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Pituitary adenylate cyclase–activating polypeptide (PACAP-38) plays an inhibitory role against inflammation induced by chemical damage to zebrafish hair cells

Abstract

Pituitary adenylate cyclase–activating polypeptide (PACAP-38) is a common neuropeptide exerting a wide spectrum of functions in many fields, including immunology. In the present study, 5-day post-fertilization (dpf) zebrafish larvae of three diverse genetic lines [transgenic lines Tg(MPX:GFP) with GFP-labelled neutrophils and Tg(pou4f3:GAP-GFP) with GFP-labelled hair cells and the wild-type Tuebingen] were used to investigate an inhibitory role of PACAP-38 in inflammation associated with damaged hair cells of the lateral line. Individuals of each genetic line were assigned to four groups: (1) control, and those consisting of larvae exposed to (2) 10 µM CuSO4, (3) 10 µM CuSO4+100 nM PACAP-38 and (4) 100 nM PACAP-38, respectively. Forty-minute exposure to CuSO4 solution was applied to evoke necrosis of hair cells and consequent inflammation. The inhibitory role of PACAP-38 was investigated in vivo under a confocal microscope by counting neutrophils migrating towards damaged hair cells in Tg(MPX:GFP) larvae. In CuSO4-treated individuals, the number of neutrophils associated with hair cells was dramatically increased, while PACAP-38 co-treatment resulted in its over 2-fold decrease. However, co-treatment with PACAP-38 did not prevent hair cells from extensive necrosis, which was found in Tg(pou4f3:GAP-GFP) individuals. Real-Time PCR analysis performed in wild-type larvae demonstrated differential expression pattern of stress and inflammation inducible markers. The most significant findings showed that CuSO4 exposure up-regulated the expression of IL-8, IL-1β, IL-6 and ATF3, while after PACAP-38 co-treatment expression levels of these genes were significantly decreased. The presence of transcripts for all PACAP receptors in neutrophils was also revealed. Adcyap1r1a and vipr1b appeared to be predominant forms. The present results suggest that PACAP-38 should be considered as a factor playing an important regulatory role in inflammatory response associated with pathological processes affecting zebrafish hair cells and it cannot be excluded that this interesting property has more universal significance.

Introduction

Pituitary adenylate cyclase–activating polypeptide (PACAP-38) is a pleiotropic neuropeptide, with known protective and anti-apoptotic functions [16]. In recent decades, PACAP-38 has been also classified as an anti-inflammatory factor which regulates inflammatory responses via influencing both anti- and pro-inflammatory mediators. PACAP-38 exerts its role in the inflammation process through three receptors, VPAC1, VPAC2 and PAC1. It has been already demonstrated that PACAP-38 and its receptors are evolutionarily well-conserved among species, including mammals or teleost fish and are present in their immune systems [7, 8]. The anti-inflammatory action of PACAP-38 is multi-faceted. It regulates production of pro-inflammatory macrophage-derived mediators, such as TNF-α, IL-6, IL-12 [7] or anti-inflammatory effectors like IL-10 [9,10]. It has also been demonstrated that PACAP-38 modulates many macrophage functions, stimulating migration, adherence or phagocytosis [11,12]. Moreover, the effects of PACAP-38 on lymphocyte function, survival and differentiation have been broadly discussed [7]. Comparatively few studies have dealt with the influence of PACAP-38 on neutrophils. The only available contributions concerning humans and mice have, unfortunately, reported the completely opposite effects. Kinhult et al. (2001) [13] and Martinez et al. (2005) [14] found that administration of PACAP-38 inhibits neutrophil chemotaxis, while Kim et al. (2006) [15] revealed that a shorter form of this peptide—PACAP-27 stimulates neutrophil migration. In contrast, neutrophils incubated with PACAP-38 exhibited a marked increase in the expression of cell surface CD11b, CD63 and CD66b markers, indicating its role in granulocyte activation [16]. This suggests that different pathways can mediate chemotaxis and cellular activation and that further studies are needed.

The use of zebrafish (Danio rerio) in biomedical research is invaluable and in recent years has gradually expanded into the field of immunology. The most preferable stage of the zebrafish lifetime in both medical [17] as well as veterinary studies [18], is the early life period. Immunological studies on the individuals of early life stages have dealt with the only form of immune system functioning in this phase of ontogenesis, the innate immune system, which starts developing already at the 1st day post fertilization (dpf) [19,20], thus, much earlier before the acquired immune system does. Several studies have proven the remarkable similarity of zebrafish immune system to that in humans and have revealed that almost all cell types of the human immune system have zebrafish counterparts [21]. Unfortunately, the role of PACAP-38 and the molecular basis of its action in zebrafish immune system still remains to be uncovered.

Our previous contributions have demonstrated that PACAP-38 plays an anti-apoptotic role in oxidative stress-damaged zebrafish hair cells, which is very promising information in the context of (as far as) working out suitable models for studying PACAP-38 properties in ototoxicity screening assays [6]. The zebrafish lateral line (posterior and anterior) consists of individual sense organs called neuromasts, composed of hair cells. It has been proven that zebrafish hair cells greatly resemble those in the mammalian inner ear [22], making the zebrafish an ideal model for auditory system investigations. Many factors and signaling pathways activated by inflammation are involved in the regulation of cell apoptosis [23]. Therefore, we have assumed the hypothesis that PACAP-38 plays an anti-inflammatory role in inflammation induced by copper damage to zebrafish hair cells.

Considering the above-mentioned issues, the present study was designed to establish the role of PACAP-38 in non-invasive inflammation induced by chemical damage to zebrafish hair cells. Based on the previous information, it was assumed that the ongoing inflammatory process is indicated by the migration of neutrophils from the caudal hematopoietic tissue (CHT) or the posterior blood island (PBI) to the neuromasts [24]. The aim was to investigate how PACAP-38 influences neutrophil migration and whether it modulates the gene expression profile of chosen immune and stress response markers [activating transcription factor 3 (ATF3), interleukin 1β (IL-1β), interleukin 6 (IL-6), interleukin 8 (IL-8), interleukin 10 (IL-10), Macrophage receptor MARCO (MARCO), tumor necrosis factor (TNFα)]. Because IL-8 is known as a neutrophil chemotactic factor, more account of this chemokine was taken and it was decided to focus on the gene expression of IL-8 receptors, C-X-C motif chemokine receptor 1 (CXCR1) and C-X-C motif chemokine receptor 2 (CXCR2). It was also important to clarify whether PACAP-38 exerts its effect indirectly by influencing the production of the cytokines and transcription factors or by direct impact on immune cells. Therefore, the goal was to demonstrate the presence of PACAP receptors on neutrophils to shed some additional light on the mechanism involved in the investigated processes. The data obtained should provide new insights into toxicological and molecular mechanisms of PACAP-38 anti-inflammatory effect and, thus, hopefully broaden the field of research on inflammation using zebrafish as an animal model.

Materials and methods

Animals

The study involved 5-day post-fertilization (dpf) zebrafish larvae of three diverse genetic lines: transgenic lines Tg(MPX:GFP) and Tg(pou4f3:GAP-GFP) and the wild-type Tuebingen, as well as 9-month-old fish of Tg(MPX:GFP) line. Tg(MPX:GFP) zebrafish transgenic line (kindly gifted from the Institute of Biology, Leiden University, Netherlands) was used for in vivo investigation of neutrophil migration towards damaged neuromasts in larvae and to isolate neutrophils from kidneys from adult fish, respectively. The Tg(MPX:GFP) line carries myeloperoxidase promoter, driving the expression of GFP in myeloid leukocytes (mostly neutrophils). Necrosis assessment was accomplished in the Tg(pou4f3:GAP-GFP) zebrafish transgenic line (kindly gifted from the University of Sheffield, United Kingdom) which carries POU class 4 homeobox 3 promoter driving expression of green fluorescent protein (GFP) in hair cells. To investigate changes in the expression profile of genes encoding chosen inflammatory markers, the wild-type Tuebingen strain (kindly gifted from the Nüsslein-Volhard Lab, Max-Planck-Institut für Entwicklungsbiologie in Tübingen, Germany) was used. The adult fish were maintained in 8l tanks in a flow system at 28°C with a 14h light:10h dark photoperiod, and fed three times daily ad libitum with dry food and Artemia sp. naupli. The embryos were maintained in an embryo solution (E3 medium) (5 mM NaCl, 0.17 mM KCl, 0.33 mM CaCl2, 0.33 mM MgSO4) and kept in an incubator at 28.5°C and 14h light:10h dark photoperiod without feeding until 5 dpf. The individuals used in the study were anesthetized by placing them in a tricaine methanesulfonate (MS-222) solution and euthanized by an overdose of MS-222, respectively.

All fish are housed in the fish facility of the Laboratory of Genomics and Transcriptomics, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland, which was built according with the local animal welfare standards. All animal procedures were performed in accordance with Polish and European Union animal welfare guidelines. According to the European Directive 2010/63/EU and Polish law regulations O.J. of 2015, item 266, all procedures performed in the present study include the use of early life-stage zebrafish and euthanasia for the purpose of organ dissection do not require Ethic Committee permissions.

The study design

All experiments were performed on 5 dpf larvae. For this purpose, the individuals of each genetic line were randomly assigned to 4 groups: (1) a control group including larvae which were incubated in embryo solution (E3 medium); (2) a group of larvae exposed to 10 µM CuSO4 for 40 min; (3) to investigate the ameliorative role of PACAP-38, a group of larvae were incubated with a mixture of 10 µM CuSO4 and 100 nM PACAP-38 for 40 min following 1 hour pre-incubation with 100 nM PACAP-38 only; (4) to check if PACAP-38 has any influence on the inflammatory process itself, a group of larvae were incubated with 100 nM PACAP-38 only. PACAP-38 was synthesized by the solid-phase technique utilizing tBoc chemistry [25] as described previously [26]. The sequence of PACAP-38 used in the current study referred to mammalian PACAP-38 demonstrating 80% homology between the zebrafish and human peptide sequence and the zebrafish receptor binding site sequence corresponded to that of humans in almost 100% [6].

To demonstrate the presence of PACAP receptors in neutrophils we used 9-month-old fish. For this purpose, we decided to acquire a clear neutrophil population from kidneys, because this organ is commonly used as the source of neutrophils in the zebrafish. Fluorescence activated cell sorting (FACS) (details of the method are described in Materials and methods section) allowed obtaining the cell suspension of 98% purity. Therefore, to establish which receptors are specific for neutrophils and demonstrate their relative level of expression, we compared the results obtained in neutrophils to those gained from unsorted kidney tissues as well as whole 5 dpf larvae.

Assessment of chemically induced neutrophil migration to damaged hair cells

5dpf Tg(MPX:GFP) zebrafish divided into four groups according to the above description were used. Each group consisted of n = 15 individuals. The induction of inflammation in the posterior lateral line (PLL) neuromasts was based on already established dynamics of this process [24]. It was found that the resulting effects of the 40 min 10 µM CuSO4 exposure were not intensified within the next 20 minutes, which enabled counting neutrophils in each experimental group in vivo within a 10 minute period. Anesthetized (MS-222, Sigma Aldrich) larvae were mounted on slices in 3% methyl cellulose and the remaining lateral line neutrophils were counted under a LSM 700 confocal laser scanning microscope (Zeiss, Germany). The analysis involved all trunk neuromasts (L1, LII.1, L2, LII.2, L3, L4, L5 and L6) excluding the 3 terminal (ter) ones where migrated neutrophils were barely distinguishable from those in the caudal hematopoietic tissue (CHT), which is a natural site of their occurrence at this developmental stage. The quantification was restricted to the area defined by the notochord, excluding cells located within the ventral and dorsal myotomes (Fig 1). Therefore, we counted fluorescent neutrophils associated with each neuromast mentioned as well as those which did not adhere directly to the neuromasts, but they were sparsely found in the area encircled by the notochord. Following d’Alençon et al. (2010) [24] it was not necessary to label neuromasts, as their localization is conservative, so they always appear along the notochord.

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Fig 1. A photograph illustrating the neutrophil counting area.

5 dpf Tg(MPX:GFP) transgenic zebrafish larvae after 40 min exposure to 10 µM CuSO4 presents the area were neutrophils were quantified (green dots; in the intact larvae only single neutrophils were observed). Both neutrophils associated with investigated neuromasts (L1, LII.1, L2, LII.2, L3, L4, L5 and L6) as well as those which did not adhere directly to the neuromasts (but were sparsely found within the area encircled by the notochord [white arrow]) were counted. Dorsal and ventral myotomes marked with red arrows and terminal neuromasts (ter) were excluded from the analysis. The larvae carried myeloperoxidase promoter driving the expression of green fluorescent protein (GFP) in myeloid leukocytes (mostly neutrophils). The visualization was accomplished using a Zeiss LSM-700 confocal microscope.

https://doi.org/10.1371/journal.pone.0198180.g001

Assessment of hair cells necrosis

For the purpose of this experiment, 5 dpf Tg(pou4f3:GAP-GFP) larvae were used. The experimental conditions remained the same as described previously. Each group consisted of n = 15 individuals. After the treatments, the larvae were fixed in 4% paraformaldehyde (PFA) o/n in 4°C. The next day, they were rinsed three times in phosphate-buffered saline (PBS) and mounted on their side on slices in 50% and then in 80% glycerol. The visualization was accomplished using a LSM 700 confocal laser scanning microscope (Zeiss, Germany).

Microscopy and visualization

The visualization and images were achieved using a LSM 700 confocal laser scanning microscope (Zeiss, Germany). The GFP driven by myeloperoxidase promoter in Tg(MPX:GFP) line and by POU class 4 homeobox 3 in Tg(pou4f3:GAP-GFP) was excited by a 488 nm laser. To obtain desirable quality of images, ×10 and ×20, ×40 objectives, z-stack tool, as well as tile scan tool (when necessary) were applied. Stacks of images were composed into one to obtain maximum intensity projection images with ZEN 2009 software (Zeiss, Germany).

Whole kidney extraction and preparation of cell suspension

Adult Tg(MPX:GFP) fish were euthanized with an overdose (500 mg/l) of MS-222. Kidneys from 5 individual fish were carefully removed and collected into 1.5 ml Eppendorf tubes with 1X Ringer solution (116 mM NaCl, 2.6 mM KCl, 5 mM HEPES, pH 7.0). After dissection, the tissues were transferred on falcon 40 µm cell strainer and entirely wiped into a 50 ml sterile falcon tube with 2 ml of suspension media (1% calf serum, 0.8 mM CaCl2, 50 U/mL penicillin, 0.05 mg/mL streptomycin, DMEM). The wiping procedure enabled separating a cell suspension containing neutrophils. As the Tg(MPX:GFP) line possesses GFP-labeled neutrophils, with the use of the stereoscope it was possible to visually assess the quality of separation and confirm the presence of neutrophils in the obtained suspension. The cell suspension was then rapidly processed with fluorescence-activated cell sorter (FACS).

Isolation of GFP-positive cells using fluorescence-activated cell sorter (FACS)

To separate and collect GFP-positive (GFP+) and GFP-negative (GFP-) fractions, the cell suspension was passed through a MoFlo TM XDP fluorescence activated cell sorter (FACS) (Beckam Coulter) equipped with a 488 nm air-cooled argon solid state laser and a standard filter setup. An IsoFlow™ solution (Beckman Coulter) was used as the sheath fluid; the pressure of the sheath fluid was 60 psi, and the nozzle size was 70 μm. To minimize RNA degradation and keep cells alive, the sorted cells were collected directly into sterile 5-mL polypropylene tubes with Dulbecco′s Modified Eagle′s Medium (DMEM) (Merck). Moreover, after acquiring 100,000 events the tube was transferred on ice and replaced by a new one. Flow rate and the concentration of samples were adjusted to keep the acquisition lower than 500 events/s. The sorting procedure was stopped after acquiring 500,000 GFP+ cells. The settings used for the sorting were determined empirically and are provided as supporting information (S1 File). Immediately after the sorting procedure we isolated RNA from both GFP+ cells as well as unsorted material derived from the kidney tissue.

RNA extraction and reverse transcription

Gene expression analysis was performed in 5 dpf wild-type Tuebingen zebrafish strain, sorted cells and unsorted kidney tissue. Immediately following the treatments, the larvae of the control and each experimental group were pooled (n = 30), frozen and stored in -80°C. Total RNA was extracted from pooled frozen larvae using Total RNA Mini isolation kit (AA Biotechnology). All steps of isolation were assessed according to the respective manufacturer's protocols. Homogenization required for RNA isolation was made using TissueLyser II (Qiagen). With regard to the sorted GFP+ cells and unsorted kidney tissue, just after FACS they were spun and the DMEM (Merck) was drained off. Total RNA was extracted using RNeasy Mini Kit (QIAGEN) according to the respective manufacturer's protocols. The cDNA samples were synthesized from respective high quality matrix samples with equal RNA concentration for each sample using Maxima First Strand cDNA Synthesis Kit for RT-qPCR (Thermo Scientific). All steps of reverse transcription were assessed according to the manufacturer's protocols.

Real-Time PCR

Real-time PCR was performed using SYBR Green in accordance with the manufacturer's protocol (SYBR Select Master Mix, Applied Biosystems) on 7500 Fast Real-Time PCR System instrument (Applied Biosystems). A single PCR reaction included a 1 μL portion of the reverse transcription product. Oligonucleotide primers were selected to detect markers of the immune system response [activating transcription factor 3 (ATF3), interleukin 8 (IL-8), interleukin 10 (IL-10), interleukin 1β (IL-1β), interleukin 6 (IL-6), macrophage receptor MARCO (MARCO) and tumor necrosis factor (TNFα)]. Additionally, gene expression profiles of IL-8 receptors, C-X-C motif chemokine receptor 1 (CXCR1) and C-X-C motif chemokine receptor 2 (CXCR2), were investigated. The details are listed in Table 1. To demonstrate the presence of PACAP receptors in zebrafish neutrophils, we have created specific oligonucleotide primers using Primer-BLAST tool. PAC1 is encoded by adcyap1r1a and adcyap1r1b genes. VPAC1 is encoded by vipr1a and vipr1b genes. VPAC2 is encoded by vipr2 gene. The details are listed in Table 1. In both cases, β-actin was used as a house-keeping gene. Each sample of PCR product was analyzed against a β-actin control to standardize the results. The following PCR protocol was used with a 7500 Fast Real-Time PCR System instrument (Applied Biosystems): denaturation for 10 min at 95°C followed by 40 cycles of 15 s at 95°C, 1 min at 60°C and 15 s at 95°C. The results regarding markers of the immune system response are presented as relative quantities (RQ) of mRNA which were analyzed using the comparative Ct method. The values of gene expression of PACAP receptors were calculated in each group as a relative expression to β-actin. Each sample was analyzed in triplicate in three separate experiments.

Statistical analysis

The statistical analysis was performed using GraphPad Prism, version 5.0. Data with Gaussian assumption were analyzed using a one-way ANOVA test and a one-way analysis of variance with Tukey multiple comparisons tests as a post test. Data analyses not assuming Gaussian distribution were based on a one-way ANOVA test and a Kruskal–Wallis test with Dunn’s multiple comparisons test as a post test. The error bars represent the mean ± SEM. The significance level was set at α = 0.05 (95% confidence intervals).

Results

Inhibitory effects of PACAP-38 on neutrophil migration towards damaged hair cells

In the control larvae, most of the immune cells remained in the area of ventral myotomes (Fig 2A). In the animals treated with PACAP-38 only, the distribution of the cells was very similar to that in the control group, suggesting that PACAP-38 itself had no visible influence on the behavior of neutrophils (Fig 2D). In contrast, in the individuals exposed to 10 µM CuSO4 for 40 min, the immune cells were dispersed throughout the body, forming characteristic clusters in the midline (Fig 2B). The distribution of the clusters matched that of neuromasts, suggesting that the migration of neutrophils was associated with, and directed towards, damaged hair cells (Fig 2B). In contrast to the copper exposure, co-treatment with PACAP-38 inhibited the migration of neutrophils and resulted in an over 2-fold decrease in the number of the immune cells, both those associated with the neuromasts and single ones found in the area defined by notochord borders (Fig 2C and 2E). Data are also provided as supporting information (S2 File).

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Fig 2. A set of microphotographs and a graph documenting inhibition of neutrophil migration towards 10 µM CuSO4 exposed hair cells resulting from co-treatment of 5 dpf Tg(MPX:GFP) zebrafish larvae (exhibiting green fluorescence in neutrophils) with 100 nM PACAP-38.

(A) The control untreated larva presented normal distribution of neutrophils which were found in the ventral myotomes of the trunk and tail. (B) 10 µM CuSO4 exposure evoked the migration of the immune cells towards the midline of the body and the formation of characteristic concentrations very close to, and around, the neuromasts (arrows). (C) 100 nM PACAP-38 co-treatment resulted in the inhibition of the neutrophil migration, which was reflected by a decreased number, or complete lack of, the green fluorescent cells in the area of natural neuromast localization (arrows). (D) 100 nM PACAP-38 itself did not visibly alter the natural distribution of neutrophils. The visualization was accomplished using a Zeiss LSM-700 confocal microscope. (E) The graph presenting the influence of 100 nM PACAP-38 on the number of the neutrophils concentrated around right posterior lateral line neuromasts (PLL) (L1, LII.1, L2, LII.2, L3, L4, L5 and L6) after 10 µM CuSO4 exposure. The presented values refer to the average number of neutrophils in each group. 100 nM PACAP-38 treatment resulted in a significant, over two-fold decrease in the number of the neutrophils found singly in the area defined by notochord borders and those associated with neuromasts as compared to that determined in the 10 µM CuSO4-exposed group (one-way ANOVA, Kruskal–Wallis test with Dunn’s post-test, GraphPad Prism 5, p < 0.001). N/group = 15.

https://doi.org/10.1371/journal.pone.0198180.g002

Effects of PACAP-38 on mRNA expression level of pro-inflammatory and stress-inducible genes

The effects of 100 nM PACAP-38, 10 µM CuSO4 and mixture of 100 nM PACAP-38 and 10 µM CuSO4 exposure on the mRNA levels of various genes (ATF3, IL-1β, IL-6, IL-8, IL-10, TNFα, MARCO, CXCR1 and CXCR2) encoding pro- and anti-inflammatory factors were determined by RT-qPCR (Fig 3A–3I, S3 File). The expression profiles of all genes examined remained statistically unchanged after PACAP-38 treatment only (p > 0.05) (Fig 3A–3I). Copper treatment resulted in up-regulation of IL-1β, IL-6 IL-8, and ATF3 (p < 0.01) (Fig 3A, 3B, 3C and 3F), while the expression of IL-10, MARCO and TNFα remained statistically unchanged (Fig 3D, 3E and 3G). In groups exposed to 10 µM CuSO4, co-treatment with 100 nM PACAP-38 resulted in a statistically significant decrease in the expression of previously up-regulated IL-1β, IL-6 IL-8, and ATF3 (p < 0.05) (Fig 3A, 3B, 3C and 3F). Although expression levels of IL-10 and TNFα did not demonstrate any statistically significant differences between the experimental groups, some tendency was clearly visible. They were raised after administration of copper but decreased after co-treatment with 100 nM PACAP-38 (Fig 3D and 3G). To ascertain the involvement of receptors for IL-8 in neutrophil migration towards damaged lateral line hair cells during copper and PACAP-38 co-treatment, the expression levels of CXCR1 and CXCR2 were determined. Although 40 min exposure to 10 µM copper solution was enough to increase the expression level of IL-8, it did not change the transcriptional levels of both CXCR1 and CXCR2. The addition of 100 nM PACAP-38 also did not alter them. (Fig 3H and 3I) (one-way ANOVA, Kruskal–Wallis test with Dunn’s posttest, GraphPad Prism 5, p > 0.05).

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Fig 3. Expression profiles of pro-inflammatory and stress-inducible genes.

The graphs present the mRNA expression of (A) interleukin 1β (IL-1β), (B) interleukin 6 (IL-6), (C) interleukin 8 (IL-8), (D) interleukin 10 (IL-10), (E) macrophage receptor MARCO (MARCO), (F) activating transcription factor 3 (ATF3), (G) tumor necrosis factor (TNFα), (H) C-X-C motif chemokine receptor 1 (CXCR1) and (I) C-X-C motif chemokine receptor 2 (CXCR2) from pooled (n = 30) 5dpf wild-type zebrafish larvae in four experimental groups: 1) control, 2) exposed to 10µM CuSO4 for 40 min, 3) exposed to a mixture of 100 nM PACAP-38 + 10µM CuSO4 for 40 min preceded by one hour pre-incubation with 100 nM PACAP-38 only, and 4) exposed to 100nM PACAP-38 only. Each group was covered by samples analyzed in triplicate in three separate experiments. Data in the figure represent the average of the three individual experiments. Gene expression values were normalized to housekeeping gene β-actin. To maintain image clarity, only differences between CuSO4 exposed and PACAP-38 co-treated groups are marked on the graphs. Co-treatment with PACAP-38 significantly reduced up-regulated by copper treatment IL-1β and IL-6, IL-8 and ATF3 gene expressions (A, B, C and F) (one-way ANOVA, Kruskal–Wallis test with Dunn’s posttest, GraphPad Prism 5, p < 0.05), while it had no significant influence on IL-10, MARCO or TNFα genes (D, E and G) (one-way ANOVA, Kruskal–Wallis test with Dunn’s posttest, GraphPad Prism 5, p > 0.05). With regard to CXCR1 and CXCR2, 10 µM copper chemical injury and 100 nM PACAP-38 treatment did not significantly change the expression level of the receptors. (one-way ANOVA, Kruskal–Wallis test with Dunn’s post-test, GraphPad Prism 5, p > 0.05).

https://doi.org/10.1371/journal.pone.0198180.g003

Effects of PACAP-38 on hair cell necrosis

The control hair cells showed normal and regular pear-shaped morphology (Fig 4A). 10 µM CuSO4 evoked rapid and acute necrosis of hair cells in PLL (Fig 4B). The hair cell rosette was totally destroyed and nearly all of the cells demonstrated an abnormal shape. They became round-shaped, swollen (Fig 4B, arrow heads) and presented far-reaching dilapidation. Moreover, the cell membrane was ruptured and released the cell content, thus the pictures taken make an impression of being out of focus. Some hair cells appeared shrunken and fragmented, presumably presenting other death pathways (Fig 4B, arrow). In turn, PACAP-38 did not prevent hair cells from necrosis. In the 100 nM PACAP-38 co-treated group, hair cells remained necrotic and demonstrated all the regressive features (Fig 4C).

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Fig 4. Morphology of L2 neuromast hair cells in 5 dpf Tg(pou4f3:GAP-GFP) zebrafish larvae.

(A) control, (B) exposed to 10 µM CuSO4 for 40 min, and (C) exposed to the mixture of 10 µM CuSO4 and 100 nM PACAP-38 for 40 min, following 1 hour pre-incubation with 100 nM PACAP-38 only (n/group = 15). The visualization was accomplished using a Zeiss LSM-700 confocal microscope. (A) Hair cells in the control group exhibited morphology without any necrosis features. (B) Copper exposure evoked severe necrosis, resulting in hair cell rosette disintegration. Hair cells were round-shaped and swollen (arrowheads). Other groups of hair cells appeared shrunken and fragmented (arrow), suggesting the involvement of other death pathways. (C) In the PACAP-38 co-treated group, the necrosis was comparably severe. The same necrotic signs, i.e. round-shaped and swollen (arrow heads), as well as shrunken and fragmented (arrow) cells were also observed.

https://doi.org/10.1371/journal.pone.0198180.g004

Expression profile of genes encoding PACAP receptors on neutrophils

The expression level of genes for PACAP receptors was investigated quantitatively by Real-Time PCR. In vertebrates, the molecular cloning of PACAP receptors has shown the existence of three distinct receptors: one that recognizes PACAP specifically—PAC1, and two binding PACAP and VIP equally firmly—VPAC1 and VPAC2 [33]. Since compared to other vertebrates, the zebrafish genome is duplicated [34], we aimed to investigate the following genes encoding PACAP receptors: adcyap1r1a, adcyap1r1b, vipr1a, vipr1b and vipr2. Basically, we found the presence of mRNA for all types of PACAP receptors in the neutrophils. However, adcyap1r1a appeared to be a predominant form for PAC1, while for VPAC family, the most prevalent was vipr1b. The lowest expression levels were exhibited by adcyap1r1b and vipr1a genes. In the larvae and kidney tissue, all genes encoding PACAP receptors showed significant, but differentiated, expression. It was found that, as in neutrophils, the highest expression level in the kidney tissue and larvae was exhibited by adcyap1r1a. However, unlike neutrophils, in the kidney tissue and whole larvae, adcyap1r1b was also expressed at a relatively high level. Concerning VIP receptors, vipr1a showed the lowest expression level not only in neutrophils, but also in the kidney tissue as well as the whole larvae. Interestingly, adcyap1r1a and vipr1b were expressed at similar levels in each sample investigated, whereas for the remaining PACAP receptor genes, the highest expression levels were found in whole larvae, lower in the kidney tissue and the lowest was in neutrophils. The respective data are presented in Fig 5 and S4 File.

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Fig 5. A graph illustrating expression profiles of genes encoding three PACAP receptors (PAC1, VPAC1 and VPAC2) in samples from zebrafish 5 dpf larvae, kidney tissue and neutrophils.

The material concerning larvae consisted of pooled individuals (n = 30), the kidney tissue refers to a single cell suspension derived from kidneys of five adult zebrafish and the neutrophil population consisting of 500,000 GFP+ sorted cells by FACS. Each collection was covered by samples analyzed in triplicate. Data in the figure represent the average of the representative experiment. Gene expression values were normalized to housekeeping gene β-actin. The existence of all types of PACAP receptor transcripts was reported in each collection, however at a different levels. In neutrophils, adcyap1r1a appeared as a predominant form for PAC1 and, for the VPAC family, the most prevalent was vipr1b. The lowest expression level was exhibited by adcyap1r1b and vipr1a genes. Interestingly, adcyap1r1a and vipr1b were expressed at similar levels in each studied sample, whereas for the remaining PACAP receptor genes, the highest expression levels were found in whole larvae, lower in the kidney tissue and the lowest was in neutrophils.

https://doi.org/10.1371/journal.pone.0198180.g005

Discussion

The present study provides, for the first time, clear evidence that PACAP-38 inhibits the migration of neutrophils towards inflamed hair cells in the zebrafish. In terms of the usage of zebrafish in studies concerning the auditory system, it is extremely important that their inner ear resembles that found in higher vertebrates developmentally and anatomically, although does not possess structures corresponding with the mammalian outer and middle ear [35]. Besides the ability to regenerate [3639], hair cells in the zebrafish inner ear and lateral line are structurally, functionally and molecularly similar to mammalian ones [22]. It should be emphasized that these cells are considered to be one of the most crucial elements for normal hearing and vestibular function. The idea of using zebrafish for investigating typical anti-inflammatory drugs or immune response in relation to hair cells has already been introduced [24]. However, no information is available on the involvement of neuropeptides in these immune relationships. Previously, we have demonstrated that 100 nM PACAP-38 prevents zebrafish hair cells from oxidative stress-induced apoptosis [6]. Because many factors and signaling pathways that are activated by inflammation are also involved in the regulation of cell apoptosis [23], we considered PACAP-38 to be a promising candidate for ameliorating inflammation associated with oxidative stress-damaged zebrafish hair cells. PACAP-38 is well known for its involvement in inflammation and immunity [7,40,41]. The majority of studies have reported that PACAP-38 reduces inflammatory changes, however, there are some data revealing its reverse properties, such as vasodilation and edema formation in the rabbit eye [42]. Although the anti-inflammatory effect of PACAP-38 has been shown in several tissues and organs, such as airways [43], the central nervous system [44,45] or joints [46], there is no evidence for its action in the auditory system.

In the present study, it was demonstrated that the administration of 100 nM PACAP-38 resulted in an over 2-fold decrease in the formerly increased number of neutrophils in the PLL. It was earlier found that the dose of CuSO4 applied in this study evoked severe necrosis to zebrafish hair cells after only a 5 minute exposure [47]. Necrotic cell death is typically connected with some pathological events and stimulates a rapid inflammatory response. The question is whether the reported inhibition of neutrophil migration in PACAP-38 co-treated animals results from anti-necrotic ability of the peptide or its direct inhibitory influence on the inflammation process. The anti-apoptotic properties of PACAP-38 are well known and are broadly described in the literature [1,2,4,6,48,49], but its action against necrosis is poorly discussed. The current studies revealed that PACAP-38 does not prevent hair cells from rapid or extensive necrosis, despite the fact that there is some evidence for its ability to inhibit a specific type of necrosis—oncosis in mice [50]. Thus, we can conclude that in the current study, PACAP-38 affected only the immune system cells. The next issue is exactly how PACAP-38 regulates the immune response to the damaged hair cells. It is possible that the peptide inhibits the migration of neutrophils, altering their behavior via direct or indirect mechanisms. It has been already demonstrated that PACAP-38 differently modulates the behavior of immune cells. The current results corroborate findings obtained by Kinhult et al. (2001) [13], who found that PACAP-38 inhibited fMLP-induced human neutrophil chemotaxis. Similarly, PACAP-38 has an inhibitory effect on lymphocyte chemotaxis [51,52], but stimulates the chemotaxis of macrophages [52]. This is more evidence that PACAP-38 can both promote and inhibit immune responses. It is also possible that PACAP-38 acts directly in the place where inflammation occurs. Based on the fact that chemical inhibition of NADPH oxidase significantly decreased the leukocyte migration towards neuromasts, it was concluded that for leukocyte recruitment, formation of a reactive oxygen species (ROS) gradient upon copper-induced inflammation is a critical step [24]. The relationship between PACAP-38 and NADPH oxidase has already been recognized, because PACAP-38 neuroprotective effect was achieved by inhibition of NADPH oxidase and consequent reduction of microglia-derived ROS [53]. Moreover, as PACAP-38 plays an anti-oxidant role [54], it could be possible that it decreases ROS formation in the hair cells, thus leading to restraining the inflammatory process.

If PACAP-38 inhibit the migration of neutrophils via a direct mechanism, this could be accomplished through receptors on their surface. In the present study, the existence of all transcripts for PACAP receptors in zebrafish neutrophils obtained from the renal tissue were comprehensively demonstrated for the first time. It should be mentioned, that in fish, the immune organ constituting the main source for neutrophils is the kidney [55]. Our findings demonstrate which receptors and which genes are expressed specifically in zebrafish neutrophils. Considering the PACAP-specific receptor PAC1, we have found relatively high expression of adcyap1r1a, at almost the same level as that in the kidney tissue and whole larvae, which suggests its involvement in the studied process. Next to the adcyap1r1a, the most expressed was vipr1b. Its expression level was also comparative with that in the kidney tissue and the whole larvae. This interesting finding provides new insight into a role of VIP in the regulation of neutrophil behavior in the zebrafish. However, a study by Kinhult et al. (2002) [16] performed in humans has revealed that only PACAP, not VIP, functions as an activator of neutrophils. The remaining genes encoding PACAP receptors in neutrophils were expressed at relatively low levels compared to those found in the kidney tissue. Since the isolated fraction of neutrophils was slightly (by 2%) contaminated with the renal tissue, the expression values determined in this fraction might be due to other renal cellular elements, such as tubule cells [56] or vasculature [57]. Nevertheless, the current in vivo results corroborate the in vitro findings of Kinhult at al. (2002) [16] and demonstrate that PACAP-38 can directly affect neutrophils.

The current in vivo investigations were supplemented with Real-Time PCR analysis, which clearly confirmed that the effects observed could have a molecular basis at the level of gene expression. The copper treatment increased the expression of IL-1β, IL-6, ATF3 and IL-8. The mRNA expression levels of four typical stress-inducible markers, IL-1β, IL-6, IL-8 and ATF3, were significantly decreased after PACAP-38 treatment. This is the first evidence of PACAP-38 regulation towards ATF3. ATF3 was considered because it was described recently as a novel regulator of neutrophil migration in mice [58]. Earlier comprehensive studies [59] found that ATF3 is an inducible adaptive response gene encoding the ATF/CREB family of transcription factors. After copper exposure, its expression level increased over 4-fold. Although ATF3 is generally thought to promote apoptosis and cell cycle arrest [59], its role in immune regulation is also recognized [60]. On one hand, ATF3 is thought to be induced by signals such as pro-inflammatory cytokines [60], whereas with the use of ATF3 null mice it was demonstrated that ATF3 inhibits IL-6 and IL-12b transcription by altering chromatin structure [61]. Moreover, in the present study, copper exposure also caused a significant upregulation of two pro-inflammatory cytokines, IL-1β and IL-6. At this stage, it is hard to conclude if there is any correlation between ATF3 and the investigated cytokines. An inhibitory role towards IL-6 gene expression is already well recognized [62], therefore, the results of the current study confirm this property in other experimental conditions. Since the influence of a nanomolar dose of PACAP-38 on the expression of IL-1β was observed for the first time, the functional basis of this process needs to be further investigated. On the other hand, there is some interesting information on the mutual relationship between PACAP-38 and IL-1β in rats. These substances have been found to synergistically stimulate IL-6 secretion from astrocytes [63] and IL-1β intraperitoneal injections stimulate PACAP mRNA expression in neurons [64]. IL-1β is a proinflammatory cytokine facilitating the activation of neutrophils. Therefore, it can be speculated that its down-regulation could be involved in the inhibition of neutrophil migration to damaged hair cells observed in the present study. However, because IL-1β strongly upregulates IL-6 protein secretion [65], the effect of PACAP-38 on IL-6 found in the current study could be indirect and may be mediated by IL-1β. Moreover, with the use of Real-Time analysis, strong evidence was gained that PACAP-38 decreased the expression of IL-8 gene formerly upregulated by copper exposure. It should be noted that some previous data (agreeing with the current data) also reveal PACAP-38 inhibitory properties towards IL-8 [62]. IL-8 is known for its involvement in neutrophil attraction and activation. Based on the current investigations, it could be stated that one of the possibilities of PACAP-38 action towards inhibiting neutrophil migration is modulation of the production of chemotactic factors, in this case IL-8. However, the gene expression levels of IL-8 receptors CXCR1 and CXCR2 remained unchanged after both copper exposure and PACAP-38 treatment. Although the expression level of IL-10 did not demonstrate statistically significant differences between the groups, its fluctuations revealed a certain characteristic tendency. In general, it could be said that it was raised after the administration of copper and was decreased after co-treatment with PACAP-38. Conversely, previous data have revealed a PACAP-38 stimulatory effect towards IL-10 [66]. The gene expression of another investigated cytokine, TNFα, was significantly increased after copper treatment, but it was insignificantly inhibited by PACAP-38. Nevertheless, it can be concluded that the current observations fully correspond with common data presenting PACAP-38 as an inhibitory factor in TNFα production [6769]. MARCO is a macrophage receptor belonging to the class A of the scavenger receptor family and is an element of the innate antimicrobial immune system. In the present study, the expression level of MARCO remained unchanged after PACAP-38 treatment and its role as an antimicrobial agent has been investigated and revealed only by Hannibal et al. (1999) [64]. These authors found that administration to rat of bacterial lipopolysaccharide (LPS) resulted in a marked increase in both PACAP-38 immunoreactivity and its gene expression. Furthermore, Bik et al. (2006) [70] revealed that in LPS-induced acute inflammation PACAP-38 exerted a short-term modulation of immune and endocrine response.

The inner ear, including structures covered with the sensory epithelium, was previously assumed to be a putative “immune-privileged” organ, like the brain or eye, due to the existence of its tight junction-based blood-labyrinth barrier [71] which blocks immune cells, inner ear antigens and antibodies. However, recent studies have demonstrated that the cochlea is a common site of inflammation and, under pathological conditions, contains a characteristic “mononuclear phagocyte system” in the spiral ligament [72] and “perivascular macrophage-like melanocytes (PVM/Ms)” distributed in the stria vascularis [73]. Additionally, the murine inner ear systemically immunized with LPS antigen revealed enhanced leukocyte infiltration and cochlear IL-1β expression [74]. Furthermore, in vivo production of TNF-α, IL-1β, and IL-6 in the murine cochlea was reported after immunization with keyhole limpet hemocyanin (KLH) [75]. These observations seem to be a clear confirmation that the inner ear is prone to immune-mediated disorders and, together with the current results, suggest the presence of a local immune system in the inner ear structures.

Unequivocal interpretation of the physiological significance of the present results is difficult or even impossible. Generally, this is due to potential ambiguities regarding the biological implications of inflammatory responses. It is well known that inflammation is an integral part of the majority of pathological processes. Depending on numerous external and internal factors, such as the type of affected tissue, nature of pathological stimuli or even the type of species of the host, inflammatory response can have beneficial (for instance, reparative), or, conversely, harmful consequences (if it lasts too long). Therefore, anti-inflammatory drugs should be applied with particular care. Considering the above explanations, it seems to be inappropriate to consider the present results in “beneficial/detrimental” perspective. We can only say that PACAP-38 is able to inhibit migration of neutrophils and decreases the gene expression of some cytokines, which is an important phenomenon occurring in the course of inflammatory response. Accordingly, it should be taken into consideration as a substance through which modulatory actions towards the intensity of inflammation affecting structures of the inner ear (also mammalian) could be accomplished.

In conclusion, the present study has revealed that a nanomolar dose of PACAP-38 inhibits neutrophil migration towards damaged zebrafish hair cells undergoing chemically induced necrosis and consequent inflammation. As neutrophils are critically involved in the inflammation process, their decreased number (or complete lack) around the damaged neuromasts in the presence of PACAP-38 seem to be a clear evidence that this substance has an anti-inflammatory role in at least tissues investigated. Moreover, PACAP-38 co-treatment resulted in a considerable decrease in the expression level of ATF3, IL-8, IL-1β and IL-6 upregulated after copper exposure. This hopefully provides new insights into the molecular mechanisms of the PACAP-38 anti-inflammatory effect. It seems that studies considering the structures of the auditory system carried out on zebrafish may be fully related to those performed in mammals. The present findings seem to support this statement and suggest that PACAP-38 plays an important regulatory role in the inflammatory response associated with pathological processes affecting hair cells and it cannot be excluded that this property of the peptide has a more universal significance, not only limited to lower vertebrate species.

Supporting information

S1 File. Illustrations of the settings used on FACS.

(A) Forward (FSC) and side scatter (SSC) plot. This measurement is related to designating and identifying cells according to their size and internal granularity or complexity of a particle, respectively. The R5 gate was set so as to exclude cellular debris and imperfectly isolated cells. (B) A histogram was prepared illustrating kidney tissue cells separated according to the GFP fluorescence intensity (GFP FITC-A). The histogram demonstrates two peaks demarcating GFP- and GFP+ cells. GFP-positive cells constituted 16% of the cell suspension.

https://doi.org/10.1371/journal.pone.0198180.s001

(TIF)

S2 File. Raw data of neutrophil counting.

https://doi.org/10.1371/journal.pone.0198180.s002

(XLSX)

S3 File. Raw data of Real-Time PCR results respecting pro-inflammatory and stress-inducible genes.

https://doi.org/10.1371/journal.pone.0198180.s003

(XLSX)

S4 File. Raw data of Real-Time PCR results respecting PACAP receptors.

https://doi.org/10.1371/journal.pone.0198180.s004

(XLSX)

Acknowledgments

The authors would like to thank Anna Nynca, Faculty of Biology and Biotechnology, University of Warmia and Mazury in Olsztyn, Poland for her support with the fluorescence-activated cell-sorting (FACS) procedure.

PACAP-38 used in this study was synthesized by Gabor Toth, Department of Medical Chemistry, University of Szeged, Hungary. The authors would like to thank Dora Reglodi, Department of Anatomy, University of Pecs, Hungary and Andrea Tamas, Department of Anatomy, University of Pecs, Hungary for their contributions to providing PACAP-38.

References

  1. 1. Vaudry D, Hamelink C, Damadzic R, Eskay RL, Gonzalez B, Eiden LE. Endogenous PACAP acts as a stress response peptide to protect cerebellar neurons from ethanol or oxidative insult. Peptides. 2005;26: 2518–24 pmid:16009465
  2. 2. Gasz B, Racz B, Roth E, Borsiczky B, Ferencz A, Tamas A, et al. Pituitary adenylate cyclase activating polypeptide protects cardiomyocytes against oxidative stress-induced apoptosis. Peptides. 2006;27: 87–94 pmid:16095757
  3. 3. Racz B, Gallyas F, Kiss P, Tamás A, Lubics A, Lengvári I, et al. Effects of pituitary adenylate cyclase activating polypeptide (PACAP) on the PKA-Bad-14-3-3 signaling pathway in glutamate-induced retinal injury in neonatal rats. Neurotox Res. 2007;12: 95–104 pmid:17967733
  4. 4. Racz B, Horvath G, Reglodi D, Gasz B, Kiss P, Gallyas F, et al. PACAP ameliorates oxidative stress in the chicken inner ear: an in vitro study. Regul Pept. 2010;160: 91–8 pmid:19969027
  5. 5. Dejda A, Seaborn T, Bourgault S, Touzani O, Fournier A, Vaudry H, et al. PACAP and a novel stable analog protect rat brain from ischemia: Insight into the mechanisms of action. Peptides. 2011;32: 1207–16 pmid:21514338
  6. 6. Kasica N, Podlasz P, Sundvik M, Tamas A, Reglodi D, Kaleczyc J. Protective Effects of Pituitary Adenylate Cyclase-Activating Polypeptide (PACAP) Against Oxidative Stress in Zebrafish Hair Cells. Neurotox Res. 2016;30: 633–47 pmid:27557978
  7. 7. Delgado M, Abad C, Martinez C, Juarranz MG, Leceta J, Ganea D, et al. PACAP in immunity and inflammation. Ann N Y Acad Sci. 2003;992: 141–57 pmid:12794054
  8. 8. Lugo JM, Carpio Y, Oliva A, Morales A, Estrada MP. Pituitary adenylate cyclase-activating polypeptide (PACAP): A regulator of the innate and acquired immune functions in juvenile fish. Fish Shellfish Immunol. 2010;29: 513–20 pmid:20510368
  9. 9. Delgado M, Munoz-Elias EJ, Gomariz RP, Ganea D. Vasoactive intestinal peptide and pituitary adenylate cyclase-activating polypeptide enhance IL-10 production by murine macrophages: in vitro and in vivo studies. J Immunol. American Association of Immunologists; 1999;162: 1707–16 pmid:9973433
  10. 10. Michalski CW, Selvaggi F, Bartel M, Mitkus T, Gorbachevski A, Giese T, et al. Altered anti-inflammatory response of mononuclear cells to neuropeptide PACAP is associated with deregulation of NF-κB in chronic pancreatitis. Am J Physiol—Gastrointest Liver Physiol. 2008;294: 50–7
  11. 11. Ichinose M, Asai M, Imai K, Sawada M. Enhancement of phagocytosis in mouse macrophages by pituitary adenylate cyclase activating polypeptide (PACAP) and related peptides. Immunopharmacology. 1995;30: 217–24 pmid:8557521
  12. 12. Delgado M, Garrido E, De La Fuente M, Gomariz RP. Pituitary Adenylate Cyclase-Activating Polypeptide (PACAP-38) Stimulates Rat Peritoneal Macrophage Functions. Peptides. 1996;17: 1097–105 pmid:8959742
  13. 13. Kinhulta Johan, Uddmana Rolf, Laanb Marti, Linde´nb Anders, Cardella Lars-Olaf *. Pituitary adenylate cyclase-activating peptide inhibits neutrophil chemotaxis. Peptides. 2001;22: 2151–54 pmid:11786203
  14. 14. Martínez C, Juarranz Y, Abad C, Arranz A, Miguel BG, Rosignoli F, et al. Analysis of the role of the PAC1 receptor in neutrophil recruitment, acute-phase response, and nitric oxide production in septic shock. J Leukoc Biol. Society for Leukocyte Biology; 2005;77: 729–38 pmid:15661828
  15. 15. Kim Y, Lee BD, Kim O, Bae Y-S, Lee T, Suh P-G, et al. Pituitary Adenylate Cyclase-Activating Polypeptide 27 Is a Functional Ligand for Formyl Peptide Receptor-Like 1. J Immunol. 2006; 176(5): 2969–75 pmid:16493055
  16. 16. Kinhult J, Egesten A, Uddman R, Cardell LO. PACAP enhances the expression of CD11b, CD66b and CD63 in human neutrophils. Peptides. 2002;23: 1735–39 pmid:12383860
  17. 17. Tavares B, Santos Lopes S. The importance of Zebrafish in biomedical research. Acta Med Port. 26: 583–92 pmid:24192099
  18. 18. Nowik N, Podlasz P, Jakimiuk A, Kasica N, Sienkiewicz W, Kaleczyc J. Zebrafish: An animal model for research in veterinary medicine. Pol J Vet Sci. 2015;18(3): 663–74 pmid:26618602
  19. 19. Herbomel P, Thisse B, Thisse C. Zebrafish Early Macrophages Colonize Cephalic Mesenchyme and Developing Brain, Retina, and Epidermis through a M-CSF Receptor-Dependent Invasive Process. Dev Biol. 2001;238: 274–88 pmid:11784010
  20. 20. Herbomel P, Thisse B, Thisse C. Ontogeny and behaviour of early macrophages in the zebrafish embryo. Development. 1999;126: 3735–45 pmid:10433904
  21. 21. Meeker ND, Trede NS. Immunology and zebrafish: Spawning new models of human disease. Dev Comp Immunol. 2008;32: 745–57 pmid:18222541
  22. 22. Dambly-Chaudiere C, Sapede D, Soubiran F, Decorde K, Gompel N, Ghysen A. The lateral line of zebrafish: A model system for the analysis of morphogenesis and neural development in vertebrates. Biology of the Cell. 2003; 579–87 pmid:14720460
  23. 23. Yang Y, Jiang G, Zhang P, Fan J. Programmed cell death and its role in inflammation. Mil Med Res. BioMed Central; 2015; 2–12
  24. 24. d’Alençon CA, Peña OA, Wittmann C, Gallardo VE, Jones RA, Loosli F, et al. A high-throughput chemically induced inflammation assay in zebrafish. BMC Biol. BioMed Central; 2010; 8: 151 pmid:21176202
  25. 25. Merrifield RB. Solid Phase Peptide Synthesis. I. The Synthesis of a Tetrapeptide. J Am Chem Soc. American Chemical Society; 1963;85: 2149–54
  26. 26. Jozsa R, Hollósy T, Tamas A, Toth G, Lengvari I, Reglodi D. Pituitary adenylate cyclase activating polypeptide plays a role in olfactory memory formation in chicken. Peptides. 2005;26: 2344–50 pmid:15927304
  27. 27. Elsaeidi F, Bemben MA, Zhao X-F, Goldman D. Jak/Stat Signaling Stimulates Zebrafish Optic Nerve Regeneration and Overcomes the Inhibitory Actions of Socs3 and Sfpq. J Neurosci. 2014;34(7): 2632–44 pmid:24523552
  28. 28. Yang Shuxin, Ruben Marin-Juez AHM and HPS. Common and specific downstream signaling targets controlled by Tlr2 and Tlr5 innate immune signaling in zebrafish. BMC Genomics. BioMed Central; 2015; 16: 547 pmid:26208853
  29. 29. Hartig EI, Zhu S, King BL, Coffman JA. Cortisol-treated zebrafish embryos develop into pro-inflammatory adults with aberrant immune gene regulation. Biol Open. 2016; 5(8): 1134–41 pmid:27444789
  30. 30. Varela M, Dios S, Novoa B, Figueras A. Characterisation, expression and ontogeny of interleukin-6 and its receptors in zebrafish (Danio rerio). Dev Comp Immunol. Pergamon; 2012;37: 97–106 pmid:22107841
  31. 31. Zuñiga-Traslaviña C, Bravo K, Reyes AE, Feijóo CG. Cxcl8b and Cxcr2 Regulate Neutrophil Migration through Bloodstream in Zebrafish. J Immunol Res. Hindawi; 2017; 2017: 6530531 pmid:28642884
  32. 32. Podlasz P, Sallinen V, Chen Y-C, Kudo H, Fedorowska N, Panula P. Galanin gene expression and effects of its knock-down on the development of the nervous system in larval zebrafish. J Comp Neurol. 2012;520: 3846–62 pmid:22522977
  33. 33. Vaudry D, Falluel-Morel A, Bourgault S, Basille M, Burel D, Wurtz O, et al. Pituitary adenylate cyclase-activating polypeptide and its receptors: 20 years after the discovery. Pharmacol Rev. 2009;61: 283–57 pmid:19805477
  34. 34. Howe K, Clark MD, Torroja CF, Torrance J, Berthelot C, Muffato M, et al. The zebrafish reference genome sequence and its relationship to the human genome. Nature. NIH Public Access; 2013;496: 498–503 pmid:23594743
  35. 35. Ghysen A, Dambly-Chaudière C. Development of the zebrafish lateral line. Current Opinion in Neurobiology. 2004;67–73 pmid:15018940
  36. 36. Harris JA, Cheng AG, Cunningham LL, MacDonald G, Raible DW, Rubel EW. Neomycin-induced hair cell death and rapid regeneration in the lateral line of zebrafish (Danio rerio). J Assoc Res Otolaryngol. Springer; 2003;4: 219–34 pmid:12943374
  37. 37. Monroe JD, Rajadinakaran G, Smith ME. Sensory hair cell death and regeneration in fishes. Front Cell Neurosci. 2015;9: 131 pmid:25954154
  38. 38. Lush ME, Piotrowski T. Sensory hair cell regeneration in the zebrafish lateral line. Dev Dyn. 2014;243: 1187–1202 pmid:25045019
  39. 39. Jiang L, Romero-Carvajal A, Haug JS, Seidel CW, Piotrowski T. Gene-expression analysis of hair cell regeneration in the zebrafish lateral line. Proc Natl Acad Sci U S A. National Academy of Sciences; 2014;111: E1383–92 pmid:24706903
  40. 40. Abad C, Gomariz RP, Waschek JA. Neuropeptide Mimetics and Antagonists in the Treatment of Inflammatory Disease: Focus on VIP and PACAP.Current Topic in Medicinal Chemistry. 2006; 6(2): 151–63
  41. 41. Ganea D, Delgado M. Vasoactive intestinal peptide (VIP) and pituitary adenylate cyclase-activating polypeptide (PACAP) as modulators of both innate and adaptive immunity. Crit Rev Oral Biol Med. 2002;13: 229–37 pmid:12090463
  42. 42. Wang ZY, Alm P, Håkanson R. Distribution and effects of pituitary adenylate cyclase-activating peptide in the rabbit eye. Neuroscience. 1995;69: 297–308 pmid:8637627
  43. 43. Elekes K, Sandor K, Moricz A, Kereskai L, Kemeny A, Szoke E, et al. Pituitary adenylate cyclase-activating polypeptide plays an anti-inflammatory role in endotoxin-induced airway inflammation: In vivo study with gene-deleted mice. Peptides. 2011;32: 1439–46 pmid:21605612
  44. 44. Waschek J, Waschek JA. VIP and PACAP: neuropeptide modulators of CNS inflammation, injury, and repair. Br J Pharmacol. 2013; 169(3): 512–23 pmid:23517078
  45. 45. Ago Y, Condro MC, Rajbhandari AK, Van C, Jayaram B, May V, et al. PACAP Modulation of CNS and Peripheral Inflammation. Springer International Publishing; 2016. pp. 651–70
  46. 46. Botz B, Bölcskei K, Kereskai L, Kovács M, Németh T, Szigeti K, et al. Differential regulatory role of pituitary adenylate cyclase-activating polypeptide in the serum-transfer arthritis model. Arthritis Rheumatol (Hoboken, NJ). Wiley-Blackwell; 2014;66: 2739–50
  47. 47. Olivari FA, Hernández PP, Allende ML. xidative stress and cell death in lateAcute copper exposure induces oral line hair cells of zebrafish larvae. Brain Res. 2008;1244: 1–12 pmid:18848822
  48. 48. Pirger Z, Nemeth J, Hiripi L, Toth G, Kiss P, Lubics A, et al. PACAP has anti-apoptotic effect in the salivary gland of an invertebrate species, Helix pomatia. J Mol Neurosci. 2008;36: 105–14 pmid:18473188
  49. 49. Horvath G, Reglodi D, Opper B, Brubel R, Tamas A, Kiss P, et al. Effects of PACAP on the oxidative stress-induced cell death in chicken pinealocytes is influenced by the phase of the circadian clock. Neurosci Lett. 2010;484: 148–52 pmid:20727939
  50. 50. Ji H, Zhang Y, Shen X, Gao F, Huang CY, Abad C, et al. Neuropeptide PACAP in mouse liver ischemia and reperfusion injury: Immunomodulation by the cAMP-PKA pathway. Hepatology. 2013;57: 1225–37 pmid:22532103
  51. 51. Delgado M, De la Fuente M, Martínez C, Gomariz RP. Pituitary adenylate cyclase-activating polypeptides (PACAP27 and PACAP38) inhibit the mobility of murine thymocytes and splenic lymphocytes: comparison with VIP and implication of cAMP. J Neuroimmunol. 1995;62: 137–46 pmid:7499501
  52. 52. Garrido E, Delgado M, Martínez C, Gomariz RP, De la Fuente M. Pituitary adenylate cyclase-activating polypeptide (PACAP38) modulates lymphocyte and macrophage functions: stimulation of adherence and opposite effect on mobility. Neuropeptides. 1996;30: 583–95 pmid:9004257
  53. 53. Yang S, Yang J, Yang Z, Chen P, Fraser A, Zhang W, et al. Pituitary Adenylate Cyclase-Activating Polypeptide (PACAP) 38 and PACAP4–6 Are Neuroprotective through Inhibition of NADPH Oxidase: Potent Regulators of Microglia-Mediated Oxidative Stress. J Pharmacol Exp Ther. 2006;319(2): 595–603 pmid:16891616
  54. 54. Ohtaki H, Satoh A, Nakamachi T, Yofu S, Dohi K, Mori H, et al. Regulation of oxidative stress by pituitary adenylate cyclase-activating polypeptide (PACAP) mediated by PACAP receptor. J Mol Neurosci. 2010;42: 397–403 pmid:20387010
  55. 55. Bols NC, Brubacher JL, Ganassin RC, Lee LE. Ecotoxicology and innate immunity in fish. Dev Comp Immunol. 2001;25: 853–73 pmid:11602200
  56. 56. Arimura A, Li M, Batuman V. Potential protective action of pituitary adenylate cyclase-activating polypeptide (PACAP38) on in vitro and in vivo models of myeloma kidney injury. Blood. 2006;107: 661–8 pmid:16204306
  57. 57. Harmar AJ, Sheward WJ, Morrison CF, Waser B, Gugger M, Reubi JC. Distribution of the VPAC 2 Receptor in Peripheral Tissues of the Mouse. Endocrinology. 2004;145: 1203–10 pmid:14617572
  58. 58. Boespflug ND, Kumar S, McAlees JW, Phelan JD, Grimes HL, Hoebe K, et al. ATF3 is a novel regulator of mouse neutrophil migration. Blood. 2014;123: 2084–93 pmid:24470589
  59. 59. Lu D, Wolfgang CD, Hai T. Activating Transcription Factor 3, a Stress-inducible Gene, Suppresses Ras-stimulated Tumorigenesis. J Biol Chem. 2006;281: 10473–81 pmid:16469745
  60. 60. Hartman MG, Lu D, Kim M-L, Kociba GJ, Shukri T, Buteau J, et al. Role for activating transcription factor 3 in stress-induced beta-cell apoptosis. Mol Cell Biol. American Society for Microbiology (ASM); 2004;24: 5721–32 pmid:15199129
  61. 61. Gilchrist M, Thorsson V, Li B, Rust AG, Korb M, Kennedy K, et al. Systems biology approaches identify ATF3 as a negative regulator of Toll-like receptor 4. Nature. Nature Publishing Group; 2006;441: 173–8
  62. 62. Zhang X-Y, Hayasaka S, Chi Z-L, Cui H-S, Hayasaka Y. Effect of Pituitary Adenylate Cyclase-Activating Polypeptide (PACAP) on IL-6, IL-8, and MCP-1 Expression in Human Retinal Pigment Epithelial Cell Line. Curr Eye Res. 2005;30: 1105–11 pmid:16354624
  63. 63. Gottschall PE, Tatsuno I, Arimura A. Regulation of interleukin-6 (IL-6) secretion in primary cultured rat astrocytes: synergism of interleukin-1 (IL-1) and pituitary adenylate cyclase activating polypeptide (PACAP). Brain Res. 1994;637: 197–203 pmid:7910101
  64. 64. Hannibal J, Jessop DS, Fahrenkrug J, Harbuz MS, Larsen PJ. PACAP gene expression in neurons of the rat hypothalamo-pituitary-adrenocortical axis is induced by endotoxin and interleukin-1beta. Neuroendocrinology. 1999;70: 73–82 pmid:10420095
  65. 65. Woods K V, Adler-Storthz K, Clayman GL, Francis GM, Grimm EA. Interleukin-1 regulates interleukin-6 secretion in human oral squamous cell carcinoma in vitro: possible influence of p53 but not human papillomavirus E6/E7. Cancer Res. 1998;58: 3142–9 pmid:9679982
  66. 66. Leceta J, Gomariz RP, Martinez C, Abad C, Ganea D, Delgado M. Receptors and transcriptional factors involved in the anti-inflammatory activity of VIP and PACAP. Ann N Y Acad Sci. 2000;921: 92–102 pmid:11193883
  67. 67. Manecka D-L, Lelièvre V, Anouar Y. Inhibition of constitutive TNF production is associated with PACAP-mediated differentiation in PC12 cells. FEBS Lett. 2014;588: 3008–14 pmid:24928446
  68. 68. Arimura A, Li M, Batuman V. Treatment of Renal Failure Associated with Multiple Myeloma and Other Diseases by PACAP-38. Ann N Y Acad Sci. 2006;1070: 1–4
  69. 69. Li M, Maderdrut JL, Lertora JJL, Arimura A, Batuman V. Renoprotection by pituitary adenylate cyclase-activating polypeptide in multiple myeloma and other kidney diseases. Regul Pept. 2008;145: 24–32 pmid:17935800
  70. 70. Bik W, Wolinska-Witort E, Pawlak J, Skwarlo-Sonta K, Chmielowska M, Martynska L, et al. PACAP 38 as a modulator of immune and endocrine responses during LPS-induced acute inflammation in rats. J Neuroimmunol. 2006;177: 76–84 pmid:16806497
  71. 71. McCabe BF. Autoimmune inner ear disease: therapy. Am J Otol. 1989;10: 196–7 pmid:2750868
  72. 72. Hirose K, Discolo CM, Keasler JR, Ransohoff R. Mononuclear phagocytes migrate into the murine cochlea after acoustic trauma. J Comp Neurol. 2005;489: 180–94 pmid:15983998
  73. 73. Zhang W, Dai M, Fridberger A, Hassan A, DeGagne J, Neng L, et al. Perivascular-resident macrophage-like melanocytes in the inner ear are essential for the integrity of the intrastrial fluid-blood barrier. Proc Natl Acad Sci. 2012;109: 10388–10393 pmid:22689949
  74. 74. Hashimoto S, Billings P, Harris JP, Firestein GS, Keithley EM. Innate Immunity Contributes to Cochlear Adaptive Immune Responses. Audiol Neurotol. 2004;10: 35–43
  75. 75. Satoh H, Firestein GS, Billings PB, Harris JP, Keithley EM. Proinflammatory cytokine expression in the endolymphatic sac during inner ear inflammation. J Assoc Res Otolaryngol. 2003;4: 139–47 pmid:12943369