Ephrin/Eph receptor interaction facilitates macrophage recognition of differentiating human erythroblasts

Abstract

Erythropoiesis is one of the most efficient cellular processes in the human body producing approximately 2.5 million red blood cells every second. This process occurs in a bone marrow niche comprised of a central resident macrophage surrounded by differentiating erythroblasts, termed an erythroblastic island. It is not known what initially attracts the macrophage to erythroblasts to form these islands. The ephrin/Eph receptor family are known to regulate heterophilic cell-cell adhesion. We find that human VCAM1⁺ and VCAM1^– bone marrow macrophages and in vitro cultured macrophages are ephrin-B2 positive, whereas differentiating human erythroblasts express EPHB4, EPHB6 and EPHA4. Furthermore, we detect a rise in integrin activation on erythroblasts at the stage at which the cells bind which is independent of EPH receptor presence. Using a live cell imaging assay, we show that specific inhibitory peptides or shRNA depletion of EPHB4 cause a significant reduction in the ability of macrophages to interact with erythroblasts but do not affect integrin activation. This study demonstrates for the first time that EPHB4 expression is required on erythroblasts to facilitate the initial recognition and subsequent interaction with macrophages, alongside the presence of active integrins.

Introduction

Erythropoiesis is the process whereby hematopoietic stem cells (HSC) develop to mature red blood cells by undergoing multiple stages of cell division and differentiation before enucleating to form nascent reticulocytes. In humans, this process occurs in the bone marrow (BM). HSC undergo asymmetric division and lineage restriction to form pro-erythroblasts in the HSC niche, where they bind a macrophage to form a specialized niche called an erythroblastic island. This niche is formed by a central resident macrophage which is surrounded by differentiating erythroblasts.1 The erythroblastic island is important for proliferation and terminal differentiation of erythroid cells, as macrophages are thought to supply nutrients to the surrounding erythroid cells, promote growth through survival signals, and phagocytose the pyrenocyte after enucleation.42

Multiple receptors are present on the surface of macrophages and erythroblasts which are involved in erythroblastic island interactions. These include intercellular adhesion molecule 4 (ICAM4), vascular cell adhesion molecule 1 (VCAM1), erythroblast-macrophage protein (Emp), Fms related tyrosine kinase 3 (Flt3), proto-oncogene tyrosine-protein kinase MER (Mer-TK), dystroglycan (DG) receptor, integrins, and EPH receptors.104 It has already been established that ICAM4 mice formed significantly less erythroblastic islands than control mice6 and the loss of erythroblast-macrophage protein (Emp) in mice leads to apoptosis of erythroid precursors and enucleation failure.115 Finally, integrin β3 knockout mice have a higher amount of early erythroblast release from erythroblastic islands.7 Overall, although we now know more about the importance of certain receptors for erythroblastic island integrity in mice, we do not know exactly which receptors are involved in the formation and maintenance of human erythroblastic islands or how these two different cell types specifically recognize one another as binding partners.

The EPH receptor family is the largest tyrosine kinase receptor family.12 It is separated into two protein branches which are largely distinct: the A family and the B family.13 EPH receptors are very versatile as they can control adhesion, migration and proliferation;151412 leading to their important role in development, in particular, through their role in contact inhibition of locomotion (CIL). One current model for CIL suggests that depending on which EPH receptors and their ligands ephrins are present and their abundance at the surface will dictate the response of cells as they come into contact.16 As both EPHB and EPHA receptors can be simultaneously expressed on the surface of cells, it is thought that the ratio of EPHA to EPHB receptor abundance at the surface of the cells determines the behavior of the two cells as they collide.1716 Hence, when EPHA receptors are in excess and engage the ligand, the cells will be repulsed, whereas if EPHB are in excess and activated, this can lead to attraction and possibly drive adhesion.

Recently, several reports have discussed the importance of EPH receptor function within the BM niche. In mice, one EPHB4 ligand, ephrin-B2 is expressed on HSC and is important for the release of the progenitor cells into the bloodstream.1814 EPHB4 is also reported to exert control over niche size, as transgenic mice that over-express EPHB4 produce more HSC cells and display a higher BM reconstitution capacity.2019 However, the role that EPH receptors play specifically in the erythroid lineage is based primarily upon the demonstration of EPHB4 expression on human BM CD34 cells and from the observed increase in CFU-E formation upon co-culture with stromal cells over-expressing ephrin-B2 or HSC overexpressing EPHB4.2321 More recently, Anselmo et al.9 proposed a role for EPHB1 in the activation of integrins via an agrin-dependent pathway in mice and hypothesized that this facilitates erythroblast binding to macrophages. Whether this observation extends to a human macrophage island context is unknown.

We find that for humans, EPHB4, EPHB6 and EPHA4 are the only EPH receptors present on erythroblasts and that these proteins are differentially expressed on the surface during terminal differentiation. Specifically, we found high EPHB4 and EPHB6 expression in the early stages of erythropoiesis, and by the reticulocyte stage, only EPHA4 is detected. We also demonstrate that during the expansion phase where EPHB4 and EPHB6 are highly expressed, erythroblasts also have an increase in active integrin. Using live cell imaging we show that the inhibition of EPHB4 interaction with ephrin-B2 results in a decrease in the association between erythroblasts and macrophages despite the continued presence of active integrins. This work demonstrates for the first time that ephrin/EPH interactions, as well as the presence of integrins, drive the recognition between macrophages and erythroblasts during human erythroblastic island formation.

Methods

Bone marrow isolation

Bone marrow aspirate samples were provided by Dr Michael Whitehouse (University of Bristol) with informed consent for research use. The use of donated BM was approved by the Bristol Research Ethics Committee (REC no. 12/SW/0199). Cells were washed from a universal sample tube using HBSS (Sigma-Aldrich, Gillingham, UK) containing 0.6% acid citrate dextrose (ACD) to remove the heparin-coated beads (included to prevent coagulation). The red pulp was macerated onto a 70 mm filter. Cells were washed once more with HBSS and ACD, and centrifuged at 300g between washes. Red cells were lysed using red cell lysis buffer (155mM NH4Cl, 0.137mM EDTA, 1mM KHCO3, pH 7.5) for ten minutes on ice, cells were washed a further time in HBSS with ACD, counted and stored until required.

FACS

Mononuclear cells (MNC) were thawed and washed twice with PBS containing 1% BSA and 2% glucose (PBSAG). CD14 isolation was performed on thawed BM MNC according to the manufacturer’s instructions (Miltenyi Biotech, Woking, UK). Cells were counted and resuspended in PBSAG and CD14-Pacific Blue, CD106-PE and CD169-APC antibodies were added for 30 minutes at 4°C in the dark. The cells were washed twice in PBSAG, and then the CD14CD106and CD14CD106 populations were sorted using a BD Influx Cell Sorter.

Live cell imaging

Macrophages were grown for seven days, as described above, in a 24-well plate (Corning, New York, USA). At day 7, cells were labeled with Cell Tracker Green CFMDA (ThermoFisher, Loughborough, UK) following the manufacturer’s instructions. For BM macrophages, the labeling was conducted immediately after sorting. Erythroblasts on day 6 of expansion were added to the macrophages and left overnight in culture media [IMDM (Life Technologies, Paisley, UK), 3%v/v Human serum (Sigma-Aldrich), 10 U/mL erythropoietin (Roche, Basel, Switzerland) and 1mg/mL holotransferrin (Sanquin Blood Supply, Netherlands)]. The biotinylated TNYLFSPNGPIARAWGSGSK-Biotin (TNYL), EILD-VPSTGSGSK-Biotin (EIL) and the control peptide DYPS-MAMYSPSVGSGSK-Biotin (DYP) were synthesized by Cambridge Peptides UK (Birmingham, UK) and added where indicated. The media was changed the next day with phenol-red free imaging media with replenished peptides where indicated. The optimal final ratio of cells used was 2 erythroblasts to 1 macrophage to prevent overcrowding. The plate was imaged using the Incucyte (Essen BioScience, Welwyn Garden City, UK) every hour at 20x magnification. The spatial relationship between erythroblasts and macrophages was characterized using Fiji.2524 Initially, lateral drift in the phase-contrast and fluorescence images over time was corrected using the StackReg plugin.26 A difference of Gaussian filter (approximating the equivalent Laplacian of Gaussian27) was then applied to the phase-contrast channel to enhance features with diameters matching those expected for erythroblasts. Erythroblasts were subsequently identified with the TrackMate plugin using the Laplacian of Gaussian feature detector.28 Fluorescence channel images were processed with rolling-ball and Gaussian filters to remove inhomogeneity of illumination and high-frequency noise, respectively. The images were then thresholded using the Otsu method29 with a user-defined fixed multiplier offset and passed through the ImageJ particle analyzer to identify macrophages. Macrophages were tracked between frames using the Apache HBase (v1.3.1; Apache Software Foundation, https://hbase.apache.org) implementation of the Munkres algorithm with costs assigned based on object centroid separation.30 Instances where objects in the phase-contrast channel coincided with macrophages identified in the fluorescence channel were removed, as these likely corresponded to accidental detection of macrophages. Finally, spatial relationships between erythroblasts and macrophages were determined based on the maximum separation of object perimeters. Multiple erythroblasts could be assigned to a single macrophage. This program can be found at: doi: 10.5281/zenodo.3237585 (Stephen Cross. (2018, March 14). SJCross/RelateCells v1.2.2 (Version v1.2.2). Zenodo.).

Antibodies, cell culture, lentiviral transduction, real-time quantitative polymerase chain reaction, western blotting, flow cytometry, cytospins and statistics

Details of all these methods can be found in the Online Supplementary Methods.

Results

Ephrin-B2 is expressed by M2-like macrophages and bone marrow macrophages

As reported previously by Heideveld et al. macrophages treated with dexamethasone (+Dex) phenotypically resemble the resident macrophages found in BM and fetal liver,31 exhibiting a high level of CD163 and CD169, similar to BM macrophages (Online Supplementary Figure S1). Furthermore, these cultured macrophages are known to be able to help the erythroblasts expand,3332 form erythroblastic islands, and phagocytose nuclei.31 However, whereas up to 70% of BM isolated CD14CD16 macrophages are VCAM1, +Dex macrophages are VCAM1. It is known that BM stromal cells, including macrophages, express ephrinB2.23 Figure 1A and B confirms that all three macrophage types, +Dex in vitro cultured, VCAM1 and VCAM1 BM macrophages express ephrin-B2, the most potent receptor for EPHB4 and EPHB6 receptors (see below). There was no discernible difference between the expression levels of ephrin-B2 on sorted VCAM1 and VCAM1 macrophages, but the in vitro culture +Dex macrophages express higher levels (Figure 1C).

Figure 1.EPH receptor expression profile is specific to the cell type and its differentiation. (A) Lysates from cultured macrophages, HeLa and HEK cells were western blotted for ephrin-B2 and GAPDH. This is a representative blot (n=3). (B) Lysates from sorted VCAM⁺ and VCAM- bone marrow (BM) CD14⁺ cells were blotted for ephrin-B2 and GAPDH. This is a representative blot (n=2). (C) Lysates from HEK, HeLa, sorted BM and cultured macrophages with dexamethasone (+Dex) were probed for ephrinB2 and GAPDH. This is a representative blot (n=2). (D) Representative DNA gels showing the polymerase chain reaction products from an erythroblast differentiation course using primers against EPHA1-8 and EPHB1-6 (n=3). For each sample, a negative control was also performed to confirm the absence of genomic DNA contamination. HEK293, OVCAR 3 and HeLa cells were used as positive controls. (E) Lysates from HeLa, HEK cells and an erythroblast differentiation course were blotted for EPHB4, EPHB6, EPHA4, ephrin-B2 and GAPDH. This is a representative blot (n=3). (A, B, C and E) All lanes were loaded with 1×10⁶ cells. (F) Graph showing the mean fluorescent intensity (MFI) obtained by flow cytometry of the ephrin-B2-Fc and VCAM-Fc constructs binding to erythroblasts throughout terminal differentiation. EB2 is ephrin-B2-Fc, and VCAM Mn is VCAM-Fc with manganese activation. The ephrin constructs were pre-clustered. All points are means for ephrin-Fc constructs (n=5) and VCAM (n=3). The error bars represent the standard error of the mean. Binding to the constructs was statistically compared to the IgG control using two-way ANOVA: ***P<0.001; ****P<0.0001. The control for VCAM binding without manganese is in Online Supplementary Figure S3. D: day; T: time course; AU: arbitrary units.

EPHB4, EPHB6 and EPHA4 are expressed in expanding and differentiating erythroblasts

To determine which EPH receptors are expressed in erythroblasts at different stages of development, real-time quantitative polymerase chain reaction (RT-PCR) was performed on three independent in vitro cultured differentiation courses. In these cultures, CD34 cells are isolated and expanded for eight days, called D0 to D7. During this time, the cells express CD34 and CD36, markers of the BFU-E and CFU-E. The cells are then differentiated for eight days: T0 to T168. These stages of differentiation can be separated by their morphology using cytospins (Online Supplementary Figure S2A and B). EPHB4, EPHB6 and EPHA4 mRNAs were expressed in expanding day 6 and differentiating T0, representing the proerythroblast/basophilic stage in our culture system. RNA for numerous EPH receptors (EPHA1, EPHA2, EPHA3, EPHA6, EPHA7, EPHA8, EPHB2 and EPHB3) was not detected during erythropoiesis (Figure 1D). Western blots confirmed EPHB4, EPHB6 and EPHA4 protein expression (Figure 1E). EPHA4 expression diminished but was still retained at the reticulocyte stage. Unlike in mice,9 EPHB1 was not reproducibly detected at either the RNA or protein level (being detected by RT-PCR only once in 4 separate erythroid differentiation courses). Interestingly, the ligand ephrin-B2 is also present in the late stage of expansion in erythroblasts.

Erythroblast surface expression of EPH receptors is dynamic during terminal differentiation

To assess the timeframe in which the EPH receptors are expressed on the surface of erythroblasts during differentiation, a surface binding assay was performed. Ephrin-B2 was chosen as the ligand used in this experiment as it binds all EPHB receptors.34 Ephrin-B2 was clustered with a fluorescently-conjugated IgG antibody and added to the live cells. Figure 1F demonstrates that the cells bind ephrin-B2-Fc during the final part of the expansion phase (D5 and D6) when cells are CD34/CD36 proerythroblasts (Figure 2A). As cells commence terminal differentiation (T0 hours), there is a steady reduction of ligand binding (no statistically significant binding after T0), and by T72 hours all binding is lost. At T72 hours, the majority of erythroblasts present in culture are beyond the basophilic stage (Online Supplementary Figure S2A), confirming that EPHB receptors are expressed during the early phases of terminal differentiation.

Figure 2.Activated Integrin β1 on proerythroblasts is not affected by EPHB4 inhibition. (A) Representative contour plot of the erythroblasts at different stages of expansion on days (D) 3, 4 and 5 of culture (n=5). IgG is in red, and antibodies are in blue. (B) Graph showing the percentage of cells with active integrin obtained by flow cytometry of these cells with the active form of integrin β1 (clone HUTS-21) through D3, D4 and D5 of erythroblast expansion (n=4). Mixed effects analysis was run on the samples. (C) Graph showing the mean fluorescence intensity (MFI) of active integrin β1 through D3 and D5 of expanding erythroblasts and after stimulation with manganese (Mn+; n=4). (D) Graph showing the MFI value obtained by flow cytometry of the ephrin-B2 construct binding on D3 and D5 of expansion of the erythroblasts with 15-minute treatments of either no peptide, a control peptide (DYP), or an EphB4 inhibitor (TNYL) (n=3). (E) Graph showing the percentage of cells obtained by flow cytometry expressing the active form of integrin β1 (clone HUTS-21) on D3 and D5 of erythroblast expansion with 15-minute treatments of either no peptide, a control peptide (DYP), or an EphB4 inhibitor (TNYL) (n=2). The error bars represent the standard error of the mean. Comparison between the samples was conducted using one-way ANOVA: ns: not significant; *P≤0.05. AU: arbitrary units.

Integrins are crucial in cell-cell contact and adhesion with macrophages through the formation of focal adhesion points.35976 Therefore, we tested whether the appearance of integrins on the erythroblast surface coincided with EPHB4 receptor surface expression. To detect integrins, a surface binding experiment was conducted using VCAM1-Fc where the integrins were pre-activated with manganese to ensure VCAM1-Fc construct binding. Without pre-activation, no binding was found (Online Supplementary Figure S3), but when all the integrins were activated, VCAM1-Fc bound throughout erythroblast differentiation until approximately T144 hours when 50% of the cells were reticulocytes (Figure 1F). Manganese treatment was observed to increase cell death and clustering. Therefore flow cytometry analysis was performed only on live single cells during the surface assay by gating on unclustered propidium iodide negative cells.

Baseline activation of integrins occurs during the height of EPHB4 and EPHB6 expression

We next wanted to establish the level of integrin activation during the stages at which EPHB4/B6 become more pronounced at the surface of erythroblasts. To do this, we used an antibody that specifically recognizes the active form of integrin β1, which is present in both the VLA-4 (integrin α4β1) and VLA-5 (integrin α5β1) complexes. Manganese was used to activate integrins beforehand as a positive control. We detected a marked increase of integrin activation in a small percentage of the cells between days 4 and 5 on erythroblasts in the absence of any treatment, representing an increase in 10-30% of cells at day 5 and 90% at day 6 (Figure 2B). This increase represents 50% of the mean fluorescent intensity (MFI) observed with the manganese treatment, which activates all the integrins (Figure 2C). The CD36/CD34 populations displayed this rise in baseline integrin activation (Figure 2A).

To establish the effects of EPH receptor stimulation on integrin activation, the amount of active form of integrin β1 was monitored in the presence of clustered ephrin-B2. Surprisingly, EPH receptor engagement had no significant effect on the level of activation of integrin β1 (Figure 2B).

Peptide inhibition of EPHB4 activation impacts on macrophage-erythroblast interactions

The EPHB4 receptor inhibitor (TNYL-RAW peptide) competes selectively with ephrin-B2 binding to EPHB4 but does not activate the receptor.36 In a competition assay, it was observed that addition of EPHB4 inhibitor caused a significant decrease in ephrin-B2 binding to the cells at day 5, with a marked decrease at day 4 as well, but this did not occur using the DYP control peptide (Figure 2D). This effect on ephrin-B2 binding did not have an effect on the increase in integrin β1 activation (Figure 2E).

Using a live cell imaging assay described recently in Heideveld et al.31 and further developed (see Online Supplementary Figure S4), the role of the EPH receptor in macrophage-erythroblast interaction was investigated in the presence or absence of inhibitory peptide (Figure 3A). The number of interactions an individual macrophage makes with erythroblasts in each image frame is referred to as links. Images were taken every hour to screen as many conditions as possible on the Incucyte and ensure comparability. The box plots in Figure 3B and C demonstrate that the addition of the EPHB4 inhibitor TNYL-RAW significantly reduced the average number of interactions (50% vs. 75% macrophage with more than 1 link on average; P<0.0001) but not the mean duration of these contacts. Importantly, the movement of the macrophages was not affected by the addition of inhibitors, as +Dex macrophages still exhibit a high degree of movement with each peptide treatment (Figure 3D and E). Although +Dex macrophages do not express VCAM1, we also tested whether other integrin interactions contribute to the macrophage-erythroblast relationship in addition to EPHB4. An inhibitory peptide designed against VLA-4, EIL peptide, was introduced in the formation assay.37 This peptide was generated from a fragment of fibronectin which binds and locks the integrin β1 into the active form. The presence of the VLA-4 inhibitor in the formation assay led to a loss in mean duration (75% of cells have contacts which last less than 1h compared to 75% which last more) and an average number of links in +Dex cells (Figure 3B and C).

Figure 3.EPHB4 is required for contact inhibition of locomotion in erythroblastic island formation. (A) Example of analysis performed on an Incucyte experiment with the control peptide, DYP. Dexamethasone (+Dex) macrophages (labeled with Cell Tracker green) were grown from the peripheral blood mononuclear cells (PBMC) selected by adherence. The erythroblasts were added at a ratio of 10:1. The excess erythroblasts were gently removed by washing with media after 16 hours (h) incubation. The cells were imaged every hour. Macrophages are individually identified by the program due to their green color. The program then recognizes at each frame how many erythroblasts (red) are in contact (link) with the identified macrophage. Scale bar is 20 mm. (B) Min to max boxplot showing the mean duration of links between macrophages and erythroblasts. Kruskal-Wallis test was performed on 2,038 macrophages for +Dex EPHB4 inhibitor, 2,444 for +Dex Control peptide, and 1,841 for +Dex VLA-4 inhibitor (n=3). The y-axis is a log2 scale. (C) Min to max boxplot showing the average number of links between macrophages and erythroblasts. Kruskal-Wallis test was performed on 2,038 macrophages for +Dex EPHB4 inhibitor, 2,444 for +Dex Control peptide, and 1,841 for +Dex VLA-4 inhibitor (n=3). (D) Scaled cell-displacement vector diagrams of macrophage movement for 18 randomly selected macrophages from control peptide and 13 from the EPHB4 inhibitor condition. (E) Mean plot of total path length for 82 randomly selected macrophages from control peptide and 46 from EPHB4 inhibitor conditions. Two-tailed t-test was run on these samples. ns: not significant (P≥0.05); **** P≤0.0001.

EPHB4 depletion using shRNA impacts macrophage-erythroblast interaction

To assess the specific importance of EPH receptor expression and rule out secondary binding of the inhibitory peptides, EPHB4 and EPHB6 were depleted individually using lentiviral shRNA transduction of early erythroblasts. When EPHB4 is silenced, we observed that there is a concomitant loss of EPHB6 (Figure 4A). This was not a reciprocal relationship, as EPHB6 depletion did not reduce the level of EPHB4 expression, as can be observed in Figure 4B. Heterodimerization of EPHB6 with EPHB4 may, therefore, be important for its stability on the erythroblast surface but not vice versa.38 This occurred in the presence of two different shRNA for each protein (data not shown). Importantly, depletion of EPHB4 reduced ephrin-B2 binding in a surface binding assay but not when EPHB6 alone was knocked down, suggesting that EPHB4 is responsible for the majority of ephrin-B2 binding (Figure 4C). As was seen with the inhibitors, the depletion of the EPHB receptors did not lead to a reduction in integrin β1 activation (Figure 4D). Therefore, integrin activation at the surface of proerythroblasts is not due to the presence or activation of EPHB4.

Figure 4.Loss of EPHB4, not EPHB6, in erythroblasts impacts macrophage-erythroblast interactions. (A) Lysates from day (D)4 expanding erythroblasts, treated with either scrambled control, EPHB4 or EPHB6 shRNA, and were blotted for EPHB4, EPHB6 and GAPDH. This is a representative plot (n=5). (B) Quantification of the blots in (A) and four other repeats (n=5), normalized to GAPDH. Comparison between the samples was made with a two-way ANOVA. (C) Graph showing the mean fluorescence intensity (MFI) obtained by flow cytometry of the ephrin-B2 construct binding through three days of erythroblast expansion. Erythroblasts were treated with either scrambled, EphB4 or EphB6 shRNA prior to the binding construct experiment (n=4). (D) Graph showing the percentage of cells obtained by flow cytometry expressing the active form of integrin β1 (clone HUTS-21) through three days of expansion of shRNA-treated erythroblasts (n=4). Comparison between the samples was made with a two-way ANOVA. (E) Min to max boxplot showing the mean duration of links between macrophages and erythroblasts on D3 and D5 of erythroblast culture. Erythroblasts were transduced with either scrambled, EphB4 or EphB6 shRNA before co-culturing with macrophages and assessment of link formation. Kruskal-Wallis test was performed on 5023 macrophages for scrambled, 6060 for EPHB4 KD, and 3467 for EPHB6 KD (n=3). The y-axis is a log2 scale. (F) Min to max boxplot showing the average number of links between macrophages and erythroblasts. Kruskal-Wallis test was performed on 5,023 macrophages for Scrambled, 6060 for EPHB4 KD, 3467 for EPHB6 KD (n=3). The y-axis is a log2 scale. The error bars represent the standard error of the mean: ns: not significant (P≥0.05); *P≤0.05; ****P≤0.0001. AU: arbitrary unit.

When EPHB knockdown erythroblasts were added to +Dex macrophages, only erythroblasts with EPHB4 depletion caused a loss of both average number of links (scrambled control median of 0.43 vs. EPHB4 KD median of 0.26) and the mean duration of these contacts between +Dex macrophages (75% last longer than 1 hour in scrambled control vs. 50% in EPHB4 KD on average). The loss of EPHB6 did not lead to any differences in mean duration to the scrambled control (Figure 4E and F); therefore, confirming the EPHB4 peptide inhibitor result. Interestingly, EPHB6 knockdown leads to a statistically higher number of contacts (median of 0.43 vs. 0.57; P<0.0001), indicating that the sole presence of EPHB4 is enough to have a higher number of long-lasting contacts with macrophages. It should be noted that knockdown experiments are less sensitive to the macrophage:erythroblast ratio than the peptide experiments, probably due to peptide saturation occurring.

Primary bone marrow macrophages also require EPHB4 expression on erythroblasts for interaction

To extend a role for ephrin interactions to ex vivo BM macrophages, erythroblastic islands were reconstituted using human BM aspirates. VCAM1 and VCAM1-macrophage populations were isolated in a two-stage process, first by isolating CD14 cells using magnetic beads and then sorting for CD14 VCAM1 cells (Figure 5A). Flow cytometry confirmed that VCAM1 cells were also CD169 as described previously39 (Online Supplementary Figure S1). Erythroblasts cultured from CD34 cells were then introduced at the same stage as for the +Dex macrophages in earlier experiments. Clusters of cells composed of macrophages and erythroblasts were observed following this method of reconstitution (Figure 5B and Online Supplementary Figure S5). Furthermore, these macrophages are highly motile as witnessed for the +Dex macrophages (Figure 5C).40 In Figure 5D and E, VCAM1 BM macrophages have long-lasting interactions with multiple erythroblasts. VCAM1- BM macrophages have 50% of contacts lasting more than 1h compared to 75% of VCAM1 cells. Furthermore, VCAM1- cells form statistically fewer links (P<0.0001). Therefore, as demonstrated with +Dex macrophages, a lack of VCAM1 does not stop interactions with erythroblasts, but its presence does indicate a macrophage with a subtly enhanced erythroblast binding ability.

Figure 5.Bone marrow (BM) macrophage-erythroblast interaction is sensitive to EPHB4 and EPHB6 depletion. (A) Schematic representation of workflow for island reconstitution. (B) Widefield image of a cluster in a VCAM⁺ sample. M: central macrophage; E: erythroblasts. (C) Scaled cell-displacement vector diagrams of macrophage movement for 11 randomly selected VCAM⁺ macrophages and 20 VCAM^–. (D) Min to max boxplot showing the mean hours (h) duration of links between BM macrophages and erythroblasts. Kruskal-Wallis test was performed on 1,123 macrophages for scrambled VCAM⁺ cells, 615 for EPHB4 KD VCAM⁺ cells, 647 for EPHB6 KD VCAM⁺ cells, 779 for scrambled VCAM^– cells, 164 for EPHB4 KD VCAM^– and 432 for EPHB6 KD VCAM^– from two separate experiments from the same donor. The y-axis is a log2 scale. (E) Min to max boxplot showing the average number of links between BM macrophages and erythroblasts. Kruskal-Wallis test was performed on 1,332 macrophages for scrambled VCAM⁺ cells, 875 for EPHB4 KD VCAM⁺ cells, 854 for EPHB6 KD VCAM⁺ cells, 963 for scrambled VCAM^– cells, 164 for EPHB4 KD VCAM^– and 714 for EPHB6 KD VCAM^– from two separate experiments from the same donor. The y-axis is a log2 scale. ***P≤0.001; ****P≤0.0001. h: hours.

Importantly, the results with VCAM1 and VCAM1 cells reproduced those observed using +Dex cultured macrophages with the loss of EPHB4 impacting on erythroblast association. However, unlike +Dex cultured macrophages, the loss of EPHB6 also significantly affected the initiation of associations between BM macrophages and erythroblasts. Therefore, EPHB6 appears to be as equally important as EPHB4 in erythroblastic island reconstitutions when BM macrophages are used (Figure 5D and E). These results confirm the importance of EPHB receptors’ presence at the same time as active integrins for the recognition of erythroblasts as binding partners by macrophages.

Discussion

This work has used an imaging-based assay to interrogate the importance of EPH receptor interactions in the initial association between macrophages and erythroblasts. We have demonstrated that EPHB receptors are present at the surface of erythroblasts during terminal differentiation between the proerythroblast and orthochromatic stages, and that this temporal expression profile coincides with increased integrin activation (Figures 1 and 2). The depletion of EPHB4 causes macrophages and erythroblasts to have fewer long-duration contacts, and the removal of EPHB4 or its inhibition had no effect on integrin activation (Figures 4 and 5). Therefore, loss of EPHB4 alone is sufficient to reduce macrophage recognition of erythroblasts as binding partners. We, therefore, suggest ephrin-B2 binding alongside integrin activation reinforces recognition. We therefore propose a new model of interaction whereby EPHB receptors and integrin engagement act in concert as a coincidence detector, to ensure that the macrophage associates and binds to the differentiating progenitor cell at the appropriate time (Figure 6).

Figure 6.Schematic representation of the role of receptors in erythroblastic island development. Summary diagram of the receptors involved in macrophage-erythroblast binding in erythroblastic island development in the VCAM⁺ cells of the bone marrow compared to ex vivo culture and VCAM^– cells.

Furthermore, contact inhibition of locomotion is thought to be controlled by a ratio of EPHB and EPHA receptors.16 Interestingly, we observed that erythroblasts have a high level of EPHB and EPHA receptors during early stages of differentiation but lose EPHB receptors by the final stages of differentiation, while EPHA is retained (albeit at lower levels). We hypothesize that EPH receptors may contribute throughout the whole process of differentiation; in the early stages of differentiation, EPHB receptor is present in higher amounts than EPHA leading to recognition between the cells, supported by the EPHB4 inhibition disrupting this interaction. As the cells differentiate, the amount of EPHA receptor becomes dominant over EPHB, tantalisingly suggesting that, once the erythroblast has enucleated to form a reticulocyte, EPHA4 may be involved in the separation of the cells; a hypothesis that will need to be explored in future experiments.

It is notable that, in humans, EPH receptor activation did not affect integrin activation at day 5, which contradicts the findings of a recent report,9 which showed that, in mice, EPHB1 receptor engagement caused a rise in CD29 and its activation at the surface of erythroblasts after agrin treatment. We cannot exclude the possibility that agrin still has a role in the integrin β1 activation observed in this study, separate from its additional role in activating the EPHB receptors at the surface. However, our results indicate that these two events are likely independent and that the difference between the previous study and ours is due to differences in species.

Our observation here that VCAM1 macrophages are capable of interacting with erythroblasts confirms work by Wei and Frenette41 and Falchi et al.33 All three types of macrophages tested in this study were capable of binding erythroblasts to some degree. This change in the level of binding could be related to the subtle changes which exist between these cells, be it the presence of VCAM1, different levels of ephrin-B2 at their surface or other unknown differences. Indeed, it is known that varying levels of ephrin-B2 can influence the function of EPHB6.42 As the BM macrophages express lower amounts of ephrin-B2 expression than cultured macrophages, this may explain the former’s interaction sensitivity to EPHB6 silencing. Taken together, the experiments have shown that EPH receptors are more important to the recognition between erythroblasts and macrophages than VCAM1. This mirrors the results found by Wei and Frenette who reported that EMP is more important than VCAM1 for the further stages of the interaction.41 However, we do not fully understand the hierarchy between EPH receptors and the integrins. Our experiments do, however, demonstrate that both EPH and integrins together are essential for the interaction and recognition of the macrophages to the erythroblasts.

The evidence presented here also suggests a VCAM1 independent interaction for integrins in erythroblastic island formation, or perhaps associations are more promiscuous than anticipated. In addition, although a large number of mature macrophages in the human BM are VCAM1, indicating a preference for this phenotype in island formation, the ability for VCAM1 macrophages to form interactions with erythroblasts indicates a flexibility in terms of the type of macrophages which can participate in erythroblastic island formation, which may be important during stress erythropoiesis. The role of VCAM1 in helping erythroblasts expand40 would explain this preference.

In addition to driving interactions, the EPH receptors may play additional supportive roles within the erythroblastic island. It was previously reported that overexpression of EPHB4 increases HSC numbers;20 therefore, EPHB4 might have a proliferative role within the niche. Finally, the observation that erythroblasts express both ephrin-B2 and EPHB4, raises the potential for homophilic cell interaction that could lead to higher proliferation, and also explains the ability of erythroblasts to proliferate in vitro in the absence of macrophages.

In summary, it has previously been difficult to determine the specific contribution certain receptors play in human macrophage-erythroblast interactions during erythropoiesis. This study has successfully employed live imaging of human macrophages and erythroblasts to probe the role of a potential receptor interaction between the cells over time. This has shown, for the first time, a dependence on EPHB interactions for the macrophage and erythroblast interaction, and we believe this imaging assay can help further delineate the importance of other receptors in the interaction between erythroblasts and macrophages in future experiments.

Acknowledgments

We would like to thank Dr. Emile van den Akker for discussion on development of an antibody panel for macrophages; Dr. Andrew Herman and Lorena Sueiro for the Biomedical Sciences Flow Cytometry Facility for FACS sorting; the Wolfson Bioimaging facility for access to the Incucyte, widefield and all their help; Abi Gartner for his help with analysis. We thank the Elizabeth Blackwell Institute Wellcome Trust ISSF Award for providing funding for Stephen Cross.

Footnotes

• Check the online version for the most updated information on this article, online supplements, and information on authorship & disclosures: www.haematologica.org/content/105/4/914
• FundingThis work was funded by NHS Blood and Transplant R&D grants (WP15-05); a Wellcome Trust PhD studentship (LHO-N; 105385/Z/14/Z). This work is also funded by the National Institute for Health Research (NIHR) Blood and Transfusion Research Unit (NIHR BTRU) in Red Cell Products (NIHR-BTRU-2015-10032). The views expressed are those of the authors and not necessarily those of NIHR or the Department of Health and Social Care.

• Received December 20, 2018.
• Accepted June 7, 2019.