Abstract
Astroglial scars surround damaged tissue after trauma, stroke, infection, or autoimmune inflammation in the CNS. They are essential for wound repair, but also interfere with axonal regrowth. A better understanding of the cellular mechanisms, regulation, and functions of astroglial scar formation is fundamental to developing safe interventions for many CNS disorders. We used wild-type and transgenic mice to quantify and dissect these parameters. Adjacent to crush spinal cord injury (SCI), reactive astrocytes exhibited heterogeneous phenotypes as regards proliferation, morphology, and chemistry, which all varied with distance from lesions. Mature scar borders at 14 d after SCI consisted primarily of newly proliferated astroglia with elongated cell processes that surrounded large and small clusters of inflammatory, fibrotic, and other cells. During scar formation from 5 to 14 d after SCI, cell processes deriving from different astroglia associated into overlapping bundles that quantifiably reoriented and organized into dense mesh-like arrangements. Selective deletion of STAT3 from astroglia quantifiably disrupted the organization of elongated astroglia into scar borders, and caused a failure of astroglia to surround inflammatory cells, resulting in increased spread of these cells and neuronal loss. In cocultures, wild-type astroglia spontaneously corralled inflammatory or fibromeningeal cells into segregated clusters, whereas STAT3-deficient astroglia failed to do so. These findings demonstrate heterogeneity of reactive astroglia and show that scar borders are formed by newly proliferated, elongated astroglia, which organize via STAT3-dependent mechanisms to corral inflammatory and fibrotic cells into discrete areas separated from adjacent tissue that contains viable neurons.
Introduction
After traumatic injury, stroke, infection, autoimmune inflammation, or other severe insults in the CNS, areas of focal tissue damage become filled with inflammatory, fibrotic, and other cells that derive from the perivascular cells, endothelia, bone marrow, and meninges; these tissue lesions become surrounded by astroglial scars that separate necrotic from healthy tissue (Sofroniew and Vinters, 2010; Kawano et al., 2012). Although glial scar formation has been recognized for over 120 years and its negative effects of inhibiting axon regrowth have been described and studied in considerable descriptive and mechanistic detail since that time (Ramon y Cajal, 1928; Silver and Miller, 2004), fundamental aspects of the cellular mechanisms, molecular regulation, and adaptive functions of astroglial contributions to scar formation remain poorly understood (Sofroniew, 2005, 2009). A better understanding of such events will be essential for developing therapeutic strategies that can safely facilitate axon regrowth past astroglial scars without disrupting their essential functions in tissue repair and neuroprotection (Bush et al., 1999; Faulkner et al., 2004).
In this study, we used in vivo and in vitro experimental models and transgenic mice to quantify and dissect specific aspects of the cellular dynamics and interactions during astroglial scar formation. After spinal cord injury (SCI), as in other CNS regions, tissue lesions consist of central areas of inflammatory, fibrotic, and other cells and a surrounding astroglial scar (Fawcett and Asher, 1999; Silver and Miller, 2004; Klapka and Muller, 2006; Sofroniew and Vinters, 2010; Kawano et al., 2012). Surprisingly little is known regarding the cellular interactions and signaling mechanisms whereby astroglia interact with each other to form scar borders or to surround other cells in the lesion core. Here, we investigated (1) phenotypic characteristics of reactive and scar-forming astroglia, (2) cellular interactions among scar-forming astroglia during scar formation, and (3) cellular interactions among scar-forming astroglia and inflammatory and fibrotic cells after SCI or in vitro. To do so, we used different transgenic mouse models that (1) targeted the expression of marker proteins to astroglial cell bodies and processes thereby allowing their reliable identification and quantification (Bush et al., 1999; Faulkner et al., 2004; Zong et al., 2005) or (2) mediated the deletion of signal transducer and activator of transcription 3 (STAT3) selectively from astroglia to create a loss-of-function model that reliably disrupts astroglial scar formation after SCI (Herrmann et al., 2008). In vitro, we used primary cell cultures of confluent astroglia (Wanner et al., 2008; Wanner, 2012) and prepared cocultures by adding meningeal fibroblasts or macrophages (Niclou et al., 2003; Wanner et al., 2008) to assess spontaneous cellular interactions between astroglia and certain cell types in the lesion core.
Our findings show that phenotypic and proliferative changes among reactive astroglia are heterogeneous in a manner that varies with respect to their distance from SCI lesions. We found that scar borders are formed primarily by newly proliferated, elongated astroglia that organize via STAT3-dependent mechanisms to surround and corral inflammatory and fibrotic cells into discrete areas that are separated from adjacent tissue containing viable neurons.
Materials and Methods
Animals.
All nontransgenic, transgenic, and control mice used in this study were derived from in-house breeding colonies backcrossed onto C57BL/6 backgrounds. Various lines of previously characterized transgenic mice were used. (1) mGFAP-TK transgenic mice were obtained by mating heterozygous females of mGFAP-TK line 7.1 with wild-type C57BL/6 males (Bush et al., 1998, 1999). mGFAP-TK mice were used for quantification of total numbers of astroglia and of double labeling of astroglia with bromodeoxyuridine (BrdU) because the TK provides robust labeling of astroglial cell bodies (Bush et al., 1998, 1999). In this regard it is noteworthy that mGFAP-TK mice develop normally and in the absence of treatment with ganciclovir exhibit no detectable detrimental effects of transgene expression such that brain structure and histology, including the appearance of astrocytes, are indistinguishable from nontransgenic littermates (Bush et al., 1998, 1999; Faulkner et al., 2004; Myer et al., 2006). (2) MADM transgenic reporter mice were kindly provided by Dr. Hui Zong (Zong et al., 2005; Hippenmeyer et al., 2010) and were crossed with the mGFAP-Cre mice line 73.12 (Garcia et al., 2004), which we have previously used and extensively characterized for targeting Cre-mediated recombination to astroglia in the context of SCI (Herrmann et al., 2008). The resulting mGFAP-Cre-MADM mice were used for sparse labeling of reactive and scar-forming astrocytes after SCI. (3) STAT3-loxP mice having loxP sites flanking exon 22 of the STAT3 gene, which encodes a tyrosine residue (tyr705) essential for STAT3 activation as described previously (Takeda et al., 1998), were crossed with mGFAP-Cre mice line 73.12. We have previously used and extensively characterized the resulting mGFAP-STAT3-CKO mice in the context of SCI (Herrmann et al., 2008). Control mice of various genotypes were used including mice that (1) carried no transgene (i.e., nontransgenic or “wild-type” mice), (2) were only heterozygous for mGFAP-Cre, or (3) were only heterozygous or homozygous for loxP and carry no mGFAP-Cre.
All mice were housed in a 12 h light/dark cycle in a specific pathogen-free facility with controlled temperature and humidity and were allowed free access to food and water. All experiments were conducted according to protocols approved by the Animal Research Committee of the Office for Protection of Research Subjects at University of California Los Angeles. Mice were genotyped by PCR and where possible were confirmed by immunohistochemistry.
Surgical procedures.
All surgical procedures were performed under general anesthesia with isoflurane in oxygen-enriched air using an operating microscope (Zeiss), and rodent stereotaxic apparatus (David Kopf). Laminectomy of a single vertebra was performed and moderately severe crush SCIs were made at the level of L1/L2 using No. 5 Dumont forceps (Fine Science Tools) ground down to a tip width of 0.5 mm and modified with a 0.25 mm spacer to compress the cord laterally from both sides for 5 s as described previously (Faulkner et al., 2004; Herrmann et al., 2008). Animals were randomly assigned numbers and evaluated blind to genotype and experimental condition.
BrdU treatments.
BrdU (Sigma), was administered by intraperitoneal injections at 100 mg/kg dissolved in saline plus 0.007 N NaOH. Each animal was given a single daily injection of this dose days 2 through 7 after SCI.
General histological and immunohistochemical procedures.
After terminal anesthesia by barbiturate overdose, mice were perfused transcardially with buffered 4% paraformaldehyde. Spinal cords were removed, postfixed for a further 2 h, and cryoprotected in buffered 30% sucrose overnight. Frozen sections (40 μm transverse or 30 μm horizontal) were prepared using a cryostat microtome (Leica) and processed for various kinds of histological evaluation. Staining with cresyl violet was conducted according to standard procedures. Details of bright-field and fluorescent immunohistochemistry and primary antibodies are described in separate sections below. Stained sections were examined and photographed using bright-field and fluorescence microscopy and scanning confocal laser microscopy (Zeiss).
Bright-field immunohistochemistry.
Endogenous peroxidase was quenched using 1% H2O2 in 100% methanol, sections were permeabilized in 0.5% Triton X-100 and incubated in blocking sera matched to the species of secondary antibodies being used. Enzyme-linked immunohistochemistry was performed using two different substrates. After biotinylated secondary antibodies (Vector Laboratories) and biotin-avidin-peroxidase complex (Vector Laboratories), the developing substrates used were either diaminobenzidine (DAB; Vector Laboratories) (Faulkner et al., 2004; Herrmann et al., 2008) or a glucose oxidase-catalyzed nickel-enhanced procedure (Shu et al., 1988). Briefly, sections were incubated in a slow-reacting glucose oxidase-catalyzed nickel-enhanced DAB for 5–10 min based on visual control.
Fluorescence immunohistochemistry.
To block tissue autofluorescence sections were equilibrated in distilled water and incubated in Sudan black solution (0.5% in 70% ethanol solution) for 5 min. Sections were permeabilized in 0.5% Triton X-100 and incubated in blocking sera matched to the species of second antibodies being used. Fluorescence immunohistochemistry was performed using secondary antibodies conjugated to Alexa 488 (green), Alexa 568 (red), or Alexa 350 (blue) (Invitrogen) or to Cy3 or Cy5 (Vector Laboratories and Millipore Bioscience Research Reagents). The nuclear stains, 4′,6-diamidino-2-phenylindole dihydrochloride (DAPI; 2 ng/ml; Invitrogen), or 10 μg/ml bisbenzimide in H2O (Hoechst; Sigma), were used as general cytological stains in fluorescent0-stained sections. Sections were coverslipped using ProLong Gold anti-fade reagent (Invitrogen).
Primary antibodies for immunological staining.
Primary antibodies were as follows: rabbit anti-glial fibrillary acid protein (GFAP; 1:2000 or 1:20,000; Dako), rat anti-GFAP (1:1000 or 1:5000; Zymed Laboratories), rabbit anti-aquaporin4 (1:10,000; Sigma), mouse anti-NeuN (1:400 or 1:4000; Millipore Bioscience Research Reagents), rat anti-mouse CD45 (1:100 or 1:2000; BD PharMingen), rabbit anti-herpes simplex virus thymidine kinase (HSV-TK; 1:20,000; Bush et al., 1999), sheep anti-BrdU (1:6000; Maine Biotechnology Services), rabbit anti-Ki67 (1:200; Vector Laboratories), goat anti-SOX2 (Y-17 1:200; Santa Cruz Biotechnology), goat anti-Nestin (1:300; R&D Systems), rabbit anti-brain lipid binding protein (Blbp; 1:400; Millipore), mouse anti-RC2 (1:50; DSHB), mouse anti-LeX/CD15 (1:100; BD PharMingen), rat anti-CD133 (1:100; Millipore), rabbit anti-glutamine synthase (GS; 1:200; Sigma), rabbit anti-fibronectin (1:1000, Dako; 1:250, Abcam), and mouse anti-fibronectin (1:200; BD Transduction Labs). Different dilutions indicate use for fluorescence staining (higher concentration) or bright-field staining with DAB (lower concentration).
Morphometric analyses, image reconstructions, and statistical evaluations.
Cell counts were determined using stereological image analysis software (StereoInvestigator or Neurolucida; MicroBrightField) operating a computer-driven microscope regulated in the x-, y-, and z-axes (Zeiss) in a manner described in detail previously (Faulkner et al., 2004; Herrmann et al., 2008). For cell density measurements zones across spinal cord sections were traced in at least n = 4 mice per group using a computer-driven stage, and cell numbers were counted and the volume of the counted tissue calculated on the basis of x-, y-, and z-axis measures by the image analysis software. Statistical evaluations were performed by ANOVA with post hoc, independent pairwise analysis as per Newman–Keuls or Bonferroni (Prism; GraphPad).
Morphometric analyses and reconstruction of bundles formed by cell processes of elongated astroglia were performed using Neurolucida in n = 11 control and n = 11 STAT3 CKO mice at 5, 7, 9, 12, 14, and 21 d after SCI. Bundle traces of six sections per spinal cord were overlaid to generate reconstruction drawings. Bundle number and thickness were automatically recorded during bundle tracing. Bundle angle was recorded relative to the closed lesion edge. Statistical analyses compared means of (log) bundle number, thickness, and angle using a repeated measure ANOVA (mixed ANOVA) model (SAS 9.3, Procedure MIXED) corresponding to a 2 × 6 genotype × time postinjury design. Examination of the pooled residual errors (data subtracted by means) in histogram and quantile normal probability plots confirmed that means of thickness, orientation, and log bundle number followed the Gaussian distribution (data not shown). Data were fitted to trends using constant, linear, or other models or a fit was rejected based on goodness of fit (using χ2/df with χ2: χ2; df, deviance of fit) and equality of means (F, overall p value). The Fisher least significant difference (LSD) criterion was used to control for type I error for pairwise mean comparisons under the model. Since the distribution of log bundle number, not bundle number, followed the Gaussian, geometric means are reported for bundle number on the original scale.
Astrocyte monocultures.
Astrocytes were prepared from neonatal mouse cortices as described previously (Wanner, 2012). Each animal was processed separately and tails were collected for genotyping. Briefly, cortical homogenates were dissociated and filtered to remove capillaries. Cortical cells were expanded for 1 week and confluent cells were shaken for astrocyte enrichment. Cell suspensions of 30–35,000 astrocytes in 0.5 ml medium were seeded onto 180 mm2 well glass chamber slides (BD Transduction Laboratories) coated with poly-l-lysine and grown to confluence. Postmitotic astrocytes were differentiated by stepwise switch to medium with 10% adult equine serum (Atlanta Biologicals; heat inactivated) followed by stepwise serum withdrawal (Wanner, 2012).
Isolation of meningeal fibroblasts and macrophages for cocultures.
Meningeal cell cultures were prepared based on protocols for rat (Niclou et al., 2003; Wanner et al., 2008) with the following modifications. Cortical meninges from neonatal wild-type mice were collected and digested with 0.2% trypsin, 0.25% collagenase, and 40 μg/ml DNase I in HBSS for 30 min at 37°C. Cells were dissociated by slow trituration with a P1000 tip in the presence of DNase I. Washed cells were collected by 5 min centrifugation at 400 g. The cell suspension from 10 cortical meninges was grown to confluence in DMEM/F12, 10% fetal bovine serum (FBS) in a T75 flask within 4–5 d and consisted of enriched meningeal fibroblasts used for astrocyte-fibroblast cocultures. Meningeal cell cultures kept an additional 7–10 d without medium change resulted in substantial increase of meningeal macrophages, which were then the predominant cell type. These cells were used for astrocyte-macrophage cocultures. Cocultures were prepared by adding a suspension of 30–35,000 meningeal cells highly enriched for either fibroblasts or macrophages to an area of 180 mm2 confluent astrocytes prepared from either control or STAT3-CKO mice, and cocultures were incubated in DMEM/F12, 10% FBS for 2–3 d. Cocultures were fixed for 30 min in ice-cold, freshly depolymerized 4% paraformaldehyde.
Cell culture immunocytochemistry.
Cultures were permeabilized in 0.3% Triton, rinsed, and incubated in blocking sera. Primary antibodies were incubated in blocking solution overnight and developed with fluorescent probes as described above. Biotinylated Tomato lectin (1:50; Sigma) binding to macrophage cells was detected using Streptavidin Cy3 (1:200; Jackson ImmunoResearch). Nuclei of rinsed cultures were stained using Hoechst dye as above.
Cell culture image analyses and quantitative evaluations.
Images were acquired using 10× and 20× objectives on an inverted microscope (Olympus IX70) equipped with a black and white CCD camera (AxioCam, Zeiss) and sequential channel image capture software (AxioVision 4.6). Using these images, the following analyses were performed using the same approach to determine (1) area coverage, (2) cluster number, and (3) cell density of added macrophages or fibroblasts. In addition, (2*) fibroblast cluster sizes were binned because they varied, whereas this was not pertinent for macrophages. (1) AxioVision outline spline tool was used to trace CD45-positive areas (in cocultures of three animals per genotype) or fibronectin-positive areas (six Control and four STAT3-CKO animals). Then, the percentage coverage of each image (667,518 μm2) was calculated. (2) Counted were clusters of CD45-positive cells (three animals per genotype) or fibronectin-positive cells (five Control and six STAT3-CKO animals) over 0.8–3.2 cm2 and data were normalized to 1cm2. (2*): In these fibronectin-stained cocultures fibroblast clusters were also binned by size, defining clusters of 2–11 cells as “small,” those with 12–49 cells “medium,” and clusters with 50 and more cells as “large.” (3) Cell density within a cluster was determined by counting CD45-positive cells (three animals per genotype) or fibronectin-positive cells (four animals per genotype) using an 11,229 μm2 rectangle placed within 20–25 clusters per coculture type and normalizing cell numbers to 100 μm2.
Results
Heterogeneity of reactive astroglia adjacent to SCI: mature scar-forming astroglia exhibit distinctive elongated morphologies with extensively overlapping cell processes
Our first objective was to characterize the phenotype of reactive astroglia that form the scar border that immediately interfaces with, and surrounds, damaged and inflamed tissue lesions after SCI. Previous studies have suggested heterogeneity among reactive astroglia such that astroglia along scar borders differ in extent of overlap of cellular processes and in degree of cell proliferation from other reactive astroglia that are not immediately adjacent to tissue lesions (for review, see Sofroniew, 2009); however, such differences have not been systematically defined or quantified. To do so, we used different lines of transgenic mice to define the morphology and quantify the degree of proliferation of reactive astroglia in different locations with respect to the lesion core after SCI.
We began by identifying an early time point, for use in subsequent analyses, at which astroglial scar formation could reliably be regarded as essentially completed in our model of crush SCI. Using immunohistochemistry for GFAP in wild-type mice, we found that the appearance of the astroglial scar border and adjacent regions at 14 d was not fundamentally different from that at 28 d (Fig. 1A–G) or 8 weeks (data not shown). In a manner consistent with many previous studies (Fawcett and Asher, 1999; Silver and Miller, 2004; Klapka and Muller, 2006; Sofroniew and Vinters, 2010; Kawano et al., 2012), we found that astroglia surrounded central lesion areas that contained few, and often no, astroglia (Fig. 1A–D). Such central lesion areas have been defined extensively by others and contains inflammatory, fibrotic, and various other types of cells (Fawcett and Asher, 1999; Silver and Miller, 2004; Klapka and Muller, 2006; Kawano et al., 2012). We refer to central lesion areas surrounded by astroglial scars as lesion cores. Mature astroglial scar borders that immediately surrounded tissue lesions with lesion cores were easily identified (Fig. 1A–D). At both 14 and 28 d after SCI, the mature astroglial scar border found in the first few hundred micrometers immediately abutting lesion cores consisted of many long GFAP-positive astroglial cell processes that were intertwined and overlapped in a dense meshwork (Fig. 1A–D). We therefore used 14 d after SCI as the time point for most of our subsequent evaluations of mature astroglial scars. During these initial evaluations, we also noted, at both 14 and 28 d after SCI, that in tissue more distant from the lesion core (>1 mm), the reactive astroglia exhibited a stellate appearance essentially similar to that in uninjured tissue but with evidence of increased expression of GFAP and cellular hypertrophy (Fig. 1A,B,E–G). Nevertheless, it was clear that bright-field staining for GFAP alone was not a sufficient marker for accurate evaluation of differences in astrocyte morphology in different regions in the vicinity of SCI lesions. We therefore used other techniques to characterize these cells.
To define more precisely the different morphologies of reactive astroglia located either in the SCI scar border or distant to lesion cores, we used the mosaic analysis with double markers (MADM) transgenic targeting method to achieve sparse labeling of individual astrocytes labeled in their entirety with cytoplasmically expressed reporter protein. MADM uses Cre-loxP-mediated interchromosomal recombination to achieve a sparse labeling of cells with cytoplasmic reporter proteins (Zong et al., 2005; Hippenmeyer et al., 2010), where the specificity of cell targeting is achieved via transgenically targeted Cre-recombinase. For targeting, we used our previously well characterized mGFAP-Cre line that targets >97% of GFAP-positive astrocytes after SCI and no other cell types (Herrmann et al., 2008). In offspring from MADM crosses with our mGFAP-Cre mice, we found that ∼10–20% of astroglia were routinely labeled with MADM reporters and that positive cells exhibited reporter labeling throughout the cytoplasm enabling visualization of the entire cell and its processes (Fig. 1H–J).
Using the MADM method in combination with GFAP immunohistochemistry, we found that in uninjured spinal cord, protoplasmic astroglia exhibited highly variable levels of GFAP expression, ranging from almost undetectable to moderate, and that MADM labeling of scattered cells revealed a bushy morphology of highly branching fine cellular processes with essentially nonoverlapping individual cellular domains (Fig. 1H1,H2) similar to the morphology and domains described in forebrain using cell-filing or membrane-labeling technologies (Bushong et al., 2002; Shigetomi et al., 2013). After crush SCI, the reactive astroglia in tissue more distant from the large central lesion core (>1 mm) exhibited a clear and pronounced upregulation of GFAP such that all astroglia expressed high levels of GFAP and some somatic hypertrophy (Fig. 1I1). Nevertheless, these reactive astroglia retained both their basically stellate appearance with GFAP and their basic bushy appearance with MADM labeling (Fig. 1I1,I2), in a manner similar to that described in forebrain using single cell filing technology (Wilhelmsson et al., 2006). In striking contrast, in the astroglial scar border immediately adjacent to the lesion core, MADM labeling combined with GFAP immunohistochemistry revealed that individual astroglia exhibited distinctive elongated morphologies with long cellular processes that overlapped extensively (Fig. 1J1,J2). MADM labeling further revealed that astroglia in the scar border did not have a bushy appearance or fine branches, and there were many cases in which elongated processes from different cells were in close apposition with one another over long stretches (Fig. 1J2).
These findings provide clear evidence for the heterogeneity of reactive astroglia in the vicinity of SCI lesions. Astroglia in scar borders immediately adjacent to tissue lesions exhibited distinctive elongated morphologies with overlapping and interacting processes. With increasing distance form lesion borders, reactive astroglia transitioned in a clearly graded fashion to morphologies more similar to those seen in healthy tissue. In regions from 1 to 2 mm away from lesions, reactive astroglia upregulated GFAP and exhibited somatic hypertrophy, but nonetheless retained their basic bushy or stellate shapes with more or less well preserved individual domains of cellular processes, in a manner essentially similar to that exhibited by astroglia in uninjured tissue.
Mature astroglial scar borders are comprised primarily of newly proliferated, elongated astroglia
We next determined the contribution of cell proliferation to the formation of astroglial scar borders and reactive astrogliosis in adjacent regions after SCI. Previous studies using various methods have shown that there are newly proliferated reactive astroglia in areas near damaged tissue after CNS trauma (Norton et al., 1992; Amat et al., 1996; Bush et al., 1999; Faulkner et al., 2004; Zai and Wrathall, 2005). In addition, transgenically targeted ablation of proliferating reactive astroglia severely disrupts scar formation adjacent to CNS trauma (Bush et al., 1999; Faulkner et al., 2004). Nevertheless, a precise analysis of the numerical proportion or topographical distribution of newly proliferated astroglia after CNS injury has been lacking. We therefore conducted quantitative evaluations of (1) the relative numerical contribution of newly proliferated astroglia and (2) the overall cellular density of astroglia, in precisely defined zones located at increasing distances adjacent to SCI lesions (Fig. 2A–G).
To quantify the relative proportion of newly proliferated astroglia, mice were administered a single injection of BrdU on each day from 2 to 7 d after SCI. BrdU is incorporated permanently into DNA and provides a permanent record of cells that were proliferating at the time BrdU was administered. Previous studies have shown that most, if not all, astroglial cell proliferation after CNS trauma occurs during the 2 to 7 d time frame after SCI in rodents (Norton et al., 1992; Amat et al., 1996; Bush et al., 1999; Faulkner et al., 2004; Zai and Wrathall, 2005). To increase the accuracy of detecting BrdU in astroglial cell bodies, we used mice that robustly express HSV-TK or TK from the transgene mGFAP-TK in cell bodies and nuclei, which we then detected as a reporter molecule for quantitative analysis of double labeling (Bush et al., 1998, 1999). This was done because GFAP staining is frequently absent from cell bodies, making it difficult to accurately colocalize GFAP with nuclear markers of cell division such as BrdU and Ki67, which in turn leads to many false negative observations and underestimates when quantifying double labeling. We have previously shown that in mGFAP-TK mice, immunohistochemistry for TK labels over 95% of GFAP-positive cells and that 100% of TK-positive cells also express GFAP (Bush et al., 1998, 1999).
The proportion of BrdU-positive astroglia in mature astroglial scar borders and adjoining regions was determined at 14 d after crush SCI. For quantitative evaluations, we used a series of three evenly spaced, 30-μm-thick horizontal sections through the center of horizontally sectioned spinal cord, stained in multiple fluorescent colors for BrdU, GFAP + TK. and the nuclear marker DAPI (Fig. 2B,C). In each section, we delineated four zones at specific distances away from the easily identified edge of the astroglia scar border abutting the large central lesion on both the rostral and caudal sides (Fig. 2A,E). The zones were drawn across the entire diameter of each horizontal section and consisted of (Z1) 0–250 μm immediately abutting the lesion core, (Z2) 250–500 μm away, (Z3) 1000–1250 μm away, and (Z4) 2000–2250 μm away (Fig. 2A,E). In uninjured mice, we also evaluated a 0–250 μm zone across three horizontal sections at equivalent rostrocaudal levels of the spinal cord. Within these zones we quantified the ratio of newly proliferated, BrdU-labeled astroglia as a percentage of the total number of astroglia labeled with immunohistochemistry for TK + GFAP (Fig. 2B–D) by examining stacks of confocal images taken with a ×40 objective viewed as 3D projections. At least 100 GFAP + TK-positive astroglial cells per zone per animal were evaluated for BrdU content.
In healthy, uninjured spinal cord, we found that the percentage of BrdU-labeled astroglia was <1% of the total number of astroglia in both gray and white matter (Fig. 2D) in agreement with previous reports. After SCI, the percentage of BrdU-labeled astroglia was highest in Z1 in the 0–250 μm immediately abutting the lesion core, where it was over 66% (Fig. 2D). In Z2, 250–500 μm away from the lesion, the percentage of BrdU-labeled astroglia was also high at over 57%, but was significantly lower by 9% relative to Z1 (Fig. 2D). In zone three, 1000–1250 μm from the lesion, the percentage of BrdU-labeled astroglia dropped markedly and significantly to <20%; in zone 4, 2000–2250 μm from the lesion, the percentage dropped further to <6%, where it approached that in healthy tissue. In all zones, values in gray and white matter did not differ significantly (ANOVA), and values in the zones rostral or caudal to the lesion did not differ significantly (ANOVA), and so the data were pooled to obtain a single value for each zone. For interpreting these data, it deserves mention that (1) BrdU is rapidly cleared by the kidney and (2) BrdU labels cells during the S-phase of cell division, which is estimated to last <12 h in astroglia. Thus, a single daily injection of BrdU will not label all cells that might divide during a 24 h period, and our observation that over 66% of astroglia were labeled with BrdU in the immediate border zone using our delivery paradigm can be regarded as an underestimate.
We next quantified the contribution of cell proliferation to the tissue density of astroglial cells in scar borders and adjacent regions after SCI (Fig. 2E–G). To do so, we conducted stereological evaluations using StereoInvestigator (MicroBrightField) on a series of three evenly spaced, 30-μm-thick horizontal sections through the center of horizontally sectioned spinal cord, stained in bright field for GFAP + TK. In each section, the total number of positively stained astroglial cell bodies was counted in the same four zones at specific distances from the edge of the lesion, or in uninjured tissue (Fig. 2A,E). Quantitative stereology conducted in this manner estimated that in healthy, uninjured spinal cord, the density of GFAP + TK-positive astroglial cell bodies was ∼14,600 cells/mm3 in both gray and white matter (Fig. 2G). In all zones, in both uninjured tissue and after SCI, values in gray and white matter did not differ significantly (ANOVA), and values in the zones rostral or caudal to the lesion did not differ significantly (ANOVA), and so the data were pooled to obtain a single value for each zone. After SCI, the stereologically estimated density of astroglial cell bodies was highest in zone 1 in the 0–250 μm immediately abutting the lesion, where it was just over 30,000 cells/mm3 and approximately double that found in uninjured tissue (Fig. 2G). In Z2, 250–500 μm away from the lesion, the density was somewhat, but significantly, lower than in Z1, at ∼27,500 cells/mm3, which was substantively and significantly higher than that in uninjured tissue (Fig. 2G). In contrast, in both Z3 (1000–1250 μm from the lesion), which was ∼16,200 cells/mm3, and Z4 (2000–2250 μm from the lesion), which was ∼15,500 cells/mm3, the densities of astroglial cell bodies were both substantially and significantly lower than those in Z1 and Z2 and did not differ significantly from that in uninjured tissue.
Together, these findings showed that after SCI, (1) mature astroglial scar borders that immediately interface with and surround, damaged and inflamed tissue, were comprised primarily of newly proliferated astroglia with elongated cell processes; (2) there was a gradient of astroglial proliferation that diminishes with distance from the SCI lesion; (3) the density of astroglial cell bodies in the scar border was nearly double that in uninjured tissue; and (4) accompanying the gradient of diminishing astroglial proliferation there was also a gradient of diminishing density of astroglial cells with distance from the SCI lesion, which gradually transitioned to a density similar to that seen in healthy tissue.
Proliferating astroglia adjacent to early SCI lesions have elongated, bipolar, or radial shapes and express certain markers associated with progenitor cells
Our next objective was to examine the phenotypes and locations of actively dividing astroglia during the proliferative period after SCI. To do so, we used immunohistochemistry for Ki67 as a marker of active proliferation, in combination with astroglia markers. Ki67 is a cell cycle protein that is expressed only by actively dividing cells (Gerdes et al., 1984) and for this reason, positive staining for Ki67 is a reliable indicator that a cell was actively dividing at the time of perfusion fixation. In agreement with previous studies (Norton et al., 1992; Amat et al., 1996; Bush et al., 1999; Faulkner et al., 2004; Zai and Wrathall, 2005), we found many actively proliferating Ki67-positive astroglia at 3 and 5 d after SCI, whereas there were far fewer at 7 d and essentially none at 14 d. We focused our evaluations on 5 d after SCI, where we found that the majority of Ki67-positive astroglia was located in the immediate vicinity of the SCI lesion and exhibited an elongated, bipolar, or radial-like shape (Fig. 3A–F). It is noteworthy that in contrast with the elongated astroglia in the mature scar borders at 14 or more days after SCI, the elongated processes of actively proliferating astroglia at 5 d after SCI were primarily oriented perpendicularly toward regions of tissue lesions. It is also noteworthy that these proliferating, elongated astroglia adjacent to the SCI lesions at 5 d after SCI had appearances reminiscent of radial or bipolar neural progenitors in vitro (Imura et al., 2006) or in forebrain proliferative zones (Garcia et al., 2004). We therefore looked for expression of various markers associated with neural and glial progenitors that have been reported by others to be expressed by subpopulations of reactive astroglia near CNS injuries (Frisén et al., 1995; Bannerman et al., 2007; White et al., 2010; Robel et al., 2011). In broad agreement with these reports we found that elongated astroglia in the immediate vicinity of the lesion core expressed the progenitor markers Sox2 (Fig. 3F) and nestin (Fig. 3G), and the radial glial markers Blbp (Fig. 3F) and RC2 (Fig. 3I). In contrast, elongated astroglia did not express any detectable levels of the markers LeX (CD15) or CD133 (Fig. 3J,K), which are associated with multipotent neural progenitors that can give rise to neurons and oligodendrocytes (Capela and Temple, 2002; Imura et al., 2006; Walker et al., 2013). Our findings are in agreement with the observation by others that after CNS injury or stroke, proliferating reactive astroglia have restricted potential and give rise to astroglia and do not under normal circumstance (without exogenous stimulation) give rise to neurons (Shimada et al., 2012). Our findings do not exclude that after genetic modulation or stimulation, reactive proliferating astroglial progenitors can be induced to adopt multipotent potential and give rise to neurons as well as glia in vitro and in vivo (Buffo et al., 2008; Robel et al., 2011).
We also observed proliferating astroglia in regions more distant to the lesion (1–2 mm), albeit in much smaller numbers. It is noteworthy that in contrast with the elongated phenotype of proliferating astroglia immediately adjacent to the lesion, these more distant proliferating astroglia exhibited stellate shapes while expressing Ki67, a marker of active cell division, in a manner appearing as if mature astroglia were dividing (Fig. 3L). Interestingly, although some of these proliferating stellate astroglia expressed detectable levels of nestin, they did not appear to express detectable levels of any of the other progenitor markers we examined, including Blbp, RC2, CD15, or Cd133 (data not shown).
Together, these findings showed that at early time points after SCI reactive astroglia exhibited considerable phenotypic heterogeneity as regards proliferative capacity, cellular morphology, and molecular expression, and that phenotype varied markedly with proximity or distance to the lesion core. At early stages after SCI, the tissue immediately adjacent to the lesion core contained large numbers of actively proliferating astroglia that exhibited bipolar or radial shapes with elongated processes and expressed markers of restricted glial progenitors and immature astroglia. In regions more distant to the lesion core, there were many hypertrophic stellate reactive astroglia but few actively dividing astroglia that also had stellate shapes with multiple processes and the appearance of mature astroglia.
Reactive astroglia exhibit heterogeneous morphologies with respect to distance from SCI lesions throughout the period of scar formation
We next examined a cross section of time points spanning the time course of scar formation from the period of active astroglial proliferation up to the presence of mature astroglial scar borders. Our objective in this analysis was to determine whether reactive astroglia exhibited heterogeneity of appearance in different regions near the SCI lesion throughout the time course of scar formation. To enhance the visualization of astroglial cell processes in bright field microscopy, we used simultaneous immunohistochemical staining for both GFAP and AQP4. We did this because it is well documented that GFAP visualizes only a portion of astrocyte cell processes (Fig. 1; Bushong et al., 2002; Shigetomi et al., 2013). AQP4 is a surface molecule that is located on astrocyte membranes. AQP4 is polarized to astrocyte end feet along blood vessels in healthy CNS, but after CNS injury AQP4 becomes distributed along the surfaces of astrocyte processes (Fig. 4A; Papadopoulos and Verkman, 2013). We found that staining for GFAP + AQP4 in combination with nickel-intensified DAB provided enhanced bright field visualization of astroglial processes after SCI for both qualitative and quantitative evaluations (Figs. 4, 5).
Using simultaneous staining for GFAP + AQP4, we first examined a series of time points after SCI from early stages at 5 d to mature scars 21 d after SCI in wild-type mice. In a manner consistent with our observations described above in mature scars (Figs. 1, 3), we found that at all time points examined in wild-type or transgenic control mice, the region immediately adjacent to SCI lesion was comprised primarily of astroglia with elongated and overlapping processes (Figs. 4B–G, 5A–D). Interestingly, the orientation of these elongated astroglia with respect to the lesion changes over time (Figs. 4B–D, 5A–D) as described in greater detail in the next section. In addition, at each time point, in a graded fashion with increasing distance away from the lesion, reactive astroglia became less elongated with less overlap of processes and became more stellate in shape, as illustrated for the 9 d time point (Fig. 4E–I), there was some reduction in staining intensity, and there was a gradual transition to the appearance of astroglia in uninjured tissue at several millimeters away from the lesion.
Together, these findings showed that throughout the progression of scar formation from 5 to 21 d after SCI, in the tissue around SCI, reactive astroglia were heterogeneous in their morphological phenotype and exhibited a gradient of phenotypic changes that varied with distance away from the SCI lesion core. Compared with astrocyte appearance in healthy tissue, the phenotypic changes were maximal immediately adjacent to SCI, where the majority of astroglia exhibited elongated bipolar or radial shapes, with long processes that overlapped and intermingled extensively. With increasing distance away from areas of tissue damage, the overlap of astrocyte processes diminished and transitioned into areas of astroglial hypertrophy where processes appeared to remain largely within their individual domains.
Cell processes of elongated astroglia overlap and organize into scar borders in a STAT3-dependent manner over time after SCI
To look for cellular mechanisms underlying astroglial scar formation, our next objective was to evaluate and quantitatively compare the appearance and interactions of elongated, scar-forming astroglia over the time course of scar formation after SCI. To do so, we compared control mice with transgenic mice in which we have previously shown that scar formation is disrupted by selective deletion from astroglia of the signaling molecule STAT3 (Herrmann et al., 2008). These transgenic mice, referred to here as STAT3-CKO mice, were generated using a well characterized mGFAP-Cre, which after SCI targets reporter protein to over 97% of astroglia and no other identifiable cell type, and selectively deletes the signaling molecule STAT3 only from astroglia (Herrmann et al., 2008). As control mice we used mice that carried only mGFAP-Cre, or only STAT3-loxP, both of which had normal levels of STAT3 and pSTAT3 in reactive astroglia (Herrmann et al., 2008).
During qualitative evaluations in wild-type mice as described above, we noted what appeared to be a striking difference in the orientation of elongated astroglial processes with respect to immediately adjacent tissue lesions at early and late times during scar formation. Using different types of staining procedures it was clearly apparent that at early times during scar formation such as 5 and 7 d, processes of elongated astroglia appeared oriented more or less perpendicular to nearby lesions (Figs. 3A–D,4B,C, 5A,C), whereas in near mature or mature scars at 12, 14, or 21 d, processes of elongated astroglia appeared oriented more or less parallel to nearby lesions (Figs. 1C,D,J,4D,5B,D). Interestingly, qualitative evaluations also strongly suggested that these apparent reorientations over time of astroglial processes with respect to nearby tissue lesions did not occur in STAT3-CKO mice, such that in these mice the astroglial processes appeared to remain more or less perpendicular to the lesions at early and late times after SCI (Fig. 5E,F).
During qualitative evaluations, we also noted using the MADM method in combination with staining for GFAP, as described above (Fig. 1H–J), that the elongated processes of different astroglia immediately adjacent to the SCI lesion were frequently in close apposition with one another, often with extensive areas of direct contact, intersection, and overlap, both early during scar formation (Fig. 5A) and in mature scars (Fig. 5B). Further inspection of sections stained with GFAP + AQP4 at high magnification under oil immersion also indicated that a majority of the elongated astroglial processes immediately adjacent to tissue lesions were closely apposed for at least some distance in wild-type or control mice at all time points from 5 to 21 d after SCI (Fig. 5C,D,G,I), and in some cases, the multiple astroglial processes appeared to coalesce into bundles of varying thickness (Fig. 5G,I). Interestingly, in STAT3-CKO mice, the formation of bundles by elongated astroglial processes adjacent to tissue lesions appeared on qualitative inspection to be disturbed (Fig. 5G,I).
We therefore conducted a detailed quantitative, computer-assisted, morphometric analysis of elongated astrocyte processes in control and STAT3-CKO mice at representative times during the time course of scar formation from 5 to 21 d after SCI, by using the Neurolucida software program (MicroBrightField). Astroglia were immunohistochemically stained with GFAP + AQP4 and nickel-intensified DAB for topographical reconstruction and morphometric analysis (Fig. 6). For these evaluations, groupings or bundles of elongated astroglial processes were defined as areas where two or more elongated astroglial processes were in close apposition or direct contact, with at least one or more clear intersections over distances of at least 30 μm or longer (Fig. 5G,I). Using the Neurolucida program, bundles of elongated astroglial processes were drawn in six horizontal sections (50 μm thick) that were evenly spaced through the middle 750 μm portion of the spinal cord (Fig. 6A,B). Section contours and bundles were identified and plotted using a combination of ×20, ×63, and ×100 objectives using Neurolucida software. Line drawing spatial reconstructions were generated of the topographical location of the bundles of elongated astroglial processes with respect to borders of the spinal cord and the location of the SCI lesion core within 1 mm on either side of the central SCI lesions at various time points from 5 to 21 d after SCI in control mice and STAT3-CKO mice (Fig. 6A,B). In addition, we recorded and statistically compared information regarding (1) number of bundles of elongated astroglial processes, (2) approximate diameter of bundles as estimated from width of the lines required to cover bundles using Neurolucida software and ×100 objectives, and (3) orientation angle of bundles of elongated astroglial processes with respect to the nearest lesion edge in the area immediately adjacent to the central SCI lesion.
(1) Bundle number: in control mice, the mean number of bundles remained more or less constant from 5 to 21 d after SCI and showed no significant (p = 0.95) trend upward or downward over time (Fig. 6C). In STAT3-CKO mice, the mean number of bundles at 5 d was significantly lower than that in control mice and showed a gradual but significant (p < 0.01) trend upward over time intersecting with controls at day 9 and reaching a significantly greater number at 21 d (Fig. 6C). (2) Bundle diameter: in control mice, the mean diameter of bundles increased markedly and significantly over time from 5 to 9 d after SCI, remained high at 12 d and declined again significantly by 14 and 21 d (Fig. 6D). In STAT3-CKO mice, the mean diameter of bundles was similar to that of controls at 5 d and thereafter showed a gradual small, but significant (p < 0.01) trend upward without showing significant increases at 9 or 12 d (Fig. 6D). (3) Bundle orientation: in control mice, the mean angle of bundles with respect to an immediately adjacent lesion border was >60 degrees (i.e., more perpendicular to the lesion) at 5 d after SCI and showed a significant (p < 0.001) downward trend toward to <20 degrees (i.e., more parallel) by 14 and 21 d (Fig. 6E). In STAT3-CKO mice, the mean angle of bundles with respect to the nearest lesion border was >60 degrees (i.e., more perpendicular) at 5 d after SCI and thereafter did not exhibit any significant trend (p = 0.30) to increase or decrease over time (Fig. 6E).
These findings showed that the elongated processes of different, newly proliferated astroglia immediately adjacent to SCI interacted, organized, and reoriented over time to form compact scar borders that were aligned parallel to, and surrounded, areas of tissue damage. These activities were dependent on STAT3 signaling within the astrocytes. In this context, it is also interesting to note that in all of our different types of tissue sections evaluating different time points after SCI, we found no evidence suggestive of, or compatible with, long distance migration of either newly proliferated elongated astrocytes or of mature astrocytes. For example, we saw no changes over time in concentration gradients of different astroglial phenotypes or of newly proliferated astroglia as might be expected if such cells were moving from one location to another over time. Instead, all of our observations suggested that after SCI (1) mature astroglia remained local while becoming reactive, (2) proliferation of astroglia occurred locally, and (3) scar borders were formed as a result of STAT3-dependent interactions among newly proliferated local astroglia. Our observations were consistent with some local movement of newly generated astroglia to reorganize and reorient to align along borders of damaged tissue (Figs. 4–6) without long distance migration, in a manner compatible with reports by others using different types of transgenic analyses or in vivo imaging (Tsai et al., 2012; Bardehle et al., 2013).
Mature astroglial scar borders surround inflammatory and fibrotic cells in a STAT3-dependent manner in vivo
A number of previous loss-of-function studies have provided experimental evidence that astroglial scar formation may function to limit the spread of inflammation after CNS injury (Bush et al., 1999; Sofroniew, 2009; Haroon et al., 2011). To test this hypothesis further in the present study, we looked for evidence in vivo that the elongated astroglia that interact to form scar borders might or might not play a role in this activity. To do so we compared sections stained simultaneously for various markers of astroglia and inflammatory or fibrotic cells (Fig. 7) in control mice and STAT3-CKO mice in which the formation of scar borders by elongated astroglia is disrupted after SCI, resulting in significantly larger lesion areas (Herrmann et al., 2008). To identity inflammatory cells we stained for CD45, which is expressed by all bone marrow-derived cells. To identify fibrotic cells we stained for fibronectin, which is expressed by a variety of cell types in the multicellular lesion core. We found that after SCI in wild-type and transgenic control mice, the elongated and intertwined processes of newly proliferated scar border forming astroglia consistently aligned along borders to surround large and small lesion cores that contained CD45-positive inflammatory cells and fibronectin-positive fibrotic cells (Fig. 7A,C,F) as well as other cell types (data not shown). As quantified in the last Results section, the vast majority of inflammatory cells was confined to such lesion cores. In addition, newly proliferated scar-forming astroglia were found to form ovoid (in 2D evaluations) structures that surrounded smaller clusters of CD45-positive inflammatory cells in various locations adjacent to lesion cores (Fig. 7A,C,I). These structures contained some, but fewer fibrotic cells (Fig. 7E). When examined by 3D analysis in thick sections, these structures exhibited globoid shapes in which clusters of CD45-positive inflammatory cells were surrounded on all sides by elongated astroglial processes that overlapped and intertwined extensively (Fig. 7E). As in the scar border along central lesion cores, the astroglia borders surrounding these ovoid or globoid structures were formed by the elongated processes of multiple different astroglia (Fig. 7J) that intertwined and overlapped extensively (Fig. 7A,C,H–J). In contrast, in STAT3-CKO mice the SCI lesion consisted of a much larger, and poorly demarcated region in which inflammatory and fibrotic cells spread extensively through the tissue as shown and quantified in the last Results section. In STAT3-CKO mice, both CD45-postive inflammatory cells and fibrotic cells extended away from the central SCI lesion over long stretches into neighboring tissue and were located in between processes of astroglia that were oriented perpendicularly and did not create either a border to the lesion or borders that surrounded cell clusters (Fig. 7B,D,G).
Together, these findings showed (1) that the elongated processes of newly proliferated astrocytes surrounded large and small areas filled with inflammatory cells and fibrotic cells and (2) that this activity was dependent on STAT3 signaling within the astrocytes. These morphological observations and the differences in control and STAT3-CKO mice led us to hypothesize that newly proliferated, scar-forming astrocytes with elongated processes might act functionally to encircle and confine inflammatory and fibrotic cells in areas of severely damaged tissue, so as to separate them from nearby healthy tissue.
Astroglia in vitro actively surround and corral inflammatory and fibromeningeal cells into segregated clusters and groups in a STAT3-dependent manner
We next used an in vitro model to test the hypothesis that reactive scar-forming astroglia actively surround and segregate inflammatory and fibrotic cells. We reasoned that if scar-forming astroglia exert such activities in vivo, then they might be expected to do so in vitro. Various lines of evidence such as gene expression profiles suggest that cell cultures of primary astrocytes can be useful to study responses associated with reactive astrogliosis (Cahoy et al., 2008; Foo et al., 2011; Hamby et al., 2012). To test our hypothesis, we used primary astrocyte cell cultures that were prepared from control and STAT3-CKO mice and grown to confluence (Wanner et al., 2008; Sarafian et al., 2010; Wanner, 2012), after which we added wild-type meningeal-derived fibroblasts or macrophages to form cocultures. The primary astrocyte monocultures were used after they had become confluent (Fig. 8A) and were largely postmitotic (proliferation <1%) and quiescent, and after stepwise serum withdrawal and downregulation of the immaturity markers nestin and A2B5 (Wanner et al., 2008; Wanner, 2012). Monocultures from control and STAT3-CKO mice exhibited similar densities of substrate coverage (Fig. 8A). In parallel, we prepared cultures of wild-type dissociated meninges, from which we harvested meningeal fibroblasts and macrophages at different times points described in Materials and Methods (Wanner et al., 2008; Wanner, 2012). Single-cell suspensions of these meningeal cultures highly enriched for either fibroblasts or macrophages were dissociated and then added and settled onto confluent, quiescent control or STAT3-CKO astrocytes. These cocultures were allowed to interact for 2–3 d, after which they were fixed and cell types identified (1) astroglia with immunocytochemistry for GFAP (Figs. 8–10), (2) macrophages both by binding of biotinylated tomato-lectin and with immunocytochemistry for CD45 (Figs. 8B, 9), and (3) fibroblasts with immunocytochemistry for fibronectin (Figs. 8C,10) for qualitative and quantitative evaluations (Figs. 9C–F, 10C–F).
In confluent monocultures, astroglia were primarily epitheliod in shape with few and short cell processes in both control and STAT3-CKO cultures (Fig. 8A). When single cell suspensions of wild-type meningeal macrophages were added evenly over quiescent, confluent cultures of control astroglia, the two cell types did not intermingle randomly and over time the inflammatory cells became surrounded by dense rings of astrocytes with thin, elongated processes (Figs. 8B, 9A–C,E). It was also apparent that astroglia had changed morphology and exhibited thin, elongated processes that surrounded groups of inflammatory cells and appeared to separate or corral them into segregated cell clusters that could easily be identified and counted, and contained a far greater density of macrophages than found outside of such clusters (Figs. 8B, 9A–C,E). In contrast, when wild-type meningeal macrophages were seeded onto cultures of STAT3-deficient astrocytes, a majority of the macrophages remained randomly intermingled with astrocytes (Figs. 8B, 9A,B), the number of segregated clusters was reduced significantly by over 50% and the number (Fig. 9E) and the density of macrophages within clusters was reduced significantly by over 65% (Fig. 9F), even though the total area covered by macrophages remained the same (Fig. 9D).
When single cell suspensions of wild-type meningeal fibroblasts were added to newly quiescent, confluent cultures of control astroglia, the two cell types also did not intermingle randomly, and over time the fibromeningeal cells also became surrounded by dense rings of astrocytes with thin, elongated processes (Figs. 8B,10A). In contrast, when meningeal fibroblasts were seeded onto STAT3-deficient astroglia (Figs. 8C,10A,B) the number of fibroblasts and the total area covered by fibroblasts increased significantly by over 60% (Fig. 9D). In addition, the total number of segregated clusters of fibroblasts was reduced significantly by over 50% (Fig. 9E) together with a significant increase in large clusters and a significant decrease in small clusters (Fig. 9E), while the density of fibroblasts within clusters remained the same (Fig. 9F).
These findings show that when quiescent astroglia in cell culture are confronted with macrophages or fibromeningeal cells, the astroglia changed their morphology and elaborated thin elongated processes and actively surrounded inflammatory and fibromeningeal cells and corralled them into discrete, segregated clusters. This activity was dependent on STAT3 signaling within the astrocytes. In addition, whereas astroglia did not seem to influence the expansion (total area covered) by macrophages, the area covered by fibromeningeal cells was significantly and substantially greater in STAT3-CKO cultures, suggesting that control astroglia regulated and limited the expansion of meningeal fibroblasts in a STAT3-dependent manner.
STAT3-deficient astroglia fail to form functional scar borders after SCI in vivo, leading to increased inflammatory cells and decreased neurons in adjacent tissue
Last, we tested the hypothesis that scar borders formed by newly proliferated elongated astroglia in vivo function to restrict the spread of inflammatory cells away from foci of severely damaged tissue into neighboring tissue that contains viable neurons. This hypothesis is based on previous observations that ablation of proliferating scar-forming astrocytes increases the spread of inflammatory cells and increases the size of tissue lesions (Bush et al., 1999; Faulkner et al., 2004) and that astroglial STAT3-CKO mice exhibit larger lesion volumes and reduced behavioral recovery after SCI (Herrmann et al., 2008). To extend these observations in the present study, we correlated at the cellular level the overlap of scar-forming and reactive astroglia with viable neurons and inflammatory cells in specific zones (Z1–Z4) located at various distances up to 2 mm adjacent to lesion borders in control and STAT3-CKO mice (Figs. 11, 12) in a manner similar to that described above for GFAP-TK and BrdU-positive cells. Viable neurons were identified by staining for NeuN. Inflammatory cells were identified by staining for CD45, which visualizes resident microglia, infiltrating macrophages, and lymphocytes, as well as fibrocytes (Sroga et al., 2003; Aldrich and Kielian, 2011; Reilkoff et al., 2011), which we found associated with lesion cores. It is noteworthy that in tissue spreading away from the lesion core, STAT3-CKO mice exhibited pronounced increases relative to control mice in the presence of CD45-positive cells of different kinds including globoid infiltrating inflammatory cells and clusters of fibrocytes (Figs. 11G,H, 12D,E).
Cell counts of NeuN-positive neurons in control mice showed that there were reduced, but substantial numbers of viable neurons in close proximity (Z1 and Z2) of SCI lesion borders (Fig. 12A,C,G), where they overlapped with, and were intermingled among, elongated scar-forming astroglia (Fig. 11A,E,I), but not with CD45-positive globoid, infiltrating inflammatory cells (Fig. 11A,E,G). Cell counts in control mice further showed that essentially normal densities of NeuN-positive neurons were present within a 1–2 mm distance (Z3 and Z4) from the lesion (Fig. 12A,C,G). In contrast, in STAT3-CKO mice there were few NeuN-positive neurons in close proximity (Z1 and Z2) of the lesion (Fig. 12B,C,H), and the density of neurons remained significantly reduced at 1 and 2 mm distance (Z3 and Z4) from the lesion (Fig. 12B,C,H). In addition, it is noteworthy that the densities of CD45-positive inflammatory cells in different locations adjacent to the SCI lesion were the mirror opposite of the densities of NeuN in both control and mGFAP-STAT3-CKO mice (Fig. 11). In control mice, there were small numbers of CD45-positive cells, and high densities of astroglia in Z1 and Z2 immediately adjacent to the lesion (Fig. 11A,C,G,K), and few to none in Z3 and Z4 at a 1 mm or 2 mm distance from the lesion (Fig. 12D,F,I). In contrast, in mGFAP-STAT3-CKO mice there were large numbers CD45-positive cells and low densities of astroglia in the immediate vicinity of the lesion and the density remained significantly elevated at 1 and 2 mm away (Fig. 11B,D,H,L) and many CD45-positive inflammatory cells were found in Z3 and Z4 at 1 mm or 2 mm distance from the lesion (Fig. 12E,F,J).
These findings showed that there was (1) a positive correlation between the presence of scar-forming, reactive astroglia, and viable neurons; (2) a negative correlation between the presence of scar-forming, reactive astroglia, and inflammatory cells; and (3) a negative correlation between the presence of inflammatory cells and viable neurons in tissue adjacent to SCI. These findings also showed that disruption of astroglial scar formation in mGFAP-STAT3-CKO mice led to increased spread of inflammatory cells and decreased survival of neurons in tissue adjacent to SCI. Together, these findings provide strong evidence in support of the notion that scar forming and reactive astroglia function to limit the spread of inflammatory cells from sites of severe tissue damage into healthy adjacent tissue.
Discussion
In this study, we define how newly proliferated astroglia interact and organize into scars that surround and isolate tissue lesions over an extended period of days after a focal traumatic injury. Our findings show that (1) adjacent to crush SCI, reactive astrocytes are heterogeneous in phenotype as regards proliferation, morphology, and chemistry in a manner that varies with distance from the lesion; (2) mature scar borders are comprised primarily of newly proliferated astroglia with elongated cell processes; (3) during scar formation around large and small areas of severely damaged tissue, the cell processes of different elongated astroglia associate into overlapping bundles that quantifiably reorient and organize via STAT3-dependent mechanisms to form dense mesh-like arrangements; (4) confluent astroglia in vitro actively surround inflammatory and fibromeningeal cells and corral them into segregated groups via STAT3-dependent mechanisms; (5) newly proliferated scar-forming astroglia in vivo surround inflammatory and fibrotic cells via STAT3-dependent mechanisms in such a manner that largely segregates these cells from nearby tissue containing viable neurons; and (6) when formation of scar borders by astroglia is disrupted by deletion of STAT3, there is increased inflammation and decreased neuronal survival in neighboring neural tissue. These findings advance emerging concepts about the phenotypic heterogeneity, cellular interactions, signaling mechanisms, and adaptive functions of reactive astrogliosis and scar formation after SCI.
Reactive astroglia exhibit gradients of phenotypic heterogeneity adjacent to SCI
Accumulating evidence indicates that reactive astrogliosis is not a simple all or none response, but instead is highly and specifically variable as regards changes in cell morphology, proliferation, and molecular expression, which are tuned in a context-specific manner to different CNS insults (Hatten et al., 1991; Norton et al., 1992; Wilhelmsson et al., 2006; Oberheim et al., 2008; Sofroniew, 2009; Hamby et al., 2012; Zamanian et al., 2012). Here, we extend this concept by showing that after SCI, reactive astroglia exhibit phenotypic heterogeneity in all three of these parameters in a manner that is graded with respect to distance from lesions. Our findings show that there are at least two broad categories of reactive astroglia that are fundamentally different: (1) newly proliferated, elongated astroglia that have extensively overlapping and interacting cell processes that form scar borders and (2) hypertrophic stellate reactive astroglia that for the most part are not proliferative and derive directly from mature local astroglia, and whose processes overlap far less extensively or remain within their original territories. These broad categories of structural heterogeneity do not preclude additional levels of heterogeneity, such that neighboring reactive astroglia have been reported to exhibit specific differences in molecular expression (Zhang and Barres, 2010; Hamby et al., 2012). Such observations raise important questions about the signaling mechanisms that might result in such heterogeneity or in gradients of cellular changes, as well as about the different functions and effects that might be associated with different phenotypes of reactive astroglia.
Signaling mechanisms that determine heterogeneous aspects of reactive astrogliosis are incompletely understood (Sofroniew, 2009). Newly proliferated reactive astroglia have for some time been associated with penetrating CNS lesions that disrupt the blood–brain barrier (BBB) and not with CNS insults where BBB function is preserved (Hatten et al., 1991; Norton et al., 1992; Bush et al., 1999; Sofroniew, 2009). Astroglial proliferation is also observed around clusters of infiltrating inflammatory cells during autoimmune inflammation (Voskuhl et al., 2009). Numerous molecular regulators of reactive astroglial proliferation and other phenotypic changes have been proposed, in large part based on in vitro studies (Sofroniew, 2009). Our demonstration here that differences in reactive astroglial phenotype in vivo vary in direct proportion to distance from SCI lesions suggests potential roles for lesion-derived diffusible morphogens that could gain CNS access from serum at sites of disrupted BBB or could be secreted by collections of inflammatory or fibrotic cells in SCI lesion cores. Serum proteins such as thrombin, fibrinogen, and albumin, and growth factors, cytokines, and other inflammatory mediators produced by blood-borne and injury-associated cells, are able to influence astroglial intracellular signaling, transcription, proliferation, and function (Gadea et al., 2008; Sofroniew, 2009; Schachtrup et al., 2010; Hamby et al., 2012). Gradients of diffusible morphogens regulate the emergence of cell phenotype during CNS development (Jessell, 2000). Our findings point toward the potential for morphogen gradients arising from focal sites of BBB disruption and collections of inflammatory and fibrotic cells to influence CNS repair and recovery of function after insults such as trauma, stroke, or autoimmune disease. Manipulating such gradients may represent a strategy to improve outcome.
Scar borders are formed by STAT3-dependent organization of newly proliferated elongated astroglia
One of our main objectives in this study was to identify phenotypic characteristics and cellular interactions of the astroglia that establish the scar border. Previous studies have shown that astroglia scar formation is substantively disrupted by the ablation of proliferating astroglia (Bush et al., 1999; Faulkner et al., 2004) as well as by the deletion of STAT3 signaling from astroglia (Herrmann et al., 2008). Here, we extend these observations in several ways. We show that the mature scar borders that immediately interface with and surround damaged CNS tissue are comprised primarily of relatively narrow zones of newly proliferated astroglia and that astroglial proliferation diminishes rapidly with distance from tissue lesions. These newly proliferated scar-forming astroglia have elongated shapes with long cell processes that quantifiably interact, reorient, and organize in a STAT3-dependent manner during scar formation. Early during scar border formation, these elongated astroglia are oriented more or less perpendicular to lesions and as scar formation progresses, they quantifiably reorient to become more or less parallel to the lesion. It is noteworthy that the initial perpendicular orientation of the elongated astroglia we observed here at 5–9 d after SCI appears remarkably similar to that of palisading astroglia reported perpendicular to cortical lesions at 1 week after traumatic injury and implicated in post-traumatic epileptic foci (Oberheim et al., 2008). Our findings suggest that these palisading astrocytes may be newly proliferated, elongated scar-forming astroglia. We also show that during scar border formation, elongated astroglial cell processes interact in bundles that overlap and intertwine as they surround and envelop the lesions. Bundled meshworks of aligned elongated immature astrocytes have been described in the developing brain and suggested to act as tract-forming pathways (Silver et al., 1993), which may link developmental functions of astroglia with their effects on axon regrowth after CNS injury (Silver and Miller, 2004; Li et al., 2012). In this regard it will be of interest in the future to examine (1) the potential formation of junctions among astroglial cell processes during scar formation, which may show similarity to junction formation among immature glia (Wanner and Wood, 2002; Wanner et al., 2006) and (2) the production by astroglia of molecules potentially inhibitory to cell or axon migration, in correlation with the time course of scar formation.
Our findings that elongated scar-forming astroglia express certain markers associated with progenitors or radial glia such as nestin, RC2, Blbp, and SOX2 are in agreement with previous reports and extend these reports to show that these cells do not express markers associated with multipotent neuronogenesis such as CD15 or CD133 (Frisén et al., 1995; Capela and Temple, 2002; Komitova and Eriksson, 2004; Imura et al., 2006; Bannerman et al., 2007; White et al., 2010; Robel et al., 2011; Walker et al., 2013). We did not investigate the origin or cell lineage of these newly proliferating, elongated scar-forming astroglia, but began with the observation of their presence along the edges of lesions of severely damaged tissue and then followed their organization into scar borders around damaged tissue. It deserves mention that this organization occurred without obvious evidence for long distance migration, similar to reports using different transgenic analyses or in vivo imaging to show local derivation and minimal migration of newly generated reactive astroglia after CNS injury (Tsai et al., 2012; Bardehle et al., 2013).
Scar-forming astroglia surround and corral inflammatory and fibrotic cells and segregate these cells from tissue with viable neurons
Although astroglial scar formation has been recognized for over 120 years, its adaptive functions have been poorly understood. Previous transgenically targeted loss-of-function studies have shown that disruption of astroglia scar formation results in increased spread of inflammation, increased tissue damage, and reduced functional recovery after various CNS insults (Bush et al., 1999; Faulkner et al., 2004; Herrmann et al., 2008; Voskuhl et al., 2009). Our findings here extend these observations by showing that during scar border formation in vivo, the elongated processes of newly proliferated astroglia quantifiably interact and reorient to surround inflammatory and fibrotic cells in large and small clusters. We further show in vitro, that astroglia with elongated processes spontaneously surround inflammatory and fibromeningeal cells and corral them in to separated cell clusters. Moreover, the corralling activity whereby astroglia surround and segregate these cells in vivo or in vitro is dependent on STAT3 signaling within the astrocytes. It is noteworthy that the STAT3 signaling pathway mediates the effects of various cytokines and growth factors, including interleukin 6, ciliary neurotrophic factor, and LIF, which are released by various cell types at sites of CNS injuries and play roles in regulating inflammatory responses of various kinds (Hirano et al., 2000; Aaronson and Horvath, 2002). Last, we present evidence that there is a negative correlation between the presence of inflammatory cells and viable neurons, and a positive correlation between sufficient scar formation and viable neurons. Together, these findings strongly suggest that an important adaptive function of scar-forming astroglia is neuroprotective by corralling inflammatory cells in areas of severely damaged tissue and preventing the spread of these cells into neighboring neural tissue that contains viable neurons.
Footnotes
This work was supported by National Institutes of Health Grant NS057624 (M.V.S.), The Neilsen Foundation (I.B.W.), The Dr. Miriam and Sheldon G. Adelson Medical Foundation (M.V.S.), The Roman Reed Spinal Cord Injury Fund of California (M.V.S.), and Wings for Life (M.V.S.). We thank Dr. J. Gornbein for assistance with statistics, R. Korsak for technical assistance, and J. Maldonado for assistance with image analysis.
The authors have no financial conflicts or interests.
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