Abstract
Increasing evidence suggests that Ras-related in brain 7 (Rab7), an endosome-localized small GTPase contributes to cerebral ischemic brain injury. In the present study, we investigated the role of Rab7 in ischemic stroke-induced formation of astrogliosis and glial scar. Rats were subjected to transient middle cerebral artery occlusion (tMCAO); the rats were injected with the Rab7 receptor antagonist CID1067700 (CID). Primary astrocytes were subjected to an oxygen and glucose deprivation and reoxygenation (OGD/Re) procedure; CID was added to the cell culture media. We found that Rab7 was significantly elevated over time in both the in vivo and in vitro astrocytic injury models, and administration of CID significantly down-regulated the glial scar markers such as glial fibillary acidic protein (GFAP), neurocan and phosphacan. Moreover, administration of CID significantly attenuated the brain atrophy and improved neurologic deficits in tMCAO rats, and protected astrocytes against OGD/Re-induced injury. Further, CID downregulated the protein levels of Lamp1 and active cathepsin B in astrocytes after OGD/Re or tMCAO injury; CID inhibited the co-localization of cathepsin B and Rab7, Lamp1 and Rab7; CID decreased OGD/Re-induced increase in lysosomal membrane permeability and blocked OGD/Re-induced release of cathepsin B from the lysosome into the cytoplasm in astrocytes. Taken together, these results suggest that Rab7 is involved in ischemic stroke-induced formation of astrogliosis and glial scar. CID administration attenuates brain atrophy and improves neurologic deficits and inhibits astrogliosis and glial scar formation after ischemic stroke via reducing the activation and release of cathepsin B from the lysosome into the cytoplasm.
Keywords: ischemic stroke, astrocytes, Rab7, CID1067700, glial scar, lysosome
Introduction
Ischemic stroke is a leading cause of combined death and disability worldwide [1]. At present, tissue plasminogen activator (t-PA) is the only thrombolytic agent approved by the United States Food and Drug Administration for the treatment of acute ischemic stroke [2]. However, the use of tPA is limited to a minority of patients due to its narrow therapeutic window and side effects [3, 4]. Therefore, the development of novel targets for drug therapies to reduce brain damage after ischemic stroke is a major challenge [5].
The central nervous system contains an abundance of astrocytes [6]. Astrocytes play important roles in many diseases and respond to most forms of neural disorders, including ischemic stroke [7]. Glial fibrillary acidic protein (GFAP) is a prototypic marker for reactive astrocytes [8]. In the acute phase of ischemic stroke, reactive astrocytes in the peri-infarct region seal the site of injury, protect the damaged neural tissue, prevent an overwhelming inflammatory response, and re-establish the blood–brain barrier [9–12]. However, a physical and functional wall is formed around the necrotic brain tissue of the infarct during the chronic phase, which occurs approximately 2–4 weeks after ischemic stroke [10, 13]. Reactive astrocytes in the scar express a broad range of inhibitory molecules against axonal regeneration, such as chondroitin sulfate proteoglycans (CSPGs) [14, 15], which are major barriers to axon extension and regeneration in the central nervous system [16]. Therefore, the inhibition of glial scar formation may be a therapeutic strategy for ischemic stroke [17].
Previous studies demonstrated that lysosomal alterations such as lysosomal membrane permeabilization (LMP) and the release of lysosomal hydrolytic enzymes occur in cerebral ischemia diseases [6, 18–20]. Lysosomal membranes contain two highly glycosylated proteins, Lamp1 and Lamp2, as major components [21]. Cathepsin B is one of the major lysosomal cysteine protease that might be important in intracellular protein catabolism and apoptosis induction [6]. The release of active cathepsin B from the lysosomes to the cytoplasm can be used as a measure of lysosomal membrane permeability in ischemic neurons and astrocytes [6, 22]. Our previous study reported a significant upregulation of Lamp1 protein in astrocytes after tMCAO, which coincided with increased levels of active cathepsin B and its movement into the cytosol. Furthermore, administration of a cathepsin B inhibitor [6, 22] blocked LMP in ischemic astrocytes and attenuated astrocytic cell death, which suggests that a similar approach might hold therapeutic potential for the treatment of diseases associated with LMP, including ischemic stroke [23].
Rab7 is a 208 amino acid protein predominantly found in the late endosomes [24]. Rab7 is recognized as the only lysosomal Rab protein in the Rab GTPase superfamily [25]. Late endosomes are a central hub that receive the following factors: (i) newly synthesized proteins (e.g., cathepsins) from the Golgi apparatus, (ii) endocytic cargo from the early endosome, and (iii) autophagic cargo from the autophagosome. Late endosomes fuse with lysosomes via an N-ethylmaleimide-sensitive factor-dependent mechanism to become a more acidic hybrid endolysosome, also known as the secondary lysosome, for component degradation. The endolysosome becomes a lysosome with evenly distributed contents after digestion of the cargo. The lysosome is recycled for another round of fusion with late endosomes for degradation. Previous research [26] revealed that a massive buildup of damaged late endosomes occurs over time in nerve cells, which die after transient cerebral or global ischemia. However, the role of Rab7 in astrogliosis and glial scar formation is largely unknown. In this study, we aimed to investigate the role of Rab7 in reactive astrocytes during the course of glial scar formation and its underlying mechanisms associated with a reduction in cathepsin B activation and release from the lysosomes into the cytoplasm after ischemic stroke. We report that (i) Rab7 is significantly elevated in the reactive astrocytes in the peri-infarct area of the cerebral cortex following tMCAO and that a positive correlation exists between Rab7 upregulation and astrogliosis and glial scar formation; (ii) the Rab7 receptor antagonist CID1067700 (CID) reduces astrogliosis and glial scar formation; (iii) CID promotes brain functional recovery in the late stage of ischemic stroke; and (iv) CID attenuates astrogliosis and glial scar formation after ischemic stroke via a reduction of cathepsin B activation and release from the lysosomes into the cytoplasm.
Materials and methods
Animals and treatment
Male Sprague-Dawley (SD) rats weighing (280–320 g) were purchased from the SLAC Company (Shanghai, China). The University Committee on Animal Care of Soochow University approved all animal procedures. Rats were housed in groups of four per cage in a standard animal room with a 12 h light/12 h dark cycle at 22 °C and given free access to food and water. All procedures were designed to minimize suffering and the number of animals used.
Middle cerebral artery occlusion and reperfusion
Transient focal cerebral ischemia was induced via intraluminal occlusion of the right middle cerebral artery (MCA), as previously described [6]. Rats were randomly assigned to groups using the online tool Quickcalcs (http://www.graphpad.com/quickcalcs/). Rats received an intraperitoneal injection of 4% choral hydrate (350 mg/kg), and the right common carotid artery (CCA) was exposed via a midline pretracheal incision. The external carotid artery (ECA) and CCA were ligated. A rubber silicon-coated monofilament suture (nylon monofilament size 4–0, diameter 0.150–0.199 mm, length 28 mm; diameter with coating 0.36 ± 0.02 mm; coating length 5 mm) was inserted into the ECA and advanced along the internal carotid artery 8–10 mm from the bifurcation of the carotid artery to occlude the MCA. The suture was gently withdrawn 90 min after ischemia for reperfusion. Tympanic membrane and rectal temperature probes were inserted, and cranial and body temperatures were maintained at 37 °C using a heating pad during and after surgery until recovery from anesthesia. CID 1067700 (CID) was purchased from Merck Millipore (Temecula, California, USA). CID (2.5 mg/kg dissolved in 2% DMSO) or vehicle (2% DMSO) was administered intraperitoneally 10 min before tMCAO, 90 min after the onset of tMCAO, and once weekly for four weeks. Sham-operated and tMCAO control animals received intraperitoneal injections of vehicle.
Assessment of neurological deficits and brain atrophy
Neurological deficits score, grip strength test and limb-use-asymmetry test were used to assess neurological deficits, as described previously [22]. The tests were performed before and 1, 3, 7, 14, 21, 28 days after tMCAO. Brain atrophy was measured 28 days after tMCAO. Observers who were blind to group assignment performed all evaluations.
Neurological deficits score
Animals were scored on a 6-point scale for neurological deficits: 0, no neurological deficit performance; 1, ptosis of eyelid ipsilateral to the occluded MCA side and/or failure to stretch ipsilateral forelimb; 2, persistently walks toward the ipsilateral side in large circles; 3, persistently walks toward ipsilateral side in small circles and/or rolls over repeatedly; 4, lies nearly motionless on the contralateral side; and 5, died after recovery from anesthesia.
Grip strength test
A rat grip strength meter (YLS-13A, Jinan YiYan Technology Development Company Limited, China) was used to evaluate forelimb grip strength. The peak force was recorded as the grip value (grams as the unit of force), and 10 trials were performed for each animal.
Limb-use-asymmetry test
A Plexiglas cylinder (HOOFAN, Wenling, Zhejiang) was used to test forelimb-use-asymmetry. Forelimb movement was recorded while the rats moved vertically along the wall of the cylinder. A total of twenty movements were recorded during the 10 min test for each rat. The final score was calculated as follows: (Right forelimb movement − Left forelimb movement) / (Right forelimb movement + Left forelimb movement + Both movements).
Brain atrophy measurement
Brain atrophy measurement was performed as described previously [27]. Twenty-eight days after tMCAO, behavioral testing was performed, and then the rats were euthanized. Brains were dissected and sliced into five parts in a plastic module (Harvard Apparatus, 3-mm thickness) to observe the volume of brain atrophy. The ratio of brain atrophy (RA) was analyzed using Image J software. The atrophy volume was measured as follows: RA (ratio of brain atrophy, % of the left brain) = (LT – RT)/LT × 100%), where LT = total volume in the left hemisphere, and RT = total volume in the right hemisphere.
Primary cell cultures, oxygen-glucose deprivation/reperfusion (OGD/Re) and lactate dehydrogenase (LDH) leakage measurement
Primary cortical astrocyte cultures
Primary cortical astrocyte cultures were prepared from 24 h postnatal Sprague-Dawley rats as described previously [22]. Briefly, cerebral cortices were digested with 2.5% trypsin for 10 min at 37 °C and filtered through a sterile 40-μm nylon cell strainer. Cells were cultured in DMEM/F12 (GIBCO, 11330) containing 10% fetal bovine serum (GIBCO, 10099) and 1% 100 U/mL penicillin/streptomycin (Beyotime, C0222). Cultures were maintained at 37 °C under >90% humidity and 5% CO2. The medium was changed every 2 or 3 days until cells were confluent. More than 90% of the cultured cells were astrocytes, as identified by immunofluorescent staining for the astrocytic marker protein GFAP.
Oxygen-glucose deprivation/reperfusion (OGD/Re)
The model of oxygen and glucose deprivation (OGD) was performed as described previously [28]. Briefly, primary cultured astrocytes were rinsed twice with phosphate-buffered saline (PBS, pH 7.4) and refreshed with glucose-free DMEM (GIBCO, 11966). Cells were placed in a sealed chamber (Billups-Rothenberg, San Diego, CA, USA) loaded with mixed gas containing 95% N2 and 5% CO2 at 37 °C for 6 h. After OGD exposure, the cells were subjected to reoxygenation in a DMEM/F12 solution in normoxic conditions for 12 h and 24 h. Cells in the control group (non-OGD) were incubated in a DMEM/F12 solution in a humidified atmosphere with 5% CO2 at 37 °C for the same time periods as the experimental groups. CID was added to the cell culture media 30 min before OGD and reperfusion. CID was dissolved in DMSO, and the final concentrations in the cell culture media were 40 and 80 nM. The DMSO concentration during the cell culture experiments never exceeded 0.1%.
Lactate dehydrogenase (LDH) leakage measurement
LDH leakage from astrocytes was detected using an LDH assay kit (Nanjing Jiancheng Bioengineering Institute, Nanjing, China) at 450 nm in an automatic multiwall spectrophotometer (Bio-Rad Laboratories, Hercules, CA, USA). The method was performed as previously described [28]. Briefly, the medium was collected after reperfusion. Astrocytes were rinsed with PBS and lysed in 1% TritonX-100 at 37 °C for 30 min. Samples of the media and cell lysates were prepared following the manufacturer’s instructions for the LDH assay. The LDH leakage was calculated as follows: LDH leakage (%) = OD value of the supernatant of the medium/(OD value of the supernatant of the medium + OD value of the supernatant of lysed cells) × 100% [29].
Immunohistochemistry and immunofluorescence
Immunohistochemistry was performed as previously described [6]. Rats were euthanized using 4% chloral hydrate (350 mg/kg) 1, 3, and 7 days after tMCAO. Brains were perfused and fixed in 4% paraformaldehyde for 24 h, dehydrated in increasing concentrations of saccharose, embedded in OCT (optimal cutting temperature compound, Sakura, USA), and cut into 12 μm thick sections in the coronal plane. Brain sections were fixed in 4% paraformaldehyde for 10 min, permeabilized with 0.3% Triton X-100 and blocked in 1% BSA for 1 h at room temperature. Slices were incubated with specific primary antibodies against GFAP (1:1000, ab10062, Abcam), GFAP (1:500, ab7260, Abcam), Rab7 (1:500, ab77993, Abcam), and Lamp1 (1:500, ab25630, Abcam) overnight at 4 °C. The corresponding secondary antibodies of Alexa Fluor® 488 goat anti-rabbit IgG (H + L) (1:500, A11008, Life Technologies) and Alexa Fluor® 594 goat anti-mouse IgG (H + L) (1:500, A11005, Life Technologies) were applied for 1 h at room temperature. Sections were incubated for 20 min in Hoechst (1:10,000, 33258, Sigma) solution to stain nuclei.
Cultured cells were treated with OGD for 6 h and reoxygenation for 24 h. Cells were rinsed with PBS and fixed in 4% paraformaldehyde for cell morphology assessments. Cells were then permeabilized and blocked for 60 min (0.1% Triton X-100, 1% BSA) at room temperature and overnight at 4 °C with the following primary antibodies: GFAP (1:500, AB5804, Millipore), GFAP (1:500, MAB360, Millipore), neurocan (1:200, ab26003, Abcam), phosphacan (1:500, P8874, Sigma), Lamp1 (1:100, ab24170, Abcam), Rab7 (1:500, ab50533, Abcam) and cathepsin B (1:100, 06–480, Millipore). Cells were subsequently incubated for 1 h with the corresponding secondary antibodies at room temperature. Cells were washed in PBS and incubated in Hoechst (1:10,000, 33258, Sigma) solution for 10 min. Images were obtained by confocal laser scanning microscopy (LSM 710; Carl Zeiss Co. Ltd., Oberkochen, Germany). We used ZEN 2012 and ImageJ to analyze immunofluoresence.
Two colocalization coefficients (Pearson’s overlap coefficients and Mander’s overlap coefficients) were used to express the intensity correlation of colocalized objects in each component of a dual-color image. Pearson’s overlap coefficients indicate the correlation of the intensity distribution in each color channel. The results are +1 for perfect correlation, 0 for no significant correlation, and −1 for complete anti-correlation. This coefficient only measures correlations in colocalization experiments. Mander’s overlap coefficients indicate an actual overlap between color channels, which represents the true level of colocalization. Values range from 0 to 1, and the results are 1 for perfect overlap, and 0 for no overlap. It is similar to Pearson’s overlap coefficients in the colocalization experiments, but the difference is that Mander’s overlap coefficients are suitable when the fluorescence of one antigen is stronger than another antigen [30].
Western blotting analysis
Proteins extracted from ischemic cortexes or cultured astrocytes were used for Western blotting. Tissues and cells were lysed in lysis buffer (10 mM Tris–HCl, 150 mM NaCl, 1% TritonX-100, 1% sodium deoxycholate, 0.1% sodium dodecyl sulfate, 5 mM EDTA, pH 7.4) containing a protease inhibitor cocktail, incubated for 30 min on ice, and centrifuged at 12,000 × g for 10 min at 4 °C. The protein concentration of the supernatant was determined by BCA Protein Assay Kit (Pierce, Rockford, IL, USA). Protein (40 μg) was loaded for SDS–polyacrylamide gel electrophoresis and transferred to nitrocellulose membranes. Membranes were blocked with 5% nonfat milk for 1 h. Membranes were incubated with specific primary antibodies against GFAP (1:5000, ab10062, Abcam), neurocan (1:500, ab26003, Abcam), phosphacan (1:1000, P8874, Sigma), Rab7 (1:2000, ab50533, Abcam), Lamp1 (1:500, ab24170, Abcam) and cathepsin B (1:500, 06–480, Millipore), and β-actin (1:5000, A5441, Sigma) overnight at 4 °C. Corresponding secondary antibodies conjugated with HRP anti-mouse IgG (H + L) (1:10,000, 042-06-18-06, KPL) or anti-rabbit IgG (H + L) (1:10,000, 042-06-15-06, KPL) were applied for 1 h at room temperature. Immunoreactivity was detected with an Odyssey scanner (LI-COR). Blots were captured by an Odyssey scanner (LI-COR). Densitometric analyses of the bands were quantitatively analyzed with ImageJ software. β-actin (1:5000, A5441, Sigma) served as the loading control.
Measurement of lysosomal stability
The acridine orange (AO) (318337, Sigma-Aldrich) staining assay is widely used for evaluations of LMP. AO is a lysosomotropic base and a metachromatic fluorophore. AO captures protons inside the acidic vacuolar compartment, preferentially in secondary lysosomes, and retains its charged form, which results in red fluorescence. AO relocates to the cytosol from the lysosomes when LMP is increased, which produces a cytoplasmic diffuse green fluorescence and reduced red fluorescence. Cells were subjected to OGD treatment for 6 h and reperfusion for 24 h and then incubated with 5 μg/mL of AO in complete medium for 15 min at 37 °C. Images were obtained by a confocal microscope (LSM 710; Carl Zeiss Co. Ltd., Oberkochen, Germany).
Statistical analysis
The data are presented as the mean ± SD. Statistical analyses were performed using analysis of variance (ANOVA) for multiple comparisons with Tukey’s post-hoc test, and the difference between two groups was evaluated using Student’s t-test. Ordinal values were analyzed using analysis of variance (ANOVA) and Bonferroni’s post hoc correction. P < 0.05 was considered statistically significant.
Results
Rab7 was increased in astrogliosis and glial scar formation following ischemia in vivo and in vitro
Astrocytes in the ischemic brain undergo important morphological modifications, such as hyperplasia and hypertrophy, in the peri-infarct region. These astrocytes, also referred to as reactive astrogliosis, subsequently develop into the glial scar [31, 32]. Protein levels of GFAP, phosphacan and neurocan are increased in the scar [33]. We measured GFAP and phosphacan protein levels in the peri-infarct region 2, 4, 6 h, 1, 3, 7, and 14 days after tMCAO with Western blot analysis. The results revealed no significant differences in GFAP (Fig. 1a) or phosphacan (Fig. 1a) levels between the sham group and tMCAO groups at 2, 4, or 6 h. GFAP (P = 0.0018) and phosphacan (P = 0.0070) protein levels increased significantly from 1 to 7 days after focal ischemia. Protein levels of phosphacan (P = 0.0111) exhibited a slight decrease 14 days after tMCAO.
Rab7 may contribute to cerebral tMCAO injuries [34]. However, whether Rab7 participates in astrogliosis and glial scar formation following tMCAO is not known. Our results revealed an increase in Rab7 levels on day 1 (P = 0.0141), which peaked at day 7 (P = 0.0090) and decreased at day 14 (P = 0.0477) in the peri-infarct region of cerebral cortex after tMCAO injury (Fig. 1a). Immunohistochemistry revealed a robust increase in Rab7 (P = 0.0013) 7 days after tMCAO injury (Fig. 1b).
We established OGD6 h/Re12 h and OGD6 h/Re24 h glial scar formation models in primary cultured astrocytes to mimic the tMCAO injury in vitro using a previous described method [12]. The results demonstrated that OGD6 h/Re induced an increase in GFAP (P = 0.0080) (Fig. 1c) and phosphacan (P = 0.0096) (Fig. 1c) protein levels that peaked at OGD6 h/Re24 h. Rab7 protein levels increased at OGD6 h/Re12 h (P = 0.0019) and peaked at OGD6 h/Re24 h (P = 0.0004) in reactive astrocytes (Fig. 1c), which is consistent with the in vivo results. No differences in Rab7 levels were observed between the non-OGD group, non-OGD/Re group, OGD6 h group or the OGD6 h/Re6 h group.
These results indicate that Rab7 protein levels in the glial scar positively correlated with reactive astrogliosis and glial scar formation after ischemic stroke injury in vivo and in vitro.
Rab7 receptor antagonist attenuates ischemic stroke-induced astrogliosis in vivo and in vitro
Numerous astrocytes are activated after reperfusion, and excessive astrogliosis further extends processes toward the ischemic core. The glial scar matures in the peri-infarct region, which demarcates the ischemic core from healthy tissue [35–38]. This scar inhibits axonal sprouting and limits regeneration [13]. However, the role of Rab7 in astrogliosis and glial scar formation in ischemic stroke remains unknown. The Rab7 receptor antagonist CID reduces Rab7-GTP levels [39]. In the current study, we found that CID markedly decreased GFAP (P = 0.0058) (Fig. 2a) and phosphacan (P = 0.0123) (Fig. 2a) protein levels in the peri-infarct region 7 days after tMCAO injury.
The Rab7 receptor antagonist reduced phosphacan (P = 0.005) (Fig. 2b), GFAP (P = 0.0033) (Fig. 2c), and neurocan (P = 0.0175) (Fig. 2d) protein levels at OGD6 h/Re24 h, which is consistent with the results in vivo. Immunofluorescence analysis revealed that the Rab7 receptor antagonist decreased phosphacan (P = 0.0013) (Fig. 3a) and neurocan (P = 0.0011) (Fig. 3b) immunoreactivity in reactive astrocytes at OGD6 h/Re24 h.
These results suggest that the Rab7 receptor antagonist inhibits astrogliosis and glial scar formation after ischemic brain injury.
Rab7 receptor antagonist reduces brain atrophy and ameliorates behavioral symptoms during the recovery phase of tMCAO
Ischemic stroke invariably forms an infarction core that causes severe neurological impairment [6]. Our results demonstrated that a Rab7 receptor antagonist significantly attenuated brain atrophy volumes 28 days (P < 0.0010) after tMCAO (Fig. 4a). CID also increased grip strength (Fig. 4b), decreased right forelimb use in the cylinder test (Fig. 4b) and improved neurological impairment scores (Fig. 4b) from 1 to 28 days after tMCAO. These results suggest that a Rab7 receptor antagonist promotes the recovery of brain function during the late stage of brain injury after tMCAO.
Rab7 receptor antagonist protects against OGD/Re-induced astrocytic cell injury
We next examined whether a Rab7 receptor antagonist exhibited protective effects on astrocytes after OGD/Re in vitro. The present study established OGD6 h/Re12 h and OGD6 h/Re24 h-induced glial scar formation models in primary cultured astrocytes. We detected the LDH leakage rate as an index of astrocytic cell death. We found that 80 nM CID significantly protected against astrocytic cell injury and reduced the LDH leakage of astrocytes after OGD6 h/Re12 h (P = 0.0151) (Fig. 5a) and OGD6 h/Re24 h (P = 0.0128) (Fig. 5b). These results demonstrate that a Rab7 receptor antagonist directly protects astrocytes against OGD/Re-induced injury.
Rab7 receptor antagonist inhibits the colocalization of Rab7, cathepsin B, and Lamp1 after OGD/Re and tMCAO injury
Cathepsin B is transported from late endosomes to lysosomes after transient cerebral ischemia [40], and excessive cathepsin B activation in lysosomes decreases the stability of the lysosome membrane after ischemic injury [6]. Therefore, we examined whether CID treatment inhibited excessive cathepsin B transport to lysosomes to indirectly stabilize the lysosomal membrane and play a protective role in astrocytes after OGD/Re and tMCAO injury. Immunofluorescence and immunohistochemistry revealed that CID treatment inhibited the colocalization of Rab7 and cathepsin B (P = 0.0016) (Fig. 6a, b) and Rab7 and Lamp1 after tMCAO (P = 0.0037) (Fig. 7a) and OGD/Re (P = 0.0016) (Fig. 7b). These results suggest that CID blocks excessive cathepsin B transport to lysosomes, which protects the stability of lysosomal membranes.
Rab7 receptor antagonist blocks cathepsin B activation and release from lysosomes into the cytoplasm
Yuan and colleagues reported that transient cerebral ischemia induced a massive buildup of damaged late endosomes, which resulted in a cascade of events that led to the fatal release of cathepsin B and delayed neuronal death after transient cerebral ischemia [26, 40]. Our previous data demonstrated that inhibition of cathepsin B activation and release from lysosomes into the cytoplasm inhibited astrogliosis and glial scar formation after ischemic stroke [6]. Late endosomes transport cathepsins from the Golgi to lysosomes for degradation [40]. Therefore, we hypothesized that the Rab7 receptor antagonist-mediated inhibition of glial scar formation would be associated with the inhibition of cathepsin B activation and release from lysosomes into the cytoplasm. We examined the effects of CID on OGD/Re-induced cathepsin B activation and release from lysosomes into the cytoplasm in astrocytes using immunofluorescence and Western blot analysis. Fewer fine, granular, perinuclear cathepsin B immunostaining colocalized with Lamp1-positive lysosomes in non-OGD astrocytes (Fig. 8a). This finding is consistent with the predominantly lysosomal location of these proteases [22, 41–44]. Cathepsin B granules became larger and irregular, formed aggregates or exhibited diffuse cytoplasmic staining and only partially colocalized with Lamp1-positive lysosomes in astrocytes treated with OGD/Re, which indicates an increased leakage of this enzyme from the lysosomes into the cytoplasm [45]. In contrast, CID reduced the aggregates and diffusion of cathepsin B after OGD/Re. Western blot analyses further confirmed that CID decreased the protein levels of active cathepsin B after ischemic injury in vitro (P = 0.0050) (Fig. 8b). These data suggest that the protective effects of the Rab7 receptor antagonist on ischemic astrocytes were mediated via the inhibition of cathepsin B activation and release from lysosomes into the cytoplasm.
Rab7 receptor antagonist stabilizes OGD/Re-induced lysosomal membrane instability in astrocytes
Cerebral ischemia induces LMP [20, 45], and LMP may mediate cathepsin B cytosolic translocation. Therefore, we evaluated LMP formation using Acridine Orange (AO) assays. AO is a metachromatic fluorophore that is normally cloistered inside lysosomes, which exhibit high levels of red fluorescence and low levels of green fluorescence. AO relocates from lysosomes to the cytosol when disrupted, which manifests as a reduction in red fluorescence and an increase in green fluorescence [45, 46]. OGD/Re induced a reduction in red fluorescence in astrocytes, and treatment with CID markedly inhibited the OGD/Re-induced reduction in red granular fluorescence of AO staining (P = 0.008) (Fig. 9a). Western blot analysis demonstrated that CID decreased Lamp1 protein levels after OGD/Re injury (P = 0.0255) (Fig. 9b). These data suggest that the Rab7 receptor antagonist stabilizes OGD/Re-induced lysosomal membrane instability in astrocytes.
Discussion
Rab7 is required for astrogliosis after ischemic stroke
Reactive astrogliosis is a pathological hallmark of the central nervous system (CNS) [47]. Reactive astrocytes contribute to beneficial effects via the secretion of neurotrophic substances that protect neurons and astrocytes at early stages [6, 48]. However, an excessive proliferation of reactive astrocytes leads to glial scar formation, which is definitely harmful to astrocytic and neuronal repair and axonal regeneration during later periods [6, 10, 48, 49]. The present study demonstrated the important roles of Rab7 in ischemic stroke and provides new evidence that a Rab7 receptor antagonist attenuated astrogliosis and glial scar formation in response to ischemic insult. One novel finding of the current study is that the marker of late endosomes Rab7 [34], participates in astrogliosis and glial scar formation after ischemic stroke. Rab7 was significantly elevated in reactive astrocytes in the peri-infarct region of the cerebral cortex following tMCAO or OGD/Re, and the time course of Rab7 upregulation positively correlated with astrogliosis and glial scar formation. The Rab7 receptor antagonist attenuated astrogliosis and glial scar formation in response to ischemic insult. The Rab7 receptor antagonist reduced GFAP and phosphacan protein levels in the peri-infarct region 7 days after tMCAO injury, which is a subacute stage. We further demonstrated that a Rab7 receptor antagonist inhibited OGD/Re-induced astrogliosis in vitro, significantly decreased neurocan and phosphacan immunoreactivity in reactive astrocytes, and reduced GFAP, neurocan and phosphacan protein levels in reactive astrocytes after OGD/Re injury. These data indicate that Rab7 is required for astrogliosis after ischemic stroke, and a Rab7 receptor antagonist reduces astrogliosis and glial scar formation.
Rab7 signaling in ischemic astrocytes
The present study also demonstrated the protective effects of a Rab7 receptor antagonist on ischemic stroke. We found that a Rab7 receptor antagonist directly protected against OGD/Re-induced astrocytic cell death. We further found that a Rab7 receptor antagonist reduced the volume of brain atrophy and improved brain function after tMCAO injury. These data demonstrate that a Rab7 receptor antagonist promotes the recovery of brain function in ischemic stroke. Our study suggests that Rab7 activity is an important contributing factor for astrocyte dysfunction and reactive astrogliosis, and the targeting of Rab7 is a better strategy to maintain normal astrocytic function, block the excessive reactive astrogliosis, and improve brain function after ischemic stroke.
Association between Rab7 and cathepsin B in astrogliosis after ischemic stroke
Another novel finding of the current study is that the Rab7 receptor antagonist-mediated inhibition of reactive astrocytes is associated with the ability of CID to stabilize the astrocytic lysosomal membrane, which blocked cathepsin B activation and release from the lysosomes into the cytoplasm during astrogliosis and glial scar formation after ischemic injury. A previous study reported that Rab7 activation exerted a neuroprotective role in hypoxic preconditioning against transient global cerebral ischemia-induced neuronal injury in adult rats [50]. These results confirmed that the hypoxic preconditioning-induced neuroprotection was not the result of an increase in lysosomes or improvement of lysosomal function after transient global cerebral ischemia. However, another study demonstrated that transient cerebral ischemia produced a massive buildup of Golgi fragments, transport vesicles (TVs), late endosomes (LEs), and the release of a 33 kDa LE type of cathepsin B, followed by delayed neuronal death [38]. Our findings are consistent with these latter findings, which indicated that the roles of Rab7 were associated with cathepsin B after tMCAO injury. A Rab7 receptor antagonist reversed tMCAO and OGD/Re-induced lysosomal swelling and the rupture of reactive astrocytes in the present study. Further experiments revealed that a Rab7 receptor antagonist reduced the aggregates and diffusion of cathepsin B (the cytoplasmic location of cathepsin B) and decreased cathepsin B activity in reactive astrocytes. We also found that a Rab7 receptor antagonist inhibited the colocalization of Rab7 and cathepsin B and Rab7 and Lamp1 after OGD/Re and tMCAO injury, which suggests that CID prevented Rab7 transport of cathepsin B to lysosomes after ischemic stroke. These results also indirectly indicate that CID blocked cathepsin B activation and release from lysosomes into the cytoplasm. One intriguing novel finding in the current study is that a Rab7 receptor antagonist stabilized OGD/Re-induced lysosomal membrane instability and inhibited the OGD/Re-induced activation of cathepsin B in astrocytes, which suggests that Rab7 mediates lysosomal membrane instability in ischemic astrocytes.
In conclusion, we demonstrated for the first time that astrocytic Rab7 plays a critical role in reactive astrogliosis and ischemic astrocytic damage after ischemic stroke in vivo and in vitro. We demonstrated that a Rab7 receptor antagonist reduced brain atrophy, ischemic astrocytic damage and reactive astrocyte formation and improved brain function. These benefits were associated with the inhibition of cathepsin B activation and release from lysosomes into the cytoplasm.
Acknowledgements
This work was supported by grants from the National Natural Science Foundation of China (No 30973510, 81171104, 81473211), the Jiangsu Key Laboratory of Neuropsychiatric Diseases (No BM2013003), the Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, and a project Funded by the Priority Academic Program Development of Jiangsu Higher Education Institutions (PAPD).
Author contributions
H-lZ designed the research; YQ, YH, Y-mZ, ML, YN and JL performed the research; YQ analyzed the data; YQ wrote the manuscript; and HZ revised the manuscript.
Conflict of interest
The authors declare that they have no competing interest.
References
- 1.Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al. Executive summary: heart disease and stroke statistics–2016 update: A Report From the American Heart Association. Circulation. 2016;133:447–54. doi: 10.1161/CIR.0000000000000366. [DOI] [PubMed] [Google Scholar]
- 2.Gu WW, Lu SQ, Ni Y, Liu ZH, Zhou XY, Zhu YM, et al. 2-(3’,5’-Dimethoxybenzylidene) cyclopentanone, a novel synthetic small-molecule compound, provides neuroprotective effects against ischemic stroke. Neuroscience. 2016;316:26–40. doi: 10.1016/j.neuroscience.2015.11.052. [DOI] [PubMed] [Google Scholar]
- 3.O’Collins VE, Macleod MR, Donnan GA, Horky LL, van der Worp BH, Howells DW. 1026 experimental treatments in acute stroke. Ann Neurol. 2006;59:467–77. doi: 10.1002/ana.20741. [DOI] [PubMed] [Google Scholar]
- 4.Zaleska MM, Mercado ML, Chavez J, Feuerstein GZ, Pangalos MN, Wood A. The development of stroke therapeutics: promising mechanisms and translational challenges. Neuropharmacology. 2009;56:329–41. doi: 10.1016/j.neuropharm.2008.10.006. [DOI] [PubMed] [Google Scholar]
- 5.Min Jia-Wei, Lü Lanhai, Freeling Jessica L., Martin Doug S., Wang Hongmin. USP14 inhibitor attenuates cerebral ischemia/reperfusion-induced neuronal injury in mice. Journal of Neurochemistry. 2017;140(5):826–833. doi: 10.1111/jnc.13941. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Zhu YM, Gao X, Ni Y, Li W, Kent TA, Qiao SG, et al. Sevoflurane postconditioning attenuates reactive astrogliosis and glial scar formation after ischemia-reperfusion brain injury. Neuroscience. 2017;356:125–41. doi: 10.1016/j.neuroscience.2017.05.004. [DOI] [PubMed] [Google Scholar]
- 7.Sofroniew MV, Vinters HV. Astrocytes: biology and pathology. Acta Neuropathol. 2010;119:7–35. doi: 10.1007/s00401-009-0619-8. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Ding S. Dynamic reactive astrocytes after focal ischemia. Neural Regen Res. 2014;9:2048–52. doi: 10.4103/1673-5374.147929. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Faulkner JR, Herrmann JE, Woo MJ, Tansey KE, Doan NB, Sofroniew MV. Reactive astrocytes protect tissue and preserve function after spinal cord injury. J Neurosci. 2004;24:2143–55. doi: 10.1523/JNEUROSCI.3547-03.2004. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Silver J, Miller JH. Regeneration beyond the glial scar. Nat Rev Neurosci. 2004;5:146–56. doi: 10.1038/nrn1326. [DOI] [PubMed] [Google Scholar]
- 11.Rolls A, Shechter R, Schwartz M. The bright side of the glial scar in CNS repair. Nat Rev Neurosci. 2009;10:235–41. doi: 10.1038/nrn2591. [DOI] [PubMed] [Google Scholar]
- 12.Wang R, Zhang X, Zhang J, Fan Y, Shen Y, Hu W, et al. Oxygen-glucose deprivation induced glial scar-like change in astrocytes. PLoS One. 2012;7:e37574. doi: 10.1371/journal.pone.0037574. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Liu Z, Chopp M. Astrocytes, therapeutic targets for neuroprotection and neurorestoration in ischemic stroke. Prog Neurobiol. 2016;144:103–20. doi: 10.1016/j.pneurobio.2015.09.008. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14.Smith GM, Strunz C. Growth factor and cytokine regulation of chondroitin sulfate proteoglycans by astrocytes. Glia. 2005;52:209–18. doi: 10.1002/glia.20236. [DOI] [PubMed] [Google Scholar]
- 15.Gris P, Tighe A, Levin D, Sharma R, Brown A. Transcriptional regulation of scar gene expression in primary astrocytes. Glia. 2007;55:1145–55. doi: 10.1002/glia.20537. [DOI] [PubMed] [Google Scholar]
- 16.Karimi-Abdolrezaee S, Billakanti R. Reactive astrogliosis after spinal cord injury-beneficial and detrimental effects. Mol Neurobiol. 2012;46:251–64. doi: 10.1007/s12035-012-8287-4. [DOI] [PubMed] [Google Scholar]
- 17.Sims NR, Yew WP. Reactive astrogliosis in stroke: contributions of astrocytes to recovery of neurological function. Neurochem Int. 2017;107:88–103. doi: 10.1016/j.neuint.2016.12.016. [DOI] [PubMed] [Google Scholar]
- 18.Lipton P. Lysosomal membrane permeabilization as a key player in brain ischemic cell death: a “lysosomocentric” hypothesis for ischemic brain damage. Transl Stroke Res. 2013;4:672–84. doi: 10.1007/s12975-013-0301-2. [DOI] [PubMed] [Google Scholar]
- 19.Rodríguez-Muela N, Hernández-Pinto AM, Serrano-Puebla A, García-Ledo L, Latorre SH, de la Rosa EJ, et al. Lysosomal membrane permeabilization and autophagy blockade contribute to photoreceptor cell death in a mouse model of retinitis pigmentosa. Cell Death Differ. 2015;22:476–87. doi: 10.1038/cdd.2014.203. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Ni Y, Gu WW, Liu ZH, Zhu YM, Rong JG, Kent TA, et al. RIP1K contributes to neuronal and astrocytic cell death in ischemic stroke via activating autophagic-lysosomal pathway. Neuroscience. 2018;371:60–74. doi: 10.1016/j.neuroscience.2017.10.038. [DOI] [PubMed] [Google Scholar]
- 21.Johansson AC, Appelqvist H, Nilsson C, Kågedal K, Roberg K, Ollinger K. Regulation of apoptosis-associated lysosomal membrane permeabilization. Apoptosis. 2010;15:527–40. doi: 10.1007/s10495-009-0452-5. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22.Xu M, Yang L, Rong JG, Ni Y, Gu WW, Luo Y, et al. Inhibition of cysteine cathepsin B and L activation in astrocytes contributes to neuroprotection against cerebral ischemia via blocking the tBid-mitochondrial apoptotic signaling pathway. Glia. 2014;62:855–80. doi: 10.1002/glia.22645. [DOI] [PubMed] [Google Scholar]
- 23.Aits S, Jäättelä M. Lysosomal cell death at a glance. J Cell Sci. 2013;126:1905–12. doi: 10.1242/jcs.091181. [DOI] [PubMed] [Google Scholar]
- 24.Hyttinen JM, Niittykoski M, Salminen A, Kaarniranta K. Maturation of autophagosomes and endosomes: a key role for Rab7. Biochim Biophys Acta. 2013;1833:503–10. doi: 10.1016/j.bbamcr.2012.11.018. [DOI] [PubMed] [Google Scholar]
- 25.Zhang M, Chen L, Wang S, Wang T. Rab7: roles in membrane trafficking and disease. Biosci Rep. 2009;29:193–209. doi: 10.1042/BSR20090032. [DOI] [PubMed] [Google Scholar]
- 26.Yuan D, Liu C, Hu B. Dysfunction of membrane trafficking leads to ischemia-reperfusion injury after transient cerebral ischemia. Transl Stroke Res. 2018;9:1–8. doi: 10.1007/s12975-017-0546-2. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Hong LZ, Gu WW, Ni Y, Xu M, Yang L, Liu YL, et al. Postischemic long-term treatment with Qiangli Tianma Duzhong Capsule improves brain functional recovery via the improvement of hemorrheology and the inhibition of platelet aggregation in a rat model of focal cerebral ischemia. Evid-Based Complement Altern Med. 2013;2013:795365. doi: 10.1155/2013/795365. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28.Qin AP, Liu CF, Qin YY, Hong LZ, Xu M, Yang L, et al. Autophagy was activated in injured astrocytes and mildly decreased cell survival following glucose and oxygen deprivation and focal cerebral ischemia. Autophagy. 2010;6:738–53. doi: 10.4161/auto.6.6.12573. [DOI] [PubMed] [Google Scholar]
- 29.He P, He W, Wang A, Xia T, Xu B, Zhang M, et al. PBDE-47-induced oxidative stress, DNA damage and apoptosis in primary cultured rat hippocampal neurons. Neurotoxicology. 2008;29:124–9. doi: 10.1016/j.neuro.2007.10.002. [DOI] [PubMed] [Google Scholar]
- 30.Zinchuk V, Zinchuk O, Okada T. Quantitative colocalization analysis of multicolor confocal immunofluorescence microscopy images: pushing pixels to explore biological phenomena. Acta Histochem Cytochem. 2007;40:101–11. doi: 10.1267/ahc.07002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31.Sofroniew MV. Molecular dissection of reactive astrogliosis and glial scar formation. Trends Neurosci. 2009;32:638–47. doi: 10.1016/j.tins.2009.08.002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Burda JE, Sofroniew MV. Reactive gliosis and the multicellular response to CNS damage and disease. Neuron. 2014;81:229–48. doi: 10.1016/j.neuron.2013.12.034. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 33.Choudhury GR, Ding S. Reactive astrocytes and therapeutic potential in focal ischemic stroke. Neurobiol Dis. 2016;85:234–44. doi: 10.1016/j.nbd.2015.05.003. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 34.Wen H, Zhan L, Chen S, Long L, Xu E. Rab7 may be a novel therapeutic target for neurologic diseases as a key regulator in autophagy. J Neurosci Res. 2017;95:1993–2004. doi: 10.1002/jnr.24034. [DOI] [PubMed] [Google Scholar]
- 35.Hayakawa K, Nakano T, Irie K, Higuchi S, Fujioka M, Orito K, et al. Inhibition of reactive astrocytes with fluorocitrate retards neurovascular remodeling and recovery after focal cerebral ischemia in mice. J Cereb Blood Flow Metab. 2010;30:871–82. doi: 10.1038/jcbfm.2009.257. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 36.Barreto GE, Sun X, Xu L, Giffard RG. Astrocyte proliferation following stroke in the mouse depends on distance from the infarct. PLoS One. 2011;6:e27881. doi: 10.1371/journal.pone.0027881. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 37.Shimada IS, Borders A, Aronshtam A, Spees JL. Proliferating reactive astrocytes are regulated by Notch-1 in the peri-infarct area after stroke. Stroke. 2011;42:3231–7. doi: 10.1161/STROKEAHA.111.623280. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 38.Bao Y, Qin L, Kim E, Bhosle S, Guo H, Febbraio M, et al. CD36 is involved in astrocyte activation and astroglial scar formation. J Cereb Blood Flow Metab. 2012;32:1567–77. doi: 10.1038/jcbfm.2012.52. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39.Lam T, Kulp DV, Wang R, Lou Z, Taylor J, Rivera CE, et al. Small molecule inhibition of Rab7 impairs B cell class switching and plasma cell survival to dampen the autoantibody response in murine lupus. J Immunol. 2016;197:3792–805. doi: 10.4049/jimmunol.1601427. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 40.Yuan D, Liu C, Hu B. Inactivation of NSF ATPase leads to cathepsin B release after transient cerebral ischemia. Transl Stroke Res. 2017;9:1–13. doi: 10.1007/s12975-017-0571-1. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 41.Hill IE, Preston E, Monette R, MacManus JP. A comparison of cathepsin B processing and distribution during neuronal death in rats following global ischemia or decapitation necrosis. Brain Res. 1997;751:206–16. doi: 10.1016/S0006-8993(96)01403-5. [DOI] [PubMed] [Google Scholar]
- 42.Seyfried D, Han Y, Zheng Z, Day N, Moin K, Rempel S, et al. Cathepsin B and middle cerebral artery occlusion in the rat. J Neurosurg. 1997;87:716–23. doi: 10.3171/jns.1997.87.5.0716. [DOI] [PubMed] [Google Scholar]
- 43.Benchoua A, Braudeau J, Reis A, Couriaud C, Onténiente B. Activation of proinflammatory caspases by cathepsin B in focal cerebral ischemia. J Cereb Blood Flow Metab. 2004;24:1272–9. doi: 10.1097/01.WCB.0000140272.54583.FB. [DOI] [PubMed] [Google Scholar]
- 44.Kilinc M, Gürsoy-Ozdemir Y, Gürer G, Erdener SE, Erdemli E, Can A, et al. Lysosomal rupture, necroapoptotic interactions and potential crosstalk between cysteine proteases in neurons shortly after focal ischemia. Neurobiol Dis. 2010;40:293–302. doi: 10.1016/j.nbd.2010.06.003. [DOI] [PubMed] [Google Scholar]
- 45.Zhou XY, Luo Y, Zhu YM, Liu ZH, Kent TA, Rong JG, et al. Inhibition of autophagy blocks cathepsins-tBid-mitochondrial apoptotic signaling pathway via stabilization of lysosomal membrane in ischemic astrocytes. Cell Death Dis. 2017;8:e2618. doi: 10.1038/cddis.2017.34. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 46.Hsu KF, Wu CL, Huang SC, Wu CM, Hsiao JR, Yo YT, et al. Cathepsin L mediates resveratrol-induced autophagy and apoptotic cell death in cervical cancer cells. Autophagy. 2009;5:451–60. doi: 10.4161/auto.5.4.7666. [DOI] [PubMed] [Google Scholar]
- 47.Pekny M, Pekna M. Astrocyte reactivity and reactive astrogliosis: costs and benefits. Physiol Rev. 2014;94:1077–98. doi: 10.1152/physrev.00041.2013. [DOI] [PubMed] [Google Scholar]
- 48.Lukovic D, Stojkovic M, Moreno-Manzano V, Jendelova P, Sykova E, Bhattacharya SS, et al. Concise review: reactive astrocytes and stem cells in spinal cord injury: good guys or bad guys. Stem Cells. 2015;33:1036–41. doi: 10.1002/stem.1959. [DOI] [PubMed] [Google Scholar]
- 49.Buffo A, Rolando C, Ceruti S. Astrocytes in the damaged brain: molecular and cellular insights into their reactive response and healing potential. Biochem Pharmacol. 2010;79:77–89. doi: 10.1016/j.bcp.2009.09.014. [DOI] [PubMed] [Google Scholar]
- 50.Zhan L, Chen S, Li K, Liang D, Zhu X, Liu L, et al. Autophagosome maturation mediated by Rab7 contributes to neuroprotection of hypoxic preconditioning against global cerebral ischemia in rats. Cell Death Dis. 2017;8:e2949. doi: 10.1038/cddis.2017.330. [DOI] [PMC free article] [PubMed] [Google Scholar]