The current protocol presents experimental procedures to stimulate cultured macrophages to be endowed with capacity to release molecular factors that promote neurite outgrowth. Treatment of cAMP to the neuron-macrophage co-cultures induces the macrophages to produce conditioned medium that possesses strong neurite outgrowth activity.
There is strong evidence that macrophages can participate in the regeneration or repair of injured nervous system. Here, we describe a protocol in which macrophages are induced to produce conditioned medium (CM) that promotes neurite outgrowth. Adult dorsal root ganglion (DRG) neurons are acutely dissociated and plated. After the neurons are stably attached, peritoneal macrophages are co-cultured on a cell culture insert overlaid on the same well. Dibutyryl cyclic AMP (db-cAMP) is applied to the co-cultures for 24 h, after which the cell culture insert containing the macrophages is moved to another well to collect CM for 72 h. The CM from the co-cultures treated with db-cAMP, when applied to a separate adult DRG neuron culture, exhibits robust neurite outgrowth activity. The CM obtained from the db-cAMP-treated cultures consisting of single cell type alone, either DRG neuron or peritoneal macrophage, did not exhibit neurite outgrowth activity. This indicates that the interaction between neurons and macrophages is indispensable for the activation of macrophages secreting molecular factors with neurite outgrowth activity into CM. Thus, our co-culture paradigm will also be useful to study intercellular signaling in the neuron-macrophage interaction to stimulate the macrophages to be endowed with a pro-regenerative phenotype.
A variety of studies have sought to enhance CNS axon regeneration after the injuries of the spinal cord or brain. Inflammatory reactions, inevitably accompanying the injuries in the nervous system, are traditionally thought to participate in secondary pathological processes leading to the deleterious outcomes1,2. Indeed, methylprednisolone that can suppress inflammatory reactions is the only approved therapy for acute spinal cord injury3. However, more recent studies have provided evidence that macrophages, a representative inflammatory cell type, can participate in the regeneration or repair of injured nervous system4,5,6. For example, infiltrating macrophages following a lens injury produce pro-regenerative molecules to promote the regeneration of the retinal ganglion neurons7,8. In addition, transplanted DRG neurons increased axon growth up the region where macrophages were activated by zymosan9. Moreover, the macrophages at the lesion site can create a growth-permissive milieu for injured peripheral nerves10.
Our work also provided strong evidence that macrophages can contribute to the capacity of axon regeneration in adjacent neurons. We have shown that the activation of macrophages in the dorsal root ganglia (DRG) were essential in the enhanced regenerative capacity of DRG sensory neurons following a preconditioning peripheral nerve injury11. Similar research was independently reported from another laboratory12. We also showed that intraganglionic injection of dibutyryl cyclic AMP (db-cAMP), which is a well-known molecule to enhance the capacity of axon regeneration13, induced the activation of macrophages. The deactivation of macrophages abolished the effects of db-cAMP on neurite outgrowth activity. Subsequent works identified injury-induced expression of CCL2 in neurons as a signal to stimulate macrophages with a pro-regenerative phenotype14,15.
Based on the above experimental results, we have established an in vitro model resembling molecular events that occur in the DRGs following a preconditioning injury model11,14. In this model, db-cAMP is applied to the neuron-macrophage co-cultures eliciting intercellular signaling that leads to the activation of macrophages with a pro-regenerative phenotype. Here, we describe detailed protocols by which we can generate macrophages that secrete molecular factors promoting neurite outgrowth (Figure 1). This experimental model illustrates a concept that macrophages can be stimulated or induced to support axon regeneration following the injuries to nervous system. Our model will also be useful in studying mechanisms in intercellular signaling that leads to the activation of pro-regenerative macrophages.
All experiments involving animals were approved by the institutional Animal Care and Use Committee of Ajou University School of Medicine.
1. Culture Preparation of Dissociated Adult DRG Neuron
2. Co-culture of P rimary Peritoneal Macrophages on A Cell Culture Insert
NOTE: Establish the co-cultures 4 h after the initial plating of the dissociated DRG neurons
3. Treatment of Db-Camp and Collection of Macrophage CM
NOTE: Start db-cAMP treatment 4 h after the neuron-macrophage co-cultures.
4. Neurite Outgrowth Assay with Collected CM
We describe a protocol that can generate macrophages capable of secreting molecular factors with neurite outgrowth activity. The macrophage CM obtained from the co-cultures treated with db-cAMP resulted in robust neurite outgrowth when applied to a separate DRG neuron culture (Figure 2A). In comparison, CM obtained from the PBS-treated co-cultures did not induce neurite outgrowth in our 15-h culture duration (Figure 2B). When db-cAMP is treated to the culture with macrophage alone, CM obtained from this condition was not effective in supporting neurite outgrowth (Figure 2C). This suggests that neuron-macrophage interaction is indispensible to stimulate macrophages to be endowed with a proregenerative capacity. We also tested if CM obtained from db-cAMP-treated neuron-only culture and found no neurite outgrowth (Figure 2D).
Figure 1: A schematic diagram illustrating procedures to obtain conditioned medium containing neurite outgrowth activity. Adult DRG neurons (2 x 106 cells per each well) are cultured for 4 h. Then, peritoneal macrophages are cultured in insert well, located above the well in which DRG neurons were cultured. 4 h after plating, either PBS or dibutyryl cAMP is treated. After 24 h incubation, the insert well is transferred to another well filled with about 1ml medium. Then, the transferred well is incubated for 72 h. Then, the incubated conditioned medium (CM) is collected. Please click here to view a larger version of this figure.
Figure 2: Representative results of neurite outgrowth assay using conditioned medium obtained from various conditions. (A, B) Adult DRG neurons were acutely dissociated and cultured for exactly 15 h. 2 h after plating, culture medium was replaced with conditioned medium (CM) obtained from neuron-macrophage co-cultures treated with either PBS (A) or dibutyryl cAMP (db-cAMP) (B). Only the CM treated with db-cAMP exhibited robust neurite outgrowth activity. (C, D) CM obtained from cultures consisting of either macrophage (C) or neuron (D) alone that was treated with db-cAMP did not support neurite outgrowth. Scale bars indicate 200 µm. Please click here to view a larger version of this figure.
There are several critical steps for the generation of this co-culture system. It is important to ensure that the mouse DRG neurons and peritoneal macrophages are prepared fresh and healthy. We have experienced diminished neurite outgrowth activity of the CM when the dissection of all the DRGs took more than 30 min. In addition, the contamination of blood components in peritoneal macrophages also led to a decrease of neurite outgrowth activity in the CM. In order to elicit robust neuron-macrophage interaction by db-cAMP, thorough washing would also be a critical step to ensure complete removal of tissue debris and elimination of potentially remaining cytotoxic components, such as collagenase or RBC lysis buffer. Another point to be reiterated is that the roots attached to DRGs should be removed as much as possible. Remaining stubs of roots would increase the contamination of Schwann cells in DRG neuron culture. Schwann cells can produce high amount of neurotrophic factors in culture that might confuse the results.
In this protocol, dissociated macrophages were plated on a cell culture insert separated from the DRG neurons plated on the bottom of the well plate. Our previous study did not show significant difference in the extent of neurite outgrowth activity between the CMs collected from direct co-cultures (allowing physical contacts between the two cell types) and the co-cultures with the two cell types separated by a cell culture insert11. This result indicated that neurons and macrophages are communicating with each other via soluble molecules released from either cell type, not by direct physical contacts. It was shown that CCL2, secreted from DRG neurons, is responsible for activating macrophages into a pro-regenerative phenotype in this co-culture model14. Thus, our co-culture system will allow the elucidation of more detailed intercellular signaling that mediates the activation of pro-regenerative macrophages.
The culture was precisely restricted to 15 h during the neurite outgrowth assay in this protocol. In pilot experiments, we examined several different culture time and found that with a minimal extent of neurite outgrowth in control condition (15 h), highly robust neurite outgrowth was achieved with the CM treated with db-cAMP. Mouse DRG neurons, if not preconditioned, do not grow any significant neurites within this time frame. If DRG neurons are cultured longer than 15 h, however, they start to show some degree of neurite outgrowth even in control, not preconditioned condition, which would obscure any effect of the db-cAMP-treated CM on neurite outgrowth. Similar result was reported in the neurite outgrowth assay using rat DRG neurons in a previous study16.
Some previous studies used zymosan, a yeast cell wall preparation, to activate macrophages with a pro-regenerative phenotype7,9. However, the macrophages stimulated by zymosan released not only pro-regenerative molecules but also cytotoxic factors. When the protein components in macrophage CM treated with zymosan were separated by gel-filtration chromatography, macrophage-derived factors ≥ 30 kDa were cytotoxic while factors ≤ 30 kDa promoted axon regeneration7. In addition, zymosan injection to the spinal cord can lead to overt death of neurons and axons9. In comparison, our protocol to generate pro-regenerative macrophages has shown to be more physiologic than the previous one using zymosan. In fact, db-cAMP injection to the DRG neurons enhanced their capacity to growth axons following an injury to the central branch without any report on cellular damages17,18. Throughout a series of our experiments, we have never observed any significant decrease of the DRG neuron density in the culture following application of the db-cAMP-treated CM. We speculate that our protocol allows us to produce solely pro-regenerative macrophages without concurrent neurotoxicity. Therefore, the protocol and experimental model reported here would be useful to identify molecular signatures of pro-regenerative macrophages and to understand by what mechanisms the pro-regenerative phenotype is evolved.
The authors have nothing to disclose.
This protocol is supported by a grant NRF-2015R1A2A1A01003410 from the Ministry of Science, ICT and Future Planning, Republic of Korea.
Cell culture insert transparent PET membrane 0.4μm pore size | Corning,Falcon | 353090 | Transparent PET membrane with 0.4-μm pore size, for 6-well plate |
70-μm nylon cell strainer | Corning, Falcon | 352350 | |
8-well culture slide | Biocoat | 354632 | with a uniform application of Poly-D-Lysine |
Red blood cell lysis buffer | Qiagen | 158904 | |
Collagenase from Clostridium histolyticum | Sigma-Aldrich | C9407-100MG | |
Neurobasal medium | Thermo Fisher Scientific, Gibco | 21103-049 | Containing 1% glutamax and 1% penicilin-streptomycin |
B-27 supplement, serum free | Thermo Fisher Scientific, Gibco | 17504-044 | extracellular solution |
Glutamax | Thermo Fisher Scientific, Gibco | 35050-061 | |
Penicillin-streptomycin | Thermo Fisher Scientific, Gibco | 15140-122 | |
Poly-D-lysine Hydrobromide | Sigma-Aldrich | P6407-5MG | |
Laminin | Thermo Fisher Scientific, Invitrogen | 23017-015 | |
Adenosine 3', 5'-cyclic monophosphate, N6,O2'-dibutyryl-, sodium salt | Merck Millipore Corporation, Calbiochem | 28745 | |
10% Normal Goat Serum | Thermo Fisher Scientific | 16210072 | |
Triton-X-100 | Daejung Chemical and Metal Co | 8566-4405 | |
Anti β III tubulin (Tuj-1) | Promega Corporation | G7121 | Mouse monoclonal antibody |
Goat anti-Mouse IgG (H+L) secondary antibody | Thermo Fisher Scientific, Invitrogen | A11005 | |
Hemacytometer | Marienfeld-Superior | N/A | |
Cell culture CO2 incubator | Panasonic | N/A | |
Dissecting stereomicroscope | Carl Zeiss | Stemi DV4 | |
Twist shaker | FINEPCR | Tw3t | |
Tabletop centrifuge | Sorvall | N/A | |
Confocal microscope | Olympus America Inc | IX71 | |
FBS (Fetal Bovine Serum) | VWR International, Hyclone | SH30919.03 | |
Friedman Pearson Rongeurs | FST (Fine Science Tools) | 16021-14 | Stainless steel, 14cm, curved, single joint action |
Fine Scissors – Tungsten Carbide & ToughCut | FST (Fine Science Tools) | 14558-11 | sharp, serrated |
Dumont #7 Forceps | FST (Fine Science Tools) | 11272-30 | Dumoxel, 0.07 x 0.04mm, curved |
Vannas Spring Scissors | FST (Fine Science Tools) | 15000-00 | straight, 3mm cutting-edge, sharp |
Qualitron DW-41 Micro-Centrifuge | Artisan Technology Group | DW-41 | Input Voltage: 115VAC |