Background
Multiple sclerosis (MS) is a chronic neurodegenerative, autoimmune disease of the central nervous system (CNS) characterized by demyelination. Over 250,000–300,000 individuals in the United States currently suffer from MS, and 200 new cases are diagnosed every week. Although it has been 170 years since its first description, its etiology remains unknown. Genetic predisposition, environmental factors, and autoimmune inflammatory mechanisms play an important role in the pathogenesis of MS [
1,
2].
G-protein-coupled receptor (GPCR) signaling influences various aspects of MS pathogenesis, including antigen presentation, cytokine/chemokine production, and T cell differentiation, proliferation, and infiltration (see review [
3]). GPCRs signal through heterotrimeric G proteins that consist of an α subunit and a βγ heterodimer [
4]. Regulator of G-protein signaling (RGS) proteins contain an evolutionarily conserved RGS domain that interacts with a Gα
i, Gα
q/11, or Gα
12/13 subunit with variable selectivity, which accelerates the GTPase activating function of Gα subunits [
5‐
7]. RGS proteins differ widely in their size and contain a variety of structural domains in addition to the RGS domain and motifs that regulate their activity and determine regulatory binding partners [
6,
8] (reviewed in [
9‐
12]). In addition to its primary function as a negative regulator of G protein signaling, it is now appreciated that the non-RGS regions of RGS proteins can sustain non-canonical functions distinct from the inactivation of Gα subunits or even from G protein signaling entirely (reviewed in [
10,
12,
13]). Larminie et al. reported that there are tissue-specific patterns of RGS proteins in human peripheral tissues and brain [
14]. The RGS protein expression profile in human lymphocytes [
14] is quite similar to that in rodent lymphocytes [
15], although RGS protein profiles in various subsets of immune cells still need to be explored.
Recently, multiple lines of genetic evidence have highlighted roles for RGS family proteins in mediating autoimmune disease: (1) The International Multiple Sclerosis Genetics Consortium (IMSGC) identified RGS1 as a novel MS susceptibility locus [
16]; (2) SNPs of RGS1, RGS7, RGS9, and RGS14 are highly correlated with a diagnosis of MS, Crohn’s disease (CD), and ulcerative colitis (UC) [
16‐
20]; (3) The mRNA levels of RGS10 are higher in the peripheral blood mononuclear cells (PBMC) from patients with MS, CD, and UC compared to those in unaffected individuals [
21]. The transcript level of RGS1 is higher in MS patients as reported in the gene expression omnibus profile database [
22]. However, the mechanisms via which RGS proteins modulate the onset or progression of autoimmune diseases and/or whether RGS proteins influence lymphocyte function or migration in preclinical models of MS has never been explored. Specifically, RGS10 is one of the smallest RGS family proteins and is highly expressed in the brain, thymus, and lymph nodes [
6,
23‐
25]. We have previously shown that RGS10 is a negative regulator of microglial and macrophage activation [
26‐
28]. In this study, we investigated the role of RGS10 in T cells in the mouse experimental autoimmune encephalomyelitis (EAE) model of MS.
Methods
Mice
Generation of RGS10-null mice (C57BL/6) has been described previously [
27]. The 2D2 TCR mice C57BL/6J mice were purchased from The Jackson Laboratory (Bar Harbor, ME). Eight to 12-week-old male mice were used for experiments, except where indicated. Experimental procedures involving use of animal tissue were performed in accordance with the NIH Guidelines for Animal Care and Use and approved by the Institutional Animal Care and Use Committee at Emory University School of Medicine in Atlanta, GA. Unless noted, mice were euthanized by intraperitoneal Euthasol injection.
EAE induction
RGS10-null mice and wild-type (WT) littermates (C57BL/6 background) were actively immunized with myelin oligodendrocyte protein (MOG)
35–55 as described to initiate EAE [
29,
30]. Briefly, mice were injected subcutaneously (s.c.) with 100 μg of MOG
35–55 peptide emulsified in complete Freund’s adjuvant (CFA) supplemented with 250 μg of heat-inactivated
Mycobacterium tuberculosis H37 RA. In addition, mice received an intraperitoneal (i.p.) pertussis toxin injection (250 ng) at the time of sensitization and 48 h later. Mice were monitored daily for clinical signs, and disease was evaluated as described [
31]. For induction of EAE by adoptive transfer, mice were injected with MOG
35–55/CFA and pertussis toxin as described above. Splenocytes and draining lymph node cells were harvested on day 9 after immunization and expanded in vitro with 10 μg/ml of MOG
35–55 and recombinant mouse (rm) IL-12 (10 ng/ml, R&D Systems) to induce Th1 cells or rmIL-23 (10 ng/ml, R&D Systems) to induce Th17 cells for additional 72 h. Cells were then harvested, washed once with saline, counted and injected i.p. into 5- to 6-week-old WT naïve recipient mice (10 million cells per mouse) i.p. Mice were followed clinically up to at least day 30 post-transfer.
Tissue processing and LFB staining
At the time of sacrifice, the spinal cords were removed and fixed in 4 % paraformaldehyde for 24 h and then embedded in paraffin. Sections were cut at 20 μm on a microtome and stained by Luxol fast blue (LFB) to reveal demyelinated areas. For LFB staining, the sections were fixed in 4 % PFA for 10 min, followed by washing in 1× PBS for 5 min. The sections were cleaned by xylene for 10 min and then was hydrated in 100 % EtOH for 5 min and 95 % EtOH for 5 min. The sections were stained in Luxol fast blue solution for 1 h and 45 min, followed by a rise of 95 % EtOH for 5 min and Milli-Q water for 3 min. The sections were differentiated for 10 s in lithium carbonate solution, then 10 s in 70 % EtOH, 10 s in milli-H2O, and 5 s in lithium carbonate again, and 5 s in 70 % EtOH. Images of RGS10 EAE sections were captured under ×20 objective lens on a Nikon 90i microscope using thresholding analysis on image J software by an investigator blinded to treatment history.
Mononuclear cell isolation and flow cytometry
Mononuclear cells from the spinal cord were isolated by mechanical and enzymatic dissociation methods followed by Percoll gradient (70/30 %) centrifugation [
32]. T cells (CD45+CD3+), neutrophils (CD11b+Ly6G+), B cells (CD19+), myeloid cells (Ly6G-CD11b+), Th1 (CD4+T-bet+), or Th17 (CD4+RORγt+) were analyzed by flow cytometry. Flow cytometry data were acquired using an LSRII instrument and analyzed using FlowJo Software.
T cell recall proliferation and cytokine secretion
Spleen and lymph nodes were collected from RGS10-null or WT mice at day 10 post-MOG
35–55/CFA immunization. Single-cell suspensions were prepared by mechanical disruption in RPMI-1640 medium supplemented with 10 % FBS, 100 IU/ml penicillin, 100 μg/ml streptomycin, 1× non-essential amino acids, 1 μM sodium pyruvate, 50 mM 2-ME, and 2 mM L-glutamine; 2 × 10
5 cells per well in a 96-well plate were activated by different concentrations of MOG
35–55 or plate-bound anti-CD3 (5 μg/ml, 145-2C11, eBioscience) plus soluble anti-CD28 (5 μg/ml, 37.51, eBioscience) for 72 h and proliferation was assessed via MTS assay (Promega). Supernatants were collected after 72 h of culture, and cytokine levels were measured by mouse multiplexed Meso Scale Discovery ELISAs (Meso Scale Discovery) [
27].
DC and CD4+ T cell isolation and in vitro antigen presentation assay
Dendritic cells (DCs) were isolated from the spleens and lymph nodes of RGS10-null or WT mice. Tissues were incubated with CD90.2 beads to deplete T cells followed by positive selection using CD11c beads (Miltenyl Biotech). CD4+ T cells were isolated from the spleens of 6-week-old 2D2 TCR mice using the CD4+ T cell isolation kit II (Miltenyl Biotech); 2 × 104 DCs were incubated with 1 × 105 CD4+ T cells in the presence of different concentrations of MOG35–55 for 72 h, and T cell proliferation was assessed via MTS assay.
Chemotaxis assay
A BD transwell system with a pore size of 5 μm (Corning, Lowell, MA, USA) was used for the migration assay. In the bottom compartment, CXCL-12 (10 nM, R&D System) was added in chemotaxis buffer (0.5 % BSA)/RPMI-1640. As a chemokinesis control, we included CXCL-12 (10 nM) in both the bottom and top compartments. CD4+ T cells (1 × 105) were seeded in the top compartment, and after a 2-h incubation (37 °C, 5 % CO2), the inserts were removed, and the cells that had migrated through the filter to the lower chamber were counted by flow cytometry. Polystyrene beads (15.0 μm diameter, Polysciences, Warrington, PA, USA) were added to each well to allow the cell count to be normalized. A ratio was generated and percent input migration was calculated.
In vitro T cell differentiation
Naïve T cells (CD4+CD25−) from 6–8-week-old RGS10-null or WT male mice were isolated from the spleen using Miltenyi beads. T cells (2 × 105 cells/well) were incubated in flat-bottomed 96-well plates at 37 °C for 3 days with plate-bound anti-CD3 (1 μg/ml) plus soluble anti-CD28 (1 μg/ml) in the presence of (i) anti-IL-4 neutralizing antibody (10 μg/ml, 11B11, eBioscience) and rm IL-12 (10 ng/ml) for Th1 differentiation or (ii) anti-IL-4 (10 μg/ml) and anti-IFN-γ neutralizing antibodies (10 μg/ml, R4-6A2, BD Bioscience), rmIL-6 (20 ng/ml, R&D System), and human TGF-β1 (3 ng/ml, R&D System) for Th17 differentiation. Phorbol myristate acetate (PMA) (50 ng/ml) and ionomycin (1 μg/ml) plus protein transport inhibitor (eBioscience) were added for the last 5 h of the culture period. The percentages of IFNγ+ and IL-17A+ CD4+ T cells were analyzed by flow cytometry.
Statistical analysis and power
Power analyses, outlined in the 3rd Edition of Design and Analysis, by Geoffrey Keppel, were used to estimate group sizes. The number of animals was based on our published work [
33], and our studies and estimates per group for physiologic outcome measures yielded power values >0.80 with
α = 0.05. Animal EAE scoring data were analyzed using the non-parametric Mann-Whitney
t test. Comparison of quantitative data between two groups was assessed using the Student’s
t test. Comparison between two groups for in vitro experiments was analyzed by two-way ANOVA followed by the Bonferroni post hoc test for
p values.
p < 0.05 was considered statistically significant. Specific statistical tests used for each experiment are indicated in the figure legend.
Discussion
Although EAE has limitations as a model for MS [
36], studies of patient material and preclinical animal models support the notion that autoreactive T cells mediate the initial stages of MS pathology and that EAE models recapitulate key aspects of the myelin-reactive T cell response in MS [
37‐
39]. Here, we utilized EAE not only as an MS model but also as a tool to elucidate roles for RGS10 in CD4+ T cell-mediated CNS autoimmune disease
.
We previously showed that RGS10 plays a critical role in inflammatory microglial activation via negative regulation of NF-κB signaling [
27]. Chronic peripheral administration of lipopolysaccharide (LPS) in RGS10-null mice caused chronic microgliosis and loss of dopaminergic (DA) neurons [
26]. Therefore, our initial hypothesis was that RGS10-null mice would develop more severe EAE than their WT counterparts. Instead, we observed that RGS10-null mice displayed significantly milder EAE (Fig.
1 and Table
1). Moreover, there was less demyelination and leukocytic infiltration in CNS in RGS10-null EAE mice (Figs.
1 and
5). Lymphocytes from RGS10-null mice exhibited reduced proliferation and cytokine production in MOG
35–55 recall assays (Fig.
4). Conversely, WT and RGS10-null DCs were comparable in their ability to stimulate proliferation of MOG
35–55-reactive CD4+ T cells (Fig.
2). Our data suggest that RGS10 does not influence antigen presentation functions of DCs derived from peripheral lymphoid tissues, but we cannot exclude potential roles for RGS10 in governing APC functions within the CNS.
RGS10 has been reported to oppose the chemokine-stimulated signaling that is needed for T cell adhesion mediated by α4β1 and αLβ2 [
40]. Thus, upregulation of adhesion to α4β1 and αLβ2 ligands in response to CXCL12 and CCL21 was significantly stronger in RGS10 deficient cells, suggesting that RGS10 inhibits integrin-mediated adhesion by repressing Gαi-dependent signaling [
40]. CXCL12 (SDF-1α) is a pleiotropic chemokine that participates in the regulation of tissue homeostasis, immune surveillance, inflammatory responses, and cancer development (reviewed in [
41]). Although our studies did not directly address the role of RGS10 in T cell migration in vivo, our data demonstrate that RGS10-null CD4+ T cells display attenuated migration to CXCL12 in in vitro transwell assays (Fig.
6). Thus, RGS10-null CD4+T cells and other RGS10-deficient immune cells might also display impaired migration during homing and/or infiltration into the CNS. Combined with defects in T cell activation and pathogenic Th cell differentiation within effector tissues (Figs.
4 and
5), a migration defect could account for the observed reduction in immune cell infiltration in the CNS of RGS10-null mice with EAE.
There are a number of immune-based therapeutic drugs available or in development for the treatment of MS. However, a major challenge for the field has been the inability to predict which treatment will work best for any given individual due to lack of mechanistic information about each individual’s disease [
42]. Another pressing challenge in the field is that there is no therapy to specifically target pathogenic cells without disrupting the beneficial or disease-limiting components of the immune system. Indeed, many current MS drugs have broad effects on the immune system. For example, agents such as Tysabri (natalizumab, a monoclonal antibody (mAb) against the α4 integrin adhesion molecule) and Gilenya (fingolimod, a small molecule sphingosine-1-phosphate receptor modulator) significantly alter leukocyte homing, while Lemtrada (alemtuzumab, a mAb directed against CD52) depletes immune cells. These approaches can lead to significant side effects, which may include increased vulnerability to infections. Therefore, it is important to identify biomarkers that can better inform clinicians to choose the most appropriate treatment for a patient. A comprehensive understanding of which immune cell subsets are key contributors to pathogenicity and molecules that regulate their activity might lead to the development of novel and more effective treatments for MS.
The primary function of RGS proteins is believed to be the regulation of heterotrimeric G protein signaling at the plasma membrane. However, our findings as well as those of others [
43‐
45] reveal that RGS proteins translocate to the nucleus and are found in high abundance at other intracellular sites. This suggests that RGS10 may have functions other than modulating G-protein signaling. In vitro-generated Th1 cells from RGS10 null mice induced EAE that, overall, was less severe than disease caused by WT T cells upon transfer into immunocompetent hosts, suggesting roles for RGS10 in regulating Th1-mediated autoimmune CNS inflammation (Fig.
7). However, we do not exclude T cell-independent roles for RGS10 in EAE. Indeed, RGS10 protein is expressed by various immune cells, including neutrophils, dendritic cells, and macrophages [
34]. Future studies involving conditional deletion or enhancement of RGS10 in specific leukocyte subsets will provide additional opportunities to investigate this possibility in more depth.
Competing interests
The authors declare that they have no competing interests.
Authors’ contributions
JKL designed and performed the studies, participated in the data and statistical analyses, and drafted and revised the manuscript. GTK participated in experimental design, participated in the experiments, and drafted and revised the manuscript. JC performed multiplex MSD assay and in vitro proliferation assays and participated in tissue collections and data analysis. HL performed immunohistochemistry and analyzed the myelination study data. KLG participated in study design and coordination, provided technical and intellectual advice, performed experiments, participated in data analyses, and drafted and revised the manuscript. MGT participated in study design and coordination, data interpretation, drafted and revised the manuscript, and supervised personnel involved in the studies. All authors read and approved the final manuscript.
JKL and MGT are established investigators in the RGS10 and neuroinflammation fields. KLG is an established investigator in the field of neuroimmunology and has extensive expertise in the EAE model of multiple sclerosis. GTK and HL are trainees in the areas of neuroimmunology and neurodegeneration with extensive experience in immunological and histological techniques.