Abstract
Astrocytes play complex roles in the response to trauma, infection or inflammation in the central nervous system (CNS). Thus, it is important to characterize the mechanisms regulating astrocyte function, as well as potential targets for the therapeutic modulation of astrocyte activity. Here we report that lactosylceramide (LacCer) levels are up-regulated in the CNS during chronic experimental autoimmune encephalomyelitis (EAE), an experimental model of multiple sclerosis (MS). We found that LacCer synthesized by β-1,4-galactosyltransferase 6 (B4GALT6) in astrocytes acts in an autocrine manner to trigger transcriptional programs that promote the recruitment and activation of CNS-infiltrating monocytes and microglia, and neurodegeneration. We also detected increased B4GALT6 expression and LacCer levels in CNS MS lesions. Finally, the inhibition of LacCer synthesis suppressed local CNS innate immunity and neurodegeneration in EAE, and interfered with the activation of human astrocytes in vitro. Thus, B4GALT6 is a potential therapeutic target for MS and other neuroinflammatory disorders.
Astrocytes are the most abundant cells in the central nervous system (CNS). Under normal conditions astrocytes modulate synaptic activity, and provide nutrients and support needed for neuronal survival 1–4. In the context of neuroinflammation, astrocytes control CNS infiltration by peripheral pro-inflammatory leukocytes 5–8 and are suggested to regulate the activity of microglia, oligodendrocytes and cells of the adaptive immune system 9. Thus, it is important to characterize the mechanisms regulating astrocyte activation during CNS inflammation, as well as potential targets for the therapeutic modulation of astrocyte activity.
Multiple sclerosis (MS) is a chronic demyelinating autoimmune disease of the CNS. In most patients, MS initially presents a relapsing-remitting clinical course (relapsing-remitting MS, RRMS) that is followed by a progressive phase (secondary progressive MS, SPMS) characterized by a continued and irreversible accumulation of disability in which available treatments show limited efficacy 10. Recent findings suggest that the local CNS innate immune response drives disease progression in SPMS 9,11,12. Thus, we investigated the role of astrocytes in CNS autoimmunity using an experimental model that recapitulates several aspects of SPMS.
Here we report that lactosylceramide (LacCer), produced by the enzyme B4GALT6 in astrocytes during chronic CNS inflammation, acts in an autocrine manner to promote inflammation and neurodegeneration. We also found up-regulated expression of B4GALT6 and increased LacCer levels in CNS lesions from MS patients. These findings identify B4GALT6 in astrocytes as a driver of chronic CNS inflammation, and also as a potential therapeutic target for the treatment of MS and other neuroinflammatory disorders.
Results
LacCer synthases control CNS inflammation and neurodegeneration
Experimental autoimmune encephalomyelitis (EAE) constitutes a useful experimental model of MS, but different aspects of the disease are modeled in each mouse strain. C57BL/6 mice immunized with MOG35–55 develop a monophasic EAE that resembles a single attack during RRMS. Immunization of non-obese diabetic (NOD) mice with MOG35–55, however, results in an acute attack (acute phase) followed by a phase of progressive and irreversible accumulation of neurological impairment (progressive phase) that resembles SPMS 13,14.
We found that F1 hybrid mice derived from breeding NOD and C57BL/6 mice develop a chronic progressive form of EAE (Supplementary Fig. 1). Thus, to study the role of astrocytes during CNS inflammation we analyzed the course of EAE in F1 NOD C57BL/6 GFAP-HSV-TK hybrid mice, in which reactive astrocytes can be depleted by Ganciclovir (GCV) administration (Supplementary Fig. 2a). In accordance with previous findings in C57BL/6 mice 7,8, the depletion of reactive astrocytes during the acute phase resulted in EAE worsening (Fig. 1a). However, astrocyte depletion during the progressive phase led to a significant amelioration of EAE (Fig. 1a). Moreover, although reactive astrocyte depletion in acute EAE results in increased monocyte and T-cell recruitment to the CNS 5,8, depletion during the progressive phase of EAE decreased leukocyte infiltration in the CNS (Supplementary Fig. 2b) but did not affect the peripheral T-cell response (Supplementary Figs. 2c,d). Of note, although GCV administration might potentially deplete neural progenitor cells (NPCs) in NOD C57BL/6 GFAP-HSV-TK hybrid mice, NPCs show protective effects in EAE 15,16. Thus, these data suggest that depletion of reactive astrocytes is responsible for the amelioration of EAE.
To study the regulation of astrocyte activity we isolated astrocytes from naïve NOD mice, or during the acute and the progressive phases of EAE (Supplementary Fig. 3), and analyzed their transcriptome with Nanostring nCounter arrays (Supplementary Table 1). We detected mRNA expression profiles linked to different stages of NOD EAE and identified a set of genes up-regulated during the progressive phase (Fig. 1b). One of the genes whose expression was associated with progressive NOD EAE was b4galt6, a LacCer synthase 17. B4galt6 up-regulation in astrocytes, but not microglia, was validated by qPCR (Fig. 1c). Further validation detected B4GALT6 expression in white matter GFAP+ astrocytes, but not in gray matter, perivascular glia limitans, or in nestin+ neural progenitors (Supplementary Figs. 4a,b). We also detected the up-regulation of β-1,4-galactosyltransferase 5 (B4GALT5), which together with B4GALT6 are the only members of the B4GALT family with LacCer synthase activity 17 (Supplementary Fig. 4c). Indeed, in agreement with the LacCer synthase activity of B4GALT5 and B4GALT6 (B4GALT5/6), we detected increased LacCer levels in the CNS during the progressive phase of NOD EAE (Fig. 1d).
We then investigated the effects of LacCer on CNS inflammation. LacCer administration worsened EAE in C57BL/6 and NOD mice (Figs. 1e,f), but could not induce EAE or astrocyte activation in vivo in the absence of MOG immunization (Supplementary Fig. 5a). Of note, LacCer administration did not affect the T-cell response (Supplementary Figs. 5b–e).
To further investigate the role of LacCer in the progressive phase of NOD EAE we inhibited its synthesis using the B4GALT5/6-specific inhibitor D-threo-1-phenyl-2-decanoylamino-3-morpholino-1-propanol (PDMP) 17 (Fig. 1g). Daily PDMP administration initiated 40 days after EAE induction decreased CNS LacCer levels (Fig. 1h) and suppressed disease progression in terms of clinical score, demyelination and axonal loss (Fig. 1i,j). PDMP did not affect the T-cell response (Supplementary Figs. 5f–i). Taken together, these data suggest that LacCer produced by B4GALT5/6 plays a detrimental role in CNS inflammation.
B4GALT5/6 inhibition suppresses astrocyte activation during EAE
LacCer has been suggested to promote pathology during experimental spinal cord injury 18. Thus, we studied the effects of B4GALT5/6 inhibition on the transcriptional program of astrocytes isolated from vehicle- or PDMP-treated NOD mice during the progressive phase of EAE (day 100). Our unbiased analysis identified two sets of genes: genes down-regulated during EAE and up-regulated by PDMP, and genes up-regulated during EAE and down-regulated by PDMP (clusters 1 and 2 in Fig. 2a, respectively). Cluster 2 included several genes associated with EAE and MS pathology: ccl2 (recruitment of monocytes to the CNS) 19–21, ccl5 and cxcl10 (recruitment of peripheral immune cells to the CNS), IL-1β (il1b), osteopontin (opn), nitric oxide synthase (nos2), MHC-II (H2-Aa) and vimentin (vim). The suppressive effects of PDMP on the expression of representative genes included in cluster 2 were validated by qPCR (Fig. 2b). Additional support for the role of B4GALT6 in regulating the expression of genes associated with CNS pathology was provided by the co-expression of B4GALT6 with CCL2 and iNOS in GFAP+ astrocytes (Supplementary Fig. 6).
Moreover, since astrocytes are reported to regulate de- and re-myelination 9,22, we analyzed the expression of genes linked to the control of this process by astrocytes (Supplementary Table 2 and Fig. 2c). B4GALT5/6 inhibition by PDMP reduced the expression of demyelination-associated genes while it increased the expression of remyelination-associated genes (Fig. 2c). Collectively, these data demonstrate that B4GALT5/6 controls astrocyte activation during EAE.
To identify the molecular mechanisms mediating the effects of B4GALT5/6 blockade on the transcriptional response of astrocytes during EAE, we searched the promoter sequence of the genes included in clusters 1 and 2 for the enrichment of specific transcription factor binding sites. We found that genes included in cluster 2, whose expression was suppressed by B4GALT5/6 inhibition, were enriched for interferon-sensitive response elements (ISREs) (P=4.83×10−6) and NF-κB response elements (P=9.99×10−6). Indeed, irf1 and relB expression was up-regulated during EAE and decreased by PDMP treatment (Fig. 2d,e). Hence, these results suggest that B4GALT5/6 controls NF-κB and IRF-1 activation during CNS inflammation.
LacCer produced by B4GALT6 acts in an autocrine manner to boost astrocyte activation
To investigate whether LacCer produced by B4GALT5/6 acts directly on astrocytes to regulate their activity, we studied the effects of B4GALT5/6 inhibition and LacCer supplementation on the transcriptional response of primary astrocytes to activation. B4GALT5/6 inhibition suppressed the response of astrocytes to stimulation with lipopolysaccharide and interferon-γ (LPS/IFNγ) (Figs. 3a and Supplementary Fig. 7a). Conversely, supplementation with exogenous LacCer boosted the astrocyte response to LPS/IFNγ suggesting that LacCer synthesized by B4GALT5/6 acts on an autocrine manner to promote astrocyte activation (Figs. 3a and Supplementary Fig. 7a). Consistent with this interpretation, exogenous LacCer overcame the suppressive effects of PDMP on astrocyte activation (Figs. 3a and Supplementary Fig. 7a). Similar effects of PDMP and LacCer were found on astrocytes activated with IL-1β, poly(I:C), or IFNγ/IL-17 (not shown). Of note, PDMP or LacCer treatment did not affect astrocyte viability (Supplementary Figs. 7b,c).
To analyze the relative contribution of B4GALT5 and B4GALT6 on astrocyte activation 17,23,24, we knocked-down down b4galt5 and b4galt6 expression using lentivirus-delivered shRNAs (Fig. 3b). The knock-down of b4galt6 suppressed the up-regulation of h2-Aa, ccl5 and cxcl10 expression triggered by LPS/IFNγ activation to a similar extent than PDMP treatment. However, the knock-down of b4galt5 did not have a significant effect (Fig. 3c), suggesting that B4GALT6 plays a dominant role in astrocyte activation. Of note, PDMP treatment of astrocytes in which B4GALT6 had been knocked down with shRNA did not further suppress h2-Aa, ccl5 and cxcl10 expression, suggesting that the effects of PDMP result from the specific inhibition of B4GALT6-dependent LacCer synthesis (Supplementary Fig. 7d).
To determine the relative contribution of B4GALT5 and B4GALT6 on EAE progression we used a lentivirus-based system optimized for astrocyte-specific knock-down in vivo 25 (Fig. 3d). In this system, the gfap promoter drives the expression of an shRNA of choice and a GFP reporter. Following intra-cerebroventricular (i.c.v.) injection of shRNA-encoding lentivirus during the progressive phase of NOD EAE, the GFP reporter was expressed in GFAP+ astrocytes but not Iba1+ microglia and inflammatory macrophages (Fig. 3e and Supplementary Fig. 7e). Consequently, we detected an astrocyte-specific knock-down of b4galt6 and b4galt5 expression (Fig. 3e). The knock down of b4galt6, but not of b4galt5, decreased CNS LacCer levels during the progressive phase of NOD EAE (Fig. 3f). Moreover, the knock down of b4galt6, but not of b4galt5, suppressed disease progression in NOD mice (Fig 3g), suggesting that LacCer produced by B4GALT6 acts in an autocrine manner to promote astrocyte activation and EAE progression.
To study the molecular mechanisms mediating the effects of LacCer, we searched the promoters of genes regulated by LacCer in primary astrocytes in culture for specific TF binding sites and detected a significant enrichment (P<10−5) in NF-κB and ISRE responsive elements.
LacCer is reported to activate NF-kB in astrocytes 18,26 and we confirmed these observations on astrocytes in vitro (Supplementary Fig. 7f). The role of IRF1/ISRE in the regulation of astrocyte activity by LacCer, however, is unknown. We found that LacCer treatment enhanced the translocation of IRF-1 to the nucleus, whereas B4GALT6 inhibition interfered with this process (Fig. 3h). Moreover, we detected the recruitment of NF-κB and IRF-1 to the nos2 promoter in astrocytes activated with LPS/IFNγ (Fig. 3i). To study the functional role of IRF-1 on the response to LacCer we compared the response of WT and IRF-1 deficient astrocytes to activation with LPS/IFNγ. IRF-1 deficiency abrogated the up-regulation triggered by LacCer of nos2 and other genes that harbor ISRE biding sites in their promoters (csf2, ccl2, ccl5, il6 and tlr2) (Fig. 3j). Moreover, IRF-1 was co-expressed with CCL-2 and iNOS in GFAP+ astrocytes during progressive NOD EAE (Supplementary Fig. 7g). Hence, LacCer produced by B4GALT6 controls astrocyte activity through NF-κB and IRF-1 dependent pathways.
B4GALT6 regulates ccl2 transcriptional activity in astrocytes
Inflammatory monocytes recruited to the CNS by CCL-2 promote neurodegeneration and disease progression in MS and EAE 19–21,27. Based on the effects of LacCer on ccl2 expression and NF-κB and IRF-1 activation in astrocytes, we searched the ccl2 promoter for responsive elements to these transcription factors and identified potential binding sites (Fig. 4a). In reporter assays we found that IRF-1 and NF-κB (p65) transactivate the ccl2 promoter (Fig. 4b). Moreover, we detected a significant recruitment of NF-κB and IRF-1 to the ccl2 promoter in astrocytes activated with LPS/IFNγ (Fig. 4c). This recruitment was arrested by the inhibition of LacCer synthesis with PDMP, and the effects of PDMP could be abrogated by the addition of exogenous LacCer (Fig. 4c). Thus, LacCer produced by B4GALT6 controls ccl2 expression.
To investigate the relevance of the regulation of ccl2 expression by B4GALT6-LacCer we analyzed the effect of PDMP administration on inflammatory monocytes recruited to the CNS during NOD EAE. B4GALT6 inhibition reduced the recruitment of inflammatory monocytes (Fig. 4d), and similar results were also obtained when we analyzed the effects of B4GALT6 knocked-down in astrocytes using lentivirus-delivered shRNAs (Fig. 4e). PDMP or LacCer did not affect the viability of purified Ly6Chigh monocytes, their migration in a CCL-2 gradient, or their response to LPS/IFNγ stimulation (Figs. 4f–i). Thus, B4GALT6 in astrocytes controls CCL-2 production and the recruitment of inflammatory monocytes into the CNS.
B4GALT6 in astrocytes regulates the activation of microglia and CNS-infiltrating monocytes
Microglia play a central role during CNS inflammation 28. To study the effects of B4GALT5/6 on microglia we analyzed their transcriptional profile by NanoString nCounter in naïve mice, or during the progressive phase of NOD EAE in vehicle- or PDMP-treated mice. We found that B4GALT5/6 inhibition reduced the expression of genes associated with microglia activation during EAE (Figs. 5a,b). Moreover, B4GALT5/6 inhibition led to the down regulation of genes linked to a pro-inflammatory phenotype (M1), concomitant with an up-regulation of anti-inflammatory (M2) associated genes in microglia and CNS-infiltrating monocytes (Figs. 5c and Supplementary Table 3). Thus, although B4GALT5/6 are not up-regulated by microglia during EAE, LacCer modulates the activation of microglia and CNS-infiltrating monocytes.
Given that B4GALT5/6 inhibition in vivo altered the M1/M2 balance in microglia and CNS-infiltrating monocytes (Fig. 5c), we studied whether this effect was cell autonomous. We found that neither the viability nor the response of primary mouse microglia to LPS/IFNγ were affected by B4GALT5/6 inhibition or the addition of LacCer in the absence of astrocytes (Figs. 5d–e and Supplementary Figs. 8a,b). LacCer also did not affect the transcriptional response to activation of leptomeningeal phagocytes or choroid plexus cells (Supplementary Figs. 8c,d).
We detected, however, significant effects of PDMP and LacCer on microglial activation in mixed glia cultures containing both microglia and astrocytes (Fig. 5f). To identify the mechanisms involved in the regulation of microglial activation (as indicated by nos2 up-regulation) by B4GALT6/LacCer in astrocytes we used blocking antibodies. We found that GM-CSF blockade inhibited the LacCer-dependent boost in microglial nos2 up-regulation (Fig. 5g). Moreover, the B4GALT6/LacCer pathway controlled NF-κB and IRF-1 recruitment to the csf2 (GM-CSF) promoter during astrocyte activation (Figs. 5h).
To evaluate the physiological relevance of these findings we analyzed csf2 expression in astrocytes following b4galt6 knock-down with shRNAs during the chronic phase of NOD EAE. In agreement with our in vitro results b4galt6 knock down resulted in decreased csf2 expression in astrocytes (Figs. 5i) concomitant with decreased nos2 expression in microglia (Figs. 5j). Taken together, these data suggest that GM-CSF produced by astrocytes in a B4GALT6/LacCer-dependent manner modulates microglia activation.
B4GALT6 and LacCer levels are up-regulated in MS lesions
To examine the clinical relevance of our findings, we analyzed B4GALT6 and B4GALT5 expression in brain samples from MS patients and controls. We found increased expression of B4GALT5 (2.15±0.28 fold) and B4GALT6 (8.26±2.11 fold) in MS lesions, but not in normal appearing white matter (NAWM) or controls (Fig. 6a). B4GALT6 co-expression with CCL-2 and iNOS was also detected in GFAP+ astrocytes from MS patients (Fig. 6b). The increased expression of B4GALT5/6 was linked to increased LacCer levels in MS lesions (Fig. 6c), suggesting that increased B4GALT6 activity and LacCer levels are also linked to MS pathology.
We next studied whether B4GALT6 modulates the activity of primary astrocytes activated with the TLR-3 agonist poly(I:C) or IL-1β. We found that B4GALT6 inhibition led to a significant decrease in CCL2, CCL5, COX2, IL6, NOS2 and TLR2 expression (Fig. 6d). Thus, these results suggest that B4GALT6 is a potential therapeutic target for the regulation of astrocyte activity in human neuroinflammatory disorders.
Discussion
GFAPhigh reactive astrocytes modulate leukocyte infiltration 7,8 and regulate the inflammatory response 5–9 in response to CNS trauma and acute EAE, but their regulation and function during chronic CNS inflammation is poorly understood. We found that B4GALT6 in astrocytes boosts CNS inflammation and promote neurodegeneration during chronic CNS inflammation. B4GALT5 and B4GALT6 are the only two members of the 4-galactosyltransferase family that catalyze LacCer synthesis 17. Both enzymes are up-regulated by astrocytes during chronic EAE and MS but B4GALT6, and not B4GALT5, is responsible for the increased CNS LacCer levels, astrocyte activation and disease progression. These findings are in line with previous studies that described different biological roles for B4GALT5 and B4GALT6, for example in embryonic development 23,24. Moreover, Tokuda and coworkers have recently demonstrated that B4GALT6 deficiency results in a significant decrease in LacCer synthase activity in the CNS of naïve mice; LacCer synthesis in the kidney, however, is controlled by B4GALT5 24. Taken together, these data suggest a spatial and functional compartmentalization of B4GALT5 and B4GALT6 LacCer synthase activities.
Pro-inflammatory microglia and CNS-infiltrating monocytes, recruited and activated in response to factors present in the inflamed CNS microenvironment, are thought to contribute to the pathogenesis of MS and other neurodegenerative disorders 29–31. We found that the LacCer synthesized by B4GALT6 in astrocytes controls the production of chemokines and cytokines that regulate inflammatory monocyte and microglia recruitment and activation, such as CCL-2 19–21,27 and GM-CSF 32. The effects of LacCer on astrocytes involved IRF-1 and NF-κB, but although LacCer is reported to modulate PKC/cPLA2 signaling 33,34 and membrane microdomains 17, the mechanisms by which LacCer controls these transcription factors are not completely understood.
Lipids exert significant effects on inflammation during autoimmunity and microbial infections, acting either as targets or regulators of the immune response 14,35–40. Although lipid-specific antibodies and T cells have been identified in MS 37,39, the role of bioactive lipids in CNS autoimmunity is mostly unknown. Steinman and coworkers recently reported that myelin sheath lipids induce apoptosis in autoreactive T cells and ameliorate EAE 35. Considering the pro-inflammatory effects of LacCer, it appears that perturbations in the balance of anti- and pro-inflammatory lipids in the CNS play a significant role in MS pathology. Thus, the comprehensive profiling of CNS lipids is likely to identify new targets for therapeutic intervention in MS and also for other neurologic disorders in which astrocyte activation contributes to disease pathology.
In conclusion, our results demonstrate that the LacCer/B4GALT6 axis in astrocytes controls processes that drive CNS inflammation and neurodegeneration. Thus, the modulation of glycolipid synthesis is a potential therapeutic approach for MS and also for other neurologic disorders in which astrocyte activation contributes to disease pathology.
Materials and Methods
Animals
C57BL/6J, NOD/ShiLtJ (NOD), IRF-1 deficient mice and GFAP-HSV-TK mice, were from The Jackson Laboratory. Heterozygote GFAP-HSV-TK bearing C57Bl/6 mice were used to generate F1 littermates that were either GFAPTK or WT F1. Tg(GFP-hGFAP) FVB transgenic mice have been described41. All animals were kept in a pathogen-free facility at the Harvard Institutes of Medicine. All experiments were carried out in accordance with guidelines prescribed by the Institutional Animal Care and Use Committee of Harvard Medical School.
EAE induction and treatments
EAE was induced by immunization female mice with MOG35–55 peptide emulsified in CFA (Difco Laboratories) at a dose of 100µg (C57BL/6 and F1 mice) or 150µg (NOD mice) per mouse, followed by the administration of pertussis toxin (150 ng per mouse; List biological laboratories, Inc.) on days 0 and 2 as described14. Clinical signs of EAE were assessed according to the following score: 0, no signs of disease; 1, loss of tone in the tail; 2, hind limb paresis; 3, hind limb paralysis; 4, tetraplegia; 5, moribund.GCV (APP Pharmaceuticals), or vehicle control (PBS) was administered daily (25mg/kg, subcutaneously) 7 days before EAE induction and continued for the duration of the acute phase (day 15), or only during the progressive/chronic phase (day 30–50). LacCer (Matreya LLC) or vehicle (10% DMSO), were administered at a dose of 10µg per mouse together with the MOG35–55 peptide to C57BL/6J mice during EAE induction, and also intraperitoneally (i.p.) every other 3 days henceforth. LacCer or vehicle administration to NOD mice were initiated 35 days after disease induction at a dose of 10µg per mouse given i.p. every 3 other days. PDMP (Matreya LLC) or vehicle control (5% tween-80), were administered at day 40 after EAE induction twice a day with 20mg/kg given i.p. for the duration of the experiment.
Immunofluorescence (IF)
Animals were perfused with 4% paraformaldehyde in 0.1 M PBS. Tissues were cryoprotected in 0.1 M PBS plus 30% sucrose, and cut with cryostat into 10-µm-thick sections. Sections were blocked in 5% goat serum, M.O.M.™ Mouse Ig Blocking reagent (Vector laboratories) containing 0.3% Triton™ X-100 (Sigma-Aldrich), and incubated overnight at 4°C with following antibodies : GFAP (chicken, 1:500, Abcam), GFP (chicken, 1:500, Abcam), IBA-1 (Rabbit, 1:200, Dako), B4GALT6 (Rabbit, 1:100, proteintech), iNOS [mouse (4E5) , 1:100, iNOS], CCL2 [mouse (2D8), 1:100, Fisher scientific], Nestin [mouse (rat-401), Millipore], CD31 [mouse (RM0032-1D12) , 1:100, Abcam], and IRF-1 (rabbit, 1:250, Santa cruz). The next day sections were washed 3 times, and incubated with an appropriate fluorophore-conjugated goat secondary Abs (1:1000; Abcam) for 1 h at room temperature. Six animals/group were used. Images were taken using a LSM 710 confocal microscope (Carl Zeiss).
Isolation of cells from adult mice CNS
Mononuclear cells were isolated from the CNS as previously described 42 with minor modifications. Naïve and EAE mice were euthanatized, and then subjected to perfusion through the left ventricle with ice-cold sterile PBS. Brains and spinal cord were then removed, minced and enzymatically dissociated with 0.05% (w/v) collagenase type III (Worthington Biochemical), 0.5% Dispase II (Roche Applied Science), 40 µg/ml DNAse I, 20 mM HEPES in HBSS) for 30 min at 37C to make a suspension of single cells. Enzymes were inactivated with 20 ml of Ca2+/Mg2+-free HBSS containing 2 mM EDTA and 20 mM HEPES. The digested tissue was triturated and passed through a 100-µM cell strainer. Cells were centrifuged and resuspended in 30% isotonic Percoll (GE Healthcare) and 40 µg/ml DNAse I, underlined by 70% isotonic Percoll, and centrifuged at 1000 × g at 4°C for 25 min. Cells were collected from the 70%–30% interphase, and sorted by FACS Aria.
FACS sorting of astrocytes, microglia and monocytes
These purification procedures are based on previously described dissociation and purification protocols42,43. Isolated CNS cells, were incubated with anti-Mouse CD16/CD32 for 15 min on ice to block the Fc receptors, and stained with fluorochrome-conjugated antibody for CD11b (M1/70), CD45(90), CD3 (145-2C11), CD4 (GK1.5), and Ly6C (HK1.4), and Biotion-conjugated GSL I – isolectin B4 (Vector labs), CD105 (N418), CD140a (APA5), CD11c (N418), F4/80 (BM8), O4 (O4, Miltenyi Biotec), and CD19 (eBio1D3), and un-conjugated antibodies recognizing mouse MOG (8–18C5, Millipore), O1 (O1) , and Galactocerebroside (mGlaC, Millipore). All antibodies were from Ebioscience, unless otherwise mentioned (clone number, when relevant, in parentheses). Cells were washed and incubated PE- conjugated Streptavidin and R-Phycoerythrin AffiniPure F(ab')2 fragment of Goat Anti-Mouse IgG + IgM (H+L) (Jackson ImmunoResearch laboratories) for 20 min at 4 C in the dark. Cells were washed, incubated with 7-AAD or Fixable Viability Dye eFluor® 450 (if cells were to be used for intracellular staining), for exclusion of dead cells (Fig. S3A), and sorted as following. Microglia were sorted as CD11b+ cells with low CD45 expression and low Ly6C (CD11b+/CD45low/Ly6Clow), while the inflammatory monocytes were considered as CD11b+/Ly6Chigh 44. T-cells were sorted as CD3+CD4+ cells. Astrocytes were isolated following the depletion of lymphocytes, microglia, monocytes (Fig. S3B), and oligodendrocytes, and lymphocytes (T-cells, B-cells, and NK cells) (Fig. S3C). Sorted cells were found to be >85% GFAP+ by FACS analysis (Fig. S3D). We confirmed that we had isolated a relatively pure populations of astrocytes by qPCR for the astrocyte markers43,45 gfap, aldh1l1 and aqp4, and found them to be exclusively expressed in the astrocyte fraction (in a similar expression pattern to that of GFP+ astrocytes sorted from Tg(GFP-hGFAP) FVB transgenic mice41) (Fig. S3E). We used an additional cohort of markers to explore for presence of immune cells [microglia/monocytes cells – itgam (CD11b), and emr1 (F4/80), dendritic cells - itgax (CD11c), NK cells - Klrb1c (Nk1.1) , T-cells - cd3, and B-cells - cd19], oligodendrocytes (mog, mbp), and neurons (syt1, snap25) (Fig. S3F, G).
LacCer measurement
Chemical standards of LacCer (d18:1/16:0) and LacCer (d18:1/18:0) were obtained from Avanti Polar Lipids. Quantification of LacCer (d18:1/16:0) and LacCer (d18:1/18:0) was achieved by LC-MS/MS analysis performed on an Agilent (Agilent Technologies, Santa Clara, CA) 6460 triple-quadrupole LC/MS/MS system. The fragments from the [M+H]+ ions for LacCer and internal standard were subjected to collision induced dissociation and the two major types of fragment ions were monitored via electrospray ionization in the positive ion mode in multiple reaction monitoring (MRM) mode for each ion. These two MRM transitions corresponded to the loss of the neutral lactosyl moiety, and to the formation of the lactose ion. Specifically, the MRM transitions used for quantification for LacCer (d18:1/16:0) and LacCer(d18:1/18:0) were 862.5>464.5 and 890.6>548.5, respectively. Secondary confirmatory MRM transitions for LacCer(d18:1/16:0) and LacCer(d18:1/18:0) of 862.5>264.3 and 890.6>264.3 were also monitored. Mass spectrometer parameter settings were gas temp (325 °C), gas flow (12 L/min), nebulizer (25 psi), sheath gas temp (400 °C), sheath gas flow (12 L/min), capillary voltage (4000v), and nozzle voltage (500v). Liquid chromatography conditions with an a Phenomenex Gemini C18 column 4.6 × 50 mm 5 µm particle size was used for separation. Chromatography method the following flow rate = 0.4 mLs/min; solvent A = 5mM ammonium formate in 5% MeOH and 0.1%formic acid v/v/v; solvent B = 80% 2-propanol, 15% methanol, 5% water and 0.1% formic acid (v/v/v/v). The gradient started at 20%A and progressed to 100% A in 10 minutes and maintained for the next 10 minutes. The column was re-equilibrated to starting conditions for 5 minutes before the next injection. An internal standard of non-native LacCer (18:1/12:0) was utilized since a stable isotope version was not available. Standard curve mixture was analyzed at various concentrations between 0.10 nM to 3.3 µM in LacCer (d18:1/16:0) and an internal standard concentration of 1 µM. The lower limit of quantification was estimated at 1 nM and a R2 of 0.9969 was obtained using linear regression analysis. A standard curve with the internal standard doped in was run between 1 nM to 3.3 µM. Since the standards were only available only for LacCer (18:1/16:0), the values for LacCer (18:1/18:0) assumes that the relative ionization efficiency for the two closely related lipids is identical.
Extraction of Lipids
The brain tissue was weighed and homogenized using a Dounce homogenizer (VWR), in the extraction solvent using a Bligh and Dyer type liquid-liquid extraction. All solvents were obtained from Sigma-Aldrich in ultra-high purity. The internal standard LacCer (18:1/12:0) was dissolved in 2:1 chloroform-methanol v/v. 6 ml of 2:1 chloroform-methanol and 2 ml of PBS. After approximately 2 minutes of homogenization, the liquid was transferred to a 8 ml glass vial. The mixture was spun in a high speed centrifuge at 1000g for 20 minutes. This resulted in the formation of a protein disk and insoluble materials in the middle. The bottom layer was removed using a glass Pasteur pipet and transferred to a clean vial for evaporation under a stream of gentle nitrogen. The dried sample was reconstituted in 100 µl of 2:1 chloroform-methanol, and analyzed using the HPLC-MS.
nCounter Gene expression
100 – 200ng of total RNA was hybridized with reporter and capture probes for nCounter Gene Expression code sets (Mouse Inflammation Kit, or a custom made astrocyte-oriented probe set (Table S1)), according to manufacturer’s instructions (NanoString Technologies). Data were normalized to spiked positive controls and housekeeping genes (nSolver Analysis system). Transcript counts less than the mean of the negative control transcripts plus 2 standard deviations for each sample were considered background.
Analysis of gene expression data
Nanostring generated gene expression data were analyzed by use of the Expander 6.06 platform 46. Genes were clustered using the unbiased CLICK algorithm , and each cluster was further analyzed for enrichments in transcription factors binding sites (promoter analysis).
q PCR
RNA was extracted with RNAeasy columns (Qiagen), or TRIzol® (Invitrogen), cDNA was prepared and used for qPCR and the results were normalized to gapdh (mice) or ACTIN (human). All primers and probes were from Applied Biosystems. Aldh1l1 (Mm03048957_m1), aqp4 (Mm00802131_m1), b4galt5 (Mm00480147_m1), b4galt6 (Mm00480045_m1), ccl5 (Mm01302427_m1), cd19 (Mm00515420_m1), cd3e (Mm00599684_g1), cd40 (Mm00441891_m1), csf2 (Mm01290062_m1), cxcl10 (Mm00445235_m1), emr1 (Mm00802529_m1), foxp3 (Mm00475162_m1), gapdh (Mm00484668_m1), gfap (Mm01253033_m1), h2-Aa (Mm00439211_m1), Ifng (Mm01168134_m1), Il10 (Mm00439614_m1), il17a (Mm00439618_m1), il1b (Mm00434228_m1), il6 (Mm00446190_m1), irf1 (Mm01288580_m1), itgam (Mm00434455_m1), itgax (Mm00498698_m1), klrb1c (Mm00824341_m1), mbp (Mm01266402_m1), mog (Mm00447824_m1), nos2 (Mm00440502_m1), relb (Mm00485664_m1), snap25 (Mm00456921_m1), spp1 (Mm00436767_m1), syt1 (Mm00436858_m1), tbx21 (Mm00450960_m1), tgfb1 (Mm01178820_m1), tlr2 (Mm00442346_m1), tnf (Mm00443260_g1), vim (Mm01333430_m1), ACTB (Hs01872448_s1), B4GALT5 (Hs00941041_m1), B4GALT6 (Hs00153133_m1), CCL2 (Hs01060665_g1), CCL5 (Hs00941041_m1), IL6 (Hs00234140_m1), NOS2 (Hs00174575_m1), PTGST2 (Hs00191135_m1), and TLR2 (Hs00985639_m1).
T-cell proliferation and cytokine measurement
Splenocytes and lymph node cells were cultured in X-VIVO medium and were plated for 72h at a density of 5×105 cells per well in the presence of MOG35–55 peptide. During the final 16h, cells were pulsed with 1 Ci [3H]thymidine (PerkinElmer), followed by collection on glass fiber filters and analysis of incorporated [3H]thymidine in a -counter (1450 MicroBeta TriLux; PerkinElmer). Supernatants were collect after 48 h of culture for cytokine measurement by enzyme-linked immunosorbent assay 14. For intracellular cytokine staining, cells were stimulated for 6 h with PMA (phorbol 12-myristate 13-acetate; 50 ng/ml; Sigma), ionomycin (1 µg/ml; Sigma) and monensin (GolgiStop; 1 ml/ml; BD Biosciences). After staining of surface markers, cells were fixed and made permeable according to the manufacturer's instructions BD Cytofix/Cytoperm™ Kit (BD Biosciences), or Foxp3 Fixation/Permeabilization (Ebiosceince).
Mouse primary microglia
Mouse primary microglia were prepared as described 47 with minor modifications. Cerebral cortices from 1- to 3-day-old neonatal mice were dissected, carefully stripped of their meninges, digested with 0.25% trypsin, and dispersed into a single-cell level. The cell suspension (“mixed glia”) was then cultured at 37°C in humidified 5% CO2–95% air. Medium was replaced every 4–5 days. Mixed glia cultures reached confluence after 7–10 days, and were used to harvest microglia between 15 and 20 days after preparation. Microglia were isolated by the mild trypsinization procedure (Mild T/E) as previously described47 . Briefly, treatment of the confluent mixed glial cultures with 0.06% trypsin (mild T/E) resulted in detachment of an intact layer of cells containing almost all the astrocytes and leaving behind a highly enriched population of microglia (>98%, as determined by staining with fluorescein-conjugated Griffonia simplicifolia isolectin B4 (IB4) (Vector Laboratories) or PE-conjugated CD11b Ab (data not shown)). The attached microglia were allowed to recover for 24–48 hours.
Mouse Primary Astrocytes
Mix Glia was prepared as above, and incubated with 20ug/ml biotin anti-IB4 (Vector Labs) for 20 min at RT, washed and incubated with Streptavidin – conjugated magnetic beads (Miltenyi Biotec) for 15 min at 4C. Cells were washed, and cleared of IB4+ cells (microglial and endothelial cells)43 using cell separation Columns (Miltenyi Biotec). Cells were then cultured until confluent (day 7–10), the astrocyte monolayer was separated using the mild trypsinization procedure, separated into single cells suspension with Accutase (Invitrogen) and plated. Cells were >98% astrocytes, as determined by staining with GFAP or GLAST, with less than 2% contamination of CD11b+ microglia cells (data not shown)).
Mouse primary leptomeningeal phagocytes
The meninges were carefully stripped from the brains of 1- to 3-day-old neonatal mice, and digested with 1% collagenase for 20 min at 37°C, and then dispersed into a single-cell level. Isolated cells, were incubated with anti-mouse CD16/CD32 for 15 min on ice to block the Fc receptors, and stained with APC-conjugated antibody for CD11b (M1/70) for 30 min at 4°C. Cells were washed, incubated with 7-AAD for exclusion of dead cells, and sorted.
Mouse Primary choroid plexus cells
Mouse primary choroid plexus cells were prepared as described48,49 with minor modifications. In brief, the choroid plexus was removed from 1- to 3-day-old neonatal mice, digested with 1% collagenase for 20min at 37°C, and then dispersed into a single-cell level. The cell suspension was washed in culture medium for choroid plexus cells [Dulbecco’s modified Eagle medium/ Ham’s F12 (Invitrogen) supplemented with 10% foetal calf serum (Sigma-Aldrich), 1 mM l-glutamine, 1 mM sodium pyruvate, 100 U/ ml penicillin, 100mg/ml streptomycin, 5mg/ml insulin, 20mM Ara-C) and cultured (2.5×105 cells/well) at 37°C, 5% CO2 in poly-D-lysine coated 24-well plates. After 24h, the medium was changed, and the cells were either left untreated or treated as described.
Plasmids
The dual reporter construct expressing Gaussia luciferase under the murine Ccl2 promoter, and Secreted alkaline phosphatase (SEAP) under the CMV promoter (used for transfection normalization), was from GeneCopoeia, Inc. The construct encoding IRF1 was from Addgene. The pLenti-GFAP-EGFP-mir30-shAct1 vector 25 was a kind gift from Dr. Guang-Xian Zhang (Thomas Jefferson University, PA, USA).
In vitro knock-down with shRNA
The expression of LacCer synthases was knocked-down in C8-D30 astrocytes, using shRNA lentiviruses particles against b4galt5 (TRCN0000018782), b4galt6 (TRCN0000334278), or a non-targeting sequence (TRCN0000018782) as a control (Sigma). Astrocytes were incubated with lentiviruses and 8 µg/ml polybrene (both from Sigma-Aldrich) for 12 h, allowed to recover for 24h, and were selected with puromycin (2 µg/ml). Gene knock-down in puromycin-resistant cells was verified by qPCR.
In vivo astrocyte-specific knock-down with shRNA Lentivirus
pLenti-GFAP-EGFP-mir30-shRNA harboring shRNA sequences against b4galt5, b4galt6, and a non-targeting shRNA were cloned using the pLenti-GFAP-EGFP-mir30-shAct1 vector 25 as a backbone, by replacing the shRNA for Act1 with the above-mentioned in vitro validated shRNA sequences (b4galt5 : 5’ -GCAGCCTGAATGACTCAGATTctcgagAATCTGAGTCATTCAGGCTGC-3’, b4galt6 : 5’-CGATGGACTGAACAATTTATTctcgagAATAAATTGTTCAGTCCACG-3’, and a non-targeting shRNA : 5’- GCGCGATAGCGCTAATAATTTctcgagAAATTATTAGCGCTA-TCGCGC-3’). Lentivirus particles were then generated by transfecting 293FT cells (Invitrogen) with 3 µg of the newly generated pLenti-GFAP-EGFP-mir30-shRNA vectors and 9 µg of the ViraPower™ Packaging mix (The helper plasmids pLP1, pLP2, pLP/VSV-G, Invitrogen). 48h later supernatants were collected, filtered through a 0.45µM PVDF filter, and concentrated overnight with the Lenti-X™ concentrator kit (Clontech) according to the manufacture’s instructions. The viral titrate was determined using the Lenti-X™ qRT-PCR titration kit (Clontech) according to the manufacture’s instructions, and stored at −70°C.
For in vivo injection, NOD EAE mice, 35 days after immunization (progressive phase) were anesthetized by an i.p. injection of ketamine (100 mg/kg) and xylazine (20 mg/kg) and placed in a Kopf Stereotaxic Alignment System. Using a Hamilton syringe, 1 × 107 IU/mouse of shB4galt5, shBrgalt5, shControl (non-targeting) virus were injected 0.44 mm posterior to the bregma, 1.0 mm lateral to it and 2.2 mm below the skull surface. Injection speed was maintained at 1 µl/minute to prevent leaking.
Viability Assay
Astrocytes, microglia or Ly6Chigh monocytes were pre-treated with indicited concentrations of PDMP or LaCcer, and further activated with LPS/IFNγ (microglia and astrocytes), CCL-2 (monocytes), or left untreated. Viability was assed following activation using the CellTiter-Fluor™ Cell viability assay (Promega).
Subcellular fractionation and Immunoblot analysis
Astrocytes were treated as indicated, and total extracts (30µg of protein), or the nuclear and cytoplasmic subcellular fractionations of cells, were separated by NuPAGE 10% Bis-Tris Gel (Invitrogen), and electroblotted onto supported nitrocellulose membrane. Subcellular fractionations were prepared using the NE-PER® Nuclear and Cytoplasmic Extraction kit (Pierce Biotechnology), according the manufacture instruction. Blot were probed with Rabbit anti-IRF-1 (D5E4) XP® Rabbit mAb, GAPDH (D16H11) XP® Rabbit mAb, Lamin B1 polyclonal Rabbit Abs, NF-κB p65 (D14E12) XP® Rabbit mAb, followed by goat anti-rabbit IgG peroxidase conjugate Abs (all antibodies from Cell signaling). The blots were developed using the SuperSignal West Pico chemiluminescence kit (Pierce Biotechnology). Each blot was reprobed with GAPDH (total extract, or cytoplasmic fractionation) or Lamin B1 (nuclear fractionation) to verify protein uniformity. Data quantification was done using Image Studio software (Version 3.1.4) (LI-COR, Inc.)
Transfection and luciferase assay
293T cells were grown in DMEM supplemented with 10% FBS, transfected with Fughene-HD Transfection Reagent (Roche) with the CCL2 dual-reporter and constructs encoding IRF1, NF-κB p65, or an appropriate empty control. Luciferase and SEAP activity was analyzed 24 h after transfection with the Secrete-Pair Dual Luminescence Assay Kit (GeneCopoeia, Inc).
ChIP
Cells were crosslinked with 1% formaldehyde for 15 min. Crosslinking was stopped by the addition of Glycine, and cells were lysed with 0.35 ml lysis buffer (1% SDS, 10 mM EDTA and 50 mM Tris-HCl, pH 8.1) containing 1× protease inhibitor 'cocktail' (Roche Molecular Biochemicals). Chromatin was sheared by sonication and supernatants were collected after centrifugation and diluted in buffer (1% Triton X-100, 2 mM EDTA, 150 mM NaCl nd 20 mM Tris-HCl, pH 8.1). Antibody (5 µg) was prebound for 6 h to protein A and protein G Dynal magnetic beads (Invitrogen) and was washed three times with ice-cold 5% BSA in PBS, and then was added to the diluted chromatin and immunoprecipitated overnight (antibodies described below). Magnetic bead–chromatin complexes were then washed three times in RIPA buffer (50 mM HEPES, pH 7.6, 1 mM EDTA, 0.7% sodium deoxycholate, 1% Nonidet-P40 and 0.5 M LiCl), followed by three times with Tris-EDTA buffer. Immunoprecipitated chromatin was then extracted with 1% SDS, 0.1 M NaHCO3 and heated for at least 8 h at 65 °C for reversal of the formaldehyde crosslinking. DNA fragments were purified with a QIAquick DNA purification Kit (Qiagen) and analyzed by SYBR Green real-time PCR (primers described below). The following antibodies were used for ChIP: anti-IRF1 (SC-640x; Santa Cruz Biotechnology), anti-NF-κB p65 (ab7970; Abcam), and rabbit IgG (ab27478; Abcam). The following primer pairs were used: The following primer pairs were used: ccl2:NF-κB forward, 5′-CAGCTAAATATCTCTCCCGAAGG-3′, and reverse, 5′-CATAGATGCCCACAGCTCAT-3′; ccl2: ISRE forward, 5′-CTGCCAATTCTTCCCTCTTTC-3′, and reverse, 5′-GTGGGTTGGA-ATTTGGTATTT-3′; csf2: NF-κB forward, 5′- GACCAGATGGGTGGAGTGACC-3′, and reverse, 5′- AGCCACACGCTTCTGGTTCC-3′; csf2:ISRE forward, 5′- GCTTTCGAGGGTCA-GATAACA-3′, and reverse, 5′- CACACGCTTGGGCTAAGA-3′; nos2:NF-κB(1) forward, 5′-CACAGACTAGGAGTGTCCATCA-3′, and reverse, 5′- GCAGCAGCCATCAGGTATTT-3′; nos2:ISRE/NF-κB(2) forward, 5′- ACCATGCGAAGATGAGTGGA-3′, and reverse, 5′- AGCC-AGGAACACTACACAGAA-3′.
Monocytes migration assay
Splenic Ly6Chigh monocytes were sorted (CD11b+/F4–80+, SSClow/Ly6Chigh), and seeded in the upper chamber of a 24-well cell culture insert with 3-µm pore-size (Corning). Cells were pre-treated with PDMP, LacCer, PDMP+LacCer or vehicle for 1h. Then inserts were transferred to different wells with pre-warmed media containing CLL-2 (50 ng/ml, peprotech) or vehicle (PBS). Migrating monocytes were quantified in the lower chamber after 3 hr.
Human primary astrocytes
Human fetal astrocytes were isolated as previously described50 from human CNS tissue from fetuses at 17–23 wk of gestation obtained from the Human Fetal Tissue Repository (Albert Einstein College of Medicine, Bronx, NY) following Canadian Institutes for Health Research-approved guidelines. Cultures were >90% pure.
MS tissues
Brain tissue was obtained from MS patients with clinically diagnosed and neuropathologically confirmed MS, non-MS CNS inflammatory diseases (NMSCID, including viral encephalitis, Rasmussen’s encephalitis and ADEM and healthy controls. Autopsy samples were immediately frozen in liquid nitrogen. White matter MS tissue samples were selected as previously described51. All patients and controls, or their next of kin, had given informed consent for autopsy and use of their brain tissue for research purposes. Ethic approval was given prior to autopsy (CHUM ethic approval: SL05.022 and SL05.023 and BH07.001).
Statistical analysis
Prism software version 6.0e (GraphPad Software) was used for statistical analysis. P values of less than 0.05 were considered significant.
Supplementary Material
Acknowledgments
The authors thank Grigoriy Losyev and Deneen Kozoriz for cell sorting, and Dr. Frank Kirchhoff (University of Saarland, Homburg, Germany) for providing us with GFAP transgenic mice. This work was supported by grants AI075285, and AI093903 from the National Institutes of Health, RG4111A1 and JF2161-A-5 from the National Multiple Sclerosis Society and PA0069 from the International Progressive MS Alliance to FJQ. L.M. is supported by a postdoctoral fellowship (FG1941A1/2) from National Multiple Sclerosis Society.
Footnotes
Authors’ contribution
L.M., M.N., P.K. and I.D.M. performed in vitro and in vivo experiments with murine systems, S.A.T. measured lipids, J.I.A. and A.P. provided unique M.S. samples, J.I.A. and L.M. performed in vitro experiments with human samples, L.M, M.B. and J.P.A. performed experiments with human astrocytes in culture, B.P. performed bioinformatics analysis, R. B. contributed to the initial experimental design, L.M., H.L.W. analyzed and interpreted data, L.M and F.J.Q. wrote the manuscript, F.J.Q. conceived and supervised the study and edited the manuscript.
References
- 1.Clarke LE, Barres BA. Emerging roles of astrocytes in neural circuit development. Nat Rev Neurosci. 2013;14:311–321. doi: 10.1038/nrn3484. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Rouach N, Koulakoff A, Abudara V, Willecke K, Giaume C. Astroglial metabolic networks sustain hippocampal synaptic transmission. Science. 2008;322:1551–1555. doi: 10.1126/science.1164022. [DOI] [PubMed] [Google Scholar]
- 3.Seifert G, Schilling K, Steinhauser C. Astrocyte dysfunction in neurological disorders: a molecular perspective. Nat Rev Neurosci. 2006;7:194–206. doi: 10.1038/nrn1870. [DOI] [PubMed] [Google Scholar]
- 4.Tsai HH, et al. Regional astrocyte allocation regulates CNS synaptogenesis and repair. Science. 2012;337:358–362. doi: 10.1126/science.1222381. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Bush TG, et al. Leukocyte infiltration, neuronal degeneration, and neurite outgrowth after ablation of scar-forming, reactive astrocytes in adult transgenic mice. Neuron. 1999;23:297–308. doi: 10.1016/s0896-6273(00)80781-3. [DOI] [PubMed] [Google Scholar]
- 6.Myer DJ, Gurkoff GG, Lee SM, Hovda DA, Sofroniew MV. Essential protective roles of reactive astrocytes in traumatic brain injury. Brain. 2006;129:2761–2772. doi: 10.1093/brain/awl165. [DOI] [PubMed] [Google Scholar]
- 7.Toft-Hansen H, Fuchtbauer L, Owens T. Inhibition of reactive astrocytosis in established experimental autoimmune encephalomyelitis favors infiltration by myeloid cells over T cells and enhances severity of disease. Glia. 2011;59:166–176. doi: 10.1002/glia.21088. [DOI] [PubMed] [Google Scholar]
- 8.Voskuhl RR, et al. Reactive astrocytes form scar-like perivascular barriers to leukocytes during adaptive immune inflammation of the CNS. J Neurosci. 2009;29:11511–11522. doi: 10.1523/JNEUROSCI.1514-09.2009. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Mayo L, Quintana FJ, Weiner HL. The innate immune system in demyelinating disease. Immunol Rev. 2012;248:170–187. doi: 10.1111/j.1600-065X.2012.01135.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Nylander A, Hafler DA. Multiple sclerosis. J Clin Invest. 2012;122:1180–1188. doi: 10.1172/JCI58649. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.Weiner HL. The challenge of multiple sclerosis: how do we cure a chronic heterogeneous disease? Ann Neurol. 2009;65:239–248. doi: 10.1002/ana.21640. [DOI] [PubMed] [Google Scholar]
- 12.Joseph J, Bittner S, Kaiser FM, Wiendl H, Kissler S. IL-17 silencing does not protect nonobese diabetic mice from autoimmune diabetes. J Immunol. 2012;188:216–221. doi: 10.4049/jimmunol.1101215. [DOI] [PubMed] [Google Scholar]
- 13.Basso AS, et al. Reversal of axonal loss and disability in a mouse model of progressive multiple sclerosis. J Clin Invest. 2008;118:1532–1543. doi: 10.1172/JCI33464. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14.Farez MF, et al. Toll-like receptor 2 and poly(ADP-ribose) polymerase 1 promote central nervous system neuroinflammation in progressive EAE. Nat Immunol. 2009;10:958–964. doi: 10.1038/ni.1775. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Cao W, et al. Leukemia inhibitory factor inhibits T helper 17 cell differentiation and confers treatment effects of neural progenitor cell therapy in autoimmune disease. Immunity. 2011;35:273–284. doi: 10.1016/j.immuni.2011.06.011. [DOI] [PubMed] [Google Scholar]
- 16.Pluchino S, et al. Injection of adult neurospheres induces recovery in a chronic model of multiple sclerosis. Nature. 2003;422:688–694. doi: 10.1038/nature01552. [DOI] [PubMed] [Google Scholar]
- 17.Chatterjee S, Alsaeedi N. Lactosylceramide synthase as a therapeutic target to mitigate multiple human diseases in animal models. Adv Exp Med Biol. 2012;749:153–169. doi: 10.1007/978-1-4614-3381-1_11. [DOI] [PubMed] [Google Scholar]
- 18.Pannu R, Won JS, Khan M, Singh AK, Singh I. A novel role of lactosylceramide in the regulation of lipopolysaccharide/interferon-gamma-mediated inducible nitric oxide synthase gene expression: implications for neuroinflammatory diseases. J Neurosci. 2004;24:5942–5954. doi: 10.1523/JNEUROSCI.1271-04.2004. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Ajami B, Bennett JL, Krieger C, McNagny KM, Rossi FM. Infiltrating monocytes trigger EAE progression, but do not contribute to the resident microglia pool. Nat Neurosci. 2011;14:1142–1149. doi: 10.1038/nn.2887. [DOI] [PubMed] [Google Scholar]
- 20.Izikson L, Klein RS, Charo IF, Weiner HL, Luster AD. Resistance to experimental autoimmune encephalomyelitis in mice lacking the CC chemokine receptor (CCR)2. J Exp Med. 2000;192:1075–1080. doi: 10.1084/jem.192.7.1075. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.Mildner A, et al. CCR2+Ly-6Chi monocytes are crucial for the effector phase of autoimmunity in the central nervous system. Brain. 2009;132:2487–2500. doi: 10.1093/brain/awp144. [DOI] [PubMed] [Google Scholar]
- 22.Watkins TA, Emery B, Mulinyawe S, Barres BA. Distinct stages of myelination regulated by gamma-secretase and astrocytes in a rapidly myelinating CNS coculture system. Neuron. 2008;60:555–569. doi: 10.1016/j.neuron.2008.09.011. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Nishie T, et al. Beta4-galactosyltransferase-5 is a lactosylceramide synthase essential for mouse extra-embryonic development. Glycobiology. 2010;20:1311–1322. doi: 10.1093/glycob/cwq098. [DOI] [PubMed] [Google Scholar]
- 24.Tokuda N, et al. beta4GalT6 is involved in the synthesis of lactosylceramide with less intensity than beta4GalT5. Glycobiology. 2013;23:1175–1183. doi: 10.1093/glycob/cwt054. [DOI] [PubMed] [Google Scholar]
- 25.Yan Y, et al. CNS-specific therapy for ongoing EAE by silencing IL-17 pathway in astrocytes. Molecular therapy : the journal of the American Society of Gene Therapy. 2012;20:1338–1348. doi: 10.1038/mt.2012.12. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 26.Lee JK, et al. Lactosylceramide Mediates the Expression of Adhesion Molecules in TNF-alpha and IFNgamma-stimulated Primary Cultured Astrocytes. The Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology. 2011;15:251–258. doi: 10.4196/kjpp.2011.15.5.251. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Huang DR, Wang J, Kivisakk P, Rollins BJ, Ransohoff RM. Absence of monocyte chemoattractant protein 1 in mice leads to decreased local macrophage recruitment and antigen-specific T helper cell type 1 immune response in experimental autoimmune encephalomyelitis. J Exp Med. 2001;193:713–726. doi: 10.1084/jem.193.6.713. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28.Heppner FL, et al. Experimental autoimmune encephalomyelitis repressed by microglial paralysis. Nat Med. 2005;11:146–152. doi: 10.1038/nm1177. [DOI] [PubMed] [Google Scholar]
- 29.David S, Kroner A. Repertoire of microglial and macrophage responses after spinal cord injury. Nat Rev Neurosci. 2011;12:388–399. doi: 10.1038/nrn3053. [DOI] [PubMed] [Google Scholar]
- 30.Lawrence T, Natoli G. Transcriptional regulation of macrophage polarization: enabling diversity with identity. Nat Rev Immunol. 2011;11:750–761. doi: 10.1038/nri3088. [DOI] [PubMed] [Google Scholar]
- 31.Murray PJ, Wynn TA. Protective and pathogenic functions of macrophage subsets. Nat Rev Immunol. 2011;11:723–737. doi: 10.1038/nri3073. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Ponomarev ED, et al. GM-CSF production by autoreactive T cells is required for the activation of microglial cells and the onset of experimental autoimmune encephalomyelitis. J Immunol. 2007;178:39–48. doi: 10.4049/jimmunol.178.1.39. [DOI] [PubMed] [Google Scholar]
- 33.Gong N, Wei H, Chowdhury SH, Chatterjee S. Lactosylceramide recruits PKCalpha/epsilon and phospholipase A2 to stimulate PECAM-1 expression in human monocytes and adhesion to endothelial cells. Proc Natl Acad Sci U S A. 2004;101:6490–6495. doi: 10.1073/pnas.0308684101. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 34.Nakamura H, et al. Lactosylceramide interacts with and activates cytosolic phospholipase A2alpha. The Journal of biological chemistry. 2013;288:23264–23272. doi: 10.1074/jbc.M113.491431. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 35.Ho PP, et al. Identification of naturally occurring fatty acids of the myelin sheath that resolve neuroinflammation. Sci Transl Med. 2012;4 doi: 10.1126/scitranslmed.3003831. 137ra173. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 36.Jahng A, et al. Prevention of autoimmunity by targeting a distinct, noninvariant CD1d–reactive T cell population reactive to sulfatide. J Exp Med. 2004;199:947–957. doi: 10.1084/jem.20031389. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 37.Kanter JL, et al. Lipid microarrays identify key mediators of autoimmune brain inflammation. Nat Med. 2006;12:138–143. doi: 10.1038/nm1344. [DOI] [PubMed] [Google Scholar]
- 38.Quintana FJ, et al. Antigen microarrays identify unique serum autoantibody signatures in clinical and pathologic subtypes of multiple sclerosis. Proc Natl Acad Sci U S A. 2008;105:18889–18894. doi: 10.1073/pnas.0806310105. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39.Quintana FJ, Yeste A, Weiner HL, Covacu R. Lipids and lipid-reactive antibodies as biomarkers for multiple sclerosis. J Neuroimmunol. 2012;248:53–57. doi: 10.1016/j.jneuroim.2012.01.002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 40.Schwab JM, Chiang N, Arita M, Serhan CN. Resolvin E1 and protectin D1 activate inflammation-resolution programmes. Nature. 2007;447:869–874. doi: 10.1038/nature05877. [DOI] [PMC free article] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.