Study Population and SAE sampling

SAE samples from 5 healthy nonsmokers and 6 healthy smokers were analyzed using mRNA-Seq (Additional file 1, Table S1). All individuals had no significant prior medical history and a normal physical examination. To minimize the influence of potential confounding variables, only males of African-American ancestry were assessed. The nonsmokers were younger (p < 0.02). There were no differences be-tween the two groups with respect to pulmonary function criteria (p > 0.1, all variables). The smoking status was confirmed by urinary tobacco metabolites (see Additional Data Methods and Additional file 1, Table S1). The number of cells recovered ranged from 5.0 to 9.7 × 10⁶, with > 97% epithelial cells in all cases (Additional file 1, Table S1). There was no difference between the two groups with respect to the proportions of each of the four major cell types, with the exception of ciliated cells, which were significantly lower in the healthy smokers compared to the healthy nonsmokers (p < 0.04).

Data Processing and Quality Control

The cDNA generated from SAE samples was run in a single lane per subject on Illumina flow cells. A total of 182 million, 43 base pair single end reads were generated, yielding 7.8 gigabases of sequence. These sequences were aligned using Bowtie version 0.12 (see Additional file 1, Table S2 for a summary of mapping details). To correct for transcript length and depth of coverage, raw reads were converted into reads per kilobase of exon per million mapped reads (RPKM) [23]. RPKM was then assessed across the entirety of reads with reference to exons, introns and intergenic regions. A comparison was made between the expression levels of exons and intergenic regions to define a threshold value above which there was the highest confidence in the validity of the expression value (Figure 1A, B). This was performed by generating a false discovery rate for a range of expression values across all subjects, resulting in the adoption of a cut-off value of 0.125 RPKM, representing an optimal compromise between false positive and false negative values (see Methods). All subsequent analyses were based on the application of this expression threshold.

Of the 21,475 annotated genes in the Human Genome version 19 reference [26], 15,877 (73.9%) were expressed in SAE at greater than the RPKM cut-off value of 0.125. The average expression level was 13.8 RPKM (Figure 1C) and the average among subject coefficient of variation in RKPM was 0.25. This cut off may be conservative due to overestimation of the number of intronic and intergenic reads. Based on a survey of a random intergenic domain on the genome, we estimate that ~50% of the reads mapped to intergenic and intronic regions correspond to repetitive elements. These probably represent mismapping of reads that properly belong polyadenylated mRNAs that contain the same repetitive elements. If the impact was to drop the threshold from 0.125, as used here, to 0.05, the number of expressed genes would increase from 15,877 to 16,844 (a 6.1% increase). It is estimated that 1 RPKM corresponds to one mRNA per cell. As a result, we believe there is little significant biology lost by using a conservative cut off (consistent with literature precedent) of 0.125 (i.e., one mRNA per 8 cells) vs a more stringent cut off of 0.05 (one mRNA per 20 cells).

A subset of 12 genes with RPKM differing by > 4 logs was confirmed by TaqMan realtime quantitative PCR with relative quantitation, using rRNA for normalization. The overall correlation between expression levels determined by these 2 methods was very strong (r² = 0.81) (Additional file 1, Figure S1).

Comparison of SAE Gene Expression to Other Tissue Transcriptomes

RNA-Seq allows absolute quantitation of mRNA levels and for the fractional contribution of individual transcripts to the total mRNA population to be assessed [24]. In some tissues, transcripts from a relatively small number of genes account for much of the total cellular poly(A)⁺ RNA pool (Figure 2A). In the case of liver, the single most highly expressed gene contributes 10% of the total mRNA molecules and the top ten collectively contribute 37% [24]. In colon, by contrast, the single top mRNA contributes only 2% of the total mRNA and the top ten contribute 9%[24]. Of the total SAE transcripts identified in healthy nonsmokers, 13% mapped to the SCGB1A1 gene (secretoglobin, family 1A, member 1 protein also known as ute-roglobin or Clara cell-specific 10 kD protein [CC10], Table 1). The top 10 genes contributed 24% of the total mRNA (p < 0.05 comparing distribution to both liver, and colon).

Ubiquitous and SAE-enriched Genes

To categorize the SAE-expressed genes in healthy nonsmokers as ubiquitous (i.e., expressed by most other tissues) or genes expressed in an SAE-enriched fashion, a comparison was made between the 7,897 genes identified by Ramsköld et al [24] to be ubiquitously expressed in various human tissues and the 15,877 genes expressed in human SAE. The data showed that 7,607 (96.5%) of the genes identified by Ramsköld et al [24] as ubiquitously expressed genes were also expressed by human SAE, indicating that 48% of the SAE transcriptome is comprised of ubiquitously expressed genes. The remaining 52% were designated as "SAE-enriched" genes.

The most highly expressed SAE-enriched gene (Table 1) was SCGB1A1, which is expressed primarily by Clara cells located in small airways [27–29]. RNA-Seq fragments mapped to all three exons of the SCGB1A1 gene at very high density (Figure 2B). Other highly expressed SAE-enriched genes included secretoglobin, family 3A, member 1(SCGB3A1), secretory leukocyte peptidase inhibitor (SLPI), chromosome 20 open reading frame 114 (C20orf114; also known as a long variant of the palate, lung, and nasal epithelium carcinoma associated protein PLUNC), tubulin polymerization-promoting protein family member 3 (TPPP3) and CD74.

To further characterize the SAE transcriptome, gene expression levels derived from RNA-Seq data were divided into three groups. "Low" expression was assigned as significantly expressed (i.e., > 0.125 RPKM cut off, but less than 1 RPKM, corresponding to < 1 mRNA/cell [23]). "Medium" expression was defined at between 1 and 10 RPKM and "high" expression was defined as > 10 RPKM ( Figure 2C-E). Analyses of the frequency distribution of ubiquitous and SAE-enriched RefSeq-annotated genes revealed that considerably more of the SAE-enriched gene set were expressed at lower levels (median expression level 1.8 RPKM, Figure 2E) compared to the ubiquitous genes (median expression level 8.6 RPKM, Figure 2D).

Prior to the advent of RNA-Seq method, information about the transcriptome of airway epithelium was derived from gene expression microarrays [11–18]. To assess the concordance of expression pattern by RNA-Seq and microarrays, all genes expressed by RNA-Seq were evaluated as to whether they were identified as expressed in all microarrays, a subset of microarrays or not represented on the microarray (Figures 2F, G). For ubiquitous genes, the percentage of genes identified by RNA-Seq also identified as expressed in > 50% of subjects by microarray was greater for highly expressed genes (97.7%) than medium expressed genes (92.1%). Only 59.2% of ubiquitous genes with low expression identified by RNA-Seq were scored as expressed by microarray (Figure 2F). Similarly, for the SAE-enriched genes, the percent of genes identified by RNA-Seq and in > 50% of subjects by microarray was greater for highly expressed genes (89.8%), compared to medium expressed genes (70.3%), and even more so for genes with low expression (31.3%; Figure 2G). Thus, overall, the two methods are broadly in agreement, but RNA-Seq provides more information, not only quantitative data, but also identification of expression of genes with low expression levels.

Functional Assessment of Ubiquitous and SAE-enriched Genes

To better understand biologic functions enriched in the SAE transcriptome, the gene lists were assigned to functional categories using Gene Ontology molecular functions and the expression levels for ubiquitous and SAE-enriched genes were compared (Figure 3, Additional file 1, Table S3). In some functional categories such as signal transduction, the allotment of genes to the SAE-enriched and ubiquitous categories, as well as the distribution of expression levels within those categories, was similar to that for all genes (compare Figure 3D to Figures 2D, E). But several deviations from the expected distribution were observed. For example, for the functional category "translation", many more genes were classified as ubiquitous compared to SAE-enriched and those that were SAE-enriched were expressed at higher levels than expected based on all genes. By contrast, in the category "immunity", the number of genes in the SAE-enriched category was higher than expected but distribution of expression level was in line with the average expression of all genes. The median expression levels among the various categories allowed quantification of these differences. The median expression levels for the SAE-enriched genes were lower than that for the ubiquitous genes in all categories. For example, for the ubiquitous genes, the median levels ranged from 7.9 RPKM for membrane receptors to 21.7 RPKM for translation, whereas, for the SAE-enriched genes, the median levels ranged from 1.1 for membrane receptors to 5.6 RPKM for translation. On the average, the most highly expressed category was "translation, ubiquitous" genes (median 21.7 RPKM), whereas the lowest was "membrane receptors, SAE-enriched" (median 1.1 RPKM).

The human SAE is made up of 4 major cell types including ciliated cells (73% abundance in this study), undifferentiated columnar cells (9%), basal cells (10%) and secretory cells (7%, Additional file 2, Table S1). The SAE also has rare neuroendocrine cells (< 0.01%) [13, 30, 31]. The availability of cell type-specific gene lists, together with the ability of RNA-Seq to quantify mRNA abundance, allows the contributions of these cell types to the SAE transcriptome to be assessed quantitatively. When compared to all genes of the SAE-enriched transcriptome, genes encoding cilia components were expressed at much higher levels and genes encoding neuroendocrine cell genes were expressed at much lower levels (Figure 4). On the other hand, genes identified as representative of the basal cells and secretory cells were expressed at levels comparable with the average level for SAE-enriched genes. The highest expressed cilia-related genes included tubulin β2C and α1A subunits, tektin and a number of dynein subunits with RPKM of > 100 (Table 2). By contrast, neuroendocrine genes such as secreogranin II (SCG2) and chromogranin A (CHGA) were expressed at < 1 RPKM with the exception of enolase 2, which may not be neuroendocrine cell-specific [32]. Among the mucus-secreting cell genes, trefoil factor 3 and two mucin genes, MUC1 and MUC5B, were the most highly expressed (RPKM > 100). For the basal cell genes, when assessed in the context of all SAE genes, MALAT1 (a noncoding transcript), CST3 cystatin C (a protease inhibitor) and PFN1 profilin 1 (a ubiquitous actin monomer-binding protein) were the most highly expressed.

Gene Families

One advantage of RNA-Seq compared to microarray is that transcripts can be unequivocally mapped to a single member of a gene family when sequence is similar but not identical. Thus, RNA-Seq can be used to identify and quantify highly homologous genes, something not possible with hybridization-based microarrays [25]. To quantify SAE expression of homologous gene families in healthy nonsmokers, we identified all gene pairs with ≥ 90% sequence identity and assessed expression level by RNA-Seq in healthy nonsmokers. For example, in the cluster on chromosome 19 containing CYP2A6, CYP2A7 and CYP2A13 (Figure 5A), it was possible to map the reads to the different genes and show that expression of CYP2A13 (median RPKM = 17) > CYP2A6 (4) > CYP2A7 (1). In the GSTA cluster on chromosome 6 (Figure 5B), a clear assignment of reads permitted the expression order of GSTA1 (249) > GSTA2 (144) > GSTA3 (16) > GSTA5 (9). As another example, in the metallothionein gene cluster on chromosome 16 (Figure 5C), it was evident that expression level for MT1E (33) > MT1lL (2) > MT1M (1). Among the other highly expressed homologous gene families in the SAE were the α and β tubulins, annexins, glutathione S-transferase mu family, cytosolic phenol-preferring sulfotransferase family, α amylase, and NODAL modulator (Table 6). In all cases, the RNA-Seq allows the individual transcripts to be definitively distributed among family members.

Effect of Smoking on the SAE Transcriptome

The preceding analyses of SAE-specific and ubiquitous transcripts are based exclusively on the RNA-Seq data from n = 5 nonsmokers. RNA-Seq data was also collected for n = 6 healthy smokers, who had a mean smoking history of 35 pack-yr (range of 26 to 45 pack-yr). Extensive transcription data based on the microarray methods has shown that smoking makes a substantial impact on gene expression in airway epithelium [11–18, 45, 46]. Quantitative comparison by RNA-Seq of SAE gene expression of healthy smokers vs healthy nonsmokers showed there was no gross effect of smoking on the overall distribution of the SAE transcriptome in nonsmokers and smokers (Figure 6A). However, there were changes in expression of individual genes with smoking, constituting 8 to 13% of the ubiquitous genes and 9 to 14% of the SAE-enriched genes (Figure 6B). In both categories, smoking responsiveness was slightly more noticeable in genes with medium and high expression than in genes with low expression.

To assess the quantitative effects of smoking, a modified volcano plot was devised in which the absolute change was plotted as a function of p value (Figure 6C, D). The data show that, for both the ubiquitous and for the SAE-enriched transcriptome, the number of genes down-regulated by smoking was substantially higher than that number of genes up-regulated by smoking. This was particularly noticeable among the ubiquitous genes.

Because of the extensive microarray data on the response of airway epithelium to smoking, we sought to validate the RNA-Seq data by comparing the response to smoking as measured by the two different methods. Micorarray data from a cohort of 12 healthy smokers and 12 non-smokers were used to generate a list of 239 genes represented by 262 probesets that were smoking-responsive (corrected p < 0.05, no fold change cutoff) according to microarray. The fold-change by microarray was plotted against the fold change by RNA-Seq with an overall very strong correlation (r² = 0.89, Figure 7A; Additional file 1, Table S5). There were no genes for which the direction of regulation by smoking differed between microarray and RNA-Seq method. Therefore, RNA-Seq comprehensively captures the effect of smoking as determined by microarray method, thereby validating both approaches. The ability of the microarray method to capture the smoking-dependent gene expression detected by RNA-Seq was then assessed. RNA-Seq method using n = 5 nonsmokers and n = 6 smokers captured 611 smoking-dependent genes (uncorrected p < 0.005, no fold change cut off). For these genes, the impact of smoking as determined by microarray was generally similar (Figure 7B, r² = 0.58; data in Additional file 1, Table S6). While RNA-Seq faithfully captures the effects of smoking as determined by microarray, the microarray method is less discriminating in capturing the smoking-dependent expression determined by RNA-Seq, consistent with the higher sensitivity of the latter method.

To assign function to smoking dependent genes, Gene Ontology searches of the Biological Process term were used to classify the expression of the smoking-suppressed and smoking-repressed genes (Figure 8). This analysis also showed that, in almost all categories, the expression of more genes was suppressed than induced. Of interest, a comparison of function in the ubiquitous and SAE-enriched categories pointed to some contrasts of potential significance. For example, among genes involved in transport, there were more smoking-induced SAE-enriched genes than ubiquitous genes and also a higher proportion of smoking-inducible genes in the SAE-enriched group compared to ubiquitous category. Similarly, among proteases and anti-proteases, there was some smoking-inducibility in the SAE-enriched genes, but none for ubiquitous genes.

To detect novel smoking-dependent genes, we exploited the ability of RNA-Seq to quantify expression of genes with low expression. Among the novel smoking-inducible and smoking-suppressed genes with low level expression were the smoking-inducible genes that had been previously identified by microarray (e.g., AKR1B10, CYP1B1) [11, 47], but also newly identified smoking-induced genes, such as the oxido-reductase AKR1B15 and transcription factor TPRXL (Table 7). Similarly, new smoking-repressed genes were identified, including transcription factor PAX1 and AZU1, an inflammatory mediator [48].

Based on the number of SAE-enriched, smoking-dependent transport genes (Figure 7), we examined the expression of ion transport genes with low overall expression (Figure 8). The significance of this gene group is evident in the fact that polymorphisms in the cystic fibrosis transmembrane conductance regulator (CFTR) gene, a chloride transporter, result in cystic fibrosis, a lethal hereditary disorder with a dramatic pulmonary phenotype [49]. CFTR expression levels were in the range of 2 to 4 RPKM corresponding to an average of ~2 to 4 mRNA molecules per cell, a similar value to that estimated by polymerase chain reaction methodology [50]. There was no difference in CFTR expression level between nonsmokers and smokers (Figure 9A). In contrast, there were smoking-inducible transporters including the CFTR related ATP-binding cassette, sub-family C, member 3 (ABCC3), L-type calcium channel, voltage-dependent, gamma subunit 4 (CACNG4), and cyclic nucleotide gated channel, beta 1 (CNGB1, Figure 9B-D). There were also significantly smoking-suppressed ion transporters, including solute carrier family 13, member 2 (sodium dependent dicarboxylate transporter, SLC13A2) and potassium voltage-gated channel, Shaw-related subfamily, member 4 (KCNC4) detected (Figure 9E, F).

Effect of Smoking on Alternative Splicing

Among the advantages of RNA-Seq is the ability to easily quantify different isoforms of one gene generated by alternate splicing. The frequencies of reads that span one or more splice junction were used to assess the relative levels of different isoforms separately in smokers and nonsmokers. Interestingly, comparison of the splicing events between nonsmokers and smokers to the expected distribution revealed no divergence (Figure 10). This was true for both the ubiquitous and SAE-enriched genes, suggesting there are no major smoking-dependent differences in splicing patterns.

SAE-enriched Transcripts

Comparison of the expression profile of different tissues by RNA-Seq and Serial Analysis of Gene Expression (SAGE) allows the identification of ubiquitous and tissue specific genes [24, 51]. By comparing to the RNA-Seq data obtained for other organs and tissues, we found that among 15,877 genes expressed in the SAE, 52% of genes are enriched in the SAE in a relatively selective manner and 48% of genes are ubiquitous. Interestingly, the SAE transcriptome includes more tissue-characteristic RNAs than other epithelial (breast, kidney, colon) and non-epithelial (heart, brain, skeletal muscle, adipose tissue, lymph node) tissues, where ubiquitous genes contribute to 65 to 85% of the transcriptome [24]. This may reflect the high purity of the epithelial cells obtained by bronchial brushing (i.e. they are not contaminated by endothelium, connective tissue or inflammatory cells and therefore do not appear to express genes that are expressed by contaminating cell types). Notably, SAE genes with low expression levels contributed to 36% of the SAE-enriched and only 2% of ubiquitous genes, indicating that molecular uniqueness of the SAE is determined to a considerable degree by the transcripts with a low abundance. From the functional perspective, ubiquitous SAE genes dominated in the categories related to housekeeping biologic processes such as translation and transcription, whereas SAE-enriched genes were prevalent in more specific categories such as immunity, signal transduction, adhesion, and ion transport.

SAE Transcriptome Specialization

Specialized biological properties of a given organ or tissue are determined by a unique pattern of genes expressed in distinct cell populations typical for each tissue. The human SAE is composed of various cell types, including ciliated, secretory (mostly Clara cells but also surface epithelium mucus-producing cells), basal, undifferentiated columnar, and rare neuroendocrine cells [1, 2, 13, 31, 52]. Although most of the SAE-enriched genes are represented by low expressed transcripts, the top 30 highly expressed SAE-enriched genes accounted for about 20% of the total SAE mRNA, suggesting that a limited number of genes may dictate the specific pattern of biological processes dominating in the SAE under steady-state conditions. Detailed analysis of the most highly expressed SAE-enriched genes revealed a unique pattern of epithelial differentiation and molecular functions.

Gene Family Members

RNA-Seq offers the potential advantage of distinguishing expression levels among different members of closely related gene families with potentially different functions, whereas cross hybridization among probes often makes this a challenge using microarrays [25]. For example, the RNA-Seq analysis permitted quantification of the expression levels of 3 highly different homologous members of the cytochrome P450 family 2, subfamily A, CYP2A6, CYP2A7 and CYP2A13. RNA-Seq allowed the transcripts to be unambiguously attributed primarily to CYP2A13 which is responsible for metabolism of the cigarette smoke specific carcinogen 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone [101]. On the other hand, the family member CYP2A6 has different substrate specificity dictated by critical amino acid differences between these otherwise closely related proteins [102]. The significance of these differences are underscored by the variant CYP2A13*2, which is associated with decreased incidences of lung adenocarcinoma in smokers [103].

SAE Transcriptome Response to Smoking

Extensive microarray studies have identified a dramatic effect of smoking on the gene expression profile of human airway epithelium [11–18]. By using RPKM quantification as a measure of smoking-dependent changes in SAE transcript levels, the present study expands the insights into the airway epithelial response to smoking. The quantitative RNA-Seq analysis revealed that smoking suppressed the expression level of a greater number of genes than it induced. Interestingly, among the up-regulated genes, smoking has a larger effect on SAE-enriched genes rather than the ubiquitous genes. From the functional perspective, the SAE-enriched smoking-up-regulated genes were related to transcription, signal transduction, protease/antiprotease homeostasis, and immunity.

The top 2 SAE-enriched genes, the Clara cell associated genes SCGB1A1 and SCGB3A1, were both down-regulated by smoking with a large magnitude of change in expression levels. Smoking and especially COPD have been associated with the loss of Clara cells and the levels of SCGB1A1 in both induced sputum and serum are lower in smokers with COPD as compared to both nonsmokers and healthy smokers [104–107]. It is possible that down-regulation of Clara cell secretoglobins, with their anti-oxidant, anti-inflammatory and tumor-suppressor activities [60, 108, 109], is a critical component of smoking-related development of COPD. The decreased number of SCGB1A1-expressing Clara cells in smokers is generally accompanied by an increased frequency of mucin-secreting cells [29]. Indeed, a subset of highly expressed SAE-enriched genes, such as C20orf114 (also known as long PLUNC1), and MSMB, both associated with mucin-producing secretory cell phenotype [110, 111], were among the smoking-induced genes with the highest amplitude of up-regulation. Other genes related to a secretory phenotype such as WFDC2, TSPAN1, TFF3, S100P, and short PLUNC, were also induced by smoking; each of these genes has been associated with epithelial carcinogenesis [67, 112–115]. Thus, a broad induction of a mucin-producing cell secretory program, characteristic of epithelial malignancies, may represent an early molecular phenotype relevant to smoking-induced carcinogenesis in the distal airways.

Other smoking-induced changes among the highly expressed SAE-enriched genes included up-regulation of oxidative stress-related genes ALDH3A1 and GSTA2, also associated with cancer development [116, 117], and down-regulation of genes associated with epithelial differentiation such as CD74, C9orf24 (also known as ciliated bronchial epithelium 1), and luminal cell-associated keratin 19[118, 119]. Some of these changes have not been previously detected by microarrays, likely due to microarray saturation of signal with high levels of expression and/or higher sensitivity of the RNA-Seq methodology to gene expression changes with relatively low overall fold-difference between the groups.

The ability of RNA-Seq to assess genes with low steady-state expression was utilized in the present study to characterize the effect of smoking on the expression of low abundance SAE genes. Although some of changes, such as up-regulation of oxidative stress-responsive genes AKR1B10, CABYR, and CYP1B1 have been previously reported [11, 45–47], RNA-Seq quantification revealed a number of novel smoking-responsive genes, including smoking-induced NOS3, a gene encoding nitric oxide isoform usually expressed by endothelial cells but induced in the airway epithelium in association with squamous differentiation [120], and smoking-suppressed Ly6/neurotoxin 1 (LYNX1), an allosteric modulator of nicotinic acetylcholine receptors [121].

Functional classification of the low level, smoking-related genes also identified the class of ion transport genes as being modulated by smoking. One example was CNGB1, a smoking-induced gene that encodes a cyclic nucleotide gated channel that was first identified for its role in light activated cellular polarization in retinal photoreceptor cells [122] and linked to olfactory receptor function [123]. The discovery that airway ciliated cells have olfactory receptors that operate by the same signal transduction pathways as visual rhodopsin [124] suggests a role for CNGB1 in airway epithelial function. Also notable among smoking-dependent genes were a series of ion channels whose overall low expression level in the SAE may reflect expression predominantly in neuroendocrine cells which constitute < 0.01% of total airway epithelium. For example, CACNG4, the gamma subunit of a voltage gated calcium channel, is a smoking-induced gene. Previous reports suggest that this gamma subunit is expressed primarily in brain [125] but expression of voltage gated calcium channels in neuroendocrine cells and neuroendocrine-derived tumors has been demonstrated [126].

Splicing

The mRNA sequence reads across exon junctions permit quantitative assessment of the splicing pattern for all genes. By comparing splice events for smokers and nonsmokers, we were able to demonstrate there are no overall smoking-dependent changes in the patterns of splicing for either ubiquitous or SAE-enriched genes. This was surprising, since there are known to be substantial genome wide differences in splicing between normal airway epithelium and lung cancer [127, 128], suggesting those splicing-related changes are late events and are not represented in non-transformed airway epithelial cells.

Study Population

Following approval by the Weill Cornell Medical College Institutional Review Board, healthy nonsmokers and healthy smokers, who responded to local advertisements regarding a research study to assess lung health, were assessed in the Weill Cornell National Institutes of Health Clinical and Translational Sciences Center and Department of Genetic Medicine Clinical Research Facility. Prior to study enrollment, each individual provided written informed consent. The study population included healthy nonsmokers (n = 5) and healthy smokers (n = 6), phenotyped by a standardized screening assessment consisting of a history, physical examination, complete blood count, coagulation profile, liver function tests, urine studies, chest X-ray, EKG, and lung function tests (see Additional Data Methods for inclusion/exclusion criteria; Additional file 1, Table S1 for detailed demographics). Urinary nicotine and cotinine were used to verify the self-reported smoking status of smokers. For comparison between RNA-Seq and microarray data, 27 healthy nonsmokers from a previous study were assessed [129] (see Additional file 1, Table S1 for demographic details).

Collection of SAE

Fiberoptic bronchoscopy was used to sample SAE cells as previously described [13]. After routine anesthesia, a 2 mm disposable brush (Wiltek Medical, Winston-Salem, NC) was inserted into the working channel of the bronchoscope and advanced to the airways distal to the orifice of the desired lobar bronchus. Small airway epithelial samples were obtained by lightly wedging the brush 7 to 10 cm distal to the 3^rd generation bronchial airway (i.e., the 10^th to 12^th order bronchi), and sliding the brush back and forth on the epithelium 10 to 20 times in 8 to 10 sites. For each brush, after withdrawing from the bronchoscope, the cells were dislodged from the brush by flicking the brush tip in 5 ml of ice-cold Bronchial Epithelium Basal Medium (BEBM, Lonza, Basel, Switzerland). A 1 ml aliquot of all airway epithelial samples was used to quantify the percentage of epithelial and inflammatory cells and the proportions of basal, ciliated, secretory and undifferentiated columnar cells by centrifuging 2 × 10⁴ cells per slide (Cytospin 11, Shandon Instruments, Pittsburgh, PA) and using Diffquik staining reagents (Dade Behring, Newark, NJ); a portion of this aliquot was also used to quantify of the number of cells recovered from airway brushings using a hemocytometer. The remaining 4 ml of sample was im-mediately processed for RNA extraction.

RNA Extraction and Sample Preparation

The freshly acquired small airway epithelial samples were treated with TRIzol (Invitrogen Carlsbad, CA) to extract total RNA, and residual DNA was removed by RNeasy MinElute RNA purification kit (Qiagen, Valencia, CA), resulting in a yield of between 2 and 4 :g RNA per 10⁶ cells. To assess the integrity of the RNA, an aliquot of each sample of RNA was analyzed with the Agilent Bioanalyzer (Santa Clara, CA), and the NanoDrop ND-1000 spectrophotometer (NanoDrop Technologies, Wilmington, DE) was used to determine the RNA concentration. Samples were then stored in RNAsecure (Ambion, Austin, TX) until further analysis. Using the reagents of the mRNA Sample Prep Kit and in accordance with the RNA sequencing protocol provided by Illumina, poly(A)⁺ mRNA was selected out from the total RNA samples using Sera-mag magnetic oligo(dT) beads. An RNA fragmentation kit (Ambion, Austin, TX) was used to fragment the mRNA, followed by first- and second-strand cDNA synthesis using random hexamer primers. An "end repair" reaction to blunt the ends of all fragments was then performed with Klenow polymerase and T4 DNA polymerase, and 3'- to 5' exo-nuclease was used to create a 3' adenine overhanging tail, facilitating the ligation of the amplification adapters. Ligation products were then separated on a 2% tris-acetate-EDTA-agarose gel for size selection, followed by purification with a gel extraction kit. The purified ligation products were then PCR amplified with complementary primers and the resultant cDNA was purified with QIAquick PCR kit (Qiagen), and the concentration was measured by the NanoDrop spectrophotometer. Samples were then loaded onto Illumina flow cells for single end, 43 nucleotide, sequencing reactions.

Data Filtering, Read Mapping and Quantification of Gene Expression

Images acquired by the Illumina Genome Analyzer 2 were analyzed by Firecrest and bases called by Bustard (both part of Illumina RTA pipeline version 1.6). All lanes of data were required to show low overall error rate (< 1.5%), low inter-base phasing (< 1.0), and all reads passed the Illumina GA quality filters (PF = Y). Resultant reads were aligned to the reference genome build UCSC hg19 using Bowtie v 0.12 [130]. The Bowtie default parameters used were those in which the first seed alignment of size > 28 nt, allowing up to 2 mismatches, is chosen at random, and is used if it yields an alignment quality sum of > 70 with a maximum of 125 backtraces. Thus, multiple alignments are not specifically assessed nor scored. The data was then processed with Python scripts to assign aligned reads to the coordinates of exons and genes. Mean read density values for exons, introns, and intergenic regions were computed in units of reads per kilobase of exon/intron/intergenic per million mapped reads [23]. Reads were mapped to the annotated transcribed strand of the genome, because the protocol for sequencing used in the current study was not strand specific. Reads per kilobase of exon per million mapped reads (RPKM) are indicative of actual mRNA concentration when samples have relatively uniform sequencing coverage across the entire gene model [23].

To determine the minimum detectable level of expression, a false discovery rate (FDR) and false negative rate (FNR) was estimated by comparing the expression levels of known exons to intergenic regions (Figure 1). This was done in accordance with the method described by Ramsköld et al. [24]. The distribution of exon expression levels was compared to the expression levels of intergenic regions based on the criteria: (1) no annotated genes according to the NCBI Reference Sequence (RefSeq; http://www.ncbi.nlm.nih.gov/RefSeq/) and Ensembl http://www.ensembl.org databases; and (2) no known expressed sequence tags in the GenBank sequence database http://www.ncbi.nlm.nih.gov/genbank. In order to avoid a bias due to changes in the size distribution of intergenic regions and exons, the intergenic regions were chosen at random to have the same size distribution of the expressed exons. The FDR was calculated for different expression levels as the normalized ratio of number of intergenic regions to number of exons at each expression level. The FNR for different expression levels was estimated from the cumulative ratio of the true positive rate (as estimated from the product of number of expressed exons and the FDR) and the total fraction of expressed exons. Based on this analysis, the optimal expression value as defined by the intersection of the FDR and FNR in all non-smoker samples was 0.125 RPKM.

All sequence read data have been submitted to the Short Read Archive (SRA) section of the NCBI SRA database (SRA accession #SRP005411); and U133 data submitted to GEO (GSE27681).

Data Analysis

A cut off value of RPKM 0.125 was established, below which expression was considered as noise (Figure 1). Genes for which the median expression in nonsmokers was > 0.125 RPKM were scored as expressed. Genes expressed by the small airway epithelium (SAE) were categorized as "ubiquitous" and "SAE-enriched" as follows. Ubiquitous genes were defined as described by Ramsköld et al. [24] based on expression in 11 of 12 tissues surveyed. The SAE expressed genes were grouped as "ubiquitous" if also expressed in at least 11 of 12 other tissues or "SAE-enriched" (if not in the "ubiquitous" list) [24]. Based on the median expression level in nonsmokers, expressed genes were further divided into "low" (RPKM 0.125 to 1), "medium" (RPKM between 1 and 10) and "high" expression genes (RPKM > 10).

The abundance of the transcripts from individual genes in the total mRNA pool in different tissues was assessed by building a frequency distribution. For our SAE data and for published RNA-Seq data from various tissue [24], all genes were ranked by transcript abundance and then the fraction of total mRNA contributed by gene #1, genes #2-10, genes #11-100, genes #101-1000 and # > 1000 was determined. This gives a frequency distribution that could be compared among tissues with assessment by Fisher's exact test.

To compare the RNA-Seq data to that of microarrays, Human Genome U133 Plus 2.0 microarray data (Affymetrix, Santa Clara, CA) from 27 healthy, African-American nonsmokers was used ([129]; Additional file 1, Table S1). The microarray CEL files were analyzed by Affymetrix Suite software and the "P" calls for each probeset were totaled for all subjects. The gene list from RNA-Seq was systematically reviewed in comparison to the microarray data. Where there was a corresponding probeset on the microarray data, the percentage of subjects with "P" call was determined. When there was > 1 probeset corresponding to a single named gene, the probeset with the highest percentage P call was used.

To further characterize the healthy SAE transcriptome, the data from the healthy nonsmokers were assessed for: (1) the overall most highly expressed genes; (2) the most highly expressed genes of differentiated cell types (ciliated, secretory, basal and neuroendocrine cells), using lists of genes characteristic of these differentiated cell types (Additional file 1, Table S4) [30, 31, 52]; (3) genes coding for transcription factors; (4) genes coding for transmembrane receptors; and (5) genes coding for signaling ligands and growth factors. In all cases, the most highly expressed was based on the median for all nonsmokers. Gene families expressed by the SAE of healthy nonsmokers were identified using Basic Local Alignment Search Tool (BLAST; http://www.ncbi.nlm.nih.gov/BLAST/). All RefSeq genes expressed by nonsmokers were aligned against a database of all human RefSeq mRNA [26]. Gene families were defined as groups of genes for which the alignments yielded ≥ 90% identity and the alignment length was at least 50% of both the query and matched sequences. Changes in gene expression of the family members were assessed as described above.

Smoking responsive genes were assigned on the basis of comparing RPKM level in 5 nonsmokers to that in 6 smokers by t-test with no correction for multiple comparisons. All genes with a p value of < 0.05 were deemed to be smoking-dependent regardless of any cut off in absolute change or fold-change (smoker/nonsmoker expression ratio).

The effect of smoking on alternative splicing was estimated by comparing normalized splice junction usage. To accomplish this, all reads that failed to align to the reference genome were aligned (using Bowtie) to a database of all RefSeq annotated exon-exon boundaries generated such that each junction required reads to overlap each exon by at least 3 nucleotides. By normalizing the number of reads at each junction by the length of each junction in kilobases, number of reads in the sample in millions of reads and the expression level of neighboring exons, it was possible to compare junction usage even in genes with different expression levels. To re-duce the false positive rate, filtering included exclusion of all junctions with expression levels (RPKM) below 0.125, all junctions with less than 2 spliced reads in both the smoker and non-smoker samples, as well as any genes where the standard error in RPKM across all samples was greater than 0.5. A t-test was used to estimate the significance of the difference in splice junction usage of the filtered junctions between smokers and nonsmokers. The data were analyzed using multiple test corrections with evaluation by Q-Q plot.