A Novel In Vitro Model to Study Pericytes in the Neurovascular Unit of the Developing Cortex Christoph M. Zehendner*, Hannah E. Wedler¶, Heiko J. Luhmann Institute of Physiology and Pathophysiology, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany Abstract Cortical function is impaired in various disorders of the central nervous system including Alzheimer’s disease, autism and schizophrenia. Some of these disorders are speculated to be associated with insults in early brain development. Pericytes have been shown to regulate neurovascular integrity in development, health and disease. Hence, precisely controlled mechanisms must have evolved in evolution to operate pericyte proliferation, repair and cell fate within the neurovascular unit (NVU). It is well established that pericyte deficiency leads to NVU injury resulting in cognitive decline and neuroinflammation in cortical layers. However, little is known about the role of pericytes in pathophysiological processes of the developing cortex. Here we introduce an in vitro model that enables to precisely study pericytes in the immature cortex and show that moderate inflammation and hypoxia result in caspase-3 mediated pericyte loss. Using heterozygous EYFP-NG2 mouse mutants we performed live imaging of pericytes for several days in vitro. In addition we show that pericytes maintain their capacity to proliferate which may allow cell- based therapies like reprogramming of pericytes into induced neuronal cells in the presented approach. Citation: Zehendner CM, Wedler HE, Luhmann HJ (2013) A Novel In Vitro Model to Study Pericytes in the Neurovascular Unit of the Developing Cortex. PLoS ONE 8(11): e81637. doi:10.1371/journal.pone.0081637 Editor: Edward F Plow, Lerner Research Institute, United States of America Received August 30, 2013; Accepted October 14, 2013; Published November 21, 2013 Copyright: © 2013 Zehendner et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Funding: CMZ was supported by a Stage 1 grant of the University Medical Center of the Johannes Gutenberg-University of Mainz. This work was supported by DFG grants to HJL. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Competing interests: The authors have declared that no competing interests exist. * E-mail: Zehendner@uni-mainz.de ¶ This work contains the M.D. thesis of Hanna E. Wedler Introduction function. However, little is known about the role of pericytes in the immature cortex during pathological conditions. This is Proper cortical development and function requires intact partly due to a lack of appropriate in vitro models that allow the neurovascular coupling [1] and the intact brain endothelial analysis of pericyte-associated pathophysiology under barrier separating blood from the central nervous system precisely controlled in vitro conditions over prolonged time (CNS) [1–3]. More than 70% of the cerebrovasculature in the periods. It is speculated that infections and inflammatory rodent CNS is covered by pericytes [4]. This high percentage of processes during early brain development are implicated in a microvascular pericyte coverage reflects their pivotal role for a variety of neurological and psychiatric disorders including proper formation of the blood-brain barrier (BBB), a highly schizophrenia or autism [6–8]. The goal of the present study organized vascular network within the CNS, which separates was to establish an in vitro model that allows to study pericytes the neuronal parenchyma from peripheral circulation, and in the developing cortex with a preserved neuronal network and modulates its supply with nutrients. Besides pericytes various to elucidate the impact of inflammation and hypoxia on BBB transporters, tight junction proteins and cellular pericytes. interactions including astrocytes [5], glia and neurons within the Here we present a novel approach to study pericytes for NVU orchestrate this complex task. Disturbances of this days in cortical organotypic slice cultures (COSC) from interplay significantly impair neurovascular integrity in the adult newborn postnatal day 3-4 (P3-P4) mice with various methods as well as developing brain and result in cognitive decline[2]. including live cell imaging and electrophysiological recordings. Bell et al. have recently demonstrated that pericyte loss impairs Since the developmental stage of the CNS of newborn rodents learning capability, results in neurovascular impairment and at P3-P4 corresponds to that of preterm human babies at the leads to accumulation of neurotoxic substances in the cortex of age of postconceptional month 6 [9,10], our clinically relevant PDGFRb +/- mice starting at 1 month of age [4]. This finding in vitro model allows to elucidate pericyte-associated cellular points towards a crucial role of pericytes for proper cortical mechanisms in the developing cortex and to unravel processes PLOS ONE | www.plosone.org 1 November 2013 | Volume 8 | Issue 11 | e81637 Pericytes in the Developing Cortex In Vitro of repair within the developing brain following e.g. inflammation following day in ice cold acetone (about 10 minutes) for or ischemia. It may also be a useful approach to assess cell- immunohistochemistry. based therapies like reprogramming of pericytes into induced neuronal cells. Cardiac perfusion C57/BL6 or heterozygous EYFP-NG2[15] mice were Materials and Methods anesthetized by intraperitoneal (i.p.) injection of ketamine (120 mg/kg bodyweight) and xylazine (16 mg per KG bodyweight). Ethics statement Body temperature was kept at around 37°C with temperature All experiments were approved by the ethical committee of controlled heating pads until the stadium of surgical tolerance the “Landesungersuchungsamt Rheinland-Pfalz” and the according to Guedel[16] was reached. This was assessed by authority “Landesuntersuchungsamt Rheinland-Pfalz”, protocol absence of a pain reflex upon toe pinch. The thorax was number: “Aktenzeichen 23 177 – 07 A12-1-004 and 23 177 – carefully opened with a microsurgical pair of scissors and 07 A12-1-005”. Principles of laboratory animal care (European animals were cardially perfused via the left ventricle with icecold Ringer solution containing heparin (1 IU/ml). After removal laws 86/609/EEC, national laws and NIH publication No. 86-23, of blood the perfusion solution was switched to 2% PFA and revised 1985) were followed. All efforts were undertaken to perfusion was continued for another 10 minutes. Brains were minimize the number of animals used and their suffering. collected and post-fixed in 2 % PFA for 2 hours at 4°C. 100 µm thick coronal sections were cut with a vibratome and used for Preparation of COSC immunohistochemical processing. For some analyses brains Cortical organotypic slice cultures were prepared as were collected after blood was removed by saline perfusion described in detail before with slight modifications[11–13]. All and snap frozen in tissue tek with the help of liquid nitrogen. efforts were made to minimize the number of animals used and Here, 20 µm thick coronal sections were cut with a cryotome their suffering. All experimental manipulations were carried out and fixed in ice cold acetone for 4-5 minutes. according to the European and national laws (86/609/EEC) on animal handling. In brief C57/BL6 or heterozygous EYFP-NG2 Live Cell Imaging of pericytes knockin P3/4 mouse pups were rapidly decapitated. The head P3/4 heterozygous EYFP-NG2 mouse pups were deeply was disinfected with a drop of ethanol 70% and the brain was anesthetized by i.p. injection of ketamine (120 mg/kg quickly removed and transferred into 4°C cold medium. bodyweight) and xylazine (16 mg per KG bodyweight). After Beneath a benchtop microscope under laminar flow bulbi and surgical tolerance stadium was reached (tested as documented the cerebellum were dissected. Hemispheres were carefully above) 50–100 µl tomato lectin were injected into the left separated and meninges were removed with forceps. ventricle and after 2 minutes animals were perfused with ice Afterwards hemispheres were cut into 350 µm thick coronal cold heparinized (1 IU/ml) Ringer solution. Thereafter brains slices using a chopper. Cortices were transferred onto Millicell were collected for COSC procedure as afore (see above) membrane filters (Merck Chemicals, Schwalbach, Germany) documented. COSC were examined with an upright confocal that were pre-equilibrated with medium over night at 37°C, 5 % spinning disk system at 37°C in colorless Hanks balanced CO , humidified atmosphere. Medium was exchanged 1 day saline solution maintaining 1 mmol/l magnesiumchloride, 22 after preparation, thereafter every 2-3 days. Culture medium mmol/l calciumchloride and 6-9 mg/ml glucose. consisted of 50% MEM HEPES GlutaMax, 25% heat inactivated horse serum, 25% Hanks balanced salt solution Immunohistochemistry supplemented with 1 mmol/l magnesiumchloride, 2 mmol/l Immunohistochemical stainings were carried out according to calciumchloride. Glucose was added to a total concentration of standard procedures described in detail elsewhere[11,17]. 6-9 mg/ml, pH was adjusted to 7.2. We would like to stress the Tables 1 and 2 give an overview on used antibodies, dilutions fact that pH was most important for the preparation and great and purposes of the staining. In brief fixed probes were washed care should be taken to make sure the pH is correctly adjusted with 0.01 mol/l PBS. Subsequently tissue was blocked with 7% to 7.2. For culture purposes Millicell filter membranes were pre- normal donkey serum (017-000-121, Dianova, Hamburg) and incubated in 6 Well plates containing 1 ml medium per well permeated with 0.3% triton in PBS 0.01 mol/l for two hours at over night. COSC were carefully examined with light room temperature. Only for BrdU staining samples were then microscopy for intact morphology ahead of experimental incubated for 90 minutes at room temperature with 2 mol/l HCl. manipulation. Only COSC that displayed an intact morphology To verify the specific binding of the secondary anti-mouse were used for experimental procedures. antibody (used in Claudin-5 and NeuN stains) mouse IgG wereblocked using a Fab (1:20, 2 hours in PBS 0.01 mol/l, AffiniPure Fab Fragment Donkey Anti-Mouse IgG (H+L), 5-bromo-2'deoxyuridine (BrdU) application Jackson, Dianova) blocking technique. Primary antibodies were BrdU was applied similarly as documented elsewhere[14]. In incubated in 2% bovine serum albumin (001-000-161 Diana, brief COSC were exposed towards medium containing 10 Hamburg) containing 0.05% azide and 0.1% triton in PBS 0.01 µmol/l BrdU for 3 hours on the third day in vitro. Subsequently mol/l (overnight, room temperature). After incubation with COSC filter membranes were washed gently once and medium primary antibodies probes were washed with PBS 0.01 mol/l was switched to BrdU-free medium. COSC were fixed the and incubated with secondary antibodies and DAPI in 2% PLOS ONE | www.plosone.org 2 November 2013 | Volume 8 | Issue 11 | e81637 Pericytes in the Developing Cortex In Vitro Table 1. Primary antibodies and stains. Table 2. Secondary antibodies. Antibodies and stains Application Secondary antibodies related primary antibodies endothelial marker, transmembraneous Cy2 (A50-201C, Bethyl Lab, PDGFR beta (Figure 1 C-F, Movie S1) anti-claudin 5 (Life technologies tight junction linker protein of the BBB Biomol), 1:200 #35-2500), 1:50 and other endothelial cells e.g. within Cy3 (705-165-147, Jackson, PDGFR beta (Figures 1 G, 2; 3; 4 C; 5 B; 6 A, gut, kidneys Dianova), 1:200 E, Movies S3, S4, S5) anti cleaved caspase-3 (Signaling DyLight 488 (711-485-152, Marker of apoptosis Technology ASP 175, #9669), 1:200 Jackson, Dianova), 1:100 OR BrdU (Figure 5 A, Movies S5, S6); Ki67 anti-GFAP (Dakocytomation, Z 0334), DyLight 488 produced in donkey (Figure 5 B); cleaved caspase-3 (Figure 7 A), Marker of astrocytes 1:200 (A120-208 D, Biomol), 1:100 – nitrotyrosine (Figure 7 D, E) anti-NeuN (Millipore, MAB377), 1:200 Neuronal marker 1:200 anti-PDGFR beta (Neuromics, GT DyLight 488 (A90-337D2, claudin 5 (Figures 2 A, 6 B, Movies S3, S4), Pericyte marker 15065), 1:200 Biomol), 1:200 NeuN (Figure 2 B) anti-Ki67 (ab 15580 Abcam), 1:200 Cell proliferation marker Desmin, NG2 (Figures 1 C, F, 4 E, Movies S1, Alexa Fluor 647 (711-605-152, Staining against the nucleoside S2), GFAP (Figure 2 A, Movie S2), pan- anti-BrdU, (347580, Becton Dickinson) Jackson, Dianova), 1:200 analogue of thymidine (BrdU), an Laminin (Figures 3 A, B, Movie S4) 1:100 indicator of DNA replication Cy3 (715-165-151, Jackson, Claudin 5 (Figures 1 B, E; 3 E) Tomato lectin, TexasRed (Vector Dianova), 1:200 Endothelial marker Laboratories) DyLight 549 (712-505-153, CD105 (Figure 1 D, Movie S1) DAPI (Sigma, 32670) 0.5 µg/ml Cell nuclei staining Jackson, Dianova), 1:200 anti-Desmin (4024 Cell Signaling), 1:100 Pericyte marker doi: 10.1371/journal.pone.0081637.t002 anti-pan-Laminin (ab7463, Abcam) Marker of basement membrane 1:1000 Microsystems), Metamorph (Molecular Devices Corp., Marker of oxidative stress induced by Anti-Nitrotyrosine (Merck Millipore, Downington, CA, USA), NIH Fiji is just ImageJ and IMARIS reaction of peroxynitrite with the amino 06-284), 1:200 imaging software (Bitplane, Switzerland). Caspase-3 positive acid tyrosine pericytes were identified by visual identification of PDGFR beta doi: 10.1371/journal.pone.0081637.t001 positive pericytes and cleaved caspase-3 co-localization. The ratio of pericytes positive for caspase-3 related to all pericytes bovine serum albumin with 0.05% azide for another 2 hours at was calculated within randomly chosen fields of view (RFV) of room temperature. After a final washing step in 0.01 mol/l PBS confocal images in COSC in layers II-IV. Images were obtained probes were embedded in Fluoromount. The sensitivity of the with a Leica SP5 confocal. The ratio of groups treated with IL-1 nitrotyrosine antibody was confirmed by positive controls with beta, hypoxia or both stimuli was set in relation to the mean peroxynitrite as recommended by the manufacturer. ratio of respective control groups. Relative changes in fold change are presented. For this purpose 7-41 COSC Elecytrophysiological Recordings in Multi-Electrode preparations from 6-28 animals (up to 2812 pericytes) were Arrays analyzed for each condition. Microvascular pericyte coverage To evaluate spontaneous neuronal network activity of COSC was determined by measuring total vessel length with the Fiji after five days in vitro, MEA recordings were performed. COSC measurement tool in pixels similar as described before[11]. on Millicell filter membranes were cut out with a small scalpel Total pericyte length was related to vessel length and relative and transferred on an 8 x 8 MEA chip (multichannel systems, microvascular pericyte coverage was obtained. For evaluation Reutlingen, Germany) consisting of 60 electrodes with a of caspase-3 inhibition on pericytes loss, pericytes in RFV of diameter of 30 µm and an interelectrode distance of 200 µm. cortical layers II-IV were identified by DAPI, pan-laminin and To avoid dislocation of COSC, a small weight was put on top of PDGFR beta co-staining and the total number of pericytes per the slices. Prior to use the chip was heated up to a temperature volume was determined via confocal z-stacks. Here the of 37°C. COSC on MEA chips were kept at 20% O2 and 5% minimum spatial resolution was: 1.5 µm X * 1.5 µm Y * 2 µm Z CO2 in a humidified atmosphere. Recordings were initiated 10 voxel size. Values were related to control groups and minutes after placing COSC on MEA chips and lasted 30 differences in fold change are displayed. At least 3 COSC per minutes. MC-Rack software version 4.1.1 (multichannel group were analyzed. system, Reutlingen, Germany) was used for acquisition of the If not stated otherwise all images shown in this manuscript data. Sigma Plot version 7.0 (Systrat Software, Erkrath, are confocal images. 3 dimensional reconstructions of z-stacks Germany) was utilized for analysis. were performed with IMARIS imaging software. Image analysis Image acquisition All image analysis were processed and performed using We used a Leica SP5 confocal microscope for image Leica Application Suite Advanced Fluorescence (Leica analysis. Excitations were 405 nm, 488 nm, 561 and 633 nm. PLOS ONE | www.plosone.org 3 November 2013 | Volume 8 | Issue 11 | e81637 Pericytes in the Developing Cortex In Vitro In addition we used an upright microscope with confocal crucial for blood brain barrier integrity in vivo [21] and in vitro spinning disk system (QLC10 Visitech, Sunderland, UK) [12,17]. Cl-5 staining revealed a high number of Cl-5 positive equipped with a temperature controlled chamber for live cell microvessels within COSC that were in close contact with imaging (excitation: 488 nm, 568 nm). PDGFR beta positive cells (Figure 1 B). Another protein expressed by pericytes is NG2. However NG2 is not solely Induction of hypoxia and inflammation, DPI and Z- restricted to pericytes but also expressed e.g. by DEVD-fmk treatment oligodendrocyte precursor cells [22]. Co-stainings of PDGFR Hypoxia was induced by placing COSC membranes into beta and NG2 demonstrated a partial co-localization of both medium which was bubbled with a gas mixture of 8% O , 5 % pericyte markers (arrowhead Figure 1 C) that was confirmed2 CO , rest N . Then probes were kept in a hypoxic incubator for by 3 D reconstructions (Movies S1, S2). Pericytes in native P32 2 24 hours. Atmosphere in the incubator was adjusted to reach mice (Figure 1 D) demonstrated a similar perivascular levels of about 75 mmHg O in culture medium. O levels were localization as found in COSC (Figure 1 E, insets),2 2 monitored ahead and after hypoxia using an Oxylite pO demonstrating that our in vitro model recapitulates the2 sensing probe (Oxford Optronics, Oxford, UK). For anatomical in vivo situation. PDGFR beta positive cells inflammation probes were incubated for 24 hours with medium appeared as cells with a DAPI positive cell soma, their containing 10 or 100 ng/ml Interleukin 1 beta (IL1B R & D processes following microvessels (Figure 1 D, E insets). Note Systems, Catalog number 401-ML). The inhibitor DPI was that the cell nucleus of a pericyte is mostly spared by PDGFR preincubated for 1 hour at a concentration of 50 µmol/l ahead beta staining because PDGFR beta is a tyrosine kinase of experimental manipulation. We chose this concentration situated in the membrane of a pericyte, not in the nucleus [22]. because we found DPI to be protective at 50 µmol/l on brain The pericyte nucleus is surrounded by PDGFR beta staining endothelial cells during moderate hypoxic conditions that continues along pericyte processes. (Zehendner et al. unpublished data). In addition DPI was Another antigen reported to be expressed by pericytes is successfully used at 50 µmol/l by other groups[18]. To Desmin [22]. Desmin positive cells were found to co-localize elucidate impact of caspase-3 inhibition on pericyte cell death with PDGFR beta next to cortical microvessels in COSC cells were treated with Z-DEVD-fmk (20 µmol/l) during 24 h of (Figure 1 F). Desmin also co-localized with PDGFR beta in moderate hypoxic and inflammatory (100 ng/ml IL1B) native P3 mice (Figure 1 G). In addition microvascular pericyte conditions. Respective controls were treated with solvent (PBS, coverage, a hallmark for neurovascular integrity [4], was not DMSO <0.1%) only. Hypoxic and / or inflammatory treatment significantly different at 5 DIV within COSC compared with was started on DIV 2 and COSC were fixed for analyses on native P3 mice (COSC DIV5: 0.9 + 0.02 vs. P3: 0.89 + 0.02; n DIV 3. = 93 - 101 microvessels [>10 COSC preparations, 6 native P3 mice], P = 0.7821, Figure 1 H). Statistics The neurovasular unit in the novel in vitro model Results are documented as Mean + standard error of the mean (SEM). All data were analyzed using Graphpad Prism for Immunohistochemical quadruple stainings show that in the Windows (version 4.02, Graphpad, San Diego, CA, USA). presented in vitro approach almost all of the cell types of the Datasets were checked for normalization by using D’Agostino neurovascular unit are present and display a preserved and Pearson omnibus test. Groups that passed the D’Agostino morphology in COSC after 3 DIV. Using high power imaging of and Pearson omnibus test[19] were therefore analyzed by two- cortical microvessels, pericytes and astrocytes we found that sided unpaired student’s t-test. Groups that did not pass the the endothelium is enwrapped by pericytes that are further in test for normalization were analyzed with a two sided Mann- close contact with astrocytes (Figure 2 A, Movie S3). NeuN Whitney U test. Differences were regarded to be significant at immunoreactivity revealed the presence of neurons with an alpha < 0.05. intact cellular morphology within the COSC preparation (Figure2 B). It has been reported that the basement membrane (BM), which consists of laminins, proteoglykans, nidogens as well as Results collagen IV [23], is of high relevance for neurovascular integrity [24,25]. Therefore we were interested in the question if a BM is Perivascular cells within cortical organotypic slice present in the cortical neurovascular in vitro model. We found cultures that cortical microvessels and pericytes in COSC possess a In the CNS the PDGFR beta receptor is exclusively BM as demonstrated by pan-Laminin stainings (antibody that expressed by pericytes and therefore represents a sensitive binds to Laminin chains alpha-1, beta-1, alpha-2 and gamma-1, pericyte marker [4,20]. To identify perivascular PDGFR beta and thereby many laminin isoforms that contain at least one of positive cells in COSC we performed immunohistochemical these chain types) in COSC [24,26]. Laminins are analyses with different vessel markers (CD105, Claudin 5), heterotrimers composed of an alpha, beta and gamma chain PDGFR beta and DAPI. Our COSC preparations displayed a [23]. They are a hallmark for a proper formation of a BM and well preserved cytoarchitecture of cortical layers after 5 days in therefore are a marker of the BM in microvessels in the CNS vitro (DIV) as demonstrated by DAPI staining (Figure 1 A). The [25,27]. We observed a preservation of the BM in the transmembraneous tight junctional protein Claudin 5 (Cl-5) is neurovascular unit of our in vitro preparation after 4 DIV expressed by brain endothelial cells [17] in COSC and is (representative images from more than 10 COSC preparations, PLOS ONE | www.plosone.org 4 November 2013 | Volume 8 | Issue 11 | e81637 Pericytes in the Developing Cortex In Vitro Figure 1. Pericytes in cortical organotypic slice cultures. Microvessels and pericytes in COSC were immunolabelled with different vascular markers (CD105, Cl-5), the pericyte marker PDGFR beta and DAPI. COSC preparations displayed a well preserved cytoarchitecture of cortical layers after 5 DIV (DAPI, epifluorescent image, A). A high number of microvessels covered by pericytes remained in COSC (epifluorescent image, B). PDGFR beta (green) partly co-localized (yellow) with the proteoglykan NG2 (red) in COSC which is another pericyte marker (arrowhead, confocal Z-stack with orthogonal section views, C). Similar to the perivascular localization of PDGFR beta positive cells in newborn mice at the age of postnatal day 3 (D) we observed PDGFR beta positive cells to be in close contact with microvessels in COSC after 5 DIV (E). Note the DAPI positive pericyte cell soma in which the nucleus is mostly spared by PDGFR beta staining (marked by asterisks) and its processes that follow the microvessel (D, E insets). Further the pericyte marker Desmin was found to be expressed by perivascular PDGFR beta positive cells in COSC (Panel F) as well as in native P3 mice (Panel G). Pericyte coverage in cortical microvessels was not significantly different in native P3 mice compared with COSC (H). doi: 10.1371/journal.pone.0081637.g001 PLOS ONE | www.plosone.org 5 November 2013 | Volume 8 | Issue 11 | e81637 Pericytes in the Developing Cortex In Vitro Figure 2. The neurovascular unit in COSC. Immunohistochemical stainings show a preserved morphology of astrocytes and pericytes that cover cortical microvessels in COSC (A). Stainings with the neuronal marker NeuN demonstrated a preserved neuronal morphology within the neurovascular unit of COSC (B). doi: 10.1371/journal.pone.0081637.g002 Figure 3 A). High power confocal images revealed that cortical vesicular stomatitis glycoprotein-pseudotyped retroviruses to microvessels and pericytes are embedded in the BM (Figure 3 transduce certain differentiation factors e.g. Mash1 and Sox2 B, Movie S4). Animated three-dimensional reconstructions with [29]. However, this process is crucially dependent on the laser scanning confocal imaging confirmed these findings on capacity of pericytes to proliferate because a successful an intact NVU (Movies S3, S4). transduction via retroviral vectors (except for lentiviruses) is dependent on the ability of the targeted cells for cell division. Live cell imaging of pericytes in EYFP-NG2 knockin We found that BrdU (exposition for 3 hours on DIV 3, 10 µmol/l) mice was incorporated by some pericytes within 24 hours after To address the question whether the in vitro model can be exposure (Figure 5 A, Movies S5, S6). In addition some used for live cell imaging of pericytes, we labeled cortical pericytes were positive for Ki67 (Figure 5 B), a marker for cell microvessels of P4 heterozygous EYFP-NG2 knockin mouse proliferation, after 4 DIV [30]. Ki67 and BrdU stainings were mutants with tomato lectin. This mouse lineage carries an performed in more than 4 COSC preparations. EYFP label inserted in exon 1 of the NG2 gene [28]. Here, in line with our immunohistochemical NG2 analyses, the EYFP- Neuronal network activity and longterm survival of NG2 signal was partly present next to cortical microvessels in pericytes in vitro living COSC (Figure 4 A). However other NG2 cells were not To elucidate if COSC maintain spontaneous network activity associated with microvessels indicating that they are not during culture conditions (5% CO2, 20% O2, rest N2, humidified pericytes. Pericytes could be identified through the perivascular atmosphere, 37°C) multi-electrode array (MEA) recordings EYFP-NG2 signal for up to 3 days after COSC preparation were performed as described previously with slight (Figure 4 B). To verify that the obtained perivascular EYFP- modifications (Heck et al., 2008). Here we observed NG2 signals were of pericyte origin we performed spontaneous synchronized neuronal network activity (Figure 6 immunohistochemical co-stainings of EYFP-NG2 cortices with A, representative image from n = 3 independent recordings, PDGFR beta, NG2 and Cl-5, which demonstrated a co- DIV 5). Pericytes could be identified in COSC for up to 3 localization of EYFP-NG2 and PDGFR beta in a perivascular weeks. Figure 6 B shows a pericyte with characteristic manner (Figure 4 C, D, insets). Co-stainings with NG2 and perivascular morphology after 14 days in vitro. Cl-5 confirmed this observation (Figure 4 E). Pericytes express elevated levels of caspase-3 after Pericytes in COSC are capable of proliferation inflammation and hypoxia It has recently been shown that pericytes from human origin Chronic hypoxia and inflammation have been proposed to be can be reprogrammed into induced neuronal cells by the use of key factors leading to preterm brain injury [31]. In addition we PLOS ONE | www.plosone.org 6 November 2013 | Volume 8 | Issue 11 | e81637 Pericytes in the Developing Cortex In Vitro Figure 3. Basement membrane in the neurovascular unit of COSC. Co-labeling of cortical microvessels (Cl-5, green), pericytes (PDGFR beta, red) and laminins with a pan-Laminin antibody (white) reveals the presence of a basement membrane (BM) in the neurovascular unit in COSC after 4 DIV (confocal Z-stacks, maximum projection A). High power confocal magnification visualizes the BM (arrowheads, B) that encloses microvessels (Cl-5, green) and pericytes (PDGFR beta, red). Note the DAPI positive cell nuclei of the Cl-5 positive microvessel (asterisk) and the PDGFR beta positive pericyte (marked by #). doi: 10.1371/journal.pone.0081637.g003 PLOS ONE | www.plosone.org 7 November 2013 | Volume 8 | Issue 11 | e81637 Pericytes in the Developing Cortex In Vitro Figure 4. Live cell imaging of pericytes in COSC from EYFP-NG2 mice. Lectin stained microvessels in COSC appeared as red labeled vascular structures that were surrounded by EYFP-NG2 expressing pericytes (A, insets). Pericytes could be identified for up to 3 DIV 3 (B). Co-stainings with PDGFR beta (C, D), Cl-5 and NG2 demonstrate that perivascular EYFP-NG2 expressing cells are indeed pericytes (E, insets). doi: 10.1371/journal.pone.0081637.g004 and others have shown that caspase-3 is involved in neuronal in the developing brain [34], and moderate hypoxia result in and BBB pathology during ischemia and inflammation caspase-3 activation in pericytes. Thus we subjected COSC [17,32,33]. Therefore we were interested in the question if towards prolonged moderate hypoxia and different inflammation induced by interleukin 1 beta (IL1B), a cytokine concentrations of IL1B. The cultures were exposed to a which has been shown to disrupt proper white matter formation medium maintaining 71 + 2 mmHg pO2 for 24 hours. This pO2 PLOS ONE | www.plosone.org 8 November 2013 | Volume 8 | Issue 11 | e81637 Pericytes in the Developing Cortex In Vitro Figure 5. Pericytes in COSC are capable of cell division. Confocal analyses revealed that BrdU (3 hours exposition, 10µmol/l) was incorporated by pericytes within 24 hours on DIV 4 (arrowheads and asterisks in A mark a pericyte cell nucleus positive for BrdU). Ki-67 is a marker for cell proliferation. Here, a pericyte cell nucleus immunoreactive for Ki-67 on DIV 4 is shown (arrowheads, asterisks in B). doi: 10.1371/journal.pone.0081637.g005 PLOS ONE | www.plosone.org 9 November 2013 | Volume 8 | Issue 11 | e81637 Pericytes in the Developing Cortex In Vitro Figure 6. Spontaneous neural network activity and longterm persistence of pericytes in COSC. MEA recordings demonstrated that spontaneous synchronized neural network activity is preserved in COSC under culture conditions on DIV 5 (A). In addition pericytes were found to be present in COSC for weeks. Here, a 2 week old pericytes situated next to a Cl-5 positive microvessel is shown (B). doi: 10.1371/journal.pone.0081637.g006 level is about 58% of control medium kept in normoxic cell It has been suggested that oxidative stress in form of incubators (hypoxia 71 + 2.2 mmHg vs. normoxia 123 + 0.5 reactive oxygen species (ROS) plays a major role in immature mmHg pO2, P < 0.0001, n = 15-48 measurements). brain damage [31]. Therefore we were interested in the IL1B treatment resulted in significantly higher amounts of question if ROS may contribute to the observed enhancement caspase-3 positive pericytes (representative image of a of caspase-3 cleavage in pericytes after 24 h of hypoxia and caspase-3 positive pericyte treated for 24 hours with IL1B 100 whether an inhibition of oxidative stress may prevent ng/ml, Figure 7 A) after 24 hours compared with control caspase-3 cleavage. Stainings for nitrotyrosine, a product that (control: 1 + 0.1 vs. IL1B 10 ng/ml 1.42 + 0.15, P = 0.0269; arises from the reaction of the ROS peroxynitrite and the amino control: 1 + 0.1 vs. IL1B 100 ng/ml 1.98 + 0.19, P < 0.0001, n = acid tyrosine [35] did not show any significant levels of 7 - 8 COSC preparations per group [535-668 pericytes], Figure nitrotyrosine in pericytes (representative image from at least 3 7 B). We detected significantly more caspase-3 positive COSC preparations, Figure 7 D, E). The NADPH oxidase is a pericytes in COSC treated with IL1B 100 ng/ml than in those major source of reactive oxygen species [36] in cerebral treated with 10 ng/ml (IL1B 10 ng/ml 1.42 + 0.15 vs. IL1B 100 ischemia and diphenyliodonium chloride (DPI) is a widely used ng/ml 1.98 + 0.19, P = 0.0237, n = 8 COSC per group [535 - inhibitor of the NADPH oxidase [18]. We therefore tested if a 668 pericytes], Figure 7 B). pharmacological inhibition of NADPH oxidase by DPI has an Moderate hypoxia for 24 hours resulted in a significantly higher amount of cleaved caspase-3 positive pericytes (control: effect on blockade of caspase-3 cleavage in pericytes during 1 + 0.05 vs. hypoxia: 2.48 + 0.23, P < 0.0001, n = 11-41 COSC hypoxia. We found that DPI was not able to block caspase-3 preparations [571 - 2800 pericytes], Figure 7 C). Exposure of cleavage in pericytes. Despite DPI treatment caspase-3 levels combined hypoxia and IL1B 100 ng/ml significantly elevated in the hypoxic group were significantly higher than in the cleaved caspase-3 levels in pericytes (control: 1 + 0.05 vs. normoxic control (hypoxia+DPI: 3.049 + 0.16 vs. normoxic yhpoxia+IL1B: 2.38 + 0.15, P < 0.0001, n = 18-41 COSC control: 1 + 0.07, P < 0.0001, n = 24 COSC preparations per preparations [677-2800 pericytes], Figure 7 C). However, a group [1597-2812 pericytes], Figure 7 F). combination of IL1B and 24 h of moderate hypoxia did not increase caspase-3 cleavage compared with 24 h of moderate Caspase-3 inhibition ameliorates pericyte loss in hypoxia alone (hypoxia: 2.48 + 0.23 vs. hypoxia+IL1B 2.38 + hypoxia and inflammation 0.15, P = 0.9763, n = 11 - 18 COSC preparations [571 - 677 Because we observed enhanced levels of cleaved caspase-3 pericytes], Figure 7 C). in pericytes upon ischemia and inflammation we were PLOS ONE | www.plosone.org 10 November 2013 | Volume 8 | Issue 11 | e81637 Pericytes in the Developing Cortex In Vitro Figure 7. IL1B and moderate hypoxia induce caspase-3 cleavage in pericytes independently from peroxynitrite. Exposition of COSC towards pathologic conditions led to an increase of cleaved caspase-3 positive pericytes as shown in a representative confocal image in panel A. Stimulation of COSC with different concentrations of IL1B resulted in significantly elevated levels of cleaved caspase-3 in pericytes (B). Furthermore 24 hours of moderate hypoxia and a combination of IL1B and 24 hours of moderate hypoxia resulted in caspase-3 cleavage in pericytes (C). Of note, combination of IL1B and hypoxia did not significantly increase caspase-3 cleavage compared with probes treated with 24 hours of moderate hypoxia alone. Immunohistochemical stainings for nitrotyrosine did not reveal any significant formation of this ROS reaction product in pericytes (D, E). The NADPH oxidase inhibitor DPI [50µmol/l, 1 h pre-incubation] was not able to block caspase-3 cleavage under moderate hypoxic conditions. *P<0.05, ***P<0.001. doi: 10.1371/journal.pone.0081637.g007 interested in the question if caspase-3 activation may result in 0.05, P = 0.0142, n = 5-6 RFV from more than 3 COSC pericyte loss. To address this question COSC were treated with preparations per group). COSC that were treated with Z-DEVD- the selective and irreversible caspase-3 inhibitor Z-DEVD-fmk fmk sustained significantly higher pericyte numbers after [17] during hypoxia and inflammation and pericyte numbers in hypoxic (hypoxia 0.31 + 0.02 vs. hypoxia/Z-DEVD-fmk 0.52 + confocal z-stacks were compared with solvent treated normoxic 0.08, P = 0.0324, n = 5 RFV from more than 3 COSC) and and non-inflammatory control COSC. We found that hypoxia inflammatory conditions compared with solvent treated groups resulted in a significant decrease of pericytes/volume compared with controls (control: 1 + 0.16 vs. hypoxia 0.31 + (IL1B 0.46 + 0.05 vs. IL1B/ZDEVD-fmk 0.95 + 0.16, P = 0.02, P = 0.0034, n = 5 - 6 RFV from more than 3 COSC). After 0.0406, n 5 - 8 RFV from more than 3 COSC preparations per IL1B (100 ng/ml) treatment pericytes were also significantly group). However Z-DEVD-fmk was not able to completely block reduced in cortical layers II-IV (control: 1 + 0.16 vs. IL1B 0.46 + pericyte loss under hypoxic conditions (control: 1 + 0.16 vs. PLOS ONE | www.plosone.org 11 November 2013 | Volume 8 | Issue 11 | e81637 Pericytes in the Developing Cortex In Vitro hypoxia/Z-DEVD-fmk 0.52 + 0.08, P = 0.0301, n = 5 - 6 RFV co-localized and varied in staining patterns. This is in good from more than 3 COSC). agreement with previous reports [22]. The discrepancy e.g. found in Desmin and PDGFR beta staining is due to the fact Discussion that Desmin is a cytoskeleton protein which is situated intracellular while PDGFR beta is a tyrosine kinase located on In this report we demonstrate that cortical organotypic slice the pericyte’s cell surface (for a detailed review see for cultures from neonatal rodents are a useful model to study example 22. In addition our electrophysiological recordings pericytes within the intact neurovascular unit under various from COSC on MEA arrays demonstrate that spontaneous experimental conditions. Further we show that pathological neuronal network activity is also preserved during incubator conditions such as moderate hypoxia and inflammation result conditions and while recording in culture medium. We would in caspase-3 mediated pericyte loss. like to stress this fact because usually MEA recordings in To our knowledge no other experimental technique has yet COSC are performed using artificial cerebrospinal fluid been described that allows the investigation of pericytes in vitro perfusion containing 95 % oxygen and 5 % CO2 [33]. for days including live cell imaging in a preserved Another goal of the present study was to establish a protocol neurovascular environment. In line with our data Kovacs and for pericyte live cell imaging in the developing cortex in vitro colleagues have shown that it is possible to study using a transgenic mouse line. In line with Karram et al. [28] we neurovascular interactions in slice cultures of the hippocampus have shown that the EYFP-NG2 signal co-localizes partly with of the neonatal rat [37] for days in vitro. Other in vitro the pericyte marker PDGFR beta in a perivascular manner and approaches that imply pericytes are mostly used to assess verified that the EYFP signal is restricted to NG2 by the use of BBB permeability during various conditions [38]. Such NG2 antibody staining. By lectin perfusion of the brain approaches do not allow any investigations on microvasculature we demonstrate that pericytes can be pathophysiological mechanisms in the immature cortex monitored live in vitro. Live cell imaging of pericytes within the because an intact neural network is missing. However, the neurovascular unit may allow e.g. evaluation of the timing of presented approach has certain limitations. Our in vitro setting pericyte constriction during hypoxia and/or inflammation. We lacks cerebral blood flow. Shear stress in vessels has been would like to outline that for this purpose other genetically shown to be important for a proper formation of the BBB [39]. modified mouse lines e.g. NG2DsRedBAC created by Zhu and Therefore our model does not allow the analysis of shear colleagues [22,41] may also be useful. stress effects on pericytes. This issue may be best addressed Hypoxia and inflammatory stimuli are hallmarks in the by in vivo investigations because the pulsatile character of pathogenesis of immature brain damage [10]. The resulting cerebral blood flow including the composition of the different encephalopathy of the premature is a severe brain injury with a cellular blood components is difficult to reflect in vitro. Further heterogeneous phenotype [31]. Epidemiologic studies point to live cell imaging with the presented lectin perfusion is not a relation of infections in prematurely born infants with feasible for several weeks but rather limited to a couple of disorders like schizophrenia, autism [7,8,42] and later cognitive days. The reason herefore is that the lectin signal vanishes impairment [43]. These pathologies are associated with cortical over time because the dye is injected into circulation on the day gray matter changes [44,45]. In addition clinical studies have of preparation. demonstrated a relation between premature brain injury and Our data show that most of the cellular components of the cerebral blood flow (CBF) regulation: perturbances of CBF NVU are morphologically preserved in vitro including a autoregulation is a predictor of severe brain injury in preterm basement membrane which is an anatomical key feature for babies [46]. However, the exact cellular mechanisms pericyte identification [40]. It has been suggested that e.g. underlying these phenomena are not fully understood. Peppiatt during depletion of VEGF microvessels vanish, but the basal et al. [47] demonstrated that pericytes are capable of laminina remains [40]. Our laminin stainings indicate that modulating the diameter of brain microvessels in slice microvessels in cortical layers II-IV did not significantly preparations of the cerebellum. Further a loss of pericytes is decrease within DIV 3-5 as nearly all BM tubes labeled by associated with the formation of cerebral microaneurysms [48]. laminin were associated with Cl5 positive microvessels. We These findings and recent data of Bell et al. who have shown would like to stress that the presented model should be used that pericyte deficiency leads to neurovascular impairment and within 3-5 DIV for quantitative pericyte analyses because we consecutive neuroinflammation in cortical layers [4], point to a focused on this time period in our setting. We were not able to significant role of pericytes in regulating the NVU that is distinguish an endothelial from a parenchymal BM with pan- important for cortical function throughout embryogenesis and Laminin stainings, which is in line with data from Sixt et al. [25]. further development. Therefore another goal of the present Endothelial and parenchymal BM only become distinguishable study was to evaluate the consequences of hypoxic and from each other in conditions such as inflammation but not in inflammatory conditions on pericytes in the developing cortex. physiological states. Therefore our model may also allow We demonstrate that pathological stimuli e.g. moderate detailed analyses on the involvement of the BM during hypoxia over 24 hours and sterile inflammation by IL1B, result pathological neurovascular conditions. We have used a set of in an increased level of cleaved caspase-3 activity within pericyte, BM and vascular markers to be sure that PDGFR beta pericytes. We have previously shown that caspase-3 positive perivascular cells are indeed pericytes. Stainings for contributes to rapid anoxic neurovascular unit damage the pericytes markers NG2, PDGFR beta and Desmin partly (RANUD) [17] and that in neonatal mice caspase-3 is essential PLOS ONE | www.plosone.org 12 November 2013 | Volume 8 | Issue 11 | e81637 Pericytes in the Developing Cortex In Vitro for proper cortical development [49], as already demonstrated matter impairment in the developing brain [9,34]. However our before [50]. Furthermore it has been recently documented that data show that caspase-3 activation in the immature cortex inhibition of caspase-3 reduces cortical lesions and improves under hypoxia and inflammation leads to pericyte loss. These neurological outcome in a model of neonatal hypoxia-ischemia findings point out that pericytes may be another cell population brain damage in rodents [51]. These data point to a crucial and which may be significantly affected by ischemic and inflammatory insults in the developing cortex. precisely regulated role of caspase-3 in physiology and Recently it has been shown that pericytes prevent pathophysiology of the developing cortex. In line with other reperfusion of microvessels after MCAO in an oxidative stress groups [51] our experiments show that caspase-3 cleavage is dependent manner. Here, the reactive oxygen species present in hypoxic and inflammatory conditions in the immature peroxynitrite was shown to be of major importance [35]. In our cortex. While it has been shown that a combination of model we did not find elevated levels of nitrotyrosine in inflammation and hypoxia potentiates cortical damage [52], we pericytes after 24 hours of moderate hypoxia. Furthermore an did not find an increase of caspase-3 cleavage in pericytes inhibitor of the NADPH oxidase (DPI) was also unable to block upon combined inflammation and moderate hypoxia. However the observed caspase-3 activation in pericytes. Therefore we our experimental setting differed from previous studies that conclude that peroxynitrite does not have a major role for showed an increase of brain injury under these double hit caspase-3 activation in pericytes during 24 hours of hypoxia without reoxygenation. However, in our setting we evaluated conditions. For instance Brochu and colleagues [52] induced the effect of moderate hypoxia without reperfusion. This is a hypoxia by exposing neonates to 8% O2 after ligation of one significantly different condition than the setting of Yemisci and common carotid artery and injection with lipopolysaccharide colleagues who have investigated the effect of middle cerebral (LPS), a surface protein of gram-negative bacteria that occur artery occlusion followed by reperfusion [35]. However, for example during severe sepsis. These hypoxic and prolonged episodes of hypoxia in the newborn brain are inflammatory stimuli are much more severe than moderate thought to better reflect the in vivo situation [9] because the hypoxia and treatment with IL1B as used in the present study. majority of prematurely born infants do not suffer from focal Another explanation could be that the neurodegenerative ischemia, e.g. an occluded cerebral vessel, but rather from mechanism of LPS may be mediated by direct activation of the insufficient blood oxygenation due to immature lungs and an brain endothelium and independently from IL1B as shown by immature breathing center within the brain stem [55]. Our results on the capacity of pericytes to proliferate in vitro Murray et al. [53]. However it has recently been proposed that may represent a promising therapeutical strategy. It has been moderate inflammation by IL1B and moderate hypoxic shown that pericytes are involved in central nervous scar conditions are clinically more relevant for the pathogenesis of formation [56]. In addition pericytes may be a target to brain injury of prematurely born infants [54]. Our results compensate for neuronal injury [29]. Karow and colleagues indicate that caspase-3 cleavage in pericytes increases in a have shown that human pericytes can be reprogrammed into dose dependent manner. Even rather low concentrations of induced neuronal cells [29]. These authors used a retroviral IL1B (10 ng/ml) were capable of inducing significant caspase-3 vector to transduce differentiation factors which requires that activation in pericytes which points to a critical vulnerability of targeted cells are capable of cell division [29]. BrdU and Ki-67 pericytes in the developing cortical neurovascular unit. Our stainings show that some pericytes in our experimental results indicate that hypoxia and inflammation lead to approach remain their capacity to proliferate. Hence we speculate that the presented technique may lead to protocols caspase-3 activation which results in pericyte loss. A for the reprogramming of pericytes into neuronal cells in a pharmacological inhibition with a specific caspase-3 inhibitor preserved neurovascular unit within the cortex. We hypothesize support this hypothesis. Pericyte loss has been shown to result that such protocols may also be of use for regenerative in BBB impairment and causes an accumulation of neurotoxic therapies in order to compensate for neuronal injury in the substances in the cortical parenchyma in vivo [4]. We suspect cortex e.g. stroke or dementia. In addition we found that that the detected pericyte loss in our experimental conditions pericytes remain in COSC for up to three weeks which gives may have major implications for pathophysiological processes the opportunity to perform e.g. long term fate mapping of in vivo within the developing cortex (Figure 8) and may result in pericytes. However this will of course require different e.g. accumulation of neurotoxins that may cause cognitive transgenic mouse models than we used in our experiments decline in ageing [4]. We suggest that caspase-3 inhibition may (see for example 56. be a promising target with regard to stabilization of the NVU by protecting pericytes in inflammatory and hypoxic states. This finding may also have implications for other parts of the CNS e.g. the spinal cord. Hypoxic brain damage and inflammation have been demonstrated to be predominantly relevant in white PLOS ONE | www.plosone.org 13 November 2013 | Volume 8 | Issue 11 | e81637 Pericytes in the Developing Cortex In Vitro Figure 8. Pericyte impairment in the developing cortex during pathologic conditions. Hypoxia and inflammation result in caspase-3 dependent loss of pericytes in cortical layers. Pericyte loss may be of relevance for perturbances in neurovascular integrity in the developing brain and may be involved in a variety of pathologic sequelae e.g. cognitive decline in ageing or neuroinflammation. doi: 10.1371/journal.pone.0081637.g008 PLOS ONE | www.plosone.org 14 November 2013 | Volume 8 | Issue 11 | e81637 Pericytes in the Developing Cortex In Vitro Supporting Information are enclosed by laminin (pan-laminin labeling, white) which indicates the presence of a basement membrane. Movie S1. Here, an animated confocal 3 D Z-stack (AVI) (thickness of planes 700nm) of a quadruple staining of pericytes, cell nuclei and microvessels is shown. White: Movie S5. Here a cell nucleus (DAPI, blue) positive for NG2 a marker for pericytes, Red: vascular marker CD105, BrdU (green) of a pericyte (labeled with PDGFR beta in red) Green: PDGFR beta, a pericyte marker, DAPI in blue: stains is shown in an animated confocal 3 D Z-stack (700nm cellular nuclei. Note that NG2 and PDGFR beta partly co- thickness of planes). Note that the cell membrane of the localize in a perivascular manner indicating that PDGFR beta pericyte stains positive for PDGFR beta (red) whilst its cell positive perivascular cells are indeed pericytes. nucleus is spared due to the localization of PDGFR beta on the (AVI) cell membrane of the pericyte. (AVI) Movie S2. To better appreciate the NG2 (white) signal within the perivascular pericyte channels representing the Movie S6. To better demonstrate the pericyte’s BrdU microvessel (red) and PDGFR beta signal (green) from positive cell nucleus from Movie S5 all channels except Movie S1 have been removed in this reconstruction. Note the green channel (BrdU) have been removed in this 3 D the cell nucleus of the NG2 positive pericyte in the center of the reconstruction. animation that is in close contact with the NG2 signal. (AVI) (AVI) Acknowledgements Movie S3. A 3 dimensional reconstruction (confocal Z- stack, thickness of planes: 700nm) of the neurovascular The authors want to thank Sabine Rickheim-Lowack and Beate unit. Red: PDGFR beta positive pericyte which covers a Krumm for their excellent technical assistance. Jerome Mordel cortical microvessel (labeled with Cl-5, green). Note the close was of great help for the MEA recordings. We are thankful for relationship of astrocytotic endfeet (GFAP, white) that surround the excellent support by the IMB Core Facility Microscopy of the pericyte. An animated fly-through the vessel demonstrates the Institute of Molecular Biology (IMB) in Mainz for confocal that PDGFR beta is partly co-localizing (yellow) with Cl-5 which image acquisition and processing. Heterozygous EYFP-NG2 is due to the fact the PDGFR beta is a tyrosine kinase located mice were kindly provided by the lab of Prof. Trotter (University at the cell membrane while Cl-5 is a transmembraneous tight of Mainz) and we are most thankful for the provided help. junction linker protein. (AVI) Author Contributions Conceived and designed the experiments: CMZ. Performed the Movie S4. An animated 3 D reconstruction (confocal Z- experiments: CMZ HEW. Analyzed the data: CMZ HEW. stack, thickness of planes: 700nm) of the neurovascular Contributed reagents/materials/analysis tools: CMZ HJL. Wrote unit. Red: PDGFR beta positive pericyte next to a cortical the manuscript: CMZ HJL. microvessel (green, Cl-5). Note that both vessel and pericyte References 1. 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