bid="B39">39</abbr><abbr bid="B40">40</abbr></abbrgrp>. In addition to cytokines, lipid mediators such as prostaglandins, leukotrienes, platelet-activating factor, and lysophospholipids regulate immune and inflammatory responses in asthma <abbrgrp><abbr bid="B41">41</abbr><abbr bid="B42">42</abbr><abbr bid="B43">43</abbr></abbrgrp>. Many of these lipid mediators exert their biological responses via GPCRs. Increasing sphingosine-1-phosphate (S1P) levels in circulation offers protection against lung injury in mice and S1P-receptor 1 (S1P<sub>1</sub>) heterozygous mice showed enhanced inflammation after LPS challenge suggesting an anti-inflammatory role of S1P<sub>1 </sub><abbrgrp><abbr bid="B44">44</abbr></abbrgrp>. The present study demonstrates the role of LPA and LPA<sub>2</sub>, a GPCR, in the pathogenesis of allergic airway inflammation in <it>Schistosoma mansoni </it>eggs sensitized and challenged murine model of asthma. LPA<sub>1</sub><sup>-/- </sup>mice generated from LPA<sub>1</sub><sup>+/- </sup>colonies, as compared to LPA<sub>2</sub><sup>-/- </sup>from LPA<sub>2</sub><sup>+/-</sup>, showed 50% neonatal lethality and impaired suckling, and therefore, we decided to use LPA<sub>1</sub><sup>+/- </sup>and LPA<sub>2</sub><sup>+/- </sup>mice to investigate role of LPA receptors in airway inflammation. Although LPA<sub>1</sub><sup>+/- </sup>and LPA<sub>2</sub><sup>+/- </sup>mice exhibited less neutrophils infiltration, compared to wild type mice, after LPA challenge (Fig. <figr fid="F2">2</figr>), influx of eosinophils was lower in LPA<sub>2</sub><sup>+/-</sup>, but not in LPA<sub>1</sub><sup>+/- </sup>mice after <it>Schistosoma mansoni </it>eggs sensitization and challenge (Fig. <figr fid="F3">3B</figr>). Both LPA<sub>1</sub><sup>+/- </sup>and LPA<sub>2</sub><sup>+/- </sup>mice showed reduced PAS positive cells in the bronchus compared to wild type after <it>Schistosoma mansoni </it>eggs sensitization and challenge (Fig. <figr fid="F4">4</figr>) suggesting the potential involvement of LPA<sub>1 </sub>and LPA<sub>2 </sub>in activation of goblet cells. These results indicate that activation of goblet cells are dependent on LPA<sub>1 </sub>and LPA<sub>2</sub>, however, only LPA<sub>2 </sub>is involved in chemotaxis of eosinophils into alveolar space after <it>Schistosoma mansoni </it>eggs sensitization and challenge. Our current results on infiltration of eosinophils in <it>Schistosoma mansoni </it>eggs sensitized and challenged murine model of asthma are in good agreement with increased numbers of eosiophils, a characteristic feature of human bronchial asthma, in biopsies of human lung tissues <abbrgrp><abbr bid="B40">40</abbr><abbr bid="B45">45</abbr></abbrgrp>. LPA is constitutively present in human BAL fluids and increased following allergic inflammation <abbrgrp><abbr bid="B28">28</abbr></abbrgrp> and in patients with pulmonary fibrosis <abbrgrp><abbr bid="B29">29</abbr></abbrgrp>. Intratracheal administration of LPA increased eosinophil influx in guinea pigs <abbrgrp><abbr bid="B22">22</abbr></abbrgrp> and treatment of human eosinophils with LPA induced calcium mobilization, actin reorganization, and chemotaxis through G&#945;i-dependent LPA receptors <abbrgrp><abbr bid="B46">46</abbr></abbrgrp>. In the present study, we found that LPA levels were increased by ~3 fold following <it>Schistosoma mansoni </it>eggs sensitization and challenge of wild type, which supports the notion of LPA as a chemotaxis factor of inflammatory cells in allergic inflammation.</p>
         <p>The source of LPA accumulation and mechanism(s) of LPA generation in the lung after allergic inflammation is unclear. Our previous studies have demonstrated that acyl glycerol kinase (AGK) converts monoacylglycerol to LPA in human bronchial epithelial cells <abbrgrp><abbr bid="B47">47</abbr></abbrgrp>. Further, phospholipase D (PLD) can also contribute to intracellular LPA generation by providing phosphatidic acid, a substrate for PA specific phospholipase A2 <abbrgrp><abbr bid="B48">48</abbr><abbr bid="B49">49</abbr></abbrgrp>. Interestingly, we observed that LPA levels in LPA<sub>2</sub><sup>+/- </sup>mice were significantly lower compared to wild type mice after <it>Schistosoma mansoni </it>eggs sensitization and challenge suggesting involvement of LPA<sub>2</sub> and potentially other LPA receptors in regulation of LPA generation in the airway. The relative contributions of AGK and/or PLD pathways in LPA generation in response to <it>Schistosoma mansoni </it>eggs sensitization and challenge are unknown Additionally, extracellular LPA can be generated by lysoPLD (autotaxin), which converts lysophosphatidylcholine (LPC) to LPA <abbrgrp><abbr bid="B50">50</abbr></abbrgrp>. Not only LPC levels were increased in BAL fluids of segmental allergen challenged patients <abbrgrp><abbr bid="B51">51</abbr></abbrgrp>, there was an increase in lysoPLD expression in LPS-stimulated monocytes <abbrgrp><abbr bid="B52">52</abbr></abbrgrp>, and stimulation of lysoPLD activity in asthmatic patients <abbrgrp><abbr bid="B53">53</abbr></abbrgrp>. Thus, increase in LPC levels and lysoPLD expression and activity may be involved in enhanced LPA generation during lung inflammation. Further studies are needed to establish the potential source(s) of LPA in BAL fluids and mechanism(s) of LPA generation during allergic lung inflammation.</p>
         <p>In contrast to LPA, there are only a few reports that describe the role of LPA receptors in lung inflammation, injury and remodeling. Deletion of LPA<sub>1 </sub>reduced fibroblast recruitment and vascular leak in the bleomycin model of pulmonary fibrosis <abbrgrp><abbr bid="B29">29</abbr></abbrgrp> while LPA/LPA<sub>2 </sub>signaling via &#945;v&#946;6 integrin-mediated activation of TGF-&#946; has been implicated in the development of bleomycin-induced lung fibrosis in mice <abbrgrp><abbr bid="B54">54</abbr></abbrgrp>. Down-regulation of LPA<sub>2 </sub>by siRNA attenuated LPA-induced phosphorylation of p38 MAPK/JNK, and IL-8 secretion in human bronchial epithelial cells <abbrgrp><abbr bid="B37">37</abbr></abbrgrp>. Interestingly, <it>Schistosoma mansoni </it>eggs sensitization and challenge induced COX-2 expression and PGE2 was significantly attenuated in LPA<sub>2</sub><sup>+/-</sup>, but not LPA<sub>1</sub><sup>+/-</sup>, mice suggesting a potential link between reduced LPA<sub>2 </sub>expression and COX2/PGE2 levels. In accordance with our <it>in vivo </it>results on <it>Schistosoma mansoni </it>eggs mediated COX-2 expression and PGE2 release in mouse lungs, tracheal epithelial cells from LPA<sub>2</sub><sup>+/- </sup>mice exhibited decreased COX-2 expression and PGE2 release in response to LPA as compared to cells from wild type mice. Further, our results with LPA<sub>2</sub><sup>+/- </sup>mice suggest a role for LPA<sub>2 </sub>in the influx of eosinophils and lung inflammation induced by <it>Schistosoma mansoni </it>eggs sensitization and challenge suggest a role for LPA signaling via LPA<sub>2 </sub>in pro-inflammatory responses.</p>
      </sec>
      <sec>
         <st>
            <p>Conclusion</p>
         </st>
         <p>The present study demonstrates increased LPA levels in BAL fluids in a murine model of asthma and LPA<sub>2 </sub>heterozygous knockout mice show reduced Th-2 dominant airway inflammatory responses. These results suggest that endogenous LPA and LPA<sub>2 </sub>play a critical role in pathogenesis of airway inflammatory diseases. Therapeutic targeting of LPA<sub>2 </sub>may be beneficial in reducing allergic inflammatory responses in airway diseases.</p>
      </sec>
      <sec>
         <st>
            <p>Competing interests</p>
         </st>
         <p>The authors declare that they have no competing interests.</p>
      </sec>
      <sec>
         <st>
            <p>Authors' contributions</p>
         </st>
         <p>The study was designed and the protocol developed by YZ, JT, AIS, and VN. DH and SP carried out the genotyping. BE carried out the LPA measurement. JC provided the LPA<sub>1 </sub>and LPA<sub>2 </sub>heterozygous mice. All the authors read and approved the final manuscript.</p>
      </sec>
   </bdy>
   <bm>
      <ack>
         <sec>
            <st>
               <p>Acknowledgements</p>
            </st>
            <p>The work was supported by National Institutes of Health grant HL091916 (to Y.Z.), HL71152 and HL79396 (to V.N.), MH51699 (to J.C.), and AI50180 (to A.I.S.)</p>
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