It is well established that Ly6Chi monocytes develop from common monocyte progenitors (cMoPs) and reside in the bone marrow (BM) until they are mobilized into the circulation. In our study, we found that BM Ly6Chi monocytes are not a homogenous population, as current data would suggest. Using computational analysis approaches to interpret multidimensional datasets, we demonstrate that BM Ly6Chi monocytes consist of two distinct subpopulations (CXCR4hi and CXCR4lo subpopulations) in both mice and humans. Transcriptome studies and in vivo assays revealed functional differences between the two subpopulations. Notably, the CXCR4hi subset proliferates and is immobilized in the BM for the replenishment of functionally mature CXCR4lo monocytes. We propose that the CXCR4hi subset represents a transitional premonocyte population, and that this sequential step of maturation from cMoPs serves to maintain a stable pool of BM monocytes. Additionally, reduced CXCR4 expression on monocytes, upon their exit into the circulation, does not reflect its diminished role in monocyte biology. Specifically, CXCR4 regulates monocyte peripheral cellular activities by governing their circadian oscillations and pulmonary margination, which contributes toward lung injury and sepsis mortality. Together, our study demonstrates the multifaceted role of CXCR4 in defining BM monocyte heterogeneity and in regulating their function in peripheral tissues.
Monocytes arise from common monocyte progenitors (cMoPs) in the BM (Hettinger et al., 2013) and develop into mature Ly6Chi monocytes before being released into the blood. In comparison to other myeloid cells (Terashima et al., 1996), monocytes have an exceedingly short transit time through the BM and are rapidly released into the circulation after their last division (Goto et al., 2003). Upon entering the circulation, Ly6Chi monocytes have a half-life of just 20 h before undergoing terminal differentiation into longer-lived Ly6Clo monocytes (with a half-life of 48 h; Varol et al., 2007; Hanna et al., 2011; Mildner et al., 2013; Yona et al., 2013). It is therefore highly essential that circulating Ly6Chi monocytes are constantly being replenished through the coordinated release of these cells from the BM. Current evidence indicates that the release of BM Ly6Chi monocytes is governed by CCR2 and CX3CR1, with the latter receptor reportedly influencing the survival of Ly6Clo monocytes (Serbina and Pamer, 2006; Landsman et al., 2009; Shi and Pamer, 2011; Jacquelin et al., 2013). CXCR4-signaling also acts as an anchoring force that retains Ly6Chi monocytes in the BM (Jung et al., 2015; Liu et al., 2015), whereas its inhibition (Beaussant Cohen et al., 2012; McDermott et al., 2014) reverses the observed monocytopenia present in patients with WHIM syndrome (Warts, hypogamma-globulinemia, infections, and myelokathexis; Hernandez et al., 2003; Gulino et al., 2004).
Although circulating monocytes have historically been regarded as precursor cells that replenish tissue macrophages and DC populations (Segura and Amigorena, 2013; Varol et al., 2015), it is now increasingly being recognized that monocytes exert potent effector functions at peripheral sites throughout the body (Mildner et al., 2013). Monocytes comprise between ∼4 and 10% of total blood leukocytes and include two major subsets that participate in host defense and tissue repair (Ginhoux and Jung, 2014). In mice, Ly6Chi monocytes resemble human CD14+CD16− classical monocytes (Cros et al., 2010; Ingersoll et al., 2010; Wong et al., 2011) that express multiple cytokines and granule-associated proteins for effector functions at infectious and inflammatory sites (Serbina et al., 2008). In contrast, murine Ly6Clo monocytes resemble human CD14−CD16+ nonclassical monocytes (Cros et al., 2010; Ingersoll et al., 2010) that patrol and eliminate cellular debris from blood vessel walls (Auffray et al., 2007; Carlin et al., 2013), as well as control tumor metastasis in the lung (Hanna et al., 2015). In addition, several studies have shown that monocytes mediate the recruitment of leukocytes in response to pathological insults (Kreisel et al., 2010; Carlin et al., 2013), and are essential for peripheral tissue repair during the resolution phase (Nahrendorf et al., 2010). Consequently, their ability to be rapidly mobilized from the BM for their deployment to inflammatory sites, as well as to return to a state of homeostasis, is critical for effective immune responses and prevention of collateral tissue damage. Furthermore, monocytes are progressively being recognized as attractive targets for therapeutic interventions, as lipid nanoparticles and antagonists that target monocytes have shown therapeutic efficacy in several diseases (Leuschner et al., 2011; Majmudar et al., 2013; Poupel et al., 2013). It is therefore imperative that a better understanding of their cellular and molecular mechanisms be explored at multiple tissue levels.
Using a combination of computational analysis approaches coupled with transcriptome profiling and in vivo assays, we identify a previously unknown heterogeneity that exists among BM Ly6Chi monocytes in both human and mice. Specifically, BM Ly6Chi monocytes consist of two distinguished subpopulations (CXCR4hi and CXCR4lo subpopulations) and that the immobilized CXCR4hi subset serves as a transitional precursor for the replenishment of mature CXCR4lo monocytes. Additionally, we provide new insights into the role of CXCR4 in mediating the spatiotemporal localization of monocytes in peripheral sites by demonstrating its role in diurnal oscillations and pulmonary margination. Importantly, disruption of CXCR4-signaling also led to reduced lung injury and sepsis mortality. Together, our findings identify a previously undefined developmental transition that exists among BM Ly6Chi monocytes and demonstrates the multifaceted role of CXCR4 in their peripheral tissue responses.
CXCR4 defines heterogeneity among BM Ly6Chi monocytes
It is now well established that cMoPs give rise to Ly6Chi monocytes in the BM (Hettinger et al., 2013). However, it is unclear whether BM Ly6Chi monocytes consist of a homogenous population or if further heterogeneity exists among these cells. To address this question, we analyzed BM Ly6Chi monocytes (excluding their progenitors) using an unsupervised dimensional reduction algorithm (distributed stochastic neighbor embedding [t-SNE]; Amir et al., 2013; Becher et al., 2014) on flow cytometry data based on six common myeloid cell markers, CXCR4, CD31, CD16/32, CX3CR1, CCR2, and CD11b (Fig. 1 A). This approach allows us to visualize multidimensional similarities of cells in a 2D scatter plot, known as the t-SNE map, which results in enhanced visualization of small cellular subpopulations through cell clusters with similar protein expression patterns (Amir et al., 2013; Becher et al., 2014). Visualization of BM Ly6Chi monocytes on the t-SNE map revealed heterogeneity among these cells, which can be categorized into two main subsets through automated clustering (Fig. 1 A). Upon examination of each selected marker, we found that CXCR4 delineated BM Ly6Chi monocytes into two subsets that closely represented the outcome generated by automated clustering (Fig. 1 B). Furthermore, CXCR4 segmentation resulted in the highest ratio in median intensity between these two clusters (Fig. 1 C), suggesting that CXCR4 could serve as a suitable surface marker in delineating BM Ly6Chi monocyte heterogeneity. Indeed, we found two distinct populations of Ly6Chi monocytes in the BM that consisted of a CXCR4hi and CXCR4lo subset (Fig. 1 D). Furthermore, scanning electron microscopy revealed morphological differences between these two subsets, with only the CXCR4lo subset protruding its cytoplasmic membrane upon adhering to coverslips (Fig. 1 E). We also validate the presence of CXCR4-defined heterogeneity among human BM monocytes and observed the presence of CXCR4hi and CXCR4lo monocytes (Fig. 1 F). Collectively, our results identify heterogeneity in the current established BM Ly6Chi monocyte pool and the presence of a distinct subpopulation that can be delineated through CXCR4.
Transcriptome profiling reveals distinct gene expression signatures between BM CXCR4hi and CXCR4lo Ly6Chi monocytes
To further characterize the CXCR4hi and CXCR4lo monocyte subsets, we sorted all cells in the monocyte developmental pathway, specifically cMoPs, CXCR4hi, and CXCR4lo Ly6Chi monocyte subsets, and Ly6Clo monocytes from the BM (Fig. 2 A). Subsequently, we performed whole transcriptome sequencing using next generation sequencing (NGS) on these cells to compare their genome-wide RNA expression profiles. Principal-component analysis (PCA) of all expressed genes revealed distinct and well-separated transcriptomic profiles (Fig. 2 B), implying that the CXCR4hi subpopulation was clearly distinct from all other monocyte subsets in the BM. In particular, comparative analysis of cMoP and the CXCR4hi subset revealed an enrichment of genes in the CXCR4hi subset that was predominantly associated with cell migration and monocyte function, such as Fn1, Vcan, Ccr1, Lyz2, and Msr1 (Fig. 2 C). In contrast, cMoPs displayed an enrichment of self-renewal genes, such as Cd34 and Kit, and neutrophil-associated microbicidal activity genes such as Mpo, Ctsg, and Elane (Fig. 2 C). Comparative analysis of the CXCR4hi to CXCR4lo subset also revealed a significantly large enrichment of cell cycle–dependent genes in the CXCR4hi subset, such as Ccnf, Top2a, Mki67 and Cdk1. In contrast, the CXCR4lo subpopulation displayed an enrichment of monocyte effector function genes such as Cd14, C5ar1, Nod2, and Il1b (Fig. 2 C). Biofunction enrichment analysis using Ingenuity pathway analysis (IPA; Fig. 2 D) and heat maps (Fig. S1) of gene expression data further confirmed these findings. In particular, the CXCR4hi subset was found to be functionally more mature than cMoPs but less mature than the CXCR4lo subset. We also discovered several candidate surface markers that allow the discrimination of the CXCR4hi subset from the CXCR4lo subset and cMoPs (Fig. 2 E and Fig. S2).
Although BM Ly6Chi monocytes have been thought to be terminally differentiated cells that proliferate minimally in the steady state (van Furth et al., 1979), the enrichment of cell cycle genes in the CXCR4hi subset prompted us to determine if these cells may proliferate in vivo. To address this, we used a fluorescence ubiquitin cell cycle indicator (Fucci) transgenic mouse that labels for cells in the S and G2/M phase of the cell cycle. Although the CXCR4lo subset and Ly6Clo monocytes were not fluorescent for Fucci, the CXCR4hi subset and cMoP were found to be Fucci+ and actively cycling in the S/G2/M phase (Fig. 2 F). BrdU incorporation assays further revealed that the majority of cells belonging to the CXCR4hi subset were in the S phase of the cell cycle, in contrast to the CXCR4lo subset that was in the G0/G1 phase (Fig. 2 G). Furthermore, we made similar observations in human BM cells (Fig. 2 H). Specifically, the CXCR4hi subset was found to be actively replicating in the S phase of the cell cycle through BrdU incorporation in vitro and expressed slightly lower levels of CD14 and CD11b but higher levels of HLA-DR (Fig. 2 H). To complement our phenotypic studies, we performed an in vivo bead uptake assay and confirmed that the CXCR4hi subset was functionally less active than the CXCR4lo subset through reduced bead uptake in vivo (Fig. 2 I). Collectively, our data distinguishes the CXCR4hi subset as a distinct subpopulation that differs phenotypically and functionally from the CXCR4lo subset of Ly6Chi monocytes.
Identification of a developmental relationship between BM Ly6Chi monocyte subpopulations
To understand how the newly identified CXCR4hi subset may relate to monocyte development in the BM, we first compared the transcriptomic signature of the CXCR4hi subset with signatures specific for both Ly6Chi and Ly6Clo monocytes by Connectivity map (CMap) analysis (Fig. 3 A). Notably, the CMap analysis is a gene-set enrichment analysis algorithm that generates indicative scores of closeness to one cell subset of a defined signature gene set (Lamb et al., 2006). CMap analysis revealed a skewing of transcriptomic characteristics of the CXCR4hi subset toward the Ly6Chi but not Ly6Clo monocyte signature, suggesting that the CXCR4hi subset may be an intermediate precursor that bridges the cMoP and the CXCR4lo subset (Fig. 3 A). Furthermore, optimal leaf ordering (OLO; Bar-Joseph et al., 2001) of transcriptomic data obtained from cMoP, CXCR4hi, and CXCR4lo Ly6Chi monocytes produced a dendrogram that supports the appearance of the CXCR4hi subset before the development of the CXCR4lo subset (Fig. 3 B). To further understand the developmental relationship and phenotypic changes that may occur between the CXCR4hi and CXCR4lo subsets, we used the Wanderlust algorithm, which orders single cells according to their most immature to mature state into a constructed trajectory (Bendall et al., 2014). Based on FACS data that consisted of six parameters indicated in Fig. 1 B, we selected the starting point as cells that expressed high levels of CXCR4, CD31, and CD16/32 as observed on cMoPs (Fig. 2 E). Based on these data, the Wanderlust algorithm computationally determined early events (i.e., immature cells) as CXCR4hiCD11bloCCR2loCX3CR1lo cells, whereas late events (i.e., mature cells) consisted of CXCR4loCD11bhiCCR2hiCX3CR1hi cells (Fig. 3 C). Furthermore, we found that CXCR4, CD31, and CD16/32 were down-regulated, whereas CCR2, CX3CR1, and CD11b were up-regulated during the course of BM Ly6Chi monocyte maturation (Fig. 3 D). These results hence strongly suggest that the CXCR4hi subset may be a precursor of the mature CXCR4lo subset. To confirm these findings in vivo, we adoptively transferred sorted CXCR4hi BM Ly6Chi monocytes into recipient mice and observed that the CXCR4hi subset differentiated into the CXCR4lo subset (Fig. 3 E). Moreover, administration of BrdU into mice, which allowed us to track the maturation of these cells, further confirmed the CXCR4hi subset as an immediate precursor of the CXCR4lo subset (Fig. 3 F). Notably, we did not detect the presence of Ly6Clo monocytes upon the appearance of Ly6Chi monocytes in these experiments (unpublished data). We also provide evidence that CXCR4 is critically linked to BM Ly6Chi monocyte maturation and that the CXCR4lo subset represents mature Ly6Chi monocytes that eventually egress into the bloodstream during homeostatic conditions (Fig. 3, G and H; and Fig. S3). Collectively, our results describe a previously undefined developmental pathway of monocytes and that the CXCR4hi subset acts as an immediate precursor of mature Ly6Chi monocytes.
The CXCR4hi subset functions as a transitional precursor for the replenishment of active CXCR4lo mature Ly6Chi monocytes
The circadian rhythmic release of immune cells, in particular hematopoietic stem cell progenitors and monocytes, from the BM into the circulation represents a fundamental physiological process that is integral for host defense and homeostasis (Nguyen et al., 2013; Scheiermann et al., 2013). Because our current results identify BM Ly6Chi monocytes as a heterogeneous population (Figs. 1, 2, and3), we therefore examined their behavior at different periods of the circadian rhythm. Here, we observed that only the mature CXCR4lo subset, but not the CXCR4hi subset, cMoP, or Ly6Clo monocytes, in the BM oscillated in numbers according to the circadian rhythm (Fig. 4 A). Although the CXCR4hi subset did not exhibit changes in CXCR4 expression, the CXCR4lo subset exhibited lower CXCR4 expression and a reduced number in the BM at ZT5 (zeitgeber 5; 5 h after the onset of light) and a higher CXCR4 expression and number at ZT13 (at the beginning of the active phase; Fig. 4 B). These results hence suggest that both subsets of monocytes may display a difference in their mobilizing capacity. Therefore, we next determined how a strong mobilizing cue, such as LPS (Shi et al., 2011; Evrard et al., 2015), may impact their mobilization. Intriguingly, we observed that LPS administration resulted in the egress of the CXCR4lo subset and Ly6Clo monocytes, but not the CXCR4hi subset and cMoP in the BM (Fig. 4, C and D). Further analysis demonstrated that the CXCR4hi subpopulation displayed a much lower surface expression of CCR2 (Fig. 4 E), which led to a drastically poorer migration toward the cognate ligand CCL2 (Fig. 4 F). Together with our transcriptomic and functional data (Fig. 2), our results hence indicate that the CXCR4hi subpopulation is essentially immobilized in the BM under both homeostatic and inflammatory conditions to serve as a transitional precursor for the replenishment of CXCR4lo mature monocytes.
CXCR4 mediates circadian rhythmic oscillations of mature monocytes and their homing into reservoirs
In contrast to the heterogeneity observed in the BM, we found that circulating Ly6Chi monocytes (Fig. S4) were exclusively CXCR4loCD11bhi cells (Fig. 5 A). However, it remains unclear if the reduced expression of CXCR4 upon their exit from the BM indicates its diminished role in peripheral tissue compartments. Because BM CXCR4loLy6Chi monocytes was found to exhibit diurnal fluctuations in CXCR4 expression (Fig. 4, A and B), we hence examined whether such physiological and cellular rhythms could also occur among circulating monocytes. We also determined if CXCR4 mediates these physiological processes by studying their diurnal oscillations in a conditional knockout mouse (Lyz2creCxcr4fl mice) that permits efficient and selective deletion of the Cxcr4 gene in myeloid lineage cells, such as monocytes and neutrophils (Clausen et al., 1999; Fig. 5, B and C). Indeed, we found that circulating monocytes exhibited fluctuations in CXCR4 expression (Fig. 5, D and E) that corresponded to the high and low number of circulating Ly6Chi (Fig. 5 D) and Ly6Clo monocytes (Fig. 5 E) at ZT5 and ZT13, respectively. More importantly, this diurnal oscillation in monocyte numbers was abrogated in the absence of CXCR4 (Fig. 5, D and E) and highlights the role of CXCR4 in mediating the diurnal variations in circulating monocyte numbers.
Although it is likely that circadian-mediated fluctuations in CXCR4 expression could influence the release of monocytes from the BM and impact on the overall numbers of circulating monocytes, we hypothesize that this process may also act on the trafficking patterns of monocytes in peripheral compartments. To test this hypothesis, we established parabiosis between CD45.1 WT mice and CD45.2 CXCR4 genetic-modified mice (Fig. 6, A and B). CXCR4 genetic-modified mice included either Lyz2creCxcr4fl mice or a knock-in mouse strain that carries a CXCR4 gain-of-function mutation characteristic of WHIM patients (termed Cxcr4WHIM or WHIM mice; Balabanian et al., 2012; Beaussant Cohen et al., 2012; McDermott et al., 2014). The homing ratio of cells were then calculated (Fig. 6 A) to normalize for their chimerism (Fig. 6 C). Using this approach, we observed a significant decrease in the homing of Lyz2creCxcr4fl monocytes to the BM (Fig. 6 A). This trend was similarly observed with neutrophils (Fig. 6 A) and is consistent with the known requirement of CXCR4 in mediating their homing to the BM (Martin et al., 2003; Suratt et al., 2004; Devi et al., 2013). In contrast, no significant differences in T cell homing ratio were observed between the Lyz2creCxcr4fl and WT parabionts as T cells are not targeted by the Lyz2cre-mediated deletion of CXCR4 (Eash et al., 2009; Fig. 6 A) and confirms that our earlier observations on monocytes are cell intrinsic and specifically mediated by CXCR4. In contrast, WHIM mice exhibited a corresponding increase in monocyte homing to the BM in their WT partners (Fig. 6 B). Adoptive transfer experiments further confirmed these findings, as CD45.1 BM monocytes that were transferred into CD45.2-recipient mice were observed to rapidly decline in the blood and accumulate in the BM via a mechanism that was disrupted by AMD3100 treatment (Fig. 6, D and E). Interestingly, we also observed a significant decrease in the homing of Lyz2creCxcr4fl monocytes into the spleen (Fig. 6 A). Conversely, there was a trend toward an increased homing of WHIM monocytes into the spleen (Fig. 6 B). Collectively, our data highlights a role for CXCR4 in mediating the circadian rhythmic fluctuations in the overall number of circulating Ly6Chi monocytes and their homing into tissue reservoirs.
Circulating monocytes accumulate in the pulmonary vasculature after endotoxin exposure
It is well established that LPS administration is a potent mediator that mobilizes monocytes from the BM, and consequently results in increased circulating monocyte numbers (Shi et al., 2011; Evrard et al., 2015). However, we consistently observed a transient phase of monocytopenia in the blood that occurs one hour after LPS administration (Fig. 7 A), which corresponded to a time point whereby no significant changes in monocyte numbers were detected in the BM (Fig. 4 C). These results hence suggest that blood monocytes were possibly being withdrawn temporarily from the circulation into other tissues. To address this hypothesis, we adopted an intravascular staining protocol (Reutershan et al., 2005; Ng et al., 2011; Anderson et al., 2014; Fig. 7 B), which allowed discrimination between intravascular or extravascular cell distributions in tissues in vivo. In the lung, this approach confirmed the extravascular location of alveolar macrophages, whereas monocytes and neutrophils were identified as being intravascular (Fig. 7 C). Using this method, we found that the LPS-induced decrease in circulating monocytes was accompanied by a gradual accumulation of these cells in the intravascular compartment of the lung (Fig. 7, D and E), with limited monocyte sequestration into other major organs (spleen, liver, and kidney; unpublished data). Furthermore, this phenomenon was mediated by the intrinsic sensing of LPS by monocytes and not vascular stromal cells, as our BM chimeric data demonstrated an abrogation of monocyte accumulation in the lung in the absence of TLR4 in the hematopoietic compartment (Fig. 7 F). Therefore, these data suggests that circulating monocytes are transiently withdrawn from the circulation and sequestered into the lung microvasculature in response to systemic inflammatory stimuli.
CXCR4 regulates monocyte margination in the pulmonary vasculature
To delineate the mechanism of LPS-induced monocyte accumulation in the lung, we used intravital two-photon microscopy to visualize the pulmonary microvasculature of Cx3cr1gfp/+ reporter mice. Endotoxin exposure stimulated blood monocytes to alter their morphology and decrease their velocity in the lung capillaries, which are characteristic features of margination (Doerschuk et al., 1993; Kuebler and Goetz, 2002; Looney and Bhattacharya, 2014; Fig. 8 A and Video 1). Because lung endothelial cells express CXCL12 (Devi et al., 2013), we speculated that the CXCL12–CXCR4 signaling axis might be involved in monocyte margination in the lung. To test this hypothesis, we treated Cx3cr1gfp/+ mice with AMD3100 and observed monocytes traveling through the lung microcirculation at a higher velocity and with significant reduced adherence to the endothelium, even in mice that were treated with the promargination stimulus LPS (Fig. 8, B and C; and Video 1). FACS analysis further supported these data, as shown by increased accumulation of lung monocytes in WHIM mice after LPS challenge, whereas this phenomenon was abrogated in Lyz2creCxcr4fl mice (Fig. 8 D). Because it is well known that Ly6Chi monocytes also express lower levels of GFP in Cx3cr1gfp/+ mice (Auffray et al., 2007), we ensured that our approach was able to detect Ly6Chi monocytes during intravital imaging by administering an anti-Ly6B.2 antibody into Cx3cr1gfp/+ mice to stain these cells in vivo (Fig. 8, E and F; and Video 2) and confirmed that our imaging approach accounted for these cells.
We next further determined whether CXCR4 regulated monocyte margination equally in both subsets. By using a lung efflux assay to quantify monocyte release from the pulmonary circulation (Devi et al., 2013; Fig. 9 A) without the interference from interposing organs (Bierman et al., 1952), we observed that AMD3100 treatment increased the net release of both Ly6Chi and Ly6Clo monocytes from the lungs (Fig. 9 B). However, only the Ly6Chi subset displayed a significant increase in lung retention following LPS and this process could be prevented with the preadministration of AMD3100 (Fig. 9 B). To extend these findings in the context of humans, we found that AMD3100 also markedly increased circulating CD14+CD16− classical monocytes in humanized mice, which was accompanied by an increased net release of these cells from the pulmonary circulation (Fig. 9, C and D). This phenomenon was similarly observed in an experimental model of non-human primates (Fig. 9 E).
The accumulation of myeloid cells in the lung is a hallmark of injury in pulmonary diseases (MacNee and Selby, 1993). It is thus likely that an increase in margination in the lung endothelium may predispose toward tissue injury. To test this hypothesis, we used a model of acute lung injury (ALI; O’Dea et al., 2009) and found that Lyz2creCxcr4fl mice displayed a significant decrease in vascular leakage compared with the Cxcr4fl control mouse (Fig. 9 F). Furthermore, Ly6Chi monocytes did not accumulate in the lungs of Lyz2creCxcr4fl mice in a high-grade cecal ligation and puncture (CLP) model of sepsis (Fig. 9 G) and exhibited a significant improved survival outcome compared with Cxcr4fl control mice (Fig. 9 H). Together, these data suggest that CXCR4 continues to play important roles in regulating monocyte margination in the pulmonary circulation, whereas disruption of its signaling ameliorated lung injury and sepsis mortality.
In this study, we report the discovery of heterogeneity among BM Ly6Chi monocytes. Specifically, BM Ly6Chi monocytes consist of two developmentally related subsets of monocytes (CXCR4hi and CXCR4lo subpopulations) that are functionally distinct in their immunological roles. Furthermore, we extend the role of CXCR4 beyond its reported function as a mere BM anchoring signal by demonstrating its involvement in the control of monocyte tissue trafficking activities. Specifically, we reveal that CXCR4 controls monocyte margination in the lung vasculature and contributes to lung injury and sepsis-induced mortality. Our study hence provides a conceptual advancement in the understanding of monocyte biology by identifying the presence of a transitional precursor population among BM Ly6Chi monocytes and deciphering the peripheral mechanisms that control monocyte homeostasis in the tissue (Fig. 10).
Using a combination of computational analytical approaches and flow cytometric analysis, we observed that cMoP-derived BM Ly6Chi monocytes consist of two distinct subpopulations defined by CXCR4 expression. Isolation of these cells revealed that CXCR4hi and CXCR4lo subpopulations are transcriptionally distinct. In particular, the CXCR4hi subpopulation was enriched in genes associated with cell cycle, cell division, and DNA repair whereas the CXCR4lo subpopulation was over-represented with genes associated with cellular activation, phagocytosis, motility, and pattern recognition. Comparative analysis of the CXCR4hi subpopulation with its progenitor, cMoP, also revealed distinct genetic differences, with the CXCR4hi subset displaying a more mature phenotype than cMoPs. Our results hence suggest that a considerable amount of functional maturation continues to occur in the CXCR4hi subpopulation. Consistent with this notion, results from our functional studies validated that the CXCR4hi subpopulation is actively proliferating and displayed reduced bead internalization in vivo compared with the CXCR4lo subpopulation. More importantly, we show that the CXCR4hi subpopulation gives rise to mature CXCR4lo Ly6Chi monocytes over time. Furthermore, this CXCR4hi subpopulation, like cMoPs, remains immobilized in the BM even under inflammatory conditions and is insensitive toward circadian rhythmic fluctuations. Together, we propose that the CXCR4hi subpopulation of BM Ly6Chi monocytes represents a population of transitional premonocytes (TpMo). It is noteworthy that although Hettinger et al. (2013) have shown the cMoP to be the only subset in the BM monocyte fraction to form colonies and is committed strictly toward monocyte development, it remains unclear if cMoPs are fully committed toward the Ly6Chi monocyte lineage, or may give rise to Ly6Clo monocytes independent of their differentiation from Ly6Chi monocytes (Thomas et al., 2015). Because our CMap analysis and in vivo data strongly demonstrates a linear development of Ly6Chi monocytes from TpMo, it is likely that the loss of c-kit on TpMo represents a loss of self-renewal ability (Ogawa et al., 1991) upon their differentiation from cMoPs, and that TpMos differ from cMoPs by serving as the first fully committed and immediate precursor of mature Ly6Chi monocytes. More importantly, we believe that this newly defined developmental transition forms a regulatory checkpoint that prevents an uncontrolled release and allows for the rapid replenishment of BM monocytes. Our results also suggest a new working model whereby monocytes program their intrinsic mobilizing capacity according to their functional maturity, which ensures that only functionally mature monocytes are being mobilized into the circulation.
It is well established that CXCR4-signaling plays a critical role in multiple biological processes in the BM compartment (Nagasawa, 2014). Consequently, studies have implicated a role for CXCR4 in monocyte retention in the BM (Jung et al., 2015; Liu et al., 2015). However, it remains unclear if reduced expression of CXCR4 on monocytes, upon their exit from the BM, indicates its diminished role in monocyte biology in the circulation. Contrary to this assumption, we observed that CXCR4 functions as an important mediator in the spatiotemporal localization of monocytes in peripheral compartments. Notably, monocytes have been shown to shuttle back to the BM through an unknown mechanism (Varol et al., 2007). Using parabiosis and adoptive transfer approaches, we provide the first experimental evidence of CXCR4-mediated BM homing as a key mechanism in regulating circulating monocyte numbers, which is in line with postulations discussed by Wang et al. (2009). Furthermore, we found a similar trend in CXCR4-dependent homing into the spleen, which further supports the idea that the spleen contains a reservoir of bona fide monocytes (Swirski et al., 2009) that is not simply synonymous with the blood pool. Although we believe that the BM remains the major compartment where circulating monocytes home to as the spleen reservoir (Swirski et al., 2009) and its CXCL12 expression (Inra et al., 2015) are much smaller than that of the BM, splenic monocytes are mobilized during vascular and ischemic injury and increase in numbers through extramedullary hematopoiesis (Leuschner et al., 2012; Robbins et al., 2012). Therefore, future work would be required to determine the extent of monocyte homing to the spleen in these scenarios.
Leukocytes rely heavily on the circulatory system to transport themselves to various tissues/organs. During this trafficking process, leukocytes may interact with endothelial cells for prolonged periods of time, which determines their transit time in organs. However, the functional outcomes of these leukocyte intravascular activities have been underappreciated. It has been proposed that the marginated pool is caused by the need for leukocytes to alter their morphology as they transit and crawl through small-caliber microvessels (Kuebler and Goetz, 2002). In particular, the lung represents a major site of leukocyte margination (Staub and Schultz, 1968; Hogg, 1987) and is the only organ to receive the full cardiac output. Previous studies have shown that leukocyte margination depends on a balance between the propelling force executed by the shear stress of blood flow (Martin et al., 1982) and a retaining force that delays monocyte transit. Data from our intravital imaging and lung efflux experiments suggest that CXCR4 interactions partly constitute the retention force in the lung vasculature. Importantly, we were able to successfully replicate these findings in both humanized mice and in a nonhuman primate model, suggesting that CXCR4 regulation of monocyte margination is likely to be physiologically relevant in humans.
Although leukocyte margination is a fundamental physiological process, their dysregulated intravascular migration and uncontrolled aggregation are associated with several human inflammatory diseases (MacNee and Selby, 1993; Looney and Bhattacharya, 2014). Here, we show that LPS triggers increased pulmonary accumulation of inflammatory Ly6Chi monocytes that leads to lung injury but is ameliorated by CXCR4 inhibition. On the other hand, it appeared that CXCR4 did not play a significant role in Ly6Clo monocyte margination during endotoxemia, suggesting that Ly6Clo monocytes may use a different array of molecules to interact with the endothelium, such as integrins, as supported by a previous study (Carlin et al., 2013). Nevertheless, our study provides a mechanistic understanding of how CXCR4 antagonism may attenuate lung inflammatory diseases, as described by previous studies (Lukacs et al., 2002; Drummond et al., 2015). Furthermore, we show that interfering with CXCR4 signaling results in reduced monocyte accumulation in the lung, which was associated with increased sepsis survival. Notably, although monocytes are essential for bacteria clearance, they are also major contributors of the cytokine storm that leads to organ damage and mortality (Weber et al., 2015). Furthermore, monocyte depletion during ALI has been shown to improve the outcome of vascular injury (O’Dea et al., 2009; Dhaliwal et al., 2012). However, it is important to note that more experimental work would be required to determine the immune and organ-specific contexture of monocyte margination in the lung. Hence, our study shows that CXCR4-mediated monocyte compartmentalization may serve as a major biological regulatory mechanism that underlies immune homeostasis to prevent excessive damage to the host.
In summary, our study provides new insight into the current framework of monocyte development and homeostasis by identifying a previously undescribed population of TpMo among BM Ly6Chi monocytes. Furthermore, our results extend the role of CXCR4 beyond its function as a BM retentive force to an important regulator in the peripheral tissue compartment with implications in pulmonary inflammation. Hence, we envision that our results will provide a new framework for understanding monocyte biology and may lead to the engineering of improved monocyte-targeting therapeutic strategies.
Materials and methods
Mice and treatments
C57BL/6 mice (6–10-wk-old) were bred and maintained under specific pathogen–free conditions in the Biological Resource Centre (BRC) of A*STAR, Singapore. Lyz2cre/cre (B6.129P2-Lyz2tm1(cre)Ifo/J), Cx3cr1gfp/+ (B6.129P-Cx3cr1tm1Litt/J), Cxcr4fl/fl (B6.129P2-Cxcr4tm2Yzo/J), NOD-scid Il2rg−/− (NSG; NOD.Cg-Prkdcscid Il2rgtm1Wjl/SzJ), Rosa26mT/mG (STOCK Gt(ROSA)26Sortm4(ACTB-tdTomato,-EGFP)Luo/J), and CD45.1 mice were obtained from The Jackson Laboratory. Fucci-474 mice were from the Institute of Physical and Chemical Research BioResource Center (Ibaraki, Japan; Sakaue-Sawano et al., 2013). Lyz2cre/cre mice were crossbred in-house with Cxcr4fl/fl mice to generate progeny that were CXCR4-deficient in the myeloid lineage only (termed Lyz2creCxcr4fl; Eash et al., 2009). Tlr4−/− mice were obtained from Oriental BioService. Gain-of-function Cxcr41013/+ mice (termed Cxcr4WHIM) were provided by F. Bachelerie (Balabanian et al., 2012). For fate-mapping purposes, LyzcreCxcr4fl were crossed to Rosa26mT/mG mice (termed RosamT/mG:LyzcreCxcr4fl). Humanized mice were generated as described (Chen et al., 2013). All transgenic mice were maintained on a C57BL/6 background and experiments were performed under the approval of the Institutional Animal Care and Use Committee (IACUC) of the BRC, in accordance with the guidelines of the Agri-Food and Veterinary Authority (AVA) and the National Advisory Committee for Laboratory Animal Research (NACLAR) of Singapore. Mice were treated with 5mg/kg AMD3100 (plerixafor; Sigma-Aldrich) via subcutaneous injection and/or with 10 ng LPS derived from Escherichia coli (serotype O55:B5; Alexis Biochemicals) administered via intravenous route. All experiments were performed between ZT4 to ZT8 unless otherwise stated.
Tissue preparation for flow cytometry and sorting
Blood was obtained via cardiac puncture or incision in the submandibular region and was then treated with commercial-grade red blood cell lysis buffer (eBioscience). Lungs were removed en bloc in experiments looking at pulmonary margination and mice were perfused with PBS containing 2 mM EDTA using a peristaltic pump (MINIPULS 3; Gilson), followed by removal of the spleen and femurs. Lungs and spleens were finely minced and homogenized to single-cell suspensions using 70-µm nylon mesh sieves with syringe plungers (O’Dea et al., 2009). Mice femurs were flushed and the effluent passed through a 70-µm nylon mesh sieve to obtain a BM cell suspension. Human BM mononuclear cells were purchased from Lonza and processed according to the manufacturer’s instructions. Antibodies were purchased from eBioscience, BioLegend, BD, or R&D Systems. Mouse cells were stained with the following antibodies: CCR2 (475301), CD3e (145-2C11), CD4 (GK1.5), CD8 (53–6.7), CD11b (M1/70), CD11c (N418), CD16/32 (93), CD19 (eBio1D3), CD31 (390), CD34 (RAM34), CD43 (S7), CD45 (30-F11), CD45.1 (A20), CD45.2 (104), CD45R/B220 (RA3-6B2), CD49a (HMα1), CD49f (GoH3), CD62L (MEL-14), CD71 (YTA74.4), CD88 (20/70), CD115 (AFS598), CD172a (P84), CD274 (10F.9G2), cKit (2B8), CXCR4 (2B11), CX3CR1 (SA011F11), F4/80 (CI:A3-1), Flt3 (A2F10), IA-IE (M5/114.152), Ly6C (HK1.4), Ly6G (1A8), NK1.1 (PK136), and Ter119 (TER-119). Human cells were stained with the following antibodies: CD3 (UCHT1), CD10 (eBioCB-CALLA), CD11b (ICRF44), CD11c (B-ly6), CD14 (322A-1), CD16 (3G8), CD19 (HIB19), CD20 (2H7), CD34 (581), CD45 (HI30), CD56 (MEM188), CD123 (6H6), CXCR4 (12G5), and HLA-DR (L243). Dead cells were identified and excluded using DAPI staining. Lung, blood, and BM monocytes were identified as CD45+CD115+cKit−Ly6G−Lineage (CD3, CD19, CD45R, and NK1.1) negative and Ly6ChiCD43− or Ly6CloCD43+ according to the subset in mice and human BM classical monocytes identified as CD14+CD16−CD11b+CD34−HLA-DR+Lineage− (CD3, CD10, CD19, CD20, CD56, and CD123). Cells were acquired on a BD LSR II flow cytometer (BD) using FACSDiva Software, and data were analyzed using FlowJo Software (Tree Star). Total number of cells collected from blood or each tissue/organ was quantified using count beads (CountBright; Life Technologies) according to the manufacturer’s protocol. CXCR4 expression on monocytes was quantified as median fluorescent intensity (MFI) and normalized by subtracting the fluorescence minus one (FMO) control. For cell sorting, BM cells were sorted using a FACSAria II (BD) to achieve >98% purity.
BrdU pulsing and proliferation assays
For in vivo assays, mice were administered 1.5 mg BrdU (BD) via intraperitoneal injection at indicated time points for cell tracking or for 30 min to assess their proliferative capacity. For in vitro cell proliferative assays, human BM cells were pulsed with 10 µM of BrdU for 45 min. To detect BrdU incorporation into monocytes, cells were surface-stained, fixed, permeabilized, and subjected to intracellular staining with FITC-conjugated anti-BrdU antibody, together with 7-AAD for cell cycle analysis, according to the manufacturer’s protocol (BrdU Flow kit; BD) before analysis by flow cytometry. The Fucci transgenic mouse model, in which cells in the S/G2/M phase of the cell cycle were labeled with a green-emitting fluorescent protein, was also used to identify proliferating cells through flow cytometry.
In vivo bead uptake
The ability of cells to uptake beads in vivo was assessed as previously described (Tacke et al., 2007). In brief, 0.5 µm Fluoresbrite polychromatic red microspheres (2.5% solids [wt/vol]; Polysciences Inc.) were diluted 1:25 in PBS, and 250 µl of the solution was injected into the lateral tail vein of mice. After 4 h, mice were sacrificed and BM was collected, flushed, and stained with antibodies to distinguish the different monocyte cell populations.
Adoptive transfer of BM monocytes
Femurs and tibias were harvested from CD45.1 mice and flushed with ∼5 ml PBS containing 3% FCS. RBCs were lysed and the remaining cells were resuspended in sterile PBS. A total of 10 million CD45.1 donor cells were adoptively transferred into CD45.2 recipient mice that were simultaneously treated with AMD3100 or PBS. Recipient mice were euthanized at the time points indicated in the respective figures, and the perfused femurs were harvested for flow cytometric identification of donor monocyte (CD45.1) sequestration into the BM of recipient animals (CD45.2). For intrafemoral transfer of BM Ly6Chi monocyte subsets, sorted 5 × 105 CD45.1+ CXCR4hi were suspended in PBS and were transferred into the left femur of CD45.2+ mice via an insulin syringe with a short needle (BD). At 8 and 24 h after cell transfer, BM femurs were collected, and the resulting cell suspensions were analyzed by flow cytometry to establish the phenotype of the CD45.1+ progeny of the transferred cell populations.
Dimensionality reduction using t-SNE and automatic clustering
BM Ly6Chi monocytes were manually gated from multicolor flow cytometry data. as shown in Fig. 1 A, and were exported in a FCS file. In this study, t-Distributed Stochastic Neighbor Embedding (t-SNE) dimensionality reduction was performed using bh_tsne, an implementation of t-SNE via Barnes-Hut approximations. R was used as an interface to execute bh_tsne, as previously described (Becher et al., 2014). K-means automatic clustering was performed using CYT in Matlab. 90,000 events were used for t-SNE dimensionality reduction.
cMoP, Ly6ChiCXCR4hi, Ly6ChiCXCR4lo, and Ly6Clo monocytes were sorted according to the gating strategy shown in Fig. 2 A. After sorting, cells were incubated for 3 h in RPMI + 10% FCS and were then subjected to RNA isolation. Total RNA was extracted using Arcturus PicoPure RNA Isolation kit according to the manufacturer's protocol. All mouse RNAs were analyzed on Perkin Elmer Labchip GX system for quality assessment with RIN > 7.9. cDNA libraries were prepared using 2 ng of total RNA and 1 µl of a 1:50,000 dilution of ERCC RNA Spike in Controls (Ambion) using SMARTSeq v2 protocol (Picelli et al., 2014), except for the following modifications: (1) use of 20 µM TSO; and (2) use of 250 pg of cDNA with 1/5 reaction of Illumina Nextera XT kit. The length distribution of the cDNA libraries was monitored using DNA High Sensitivity Reagent kit on the Perkin Elmer Labchip. All eight samples were subjected to an indexed PE sequencing run of 2 × 51 cycles on an Illumina HiSeq 2500 Rapid mode (14 samples/lane).
RNA-Seq data in the form of FASTQ files were subsequently mapped to the mouse genome build mm10 using the STAR alignment software. The mapped reads were then counted using featureCounts (part of Subread package) based on the GENCODE M9 annotations. The raw counts were then used for a differential gene expression analysis (DEG) using edgeR (R version 3.1.2) with adjusted P < 0.05 and fold change >2 to identify genes differentially regulated in monocyte subsets. A filter for genes having a mean count of at least 10 was done to eliminate low expressing and nonexpressing genes before DEG analysis. PCA of samples was done using log2CPM (count per million reads) values of all detected genes. PCA, volcano plot, and heat maps were done in R version 3.1.2. Pathway analysis of DEGs was done using IPA software (Qiagen).
Computational inference of developmental path
CMap (Lamb et al., 2006) analysis was performed using DEGs between Ly6ChiCXCR4lo and Ly6Clo monocytes. Positive CMap scores indicate enrichment of Ly6Clo signature genes, whereas negative CMap scores indicate enrichment of Ly6Chi signature genes. R package seriation (Hahsler et al., 2008) was used to find a suitable linear order for cMoP, CXCR4hi, and CXCR4lo Ly6Chi monocytes. Six different seriation methods, including TSP, R2E, ARSA, HC, GW, and OLO, were applied. TSP, ARSA, and OLO produced the best and identical results with regard to the shortest path length, minimal AR events, and minimum Moore stress. Seriation analysis was done using log2CPM values of all detected genes. PCA, CMap, and seriation analyses suggest a developmental path from cMoP to CXCR4hi, followed by CXCR4lo Ly6Chi monocyte.
Wanderlust was executed using CYT in Matlab, as previously described (Bendall et al., 2014). Wanderlust was run on six phenotypic markers: CXCR4, CD31, CD16/32, CX3CR1, CCR2, and CD11b, using the following parameters: number of neighbors l = 30, k = 5, number of landmarks nl = 20, number of graphs to generate ng = 25, distance metric = angular. The starting point (early events) consisted of selected Ly6Chi cells that expressed high levels of CXCR4, CD31, and CD16/32, as observed on cMoPs, which is the most direct progenitor of BM Ly6Chi monocytes. 90,000 events were used for Wanderlust analysis.
Parabiosis and BM chimeric mice
Female mice were anesthetized using 2.5% Avertin (15 ml/kg), shaved at the corresponding lateral sides of the body, and then surgically joined as previously described (Hashimoto et al., 2013). After surgery, the mice were treated with Baytril (0.05–2 mg/kg s.c.) and Buprenorphine (5–20 mg/kg s.c.) and allowed to recover for 8 wk. Since Lyz2creCxcr4fl and Cxcr4WHIM mice exhibit steady-state monocytosis and monocytopenia, respectively, parabiosis with WT animals results in unequal exchange of circulating leukocytes (Fig. 6 C); the results of these experiments were hence represented as a homing ratio to control for differences in absolute cell numbers between these mice. To determine the number of cells that had infiltrated a given organ, the number of nonhost cells present in that organ was divided by the total number of nonhost cells present in the host circulation (expressed as the homing ratio). To determine the total number of circulating cells, the blood volume present in an individual mouse was calculated using the formula: y = 0.0715 x, where y and x represent the blood volume (milliliters) and body weight (grams), respectively, as previously described (van Furth and Sluiter, 1986).
To generate BM chimeric mice, 6-wk-old WT and Tlr4−/− mice were irradiated with two doses of 550 rad spaced 3 h apart and reconstituted with BM from WT or Tlr4−/− mice under sterile conditions. Recipient mice were analyzed 6 wk after irradiation, and number of Ly6Chi monocytes were quantified 1 h after administration of LPS.
Scanning electron microscopy
Sorted CXCR4hi and CXCR4lo monocytes were seeded onto coverslips and incubated at 37°C, 5% CO2, for 3 h to allow cell adhesion onto coverslips. Cells were fixed with 2.5% Glutaraldehyde (Sigma-Aldrich) in PBS, washed, and post-fixed in 1% Osmium tetroxide (Electron Microscopy Services) in PBS, and then dehydrated in ethanol and processed by critical point drying (EM CPD030; Leica). Finally, samples were sputter-coated with gold using an EM SCD050 (Leica) and imaged on the JSM-6701F, JEOL scanning electron microscope at 4,000 × magnification. 60–70 cells were acquired for each tested group and representative images of a typical phenotype were presented in the figure.
Intravital multiphoton imaging of lung
Imaging of the lung was performed as previously described (Looney et al., 2011). In brief, mice were anaesthetized with a cocktail of ketamine and xylazine before cannulation of the trachea to allow connection to a mechanical ventilator (tidal volume, ∼8–10 µl/g body weight; respiratory rate, ∼120 breaths per minute; MiniVent 845; Hugo Sachs Elektronik). Mice were then placed onto a heat pad to maintain body temperature at 37°C, followed by the removal of skin, muscle, and two rib bones to expose the lung. A custom-made vacuum window ring was used to immobilize the lung via application of a negative pressure vacuum (∼40 mmHg). To label the pulmonary vasculature, 70kD TRITC-conjugated dextran (250 µg in 100 µl saline; Sigma-Aldrich) or Evan’s blue (50 µg in 50 µl sterile PBS) was administered i.v. into mice. Experimental groups consisted of mice administered with AMD3100 s.c., LPS i.v., or a combination of AMD3100 and LPS administered together via the different routes. Imaging of the lung began 45 min after single treatment with AMD3100 or LPS, whereas co-treatment of both AMD3100 and LPS were imaged at 2 h into AMD3100 and 45 min into LPS simultaneously. For the visualization of monocyte subsets, 4 µg of Ly6B.2-PE (Novus Biologicals) were administered i.v. in Cx3cr1gfp/+ mice (Fig. 8, E and F). Experiments were performed at 880 or 990 nm excitation and 364 × 364 µm images were acquired in fast mode over a period of 30 min using a 4-µm z-step size with an approximate depth of 20 µm. After acquisition, images were averaged to match respiratory movements, and drifts during imaging were corrected where necessary (FIJI software). Images were subsequently transformed into time series movies using Imaris. Tracking of GFP+ cells was performed semiautomatically using Imaris spot-tracking algorithms, and mean velocity was extracted. The duration of GFP+ cell adherence in the lung vasculature was tabulated manually.
Localization of intravascular lung monocytes
Intravascular staining of lung monocytes was performed in vivo according to a previously described protocol (Anderson et al., 2014). In brief, mice were anaesthetized by isoflurane inhalation and APC-conjugated anti-CD45.2 (clone 104; eBioscience) was administered i.v. (4 µg antibody in 200 µl saline). The antibody was allowed to circulate for 3 min before the mice were euthanized. Lungs were removed en bloc and processed immediately in an excess volume of PBS containing 3% FCS and 2 mM EDTA to dilute any excess antibody. FITC-conjugated anti-CD45.2 (clone 104; eBioscience) was included in the antibody-staining panel to identify extravascular cells.
Lung efflux assay
The method used for tandem blood sample collection from the carotid artery and vena cava has been described previously (Devi et al., 2013). In brief, mice were anesthetized with isoflurane and a midline incision was performed on the neck to expose the underlying carotid artery. A microvascular clamp was applied to the artery, which was then cannulated by insertion of EDTA-filled polyethylene 10 tubing (inner diam, 0.28 mm; outer diam, 0.61 mm). After securing the cannula with a surgical suture, the clamp was released and ∼40 µl of arterial blood was collected into an Eppendorf tube. Blood was simultaneously drawn from the inferior vena cava using a 26-gauge needle attached to a prefilled EDTA syringe. Samples were collected 1 h after LPS injection, or 2 h after AMD3100 treatment. For mice that were cotreated with AMD3100 and LPS, the CXCR4 inhibitor was administered 1 h before injection of LPS, and blood sample collection took place an additional 1 h later. Both arterial and venous blood samples were subsequently analyzed by flow cytometry.
For lung efflux assays done on nonhuman primates, all experiments were performed on adult female Macaca fascicularis at the Singhealth Experimental Medicine Center (accredited by the Association for Assesment and Accrediation of Laboratory Animal Care) under approval #2012/SHS/692 from the Institutional Animal Care and Use Committee of Singapore, as previously described (Devi et al., 2013). In brief, midline laparotomy was performed under general anesthesia and ∼1 ml of blood was each collected from the abdominal aorta and inferior vena cava at baseline and hourly intervals after s.c. administration of AMD3100 (0.5 mg/kg). Monocyte numbers were determined using a Hematology Analyzer (Beckman-Coulter).
The number of monocytes leaving the pulmonary circulation (termed net release) was calculated by subtracting the number of monocytes present in the venous blood sample from the number of monocytes present in the arterial blood sample.
Pulmonary vascular permeability assay
To assess the influence of monocytes or CXCR4-signaling on pulmonary vascular permeability, we used a LPS-Zymosan induced model of ALI (O’Dea et al., 2009). For the induction of ALI, mice were administered i.v. with 10 ng of LPS for 2 h. Subsequently, 150 µg in 100 µl of Zymosan-A (Sigma-Aldrich) was resuspended with 5 µl per g of 10 mg/ml of Evans blue (Sigma-Aldrich) and injected i.v. into mice. Mice were sacrificed 1 h later and lungs were perfused with PBS using a peristaltic pump (MINIPULS 3, Gilson). Lungs were weighed and Evans blue was extracted from the lung by incubating samples in 1 ml of N,N-dimethlyformamide (Sigma-Aldrich) at 37°C overnight. The supernatant was separated by centrifugation at 5,000 g for 30 min. The concentration of Evans blue in lung homogenate supernatants was quantified by a dual wavelength spectrophotometric method at absorptions of 620 and 740 nm, which allows for correction of contaminating heme pigments using the following formula: E620 (corrected) = E620 − (1.426 × E740 + 0.030)
Femurs and tibias were harvested from C57BL/6 mice and flushed with ∼5 ml of PBS containing 3% FCS. RBCs were lysed and the resultant cells were suspended in sterile PBS for labeling with antibodies against CD11b, CD45, CD115, CXCR4, Flt3, cKit, and Ly6C, as well as an exclusion cocktail of antibodies against unwanted lineages (CD3, CD45R/B220, Ly6G, and NK1.1). BM monocytes were identified as Lin−Flt3−cKit−CD115+Ly6Chi cells that displayed either a CXCR4hi or CXCR4lo phenotype. The CXCR4hi and CXCR4lo subsets were then sorted at high speed using a BD FACSAria III apparatus (BD). A total of 105 sorted monocytes were transferred onto the top layer of a polycarbonate membrane with 3 µm pore size (Transwell; Corning), before being placed into lower chambers containing 0–50 ng of recombinant CCL2 (R&D Systems) and incubated at 37°C for 2 h. After incubation, the cells in the bottom chamber were harvested and analyzed by flow cytometry to determine the percentage of migrated monocytes (expressed as a proportion of the total cells that were initially loaded into the top chamber).
Experimental procedures were performed as previously described (Rittirsch et al., 2009). In brief, the peritoneal cavity was exposed under ketamine/xylazine anesthesia and the cecum was exteriorized. ∼80% of the cecum was ligated distal of the ileo-cecal valve using a nonabsorbable 7–0 suture. A 23-gauge needle was used to perforate the distal end of the cecum, and a small drop of feces was extruded through the puncture before being relocated into the peritoneal cavity. The peritoneum was closed and subsequently treated with saline and Buprenorphine (5–20 mg/kg s.c.) via s.c. injection. Age-matched controls were included for all procedures.
Statistical analyses were performed using Prism software (GraphPad). Data were tested using either Student’s t test (normal distribution) or ANOVA (one-way or two-way as appropriate), as indicated in the respective figure legends. P < 0.05 was considered significant.
All RNA-sequencing data have been deposited at the National Center for Biotechnology Information Gene Expression Omnibus public database under accession no. GSE86079.
Online supplemental material
Fig. S1 shows heat maps of genes that are significantly and differentially expressed between cell subsets of the monocyte developmental pathway. Fig. S2 shows detailed histograms of cell surface marker expression for distinguishing monocyte subsets. Fig. S3 shows gating strategy for the analysis of CXCR4 expression on BM Ly6Chi monocytes. Fig. S4 shows gating strategy of blood monocytes in mice. Video 1 shows monocyte margination in the pulmonary vasculature. Video 2 shows the visualization of Ly6Chi monocytes in a Cx3cr1gfp/+ mouse with an anti-Ly6B.2 antibody.
We thank W.K. Chew and S. Chew for their technical help and support; the Singapore Immunology Network (SIgN) flow cytometry team for their assistance with cell sorting; Dr. Francesca Zolezzi and the SIgN functional genomics team for their assistance with transcriptomics; the SIgN mouse core facility for their mice expertise; Professor Toshio Suda and Dr. Norman Pavelka for their insightful scientific discussion and Dr. Neil McCarthy of Insight Editing London for his writing assistance.
This research was funded by SIgN, A*STAR, Singapore. C. Weber, J. Duchene, and M. Bianchini are supported by Deutsche Forschungsgemeinschaft (DFG) grant SFB1123-A1/Z1.
The authors declare no competing financial interests.
acute lung injury
cecal ligation and puncture
common monocyte progenitor
differential gene expression
fluorescence ubiquitin cell cycle indicator
ingenuity pathway analysis
next generation sequencing
optimal leaf ordering
principal component analysis
t-distributed stochastic neighbor embedding
warts, hypogamma-globulinemia, infections, and myelokathexis
S.Z. Chong and M. Evrard contributed equally to this paper.