Abstract
Laminin-211 is a major constituent of the skeletal muscle basement membrane, exerting its biological functions by binding to cell surface receptors integrin α7β1 and dystroglycan (the latter is part of the dystrophin-glycoprotein complex). The importance of these molecules for normal muscle function is underscored by the fact that their respective deficiency leads to different forms of muscular dystrophy with different severity in humans and animal models. We recently demonstrated that laminin α2 chain and members of the dystrophin-glycoprotein complex have overlapping but non-redundant roles despite being part of the same adhesion complex. To analyse whether laminin-211 and integrin α7 subunit have non-redundant functions we generated mice deficient in laminin α2 chain and integrin α7 subunit (dy3K/itga7). We show that lack of both molecules did not exacerbate the severe phenotype of laminin α2-chain deficient animals. They displayed the same weight, survival and dystrophic pattern of muscle biopsy, with similar degree of inflammation and fibrosis. These data suggest that laminin-211 and integrin α7β1 have intersecting roles in skeletal muscle.
The mechanical stability and function of skeletal muscle are largely dependent on the association of the extracellular matrix with the muscle cell membrane and the intracellular cytoskeleton. The significance of this cell-matrix continuity is highlighted in humans as mutations in the genes encoding extracellular matrix, cell surface receptors or cytoskeleton-interacting proteins cause various types of muscular dystrophy1. A central element of the extracellular matrix-muscle fiber linkage is laminin-211, a heterotrimeric cell adhesion molecule (composed of α2, β1 and γ1 subunit) that strengthens sarcolemmal stability, protects muscles from damage, controls myofiber survival and regeneration and regulates muscle function2,3,4,5,6. The deficiency of laminin α2 chain leads to a severe form of congenital muscular dystrophy (type 1A, referred to as MDC1A)7,8,9. Moreover, complete deficiency of laminin α2 chain in mice (dy3K/dy3K animals used in this study) results in the most severe phenotype among mouse models lacking proteins of cell adhesion complexes2,10,11,12.
Integrin α7β1 is one of the major cell surface receptors that binds laminin-211 in the musculoskeletal system13,14. Integrin α7β1 is localized both at the sarcolemma and enriched at the neuromuscular and myotendinous junctions15. In addition to providing anchorage and structural framework integrin α7β1 mediates signalling transduction cues16,17,18. This dual role has been suggested to be an engine for numerous processes: muscle development (myoblast migration, fusion, differentiation in vitro), survival, growth, regeneration and force generation5,15,18,19,20,21,22. Yet, skeletal muscle develops normally in integrin α7-null mice. Additionally, these mice are presented with a mild form of muscular dystrophy that mostly affects myotendinous junction23,24. Similarly, the loss of integrin α7 subunit in humans causes an extremely rare form of congenital myopathy25,26.
Another protein complex that interacts with laminin-211 and comprises the molecular link between extracellular matrix and cytoskeleton is the dystrophin-glycoprotein complex (DGC). Numerous research investigations have addressed the role of DGC in preservation of the structural and functional integrity of skeletal muscle5,9,27,28.
In spite of the relatively mild phenotype of integrin α7-deficient muscle, several studies in mice and humans indicated that integrin α7 subunit could play a significant role in modifying the disease progression in muscular dystrophies involving the absence of DGC components (dystrophin- and γ-sarcoglycan-deficient muscular dystrophies)29,30,31,32,33,34. These studies suggested that integrin α7β1 and the DGC could have redundant functions. Yet, the separate roles for these two complexes are also evident5,35. Even the interaplay between laminin α2 chain and integrin α7β1 seems to be complex and its role in skeletal muscle has not been fully deciphered. Reduced expression of integrin α7 subunit20,29,36 and its aberrant deposition at the sarcolemma37 accompany the laminin α2 chain loss. Consequently, overexpression of integrin α7 subunit in laminin α2 chain-deficient mice improves muscle pathology38. Nonetheless, the phenotypes of integrin α7 and laminin α2 chain-deficient mice and patients are markedly different9,11,23.
We have recently demonstrated that the absence of laminin α2 chain in dystrophin or β-sarcoglycan deficiency drastically aggravates the phenotype of mdx and Sgcb mice, respectively12. Our results pointed out that laminin α2 chain, dystrophin, and β-sarcoglycan have complementary, but non-redundant roles in spite of being part of the same adhesion complex. In the current study we generated laminin α2 chain-integrin α7 chain double knockout mice (dy3K/itga7) in order to establish the relationship between these molecules independently of the DGC and to determine if the main role of integrin α7β1 is to mediate laminin-211 interactions in muscle.
Results
Expression profile of integrins in laminin α2 chain- and integrin α7-deficient muscles
Dy3K/dy3K mice exhibit very severe muscular dystrophy10,12. In order to determine if the deletion of integrin α7 subunit exacerbates the phenotype of laminin α2 chain-deficient dystrophic mice, we generated mice lacking both molecules (dy3K/itga7) (by series of heterozygous breeding, see materials and methods). The genotype was confirmed by PCR (data not shown) and immunofluorescence (Fig. 1). In accordance with previous studies, laminin α2 chain was normally expressed in the absence of integrin α7 subunit36 (Fig. 1). Integrin α7 chain, on the other hand, was reduced in the dy3K/dy3K laminin α2 chain-deficient muscle37 (Fig. 1). Yet, compared with itga7 knockout mice and double knockout muscles, integrin α7 subunit was not completely absent from the sarcolemma of laminin α2 chain-deficient mice and it was also present in vessels (Fig. 1). Furthermore, the expression of integrin α7 subunit in younger (2-week-old) dy3K/dy3K muscles was maintained at the sarcolemma (Fig. 1). Taken together, these results clearly distinguish dy3K/dy3K muscles from dy3K/itga7 double knockout muscles in terms of integrin α7 chain expression. Additionally, integrin β1 subunit, which forms a dimer with integrin α7 chain in healthy muscle, was expressed in all three knockout models37 (Fig. 1). Hence, we investigated the expression of integrin α subunits that could potentially dimerize with integrin β1 chain at the sarcolemma. Integrin α6β1 is a laminin-211 receptor and integrin α6 subunit has been demonstrated to be upregulated in mice with partial deficiency of laminin α2 chain (dy/dy mouse model)39. Integrin α5 chain is another candidate to form a dimer with integrin β1 subunit in muscle, as it has been shown to contribute to maintenance of normal muscle morphology40. We found moderate upregulation of integrin α6 subunit in dy3K/dy3K and dy3K/itga7 muscles compared to wild-type and itga7 muscles (Fig. 1). Integrin α6 was mostly present in smaller regenerating fibers (Fig. 1, arrows), but it was also occasionally found in a few bigger muscle fibers, though its expression was rather weak and not continuous throughout the sarcolemma (Fig. 1, arrowheads). Integrin α5 chain was expressed only in large vessels and in streaks of interstitial connective tissue in wild-type and integrin α7-null muscle (Fig. 1). It was not deposited at the sarcolemma of dy3K/dy3K and dy3K/itga7 muscles, but instead it was massively upregulated at the interstitial space within muscle fibers (Fig. 1), suggesting a role for integrin α5 in inflammation and fibrosis.
Integrin α7β1 binds also laminin α4 and α5 chains14. Those laminin chains are upregulated upon laminin α2 chain loss in skeletal muscle41. Accordingly, we detected their upregulation in the extrasynaptic basement membranes in dy3K/dy3K and dy3K/itga7 muscles (Supplementary Fig. S1). Additionally, we found laminin α4 and laminin α5 chains to be weakly expressed at the myotendinous junction (MTJ) in wild-type mice. Their expression was preserved (laminin α5) or increased (laminin α4) at this site in all three analysed mutants, which could partially explain maintained expression of integrin α7β1 at the MTJ in dy3K/dy3K mice and integrin β1 presence in double knockout mice (Supplementary Fig. S1). Integrin α5 and α6 have also been found to be moderately expressed at the MTJ in all three knockout mice (Supplementary Fig. S1).
Taken together, the expression pattern of integrin α5β1, α6β1, laminin α4 and α5 chains is the same between dy3K/dy3K and dy3K/itga7 muscle, indicating no additional compensatory mechanisms in double knockout mice.
Overall phenotype of dy 3K /itga7 double knockout mice is not aggravated compared with dy 3K /dy 3K single knockouts
Approximately 60% of itga7 null-mice are embryonic lethal due to cerebrovascular defects42. Thus, the number of dy3K/itga7 mice used in this study was limited. Integrin α7-deficient animals that survive embryonic development have near normal life span, weight and are fertile. Double knockout mice that were born did not die earlier than dy3K/dy3K mice and both mutants lived up to 7–8 weeks after birth (Fig. 2b) (dy3K/dy3K mice usually die at around 3–4 weeks of age, but we observed increased survival on the B6;129-Itga7tm1Burk/J background). Likewise, the overall health of dy3K/itga7 mice was not worsened compared to dy3K/dy3K animals. They displayed comparable growth retardation, muscle wasting, tremor, scoliosis and reduced eagerness to move (Fig. 2a). Accordingly, the weight of dy3K/itga7 mice was not significantly different from single knockout dy3K/dy3K animals (Fig. 2c).
Dystrophic features of laminin α2 chain-deficient muscle are not dramatically changed upon integrin α7 deletion
Laminin α2 chain-deficient muscle displays multiple defects. Cell death and degeneration/regeneration cycles are concomitant with massive infiltration of inflammatory cells and subsequent robust production of extracellular matrix components2 (Fig. 3a). These pathogenic processes result in severe muscle wasting and loss of muscle function. Integrin α7-null mice, on the other hand, develop mild myopathy with defects concentrated around the myotendinous junction – with its disrupted structure and function as well as with myofiber necrosis, muscle regeneration and inflammation around the myotendionous junctions23,24 (Fig. 3a).
Histological analysis of limb muscle sections from 5–7-week-old double knockout dy3K/itga7 mice did not reveal additional changes in muscle morphology compared to the severe defects seen in dy3K/dy3K muscles (Fig. 3a). Muscle fascicles were equally severely disrupted in both mutants, with large areas of focal apoptosis/necrosis and mononuclear cells infiltrates (Fig. 3a). Regenerating fibers with centrally located nuclei and loose atrophic fibers were also present. Nevertheless, quantification of centrally nucleated muscle cells showed decreased number of regenerating fibers in dy3K/itga7 muscles (triceps and quadriceps) compared to dy3K/dy3K muscles (Fig. 3b). We next estimated the regenerative capacity of dy3K/itga7 muscle by immunostaining using the antibody against the embryonic myosin heavy chain. Newly regenerating fibers expressing embryonic form of myosin heavy chain were present in both dy3K/dy3K and dy3K/itga7 muscles (Fig. 3c), indicating that muscle regeneration is not exhausted in double knockout mice. Yet, the regenerative capacity could still be altered/slowed down in the absence of integrin α7 subunit, as indicated by decreased numbers of regenerating cells.
A general examination of the dy3K/itga7 diaphragm did not reveal a dramatic aggravation of the phenotype either (Fig. 4a). Both dy3K/dy3K and dy3K/itga7 diaphragm showed dystrophic features (Fig. 4a, hematoxylin&eosin staining) and rich collagen deposition (Fig. 4a, Sirius red/fast green staining). As it has been shown before, heart muscle from dy3K/dy3K mice was not affected35 (Fig. 4b), despite laminin α2 chain being abundantly deposited in heart basement membranes. Integrin α7 subunit is also strongly expressed in heart43. However, in addition to laminin α2 chain loss, the absence of integrin α7 subunit in dy3K/itga7 heart did not result in appearance of cardiomyopathy features and visibly increased collagen content (Fig. 4b).
Although the dystrophic phenotype of muscles from double knockout mice is not drastically worsened compared to dy3K/dy3K muscles (Fig. 3a), slightly impaired/slower regeneration (Fig. 3b) could result in more rapid loss of muscle fibers and in consequence, give rise to increased fibrotic build-up. Thus, we analysed the expression of collagen III and fibronectin, two major components of fibrotic lesions, in triceps and quadriceps muscle (Fig. 5). Integrin α7-deficient muscles did not exhibit fibrotic changes, whereas dy3K/dy3Kand dy3K/itga7 muscles showed increased collagen III and fibronectin production (Fig. 5a). The quantitative comparison of areas affected with collagen III and fibronectin deposition in dy3K/dy3K and dy3K/itga7 muscles (triceps and quadriceps) did not demonstrate a significant difference in fibronectin and collagen content between the genotypes (Fig. 5b). Yet, a trend for marginally enhanced fibrotic tissue build-up in double knockout triceps was observed (Fig. 5b, p = 0.0635), which could indeed be matched with moderate regeneration impairment in dy3K/itga7 muscles. Nevertheless, it does not change the fact that muscles from both laminin α2 chain-null mice and double knockout mice are severely dystrophic and do not differ substantially between each other. This was also confirmed by analyses of apoptosis and inflammation (Fig. 6). Apoptosis is a hallmark of laminin α2 chain-deficient muscle and integrin α7β1 signalling is involved in maintenance of muscle survival6,10,16,20. We analysed apoptosis in both single and double knockout muscles (Fig. 6a). No increase in apoptosis was detected in double knockout muscles compared to dy3K/dy3K muscles as indicated by caspase-3 immunostaining and quantification of caspase-3 positive fibers (p = 0.6828) (Fig. 6a,c). Integrin α7-deficient mice did not display apoptotic muscle cells (Fig. 6a).
Since inflammation is a feature of laminin α2 chain-deficient muscular dystrophy12,44,45,46, we assessed the inflammatory response in muscles from all three mouse models used in this study (Fig. 6b). CD11b immunostaining depicting macrophages revealed equally strong inflammatory response in both dy3K/dy3K and dy3K/itga7 muscles (p = 0.7143) (Fig. 6b,d) and showed almost no inflammation in itga7-null muscles (Fig. 6b).
Discussion
Although numerous studies with muscular dystrophy patients and with genetically modified dystrophic animals have been performed, the molecular puzzle of relationships between different adhesion complexes in skeletal muscle has not been entirely deciphered. Laminin α2 chain is a bridging element between two adhesion complexes – integrin α7β1 and the DGC. The DGC remains intact in laminin α2 chain-deficient muscle and we have recently demonstrated non-redundant functions of laminin α2 chain and the DGC components dystrophin and β-sarcoglycan, as loss of these molecules significantly exacerbated the phenotype of dy3K/dy3K mice12. Integrin α7 chain expression, on the other hand, is secondarily reduced in MDC1A20,36,37 and therefore we reasoned that mice deficient in both laminin α2 chain and integrin α7 chain should have a similar phenotype as laminin α2 chain-null mice12. In the current study we test this hypothesis by deleting the integrin α7 subunit in laminin α2 chain-deficient dy3K/dy3K mice.
In general, the phenotype of double knockout mice did not exceed the severity of laminin α2 chain single knockout mice, which represent one of the most severe muscular dystrophy mouse models12. The fact that mice deficient in both laminin α2 chain and β-sarcoglycan or dystrophin (dy3K/Sgcb and dy3K/mdx, respectively) exhibited a dramatically deteriorated dystrophic phenotype12 indicates that integrin α7β1-laminin-211 axis could have an inferior role to the DGC-laminin-211 association in skeletal muscle. On the other hand, mice lacking integrin α7 subunit and the DGC components showed a very severe phenotype32,33,34 (albeit less severe than dy3K/mdx and dy3K/Sgcb mice12), implying that integrin α7β1 also contributes to the functional integrity of skeletal muscle. Consequently, we have demonstrated that truncated laminin that cannot bind dystroglycan but binds integrin α7β1 is sufficient to adequately maintain muscle function35. It could be that laminin α2 chain binding to integrin α7β1 has a more important role in signalling than in providing structural support to muscle cells5. However, the signalling cascades involving integrin α7β1 that are fundamental for muscle function are yet to be identified and this remains an important task.
We also sought to elucidate if compensatory upregulation of other α integrin subunits could be an alternative reason behind the not substantially aggravated phenotype of double knockout mice. Overlapping functions of different β1 integrins have been indicated in numerous studies15. Accordingly, integrin β1 subunit is not absent from cell membranes in laminin α2 chain-null and integrin α7/laminin α2 chain-deficient muscle (Fig. 1 and37). However, the undistinguishable expression pattern of integrin α6 and integrin α5 subunits in dy3K/dy3K and dy3K/itga7 muscles excludes the possibility that integrin α6β1 and/or integrin α5β1 prevent further deterioration of dystrophic phenotype in double knockout animals, even if integrin α5 subunit has been shown to protect muscle from damage40. What is more, neither of those integrin complexes seems to involved in inhibiting the dystrophic phenotype of single knockout dy3K/dy3K mice. Contrary, the upregulation of integrin α5 chain, a major fibronectin receptor expressed in fibroblasts, has been shown to impact various fibrotic conditions47,48,49,50,51 and inflammation52,53. It is not excluded that upregulation of integrin α5 in laminin α2 chain-deficient muscles promotes fibrosis, as integrin α5 subunit does not bind laminin-211, but interacts with fibronectin.
Although the phenotype of double knockout dy3K/itga7 muscles is to large extent the same as the phenotype of dy3K/dy3K muscles, a more detailed analysis revealed a slight exacerbation of muscle defects, such as somewhat impaired regeneration and tendency for marginally increased fibrosis. These results match the data published by Doe et al., where the overexpression of integrin α7 subunit has been shown to moderately improve the phenotype of dyW/dyW mice38. On the other hand, reduced inflammation has also been suggested to be controlled by integrin α7 overexpression in dyW/dyW muscle38. Yet, the deletion of integrin α7 subunit in dy3K/dy3K mice did not exacerbate the inflammatory response, pointing toward no significant role for integrin α7β1 in inflammation regulation, at least in dy3K/dy3K muscle. Collectively, results obtained in Burkin’s laboratory and our data suggest that the upregulation of integrin α7 subunit in laminin α2 chain-deficiency could only affect the muscle phenotype to some extent, most likely influencing muscle regeneration and perhaps muscle survival21. Indeed, there is a line of evidence for the role of integrin α7β1 in muscle regeneration and satellite cell activation/myogenic function22,31,33,54,55. Besides MDC1A, the integrin α7β1 upregulation approach has also been tested for Duchenne muscular dystrophy. Both transgenic overexpression and AVV-mediated delivery of integrin α7β1 have shown rather good effects in dystrophin/utrophin-deficient mice (mdx/utr) and dystrophin-null mice (mdx), respectively30,31,56,57. Thus, targeting integrin α7β1 expression may show more promise for treatment of Duchenne muscular dystrophy.
In summary, our previous results indicate that DGC and laminin α2 chain have complementary but non-redundant functions in skeletal muscle while the current study shows that integrin α7β1 does not play any other roles in skeletal muscle than mediating the laminin α2 chain interaction. Moreover, integrin α7β1 probably does not bind any additional vital ligands. Laminin α2 chain, on the other hand, may interact with other receptors than dystroglycan and integrin α7β1. Potential receptors may include integrin α9β1, which is expressed in skeletal muscle58 and has been shown to bind laminin-11159. Also, proteins that were originally identified in Schwann cells as laminin-binding molecules (galactosyl-sulfatides60 and adhesion G protein-coupled receptors61) may serve as laminin α2 chain binding receptors in skeletal muscle. In order to further understand the molecular pathology of MDC1A and other muscular dystrophies it will be crucial to validate whether laminin-211 interacts with additional receptors in striated muscle.
Methods
Mouse models, double knockout mice generation
Laminin α2 chain-null dy3K/dy3K mice were previously described10. Itga7/+ mice (B6;129-Itga7tm1Burk/J)42 were obtained from Jackson laboratory. Dy3K/+ males or females were bred with itga7/+ females or males, respectively. The resulting dy3K/+; itga7/+ mice were mated to generate wild-type, itga7 knockout, dy3K/dy3Kand dy3K/itga7 double knockout mice. Control animals were: wild-type or dy3K/+. Mice were maintained in the animal facilities of Biomedical Center (Lund) according to the animal care guidelines. All experimental procedures involving animals were approved by the Malmö/Lund (Sweden) Ethical Committee for Animal Research (the ethical permit number: M15-12 and M152-14) in accordance with the guidelines approved by the Swedish Board of Agriculture.
Histology and morphometric analysis
Quadriceps femoris, triceps brachii, diaphragm and heart muscles were isolated from 5-7-week-old mice (single knockouts, double knockouts and control animals), embedded in OCT and frozen rapidly in liquid nitrogen. Cryosections (7 μm) were stained with hematoxylin and eosin12 or picrosirius red/fast green44. Stained cross-sections were scanned using Aperio’s Scanscope CS2 (with Scanscope console v.8.2.0.1263) and images were created using Aperio software.
Centrally nucleated fibers representing regenerating muscle cells and peripherally nucleated normal muscle cells were counted in triceps brachii and vastus intermedius (quadriceps femoris) from dy3K/dy3K and dy3K/itga7 mice using ImageJ software version 143u (NIH, Bethesda, MD). A whole area of each muscle cross section (from both legs) was considered. Percentage of centrally nucleated fibers in each muscle was calculated and averaged between two collateral muscles from the same animal. Mann-Whitney test was used for statistical analysis (p < 0.05).
Immunofluorescence
Cryosections were subjected to immunofluorescence labeling12 with antibodies against: laminin α2 chain (rat monoclonal 4H8-2, 1:100, Alexis Biochemicals), integrin α7B subunit (rabbit polyclonal U31, 1:300, kindly provided by Dr. U. Mayer), integrin β1D subunit (mouse monoclonal 2B1, 1:80, Millipore), integrin α5 subunit (rat monoclonal 5H10-27 phycoerythrin-conjugated, 1:100, Abcam), integrin α6 subunit (rat monoclonal GoH3, 1:200, Abcam), CD11b (rat monoclonal M1/70, 1:250, BD Pharmingen), collagen III (goat polyclonal, 1:100, Southern Biotech), fibronectin (rabbit polyclonal, 1:1000, Abcam), embryonic myosin heavy chain (mouse monoclonal F1.652, 1:10; Developmental Studies Hybridoma Bank), caspase-3 (mouse monoclonal 46, 1:100, BD Transduction Laboratories), collagen IV (rabbit polyclonal, 1:100, Millipore), dystrophin (rabbit polyclonal, 1:100, Abcam), laminin γ1, laminin α4 and laminin α5 chain (all rabbit polyclonal, 1:100, kindly provided by Dr. T. Sasaki). Primary antibodies were detected with proper secondary antibodies (Molecular Probes). Stained cross-sections were analysed using a Zeiss Axioplan fluorescence microscope. Images were taken using with an ORCA 1394 ER digital camera and Openlab 4 software, at the same exposure times for all genotypes. The area corresponding to CD11b, collagen III and fibronectin labeling was quantified in relation to the entire area of vastus intermedius (quadriceps femoris) and/or triceps brachii cross-sections from dy3K/dy3K and dy3K/itga7 mice (for each animal the average percentage of stained area was calculated for muscles from collateral legs). ImageJ software version 143u (NIH, Bethesda, MD) was used. Mann-Whitney test was used for statistical analysis (p<0.05). For collagen III and fibronectin staining, myotendinous junctions were excluded from quantification.
Caspase-3 positive fibers and normal muscle fibers were counted in triceps from dy3K/dy3K and dy3K/itga7 mice using ImageJ software version 143u (NIH, Bethesda, MD). Percentage of caspase-3 positive fibers was calculated. Mann-Whitney test was used for statistical analysis (p < 0.05).
Statistical analysis
All statistical analyses were performed with GraphPad Prism software version 6 (La Jolla, CA). Averaged data were reported as means ± SEM. Mann-Whitney test was used. Statistical significance was accepted for p < 0.05.
Additional Information
How to cite this article: Gawlik, K. I. and Durbeej, M. Deletion of integrin α7 subunit does not aggravate the phenotype of laminin α2 chain-deficient mice. Sci. Rep. 5, 13916; doi: 10.1038/srep13916 (2015).
Supplementary Material
Acknowledgments
This work was supported by: The Swedish Research Council, Crafoord’s Foundation, The Royal Physiographic Society, Lars Hierta’s Memorial Foundation, Alfred Österlund’s Foundation, Greta & Johan Kock’s Foundation, Fanny Ekdahl’s Foundation and Linnéa & Josef Carlsson’s Foundation.
Footnotes
Author Contributions K.I.G. and M.D. designed the study; K.I.G. performed the experiments; K.I.G. and M.D. analysed the results; K.I.G. and M.D. wrote the manuscript; all authors reviewed the manuscript.
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