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Abstract
Formaldehyde (FA), an occupational and environmental toxicant used extensively in the manufacturing of many
household and personal use products, is known to induce squamous cell carcinomas in the nasal turbinates of rats and
mice and squamous metaplasia in monkey noses. Tissue responses to FA include a dose dependent epithelial
degeneration, respiratory cell hypertrophy, and squamous metaplasia. The primary target for FA-induced toxicity in
both rodents and monkeys is the respiratory nasal epithelium. FA increases nasal epithelial cell proliferation and
DNA /protein crosslinks (DPX) that are associated with subsequent nasal cancer development. To address the acute
effects of FA exposure that might contribute to known pathological changes, cDNA gene expression analysis was used.
Two groups of male F344 rats received either 40 ul of distilled water or FA (400 mM) instilled into each nostril. Twentyfour hours following treatment, nasal epithelium was recovered from which total RNA was used to generate cDNA
probes. Significance analysis of microarrays (SAM) hybridization data using ClontechTM Rat Atlas 1.2 arrays revealed
that 24 of the 1185 genes queried were significantly up-regulated and 22 genes were significantly downregulated. Results
for ten of the differentially expressed genes were confirmed by quantitative real time RT PCR. The identified genes with
FA-induced change in expression belong to the functional gene categories xenobiotic metabolism, cell cycle, apoptosis,
and DNA repair. These data suggest that multiple pathways are dysregulated by FA exposure, including those involved
in DNA synthesis/repair and regulation of cell proliferation. Differential gene expression profiles may provide clues
that could be used to define mechanisms involved in FA-induced nasal cancer.
# 2003 Elsevier Science Ireland Ltd. All rights reserved.
Keywords: Gene expression; F344 rat; cDNA array; Nasal epithelium; Rodent nasal cancer; Formaldehyde
Abbreviations: FA, formaldehyde; DPX, DNA /protein crosslink; Min, minute; mg, microgram; mM, millimolar; 8C, centrifuge; ml,
milliliter.
Supplementary data associated with this article can be found at doi:10.1016/S0300-483X(03)00008-8
* Corresponding author. Tel.: /1-919-541-1320; fax: /1-919-541-0694.
E-mail address: hester.susan@epa.gov (S.D. Hester).
0300-483X/03/$ - see front matter # 2003 Elsevier Science Ireland Ltd. All rights reserved.
doi:10.1016/S0300-483X(03)00008-8
14
1. Introduction
Formaldehyde (FA) is a common environmental
contaminant found in tobacco smoke, paint,
garments, medicinal and industrial products, and
is a component of diesel and gasoline exhaust
(Flyvholm and Andersen, 1993; Quievryn and
Zhitkovich, 2000). Although there is limited evidence that FA is a human carcinogen, it is well
known that FA induces tumors in rodents. FA
exposure leads to the formation of DNA /protein
crosslinks (DPX), a major form of DNA damage
and the presence of DPX have been used as a
measure of delivered dose (Heck and Casanova,
1999; Heck et al., 1990).
FA is also cytotoxic in the rodent nose, inducing
sustained increases in cell turnover (proliferation)
at concentrations that induce tumors (Monticello
et al., 1991b; Morgan et al., 1986). Lesions
primarily develop in the epithelium lining the nasal
septum and the ventral meatus of the turbinates.
The types of lesions following an acute 24 h nasal
instillation of 400 mM FA were squamous metaplasia, ulceration, hyperplasia, and goblet cell
hypertrophy, which were observed at 3 weeks
post treatment (St. Clair et al., 1990). These lesions
occurred only in respiratory and transitional
epithelium lining the anterior nasal passages of
the rat nose. This suggests that respiratory and
transitional epitheliums are more susceptible to
FA damage than the other epithelial types present
in the nose.
In addition to DPX, FA can readily react with
DNA and RNA by forming cross-links that
connect bases exclusively through exocyclic amino
groups (Chaw et al., 1980; Kennedy et al., 1996;
Takahashi and Hashimoto, 2001). FA is known to
induce regenerative proliferation (Monticello et
al., 1991a,b) and may alter apoptosis (Szende et
al., 1995, 1998; Tyihak et al., 2001). An alteration
in the balance between cell growth and cell death
may contribute to the development of squamous
cell carcinoma in the rat nose. Biologically based
risk-assessment models (CIIT, 1999) have been
proposed which integrate levels of cell proliferation, cell death, and mutation rates associated with
FA treatment (Andersen et al., 1992; Conolly and
Andersen, 1993). These models reflect a mathe-
15
16
17
Fig. 1. Distribution of the raw intensities for each gene. The variation in intensities across treatment (gray triangles) and control
samples (black circles) is plotted against the mean intensity for all 1185 genes. It is evident, that the variation observed within each gene
was dependent on the average intensity. Despite the smaller sample size, the variability observed in the treatment group (n/3) was
smaller on average, than in the control group (n/4).
6. Results
6.1. SAM analysis of gene expression
The ASI were obtained from the image analysis
for 1185 genes from four control and three FAtreated samples. The data were first transformed
and normalized as described in Section 5, SAM
was then used to identify a set of genes that were
differentially expressed across treated and control
samples. By setting a threshold level of 0.187,
SAM predicted a FDR of 11.3% for 46 significantly altered genes; 24 genes increased in expression due to FA treatment and 22 genes decreased
in expression (Fig. 2). Among the genes listed in
Tables 1 and 2, the fold change in raw intensities
ranged from 6.1 to 2.4 (Table 1) among upregulated genes and 10 /2.5 in the down-regulated
genes (Table 2). By setting a more stringent
threshold level of 0.232 we obtain a set of 14
significant genes with FDR 5.3%. This set of genes
corresponded to the top 13 up-regulated genes in
Table 1 and the most down-regulated gene in
Table 2.
Genes listed in Table 1 were statistically evaluated and sorted from the highest test statistic
value to the lowest. Ten of the most highly
expressed genes for FA-treated animals included
NMDA receptor, inducible nitric oxide synthase,
macrophage inflammatory protein 1 alpha and 2,
Wilms tumor protein, tumor necrosis factor
ligand, methyl-CpG binding protein 2, GABA
receptor, Fos-responsive gene 1, and presomatotrophin. Of the 24 significantly up-regulated genes
six were receptors, six were involved in extracellular cell signaling, and four were oncogene/tumor
suppressor genes suggesting pathways that could
be affected by FA treatment. In contrast, in Table
2, of the 22 genes significantly down-regulated,
five were involved in ion channel regulation and
four were involved in protein turnover which
suggests that an early response to FA treatment
may be impaired ion channel function and interruption of protein processing. Many phase I and
phase II genes regulating xenobiotic metabolism
and oxidative stress, the family of cytochrome
P450 and glutathione, respectively, were altered in
treated versus control.
18
Fig. 2. Identification of differentially expressed genes. Using SAM, the observed test statistic is plotted against the statistic expected by
chance for 1185 genes. Genes that were expressed higher in the FA-treated samples appear on the positive side of the x -axis. At the
threshold, D/0.187 (drawn as dashed lines) SAM predicts 46 genes (24 positive and 22 negative) as being differentially expressed. The
FDR was estimated as 11.3%.
Table 1
24 significantly up-regulated genes
Treatmenta Controla Fold
change
Test-statistic
Family
D11c
0.658
0.580
6.086
1.794
Receptors
A08f
E02k
D14k
A10f
E02m
0.116
0.251
0.154
0.331
0.184
0.759
0.906
0.673
1.200
1.009
3.856
5.763
3.536
3.785
3.804
1.415
1.404
1.281
1.157
1.144
A06l
D10d
D01l
E03j
D07m
A09e
0.390
1.115
0.153
0.697
0.534
0.463
0.368
1.937
0.790
1.393
1.201
1.144
2.950
4.938
2.641
3.207
2.904
2.900
1.117
1.083
0.991
0.988
0.987
0.986
D14f
D12i
E02n
A11a
E03d
F12h
0.626
0.674
1.025
0.852
0.616
0.076
1.270
0.060
1.631
0.195
1.345
0.654
2.866
2.371
3.513
2.456
3.680
2.404
0.985
0.914
0.897
0.887
0.886
0.880
A11h
0.882
0.307
2.236
0.878
A11g
D05m
B01a
C05b
A05b
0.439
0.762
0.331
0.005
0.651
1.110
1.376
0.361
0.591
1.420
2.590
2.633
2.364
2.454
2.599
0.869
0.868
0.853
0.852
0.839
Description
Gene
ID
Sample means are calculated from the normalized data. Fold Change is calculated from the raw data.
a
Mean signal intensities.
19
20
Table 2
Tenty-two significantly down-regulated genes
Treatmenta Controla Fold
change
Test-statistic
Family
Description
E09m
/2.352
/1.356
9.701
/1.439
F07j
B04i
F06l
E14n
/2.284
/1.910
/0.568
/2.357
/1.318
/1.004
0.208
/1.499
7.999
4.272
3.312
4.625
/1.159
/1.124
/1.094
/1.060
C07g
B14i
/0.238
/1.969
0.369
/1.206
2.489
3.533
/1.026
/1.012
Mod/
transd
Prot turnov
Ion chann
Prot turnov
Mod/
transd
Metab pat
Traff/target
A07k
C05d
B12i
B13h
B10m
F07i
B01i
B13k
E14l
/1.286
/0.768
/2.448
/1.514
/1.566
/1.658
/0.087
/0.994
0.212
/0.503
/0.009
/1.692
/0.787
/0.986
/0.824
0.632
/0.399
0.819
3.385
2.846
12.641
2.926
2.488
2.900
3.000
2.531
2.656
/0.951
/0.940
/0.936
/0.934
/0.928
/0.927
/0.918
/0.917
/0.903
F09j
C11k
B02d
B10n
/1.498
/2.197
/1.803
/1.537
/0.809
/1.352
/1.065
/0.829
3.393
2.802
2.853
3.079
/0.884
/0.872
/0.871
/0.869
B02j
/1.621
/0.972
2.617
/0.866
C08c
/1.596
/0.973
2.855
/0.854
Sample means are calculated from the normalized data. Fold change is calculated from the raw data. For down-regulated genes, fold change is represented as control
over treated.
a
Mean signal intensities.
Gene
ID
21
Fig. 3. Comparison of TaqManTM to ClontechTM array results. A subset of ten genes was verified using quantitative real time PCR.
Nine of the ten gene expression values were in good agreement. One gene value, calpactin, was under-estimated on the array compared
with the TaqManTM result.
Fig. 4. Apoptosis Genes. Mean expression levels of nine genes involved in regulating apoptosis. Seven of the nine genes on the FAtreated group showed reduced expression values compared with control group; AO1g-Annexin V, B13c-Annexin I, C12h-Bcl2associated death promoter (BAD), C12i-Bcl2-associated X protein (BAX), C12j-Bcl2 associated oncogene, BCL2-L, C12k-BCL2,
C12m activator of apoptosis (HRK), FO9i- Caspase 3, and EO2m-Fas-ligand.
22
8. Discussion
FA induces squamous metaplasia leading to
squamous cell carcinoma after 12 months or
longer of exposure. In the present study, we
evaluated the acute response of epithelial cells 24
h after FA treatment. Our results indicated that
the expression levels of genes in several functional
categories were altered, including those participating in xenobiotic metabolism, cell cycle regulation,
DNA synthesis and repair, oncogene, and apoptosis. Xenobiotic metabolism genes showed a
general trend towards increased expression. Unexpectedly, two cytochrome P450 family members
were down-regulated, cytochrome P450 IVA8, and
cytochrome P450 2C23, genes which are usually
involved in metabolizing FA (Dahl and Hadley,
1991).
Genes were considered differentially expressed if
they exceeded the calculated threshold of 0.187,
with up-regulated genes falling on the positive side
and down regulated genes appearing in the negative quadrant (Fig. 2). However, gene expression
changes, which were not statistically significant
cannot be considered to be irrelevant but rather
not included in this analysis. For example, genes
expressed at low levels in the FA-treated group
that exhibit a small change in expression could still
be responsible for a large biologic effect, especially
if their gene products control critical pathways
such as cell growth or cell death.
Seven of the nine genes regulating apoptosis
showed less expression in the FA group compared
with the control group, however, none of these
genes were identified as being statistically different. This result may be interpreted as a negative
finding, however, the effect of FA exposure on
respiratory epithelium is unknown. Therefore, any
information of changes in gene expression levels
after FA treatment is both novel and informative.
The post-treatment changes in gene expression
levels may well be subtle ones rather than large
changes. In addition, the respiratory cell may be
responding to acute FA exposure by altering
metabolism preferentially to deal with the acute
toxicity of this chemical. Just as changes in
reparative cell proliferation secondary to FA
treatment require time to develop, changes in
Acknowledgements
This manuscript has been reviewed and approved for publication by the Environmental
Protection Agency and does not necessarily reflect
the views of the agency. Mention of trade names or
commercial products does not constitute endorsements or recommendations for use. Special thanks
to Dr. Jeffrey Ross, Dr. Julian Preston, Dr. David
Threadgill, Dr. Donald Delkar, and Dr. Marila
Cordeiro-Stone for review and advice of this
manuscript.
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