Abstract
A dysregulation of apoptosis or an ineffective clearance of apoptotic material is suspected to be involved in the pathogenesis of systemic lupus erythematodes. Subcellular fragments such as apoptotic bodies (ABs) have been recognized as modulators of intercellular communication and immune function. In this context, we have been interested whether nuclear and cytoplasmic antigens are relocated into ABs. In the present study, we characterized ABs isolated from apoptozing lymphoblasts. We found an accumulation of the linker-histone (histone 1) as well as the core-histones (histone 2A, histone 2B, histone 3, histone 4) in ABs. Further, they contained DNA, RNA and the ribonuclear protein La/SSB. Proteins such as cytochrome c, HSP 70, prohibitin, p53, nuclear matrix antigen or lamin B were excluded from ABs. The content of ABs differed from that observed in membrane microparticles isolated from viable cells. Formation of ABs occurred early during apoptosis. It was observed before DNA-degradation or phosphatidylserine exposure was detected. ABs were engulfed by monocyte-derived phagocytes. These findings suggest that immunogenic molecules are actively translocated into ABs followed by a rapid engulfment of the latter by environmental phagocytes. In autoimmune diseases, a defect in the clearance of ABs or AB formation may contribute to the development of autoimmunity.
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Main
Autoimmune diseases such as systemic lupus erythematodes (SLE) are characterized by the occurrence of autoantibodies against various, mostly nuclear antigens. To date, the mechanisms leading to this autoantibody formation are not completely understood. Nevertheless, several publications released during the previous years point out that a dysregulation of apoptosis or an ineffective clearance of apoptotic cells contributes to the development of autoimmunity.1, 2, 3, 4 Our group and others have shown an increased rate of apoptosis in patients suffering from SLE. Further, we previously demonstrated that cells obtained from SLE patients show a hyporesponsiveness to survival factors and are therefore more susceptible to apoptosis than cells of healthy individuals.3, 5, 6 Furthermore, an impaired engulfment of apoptotic material by macrophages obtained from SLE patients has been described.7, 8 On the background of these data, it seems likely that an increased rate of apoptosis and an ineffective clearance of apoptotic material could result in a breakdown of self-tolerance and an autoimmune response against autoantigens contained in apoptotic particles. Accumulation of apoptotic material may cause a continuous stimulation of potential autoreactive cells leading to chronic autoimmunity and the development of chronic inflammation in SLE patients.
Nuclear antigens seem to play a central role in the pathogenesis of SLE (e.g. antibodies against histones or DNA). Thus, knowledge about the occurrence and localization of these antigens in apoptotic cells is essential for our understanding of how dysregulation of apoptosis or clearance can contribute to the development of autoimmunity. In viable cells, nuclear antigens cannot easily be accessed as the nucleus is well covered by the outer cell membrane, the cytoplasm and the nuclear envelope. Previously, we have already shown an accumulation of nuclear antigens in the cytoplasm of apoptotic lymphocytes.9 It has been described that nucleosomes are exposed on the cellular surface during apoptosis.10 This autoantigen translocation can enhance phagocytosis of apoptotic material and presentation of autoantigens.11 Thus, antigens leave the nucleus during apoptosis and might get accessible for immune cells.
Subcellular fragments have been recognized as mediators of intercellular communication and modulators of immune function. Membrane microparticles (MMP) are coated vesicles, which are released from a variety of cells. This shedding is mainly observed during cellular activation or apoptosis.12, 13, 14 These subcellular fragments have previously been shown to indirectly activate CD4+ lymphocytes.15, 16 Further, apoptotic bodies (ABs) have been identified as B-cell autoantigens.17 The process of AB formation has been investigated by several groups during the previous years and surface blebs of various size and content have been described.18, 19, 20, 21 Surface blebs separate from the cellular remnant and convert into smaller ABs. Throughout this paper, subcellular particles that have separated from apoptozing cells are referred to as ABs. Particles separated from activated or living cells are called MMP. To strictly avoid contamination of isolated microparticles and ABs by apoptotic cells and cellular remnants, we focussed within this study on ABs of a size smaller than 1.2 μm.
AB formation and a rapid engulfment of ABs by environmental phagocytes ensure an anti-inflammatory clearance of apoptotic debris under physiological conditions.22, 23, 24 The aim of the present study was to gain insight into the physiology of AB formation and into molecular composition of ABs. Further, we have been interested whether ABs are effectively engulfed by phagocytes.
Results
Apoptotic cell blebbing occurs time and dose dependently after apoptosis induction and is inhibited by inhibitors of rho-kinase, myosin light chain kinase and caspases
To analyze AB formation, we induced apoptotic cell death in human lymphoblasts by UV-B irradiation. After induction of apoptosis, cells and ABs were harvested as described and analyzed by flow cytometry (for details see Material and methods). We could detect an increase of subcellular fragments already at 2 h after induction of apoptosis (Figure 1). The population of subcellular fragments was clearly separated from the cellular population. As shown in Figure 2a, we detected an even more pronounced increase of subcellular fragments after staurosporine (STS) treatment, compared to UV-B-irradiated cells. The increase of subcellular fragments after apoptosis induction turned out to be time dependent (Figure 2a). We further observed a dose-dependent increase in AB formation after application of varying doses of UV-B (not shown). Induction of necrosis by treatment with hydrogen peroxide (H2O2), methanol (MetOH) or by heating the cells at 56°C for 30 min (56°C 30 min) did not lead to an increased formation of subcellular fragments (Figure 2a). A background level of subcellular fragments (MMP) was detected in samples. In contrast to apoptozing cells, we did not observe a time-dependent increase of subcellular fragments in viable or necrotic cells (Figure 2a).
Light microscopic analyses of viable, apoptotic and necrotic cells were performed to confirm flow cytometric data. Consistently, we observed an increased membrane blebbing after apoptosis induction (UV-B, STS), whereas viable or necrotic cells (w/o, H2O2, MetOH, 56°C 30 min) showed no increased membrane blebbing. Figure 2b shows microscopic pictures of viable, apoptotic and necrotic cells after 4 and 8 h of incubation.
Comparing ABs with standard sized micro beads, we could define the average size of these isolated microparticles to about 500 nm (Figure 3a). Finally, isolated ABs were characterized by transmission electron microscopy. Electron microscopy confirmed that isolated ABs are membrane-coated vesicles of an average size of about 500 nm (Figure 3b).
Shedding of ABs from dying cells might require reorganization of the cytoskeleton. Thus, we have been interested, whether AB formation can be influenced by inhibitors of cytoskeletal activation or by inhibition of caspases. We used inhibitors of rho-kinase (Y-27632), myosin light chain kinase (ML-9) or the pan-caspase inhibitor (zVAD-FMK).18, 19, 20, 21 The use of these inhibitors revealed that formation of ABs depends on the activation of the apoptotic signaling cascade (caspase activation) and the consecutive cytoskeletal activation. Formation of ABs was significantly inhibited by Y-27632 (27.7±1.8%), ML-9 (59.0±10.1%) and most efficiently by zVAD-FMK (99.0±6.7%) (Figure 4).
Taken together, we observed an increased formation of subcellular fragments referred to as ABs after induction of apoptosis. AB formation occurred time and dose dependently and it was inhibited by blocking both caspase activation and activation of cytoskeletal molecules, respectively.
Autoantigens are translocated into ABs
Next, we investigated whether nuclear antigens can be detected in isolated ABs and whether we can detect any molecular differences between ABs and MMP released form activated non-apoptotic lymphoblasts. ABs were isolated from the supernatant of UV-B-irradiated or STS-treated cells and MMP were obtained from the supernatant of viable (untreated) cells. Antigens were detected by Western blot analysis. We observed an increased content of the histones, histone 1 (H1), histone 2A (H2A), histone 2B (H2B), histone 3 (H3) and histone 4 (H4), in lysates of ABs compared to lysates of MMP isolated from viable cells (Figure 5). The detection of a doublet in H2B blots is probably caused by post-translational modifications of this protein as histones are extensively modified during apoptosis.25, 26 The ribonuclear protein La/SSB, another well-known autoantigen, was also translocated into ABs (Figure 5). Beside these proteins, DNA and RNA are common autoantigens in autoimmune disease. Both were present in ABs in a ratio of 10 : 1 (DNA : RNA), and a two- to three-fold higher concentration of DNA was detected in ABs compared to MMP. By gel electrophoresis, we observed that DNA in ABs was degraded to fragments of about 500–1000 bp (not shown).
Taken together, autoantigens are concentrated in ABs after induction of cell death by UV-B irradiation or by STS treatment, whereas in MMP released from activated cells, only a low amount of autoantigens (or no antigen at all) was detected. It is important to note that we used the same amount of protein analyzing samples obtained from ABs and samples obtained from MMP. Thus, the increase of antigens within ABs is not due to a more intense cell blebbing, but is rather caused by an active translocation of these antigens into ABs and an altered molecular composition of the latter.
Distribution of antigens between cytoplasm and ABs during programmed cell death
To characterize the distribution of further structural and cytoplasmic molecules during apoptosis, we analyzed cytoplasmic lysates of viable and apoptotic cells, ABs and MMP. Cytochrome c, a mitochondrial molecule, which is released from mitochondrial intermembrane space during apoptosis, was not translocated into ABs. Similar results were obtained for heat shock protein (HSP) 70 and prohibitin. p53 content markedly increased in cytoplasmic preparations after apoptosis induction, whereas in ABs, no signal was detected at the molecular weight of 53 kDa. The nuclear proteins nuclear matrix antigen (NUMA) and Lamin B were not translocated into ABs and we observed a decreased cytoplasmic protein content of Lamin B, most likely caused by a degradation of the protein during apoptosis (Figure 6).
Time kinetic of apoptotic membrane changes, DNA degradation and translocation of proteins into apoptotic blebs
We performed flow cytometry after varying incubation periods (0, 2, 4, 8 and 24 h) to evaluate a time correlation between well-known hallmarks of apoptosis and formation of ABs. Phosphatidylserine (PS) exposure on the outer membrane leaflet and the percentage of cells showing hypodiploid DNA content (Sub G1 peak) were analyzed by Annexin V staining and propidium iodide (PI) staining in the presence of detergent. Analysis of mitochondrial membrane potential was carried out by staining the cells with the fluorochrome 3,3-dihexyloxacarbocyaniniodode (DiOC6). In parallel, we performed Western blot analysis to detect the histone H2B. We observed a significant increase of cells that stained positive for Annexin V or were characterized by hypodiploid DNA content after 8 h of incubation. In contrast to this, a significant increase of AB formation and a marked increase of H2B protein content within ABs were detected already after 4 h.
Very early during apoptotic cell death, a breakdown of the inner mitochondrial transmembrane potential is to be observed.27, 28 Analyzing mitochondrial membrane potential, we noticed a significant decrease of the mitochondrial membrane potential at 4 h after UV-B irradiation. After 24 h, nearly all cells showed a collapsed mitochondrial membrane potential. Thus, formation of ABs and translocation of autoantigens into the latter were observed in parallel with a breakdown of the mitochondrial transmembrane potential and preceded other classical hallmarks of apoptosis such as PS exposure or DNA degradation (Figure 7).
ABs are engulfed by monocyte-derived phagocytes
ABs labeled by carboxyfluorescein succinimidyl ester (CFSE) were co-incubated with monocyte-derived phagocytes to analyze the engulfment of ABs by the latter. Gating on monocyte-derived phagocytes, we analyzed mean fluorescence intensity (MFI) after the indicated incubation periods. The amount of ABs was quantified by forward scatter/side scatter properties (FSC/SSC) analysis. We observed an increasing fluorescence (gating on phagocytes) indicating an engulfment of CFSE-labeled ABs. Simultaneously, a decreased amount of ABs was detected (Figure 8a). To discriminate between mere binding of ABs to phagocytes and actual engulfment of ABs by the latter, confocal microscopy was performed. Analyzing the co-cultures of phagocytes and ABs at 0 h of incubation, ABs were found outside the phagocytes. With prolonged incubation times, we observed a marked increase of ABs that were localized inside the cells. Thus, ABs were in fact engulfed by monocyte-derived phagocytes (Figure 8b).
Discussion
Apoptotic cell blebbing and formation of ABs are hallmarks of apoptosis. During apoptosis, cellular components are packed within membrane vesicles (apoptotic blebbing) and antigens are relocalized towards the surface of the cell.10, 11 Thereafter, these membrane vesicles separate from cellular remnant as ABs. Apoptotic blebbing plays a central role for the interaction of a dying cell with the immune system and MMP released from viable cells as well as ABs seem to be mediators of intercellular communication.29 During apoptosis, a multiplicity of ABs separates from the dying cell. These ABs then can interact with surrounding cells or are engulfed by phagocytes. Other groups previously reported that an uptake of ABs could lead to an immunogenic presentation of self-antigens in an inflammatory context. Activation of various cell types as a consequence of impaired clearance of apoptotic material cells has been repeatedly described during the previous years11, 30 and it has been shown that autoantigens such as ribonuclear proteins, histones or DNA are exposed on the surface of apoptozing cells and ABs.10, 17, 31 Further, we have recently observed that ABs stimulate plasmacytoid dendritic cells to produce type-1-interferon.32
In the present study, we wanted to characterize the mechanisms leading to AB formation using primary isolated human cells. We analyzed the molecular composition of ABs that already have been separated from the cellular remnant and investigated which antigens are translocated into ABs and whether some antigens cannot be detected within them. As a cellular model, we used activated lymphoblasts, which are highly susceptible to apoptotic cell death.33, 34
First, we analyzed pathways involved in AB formation. We observed that apoptotic cell blebbing was dependent on the activation of caspases as well as the activation of cytoskeletal molecules. In these experiments, we used inhibitors of Y-27632, ML-9 and a zVAD-FMK. Formation of ABs occurred dose and time dependently after apoptosis induction. However, we did not observe any increase in the formation of subcellular fragments analyzing viable or necrotic cells. Taken together, the observed increase in subcellular fragments (ABs) after induction of apoptosis is clearly caused by apoptotic cell blebbing and the consecutive formation of ABs.
Analyzing lysates of isolated ABs, we detected autoantigens such as histones as well as the ribonuclear protein La/SSB. Further, DNA fragments of 500–1000 bp size were observed within ABs. The lysates of MMP (obtained from viable cells) contained only marginal amounts of these antigens. This finding is consistent with observations by Théry et al.35 who demonstrated that MMP (exosomes released by dendritic cells) are biochemically and morphologically different from ABs. The molecules found in ABs are well known autoantigens in SLE36 and interestingly, other cytoplasmatic molecules such as cytochrome c, prohibitin and HSP 70, lamin B and NUMA were not detected in ABs. These data suggest that antigens are not randomly packed into ABs. Rather, it seems likely that apoptozing cells actively regulate the translocation of molecules into ABs. In a previous study, we have shown a cytoplasmic accumulation of histones during apoptotic cell death, which was caused by a translocation of these molecules and not by a de novo protein synthesis.9
Autoantigens were translocated into ABs early after apoptosis induction and they were found in ABs even before other hallmarks of apoptosis such as DNA degradation or PS exposure were observed. During apoptosis, a multiplicity of ABs is shed from the dying cell. To avoid an inappropriate immune stimulation, ABs have to be cleared effectively by environmental phagocytes. Based on this concept, we analyzed the engulfment of ABs by monocyte-derived phagocytes. In fact, we detected an engulfment of ABs by phagocytes, starting already after 2 h of co-incubation. Taken together, we herein demonstrate that autoantigens are translocated into small ABs during early stages of apoptosis. These antigens are well known from autoimmune diseases such as SLE. The molecular content of ABs is clearly different from the one observed in MMP isolated from viable cells. ABs rapidly detach from apoptozing cells. They were loaded with autoantigens already at 4 h after apoptosis induction and were effectively engulfed by monocyte-derived phagocytes. An inflammatory response against molecules present in ABs might be initiated, if phagocytosis is impaired or if the phagocytic system is overloaded by apoptotic material. Well-known autoantigens were detected within ABs, whereas other cytoplasmic and structural molecules obviously were excluded. Thus, it seems likely that the formation of ABs and an effective clearance of the latter by phagocytes represent central mechanisms for a silent and non-immunogenic clearance of autoantigens. A disruption of this process would therefore contribute to the initiation of autoimmune diseases.
Materials and Methods
Cell preparation and culture media
Heparinized venous blood was isolated from normal healthy volunteers after informed consent. Peripheral blood mononuclear cells (PBMC) were separated by density gradient centrifugation (LSM 1077) and washed twice with phosphate-buffered saline (PBS). Cells were cultured in RPMI 1640 supplemented with 4 mM L-glutamine, 10 mM HEPES buffer, 100 U/ml penicillin, 100 μg/ml streptomycin (all reagents obtained from PAA, Pasching, Germany). Furthermore, RPMI 1640 was supplemented with 10% (v/v) heat-inactivated fetal calf serum (Gibco-BRL, Eggenstein, Germany). Cell viability was assessed by trypan blue exclusion test.
Generation of activated lymphoblasts
To generate lymphoblasts, PBMC were activated with 1 μg/ml phytohemagglutinine (Sigma, Taufkirchen, Germany) and 10 U/ml IL-2 (Roche, Mannheim, Germany) for 5 days. Thereafter, cells were expanded with 10 U/ml IL-2 another 2 days. Resulting lymphoblasts were extensively washed and cultured as indicated. These cells are quite susceptible to apoptosis-inducing stimuli and reflect activated cells as they can be found in patients with chronic inflammatory diseases.
Induction of cell death and detection of apoptosis
Apoptosis was induced by UV-B irradiation or by treatment with STS (Alexis, Grünberg, Germany). For induction of necrosis, cells were heated at 56°C for 30 min, treated by H2O2 (100 μM) or MetOH (50%) for 15 min on ice. H2O2 and MetOH were obtained from Sigma (Taufkirchen, Germany). To quantify the rate of apoptosis, cells were analyzed by flow cytometry. To determine nuclear granularity and hypochromicity, DNA staining with PI (Sigma, Taufkirchen, Germany) was performed in the presence of detergent.37 In short, 4 × 105 cells were stained with 50 μg/ml PI in hypotonic fluorochrome solution containing 0.1% (w/v) sodium citrate and 0.1% (v/v) Triton X 100 (Sigma). DNA degradation leading to a sub-G1 peak in PI staining is a hallmark of apoptosis. The percentage of cells showing a sub-G1 peak was determined by flow cytometry.
For detection of PS exposure on the cell surface staining with FITC-conjugated Annexin V (Böhringer, Mannheim, Germany) in combination with PI (AxV/PI) was performed.38 The cells were stained for 30 min at 4°C with 200 ng of AxV-FITC and 500 ng PI in 500 μl Ringer's solution. The samples were immediately analyzed by flow cytometry.
Furthermore, cells undergoing apoptosis show morphological changes, which can be detected by flow cytometric analysis of the FSC/SSC. To analyze mitochondrial membrane, potential cells were labeled with the fluorochrome DiOC6 (Sigma) and incubated for 20 min at 20°C in the dark. After incubation, cells were immediately analyzed by flow cytometry.
Flow cytometric analysis
Flow cytometric analyses were performed using an EPICS XL™ flow cytometer (Coulter, Hialeah, Fl, USA), counting at least 20 000 events.
Isolation of ABs and MMP
After induction of apoptosis, the cell culture supernatant was collected. Two additional centrifugation steps (500 × g, 5 min) were performed in order to remove remaining cells. The supernatant was then passed through a 1.2 μM non-pyrogenic, hydrophilic syringe filter. After centrifugation at 100 000 g for 30 min, the pellet containing ABs or MMP was harvested and used for further experiments.
Isolation and detection of RNA, DNA within cells and ABs
To analyze DNA content ABs were harvested and DNA was isolated using Trizol® Reagent (Invitrogen, Karlsruhe, Germany) following the manufacturer's protocol. DNA was then either quantified by photometry or subjected to a standard agarose gel. RNA was isolated using RNeasy® Kit (Quiagen, Hilden, Germany) following the manufacturer's instructions. RNA was quantified by photometry.
Immunoblot analysis
Cells and ABs were harvested and resuspended in lysis buffer (RIPA, ccpro, Neustadt, Germany) containing a protease inhibitor cocktail (complete Mini, Boehringer, Mannheim Germany). Lysis was performed for 30 min on ice. After centrifugation at 16 000 g, the supernatant was carefully removed and transferred into a new microfuge tube. Protein content of the samples was estimated by BCA assay (Perbio, Bonn, Germany). Each sample (20 μg) was diluted in loading buffer and subjected to a standard SDS-PAGE. After transfer to PVDF membranes, proteins were detected using the following antibodies:
Anti-histone H1 (FL-219), anti-histone H3 (FL-136), anti-histone H4 (F-9), anti-La/SSB (N-20), anti-HSP 90 and anti-HSP 70 (all Santa Cruz, Heidelberg, Germany); anti-histone H2A (rabbit antiserum), anti-histone H2B (rabbit polyclonal IgG) (both Upstate/Biomol, Hamburg, Germany); anti-lamin B, anti-NUMA (204-41) (both Calbiochem, Darmstadt, Germany); anti-p53 (Chemicon, Hofheim, Germany); anti-actin (Sigma, Taufkirchen, Germany); anti-cytochrome c (7H8.2C12) (BD PharMingen, Heidelberg, Germany); anti-prohibitin (II-14-10) (NeoMarkers, Fremont, CA, USA). Blots were then probed with species-specific horseradish peroxidase-labeled antibodies (Dianova, Hamburg, Germany) and detected with enhanced chemoluminescence (Amersham Biosiences, Freiburg, Germany).
For total protein, SDS-PAGE analysis staining with Coomassie Brilliant Blue (Sigma) was performed after gel electrophoresis.
In vitro phagocytosis of CFSE-labeled ABs by monocyte-derived phagocytes
After staining with CFSE (3 μM) for 10 min at 20°C, cells were induced to undergo apoptosis. After 16 h of incubation, ABs were isolated from cellular supernatants. Monocytes were isolated from peripheral blood by magnetic-activated cell sorting (CD14-positive selection, Miltenyi, Bergisch Gladbach, Germany). These cells were cultured for 24 h in the presence of GM-CSF (100 U/ml) to emerge monocyte-derived phagocytes. CFSE-labeled ABs were co-incubated with monocyte-derived phagocytes (cultured for 24 h). Gating on phagocytes, CFSE-fluorescence was analyzed by flow cytometry and increasing fluorescence intensity was detected, if CFSE-labeled ABs had been engulfed.
Microscopy and confocal microscopy
Light microscopy was performed on an Olympus IX70 Inverted Microscope analyzing cells that were transferred into glass-bottom chamber slides using a × 100 oil-immersion lens. For confocal microscopy, cells were harvested and transferred into glass-bottom chamber slides for analysis on a Perkin-Elmer Ultra-View spinning disc confocal on Nikon TE2000-E inverted microscope by using a × 100 oil-immersion lens (excitation at 488, 568, 647 nm, detection at 650 nm, shown red and 488 nm, shown green). For the analysis of phagocytosis, CFSE-stained ABs were co-incubated with monocyte-derived phagocytes (cultured for 24 h), which were stained by a PE-labeled anti-CD14 antibody (BD Biosciences, CA, USA).
Transmission electron microscopy
Isolated ABs were fixed by 2% glutardialdehyde in PBS over night and embedded in small blocks of 1% agar. ABs were then post-fixed in 1% osmium tetroxide for 1 h, dehydrated in a graded series of ethanols and embedded in epoxy resin (Epon 812). Semithin and ultrathin sections were cut on an Ultracut E microtome (Leica, Nussloch, Germany). Semithin sections (1 μm), stained with toluidine-blue were used for light microscopy. Ultrathin sections (60–80 nm), stained with uranyl acetate and lead citrate, were observed in a Philips EM 301 (Philips Electronics, Eindhoven, The Netherlands).
Abbreviations
- ABs:
-
apoptotic bodies
- CFSE:
-
carboxyfluorescein succinimidyl ester
- DiOC6:
-
3,3-dihexyloxacarbocyaniniodode
- FSC/SSC:
-
forward scatter/side scatter
- HSP:
-
heat shock protein
- H1:
-
histone 1
- H2A:
-
histone 2A
- H2B:
-
histone 2B
- H3:
-
histone 3
- H4:
-
histone 4
- MetOH:
-
methanol
- ML-9:
-
myosin light chain kinase inhibitor
- MMP:
-
membrane microparticles
- NUMA:
-
nuclear matrix antigen
- PBMC:
-
peripheral blood mononuclear cells
- PI:
-
propidium iodide
- PS:
-
phosphatidylserine
- SLE:
-
systemic lupus erythematodes
- STS:
-
staurosporine
- Y-27632:
-
rho-kinase inhibitor
- zVAD-FMK:
-
pan-caspase inhibitor
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Acknowledgements
Confocal microscopy was performed at the Nikon Imaging Center at the University of Heidelberg. We acknowledge Dr. U Engel and Dr. C Ackermann for excellent technical support. Transmission electron microscopy was performed at the Institute of Anatomy and Cell Biology, University of Heidelberg, Germany. We acknowledge Professor Dr. W Kriz, Dr. M Islinger, H Hosser and B Hähnel for their kind support. HM Lorenz and M Schiller were supported by a research grant from the German Research Foundation (project Lo437/5-3).
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Schiller, M., Bekeredjian-Ding, I., Heyder, P. et al. Autoantigens are translocated into small apoptotic bodies during early stages of apoptosis. Cell Death Differ 15, 183–191 (2008). https://doi.org/10.1038/sj.cdd.4402239
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DOI: https://doi.org/10.1038/sj.cdd.4402239
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