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* Department of Pathology, Kawasaki Medical School, Kurashiki;
Department of Cell Chemistry, Institute of Molecular Biology and Cell Biology;
Department of Pathology, Okayama University Medical School, Okayama; and
Department of Pathology, Niigata University School of Medicine, Niigata, Japan
Correspondence: Yoshito Sadahira, M.D., Department of Pathology, Kawasaki Medical School, 577 Matsushima, Kurashiki 701-0192, Japan. E-mail: sadapath{at}med.kawasaki-m.ac.jp
| ABSTRACT |
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Key Words: hypoxia erythroblasts erythropoietin adhesion microenvironment
| INTRODUCTION |
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10% in normal mice to over 40% in phlebotomized
mice [4
]. Erythroid progenitor cells, burst-forming
unit-erythroids (BFU-E) and colony-forming unit (CFU)-E, explosively
proliferate and differentiate in response to the rise in erythropoietin
(EPO) concentration [2
, 3
]. This strong
splenic erythropoietic activity following phlebotomy can be explained
by the idea that spleen stromal components provide a particularly
suitable microenvironment for erythropoiesis [4
]. In
this regard, macrophages have long been considered to occupy a central
role for establishing a microenvironment for erythropoiesis because
they were typically observed at the center of erythropoietic islands in
bone marrow and spleen [5
6
7
8
]. However, the precise role
of macrophages and the mechanisms by which they exert their effects on
erythroid development remain unclear.
To elucidate the role of macrophages in vivo, several
substances including silica and dichloromethylene-diphosphonate
(CL2MDP)-liposome have been applied in vivo
[9
]. Silica and CL2MDP-liposome are both cytotoxic to
macrophages, but the mode of action in killing was different.
CL2MDP-liposome suppresses macrophages to produce interleukin (IL)-1,
IL-6, and tumor necrosis factor (TNF)-
, whereas sublethal doses of
silica stimulate macrophages to these cytokines. In addition, the
specificity of the CL2MDP-liposome in splenic red pulp stromal
macrophage depletion has been shown clearly in vivo in a
considerable number of studies [9
10
11
].
The present study examined the possible role of the macrophages in splenic erythropoiesis, by injection of CL2MDP-liposome into mice in which erythropoiesis had been stimulated by phlebotomy. The treatment induced depletion of stromal macrophages in the splenic red pulp, accompanied by the withdrawal of erythropoietic activity. This is the first convincing demonstration that splenic stromal macrophages play an in vivo role in erythropoiesis.
| MATERIALS AND METHODS |
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Treatment of mice
Eight-week-old BALB/c mice weighing 2024 g (SLC, Hamamatsu,
Japan) were injected i.v. with 0.4 ml PBS, 58 mg/ml CL2MDP solution,
PBS-liposome suspension, or CL2MDP-liposome suspension. In the
phlebotomy group, the mice were bled into heparinized capillary tubes
from the retroorbital sinus (0.5 ml), and then 30 min later, they were
injected i.v. with 0.4 ml, 58 mg/ml CL2MDP solution, PBS-liposome
suspension, or CL2MDP-liposome suspension. The animals were killed at
various times after the treatment.
Preparation of cells
Femora were excised from the mice after killing by cervical
dislocation. Proximal edges of the femora were cut, and bone marrow
fragments were obtained by inserting a 27-gauge needle to the distal
edge and by flushing the femora using a syringe. Bone marrow cells were
prepared using the syringe. Splenic cells were prepared by meshing the
spleens in a Potters-type homogenizer, which allowed splenic cells to
be detached completely from white fibrous connective tissues and
provided a single cell suspension.
Hematopathological studies
Hematologic evaluation consisting of hematocrit and reticulocyte
count was performed at each point. Blood was obtained by heparinized
capillary tubes from the retroorbital sinus. Hematocrit was determined
by the routine method [3
]. Blood smears were stained
with new methylene blue for manual reticulocyte counts. The mice were
then killed by cervical dislocation, and spleens were excised. The
spleen was weighed and cut in three pieces. A splenic stamp was made
from one piece. Erythropoietic activity was determined from the percent
of erythroblasts in 200 nucleated cells counted in the splenic stamps.
Another piece of spleen was fixed with 20% buffered formalin that was
dehydrated in alcohol and embedded in paraffin. Then 4 µm sections
were stained with hematoxylin-eosin (H-E) and observed under a light
microscope.
Hematopoietic progenitor cell assay
The number of CFU-E, BFU-E, and CFU-granulocytes and macrophages
(GM) was determined using a methylcellulose culture kit (#HCC-3444,
Stem Cell Technologies, Vancouver, Canada). Briefly, 104/mL
bone marrow cells or 105/mL splenic cells were inoculated
in Iscoves MDM medium containing 0.9% methylcellulose, 15% fetal
bovine serum (FBS), 10-4 mol/L
2-mercaptoethanol, 2 mM L-glutamine, 3 U/mL recombinant
human (rh) EPO, 50 ng/mL recombinant mouse stem-cell factor (rm-SCF),
10 ng/mL mouse recombinant IL-3, 10 ng/mL rh-IL-6, 200 µg/mL human
transferring, and 10 µg/mL bovine serum albumin. Aliquots of 1 mL
were plated in duplicate 35 mm plastic dishes and incubated at 37°C
in 5% CO2. CFU-E was counted at day 2. CFU-GM and BFU-E
were counted at day 7. Colony types were determined by observation
in situ using an inverted microscope, according to a method
described previously [13
].
Antibodies
EB1 [rat anti-mouse erythrocyte band 3 protein monoclonal
antibody (mAb)] and F10 (rat anti-Forssman glycosphingolipid mAb) were
produced in our laboratory as described previously [14
,
15
]. F4/80 (rat anti-mouse macrophage mAb)
[16
] was a gift from Dr. Simon Gordon (University of
Oxford, Oxford, UK). M1/70 (rat anti-mouse Mac-1/CD11b mAb)
[17
], R1/2 (rat anti-mouse
4 integrin/CD49d mAb)
[18
], and TER-119 (rat anti-mouse erythrocyte mAb)
[19
] were obtained from PharMingen (San Diego, CA).
Rabbit anti-active form of caspase-3 antiserum [20
] was
purchased from Genzyme (Cambridge, MA).
Immunohistochemistry
Cryostat sections were prepared by embedding the spleen, liver,
and bone marrow in Tissue Tek OCT compound (Miles, Naperville, IL) and
then snap-freezing in n-hexane cooled to -80°C.
Acetone-fixed 6 µm-thick sections were stained with mAbs using an
indirect method or an avidin-biotin peroxidase complex (ABC) method as
described previously [15
]. For the identification of
erythroid cells with EB1 mAb, the ABC method was performed on
paraffin-embedded sections [14
].
Double-flow cytometric analysis
A 100 µl cell suspension containing
1 x
107 cell/ml in RPMI-1640 supplemented with 10% fetal calf
serum (FCS) and 0.1% sodium azide was mixed with 2 µg TER 119 for 30
min at 4°C. After sequential washing with PBS supplemented with 10 mM
HEPES, 2.5% normal horse serum, and 10 mM sodium azide, samples were
mixed with 40 µl of 1:80 diluted fluorescein isothiocyanate
(FITC)-conjugated goat F(ab)'2 anti-rat immunoglobulin G
(IgG; Zymed Lab, San Francisco, CA) for 30 min at 4°C. After washing,
5 µl of biotin-labeled R1/2 or M1/70 was added, and the mixture was
kept on ice. Thirty minutes later, 20 µl of 1:80 diluted
phycoerythrin-conjugated streptoavidine (Vector Lab, Burlingame,
CA) was added to the solution, which was then kept on ice for a further
30 min. Negative controls were treated with unrelated isotype-matched
mAb. After a final washing, samples were fixed with 1 ml PBS containing
2% paraformaldehyde and then analyzed with a fluorescein-activated
cell sorter (FACS) Calibur (Becton-Dickinson, Mountain View, CA).
Reverse transcriptase-polymerase chain reaction (RT-PCR) analysis
of EPO
Total cellular RNA was isolated from the kidney, liver, spleen,
and bone marrow of each mouse using ISOGEN (Wako Pure Chemical
industries, Osaka, Japan), according to the manufacturers
instructions. In brief, at 3 days after treatment of the mice with
phlebotomy and CL2MDP-liposomes, the tissues were removed and
homogenized at room temperature in 1 ml of ISOGEN solution in a glass
Teflon homogenizer and transferred to a 2 ml polypropylene tube.
Subsequently, 0.2 ml of chloroform was added to the homogenate. After
centrifugation, the aqueous phase was transferred to a fresh tube,
mixed with 0.5 ml isopropanol, and kept at room temperature for 10 min
to precipitate RNA. After centrifugation, the RNA pellet was washed in
1 ml of 75% ethanol, air dried, and resolved in diethyl pyrocarbonate
(DEPC)-treated water. The RNA was quantified in a nucleic acid
spectrometer (GeneQuant, Pharmacia, Uppsala, Sweden), and its purity
was assessed on the basis of the A260/280 ratio. To obtain
single-stranded cDNAs, 2 µg total RNA was mixed with 0.5 µg oligo
(dT)1218 in 12 µl DEPC-treated water and incubated at
70°C for 10 min and then on ice for 2 min. The RNA/primer mixture was
mixed with 2 µl of 10x PCR buffer, 2 µl of 25 mM
MgCl2, 1 µl of 10 mM dNTPs, and 0.1 M dithiothreitol
(DTT); incubated at 42°C for 5 min; and then supplemented with 1 µl
(200 units) SuperScript II RT. The mixture was incubated at 42°C for
50 min, and the reaction was terminated by incubating at 72°C for 15
min. The samples were treated with RNase H. PCR amplification was
performed using an ASTEC program temperature-control system PC-800
(SCI-MEDIA Ltd., Tokyo, Japan). The reaction mixture consisted of 2
µl sample cDNA, 5 µl PCR amplification buffer, 2 µl of 25 mM
MgCl2, 4.0 µl of 2.5 mM dNTPs, 0.3 µl of 5 U/µl Taq
polymerase, 2 µl of 20 µM primer, and 29.7 µl double-distilled
water, with a final volume of 47 µl. Samples were amplified for 27
(ß-actin) or 4045 (EPO) cycles with denaturation at 94°C for 1
min, annealing at 55°C (ß-actin) or 60°C (EPO) for 2 min, and
extension at 72°C for 3 min. A final extension at 72°C for 7 min
was performed after the last cycle. In each experiment, the hot start
method was used. The PCR products were separated on a 1.2% low
melting-point agarose gel containing 0.3 µg/ml (0.003%) ethidium
bromide, and bands were visualized and photographed using ultraviolet
transillumination. PCR primers for murine EPO and ß-actin were
made to order by Kurabo Biomedicals (Osaka, Japan). The following
were the sequences for each primer: mouse EPO
[21
], sense; TCCTTGCTACTGATTCCTCTGG, antisense;
AAGTATCCACTGTGAGTGTTCG, mouse ß-actin, sense;
TGGAATCCTGTGGCATCCATGAAAC, antisense; TAAAACGCAGCTCAGTAACAGTCCG. The
predicted size of the amplified products for EPO was 451 bp; ß-actin,
348 bp.
Serum EPO assay
Serum EPO concentration was measured using a radioimmunoassay
kit (Japan DPC, Chiba, Japan), originally developed for determinations
in man using anti-human EPO antibody known to cross-react with mouse
EPO [22
], according to the manufacturers instructions.
Injection of rh-EPO into phlebotomized mice treated with
CL2MDP-liposome
rh-EPO (ESPO, Kirin Brewery Co., Gunma, Japan)
[23
] was diluted to the desired concentration in PBS
with 0.5% normal mouse serum. Phlebotomized mice injected with
CL2MDP-liposome were injected i.p. with rh-EPO (15 U/mouse or 150
U/mouse) four times. These injections were initiated 15 h after
the treatment of phlebotomy and CL2MDP-liposome injection. The mice
were killed at day 4 for hematopathological study and hematopoietic
progenitor assay as described above.
Statistics
Significance was calculated by Students t-test.
P values at <0.05 were considered significant.
| RESULTS |
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Effects of rh-EPO injection on erythropoiesis of phlebotomized mice
treated with CL2MDP-liposome
We examined the effect of injection with rh-EPO on the
hematopoietic parameters of phlebotomized mice treated with
CL2MDP-liposome. The findings are shown in Table 3
. Injection of rh-EPO (total 60 U/mouse) did not recover splenic
erythropoiesis, but injection of a high dose of rh-EPO (total 600
U/mouse) recovered the number of splenic CFU-E to one-fourth of those
of phlebotomized mice at day 4. The immunohistochemical study using
erythroid-specific EB1 mAb and F4/80 confirmed that the high-dose
rh-EPO injection induced EB1-positive erythroblasts, and these
erythroblasts were not associated with macrophages (unpublished
results).
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| DISCUSSION |
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In contrast to the present findings, Wang et al.
[26
] suggested a negative regulatory role for
macrophages in murine erythropoiesis in vivo. This
difference may be a result of a difference in the definition of
macrophages used. In their experiments, macrophages were defined as
Mac-1+ cells. Mac-1 is expressed in monocytes but scarcely
expressed in stromal macrophages in hematopoietic tissues
[7
, 17
, 25
]. However, Rich
et al. [27
] showed a positive role for
macrophages in erythropoiesis. They demonstrated a release of an
erythropoietic-stimulating factor similar to EPO from macrophages
treated with silica. Therefore, there is a possibility that silica and
CL2 MDP-liposome treatments may provide opposite effects on
erythropoiesis. In contrast to CL2MDP-liposome used in the present
study, silica has been shown to stimulate macrophages to produce
various cytokines including IL-1, IL-6, and TNF-
[9
].
Using a combination of F4/80 and anti-Forssman glycosphingolipid mAb, hematopoietic tissue macrophages could be classified into Frossman+F4/80+ and Forssman-F4/80+ subpopulation [25 ]. Forssman+F4/80+ macrophages have been considered more mature than Forssman-F4/80+ macrophages and more functional in attaching developing hematopoietic cells than Forssman- immature macrophages [15 , 28 ]. In mice injected with CL2MDP-liposome, Forssman-F4/80+ macrophages recovered in the red pulp, but Forssman+F4/80+ macrophages did not reappear even 2 weeks after the treatment. This change in the hematopoietic microenvironment may account for finding that the splenic erythropoietic activity recovered more slowly in the phlebotomized mice treated with CL2MDP-liposome than the control phlebotomized mice.
Bone marrow macrophages have been shown to produce EPO [29 ]. This is a particularly intriguing issue because even small quantities of EPO produced locally may contribute to effective erythropoiesis. However, the present RT-PCR study showed that no EPO message was detected in the spleen in normal, phlebotomized mice, or phlebotomized mice with CL2MDP liposome, and it could be detected easily in kidney in all mice examined. These findings suggested that local EPO production might not be involved in splenic erythropoiesis, but we cannot rule out the possibility because hypoxia has been shown to regulate various macrophage activities [30 ]. Higher EPO levels in phlebotomized mice with CL2MDP-liposome injection than those in phlebotomized mice without CL2MDP-liposome might be because of decreases in EPO consumption for erythropoiesis in phlebotomized mice with CL2MDP-liposome.
The mechanism of splenic CFU-E reduction in CL2MDP-liposome-treated mice remains unknown. Apoptosis may be involved in the erythroid suppression, because the number of cells stained with the anti-active form of caspase-3 antibodies increased in splenic red pulp at day 4 [19 ]. Direct side effects on CFU-E of CL2MDP and CL2MDP-liposome can be ruled out based on the following reasons [9 , 10 ]. (1) Free CL2MDP is a strongly hydrophilic molecule and cannot cross cell membranes. (2) CL2MDP has a short half-life in circulation. (3) Even concentrations of CL2MDP over the theoretically maximum concentration in serum had no significant inhibitory effect on in vitro colony formation of CFU-E. (4) No suppressive effects on splenic erythropoiesis were observed in phlebotomized mice injected with CL2MDP solution (23.2 mg/mouse).
The finding that injection with a high dose of EPO (total 600 U/mouse) restored splenic CFU-E number by up to one-fourth suggested that, if without macrophages, splenic erythropoiesis requires high concentrations of EPO as in the in vitro case. Thus, in mouse splenic erythropoiesis, cooperative regulation of erythropoiesis by EPO and macrophages is suggested. Based on the finding that splenic red pulp macrophages are able to form erythroblastic islands, adhering to erythroblasts partly via very late antigen (VLA)-4/vascular cell adhesion molecule (VCAM)-1 interactions [8 ], this type of adhesive interaction may occur between macrophages and erythroid precursors and play an important role in the maintenance of CFU-E numbers and differentiation of erythroid cells under the conditions of low EPO concentrations.
In the present experimental system using phlebotomy, the effects of CL2MDP-liposomes had centered on splenic erythropoiesis. However, the treatment also influenced other types of splenic hematopoiesis, including granulopoiesis, which were evaluated by CFU-GM assay. Although a slight leukocytosis, primarily due to an increase in the number of neutrophil series, was observed (data not shown), injection of CL2MDP-liposomes suppressed the expected increase in splenic CFU-GM number. This finding suggests the possibility that macrophages contribute to granulopoiesis as well as erythropoiesis, as has been previously suggested [7 , 28 ].
In conclusion, the present study may be an excellent experimental model for further characterization of the in vivo role of splenic macrophages in erythropoiesis.
| ACKNOWLEDGEMENTS |
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Received May 27, 1999; revised April 22, 2000; accepted May 3, 2000.
| REFERENCES |
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chain homologous to human VLA-4 Cell 56,37-46[Medline]
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