Utility of a Fluorescence Microscopy Imaging System for Analyzing the DNA Ploidy of Pathological Megakaryocytes Including 5q- Syndrome

To investigate megakaryocyte (MK) DNA ploidy in various hematological diseases, fluorescence microscopy imaging system (FMI) can be used to analyze DNA ploidy with cell morphology at the single-cell level by using specialized image-processing software. Here we compared DNA ploidy obtained by FMI measured with that obtained flow cytometry (FCM). With FMI, we could evaluate the DNA ploidy in long-term preserved bone marrow smear samples after staining. We next analyzed the MK DNA ploidy in 42 bone marrow smear samples including 26 myeloid neoplasm cases, and we compared the DNA ploidy and platelet counts in the patients' peripheral blood; the production of platelets was significantly high compared to DNA ploidy in the myeloproliferative neoplasms group. The FMI method revealed that the patients with 5q- syndrome exhibited relatively low DNA ploidy despite high platelet counts, and this result suggested that increased DNA ploidy is not indispensable to abundant platelet production. The FMI method for DNA ploidy will be a useful tool to clarify the relationship between DNA ploidy and platelet production by MKs

Analysis of Hereditary Elliptocytosis with Decreased Binding of Eosin-5-maleimide to Red Blood Cells

Flow cytometric test for analyzing the eosin-5-maleimide (EMA) binding to red blood cells has been believed to be a specific method for diagnosing hereditary spherocytosis (HS). However, it has been reported that diseases other than HS, such as hereditary pyropoikilocytosis (HPP) and Southeast Asian ovalocytosis (SAO), which are forms in the category of hereditary elliptocytosis (HE), show decreased EMA binding to red blood cells. We analyzed EMA binding to red blood cells in 101 healthy control subjects and 42 HS patients and obtained a mean channel fluorescence (MCF) cut-off value of 36.4 (sensitivity 0.97, specificity 0.95). Using this method, we also analyzed 12 HE patients. Among them, four HE patients showed the MCF at or below the cut-off value. It indicates that some HE patients have decreased EMA binding to red blood cells. Two of these four HE patients were classified as common HE, and two were spherocytic HE with reduced spectrin. This study demonstrates that, in addition to patients with HPP or SAO, some HE patients have decreased EMA binding to red blood cells

Rab27a is essential for the formation of neutrophil extracellular traps (NETs) in neutrophil-like differentiated HL60 cells.

Neutrophils play a crucial role in host defence. In response to a variety of inflammatory stimulation, they form neutrophil extracellular traps (NETs). NETs are extracellular structures composed of chromatin fibers decorated with antimicrobial proteins and developing studies indicate that NETs contribute to extracellular microbial killing. While the intracellular signaling pathways that regulate NET formation remain largely unknown, there is growing evidence that generation of reactive oxygen species (ROS) is a key event for NET formation. The Rab family small GTPase Rab27a is an important component of the secretory machinery of azurophilic granules in neutrophils. However, the precise mechanism of NET formation and whether or not Rab27a contributes to this process are unknown. Using neutrophil-like differentiated HL60 cells, we show here that Rab27a plays an essential role in both phorbol myristate acetate (PMA)- and Candida albicans-induced NET formation by regulating ROS production. Rab27a-knockdown inhibited ROS-positive phagosome formation during complement-mediated phagocytosis. To investigate the role of Rab27a in neutrophil function in detail, both primary human neutrophils and neutrophil-like differentiated HL60 cells were treated with PMA, and NET formation process was assessed by measurement of release of histone H3 into the medium, citrullination of the arginine in position 3 of histone H4 and chase of the nuclear change of the living cells in the co-existence of both cell-permeable and -impermeable nuclear indicators. PMA-induced NET formation occured sequentially in both neutrophil-like differentiated HL60 cells and primary neutrophils, and Rab27a-knockdown clearly inhibited NET formation in association with reduced ROS production. We also found that serum-treated Candida albicans triggers NET formation in a ROS-dependent manner, and that Rab27a-knockdown inhibits this process as well. Our findings demonstrate that Rab27a plays an important role in NET formation induced by both Candida albicans infection and PMA treatment by regulating ROS production

Decreased production of highly reactive oxygen species production induced by complement-mediated phagocytosis in Rab27a-knockdown cells.

<p>(A–D) Both Rab27a-knockdown HL60 cells (Rab27aKD; clone 1 and clone 2) and control-shRNA transferred HL60 cells (Control; clone 1 and clone 2) were treated with ATRA for 3 days and complement-mediated phagocytosis assay was performed using serum-opsonized Texas Red-labeled zymosan. (A) At 30 min after the onset of phagocytosis, uptake of zymosan particles in Rab27a-knockdown cells was analyzed by flow cytometry. In the presence of APF, (B) microscopic analysis and (C) flow cytometric analysis were performed at 30 min after the onset of phagocytosis. In (B) and the cytograms of (C), the results of Rab27aKD clone 1 and Control clone 1 are shown as representative data. In (B), hypochlorite appears green and Texas Red-labeled zymosan is red. Scale bars indicate 5 µm. (D) In the presence of HPF, flow cytometric analysis was performed at 30 min after the onset of phagocytosis. In (A), (C), (D), the data are the mean with SD from three independent experiments. Asterisks (*) mean that the difference is statistically significant (p values<0.01). NS means no statistical significance.</p

The effects of Rab27a-knockdown on PMA-induced NET formation.

<p>(A–C) Neutrophil-like differentiated control HL60 cells (Control; clone 1 and clone 2) and Rab27a-knockdown cells (Rab27aKD; clone 1 and clone 2) were stimulated with PMA. (A) Both cells fixed with PFA were stained with Hoechst 33342 (left). Cell lysates were assesed by immunoblotting analysis using specific antibody against H4cit3 and histone H4 (middle). PFA-fixed cells were stained with antibody against H4cit3 in the presence of Hoechst 33342 (right). Scale bars indicate 10 µm. (B) Representative fluorescence images at 4 hours after PMA treatment in the presence of both Hoechst 33342 and Sytox Green. Scale bars indicate 10 µm. Blue and green colors show Hoechst 33342-positive and Sytox Green-positive, respectively (left). The results of Rab27aKD clone 1 and Control clone 1 are shown as representative data. Frequency of Sytox Green-positive cells at indicated time points after PMA treatment (middle). The percentage of the cells in the individual stages at 4 h after PMA treatment (right). (C) The mean fluorescence intensity (MFI) after PMA treatment in the presence of APF at 30 min (left) or CM-H₂DCFDA at 20min (right). The mean value of MFI of control cells was adjusted to 1. In (B) and (C), the data are the mean with SD from three independent experiments.</p

NET formation induced by complement-mediated phagocytosis against the invasion of <i>C. albicans</i>.

<p>(A) Serum-treated or non-treated <i>C. albicans</i> were added to neutrophil-like differentiated HL60 cells (the ratio of <i>C. albicans</i> to cell; 5∶1) in the presence of Sytox Green for 3 h at 37°C. Left panel shows representative fluorescence images and right panel shows frequency of Sytox green-positeve cells. Green shows Sytox Green staining. (B) Serum-treated <i>C. albicans</i> were added to neutrophil-like differentiated control cells and Rab27a-knockdown cells in the presence of both Hoechst 33342 and Sytox Green for 3 h (The ratio of <i>C. albicans</i> to cell; 5∶1). Left panel shows representative fluorescence images. Blue shows Hoechst 33342 staining and Green Sytox Green. Right panel shows the percentage of the cells in the individual stage (black: Hoechst 33342–positive; white: Sytox Green-positive and decondensed; shaded area: Sytox Green-positive and cloud-like shape). (C) Serum-treated <i>C. albicans</i> were added to neutrophil-like differentiated control cells and Rab27a-knockdown cells in the presence or absence of DPI for 3 h. Frequency of Sytox green-positive cells are shown. In (A) and (B), Scale bars indicate 10 µm. In (A), (B) and (C), the results of Rab27aKD clone 1 and Control clone 1 are shown and the data are the mean with SD from three independent experiments. Asterisks (*) mean that the difference is statistically significant (p values <0.01).</p

Effects of Rab27a-knockdown on neutrophil-like differentiaiton of HL60 cells.

<p>(A–C) HL60 cells, Rab27a-knockdown cells transfected with shRNA-Rab27a using a lentiviral system (Rab27aKD; clone 1 and clone 2) and control-shRNA transferred HL60 cells (Control; clone 1 and clone 2) were treated with ATRA for 3 days. (A) The expression of Rab27a in similarly treated cells were analyzed by immunoblotting analysis. (B) Morphology and (C) cell surface expression of CR3 were analyzed by May-Giemsa staining and flow cytometry, respectively. In (B), Rab27aKD clone 1 and Control clone 1 are shown as representative images. (D) Expression of myeloperoxidase (MPO) in whole cell lysates were analyzed by immunoblotting analysis. Scale bars indicate 10 µm.</p