Heat shock protein 70 expression, keratin phosphorylation and Mallory body formation in hepatocytes from griseofulvin-intoxicated mice

Background Keratins are members of the intermediate filaments (IFs) proteins, which constitute one of the three major cytoskeletal protein families. In hepatocytes, keratin 8 and 18 (K8/18) are believed to play a protective role against mechanical and toxic stress. Post-translational modifications such as phosphorylation and glycosylation are thought to modulate K8/18 functions. Treatment of mouse with a diet containing griseofulvin (GF) induces, in hepatocytes, modifications in organization, expression and phosphorylation of K8/18 IFs and leads, on the long term, to the formation of K8/18 containing aggregates morphologically and biochemically identical to Mallory bodies present in a number of human liver diseases. The aim of the present study was to investigate the relationship between the level and localization of the stress inducible heat shock protein 70 kDa (HSP70i) and the level and localization of K8/18 phosphorylation in the liver of GF-intoxicated mice. The role of these processes in Mallory body formation was studied, too. The experiment was carried out parallely on two different mouse strains, C3H and FVB/n. Results GF-treatment induced an increase in HSP70i expression and K8 phosphorylation on serines 79 (K8 S79), 436 (K8 S436), and K18 phosphorylation on serine 33 (K18 S33) as determined by Western blotting. Using immunofluorescence staining, we showed that after treatment, HSP70i was present in all hepatocytes. However, phosphorylated K8 S79 (K8 pS79) and K8 S436 (K8 pS436) were observed only in groups of hepatocytes or in isolated hepatocytes. K18 pS33 was increased in all hepatocytes. HSP70i colocalized with MBs containing phosphorylated K8/18. Phophorylation of K8 S79 was observed in C3H mice MBs but was not present in FVB/n MBs. Conclusions Our results indicate that GF intoxication represents a stress condition affecting all hepatocytes, whereas induction of K8/18 phosphorylation is not occurring in every hepatocyte. We conclude that, in vivo, there is no direct relationship between GF-induced stress and K8/18 phosphorylation on the studied sites. The K8/18 phosphorylation pattern indicates that different cell signaling pathways are activated in subpopulations of hepatocytes. Moreover, our results demonstrate that, in distinct genetic backgrounds, the induction of K8/18 phosphorylation can be different.


Background
Intermediate filaments (IFs) with microtubules and actin microfilaments are the major cytoskeletal components of most vertebrate cells [1][2][3][4]. IF proteins constitute a large family of proteins that is divided into five types [1,2]. The expression of the different IF proteins is differentiation and tissue specific [1,5]. Keratins expressed in epithelial cells, represent the largest and most complex subtype of IF proteins (more than 20 proteins) [2]. They are classified into two groups, the type I (acidic K9 to K20) and the type II (neutral-basic, K1 to K8), which form obligate heteropolymers composed of equimolar amounts of type I and type II keratins [2,6].
It is now generally accepted that, in multilayered epithelia, one of the function for keratins IFs is to protect the tissue from mechanical stress [7][8][9]. The first evidences for this function came from studies on epidermis, which showed that transgenic mice lacking epidermal keratins, or expressing mutated keratins, displayed blistering skin disease phenotypes, similar to human skin diseases such as epidermolysis bullosa simplex or epidermolytic hyperkeratosis [7,10,11].
As for epidermal keratins, the production of transgenic mice targeting K8 or K18 has been necessary to unravel the role of IFs in simple epithelium such as in the liver. In hepatocytes, K8/18 is the only keratin pair and thus both keratins are necessary to form an IF network. Transgenic mice expressing K8 or K18 carrying mutations that affect filament formation, develop mild hepatitis and display greater liver sensitivity to mechanical and toxic stress than wild type animals [12,13].
Recent studies from Ku et al. [14][15][16] have shown that mutations on K8/18 predispose to the development of liver disease in humans. Moreover, modifications in IF organization and the formation of keratin containing aggregates, named Mallory bodies (MBs), are observed in different liver diseases such as alcoholic hepatitis, Wilson's disease, Indian childhood cirrhosis and liver steatosis in obesity [17][18][19][20][21]. Other proteins, such as ubiquitin and the heat shock protein 70 kDa (HSP70), are also present in MBs and could play a role in their formation [22][23][24]. Taken together, these results support the hypothesis that keratins are necessary to preserve the hepatocytes integrity upon stressful conditions. It is still unclear how keratins accomplish these protective roles. Previous studies have shown that modifications in keratin phosphorylation are associated with various conditions such as mitosis, apoptosis and stress, suggesting a role for this post-translational modification in the modulation of keratin-related functions [25][26][27].
Long-term treatment of mice with a diet containing griseofulvin (GF) induces the development of an hepatitis associated with the formation of MBs, which are biochemically and morphologically similar to those found in humans [19,28]. This animal model constitutes a useful tool to investigate the keratin dynamics in the response of hepatocytes to the presence of a hepatotoxic agent.
In the present study, we investigated the effect of chronic GF intoxication on hepatocytes from C3H and FVB/n mouse strains. We monitored the expression of the stress inducible form of the heat shock protein 70 kDa (HSP70i) and the induction of K8/18 phosphorylation at specific sites: K8 on serine 79 (K8 S79), K8 on serine 436 (K8 S436), K18 on serine 52 (K18 S52) and K18 on serine 33 (K18 S33) (reviewed in [26,29]). We also examined the possible relationship between HSP70i expression and K8/ 18 phosphorylation, during the development of hepatitis and in MB formation.

Induction of HSP70i and K8/18 phosphorylation upon GFtreatment in C3H and FVB/n mouse livers
The modifications in the amount of HSP70i, K8/18, and phosphorylated keratins (K8 pS79, K8 pS436 and K18 pS33) were analyzed by Western Blotting of total proteins from control and GF-treated C3H and FVB/n mouse livers (2 weeks, 6 weeks and 5 months). GF intoxication induced an increase in keratin levels in livers from both mouse strains (Fig. 1A,1B). HSP70i, which was present in control livers of both mouse strains, was also increased by the treatment (Fig. 1A).

Localization of HSP70i and K8/18 during GF intoxication
We analyzed at the cellular level, by double immunofluorescence staining, the distribution of HSP70i and IFs on liver sections of control and GF-treated C3H and FVB/n mouse livers.
In control hepatocytes, IFs formed a complex cytoplasmic network that was denser at the cell membrane and particularly around the bile canaliculi ( Fig. 2A). Our biochemical analysis showed that HSP70i was present in control hepatocytes. However, by immunofluorescence, we did not detect the presence of HSP70i in the cells (Fig. 2B). After 2 weeks of treatment, most of the hepatocytes were enlarged and the bile canaliculi were dilated. IF network was denser around dilated bile canaliculi (Fig. 2C). All hepatocytes contained a very dense cytoplasmic IF network. These modifications were accompanied by an increase in the amount of HSP70i in hepatocytes and a granular staining was detectable at the membrane and in the nuclei (Fig. 2D). A few cells showed a high level of HSP70i. After 5 months of treatment, there was a mosaic pattern of cells with and without IF staining (Fig. 2E). HSP70i showed a granular staining pattern in many hepatocytes and was also present in MBs (Fig. 2F).

Phosphorylation of K8 S79, K8 S436 and K18 S33 during GF intoxication
Cryosections of control and GF-treated C3H and FVB/n mouse livers were fixed with 4% paraformaldehyde and processed for double immunofluorescence staining. As mentioned above, control mice showed hepatocytes with a cytoplasmic IF network, which was denser at the cell periphery ( Fig. 3,4,5A). K8 pS79 and K8 pS436 were not generally detected in the IF network of control hepatocytes. Only, occasionally some doublet cells, most likely representing cells in mitosis, were stained (data not shown). A basal level of phosphorylation for K18 S33 was detected at the periphery of all hepatocytes (Fig. 5B).
After 2 weeks of GF-treatment, hepatocytes were enlarged and an increase in cytoplasmic IF network was observed (Fig. 3,4,5C). This treatment induced the phosphorylation of K8 on S79 and S436 in some hepatocytes. K8 pS79 and K8 pS436 were present in clusters of cells scattered over the whole liver (Fig. 3,4,7D). The groups of cells stained with the anti-K8 pS79 or anti-K8 pS436 usually surrounded damaged cells (Fig. 3,7D). In the case of K8 pS79, IFs located in the cytoplasm and at the periphery of the cells were highly stained (Fig. 3D,3E). For K8 pS436, Biochemical analysis of livers from C3H and FVB/n mice Figure 1 Biochemical analysis of livers from C3H and FVB/n mice. Western blots from C3H mouse livers; A, K8 and HSP70i; C, K8 pS79; E, K18 pS33; G, K8 pS436. Western blots from FVB/n mouse livers; B, K8; D, K8 pS79; F, K18 pS33.
the staining was stronger at the cell periphery and around the dilated bile canaliculi (Fig. 4D). In addition to their presence in clusters of cells, K8 pS79 and K8 pS436 displayed an intense cytoplasmic staining in some isolated cells or cell doublets (Fig. 3E). Since both epitopes showed similarities in their patterns of distribution, we asked whether they were present in the same hepatocytes. Immunostaining for the detection of K8 pS79 and K8 pS436 were performed on serial liver sections of GFtreated mouse liver. Our results showed that the groups of hepatocytes positives for K8 pS79 were also positive for K8 pS436 (Fig. 6).
In the case of K18 S33, its phosphorylation was increased in most (if not all) hepatocytes. Most of the staining was Distribution of keratin IFs and HSP70i in hepatocytes from control and GF-fed C3H mice observed at the periphery of the cells, delimitating clearly the bile canaliculi. A few hepatocytes showed high levels of cytoplasmic K18 pS33 (Fig. 5D).
After 6 weeks of GF-treatment, the distribution of hepatocytes containing K8 pS79 and K8 pS436 was different from the one observed after 2 weeks of treatment. Clusters of labeled cells were smaller, whereas labeled isolated cells became more prominent (Fig. 3G,4F). Singlet and doublet cell(s) highly labeled with K8 pS79 and K8 pS436 were also present (Fig. 3H). K18 pS33 was present in most hepatocytes and showed a similar pattern as the one observed after staining with Troma1 (Fig. 5F).
After 5 months of GF-treatment, MBs were present in some hepatocytes in both mouse strains (Fig. 3I,4G,5G). MBs had variable size and different positions depending on the cell and were observed in cells with or without a visible intracytoplasmic IF network, as detected with Troma 1. In both mouse strains, K8 pS436 and K18 pS33 were present in MBs (Fig. 4,5H), whereas K8 pS79 seemed to be absent (Fig. 3J). Experiments described above were also performed using cold acetone instead of 4% Distribution of keratin IFs and K8 pS79 in hepatocytes from control and GF-fed C3H mice paraformaldehyde. After acetone fixation, no difference in the staining pattern was observed for GF-treatment of 2 and 6 weeks in both mouse strains (Fig. 7). However, differences were observed for MB staining in the 5 months GF-treated mouse liver. In C3H mouse strain livers, K8 pS79 was present in many MBs although some of them showed no staining (Fig. 7H). In FVB/n mouse strain livers, K8 pS79 was not present in most MBs (Fig. 8). No difference in staining of MBs was observed for K8 pS436 and K18 pS33.

Localization of phosphorylated K8 species and HSP70i during GF intoxication
Double immunostaining with anti-HSP70i and antiphosphorylated keratins (K8 pS79 or K8 pS436) was per-formed for studying the localization of HSP70i in relation to keratin phosphorylation. The results showed that HSP70i and phosphorylated K8 species colocalized in some cells (Fig. 9). However, in most of the cells, the colocalization was not observed.

Discussion
The functional significance of K8/18 in simple epithelium has been the subject of numerous studies over the last decade [29][30][31][32][33][34][35]. Although most of these reports lead towards roles for K8/18 in the resistance of cells to mechanical and toxic stress, the molecular mechanisms underlying these phenomena remain to be elucidated. To date, most of our understanding of the pathways involving keratins in the response of hepatocytes to toxic stress comes from the Colocalization of K8 pS79 and K8 pS436 in hepatocytes from GF-fed C3H dmice analyses of various cell lines [36][37][38]. K8/18 phosphorylation at specific sites has been proposed to be a key factor in the regulation of those keratin functions. In this regard, K8 pS79, K8 pS436, K18 pS52 and K18 pS33 are the most studied phosphorylation sites [39].
In vivo, K8/18 are also subjected to phosphorylation and, as suggested by in vitro studies, it is proposed to help hepatocytes to cope with toxic stress [26,29,35]. For instance, transgenic mice expressing human K18 S52 mutated in alanine mutant are more susceptible to drug-induced liver injury than transgenic mice over expressing wild type human K18 [40].
In the present study, we showed that the chronic intoxication of mice with GF, which is known to induce modifications in keratin organization and formation of MBs [33], was associated with increased expression of the stress protein HSP70i. GF-treatment resulted in a rapid increase in the expression of HSP70i. This modification was already perceptible after 2 weeks of treatment and was maintained for the whole period of treatment. This result provides direct evidence that GF-treatment, which has been proposed to constitute an oxidative stress for hepatocytes [41], triggers signaling pathways involved in cellular protection [33]. This interpretation of our biochemical data is in agreement with our immunofluorescence study, which showed that HSP70i partly relocalized to the nucleus during the treatment. This distribution pattern is typical of the distribution of HSP70i in stressed cells [42,43].
We have previously shown that GF intoxication induced an overall increase in K8/18 phosphorylation [44,45]. Here, we show that GF-treatment is associated with modifications in K8/K18 phosphorylation at specific sites such as: K8 S79, K8 S436 and K18 S33. Among the studied phosphorylation sites, and because it was present and was increased in all treated hepatocytes, K18 pS33 was the Distribution of keratin IFs and K8 pS79 in hepatocytes from GF-fed FVB/n mice keratin phosphoepitope the tissue distribution of which resembled that of HSP70i. The phosphorylation of K18 S33 has been shown to play a role in keratin reorganization during mitosis and by linking 14-3-3 proteins, to modulate their function [46,47]. Hence, we propose that K18 S33 phosphorylation could be linked to IF reorganization during GF intoxication. Moreover, because K18 pS33 is increased in all hepatocytes, it could be implicated in the stress response by participating in the relocalization and/or the recruitment of molecules or factors implicated in stress-induced cell signaling.
In contrast to K18 pS33, phosphorylated K8 species, K8 pS79 and K8 pS436 were not present in control mice hepatocytes. After 2 and 6 weeks of treatment, we observed an increase in the level of phosphorylation on these sites. However, contrary to HSP70i and K18 pS33, these phosphorylation sites were only present in isolated cells (singlet or doublets) or clusters of cells. Labeled singlet or doublet cells were more numerous after staining with the anti-K8 pS79 than after staining with the anti-K8 pS436. These cells could correspond to cells that are undergoing mitosis. This is supported by previous studies which showed that the phosphorylation of K8 on S79 and S436 occurs during mitosis [25,48]. This interpretation is also in agreement with the work of Stumptner et al. [49], which showed the presence of cell doublets reactive with the anti-K8 pS79 after a short treatment with DDC that induces on the long term MB formation. The discrepancy in the number of cells stained for K8 pS79 and K8 pS436, Distribution of phosphorylated keratin IFs and HSP70i in hepatocytes from GF-fed C3H mice The presence of K8 pS79 and K8 pS436 was also detected in islets of cells. Interestingly, both antigens were present in the same clusters of cells surrounding unstained cells that were most likely undergoing apoptosis. These unstained cells are evocative of detached cells during anoikis, an apoptotic process that can be induced by loss of cell-cell anchorage. Stress and apoptosis has been shown to modulate K8 S79 and K8 S436 phosphorylation [25,48]. The observed phosphorylation could indicate that these hepatocytes are stressed hepatocytes intended to apoptosis. However, analysis of the livers for the presence of apoptosis showed that only a few hepatocytes are going through programmed cell death and groups of cells in apoptosis were never observed (data not shown). We propose that the apoptotic cell could represent the starting point of a signal transduction pathway to neighboring cells. The activation of specific kinases that would phosphorylate keratins could provide those cells a resistance to apoptosis. This latter interpretation is in agreement with the notion that K8/18 intermediate filaments play a key role in the protection of cells against apoptosis [26,35].
Liao et al. [50] have shown that HSP70 associates with K8/ 18 via K8. Our study show that colocalization of HSP70i and IFs occurs only in a few hepatocytes. Since the hepatocytes, in which colocalization was observed, contained K8 pS79 or K8 pS436, HSP70i binding to IFs in these cells may be related to the presence of keratin phosphorylation and participates to cellular pathways involving phosphorylated K8/18 on specific sites. Ku et al. [51] have shown that phosphorylation could modulate K8/18 ubiquitination and ensuing turnover. Knowing that binding of HSP70 to a protein can affect its targeting by kinases or phosphatases [52], HSP70i could bind to phosphorylated K8 species, prevent dephosphorylation by specific phosphatases, and thereby enhance phosphorylation-mediated K8/18 protection from degradation by the ubiquitin pathway [51,53]. However, since HSP70i and phosphorylated K8 species colocalized only in a few cells over the whole tissue, the relevance of this phenomenon in the response to the presence of the hepatotoxin needs to be addressed and further investigations will be necessary to confirm that hypothesis.
Chronic intoxication of mice with GF induces the formation of MBs. Numerous studies have demonstrated the presence of different phosphorylated K8/18 species within MBs, suggesting that K8/18 phosphorylation could participate in the MB formation processes [49,54]. In our experiments, we showed that K8 pS436 and K18 pS33 were present in all observed MBs, whereas K8 pS79 was present in MBs in C3H mice hepatocytes but not in FVB/ n mice. The difference in the presence of K8 pS79 phosphoepitope within MBs suggests that phosphorylation at that specific site is not essential for MB formation. However, as suggested by Stumptner et al. [49], because K8 pS436 and K18 pS33 are always detected in MBs, phosphorylation on these sites could be implicated in the processes of MB formation. Taken together, those results indicate that in the context of MB formation, K8/18 phosphorylation should not be considered as a general phenomenon but as specific events that affect precise sites on K8 or K18. The difference observed between keratin phosphorylation in C3H and FVB/n mice indicates that the genetic background influences the response of hepatocytes to toxic stress. This interpretation is in agreement with the results obtained with K8-null mice which displayed variable phenotypes depending on the genetic background [30,31].
The treatment with GF that represents a toxic stress, most likely, involves the activation of stress activated protein kinases (SAPKs) in some hepatocytes. SAPKs p38 and JNK are physiologic kinases for K8 S79 and K8 S436 [37,55]. We postulate that p38 kinase and/or JNK are activated by GF-treatment in some hepatocytes and are responsible for the modifications in K8 phosphorylation we observed. K8 and K18 give different patterns of phosphorylated cells indicating that, under the same conditions, K8 and K18 phosphorylation is regulated differently.

Conclusions
Our results show that increases in HSP70i, K8/18 expression and K8/18 phosphorylation constitute early events in the response of hepatocytes to the presence of GF. These observations support a role for keratins in preserving cellular integrity during stress conditions induced by the presence of a chemical agent [33,35]. HSP70i expression in hepatocytes after GF-treatment is not directly related to K8/18 phosphorylation at the studied sites: K8 S79, K8 S436 and K18 S33. With regard to MB formation, it appears that both HSP70i and K8/18 phosphorylation might contribute to the IF aggregation processes. The involvement of K8/18 phosphorylation in MB formation seems to be related only to specific sites and dependent on mouse genetic inheritance.

Experimental design
Experiments were performed with adult C3H mice (Charles River Canada, St-Constant, QC) and FVB/n mice (Baribault et al. 1994) weighing 25 to 30 g. Two mouse strains were used to minimize the potential effect of different genetic background on the response of hepatocytes and to facilitate the interpretation of the data. All animals were housed with a 12-hour light-dark cycle and allowed the consumption of water and of a standard mouse semisynthetic diet (Texlad Test Diet, Madison, WI), both ad libitum. GF-treated mice were fed a diet containing 2.5% (w/w) GF (Schering Corp., Kenilworth, NJ) for different periods of time: 2 weeks, 6 weeks and 5 months according to the method of Denk et al. [28]. Control mice were fed the same diet without GF. For control and each period of GF-treatment, experimental groups included 3 animals. Mice were sacrificed by cervical dislocation and livers were snap frozen in methylbutane precooled with liquid nitrogen and stored at -70°C before use. All experiments were conducted according to the requirements of Canadian Council Animal Care and the "Université du Québec à Trois-Rivières" Animal Welfare Committee. For microscopical studies, paraformaldehyde and cold acetone were routinely used, as fixatives, to ensure that the staining patterns were not a consequence of the fixative used.

Fluorescence microscopy
Cryosections (4 µm) of fresh liver were fixed with 4% (w/ v) paraformaldehyde in PBS pH 7.2 for 20 min, at room temperature, and rinsed in PBS or TBS (Tris Buffer Saline, 10 mM Tris-HCl, 0.138 M NaCl, 2.7 mM KCl, pH 7.4) upon staining protocols. Since fixation can affect antibody-binding capacity, cryosections were also fixed with cold acetone (-20°C) for 10 min. For the detection of K8, sections were incubated with rAb Troma 1 at room temperature, washed in PBS and incubated with a FITC or a TRITC conjugated goat anti-rat IgG (Jackson Immunoresearch, Bio/Can Scientific, Mississauga, ON) for 45 min, at room temperature. For immunostaining of K18 pS33, sections were incubated for 1 hour, at room temperature with anti-K18 pS33 (8250) diluted in PBS containing 10% (w/v) BSA, washed in PBS and incubated for 45 min with a FITC conjugated donkey anti-rabbit IgG in PBS containing 10% BSA (Jackson Immunoresearch, Bio/Can Scientific, Mississauga, ON). Immunostaining with anti-K8 pS79 (LJ4) and anti-K8 pS436 (5B3) mAbs, was done using the M.O.M. (mouse on mouse) detection kit (Vector ® Laboratories Canada, Burlington, ON) and an Avidin/ Biotin blocking kit (Vector ® Laboratories Canada, Burlington, ON) according to recommendations of the company. Normal horse serum (Vector ® Laboratories Canada, Burlington, ON) was added to solution during incubation step with secondary antibody. For heat shock proteins staining, liver sections were incubated with anti-HSP 70i diluted in TBS containing 10% BSA for 45 min at 37°C, washed in TBS and incubated for 45 min at 37°C with a FITC conjugated donkey anti-rabbit IgG (Jackson Immunoresearch, Bio/Can Scientific, Mississauga, ON) diluted in TBS containing 10% BSA. For detection of HSP70i, K8 pS79 and K8 pS436, the sections were treated with 1% (v/ v) Nonidet P-40 (Sigma-Aldrich Canada, Oakville, ON) following fixing step with 4% paraformaldehyde.
The tissues were mounted in P-phenylene diamine diluted in 50% (v/v) glycerol. The slides were kept at -20°C and photomicrographs were collected using an Olympus ® BX60 photomicroscope.