Abstract
Semaphorin 3A (Sema3A) increased significantly in mouse brain following cerebral ischemia. However, the role of Sema3A in stroke brain remains unknown. Our aim was to determine wether Sema3A functions as a vascular permeability factor and contributes to ischemic brain damage. Recombinant Sema3A injected intradermally to mouse skin, or stereotactically into the cerebral cortex, caused dose- and time-dependent increases in vascular permeability, with a degree comparable to that caused by injection of a known vascular permeability factor vascular endothelial growth factor receptors (VEGF). Application of Sema3A to cultured endothelial cells caused disorganization of F-actin stress fibre bundles and increased endothelial monolayer permeability, confirming Sema3A as a permeability factor. Sema3A-mediated F-actin changes in endothelial cells were through binding to the neuropilin2/VEGFR1 receptor complex, which in turn directly activates Mical2, a F-actin modulator. Down-regulation of Mical2, using specific siRNA, alleviated Sema3A-induced F-actin disorganization, cellular morphology changes and endothelial permeability. Importantly, ablation of Sema3A expression, cerebrovascular permeability and brain damage were significantly reduced in response to transient middle cerebral artery occlusion (tMCAO) and in a mouse model of cerebral ischemia/haemorrhagic transformation. Together, these studies demonstrated that Sema3A is a key mediator of cerebrovascular permeability and contributes to brain damage caused by cerebral ischemia.
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Introduction
Increased vascularpermeability occurs during cerebral ischemia/reperfusion injury resulting in neuronal damage and prolonged loss of brain functions1,2,3,4. Therefore, identification of factors regulating vascular permeability in stroke brain is of clinical importance in developing therapeutics to stroke.
Our previous studies demonstrated elevated brain expression of Semaphorin 3A (Sema3A) and its receptor neuropilin 1 (NRP1) during cerebral ischemia and reperfusion5,6,7,8,9. Other studies also demonstrated elevated expressionof Sema3A and NRP1 in the component of the scar tissue in stroke brain10,11,12,13,14. Sema3A induces VE-cadherin serine phosphorylation and internalisation, cell-cell junction destabilisation and loss of barrier integrity in brain endothelial cells15. However, whether and how Sema3A participates in cerebral ischemia-induced brain damage remains unclear.
Produced by both neurons and glial cells of the scar tissue5,16,17, elevated Sema3A causes neuronal death through NRP1 receptors7,8,14. Hypoxic neurons in ischemic retina also secretes Sema3A to inhibit retina vascular regeneration18,19. Indeed, during development, Sema3A not only inhibits axonal outgrowth20,21,22, but also blood vessel patterning23,24. It is therefore not surprising that Sema3A participates in tumor development through inhibiting endogenous angiogenesis15,25,26,27.
Cellular receptors for Sema3A are NRPs28,29, which contains NRP1 and NRP2. NRPs are non-tyrosine kinase trans-membrane receptors with a short intracellular domain lacking of any signalling motifs. Therefore, NRPs participate in signal transduction as co-receptors with plexinsor vascular endothelial growth factor receptors (VEGFR) to inhibit axonal outgrowth and to guide the development of blood vessels, respectively24,30,31. Vascular endothelial cells express NRPs. Together with specific isoforms of VEGFRs, NPRs mediate vascular response to Sema3A during vasculogenesis, angiogenesis and vascular remodeling30,32,33.
Mical proteins are molecular conduit through which Sema3A affects actin reorganization in drosophila34,35. Alteration of the actin cytoskeleton produces hallmarks of cell morphological changes, such as loss of polarity and the appearance of rounded shapes34,36,37.Micals are an evolutionary conserved family of multidomain signal transduction proteins37 and which can directly modify actin cytoskeleton depending on their monooxygenase enzyme activity and/or redox signaling34,35,37.
In the present study, we show Sema3A increases vascular permeability mediated through NRP2/VEGFR1 receptors. In response to Sema3A, VEGFR1 directly interacts with Mical2 to cause F-actin disorganization, thereby changing cerebroendothelial cell morphology and permeability. Deletion of Sema3A expression (Sema3A-/- mice) reduced cerebrovascular permeability and protected mouse brain against two types of cerebral ischemia.
Methods
Materials
All chemicals and reagents, unless stated otherwise, were purchased from Sigma Chemical Co. (Burlington, ON, Canada) and were of analytical grade or higher. Recombinant Sema3A was purchased from R&D Systems (Minneapolis, MN). A battery of primary antibodies were purchased from commercial sources and used for blocking experiments and Western blots (WB) as shown in the Table 1. Chemical inhibitors Zm 306416 (Catalog No.S2897, specific for VEGFR1) and Ki8751 (specific for VEGFR2) were purchased from Selleckchem.com.
Animals
All procedures using animals were approved by the Institute for Biological Sciences Animal Care Committee (protocol 2007.13) following the guidelines established by the Canadian Council on Animal Care. Sprague Dawley male rats (200–250 g) were obtained from Charles River (St Foie, PQ, Canada). Sema3A knockout (Sema3A-/-; backcrossed with C57BL/6) mice were kind gifts from Dr Masahiko Taniguchi (Sapporo Medical University, Japan) as described previously38. Sema3A-/- mice were bred by mating between heterozygote littermates and genotyped using PCR exactly as previously described38. Only male Sema3A+/+, +/- and -/- littermate mice were used for the study.
Miles assay and measurement of Evans blue in tissue
Sema3A+/+ mice weighing 30 g were used in this experiment. First, Evans blue dye (100 µl, 1.5%) was injected through the lateral tail vein. After 10 min of circulation, 10 µl of PBS, VEGF (diluted in PBS), or Sema3A (diluted in PBS) were injected intradermally into the middle dorsal part of ears, or into the shaved abdominal skin. After different time periods, image analysis was performed and the tissue was collected under anaesthesia for Evans blue extraction analysis. To do this, tissues were removed, weighted and fixed for 48 h in 1 ml of 4% formaldehyde at 60°C to extract Evans blue from the tissue. Evans blue dye concentration was measured using a spectrophotometer at 600 nm and the value obtained was reported as OD600/mg of tissue. For the Mile's assay, after Evans blue dye injection, 100 μl of PBS, human recombinant VEGF, or Sema3A was injected intradermally in mice or rats. The appearance of blue spots was monitored, photographed and quantified as described above.
Brain injury using needle puncture
Sema3A-/-, Sema3A+/- and Sema3A+/+ male littermate mice (25 g in body weight) were injected with 100 µl of 1.5% Evans Blue dye through the lateral tail vein. After 10 min of circulation, a puncture was made to the left hemisphere of each brain with a 26 gauge needle using a stereotactic injection device. Two hours later, mice were anesthetised and perfused through the left heart ventricle with 30 ml ice cold 1 X PBS, followed by 10 ml of 4% paraformaldehyde. Mouse brain was removed and put into 4% formaldehyde overnight. The amount of Evans blue dye in the brain was extracted and quantified as described above.
Unilateral transient middle cerebral artery occlusion (tMCAO) and reperfusion in mouse
Under temporary isofluorane anaesthesia, mice were subjected to a 60 min tMCAO using an intraluminal filament as previously described6,7,39,40. After 30 min of tMCAO, the filament was withdrawn and blood flow was restored to basal levels, as assessed by laser Doppler flowmetry. Wounds were sutured following surgery. The body temperature of experimental mice was monitored before and after the tMCAO surgery using a rectal probe and was maintained at 37°C using a heating pad and lamp. In preliminary, experiments to verify a consistent stroke procedure, measurements of blood pressure, blood gases and pH were also performed. Sham-operated mice were subjected to the same surgery without tMCAO and used as controls. Mice were allowed to recover for 24 h following tMCAO and during this period, body weight and neurological functions were measured.
Photothrombotic occlusion/hemorrhagic transformation model
Endothelial injury in cerebral blood vessels was induced using a photochemical method with some modifications41,42. Mice were anesthetised and a small cut (10 mm) was made on the left side of the head to expose the skull. Mice were injected though the tail vein with a rose bengal solution, followed by photo-irradiation through the skull with a xenon lamp equipped with a heat-absorbing filter (excitation wavelength at 530–550 nm of 30 mW) for 20–30 min through a 10 X microscope objective. After the surgery, wound was surgical dressed. Mouse was allowed to go back to the cage and fed with water and food ad libitum. Mice were sacrificed 24 h–7 d after the surgery. Brains were removed, sliced and stained with TTC. The total haemorrhagic areas from all brain sections were calculated by computer analysis. Another set of fresh brain tissue was also collected for biochemical analysis.
Brain tissue processing and sectioning
Brain tissue was processed as previously described43. Briefly, at various reperfusion time points, mice were anesthetized with isofluorane and perfused transcardially first with saline followed by 4% formaldehyde in PBS. Brains were removed, post fixed in 4% formaldehyde (pH 7.4) for 18 h and cryoprotected in 30% sucrose for 36 h at 4°C. Coronal sections (10 µm thickness) were cut using a cryostat (Leica Microsystems, Wetzlar, Germany) and mounted on superfrost slides (Fisher Scientific, Toronto, ON, Canada), stored at −80°C.
Immunohistochemistry and image quantification
Immunohistochemistry was performed exactly as we previously described40. Immunostained sections were visualized on a Zeiss inverted microscope and digital images were obtained using the Axiovision v.4.7.2.0 software as we previously described6,39,44. High resolution (1300 × 1300 d.p.i.) individual color layers were imported into NIH Image J software (http://rsb.info.nih.gov/ij/) and converted into grey scale mode. A common threshold was established for all images for image intensity analysis. At least five randomly selected areas were measured and averaged. All experiments were repeated at least three times.
Generation and purification of replication defective adenovirus for injection
The methods used to generate replication defective adenovirus were exactly as previously described45,46. Replication defectiverecombinant adenoviruses were generated from the constructed pShuttle transfervectors using the AdEasy vector system (QBiogene) according to the manufacturer'sinstructions. Human embryonic kidney 293A cells (HEK-293A) (Q BIOgene, Carlsbad,CA) were cultured in Dulbecco's modified Eagle medium (DMEM) supplemented with 10% fetal calf serum and 40 μg/ml gentamycin sulfate. The identity of all recombinant adenoviruses was confirmed by PCR amplification and EGFP fluorescence. Recombinant constructs were verified by sequencing and recombinant adenoviral particles were CsCl purified and titrated as described previously45,46. To prepare for injection of the viral particles, Ad viruses were subjected to two rounds of CsCl2 ultracentrifugation purification and extensive dialysis to remove the CsCl2.
In vitro culture of rat brain capillary endothelial cells (RBEC)
Primary cultures of RBEC were prepared from 3-week-old rats, as previously described47. Meninges were carefully removed from forebrains and gray matter was minced into small pieces of approximately 1 mm3 in ice-cold Dulbecco's modified Eagle's medium (DMEM), then dissociated by 25-times of up- and down-strokes with a 5-ml pipette in DMEM containing collagenase type 2 (1 mg/ml, Worthington Biochemical Corp., NJ, USA), 300 μl DNase (15 μg/ml), gentamycin (50 μg/ml) and then digested in a shaker for 1.5 h at 37°C. The cell pellet was separated by centrifugation in 20% bovine serum albumin (BSA)-DMEM (1000 × g, 20 min). The microvessels obtained in the pellet were further digested with collagenase-dispase (1 mg/ml, Roche Applied Sciences, Basel, Switzerland) and DNase (6.7 μg/ml) in DMEM for 1 h at 37°C. Microvessel endothelial cell clusters were separated on a 33% continuous Percoll (Pharmacia, Uppsala, Sweden) gradient, collected and washed twice in DMEM before plating on 35 mm plastic dishes coated with collagen type IV and fibronectin (both 0.1 mg/ml). RBEC cultures were maintained in DMEM/F12 supplemented with 10% plasma derived serum (PDS, Animal Technologies Inc., MD, USA), basic fibroblast growth factor (bFGF, Roche, Applied Sciences, Basel, Switzerland, 1.5 ng/mL), heparin (100 μg/ml), insulin (5 μg/ml), transferrin (5 μg/ml), sodium selenite (5 ng/ml) (insulin-transferrin-sodium selenite media supplement), gentamycin (50 μg/ml) and puromycin (4 μg/ml) (RBEC medium I) at 37°C with a humidified atmosphere of 5% CO2/95% air, for 2 days. On the third day, the cells received a new medium which contained all the components of RBEC medium I except puromycin (RBEC medium II). When the cultures reached 80% confluency (4th day in vitro), the purified endothelial cells were passaged by a brief treatment with trypsin (0.05%, w/v)–EDTA (0.02%, w/v) solution and used in vitro BBB models.
Phalloidin staining
RBEC were cultured in a 24 well plate on glass coverslips. Cells grew vigorously and did not appear to enter quiescence and de-activation even at relatively low density. Cells were subjected to the following treatment: 1) Sema3A treatment: 0.2, 1, 2, 5 or 10 µg recombinant Sema3A was added into 200 µl medium. Cells were treated for 1 h; 2) Denatured Sema3A treatment: Sema3A (2 µg) was denatured in the boiling water for 10 min. After it was cooled to room temperature, denatured Sema3A was added into cells for 1 h; 3) Antibody pre-treatment: specific antibodies to Neuropilin 1, Neuropilin 2, PlexinA1, VEGFR1 or VEGFR2 (2 µg) were added to 200 µl cell culture medium to treat cells for 1 h, followed by Sema3A (2 µg) treatment for another 1 h.
After these treatments, the culture medium was removed and the cells were fixed in freshly prepared 4% formaldehyde (in 1 X PBS) for 20 min. Cells were washed in PBS twice, 5 min each, incubated with blocking solution (1.5% BSA in PBS, containing 0.2% Triton X-100 and 0.02% NaN3) for 30 min and stained with rhodamine labelled phalloidin (1:100, in blocking solution) for 1 h. After washing with PBS (3 min each for 3 times), deionized water (once), cells were mounted in Dako mounting medium (spiked with Hoechst 32558) and dried for microscopic analysis.
Western blotting
Western blotting was performed with the indicated amount of protein as previously described7,44,48,49. Proteins were electrophoresed in an 8% sodium dodecyl sulfate mini gel and then electroblotted onto a nitrocellulose membrane in transfer buffer. Primary antibody at a specific dilution was used at 4°C overnight or at room temperature for 1 h. After washing with TBST (10 mM Tris.HCl, pH 7.8, 150 mM NaCl and 0.1% Tween 20), a horseradish peroxidase-conjugated secondary antibody at a dilution of 1:5000 dilution was applied to the membrane at room temperature for 1 h. After washing with TBS (10 mM Tris-HCl, pH 7.8 and 150 mM NaCl), a horseradish peroxidase-conjugated secondary antibody at a dilution of 1:5000 was applied to the membrane for 1 h at room temperature. Enhanced chemiluminescence detection of the target protein was performed using Western blotting detection reagents and X-ray film.
Immunoprecipitation (IP) and Western blotting
IP was performed using the Protein A beads method (Dynal Inc, Lake Success, NY) as exactly described by the manufacturer48. Briefly, 200 µg of total protein was incubated for 2 h at 4°C with an antibody to target protein followed by incubation with protein A beads. After washing away unbound proteins, the immunoprecipitated protein complex was subjected to Western blotting for the proteins of interests. The procedures for Western blotting were exactly as described previously44. Glyceraldehyde-3-phosphate dehydrogenase (GAPDH) was used as a protein loading control. The intensities of the bands were quantified using NIH Image J software.
Mass spectrometry analysis of pull down proteins
IP pull-down proteins were subjected to nanoHPLC-MS/MS as we previously described39. The protein elutes were digested with 50 mM ammonium bicarbonate containing 200 ng of modified trypsin (Promega, Madison WI). Digestion was carried out overnight at 37°C after which the supernatant was collected, concentrated to approximately 10 μL and analyzed by nanoHPLC-MS/MS using a Q-TOF Ultima (Waters, Milford, MA). The entire samples were injected onto a 0.3 × 5 mm C18 micro pre-column cartridge (Dionex/LC-Packings) which was then brought online with a 75 μm × 50 mm Picofrit nanocolumn (New Objective, Woburn, MA) packed with BioBasic® C18 reversed phase media. The peptides were separated using a gradient supplied by a Waters CapLC pump (5–40% acetonitrile, 0.2% formic acid in 25 min, ~300 nL/min flow rate). The mass spectrometer was set to automatically acquire MS/MS spectra on doubly, triply and quadruply charged ions. Database searching was carried out in batch mode using Mascot Daemon™ (Matrix Science, London, U.K.) against the NCBInr protein sequence database. All search returns were confirmed manually.
siRNA design and transfection
Two siRNAs targeting to Mical1, Mical2, respectively, were designed, tested and commercially synthesized by Santa Cruz Biotechnology (USA). Mical1 (sc-95537; Lot No: K0408), Mical2 (sc-96854; Lot No: L3108) and control siRNA (sc-36869; Lot No J2412) were the most effective in down-regulating Mical proteins through empirical selection after transfection into RBECs. The annealed double-stranded siRNAs at 0.3 to 1 µg/well (Falcon 24-well plate) were transfected into RBECs using a Lipofectamine 2000 (Invitrogen) transfection reagent kit, following the manufacturer's instructions. After 60 h or 72 h of transfection, cells were either fixed with 4% paraformaldhyde for morphological examination or collected for protein analysis using Western blotting.
Ratiometric calcium imaging
Intracellular calcium concentrations of Sema3A treated RBECs were measured using a technique exactly as we have previously described50.
Mouse blood collection and Gr1 labelling
Mice (C57BL/6) were anesthetised and the chest was opened through the right ventricle and the blood was collected with a 3 ml 22 G3/4 syringe into EDTA tubes. Whole mouse blood at 0.5 ml was incubated with anti-Mouse Gr1 antibody for 1 h at room temperature. Following incubation, the blood sample was washed once in RPMI media supplemented with 0.5% BSA and re-suspended gently in 1 ml of RPMI supplemented with 0.5% BSA.
In vitro transwell assay
For the transwell migration assay: Each cell culture insert (12 mm, polycarbonate 3.0 μm, Millipore) was coated with 10 μg/ml bovine plasma fibronectin (ScienCell Research Laboratories, Carlsbad, CA) in Hank's balanced salt solution for 2 h at room temperature. RBECs at 1 × 105 were seeded on each cell culture insert in 0.25 ml F-12K media and the inserts were placed in a 24 well plate. After 48 h, RBECs were incubated with Sema3A at 5 μg/ml and 10 μg/ml concentrations for 1 h. Following incubation with Sema3A, the cell culture inserts were transferred to new wells and Gr1 labelled mouse blood sample (40 μl) in 210 μl of culture media was added to the upper well of the inserts. Following 2.5 h incubation, 100 μl of medium from the bottom well, containing the Gr1 transmigrated PMNs, was taken and quantified using a fluorescence microplate reader (FLx800, Bio-Tek) with Ex650/Em710 filter set. Fresh media (100 μl) was added to the bottom well. After additional 2 h, the fluorescence of Gr1 labelled transmigrated polymorphonuclear neurophiles (PMNs) from the bottom well was assessed again.
Permeability was also measured using [14C]sucrose serving as an additional control of barrier tightness besides the measurement of PMN transmigration. Radiolabeled [14C]sucrose (342 MW, 2.5 μCi, Amersham Biosciences, Piscataway, NJ) was applied to the RBEC monolayer after exposure to various concentrations of Sema3A. [14C]sucrose was applied to the apical compartment of the transwell and radiolabelled [14C]sucrose was collected from the bottom well after 2.5 and 4.5 h. Radioactivity was counted on a Beckman Model LS 5000 TD counter (Beckman Instruments, Fullerton, CA). Permeability was calculated as a percentage ratio (R) of the amount of radioactivity loaded to the apical chamber (CTop) to the bottom chamber (Cbottom) and expressed as R = (Cbottom/CTop) × 100.
MMP2/9 gelatin Zymography
Brain tissue was freshly collected, homogenized in a buffer solution containing 50 mM Tris–HCl, 150 mM NaCl, 1% Nonidet P-40, 0.1% SDS, 0.1% deoxycholic acid (pH 7.4) and protease inhibitors. Protein concentrations were analyzed with a Bio-Rad system (Hercules, CA). Equal amounts of protein (20 μg/lane) for each sample were mixed with 2 X sample buffer and loaded on a 10% polyacrylamide gel incorporated with 0.1% gelatin for electrophoresis. MMP2 and MMP9 zymographic standards were used as positive controls (Chemicon). After electrophoresis, gels were washed in 2.5% Triton X-100 for 1 h, incubated for 18 h at 37°C in collagenase buffer and stained for 1 h with 0.1% Coomassie brilliant blue dye. Gelatinolytic activity was visualized as a transparent band against a blue background and the band intensity was measured using Image J to quantify MMP2 and MMP9 activities.
Data analysis
Statistical analysis was performed using an unpaired Student's t-test with a 2-tailed p value, or using an ANOVA with Tukey's post hoc test for multiple comparisons using GraphPad Prism 5 from the GraphPad Software, Inc. (La Jolla, CA). In cases as specified, a non-parametric Mann–Whitney U test was performed. Differences were considered significant when the p value was less than 0.05, with * indicating p< 0.05 and ** indicatingp< 0.01. All experiments were independently repeated at least three time. All values were expressed as mean+/− S.E.M.
Results
Sema3A induces peripheral vasculature permeability
To determine if Sema3Aincreases blood vessel permeability, a Mile's assay was performed on the skin of anesthetized rats. Sema3A was injected intradermally into the shaved rat abdominal skin, or the rat ear skin which is semi-translucent and excellent for visualization of microcirculation. PBS or VEGF were used as controls. As shown in Fig. 1(A, B, C), both VEGF and Sema3A caused increased extravasation of the Evans blue dye into the tissue compared to PBS-injected tissue, indicating an increased vascularpermeability. Importantly, Sema3A induced vascular permeability were dose- and time-dependent (Fig. 1D–G). Quantitative analysis of Evans blue dye retained in the bleeding area demonstrated significantly increased vascular leakage of the dye after injection with Sema3A (Fig. 1C, E, G; **p < 0.01 compared to the PBS-treated group). Together, these data showed that Sema3A elevated permeability of peripheral vasculature.
Sema3A elevates cerebrovascular permeability
We examined whether Sema3A plays a role in affecting the permeability of the cerebrovasculature, as its anatomical structure is more complex than that of the peripheral vasculature system. To this end, Sema3A was sterotactically injected into mouse cerebral cortex with a Bragma coordination of 0.9 mm lateral, 0.1 mm posterior and −2.0 mm ventral using a Hamilton microsyringe at 1 µl/min at a dosage of 200 ng/2 µl. After thorough perfusion with saline, the residual Evans blue dye left in the brain tissue was quantified. Injection of PBS produced a small bleeding area over 60 min, serving as a baseline controlfor needle injury-induced blood vessel leakiness (Fig. 2A top panel, B). In contrast, injecting VEGF or Sema3A caused a much higher degree of bleeding in the cerebral cortex after 30 min and 60 min (Fig. 2A, B, p < 0.01 compared to PBS treatment). Most importantly, injecting Sema3A into mouse brain lacking the expression of endogenous Sema3A (Sema3A-/- mouse) also produced elevated vascular permeability. The increased level of permeability occurred in Sema3A-/- mouse brain was similar to that of the Sema3A+/+ mice over thesame time course (Fig. 2A bottom panel and B, p > 0.05, not significant). This experiment indicates that exogenous Sema3A was capable of inducing vascular permeability in the absence of endogenous Sema3A.
To further demonstrate that Sema3A elevates vascular permeability, Sema3A was over-expressed in Sema3A+/+ and Sema3A-/- littermate mice brain using replication defective adenovirus expressing an eGFP-tagged Sema3A (Ad-Sema3A-eGFP). Ad-Sema3A-eGFP was injected into the lateral tail vein. After 3 d of infection, mouse brain was subjected to Western blot. As shown in Fig. 2(C and D), significant increase in Sema3A protein level occurred in Ad-Sema3A-eGFP infected Sema3A+/+ and Sema3A-/- mice brain (p < 0.01, compared with Ad-eGFP infected group). Sema3A expression increased mostly on the endothelial cells of cerebrovasculature, as confirmed by the presence of eGFP green color (Fig. 2E) and by double labeling of blood vessels with an anti-CD31 antibody (Fig. 2E lower right hand panel, yellow color indicates vessels expressing eGFP and CD31). Importantly, the vascular permeability increased in both Sema3A+/+ and Sema3A-/- mice brains in comparison with Ad-eGFP infected mice (Fig. 2F; p < 0.01). Collectively, these experiments demonstrated that Sema3A indeed plays a role in elevating the permeability of cerebrovasculature.
Sema3A elevates permeability in an in vitro model of blood brain barrier (BBB)
To determine the mechanisms underlying Sema3A-induced vascular permeability,we used RBEC cultured on transwell to determine the permeability of fluorescent-labeledGr1 positive polymorphonuclear neurtrophils (PMNs). This assay is a powerful tool to investigate mechanisms of BBB permeability51. Indeed, as shown in Fig. 3A, Sema3A caused a dose- and time-dependent increase in transmigration of the PMNs across the RBEC monolayer of cells, demonstrating elevated permeability.
Radiolabeled [14C]sucrose was also performed on RBEC serving as an additional control of barrier tightness besides the measurement of PMN transmigration. Since [14C]sucrose is not subjected to transporters or taken up by endothelial cells, it can only permeate to the corresponding chamber in the transwell system via the paracellular pathway. Indeed, as shown in Fig 3A′, exposing RBEC cells to various concentrations of Sema3A increased the permeability of radiolabelled [14C]sucrose in a similar pattern and to a similar degreecompared to those of PMN transmigration assay (Fig 3A). This experiment thereby confirmed the validity of PMN transmigration assay to monitor RBEC permeability, at least in the current experimental condition. Subsequently, all permeability experiments were performed using the PMN assay.
Sema3A interacts with VEGFRs to mediate vasculogenesis and vascular patterning. To understand whether Sema3A-evoked permeability also involves in its cognate receptors, several VEGFR specificinhibitors were used before Sema3A treatment in the PMN paracellular transmigration assay. Sema3A-induced paracellular permeability ofRBECwas blocked byZM 306416, an inhibitor for VEGFR1 with a known IC50 of 0.33 μM (Fig. 3B; p < 0.01 compared to Sema3A treatment group). In contrast, Ki8751, a potent and selective inhibitor of VEGFR2 with a known IC50 of 0.9 nM, was not effective at 10 nM and 50 nM; suggesting that Sema3A elevates paracellular permeability through VEGFR1. In addition, cantharidin, a potent and selective PP2A inhibitor known to affect Sema3A-mediated vasculogenesis and other known Sema3A intracellular downstream kinase inhibitors such as okadiaic acid, LY294002 and Y-27632, were also not effective (not shown), serving as negative controls to demonstrate that Sema3A selectively interacts with VEGFR1 to mediate RBEC paracellular permeability. Mannitol caused shrinkage of the RBEC and maximum paracellular permeability serving as a positive control for maximum barrier leakiness.
To further confirmthe involvement of specific receptors for Sema3A-induced permeability,a battery of receptor specific antibodies were used. Preliminary experiments were performed using Western blot to demonstrate the specificities of these antibodies recognizingtheir respective receptors (not shown). Moreover, these antibodies alone neither altered the cellular morphology seen under phalloidin staining, nor changedRBEC permeability to PMNs (not shown). As shown in Fig. 3C, antibodies blocking VEGFR1 and NRP2 were effective in ameliorating Sema3A-induced permeability to PMNs; while Sema3A pre-mixed with the antibody against Sema3A or heat-denatured Sema3A did not cause increased permeability to PMNs, serving as negative controls (Fig. 3C; p <0.01 compared to Sema3A treatment group). Together, these data confirmed VEGFR1/NRP2 as receptors for Sema3A during Sema3A-induced permeability.
We then examined morphological changes of RBEC in response to Sema3A treatment using phalloidin staining of F-actin. Sema3A treated cells exhibited a marked alteration in cell shape, an apparent loss of polarity and a distorted actin cytoskeleton over the course of treatment (30–270 min at 100 nM of Sema3A) (Fig. 3D). Intracellular cytoplasmic actin stress fibers (F-actin) began to form densely packed bundles of cortical actin filaments in the membrane ruffles, first in the shape of sawtooth-like bodies along the cell membrane (arrows in Fig. 3D), then as athick layer of densely packed bundles of cortical actin filamentsin the membrane ruffles (Fig. 3D). This change in actin cytoskeleton and cellular morphology could lead to the disruption of intracellular junctions and increased paracellular permeability as reported by others52.
To determine the specificity of Sema3A-induced actin changes, RBECs were treated either with heat-denatured Sema3A, or a Sema3A pre-mixed with antibody to Sema3A. Both failed to produce a dramatic actin response to Sema3A (Fig. 3F), confirming the specificity of cellular response to Sema3A. RBECs were also pre-treated with specific antibodies to VEGFR1, VEGFR2, Plexin A1, NRP1, NRP2, or VEGFR inhibitors including Zm306416, Ki8751andokadaic acidto further delineate receptors responsible for Sema3A-induced actin filament changes (Fig. 3E and F). As shown in Fig. 3E and F, blocking RBEC with antibodies to VEGFR1, NRP2 and Ki8751 ameliorated the appearance of Sema3A-induced densely packed bundles of cortical actin filaments close to the membrane. While antibodies to VEGFR2, Plexin A1, NRP1, Ki8751 and okadaic acid did not prevent the appearance of Sema3A-induced actin changes. Together, these studies showed that Sema3A induces disruption of intracellular actin filaments and causes shrinkage of endothelial cells, through VEGFR1/NRP2 receptors.
VEGFR1 directly interacts with Mical2 to mediate Sema3A response
To further explore how Sema3A induces F-actin distortion, we designed and performed the following two experiments. First, ratiometric calcium concentration was measured to determine whether Sema3A directly increases intracellular calcium, which is known to modulate actin filament changes53,54. As shown in Fig. 4A, Sema3A at 10, 50, 100 and 150 nM concentrations failed to elicit any measurable changes in intracellular calcium concentration of RBEC. KCl was used as a positive control, which depolarized the cellular membrane and produced a non-specific influx of intracellular calcium (Fig. 4A). This experiment excluded the possibility that Sema3A causes F-actin disorganization through modulating intracellular calcium levels.
Secondly, experiments were performed to determine what intracellular proteins that VEGFR1 directly interacts with to mediate Sema3A response. Immunoprecipitation with an antibody to VEGFR1 was performed on Sema3A-treated RBECs followed by mass spectrometry analysis. We identified Mical2 protein as a potential intracellular target of VEGFR1 (Mascot Score = 120; peptide count = 17; cover percentage = 30.86%). Indeed, immunoprecipitation-Western blotting was performed on VEGFR1 pull-down product, which confirmed the presence of Mical2 (Fig. 4C). To validate the finding that VEGFR1 directly interacts with Mical2 in response to Sema3A treatment, Sema3A-treated RBECs were immunoprecipitated with an antibody to VEGFR1 or VEGFR2, followed by Western blotting against Mical1 (Fig. 4B) or Mical 2 (Fig. 4C). After quantification of the relative intensities of the Western blot bands as shown in Fig. 4D, it was clear that VEGFR1 increased binding with intracellular Mical2 in response to Sema3A treatment (p < 0.01).
To confirm that VEGFR1 binds to Mical2, RBECs treated with or without Sema3A were immunoprecipitated with antibodies to Mical1 or Mical2 and followed by Western blotting with the antibody to VEGFR1 (Fig. 4E and F). Indeed, Mical2, but not Mical1, showed a strong interaction with VEGFR1 in response to Sema3A treatment (Fig. 4E and F; p < 0.01). These studies demonstrated unequivocally that VEGFR1 interacts with Mical2 in signaling the endothelial cells's resposne to Sema3A.
Mical2 is required for Sema3A-induced disorganization of F-actin and permeability
To demonstrate whether Mical2 is required for Sema3A-induced F-actin changes and permeability, three experiments were designed and performed (Fig. 5). First, co-immunostaining of Mical1 and Mical2 with actin filaments was performed. As shown in Fig. 5A, C and E, untreated RBECs have low level of expression of Mical1 and Mical2. After treatment with Sema3A, Mical2 expression level increased (Fig. 5D, E and F; p < 0.01), while Mical1 levels remained almost unchanged (Fig. 5B, E and F′; p = 0.14, n.s.). Increased Mical2 co-localized with densely packed bundles of cortical actin filaments close to the membrane in Sema3A-treated cells (Fig. 5C′, C″, D′ and D″). Mical1 did not appear to increase in cortical actin filaments (Fig. 5A′, A″, B′ and B″).
Secondly, down-regulation of Mical2 prevents F-actin disorganization in response to Sema3A treatment. Specific siRNAs to Mical1 and Mical2 (two each) were transfected into RBECs. A non-specific siRNA was also used as a negative control.The siRNA1 and siRNA2 to Mical2 selectively knocked down Mical2 protein expression after 60 h of transfection in response to Sema3A treatment (Fig. 6A and B; p < 0.01). Double immunostaining of Mical1, or Mical2 with phalloidin (F-actin) showed that the appearance of cortical actin filaments occurred in the negative siRNA and Mical1 siRNA transfected cells in response to Sema3A, but not in cells transfected with Mical2 siRNA (Fig. 6C and D), which strongly supports the hypothesis that Mical2 mediatesactin filament disorganization in response to Sema3A.
Thirdly, transwell assay was performed to determine if knockdown of Mical2 expression was indeed able to reduce Sema3A-induced endothelial permeability to Gr1-labeled PMNs. As shown in Fig. 6E, both siRNAs knocking down Mical2, but not Mical1, were effective in preventing Sema3A-induced permeability, presumably by reducing changes in cellular morphology due to the inhibition of actin filament disorganization. Together, these three experiments demonstrated that Mical2 is responsible for Sema3A-induced F-actin disorganization and permeability.
Knockout Sema3A protects the brain from ischemia-induced damage
We previously showed that Sema3A expression was elevated 6 h after transient occlusion of the middle cerebral artery (tMCAO). The high level of Sema3A expression persisted during long term reperfusion6,8,9. If Sema3A plays a role in augmenting vascular permeability during tMCAO, knockout Sema3A expression could reduce vascular permeability and provide brain protection. To test these hypotheses, two types of cerebral ischemia, i.e. tMCAO and photothrombotic occlusion/hemorrhagic transformation, were induced on Sema3A+/+ and Sema3A-/- littermate mice.
As Sema3A is a known inhibitor of angiogenesis and vascular patterning during development, we first compared the density of cortical cerebral microvessels of adult Sema3A+/+ and -/- littermate mice (19–21 g body weight and at least 2 weeks after weaning). Lectin staining was performed on brain sections (not shown). Although Sema3A-/- mice appeared to have a slightly higher density of cerebral microvessels, the vascular density was not significantly different from that seen in Sema3A+/+ mice brain (not shown). Indeed, a measurement of the basal level of the middle cerebral artery blood flow for both Sema3A+/+ and -/- mice showed no significant difference (Fig. 7A, p = 0.23). Occlusion of the middle cerebral artery of both Sema3A+/+ and -/- mice produced a similar level reduction in blood flow (90%) (Fig. 7A). The blood flow was restored to almost 100% after withdrawal of the occluding thread in both Sema3A+/+ and -/- littermate mice. Interestingly, Sema3A-/- mice produced a statistically significant smaller infarct after tMCAO (Fig. 7B and C; p < 0.01) and a better neurological deficit score (Fig. 7D; p < 0.05) and forepaw pulling strength test (Fig. 7E; p < 0.05) compared with Sema3A+/+ littermate mice,suggesting that Sema3A plays a detrimental role during cerebral ischemia. To determine if Sema3A-/- mice had reduced vascular permeability, Evans blue was injected through the tail vein after tMCAO. After a thorough transcardial perfusion with saline, Sema3A-/- ischemic mouse brain had a significantly reduced level of the Evans blue compared with the Sema3A+/+ littermate mice (Fig. 7F; p < 0.01), confirming reduced vascular permeability.
To further demonstrate the role of Sema3A in vivo, another mouse stroke model, i.e. photothrombotic occlusion/hemorrhagic transformation, was used to show reduced brain injury due to the lack of Sema3A expression. As shown in Fig. 8A, this model produces vascular occlusions mostly in the cortical layer. With experimentally pre-determined illuminating light strength and duration, a well-defined and quantifiable damage volume was achieved as determined by TTC staining (Fig. 8B). On brain sections subjected to hematoxylin and eosin (H&E) staining, ischemic occlusion was followed by hemorrhagic transformation (Fig. 8C, arrowheads indicating occluded vessels, arrows indicating spilled blood cells in the brain due to hemorrhage). Sema3A-/- mice showed a significantly smaller infarct volume compared with the Sema3A+/+ mice (Fig. 8A and B; p < 0.01). Importantly, Sema3A-/- mouse brain had a significantly reduced level of hemorrhagic transformation (Fig. 8C and D; p < 0.01).
In order to confirm that Sema3A-/- mouse brain has reduced brain damage and vascular permeability during photothrombotic occlusion/hemorrhagic transformation injury, the following three experiments were performed; (1) We have previously showed that the level of CRMP3 proteolytic cleaved product p54 is associated with the degree of brain damage39,40,44. Therefore, the level of p54 was determined using Western blot. The level of p54 was higher in Sema3A+/+ ischemic side of the brain compared with the Sema3A-/- brain (Fig. 8E and F), suggesting stronger brain damage in Sema3A+/+ brain. The level of residual hemoglobin (after thorough brain perfusion with saline), indicating hemorrhagic transformation, were also measured using Western blotting (Fig. 8E and F). Sema3A-/- mouse brain showed reduced presence of residual hemoglobin compared with a Sema3A+/+ brain (Fig. 8E and F; p < 0.01), demonstrating reduced brain damage in the Sema3A-/- mouse. (2) Gelatin zymograhpy was performed to show reduced activation of MMP2 and MMP9, both are important markers for vascular damage and permeability. As shown in Fig. 8G and H,the levels of activated MMP2 and 9 increased significantly in the ischemic side of the brain of Sema3A+/+ mouse (p < 0.05), but not in the Sema3A-/- mouse brain, lending further support to the notion that Sema3A modulates vascular permeability. (3) Ischemic mice were injected with Evans blue after 7 d of ischemic surgery. After a thorough transcardial perfusion, residual Evans blue in the brain was quantified as shown in Fig. 8I. Sema3A-/- mice had a significantly lower level of residual Evans blue in the brain (p < 0.01), which again demonstrated that Sema3A plays a role in augmenting vascular permeability in the ischemic brain.
Collectively, these studies providedin vitro andin vivo evidence to show that Sema3A indeed modulates vascular permeability to affect brain damage after cerebral ischemia. Ischemic brain tissue secretes Sema3A which binds to the VEGFR1/NRP2 complex to trigger the activation of Mical2. Mical2 co-localizes with actin filaments and disorganize F-actin bundles into densely packed bundles of cortical actin filaments close to the membrane leading to the alteration of endothelial cell morphology. The cellular integrity of endothelial cells is critical in guarding the vascular permeability.
Discussion
In the present study, we provided evidence to demonstrate that Sema3A is a vascular permeability factor and contributes to ischemic brain damage. By interacting with the VEGFR1/NRP2 receptor complex, Sema3A triggers the activation of Mical2 to cause disorganization of F-actin, alteration of cellular morphology and elevation of the endothelial permeability. It is especially important that the Sema3A-/- mouse has reduced vascular permeability in response to two types of strokein vivo, all resulting in a better protection of the brain tissue and function in comparison with the Sema3A+/+ littermate mouse. Collectively, these data strongly supports the notion that Sema3A induces stroke brain damage through elevation of vascular permeability.
We employed Mile's assay55 to show that exogenous Sema3A elevated the permeability of both peripheral and cerebral vasculatures. Importantly, exogenous Sema3A injected into mice lacking of endogenous Sema3A (Sema3A-/-) also evoked elevated permeability of cerebrovasculature (Fig. 2A), confirming the specificity of Sema3A's action. Comparing Sema3A's effect in vascular permeability with that caused by VEGF1-165 using the Mile's assay, it became apparent that Sema3A is as potent as VEGF in the degree of inducing vascular permeability. This is perhaps not surprising in light of the fact that Sema3A triggers vascular permeability through VEGFR1 (with NRP2 as apartner). It may be highly possible that VEGF and Sema3A share the same receptor complex and compete with each other in mediating vascular permeability. Indeed, it is known that during development, Sema3A competes with VEGF in receptor binding to mediate vascular patterning56,57. Alternatively, expressions of Sema3A and VEGF are discretely regulated spatiotemporally during the progression of brain ischemic injury to exert the same effect on elevating vascular permeability through shared VEGFR/NRP receptor complexes. Future studies are warranted. Nevertheless, this is the first study to establish a role for Sema3A in vascular permeability in the adult ischemic brain.
The molecular mechanism for Sema3A-mediated vascular permeability is through activation of Mical2 protein, which in turn causesF-actin disorganization. This process appears to be selective, since Mical1 expression did not become elevated in response to Sema3A treatment. Down-regulation of Mical1 using siRNA also did not show anyeffect on endothelial cell F-actin disorganization and permeability. Mical2 protein, on the other hand, is required in shaping endothelial cell F-actin organization, confirming a previous study in fruit fly, in that Mical2 links Semaphorin to F-actin disassembly34,35. However, our finding that Mical2 protein-mediated actin changes affectshuman endothelial permeability is novel. F-actin plays such an important role in maintaining tight and adherence junction proteins in place. Ample studies have clearly shown that the disruption of cytoskeleton, including actin filaments, will increase BBB permeability52,58,59,60. Therefore, it is reasonable to conclude that Sema3A enhances endothelial permeability as a result of Mical2-mediated disorganization of F-actin and the loss of endothelial cell shape and polarity.
Our in vitro data predicts that Sema3A secreted in the ischemic brain exacerbates vascular permeability. Indeed, mice lacking the expression of functional Sema3A (Sema3A-/-) showed a significant reduction in vascular permeability and brain damage in two models of cerebral ischemia. Sema3A is the only member of the semaphorin family as a secreted polypeptide. Based on our previous published studies, Sema3A expression in ischemic brain during reperfusion is relatively evenly diffused in the ischemic core and its adjacent area6,7,61, which may account for the striking reduction in vascular permeability of the ischemic hemisphere shown in Fig. 7 and 8. It is especially interesting to see Sema3A-/- mice also having reduced hemorrhagic transformation in the brain, which further supports an important role of Sema3A as a vascular permeability factor. Future studies are required to determine how exactly Sema3A causes hemorrhagic transformation.
Nevertheless, brain protection seen in Sema3A-/- mice can also be attributed to direct neuroprotection. Our previous studies showed that Sema3A can directly interact with NRP1 receptors, but not NRP2 receptors, expressed on neurons to cause neuronal death both in vitro and in vivoin ischemic brain5,7,8,62. Perhaps, Sema3A interacts with different receptor complexes to discretely impact neurons and the vasculature.Indeed, studies showed that the cellular target of Sema3A is very selective, as it only inhibits the outgrowth of a specific set of neurons such as spinal motor neurons and neurons in the embryonic dorsal root ganglion and sympathetic ganglion63,64,65, lending further support to the notion that Sema3A's effect on vascular permeability is separate from its effect on neuronal death possibly through interacting with different receptor complexes. In fact, Sema 3A released from ischemic neuron has been reported to inhibit vascular regeneration19. Moreover, Sema 3A inhibition alleviates ischemia-reperfusion-induced acute kidney injury66. Therefore, Sema3A plays a very important role in a diverse disease conditions through affecting vascular homeostasis.
Collectively, these studies revealed a previously unknown function of Sema3A in mediating vascular permeability in ischemic brain. The possible mechanism is through its selective interaction with VEGFR1/NRP2 receptor complex to cause F-actin disorganization and alteration of endothelial cell shape, polarity and permeability.
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Acknowledgements
We thank Dr Masahiko Taniguchi (Sapporo Medical University, Japan) for the kind gift of the Sema3A knockout mouse, IBS Animal Facility for the timely supply of experimental animals. This work was supported by grant-in-aid from the Heart and Stroke Foundation of Ontario (NA5393, T5760 and T6706), Canadian Institutes of Health Research (CCI-85680), a SUSTC startup fund, a grant from the Science and Technology Innovation Commission of Shenzhen Municipality (JCYJ20140417105742709) and a State Key Laboratory of Neuroscience Open Compete Project (SKLN-201403) to S.T.H.
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S.T.H. conceived and designed the experiments, analyzed the data and wrote the manuscript. L.N. performed Evans blue dye brain injection and assay, L.N. performed brain tissue sectioning and immunostaining; X.S.L. performed the Mile's assay and quantification; brain surgery, RBEC treatment, acquired images and analyzed some of the data; J.S. performed tMCAO stroke surgery and S.X.J. perfomred neurological deficit anaylsis; A.A. performed IP and siRNA studies; S.G. performed PMN transmigration assay using RBECs, S.X.J. and R.M. performed calcium imaging and photothrombotic model work.
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Hou, S., Nilchi, L., Li, X. et al. Semaphorin3A elevates vascular permeability and contributes to cerebral ischemia-induced brain damage. Sci Rep 5, 7890 (2015). https://doi.org/10.1038/srep07890
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DOI: https://doi.org/10.1038/srep07890
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