Abstract
The non-selective mechanosensitive ion channel PIEZO1 controls erythrocyte volume homeostasis. Different missense gain-of-function mutations in PIEZO1 gene have been identified that cause Hereditary Xerocytosis (HX), a rare autosomal dominant haemolytic anemia. PIEZO1 expression is not limited to erythrocytes and expression levels are significantly higher in erythroid precursors, hinting to a role in erythropoiesis. During erythropoiesis, interactions between erythroblasts, central macrophages, and extracellular matrix within erythroblastic islands are important. Integrin α4β1 and α5β1 present on erythroblasts facilitate such interactions in erythroblastic islands. Here we found that chemical activation of PIEZO1 using Yoda1 leads to increased adhesion to VCAM1 and fibronectin in flowing conditions. Integrin α4, α5, and β1 blocking antibodies prevented this PIEZO1-induced adhesion suggesting inside-out activation of integrin on erythroblasts. Blocking the Ca2+ dependent Calpain and PKC pathways by using specific inhibitors also blocked increased erythroid adhesion to VCAM1 and fibronectins. Cleavage of Talin was observed as a result of Calpain and PKC activity. In conclusion, PIEZO1 activation results in inside-out integrin activation, facilitated by calcium-dependent activation of PKC and Calpain. The data introduces novel concepts in Ca2+ signaling during erythropoiesis with ramification on erythroblastic island homeostasis in health and disease like Hereditary Xerocytosis.
Introduction
Human erythropoiesis occurs in the bone marrow in a specific niche called the erythroblastic island, composed of a central macrophage surrounded by differentiating erythrocyte precursors (; for review see ; ; ). The interaction between the erythroblast and the macrophage is regulating erythroid maturation, proliferation, and survival (). In addition, central macrophage phagocytes the extruded pyrenocyte (the extruded nucleus surrounded by a plasma membrane) left behind by the newly formed reticulocyte. Interactions between erythroid cells and macrophages are mediated by several adhesion molecules. During erythropoiesis, multiple adhesion molecules are expressed that mediate cell-cell and cell-extracellular matrix interactions, among which specific integrins (; ; Seu et al., 2017). Integrin α4β1 [very late antigen 4 (VLA-4)] and α5β1 [very late antigen 5 (VLA-5)] expressed on erythroblasts can bind to counter-receptor vascular cell adhesion protein 1 (VCAM1, CD106) present on central macrophages or extracellular matrix (ECM) protein fibronectin, respectively (Sadahira et al., 1995; ; Tanaka et al., 2009; ; Spring et al., 2013; ). Treatment with anti VLA-4 resulted in disruption of the island integrity in vitro and induces anemia in a mouse model and defects in stress erythropoiesis (Sadahira et al., 1995; ; ) clearly indicating the important role of these niche interactions. The activation state of integrins can be controlled by various processes including regulation via intracellular signaling, so called inside-out activation (; ; ) potentially providing a regulatory point to control erythroid-macrophage interactions. Inside-out activation of integrins is, among other mechanism, also controlled by intracellular Ca2+ concentration, with increased Ca2+ concentration leading to integrin activation (; Schwartz et al., 1993; Shankar et al., 1993; ; Rowin et al., 1998; ; Shu et al., 2020). Several Ca2+ responsive proteins have been identified that control this inside-out integrin activation. For instance, the Ca2+ dependent Calpain unmasks the β-integrin binding motif of Talins leading to integrin activation (; ). Inside out integrin activation is also mediated by Ca2+-dependent Protein kinase C (PKC; ; ). One mechanism through which PKC operates is by activating the small GTPase Rap1 facilitating the formation of a complex with Rap1 effector Rap-1 interacting molecule (RIAM) and Talin, which causes integrin activation (; Watanabe et al., 2008).
We and others have recently identified, a role for the non selective mechanosensitive cation channel, PIEZO1 during erythropoiesis () as well as in in vitro cultured reticulocytes (). Activation of PIEZO1 leads to Ca2+ influx and activation of Ca2+ dependent signal transduction among which NFATs, Calcineurin, MAPK, and calcium dependent PKCs (Von Lindern et al., 2000; ). Besides a role during erythropoiesis, PIEZO1 expression is maintained on erythrocytes where it regulates volume homeostasis. Indeed, activating mutations within PIEZO1 lead to dehydrated erythrocytes termed Hereditary Xerocytosis (HX; ; ; ). In endothelial cells activation of PIEZO1 has been associated with integrin activation and increased cell adhesion resulting in integrin-dependent focal adhesion kinase (FAK) signaling in flowing conditions (). Concomitantly, reduced integrin activation was observed in an endothelium-specific PIEZO1 deficient mouse model (). In agreement with this, depletion of PIEZO1 in small lung cancer cell lines also caused decreased integrin activation (). PIEZO1 localization at focal adhesion induced integrin activation and FAK signaling regulated by the ECM (). PIEZO1, located at the endoplasmic reticulum (ER), has been associated with integrin activation in epithelial cells (). Inactivation of integrin β1 was observed in PIEZO1 siRNA knockdown in epithelial cells, resulting in reduced cell adhesion. Activation of Ca2+-protease Calpain and cleavage of its target Talin was demonstrated after PIEZO1 activation in epithelial cells (). Here, we show that activation of PIEZO1 on erythroblasts using the selective agonist Yoda1 causes activation of downstream Ca2+-mediators Calpain and PKC, resulting in inside-out activation of integrins leading to increased adhesive properties of erythroblasts. The results give new insights into the regulation of integrin activation in erythroblasts, which will have consequences for erythroblastic island homeostasis.
Materials and Methods
Human Blood Sample
Human blood mononuclear cells were purified by density separation, following manufacturer’s protocol (GE Healthcare, Chicago, IL, United States). Informed consent was given in accordance with the Declaration of Helsinki, the Dutch National and Sanquin Internal Ethic Boards.
Erythroblast Cell Culture and Differentiation
Erythroblasts were expanded as previously described (). In short, cells were cultured and expanded in presence of EPO (2 UI/mL; ProSpec, East Brunswick, NJ, United States), human recombinant Stem Cell Factor (100 ng/mL, supernatant SCF producing cell line), and dexamethasone (1 μM; Sigma, St. Louis, MO, United States).
Flow Adhesion Assay
Channels of the μ-Slide VI0.4 (Ibidi) were coated with 10 μg/ml recombinant human VCAM-1 (R&D systems, Minneapolis, MN, United States) or fibronectin (Sigma Aldrich, St. Louis, Missouri, United States) for 30 min at room temperature. The flow chambers were placed at room temperature on an inverted microscope. Tubes connected a syringe pump, containing CellQuin medium, with one side of the channel and the other side of the channel with a waste reservoir. Tubes and channels were washed with CellQuin medium at a flow speed of 7,5 ml/h. Samples consisted of 4 × 106 erythroblasts and were incubated 10 min at 37°C with or without PKC inhibitor Gö6976 (Tocris, Bristol, United Kingdom), Calpain 1 and 2 inhibitor (Sigma), integrin α4 antibody (1 μg/ml, BD Biosciences, San Josè, CA, United States), β1 (0,5 μg/ml, Abcam, Cambridge, United Kingdom), and α5 (1 μg/ml, BD Biosciences, San Josè, CA, United States), GsMTx4 (Tocris, Bristol, United Kingdom), or Yoda1 (Sigma Aldrich, St. Louis, Missouri, United States). After incubation, samples were injected into the flow with a syringe and the pump was left running for 15 min unless otherwise stated. Nine pictures were taken across the channel after 15 min and attached erythroblasts were counted with ImageJ. Tubes were washed with water and fresh CellQuin medium in between samples. Data was analyzed with Prism 8 (GraphPad, San Diego, CA, United States). Unpaired student t test was used to calculate statistical significance between each condition. D’Agostino-Pearson test was used to assess the normality of the samples’ distribution.
Flow Cytometry
Erythroblasts were treated with or without inhibitor, Yoda1, or Manganese (Mn2+). Samples were taken at different time points, each containing 200.000 erythroblasts in a volume of 200 μl, and were stained in a 96-well plate. The samples were kept on ice after treatment and during staining. Erythroblasts were incubated for 10 min at 37°C with or without PKC inhibitor Gö6976 (500 nM) or Calpain inhibitor 1 and 2 (1 mM) with gentle mixing. Samples were taken and resuspended into ice-cold PBS. Remaining erythroblasts were incubated at 37°C with or without Yoda1 or Manganese (II) chloride dihydrate solution in water (2 mM, Sigma Aldrich, St. Louis, MO, United States). Samples were taken after 10 and 30 min of incubation and were resuspended into ice-cold PBS. Staining was performed with 30 min incubation in FACS buffer (PBS, 0.5% BSA) with the following antibodies antiCD71 (Miltenyi Biotec, Bergisch Gladbach, Germany), antiCD235a OriGene Technologies, Inc., Rockville, MD, United States), antiCD49d (α4 integrin; BD Biosciences, San Jose, CA, United States), anti β1 integrin unconjugated (Abcam, Cambridge, United Kingdom). Staining was followed by two washing steps with FACS buffer, followed or not by staining with secondary antibody. After the last staining and wash, the cells were resuspended into 200 μl of FACS buffer. Cells were transferred to FACS tubes before measurement on FACSCanto II (BD Biosciences, San Josè, CA, United States). Data was analyzed with FlowJo® software (BD Biosciences, San Josè, CA, United States) and Prism 8 (GraphPad, San Diego, CA, United States).
Calpain Activity Assay
Calpain activity was measured with the Calpain Activity Fluorometric Assay Kit (Sigma Aldrich, St. Louis, MO, United States), following manufacturer protocol. Samples were measured in triplicates. In short, the amount of 2 × 106 erythroblasts was taken per sample. Samples were incubated with or without Yoda1 (1 μM or 5 μM, 10 min, 37°C). After centrifugation, samples were washed in PBS and resuspended into 100 μl Extraction Buffer. Samples were incubated (20 min, on ice) and spun down (10.000 g, 1 min). Cell lysate was transferred to a new tube and kept on ice. 10x Reaction buffer and Calpain substrate was added to 85 μl cell lysate and samples were transferred to 96-well plate. After incubation in the dark (1 h, 37°C), samples were measured with 400 nm excitation filter and 505 nm emission filter with a plate reader (BioTek, Winooski, VT, United States). Positive control (1 μl Active Calpain) and negative control (1 μl Calpain inhibitor) were taken along. Data was analyzed with Prism 8. Two-way ANOVA was used to calculate statistical significance between samples.
Western Blot
Cells were lysed in CARIN lysis buffer (20 mM Tris–HCl pH 8.0, 138 mM NaCl, 10 mM EDTA, 100 mM NaF, 1% Nonidet P-40, and 10% glycerol). Following Bradford protein quantification (Bio-Rad Laboratories, Hercules, CA, United States), lysates were boiled in Laemmli sample buffer [2% sodium dodecyl sulfate (SDS) wt/vol, 10% glycerol, 5%2-mercaptoethanol, 60 mM Tris–HCl pH6.8, and trace amount brome-phenol blue; 3 min, 95°C], subjected to SDS-polyacrylamide gel electrophoresis, blotted using iBlot-PVDF blotting system (Thermo Fisher Scientific, Bleiswijk, Netherlands), and stained as indicated in the figure legends.
Fluorescent Microscopy Imaging
Expression of integrin β1 on erythroblasts was determined with live imaging. Erythroblasts, 25 × 105 in 0.5 ml CellQuin, were incubated with integrin β1 antibody [1:100, clone (P5D2), Abcam, Cambridge, United Kingdom, Alexa Fluor 488], DRAQ5TM (1:2500, Abcam, Cambridge, United Kingdom), and CD235a (Glycophorin A, 1:200, PB, Miltenyi, Bergisch Gladbach, Germany). Microscopy images were taken with an Axiovert 200 microscope (Zeiss, Oberkochen, Germany) with bright field, DAPI, Alexa Fluor 488, and Alexa Fluor 647 filters using 40x/1.3 oil objective. Software ZEN2.3 (Zeiss, Oberkochen, Germany) was used to analyze and convert images.
Results
Integrin Subunits Are Differently Expressed in Erythroblasts
We have previously reported membrane expression of ITGA4 and ITGB1 (VLA-4) in our in vitro cultured erythroid cells (). To further evaluate the expression of integrin subunits present on erythroblasts, we data-mined RNA-sequencing that we reported previously containing RNA-expression profiles of CD71+/CD235+ erythroblasts (). This analysis showed mRNA expression of eleven integrin subunits: six α subunits (ITGA) and five β subunits (ITGB; Figure 1A). At the erythroblast stage mRNA expression of integrin subunits α2B (ITGA2B), α4 (ITGA4), α5 (ITGA5), αE (ITGAE), αV (ITGAV), α6 (ITGA6), and subunits β1 (ITGB1), β2 (ITGB2), β3 (ITGB3), and β4 (ITGB4) were observed albeit with significantly different expression levels (Figure 1A). At the stage where erythroblast are CD71+/CD235+ (Figure 1B), α4 and β1 RNAs are most abundantly expressed followed by ITGAIIB, ITGAE, ITGA5, ITGB4, while ITGAV, ITGB3, ITGB2, and ITG6 are lowly expressed. This confirms the presence of α4β1 (VLA-4; ) and would further allow α5β1 (VLA-5) and low expression of αVβ1, α6β1, αIIbβ3 (GPIIb/IIIa), αVβ3 (CD61), and αVβ5. Integrins αIIbβ3 (GPIIb/IIIa) and αVβ3 (CD61) are associated with megakaryopoiesis and platelet homeostasis and expression of the beta partner ITGB3 (β3) is significantly downregulated during differentiation (). Of note, no interaction partners for the subunits ITGAE, ITGB4, and ITGB2 were detected (Supplementary Figure 1A). Expression of the most abundant integrin subunits α4, and β1 was confirmed by flow cytometry in three donors (Figure 1B and Supplementary Figure 1B) and imaging (Figure 1B and Supplementary Figure 1C).
FIGURE 1
Activation of PIEZO1 With Yoda1 Leads to Integrin Activation and Increases Erythroblasts Adhesion
Activation of mechanosensitive PIEZO1 has been shown to lead to inside out integrin activation on non-hematopoietic cells and specific Ca2+ dependent signal transduction in erythroblasts (Rowin et al., 1998;
FIGURE 2

Increased erythroblast binding to VCAM-1 and fibronectin after Yoda1 mediated PIEZO1 stimulation. (A,B) Erythroblasts were treated or not with 1 μM of Yoda1 for 10 min and subjected to a flow assay as described in Materials and Methods (7.5 ml/h flow rate). Adhesion of erythroblasts to VCAM (A) or fibronectin (B) was quantified using imageJ (n = 9 pictures of different donors; data depicted as mean ± SD; * * **P < 0.0001; C,D) Erythroblasts were pre-treated with anti-α4, anti-α5, or anti-β1 and stimulated or not with 1 μM Yoda1 (10 min) as indicated and flowed over a surface coated with VCAM (C) or fibronectin (D; data depicted as mean ± SD mean n = 9 images was used to calculate statistic; ∗P < 0.05, ∗∗P < 0.01, ∗∗∗P < 0.001, and * * **P < 0.0001).
Activation of PIEZO1 Leads to Increased Calpain Activity
Ca2+ influx caused by PIEZO1 activation has been shown in endothelial cells, erythroid cells and erythrocytes to lead to activation of calcium dependent pathways, among which the positive regulators of integrin activation calpain, PKC and Talin (
FIGURE 3

PIEZO1 stimulation with Yoda1 results calpain and PKC dependent integrin activation. (A) In untreated and Yoda1 treated erythroblasts, the calpain activity assay measured the absorbance of cleaved calpain substrate at 505 nm, which is quantified using a fluorescence plate reader. Active calpain and inhibited calpain where used as positive and negative controls, respectively (n = 3, ∗∗P < 0.01). (B) Expression of Talin (±225 kDa) and the cleavage of Talin (±190 kDa; indicated by arrow) in untreated erythroblasts and erythroblasts incubated with 1 μM Yoda1 for 10, 30, and 60 min. The same amount of protein was loaded and Tubulin (±50 kDa) was used as loading control (representative of n = 2). (C,D) Erythroblasts were pretreated with PKC inhibitor (500 nM) and calpain inhibitor (1 mM) and stimulated with and without 1 μM Yoda1 (10 min) as indicated and flowed over a surface coated with VCAM (C) or fibronectin (D; n = 2 donors; data depicted as mean ± SD; mean of n = 18 images (of two different donors) was used to calculate statistic * * **P < 0.0001).
Flow-Induced Adhesion to VCAM1 and Fibronectin Is Dependent on PKC and Calpain
Inside-out integrin activation can be mediated by several signaling cascades among which calpain and PKC-dependent pathways. Ca2+ influx through PIEZO1 activation by Yoda1, or in patient-derived erythroblasts with specific activation mutations in PIEZO1, causes activation of PKC-dependent signal transduction that can be partly blocked by inhibiting calcium-dependent PKCs (
Discussion
Ca2+ influx has been linked to integrin activation in several cell types (
The semi-solid bone marrow is occupied with a heterogeneous pool of cells that will perceive and induce particular cellular programs upon shear forces from fluid movements, tensile strain, hydrostatic pressure and other physical forces (
The role of PIEZO1 during erythropoiesis has been investigated only recently. Increased activation of PIEZO1 was followed by activation of specific (Ca2+ dependent) pathways including NFAT and MAPK (
Statements
Data availability statement
All datasets presented in this study are included in the article/Supplementary Material.
Ethics statement
The studies involving human participants were reviewed and approved by Dutch National and Sanquin Internal Ethic Boards. The patients/participants provided their written informed consent to participate in this study.
Author contributions
FA designed the experimental setup, performed and designed the experiments, and wrote the manuscript. NH, MH, and NB designed and performed the specific experiments. EA designed the experimental setup, and supervised and edited the manuscript. All authors contributed to the article and approved the submitted version.
Funding
FA was supported by a Horizon 2020 European Union International Training Network grant termed “RELEVANCE” (H2020-MSCA ITN-2015 and grant agreement no. 675115).
Acknowledgments
We would like to thank the Sanquin Central Facility for flow cytometry support.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Supplementary material
The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fphys.2020.00958/full#supplementary-material
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Summary
Keywords
PIEZO1, integrins, calcium signaling, integrin α4β1, erythroblastic island
Citation
Aglialoro F, Hofsink N, Hofman M, Brandhorst N and van den Akker E (2020) Inside Out Integrin Activation Mediated by PIEZO1 Signaling in Erythroblasts. Front. Physiol. 11:958. doi: 10.3389/fphys.2020.00958
Received
15 May 2020
Accepted
15 July 2020
Published
31 July 2020
Volume
11 - 2020
Edited by
Richard Van Wijk, Utrecht University, Netherlands
Reviewed by
Iolascon Achille, University of Naples Federico II, Italy; Guizouarn Helene, Centre National de la Recherche Scientifique (CNRS), France
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Copyright
© 2020 Aglialoro, Hofsink, Hofman, Brandhorst and van den Akker.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Emile van den Akker, e.vandenakker@sanquin.nl
This article was submitted to Red Blood Cell Physiology, a section of the journal Frontiers in Physiology
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