Original Article |
1 Department of Cell Biology, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, School of Basic Medicine, Peking Union Medical College, Beijing;
2 Department of Ophthalmology, School of Medicine, Capital Medical University, Beijing, China
Correspondence: Daishu Han, Ph.D, Department of Cell Biology, PUMC & CAMS 5 Dong Dan San Tiao, Beijing 100005, P.R. China. E-mail:daishu{at}public.bta.net.cn
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Design and Methods: Single and double mutant mice for Axl and Mer were used in the study. Cellularity of bone marrow and spleen, hematologic parameters, flow cytometry analysis of erythroid cell maturation, erythropoietic response to acute hemolytic anemia, bone marrow transplantation and the expression of erythropoisis were analyzed to evaluate the function of Axl and Mer in erythropoiesis.
Results: Axl and Mer, but not Tyro3, were constitutively expressed in developing erythroid cells. Mice lacking Axl and Mer (Axl–/–Me–/–) had impaired erythropoiesis in bone marrow and expanded splenic erythropoiesis. We found an inhibition of differentiation at the transition from erythroid progenitors to proerythroblasts in Axl–/–Mer–/– mice. These mice exhibited a low rate of erythropoietic response to acute anemia induced by phenylhydrazine. Bone marrow transplantation studies showed that the impaired erythropoiesis in Axl–/–Mer–/– mice is erythroid cell-autonomous. TAM receptors may influence erythropoiesis through the regulation of GATA-1 erythropoietin receptor and EpoR expression in erythroid progenitors. Notably, mice lacking single Axl or Mer exhibited normal erythropoiesis in steady-state conditions.
Conclusions: Axl and Mer play an important role in regulating erythropoiesis. This finding provides a novel insight into the mechanism of erythropoiesis.
Key words: Axl, Mer, erythropoiesis, hematopoiesis.
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The TAM subfamily of receptor tyrosine kinases has three members: Tyro3, Axl, and Mer.11 These three receptors have similar ectodomains consisting of two immunoglobulin-like domains and two fibronectin type III repeats, and cytoplasmic regions that contain an intrinsic protein tyrosine kinase domain.12 The TAM receptor tyrosine kinases are widely expressed in various mammalian tissues such as immune, reproductive, and hematopoietic tissues.13,14 Genetic studies using gene-targeting mutations have provided direct insights into the physiological functions of the TAM receptor tyrosine kinases in these locations.15–19 The product of growth arrest-specific gene 6 (Gas6), and protein S (a blood anticoagulant cofactor) are biological ligands of TAM receptors.20 The Gas6/Axl system regulates cell survival, proliferation, migration, adhesion and phagocytosis.12 Gas6 knockout mice were protected from both venous and arterial thrombosis,21 and this protection was afforded through impaired stabilization of platelet aggregation.22 A very recent study demonstrated that Gas6 plays a role in regulating erythropoiesis by enhancing erythropoietin receptor signaling.23 The functional mechanism of Gas6 in erythropoiesis remains to be clarified.
Although TAM receptors are expressed in hematopoietic tissues,24–26 their functions in regulating hematopoiesis remain to be clarified. We have recently demonstrated that TAM receptors cooperatively regulate megakaryocytopoiesis.27 Considering that erythroid cells and megakaryocytes have common precursors (megakaryocyte-erythroid progenitors), we speculated that TAM receptors may participate in regulating erythropoiesis. Here, by investigating erythropoiesis in mice mutant for TAM receptors, we found that Axl and Mer, but not Tyro3, are co-expressed in differentiating erythroid cells, and regulate the differentiation of erythroid cells additivitely. These findings provide novel evidence of a role for TAM receptors in regulating erythropoiesis.
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Flow cytometry analysis and sorting of erythroid cells
Flow cytometry analysis was performed as described previously.9 Briefly, freshly prepared single-cell suspensions of bone marrows and spleens were pre-incubated in phosphate-buffered saline (PBS)/0.5% bovine serum albumin (BSA) containing mouse IgG (eBioscience, San Diego, CA, USA) to block Fc receptors at 4°C for 10 min. The cells were then immunostained with phycoerythrin (PE)-conjugated anti-Ter119 (1:200) (eBioscience) and fluorescein isothiocyanate (FITC)-conjugated anti-CD71 (1:200) (eBioscience) antibodies for 20 min at 4°C. Propidium iodide was used to exclude dead cells from analysis. In order to sort different stages of erythroblasts, red cells were lysed for 2 min in a lysis buffer (0.15 M NH4Cl, 0.1 mM EDTA, buffered with KHCO3 to pH 7.5) before the immunostaining. R1-R5 cells were sorted with a FACS MoFlo system (DakoCytomatio, Carpinteria, CA, USA) with reduced pressure, and their purity was estimated by re-analysis using cytometry.
Histological analysis
Spleens and femora were fixed in 4% buffered formalin for 48 h. Femora were decalcified in 350 mM EDTA solution (pH 7.4) for 1–2 weeks at 4°C. After embedding in paraffin, serial sections of 5 µm in thickness were sliced with a microtome (E. Leitz®, Wetzlar, Germany). All sections were stained with hematoxylin and eosin after deparaffinization, and examined under a light microscope (X71, Olympus).
BFU-E and CFU-E assays
The procedures used were based on a previous description.6 Briefly, single-cell suspensions of bone marrows and spleens were prepared from 10-week old wild-type and mutant mice, and red cells were removed by lysis. Live cells were counted by trypan blue exclusion. Bone marrow cells (2x104) and spleen cells (1x105) were cultured in triplicate in 12-well plates with 1 mL Iscoves modified Dulbeccos medium (IMDM, Gibco) containing 0.9% methylcellulose (Sigma, St Louis, MO, USA) and 1 IU/mL of recombinant erythropoietin (R&D Systems, Minneapolis, MN, USA). Cells were grown in a humidified incubator at 37°C with 5% CO2. The CFU-E containing eight or more cells were counted on day 2, and BFU-E containing 100 or more cells were counted on day 7.
Erythropoietic responses to anemia stress
Mice were injected intraperitoneally on days 0 and 1 with phenylhydrazine solution in PBS. The two groups of mice of each genotype were challenged with different doses (low dose, 25 µg/g body weight; high dose, 50 µg/g) of phenylhydrazine each injection. Blood was collected from the tail vein on days 0, 3, 6, and 9 for measurement of the hematocrit. Ten mice in each group were used in the experiments
Apoptosis and proliferation of erythroid cells
Freshly isolated bone marrow cells were immunostained with PE-conjugated anti-Ter119 and FITC-conjugated anti-CD71 antibodies. For apoptosis analysis, the cells were further incubated with biotin-conjugated annexin-V (eBioscience) according to the manufacturers instructions. Different fractions of erythroblasts were gated and analyzed for their apoptosis rate by FACS. For cell cycle analysis, the cells were further stained with propidium iodide for karyotype analysis. Data were analyzed by Modfit software.
Bone marrow transplantation
Bone marrow cells were collected from Axl–/–Mer–/– mice and wild-type littermates. Recipients were lethally irradiated using a single dose of 8.5 Gy 60Co, and injected with 5x106 donor bone marrow cells per mouse through a tail vein. At 6 months after transplantation, bone marrow and spleen cells of the recipients were analyzed for the profiles of erythroid cells. The stromal cells and erythroid cells were isolated and subjected to genotype analysis by polymerase chain reaction (PCR). Primers for the genotyping are listed in Online Supplementary Table S1.
Statistical analyses
Data are presented as mean ± standard error of mean (SEM) for n given determinations. Students t tests were used to determine differences between groups. One-way ANOVA was used to calculate the statistical significance for multiple comparisons of means of different groups, Dunnetts correction was applied to compare genotypes (e.g. Axl–/–, Mer–/– or Axl–/–Mer–/–) to the wild-type control group. All calculations were performed with SPSS version 11.0 statistical software. A p value less than 0.05 was considered statistically significant.
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Figure 1. Expression of TAM receptors in erythroid cells. (A) FACS density plots of bone marrow erythroid cells. After staining for Ter119 and CD71, the erythroid cells of mouse bone marrow can be distinguished into five distinct populations (R1 to R5) by flow cytometry. (B) The five populations of erythroid cells were sorted by a FACS instrument. The characteristics of the sorted R1 to R5 cells were evaluated by staining with benzidine and their morphology. Representative cells from more than one field are shown. Scale bar = 10 µm. (C) Analysis of the expression of TAM receptors by RT-PCR. Different numbers of PCR cycles were performed to ensure a range of linear amplification. The TM4 cell line was used as a positive control for Tyro3 expression. β-actin was used to control the quality of RNA. (D) Immunocytochemistry for Axl, Mer and Tyro3 proteins on the five populations of erythroid cells. Tyro3 protein was not detected in erythroid cells (data not shown). Representative cells are shown in each region. Scale bar = 10 µm. (E) Western blotting analysis of Axl, Mer and Tyro3 in bone marrow erythroid cells (Ery). TM4 cells were used as controls, and β-actin was used to monitor the loading of samples.
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Axl–/–Mer–/– mice display differentiation inhibition of erythroid progenitors
During analysis of the phenotypes of mice mutant for TAM receptors, we found impaired erythropoiesis in Axl–/–Mer–/– mice (Online Supplementary results). To understand which stages of erythroid cells were impaired during erythropoiesis in Axl–/–Mer–/– mice, we first quantified erythroid progenitors of the mutant mice using clonogenic assays for BFU-E and CFU-E. The results of these investigation are presented in Online Supplementary Table S2. Surprisingly, although a significant reduction in erythroid cells was observed in Axl–/–Mer–/– bone marrow, the number of CFU-E progenitors was increased by 1.8-fold compared with the number in wild-type controls. There was, however, no significant difference in the number of earlier progenitors (BFU-E) between bone marrow from Axl–/–Mer–/– and wild-type animals. Notably, Axl–/–Mer–/–spleen-derived BFU-E and CFU-E were increased 31-fold and 104-fold, respectively, compared to in the wild-type controls. The results suggest that Axl and Mer play a role in regulating the development of erythroid progenitors.
Thereafter, we analyzed different stages of erythroblasts in Axl–/–Mer–/– bone marrow and spleen by flow cytometry. After immunostaining for CD71 and Ter119, five erythroid cell populations (R1 to R5) were defined in the bone marrows (Figure 2A). The majority of erythroid cells were Ter119high (R3-R5) in wild-type bone marrow; the ratios of R3-R5 cells to total bone marrow cells were 13.8%, 10.6% and 29.9% respectively. A few erythroid progenitors (R1 cells) were identified. The ratio of R1 cells to total bone marrow cells in wild-type mice was only 0.5%. The erythroid cell profiles in Axl–/–Mer–/– bone marrow were strikingly different. A 6-fold increased ratio (3.1%) of R1 cells was observed in Axl–/–Mer–/– bone marrow. However, the percentages of more differentiated erythroid cells (R3-R5) in Axl–/–Mer–/– bone marrow were reduced significantly by about 2-fold compared to in the wild-type controls. The flow cytometry profile for Axl–/–Mer–/– spleens showed that the percentage of R1 cells was, on average, increased 5-fold compared to that in the wild-type controls (3.6% vs. 0.7%) (Figure 2B). Although the percentage of more differentiated erythroblasts (R3-R5) was also increased in Axl–/–Mer–/–spleens, the ratio of erythroid progenitors to differentiated erythroblasts was markedly increased. These results demonstrate an accumulation of R1 cells in both bone marrow and spleen of Axl–/–Mer–/– mice.
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Figure 2. Flow cytometry assessment of erythroid cell maturation. (A) Erythroid cell profiles at different developmental stages in the bone marrow and spleen. Left panels: representative FACS density plots, and right panels: quantitative comparison of erythroid cells. R1, erythroid progenitors; R2, proerythroblasts; R3, basophilic erythroblasts; R4, late basophilic and polychromatophilic erythroblasts; and R5, orthochromatophilic erythroblasts. (B) Cell cycles of the erythroid progenitors (R1) in bone marrows. The data are mean ± SEM.
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Axl–/–Mer–/– mice exhibit an impaired erythropoietic response to acute hemolytic anemia
To evaluate the role of TAM receptors in the erythropoietic response to acute hemolytic anemia, we challenged mice with phenylhydrazine to induce hemolytic anemia. Under baseline conditions, all the mutant mice including Axl–/–Mer–/–, Mer–/– and Axl–/–Mer–/– mice had normal hematocrit levels. After a low dose (25 µg/g body weight) of phenylhydrazine, both the mutated mice and the wild-type controls developed anemia (Figure 3A). Although the hematocrit levels were decreased similarly in all the wild-type and mutant mice at day 3 after administration of the phenylhydrazine, the hematocrit of wild-type and Mer–/– mice returned to nearly normal by day 6. In contrast, the hematocrit of Axl–/–Mer–/– and Axl–/– mice did not recover fully until day 9 after phenylhydrazine administration. When given a high dose (50 µg/g body weight) of phenylhydrazine, all the mice developed severe anemia. The wild-type and Mer–/– mice were still capable of recovering normal hematocrit levels on day 9 (Figure 3B). In sharp contrast, the hematocrit dropped to extremely low levels in Axl–/–Mer–/– mice (~13%) and in Axl–/– mice (19%). Notably, 60% (6/10) of Axl–/–Mer–/–mice and 20% (2/10) of Axl–/– mice failed to recover from the anemia and died within 6 days of the administration of phenylhydrazine. The hematocrit of the survivors never recovered, and all remained severly anemic throughout the period of observation (Figure 3B). Notably, Axl–/–Mer–/– mice exhibited a more severely impaired erythropoietic response to acute anemia than did the Axl–/– mice. The results suggest that Axl and Mer additively confer erythropoietic protection against acute anemia and that Axl is more important than Mer.
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Figure 3. Erythropoietic response to phenylhydrazine-induced acute anemia. (A) Hematocrit levels of the mice challenged by a low dose of phenylhydrazine (25 µg/g body weight), (n = 10). (B) Hematocrit levels of the mice challenged with a high dose of phenylhydrazine (50 µg/g), (n 4). Impaired responses to the induced acute anemia were observed in Axl–/– Mer–/– and Mer–/– mice. (*) p<0.05, (**) p<0.01.
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Figure 4. Transplantation experiments demonstrated a cell-autonomous role of Axl and Mer in erythropoiesis. (A) Wild-type (WT) recipients engrafted with WT and mutant bone marrows. ( B ) Mutant recipients engrafted with WT and mutant bone marrows. Left panels, representative FACS density plots of donor erythroid cells; lower panels, genotyping for stromal (Str) and erythroid (Ery) cells by PCR; right panels, percentages of donor erythroid cells. The analyses were performed on the bone marrow of recipients at 6 months after transplantation. Values are mean ± SEM, (n=5 per group).
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Figure 5. Relative mRNA levels analyzed by real-time reverse transcriptase-PCR. (A) Relative expression of the erythropoiesis(Epo)-related genes in the sorted erythroid progenitors (R1) from wild-type and Axl–/–Mer–/– bone marrows and spleens. (B) Sorted R1 cells from bone marrows were cultured in vitro in the presence of Gas6. The relative expression of EpoR and GATA-1 was compared. The data are represented as mean ± SEM of three experiments, (**) p<0.01.
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A recent study demonstrated that splenic erythroblasts express all three TAM receptors.23 By contrast, we did not detect the expression of Tyro3 in either bone marrow or splenic erythroid cells. Potential explanations for this discrepancy between the results of the two studies could include the different genetic background of the mice, the fact that the erythroblasts were isolated by different methods and different primer pairs were used. In a baseline state, very few R1 cells can be observed in the bone marrow of adult mice, because they are transiently retained and quickly enter the next stage of erythropoiesis. R1 cells were not, therefore, defined as a population in adult bone marrow and spleen in previous studies.9,28 Since an evident accumulation of this population of cells is observed in Ax1–/–Mer–/– mice, we defined these CD71medTer119med erythroid cells as R1 cells in our present study. In fact, a 6-fold increase in R1 cells and a 2.7-fold decrease in mature red cells was observed in bone marrow from Ax1–/–Mer–/– mice compared to that from wild-type controls. These observations suggest ineffective erythropoiesis in Ax1–/–Mer–/–bone marrow.
The fact that Ax1–/–Mer–/– mice have normal hematologic parameters suggests that compensatory mechanisms of erythropoiesis exist in these animals. A marked splenomegaly and vastly expanded splenic erythropoiesis are observed in Ax1–/–Mer–/–mice. Splenic enlargement in triple mutant mice (Tyro3–/–Ax1–/–Mer–/–) was previously interpreted as a proliferative disorder of lymphocytes.16 Based on this study, the vast splenic erythropoiesis should, at least in part, account for splenomegaly in Ax1–/–Mer–/– mice. The expanded splenic erythropoiesis in Ax1–/–Mer–/– mice could be a compensatory response to the impaired bone marrow erythropoiesis, and contribute to the normal hematologic parameters. Notably, a 5-fold increase in the percentage of R1 cells, but only a 1.5-fold increase in that of the differentiated erythroid cells were observed in spleens from Ax1–/–Mer–/– mice, which suggests that a differentiation inhibition of erythroid progenitors also appears in spleen. In contrast, splenomagaly was not observed in Gas6–/– mice in the previous study,23 which could be explained considering that other ligands (such as protein S) of TAM receptors exist in vivo. It would be useful to investigate whether protein S is involved in erythropoiesis through TAM receptors. In addition, the genetic background of the two models was not identical, which could also have contributed to the phenotypic discrepancy. The normal hematologic parameters may be also partially attributable to a longer lifespan of red blood cells resulting from slower clearance of senescent red cells in these mutant mice. In the model of acute anemia induced by phenyl-hydrazine, there was a delayed response to erythropoietic stress in Ax1–/–Mer–/– mice, confirming that the rate of erythropoiesis is altered because of the loss of Axl and Mer receptors. Notably, although impaired erythropoiesis was not observed in single mutant (Ax1–/– or Mer–/–) mice in baseline conditions, Ax1–/– mice but not Mer–/– mice appeared to have a significantly impaired response to phenylhydrazine-induced erythropoietic stress. The impaired response to phenylhydrazine-induced anemia was more severe in Ax1–/–Mer–/– mice than in Ax1–/– mice. These observations suggest that Axl and Mer additively regulate erythropoiesis, but that Axl is more important than Mer. This suggestion is consistent with the results of a recent study.23 Furthermore, our study demonstrates that the impaired erythropoiesis in Ax1–/–Mer–/– mice is attributable to an inhibition of differentiation from erythroid progenitors to proerythroblasts.
Normal hematopoiesis relies heavily on the bone marrow microenviroment.29 Bone marrow engraftment assays demonstrated that the inefficient erythropoiesis is due to an intrinsic lack of Ax1 and Mer in erythroid cells, but not due to the bone marrow microenviroment. Notably, to maintain a similar genetic background between host and donor mice, we performed transplants between mutant mice and wild-type littermates. We then examined the origin of stromal cells and erythroblasts by genotyping. This approach could be practical in bone marrow transplantation assays.
Hematopoiesis is controlled in large part by lineage-specific transcription factors.30 GATA-1 is highly expressed in erythroid progenitors and serves a critical function in the maturation of committed erythroid precursors.31 In this study, we demonstrated that GATA-1 expression is down-regulated by a lack of TAM receptor signaling. The down-regulation of GATA-1 in Ax1–/–Mer–/– erythroid progenitors could contribute to the inhibition of differentiation of the progenitors. EpoR signaling is essential for the differentiation of erythroid progenitors,32,33 and the expression of the receptor is down-regulated in Ax1–/–Mer–/– erythroid progenitors. The impaired erythropoiesis in Ax1–/–Mer–/– mice could, therefore, also be attributable to the down-regulation of EpoR in erythroblasts lacking Axl and Mer. Furthermore, we demonstrated that recombinant Gas6 up-regulates EpoR and GATA-1 expression in vitro. A recent study showed that Gas6 enhances the activity of erythropoietin in stimulating erythropoiesis.23 The up-regulation of EpoR could be at the basis of Gas6 induction of erythropoietin activity. GATA-1 is an erythropoietin-regulated transcription factor.8 In this study, we found that TAM signaling induces GATA-1 and EpoR expression. The fact that Gas6 up-regulates GATA-1 expression in cultured erythroblasts without erythropoietin suggests that TAM signaling induces GATA-1 expression in a way independent of EpoR activation.
In conclusion, we demonstrated that Axl and Mer play critical roles in mouse erythropoiesis, which reveals a new function of Axl and Mer. Understanding the mechanics of erythropoiesis regulation by TAM receptors could lend to novel therapeutic approaches to erythropoietic disorders.
Funding: this work was supported by the National Basic Research Program of China (Grant No. 2006CB504001, 2007CB947504), and the National Natural Science Foundation of China (Grant No. 30570678).
DH designed the study; HT, SC, HWa and HWu performed the research; HT, SC, HWa, QL and DH analyzed the data; HT and DH wrote the paper.
The authors reported no potential conflicts of interest.
Received for publication July 14, 2008. Revision received October 9, 2008. Accepted for publication October 22, 2008.
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