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Delays Central Nervous System Demyelination in the Presence of an Intact Blood-Brain Barrier1

,
,
,¶
*
Department of Microbiology and Immunology,
University of North Carolina-Neuroscience Center,
Department of Pathology and Laboratory Medicine,
Program of Molecular Biology and Biotechnology, and
¶ Center for Inflammatory Disorders, University of North Carolina, Chapel Hill, NC 27599; and
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Division of Pulmonary and Critical Care Medicine, Duke University Medical Center, Durham, NC 27710.
| Abstract |
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(MIP-1
) during
cuprizone intoxication, a model where demyelination of the CNS features
a large accumulation of microglia/macrophage without T cell involvement
or blood-brain barrier disruption. RNase protection assays showed that
mRNA for numerous chemokines were up-regulated during cuprizone
treatment in wild-type, C57BL/6 mice. RANTES, inflammatory protein-10,
and monocyte chemoattractant protein-1 showed greatest expression with
initiation of insult at 12 wk of treatment, whereas MIP-1
and
increased later at 45 wk, coincident with peak demyelination and
cellular accumulation. The function of MIP-1
during demyelination
was tested in vivo by exposing MIP-1
knockout mice
(MIP-1
-/-) to cuprizone and comparing pathology to
wild-type mice. Demyelination at 3.5 wk of treatment was significantly
decreased in MIP-1
-/- mice (
36% reduction), a
result confirmed by morphology at the electron microscopic level. The
delay in demyelination was correlated to apparent decreases in
microglia/macrophage and astrocyte accumulation and in TNF-
protein
levels. It was possible that larger effects of the MIP-1
deficiency
were being masked by other redundant chemokines. Indeed, RNase
protection assays revealed increased expression of several chemokine
transcripts in both untreated and cuprizone-treated
MIP-1
-/- mice. Nonetheless, despite this possible
compensation, our studies show the importance of MIP-1
in
demyelination in the CNS and highlight its effect, particularly on
cellular recruitment and cytokine regulation. | Introduction |
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Recent focus has turned to the role of chemokines in the CNS (recently reviewed in Refs. 3, 6). Chemokines have been implicated in a variety of normal CNS functions (i.e., neuronal progenitor migration, axon guidance and adhesion, oligodendrocyte proliferation, and intercellular communication) although much more evidence supports their role in CNS disease and injury (recently reviewed in Refs. 7, 8). Chemokines are up-regulated in Alzheimers disease, Behcets disease, HIV-1-associated dementia, human T cell leukemia virus-1-associated myelopathy, brain injury, and in many animal models, including experimental brain abscess development, spinal cord injury, bacterial meningitis, and mechanical, chemical, and freeze injury (7, 9). In particular, chemokines are induced in the demyelinating disease multiple sclerosis, and numerous animal models for demyelination including experimental autoimmune encephalomyelitis (EAE), Theilers and hepatitis virus-induced demyelinating disease, experimental autoimmune neuritis, and twitcher, a murine model of globoid cell leukodystrophy (7, 10, 11, 12, 13).
Not only does the up-regulation of many chemokines and
their receptors correlate with disease, but disruption of the
chemokine-chemokine receptor system has been successful in attenuating
CNS disease and pathology. Administration of antisera to
RANTES attenuated both macrophage infiltration and
demyelination in mouse hepatitis virus-infected mice (14).
In experimental autoimmune neuritis, administration of
anti-monocyte chemoattractant protein-1 (anti-MCP-1) Abs
delayed the onset of disease, whereas anti-macrophage-inflammatory
protein-1
(anti-MIP-1
) Abs suppressed the clinical signs as
well as inhibited inflammation and demyelination (13). In
EAE, although anti-RANTES had no effect on disease,
anti-MIP-1
attenuated acute EAE, whereas anti-MCP-1
attenuated relapsing EAE (15, 16, 17). Knockout mice have also
proven useful in studying chemokines and their receptors in EAE. Mice
deficient in CCR-1, a CCR for MIP-1
,
, and RANTES, and mice
deficient in CCR-2, a CC chemokine receptor for MCP-1, are resistant to
myelin oligodendrocyte glycoprotein-induced EAE and have decreased
numbers of leukocytes recruited into the CNS (18, 19, 20).
Interestingly, mice deficient in MIP-1
and mice deficient in CCR-5,
another CCR for MIP-1
,
, and RANTES, are fully susceptible to
myelin oligodendrocyte glycoprotein-induced EAE (21). This
discrepancy is unexplained although it highlights the differences in
disease mechanism that underline various models of CNS
demyelination.
As mentioned above, many of these previous studies were on EAE in which
there is a breakdown of the blood-brain barrier; however, little is
known about their function in CNS disorders where the blood-brain
barrier remains intact and where T cells are rarely seen, such as in
scrapie, Alzheimers, Huntingtons, and Parkinsons disease. The
current study characterizes the importance of chemokines in the
cuprizone-induced model of demyelination. Cuprizone is a copper
chelator shown, upon oral administration, to induce demyelination in
selective regions of the CNS, specifically the corpus callosum and
superior cerebellar peduncle (22, 23, 24, 25, 26). In C57BL/6 mice,
demyelination is initially observed at the light microscopic level at 3
wk of treatment, and progresses rapidly to almost complete
demyelination by 4 wk (23, 27). Although the exact
mechanism of disease is unknown, cuprizone is believed to metabolically
perturb oligodendrocytes, which down-regulate numerous genes, including
myelin genes, and are subsequently lost through apoptosis
(28, 29, 30, 31, 32, 33, 34). However, unlike EAE, the blood-brain barrier is
not compromised (35, 36), and T cells are rarely observed
and appear to have no affect on
disease.4 In fact, in
addition to locally reactive astrocytes, microglia/macrophage are the
major responding cell type (23, 24, 25, 26). Although their
accumulation parallels demyelination, it is unclear whether
microglia/macrophage exacerbate pathology, or what signals are
important for their appearance in the demyelinating lesion. Here, we
show that numerous chemokines are up-regulated during cuprizone-induced
pathology and that the lack of MIP-1
delays demyelination and
cellular accumulation.
| Materials and Methods |
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All animals were housed in a pathogen-free facility and were
maintained in accordance with National Institutes of Health guidelines
and approved protocols by the University of North Carolina
Institutional Animal Care and Use Committee. The generation of mice
with a targeted disruption of the gene encoding MIP-1
has been
previously characterized and described (37).
MIP-1
-/- mice subsequently have been
backcrossed to C57BL/6 for 6 generations. C57BL/6 mice were either
purchased from The Jackson Laboratory (Bar Harbor, ME) or bred and
maintained in the University of North Carolina animal facility. For all
experiments, C57BL/6 mice were used as controls instead of littermate
siblings, a practice similar to other studies (21, 38, 39, 40, 41). This was primarily due to breeding constraints because
cuprizone-induced demyelination has been reported feasible only with
male mice (24), and all mice in one experiment are
required to be age-matched within 2 wk (G. K. Matsushima,
unpublished observations). Therefore, maintaining the
MIP-1
-/- line by sibling mating provided
suitable numbers for comparable analyses. A scan of the
MIP-1
-/- mouse genome by the Speed Congenic
Service at The Jackson Laboratory demonstrated the mice to be 98.5%
identical with C57BL/6 mice on all unlinked chromosomes. Only the
majority of chromosome 11, the chromosome in which the
mip-1
gene is located, and a small portion of chromosome
2 (maximally 23 cM in length) was still of 129 origin.
For cuprizone treatment, male mice between 8 and 10 wk of age were fed 0.2% (w/w) cuprizone (Sigma, St. Louis, MO) mixed in ground Breeder Chow 2000 (Purina, Richmond, IN) for up to 6 wk as previously described (23). Animal weights were monitored. Control, untreated mice were maintained on a normal diet for the duration of the experiment.
RNase protection assays (RPAs)
Forebrains from cuprizone-treated and untreated mice were removed, cut mid-sagitally, frozen immediately on dry ice, and stored at -70°C. Total RNA was isolated from half the forebrain using the guanidine isothiocyanate cesium chloride procedure (42). RPAs were performed using the RiboQuant multiprobe RPA system from PharMingen (San Diego, CA). All protocols were performed according to manufacturers instructions. For chemokine analysis, 10 µg of total RNA was used with the mCK-5 probe template (PharMingen). For chemokine receptor analysis, 20 µg of total RNA was used with the mCR-5 probe template (PharMingen). Quantitation of transcripts was accomplished using a PhosphorImager (both from Molecular Dynamics, Sunnyvale, CA) and the ImageQuant 5.0 software program. Relative units were normalized to GAPDH for each sample and compared as percentage of maximal expression for each transcript.
Demyelination analysis
For histological examination of demyelination, mice were anesthetized with Metafane (Schering-Plough, Omaha, NE) and perfused intracardially with PBS followed by 4% paraformaldehyde in PBS for 10 min. Brains were removed and postfixed in 4% paraformaldehyde overnight at 4°C. They were then processed and embedded in paraffin. Coronal sections, 5 µm thick, were then cut at the fornix region of the corpus callosum (between regions 220 and 260 in the Mouse Brain Atlas; Ref. 43) and mounted on charged slides (Fisher Scientific, Pittsburgh, PA). Sections were stained with a Luxol fast blue-periodic acid-Schiff (LFB-PAS) stain, and demyelination was scored as previously described (23). Two independent readers in a double-blind fashion evaluated sections midline in the corpus callosum, as illustrated previously (31), and assigned scores ranging from 0 (no demyelination) to 3 (complete demyelination).
For electron microscopic evaluation of demyelination, brains were prepared as previously described (44, 45). Briefly, mice were anesthetized and perfused with PBS followed by 2.5% gluteraldehyde/4% paraformaldehyde in 0.1 M sodium phosphate buffer (pH 7.4). After postfixing in situ for 2 wk, brains were removed and 1-µm coronal sections were cut and stained with toluidine blue. After confirming the appropriate location of the corpus callosum above the fornix, tissues were trimmed and re-embedded in the sagittal orientation. Ultrathin sections were cut, stained with uranyl acetate and lead citrate for contrast, and examined on a transmission electron microscope (model 910; Leo, Thornwood, NY). Five micrographs (at x5000 magnification) were then randomly taken throughout the corpus callosum of each animal, and the number of myelinated and unmyelinated axons were counted. Each micrograph contained between 200 and 550 axons. Because axons under 0.3 µm in diameter were largely unmyelinated, these were excluded (46).
Chemokine and cytokine ELISAs
Brains from untreated and cuprizone-treated mice were harvested
and frozen as described above. The frozen brains were thawed in 1 ml of
PBS containing a mixture of protease inhibitors (1 mM PMSF, 2.5 µg/ml
aprotinin, and 2.5 µg/ml leupeptin) and homogenized. After pelleting
out the larger debris, the protein concentrations of the supernatants
were determined using the Bio-Rad protein assay kit (Hercules, CA) with
BSA as a standard. A sandwich ELISA was used to determine the levels of
MIP-1
, TNF-
, and IL-1
in the brain homogenates as previously
described.5 Briefly,
plates were coated overnight with 2 µg/ml capture Ab: goat
anti-murine MIP-1
Ab (R&D Systems, Minneapolis, MN), rat
anti-mTNF-
mAb (PharMingen), or rabbit anti-mIL-1
polyclonal Ab (Endogen, Woburn, MA). After blocking with PBS containing
10% FCS, 250 µg of brain homogenate was loaded per sample. Detection
was performed using 1 µg/ml detection Ab: biotinylated anti-murine
MIP-1
Ab (R&D Systems), biotinylated rabbit anti-mTNF-
polyclonal Ab (PharMingen), or biotinylated mouse anti-mIL-1
mAb
(Endogen).
Immunohistochemistry and lectin staining
Paraffin sections were deparaffinized with xylene and rehydrated through a series of graded ethanols. Glial fibrillary acidic protein (GFAP) immunohistochemistry was performed to identify astrocytes as previously described (47). Briefly, after quenching endogenous peroxidase activity with 0.3% H2O2 in methanol for 30 min at room temperature, sections were blocked and permeabilized in 20% normal goat serum (NGS)/0.1% Triton X-100 in PBS for 30 min. Sections were then incubated in a 1/500 dilution of rabbit anti-GFAP Ab (DAKO, Santa Barbara, CA) for 1.5 h. After rinsing, sections were then incubated in a 1/250 dilution of biotinylated goat anti-rabbit Ig Ab (PharMingen) in a 2% NGS/0.1% Triton X-100/PBS for 1 h. The Ricinus communis agglutinin-1 (RCA-1) lectin (Sigma) stain was performed to identify microglia/macrophages as previously described (23). Briefly, endogenous peroxidase activity was first quenched with 3% H2O2 in methanol for 5 min. Sections were then unmasked with a protease digestion (0.025% protease for 2 min at 43°C), blocked with a 5% BSA/ 0.1% Triton X-100/PBS solution, and incubated in biotinylated RCA-1 (Sigma) diluted 1/500 in 5% BSA/0.1% Triton X-100/PBS for 45 min at 43°C. Both stains were then visualized using the Vectastain ABC Elite reagent and diaminobenzidine tetrahydrochloride peroxidase substrate kit (Vector Laboratories, Burlingame, CA). Nuclei were stained with Gills Formula Hematoxylin (Vector Laboratories). Slides were then dehydrated and mounted with Permount (Fisher Scientific). Immunohistochemistry for the Pi isoform of GST (GST-Pi) was performed to identify mature oligodendrocytes as previously described (31). Briefly, deparaffinized and rehydrated sections were first blocked with 2% NGS/0.1% Triton X-100 in PBS and then unmasked with 0.1% trypsin in a 0.5 M Tris solution for 15 min at 37°C. The tissue was then incubated in anti-GST-Pi Ab (Biotrin, Newton, MA) diluted 1/1000 in 2% NGS/0.1% Triton X-100 in PBS overnight at 4°C. The sections were then rinsed and incubated in a 1/100 dilution of fluorescein-conjugated goat anti-rabbit IgG Ab (Vector Laboratories). They were then rinsed and mounted in Vectashield with 4',6-diamidino-2-phenylindole (Vector Laboratories) to visualize nuclei.
For cellular quantification, two fields on either side of midline in the corpus callosum were examined from each animal. Analyses were performed using digitized images and Image-Pro Plus software (Media Cybernetics, Silver Spring, MD) to calculate counts and areas. Quantification of cells included only those in which a nucleus was colocalized with immunohistochemical staining.
Statistics
All statistical analyses were performed using a one- or two-way ANOVA test.
| Results |
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The dramatic accumulation of cells during cuprizone-induced
demyelination (23) suggested that chemokines might be
critical to the pathology. RPA on brain RNA samples from
cuprizone-treated and untreated C57BL/6 mice revealed very dynamic
regulation of chemokines (Fig. 1
A). No chemokines were
detected in the brains of normal, untreated mice. However, upon
exposure to cuprizone, mRNA for RANTES, MIP-1
, MIP-1
,
inflammatory protein-10 (IP-10), and MCP-1 can all be detected by 1 wk,
before any demyelination is observed. IP-10, MCP-1, and RANTES RNA
peaked early at 1 and 2 wk, coincident with the initiation of insult.
In contrast, MIP-1
and MIP-1
RNA showed maximal expression at
45 wk of treatment, concurrent with peak cellular accumulation and
demyelination. Lymphotactin (Ltn), eotaxin, MIP-2, and T cell
activation-3 (TCA-3) were not present and therefore appear not
to be involved in the demyelination process. Peak expression of
MIP-1
at 45 wk of treatment was also confirmed with RT-PCR, using
GADPH as the housekeeping gene to show equal loading (data not shown).
This correlated well with ELISA for MIP-1
protein, which detected
expression in the brain extracts of 3-, 4-, and 5-wk-treated mice (Fig. 1
D). Thus, the temporal expression of specific chemokines
appeared to coincide with the previously observed accumulation of
microglia/macrophage and astrocytes during demyelination (23, 31).
|
, MIP-1
, and RANTES, was detected in normal, untreated
mice (wk 0), but showed a significant increase at 45 wk of cuprizone
exposure (Fig. 1
2-fold increase in CCR-5 (data not shown). Other receptors tested,
such as CCR-1, CXCR-4, and CCR-8, were constitutively found in the
brains of normal untreated mice, but did not appear to fluctuate with
disease progression (Fig. 1
and its receptor, CCR-5, at
the height of cellular accumulation and demyelination prompted further
investigation into its possible functional role.
The absence of MIP-1
delays demyelination during cuprizone
treatment
To test the function of MIP-1
in vivo,
MIP-1
-/- mice were treated with 0.2%
cuprizone, and demyelination was compared with cuprizone-treated
wild-type C57BL/6 mice. Brain sections from treated and untreated mice
were stained with an LFB-PAS stain, which stains myelin blue (Fig. 2
, AC), and were scored for
demyelination (Fig. 2
D). MIP-1
-/-
mice showed significantly less demyelination (36% reduction) at 3.5 wk
of treatment (p < 0.001). Similarly, they
still showed a trend of less demyelination at 3.75 wk; however,
demyelination in MIP-1
-/- mice was
eventually similar to wild-type mice by 4 wk. There was no difference
in weights between the MIP-1
-/- and
wild-type mice during the entire time course of cuprizone treatment
(data not shown), implying comparable consumption of the drug.
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-/- mice, mature oligodendrocytes were
identified using an anti-GST-Pi Ab and counted (Fig. 2
-/- mice,
although this difference was not statistically significant. However, as
with other oligodendrocyte genes, particularly myelin genes
(32), GST-Pi has been shown to be down-regulated by
cuprizone treatment (33); therefore, it is possible that
mature oligodendrocytes are still present but no longer adequately
stain for GST-Pi in these samples.
Further corroboration for the difference in demyelination was performed
using electron microscopic analysis. The number of myelinated and
unmyelinated axons in sagittal ultra-thin sections of the corpus
callosum were counted from the brains of untreated mice and mice
exposed to 3 wk of cuprizone. This earlier time point was taken because
the sensitivity of transmission electron microscopy allows detection of
demyelination earlier than at the light microscopic level
(46). Whereas wild-type mice showed significant
demyelination by 3 wk of cuprizone exposure when compared with
untreated wild-type mice, MIP-1
-/- mice
showed little or no demyelination by this time point (Fig. 3
, A to B and
C to D, respectively). Indeed, at 3 wk of
treatment, the percentage of myelinated axons was significantly
greater (
39%) in the MIP-1
-/- mice
when compared with the wild-type mice (p <
0.03) (Fig. 3
E), confirming that the lack of MIP-1
delays
demyelination.
|
affects the recruitment of
microglia/macrophages and astrocytes during cuprizone treatment
The function of MIP-1
is often associated with its chemotactic
properties, particularly in the recruitment of microglia/macrophage. We
assessed cellular accumulation in MIP-1
-/-
and wild-type mice during cuprizone treatment. Nuclei counts in the
corpus callosum of cuprizone-treated
MIP-1
-/- mice showed a trend toward
decreased cellularity at 3.5 and 4 wk of treatment,
although this difference was not statistically significant at any time
point (Fig. 4
A). In vitro analyses of macrophage, microglia,
and astrocytes have revealed that MIP-1
can induce the chemotaxis of
all these cell types (49, 50, 51, 52, 53). Therefore, in this study,
the number of microglia/macrophages was assessed in the corpus
callosum of cuprizone-treated MIP-1
-/- and
wild-type mice. At 3.5 wk of cuprizone exposure,
decreases in both microglia/macrophage (RCA-1+
cells; 28% reduction; p < 0.03) and astrocyte
(GFAP+ cells; 24% reduction; p
< 0.02) populations were observed in
MIP-1
-/- mice (Fig. 4
, B and
C, respectively). This correlated well with the reduction of
demyelination and implies that MIP-1
may be exacerbating the
pathology, possibly through the recruitment of these cell types.
|
decreases TNF-
production during
cuprizone treatment
Because chemokines are also implicated in modulating cellular
activation, it was possible that the absence of MIP-1
might be
affecting cytokine secretion. Indeed, MIP-1
peptide has been shown
to cause the secretion of TNF-
, IL-1
, and IL-6 in macrophages in
vitro (54). The levels of TNF-
protein in the brains of
cuprizone-treated MIP-1
-/- and wild-type
mice were determined by ELISA (Fig. 5
A).
MIP-1
-/- mice showed significantly decreased
levels of TNF-
when analyzed by two-way ANOVA (genotype effect;
p = 0.042). Although the decrease in TNF-
was
distributed across all the time points, it was particularly evident at
4 wk of cuprizone treatment where there was an
22% reduction in
TNF-
levels in the MIP-1
-/-
mice.
|
, is also up-regulated in
wild-type mice treated with cuprizone.5 However,
no significant differences were observed in the IL-1
protein levels
between MIP-1
-/- and wild-type mice, and, in
fact, levels tended to be slightly elevated in the
MIP-1
-/- mice at all time points (Fig. 5
has many proinflammatory properties
and has been shown to be detrimental to mature oligodendrocytes in
vitro, we believe that it may also have neuroprotective effects through
its induction of insulin-like growth factor-1, a growth factor shown to
prevent oligodendrocyte apoptosis in the cuprizone model (45, 55). However, the exact function of IL-1
during cuprizone
exposure has yet to be fully elucidated.
Despite a delay in demyelination in MIP-1
-/- mice
during cuprizone treatment, other redundant chemokines may be
compensating for the lack of MIP-1
Because of the redundant and overlapping function in many of the
chemokines and their receptors, it was possible that other related
chemokines were compensating for the lack of MIP-1
in the
MIP-1
-/- mice. To test this, RPA for
chemokines was performed on RNA from the brains of cuprizone-treated
and untreated MIP-1
-/- and wild-type mice.
Surprisingly, untreated MIP-1
-/- mice showed
an aberrant constitutive production in MIP-1
(5-fold increase) and
TCA-3 (20-fold increase) transcripts (Fig. 6
). However, these levels did not
increase upon cuprizone exposure. In addition,
MIP-1
-/- mice showed an increase in mRNA
levels of RANTES (2 wk, p < 0.02), IP-10 (1 wk,
p < 0.05; 2 wk, p < 0.002), and MCP-1
(1 wk, p < 0.004; 2 wk, p < 0.001)
upon cuprizone exposure when compared with wild-type levels (Fig. 6
B). At 1 wk of treatment, MCP-1 and IP-10 were both
increased
3-fold in MIP-1
-/- mice.
Although RANTES was elevated at 1 wk, it was not statistically
significant. However, RANTES was increased
2-fold at 2 wk in
MIP-1
-/- mice. Thus, other chemokines may be
compensating for the absence of MIP-1
, making it difficult to assess
the true magnitude of MIP-1
in the recruitment and activation of
cells.
|
| Discussion |
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, in particular,
appears to play a key role because its absence delays demyelination and
cellular accumulation, as well as decreases TNF-
production. This
adds to a growing body of evidence that modulation of the chemokine
network may prove useful in the treatment of CNS disorders.
The induction of chemokines in the CNS after exposure to cuprizone
shows a very specific and dynamic pattern of expression. Expression of
RANTES, MIP-1
, MIP-1
, IP-10, and MCP-1 transcripts are all
observed after only 1 wk of cuprizone exposure (Fig. 1
A).
This time point is coincident with the appearance of a few
microglia/macrophage and with the perturbation of oligodendrocytes, as
indicated by the down-regulation of numerous oligodendrocyte genes
(30, 32, 34); yet, it precedes oligodendrocyte apoptosis,
demyelination, and massive cellular recruitment (23, 31).
Therefore, chemokine production appears to be one of the earliest
responses to cuprizone toxicity and implies that chemokines may be key
mediators of inflammation and cellular recruitment in the demyelinating
lesion. RANTES, IP-10, and MCP-1 mRNA levels then proceed to crest
early at 12 wk of cuprizone treatment; however, this is before
significant cellular recruitment. In contrast, MIP-1
and
levels
peak at 45 wk of treatment, concurrent with maximal demyelination and
cellular recruitment. Therefore, the interplay between each chemokine
appears complicated, and these varied expression profiles may reflect
specific, temporally restricted functions. Alternatively, it may simply
reflect their expression by different cellular populations.
It has been hypothesized that the chemokine profile largely regulates
which cell type is recruited during inflammation. This is consistent
with our data, where all the chemokines induced (MIP-1
, MIP-1
,
MCP-1, IP-10, and RANTES) have been implicated in the chemotaxis of
macrophages (56, 57) and microglia (50, 51, 53), the predominant cell types recruited into the demyelinating
lesion during cuprizone treatment (23). MIP-2,
lymphotactin, eotaxin, and TCA-3 were not observed (Fig. 1
A). Interestingly, most of these chemokines are implicated
primarily in the recruitment of cell types not seen or rarely seen in
the brain during cuprizone treatment. MIP-2 is implicated in neutrophil
recruitment, lymphotactin in lymphocyte and NK cell recruitment and
eotaxin in eosinophil migration (1). Although TCA-3 is a
non-ELR CC chemokine and has been shown to induce macrophage chemotaxis
(58), it is thought to be primarily a T cell
chemoattractant (1).
The disruption of chemokines and their receptors by genetic knockout or
neutralizing Ab in other models of CNS demyelination, including mouse
hepatitis virus-infected mice (14) and EAE
(15, 16, 17), have resulted in attenuated CNS pathology. Our
model of demyelination is distinct because of the presence of an intact
blood-brain barrier (35, 36) and the fact that T cells are
not involved.4 It was unclear how chemokines
would function in this context. In the cuprizone model, we show in this
report that deficiency of MIP-1
clearly delays demyelination, a fact
confirmed at the light and electron microscopic levels. The mechanism
of this delay may be partly explained by reduced microglia/macrophages
in the absence of MIP-1
. This reduction in microglia/macrophage
numbers at 3.5 wk of cuprizone treatment could account for the decrease
in demyelination by limiting the harmful effects that the
microglia/macrophages might have, such as the secretion of damaging
cytokines and proinflammatory mediators like NO (59, 60).
Chemokines themselves have been shown to directly induce cytokine
production (54, 61, 62) and NO synthesis (5, 63). Indeed, we saw significantly diminished TNF-
levels in
the absence of MIP-1
(Fig. 5
A), although it remains
unclear whether MIP-1
is directly or indirectly inducing TNF-
in
the brain during cuprizone exposure.
Although approximately one-third in number compared with
microglia/macrophages (23), astrocytes also accumulate in
the demyelinating lesion after cuprizone exposure. The recruitment of
astrocytes in response to chemokines is controversial because this cell
type has long been thought of as a relatively nonmotile parenchymal
cell (64). Astrocytes have been shown to migrate in vitro
in response to chemokine gradients of KC, eotaxin, or MIP-1
(49, 52, 64). At 3.5 wk of cuprizone treatment, the number
of astrocytes in the MIP-1
-/- mice was
reduced when compared with wild-type mice (Fig. 4
C). Because
astrocytes may exacerbate pathology through the secretion of damaging
cytokines and proinflammatory mediators (65), it is
possible that the reduction in astrocyte numbers contributes in part to
the delay in demyelination in the absence of MIP-1
. However, it is
unclear whether MIP-1
truly serves to recruit astrocytes into the
demyelinating lesion and, if so, what is the source of the astrocytes.
It is known that a number of astrocytes are local and proliferate as
indicated by uptake of BrdU (data not shown).
MIP-1
-/- mice displayed decreased
demyelination and cellular accumulation at 3.5 wk of cuprizone
exposure; however, at 4 wk of treatment,
MIP-1
-/- mice exhibited a similar score in
demyelination to wild-type mice. A delay rather than a total abrogation
was observed. A greater difference in demyelination was not observed
possibly due to the aberrantly increased expression of known
microglia/macrophage chemoattractants, MIP-1
, RANTES, IP-10, and
MCP-1 (Fig. 6
) in the MIP-1
-/- mouse, which
could be compensating for the absence of MIP-1
. A further
examination of the protein levels of these chemokines and in vivo
experiments using knockout mice or neutralizing Abs would be required
to test whether these chemokines play a functional role in recruitment.
It is also possible that an intact blood-brain barrier may be
proficient to prevent infiltration of cells by these chemokines.
Lastly, the overexpression of MIP-1
, IP-10, RANTES, and MCP-1 in the
MIP-1
-/- mouse may suggest that MIP-1
normally suppresses these chemokines in vivo; however, we found no
evidence for down-regulation by MIP-1
in the activation of
macrophages in vitro (data not shown).
In addition to its role in exacerbating inflammation and demyelination
during cuprizone treatment, the possibility also exists that MIP-1
could serve a beneficial role by recruiting microglia/macrophages that
clear debris, phagocytose dead cells, and secrete cytokines and growth
factors that promote remyelination (27). However, our
initial experiments indicate that MIP-1
likely does not have a role
in the remyelination process because
MIP-1
-/- mice remyelinate as quickly as
wild-type mice following 6 wk of cuprizone treatment (data not shown).
Therefore, the role of MIP-1
appears to be restricted to the
demyelination process.
In summary, specific and dynamic regulation of numerous chemokines
correlates with cellular and morphological profiles observed during
cuprizone-induced demyelination. The in vivo importance of MIP-1
is
shown by the significant reduction in demyelination in
MIP-1
-/- mice at 3.5 wk of cuprizone
treatment, which is coincident with reductions in microglia/macrophage
and astrocyte numbers, and a diminution in TNF-
protein levels. The
reduction of cellular recruitment and demyelination may be even greater
if it were not for the expression of potentially compensatory
chemokines in the MIP-1
-/- mice. Additional
crosses to other knockout mice may be fruitful in further attenuating
demyelination and cellular recruitment. The results in this report may
have implications toward other CNS diseases in which there is
microglia/macrophage recruitment in the presence of an intact
blood-brain barrier.
| Acknowledgments |
|---|
| Footnotes |
|---|
2 Address correspondence and reprint requests to Dr. Glenn K. Matsushima, University of North Carolina-Neuroscience Center, CB 7250, Chapel Hill, NC 27599. E-mail address: gkmats{at}med.unc.edu ![]()
3 Abbreviations used in this paper: ELR, glutamic acid-leucine-arginine; MIP-1
, macrophage-inflammatory protein-1
; IP-10, inflammatory protein-10; EAE, experimental autoimmune encephalomyelitis; LFB-PAS, Luxol fast blue-periodic acid-Schiff; GFAP, glial fibrillary acidic protein; NGS, normal goat serum; GST-Pi, the Pi isoform of glutathione-S-transferase; RCA-1, Ricinus communis agglutinin-1; MCP-1, monocyte chemoattractant protein-1; RPA, RNase protection assay; m, murine; TCA-3, T cell activation-3. ![]()
4 M. M. Hiremath, K. Suzuki, J. P.-Y. Ting, and G. K. Matsushima. T cells are not involved in microglia-mediated demyelination during cuprizone-intoxication. Submitted for publication. ![]()
5 M. M. Hiremath, K. Suzuki, J. P.-Y. Ting, and G. K. Matsushima. MHC class II exacerbates demyelination in vivo independently of T cells. Submitted for publication. ![]()
Received for publication January 22, 2001. Accepted for publication June 18, 2001.
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