ABSTRACT
Macrophage derived foam cells in atherosclerotic plaques are the major factor responsible for the pathogenesis of atherosclerosis (AS). During advanced AS, macrophage-specific macroautophagy/autophagy is dysfunctional. 1, 25-dihydroxy vitamin D3 (VitD3) and its receptor VDR (vitamin D receptor) are reported to inhibit foam cell formation and induce autophagy; however, the role of VitD3-VDR-induced autophagy and foam cell formation in AS has not been explored. Here we find that VitD3 significantly recovered oxidized low-density lipoprotein-impaired autophagy, as well as increased autophagy-mediated lipid breakdown in mouse bone marrow-derived macrophages and human monocyte-derived macrophages, thus inhibiting the conversion of macrophages into foam cells. Importantly, VitD3 functions through its receptor VDR to upregulate autophagy and attenuate the accumulation of lipids in macrophages. Moreover, this study is the first occasion to report the interesting link between VitD3 signaling and PTPN6/SHP-1 (protein tyrosine phosphatase non-receptor type 6) in macrophages. VitD3-induced autophagy was abrogated in the presence of the PTPN6/Ptpn6 shRNA or inhibitor. VDR along with RXRA (retinoid X receptor alpha), and NCOA1 (nuclear receptor coactivator 1), are recruited to a specific response element located on the gene promoter and induce PTPN6 expression. PTPN6 contributes to VitD3-mediated autophagy by regulating autophagy-related genes via activation of MAPK1 (mitogen-activated protein kinase 1) and CEBPB (CCAAT enhancer binding protein beta). Furthermore, expression of PTPN6 is also crucial for VitD3-mediated inhibition of macrophage foam cell formation through autophagy. Thus, VitD3-VDR-PTPN6 axis-regulated autophagy attenuates foam cell formation in macrophages.
Keywords: atherosclerosis, autophagy, macrophage, MAPK1/ERK2, oxidized low density lipoprotein molecules (Ox-LDL), PTPN6/SHP-1, VDR (vitamin D receptor), vitamin D
Introduction
Atherosclerosis (AS) is a chronic inflammatory disease exhibiting lipoprotein-driven metabolic dysfunction, characterized by the progressive build-up of plaques in the arterial vasculature [1,2]. It is the major cause of cardiovascular diseases (CVDs) arising from myocardial infarction, stroke, or ischemic heart failure [3,4]. Plaque development initiates through modification of low-density lipoprotein (LDL) molecules into oxidized LDL (Ox-LDL) by free radicals [5]. Accumulation of these toxic lipid molecules leads to damage to the arteries. This initiates a repair process leading to a series of reactions, including the recruitment of monocytes to the growing plaque and their subsequent differentiation into macrophages. Ox-LDL uptake by macrophages leads to foam cell formation, thereby leading to intracellular lipid accumulation in the form of lipid droplets (LDs) and development of AS [6]. Therefore, degrading toxic lipids and inhibiting the conversion of macrophages into foam cells would be an important protective strategy against AS.
Macroautophagy/autophagy is a lysosomal-dependent catabolic process, which involves the sequestration of self-components in double-membrane organelles called autophagosomes, and their degradation through autolysosome formation [7]. Apart from the classical function of autophagy as a self-renewing mechanism under different internal or external stimuli, the immunological function of autophagy has also been researched in recent years [8-10]. Autophagy, especially macrophage autophagy, plays a very decisive role in inflammation and infection [9,11]. Lipophagy is a type of selective autophagy where lipids are selectively delivered to autophagosomes for lysosome-mediated lipid breakdown [12,13]. Therefore, lipophagy helps in the regulation of lipid metabolism and cholesterol homeostasis, hence playing an important role in the pathogenesis of AS [14-17]. In advanced AS, macrophage autophagy becomes dysfunctional due to atherogenic factors, such as toxic lipids (e.g., Ox-LDL), inflammation, and reactive oxygen species, which promote plaque development and disease progression [18,19]. Recent data show that macrophage-specific deletion of ATG5 (autophagy related 5), an important protein in the autophagy process, leads to the development of more atherosclerotic plaques in mice fed with a high fat diet [15,20,21]. In addition, stent based delivery of MTOR (mechanistic target of rapamycin kinase) inhibitor, everolimus (an autophagy inducer), in cholesterol-fed rabbits demonstrates an atheroprotective role [22,23]. Moreover, the atheroprotective role of rapamycin in AS has also been attributed to up-regulation of autophagy [24,25]. These reports suggest that induction of macrophage autophagy would be a possible target for inhibiting AS development.
Vitamin D deficiency is a global health problem affecting almost 50% of the population worldwide [26,27]. Epidemiological and clinical evidence show a link between vitamin D deficiency and an increased risk of CVD, including coronary artery calcification, coronary stenosis, and carotid AS [28]. VDR (vitamin D receptor) is a member of the nuclear receptor super-family and mediates the major known functions of 1, 25-dihydroxy vitamin D3 (VitD3), a biologically active form of vitamin D [29,30]. Vitamin D and VDR appear to be important immunological regulators of AS [31-34]. vdr knockout (KO) mice develop more atherosclerotic plaques, while VDR signaling inhibits foam cell formation by decreasing macrophage cholesterol uptake [35,36]. LDL receptor and VDR double-knockout mice display accelerated atherosclerotic lesion development, increase in cholesterol influx in macrophages, and proinflammatory cytokines in the aorta [37]. Hence, these studies suggest a critical role of VDR in controlling lipid homeostasis and regulation of atherogenesis. Upon ligand binding, VDR binds to the promoter region of various target genes with specific DNA sequences of direct repeat 3 type of steroid response element [38-41]. Another study has shown that VitD3-mediated inhibition of mycobacterial growth is dependent on induction of autophagy by upregulation of autophagy related genes such as BECN1 (beclin 1) and ATG5 as well as by phagosome maturation [42,43]. Although autophagy, VDR, and vitamin D, are all involved in the pathogenesis of AS, it is still unclear whether they are related or these processes function independently. Various reports have identified vitamin D as a potent stimulator of autophagy in inflammation and infection [44-46]; however, no study has directly addressed the role of vitamin D-mediated autophagy in AS.
Our earlier studies have demonstrated the cardinal role of nuclear receptors in autophagy modulation and macrophage biology [47-50]. In this current study, we present evidence to suggest that vitamin D in macrophages inhibits AS by inducing autophagy. We found that VitD3, through VDR signaling, rescues Ox-LDL-impaired autophagy in both mouse bone marrow-derived macrophages (mBMDMs) and human monocyte-derived macrophages (hMDMs), and inhibited macrophage foam cell conversion in autophagy-dependent manner. To the best of our knowledge, we are reporting for the first time that VitD3 promotes the expression and function of PTPN6/SHP-1 (protein tyrosine phosphatase non-receptor type 6), which is a novel target gene of VDR. Ligand bound VDR binds to the promoter region of PTPN6/Ptpn6 and regulates its expression. Furthermore, we have shown that PTPN6 plays an important role in VitD3-mediated autophagy and that the VitD3-VDR-PTPN6 pathway inhibits the conversion of macrophages into foam cells. Hence, our study completes an existing knowledge gap by describing a defined role for macrophage VDR signaling in atheroprotection, through the process of autophagy.
Results
VitD3 rescues Ox-LDL-impaired autophagic flux in murine macrophages
To investigate whether vitamin D could rescue the impairment in autophagic flux induced via Ox-LDL, mBMDMs were stimulated with Ox-LDL and subsequently treated with VitD3, in the presence or absence of bafilomycin A1 (BafA) an inhibitor of late stage autophagy. BafA blocks the maturation of autophagosome by inhibiting autophagosome lysosome fusion and therefore blocks the degradation of two commonly used autophagy markers: MAP1LC3B/LC3B (microtubule associated protein 1 light chain 3 beta)-II, which is involved in autophagosome formation, and SQSTM1/p62 (sequestosome 1) which is an autophagy receptor required for removing protein aggregates via autolysosomes [51]. Hence, the accumulation of MAP1LC3B and SQSTM1 is observed upon BafA treatment. Furthermore, we investigated Ox-LDL-mediated disruption of autophagy in mBMDMs for which 50 μg/ml Ox-LDL was used for 48 h (arrived at by concentration series and time kinetics of Ox-LDL treatment) (Fig. S1A-C). Treatment with Ox-LDL led to a slight increase in the level of MAP1LC3B-II by western blotting (Figures 1A,B and S2A; increase in MAP1LC3B-II:MAP1LC3B-I is not significant), as well as the number of MAP1LC3B puncta (p<0.05) by immunofluorescence staining (Figure 1C,D) as compared to the controls. However, the level of SQSTM1 was significantly enhanced in comparison to the control group (p<0.001). In addition, while BafA treatment increased the level of MAP1LC3B-II and SQSTM1 compared to control cells (p<0.01), no significant difference was observed with BafA treatment along with Ox-LDL, as compared to treatment with Ox-LDL alone (Figure 1).
It is known that accumulation of SQSTM1 protein levels correlates with dysfunctional autophagy and is a feature of impaired autophagic flux due to toxic lipid accumulation [21,52,53]; therefore, these results indicate that Ox-LDL cause dysfunctional autophagic flux in mBMDMs. However, treatment with VitD3 markedly increased the level of MAP1LC3B-II (p<0.01), as well as the number of MAP1LC3B puncta in Ox-LDL-stimulated macrophages (p<0.01); and decreased the accumulation of SQSTM1 (p<0.01) as compared to treatment with Ox-LDL alone (Figures 1 and S2A). Moreover, treatment of BafA in Ox-LDL-stimulated macrophages in combination with VitD3 resulted in a significant increase in the levels of MAP1LC3B-II (p<0.001) and SQSTM1 (p<0.01) in comparison to Ox-LDL and VitD3 treatment. Therefore, these data suggest that VitD3 treatment of macrophages may improve the Ox-LDL-induced impairment of autophagic flux. To investigate the rescue effect of VitD3 on prolonged Ox-LDL treatment, the mBMDMs were treated with Ox-LDL for longer time (72 h) and autophagic flux was determined. VitD3 was equally efficacious in rescuing Ox-LDL-impaired autophagy at 48 h and 72 h (Fig. S1C).
VitD3 functions through VDR to regulate lipophagy in Ox-LDL-stimulated macrophages
VitD3 is a biologically active form of vitamin D and mediates its effects through transcriptional regulation via its receptor VDR [29,30]. We used BMDMs from wild-type (WT) and vdr KO mice to monitor the effect of VDR deficiency on VitD3 rescue of impairment in autophagy induced via Ox-LDL. VitD3 treatment significantly increased MAP1LC3B-II levels in Ox-LDL stimulated WT mBMDMs compared to control and Ox-LDL treatment alone (p<0.01). However, no such difference was found in the case of vdr KO mBMDMs. Absence of VDR led to abrogation of VitD3-induced MAP1LC3B-II levels in Ox-LDL-stimulated mBMDMs (p<0.01) (Figures 2A,B and S2B). Furthermore, the protein levels of SQSTM1 were significantly reduced upon VitD3 treatment of Ox-LDL-stimulated WT mBMDMs compared to Ox-LDL treatment alone (p<0.001); however, this effect was abrogated in the case of vdr KO mBMDMs (p<0.01) (Figure 2A,B) indicating the role of VDR signaling in VitD3 rescue of impairment in autophagy induced via Ox-LDL.
Ox-LDL is primarily stored as LDs in macrophage foam cells and can be selectively delivered to autophagosomes for its degradation via autophagy [12]. Therefore, to further examine whether VitD3 and VDR can improve the breakdown of lipids inside macrophages via autophagy, autophagosomes were labeled with an anti-MAP1LC3B antibody and LDs were stained with Nile Red (a fluorescent dye generally used to stain intracellular lipids) and the colocalization of MAP1LC3B with LDs was observed by immunofluorescence. We found that cells with more MAP1LC3B puncta had fewer LDs, whereas cells with fewer MAP1LC3B puncta had more LDs (Figure 2C,D), suggesting that the breakdown of lipids was mediated via autophagy. Importantly, there was a significant increase in the percentage colocalization of MAP1LC3B with LDs in mBMDMs treated with VitD3 and Ox-LDL, compared with Ox-LDL alone (p<0.001); however, this increase was abrogated in the absence of VDR (p<0.001) (Figure 2C,D). Therefore, these data indicate that VitD3, via VDR, elevates autophagy and promotes the degradation of lipids accumulated in macrophage foam cells.
PTPN6 is essential for VitD3 to restore Ox-LDL-impaired autophagy
PTPN6 is a non-receptor tyrosine phosphatase that expresses at the highest level in hematopoietic cells, and plays a crucial role in the differentiation and proliferation of macrophages, T and B lymphocytes, and other erythroid cells [54]. It has been shown to play a crucial role in vascular homeostasis by preventing excessive inflammation and thrombus formation [55,56]. PTPN6 negatively regulates superoxide formation, and decrease in the activity of PTPN6 contributes to the progression of atherosclerotic disease [55-58]. Recently, it has been reported that treatment with modified lipids (Ox-LDL) suppresses PTPN6 expression in mouse vascular smooth muscle cells [59]. We found that PTPN6 expression was also reduced in mBMDMs treated with Ox-LDL (p<0.01). Intriguingly, VitD3 treatment increased PTPN6 expression (p<0.001), thereby inhibiting the Ox-LDL-mediated reduction of PTPN6 (Figure 3A,B). PTPN6 has also been shown to induce autophagy by inhibiting STAT3 (signal transducer and activator of transcription 3) [60,61]. Therefore, we tested the role of PTPN6 in VitD3-induced autophagy using Ptpn6 shRNA in mBMDMs. mBMDMs were transduced with adenovirus expressing LacZ or Ptpn6 shRNA. We observed that knockdown of PTPN6 curtailed VitD3-induced autophagy in mBMDMs stimulated with Ox-LDL as evident by a decrease in MAP1LC3B-II (p<0.01) and increase in SQSTM1 (p<0.05) (Figures 3C,D and S2C). Moreover, the increase in the levels of MAP1LC3B-II upon treatment of BafA in Ox-LDL-stimulated macrophages in combination with VitD3 was abrogated in PTPN6 knockdown background. The knockdown efficiency was confirmed by western blot analysis with PTPN6 antibody (Fig. S2D). These results suggest that PTPN6 is required for VitD3 to rescue Ox-LDL-impaired autophagy, and thus it plays an essential role in VitD3 mediated autophagy induction.
The role of PTPN6 in VitD3-VDR autophagy
Next, we investigated in detail the role of PTPN6 in VitD3-induced autophagy using either Ptpn6 shRNA or a pharmacological inhibitor of PTPN6, sodium stibogluconate (SSG), in mBMDMs. mBMDMs transduced with LacZ or Ptpn6 shRNA were incubated in the presence and absence of VitD3 and/or BafA. MAP1LC3B-II and SQSTM1 protein levels were measured by western blotting (Figure 4A) and quantification was represented by bar histograms (Figure 4B). The results suggest that PTPN6 knockdown inhibited VitD3-induced autophagy as evident by the levels of MAP1LC3B-II and SQSTM1 (p<0.01) (Figures 4A,B and S3A). Additionally, we observed that SSG also inhibited VitD3-mediated autophagy by comparing mBMDMs cultured in the presence of VitD3 and SSG, or VitD3 alone (p<0.05) (Fig. S3B). VitD3-induced MAP1LC3B puncta formation was still observed in the presence of Ptpn6 shRNA; however, the number of MAP1LC3B puncta were decreased as compared to LacZ shRNA (p<0.05) (Figure 4C,D). The MAP1LC3B puncta were observed by confocal microscopy, quantified, and then represented in insets as MAP1LC3B puncta per cell (Figure 4D).
VitD3-VDR induces PTPN6 expression and function
Previously, VitD3 has been shown to inhibit STAT3 phosphorylation; however, the mechanism was not identified [62,63]. STAT3 is a well-known target of PTPN6 and is also known to inhibit autophagy [60,61]. Therefore, to investigate the effect of VitD3 on PTPN6 activity, we verified the phosphorylation state of STAT3. The status of phosphorylated STAT3 (p-STAT3) and STAT3 upon VitD3 treatment was examined in mBMDMs transduced with LacZ or Ptpn6 shRNA. VitD3 significantly inhibited STAT3 phosphorylation and this inhibition was remarkably reduced in the presence of Ptpn6 shRNA indicating that VitD3 induces the dephosphorylation of STAT3 via PTPN6 (Figure 5A,B). Next, we performed the expression analysis of PTPN6/Ptpn6 in the presence of different concentrations of VitD3. Elevated expression of PTPN6/Ptpn6 was observed under VitD3 stimulation in mBMDMs, and this induction was most significant at 20 nM concentration (p<0.001) (Figure 5C,D). Additionally, we examined the time kinetics of PTPN6/Ptpn6 expression under VitD3 stimulation and we observed maximum expression at 18-24 h (p<0.001) (Figure 5E,F). To determine the possible role of VDR in VitD3-induced expression of PTPN6, we analyzed PTPN6/Ptpn6 expression in VitD3 treated WT and vdr KO mBMDMs. Treatment of WT mBMDMs with VitD3 induced the expression of PTPN6/Ptpn6 both at mRNA and protein levels (p<0.001). However, VitD3 failed to induce PTPN6/Ptpn6 expression in vdr KO mBMDMs (Figure 5G,H). Thus, VitD3-VDR plays a crucial role in modulating PTPN6 expression and function.
Ptpn6 is a direct target gene of VDR
To investigate whether VDR modulates PTPN6 expression by genomic mechanism, we performed a bioinformatics search to identify if there is a putative vitamin D response element (VDRE) on the Ptpn6 promoter. Interestingly, we identified a potential VDRE on the Ptpn6 promoter at position −357, which suggests possible direct gene regulation of Ptpn6 via VDR (Figure 6A). Chromatin immunoprecipitation (ChIP) was performed in mBMDM cells treated with or without VitD3. Immunoprecipitation was performed using VDR and RXRA (retinoid X receptor alpha) antibodies. We identified that VDR-RXRA heterodimeric complex was recruited to the Ptpn6 promoter (p<0.001) (Figure 6B). We also identified NCOA1 (nuclear receptor coactivator 1) as a coactivator binding partner to this transcriptional complex by re-ChIP experiments (Figure 6B). Atg16l1 (autophagy related 16 like 1) was used as a positive control for ChIP experiments [64]. To check the binding of VDR and RXRA to the putative VDRE on the Ptpn6 promoter in-vitro, EMSA was performed. The VDR-RXRA heterodimer formed a strong complex with the oligonucleotides pertaining to the VDRE of the Ptpn6 promoter (Figure 6C). Osteopontin oligonucleotides were used as a positive control for EMSA experiments. Moreover, mutant Ptpn6 oligonucleotide VDRE sequence and cold competition assays were performed to further define the specificity of VDR-RXRA binding to the putative response element of Ptpn6 promoter (Figure 6D,E). Additionally, we also performed a luciferase reporter assay in COS1 cells, which further confirmed the positive regulation of PTPN6 expression by VitD3 (Figure 6F). The above experimental evidence and the underlying mechanism of VDR-mediated induction of Ptpn6 expression are depicted in Figure 6G.
VitD3 modulates the expression of autophagy-related genes through PTPN6
It has previously been reported that VitD3 modulates autophagy through the induction of two core autophagy proteins, BECN1 and ATG5 [42]. Therefore, we examined whether VitD3-PTPN6 modulated BECN1 or ATG5 in LacZ or Ptpn6 shRNA-transduced mBMDMs. Our qRT-PCR analysis clearly revealed that VitD3-induced expression of Becn1 and Atg5 (p<0.001) was significantly inhibited by PTPN6 knockdown (Becn1 (p<0.001) and Atg5 (p<0.01)) (Figure 7A,B). This VitD3-mediated induction was previously attributed to the MAPK1/ERK2 (mitogen-activated protein kinase 1) kinases and CEBPB/C/EBPβ (CCAAT enhancer binding protein beta) [42]. Hence, we studied the expression, as well as the activation status, of CEBPB and MAPK1 (Figure 7C-F), in VitD3 treated mBMDMs (control or PTPN6 knockdown). It was observed that VitD3 treatment induced the expression of CEBPB in mBMDMs but PTPN6 knockdown had no effect on VitD3-induced CEBPB expression. However, a decrease in phosphorylated CEBPB (p-CEBPB) levels was observed in PTPN6 knockdown cells treated with VitD3 compared to control cells (p<0.001) (Figure 7C,D). Furthermore, we also monitored the levels of MAPK1 and phosphorylated MAPK1 (p-MAPK1) in control and PTPN6 knockdown mBMDMs treated with or without VitD3. We observed an increase in p-MAPK1 upon treatment with VitD3 (p<0.01) and this increase in p-MAPK1 was abrogated in PTPN6 knockdown cells (p<0.001) (Figure 7E,F). These results lend support to the previously reported role for PTPN6 in the regulation of MAPK1 activation, which contributes to CEBPB activity [65].
VitD3-mediated autophagy reduces lipid accumulation and macrophage conversion into foam cells through PTPN6
Accumulated lipids stored in the form of LDs in macrophages are degraded by lysosomes via autophagy, which is seriously impaired in advanced AS with macrophages being transformed into foam cells [12,18,19]. To investigate the influence of VitD3 and PTPN6 on autolysosome fusion, Ox-LDL stimulated macrophages were fluorescently labeled with Nile Red to stain LDs, as well as with LAMP1 (lysosomal associated membrane protein 1) antibody. The colocalization of LAMP1 with LDs was determined by confocal microscopy; VitD3 treatment reduced the number of LDs (p<0.01) and increased the percentage colocalization of LAMP1 (p<0.001) with LDs compared to the vehicle control group (Figure 8A,B). There was a significant decrease in VitD3-mediated colocalization of LDs with LAMP1 in PTPN6 knockdown mBMDMs (p<0.01) (Figure 8A,B), suggesting a role of PTPN6 in VitD3-mediated lipid breakdown via autophagy. We further analyzed whether PTPN6 activation by VitD3 inhibits foam cell formation in mBMDMs. VitD3 treatment led to decrease in foam cell formation in Ox-LDL stimulated macrophages (p<0.001) (Figure 8C,D). However, knockdown of PTPN6 significantly curtailed this decrease in foam cell formation (p<0.05) (Figure 8C,D). Taken together, our data have shown that VitD3 inhibited the conversion of macrophages into foam cells through PTPN6 in an autophagy dependent manner (Figure 8).
VitD3-VDR-PTPN6 axis rescues Ox-LDL-impaired autophagic flux in human macrophages
To investigate whether VitD3-VDR modulates the expression of PTPN6 in human macrophages, hMDMs were treated with VitD3 and PTPN6/PTPN6 expression was checked by qRT-PCR and western blot. Upon VitD3 treatment, there was increased expression of PTPN6 both at mRNA (p<0.01) and protein level (Figure 9A). We then looked for the putative vitamin D response element (VDRE) on the human PTPN6 promoter, and identified a potential VDRE on the PTPN6 promoter at position −769 (Fig. S4A). Therefore, to confirm the direct gene regulation, hMDMs were treated with or without VitD3 and ChIP was performed. We observed the recruitment of VDR-RXRA to the human PTPN6 promoter (p<0.001) (Figure 9B). Re-ChIP experiment confirmed the binding of coactivator NCOA1 to transcriptional complex on the human PTPN6 promoter. CAMP/Cathelicidin (cathelicidin antimicrobial peptide) was used as positive control. Furthermore, we elucidated whether PTPN6 is essential for VitD3 to rescue Ox-LDL-impaired autophagy in control or PTPN6 shRNA transduced hMDMs. We observed that in hMDMs stimulated with Ox-LDL, VitD3-induced autophagy was inhibited in PTPN6 knockdown background (p<0.01) (Figures 9C,D and S4B). PTPN6 knockdown efficiency was validated by western blot (Fig. S4C). To further explore the role of PTPN6 in VitD3-VDR-induced autophagy, number of MAP1LC3B puncta were calculated in the presence or absence of PTPN6 shRNA. As expected, the number of VitD3-induced MAP1LC3B puncta were significantly decreased in cells incubated with PTPN6 shRNA as compared to cells treated with control shRNA (p<0.05) (Fig. S4D,E). We also examined whether VitD3-PTPN6 modulated autophagy related genes in hMDMs and found that VitD3-induced expression of BECN1 and ATG5 was abrogated in PTPN6 knockdown conditions (Fig. S4F). Next, we analyzed the effect of VitD3-induced PTPN6 on foam cell formation. Expectedly, VitD3 treatment led to decrease in foam cell formation in Ox-LDL-stimulated macrophages (p<0.001). However, this decrease was curtailed in PTPN6 knockdown condition (p<0.05) (Figure 9E,F). Thus, VitD3-VDR-PTPN6 axis recues Ox-LDL-impaired autophagy, which inhibits foam cell formation in human macrophages as well.
Discussion
Lipophagy, a specific type of autophagy, has critical roles in lipid metabolism and in the pathogenesis of AS [12,18,21,53]. In this study, we have provided evidence supporting the protective role of VitD3-mediated autophagy in AS. By determining the level of the autophagy marker MAP1LC3B-II and chaperone SQSTM1 [51], we have shown that VitD3 recovers the Ox-LDL-impaired autophagic flux in both mBMDMs and hMDMs (Figures 1 and 9C,D). VitD3 functions mainly through its receptor VDR [29,30,66], and the absence of VDR led to attenuation of macrophage lipophagy and resulted in the accumulation of lipids inside the macrophages (Figure 2).
VitD3 has been shown to modulate the activity of many serine-threonine and tyrosine kinases [67-70]. PTPN6 is a non-receptor tyrosine phosphatase and its significance in the phagolysosomal fusion and localization on phagolysosomes has been characterized [71]. Recently, PTPN6 has been shown to induce autophagy by inhibiting the phosphorylation of STAT3 [60,61]. In this study, we have found a novel signaling pathway where VitD3-VDR induces autophagy by modulating the protein tyrosine phosphatase PTPN6. We have provided evidence that PTPN6 positively modulates VitD3-mediated autophagy in Ox-LDL-stimulated macrophages (Figures 3 and 9C). VitD3-mediated autophagy was significantly reduced upon inhibition of PTPN6 either through knockdown or treatment with SSG (Figures 4, S3B and S4D,E). Moreover, the expression and function of PTPN6 was found to be induced by VitD3 (Figure 5). Further, we have also identified a putative VDRE on the PTPN6/Ptpn6 gene promoter and demonstrated that VDR, its coactivator NCOA1, and its heterodimeric partner, RXRA, are recruited to the PTPN6/Ptpn6 promoter in a VitD3-dependent manner (Figures 6, 9B and S4A). Our results also demonstrated that the VitD3-VDR-PTPN6 pathway induced autophagy by elevating the expression of autophagy-related genes such as BECN1/Becn1 and ATG5/Atg5 in macrophages (Figures 7A,B and S4F).
Vitamin D deficiency is associated with increased incidence of CVD, thereby suggesting its atheroprotective role [28,33,35]. Several reports have shown that vitamin D promotes autophagy and also inhibits foam cell formation in macrophages [35,37,40,42,72-75]. PTPN6 function in AS and autophagy has only been reported recently [55,56,60,61]. This study provides evidence that PTPN6 is crucial for VitD3-mediated decrease in LDs, and their colocalization with autolysosomes indicates that PTPN6 can induce macrophage lipophagy (Figure 8A,B). Accumulation of LDs inside macrophages leads to foam cell formation which is a hallmark feature of atherosclerotic lesions. PTPN6 also contributed to VitD3-mediated inhibition of foam cell formation in both mBMDMs and hMDMs (Figures 8C,D and 9E,F). Hence, this study reports a novel pathway of VitD3-VDR-PTPN6 in macrophages, which inhibited the conversion of macrophage to foam cells through modulation of the cellular autophagy process (Figure 10).
Vitamin D is reported to activate or inhibit several protein kinases, thereby, modulates the phosphorylation status within the cells, and thus the cellular function [67,68,70]. The non-receptor tyrosine phosphatase PTPN6 has been shown to play a pivotal role in immune cells where it functions downstream to many of the cell surface receptors and transmit signals by dephosphorylating its substrates [76,77]. In the process of investigating signaling pathways downstream of VitD3, we have identified a very interesting association between VitD3 and PTPN6. VitD3 treatment led to dephosphorylation of STAT3 via PTPN6 in macrophages (Figure 5). Dephosphorylation of STAT3 is known to inhibit dimer formation, nuclear localization and transcriptional repression of autophagy genes [78]. VitD3 via PTPN6 also activated MAPK1 and CEBPB which are known to modulate autophagy related genes [42]. Hence, VitD3-VDR-PTPN6 axis elevated the expression of autophagy related genes such as BECN1/Becn1 and ATG5/Atg5 in macrophages (Figures 7A,B and S4F). VitD3-induced PTPN6 inhibited STAT3 phosphorylation and elevated the expression of Becn1 and Atg5 by activating MAPK1 and CEBPB, thereby regulating autophagy in atherosclerotic macrophages. This novel signaling pathway partially explains the ability of VitD3 to induce autophagy and inhibit macrophage foam cell formation through PTPN6.
Our study demonstrates a novel role of PTPN6 in VitD3-mediated suppression of macrophage foam cell formation. Furthermore, we have shown that PTPN6 plays a decisive role in AS by promoting VitD3-mediated autophagy in both human and mice macrophages. Thus, our study has provided a new pathway which will significantly aid in the research for AS and would provide novel targets for pharmaceutical intervention.
Materials and methods
Cell culture and plasmids
COS1 cells were procured from the National Centre for Cell Science, India, and were maintained in Dulbecco’s Modified Eagle Medium (DMEM; Gibco, Invitrogen, 10566-016) supplemented with 1% penicillin streptomycin (Gibco, Invitrogen, 15140-122), and 10% fetal bovine serum (FBS; Gibco, Invitrogen, 26140079). mBMDMs were cultured, as previously described [49]. Briefly, bone marrow precursors were cultured in Roswell Park Memorial Institute (RPMI) 1640 medium (Gibco, Invitrogen, 11875), 1% penicillin-streptomycin, 10% newborn calf serum (NBCS; Gibco, Invitrogen, 16010159) and 50 ng/ml CSF2/GM-CSF (colony stimulating factor 2; eBioscience, 14-8331-80). PBMCs were isolated from fresh blood of healthy individuals using a Ficoll-Paque (Sigma-Aldrich, GE17-5442-03) gradient centrifugation (400 × g, 30 min, 20ºC). After 2-3 h of incubation at 37ºC, cells were washed with phosphate-buffered saline (PBS; 137 mM NaCl, 2.7 mM KCl, 4.3 mM Na2HPO4, 1.4 mM KH2PO4, pH 7.4) to remove non-adherent cells. Cells were grown in RPMI supplemented with 10% FBS and 50 ng/ml CSF2/GM-CSF (eBioscience, BMS324) at 37ºC and 5% CO2 for 7 d. Mouse Rxra (8861822, GeneBankBC138800) and Vdr (3710866, GeneBankBC006716) cDNA were procured from Open Biosystems and sub-cloned into the mammalian expression vector pFLAG (Sigma-Aldrich, E7033). The mouse Ptpn6 promoter was cloned into the pGL3 vector, which was procured from Promega (E1751).
Human ethics statement
The project was approved by the Ethics Committee of the Government Medical College and Hospital, Sector 32 (Chandigarh, India), and the Ethics and Biosafety Committee of IMTECH, Sector 39A (Chandigarh, India). The study was conducted strictly in accordance with the Ethical Guidelines for Biomedical Research on Human Subjects by the Central Ethics Committee on Human Research, Indian Council of Medical Research-2000 and those as contained in the Declaration of Helsinki. Each subject was provided with written information about the study, and written consent on the consent form was obtained from each healthy volunteer before his or her induction in the study in the language (English, Hindi, and Punjabi) familiar to them.
Mice and animal ethics statement
vdr KO (B6.129S4-vdr1tm1Mbd/J) mice were procured from the Jackson Laboratory (006133; Heterozygous males and females were bred to generate WT and KO mice for the experiment). C57BL/6 mice (Charles River Laboratories, 027) were procured from the animal facility of the Institute of Microbial Technology (IMTECH). All animals were housed in the pathogen-free animal facility at IMTECH. All animal experiments were approved by the Institutional Animal Ethics Committee at the IMTECH and were performed as per the guidelines issued by the Committee for the Purpose of Supervision of Experiments on Animals (No.55/1999/CPCSEA), Ministry of Environment and Forest, Government of India.
Gene silencing, Adenovirus production and infection
For the loss of gene function experiments in macrophages, adenovirus-expressing short hairpin RNA (shRNA) for LacZ (LacZ shRNA) and mouse Ptpn6 (Ptpn6 shRNA) were used. Adenovirus-expressing shRNAs were generated using pAd/BLOCK-iT-DEST (Invitrogen, V49220) according to the manufacturer’s instructions. For transduction, macrophages were incubated with adenovirus in RPMI 1640 medium supplemented with 1% penicillin-streptomycin and 10% NBCS for 24 h, followed by the replacement of culture supernatant. Cells were further incubated for an additional 24 h before the experimental assays. Control shRNA and human PTPN6 shRNA were purchased from Sigma-Aldrich (SHC002V, SHCLNV). The silencing efficiency was monitored by qRT-PCR as well as immunoblot analysis.
Chromatin immunoprecipitation (ChIP)
ChIP was carried out using the protocol described previously [67]. In brief, 1×107 cells were fixed in 1% (w:v) formaldehyde and the reaction was stopped by adding 150 mM glycine (Sigma-Aldrich, 50046). The cells were then washed with ice-cold 1X PBS and lysis was performed in sodium dodecyl sulfate (SDS) lysis buffer (1% SDS, 10 mM EDTA, 50 mM Tris-HCl, pH 8.0) followed by sonication to obtain DNA fragments of suitable length. Immunoprecipitation was carried out with ChIP grade VDR (Santa Cruz Biotechnology, sc-13133), RXRA (Santa Cruz Biotechnology, sc-553), and NCOA1 (Santa Cruz Biotechnology, sc-6096) antibodies. The immune complexes were collected by centrifugation and sequentially washed with a set of buffers. The immunoprecipitated DNA was eluted in ChIP elution buffer (0.1% SDS, 0.1 M NaHCO3) and proceeded for purification by ethanol precipitation. The purified DNA was used for amplification with Ptpn6 promoter-specific primers. The primers used in the ChIP assay were mouse Ptpn6 promoters forward 5ʹ- TGGCAAGCAGAATTCAAAAG’ and reverse 5ʹ-GTCATTTAATGGAGTGTCGCA-3ʹ, mouse Atg16l1 promoters forward 5ʹ-GGTTCCGTTCTTGTTTCT-3ʹ and reverse 5ʹ-TCAAGTTGTCTCCAAGATTAT-3ʹ, human CAMP promoters forward 5ʹ-ACCGTGCCCTGCCTCATTC-3ʹ and reverse 5ʹ-TGGTCCCCATGTCTGCCTC-3ʹ and human PTPN6 promoters forward 5ʹ-AGATCAACCAGCCCTGAGAAA-3ʹand reverse 5ʹ-CTTGCCAATGCTTGCAAGAGA-3ʹ.
Confocal microscopy
For imaging experiments, macrophages were cultured on cover slips and subjected to relevant treatments. At the end of the treatments, cells were fixed in 4% paraformaldehyde and processed for immunostaining. To enumerate the MAP1LC3B and SQSTM1 puncta, cells were incubated overnight at 4ºC with rabbit anti-MAP1LC3B (Sigma-Aldrich, L8918) and anti-SQSTM1 primary antibodies (MBL International, PM045), and washed three times with 1X PBS followed by incubation with a secondary goat anti-rabbit antibody conjugated with Texas Red (TR; Santa Cruz Biotechnology, sc-2780) or fluorescein isothiocyanate (FITC; Santa Cruz Biotechnology, sc-2012). For colocalization studies, intracellular lipids were stained with Nile Red (3.3 mg/ml; Molecular Probes, N1142) for 15 min. MAP1LC3B was stained using rabbit anti-MAP1LC3B and goat anti-rabbit secondary antibody conjugated with Alexa Flour 633 (Invitrogen, A-21072); LAMP1 (lysosomal associated membrane protein 1) was stained using mouse anti-LAMP1 (Santa Cruz Biotechnology, sc-17768) followed by anti-mouse secondary antibody conjugated with Alexa Flour 633 (Invitrogen, A-21063). 4′,6-diamidino-2-phenylindole (DAPI; Sigma-Aldrich, D8417) was used to stain the nuclei. The percentage colocalization of MAP1LC3B or LAMP1 puncta with Nile Red puncta was calculated. Images were acquired using a Nikon AIR confocal microscope (Nikon, Yokohama, Japan) at the CSIR-IMTECH, India.
Electrophoretic mobility shift assay (EMSA)
EMSA was performed with 5′-end labeled oligonucleotides, using T4-polynucleotide kinase (New England Biolabs, M0201L) and [γ-32P]-ATP. Recombinant mouse VDR and RXRA proteins were obtained by in vitro transcription and translation of pFLAG-Vdr and pFLAG-Rxra plasmids using the 1-Step Human Coupled IVT Kit (Thermo Scientific, 88882) according to the manufacturer’s instructions. DNA binding to recombinant proteins was determined as described previously [79]. For competition experiments, 5-, 10-, and 50- fold excess of the unlabeled cold probe was added to compete out the DNA binding. The oligonucleotide sequence corresponding to the site −357 to −372 on Ptpn6 promoter (5ʹ-TGAGGAATGAGGCCCTGGTGACCTGTAACTCA-3ʹ and 5ʹ-TGAGTTACAGGTCAC CAGGGCCTCATTCCTCA-3ʹ) were used as test. Mouse osteopontin oligonucleotides (5ʹ-GATCCACAAGGTTCACGAGGTTCACGTCTG-3ʹ and 5ʹ-CAGACGTGAACCTCGTGAACCTTGTGGATC-3ʹ) were used as positive control. Mutant Ptpn6 oligonucleotides (5ʹ-TGAGGAATGAGGCCCTGGTGATTTGTAACTCA-3ʹ and 5ʹ-TGAGTTACAAATCACCAGGGCCTCATTCCTCA-3ʹ) were generated whereby the mutations were done in the core motif.
Immunoblot analysis
For immunoblot analysis, cells were subjected to lysis using mammalian cell lysis buffer (50 mM NaCl, 20 mM Tris-HCl, pH 7.4, 1 mM EDTA, 1% Triton X-100 [Sigma-Aldrich, T8787], 1× protease inhibitor cocktail [Merck Millipore, 539134], 1 mM dithiothreitol, 1 mM phenylmethylsulfonyl fluoride [Sigma-Aldrich, P7626]) for 15 min on ice, and protein concentrations in the samples were quantified by Bradford reagent (Sigma-Aldrich, B6916). Furthermore, 12% SDS-polyacrylamide gel electrophoresis was used to resolve the protein followed by transfer to polyvinylidene difluoride membrane (Immobilon-P; Millipore, IPVH00010). Membranes were blocked with 5% bovine serum albumin (Merck Millipore, 12659) and incubated overnight at 4ºC with primary antibodies. The following primary antibodies were used: ACTB/β-actin (sc-47778), VDR (sc-9164), PTPN6 (sc-7289), p-STAT3 (sc-8059), STAT3 (sc-483), CEBPB (sc-150), MAPK1 (sc-135900), p-MAPK1 (sc-7383) (all from Santa Cruz Biotechnology), MAP1LC3B (Sigma-Aldrich, L8918) and SQSTM1 (MBL International, PM045). Membranes were then washed three times with Tris-HCl-buffered saline (TBS; 20 mM Tris-HCl, pH 7.4, 150 mM NaCl) with 0.1% Tween 20 (Sigma-Aldrich, P9416; TBST, pH 7.4), followed by incubation with appropriate HRP-conjugated secondary antibodies (Santa Cruz Biotechnology, sc-2313, sc-2314) for 60 min at room temperature and visualized by chemiluminescent HRP substrate Luminata Forte (Millipore, WBLUF0500).
Luciferase assay
COS1 cells were grown in 24-well dishes and allowed to proliferate to 70% confluency in DMEM supplemented with 10% FBS. Cells were then transiently transfected with pFLAG-Vdr, and pFLAG-Rxra plasmids along with the pGL3-Ptpn6 promoter plasmid using turbofect transfection reagent (Thermo Scientific, R0531). pBIND vector (Promega, E245A) was used as a transfection control. Dual luciferase activity was monitored, as per the manufacturer’s instructions (Promega, E1960) using a GloMax 20/20 luminometer (Promega, USA). Normalized luciferase activities (relative light units) were plotted as an average of triplicate samples.
Quantitative real-time PCR (qRT-PCR)
Total RNA was isolated from macrophages using the TRIzol reagent (Ambion, Invitrogen, 15596026) of which 1 µg RNA was reverse transcribed with the Verso cDNA Synthesis Kit (Thermo Scientific, AB-1453/B) as per the manufacturer instructions. The cDNA was then subjected to SYBR green (Thermo Scientific, F-416L)-based qRT-PCR with gene-specific primers and Rn18s rRNA as a control. The relative abundance of the genes was calculated by using the formula 2−ΔΔCt.
Oil red O (ORO) staining
Cells were fixed with 10% formalin for 1 h, rinsed with 60% isopropanol, and stained with freshly filtered 0.5% ORO for 30 min at RT. Cells were then rinsed with 60% isopropanol and washed with PBS. The cells were then mounted on glass slides, observed, and imaged by Olympus IX71 inverted microscope (Olympus, Waltham, USA). To quantify lipid accumulation, ORO (Sigma-Aldrich, O0625) stain was eluted with 100% isopropanol and the optical density (OD) of the elutes was measured at 520 nm using a spectrophotometer.
Statistical analysis
Results are expressed as the mean ± standard deviation (SD) unless otherwise mentioned. Sigma Plot was used for statistical analysis. Two tailed student’s t-tests were performed to obtain p-values. Statistical significance was established at *p < 0.05, **p < 0.01, ***p < 0.001.
Supplementary Material
Acknowledgments
We thank IMTECH (a constituent laboratory of the Council of Scientific and Industrial Research) for facilities and financial support.
Funding Statement
This work was supported by the Department of Biotechnology-India project GAP0162 and the Council of Scientific and Industrial Research (CSIR) 12th Plan Network project Bugs to Drugs (BSC0211) to PG. We thank IMTECH, a constituent laboratory of the CSIR, for facilities and financial support. The funders had no role in study design, data collection, and interpretation, or the decision to submit the work for publication.
Disclosures statement
The authors have no financial conflicts of interest.
Supplementary material
Supplemental data for this article can be accessed here.
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