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Published online before print May 13, 2005
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* Departments of Bioquímica e Imunologia,
Fisiologia e Biofísica, and
Patologia Geral, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
2 Correspondence: Departamento de Bioquímica e Imunologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Av. Antônio Carlos, 6627-Pampulha, 31270-901 Belo Horizonte, MG, Brazil. E-mail: mmtex{at}icb.ufmg.br
| ABSTRACT |
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(TNF-
) is mediated by p55 receptor (TNFR1). Here, we aimed to clarify the biological role of TNFR1-mediated signals in an in vivo inflammatory angiogenesis model. Polyester-polyurethane sponges, used as a framework for tissue growth, were implanted in C57Bl/6 mice. These implants were collected at days 1, 7, and 14 post-implant for enzyme-linked immunosorbent assay or at days 7 and 14 for hemoglobin, myeloperoxidase, and N-acetylglucosaminidase measurements, used as indexes for angiogenesis, neutrophil, and macrophage accumulation, respectively. In TNFR1-deficient C57Bl/6 mice, there was a significant decrease in sponge vascularization but not in late inflammatory cell influx. It is interesting that levels of vascular endothelial growth factor were significantly lower in TNFR1-deficient than in wild-type mice at days 1 and 7. Levels of angiogenic chemokines, CC chemokine ligand 2/murine homologue of monocyte chemoattractant protein-1 and CXC chemokine ligand 13/keratinocyte-derived chemokine, were significantly lower in TNFR1-deficient mice at days 1 and 7 after implantation, respectively. These observations suggest that TNFR1-mediated signals have a critical role in sponge-induced angiogenesis, possibly by influencing the effector state of inflammatory cells and hence, modulating the angiogenic molecular network.
Key Words: TNF-
neutrophil macrophage p55 receptor
| INTRODUCTION |
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(TNF-
) is a pleiotropic cytokine produced by a variety of cell types, including macrophages, neutrophils, lymphocytes, and endothelial cells [1
]. TNF signals through two distinct cell surface receptors, TNFR1 (TNFRp5560) and TNFR2 (TNFRp7580), and the specific intracellular signaling pathways that are activated by TNF determine the specificity of cellular responses in a given cell [2
]. It has been shown that TNFR1 initiates the majority of the biological activities of TNF-
, including cell growth and death, oncogenesis, and inflammatory responses [3
].
TNF-
has been shown to inhibit growth and induce endothelial cell apoptosis in vitro [4
5
6
]. However, this cytokine may also induce endothelial cell migration in vitro and angiogenesis in vivo when implanted into corneas, chorioallantoic membranes, or sponge implants [7
8
9
10
]. These apparent, contrasting effects are likely secondary to the ability of TNF-
to release proangiogenic and antiangiogenic factors, depending on the local concentration or duration of exposure to TNF-
[11
, 12
]. Indeed, TNF-
may control angiogenesis by regulating the synthesis of secondary mediators such as platelet-activating factor, interleukin-8, vascular endothelial growth factor (VEGF), and basic fibroblast growth factor [13
, 14
].
Despite the good amount of information concerning TNFR1-mediated inflammatory activities, the involvement of this receptor in angiogenesis is poorly understood. To address the biological role of TNFR1-mediated signals in the in vivo angiogenesis occurring in sites of inflammation, we quantified angiogenesis, inflammation, and mediators of the angiogenic and inflammatory responses after implantation of polyester-polyurethane sponges, used as a framework for tissue growth, in mice genetically engineered to lack the receptor 1 (or p55 receptor) for TNF-
.
| MATERIALS AND METHODS |
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Preparation of cannulated sponge discs and implantation
Polyester-polyurethane sponge discs, 5 mm thick and 8 mm diameter (Vitafoam Ltd., Manchester, UK), were used as the matrix for fibrovascular tissue growth. Polyvinyl tubing (12 mm; PE 20, Biovida, Brazil) was secured with silk sutures (Ethicon Ltd., UK) to the center of each disc in such a way that the tube was perpendicular to the disc face. Its open-end cannula were sealed with removable plugs. The cannulated sponge discs were sterilized by soaking overnight in 70% v/v ethanol and by boiling in distilled water for 15 min before the implantation surgery. The animals were anesthetized (tribromoethanol, Sigma Chemical Co., St. Louis, MO, 2.5% v/v, 1 mL/100 g body weight, intraperitoneally), the dorsal hair shaved, and the skin wiped with 70% ethanol. The cannulated sponge discs were aseptically implanted into a subcutaneous (s.c.) pouch that had been made with curved artery forceps through a 1-cm long dorsal midline incision. The cannula was exteriorized through a small incision in a s.c. neck pouch.
Quantification of angiogenesis by hemoglobin measurement
Animals were anesthetized by ether inhalation and killed by cervical dislocation, and the sponge implants were excised carefully, released from the cannula, and weighed. Each implant was homogenized (TR-10, Tekmar, Mason, OH) in 2.0 mL Drabkin reagent (Labtest, São Paulo, Brazil) and centrifuged at 10,000 g for 15 min. The supernatants were filtered through a 0.22-µm filter (Millipore, Bedford, MA). Hemoglobin in the samples was quantified colorimetrically at 540 nm in a spectrophotometer (Emax, Molecular Devices, Sunnyvale, CA). The concentration of hemoglobin was calculated from a known amount of hemoglobin assayed in parallel. The results were expressed as µg Hb/mL/mg wet tissue. Previous studies have shown that hemoglobin detection correlated well with other methods for the detection and quantification of angiogenesis in tissues [15
, 16
].
Quantification of neutrophil tissue accumulation by myeloperoxidase (MPO) activity measurement
Pellets obtained from the centrifugation of sponge homogenates (see above) were suspended in 2.0 mL cooled (4°C) phosphate buffer (0.1 M NaCl, 0.02 M NaPO4, 0.015 M NaEDTA, pH 4.7), vortex-homogenized, and centrifuged at 4°C for 15 min at 10,000 g. Pellets were then resuspended in 2.0 mL (at room temperature) phosphate buffer (0.05 M Na3PO4, 0.5% hexadecyl-trimethylammonium bromide (HETAB), pH 5.4). The suspensions were freeze-thawed three times and centrifuged at 4°C for 15 min at 10,000 g, and supernatants were stored at 20°C until used for MPO assay.
MPO assay reaction
The assay used 25 µL 3,3'-5,5'-tetramethylbenzidine (TMB; Sigma Chemical Co.), dissolved in dimethyl sulfoxide (Merck, Rahway, NJ) in a final concentration of 1.6 mM, 100 µL H2O2, dissolved in phosphate buffer (0.05 M Na3PO4, 0.5% HETAB, pH 5.4) in a final concentration of 0.003% v/v and 25 µL supernatant from tissue sample processing. The reaction was started at 37°C for 5 min in a 96-well microplate by adding the supernatant and the TMB solution. After that, H2O2 was added, and the mixture incubated at 37°C for 5 min. The reaction was stopped by adding 100 µL 4 M H2SO4 and was quantified at 450 nm in a spectrophotometer (Emax, Molecular Devices). The neutrophil content was calculated from a standard curve based on MPO activity expressed as absorbance increase at 450 nm from 5% casein peritoneal-induced neutrophils assayed in parallel. We used casein-elicited neutrophils from WT or TNFR1-deficient mice to construct the standard curves for the relevant strain. The results were expressed in relative number of neutrophils (x104) per mg wet tissue. Under the conditions described here, the MPO assay failed to detect macrophages obtained from the peritoneal cavity of thioglycollate-treated mice and processed the same way (data not shown).
Quantification of macrophage tissue accumulation by N-acetylglucosaminidase (NAG) activity measurement
Pellets obtained from the centrifugation of sponge homogenates were suspended in 2.0 mL cooled (4°C) 0.9% saline containing 0.1% v/v Triton X-100, vortex-homogenized, and centrifuged at 4°C for 10 min at 1500 g. The supernatants were saved and used for NAG assay. If the NAG assay was not carried out immediately, the supernatants were kept frozen until used.
NAG assay reaction
The reaction was started at 37°C for 10 min in a 96-well microplate by the addition of 100 µL p-nitrophenyl-N-acetyl-ß-D-glucosaminide (Sigma Chemical Co.), dissolved in citrate/phosphate buffer (0.1 M citric acid, 0.1 M Na2HPO4, pH 4.5) in a final concentration of 2.24 mM100 µL supernatant from tissue sample processing, dissolved in citrate/phosphate buffer at appropriate dilutions. The reaction was terminated by the addition of 100 µL 0.2 M glycine buffer (pH 10.6) and was quantified at 405 nm in a spectrophotometer (Emax, Molecular Devices). The macrophage content was calculated from a standard curve based on NAG activity expressed as absorbance increase at 405 nm from 3% thioglycollate peritoneal-induced macrophages assayed in parallel. We used thioglycollate-elicited neutrophils from WT or TNFR1-deficient mice to construct the standard curves for the relevant strain. The results were expressed in relative number of macrophages (x104) per mg wet tissue. Under the conditions described here, the NAG assay failed to detect neutrophils obtained from the peritoneal cavity of casein-treated mice and processed the same way (data not shown).
Enzyme-linked immunosorbent assay (ELISA) for cytokines/chemokines
Animals were anesthetized by ether inhalation and killed by cervical dislocation, and the sponge implants were collected carefully, released from the cannula, and squeezed into microtubes to collect the inflammatory fluid. The squeezed sponge was homogenized in 1.0 mL 1x phosphate-buffered saline (PBS; pH 7.4) containing 0.05% Tween 20 (Difco, Detroit, MI), followed by centrifugation at 4°C for 10 min at 10,000 g. The supernatant was combined with the inflammatory fluid, and ELISA assays were performed using kits from R&D Systems (Minneapolis, MN) for murine VEGF, TNF-
, CXC chemokine ligand 13 (CXCL13)/keratinocyte-derived chemokine (KC) and CC chemokine ligand 2 (CCL2)/murine homologue of monocyte chemoattractant protein-1 (JE). Briefly, flat-bottom, 96-well microtiter plates (Nunc, Denmark) were coated with 100 µL/well of the appropriate monoclonal antibodies (mAb) for 18 h at 4°C and then washed with PBS (pH 7.4) containing 0.05% Tween 20 (wash buffer). Nonspecific binding sites were blocked with 300 µL/well 1% bovine serum albumin (BSA) in PBS (blocking buffer). Plates were rinsed with wash buffer, and appropriately diluted samples (in 0.1% BSA in PBS-reagent diluent) were added (100 µL/well), followed by incubation for 18 h at 4°C. Plates were then washed, and 100 µL/well of the appropriate biotinylated detection antibodies diluted in reagent diluent were added for 2 h at room temperature. Plates were then washed, streptavidin-horseadish peroxidase was added (100 µL/well), and the plates were incubated for 20 min at room temperature. Plates were then washed, 100 µL/well of the chromogen substrate o-phenylendiamine (Sigma Chemical Co.) diluted in 0.03 M citrate buffer (pH 5.0), containing 0.02% 30 v/v H2O2, was added, and the plates were incubated in the dark for 30 min at room temperature. The reaction was terminated with 50 µL/well 1 M H2SO4 solution. Plates were read at 492 nm in a spectrophotometer (Emax, Molecular Devices). All samples were assayed in duplicate. The threshold of sensitivity for each cytokine/chemokine was 16 pg/mL.
Histology
At day 14 after implantation, animals were anesthetized by ether inhalation and killed by cervical dislocation. The sponge implants were then collected carefully, released from the cannula, and fixed in formalin (10% in isotonic saline). The implants were embedded in paraffin, and 5 µm-thick sections were obtained. The sections were stained with hematoxylin and eosin (H&E) and examined under a light microscope.
Statistical analysis
Results are presented as the mean ± SEM. Comparisons between two groups were carried out using Students t-test for unpaired data. Three or more group comparisons were carried out using one-way ANOVA, and differences between groups were assessed by Student-Newman-Keuls multiple comparisons test. A P value less than 0.05 was considered significant.
| RESULTS |
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Neovascularization and inflammatory cell accumulation in TNFR1-deficient mice
Angiogenesis and leukocyte influx were evaluated at days 7 and 14 after sponge implantation. There was a significant decrease in sponge vascularization in TNFR1-deficient mice when compared with WT control mice at both time-points (Fig. 2A
). The sponge vascularization was restored to WT control levels in TNFR1-deficient mice at day 21 post-implantation (WT=2.59±0.26 vs. TNFR1/=3.76±0.55 µg/mL hemoglobin/mg sponge). It is interesting that at day 7, but not at day 14 after sponge implantation, we found a significant decrease in the tissue neutrophil and macrophage content in TNFR1-deficient mice, as assessed by the tissue MPO and NAG activities (Fig. 3
). There was no significant difference in the weight of the sponges at all times evaluated (day 7: WT=105±4 mg vs. TNFR1/=94±3 mg; day 14: WT=126±6 mg vs. TNFR1/=114±5 mg; day 21: WT=104±4 mg vs. TNFR1/=93±8 mg sponge; n=6 in each group).
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VEGF, TNF-
, CXCL13/KC and CCL2/JE protein levels in WT and TNFR1-deficient mice
The production of cytokines and chemokines within sponge tissue drives the angiogenic and inflammatory processes. Thus, we measured the concentrations of these mediators on days 1, 7, and 14 after implantation. VEGF was already detectable on day 1 after sponge implantation and peaked on day 7, and levels diminished significantly at day 14 (Fig. 4A
). In TNFR1-deficient mice, VEGF levels were markedly lower on days 1 and 7 but were similar to those of WT mice on day 14 (Fig. 4A)
. Levels of TNF-
were detectable on day 1, peaked at day 7, and maintained at high levels thereafter (Fig. 4B)
. In TNFR1-deficient mice, the concentration of this cytokine was lower on days 1 and 7 but increased to levels similar to those found in WT mice on day 14 (Fig. 4B)
.
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| DISCUSSION |
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is a relevant angiogenic candidate in sponge-induced angiogenesis, as it elicits a broad spectrum of cellular responses including activation of leukocytes and endothelial cells [10
, 18
19
20
21
]. Moreover, TNF-
is a potent modulator of the expression of inflammatory and proangiogenic molecules [13
, 22
23
24
25
26
27
]. Nevertheless, little is known about receptor-mediated signals that are involved in the biological activity of TNF during inflammatory angiogenesis and especially, in the model of sponge-induced angiogenesis. Once TNFR1 signals are important for the actions of TNF-
on endothelial cells, we hypothesized that angiogenesis development would be reduced in sponges from mice lacking TNFR1 function. Indeed, we now demonstrate a significant decrease in sponge vascularization in these mice, which was accompanied by strongly reduced levels of the angiogenic molecule VEGF. Vascularization was assessed by evaluating the hemoglobin content, and this method bears a good correlation with other quantitative techniques to evaluate angiogenesis in sponges [15
, 16
]. There was also a significant inhibition of TNF-
production in TNFR1-deficient mice, suggesting that TNF production is auto-regulated by TNFR1 activation. Moreover, as TNF-
levels are decreased in our gene-deficient mice, it is likely that any activation of the TNFR2 would also be diminished. These observations demonstrate a critical role for TNFR1-mediated signals in promoting angiogenesis and suggest that production and action of VEGF and TNF-
at the site of sponge implantation may be relevant for the effects observed. It is interesting that angiogenesis was restored 21 days after sponge implantation in TNFR1-deficient mice, raising the possibility that the late (day 14) increase in TNF-
and action on TNFR2 levels could be compensating for the absence of TNFR1. This possibility clearly deserves further investigation. Activated macrophages appear to be major cellular protagonists capable of promoting angiogenesis by virtue of their secretory products [23 , 28 , 29 ]. Neutrophils can also synthesize angiogenic molecules, suggesting that these cells are directly angiogenic [30 31 32 33 ]. In the present model, which tries to mimic chronic inflammatory and wound-healing processes, a cascade of inflammatory events is triggered after implantation and culminates in new blood vessel formation [34 , 35 ]. Here, similar to our previous study [17 ], we show that angiogenesis development was progressive and parallel with the inflammatory cell accumulation in C57Bl/6J mice implants.
Angiogenesis was prevented in TNFR1-deficient mice, and there was also inhibition of the accumulation of neutrophils or macrophages in sponges at day 7 but no difference at day 14 after implantation. These results are in contrast with those of Mori and colleagues [36
], who showed an enhancement in angiogenesis and continuous reduction in leukocyte infiltration in a model of excisional skin wounds in TNFR1-deficient mice. Although there were differences in background of strains (C57Bl/6 vs. BALB/c) and gender (female vs. male), skin wounds and sponge models are models of wound-healing and inflammatory angiogenesis. There are differences, however, in the nature and in the duration of stimulus and in the blood supply to these tissues. The implanted sponge is an artificial matrix, which is initially nonvascularized and noncellularized (i.e., contains no biochemical activity). In contrast, the skin is a highly vascular organ, and skin wounds are well-supplied with resident cells that can deliver the stimuli to start the repair process. In addition, in the sponge model, the injuring stimulus (the own sponge implant) is continuous, whereas the skin model follows a characteristic time-course until complete tissue repair and new tissue generation are attained. For example, whereas Mori et al. [36
] measured only a transient TNF-
up-regulation, TNF-
levels in the sponge implant system are sustained. Another interesting difference that could be related to the type of stimulation is a much shorter duration of leukocyte accumulation observed after skin wound when compared with the sponge model [36
]. Altogether, the differences mentioned above could account for the different needs of TNF-
during inflammatory angiogenesis. Regardless of the explanation, it is clear that TNFR1 has relevant, proangiogenic activity in sponge implants, which is separable, at least in the later stages, from its effects on leukocyte recruitment.
The chemokine network tightly controls cell recruitment and activation at inflammatory sites [37
, 38
]. We observed that the production of the neutrophil-active chemokine CXCL13/KC was significantly decreased at day 7 but not at day 14 after sponge implantation. These data are coincident with the decreased neutrophil accumulation into sponges at day 7 but not at day 14 post-implantation. Similar to the neutrophils, macrophage influx was decreased early but not at day 14 after implantation. The macrophage-active chemokine CCL2/JE was significantly decreased at day 1. Nevertheless, there was no difference of CCL2/JE levels between WT controls and TNFR1-deficient mice at later stages (days 7 and 14). It is not clear whether this initial fall in CCL2/JE would be accountable for the decrease of macrophage numbers at day 7. Preliminary experiments in our laboratory suggest that macrophage recruitment is similar in WT and CCL2/JE-deficient mice (our own unpublished results), suggesting that this chemokine is not relevant for macrophage accumulation and that other functionally redundant chemokines, such as CCL3/macrophage-inflammatory protein-1
or CCL5/regulated on activation, normal T expressed and secreted, may be produced concomitantly and compensate for the loss of CCL2/JE. In conclusion, we found a good correlation between neutrophil influx and CXCL13/KC production but not between macrophage influx and CCL2/JE production. In addition to their ability to promote leukocyte recruitment, chemokines may affect and regulate angiogenesis via activation of leukocytes and induction of proangiogenic molecules [13
, 25
]. Thus, although the chemokines modulated by TNFR1 may be or not (in the case of CCL2/JE) necessary for the recruitment and accumulation of leukocytes, these chemokines may participate in the cascade of events leading to leukocyte and endothelial cell activation and release of proangiogenic molecules such as VEGF.
Overall, this report suggests that the functional activity of TNFR1 favors an angiogenic phenotype in a model of inflammatory angiogenesis. TNFR1 activation is associated with greater production of VEGF and proangiogenic chemokines, CXCL13/KC and CCL2/JE, but is not crucial for the recruitment of leukocytes. TNFR1 signals may be important for the activation of the recruited inflammatory cells, hence, facilitating release of proangiogenic factors and angiogenesis.
| ACKNOWLEDGEMENTS |
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| FOOTNOTES |
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Received November 22, 2004; revised April 5, 2005; accepted April 6, 2005.
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