1. Introduction
Multiple Sclerosis (MS) is an immune-mediated demyelinating disease of the central nervous system (CNS) [
1,
2]. Besides MS, optic neuritis (ON) is also an inflammatory demyelinating disease of the optic nerve that is highly associated with MS. ON can be the first indication and the most common symptom of MS [
3]. About 50% of people who have MS will develop ON. It’s also linked to neuromyelitis optica (NMO) or Devic’s disease [
4]. The most common cause of ON is inflammatory demyelination of the optic nerve [
5]. However, there is no clear reason why the optic nerve is suddenly inflamed by the immune attack.
Experimental autoimmune encephalomyelitis (EAE) is the most intensively investigated experimental animal model of the human inflammatory demyelinating disease such as MS [
6,
7,
8]. Since EAE has some aspects of the pathogenesis of MS and its related diseases likely to ON and NMO, EAE can be applied to a disease model of ON [
9,
10]. In fact, accumulating evidence suggests that EAE induces significant retinal ganglion cell (RGC) loss [
11,
12,
13]. Interestingly, Quinn et al. have previously reported that RGC loss was observed in EAE eyes. In addition, RGC loss occurred more than 25 days after immunization to induce EAE [
11]. These observations indicate that EAE develops ON with the relatively slow degeneration of RGCs. However, the molecular mechanism of developing ON in EAE/human MS remains still unknown.
Galectins, a β-galactosidase lectin consisting of 15 members in mammals, recognize β-linked galactose (Gal), such as N-acetyllactosamine (LacNAc), consisting of Gal β1-3/4 linked to N-acetylglucosamine (GlcNAc), in cell surface glycoproteins and glycolipids, as well as proteoglycans in the extracellular matrix. Among the family members, galectin-3 (gal-3) is expressed in the CNS and regulates various physiological and pathological events [
14]. A previous report has shown that auto-antibodies against gal-3 are present in sera of patients with secondary progressive MS and contribute to the persistent BBB breakdown [
15]. It has been supposed that the role of gal-3 is controversial in demyelinating animal models [
16]. However, gal-3 knockout mice developed a significantly milder EAE and exhibited less inflammatory infiltrates in the spinal cord and a reduction of demyelination during EAE [
17]. In addition, the cuprizone-induced CNS demyelination model exhibited that pro-inflammatory cytokines such as TNF-α were not increased in gal-3 knockout mice. In the diabetic model, gal-3 knockout mice also reduced neuroinflammation by decreasing the number of Iba-1-positive cells in the optic nerve [
18]. Besides this evidence, our previous report has demonstrated that gal-3 is expressed on activated microglia in the spinal cord, infiltrating macrophages in the spinal parenchyma and pia mater and Schwann cells in the ventral nerve roots in EAE [
16]. It was also briefly noted that gal-3 was expressed in F4/80(+) macrophages/microglia during EAE [
19,
20]. While accumulating evidence indicates a considerable possibility that gal-3 is involved in neuroinflammation during the EAE and ON pathogenesis, little is known about the association of gal-3 with EAE-induced ON.
In the current study, the expression and distribution of gal-3 were explored in the visual pathway during EAE. Our finding emerged the timing and distribution of gal-3 expression in the visual pathway in the acute and chronic phase of EAE-induced ON.
4. Discussion
While the clinical importance of encephalomyelitis in ON is well documented [
10], the molecular mechanisms of ON are not yet well known. In the current study, we clarified that gal-3 expression was observed mainly in inflammation-mediated activating microglia/macrophages in the visual pathway including the optic nerve, the optic chiasm, and the optic tract during MOG-induced ON. These results suggest that gal-3 plays an important role in the pathogenesis of MOG-EAE-induced ON.
MOG-EAE, a classical animal model of MS, was used mainly for investigating the neuropathological mechanisms in the spinal cord, because MOG-EAE develops severe cell-mediated organ-specific neuroinflammation followed by paralysis of hindlimbs. However, optic nerves express higher levels of MOG than the spinal cord [
13] and 30% of MOG-specific TCR transgenic mice have spontaneous development of optic neuritis [
24]. In addition, some previous reports have documented that MOG-induced EAE can induce ON [
12,
13,
25,
26] and that H&E staining exhibited a possibility of infiltration of peripheral immune cells into the EAE optic nerves [
11,
26]. Therefore, the current study shed light on the pathogenesis of MOG-EAE-mediated ON.
Our results, in fact, demonstrated that MOG-EAE could induce neuromyelitis optica (ON) after 16-20 days of MOG immunization (
Figure 1), as previously reported [
11,
26]. Similar to the pathological feature in the visual pathway in human NMOSD [
27], C57BL/6J mice showed accumulation of inflammatory cells in the bilateral optic nerves, the optic chiasm and the bilateral optic tracts during MOG-EAE development (
Figure 1B). The pathological features in EAE-induced ON were similar in all lesions including the optic nerve, the optic chiasm (
Figure S1) and the optic tracts (
Figure S2) in the visual pathway. Therefore, the present study exhibited the optic nerve as a representative lesion in EAE-induced ON. Although the present study did not examine the pathological changes of retinal ganglion cells (RGC) in the retina, the previous report has demonstrated that RGC loss occurred more than 25 days after immunization to induce EAE [
11], suggesting a considerable possibility that RGC loss in the retina may be undergoing anterograde degeneration in a progressive manner.
Accumulation of inflamed cells was also observed along the meninges in the optic nerve (
Figure 1), indicating the association of the perichondrium vascular network with pathological change likely to angiogenesis to promote infiltration of immune cells into the visual pathway. The pathology of MS was also characterized by perivascular infiltration of immune cells and macrophages [
28]. Our study also demonstrated that an increased number of Iba-1
+ microglia/macrophages and GFAP-positive astrocytes were observed at the inflammatory sites including meninges in the EAE optic nerves, indicating an association of microgliosis and astrogliosis with the ON pathology (
Figure 2 and
Figure 3). Our results indicate that meningeal inflammation plays a key role in the pathogenesis of EAE-induced ON. In addition, meningeal inflammation in MS and ON may induce microglial and astroglial phenotypic alterations with gal-3 induction that reflect disease progression. A previous report has demonstrated that the inflammatory infiltrates in the meninges, especially the pia matter, produce a soluble factor, which induces demyelination and axonal degeneration either directly or indirectly through microglial activation [
29].
The current study also showed that EAE-induced gal-3 on microglia/macrophages plays an important role in neuroinflammation in the visual pathway. While little to no gal-3 expression in the visual pathway such as the optic nerve was observed in the naïve condition, the number of gal-3 expressing on Iba-1
+ microglia/macrophages was significantly increased in the visual pathway during EAE-induced ON, especially the peak disease (
Figure 2). About 80% of gal-3-positive cells in the EAE optic nerve were Iba-1
+ macrophages/microglia at the peak disease (
Figure 2). Distribution of gal-3 expressing microglia/macrophages referred to gal-3
+Iba-1
+ cells in the optic nerve was observed mainly at the pia matter and surrounding the pia matter rather than the middle part of the optic nerve (
Figure 2). This observation indicates that peripheral immune cells infiltrate into the optic nerve from the pia matter, where the round shape of these cells was mainly observed. Since it has been well known that the morphological feature of activated microglial/macrophages is ameboid which retracts their processes and develops large soma [
30], these gal-3
+Iba-1
+ microglia/macrophages in the EAE optic nerve seem to be activated during the peak disease. The important role of gal-3 in macrophage M1/M2 polarization and function also has been reported [
31].
The current study revealed a considerable possibility of the implication of gal3
+Iba-1
+cathepsin D
+ microglia/macrophages for demyelination in the EAE-induced ON during the peak disease. During the peak disease, the current results revealed that gal-3
+ microglia/macrophages expressed cathepsin-D (
Figure 6). In general, activated microglia/macrophages play an important role in neuroinflammation and phagocytosis in the CNS [
32]. Cathepsin D can be secreted by microglia that are associated with phagocytosis in activated microglia/macrophages [
33,
34]. Consist of our previous report in the acute phase of the EAE spinal cord [
16], the current study exhibited that at least part of gal-3
+Iba-1
+ microglia/macrophages also showed to increase immunoreactivity for cathepsin D in the EAE optic nerves (
Figure 6 and
Figure 7). In addition, most cathepsin D-expressing microglia/macrophages with a round shape were activated (
Figure 6, arrowheads). By contrast, the cells with a ramified shape exhibited low expression of cathepsin D (
Figure 6, arrows). Moreover, these microglia/macrophages accumulated demyelinating lesions in the optic nerve (
Figure 5).
In addition to these observations, most gal-3
+Iba-1
+ cells expressed NLRP3 (
Figure 7). NLRP3 is considered the key mediator of neuroinflammation in immune sensing by initiating the assembly of an inflammasome. The NLRP3 inflammasome triggers caspase-1 activation and IL-1β cytokine secretion, resulting in pyroptosis, recently identified as a programmed cell death regulated by the activation of caspase-1-canonical signaling pathway [
35]. The outcome of an M1 polarizing event is dependent upon a number of features including the production of iNOS, reactive oxygen species (ROS), or activation of NLRP3 inflammasome complex [
36,
37,
38]. There is also emerging evidence to suggest the importance of gal-3 for promoting of activation of NLRP3 inflammasome in M1-polarized macrophages [
39]. Interestingly, gal-3 promotes inflammatory response by directly binding to NLRP3 [
39]. These results suggest a possibility that gal-3 as an upstream protein of NLRP3 regulates NLRP3 signaling in microglia/macrophages followed by neuroinflammation in phagocytic activity during EAE. Therefore, it is considerable that NLRP3-expressing gal-3
+Iba-1
+ cells as pro-inflammatory M1-polarized microglia/macrophages serve as the first line of defense in the EAE-induced ON. According to previous reports, NLRP3 inflammasome is involved in EAE and MS in humans [
40,
41,
42].
By contrast, gal-3 was still expressed on Iba-1
+ microglia/macrophages at the chronic phase of EAE-induced ON (Figures 2L–M and 3). The clearance of abnormal proteins and protein debris such as myelin debris could be mediated by microglial cathepsin D [
43]. In fact, a previous report has also revealed one important function of microglia/macrophages following demyelination to remove myelin debris in the lesion [
32]. Microglia/macrophages with phagocytotic properties may be M2-polarized and contribute to myelin debris clearance [
44,
45]. In addition to this evidence, gal-3 activated phagocytosis of myelin to maintain myelin-debris clearance in autoimmune demyelinating diseases [
20,
46,
47]. The expression of gal-3 is only present in microglia that phagocytose degenerated myelin rather than in microglia that do not phagocytose degenerated myelin [
20,
46]. In this point of view, unlike at peak disease, gal-3
+Iba-1
+cathepsin D
+ microglia/macrophages at the chronic phase might be M2-polarized to promote remyelination. Recent investigations indicate categorization of microglial states is far too simplistic, and the different microglial states are better represented as a spectrum of combinations [
48,
49,
50]. Therefore, we did not identify these microglia/macrophages to either M1 or M2 polarity in this study. Taken together, gal-3 on microglia/macrophages might function as the multipotent player having totally different roles depending on the microenvironment. Further study will be needed to explore to clarify a detailed their functions.
The present study also revealed that increased gal-3 expression on astrocytes was obtained at the peak disease and the chronic EAE. As shown in
Figure 3, the number of GFAP-positive astrocytes was maximum at the peak disease and then decreased over the chronic phase, suggesting induction of astrocytic gliosis. Similar to the result in the microglial/macrophage’s expression, few expressions of gal-3 on astrocytes were observed in the naïve ON (
Figure 3). Sirko et al. have reported that gal-3 is expressed on reactive astrocytes with proliferating astrocytes in the injured gray matter of adult mouse cerebral cortex [
51]. By contrast, our previous study demonstrated that astroglial gal-3 expression was not observed in the EAE spinal cord [
16]. It might be a different pathological role of astrocytes between the optic nerve and the spinal cord. Reactive astrocytes have both potentially beneficial and detrimental roles during remyelination; indeed, these functions may relate to a particular phenotype that the astrocytes adopt [
52,
53]. Astrocytes may promote/inhibit remyelination directly, but could also signal through microglia to promote remyelination [
54,
55,
56,
57]. Although a detailed mechanism of astrocytes during remyelination has not been well understood and further study will be required for understanding the association of astroglial gal-3 expression with remyelination in ON, our results indicate a possibility that astrocytic gal-3 play a crucial role on remyelination in the chronic ON.
Figure 1.
MOG-EAE induced ON. The representative section of the visual pathway including the optic nerve, optic chiasm, and optic tract in naïve (A) and EAE mice at the peak disease (B) was shown. Each section was stained with DAPI (a marker for nuclei, blue). Each inset represents the optic nerve (1), optic chiasm (2), and optic tract (3), respectively. Note that EAE mainly developed meningeal inflammation of the pia matter during the peak disease in the visual pathway compared to naïve mice. Scale bar = 500 μm.
Figure 1.
MOG-EAE induced ON. The representative section of the visual pathway including the optic nerve, optic chiasm, and optic tract in naïve (A) and EAE mice at the peak disease (B) was shown. Each section was stained with DAPI (a marker for nuclei, blue). Each inset represents the optic nerve (1), optic chiasm (2), and optic tract (3), respectively. Note that EAE mainly developed meningeal inflammation of the pia matter during the peak disease in the visual pathway compared to naïve mice. Scale bar = 500 μm.
Figure 2.
Microglial expression of gal-3 during MOG-EAE induced ON. Naïve (A-D) and EAE mice were perfused at either the peak disease (E-I) or the chronic phase (J-M) after MOG immunization and optic nerve to optic tract with brain was taken out. Frozen sections were stained with anti-Iba-1 antibody (a marker for microglia, A, E, J, green) and anti-gal-3 antibody (B, F, K, red). DAPI staining (blue) was also performed. Merged images are also shown (C, D, G, H, I, L, M). Images with high-power magnification of each panel (C, G, L, inset) are shown, respectively (D, H, M). A High-power magnification of panel H (inset) is also shown in panel I. (N-T) Quantitative analysis were shown. The numbers of DAPI+ cells (N), Iba-1+ cells (O), gal-3+ cells (P), gal-3+Iba-1+ cells (Q), and gal-3+Iba-1+ cells/gal-3+ cells (R) in optic nerve of naïve and EAE mice were shown. Six mice per group were examined. (S) Immunoblot analysis showing expression of gal-3 in optic nerve obtained from Naïve and EAE mice. GAPDH was used as a loading control. Representative data is shown. (T) Quantitative analysis of panel S. Ratio of Galectin-3/GAPDH is shown (N = 4). Scale bars: C, G, L: 100 μm, D, H, M: 50 μm, I: 25 μm. *p<0.05, **p<0.01 are shown.
Figure 2.
Microglial expression of gal-3 during MOG-EAE induced ON. Naïve (A-D) and EAE mice were perfused at either the peak disease (E-I) or the chronic phase (J-M) after MOG immunization and optic nerve to optic tract with brain was taken out. Frozen sections were stained with anti-Iba-1 antibody (a marker for microglia, A, E, J, green) and anti-gal-3 antibody (B, F, K, red). DAPI staining (blue) was also performed. Merged images are also shown (C, D, G, H, I, L, M). Images with high-power magnification of each panel (C, G, L, inset) are shown, respectively (D, H, M). A High-power magnification of panel H (inset) is also shown in panel I. (N-T) Quantitative analysis were shown. The numbers of DAPI+ cells (N), Iba-1+ cells (O), gal-3+ cells (P), gal-3+Iba-1+ cells (Q), and gal-3+Iba-1+ cells/gal-3+ cells (R) in optic nerve of naïve and EAE mice were shown. Six mice per group were examined. (S) Immunoblot analysis showing expression of gal-3 in optic nerve obtained from Naïve and EAE mice. GAPDH was used as a loading control. Representative data is shown. (T) Quantitative analysis of panel S. Ratio of Galectin-3/GAPDH is shown (N = 4). Scale bars: C, G, L: 100 μm, D, H, M: 50 μm, I: 25 μm. *p<0.05, **p<0.01 are shown.
Figure 3.
Astroglial expression of gal-3 during MOG-EAE induced ON. The frozen cross sections were stained with anti-gal-3 antibody (A, E, I, red) as well as anti-GFAP antibody (a marker for astrocyte, B, F, J, green). Merged images with DAPI staining (blue) are shown in panels (C, G, K), respectively. Images with high-power magnification in inset of each panels C, G, K are also shown (D, H, L), respectively. Representative data are shown. Quantitative analysis of GFAP+ area (M) and gal-3+GFAP+ area (N) are shown (6-9 mice). Scale bars: C, G, K: 100 μm, D, H, L: 50 µm. *p<0.05, **p<0.01.
Figure 3.
Astroglial expression of gal-3 during MOG-EAE induced ON. The frozen cross sections were stained with anti-gal-3 antibody (A, E, I, red) as well as anti-GFAP antibody (a marker for astrocyte, B, F, J, green). Merged images with DAPI staining (blue) are shown in panels (C, G, K), respectively. Images with high-power magnification in inset of each panels C, G, K are also shown (D, H, L), respectively. Representative data are shown. Quantitative analysis of GFAP+ area (M) and gal-3+GFAP+ area (N) are shown (6-9 mice). Scale bars: C, G, K: 100 μm, D, H, L: 50 µm. *p<0.05, **p<0.01.
Figure 4.
Involvement of gal-3+cells with demyelination in the EAE optic nerve. The frozen cross sections were stained with anti-gal-3 antibody (A, E, I, green) as well as Fluoromyelin (a marker for myelin, B, F, J, red). Merged images with DAPI (blue) are shown (C, D, G, H, K, L). Images with high-power magnification (inset in panels C, G, K) are also shown (D, H, L), respectively. (M) Quantitative analysis of % demyelination is shown (N=3). Scale bars: C, G, K: 100 µm, D, H, L: 50 μm. *p<0.05, **p<0.01.
Figure 4.
Involvement of gal-3+cells with demyelination in the EAE optic nerve. The frozen cross sections were stained with anti-gal-3 antibody (A, E, I, green) as well as Fluoromyelin (a marker for myelin, B, F, J, red). Merged images with DAPI (blue) are shown (C, D, G, H, K, L). Images with high-power magnification (inset in panels C, G, K) are also shown (D, H, L), respectively. (M) Quantitative analysis of % demyelination is shown (N=3). Scale bars: C, G, K: 100 µm, D, H, L: 50 μm. *p<0.05, **p<0.01.
Figure 5.
Association of gal-3+Iba-1+cells with demyelination in the EAE optic nerve. The frozen cross sections were triple stained with anti-Iba-1 antibody (A, E, blue), anti-gal-3 antibody (B, F, green). Merged images with Fluoromyelin (red). are shown (C, D, G, H). Images with high-power magnification of panels C and G (inset) are also shown (D and H), respectively. Three mice per group were examined. Representative data is shown. Scale bars: A-C, E-G:100 µm, D, H: 50 μm.
Figure 5.
Association of gal-3+Iba-1+cells with demyelination in the EAE optic nerve. The frozen cross sections were triple stained with anti-Iba-1 antibody (A, E, blue), anti-gal-3 antibody (B, F, green). Merged images with Fluoromyelin (red). are shown (C, D, G, H). Images with high-power magnification of panels C and G (inset) are also shown (D and H), respectively. Three mice per group were examined. Representative data is shown. Scale bars: A-C, E-G:100 µm, D, H: 50 μm.
Figure 6.
Co-expression of Cathepsin-D and gal-3 in the EAE optic nerve. The frozen cross sections were stained with anti-gal-3 antibody (A, D, red) as well as anti-Cathepsin-D antibody (a marker for phagocytotic microglia/macrophages, B, E, green). Merged images with DAPI staining (blue) are shown (C, F, G). Images with high-power magnification of panel F (inset) is also shown (G). Arrowheads represent gal-3+ cells expressing cathepsin-D. Representative data are shown. (H) Quantitative analysis of Cathepsin-D+gal-3+/gal-3+ cells (N=6). Note that about 80% of gal-3+ cells expressed cathepsin-D in EAE optic nerve at peak disease. Scale bars: A-C: 100 μm, D-F: 50 µm, G: 25 µm.
Figure 6.
Co-expression of Cathepsin-D and gal-3 in the EAE optic nerve. The frozen cross sections were stained with anti-gal-3 antibody (A, D, red) as well as anti-Cathepsin-D antibody (a marker for phagocytotic microglia/macrophages, B, E, green). Merged images with DAPI staining (blue) are shown (C, F, G). Images with high-power magnification of panel F (inset) is also shown (G). Arrowheads represent gal-3+ cells expressing cathepsin-D. Representative data are shown. (H) Quantitative analysis of Cathepsin-D+gal-3+/gal-3+ cells (N=6). Note that about 80% of gal-3+ cells expressed cathepsin-D in EAE optic nerve at peak disease. Scale bars: A-C: 100 μm, D-F: 50 µm, G: 25 µm.
Figure 7.
Expression of NLRP3 in gal-3+Iba-1+cells in optic nerve of EAE. The frozen cross sections from naïve (A-D), EAE at peak disease (E-H) and EAE at chronic phase (I-L) were triple-stained with anti-Iba-1 antibody (A, E, I , blue), anti-gal-3 antibody (B, F, J , green) and NLRP3 (marker for inflammasome, C, G, K, red). Merged images are shown (D, H, L, M). Images of high-power magnification (panel H, inset) are also shown (I-L). (M) An image of high-power magnification of panel L (inset) is shown. Arrowheads show gal-3+Iba-1+NLRP3+cells in optic nerve of EAE mice. Representative data are shown. Quantitative analysis of the number of gal-3+Iba-1+NLRP3+cells in optic nerve (N) and the ratio of gal-3+Iba-1+NLRP3+/ gal-3+Iba-1+cells in optic nerve (O). Three mice per group were examined. Scale bars: A-D: 100 μm, E-H: 50 µm, I-L: 25 µm. *p<0.05, **p<0.01.
Figure 7.
Expression of NLRP3 in gal-3+Iba-1+cells in optic nerve of EAE. The frozen cross sections from naïve (A-D), EAE at peak disease (E-H) and EAE at chronic phase (I-L) were triple-stained with anti-Iba-1 antibody (A, E, I , blue), anti-gal-3 antibody (B, F, J , green) and NLRP3 (marker for inflammasome, C, G, K, red). Merged images are shown (D, H, L, M). Images of high-power magnification (panel H, inset) are also shown (I-L). (M) An image of high-power magnification of panel L (inset) is shown. Arrowheads show gal-3+Iba-1+NLRP3+cells in optic nerve of EAE mice. Representative data are shown. Quantitative analysis of the number of gal-3+Iba-1+NLRP3+cells in optic nerve (N) and the ratio of gal-3+Iba-1+NLRP3+/ gal-3+Iba-1+cells in optic nerve (O). Three mice per group were examined. Scale bars: A-D: 100 μm, E-H: 50 µm, I-L: 25 µm. *p<0.05, **p<0.01.
Figure 8.
Expression of gal-3 in Cathepsin-D+NLRP3+cells in optic nerve of EAE. (A, C) The frozen cross sections in optic nerve of EAE mice at peak disease were stained with anti-Cathepsin-D antibody (green), anti-NLRP3 antibody (red) and DAPI (blue). An image with high-power magnification in panel A (inset) is shown in panel C. (B, D) The frozen cross sections in optic nerve of EAE mice at peak disease were also stained with anti-Cathepsin-D antibody (green), anti-NLRP3 antibody (red), anti-gal-3 antibody (cyan) and DAPI (blue). An image with high-power magnification in panel B (inset) is shown in panel D. Scale bars: A-B: 50 μm, C-D: 25 μm.
Figure 8.
Expression of gal-3 in Cathepsin-D+NLRP3+cells in optic nerve of EAE. (A, C) The frozen cross sections in optic nerve of EAE mice at peak disease were stained with anti-Cathepsin-D antibody (green), anti-NLRP3 antibody (red) and DAPI (blue). An image with high-power magnification in panel A (inset) is shown in panel C. (B, D) The frozen cross sections in optic nerve of EAE mice at peak disease were also stained with anti-Cathepsin-D antibody (green), anti-NLRP3 antibody (red), anti-gal-3 antibody (cyan) and DAPI (blue). An image with high-power magnification in panel B (inset) is shown in panel D. Scale bars: A-B: 50 μm, C-D: 25 μm.