Abstract
Aquaporin-4 (AQP4) is a primary influx route for water during brain edema formation. Here, we provide evidence that brain swelling triggers Ca2+ signaling in astrocytes and that deletion of the Aqp4 gene markedly interferes with these events. Using in vivo two-photon imaging, we show that hypoosmotic stress (20% reduction in osmolarity) initiates astrocytic Ca2+ spikes and that deletion of Aqp4 reduces these signals. The Ca2+ signals are partly dependent on activation of P2 purinergic receptors, which was judged from the effects of appropriate antagonists applied to cortical slices. Supporting the involvement of purinergic signaling, osmotic stress was found to induce ATP release from cultured astrocytes in an AQP4-dependent manner. Our results suggest that AQP4 not only serves as an influx route for water but also is critical for initiating downstream signaling events that may affect and potentially exacerbate the pathological outcome in clinical conditions associated with brain edema.
Keywords: endfeet, glial, two-photon
Using in vivo two-photon imaging of mice subjected to hypoosmotic stress, we have shown previously that astrocytes rapidly swell in the initial phase of edema development (1). These data are consistent with a number of studies suggesting that aquaporin-4 (AQP4) serves as a primary influx route for water from blood to brain (2, 3). AQP4 is strongly expressed in astrocytic endfeet (4), which form a continuous pericapillary sheath that is interrupted only by a narrow extracellular space (5).
In vitro studies clearly show that swelling of astrocytes leads to the activation of a number of signaling cascades (6, 7). Because astrocytes are prone to swell in experimental conditions associated with edema formation (8), this raises the question of whether the same signaling cascades are activated in early edema formation in vivo and whether they affect the clinical outcome.
Hypoosmotic stress induces brain edema with early accumulation of water in astrocytes (1, 9, 10). Thus, hypoosmotic stress provides a suitable experimental model to explore potential signaling mechanisms initiated by astrocytic swelling in vivo. Here, we use optical imaging to show that hypoosmotic stress induces Ca2+ spikes in astrocytes in vivo and that these spikes are potentiated in the presence of AQP4. We also provide in vitro data indicating that the AQP4-dependent Ca2+ signals are mediated in part by autocrine purinergic signaling. Our findings show that brain edema formation should not be seen merely as a process of passive water accumulation in brain but as a condition that sets in motion specific signaling processes that may significantly affect disease progression and morbidity.
Results
Aqp4 Deletion Reduces Swelling of Cortical Astrocytes Exposed to Mild Hypoosmotic Stress.
Immunofluorescence and Western blots confirmed the efficacy of the Aqp4−/− KO strategy (Fig. 1 A and B). Light microscopy revealed normal cytoarchitecture of cortex in Aqp4−/− mice. Specifically, astrocytes, visualized by GFAP immunolabeling, displayed normal morphology and intact endfeet (Fig. 1B).
To further validate the Aqp4 deletion, we performed volumetric analysis of astrocytic somata in acute cortical slices exposed to solution of reduced osmolarity (Fig. 1C). Astrocytes were readily detected by two-photon imaging after the slice had been incubated with the fluorescent dye Texas red hydrazide, an approach similar to that described for sulphorhodamine 101 (11, 12). Dye loading of slices obtained from transgenic mice that express EGFP under control of the Glt-1 promoter (Glt-1–EGFP BAC transgenic mice) (13) confirmed that Texas red hydrazide was selectively taken up by GFP-expressing astrocytes (Fig. 1D).
When exposed to 20% reduction in osmolarity, WT astrocytes exhibited a peak increase in soma volume of 19 ± 1.2% after 5 min, which was significantly higher than the 3 ± 0.8% increase observed in Aqp4−/− astrocytes (P < 0.001, two-tailed Student t test) (Fig. 1E). In both genotypes, the initial swelling was followed by a nearly linear volume reduction, reflecting regulatory volume decrease.
To explore whether volume recovery was dependent on the magnitude of osmotic stress, we exposed WT and Aqp4−/− astrocytes to artificial cerebrospinal fluid (aCSF) with 30% reduction in osmolarity. Under this condition, astrocytes from both genotypes showed continuous increase in soma volume, and magnitude of swelling was similar (Fig. 1E).
Hypoosmotic Stress Enhances Ca2+ Signals in Cortical Layer 1 Astrocytes in Vivo.
In vivo two-photon imaging of Glt-1–EGFP BAC transgenic mice confirmed that the Ca2+ indicator Rhod2 AM was taken up by astrocytes (Fig. 2 A and B). Increase in Rhod2 signal intensity was not associated with altered GFP signal (Fig. 2B). The ratio between Rhod2 and GFP signal intensities provided a more reliable measure of astrocytic Ca2+ signals than the Rhod2 signal (Fig. 2C), reflecting that the former measure is less sensitive to inadvertent small shifts in focal plane. In neither WT nor Aqp4−/− mice did frequency of astrocytic Ca2+ spikes change over time in the control state (0.092 ± 0.038 vs. 0.197 ± 0.065 for the first and last 15 min in WT, n = 76 cells, P = 0.15; 0.179 ± 0.111 vs. 0.232 ± 0.076 in Aqp4−/−, n = 56, P = 0.55; mixed model analyses) (Methods).
Brain edema induced by i.p. water injection was associated with enhanced Ca2+ signals in WT mice (Fig. 2 D–G). Frequency of astrocytic Ca2+ spikes and percentage of astrocytes with Ca2+ spikes (active cells) increased already in the first 15-min period post water injection and became even higher as brain swelling progressed (Fig. 2G). Spike amplitude and proportion of long-lasting (≥30 s) spikes also became higher in the late phase of osmotic brain edema (Fig. 2 E and F).
Osmotically Induced Astrocytic Ca2+ Spikes in Vivo Are Dependent on AQP4.
In the control state, frequency of astrocytic Ca2+ spikes did not differ between WT and Aqp4−/− mice (P = 0.69) (Fig. 2G). In contrast to WT, Aqp4−/− mice did not respond to water injection with altered astrocytic spike frequency (Fig. 2G). Only the proportion of active astrocytes increased somewhat in the late phase of osmotic brain swelling (Fig. 2G). At this stage, proportion of active astrocytes (P = 0.0042) and spike frequency (P = 0.0038) differed between WT and Aqp4−/− mice. In the first 15 min after water injection, these values did not differ significantly between genotypes (P = 0.098 and P = 0.159, respectively; mixed model analyses) (Methods), probably reflecting the time it takes for brain swelling to develop after i.p. water injection.
Mild Hypoosmotic Stress Induces AQP4-Dependent Astrocytic Ca2+ Responses in Acute Cortical Slices.
Supporting our in vivo findings, we found that exposing acute cortical slices to mild hypoosmotic aCSF (20% reduction in osmolarity) robustly triggered astrocytic Ca2+ spikes in WT mice (Fig. 3 A and B). The proportion of astrocytes that responded with Ca2+ spikes was much lower in Aqp4−/− than in WT mice (Fig. 3 A and B). Moreover, Ca2+ spikes in Aqp4−/− mice had a lower amplitude (Fig. 3B) and delayed onset (272 ± 9 s in Aqp4−/− vs. 162 ± 4 s in WT, P < 0.001, two-tailed Student t test). More severe osmotic stress (30% reduction in osmolarity) diminished the difference in responder rate between WT and Aqp4−/− mice (Fig. 3B), possibly reflecting robust astrocyte swelling in both genotypes during this condition (compare with Fig. 1E). However, at 30% reduction in osmolarity, the spike amplitude was still lower in Aqp4−/− than in WT mice (Fig. 3B).
AQP4-Dependent Ca2+ Signals Are Mediated in Part by Autocrine Purinergic Signaling.
Incubating WT slices with the nonselective P2 antagonists suramin and pyridoxal-phosphate-6-azophenyl-2′,4′-disulfonate (PPADS) delayed onset of Ca2+ responses to mild hypoosmotic stress (327 ± 8 s vs. 241 ± 9 s without antagonists, P < 0.001, two-tailed Student t test) and reduced percentage of responding astrocytes (Fig. 3B). Microinjection of ATP in cortical slices induced astrocytic Ca2+ responses with similar kinetics in WT and Aqp4−/− mice (Fig. 3B Lower) (mean amplitude = 68 ± 2% vs. 69 ± 3%; time to response = 11 ± 1.2 s vs. 12 ± 1.2 s, respectively), suggesting that Aqp4 deletion did not interfere with signaling mechanisms downstream of purinergic receptor activation.
Aqp4 Deletion Abrogates Osmotically Induced ATP Release from Cultured Astrocytes.
Cultured WT astrocytes exposed to hypoosmotic medium (−20% Osm) for 15 min released more ATP than those kept in isotonic solution (Fig. 3C). In contrast, cultured Aqp4−/− astrocytes subjected to similar stress showed no significant change in ATP release (Fig. 3C). Taken together, our data are compatible with a role for AQP4 in amplifying signaling events triggered by cell swelling (Fig. 3D).
Discussion
Brain edema formation is commonly regarded as a passive process by which water accumulates in the brain because of changes in osmotic driving forces or perturbations of the blood–brain barrier. Hence, the symptomatology and treatment of this serious condition is usually discussed in the context of the accompanying intracranial pressure changes that may eventually cause herniation and compromise blood flow to the brain. The possibility that brain edema formation sets in motion pathophysiologically relevant signaling processes has largely been overlooked. This is remarkable given the fact that cell swelling—the hallmark of cytotoxic edema—is known to activate a number of signaling cascades that may have profound effects on cell function (14). Specifically, in vitro studies have shown that swelling causes astrocytes to release neuroactive substances such as glutamate and ATP (6, 15).
This study shows that incipient edema is associated with astrocytic Ca2+ signals in vivo. These signals are causally linked to water influx and cell swelling, because they were significantly reduced in animals deficient in AQP4. Previously, deletion of Aqp4 has been shown to abrogate osmotically induced astrocytic swelling and counteract build-up of brain edema (8, 16).
The in vivo analyses were complemented with monitoring of blood flow in the microvascular bed. Despite absence of overt changes, it is difficult to rule out small alterations in cerebral perfusion caused by the incipient brain edema. Thus, it was deemed necessary to include complementary in vitro studies in slices. Such studies also allowed us to dissect the mechanisms underlying the AQP4-sensitive Ca2+ responses. Analyses in acute cortical slices supported the data obtained in vivo. Notably, slices exposed to hypoosmotic media displayed Ca2+ signals in astrocytes reminiscent of those seen in vivo. These signals were attenuated after Aqp4 deletion. The attenuation was particularly pronounced at 20% decrease in osmolarity.
Previous in vitro studies have shown that activation of purinergic receptors triggers astrocytic Ca2+ transients (17–19). We hypothesized that Ca2+ signals elicited during edema formation depend—at least in part—on ATP release from swollen astrocytes. Application of P2 antagonists to acute cortical slices supported this view. The quantitative analysis indicated that, in ∼25% of WT astrocytes, the Ca2+ response was contingent on ATP signaling. Obviously, additional mechanisms are at play and contribute to the observed Ca2+ signals. Stretch-sensitive receptors are likely to be among these mechanisms.
Next, we set out to resolve whether astrocytes could serve as a source of ATP. In cultured astrocytes, osmotic stress induced ATP release, and this release was abolished after Aqp4 deletion. Taken together, the data suggest that AQP4 not only mediates water influx but also is essential for initiating signaling events associated with edema formation. This may explain the rather pronounced protective effect of Aqp4 KO or AQP4 mislocalization in stroke models (8, 20). It is well-known that water passes through the lipid bilayer of the plasma membrane (although to a limited extent compared with the water flux through aquaporin channels) and that diffusion also occurs through the thin slits that separate the astrocyte endfeet. In AQP4-deficient mice, a discrepancy between the extent of water transport restriction on the one hand and the protective effect in stroke on the other hand can easily be explained if loss of AQP4 also interferes with signaling mechanisms that exacerbate the pathological outcome.
Edema formation and cytotoxicity likely engage in a vicious cycle, where cell swelling causes release of cytotoxic compounds that, in turn, lead to tissue damage and more swelling. ATP is known to act as a cytotoxic compound in stroke, as judged by a number of in vitro and in vivo studies (21). Thus, an early-stage intervention with AQP4 inhibitors would interfere with this vicious cycle by counteracting not only the swelling per se but also deleterious secondary events like ATP release. Further studies are required to resolve whether AQP4 is also involved in swelling-activated glutamate efflux through volume-sensitive channels (6).
An obvious question is whether the effect of Aqp4 deletion solely depends on the change in swelling response or whether AQP4 (alone or in combination with other molecules) serves as an osmosensor upstream of the above signaling events. To distinguish between these possibilities, we exposed acute slices to an osmotic stress (30% reduction in osmolarity) severe enough to override the mechanisms that normally limit transmembrane water transport, as evidenced by the reduced sensitivity to Aqp4 deletion. With an osmotic stress at this scale, the percentage of astrocytes that responded with Ca2+ spikes was nearly as high in the Aqp4−/− animals as in WT. This observation is consistent with the idea that the Ca2+ signals are elicited by the AQP4-induced swelling response rather than through an osmoreceptor response.
Conclusion
Our study has revealed that induction of brain edema sets in motion specific signaling events in brain cells. Notably, we have shown by in vivo two-photon imaging that osmotic stress and edema formation are associated with brisk Ca2+ signals in cortical astrocytes. This observation prompted us to resolve whether these signals are dependent on AQP4, which is assumed to constitute the main influx route for water at the brain–blood interface. Using a Aqp4−/− line, we show that deletion of Aqp4 interferes with the frequency and amplitude as well as the duration of the Ca2+ signals observed. Taken together with complementary analyses in reduced experimental models, our data are consistent with the idea that AQP4-mediated cell swelling is inextricably coupled with activation of signaling pathways that may profoundly affect the pathological and pathophysiological outcome in clinical conditions associated with brain edema.
Methods
Mice.
Aqp4−/− mice were generated by GenOway by cloning and sequencing of a targeted region of the murine Aqp4 gene in a 129/Sv genetic background. The strategy was to design a targeted locus allowing us to delete exons 1–3 to avoid any expression of putative splice variants. Hence, a flippase recognition target (FRT)-neomycin-FRT-LoxP–validated cassette was inserted downstream of exon 3, and a LoxP site was inserted upstream of exon 1 as depicted in Fig. 1A. After homologous recombination in ES cells, ES-cell injection into blastocytes, and generation of chimeras, heterozygous floxed mice were obtained by breeding chimeras with C57BL/6J females. Heterozygous floxed mice were bred with C57BL/6J Cre expressing mice to generate mice heterozygous for the KO allele, Aqp4+/−. The Aqp4+/− mice were then backcrossed with C57BL/6J mice for five generations before intercrossing to yield Aqp4−/− and Aqp4+/+ (WTs). For acute cortical slice experiments, we also used C57BL/6J pups from Jackson Laboratory as WT controls. For in vivo experiments, we used Aqp4−/− and WT mice expressing EGFP in astrocytes. These mice were generated by breeding Aqp4−/− and WT mice with BAC promoter reporter transgenic mice that express EGFP under the control of the natural Glt-1 promoter (13). The latter mice were provided by J. D. Rothstein (Johns Hopkins University, Baltimore, MD).
Western Blot and Immunohistochemistry.
After homogenization and solubilization, extracts of Aqp4−/− and WT brains were loaded onto a 10% SDS/PAGE gel and subsequently transferred onto 0.2-μm poly(vinylidene difluoride) membrane (Bio-Rad). The membrane was probed with 0.02 μg/mL goat anti-AQP4 (Cat# sc-9888; Santa Cruz Biotechnology), developed using alkaline phosphatase substrate (ECF Western blotting reagents; Amersham Pharmacia), and visualized with a Typhoon Variable Mode Imager (Amersham Pharmacia). Fixation of mice, preparation of tissue slices, and immunohistochemistry were performed as described previously (22). We used a monoclonal antibody against GFAP (G3893, 1:100; Sigma) and a polyclonal antibody against AQP4 (AB3068, 1:100; Chemicon International).
Animal Preparation for in Vivo Imaging.
Eight- to twelve-wk-old WT and Aqp4−/− mice expressing EGFP in astrocytes were anesthetized with urethane and α-chloralose (1 g/kg and 50 mg/kg i.p., respectively), intubated, and artificially ventilated with room air using a small animal ventilator (SAR830; CWE) set to ∼100 breaths/min with a tidal volume of 0.3–0.4 mL. Body temperature was kept at 37 °C by a temperature-controlled heating blanket. A craniotomy (3 mm in diameter) was made over the cortex 1 mm lateral and 0.5 mm posterior to the bregma, and the dura was removed. The Ca2+ indicator Rhod2 AM (2 mM; Invitrogen) was loaded to the exposed cortex for ∼50 min. After washing for 10 min with aCSF, the craniotomy was covered with 1% agarose in aCSF and sealed by a coverslip. The femoral artery was cannulated for continuous monitoring of mean arterial blood pressure and analysis of blood gases. Only mice with blood gases within the physiological range (pO2 = 80–150 mmHg, pCO2 = 30–45 mmHg, pH 7.25–7.5) were included. To outline the vasculature, we administered FITC-dextran (2,000 kDa, ∼0.4 mL, 2.5% in saline; Sigma) intravenously. WT and Aqp4−/− mice (n = 6 for each genotype) were injected with distilled water (200 mL/kg) i.p. immediately before imaging. Mice not receiving water injections (n = 3 for each genotype) served as controls.
In Vivo Two-Photon Imaging.
A Mai Tai laser (SpectraPhysics) attached to a confocal scanning system (Fluoview 300; Olympus) and an upright microscope (IX51W; Olympus) was used for in vivo imaging, as previously described (23). A 20× (0.9 NA) water immersion lens with 3× additional zoom was used to image astrocytes in cortical layer 1. Excitation wavelength was 860 nm, and emission was collected at 575–645 nm. Dual-channel (Rhod2 and GFP) images with 512 × 512-pixel frames were acquired in a region with intact capillary perfusion every 5 s for 60 min or until capillary perfusion stopped. The low sampling rate was used to avoid photo damage. The two-photon laser power was adjusted to a power that was less than 40 mW at the sample. Two of six WT and one of six Aqp4−/− mice subjected to water injection died before 60 min (at 30, 48, and 55 min, respectively). During brain swelling, the focus was adjusted for persistent imaging of the same area. A Ca2+ spike was defined when the relative ratio between the Rhod2 and GFP signal intensities exceeded 20% of baseline over a 10-min recording period. Frequency of spikes was calculated per astrocyte per 15 min. Because of the low frequency of Ca2+ spikes in the control state, we averaged data for two consecutive 15-min periods. Active astrocytes were defined as cells that had more than or equal to one Ca2+ spike(s) per 15 min. Values are expressed as mean ± SEM. Mixed model analyses were performed using a binomial (Bernoulli) model with logit link for binary observations (passive or active cells), a Poisson model for count data (spike frequency), and a linear model for spike amplitudes (24). A hierarchical structure was assumed for all these models, with random effects representing variation between animals and cells inside animals. All experiments were approved by the Institution Animal Care and Use Committee of University of Rochester.
Preparation of Acute Cortical Slices and Dye Loading.
Coronal cortical slices were prepared from 10- to 20-d-old mice of either sex as described previously (22, 25). In brief, the brains were submerged in gassed (95% O2 and 5% CO2) ice-cold cutting solution, and coronal slices (400 μm) were cut on a Vibratome (TPI). Slices were incubated for 20 min in aCSF and then loaded with either Rhod2 AM (2 mM) or Texas red hydrazide (1.5 μM) in aCSF at 35 °C for 50 min. The aCSF, gassed as described above, contained (in mM) 126 NaCl, 2.5 KCl, 1.25 NaH2PO4, 2 MgCl2, 2 CaCl2, 10 glucose, and 26 NaHCO3 (pH 7.4).
Two-Photon Imaging in Acute Cortical Slices.
Dye-loaded slices were transferred to a recording chamber (1.5 mL), held in place by a nylon-threaded metal grid, and continuously perfused with aCSF (room temperature) at a rate of 2 mL/min. A multiphoton laser scanning microscope as described above was used for imaging (excitation wavelength = 820–860 nm; emission collected at 575–645 nm). A 60× (0.9 NA) water immersion lens with 6–10× additional zoom was used for the volume assessment, whereas a 20× (0.9 NA) water immersion lens was used for calcium imaging. All experiments were performed at room temperature. After imaging in normal aCSF, we switched the perfusion solution to hypoosmotic aCSF. This solution differed from the control aCSF only with respect to the NaCl concentration, which was either reduced by 20% or 30% (NaCl = 100.8 or 88.2 mM, respectively). Osmolarities were verified by freezing-point depression.
Volumetry.
Astrocytes with endfeet visibly extending to vessels at a tissue depth >40 μm were selected, and 3D image stacks were collected; frame sizes of 256 × 256 at intervals of 1.5–3.0 μm in the z direction were collected with an acquisition time of <20 s using minimal laser power (<40 mW). Images were acquired for a 60-min period and then analyzed for changes in soma volume using custom-made software (Matlab Inc.). A median filter with a radius of 5 pixels was used to reduce background noise. A region of interest was defined around the soma in maximum intensity projections using fixed landmarks for all time points within an experiment. Pixels over a certain threshold within this region were counted for each xy frame in the z stack. Laser power, photomultiplier tube sensitivity, and thresholds were kept constant for each image sequence. Automated thresholding was performed by normalizing pixel intensity to a decay constant extracted from an intensity histogram of each image. The sum of pixels for each xyz stack was then compared with the sum at baseline. Values are expressed as mean ± SEM. Intragroup and intergroup analyses were performed using a two-tailed Student t test.
Calcium imaging.
Time-lapse images of astrocytic Ca2+ signals were recorded in the slices every 5 s. Images were acquired 1 min before the solution change as a baseline and 10 min after; 512 × 512 frames were acquired every 5 s using minimal laser power (<40 mW). Changes in Rhod2 intensity (ΔF/F0) were analyzed using custom-made software (Matlab Inc.) within a manually defined region of interest (10-μm-diameter circle for soma). Relative Rhod2 increases >20% (or >2 SDs) above baseline value were defined as a Ca2+ spike. After administration of ATP, the Ca2+ response was imaged for 168 s, one frame per 1.12 s, using 512 × 512 frames. Values are expressed as mean ± SEM. Intragroup and intergroup analyses were performed using a two-tailed Student t test.
Drug delivery.
For experiments with P2 purinergic receptor antagonists, the slices were exposed to suramin (100 μM; Tocris Bioscience) and PPADS (30 μM; Tocris Bioscience) >30 min before imaging and hypoosmotic challenge. Slices exposed to microinjected ATP were perfused with control aCSF. A fine electrode filled with aCSF containing 500 μm ATP was inserted 40–80 μm into the slice. After a 33.6-s baseline recording, ATP was puffed through the electrode using a Picospritzer (10 psi, 100 ms; Parker Instrumentation); 1% FITC was used to visualize the puff.
ATP Release from Cultured Astrocytes.
Serum-free media (control) or solution with 20% reduction in osmolarity (by removing NaCl) was added (400 μL; 2×) to astrocyte cultures derived from WT or Aqp4−/− mice. After 15-min exposure, 350-μL samples were collected (450 μL remained in the wells). ATP content in samples collected from cultures grown in 24-well tissue culture plates was measured by using a bioluminescent ATP assay kit (Sigma) and a Victor2 plate reader (Wallac) and was normalized to the cell number (26). A total of eight plates were examined for each genotype and their respective control. Values are expressed as mean ± SEM. Intergroup analyses were done using a two-tailed Student t test.
Acknowledgments
We thank Mr. Justin Chang (University of Rochester Medical Center, Rochester, New York) for making the software used for analyzing astrocytic soma volumes and Ca2+ transients, Professor Petter Laake (Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway) for advice on the statistical analysis, and Professor Jeffrey D. Rothstein (Johns Hopkins University, Baltimore) for providing Glt-1–EGFP BAC transgenic mice. This work was supported by the US National Institutes of Health Grants P01NS050315 and R01NS056188 (to M.N.), the Research Council of Norway, and the Letten Foundation.
Footnotes
The authors declare no conflict of interest.
*This Direct Submission article had a prearranged editor.
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