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Tissue damage detection by osmotic surveillance

How tissue damage is detected to induce inflammatory responses is unclear. Most studies have focused on damage signals released by cell breakage and necrosis1. Whether tissues utilize other cues besides cell lysis to detect that they are damaged is unknown. We find that osmolarity differences between interstitial fluid and the external environment mediate rapid leukocyte recruitment to sites of tissue damage in zebrafish by activating cytosolic phospholipase a2 (cPLA2) at injury sites. cPLA2 initiates the production of non-canonical arachidonate metabolites that mediate leukocyte chemotaxis via a 5-oxo-ETE receptor (OXE-R). Thus, tissues can detect damage through direct surveillance of barrier integrity. By this mechanism, cell-swelling likely functions as a pro-inflammatory intermediate.

The immune system of zebrafish closely resembles that of mammals [5][6][7][8] . The optical transparency of their larvae allows non-invasive imaging and interrogation of tissue damage detection mechanisms by live microscopy in the intact animal. Zebrafish tail fin wounds are initially (i.e. within 40-60′ after injury) detected by neutrophils and macrophages 9,10 . Migration of these myeloid leukocytes to wounds can be monitored by light transmission microscopy. To test if changes in ion concentrations or osmotic pressure are detected by leukocytes following epithelial barrier injury, we generated tail fin wounds in zebrafish larvae incubated either in hypotonic medium (resembling freshwater), or medium adjusted to the ionic composition and tonicity characteristic of vertebrate interstitial fluid by addition of NaCl. We observed a concentration-dependent (Fig. 1a, b; Supplementary Movie 1), and reversible ( Supplementary Fig. S1a, b, Supplementary Movie 2) inhibition of leukocyte recruitment to the wound site, associated with decreased migration velocity and path-length (Fig. 1a, table), without obvious signs of impaired animal health under these conditions. To test if leukocyte migration inhibition was caused by increased external medium tonicity or by ion-specific effects, we replaced Cl − and Na + ions with choline or gluconate, respectively, and used sucrose and mannose as non-ionic osmolytes. Whereas isotonic NaCl exerted the most pronounced anti-inflammatory effect, all conditions that reduced the osmolarity difference between tissue and external medium inhibited recruitment (Fig. 1c). This indicates that exposure of the zebrafish tail fin to low tonicity is required to trigger rapid recruitment of leukocytes after wounding.
Hypotonic exposure results in cell swelling through osmotic water influx 11 . Subnanometersized ionic osmolytes (e.g. Na + and Cl − ) easily diffuse through a micrometer-sized wound. Thus, cells inside the tail fin are bound to experience osmotic pressure changes following wounding in hypotonic bathing medium. The precise amount of interstitial hypotonicity and cell swelling will depend on wound size, wound-opening time, cell-distance from the wound, and efficiency of regulatory volume decrease mechanisms 12 . In extreme cases, osmotic cell swelling may lead to injury or lysis, which could promote leukocyte recruitment through DAMP-signaling. To test this idea, we wounded zebrafish in hypo-or isotonic medium supplemented with the small, membrane impermeable DNA-dye Sytox-Orange, which enters cells following plasma-membrane damage. DNA-binding enhances Sytox-Orange fluorescence ∼ 500-fold, highlighting damaged or lysed cells. As expected, we frequently detected cell damage along the wound margin, but the tonicity of the medium did not significantly affect the amount of detected damage ( Supplementary Fig. S1c). Orthogonally, we wounded fish in the presence of ATP or epithelial cell extract to test if exogenous DAMPs could bypass isotonic inhibition of leukocyte recruitment. Neither of these treatments reconstituted leukocyte recruitment after isotonic injury ( Supplementary  Fig. S1d). Isotonicity also did not significantly alter epithelial NADPH oxidase (DUOX) activity at the wound margin (Fig. 1d), which was previously identified as a physiological cue necessary for initial leukocyte recruitment [13][14][15][16] . In conclusion, our data do not provide evidence that cell lysis or cytoplasmic leakage instruct initial leukocyte recruitment in our system, and suggest that additional pathways besides DUOX activation are required.
Cell swelling activates a wide variety of ion channels, tyrosine kinases, and lipases including PLA2 in different cell types 12 . PLA2 enzymes regulate inflammation and cell volume homeostasis by releasing fatty acids such as arachidonic acid (AA) from the sn-2 position of phospholipids, but how cell swelling activates PLA2 remains unclear 12 . Secreted (sPLA2) and Ca 2+ independent (iPLA2) members of the PLA2 family accept phospholipid substrates of broadly varying sn-2 fatty acid chain length. We therefore focused on cPLA2, which specifically releases the inflammatory mediator AA 17 . Semi-quantitative RT-PCR on RNA pools from FACS-sorted cell populations of transgenic larvae expressing the far-red fluorescent protein mKate2 in leukocytes indicated uniform cpla2 message expression in leukocyte-enriched and leukocyte-depleted cell fractions ( Supplementary Fig. S2a).
cPLA2 translocation to the nuclear membrane, where key enzymes of AA metabolism (e.g. cyclooxygenases, and lipoxygenases) localize, is associated with phospholipid hydrolysis at that site 18,19 and provides a microscopically tractable, steady-state readout for cPLA2 activation in live cells. cPLA2 was N-terminally fused to mKate2 and the reporter mRNA was injected into one-cell stage embryos. Spinning disk confocal microscopy of live larvae revealed that cPLA2-mKate2 was localized within the nucleus regardless of expression level (Fig. 2a, upper panel) resembling the endogenous cPLA2 localization in proliferating cells 20,21 . Following tail fin wounding with a UV-laser, cPLA2-mKate2 translocated to the nuclear membrane within seconds (Fig. 2a, lower panel; Supplementary Movie 3). The localization and translocation of endogenous cPLA2 was also confirmed by immunofluorescence staining (Supplementary Fig. S2b). We typically observed ∼80% translocation in the first 2-3 rows of wound margin cells and a gradually decreasing translocation frequency over a distance of ∼100-150 μm into the tissue. Larval fin epithelium consists of various cell types 22 and we observed translocation in at least two distinct cell populations, likely epithelial and fibroblast-like cells 23 , as judged by inspection of nuclear shapes (Fig. 2a, first image column; compare round vs. irregular shaped nuclei).
To determine whether cPLA2 translocation depends on cell volume [24][25][26][27] , fish were wounded in isotonic medium to inhibit osmotic cell swelling. cPLA2-mKate2 translocation was severely inhibited under these conditions (Fig. 2b, c, d). Conversely, we blocked regulatory volume decrease with gadolinium (Gd 3+ ) or ethylene glycol tetra-acetic acid (EGTA) as previously described 28 to augment osmotic cell swelling. Gd 3+ exposure enhanced wound margin swelling, as judged by visual inspection of light transmission timelapse movies (Supplementary Movie 4), and significantly enhanced cPLA2-mKate2 translocation around the injury site ( Fig. 2b, right vs. left panel, Fig. 2c, d). By contrast, EGTA treatment completely inhibited cPLA2-mKate2 translocation even in response to hypotonic wounding (Supplementary Movie 5). This is consistent with cPLA2 translocation being Ca 2+ dependent 17 . Following bath medium supplementation with additional Ca 2+ to overcome EGTA mediated extracellular Ca 2+ sequestration (after cells were already swollen), cPLA2-mKate2 rapidly translocated to nuclear membranes within the complete field of view (Supplementary Movie 5). Simultaneous imaging of cPLA2-mKate2 translocation and cytoplasmic Ca 2+ influx in EGTA treated fish revealed a tight spatiotemporal correlation of both events (Fig. 3a, b). Wound-induced Ca 2+ waves have been observed in different tissues across phylae 29,30 , but their downstream effectors have remained largely unclear. Tail fin injury rapidly increases cytoplasmic [Ca 2+ ] at the wound site irrespective of medium tonicity (Fig. 3c, Supplementary Movie 6), whereas cPLA2 translocation only occurs under hypotonic conditions. This suggests that in this physiological context, Ca 2+ alone is not sufficient to induce cPLA2 activation, which is different from what has been reported in cell culture experiments 18 . Such co-requirement for Ca 2+ and swelling may function as a physiological AND gate to suppress erroneous inflammatory outputs in response to non-correlated fluctuations of [Ca 2+ ] or cell volume in the absence of a wound.
To test if cPLA2 is required for leukocyte recruitment to tail fin wounds, we depleted functional cpla2 message using a splice interfering morpholino. This generated a truncated cpla2 mRNA, and strongly inhibited leukocyte recruitment by impairing both migration velocity and directionality (Fig. 4a, Supplementary Movie 7). Morphant embryos had no morphological defects even at high morpholino concentrations (2-4 pmol/embryo). Leukocyte recruitment in response to bath application of the chemoattractant LTB 4 was unperturbed (Fig. 4b), excluding nonspecific and/or permissive effects of cpla2 knockdown. Likewise, leukocyte recruitment in cpla2 morphants was partially rescued by co-injection of mRNA coding for cPLA2-mKate2 ( Supplementary Fig. S2c), which also confirms the functionality of our cPLA2 reporter. Non-selective pharmacological inhibition of PLA2 activity with N-(p-amylcinnamoyl) anthranilic acid (ACA) inhibited leukocyte recruitment ( Supplementary Fig. S2d), corroborating the morpholino experiments. Together with our translocation data, this suggests that hypotonic swelling activates cPLA2 in cells at the wound margin by a Ca 2+ -dependent mechanism, and raises the possibility that AA metabolites are involved in leukocyte recruitment.
To explore this possible role of AA metabolites, we attempted to rescue leukocyte recruitment to wounds in the absence of cPLA2 activation, using isotonic medium. AA in the fish medium caused a concentration-dependent rescue of leukocyte recruitment (Fig. 4c), which was similar to the endogenous wound response in terms of speed and radius of leukocyte recruitment. To test if non-specific, biophysical effects (alterations of membrane fluidity, amphiphilic modulation of channel activation, etc.) contribute to AA-induced leukocyte activation, we tested the effect of two structurally related AA downstream metabolites 5(S)-and 15(S)-HETE, which have an additional hydroxyl group at different positions compared to AA. The wound response was reconstituted with 5(S)-HETE, but not by its positional isomer 15(S)-HETE (Fig. 4d). Thus, AA and its metabolite 5(S)-HETE mediate leukocyte migration by a molecule-specific signaling mechanism. Preferential entry through the epithelial barrier breach, or local wound metabolism into different chemotactic species, may explain the ability of these cell-permeable lipids to generate spatially instructive wound cues following uniform application in fish bathing solution.
The small tissue size rendered biochemical quantification of local AA production and oxidation in wounded tail fin tips impossible. AA oxidation can occur via enzymatic or nonenzymatic routes. A gross pharmacological characterization of the enzymes known to act on AA indicated a possible role for 5-lipoxygenase (ALOX5), but not cyclooxygenases or LTA 4 hydrolase (LTA 4 H) (Supplementary Fig. S3). Concordant with studies showing leukotriene precursor production by non-myeloid cells of the skin 31, 32 , and ubiquitous alox5 mRNA expression in embryonic zebrafish 33 , we detected alox5 message both in leukocytes and leukocyte-depleted tissue (Supplementary Fig. S3f). These experiments indicated the Enyedi et al. Page 4 participation of chemotactic lipoxygenase metabolites other than classic LTA 4 H-derived leukotrienes.
The ALOX5 product 5(S)-HETE can undergo oxidation to 5-KETE (also termed 5-oxo-ETE) by 5-hydroxyeicosanoid dehydrogenase in various cell types including myeloid and epithelial cells 34 . The non-canonical eicosanoid 5-KETE is a potent neutrophil and eosinophil chemoattractant in mammals 35 , but its physiological role remains little understood. Confirming its chemoattractive function in zebrafish, addition of 5-KETE to isotonic tail fin wounds restored dynamic parameters and recruitment of leukocytes to hypotonic control levels (Fig. 5a, Supplementary Movie 8). In human cells, 5-KETE signals via a G-protein coupled receptor (GPCR) termed OXE-R. To investigate if OXE-R signaling contributes to the zebrafish wound response, we identified in the zebrafish genome a predicted GPCR gene and ortholog to human OXE-R (OXER1), henceforth referred to as oxer1 (GPR81-4, ENSDARG00000087084). FACS sorting and semi-quantitative RT-PCR revealed that oxer1 mRNA was robustly expressed both in leukocytes and leukocyte depleted tissue ( Supplementary Fig. S4d). Oxer1 knockdown with a translation blocking morpholino inhibited leukocyte recruitment to tail fin wounds by reducing leukocyte migration velocity and directionality (Fig. 5b, Supplementary Movie 9), while it did not significantly affect embryo survival or gross morphology even at high morpholino concentrations (∼ 2 pmol/embryo). To probe for potential morpholino off-target effects and permissive functions of OXE-R, we quantified leukocyte migration in unwounded fish in response to bath application of LTB 4 . LTB 4 produced strong migration in both wt and oxer1 morphant fish (Fig. 5c). By contrast, migration in response to bath application of 5-KETE was blocked only in oxer1 morphants, but not in wt embryos (Fig. 5d). Receptor desensitization by prolonged preincubation with exogenous 5-KETE significantly reduced hypotonic (i.e. control) wound recruitment of leukocytes ( Supplementary Fig. S4a). Leukocyte chemotaxis to isotonic wounds in response to bath application of AA was also inhibited in oxer1 morphants ( Supplementary Fig. S4b). Together, these data suggest that zebrafish OXE-R mediates 5-KETE and AA responses, and rapid, endogenous leukocyte recruitment to tail fin wounds.
Activation of the epithelial NADPH oxidase DUOX at the wound site is necessary for rapid leukocyte chemotaxis 13 . Isotonic inhibition of cPLA2 activation, as well as cpla2 and oxer1 knockdown inhibit leukocyte recruitment, but not NADPH oxidase activity at the wound margin (Fig. 1d, Supplementary Fig. S4e). This indicates that DUOX activation alone is not enough to trigger leukocyte chemotaxis, and we now show that osmotically-induced production of AA is also required. Oxo-eicosanoids, such as 5-KETE, are preferentially produced in response to oxidative stress e.g. caused by H 2 O 2 or cytoplasmic NADPH depletion, respectively 34 S5).
We have demonstrated the existence of an osmotic signaling circuit that directly monitors tissue barrier integrity. In contrast to current danger signaling paradigms, our findings suggest that tissues can sense injury even in the absence of dead cells by harnessing cell swelling as pro-inflammatory intermediate. Some human pathologies, e.g. cystic fibrosis, cause defective cell volume homeostasis 38 and inflammation. Tissue-necrosis (e.g. during ischemia) produces excessive cell swelling and leukocyte recruitment 39 . Leukocyte necrotaxis has been typically linked to cytoplasmic leakage. Given our results, leakageindependent contributions of necrotic cell swelling, which generally precedes necrotic lysis, warrant closer investigation.
Osmotic surveillance of barrier integrity probably evolved in freshwater organisms to ensure reliable detection and safeguarding of epithelial breaches. Those present major infection risks, but can easily occur with minimal cell-death. Notably, major parts of the upper digestive tract, and potentially also the lungs 3, 4 of land living mammals are covered with hypotonic fluid. Human saliva is initially isotonic, and becomes desalted by ductal passage.
Although the tonicity of lung fluid is debated 40 , it is clear that our bodies establish a freshwater-like environment (saliva: ∼30 mOsm) within the oral cavity and esophagus. The physiological purpose of this remains unclear, but it is conceivable that luminal hypotonicity presents part of an ancestral barrier defense mechanism of wet epithelia that proved useful during evolution.

Supplementary Material
Refer to Web version on PubMed Central for supplementary material. Hypotonicity is required for rapid leukocyte recruitment to larval zebrafish tail fin wounds.
(a) Recruitment of leukocytes to incisional tail fin wounds imaged in zebrafish larvae by light transmission microscopy. During wounding and subsequent imaging, larvae were kept either in normal, hypotonic E3 embryo medium ('Control', containing 5 mM NaCl) or in embryo medium that had been adjusted to the common extracellular tonicity of vertebrates (∼270-300 mOsm) by addition of 140 mM NaCl ('Isotonic (NaCl)', 145 mM NaCl). Left panel, representative leukocyte tracks capturing all visible cell movements within 40 min after injury. Graph: mean number of leukocytes reaching the wound within t = 40 min after injury.  Extracellular Ca 2+ is required for cPLA2 activation. (a-b) Parallel confocal imaging of cPLA2-mKate2 and cytosolic Ca 2+ signals using the GEX-GECO1 Ca 2+ indicator in live zebrafish larvae. Larvae were wounded manually in isotonic medium without Ca 2+ , supplemented with 1mM EGTA and mounted in a small volume of low melting isotonic agarose. Hypotonic medium without Ca 2+ , supplemented with 1mM EGTA was added on top of the isotonic agar pad at t = 0 min. cPLA2-mKate2 fluorescence (montage) and GEX-GECO1 405nm/488nm excitation ratio images were acquired over the indicated time without