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Full-length version of this article is also available, published online April 6, 2001 as doi:10.1096/fj.00-0709fje.
Published as doi: 10.1096/fj.00-0709fje.
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(The FASEB Journal. 2001;15:1410-1412.)
© 2001 FASEB

The complement system is an integrated part of the natural innate immune response in the brain 1

SYLVAIN NADEAU and SERGE RIVEST2

Laboratory of Molecular Endocrinology, CHUL Research Center and Department of Anatomy and Physiology, Laval University, Québec, Canada G1V 4G2

2Correspondence: Laboratory of Molecular Endocrinology, CHUL Research Center and Department of Anatomy and Physiology, Laval University, 2705, boul. Laurier, Québec, Canada G1V 4G2. E-mail: Serge.Rivest{at}crchul.ulaval.ca

SPECIFIC AIM

The complement system consists of a group of proteins that play essential roles in coordinating the host defense to infection. It can be activated by two primary pathways: the classical and alternative. The aim of this study was to determine the cellular distribution and the regulation of the genes encoding the proteins that are essential in guiding these pathways in the central nervous system (CNS) during innate immune recognition in mice.

PRINCIPAL FINDINGS

1. Constitutive expression of key members of the complement proteins in the CNS
The results show a low to moderate C3 mRNA signal in few non-neuronal structures under basal conditions that include the epithelial lamina of the choroid plexus (chp), localized ependymal cells lining the third ventricle, and the meninges of the ventral medulla. In contrast, a robust C5 mRNA hybridization signal was found in numerous populations of neuronal and non-neuronal cells, although expression of the anaphylatoxin C5a receptor (C5aR) was low in the brain of vehicle-administered mice. There was no constitutive expression of the factor B and C3aR transcript in any regions of the mouse brain.

2. Time-related induction in organs devoid of blood–brain barrier (BBB)
The constitutive expression of C5 mRNA remained unaltered during endotoxemia, whereas a strong and transient de novo expression of the other members of the complement protein family was found in the brain of mice that received a single systemic bolus of lipopolysaccharide (LPS). Indeed, transcriptional activation C3 and factor B genes occurred in the chp, the cerebral ependyma (C3 only), leptomeninges and the circumventricular organs (CVOs), vascular organ of the lamina terminalis, subfornical organ, median eminence, and the area postrema (AP). The hybridization signal increased 3 h after the injection, reached a maximal level from 6 to 12 h, and vanished slowly to return to basal conditions 72 h after the single LPS bolus.

3. Migratory-like pattern of LPS-induced C3aR gene expression
The results show no constitutive expression of the C3aR transcript in any region of the mouse brain, but circulating LPS caused an exquisite wave of C3aR-expressing cells from the leaky regions to deeper parenchymal tissues. A positive signal was first detected along the meninges, chp, and all the CVOs. These regions exhibited a positive signal 3 h after the intraperitoneal (i.p.) LPS injection; the intensity gradually increased to spread over the boundary of the CVOs, meninges, and the walls of the ventricles 3 h later. Examples are depicted in Fig. 1 , which shows C3aR-positive cells within the core of the AP 3 h after a single i.p. LPS bolus (Fig. 1B ). Three hours later, the number of C3aR-expressing cells increased to a maximum level within the organ (Fig. 1C ). At that time, the C3aR hybridization signal became visible along the AP boundary at the edge of the nucleus of the solitary tract and gradually spread over the parenchymal brain from 6 to 24 h post-LPS treatment (Fig. 1C , D , E ). Positive C3aR-expressing cells were found across the entire brain parenchyma 24 h after the injection, and the cerebral tissue returned to basal levels 2 days later. Such migratory-like induction of C3aR was also noted from all the other CVOs, the leptomeninges covering the isocortex, and the ependymal lining wall of the cerebroventricular system of endotoxin-challenged animals.



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Figure 1. Migratory-like expression pattern of the C3a receptor (C3aR) from the circumventricular organs to the brain parenchyma during endotoxemia. The antisense probe failed to detect basal C3aR mRNA levels in the mouse brain (A), but a localized hybridization signal was found in the area postrema (AP) 3 h after the single i.p. LPS bolus (B). The message increased and spread over the AP boundary 3 h later (C) and reached deeper parenchymal regions 12 h after endotoxin treatment (D). Small, scattered positive cells were found across the brain parenchyma 24 h after the systemic LPS treatment (E). Magnification: left panels, x10; right panels, x25.

4. Wave of C5aR-expressing cells from the cerebral capillaries to the brain parenchyma
An interesting spreading effect of C5aR-expressing cells was observed from the capillaries to their surrounding parenchymal regions. Indeed, circulating LPS-sCD14 complex had the ability to target the endothelial cells of the BBB and increased the expression of the anaphylatoxin receptor C5aR. Few blood vessels became positive for the C5aR transcript 1 h after the LPS injection (Fig. 2B ), whereas numerous microglial cells exhibited positive and robust signal in the tissue adjacent to the capillary at 3 h (Fig. 2C ). The signal spread across the entire brain parenchyma 6 h after the i.p. LPS bolus (Fig. 2D ) and gradually returned to basal levels at 48 h.



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Figure 2. Time-related expression of C5aR mRNA from the cerebral capillaries to the brain parenchyma during endotoxemia. These dark-field photomicrographs of nuclear emulsion-dipped sections depict a low positive signal in few blood vessels of vehicle-treated mice (A). The signal increased but remained localized within the cells of the blood–brain barrier 1 h after i.p. lipopolysaccharide treatment (B), whereas C5aR-expressing cells were found adjacent to the capillaries 3 h after LPS insult (C). Although the signal declined in cells lining the endothelium of the brain capillaries, it spread across the brain parenchyma 6 h after the single i.p. endotoxin bolus (D). Magnification: left panels, x10; right panels, x25.

CONCLUSION

These data provide the evidence of a time-related regulation of different components of the complement system in the CNS and support the existence of an elegant innate immune response that takes place within specific populations of cells in the cerebral tissue during blood endotoxemia. The C3 and C5 are two major complement transcripts that are expressed in the CNS under basal conditions, although their patterns of expression were very different. Indeed, the mRNA encoding C3 was found in limited non-neuronal structures, whereas C5 mRNA was widely distributed across the brain parenchyma in both neuronal and non-neuronal elements. Such strong hybridization signal remained unchanged in response to circulating LPS, which differed from the gene encoding the C5aR that was up-regulated in the brain of LPS-challenged mice. A single bolus of endotoxin also caused a profound transcriptional activation of C3, C3aR, and factor B in numerous non-neuronal structures; the induction wave supported the concept of an integrated response of the complement system during endotoxemia. These genes are under a sophisticated transcriptional process in endothelial and myeloid-derived cells, because all induced transcripts returned to basal levels after the insult. The alternative pathway therefore exists in the brain, and this highly organized innate immune response may be essential for eliminating pathogens and orchestrating the inflammatory response to prevent the neuronal damage and restore the body homeostasis during systemic bacterial infection. Such systemic infection is censored by a group of supporting cells in regions devoid of BBB and the cerebral microvasculature in order to engage a time-related innate immune reaction necessary for preventing the neuronal damage, although it may have detrimental consequences when exaggerated.

As illustrated in Fig. 3 , the CVOs represent a route of entry for pathogens in the CNS, and C3 may tag the pathogen surface to increase the phagocytic activity of the resident macrophages and microglia. The C3b (C3b-tagged pathogen) would then promote the phagocytosis of the foreign pathogen by the binding of C3b to its receptor, CR1 (CD35), expressed mainly on the surface of leukocytes. De novo induction of the C3aR in the CNS may also be part of the mechanisms that control the proinflammatory events to prepare specific populations of cells to act immediately in the case of pathogen invasion into the brain parenchyma via damaged or altered blood vessels (see Fig. 3 ). The integrity and physical characteristics of the BBB are compromised during severe endotoxemia, allowing diffusion of molecules that normally have no access to the cerebral tissue and can be detrimental to the neuronal elements. Increasing phagocytic activity of the CVO macrophages/microglia and adjacent regions by the binding of a C3a fragment to its receptor, which are both up-regulated in response to circulating LPS, may be essential to prevent pathogen-induced neuronal damage.



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Figure 3. Schematic and hypothetical representation of the role of the complement system (the alternative pathway) in the central nervous system in the elimination of pathogens to prevent potential detrimental consequences on the neuronal material during severe endotoxemia caused by infection with gram-negative bacteria. See Conclusion for details.

Complement factor B is a serine protease that plays a pivotal role in the alternative pathway in the formation of the C3 convertase. As for the C3aR, the mRNA encoding factor B was detectable only after a systemic LPS challenge in different non-neuronal structures, namely, the meninges, CVOs, chp, and along the endothelium of the brain capillaries. The formation of C3 convertase at the surface of C3b-tagged invading pathogens may then be possible by the presence of factor B in the regions devoid of BBB (see Fig. 3 ). Of particular interest is the presence of the mRNAs encoding the factor B and C5aR within scattered blood vessels that may either be more susceptible to the infection and circulating pathogens or be the primary sentinels and gatekeepers for the cerebral innate immune recognition. It is also possible that uncontrolled expression of these molecules changes the BBB properties featuring pathologies such as endotoxemia and cerebral bacterial infections. Alteration of the BBB during severe endotoxemia would open the way for immunological substances that have to be recognized and processed. Activation of the microglial cells across the CNS may rapidly eliminate this foreign material, although sustained activity of these cells is not suitable.

There is accumulating evidence that chronic microglial reactivity is associated with neurodegenerative disorders. A better understanding of this innate immune response in the cerebral tissue may therefore lead us to the fundamental mechanisms underlying how the brain is capable of mounting inflammatory responses that either protect or contribute to damage neurons. The cerebral innate immunity is likely to be an essential player in the etiology of inflammatory CNS disorders resulting from infection as well as those assumed to have an immune etiology, such as multiple sclerosis. Since we are at the embryonic stage of the complement system in the brain, we speculate here that future studies will unravel unexpected findings supporting the concept that it directs and adapts the bilateral talk between the cerebral endothelium and microglia.

FOOTNOTES

1 To read the full text of this article, go to http://www.fasebj.org/cgi/doi/10.1096/fj.00-0709fje ; to cite this article, use FASEB J. (April 6, 2001) 10.1096/fj.00-0709fje





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