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Original Articles

MIF

Expression in the

Rat

Brain:

Implications for Neuronal Function

Michael

Bacher,'

Andreas Meinhardt7

Hui

Y. Lan,3

Firdaus

S.

Dhabhar,'

Wei Mu,3 Christine

N. Metz,'

Jason

A.

Chesney,' Diethard

Gemsa,5

Thomas

Donnelly,'

Robert C. Atkins,3

and

Richard Bucala'

'The

Picower Institute for Medical

Research,

Manhasset,

New

York, U.S.A.

2Institute of

Reproduction

and

Development

and

3Department

of

Nephrology,

Monash Medical

Centre, Clayton,

Victoria,

Australia

4Laboratory

for

Neuroendocrinology,

Rockefeller

University,

New

York, New York, U.S.A.

5Institute for

Immunology, Philipps-University, Marburg, Germany

Communicated by R. Bucala. AcceptedFebruary 15, 1998.

Abstract

Background:The mediator knownhistoricallyas

mac-rophagemigrationinhibitory factor(MIF)hasbeen

iden-tified recently asbeingreleased into the circulation by

the anterior pituitaryglandas aconsequenceofstress or

duringasystemicinflamnnatoryresponse.Macrophages

and Tcells alsosecreteMIF,bothinresponseto

proin-flanmnatoryfactorsoruponstimulation with

glucocorti-coids. Once released, MIF "overrides" or

counterregu-lates the immunosuppressive effects of steroids on

cytokine productionand immunecellular activation.To

furtherinvestigate thebiologyof MIF and its roleinthe neuroendocrine system, we have studied the regional

and cellular expression of MIF in brain tissue obtained

from normal ratsandrats administered LPS

intracister-nally.

Materials and Methods:Ratbrain sectionswere

ana-lyzed by immunohistochemistryutilizingan

affinity-pu-rified,anti-MIFantibodyraisedtorecombinant MIF, and

byinsituhybridization usingadigoxigenin-labeled,

an-tisense MIF cRNA probe. The kinetics of MIF mRNA

expression in brain were compared with that of IL-1,

IL-6, and TNF-a by RT-PCR of total brain RNA. The

cerebrospinal fluid content of MIFand TNF-aproteins

wasanalyzed byWesternblottingandELISA.

Results: A strong baseline expression pattern for MIF

wasobservedin neurons of the cortex, hypothalamus,

hippocampus, cerebellum, and pons. Byinsitu

hybrid-ization, MIF mRNA was found predominantly in cell

bodies whereasMIFproteinwasdetectedmostly within

the terminal fields associated withneurons.Therewas a

marked pattern of MIF immunoreactivity within the

mossy fibers of the dentate gyrus anddendrites of the

hippocampal CA3 field. These structures have been

shown previously to be involved in

glucocorticoid-in-duced tissuedamage within the hippocampus,

suggest-inganassociationbetween MI; and targetsof

glucocor-ticoidaction.Theintracistemal injection ofLPSincreased

MIF mRNA and protein expression in brain and MIF

immunoreactivitywas dueinpart toinfiltrating

mono-cytes/macrophages. MIW protein also was found to be rapidly released into the cerebrospinal fluid. This

re-sponsecorrespondedwith that of LPS-inducedcytokine

releaseand MIFmRNA expression increasedina

distri-bution thatcolocalizedinlarge part with that of TNF-a,

IL-1,B, andIL-6.

Conclusion:Thesignificantlevels ofbaseline and

induc-ibleMIF expressioninthe brain anditsregional

associ-ation with glucocorticoidactionunderscore the

impor-tance of this mediatoras aphysiologicalregulator of the

inflammatorystressresponseand further defineitsrole

(2)

Introduction

Theprotein mediatorknownasmacrophage

mi-gration inhibitory factor (MIF) was one of the

first cytokine activitiestobe discovered andwas

described 30 years ago as aT cell-derived factor

that inhibited the random migration of

macro-phages (1-3).Morerecentstudies haveledtothe

description of a pituitary mediator that appears

toactas anendogenous, counterregulatory hor-mone for glucocorticoid action within the im-munesystem.Isolatedas aproduct ofananterior

pituitary cell line, this protein was sequenced

andfound tobe themouse homologofMIF (4).

Subsequent work showed thatmacrophagesand

Tcells secreteMIFinresponse toglucocorticoids

andactivationbyproinflammatory stimuli (5,6).

Oncereleased, MIFcan"override" the

immuno-suppressive effects of steroids on cytokine

pro-duction and cellular activation. Since

glucocorti-coids are an integral component of the host reaction to invasive stimuli, it has become

evi-dentthat MIFcanact ataninflammatory siteor

lymphnode tocounterbalancethe inhibitory ef-fects ofsteroidsontheprimaryimmuneresponse

that must necessarily be mounted to eliminate the source of infection ortissue invasion.

Despite evidence establishing acritical

func-tion for MIF in the immune and inflammatory

responses, emerging data have also identified

MIF as an important component of the

endo-crine system and the

hypothalamic-pituitary-adrenal (HPA) axis. Western and Northern analyses have shown MIF to be expressed

con-stitutively by the anterior lobe of the pituitary glandand tobereleased intothe circulation as a consequence of stress or inflammatory stimuli

(4,6). Immunogold electron microscopy studies have shownthat MIF is secreted from the same

pituitary cell granules as those containing

adre-nocorticotropic hormone (ACTH) and thyroid-stimulating hormone (TSH) (7). MIF transcripts

and protein are also expressed in the

aldosterone- and glucocorticoid-producing

epi-thelialcells of the adrenal cortex (8), the testos-terone-producing Leydig cells of the testes (9), and the insulin-secreting ,B cells of the pancreas

(10). Furthermore, the isolation of MIF protein has been reported recently from whole bovine

brain cytosol (1 1).

Addresscorrespondenceandreprintrequests to:Dr. Rich-ardBucala,ThePicowerInstituteforMedicalResearch,

350Community Drive, Manhasset, NY 10021, U.S.A. Phone: 516-365-4200; Fax:516-365-5286; E-mail:

[email protected]

Toinvestigatemoreclosely the roleofMIF as anneuroimmunomodulatoras wellasits poten-tial roleinthephysiologyof the centralnervous system, wehave performed a systematic

exami-nation ofMIFexpression in ratbrainby

immu-nohistochemistryand in situ hybridization, both before and after the intracisternal injection of

lipopolysaccharide (LPS). We report herein that MIF is expressedprominentlyandin aregulated

fashion inratbrain parenchyma andin cerebro-spinal fluid (CSF).

Materials

and Methods

Animals

Male Sprague Dawley rats (250-300 grams)

were obtained from Zivic-Miller Laboratories

(Zelenople, PA) and were used for all experi-ments. The animals were maintained under strict, pathogen-free conditions and had free ac-cess to food and water.

Surgery

In-dwelling cannulae were preassembled, steril-ized prior to surgery, andimplanted using strict aseptictechniqueatZivic-Miller Laboratories. All rats were anesthetized in a chamber supplied with a 2.5% mixture of halothane and oxygen for approximately 3-5 min, or until the proper

surgical plane of anesthesia was attained. The

rats then were placed on a stereotactic frame

equipped with an anesthesia mask. A 1.5-cm mid-sagittal skin incision was made onthe scalp

to expose the skull, and the exposed area was

vigorously wiped with a fresh cotton applicator

toremoveconnectivetissue. This skull was then dried and the lambda was identified. With the

use ofa dental drill andaNo. 2 dentalburr, one

hole was carefully drilled through the skull at

approximately2 mmposteriorand 2 mmlateral

to lambda. One #0-80 stainless steel machine

screwwascarefullyinsertedsothatit wasseated above the dura. The incisor bar of the stereotactic frame was adjusted so that the animal's head

pointeddown.Asmall scrapperwasthen usedto

remove any muscle fibers from their point of

(3)

ad-vanced to a predetermined length for tip place-ment in the cisterna magnum. Cyanoacrylate gluewasusedtoimmobilizethe cannula and seal the opening. The needle was attached to the skullbymeansof dentalacrylic andwasplugged withPE20 tubing that had been heat sealed. The dentalcement wasallowedtoharden for approx-imately 5min,and the animalwasreleased from the stereotactic frame. The rats were then

in-jected with antibiotic and placed in a heated

recovery cage. As the rats regained their righting reflex, they were removed from the heated

re-covery cageand housedinindividual cagesinan

animal holding room. All procedures were in compliancewith the standards recommendedby

the "Guide for the Care and Use of Laboratory Animals" (NIH publication No. 85-23, revised 1985). All intracisternally cannulated rats were

maintained and shipped with water and normal chow ad lib.

Endotoxin Treatment

LPS (E. coli0 1 1:B4, Sigma, St. Louis, MO) was dissolved in 50 ,ul of artificial CSF and adminis-tered by intracisternal injection at a dose of

0.2 mg/kg. The same volume of CSF was col-lected through the intracisternal cannula from five animalsbefore (0 hr), and after 3, 6, and 24

hrofLPS treatment. CSF wasreplaced for every

time point with the same volume of artificial

CSF. Alternatively, three animals were killed at

the same time points following LPS administra-tion and the brains were removed, snap-frozen

in liquid nitrogen, and stored at -80°C for sub-sequent RNA isolation. Three control animals

were injectedwith artificial CSF alone.

IMMUNOHISTOCHEMISTRY. Animals were

sacri-ficed by CO2 asphyxiation and the brains re-moved and fixed by immersion in 4% buffered

paraformaldehyde for 24 hr. The tissues were then dehydrated in a graded series of ethanol and embedded inparaffin. The tissues were cut into 5- to 6-,um sections, mounted onto

poly-L-lysine-coated glass slides, deparaffinized in xy-lene, and passed through decreasing

concentra-tions ofalcohol into water. The specimenswere

then treated in 3% H202 inphosphate-buffered saline (PBS) for30 min inthe darktoinactivate

endogenous peroxidases. The sections were

in-cubated in blocking solution (LSAB/horseradish

peroxidase kit, DAKO, Botany, Australia) for 30 min and then rinsed in PBS/0.05%Tween-20.

Tissue sections were stained with a rabbit

polyclonal anti-MIF antibody that was raised to

purified, recombinant mouse MIF (rMIF) and

affinity purified by the following procedure. Briefly, 120 ,ug ofrMIF was electroblotted onto

nitrocellulose membranes (Schleicher and

Schuell, Dassel, Germany) and the membranes

then cut into small pieces, transferred into glass tubes, and incubated on a shaker for 1.5 hr

(25°C) with a 1:50 dilution of the rabbit, poly-clonal anti-MIF serum. The bound antibodies were elutedby incubating themembrane pieces

in PBS (1 ml) at 52°C for 30 min. The

superna-tants containing the affinity-purified anti-MIF

antibodies were then removed and the process

was repeated until a total of8 ml was obtained.

The solution was concentratedto afinal volume of 1 ml using centrifuge concentrators, supple-mented with 0. 1% bovineserumalbumin (BSA) and 0.02% NaN3, and stored at 4°C until use.

Control studies of rodent tissues andserum

an-alyzed by Western blotting established that the

anti-mouse MIF antibody displayed complete cross-reactivitywith rat MIF, which differs from the mouse protein by only a single amino acid residue (rat MIF: Ser54, mouse MIF: Asn54) (4,12). Each section wasincubated overnightat

40C with the affinity-purified anti-MIFantibody (dilution 1:2-1:4). Antibody preabsorbed with

rMIF and preimmune serum were utilized as negative controls (8). Following three washesin

PBS/0.05% Tween-20, thebound antibody was visualized using the universalLSAB-2 horserad-ish peroxidase kit according to the

manufactur-er's instructions (DAKO). The sections were

stained with 3-amino-9-ethylcarbazole as chro-mogenicsubstrate and counterstained with

Mey-er's hematoxylin. MIF expression in monocytes

was examinedby staining sections with an

anti-CD68 antibody (ED-1, obtained from Serotec, Germany) diluted 1:200.

In Situ Hybridization

An MIF probe was prepared by first subcloning the420 bp XbalBamHI cDNAfragmentintothe Bluescript Sk+ vector (Stratagene, LaJolla, CA) (13). This MIF fragment is derived from the

mouse MIFgenebut is 100%homologous to rat

MIF (4,12) and showsa single mRNA species of the predicted size when used as probe for the Northern blotting of total rat RNA (13,8). The

senseandantisense MIF cRNAprobes were

pre-pared from the linearized phagemid and labeled with digoxigenin-I1 -UTP (Boehringer

(4)

accord-ing to the manufacturer's protocol. The incorpo-ration of digoxigenin-labeled nucleotides was assayed by spotting serial dilutions of probes

onto nylon membrane (Amersham, Australia)

and detecting the bound probe with alkaline phosphatase-conjugated Fab fragments of anti-digoxigenin IgG with 4-nitroblue tetrazolium

chloride (NBT) and X-phosphate substrates

ac-cording to the manufacturer's instructions (Boehringer Mannheim, Germany). Only a

probe giving detection at less than or equal to

0.1 pg/ptlwasused, since digoxigenin incorpora-tionlevels below this level gave poorsignalsin in

situhybridizations. Insituhybridizationwas per-formed on formalin-fixed, paraffin-embedded brain tissues that were cut into 4-,um thick

sec-tions and adhered tosilanated, RNase-free glass

slidesbyheatinginan oven at60°Cfor 1 hr. The

sections were dewaxed in xylene (2 X 15 min) followed by a graded ethanol series, and rehy-drated in RNase-free PBS. A newly developed

microwave technique together with a conven-tional proteinase K treatment was used to

pre-treat the sections (14). Briefly, the slides were

placed in a plastic slide rack and immersedinside

a plastic beaker containing 300 ml of 0.01 M

sodium citrate buffer (pH 6.0). The beaker was

covered withpolyethylene plastic wrapping and placedinthe center of a microwave oven (Model MX245, Samsung, S. Korea) with an operating

frequency of 2450 MHz and a power output of

900 W. The slideswereheatedfor periods of2 x

5 minatthemaximal power setting, resultingin 140-145 sec ofboiling time. The sections then

were digested with 10 ,ug/ml proteinase K (Boehringer Mannheim, Germany) in 0.5 M

NaCl/ 10mMTris-HClbuffer (pH 8.0) at 370Cfor

20minfollowed by treatment in0.2 M HCl/1%

Triton X-100. After washingin2X SSC, the sec-tions were prehybridized for 1 hr at 420C with

0.1 ml of hybridization buffer that contained 50% deionized formamide, 4X SSC, 2X

Den-hardt's solution, 1 mg/ml of salmon sperm DNA (Boehringer Mannheim), and 1 mg/ml yeast

tRNA. After washing in 2x SSC, the sections

were incubatedovernight at 420C with 50 ,ul of thehybridization buffer containing 600ng/ml of thedenatured digoxigenin-labeled sense or anti-sense cRNA probe. The sections were then washedtwicewith2 X SSC at roomtemperature, followedby0.1X SSC at420C. Forthe detection of the digoxigenin-labeled hybridizedprobe, the

sections were first blocked with 10% normal

sheepserumfor20minand then incubated with alkaline phosphatase-conjugated, sheep

anti-digoxigenin IgG for 1 hr at room temperature.

The color was developed in the dark with the

chromogenic agents NBT and x-phosphate and 20 mM levamisole for 3 hr. After the color was

fullydeveloped, the sections werewashed,

coun-terstainedwithPAS,and mounted in anaqueous

solution. To make semi-quantitative

compari-sons between various hybridizations, all tissues

weretreatedby exactlythe sameproceduresand

the color developmentwas stopped at the same time (3 hr).

Two controls were employedtovalidate the

specificity of hybridization signals. First, serial sections were hybridized with a

digoxigenin-la-beled sense cRNAprobeat the same concentra-tionasthecorresponding anti-sense probes.

Sec-ond,serial sections in which noprobewasadded were usedto assess backgroundstaining.

DNA

Amplification

Reverse transcription-polymerase chain reaction (RT-PCR) studies utilized the intron-spanning primer pairs for MIF: 5'-CCATGCCTATGTTCAT CGTG-3' and 5'-GAACAGCGGTGCAGGTAA GTG-3' (381 bp) (15); IL-113: 5'-ATGTCTTGCCC GTGGAGCTT-3' and5'-TGTCCCGACCATTGCTG 1TT-3' (541 bp) (16); IL-6: 5'-CAAGAGACTTCC

AGCCAGTTGC-3' and 5'-TTGCCGAGTAGACC

TCATAGTGACC-3' (614 bp) (17); TNF-a:

5'-CAAAACTGCAGTGACAAGCC-3' and 5'-GGA

CTCCGTGATGTCTAAGT-3' (423 bp) (18); ,3-actin: 5'-CCTGTGGCATCCATGAAACT-3' and

5'-ATCGTACTCCTGCTTGCTGA-3' (278 bp) (19). Each primer pair yielded the predicted size of the amplified DNA product. Frozen tissues

weregroundinRNAzol-B (Tel-Test Inc.,

Friends-wood,TX) usingapolytron (Littau, Switzerland) tissue homogenizer. cDNA was prepared from

0.5-1.0 ,g of total RNAusing 0.25 ng of

oligo-(dT)12-18 and SuperscriptII followingthe

man-ufacturer's protocol (Gibco BRL, Gaithersburg,

MD).Two-microliteraliquots of cDNA thenwere amplified byPCRin aPerkin-Elmer model 9600

thermalcyclerusing theprimerslisted above and the following cycling program: denaturation for 1 minat 95°C,annealing for 10 sec at 550-650C, and extension for 20 sec at 720C.

CSFAnalysis forMIFand TNF-a

CSF sampleswere obtained atbaseline and 3, 6, and24hrafter the intracisternal injection ofLPS.

MIF content was analyzed by Western blotting

(5)

(20). Rat TNF-a was analyzed by ELISA using a commercially available kit and following the manufacturer's protocol (Genzyme, Cambridge, MA). All samples were runin triplicate.

Results

Localization ofMIFmRNA in RatBrain

To examine first the regionaland cellular local-ization of MIF mRNA in rat brain, sagittal sec-tionsof adult brain tissue were hybridized with a digoxigenin-labeled, antisense MIF cRNAprobe. As acontrol, sections werealso hybridized under the same conditions with a digoxigenin-labeled, sense cRNAprobe. An excellent signal-to-noise ratio wasobtained by thismethod and cell bodies hybridizing to the MIFantisenseprobe were de-tected in each of the sagittal sections that were

analyzed. Themost intensehybridization signals appeared to be located predominantly within neurons. Strong signals were present inthe

su-pragranular part of the cerebral cortex (Fig. 1A

and C), in pyramidal neurons (regions CA1-3), in granule cells of the dentate gyrus within the hippocampus (Fig. IE), in Purkinje cells and granular cells of the cerebellum (Fig.2A and C), within the dorsomedial and ventromedial nuclei of the hypothalamus (Fig. 2E), in the pons (Fig. 3A), andwithin theplexiform andgranular layerof the olfactory bulb (Fig. 3E). In the

hip-pocampus, the cell bodies of thepyramidal cells

intheCA1 to CA3 regionand thegranule cells of the dentate gyruswerestrongly labeled, whereas the white matter showed no detectable hybrid-izationsignals (Fig. 1E).Inthe cerebellar cortex,

afewhomogeneously distributed cells within the molecularlayer hybridized totheMIFprobe. By contrast, intensehybridization was found inthe

granular layerand mostprominentlyinthe

Pur-kinje cells (Fig. 2Aand C). Amuch less intense

but more homogenous pattern of MIF mRNA

hybridization was also observed diffusely in dif-ferent regions of the brain, suggesting that glial

cells also express MIF in detectable levels. The

specificity of the MIF hybridization signals was

confirmedby performing control studies withan

MIF sense cRNA probe, which demonstrated only very low levels of background staining

(Fig.

4).

MIFImmunoreactivity

Weused an affinity-purified antiserum raised to recombinant mouse MIF to stain sections of

adultratbrains forMIFprotein. Mouse MIF dif-fers fromrat MIFby onlyasingleamino acidand this antiserumhas been foundinprior studiesto

specifically detect rat MIF protein by immuno-histochemistry (8,9,21). The specificity of MIF

immunostaining was established in the present study by the complete obliteration of immu-nopositive reactions in all regions of the brain

when the MIF antiserum was preabsorbedwith mouse rMIF (Fig. 5).

In contrast tothe distinct appearanceof MIF mRNAwithin the cell bodies ofneurons, immu-noreactive MIF protein was detected predomi-nantly in axons. Inthe cerebral cortex, positive immunostaining forMIFwas strongest in neuro-nalfibers andasahomogenous, interstitial band

in the supragranular layer (Fig. 1B and ID). At higher power, MIFproteinwasdetected in afew dispersed cells within this same area (Fig. i1D). MIF-positive neuronal projections and terminals were observed in the hippocampus (Fig. IF), in

the hilus of the dentate gyrusand,morestrongly, within the stratum lucidumin close association

with the apical dendrites ofpyramidal cells and the mossy fiber terminals ofgranule cells.A

sim-ilar pattern of MIF protein immunostaining has been described recently in a study of bovine brainhippocampus (22).

Afurther region ofintense

immunoreactiv-ity was found in the cerebellar cortex (Fig. 28

and D), mostprominentlyinthe fibers associated with Purkinje cells. Staining was less pro-nounced in the granular cell layer. Within the hypothalamus, the strongest staining for MIF was in the terminal fields in the ventromedial and dorsomedial nuclei. Numerousscattered cell bodies were also found tobe labeledin the hy-pothalamus, and the homogenous pattern of stainingwasduemostlikelytoglialcells.Intense

immunostaining also was evidentin the axonal fiber tracts of the pons (Fig. 3B), and in a few

dispersed cells.

Of all regions of the brain examined, the

most intense level of MIF immunostaining was

in the epithelial cells of the choroid plexus (Fig. 3D). Interestingly, these cells contained no detectable MIF transcripts (Fig. 3C), suggesting that they may be involvedin theuptake of MIF

from the CSF.

MIFExpression after Intracisternal Endotoxin

(LPS) Injection

Prior studies have identified MIF as playing a

(6)

Fig. 1. MIFmRNA expressionandprotein

im-munoreactivity inthe cerebralcortex (A-D)

andhippocampus (E, F) of sagittalratbrain

sections. (A) Insituhybridization with

digoxige-nin-labeled MIFcRNAprobes showing strongsignals

inthe supragranular part ofthecortex (X100). (B)

Immunostaining of thesameregion ofcortexwith

an anti-MIF antibody (Ab) showinga consistent

la-belingpatternin the terminalfields of neuronal cells

(X100). (C) Higher-power view of the distributionof

MIFmRNAin cortexwith stronghybridization

sig-nalsinthe cell bodies ofneurons aswellas in some

glialcells (X400). (D) Higher-powerviewofMIF

immunoreactivity, showingpositive stainingwithin

the neuronalfiber networkinthesupragranular cell

layerof the cortex (X200). (E) Insituhybridization

forMIF mRNA in aselectedsectionofhippocampus, with positive signalsinpyramidal (CA1-CA3 field)

andgranule cells of the dentategyrus (X40). (F)

Im-munostaining forMIF inthehippocampus, showing

positivereactionwithinpyramidalneurons of the

CA2/CA2 field (X200).

.Im

L.,

(7)

Fig.2. MIFmRNAexpression andprotein

im-munoreactivityinthe cerebellum (A-D)and hypothalamus (E, F) oftheratbrain. (A) In situ

hybridization showing the presenceofMIFmRNAin

thegranularcelllayerand withinPurkinje cells (X 100). (B) MIF immunostaining is associated with

Purkinje cell projections and thegranular celllayer

(X100). (C) High-power view of MIF mRNA

expres-sionshowing stronghybridization inthe cell bodies

shock. The expression ofMIFproteinandmRNA

increases in several tissue compartments as a

consequence of endotoxemia, and neutralizing anti-MIF antibodies have been found tobefully

protective ina mouse model of endotoxic shock (8,20). We sought to investigate the effect of

ofPurkinje cells (X400). (D) High-powerviewof

MIF immunoreactivityintheterminal fields

associ-ated withPurkinje cells.NodetectableMIFprotein

wasevident inthecell bodies (X400). (E) MIF

mRNAexpressionincell bodiesof the ventromedial

nucleus within thehypothalamus (X200). (F)

Im-munostaining of thehypothalamusshowingMIF

protein tobe distributed inthe terminal fields and

within scattered cell bodies (X200).

endotoxin (LPS) on MIFexpressioninbrain. Be-cause LPS does not penetrate the intact

blood-brain barrier, we administered LPS intracister-nally into adult rat brains via a sterilely implanted, in-dwelling catheter. Total brain tis-sue wasthen removed atintervals and the RNA

1. .,

I

(8)

Fig. 3. MIF mRNAexpression and protein

im-munoreactivityinthepons (A, B)choroid plexus (C, D),and withintheolfactory bulb (E)

ofsagittal ratbrainsections. (A) Insitu

hybrid-ization showing the presence of MIF mRNA within

the cell bodies of neuronsin the pons (X400). (B)

MIF immunoreactivityshowingMIF proteinwithin

the terminal fields ofthe ponsandsparing of the cell

bodies (X400). (C) In situhybridization of the

cho-roid plexus showingverylow levels ofMIF mRNA

hybridization inthis tissue (X100). (D)

Immuno-stainingof the choroidplexusshowing strongMIF

immunoreactivity within theepithelial cells (X400).

(E) Insituhybridization withstrongMIFmRNA

ex-pression inthe cellbodies of thelargeneuronsin

theplexiform layer andinthegranularlayerwithin the olfactorybulb (X400). By contrast, no MIF

pro-teinwas detectable inthe olfactorybulb (datanot

shown). (F) Controlsection of cerebellum inwhich

the primary anti-MIF antibodywaspreabsorbedwith

rMIF (X250).

isolated, reverse-transcribed, and analyzed by

RT-PCR. For comparison purposes, we also

ex-amined the expression of the proinflammatory cytokinesTNF-a, IL-1,B, and IL-6.

Under control conditions (t = 0 hr), mRNA

for MIFwasreadilydetected at 21 cyclesof DNA

amplification. By contrast, the expression of mRNA for the cytokines TNFa, IL-1,B, and IL-6

N,

410-4AY

Oa,

.I - <. ..

.0... ..0

.i

.1. 1.

(9)

Fig. 5. Control studies examiningthe

immu-nostaining of anti-MIFantibody after

preab-sorptionwith rMIF. Sections ofcortex (A)

(X100) and cerebellum (B) (X100) are shown.

Fig.4. Control studiesexamining the in situ

hybridation of theMIF sensecRNA probe.

Sec-tions ofcortex (A) (X400), cerebellum (B) (Xo00),

andhippocampus (C) (X 100) areshown.

wasundetectable until 34 cycles, indicating that

under normal conditions the mRNA for MIF is

presentinmuchmore abundant quantitiesthan

these other mRNAs. This finding was confirmed

by Northern hybridization in which brain RNA

was sequentially hybridized with TNF-a, IL-1X3,

IL-6, and MIF probes. A very strong signal for

MIF was observed after less than 4 hr of expo-sure of the Northern blot to autoradiographic

film. Bycontrast, nosignalswere evident for the

mRNA of the othercytokines, evenaftera48-hr exposure (datanot shown).

MIF mRNA levels in brain increased after intracerebroventricular LPS administration, and reachedamaximumlevel of induction6hrafter endotoxin injection (Fig. 6). The mRNAs for

IL-1,B, IL-6, and TNF-a were detectable only after 3

hr, reached peak levels at 6 hr, and then de-creased at 24 hr.

Intracerebroventricular LPS injection was

also associated with the appearance of strongly positive MIF cells by immunohistochemistry (Fig. 7). MIF-labeled cells were found in the

cortex (Fig. 7B) and in the hypothalamus (data not shown) within 6 hr of LPS administration, and their number increasedat 24hr (Fig. 7B, C). Staining of serial sections for the cell surface markerCD68 (ED-1) (Fig. 7G-I) revealeda por-tionof the MIF-positive cells tobe of monocyte/

macrophage origin and to be associated with blood vessel walls (Fig. 7D-F). These data

indi-cate that infiltrating monocytes are a source of MIF-positive cells in the CNS upon LPS

admin-istration. Nevertheless, the LPS-dependent

in-duction ofMIFwithin theratbrainisnotentirely

(10)

0

3

6

24

0

3

6

24

03624

03624

03624(hr)

p 1 1 1~~~~-I a- 11I11

MIF

IL-1

IL-6

TNFa

P-Actin

Fig. 6. Kinetics of MIF,IL-1, IL-6, TNF-a,and

f8-actinmRNAproductionafter intracisternal

LPS (endotoxin) administration. Total RNA was

isolated from rat brainsbefore (Ohr), and 3, 6, and

24 hrafter LPS treatment. cDNA was prepared and

amplifiedby PCRusing rat specific primers as de-scribedinMaterials and Methods. MIF and/-actin

were analyzed after 21 cycles,IL-113, IL-6, and

TNF-a were analyzed after34cycles. Ten-microliter

aliquotswere electrophoresedin 1% agarosegels andthe amplification products stained with

ethidium bromide andvisualizedbyUV

transillumi-nation.

lower thanthe number of cells in brain showing strong MIF staining, indicating that other cell types contributetobrain MIF expression.

When we examined the LPS-dependent

in-duction of MIF immunoreactivity in the CSF (Fig. 8), weobserved a sharp peak of MIF immu-noreactivityafter 3 hr of LPS injection. The mag-nitudeof theinflammatory responsecorrelated with the induction of TNF-a.In a group of five testedanimals, the lowest and the highest lev-els of MIF induction were accompanied by a corresponding pattern of TNF-a expression

(Fig.

8).

Discussion

We have examined the complete regional and cellular distribution ofMIFmRNAand proteinin

the adultrat brain. The high abundance of MIF

mRNAand protein that is associated with

differ-ent neurons suggestsarequirement for this pro-tein in aspects of CNS physiology that include autonomic, hypophysiotrophic, limbic, and ex-trapyramidal functions. The occurrence of MIF

within the hypothalamus also complements

prior studies identifying MIF as an important molecular constituent of the HPA axis. MIF is releasedby stressfrom the corticotrophiccells of the anterior pituitary gland (20,7), and italso is present preformed within the zona glomerulosa

of the adrenalgland. Both the pituitary and the adrenalssecrete MIF inthe course of a systemic

inflammatoryresponse inducedbyendotoxemia (7,8).

Withinthe immune system, MIF is secreted

both by macrophages and T cells in response to glucocorticoidstimulation (6,23). Once released,

MIF acts to "override" or counterregulate glu-cocorticoid action within the immune system.

Anadditional andpotentiallyimportantlink

be-tween MIFandglucocorticoidactionthus is

pro-vided by the finding of prominent MIF expres-sion in the hippocampus. Damage to the hippocampus has been linked to high circulating levels of glucocorticoids. In particular, there is evidence tosuggest that anelevation inadrenal steroids-as occurs during chronic stress-may induce long-term morphological alterations in-cluding atrophy and a permanent loss of hip-pocampalneurons (24-27). MIFthus mayactto directly regulate this toxic effect of

glucocorti-coids onthe hippocampus.

Glucocorticoids have also been shownto act synergistically with various excitatoryamino

ac-ids (28,29). Mossy fibers originating from the granule cells of the dentate gyrus provide a

strong input of excitatory amino acids into the

hippocampal CA3 region (30). MIF immunore-activitywasassociated withmossyfibers, aswell

as with the dendritic branches of the hippocam-pal CA3 field, a second area that has been de-scribedtosuffer from glucocorticoid-induced at-rophy (26,27).

Although a precise functional relationship

between MIF and glucocorticoid action in the brainremains tobeexperimentally established, it should be noted that there are also recent data

linkingMIF expression with the local regulation

of various endocrine tissues. Inthe testes, Leydig

cell MIF production has been found to regulate

(11)

Fig. 7. EvidenceofMIF-positive cells by

im-munohistochemistry. MIFimmunoreactivity in the cerebral cortex (A-C) and in blood vessels (D-F)

inuntreated rats (A, D), and 6 hr (B, E) and 24 hr

the ,3cells of the endocrine pancreas, MIF secre-tion regulates the glucose-dependent release of insulin (10).

We found that there was a significant dis-crepancybetween the expression ofMIF mRNA and protein in the olfactory bulb. A strong hy-bridizationsignalforMIFmRNA wasevident but

no MIF immunoreactivity could be detected. Possible explanations for this result might be a

fast axonal transport and release of MIF, or that

MIF might bind to a locally produced factor in

the olfactory bulbwhich abolishes antibody

rec-ognition.

Outside ofneurons and their processes, MIF mRNAand proteins were also detected diffusely

throughout the brain, suggesting that glial cells

were also a source of MIFexpression. This com-plements the recent identification of MIF as an

important secretory component of monocytes and tissue macrophages (5,8).

(C, F) afterLPS injection. Immunostaining forED

1-positive monocytes in the cortex (G, H) andblood

vessels (I) inuntreated rats (G), and 24 hr after LPS

administration (H, I) (X400).

Wealso examined the effect of intracisternal

LPS administration on MIF mRNA and protein expression. It is worth noting that the regional

and cellular distribution of MIF at baseline showed certain similarities with what has been describedpreviously for thecytokinesIL-

IO

and

IL-6. (3 1-35).The mRNAs for IL-13 andIL-6 are

also present in the cell bodies of hippocampal

and cerebellar neurons, and immunoreactive IL-1,3 can be detected within the neuronal

pro-cesses and terminals of pyramidal and granular

cells within thehippocampus. Infiltrating

mono-cytes, inpart associated with the walls of blood

vessels, are another source of LPS-induced MIF

and cytokine production in the CNS. As ex-pected, intracisternal LPS injection was associ-ated witha significantincrease intheexpression ofmRNAsencodingMIF,IL-113,IL-6, andTNF-a

(36,37). The level ofMIF mRNA didnot appear

to increase as significantly as for the other

(12)

Rat #1

Rat #2

1. I

STD

0

3

6

24

0

3

6

24

(hr)

MIF

TNF

ND 6.3

3.0

ND

ND

22

2.7

0.35

(ng/ml)

Fig. 8. Kinetics ofMIF and TNF-aproduction

intheCSF ofrats afterintracisternal LPS

injec-tion. CSFaliquots (50 ,ul) were collected before (O

hr), and 3, 6, and 24 hrafter endotoxin treatment.

Sampleswereanalyzed by Western blotting (MIF) or

by ELISA (TNF-a) as describedinMaterialsand

Methods. Thenumerical values forTNF-a content aredepicted below the correspondingMIFbands for

eachtime point. The ELISA sampleswere run in

triplicate. The datashownare for the lowest (Rat

#1) and highest (Rat #2) responders inan

experi-mental group offive animals.ND: notdetected.

Mean ± SD and pvalues by two-tailed Student's T

test: Rat #1, 3 hr: 6.30 ± 0.08 ng/ml, 6 hr: 3.05 +

0.13 ng/ml; p = 0.006 for 3 hr vs. 0 hr, p = 0.019

for 6 hr vs. 0 hr. Rat#2, 3 hr: 22.64 ± 0.91 ng/ml,

6 hr: 2.66 ± 0.18ng/ml, 24hr: 0.35 ± 0.06ng/ml;

p = 0.018 for3 hr vs. 0hr,p = 0.019for6 hr vs. 0

hr, p = 0.077 for 24 hr vs. 0hr.

kines. However, the most striking difference be-tween MIF and the cytokines IL-1,B, IL-6, and TNF-a was in the magnitude of the mRNA ex-pression level at baseline. MIF transcripts were readily detected after 21 cycles of DNA amplifi-cation, whereas the mRNAs for the other cyto-kines were not detectable until 34 cycles. From ourexperience withthese primer sequences, this result implies at least a 4-log difference in base-line expressionlevels. These data are also consis-tent with results obtained by Northern blotting analysis of whole rat brains (M. Bacher et al., unpublished observations).

Intracisternal LPS administration was also associated withthe appearance ofMIFproteinin

the CSF. The increase in MIF in this compart-ment was due most likely to MIF release from theepithelial cells of the choroid plexus. At base-line, these cells showed the strongest immuno-reactivity for MIF among the brain structures that were examined. Interestingly, the choroid plexus showed very little MIF mRNA by in situ

hybridization, suggesting that this tissue plays a

role in the uptake or transport of MIF. LPS, ei-ther directly or via secondary mediators, may then induce the release ofMIFfromthe epithe-lial cell pool. The magnitude ofMIFrelease into the CSF also correlated with the magnitude of the LPS-induced TNF-a response.

Recent studies have identified MIF as both

an anterior pituitary hormone and an immune cell "cytokine" released inresponse to

glucocor-ticoid stimulation. Within the immune system,

MIF functions to "override" or counterregulate

glucocorticoid inhibition of inflammatory cyto-kine production. The present data in rat brain establish that MIF is present constitutively within both glial and neuronal cell types, and that the CNS expression of MIF is regulated by

inflammatory stimuli such as LPS. MIF may function as aneuromodulator,neurotransmitter, orneurotrophic factor, and itmay be associated with glucocorticoid action within the CNS. The highlevels ofbaseline and inducible MIF expres-sion inthe brain neverthelessunderscoreits role as a neuroendocrine mediator and extend the importance of MIF as aphysiologicalregulator of the inflammatory stressresponse.

Acknowledgments

Thiswork was supportedby NIH grant A1 35931 and NH&MRC960106.

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