Abstract
Single-nucleotide polymorphisms in the tumor necrosis factor, alpha-induced protein 3 gene, which encodes the ubiquitin-modifying protein A20, are linked to susceptibility to multiple sclerosis (MS), a demyelinating autoimmune disease of the central nervous system (CNS). Since it is unresolved how A20 regulates MS pathogenesis, we examined its function in a murine model of MS, namely experimental autoimmune encephalomyelitis (EAE). Deletion of A20 in neuroectodermal cells (astrocytes, neurons, and oligodendrocytes; Nestin-Cre A20fl/fl mice) or selectively in astrocytes (GFAP-Cre A20fl/fl mice) resulted in more severe EAE as compared to control animals. In Nestin-Cre A20fl/fl and GFAP-Cre A20fl/fl mice demyelination and recruitment of inflammatory leukocytes were increased as compared to A20fl/fl control mice. Importantly, numbers of encephalitogenic CD4+ T cells producing interferon (IFN)-γ, interleukin (IL)-17, and granulocyte–macrophage colony-stimulating factor (GM-CSF), respectively, as well as mRNA production of IFN-γ, IL-17, tumor necrosis factor (TNF), GM-CSF, IL-6, CXCL1, CCL2, and CXCL10 were significantly increased in spinal cords of Nestin-Cre A20fl/fl and GFAP-Cre A20fl/fl mice, respectively. Compared to A20-sufficient astrocytes, A20-deficient astrocytes displayed stronger activation of nuclear factor kappa-light-chain enhancer of activated B cells (NF-κB) in response to TNF, IL-17, and GM-CSF, and of signal transducer and activator of transcription 1 (STAT1) upon IFN-γ stimulation. Due to NF-κB and STAT1 hyperactivation, A20-deficient astrocytes produced significantly more chemokines in response to these key encephalitogenic cytokines of autoimmune CD4+ T cells resulting in an amplification of CD4+ T cell recruitment to the CNS. Thus, astrocytic A20 is an important inhibitor of autoimmune-mediated demyelination in the CNS.
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Introduction
Single-nucleotide polymorphisms (SNPs) in or close to the human tumor necrosis factor, alpha-induced protein 3 (TNFAIP3) gene, are associated with several human autoimmune diseases including psoriasis, rheumatoid arthritis, type 1 diabetes, systemic lupus erythematosus (SLE), and multiple sclerosis [10, 15, 22, 39, 40, 42], suggesting that altered expression and activity of A20, which is encoded by TNFAIP3, contribute to specific autoimmune diseases. A20, a ubiquitin-modifying protein, inhibits activation of nuclear factor kappa-light-chain enhancer of activated B cells (NF-κB) by deubiquitinating K63-linked ubiquitination events and targets proteins, such as receptor-interacting protein 1 (RIP1), for proteasomal degradation by adding K48-linked polyubiquitin chains [33, 46, 57]. Experimental studies in mice have elucidated B cell-, dendritic cell-, and myeloid cell-specific functions of A20 in the development of autoimmunity [8, 18, 21, 25, 34, 50]. However, it is still unclear whether A20 expression in non-hematogenous organ-resident cells contributes to the regulation of autoimmune diseases including multiple sclerosis (MS) and its murine model experimental autoimmune encephalomyelitis (EAE).
EAE can be actively induced in mice by immunization with central nervous system (CNS) autoantigens resulting in the induction of autoimmune CD4+ T cells, which are subsequently recruited to the CNS and initiate demyelination [3, 35]. Among CD4+ T lymphocytes, T helper 1 (Th1), T helper 17 (Th17), and granulocyte–macrophage colony-stimulating factor (GM-CSF)-producing CD4+ T cells have been identified as important mediators in the immunopathogenesis of EAE and all of them can induce EAE independently [9, 12, 26, 29, 49].
To some extent, T cell responses can be regulated by CNS-resident cells; therefore, several CNS-resident cell populations are also involved in the regulation of EAE. Neurons, though often neglected as immune-regulating cells, contribute to the suppression of EAE by mediating the conversion of encephalitogenic T cells to CD25+ Foxp3+ regulatory T cells [31]. As active players in CNS innate immunity, astrocytes play both beneficial and detrimental roles in EAE [38, 41, 48, 56]. We have shown before that glycoprotein 130 (gp130)-dependent astrocyte survival and astrogliosis are critical to restrict CNS inflammation during EAE [20]. We also found that, in the recovery stage of EAE, astrocytic Fas ligand contributed to the apoptotic elimination of encephalitogenic CD4+ T cells from the CNS, thereby determining recovery from EAE [56]. As an important source of proinflammatory cytokines and chemokines, astrocytes contribute to EAE pathogenesis by regulating the recruitment of inflammatory cells [38, 41]. Noteworthy, the NF-κB signaling cascade plays a pivotal role in astrocytic chemokine production, and inhibition of NF-κB in astrocytes by deletion of nuclear factor of kappa-light-polypeptide gene enhancer in B-cells inhibitor, alpha (IκBα), inhibitor of nuclear factor kappa-B kinase subunit beta (IKK2), NF-κB essential modulator (NEMO), and Act1, respectively, ameliorates EAE [4, 23, 52].
To address the function of A20 in neuroectodermal cells (astrocytes, neurons, oligodendrocytes) in EAE, we generated Nestin-Cre A20fl/fl mice with specific A20 ablation in neuroectodermal cells and challenged them with EAE. Nestin-Cre A20fl/fl mice developed significantly more severe EAE than control littermates. Furthermore, we identified that astrocytic A20 was responsible for ameliorating EAE by suppressing NF-κB and signal transducer and activator of transcription 1 (STAT1)-dependent chemokine production, and subsequent recruitment of autoimmune CD4+ T cells to the CNS.
Materials and methods
Mice
Nestin-Cre+/− A20fl/fl, glial fibrillary acidic protein (GFAP)-Cre+/− A20fl/fl, and Synapsin-Cre+/− A20fl/fl mice were generated by crossing C57BL/6 Nestin-Cre [51], GFAP-Cre [2], and Synapsin-Cre [60] mice, respectively, with C57BL/6 A20fl/fl [21] mice. Genotyping of offsprings was carried out by PCR of tail DNA with primers targeting Nestin-Cre, GFAP-Cre, Synapsin-Cre, and A20fl/fl, respectively. C57BL/6 WT mice were obtained from Harlan (Borchen, Germany). Animal care and experimental procedures were performed according to European regulations and approved by state authorities (Landesverwaltungsamt Halle, Germany).
Induction and assessment of EAE
EAE was induced in 8- to 12-week-old mice by subcutaneous immunization with 200 μg of myelin oligodendrocyte glycoprotein (MOG)35–55 (MEVGWYRSPFSRVVHLYRNGK) peptide (JPT, Berlin, Germany) emulsified in complete Freund’s adjuvant (Sigma) supplemented with 800 μg of killed Mycobacterium tuberculosis (Sigma). In addition, 200 ng pertussis toxin (Sigma) in 200 μl PBS was administered intraperitoneally on day 0 and day 2 post immunization (p.i.). Clinical signs of EAE were monitored and scored daily according to a scale of severity from 0 to 5 as described previously [56]. Daily clinical scores were calculated as the average of all individual disease scores within each group.
Isolation of intraspinal leukocytes and flow cytometry
Leukocytes were isolated from the spinal cord and stained for CD4, CD8, and CD45 as described before [56]. For the detection of cytokine-producing CD4+ T cells, isolated leukocytes were incubated with 50 ng/ml PMA, 500 ng/ml ionomycin, Golgi-Plug (1 μl/ml) containing brefeldin A in RPMI-1640 at 37 °C for 4 h. Thereafter, cells were stained with rat anti-mouse CD4-FITC, rat anti-mouse CD45-V450, fixed and permeabilized with Cytofix/Cytoperm (BD), and stained with rat anti-mouse interleukin 17 (IL-17)-PE, interferon gamma (IFN-γ)-PE, and GM-CSF-PE, respectively. All antibodies were purchased from BD. Flow cytometry was performed on a FACSCantoII (BD).
Cell culture
Primary astrocytes were isolated from 1- to 2-day-old newborn mice and cultured as published before [19]. To eliminate microglia from astrocyte cultures, cells were harvested from astrocyte cultures and stained with rat anti-mouse CD11b-PE. Astrocytes (CD11b−) were then separated from CD11b+ microglia with a FACSVantage cell sorter (BD). Neuronal cultures were obtained as published before [19]. In brief, pregnant female mice were killed by cervical dislocation at gestational day 18.5, and dissociated cells of each embryonic brain were cultivated in flasks coated with poly-d-lysine in Neurobasal medium supplemented with B27 (Invitrogen) and 500 μM l-glutamine (Gibco). The purity of cultures for neurons was >98 %, as determined by immunofluorescence staining for neuron-specific class III β-tubulin.
Histology
For histology on paraffin sections, mice anesthetized with methoxyflurane were perfused with 0.1 M PBS followed by 4 % paraformaldehyde in PBS. Spinal cords were processed and stained with hemalum and eosin and cresyl violet/luxol fast blue. For macrophage and neurofilament staining, spinal cords were stained with rat anti-mouse Mac-3 (BD) and rabbit anti-neurofilament light (NF-L, Chemicon, Limburg, Germany), respectively, in an ABC protocol with 3,3′-diaminobenzidine (Sigma) and H2O2 (Merck) as substrate.
RNA interference
Astrocytes were transfected with small interfering RNA (siRNA) targeting A20 or STAT1 (pre-designed siRNA, Applied Biosystems) with the help of Lipofectamine RNAiMAX Reagent (Invitrogen). Sixty hours posttransfection, cells were used for experiments.
Quantitative RT-PCR
Total mRNA was isolated from spinal cord and cultured astrocytes according to the manufacturer’s instructions (RNeasy kit, Qiagen). The SuperScript reverse transcriptase kit with oligo (dT) primers (Invitrogen) was used to generate cDNA. Quantitative RT-PCR for A20, IL-17, IFN-γ, interleukin 6 (IL-6), GM-CSF, tumor necrosis factor (TNF), chemokine (C–X–C motif) ligand 1 (CXCL1), chemokine (C–C motif) ligand 2 (CCL2), C–X–C motif chemokine 10 (CXCL10), STAT1, and hypoxanthine phosphoribosyltransferase (HPRT) (Applied Biosystems) was performed on the Lightcycler 480 system (Roche). The ratio between the respective gene and corresponding HPRT was calculated per sample according to the ∆∆ cycle threshold method [32].
Western blotting
Cultured astrocytes, neurons, and microglia were stimulated as indicated and lysed in RIPA1 buffer. Cytoplasmic and nuclear protein fractions were extracted with NE-PER Nuclear and Cytoplasmic Extraction Kit (Thermo Scientific). Lysates were cleared by centrifugation at 14,000g for 20 min at 4 °C. Supernatants were harvested, heated in lane marker reducing sample buffer (Thermo Scientific) and run on SDS-PAGE. Immunoblots were probed for A20 (Santa Cruz), histone deacetylases (HDAC) (Santa Cruz), β-Tubulin (Sigma), phospho-IκBα, IκBα, phospho-p38, p38, phospho-ERK, ERK, JNK, phospho-JNK, phospho-STAT1 (701), phospho-STAT1 (727), STAT1, and glyceraldehyde 3-phosphate dehydrogenase (GAPDH) (Cell Signaling).
Migration assay
Medium was collected from astrocyte cultures untreated or stimulated with IFN-γ (10 ng/ml) for 48 h. CD4+ T cells were isolated from lymph nodes of C57BL/6 mice and placed in the upper part of Transwell chambers (Costar) precoated with 0.01 % poly-l-lysine (Sigma). Conditioned astrocyte medium was added to the lower part. After 2 h of incubation at 37 °C, EDTA was added to stop migration and number of CD4+ T cells in the lower chamber was counted microscopically.
Statistics
To test for statistical differences, the two-tailed Student’s t test was used. p values <0.05 were accepted as significant. All experiments were performed at least twice.
Results
Upregulation of A20 in the spinal cord during EAE
To explore a possible role of A20 in EAE, C57BL/6 mice were actively immunized with MOG35–55 peptide and A20 mRNA expression was analyzed by quantitative real-time PCR in spinal cord at day 15 and day 22 p.i., respectively. A20 mRNA expression was significantly upregulated in the spinal cord at both day 15 and day 22 p.i. (Online Resource 1) suggesting a possible function of CNS-derived A20 during EAE.
Aggravated EAE of Nestin-Cre A20fl/fl mice
To study the contribution of A20 derived from CNS-resident cells to EAE, we generated Nestin-Cre A20fl/fl mice, which lacked A20 specifically in all neuroectodermal cells including astrocytes, neurons, and oligodendrocytes [17]. Western blot (WB) performed on spinal cord tissue samples from Nestin-Cre A20fl/fl mice and control littermates revealed that A20 expression was deleted in spinal cord of Nestin-Cre A20fl/fl mice (Fig. 1a). Similar result was also obtained with quantitative real-time PCR (Fig. 1b). Upon induction of EAE by active immunization with MOG35–55 peptide, Nestin-Cre A20fl/fl mice displayed significantly stronger clinical symptoms as compared to the control A20fl/fl mice (Fig. 1c). Noteworthy, the more severe EAE of Nestin-Cre A20fl/fl mice cannot be attributed to the Nestin-Cre transgene, since Nestin-Cre A20wt/wt mice developed the same course of disease as A20wt/wt mice (Online Resource 2). Both A20fl/fl and Nestin-Cre A20fl/fl mice developed EAE with demyelination in the spinal cord, which was, however, more pronounced and widespread in Nestin-Cre A20fl/fl mice at days 15 and 22 p.i. (Fig. 1d, upper panel, cresyl violet/luxol fast blue staining). In addition, macrophage infiltration of the spinal cord was more prominent in Nestin-Cre A20fl/fl mice at days 15 and 22 p.i. (Fig. 1d, middle panel, anti-Mac3 staining). At day 15 p.i., mild axonal damage was visible in both strains of mice (Fig. 1d, lower panel, anti-neurofilament staining). In A20fl/fl mice axonal damage remained mild at day 22 p.i., whereas it progressed in Nestin-Cre A20fl/fl mice (Fig. 1d, lower panel, anti-neurofilament staining).
The percentage and number of infiltrating CD4+ T cells did not differ between unimmunized animals of both mouse strains (day 0) showing that Nestin-Cre A20fl/fl mice did not develop spontaneous inflammation in the CNS (Fig. 1e, f). At day 15 p.i., a higher percentage of CD4+ T cells infiltrating the spinal cord was detected in Nestin-Cre A20fl/fl mice (Fig. 1e). At day 22 p.i., the time point when Nestin-Cre A20fl/fl mice showed significantly more severe clinical symptoms than control mice, the percentage and number of invading CD4+ T cells were significantly higher in the spinal cord of Nestin-Cre A20fl/fl mice (Fig. 1e, f). Correspondingly, at day 22 p.i., higher levels of proinflammatory IFN-γ, IL-17, TNF, GM-CSF, IL-6, CXCL1, CCL2, and CXCL10 mRNA were detected in the spinal cord of Nestin-Cre A20fl/fl mice (Fig. 1g). Noteworthy, in the CNS, astrocytes are a major inducible source of the chemokines CXCL1, CCL2, and CXCL10 [27, 38], implying that the aggravated EAE in Nestin-Cre A20fl/fl mice might be attributed to the deletion of A20 in astrocytes.
A20 deficiency in astrocytes but not in neurons aggravates EAE
In order to precisely elucidate the function of astrocytic A20 in EAE, we generated GFAP-Cre A20fl/fl mice, in which A20 was selectively ablated in astrocytes, and explored their susceptibility to EAE. A20 deletion was detected in astrocytes (Fig. 2a), but not in other brain-resident cells including microglia and neurons (Online Resource 3a), though it has been shown that low levels of gene deletion can occur in neurons of GFAP-Cre expressing mice. Similar to Nestin-Cre A20fl/fl mice, GFAP-Cre A20fl/fl mice showed significantly more severe clinical symptoms than control mice after EAE induction by MOG35–55 immunization (Fig. 2b), demonstrating that A20 in astrocytes is important for the amelioration of EAE. Histology showed that GFAP-Cre A20fl/fl mice displayed more pronounced demyelination in the spinal cord than control mice at day 15 p.i. (Fig. 2c). Up to day 22 p.i., demyelination had regressed in A20fl/fl mice, but persisted in GFAP-Cre A20fl/fl mice. EAE symptoms of GFAP-Cre A20wt/wt mice were similar to that of A20wt/wt mice (Online Resource 3b) ruling out the possibility that the more severe EAE of GFAP-Cre A20fl/fl mice was due to the GFAP-Cre transgene. To consolidate the contention that EAE development was not influenced by A20 deletion in neurons, we generated Synapsin-Cre A20fl/fl mice, in which A20 was efficiently and specifically deleted in neurons (Online Resource 3c). Synapsin-Cre A20fl/fl mice developed comparable clinical symptoms as A20fl/fl mice (Online Resource 3d) illustrating that neuronal A20 deletion does not cause aggravation of EAE.
Increased infiltration of inflammatory cells in the spinal cord of GFAP-Cre A20fl/fl mice
In accordance with the histopathological results, the number of leukocytes infiltrating the spinal cord of GFAP-Cre A20fl/fl was increased with a higher percentage of CD4+ T lymphocytes at both early (day 15 p.i.) and late (day 22 p.i) stages of EAE (Fig. 3a, b). The number of infiltrating leukocytes and the percentage of infiltrating CD4+ T cells did not differ between unimmunized animals of both mouse strains (day 0) showing that GFAP-Cre A20fl/fl mice did not develop spontaneous inflammation in the CNS (Fig. 3a, b). In addition to CD4+ T cells, absolute numbers of infiltrating CD8+ T cells, Ly6Chi CD11b+ inflammatory monocytes, and F4/80+ CD68+ macrophages were also significantly increased in the spinal cord of GFAP-Cre A20fl/fl mice at both day 15 and 22 p.i. (Fig. 3c). Given that GM-CSF, IL-17, and IFN-γ-producing T cells can all induce EAE [6, 9, 12] while regulatory Foxp3+ CD4+ T cells suppress the disease [1, 36], we studied these subpopulations of invading CD4+ T cells. At both days 15 and 22 p.i., numbers of activated CD69+ CD4+ T cells were increased in the spinal cord of GFAP-Cre A20fl/fl mice (Fig. 3d). In contrast, the percentage of Foxp3+ regulatory CD4+ T cells was significantly decreased in the spinal cord of GFAP-Cre A20fl/fl mice at day 22 p.i. (Fig. 3e). Flow cytometry showed that only the percentage of IL-17 but not of IFN-γ and GM-CSF producing CD4+ T cells was increased in GFAP-Cre A20fl/fl mice. However, the total number of all three T cell populations was significantly increased in the spinal cord of GFAP-Cre A20fl/fl mice as compared to A20fl/fl mice (Fig. 3f) explaining the more severe EAE in GFAP-Cre A20fl/fl mice.
Increased proinflammatory gene transcription in the spinal cord of GFAP-Cre A20fl/fl mice
To examine the impact of astrocytic A20 on the expression of proinflammatory genes in the spinal cord during EAE, quantitative real-time PCR for cytokine and chemokine mRNA transcripts was performed on spinal cord tissue at days 15 and 22 p.i., respectively. Already at day 15 p.i., GFAP-Cre A20fl/fl mice had significantly increased transcription of IFN-γ, TNF, IL-6, CXCL1, and CCL2 mRNA (Fig. 4a–h). At day 22 p.i., TNF and CXCL10 mRNA were still significantly elevated in GFAP-Cre A20fl/fl mice as compared to control mice (Fig. 4a–h). The significantly higher levels of chemoattractant IL-6, CXCL1, CCL2, and CXCL10 mRNA in spinal cords of GFAP-Cre A20fl/fl mice during EAE implied that the more severe EAE in GFAP-Cre A20fl/fl mice might be attributed to the enhanced chemokine production by A20-deficient astrocytes.
Enhanced production of chemokines by A20-deficient astrocytes in vitro
Astrocytes have been shown as a major producer of proinflammatory cytokines and chemokines in the CNS during EAE upon stimulation with TNF, IFN-γ, and IL-17 [13, 59]. Therefore, we studied the regulation of chemokine production by A20 in cytokine-stimulated astrocytes in vitro. A20-deficient astrocytes expressed more CXCL10, CCL2, and CXCL1 mRNA in response to IL-17, IFN-γ, TNF, IL-17 + TNF, and IFN-γ + TNF, respectively (Fig. 5a–d). In addition, A20-deficient astrocytes expressed more IL-6 mRNA in response to IFN-γ and IFN-γ + TNF, respectively (Fig. 5c).
Although GM-CSF has been shown to play a pivotal role in EAE [44], the function of GM-CSF on astrocytes is largely unknown. A20-sufficient astrocytes expressed only low levels of CXCL10, CCL2, CXCL1, and IL-6 mRNA upon GM-CSF stimulation, but the level of all these mRNAs increased dramatically in the absence of A20 (Fig. 5). These data suggest that GM-CSF contributes to the aggravated EAE in GFAP-Cre A20fl/fl mice at least partially by inducing chemokine production in astrocytes.
Since (i) astrocyte loss is found in the center of the demyelinated lesions in patients suffering from acute MS [43], (ii) astrocyte survival is important for the control of EAE [20, 54], and (iii) A20 can regulate apoptosis [28, 50, 55], we investigated whether the exacerbated EAE in GFAP-Cre A20fl/fl mice was due to enhanced astrocyte apoptosis. A20-deficient astrocytes stimulated in vitro with increasing concentrations of TNF did not undergo enhanced apoptosis as compared to A20-sufficient astrocytes (Online Resource 4) suggesting that A20 does not critically regulate apoptosis of astrocytes in EAE. Taken together, these results show that in response to proinflammatory cytokines produced by encephalitogenic T cells, A20-deficient astrocytes in GFAP-Cre A20fl/fl mice exhibited an elevated production of chemoattractant cytokines and chemokines, which was also observed in vivo (Fig. 4) and paralleled by increased recruitment of encephalitogenic CD4+ T cells and more severe EAE.
A20 negatively regulates NF-κB, MAP kinase, and STAT1 pathways induced by fingerprint cytokines of autoreactive T cells
To understand how A20 suppresses chemokine production, we studied signaling pathways induced by TNF, IL-17, IFN-γ, and GM-CSF. Consistent with previous reports of A20 as a negative regulator of the canonical NF-κB pathway [47] and that NF-κB pathway is activated in response to TNF, IL-17, and GM-CSF [7, 37], enhanced phosphorylation of IκBα was detected in A20-deficient astrocytes in response to all three cytokines (Fig. 6a–c). In addition, A20 deficiency also enhanced p38 and JNK phosphorylation upon stimulation with TNF, IL-17, and GM-CSF (Fig. 6a–c).
A20-deficient astrocytes produced significantly more chemokines in response to IFN-γ (Fig. 5) implying that A20 might also negatively regulate IFN-γ-induced signaling. Although phosphorylation of STAT1 at tyrosine 701 was only slightly increased in the absence of A20, phosphorylation of serine 727 was dramatically increased in A20-deficient astrocytes (Fig. 6d). An analysis of cytosolic and nuclear extracts of IFN-γ-stimulated astrocytes showed that the increased phosphorylation of serine 727 occurred in both cytoplasm and nucleus (Fig. 6e). Strikingly, the protein level of STAT1 was also increased in A20-deficient astrocytes (Fig. 6d, e).
A20 inhibits IFN-γ-induced STAT1-dependent chemokine production and T cell migration
The increased STAT1 protein levels of A20-deficient astrocytes were likely caused by an elevated STAT1 mRNA production as compared to A20-sufficient astrocytes (Fig. 7a). Interestingly, inhibition of NF-κB abolished the upregulated STAT1 mRNA production of A20-deficient astrocytes indicating that A20 indirectly modulated STAT1 function via controlling NF-κB activation (Fig. 7b). Knockdown of STAT-1 by siRNA (Fig. 7c) revealed that in IFN-γ-stimulated astrocytes the increased CXCL10 and CCL2 mRNA production was largely dependent on STAT1 (Fig. 7d). To rule out the possibility that STAT1 protein level was increased due to a genotoxic effect of the GFAP-Cre transgene, we studied the correlation between STAT1 expression and A20 expression by RNA interference (RNAi). Compared with control siRNA, A20 knockdown significantly enhanced expression of STAT1 (Online Resource 5) confirming that A20 negatively regulates the protein level of STAT1.
Since A20 strongly suppressed IFN-γ-induced STAT1-dependent chemokine production of astrocytes, we next studied the impact of A20 on astrocyte-induced T cell migration. In accordance with the in vitro chemokine production data, IFN-γ-conditioned medium of A20-deficient astrocytes induced recruitment of an increased number of CD4+ T cells as demonstrated by an in vitro CD4+ T cell migration assay (Fig. 7e).
Based on these findings, we conclude that A20 prevents the hyperactivation of multiple signaling pathways in astrocytes in response to cytokines produced by autoimmune T cells. Therefore, A20 suppresses the production of chemoattractant cytokines and chemokines by astrocytes, resulting in diminished recruitment of inflammatory leukocytes to the CNS and amelioration of EAE.
Discussion
The present study demonstrates that targeted deletion of A20 in neuroectodermal cells increased severity of the autoimmune demyelinating disease EAE. Consistently, previous reports showed that blocking NF-κB in neuroectodermal cells by deleting NEMO, IKK2, and Act1, respectively, ameliorated EAE [23, 52]. Although these reports point to an important function of astrocytic NF-κB in EAE, direct in vivo evidence using astrocyte-specific gene-deficient mice was still missing. Here, we extend these findings and newly show that A20 deletion in astrocytes, but not in neurons, caused an aggravated EAE by augmenting NF-κB and STAT1 activity.
Chemokine production of astrocytes is important in the effector stage of EAE that is associated with clinical disease onset [38, 59]. After priming in lymph nodes, antigen-specific T cells traffic through the choroid plexus to the subarachnoid space (Wave 1) where they are reactivated by meningeal APCs [14, 24, 45]. Consequently, T cells expand and produce inflammatory cytokines, which stimulate adjacent CNS resident cells, mainly astrocytes, to produce leukocyte-recruiting chemokines and cytokines, leading to the further recruitment of leukocytes into the CNS (Wave 2). We observed that IL-17, IFN-γ, TNF, and GM-CSF, which are signature cytokines of encephalitogenic T cells, induced significantly higher levels of CXCL1, CXCL10, CCL2, and IL-6 in A20-deficient astrocytes in vitro. In line with this, increased CXCL1, CXCL10, CCL2, and IL-6 mRNA was also detected in spinal cords of Nestin-Cre and GFAP-Cre A20fl/fl mice, respectively, as compared to control mice, suggesting that astrocytic A20 ameliorates EAE by inhibiting the progression of Wave 1 to Wave 2. A20 plays divergent roles in regulating apoptosis in different cell types [28, 50, 55] and astrocyte survival is critical for EAE suppression [20, 54]. In contrast, we did not obtain any evidence that A20 deficiency rendered astrocytes more sensitive to apoptosis. Thus, the more severe EAE of Nestin-Cre and GFAP-Cre A20fl/fl mice was not due to the enhanced apoptosis of astrocytes.
TNF, IL-17, and GM-CSF are produced by Th1 cells, Th17 cells, and GM-CSF-producing CD4+ T cells, respectively, and all of them can activate the NF-κB pathway [7, 37], which drives chemokine and cytokine production in astrocytes [5, 52]. In the absence of A20, activation of NF-κB was enhanced in astrocytes upon stimulation with IL-17, TNF, and GM-CSF, respectively, explaining the increased expression of leukocyte attracting genes in A20-deficient astrocytes. Besides, A20 also inhibited activation of p38 and JNK pathway illustrating that the inhibitory function of A20 was not restricted to NF-κB.
We repeatedly observed that IFN-γ induced a dramatic increase in chemokine production in A20-deficient astrocytes implying that A20 might interfere with IFN-γ-mediated signaling. IFN-γ-mediated STAT1 activation was stronger in the absence of A20 as shown by increased STAT1 phosphorylation at serine 727, which is required for the full activation of STAT1 [11, 53]. Interestingly, STAT1 protein was also increased in unstimulated and IFN-γ-stimulated A20-deficient astrocytes, which was caused by an enhanced NF-κB-dependent STAT1 mRNA production in the absence of A20, showing that STAT1 signaling pathway was also negatively regulated by A20. Therefore, it is possible that NF-κB-activating cytokines such as IL17, TNF, and GM-CSF induce increased chemokine production in A20-deficient astrocytes by cooperation with IFN-γ-dependent STAT1 activation. In fact, treatment with TNF + IFN-γ resulted in an augmented production of chemokines and cytokines in A20-deficient astrocytes.
STAT1 protein levels can be regulated by K48 ubiquitin-dependent proteasomal degradation that is induced by the E3 ligase Smurf1 [58]. As an ubiquitin E3 ligase, A20 is involved in the proteasomal degradation of several signaling molecules including RIP1 [57]. However, no direct interaction between A20 and STAT1 was detected by immunoprecipitation (data not shown) ruling out the possibility that A20 promoted the degradation of STAT1 by K48-ubiquitination or inhibited its function by K63-deubiquitination. Instead, we observed higher STAT1 mRNA expression in A20-deficient astrocytes than in control cells, indicating that the increased STAT1 protein level in A20-deficient astrocytes should be attributed to increased production but not to reduced degradation. Although numerous reports mentioned phosphorylation of STAT1, barely any of them elucidated STAT1 production. We showed that A20 negatively regulated STAT1 production indirectly by inhibiting the NF-κB signaling cascade that is responsible for STAT1 mRNA synthesis. Our novel observation that A20 inhibited STAT1 at both expression and phosphorylation levels explains why IFN-γ-stimulated A20-deficient astrocytes produced more chemokines as compared to A20-sufficient astrocytes. The enhanced migration of wildtype CD4+ T cells in response to IFN-γ conditioned medium of A20-deficient astrocytes also provided direct evidence that the enhanced production of chemoattractant molecules by A20-deficient astrocytes induced CD4+ T cell recruitment.
Recent genome-wide association study (GWAS) identified OLIG3/TNFAIP3 as a susceptibility locus for MS [10, 22]. In addition, TNFAIP3 expression was found to be tightly correlated with clinical features of MS [16]. Compared with healthy controls, a lower mRNA expression of TNFAIP3 was observed in untreated patients with MS and its baseline levels were lower in patients with a more malignant disease course than in patients with a more benign course. Accordingly, treatment of MS patients with glatiramer acetate reverted TNFAIP3 expression to levels displayed by healthy controls. A recent study showed that SNPs in the OLIG3/TNFAIP3 gene correlated significantly with increased cerebrospinal fluid (CSF) levels of the chemokine CXCL13, a prognostic marker for MS [30]. Given that our study shows that astrocytic A20 suppresses EAE by inhibiting chemokine production in astrocytes, it therefore provides a biological rationale for the clinical observation that SNPs in or close to TNFAIP3 gene influence the development of MS. Thus, therapeutical augmentation of A20 in astrocytes might be beneficial for the treatment of MS.
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Acknowledgments
The authors thank Elena Fischer, Nadja Schlüter, and Annette Sohnekind for technical assistance. This work was supported by grants of the Deutsche Forschungsgemeinschaft (GRK 1167 to DS; SFB 854/TP5 to DS and MN).
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Online Resource 1 Upregulation of A20 in the spinal cord during EAE mRNA transcription of A20 in the spinal cord was evaluated by quantitative RT-PCR in untreated and MOG35-55-immunized C57BL/6 mice at day 15 and 22 p.i (n = 3). Data are expressed as the increase of A20 mRNA of immunized over unimmunized mice normalized to HPRT (mean + SEM * p < 0.05) (TIFF 118 kb)
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Online Resource 2 EAE was not aggravated in Nestin-Cre A20wt/wt mice Clinical scores of Nestin-Cre A20wt/wt (n = 12) and A20wt/wt (n = 11) mice after active immunization with MOG35-55 peptide. Data show the mean clinical scores + SEM (TIFF 195 kb)
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Online Resource 3 EAE was not aggravated in GFAP-Cre A20wt/wt mice and Synapsin-Cre A20fl/fl mice a WB analysis for A20 expression in FACS-sorted microglia and cultured neurons from GFAP-Cre A20fl/fl and A20fl/fl mice. b Clinical scores of EAE in GFAP-Cre A20wt/wt (n = 5) and A20wt/wt (n = 5) mice induced by MOG35-55-immunization. Data show the mean clinical scores + SEM. c WB analysis for A20 expression in cultured neurons from neuron-restricted A20 deficient (Synapsin-Cre A20fl/fl) and control (A20fl/fl) mice. The right panel shows the relative quantification of A20 normalized to GAPDH. Data show the mean + SEM. d Clinical scores of EAE in Synapsin-Cre A20fl/fl (n = 8) and A20fl/fl (n = 6) mice induced by MOG35-55-immunization. Data show the mean clinical scores + SEM (TIFF 1013 kb)
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Online Resource 4 Normal apoptosis of A20-deficient and -sufficient astrocytes after TNF stimulation Astrocytes isolated from GFAP-Cre A20fl/fl and A20fl/fl mice were treated with 20 or 100 ng/ml TNF, respectively, for 24 h. Apoptosis was detected by PI and Annexin staining (TIFF 583 kb)
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Online Resource 5 STAT1 expression was upregulated in astrocytes after A20 siRNA treatment a Astrocytes derived from C57BL/6 mice were transfected with siRNA targeting A20 or nonsense siRNA. Sixty hours later, WB analysis was performed on total cell lysates for A20, STAT1 and GAPDH. b Relative quantification of A20 normalized to GAPDH. Data show the mean + SEM. c Relative quantification of STAT1 normalized to GAPDH. Data show the mean + SEM (TIFF 246 kb)
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Wang, X., Deckert, M., Xuan, N.T. et al. Astrocytic A20 ameliorates experimental autoimmune encephalomyelitis by inhibiting NF-κB- and STAT1-dependent chemokine production in astrocytes. Acta Neuropathol 126, 711–724 (2013). https://doi.org/10.1007/s00401-013-1183-9
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DOI: https://doi.org/10.1007/s00401-013-1183-9