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1From the Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan; and the 2Department of Ophthalmology, Faculty of Medicine, Kagoshima University, Kagoshima, Japan.
| Abstract |
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METHODS. The hyalocytes were isolated from bovine eyes and identified by immunocytochemistry and electron microscope. The expression of PDGF receptor
/ß and its phosphorylation in response to PDGF-BB was analyzed by Western blot analysis. PDGF-BBinduced proliferation and migration were evaluated by thymidine uptake and Boydens chemotaxis assay. The expression of the urokinase-type plasminogen activator (uPA) gene and the fibrinolytic activity were assessed by Northern blotting and fibrin zymography. An in vitro type I collagen gel contraction assay was performed to determine the effect of PDGF-BB on cellular contraction.
RESULTS. The hyalocytes were immunocytochemically positive for S-100 and negative for glial fibrillary acidic protein (GFAP) and cytokeratin, as previously described. The electron microscope demonstrated that hyalocytes possess lysosome-like granules, mitochondria, and micropinocytotic vesicles in their cytoplasm. The hyalocytes expressed PDGF receptor
and ß, both of which were immediately phosphorylated in response to PDGF-BB. PDGF-BB also activated p85 PI3-kinase, p44/p42 mitogen-activated protein (MAP) kinase and p38 MAP kinase. PDGF-BB induced thymidine uptake and migration in a concentration-dependent (010 ng/mL) manner. Inhibitors of the respective kinases prohibited PDGF-BBdependent thymidine uptake and migration with the exception of the p44/p42 MAP kinase inhibitor, which displayed no inhibitory effects on migration. PDGF-BB increased uPA gene expression and fibrinolytic activity. Collagen gel contraction observed under PDGF-BBrich conditions was not prohibited by the respective inhibitors investigated.
CONCLUSIONS. The hyalocytes demonstrated macrophage-like characteristics and may have both physiologic and pathologic roles, such as the maintenance of vitreous transparency through fibrinolytic activity and the pathogenesis of proliferative-vitreoretinal diseases through cellular proliferation and vitreous hyper-contraction.
Hannover1 was the first to describe the cells in the vitreous cavity, which were later named hyalocytes.2 It is reported that the hyalocytes mainly subsist in the vitreous cortex, vitreous base, and posterior chamber.3 4 Histologically, the hyalocytes have characteristics similar to those of macrophages. They possess lysosomes, mitochondria, ribosomes, and micropinocytotic vesicles,3 and express leukocyte-associated antigens CD45, CD11a, CD64, and S-100 and major histocompatibility complex class I and II, but do not express CD68, CD11b, CD14, glial fibrillary acidic protein (GFAP), and cytokeratin.5 Although most of the facilities and roles of hyalocytes remain unclear, the hyalocytes are thought to be one of the macrophage lineage and are likely to be broadly associated with physiological and pathologic conditions, including the maintenance of the vitreous as avascular and transparent tissue.6 7 8 9
Platelet-derived growth factor (PDGF) is the variously functionalized cytokine primarily isolated from the platelets and consists of combinations of two peptides: PDGF-A chain and -B chain (AA, AB, and BB dimmers). Needless to say, PDGF increases in the injured microenvironment, as in vitreous hemorrhage, for example.10 11 Locally released PDGF affect the functional property of many types of cells including monocytes-macrophages. PDGF-BB is the predominant PDGF isoform under investigation with respect to its potential for promoting the healing of wounds12 and is already known to be increased in the eyes with diseases such as proliferative vitreoretinal diseases including diabetic retinopathy.10 13 14 15 In contrast, the PDGF specific cell surface receptor consists of dimmers from two subunits
(PDGFR
) and ß (PDGFRß). Because the PDGF-B chain is capable of binding to both PDGFR
and ß, the signaling pathway from PDGF-BB includes all signaling induced by PDGF. On the basis of these findings, it is theoretically possible that locally released PDGF-BB may affect the functional properties of hyalocytes thought to possess macrophage-like characteristics.
In the present study, we addressed the contribution of PDGF-BB to the functional alteration of hyalocytes and elucidated a part of their physiological and pathologic roles.
| Materials and Methods |
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Cell Culture
Bovine eyes were obtained from a local abattoir. The posterior part of the vitreous body was extracted and washed once in Dulbeccos modified Eagles medium (DMEM; Nakalai Tesque, Kyoto, Japan). The vitreous was chopped into several pieces and incubated in type I collagen-coated dishes poured DMEM with 20% fetal bovine serum (FBS; Invitrogen-Gibco, San Diego, CA) for 1 week. The cells that had proliferated on the dishes were trypsinized and then subcultured in type I collagencoated dishes containing DMEM with 20% FBS. This condition was used for the growth condition of the hyalocytes. Cultured hyalocytes obtained between passages 4 and 8, which had shown no obvious morphologic change were used for the following experiments. Retinal pigment epithelial (RPE) cells and retinal glial cells were also isolated from bovine eyes, as previously described.16 17 18
Immunocytochemistry
Hyalocytes were seeded and cultured in fibronectin-coated chamber slides (Nalge Nunc, Rochester, NY) and used for immunocytochemistry. The cells were washed twice in phosphate buffered saline (PBS), dried out completely, and fixed in 20°C acetone for 10 minutes. The cells were then redried and incubated for 20 minutes in PBS containing 1% skim milk (Nakalai Tesque). S-100, GFAP, and keratin were detected with respective antibodies (anti-S-100 antibody, Sigma-Aldrich; anti-GFAP antibody, Dako Cytomation; and anti-pan-cytokeratin antibody, Santa Cruz Biotechnology) using the avidin-biotin-peroxidase complex method, as previously described.19
Electron Microscopy
The 1-week-cultured vitreous in which the cells proliferated homogeneously was fixed in 1% glutaraldehyde and 1% paraformaldehyde in phosphate buffer. The vitreous was then postfixed in veronal acetate buffer osmium tetroxide (2%), dehydrated in ethanol and water, and embedded in Epon. Ultrathin sections were cut from the blocks and mounted on copper grids. The specimens were observed with a electron microscope (JEM 100CX; JEOL, Tokyo, Japan), as previously described.20
PDGF Receptor Phosphorylation
Subconfluent hyalocytes were starved in DMEM containing 1% FBS for 8 hours. Cells were then stimulated with 10 ng/mL PDGF-BB for the indicated time. The hyalocytes were washed once in cold 1x PBS and lysed in 1x Laemmli buffer (50 mM Tris [pH 6.8], 2% SDS, and 10% glycerol) containing protease inhibitors (1 mmol/L phenylmethfluorideylsulfonyl [PMSF], 2 µg/mL aprotinin, 10 µg/mL leupeptin, 1 mM NaF, and 0.5 mM Na3VO4).21 Cell lysates were incubated with anti-PDGF receptor
or ß polyclonal agarose-conjugated antibody in a 1x immunoprecipitation buffer (1x 1% Triton X-100, 150 mM NaCl, 10 mM Tris [pH 7.4], 1 mM EDTA, 1 mM EGTA, 0.2 mM Na3VO4, 0.2 mM PMSF, 0.2 mM NaF, and 0.5% NP-40) for 24 hours. Immunoprecipitates were washed with a 1x immunoprecipitation buffer and centrifuged. Proteins were extracted with a 2x electrophoresis sample buffer (1x 125 mM Tris-HCl [pH 6.8], 2% SDS, 5% glycerol, 0.003% bromophenol blue, and 1% ß-mercaptoethanol). The extraction was subjected to 6% SDS-PAGE and transferred to nitrocellulose filters (New England Biolabs). The blots were incubated with anti-phosphotyrosine antibody (4G10) followed by incubation with HRP-conjugated secondary antibody. Visualization was performed using enhanced chemiluminescence (ECL; Amersham, Arlington Heights, IL) detection system according to the manufacturers instructions and the density of the signals was measured and analyzed using analysis software (NIH image, version 1.55; available by ftp at zippy.nimh.nih.gov/ or at http://rsb.info.nih.gov/nih-image; developed by Wayne Rasband, National Institutes of Health, Bethesda, MD).
p44/p42, p38 MAPK, and p85 PI3K Phosphorylation
PDGF-BB-induced MAPK and PI3K phosphorylation was evaluated by Western blot analysis. After 8 hours of starvation in DMEM containing 1% FBS, the cells were stimulated with PDGF-BB at the indicated dose and time. Cells were lysed as described earlier. Phospho-MAPK/PI3K/p38 and total MAPK/PI3K/p38 were detected with the respective antibodies. Visualization was performed as described earlier.
[3H]-Thymidine Uptake
The hyalocytes were seeded into 24-well plates at a density of 1 x 104 cells/well. The media were replaced by DMEM with 3% fatal fetal bovine serum (FBS) the next day. After 24 hours, the cells were stimulated with PDGF-BB for 18 hours. [3H]-thymidine was then added (0.25 µCi/well) for an additional 5 hours, after which the cells were washed, fixed, and lysed. Incorporated [3H]-thymidine was determined by scintillation counting, as previously described.21
Chemotaxis Assay
The assay was performed using a 24-well Boyden chemotaxis chamber (8 µm-sized pores; Chemotaxicell, Kurabo, Japan), with a slight modification to the previously described method.22 The cells grown in DMEM containing 20% FBS until subconfluence were harvested briefly, and the suspension (1.5 x 105 cells/300 µL DMEM containing 1% FBS) was placed in the upper chamber. The membrane separating each pair of wells was precoated with fibronectin and the chemoattractants (PDGF-BB at 0, 1, 10 ng/mL in DMEM containing 1% FBS) placed into the wells of the lower chamber. After incubation for 4 hours at 30°C, the upper surface of the filter was scraped with a cotton-tipped stick to remove nonmigrated cells, and the membrane with the migrated cells were fixed and stained (Giemsa staining Diff-Quick stain kit; Dade Behring AG, Dudingen, Switzerland) and mounted onto glass slides. For quantitative analysis, the cells were observed using a 100x objective on a light microscope. Three random objective fields of stained cells were counted for each well, and the mean number of migrating cells per one field was calculated. The number of migrated cells, obtained from six independent wells for each group, was compared using ANOVA and the Dunnett test.
Northern Blot Analysis
Gene expression of uPA was evaluated by Northern blot analysis, as previously described.23 Total RNA was purified from cultured hyalocytes using the acid guanidine thiocyanate-phenol-chloroform extraction (AGPC) method. Radioactive probes were generated using labeling kits (Multiprime; Amersham) and [32P]dCTP (NEN, Boston, MA). Quantitation of Northern blot analysis was performed using a computing phosphorescence imager (PhosphorImager with ImageQuant software analysis; Molecular Dynamics, Sunnyvale, CA). Lane loading differences were normalized by rehybridization with radiolabeled 36B4 cDNA probe as an internal control gene.23
Fibrin Zymography
The fibrinolytic activity was assayed by direct zymography.24 Cells were lysed in Laemmli buffer as described earlier. Each sample and recombinant urokinase-type plasminogen activator (u-PA; Chemicon, CA) as a positive control were applied for gel electrophoresis. The gel was washed for 2 hours with 2.5% Triton X to remove SDS and placed on the fibrin plate containing plasminogen-rich fibrinogen (15 mg/mL; Sigma-Aldrich), thrombin (0.125 U/mL; Mitsubishi Pharma, Tokyo, Japan) with or without leupeptin (30 µM; Cal Biochem) which is a selective inhibitor of plasmin activity,25 and incubated for 4 hours at 37°C to allow fibrinolysis to occur. The fibrin plate was then stained with Coomassie blue and destained with 40% methanol and 10% acetic acid.
Collagen Gel Contraction
The contraction assay was performed as previously described, with some modifications.26 Bovine hyalocytes were collected by treatment of cultures with trypsin-EDTA for 3 minutes, washed with unsupplemented MEM, and resuspended in MEM at a density of 2.2 x 106 cells mL. Type I collagen (Koken Co., Ltd., Tokyo, Japan), reconstitution buffer, hyalocytes suspension, and water were mixed on ice at a ratio of 7:1:1:1:1 (final concentration of type I collagen gel, 1.9 mg/mL; final cell density, 2 x 105 cells/mL. The resultant mixture (0.5 mL) was added to a 24-multiwell plate (Nunc, Roskilde, Denmark), and the formation of collagen gels induced by incubation at 37° centigrade under 5% CO2 for 60 minutes). After gelatinization, 0.5 mL of DMEM was added to each well. The gels were then freed from the walls of the culture wells with a microspatula. The diameter of the collagen gel was measured with a ruler 48 hours after stimulation. For quantitative purposes, contraction data are presented as the change in diameter.
| Results |
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and ß, respectively. As shown in Fig. 2 , autophosphorylation of PDGF receptor
was detected within 2 minutes and the maximum level achieved 15 minutes after PDGF-stimulation. In contrast, autophosphorylation of PDGF receptor ß reached its maximum level within 2 minutes and declined thereafter. To confirm the protein levels of PDGF receptors, the membrane was reprobed with antibodies against PDGF receptors. Prominent expression of both isoform was detected. These protein levels, however, gradually decreased after treatment with PDGF, indicating the existence of a degradation mechanism after phosphorylation.
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Collagen Gel Contraction
We hypothesized that the hyalocytes could be involved in proliferative vitreoretinal diseases by means of the contraction of the vitreous and the proliferative membrane. We thus confirmed the functional property of hyalocytes under PDGF-rich condition in collagen gel. The control gel showed no apparent contraction, whereas PDGF-BB significantly lessened (10% compared with control, P < 0.05) the collagen gel diameter (Fig. 7) . In the absence of PDGF-BB, the collagen gel diameter was not influenced by the inhibitors investigated (PD98059, wortmannin, and SB203580). In contrast, PD98059 demonstrated further shrinking of collagen gel contracted by PDGF-BB (17.8% contraction compared with control in the presence of PDGF-BB, P < 0.01).
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| Discussion |
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Accumulating studies using both light and electron microscopes have indicated that the hyalocytes are morphologically very similar to macrophages, and the most popular concept about their origin proposes that the hyalocytes originate from the blood monocytes.31 Accordingly, the hyalocytes are assumed to be resident macrophages of the vitreous cavity under physiological conditions. However, it has been reported that the hyalocytes may be composed of at least two different morphologic populations.30 One population of hyalocytes are distributed on the epithelial surface of the ciliary body where the cells are stellate with some short processes, and the other is distributed randomly on the vitreous surface in the posterior part of the eyeball, where they are elongated in shape with a spherical perikaryon and a few stout processes. In the present study, we used the cells in the posterior part of the vitreous, because we supposed these cells at least to be involved in the pathogenesis of various vitreoretinal diseases. Although the functional differences of these two types are not completely understood, the former seems to be concerned with the regression of the tunica vasculosa lentis on the embryonic lens.32 In addition, the hyalocytes distributed on the epithelial surface of the ciliary body are associated with the loss of capillary integrity, leakage of erythrocytes into the vitreal compartment and phagocytosis of the apoptotic endothelium.8 9 33 It also has been reported that the hyalocytes are directly responsible for the endothelial cell death in this system.9 Furthermore, Zhu et al.6 reported that hyalocytes secrete some antiangiogenic factors. Considering this evidence, the hyalocytes are thought to be active in maintaining the vitreous cavity as an avascular and transparent tissue. In the present study, we demonstrated the fibrinolytic activity of hyalocytes. In the vitreous cavity, the humoral element circulates poorly because of the gelatinous structure of the vitreous. Therefore, a vitreous hemorrhage tends to remain in the cavity for a long time. The fibrinous material not only affects the visual acuity by its opacification, but the fibrinous membranes on the retinal surface are likely to function as a scaffolding for infiltrating cells, resulting in fibrous membrane formation and retinal traction. It is thus reasonable that hyalocytes digest the fibrinous material in the vitreous cavity as a physiological function, indicating one of the physiological properties of the cells as the maintainer of vitreous transparency.
In contrast, it is thought that the hyalocytes themselves may be involved in vitreoretinal interface diseases such as epiretinal membrane formation, macular hole, and diabetic macular edema.34 35 Faulborn et al.36 reported that human hyalocytes in diabetic eyes have a different shape compared with those in normal eyes, and their number seemed to be increased. Certainly it has been reported that PDGF increases in such hemorrhagic and/or proliferative pathosis.10 11 13 14 15 In addition to PDGF, many factors, including transforming growth factor-(TGF)-ß, have been thought to contribute to the pathogenesis of proliferative vitreoretinal diseases.37 38 39 It is possible that the interaction between these factors may result in a vicious cycle. In the present study, PDGF enhanced the plasmin activity of hyalocytes. Plasmin is known to promote the release of latency-associated peptides from latent TGF-ß1, leading to the activation of this cytokine.40 41 TGF-ß is known to be a multifunctional cytokine that modulates the proliferation and differentiation of many cell types and is considered to bring about the increase of extracellular matrix production, resulting in the formation and contraction of proliferative membranes.26 39 42 43 In the presence of a high concentration of TGF-ß in diseases such as proliferative diabetic retinopathy and proliferative vitreoretinopathy, TGF-ß is known to encourage the proliferation of retinal endothelial cells and fibroblasts and to act on the contraction of proliferative membranes as a consequence.37 38 39 Therefore, in proliferative diseases, plasmin activated by the hyalocytes plasminogen activator would activate TGF-ß, which might exacerbate the pathosis by the formation of a fibrous membrane and its cicatricial contraction.
In this study, we demonstrated the promoting effect of PDGF-BB on the proliferation of cultured hyalocytes. Moreover, PDGF-BB induced the contraction of collagen gel containing the hyalocytes, indicating the involvement of hyalocytes in the pathogenesis of various vitreoretinal diseases. Of note, whereas kinase inhibitors such as PD98059 (MEK1 inhibitor), wortmannin (PI3-kinase inhibitor), and SB203580 (p38 MAPK inhibitor) prominently inhibited PDGF-dependent proliferation of hyalocytes respectively, only PD98059 rather promoted further contraction of the collagen gel induced by PDGF-BB. From these results, the signaling pathway leading to the proliferation and contraction thus seems to come from different directions, and the p44/p42 MAPK pathway, not the PI3-kinase or p38 MAP-kinase pathways, may be a diverging point. The exact mechanisms are still unclear from the present study. More precise examination regarding the intracellular signaling pathway is needed, to elucidate the control of the vitreoretinal diseases by various agents. In addition, we used type I collagen in both two- and three-dimensional experiments in this study. However, the main component of collagen in the vitreous is type II collagen. It is thus impossible to interpret directly the results obtained in this study, to explain pathogenesis in vivo. Further research is required for this area to be fully understood.
In the present study, we confirmed the histologic characteristics of the hyalocytes and demonstrated both the physiological and pathologic roles of the hyalocytes in part. The hyalocytes appear to be one of the maintainers of vitreous transparency. However, if the pathologic conditions continue over a long period or exceed a certain limit, the hyalocytes themselves may exacerbate the disease conditions.
| Acknowledgements |
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| Footnotes |
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Submitted for publication October 2, 2003; revised February 3, 2004; accepted March 9, 2004.
Disclosure: Y. Noda, None; Y. Hata, None; T. Hisatomi, None; Y. Nakamura, None; K. Hirayama, None; M. Miura, None; S. Nakao, None; K. Fujisawa, None; T. Sakamoto, None; T. Ishibashi, None
The publication costs of this article were defrayed in part by page charge payment. This article must therefore be marked "advertisement" in accordance with 18 U.S.C.
1734 solely to indicate this fact.
Corresponding author: Yasuaki Hata, Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-Ku, Fukuoka 812-8582, Japan; hatachan{at}med.kyushu-u.ac.jp.
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