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Molecular and Cellular Biology, January 2003, p. 178-185, Vol. 23, No. 1
0270-7306/03/$08.00+0 DOI: 10.1128/MCB.23.1.178-185.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Department of Molecular and Cellular Biology, Baylor College of Medicine, Houston, Texas 77030
Received 20 May 2002/ Returned for modification 11 July 2002/ Accepted 19 September 2002
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In particular, a long-standing controversy exists as to the role of lactoferrin in intestinal iron homeostasis. Iron is an essential element required for many metabolic functions, yet it can be toxic in excess, promoting free radical formation. Clearly, tight regulation of iron homeostasis is essential for protecting against free radical-induced cellular damage while maintaining proper cellular function. In higher organisms, iron homeostasis is regulated at the level of absorption from the diet in the proximal small intestine in response to body iron status (50). Recently, many of the genes involved in intestinal iron uptake were identified, and loss-of-function mutations of these genes in rodents have greatly enhanced the understanding of iron homeostasis at the molecular level (3). In particular, a divalent metal iron transporter (DMT-1) has been identified as a major protein involved in intestinal nonheme iron uptake at the apical surface, and loss-of-function mutations in DMT-1 have been found to result in severe iron-deficiency anemia, due in part to a primary defect in intestinal iron uptake (3, 10, 18, 19, 22). Intestinal iron homeostasis is also regulated by the product of the hemachromatosis gene, HFE, a novel major histocompatibility complex class 1-like protein that is mutated in the majority of patients with hereditary hemachromatosis (17). Mice with a targeted mutation in the HFE gene exhibit classic symptoms of hemachromatosis, including excessive intestinal iron uptake resulting in increases in serum iron levels, transferrin saturation, and liver iron stores (52). The molecular control of iron homeostasis by HFE is incompletely understood, but it has been proposed that the association of HFE and the transferrin receptor on the basolateral surface of duodenal crypt cells leads to sensing of body iron requirements, resulting in a feedback alteration in the iron absorption capacity of mature enterocytes (21, 38).
The strong iron-binding properties of lactoferrin, together with the high iron bioavailability and abundant concentration of lactoferrin in breast milk, have prompted speculation that this protein may also be involved in the delivery of iron to the neonate (23, 27). Further, it has been observed that lactoferrin is relatively resistant to proteolysis in the gastrointestinal tract (16) and that lactoferrin, but not transferrin, can deliver bound iron to human intestinal epithelial cells (14). In addition, a specific receptor for lactoferrin has been identified on the apical surface of enterocytes from many species (23), and the cloning of a human enterocyte receptor was recently reported (42). In vitro experiments demonstrating the increased uptake of iron-saturated lactoferrin in Caco-2 cells transfected with this receptor further support the view that lactoferrin is involved in intestinal iron uptake (42). However, it has also been proposed that the iron-binding properties and stability of lactoferrin are responsible for iron sequestration rather than delivery in the gastrointestinal tract, thus preventing excessive iron uptake (9). Considerable debate has persisted because of a lack of a relevant model for adequately assessing the essential physiological role of this protein in intestinal iron homeostasis.
To directly assess the functions of lactoferrin in vivo, we have generated a mouse model of lactoferrin deficiency by using gene targeting techniques. In the study described here, we show that lactoferrin is not required for intestinal iron uptake and that the iron status in the absence of lactoferrin is relatively normal, results which are inconsistent with a major role of this protein in iron homeostasis.
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Germ line-transmitting male chimeric mice were mated with either 129/SvEv or C57BL/6 females to obtain heterozygote offspring in an inbred 129/SvEv or mixed 129/SvEv x C57BL/6 genetic background, respectively. Heterozygotes were intercrossed to obtain LFKO-/- and wild-type (WT) control mice in an inbred 129/SvEv or mixed 129/SvEv x C57BL/6 genetic background. For postnatal iron studies, WT intercrosses and LFKO-/- intercrosses were set up by using mice obtained from heterozygote mating pairs, and the resulting pups were analyzed at postnatal day 18.
Routine genotype analysis of offspring was carried out by PCR analysis of genomic tail DNA. The forward and reverse primers were as follows: WT4 (5'-GGCTCCTCGGGGGAAGAGGC-3'), HT4 (5'-GGCCACCTGCATCCCTTGAG-3'), and NEO (5'-GCATGCTCCAGACTGCCTTGGGAAA-3'). The PCR conditions used were 1 cycle of 95°C for 2 min; 35 cycles of 95°C for 45 s, 65°C for 45 s, and 72°C for 1 min; and 1 cycle of 72°C for 5 min. The PCR products were resolved on 1.5% agarose gels. HT4-WT4 amplifies a 515-bp fragment (24-bp exon 4, 370-bp intron D, and 121 bp of exon 5) corresponding to the WT allele, whereas HT4-NEO amplifies a 575-bp fragment (24-bp exon 4, 370-bp intron D, 101 bp of exon 5, and 80 bp of the Neor gene) corresponding to the targeted allele.
Animals.
All animal research complied with National Institutes of Health and Baylor College of Medicine guidelines for experimental animals. Mice were maintained in microisolator cages in either a conventional or a barrier facility with a 12-h light-dark cycle and were fed a basal rodent chow (
0.025% iron) ad libitum (LabDiet; PMI, Richmond, Ind.). Unless otherwise indicated, all experiments were performed with mice from the mixed genetic background (129/SvEv x C57BL/6)
Milk collection and Western immunoblot analysis. Pups were removed from day 10 lactating females for 3 h prior to milk collection. Mice were anesthetized and injected intramuscularly with oxytocin (1 U) to stimulate milk release. Milk was collected under gentle vacuum by using tubing fitted over the nipple. Total milk protein (5 to 30 µg) was resolved by sodium dodecyl sulfate-7.5% polyacrylamide gel electrophoresis and transferred to enhanced chemiluminescence Hybond membranes (Amersham Biosciences, Piscataway, N.J.). The membranes were blocked in Tris-buffered saline-0.5% Tween 20 (TBST) containing 10% nonfat dry milk. The membranes were rinsed in TBST and incubated in TBST-1% nonfat dry milk containing rabbit anti-mouse lactoferrin antisera (1:25,000) (kindly provided by Christina Teng, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, N.C.) or rabbit anti-mouse transferrin antisera (1:10,000) (Inter-Cell, Hopewell, N.J.) for 1 h at room temperature. The filters were washed in TBST and incubated for 1 h at room temperature in TBST-1% nonfat dry milk containing horseradish peroxidase-labeled donkey anti-rabbit immunoglobulin G secondary antibody (1:25,000) (Amersham Biosciences). The filters were washed in TBST, and the signal was detected by using the enhanced chemiluminescence detection method. Quantitation of relative levels of milk lactoferrin and transferrin was performed by comparison to the levels of purified recombinant murine lactoferrin (46) or mouse transferrin (Sigma, St. Louis, Mo.) standards by using densitometric scanning and ImageQuant software (version 5.2; Amersham Biosciences).
Iron diet studies. Adult mice (8 to 10 weeks old) were placed on a basal iron (TD 91014) or a high-iron (TD 91013) diet for 2 weeks. Diets were formulated by Harlan Tekland (Madison, Wis.). Basal iron diets consisted of Purina 5001 containing 0.02% (wt/wt) iron and 0.01% (wt/wt) butylated hydroxytoluene. High-iron diets consisted of Purina 5001 supplemented with 2% (wt/wt) carbonyl iron and 0.01% (wt/wt) butylated hydroxytoluene.
Hematological measurements. Heparinized blood was obtained by retro-orbital phlebotomy under anesthesia. Red blood cell count, hemoglobin, hematocrit, and mean corpuscular volume were determined by using an automated H1 Technicon system.
Serum iron measurements. Blood was obtained by retro-orbital phlebotomy under anesthesia. Serum was stored at -20°C until use. The serum iron level and the unsaturated iron-binding capacity (UIBC) were determined colorimetrically by using a kit from Sigma (no. 565) with slight modifications for use in a microtiter plate assay (40 µl of serum per assay). The total iron-binding capacity (TIBC) was calculated by adding the serum iron level and the UIBC. Transferrin saturation was calculated as (serum iron level/TIBC) x 100.
Tissue nonheme iron measurements. Liver and spleen samples were dried and digested in concentrated nitric acid. Tissue nonheme iron concentrations (micrograms of iron per gram [dry weight] of tissue) were determined spectrophotometrically by using a Beckman Synchron LX 20 system (Department of Laboratory Medicine, University of Washington, Seattle).
In situ hybridization. Uterine or duodenal tissues were fixed in Bouin fixative and processed for paraffin sectioning (6 µm). Sections were dehydrated through a graded series of ethanol, placed in proteinase K solution (20 mg/ml) for 7 min at 37°C, rinsed in phosphate-buffered saline (PBS), and postfixed in 4% paraformaldehyde for 5 min. Sections were rinsed briefly in diethyl pyrocarbonate-treated H2O and incubated in 0.25% acetic anhydride-0.1 M triethanolamine. Sections were dehydrated and hybridized overnight at 55°C with a 35S-labeled antisense murine lactoferrin cDNA probe (nucleotides 2008 to 2223) (37). Sections were washed in 5x SSC (1x SSC is 0.15 M NaCl plus 0.015 M sodium citrate) (55°C) and 2x SSC (65°C) containing 50 mM ß-mercaptoethanol-10 mM sodium thiosulfate, followed by RNase (20 µg/ml) incubation at 37°C for 30 min. Washing after RNase treatment was done for 15 min in 1x SSC-10 mM sodium thiosulfate (65°C) followed by 0.1x SSC-10 mM sodium thiosulfate (65°C). Dehydration was performed through a graded series of ethanol containing 300 mM ammonium acetate. The samples were air dried and dipped in autoradiography emulsion type NTB-2, and images were acquired by using dark-field microscopy (Zeiss Axioskop; Carl Zeiss, Thornwood, N.Y.).
Histochemical and immunohistochemical analyses. The proximal small intestine (duodenum) was fixed overnight in Bouin fixative, washed in 70% ethanol, and processed for paraffin sectioning. Intestinal cross sections (5 µm) were mounted on microscope slides, deparaffinized, and rehydrated. The specificity of the histological and immunostaining methods used has been described previously (13, 51). Alcian blue-nuclear fast red staining was used to detect goblet cells. Immunohistochemical analysis was performed by using antisera specific for enterocytes (intestinal fatty acid-binding protein [IFABP]), goblet cells (lysozyme), and enteroendocrine cells (serotonin). Endogenous peroxidase activity was quenched in 3% hydrogen peroxide-methanol. For lysozyme detection, antigen retrieval was carried out prior to incubation with the primary antibody by incubating sections with 0.05% trypsin for 25 min at 37°C. Sections were incubated in blocking solution (10% normal goat serum in PBS) and then incubated with one of the following primary antisera: rabbit anti-human IFABP (1:1,000; Hycult Biotechnology), rabbit antiserotonin (1:4,000; Diasorin, Inc.), or rabbit anti-human lysozyme (1:100; Novocastra). Sections were washed in PBS and incubated with a biotinylated secondary antibody (goat anti-rabbit;1:100, 1:500, and 1:2,000 for lysozyme, IFAPB, and serotonin staining, respectively). Sections were washed in PBS, and immunoreactivity was detected by using streptavidin-peroxidase (Zymed Laboratories, Inc., San Francisco, Calif.) and 5-diaminobenzidine tetrahydrochloride as the substrate chromogen (Sigma). Sections were counterstained with hematoxylin or a combination of hematoxylin and eosin, dehydrated and cleared in xylene, and placed on coverslips for bright-field microscopy.
Statistical analysis. Data are expressed as the mean and standard error of the mean (SEM). Differences between groups were examined by using Student's t test for the equality of means, with a P value of <0.05 being considered statistically significant. When the F values for Levene's test for the equality of variances were significant, the Mann-Whitney U test was used to determine the level of significance. Statistical analysis was performed by using SPSS (Chicago, Ill.) software (version 10).
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FIG. 1. Generation of LFKO-/- mice. (A) Targeting strategy. A schematic diagram of the targeting construct is shown in the top panel. Numbered boxes represent exons. The wild-type allele and the targeted allele are shown in the middle and bottom panels, respectively. After homologous recombination, the targeted allele contains an additional EcoRI site introduced with the neomycin resistance gene cassette. A 5' probe located outside the region of homology detects a 10.6-kb fragment in the wild-type allele and a 6.6-kb fragment in the targeted allele. HSV-TK, herpes simplex virus thymidine kinase gene. (B) Genotype identification by Southern blot analysis. Genomic tail DNA from offspring from heterozygote intercrosses was digested with EcoRI and probed with a 5' probe located outside the region of homology. In WT mice, a single radioactive band at 10.6 kb, corresponding to two normal alleles, is detected (third lane). In LFKO+/- mice, two hybridizing bands, representing the 10.6-kb normal allele and the 6.6-kb targeted allele, are detected (second lane). LFKO-/- mice are detected by the presence of a single radioactive band at 6.6 kb, corresponding to two targeted alleles (first and fourth lanes). (C) Genotype identification by PCR analysis. A PCR product of 515 bp represents the WT allele, whereas a product of 575 bp represents the targeted allele. WT mice (first and second lanes), LFKO+/- mice (third lane), and LFKO-/- mice (fourth lane) are identified. (D) Western immunoblot analysis of mouse milk samples. Western immunoblot analysis was performed by using specific antisera directed against murine lactoferrin. A single immunoreactive band migrating at the size expected for lactoferrin is detected in the milk samples from WT mice (first lane) and LFKO+/- mice (second lane) but not in the milk samples from LFKO-/- mice (third lane).
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Lactoferrin is not required for postnatal intestinal iron uptake. Maternal milk provides a unique source of lactoferrin to suckling pups and has been postulated to play a role in intestinal iron delivery (23). To test this hypothesis, serum and tissue iron indices were measured in postnatal day 18 LFKO-/- and WT pups derived from LFKO-/- intercrosses (no maternal or endogenous lactoferrin) or from WT intercrosses (maternal and endogenous lactoferrin). The results of this analysis are outlined in Tables 1 and 2. Both serum iron levels and transferrin saturation were elevated in LFKO-/- pups, although only transferrin saturation (69.7% ± 2.4% versus 54.5% ± 6.3%) reached statistical significance (P = 0.048). The TIBC was significantly lower in LFKO-/- mice (322.5 ± 8.3 µg/dl versus 361.8 ± 7.6 µg/dl) (P = 0.006) (Table 1). Significant increases in liver iron stores (181.4 ± 6.2 µg/g versus 129.4 ± 5.4 µg/g) (P < 0.001) were also observed in the absence of lactoferrin, while spleen iron stores were significantly decreased (359.5 ± 16.9 µg/g versus 481.8 ± 33.6 µg/g) (P = 0.001) (Table 2). The resistance of the spleen to iron loading was previously reported (33, 52), although the significance of the decreased iron stores in the LFKO-/- pups remains to be elucidated. Erythroid parameters were similar for the two genotype groups (Table 3), indicating that a null allele of lactoferrin does not result in anemia.
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TABLE 1. Serum iron indices in LFKO-/- pups (postnatal day 18)a
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TABLE 2. Tissue iron stores in LFKO-/- pups (postnatal day 18)a
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TABLE 3. Erythroid measurements in LFKO-/- pups (postnatal day 18)a
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Normal development of the intestinal tract in the absence of lactoferrin.
The crypt and villus architecture of the small intestine is composed of four principal cell lineages, absorptive enterocytes (which constitute
80% of the villus cells), mucus-producing goblet cells, enteroendocrine cells, and crypt-associated Paneth cells (11). To determine whether intestinal cell development was normal in the absence of lactoferrin, duodenal sections from 18-day-old LFKO-/- and WT pups derived from LFKO-/- and WT intercrosses were analyzed by using specific markers for all four intestinal cell lineages. The results of this analysis are outlined in Fig. 2. No differences were observed in the immunohistochemical detection of IFABP (enterocytes), serotonin (enteroendocrine cells), lysozyme (Paneth cells), or Alcian blue staining (goblet cells). Hence, the absence of lactoferrin did not perturb the development of any of the four cell lineages, suggesting that lactoferrin is not required for intestinal morphogenesis.
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FIG. 2. Intestinal cell morphogenesis in LFKO-/- mice. Intestinal sections from WT mice (left panels) and LFKO-/- mice (right panels) were analyzed at postnatal day 18. Sections of the proximal duodenum were stained as follows. (A and B) Anti-human IFABP; specificity, enterocytes. Staining (brown) is confined to the villus enterocytes. Arrows indicate negatively stained goblet cells. (C and D) Antiserotonin; specificity, enteroendocrine cells. Arrowheads indicate representative stained cells (brown). (E and F) Anti-human lysozyme; specificity, Paneth cells. Staining (brown) is confined to the crypts. (G and H) Alcian blue; specificity, goblet cells. Positive cells (blue) are detected in the villi. No staining was observed in control sections incubated with nonimmune serum in place of primary antibody (data not shown). Stained sections are representative of at least seven mice analyzed for each genotype group. Magnifications: A to D, x200; E to H, x320. Scale bars, 5 µm.
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15-fold higher than lactoferrin levels (4 ± 0.61 mg/ml versus 0.27 ± 0.05 mg/ml). Hence, transferrin and lactoferrin may have iron-dependent redundant functions in the small intestine during the suckling period. Normal iron homeostasis in adult mice in the absence of lactoferrin. To further examine the effect of a null allele of lactoferrin on adult mouse iron homeostasis, 8- to 10-week-old LFKO-/- and WT mice obtained from heterozygote intercrosses were maintained on a basal diet (0.02% iron) or placed on a high-iron diet (2% iron) for 2 weeks, after which iron indices were measured. The results of this analysis are shown in Tables 4 and 5. Serum iron indices were slightly, although significantly, higher in LFKO-/- mice than in WT mice on the basal diet (203.6 ± 8.6 µg/dl versus 170.5 ± 12.8 µg/dl) (P = 0.043). However, no significant differences in transferrin saturation, TIBC, or tissue iron stores were observed between LFKO-/- and WT mice on this diet. Further, there were no significant differences in serum iron indices, TIBC, transferrin saturation, or tissue iron stores between LFKO-/- and WT mice placed on a high-iron diet for 2 weeks. These results further argue that lactoferrin is not essential for normal iron homeostasis.
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TABLE 4. Serum iron indices in adult mice on basal and high-iron dietsa
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TABLE 5. Tissue iron stores in adult mice on basal and high-iron dietsa
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FIG. 3. In situ hybridization analysis of lactoferrin expression in mouse tissues. Sections were incubated with a specific 35S-labeled antisense (A, C, and E) or sense (B, D, and F) murine lactoferrin probe. Dark-field illumination shows postnatal day 18 duodenum (A and B), adult duodenum (C and D), and estrogen-primed uterus (E and F). Magnification, x100. Scale bars, 20 µm.
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Intestinal cell development is normal in the absence of lactoferrin, indicating that this protein is not required for intestinal morphogenesis. While mild iron overloading was observed in LFKO-/- pups derived from a mixed 129/SvEv x C57BL/6 genetic background, these findings were not reproducible in an isogenic 129/SvEv genetic background. LFKO-/- mice derived from heterozygote intercrosses in the mixed genetic background contain 129/Sv genomic sequences segregating with the targeted locus, whereas WT control mice derived from these intercrosses contain C57BL/6 DNA at these loci (39). Further, it was reported previously that strain 129 mice are susceptible to iron loading, whereas C57BL/6 mice are relatively resistant (12, 20, 25, 29). Hence, these results suggest that other 129/Sv genes involved in iron metabolism may be linked to the targeted lactoferrin genetic locus and may contribute to the iron overload observed in LFKO-/- pups in the mixed genetic background. In this regard, transferrin and ceruloplasmin are located on chromosome 9 in the vicinity of the lactoferrin locus and may contribute to the altered iron status observed in LFKO-/- pups in the mixed genetic background (5, 43).
As lactoferrin is not expressed endogenously in the duodenum of WT mice at postnatal day 18, the functional role of this protein in the intestine during the postnatal period is likely imparted by maternal milk-derived lactoferrin. While lactoferrin is present in substantial quantities in murine milk, transferrin is the primary iron-binding protein in the milk of this species (26). The possibility that transferrin functions redundantly with lactoferrin to limit iron uptake at the intestinal surface during the suckling period is intriguing. Consistent with the lack of lactoferrin expression in the WT adult mouse duodenum, we did not detect any major differences in iron indices between WT and LFKO-/- mice maintained on either a basal or a high-iron diet. Taken together, these results do not support an essential nonredundant role of lactoferrin in intestinal iron homeostasis.
A human intestinal receptor for lactoferrin was recently shown to be identical to a novel member of the lectin family, intelectin (42, 44). Intelectin is widely expressed in many tissues, including the small intestine, colon, heart, and thymus, and has been proposed to play a role in the innate immune response to microbes containing the bacterium-specific carbohydrate galactofuranose (24, 44). Although increased iron uptake from human lactoferrin was observed in vitro in Caco-2 cells transfected with a human lactoferrin receptor (intelectin) (42), the restriction of the expression of the mouse receptor homologue to the Paneth cell lineage in the intestine (24) argues against a role in iron delivery and suggests that the primary role of this receptor may be in host defense against microbial infection, not in intestinal iron absorption.
In summary, we showed that lactoferrin is not required for intestinal iron uptake and that relatively normal iron parameters were observed in LFKO-/- mice. Further, no overt phenotypic abnormalities were observed under normal physiological conditions. The availability of LFKO-/- mice will now provide researchers with an important genetic model for assessing the essential roles of lactoferrin in host protection under conditions of microbial, inflammatory, and carcinogenic challenges.
This work was supported in part by a grant from USDA/CRIS (FYOO 6250 5100 039) and Agennix Inc., Houston, Tex., to O.M.C.
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