Vladislav Pokatayev1, Naushaba Hasin2, Hyongi Chon2, Susana M Cerritelli2, Kiran Sakhuja2, Jerrold M Ward3, H Douglas Morris4, Nan Yan1, Robert J Crouch5. 1. Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75390 Department of Microbiology, University of Texas Southwestern Medical Center, Dallas, TX 75390. 2. Division of Developmental Biology, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD 20892. 3. Laboratory of Immunogenetics, National Institute of Allergy and Infectious Diseases, Bethesda, MD 20892. 4. NIH Mouse Imaging Facility, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD 21042. 5. Division of Developmental Biology, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD 20892 crouchr@helix.nih.gov.
Abstract
The neuroinflammatory autoimmune disease Aicardi-Goutières syndrome (AGS) develops from mutations in genes encoding several nucleotide-processing proteins, including RNase H2. Defective RNase H2 may induce accumulation of self-nucleic acid species that trigger chronic type I interferon and inflammatory responses, leading to AGS pathology. We created a knock-in mouse model with an RNase H2 AGS mutation in a highly conserved residue of the catalytic subunit, Rnaseh2a(G37S/G37S) (G37S), to understand disease pathology. G37S homozygotes are perinatal lethal, in contrast to the early embryonic lethality previously reported for Rnaseh2b- or Rnaseh2c-null mice. Importantly, we found that the G37S mutation led to increased expression of interferon-stimulated genes dependent on the cGAS-STING signaling pathway. Ablation of STING in the G37S mice results in partial rescue of the perinatal lethality, with viable mice exhibiting white spotting on their ventral surface. We believe that the G37S knock-in mouse provides an excellent animal model for studying RNASEH2-associated autoimmune diseases.
The neuroinflammatory autoimmune disease Aicardi-Goutières syndrome (AGS) develops from mutations in genes encoding several nucleotide-processing proteins, including RNase H2. Defective RNase H2 may induce accumulation of self-nucleic acid species that trigger chronic type I interferon and inflammatory responses, leading to AGS pathology. We created a knock-in mouse model with an RNase H2 AGS mutation in a highly conserved residue of the catalytic subunit, Rnaseh2a(G37S/G37S) (G37S), to understand disease pathology. G37S homozygotes are perinatal lethal, in contrast to the early embryonic lethality previously reported for Rnaseh2b- or Rnaseh2c-null mice. Importantly, we found that the G37S mutation led to increased expression of interferon-stimulated genes dependent on the cGAS-STING signaling pathway. Ablation of STING in the G37Smice results in partial rescue of the perinatal lethality, with viable mice exhibiting white spotting on their ventral surface. We believe that the G37S knock-in mouse provides an excellent animal model for studying RNASEH2-associated autoimmune diseases.
Aicardi-Goutières syndrome (AGS) is a rare neuroinflammatory disorder (Crow et al., 2015). In most cases, it is present at
birth with symptoms indistinguishable from those associated with congenital viral
infection, such as elevated levels of type I IFN in the serum and cerebrospinal fluid. AGS
arises from mutations in seven different genes: RNASEH2A,
RNASEH2B, RNASEH2C, TREX1,
SAMHD1, ADAR1, and IFIH1, all of
which are nucleic acid–transacting enzymes. AGS is believed to result from
activation of the innate immune pathway by nucleic acids accumulating in the cytosol when
an AGS-associated gene is defective. AGS shares some disease hallmarks with systemic lupus
erythematosus (Günther et al., 2015). Over
50% of AGSpatients carry biallelic mutations in the genes encoding the three subunits of
the heterotrimeric RNase H2 complex (RNase H2A, RNase H2B, and RNase 2C; Crow et al., 2015).RNase H2 provides the main RNase H activity in humans (Cerritelli and Crouch, 2009) and is essential for removing ribonucleotides
incorporated in genomic DNA during replication, as well as for resolving R-loops formed
during transcription (Nick McElhinny et al., 2010;
Reijns et al., 2012; Chon et al., 2013). The crystal structures of human and mouse RNase H2
revealed the interactions of the subunits and the positions of the more than 50 known
AGS-related mutations in the three subunits (Figiel et
al., 2011; Reijns et al., 2011; Reijns and Jackson, 2014). Some mutations are located
near the catalytic center and affect catalysis, whereas others affect stability or alter
protein interactions. The most common mutations reported in AGSpatients are found in the B
subunit (Crow et al., 2015) and are associated with
less severe disease phenotype than mutations in the catalytic A subunit. A mutation in a
highly conserved glycine (G37S) near the catalytic center on the RNase H2A subunit causes a
severe early onset presentation of AGS, likely as a result of a substantial loss of RNase H
activity (Crow et al., 2006). Many in vitro studies
showed that Serine substitution for Glycine 37 in RNases H2 of eukaryotes reduces RNase
activity (Crow et al., 2006; Rohman et al., 2008; Chon et al.,
2009; Coffin et al., 2011). Mouse models
using deletions of RNASE2B and RNASEH2C exhibit
significant DNA damage, resulting in embryonic lethality at E9.5 (Hiller et al., 2012; Reijns et al.,
2012). These mice have elucidated important information on the role of RNase H2
in genome stability, but because of their early death, have not yielded insight into the
innate immune pathways responsible for disease manifestation. Likewise, neither do mice
with residual levels of RNase H2B (R2B KOF; Hiller et
al., 2012), or the viable and asymptomatic
Rnaseh2bmouse model (Reijns and Jackson, 2014).
Therefore, it remains unclear how RNASEH2 mutations lead to the
development of AGS.
RESULTS AND DISCUSSION
G37S homozygous mice are perinatal lethal, and G37S embryos show increased
expression in IFN-stimulated genes
We generated Rnaseh2a-G37S knock-in mice to mimic the exact mutation
present in AGSpatients. Rnaseh2amice were viable,
with no evident deleterious phenotype. Breeding of
Rnaseh2amice generate still-born pups that were
homozygotes for the mutation (Fig. 1 A). No
viable G37S homozygotes were observed (dead at or within hours after birth). The G37S
homozygote embryos were smaller from an early embryogenesis period of E10.5, present
at expected Mendelian ratio, and were ∼20% smaller in size compared with their
uterine mates (Fig. 1 A). Magnetic resonance
imaging and micro-computed tomography scans did not reveal any additional phenotypic
abnormalities in Rnaseh2a embryos in the brain
(Fig. 1 B) or elsewhere (not depicted). We
also did not observe any inflammation in histology staining of tissues of
Rnaseh2a embryos, including the brain
(unpublished data). The lack of neuroinflammation could be caused by early death of
the animal, or by different disease presentation in mouse versus human. Other AGSmouse models such as Trex1−/− or
Samhd1−/− also lack evidence of
neuroinflammation (Gall et al., 2012; Rehwinkel et al., 2013).
Figure 1.
Primary cells from (A) Images of WT and
Rnaseh2a embryos at indicated stage
(bottom). Bars, 2 mm. (B) Transcranial images of ex vivo mouse E18.5 embryos WT
and Rnaseh2a in MRI gradient echo image
and micro computed tomography scans. No appreciable calcium, other than in the
bones of the cranium (top arrow) and jaw (bottom arrow), which are still under
formation. Bars, 1 mm. (C) A heat map of immune gene expression in WT,
Rnaseh2a and
Rnaseh2a primary MEFs. Data from
RNA-seq (Table S1). (D) Gene ontology analysis of 388
genes that are increased by twofold or more in
Rnaseh2a compared with WT MEFs. Top
five enriched pathways are shown. (E) Expression of ISGs in WT,
Rnaseh2a, and
Rnaseh2a primary MEFs. Each dot
represents a different ISG. Data from RNA-seq. (F) Quantitative RT-PCR analysis
of Ifit1 and Ifit3 mRNA (ISGs) in WT,
Rnaseh2a, and
Rnaseh2a primary MEFs. (G and H)
VSV-GFP replication in WT, Rnaseh2a, and
Rnaseh2a primary MEFs. FACS analysis
measures VSV-GFP signal at 24 h after infection (G). Quantitative RT-PCR
analysis of VSV G and M RNA measure viral RNA replication at indicated time
after infection (H). *, P < 0.05; **, P < 0.01. Mice were compared with
littermate controls. Data are representative of at least three independent
experiments. Error bars represent the SEM. Unpaired Student’s
t test (F–H).
Primary cells from (A) Images of WT and
Rnaseh2a embryos at indicated stage
(bottom). Bars, 2 mm. (B) Transcranial images of ex vivo mouse E18.5 embryos WT
and Rnaseh2a in MRI gradient echo image
and micro computed tomography scans. No appreciable calcium, other than in the
bones of the cranium (top arrow) and jaw (bottom arrow), which are still under
formation. Bars, 1 mm. (C) A heat map of immune gene expression in WT,
Rnaseh2a and
Rnaseh2a primary MEFs. Data from
RNA-seq (Table S1). (D) Gene ontology analysis of 388
genes that are increased by twofold or more in
Rnaseh2a compared with WT MEFs. Top
five enriched pathways are shown. (E) Expression of ISGs in WT,
Rnaseh2a, and
Rnaseh2a primary MEFs. Each dot
represents a different ISG. Data from RNA-seq. (F) Quantitative RT-PCR analysis
of Ifit1 and Ifit3 mRNA (ISGs) in WT,
Rnaseh2a, and
Rnaseh2a primary MEFs. (G and H)
VSV-GFP replication in WT, Rnaseh2a, and
Rnaseh2a primary MEFs. FACS analysis
measures VSV-GFP signal at 24 h after infection (G). Quantitative RT-PCR
analysis of VSV G and M RNA measure viral RNA replication at indicated time
after infection (H). *, P < 0.05; **, P < 0.01. Mice were compared with
littermate controls. Data are representative of at least three independent
experiments. Error bars represent the SEM. Unpaired Student’s
t test (F–H).We next examined where we can detect a molecular signature of immune activation in
Rnaseh2a embryos, as it would be expected
from its association with AGS. We performed RNA-seq analysis comparing gene
expression profiles of WT, Rnaseh2a, and
Rnaseh2a primary MEFs isolated from E13.5
embryos. We found that 388 genes were up-regulated twofold or more in
Rnaseh2aMEFs compared with WT; of those,
the most enriched gene network was “immune response” (DAVID GO term
analysis; Fig. 1, C and D). Many of the highly
up-regulated genes in Rnaseh2a cells were
IFN-stimulated genes (ISGs), such as Ifit44,
Usp18, Ifit1, Rsad2,
Isg15, Irf7, and Cxcl10 (Fig. 1 D). We validated increased expression of
Ifit1, Ifit3, Rsad2, and
Cxcl10 by quantitative RT-PCR (Figs. 1 E and 2). As ISGs provide
defense mechanisms against viral infection, we infected WT,
Rnaseh2a, and
Rnaseh2a primary MEFs with vesicular
stomatitis virus (VSV)-PeGFP, to assess their functionality. We found that
Rnaseh2aMEFs were highly refractory to
VSV infection, as measured by reduced GFP fluorescence at 24 h or by reduced VSV G
and M RNA from 6 to 24 h after infection (Fig. 1
F). Collectively, our data showed that the homozygous G37S mutation in mice
invokes innate immune activation of ISGs, similar to that of AGSpatients (Crow et al., 2015).
Figure 2.
Immune activation in
(A) Quantitative RT-PCR analysis of Cxcl10, Ifit1 and
Rsad2 mRNA (all ISGs) in WT and
Rnaseh2a (G37S, same below) MEFs
treated with DMSO or TBK1 inhibitor BX795 (10 µM) for 6 h. (B)
Quantitative RT-PCR analysis of Cxcl10 mRNA in WT and G37S
MEFs treated with shRNA against indicated genes involved in cytosolic nucleic
acid-sensing. (C) shMAVS knockdown reduces poly(I:C)-induced IFN response.
Knockdown efficiency is shown on the right. (D) Quantitative RT-PCR analysis of
Cxcl10, Ifit1, and Rsad2 mRNA in WT and
G37S MEFs treated with shRNA against indicated genes involved in DNA-sensing
pathway. (E) Quantitative RT-PCR analysis of a panel of human ISGs and IFN
genes in human fibroblasts (BJ-1 cells) co-cultured with WT or G37S MEFs for 18
h, with or without CBX treatment (inhibits gap junction). Left inset shows a
schematic diagram of the gap junction assay. Right inset shows FACS analysis of
cell death in mock- and CBX-treated cells. (F) Quantitative RT-PCR analysis of
human ISGs in human fibroblasts in a trans-well assay co-cultured with WT or
G37S MEFs for 18 h. Mice were compared with littermate controls. **, P <
0.01; ***, P < 0.001. ns, not significant. Data are representative of at
least three independent experiments. Error bars represent the SEM. Unpaired
Student’s t test (A–D).
Immune activation in
(A) Quantitative RT-PCR analysis of Cxcl10, Ifit1 and
Rsad2 mRNA (all ISGs) in WT and
Rnaseh2a (G37S, same below) MEFs
treated with DMSO or TBK1 inhibitor BX795 (10 µM) for 6 h. (B)
Quantitative RT-PCR analysis of Cxcl10 mRNA in WT and G37SMEFs treated with shRNA against indicated genes involved in cytosolic nucleic
acid-sensing. (C) shMAVS knockdown reduces poly(I:C)-induced IFN response.
Knockdown efficiency is shown on the right. (D) Quantitative RT-PCR analysis of
Cxcl10, Ifit1, and Rsad2 mRNA in WT and
G37SMEFs treated with shRNA against indicated genes involved in DNA-sensing
pathway. (E) Quantitative RT-PCR analysis of a panel of human ISGs and IFN
genes in human fibroblasts (BJ-1 cells) co-cultured with WT or G37SMEFs for 18
h, with or without CBX treatment (inhibits gap junction). Left inset shows a
schematic diagram of the gap junction assay. Right inset shows FACS analysis of
cell death in mock- and CBX-treated cells. (F) Quantitative RT-PCR analysis of
human ISGs in human fibroblasts in a trans-well assay co-cultured with WT or
G37SMEFs for 18 h. Mice were compared with littermate controls. **, P <
0.01; ***, P < 0.001. ns, not significant. Data are representative of at
least three independent experiments. Error bars represent the SEM. Unpaired
Student’s t test (A–D).
Immune activation in Rnaseh2a primary MEFs
requires the cGAS–STING innate immune pathway
We next aimed to determine the signaling pathways responsible for the innate immune
activation in Rnaseh2a cells. Many of the
up-regulated ISGs we observed are direct targets of the transcription factor IRF3
(Diamond and Farzan, 2013; Lazear et al., 2013), which is activated by
phosphorylation by TBK1. We treated Rnaseh2a
cells with a TBK1 inhibitor BX795, and observed reduced expression of activated
genes, Cxcl10, Ifit1, and Rsad2 in
Rnaseh2a cells (Fig. 2 A), suggesting the involvement of a cytosolic
immune-sensing pathway. Using shRNA directed against Mavs or
Sting (adaptor proteins for cytosolic RNA or DNA sensing,
respectively) in Rnaseh2a cells, we found that
shRNA against Sting restored the low expression levels of
Cxcl10 mRNA to WT levels. In contrast, Mavs
knockdown significantly reduced poly(I:C)-induced IFN response, but had no effect on
the G37S-induced ISG expression (Fig. 2, B and C), suggesting that the G37S mutation leads to activation of
a DNA- but not RNA-sensing pathway.We next used shRNA to knock down components of the cytosolic DNA-sensing pathway in
Rnaseh2a cells, and then examined
expression of ISGs. shSting and shTbk1 effectively restored mRNA levels to those seen
in WT cells (Fig. 2 D). A prominent driver of
cytosolic DNA detection, cGAS, responds to microbial or self-DNA and long,
homopolymeric RNA/DNA hybrids (Ablasser et al.,
2014; Mankan et al., 2014; Gao et al., 2015; Gray et al., 2015). shRNA-mediated knockdown of cGAS in
Rnaseh2a cells also returned ISG
expression to low WT levels (Fig. 2 D). As the
production of cGAMP by cGAS leads to activation of STING-mediated signaling, we next
examined the presence of cGAMP in Rnaseh2a cells
using the gap junction transfer cGAMP bioassay (Ablasser et al., 2013). cGAMP can be transferred from producing cells to
neighboring cells through gap junctions, thereby enabling a co-culture–based
transactivation assay for cGAMP detection (Ablasser
et al., 2013). We co-cultured Rnaseh2aMEFs (producing cells) with human fibroblasts (target cells), and then used
human-specific primers to probe the immune activation status of the human cells.
Rnaseh2aMEFs induced strong immune
activation of the human ISGs tested, whereas WT MEFs had no effect (Fig. 2 E). Importantly, we also found that
inhibiting gap junctions with carbenoxolone (CBX), a nontoxic gap junction inhibitor
(Fig. 2 E), or trans-well separation
completely abolished Rnaseh2aMEF’s
transactivation activity (Fig. 2 F). These
data suggest that Rnaseh2a primary MEFs produce
cGAMP that activates the STING pathway.
Sting partially rescues perinatal
lethality of G37S mice
In the AGSmouse model of Trex1 gene deletion, viability of
Trex1mice is extended
dramatically when the response to secreted type I IFN is ablated by deleting the IFN
receptor, Infar1, or by eliminating the adaptive immune response
through Rag2 gene deletion (Stetson et al., 2008). We thus bred G37S to
Infar1 or
Rag2 backgrounds and found that
neither of these genetic knockouts was able to rescue the perinatal lethal phenotype
(Table 1). These findings are consistent
with lack of inflammation in the Rnaseh2a
embryos, further suggesting cell-intrinsic defects may be responsible. Partial rescue
of the embryonic development defect seen in Rnaseh2b-null mice was
obtained by deleting the p53 gene (Reijns et al., 2012). However, we found
Rnaseh2amice also exhibited perinatal lethality indistinguishable from
Rnaseh2a alone. We also did not observe
elevated expression of p53 pathway genes from our RNA-seq analysis (unpublished
data).
Table 1.
Genetic crosses of G37S mice
Mice
p53−/−
INFAR−/−
Rag2−/−
Mavs−/−
Sting−/−
Neonates (no. embryos)
Weaned pups (no. mice)
Neonates (no. embryos)
Weaned pups (no. mice)
Neonates (no. embryos)
Weaned pups (no. mice)
Neonates (no. embryos)
Weaned pups (no. mice)
Neonates (no. embryos)
Weaned pups (no. mice)
WT
23% (7)
33% (17)
24% (8)
44% (67)
26% (10)
32% (30)
22% (4)
41% (52)
23% (7)
32% (95)
G37S/+
58% (18)
67% (34)
52% (17)
56% (87)
53% (20)
68% (65)
56% (10)
59% (74)
60% (18)
66% (196)
G37S/ G37S
19% (6)
0% (0)
24% (8)
0% (0)
21% (8)
0% (0)
22% (4)
0% (0)
17% (5)
2% (6)
We next bred Rnaseh2a onto
Mavs−/− or
Sting−/− background.
Rnaseh2a remains perinatal lethal on
Mavs−/− background (Table 1), consistent with RNA-sensing pathways
being uninvolved (Fig. 2). Remarkably, we
obtained viable pups of
Rnaseh2a
genotype, albeit at 6% of expected frequency (or 2% of weaned pups from heterozygous
crosses on the Sting−/− background; Table 1). Most of the
Rnaseh2a
still exhibited perinatal lethality, similar to Rnaseh2a+/− or Sting+/+ (Table 1). Mice were either perinatal lethal or
survived after birth. The failure to rescue any lethality in
G37S could reflect the limited number of
offspring examined. We compared ISG expression in primary E14.5 MEFs, and found that
Rnaseh2a−/−
completely returned ISG expression to the low level in
Rnaseh2a,
whereas Mavs−/− had no effect (Fig. 3 A). We bred
Rnaseh2a onto
cGAS background and found that
Rnaseh2aG37S
embryos also restored ISG expression to WT levels (Fig. 3 A). Moreover, the mean ISG score is highly elevated in
Rnaseh2a and
Rnaseh2a−/−
MEFs, whereas both
Rnaseh2a
and Rnaseh2aMEFs show similar baseline values as in WT (Fig. 3
B). We also measured cGAMP in both rescued MEFs using the gap junction
bioassay. Both Rnaseh2a and
Rnaseh2a
produce cGAMP, whereas
Rnaseh2aMEFs did not (Fig. 3 C). These data further
demonstrate that the cGAS–cGAMP–STING pathway is mediating the immune
activation in G37Smice. Because only a small fraction of the progeny with
Rnaseh2a
genotype is viable, our data also suggest that innate immune activation through the
cGAS–cGAMP–STING pathway only partially contributed to the lethality of
G37Smice.
Figure 3.
(A) Quantitative RT-PCR analysis of
a panel of mouse ISGs in WT or G37S embryos on
Mavs or
Sting or
cGAS−/− background. Total RNA was
isolated from primary MEFs (E13.5) of indicated genotype. (B) Mean ISG score of
indicated genotypes. Data from A. (C) Gap junction cGAMP bioassay. As in Fig. 2 E, MEFs of indicated genotype were
co-cultured with human BJ-1 cells for 18 h, with or without CBX or direct
contact (indicated on the bottom). Quantitative RT-PCR analysis of IFN-β
and IFIT1 indicates cGAMP activity in MEFs. (D) Mouse body weights.
n = 4. (E) White-spotting phenotype in
Rnaseh2a viable adults. (F) Quantitative
PCR analysis of mouse Line-1 5′ UTR and ORF2 DNA in WT or G37S embryos
(isolated from E13.5 or E15.5; n = 3). Each dot represents an
individual embryo. Mice were compared with littermate controls and with
age-matched knock-out mice **, P < 0.01. Data are representative of at least
two independent experiments (A–C), or pooled data from multiple animals
(D–F). Error bars represent the SEM. Unpaired Student’s
t test (F).
(A) Quantitative RT-PCR analysis of
a panel of mouse ISGs in WT or G37S embryos on
Mavs or
Sting or
cGAS−/− background. Total RNA was
isolated from primary MEFs (E13.5) of indicated genotype. (B) Mean ISG score of
indicated genotypes. Data from A. (C) Gap junction cGAMP bioassay. As in Fig. 2 E, MEFs of indicated genotype were
co-cultured with humanBJ-1 cells for 18 h, with or without CBX or direct
contact (indicated on the bottom). Quantitative RT-PCR analysis of IFN-β
and IFIT1 indicates cGAMP activity in MEFs. (D) Mouse body weights.
n = 4. (E) White-spotting phenotype in
Rnaseh2a viable adults. (F) Quantitative
PCR analysis of mouse Line-1 5′ UTR and ORF2 DNA in WT or G37S embryos
(isolated from E13.5 or E15.5; n = 3). Each dot represents an
individual embryo. Mice were compared with littermate controls and with
age-matched knock-out mice **, P < 0.01. Data are representative of at least
two independent experiments (A–C), or pooled data from multiple animals
(D–F). Error bars represent the SEM. Unpaired Student’s
t test (F).
White-spotting phenotype and increased LINE-1 expression
We also observed several interesting phenotypes in the viable
Rnaseh2amice. These mice are ∼70% in body size and weight compared with WT or
heterozygous controls (Fig. 3 D). We have
observed both male and female progeny for
Rnaseh2a,
and all have so far failed to produce offspring, whereas littermate controls are
fertile. These rescued
Rnaseh2amice are grossly healthy, with the oldest animal approaching 1 yr of age.
Intriguingly, all of the viable
Rnaseh2amice presented a ventral white spotting phenotype, as well as white hind- and
forepaws that are not observed in WT or heterozygous littermates (Fig. 3 E). This phenotype was consistent from
birth and remained throughout the lifespan of the mice. Histopathology analysis did
not find any abnormalities or inflammation in internal organs, including the brain,
of Rnaseh2amice (not depicted). Skin histology from the white patches of
Rnaseh2amice is structurally normal, although lack of melanin in hair shafts is evident
(unpublished data). As endogenous retroelements have been implicated in the
pathogenesis of AGS (Volkman and Stetson,
2014) and the RNA/DNA hybrids or DNA of murine endogenous retroviruses can
function as a ligand of the cGAS–STING pathway (Mankan et al., 2014), we measured LINE-1 element in WT,
Rnaseh2a, and
Rnaseh2a
E13.5 and E15.5 embryos. Indeed, we found that LINE-1 DNA level from cytosolic
extract is increased in both Rnaseh2a and
Rnaseh2a
embryos to similar levels compared with littermate WT embryos, suggesting that it is
independent of immune activation (Fig. 3 F).
However, we failed to observe elevation of L1 ORF1 protein by Western blot (not
depicted). It remains unclear whether the increase in LINE-1 DNA is a result of an
increase in LINE element activity, or because of defects in genomic structures where
LINE elements are enriched as was recently suggested (Lim et al., 2015). Together, our data suggest that the G37S
mutation causes white-spotting phenotype in
Rnaseh2amice, likely resulting from defects in melanocyte development or migration from
progenitors at the neural crest. G37S mutation also causes increased level of LINE-1
DNA, which may contribute to the activation of the cGAS–STING pathway.In summary, the G37Smouse represents the first RNase H2 mouse model with a clear
immune activation phenotype, making it uniquely useful for understanding the
associated human disease. Embryonic development until birth allowed the expression of
innate immune signaling proteins or immune ligands, which uncovered the active
cGAS–STING innate immune pathway in G37Smice. RNA/DNA hybrids or rNMPs in DNA
could be a direct source of nucleic acids activating the DNA-sensing pathway.
Alternatively, specific nucleic acids, such as LINE-1–derived nucleic acids,
could elicit the innate immune response. The perinatal lethality of the G37Smice is
likely caused in large part by a yet-to-be-identified biochemical defect associated
with the mutation. Sting only partially
rescued the lethality, despite complete suppression of ISG expression, and
p53 failed to rescue the
lethality. Similarly, another AGSmouse model, the
Adar1−/− mouse, exhibits early embryonic
lethality, and it can be partially rescued to birth by
Mavs−/− and to adult by
Ifih1 (Mannion et al., 2014; Liddicoat et al., 2015). These findings indicate that
Rnaseh2 and Adar1 genes associated with AGS have
important functions that are critical for embryonic development in mice, beyond that
of prohibiting formation of aberrant nucleic acids that activate innate immunity
(Pestal et al., 2015). Further
biochemical analysis comparing G37S and other existing Rnaseh2
knockout mouse models are necessary to elucidate the differences in biochemical
defects and to shed light on the possible source of nucleic acids that trigger the
cGAS–STING pathway in the G37Smice. Recently studies also showed that
cGAS−/− can rescue the inflammation and
mortality of Trex1−/− mice (another AGSmouse model; Gao et al., 2015; Gray et al., 2015). Therefore, our genetic and
immunological analysis of the G37Smice further establish a critical role of the
cGAS–STING pathway in G37S-induced immune activation, and suggest that
therapeutic intervention of this pathway may be beneficial for treating AGSpatients.
MATERIALS AND METHODS
Mice, cells, and viruses
G37Smice were generated by introducing the human disease associated point
mutation into the conserved residue of mouseRnaseh2a gene.
Infar1−/− and
Rag2−/− mice were obtained from
Taconic Biosciences. p53−/− mice were obtained from The
Jackson Laboratory. Mavs−/− and
cGAS−/− mice were obtained from Z.
Chen (University of Texas Southwestern Medical Center, Dallas, TX) and
Sting−/− mice were obtained from G.
Barber (University of Miami, Miami, FL). Primary MEFs were isolated from embryos
of indicated embryonic dates. These cells were maintained in DMEM with 20%
(vol/vol) heat-inactivated FCS, 2 mM l-glutamine, 10 mM Hepes, and 1 mM
sodium pyruvate (complete DMEM) with the addition of 100 U/ml penicillin and 100
mg/ml streptomycin and were cultured at 37°C with 5% CO2.
VSV-PeGFP is a gift from A. Pattnaik (University of Nebraska, Lincoln, NE; Das et al., 2014). Cells were plated
overnight and, the next day, infected overnight with VSV-GFP at a multiplicity of
infection of 1. Cells were washed with PBS before standard fixation with 4%
paraformaldehyde in PBS (Affymetrix). Percentage of infectivity was assessed with
FACSCalibur (BD). For viral RNA measurement, total RNA was extracted at various
time points after infection, and VSV G and M RNA were measured with specific
primers (Hasan et al., 2013). Experiments
performed in BSL2 conditions were approved by the Environmental Health and Safety
Committee at University of Texas Southwestern Medical Center. Experiments
involving mouse materials were approved by the Institutional Animal Care and Use
Committees of the University of Texas Southwestern Medical Center and the National
Institute for Child Health and Human Development (Bethesda, MD).
RNA isolation and quantitative RT-PCR
Total RNA was isolated with TRI reagent according to the manufacturer’s
protocol (Sigma-Aldrich), and cDNA was synthesized with iScript cDNA synthesis kit
(Bio-Rad Laboratories). iTaq Universal SYBR Green Supermix (Bio-Rad Laboratories)
and an ABI-7500 Fast Real-Time PCR system (Applied Biosystems) were used for
quantitative RT-PCR analysis (primer sequences listed in Table S2). Hprt and Gapdh were used as
housekeeping genes for data normalization. RNA-seq was performed as previously
described (Hasan et al., 2013).
cGAMP activity bioassay
cGAMP activity in MEFs was measured by a co-culture bioassay as previously
described (Ablasser et al., 2014). In
brief, 2 × 105 human fibroblasts/ml were plated overnight. After
attachment, 4 × 105 primary murine fibroblasts/ml were plated onto
the human cells, with or without 200 µM CBX (Sigma-Aldrich) treatment or with
separation by 0.4-µm polycarbonate Trans-well inserts (Corning) for 18 h.
Subsequent analysis was performed using a human-specific PrimePCR Array plate
(Bio-Rad Laboratories).
shRNA knockdown and TBK inhibitor
shRNA oligos were synthesized (Sigma-Aldrich) and cloned into a pLKO.1-TRC cloning
vector following Addgene’s protocol. Lentiviral particles were packaged in
HEK-293 T cells and filtered with Amicon Ultra-15 centrifugal filters (EMD
Millipore). shRNA-harboring lentiviruses were allowed to infect cells overnight
with polybrene (10 µg/ml) treatment, and cells expressing the shRNA were
selected with a puromycin concentration (Life Technologies) for several days.
Puromycin selection was removed several days before subsequent analysis. shRNA
oligo sequences are listed in Table S1. For TBK1 inhibitor experiments, cells
were treated with DMSO (% vol/vol) or 10 µM BX795 (InvivoGen) for 6 h. Cells
were then washed with PBS and grown in DMEM with 20% FCS alone for several hours
before subsequent analysis.
Line-1 retroelements
E13.5 or E15.5 embryos were homogenized into single-cell suspensions and cytosolic
lysates obtained using a cytosolic extraction buffer as previously described
(Yang et al., 2007). In brief,
PBS-washed cell pellets were lysed in 10 mM Hepes, pH 7.9, 10 mM KCl, 1.5 mM
MgCl2, 0.34 M sucrose, 10% glycerol, and 0.1% Triton X-100 for 5 min
on ice. Cell lysates were treated with Proteinase K at 55°C for 1 h and with
RNase I (Life Technologies) before phenol/chloroform extraction and ethanol
precipitation overnight. Isolated DNA was resuspended in nuclease free
H2O and directly subjected to quantitative PCR analysis using Line-1
primers (Table S1).
Statistical methods
Data are presented as the mean ± SEM. Prism 6 (GraphPad) was used for
statistical analysis. Statistical tests performed are indicated in figure legends.
*, P < 0.05; **, P < 0.01; ***, P < 0.001; and ****, P < 0.0001.
Online supplemental material
Table S1 lists RNA-seq data. Table S2 lists oligonucleotides used in this study.
Online supplemental material is available at http://www.jem.org/cgi/content/full/jem.20151464/DC1.
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