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Calcium-Binding Proteins S100A8 and S100A9 Initiate the Early Inflammatory Program in Injured Peripheral Nerve*
Andrei V. Chernov1, Jennifer Dolkas2,3, Khang Hoang2,3, Mila Angert2,3, Geetha Srikrishna1*, Thomas Vogl4, Svetlana Baranovskaya5, Alex Y. Strongin1 and Veronica I. Shubayev2,3,**
From the 1Sanford-Burnham Medical Research Institute, La Jolla, California, USA, the 2Department of Anesthesiology, University of California, San Diego, La Jolla, California, USA, the 3VA San Diego Healthcare System, La Jolla, California, USA, 4Institute of Immunology, University of Muenster, Muenster, Germany and the 5Agilent Technologies, La Jolla, California, USA.
**To whom correspondence should be addressed: Veronica I. Shubayev, University of California, San Diego, Mail Code 0629, 9500 Gilman Dr., La Jolla, CA, 92093-0629. Phone: (858) 534-5278; Fax: (858) 534-1445; E-mail: [email protected] §The work reported here was supported by RO1DE022757 from NIH (VIS and AYS) and VA Merit Review Award 5I01BX000638 from the Department of Veterans Affairs (VIS).
*Running Title: S100A8/A9 and immune circuitry in peripheral nerve
Keywords: Schwann cell, peripheral nerve, S100, nerve regeneration, neuropathic pain
Background: In peripheral nerve, initial immune response to injury influences regeneration.
Results: S100a8 and S100a9 are the top induced genes in nerve post-injury. S100A8/A9 activates the chemotactic genes and pathways in Schwann cell and stimulate myeloid cell infiltration into the nerve.
Conclusion: S100A8/A9 initiate immune cell transmigration into the nerve.
Significance. S100A8/A9 are novel modulators of peripheral nerve injury.
ABSTRACT
To shed light on the early immune response processes in severed peripheral nerve, we performed genome-wide transcriptional profiling and bioinformatics analyses of the proximal (P; regenerating) and distal (D; degenerating) nerve stumps at day 1 in the sciatic nerve axotomy model in rats. Multiple cell death-related pathways were activated in the degenerating D stump, whereas activation of the cytoskeletal motility and gluconeogenesis/glycolysis pathways was most prominent in the P stump of the axotomized nerve. Our bioinformatics analyses also identified the specific immunomodulatory genes of the chemokine, interleukin (IL), tumor necrosis factor (TNF), major histocompatibility complex (MHC), immunoglobulin-binding Fc receptor, calcium-binding S100, matrix metalloproteinase (MMP), tissue inhibitor of metalloproteinase (TIMP), and ion channel families affected in both the P and D segments. S100a8 and S100a9 were the top up-regulated genes in both the P and D segments. Stimulation of cultured Schwann cells using the purified S100A8/A9 heterodimer recapitulated
activation of the myeloid cell and phagocyte chemotactic genes and pathways, which we initially observed in injured nerve. The S100A8/A9 heterodimer injection into the intact nerve stimulated macrophage infiltration. We conclude that following peripheral nerve injury an immediate acute immune response occurs both distally and proximally to the lesion site and that the rapid transcriptional activation of S100a8 and S100a9 genes results in the S100A8/A9 hetero and homodimers, which stimulate the release of chemokines and cytokines by the activated Schwann cells and generate the initial chemotactic gradient that guides transmigration of hematogenous immune cells into the injured nerve.
INTRODUCTION
In general, peripheral nerve displays a strong regenerative potential. Relative to other injury types, compete nerve transection (axotomy) severely damages the endoneurial tube and entails inefficient regenerative growth (1-4). Since the original findings of the nerve fiber breakdown distal to transection injury (5), substantial knowledge has been accumulated using sciatic nerve injury models in
http://www.jbc.org/cgi/doi/10.1074/jbc.M114.622316The latest version is at JBC Papers in Press. Published on March 19, 2015 as Manuscript M114.622316
Copyright 2015 by The American Society for Biochemistry and Molecular Biology, Inc.
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rodents. This knowledge recognizes that the dramatic endoneurial remodeling in the proximal (P, regenerating) and distal (D, degenerating) nerve stumps during the first hours post-transection sets the course for a long-term ‘staggered’ axonal growth (up to 4 weeks in rats) and consequently, an incomplete functional (motor and sensory) recovery (3,4,6).
Wallerian degeneration is a well-orchestrated process initiated by an instant influx of extracellular calcium, which activates the calpain- and ubiquitin-proteasome-dependent disintegration of the axonal cytoskeleton in the D stump (7). Concomitantly, the P axons die-back to the next node of Ranvier (4,8) and form axonal endbulbs (9). Though a rigorous, actin-supported process, an endbulb transforms into a regenerating P axonal sprout and forms a growth cone (4,10,11). Schwann cells, the main cell population in the peripheral nerve, carefully guide the growing axons towards the end-organ. However, disruption of endoneurial tubes caused by transection injury results in the disorganized extracellular matrix, which obscures the Schwann cell alignment into a column of proliferating cells, the bands of Büngner, and their ability to deposit the substrata favorable to axonal growth (4,6).
The denervated Schwann cells rapidly trans-differentiate into Büngner cells post-axotomy. This process involves the silencing of the genes coding for myelin proteins and the induction of glial fibrillary acidic protein, p75NGF, neuregulin and other genes that are required to support Schwann cell de-differentiation, mitosis and partnership with regenerating axons (7,12-14). Schwann cells also play a key role in secreting inflammatory chemokines, cytokines and matrix metalloproteinases (MMPs), which work in concert to stimulate the development of chemotactic gradients and the directed immune cell migration across the blood-nerve barrier and into the damaged nerve (12,15-17). Various hematogenous immune cell types, including granulocytes (neutrophils and mast cells) and agranulocytes (monocytes/macrophages and lymphocytes), infiltrate the nerve in the course of Wallerian degeneration (12,15-17).
Calprotectin (S100A8/A9) is a heterodimeric non-covalent complex of acidic calcium-binding S100A8 and S100A9. S100A8/A9 induces chemotaxis (18) 24), cytoskeletal reorganization (19), calcium signaling (20) and cytokine expression (21) in
immune cells, particularly phagocytes. In peripheral nerve, phagocytic clearance of axonal and myelin debris is initiated by Schwann cells, which extrude myelin sheaths to create ovoid “digestion chambers” (22,23). This clearance is completed by macrophages infiltrating the nerve at days 2-14 post-injury (16,17,22,24). Because the S100a8 and S100a9 genes were highly up-regulated at day 1 post-injury in murine nerves (25) we hypothesized that the initial positive chemotactic gradient is a result of Schwann cell stimulation by S100A8/A9 and that this gradient arises shortly after peripheral nerve injury and then stimulates the infiltration of the immune cells towards the trauma site.
Herein, we first confirmed and expanded the transcriptional profiling studies in peripheral nerve (25-33). Using the comparative genome-wide transcriptional profiling and subsequent bioinformatics (Ingenuity, NextBio) analyses in the P and D stumps at day 1 post-axotomy, we recorded the early gene expression changes in the severed sciatic nerve in rats. Stimulation of cultured Schwann cells by the purified S100A8/A9 heterodimer recapitulated those transcriptional events which supported chemotaxis of myeloid cells towards both the P and D segments post-injury in vivo. In addition, S100A8/A9 injection stimulated macrophage infiltration into the nerve in vivo. Our findings suggest that the rapid injury-induced up-regulation of S100A8/A9 in Schwann cells then stimulates the release of cytokines and chemokines, which, combined, provide the initial chemotactic gradient that attracts the hematogenous immune cells to the injured nerve.
MATERIALS AND METHODS
Reagents and Antibodies- Routine reagents were purchased from Sigma unless indicated otherwise. The following antibodies were used in our experiments: rabbit polyclonal anti-S100A9 (Novus, cat. #NB110-89726) and murine monoclonal anti-S100B (Sigma cat. #S2532) and anti-CD68 (Serotec, cat. #MCA341R). We also used the following antibodies from Cell Signaling Technologies: a rabbit polyclonal antibody to phospho (p)ERK (cat. #9101), to phospho pPI3K (cat. #4228), to phospho pJNK (cat. #4668), to ERK (cat. #9102), to PI3K (cat. #4292), and to JNK (cat. #9258). A murine monoclonal antibody to β-actin was from Sigma (cat. #A53166).
S100A8/A9- Purification of endotoxin-free murine S100A8/A9 proteins was performed as described for
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human S100A8/A9 in (34). The levels of homodimers were below 10%, as determined by size-exclusion chromatography and ELISAs employing all antibody combinations (A8/A8, A9/A9, A8/A9 and A9/A8, unpublished data). The levels of lipopolysaccharide (LPS) were below 2 pg/µg of the complex, as determined by the limulous amoebocyte lysate (LAL) test.
Animal Procedures- Adult female Sprague-Dawley rats weighing 200–225 g (Harlan) were maintained at 22°C on 12/12-h light/dark cycle. Animals had access to food and water ad libitum. Anesthesia was induced by a 5% isoflurane/air mixture (Forane, Butler-Schein) and maintained using a 2.5% mixture. The common sciatic nerve was exposed unilaterally at the mid-thigh level and (1) transected using surgical scissors or (2) injected into the fascicle with purified S100A8/A9 (10 µg in 5 µl PBS) or an equal volume of a vehicle (PBS alone), using a 33-gauge needle and a Hamilton syringe. At day 1 or week 1 after injury or injection, nerve segments (the proximal, distal and contralateral (normal) to the axotomy/injection site) were collected for the subsequent analysis. Animals were sacrificed using an overdose of a rodent anesthesia cocktail [50 mg/ml Nembutal (Abbott Labs) and 5 mg/ml diazepam (Steris Labs) in 0.9% PBS (Steris Labs)], followed by an i.p. injection of Beuthanasia (100-150 mg/ml; Schering-Plough Animal Health). All animal procedures were done in accordance with the NIH Guidelines for the Care and Use of Laboratory Animals and protocols approved by the Institutional Animal Care and Use Committee at the VA San Diego Healthcare System.
Stimulation of Cultured Schwann Cells Using S100A8/A9- Primary Schwann cells were isolated from sciatic nerves of postnatal day 1-3 Sprague-Dawley rats (24). Schwann cells were further purified as described previously (35). The purity of Schwann cell cultures was monitored by S100B immunostaining (24). Schwann cells (>99% purity) were then cultured in 75 cm2 flasks coated with 50 µg/ml poly-D-lysine (Chemicon) in DMEM containing 1 g/L glucose, 10% fetal bovine serum, 100 units/ml penicillin and 100 µg/ml streptomycin, 21 µg/ml bovine pituitary extract (Life Technologies) and 4 µM forskolin (Calbiotech) at 37°C and 5.0% CO2. Cells were used in experiments at passages 3-7. For stimulation, Schwann cells were plated in wells of a 6-well plate and allowed to reach a 75% confluence
level. Purified S100A8/A9 (5 µg/ml) was added to the cells for either 1 h or 24 h. Cells were then washed and harvested. Total RNA was isolated using Direct-zol RNA MiniPrep system (Zymo Research) and used in the follow-up transcription profiling experiments. The RNA purity was estimated by measuring the OD260/280 and the OD260/230 ratios. The RNA integrity was assessed using an Experion Automated Electrophoresis System (Bio-Rad). The purified RNA was quantified using a Nanodrop ND-1000 spectrophotometer (Thermo Scientific).
Genome-Wide Transcriptional Profiling- Nerve segments from three rats per group were isolated and stored at -20°C in RNA-later (Life Technologies). Total RNA was extracted using TRIzol and purified using an RNeasy column (Qiagen). The RNA purity, integrity and quantity were assessed as described above. Total RNA aliquots (50 ng each) were labeled using a LowInput QuickAmp Labeling Kit and Cy3-CTP (Agilent Technologies). The labeled samples (1,500 ng each) were hybridized for 18 h at 65°C to the SurePrint G3 Rat GE 8x60K microarray chips (Agilent Technologies), which featured over 30,000 individual transcripts. Microarray chips were washed, developed using Cy3-Streptavidin Fluor conjugates (GE Healthcare) and scanned using a C Scanner (Agilent Technologies). Raw data were processed using Feature Extraction software (Agilent Technologies). Normalization to the median was performed using GeneSpring GX software (Agilent Technologies). Differentially expressed mRNAs with the signal intensity over two-fold relative to the background standard deviation were identified by t-test. Statistically significant data (p<0.05) were analyzed further to calculate the gene expression levels. The gene expression data have been deposited to the GEO database (Accession GSE62282).
Systems Biology Analysis- To determine the affected cellular regulatory and signaling pathways, the individual genes, the expression of which differed at least 2-fold between the respective samples, were analyzed using Ingenuity Pathway Analyses (IPA) (Qiagen) and NextBio software (NextBio). The heatmap charts were generated using GenePattern software (Broad Institute, Cambridge, MA).
RT-PCR- Real-time RT-PCR was conducted using a Mx4000™ Multiplex Quantitative PCR System (Agilent Technologies) in 25 µl reactions containing Taqman Universal PCR Master Mix (Ambion),
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cDNA (50 ng), specific forward and reverse primers (900 nM each) and probes (200-300 nM). Primers and probes for Il6 and Il1β were from Roche (cat. #04686934001 and #04689011001) and for Timp1 they were from Applied Biosystems (cat. #Rn01430873_g1). Primers and probes for Mmp9, Tnfα and Gapdh were designed as previously described (35,36) and synthesized by Biosearch Technologies. Relative mRNA levels were quantified using the 2(-Delta Delta C(T)) method (37). Normalization to Gapdh and fold-change calculation were performed using MxPro software (Agilent Technologies).
Neuropathology- Nerve segments (3 animals per group) were isolated and post-fixed for 48 h at 4°C with 2.5% glutaraldehyde in 0.1 M phosphate buffer, pH 7.4. Specimens were washed with the phosphate buffer, post-fixed with 1% osmic acid (Ted Pella), dehydrated in graded (30-100%) Ethyl Alcohol and Propylene Oxide, and embedded in Araldite Resin (Alaldite 502 (cat. #18060), Eponate 12 Resin (cat. # 18005), dodecenyl succinic anhydride (cat. # 18022) and DMP-30 (cat. # 18042) (all obtained from Ted Pella). One µm thick sections were cut using a diamond knife in an automated RM2065 microtome (Leica Microsystems) and then stained using methylene blue/azure II solution, as described (35).
Immunohistochemistry- Three animals per group were perfused with 4% paraformaldehyde. Nerve segments were isolated, post-fixed in 4% paraformaldehyde, cryoprotected in graded sucrose solution and embedded in O.C.T. compound (Tissue-Tek) on dry ice (36). Sections (10 µm thick) were blocked for 16 h at 4°C in PBS containing 5% normal goat serum (Vector Labs) and 0.25% Triton X-100. Sections were incubated for 16 h at 4°C with respective primary antibodies, washed in PBS followed by incubation with the corresponding secondary Alexa Fluor 488 or Alexa Fluor 594 antibody conjugates (Invitrogen). Slides were mounted in SlowFade Gold Antifade media with DAPI (Life Technologies). Alternatively, sections were incubated with the respective biotin-conjugated secondary antibody and stained using Vectastain Elite ABC System and 3’-3-diaminobenzidine substrate (Vector Labs) and Methyl Green (Vector Labs) counterstain. Images were acquired using a DMR microscope (Leica Microsystems) and processed using Openlab 4 imaging software (Improvision).
Immunoblotting- Nerve segments (3 animals per group) were collected, snap-frozen in liquid nitrogen and then used for protein extraction. Nerve segments were homogenized in 50 mM Tris-HCl, pH 7.4, containing 1% Triton X-100, 150 mM NaCl, 10% glycerol, 0.1% SDS, 5 mM EDTA, 1 mM phenylmethylsulphonyl fluoride, aprotinin and leupeptin (1 µg/ml each). Protein concentration was determined using bicinchoninic acid assay (Pierce). Proteins (50 µg) were separated using SDS-gel electrophoresis in 15% acrylamide gels (Bio-Rad) and transferred onto a nitrocellulose membrane using iBlot (Invitrogen). The membranes were blocked for 16 h at 4°C in 5% non-fat milk in TBS and incubated with the primary antibodies diluted with 5% BSA in TBS. Membranes were washed in TBS containing 0.1% Tween and incubated for 1 h at ambient temperature with respective HRP-conjugated secondary antibody (Cell Signaling Technologies) and Enhanced Chemiluminescence system (GE Healthcare). For a loading control, the membranes were re-probed for β-actin. The membranes were scanned and digitized.
Statistical Analyses- Statistical analyses were performed using a two-tailed, unpaired Student’s t-test and, when variances were unequal, by an unpaired t-test with Welch’s correction using either KaleidaGraph 4.03 (Synergy Software) or SPSS 16.0 (SPSS) software. Analyses of variance (ANOVA) for repeated measures were employed for comparing three or more groups, followed by Tukey-Kramer post-hoc test. The p-values below 0.05 were considered significant.
RESULTS
Early Post-Injury Response Genes in the Proximal and Distal Nerve Stumps- The early endoneurial changes in axotomized peripheral nerve are believed to predispose the regenerating axons for their long-term staggered growth (3,4,6). To identify genes the expression of which was affected by axotomy in the sciatic nerve, we performed comparative genome-wide transcriptional profiling of the rat sciatic nerve proximal (P, regenerating) and distal (D, degenerating) axotomized segments, and a contralateral normal (N) nerve as a control at day 1 post-transection. Over 3,831 individual affected genes (1,816 upregulated and 2,015 downregulated) in the P segment and over 4,540 individual genes (2,165 upregulated and 2,375 downregulated) in the D
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segment were identified relative to normal nerve. Heatmap of the 50 most affected up- and down-regulated genes in the P and D segments is shown in Fig. 1. In agreement with the earlier observations, the documented cell populations in sciatic nerve at day 1 post-injury included Schwann cells (~80% of the total cell count), fibroblasts, resident macrophages, mast cells, endothelial cells and infiltrating neutrophils (15,16,38).
In general, the early injury-induced transcriptional changes demonstrated a level of similarity in the P and D stumps. Thus, in both stumps we recorded the upregulation of the genes that are directly involved in the immune response (Fig. 1A), including interleukin (Il6), chemokine (C-X-C motif) ligand 3 (Cxcl3), chemokine (C-C motif) ligand 20 (Ccl20) and pentraxin-related protein Ptx3. Intriguingly, calcium-binding proteins S100a8 and S100a9 genes were highly upregulated in both the P and D stumps.
Further in-detail analyses of the data demonstrated a significant similarity in the immunomodulatory gene expression patterns between in the P and D stumps, albeit the expression levels of the certain genes were distinct (Fig. 2 and 3). Thus, the expression of Il6, Cxcl3 and Ccl20 was enhanced 390-fold, 300-fold and 160-fold in the P samples, respectively, and 105-fold, 50-fold and 88-fold in the D stumps, respectively (Fig. 2). Similarly, the expression of S100a8, S100a9 and Mmp9 (a typical pro-inflammatory MMP type) was enhanced 237-fold, 90-fold and 55-fold in the P stumps, and 161-fold, 73-fold and 24-fold in the D stumps, respectively (Fig. 2, 3A). On the other hand, the enhanced expression of toll-like receptors (TLRs), TNF superfamily, antibody-binding Fc receptor Fcgr1-3 genes and RT1 genes encoding the major histocompatibility complex (MHC) cell surface proteins in rats (Fig. 2), tissue inhibitor of metalloproteinase-1 (Timp1), Mmp12 (macrophage metalloelastase) and many ion channels was roughly similar in the P and D stumps (Fig. 3A,B). Using real-time RT-PCR, the induction of Il6, Il1β, Tnfα, Timp1 and Mmp9 was confirmed in the injured nerve segments (Fig. 3C). Taken together, these results indicate that nerve axotomy induced an early and robust transcriptional activity related to immune response genes in both the P and D segments.
To discriminate transcriptional changes in the P and D segments, we excluded the genes with the similar expression pattern changes in both segments
and then identified the genes that were significantly and selectively up-regulated in the single respective segment (Fig. 4A,B). Subsequent bioinformatics analysis revealed the specific pathways that were selectively affected in the P versus D samples. Specifically, multiple signaling pathways, including myosin, calcium, integrin-linked kinase (ILK), and gluconeogenesis/glycolysis signaling were selectively upregulated in the P stumps (Fig. 4C). The most dramatic difference was observed in the myosin cytoskeleton-related genes, which were 50-100-fold upregulated in the regenerating P segments and only several-fold enhanced in the D segment (Fig. 4D). In contrast, the signaling pathways that are largely focused on cell death, including, apoptosis, the tumor necrosis factor receptor 1 (TNFR1) signaling, natural killer cell and death receptor signaling, were selectively stimulated in the D stumps (Fig. 4C). Thus, transcriptional activation of the TNF-α signaling network in the degenerating segment was due to the selective upregulation of multiple pro-apoptotic genes, including MADD, FADD, BID and caspases (Fig. 4E).
Likewise, there was a bias in the P segment versus the D segment related to the affected protein types. The injury predominantly affected the genes coding for enzymes and ion channels in the P stumps, while the transmembrane G-coupled receptors were selectively up-regulated in the D segments (Fig. 4F). Overall, these findings support and extend the observations by others, focused mainly on either the individual P or D changes or on the later time points post-axotomy (25-33).
Schwann Cell S100A9 Expression and Differential Activation of Kinase Pathways in Nerve Post-Injury- Next, we assessed the levels and the source for S100A8/A9 protein in the injured nerve. The S100 protein levels in the normal nerve were low and increased dramatically at day 1 post-axotomy in both the P and D segments shown exemplarily for S100A9 (Fig. 5A).
Rapid gene induction post-injury is normally followed by the activation of the signaling kinase pathways. Specifically, ERK, JNK and PI3K regulate a wide variety functions relating to Schwann and immune cell functions in nerve post-injury (39-43) and S100A8/A9-induced cell signaling (18-21,44,45). In agreement with these earlier data, significant activation of pERK1/2 was observed in the P and D stumps at day 1 post-transection as compared with the
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N nerve (Fig. 5A). The main phosphorylated isoform in both the P and D samples was pPI3K 85 kDa, while the PI3K 110 kDa isoform was the dominant species in the total PI3K pool. In turn, pJNK1/2 was activated in the P stumps at day 1 post-transection, compared with the N nerve. There was no similar increase in pJNK in the D stump samples. The S100A9 protein predominantly localized to crescent-shaped Schwann cells of both the P and D segments (for simplicity, only D is shown), as confirmed by co-localization of S100A9 with a phenotypic Schwann cell marker, S100B (Fig. 5B,C). In addition, the insignificant S100A9 immunoreactivity was occasionally observed in non-S100B-reactive vessel endothelial and other endoneurial cells of axotomized nerves (Fig. 5C).
S100A8/A9 Stimulates Cultured Schwann Cells- Calprotectin (S100A8/A9) induces immune cell chemotaxis (18,46) and cytokine expression (21). Because S100a8 and S100a9 were among the top-induced genes in both the P and D segments, we hypothesized that the S100A8/A9 heterodimer was implicated in the initial positive chemotactic gradient in the denervated Schwann cells.
To test this hypothesis, we performed genome-wide transcriptional profiling of cultured Schwann cells co-incubated for 1 h and 24 h with the purified S100A8/A9 protein complex. As a result of a short-term, 1 h, co-incubation with S100A8/A9, a number of the genes, especially chemokine genes, including Ccl7, Ccl2 and Cxcl2, were multi-fold upregulated in Schwann cells. Our further IPA analysis suggested that S100A8/A9 affected multiple cell adhesion and movement, chemotaxis and signaling pathways in Schwann cells (Fig. 6A, C). In sharp contrast, only a few genes were up-regulated in Schwann cells after long-term, 24 h co-incubation with S100A8/A9 (Fig. 6B, D). S100A8/A9 did not significantly regulate the expression of many other inflammatory genes of the IL, TNF, MMP, TLR and S100 families in Schwann cells in either sample (Fig. 6A-D). Taken together, these results indicated that the affected pathways were largely dissimilar in the 1 h versus 24 h cell samples and the most significant effect of S100A8/A9 takes place in Schwann cells shortly after their stimulation with S100A8/A9.
Similarity of the Inflammatory Gene Network in Injured Nerve and S100A8/A9-Treated Schwann Cells- We next determined if the individual genes
upregulated in Schwann cells treated with S100A8/A9 for 1 h were similar to those affected in the P and D segments of the axotomized sciatic nerve (Fig. 7A). The follow-on IPA analysis pointed to these similarly affected biological functions, diseases and canonical pathways (Fig. 7B,C), which were characteristic for stimulating chemotaxis, adhesion and motility of immune cells, including neutrophils and phagocytes. Furthermore, in Schwann cells treated with S100A8/A9, adhesion of immune cells was directly related to upregulation of chemokine (Ccl2, Ccl7, Cxcl2), calcitonin CALCA, Fas, Il33 and urokinase-type plasminogen activator PLAU genes, and downregulation of a protease inhibitor and cytokine transporter A2m (alpha-2-macroglobulin) (Fig. 7D).
The role of the agranulocyte/granulocyte activation and adhesion pathways in injured nerve was recapitulated by S100A8/A9 stimulation of the cultured Schwann cells and confirmed by our additional bioinformatics analysis of the transcriptional profiling data. Thus, transcriptional activity of multiple genes, including P-, E- and L-selectins and Lfa1, was enhanced in both the P segment and in stimulated Schwann cells (Fig. 8).
Intriguingly, some key pro-inflammatory factors in the axotomized nerve, including Il1β, Tnfα, Mmp9 and Mmp12, were not similarly induced in the isolated Schwann cells stimulated with S100A8/A9 (Fig. 8A,C). These data imply the presence of the immune mechanisms in the injured nerve that are not fully recapitulated in the purified Schwann cell cultures or are independent of the S100A8/A9 activity. Conversely, multiple other biological functions and canonical pathways supporting myeloid, phagocyte and leukocyte cell movement, adhesion and chemotaxis, were induced in the P and D nerve segments in a similar way relative to the S100A8/A9-stimulated Schwann cells (Fig. 9A).
S100A8/A9 Stimulates Immune Cell Recruitment into the Nerves- Extravasation of myeloid cells into the nerve, specifically of hematogenous CD68+ macrophages, is a critical event of Wallerian degeneration between days 2 and 14 post-injury (12,15-17). Thus, we tested the IPA analyses prediction for the myeloid cell migration after S100A8/A9 stimulation (Fig. 9A), using direct intraneural injection of the purified S100A8/A9 heterodimer into the intact nerve, followed by
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ultrastructural and immunohistochemical CD68 analyses of the injection site at day 7 post-injection (Fig. 9B). The nerves exposed to S100A8/A9 displayed areas of endoneurial edema with clusters of infiltrating immune cells, including phagocytes (Fig. 9B). In contrast, the nerve bundles injected with control PBS maintained normal morphology, displaying uncompromised axons, surrounded by a compact rim of myelin sheath. The significant increase in the macrophage numbers after S100A8/A9 injection was confirmed using antibody to CD68 (Fig. 9B). These data confirmed the key role of S100A8/A9 in creating a functional chemotactic gradient that guides myeloid cell migration into peripheral nerve.
DISCUSSION
Peripheral nerve injury that involves complete transection/axotomy of the nerve trunk can be broadly characterized as a clearance Wallerian degeneration process within the distal (D) stump, and the regeneration of the surviving axons in the proximal (P) stump, which remain connected to the neuronal cell body in the ganglia. Although both the degenerative and regenerative processes generally begin immediately after most types of nerve injury, axotomy entails a prolonged lag period in the regenerative process and staggered neurite growth (for up to 4 weeks in rats) (3,4,6). Overall, the present data confirm and extend the findings by us and others of the early transcriptional response to peripheral nerve injury, characterized by disintegration of the axonal cytoskeleton, immune response and cell death unfolding in the D segment (26,29,31,32) and cell proliferation, migration, axon guidance, regeneration in the P segment proximal to nerve injury (33,47). Our results offer an additional comparative insight into the specific rapid cell responses and activation of gene families and pathways, which are favorable for chemotaxis, adhesion and extravasation of myeloid cells in the D and P segments within the first day of peripheral nerve axotomy.
Multiple immune response genes from the chemokine, IL, TNF, TLR, S100 and MMP families were induced in both the P and D stumps. These data indicate that the molecular programs facilitating the acute inflammatory or degenerative changes exist in both the D and P segments. Indeed, calpain-dependent acute axonal degeneration of the proximal axons occurs in the spinal cord within minutes to hours after injury (48). Likewise, an increase in the immediate-
early immune response genes (e.g., Mmp9, Ccl20, Cxcl2 and Il6) and the calcium, agranulocyte and granulocyte signaling pathways was observed in the P segment within day 1 post-axotomy in our present study and also by us and others earlier (33,47).
Schwann cells remain the main cell population in peripheral nerve at 1 day post-injury. Accordingly, the predominant changes described here mainly represent features of the injury-induced Schwann cell activation and trans-differentiation into the Büngner cell. In addition, resident reactive fibroblasts may regulate genes involved to the epineurial scarring, as endothelial cells of the nerve vasculature, and a small population of the resident macrophages and mast cells may contribute, albeit insignificantly, to the transcriptional profiles in nerve at day 1 post-injury.
Infiltrating cell populations in nerve within day 1 post-injury include neutrophils and patrolling lymphocytes (15,17,38,49). Consistently, activation of granulocyte and agranulocyte signaling is recorded at day 1 post-axotomy. Hematogenous macrophages generally infiltrate the D or P segments after day 2 post-injury (2) in order to complete the debris clearance processes (22,23).
Herein, we identified S100a8 and S100a9 among the top induced genes in peripheral nerve post-injury, and by employing the purified S100A8/A9 heterodimer (calprotectin) established its important role in stimulating the chemokine-cytokine network and the initial chemotactic gradient in Schwann cells. This gradient attracts the hematogenous immune cells to the nerve injury site. In addition, this gradient may control migration of resident cells, including Schwann cells. Schwann cells migrate from both the P and D stumps into the nerve gap resulting from transection (2). Specifically, stimulation of cultured Schwann cells with S100A8/A9 recapitulated a significant portion of the pro-inflammatory gene network activation we observed in the axotomized nerve, including chemokine (Ccl7, Ccl2, Cxcl2), inflammatory cytokine (Il1r1, Il33) and MMPs (Mmp3, Mmp7, Mmp13), and agranulocyte- and granulocyte activation signaling pathways.
S100A8/A9, also known as myeloid-related proteins MRP8/14, initiated myeloid (CD68+ macrophage) migration into the intact nerve. Schwann cells were the main cell source for S100A9 at day 1 post-axotomy. Future studies will need to decipher the S100A8 and S100A9 source and roles in the
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orchestration of complex immune cell migration patterns and functions in the course of Wallerian degeneration (15,17,38,49).
The S100A8 and S100A9 homodimers replicate, and in some circumstances exceed, activities of the S100a8/A9 heterodimer. The present study does not rule out the possibility that some effects observed here relate to homodimers formation in the heterodimer preparations or homodimers formation in the injured nerve, expressing high levels of both S100a8 and S100a9 transcripts. Future investigation is required to distinguish between the effects of hetero and homodimers in modulating the inflammatory program in peripheral nerve injury and repair.
S100A8/A9 are endogenous ligands of TLR4 (44) and RAGE (45) both of which are expressed in Schwann cells (50,51). The S100B protein, a phenotypic marker of Schwann cells, is distinct structurally and functionally from S100A8/A9. Interestingly, S100A8/A9 stimulated other immune response genes in Schwann cells, including Itga4 gene, coding for integrin alpha 4, which forms the VLA4/α4β1 lymphocyte/monocyte homing receptor. S100A8/A9 also induced the axonal guidance signaling pathway, Htr4 gene encoding G-protein-coupled serotonin 5-HT4 receptor and the inhibition of the MMP pathway in Schwann cells.
S100A8/A9 stimulation was, however, ineffective in regulating the Schwann cell expression of the top-
induced inflammatory genes expressed in nerve shortly after axotomy, including Il6, Il1β, Tnfα, Timp1 and Mmp9. These data corroborate the presence of the S100A8/A9-independent immune activation mechanisms in injured nerve in vivo. In addition, S100A8/A9 stimulation did not activate lymphocyte migration signaling, a late-response immune activation event in the damaged nerve (38). We conclude that S100A8/A9 may initiate the acute-phase response signaling and chemotactic gradient preceeding the major inflammatory response in the damaged nerve.
Worth noting are the differences in transcriptional programs observed between the murine and rat nerve injury models. Thus, Timp1 was among the top 10 up-regulated genes in the axotomized murine nerves (25). In turn, due to the high pre-existing expression of the Timp1 in normal rat sciatic nerve, only a 2-fold induction of Timp1 was recorded post-axotomy, suggesting the presence of the species-specific mechanisms of transcriptional regulation.
In sum, we determined that S100A8/A9 are potent initiators of the immune response in the stimulated Schwann cells of the injured peripheral nerve. Upregulation of S100A8/A9 in Schwann cells shortly post-injury contributes to the activation of the chemokine-cytokine network and the initial chemotactic gradient that guides the hematogenous immune cells towards the injury site.
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FIGURE LEGENDS
FIGURE 1. A-D, heatmaps of the genome-wide transcriptional profiling data of the axotomized (day 1) rat sciatic nerve. Red and blue correspond to the high and the low expression levels, respectively. Color map inset shows the signal intensity scale. Top 50 up-regulated (A-B) and 50 down-regulated (C-D) genes in the proximal and distal segments are shown. Only the statistically significant data (p<0.05) were used in our analysis. P, D and N are proximal, distal and normal contralateral nerve samples, respectively. S100a8 and S100a9 genes are highlighted with asterisks.
FIGURE 2. Immunomodulatory gene families affected in the proximal and distal segments at day 1 post-axotomy. Chemokine, S100, TLR, TNF, interleukin, Fc receptor and MHC families are shown. Fold-change values were calculated relative to the normal nerve using the normalized intensity values (p<0.05). Red and blue correspond to up- and downregulated genes, respectively. Heatmaps for the affected genes (p<0.05) are shown. The genes with changes over 2-fold (5-fold for chemokines and interleukins) in n=3/group were included in the analysis. Color map inset shows the signal intensity scale. P, D and N are proximal, distal and normal nerve samples, respectively.
FIGURE 3. A-C, specific gene families affected in the proximal and distal segments at day 1. MMP and TIMP (A), ion channel (B) gene families are shown. Fold-change values were calculated relative to the normal nerve using the normalized intensity values (p<0.05). The ion channel genes with fold-change over 3 are displayed. Red and blue correspond to up- and downregulated genes, respectively. Heatmaps of the affected genes (p<0.05) are shown. Color map inset shows the signal intensity scale. P, D and N are proximal, distal and normal nerve samples, respectively. C, real-time RT-PCR of Il6, Il1β, Tnfα, Timp1 and Mmp9 genes in rat sciatic nerves at day 1 post-axotomy in the D sample. The mean relative mRNA levels of n=4/group were normalized to Gapdh. Solid bars indicate fold-change relative to the normal nerve samples (*p<0.05, **p<0.01). Standard errors are indicated.
FIGURE 4. A-D, top 25 up-regulated genes that are selectively upregulated at day 1 post-axotomy in the proximal (A) or distal (B) nerve segments. Horizontal axis represents the signal intensity ratio (log2). C, canonical pathway analysis (IPA) of the differentially expressed genes in the P (orange) and D (blue) nerve segments. Up-regulated myosin (D) and pro-apoptotic (E) gene families affected in the proximal and distal segments at day 1. Fold-change values were calculated relative to the normal nerve using the normalized intensity values (p<0.05). Red and blue correspond to up- and downregulated genes, respectively. Heatmaps of the affected genes (p<0.05) are shown. Color map inset shows the signal intensity scale. P, D and N are proximal, distal and normal nerve samples, respectively. F, protein types up-regulated in the P (orange) and D (blue) nerve segments. The genes with fold-change over 3 were included in this analysis. The p values were
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calculated using the right-tailed Fisher exact test. P, D and N are proximal, distal and normal nerve samples, respectively.
FIGURE 5. A-C, S100A9 and activation of ERK, JNK and PI3K kinases. A, immunoblotting for S100A9, β-actin, phosphorylated and total ERK, PI3K, and JNK in the proximal and distal sciatic nerve segments at day 1 post-axotomy. Normal samples represent contralateral nerve control. The data from n=2/group are shown. P, D and N are proximal, distal and normal contralateral nerve samples, respectively. B, immunostaining of S100A9 (2’2-diaminobenzidine, brown) in the distal stump at day 1 post-axotomy. Schwann cells are indicated by arrows. Inset in the upper left corner shows a single Schwann cell. Scale bar correspond to 25 µm. C, immunostaining of S100B (green) and S100A9 (red) in the injured nerve. S100B/S100A9-positive Schwann cells are shown with asterisks. S100A9-positive, S100B-negative non-Schwann cells and vessel cells are shown with arrows and V, respectively. Nuclei were stained with DAPI (blue). Scale bars correspond to 15 µm.
FIGURE 6. A-D, top up- and downregulated genes in cultured Schwann cells stimulated with S100A8/A9 for 1 h (A) and 24 h (B). Fold-change values were calculated relative to the intact Schwann cell control (p<0.05). Red and blue, up- and downregulated genes, respectively. C-D, canonical pathway analysis (IPA) of the differentially expressed genes in Schwann cells following a 1 h (C) and 24 h (D) stimulation with S100A8/A9. The p values (green bars) were calculated using the right-tailed Fisher exact test.
FIGURE 7. A-D, up-regulated gene network overlap in S100A8/A9-stimulated cultured Schwann cells and injured nerve. A, up-regulated genes in Schwann cells after a 1 h stimulation with S100A8/A9 relative to the intact cell control and in the proximal (P/N) and distal (D/N) nerve segments relative to the normal nerve control. Bars correspond to fold change (log2) of normalized signal intensity (p<0.05). B, biological function and disease analysis (IPA) of the genes in panel A. C, canonical pathway analysis (IPA) of the genes in panel A. Green bars, p values, which were calculated using the right tailed Fisher exact test. D, Activation of the immune cell adhesion network following a 1 h stimulation of Schwann cells with S100A8/A9. Red and green correspond to up- and downregulated genes, respectively. Arrows indicate stimulation. P, D and N are proximal, distal and normal nerve samples, respectively.
FIGURE 8. A-C, agranulocyte/granulocyte activation and adhesion pathways in S100A8/A9-stimulated Schwann cells and the injured nerve. A, chemokine, claudin, integrin, interleukin, Mmp, myosine and other genes regulated in both proximal/distal nerve segments and in cultured Schwann cells after 1 h and 24 h stimulation with S100A8/A9. Signal intensity scale is shown. B, agranulocyte activation pathway indicates upregulated (red) and downregulated (green) genes observed in the proximal nerve segment. C, regulation of agranulocyte-specific genes in the injured nerve compared to cultured Schwann cells after 1 h and 24 h stimulation with S100A8/A9. P/N, fold-change (log2) of signal intensity in proximal nerve segment relative to the normal nerve (p<0.05). Red and blue correspond to up- and downregulated genes, respectively. Heatmap of the affected genes (p<0.05) in post-injury nerve segments and in cultured Schwann cells after 1 h and 24 h stimulation with S100A8/A9. P, D and N are proximal, distal and normal nerve samples, respectively.
FIGURE 9. A-C, S100A8/A9 stimulates macrophage migration into the nerve. A-B, IPA biological functions (A) and canonical pathways (B) in injured nerve and Schwann cells stimulated for 1 h and 24 h with S100A8/A9. Color intensity map inset shows the IPA prediction confidence Z-scores (biological functions) and -log(P) values (canonical pathways). The p values were calculated using the right-tailed Fisher exact test. P, D and N are proximal, distal and normal nerve samples, respectively. C, ultrastructure and immunostaining analyses of the naïve nerve after injection of S100A8/A9. Top left panel, methylene blue/azure II staining in 1-µm-thick sciatic nerve sections of S100A8/A9-injected nerves display the areas of endoneurial edema with infiltrating phagocytes (arrows). Top right panel, uncompromised axons surrounded by a compact rim of myelin sheath in the control nerve. Bottom panels, CD68 immunostaining of macrophages (green) in S100A8/A9-injected and control 10-µm-thick nerve sections. Scale bars correspond to 25 µm.
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Figure 1
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Signal intensity scale, log2
P D N DP N DP NP D N
P D N DP N DP NP D N
A ProximalU
p-re
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Up-
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d ge
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C DUmodl1Olr1541Foxb1Olr1765Cyp2e1Olr205Gria2Rgd1565502Rgd1562011Zfp280bRgd1307461Rnase1Loc683422Slc35d3Shank1Rnase1l2Loc690352Best1Skint4Aldh1a7Atp2b4Loc689570Hoxa1Mast3Mrgprg
Rgd1311080Bin2aKcnip4Slc15a2Pck1Lrrn1Rgd1561551Rgd1564894Rgd1563815Rgd1311501Loc680226Rgd1565629Olr179Tex15Gpr1Gh1Loc64038Ube2ql1Rnf148Rgd1563975Ctsql2Adhfe1Sval1Ly6hRgd1307595
Umodl1Rgd1307461Olr1541Foxb1Loc683422Olr205Hsd3b5Loc500567Zfp280bRgd1562011Cyp2e1Rgd1563815Rgd1565502Gria2Rgd1563975Tex15Slc35d3Shank1Loc681453Loc680226MrgprgSkint4Rnf148Stk32bOprk1
Hoxa1Rgd1565629Loc691259Loc689570Loc680613Loc690352Olr1765Ly6hLrrn1Loc683891Loc500702Dleu7Ube2ql1Rgd1564894Atp2b4Olr179Vom1r8Kcnh8Cyp26b1DdnRgd1307595Ctsql2Aox4Cytl1Olr1486
Il6Ucn2Cxcl3S100a8TrhCcl20Reg3gPtx3Rgd1564937Myh4S100a9Myl1NppbMylpfCxcl2Mybpc2Olr1Clec4dMyf6Fosl1Stfa2l2MyotMyh8Kng1Es1
Art1Mmp9SiglechPram1Ampd1Clca4lTnnc2Wfdc15bGrxcr1Serpinb10Cox6a2Cdc6Kng1l1Clec4a2TrdnTtnHist2h3cAtp2a1Kbtbd10PbkDio3Slco4a1Ube2tIl1rnVgf
Ucn2S100a8Ptx3SiglechReg3gIl6Fosl1Ccl20Serpinb10PbkS100a9Clec4dSlco4a1Clec4a2Ube2tHist2h3cSpibMs4a12Cxcl3Stfa2l2Rrm2Cdc6Ska1Pram1Wfdc15b
Asf1bLilrb4Clca4lKng1Ccna2Mlf1ipHist1h1aIl1rl1Mybl2Gtsf1Hk3NppbFam111aLctlKng1l1MelkMpeg1Olr1Vom1r15TrhNs5atp9Hs3st3a1Gdf3TtkCol7a1
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P/N
D/N
Chemokines P D NCxcl3Ccl20Cxcl2Cxcl1Ccl2Ccl7Cxcl6Cxcl14Ccl3Ccl12
100 200 300
296.0163.179.131.921.914.012.87.05.75.1
100
51.087.716.814.217.911.94.15.38.9
10.2
Interleukins P D NIl6Il1rnIl1r2Il1rl1Il8rbIl1bIl1f8Il21rIl1r1Il10
391.536.228.928.218.413.511.29.87.66.1
100 300
104.722.98.7
38.010.99.3
12.316.06.0
12.040 120
P/N
D/N
P/N
TNFs P D N
D/N
Tnfsf9Tnfrsf12aTnfaip6Tnfrsf10bTnfrsf18Tnfrsf1bTnfrsf14Tnfsf14TnfTnfaip8l2Tnfsf15Tnfsf10
-5 5 5
7.96.74.14.54.84.85.33.94.14.1
9.07.75.85.45.13.93.73.02.62.5
-5.2-4.5
-4.8-4.9
-5
P/N
TLRs P D N
D/N
5 5
Tlr2Tlr10Tlr6Tlr7Tlr12Tlr8Tlr4
7.76.05.82.82.22.11.5
7.68.07.95.32.82.92.5
P/N
P D N
D/N
Fc receptors
10 20 10
24.35.05.05.04.13.02.6
12.06.18.87.14.96.04.2
FcarFcgr1aFcgr3aFcgr2bFcgr2aFcrlaFcer1g
P D N
P/N
S100 genes
D/N
-5 100 100
236.990.4-2.4-2.4-3.1-3.1-3.3-3.7
-5
161.072.9-2.6-2.0-4.3-4.0-7.0-3.1
S100a8S100a9S100a1S100zS100bS100bS100a3S100a7a
P D N
D/N
MHC
2-2
RT1-N3RT1-DMbRT1-DMaRT1-BaRT1-N1RT1-HaRT1-CE6RT1-M2RT1-M6-1
2.72.12.31.82.52.12.1
-2.1-5.3
P/N
2-2
2.22.12.12.11.91.81.7
-1.7-2.4
fold changefold change
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TIMPs P D N
D/N
Timp1Timp2Timp3Timp4
-3 3 6 -3 3
5.4 4.8-1.9-1.8-3.6
-1.8-2.7-3.7
P/N
D/N
MMPs P D NMmp9Mmp12Mmp3Mmp7Mmp13Mmp8Mmp10Mmp17Mmp19Mmp2Mmp20Mmp16Mmp1aMmp1bMmp25Mmp15Mmp21Mmp28Mmp14Mmp24Mmp11Mmp23Mmp27
-10 20 40 60
55.433.025.48.66.04.72.82.82.2
-1.0-1.0-1.1-1.1-1.2-1.2-1.3-1.3-1.4-1.6-1.8-2.6-2.8-4.3
-10 10 20
24.325.812.511.62.63.5
-1.42.82.5
-1.4-1.0-1.5-1.2-1.11.4
-2.1-1.2-1.5-1.7-1.7-3.4-3.1-5.8
C
0
20
40
60
80
100**
**
** *R
elat
ive
mR
NA
in d
ista
l ner
ve
day 1 post-injuryN Il6 Il1β Tnfα Timp1 Mmp9
B Ion channels
P/N
D/N
P D NClca4lCacng1Kcnn4Kcnj16Kcnn4Scn3bCacna1sScn4bCacng6Cacng1Kcnk10Kcna3Kcnh1Clcn3Kcnb1Kcnk16Clcn2Kcna5Kcnk1Cacna1hCacnb3Kcna2Scn2a1Clcn4-2Kcnk16Scn7aScn9aKcnv1Cacnb4Kcne2Scn7aKcnj13Kcnh2Cacnb4Kcnh8Kcnip4
20-20 40
51.39.58.27.76.25.85.75.55.04.64.23.93.3
-3.1-3.1-3.3-3.3-3.5-3.6-3.7-3.7-3.8-3.8-3.9-4.0-4.1-4.3-4.4-4.4-4.4-4.9-5.3-5.8-6.2-6.5-19.4
20-20 40
40.81.67.6
11.55.31.8
-1.0-1.05.11.01.32.51.9
-4.6-2.7-5.0-4.9-4.9-6.0-2.0-4.8-5.1-4.0-4.2-5.7-7.0-7.4-2.7-3.5-3.8-8.7-7.8-4.9-5.2-16.2-7.5
fold change
fold change
fold change
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Figure 4
1 5 10 15
Signal intensity scale, log2
D/ND
D
P/NP
P
A B C
D
E
F
2
5
Cal
cium
Sig
nalin
gA
gran
uloc
yte
Adh
esio
n an
d D
iape
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sG
lyco
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s I
Glu
cone
ogen
esis
IIL
K S
igna
ling
Epith
elia
l Adh
eren
s Ju
nctio
n Si
gnal
ing
His
tidin
e D
egra
datio
n VI
IL-6
Sig
nalin
gA
ctin
Cyt
oske
leto
n Si
gnal
ing
Rol
e of
IL-1
7A in
Art
hriti
s
2
5
TNFR
1 Si
gnal
ing
Tum
oric
idal
Fun
ctio
n of
Nat
ural
Kill
er C
ells
T Ly
mph
ocyt
e-m
edia
ted
Apo
ptos
is o
f Tar
get C
ells
Ret
inoi
c ac
id M
edia
ted
Apo
ptos
is S
igna
ling
TWEA
K S
igna
ling
Gra
nzym
e B
Sig
nalin
gN
atur
al K
iller
Cel
l Sig
nalin
gD
eath
Rec
epto
r Sig
nalin
gSp
hing
osin
e-1-
phos
phat
e Si
gnal
ing
PI3K
Sig
nalin
g in
B L
ymph
ocyt
es
3 5 7
C11orf1Myf6MyotArt1Trdn
Loc100361099Ajap1
Trim54Art5
Stac3Gimd1
AregAnkrd2
Sypl2Pdlim3Trim72
Xirp2Myoz1Ckmt2Cmya5
Loc691670Fbp2Myh2
HalCxcl6
fold change, Log2 fold change, Log2
-Log
(P)
2 4
Vom1r10Cenpw
Rgd2301395HellsLrr1
Olr991Tas2r39Kcnj16Ckap2l
Jakmip1Foxm1
AgxtNcapgBaiap3
Kiaa1524Primpol
Dna2Ly49i2Daw1MndaEme1Kctd4CenpeUhrf1
Igfbp2
20Number of up-regulated genes0 10
enzymeion channel
phosphatasecytokine
peptidasetransporter
growth factortranscription regulator
kinaseG-protein coupled receptor
transmembrane receptorP/N
Pro-apoptotic P D N
2 4
D/N
2 4 6
6.72.42.32.22.22.3
4.31.91.81.81.91.9
BidMaddTraddFaddCasp9Casp8
fold change
P/N
Myosins P D NMyh4Myl1MylpfMybpc2Myh8Myh2Myl3Myh1Myo18b
20 60 100 10
5.84.66.93.24.90.61.40.64.7
109.188.882.173.859.713.212.211.59.6
D/N
fold change
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A B
C
Figure 5
N D P Schwann cells
S100B S100A9 merge/DAPI
kDa16S100A9
pERK
ERK
pPI3K
PI3K
pJNK
JNK
β-actin 40
44424442
11085
11085
5446
5446
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A B
C
D
1h
1h
24h
24h
Fold change
Fold change
-log(P)
Ccl7Ccl2Htr4
Casp1Cxcl2Calca
Adamts1Six1
Aldh1a1Ccnd1
Etv5Gjb2
EpcamFosl1Shc3Il1rl1Arl4c
Il33Akap12Rbfox1
Sgk1DdcEln
Olr1Pdgfc
Tnfaip8Gprc5a
Plk3Dyrk3Areg
Nr1h4Plau
Cntn6Robo2Myh8Ltbp1
Slc26a1Igf1
Bhlhe40Usp18Spry1MgmtMyh1
Ccne2Hells
FasGzmbCdh3Postn
5 15
18.714.911.27.66.26.14.74.43.83.83.53.53.23.12.92.92.72.72.72.62.62.62.52.52.52.52.42.42.32.32.32.32.32.32.22.22.22.22.22.22.12.12.12.12.12.12.12.12.0 -2
Entpd2H19Cxcl14Gfra3AlplAsmtTktl1Mmp17MagPer1Epb41l4bCdkn1cPrss12Ugt1a6BmfScube1Wisp2Atf3Gpr37l1Sema3bCox6a2Pik3ip1Itgb4C1sCpWt1AplnNgfrEnpp2Fblim1RxrgKlf15Atf2Bcl3Tyrp1TxnipNtrk3Efna1Plxnb3A2mHey2Acss1Cstf1Ddit4C1qbFxyd1ProdhSlc6a12
-10
-9.3-4.8-4.3-4.2-4.1-4.0-3.7-3.7-3.2-3.0-3.0-3.0-3.0-2.9-2.8-2.8-2.8-2.8-2.7-2.6-2.6-2.6-2.5-2.5-2.5-2.4-2.4-2.4-2.3-2.3-2.3-2.3-2.3-2.2-2.2-2.2-2.2-2.2-2.2-2.1-2.1-2.1-2.1-2.1-2.1-2.1-2.0-2.0
Up-
regu
late
d
Dow
n-re
gula
ted
-6 -4 -2 3
2.82.52.42.32.12.1
-6.2-2.7-2.6-2.6-2.3-2.2-2.2-2.0
PtprvpBchePtproMcf2lPtgesUnc5aAsmtKcnma1Cstf1Atf2ChdhSlc6a12Socs7Traf3ip1
2.0 4.0
3.83.33.33.03.02.12.01.81.71.61.51.51.41.41.41.41.41.3
Axonal Guidance SignalingAgranulocyte Adhesion and Diapedesis
LXR/RXR ActivationRole of IL-17F in Allergic InflammationGranulocyte Adhesion and Diapedesis
ILK SignalingTREM1 Signaling
VDR/RXR ActivationHistamine Biosynthesis
Coagulation SystemERK5 Signaling
Tryptophan DegradationProline Degradation
Neurotrophin/TRK SignalingAryl Hydrocarbon Receptor Signaling
Calcium SignalingEphrin Receptor Signaling
LPS/IL-1 Inhibition of RXR Function
2.0
2.272.061.931.871.801.781.761.691.621.601.541.521.501.481.391.361.33
Eicosanoid SignalingcAMP-mediated signaling
Choline Degradation IFGF Signaling
Circadian Rhythm SignalingG-Protein Coupled Receptor Signaling
Calcium SignalingProtein Kinase A Signaling
Role of IL-17F in Allergic InflammationGαs Signaling
Serotonin and Melatonin Biosynthesisp38 MAPK Signaling
P2Y Purigenic Receptor Signaling PathwayGαi Signaling
PhospholipasesPhospholipase C Signaling
ATM Signaling
Figure 6
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A B
C
D
P/N
Schwann cells stimulated with S100A8/A9
adhesion of immune cells
D/N1h
CCL2
CCL7
A2M
CALCA
CORO1A
CXCL2
FASIL33
PLAU
Figure 7
Ccl7Ccl2
Csf2rbCxcl2
Loc691670Rnase6
Adamts1Clec2aSpink2
MroGjb2
Clec9aArl4c
EpcamFosl1Arl4cIl1rl1Vcan
Clec2aPhlda1
Arl4cMyct1
Rbfox1Vcan
Nr4a3Olr1
Gprc5aPlk3
AregbStac2
PlauRab20Myh8
Sdcbp2Coro1a
Nrg1Bhlhe40
Pcdhgb5Vgf
Fcgr2aMyh1
Ccne2Hells
Tuba8Cpm
Isg15
fold change, Log2
0 1 2 3
0 1 2
2 24 4 8 2 4 8
3
4 5
shape change of blood cellscell movement of neutrophils
adhesion of neutrophilsproliferation of cells
formation of capillary vesselshape change of granulocytes
Rheumatic Diseasecell spreading of blood cells
chemotaxis of phagocytesInflammatory Disease
chemotaxis of neutrophilsocclusion of artery
arthritisphagocytosis of neutrophils
adhesion of immune cellsinvasion of epithelial cell lines
chemotaxis
Agranulocyte Adhesion and DiapedesisEpithelial Adherens Junction SignalingGranulocyte Adhesion and Diapedesis
TREM1 SignalingIL-10 Signaling
LXR/RXR ActivationGADD45 Signaling
-log(P)
-log(P)
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B
C
Proximal nerveINJURY
AP DN C
1h24h
|
che
mok
ines
|
|cla
udin
s |
| int
erle
ukin
s|
M
MPs
|
myo
sins
|
oth
ers
Cxcl1Ccl20Cxcl3Cxcl2Ccl2Cxcr2Ccl7Cxcl6Cxcl14Ccl3l1Cxcr4Ccl12Ccl19Cxcl10Cldn4Cldn1Cldn22Cldn24Itgb2Itgb7Itga4Il1rnIl1bIl36bIl1r1Il18Il1aMmp9Mmp12Mmp3Mmp7Mmp13Mmp27Myh4Myl1Myh8Myh2Myl3Myh1Acta1Actg2SellSelpSelplgSeleTnf
integrins
P-SelectinPSGL1
IL1RIL1
TNF TNF-RL-Selectin
E-Selectin
Chemokines
CD34
CXCR1/2 CXCR4 VLA5
CXCL2
ITGα5
G-αi
ITGβ1/2
LFA1
VLA4
Figure 8
endothelial or
Schwann cells
Activatedagranulocyte
Fold change, log2
PP/N DN C1h
24h
5.795.044.673.513.323.113.082.652.592.472.472.442.362.282.241.931.771.651.501.421.271.131.101.061.04
-3 -1 1 5
-1.10-1.37-1.39-1.45-1.49-2.00-2.10
Mmp9Mmp12Mmp3ItgalActa1Mmp7Actg2Pik3cgMmp13Cxcr4Ncf2Timp1Cldn4Itgb2Arhgap8SelplgNcf4Cd44Ncf1RhohItga4Mmp19Actc1Mapk10Itga5Jam3Mmp11Itga1Timp3Mmp23Timp4Mmp27
15
1015
Sign
al in
tens
ity s
cale
, log
2
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A
C ControlS100A8/A9
Bbiological functions
P D1h 24h
cell movement of myeloid cellscell movement of phagocytesadhesion of immune cellsinflammatory responsechemotaxis of myeloid cellschemotaxis of phagocytescell movement of leukocyteschemotaxis of leukocytescell movement of granulocytesleukocyte migrationproliferation of cellscell movement of neutrophilshoming of blood cellschemotaxis of cellscell movement of blood cellschemotaxisproliferation of tumor cell linesimmune response of phagocytesactivation of myeloid cellscell movement of leukocytes
canonical pathways
P D1h 24h
Agranulocyte Adhesion and DiapedesisGranulocyte Adhesion and DiapedesisLeukocyte Extravasation SignalingIL-10 SignalingAryl Hydrocarbon Receptor SignalingRole of IL-17A in PsoriasisTREM1 SignalingLXR/RXR ActivationInhibition of Matrix MetalloproteasesMSP-RON Signaling PathwayLPS/IL-1 Mediated Inhibition of RXR FunctionHepatic CholestasisRole of Macrophages in Rheumatoid ArthritisDendritic Cell MaturationdTMP De Novo BiosynthesisEndothelin-1 SignalingCell Cycle Control of Chromosomal ReplicationFcγ Receptor-mediated PhagocytosisEstrogen-mediated S-phase EntryRole of Hypercytokinemia
z-sc
ore
5.04.03.02.01.00.0
10.08.06.04.02.00.0
z-score -Log(P)
-Log
(P)
Figure 9
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Thomas Vogl, Svetlana Baranovskaya, Alex Y. Strongin and Veronica I. ShubayevAndrei V. Chernov, Jennifer Dolkas, Khang Hoang, Mila Angert, Geetha Srikrishna,
program in injured peripheral nerveCalcium-binding proteins S100A8 and S100A9 initiate the early inflammatory
published online March 19, 2015J. Biol. Chem.
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