<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">ABC</journal-id><journal-title-group><journal-title>Advances in Biological Chemistry</journal-title></journal-title-group><issn pub-type="epub">2162-2183</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/abc.2014.43026</article-id><article-id pub-id-type="publisher-id">ABC-45111</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Chemistry&amp;Materials Science</subject></subj-group></article-categories><title-group><article-title>
 
 
  An Improved Assay for Measuring Low Levels of Nitric Oxide in Cultured Pulmonary Myofibroblasts
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>ethel</surname><given-names>V. Sharma</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Naomi</surname><given-names>S. Rowland</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Margaret</surname><given-names>M. Clouse</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Nancy</surname><given-names>A. Rice</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib></contrib-group><aff id="aff2"><addr-line>Department of Biology, Western Kentucky University, Bowling Green, KY, USA</addr-line></aff><aff id="aff1"><addr-line>Department of Chemistry, Sewanee: The University of the South, Sewanee, TN, USA</addr-line></aff><author-notes><corresp id="cor1">* E-mail:<email>nancy.rice@wku.edu(NAR)</email>;</corresp></author-notes><pub-date pub-type="epub"><day>22</day><month>04</month><year>2014</year></pub-date><volume>04</volume><issue>03</issue><fpage>214</fpage><lpage>221</lpage><history><date date-type="received"><day>28</day>	<month>February</month>	<year>2014</year></date><date date-type="rev-recd"><day>3</day>	<month>April</month>	<year>2014</year>	</date><date date-type="accepted"><day>11</day>	<month>April</month>	<year>2014</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  Quantification of nitric oxide (NO) from cultured cells is a valuable tool for studying cell signaling. Detection of NO in biological fluids can be difficult however, due to its transient half-life and low physiological concentrations. In this study, we have refined an existing amperometric method to determine relative levels of accumulated nitrogen oxides (NOX) in cell culture and have used this method to reproducibly quantify NO from cultured pulmonary myofibroblasts. Basal levels of NO produced by pulmonary myofibroblasts ranged from 0.6 nM to 20 nM and varied due to the growth conditions of the cells, i.e. higher NO concentrations were observed in differentiated cells. The constitutive eNOS isoform is primarily responsible for the observed NO accumulation in these cells since transcript levels of eNOS are 10-fold higher than the inducible iNOS form while nNOS was undetectable. Treatment of myofibroblasts with the inhibitors L-NNA and L-NAME resulted in a concentration dependent decrease in measured NOx. Overall, the improved assay presented here should be applicable to measuring NOX levels from many different cell types and under a wide variety of conditions.
 
</p></abstract><kwd-group><kwd>Myofibroblast</kwd><kwd> Pulmonary</kwd><kwd> Nitric Oxide</kwd><kwd> eNOS</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>The origin of myofibroblasts in the lung is not clear, although the favored model is that resident adventitial fibroblasts differentiate in response to multiple paracrine-mediated pathways and, as a result, undergo the phenotypic changes associated with myofibroblasts, i.e. increased extracellular matrix deposition and increased contractility (reviewed in [<xref ref-type="bibr" rid="scirp.45111-ref1">1</xref>] -[<xref ref-type="bibr" rid="scirp.45111-ref7">7</xref>] ). Various signaling pathways, including the nitric oxide (NO) pathway, have been implicated in the process of fibroblast differentiation into myofibroblasts. NO is free radical gas produced from the enzymatic conversion of L-arginine to L-citrulline by NO synthases (NOSs) (reviewed in [<xref ref-type="bibr" rid="scirp.45111-ref8">8</xref>] ). NO subsequently binds to the active site heme of guanylyl cyclase, resulting in cGMP formation and ultimately stimulating cGMP-dependent protein kinases [<xref ref-type="bibr" rid="scirp.45111-ref9">9</xref>] . Three different forms of NOS have been identified and named based upon tissue of origin: neural NOS (nNOS), inducible NOS (iNOS), and endothelial NOS (eNOS), although it is now known that many cells types express multiple isoforms [<xref ref-type="bibr" rid="scirp.45111-ref10">10</xref>] . Both nNOS and eNOS are constitutive, Ca<sup>2+</sup>- dependent enzymes, which produce NO in the pM range, while the activity of iNOS is induced in response to activated macrophages, is Ca<sup>2+</sup>-independent, and results in nM levels of NO [<xref ref-type="bibr" rid="scirp.45111-ref11">11</xref>] . While constitutively produced NO is most commonly associated with maintenance of vascular tone in the endothelium [<xref ref-type="bibr" rid="scirp.45111-ref12">12</xref>] , it is also implicated as a key modulator of myofibroblast cell growth and activity in numerous tissues including lung [<xref ref-type="bibr" rid="scirp.45111-ref2">2</xref>] [<xref ref-type="bibr" rid="scirp.45111-ref13">13</xref>] , liver [<xref ref-type="bibr" rid="scirp.45111-ref14">14</xref>] , kidney [<xref ref-type="bibr" rid="scirp.45111-ref15">15</xref>] , heart [<xref ref-type="bibr" rid="scirp.45111-ref16">16</xref>] [<xref ref-type="bibr" rid="scirp.45111-ref17">17</xref>] , and urogential [<xref ref-type="bibr" rid="scirp.45111-ref18">18</xref>] tissues.</p><p>The ability to measure physiologically relevant levels of NO is an important research tool, particularly given recent reports that constitutively produced NO concentrations in vivo are likely much lower than once presumed [<xref ref-type="bibr" rid="scirp.45111-ref19">19</xref>] . Current methods available for detecting biologically produced NO include spectrophotometric, fluorometric, electrochemical, chemiluminescent, and electromagnetic spin resonance techniques [<xref ref-type="bibr" rid="scirp.45111-ref20">20</xref>] . Of these analyses however, only fluorometric and electrochemical have both the sensitivity and flexibility to measure low levels of constitutively produced NO from cultured cells in situ. Particularly, the fluorescent indicator diaminofluorescein (DAF) has been used to quantify NO generated by cultured myofibroblasts [<xref ref-type="bibr" rid="scirp.45111-ref21">21</xref>] [<xref ref-type="bibr" rid="scirp.45111-ref22">22</xref>] . While this method is highly sensitive, it has had limited success due to the susceptibility of the calibration standard to photolysis. Other studies have reported an amperometric technique to measure NO using a specific constant voltage electrode, the inNO-T Nitric Oxide Measuring System, in a manner similar to the one presented here [<xref ref-type="bibr" rid="scirp.45111-ref23">23</xref>] [<xref ref-type="bibr" rid="scirp.45111-ref24">24</xref>] . This electrochemical method is both sensitive and affordable although it does have intrinsic limitations due to the conversion of nitrite to nitrate/nitric acid in aqueous solution which is undetectable by the electrode, ultimately resulting in signal loss. Both the fluorometric and amperometric approaches directly quantify NO from the cell culture media which is known to contain measurable amounts of nitrate [<xref ref-type="bibr" rid="scirp.45111-ref23">23</xref>] . Therefore, the goal of this study was to refine the electrode technique to both increase sensitivity and avoid loss of signal due to nitrate formation in aqueous medium in order to further investigate the role of NO signaling pathways in pulmonary myofibroblasts. Although this study was designed to quantify NO released from myofibroblasts, the simple and reproducible method of monitoring indirect NO presented here is broadly applicable to many other basal-level NO producing cells.</p></sec><sec id="s2"><title>2. Materials and Methods</title><sec id="s2_1"><title>2.1. Reagents</title><p>All buffers and chemicals were cell culture grade and purchased from Sigma Chemical Company (St. Louis, MO). The NOS inhibitors, N-omega-nitro-L-arginine methyl ester hydrochloride (L-NAME) and N-omega-nitroL-arginine (L-NNA) were purchased from EMD Millipore (Billerica, MA).</p></sec><sec id="s2_2"><title>2.2. Cell Line Preparation</title><p>In this study, pulmonary fibroblasts were isolated from 28 - 33 day old female Lewis rats as previously described [<xref ref-type="bibr" rid="scirp.45111-ref25">25</xref>] . Cells were cultured in DMEM (Gibco BRL, Carlsbad, CA) supplemented with 10% fetal bovine serum (FBS) (Hyclone, Logan, UT), 100 U penicillin, 100 mg/ml streptomycin, 2 mM L-glutamine, and 20 mM HEPES, pH 7.55 (Gibco BRL). For routine passaging and maintenance, cells were grown in serum-supplemented (10% v/v) media in T-75 cell culture flasks from Corning (Tewksbury, MA). It is well established that isolated<sup> </sup>fibroblasts cultured on a plastic substrate display a myofibroblast<sup> </sup>phenotype as determined by a-smooth muscle actin expression [<xref ref-type="bibr" rid="scirp.45111-ref3">3</xref>] [<xref ref-type="bibr" rid="scirp.45111-ref26">26</xref>] . Cultured myofibroblasts are known to differentiate under conditions of serum starvation (when growth factors are lacking in the cell culture media) as verified by skeletal muscle protein expression [<xref ref-type="bibr" rid="scirp.45111-ref27">27</xref>] .</p></sec><sec id="s2_3"><title>2.3. Culture Conditions</title><p>Myofibroblasts were seeded at a density of 1 &#215; 10<sup>5</sup> cells/well, in 6-well plates, and grown for approximately 48 h or until ~75% confluent. Subsequently, the growth media was changed to either fresh 10% FBS (v/v) or 0% (serum-free) DMEM plus either of the NOS inhibitors L-NAME or L-NNA at various concentrations; cells were incubated overnight prior to assay.</p><p>Approximately 16 h later, the growth media was aspirated from each well and replaced with phosphate buffered saline (PBS), pH 7.4, containing 100 mM CaCl<sub>2</sub>, 1 mM l-arginine, and 1 mM A23187, similar to the method of Leikert et al. [<xref ref-type="bibr" rid="scirp.45111-ref22">22</xref>] . The growth media was removed to avoid interference from serum nitrate as previously reported [<xref ref-type="bibr" rid="scirp.45111-ref23">23</xref>] . Cells were incubated for 3 h at room temperature. This time point was selected after several pilot experiments that determined 1 - 2 h was not long enough for sufficient NO<sub>X</sub> accumulation, yet by 4 h of incubation the myofibroblasts had begun to lift off the plate (data not shown). Subsequently, 900 mL from each sample was removed and combined with 100 mL of 1 M Tris buffer, pH 9.2, in a 24-well plate. Samples were incubated with a nitrate reductor (NR) wire for 15 min with stirring to reduce any accumulated nitrate back to nitrite. The NR wire is 3 cm long &#215; 3 mm wide and is made from a metal alloy that catalyzes the reduction of nitrate to nitrite, which is subsequently detected by the electrode (Harvard apparatus). The NR wires were stored in 0.01 M H<sub>2</sub>SO<sub>4</sub> when not in use, and were rinsed with deionized water prior to placing into the well with the sample solution.</p></sec><sec id="s2_4"><title>2.4. NO Detection Assay</title><p>The NO selective electrode (Innovative Instruments, Tampa, FL) was equilibrated in a 20 mL acid-iodide bath (20 mM potassium iodide, 100 mM sulfuric acid) with constant stirring at room temperature for 30 min prior to calibration. A standard curve in picoamps (pA) was subsequently generated by measuring various known concentrations of sodium nitrite added to the bath. The peak currents were monitored and used to record an amperogram using the inNO-T software v3.2 provided by Innovative Instruments. To measure extracellular NO<sub>X</sub>, 100 uL from each NR treated sample was added to the acid iodide bath in which the electrode was immersed. Individual peaks were resolved on the amperogram within 3 - 5 minutes. The signal was allowed to return to baseline before subsequent sample additions. Data points were collected by subtracting the initial baseline from the maximum peak height value for each sample. The NO<sub>X</sub> concentration for each sample was extrapolated from a standard calibration curve prepared prior to each experiment.</p></sec><sec id="s2_5"><title>2.5. Reverse Transcription PCR</title><p>Pulmonary myofibroblasts were grown in culture as described above in 2.1 in either media containing 10% FBS or 0% FBS. After 48 hours, cells were harvested in PBS and suspended in TRIzol reagent (Invitrogen). Total RNA was isolated according to the manufacturer’s protocol (TRIzol). One &#181;g total RNA was converted to cDNA by the High Capacity cDNA archive kit (Applied Biosystems). Exon-exon boundaries in mRNA sequences for NOS1 [Rn00583793mi], NOS2 [Rn00561646mi], or NOS3 [Rn 02132634si] were identified and submitted to Applied Biosystems, Inc. for Taqman gene expression assay design. Each primer set was chosen so that amplicons would cross exon boundaries to prevent contamination with genomic DNA. Derived experimental Ct values were converted to copy number using a standard curve and subsequently normalized to an endogenous control, β-glucuronidase (GUS) [Rn00566655mi].</p></sec></sec><sec id="s3"><title>3. Results</title><sec id="s3_1"><title>3.1. Nanomolar Concentrations of NO Are Produced by Pulmonary Myofibroblasts</title><p>It is known that pulmonary myofibroblasts in culture alter their biological function and genetic signature significantly in response serum concentration changes [<xref ref-type="bibr" rid="scirp.45111-ref27">27</xref>] . Therefore, for any assay to be physiologically applicable to myofibroblasts, NO must be quantifiable in media with different serum amounts. When known concentrations of nitrite, first converted to NO in an acid-iodide bath, were measured in culture media that contained either 10% or 0% FBS, using an NO-selective electrode coated with a gas permeable membrane (the amiNO-700 sensor), non-overlapping calibration curves resulted (<xref ref-type="fig" rid="fig1">Figure 1</xref>). Although the coefficient of determination (R<sup>2</sup>) for both samples was &gt;0.90, the resulting linear regressions produced vastly different calibration curves with equations</p><p>of y = 502.7x and y = 335.7x for the serum free media and media containing 10% FBS, respectively. To overcome this dilemma, we tested whether NO could be accurately measured in PBS alone. As shown in <xref ref-type="fig" rid="fig2">Figure 2</xref>(a) and <xref ref-type="fig" rid="fig2">Figure 2</xref>(b), NO is indeed readily detectable by the amiNO-700 sensor in PBS. Therefore, the ability to electrochemically quantify NO production in PBS versus media greatly increases the efficiency of the assay by eliminating the need for multiple media-dependent calibration steps, while also preventing any potential media-induced matrix effects.</p><p>The inNO-T Nitric Oxide Measuring System, in addition to the amiNO-700 sensor, contains proprietary nitrate reductor (NR) wires comprised of a reusable metallic catalyst that reduces any nitrate in the samples back to nitrite prior to analysis. Although NO released from the cells is readily detectable using the system, when the nitrate reduction step was added to the protocol, a two-fold amplification in NO was measured (<xref ref-type="fig" rid="fig2">Figure 2</xref>(c)). Thus, the simple wire-based reduction step also serves to improve the amperometric assay by increasing its sensitivity and ease; this is in contrast to intricate enzymatic reduction methods previously used with electrochemical probes [<xref ref-type="bibr" rid="scirp.45111-ref23">23</xref>] [<xref ref-type="bibr" rid="scirp.45111-ref24">24</xref>] .</p></sec><sec id="s3_2"><title>3.2. The Most Abundant NOS Isoform in Pulmonary Myofibroblasts Is eNOS</title><p>In order to properly use the bioassay in experimental design, it is essential to know which of the three NOS isoforms are expressed in pulmonary myofibroblasts, in particular, since the inducible NOS isozyme has significantly different pharmacokinetic properties and can produce ~1000 times the molar concentration of NO when compared to either constitutive form [<xref ref-type="bibr" rid="scirp.45111-ref19">19</xref>] . When the amount of each NOS mRNA was quantified from cultured pulmonary myofibroblasts, from both 10% FBS and serum free media, the most abundantly expressed isoform was eNOS, regardless of serum, followed by significantly lower levels (~10-fold) of iNOS mRNA; nNOS levels were undetectable (<xref ref-type="fig" rid="fig3">Figure 3</xref>). Transcriptional changes of these two NOS variants was reciprocal in that eNOS increased under normal growth conditions, whereas iNOS expression increased when cells were differentiated by the removal of serum. The serum-mediated differential expression implies there may be distinct roles for each isoform requiring different molar concentrations of NO.</p></sec><sec id="s3_3"><title>3.3. Serum Deprivation Increases Basal NO Production in Pulmonary Myofibroblasts</title><p>When the enhanced assay was used to quantify constitutively produced NO in pulmonary myofibroblasts under both normal growth conditions (10% serum) and after differentiation (0% serum), the assay proved to be reproducible and sensitive; differentiated cells produced ~30-fold more NO under basal conditions than those growing in serum (~20 nM vs ~0.60 nM) (<xref ref-type="fig" rid="fig4">Figure 4</xref>(b) and  <xref ref-type="fig" rid="fig4">Figure 4</xref>(c)). Moreover, treatment of the cells with the constitutive NOS selective inhibitors L-NNA and its methyl ester, L-NAME, dose-dependently reduced NO release from differentiated cells, while proliferating cells were not responsive to either inhibitor (<xref ref-type="fig" rid="fig4">Figure 4</xref>(b) and <xref ref-type="fig" rid="fig4">Figure 4</xref>(c)) [<xref ref-type="bibr" rid="scirp.45111-ref28">28</xref>] . The variance in the inhibitor response to serum may reflect changes in eNOS subcellular</p><p>location since in other cell types, cellular locale strongly affects eNOS’ ability to produce NO and respond to Ca<sup>2+</sup> [<xref ref-type="bibr" rid="scirp.45111-ref29">29</xref>] . The fact that NO production was not completely abolished in the presence of either inhibitor however, does suggest that iNOS, while expressed 10-fold less than eNOS, contributes somewhat to the overall formation of NO in pulmonary myofibroblasts.</p></sec></sec><sec id="s4"><title>4. Discussion</title><p>In this report we describe an enhanced assay that provides a straightforward method for measuring relative changes of NO produced by cultured pulmonary myofibroblasts. The method utilizes a commercially available measurement system with nitrate reduction capabilities and is also adaptable for measuring NO in many different cultured cell types. While the inNO-T Nitric Oxide Measuring System has been reported as a sensitive NO detection platform, previous studies included an enzymatic reduction step that is time-consuming and dependent</p><p>upon a cocktail of protein catalysts. In the current study, the very slight reduction in sensitivity (0.6 nM versus 0.2 nM reported by Boo, et al. [<xref ref-type="bibr" rid="scirp.45111-ref23">23</xref>] ) is offset by the simplification of the nitrate reduction step. Moreover, in this study we have also refined the technique by using PBS as the assay solvent thus reducing background noise from interfering species. Matrix effects are well known in cell-based assays and are of paramount concern when measuring very low levels of analyte from cells in culture; a recent study that compared NO quantification from an NO-releasing film using spectrophotometric, chemiluminescent, or amperometric detection methods found that NO measured in cell culture media or serum was always significantly lower than that measured in PBS [<xref ref-type="bibr" rid="scirp.45111-ref30">30</xref>] .</p><p>By using the assay, in conjunction with RT-PCR, we have shown for the first time that eNOS and to a lesser extent, iNOS, are the major isoforms expressed in pulmonary myofibroblasts. This expression pattern is consistent with other work in alveolar epithelial cells where the majority of NOS activity is attributable to eNOS [<xref ref-type="bibr" rid="scirp.45111-ref13">13</xref>] . Furthermore, we have also shown that NOS transcription and enzyme activity change as a consequence of cell differentiation. Although seemingly inconsistent at first, the observation that eNOS RNA declined in the absence of serum while its activity increased, suggests that under differentiating conditions eNOS may be more active due to its discrete subcellular location. It is well established that eNOS associates reversibly with a diverse family of proteins that regulate its trafficking in the cell and such intracellular targeting is a crucial step in regulating its activity ([<xref ref-type="bibr" rid="scirp.45111-ref31">31</xref>] and references therein). Moreover, the observed differentiation-dependent fluctuations in NO likely implicates this signaling pathway in regulating the proto-myofibroblast to myofibroblast transition since in other cell types NO is known to be an important inhibitor of epithelial-mesenchymal transitions [<xref ref-type="bibr" rid="scirp.45111-ref13">13</xref>] .</p><p>Overall, the data presented in this study confirms that the refined electrode-based NOx assay is robust, reproducible, and can be used to quantify subtle changes in NO produced from constitutive NOS in pulmonary myofibroblasts. The simplicity and efficiency of the assay will allow us to continue investigating NO signaling in pulmonary myofibroblasts in culture since eNOS in vitro rates of NO production mirror physiological concentrations [<xref ref-type="bibr" rid="scirp.45111-ref19">19</xref>] .</p></sec><sec id="s5"><title>Acknowledgements</title><p>The project was supported in part by NIH Grants 2P20RR-16481from the IDeA Networks of Biomedical Research Excellence (INBRE) Program of the National Center for Research Resources and R15HL087185 from the NHLBI to N.A.R.</p></sec><sec id="s6"><title>NOTES</title></sec></body><back><ref-list><title>References</title><ref id="scirp.45111-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">Gabbiani, G. (1992) The Biology of the Myofibroblast. 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