Abstract
Neuron-glia antigen 2 (NG2) proteoglycan and platelet-derived growth factor receptor beta (PDGFR-β) are widely used markers of pericytes, which are considered cells that form fibrotic scars in response to central nervous system insults. However, the exact phenotypes of NG2- and PDGFR-β-expressing cells, as well as the origin of the fibrotic scar after central nervous system insults, are still elusive. In the present study, we directly examined the identities and distributions of NG2- and PDGFR-β-positive cells in the control and lesioned striatum injured by the mitochondrial toxin 3-nitropropionic acid. Immunoelectron microscopy and correlative light and electron microscopy clearly distinguished NG2 and PDGFR-β expression in the vasculature during the post-injury period. Vascular smooth muscle cells and pericytes expressed NG2, which was prominently increased after the injury. NG2 expression was restricted to these vascular mural cells until 14 days post-lesion. By contrast, PDGFR-β-positive cells were perivascular fibroblasts located abluminal to smooth muscle cells or pericytes. These PDGFR-β-expressing cells formed extravascular networks associated with collagen fibrils at 14 days post-lesion. We also found that in the injured striatal parenchyma, PDGFR-β could be used as a complementary marker of resting and reactive NG2 glia because activated microglia/macrophages shared only the NG2 expression with NG2 glia in the lesioned striatum. These data indicate that NG2 and PDGFR-β label different vascular mural and parenchymal cells in the healthy and injured brain, suggesting that fibrotic scar-forming cells most likely originate in PDGFR-β-positive perivascular fibroblasts rather than in NG2-positive pericytes.
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Introduction
Insults to the central nervous system (CNS) trigger the formation of glial and fibrotic scars (Fernandez-Klett and Priller 2014). Fibrotic scars are generally known to impede axonal regeneration, thus hindering functional recovery after CNS insults, although other studies suggest they could function as a physical barrier that restricts inflammatory processes, promoting tissue remodeling (Cha et al. 2014; Yoshioka et al. 2010; Zhu et al. 2015). Despite the increasing awareness of the functional implications of fibrotic scars, the precise identity of scar-forming cells after CNS insults has long been debated. Goritz et al. reported that type A pericytes expressing platelet-derived growth factor receptor beta (PDGFR-β) detach from blood vessels and differentiate into fibrotic scar-forming cells after spinal cord injury (Goritz et al. 2011). On the other hand, other studies reported that perivascular stromal cells or perivascular fibroblasts that express PDGFR-β yet are distinct from pericytes are accountable for fibrotic scar formation (Fernandez-Klett et al. 2013; Soderblom et al. 2013). In support of this, we have previously demonstrated that perivascular adventitial fibroblasts expressing PDGFR-β do not fit the classical definition of pericytes and contribute to fibrotic scar formation after acute brain injury (Riew et al. 2018).
In addition to PDGFR-β-positive cells, cells expressing neuron-glia antigen 2 (NG2) have been proposed as an alternative source of fibrotic scarring following CNS insults. Hesp et al. reported that dividing NG2-positive pericytes are necessary for intralesional angiogenesis and fibrotic scar formation after spinal cord injury (Hesp et al. 2018). Additionally, NG2 glia, a distinct class of glial cells in the CNS, undergo dynamic changes, forming a dense network in the fibrotic scar-forming area after brain insults (Jin et al. 2018). Taken together, three types of cells, NG2 glia, NG2-positive pericytes, and PDGFR-β-positive fibroblast-like cells, are deemed key players in the fibrotic scar formation in response to CNS insults.
From the perspective of specific marker expression in the CNS vasculature, NG2 and PDGFR-β are widely accepted as markers of pericytes (Armulik et al. 2011; Krueger and Bechmann 2010; Lindahl et al. 1997; Schultz et al. 2017; Smyth, et al. 2018; Winkler et al. 2010). However, NG2 proteoglycan is expressed in a wide range of other cell types including vascular mural cells and NG2 glia in the adult brain, and NG2 is also induced in activated microglia/macrophages (Dimou and Gallo 2015; Jin et al. 2018, 2020; Nishiyama et al. 1997; Ozerdem et al. 2001). In addition, PDGFR-β expression is found in NG2 glia and astrocytes in the epileptic brain (Kyyriainen et al. 2017). Despite abundant information about the heterogeneous populations of NG2- and PDGFR-β-positive cells in both control and the injured brain, direct comparisons of their distribution and morphology remain to be established.
In the present study, we compared the distribution and morphological features of cells expressing NG2 and PDGFR-β at the regional, cellular, and subcellular levels in the lesioned striatum following injection of the natural mitochondrial toxin 3-nitropropionic acid (3-NP). This toxin produces a well-demarcated lesion core, where all types of cells exhibit pan-necrosis, and a resultant fibrotic scar forms (Duran-Vilaregut et al. 2010; Jin et al. 2018; Mu et al. 2016; Riew et al. 2017). We focused our attention on the spatiotemporal distribution of two markers associated with vessels in the development of the fibrotic scar after 3-NP injection. Vascular mural cells reside in close proximity within the perivascular space, and there are no perfect markers to distinguish between these cells with light microscopy. Therefore, we combined an immunoperoxidase method with a correlative light and electron microscopy (CLEM) approach to identify the exact phenotype of vessel-associated NG2- and PDGFR-β-expressing cells.
Material and methods
Animal preparation
All procedures and provisions for animal care were in accordance with the Laboratory Animals Welfare Act, the Guide for the Care and Use of Laboratory Animals, and the Guidelines and Policies for Rodent Survival Surgery provided by the IACUC (Institutional Animal Care and Use Committee) at the College of Medicine of The Catholic University of Korea (approval number CUMS-2020-0041-01). IACUC and the Department of Laboratory Animals in the Catholic University of Korea, Songeui Campus, accredited the Korea Excellence Animal Laboratory Facility from the Korea Food and Drug Administration in 2017 and acquired full Association for Assessment and Accreditation of Laboratory Animal Care International accreditation in 2018. All efforts were made to minimize animal suffering and to reduce the number of animals used.
Twenty-five adult male Sprague-Dawley rats (250–300 g; OrientBio, Seongnam, Republic of Korea) were used for light- and electron-microscopic studies. The animals were housed in groups of three per cage in a controlled environment at a constant temperature (22 ± 5 °C) and humidity (50 ± 10%) with food (gamma ray-sterilized diet) and water (autoclaved tap water) available ad libitum. The rats were maintained on a 12-h light/dark cycle. The mitochondrial toxin 3-NP (Sigma-Aldrich, St. Louis, MO, USA) was dissolved in buffered saline (pH = 7.0) and administered intraperitoneally (i.p.) at a dose of 15 mg/kg once daily for 3 days. Only rats exhibiting behavioral deficits such as hindlimb impairment or kyphotic posture, recumbency, or impaired postural adjustment were included in the experimental group (Hamilton and Gould 1987). Animals were euthanized 3, 7, and 14 days after the final injection of 3-NP (n = 5 rats per time point). The control group (n = 4) received i.p. injections of the same volume of normal saline for three consecutive days. The rats in this group were euthanized 3 days after the final injection. After anesthesia with zolazepam (20 mg/kg i.p.) and xylazine (7.5 mg/kg i.p.), the animals were transcardially perfused with 4% paraformaldehyde in 0.1 M phosphate buffer (PB, pH 7.4) for light or electron microscopy. The brain tissues were equilibrated with 30% sucrose in 0.1 M PB, frozen, and stored at − 70 °C for light microscope studies.
Immunohistochemistry
For double or triple immunofluorescence immunohistochemistry, free-floating sections (25 μm thick) were blocked in blocking buffer (a mixture of 0.2% gelatin, 1% bovine serum albumin, and 0.05% saponin or a mixture of 10% normal serum, 1% bovine serum albumin, and 0.1% triton), then incubated at 4 °C overnight with a mix of primary antibodies. Primary antibodies and dilutions were as follows: mouse anti-NG2 (1:200; Millipore, Temecula, CA, USA), rabbit anti-NG2 (1: 200, Millipore), rabbit anti-PDGFR-β (1:200; Abcam, Cambridge, UK), rabbit anti-CD13 (1:300; Abcam), goat anti-ionized calcium-binding adaptor molecule 1 (Iba1; 1:500; Abcam), mouse anti-rat endothelial cell antigen-1 (RECA1; 1:200; Bio-Rad, Hercules, CA, USA), and goat anti-type IV collagen (1:100; Bio-Rad). In some experiments, double-labeling was performed using a mixture of mouse anti-adenomatous polyposis coli (APC; also called CC1; 1:100; Sigma-Aldrich) and either rabbit anti-NG2 (1: 200, Millipore) or rabbit anti-PDGFR-β (1:200; Abcam). Some sections were also incubated with a mixture of goat anti-type IV collagen (1:100; Bio-Rad) and rabbit anti-collagen I (1:200, Abcam). This triple- or double-labeling was followed by a 2-h incubation with appropriate secondary antibodies, as follows: Cy3-conjugated goat anti-mouse antibody (1:2000; Jackson ImmunoResearch, West Grove, PA, USA), Cy3-conjugated goat anti-rabbit antibody (1:2000; Jackson ImmunoResearch), Cy3-conjugated donkey anti-goat antibody (1:2000; Jackson ImmunoResearch), Alexa Fluor 488-tagged goat anti-rabbit antibody (1:300; Thermo Fisher, Waltham, MA, USA), Alexa Fluor 488-tagged goat anti-mouse antibody (1:300; Thermo Fisher), Alexa Fluor 488-tagged donkey anti-mouse antibody (1:300; Thermo Fisher), or Alexa Fluor 647-tagged donkey anti-rabbit antibody (1:300; Thermo Fisher). Counterstaining of cell nuclei was carried out with 4′, 6-diamidino2′-phenylindole (DAPI; 1:2000; Roche, Mannheim, Germany) for 10 min. For negative staining the controls for double- or triple-labeling, each primary antibody was omitted before sections were incubated with the corresponding secondary antibody. In addition, we compared the results of triple-labeling with those of single- and double-labeling for all combinations of antibodies to yield clearly interpretable data and avoid cross reactivity. Slides were viewed under a confocal microscope (LSM800 with Airyscan; Carl Zeiss Co., Ltd., Oberkochen, Germany) equipped with four lasers (Diode 405, Argon 488, HeNe 555, and HeNe 639) under constant viewing conditions. Fluorescence intensity profiles were obtained using Zen 2.3 blue edition (Carl Zeiss Co., Ltd.). For three-dimensional (3D) reconstruction, NG2 and PDGFR-β signals were 3D-rendered using IMARIS (Bitplane, Switzerland).
For quantitative analysis, confocal images were obtained with a 40× objective lens with constant viewing settings. Mean NG2 or PDGFR-β intensity outside RECA-1 expressing blood vessels was measured from a randomly selected area (24 × 24 μm) in 9.5-μm maximal intensity z-projection. Three images were obtained per animal, and in each image, three to six areas were selected for analysis. To compare the number of Iba1-positive activated microglia and NG2 glia, we used 160 × 160 μm images of 6 μm Z-stacks with 0.5-μm optical sections, only counting cells with cytoplasmic expression of each molecule encircling nuclei. The number of animals used for each analysis is indicated in the figure legends of Figs. 2 and 6.
Immunoelectron microscopy
For pre-embedding immunoelectron microscopy, semi-thin cryosections (2 µm thick) or floating vibratome sections (50 µm thick) were made from control and experimental rats (n = 3 rats per time point) at 3 and 14 days after 3-NP injection. Semi-thin cryosections were cut at − 100 °C with a glass knife in a Leica EM UC7 ultramicrotome equipped with an FC7 cryochamber (Leica, Wetzlar, Germany). The sections were blocked with 10% normal goat serum and 1% bovine serum albumin in 0.01 M phosphate buffered saline for 1 h and then immunostained with rabbit anti-NG2 (1:200, Millipore), rabbit anti-PDGFR-β (1:200; Abcam), or rabbit anti-CD13 (1:100; Abcam) overnight at 4 °C. Primary antibodies were visualized using peroxidase-conjugated goat anti-rabbit IgG (1:100; Jackson Immunoresearch) and 0.05% 3,3′-diaminobenzidine tetrahydrochloride (DAB) with 0.01% H2O2 as the substrate. After fixation, dehydration, and embedding in Epon 812 (Polysciences, Warrington, PA, USA), areas of interest were excised and glued onto resin blocks. Ultrathin sections (70 nm thick) were cut, stained with 2% uranyl acetate for 10 min, and observed under an electron microscope (JEM 1010, JEOL, Tokyo, Japan).
To analyze the expression of NG2 or PDGFR-β in the pericytes of capillaries, electron micrographs of 7–10 randomly selected capillaries were obtained from three rats per group, which corresponds to approximately 20–30 capillaries per sham-operated or experimental rat, at days 3 and 14 after 3-NP injection. Only cross-sectioned capillaries that were covered by pericytes and showed typical morphological features—i.e., having processes that extend around the capillary wall and are completely bounded by a basal lamina—were included in the analysis (Attwell et al. 2016; Krueger and Bechmann 2010).
For CLEM, semi-thin cryosections (2 μm thick) were double-labeled at 4 °C overnight using mouse monoclonal antibody against NG2 (1:200; Millipore) and rabbit polyclonal antibody against PDGFR-β (1:200; Abcam). Antibody staining was visualized using Cy3-conjugated goat anti-mouse antibody (1:2000; Jackson ImmunoResearch) and Alexa Fluor 488-tagged goat anti-rabbit antibody (1:300; Thermo Fisher). Sections were labeled with DAPI for 10 min. Coverslipped sections were examined with a confocal microscope and photographed at various magnifications with a differential interference contrast setting to find specific areas for later examination by electron microscopy. After the coverslips had been floated off the sections, the tissues were prepared further for electron microscopy, as described above.
Statistics
Statistical significance was determined by one-way analysis of variance (ANOVA) followed by Tukey’s multiple comparisons test. Differences with p < 0.05 were considered significant. All statistical calculations were performed using GraphPad Prism version 8 (GraphPad Software Inc., San Diego, CA, USA).
Results
Consistent with our previous data, about 70% of the rats intoxicated with 3-NP in the present study developed the characteristic neurological deficits including hindlimb impairment, recumbency, and impaired postural adjustment (Choi et al. 2017; Jin et al. 2018; Riew et al. 2017).
Cellular localization of and relationship between NG2 and PDGFR-β in the control striatum
We first analyzed the expression of and relationship between NG2 and PDGFR-β in the striatum of saline-treated control rats. Both NG2 and PDGFR-β were observed within vascular profiles, where NG2 immunoreactivity was very weak, but PDGFR-β expression was more prominent (Fig. 1a–c). Both signals were also observed in parenchymal cells with ramified processes (Fig. 1a–c), which were most likely NG2 glia based on their morphology and the co-expression of both markers (Kyyriainen et al. 2017; Riew et al. 2018). Immunoreactivity specific to NG2 or PDGFR-β was eliminated when the omission of each primary antibody and subsequent incubation of corresponding secondary antibody was performed (Fig. 1d–g). In addition, the comparison of the double-labeling (Fig. 1a–c) and the single labeling for NG2 or PDGFR-β (Fig. 1d–g) did not yield any differences in the localization of the two molecules.
We further investigated the association between the two markers and blood vessels using the vascular endothelial cell marker RECA1. Vascular NG2 expression was detected along the outer part of vascular endothelial cells (Fig. 1h, i). As shown in Fig. 1j, k, PDGFR-β expression was localized in vessels of a larger caliber but was absent in capillary-like microvessels. Using alternatively performed pre-embedding immunoelectron microscopy, we investigated the cellular identity of vascular cells expressing NG2 and PDGFR-β in the control striatum. NG2 immunoreactivity, as indicated by highly electron-dense DAB grains, was specifically associated with the plasma membrane of the pericytes of capillaries (Fig. 1l, m). As reported previously (Riew et al. 2018), PDGFR-β immunoreactivity was not detected in the pericytes of capillaries (Fig. 1n, o). We found that all of pericytes in each of the 20 capillaries analyzed were positive for NG2 but negative for PDGFR-β. Both NG2 and PDGFR-β were not detected in the endothelial cells of capillaries (Fig. 1l–o). Next, we performed double-labeling using the pericyte marker CD13 (Armulik et al. 2010) and RECA1. As shown in Supplementary Fig. 1a–c, CD13 expression was closely in contact with vasscular endothelial cells. In addition, pre-embedding immunoelectron microscopy showed CD13 immunoreactivity in the pericytes (Supplementary Figs. 1d, e).
In addition, triple-labeling for NG2, PDGFR-β, and the microglial marker Iba1 revealed that NG2/PDGFR-β double-labeled NG2 glia were devoid of Iba1 immunoreactivity (Fig. 1p–s), as reported previously (Garbelli et al. 2015; Jin et al. 2018). Moreover, double-labeling with either NG2 or PDGFR-β, and APC, a marker of mature oligodendrocytes (Casella et al. 2004), revealed the non-overlapping expression of two molecules with APC in the control striatum—despite APC-positive oligodendrocytes being clearly observed (Supplementary Figs. 2a–f).
Spatiotemporal profiles of and relationship between vessel-associated cells expressing NG2 and PDGFR-β in the striatum in the early phase following 3-NP injection
Next, we examined the spatiotemporal distribution of NG2 and PDGFR-β in the rat striatum subjected to 3-NP. Three days after the injury, the lesion core was evident in the lateral part of the striatum, where astrocytes had virtually disappeared in the lesion core (data not shown), as described previously (Choi et al. 2017; Duran-Vilaregut et al. 2010; Jin et al. 2018; Mu et al. 2016; Riew et al. 2017; Wullner et al. 1994). At this time point, intense PDGFR-β expression was noted in vascular profiles of both the perilesional area and the lesion core, whereas vascular NG2 expression was prominent only in the lesion core (Fig. 2a–d). We further characterized these vascular distributions by double-labeling for RECA1 and either NG2 or PDGFR-β. NG2 expression was localized to vessels and parenchymal cells in the extravascular area (Fig. 2e, f), whereas PDGFR-β was noted preferentially within vessels (Fig. 2g, h). Orthogonal images revealed that PDGFR-β appeared to be localized on the abluminal side of NG2-positive cells within vessels, with these cells being closely associated with each other (Fig. 2i). In addition, the 3D-rendered image revealed their different spatial relationship within vessels (Fig. 2j–l). Seven days after the 3-NP injection, the labeling patterns for NG2 and PDGFR-β in the lesion core were similar to those observed on day 3, but there was a more prominent enrichment of NG2-positive cells in extravascular areas (Fig. 2m–p). Quantitative analysis revealed a significant increase in the mean fluorescence intensities of NG2 and PDGFR-β expression in extravascular areas at 3–7 days post-lesion than in the control (Fig. 2q, r). Triple-labeling for NG2, PDGFR-β, and collagen IV, the principal collagen type in the neurovascular basal lamina, revealed that both NG2 and PDGFR-β were associated with vessels, but they exhibited different patterns within vessels (Fig. 2s–v).
However, light-microscopic imaging alone was not sufficient to clarify the identity of vascular cells expressing these two proteins. Using alternatively performed pre-embedding immunoelectron microscopy, we investigated the ultrastructural morphology of vascular cells expressing NG2 and PDGFR-β. NG2 immunoreactivity, as indicated by highly electron-dense DAB grains, was specifically associated with the plasma membrane and its adjacent extracellular matrix of smooth muscle cells of venules but not with endothelial cells (Fig. 3a, c). In the lesioned striatum of the same experimental animal, however, PDGFR-β-positive cells had long cytoplasmic processes that invariably laid on the abluminal side of smooth muscle cells, which did not express PDGFR-β and often formed a multilayered sheath (Fig. 3b, d, e). They had euchromatic nuclei and well-developed rough endoplasmic reticulum with marked dilation, indicating that they were most likely perivascular fibroblast-like cells, as described previously (Riew et al. 2018). In this regard, PDGFR-β-positive cells seemed to abut the abluminal surface of NG2-positive smooth muscle cells (Fig. 3c, d). In arterioles, electron-dense NG2 staining was also localized along the plasma membranes of smooth muscle cells (Supplementary Fig. 3). On their abluminal side, NG2-negative cells had large euchromatic nuclei with prominent nucleoli and dilated cisternae of rough endoplasmic reticulum (Supplementary Fig. 3), indicating that they corresponded to PDGFR-β-positive fibroblasts.
In capillaries, NG2 expression was localized along the plasma membrane of pericytes but was not detected in adjacent cells that had dilated cisternae of rough endoplasmic reticulum (Fig. 4a, b). In the same striatum, PDGFR-β was detected in long cytoplasmic processes that were located on the abluminal side of endothelial cells and pericytes of capillaries, both of which were negative for PDGFR-β (Fig. 4c, d). These expression patterns of NG2 or PDGFR-β in the pericytes of capillaries were confirmed in at least each of 20 capillaries analyzed. These data indicate that pericytes and smooth muscle cells expressed NG2, whereas PDGFR-β labeled adventitial fibroblast-like cells. To further clarify the cellular identity of vascular NG2- and PDGFR-β-positive cells, we used a CLEM approach. Semi-thin sections double-labeled for NG2 and PDGFR-β were first observed using confocal microscopy, and the same semi-thin sections were subsequently subjected to electron microscopy (Fig. 5a–e). Overlay of the confocal microscopy and transmission electron microscopy data clearly revealed that the PDGFR-β-positive cell in this figure had a large euchromatic nucleus with a prominent nucleolus, well-developed rough endoplasmic reticulum (Fig. 5e, g, h) and was closely abutted to NG2-positive smooth muscle cells (Fig. 5f–h).
Differential expression of NG2 and PDGFR-β in NG2 glia and activated microglia/macrophages
Several reports have provided evidence that NG2 expression is induced in activated microglia/macrophages following CNS insults (Bu et al. 2001; Jin et al. 2018, 2020; Jones et al. 2003; Matsumoto et al. 2008; Zhu et al. 2012). To clarify the phenotypes of parenchymal cells expressing NG2 and PDGFR-β, we performed triple-labeling with NG2, PDGFR-β, and Iba1. On 3 days post-lesion, NG2+/Iba1− cells, namely, NG2 glia, expressed PDGFR-β, while NG2+/Iba1+ activated microglia/macrophages were devoid of PDGFR-β expression (Fig. 6a–d). Seven days post-lesion, the labeling patterns for NG2, PDGFR-β, and Iba1 in the lesion core were similar to those observed on day 3, although there was prominent enrichment of NG2-positive activated microglia/macrophages (Fig. 6e–h). This observation was confirmed by quantitative temporal analysis showing that the numbers of NG2 glia and NG2-positive microglia significantly increased over a 7-day period after lesion induction (Fig. 6i, j). In particular, the number of NG2-positive microglia at 7 days considerably increased when compared with that at the 3-day time point (Fig. 6j). These data indicate that parenchymal NG2-positive cells could be divided into PDGFR-β-positive NG2 glia and PDGFR-β-negative activated microglia/macrophages.
We then determined the ultrastructural morphology of these parenchymal cells using CLEM. Semi-thin sections triple-labeled for NG2, PDGFR-β, and Iba1 were first observed using confocal microscopy, which clearly revealed two types of parenchymal cells, i.e., NG2+/PDGFR-β+ NG2 glia and NG2+/PDGFR-β− activated microglia/macrophages (Fig. 6k–n). Overlay of the confocal microscopy and transmission electron microscopy data confirmed that activated microglia had triangular nuclei with clumped heterochromatin, whereas NG2 glia had large euchromatic nuclei with prominent nucleoli and well-developed rough endoplasmic reticulum (Fig. 6o–r).
Distributions of and relationship between NG2 and PDGFR-β in the striatum in the late phase following 3-NP injection
Fourteen days after lesion induction, NG2 and PDGFR-β exhibited largely complementary patterns in the lesion core; PDGFR-β expression was associated with vascular profiles and the surrounding web-like structures in the extravascular area, while NG2-positive cells were preferentially accumulated in the area between the PDGFR-β-positive structures (Fig. 7a). These complementary patterns of NG2 and PDGFR-β in the lesion core were further supported by the fluorescence intensity profiles of the two signals (Fig. 7b). Triple-labeling with NG2, PDGFR-β, and collagen IV revealed that PDGFR-β and collagen IV generally overlapped in the lesion core, while most NG2-positive cells were located between PDGFR-β-positive extravascular structures (Fig. 7c–f). Collagen IV and collagen I, the principal type of collagen, had nearly coinciding distributions in the lesion core (Fig. 7g, h). Triple-labeling with NG2, PDGFR-β, and Iba1 showed that these NG2-positive cells were indeed activated microglia/macrophages, despite NG2+/PDGFR-β+ NG2 glia still being present (Fig. 7i–l).
To characterize how vessel-associated cells expressing the two proteins changed over time, we investigated the ultrastructural morphology and spatial relationships of these cells in the lesion core 14 days post-lesion. Alternatively performed pre-embedding immunoelectron microscopy demonstrated that electron-dense NG2 staining was still localized along the plasma membranes of capillary pericytes (Fig. 8a–c), while slender PDGFR-β-positive cytoplasmic processes directly abutted the abluminal surface of pericytes but were also located at a distance from the vasculature with close apposition with brain macrophages (Fig. 8d–f). They still showed morphological characteristics typical of perivascular fibroblast, such as well-developed rough endoplasmic reticulum with dilated cisterns, and a close association with collagen fibrils (Fig. 8d–f). In each of the 30 capillaries analyzed, all of the pericytes expressed NG2 but not PDGFR-β.
Discussion
NG2 and PDGFR-β are widely used as markers for pericytes, yet the validity of this approach remains controversial due to the delicate nature of perivascular structures (Armulik et al. 2011; Krueger and Bechmann 2010; Lindahl et al. 1997; Riew et al. 2020; Schultz et al. 2017; Smyth et al. 2018; Winkler et al. 2010). In the present study, we elucidated the identities and distributions of vessel-associated cells expressing NG2 and PDGFR-β and found, surprisingly, that these molecules labeled different vascular mural cells; NG2 labeled pericytes and smooth muscle cells, whereas PDGFR-β did label neither pericytes nor smooth muscle cells but instead clearly labeled perivascular adventitial fibroblast-like cells. Furthermore, we established the identity of heterogeneous populations of NG2- and PDGFR-β-positive parenchymal cells at regional, cellular, and subcellular levels in the control and lesioned striatum.
In addition to vascular mural cells, both NG2 and PDGFR-β are expressed by diverse cell types in the healthy and diseased CNS. NG2 is induced in activated microglia/macrophages after CNS insults, as well as its obvious expression by NG2 glia in the adult brain (Dimou and Gallo 2015; Jin et al. 2018, 2020; Nishiyama et al. 1997; Ozerdem et al. 2001). PDGFR-β is expressed by perivascular stromal cells, perivascular fibroblasts, and even NG2 glia in the injured CNS (Fernandez-Klett et al. 2013; Riew et al. 2018; Soderblom et al. 2013). We demonstrated that NG2 and PDGFR-β had overlapping yet clearly distinguishable expression patterns within the striatal parenchyma after brain insults. The CLEM analysis identified two types of parenchymal cells; NG2+/PDGFR-β+ cells, namely, NG2 glia, and NG2+/PDGFR-β− activated microglia/macrophages are clearly distinguishable. The former exhibited the characteristic ultrastructure of reactive NG2 glia, i.e., large euchromatic nuclei with prominent nucleoli and well-developed rough endoplasmic reticulum (see Fig. 6p), as reported previously (Jin et al. 2018, 2020; Nishiyama et al. 1997). On the other hand, the latter had morphological features typical of activated microglia, consistent with our previous observations (Jin et al. 2018, 2020; Riew et al. 2018). Thus, based on the parenchymal distribution patterns of these two molecules, the complementary use of PDGFR-β could be beneficial to mark solely NG2 glia in the lesioned striatum. Figure 9 summarizes our light- and electron-microscopic analysis of vascular and parenchymal distributions of NG2 and PDGFR-β in both the control and lesioned striatum.
Most noteworthy, we found that NG2 and PDGFR-β were neither exclusive nor specific markers for pericytes. Previous research has identified the co-expression of both molecules in vascular mural cells using transcriptomic analysis and light microscopy. However, our study is hitherto the first to directly compare and clarify the natural expression pattern of these two molecules at both the light- and electron-microscopic levels without using genetically modified animals (Armulik et al. 2011; He et al. 2016; Lindahl et al. 1997; Sweeney et al. 2016; Vanlandewijck et al. 2018; Winkler et al. 2010). Although NG2 and PDGFR-β revealed spatial differences even at the light-microscopic level (Fig. 2q–t), their exact cellular identities within vascular walls were difficult to establish due to the narrow nature of the perivascular space, the thin pericytic processes (2 µm thick or less), and the closely attached vascular mural cells (Attwell et al. 2016; Krueger and Bechmann 2010). Nevertheless, our immunoelectron microscopy and CLEM images clearly distinguished between NG2-labeled smooth muscle cells and pericytes, whereas PDGFR-β-positive perivascular fibroblasts were located abluminal to NG2-positive cells. NG2 immunoreactivity was conspicuously observed along the cell membranes of smooth muscle cells and pericytes, which is attributable to the inaccurate discrimination from PDGFR-β+ perivascular fibroblasts in light-microscopic images. Thus, particular care should be taken in applying them as markers for these vascular mural cells using light microscopy.
Interestingly, the vascular expression of NG2 and PDGFR-β in the injured striatum exhibited characteristic spatiotemporal patterns during the post-injury period. PDGFR-β–positive perivascular fibroblasts were confined to large-caliber vessels in the healthy brain, but they expanded to almost all vessels after the injury at 3–7 days post-lesion. Although extravascular PDGFR-β expression increased at 7 days post-lesion, mesh-like networks and close correlation with extravascular collagen fibers were more evident at 14 days post-lesion. These networks of processes and collagen deposition correspond to the fibrotic scar formation, consistent with our previous finding (Riew et al. 2018). Thus, our data suggest that PDGFR-β-positive perivascular fibroblasts may start to migrate from the vascular adventitia into the injured parenchyma at days 3–7 post-lesion and form a fibrotic scar by 14 days.
On the other hand, NG2 expression in vascular smooth muscle cells and pericytes prominently increased after the injury, but their localization was restricted to the vasculature at 14 days post-lesion. Birbrair et al. reported that after traumatic brain injury, NG2DsRed+ pericytes and PDGFR-β+ cells both accumulate around the fibrotic scar area but do not show overlapping patterns, suggesting distinct populations of each cell type (Birbrair et al. 2014). In addition, status epilepticus induces alterations in the coverage of NG2DsRed+ cells around cerebral vasculature, while these cells are in close contact with fibrotic scar-forming PDGFR-β+ cells, and vascular pericytes detached from tumor microvasculature acquire fibroblasts phenotypes upon stimulation by specific signaling ligands, like PDGF-BB (Hosaka et al. 2016; Klement et al. 2019; Milesi et al. 2014). It is conceivable that upon injury, a subpopulation of NG2+ pericytes might contribute to the pool of PDGFR-β+ perivascular fibroblasts. It is also plausible that the upregulation of NG2 in vascular mural cells indicates that their role in vascular remodeling or morphogenesis in the lesion core differs from that of PDGFR-β+ perivascular fibroblasts (Fukushi et al. 2004; Gibby et al. 2012; Ozerdem et al. 2001; Stallcup et al. 2016; Yadavilli et al. 2016). Furthermore, NG2+ parenchymal cells, i.e., NG2 glia and activated microglia/macrophages, proliferated and accumulated among the PDGFR-β-positive fibrous networks. Mounting evidence suggests that these cells could intervene actively in tissue remodeling and regeneration via secretion of cytokines like transforming growth factor-beta and galectin-3 (Braga et al. 2015; Jin et al. 2018; Riew et al. 2018; Vernon et al. 2010; Zhu et al. 2015, 2016). It is likely that NG2 glia, activated microglia/macrophages, and PDGFR-β-positive perivascular fibroblasts interact to form the fibrotic scar in the lesion core after CNS insults.
In conclusion, our data clearly provided evidence for distinct localizations of vascular mural cells expressing NG2 and PDGFR-β. NG2 was consistently expressed in pericytes and smooth muscle cells during the post-injury time, whereas PDGFR-β labeled adventitial fibroblasts were located at a distance from the vasculature at later time points post-lesion. In addition, NG2 and PDGFR-β were expressed in parenchymal cells in the control and lesioned striatum. Both markers were expressed in resting and reactive NG2 glia, but only NG2 was induced in activated microglia/macrophages. These data provide detailed and precise information regarding the appropriate markers for vascular mural cells in the healthy and injured brain, suggesting that the cells directly responsible for fibrotic scar formation are most likely PDGFR-β-positive adventitial fibroblasts rather than NG2-positive pericytes.
References
Armulik A, Genove G, Betsholtz C (2011) Pericytes: developmental, physiological, and pathological perspectives, problems, and promises. Dev Cell 21:193–215
Armulik A, Genove G, Mae M, Nisancioglu MH, Wallgard E, Niaudet C, He L, Norlin J, Lindblom P, Strittmatter K, Johansson BR, Betsholtz C (2010) Pericytes regulate the blood-brain barrier. Nature 468:557–561
Attwell D, Mishra A, Hall CN, O’Farrell FM, Dalkara T (2016) What is a pericyte? J Cereb Blood Flow Metab 36:451–455
Birbrair A, Zhang T, Files DC, Mannava S, Smith T, Wang ZM, Messi ML, Mintz A, Delbono O (2014) Type-1 pericytes accumulate after tissue injury and produce collagen in an organ-dependent manner. Stem Cell Res Ther 5:122
Braga TT, Agudelo JS, Camara NO (2015) Macrophages during the fibrotic process: M2 as friend and foe. Front Immunol 6:602
Bu J, Akhtar N, Nishiyama A (2001) Transient expression of the NG2 proteoglycan by a subpopulation of activated macrophages in an excitotoxic hippocampal lesion. Glia 34:296–310
Casella GT, Bunge MB, Wood PM (2004) Improved immunocytochemical identification of neural, endothelial, and inflammatory cell types in paraffin-embedded injured adult rat spinal cord. J Neurosci Methods 139:1–11
Cha JH, Wee HJ, Seo JH, Ahn BJ, Park JH, Yang JM, Lee SW, Kim EH, Lee OH, Heo JH, Lee HJ, Gelman IH, Arai K, Lo EH, Kim KW (2014) AKAP12 mediates barrier functions of fibrotic scars during CNS repair. PLoS ONE 9:e94695
Choi JH, Riew TR, Kim HL, Jin X, Lee MY (2017) Desmin expression profile in reactive astrocytes in the 3-nitropropionic acid-lesioned striatum of rat: Characterization and comparison with glial fibrillary acidic protein and nestin. Acta Histochem 119:795–803
Dimou L, Gallo V (2015) NG2-glia and their functions in the central nervous system. Glia 63:1429–1451
Duran-Vilaregut J, Del Valle J, Manich G, Junyent F, Camins A, Pallas M, Pelegri C, Vilaplana J (2010) Systemic administration of 3-nitropropionic acid points out a different role for active caspase-3 in neurons and astrocytes. Neurochem Int 56:443–450
Fernandez-Klett F, Potas JR, Hilpert D, Blazej K, Radke J, Huck J, Engel O, Stenzel W, Genove G, Priller J (2013) Early loss of pericytes and perivascular stromal cell-induced scar formation after stroke. J Cereb Blood Flow Metab 33:428–439
Fernandez-Klett F, Priller J (2014) The fibrotic scar in neurological disorders. Brain Pathol 24:404–413
Fukushi J, Makagiansar IT, Stallcup WB (2004) NG2 proteoglycan promotes endothelial cell motility and angiogenesis via engagement of galectin-3 and alpha3beta1 integrin. Mol Biol Cell 15:3580–3590
Garbelli R, de Bock F, Medici V, Rousset MC, Villani F, Boussadia B, Arango-Lievano M, Jeanneteau F, Daneman R, Bartolomei F, Marchi N (2015) PDGFRbeta(+) cells in human and experimental neuro-vascular dysplasia and seizures. Neuroscience 306:18–27
Gibby K, You WK, Kadoya K, Helgadottir H, Young LJ, Ellies LG, Chang Y, Cardiff RD, Stallcup WB (2012) Early vascular deficits are correlated with delayed mammary tumorigenesis in the MMTV-PyMT transgenic mouse following genetic ablation of the NG2 proteoglycan. Breast Cancer Res 14:R67
Goritz C, Dias DO, Tomilin N, Barbacid M, Shupliakov O, Frisen J (2011) A pericyte origin of spinal cord scar tissue. Science 333:238–242
Hamilton BF, Gould DH (1987) Nature and distribution of brain lesions in rats intoxicated with 3-nitropropionic acid: a type of hypoxic (energy deficient) brain damage. Acta Neuropathol 72:286–297
He L, Vanlandewijck M, Raschperger E, Andaloussi Mae M, Jung B, Lebouvier T, Ando K, Hofmann J, Keller A, Betsholtz C (2016) Analysis of the brain mural cell transcriptome. Sci Rep 6:35108
Hesp ZC, Yoseph RY, Suzuki R, Jukkola P, Wilson C, Nishiyama A, McTigue DM (2018) Proliferating NG2-cell-dependent angiogenesis and scar formation alter axon growth and functional recovery after spinal cord injury in mice. J Neurosci 38:1366–1382
Hosaka K, Yang Y, Seki T, Fischer C, Dubey O, Fredlund E, Hartman J, Religa P, Morikawa H, Ishii Y, Sasahara M, Larsson O, Cossu G, Cao R, Lim S, Cao Y (2016) Pericyte-fibroblast transition promotes tumor growth and metastasis. Proc Natl Acad Sci U S A 113:E5618-5627
Jin X, Riew TR, Kim HL, Choi JH, Lee MY (2018) Morphological characterization of NG2 glia and their association with neuroglial cells in the 3-nitropropionic acid-lesioned striatum of rat. Sci Rep 8:5942
Jin X, Riew TR, Kim S, Kim HL, Lee MY (2020) Spatiotemporal profile and morphological changes of NG2 glia in the CA1 region of the rat hippocampus after transient forebrain ischemia. Exp Neurobiol 29:50–69
Jones LL, Sajed D, Tuszynski MH (2003) Axonal regeneration through regions of chondroitin sulfate proteoglycan deposition after spinal cord injury: a balance of permissiveness and inhibition. J Neurosci 23:9276–9288
Klement W, Blaquiere M, Zub E, deBock F, Boux F, Barbier E, Audinat E, Lerner-Natoli M, Marchi N (2019) A pericyte-glia scarring develops at the leaky capillaries in the hippocampus during seizure activity. Epilepsia 60:1399–1411
Krueger M, Bechmann I (2010) CNS pericytes: concepts, misconceptions, and a way out. Glia 58:1–10
Kyyriainen J, Ekolle Ndode-Ekane X, Pitkanen A (2017) Dynamics of PDGFRbeta expression in different cell types after brain injury. Glia 65:322–341
Lindahl P, Johansson BR, Leveen P, Betsholtz C (1997) Pericyte loss and microaneurysm formation in PDGF-B-deficient mice. Science 277:242–245
Matsumoto H, Kumon Y, Watanabe H, Ohnishi T, Shudou M, Chuai M, Imai Y, Takahashi H, Tanaka J (2008) Accumulation of macrophage-like cells expressing NG2 proteoglycan and Iba1 in ischemic core of rat brain after transient middle cerebral artery occlusion. J Cereb Blood Flow Metab 28:149–163
Milesi S, Boussadia B, Plaud C, Catteau M, Rousset MC, De Bock F, Schaeffer M, Lerner-Natoli M, Rigau V, Marchi N (2014) Redistribution of PDGFRbeta cells and NG2DsRed pericytes at the cerebrovasculature after status epilepticus. Neurobiol Dis 71:151–158
Mu S, Liu B, Ouyang L, Zhan M, Chen S, Wu J, Chen J, Wei X, Wang W, Zhang J, Lei W (2016) Characteristic changes of astrocyte and microglia in rat striatum induced by 3-NP and MCAO. Neurochem Res 41:707–714
Nishiyama A, Yu M, Drazba JA, Tuohy VK (1997) Normal and reactive NG2+ glial cells are distinct from resting and activated microglia. J Neurosci Res 48:299–312
Ozerdem U, Grako KA, Dahlin-Huppe K, Monosov E, Stallcup WB (2001) NG2 proteoglycan is expressed exclusively by mural cells during vascular morphogenesis. Dev Dyn 222:218–227
Riew TR, Choi JH, Kim HL, Jin X, Lee MY (2018) PDGFR-beta-positive perivascular adventitial cells expressing nestin contribute to fibrotic scar formation in the striatum of 3-NP intoxicated rats. Front Mol Neurosci 11:402
Riew TR, Jin X, Kim HL, Kim S, Lee MY (2020) Ultrastructural and molecular characterization of platelet-derived growth factor beta-positive leptomeningeal cells in the adult rat brain. Mol Neurobiol 57:1484–1501
Riew TR, Kim HL, Jin X, Choi JH, Shin YJ, Kim JS, Lee MY (2017) Spatiotemporal expression of osteopontin in the striatum of rats subjected to the mitochondrial toxin 3-nitropropionic acid correlates with microcalcification. Sci Rep 7:45173
Schultz N, Byman E, Fex M, Wennström M (2017) Amylin alters human brain pericyte viability and NG2 expression. J Cereb Blood Flow Metab 37:1470–1482
Smyth LCD, Rustenhoven J, Scotter EL, Schweder P, Faull RLM, Park TIH, Dragunow M (2018) Markers for human brain pericytes and smooth muscle cells. J Chem Neuroanat 92:48–60
Soderblom C, Luo X, Blumenthal E, Bray E, Lyapichev K, Ramos J, Krishnan V, Lai-Hsu C, Park KK, Tsoulfas P, Lee JK (2013) Perivascular fibroblasts form the fibrotic scar after contusive spinal cord injury. J Neurosci 33:13882–13887
Stallcup WB, You WK, Kucharova K, Cejudo-Martin P, Yotsumoto F (2016) NG2 Proteoglycan-dependent contributions of pericytes and macrophages to brain tumor vascularization and progression. Microcirculation 23:122–133
Sweeney MD, Ayyadurai S, Zlokovic BV (2016) Pericytes of the neurovascular unit: key functions and signaling pathways. Nat Neurosci 19:771–783
Vanlandewijck M, He L, Mae MA, Andrae J, Ando K, Del Gaudio F, Nahar K, Lebouvier T, Lavina B, Gouveia L, Sun Y, Raschperger E, Rasanen M, Zarb Y, Mochizuki N, Keller A, Lendahl U, Betsholtz C (2018) A molecular atlas of cell types and zonation in the brain vasculature. Nature 554:475–480
Vernon MA, Mylonas KJ, Hughes J (2010) Macrophages and renal fibrosis. Semin Nephrol 30:302–317
Winkler EA, Bell RD, Zlokovic BV (2010) Pericyte-specific expression of PDGF beta receptor in mouse models with normal and deficient PDGF beta receptor signaling. Mol Neurodegener 5:32
Wullner U, Young AB, Penney JB, Beal MF (1994) 3-Nitropropionic acid toxicity in the striatum. J Neurochem 63:1772–1781
Yadavilli S, Hwang EI, Packer RJ, Nazarian J (2016) The role of NG2 proteoglycan in glioma. Transl Oncol 9:57–63
Yoshioka N, Hisanaga S, Kawano H (2010) Suppression of fibrotic scar formation promotes axonal regeneration without disturbing blood-brain barrier repair and withdrawal of leukocytes after traumatic brain injury. J Comp Neurol 518:3867–3881
Zhu L, Xiang P, Guo K, Wang A, Lu J, Tay SS, Jiang H, He BP (2012) Microglia/monocytes with NG2 expression have no phagocytic function in the cortex after LPS focal injection into the rat brain. Glia 60:1417–1426
Zhu Y, Soderblom C, Krishnan V, Ashbaugh J, Bethea JR, Lee JK (2015) Hematogenous macrophage depletion reduces the fibrotic scar and increases axonal growth after spinal cord injury. Neurobiol Dis 74:114–125
Zhu Z, Ding J, Ma Z, Iwashina T, Tredget EE (2016) Systemic depletion of macrophages in the subacute phase of wound healing reduces hypertrophic scar formation. Wound Repair Regen 24:644–656
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This research was supported by the grant from the National Research Foundation of Korea (NRF) (grant number NRF- 2020R1A2B5B01001442).
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Riew, TR., Jin, X., Kim, S. et al. Temporal dynamics of cells expressing NG2 and platelet-derived growth factor receptor-β in the fibrotic scar formation after 3-nitropropionic acid-induced acute brain injury. Cell Tissue Res 385, 539–555 (2021). https://doi.org/10.1007/s00441-021-03438-3
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DOI: https://doi.org/10.1007/s00441-021-03438-3