Rationale: The airway epithelium serves as the first line of
defense against cigarette smoke (CS), a major risk factor for chronic
lung diseases. To the best of our knowledge, a comprehensive proteomic
assessment of CS-induced changes in primary human bronchial epithelial
cells (phBECs) differentiated at the air-liquid interface (ALI) has not
been reported. Also, the relevance of CS-induced pathways for idiopathic
pulmonary fibrosis (IPF) is poorly understood. An improved
understanding thereof may unravel novel preventive strategies. Objective:
To uncover novel key regulators and molecular pathways induced by CS in
phBECs including such that may be relevant to IPF pathogenesis. Methods:
Chronically CS-exposed, fully differentiated phBECs were analyzed by
label-free tandem mass spectrometry (MS/MS)-based proteomics followed by
pathway enrichment analysis using Ingenuity Pathway Analysis (IPA).
Selected results were validated by ELISA and immunoblotting. The
function of Nuclear protein 1 (NUPR1) was further explored in control
and IPF-derived phBECs with and without CS-exposure using the
NUPR1-specific inhibitor ZZW-115. Gene expression, cell type
composition, barrier integrity, cytotoxicity, and cell death mechanisms
were assessed using quantitative PCR, immunofluorescent stainings,
transepithelial electrical resistance measurement, lactate
dehydrogenase, BODIPY assay, and flow cytometry. Results: Out of 4861 detected proteins, proteomics revealed significantly altered levels for 186 proteins (adj. p<0.05)
in response to CS. Subsequent pathway enrichment analysis suggested 11
key regulators. Results included many known CS-responsive genes involved
in xenobiotic metabolism and antioxidant defense as well as activation
of Nuclear factor erythroid 2-related factor 2 (Nrf2) and Aryl
hydrocarbon receptor (AhR) dependent pathways, validating the overall
approach. Interestingly, IPA suggested NUPR1 as the top activated key
regulator. In cultured phBECs, NUPR1 localized to basal and ciliated
cells. NUPR1 inhibition with ZZW-115 in phBECs confirmed regulation of
selected NUPR1 target genes suggested by IPA and revealed modulation of
ferroptosis-associated genes. Inhibition of NUPR1 dose-dependently
induced cell death and loss of epithelial integrity, with the underlying
mechanisms varying across donor-derived cells, not consistently tied to
a specific cell death type, and surprisingly little affected by prior
CS exposure. Interestingly, IPF-derived phBECs showed a higher
susceptibility to cytotoxicity after NUPR1 inhibition relative to
control cells. Conclusion: Our proteomics analysis identified
NUPR1 as a multifaceted regulator of cell death in differentiated
phBECs. The results warrant further investigation of the function of
NUPR1 in IPF airways.