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Journal of Virology, May 2003, p. 5801-5809, Vol. 77, No. 10
0022-538X/03/$08.00+0 DOI: 10.1128/JVI.77.10.5801-5809.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Department of Physiology and Biophysics,1 Department of Microbiology, University of Colorado Health Sciences Center, Denver, Colorado 802622
Received 4 September 2002/ Accepted 25 February 2003
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Since the mammary gland undergoes its functional morphogenesis in the young adult to adult stages and is very susceptible to tumorigenesis (13), it would be desirable to be able to manipulate its genetic complement at different developmental stages and study the effects of these changes. For this reason, we investigated the utility of adenovirus transduction in vivo to alter gene expression by using injection through the nipple to gain access to the epithelium from the exterior of the animal. Earlier investigators have taken advantage of intraductal injection techniques, using injections in goats and mice to study the permeability of the mammary epithelium to Na+, Cl-, and radiolabeled sucrose (8, 16).
DEAE-dextran-mediated transfection has been used to obtain human growth hormone expression in the guinea pig mammary gland after intraductal injection (5). However, the proportion of transfected cells was quite low. On the other hand, adenovirus transduction has proven to be a suitable method for efficient transduction of primary mammary cells in vitro in combination with mammary gland reconstitution to yield highly efficient gene transfer (18). In vivo, Jeng and coworkers injected an adenovirus vector coding for ß-galactosidase into the rat mammary gland through the mammary duct and obtained significant expression of the gene (6). Yang et al. (24) obtained expression of LacZ in the mouse mammary gland in vivo after intraductal injection of an adenovirus vector. Although these studies demonstrated the effectiveness of adenovirus vectors, the issues of an inflammatory response and the efficiency of transduction have not been fully addressed.
We are primarily interested in the transition from pregnancy to lactation and sought a noninvasive, noninflammatory delivery system for introducing foreign genes into the mammary epithelium without transduction of the surrounding stroma. Our laboratory has perfected a technique of intraductal microinjection into the mouse mammary gland (14) and has used this technique to analyze tight junction regulation (15) and tight junction permeability relative to progesterone withdrawal and the presence of glucocorticoids (16) in the late pregnant mouse. We hypothesized that a similar intraductal injection technique could be used to obtain direct and localized transduction of the mammary epithelium with adenovirus vectors with minimal inflammation and little stress to the animal. The present study demonstrates that intraductal injection of a green fluorescent protein (GFP)-encoding adenovirus vector at late pregnancy leads to successful transduction of the epithelial cells in the proximal portion of the gland that lasts through parturition and into at least 5 days of lactation without inflammation. Although we examined transduction at late pregnancy most carefully, we also present data obtained at other stages of mammary gland development.
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Adenovirus vectors. Adenovirus vectors were grown in 293 cells, which are transformed by and express high levels of the adenovirus type 5 E1A and E1B proteins (4). A replication-defective adenovirus type 5 vector encoding enhanced, humanized, red-shifted green fluorescent protein under the control of the human cytomegalovirus major immediate-early promoter (Ad5GFP) was described previously (19).
Virus growth. Viruses were grown in 293 cells in Dulbecco's modified Eagle's medium containing high glucose and supplemented with 10% bovine calf serum. For growth of high-titer stocks, 293 cells were infected and harvested by centrifugation at the time of maximal cytopathic effect, and the virus was released by three cycles of freezing and thawing. Cell debris was pelleted, the supernatant was saved, and the pellet was resuspended in phosphate-buffered saline (PBS), frozen and thawed, and pelleted. The supernatant was combined with the first supernatant. The pellet was resuspended in PBS and pelleted. The supernatant was combined with the prior supernatants. The supernatants were overlaid on a step gradient consisting of 1.25 and 1.4 g of CsCl per ml in PBS and centrifuged for 50 min at 36,000 rpm in an SW41 rotor (Beckman). The virus band was collected by side puncture, diluted with 1.35 g of CsCl per ml in PBS, and centrifuged for 3 h at 65,000 rpm in a VTi65 rotor (Beckman). The virus band was collected by side puncture, dialyzed for 1 h each against three changes of adenovirus storage buffer (10 mM Tris-HCl [pH 8.0], 135 mM NaCl, 1 mM MgCl2, 50% [vol/vol] glycerol), and stored at -20°C until use. The concentration of virus particles was determined from the absorption at 260 nm, with 1 A260 unit being equivalent to 1012 particles. Virus stocks were plaque titered on 293 cells.
Adenovirus microinjection. Ad5GFP microinjection was performed under avertin anesthesia at various stages of mammary gland development (Table 1). A stock of 2.7 x 108 PFU/ml was made in adenovirus storage buffer. Final doses (2.7 x 107 PFU for fourth mammary glands; 2 x 106 PFU for third mammary glands) were made by diluting the 2.7 x 108 PFU/ml stock with sterile filtered Ringer's solution (138 mM NaCl, 8.1 mM Na2HPO4, 1.2 mM K2HPO4, 2.7 mM KH2PO4, 0.9 mM CaCl2, 0.5 mM MgCl2). This dilution was made immediately before the microinjection to ensure the stability of the adenovirus. The solution was loaded into a 25-µl Wiretrol II disposable glass micropipette with a stainless steel plunger (no. 5-000-2050; Drummond Scientific Company, Broomall, Pa.). The end was drawn and fire-polished into a fine tip of 60 to 75 µm. By using a micromanipulator, the tip was gently inserted into the teat canal, and the solution was slowly ejected into the lumen of the either the third or fourth mammary gland as previously described (14). To evaluate the reliability of the injection technique, sterile filtered Ringer's solution was injected into contralateral control glands in some experiments.
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TABLE 1. Experimental design
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Preparation of tissue for freezing and histology. Injected experimental and contralateral control glands were excised and cut horizontally in half. One half of the gland was fixed in formalin, embedded in paraffin, and cut and stained with hematoxylin and eosin for histological purposes. The other half was cut into four to six smaller pieces and placed in aluminum foil molds filled with embedding medium (Tissue-Tek O.C.T. compound no. 4583; Sakura Finetek U.S.A., Inc, Torrance, Calif.) for frozen tissue specimens. The molds were flash frozen by immersion in an isopentane bath brought to its cooling point with liquid nitrogen.
Frozen sectioning and immunohistochemistry. Coverslips (Fisher Scientific no. 12-544-10) were treated with BD Cell-Tak and tissue adhesive (BD Biosciences no. 354240), rinsed, and stored overnight at 4°C. Then 12-µm sections were cut from the frozen molds with a cryostat at -32°C and collected onto the treated coverslips. The samples were placed at 37°C for 1 h and fixed in 2% paraformaldehyde (no. 00380; Polysciences, Inc., Warrington, Pa.) for 10 min.
After rinsing two to three times with PBS, the samples were treated with a blocking solution of 5% normal goat serum (#005-000-121; Jackson Immunoresearch, West Grove, Pa.) and 100 µg of saponin per ml (no. S4521; Sigma, St. Louis, Mo.). Samples were rinsed twice with PBS and incubated with the appropriate primary antibody for 1 h. A polyclonal antibody (7781) was made by using casein precipitated at pH 6.3 from mouse milk. Western blots showed specificity for mouse ß-casein. Antibody against xanthine oxidase was generated against purified mouse xanthine oxidase in rabbit and purified on protein A-Sepharose (10). For nonantibody staining, samples were treated with wheat germ agglutinin conjugated to rhodamine (Molecular Probes; Eugene, Oreg.) to outline the luminal surface of mammary epithelial cells, and 4',6-diamidino-2-phenylindole (DAPI) (Sigma D-9542) diluted in PBS was used to stain for nuclei.
Samples incubated with a primary antibody were rinsed five times for 5 min each with PBS and treated with both donkey anti-rabbit IgG conjugated to rhodamine (Molecular Probes; Eugene, Oreg.) and DAPI diluted in PBS. Both antibody-treated and non-antibody-treated samples were then rinsed six times for 5 min each in PBS. Then 60 µl of mounting medium (ProLong antifade kit, no. P-7481; Molecular Probes, Eugene, Oreg.) were placed on slides (Fisherbrand Superfrost, no. 12-550-15; Fisher Scientific, Pittsburgh, Pa.), and the coverslips were carefully lowered onto each slide. The slides were kept in the dark overnight and then placed at 4°C for storage.
Determination of mastitis. We developed a mastitis scoring system to examine the inflammatory response in Ad5GFP-transduced mammary epithelium. Three randomly chosen fields from hematoxylin and eosin-stained slides were assessed by bright-field microscopy at 40x magnification from various samples for the number of polymorphonuclear cells, mononuclear cell infiltration (scored 0, 1, and 2), and epithelial organization, again on a subjective scale (scored 0, 1, and 2), where 1 represents some mononuclear cell infiltration and epithelial disorganization and 2 represents significant mononuclear cell infiltration and epithelial disorganization. To obtain a mastitis index that provides equal weighting of all three measurements, we used the equation MI = P/4 + MC + EO, where MI is the mastitis index, P is the average number of polymorphonuclear cells, MC is the mononuclear cell infiltrate, and EO is the average epithelial organization score. Because 9 was the maximal polymorphonuclear cell count per field, we chose the value 4 to bring this score in line with the others. Thus, the mastitis score varied between 0 and 6. Three independent observers, one of whom was blinded to the treatment, evaluated each slide with similar results.
Microscopy and quantification of transduction. For an initial assessment of Ad5GFP transduction, the glands were visualized under a Nikon dissecting microscope under fluorescent light. Digital images were captured by using AxioVision software (Carl Zeiss, Inc., North America). A Nikon fluorescent confocal microscope was used to visualize immunohistochemical samples, and Slidebook software (Intelligent Imaging Innovations, Denver, Colo.) was used to capture the higher-power images. Percent transduction of mammary alveoli and/or epithelial structures was determined by manually counting transduced and nontransduced structures in three segments of the gland relative to the teat (proximal, medial, and distal). To determine the extent of transduction of epithelial cells, images were captured at identical magnifications and exposure times and quantified by using a masking program in Slidebook that was capable of determining either the proportion of transduced epithelium or the proportion of transduced nuclei by using DAPI-stained nuclei as a reference.
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FIG. 1. Epithelial permeability as a function of Ad5GFP dose. (A) Mice were injected at P17 with the stated doses of Ad5GFP, and the permeability of the mammary epithelium was determined by injecting [14C]sucrose intraductally 3 or 5 days postpartum and measuring the amount of 14C in 10 µl of blood. Lipopolysaccharide was injected as a positive control for increased permeability. Each bar represents a different mouse. (B) [14C]sucrose permeability in mice injected at various reproductive stages. [14C]sucrose was injected intraductally into the third mammary glands of nulliparous mice (VIRa and VIRb) and P17 mice at various stages after Ad5GFP injection (see Table 1). Each bar represents an individual mouse. Nulliparous control glands (VIR CON; n = 5) received vehicle only. The amounts of [14C]sucrose measured in the blood after injection of P17 control glands (noninjected; n = 11) contralateral to Ad5GFP-injected glands (P17inj CON) were averaged.
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FIG. 2. Histological evidence of mastitis and extent of Ad5GFP transduction in nulliparous animals and animals injected during late pregnancy. (A) Hematoxylin and eosin-stained sections of third mammary glands from mice injected at day 17 of pregnancy (P17) and sacrificed on days 2 (L2) and 11 (L11) of lactation. (B) Initial assessment of transduction in whole glands in regions relative to the teat (proximal, middle, and distal) examined under fluorescent light (upper panel), and 12-µm sections examined under a confocal microscope (lower panel). (C) Whole glands from three individual nulliparous mice injected with different doses of Ad5GFP examined under fluorescent light. Bars, 5 mm. (D) Transduced myoepithelial cell. Bar, 20 µm.
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FIG. 3. Evaluation of mastitis. Data represent animals injected with Ad5GFP at P17 and sacrificed at various stages of mammary gland development (solid bars) and their respective controls (noninjected contralateral glands; hatched bars): L2 (n = 3), L5 (n = 2), L10/11 (n = 3), L15 (n = 2), L27 (n = 2), and L4/L7 (n = 2). Glands were assessed at 40x magnification by bright-field microscopy as described in Materials and Methods. See Materials and Methods for definition of the mastitis index.
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Extent of adenovirus transduction. We viewed transduced mammary glands at low magnification to obtain an initial assessment of the amount of Ad5GFP transduction (Fig. 2B, upper panel, and 2C). Although transduction appeared to be concentrated in areas proximal to the teat or in the middle of the gland in most nulliparous and pregnant animals, some glands did exhibit widespread transduction, as shown in Fig. 2B and 2C (upper panels). We assessed mammary sections from pregnant and lactating mice by using a 20x confocal view of 12-µm-thick frozen sections, first counting the proportion of ducts and alveoli that showed some transduction (Fig. 2B, lower panel). This analysis showed that many but not all alveolar structures were transduced. Less than 10% of the ductal and alveolar structures of glands from early pregnant mice showed some transduction, while approximately 30 to 50% of the structures were transduced when the virus was injected in glands from late pregnant mice (Fig. 4A). Very low transduction was achieved in glands from Ad5GFP-injected lactating mice (Fig. 4A).
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FIG. 4. Percent transduction in early pregnant, late pregnant, and nulliparous glands injected with AdGFP. (A) Percentage of epithelial structures (ducts and alveoli) showing transduction during mammary gland development. Each bar represents an average for three regions of the mammary gland (proximal, medial, and distal relative to the teat) at various stages of development: P3/P6 (n = 2), L2 (n = 3), L5 (n = 2), L10/11 (n = 3), and L4/L7 (n = 2). (B) Percent transduction of epithelial structures in nulliparous mice at different doses of Ad5GFP. Percentage of transduced epithelial structures was determined manually by counting the number of transduced and nontransduced epithelial structures in nulliparous mice injected with different doses of Ad5GFP: 1 x 106 PFU (n = 2), 0.5 x 106 PFU (n = 2), and 0.25 x 106 PFU (n = 1). Each bar represents the average for three sections in each segment (proximal [prx], medial [mid], and distal [dst] to the teat) of the gland.
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To get an approximate measure of the efficiency of transduction, an estimation of the number of epithelial cells in the third mammary gland was made and compared with the frequency of transduction. By using the DNA content of the gland as a starting point, it was estimated that there were approximately 3 x 107 epithelial cells. Approximately 20%, or 6 x 106, of these cells were transduced in the most highly transduced gland when 2 x 106 PFU of Ad5GFP were injected. The ratio of transducing units to PFU was near 5:1, so approximately 107 transducing units were injected. This analysis suggests that greater than half of the injected vector transduced epithelial cells, supporting the idea that the process is relatively efficient during the late stage of pregnancy in the mammary gland.
The mammary gland consists of an inner layer of ductal cells and alveoli and an outer contractile monolayer of myoepithelial cells closely attached to the basement membrane. The myoepithelial cells extend laterally along ducts and form a basket-like sheath around both ducts and alveoli (13). In response to oxytocin binding to specific receptors, myoepithelial cells contract and expel milk from the alveoli into the ducts and eventually out of the gland. The presence of GFP in myoepithelial cells in glands transduced in late pregnancy (Fig. 2D) suggests that viral particles were able to traverse the paracellular compartments of the mammary gland or that some myoepithelial cells were exposed at the luminal surface. The presence of GFP in myoepithelial cells also raises the possibility that the basolateral surface of the mammary epithelium is accessible during late pregnancy, when the paracellular spaces are open to large molecules, allowing adenovirus access to its receptor (1, 23, 27).
Epithelial structures of nulliparous mice can also be transduced by Ad5GFP (Fig. 2C and 4B). Portions of the gland proximal to the teat were highly transduced after injection with relatively high doses of virus, but the extent of transduction was greatly reduced with decreasing doses (Fig. 2C and 4B). It is possible that adenovirus transduction can be used experimentally in nulliparous animals with small volumes and careful attention to optimizing the dose.
Functional competence of transduced cells. The data presented to this point show that mammary epithelial cells can be transduced with Ad5GFP during pregnancy and can be maintained well into lactation without inflammation. However, in order to utilize adenovirus microinjection as an effective method of changing gene expression, transduced cells must retain functional integrity. Two distinct pathways of cellular milk synthesis, milk protein secretion and milk fat secretion, can be assessed morphologically. Transduced alveoli displayed normal morphology, produced and secreted milk fat globules, and were laden with milk, which was stained red in the lumen of the alveoli in Fig. 5A. Casein, a milk protein, was also produced and was detected in the lumen of transduced alveoli (Fig. 5B). Xanthine oxidase has been shown to redistribute from the cytoplasm to the surface of emerging milk fat globules during pregnancy at the onset of lactation, and this redistribution is thought to be essential for milk fat globule release (J. McManaman, personal communication). This localization of xanthine oxidase was maintained in transduced cells (Fig. 5C and 5D). Thus, the transduced cells appeared to be fully functional.
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FIG.5. Maintenance of function in mammary glands transduced with Ad5GFP. (A) Two nearly completely transduced (green) alveoli showing milk oligosaccharides stained with rhodamine-wheat germ agglutinin (red), nuclei stained with DAPI (blue), and surrounding milk lipid droplets. These alveoli appear morphologically normal. Bar, 100 µm. (B) A 20x view of lumens of transduced (green) alveoli stained with anticasein antibody (red); the nuclei were stained with DAPI (blue). (C) A 20x and (D) a 100x view of fat droplets in transduced (green) alveoli rimmed with xanthine oxidase (XO) as shown by stain (red) with an anti-xanthine oxidase antibody; the nuclei are stained with DAPI (blue). Arrows indicate milk fat droplets rimmed with xanthine oxidase in panel D. Bar, 20 µm.
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We had less success with adenovirus transduction at other stages of mammary gland development. Transduction during early pregnancy was relatively low (Fig. 4A), possibly because the epithelium is turning over rapidly at this developmental stage (2). Transduction during lactation (Fig. 4A) was rarely successful. Our laboratory has previously shown that tight junction permeability is very low during lactation (16), preventing solute passage through the paracellular pathway to the basal surface of the gland, where the adenovirus receptor may be localized (23, 27) There is also evidence that the coxsackie and adenovirus receptor is a component of the tight junction complex and that its localization within this complex impedes viral transduction (3).
Taking these factors into consideration, it is possible that the change in tight junction permeability that accompanies secretory activation is responsible for the low efficacy of adenovirus transduction during lactation. Also, during lactation, the high concentration of milk proteins may adsorb the viral particles. The density of adenovirus receptors may also differ at different stages of mammary gland development with changes in endocrine state, and these differences may influence the efficacy of adenovirus transduction (7). Thorough investigations with such techniques as in situ hybridization and adenovirus receptor density studies in mouse mammary glands at various stages of development are needed to properly address these issues. Nevertheless, adenovirus vectors appear to be effective in mediating the transduction of functional genes into mouse mammary epithelial cells, particularly ain late pregnancy, when the tight junctions between epithelial cells are open to the passage of large molecules (15).
Our results also demonstrate that transduction with Ad5GFP does not disrupt normal mammary epithelial cell morphology and function (Fig. 5). Adenovirus transduction did not disrupt either of two major and distinct synthetic pathways for cellular milk secretion, milk protein secretion and milk fat globule formation. These data clearly show that adenovirus transduction can be used to alter gene expression and to study luminal cell function in the mouse mammary epithelium.
Adenovirus vectors used in sufficient amounts to efficiently transduce target tissues generally induce a strong inflammatory response that typically reaches a high level within 4 to 7 days of vector introduction in a variety of immunocompetent mouse strains. Inflammation occurs within targeted organs transduced via the bloodstream, such as the liver (25), as well as when the mucosal surface of an organ is targeted, such as in the lung (26). The inflammatory response both limits the duration of expression and leads to an immune response that limits successful reuse of the vector. The relatively rapid induction of inflammation has limited the usefulness of adenovirus vectors for studies of altered gene expression in most tissues. Thus, the findings presented here are somewhat surprising.
It is not clear why the induction of inflammation is delayed when adenovirus vectors are used in sufficient amounts to transduce a significant fraction of the mammary epithelium. It is possible that this delay is due to the use of outbred CD-1 mice. Adult CD-1 mice have been successfully transduced for extended periods of time with adenovirus vectors (22), and neonatal CD-1 mice did not exhibit inflammation after injection with an adenovirus vector (21), raising the possibility that CD-1 mice may exhibit reduced inflammatory and immune responses to adenovirus vectors relative to other mouse strains. Alternatively, it may be that pregnancy reduced the immunocompetence and inflammatory response of the mice. Regardless, the delayed onset of inflammation means that adenovirus vectors can be effectively used as a tool for altering gene expression in the mammary gland of CD-1 mice.
The usefulness of first-generation adenovirus vectors in transduction of the mammary epithelium of late pregnancy means that it is not necessary to undertake the substantial efforts required for the use of helper-dependent, or "gutless," vectors. However, it remains a possibility that the use of second-generation vectors made replication incompetent through deletion of a viral gene essential for viral DNA replication, such as the terminal protein gene (11), will lead to a reduction in the low level of inflammation or extend the time prior to the appearance of inflammation, extending their usefulness. Since such vectors are relatively easy to construct and grow, it may be worthwhile to test their effectiveness in transducing the mammary epithelium.
Intraductal microinjection of adenovirus vectors should aid in studies of a variety of genes of interest in the mammary epithelium. Since adenovirus transduction appears to be confined to the mammary epithelium, these methods provide a technique to target genes of interest to this tissue compartment. Potentially, these techniques could be used for drug, hormone, or protein delivery to milk on a short-term basis. Currently, our laboratory is preparing to use the methods described here to examine the regulation of milk synthesis and secretion in the mouse mammary epithelium. Recombinant adenovirus constructs could potentially target genes responsible for certain types of breast cancers. The procedures described here provide a means of studying the efficacy of such vectors.
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