This protocol describes a method to quantify nitric oxide (NO) production in airway epithelial cultures differentiated at the air–liquid interface (ALI) by measuring nitrite in apical secretions using a triiodide-based chemiluminescence assay.
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Method Article
This protocol describes a method to quantify nitric oxide (NO) production in airway epithelial cultures differentiated at the air–liquid interface (ALI) by measuring nitrite in apical secretions using a triiodide-based chemiluminescence assay.
Airway epithelial cultures differentiated at the air–liquid interface (ALI) provide a physiologically relevant model to study nitric oxide (NO) signaling in ciliated cells. Here, we describe a protocol to quantify NO production by measuring nitrite (NO₂⁻), a stable oxidation product of NO, in samples collected from ALI-differentiated mouse tracheal epithelial cells. Apical washes, basal media and cell lysates are collected and analyzed using a triiodide-based chemiluminescence assay coupled to a nitric oxide analyzer (NOA). Upon injection into the reaction vessel, nitrite is chemically reduced to NO, which is detected by ozone-based chemiluminescence. Signal intensity is quantified and converted to picomoles of nitrite using a standard calibration curve, and values are normalized to total cellular protein content. Assay performance is validated using pharmacological modulation of NO levels. Upon treatment with the NO donor Diethylenetriamine NONOate (DETA-NONOate) and the NO synthase inhibitor N(ω)-Nitro-L-arginine methyl ester (L-NAME) we observe significant differences in nitrite levels across conditions. The most robust and reproducible signal is observed in apical washes, corresponding to the amount of NO released from the airway epithelium. This method reliably detects NO in samples from ALI-differentiated airway epithelia, providing an accurate in vitro platform to quantify NO production and model diseases associated with abnormal NO metabolism.
A hallmark of several airway diseases, including asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis (CF) and primary ciliary dyskinesia (PCD), is altered nitric oxide (NO) homeostasis measurable as changes in exhaled NO levels, which can largely vary in these diseases, being elevated in COPD and asthma1,2, while drastically reduced in CF and PCD3,4. These diseases commonly exhibit abnormalities in airway epithelial motile cilia, the key effectors of mucociliary clearance5. Because NO and its downstream signaling pathways are critical regulators of ciliary motility, understanding how NO production and signaling are altered in these contexts is essential for elucidating mechanisms of mucociliary dysfunction. Accordingly, a method that enables precise detection of NO production and release in airway epithelia provides a valuable tool for dissecting the regulation and physiological role of this signaling molecule. Such approaches are particularly useful in experimental settings where direct measurement of NO is challenging due to its short half-life and rapid reactivity.
NO regulates airway cilia biogenesis and function by influencing ciliated cell polarity and the coordinated beating of motile cilia6,7,8. However, the mechanisms that maintain NO homeostasis in the airways remain incompletely understood. Airway epithelial cultures differentiated at air–liquid interface (ALI) provide a valuable in vitro system for investigating these mechanisms. At present, this model is widely used to study the impact of environmental insults on the airway epithelium9,10,11 and to elucidate the pathophysiology of airway diseases12. Compared with conventional submerged cultures13,14, ALI–differentiated epithelia more faithfully reproduce the architecture and function of the native airway, including epithelial polarization, mucociliary differentiation, and realistic gas–liquid exchange, making them especially suitable to study apical NO release, signaling, and related ciliary function. This system is therefore well-suited for experiments aimed at quantifying NO-derived metabolites released into the airway lumen, particularly under conditions of epithelial differentiation or pharmacological manipulation.
Accurate measurement of NO concentration is essential, as both excessive and deficient NO levels can impair ciliary function. Currently, fluorescent probe–based methods (e.g., diaminofluoresceins, DAFs) available for detecting NO are only semi-quantitative and are limited by pH sensitivity, oxygen dependence and lack of specificity, as they can react with cellular oxidants and antioxidants, resulting in semi-quantitative measurements15. In addition, electrochemical sensors (e.g., NO-sensitive amperometric electrodes) enable real–time detection of NO16 but can be difficult to implement in complex biological systems due to NO short half–life, interference from redox-active species biofouling of the electrode surface, and challenges in maintaining stable calibration17. Alternative chemiluminescence-based approaches including direct gas-phase NO detection and reductive assays targeting different nitrogen oxide species, have also been described, but their application to airway epithelial cultures remains unexplored. These limitations highlight the need for sensitive, quantitative methods that can reliably detect low levels of NO-derived species in small-volume biological samples. To overcome these limitations, we established a protocol to quantify NO in apical secretions collected from ALI-differentiated airway epithelia using a Nitric Oxide Analyzer (NOA). The NOA is a highly sensitive chemiluminescence–based detector traditionally used to measure NO metabolites in chemical samples and more recently adapted for the analysis of biological specimens, including blood, tissue homogenates, and cell culture supernatants7,18,19. NO is a highly reactive signaling molecule rapidly oxidized to nitrite in tissues under conditions of normal oxygen levels, with an exceptionally short half-life. Thus, nitrite as end product of NO oxidation serves as an indicator of total NO production in biological systems20,21,22. This sensitive and reproducible chemiluminescence method allows detection of nitrite/NO at picomolar levels23,24, making it ideal for measuring small changes in low–volume biological samples such as those derived from MTEC ALI cultures. However, this approach is best suited for conditions where nitrite accumulation reflects recent NO production and may be influenced by factors such as sample handling, background nitrite contamination, and epithelial differentiation state. Therefore, appropriate controls and careful experimental design are required to ensure accurate interpretation of results.
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All animal procedures were reviewed and approved by the University of Maryland Institutional Animal Care and Use Committee (Protocol # AUP–00004632).
NOTE: The protocol requires approximately 2 days for isolation of mice tracheal epithelial cells (MTEC), followed by 7–10 days for expansion, 5–6 days for proliferation in transwell inserts, 21 days for differentiation (time needed to acquire sufficient multi–ciliated cells), 24 h of drug treatment and one additional day for sample collection, NOA calibration, injections and data acquisition.
1. Preparation of media and solutions
NOTE: Refer to Table 1 for details on media ingredients.
2. Isolation of mouse tracheal epithelial cells (MTEC)
3. Cell isolation and initial expansion
4. Expansion and differentiation of MTEC
5. Immunolabeling and imaging of ciliated epithelial cells
6. Drug treatment of differentiated airway epithelia
7. Sample collection
NOTE: For NOA analysis it is necessary to pool media, apical wash, and cell lysate samples from three inserts.
8. NOA calibration and sample injections
9. Data collection, normalization and analysis
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The overall goal of this procedure is to quantify nitric oxide (NO) levels in mouse tracheal epithelial cell (MTEC) cultures differentiated at air–liquid interface (ALI). Primary cells are isolated and differentiated according to established protocols27,28. Over the course of 21 days at ALI, the cells are differentiated into a pseudostratified airway epithelium containing ciliated cells27,28. Levels of ci...
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Multi–ciliated cells within the airway epithelium are critical for NO synthesis and signaling, which in turn is essential for regulating ciliary beating, mucociliary clearance, and airway homeostasis6,7,8. NO is a highly reactive molecule and even small changes in NO levels are associated with airway diseases1,2,3,
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The authors declare no conflicts of interest.
We thank Dr. Mark T. Gladwin (Dean and Professor, University of Maryland School of Medicine) for guidance on study design. We also thank the University of Maryland School of Medicine’s Confocal Microscopy Core (Baltimore, MD) for access to confocal microscopy resources. This work was supported by National Institutes of Health (NIH) grant 5R01HL168775 to Dr. Paola Corti.
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| Name | Company | Catalog Number | Comments |
|---|---|---|---|
| 4′,6-Diamidino-2-phenylindole (DAPI) | ThermoFisher Scientific | 62248 | diluted 1:2000 for immunostaining |
| 50 mL Centrifuge tube filter (0.22 µm) | CellTreat | 229710 | For preparation of sterile solutions |
| 500 mL Filter units | ThermoFisher Scientific | 566-0020 | For sterile media preparation |
| Accutase | Sigma | A6964 | |
| Amphoterecin B | ThermoFisher Scientific | 15290026 | |
| Bovine Pituitary Extract | ThermoFisher Scientific | 13028014 | |
| Bovine Serum Albumin | Sigma | A7906 | |
| Cholera toxin | Sigma | C8052 | |
| Collagen I | ThermoFisher Scientific | A1048301 | |
| Confocal Microscope | Nikon | W1 Spinning disk Ti2 inverted microscope with Hamamatsu sCMOS camera | |
| Corning Transwell inserts | Sigma | CLS3460 | |
| Diethylenetriamine NONOate (DETA-NONOate) | Cayman Chemical | 82120 | |
| DMEM/F-12 media | ThermoFisher Scientific | 11330032 | |
| DNAse I | Sigma | DN25 | |
| Fetal Bovine Serum | Sigma | F4135 | |
| Halt 1X Protease inhibitor cocktail | ThermoFisher Scientific | 1860932 | |
| Ham's F1-12 Nutrient mix | ThermoFisher Scientific | 11765054 | |
| Insulin solution | Sigma | I0516 | |
| Isoproterenol hydrochloride | Sigma | I6504 | |
| Keratinocyte Serum-free media | ThermoFisher Scientific | 17005042 | |
| Murine Epidermal growth factor | Sigma | E4127 | |
| N(G)-Nitro-L-arginine methyl ester (L-NAME) | Sigma | N5751 | |
| NuSerum | Corning | 355100 | |
| Penicillin-Streptomycin | Sigma | P4333 | |
| Phosphate buffer saline (PBS) | ThermoFisher Scientific | 10010023 | |
| Pierce BCA Protein Assay Kit | ThermoFisher Scientific | 23227 | |
| Pronase | Sigma | 10165921001 | |
| Retinoic acid | Sigma | R2625 | |
| Rho kinase inhibitor (Y-27632 hydrochloride) | Cayman Chemical | TOM-C837Z37 | |
| RIPA buffer | Sigma | R0278 | |
| RPMI-1640 media | ThermoFisher Scientific | 11875093 | |
| Sodium nitrite | Sigma | S2252 | |
| Transferrin | Sigma | T8158 | |
| α-Acetylated tubulin antibody (mouse) | Sigma | T6793 | diluted 1:200 for immunostaining |
| α-FoxJ1 antibody (mouse) | ThermoFisher Scientific | 14-9965-80 | diluted 1:200 for immunostaining |
| α-mouseCy3 secondary antibody | ThermoFisher Scientific | A10521 | diluted 1:1000 for immunostaining |
| γ-secretase inhibitor IX (DAPT) | Sigma | D5942 |
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