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RED CELLS
From the Centre d'Immunologie Pierre Fabre,
Saint-Julien en Genevois, France; the Ludwig Institute Cancer Research,
Lausanne Branch, University of Lausanne, Lausanne, Switzerland; and the
Department of Pathology, University of Geneva, Geneva, Switzerland.
Adhesive interactions with stromal cells and the extracellular
matrix are essential for the differentiation and migration of
hematopoietic progenitors. In the erythrocytic lineage, a number of
adhesion molecules are expressed in the developing erythrocytes and are
thought to play a role in the homing and maturation of erythrocytic
progenitors. However, many of these molecules are lost during the final
developmental stages leading to mature erythrocytes. One of the
adhesion molecules that remains expressed in mature, circulating
erythrocytes is CD147. This study shows that blockade of this molecule
on the cell surface by treatment with F(ab')2 fragments of
anti-CD147 monoclonal antibody disrupts the circulation of
erythrocytes, leading to their selective trapping in the spleen. Consequently, mice develop an anemia, and de novo,
erythropoietin-mediated erythropoiesis in the spleen. In contrast,
these changes were not seen in mice similarly treated with another
antierythrocyte monoclonal antibody with a different specificity. These
results suggest that the CD147 expressed on erythrocytes likely plays a
critical role in the recirculation of mature erythrocytes from the
spleen into the general circulation.
(Blood. 2001;97:3984-3988) The development and maturation of hematopoietic
cells are highly dependent on their interactions with stromal cells and
extracellular matrix, and adhesion molecules play an important role in
these interactions.1,2 Several adhesion molecule/ligand
pairs, such as the very late antigen-4/vascular cell adhesion molecule (VLA-4/VCAM), lymphocyte function-associated 1/intercellular adhesion molecule 1 (LFA-1/ICAM-1), and VLA-5/fibronectin, have been implicated in cell-to-cell contact between hematopoietic progenitors and stroma.3-7 The significance of such interactions is
illustrated by the central role played by VLA-4 in the differentiation
and homing of hematopoietic progenitors in vivo.8,9
Erythroid progenitors express a wide range of surface molecules,
several of which, such as ICAM-1, -2, -3, and -4, CD44, LFA-3, basal cell adhesion molecule/Lutheran protein (B-CAM/LU),
and VLA-4, have adhesive properties.10 However, expression
of some of these molecules is lost from the cell surface during
the final stage of erythroid development leading to mature
erythrocytes.10 Interestingly, in certain pathologic
conditions adhesion molecules are de novo expressed or up-regulated on
mature erythrocytes. For instance, in sickle cell disease the adhesion
molecule B-CAM/LU is up-regulated on erythrocytes,11
whereas advanced glycation end-products are found on diabetic
erythrocytes, leading to increased erythrocyte adhesion to vascular
endothelium and migration defects such as vascular occlusion and
splenomegaly.12
CD147 is a member of the immunoglobulin superfamily and is a highly
glycosylated cell surface protein.13 CD147 is considered an adhesion molecule and has been shown to induce matrix
metalloprotease expression by neighboring epithelial
cells.14 It is expressed in various tissues, including
brain, leukocytes, endothelial cells, and most tumor cell lines. In
addition, CD147 is expressed on erythrocyte lineage cells throughout
erythroid development, including in mature erythrocytes,8
and has been shown to be the carrier molecule for the blood group
antigen Oka.15 To investigate whether this
expression has a functional significance, we determined the effect of
the in vivo treatment with a CD147-specific monoclonal antibody (mAb)
on the development and trafficking of erythrocytes in mice. We show
here that CD147 blockade disrupts the migration of erythrocytes out of
the spleen, leading to transient splenomegaly and anemia, and
consequent de novo erythropoiesis in this organ.
Mice and treatment
Antibodies and flow cytometry
Cell-cycle analysis Sorting of lymphocytes (CD4+, CD8+, or B220+) and erythroblasts (Ter119+ VLA-4 ) was performed on FACS Vantage (Becton Dickinson)
and cell cycle performed as described.18 Briefly, cells
were fixed with 70% ethanol for at least 30 minutes and the DNA was
partially denatured in 3 N HCl, then neutralized with 0.1 M
Na2B4O7. The cells were subsequently resuspended in 100 µL phosphate-buffered saline (PBS) containing 2.5% fetal calf serum (FCS) and added to 200 µL PBS/FCS containing 3 µg/mL propidium iodide, 50 µg/mL RNAse A (Sigma, St
Louis, MO), 50 mM Tris base, 50 mM NaCl, and 5 mM EDTA, pH 7.5. Cells
were then incubated 5 minutes at 37°C and analyzed on a FACScan
equipped with a doublet discrimination module.
Treatment of erythrocytes The DBA/2 erythrocytes were untreated or treated with RL73 F(ab')2 or Ter119 F(ab')2, 1 hour at room temperature, and washed 3 times with PBS 1 ×. Erythrocytes were then injected intravenously into DBA/2 mice, and spleen weight and hematocrit were measured.Hematocrit measurement Peripheral blood was drawn from the retro-orbital sinus and aspirated into a capillary tube, the bottom of which was then sealed with Play Dough. After centrifugation for 30 minutes at 900 rpm, the height of packed cells was measured and expressed as a percentage of total height.Microscopy The DBA/2 mice were injected intraperitoneally with 100 µg RL73 F(ab')2 or Ter119 F(ab')2, or left untreated, and killed on day 3. Spleens, livers, kidneys, and lungs were obtained, processed for histologic examination, and stained with hematoxylin and eosin.
Selective erythrocyte trapping in spleen of mice treated with anti-CD147 mAb We have recently identified the molecule recognized by mAb RL73 as being CD147 (manuscript submitted). Because CD147 is expressed on erythroblasts and mature erythrocytes10 (and our own unpublished observations, February 2000), the effect of an in vivo administration of RL73 on the generation or trafficking of erythrocytes was assessed. As a control, we used another mAb (Ter119), which reacts with erythroid cells at differentiation stages from early proerythroblast to mature erythrocyte, and recognizes a 52-kd protein associated with glycophorin A.17 To avoid any possible effect of interaction of IgG mAb with Fc receptor (FcR)-bearing cells such as macrophages, F(ab')2 fragments of RL73 and Ter119 were used in this study. Both F(ab')2 preparations bind erythrocytes to the same extent (data not shown). Figure 1A shows a transient increase of spleen weight, peaking between 4 to 7 days and persisting for 11 days after intraperitoneal injection of 100 µg RL73 F(ab')2, whereas this was not seen in mice similarly treated with Ter119 F(ab')2. In a shorter time course, we observed enlarged spleens as early as 6 hours after injection (data not shown).
To identify the cell type(s) that increase(s) in number after
administration of RL73 F(ab')2 anti-CD147, multiparameter
fluorescence-activated cell sorter (FACS) analysis was performed on
spleen cells. We observed that there was a marked increase
(86% ± 3% on day 2) in low forward scatter (FSClow)
cells in RL73-injected mice, as compared with Ter119-injected mice
(28% ± 1%), and that the accumulating cells were
Ter119+ (an erythrocytic lineage marker) and
VLA-4 Erythrocyte accumulation in the spleen was further confirmed by light
microscopic analysis of spleen sections. As shown in Figure
2B, a massive accumulation of
erythrocytes occurred in the red pulp of spleens from RL73
F(ab')2-treated mice, whereas spleens from Ter119
F(ab')2-treated mice (Figure 2C) were indistinguishable from those of unmanipulated mice (Figure 2A). Strikingly, no
erythrocyte accumulation was observed in other major organs studied,
such as liver, kidney, or lung from any of the mice analyzed (data not
shown), suggesting selectivity of erythrocyte trapping in the spleen
following CD147 blockade.
To investigate whether anti-CD147 has a direct effect on erythrocytes
or acts through other cells (endothelial cells, for instance, which are
CD147+),19 DBA/2 mice were bled, erythrocytes
were untreated or treated with RL73 F(ab')2 or Ter119
F(ab')2, washed extensively to remove free Ab, then
reinjected intravenously into syngeneic recipient mice. One day later,
spleen weight and hematocrit were measured. As expected, mice that were
perfused with untreated or Ter119 F(ab')2-treated
erythrocytes exhibited an increased hematocrit (P < .001)
but no splenomegaly (Table 1). By
contrast, spleen weight was significantly increased in mice that
received RL73 F(ab')2-treated erythrocytes
(P < .005), with only a slight increase in their
hematocrit values (P < .05). Taken together, these data strongly suggested that blockade of CD147 on erythrocytes was directly
responsible for their trapping in the spleen.
Induction of erythropoiesis in spleen of mice treated with anti-CD147 mAb Two days after injection of mice with RL73 F(ab')2, a FSChighCD4 CD8 B220
population started appearing in the spleen (not shown). These cells
were also negative for markers of granulocytes, monocytes, and ![]() T
cells (not shown). By contrast, virtually all nonlymphocyte FSChigh spleen cells stained strongly with Ter119 and were
VLA-4+ (Figure 3A). This
phenotype, coupled with their large size, strongly suggested that these
cells were erythroblasts. Histologic analysis further confirmed the
presence of multiple erythroblast-containing erythropoietic foci in the
spleen of these mice (data not shown). The percentage of
FSChighTer119+VLA-4+ cells
increased sharply starting 48 hours after injection, reaching peak
levels at day 7, then returning to normal levels by day 16 (Figure 3B).
An increase in FSChighTer119+VLA-4+
cells was also observed in bone marrow, albeit with slightly delayed
kinetics (not shown). The observation that these cells appeared in the
spleen earlier than in the bone marrow of RL73-treated mice argues
against the possibility that their increased numbers in the spleen is
only due to import from the bone marrow.
If FSChighTer119+VLA-4+ cells are indeed erythroblasts, they should be cycling. Cell-cycle analysis was therefore performed on these cells sorted from spleen 4 days after the RL73 F(ab')2 treatment. As expected, a majority of Ter119+VLA-4+ cells were cycling (> 40% in S phase and G2/M), further confirming their identity as erythroblasts. These cycling cells most likely are responsible for the amplification of the mature erythrocyte pool reflected by the increase above baseline in hematocrit observed at days 7 to 16 (Figure 1C). Induction of erythropoiesis in spleen of phlebotomized mice Collectively, these results indicate that de novo erythropoiesis occurred in the spleen following anti-CD147-mediated erythrocyte trapping in this organ. At least 2 scenarios could be invoked to explain this sequence of events. First, because CD147 is expressed on both mature erythrocytes and their precursors, it is possible that administration of RL73 F(ab')2 masks CD147 on mature erythrocytes, leading to their sequestration in the spleen, and simultaneously delivers a signal to erythrocytic precursors through ligation of CD147, leading to their expansion. In this case, erythrocyte trapping and erythropoiesis in the spleen would be unrelated events. Alternatively, anti-CD147 may only interfere with the migration of mature erythrocytes from the spleen. This, in turn, would decrease the number of circulating erythrocytes, leading to a state of hypoxia. In this context, the de novo generation of erythrocytes from precursors is a compensatory feedback mechanism due to the lack of oxygen available to the tissues. To test this hypothesis, we removed 400 µL peripheral blood by phlebotomy and looked for the appearance of Ter119+VLA-4+ cells in the spleen 3 days later. This treatment led to a significant increase in the percentage of these cells (17% ± 3%) as compared with the control mice (3% ± 1%). Moreover, we observed that a simultaneous treatment with neutralizing anti-EPO antibodies completely inhibited the expansion of Ter119+VLA-4+ erythroblasts in the spleen from anti-RL73-injected mice (not shown), which is consistent with the demonstration that such a feedback erythropoiesis was mediated almost exclusively by EPO.20
In the present study, we have demonstrated that the injection of RL73 anti-CD147 mAb, but not Ter119 mAb having a different specificity, induced a selective accumulation of circulating erythrocytes in red pulp of spleen. Because the possible consequences of complement activation and interaction with FcR-expressing cells were excluded because of the use of F(ab')2 fragments of the mAb, the sequestration of erythrocytes in spleen is likely to be a result of the masking of CD147 on the surface of circulating erythrocytes, thereby blocking their migration out of the spleen. Thus, our data suggest that the CD147 molecule expressed on erythrocytes acts as an adhesion molecule, which apparently plays a critical role in the recirculation of mature erythrocytes from the spleen into the general circulation. It has been previously reported that in vivo injection of antierythrocyte autoantibodies derived from autoimmune NZB mice into nonautoimmune mice resulted in anemia that was due to either sequestration of agglutinated erythrocytes in spleen and liver or Fc receptor-mediated erythrophagocytosis by Kupffer cells in liver.21 In these experiments, it was clearly demonstrated that a massive agglutination and sequestration of erythrocytes was observed not only in spleen but also in liver, and that this occurred only with antierythrocyte mAb that failed to induce significant FcR-mediated erythrophagocytosis in vivo.21-24 Because we used F(ab')2 fragments of RL73 anti-CD147, one may argue that the observed massive accumulation of erythrocytes in spleen from RL73 anti-CD147-treated mice could be a result of the lack of efficient elimination of FcR-mediated erythrophagocytosis by Kupffer cells. However, this possibility is excluded because we did not see any sign of agglutinated erythrocytes in hepatic sinusoids in RL73-injected mice, unlike mice injected with agglutinating antierythrocyte monoclonal autoantibodies, which failed to interact efficiently with FcR.21-24 In addition, our results rule out the possible agglutination of erythrocytes resulting from the binding of highly opsonized erythrocytes through FcR or complement receptors on splenic macrophages. Instead, our data suggest that masking CD147 on the surface of
circulating erythrocytes is likely to be responsible for the trapping
of these cells in the spleen. This was further supported by the
complete lack of erythrocyte sequestration in spleen from mice treated
with F(ab')2 fragments of Ter119 mAb with a different specificity.17 CD147 has been described as a potential
adhesion molecule,25 which binds to endothelial cells and
fibroblasts.19 The adhesion molecule
In summary, we show here that masking of CD147 on the surface of erythrocytes leads to their selective trapping in the spleen, and induces an anemia, and consequently, de novo EPO-mediated erythropoiesis in this organ and in the bone marrow. Apparently, the interaction of CD147 on erythrocytes and its potential ligand expressed on splenic vasculature is likely to be critical in the recirculation of mature erythrocytes from spleen into the general circulation. We postulate that the role of CD147 in erythrocyte circulation may be in its capacity as an inducer of matrix-degrading metalloproteases, thus actively participating in the exit of circulating erythrocytes from the spleen. Indeed, it was shown that CD147 increases the expression of interstitial collagenase, stromelysin, and gelatinase in stromal fibroblasts.14 However, other explanations cannot be ruled out. For instance, CD147, like CD47, may be part of the recognition of erythrocytes as self,30 and that blockade of this molecule may prevent erythrocytes from escaping the splenic reticuloendothelial system. Alternatively, it is possible that ligation of CD147 alters erythrocyte deformability, leading to their mechanical trapping in the spleen. A further possibility is that ligation of CD147 may alter erythrocyte adhesion through an intracellular signaling mechanism. The identification of the ligand(s) for CD147 and the cell type expressing it should help elucidate mechanisms involved in CD147-mediated erythrocyte trafficking.
Submitted August 15, 2000; accepted February 27, 2001.
S.I. is supported by a grant from the Swiss National Foundation for Scientific Research.
The publication costs of this article were defrayed in part by page charge payment. Therefore, and solely to indicate this fact, this article is hereby marked "advertisement" in accordance with 18 U.S.C. section 1734.
Reprints: Isabelle Coste, Centre d'Immunologie Pierre Fabre 5, Avenue Napoleon III, 74160 Saint-Julien en Genevois, France; e-mail: isabelle.invernizzi{at}pierre-fabre.com.
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© 2001 by The American Society of Hematology.
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J. D. Ochrietor, T. P. Moroz, L. van Ekeris, M. F. Clamp, S. C. Jefferson, A. C. deCarvalho, J. M. Fadool, G. Wistow, T. Muramatsu, and P. J. Linser Retina-Specific Expression of 5A11/Basigin-2, a Member of the Immunoglobulin Gene Superfamily Invest. Ophthalmol. Vis. Sci., September 1, 2003; 44(9): 4086 - 4096. [Abstract] [Full Text] [PDF] |
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