BACKGROUND: CXCR7 and CXCR4 are receptors for the chemokine CXCL12, which is involved in essential functions of the immune and nervous systems. Although CXCR7 transcripts are widely expressed throughout the central nervous system, little is known about its protein distribution and function in the adult brain. To evaluate its potential involvement in CXCL12/CXCR4 signaling in differentiated neurons, we studied CXCR7 protein expression in human brain and cultured neurons. METHODOLOGY/PRINCIPAL FINDINGS: Immunohistochemistry and RT-PCR analyses of cortex and hippocampus from control and HIV-positive subjects provided the first evidence of CXCR7 protein expression in human adult neurons, under normal and pathological conditions. Furthermore, confocal microscopy and binding assays in cultured neurons show that CXCR7 protein is mainly located into cytoplasm, while little to no protein expression is found on neuronal plasma membrane. Interestingly, specific CXCR7 ligands that inhibit CXCL12 binding to CXCR7 do not alter CXCR4-activated survival signaling (pERK/pAkt) in rat cortical neurons. Neuronal CXCR7 co-localizes to some extent with the endoplasmic reticulum marker ERp29, but not with early/late endosome markers. Additionally, large areas of overlap are detected in the intracellular pattern of CXCR7 and CXCR4 expression. CONCLUSIONS/SIGNIFICANCE: Overall, these results implicate CXCR4 as the main CXCL12 signaling receptor on the surface of differentiated neurons and suggest that CXCR7 may interact with CXCR4 at the intracellular level, possibly affecting CXCR4 trafficking and/or coupling to other proteins.
BACKGROUND:CXCR7 and CXCR4 are receptors for the chemokine CXCL12, which is involved in essential functions of the immune and nervous systems. Although CXCR7 transcripts are widely expressed throughout the central nervous system, little is known about its protein distribution and function in the adult brain. To evaluate its potential involvement in CXCL12/CXCR4 signaling in differentiated neurons, we studied CXCR7 protein expression in human brain and cultured neurons. METHODOLOGY/PRINCIPAL FINDINGS: Immunohistochemistry and RT-PCR analyses of cortex and hippocampus from control and HIV-positive subjects provided the first evidence of CXCR7 protein expression in human adult neurons, under normal and pathological conditions. Furthermore, confocal microscopy and binding assays in cultured neurons show that CXCR7 protein is mainly located into cytoplasm, while little to no protein expression is found on neuronal plasma membrane. Interestingly, specific CXCR7 ligands that inhibit CXCL12 binding to CXCR7 do not alter CXCR4-activated survival signaling (pERK/pAkt) in rat cortical neurons. Neuronal CXCR7 co-localizes to some extent with the endoplasmic reticulum marker ERp29, but not with early/late endosome markers. Additionally, large areas of overlap are detected in the intracellular pattern of CXCR7 and CXCR4 expression. CONCLUSIONS/SIGNIFICANCE: Overall, these results implicate CXCR4 as the main CXCL12 signaling receptor on the surface of differentiated neurons and suggest that CXCR7 may interact with CXCR4 at the intracellular level, possibly affecting CXCR4 trafficking and/or coupling to other proteins.
CXCR7, formerly known as RDC1, is a recently identified binding partner for the
chemokine CXCL12 (also known as SDF-1), which primarily signals via its specific
receptor CXCR4 [1]–[3]. CXCR7 transcripts are widely and highly expressed in many
organs, including the brain [2], [4]–[6]. However, discrepancy between RNA levels and surface
expression of CXCR7 has been noted in various organs [2] suggesting that regulation of
CXCR7 expression is tightly regulated at the protein level and may be
tissue-specific.As with other chemokine receptors, CXCR7 belongs to the superfamily of
seven-transmembrane (7TM) G protein coupled receptors, though current evidence
indicates that CXCR7 does not stimulate typical G protein-dependent pathways, and
may act as a β -arrestin-biased receptor [7]–[9] and/or as a chemokine scavenger,
particularly during development or in the tumor microenvironment – i.e.
sequestration of CXCL12 by binding to CXCR7 may help create a CXCL12 gradient in the
extracellular space, resulting in proper chemotaxis/migration of CXCR4-expressing
cells [8], [10], [11]. Other
studies suggest that CXCR7 may form heterodimers with CXCR4 [9], [12]–[15], thus serving as a modulator
of CXCR4 signaling, but the functional outcome and mechanistic insights are still
controversial. Enhanced responses to CXCL12 (i.e. calcium flux and mitogen-activated
protein kinase activation) were observed in CXCR4 positive cells expressing
recombinant CXCR7 as compared to cells that express only the endogenous CXCR4
protein [13]. On
the other hand, variable results have been reported regarding the potential role of
CXCR7 in modulating CXCL12-induced chemotaxis [14] though some controversy still
exists about the endogenous expression of CXCR7 in lymphocytes. Also, CXCR7 can
interfere with CXCR4-dependent rapid integrin activation [15] and transendothelial
migration [12].
Overall, these results suggest that CXCR7 can modulate CXCL12/CXCR4 signaling in
non-neuronal cells via multiple mechanisms.The CXCL12/CXCR4 axis is essential to proper brain development and is involved in
homeostasis of the mature brain, as it regulates fundamental neuronal and glial
functions (i.e. cell survival, differentiation, migration, and synaptic activity)
[16]–[18]. Furthermore,
this chemokine/receptor pair is implicated in various neuropathologies and
neuroinflammatory conditions, including brain tumors and neuroAIDS [16], [19]–[22]. Interestingly,
CXCR7 may also support HIV-1 infection in glioma cells under specific circumstances
[23]. Hence,
it is important to examineCXCR7 protein expression and function in normal and
disease states in order to determine its ability to regulate CXCL12-stimulated
signaling in the brain and influence neuropathology.To this end, we studied the expression of CXCR7 in cultured neurons and in the brains
of HIV-1 positive and negative subjects. Our data provide the first evidence of
CXCR7 protein expression in normal and diseased adult human neurons in
situ and show that, in differentiated cultured neurons, CXCR7 is
predominantly expressed in intracellular compartments, it is virtually absent from
the cell surface, and does not alter CXCR4-mediated survival signaling through
pERK/Akt. Interestingly, neuronal CXCR7 largely co-localizes with the intracellular
pool of CXCR4, suggesting that it may interact with CXCR4. Along with previous
evidence, these results underscore the role of the CXCL12/CXCR4 axis in cortical
neurons and indicate that CXCR7 protein in these cells is tightly controlled both
temporally and spatially, and it could contribute to the intracellular fate of
CXCR4.
Materials and Methods
Ethics statement
All experiments involving animals were performed according to protocols approved
by the Institutional Animal Care and Use Committee (Protocol Number: 18547) at
Drexel University College of Medicine. This study used archived human brain
tissue samples from HIV patients and control individuals. The samples have been
provided by brain banks participating to the National NeuroAIDS Consortium and
included specimens from unidentified patients of both sexes and different races.
The Institutional Review Board of Drexel University has reviewed our protocol
and approved it as Exempt Research (#18452).
Reagents
The anti-CXCR7 (clone11G8) antibody, which recognizes the first 20 residues of
the N-terminus of CXCR7, and the high-affinity CXCR7 ligands were a gift from
ChemoCentryx [2], [12], [24], [25] and used as reported below. The small-molecule
compounds tested in the present study include: CCX733, CCX754, CCX771, and
CCX704 (an “inactive” analogue of CCX771). The polyclonal anti-CXCR7
antibody, ab72100, was purchased from Abcam (Cambridge, MA). Unless otherwise
specified, reagents and media for the cell culture were purchased from
Invitrogen/Gibco (Carlsbad, CA) or Sigma-Aldrich (St. Louis, MO).
Immunohistochemistry and source of human tissue
Immunohistochemistry analysis of human brain tissue was conducted as we
previously described [26]. A Breast Cancer Tissue Array (BR721, US Biomax,
Rockville, MD) containing normal and 24 cancer samples was used to confirm CXCR7
antibody specificity in our hands, based on previous reports [2], [27]. A human
organ tissue array containing 33 types of normal organs was purchased from US
Biomax (FDA996t). A total of nine brain autopsy samples from two groups of
patients (Table 1) were
obtained from the tissue banks of the National NeuroAIDS Tissue Consortium
(NNTC) [28].
Specimens included samples from the cerebral cortex and hippocampus of patients
with HIV infection or control patients (HIV negative). After deparaffinization
and quenching of endogenous horseradish peroxidase, sections were incubated at
95°C in Target Retrieval Solution (Dako, Carpinteria, CA) for 1 h.
Endogenous avidin/biotin was blocked in blocking buffer (Vector Laboratories,
Burlingame, CA). Sections were incubated in Tris-buffered saline with 10%
normal donkey serum (Jackson ImmunoResearch, West Grove, PA), 2% milk,
and 2% bovine serum albumin for an additional hour, and then overnight
with an anti-CXCR7 monoclonal (10 µg/mL, 11G8, ChemoCentryx) or an
anti-CXCR7 polyclonal antibody (10 µg/mL, ab72100, Abcam). Comparison
between these two antibodies for CXCR7 showed similar results in adjacent
sections, as shown later; however, 11G8 was preferred in the present study, due
to its high specificity in both tissue preparations and isolated cells [24].
Biotin-conjugated donkey anti-mouse or a biotin-conjugated donkey anti-rabbit
antibody (1∶500, Jackson ImmunoResearch) was used to detect primary
antibodies. Staining was visualized with 3,3′-diaminobenzidine (Vector
Laboratories). Serial sections of tissue were stained with hematoxylin and eosin
(H&E). Negative controls (i.e., isotype control or no primary Ab) were
included as indicated. Sections were observed under a Nikon microscope
(OPTIPHOT-2) connected to a CCD camera (DP70, Olympus, Melville, NY) or Zeiss
Axio microscope connected to a CCD camera (Nuance 2.10, CRi, Woburn, MA), and
images were taken using the DP (Olympus) or Nuance software, respectively. For
identification of CXCR7 positive neurons, sections were incubated over night
with monoclonal anti-CXCR7 and polyclonal MAP2 (a+b) (Millipore), followed
by 30 minutes incubation with Alexa 647–conjugated goat anti-mouse and
Alexa 546–conjugated goat anti-rabbit antibodies (1∶200,
Invitrogen), respectively. Images were captured with a Zeiss LSM5 Exciter laser
scanning confocal microscope (Thornwood, NY) using sequential imaging to prevent
interchannel cross-excitation between fluorochromes.
Human neurons were purchased from ScienCell Research Laboratories (San Diego,
CA), maintained in the neuronal culture medium as indicated by the vendor, and
used at 14–21 days in vitro (DIV). Rat cortical neurons
were obtained from rat embryos (E17) and cultured in the absence of glia in
serum-free defined media, as we previously described [29], [30]; cells were typically
used for experiments in their second week of culture (8–14 DIV), i.e. when
they are fully differentiated. MAP2 and GFAP staining were used to identify
neurons and astroglia, respectively. Humanbreast cancer cells (MDA-MB-435) and
humanglioblastoma cells (U87MG, U343MG) were cultured as previously described
[2], [15], [31], [32].
Immunocytochemistry
Cells on coverslips were labeled with the Image-iT LIVE Plasma Membrane and
Nuclear Labeling kit from Invitrogen/Molecular Probes and then fixed in
4% paraformaldehyde. Cells were then permeabilized with 0.1%
Triton X-100 for 5 minutes. The following antibodies were used: mouse
anti-CXCR7 (50 µg/mL, ChemoCentryx; 11G8), mouse anti-CXCR4 (1∶200,
R&D Systems, Minneapolis, MN; 12G5), rabbit anti-MAP2 (a+b)
(1∶200; Millipore, Billerica, MA), rabbit anti-GFAP (1∶200; Santa
Cruz biotechnology, Santa Cruz, CA), rabbit anti-EEA1 (1∶200; Cell
Signaling), rabbit anti-Rab7 (1∶50; Cell Signaling), rabbit anti-Rab11
(1∶100; Cell Signaling), and rabbit anti-ERp29 (1∶500; Cell
Signaling). Double staining was performed sequentially with CXCR7 (Alexa
488–conjugated donkey anti-mouse as a secondary antibody) always preceding
the other primary antibodies, followed by biotin-conjugated antibodies (either
anti-mouse or anti-rabbit) as secondary antibodies, and visualized by
streptavidin conjugated to Alexa Fluor 647. Confocal images were captured with
either a Leica TCS SP2 (Bannockburn, IL) or a Zeiss LSM5 Exciter laser scanning
confocal microscope (Thornwood, NY) using sequential imaging to prevent
interchannel cross-excitation between fluorochromes. Images were captured every
0.4–0.5 µm for z-scan.
RT-PCR
Total RNA was extracted using the RNeasy mini kit (Qiagen, Valencia, CA). RNA
obtained from rat and human cell lines was treated with DNase prior to RT
reaction. cDNA was synthesized from total RNA. The following primers were used
for amplification: ratCXCR7: 5′-GTGCAGCATAACCAGTGGCC-‘ and 5′-AGCAAAACCCAAGATGACGGA-3′
[33],
humanCXCR7: 5′-AGCACAGCCAGGAAGGCGAG-3′ and 5′-TCATAGCCTGTGGTCTTGGC-3′,
human 28S: 5′-GTTCACCCACTAATAGGGAACGTGA-3′ and
5′-GGATTCTGACTTAGA
GGCGTTCAGT-3′, human 5′- GAPDH:
CATTGACCTCAACTACATGG-3′ and 5′-GGGCCA TCCACAGTCTTCTG-3′,
rat aldolase A: 5′-AACCAATGGCGAGACCACTAC-3′ and 5′-AATTTCAGGCTCCACAATGG-3′.
PCR was performed as follows: 4 minutes at 95°C, followed by 35 cycles of 30
s at 95°C, 30 s at 61°C, and 60 s at 72°C. For gel electrophoresis
analysis, each amplicon was generated and visualized using ethidium bromide
staining after electrophoresis on a 2% agarose gel. Aldolase
A (rat), 28S (human) and GAPDH
(human) were used as loading controls.
Western Blot
Cells were washed with ice-cold balanced salt solution and scraped in lysis
buffer (50 mM Tris, 150 mM NaCl, 0.5% sodium deoxycholate, 0.1%
sodium dodecyl sulfate [SDS], 10 mM
Na4P2O7, 5 mM ethylenediaminetetra-acetic
acid [EDTA], 1% Triton X-100, 1 mM dithiothreitol, protease and
phosphatase inhibitor cocktails) as reported previously [34]–[36]. Equal amounts of proteins
as determined by the bicinchoninic acid assay from Thermo Scientific (Rockford,
IL) were loaded in each lane, separated by sodium dodecyl
sulfate–polyacrylamide gel electrophoresis (SDS-PAGE), and transferred to
polyvinylidene fluoride membranes for immunoblotting. The following primary
antibodies were used for ERK/Akt studies as previously reported [30]:
anti-pERK1/2 (1∶1000, cat#9101, Cell Signaling, Danvers, MA), anti-ERK1/2
(1∶1000, cat#9102, Cell Signaling), anti-pAkt (1∶1000, cat#9271,
Cell Signaling), anti-Akt (1∶1000, cat#9272 Cell Signaling). Anti-actin
was used for loading control (1∶5000, cat#A2066, Sigma-Aldrich). Different
monoclonal and polyclonal antibodies against CXCR7 were tested, often with
inconclusive results (not shown). The polyclonal antibody from Abcam ab72100
(1∶500) is shown here; however, since this antibody can produce non
specific bands in non-neuronal cells [24], additional
experimental approaches were used to confirm expression of CXCR7 in rat neurons,
as described in the results. Bands were detected by chemiluminescence using
SuperSignal West Femto (Thermo Scientific), and analyzed using the FluorChem
8900 apparatus from Alpha Innotech (San Leandro, CA). Cell surface protein
separation was performed as we previously reported [30] using a thiol-cleavable
amine-reactive biotinylation reagent (Thermo Scientific). After isolation of
biotin-labeled cells, SDS-PAGE and Western blotting were performed.
Binding Assay
Cells (2×105 per well) were diluted in HBSS containing
0.1% BSA and transferred to 96-well plates (100 µl per well)
containing 5 µl per well recombinant CXCL11 or CXCL12 (final concentration
100 nM) or compounds CCX771, CCX704 or AMD3100 (final concentration 1 µM).
One hundred µl per well of cold buffer containing 0.025 µCi (1 nM)
125I-CXCL12 (PerkinElmer) was added and the plates were shaken at 4°C for 3
h. Cells were transferred onto polyethyleneimine-treated GF/B glass fiber
filters (PerkinElmer) with a cell harvester (Tomtech) and washed with 25 mM
HEPES, 500 mM NaCl, 1 mM CaCl2, 5 mM MgCl2, pH 7.1. Fifty µl per well of
MicroScint-20 (PerkinElmer) was added to the filters and cpm were measured on a
Packard TopCount scintillation counter (PerkinElmer). Assays were performed in
triplicate.
Statistical Analysis
One-way analysis of variance, followed by the Newman-Keuls multiple comparison
procedure, was used for statistical analysis. All data are reported as the mean
± SEM (n = 3 for Western blots and
n = 4 for radioligand binding assays).
Results
CXCR7 Expression in Adult Human Neurons: analysis of normal and HIV-positive
brains
Previous studies have demonstrated that CXCR7 protein is specifically expressed
in humanbreast cancer as opposed to normal breast tissue [27]. Therefore, our first step
consisted in testing our staining protocol with the 11G8 antibody using a human
tissue microarray that contained normal breast tissue and multiple breast
carcinomas on the same slide. As expected, CXCR7 was expressed in most of the
carcinomas but not in normal breast tissue. Two examples are reported in Figure 1 (A/D). This figure
also shows the typical alterations of the glandular structure in the cancer
tissue as compared to normal (counterstaining in 1B/E), higher magnification
images of selected areas (square insets), and a negative control (1C).
Figure 1
Staining of breast carcinoma with the CXCR7 antibody 11G8.
A tissue array, containing samples from infiltrating ductal carcinoma and
normal breast tissue, was stained to examine CXCR7 expression using the
monoclonal antibody 11G8 (10 µg/mL)-as described in the methods.
Representative images from infiltrating ductal carcinoma or normal
tissue are shown here. Adjacent sections of the same samples were
stained with Hematoxylin and Eosin (H&E) or the isotype (i.e. mouse
IgG1) control, as indicated for each panel. (A/B/C) Infiltrating ductal
carcinoma (NC = isotype control). (D/E) Normal
breast tissue. (A2, B2, E2) High magnification of black squares in A, B,
and E, respectively. Scale bars: 400 µm (A–E), 100 µm
(A2, B2, E2).
Staining of breast carcinoma with the CXCR7 antibody 11G8.
A tissue array, containing samples from infiltrating ductal carcinoma and
normal breast tissue, was stained to examineCXCR7 expression using the
monoclonal antibody 11G8 (10 µg/mL)-as described in the methods.
Representative images from infiltrating ductal carcinoma or normal
tissue are shown here. Adjacent sections of the same samples were
stained with Hematoxylin and Eosin (H&E) or the isotype (i.e. mouse
IgG1) control, as indicated for each panel. (A/B/C) Infiltrating ductal
carcinoma (NC = isotype control). (D/E) Normal
breast tissue. (A2, B2, E2) High magnification of black squares in A, B,
and E, respectively. Scale bars: 400 µm (A–E), 100 µm
(A2, B2, E2).Next, a tissue microarray containing samples of various normal human organs,
including the brain, was analyzed. Initial studies with 11G8 showed a typical
neuronal staining in the cerebral gray matter (Figure 2A/E); CXCR7 staining was also seen in
tubular formation in the kidney (Figure 2C), in line with a previous study [37], while normal breast
tissue was negative as expected (Figure 2B). Staining in the gray matter was also confirmed by using
another CXCR7 antibody (ab72100, Figure 2D) that recognizes distinct portions of the receptor, i.e.
epitopes in the second extracellular loop as opposed to the N-terminus
recognized by 11G8. Though both these antibodies indicated neuronal expression
of CXCR7, we primarily used 11G8 to keep consistency with the rest of the
data.
Figure 2
CXCR7 protein expression in the human brain.
Staining with 11G8 or ab72100 was performed on different human tissues,
using either a tissue array containing samples from multiple normal
organs or additional brain sections as described in the methods. Images
from the multi-organ array are shown in the top panels (A to C; scale
bars: 200 µm). Neuronal CXCR7 expression was observed in the gray
matter (A) while no staining is observed in normal breast tissue (B), as
expected. CXCR7 was also expressed in the kidney (C). Additionally,
serial sections from human frontal cortex were stained with: (D) rabbit
polyclonal antibody ab72100, (E) 11G8, or (F) H&E (details in
methods). Similar neuronal staining was observed with both CXCR7
antibodies. No staining was detected when the primary antibody was
omitted (G) or replaced by the isotype control (H). Images in insets are
higher magnification of D, E, and F. Scale bars: 400 µm
(D–H), 50 µm for insets. NC = negative
control.
CXCR7 protein expression in the human brain.
Staining with 11G8 or ab72100 was performed on different human tissues,
using either a tissue array containing samples from multiple normal
organs or additional brain sections as described in the methods. Images
from the multi-organ array are shown in the top panels (A to C; scale
bars: 200 µm). Neuronal CXCR7 expression was observed in the gray
matter (A) while no staining is observed in normal breast tissue (B), as
expected. CXCR7 was also expressed in the kidney (C). Additionally,
serial sections from human frontal cortex were stained with: (D) rabbit
polyclonal antibody ab72100, (E) 11G8, or (F) H&E (details in
methods). Similar neuronal staining was observed with both CXCR7
antibodies. No staining was detected when the primary antibody was
omitted (G) or replaced by the isotype control (H). Images in insets are
higher magnification of D, E, and F. Scale bars: 400 µm
(D–H), 50 µm for insets. NC = negative
control.Following this initial validation, we started the analysis of the human tissue
samples from the NNTC to determine expression of CXCR7 RNA (Figure 3A) and protein (Figure 3B–F) in both control and HIV
patients. Brain samples (frontal cortex and hippocampus) from control subjects
and HIV+ patients included a total of 9 subjects of different race, age,
and gender as indicated in Table
1. The data in normal brain tissue confirmed our previous
observations with the tissue arrays. As shown in Figure 3, both CXCR7 RNA and protein are
found in the human brain. CXCR7-expressing cells were identified as neurons
based on morphology/localization (Figure 3B) as well as co-staining with the neuronal marker MAP2
(Figure 3D).
CXCR7-positive cells were observed in both cortex (Figure 3A–D) and hippocampus (Figure 3E/F) of control and
HIV patients. Our analysis primarily focused on MAP2 positive cells in the
frontal cortex, since the major goal of this study was to evaluate expression of
the CXCR7 protein in mature cortical neurons. These IHC studies showed that the
vast majority of MAP2 positive cells are also positive to CXCR7. Specifically,
within the population of cells that stained positively for MAP2, the percentage
of cells also expressing CXCR7 was 95% and 91%, respectively, in
control and HIV tissue (total number of cells
analyzed = 125 cells; these included
CXCR7+/MAP2+, CXCR7+/MAP2-, and CXCR7-/MAP2+). These data
suggest that both excitatory and inhibitory mature neurons express the CXCR7
protein and are in agreement with recent studies in the developing brain showing
expression of cxcr7 transcripts in migrating interneurons as well as immature
excitatory neurons [38]. Furthermore, in these human brain samples only a
minority of CXCR7 positive cells (i.e. 11% and 11.4% respectively
control/HIV) did not stain for MAP2. As MAP2 is a marker for mature neurons,
this smaller group of cells could include resident/infiltrating immune cells
(including glia) and/or neural precursors. Further studies are necessary to
fully characterize this CXCR7 positive/MAP2 negative cell population (i.e. to
establish cell types, differentiation stages, and leukocytes infiltration) and
its potential changes during disease progression in specific brain areas.
Analysis of a larger group of samples is underway to achieve this goal and to
identify potential differences in the expression of CXCR7 between HIV-positive
patients without neurological problems and HIV positive patients affected by
neurocognitive impairment. The present study demonstrates that CXCR7 protein is
widely expressed in mature neurons of the human frontal cortex and hippocampus
under both normal and diseased (i.e. HIV) conditions, thus providing the
fundamental basis of future investigations focused on its specific role in brain
pathology.
Figure 3
CXCR7 mRNA/protein expression in the brain of normal subjects and HIV
patients.
(A) CXCR7 mRNA expression in the frontal cortex of control subjects;
human glioblastoma cells (U87MG) were used as a positive control;
M = molecular markers;
RT = reverse transcriptase. (B) CXCR7 protein
expression in cortex of control patients. (C) No staining was detected
in adjacent slices when the primary Ab was replaced by the isotype
control. Scale bar is 0.2 mm in panels B through C and 50 µm in
the lower left inset of panel B. (D) Double-staining with MAP2 (green)
and CXCR7 (red) in human cortex. Scale bar: 50 µm. NC: negative
control (shown here is a staining using CXCR7 isotype control, no MAP2
primary, and addition of all secondaries). (E/F) CXCR7 immunostaining
was examined in the hippocampus from control subjects (E) and HIV
patients (F). Expression of CXCR7 protein seems predominant in cytoplasm
in both groups. Scale bars: 10 µm.
CXCR7 mRNA/protein expression in the brain of normal subjects and HIV
patients.
(A) CXCR7 mRNA expression in the frontal cortex of control subjects;
humanglioblastoma cells (U87MG) were used as a positive control;
M = molecular markers;
RT = reverse transcriptase. (B) CXCR7 protein
expression in cortex of control patients. (C) No staining was detected
in adjacent slices when the primary Ab was replaced by the isotype
control. Scale bar is 0.2 mm in panels B through C and 50 µm in
the lower left inset of panel B. (D) Double-staining with MAP2 (green)
and CXCR7 (red) in human cortex. Scale bar: 50 µm. NC: negative
control (shown here is a staining using CXCR7 isotype control, no MAP2
primary, and addition of all secondaries). (E/F) CXCR7 immunostaining
was examined in the hippocampus from control subjects (E) and HIV
patients (F). Expression of CXCR7 protein seems predominant in cytoplasm
in both groups. Scale bars: 10 µm.
CXCR7 Expression in Cultured Neurons and its relation to CXCR4
To gain greater insights about the cellular localization of CXCR7 in neurons, we
studied expression of CXCR7 in human brain cultures by immunocytochemistry and
confocal microscopy. Most neurons (identified by positive staining for the
neuronal marker, MAP2) expressed CXCR7, mainly in perinuclear regions (Figure 4). All CXCR7-positive
cells also expressed CXCR4 (Figure
4 and 5A),
indicating that CXCR7 and CXCR4 were present in the same populations of neurons.
However, CXCR7 was predominantly expressed in the cytoplasm, whereas CXCR4 was
also found on the cell membrane. Interestingly, most CXCR7 staining overlaps
with CXCR4's cytosolic staining (yellow area in Figure 5B), suggesting that the two receptors
may interact at the intracellular level. The phenotype of intracellular
retention of CXCR7 did not seem to be limited to neurons but also observed in
some non-neuronal human cell lines (i.e. U87MG), as shown in Figure S1.
This figure reports studies with different CXCR7 positive (U87MG or U343) and
negative (MDA-MB-435) cells. Though CXCR7 transcripts are expressed in both
U87MG and U343 cells (Figure S1A) as expected, flow cytometry and
radioligand binding assays show CXCR7 protein expression only on the surface of
U343 (Figure
S1B). Furthermore, CXCR7 was detected in the cytoplasm of U87MG cells
by confocal microscopy, but not on the cell surface (Figure
S1B). Next, we asked whether this unique pattern of CXCR7 expression is
human specific. To this end, we first confirmed the expression of CXCR7 mRNA in
cultures of rat cortical neurons as well as in the rat cortex (Figure 6A). Then, we examined
the localization of CXCR7 protein in rat neurons using different approaches.
Western blot analysis showed no expression of CXCR7 in the surface protein
fraction as opposed to the total protein expression (Figure 6B). Surface expression of CXCR4,
which is known to internalize after CXCL12 treatment [30], was also probed using
the same membrane as an internal control of protein extraction and separation.
Immunostaining and confocal microscopy on rat primary neurons also confirmed the
lack of CXCR7 protein expression on the neuronal surface (Figure 6C). CXCR7 staining (green) was
detected predominantly in the intracellular region and did not co-localize with
the membrane marker (red). To further support these results, surface expression
of CXCR7 in cultured neurons was assessed by competitive binding studies. In
agreement with the Western blot and confocal analysis, radioligand binding
failed to demonstrate CXCR7 at the cell surface (Figure 6D/E). Rat neurons cultured for
varying periods of time (i.e. up to 14 DIV) were incubated with radiolabeled
CXCL12. In contrast to the control (MDA-MB-435 cells transfected with CXCR7,
i.e. 435R7), minimal binding of 125I-CXCL12 is observed in rat
neurons (independently of the age in vitro, data not shown),
confirming the lack of surface CXCR7. Collectively, these results indicate that
surface expression of CXCR7 is negligible in cultured rat/human neurons while a
substantial pool of the receptor is found in the intracellular compartment.
Figure 4
CXCR7 protein expression in human cultured neurons.
Human neurons cultured for up to 3 weeks were labeled with a plasma
membrane and a nuclear marker prior to fixation as described in the
methods, using the Image-iT LIVE Plasma Membrane and Nuclear Labeling
Kit. After permeabilization, neurons were stained for chemokine
receptors and neuronal marker (MAP2). In neurons, CXCR7 (11G8, green)
appears to be localized predominantly to the soma (A), mostly in the
perinuclear region (B). A negative control without primary antibodies is
shown in lower right panel. Nuclei of surrounding (mostly dead) cells,
often found in these primary human cultures, appear in intense blue
(i.e. Hoechst staining); membrane staining is shown in white in the
bottom row of B. Scale bars: 20 µm.
Figure 5
CXCR7 and CXCR4 protein expression in human cultured neurons.
Human neurons were labeled with a plasma membrane and a nuclear marker
prior to fixation as described previously. After permeabilization,
neurons were stained for chemokine receptors and neuronal marker (MAP2).
Unlike CXCR7, CXCR4 expression (12G5) in neurons was distributed to both
the soma and processes (A) though the intracellular expression of the
two receptors overlapped in some areas of the neuronal cell body (B).
Negative control (NC, Mouse IgG1 isotype) is shown in lower right panel.
Scale bars: 20 µm.
Figure 6
CXCR7 mRNA and protein expression in rat neurons.
(A) CXCR7 mRNA was detected in rat primary neurons as well as rat
cerebral cortex (Ctx, E17) by RT-PCR as a 354-bp band [33]. (B) Cell surface proteins were purified from 75
µg of control (CTRL) or CXCL12-treated total proteins obtained
from pure neuronal cultures. Forty micrograms of total proteins were
loaded in the last two lanes. Molecular markers (M) were loaded in the
first lane. The same membrane was reprobed with anti-CXCR4. As expected,
CXCR4 is expressed on the surface of neurons in control (CTRL), but
surface expression is reduced following internalization caused by CXCL12
treatment (1 hr, 20 nM). (C) The subcellular localization of CXCR7 in
rat neurons was also examined by confocal microscopy. A membrane (red,
C2) and nuclear marker (blue, C3) were applied on live cells prior to
permeabilization. Neurons were then stained with anti-CXCR7 mAb (green,
C4) and imaged using the Leica TCS SP2 confocal system (Plan Apochromat
63×oil immersion objective, scale bar: 20 µm). All figures
are 0.5-μm z-scan images. CXCR7 was observed in the
cytoplasm, but not on the cell surface, in these primary neurons.
(D–E) Binding assays using radiolabeled CXCL12 were used to
determine membrane expression of CXCR7 in primary neurons (D).
MDA-MB-435 cells transfected with CXCR7 (here labeled as 453R7) were
used as positive controls (E). Data represent the mean±SEM. TB,
total bound. *p<0.05 vs. TB and vs. AMD3100;
¯p<0.05 vs. TB and vs. CCX704.
CXCR7 protein expression in human cultured neurons.
Human neurons cultured for up to 3 weeks were labeled with a plasma
membrane and a nuclear marker prior to fixation as described in the
methods, using the Image-iT LIVE Plasma Membrane and Nuclear Labeling
Kit. After permeabilization, neurons were stained for chemokine
receptors and neuronal marker (MAP2). In neurons, CXCR7 (11G8, green)
appears to be localized predominantly to the soma (A), mostly in the
perinuclear region (B). A negative control without primary antibodies is
shown in lower right panel. Nuclei of surrounding (mostly dead) cells,
often found in these primary human cultures, appear in intense blue
(i.e. Hoechst staining); membrane staining is shown in white in the
bottom row of B. Scale bars: 20 µm.
CXCR7 and CXCR4 protein expression in human cultured neurons.
Human neurons were labeled with a plasma membrane and a nuclear marker
prior to fixation as described previously. After permeabilization,
neurons were stained for chemokine receptors and neuronal marker (MAP2).
Unlike CXCR7, CXCR4 expression (12G5) in neurons was distributed to both
the soma and processes (A) though the intracellular expression of the
two receptors overlapped in some areas of the neuronal cell body (B).
Negative control (NC, Mouse IgG1 isotype) is shown in lower right panel.
Scale bars: 20 µm.
CXCR7 mRNA and protein expression in rat neurons.
(A) CXCR7 mRNA was detected in rat primary neurons as well as rat
cerebral cortex (Ctx, E17) by RT-PCR as a 354-bp band [33]. (B) Cell surface proteins were purified from 75
µg of control (CTRL) or CXCL12-treated total proteins obtained
from pure neuronal cultures. Forty micrograms of total proteins were
loaded in the last two lanes. Molecular markers (M) were loaded in the
first lane. The same membrane was reprobed with anti-CXCR4. As expected,
CXCR4 is expressed on the surface of neurons in control (CTRL), but
surface expression is reduced following internalization caused by CXCL12
treatment (1 hr, 20 nM). (C) The subcellular localization of CXCR7 in
rat neurons was also examined by confocal microscopy. A membrane (red,
C2) and nuclear marker (blue, C3) were applied on live cells prior to
permeabilization. Neurons were then stained with anti-CXCR7 mAb (green,
C4) and imaged using the Leica TCS SP2 confocal system (Plan Apochromat
63×oil immersion objective, scale bar: 20 µm). All figures
are 0.5-μm z-scan images. CXCR7 was observed in the
cytoplasm, but not on the cell surface, in these primary neurons.
(D–E) Binding assays using radiolabeled CXCL12 were used to
determine membrane expression of CXCR7 in primary neurons (D).
MDA-MB-435 cells transfected with CXCR7 (here labeled as 453R7) were
used as positive controls (E). Data represent the mean±SEM. TB,
total bound. *p<0.05 vs. TB and vs. AMD3100;
¯p<0.05 vs. TB and vs. CCX704.
High-Affinity CXCR7 ligands do not alter CXCL12-induced ERK1/2 and Akt
activation
The above results suggest limited to null expression of CXCR7 on the neuronal
surface. Thus, functional assays were performed to validate these observations
with a different approach as well as to establish the potential contribution of
even minimal CXCR7 expression to CXCR4 signaling. Rat neurons were exposed to
CXCR7-specific ligands (CCX733 or CCX754, 100 nM) known to inhibit CXCL12
binding to CXCR7 [2], [8], [9], [25]. The goal was to determine whether treatment with the
small-molecule compounds would affect the activation of intracellular pathways
stimulated by CXCL12, specifically phosphorylation of ERK1/2 and Akt. As we
previously demonstrated, activation of these pathways in neurons depends on
CXCR4, involves Gi/o proteins, and ultimately promotes neuronal survival [30], [35], [39]. The
results presented here show that CCX733 or CCX754, applied to pure neuronal
cultures 15 minutes before and during CXCL12 treatment (20 nM, for indicated
time), did not significantly alter CXCL12-induced stimulation of ERK1/2 and Akt
(Figure 7). The effect
of 100 nM CCX733/754 is reported here, but similar results were obtained in
additional experiments using a wider range of CCX concentrations, i.e. from 10
nM to 1 µM (not shown). Also, the CXCR7 ligands did not induce ERK or Akt
phosphorylation (nor Gi stimulation, not shown) in the absence of CXCL12 (not
shown). These results are consistent with the lack of CXCR7 expression on the
neuronal surface and with previous reports with similar compounds [21].
Figure 7
CXCL12-induced phosphorylation of ERK or Akt in the presence of CXCR7
ligands.
(A) Rat cortical neurons were treated with the CXCR7 ligands CCX733 (100
nM) or CCX754 (100 nM) 15 minutes before (and during) their exposure to
vehicle or CXCL12 (20 nM, as indicated). Activation of survival pathways
(i.e., ERK/Akt) induced by CXCL12 was measured by Western blot analysis
using phosphospecific antibodies [30]. (B/C)
Densitometric analysis showed no significant difference in pERK
(analysis of variance [ANOVA]; NS, part B) or pAkt (ANOVA; NS,
part C) bands after CCX733/754 treatment compared with CXCL12 alone.
Total ERK and Akt were used for normalization of pERK and pAkt,
respectively. Data represent the mean±SEM, as obtained in three
independent experiments.
CXCL12-induced phosphorylation of ERK or Akt in the presence of CXCR7
ligands.
(A) Rat cortical neurons were treated with the CXCR7 ligands CCX733 (100
nM) or CCX754 (100 nM) 15 minutes before (and during) their exposure to
vehicle or CXCL12 (20 nM, as indicated). Activation of survival pathways
(i.e., ERK/Akt) induced by CXCL12 was measured by Western blot analysis
using phosphospecific antibodies [30]. (B/C)
Densitometric analysis showed no significant difference in pERK
(analysis of variance [ANOVA]; NS, part B) or pAkt (ANOVA; NS,
part C) bands after CCX733/754 treatment compared with CXCL12 alone.
Total ERK and Akt were used for normalization of pERK and pAkt,
respectively. Data represent the mean±SEM, as obtained in three
independent experiments.
CXCR7 Protein Partially Co-localizes with The Endoplasmic Reticulum Marker
ERp29 in Human Neurons
The data presented show that CXCR7 is expressed in intracellular compartments in
differentiated neurons, but the exact localization is still unclear. Previous
studies in human T lymphocytes reported expression of CXCR7 in endosome
vesicles, though this finding is still controversial [15]. However, CXCR7 does not
co-localize with early (EEA1) or late (Rab7, Rab11) endosome markers in human
neurons (Figure
S2), suggesting that CXCR7 plays different roles in neurons and
immune cells. Further analysis in neurons revealed a partial co-localization of
CXCR7 with the endoplasmic reticulum (ER) marker ERp29 (Figure 8) [40]. The ER is part of the
secretory pathway implicated in protein translocation to the cell surface, and
it is commonly considered a default pathway. These data suggest that CXCR7 may
be re-directed to the cell surface under specific cellular conditions or be
implicated in trafficking of other proteins. Based on the CXCR7/CXCR4 expression
pattern shown previously (Figures
4–5), this
may include CXCR4-a hypothesis currently under investigation in our
laboratory.
Figure 8
CXCR7 partially co-localizes with endoplasmic reticulum marker
ERp29.
Human neurons were incubated with antibodies against CXCR7 (11G8, green)
and ERp29 (red) as reported above and in the methods. Mouse IgG1 isotype
control was used as negative control (NC). Overlapping staining of CXCR7
and ERp29 (yellow) is detected in many neurons mostly in the perinuclear
region. Image labeled as “Merged” is an enlargement of the
CXCR7+ERp29 image shown in the inset plus the nuclear staining,
whereas the image labeled as “lower plane” is the merge of
CXCR7+ERp29 from a different plane of the same cell. Scale bar: 10
µm.
CXCR7 partially co-localizes with endoplasmic reticulum marker
ERp29.
Human neurons were incubated with antibodies against CXCR7 (11G8, green)
and ERp29 (red) as reported above and in the methods. Mouse IgG1 isotype
control was used as negative control (NC). Overlapping staining of CXCR7
and ERp29 (yellow) is detected in many neurons mostly in the perinuclear
region. Image labeled as “Merged” is an enlargement of the
CXCR7+ERp29 image shown in the inset plus the nuclear staining,
whereas the image labeled as “lower plane” is the merge of
CXCR7+ERp29 from a different plane of the same cell. Scale bar: 10
µm.
Discussion
The 7TM receptor CXCR7 has received considerable attention in the last few years,
following the discovery of binding to chemokines that are implicated in essential
biological functions, such as the chemokine CXCL12 [1], [2]. Initial studies reported
expression of CXCR7 transcripts in various organ systems-including the central
nervous system [2],
[4]-but
the actual level of CXCR7 protein, its signaling capability, and related function in
different cell types are still not clearly defined. As demonstrated by pioneering
studies in rodents lacking CXCL12 or CXCR4 [41], as well as by other evidence
in vitro and in vivo, CXCR4 is the specific
and primary CXCL12 receptor. However, one major question concerns the role of CXCR7
in modulating the effect of the CXCL12/CXCR4 axis in the brain and other organs.
Though several hypotheses have been proposed (e.g. the scavenger or decoy activity
of CXCR7; a CXCR4/CXCR7 signaling cross-talk or physical interactions between the
two receptors that may affect signaling) data about the expression of the CXCR7
protein in individual brain cells are still scarce and inconclusive. Furthermore,
the limited availability of research reagents that effectively work in multiple
animal species has hindered progress in this field [24]. Only very recently studies
that primarily looked at expression of cxcr7 transcripts in migrating neurons using
different transgenic mouse lines have shed some light on CXCR7/CXCR4 interaction in
the developing brain [38], [42].Here we focused on the protein expression of CXCR7 in human differentiated neurons as
a foundation to further investigation on the role of CXCR7 in the neuroprotective
action of CXCL12. The results shown here, using different antibodies, experimental
approaches, and multiple controls indicate that CXCR7 protein expression in mature
neurons is mostly limited to the intracellular compartment and seem to exclude a
prominent role of this receptor in the immediate regulation of typical pathways
triggered by neuronal CXCR4, such as the activation of ERK1/2 and Akt [30]. This is
suggested by the perinuclear localization of the CXCR7 staining in human brain
tissue and cultured neurons and the inability of the high-affinity CXCR7 ligands to
inhibit CXCL12 binding as well as CXCL12/CXCR4 functional assays in rat neurons.
Interestingly, in migrating interneurons CXCR7 can contribute to CXCL12 signaling by
regulating surface expression of CXCR4 and, in line with our data, it is prevalently
expressed at the intracellular level [38]. Another study [42] suggested that
CXCR4 and CXCR7 have distinct functions in the regulation of interneuron movement
and laminar positioning. Though both of these studies are in agreement with our
findings concerning localization of CXCR7 in differentiated neurons, the distinct
roles of CXCR7 in mature neurons and neural precursors (which also express CXCR7
[21]) remain
to be established.Furthermore, disconnect between expression of the CXCR7 message and its expression on
the surface of cells is not totally unexpected. While transcription of many 7TM
receptors leads to a rapid translation and transport of receptor to its signaling
position at the cell surface, some receptors appear to be retained in the cell
cytoplasm as a form of post-translation regulation. For instance the chemokine
receptor CXCR2 can be sequestered to the cytoplasm of neutrophils, with its surface
expression regulated by glycosylation, which serves to release the intracellular
pool to the cell membrane [43]. Similarly, N-linked glycosylation appears to play a role
in correct folding and trafficking to the plasma membrane of the vasoactive
intestinal peptide receptor 1 (VIPR1) and GABA-transporter 1 receptors [44], [45]. Thus,
post-translational retention of CXCR7 in the endoplasmic reticulum may play an
important role in the biology of the CXCR7 receptor, with post-translational
modifications or other external stimuli regulating localization and function.Moreover, the co-expression of CXCR4 and CXCR7 in specific compartments suggests that
CXCR7 may interact with CXCR4 at the intracellular level; for instance, CXCR7 may
control surface levels of CXCR4 by limiting its intracellular trafficking (supported
by the presence of CXCR7 in the ER) or it can alter CXCR4 interaction with other
signaling molecules as suggested in other studies [14]. However, protein expression
and localization of CXCR7 seems to be specifically regulated in different cell types
and its function may significantly vary in neuronal versus non-neuronal cells. This
is suggested by studies in lymphocytes and breast cancer cells showing CXCR7 protein
expression in different intracellular compartments [8], [15], such as early/late endosomes
and lysosomes. Interestingly, studies on other 7TM receptors, such as the delta
opioid receptor [46], the D1 receptor [47], [48], and the CCR5 chemokine
receptor [49],
have shown that these receptors normally reside in the cytoplasm and translocate to
the cell membrane upon interaction with chaperones/escort proteins triggered by
specific stimuli (see review [50]). Other studies have reported that in T lymphocytes the
majority of CCR5 is found in the ER and the Golgi apparatus [49] but is transported to the cell
surface after transfection of CD4, indicating that receptor surface expression is
regulated by specific factors [49]. TNF-α and IL-1β can up-regulate chemokine
receptors (including CXCR7) in different cells [2], [21]. However, we did not find
this to be the case in human/rat neurons, as CXCR7 expression is still negligible on
the surface of human neurons treated with TNF-α or IL-1β (10 ng/mL, up to 72
hrs; data not shown). As alterations of CXCL12/CXCR4 function are thought to
contribute to neuropathology, including neuroAIDS, we also asked whether changes in
CXCR7 expression between normal and HIV-positive brain tissue could be involved in
CXCR4 impairment. A first step in this direction was to examine overall expression
of the CXCR7 protein in a few representative brain areas from control and HIV
subjects in order to gather preliminary information about distribution of CXCR7 in
the adult brain under physiological and pathological conditions. Based on the
information collected from these studies, i.e. general distribution of CXCR7 in the
two group of subjects, control and HIV-positive, we have started a larger and more
detailed analysis of CXCR7 expression as it relates to neurocognitive impairment by
using multispectral microscopy and laser capture microdissection. Though progress of
these studies is relatively slow, due to the complexity of the technical approach
and limited availability of the brain samples, they will provide crucial information
about the role of CXCR7 in the regulation of CXCR4 in vivo.In conclusion, our data provide the first evidence of CXCR7 protein expression in
human differentiated neurons, both in vivo and in culture, laying
the foundation for subsequent studies to characterize the physiological and
pathological role of CXCR7 in the adult brain. Collectively, the results so far
exclude a substantial role of CXCR7 in the short-term survival signaling stimulated
by CXCL12 in neurons. This is not only an important information about the overall
function of CXCL12 in the brain, but a potential positive result supporting ongoing
efforts toward development of CXCR7-based therapies against cancer and other
pathologies. Based on these data, use of specific CXCR7 ligands that target
CXCR7-positive cells [12], [27] is not expected to be associated with direct neuronal
damage or immediate impairment of neuronal CXCR4 function. However, these studies
also raise the possibility that CXCR7/CXCR4 interactions in intracellular
compartments can control CXCR4 trafficking to the surface and regulate CXCR4
coupling to other proteins. As recycling/degradation and delayed intracellular
signaling are essential components of 7TM receptors' physiopathology, this
supportive action of CXCR7 may have important consequences on CXCR4 long-term
function. In line with these conclusions, a recent report has shown that CXCR7 can
control CXCR4 levels in vivo via modulation of its degradation
[38].
Therefore, further characterization of this interesting protein in specific brain
cell populations under normal and pathological conditions should lead to a better
understanding of the numerous CXCL12 functions in the CNS and should be highly
encouraged.Variable expression of CXCR7 protein on the cell surface in different
CXCR7-positive cells. CXCR7 mRNA was detected in U87MG and U343
cells, but not the MB-MDA-435 or no template controls by RT-PCR. Despite
abundant CXCR7 message (A), cell surface CXCR7 could not be demonstrated in
U87MG cells by radioligand binding (B, top) or FACS (B, bottom) in contrast
to the U343 positive controls. Using immunofluorescence, CXCR7 was localized
to the cytoplasm of U87MG cells (C1) as reported in neurons (C2/C3). Data
represent the mean±SEM. Scale bar: 20 µm.(TIF)Click here for additional data file.CXCR7 does not colocalize with early to late endosome markers.
Human neurons were stained for CXCR7 and early (EEA1) or late (Rab7, Rab11)
endosomal markers. CXCR7 staining does not overlap with any of the markers
used in this study. Mouse IgG1 isotype control was used as negative control
(NC). Scale bars: 20 µm.(TIF)Click here for additional data file.
Authors: Q Ma; D Jones; P R Borghesani; R A Segal; T Nagasawa; T Kishimoto; R T Bronson; T A Springer Journal: Proc Natl Acad Sci U S A Date: 1998-08-04 Impact factor: 11.205
Authors: S Morgello; B B Gelman; P B Kozlowski; H V Vinters; E Masliah; M Cornford; W Cavert; C Marra; I Grant; E J Singer Journal: Neuropathol Appl Neurobiol Date: 2001-08 Impact factor: 8.090
Authors: Paramita Ray; Laura Anne Mihalko; Nathaniel L Coggins; Pranav Moudgil; Anna Ehrlich; Kathryn E Luker; Gary D Luker Journal: Int J Biochem Cell Biol Date: 2012-01-25 Impact factor: 5.085
Authors: David Maussang; Azra Mujić-Delić; Francis J Descamps; Catelijne Stortelers; Peter Vanlandschoot; Marijke Stigter-van Walsum; Henry F Vischer; Maarten van Roy; Maria Vosjan; Maria Gonzalez-Pajuelo; Guus A M S van Dongen; Pascal Merchiers; Philippe van Rompaey; Martine J Smit Journal: J Biol Chem Date: 2013-08-26 Impact factor: 5.157
Authors: Mike Veenstra; Dionna W Williams; Tina M Calderon; Kathryn Anastos; Susan Morgello; Joan W Berman Journal: J Leukoc Biol Date: 2017-07-28 Impact factor: 4.962