Immunohistochemical analysis of distribution of hepatic gangliosides following a partial hepatectomy and exposure to different hyperbaric oxygen treatments Tina Tičinović Kurir1, Tatijana Zemunik3promjeniti brojeve!, Ivica Grković4, Vedrana Čikeš Čulić2, Nadan Petri5, Anita Markotić2*, 1Department of Pathophysiology, Split University Hospital, Split, Croatia; Departments of 2Biochemistry, 3Biology, and 4Anatomy, Histology, and Embryology, Split University Medical School, Split, Croatia, 5Undersea and Hyperbaric Medicine, Naval Medicine Institute of the Croatian Navy, Split, Croatia; 6Institute for Medical Physics and Biophysics, University of Münster, Germany Short title: Immunohistochemistry of various liver gangliosides in the rat *Corresponding author Anita Markotić Split University School of Medicine Šoltanska 2 21000 Split CROATIA Telephone: 385.21.557938 Telefax: 385.21.557625 E-mail: markotic@bsb.mefst.hr 1 Background/Aims: It has been shown that gangliosides play an important functional role in the liver growth regulation. In this study we performed immunohistochemical analysis of liver gangliosides on weanling rats following a 15% partial hepatectomy and different pre- and post-operative hyperbaric oxygenation treatments. Methods: Frozen sections of liver tissues were analysed with confocal microscopy after staining with five antibodies, specific for gangliosides GM3(Neu5Ac), GM3(Neu5Gc), nLc4Cer, GM2(Neu5Ac), and anti-GalNAc-GM1b, with or without permeabilization. Results: All antibodies were capable of labelling of regenerated hepatocytes, predominantly at the cell surface level. The strongest reactivity was observed for GM3(Neu5Gc), equally in all groups and in all animals. Following a permeabilization with organic solvent the anti GM3(Neu5Ac) antibody displayed different labeling pattern in pre-operative oxygenated animals; the staining was detected in the perinuclear area of hepatocytes. The same group showed the highest expression of nLc4 glycoantigen. GM2 and GalNAc-GM1b gangliosides were clearly detected in permeabilized hepatocytes of pre-operative oxygenated animals while same glycoantigens were weakly labeled in all other groups. Conclusion: Alternation in the expression of gangliosides following a partial hepatectomy suggests that gangliosides play an important in liver growth regulation and may be utilised as markers for the liver recovery after partial hepatectomy. Key words: partial hepatectomy, hyperbaric oxygenation, liver regeneration, gangliosides, immunostaining 2 1. Introduction Gangliosides, sialic acid-containing glycosphingolipids (GSLs), mainly associated with plasma membranes, are of interest because of their suggested involvement in cell surface- regulated phenomena (1). GM3, the most prominent and widely distributed ganglioside in mammalian cells, has been shown to exert a variety of biological activates, being primarily involved in cell adhesion and signal transduction events (2). Recent data point to an important role of GM3 in cell growth regulation (3,4), T cell activation (5), signal transduction (6) and insulin signaling (7). The ganglioside concentration and composition bound to plasma membranes become altered under various physiological (8-10) and pathological conditions (11,12). Liver regeneration is a highly controlled process of proliferation of both parenchymal and nonparenchymal cells (17). It occurs as a response to variety of liver tissue damages, including partial hepatectomy (PH). PH causes mitochondrial oxidative stress (12) and the remnant liver tissue demands an increased amount of oxygen for mitochondrial oxidative phosphorylation (13). During rat liver regeneration following a partial hepatectomy removing about 70% of the liver tissue, the ganglioside content and distribution has been reported to undergo significant changes (15,16). Resections of less than 40% of tissue in adult animals elicit little DNA synthesis, suggesting that the functional deficit produced by removal of a relatively small amount of tissue is not sufficient to trigger significant regeneration (17). In contrast to adult rats, this threshold is not apparent in weanling animals, in which the proportionality between the amount of tissue removed and the level of DNA synthesis is maintained even in small resections (17). 3 Hyperbaric oxygenation (HBO) protects hepatocytes against carbon tetrachloride–induced injury (18) and improves regeneration of the remnant liver tissue following the portal vein embolization (19). Recently, we described beneficial effects of HBO treatment in experiments applying different protocols of HBO pretreatment on animals receiving a minimal (15%) hepatectomy (20). Using the same animal experimental model, we also performed detailed structural characterization of major GM3(Neu5Ac) and GM3(Neu5Gc) as well as of less abundant neolacto-series gangliosides of rat liver 54 h after PH. This was achived by using nano electrospray ionization quadropole timeof-flight (ESI-QTOF) mass spectrometry in combination with high-performance thinlayer chromatography (HPTLC) immunostaining (22). Minor GM2, GM1- and GM1btype gangliosides were identified by immunostaining using a panel of GSL-specific antibodies (21). In view of the above, the aim of the present study was to use immunohistochemical methods to detect changes of ganglioside expression on hepatocytes of animals expossed to different oxygen treatments (pre- and postoperative hyperbaric oxygen pressure) following a partial hepatectomy. 2. Materials and methods 2.1. Antibodies The polyclonal chicken anti-GM3(Neu5Ac), anti-GM3(Neu5Gc), and antinLc4Cer antibodies have been characterized in previous papers (22,23). The antinLc4Cer antibody recognizes the Galβ1-4GlcNAc-residue and thus reacts with 4 nLc6Cer and nLc8Cer as well. The polyclonal chicken anti-GM2(Neu5Ac) antibody was produced according to the method of Kasai et al. (24). The specificity of the chicken polyclonal anti-GalNAc-GM1b antibody has been reported earlier (25). 2.2. Rats Experiments were performed on one-month-old male Wistar rats weighing between 70 and 100 g. All rats were raised under controlled conditions (temperature, 221oC; light schedule: 14 hours of light and 10 hours of dark) at the Split University Medical School Animal Facility. Laboratory food and tap water were supplied ad libitum. Animals were bred and maintained according to the Guide for Care and Use of Laboratory Animals (Institute of Laboratory Animals Resources, Commission on Life Sciences, National Research Council, 1996) and the experimental protocol has been approved by the Split University Medical School Ethics Committee. 2.3. Partial hepatectomy Three unoperated animals which were not exposed to the hyperbaric oxygenation (HBO) treatment served as the control group. Nine rats underwent the left middle lobectomy, which resulted with a removal of around 15 % of the liver tissue. This quick operative procedure was performed under diethylether anesthesia and caused a minimal distress to animals. Operated animals were divided into three experimental groups (each containing 3 animals). First group recovered under the normal ambient conditions of oxygen pressure following the operation (defined as nonHBO group). The second group included 3 animals pretreated with hyperbaric oxygen before the operation, after which they recovered under the normal ambient 5 conditions (preHBO group). The third group included animals which received the hyperbaric oxygen after the operation (postHBO group). The preHBO group was treated at day 2 (48 h), day 1 (26 h), and day 0 (4 h) before PH with HBO (100% O 2, 45 min/day at 2 atm). The postHBO group was treated at day 0 (4 h), day 1 (26 h), and day 2 (48 h) after PH with HBO (100% O2, 45 min/day at 2 atm). The pressure of 2 atm (=202650 Pa) was selected as the HBO regimen because this pressure is within the safety range of HBO protocols in humans (19). The HBO-exposure took place in a Comex hyperbaric chamber (Comex, Marseilles, France). The oxygen and carbon dioxide concentrations in the chamber during HBO-exposure were controlled by a Servomex Oxygen Analyzer 570A (Servomex, Houston, TX, USA) and by a Carbon dioxide Gas Analyzer Infrared (Industries Inc., Santa Barbara, CA, USA). All animals were sacrificed exactly 54h following the operation. 2.4. Sampling For the tissue collection all animals were re-anaesthetised as described above and perfused transcardiacally with heparinised saline (1000 U/L) followed by 300 ml of Zamboni’s fixative (2% paraformaldehyde and 15% picric acid in 0.01 M phosphate buffered saline (PBS) at pH 7.4. Livers of all animals were removed and postfixed in the same fixative for 2-5 hours at 4, then transferred to 0.01M PBS. Following an overnight cryoprotection in 20% sucrose, livers were sectioned using a cryotome (Shandon AS620SME). Liver sections (8 µm thick) from each animal were stained with four different polyclonal chicken primary antibodies [GM3(Neu5Ac), GM3(Neu5Gc), nLc4Cer, GM2(Neu5Ac), and GalNAc-GM1], diluted with 0.1 M PBS supplemented with 0,5% BSA and 0.02% NaN3 for 24 hours. Nonspecific antibody 6 binding was blocked by pre-incubating the sections with 1% bovine serum albumin (BSA) in 0.1 M PBS, pH 7.4, for 1 hour. Primary antisera were visualised with a species-specific secondary antibody, affinitypurified donkey anti-chicken IgY (IgG)(cat. no. 703-095-155, Jackson ImmunoResearch Laboratories, Inc., West Grove, Pennsylvania, USA) coupled with Texas-Red diluted 1:150 with PBS. Tissues were examined on a fluorescent microscope (Olympus BX 51) fitted a confocal device (UltraView by PerkinElmer, England) and filters that allowed visualization of Texas Red. A Spot Insight QE cooled, charged-coupled device camera (Vision Systems, GmbH) and Spot Advanced for Windows imaging software (Vision Systems, GmbH) were used to record images. To enable antibody to enter within the cell a separate group of section were pretreated with methanol and then with chloroform/methanol (1:1, v/v), each for 10 min, before the immunostaining (26). After organic solvent treatment, sections were air-dried and stained according to the same protocol as described for non-extracted sections. A number of control experiments were performed where the primary antibody was omitted from the diluent mixture, and secondary antibodies were applied as normal. This resulted in no staining of neither the cell membranes nor nuclei. 2.6. Data analysis Antibody staining was evaluated under a confocal microscope and staining was graded as – for no staining, + for a weak positive staining which included a part of the membrane, ++ for a moderate staining detected on more than half of the membrane 7 perimeter , +++ for strong staining which included the whole hepatocyte membrane, and ++++ for very intense staining over the entire membrane perimeter. 3. Results This study presents a comparison of distribution patterns for various gangliosides and related glycoconjugates in rat livers on a ‘partial hepatectomy model’ combined with oxygen pressure treatments Immunohistochemical detection of both five pre- antibodies and post-operatively. specific for gangliosides GM3(Neu5Ac), GM3(Neu5Gc), nLc4Cer, GM2(Neu5Ac), and GalNAc-GM1b, with (A) or without organic solvent pretreatment (B) were compared and representative areas of immunoreactivity are presented on five plates. When detectabele, the strongest immunolabeling was always confined to the surface of hepatocites and displayed typical membrane-bound reactivity, which can clearly be seen on large magnification images (all figures). Using criteria described above, the comparative semiquantitative ‘density score’ was produced for every section analysed by means of screening the whole section (see table 2) and a representative area was captured using constant confocal microscopy settings (figures 1-5). Of all five antibodies analyzed, the GM3(Neu5Gc) displayed strongest immunoreactivity (four +) regardless of the experimental protocol (figure 2). In addition, methanol and chloroform/methanol pretreatment did not appear to have any effect on the intensity of the staining. 8 Contrary to the above finding, both Anti-GM2(Neu5Ac) and Anti-nLc4Cer antibody displayed weak to moderate immunoreactivity with slightly increased signal following the methanol and chloroform/methanol pretreatment. The It is also worth noticing that the immunoreactivity was stronger in preHBO then in postHBO groups for these two antibodies. Anti GM3(Neu5Ac) antibody displayed strong reactivity in the preHBO and nonHBO animals with weak binding detected within the perinuclear space following permeabilization with organic solvents in all livers except for the preHBO liver where the staining was of the same intensity regardless of the organic solvent pretreatment (Fig.1B). Finally, the Anti-GalNAc-GM1b weakly labeled the HBO liver tissue and more intense the pre HBO liver (Fig.5A). Strong reactivity was seen in the hepatocytes of all groups after lipid extraction (Fig.5B). 4. Discussion Significant changes in the ganglioside content and distribution during rat liver regeneration after PH have been reported (15,16). Recently, we have described the altered expression of predominant GM3 and less abundant neolacto-series, GM1and GM1b-type gangliosides in the liver of rats, under various experimental models related to the oxygen pressure before or after PH (21). The enhanced expression of the major gangliosides GM3(Neu5Ac) and GM3(Neu5Gc) in preHBO correlated with the significant increase in the starting process of the liver mass restitution (determined as liver weight/body weight ratio) in the preHBO treated rats (20). Animals in this group did not display signs of liver dysfunction and this was evaluated by alanine transaminase and aspartate transaminase activities (Table 1). Liver lipid 9 peroxides concentration was the lowest in the preHBO group and the light microscopy findings revealed that the lobules composition of preHBO group tissues was similar if not the same as in control tissues 20. The aim of this study was to use the immunohistochemical approach to detect patterns of expression of hepatic gangliosides from the weanling rats that underwent the same oxygen treatment protocols following PH, as we described earlier (20,21). Observations of permeabilized cells revealed an intracellular staining of GM3(Neu5Ac) molecules in preHBO treated rats. Charlene et al. postulated that newly synthesized GM3, in both resting and activated cells, can be associated with the Golgi apparatus (27). Synthesis of the simplest ganglioside GM3 is the first committed step in the formation of gangliosides. Analysis of the sub-Golgi distribution of GM3 synthase activity by biochemical fractionation has indicated that the enzyme is enriched in the cis-compartment (28,29,30). Reported differences in sub-Golgi localization (31) of GM3 synthese activity may reflect Golgi organization that is specific to cell-type or cell maturity and may also be complicated by methodological consideration. Confocal immunohistochemical localization, used in this study, provided an alternate approach that allows assessment of glycoantigen distribution, located in its normal tissue environment. Intense anti-GM3(Neu5Ac) staining around hepatocyte nuclei in preHBO treated rats corresponds to recent observations by Giraudo et al (33). Using multiple color fluorescence imaging techniques in CHO-K1 cells they found GM3 synthase located in early compartments of the secretory pathway, including ER membranes. The outer nuclear membrane is continuous with the endoplasmic reticulum (34). Although glycosphingolipid synthesis is generally regarded as confined to the Golgi apparatus and ER, the fact that cytidine 5'monophosphate N-acetylneuraminic acid synthetase has been purified from rat liver 10 nuclei (35) suggests that the nucleus may have some capacity of this kind as well. Keeping in mind that GM3 precursors ceramide and sphingosine accumulated in nuclei may induce the apoptosis of hepatocytes in vivo, enhanced GM3 expression around the nuclei could have important implications. Namely, if GM3 molecules are more intensively expressed, their precursors ceramide and sphingosine would be present in a smaller amount. Therefore, the apoptosis during liver regeneration would be less intense, resulting in more rapid liver regeneration (36). Furthermore, sphingomyelin shares ceramide and sphingosine precursor with GM3 ganglioside. Increased amount of GM3 could mean deceased amount of sphingomyelin. Degradation of sphingomyelin induces a decrease of cholesterol in nuclear membrane of rat hepatocytes after partial hepatectomy (35). Changes in cholesterol content modify the nuclear membranes fluidity and, as consequence, mRNA transport and cell function (35). Strong reactivity was observed for GM3(Neu5Gc), without the difference in intesity between the groups examined, but with difference in GM3(Neu5Gc) distribution in liver tissue. Confocal observations of permeabilized cells of preHBO group revealed GM3(Neu5Gc) staining that form a ring, roughly concentric with the central vein (Figure 2B, panel preHBO). GM3 is known as a marker of glycosphingolipid enriched microdomains or lipid rafts (5). T-cell activation leads to the redistribution and clustering of membrane as well as of intracellular kinase-rich raft microdomains with GM3 being a component of a multimolecular signaling (5). Recently, sphingolipid-enriched microdomains were described in the hepatocyte membrane (37,38). Therefore, thick layers stained with anti-GM3(Neu5Gc) in permeabilized hepatocytes of preHBO rats could represent redistributed and clustered lipid rafts. In contrast to anti-GM3(Neu5Ac), anti-GM3(Neu5Gc) staining 11 did not label the area around hepatocyte nuclei. Some reports suggested that NeuGc was produced from NeuAc through enzymatic hydroxylation of the N-acetyl residue of free NeuAc, CMP-NeuAc, or glycoconjugate-linked NeuAc (39,40). Kawano et. al have purified CMP-NeuAc hydroxylase from the cytosolic fraction of mouse liver and demonstrated that the enzyme is highly specific to CMP-NeuAc and does not use free NeuAc or NeuAc-containing GM3 as a substrate (41). We could speculate that GM3(Neu5Gc) was absent from the area around hepatocyte nuclei, due to potentional shortage of availability of CMP-NeuAc hydroxylase around nuclei. Significant enhance in the gangiosode nLc4Cer expression was found in pre HBO liver rat after the lipid extraction compared to other groups. A number of studies using mouse embryo cells, brain cells and lymphocytes have provided evidence that cell surface glycoconjugates containing neolacto-series carbohydrate chains are involved in intercellular adhesion as well as cell-matrix interactions (42,43,44). Sulfoglucuronylneolactoglycolipids, which are specifically expressed in the mammalian nervous system, are known to bind to laminin and mediate cell-matrix interactions (45). Also, the levels of three neolacto-GSLs, nLc4, nLc6 and nLc8 are elevated during corneal epithelial cell migration and wound healing (46). The most intense staining with anti-nLc4Cer, which was found in preHBO group, after permeabilization, could indicate that preHBO treatment stimulated hepatocytes migration following injury. Extracellular signals that mediate regenerative process of the liver tissue following PH act initially at the plasma membrane level, where binding of receptors to endocrine and paracrine agents and to elements of the extracellular matrix, transport of nutritiens, and interactions with neighboring cells occur. Since liver regeneration appears to involve a large number of hormone-receptor systems and cellular 12 changes (i.e., oncogene expression, TGF- expression), modulation of the ganglioside content of hepatocyte plasma membrane could provide means for upregulating cellular responsiveness to a variety of factors. Pre-operative HBO treatment led to enhanced expression of gangliosides. Thus, the pre-operative HBO treatment is the procedure of choice for managing some clinical settings where ischemic-reperfusion injury and energy depletion occur, such as liver transplantation and hepatic resectional surgery. Possible functional roles of gangliosides in the regulation of liver growth and reconstitution after PH open the ability to influence liver regeneration on the level of the ganglioside metabolism. Acknowledgements Data shown resulted in the framework of the project no. 0216013 (A. Markotić) sponsored by the Ministry of Science, Education and Sports, Republic of Croatia. ZAHVALA JOHANNESU! Abbreviations Neu5Ac, N-acetylneuraminic acid; Neu5Gc, N-glycolylneuraminic acid; GSLs, glycosphingolipids; HBO, hyperbaric oxigenation; PH, partial hepatectomy; ESIQTOF, electrospray ionisation quadropole time-of-flight; HPTLC, high-performance thin-layer chromatography; FTC, fluoresceinisothiocyanat; PBS, phosphate buffered saline; BSA, bovine serum albumin, TGF, tumour growth factor . The designation of the GSLs follows the IUPAC-IUB recommendations (47) and the nomenclature of Svennerholm (48). Lactosylceramide 13 or LacCer, Galß1-4Glcß1-1Cer; gangliotriaosylceramide gangliotetraosylceramide or or Gg3Cer, Gg4Cer, GalNAcß1-4Galß1-4Glcß1-1Cer; Galß1-3GalNAcß1-4Galß1-4Glcß1-1Cer; neolactotetraosylceramide or nLc4Cer or nLc4, Galß1-4GlcNAcß1-3Galß1-4Glcß11Cer; neolactohexaosylceramide or nLc6Cer or nLc6, Galß1-4GlcNAcß1-3Galß14GlcNAcß1-3Galß1-4Glcß1-1Cer; GM3, II3Neu5Ac-LacCer; GM2, II3Neu5Ac- Gg3Cer; GM1, II3Neu5Ac-Gg4Cer; GM1b, IV3Neu5Ac-Gg4Cer; GalNAc-GM1b, IV3Neu5Ac-Gg5Cer; References (1) Hakomori S, Igarashi Y. Gangliosides and glycosphingolipids as modulators of cell growth, adhesion and transmembrane signaling. Adv Lipid Res 1993;25: 147-162. (2) Hakomori SI. Cell adhesion/recognition and signal transduction through glycosphingolipid microdomain. Glycoconjugate J 2000;17: 143-151. (3) Wang XQ, Sun P, Paller AS. Ganglioside GM3 blocks the activation of epidermal growth factor receptor induced by integrin at specific tyrosine sites. J Biol Chem 2003;278: 48770-48778. 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Variable / No.a 1. controld 2. nonHBOe 3. preHBOf Total wet weightb (g) 44.43 Liver wet weight/body weightc 0.0697 ± (g/g) 0.0013 4. postHBOg 38.54 41.05 39.67 0.0517 ± 0.0016 0.0618 ± 0.0084 0.056 ± 0.0014 Lipid peroxides (nM/g MDA)h 110.1±4.3 318.1 ± 24.6 119.7 ± 4.9 288.3 ± 12.4 Albumin plasma level (g/l)h 40.4±0.3 33.5 ± 0.7 20.0 ± 2.4 25.3 ± 0.4 ALT activity (U/l)h 23.3 ± 4.2 53.3 ± 4.4 30.3 ± 5.1 67.8 ± 9.6 AST activity (U/l)h 43.3 ± 5.4 137.5 ± 6.3 101.1 ±12.1 218.4 ± 40.6 a numbering of ganglioside fractions from differently treated rats b total wet weights of livers obtained from 10 male rats c ratio of the wet weight of the remnant liver lobes to the body weight calculated from excised livers after partial hepatectomy and 54 hours recovery under different oxygen conditions; p<0.05 vs control assessed by Kruskal-Wallis test followed by Dunn’s test d non-operated and non-oxygenated rats e partially hepatectomized and recovered under normal ambient conditions f treated with oxygen before operation and recovered under normal ambient conditions g treated with oxygen after operation and recovered under hyperbaric oxygen conditions haccording to Kurir et al. (2004); MDA: malonyldialdehyde, ALT: alanine transaminase, AST: aspartate transaminase 21 Table 2. Immunohistochemical analysis of rat hepatic gangliosides. Control nonHBO Antibody preHBO postHBO Chloroform/methanol extraction No Yes No Yes No Yes No Yes Anti-GM3(Neu5Ac) - + +++ + +++ +++ ++ + Anti-GM3(Neu5Gc) ++++ ++++ ++++ ++++ ++++ ++++ ++++ ++++ Anti-nLc4Cer ++ ++ + ++ + +++ + + Anti-GM2(Neu5Ac) + + - + + + - + Anti-GalNAc-GM1b - +++ + +++ ++ +++ - +++ -, no staining; +, weak positiv staining; ++, moderate intesitivity staining; +++, strong staining; ++++, very strong staining 22 Figure 1 Immunofluorescence analysis of liver ganglioside GM3(Neu5Ac) without (A) and with pretreatment with organic solvents (B) from different treated rats after partial hepatectomy. Anti GM3 (Neu5Ac) antibody strongly stained the pre HBO and non HBO liver (A), with weak binding was presented at the intracellular space after lipid extraction in all livers except for the pre HBO liver where the staining was more intense (B). Figure 2 Immunofluorescence analysis of liver ganglioside GM3(Neu5Gc) before (A) and after pretreatment with organic solvents (B) from different treated rats after partial hepatectomy. In all livers analysed very strong binding of GM3 (Neu5Gc) was localized at the cell surface (A), the most prominent staining around blood vassels. Lipid extraction did not affect staining in all livers (B). Figure 3 Immunofluorescence analysis of liver ganglioside nLc4Cer before (A) and after pretreatment with organic solvents (B) from different treated rats after partial hepatectomy. Anti nLc4Cer antibody weakly stained the hepatocytes in all groups (A). The same positivity was visibled after pretreatment with organic solvents, most intesity was present in pre HBO liver (B). Figure 4 Immunofluorescence analysis of liver ganglioside GM2 before (A) and after pretreatment with organic solvents (B) from different treated rats after partial hepatectomy. Weak staining with anti GM2 antibody was present only in the control 23 at pre HBO liver (A), after chloroform/methanol pretreatment weak labeling was found in all livers. Figure 5 Immunofluorescence analysis of liver ganglioside GalNAc-GM1b before (A) and after pretreatment with organic solvents (B) from different treated rats after partial hepatectomy. Anti- GalNAc-GM1b weakly labeled in the nonHBO and more intesive in the pre HBO liver. Strong reactivity was seen in the hepatocytes of all groups after lipid extraction(B). 24