Stable cell fate changes in marrow cells induced by lung-derived microvesicles

Background Interest has been generated in the capacity of cellular-derived microvesicles to alter the fate of different target cells. Lung, liver, heart and brain-derived vesicles can alter the genetic phenotype of murine marrow cells; however, the stability of such changes and the mechanism of these changes remain unclear. In the present work, we show that lung-derived microvesicles (LDMV) alter the transcriptome and proteome of target marrow cells initially by mRNA and regulator(s) of transcription transfer, but that long term phenotype change is due solely to transfer of a transcriptional regulator with target cell. Methods/results In vivo studies: Whole bone marrow cells (WBM) were co-cultured with LDMV (both isolated from male C57BL/6 mice) or cultured alone (control). One week later, cultured WBM was transplanted into lethally-irradiated female C57BL/6 mice. Recipient mice were sacrificed 6 weeks later and WBM, spleens and livers were examined for the presence of lung-specific gene expression, including surfactants A, B, C and D, aquaporin-5, and clara cell specific protein, via real-time RT-PCR. Immunohistochemistry was also performed on lungs to determine the number of transplanted marrow-derived (Y chromosome+) type II pneumocytes (prosurfactant C+). Mice transplanted with LDMV co-cultured WBM expressed pulmonary epithelial cell genes in the cells of their bone marrow, livers and spleens and over fivefold more transplanted marrow-derived Y+/prosurfactant C+cells could be found in their lungs (vs. control mice). In vitro studies: WBM (from mice or rats) was cultured with or without LDMV (from mice or rats) for 1 week then washed and cultured alone. WBM was harvested at 2-week intervals for real-time RT-PCR analysis, using species-specific surfactant primers, and for Western Blot analysis. Proteomic and microRNA microarray analyses were also performed on cells. LDMV co-cultured WBM maintained expression of pulmonary epithelial cell genes and proteins for up to 12 weeks in culture. Surfactant produced at later time points was specific only to the species of the marrow cell in culture indicating de novo mRNA transcription. These findings, in addition to the altered protein and microRNA profiles of LDMV co-cultured WBM, support a stable transcriptional mechanism for these changes. Conclusions These data indicate that microvesicle alteration of cell fate is robust and long-term and represents an important new aspect of cellular biology.

cells in culture are responsible for these changes as only cells that have internalized microvesicles demonstrate these changes (5). These studies add to a growing body of literature which highlights the importance of microvesicles as mediators of cellular communication and entities that are capable of altering the phenotype of cells with which they interact.
Microvesicles are membrane-enclosed packets of cellular information which are capable of altering cell fate or phenotype (6). Microvesicles originating from platelets and red blood cells were initially felt to represent ''cellular junk'' but their biological relevance is beginning to be recognized (7,8). They are now known to originate from many different cells and do so under the influence of a variety of exogenous stressors including hypoxia, shear stress, irradiation, chemotherapeutic agents and cytokines (6). Many different subpopulations of cellularderived vesicles other than microvesicles have been described including exosomes, ectosomes, membrane particles and apoptotic vesicles (9,10). They have been characterized by size, density, morphology by electron microscopy, density in sucrose, sedimentation with ultracentrifugation, lipid composition, protein markers and intracellular origins. Exosomes are 30Á100 nm in diameter and are derived from endocytic vesicles. They are released upon fusion of multivesicular bodies with plasma membranes. Microvesicles are 100 nm to 1 mm in diameter and are released from the cell surface by membrane blebbing in a calcium flux and calpaindependent manner. Expression of floppase, flippase and scramblase, 3 cell membrane-based phopholipidic pumps responsible for maintaining transbilayer lipid distribution, becomes imbalanced. As a result, phophatidylserine is redistributed to the external membrane leaflet leading to membrane blebbing and microvesicle release (11). Since the majority of techniques used to isolate cellularderived vesicles include differential speeds of ultracentrifugation, most preparations that have been described in the literature are inherently heterogeneous. Our lab's preparations contain vesicles that range from 40 to 440 nm in diameter and appear to include a combination of exosomes and microvesicles. However, we have elected to use the term microvesicle in this paper as the majority of vesicles in our preparations are greater than 100 nm in diameter. The contents of cellular-derived vesicles are a reflection of the cell of origin as they contain elements of cell membrane (including antigens, receptor and lipid rafts) and cytoplasmic components (including secreted proteins mRNA, microRNA, DNA, apoptotic DNA, mitochondrial DNA and protein). Vesicles can act as a vehicle to deliver these elements to other cells where they are capable of inducing changes in cellular phenotype (12). Although vesicles can enter target cells by a variety of different mechanisms, interactions between specific receptors and ligands appear to be crucial (13).
Our group has also found that murine lung-derived microvesicles (LDMV) contain DNA, microRNA and lung-specific mRNA and protein and that the contents of LDMV are passed along to cells which internalize them (5). Although the same mRNA species found in LDMV can also be found in cells which have internalized LDMV, studies using transcriptional blocking agents have demonstrated transcriptionally active agents are likely to be responsible for these changes in cellular phenotype (5). Co-cultures which used tissues from different rodent species and were analyzed with tissue-specific PCR primers supported this notion. In these studies, we found that surfactant mRNA detected in the co-cultured marrow cells was specific to the rodent species of the lung tissue used in co-culture as well as the rodent species of co-cultured marrow cells, indicating that these mRNA species were both transferred via LDMV and produced de novo (5). We have also found that the microRNA profile and proteome of marrow cells 2 days after LDMV internalization are vastly different compared with unmanipulated cells, further suggesting that an LDMVbased transcriptional agent is transferred to cells in culture. As the co-cultures established in these studies were relatively short-lived (all under 7 days), a critical question is whether these changes are transient or persistent. Using a long-term in vitro co-culture and an in vivo transplant model, studies presented in this paper demonstrate that these changes are persistent.

Experimental animals
All mouse studies were approved by the Institutional Animal Care and Use Committee at Rhode Island Hospital (CMTT numbers 0090-10, 0211-08). Six-toeight-week-old male C57BL/6 mice or male Fischer-344 rats (Jackson Laboratories) were used for all studies. Animals had ad libitum access to food and water and were given 1 week to acclimate prior to experimental treatment or euthanasia. Euthanasia was performed using CO 2 inhalation or isofluorane inhalation followed by cervical dislocation.

Tissue collection
For solid organ harvest, after euthanasia, blood was flushed from the vasculature using 10 ml of ice-cold 1)Dulbecco's phosphate-buffered saline (1 )PBS, Invitrogen) infused thought the right ventricle. Lungs and livers were collected and placed in ice-cold PBS supplemented with 5% heat-inactivated fetal calf serum (HICFS, Hyclone) and 1% penicillinÁstreptomycin (PS, Invitrogen). For whole bone marrow cell (WBM) harvest, tibiae, femurs, iliac crests and spines were collected and all surrounding muscle removed with sterile gauze. Bones were placed in ice-cold 1)PBS/5% HIFCS/1% PS and crushed using mortar and pestle. Cells were strained through 40 mm cell strainer (Allegiance) placed over 50 ml conical tube (Fisher) then centrifuged at 300g for 10 min at 48C.

Lineage depletion
Mononuclear cells were isolated from WBM by discontinuous density centrifugation at 1,000g for 30 min at room temperature using OptiPrep (Accurate Chemical). Mononuclear cells were then lineage depleted (LinÁ) by adding the following antibodies rat-anti mouse antibodies: anti-Ter119, B220, Mac-1, Gr-1, CD4, and CD8 (BD Biosciences). After 15 min of incubation on ice, Dynabead M450 anti-rat IgG (Dynal) was added and lineage positive cells were removed by a magnetic column. Remaining LinÁ cells were counted and percent viability determined was using Trypan Blue stain (Gibco).

Lung-derived microvesicle (LDMV) isolation
After euthanasia, lungs were filled with dispase (Sigma) though a hole in the trachea using a blunted 18-gague needle attached to a 3 cc syringe. Lungs were then removed and dispase-digested for an additional 45 min on ice. Lungs were then mechanically dissociated with scissors and forceps into a single cell suspension. Cells were passed though a 40 mm cell strainer placed over 50 ml conical tube and washed with PBS by centrifugation at 300g for 10 min at 48C. Lung cells were cultured (1 )10 6 cells/ml) in Bronchial Epithelial Growth Media (BEGM, Lonza), supplemented with 0.5 mg/ml epinephrine, 10 mg/ml transferrin, 5 mg/ml insulin, 0.1 ng/ml retinoic acid, 52 mg/ml bovine pituitary extract, 0.5 mg/ml hydrocortisone, 0.5 pg/ ml human recombinant epidermal growth factor and 6.5 ng/ml triiodothyronine, at 378C/5% CO 2 for 7 days. Cultured lung cells were then removed by centrifugation at 300g for 10 min at 48C (performed twice) to make LCM. LCM was ultracentrifuged at 10,000g for 1 h then at 100,000g for 1 h at 48C in a Thermo Scientific Sorval WX Ultra series ultracentrifuge. The supernatant was discarded and the pellet was resuspended in 1)PBS supplemented with 5 mM HEPES [4-(2-hydroxyethyl) piperazine-1-ethanesulfonic acid, N-(2-Hydroxyethyl) piperazine-N?-(2-ethanesulfonic acid)] (Sigma). The pelleted material (lung-derived microvesicles or LDMV) was ultracentrifuged again at 100,000g for 1 h at 48C, resuspended in DMEM-glutamax (Invitrogen) supplemented with 15% fetal bovine serum (FBS, Hyclone), 1% PS and recombinant murine stem cell factor (SCF, final concentration 50 ng/ml) and used for co-culture.
In vitro persistence assay WBM cells (2 )10 7 ) isolated from male C57BL/6 mice were co-cultured in DMEM-glutamax (Invitrogen) supplemented with 15% FBS, 1% PS and SCF (final concentration, 50 ng/ml) with LDMV isolated from 1 male C57BL/6 murine. Control WBM cells were cultured without LDMV. Cells were incubated at 378C/5% CO 2 for 7 days in 6-well culture plates. WBM cells were then removed, washed with 1)PBS by centrifugation at 300g for 10 min and placed into secondary culture with the same media, absent LDMV. An aliquot of cells were removed at the onset of secondary culture (0 week time point) and every 2 weeks for a total of 12 weeks. Cells were analyzed by immunohistochemistry, RNA by RT-PCR and protein by western blot.
Rat/mouse hybrid co-culture WBM cells (2)10 7 ) isolated from male C57BL/6 mice or male Fischer-344 rats were co-cultured in DMEMglutamax (Invitrogen) supplemented with 15% FBS, 1% PS and SCF (final concentration, 50 ng/ml) with minced lungs or livers isolated from mice or rats (separated by a 400 nm pore size cell-impermeable membrane, Millipore). Control WBM cells from mice or rats were cultured without lungs or livers. Cells were cultured at 378C/5% CO 2 for 7 days in 6-well culture plates. WBM cells were then removed, washed with 1)PBS by centrifugation at 300g for 10 min and placed into secondary culture with the same media, absent lung or liver. An aliquot of cells were removed at the onset of secondary culture (0 week time point) and every 2 weeks for a total of 12 weeks. WBM cells were analyzed by RT-PCR using mouse or rat-specific primers for the pulmonary epithelial cellspecific genes surfactant B (Sp-B) and C (Sp-C) as well as the liver markers albumin-1 and ATP binding cassette transporter 1 (ABCA1).
In vivo persistence assay WBM cells (2 )10 7 ) isolated from male C57BL/6 mice were co-cultured in DMEM-glutamax (Invitrogen) supplemented with 15% FBS, 1% PS and SCF (final concentration, 50 ng/ml) with LDMV isolated from 1 male C57BL/6 murine lung. Control WBM cells were cultured without LDMV. Cells were cultured at 378C/5% CO 2 for 7 days in 6-well culture plates. WBM cells from individual culture wells were then washed with 1)PBS by centrifugation at 300g for 10 min at 48C and counted using Trypan Blue stain. Female C57BL/6 mice were exposed to a 950 cGy of total body irradiation (split doses administered 3 h apart) using a Gammacell 40 Exactor Irradiator at 110 cGy/min (MDS Nordion) and transplanted (via tail vein injection) with 1 culture well of WBM co-cultured with LDMV (n017) or cultured without LDMV (n 06). In addition, a cohort of irradiated mice (n06) were transplanted with uncultured WBM cells (control mice). There was no significant difference in the mean cell number (range 4.8 )10 6 to 5.3 )10 6 , p]0.05, wilcoxon) and viability of transplanted cells (range 92Á95%, p ]0.05, wilcoxon) in cohorts of recipient mice. Six weeks after transplantation, recipient mice were sacrificed. The pulmonary vasculature of recipient mice was flushed with 1)PBS and lungs were fixed by intratracheal infusion of ice-cold PLP (balanced phosphate solution with 2% paraformaldehyde, sodium m-periodate, and L-lysine) and embedded in paraffin. Bone marrow cells were flushed from both femurs and livers and spleens were removed and placed into PBS supplemented with 5% HICFS. Total RNA was extracted using the RNeasy Mini Kit (Qigen).
RNA extraction, cDNA amplification and real-time RT-PCR analysis Extracted RNA was measured for quantity and quality (260/280 ratio) using a Nanodrop ND/1000 spectrophotometer (Thermo scientific). For each sample, 10 ng of RNA was used to amplify cDNA using the High Capacity cDNA transcription kit (Applied Biosystems) in a final volume of 20 ml, per manufacturer's recommendations. Amplification reactions consisted of 1 cycle for 10 min at 258C, 1 cycle for 120 min at 378C, and 1 cycle for 5 min at 858C. Gene expression was analyzed by RT-PCR using a 9800 Fast Thermal Cycler (Applied Biosystems). All 20)assay mixes were purchased from Applied Biosystems. Murine assays used were as follows: b2 micro- , albumin-1, (Mm00802090_m1) and ABCA1 (Mm00442646_m1). Rat assays included b2 microglobulin (Rn00560865_m1), surfactant B (Rn00684785_m1), surfactant C (Rn01466216_g1), albumin-1 (Rn00592480_ m1) and ABCA1 (Rn00710172_m1). cDNA pre-amplification reactions was performed with the following reagents in a final volume of 50 ml: 12.5 ml of a pooled mixture for all assays (made by combining equal volumes all 20)TaqMan gene expression assays and diluting to a final concentration of 0.2 )), 25 ml of TaqMan Preamp Master mix (Applied Biosystems) and 12.5 ml of cDNA. The reaction was performed on the 9800 Fast Thermal Cycler (Applied Biosystems) consisting of a 10-min cycle at 958C followed by 14 cycles at 958C for 15 s, then 608C for 4 min. The final product was diluted with TE buffer (1 mM Tris [Invitrogen], 0.1 mM EDTA [Gibco] pH 8.0) and then kept at (208C. All Real Time RT-PCR reactions were performed in 96-well plates on a 7900HT Fast RT PCR System with the following reagents in a final volume of 25 ml: 20 )assay mix (for either b2 microglobulin or one of the target genes) and 2) TaqMan PCR Master Mix. Pre-determined amounts of cDNA were added to this mixture. Duplicate reactions of the target and housekeeping genes were performed simultaneously for each cDNA template analyzed. The PCR reaction consisted of an initial enzyme activation step at 958C for 10 min, followed by 40 cycles of 958C for 15 s and 608C for 1 min. A cycle threshold value (CT) value was obtained for each sample, and duplicate sample values were averaged. The 2 (DDCT method was used to calculate relative expression of each target gene (14). Briefly, mean CT value of target genes in each sample were normalized to its averaged housekeeping gene CT value to give a DCT value. This was then normalized to control samples (DDCT), and the 2 (DDCT value was obtained. To calculate 2 (DDCT for target genes with no expression in the control group, a CT value of 40 was assigned to the control group so that a relative quantity of the target gene could be reported. The control group used for all comparisons was cells cultured for an equivalent period of time that had not been exposed to lung, liver or LDMV in culture.

Immunohistochemistry
Five micrometer paraffin-embedded lung sections were deparaffinized, permeabilized with Proteinase K (Sigma) for 3 min at 378C and fixed with 4% paraformaldehyde (Sigma) for 5 min at room temperature. Prehybridization buffer, which included dithiothreitol (Sigma) and CotI DNA (New England BioLabs) was applied to samples for 90 min at 378C, then hybridization occurred using a proprietary digoxigenen-conjugated Y chromosome probe at 858C for 10 min. Samples were then incubated at 458C overnight. The following day, samples were labeled with an anti-digoxigenen Fluorescein isothiocyanate (FITC) antibody (Sigma, 1:33 dilution) for 60 min at room temperature, washed then labeled with rabbit anti-mouse prosurfactant C antibody (Abcam, 1:1,000 dilution) for 60 min at room temperature. Samples were then washed and labeled with an anti-rabbit Texas Red antibody for 15 min at room temperature, washed, counterstained with the nuclear label 4?-6-Diamidino-2phenylindole (DAPI) and analyzed by fluorescence microscopy.

Western blot
Protein was extracted from cells using the Pierce T-PER protein extraction reagent with Thermo Scientific Halt TM Protease Inhibitor single-use cocktail, per manufacturer's guidelines, and quantified using the Pierce BCA Protein Assay Kit, per manufacturer's guidelines, and the Nanodrop ND/1000 spectrophotometer. A total of 25 mg protein (per well), loaded onto Protein Pierce Precise TM Protein gels, were run at 150 V for 45 min at room temperature. Protein was transferred to Pierce Nitrocellulose Transfer Membranes using the Bio-Rad Mini Trans-Blot cell. Western blots for prosurfactant B protein (Abcam) were performed using the Pierce Fast Western blot Kit and Supersignal † West Pico Substrate, per manufacturer's guidelines.

Fluorescence microscopy
Samples were visualized using conventional and deconvolution fluorescence microscopy (Zeiss Axioplan 2 microscope; Carl Zeiss) at room temperature. Ten or more fields (63)magnification), which included 5,000Á10,000 Y chromosome positive (Y') cells, were analyzed for each lung section focusing on the presence or absence of prosurfactant C (Sp-C) co-signal. DAPI'cells that were also Y'and Sp-C', defined here as transplanted bone marrow-derived type II pneumocytes, were quantified. Selected sections were photographed at 40)or 63 ) magnification using the AxioVision software package (Carl Zeiss). Three-dimensional images were created of sample cells from a 25-layer (0.4 mm/layer) z stack to demonstrate co-localization of fluorescent signal. No photosubtraction or processing of the artifact was performed.
Protein extraction and mass spectrometry analysis of LinÁ cells grown in ''Heavy'' and ''Light'' media Cells were treated with CelLytic † M reagent (Sigma) for 15 min. The lysed cells were centrifuged for 15 min at 16,000g to pellet the cellular debris and proteincontaining supernatant was collected. The Micro BCA Protein Assay Kit (Pierce) was used to determine protein concentration. Protein samples from cells grown in ''Heavy'' and ''Light'' media were mixed 1:1 and run on a NuPAGE † 4Á12% Bis-Tris precast Gel (Invitrogen) by using XCell SureLock † Mini-Cell (Invitrogen). The gel was stained with SimplyBlue † SafeStain (Invitrogen) and the entire sample lane from the destained gel was cut into 10 equal gel pieces for fractionation. Each piece was washed 3 times with 50% acetonitrile/50% HPLC grade water prior to mass spectrometric analysis. Gel pieces were washed, reduced with DTT and alkylated with iodoacetamide. Gels were then digested with modified trypsin (Promega) overnight at 378C with and the resulting peptide mixtures from each gel piece were analyzed separately by data dependent microcapillary reversed phase liquid chromatography tandem mass spectrometry (LC/MS/MS) LC/MS/MS was performed using an Easy-nLC nanoflow HPLC (Thermo Fisher Scientific) with a self-packed 75 mm id)15 cm C18 column coupled to a LTQ-Orbitrap XL mass spectrometer (Thermo Fisher Scientific) in the data dependent acquisition and positive ion mode at 300 nl/min. Generated MS/MS spectra were searched against the nonredundant Murine IPI database by using Mascot (Matrix Science). Protein quantitation was achieved by employing MSQuant software (http://msquant.alwaysdata.net/) with default settings.

RNA extraction and microRNA microarray analysis of LinÁ cells grown in ''Heavy'' and ''Light'' media
Total RNA was collected using the miRNeasy kit (Qiagen). Samples were sent to Dharmacon (Lafayette, CO, USA) microRNA microarray analysis. Analysis was performed on 150 ng of total RNA from each sample.

Statistical analysis
Data were analyzed using the Student's t-test in cases where there were fewer than 6 measurements within 2 parent groups. Alternatively, Wilcoxon rank sum test was performed in cases where there were 6 or more measurements within 2 parent groups. We considered results to be statistically significant when p 50.05. Data were presented as mean9standard error.

Results
Persistence of pulmonary epithelial cell gene expression, in vitro assay WBM was co-cultured with murine lung fragments (separated by a 400 nm pore size cell-impermeable membrane), LDMV or cultured alone (control cells) for 7 days. Baseline pulmonary epithelial gene expression was determined (0 week time point) then WBM cells were washed and placed into secondary culture without lung or LDMV for 12 weeks. Pulmonary epithelial cell gene and protein expression was determined in WBM cells at 2-week intervals. Although expression varied, all pulmonary epithelial cell genes were detected and significantly elevated (vs. control cells) in cultured WBM cells exposed to lung (data not shown) and LDMV (Fig. 1AÁF) 10Á12 weeks after the initial co-culture period. In addition, prosurfactant B protein expression was detected WBM exposed to LDMV in co-culture up to 12 weeks after the initial co-culture period by immunohistochemical (Fig. 2AÁC) and western blot (Fig. 2D) analysis. Altogether, these data indicate that LDMV-modified marrow cells are capable of persistent expression of pulmonary epithelial cell-specific genes and protein after several weeks in culture.
Rat/mouse hybrid co-cultures WBM isolated from mice or rats were co-cultured with lung or liver fragments isolated from rats or mice or with no solid organs (control cells). Cells were separated by a cell-impermeable membrane and co-cultured for 7 days. Baseline gene expression was determined (0 week time point) then WBM cells were washed and placed into secondary culture without lung or liver for 12 weeks. Using species-specific (rat or mouse) primers, pulmonary epithelial cell and liver gene expression was determined in WBM cells at 2-week intervals by RT-PCR. In all co-cultures using murine WBM co-cultured with murine solid organs, only mouse-specific genes were detected. Likewise, in all co-cultures using rat WBM co-cultured with rat-derived solid organs, only rat-specific genes were detected, indicating that the PCR primers used were truly species-specific (data not shown). When murine WBM was co-cultured with rat-derived lung, surfactant that was expressed was both mouse and rat-specific at baseline (Fig. 3A). However, at later time points, up to week 12 of secondary culture, surfactant that was expressed was exclusively mouse-specific. Similarly, rat WBM co-cultured with murine lung expressed mouse and rat-specific surfactant at baseline but only ratspecific surfactant at later time points in secondary culture (Fig. 3B). When murine or rat-derived liver was substituted for lung in this co-culture system, albumin and ATP binding cassette transporter 1 (ABCA1) baseline expression in co-cultured WBM was specific to the species of animal from which the WBM and liver were isolated (Fig. 4A, B). At late time points in secondary culture, liver gene expression in co-cultured WBM was specific only to the species of animal from which the WBM was isolated. These data suggest that immediately after co-culture, the detection of mRNA species specific to the animal from which the co-cultured solid organ was derived represents the direct transfer of mRNA species to WBM cells in co-culture while detection of mRNA specific to the target marrow species is due to transfer of transcriptional activators. In later time points of secondary culture, detection of mRNA species specific only to the animal from which the co-cultured WBM was derived represents de novo synthesis of tissue-specific mRNA stimulated by transcriptional activators.
Persistence of pulmonary epithelial cell gene expression, in vivo assay Bone marrow cells, livers and spleens of lethallyirradiated female mice transplanted with WBM (isolated from male mice) co-cultured with LDMV or WBM cultured without LDMV were analyzed for the presence of pulmonary epithelial cell-specific gene expression 6 weeks after transplantation. Significant expression in these tissues was defined as a fold increase of 2.5 or greater compared to expression in marrow cells from mice transplanted with uncultured WBM (control). Significant expression of pulmonary epithelial-specific genes was detected in all tissues analyzed from mice transplanted with WBM co-cultured with LDMV (Table I). With the exception of 1 transplanted mouse, whose bone marrow expressed clara cell specific protein, no significant expression pulmonary epithelial cell-specific genes was detected in tissues from mice transplanted with WBM cultured without LDMV. These data demonstrate that LDMVmodified marrow cells are capable of persistent expression of pulmonary epithelial cell-specific genes in nonpulmonary tissue several weeks after transplantation.
Additionally, lungs from transplanted mice were analyzed for the presence of transplanted bone marrow cell-derived (Y chromosome') type II pneumocytes (also prosurfactant C', pro Sp-C', Fig. 5AÁD). There were over 5.5 times more Y'/pro Sp-C'cells in the lungs of mice transplanted with WBM co-cultured with LDMV compared with mice transplanted with WBM cultured alone (0.3590.13% vs. 0.0790.11% all DA-PI'lung cells, p 50.01, wilcoxon analysis, Fig. 5E). Mice transplanted with uncultured WBM had similar numbers of Y'/pro Sp-C'lung cells compared with mice transplanted with uncultured WBM (p]0.05, wilcoxon analysis). These data demonstrate that LDMV-modified  Proteomic and microRNA profile of LinÁ cells exposed to LDMV in co-culture LinÁ cells co-cultured with LDMV for 7 days had a different proteomic profile compared with cells cultured in the absence of LDMV. We identified 34 proteins present in both cell populations but present in higher levels in LDMV-exposed cells as more of the ''Heavy''labeled forms of these proteins were identified relative to ''Light''-labeled forms (pB0.01, Fig. 6). Conversely, we identified 18 proteins present in both cell populations but present in lower levels in LDMV-exposed cells as fewer ''Heavy''-labeled forms of these proteins were found relative to ''Light''-labeled forms. Additionally, we identified 159 microRNA species present in higher levels and 101 microRNA species present in lower levels in LDMV-exposed cells compared with cells cultured in the absence of LDMV (pB0.01, Fig. 7).

Discussion
The stability of cellular phenotypes underlies much of the current understanding of cell biology. Stability is achieved on a global level in tissues due to their highly structured organization, with specific cell types carrying out specific functions. However, this does not mean that there is stability at the cellular level. Cells may be continually assuming different phenotypes to maintain tissue integrity, especially in the context of tissue injury. In prescient comments on the results of early hematopoietic stem cell research investigating the colonyforming unit spleen, Till, McCulloch and Siminovitch determined that there was total heterogeneity at the level of self-renewal from individual colonies, but relative stability when the system was considered globally (15). In discussing how this lax regulation (heterogeneity) could be reconciled with the orderly behavior of normal   9 hematopoietic tissue, they drew an analogy with radioactive atoms: ''If one studies a large number of radioactive atoms, one sees a very regular pattern of decay following an exponential law. However, if one studies individual atoms, they are found to decay in an unpredictable fashion at random. It appears possible that our studies of the progeny of single cells display the random feature of hematopoietic function, while study of large populations of cells reveals the orderly behavior of the whole system. From this point of view, it is the population as a whole that is regulated rather than individual cells''. This type of high cellular entropy and low organizational entropy may describe most of cell biology and microvesicle cell fate modulation provides a potential mechanism for such cellular flexibility. Although earlier descriptions have questioned their biological relevance, microvesicles have since been viewed as possible immune modulators and mediators of thrombosis. More recent interest has focused on their capacity to shuttle cellular components from one cell to another and alter cellular fate. Transfer of CD41, integrins and CXCR4 between cells has been reported as has transfer of HIV and prions (16Á20). Embryonic stem cell-derived microvesicles have been shown to reprogram hematopoietic progenitor cells by transfer of mRNA and protein (21). Apoptotic bodies from irradiated EpsteinÁBarr   6. Altered proteome of Lin-cells co-cultured with LDMV. Relative expression of proteins in LinÁ cells co-cultured with LDMV compared to LinÁ cells cultured in the absence of LDMV. Up regulated proteins in LDMV co-cultured LinÁ cells (34) are proteins common to both cell populations but more ''Heavy''-labeled forms of these proteins were identified relative to ''Light''-labeled forms. Down reregulated proteins (18) are proteins common to both cell populations but fewer ''Heavy''-labeled forms of these proteins were identified relative to ''Light''-labeled forms.  virus (EBV)-carrying cell lines were shown to transfer DNA to a variety of co-cultured cells resulting in integrated copies of EBV and subsequent expression of EBV genes in recipient cells (22). In addition, T lymphocyte extracts containing transcription factor complexes are capable of inducing fibroblasts to express lymphoid genes (23). Similarly, microvesicles from endothelial progenitors were shown to be capable of inducing a vascular phenotype in vitro and in vivo through delivery of microvesicles (12).
The biological relevance of microvesicles likely extends further as they may also play role in the pathogenesis of a variety of human diseases. In vitro culture studies done by our group and others have demonstrated that tumorderived microvesicles can transfer determinants to nonmalignant cells (16) and that human prostate cancer tissue is capable of inducing tissue specific mRNA transcription in human bone marrow cells (24). More recent work by Gatti et al. has shown that microvesicles derived from mesenchymal stem cells can mediate histological and functional recovery from acute renal tubular glycerol-induced injury or ischemia-reperfusion injury (25). Microvesicle entry into renal tubular epithelial cells appeared to facilitate these effects. Microvesicle-mediated transfer of RNA from human liver stem cells also stimulated liver regeneration in a sub-total hepatectomy model (26).
The present work indicates that in the context of our culture system, microvesicle-induced changes in cellular phenotype are not transient, but rather a durable phenomenon as they persist over time in both in vitro and in vivo models (Fig. 8). Our data would suggest that the mechanism for these persistent changes is based on the transfer of a yet-to-be-determined transcriptional activator. Supporting this notion are data presented here showing that microvesicle-modified marrow cells have drastic changes in their microRNA profile and proteome. Transfer of a protein-based transcriptional activator with subsequent epigenetic change or transfer of microRNA or other non-coding RNAs which then act as a transcriptional modifier are among the likely possibilities. Regardless, the capacity of microvesicles to induce long-term phenotypic changes in cell populations is clear but the extent of these changes is also to be determined. We have demonstrated that transplantation of microvesiclemodified marrow cells into mice leads to over 5 times more marrow cell-derived type II pneumocytes compared with transplantation of unmanipulated marrow cells. In these studies, the absolute number of bone marrowderived type II pneumocytes is low and represents a small proportion of all lung cells (0.35%) in these transplanted mice. Optimizing transplantation conditions (co-culture with a different number of microvesicles, different target cell population, lung injury model used, etc.) may lead to a greater degree of engraftment and this is an active area on interest with our group. These studies were not designed to assess the functional impact of these engrafted cells. Although it may seem unlikely that so few engrafted bone marrow-derived lung cells would improve lung function, others have demonstrated that lung engraftment does not always correlate with functional or histological change. Ortiz et al. demonstrated that transplanted mesenchymal stem cells attenuated histological distortion of the lungs of bleomycin-injured mice and did so with very little lung engraftment of transplanted cells (27). Local anti-inflammatory and immunomodulatory effects of these transplanted cells are believed to impart these beneficial changes and do so independent of significant lung engraftment. Additionally, we report that microvesicles derived from sources other than the lung (liver cells) have a similar impact on marrow cells, suggesting that these findings might represent a general biologic phenomenon. The genes selected for this analysis, albumin-1 and ABCA1, are highly expressed in liver tissue but not truly liver-specific (28,29). Nonetheless, marrow cells exposed to liverderived microvesicles have substantial upregulation of these genes, which is not seen in control cells. All together, the long-term persistence of microvesicle-induced phenotypic changes indicates that microvesiclebased cellular modulation might provide a powerful tool for tissue restoration strategies.