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Genetic susceptibility to nickel-induced acute lung injury
Daniel R. Prows a,b,*, Susan A. McDowell a, Bruce J. Aronow c,George D. Leikauf a,d,e
a Department of Environmental Health, University of Cincinnati, Cincinnati, OH 45267-0056, USAb Division of Human Genetics, Children�s Hospital Medical Center, 3333 Burnet Ave., Building Code R, MLC 7016,
Cincinnati, OH 45229-3039, USAc Division of Pediatric Informatics, Children�s Hospital Medical Center, 3333 Burnet Ave., Building Code R, MLC 7024,
Cincinnati, OH 45229-3039, USAd Department of Molecular and Cellular Physiology, University of Cincinnati, Cincinnati, OH 45267, USA
e Department of Medicine, University of Cincinnati, Cincinnati, OH 45267, USA
Received 30 August 2001; received in revised form 15 July 2002; accepted 31 August 2002
Abstract
Human exposure to insoluble and soluble nickel compounds is extensive. Besides wide usage in many industries,
nickel compounds are contained in cigarette smoke and, in low levels, in ambient particulate matter. Soluble nickel
particulate, especially nickel sulfate (NiSO4), has been associated with acute lung injury. To begin identifying genes
controlling susceptibility to NiSO4, mean survival times (MSTs) of eight inbred mouse strains were determined after
aerosol exposure. Whereas A/J (A) mice were sensitive, C57BL/6J (B6) mice survived nearly twice as long (resistant).
Their offspring were similarly resistant, demonstrating heritability as a dominant trait. Quantitative trait locus (QTL)
analysis of backcross mice generated from these strains identified a region on chromosome 6 significantly linked to
survival time. Regions on chromosomes 1 and 12 were suggestive of linkage and regions on chromosomes 8, 9, and 16
contributed to the response. Haplotype analysis demonstrated that QTLs on chromosomes 6, 9, 12, and 16 could
explain the MST difference between the parental strains. To complement QTL analysis results, cDNA microarray
analysis was assessed following NiSO4 exposure of A and B6 mice. Significant expression changes were identified in one
or both strains for >100 known genes. Closer evaluation of these changes revealed a temporal pattern of increased cell
proliferation, extracellular matrix repair, hypoxia, and oxidative stress, followed by diminished surfactant proteins.
Certain expressed sequence tags clustered with known genes, suggesting possible co-regulation and novel roles in
pulmonary injury. Together, results from QTL and microarray analyses of nickel-induced acute lung injury survival
allowed us to generate a short list of candidate genes.
� 2003 Elsevier Science Ltd. All rights reserved.
Keywords: Candidate gene; Haplotype analysis; Microarray; Particulate; QTL analysis; Survival
1. Introduction
Particulate matter (PM) levels associated with respi-
ratory morbidity and mortality are low compared to the
existing scientific literature, suggesting that individual
susceptibility differences may play a role in response.
Clinical studies demonstrated that individuals vary in
bronchoconstriction induced by ozone (O3), a common
respiratory irritant (McDonnell et al., 1985). Inbred
mouse strains also vary in sensitivity to O3-induced re-
spiratory effects, including acute lung injury (Stokinger,
1957; Goldstein et al., 1973; Ichinose et al., 1982;
Prows et al., 1997, 1999) and O3-induced increases in
Chemosphere 51 (2003) 1139–1148
www.elsevier.com/locate/chemosphere
*Corresponding author. Tel.: +1-513-636-5440; fax: +1-513-
636-4373.
E-mail address: [email protected] (D.R. Prows).
0045-6535/03/$ - see front matter � 2003 Elsevier Science Ltd. All rights reserved.
doi:10.1016/S0045-6535(02)00710-5
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neutrophils or total proteins retrieved from bronchoal-
veolar lavage (BAL) fluid (Kleeberger et al., 1990,
1993a,b, 1997a). These studies indicated not only that
survival of O3-induced acute lung injury is controlled by
multiple genetic loci (i.e. polygenic), but also that the
major genes controlling susceptibility to acute lung in-
jury survival differ from those controlling neutrophil
influx or BAL total proteins.
Besides O3, other environmental and surrogate en-
vironmental pollutants have been shown to induce dif-
ferential responses in mice and rats. For example, inbred
mice show susceptibility differences to NO2-induced
pulmonary inflammation (Holroyd et al., 1997; Klee-
berger et al., 1997b) and to acid-coated particle-induced
macrophage phagocytosis (Ohtsuka et al., 2000). Recent
studies of residual oil fly ash (ROFA), a PM surrogate,
demonstrated that the water-soluble metals (e.g., vana-
dium, chromium, nickel, and iron) contained in ROFA
may be responsible for the observed acute lung injury
(Costa and Dreher, 1997; Dreher et al., 1997; Dye et al.,
1997). In vitro studies reported that the active compo-
nents of ROFA were vanadium, chromium, and nickel;
vanadium was the most active (Pritchard et al., 1996;
Kodavanti et al., 1998a,b). On the other hand, in vivo
studies demonstrated that nickel was the most biologi-
cally active of the metals found in ROFA (Pritchard
et al., 1996; Costa and Dreher, 1997; Kodavanti et al.,
1998a,b). Additional in vivo studies with intratracheal
instillation of ROFA found differences in rat strain
sensitivity, suggesting genetic susceptibility may play a
role in individual responsiveness to inhaled PM (Ko-
davanti et al., 1997).
Acute lung injury is characterized by a deficit in gas
exchange, owing to macrophage activation, epithelial
and endothelial disruption, and surfactant protein (SP)
dysfunction (Lewis and Jobe, 1993; Levy et al., 1995).
Because numerous insults can induce acute lung in-
jury, studying additional agonists could reveal common
mechanisms likely to involve pathways that control
macrophage activation, epithelial or endothelial injury,
and oxidative stress (Pryor et al., 1990; Stohs and Bag-
chi, 1995; Pritchard et al., 1996). For example, insolu-
ble ultrafine particulate, such as those generated
from polytetrafluoroethylene (PTFE), can induce acute
lung injury (Pryor et al., 1990; Johnston et al., 1996;
Oberd€oorster et al., 1998). In fact, we found a similar
strain phenotype pattern for acute lung injury survival in
mice following exposure to PTFE (Wesselkamper et al.,
2000) as seen with O3 (Prows et al., 1997). In both cases,
A/J (A) mice were sensitive and C57BL/6J (B6) mice
were relatively resistant to the induced acute lung injury.
Certain transition metals also can induce acute lung
injury. Of the transition metals enriched in the fine
fraction of ambient PM and the workplace, nickel
compounds can be especially harmful (NIOSH, 1977;
IARC, 1990; NTP, 1996). Nickel occurs primarily in
soluble (e.g., sulfate, chloride and acetate) and insoluble
(e.g., oxide and elemental nickel) forms. Nickel enters
the environment via many sources (Table 1), primarily
through high temperature combustion, electroplating,
and smelting processes (Senior and Flagan, 1982; Mil-
ford and Davidson, 1987; IARC, 1990; NTP, 1996). The
fraction of the population exposed to nickel in the en-
vironment is significant (Table 2), and still others are
exposed in the workplace (Table 3). Besides ambient and
occupational exposures, nickel (0.2–0.51 lg/m3) is a
component of mainstream cigarette smoke in concen-
trations greater than other metal ions, such as copper,
cadmium, and iron (0.19, 0.07–0.350, and 0.042 lg/ciga-rette, respectively) (IARC, 1986).
Previous inhalation exposures of rats and mice to
NiSO4 (Benson et al., 1988; Dunnick et al., 1988; Benson
et al., 1995; Dunnick et al., 1995; NTP, 1996) noted
acute and chronic respiratory effects. Because of the
prevalence of nickel exposures and the link to respira-
tory morbidity and mortality in laboratory animals, we
initiated studies using nickel concentrations at or near
the current occupational standard (i.e. TLV ¼ 100 lgNi/m3) to determine the effects of NiSO4 on different
strains of inbred mice. At these concentrations, NiSO4
produced an acute lung injury in inbred strains of mice,
ultimately resulting in death due to endothelial disrup-
Table 1
Sources of nickel exposure
Coal- and oil-fired power plants
Diesel-powered engines
Mining and refineries
Nickel electroplating
Waste incinerators
Table 2
Environmental exposures of nickel
Typical ambient nickel exposures
� Rural (background) levels:
0.0001–0.078 lg/m3
Milford and
Davidson (1987)
� Urban areas or downwind of
point source: 0.38–0.73 lg/m3
Schroeder et al.
(1987)
Chan and Lusis
(1986)
� Downwind of nickel mining
operations: 2.3–6.1 lg/m3
Dobrin and
Potvin (1992)
Brecher et al. (1989)
Exposures as high as 8–15.8 lg/m3 NTP (2000)
About 160 million US people live
within 12.5 miles of nickel source
NTP (2000)
Cigarette smoke: 0.2–0.51 lg/ciga-rette and up to 3 lg/cigarette
IARC (1986)
OSH (1982)
Positive skin test for nickel:
>15% of population
Mattila et al. (2001)
Sun (1987)
1140 D.R. Prows et al. / Chemosphere 51 (2003) 1139–1148
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tion and hemorrhagic pulmonary edema (Wesselkamper
et al., 2000). This acute lung injury was similar to that
seen with O3- and PTFE-induced lung injuries. An im-
portant distinction, however, was that the NiSO4-
induced lung injury progressed much slower than that
caused by O3 or PTFE (Wesselkamper et al., 2000)––a
timeframe that more closely resembles the human con-
dition. Given that (1) little is known currently about
susceptibility differences to fine PM; (2) NiSO4 can be a
frequent component of environmental and occupation
air; and (3) NiSO4 can induce an acute lung injury with
a progression approximating that seen clinically, we
sought to determine a mouse model to identify the ge-
netic factors controlling survival differences to nickel-
induced acute lung injury. Once established, this mouse
model was utilized in quantitative trait locus (QTL),
haplotype, and cDNA microarray analyses to investi-
gate the genetic determinants of NiSO4-induced acute
lung injury.
2. Mouse model
The first step to determine a mouse model for genetic
analysis of nickel-induced acute lung injury was to
identify two strains of mice with significantly different
mean survival times (MSTs) to NiSO4 inhalation (i.e.
polar-responding strains). Eight commonly used inbred
mouse strains were obtained from Jackson Laboratory
(Bar Harbor, ME) and exposed continuously to 150 lgNi/m3 (mass median aerodynamic diameter (MMAD)¼0.22 lm, geometric standard deviation ðrgÞ ¼ 1:85)
generated from a solution of NiSO4 � 6H2O (Sigma, St.
Louis, MO). The strain phenotype pattern for survival is
displayed in Fig. 1. Similar to results from O3 and PTFE
exposures, the A strain was the most sensitive (MST ¼68� 4 h) and the B6 strain most resistant (MST ¼133� 5 h) to nickel-induced acute lung injury survival
(Wesselkamper et al., 2000). Also like O3 and PTFE
exposures, first generation progeny derived from the A
and B6 strains (B6AF1, MST ¼ 136� 4 h) demon-
strated that the resistance phenotype was inherited as a
dominant trait. Surprisingly, the sensitive A strain
demonstrated 20% mortality (2/10) in 15 lg Ni/m3 and
little difference in MSTs were noted among concentra-
tions P70 lg Ni/m3 (Wesselkamper et al., 2000). Using
the polar-responding A and B6 strains as a model to
identify the regions linked to this phenotype, we gener-
ated 307 backcross mice for QTL analysis. Combining
all exposed control A (n ¼ 52) and B6 (n ¼ 54) mice the
MSTs were refined to 67� 3 and 120� 3 h, respectively
(Prows and Leikauf, 2001).
3. QTL analysis
To initially identify possible QTLs influencing sur-
vival to nickel-induced lung injury, 77 microsatellite
markers were typed for the 55 most sensitive (survival
times 6 66 h) and 54 most resistant (survival times
P 112 h) backcross mice (representing the 109 pheno-
typic extreme-responders) (Prows and Leikauf, 2001).
Results were analyzed with MAPMAKER/QTL and the
theoretical levels for significant (lod score P 3.3) and
Table 3
Nickel concentrations in the workplace
Over 2000 Ni work sites¼ three times (Crþ Cdþ Co) sites Leikauf et al. (1995)
Asthma (associated with ambient levels >30 lg/m3) Bright et al. (1997)
Davies (1986)
Dolovich et al. (1984)
Malo et al. (1982)
Chronic obstructive pulmonary disease Nemery (1990)
Cornell and Landis (1984)
Polednak (1981)
Occupational nickel levels (estimated 1.5 million workers exposed in US)
Electroplating : 2–170 lg=m3
Welding : 10–1000 lg=m3
Battery manufacturing : 20–1910 lg=m3
Refining : 10–5000 lg=m3
9>>=>>;
Haber et al. (2000)
Mastromatteo (1986)
Warner (1984)
Threshold limit values (TLVs) for nickel compounds
Soluble : 100 lg=m3
Metallic nickel : 1000 lg=m3
Insoluble : 1000 lg=m3
9=;
ACGIH (2001)
D.R. Prows et al. / Chemosphere 51 (2003) 1139–1148 1141
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suggestive (lod scoreP1.9) linkage proposed by Lander
and Kruglyak (1995) for a backcross analysis were used
to identify potential QTLs in the extreme responding
cohort. (Note: The lod score represents a log of the odds
ratio, which is the likelihood of linkage divided by the
likelihood of no linkage.) Regions reaching suggestive
linkage were identified on chromosomes 1, 6, 8, 9, 12
and 16, with lod scores for these six putative QTLs
ranging from 2.1 to 2.8. Assuming independent loci,
these QTLs explain 62% of the genetic variance in the
phenotypic extreme cohort.
To validate these QTLs in the total backcross popu-
lation, all 307 mice were typed for the original 77 mi-
crosatellite markers, with an additional 32 markers
located in and around the six putative QTL intervals.
Using QTL Cartographer analysis of the total backcross
cohort, significant (a ¼ 0:05) and suggestive (a ¼ 0:1)linkages were established at empirical levels determined
by 10 000 permutations of the original data set (Basten
et al., 1994, 1997). Experiment-wise threshold levels for
this data set were established at a lod scoreP 2.6 for
significant linkage and P2.3 for suggestive linkage. The
major findings of this analysis are displayed in Fig. 2. The
QTL on chromosome 6 was significantly linked, reaching
a peak lod score of 3.0 at D6Mit183. This QTL was
designated Aliq4 (for Acute lung injury qtl-4). (Note:
QTLs Aliq1-3 were previously named for loci linked to
O3-induced acute lung injury (see Prows et al., 1997)).
Suggestive linkages were identified on chromosome 1 (4-
cM distal to D1Mit213, lod score 2.5) and chromosome
12 (D12Mit185 and D12Mit112 both with lod scores of
2.3). The QTLs on chromosome 8 (peak at 6-cM distal to
D8Mit65, lod score 2.2), chromosome 9 (D9Mit227, lod
score 1.6) and chromosome 16 (D16Mit152, lod score
1.6), initially identified as suggestive loci in the pheno-
typic extreme backcrosses, did not reach the threshold
for experiment-wise suggestive linkage in the total back-
cross population. Genes mapping near and within these
six putative QTL intervals were considered positional
candidate genes for controlling some part of the response
to nickel sulfate inhalation.
4. Haplotype analysis
To determine the contribution of each QTL and QTL
combination to the overall phenotype, MSTs of mice
with a sensitive haplotype (i.e. sensitive alleles at the peak
marker of putative QTLs) were compared to MSTs of
mice with a resistant haplotype (Fig. 3; Prows and Lei-
kauf, 2001). For each backcross, only a homozygous A
(AA) or heterozygous (H) genotype could be obtained
for microsatellite marker typings. Microsatellite marker
D6Mit183 had the greatest difference in MST between
groups of mice containing either the AA or H genotype;
mice heterozygous at that locus survived an average of 12
h longer than AA mice. Different haplotype combina-
tions at two QTLs showed the greatest MST difference
for mice heterozygous for QTLs on chromosomes 1 and
6, with H–H mice surviving an average of 25 h longer
than mice AA–AA. For three QTLs, mice heterozygous
for markers representing chromosomes 6, 12, and 16 (H–
H–H) had a MST 40 h longer than mice AA at these
markers. The best agreement between phenotype and
genotype for four QTLs was noted with the haplotype
H–H–H–AA for markers on chromosomes 6, 12, 16, and
9, results that directly correlated with QTL results. Mice
with this haplotype survived an average of 52 h longer
than AA–AA–AA–H mice. Interesting, this difference in
MST correlated with the difference in MST between the
A and B6 parental strains. Analysis of the different
haplotypes for five QTLs showed a MST difference of 75
h for mice H–H–H–H–AA at chromosomes 1, 6, 12, 16,
and 9, respectively, compared to mice that were AA–
AA–AA–AA–H for these markers (Fig. 3). This in-
creased difference in MSTs from that of the parental
strains suggests that a resistance gene is contained in the
A strain, which is sensitive in the B6 strain––a finding
consistent with the opposing QTL on chromosome 9.
MST was not extended in mice carrying the resistance
alleles for the QTL on chromosome 8, making its im-
portance in the overall phenotype equivocal.
5. Microarray analysis
To complement QTL analysis we performed micro-
array analysis of 8734 sequence-verified murine cDNAs
Fig. 1. Survival times of eight inbred strains of mice during
continuous exposure to fine nickel sulfate (NiSO4). Mice were
exposed continuously to 150� 15 lg Ni/m3 (0.2 lm MMAD,
rg ¼ 1:9) and time of death recorded. White Bar: The mean
response for A/J mice; Gray Bars: Other sensitive and inter-
mediate strain responses [CBA/J, SPRET/Ei (SPRET), FVB/
NJ, DBA/2J, AKR/J, and C3H/HeJ]; Black Bar: The mean
response of resistant C57BL/6J (B6) mice. Values are MSTs�SE (n ¼ 6–27 mice/strain). Adapted from Wesselkamper et al.
(2000).
1142 D.R. Prows et al. / Chemosphere 51 (2003) 1139–1148
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to assess gene expression differences between A and B6
mice following 3, 8, 24, and 48 h of NiSO4 exposure.
Details of this analysis for the B6 strain (at these ex-
posure times, as well as for 96 h) have been reported
(McDowell et al., 2000). To extend the initial analysis
of the B6 mice, we performed an analysis of gene ex-
pression in the lungs of A strain mice. Polyadenylated
mRNAs from three mice at 0 (control), 3, 8, 24, or 48
h exposure were pooled and used to generate target
cDNAs by reverse transcription with fluorescent-labe-
led random 9-mers. During reverse transcription, cDNAs
deriving from mRNA of control mice were fluorescent-
labeled with Cy5 (Met-5A) dUTP and cDNAs deriving
from mRNA of exposed mice were fluorescent-labeled
with Cy3 (MSTO-211H) dUTP. Hybridizations and
fluorescence measurements were conducted by Incyte
Pharmaceuticals (Freemont, CA). The ratio of total
Cy3 signal to the total Cy5 signal (balance coefficient)
was applied to normalize each of the eight microarray
slides used in this analysis. Multiplying the differential
fluorescence level (ratio of Cy5:Cy3 signal when Cy5 >Cy3, and ratio of Cy3:Cy5 signal when Cy5 < Cy3) of
each cDNA by the balance coefficient derived for each
microarray slide produced a balanced differential ex-
pression (BDE) ratio for each cDNA. Because our
analysis involves only one microarray (a pooled sample
of three mice) at each time for each strain, these pre-
liminary findings should be viewed with caution.
To identify the cDNAs (genes) with the greatest
difference between the strains, the acceptance stringency
was set at a BDE ratioP j2j for at least one time in
one or both strains. Using this threshold, 135 different
Fig. 2. QTL analysis results for chromosomes 1, 6, 8, and 12 from the total backcross population (n ¼ 307). Open circles represent
MIT microsatellite marker positions. Solid (at 2.58) and dashed (at 2.30) lines denote significant or suggestive linkage, respectively, as
determined empirically by 10 000 permutations of the data set using QTL Cartographer (Basten et al., 1997). The peak on chromosome
8 was below suggestive linkage. The major QTL (Aliq4) peaked at marker D6Mit183 on chromosome 6. Adapted from Prows and
Leikauf (2001).
D.R. Prows et al. / Chemosphere 51 (2003) 1139–1148 1143
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cDNAs (107 for known genes and annotated expressed
sequence tags, ESTs, and 28 nonannotated ESTs) were
identified with significant expression changes in one or
both strains. Of the 107 known genes and annotated
ESTs, the expression of 38 changed to the same extent
in both strains, 18 expression changes were significant
in A strain mice, and 51 were significant in B6 mice.
Among the expression changes, four groups could be
identified. First, are cDNAs with expression signifi-
cantly changed in both strains, but higher in A mice;
these include genes increased in A more than B6 mice
(e.g., Eph receptor A2) or decreased in B6 more than A
mice (e.g., SP-B). Second, are cDNAs whose expression
was significantly changed in both strains, but the ex-
pression was higher in B6 mice; these include genes
with expression increased in B6 more than A mice (e.g.,
metallothionein-1) or decreased in A more than B6
mice (e.g., Clara cell secretory protein). The last two
groups included those cDNAs whose expression was
significantly increased or decreased only in A mice
(e.g., calgranulin A and hemoglobin-a adult chain-1,
respectively) or only in B6 mice (e.g., metal-response
element (MRE) DNA binding transcription factor-2,
and platelet activating factor acetylhydrolase 1B a,respectively). Closer scrutiny of these group members
identified 15 functional candidate genes (Table 4) that
demonstrated a BDE ratioP j2j between strains for at
least one exposure time.
6. Combining QTL and microarray analysis
To gain further insight into the important genes as-
sociated with survival to nickel-induced acute lung in-
Table 4
Candidate genes for nickel-induced acute lung injurya
Name Abbreviation Locationb
Calgranulin A S100a8 3, 43.6 cM
Clara cell secretory protein (Uteroglobin) Utg 19(A)
Cytochrome P450 2f2 Cyp2f2 7, Syntenic
Enolase-3 Eno3 11, 42 cM
Galectin-3 (Lectin, galactose binding, soluble-3) Lgals3 14(C1)
Glyceraldehyde-3-phosphate dehydrogenase Gapd 6, 56 cM
Hemoglobin a, adult chain-1 Hba-a1 11, 16 cM
Hemolytic complement Hc 2, 23.5 cM
Keratin complex 2, basic gene-7 (EST) Krt2-7 11, 58.7 cM
Metallothionein-1c Mt1 8, 45 cM
Metal response element binding transcription factor-2 Mtf2 Unknown
N-myc downstream regulator Ndr1 15, Syntenic
Surfactant protein-B Sftpb 6, 31 cM
Surfactant protein-C Sftpc 14, 32.5 cM
Thioredoxin reductase-1 Txnrd1 10, Syntenic
aAll genes listed were derived from microarray analysis of A and B6 strains and had a BDE ratioP j2j in at least one strain and one
exposure time.bGenome location is given as chromosome, centimorgan (cM) position from the centromere (from Jackson Laboratories webpage,
www.jax.org).c Text in bold represent genes located within a region linked by QTL analysis and with a BDE ratioP j2j between the A and B6
strains.
Fig. 3. Survival time differences of backcross mice with resis-
tance or sensitivity haplotypes at microsatellite markers repre-
senting the putative QTLs. The highlighted pair represents
survival times of A/J (A) and C57BL/6J (B) parental strains.
White bars¼ backcross mice with AA genotype (A); black
bars¼backcross mice with AB or BA genotype (H), or BB
genotype (B) for C57BL/6J parental controls. Number above
each pair represents the survival time difference (in hours) be-
tween backcross mice with the designated haplotypes. Values
are the MSTs� SEs. All comparisons of sensitivity (white bars)
versus resistance (black bars) haplotypes were significant (P <
0:05, t-test). Adapted from Prows and Leikauf (2001).
1144 D.R. Prows et al. / Chemosphere 51 (2003) 1139–1148
Page 7
jury, we compared the chromosomal locations identified
by QTL analysis with the genes identified through ex-
pression changes in the cDNA microarray analysis.
Among the 15 functional candidate genes (i.e. those
genes showing a BDE ratioP j2j between strains), two
genes––metallothionein-1 (Mt1) on chromosome 8 and
SP-B (Sftpb) on chromosome 6––map to QTL intervals
linked to nickel-induced acute lung injury survival
(Prows and Leikauf, 2001).
In addition, several other genes showing a significant
expression change in one or both mouse strains map
within or near chromosomal regions linked to the phe-
notype, including procollagen type III, a-1 (21 cM on
chromosome 1), glutathione reductase-1 (18 cM on
chromosome 8), esterase-1 (43 cM on chromosome 8),
heme oxygenase-1 (C1 band on chromosome 8), and
nuclear receptor coactivator-1 (bands A2–A3 on chro-
mosome 12). The other positional candidate genes sug-
gested previously (Prows and Leikauf, 2001) were either
not on the microarray or their expression levels did not
change to the established thresholds during the expo-
sures.
7. Summary and discussion
We have outlined the methods used to generate a
short list of functional and positional candidate genes
for nickel-induced acute lung injury survival. Initially, a
mouse model was determined, which represented two
strains of inbred mice (A and B6) that responded sig-
nificantly different to a continuous NiSO4 inhalation
exposure. Next, after establishing that survival was a
polygenic trait and that resistance was dominantly in-
herited, backcross mice were generated for genetic
studies. Subsequent to exposure and genotyping of 105
microsatellite markers distributed throughout the ge-
nome, QTL analysis of 307 backcross mice identified a
region on chromosome 6 (proposed as Aliq4) signifi-
cantly linked to survival. Several interesting positional
candidate genes map to this interval, including Sftpb and
transforming growth factor (TGF)-a (Tgfa). In addition
to the most significant QTL on chromosome 6, several
modifier loci on chromosomes 1, 9, 12, and 16 were re-
vealed through haplotype analysis to influence the phe-
notype. One further peak on chromosome 8 approached
the threshold for suggestive linkage in the QTL analysis
(i.e. it had a lod score of 2.2 where the suggestive level
was 2.3). Next, microarray analysis was performed to
assess gene expression changes at four times throughout
the nickel exposure. Several functional candidate genes
were determined from this analysis, based on the dif-
ferential expressions between the A and B6 strains. Re-
sults from QTL, haplotype, and microarray analyses are
ambiguous for the QTL on chromosome 8, so its im-
portance is still uncertain. However, as identified by
microarray analysis, several interesting positional can-
didates for acute lung injury map to this region (e.g.,
esterase-1, glutathione reductase-1, heme oxygenase-1,
and metallothionein-1), and displayed significant ex-
pression changes in one or both strains. We then com-
bined QTL and microarray results to create a short list
of candidate genes for further studies.
Two main strategies can be used to extend these re-
sults. First, to refine the QTL intervals to regions that
will allow physical mapping, congenic lines of mice can
be constructed for each QTL. Once constructed, these
strains can also be bred further to generate multi-con-
genic lines to evaluate additive and epistatic effects of the
QTLs to the overall phenotype. Haplotype analysis
suggested that a multi-congenic line with resistance al-
leles for QTLs on chromosomes 6, 12, and 16 on the
sensitive A background (which would already have the
resistance alleles for the QTL on chromosome 9) could
result in a phenotype similar to the resistant B6 parental
strain. Haplotype analysis also suggested that fixing the
sensitive alleles for the QTL on chromosome 1 in these
multi-congenics would result in a MST significantly
longer than the B6 parent would. Likewise, placing the
sensitive alleles for QTLs on chromosomes 6, 12 and 16
onto the B6 background (which also has sensitive alleles
for chromosome 9 QTL) would result in a phenotype
similar to the sensitive A strain parent.
Another method that can be undertaken concur-
rently with the construction of congenic lines is a po-
sitional candidate-gene approach (Collins, 1995). As
mentioned above, Sftpb and Tgfa are two genes located
within the interval spanning a 1-lod unit decrease on
either side of the Aliq4 peak (D6Mit183) on chromo-
some 6. Microarray analysis found SP-B gene expression
to decrease significantly with continued nickel exposure
(McDowell et al., 2000) and SP-B has been implicated as
an important factor in acute lung injury (Luce, 1998).
TGF-a is a polypeptide member of a protein family that
includes epidermal growth factor (EGF) and other li-
gands of the EGF receptor (Derynck, 1988). Strong
physiological evidence of a role for TGF-a in acute lung
injury resistance was provided when mice overexpressing
human TGF-a in the lung demonstrated a significant
increase in MST compared to littermate controls fol-
lowing exposure to ultrafine PTFE particles (Hardie
et al., 1999).
In theory, any of the expression differences deter-
mined on the microarrays could represent potential
functional candidate genes that control at least part of
the disparity in phenotypic response. By combining mi-
croarray analysis with QTL analysis our goal was to
identify genes that reside within a putative QTL interval
and differ in gene expression between the two strains,
thereby significantly decreasing the number of gene
candidates. This combined approach reduced the num-
ber of genes to two––Sftpb andMt1. A third gene, Tgfa,
D.R. Prows et al. / Chemosphere 51 (2003) 1139–1148 1145
Page 8
was not on the microarray but demonstrated a physio-
logical importance to the phenotype. It is unknown,
however, whether these genes are specific for nickel-
induced acute lung injury, or whether they may be
related to a generalized agent-induced lung response.
In addition, many potential and obvious pitfalls exist
with this combined strategy. First, other potential can-
didates likely include genes with lesser differences be-
tween the strains, but were not detected by the more
stringent thresholds used in the microarray study. Sec-
ond, gene expression may not correlate with protein
function, such that a gene with similar expression in two
strains may lead to significantly different protein func-
tions. Third, many potential candidate genes were not
included on the available microarray; so many important
genes were not screened. Fourth, many of the cDNAs on
the microarray are yet to be mapped or annotated in the
mouse. Regardless of these shortcomings, the indepen-
dent and combined approaches presented herein have
highlighted many functional and positional candidate
genes, which can be further evaluated for their possible
role(s) in nickel-induced acute lung injury survival.
Acknowledgements
This study was supported by the NHLBI (HL65213
and HL65612), NIEHS (ES10562 and ES06096), and the
Health Effects Institute (HEI), an organization jointly
funded by the US Environmental Protection Agency
(EPA), Assistance Agreement X-812059, and the auto-
motive manufacturers. The contents of this article do
not necessarily reflect the views of the HEI or the poli-
cies of the US EPA or automotive manufacturers.
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