Abstract
Although it is well known that injury induces the generation of a substantial number of new olfactory sensory neurons (OSNs) in the adult olfactory epithelium (OE), it is not well understood whether olfactory sensory input influences the survival and maturation of these injury-induced OSNs in adults. Here, we investigated whether olfactory sensory deprivation affected the dynamic incorporation of newly generated OSNs 3, 7, 14, and 28 d after injury in adult mice. Mice were unilaterally deprived of olfactory sensory input by inserting a silicone tube into their nostrils. Methimazole, an olfactotoxic drug, was also injected intraperitoneally to bilaterally ablate OSNs. The OE was restored to its preinjury condition with new OSNs by day 28. No significant differences in the numbers of olfactory marker protein-positive mature OSNs or apoptotic OSNs were observed between the deprived and nondeprived sides 0–7 d after injury. However, between days 7 and 28, the sensory-deprived side showed markedly fewer OSNs and mature OSNs, but more apoptotic OSNs, than the nondeprived side. Intrinsic functional imaging of the dorsal surface of the olfactory bulb at day 28 revealed that responses to odor stimulation were weaker in the deprived side compared with those in the nondeprived side. Furthermore, prevention of cell death in new neurons 7–14 d after injury promoted the recovery of the OE. These results indicate that, in the adult OE, sensory deprivation disrupts compensatory OSN regeneration after injury and that newly generated OSNs have a critical time window for sensory-input-dependent survival 7–14 d after injury.
Keywords: apoptosis, homeostatic regeneration, olfactory epithelium, olfactory sensory neuron, sensory deprivation
Introduction
The equilibrium between neuron survival and death helps to maintain and regulate neural circuits. The adult mouse olfactory epithelium (OE) renews itself to maintain a balance between death and generation of olfactory sensory neurons (OSNs). New OSNs, generated from basal progenitor cells, extend axons to the olfactory bulb (OB) to form synaptic connections with mitral and tufted cells (Mori and Sakano, 2011). Therefore, coordinated incorporation of new OSNs may contribute to the homeostasis of a relatively stable OSN population in the OE and stable olfactory sensory input to the OB; however, the factors allowing new OSNs to maintain this homeostasis are not well known.
Sensory input is important for the maturation and survival of new neurons during development. In the OE, sensory input is known to play a critical role in the survival of immature OSNs during postnatal development (Farbman et al., 1988; Stahl et al., 1990; Brunjes, 1994; Coppola et al., 2006). In striking contrast to this role during postnatal development, the influence of sensory input is far weaker and less clear in the adult OE, which contains primarily mature OSNs (Maruniak et al., 1989, 1990; Brunjes, 1994; Suh et al., 2006). The OE is directly exposed to environmental agents entering the nasal cavity, leaving OSNs prone to injury and degeneration. It is well known that injury-induced loss of mature OSNs in the adult OE causes a prompt and massive regeneration of new OSNs through the proliferation and differentiation of progenitor cells that are subsequently incorporated into olfactory circuits (Schwob, 2002). Therefore, after the injury-induced loss of mature OSNs, the adult OE is transiently composed of newly generated immature OSNs until they later develop into mature OSNs; however, it is not well understood whether olfactory sensory input influences the survival and maturation of these injury-induced, newly generated OSNs in the adult OE. This question is of great importance in evaluating the possible role of olfactory sensory inputs in recovering olfactory sensory function after OE injury in adults.
In the present study, we used the olfactotoxic drug methimazole to selectively injure OSNs without damaging the progenitor cells in the OE of mice (Sakamoto et al., 2007). We also inserted a silicone tube into one nostril of each mouse to induce a unilateral nasal occlusion for examining sensory-input-dependent changes in newly generated OSNs. Combining these methods, we determined whether new OSNs generated after injury were functionally incorporated into olfactory circuits in a sensory-input-dependent manner during compensatory tissue regeneration. We found that sensory inputs affected the regeneration of new OSNs after injury. Furthermore, the immature OSNs were highly susceptible to sensory deprivation-induced apoptosis 7–14 d after injury. These results indicate that newly generated OSNs have a critical time window for sensory-input-dependent death or survival and suggest that sensory inputs play a key role in homeostatic regeneration of the OE after injury.
Materials and Methods
Animals.
A total of 70 10-week-old C57BL/6 male mice were used in this study. All experiments were performed using procedures approved by the Experimental Animal Research Committee at the University of Tokyo.
Methimazole administration.
To ablate the existing OSNs, mice were intraperitoneally injected on day 0 with methimazole (75 mg/kg; Sigma-Aldrich) dissolved in saline (Sakamoto et al., 2007). Mice were perfused with fixative 3, 7, 14, and 28 d after methimazole administration.
Nostril occlusion.
Mice were deeply anesthetized with Nembutal and a custom-made 10 mm silicon tube was inserted into one nostril of each mouse using a previously reported procedure (Cummings et al., 1997). The silicon tube was filled with glue and hair, with the hair slightly protruding from the tube for easier removal from the nostril during experiments (see Fig. 1A). Nostril occlusion was performed 3–6 h after methimazole administration to avoid influencing progenitor proliferation.
Caspase inhibitor administration.
The caspase inhibitor (Wako Biochemicals) was dissolved in a solution containing 90% distilled water and 10% dimethyl sulfoxide (DMSO) to a final concentration of 6 mg/kg. The caspase inhibitor was injected on 4 occasions: days 7, 9, 11, and 13 after injury (see Fig. 8). As a control, a solution containing 90% distilled water and 10% DMSO was injected in the same manner.
Immunohistochemistry.
Mice were perfused intracardially with 4% paraformaldehyde in 0.1 m phosphate buffer, decapitated, and postfixed for 24 h in the same fixative. The nasal tissues, including the OE, were decalcified with 10% EDTA solution, pH 7.0, and embedded in paraffin. Coronal sections (4 μm thick) were cut and mounted on silane-coated slides. Deparaffinized sections were autoclaved for 10 min in Target Retrieval Solution (S1700; Dako) for antigen retrieval. Immunohistochemistry was performed using one of the following antibodies: anti-olfactory marker protein (OMP, goat polyclonal, 1:4000 dilution; Wako Chemicals), anti-activated caspase-3 (rabbit polyclonal, 1:5000; Cell Signaling Technology), anti-Ki-67 (mouse monoclonal, 1:500; BD Biosciences), anti-neutrophil (rat monoclonal, 1:400; Hycult Biotech), and anti-c-fos antibody (rabbit IgG, 1:1000; Santa Cruz Biotechnology). The immunoreaction was detected using the Histofine Simple Stain MAX-PO secondary antibody systems (Nichirei) for anti-OMP (goat), anti-activated caspase-3 (rat), anti-Ki-67 (mouse), anti-neutrophil (rat), and anti-c-fos (rabbit), and the CSA II kit from Dako, a biotin-free tyramide signal amplification system, according to the manufacturers' instructions. Primary antibodies were used for double immunostaining with anti-OMP (anti-OMP antibody, goat polyclonal, 1:4000; Wako Chemicals) and anti-caspase-3 (anti-activated caspase-3 antibody, rabbit polyclonal, 1:5000; Cell Signaling Technology) antibodies. After washing, tissues were incubated with donkey anti-goat Alexa Fluor 488 and donkey anti-rabbit Alexa Fluor 594 (1:100; Invitrogen) for 1 h at room temperature.
Analysis.
To control for anatomical variations (e.g., concha bullosa) among and within mice, OE analyses were restricted to the olfactory nasal septum covered by olfactory neuroepithelium for the right and left sides. Three coronal sections located between the caudal OE region and the caudal end of the silicone tube were examined to minimize effects resulting from contact with the silicon tube. Sections were cut at 500 μm intervals (see Fig. 1E). The olfactory neuroepithelium contains three major cell types: OSNs, supporting cells, and basal stem cells. We defined the supporting cells as the columnar cells located more apically in the OE and the basal cells as rectangular cells lying on the lamina propria. The remaining cells were defined as OSNs. The thickness was measured, with the aid of ImageJ software, as the distance from the lamina propria to the surface (Maruniak et al., 1990). The number of OSNs labeled by anti-OMP, anti-activated caspase-3, and anti-Ki67 antibodies were analyzed quantitatively using sections with single immunostaining for each antigen and counterstained with hematoxylin. The immunostaining in cells that exceeded two SDs of the mean background intensity for the connective tissue under the lamina propria was considered positive. The numbers of OSNs, supporting cells, and immunostained cells (OMP-, Ki67-, and caspase-3-positive cells, respectively) were counted along the entire length of the nasal septum in each micrographic image for both the right and left sides (open and occluded, respectively). The mean ± SD of these counts was then calculated for each group per 100 μm nasal septum length for the numbers of OSNs, supporting cells, and OMP- and Ki67-positive cells; the number of caspase-3-positive cells was quantified per nasal septum length.
To analyze a broader area of the OE, coronal sections of the OE were divided into medial and lateral areas between the most lateral regions of the OE and the nasal septum. The lateral and medial areas were further divided into upper and lower regions between the most dorsal and ventral edges of the OE, providing four areas in each coronal section of the OE (see Fig. 3I): lateral upper (l1), lateral lower (l2), medial upper (m1), and medial lower (m2). The thickness of the OE and the numbers of OSNs and OMP-positive cells were determined per 100 μm length of OE in each of these four areas.
For each OB, one coronal section was selected from the middle region of that OB and then seven glomeruli were randomly selected in the ventromedial OB region of the section (see Fig. 4A). A significantly OMP-stained area was defined as one in which the staining exceed two SDs of mean background intensity in the external plexiform layer of the OB (see Fig. 4A; Kikuta et al., 2013). The percentage of the significantly OMP-stained area was calculated within a glomerulus by dividing the area of the significantly OMP-stained area by the total area of the glomerulus (OMP-stained area/glomerular area × 100).
The analysis for immunostained areas was performed using ImageJ software. Respiration patterns were monitored with a thermocouple (0.23 mm diameter, Teflon coated; World Precision Instruments) placed on the nostril opening, recorded to a hard disc with Spike2 software (Cambridge Electronic Design), and analyzed using the Spike2 script language.
Optical imaging of intrinsic signals.
The optical imaging device and the procedures for measuring the intrinsic signals were described previously in detail (Uchida et al., 2000). Briefly, intrinsic signals induced by an odorant were imaged under a 705 nm light (Meister and Bonhoeffer, 2001). Images of the light reflected from the OB surface were collected with a CCD camera (CS8310; TELI) and a tandem-lens macroscope arrangement, and then digitized and stored on a Pentium PC hard disc using a frame-grabber board (Pulsar; Matrox). The CCD camera focused on the dorsal surface of the OB. The images had a spatial resolution of 320 × 240 pixels (after 2 × 2 binning). The imaged regions were 4.2 × 3.1 mm, with a pixel size of 13.1 μm. The focusing depth of the CCD camera was adjusted to 50–150 μm below the OB surface. For each recording trial, data were collected for 8 s with a frame length of 500 ms (16 frames/trial). An odorant was presented during frames 4–16, with a 30 s interstimulus interval. Odorants were prepared in a glass test tube and diluted in mineral oil. Odorant stimulation was performed by placing the opening of a test tube containing an odorant 10 mm from a nostril of the mouse. Two stimulus odorants, 2,3,5-trimethyl-3-thiazoline (TMT) and 2-methyl butyric acid (2-MBA), diluted to a 1/10 concentration with mineral oil, were used in the experiments (see Figs. 1C, 5B) and each odorant was tested at least 4 times per animal. The order of odorant presentation was changed arbitrarily in each experiment.
Quantification of glomerular activity.
Optical images were analyzed using IDL (Research Systems) and MetaMorph (Universal Imaging) software. Images of odorant-induced averaged responses were obtained by dividing the magnitude of signals acquired during odorant stimulation (frames 10–16) by that acquired before stimulation (frames 1–4). The differential image was filtered with a Gaussian spatial filter to eliminate nonspecific global darkening and high-frequency noise (high cutoff, σ = 20.0/mm; low cutoff, σ = 0.2/mm). Odor-induced signals in the OB were calculated by subtracting the prestimulus signals. The responsive areas in the OB were defined as areas with signals that were at least two SDs above the mean value of the air-induced signals. The mean intensities were defined as the mean values of odor- and pure-air-induced signals along the dorsal surface of the OB. The responsive area and mean intensity for each OB were analyzed using ImageJ software and were compared between open and occluded sides (see Fig. 1) and between reopened and open sides (see Fig. 5).
Odor-induced c-fos expression in the OB.
Mice were intraperitoneally injected on day 0 with methimazole and a silicon tube was inserted into one nostril of each mouse on the same day. On day 28 after methimazole administration, mice were housed individually in isolation boxes and supplied with pure air that was deodorized through a charcoal filter. The mice were kept in new cages without food pellets for 4 h before odor application (n = 5 mice). Odorants in three categories, aldehydes (propyl aldehyde, N-valeraldehyde, N-heptylaldehyde, benzaldehyde, and perilla aldehyde), lactones (γ-butyrolactone, γ-heptalactone, δ-hexalactone, δ-nonalactone, and Y-octalactone), and esters (amyl hexanoate, b-γ-hexenyl acetate, terpinyl acetate, and isoamyl acetate), were diluted to a 1/10 concentration with mineral oil and a cotton sheet soaked with 100 μl of the diluted solution was placed in a dish. The odor was applied by placing the dish in a cage twice for 1 h each time with a 10 min interval between placements. After the last odor application, the mice were perfused with fixative and subjected to an analysis of c-fos expression in the OB.
Three coronally sectioned OBs from the rostral tip to the caudal end (excluding the accessary OB) that were divided approximately equally among the three regions (rostral, middle, and caudal areas) were selected (see Fig. 5F). For the analysis, each sampled section was divided into two approximately equal regions from the most ventral to the most dorsal edges of the coronal OB (dorsal and ventral regions; see Fig. 5F). In each region, c-fos-positive cells within the glomerular layer were counted under a fluorescence microscope at a magnification of 200× and the results were expressed as the number of c-fos-positive cells per square millimeter. The spatial distribution of c-fos-positive cells within the glomerular layer was plotted with the aid of a computerized brain-mapping system (Neurolucida and Stereo Investigator software; MicroBrightField). All mapping was conducted by investigators blinded to the experimental conditions.
Statistical analyses.
Statistical analyses were performed with the Mann–Whitney U test (left vs right side; open vs occluded side; reopened vs open side; after injury vs after saline administration; after methimazole-induced injury and unilateral nostril occlusion vs after methimazole-induced injury only; see Figs. 1G–I, K, 2C–E, G, 3C–E, G, J, K, L, 4C, F, 5C, G, I, J, 6A, B, D, 7A,B), and the Steel–Dwass test (for air, TMT, and 2-MBA, see Fig. 5D; for 7, 14, and 28 d after methimazole-induced injury and unilateral nostril occlusion, see Fig. 7D). The error bars indicate mean ± SD. A p-value <0.05 was considered statistically significant.
Results
Sensory deprivation for 28 d does not induce histological changes in normal OSNs
We first investigated whether unilateral nostril occlusion affected the responses of the OB to odorant stimulation. The silicone tube was carefully inserted into the rostral part of the unilateral nasal cavity to abolish nasal airflow (occluded side, 3 and 28 d after silicone tube insertion; Fig. 1A,B) without affecting airflow in the opposite nostril (open side, 3 and 28 d after silicone tube insertion; Fig. 1B). To rule out the possibility that odor stimulation through the retronasal pathway via the open nostril might have activated OSNs on the occluded side, we examined odorant-evoked neural activity on the dorsal surface of the open and occluded sides of the OB using optical imaging (Fig. 1C). The glomeruli in the OB are grouped into two domains, dorsal and ventral, and the dorsal domain is further divided into the DI and DII domains according to the odorant receptor types expressed (Tsuboi et al., 2006; Kobayakawa et al., 2007). We selected TMT and 2-MBA as stimulus odorants because TMT preferentially activates glomeruli in the DII domain, whereas 2-MBA preferentially activates glomeruli in the DI domain on the dorsal surface of the OB (Kobayakawa et al., 2007). We observed that the occluded OB failed to show clear responses to odor stimulation between days 3 and 28 after silicone tube insertion (Fig. 1C), whereas the open OB showed clear responses to TMT and 2-MBA during that same period (Fig. 1C). Although optical mapping of neural activity in the OB was limited to the dorsal surface, these results confirmed that the silicone tube selectively disrupted odor-induced neural activity on the occluded side and that this sensory deprivation persisted over a long period.
Using the inserted silicone tube method, we then investigated whether sensory deprivation affected the survival and arrangement of the existing OSNs in the OE under normal conditions without injury (Fig. 1D). To avoid any effects due to the silicone tube contacting the nasal mucosa, we selected three coronal sections from the caudal OE separated by 500 μm (small arrows, Fig. 1E). The representative OE was obtained from the occluded nostril side 3, 7, 14, and 28 d after the tube insertion (Fig. 1F). The OE thickness, number of OSNs (per 100 μm length of OE in the section), and number of supporting cells (per 100 μm length of OE in the section) were not significantly different between the open and occluded sides at any time examined (Fig. 1G–I). Figure 1J shows representative images of slices stained with an antibody against OMP, a molecular marker for mature OSNs. We observed that a majority of the OSNs were OMP-positive from 3 to 28 d: 3 d, 83.6 ± 11.5% open and 86.6 ± 10.6% occluded; 7 d, 81.8 ± 17% open and 88.1 ± 18.6% occluded; 14 d 80.5 ± 8.9% open and 80.6 ± 7.9% occluded; 28 d, 81.6 ± 13.1% open and 82.4 ± 12.8% occluded (OMP-positive cells/total OSNs × 100; mean ± SD; Fig. 1J,K). No difference in the number of OMP-positive cells was detected between the open and occluded sides (d 3, p = 0.63; d 7, p = 0.86; d 14, p = 0.34; d 28, p = 0.53; Mann–Whitney test; Fig. 1K). These results indicate that, under normal uninjured conditions, the OE contains primarily mature OMP-positive OSNs and sensory deprivation for 28 d after the tube insertion does not induce histological or cell composition changes, consistent with a previous report (Maruniak et al., 1989).
Newly generated OSNs compensate for methimazole-induced loss of OSNs within 28 d
Methimazole, an olfactotoxic drug, disrupts existing OSNs nearly evenly throughout the OE by activating the apoptotic cascade in OSNs (Sakamoto et al., 2007). Because progenitor basal cells in the OE remained intact after methimazole-induced injury, they produce the newly generated OSNs and the OE returns to its preinjury level by 1–2 months. To examine in detail the repair process through the incorporation of newly generated OSNs after injury, we observed histological changes in the OE 3, 7, 14, and 28 d after methimazole administration (saline was administered in control mice; Fig. 2A).
Three days after the methimazole-induced injury, the sensory neuron layer above the basal cell layer was absent and we could not identify residual OSNs and supporting cells, indicating that methimazole administration did not injure basal cells but resulted in the total loss of OSNs and supporting cells (Fig. 2B–E). Seven days after methimazole-induced injury, the OE thickness and the numbers of OSNs and supporting cells increased without significant differences between left and right sides (thickness, p = 0.14; number of OSNs, p = 0.42; number of supporting cells, p = 0.82; Mann–Whitney test; Fig. 2C–E). No OMP-positive cells were identified at this stage (day 7 in Fig. 2F,G).
Fourteen days after methimazole-induced injury, the OE thickness and number of OSNs were restored to control levels, that is, those levels observed after saline administration (thickness, Mann–Whitney test between day 14 after injury and day 28 after saline administration, p = 0.57; number of OSNs, Mann–Whitney test between day 14 after methimazole-induced injury only and day 28 after saline administration, p = 0.59; Fig. 2C,D). However, only half of the OSNs differentiated into mature OMP-positive cells on day 14 after injury (Fig. 2F,G) and there were significantly fewer mature OSNs compared with those after saline administration (number of OMP-positive cells, Mann–Whitney test between day 14 after methimazole-induced injury and day 28 after saline administration, p < 0.001; Fig. 2G). These results indicate that newly generated OSNs begin to mature at 7–14 d after injury, but that repair by newly generated OSNs is incomplete.
Twenty-eight days after methimazole-induced injury, in addition to the recovery of the tissue thickness, the numbers of OSNs and OMP-positive cells in the OE were restored to those of control levels after saline administration (number of OMP-positive cells, Mann–Whitney test between day 28 after methimazole-induced injury only and day 28 after saline administration, p = 0.25; Fig. 2F,G). These observations indicate that the tissue recovery in the OE is completed within 28 d after the methimazole-induced injury.
Sensory deprivation induces incomplete replacement of OSNs in the OE due to fewer newly generated OSNs during recovery from injury
We next investigated whether the replacement of newly generated OSNs after the methimazole-induced injury was sensory-input dependent. The experimental design is shown in Figure 3A. On day 0, 13 mice received intraperitoneal injections of methimazole together with unilateral nostril occlusions. As shown in Figure 3, B–E, until day 7 after injury, there were no significant differences between the open and occluded sides in the thickness of the OE or the numbers of OSNs and supporting cells (thickness, p = 0.35; number of OSNs, p = 0.5; number of supporting cells, p = 0.19; Mann–Whitney test). On days 14 and 28, the OE was significantly thinner and significantly fewer OSNs were observed on the occluded side compared with the open side (thickness: day 14, p < 0.001, day 28, p < 0.05; number of OSNs: day 14, p < 0.001, day 28, p < 0.05; number of supporting cells: day 14, p = 0.3, day 28, p = 0.19; Mann–Whitney test; Fig. 3C–E).
Airflow through the contralateral (open) side increases after ipsilateral nostril occlusion (Kikuta et al., 2008). Therefore, increased airflow in the open side may facilitate OSN regeneration and result in differences in the thickness and number of OSNs between the open and closed sides. Therefore, any observed difference might be due to the facilitation of OSN regeneration in the open side, the partial suppression of OSN regeneration in the occluded side, or both. To examine these possibilities, we compared the structural organization of the OE between the two conditions, that is, methimazole-induced injury plus unilateral nostril occlusion (injury + n.o.) and methimazole-induced injury without nasal occlusion (injury only) (Fig. 3C–E). We found no significant difference between the two conditions in the thickness or number of OSNs on the open side on days 14 and 28 (thickness: day 14, p = 0.96; day 28, p = 0.67; number of cells: day 14, p = 0.57; day 28, p = 0.72; number of supporting cells: day 14, p = 0.31; day 28, p = 0.38; Mann–Whitney test; Fig. 3C–E). These results argue against the idea that the increased airflow facilitates OSN regeneration on the open side and suggest that the differences between the open and occluded sides result from the partial suppression of OSN regeneration on the occluded side.
Figure 3F shows representative images of the nasal septum stained with the anti-OMP antibody. The OMP-positive cells were not observed 3 and 7 d after methimazole-induced injury with unilateral nostril occlusion (Fig. 3F,G). However, on day 14, OMP-positive cells emerged in both the open and occluded sides (Fig. 3F,G). Although the number of OMP-positive cells in the open side did not differ from that after methimazole-induced injury without nostril occlusion on day 14 (p = 0.09, Mann–Whitney test; Fig. 3G), significantly fewer OMP-positive cells were observed on the occluded side compared with those in the open side in mice with both methimazole-induced injury and nostril occlusion (p < 0.001, Mann–Whitney test; Fig. 3G). On day 28, the number of OMP-positive cells in the open side was restored to the level observed after injury without nostril occlusion (p = 0.12, Mann–Whitney test; Fig. 3G). In contrast, the number of OMP-positive cells in the closed side was significantly lower than that in the open side (p < 0.001, Mann–Whitney test; Fig. 3G). These results indicate that sensory deprivation results in incomplete recovery of the OE, with fewer newly generated OSNs.
The silicone tube occluded the nasal cavity and blocked nasal airflow. This occlusion may block the mucous clearance of inhaled pathogenic antigens and result in topical inflammation of the closed nasal epithelium that suppresses the generation of new OSNs and differentiation into mature OSNs (Ekdahl et al., 2003; Monje et al., 2003). To investigate the possibility of topical inflammation, we examined the infiltration into the OE of neutrophils, a predominant inflammation marker cell (Fig. 3H). Neutrophils were abundantly observed in the bone marrow (Fig. 3H, left), whereas we could not detect neutrophils infiltrating the OE in any section of the occluded or open sides (Fig. 3H, right). These results exclude the possibility that the incomplete OSN regeneration observed after unilateral nostril occlusion is due to topical inflammation in the nasal cavities.
We next investigated whether the incomplete OSN regeneration after sensory deprivation was a general phenomenon applicable to the entire OE. A representative coronal section of the whole OE on day 28 after injury is shown in Figure 3I, left. Figure 3I, right, shows images obtained at higher magnification from four OE regions (Fig. 3I, right: l1, lateral upper; l2, lateral lower; m1, medial upper; m2, medial lower). For each of the four regions within the OE (per 100 μm length of the OE in the section), the OE was thinner and there were significantly fewer OSNs and OMP-positive cells on the occluded side compared with the open side (thickness: l1, p < 0.001; l2, p < 0.01; m1, p < 0.001; m2, p < 0.05; total, p < 0.001; number of OSNs: l1, l2, and m1, p < 0.001; m2, p < 0.05; total, p < 0.001; number of OMP-positive cells: all four regions and total, p < 0.001; Mann–Whitney test; Fig. 3J–L). These observations indicate that incomplete OSN regeneration after sensory deprivation is applicable to the entire OE.
Newly generated OSNs extend axons that project through the cribriform plate to the surface of the OB and form excitatory synapses on the dendrites of OB projection neurons within the glomerular structure. Mature OSNs express OMP throughout their axons, including the axon terminals within the glomeruli (Mori and Sakano, 2011). To examine the effect of sensory deprivation on the axonal projections to the glomeruli of newly generated OSNs, we measured the OMP-stained area within individual glomeruli of the OBs on the open and occluded sides 3, 7, 14, and 28 d after unilateral nostril occlusion. The axonal target glomeruli were selected from the ventromedial OB because the medial part of the OE that we examined for regeneration, including the nasal septum, projects to the medial OB (Fig. 4A, left, square outline).
Representative images of the ventromedial OB 28 d after saline administration (control) are shown in Figure 4A, middle. Representative histograms depicting the percentage of the area that was OMP-positive within individual glomeruli (immunostained axon terminals within the circled regions of the OB) are presented in Figure 4A, right. The OMP-positive areas within individual glomeruli for both right and left OBs were 68.0% and 70.0%, respectively. Using the same method, we calculated the percent of the area that was OMP-positive within individual glomeruli 3, 7, 14, and 28 d after unilateral nostril occlusion (Fig. 4B,C). At 3 d after the injury, despite the absence of OSNs in the OE, glomeruli in the OB showed robust OMP-staining due to the OMP-expression of the remaining degenerating olfactory axons. However, the OMP-positive area within the individual glomeruli gradually decreased on days 7 and 14 compared with that on day 3 (Fig. 4B,C), presumably due to the clearance of the degenerating olfactory axons. Up to day 7, there were no significant differences in the percentage of OMP-positive areas between the open and occluded sides (day 3, p = 0.3, day 7, p = 0.56; Mann–Whitney test; Fig. 4C). On day 14, a more prominent reduction in the percent of the OMP-immunostained area was observed on the occluded side (p < 0.001, Mann–Whitney test; Fig. 4C). However, on day 28, the percentage of the OMP-immunostained area on the open side was increased compared with that on day 14 and was similar to that observed 28 d after methimazole-induced injury without nostril occlusion (p = 0.37, Man–Whitney test; Fig. 4C). In contrast, the percentage of the OMP-immunostained area on the occluded side was markedly less than that on the open side on day 28 (p < 0.05, Mann–Whitney test; Fig. 4C), suggesting that sensory deprivation resulted in the projection of axons from fewer newly generated OSNs.
To determine whether this incomplete regeneration observed in the ventromedial OB occurred in other quadrants of the OB, we measured the OMP-stained area within glomeruli of the three remaining quadrants. Figure 4D shows a schematic of a coronal section through the OB displaying the four quadrants: ventromedial (v-m), ventrolateral (v-l), dorsomedial (d-m), and dorsolateral (d-l). The area of the OMP-stained OB glomeruli in the three remaining quadrants of the occluded side was significantly less than that of the open side (d-l, p < 0.001; d-m, p < 0.001; v-l, p < 0.001; total, p < 0.001, Mann–Whitney test; Fig. 4E,F). These results are consistent with the histological changes observed throughout the entire OE and support the idea that sensory-deprivation-induced incomplete regeneration of new neurons after injury occurs broadly throughout the OB (Fig. 3).
To determine whether sensory deprivation affects functional incorporation of new OSNs into olfactory circuits, we performed intrinsic imaging of the glomerular responses to odorant stimulation at the dorsal surface of the OB (Fig. 5A). The glomerular responses were evaluated 28 d after unilateral nostril occlusion, with the silicone tube removed 12 h before the imaging for the reopened side. We stimulated the OE on both the right and left sides with odorants and compared the glomerular responses between reopened and open sides (Fig. 5B). Representative examples of intrinsic imaging in three mice are shown in Figure 5B. We observed that the mean responsive area for the TMT and 2-MBA stimulation on the open side was significantly greater than that on the reopened side (n = 9 mice; TMT, p < 0.05; 2-MBA, p < 0.05; Mann–Whitney test, Fig. 5B,C). The mean intensities for the TMT- and 2-MBA-induced responses on the open side were significantly greater than those on the reopened side (TMT, p < 0.01; 2-MBA, p < 0.05; Steel–Dwass test; Fig. 5B,D). The mean intensities of the air-induced responses did not differ significantly between the reopened and open sides (p = 0.89, Steel-Dwass test; Fig. 5B,D), whereas the mean intensities of the TMT- and 2-MBA-induced responses for both reopened and open sides were significantly greater than those of the air-induced responses (p < 0.01 for all comparisons; Steel–Dwass test; Fig. 5B,D). These results suggest that the gradual regeneration of the OE by the addition of new OSNs and their axonal projections to the glomeruli parallels the increase in the glomerular responses to odorants.
Technical limitations rendered the ventral OB inaccessible using this imaging method, so it remained unclear whether the weak responses observed on the reopened side compared with those on the open side would also be observed in the ventral OB. To address this issue, we examined the expression of c-fos (a neural activity marker) induced by odor in the dorsal and ventral OB and compared the number of c-fos-positive cells in the open and reopened sides. If relatively weak afferent inputs to the OB were observed in the reopened side, fewer c-fos-positive cells would be expected in the reopened OB compared with the open OB.
c-fos expression was evaluated 28 d after unilateral nostril occlusion, with the silicone tube removed 12 h before the odor stimulation for the reopened side. Aldehyde, lactone, and ester categories were selected as stimulus odorants for activating the dorsal and ventral OB based on our previous studies (Kikuta et al., 2008, 2010). Representative coronal sections of the OB (left, reopened side; right, open side) stained with an anti-c-fos antibody are shown in Figure 5E. Stimulus odorants induced c-fos expression within the glomerular and granule cell layers broadly throughout the dorsal and ventral OBs of the reopened and open sides (Fig. 5E). We focused on the c-fos expression within the glomerular layer because the increase in c-fos expression within the glomerular layer is glomerulus region specific (Jin et al., 1996). The c-fos-positive cells within the glomerular layer were plotted on sections from the three OB regions (caudal, middle, and rostral; Fig. 5F). In each region from the dorsal and ventral OB, there were significantly fewer odor-induced c-fos-positive cells on the reopened side than on the open side (n = 5 mice; dorsal, p < 0.001; ventral, p < 0.05; total, p < 0.001; Mann–Whitney test; Fig. 5G).
The silicone tube may produce hypertrophy of the nasal mucosa through continuous topical stimulation, resulting in decreased nasal airflow in the reopened side. To determine whether the decreased signals and fewer c-fos-positive cells in the OB in the reopened side compared with those in the open side resulted from decreased neural activity or decreased nasal airflow, we compared nasal airflow between the reopened and open sides. Figure 5H illustrates representative frequency and airflow traces as well as the averaged airflow. We did not observe significant differences in the mean frequency and amplitude for the airflow between the reopened and the open sides (n = 10 mice in each group; mean frequency, p = 0.50; mean amplitude, p = 0.21; Mann–Whitney test; Fig. 5I,J). These results indicate that the decreased glomerular responses to odor stimulation and fewer c-fos-positive cells in the OB are due to incomplete recruitment of functional OSNs in the connections between the OE and OB, suggesting that sensory deprivation during the 28 d period results in a decreased degree of functional incorporation of new neurons into olfactory circuits.
Sensory deprivation downregulates proliferation of OSNs
The sensory-deprivation-induced incomplete replacement of OSNs may result from decreased OSN proliferation. To examine the extent of the OSN proliferation, we observed Ki67-positive cells (a cell marker of proliferation) in the OE on days 3, 7, 14, and 28 after injury using three different conditions (nostril occlusion only, methimazole-induced injury only, and both of these combined; Fig. 6). In the group receiving unilateral nostril occlusion only, sensory deprivation during the first 7 d did not induce significant changes in the number of Ki67-positive cells on either the occluded or open side, whereas, after 14 d, there were significantly fewer Ki67-positive cells on the occluded side compared with those on the open side (day 3, p = 0.86; day 7, p = 0.79; day 14, p < 0.01; day 28, p < 0.01; Mann–Whitney test; Fig. 6A).
After the methimazole-induced injury, the number of Ki67-positive cells on both sides increased greatly on day 3, but their numbers gradually decreased during the later periods (Fig. 6B). We observed no significant differences in the number of Ki67-positive cells between left and right sides at any time after methimazole-induced injury (day 3, p = 0.57, day 7, p = 0.57, day 14, p = 0.95, day 28, p = 0.86; Mann–Whitney test; Fig. 6B). Figure 6C shows representative images of the nasal septum stained with the anti-Ki67 antibody on the open and occluded sides after injury. The number of Ki67-positive cells on both open and occluded sides peaked 3 d after methimazole-induced injury combined with unilateral nostril occlusion and then gradually decreased (Fig. 6D). However, this decrease was significantly more marked on the occluded side than on the open side on days 14 and 28 (day 3, p = 0.96, day 7, p 0.89, day 14, p < 0.001, day 28, p < 0.001; Mann–Whitney test; Fig. 6D). These results indicate that sensory deprivation for >14 d downregulates OSN proliferation regardless of injury and potentially impedes the replacement of newly generated OSNs after injury.
Sensory deprivation enhances apoptotic cell death in immature neurons
Another possible explanation for the sensory-deprivation-induced incomplete replacement of new OSNs is that sensory deprivation may increase death in the new OSNs. To examine this possibility, we determined the expression of active caspase-3 in the OE on days 7, 14, and 28 under three different conditions (nostril occlusion only, methimazole-induced injury only, and both of these combined; Fig. 7) with an antibody specific for the active (cleaved) form of caspase-3, a marker of apoptotic cell death that functions in most downstream caspase-activation cascades (Olney et al., 2002; Yuan et al., 2003). After unilateral nostril occlusion, caspase-3-positive cells were rarely detected and no significant differences were observed between the occluded and open sides (day 7, p = 0.93, day 14, p = 0.67, day 28, p = 0.75; Mann–Whitney test; Fig. 7A), indicating that susceptibility to apoptosis for mature neurons is low and independent of sensory deprivation periods. After methimazole-induced injury, no significant differences were observed at any time or for either side (day 7, p = 0.45, day 14, p = 0.09, day 28, p = 0.47; Mann–Whitney test; Fig. 7B). A significant number of caspase-3-positive cells were observed in mice with methimazole injury combined with unilateral nostril occlusion and representative images of the OE from both the open and occluded sides are shown for days 7, 14, and 28 after injury in Figure 7C. On day 7, activated caspase-3-positive cells were barely detected in the nasal septum of the OE for both the open and occluded sides (p = 0.31; Mann–Whitney test; Fig. 7C,D). However, on days 14 and 28, the number of activated caspase-3-positive cells on the occluded side was significantly higher than that on the open side (day 14, p < 0.001, day 28, p < 0.001; Mann–Whitney test; Fig. 7D). The susceptibility to apoptosis of newly generated OSNs was greatest for the observed days on day 14 (day 7 vs day 14, p < 0.001; day 14 vs day 28, p < 0.001; day 7 vs day 28, p < 0.001; Steel–Dwass test; Fig. 7D). These results indicate that the susceptibility to apoptosis after injury for newly generated OSNs varies across the maturation process.
To determine whether the enhanced apoptotic cells appearing on the occluded side on day 14 were immature or mature OSNs, we colabeled OSNs with the anti-caspase-3 antibody and the anti-OMP antibody (Fig. 7E). A majority of the caspase-3-positive cells (82 of 89 caspase-3-positive cells analyzed, 92.1%, three mice, white arrowheads in Fig. 7E) were not colabeled with OMP, whereas the few remaining cells were colabeled with OMP (7 of 89 caspase-3-positive cells analyzed, 7.9%, yellow arrowhead in Fig. 7E), indicating that nearly all the apoptotic cells were immature. Together, these results indicate that, during sensory deprivation, apoptotic cell death in immature OSNs is enhanced and that their susceptibility to cell death varies with their stage of maturation.
Specific time window exists for sensory-input-dependent survival or cell death in new OSNs
Granule cells newly generated in the OBs of adults have a critical period during their maturation for sensory-input-dependent survival or death (Yamaguchi and Mori, 2005). By analogy, we hypothesized that new OSNs would show enhanced susceptibility to apoptotic cell death when they became OMP-positive mature cells. Therefore, new OSNs may have a specific critical time window for sensory-input-dependent survival or cell death. To examine this possibility, we determined the effect of sensory deprivation on OSN regeneration in an early period (0–7 d after injury; Fig. 8A, top) and a late period (7–14 d after injury; Fig. 8A, bottom). As shown above, sensory deprivation for 14 d was sufficient to observe incomplete regeneration of new neurons after methimazole-induced injury (Fig. 3) and OMP-positive neurons emerged 7–14 d after injury (Figs. 2, 3). The details of this next experiment are described in Figure 8A. Briefly, the mice in two experimental groups received unilateral nostril occlusions after administration of methimazole and were perfused with fixative 14 d after the methimazole-induced injury (n = 3 mice per group; Fig. 8A). The timing for the unilateral nostril occlusion differed between the 2 groups such that 1 group of mice received the occlusion 0–7 d after the methimazole-induced injury (Fig. 8A, top) and the other group received the occlusion 7–14 d after the injury (Fig. 8A, bottom). Representative coronal sections of the nasal septum for both groups are shown in Figure 8B. In the group subjected to sensory deprivation during days 0–7, the thickness of the OE, total number of OSNs, and the number of supporting cells did not differ between the open and occluded sides (thickness, p = 0.57; number of OSNs, p = 0.89; number of supporting cells, p = 0.53; Mann–Whitney test; Fig. 8C–E). In contrast, sensory deprivation on days 7–14 caused a significant thinning of the OE with fewer OSNs (thickness, p < 0.001; number of OSNs, p < 0.001; number of supporting cells, p = 0.56; Mann–Whitney test; Fig. 8C–E). Representative images of the nasal septum stained with anti-OMP antibody are shown in Figure 8F. The number of OMP-positive cells for both the open and occluded sides did not differ during sensory deprivation 0–7 d after injury (p = 0.79; Mann–Whitney test; Fig. 8G). However, during sensory deprivation 7–14 d after the methimazole-induced injury, the number of OMP-positive cells was significantly lower on the occluded side than that on the open side (p < 0.001; Mann–Whitney test; Fig. 8G). These results indicate that sensory input 7–14 d after injury plays a crucial role in the replacement process of newly generated OSNs.
To determine whether incomplete regeneration contributed to an increased susceptibility to apoptotic cell death during sensory deprivation 7–14 d after methimazole-induced injury, we compared the number of caspase-3-positive cells in mice with nostril occlusions starting 0–7 d after the injury with those starting 7–14 d after injury (Fig. 8H,I). The number of caspase-3-positive cells on the occluded side was significantly higher during the sensory deprivation 7–14 d after injury than that on the open side, whereas no significant difference was observed between the open and occluded sides 0–7 d after injury (0–7 d, p = 0.68; 7–14 d, p < 0.001; Mann–Whitney test; Fig. 8I). These results indicate that the susceptibility to apoptosis in newly generated OSNs is enhanced during sensory deprivation 7 and 14 d after methimazole-induced injury and that newly generated OSNs may have a specific time window for sensory-dependent survival or death.
To determine whether the survival of new neurons 7–14 d after an injury contributes to homeostatic tissue regulation, we administered a caspase inhibitor once every other day during the 7–14 d after methimazole-induced injury (4 times total; Fig. 8J, top). As a control, mice in a second group received 10% DMSO intraperitoneally on the same schedule during the same period (Fig. 8J, bottom). Representative images of both sides of the resulting nasal septum are shown in Figure 8K. In the group administered the caspase inhibitor, the thickness of the OE, total number of OSNs, and the number of supporting cells on the occluded side did not differ from the open side (thickness, p = 0.69; number of OSNs, p = 0.72; number of supporting cells, p = 0.48; Mann–Whitney test; Fig. 8L–N). In contrast, DMSO administration during this period induced a thinner OE and fewer OSNs on the occluded side compared with those on the open side (thickness, p < 0.001; number of OSNs, p < 0.001; number of supporting cells, p = 0.89; Mann–Whitney test; Fig. 8L–N). These results suggest that the enhanced apoptotic cell death of new neurons under sensory deprivation 7–14 d after injury is a primary factor in the sensory-deprivation-induced incomplete recovery of the OE. Although we cannot rule out the possibility that the survival of the newly generated OSNs by the administration of the caspase inhibitor also compensate for these neural functions, because caspases are also crucial for refinement of mature neuronal circuits (Ohsawa et al., 2010), these results suggest that the survival of the new neurons 7 and 14 d after injury are involved in the homeostatic regeneration of the OE.
Discussion
It has been demonstrated in postnatal developing mice that unilateral naris occlusion on day 1 after birth induced a thinner OE, fewer OSNs, and fewer OMP-positive cells compared with those on the open side by day 12 after occlusion (Coppola et al., 2006). In the present study, we examined in the adult OE whether olfactory sensory deprivation influenced OSN regeneration after the total degeneration of OSNs induced by a methimazole injection. After the methimazole-induced injury, new OSNs were promptly generated from progenitor cells and gradually incorporated into neural circuits within 28 d (Figs. 2, 9A). However, the postinjury regeneration process was affected by sensory deprivation 14–28 d after injury; the thickness of the OE, number of OSNs, and number of OMP-positive cells all decreased (Figs. 3, 9B). Consistent with the histological observations during this period, we observed an upregulation of apoptosis in immature OSNs (caspase-3-positive cells) and a downregulation of mitosis in OSNs (Ki67-positive cells). The administration of a caspase inhibitor during the regeneration process with sensory deprivation compensated for an incomplete repair of the OE; therefore, the survival of new neurons depends on sensory inputs and neuronal survival is strongly linked to the compensatory regeneration of the OE.
We used the olfactotoxic agent methimazole to reset the cell dynamics of OSNs. The administration of methimazole can induce cell death in OSNs via the mitochondrial cytochrome c-mediated caspase-3 activation pathway (Sakamoto et al., 2007). Direct damage resulting from caspase-3 use is reversible and is thought to be analogous to the type of injury that occurs in a natural condition in which pathogens or toxins are airborne.
From a clinical perspective, olfactory damage, including insults, viral infection, and rhinosinusitis, are serious concerns in humans because they diminish the quality of life and ability to enjoy aromas in daily living. Such pathological olfactory damage inevitably accompanies congestion of the nasal mucosa and frequently induces nostril occlusion. During sensory deprivation, functional replacement of new neurons after olfactory damage may be incomplete despite continuous OSN regeneration (Burd, 1993; Schwob, 2002). Alternatively, if olfactory sensory input is important in the maturation and survival of newly generated OSNs after injury, then an olfactory-enriched environment would facilitate their maturation and survival, leading to functional recovery of the OE after injury (Rochefort et al., 2002; Watt et al., 2004; François et al., 2013). Understanding the molecular and cellular mechanisms that allow new OSNs to develop and mature may lead to establishing novel therapeutic strategies in humans.
Possible mechanisms for incomplete replacement of new OSNs in the sensory-deprived OE
Neuronal survival depends on neuronal activity (Goldberg and Barres, 2000; François et al., 2013; Park and Poo, 2013; Zhao et al., 2013). Nostril occlusion is a useful method for generating olfactory sensory deprivation and has been used to observe sensory-dependent plasticity in the olfactory system. Temporary nostril occlusion produces a reversible loss of neurons in the OB (Brunjes, 1994; Fiske and Brunjes, 2001), whereas exposure to odorant-enriched environments enhances the neuronal population in the OB (Rochefort et al., 2002). These observations suggest that neural activity may be involved in readjusting the neuronal and synaptic components that allow homeostatic regulation of neural circuit functions (Turrigiano, 2012). We speculate that odor-induced activity has a crucial role in the maturation and survival of new OE neurons and that activity-driven suppression of cell death of immature neurons may be a key factor for the recovery of the OE and rewiring with the OB.
Previous reports indicate that cAMP-related signaling events mediated via type 3 adenylyl cyclase, mitogen-activated protein kinase, and cAMP response element-binding protein regulate anti-apoptotic genes in the BCL-2 family and enhance development and survival of OSNs (Song and Poo, 1999; Watt et al., 2004; Hyman and Yuan, 2012). In addition, the overexpression of BCL-2 reduced cell death and increased cell numbers in the nervous system, including sympathetic neurons, motor neurons, and retinal ganglion cells (Gagliardini et al., 1994; Martinou et al., 1994). Therefore, it is possible that, during sensory deprivation, an increase in the number of apoptotic cells is due to the downregulation of anti-apoptotic genes in the BCL-2 family.
Extrinsic signals by target OB neurons may also contribute to the sensory-deprivation-induced increase in apoptosis observed in new OSNs (Burek and Oppenheim, 1996; Jacobson, 1997). Extrinsic signals such as neurotrophins, cytokines, insulin-like growth factor-1, and glial-derived neurotropic factor or its homologs are normally triggered by membrane depolarization through a process mediated by an increase in cytoplasmic Ca2+ and cAMP levels (Balázs et al., 1988; Hack et al., 1993; Blöchl and Thoenen, 1996; Heymach et al., 1996; Abiru et al., 1998; von Bartheld, 1998; Barger, 1999; Griesbeck et al., 1999; Lessmann et al., 2003; Cheng et al., 2011; Park and Poo, 2013). Moreover, synaptic activation of glutamate receptors (particularly NMDA receptors) provides an additional Ca2+ influx that facilitates neurotrophin exocytosis. These signals activate one or more intracellular signaling pathways by binding transmembrane receptors, which in turn inhibit intrinsic apoptosis machinery from conducting a cellular suicide program (Raff, 1992; Burek and Oppenheim, 1996; Frade et al., 1996; Nuñez and del Peso, 1998; Vaux and Korsmeyer, 1999; Pazyra-Murphy et al., 2009). Therefore, during sensory deprivation, decreased neural activity may enhance the intrinsic apoptosis activation pathway and new OSNs fail to establish appropriate synaptic connections, limiting their functional incorporation into neural circuits.
Critical time window for new neurons in the OE
In the present study, we observed that sensory deprivation 7–14 d after injury affected the recovery of the OE, including the replacement of new OSNs, presumably because of an enhanced apoptotic cell death in new OSNs. This incomplete recovery was compensated for through caspase inhibitor administration. In contrast, a week-long sensory deprivation 0–7 d after injury had little effect. These results indicate that the susceptibility of new OSNs to apoptosis varies according to their maturation stage. We propose that new OSNs have a specific time window (7–14 d after injury) for sensory-input-dependent survival or death.
Previous reports indicated that newly generated OSNs (double-labeled for the deoxyuridine analog BrdU and OMP) initiate synapses with OB neurons 7 d after their birth (Marcucci et al., 2009; Kondo et al., 2010). In addition, the onset of the expression for vesicular glutamate transport protein 2, which is involved in calcium-dependent glutamate release, occurs concomitantly with the onset of the expression of OMP. Consistent with these studies, the present study showed that the emergence of and increase in OMP-positive OSNs occurred 7–14 d after injury. Furthermore, a majority of adult-born granule cells in the OB 14–20 d after birth synapses with mitral/tufted cells and is susceptible to cell death in a sensory-dependent manner (Yamaguchi and Mori, 2005). The susceptible period of neurons in the rat developing forebrain to drug-induced cell death by chemicals such as ethanol corresponds to the period of their synaptogenesis (Ikonomidou et al., 2000). These considerations raise an intriguing possibility that newly generated OSNs have a critical time window for the formation and maintenance of specific synaptic contacts with OB neurons. The distinction between survival and death may be executed when OSNs start to interact synaptically with OB neurons, and this period may correspond to the period of increased susceptibility to sensory-deprivation-dependent apoptosis. Once new OSNs form functional synapses with OB neurons, susceptibility to sensory-deprivation-dependent apoptosis may decrease. Consistent with this idea, sensory deprivation for 28 d did not affect the histology of the uninjured tissue (Fig. 1). However, whether a long-lasting period of sensory deprivation affects survival of new OSNs remains unclear.
It is tempting to speculate that the critical period is defined by the mechanisms that make caspase activation permissive. A detailed analysis of the positive and negative controls of the apoptotic pathways may provide a clue toward understanding the mechanisms of the critical period for sensory-dependent cell survival and integration of new neurons into preexisting neuronal circuits.
Footnotes
This work was supported by a grant-in-aid for scientific research (C) of the Japan Society for Promotion of Science (to S.K.), a grant-in-aid for scientific research (A) of the Japan Society for Promotion of Science (to K.M.), and grant from the Tokyo Society of Medical Sciences (to S.K.). We thank Atsuko Tsuyuzaki at the University of Tokyo for technical assistance.
The authors declare no competing financial interests.
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