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Cathepsin G Controls Arterial But Not Venular Myeloid Cell Recruitment.

Ortega-Gomez Almudena, Salvermoser Melanie, Rossaint Jan, Pick Robert, Brauner Janine, Lemnitzer Patricia, Tilgner Jessica, de Jong Renske J, Megens Remco T A, Jamasbi Janina, Döring Yvonne, Pham Christine T, Scheiermann Christoph, Siess Wolfgang, Drechsler Maik, Weber Christian, Grommes Jochen, Zarbock Alexander, Walzog Barbara, Soehnlein Oliver

📰 Circulation 📅 2016 📊 65 citations

Abstract

Background: Therapeutic targeting of arterial leukocyte recruitment in the context of atherosclerosis has been disappointing in clinical studies. Reasons for such failures include the lack of knowledge of arterial-specific recruitment patterns. Here we establish the importance of the cathepsin G (CatG) in the context of arterial myeloid cell recruitment. Methods: Intravital microscopy of the carotid artery, the jugular vein, and cremasteric arterioles and venules in Apoe –/– and CatG-deficient mice ( Apoe –/– Ctsg –/– ) was used to study site-specific myeloid cell behavior after high-fat diet feeding or tumor necrosis factor stimulation. Atherosclerosis development was assessed in aortic root sections after 4 weeks of high-fat diet, whereas lung inflammation was assessed after inhalation of lipopolysaccharide. Endothelial deposition of CatG and CCL5 was quantified in whole-mount preparations using 2-photon and confocal microscopy. Results: Our observations elucidated a crucial role for CatG during arterial leukocyte adhesion, an effect not found during venular adhesion. Consequently, CatG deficiency attenuates atherosclerosis but not acute lung inflammation. Mechanistically, CatG is immobilized on arterial endothelium where it activates leukocytes to firmly adhere engaging integrin clustering, a process of crucial importance to achieve effective adherence under high-shear flow. Therapeutic neutralization of CatG specifically abrogated arterial leukocyte adhesion without affecting myeloid cell adhesion in the microcirculation. Repetitive application of CatG-neutralizing antibodies permitted inhibition of atherogenesis in mice. Conclusions: Taken together, these findings present evidence of an arterial-specific recruitment pattern centered on CatG-instructed adhesion strengthening. The inhibition of this process could provide a novel strategy for treatment of arterial inflammation with limited side effects.

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📋 Methods

✔ Verified methods section 541 words Read on PMC ↗

Intravital microscopy of the carotid artery, the jugular vein, and cremasteric arterioles and venules in Apoe −/− and CatG-deficient mice ( Apoe −/− Ctsg −/− ) was used to study site-specific myeloid cell behavior after high-fat diet feeding or tumor necrosis factor stimulation. Atherosclerosis development was assessed in aortic root sections after 4 weeks of high-fat diet, whereas lung inflammation was assessed after inhalation of lipopolysaccharide. Endothelial deposition of CatG and CCL5 was quantified in whole-mount preparations using 2-photon and confocal microscopy.

METHODS

An expanded methods section can be found in the online-only Data Supplement . Mice Ctsg −/− 14 and Ccl5 −/− mice 15 were intercrossed with Apoe −/− mice to generate double-mutant mice. Genetically modified mouse strains were backcrossed to C57Bl/6J background for at least 10 generations. All animal experiments were approved by the local ethics committee and performed in accordance with institutional guidelines. Atherosclerosis Studies Mice were fed a high-fat diet (HFD) containing 21% fat (Ssniff) for 4 weeks to induce early atherosclerosis. In a separate set of experiments, Apoe −/− mice were treated with polyclonal immunoglobulin G (IgG) anti-CatG antibodies raised in rabbit (10 µg/mouse, 3×/wk, Biorbyt) or isotype-matching IgG (10 µg/mouse, 3×/wk, Jackson Immuno Research Laboratories) during 4 weeks of HFD feeding. Imaging of Whole-Mount Tissue Apoe −/− mice were fed a HFD or stimulated with tumor necrosis factor (TNF). The carotid artery was explanted and mounted on glass micropipettes. The cremaster muscles of Apoe −/− mice were exteriorized, fixed, and permeabilized. Primary antibodies to CatG (Biorbyt, 10 µg/mL) and CCL5 (R&D, 20 µg/mL) were used to reveal the presence of both molecules.

Show full methods section

Intravital microscopy of the carotid artery, the jugular vein, and cremasteric arterioles and venules in Apoe −/− and CatG-deficient mice ( Apoe −/− Ctsg −/− ) was used to study site-specific myeloid cell behavior after high-fat diet feeding or tumor necrosis factor stimulation. Atherosclerosis development was assessed in aortic root sections after 4 weeks of high-fat diet, whereas lung inflammation was assessed after inhalation of lipopolysaccharide. Endothelial deposition of CatG and CCL5 was quantified in whole-mount preparations using 2-photon and confocal microscopy.

METHODS

An expanded methods section can be found in the online-only Data Supplement . Mice Ctsg −/− 14 and Ccl5 −/− mice 15 were intercrossed with Apoe −/− mice to generate double-mutant mice. Genetically modified mouse strains were backcrossed to C57Bl/6J background for at least 10 generations. All animal experiments were approved by the local ethics committee and performed in accordance with institutional guidelines. Atherosclerosis Studies Mice were fed a high-fat diet (HFD) containing 21% fat (Ssniff) for 4 weeks to induce early atherosclerosis. In a separate set of experiments, Apoe −/− mice were treated with polyclonal immunoglobulin G (IgG) anti-CatG antibodies raised in rabbit (10 µg/mouse, 3×/wk, Biorbyt) or isotype-matching IgG (10 µg/mouse, 3×/wk, Jackson Immuno Research Laboratories) during 4 weeks of HFD feeding. Imaging of Whole-Mount Tissue Apoe −/− mice were fed a HFD or stimulated with tumor necrosis factor (TNF). The carotid artery was explanted and mounted on glass micropipettes. The cremaster muscles of Apoe −/− mice were exteriorized, fixed, and permeabilized. Primary antibodies to CatG (Biorbyt, 10 µg/mL) and CCL5 (R&D, 20 µg/mL) were used to reveal the presence of both molecules.

Adhesion-Strengthening Assay

Adhesion strengthening was analyzed in vitro using IBIDI-Slide IV 0.1 flow chambers (Ibidi). Flow chambers were coated with intercellular adhesion molecule-1 (ICAM1) for neutrophils or vascular cell adhesion molecule-1 (VCAM1) for monocytes, P-selectin, and CatG. Cells were placed into flow chambers and incubated 5 minutes at 37°C. Shear stress was increased from 0.5 to 40 dyn/cm 2 every 30 s using a high-precision syringe pump, and the percentage of remaining cells relative to initial adherent cell number at initial shear stress (0.5 dyn/cm 2 ) was calculated. β 2 Integrin Clustering Under Increasing Shear Stress To study the integrin cluster formation under flow conditions, the cell surface expression of lymphocyte function-associated antigen 1 (LFA1) in neutrophils was analyzed following the adhesion-strengthening assay described above. Before imaging, the cells were stained with a PE-labeled anti-CD11a antibody (2D7, BD Pharmingen) for 15 minutes. Images were acquired with an upright spinning disc confocal microscope.

Intravital Microscopy

Leukocyte-endothelial interactions in the cremaster, the carotid artery, and the jugular vein were analyzed in mice having received HFD or stimulated for 4 hours with 500 ng TNF (intraperitoneally) as described. 6 Antibodies (at 0.5 µg) to Ly6G (1A8, Biolegend), Ly6C (HK1.4, eBioscience), and CD11b (M1/70, eBioscience) were administered to label myeloid cell subsets.

Statistics

All data are expressed as mean±standard error of the mean. Statistical calculations were performed using GraphPad Prism 5 (GraphPad Software Inc.). After calculating for normality by using the D’Agostino Pearson omnibus test, the unpaired Student t test, 1-way, repeated-measures 2-way analysis of variance or nonparametric Mann-Whitney test or Kruskal-Wallis test with post hoc Dunn test were used as appropriate.

Supplementary Material 01

📊 Figures

Figure 1

Cathepsin G specifcally controls arterial but not microvascular myeloid cell recruitment

A through G , Apoe u2212/u2212 and Apoe u2212/u2212 Ctsg u2212/u2212 mice were fed a HFD for 4 weeks, and leukocyte-endothelial interactions along the carotid artery were recorded by intravital micros...

Figure 2

Absence of cathepsin G protects from atherosclerosis but not lung infammation

A through F , Apoe u2212/u2212 and Apoe u2212/u2212 Ctsg u2212/u2212 mice were fed a HFD for 4 weeks, and atherosclerotic lesion formation was quantified in aortic root sections. A , Quantification of...

Figure 3

CCL5 triggers cathepsin G deposition on arterial endothelium

A , CatG and CCL5 colocalize on the endothelium of the carotid artery of Apoe u2212/u2212 mice fed a HFD for 4 weeks. Whole-mount preparation of carotid artery stained with antibodies to CatG (red), C...

Figure 4

Cathepsin G promotes shear-resistant adhesion by stimulating integrin clustering

A and B , Adhesion of neutrophils ( A ) or monocytes ( B ) to activated SVEC4-10 (TNF, 10ng/mL, 4 hours) in the presence of plasma obtained from Apoe u2212/u2212 or Apoe u2212/u2212 Ctsg u2212/u2212 m...

Figure 5

Cathepsin G blockade selectively inhibits arterial myeloid cell adhesion

A and B , Adhesion of neutrophils ( A ) and monocytes ( B ) on activated endothelium with plasma from Apoe u2212/u2212 mice. Experiments were performed in the presence of vehicle, the CatG inhibitor Z...

Figure 6

Antibodies to cathepsin G reduce atherogenesis

Apoe u2212/u2212 mice treated with isotype control antibodies or antibodies to CatG (10 u00b5g/mouse) were fed a HFD for 4 weeks. A through D , Intravital microscopy of the carotid artery displaying a...

Figure images are served from the NIH/NLM PubMed Central Open Access Subset or Europe PMC; copyright remains with the publishers and authors.

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