Nat10 haploinsufficiency delays wound repair in mice
NAT10 regulates multiple physiological and pathological processes7. However, the roles of NAT10 in skin barrier, a delicately manipulated procedure, are barely delineated. Here, using a canonical wound healing model, we investigated the functions of NAT10 in skin repair. We generated a Nat10 knockout (KO) allele by using the standard CRISPR-Cas9 methodology (Figure S1A-B in Supporting Information). After backcross, we successfully obtained heterozygous mice (Figure S1C in Supporting Information). Notably, consistent with the previous finding11, the Nat10 KO mice were also embryo lethal, while no apparent difference was observed between the wildtype (WT) and Nat10+/− littermates, which displayed comparable body size and skin morphogenesis (Figure S1D in Supporting Information).
To evaluate whether Nat10 affects wound healing process, a full-thickness 6-mm punch-biopsy wound was made, basing on the previously reported method 16, in the dorsal skins of WT and Nat10+/− mice (Fig. 1A, day 0) and then the wound morphology was recorded at day 0, 1, 3, 5, 7 and 10 after punch. As shown, the wound healing speed of WT (n = 10) and Nat10+/− mice (n = 7) displayed no significant difference at early stage (on day 1 and day 3). However, apparent delayed repair rate was obvious in late period (on day 5 and day 7) in Nat10+/− mice compared with WT littermates (Fig. 1A). Quantification of unhealed skin area affirmed slower repair speed in Nat10+/− mice (Fig. 1B). We next performed histologic analysis by H&E staining of skin biopsies collected at day 5 when apparent morphology difference was first observed. As shown, the average wound diameter in Nat10+/− mice was longer than WT littermates (Fig. 1C-D). Re-epithelialization is a hall marker of successful wound repair17. Notably, the wound edges of Nat10+/− mice had less extent of re-epithelialization (indicated by arrows) compared with WT mice (Fig. 1C and 1E), further consolidating the finding of delayed wound healing in Nat10+/− mice. To complete wound repair, fibrosis is indispensable and considered to play irreplaceable roles because reconstituting fresh skin needs amount of various matrix proteins18. Indeed, significant lower expression of fibronectin and α-SMA, in both mRNA and protein levels, was observed in skin samples of wound area derived from Nat10+/− mice when compared with WT mice (Fig. 1F-H), suggesting an accompanied delay of fibrosis. Taken together, these data demonstrate that NAT10 haploinsufficiency in mice compromises wound repair.
Nat10 Knockdown Inhibits Keratinocyte Migration
We next asked how NAT10 affected skin repair. Interestingly, based on the analysis of single cell RNA-sequencing data of skin tissue from a public online tool (The Human Protein Atlas), we found a much higher expression of NAT10 in keratinocyte cells, when comparing with other skin cell types, for example, monocytes and fibroblast cells (Fig. 2A). Indeed, once wound injury is created, skin keratinocyte is one of the earliest activated cell types and its migration is crucial to initiate the following wound repair5. Those findings encouraged us to explore the roles of NAT10 in keratinocyte. To that end, NAT10 expression was silenced in a widely-used keratinocyte cell line, i.e. HaCaT cells19, by RNA interference (RNAi). As expected, both mRNA and protein levels of NAT10 were ablated (Fig. 2B-C). We then set out to analyze the effect of NAT10 silence on keratinocyte migration. As evaluated by trans-well migration assay and scratching-induced wound healing assay, it was clear that downregulation of NAT10 expression in HaCaT cells prominently inhibited cell migration (Fig. 2D-E) and resulted in apparent delay of wound closure (Fig. 2F-G). Meanwhile, NAT10 knockdown elicited little change on cell proliferation and viability when compared with scramble controls (Figure S2A-B in Supporting Information), emphasizing the major contribution of NAT10 for keratinocyte migration. Moreover, silencing NAT10 impaired wound-induced up-regulation of MMP-2 which is critical for keratinocyte collective migration during wound healing20 (Fig. 2H). Moreover, the activity of FAK, indicated by the phosphorylation of Y397 and the up-stream regulator of MMP2, was significantly downregulated in NAT10 knockdown cells (Fig. 2I). Taken together, these data suggest that NAT10 modulates wound healing process, at least partially, through potentiating keratinocyte migration.
Silencing Nat10 Attenuates The Wound-induced Il-6/il-8 Expression
We found that both mRNA and protein levels of NAT10 were merely affected in HaCaT cells upon scratch-induced wound, implicating that NAT10 regulating keratinocyte migration is not due to gain-of-expression but possibly imposed by an intrinsic mechanism (Figure S3A-B in Supporting Information). We further asked how NAT10 affected keratinocyte cell migration-related regulators, for example as wound-induced cytokines, chemokines, matrix metalloproteinases (MMPs) and growth factors released by keratinocytes that are critical for wound-healing process2. Interestingly, wound conferred cells expressing cytokines and chemokines mainly peaked at 1–2 hours after scratching, MMPs at 2 hours, and growth factors at 4 hours (Fig. 3A and B). Indeed, those early secreted cytokines are recognized as key triggers for wound repair initiation, such as IL621. Of note, NAT10 silencing resulted in more apparent decrease of wound-induced IL-6 and IL-8 expression compared with other cytokines (Fig. 3C). Accordingly, wound-induced STAT3 activation (p-STAT3), which is considered as one of the major effectors of IL6 or IL8 signaling22, was significantly declined by NAT10 knockdown (Fig. 3D). We thus assumed that NAT10 knockdown might suppress keratinocyte migration through downregulation of IL6/IL8-STAT3 activity. In terms of STAT3 activation, IL6 and IL8 possess similar effect23, we thus used recombinant human IL-6 (rIL6) to perform the rescue experiment. We found that supplementing rIL6 largely restored the ability of cell migration, as assessed by both trans-well and wound-healing assays (Fig. 3E-H). Likewise, rIL6 almost completely recovered the level of p-STAT3 and MMP2 in NAT10 knockdown HaCaT cells (Fig. 3I and Figure S4 in Supporting Information). Together, these results demonstrate that NAT10 is crucial for keratinocyte cell migration through promoting wound-induced IL-6 expression.
Nf-κb/p65 Underlies Nat10-mediated Il6 Regulation During Wound Repair
IL-6/IL8 expression is mainly regulated by NF-κB/p65 in various cellular conditions24,25. Moreover, previous studies have demonstrated the activation of NF-κB/P65 during wound-healing26,27. We thus asked whether NAT10 regulates IL6 expression via NF-κB/p65 pathway. Indeed, p65 activity (p-p65) was prominently increased after scratching wound (Ctrl group, Fig. 4A). Silencing NAT10 remarkably attenuated such activation (Fig. 4A and B). To fulfill the function in transcription regulation, phosphorylated p65 translocates into nucleus28. Consistently, determined by immunofluorescence staining, we found that the intensity of nuclear p65 was significantly lower in HaCaT cells with silenced NAT10, and the difference was more evident in cells along the wound edge (Fig. 4C and D). To gain more evidence of NAT10 regulating NF-κB/p65 activation, we employed TNF-α, a widely-used stimulator of NF-κB pathway, to assess whether similar effect could be recapitulated. As shown, NAT10 silencing suppressed TNF-α-induced p65 phosphorylation (Fig. 4E), and nuclear accumulation (Fig. 4F and G). If NAT10 regulating IL6 is governed by NF-κB/p65, TNF-α-stimulated IL6 expression would be affected by NAT10 manipulation. Indeed, TNF-α-induced IL6 expression was greatly attenuated in NAT10 silenced HaCaT cells (Fig. 4H). Together, these data implicate a NAT10-NF-κB/p65-IL6 signaling axis in regulating wound repair (Fig. 4I).
Silencing NAT10 compromises nuclear p65 stability via facilitating its poly-ubiquitination
One of the key regards to NF-κB/p65 activation is associated with relevant receptor of TNF-α29. However, we found little change of TNFR1 or TNFR2 expression level in HaCaT cells upon NAT10 interference (Figure S5 in Supporting Information), thus excluding defect in receptor-mediated signal initiation. NF-κB/p65 activation is tightly regulated by the cytoplasm-to-nucleus translocation. We thus asked whether NAT10 mediates this process. To that end, nuclear and cytoplasmic fractions derived from HaCaT cells with or without NAT10 knockdown and TNFα were subjected to immunoblotting. Interestingly, p-p65 and total p65 in the nucleus fraction showed a very apparent change, displaying more extent of decrease by NAT10 knockdown (Fig. 5A-C), while the cytoplasmic portion had less change (Fig. 5A, and Figure S6A-B in Supporting Information), indicating that NAT10 mainly regulates nuclear p65. This finding seems plausible as NAT10 is a nucleus-resided protein30. Additionally, applying phosphatase inhibitor LB-100, the inhibitor of PP2A which dephosphorylates p6531, 32, did not markedly affect the p65 nuclear distribution in HaCaT cells with NAT10 knockdown or not (Figure S6C in Supporting Information), further excluding the possibility of PP2A-mediated regulation of nuclear p65. We next asked whether NAT10 affected p65 nuclear exportation, which is mainly manipulated by nucleocapsid CRM133. However, after treatment with Leptomycin B (LMB), the CRM1 inhibitor34 that restrains nuclear p65 exportation, we found that p65 level was yet not apparently restored in NAT10 silenced cells, suggesting the decrease of nuclear p65 by NAT10 knockdown was not due to the change of nuclear p65 exportation (Fig. 5D-E). It should be noted that, on one hand, LMB treatment restrained the export of nuclear p65, on the other hand, cytoplasmic p65 continually translocated into nucleus. Considering the combined effects, we reasoned that p65 nuclear proportion should be underwent much faster turnover upon NAT10 knockdown. It has been revealed the degradation of nuclear p65 is mainly mediated by ubiquitination-mediated proteasome pathway35, 36. We thus determined whether the ubiquitination of p65 was affected by NAT10. Indeed, NAT10 knockdown significantly enhanced p65 poly-ubiquitination in the nucleus, indicating that the low level of nuclear p65 is, at least partially, owing to faster degradation (Fig. 5F). Collectively, our results suggest that NAT10 maintains the steady activity of nuclear p65 through restraining its poly-ubiquitination-mediated degradation in nucleus.
Nf-kb/p65-il6 Signaling Is Positively Correlated With Nat10 During Wound Repair
We next examined the in vivo correlation of NAT10 and NF-kB/p65-IL6 signaling. The levels of p-p65 and p-STAT3 were significantly decreased in wound skin tissues of Nat10+/− mice compared with those of WT mice, detected at day 5 after punching (Fig. 6A-C). In addition, a greater decline of cytokines that are in the control of NF-kB/p65 signaling, i.e., IL-6, IL-1α and TNF-α, was consistently observed in skin tissues of Nat10+/− mice (Fig. 6D). Such changes remained even to day 9, when skin repair was almost completed in both genotypes (Fig. 6E).