Introduction
The endothelial cells lining the arterioles and venules and forming the capillary bed of the central nervous system (CNS) are modified to form the vascular blood–brain barrier (BBB). These modifications include those which result in barrier function: the formation of tight junctions; the elimination of fenestrae; a reduction in macropinocytosis.
1,2 Additionally, the modifications include the induction of transporters, enzymatic activities, and receptors unique to or enriched in the BBB.
3 These modifications of the BBB result from its cross-talk with the other cells of the CNS in a formation termed the neurovascular unit (NVU).
4 These other cells include the neurons, microglia, mast cells, but most especially the astrocytes and pericytes. Features of the BBB are first induced in the fetus by pericytes and, later, by astrocytes.
5,6Understanding this cross-talk and its mediators is critical to understanding how the barriers function both as protective to the CNS and in its roles as a blood-brain interface. Additionally, elucidation of cross-talk agents and mechanisms has already been shown to be important in understanding disease mechanisms, such as the role of pericytes in BBB functioning in Alzheimer’s disease, AIDS, and diabetes mellitus.
7–9 Finally, understanding cross-talk will provide unique targets for the development of CNS therapeutics.
10The mediators of this cross-talk are largely unknown. However, immune-active agents such as nitric oxide, prostaglandins, and cytokines are secreted by brain endothelial cells (BECs), pericytes, astrocytes, and other cells of the NVU.
11–13 These agents are clearly involved in the functioning of the BBB and NVU cross-talk. For example, interleukin-6 (IL-6) and granulocyte macrophage colony-stimulating factor (GM-CSF) secreted from BECs mediate the LPS-enhanced passage of HIV-1 across the BBB.
14 This passage is further enhanced by the presence of pericytes with the enhancement possibly mediated by the pericyte secretion of keratinocyte chemoattractant (KC) and monocyte chemoattractant protein-1 (MCP-1).
7The cross-talk among the various cells of the NVU is likely to result in the modification of the secretion of their cytokines. But this cross-talk is likely complex and its study is difficult, requiring unique tools. Here, we used the Transwell monolayer culture method to study the interactions among BECs, astrocytes, and pericytes in terms of barrier function and cytokine secretion. By culturing mouse BECs with human astrocytes and pericytes and then using species-specific immunoassays, we were able to determine the cellular source of cytokines and so the influence of one cell type on the secretions of another. We studied both basal secretions and LPS-induced secretions in monocultures (BECs alone) and tri-cultures (BECs, astrocytes, and pericytes). LPS is a powerful inducer of cytokine release from BECs, pericytes, and astrocytes.
11,12,15 and also alters many other functions of the BBB, including altering BBB integrity, immune cell trafficking, and transporter functions.
16–19 Because the BBB is a polarized layer and pericytes and astrocytes are only on the abluminal side, we measured cytokine secretions in luminal and in abluminal chambers and the effects of LPS introduced either into the luminal or abluminal chambers. We were thus able to characterize the individual secretion patterns and NVU interactions for 15 cytokines.
Material and methods
Mouse and human glial cell cultures
Mouse mixed glial cell cultures were prepared according to McCarthy and de Vellis.
20 Cerebral cortices of newborn mice (0–1 days old) were dissected, stripped of their meninges and mechanically dissociated by repeated pipetting followed by passage through a nylon mesh. Cells were plated onto poly-L-lysine (10 ug/ml; Sigma-Aldrich Co., St. Louis, MO, USA) pre-coated plastic and cultivated in DMEM containing 10% FCS, and 1% GlutaMAX (Gibco) at 37℃, 5% CO
2 in water saturated atmosphere. Medium was changed twice a week. Cultures reach confluence after 8–10 days in vitro and were used between 14 and 20 days in vitro. Primary human astrocytes were obtained from ScienCell Research Laboratories (Carlsbad, USA) and cultured according to the manufacturer’s protocol.
Mouse and human brain pericytes culture
Primary mouse brain pericytes were prepared according to Nakagawa et al.
21 Briefly, the cultures of mouse cerebral pericytes were obtained by a prolonged, two-week culture of isolated brain microvessel fragments that contain pericytes and endothelial cells. Pericyte survival and proliferation were favored by selective culture conditions, using uncoated dishes, and DMEM F12 supplemented with 20% fetal calf serum (Sigma-Aldrich Co., St. Louis, MO, USA), 1% GlutaMAX (Gibco) and gentamicin (Sigma-Aldrich Co., St. Louis, MO, USA). Culture medium was changed twice a week. Primary human pericytes were obtained from ScienCell Research Laboratories (Carlsbad, USA) and cultured according to the manufacturer’s protocol.
Mouse brain endothelial cultures
Primary mouse BECs were prepared according to Coisne et al.
22 with modifications. Briefly, meninges were carefully removed from forebrains and gray matter was minced into small pieces. Preparations were pooled and ground with a Dounce homogenizer in Dulbecco's Modified Eagle's Medium/Nutrient Mixture F-12 Ham (DMEM/F12; Sigma-Aldrich Co., St. Louis, MO, USA) supplemented with gentamicin (50 µg/ml, Sigma-Aldrich Co., St. Louis, MO, USA). The resulting homogenate was mixed with 30% dextran (v/v, molecular weight 100,000–200,000, Sigma-Aldrich Co., St. Louis, MO, USA) in DMEM/F12 supplemented with 0.1% bovine serum albumin (BSA; Sigma-Aldrich Co., St. Louis, MO, USA). The suspension was centrifuged at 3000 ×
g for 25 min at 4℃. The pellet was suspended in DMEM/F12, and the supernatant was centrifuged again under same conditions. After the second centrifugation, the supernatant was discarded and the pellet was re-suspended in DMEM/F12. Then the pellets were filtered through a 70 µm nylon mesh and digested in collagenase/dispase (2 mg/ml, Roche Applied Science, USA) and DNase I (10 µg/ml, Sigma-Aldrich Co., St. Louis, MO, USA) for 30 min. The digested solution was filtered through a 20 µm nylon mesh and seeded on with collagen type IV/fibronectin-coated dishes (both form Sigma-Aldrich Co., St. Louis, MO, USA). Cultures were maintained in medium composed of DMEM/F12 supplemented with 10% plasma-derived serum (PDS, Animal Technologies, Inc., USA), 1% GlutaMAX (Gibco), basic fibroblast growth factor (bFGF; Roche Applied Sciences), heparin, insulin, transferrin and sodium selenite supplement and puromycin (4µg/ml, Sigma-Aldrich Co., St. Louis, MO, USA). Twenty-four hours after plating, red blood cells, cell debris, and nonadherent cells were removed by washing with medium. On the third day, the puromycin was removed from medium. When the cultures reached 80% confluency (5th day in vitro), the purified endothelial cells were passaged by brief treatment with 0.25% Trypsin-EDTA (Invitrogen, Life Technologies), and used to construct in vitro BBB models.
Tri-cultures and cell stimulation
Primary mouse brain pericytes or human brain pericytes (15,000 cells/cm
2) were seeded on the bottom of the collagen-coated polyester membrane (0.33 cm
2, 0.4 µm pore size) of the Transwell® inserts (24-well type, Sigma-Aldrich Co., St. Louis, MO, USA). The pericytes were allowed to adhere firmly overnight. Endothelial cells (150,000 cells/cm
2) were seeded the next day on the inside of the inserts (
Figure 7). The inserts were then placed in the well of the 24-well plate cultured with astrocytes. BBB models were maintained in DMEM/F12 supplemented with 10% plasma-derived serum (PDS, Animal Technologies, Inc., USA), 1% GlutaMAX (Gibco), basic fibroblast growth factor (bFGF; Roche Applied Sciences), heparin, insulin, transferrin and sodium selenite supplemented with hydrocortisone (500 nM; Sigma-Aldrich Co., St. Louis, MO, USA) at 37℃ in a humidified atmosphere of 5% CO
2 and 95% air. Experiments were carried out three or four days after endothelial cells were seeded. For stimulation, experiment cells were washed with serum-free medium, and exposed to culture media with or without lipopolysaccharide (LPS) from Salmonella typhimurium (L6511; Sigma-Aldrich Co., St. Louis, MO, USA) at 1 µg/ml for 24 h.
Transendothelial electrical resistance and permeability of markers
Transendothelial electrical resistance (TEER in Ω × cm2) was measured using an EVOM resistance meter (World Precision Instruments, Sarasota, FL, USA). The TEER of cell-free inserts was subtracted from the measured values. For the transport experiments, the medium was removed and inserts were washed with Krebs-Ringer-Phosphate-HEPES (KRPH) buffer containing 1% BSA (141 mM NaCl, 4.0 mM KCl, 2.8 mM CaCl2, 1.0 mM MgSO4, 1.0 mM NaH2PO4, 10 mM HEPES, 10 mM D-glucose and 1% BSA, pH 7.4). The KRPH buffer containing 1% BSA was added to the abluminal chamber of the Transwell® insert. To initiate the transport experiments, 125I-Albumin (labeled by chloramine T method; 5 × 106 cpm/ml) or 14C-Sucrose (1.5 × 106 cpm/ml; Perkin Elmer, USA) was loaded on the luminal chamber. Samples were removed from the abluminal chamber at 10, 20, 30 and 45 min and immediately replaced with an equal volume of fresh 1% BSA/KRPH buffer. 125I-Albumin samples were precipitated with TCA and the radioactivity was determined using a gamma counter. Radioactivity of 14C-Sucrose was measured in a liquid scintillation counter (Tri Carb 1900, Packard Instrument Company, Perkin-Elmer Life Sciences, Courtaboeuf, France). The permeability coefficient and clearance of 125I-Albumin and 14C-Sucrose was calculated according to the method described by Dehouck et al.23
Clearance was expressed as microliters of radioactive tracer diffusing from the luminal to abluminal chamber and was calculated using the initial amount of radioactivity in the loading chamber and the measured amount of radioactivity in the collected samples.
where [C]L is the initial amount of radioactivity per microliter of the solution loaded into the insert (in counts per minute per microliter), [C]C is the radioactivity per microliter in the collected sample (in counts per minute per microliter), and VC is the volume of collecting chamber (in microliters). The clearance volume increased linearly with time.
The volume cleared was plotted versus time, and the slope was estimated by linear regression analysis. The slope of clearance curves for the BMEC monolayer plus Transwell membrane was denoted by PSapp, where PS is the permeability × surface area product (in microliters per minute). The slope of the clearance curve with a Transwell membrane without BMECs was denoted by PSmembrane. The real PS value for the BMEC monolayer (PSe) was calculated from
The PSe values were divided by the surface area of the Transwell inserts to generate the endothelial permeability coefficient (Pe, in microliters per minute per square centimeter).
ELISA cytokines
Concentrations of mouse and human cytokines and chemokines secreted to the culture media were measured by commercial magnetic bead-based Multiplex ELISA kit (Bioplex, Biorad, USA) according to the manufacturer’s protocol. Of the 23 cytokines in the mouse kit, we detected 15 different cytokines: Interleukin-1 alpha (IL-1 alpha), IL-1 beta, IL-6, IL12(p40), IL-12(p70), IL-13, granulocyte colony-stimulating factor (G-CSF), GM-CSF, eotaxin, KC, monocyte chemotactic protein 1 (MCP-1), macrophage inflammatory protein-1 alpha (MIP-1 alpha), MIP-1 beta, chemokine (C–C motif) ligand 5 (RANTES), and tumor necrosis factor alpha (TNF-alpha). The 17-plex was used to measure human cytokines and had 10 cytokines in common with the mouse kit: IL-1 beta, IL-6, IL-12(p70), IL-13, G-CSF, GM-CSF, MCP-1, MIP-1 beta, TNF-alpha, and IL-8, the human equivalent of murine KC.
Immunocytochemistry
Cells on inserts were washed in PBS and fixed with 4% PFA for 10 min at 4℃. Cells were permeabilized with 0.2% TRITON-X100, blocked with 5% BSA and then incubated with anti- claudin-5, ZO-1 and occludin antibodies (all from Thermo Fisher Scientific, USA), followed by incubation with corresponding ALEXA Fluor-488 conjugated secondary antibody (Thermo Fisher Scientific, USA). Finally, the membranes were cut out of the inserts, mounted in fluorescence mounting media and photographed with a Nikon ECLIPSE E8000 fluorescence microscope.
Data analysis
All experiments were done in triplicates and repeated once (n = 6). Values are presented as the means ± SEM. Statistical analysis was performed using a two-way ANOVA (GraphPad Prism). Newman–Keul’s multiple comparison tests was used for post hoc comparison. Differences at P < 0.05 were accepted as statistically significant.
Discussion
These studies were designed to assess the interactions of pericytes and astrocytes with BECs. We mainly focused on cytokine and chemokine secretions as these secretions, as discussed in the introduction, have previously been shown to play important roles in autocrine and paracrine communications within the NVU. Advantages of the current study were our use of multi-analyte technology so that we could determine whether there were generalized patterns for many cytokines, assessment of both luminal and abluminal secretions so that we could assess polarized secretion, our comparison of varying conditions (monocultures vs tri-cultures, constitutive vs stimulated, luminal vs. abluminal LPS) so as to assess the influences of cross talk, activation, and polarized stimulation, and use of species specific assays so that we could determine whether the cellular source of a cytokine was BECs or pericytes/astrocytes.
Cross-talk was evident from the effects of co- and tri-cultures on induction of barrier functions in monolayers of mouse BECs. As previously noted, the addition of other cells of the NVU appeared to affect translocation of the tight junction proteins out of cytoplasm and to the inter-endothelial surface;
24 here, this was especially true for ZO-1 and claudin-5. We also found that permeability as measured by TEER, sucrose, or albumin was differentially affected by co- and tri-culturing. This probably reflects the different aspects of BBB permeability that these measures inventory. A decrease in TEER depends on patent pathways between the luminal and abluminal chambers.
25 As such, TEER measures primarily paracellular permeability. Albumin can also cross via the paracellular pathway when that pathway is robustly opened;
26,27 otherwise, an increase in albumin leakage can reflect the re-introduction of transcytotic and transcellular pathways.
28 Sucrose, as a small water soluble molecule, can cross via openings in the paracellular pathway too small to allow albumin to cross, transcytotic pathways, and to a very limited extent can cross by transcellular diffusion.
29,30 We found that the leakage of these substances across the monolayers was differentially affected by the presence of pericytes and astrocytes, consistent the different mechanisms by which the BBB can become disrupted.
Only four cytokines were spontaneously secreted by monocultures of BEC’s and these were found in both the luminal and abluminal chambers: G-CSF, KC, MCP-1, and RANTES (
Figures 3 and
6). This is consistent with previous studies showing that cytokines can be secreted independently from either the luminal or abluminal surface of BECs.
11,14 The luminal and abluminal concentrations did not differ statistically for any of these four cytokines and in comparison to tri-cultures and LPS-stimulated studies, levels were low.
Tri-cultures and LPS-stimulated monocultures of BEC each secreted the same four cytokines seen in unstimulated monocultures of BEC, but at much higher levels, and secreted additional cytokines as well. We found five cytokines (IL-6, IL-13, MIP-1 alpha, MIP-1 beta, and TNF) that were additionally secreted by both LPS stimulation of monocultures and by unstimulated tri-cultures. This suggests that for these cytokines, pericyte/astrocyte cross-talk with BECs and LPS shares some fundamental pathways. In contrast, there were cytokines that were unique to LPS stimulation of monocultures of BECs (i.e. not seen with tri-cultures: IL12p40, GM-CSF, IL-1 alpha) and unique to tri-cultures (eotaxin), consistent with these conditions not being totally interchangeable or synonymous.It may be that TNF should be reclassified as a cytokine unique to the tri-cultures, considering that it was barely detectable in LPS-stimulated BEC monocultures. As discussed below, there is evidence that TNF is not of BEC origin.
Combining LPS stimulation with tri-cultures did not simply produce an additive effect, but produced a somewhat unique cytokine secretion pattern. Specifically, two additional cytokines were secreted (IL-1 beta and IL12(p70)) and IL-1 alpha was no longer secreted. This suggests that synergism does occur between the effects of pericytes/astrocytes and those of LPS. The loss of IL-1 alpha also suggests that not all influences are stimulatory, but that some were inhibitory. However, the vast majority of influences were found to be stimulatory; in no case, for example, was a cytokine level decreased by LPS treatment. The only other clear example of an inhibitory influence was that KC levels were lower in LPS-stimulated tri-cultures than in LPS-stimulated BEC monocultures.
Evidence for polarization was most strongly seen with LPS stimulation. In the monocultures, both luminal and abluminal LPS produced greater increases in the luminal than abluminal chambers, with only MIP-1 alpha, MIP-1 beta, and RANTES being exceptions. Two cytokines showed a differential response to where LPS was placed: GM-CSF was higher in the luminal chamber after luminal than after abluminal LPS and MIP-1 beta was higher in the abluminal chamber after abluminal than after luminal LPS.
The main polarization effect in tri-cultures occurred for IL-1 beta, IL-6, IL12(p40), IL12(p70), MIP-1 alpha, and MIP-1 beta in that abluminal LPS produced much higher abluminal levels than luminal LPS. Polarization allows the BBB to differentially respond to luminal and abluminal insults. Polarization also allows the BBB to receive input from one side (e.g. the brain side) and to release cytokine from the other (e.g. blood) side, as exemplified by the ability of luminal adiponectin to modulate the abluminal secretion of IL-6 in BEC monolayers.
31 Thus, polarization could be the basis for forming a neuroimmune axis capable of conveying information from one side of the BBB to the other side.
The different patterns obtained between monocultures and tri-cultures raised the question of how pericytes/astrocytes are altering secretion patterns. Are they also secreting cytokines or are they modifying cytokine secretion from the single cell source of the BEC? To address this question, we repeated the experiment in
Figure 4 using mouse BECs but using human astrocytes and pericytes instead of mouse astrocytes and pericytes. By then assaying luminal and abluminal fluids using assays that are species-specific for human or for mouse cytokines, we could determine whether a cytokine was being secreted by BECs or by the pericytes and astrocytes. Finding that TEER was improved nearly as much by tri-culture with human pericytes/astrocytes as by mouse pericytes/astrocytes supported the assumption that mouse BEC cells were in cross-talk with human pericytes/astrocytes. Both types of LPS-treated tri-cultures also showed a very small preservation of TEER in comparison to the LPS-treated monoculture, possibly reflecting the protection glial cells can offer against LPS-mediated BBB injury.
32Using this approach, we found a variety of patterns of cross-talk between BECs and pericytes/astrocytes (
Figures 5 and
7).
Figure 5 shows cytokines that had detectable levels in either the murine or human immunoassays. For several of these cytokines, knowing cellular origin aids in better understanding their functions as previously elucidated.
TNF-alpha is known to have many interactions with the BBB, including disrupting the BBB and being transported by it.
33,34 Its transport across the BBB has been linked to its ability to mediate toxicity in animal models of chemobrain and Parkinson’s.
35,36 Surprisingly, its secretion from in vitro in cultures of BECs is rarely reported. The results here show that TNF is not readily secreted by BECs, even when stimulated with LPS, but was here of pericyte/astrocyte origin.
IL-6 has been one of the most reported cytokines to be secreted in BEC monolayer cultures.
15,37 IL-6 interactions with BECs and the BBB include its transport, increased immune cell adhesion, enhanced iron transport, and nitric oxide secretion.
17,38–40 In studies that used only murine cells (
Figure 4), IL-6 was not spontaneously secreted, whereas LPS stimulation produced much higher levels in the tri-cultures than in the monocultures. Not surprisingly then,
Figure 5 shows that most of the IL-6 was derived from pericytes/astrocytes and less from endothelial cells. This was true even for luminal chamber IL-6 levels after abluminal LPS, suggesting that IL-6 crossed from the abluminal to the luminal chamber.
Figure 4 showed that tri-culture had little effect on the magnitude of GM-CSF secretion, except for increased abluminal levels after abluminal LPS.
Figure 5 shows that BECs were the main source of GM-CSF with LPS stimulation. However, some luminal GM-CSF was derived from pericytes/astrocytes and all of the abluminal GM-CSF was from pericytes/astrocytes. This would suggest that GM-CSF is able to cross BECs in the brain-to-blood direction but that it is neither secreted from the abluminal surface of the BEC nor transported in the blood-to-brain direction. The luminal presence of IL-6 and GM-CSF is consistent with these two cytokines mediating the LPS-induced increase in transport of HIV-1 across BEC monolayers.
14 In that case, IL-6 and GM-CSF were proposed to act in autocrine fashion; the findings here are consistent with that hypothesis.
In
Figure 4, G-CSF showed higher levels in both the luminal and abluminal chambers after LPS in the monoculture with even higher levels in the tri-cultures.
Figure 5, however, shows that nearly all of the G-CSF was of BEC origin. Thus, pericytes/astrocytes increased G-CSF levels primarily through increasing BEC production rather than directly releasing it themselves. Evidence suggests that parenchymal brain cells are a source of G-CSF,
41 but the current results suggest that pericytes/astrocytes are not among those cell types. G-CSF is protective in several models of brain injury, including traumatic brain injury.
42–44 G-CSF levels in blood have been proposed as a biomarker for acute traumatic brain injury and stroke.
45,46 Its blood levels correlate with brain G-CSF levels and brain levels, in turn, correlate with the brain levels of a number of other cytokines. Thus, blood G-CSF levels are a reflection of post-traumatic neuroinflammation. These therapeutic and biomarker characteristics of G-CSF can be partially explained by its ability to cross the BBB,
47 but its vascular secretion could also play a role.
This approach of using species-specific assays was thus useful in determining the cellular source of cytokines in tri-culture, the movement of cytokines across the BECs monolayer, and the interactions between pericytes/astrocytes and BECs. One shortcoming of this approach is that a cell of one species may not respond to the cytokine of another. A classic example of this is that human TNF-alpha binds to the rodent p55 receptor but not to the rodent p75 receptor.
48 However, the improved TEER values seen in tri-cultures were only slightly less when the cells were mouse BECs plus human pericytes/astrocytes than when the cells were all mouse (
Figure 2(d)). Thus, at least for TEER, this interspecies factor produced only a minor effect. However, decreased cross talk between cells because of species differences may be why we detected only 6 of the possible 10 cytokines with this approach.
Just as cells may not respond to stimulatory signals because of species differences, they may also not respond to inhibitory signals. This may explain why KC decreased when cultures were exposed to LPS and why it disappeared altogether when tri-cultured with human pericytes/astrocytes, although the human version of KC, IL-8, was present. This suggests that signals from BECs inhibit secretion of interferon-gamma and KC/IL-8 from pericytes/astrocytes.
Five cytokines of pericyte/astrocyte origin (IL-8, IL-6, GM-CSF, TNF, and MCP-1) were detected in the luminal chamber as well as the abluminal chamber. In most cases, levels in the abluminal and luminal chamber were similar. Such high levels suggest their appearance was not caused by leakage, but suggests that these cytokines may have been able to cross the BEC barrier in the abluminal to luminal direction. Only IL-2 and CCL11
49,50 have been shown in vivo to have saturable transport systems in the brain-to-blood direction, but these results suggest that such systems may be much more common than originally thought. The ability of cytokines produced within the CNS to cross the BBB and enter the bloodstream provides a pathway by which the CNS can influence peripheral immune functions.
In conclusion, we examined the interactions of elements of the NVU in terms of BBB integrity and cytokine secretion. Overall, we confirmed that pericytes/astrocytes affect tight junction cytoarchitcture and BEC barrier functions as measured by TEER and sucrose permeability. We found that tri-cultures of BECs, pericytes, and astrocytes have different patterns of cytokine secretion both spontaneously and in response to LPS. In general, either tri-cultures or stimulation with LPS produced more and higher levels of cytokines. By culturing murine BECs with human pericytes/astrocytes and determining cytokine levels with species-specific immunoassays, we were able in several cases to study the cellular origin, movement, and cellular interactions of specific cytokines in the tri-cultures. We found different, individual patterns for the six cytokines so studied with these patterns providing evidence of cross-talk among the cells that comprise the NVU.