Literature DB >> 26880576

RNase H2 catalytic core Aicardi-Goutières syndrome-related mutant invokes cGAS-STING innate immune-sensing pathway in mice.

Vladislav Pokatayev1, Naushaba Hasin2, Hyongi Chon2, Susana M Cerritelli2, Kiran Sakhuja2, Jerrold M Ward3, H Douglas Morris4, Nan Yan1, Robert J Crouch5.   

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.
© 2016 Pokatayev et al.

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Year:  2016        PMID: 26880576      PMCID: PMC4813680          DOI: 10.1084/jem.20151464

Source DB:  PubMed          Journal:  J Exp Med        ISSN: 0022-1007            Impact factor:   14.307


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 AGS patients 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 AGS patients 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 Rnaseh2b mouse 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 AGS patients. Rnaseh2a mice were viable, with no evident deleterious phenotype. Breeding of Rnaseh2a mice 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 AGS mouse 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 Rnaseh2a MEFs 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 Rnaseh2a MEFs 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 AGS patients (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 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 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 Rnaseh2a MEFs (producing cells) with human fibroblasts (target cells), and then used human-specific primers to probe the immune activation status of the human cells. Rnaseh2a MEFs 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 Rnaseh2a MEF’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 AGS mouse model of Trex1 gene deletion, viability of Trex1 mice 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 Rnaseh2a mice 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

Micep53−/−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)
WT23% (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/ G37S19% (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 Rnaseh2a MEFs 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 Rnaseh2a MEFs did not (Fig. 3 C). These data further demonstrate that the cGAS–cGAMPSTING pathway is mediating the immune activation in G37S mice. Because only a small fraction of the progeny with Rnaseh2a genotype is viable, our data also suggest that innate immune activation through the cGAS–cGAMPSTING pathway only partially contributed to the lethality of G37S mice.
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 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).

White-spotting phenotype and increased LINE-1 expression

We also observed several interesting phenotypes in the viable Rnaseh2a mice. 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 Rnaseh2a mice are grossly healthy, with the oldest animal approaching 1 yr of age. Intriguingly, all of the viable Rnaseh2a mice 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 Rnaseh2a mice (not depicted). Skin histology from the white patches of Rnaseh2a mice 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 Rnaseh2a mice, 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 G37S mouse 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 G37S mice. 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 G37S mice 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 AGS mouse 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 G37S mice. Recently studies also showed that cGAS−/− can rescue the inflammation and mortality of Trex1−/− mice (another AGS mouse model; Gao et al., 2015; Gray et al., 2015). Therefore, our genetic and immunological analysis of the G37S mice 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 AGS patients.

MATERIALS AND METHODS

Mice, cells, and viruses

G37S mice were generated by introducing the human disease associated point mutation into the conserved residue of mouse Rnaseh2a 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.
  32 in total

1.  Defective removal of ribonucleotides from DNA promotes systemic autoimmunity.

Authors:  Claudia Günther; Barbara Kind; Martin A M Reijns; Nicole Berndt; Manuel Martinez-Bueno; Christine Wolf; Victoria Tüngler; Osvaldo Chara; Young Ae Lee; Norbert Hübner; Louise Bicknell; Sophia Blum; Claudia Krug; Franziska Schmidt; Stefanie Kretschmer; Sarah Koss; Katy R Astell; Georgia Ramantani; Anja Bauerfeind; David L Morris; Deborah S Cunninghame Graham; Doryen Bubeck; Andrea Leitch; Stuart H Ralston; Elizabeth A Blackburn; Manfred Gahr; Torsten Witte; Timothy J Vyse; Inga Melchers; Elisabeth Mangold; Markus M Nöthen; Martin Aringer; Annegret Kuhn; Kirsten Lüthke; Leonore Unger; Annette Bley; Alice Lorenzi; John D Isaacs; Dimitra Alexopoulou; Karsten Conrad; Andreas Dahl; Axel Roers; Marta E Alarcon-Riquelme; Andrew P Jackson; Min Ae Lee-Kirsch
Journal:  J Clin Invest       Date:  2014-12-15       Impact factor: 14.808

2.  TREX1 deficiency triggers cell-autonomous immunity in a cGAS-dependent manner.

Authors:  Andrea Ablasser; Inga Hemmerling; Jonathan L Schmid-Burgk; Rayk Behrendt; Axel Roers; Veit Hornung
Journal:  J Immunol       Date:  2014-05-09       Impact factor: 5.422

3.  Cutting Edge: cGAS Is Required for Lethal Autoimmune Disease in the Trex1-Deficient Mouse Model of Aicardi-Goutières Syndrome.

Authors:  Elizabeth E Gray; Piper M Treuting; Joshua J Woodward; Daniel B Stetson
Journal:  J Immunol       Date:  2015-07-29       Impact factor: 5.422

Review 4.  The enemy within: endogenous retroelements and autoimmune disease.

Authors:  Hannah E Volkman; Daniel B Stetson
Journal:  Nat Immunol       Date:  2014-05       Impact factor: 25.606

5.  Interferon-inducible protein IFI35 negatively regulates RIG-I antiviral signaling and supports vesicular stomatitis virus replication.

Authors:  Anshuman Das; Phat X Dinh; Debasis Panda; Asit K Pattnaik
Journal:  J Virol       Date:  2013-12-26       Impact factor: 5.103

6.  Characterization of human disease phenotypes associated with mutations in TREX1, RNASEH2A, RNASEH2B, RNASEH2C, SAMHD1, ADAR, and IFIH1.

Authors:  Yanick J Crow; Diana S Chase; Johanna Lowenstein Schmidt; Marcin Szynkiewicz; Gabriella M A Forte; Hannah L Gornall; Anthony Oojageer; Beverley Anderson; Amy Pizzino; Guy Helman; Mohamed S Abdel-Hamid; Ghada M Abdel-Salam; Sam Ackroyd; Alec Aeby; Guillermo Agosta; Catherine Albin; Stavit Allon-Shalev; Montse Arellano; Giada Ariaudo; Vijay Aswani; Riyana Babul-Hirji; Eileen M Baildam; Nadia Bahi-Buisson; Kathryn M Bailey; Christine Barnerias; Magalie Barth; Roberta Battini; Michael W Beresford; Geneviève Bernard; Marika Bianchi; Thierry Billette de Villemeur; Edward M Blair; Miriam Bloom; Alberto B Burlina; Maria Luisa Carpanelli; Daniel R Carvalho; Manuel Castro-Gago; Anna Cavallini; Cristina Cereda; Kate E Chandler; David A Chitayat; Abigail E Collins; Concepcion Sierra Corcoles; Nuno J V Cordeiro; Giovanni Crichiutti; Lyvia Dabydeen; Russell C Dale; Stefano D'Arrigo; Christian G E L De Goede; Corinne De Laet; Liesbeth M H De Waele; Ines Denzler; Isabelle Desguerre; Koenraad Devriendt; Maja Di Rocco; Michael C Fahey; Elisa Fazzi; Colin D Ferrie; António Figueiredo; Blanca Gener; Cyril Goizet; Nirmala R Gowrinathan; Kalpana Gowrishankar; Donncha Hanrahan; Bertrand Isidor; Bülent Kara; Nasaim Khan; Mary D King; Edwin P Kirk; Ram Kumar; Lieven Lagae; Pierre Landrieu; Heinz Lauffer; Vincent Laugel; Roberta La Piana; Ming J Lim; Jean-Pierre S-M Lin; Tarja Linnankivi; Mark T Mackay; Daphna R Marom; Charles Marques Lourenço; Shane A McKee; Isabella Moroni; Jenny E V Morton; Marie-Laure Moutard; Kevin Murray; Rima Nabbout; Sheela Nampoothiri; Noemi Nunez-Enamorado; Patrick J Oades; Ivana Olivieri; John R Ostergaard; Belén Pérez-Dueñas; Julie S Prendiville; Venkateswaran Ramesh; Magnhild Rasmussen; Luc Régal; Federica Ricci; Marlène Rio; Diana Rodriguez; Agathe Roubertie; Elisabetta Salvatici; Karin A Segers; Gyanranjan P Sinha; Doriette Soler; Ronen Spiegel; Tommy I Stödberg; Rachel Straussberg; Kathryn J Swoboda; Mohnish Suri; Uta Tacke; Tiong Y Tan; Johann te Water Naude; Keng Wee Teik; Maya Mary Thomas; Marianne Till; Davide Tonduti; Enza Maria Valente; Rudy Noel Van Coster; Marjo S van der Knaap; Grace Vassallo; Raymon Vijzelaar; Julie Vogt; Geoffrey B Wallace; Evangeline Wassmer; Hannah J Webb; William P Whitehouse; Robyn N Whitney; Maha S Zaki; Sameer M Zuberi; John H Livingston; Flore Rozenberg; Pierre Lebon; Adeline Vanderver; Simona Orcesi; Gillian I Rice
Journal:  Am J Med Genet A       Date:  2015-01-16       Impact factor: 2.802

7.  The RNA-editing enzyme ADAR1 controls innate immune responses to RNA.

Authors:  Niamh M Mannion; Sam M Greenwood; Robert Young; Sarah Cox; James Brindle; David Read; Christoffer Nellåker; Cornelia Vesely; Chris P Ponting; Paul J McLaughlin; Michael F Jantsch; Julia Dorin; Ian R Adams; A D J Scadden; Marie Ohman; Liam P Keegan; Mary A O'Connell
Journal:  Cell Rep       Date:  2014-11-13       Impact factor: 9.423

8.  Genome-wide DNA hypomethylation and RNA:DNA hybrid accumulation in Aicardi-Goutières syndrome.

Authors:  Yoong Wearn Lim; Lionel A Sanz; Xiaoqin Xu; Stella R Hartono; Frédéric Chédin
Journal:  Elife       Date:  2015-07-16       Impact factor: 8.140

9.  Ribonuclease H2 in health and disease.

Authors:  Martin A M Reijns; Andrew P Jackson
Journal:  Biochem Soc Trans       Date:  2014-08       Impact factor: 5.407

10.  Cytosolic RNA:DNA hybrids activate the cGAS-STING axis.

Authors:  Arun K Mankan; Tobias Schmidt; Dhruv Chauhan; Marion Goldeck; Klara Höning; Moritz Gaidt; Andrew V Kubarenko; Liudmila Andreeva; Karl-Peter Hopfner; Veit Hornung
Journal:  EMBO J       Date:  2014-11-25       Impact factor: 11.598

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  94 in total

Review 1.  RNase H2-RED carpets the path to eukaryotic RNase H2 functions.

Authors:  Susana M Cerritelli; Robert J Crouch
Journal:  DNA Repair (Amst)       Date:  2019-10-23

2.  Effects of neutral salts and pH on the activity and stability of human RNase H2.

Authors:  Misato Baba; Kenji Kojima; Rihoko Nakase; Shota Imai; Tomomi Yamasaki; Teisuke Takita; Robert J Crouch; Kiyoshi Yasukawa
Journal:  J Biochem       Date:  2017-09-01       Impact factor: 3.387

Review 3.  Intracellular Nucleic Acid Detection in Autoimmunity.

Authors:  John T Crowl; Elizabeth E Gray; Kathleen Pestal; Hannah E Volkman; Daniel B Stetson
Journal:  Annu Rev Immunol       Date:  2017-01-30       Impact factor: 28.527

Review 4.  Therapeutic potential of targeting TBK1 in autoimmune diseases and interferonopathies.

Authors:  Maroof Hasan; Nan Yan
Journal:  Pharmacol Res       Date:  2016-06-25       Impact factor: 7.658

Review 5.  DAMP-sensing receptors in sterile inflammation and inflammatory diseases.

Authors:  Tao Gong; Lei Liu; Wei Jiang; Rongbin Zhou
Journal:  Nat Rev Immunol       Date:  2019-09-26       Impact factor: 53.106

Review 6.  Immune Diseases Associated with TREX1 and STING Dysfunction.

Authors:  Nan Yan
Journal:  J Interferon Cytokine Res       Date:  2017-05       Impact factor: 2.607

7.  Genome instability consequences of RNase H2 Aicardi-Goutières syndrome alleles.

Authors:  Catherine J Potenski; Anastasiya Epshtein; Christopher Bianco; Hannah L Klein
Journal:  DNA Repair (Amst)       Date:  2019-04-04

8.  SAMHD1 deficient human monocytes autonomously trigger type I interferon.

Authors:  Alicia Martinez-Lopez; Marta Martin-Fernandez; Sofija Buta; Baek Kim; Dusan Bogunovic; Felipe Diaz-Griffero
Journal:  Mol Immunol       Date:  2018-08-09       Impact factor: 4.407

Review 9.  Animal Models for the Study of Nucleic Acid Immunity: Novel Tools and New Perspectives.

Authors:  Isabelle K Vila; Maxence Fretaud; Dimitrios Vlachakis; Nadine Laguette; Christelle Langevin
Journal:  J Mol Biol       Date:  2020-08-26       Impact factor: 5.469

10.  Transposable element dysregulation in systemic lupus erythematosus and regulation by histone conformation and Hsp90.

Authors:  Maurer Kelly; Shi Lihua; Zhang Zhe; Song Li; Paucar Yoselin; Petri Michelle; E Sullivan Kathleen
Journal:  Clin Immunol       Date:  2018-08-24       Impact factor: 3.969

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