Leptin Promotes cPLA2 Gene Expression through Activation of the MAPK/NF-κB/p300 Cascade

Hyperplasia or hypertrophy of adipose tissues plays a crucial role in obesity, which is accompanied by the release of leptin. Recently, obesity was determined to be associated with various pulmonary diseases including asthma, acute lung injury, and chronic obstructive pulmonary disease. However, how obesity contributes to pulmonary diseases and whether leptin directly regulates lung inflammation remains unclear. We used cell and animal models to study the mechanisms of leptin mediation of pulmonary inflammation. We found that leptin activated de novo synthesis of cytosolic phospholipase A2-α (cPLA2-α) in vitro in the lung alveolar type II cells, A549, and in vivo in ICR mice. Upregulated cPLA2-α protein was attenuated by pretreatment with an OB-R blocking antibody, U0126, SB202190, SP600125, Bay11-7086, garcinol, and p300 siRNA, suggesting roles of p42/p44 MAPK, p38 MAPK, JNK1/2, NF-κB, and p300 in leptin effects. Leptin enhanced the activities of p42/p44 MAPK, p38 MAPK, JNK1/2, and p65 NF-κB in a time-dependent manner. Additional studies have suggested the participation of OB-R, p42/p44 MAPK, and JNK1/2 in leptin-increased p65 phosphorylation. Furthermore, p300 phosphorylation and histone H4 acetylation were reduced by blockage of OB-R, p42/p44 MAPK, p38 MAPK, JNK1/2, and NF-κB in leptin-stimulated cells. Similarly, blockage of the MAPKs/NF-κB/p300 cascade significantly inhibited leptin-mediated cPLA2-α mRNA expression. Our data as a whole showed that leptin contributed to lung cPLA2-α expression through OB-R-dependent activation of the MAPKs/NF-κB/p300 cascade.


Introduction
Obesity, a worldwide epidemic, is a type of health impairment resulting from aberrant or excessive adipose accumulation [1]. Recently, obesity has been found to relate to various pulmonary diseases, including obstructive sleep apnea, asthma, acute lung injury (ALI), and chronic obstructive pulmonary disease (COPD) [2][3][4][5]. It is known that an increase in body mass index (BMI, kg/m 2 ) is associated with an elevation in the incidence of asthma [6] and that people with obesity who undergo surgery to remove approximately 30% of their weight are 2 to 7.5 times less likely to have obstructive sleep apnea symptoms two years post-surgery [7]. Moreover, epidemiological studies have revealed that obesity is a crucial predisposing factor in the development of ALI [5]. However, how obesity contributes to the occurrence of pulmonary diseases is largely unknown. It is known, however, that a pulmonary inflammatory response occurs during recovery from exogenous infection or injury of the lungs and can result in lasting damage if not properly resolved. Inflammation-related proteins such as cytosolic phospholipase A 2 -α (cPLA 2 -α) are upregulated in response to the stimulation of exogenous stimuli or cytokines in the lung system [8,9]. It was found that the expression of cPLA 2 -α exacerbated Pseudomonas aeruginosa-induced lung injury and mice lethality [10]. In addition, laboratory cPLA 2 -null mice showed less pulmonary edema, neutrophil sequestration, and deterioration of gas exchange compared with mice administered lipopolysaccharide or zymosan or with those suffering from acid aspiration-induced acute respiratory distress syndrome [11,12]. This suggested that cPLA 2 -α contributed to the severity of lung diseases and that the inhibition of a cPLA 2 -α-mediated pathway may provide a therapeutic approach against lung pathologies. However, whether obesity contributes to lung pathologies by upregulating the expression of cPLA 2 -α and its related mechanisms remains unknown. Thus, the mechanisms underlying obesity-induced cPLA 2 -α expression were investigated in human alveolar type II A549 cells.
Adipose tissue is composed of adipocytes and a vascular-stromal fraction, which contains macrophages, fibroblasts, endothelial cells, and preadipocytes [13]. In addition to the regulation of whole-body fatty acid homeostasis, adipose tissue functions as a complex endocrine organ, secreting adipokines [14]. Leptin, a 16-kDa adipocyte-derived adipokine, is the product of the obesity (Ob) gene. Structurally similar to IL-6, IL-11, and IL-12, leptin belongs to the long-chain helical cytokine family and functions as an immune modulator [15]. Leptin activates macrophages/monocytes and natural killer cells, and regulates the proliferation, phagocytosis, chemotaxis, and oxygen radical release of neutrophils [16]. Leptin also promotes naïve T cell proliferation and IL-2 secretion, the memory T cells proliferation and differentiation toward T helper 1 cell immune responses, and the suppression of the CD4 + CD25 + regulatory T cell proliferation [16,17]. Apoptosis of T cells are prevented by leptin through the upregulation of the anti-apoptotic protein bcl-xL [16]. Although experiments have indicated the roles of leptin in mediating immune responses, fewer studies examine their roles in pulmonary inflammation. Thus, obesity and pulmonary inflammation were correlated by investigating leptin effects on regulating cPLA 2 -α expressions.
Once released, leptin affects cells by binding to the leptin receptor OB-R, the product of the diabetes (db) gene. OB-R belongs to the class I cytokine receptor family with no intrinsic tyrosine kinase activity and is activated by the formation of homo-or heterodimers [18]. Six OB-R isoforms containing identical N-terminal binding domains but different lengths of cytoplasmic domains were identified: OB-Ra, OB-Rb, OB-Rc, OB-Rd, OB-Rf, and OB-Re [19,20]. However, with its approximately 300 intracellular residues, OB-Rb is the only one isoform to transduce downstream signaling [21]. After binding to OB-R, leptin activates the mitogen-activated protein kinase (MAPK) cascade by recruiting SH2-containing tyrosine phosphatase-2 (SHP2; PTPN11) [22][23][24]. Mammalian MAPKs are composed of p42/p44 MAPK, p38 MAPK, and JNK1/2. A previous study indicated that p42/p44 MAPK and JNK1/2 participated in leptin-stimulated MMP-1 expression, but p42/p44 MAPK and p38 MAPK played roles in MMP13 expression in leptin-stimulated rat nucleus pulposus cells [25]. However, whether leptin-contributed expression of cPLA 2 -α in the lung occurred through the activation of MAPKs remained unknown. In addition, activation of nuclear factor-κB (NF-κB) and p300 were demonstrated to drive gene activation of cPLA 2 [26,27]. It was shown that the increase of NF-κB activity was unrelated to the phosphorylation of MAPKs under the stimulation of TNF-α or IL-1β, but lipopolysaccharide was shown to phosphorylate NF-κB through MAPKs [28][29][30]. Whether NF-κB and p300 added to leptin-contributed cPLA 2 -α expression and its related mechanisms remain unclear.
We hypothesized that leptin contributes to pulmonary pathologies by upregulating cPLA 2 -α expression. The results revealed that leptin increased de novo expression of cPLA 2 -α in human alveolar type II A549 cells and in ICR mice. Pretreatment with MAPKs, NF-κB or p300 inhibitors suggested the participation of the MAPKs, NF-κB and p300 signal components in the gene activation process, with the attenuation of the leptin-induced expression of cPLA 2 -α yielding a similar indication. Leptin also stimulated the phosphorylation of MAPKs, NF-κB, and p300. However, leptin-induced phosphorylation of NF-κB was attenuated by inhibitors of p42/p44 MAPK and JNK1/2 but not p38 MAPK. Similarly, phosphorylation of p300 resulted in acetylation of histone H4 but was attenuated by MAPKs and NF-κB inhibitors. In conclusion, we showed that leptin mediated cPLA 2 -α expression in A549 cells through p42/p44 MAPK and JNK1/2-dependent NF-κB and p300 activation.

In Vitro and in Vivo Expression of cPLA 2 -α in Response to Leptin Stimulation
To examine the effects of leptin on the lungs, A549 cells were growth arrested and incubated using different concentrations of leptin for the various time intervals. At the end of incubation, the cells were lysed and their protein was extracted for detecting cPLA 2 -α expression by using Western blot. Proteins were loaded into a 10% concentration SDS-PAGE and probed with an anti-cPLA 2 -α antibody. The same membranes were stripped and reprobed with the anti-GAPDH antibody as internal controls. The expression of cPLA 2 -α was upregulated in response to leptin stimulation in a time-dependent manner with maximum responses occurring at 48 h of leptin stimulation ( Figure 1A). We also observed that 1 µg/mL of leptin showed higher levels of cPLA 2 -α expression than the other two leptin concentrations ( Figure 1A). To investigate mRNA expression, serum-starved A549 cells were treated with 1 µg/mL of leptin for the indicated time intervals ( Figure 1B). Subsequently, mRNA was extracted as a template of cDNA, and the expression of cPLA 2 -α mRNA was detected using RT-PCR. We determined that leptin stimulated expression of cPLA 2 -α mRNA, time-dependently, with maximum responses occurring at 6 h ( Figure 1B). To determine whether leptin contributed to cPLA 2 -α gene expression in vivo, ICR mice were anesthetized and given an intratracheal injection of 2 mg/kg of leptin into their lungs. After 4, 24, or 48 h, the mice were anesthetized again and bronchoalveolar lavage (BAL) was performed to analyze changes in leukocyte levels in the lungs. After the mice were sacrificed, mRNA and protein were extracted from isolated lung tissues. The protein and mRNA expression of cPLA 2 -α was investigated using Western blot and RT-PCR, respectively. Both the protein and mRNA expression of cPLA 2 -α were upregulated after leptin treatment ( Figure 1C,D). Moreover, there was increased leukocyte accumulation in the leptin-stimulated lungs ( Figure 1E). Leptin-stimulated leukocyte accumulation peaked at 24 h; however, even after decreasing, it still remained higher than basal levels. We determined that leptin-stimulated a cPLA 2 -α increase in vitro in A549 cells and in vivo in ICR mice. Moreover, we showed that A549 cells expressed mRNA of OB-R ( Figure 1F,G). To determine whether leptin contributed to cPLA2-α expression through its receptors, cells were pretreated with 1 or 2 µg/mL of OB-R for 1 h and then stimulated with 1 µg/mL of leptin for 0, 16, 24, or 48 h. Data from Western blots revealed that leptin-upregulated cPLA2-α expression was attenuated by an OB-R blocking antibody ( Figure 1G). These data suggested that leptin increased cPLA 2 -α gene expression through OB-R in the A549 cells.

In Vitro and in Vivo Expression of cPLA2-α in Response to Leptin Stimulation
To examine the effects of leptin on the lungs, A549 cells were growth arrested and incubated using different concentrations of leptin for the various time intervals. At the end of incubation, the cells were lysed and their protein was extracted for detecting cPLA2-α expression by using Western blot. Proteins were loaded into a 10% concentration SDS-PAGE and probed with an anti-cPLA2-α antibody. The same membranes were stripped and reprobed with the anti-GAPDH antibody as internal controls. The expression of cPLA2-α was upregulated in response to leptin stimulation in a time-dependent manner with maximum responses occurring at 48 h of leptin stimulation ( Figure 1A). We also observed that 1 µg/mL of leptin showed higher levels of cPLA2-α expression than the other two leptin concentrations ( Figure 1A). To investigate mRNA expression, serum-starved A549 cells were treated with 1 µg/mL of leptin for the indicated time intervals ( Figure 1B). Subsequently, mRNA was extracted as a template of cDNA, and the expression of cPLA2-α mRNA was detected using RT-PCR. We determined that leptin stimulated expression of cPLA2-α mRNA, time-dependently, with maximum responses occurring at 6 h ( Figure 1B). To determine whether leptin contributed to cPLA2-α gene expression in vivo, ICR mice were anesthetized and given an intratracheal injection of 2 mg/kg of leptin into their lungs. After 4, 24, or 48 h, the mice were anesthetized again and bronchoalveolar lavage (BAL) was performed to analyze changes in leukocyte levels in the lungs. After the mice were sacrificed, mRNA and protein were extracted from isolated lung tissues. The protein and mRNA expression of cPLA2-α was investigated using Western blot and RT-PCR, respectively. Both the protein and mRNA expression of cPLA2-α were upregulated after leptin treatment ( Figure 1C,D). Moreover, there was increased leukocyte accumulation in the leptin-stimulated lungs ( Figure 1E). Leptin-stimulated leukocyte accumulation peaked at 24 h; however, even after decreasing, it still remained higher than basal levels. We determined that leptin-stimulated a cPLA2-α increase in vitro in A549 cells and in vivo in ICR mice. Moreover, we showed that A549 cells expressed mRNA of OB-R ( Figure 1F,G). To determine whether leptin contributed to cPLA2-α expression through its receptors, cells were pretreated with 1 or 2 µg/mL of OB-R for 1 h and then stimulated with 1 µg/mL of leptin for 0, 16, 24, or 48 h. Data from Western blots revealed that leptin-upregulated cPLA2-α expression was attenuated by an OB-R blocking antibody ( Figure 1G). These data suggested that leptin increased cPLA2-α gene expression through OB-R in the A549 cells.
(A)   The ICR mice were treated with leptin (2 mg/kg) for the indicated time points. After the mice were sacrificed, lung tissues and bronchoalveolar lavage (BAL) fluid were extracted as described in the Experimental section; (C) Western blot was used to determine the protein expression; (D) RT-PCR was used to determine the mRNA expression and (E) leukocytes in BAL fluid were counted using a hematology analyzer. Data are expressed as mean ± SEM of 5 independent experiments (n = 5). # p < 0.01 or * p < 0.05 as compared with the cells exposed to the vehicle alone; (F) Expression of leptin receptor isotypes were examined using RT-PCR; (G) A549 cells were pretreated with 1 or 2 µg/mL of the OB-R antibody for 1 h and then incubated with 1 µg/mL of leptin for the indicated time intervals. The expression of cPLA2-α protein was determined using Western blot. The data are expressed as mean ± SEM of five independent experiments (n = 5). & p < 0.05 as compared with the cells exposed to vehicle alone; # p < 0.01 as compared with the cells exposed to leptin. (C) Western blot was used to determine the protein expression; (D) RT-PCR was used to determine the mRNA expression and (E) leukocytes in BAL fluid were counted using a hematology analyzer. Data are expressed as mean˘SEM of 5 independent experiments (n = 5). # p < 0.01 or * p < 0.05 as compared with the cells exposed to the vehicle alone; (F) Expression of leptin receptor isotypes were examined using RT-PCR; (G) A549 cells were pretreated with 1 or 2 µg/mL of the OB-R antibody for 1 h and then incubated with 1 µg/mL of leptin for the indicated time intervals. The expression of cPLA 2 -α protein was determined using Western blot. The data are expressed as mean˘SEM of five independent experiments (n = 5). & p < 0.05 as compared with the cells exposed to vehicle alone; # p < 0.01 as compared with the cells exposed to leptin.

Phosphorylated p42/p44 MAPK Contributed to Leptin-Stimulated cPLA 2 -α Gene Expression
It has been determined that the cPLA 2 -α gene is regulated by p42/p44 MAPK in response to stimulation by TNF-α and IL-1β in tracheal smooth-muscle cells or rheumatoid arthritis fibroblasts [9,31]. To determine whether activation of p42/p44 MAPK would also contribute to leptin-induced cPLA 2 -α expression, A549 cells were pretreated with various concentrations of MEK1/2 inhibitors, PD98059, or U0126 for 1 h and then incubated with 1 µg/mL of leptin for 0, 16, 24, or 48 h. PD98059 and U0126 pretreatment significantly blocked leptin-stimulated cPLA 2 -α expression (Figure 2A,B). To determine the contributing effects of leptin on p42/p44 MAPK activity, serum-starved A549 cells were either pretreated with or without the OB-R blocking antibody (2 µg/mL) or U0126 (10 µM), and then incubated with 1 µg/mL of leptin for the indicated time intervals. In the non-pretreated cells, leptin stimulated phosphorylation of p42/p44 MAPK in a time-dependent pattern, with a maximum response occurring at 30 min after leptin incubation ( Figure 2C,D). Pretreatment with either the OB-R antibody or U0126 abolished leptin-increased p42/p44 MAPK phosphorylation, suggesting that leptin contributed to p42/p44 MAPK activation through OB-R and MEK1/2 ( Figure 2C,D). Overall, these data revealed that leptin upregulated cPLA 2 -α protein expression through OB-R.
To determine the contributing effects of leptin on p42/p44 MAPK activity, serum-starved A549 cells were either pretreated with or without the OB-R blocking antibody (2 µg/mL) or U0126 (10 µM), and then incubated with 1 µg/mL of leptin for the indicated time intervals. In the non-pretreated cells, leptin stimulated phosphorylation of p42/p44 MAPK in a time-dependent pattern, with a maximum response occurring at 30 min after leptin incubation ( Figure 2C,D). Pretreatment with either the OB-R antibody or U0126 abolished leptin-increased p42/p44 MAPK phosphorylation, suggesting that leptin contributed to p42/p44 MAPK activation through OB-R and MEK1/2 ( Figure 2C,D). Overall, these data revealed that leptin upregulated cPLA2-α protein expression through OB-R.  of p42/p44 MAPK were detected using Western blot with anti-cPLA2 or anti-phospho p42/p44 MAPK antibodies. Cell membranes were stripped and reprobed with the anti-GAPDH antibody as internal controls. The data are expressed as mean ± SEM of five independent experiments (n = 5). & p < 0.05 as compared with the cells exposed to the vehicle alone; # p < 0.01 or * p < 0.05 as compared with the cells exposed to leptin.

Activation of p38 MAPK Involved in Leptin-Stimulated cPLA2-α Expression
Evidence indicated that leptin changed cell phenotypes or downregulated aggrecanase expression through the p38 MAPK pathway [32,33]. To study whether p38 MAPK participated in leptin-regulated cPLA2-α expression, cells were incubated with 10 or 1 µM p38 MAPK inhibitor (SB202190) for 1 h, and treated with leptin (1 µg/mL) for another 0, 16, 24, or 48 h. After incubation, the cells were harvested and proteins were subjected to a 10% concentration SDS-PAGE to analyze the cPLA-2α protein expression. We found that leptin-induced cPLA2-α expression was attenuated by pretreatment with 10 µM SB202190 ( Figure 3A). This suggested that p38 MAPK may participate in leptin-induced cPLA2-α expression. To ascertain the role of p38 MAPK in leptin effects, cells were treated with 1 µg/mL of leptin for 0, 1, 3, 5, 10, or 30 min. At the end of leptin stimulation, the cells were lysed and phosphorylation of p38 MAPK was detected using Western blot. We found that leptin increased phosphorylation of p38 MAPK, peaking at 5 min of leptin incubation ( Figure 3B). Moreover, pretreatment with the OB-R blocking antibody or SB202190 significantly delayed of p42/p44 MAPK were detected using Western blot with anti-cPLA 2 or anti-phospho p42/p44 MAPK antibodies. Cell membranes were stripped and reprobed with the anti-GAPDH antibody as internal controls. The data are expressed as mean˘SEM of five independent experiments (n = 5). & p < 0.05 as compared with the cells exposed to the vehicle alone; # p < 0.01 or * p < 0.05 as compared with the cells exposed to leptin.

Activation of p38 MAPK Involved in Leptin-Stimulated cPLA 2 -α Expression
Evidence indicated that leptin changed cell phenotypes or downregulated aggrecanase expression through the p38 MAPK pathway [32,33]. To study whether p38 MAPK participated in leptin-regulated cPLA 2 -α expression, cells were incubated with 10 or 1 µM p38 MAPK inhibitor (SB202190) for 1 h, and treated with leptin (1 µg/mL) for another 0, 16, 24, or 48 h. After incubation, the cells were harvested and proteins were subjected to a 10% concentration SDS-PAGE to analyze the cPLA-2 α protein expression. We found that leptin-induced cPLA 2 -α expression was attenuated by pretreatment with 10 µM SB202190 ( Figure 3A). This suggested that p38 MAPK may participate in leptin-induced cPLA 2 -α expression. To ascertain the role of p38 MAPK in leptin effects, cells were treated with 1 µg/mL of leptin for 0, 1, 3, 5, 10, or 30 min. At the end of leptin stimulation, the cells were lysed and phosphorylation of p38 MAPK was detected using Western blot. We found that leptin increased phosphorylation of p38 MAPK, peaking at 5 min of leptin incubation ( Figure 3B). Moreover, pretreatment with the OB-R blocking antibody or SB202190 significantly delayed leptin-stimulated p38 MAPK phosphorylation, suggesting that leptin contributed to p38 MAPK activation through OB-R ( Figure 3C). In summary, these data revealed that leptin regulated cPLA 2 -α protein expression through OB-R-dependent activation of p38 MAPK.
Int. J. Mol. Sci. 2015, 16, page-page 7 leptin-stimulated p38 MAPK phosphorylation, suggesting that leptin contributed to p38 MAPK activation through OB-R ( Figure 3C). In summary, these data revealed that leptin regulated cPLA2-α protein expression through OB-R-dependent activation of p38 MAPK. Serum-starved A549 cells were pretreated with different concentrations of SB202190 or the OB-R antibody for 1 h and then stimulated by 1 µg/mL of leptin for the indicated time intervals. At the end of incubation, the cells were harvested and cell lysates were extracted. (A) Expression of cPLA2-α and (B,C) phosphorylation of p38 MAPK were detected using Western blot with specific antibodies. Cell membranes were stripped and reprobed with the anti-GAPDH antibody as internal controls. The data are expressed as mean ± SEM of five independent experiments (n = 5). & p < 0.05 as compared with the cells exposed to the vehicle alone; # p < 0.01 as compared with the cells exposed to leptin. SB202190 attenuation of cPLA 2 -α expression and p38 MAPK phosphorylation. Serum-starved A549 cells were pretreated with different concentrations of SB202190 or the OB-R antibody for 1 h and then stimulated by 1 µg/mL of leptin for the indicated time intervals. At the end of incubation, the cells were harvested and cell lysates were extracted. (A) Expression of cPLA 2 -α and (B,C) phosphorylation of p38 MAPK were detected using Western blot with specific antibodies. Cell membranes were stripped and reprobed with the anti-GAPDH antibody as internal controls. The data are expressed as mean˘SEM of five independent experiments (n = 5). & p < 0.05 as compared with the cells exposed to the vehicle alone; # p < 0.01 as compared with the cells exposed to leptin.

Participation of Activated JNK1/2 in Leptin-Upregulated cPLA 2 -α Expression
Activation of JNK1/2 has been suggested to contribute to cPLA 2 -α gene activation [8,12,34]. However, whether leptin contributes to cPLA 2 -α gene expression through activated JNK1/2 remains unknown. To study whether activated JNK1/2 plays a role in leptin-upregulated cPLA 2 -α expression, SP600125, a specific inhibitor of JNK1/2, was used. Serum-starved A549 cells were incubated with various concentrations of SP600125 for 1 h and then stimulated with leptin (1 µg/mL) for the indicated time intervals ( Figure 4A). The leptin-stimulated cPLA 2 -α expression was significantly abolished by SP600125, implying that JNK1/2 may be involved in cPLA 2 -α expression within leptin-stimulated A549 cells ( Figure 4A). To evaluate whether leptin contributes to the activation of JNK1/2, A549 cells were stimulated by 1 µg/mL of leptin for the indicated time intervals ( Figure 4B). Leptin enhanced time-dependently phosphorylation of JNK1, peaking at 10 min and sustaining phosphorylation for up to 30 min of leptin treatment ( Figure 4B). Pretreatment with the OB-R blocking antibody or SP600125 significantly attenuated leptin-stimulated JNK1 phosphorylation. These data suggested that leptin-stimulated cPLA 2 -α expression through OB-R-dependent activation of JNK.

Participation of Activated JNK1/2 in Leptin-Upregulated cPLA2-α Expression
Activation of JNK1/2 has been suggested to contribute to cPLA2-α gene activation [8,12,34]. However, whether leptin contributes to cPLA2-α gene expression through activated JNK1/2 remains unknown. To study whether activated JNK1/2 plays a role in leptin-upregulated cPLA2-α expression, SP600125, a specific inhibitor of JNK1/2, was used. Serum-starved A549 cells were incubated with various concentrations of SP600125 for 1 h and then stimulated with leptin (1 µg/mL) for the indicated time intervals ( Figure 4A). The leptin-stimulated cPLA2-α expression was significantly abolished by SP600125, implying that JNK1/2 may be involved in cPLA2-α expression within leptin-stimulated A549 cells ( Figure 4A). To evaluate whether leptin contributes to the activation of JNK1/2, A549 cells were stimulated by 1 µg/mL of leptin for the indicated time intervals ( Figure 4B). Leptin enhanced time-dependently phosphorylation of JNK1, peaking at 10 min and sustaining phosphorylation for up to 30 min of leptin treatment ( Figure 4B). Pretreatment with the OB-R blocking antibody or SP600125 significantly attenuated leptin-stimulated JNK1 phosphorylation. These data suggested that leptin-stimulated cPLA2-α expression through OB-R-dependent activation of JNK.   ; & p < 0.05 as compared with the cells exposed to the vehicle alone; # p < 0.01 or * p < 0.05 as compared with the cells exposed to leptin.
(A) (B) Figure 5. Effects of Bay11-7082 on leptin-regulated cPLA2-α expression and p65 phosphorylation. Serum-starved A549 cells were pretreated with different concentrations of Bay11-7082, OB-R (2 µg/mL), U0126 (10 µM), SB202190 (10 µM), SP600125 (10 µM), or Bay11-7082 (10 µM) for 1 h. The cells were then stimulated by 1 µg/mL of leptin for the indicated time intervals. At the end of incubation, the cells were harvested and cell lysates were extracted. (A) Expression of cPLA2-α and (B) Ser276 phosphorylation of p65 were detected using Western blot with specific antibodies. The cell membranes were stripped and reprobed with the anti-GAPDH antibody as internal controls. The data are expressed as mean ± SEM of five independent experiments (n = 5). & p < 0.05 as compared with the cells exposed to the vehicle alone; # p < 0.01 as compared with the cells exposed to leptin. . & p < 0.05 as compared with the cells exposed to the vehicle alone; # p < 0.01 as compared with the cells exposed to leptin.

Activated p300 Contributes to Leptin-Increased cPLA 2 -α Expression
Previous studies showed that p300, a histone acetyltransferase, playes a role in regulating cPLA 2 -α gene expression [26,27]. However, whether leptin enhanced expression of cPLA 2 -α proteins by regulating p300 activity remained largely unclear. To demonstrate the role of p300 in regulating cPLA 2 -α expression in leptin-stimulated A549 cells, serum-starved cells were pretreated with 1 µM garcinol for 1 h then stimulated with 1 µg/mL of leptin for 0, 16, 24, or 48 h. Cell lysates were extracted and subjected to a 10% concentration SDS-PAGE. Pretreatment with garcinol significantly attenuated leptin-induced cPLA 2 -α expression in the A549 cells ( Figure 6A). To confirm the role of p300 in regulating cPLA 2 -α expression in leptin-treated cells, p300 siRNA was used. We transfected the A549 cells with 100 nM scrambled siRNA or p300 siRNA for 24 h; they were then serum-starved for 72 h for the knockdown of p300 protein expression and were subsequently treated with 1 µg/mL of leptin for 0, 24 or 48 h. The cells were harvested and protein expression detected using Western blot. We observed that p300 siRNA significantly knocked down the protein expression of p300 and abrogated leptin-stimulated cPLA 2 -α expression in the A549 cells ( Figure 6B). To determine whether leptin stimulated the activation of p300, phosphorylation of p300 in leptin-stimulated A549 cells was detected using Western blot. We observed that leptin stimulated phosphorylation of p300 in a time-dependent manner with the maximum response occurring at 8 h after leptin stimulation ( Figure 6C). Pretreatment with the OB-R blocking antibody, U0126, SB202190, SP600125, Bay11-7082, or garcinol significantly reduced p300 phosphorylation in leptin-treated cells ( Figure 6C). Moreover, leptin increased the acetylation of histone H4, which was attenuated by pretreatment with the OB-R antibody, Bay11-7082, and garcinol ( Figure 6D). This suggested that leptin increased activation of both p300 and acetylation of histone H4 through OB-R-dependent activation of the MAPKs/NF-κB pathway. Collectively, these data indicated that leptin-stimulated cPLA 2 -α expression was regulated through activation of the OB-R/MAPKs/NF-κB/p300 pathway in A549 cells.

Activated p300 Contributes to Leptin-Increased cPLA2-α Expression
Previous studies showed that p300, a histone acetyltransferase, playes a role in regulating cPLA2-α gene expression [26,27]. However, whether leptin enhanced expression of cPLA2-α proteins by regulating p300 activity remained largely unclear. To demonstrate the role of p300 in regulating cPLA2-α expression in leptin-stimulated A549 cells, serum-starved cells were pretreated with 1 µM garcinol for 1 h then stimulated with 1 µg/mL of leptin for 0, 16, 24, or 48 h. Cell lysates were extracted and subjected to a 10% concentration SDS-PAGE. Pretreatment with garcinol significantly attenuated leptin-induced cPLA2-α expression in the A549 cells ( Figure 6A). To confirm the role of p300 in regulating cPLA2-α expression in leptin-treated cells, p300 siRNA was used. We transfected the A549 cells with 100 nM scrambled siRNA or p300 siRNA for 24 h; they were then serum-starved for 72 h for the knockdown of p300 protein expression and were subsequently treated with 1 µg/mL of leptin for 0, 24 or 48 h. The cells were harvested and protein expression detected using Western blot. We observed that p300 siRNA significantly knocked down the protein expression of p300 and abrogated leptin-stimulated cPLA2-α expression in the A549 cells ( Figure 6B). To determine whether leptin stimulated the activation of p300, phosphorylation of p300 in leptin-stimulated A549 cells was detected using Western blot. We observed that leptin stimulated phosphorylation of p300 in a time-dependent manner with the maximum response occurring at 8 h after leptin stimulation ( Figure 6C). Pretreatment with the OB-R blocking antibody, U0126, SB202190, SP600125, Bay11-7082, or garcinol significantly reduced p300 phosphorylation in leptin-treated cells ( Figure 6C). Moreover, leptin increased the acetylation of histone H4, which was attenuated by pretreatment with the OB-R antibody, Bay11-7082, and garcinol ( Figure 6D). This suggested that leptin increased activation of both p300 and acetylation of histone H4 through OB-R-dependent activation of the MAPKs/NF-κB pathway. Collectively, these data indicated that leptin-stimulated cPLA2-α expression was regulated through activation of the OB-R/MAPKs/NF-κB/p300 pathway in A549 cells.   & p < 0.05 as compared with the cells exposed to the vehicle alone; # p < 0.01 as compared with the cells exposed to the leptin or scrambled siRNA transfected groups.

Leptin Induced cPLA2-α mRNA Expression via Ob-R/MAPK/NF-κB/p300 Cascade
To determine whether leptin contributed to cPLA2-α mRNA expression through the OB-R/MAPKs/NF-κB/p300 pathway, serum-starved cells were pretreated with the OB-R blocking antibody, U0126, SB202190, SP600125, Bay11-7082, or garcinol for 1 h and then incubated with 1 µg/mL of leptin for another 6 h. At the end of treatment, the cells were harvested and mRNA was extracted. RT-PCR was used to analyze the expression of cPLA2-α mRNA. Leptin stimulated cPLA2-α mRNA expression but was significantly attenuated by pretreatment with the OB-R blocking antibody, U0126, SB202190, SP600125, Bay11-7082, or garcinol ( Figure 7). These data suggest that cPLA2-α expression was mediated by the OB-R/MAPKs/NF-κB/p300 signaling cascades in leptin-stimulated A549 cells. Cell membranes were stripped and reprobed with the anti-GAPDH antibody as internal controls. The data are expressed as mean˘SEM of 5 independent experiments (n = 5). & p < 0.05 as compared with the cells exposed to the vehicle alone; # p < 0.01 as compared with the cells exposed to the leptin or scrambled siRNA transfected groups.

Discussion
Obesity occurs through hyperplasia or hypertrophy of adipose tissues, a type of endocrine organ. Leptin, encoded by the Ob gene, is released when a mass of adipose tissue is enlarged. In addition to cardiovascular and metabolic diseases, obesity increases the risks of acute and chronic pulmonary diseases such as asthma, ALI, and COPD [2][3][4][5]. However, how obesity contributes to pulmonary diseases remained largely unknown. This study focused on the mechanisms of leptin that concern pulmonary pathologies and their relation to body fat. We found that leptin activated de novo synthesis of cPLA2-α in vitro in lung alveolar type II A549 cells. The increase of cPLA2-α protein and mRNA was also observed in the lung tissue of leptin-treated mice. Moreover, we found that upregulated expression of the cPLA2-α gene was attenuated by pretreatment with the OB-R blocking antibody, U0126, SB202190, SP600125, Bay11-7086, garcinol, and p300 siRNA. Leptin stimulated activation of p42/p44 MAPK, p38 MAPK, JNK1/2, and NF-κB in time-dependent manners. In addition, leptin-mediated phosphorylation of NF-κB was attenuated by pretreatment with the OB-R blocking antibody, U0126, SP600125, and Bay11-7086, suggesting that leptin regulated NF-κB activity through receptor-dependent activation of p42/p44 MAPK and JNK1/2. Similarly, leptin contributed to p300 activity and histone H4 acetylation, both of which were reversed by blockage of OB-R and inactivation of NF-κB and p300. Moreover, attenuation of MAPKs, NF-κB, and p300 significantly inhibited leptin-mediated cPLA2-α mRNA expression. In summation, we showed that leptin contributed to lung cPLA2-α expression through OB-R-dependent activation of the MAPK/NF-κB/p300 cascade.
It is becoming increasingly apparent that leptin, as an adipokine, plays a role in regulating lung pathologies. Leptin has been determined to contribute to the occurrence of pulmonary arterial hypertension; blockage of leptin signaling reduces the severity of pulmonary hypertension [36]. Plasma leptin concentrations and the leptin/adiponectin ratio exhibited a significantly inversed correlation with initial FEV1 in emphysema patients [37]. Leptin was detected in the alveolar lining fluid of healthy humans [38] and was induced in injured human and murine lungs [39]. In rat alveolar macrophages and murine peritoneal macrophages models, leptin increased phospholipase activity and enhanced the group IVC iPLA2 (cPLA2γ) protein expression, resulting in upregulated alveolar macrophage leukotriene synthesis [40]. Leptin contributed to the development of pulmonary neutrophilia in infections and ALI by inhibiting the apoptosis of airspace neutrophil [39]. Effects of various inhibitors on leptin-stimulated cPLA 2 -α mRNA expression. Serum-starved A549 cells were pretreated with OB-R (2 µg/mL), PD98059 (10 µM), U0126 (10 µM), SB202190 (10 µM), SP600125 (10 µM), Bay11-7082 (10 µM), or garcinol (1 µM) for 1 h. The cells were then incubated with 1 µg/mL of leptin for 6 h. At the end of incubation, mRNA were extracted and used as templates of cDNA. Expression of cPLA 2 -α mRNA was detected using RT-PCR. Data are expressed as mean˘SEM of five independent experiments (n = 5). & p < 0.05 as compared with the cells exposed to the vehicle alone; # p < 0.01 as compared with the cells exposed to leptin.

Discussion
Obesity occurs through hyperplasia or hypertrophy of adipose tissues, a type of endocrine organ. Leptin, encoded by the Ob gene, is released when a mass of adipose tissue is enlarged. In addition to cardiovascular and metabolic diseases, obesity increases the risks of acute and chronic pulmonary diseases such as asthma, ALI, and COPD [2][3][4][5]. However, how obesity contributes to pulmonary diseases remained largely unknown. This study focused on the mechanisms of leptin that concern pulmonary pathologies and their relation to body fat. We found that leptin activated de novo synthesis of cPLA 2 -α in vitro in lung alveolar type II A549 cells. The increase of cPLA 2 -α protein and mRNA was also observed in the lung tissue of leptin-treated mice. Moreover, we found that upregulated expression of the cPLA 2 -α gene was attenuated by pretreatment with the OB-R blocking antibody, U0126, SB202190, SP600125, Bay11-7086, garcinol, and p300 siRNA. Leptin stimulated activation of p42/p44 MAPK, p38 MAPK, JNK1/2, and NF-κB in time-dependent manners. In addition, leptin-mediated phosphorylation of NF-κB was attenuated by pretreatment with the OB-R blocking antibody, U0126, SP600125, and Bay11-7086, suggesting that leptin regulated NF-κB activity through receptor-dependent activation of p42/p44 MAPK and JNK1/2. Similarly, leptin contributed to p300 activity and histone H4 acetylation, both of which were reversed by blockage of OB-R and inactivation of NF-κB and p300. Moreover, attenuation of MAPKs, NF-κB, and p300 significantly inhibited leptin-mediated cPLA 2 -α mRNA expression. In summation, we showed that leptin contributed to lung cPLA 2 -α expression through OB-R-dependent activation of the MAPK/NF-κB/p300 cascade.
It is becoming increasingly apparent that leptin, as an adipokine, plays a role in regulating lung pathologies. Leptin has been determined to contribute to the occurrence of pulmonary arterial hypertension; blockage of leptin signaling reduces the severity of pulmonary hypertension [36]. Plasma leptin concentrations and the leptin/adiponectin ratio exhibited a significantly inversed correlation with initial FEV1 in emphysema patients [37]. Leptin was detected in the alveolar lining fluid of healthy humans [38] and was induced in injured human and murine lungs [39]. In rat alveolar macrophages and murine peritoneal macrophages models, leptin increased phospholipase activity and enhanced the group IVC iPLA2 (cPLA2γ) protein expression, resulting in upregulated alveolar macrophage leukotriene synthesis [40]. Leptin contributed to the development of pulmonary neutrophilia in infections and ALI by inhibiting the apoptosis of airspace neutrophil [39]. However, the influence of leptin on pulmonary resident cells and how leptin contributes to inflammation in the resident lung cells remain unclear. We report that leptin enhanced the mRNA and protein expression of cPLA 2 -α, which functions as an inflammation marker, in vitro in lung alveolar cells and in vivo in lung tissues. This conclusion is similar to previous findings that leptin induced gene expression of intracellular adhesion molecular-1, CCL11, VEGF, G-CSF, IL-6, and cell migration on the human airway epithelial cell line [41]. This is also similar to the conclusion that leptin triggers A549 cell proliferation through blockage of endoplasmic reticulum stress-related apoptosis [39]. In this study, increased cPLA 2 -α expression was showed after stimulation of 1 µg/mL leptin for 24 to 48 h. The leptin dosage (1 µg/mL) used to upregulate cPLA 2 -α expression was 10-100 higher than leptin levels in human circulation [42]. Cytokines such as IGF-1 and IL-6 are found to sensitize cells to leptin effects [43]. Leptin at 4-40 ng/mL enhances DU145 and PC-3 cells proliferation in the presence of 10% fetal bovine serum [44]. Thus, the presence of serum protein or cytokines may upregulate leptin effects. In this study, to known the pure signal transduction effect of leptin on cPLA 2 -α expression, A549 cells were treated with high concentrations (1 µg/mL) and long-term stimulation (24-48 h) of leptin in the absence of serum.
MAPKs, including p42/p44 MAPK, p38 MAPK, and JNK1/2, contribute to the occurrence or exacerbation of inflammation-related pathology [45]. It has been determined that inhibition of the c-Src/p38 MAPK pathway may ameliorate renal tubular epithelial cell apoptosis in diabetic mice [46]. Inhibition of the MAPK/NF-κB pathways by L2H17, a synthesized chalcone, also improved obesity-induced renal injury [47]. Both p42/p44 MAPK and JNK were determined to be involved in interferon-x03B3-induced hepatocyte inflammation [48]. Here, we conclude that leptin stimulated the phosphorylation of p42/p44 MAPK, p38 MAPK, and JNK1/2, separately. Pretreatment with U0126, PD98059 (inhibitors of MEK1/2), SB202190 (inhibitor of p38 MAPK), or SP600125 (inhibitor of JNK1/2) significantly reversed leptin induced mRNA and protein expression of cPLA 2 -α in A549 cells. These results indicate that leptin may affect lung inflammation through the activation of MAPKs pathways. This is similar to the effects of leptin on human bone marrow stromal cells and rat hepatocellular carcinoma, wherein p42/p44 MAPK or p38 MAPK play roles in modulating leptin signaling [49,50].
DNA is bound tightly to histone, but the binding loosens once genes are activated. The transcription activator p300 acetylates lysine residues on histone tails and reduces the interaction between histone and DNA. The activity of p300 is precisely regulated by various signaling components. Furthermore, p65 (also named RelA) is a component of NF-κB and participates in different biological processes, such as inflammation, cell growth, survival, immune response, and development [51]. Phosphorylation of the well-conserved p65 (Ser276) is a prerequisite and is considered a decisive factor for the p65:CBP/p300 interaction [52]. Studies have determined that transcriptional associations with HIF-1α, NF-κB, and β-catenin/p300 complexes contribute to hypoxic condition-changed tumor cell kinetics in endometrial carcinomas [53]. By regulating CD59 protein, NF-κB and CBP/p300 proteins protect host cells from complement attack [54]. We determined that leptin triggered the Ser276 phosphorylation of p65 in a time-dependent manner; however, this phosphorylation was attenuated by pretreatment with the OB-R antibody, U0126, SP600125, and Bay11-7082. These results revealed that leptin increased p65 phosphorylation through OB-R-dependent activation of the p42/p44 MAPK and JNK1/2 pathways. Moreover, leptin alone stimulated the activation of p300, which resulted in acetylation of histone H4. p300 phosphorylation and histone H4 acetylation were reversed by the OB-R antibody, U0126, SP600125, and Bay11-7082, suggesting the participation of OB-R, p42/p44 MAPK, JNK1/2, and NF-κB in leptin effects. We also found that pretreatment with SB202190 did not inhibit leptin-regulated p65 phosphorylation but attenuated p300 phosphorylation. This indicated that p38 MAPK may not contribute to p300 phosphorylation by enhancing NF-κB activity. The detailed effects of p38 MAPK on leptin-regulated p300 activity must be examined in the future. Bay11-7082 (an inhibitor of NF-κB), garcinol (an inhibitor of p300), and p300 siRNA all abolished leptin-stimulated cPLA 2 -α gene expression. This suggests that leptin mediates cPLA 2 -α expression, at least through OB-R-dependent activation of p42/p44 MAPK, JNK1/2, NF-κB, and the p300 cascade.
Based on the literature and our findings, we conclude that leptin stimulates mRNA and protein expression of cPLA 2 -α both in vitro in lung epithelial type II A549 cells and in vivo in ICR mice. Activation of p42/p44 MAPK, JNK1/2, NF-κB and p300 were necessary for the expression of cPLA 2 -α. OB-R-dependent activation of MAPKs and NF-κB regulated the phosphorylation of p300 and acetylation of histone H4. Finally, the transcription of cPLA 2 -α genes was enhanced through the activated OB-R/MAPKs/NF-κB/p300 cascade. The mechanisms of leptin-stimulated cPLA 2 -α expression may be a link between obesity and lung inflammation-related pathologies, suggesting novel strategies for treatment.

Cell Culture of Human Alveolar Epithelial Cell Carcinoma (A549)
A549 cells (human alveolar epithelial cell carcinoma) were cultured as previously described [55]. After confluence was reached, the cells were treated with 0.05% trypsin/0.53 mM EDTA for 5 min at 37˝C. The cell suspension was diluted with DMEM/F-12 containing a 10% concentration FBS to reach a cell concentration of 2ˆ10 5 cells/mL. The cell suspension was plated in 12-well culture plates (1 mL per well) or (10 mL per dish) 10-cm culture dishes for the measurement of protein expression and mRNA accumulation.

Animal Treatment
Male ICR mice aged 4 wks were purchased from the BioLASCO Taiwan Co., Ltd. (Taipei, Taiwan) and handled according to the guidelines of the Animal Care Committee of Fu Jen Catholic University and the NIH Guide for the Care and Use of Laboratory Animals. ICR mice were anesthetized with pentobarbital (60 mg/kg) i.p. and placed individually on a board in a near vertical position [56]. Their tongues were withdrawn with lined forceps. Leptin (2 mg/kg) was placed posterior in the throat and aspirated into the lungs. Control mice were administrated sterile 0.1% BSA. Mice awoke unassisted after 10-20 min. After 4, 24, or 48 h of leptin treatments, the mice were sacrificed and lung tissues were extracted for protein and mRNA expression of cPLA 2 -α, GAPDH, or β-actin analysis.

Isolation of BAL
After 4, 24, or 48 h of leptin treatment, the mice were anesthetized and BAL was performed through a tracheal cannula by using 1-mL aliquots of ice-cold PBS medium [56]. BAL samples were centrifuged at 500ˆg at 4˝C, and cell pellets were washed and resuspended in PBS. Cell counts were determined using the scil Vet ABC™ Hematology Analyzer (scil animal care company, Inc., Gurnee, IL, USA).

Transfection with Small Interference RNA
A549 cells were plated in 3ˆ10 5 cells/mL (1 mL/well) in 12-well culture plates for 24 h, reaching approximately 80% confluence [29]. The cells were replaced with 0.4 mL of DMEM/F-12 containing 10% FBS. The DNA Metafectene reagent complex was prepared according to manufacturer instructions (Biontex, Martinsried, Planegg, Germany). The amount of transfected DNA was maintained constant with 100 nM scrambled or p300 siRNA for each well. The DNA METAFECTENE complex (0.1 mL) was added to each well and then incubated at 37˝C for 24 h. After 24 h of transfection, the cells were washed twice with PBS and maintained in DMEM/F-12 medium for 72 h (before treatment with leptin for the indicated time intervals).

Protein Extraction and Western Blot
After leptin stimulation, the cells were rapidly washed with ice-cold PBS, scraped, and collected through centrifugation at 1000ˆg for 10 min [56]. The collected cells were lysed with an ice-cold lysis buffer. The lysates were centrifuged at 45,000ˆg for 1 h at 4˝C to yield the whole cell extract. Samples from these supernatant fractions (30 µg protein) were subjected to SDS-PAGE by using a 10% or 12% concentration running gel. Proteins were transferred to nitrocellulose membranes, which were then successively incubated at room temperature with 5% BSA in TTBS for 1 h. The membranes were incubated overnight at 4˝C with an anti-cPLA 2 , anti-OB-R, antiphospho-p42/p44 MAPK, antiphospho-p38 MAPK, antiphospho-JNK1/2, antiphospho-p65, anti-p300, antiphospho-p300, antiacetyl histone H4, or the anti-GAPDH antibody according to manufacturer recommendations. The membranes were incubated with a 1:2000 dilution of an anti-mouse or anti-rabbit horseradish peroxidase antibody for 1 h. The immunoreactive bands detected using ECL reagents were developed by Hyperfilm-ECL.

Statistical Analysis of Data
All data are expressed as the mean˘standard error of the mean by using the GraphPad Prism Program (GraphPad, San Diego, CA, USA) [12]. Quantitative data were analyzed using one-way ANOVA followed by Tukey's post hoc test at a p < 0.05 level of significance. All of the experiments were performed at least 5 times.