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We also assessed the activation of astrocytes and recruitment of microglia. Immunostaining for GFAP 7 days after ischemia showed a massive presence of highly GFAPpos astrocytes at the infarct border in both C3-/- and WT mice. Similarly, isolectin staining that identifies microglia and endothelial cells demonstrated a rim of activated microglial cells around the ischemic lesion and revealed migration of these cells into the infarct area in both groups of mice. The width of the GFAPpos band was comparable in C3-/- and WT mice (456 62.3 and 440 25.1 m), as was the density of the GFAPpos cells (824 28.0 and 729 77.0 cells/10 mm2) (Figure 10). Similarly, there was no difference in width of the isolectinpos band (367 18.8 and 319 20.3 m) or the density of isolectinpos cells (142 28.0 and 173 26.4 cells/10 mm2) between the groups (Figure 10).
The data imply that impaired neurogenesis observed in the C3-/- mice cannot be explained by reduced availability of complement-independent neurogenic stimuli due to smaller ischemic damage, and that the lack of C3 is not associated with impaired activation of astrocytes or microglia.
Discussion It has been demonstrated that essentially all of the activation components, regulatory molecules, and receptors of the complement system are produced by astrocytes, microglia, and neurons (Spiegel et al, 1998; Thomas et al, 2000; D'Ambrosio et al, 2001). Although neurons are the predominant cell type expressing C3aR and C5aR in the CNS (Stahel et al, 1997; Davoust et al, 1999; O'Barr et al, 2001), the effects of C3a and C5a on these cells have been largely speculative, ranging from chemotaxis of neuroblasts to the production of adhesion molecules or neurotrophins (Nataf et al, 1999). The expression of C3aR and C5aR on cultured neural stem cells, on transit-amplifying precursors, and migrating neuroblasts in vivo, and reduced basal neurogenesis in the absence of C3aR signaling in mice shown in this study establish a novel role of complement-derived anaphylatoxins in normal CNS. Although the mechanism of C3a and C5a generation in CNS during development and under basal conditions is currently unknown, our results suggest that these peptides may have a function in mammalian cerebrogenesis and basal adult neurogenesis. Loss-of-function mutant mouse strains for C3aR (Kildsgaard et al, 2000) and C5aR (Hopken et al, 1996) may prove useful in elucidating the roles of C3a and C5a in CNS development.
There is experimental evidence that complement activation contributes to inflammation and tissue destruction in CNS disease and ischemia. Complement-deficient mice are protected from demyelinization in an animal model of multiple sclerosis (Nataf et al, 2000) and inhibition of complement activation by C1 inhibitor reduced brain infarction volume (Akita et al, 2003; De Simoni et al, 2003). Our data provide experimental support for a recent notion that products of inflammation may not simply play an adverse role but also collaborate to guide somatic stem cell behavior during perturbation of an organ (Imitola et al, 2004). Our findings suggest that complement has a role in CNS regeneration. It is conceivable that the mechanism involves signaling through C3aR, since the C3-/- mice lack C3a, the only known ligand for C3aR. Our data do not prove or rule out that signaling through C5aR has a regulatory effect on adult neurogenesis. C5aR signaling may be partially functional in the absence of C3, as C5a can be generated directly from C5 by activated phagocytic cells (Huber-Lang et al, 2002). A recent study demonstrated that inhibition of complement activation aggravated amyloid plaque formation and neurodegeneration in an experimental model of Alzheimer's disease (Wyss-Coray et al, 2002), an observation consistent with the involvement of intracerebral complement in brain tissue repair. The notion that complement promotes brain tissue repair after CNS injury is further corroborated by recent reports that implicate C3aR and C5aR in the regeneration of other organs (Del Rio-Tsonis et al, 1998; Mastellos et al, 2001; Reca et al, 2003; Strey et al, 2003; Daveau et al, 2004).
Remarkably, the impaired neurogenesis in the C3-/- mice was associated with increased amounts of brain tissue lost to infarction. Thus, the impaired neurogenesis in the C3-/- mice cannot be explained by reduced production of complement-independent neurogenic stimuli due to lesser tissue damage. It is likely that, besides impaired neurogenic response, the lack of other functions of the complement activation-derived fragments contributed to the increase in infarction volume in the C3-/- mice. For example, C3a and C5a were shown to be neuroprotective (Murkherjee and Passinetti, 2001; O'Barr et al, 2001; van Beek et al, 2001) and exposure to C3a induced de novo expression of nerve growth factor, a molecule involved in neuronal growth and survival, in microglial cells in vitro (Heese et al, 1998). Our data provide experimental in vivo support for the pivotal role that complement activation products and other inflammation-associated mechanisms play in neuroprotection and CNS repair.
Notably, ischemia-induced recruitment of microglia and reactive gliosis were not affected in the C3-/- mice. As a major function of C5a is chemotaxis (Ember et al, 1998) and C5a can be generated in the absence of C3 (Huber-Lang et al, 2002), it is plausible that C5a mediates recruitment of microglia and astrocyte activation in response to brain ischemia in these mice. Alternatively, complement-derived signals are not involved in mediating these phenomena, or other inflammatory mediators sufficiently compensate for these functions of C5a and/or C3a in their absence.
Whereas deficiency of C3 led to increased infarction volume in our model of permanent focal cerebral ischemia, others reported smaller infarction volume 48 h after reperfusion in transient cerebral ischemia models when complement activation was inhibited by C1 inhibitor (Akita et al, 2003; De Simoni et al, 2003). These seemingly controversial results are likely due to the dual role complement plays in brain ischemia. Complement activation in the brain appears to be a double-edged sword in that it can exacerbate tissue damage or promote neuronal survival and tissue remodeling depending on the pathophysiological context (van Beek et al, 2003). In addition, the balance between the beneficial and detrimental effects of complement activation may change over time. The differences in outcome between other studies (Akita et al, 2003; De Simoni et al, 2003) and ours can conceivably be explained not only by the difference in ischemia model but also by the different time of evaluation of infarction volume. The aspect of time therefore seems to be critical for the design and interpretation of future studies of the role of complement activation in cerebral ischemia.
In conclusion, the data presented here implicate complement as a positive regulator of basal and ischemia-induced neurogenesis in mice. Future studies to confirm a direct effect of C3a- and C5a-dependent signaling on neural stem cells and immature neurons under basal conditions and after ischemia are warranted. A better understanding of the dual role of complement in cerebral ischemia and possibly other CNS pathologies may help us to design more effective therapeutic strategies by orchestrating the judicial use of complement-inhibitory agents that neutralize the adverse aspects of complement activation while enhancing those that are neuroprotective and facilitate repair.
Materials and methods Mice
C3-/-mice (Pekna et al, 1998) were backcrossed onto the C57BL/6 genetic background (Charles River, Uppsala, Sweden) for nine (MCAO) or 13 generations (MCAT). Heterozygous mice were then intercrossed to generate homozygous C3-/- mice. C3aR-/- mice (Kildsgaard et al, 2000) were backcrossed onto the C57BL/6 genetic background (Jackson Laboratories, Bar Harbour, Maine, USA) for 10 generations. Heterozygous mice were then intercrossed to generate homozygous C3aR-/- mice. Gender- and age-matched WT C57BL/6 mice of the same substrain as the mutant mice served as controls. For the C3aR antagonist study, male C57BL/6 mice (Charles River) were used.
Surgical procedures
At 9–11 weeks of age, control (n=7) and C3-/- (n=9) mice were anesthetized with 2.5% isoflurane (Forene, Abbott, Solna, Sweden) in oxygen, 0.5 l/min, during surgery. The body temperature was maintained at 34.5–36.5°C. The MCA was occluded with an intraluminal filament as described (Hara et al, 1996). The reduction in blood flow was monitored with a laser Doppler probe (Moor Instruments, Devon, UK) mounted on the skull above the MCA. Mice in which blood flow was not reduced by more than 70% were excluded from the study. Left MCAT was performed as described (Welsh et al, 1987; Fotheringham et al, 2000) with slight modifications. Mice were anesthetized and body temperature was maintained at 37°C. Under the operating microscope, the left MCA was exposed, occluded at two points by bipolar coagulation, and transected to ensure permanent disruption. Mice were injected with BrdU (Sigma-Aldrich, St Louis, MO, USA) in PBS, 200 mg/kg, i.p. twice daily for 7 days starting just before surgery. On day 7 or 21 after surgery, the 19–20-week old control (n=11 and 10, respectively) and C3-/- (n=12 and 12, respectively) mice were deeply anesthetized and perfused with 0.1 M phosphate buffer, followed by 4% paraformaldehyde in 0.1 M phosphate buffer.
C3aR antagonist and BrdU injections
Male mice (n=10), 8-week old, were injected i.p. C3aR antagonist (Ames et al, 2001) (Calbiochem, San Diego, CA, USA; 500 g/mouse) diluted in PBS and DMSO (1.16% v/v) twice daily for 10 days. Control (n=12) and C3-/- (n=6) mice were given PBS and DMSO (1.16% v/v). During the first 7 days, all mice received BrdU (Sigma-Aldrich; 200 mg/kg). On day 10 after the first injection, the mice were deeply anesthetized and perfused as above. Male C3aR-/- (n=6) and control (n=6) mice, 12-week old, were injected with BrdU as above and killed on day 21 after the first injection.
Histology and morphometric evaluation of infarct volume
The brains were embedded in paraffin, cut into 8- m sections, and stained with hematoxylin and erytrosin. Infarct size was assessed morphometrically with the Easy Image program (Bergström Instruments, Stockholm, Sweden). Infarct volumes were determined by planimetry of serial sections. For the preparation of frozen brain sections, adult C57BL/6 mice were perfused with sterile PBS. The brains were snap frozen in optimal cutting temperature (OCT) embedding medium and cut into 10- m sections.
Immunohistochemistry
For immunohistochemical evaluation, the sections were deparaffinized, permeabilized in 0.01 M citric acid (pH 6.0), heated twice for 5 min in a microwave oven, and blocked with 1% BSA and 0.05% Triton-X-100 in PBS. For colabeling of Olig2 with C3aR and C5aR, acetone-fixed frozen sections were used. Negative control was performed by omission of primary antibody, unless stated otherwise. For cell counting the sections were selected as follows, unless stated otherwise: bregma 0.62–0.45 mm for the penumbra and infarct area, and 0.14 to -0.03 mm for SVZ.
Neural stem cells and transit-amplifying precursor cells in SVZ were visualized with rabbit anti-GFAP antibody (DAKO; 1:100) and rabbit-anti Olig2 (Arnett et al, 2004; 1:10 000), respectively, followed by Alexa488-conjugated anti-rabbit Ig (Molecular Probes; 1:500). Migrating neural progenitor cells were detected with goat anti-Dcx antibody (Santa Cruz Biotechnology, Santa Cruz, CA, USA; 1:50), followed by Alexa488-conjugated donkey anti-goat Ig (Molecular Probes, Eugene, OR, USA; 1:100). In the MCAO and MCAT experiments, Dcxpos cells in the SVZ were counted in both hemispheres on three sections per mouse. To label proliferating cells, sections were further stained with mouse anti-BrdU antibody. The BrdUpos, GFAPposBrdUpos, Olig2posBrdUpos, and DcxposBrdUpos cells were counted in one hemisphere on 4–12 sections 160 m apart/region in the SVZ (bregma 0.14–1.1 mm), the granular layer of OB (bregma 3.2–4.28 mm), and SGZ (bregma -1.34 to -3.64 mm).
Neural progenitor cells in the penumbra were stained with mouse anti-nestin monoclonal antibody (BD Biosciences, Erembodegem, Belgium; 1:100), followed by TRITC-conjugated anti-mouse Ig (DAKO A/S, Glostrup, Denmark; 1:30). Reactive astrocytes were stained with rabbit anti-GFAP antibody (DAKO; 1:100), followed by Alexa488-conjugated anti-rabbit Ig (Molecular Probes; 1:500). Nestinpos GFAPneg nonendothelial cells (neural progenitors) in the penumbra and infarct area were counted on 2–3 sections per mouse. Nestinpos GFAPneg endothelial cells were excluded based on their morphological appearance (branching, lumen-forming structures).
Newly formed neurons were stained with biotinylated anti-NeuN monoclonal antibody (Chemicon, Temecula, CA, USA; 1:100), followed by Cy3-conjugated streptavidin (Sigma-Aldrich; 1:100) or Alexa633-conjugated streptavidin (Molecular Probes; 1:500) in combination with FITC-conjugated rat anti-BrdU antibody (Accurate Chemical, Westbury, NY, USA; 1:75). NeuNpos and NeuNposBrdUpos cells were counted in the penumbra on 2–3 sections per mouse. BrdUpos cells were also counted in the SVZ. In the C3aR antagonist study, the sections were further stained with mouse anti-BrdU (DAKO; 1:100) and Alexa568-conjugated goat anti-mouse Ig (Molecular Probes; 1:500). The BrdUpos and NeuNposBrdUpos cells were counted in one hemisphere on 4–12 sections 160 m apart/region in the granular layer of OB (bregma 3.2–4.28 mm) and SGZ/GCL (bregma -1.34 to -3.64 mm).
Cells undergoing ischemia-induced apoptosis were stained with rabbit polyclonal antibody against cleaved (17–20 kDa) caspase-3 (BD Pharmingen, San Diego, CA, USA; 1:100), followed by Alexa568-conjugated goat anti-rabbit Ig (Molecular Probes; 1:500).
C5aR was stained with rabbit anti-mouse C5aR antibody (Morgan et al, 1993; van Beek et al, 2000; O'Barr et al, 2001) (a kind gift from Dr J Ember, BD Pharmingen; 1:100) or rat anti-mouse C5aR clone 10/92 (Soruri et al, 2003; 10 g/ml), followed by Alexa568-conjugated goat anti-rabbit Ig (Molecular Probes; 1:500) and Alexa568-conjugated goat anti-rat Ig (Molecular Probes; 1:500), respectively. C3aR was detected with chicken anti-mouse C3aR antibody (Accurate Chemical; 1:50), followed by biotinylated anti-chicken Ig (Molecular Probes; 1:250) and Cy3-conjugated streptavidin (Sigma-Aldrich; 1:100) or rat anti-mouse C3aR clone 1G4 (Zwirner et al., in preparation; 10 g/ml), followed by Alexa568-conjugated goat anti-rat Ig (Molecular Probes; 1:500).
Reactive astrocytes were stained with anti-GFAP antibody (DAKO; 1:100) and inflammatory cells by biotinylated lectin (Sigma-Aldrich; 1:10), followed by TRITC-conjugated swine anti-rabbit Ig and FITC-conjugated streptavidin (both from DAKO). Quantification was performed by counting GFAPpos and isolectinpos cells and by measuring the width of the band of positive cells at the infarct border on 2 sections/mouse.
All evaluations were performed in a blinded manner. The cells in the SVZ, OB, penumbra, and infarction area were counted by epifluorescence microscopy on an Eclipse 80i microscope (Nikon, Tokyo, Japan). The cells in SGZ and GCL were counted by confocal microscopy using Radiance 2000 and Laser Sharp 2000 software (Bio-Rad, Hertfordshire, UK).
Neural stem cell culture in vitro
Neural stem cells derived from adult hippocampus (clone HCNA 94/GFPH, passage 15) were cultured as described (Palmer et al, 1997; Takahashi et al, 1999). Before immunostaining, the cells were fixed in methanol at -20°C for 5 min and then washed in PBS, which was also used as a dilution buffer. After blocking with 5% normal goat serum (DAKO), the cells were stained with Abs against C3aR, C5aR, and nestin. The secondary Abs (all from Molecular Probes) were Alexa633 goat anti-rabbit Ig (1:250), biotinylated anti-chicken Ig (1:100), Alexa633 streptavidin (1:100), and Alexa568 goat anti-mouse Ig (1:500). Immunofluorescence was analyzed on an Eclipse 80i microscope (Nikon).
Data analysis
Data are expressed as mean s.e.m. The two-tailed t-test was used for statistical analysis. Differences were regarded as significant at P<0.05.
Acknowledgements
We thank K Larsson for valuable help; F Gage for the HCNA 94/GFPH cells and valuable comments on this article; D Rowitch and C Stiles for the anti-Olig2 antibody; and S Dickson for the frozen brain sections. This work was supported by grants from the Swedish Research Council (projects 13470 and 11548), the Swedish Cancer Foundation (project 3622), King Gustaf V's 80 Years Foundation, Swedish Stroke Foundation (to MiP and to MaP), Heart-Lung Foundation, the Swedish Society for Medicine, Swedish Society for Medical Research, Göteborg Medical Society, W and M Lundgren Foundation, and Volvo Assar Gabrielsson Foundation. Some of the confocal microscope images were taken at the Center for Cellular Imaging at the Sahlgrenska Academy.
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