AbstractWeibel-Palade bodies are endothelial secretory organelles that contain von Willebrand factor, P-selectin and CD63. Release of von Willebrand factor from Weibel-Palade bodies is crucial for platelet adhesion during primary hemostasis. Endosomal trafficking of proteins like CD63 to Weibel-Palade bodies during maturation is dependent on the adaptor protein complex 3 complex. Mutations in the AP3B1 gene, which encodes the adaptor protein complex 3 β1 subunit, result in Hermansky-Pudlak syndrome 2, a rare genetic disorder that leads to neutropenia and a mild bleeding diathesis. This is caused by abnormal granule formation in neutrophils and platelets due to defects in trafficking of cargo to secretory organelles. The impact of these defects on the secretory pathway of the endothelium is largely unknown. In this study, we investigated the role of adaptor protein complex 3-dependent mechanisms in trafficking of proteins during Weibel-Palade body maturation in endothelial cells. An ex vivo patient-derived endothelial model of Hermansky-Pudlak syndrome type 2 was established using blood outgrowth endothelial cells that were isolated from a patient with compound heterozygous mutations in AP3B1. Hermansky-Pudlak syndrome type 2 endothelial cells and CRISPR-Cas9-engineered AP3B1−/− endothelial cells contain Weibel-Palade bodies that are entirely devoid of CD63, indicative of disrupted endosomal trafficking. Hermansky-Pudlak syndrome type 2 endothelial cells have impaired Ca2+-mediated and cAMP-mediated exocytosis. Whole proteome analysis revealed that, apart from adaptor protein complex 3 β1, also the μ1 subunit and the v-SNARE VAMP8 were depleted. Stimulus-induced von Willebrand factor secretion was impaired in CRISPR-Cas9-engineered VAMP8−/−endothelial cells. Our data show that defects in adaptor protein complex 3-dependent maturation of Weibel-Palade bodies impairs exocytosis by affecting the recruitment of VAMP8.
Weibel-Palade bodies (WPB) are the storage and secretory compartment of endothelial cells and play an important role in hemostasis, inflammation and angiogenesis.1 Secretion of their main cargo, the hemostatic protein von Willebrand factor (vWF), promotes platelet adhesion at the site of injury.2 Apart from vWF, WPB also store angiopoietin-2, IGFBP7 and various chemokines, along with the transmembrane protein P-selectin and the integral membrane protein CD63.31 Simultaneous release of this cocktail of inflammatory and angiogenic mediators from WPB also promotes extravasation of leukocytes and vessel repair mechanisms. Weibel-Palade bodies belong to the lysosome-related organelles (LRO), a heterogeneous group of subcellular organelles that share features with lysosomes through acquisition of recycled cargo and/or membrane components from the endolysosomal system.4 Biogenesis and subsequent degranulation of LRO is fundamental to the function of a wide variety of (circulating) cells, including granulocytes, T cells, platelets and endothelial cells. Although their function and cargo differ between cell types, the mechanisms and core components that control LRO biogenesis, maturation and degranulation are shared and operate in all cells with LRO. In endothelial cells, biogenesis of WPB starts at the trans-Golgi Network (TGN) and is driven by the biosynthesis of vWF. At this point, other soluble cargo, as well as P-selectin, are also included in newly forming WPB. In a subsequent post-Golgi step during WPB maturation, additional key components, such as CD63, are transferred from adaptor protein complex 3 (AP-3)-positive endosomes to maturing WPB.75 AP-3 is a heterotetrameric complex, consisting of four subunits: β1, δ1, β1 and s1, previously also referred to as β3A-, δ3-, μ3A- and σ3A-adaptins, respectively.8 The AP-3 μ1 subunit is known to interact with membrane proteins through linear sequences of amino acid residues in their cytoplasmic tail, such as the di-leucine ([DE]XXX[LI]) and the tyrosine (YXXØ) motifs,109 the latter of which is also present in CD63 (GYEVM).11 When its tyrosine motif is altered or the expression of AP-3β1 is down-regulated, CD63 shows impaired trafficking to WPB, suggestive of a direct interaction between the AP-3 complex and CD63.7
Defective formation and degranulation of LRO is at the basis of a number of poorly understood congenital storage pool disorders (SPD) that affect secretory responses of cells. Since the mechanisms of LRO formation and degranulation are shared between different cell types, SPD are often polysystemic, affecting many cell types at the same time which leads to complex disease symptoms. Hermansky-Pudlak syndrome (HPS) is a group of autosomal recessive disorders characterized by hypopigmentation and platelet storage pool deficiency, due to defective maturation of melanosomes and platelet dense granules, respectively.12 HPS-2, a subtype of HPS, affects the expression and functionality of the AP-3 complex by mutations in the AP3B1 gene, which encodes the AP-3 complex β1 subunit.13 Apart from the shared HPS features of platelet dysfunction and albinism, HPS-2 is also uniquely characterized by CD8 cytotoxic T-cell dysfunction and neutropenia.1614
Given the polysystemic nature of SPD, we sought to determine how genetic deficiencies in the AP-3 sorting machinery impact the secretory function of endothelial cells. Here we show, using blood outgrowth endothelial cells (BOEC) from an HPS-2 patient, that defects in AP-3 dependent maturation of WPB impairs the exocytotic potential of WPB by affecting the recruitment of the WPB-localized member of the SNARE fusion machinery VAMP8.
Cell culture and isolation of blood outgrowth endothelial cells
Blood outgrowth endothelial cells were isolated as previously described and cultured in EGM-2 (Lonza, Basel, Switzerland, CC-3162) supplemented with 18% fetal calf serum (FCS) (Bodinco, Alkmaar, the Netherlands) (EGM-18).17 HPS-2 BOEC were isolated from venous blood from a patient diagnosed with HPS-2 (described by de Boer et al.16), caused by compound heterozygote AP3B1 mutations (c.177delA, p.K59Nfs*4 and c.1839-1842delTAGA, p.D613Efs*38). The study was performed according to national regulations regarding the use of human materials. The patient’s parents signed an informed consent form allowing participation. Control BOEC were isolated from healthy, anonimized donors participating in the voluntary internal blood donor system of Sanquin Blood Supply following written consent. The study was approved by the Medical Ethical Committee of the Academic Medical Center in Amsterdam and was conducted in accordance with the Declaration of Helsinki.
The mEGFP-LIC and LVX-mEGFP-LIC vectors have been described before.1918 The EGFP-AP-3β1 plasmid encoding AP-3β with EGFP fused to its aminoterminus was a gift from Dr. Adolfo Saiardi.20 To construct LVX-mEGFP-AP3-β1, a 3317 bp fragment containing the AP-3β1 coding sequence was cut from EGFP-AP-3β1 using BsrGI and SacII and pasted in frame behind mEGFP using the same sites in mEGFP-LIC. In a second step, the AP-3β1 coding sequence was excised from mEGFP-AP-3β1 using BsrGI and NotI and pasted in frame behind mEGFP in the LVX-mEGFP-LIC vector.
CRISPR genome engineering
gRNA were designed to target exon 1 of the AP3B1 gene and exon 1 and 2 of the VAMP8 gene using the CRISPR Design tool (http://crispr.mit.edu). gRNAs [(AP3B1 exon 1: gRNA-4: TACAAT-GAGCAGTCCGGAGG and gRNA-5: ACAATGAGCAGTCCGGAGGA); (VAMP8 exon 1: gRNA-4: GAATGTGGAGCGGATCCTGG and gRNA-5: AGAATGTGGAGCGGATCCTG; exon 2: gRNA-3: CTGGAGCGACTCGAGATGCG)] were selected based on the specificity score with the minimum amount of off-target effects and were subsequently cloned as hybridized oligos [(AP3B1: gRNA-4: RBNL306 5′-CA CCGTACAATGAGCAGTCCGGAGG-3′ and RBNL307 5′-AAACCCTCCGGACTGCTCA TTGTAC-3′; gRNA-5: RBNL308 5′-CACCGACAATGAGCAGTCCGGAGGA-3′ and RBNL309 5′-AAACTCCTCCGGACTGCTCATTGT C-3′), (VAMP8: gRNA-3: RBNL318 5′-CACCGGTGGAGGAAATGATCGTGTG-3′ and RBNL319 5′-AAACCACACGATCATT TCCTCCACC-3′; gRNA-4: RBNL320 5′-CACCGATTCACTTACTGACCGGC-CT-3′ and RBNL321 5′-AAACAGGCCGGTCAGTAAGTGAATC-3′; gRNA-5: RBNL322 5′-CACCGA TTCACTTACTGACCGGCCT-3′ and RBNL323 5′-AAACGGCCGGTCTCAGTAAGTGAA TTC-3′)] into BsmBI-digested LentiCRISPR_v2 vector (a gift from Dr. Feng Zhang; Addgene #52961). A detailed protocol on transduction and clonal selection of knockout BOEC has been previously described.21
CD63 and CD62P membrane exposure
Endothelial cells were cultured in gelatin-coated 6-well plates until confluency for 3-4 days prior to the experiment. In order to measure CD63 surface exposure in WT and HPS-2 BOEC under steady conditions, cells were washed twice with phosphate buffered saline (PBS), detached with Accutase (Sigma, A6964), and stained with FITC-conjugated anti-CD63 antibody at 4°C for 30 minutes (min) in the dark. After incubation, cells were washed with PBS, spun down at 250xg, 4°C for 2 min and suspended in PBS containing 0.01% (v/v) NaN3. Samples were measured by flow cytometry (BD FACSCANTO II, BD Biosciences). In order to measure CD62P levels on the plasma membrane upon stimulation, cells were pre-incubated in release medium for at least 30 min. Stimulation was performed in RM supplemented with 100 μM histamine for 5 min. After stimulation, cells were treated with ice-cold PBS and detached by Accutase. Staining for CD62P exposure was performed at 4°C in the dark with a PE-conjugated anti-CD62P antibody for 20 min. Cells were centrifuged at 4°C at 250xg for 2 min and subsequently resuspended in PBS containing 0.01% (v/v) NaN3.
Further details on materials and methods are available in the Online Supplementary Appendix.
AP3B1 deficient endothelial cells exhibit impaired intracellular protein trafficking from endosomes to Weibel-Palade bodies
To study the role of the AP-3 complex in primary endothelial cells, we isolated BOEC from peripheral blood mononuclear cells of an HPS-2 patient with mutations in the AP3B1 gene that encodes for the β1 subunit of the heterotetrameric AP-3 complex. The patient, who has previously been described by de Boer et al.,16 is a compound heterozygote with both mutations (exon 2: c.177delA, p.K59Nfs4; exon 17: c.1839-1842delTAGA, p.D613Efs*38) leading to a frame shift and a premature stop codon (Figure 1A). As expected, western blot analysis of lysates of BOEC confirmed that the expressed levels of AP-3 β1 were not detectable (Figure 1B). The truncated AP-3β1 protein products, generated in the HPS-2 BOEC, are most likely rapidly degraded as previously reported in HPS-2 fibroblasts.13 In order to test whether there is any remaining functionality of the AP-3 complex in HPS-2 BOEC, we determined the localization of proteins that are subject to AP-3 dependent trafficking. Both the tetraspanin CD63 and the leukocyte receptor CD62P continuously cycle between plasma membrane and WPB.65 However, after endocytic retrieval, CD63 is incorporated in maturing WPB through transfer from AP-3 positive endosomes, while P-selectin diverges to the trans-Golgi network where it is incorporated in nascent WPB.7 Therefore, we stained HPS-2 and healthy control BOEC for vWF and CD63 or P-selectin. We observed that CD63 is not detectable in WPB in HPS-2 BOEC and can only be observed in round endosome-like structures (Figure 1E, left). Quantitative evaluation of our imaging data showed that in WT BOEC, nearly a third of cellular CD63 is associated with WPB (Figure 1 right top), and that on average about 60% of the WPB are CD63 positive (1E right bottom), numbers that are both in close accordance with previous studies.227 We observed a sharp reduction in these parameters in HPS-2 BOEC pointing to a defect in CD63 trafficking. P-selectin trafficking to WPB is unaffected by the lack of AP-3 β1 (Online Supplementary Figure S1A). We also measured CD63 surface expression in HPS-2 and healthy control BOEC under steady state conditions using flow cytometry. We observed that CD63 surface levels were significantly increased in HPS-2 BOEC (Online Supplementary Figure S1B). Taken together these data point to defective AP-3 dependent trafficking mechanisms in HPS-2 BOEC.
To further corroborate the role of AP-3 in trafficking of CD63, we also generated AP3B1 knock-out primary endothelial cells using CRISPR-Cas9 gene editing. Using lentiviral transduction of cord blood BOEC (cbBOEC), with guide (gRNA) targeting the first exon of the AP3B1 gene, we generated 3 clonal cbBOEC lines containing indels that led to frame shifts and subsequent premature stop codons in the AP3B1 gene (Figure 1C). This resulted in complete abolishment of AP-3β1 expression in all three clonal lines (Figure 1D). Similar to what we observed in HPS-2 BOEC, and to what has been reported in endothelial cells after siRNA-mediated AP-3 β1 silencing,7 WPB of AP3B1−/− cbBOEC did not contain CD63 (Figure 1F and Online Supplementary Figure S2).
AP3B1-deficient HPS-2 blood outgrowth endothelial cells have an unstable AP-3 complex and lack the Weibel-Palade body v-SNARE VAMP8
To better understand the phenotypic effect of loss of AP-3 β1 expression, we performed a comparative analysis of the whole proteome between HPS-2 and healthy control BOEC by means of label-free LC-MS/MS. We identified 5812 proteins, from which 4323 were quantifiable following the selection criteria. To include the natural variation in our analysis, we compared HPS-2 BOEC to four independent healthy control donors. Z-scored LFQ values of the proteins with the highest variation between samples (S0=0.4, FDR = 0.05) are shown in the heatmap in Figure 2A. Following this approach, we were able to confirm the AP-3 β1 depletion in HPS-2 BOEC (Figure 2B). Moreover, we observed that the expression of AP-3 μ1, an AP-3 subunit encoded by AP3M1, was also significantly reduced. However, expression levels of AP-3δ1 and AP-3 s1, the other two subunits of the AP-3 complex, were not significantly different and only modestly reduced (Figure 2B). A similar observation has previously been made in HPS-2 fibroblasts23 and in murine pe fibroblasts (pearl, pe, mouse model of HPS-2), where δ1 and s1 subunits remained as a heterodimer and showed cytosolic rather than membrane-associated localization.24 The tight correlation of β1 and μ1 expression levels suggests that loss of AP-3 β1 and consequential disintegration of the AP-3 complex destabilizes the AP-3μ1 subunit. This was supported by the observation that lentivirally expressed mEGFP-AP-3 β1 was able to rescue the expression of AP-3 μ1 in HPS-2 BOEC (Figure 2C).
Interestingly, among the down-regulated proteins, we discovered that the expression of the WPB-localized SNARE protein VAMP8 is severely diminished (Figure 2A and Online Supplementary Figure S3). This was specific for VAMP8 as the expression levels of other SNARE proteins that have been implicated in WPB exocytosis were not significantly altered (Online Supplementary Figure S3). Western blot analysis also revealed a complete depletion of VAMP8 expression in HPS-2 BOEC compared to healthy controls (Figure 2D). Moreover, immunofluorescent staining in healthy control and HPS-2 BOEC for VAMP8 and vWF, showed that WPB in HPS-2 BOEC lack VAMP8 immunoreactivity (Figure 2E). In addition, in the AP3B1 knockout BOEC lines, VAMP8 was strongly reduced when compared to the control cbBOEC (Online Supplementary Figure S4).
Ex vivo HPS-2 endothelial cells have impaired stimulus-induced Weibel-Palade body exocytosis
To investigate the contribution of AP-3 dependent maturation on the degranulation efficiency of WPB in endothelial cells, we measured the stimulus-induced vWF release in HPS-2 BOEC. We observed that, under unstimulated conditions, the release of vWF is unaffected in the HPS-2 BOEC compared to WT (Figure 3A). However, upon stimulation, HPS-2 BOEC showed a clear defect in vWF release with both Ca2 (histamine) and cAMP-mediated (forskolin) secretagogues (Figure 3B). As an alternative measurement of WPB exocytosis, we also investigated how other WPB proteins respond to histamine treatment. We stimulated WT and HPS-2 BOEC and measured CD62P exposure on the plasma membrane (Figure 3D). We found that significantly less CD62P was expressed on HPS-2 BOEC plasma membrane when compared to healthy control BOEC upon histamine stimulation. The reduction in the stimulus-induced surface expression of CD62P and release of vWF in HPS-2 BOEC suggests that defects in the AP-3 dependent maturation of WPB alter the exocytotic potential of these organelles in endothelial cells.
Weibel-Palade bodies v-SNARE protein VAMP8 promotes Weibel-Palade body exocytosis
Expression of the SNARE protein VAMP8 is reduced in the absence of AP-3 β1, in HPS-2 patient BOEC as well as in CRISPR-Cas9 engineered AP3B1 knockout endothelial cells. SNARE proteins are key regulators of intracellular membrane fusion events, such as during exocytosis or during fusion between organelles. To further investigate the role of VAMP8 in endothelial cells, we first studied the intracellular localization of VAMP8 with confocal microscopy in HUVEC/healthy control BOEC. In line with previous reports, VAMP8 was localized on a subset of WPB and on spherical organelles of the endosomal system (Online Supplementary Figure S5).2521 Interestingly, VAMP8-positive WPB and VAMP8-positive endosomes both contained CD63, suggesting their shared itinerary may be indicative of a common AP-3 dependent trafficking pathway.
To explore the role of VAMP8 in endothelial cells we generated clonal CRISPR-Cas9 knockout BOEC by introducing a mutation in the first and second exon (Figure 4A) and evaluated the knockout efficiency by western blot (Figure 4B) and immunofluorescence (Online Supplementary Figure S6A). We investigated both AP-3-dependent intracellular protein trafficking as well as the efficiency of WPB to exocytose upon stimulation in two clonal VAMP8 BOEC lines. To assess the involvement of VAMP8 in a fusion step between WPB and the endosomal compartment during CD63 recruitment, we checked the localization of CD63 in control and VAMP8-deficient cell lines. Immunofluorescent staining of CD63 and vWF in the VAMP8 lines exhibit a similar pattern when compared to the control cell lines, with CD63 being found on endosome-like structures as well as WPB (Online Supplementary Figure S6B). This suggests that membrane transfer between endosomes and WPB during CD63 trafficking does not depend on VAMP8. We next examined the involvement of VAMP8 in WPB exocytosis by testing stimulus-induced vWF release in CRISPR-edited VAMP8 BOEC. Our data show that the intracellular levels of vWF are similar for VAMP8-deficient and control cell lines (Figure 4C), showing that the process of CRISPR-Cas9 genetic modification and clonal selection does not affect vWF biosynthesis and/or WPB biogenesis. However, upon Ca2-mediated stimulation of WPB release with histamine, VAMP8 knockout endothelial cells secreted significantly less vWF when compared to the control lines (Figure 4D). These findings demonstrate that VAMP8 promotes stimulus-induced vWF secretion and establish VAMP8 as a novel component of the WPB exocytotic machinery.
The AP-3 complex regulates the formation and maturation of lysosome-related organelles in many different cell types.8 In this study, we show that mutations in the AP3B1 gene that lead to HPS-2 result in loss of AP-3 β1 and rapid degradation of the AP-3 μ1 subunit of the AP-3 complex. While the δ1 and s1 subunits are still expressed, the consequential destabilization of the AP-3 complex leads to a failure to traffic proteins to the WPB. Two of these, CD63 and VAMP8, normally co-reside on endosomes and WPB. However, in the absence of AP-3-dependent sorting, their fates differ radically. Blockade of the route from the endosomal compartment to the WPB causes an increase of CD63 on the cell surface, possibly caused by a global redistribution of CD63 in the absence of its storage compartment. This has previously been reported for other cell types derived from HPS-2 patients, such as cytotoxic T lymphocytes and fibroblasts.231513 VAMP8 expression is severely reduced in both HPS-2 BOEC and in CRISPR-engineered AP3B1 KO BOEC, for which we currently do not have an explanation. Contrary to CD63, VAMP8 does not contain any of the known sorting motifs that would allow it to directly interact with the AP-3 complex.109 VAMP7, a v-SNARE that is found on a number of LRO, has been shown to interact with the AP-3 complex on early endosomes via a direct interaction between the AP-3 δ1 subunit and the N-terminal longin domain of VAMP7.2726 Destabilization of the AP-3 complex, such as in mocha mice which lack the δ1 subunit of AP-3, leads to mistargeting of VAMP7.27 It has also been suggested that AP-3 indirectly traffics STX13 to maturing melanosomes via VAMP7.28 Although VAMP8 does not contain a longin domain, it may be possible that during WPB maturation there is a similar mechanism by which VAMP8 latches on to the back of another AP-3 interacting partner.
In this study, we further explored the effect of WPB maturation on regulated secretion and identify VAMP8 as a novel component of the exocytotic fusion machinery. Previous studies have found that WPB contain the v-SNAREs VAMP3 and VAMP8, but so far only VAMP3 has been implicated in Ca2-dependent WPB exocytosis.25 We had previously established that VAMP8 is a direct interactor of both syntaxin-3 (STX3) and syntaxin-4 (STX4).21 STX4, which is found at the plasma membrane, has been implicated in thrombin-induced release of WPB through the formation of a complex with WPB-localized VAMP3.2925 We have recently shown that STX3 is localized on WPB and that absence of STX3 from endothelial cells results in impaired basal and hormone-evoked vWF secretion.21 The decrease in histamine-evoked vWF secretion in VAMP8 knock-out endothelial cells indicates an active involvement of VAMP8 in stimulus-induced WPB exocytosis. Based on its ability to interact with STX4 and STX3, VAMP8 can potentially support exocytosis via direct (WPB-plasma membrane) or homotypic (WPB-WPB) fusion modes. Further research on this topic should address the involvement of VAMP8 in the different modes of fusion.
In vivo, VAMP8−/− mice show delayed and decreased thrombus formation.30 Although, in their study, Graham et al. found that defective thrombus formation correlated with impaired dense granule release from VAMP8−/−platelets, they did not test whether lack of VAMP8 in endothelial cells also contributed to defects in thrombus formation. A more pronounced defect in thrombus formation was also observed in ruby eye mice, a murine model for HPS-6, which lack platelet dense granules.31 Contributing to this phenotype was: (i) the inability to secrete protein disulfide isomerase (PDI) from so called T-granules, a tubular secretory compartment in platelets that contains VAMP8;32 and (ii) defective thrombin-induced secretion of PDI and vWF from endothelial cells after silencing of HPS6.31 A recent study also found that endothelial secretion of vWF in response to administration of the vasopressin analog 1-deamino-8-D-arginine vasopressin (DDAVP) was delayed and/or decreased in pallid, ruby eye and pale ear mice, murine models of HPS-9, HPS-6 and HPS-1, respectively.33 This provides an explanation for earlier observations that long bleeding times in ruby eye and pale ear mice were not corrected by DDAVP,34 but possibly also for the variable response of HPS patients to DDAVP.3735 Taken together, this suggests that defects in maturation of WPB decrease their ability to undergo exocytosis.
In this study, we show that BOEC from an HPS-2 patient have a moderate (but not complete) defect in stimulated vWF secretion, a phenotype that we found to be closely correlated with the absence of VAMP8 on mature WPB. We propose that, during maturation, LRO also acquire components of their fusion machinery, thereby increasing their ability to undergo exocytosis. In some LRO, such as dense granules, defects in LRO maturation result in the absence of the secretory granule at issue, which obscures a secretory defect by the lack of the fusion machinery recruitment. This becomes apparent in LRO, such as WPB, which have already been formed before their failure to interact with the endo/lysosomal system, preventing them from acquiring additional content (CD63) or fusion machinery components (VAMP8) (Figure 5).
- ↵* EK and MS contributed equally to this work.
- Check the online version for the most updated information on this article, online supplements, and information on authorship & disclosures: www.haematologica.org/content/104/10/2091
- FundingThis study was supported by grants from the Landsteiner Stichting voor Bloedtransfusie Research (LSBR-1244, LSBR-1517 and LSBR-1707), Sanquin (PPOC-2015-24P and PPOC-2018-21) and the Dutch Thrombosis Foundation (TSN 56-2015 and 2017-01). RB is supported by a European Hematology Association Research Fellowship.
- Received October 7, 2018.
- Accepted January 9, 2019.
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