Lysosomal protein surface expression discriminates fat- from bone-forming human mesenchymal precursor cells
Abstract
Tissue resident mesenchymal stem/stromal cells (MSCs) occupy perivascular spaces. Profiling human adipose perivascular mesenchyme with antibody arrays identified 16 novel surface antigens, including endolysosomal protein CD107a. Surface CD107a expression segregates MSCs into functionally distinct subsets. In culture, CD107alow cells demonstrate high colony formation, osteoprogenitor cell frequency, and osteogenic potential. Conversely, CD107ahigh cells include almost exclusively adipocyte progenitor cells. Accordingly, human CD107alow cells drove dramatic bone formation after intramuscular transplantation in mice, and induced spine fusion in rats, whereas CD107ahigh cells did not. CD107a protein trafficking to the cell surface is associated with exocytosis during early adipogenic differentiation. RNA sequencing also suggested that CD107alow cells are precursors of CD107ahigh cells. These results document the molecular and functional diversity of perivascular regenerative cells, and show that relocation to cell surface of a lysosomal protein marks the transition from osteo- to adipogenic potential in native human MSCs, a population of substantial therapeutic interest.
Introduction
Within mammalian white adipose tissue (WAT), a perivascular population of mesenchymal progenitor cells is well documented with respect to multipotency and tissue renewal capabilities (Corselli et al., 2012; Kramann et al., 2016). The ability of human WAT-resident perivascular cells to differentiate into bone-forming osteoblasts and incite or participate in bone repair is also well known (Askarinam et al., 2013; Chung et al., 2014; James et al., 2012a; James et al., 2012b; James et al., 2012c; Lee et al., 2015; Meyers et al., 2018b; Tawonsawatruk et al., 2016) (see (James et al., 2017; James and Péault, 2019) for reviews). The bulk of WAT-resident perivascular cells with mesenchymal progenitor cell attributes reside in the tunica adventitia – the outer collagen-rich sheath of blood vessels (Corselli et al., 2012; James et al., 2012a; West et al., 2016). Microvascular pericytes, although less frequent in absolute numbers, also demonstrate progenitor cell attributes (Chen et al., 2013; Crisan et al., 2009; Crisan et al., 2008). With several recent studies from our group in human (Ding et al., 2019; Hardy et al., 2017) and mouse WAT (Wang et al., 2020), it is clear that perivascular cells, including those found within the tunica adventitia (adventitial cells or adventicytes), demonstrate more phenotypic and functional diversity than previously understood.
CD107a (lysosome-associated membrane protein-1, LAMP1) is a member of a family of structurally related type one membrane proteins predominantly expressed in lysosomes and other intracellular vesicles (Carlsson et al., 1988; de Saint-Vis et al., 1998; Defays et al., 2011; Ramprasad et al., 1996). CD107a is far less frequently expressed on the cell surface, which is the result of both trafficking of nascent protein to the plasma membrane as well as the fusion of late endosomes and lysosomes to the cell membrane (Akasaki et al., 1993; Dell'Angelica et al., 2000). In inflammatory cells, surface CD107a reflects the state of activation (Janvier and Bonifacino, 2005) and has been implicated in cell adhesion (Kannan et al., 1996; Min et al., 2013). In separate reports, CD107a has been described in intracellular vesicles in both osteoblasts and adipocytes (Bandeira et al., 2018; Solberg et al., 2015), yet beyond this, essentially nothing is known regarding CD107a in mesenchymal stem cell fate or differentiation decisions.
Here, antibody array screening of FACS-defined stromal vascular fraction (SVF) perivascular cells identified several novel cell surface antigens, including CD107a, enriched within subpopulations of human adventicytes and pericytes. Flow cytometry and immunohistochemical analyses confirmed that cells with membranous surface CD107a expression reside in a perivascular microanatomical niche within WAT. CD107ahigh cells represent an adipocyte precursor cell, while CD107alow cells represent progenitors with increased osteoblast potential. CD107a trafficking to the cell surface was observed to occur during early adipocyte differentiation – results confirmed by single-cell RNA sequencing datasets from mouse and human adipose tissues. Upon transplantation into immunocompromised rodents, CD107alow cells robustly induce bone formation, both in an intramuscular ectopic ossicle assay in mice and a lumbar spine fusion rat model. These results suggest that cell surface CD107a divides osteoblast from adipocyte perivascular precursors within human tissues.
Results
Identification of CD107a as a novel cell surface antigen expressed among adipose tissue (AT)-resident perivascular stem cells
To identify new markers that may define subsets of perivascular cells, a cell surface antigen screen (Lyoplate) was performed on previously defined perivascular cell fractions (Crisan et al., 2008; James et al., 2012c; Xu et al., 2019), including CD34+CD146- adventitial cells and CD146+CD34- pericytes after exclusion of non-viable, endothelial, and hematopoietic cells (PI+ CD31+ or CD45+ fractions) (Table 1). Several markers were confirmed to be highly expressed among both adventicytes and pericytes, including, for example, the progenitor cell and MSC marker CD90 (Thy-1) and the perivascular cell antigen CD140b (PDGFRβ). Novel markers to divide perivascular progenitors ranged broadly, including the endolysosomal protein CD107a (32% and 82% expression among adventicytes and pericytes, respectively). Another endolysosomal protein, CD107b, was also present on each perivascular cell fraction (13% and 46% expressing adventicytes and pericytes, respectively). Other markers noted to be expressed differentially in subsets of adventicytes and pericytes included CD98, CD140a (PDGFRα), CD142, CD165, CD200, and CD271 (NGFR) (Table 1).
Next, previously derived transcriptomics data on human perivascular cells were analyzed to confirm LAMP1 gene expression, encoding CD107a. Using WAT-derived pericytes (n = 3 samples, GEO dataset: GSE125545) or adventitial perivascular stem cells (n = 3 samples, GEO dataset: GSE130086) (Xu et al., 2019), high expression of the LAMP1 gene was confirmed (mean FPKM values of 9.576 and 9.619, respectively).
Spatial localization of CD107a was next assessed by immunostaining of subcutaneous WAT (Figure 1A–E, n = 3 samples). CD107a immunoreactivity was found most frequently within the outermost layers of larger arteries (Figure 1B) and veins (Figure 1C). Within arteries, the outer tunica adventitia showed a high frequency of CD107a+CD34+ cells (Figure 1B1), while the inner adventitia showed predominantly CD107a-CD34+ cells (Figure 1B2). The smooth muscle media largely did not show CD107a immunoreactivity (Figure 1B3), which was confirmed by dual immunohistochemistry for CD107a and αSMA (Figure 1—figure supplement 1A). Co-expression with the recently described adventitial marker Gli1 was assessed (Kramann et al., 2016), which showed little overlap with CD107a immunoreactive adventitial cells (Figure 1—figure supplement 1B). Smaller caliber arteries (Figure 1D) and veins showed a high frequency of dual expressing CD107a+CD34+ cells within the adventitia. Capillaries within WAT showed some CD107a immunoreactive pericytes, which co-expressed CD146 but not CD31, and were present in an abluminal location (Figure 1E, appearing yellow). CD107a immunoreactivity within the perivascular mesenchymal niche was confirmed across other AT depots, including pericardial, perigonadal, perirenal, and omental human fat (Figure 1—figure supplement 2, n = 3 samples per depot). Small and medium caliber vessels showed perivascular immunoreactivity across all adipose depots.
Next, flow cytometry demonstrated a spectrum of CD107a membranous staining across the viable, non-endothelial/noninflammatory cells of human WAT (Figure 1F). The PI-CD31-CD45- component of SVF was divided by FACS into CD107alow and CD107ahigh cell populations for further analysis (Figure 1F,G). Mean frequency of CD107alow mesenchymal cells represented 33.75% of viable SVF, while mean frequency of CD107ahigh mesenchymal cells represented 5.20% (Supplementary file 1). Flow cytometry analysis was next performed within CD107ahighCD31-CD45- and CD107alowCD31-CD45- mesenchymal populations (Figure 1H,I). High expression of CD107a was confirmed by flow cytometry among freshly sorted CD107ahigh cell preparations (Figure 1I). Concordant with histological observations, CD34+ and CD146+ cells were identified in both CD107alow and CD107ahigh cell fractions (Figure 1H,I, mean frequencies reported in Supplementary file 2, 3). These data confirmed that surface CD107a expression is present in both perivascular native MSC niches within WAT, and that surface CD107a could be used to prospectively purify mesenchymal cell subpopulations with disparate staining intensities.
Next, canonical markers of culture-expanded human MSCs were examined by flow cytometry in freshly sorted CD107alow and CD107ahigh cells, including CD44, CD73, CD90, and CD105 (Supplementary file 4, Figure 1—figure supplement 3). With the exception of CD105, all markers showed overall similar expression patterns across CD107alow and CD107ahigh cell populations (n = 3 samples per group). CD105 expression was disproportionately present within CD107ahigh mesenchymal cells (mean frequency 0.44% and 8.12% among CD107alow and CD107ahigh cells, respectively).
CD107alow AT-derived stromal cells represent osteoblast precursor cells
CD107alow and CD107ahigh cells were again derived from the CD31-CD45- fraction of adipose tissue samples, and in vitro properties examined (Figure 2). Morphology of adherent CD107alow and CD107ahigh cells was broadly similar, with a fibroblastic shape (Figure 2—figure supplement 1). CD107alow cells demonstrated a higher proliferative rate in comparison to CD107ahigh cells (Figure 2A). Among freshly isolated cells, the vast majority of colony forming units-fibroblast (CFU-F) was identified within the CD107alow cell fraction (Figure 2B,C). Among equivalent cells at passage 4, an enrichment in CFU-F was still observed in CD107alow cells (Figure 2D). CFUs-osteoblast (CFU-OB) likewise showed a similar enrichment among CD107alow cells. CFU-OB assays performed in growth medium showed alkaline phosphatase (ALP)+ colonies among CD107alow cells only (Figure 2E,F). The same experiment performed in osteogenic differentiation medium showed an enrichment in CFU-OB among CD107alow cells (Figure 2G,H). Among passaged cells in sub-confluent monolayer, osteogenic differentiation was next examined (Figure 2I–O). ALP staining and quantification demonstrated an enrichment among CD107alow cells (Figure 2I,J). Bone nodule formation was likewise increased in CD107alow cells as compared to CD107ahigh counterparts (Figure 2K,L). Osteogenic gene expression across timepoints of differentiation likewise showed an enrichment for RUNX2 (Runt related transcription factor 2), ALPL, and osteopontin (SPP1) (Figure 2M–O). Thus, the CD107alow mesenchymal component of human WAT contains a precursor cell population with high osteoblastogenic potential.
CD107ahigh AT-derived stromal cells represent adipocyte precursor cells
Converse experiments to assay adipogenesis were next performed among cell subsets with differential CD107a expression (Figure 3). Among freshly isolated cells, essentially all CFU-adipocyte (CFU-AD) were found within the CD107ahigh cell population (Figure 3A,B). Next, sub-confluent CD107alow and CD107ahigh cells were propagated under adipogenic differentiation conditions (Figure 3C–G). Oil red O staining was significantly more abundant among the CD107ahigh cells (Figure 3C,D). Adipogenic gene expression was next assessed along adipogenic differentiation (Figure 3E–G). All marker gene transcripts showed significant enrichment among CD107ahigh cells in comparison to CD107alow counterparts, including peroxisome proliferator-activated receptor gamma (PPARG), lipoprotein lipase (LPL), and fatty acid-binding protein 4 (FABP4).
Finally, to confirm that CD107alow and CD107ahigh mesenchymal cell fractions both represented multipotent precursor cells, parallel chondrogenic differentiation assays were performed in three dimensional micromass culture (Figure 3—figure supplement 1). Here, both cell populations demonstrated a progressive increase in cartilage associated gene expression after 7 d in chondrogenic differentiation conditions. No significant differences in cartilage gene expression were observed between CD107alow and CD107ahigh cell fractions (Figure 3—figure supplement 1A). Alcian blue stained sections of micromass cultures at 21 d of differentiation likewise showed a similar appearance between CD107alow and CD107ahigh cells (Figure 3—figure supplement 1B). Thus, CD107alow and CD107ahigh subpopulations of human SVF both house multipotent mesenchymal cells, but with considerably divergent osteoblastic and adipocytic differentiation potentials.
CD107a traffics to the cell surface during early adipocyte differentiation
Cell surface expression of CD107a results predominantly from trafficking of endolysosomal CD107a+ vesicles to the cell surface. To investigate, unpurified ASCs were exposed to growth conditions or adipogenic differentiation conditions and cell surface CD107a was assessed by immunocytochemistry or flow cytometry (Figure 3H–J). After 3 d exposure to adipogenic conditions, a 12.03 fold increase in immunostaining intensity and a 253.5% increase in the number of CD107ahigh cells were noted. Flow cytometry across several other human cell types confirmed this finding, including FACS-purified perivascular stem cells (PSCs) (Figure 3K) and culture-defined human bone marrow mesenchymal stem cells (BMSCs) (Figure 3L) (188.1–455.4% increase in CD107ahigh cell frequency). Parallel experiments were performed under osteogenic differentiation conditions, which found no significant increase in CD107a staining intensity (Figure 3—figure supplement 2). The increase in membranous CD107a during early adipogenesis was reversed by vacuolin-1 (Vac-1), an inhibitor of Ca2+-dependent fusion of lysosomes with the cell membrane. Treatment with Vac-1 significantly decreased the frequency of CD107ahigh ASCs, and prevented an increase of cell surface CD107a by adipogenic conditions (Figure 3M,N).
In order to confirm that exocytosis is a common feature of early adipogenic differentiation, existing single-cell RNA sequencing datasets of human and mouse AT-derived cells were re-assessed (Merrick et al., 2019). Among human AT-derived cells, re-clustering and cell trajectory analysis identified early progenitor cells (expressing DPP4 and CD55), late progenitor cells (expressing GGT5 and F3), as well as an intermediate cell type (middle progenitor cells) (Figure 3O–Q). KEGG terms for exocytosis showed enrichment within early and middle progenitor cells, as visualized by heatmaps across pseudotime (Figure 3R) and normalized expression of overall exocytosis gene activation (Figure 3S). Similar results linking activation of exocytosis to early adipogenic differentiation were obtained from mouse subcutaneous WAT (Figure 3—figure supplement 3; Merrick et al., 2019). Here, after re-clustering and cell trajectory analysis (Figure 3—figure supplement 3A–C), normalized expression of exocytosis gene activation identified similar trends as in human cells (Figure 3—figure supplement 3D,E). Normalized exocytosis gene activation scores were again enriched within early Dpp4-expressing progenitor cells in comparison to more mature Dlk1-expressing pre-adipocytes.
Knockdown (KD) experiments in human ASCs and CD107alow/high cells did not identify a significant functional role for CD107a in osteo/adipogenesis (Figure 3—figure supplement 4). SiRNA-mediated KD of LAMP1 (encoding CD107a) showed no appreciable effect on the osteogenic differentiation of human ASCs (Figure 3—figure supplement 4A–F). During adipogenesis, LAMP1 KD ASCs and CD107alow adventicytes showed a modest increase in lipid droplet accumulation (Figure 3—figure supplement 4G,K,L,P,Q) and likewise a modest increase in expression of adipogenic marker genes (Figure 3—figure supplement 4H–J,M–O). The high adipogenic differentiation potential of CD107ahigh cells was not significantly altered with LAMP1 KD (Figure 3—figure supplement 4P,Q). Thus, high expression of membranous CD107a, rather than having vital function in cellular differentiation, correlates with exocytosis during early adipogenic differentiation.
Transcriptomic analysis suggests a progenitor cell phenotype for CD107alow cells
Differences in differentiation potential were next investigated using transcriptomic analysis of CD107alow and CD107ahigh stromal cells. RNA sequencing comparative analysis was performed across these two stromal cells. Clear separation between gene expression profiles was observed when comparing CD107alow with CD107ahigh stromal cells, as assessed by principal component analysis (Figure 4A). Further confirming our FACS purification, endothelial and inflammatory marker genes were rarely or not expressed among CD107alow and CD107ahigh stromal cells (Figure 4—figure supplement 1). Progenitor cell markers were expressed among both CD107alow and CD107ahigh stromal cells, with some subtle differences noted (Figure 4B). Transcripts of MYC, LEPR (Leptin receptor), MCAM (CD146), and PDGFRA (Platelet-derived growth factor receptor α) while expressed across all samples were enriched among CD107alow cells. Likewise, NES (Nestin), THY1 (CD90), PDGFRB (Platelet-derived growth factor receptor β) and TBX18 (T-Box transcription factor 18) were expressed across all samples, but more highly among CD107ahigh cells. Other typical MSC markers were more evenly distributed across cell preparations, including CD44, and NT5E (CD73). Consistent with in vitro differentiation potential, genes associated with adipogenic differentiation were highly expressed among CD107ahigh stromal cells, such as FABP4 (Fatty acid-binding protein 4), LPL (Lipoprotein lipase), PPARGC1A (PPARG coactivator 1 α), and CEBPA (CCAAT enhancer binding protein α). In addition, negative regulators of adipogenesis were increased among CD107alow stromal cells, such as KLF2 (Krüppel-like factor 2), KLF3, SIRT1 (Sirtuin 1), and DDIT3 (DNA Damage Inducible Transcript 3) (Figure 4C; Banerjee et al., 2003; Pereira et al., 2004; Sue et al., 2008; Zhou et al., 2015).
QIAGEN Ingenuity Pathway Analysis (IPA) showed that the activated pathways in CD107ahigh stromal cells are associated with the positive regulation of adipogenesis, including, for example, white adipose tissue browning pathway and Sirtuin signaling (Z scores 1.342 and 1.387; CD107ahigh compared with CD107alow stromal cells; Figure 4D; Kurylowicz, 2019). Conversely, upregulated signaling pathways in CD107alow stromal cells included Wnt/β-catenin signaling as well as pathways associated with cellular respiration and metabolism, including Oxidative Phosphorylation and Glutathione metabolism (Z scores −1; CD107ahigh compared with CD107alow stromal cells; Figure 4D and Figure 4—figure supplement 2). In order to further evaluate differences in CD107a cell fractions, pathway analyses were next cross-referenced with prior AT-derived single-cell RNA sequencing data (see again Figure 3O). Highly enriched GO terms among CD107alow stromal cells were likewise found to be enriched among DPP4+ cell fractions during ‘early’ pseudotime (Figure 4E). This included terms associated with Wnt signaling as well as energy metabolism. Conversely, GO terms enriched within CD107ahigh stromal cells were likewise enriched among GGT5+ cell fractions within ‘late’ pseudotime (Figure 4F). This included terms associated with the regulation of cellular proliferation, cell adhesion, as well as remodeling of extracellular matrix.
CD107alow rather than CD107ahigh cells induce ectopic bone formation
We next sought to extend our findings to xenotransplantation studies. If a CD107alow mesenchymal cell population over-represents stem/osteoblast precursor cells, we hypothesized that CD107alow cells would preferentially form ectopic bone within an intramuscular transplantation model (Figure 5; James et al., 2012c; Meyers et al., 2018b). First, CD107alow and CD107ahigh cell subsets were derived from the same patient sample and mixed mechanically with a demineralized bone matrix putty carrier (DBX Putty, MTF Biologics) before intramuscular implantation in NOD-SCID mice. The carrier without cells was used as an acellular control. Details of cell implant composition and animal allocation are summarized in Supplementary file 5. Intramuscular implants were imaged by micro-computed tomography (μCT) at 8 weeks, demonstrating an accumulation of bone tissue among CD107alow laden implants in relation to either CD107ahigh implants or acellular control (Figure 5A). Quantitative μCT analysis demonstrated a significant increase in bone volume (BV, 97.7% increase), fractional bone volume (BV/TV, 73.4% increase), and bone surfaces (BS, 91.4% increase) among CD107alow as compared to CD107ahigh implants (Figure 5B–D). Albeit to a lesser degree, CD107ahigh cells did exhibit bone-forming potential in comparison to acellular control (292.1–473.3% increase in μCT quantitative metrics, Figure 5B–D). Histologic analysis revealed conspicuous areas of woven bone among CD107alow laden implants, which were not commonly seen among CD107ahigh implants (Figure 5E). Bone histomorphometric analysis confirmed these observations, demonstrating significantly increased osteoblast number (N.Ob, 237.5% increase), increased osteoblast number per bone surface (N.Ob/BS, 232.5% increase), and osteocyte number (N.Ot, 460.3% increase) (Figure 5F–H). ALP staining and semi-quantitative analysis confirmed an overall increase in serial sections of CD107alow treated implants (Figure 5I,J, 14.3% increase among CD107alow implant sites). Enrichment in the terminal osteogenic differentiation marker osteocalcin (OCN) was also confirmed among CD107alow implants, shown by immunostaining and semi-quantitative analysis (Figure 5K,L, 345.3% increase among CD107alow implant sites). Detection of human nuclear antigen (HNA) among implant sites confirmed the persistence of human cells across both groups, which were overall similar in frequency (Figure 5—figure supplement 1).
CD107alow rather than CD107ahigh mesenchymal cells induce spine fusion
Having observed that CD107alow cell preparations demonstrate enhanced ectopic bone formation, we next challenged these cells to a posterolateral lumbar spine fusion model within athymic rats (Figure 6; Chung et al., 2014; Lee et al., 2015). CD107alow and CD107ahigh cell subsets from patient-identical samples were implanted bilaterally in an L4-L5 spine fusion model (Figure 6—figure supplement 1). Details of cell implant composition and animal allocation are summarized in Supplementary file 6. A qualitative increase in radiodensity was observed among CD107alow treated animals within the spine fusion bed over the post-operative period by high-resolution roentgenography (Figure 6—figure supplement 2). Progressive increase in density of the implant sites was confirmed by dual-energy X-ray absorptiometry (DXA)-based quantification, with a gradual and significant increase in CD107alow treated spinal implants in comparison to either CD107ahigh treated cells or control (Figure 6A). Fusion rate was next assessed by a validated manual palpation scoring (Figure 6B; Grauer et al., 2001). Consistent with prior studies (Chung et al., 2014), after 8 weeks acellular control-treated animals showed 14.3% fusion (1/7 animals). Analyses performed after 8 weeks demonstrated 62.5% spine fusion among CD107alow treated animals (6/8 animals). In comparison, CD107ahigh treated animals showed 37.5% fusion (3/8 animals). μCT imaging and reconstructions demonstrated lack of bone bridging within the spinal fusion segments of control-treated and CD107ahigh treated implant sites (Figure 6C). In comparison, more robust evidence of bone bridging was observed among CD107alow spine fusion segments (Figure 6C). Quantitative μCT analysis demonstrated a significant increase in bone volume (BV), fractional bone volume (BV/TV), and bone surfaces (BS) among CD107alow implant sites in comparison to acellular control (Figure 6D–F, 58.6–80.7% increase across μCT metrics). In contrast, CD107ahigh spine fusion segments demonstrate no statistically significant change in μCT assessments in comparison to acellular control (Figure 6D–F, 15.3–25.2% change in comparison to acellular control). These findings were confirmed using histologic and histomorphometric assessments of the spinal fusion segment across treatment groups (Figure 6G–J). Histologic analysis revealed conspicuous areas of woven bone among CD107alow implants, which were not commonly seen among CD107ahigh implants (Figure 6G). Bone histomorphometric analysis confirmed these observations, demonstrating significantly increased osteoblast number (172.2% increase among CD107alow implant sites in comparison to CD107ahigh implant sites), increased osteoblast number per bone surface (183.5% increase), and osteocyte number (357.1% increase) (Figure 6H–J). ALP enzymatic staining and OCN immunohistochemical staining confirmed the above findings (Figure 6K–N). In summary, CD107alow but not CD107ahigh mesenchymal cell demonstrate improvements in bone-forming potential across two orthopaedic models.
Discussion
Mesenchymal progenitor cells are broadly distributed in post-natal organs, where they are concentrated principally in perivascular areas. Microvascular pericytes were first recognized to include such progenitors since they grow into mesenchymal stem cells in culture (Crisan et al., 2008). The outermost layer enwrapping arteries and veins, or tunica adventitia, that used to be considered as a mere fibroblast-populated collagen sheath anchoring vessels within tissues, is also home to presumptive MSCs (Corselli et al., 2012; Kramann et al., 2016). Here, we have used an antibody array targeting all human CD surface markers to identify several novel antigens expressed by human adipose tissue-resident perivascular cells. We found, among other surface antigens, that CD107a, aka LAMP-1, is expressed at the surface of subsets of adventitial cells and pericytes, which was confirmed in terms of gene expression on RNA sequencing libraries, and corroborated by immunohistochemistry, surface CD107a being co-expressed with canonical markers of pericytes and adventitial cells. Further, flow cytometry analysis of the total stromal vascular fraction extracted from adipose tissue showed a continuum of non-endothelial, non-hematopoietic CD107a expressing cells that could be gated back to pericytes and adventitial cells. Altogether, these results confirmed unequivocally that surface CD107a/LAMP-1, used generally as a marker of NK cell activity (Bryceson et al., 2005), is present on subsets of human MSC-related perivascular cells, and established the conditions for the purification of these cells by flow cytometry.
Albeit not described before at the surface of human pericytes and other perivascular cells, CD107a has been earlier detected on human bone marrow and dental conventionally cultured MSCs, where it binds the enamel matrix protein amelogenin and in turn induces cell proliferation (Huang et al., 2010). Besides, CD146+CD107a+ human bone marrow MSCs have been recently described as endowed with the highest immunomodulatory and secretory, hence therapeutic, potential in experimental joint inflammation (Bowles et al., 2019). Besides suggested association of surface CD107a with progenitor cell proliferation and immunomodulation related tissue repair (Bowles et al., 2019; Huang et al., 2010), lysosomal CD107a has also been linked to neural stem cell potential (Yagi et al., 2010). Here, we show that surface expression of CD107a divides adipocyte- from osteoblast precursors within human perivasculature. Adipocyte progenitor distribution was virtually confined to the CD107ahigh cell subset; in agreement, adipogenic potential in culture was restricted to this cell compartment. However, knockdown of CD107a in ASCs slightly promoted adipogenic differentiation, suggesting that CD107a can be used for identification of functionally relevant subsets, which is likely not explained by intrinsic function of CD107a protein. CD107a is thought to be responsible for maintaining the structural integrity of the lysosomal compartment (Eskelinen, 2006). Lysosomes provide the degradative enzymes for autophagy and are involved in autophagy regulation, primarily through its relationship with the master kinase complex, mTORC1 (Mrschtik and Ryan, 2015; Yim and Mizushima, 2020). Therefore, CD107a may also play an essential role in autophagy, which itself has been shown crucial for adipocyte differentiation (Guo et al., 2013). Whether CD107ahigh cells enhance adipogenesis by promoting autophagy is an interesting and worthy follow-up topic. Conversely, osteogenic ability in vitro was almost totally restricted to purified CD107alow cells, which also exhibited the highest CFU-F potential. We confirmed the exclusive bone-forming potential of CD107alow cells in vivo, in situations of ectopic intramuscular ossification and lumbar spine fusion. Thus, CD107alow cells likely represent a more progenitor cell, while CD107ahigh cells are a more mature, differentiated cell population. Similar results are found in the hematopoietic system, where the most primitive hematopoietic stem cells are Thy-1low, whereas Thy-1high cells belong to a well-defined blood cell lineage (Spangrude et al., 1988).
The natural function of these ubiquitous perivascular mesenchymal progenitor cells remains a dominant, yet unanswered question. While subsets of mouse pericytes are known, in contexts of experimental disease or injury, to give rise in situ to white adipocytes, follicular dendritic cells, myoblasts, and myofibroblasts (Dellavalle et al., 2011; Dulauroy et al., 2012; Krautler et al., 2012; Murray et al., 2017; Tang et al., 2008), the osteogenic and chondrogenic potentials present in these microvascular cells are unlikely to be ever used in the turnover and repair of soft tissues. On the other hand, a contribution to blood vessel pathologic remodeling of perivascular presumptive MSCs has been recognized, as osteoblast and smooth muscle cell forerunners for calcific arteriosclerosis and atherosclerosis, respectively (Kramann et al., 2016). How such pathogenic side effects exerted by perivascular progenitors are counterbalanced by beneficial contributions to tissue homeostasis is not known, but might be related to differential recruitment of uni- or multipotent progenitors, as well as activation in these cells of mechanisms independent of cell differentiation such as growth factor production or cell contact-mediated immunomodulation (Pittenger et al., 2019). A precise phenotypic and functional characterization of perivascular progenitor cells is a requisite for the understanding of the role of these cells in developmental, regenerative, and pathophysiologic processes. In particular, unwrapping the intrinsic heterogeneity of these cells is a prioritized, ongoing process.
Although abundant evidence of the osteogenic potential of perivascular cells exists in humans and mice (Askarinam et al., 2013; Chung et al., 2014; Corselli et al., 2012; Crisan et al., 2008; James et al., 2017; James and Péault, 2019; James et al., 2012a; James et al., 2012a; James et al., 2012b; James et al., 2012c; Kramann et al., 2016; Lee et al., 2015; Meyers et al., 2018b; Meyers et al., 2018b; Tawonsawatruk et al., 2016; Wang et al., 2020; Xu et al., 2019), there is recent proof that this competence is restricted to discrete cell subsets. For instance, CD10 expression marks a subset of human adipose tissue adventitial cells with higher bone-forming potential (Ding et al., 2019), and the highest calcification potential is attributed to mouse adventitial cells co-expressing CD34 and PDGFRα (Wang et al., 2020). On the other hand, human perivascular cells expressing the ROR2 Wnt receptor exhibit stronger chondrogenic ability than ROR2 negative counterparts (Dickinson et al., 2017). Therefore, the concept is emerging of a developmental micro-heterogeneity of perivascular cells, the surrounding niches being suggested to host a whole hierarchy of mesenchymal progenitor cells already documented to include adipocyte-, chondrocyte-, and osteoblast progenitors. Although the data herein were obtained on abdominal subcutaneous adipose tissue, our preliminary results indicate that the same cell partition can be achieved in other fat depots. Moreover, we have observed the same restriction of adipogenic and osteogenic potentials, respectively, to CD107ahigh and CD107alow perivascular cells sorted from the human placenta, which suggests the broad and possibly ubiquitous distribution of these functionally distinct subpopulations. Strikingly, these tissues are not natural sites of ossification, which raises the recurring question of the physiologic significance of these unrelated developmental potentials. It is conceivable that mesodermal cell turnover and regeneration in adult tissues be mediated exclusively by multipotent, MSC like cells, irrelevant potentials in a given tissue being always repressed. It is more difficult to justify that progenitors committed to a given cell compartment be maintained in a tissue devoid of this very cell lineage, such as osteogenic dedicated progenitors in adipose tissue, at the expense of adipogenic cells. Since the hypothesis that these unrelated progenitors can be mobilized through blood circulation to drive regeneration in other organs is not supported for the moment, we can only speculate that such atypical differentiation potentials are irreversibly associated with other tissue repair mechanisms of broader applicability, which remain to be identified. Further characterization of the role of CD107a at the cell surface may contribute to clarifying this issue.
Our in vitro studies, coupled with single-cell transcriptomics, suggest that CD107a, an endolysosome transmembrane protein, traffics to the cell surface during early adipogenesis, suggesting a specific function in this cell lineage. Future studies will tell whether CD107a/LAMP-1, a unique novel marker of the perivascular mesenchymal stem cell hierarchy, will also shed light on the tissue regeneration mechanisms initiated in this niche.
Materials and methods
Immunohistochemistry and microscopy
Request a detailed protocolAll human tissues were obtained under Johns Hopkins University institutional IRB approval with a waiver of informed consent. For histology, human subcutaneous fat tissue was obtained from three anonymized female donors from the abdominal or thigh area. Human fat tissue was embedded in optimal cutting temperature compound (OCT) (Sakura, Torrance, CA), and cryo-sectioned at 30 μm thickness. For immunofluorescent staining, all sections were blocked with 5% goat serum in PBS for 1 hr at room temperature (RT). The following primary antibodies were used: anti-αSMA (RRID:AB_1951138, 1:100), anti-CD107a (RRID:AB_1727417/RRID:AB_10719137/RRID:AB_470708/RRID:AB_449893, 1:100), anti-CD31 (RRID:AB_448167/RRID:AB_726362, 1:100), anti-CD34 (RRID:AB_1640331, 1:100), anti-CD146 (RRID:AB_2143375, 1:100), or anti-Gli1 (RRID:AB_880198, 1:100; see antibody details in Supplementary file 7) for overnight incubation at 4o C. Next, anti-rabbit Alexa Fluor 647-conjugated (RRID:AB_2722623, 1:200), anti-mouse Alexa Fluor 488-conjugated (RRID:AB_2688012, 1:200), anti-goat Alexa Fluor 647-conjugated (RRID:AB_2687955, 1:200), or anti-rat Alexa Fluor 647-conjugated secondary antibodies (RRID:AB_2864291, 1:200, Abcam, San Francisco, CA) were used (incubation 2 hr at RT). DAPI mounting medium was used (RRID:AB_2336788, Vector laboratories, Burlingame, CA), and visualized using a Zeiss 800 confocal microscope (Zeiss, Thornwood, NY). For colorimetric immunohistochemistry staining, sections were blocked with 2.5% horse serum for 20 min at RT. Anti-CD107a primary antibody (RRID:AB_470708, Abcam, 1:100) was added and incubated overnight at 4° C. Next, incubation with alkaline phosphatase (AP) polymer anti-mouse IgG reagent was performed for 30 min (RRID:AB_2336535, MP-5402, Vector laboratories), followed by AP substrate solution (RRID:AB_2336847, SK-5100, Vector laboratories), followed by hematoxylin counterstain and microscopic imaging using a Leica DM6 B microscope (Leica Microsystems Inc, Wetzlar, Germany).
Adipose-derived stromal cells (ASCs) isolation and FACS isolation of human AT cell populations
Request a detailed protocolFor cell isolation, human lipoaspirate was obtained from healthy adult donors and was stored no more than 72 hr at 4°C before processing with some modifications from prior protocols (Wang et al., 2019; Xu et al., 2019). Patient gender and donor area are shown in Supplementary file 1. Equal volume of phosphate-buffered saline (PBS) was used to wash lipoaspirates. The washed lipoaspirate was digested with 1 mg/ml type II collagenase (Washington Biochemical; Lakewood, NJ) in Dulbecco's Modified Eagle's Medium (DMEM) containing 0.5% bovine serum albumin (Sigma-Aldrich, St. Louis, MO) at 37°C for 60 min under agitation, followed by centrifugation to remove adipocytes. The cell pellet was resuspended and incubated in red cell lysis buffer (155 mM NH4Cl, 10 mM KHCO3, and 0.1 mM EDTA) at RT for 10 min. After centrifugation, the stromal vascular fraction (SVF) was resuspended in PBS and filtered at 40 μm. In select studies, SVF was culture- expanded as adipose-derived stromal cells (ASCs) for further evaluation. Human ASCs were cultured and used for experiments at passage 2–6. Fluorescence activated cell sorting (FACS) was next performed using a Beckman MoFlo (Beckman, Indianapolis, IN), with analysis performed using the FlowJo software (RRID:SCR_008520, BD Biosciences, San Jose, CA). Cells were incubated with anti-CD45-allophycocyanin-cyanin 7 (RRID:AB_396891, 1:30; BD Pharmingen, San Diego, CA), anti-CD31-allophycocyanin-cyanin 7 (RRID:AB_2738350, 1:100, BD Pharmingen), anti-CD34 (RRID:AB_11154586, 1:60, BD Pharmingen), anti-CD146 (RRID:AB_324069, 1:100, Bio-Rad, Hercules, CA), and/or anti-CD107a-allophycocyanin (RRID:AB_1727417, 1:20; BD Pharmingen), for 20 min on ice. Propidium iodide (PI) staining solution (BD Pharmingen) was used to gate out non-viable cells. See Supplementary file 7 for a list of antibodies used. Gating was performed to isolate either CD146+ pericytes (CD146+CD34-CD31-CD45-), CD34+ adventicytes (CD34+CD146-CD31-CD45-), CD107alow cells (CD107alowCD31-CD45-) or CD107ahigh cells (CD107ahighCD31-CD45-). Cell surface markers were analyzed using either Lyoplate (BD Biosciences) or flow cytometry. For flow cytometry, cells were incubated with the following antibodies for 20 min on ice: anti-CD34 PE-CF594 (RRID:AB_11154586), anti-CD146 FITC (RRID:AB_324069), anti-CD44 Alexa Fluor 700 (RRID:AB_10645788), anti-CD73 PE (RRID:AB_2033967), anti-CD90 FITC (RRID:AB_395969), anti-CD105 PE-CF594 (RRID:AB_11154054), and anti-CD107a APC (RRID:AB_1727417, Supplementary file 7). For select studies using culture-expanded cells, flow cytometry was performed after trypsinization and cell re-suspension in HBSS (Life Technologies, Gaithersburg, MD) with 0.5% bovine serum albumin (Sigma-Aldrich). All cells were cultured at 37°C in a humidified atmosphere containing 95% air and 5% CO2. Unless otherwise stated, cells were cultured in Endothelial Cell Growth Medium-2 (EGM-2; Lonza, Gaithersburg, MD).
Human bone marrow mesenchymal stem cell isolation
Request a detailed protocolBone marrow mesenchymal stem cells (BMSCs) from anonymized human femur and tibia were isolated using previously reported methods (Xu et al., 2019). Marrow cells were flushed with PBS and passed through a 70 μm cell strainer (BD Biosciences) to obtain single cells, which were seeded into T75 flasks. Non-adherent cells were removed after 5 d and medium was changed every 3 d. BMSCs were cultured in growth medium consisting of DMEM, 15% fetal bovine serum (FBS; Gibco, Grand Island, NY), 1% penicillin/streptomycin (Gibco).
Identification of novel human perivascular cell markers using lyoplate
Request a detailed protocolThe BD Lyoplate Human Cell Surface Marker Screening Panel contains 242 purified and lyophilized monoclonal antibodies to cell surface markers, along with AlexaFluor 647 conjugated goat anti-mouse Ig and goat anti-rat Ig secondary antibodies, distributed in three 96-well plates, as well as mouse and rat isotype controls for assessing isotype-specific background. The Lyoplate array was used according to manufacturer’s instructions. Aspirated human subcutaneous fat was digested with collagenase, washed by centrifugation and the SVF recovered as described above. After washing and red cell lysis, SVF cells were stained with the following reagents: DAPI 1/100 (1 μg/ml final), FITC-CD146 1/40, PE-CD45 1/20, PE-Cy7-CD34 1/33. Using a multi-channel pipette, 100 μl aliquots of antibody stained SVF (500,000 to 1 million cells) were distributed in the wells, and 50 μl of reconstituted Lyoplate antibody solution were added to each well according to the template. Plates were incubated on ice in the dark for 30 min, then cells were washed twice by adding 100 μl of staining solution to each well and spinning at 300xg for 5 min. 100 μl of 4% paraformaldehyde (PFA) were added to each well and incubated at RT for 30 min. Labeled cells were washed again and either stored at 4°C or analyzed directly on a LSR II flow cytometer (BD Biosciences).
Transcriptomics
Request a detailed protocolIn select experiments, global gene expression analysis of CD107alowCD31-CD45- and CD107ahighCD31-CD45- cells from adipose tissue was performed. The RNA content of CD107alow and CD107ahigh cells was detected by total RNA sequencing. Briefly, total RNA was extracted from CD107alow and CD107ahigh cells with Trizol (Life Technologies). After purification and reverse transcription, cDNA samples were sent to the JHMI Transcriptomics and Deep Sequencing Core and quantified by deep sequencing with the Illumina NextSeq 500 platform (Illumina, San Diego, CA). Data were analyzed using software packages including Partek Genomics Suite (RRID:SCR_011860), Spotfire DecisionSite with Functional Genomics (RRID:SCR_008858), and QIAGEN Ingenuity Pathway Analysis (RRID:SCR_008653).
Single-cell RNA sequencing (scRNA-seq)
Request a detailed protocolScRNA-seq data were obtained from the Gene Expression Omnibus (GEO) repository, accession number GSE128889 (GSM3717979, GSM3717977). Initial quality control removed cells expressing >200 and<6000 genes and a mitochondrial content >5%. Data normalization, dimensional reduction and clustering were conducted in Seurat (RRID:SCR_016341) as previously described in the original publication with the exception of altered clustering resolutions. Trajectory plots were generated in Monocle (RRID:SCR_018685) as previously described. For exocytosis pathway activation, a gene list of exocytosis activating/promoting genes was generated from the previously annotated KEGG pathway. Gene lists were filtered for genes that met the Monocle cutoff criteria as an expressed gene (expressed in a minimum of 10 cells). Expression levels were normalized first for individual cell UMI counts, then to the average gene expression across the whole sample population. This normalized expression across pseudotime was displayed following average with nearest neighbors. Values above one indicate enriched expression of genes associated with exocytosis while values below one indicate expression below population averages. Pathway analyses were conducted on CD107alow and CD107ahigh cells from bulk RNA-seq experiments, as well as on early- and late-expressing, pseudotemporally-regulated genes derived from scRNA-seq data.
Osteogenic differentiation assay and ALP/Alizarin red staining
Request a detailed protocolFor osteogenic differentiation, cells were seeded at the density of 2.5 × 105/ml in 12- or 24-well plates. Upon confluency, medium was changed to osteogenic differentiation medium, composed of DMEM, 10% FBS (Gibco), 1% penicillin/streptomycin, with 50 μM ascorbic acid, 10 mM β-glycerophosphate, and 100 nM dexamethasone (Sigma-Aldrich) (Xu et al., 2019). Medium was changed every 3 d. Leukocyte Alkaline Phosphatase Kit (Sigma-Aldrich) was used for alkaline phosphatase staining at 3 or 7 d of differentiation. Image J (RRID:SCR_003070) was used to detect the integrated density of ALP staining. Alizarin red S (Sigma-Aldrich) was used to stain cultures at 7 or 10 d of differentiation to detect mineralization. Next, calcium precipitate was dissolved with 0.1N sodium hydroxide and quantified by absorbance at 548 nm. Experiments were performed in N = 3 biological replicates, and in experimental triplicates in each case.
Adipogenic differentiation assay and oil red O staining
Request a detailed protocolFor adipogenic differentiation, cells were seeded at the density of 2.5 × 105/ml in 12- or 24-well plates. Upon subconfluency, adipogenic differentiation medium (DMEM, 1% penicillin/streptomycin, 10% FBS with 1 μM dexamethasone, 200 μM indomethacin, 10 μg/ml insulin, and 500 μM 3-isobutyl-1-methylxanthine (Sigma-Aldrich)) was used. Medium was changed every three d. Cells were fixed with 4% PFA and stained with Oil Red O solution at 5 to 7 d of differentiation (Meyers et al., 2018a). Experiments were performed in N = 3 biological replicates, and in experimental triplicates in each case.
Chondrogenic differentiation assay and Alcian blue staining
Request a detailed protocolFor chondrogenic differentiation, cells were seeded at high-density micromass environment (1 × 107/ml, 10 μl/drop) in 12-well plates and cultured in 37°C. After 4 hr, chondrogenic differentiation medium (DMEM, 1% penicillin/streptomycin, 10% FBS with 10 ng/ml transforming growth factor-β3 (R and D Systems, Minneapolis, MN), 100x ITS+ Premix (Corning Incorporated, Corning, NY), 50 μg/ml ascorbic acid, 40 μg/ml proline, 100 μg/ml pyruvate, and 100 nM dexamethasone (Sigma-Aldrich)) was added. Medium was changed every three d. Cells were fixed with 4% PFA and embedded in OCT for cryosectioning at 18 μm thickness. Slides were stained with Alcian Blue and Fast Red.
Proliferation assay
Request a detailed protocolProliferation assays were performed in 96 well plates (2 × 103 cells/well) and measured at 72 hr using the CellTiter96 AQueous One Solution Cell Proliferation Assay kit (MTS, G358A; Promega, Madison, WI). Briefly, 20 μl of MTS solution was added to each well and incubated for 1 hr at 37°C. The absorbance was assayed at 490 nm using Epoch microspectrophotometer (Bio-Tek, Winooski, VT).
CFU assay
Request a detailed protocolFor all CFU assays, 1,000 cells / well were seeded in 6-well plates. For CFU-F analysis, cells were cultivated for 14 d in growth medium, fixed with 100% methanol and stained with 0.5% crystal violet. For CFU-OB assays, cells were cultivated for 7 d in growth medium, followed by 3 d culture in osteogenic differentiation medium followed by alkaline phosphatase staining. For CFU-AD assays, cells were cultured for 8 d in growth medium, followed by 8 d in adipogenic differentiation medium, followed by Oil red O staining. For quantification, the total number of positive colonies was calculated per well. All CFU assays were performed with N = 6 wells per group.
Immunocytochemistry
Request a detailed protocolCells were seeded at the density of 1.5 × 105/ml in EZ SLIDE (Merck Millipore, Billerica, MA). After confluence, medium was changed to osteogenic differentiation medium or adipogenic differentiation medium for 3 d. To visualize the membranous expression of CD107a, cells were directly stained with anti-CD107a-allophycocyanin (RRID:AB_1727417, 1:20; BD Pharmingen) for 20 min at 4℃. Then cells were washed with PBS and fixed with 4% PFA, followed by DAPI mounting medium (RRID:AB_2336788, Vector laboratories).
Vacuolin-1 treatment
Request a detailed protocolTo inhibit exocytosis, cells were pre-treated with vacuolin-1 (1 μM; Sigma-Aldrich) for 24 hr before adipogenic differentiation medium was added. Cells were incubated in the presence or absence of vacuolin-1 (1 μM) in adipogenic differentiation medium for 3 d. Surface CD107a expression was detected by flow cytometry or confocal microscopy (Zeiss 800). For immunofluorescence staining, the cell membrane was labeled using Wheat Germ Agglutinin Conjugates (Thermo Fisher Scientific, Waltham, MA).
siRNA knockdown
Request a detailed protocolIn select experiments, siRNA-mediated knockdown of LAMP1 was performed among primary human ASCs prior to osteogenic or adipogenic differentiation. LAMP1 siRNA (Cat# s8080 and s8082) and negative control siRNA (Cat# 4390843) were obtained from Thermo Fisher Scientific. TransIT-LT1 Transfection Reagent (Mirus Bio, Madison, WI) was used as described by the manufacturer. The medium was changed after 4 hr. Validation by qRT-PCR was performed.
Real-time polymerase chain reaction
Request a detailed protocolGene expression was analyzed with quantitative real-time polymerase chain reaction (qRT-PCR) (Xu et al., 2019). Total RNA was isolated from cells using TRIzol (Life Technologies). Next, RNA was reverse transcribed into cDNA by iScript cDNA Synthesis Kit (Bio-Rad) following manufacturer's instructions. SYBR Green PCR Master Mix (Life Technologies) was used for RT-PCR. See Supplementary file 8 for primer information. N = 3 wells per group were used, with all studies performed in biologic triplicates.
Western blot
Request a detailed protocolProteins were extracted from cultured cells following lysis in ice cold RIPA buffer (Thermo Scientific) with protease inhibitor cocktail (Cell Signaling Technology, Danvers, MA, USA). Proteins were separated by SDS–polyacrylamide gel electrophoresis and transferred onto a nitrocellulose membrane. The blotted nitrocellulose membranes were blocked with 5% bovine serum albumin for 1 hr and then probed with primary antibodies at 4°C overnight. Finally, membranes were incubated with a horseradish-peroxidase (HRP)-conjugated secondary antibody and detected by ChemiDoc XRS+ System (Bio-rad). Quantification of protein bands was performed using Image J software (RRID:SCR_003070).
Intramuscular implantation
Request a detailed protocolAnimals were housed and experiments were performed in accordance with institutional guidelines at Johns Hopkins University under ACUC approval. A DBX putty (courtesy of Musculoskeletal Transplant Foundation, Edison, NJ) was used for ectopic bone formation in mice. Briefly, CD107alow or CD107ahigh cells derived from the same human WAT sample at passage five were prepared at a density of 3 million total cells in 40 μl PBS and mechanically mixed with 45 mg DBX putty. DBX alone was used as an acellular control. The cell preparation was then implanted intramuscularly into the thigh muscle pouch of 8-week-old male NOD-SCID mice (RRID:IMSR_JAX:001303, The Jackson Laboratory, Bar Harbor, ME) as previously described with some modifications (James et al., 2012c). Mice were anesthetized by isoflurane inhalation and premedicated with buprenorphine. Incisions in the hindlimbs were made, and pockets were cut in the biceps femoris muscles by blunt dissection, parallel to the muscle fiber long axis. Dissection methods and the surgical manipulation of tissues were kept as constant as possible across animals. The muscle and skin were each closed with 4–0 Vicryl*Plus sutures (Ethicon Endo-Surgery, Blue Ash, OH). See Supplementary file 5 for an outline of animals per experimental group. Surgical implantations and subsequent analyses were performed blinded to treatment group.
Lumbar spine fusion
Request a detailed protocolPosterolateral lumbar spinal fusion was performed on 23-week-old male athymic rats (RRID:RGD_2312499) as previously described (Chung et al., 2014). Posterior midline incisions were made over the caudal portion of the lumbar spine, and two separate fascial incisions were made 4 mm bilaterally from the midline. L4 and L5 lumbar spines were exposed by blunt muscle splitting technique and decorticated using a low speed burr and micro-drill (Roboz Surgical Instrument Co., Gaithersburg, MD). Next, DBX (300 μl per side) mixed with CD107alow or CD107ahigh cells from the same AT sample (1.5 million cells, P3-5 passage) or DBX alone were implanted between the transverse processes bilaterally into the paraspinal muscle bed. Finally, the fasciae and skin were each closed using continuous suture (4–0 Vicryl*Plus, Ethicon Endo-Surgery). In vivo imaging was performed by a combination X-ray/DXA (Faxitron Bioptics, Tucson, AZ) at 0, 4, and 8 weeks after surgery. Rats were sacrificed 8 weeks after surgery, and the spines were harvested for further analysis. See Supplementary file 6 for animals per experimental group. Surgical procedures and subsequent analyses were performed blinded to treatment group.
Post mortem analyses
Request a detailed protocolSamples were fixed in 4% PFA for 24–48 hr and evaluated using a high-resolution micro-computed tomography (μCT) imaging system (SkyScan 1275; Bruker MicroCT N.V, Kontich, Belgium). For intramuscular implants, scans were obtained at an image resolution of 15 μm with a 1 mm of aluminum filter (X-ray voltage of 65 kVP, anode current of 153 uA, exposure time of 218 ms). For spine fusion samples, scans were obtained at an image resolution of 22 μm with a 1 mm of aluminum filter (X-ray voltage of 55 kVP, anode current of 181 uA, exposure time of 218 ms). NRecon software (SkyScan, Bruker) was used to reconstruct images from the 2D X-ray projections. For the 3D morphometric analyses of images, CTVox and CTAn were used (SkyScan, Bruker). For muscle pouch implantation and spine fusion analysis, volumes of interest were shaped to encompass all the implant and exclude native bone, with a threshold value of 65.
After radiographic imaging, samples were transferred to 14% EDTA for decalcification for 28–60 d. Samples were then embedded in OCT for cryosectioning at 18 μm thickness. H and E and ALP staining were performed on serial sections (Leukocyte Alkaline Phosphatase Kit, Sigma-Aldrich). For immunofluorescent staining, sections were washed with PBS three times and blocked with 5% goat serum in PBS for 1 hr at 25° C. Antigen retrieval was performed by trypsin enzymatic antigen retrieval solution (ab970; Abcam) for 10 min at 25° C. Primary anti-osteocalcin antibody (RRID:AB_10675660, 1:100, Abcam) was added to each section and incubated at 4° C overnight. Next, an Alexa Fluor 647 goat anti-rabbit IgG (H+L) polyclonal (RRID:AB_2722623, 1:200, Abcam) was used as the secondary antibody. Sections were counterstained with DAPI mounting medium (RRID:AB_2336788, Vector laboratories).
Statistical analysis
Request a detailed protocolQuantitative data are expressed as mean ±one SD. Statistical analyses were performed using the SPSS16.0 software (RRID:SCR_002865) or GraphPad Prism (RRID:SCR_002798, Version 7.0). Our in vitro studies comparing CD107alow to CD107ahigh cells resulted in effect size of 3.75. Based on α = 0.05 and power = 0.8, statistical significance should be observed with N = 6 animals per group assuming a one-way ANOVA with a 0.05 significance level. Student’s t-test was used for two-group comparisons, and one-way ANOVA test was used for comparisons of three or more groups, followed by Tukey’s post hoc test. Two-way ANOVA test was used for comparisons of two or three groups with different time points. Differences were considered significant with *p<0.05, **p<0.01, and ***p<0.001.
Appendix 1
Data availability
Expression data that support the findings of this study have been deposited in Gene Expression Omnibus (GEO) with the accession codes GSE148519 and GSE128889 (GSM3717979, GSM3717977).
-
NCBI Gene Expression OmnibusID GSE148519. Expression data of CD107aLow and CD107aHigh cells isolated from human adipose tissue.
-
NCBI Gene Expression OmnibusID GSE128889. Identification of a mesenchymal progenitor cell hierarchy in adipose tissue.
References
-
Human perivascular stem cells show enhanced osteogenesis and vasculogenesis with Nel-like molecule I proteinTissue Engineering Part A 19:1386–1397.https://doi.org/10.1089/ten.tea.2012.0367
-
The Krüppel-like factor KLF2 inhibits peroxisome proliferator-activated receptor-gamma expression and adipogenesisJournal of Biological Chemistry 278:2581–2584.https://doi.org/10.1074/jbc.M210859200
-
Cytolytic granule polarization and degranulation controlled by different receptors in resting NK cellsJournal of Experimental Medicine 202:1001–1012.https://doi.org/10.1084/jem.20051143
-
Isolation and characterization of human lysosomal membrane glycoproteins, h-lamp-1 and h-lamp-2. major sialoglycoproteins carrying polylactosaminoglycanThe Journal of Biological Chemistry 263:18911–18919.
-
Human perivascular stem cell-based bone graft substitute induces rat spinal fusionSTEM CELLS Translational Medicine 3:1231–1241.https://doi.org/10.5966/sctm.2014-0027
-
The Tunica adventitia of human arteries and veins as a source of mesenchymal stem cellsStem Cells and Development 21:1299–1308.https://doi.org/10.1089/scd.2011.0200
-
Perivascular multipotent progenitor cells in human organsAnnals of the New York Academy of Sciences 1176:118–123.https://doi.org/10.1111/j.1749-6632.2009.04967.x
-
Roles of LAMP-1 and LAMP-2 in lysosome biogenesis and autophagyMolecular Aspects of Medicine 27:495–502.https://doi.org/10.1016/j.mam.2006.08.005
-
Transactivation of Atg4b by C/EBPβ promotes autophagy to facilitate adipogenesisMolecular and Cellular Biology 33:3180–3190.https://doi.org/10.1128/MCB.00193-13
-
An abundant perivascular source of stem cells for bone tissue engineeringSTEM CELLS Translational Medicine 1:673–684.https://doi.org/10.5966/sctm.2012-0053
-
Use of human perivascular stem cells for bone regenerationJournal of Visualized Experiments 63:e2952.https://doi.org/10.3791/2952
-
Perivascular stem cells: a prospectively purified mesenchymal stem cell population for bone tissue engineeringSTEM CELLS Translational Medicine 1:510–519.https://doi.org/10.5966/sctm.2012-0002
-
Pericytes for the treatment of orthopedic conditionsPharmacology & Therapeutics 171:93–103.https://doi.org/10.1016/j.pharmthera.2016.08.003
-
Perivascular mesenchymal progenitors for bone regenerationJournal of Orthopaedic Research 37:1221–1228.https://doi.org/10.1002/jor.24284
-
Role of the endocytic machinery in the sorting of lysosome-associated membrane proteinsMolecular Biology of the Cell 16:4231–4242.https://doi.org/10.1091/mbc.e05-03-0213
-
Early immunomodulatory effects of implanted human perivascular stromal cells during bone formationTissue Engineering Part A 24:448–457.https://doi.org/10.1089/ten.tea.2017.0023
-
Lysosomal proteins in cell death and autophagyFEBS Journal 282:1858–1870.https://doi.org/10.1111/febs.13253
-
Mesenchymal stem cell perspective: cell biology to clinical progressNpj Regenerative Medicine 4:22.https://doi.org/10.1038/s41536-019-0083-6
-
Tartrate-resistant acid phosphatase (TRAP) co-localizes with receptor activator of NF-KB ligand (RANKL) and osteoprotegerin (OPG) in lysosomal-associated membrane protein 1 (LAMP1)-positive vesicles in rat osteoblasts and osteocytesHistochemistry and Cell Biology 143:195–207.https://doi.org/10.1007/s00418-014-1272-4
-
Targeted disruption of the basic Krüppel-like factor gene (Klf3) reveals a role in adipogenesisMolecular and Cellular Biology 28:3967–3978.https://doi.org/10.1128/MCB.01942-07
Article and author information
Author details
Funding
National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01 AR070773)
- Aaron W James
National Institute of Arthritis and Musculoskeletal and Skin Diseases (K08 AR068316)
- Aaron W James
National Institute of Dental and Craniofacial Research (R21 DE027922)
- Aaron W James
Department of Defense (W81XWH-18-1-0121)
- Aaron W James
American Cancer Society (Research Scholar Grant)
- Aaron W James
American Cancer Society (RSG-18-027-01-CSM)
- Aaron W James
Maryland Stem Cell Research Fund
- Aaron W James
MTF Biologics
- Aaron W James
British Israel Research Academic Exchange Partnership
- Bruno Péault
British Heart Foundation
- Bruno Péault
Department of Defense (W81XWH-18-1-0121)
- Aaron W James
Department of Defense (W81XWH-18-1-0336)
- Aaron W James
Department of Defense (W81XWH-18-10613)
- Aaron W James
The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.
Acknowledgements
We thank the JHU microscopy core facility, JHMI deep sequencing and microarray core facility, and Hao Zhang within the JHU Bloomberg Flow Cytometry and Immunology Core. The slides of human adipose tissue depots used in Figure 1—figure supplement 2 were donated by Drs. Trivia Frazier and Jeffrey Gimble at Obatala Sciences, Inc (New Orleans LA). AWJ was supported by the NIH/NIAMS (R01 AR070773, K08 AR068316), NIH/NIDCR (R21 DE027922), Department of Defense (W81XWH-18-1-0121, W81XWH-18-1-0336, W81XWH-18–10613), American Cancer Society (Research Scholar Grant, RSG-18-027-01-CSM), the Maryland Stem Cell Research Foundation, and MTF Biologics. In addition, MTF Biologics donated reagents for the study. This work was also supported by grants from BIRAX (the Britain Israel Research and Academic Exchange Partnership) and the British Heart Foundation (BHF) to BP. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Health, Department of Defense, or U.S. Army.
Ethics
Human subjects: All human tissues were obtained under Johns Hopkins University institutional IRB approval with a waiver of informed consent (Approval No. IRB00119905 and IRB00137530).
Animal experimentation: All animal experiments were performed according to the approved protocol of the Animal Care and Use Committee (ACUC) at Johns Hopkins University (Approval No. MO19M266 and RA19M268).
Copyright
© 2020, Xu et al.
This article is distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use and redistribution provided that the original author and source are credited.
Metrics
-
- 1,815
- views
-
- 176
- downloads
-
- 15
- citations
Views, downloads and citations are aggregated across all versions of this paper published by eLife.
Download links
Downloads (link to download the article as PDF)
Open citations (links to open the citations from this article in various online reference manager services)
Cite this article (links to download the citations from this article in formats compatible with various reference manager tools)
Further reading
-
- Biochemistry and Chemical Biology
- Medicine
HER2 overexpression significantly contributes to the aggressive nature and recurrent patterns observed in various solid tumors, notably gastric cancers. Trastuzumab, HER2-targeting monoclonal antibody drug, has shown considerable clinical success; however, readily emerging drug resistance emphasizes the pressing need for improved interventions in HER2-overexpressing cancers. To address this, we proposed targeting the protein-protein interaction (PPI) between ELF3 and MED23 as an alternative therapeutic approach to trastuzumab. In this study, we synthesized a total of 26 compounds consisting of 10 chalcones, 7 pyrazoline acetyl, and 9 pyrazoline propionyl derivatives, and evaluated their biological activity as potential ELF3-MED23 PPI inhibitors. Upon systematic analysis, candidate compound 10 was selected due to its potency in downregulating reporter gene activity of ERBB2 promoter confirmed by SEAP activity and its effect on HER2 protein and mRNA levels. Compound 10 effectively disrupted the binding interface between the ELF3 TAD domain and the 391–582 amino acid region of MED23, resulting in successful inhibition of the ELF3-MED23 PPI. This intervention led to a substantial reduction in HER2 levels and its downstream signals in the HER2-positive gastric cancer cell line. Subsequently, compound 10 induced significant apoptosis and anti-proliferative effects, demonstrating superior in vitro and in vivo anticancer activity overall. We found that the anticancer activity of compound 10 was not only restricted to trastuzumab-sensitive cases, but was also valid for trastuzumab-refractory clones. This suggests its potential as a viable therapeutic option for trastuzumab-resistant gastric cancers. In summary, compound 10 could be a novel alternative therapeutic strategy for HER2-overexpressing cancers, overcoming the limitations of trastuzumab.
-
- Medicine
This study investigates the effects of two parathyroid hormone (PTH) analogs, rhPTH(1-34) and dimeric R25CPTH(1-34), on bone regeneration and osseointegration in a postmenopausal osteoporosis model using beagle dogs. Twelve osteoporotic female beagles were subjected to implant surgeries and assigned to one of three groups: control, rhPTH(1-34), or dimeric R25CPTH(1-34). Bone regeneration and osseointegration were evaluated after 10 weeks using micro-computed tomographic (micro-CT), histological analyses, and serum biochemical assays. Results showed that the rhPTH(1-34) group demonstrated superior improvements in bone mineral density, trabecular architecture, and osseointegration compared to controls, while the dimeric R25CPTH(1-34) group exhibited similar, though slightly less pronounced, anabolic effects. Histological and TRAP assays indicated both PTH analogs significantly enhanced bone regeneration, especially in artificially created bone defects. The findings suggest that both rhPTH(1-34) and dimeric R25CPTH(1-34) hold potential as therapeutic agents for promoting bone regeneration and improving osseointegration around implants in osteoporotic conditions, with implications for their use in bone-related pathologies and reconstructive surgeries.