Genomic and lipidomic analyses differentiate the compensatory roles of two COX isoforms during systemic inflammation in mice1,2[S]

Both cyclooxygenase (COX)-1 and COX-2, encoded by Ptgs1 and Ptgs2, function coordinately during inflammation. But the relative contributions and compensations of COX-1 and COX-2 to inflammatory responses remain unanswered. We used three engineered mouse lines where the Ptgs1 and Ptgs2 genes substitute for one another to discriminate the distinct roles and interchangeability of COX isoforms during systemic inflammation. In macrophages, kidneys, and lungs, “flipped” Ptgs genes generate a “reversed” COX expression pattern, where the knock-in COX-2 is expressed constitutively and the knock-in COX-1 is lipopolysaccharide inducible. A panel of eicosanoids detected in serum and kidney demonstrates that prostaglandin (PG) biosynthesis requires native COX-1 and cannot be rescued by the knock-in COX-2. Our data further reveal preferential compensation of COX isoforms for prostanoid production in macrophages and throughout the body, as reflected by urinary PG metabolites. NanoString analysis indicates that inflammatory networks can be maintained by isoform substitution in inflamed macrophages. However, COX-1>COX-2 macrophages show reduced activation of inflammatory signaling pathways, indicating that COX-1 may be replaced by COX-2 within this complex milieu, but not vice versa. Collectively, each COX isoform plays a distinct role subject to subcellular environment and tissue/cell-specific conditions, leading to subtle compensatory differences during systemic inflammation.

delve deeper into COX-2 selective inhibitors (Coxibs) with the promise of blocking the deleterious actions of PGs in chronic inflammation, pain, and fever (8). However, several studies show that prostanoids formed via COX-1 are also involved (9,10). Mice with Ptgs1 gene disruption showed decreased ear edema induced by arachidonic acid (AA) (10,11). In contrast, mice with Ptgs2 disruption display a normal inflammatory response to treatments with AA, but are susceptible to peritonitis (12,13). Further studies demonstrated the differential contribution of the two COX isoforms in inflammatory settings, such as tetradecanoyl phorbol acetate-triggered ear edema (10,12,14) and carrageenan-induced air pouch and paw edema models (15,16). Additional evidence showed that elimination of COX-1 alone was not sufficient to cause gastric ulcers and that the combined inhibition of both COX isoforms could lead to gastric toxicity (17). These mixed messages ratify the concept that individual COX isoforms may act independently, but most likely interdependently, to generate a variety of lipid mediators within the context of a complex milieu of inflammation.
There is also a temporal sequence of events in acute inflammation, governed by eicosanoid profile switching (18). Thus, the eicosanoids made during the initial phase, dependent on COX-1, may be replaced by other lipid mediators, derived mainly from COX-2 (5), and potentially by specialized pro-resolving mediators in the resolution phase (19,20). One unanswered question, before the initiation of the resolution phase, is which COX isoform plays a dominant role during a systemic inflammatory event. Some data are consistent with COX-1 being more important than COX-2 with respect to prostanoid-mediated pathophysiological consequences in severe systemic inflammation (21). However, other researchers provided several lines of evidence demonstrating that COX-2 is a more critical component associated with endotoxemia (22). Very recent data showed that inflammatory pain is preferentially dependent on PGE 2 generated by COX-2 in neural cells (23). Conflicting results have been obtained regarding the compensatory mechanism of COX-1 when COX-2 function is disrupted (24) or replaced (25). To date, there has been no report on the possible interchangeability of these two isoforms during systemic inflammation.
Using our novel mouse strains (COX-1>COX-2, COX-2>COX-1, and Reversa), in which one or two COX isoforms are exchanged (26), we carried out the current study to investigate the distinct roles and compensatory possibilities of the two COX isoforms in host responses to bacterial endotoxemia. Using gene arrays and lipidomic assays, we scanned the effect of flipping the two COX isoforms on inflammatory gene expression and a panel of eicosanoids, and captured a possible interchangeability between these two isoforms in terms of eicosanoid synthesis along with some altered cytokine and chemokine gene expression profiles.

Mice
A COX-1>COX-2 mouse strain on a mixed C57BL/6×129/Sv genetic background was established previously by replacing most of exons 1-9 of Ptgs2 with the entire Ptgs1 cDNA (13). These mice were backcrossed with the C57BL/6 strain for 10 generations. A COX-2>COX-1 mouse strain on the C57BL/6 background was established by partial replacement of the coding region of Ptgs1 (exons 3-10) with Ptgs2 exons 2-10, while leaving the Ptgs1 promoter region intact (26). Cross-breeding of COX-1>COX-2 and COX-2>COX-1 mice produces "Reversa" mice. Genotyping was performed routinely by PCR on DNA isolated from tail biopsies. All procedures for animal experimentation were undertaken in accordance with the principles and guidelines of the Canadian Council on Animal Care and were approved by the Queen's University Animal Care Committee.

Lipopolysaccharide-induced systemic inflammation
Lipopolysaccharide (LPS) (1.5-5 mg/kg body weight) induces systemic inflammation in rodents (27)(28)(29); however, low-dose LPS (0.01 mg/kg) is not sufficient to increase PGE 2 levels in serum or peritoneal lavage fluid of mice (30). Systemic inflammation was induced via injection of a single dose of Escherichia coli LPS (serotype O111:B4; Sigma-Aldrich). We confirmed that 2 mg/kg of LPS challenge was sufficient to induce gene expression of pro-inflammatory interleukin (IL)-6 and monocyte chemotactic protein 1 (MCP-1, CCL2) (data not shown). Thus, a dose of 2 mg/kg LPS (body weight), diluted in sterile PBS, was injected intraperitoneally into WT, COX-2>COX-1, COX-1>COX-2, and Reversa mice (12-16 weeks of age; n = 6 each group). An equivalent volume of PBS alone was given to another group of WT mice (control group). No endotoxemic mortality was observed during the course of the experiment.
Urine samples were collected between 3 and 6 h postinjection. At 6 h, blood was collected from the submandibular vein into heparinized capillary tubes, and then plasma was obtained via centrifugation prior to euthanization by CO 2 asphyxiation. Additional blood was drawn by cardiac puncture for serum analysis. Urine, plasma, and serum were all frozen at 80°C until PG profiling. The peritoneal cavities were initially washed with 0.5 ml cold PBS. The peritoneal lavage fluids were then centrifuged and saved for measurement of PG profiles by negative ion ESI LC-MS/ MS), normalized to the protein concentration (see details below) (13). The cell pellet (mainly macrophages) was pooled with a subsequent 5 ml lavage. After removal of the nonadherent cells, as described (31), the remaining cells were harvested for RNA or protein extraction.

Western blot analysis
Whole-cell or various tissue lysates were prepared with RIPA lysis buffer (Millipore Corporation, Billerica, MA) or T-PER protein extraction reagent (Thermo Scientific) plus a protease inhibitor cocktail (Roche Diagnostics, Indianapolis, IN). Western blot analysis was carried out as outlined previously (26).

Quantitative real-time PCR
Total RNA was extracted from LPS-elicited macrophages using the RNeasy mini kit (#74104; Qiagen) and quantitative real-time PCR was performed using a thermal cycler (Applied Biosystems Model 7500) with SYBR Green PCR master mix (Bio-Rad) (32). The 18S rRNA was used as a control housekeeping gene and data were expressed as mRNA expression relative to 18S rRNA expression. Oligonucleotide primers were acquired from Eurofins MWG Operon (Huntsville, AL) and are listed in supplemental Table S1.

PG metabolite analyses
The previously described protocol was used with a few modifications (26). The analysis was performed on a Waters ACQUITY ultra-performance LC system in-line with a Waters Xevo TQ-S triple quadrupole mass spectrometer. The ultra-performance LC system directly interfaced with the negative-mode ESI source of the mass spectrometer using multiple reaction monitoring. Peritoneal lavage (100 l per sample) was extracted and analyzed. Data were normalized to the amount of protein (milligrams) in the lavage. To adjust for rates of urine production and sample collection, data were normalized to creatinine levels and expressed as nanograms of metabolite per milligram of creatinine.
Six hours after LPS injection, kidneys were dissected and frozen for PG profiling. Kidney medullar PG extraction and measurement was carried out as previously described (33). Briefly, slices of inner medulla were carefully dissected and homogenized in 1 ml of ice-cold PBS containing 100 M indomethacin. Residual tissue was separated by centrifugation and the supernatant was collected and 50 l per sample of the kidney tissue were extracted and analyzed. Data were normalized to the protein content in the kidney preparation.

AA-mediated ear inflammation
AA (2 mg in 10 l acetone) was applied to the inside of the left ear and the same amount of vehicle was applied to the right ear of 8-week-old mice. Ear punches (8 mm) were taken and weighed after 1 h treatment (11).

NanoString analysis
Peritoneal macrophages from mice challenged with either LPS (2 mg/kg body weight; WT, COX-2>COX-1, COX-1>COX-2, and Reversa mice) or PBS (control, WT mice) were pelleted and stored at 80°C until further analysis. RNA was extracted as described earlier and the quality of the isolated RNA was checked with Agilent RNA 6000 nano assay kit reagents using an Agilent 2100 bioanalyzer (Agilent Technologies, Santa Clara, CA). Samples with a RNA integrity number of 7.0 or higher were used for NanoString analysis. The RNA samples were quantified using a standard Nanodrop ND-1000 spectrophotometer (Nanodrop, Wilmington, DE). The RNA concentrations were then adjusted to 20 ng/l. RNA (100 ng) was used to determine the levels of gene expression. Prebuilt mouse inflammation v2 panels (XT-CSO-MIN2-12) were distributed by NanoString Technologies. The CodeSets consisted of 248 endogenous genes, 6 internal reference genes, 8 negative control genes, and 6 positive control genes. Procedures were performed according to the manufacturer's protocol (NanoString Technologies, Seattle, WA). In brief, reactions were hybridized for about 18 h at 65°C, after which the products were run through the nCounter preparation station for removal of excess probes. Raw data were generated with the nCounter digital analyzer by counting individual barcodes. Collected data were imported into nSolver 3.0 software (NanoString Technologies). Annotated genotypes (WT, COX-2>COX-1, COX-1>COX-2, and Reversa; n = 6 each) and treatments (control or LPS) were used to group the data. Grouped data were then normalized to the geometric means of spiked-in positive controls (controls for assay efficiency) and spiked-in negative controls (normalized for background). The data were further normalized to the housekeeping genes (34).
NanoString gene expression counts were then analyzed with the nSolver 3.0 software to identify significantly regulated probes. A minimum threshold of 2-fold change was set to select the differentially regulated probes/genes, relative to the control group. Significantly regulated probes were sorted by using a Venn diagram generator (http://bioinfogp.cnb.csic.es/tools/venny). Heat maps representing the expression of probes across groups were generated and hierarchically clustered based on the default parameters of the software. Differentially expressed genes were functionally annotated and analyzed via nCounter Advanced Analysis (version 1.1.4). Pathway scores were fitted using the first principal component of each gene set's data based on the default Pathway Modules in the nCounter Advanced Analysis. The data discussed in this publication have been deposited in NCBI's Gene Expression Omnibus (GEO) and are accessible through GEO series accession number GSE102735.
To further analyze networks and pathways involved in the genes in four different groups of mice challenged by LPS, the genes were analyzed using Ingenuity Pathway Analysis (IPA) (Qiagen, version 31813283), as previously described (35). The following settings were used for the analysis: network analysis, direct and indirect relationship; molecules per network, 35; networks per analysis, 25; data sources, all; confidence, experimentally observed; species, mouse; and tissues and cells lines, all. IPA uses Fisher's exact test to determine which canonical pathways or biological functions are significantly linked to the input gene set compared with the whole Ingenuity knowledge base.

Data analysis
Data are expressed as mean ± SEM. The Kolmogorov-Smirnov test was used as a normality test. One-way ANOVA analysis was used for normally distributed variables and the Dunnett T3 post hoc comparisons were conducted when the ANOVA indicated a significant difference among the compared means. Nonparametric Kruskal-Wallis tests were used for nonnormally distributed variables. Tests were two-tailed and values of P < 0.05 were considered statistically significant. The statistical analysis was performed with GraphPad Prism 7 software (GraphPad, San Diego, CA).

COX expression in inflamed tissues
Western blot analysis ( Fig. 1) shows that COX-1 (70 kDa) is completely knocked-out in all COX-2>COX-1 and Reversa tissues tested, as expected, in the absence of LPS. However, COX-2 (72 kDa) expression in both COX-2>COX-1 and Reversa mice under basal conditions is detectable even without LPS stimulation. In LPS-stimulated tissues, endogenous COX-2 expression was significantly induced in the kidney and lung of WT mice. Ptgs1-driven COX-2 expression in Reversa mice was not induced by LPS; the level was more comparable with that of nonstimulated COX-2>COX-1 and Reversa tissues. On the other hand, Ptgs2-driven COX-1 expression in Reversa mice was weakly induced by LPS in the kidney and lung. Endogenous COX-1 expression in WT remained the same level, regardless of the presence of LPS. These data indicate that during systemic inflammation, native COX-2 is induced throughout the body in several tissues: resident macrophages, kidney, and lung.

COX exchange reveals differential compensation for prostanoid biosynthesis in macrophages
We used peritoneal macrophages to analyze relative COX-1 and COX-2 expression with or without LPS stimulation ( Fig. 2A). COX protein expression patterns observed in macrophages from mice when challenged with LPS in vivo were similar to patterns in ex vivo isolated resident macrophages (26). In non-LPS-stimulated macrophages, expression of the COX-1 isoform was evident in WT and COX-1>COX-2 mice, but not in COX-2>COX-1 and Reversa mice. Moreover, Ptgs1-driven COX-2 was constitutively expressed in both COX-2>COX-1 and Reversa mice even without LPS stimulation. In LPS-stimulated macrophages, endogenous COX-2 expression was dramatically induced in WT mice, but not in the COX-1>COX-2 mice, where endogenous COX-2 was knocked out completely. Ptgs1-driven COX-2 expression in Reversa mice was not LPS-inducible; in contrast, Ptgs2-driven COX-1 expression in Reversa mice could be induced weakly by LPS.
Using NanoString technology, we also demonstrated Ptgs gene exchange in peritoneal macrophages (Fig. 2B). Further quantitative (q)PCR analysis revealed the effects of gene exchange on the downstream eicosanoid-producing enzymes in an inflammatory context (Fig. 2C). Expression of two prostanoid synthases, microsomal PGE synthase-1 (mPGES-1) for PGE 2 synthesis and aldo-keto reductase-1 B3 subtype (AKR1B3) for PGF 2 synthesis, are enhanced, with decreased expression of PGI synthase (PGIS) and thromboxane (Tx)A synthase 1 (TBXAS1). Reversa mice showed relatively low expression of mPGES-1 and AKR1B3, which may also cause less PGE 2 and PGF 2 production. Hematopoietic PGD synthase (H-PGDS), a major enzyme for PGD 2 synthesis in macrophages (36), is stably expressed in the presence or absence of LPS, in agreement with earlier studies (37). There is no distinguishable change in PGIS, TBXAS1, and H-PGDS resulting from Ptgs gene exchange. Another form of PGDS, lipocalin-type PGDS, mainly located in the brain (38), is barely detected in macrophages (data not shown).
Pla2g4a, encoding for type IV cytosolic phospholipase A 2 (cPLA 2 ), the key player for AA liberation and consequent eicosanoid production (39), is one of the upregulated genes upon LPS challenge and is not affected by Ptgs gene exchange (Fig. 2D). Interestingly, the expression of genes encoding enzymes/receptors in the leukotriene pathway (Alox15, Alox5, Cysltr1, and Ltb4r1) and prostanoid receptors (e.g., Ptger2 and Tbxa2r) are all negatively regulated in all four LPS-challenged groups of mice (Fig. 2D). This might help mitigate inflammatory reactions and restore systemic homeostasis. On the other hand, lowering of Alox15 and Alox5 expression may shunt AA metabolism toward the COX/PG pathway.
Prostanoid production, as detected in the peritoneal lavage, shows differential compensation across the three genotypes (Fig. 3). Elevated levels of TxB 2 were observed in samples from WT and COX-1>COX-2 mice. Due to a lack of constitutive endogenous COX-1 function, COX-2>COX-1 and Reversa mice produce much less Tx. PGF 2 production from all three types of macrophages was comparable with that from WT mice. However, PGE 2 and 6-keto-PGF 1 production from COX-2>COX-1, COX-1>COX-2, and Reversa mice was significantly less than that of WT counterparts, indicating that both COX-2 and COX-1 contribute to PGE 2 and 6-keto-PGF 1 production in these cells and that the exchanged genes may not be functioning sufficiently during systemic inflammation. Images are representative of two separate experiments. B: RNA counts from NanoString analysis of Ptgs1 and Ptgs2 expression in macrophages. Note that NanoString Ptgs1 probe (exon 11) and Ptgs2 probe (exon 5) can detect both native Ptgs and knock-in Ptgs. Data are presented as mean ± SEM, n = 6. C: Quantitative PCR for prostanoid synthases (mPGES-1, PGIS, AKR1B3, TBXAS1, and H-PGDS) in macrophages. Data are expressed as relative mRNA expression to 18S rRNA (mean ± SEM, n = 3). *P < 0.05 versus WT. D: RNA counts from NanoString analysis of Alox15, Alox5, Cysltr1, Ltb4r1, Pla2g4a, Ptger2, and Tbxa2r expression in macrophages. Data are presented as mean ± SEM, n = 6.

Flipping COX isoforms identifies differential interchangeability for prostanoid production
Eicosanoids in plasma, serum, and urine were profiled to reveal the effect of flipping the two COX isoforms on potential interchangeability between the two COX isoforms to produce downstream prostanoids. Levels of TxB 2 , PGF 2 , PGE 2 , and 6-keto-PGF 1 in plasma were very low (at detection limits or below the limit of detection). When challenged with LPS intraperitoneally for 6 h, WT mice produced and released more PGs, especially after platelet activation and blood coagulation (serum samples). PG levels of COX-1>COX-2 mice are comparable with those of WT mice. However, this PG profile was not observed in COX-2>COX-1 and Reversa mice. There was one exception, COX-2>COX-1 mice could efficiently catalyze prostacyclin synthesis (measured as 6-keto-PGF 1 in serum; Fig. 4).
Additional analysis of AA-associated metabolites revealed that the capacity of COX-2>COX-1 and Reversa mice to make 12-HHT (a Tx pathway byproduct) and 15-HETE (a COX pathway byproduct, especially in mice where there are no specific 15-lipoxygenase enzymes) (40) was also nearly abolished, whereas leukotriene pathways appeared to function properly in all four genotypes (Fig. 5). Surprisingly, AA levels in Reversa mice were significantly lower than the other three strains of mice, whether measured in plasma or serum. These alterations in AA supply through endogenous routes appear to significantly affect the coupling between COXs and terminal PG synthases (41). This may, to some extent, account for the severely impaired capacity to generate PGs tested in the Reversa mice where both COXs are substituted.
We examined the urinary PG profile to determine differential alterations in the three strains of mice with systemic LPS challenge (Fig. 6). As expected, the Tx-M metabolite in COX-1>COX-2 mice was remarkably higher than the other three strains of mice, resulting from native COX-1 and "induced" COX-1. In contrast, Tx-M metabolite  from COX-2>COX-1 and Reversa mice was decreased substantially relative to WT and COX-1>COX-2 mice. COX-2>COX-1 mice produced the most PGI-M derived from either inducible COX-2 or "constitutive" COX-2, compared with the other three groups. In addition to the serum PG profile, these findings agree with the concept that PGI 2 biosynthesis initiates preferentially from COX-2 (33,42,43) and TxA 2 biosynthesis relies on COX-1 (10,44). Both isoforms contribute to PGE 2 and PGD 2 biosynthesis in an inflammatory setting.

Medullar COX-1 makes irreplaceable contributions to renal PG synthesis
During endotoxin-induced inflammatory responses, damage to kidneys and lungs often contributes to the associated morbidity and mortality. PG synthesis in renal  Fig. 6. Total urinary prostanoid biosynthesis in mice. Urinary prostanoid metabolites were measured in urine samples collected over 3 h from mice challenged with LPS intraperitoneally. Data are presented as mean ± SEM, n = 6-11. medullary homogenates is quite distinct from estimation of systemic PG biosynthesis (45). Our data show that the medullar capacity to synthesize PGs is primarily dependent on COX-1, either in the presence or absence of native COX-2 (Fig. 7). Disruption of native COX-1 in either COX-2>COX-1 or Reversa mice led to the suppressed capacity to produce all detected PGs. Unlike the AA levels in blood, as mentioned above, medullar endogenous AA released at the same level across all four strains of mice. Each group had a similar ability to synthesize HETEs and LTB 4 (supplemental Fig. S1).

Differential inflammatory signaling pathway of COX isoforms
To directly address the role of the two COX isoforms in host responses to bacterial endotoxemia, we assessed the impact of Ptgs gene exchange on the systemically induced inflammatory response triggered by E. coli-derived LPS. Using NanoString technology and a group of 248 classic inflammatory genes, Venn diagram analysis showed 113 of them (69%) changed more than 2-fold in all four genotype groups (Fig. 8A, supplemental Table S2) in response to systemic LPS challenge. LPS may trigger negative feedback mechanisms to protect the host from excessive inflammatory damage (46). Seventy-four genes involved in inflammation were upregulated and 39 genes downregulated upon LPS challenge. Hierarchical clustering analysis performed on the 113 LPS-induced transcripts showed similar overlapping gene expression patterns among the four genotypes of mice versus control mice (Fig. 8B). Four upregulated genes were further confirmed by NanoString analysis and quantitative RT-PCR (Fig. 8C). However, advanced inflammatory pathway analysis reveals that significant components of the inflammatory pathways in the peritoneal macrophages are influenced by the gene exchange. COX-1>COX-2 mice are predicted to respond less robustly to inflammatory challenges than the other three strains, with lower pathway scores in cytokine activity, cytokine-and chemokine-mediated signaling, and inflammatory responses (Fig. 8D). We further examined these pathways using other analyses (IPA) and obtained similar predictions (supplemental Fig. S2). To test this experimentally, ear inflammation was induced by topical application of AA. COX-1>COX-2 mice exhibited a significantly reduced inflammatory response to AA, measured as an increase in ear weight compared with WT littermates (P < 0.05) (Fig. 8E). Thus, loss of COX-2 in COX-1>COX-2 mice results in the reduced activation of inflammatory signaling pathways in inflamed peritoneal macrophages and ear tissue, consistent with previous findings in the brain (23,25). Collectively, both COX isoforms may contribute to PG production during acute inflammation (5,17,47) and COX-2 is able to, at least in an inflammatory context, compensate for COX-1, but not vice versa.

DISCUSSION
Since the discovery of a second isoform of COX (48)(49)(50), there has been considerable interest in the questions as to why there are two isoforms with identical activities and what distinct roles they might play during inflammation. We previously engineered three mouse lines (13,26) where the Ptgs1 and Ptgs2 genes substitute for one another to discriminate the distinct roles and functional interchangeability of the two COX isoforms. Using a systemic inflammatory mouse model, our current study reveals differential capability of COX isoforms to compensate for each other in macrophage prostanoid synthesis. Also, new insights into the interchangeability between COX isoforms to generate prostanoids are provided. While PG biosynthesis in platelets and kidneys requires native COX-1, which cannot be compensated by the knock-in COX-2, the inflammatory networks can be differentially rescued by isoform substitution. COX-2 is able to compensate for COX-1 in this complex inflammatory context, but not vice versa, as shown in peritoneal macrophages.  Several previous studies used mice deficient in COX-1 or COX-2 to identify the distinct roles for the respective COX isoforms (9)(10)(11)15) by topical application of an inflammation inducer (e.g., AA, tetradecanoyl phorbol acetate, or carrageenan). However, these models do not reflect the systemic inflammation commonly found in acute infectious disease (51) and represent a limitation for the interpretation of the unique roles for each COX isoform. Intraperitoneal administration of LPS activates Toll-like receptor 4 and initiates a cascade of inflammatory events characterized by the release of pro-inflammatory cytokines, chemokines, and eicosanoids (52). Our results confirm these findings. Most significantly, in the NanoString analysis, regulated expression is not changed due to the gene exchanges, but overall signaling pathways reveal that macrophages from COX-1>COX-2 mice respond less robustly to inflammatory challenges than the other three strains. PGE 2 , a major PG involved in inflammation and pain, can be maintained in serum by native COX-1, and production can be enhanced by "inducible" COX-1 in renal medulla. However, levels of PGE-M from peritoneally derived tissues and whole-body urinary production depend on both native COX isoforms; loss of either isoform resulting in severe systemic impairment of PGE 2 production. These findings are consistent with a previous study in COX-1>COX-2 mice in which the mice showed a complete lack of fever and inflammation-induced anorexia, as well as an impaired response to inflammatory pain (25). Ear edema data further confirm that loss of COX-2 leads to weaker topical responses, without resulting in a compensatory increase in COX-1-dependent PG function. Similar results are also found in adipose tissues deficient in COX-2 (53) and in another systemic inflammatory study (22). These data indicate that the knock-in COX-2 driven by the Ptgs1 gene promoter can rescue the inflammatory response in peritoneal macrophages, but not vice versa.
The two COX isoforms demonstrate differential interchangeability to maintain the capacity of prostanoid synthesis in an inflammatory context. Gene array data demonstrate that upstream cytosolic phospholipase A 2 (cPLA 2 ), liberating AA from membranes (54), is significantly upregulated by LPS (54) and is metabolically and nonpreferentially coupled with both COX isoforms upon systemic inflammatory challenges. However, the lipidomic profile identifies preferential interchangeability between COX isoforms to produce terminal prostanoids. COX-1>COX-2 mice could synthesize comparable levels of Tx in all analytes tested, including peritoneal lavage, serum, urine, and renal medulla, indicating that COX-1 is the main source of this prostanoid, which cannot be compensated by COX-2. Our data show that ablation of the native COX-2 (COX-1>COX-2 and Reversa) causes severe impairment in prostacyclin biosynthesis, detected as urinary metabolite PGI-M, parallel to the serum 6-keto-PGF 1 level in the inflammatory setting.
Moreover, the remaining COX-1, even with the help of knock-in COX-1 in COX-1>COX-2 mice, is not able to compensate for COX-2 deficiency to generate prostacyclin. In an environment of systemic inflammation, Ptgs gene exchange has no significant impact on the upregulation of mPGES-1, and deficiency of either isoform (COX-1>COX-2 or COX-2>COX-1) decreases the systemic PGE 2 biosynthesis detected in urine and peritoneal lavage. A similar profile can be found relating to PGD 2 metabolism, suggesting that both COX isoforms generate PGE 2 and PGD 2 in a reciprocal manner.
Unpredicted findings of the current study included the disability of Reversa mice to make PGs and the relatively normal inflammatory responses in these mice. These mice appear healthy (data not shown), although we have not perturbed the phenotype other than by LPS administration. Unlike the two "precursor" lines of Reversa mice, COX-1>COX-2 and COX-2>COX-1 mice, which show changes in PG formation that might be expected (measured in peritoneal lavage, platelets, and urine; Fig. 3, Fig. 4, and Fig. 6, respectively), the Reversa mice barely make PGs. Elevated LPS-induced PG production in vitro was only observed for cells expressing endogenous COX-2, whereas PGE 2 and 6-keto-PGF 1 are practically undetectable in the cell culture medium from Reversa macrophages [ Fig. 5 in (26)]. In the present study, when LPS was injected intraperitoneally, PG levels from Reversa mice in the peritoneal fluid (but not the cells) were also somewhat elevated (Fig. 3), possibly derived from other cell types in the peritoneal cavity. Additionally, the PG profile from peritoneal fluid is not as drastically altered compared with the urinary metabolites, where PGE-M and PGI-M are decreased nearly to the detection limits in Reversa mice (Fig. 6). Neither knock-in COX-1 nor COX-2 protein expression level fully mimics the native protein, which was similar to that found in the brain of COX-1>COX-2 mice in a previous study (25). If knock-in Ptgs2 is completely under endogenous Ptgs1 control, or vice versa, the knock-in COX expression should be equivalent to that of native COX. We have shown that knock-in mRNA transcripts are not always equal to the WT mRNA transcripts, varying in a tissue-specific context, as we discussed in a companion study (26). Another explanation is that an efficient coupling between the enzymes in the PG biosynthetic pathway can be dramatically affected by the amounts of available AA released in subcellular contexts (55)(56)(57). Surprisingly, AA levels measured in plasma or serum of Reversa mice were significantly lower than for the other three strains of mice. Perturbed arachidonate (AA) substrate availability may disturb the coupling between COXs and terminal PG synthases (41), consequently accounting for the severely impaired capacity to generate PGs in Reversa mice. Besides COX/PG pathway involvement in inflammatory responses, lipoxygenases/leukotrienes also coordinate the pro-inflammatory cascade (58). associated inflammatory responses. Data are presented as mean ± SEM, n = 6 except for the qPCR data, n = 4. *P < 0.05 versus WT. E: Evaluation of ear inflammatory responses. Data are expressed as ear weight increase of an 8 mm diameter biopsy after AA treatment (left ear) compared with vehicle treatment (right ear). *P < 0.05 versus WT (n = 8).
However, proper function of leukotriene pathways, as detected by LTB 4 and LTE 4 in serum, combined with fairly normal pro-/anti-inflammatory gene expression in Reversa mice yields a conundrum that will require further study.
In the present study, we have attempted to better understand the distinct roles of the two COX isoforms in host responses to bacterial endotoxemia by determining the effects of Ptgs gene exchange. While COX exchange did not alter the LPS-initiated expression of pro-and antiinflammatory genes, it was predicted that loss of COX-2 in COX-1>COX-2 mice reduced signaling pathway scores in cytokine activity, cytokine-and chemokine-mediated signaling, and inflammatory responses and this was further strengthened by a marked reduction in an ear edema model. COX-2 is able, at least in an inflammatory context, to compensate for COX-1, but COX-1 cannot replace COX-2. In addition, analysis of eicosanoids reveals a differential interchangeability between these two isoforms in terms of PG production after Ptgs gene exchange in an inflammatory context. Results from our experiments provide several lines of evidence demonstrating that one isoform may compensate functionally for the other, but this is characterized in an isoform-specific fashion. Both isoforms function coordinately, but not fully interchangeably during a systemic inflammatory insult.