Our previous study demonstrated that Global P2X4R KO protects mice from further damage after ischemic stroke, yet the underlying molecular networks associated with P2X4R in the neuro-inflammatory response to cortical injury due to ischemic stroke remain unexplored [9]. We used next-generation RNAseq to analyze gene expression profiles generated from P2X4R KO and littermate WT mice to identify potential biological and molecular function pathways and related signaling networks in the absence of P2X4R during acute neuro-inflammation after ischemic stroke injury using transient MCAo mouse model. Here, we have identified many up- and down-regulated genes, revealing that the absence of P2X4R has widespread effects after ischemic stroke.
Gene ontology (GO) enrichment analysis of DEGs suggest many biological processes such as cellular integrity, organization, positive regulation of angiogenesis, and inflammatory response modulation are among the top biological processes which are affected by the absence of P2X4R. The dependence of these biological processes on P2X4R was further supported by molecular function pathways by GO analysis and canonical pathways by IPA. These two independent analysis platforms suggest that immune cell activation/neuroinflammation and leukocyte extravasation pathways/function are dominantly altered by the absence of P2X4R. We and others have previously shown that P2X4R activation exacerbates inflammation and acute ischemic injury [3, 510]. We previously showed that short-term blockade of P2X4R reduces acute ischemic injury by reducing neuroinflammation and by reducing leukocyte infiltration into the brain after stroke [10]. These data also suggest that P2X4R plays a significant role in blood-brain barrier (BBB) integrity, either by activation of P2X4R on myeloid cells or its interaction with endothelial cells. However, it is not yet clear if these effects on BBB permeability are mediated by myeloid or endothelial P2X4R activation [10, 11]. Our qPCR data with BMDM cells suggest that the absence of P2X4R increases transcripts like COL1A2, LOX, and LOXL2. These genes are involved in rebuilding of ECM by cross-linking collagen and elastin fibers, which can improve the brain's structural integrity and support its recovery following a stroke. It is well established that ECM integrity is compromised after stroke [17]. These findings support the notion that myeloid P2X4R activation might play a major role in ECM degradation and cell to cell adhesion, thus may affect BBB integrity.
Our qPCR data validated data from young, stroked mice showing that the absence of P2X4R reduced several inflammatory transcripts like P2X7R, Tgfb1, and MRC1. Among them, MRC1, which is a member of the C-type lectin (CLEC) family of mannose receptor, has diverse roles and can bind and internalize a variety of endogenous and pathogen-associated ligands [18]. Because of these properties, its role in endocytosis as well as antigen processing and presentation has been studied intensively and is consistent with the role of P2X4R in endocytosis [19]. Our data suggest that the endocytosis roles of P2X4R might be mediated by MRC1. Besides endocytosis, it can also directly influence the activation of various immune cells by its expression during ischemic stroke [20]. Both ischemic brain tissue in young mice and BMDM data show significant decrease in MRC1 transcript in P2X4R KO group, indicating that cerebroprotective effects of P2X4R blockade might be mediated by MRC1-mediated immune cell activation. MRC1 also has a regulatory effect on the induction of immune responses which are distinct from antigen uptake and presentation, specifically it regulates T-cell activation [21]. This regulatory effect of the MRC1 was mediated by a direct interaction with CD45 on the T cell, inhibiting its phosphatase activity, which resulted in up-regulation of cytotoxic T-lymphocyte-associated protein. Given that the mannose receptor plays an important role in phagocytosis and clearance of cellular debris [22], it will be worthwhile to study how P2X4R blockade affects phagocytic uptake and T-cell activation after ischemic stroke. Our data suggest that MRC1-P2X4R may play important diverse roles during acute ischemic injury. Interestingly, our data found an age-independent decrease in expression of transcript Cytotoxic T-lymphocyte antigen-2 alpha (CTLA-2a) in P2X4R KO mice after stroke. This finding suggests that the effects MRC1 on T cells might be mediated by CTLA-2a in a P2X4R-dependent manner persisting in aging.
CTLA-2a is a cysteine proteinase inhibitor which was originally discovered in mouse-activated T cells and mast cells. Previously it has been shown that T cell activation is detrimental during acute ischemia, and lymphocyte-deficient mice are protected in models of focal ischemia as discussed in detail in [3]. The cytotoxic activity of T cells may be related to innate functions of T cells. Further, P2X4R activation increases T cell activation and their migration to injured tissue [13]. This evidence suggests that loss/blockade of P2X4R in the brain reduces CTLA-2a expression on T cells to inhibit their activation and migration to ischemic tissue, which is consistent with IP analysis data. CTLA2a was reduced both in young and aged mice after stroke and stroke mainly occurs in aging population. This observation suggests that CTLA-2a may be a downstream target of P2X4R and can be a potential therapeutic target to treat ischemic stroke. Similar to CTLA-2a, we also found reduced expression of IL-6 after stroke in both young and aged P2X4R KO mice. Although the pro-inflammatory role of IL-6 is well-defined after acute stroke injury, reduced IL-6 levels may indicate cerebroprotective effects of P2X4R KO during early stroke injury timepoints. Although the exact mechanism of how P2X4R activates IL-6 is not clear, we and others have shown that pro-inflammatory effects of P2X4R activation might indirectly contribute in stroke injury [23].
Taken together, our RNAseq data support the hypothesis that P2X4R modulates BBB integrity, inflammatory response, and immune cell activation and infiltration. This data also identifies two novel potential downstream targets of P2X4R during ischemic stroke: MRC1 and CTLA-2a. Data from this work support not only a key role for P2X4R in modulating the complex networks of cell death and the immune response in myeloid cells after ischemic stroke but also suggest a new role in T cell activation and a potential mechanism for this T-cell activation.