Significance
Sensing tissue damage is a crucial function of pattern recognition receptors (PRRs). However, endogenous ligand recognition by PRRs is not well documented. Macrophage inducible C-type lectin (Mincle) is a PRR that recognizes both pathogens and damaged cells. In this study, we isolated endogenous glycolipids derived from damaged cells and identified a ubiquitous intracellular metabolite, β-glucosylceramide (GlcCer), as a Mincle ligand. β-GlcCer induced inflammatory and acquired immune responses via Mincle on myeloid cells. Accumulation of β-GlcCer leads to Gaucher disease, a disorder characterized mainly by systemic inflammation. In a Gaucher model in which mice are deficient in the β-GlcCer–degrading enzyme, further deletion of the Mincle gene attenuated inflammatory responses. These results suggest that β-GlcCer is an endogenous Mincle ligand and acts as an immunostimulatory factor upon cell damage.
Keywords: C-type lectin receptors, glycolipids, ceramides, inflammation, Gaucher disease
Abstract
Sensing and reacting to tissue damage is a fundamental function of immune systems. Macrophage inducible C-type lectin (Mincle) is an activating C-type lectin receptor that senses damaged cells. Notably, Mincle also recognizes glycolipid ligands on pathogens. To elucidate endogenous glycolipids ligands derived from damaged cells, we fractionated supernatants from damaged cells and identified a lipophilic component that activates reporter cells expressing Mincle. Mass spectrometry and NMR spectroscopy identified the component structure as β-glucosylceramide (GlcCer), which is a ubiquitous intracellular metabolite. Synthetic β-GlcCer activated myeloid cells and induced production of inflammatory cytokines; this production was abrogated in Mincle-deficient cells. Sterile inflammation induced by excessive cell death in the thymus was exacerbated by hematopoietic-specific deletion of degrading enzyme of β-GlcCer (β-glucosylceramidase, GBA1). However, this enhanced inflammation was ameliorated in a Mincle-deficient background. GBA1-deficient dendritic cells (DCs) in which β-GlcCer accumulates triggered antigen-specific T-cell responses more efficiently than WT DCs, whereas these responses were compromised in DCs from GBA1 × Mincle double-deficient mice. These results suggest that β-GlcCer is an endogenous ligand for Mincle and possesses immunostimulatory activity.
Excessive or deregulated cell death caused by noninfectious insults often leads to inflammatory responses through the release and exposure of intracellular components. These components activate myeloid cells to initiate innate and acquired immune responses through pattern recognition receptors, such as Toll-like receptors (TLRs), Nod-like receptors, RIG-I-like receptors, and C-type lectin receptors (CLRs) (1–4).
Macrophage inducible C-type lectin (Mincle, also called Clec4e) is an activating receptor that senses dead cells (5). In addition, Mincle recognizes pathogens, including mycobacteria through bipolar glycolipids, such as trehalose 6,6′-dimycolate (TDM), which act as pathogen-associated molecular patterns (6–8). Structural analysis of the Mincle protein has revealed how its unique ligand-binding site is suitable for glycolipid recognition (9–12). Hence, we hypothesized that Mincle may recognize endogenous glycolipids released from damaged cells.
Glycosphingolipids (GSLs) are cell-bound bipolar glycolipids involved in a wide variety of fundamental biological processes and cell-specific functions in mammals. GSLs possess various saccharides and a ceramide in which fatty acids (FA) are attached to the platform sphingosine. One such ceramide is β-glucosylceramide (β-GlcCer), which is the first intermediate in the synthesis of a large family of GSLs. In healthy individuals, β-GlcCer is thought to be localized in the endoplasmic reticulum/Golgi apparatus (13–15), and the intracellular level of β-GlcCer is tightly regulated by a balance between biosynthesis and degradation to maintain tissue homeostasis (16–18). Therefore, an elevation in the levels of β-GlcCer in the extracellular milieu might signal massive cell death or tissue damage. In fact, a homozygous mutation in human β-glucocerebrosidase (GBA1), a crucial enzyme degrading β-GlcCer, leads to Gaucher disease because of a reduction in enzyme activity that causes accumulation of β-GlcCer (19). Gaucher disease is characterized by systemic inflammation, which presents hepatosplenomegaly or neurodegeneration (20–24). However, the molecular mechanisms that link excessive β-GlcCer to inflammatory responses are not yet understood. Furthermore, the immune receptor that directly recognizes β-GlcCer is unknown and it is unclear whether β-GlcCer possesses immunostimulatory potential.
In this study, we purified an endogenous Mincle ligand from the supernatants of damaged cells and used structural analysis to identify the ligand as β-GlcCer. Using GBA1-deficient and Mincle-deficient mice, we show that in vivo immune responses associated with β-GlcCer accumulation are compromised in a Mincle-deficient background.
Results
Purification of Endogenous Mincle Ligand.
We previously reported that Mincle-expressing cells are spontaneously activated in the presence of dying cells (5). Therefore, we set out to investigate whether Mincle recognizes any endogenous glycolipids associated with cell damage. To this end, we collected the culture supernatants of damaged cells and conducted solvent-based extraction of lipophilic components using chloroform:methanol. The soluble extract was separated into 30 fractions by HPLC and the ligand activity of each fraction was assessed using reporter cells expressing Mincle. We detected ligand activity that peaked in fraction 4 from cell supernatants but not from medium alone (Fig. 1 A and B). Thin-layer chromatography (TLC) analysis demonstrated that this fraction contains several compounds as visualized by copper acetate staining. Fraction 4 was further characterized by means of high-performance TLC (HPTLC) and separated into 16 subfractions. Because fraction 4-11 contained the unique peak of activity (Fig. 1C), we collected this active spot by HPTLC (Fig. 1D) and confirmed its recognition by reporter cells (Fig. 1E) and Mincle-Ig binding (Fig. 1F).
We next analyzed fraction 4-11 by electron spray ionization-quadrupole Orbitrap mass spectrometry (ESI-Q-Orbitrap-MS) (25). As shown in Fig. 1 G and H, the positive full-scanning MS and MS/MS (MS2) spectra of fraction 4-11 showed at m/z 700.5707 (C16:0), 728.6019 (C18:0), 756.6331 (C20:0), 784.6646 (C22:0), 810.6804 (C24:1), and 812.6948 (C24:0) [M + H]+ that this fraction contained six monoglycosyl sphingolipid species (Fig. 1G). Indeed, we observed the characteristic product ions of glycosylceramide. For example, MS2 spectra arising from the dissociation of the precursor ion at m/z 700.5707 represent mainly the conjugated aziridine ion of d18:1/n-FA-ceramide (m/z 264.2683) (26), the loss of a glycosyl residue (m/z 520.5092), and the dehydrated glycosylceramide (m/z 682.5610) (Fig. 1H). By matching these mass data against a public database (27), these glycosphingolipids appear to be either β-GlcCer or β-galactosylceramide (β-GalCer). Given that β-GlcCer is an abundant GSL in various tissues, we speculated that these six species of GlcCer are potential candidates for endogenous Mincle ligands (Table 1).
Table 1.
Glycosylceramide | Molecular formula | Precursor ion (M+H)+ | Characteristic product ions | ||||||||
Theoretical (m/z) | Observed (m/z) | Error (ppm) | Observed (m/z)* | Error (ppm) | Observed (m/z)† | Error (ppm) | Observed (m/z)‡ | Error (ppm) | |||
(d18:1/12:0) | C36H69NO8 | 644.5101 | ND | — | — | — | — | — | — | — | |
(d18:1/13:0) | C37H71NO8 | 658.5258 | ND | — | — | — | — | — | — | — | |
(d18:1/14:1) | C38H71NO8 | 670.5258 | ND | — | — | — | — | — | — | — | |
(d18:1/14:0) | C38H73NO8 | 672.5414 | ND | — | — | — | — | — | — | — | |
(d18:1/15:0) | C39H75NO8 | 686.5571 | ND | — | — | — | — | — | — | — | |
(d18:1/16:1) | C40H75NO8 | 698.5571 | ND | — | — | — | — | — | — | — | |
(d18:1/16:0) | C40H77NO8 | 700.5727 | 700.5707 | 2.9 | 264.2683 | 3.0 | 520.5092 | 0.3 | 682.5610 | 1.7 | |
(d18:1/17:0) | C41H79NO8 | 714.5884 | ND | — | — | — | — | — | — | — | |
(d18:1/18:4) | C42H73NO8 | 720.5414 | ND | — | — | — | — | — | — | — | |
(d18:1/18:3) | C42H75NO8 | 722.5571 | ND | — | — | — | — | — | — | — | |
(d18:1/18:2) | C42H77NO8 | 724.5727 | ND | — | — | — | — | — | — | — | |
(d18:1/18:1) | C42H79NO8 | 726.5884 | ND | — | — | — | — | — | — | — | |
(d18:1/18:0) | C42H81NO8 | 728.6040 | 728.6019 | 2.9 | 264.2683 | 3.0 | 548.5400 | 1.2 | 710.5921 | 1.9 | |
(d18:1/19:0) | C43H83NO8 | 742.6197 | ND | — | — | — | — | — | — | — | |
(d18:1/20:5) | C44H75NO8 | 746.5571 | ND | — | — | — | — | — | — | — | |
(d18:1/20:4) | C44H77NO8 | 748.5727 | ND | — | — | — | — | — | — | — | |
(d18:1/20:3) | C44H79NO8 | 750.5884 | ND | — | — | — | — | — | — | — | |
(d18:1/20:2) | C44H81NO8 | 752.6040 | ND | — | — | — | — | — | — | — | |
(d18:1/20:1) | C44H83NO8 | 754.6197 | ND | — | — | — | — | — | — | — | |
(d18:1/20:0) | C44H85NO8 | 756.6353 | 756.6331 | 3.0 | 264.2685 | 2.3 | 576.5704 | 2.7 | 738.6227 | 2.8 | |
(d18:1/21:0) | C45H87NO8 | 770.6510 | ND | — | — | — | — | — | — | — | |
(d18:1/22:6) | C46H77NO8 | 772.5727 | ND | — | — | — | — | — | — | — | |
(d18:1/22:5) | C46H79NO8 | 774.5884 | ND | — | — | — | — | — | — | — | |
(d18:1/22:4) | C46H81NO8 | 776.6040 | ND | — | — | — | — | — | — | — | |
(d18:1/22:3) | C46H83NO8 | 778.6197 | ND | — | — | — | — | — | — | — | |
(d18:1/22:2) | C46H85NO8 | 780.6353 | ND | — | — | — | — | — | — | — | |
(d18:1/22:1) | C46H87NO8 | 782.6510 | ND | — | — | — | — | — | — | — | |
(d18:1/22:0) | C46H89NO8 | 784.6666 | 784.6646 | 2.6 | 264.2682 | 3.4 | 604.6019 | 2.2 | 766.6544 | 2.2 | |
(d18:1/23:0) | C47H91NO8 | 798.6823 | ND | — | — | — | — | — | — | — | |
(d18:1/24:2) | C48H89NO8 | 808.6666 | ND | — | — | — | — | — | — | — | |
(d18:1/24:1) | C48H91NO8 | 810.6823 | 810.6804 | 2.3 | 264.2685 | 2.3 | 630.6171 | 2.9 | 792.6698 | 2.4 | |
(d18:1/24:0) | C48H93NO8 | 812.6979 | 812.6948 | 3.9 | 264.2684 | 2.6 | 632.6323 | 3.6 | 794.6879 | 0.7 | |
(d18:1/25:0) | C49H95NO8 | 826.7136 | ND | — | — | — | — | — | — | — | |
(d18:1/26:0) | C50H97NO8 | 840.7292 | ND | — | — | — | — | — | — | — | |
(d18:1/27:0) | C51H99NO8 | 854.7449 | ND | — | — | — | — | — | — | — | |
(d18:1/28:0) | C52H101NO8 | 868.7605 | ND | — | — | — | — | — | — | — |
The assignment of chemical composition is based on accurate mass measurements, comparison of isotopic patterns, and tandem MS fragmentation patterns. The glycosylceramides detected in the culture supernatant are shown in bold characters.
The conjugated aziridine ion of d18:1/n-FA-ceramide.
The loss of glycosyl residue.
The loss of water (dehydration).
Structural Analyses of Endogenous Mincle Ligand.
To investigate whether the putative Mincle ligands are synthesized upon damage to cells or are constitutively present within cells, we assessed the ligand activity of extracts from living cells. An active fraction, which corresponded to that of the supernatants from damaged cells (Fig. 1C), was also detected in extracts of living cells (Fig. 2A, Left). However, the amount of active component was decreased in dead cells (Fig. 2A, Right), indicating that the ligand exists constitutively in living cells and is presumably released upon cell damage. To perform detailed structural analyses, we collected a large amount of active fraction from living cells (Fig. 2B) and confirmed by MS that the species contained in this fraction were identical to those purified from the supernatants from damaged cells (Fig. S1).
To determine the core structure, we used NMR analyses, including extensive 2D NMR experiments (COSY, TOCSY, NOESY, HSQC, HMBC). The 1H- and 13C-NMR spectra of this fraction showed the typical signal of a β-GlcCer structure composed by a sphingosine and β-glucopyranose (Fig. S2 A and B) and these NMR chemical shifts were identical to previous data, which reported the GlcCer core structure (28, 29). The signals of 1H-NMR showed terminal methyl protons [δH 0.89 (6H, t, 6.7)], methylene protons (δH 1.27), methylene protons on the carbonyl group of the amide linkage [δH 2.17 (2H, t, 7.9)], the characteristic double bond in sphingosine [δH 5.45 (dd, 7.6, 15.3), δH 5.70 (dt, 7.9, 15.3)], and the anomeric proton of β-glucopyranoside [δH 4.29 (d, 7.9)]. The signals of 13C-NMR exhibited: a terminal methyl signal at δC 14.2 (q); core carbon in the sphingosine signal at δC 69.1 (t), δC 53.6 (d), δC 72.2 (d); double bond in the sphingosine at δC 129.6 (d), δC 134.9 (d); carbon signal in the carbonyl group of the amide linkage at δC 175.3 (s); and an anomeric carbon signal at δC 103.4 (d). These MS and NMR results support the idea that these active components are β-GlcCers.
We further analyzed the structure of the FA and long-chain base by methanolysis followed by GC-MS analysis: results showed that the active fraction contains five saturated FA methyl esters (FAMEs) (16:0, 18:0, 20:0, 22:0, and 24:0) and one unsaturated FAME (24:1) (Fig. S2C). The olefinic proton and carbon signals were observed at δH 5.35 [0.75H, t, 4.5), δC 130.2 (d)] (Fig. S2 A and B) and the allylic carbon signals were assigned to δC 27.4 (t) (C14, 17) (Fig. S2A). These chemical shifts revealed the geometry of this double bond to be Z (30). We next determined the position of the double bond. After RuCl-oxidation followed by CH2N2-imidazole treatment, the peak corresponding to the C24:1-methylated FA was completely abolished, leaving only C15:0-dicarboxylic acid methyl ester to be detected as the product of RuCl-oxidation and CH2N2-treated C24:1 FA (Fig. S2 D and E). This finding suggested that the position of the double bond was C15. We also confirmed the presence of the glucose moiety by GC-MS following methanolysis and trimethylsilyl (TMS)-imidazole treatment. C18 sphingosine and glucose were identified by mass spectra and comparison with a standard control (Fig. S2 F and G). Taken together, these analyses indicated that the active fraction consists of five saturated FAs (16:0, 18:0, 20:0, 22:0 and 24:0), one unsaturated FA [24:1 (15Z)], and a sphingosine [(2S, 3R, 4E)-2-amino-4-octadecane-1,3-diol] (Fig. 2C).
Given that it is a common GSL among mammals, we also analyzed human reporter cells expressing Mincle for β-GlcCer. Consistent with the previous findings in murine cells (5), when the HEK293-based NF-κB reporter cells were cultured alone without medium change for an extended time, cells became damaged and Mincle reporter activity was gradually induced (Fig. 2D). Within the supernatant, we also detected an active spot by HPTLC corresponding to β-GlcCer (Fig. S3A). To determine whether this activation is indeed mediated by β-GlcCer, d-threo-1-phenyl-2-decanoylamino-3-morpholino-1-propanol (d-PDMP), an inhibitor of the UDP-glucose ceramide synthase (UGCG) (31), was added during the culture period. d-PDMP selectively blocked β-GlcCer synthesis (Fig. 2E) and Mincle reporter activity (Fig. 2F), suggesting that β-GlcCer represents a key factor mediating Mincle activation by damaged cells.
Mincle Recognizes Synthetic β-GlcCer.
To confirm that the activity of β-GlcCer is not a result of minor contaminants, we examined the ligand activity of synthetic β-GlcCer (C24:1). Indeed, the synthetic compound potently activated reporter cells expressing murine and human Mincle (Fig. 3A and Fig. S3B). This activity was specific for Mincle, as other related CLRs—such as MCL (Clec4d), Dectin-2 (Clec4n), and DCAR (Clec4b1)—did not recognize β-GlcCer (Fig. 3B). In addition to NF-AT, an NF-κB reporter gene was also activated by synthetic β-GlcCer through Mincle to levels comparable to those induced by a known ligand TDM (Fig. 3C).
Ceramide and lactosylceramide (LacCer) are upstream and downstream metabolites of β-GlcCer, respectively; however, neither of these lipids possessed ligand activity (Fig. 3D). Furthermore, β-GalCer, another downstream intermediate to sulfatides and GM4, had no activity (Fig. 3D). Thus, Mincle selectively recognizes a particular intermediate in the ceramide metabolic pathway. This finding suggests that a ceramide may require a terminal glucose, not galactose, to act as ligand.
We next tested the roles of N-acyl chain composition and length for Mincle ligand activity. The synthetic version of three of the major β-GlcCer components (C16:0, C18:0, and C24:1) were compared in reporter cell assays. Although all species possessed substantial ligand activity, β-GlcCer C16:0 and C18:0 were less effective than C24:1 (Fig. 3E). Thus, a β-GlcCer bearing an unsaturated long chain, C24:1, appears to possess the most potent activity.
β-GlcCer Activates Myeloid Cells Through Mincle.
What is the contribution of Mincle as a β-GlcCer receptor expressed in myeloid cells? β-GlcCer 24:1 treatment of bone marrow dendritic cells (BMDCs) induced the secretion of TNF and MIP-2, whereas in Mincle−/− BMDCs secretion of these cytokines was significantly decreased (Fig. 3F). Consistent with these results, β-GlcCer–induced production of TNF and MIP-2 was dependent on a downstream adaptor for immunereceptor tyrosine-based activation motif (ITAM) signaling (CARD9) but not for TLR signaling (MyD88) (Fig. 3G). β-GlcCer also induced the up-regulation of surface expression of costimulatory molecules, such as CD40, CD80, CD86, and MHC class II in a Mincle-dependent manner (Fig. 3H). We conclude from these results that Mincle is the major receptor mediating β-GlcCer–induced myeloid cell activation.
β-GlcCer Promotes T-Cell Responses via Antigen-Presenting Cells.
We next analyzed the effect of β-GlcCer on T-cell priming by antigen-presenting cells (APCs). To this end, ovalbumin (OVA)-specific OT-II T cells were cultured with antigen-pulsed BMDCs in the presence or absence of plate-coated β-GlcCer. The antigen-specific secretion of IL-17 was significantly augmented by β-GlcCer treatment but not when Mincle−/− APCs were used (Fig. 4A). Antigen-specific proliferation and IFN-γ production were not further enhanced in this in vitro condition (Fig. S4). These results suggest that β-GlcCer acts through Mincle to promote antigen-specific T-cell responses on APCs.
To evaluate this function in vivo, mice were immunized with OVA, along with β-GlcCer or TDM as adjuvants, to induce delayed-type hypersensitivity responses. As assessed by footpad swelling, the β-GlcCer–induced delayed-type hypersensitivity response was comparable to that triggered by TDM (Fig. 4B). Furthermore, β-GlcCer induced the production of IFN-γ at the same level as did TDM in recall responses after ex vivo stimulation with OVA (Fig. 4C). Antigen-specific production of IL-17 was not detected in cells from both TDM- and β-GlcCer–treated mice. Collectively, these results indicate that β-GlcCer may function as an adjuvant to promote acquired immune responses.
Accumulation of Endogenous β-GlcCer Enhances Inflammatory Responses.
We next examined the effect of endogenous β-GlcCer on immune responses in vivo. Mice in which GBA1 is mutated accumulate β-GlcCer and are used as a mouse model of Gaucher disease (32). Because homozygous mutation of the GBA1 gene results in neonatal lethality, we collected hematopoietic progenitor cell (HPC)-containing fetal liver (FL) cells from GBA1−/− fetuses and transferred them into irradiated WT CD45.1 congenic mice to establish hematopoietic-specific GBA1-deficient mice (GBA1∆HPC mice). Eight weeks posttransfer, peripheral lymphocytes and myeloid cells in the recipient mice were almost fully reconstituted by CD45.2+ cells derived from GBA1-deficient mice. GBA1∆HPC mice showed no altered cellularity of their thymus, spleen, or lymph nodes, compared with control mice (Fig. S5).
We therefore assessed the role of endogenous β-GlcCer in inflammatory responses in these mice. Excessive or deregulated cell death induces transient infiltration of inflammatory cells despite the absence of infection. A model system with which to study this phenomenon involves whole-body irradiation of mice, which induces massive death of thymocytes and consequently elicits transient infiltration of neutrophils into the thymus (5) (Fig. 5A). WT and WT FL-transferred mice showed a significant infiltration of neutrophils after whole-body irradiation. The number of infiltrating neutrophils was further enhanced in GBA1∆HPC mice (Fig. 5B), although there was no difference in thymocyte death among these genotypes (Fig. 5C), thus implying that accumulation of β-GlcCer serves to promote inflammation induced by cell death. Notably, the average number of infiltrating cells was lower when Mincle was deleted on a GBA1-deficient background (GBA1/Mincle∆HPC mice), suggesting that accumulation of β-GlcCer exacerbates the inflammation induced by dead cells, and Mincle plays a major role in this process.
GBA1-Deficient DCs Enhance Acquired Immune Responses.
To investigate the cell-intrinsic effects of β-GlcCer accumulation in vitro, we analyzed BMDCs from GBA1∆HPC mice. DCs derived from GBA1∆HPC mice (GBA1−/− DCs) contained increased levels of β-GlcCer compared with GBA1-sufficient WT mice (Fig. 6A). GBA1−/− DCs had higher expression levels of MHC class II, CD40, and CD86 compared with WT control. This augmentation was not observed in GBA1 × Mincle double-deficient (GBA1−/− × Mincle−/−) DCs (Fig. 6B), although β-GlcCer accumulation still occurred regardless of Mincle expression (Fig. 6A). We then asked whether β-GlcCer released during cell culture can act as a paracrine factor to influence surrounding cells. When CD45.1+ WT DCs were cocultured with CD45.2+ GBA1-deficient DCs, the expression of costimulatory molecules on WT DCs was up-regulated significantly (Fig. 6C). Thus, upon cell damage during culture, GBA1-deficient cells can stimulate surrounding cells by releasing β-GlcCer.
We also introduced the Mincle transgene (Tg) onto the GBA1−/− background to assess the contribution of the β-GlcCer–Mincle axis to APC function. BMDCs overexpressing Mincle and β-GlcCer were pulsed with OVA peptides and cocultured with OT-II T cells. GBA1−/− BMDCs stimulated the production of IFN-γ by OT-II T cells, more so than did WT BMDCs (Fig. 6D). Furthermore, the immunostimulatory effect of GBA1−/− BMDCs was markedly enhanced by overexpression of Mincle (GBA1−/− × Mincle Tg BMDCs) (Fig. 6E) and was cancelled by the deletion of Mincle (GBA1−/− × Mincle−/− BMDCs) (Fig. 6F). Collectively, these in vitro results suggest that the accumulation of β-GlcCer enhances APC functions in a Mincle-dependent manner.
Finally, we evaluated the effect of accumulated β-GlcCer in APCs on triggering immune responses in vivo. WT mice were immunized with WT or GBA1−/− BMDCs that had been pulsed with OVA protein. Mice injected with OVA-pulsed DCs produce antigen-specific antibodies, but the average titers of anti-OVA IgG were higher for mice injected with GBA1-deficient DCs (Fig. S6). The efficiency of T-cell priming in these mice was evaluated by recall T-cell responses. Antigen-specific IFN-γ production was augmented in mice immunized with GBA1-deficient DCs in a Mincle-dependent manner (Fig. 6G). These results suggest that excessive β-GlcCer acts as an endogenous adjuvant to promote acquired immune responses through APC activation.
Discussion
In this study, we identified β-GlcCer as an endogenous ligand for Mincle. β-GlcCer is a common glycolipid present in most animals and the β-GlcCer–Mincle axis is the first example of a self-glycolipid–CLR pathway conserved in a wide-variety of mammalian species. In fact, β-GlcCer was recognized by Mincle derived from all mammalian species tested to date.
A common Mincle ligand signature structure has been predicted based on a number of identified ligands (6, 7, 33–35) in combination with the Mincle protein structure (9–12). A polar head consisting of glucose or mannose and a hydrophobic chain appear to be the minimum requirement for ligand activity. All six β-GlcCer species examined in this study satisfy these criteria as they harbor a polar glucose head and two acyl chains within the ceramide moiety. It remains unclear why the unsaturated β-GlcCer C24:1(15Z) possesses the most potent ligand activity, as the crystal structure of Mincle (9, 10, 12) suggested that the double bond of C24:1 is likely to be located away from the Mincle interacting site. Cocrystallization of Mincle protein and β-GlcCer C24:1 should clarify this issue.
The composition of β-GlcCer acyl chains (i.e., length and saturation) differs among tissues (18, 36). C24:1 is abundantly expressed in brain tissue (36, 37) and accumulates greatly in Gaucher disease patients (38). The pathophysiological role of Mincle in neural symptoms is a critical issue that remains to be clarified. As another example, epidermis has a unique GlcCer epidermoside, which is composed of a longer unsaturated ω-hydroxy FA that functions to maintain the epidermal permeability barrier (39, 40). Given that glycolipids with longer FA have potent activities (10, 11, 34, 35), epidermosides might be recognized by Mincle on dermal Mϕ/DCs and thereby modulate immune responses in skin. Interestingly, Mincle is involved in the immune response against fungi that causes skin disease (41) through the recognition of its unique glycolipids (7, 42). It is tempting to speculate that both pathogen-derived and skin-derived glycolipids contribute to disease onset or progression. In line with this hypothesis, as caseation necrosis is a characteristic feature of tuberculosis (43), glycolipids derived from dead cells and mycobacteria might synergistically contribute to the pathogenicity of tuberculosis, although it warrants further extensive investigation.
The average concentration of β-GlcCer in sera is in the nanomolar range in healthy individuals; in patients and in GBA1-deficient mice, β-GlcCer levels are elevated (44, 45) (Fig. S7A). Furthermore, β-GlcCer synthesis is increased in cells that have sustained damage (16, 46). Thus, in damaged tissues, it is plausible that β-GlcCer can signal through Mincle in vivo particularly when β-GlcCer is present locally in a multivalent form. Alternatively, a subtle continuous recognition of a low-level ligand by activating receptors might counterbalance inhibitory receptors that are constantly recognizing normal self (47). Such a dynamic, balanced “resting state” may enable myeloid cells to respond rapidly when damage or stress occurs.
β-GlcCer is localized in endoplasmic reticulum/Golgi in healthy cells, whereas Mincle is expressed not only on the cell surface but also in intracellular compartments, such as endosomes or lysosomes (48). Thus, Mincle may encounter β-GlcCer intracellularly, particularly when the localization of β-GlcCer is dysregulated upon cell damage. The possible role of Mincle as an intracellular sensor that monitors lipid metabolism warrants further investigation.
Other proteins have been reported as potential CLR ligands. For example, we previously purified the nuclear protein spliceosome-associated protein (SAP)-130 as a Mincle-Ig–binding protein (5). However, the exact contribution of SAP-130 as a damage-associated molecular pattern cannot be addressed by conventional genetic approaches, as this protein is essential for RNA splicing, a fundamental process in all living cells. For the same reason, the precise contribution of F-actin as a Clec9a ligand (49, 50) is difficult to prove by gene-deletion approaches, because actin is an indispensable cytoskeletal protein. Some other CLRs recognize crystallized self-components that do not exist under normal conditions (51, 52). Collectively these results suggest that CLRs may sense aberrant localizations or forms of various vital cell components as signals of damage. Further understanding of the principles of self-recognition via CLRs will require the structural analysis of various CLR-ligand complexes (53).
β-GlcCer has also been reported to be an activator of NKT cells (46, 54). However, two recent reports proposed that the activator might be α-GlcCer, as the activity was not influenced by treatment with β-glucosidase (55, 56). In contrast, Mincle ligand activity was eliminated by β-glucosidase (GBA1) treatment (Fig. S7 B and C), supporting our conclusion that β-GlcCer is a ligand for Mincle.
Exogenous administration of β-GlcCer has been reported to promote tumor regression by inducing NKT activation (57–59). Alternatively, our study suggests that this effect may derive from the adjuvant activity of β-GlcCer through Mincle on APCs. The application of endogenous components as adjuvants for T-cell activation could thus be beneficial for vaccination against infectious diseases and cancer. Notably, β-GlcCer did not induce granuloma formation (Fig. S7D), implying that β-GlcCer and its analogs may be safer adjuvant candidates with reduced adverse effects.
Mincle ligands have been reported to induce Th1 or Th17 or both Th1/Th17 responses (7, 60–63). Although the precise molecular mechanisms underlying different Th responses via the same CLRs are presently unknown, the intensity of signaling through ITAMs may determine the type of responses (63–66). Indeed, strong Mincle signaling delivered through plate-coated purified β-GlcCer preferentially induced Th17 responses. In addition, the different stimulus strength during T-cell priming is reported to alter Th orientation (67), which may explain the apparent contradictory results between in vitro vs. in vivo in this study.
Our current identification and analysis of the β-GlcCer–Mincle axis provides additional information regarding pathogenesis of Gaucher disease. However, all symptoms cannot be fully explained by this axis. For example, the neonatal lethality of GBA1−/− mice, which is mainly because of a keratinocyte disorder (68, 69), was not rescued on a Mincle-deficient background. Additionally, FL-derived GM-CSF myeloid cells from GBA1−/− mice displayed an enlarged cell size much like Gaucher cells, and this was observed regardless of Mincle expression. However, the β-GlcCer–Mincle axis may explain the inflammatory-prone phenotype, one of the important features of Gaucher disease. Another central characteristic of this disorder is neurodegeneration (70), raising the possibility that Mincle expressed on microglia (71) contributes to this pathology, as the most active β-GlcCer species C24:1 is abundantly expressed in brain (36, 37). Because microglia are not replaced by FL transfer experiments, conditional deletion of GBA1 and Mincle will be needed to address the role of Mincle in the CNS and this is now under investigation.
In addition to Gaucher disease, GBA1 mutation is genetically correlated with Parkinson’s disease (72). It has been hypothesized that this results from the ability of β-GlcCer to promote neurotoxic amyloid formation (73, 74). As we have now identified β-GlcCer as a Mincle ligand, the role of Mincle in these processes presents an intriguing issue to be addressed for the understanding of this severe progressive disease.
In conclusion, based on our work and in combination with other recent evidence, we propose here that Mincle may sense “damage” derived from self and nonself by recognizing “unfamiliar” glycolipids that are not present in the extracellular milieu under normal, healthy conditions.
Materials and Methods
Mice.
Mincle-deficient mice (42) were backcrossed for at least nine generations with C57BL/6. FcRγ-deficient mice were developed on a C57BL/6 background, and were provided by T. Saito, RIKEN, Yokohama, Japan (75). CARD9-deficient mice were provided by H. Hara, Kagoshima University, Kagoshima, Japan (76). GBA1-deficient mice (32) were purchased from the Jackson Laboratory. Mincle Tg mice were previously described (77). GBA1∆HPC mice were established as described in Fig. 5A and SI Materials and Methods. All mice were maintained in a filtered-air laminar-flow enclosure and given standard laboratory food and water ad libitum. All animal protocols were approved by the committee of Ethics on Animal Experiments, Faculty of Medical Sciences, Kyushu University.
Reagents.
Synthetic β-GlcCer [d18:1/C24:1(15Z), C18:0, C16:0, C12:0] and trehalose dibehenate (TDB) were purchased from Avanti Polar Lipids. TDM was purchased from Sigma-Aldrich. LacCer was purchased from Nagara Science. Ceramide was purchased from Katayama Chemical Industries. β-GalCer was purchased from Matreya. d-PDMP was purchased from Cayman Chemical. Recombinant glucosylceramidase (rGBA1) was purchased from R&D.
Cells.
The 2B4-NFAT-GFP reporter cells expressing Mincle, MCL, Dectin-2, or DCAR were prepared as previously described (5, 7, 62). HEK293-based NF-κB reporter cells expressing mMincle were obtained from InvivoGen. These reporter cells express an NF-κB-inducible secreted embryonic alkaline phosphatase (SEAP) reporter gene. BMDCs were prepared as previously described (7). The methods by which these cells were stimulated in in vitro assay are described in SI Materials and Methods.
Purification of β-GlcCer.
The 2B4-NFAT-GFP or HEK293-based NF-κB reporter cells were cultured for 48 h without FBS to induce cell death. Lipid components from culture supernatant of dead cells were extracted with chloroform/methanol (2:1, vol/vol). These lipid extracts were separated by normal-phase HPLC using an Inertsil, SIL, 100A, 5-μm (250 × 7.6 mm) column, a Jasco PU-2086 Plus Interlligent HPLC pump, and UV-2075 Plus UV detector. A stepwise elution was performed with chloroform/methanol (9:1, vol/vol) for 10 min followed by methanol for 20 min at a flow rate of 2.7 mL/min. After HPLC separation, active fraction was further separated using HPTLC plates precoated with silica gel 60 (Merck). The mobile phase was chloroform/methanol/water (65:25:4, vol/vol/vol).
ESI-MS Analysis Using a Q-Orbitrap-MS.
Lipid fractions were dissolved in 5 mM ammonium acetate (wt/vol) in methanol/water (95:5, vol/vol) (50 μg/mL). The flow injection analysis was performed using a Dinex Ultimate 3000 RSLC system (Thermo Fisher Scientific) coupled with a Q Exactive, a high-performance benchtop Q-Orbitrap-MS, fitted with an electrospray ionizaition (ESI) ion source (Thermo Fisher Scientific). The flow injection conditions were as follows: mobile phase, 5 mM ammonium acetate in methanol/water (95:5, vol/vol); flow rate, 0.2 mL/min; injection volume, 2 μL; and run time, 2 min. Individual lipid molecular species ware identified by a full-scanning MS/data-dependent MS2 (dd-MS2) analysis. The ionization conditions were as follows: ionization mode, positive; sheath gas flow rate, 40 arb; auxiliary (AUX) gas flow rate, 10 arb; spray voltage 3,500 V; capillary temperature, 350 °C; S-lens level, 50; and heater temperature, 300 °C. The experimental conditions for full-scanning MS were as follows: resolving power, 70,000; automatic gain control (AGC) target, 1 × 106; trap fill time, 200 ms; and scan range m/z 400–3,000. The experimental conditions for dd-MS2 were as follows: resolving power, 17,500; AGC target, 5 × 104; and trap fill time, 80 ms; isolation width, ± 0.6 Da; fixed first mass, m/z 80; and stepped normalized collision energy, 10, 20, 30 eV. The intensity threshold of precursor ions for dd-MS2 analysis, the apex trigger, and the dynamic exclusion were set to 5,000, 2–4 s, and 2 s, respectively. The ESI-MS analyses were controlled using the software Xcalibur 3.0.63 (Thermo Fisher Scientific).
NMR.
1H- and 13C-NMR spectra were recorded on a Varian INOVA 600 spectrometer. The operating conditions were as follows: 1H: 600 MHz, 300 K, CDCl3/CD3OD/D2O (60:35:5, vol/vol/vol). 13C: 125 MHz, 300 K, CDCl3/CD3OD/D2O (60:35:5, vol/vol/vol). 1H chemical shifts were determined by 2D-NMR (COSY, TOCSY, NOESY, HMGC, HMBC). Geometrical isomerism of double bond in the FA side chain was determined by 13C chemical shifts of allylic position.
In Vitro Mincle Binding Assay.
Mincle-Ig protein, the C terminus of the extracellular domain of Mincle fused to the N terminus of human IgG1 Fc region (hIgG1), was prepared as described previously (5). For the in vitro binding assay, 3 μg/mL of hIgG1-Fc (Ig) and Mincle-Ig diluted in binding buffer (20 mM Tris⋅HCl, 150 mM NaCl, 1 mM CaCl2, 2 mM MgCl2, pH 7.0) were incubated with plate-coated glycolipids. Anti-hIgG-HRP was used for the detection of bound protein by the addition of colorimetric substrate. Peroxidase activity was measured by spectrophotometer.
Delayed-Type Hypersensivity.
Mice were sensitized by subcutaneous injection with 200 μg of OVA in oil-in-water emulsion [mineral oil/Tween-80/PBS (9:1:90, vol/vol/vol)] of 100 μg β-GlcCer or TDM as previously described (78). At day 7, mice were challenged by injecting 200 μg of heat-aggregated OVA (70 °C, 1 h) in 20 μL of PBS into both footpads. Footpad swelling was measured using a vernier caliper and calculated as (footpad thickness after challenge) – (foodpad thickness before challenge). For in vitro restimulation analysis, inguinal lymph nodes were collected 7–10 d after challenge. B cells were depleted using MACS beads (Miltenyi Biotec) and then stimulated with OVA protein for the indicated periods.
Immunization with OVA-Pulsed BMDCs.
For OVA peptide presentation on MHC class II, BMDCs were cultured in the presence of 100 μg/mL OVA for 1 d. BMDCs were then harvested and resuspended in PBS at a concentration of 1 × 106 cells/mL Mice were sensitized by subcutaneous injection of 2 × 105 cells/200 μL OVA-pulsed BMDCs. At day 7 or 8, mice were challenged by injecting 200 μg of heat-aggregated OVA (70 °C, 1 h) in 20 μL PBS into both footpads. For in vitro restimulation analysis, splenocytes were collected 7–11 d after challenge and then stimulated with OVA protein for the indicated periods.
Dead Cell-Induced Inflammation.
Mice were irradiated with γ-rays (1 Gy). Absolute number and cellularity of thymocytes were analyzed at 12 h after irradiation. The number of CD11b+Ly6C+ infiltrating cells and CD4+CD8+ double-positive thymocytes were analyzed by flow cytometry.
Statistics.
An unpaired two-tailed Student’s t test was used for all statistical analyses.
SI Materials and Methods
Establishment of the GBA1∆HPC Mice.
Livers from GBA1−/− fetuses (E15.5), which contain HPCs, were collected and then dissociated into single-cell suspensions. Cells were treated with ammonium chloride solution to remove erythrocytes and mesh filtered. Next, 5 × 105 to 1 × 106 cells were transferred intravenously to 8-Gy–irradiated CD45.1+ recipient mice. After 8 wk, peripheral blood cells were stained with anti-CD45.1 (A20, BD Biosciences) and anti-CD45.2 (104, BD Biosciences) antibodies and the reconstitution was confirmed by the ratio of CD45.2+ to CD45.1+ cells.
In Vitro Stimulation Assay.
To stimulate the cells, each lipid was dissolved in chloroform/methanol (2:1, vol/vol) and diluted in isopropanol. Diluted lipids (20 μL) were added to each well of 96-well plate followed by evaporation of the solvent (6). Reporter activity of 2B4-NFAT-GFP cells was analyzed by flow cytometry. SEAP secretion from HEK293-based NF-κB cells was detected by alkaline phosphatase detection reagent, QUANTI-Blue (InvivoGen). Production of TNF, MIP-2, IFN-γ, and IL-17 was measured by ELISA (TNF and IFN-γ, BD Biosciences; MIP-2 and IL-17, R&D). Expression of costimulatory molecules were assessed by flow cytometry using anti-CD80 (16-10A1, BioLegend), anti-CD86 (GL-1, BioLegend), anti-CD40 (3/23, BD Biosciences), and anti–I-A/I-E antibody (M5/114.15.2, BioLegend).
GC-MS Analysis of β-GlcCer.
For the methanolysis, β-GlcCer from live cells (fraction 11: approximately 0.1 mg) was heated with 10% HCl/methanol (100 μL) in a sealed tube at 80 °C for 3 h. The reaction mixture was diluted with methanol (1.0 mL) and extracted with n-hexane (100 μL × 2), and the n-hexane extract was concentrated in vacuo to give a mixture of FAMEs. The FAMEs were dissolved in acetone and subjected to GC-MS (H) [Shimadzu QP-2010SE with INERTCAP 5MS/SIL (0.25 mm i.d., × 30 m), GL Science, column temperature 100–280 °C, rate of temperature increase: 10 °C/min]. The retention time (tR), proportion (%) and m/z value (M+) of each FAME were as follows: methyl hexadecanoate (16:0), tR [min] = 14.5, 30.0%, m/z = 270 (M+); methyl octadecanoate (18:0), tR [min] = 16.5, 7.1%, m/z = 298 (M+); methyl eicosanoate (20:0), tR [min] = 18.4, 6.4%, m/z = 326 (M+); methyl docosanoate (22:0), tR [min] = 20.1, 10.4%, m/z = 354 (M+); (15Z)-methyl tetracosenoate (24:1,15Z), tR [min] = 21.8, 27.7%, m/z = 380 (M+); methyl tetracosanoate (24:0), tR [min] = 22.0, 18.4%, m/z = 382 (M+). The FAMEs extracted by n-hexane (approximately 50 μg) was vigorously stirred by vortexing for 1 h with CCL4/CH3CN/water (1:1:1, vol/vol/vol, each 50 μL) and RuCl/NalO4 (10/10, each 500 μL). The reaction mixture was diluted with 1M HCl (100 μL), filtrated and extracted with ET2O (100 μL). The ET2O extract was dissolved in 20% methanol/benzene (50 μL) and CH2CN imidazole (50 μL) was added. The reaction mixture was incubated at room temperature for 30 min and was analyzed by GC-MS after incubation. The retention time and m/z value [(M-31)+] of dicarboxylic acid methyl ester were tR [min] = 16.8 and m/z = 269 [(M-31)+] respectively. The remaining methanol layer was neutralized with Ag2CO3, and filtrated. The filtrate was dried in vacuo then dissolved in pyridine (50 μL) and 50 μL of TMS-imidazole was added. The reaction mixture was heated at 50 °C for 30 min. The reaction was terminated with water (200 μL) and extracted with n-hexane (200 μL), the TMS-ether of glucose and sphingosine base were analyzed by GC-MS. The retention time of 1-O-methyl-2,3,4,6-tetra-O-TMS glucose was tR [min] = 14.0 and 14.2 and of the standard sample (d-glucose) was tR [min] = 14.0 and 14.2. The retention time and m/z value [(M-15)+] of 1,3-di-O-TMS-2-amino-4-octadecane-1,3-diol was tR [min] = 19.3 and m/z = 428 (M-15)+, respectively.
Measurement of Antibody Titer.
BMDCs were cultured in the presence of 100 μg/mL OVA for 1 d. FL-transferred mice were sensitized by subcutaneous injection with 2 × 105 cells/200 μL OVA-pulsed BMDCs. At day 7, mice were challenged by injecting 200 μg of heat-aggregated OVA (70 °C, 1 h) in 20 μL PBS into both footpads. Sera from each mouse were collected before and 7 and 14 d after challenge. OVA-specific antibody titers were determined by ELISA using HRP coupled goat anti-mouse IgG (GE Healthcare), IgG1, IgG2b, IgG2c and IgG3 (SouthernBiotec). Fifty-percent of antibody binding (EC50) was defined by plotting the absorbance at 450 nm on the y axis and the log of serum concentration on x axis. Antibody titration curves were plotted using GraphPad Prism6 (GraphPad Software).
Granuloma Formation.
β-GlcCer and TDM were prepared as oil-in-water emulsion consisting of mineral oil (9%), Tween-80 (1%), and PBS (90%) (78). Next, 100 µL of emulsion containing 300 µg of β-GlcCer or 100 μg of TDM was injected intravenously. The injection of the oil-in-water emulsion without glycolipid served as the vehicle control. At day 7, lungs were fixed in 10% formaldehyde and stained with H&E.
LC/Q-Orbitrap-MS Analysis.
For quantitative determination of β-GlcCer in mice serum, LC/MS analysis was performed using a Dinex Ultimate 3000 RSLC system coupled with a Q Exactive (Thermo Fisher Scientific). β-GlcCer (d18:1/12:0) (5 μM) was used as internal standard. The LC conditions were as follows: column, InertSustain C18 column (2.1 × 150 mm, particle size of 3 μm, GL Sciences); column temperature, 40 °C; mobile phase 20 mM ammonium acetate in water (A) and 20 mM ammonium acetate in methanol (B); flow rate, 0.35 mL/min; gradient curve, 90% B at 0 min, 99% B at 10 min, 99% B at 25 min, 90% at 25.1 min, 90% B at 30 min; and injection volume, 2 μL. The Q Exactive MS parameters for high-mass–accuracy MS1 and dd-MS2 analysis were used here with minor modifications compared with section of ESI-MS analysis using a Q-Orbitrap-MS (Materials and Methods). The modified points were as follow: scan range for full scanning, m/z 200–1200; isolation width for dd-MS2, ± 1.0 Da; the apex trigger, and the dynamic exclusion were set to 3–15 s and 10 s, respectively.
Acknowledgments
We thank M. Sugita, I. Matsunaga, M. Taniguchi, T. Tashiro, S. Fukuda, M. Ito, and A. J. Foster for discussions; M. Kurata for technical assistance; and M. Tanaka in the Laboratory for Technical Support; and the Medical Institute of Bioregulation, Kyushu University for animal facility. This research was supported by Grant-in-Aid for Scientific Research on Innovative Areas (26110009), and Grants from the Ministry of Health, Labor, and Welfare and Research on Development of New Drugs (16ak0101010h0005) from the Japan Agency for Medical Research and Development (AMED). This work was also supported by AMED-CREST, AMED.
Footnotes
The authors declare no conflict of interest.
This article is a PNAS Direct Submission.
This article contains supporting information online at www.pnas.org/lookup/suppl/doi:10.1073/pnas.1618133114/-/DCSupplemental.
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