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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2017.01394</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Erythropoietin Increases Myelination in Oligodendrocytes: Gene Expression Profiling Reveals Early Induction of Genes Involved in Lipid Transport and Metabolism</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Gyetvai</surname> <given-names>Georgina</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/475926"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Hughes</surname> <given-names>Trisha</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/474794"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Wedmore</surname> <given-names>Florence</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Roe</surname> <given-names>Cieron</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/245110"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Heikal</surname> <given-names>Lamia</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/254123"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Ghezzi</surname> <given-names>Pietro</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://frontiersin.org/people/u/22645"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Mengozzi</surname> <given-names>Manuela</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="cor1">&#x0002A;</xref>
<uri xlink:href="http://frontiersin.org/people/u/24004"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Department of Clinical and Experimental Medicine, Brighton and Sussex Medical School</institution>, <addr-line>Brighton</addr-line>, <country>United Kingdom</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Fulvio D&#x02019;Acquisto, Queen Mary University of London, United Kingdom</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Diana Boraschi, Consiglio Nazionale Delle Ricerche (CNR), Italy; Sermin Genc, Dokuz Eyl&#x000FC;l University, Turkey</p></fn>
<corresp content-type="corresp" id="cor1">&#x0002A;Correspondence: Manuela Mengozzi, <email>m.mengozzi&#x00040;bsms.ac.uk</email></corresp>
<fn fn-type="other" id="fn001"><p>Specialty section: This article was submitted to Inflammation, a section of the journal Frontiers in Immunology</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>26</day>
<month>10</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="collection">
<year>2017</year>
</pub-date>
<volume>8</volume>
<elocation-id>1394</elocation-id>
<history>
<date date-type="received">
<day>06</day>
<month>09</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>09</day>
<month>10</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2017 Gyetvai, Hughes, Wedmore, Roe, Heikal, Ghezzi and Mengozzi.</copyright-statement>
<copyright-year>2017</copyright-year>
<copyright-holder>Gyetvai, Hughes, Wedmore, Roe, Heikal, Ghezzi and Mengozzi</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>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) or licensor 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.</p></license>
</permissions>
<abstract>
<p>Several studies have shown that erythropoietin (EPO) has neuroprotective or neuroreparative actions on diseases of the nervous system and that improves oligodendrocyte (OL) differentiation and myelination <italic>in vivo</italic> and <italic>in vitro</italic>. This study aims at investigating the early molecular mechanisms for the pro-myelinating action of EPO at the gene expression level. For this purpose, we used a differentiating OL precursor cell line, rat central glia-4 cells. Cells were differentiated or not, and then treated with EPO for 1 or 20&#x02009;h. RNA was extracted and changes in the gene expression profile were assessed using microarray analysis. Experiments were performed in biological replicates of <italic>n</italic>&#x02009;&#x0003D;&#x02009;4. Differentiation alone changed the expression of 11% of transcripts (2,663 out of 24,272), representing 2,436 genes, half of which were upregulated and half downregulated. At 20&#x02009;h of treatment, EPO significantly affected the expression of 99 genes that were already regulated by differentiation and of 150 genes that were not influenced by differentiation alone. Analysis of the transcripts most upregulated by EPO identified several genes involved in lipid transport (e.g., <italic>Cd36</italic>) and lipid metabolism (<italic>Ppargc1a/Pgc1alpha, Lpin1, Pnlip, Lpin2, Ppard, Plin2</italic>) along with <italic>Igf1</italic> and <italic>Igf2</italic>, growth factors known for their pro-myelinating action. All these genes were only induced by EPO and not by differentiation alone, except for <italic>Pnlip</italic> which was highly induced by differentiation and augmented by EPO. Results were validated by quantitative PCR. These findings suggest that EPO might increase remyelination by inducing insulin-like growth factors and increasing lipid metabolism.</p>
</abstract>
<kwd-group>
<kwd>central glia-4</kwd>
<kwd>microarrays</kwd>
<kwd>CD36</kwd>
<kwd>Pnlip</kwd>
<kwd>IGF-1</kwd>
<kwd>tissue-protective cytokines</kwd>
<kwd>repair</kwd>
<kwd>ERK1/2</kwd>
</kwd-group>
<counts>
<fig-count count="4"/>
<table-count count="3"/>
<equation-count count="0"/>
<ref-count count="84"/>
<page-count count="12"/>
<word-count count="8696"/>
</counts>
</article-meta>
</front>
<body>
<sec id="S1" sec-type="introduction">
<title>Introduction</title>
<p>Myelination is essential for the proper functioning of the central nervous system (CNS). Oligodendrocyte (OL) damage and remyelination failure cause progressive neurological disability in chronic demyelinating diseases, including multiple sclerosis (MS), and also play a role in the pathogenesis of other neurological diseases, such as stroke, amyotrophic lateral sclerosis, and Alzheimer&#x02019;s disease (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B2">2</xref>).</p>
<p>Myelination occurs in development and continues postnatally. OL progenitor cells (OPCs) are present in the adult CNS; upon OL injury, OPCs contribute to OL regeneration and remyelination. However, in demyelinating diseases endogenous remyelination is insufficient to re-establish motor and cognitive performance. Absence of remyelination is often due to the inability of OPCs to differentiate and mature to produce myelin. Therapeutic agents that can stimulate OPCs to differentiate and remyelinate axons could improve neurological functions and clinical outcome in many pathologies (<xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B4">4</xref>).</p>
<p>Erythropoietin (EPO) has neuroprotective and neuroreparative actions in many models of disease and injury of the nervous system (<xref ref-type="bibr" rid="B5">5</xref>); although recent evidence points to the role of the EPOR/CD131 heteromeric receptor in mediating EPO reparative functions (<xref ref-type="bibr" rid="B6">6</xref>), EPO can act also through the classical EPOR homodimer (<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B8">8</xref>). EPO induces neurogenesis and oligodendrogenesis (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B10">10</xref>); it preserves myelin and increases myelin basic protein (MBP) expression in experimental models of demyelination and in white matter injury (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B12">12</xref>). EPO increases the differentiation of OL precursors and the maturation of late stage OLs <italic>in vitro</italic> and <italic>in vivo</italic> (<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B13">13</xref>).</p>
<p>Understanding the mechanism by which EPO acts on OLs might help identify therapeutic targets for remyelination.</p>
<p>The mechanisms that mediate differentiation and maturation of OLs are not completely understood. Studies have been hampered by the limited availability of high numbers of primary OPCs. Central Glia-4 (CG4) cells, an OL precursor permanent cell line derived from rat brain, can remyelinate axons <italic>in vivo</italic> (<xref ref-type="bibr" rid="B14">14</xref>). <italic>In vitro</italic>, in the absence of mitogens and serum, CG4 cells differentiate into MBP-expressing OLs within 48&#x02009;h; then myelin oligodendrocyte glycoprotein (MOG), a marker of myelin deposition, is produced (<xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B16">16</xref>). Therefore, CG4 are considered a good <italic>in vitro</italic> model of CNS myelination (<xref ref-type="bibr" rid="B17">17</xref>). We recently found that EPO increases myelin gene expression in differentiating CG4 cells; EPO promoted differentiation of OPCs into MBP- and MOG-positive OLs (<xref ref-type="bibr" rid="B8">8</xref>).</p>
<p>The aim of this study was to investigate the mechanisms mediating the pro-myelinating effects of EPO on CG4 cells. To this purpose, we analyzed the changes in the gene expression profile induced by EPO in differentiating cells at two time points, 1 and 20&#x02009;h after EPO treatment, focusing on the transcriptional changes occurring during the OPC to OL transition. The results highlight an inducing effect of EPO on genes previously known to play a role in myelination, such as insulin-like growth factor-1 (<italic>Igf1</italic>), <italic>Igf2</italic>, protein tyrosine phosphatase receptor type E (<italic>Ptpre</italic>), as well as genes involved in lipid transport and metabolism, including fatty acid translocase (<italic>Fat/Cd36</italic>), peroxisome proliferator-activated receptor-gamma coactivator (<italic>Ppargc1a</italic>/<italic>Pgc1alpha</italic>), and pancreatic lipase (<italic>Pnlip</italic>) (<xref ref-type="bibr" rid="B18">18</xref>&#x02013;<xref ref-type="bibr" rid="B24">24</xref>).</p>
</sec>
<sec id="S2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="S2-1">
<title>Cell Culture</title>
<p>The wild-type CG4 cell line, a rat OL precursor cell line originally obtained from primary cultures of bipotential oligodendrocyte-type-2-astrocytes (O-2A), was kindly donated by Huseyin Mehmet, Imperial College, London. CG4 cells, as primary O-2A cells, can differentiate into mature OLs by withdrawal of growth factors (bFGF and PDGF) and of B104 mitogens, or into astrocytes by addition of 20% fetal calf serum. Undifferentiated cells are bipolar; after 2&#x02009;days of differentiation they acquire about 90% of multipolar morphology. Differentiated CG4 cells express myelin proteins, including MBP and MOG (<xref ref-type="bibr" rid="B15">15</xref>&#x02013;<xref ref-type="bibr" rid="B17">17</xref>).</p>
<p>CG4 cells overexpressing EPOR (CG4-EPOR) were generated as reported in our previous study (<xref ref-type="bibr" rid="B8">8</xref>). Briefly, CG4-EPOR cells were obtained by transduction of CG4 cells with the mouse <italic>EPOR</italic> gene in a constitutive lentiviral vector, modified to include the <italic>V5</italic> epitope, the mouse encephalomyocarditis internal ribosome entry site (<italic>IRES</italic>) and the enhanced green fluorescent protein (<italic>EGFP</italic>) reporter. The expression of recombinant V5-tagged EPOR in transduced CG4 cells was verified by measuring by flow cytometry the EGFP reporter expression, and by immunoblotting with the anti-V5-tag mouse monoclonal antibody (Invitrogen), as described (<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B25">25</xref>).</p>
<p>CG4-EPOR cells were seeded in poly-<sc>l</sc>-ornithine-coated 6-well plates (320,000 cells in 4&#x02009;ml GM per well). They were maintained at the precursor stage by culture in growth medium (GM), consisting of Dulbecco&#x02019;s modified Eagle medium (DMEM) (Sigma-Aldrich) supplemented with biotin (10&#x02009;ng/ml), bFGF (5&#x02009;ng/ml), PDGF (1&#x02009;ng/ml), N1 supplement (all from Sigma-Aldrich), and 30% B104-conditioned medium, obtained as previously reported (<xref ref-type="bibr" rid="B8">8</xref>). After overnight culture, the cells were induced to differentiate into OLs by switching to differentiation medium (DM), consisting of DMEM-F12 (Invitrogen) supplemented with progesterone (3&#x02009;ng/ml), putrescine (5&#x02009;&#x000B5;g/ml), sodium selenite (4&#x02009;ng/ml), insulin (12.5&#x02009;&#x000B5;g/ml), transferrin (50&#x02009;&#x000B5;g/ml), biotin (10&#x02009;ng/ml), thyroxine (0.4&#x02009;&#x000B5;g/ml), and glucose (3&#x02009;g/l) (all from Sigma-Aldrich), as reported (<xref ref-type="bibr" rid="B8">8</xref>). After 3&#x02009;h, some of the cells were treated with recombinant human erythropoietin (rhEPO; Creative Dynamics) at 10&#x02009;ng/ml and cultured for 1 or 20&#x02009;h prior to RNA extraction. There is extensive biological cross-reactivity between human EPO and the EPOs of other mammals. Human EPO is approximately 80% homologous to rodent EPO, and it has been shown to be biologically active in rodents for erythropoietic and neurotrophic functions (<xref ref-type="bibr" rid="B26">26</xref>, <xref ref-type="bibr" rid="B27">27</xref>). Undifferentiated cells were seeded as above and cultured in GM without switching to DM for the whole length of the experiment.</p>
<p>To measure ERK1/2 phosphorylation by western blot, cells were plated in poly-ornithine coated 24 well plates at 200,000/well in GM for 24&#x02009;h, then switched to DM and incubated overnight to starve them of growth factors present in GM. Cells were then preincubated with PD184352 (Cell Signaling, &#x00023;12147) or DMSO for 1&#x02009;h, then treated with or without EPO at 10&#x02009;ng/ml for the indicated times. PD184352 was dissolved in DMSO at 25&#x02009;mg/ml and then diluted in DM at the indicated concentrations.</p>
</sec>
<sec id="S2-2">
<title>RNA Extraction</title>
<p>Each sample was lysed with 1&#x02009;ml QIAzol (QIAGEN). Total RNA was extracted by using the miRNeasy system and protocol (QIAGEN). RNA purity and integrity were determined using a NanoDrop ND-1000 (NanoDrop Technologies) and an Agilent 2100 Bioanalyzer (Agilent Technologies). All samples had a A260/A280 ratio &#x0003E;1.8 and RNA Integrity Number &#x0003E;9.</p>
</sec>
<sec id="S2-3">
<title>Microarrays</title>
<p>All experimental conditions were performed in quadruplicate; undifferentiated cells were cultured in quadruplicate but only three random samples were used for microarray analysis and all of the four samples for quantitative PCR (qPCR) validation. In total, 19 arrays were completed: 3 undifferentiated (und) and 16 differentiated: 4 differentiated (ctr) and 4 differentiated&#x02009;&#x0002B;&#x02009;EPO (EPO) at each time point (4 and 23&#x02009;h of differentiation; 1 and 20&#x02009;h after EPO treatment, respectively).</p>
<p>RNA was amplified, labeled, and hybridized onto Single Color SurePrint G3 Rat GE 8&#x02009;&#x000D7;&#x02009;60K Microarrays (AMADID:028279; Agilent) at Oxford Gene Technology, Oxford, UK. Following hybridization, the arrays were scanned to derive the array images. Feature extraction software v10.7.3.1 was used to generate the array data from the images.</p>
</sec>
<sec id="S2-4">
<title>Microarray Data Analysis</title>
<p>Raw data in standard format from the microarray experiment have been deposited in the Gene Expression Omnibus (GEO) database of NCBI (<xref ref-type="bibr" rid="B28">28</xref>) and are accessible through GEO Series accession number GSE84687.<xref ref-type="fn" rid="fn1"><sup>1</sup></xref> Raw data were normalized and analyzed using GeneSpring (Agilent) and Excel software. Transcript expression levels between the experimental groups were compared by Student&#x02019;s <italic>t</italic>-test done on the log<sub>2</sub> of the gProcessed Signal, obtaining uncorrected <italic>p</italic>-values. Subsequent multiple comparison corrections were performed using the Benjamini-Hochberg False Discovery Rate procedure, obtaining adjusted <italic>p-</italic>values. Fold change in the expression was calculated as the ratio between the average of the gProcessed Signals of the various groups and expressed as log<sub>2</sub>. Differences in expression with an adjusted <italic>p</italic>-value&#x02009;&#x0003C;&#x02009;0.05 and an absolute fold change&#x02009;&#x02265;&#x02009;1.5 (log<sub>2</sub> fold change&#x02009;&#x02265;&#x02009;0.58) were considered statistically significant. Functional annotation and biological term enrichment was done using the Database for Annotation, Visualization, and Integrated Discovery (DAVID)<xref ref-type="fn" rid="fn2"><sup>2</sup></xref> (<xref ref-type="bibr" rid="B29">29</xref>). DAVID calculates a modified Fisher&#x02019;s exact <italic>p</italic>-value to demonstrate enrichment. Categories with <italic>p</italic>-value&#x02009;&#x0003C;&#x02009;0.05 were considered significantly enriched.</p>
</sec>
<sec id="S2-5">
<title>Microarray Data Validation by RT-qPCR</title>
<p>Reverse transcription (RT) and real-time qPCR were carried out as reported (<xref ref-type="bibr" rid="B30">30</xref>) on total RNA from quadruplicate samples, using TaqMan<sup>&#x000AE;</sup> gene expression assays (Applied Biosystems/Life Technologies) and Brilliant III qPCR master mix (Stratagene/Agilent Technologies). Gene expression was quantified using the &#x00394;&#x00394;Ct method, according to Applied Biosystems&#x02019; guidelines. Results were normalized to HPRT1 expression (reference gene) and expressed as log<sub>2</sub> of the relative expression (ratio) vs one of the control samples (as indicated), chosen as the calibrator.</p>
</sec>
<sec id="S2-6">
<title>Western Blot Analysis</title>
<p>Cells were lysed in RIPA buffer (Thermo Fisher Scientific) and total cellular extracts were incubated on ice for 30&#x02009;min and then cleared by centrifugation (15,000&#x02009;<italic>g</italic> for 20&#x02009;min at 4&#x000B0;C). Protein concentration was measured with the BCA kit (Pierce) and 30&#x02009;&#x000B5;g of cellular proteins were analyzed by 10% sodium dodecyl sulfate-polyacrylamide gel electrophoresis and transferred to a nitrocellulose membrane (Millipore) by electroblotting. Membranes were blocked for 1&#x02009;h with 5% bovine serum albumin (BSA, Sigma-Aldrich) in TBS and then probed with rabbit polyclonal anti-phospho-ERK1/2 (Cell Signaling, &#x00023;9101) followed by detection with goat-anti-rabbit-IgG-horseradish peroxidase conjugate (Sigma-Aldrich, &#x00023;A0545), all in 5% BSA in TBS with 0.1% Tween 20 (Sigma-Aldrich). Membranes were then stripped with Re-Blot Plus Strong Solution (Millipore) and then blocked and reprobed with rabbit polyclonal anti-ERK1/2 (Cell Signaling, &#x00023;9102). Protein bands were visualized using ECL detection reagent (GE Healthcare) and exposing the membranes to autoradiography films (Hyperfilms, GE Healthcare).</p>
</sec>
</sec>
<sec id="S3">
<title>Results</title>
<sec id="S3-1">
<title>Experimental Design</title>
<p>Undifferentiated CG4 cells cultured for 1&#x02009;day in GM were switched to DM and treated with EPO (10&#x02009;ng/ml) after 3&#x02009;h; gene expression analysis was performed 1 and 20&#x02009;h upon EPO stimulation (at 4 and 23&#x02009;h of differentiation, respectively). The dose of EPO was chosen based on dose&#x02013;response experiments published in our previous study; since in these cells EPO dose-dependently induced MOG and MBP expression with maximal induction at 8&#x02009;ng/ml and no further increase at 80 and 400&#x02009;ng/ml, the dose of 10&#x02009;ng/ml was used throughout this study (<xref ref-type="bibr" rid="B8">8</xref>). EPO-treated were compared with untreated differentiating cells; the effect of differentiation was investigated by comparison with undifferentiated cells cultured for 1&#x02009;day in GM in the same experimental conditions. Genes differentially expressed were identified by setting a cutoff fold change (FC) of 1.5 (log<sub>2</sub> FC&#x02009;&#x0003D;&#x02009;0.58) and cutoff <italic>p</italic>-value&#x02009;&#x0003C;&#x02009;0.05 after applying the Benjamini&#x02013;Hochberg (BH) correction for multiple tests.</p>
</sec>
<sec id="S3-2">
<title>Genes Regulated by Differentiation and EPO</title>
<p>At 20&#x02009;h, culture in DM changed the expression of 2,663 out of 24,272 transcripts. Five genes represented by duplicate probes changed in opposite directions were excluded from the analysis; when genes were represented by duplicate or triplicates probes consistently changed in the same direction, only the most significantly changed one was included, obtaining 2,436 genes, of which 99 were further changed in the same direction by EPO; 21,609 transcripts were unaffected by differentiation, of which 174, representing 150 genes, were changed by EPO (Figure <xref ref-type="fig" rid="F1">1</xref>). The relative expression changes of all genes affected by differentiation (2,436; 1,164 upregulated and 1,272 downregulated; Figure <xref ref-type="fig" rid="F1">1</xref>) and/or by EPO (278; 177 upregulated and 101 downregulated; Figure <xref ref-type="fig" rid="F1">1</xref>) and details about the redundant probes removed are reported in Files S1&#x02013;S3 in Supplementary Material.</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p>Transcripts regulated by erythropoietin (EPO) at 20&#x02009;h in differentiating central glia-4 (CG4) cells. Cells cultured for 1&#x02009;day in growth medium (GM) were switched to differentiation medium (DM); after 3&#x02009;h, EPO was added and cells were incubated for further 20&#x02009;h. <bold>(A)</bold> Transcripts regulated by differentiation were selected by comparing differentiating (23&#x02009;h culture with DM) vs undifferentiated cells and transcripts regulated by EPO by comparing EPO-treated (20&#x02009;h) vs untreated differentiating cells. Cutoff for selection was a fold change of 1.5 and BH adj. <italic>p</italic>-value&#x02009;&#x0003C;&#x02009;0.05. The number of transcripts resulting from filtering is indicated and color coded (red, increased; green, decreased). <bold>(B)</bold> Venn diagrams representing the overlap between transcripts regulated by differentiation and downregulated (left diagrams) or upregulated (right diagrams) by EPO, selected as described in <bold>(A)</bold>.</p></caption>
<graphic xlink:href="fimmu-08-01394-g001.tif"/>
</fig>
<p>On the other hand, 1&#x02009;h of EPO treatment had little effect on the gene expression profile. Culture for 4&#x02009;h in DM affected 931 transcripts out of 24,272; after removing one gene represented by duplicate probes changed in opposite directions, and redundant probes, 878 genes were obtained; of these, 461 were upregulated and 417 downregulated. The addition of EPO for the last hour increased the expression of only six transcripts, corresponding to five genes (<italic>Egr1, H19, Fos, Arl4a, Irx2</italic>), of which three (<italic>Egr1, Fos, and Irx2</italic>) had been decreased, and therefore changed in the opposite direction, by previous culture in DM; the remaining two, <italic>H19</italic> and <italic>Arl4a</italic>, had been unaffected by differentiation. The experimental design flowchart at 1&#x02009;h is shown in Figure S1 in Supplementary Material and the whole list of the genes affected by differentiation and/or by EPO at 1&#x02009;h, with details about the removed probes, is provided in Files S4 and S5 in Supplementary Material.</p>
<p>To understand the general function of the genes up- or downregulated in differentiating cells at 20&#x02009;h, we used DAVID to identify the overrepresented GO categories with biological process (BP) designation (GO:BP).</p>
<p>Strongly proliferating OPCs need to exit the cell cycle to start differentiating and producing myelin proteins (<xref ref-type="bibr" rid="B31">31</xref>). Therefore, unsurprisingly, the top overrepresented GO:BP categories identified by DAVID analysis of the 1,272 genes downregulated by differentiation (full list, File S1 in Supplementary Material) included &#x0201C;cell division&#x0201D; and &#x0201C;mitotic nuclear division.&#x0201D; Thus, differentiation inhibited the expression of many genes driving cell proliferation; this confirms previous studies in CG4 cells (<xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B32">32</xref>) and in primary OLs (<xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B34">34</xref>).</p>
<p>Erythropoietin further downregulated the expression of 56 genes already decreased by differentiation, and of 37 of the unaffected ones (Figure <xref ref-type="fig" rid="F1">1</xref>; File S3 in Supplementary Material); the top enriched GO:BP terms in both groups of genes included &#x0201C;DNA replication&#x0201D;; only 8 transcripts were downregulated by EPO but upregulated by differentiation, and a PubMed search did not highlight any link with OLs or myelination. Therefore, analysis of the EPO-downregulated genes revealed a strong inhibitory action of EPO on a network of genes involved in cell proliferation, some of which were already affected by differentiation; however, it did not suggest any other mechanism that might be triggered by EPO through gene downregulation. The DAVID analysis of the genes downregulated by differentiation and/or by EPO is reported in File S6 in Supplementary Material.</p>
<p>Among the 1,164 genes upregulated by differentiation alone (full list, File S1 in Supplementary Material), the top enriched GO:BP categories were &#x0201C;nervous system development&#x0201D; (<italic>n</italic>&#x02009;&#x0003D;&#x02009;25), which included genes involved in myelination, such as <italic>Mag</italic> and <italic>Erbb2</italic> (<xref ref-type="bibr" rid="B35">35</xref>), &#x0201C;cell adhesion&#x0201D; (<italic>n</italic>&#x02009;&#x0003D;&#x02009;30), including genes previously found upregulated in differentiating OLs, such as <italic>Cd9, Neo1, Ninj2, Opcml, Tnr</italic> (<xref ref-type="bibr" rid="B36">36</xref>), &#x0201C;fatty acid beta-oxidation&#x0201D; (<italic>n</italic>&#x02009;&#x0003D;&#x02009;10), and &#x0201C;glycolysis&#x0201D; (<italic>n</italic>&#x02009;&#x0003D;&#x02009;9), both required to provide intermediates for myelin synthesis and energy to support the myelination process (Table <xref ref-type="table" rid="T1">1</xref>) (<xref ref-type="bibr" rid="B37">37</xref>, <xref ref-type="bibr" rid="B38">38</xref>). EPO further upregulated 43 of the transcripts already increased by differentiation alone (Figure <xref ref-type="fig" rid="F1">1</xref>; File S2 in Supplementary Material), among which DAVID analysis did not highlight any enriched GO:BP category. However, by manual analysis we identified two myelin genes [<italic>Mag and Pmp2</italic>, a peripheral myelin protein which is also present in the CNS (<xref ref-type="bibr" rid="B39">39</xref>)], one gene belonging to the GO:BP &#x0201C;nervous system development&#x0201D; (<italic>Mag</italic>) and three genes to &#x0201C;cell adhesion&#x0201D; (<italic>Cdhr2, Mag, Ntm</italic>) but none to &#x0201C;fatty acid beta-oxidation&#x0201D; or &#x0201C;glycolysis.&#x0201D; Twenty-one transcripts were upregulated by EPO but downregulated by differentiation, including low density lipoprotein receptor (<italic>Ldlr</italic>), which is expressed in mature OLs (<xref ref-type="bibr" rid="B40">40</xref>) and myelin transcription factor 1 (<italic>Myt1</italic>), whose multiple functions on proliferation and differentiation of OLs, likely dependent on interacting molecules, have not been fully characterized (<xref ref-type="bibr" rid="B33">33</xref>).</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>Top enriched functional GO:BP categories in transcripts upregulated by differentiation or specifically upregulated by EPO at 20&#x02009;h.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left">GO:BP category</th>
<th valign="top" align="center">Fold enrichment</th>
<th valign="top" align="left">Gene symbols</th>
<th valign="top" align="center"><italic>p</italic>-value</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top" colspan="4"><bold>Upregulated by differentiation (1,164)</bold></td>
</tr>
<tr>
<td align="left" valign="top">Nervous system development</td>
<td align="center" valign="top">2.7</td>
<td align="left" valign="top"><italic>GRIP1, ERBB2, GPM6B, TNR, SMIM3, SH2B2, NDRG2, BHLHE40, CABLES1, SIM2, INA</italic>, <bold><italic>MAG</italic></bold>, <italic>NR4A2, DPYSL3, CSRP1, PTPRO, GAS7, PURA, SLITRK1, NTRK1, VEGFA, OPHN1, IFT88, GFRA2, KCTD11</italic></td>
<td align="center" valign="top">2.2E&#x02212;05</td>
</tr>
<tr>
<td align="left" valign="top" colspan="4"><hr/></td>
</tr>
<tr>
<td align="left" valign="top">Cell adhesion</td>
<td align="center" valign="top">2.2</td>
<td align="left" valign="top"><italic>CHE, OPCML, BCAR1, NINJ2, NEO1, CD9, IGSF11, LGALS3BP, PTK2, SORBS2, TNR, ACAN, EMB, NEGR1, MLLT4, SPON1</italic>, <bold><italic>MAG</italic></bold>, <italic>ICAM5, PODXL</italic>, <bold><italic>CDHR2</italic></bold>, <italic>ITGA4, CERCAM, SSPO, FARP2, VWF, LSAMP, CX3CR1, RELN, PDZD2</italic>, <bold><italic>NTM</italic></bold></td>
<td align="center" valign="top">8.2E&#x02212;05</td>
</tr>
<tr>
<td align="left" valign="top" colspan="4"><hr/></td>
</tr>
<tr>
<td align="left" valign="top">Fatty acid beta-oxidation</td>
<td align="center" valign="top">4.8</td>
<td align="left" valign="top"><italic>CPT1C, ACAA2, ACADSB, CPT2, EHHADH, ABCD2, DECR1, HSD17B4, HADH, ACAA1B</italic></td>
<td align="center" valign="top">1.7E&#x02212;04</td>
</tr>
<tr>
<td align="left" valign="top" colspan="4"><hr/></td>
</tr>
<tr>
<td align="left" valign="top">Glycolytic process</td>
<td align="center" valign="top">4.8</td>
<td align="left" valign="top">ALDOA, ALDOART2, TPI1, PFKL, ALDOC, ENO2, PFKM, PGK1, DHTKD1</td>
<td align="center" valign="top">4.3E&#x02212;04</td>
</tr>
<tr>
<td align="left" valign="top" colspan="4"><hr/></td>
</tr>
<tr>
<td align="left" valign="top" colspan="4"><bold>Upregulated by erythropoietin (EPO) and unchanged by differentiation alone (113)</bold></td>
</tr>
<tr>
<td align="left" valign="top">Response to organic cyclic compound</td>
<td align="center" valign="top">6.2</td>
<td align="left" valign="top"><italic>PRKCQ, FOS, CYP1B1, PLIN2, CD44, CTGF, IGF-1, IGF-2, TIMP3, PPARGC1A</italic></td>
<td align="center" valign="top">3.1E&#x02212;05</td>
</tr>
<tr>
<td align="left" valign="top" colspan="4"><hr/></td>
</tr>
<tr>
<td align="left" valign="top">Response to activity</td>
<td align="center" valign="top">11.2</td>
<td align="left" valign="top"><italic>PPARD, CD36, IGF-1, FGF21, ZEB1, PPARGC1A</italic></td>
<td align="center" valign="top">1.9E&#x02212;04</td>
</tr>
<tr>
<td align="left" valign="top" colspan="4"><hr/></td>
</tr>
<tr>
<td align="left" valign="top">Response to nutrient levels</td>
<td align="center" valign="top">10.1</td>
<td align="left" valign="top"><italic>IGF-1, IGF-2, FGF21, ZEB1, PPARGC1A, H19</italic></td>
<td align="center" valign="top">3.1E&#x02212;04</td>
</tr>
<tr>
<td align="left" valign="top" colspan="4"><hr/></td>
</tr>
<tr>
<td align="left" valign="top">Positive regulation of ERK1 and ERK2 cascade</td>
<td align="center" valign="top">6.8</td>
<td align="left" valign="top"><italic>SPRY2, CD36, CD44, CTGF, ANGPT1, FGF21, HTR2C</italic></td>
<td align="center" valign="top">5.5E&#x02212;04</td>
</tr>
</tbody>
</table>
<table-wrap-foot><p><italic>DAVID Functional Annotation Chart Analysis showing the four top overrepresented GO:BP categories among the transcripts upregulated by differentiation or specifically upregulated by EPO and unchanged by differentiation alone. The fold enrichment and the significance of the enrichment (a modified Fisher&#x02019;s exact <italic>p</italic>-value calculated by DAVID) is reported. In bold the genes further upregulated by EPO (Table S2 in Supplementary Material)</italic>.</p></table-wrap-foot></table-wrap>
</sec>
<sec id="S3-3">
<title>Genes Specifically Induced by EPO</title>
<p>We then looked at the transcripts specifically increased by EPO but unchanged by differentiation alone (113; Figure <xref ref-type="fig" rid="F1">1</xref>). The 15 most induced genes in this group are reported in Table <xref ref-type="table" rid="T2">2</xref> (full list, File S2 in Supplementary Material). Some of these genes have been described to play a role in myelination, including <italic>Igf1</italic> and <italic>Igf2</italic> (<xref ref-type="bibr" rid="B21">21</xref>), and <italic>Ptpre</italic>, a protein tyrosine phospatase whose knockouts have defects in myelination (<xref ref-type="bibr" rid="B19">19</xref>). Interestingly, PTPRE also inhibits ERK activation (<xref ref-type="bibr" rid="B41">41</xref>). DAVID analysis identified enrichment of generic GO:BP terms including &#x0201C;response to organic cyclic compounds&#x0201D; (<italic>n</italic>&#x02009;&#x0003D;&#x02009;10), &#x0201C;response to activity&#x0201D; (<italic>n</italic>&#x02009;&#x0003D;&#x02009;6), &#x0201C;response to nutrient levels&#x0201D; (<italic>n</italic>&#x02009;&#x0003D;&#x02009;6), and positive regulation of ERK1 and ERK2 cascade (<italic>n</italic>&#x02009;&#x0003D;&#x02009;7) (Table <xref ref-type="table" rid="T1">1</xref>).</p>
<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption><p>Top 15 transcripts upregulated by erythropoietin (EPO) in differentiating cells at 20&#x02009;h.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left" rowspan="2">ProbeName</th>
<th valign="top" align="center" rowspan="2">GeneSymbol</th>
<th valign="top" align="center" rowspan="2">GenbankAccession</th>
<th valign="top" align="center" colspan="3">EPO vs differentiation<hr/></th>
</tr><tr>
<th valign="top" align="center">Log<sub>2</sub> FC</th>
<th valign="top" align="center"><italic>p</italic>-value</th>
<th valign="top" align="center">BH adj. <italic>p</italic>-value</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">A_44_P342289</td>
<td align="center" valign="top"><italic>H19</italic></td>
<td align="center" valign="top">NR_027324</td>
<td align="center" valign="top">12.53</td>
<td align="center" valign="top">2.4E&#x02212;07</td>
<td align="center" valign="top">3.2E&#x02212;04</td>
</tr>
<tr>
<td align="left" valign="top">A_64_P054808</td>
<td align="center" valign="top"><italic>Cd36</italic></td>
<td align="center" valign="top">NM_031561</td>
<td align="center" valign="top">6.98</td>
<td align="center" valign="top">5.4E&#x02212;08</td>
<td align="center" valign="top">1.5E&#x02212;04</td>
</tr>
<tr>
<td align="left" valign="top">A_44_P792784</td>
<td align="center" valign="top"><italic>Htr2c</italic></td>
<td align="center" valign="top">NM_012765</td>
<td align="center" valign="top">5.14</td>
<td align="center" valign="top">4.2E&#x02212;09</td>
<td align="center" valign="top">5.1E&#x02212;05</td>
</tr>
<tr>
<td align="left" valign="top">A_64_P128810</td>
<td align="center" valign="top"><italic>RGD1565355</italic></td>
<td align="center" valign="top">NM_001109218</td>
<td align="center" valign="top">5.11</td>
<td align="center" valign="top">2.7E&#x02212;08</td>
<td align="center" valign="top">9.3E&#x02212;05</td>
</tr>
<tr>
<td align="left" valign="top">A_64_P069419</td>
<td align="center" valign="top"><italic>Tnfrsf11a</italic></td>
<td align="center" valign="top">NM_001271235</td>
<td align="center" valign="top">4.37</td>
<td align="center" valign="top">4.9E&#x02212;09</td>
<td align="center" valign="top">4.0E&#x02212;05</td>
</tr>
<tr>
<td align="left" valign="top">A_64_P137130</td>
<td align="center" valign="top"><italic>Ptpre</italic></td>
<td align="center" valign="top">NM_053767</td>
<td align="center" valign="top">4.01</td>
<td align="center" valign="top">3.3E&#x02212;07</td>
<td align="center" valign="top">3.5E&#x02212;04</td>
</tr>
<tr>
<td align="left" valign="top">A_64_P092747</td>
<td align="center" valign="top"><italic>Mrvi1</italic></td>
<td align="center" valign="top">NM_001105210</td>
<td align="center" valign="top">3.96</td>
<td align="center" valign="top">7.9E&#x02212;06</td>
<td align="center" valign="top">2.7E&#x02212;03</td>
</tr>
<tr>
<td align="left" valign="top">A_44_P1037953</td>
<td align="center" valign="top"><italic>Igf2</italic></td>
<td align="center" valign="top">NM_031511</td>
<td align="center" valign="top">3.68</td>
<td align="center" valign="top">5.7E&#x02212;08</td>
<td align="center" valign="top">1.4E&#x02212;04</td>
</tr>
<tr>
<td align="left" valign="top">A_64_P093467</td>
<td align="center" valign="top"><italic>Trpc4</italic></td>
<td align="center" valign="top">NM_080396</td>
<td align="center" valign="top">3.42</td>
<td align="center" valign="top">8.5E&#x02212;07</td>
<td align="center" valign="top">7.4E&#x02212;04</td>
</tr>
<tr>
<td align="left" valign="top">A_44_P1058692</td>
<td align="center" valign="top"><italic>Angpt1</italic></td>
<td align="center" valign="top">NM_053546</td>
<td align="center" valign="top">3.41</td>
<td align="center" valign="top">3.0E-06</td>
<td align="center" valign="top">1.4E&#x02212;03</td>
</tr>
<tr>
<td align="left" valign="top">A_64_P080817</td>
<td align="center" valign="top"><italic>Cd44</italic></td>
<td align="center" valign="top">NM_012924</td>
<td align="center" valign="top">3.34</td>
<td align="center" valign="top">2.4E&#x02212;06</td>
<td align="center" valign="top">1.2E&#x02212;03</td>
</tr>
<tr>
<td align="left" valign="top">A_44_P577108</td>
<td align="center" valign="top"><italic>Rasgef1c</italic></td>
<td align="center" valign="top">NM_001108273</td>
<td align="center" valign="top">3.08</td>
<td align="center" valign="top">1.1E&#x02212;07</td>
<td align="center" valign="top">2.0E&#x02212;04</td>
</tr>
<tr>
<td align="left" valign="top">A_64_P082924</td>
<td align="center" valign="top"><italic>Rspo2</italic></td>
<td align="center" valign="top">XM_006241608</td>
<td align="center" valign="top">3.07</td>
<td align="center" valign="top">7.4E&#x02212;06</td>
<td align="center" valign="top">2.7E&#x02212;03</td>
</tr>
<tr>
<td align="left" valign="top">A_44_P366723</td>
<td align="center" valign="top"><italic>Igf1</italic></td>
<td align="center" valign="top">NM_178866</td>
<td align="center" valign="top">2.96</td>
<td align="center" valign="top">1.4E&#x02212;06</td>
<td align="center" valign="top">9.3E&#x02212;04</td>
</tr>
<tr>
<td align="left" valign="top">A_64_P053785</td>
<td align="center" valign="top"><italic>Adra2a</italic></td>
<td align="center" valign="top">NM_012739</td>
<td align="center" valign="top">2.89</td>
<td align="center" valign="top">1.0E&#x02212;05</td>
<td align="center" valign="top">3.3E&#x02212;03</td>
</tr>
</tbody>
</table>
<table-wrap-foot><p><italic>The top 15 genes significantly induced by EPO at 20&#x02009;h and unchanged by differentiation alone are listed. Cutoff for significance: fold change (FC)&#x02009;&#x0003E;&#x02009;1.5 (log<sub>2</sub> FC&#x02009;&#x0003E;&#x02009;0.58) and BH adj. <italic>p</italic>-value&#x02009;&#x0003C;&#x02009;0.05 in EPO-treated differentiated cells vs differentiation alone. Gene name of RGD1565355: similar to fatty acid/translocase/CD36</italic>.</p></table-wrap-foot></table-wrap>
</sec>
<sec id="S3-4">
<title>EPO Increases the Expression of <italic>Cd36</italic> and of Genes Involved in Lipid Metabolism</title>
<p>We noticed, in the list in Table <xref ref-type="table" rid="T2">2</xref>, a strong effect of EPO (about 50-fold induction) on <italic>Cd36</italic>, which mediates long-chain fatty acid uptake and metabolism (<xref ref-type="bibr" rid="B22">22</xref>, <xref ref-type="bibr" rid="B42">42</xref>).</p>
<p>We, therefore, searched manually for other genes involved in lipid transport and metabolism among all the transcripts increased by EPO, including those also changed by differentiation alone (177; Figure <xref ref-type="fig" rid="F1">1</xref>; File S2 in Supplementary Material). We specifically searched for genes annotated with GO:0006629 &#x0201C;lipid metabolic process,&#x0201D; GO:0006631 &#x0201C;fatty acid metabolism,&#x0201D; GO:0006635 &#x0201C;fatty acid beta-oxidation,&#x0201D; GO:0019395 &#x0201C;fatty acid oxidation,&#x0201D; and GO:0015909 &#x0201C;long-chain fatty acid transport.&#x0201D; Other than <italic>Cd36</italic>, our search identified <italic>Ppargc1a</italic>/<italic>Pgc1alpha</italic>, lipin 1 (<italic>Lpin1</italic>), <italic>Lpin2, Pnlip</italic>, peroxisome proliferator-activated receptor delta (<italic>Ppard</italic>), and perilipin 2 (<italic>Plin2</italic>). The effect of EPO on the expression of these genes in differentiating cells is reported in Table <xref ref-type="table" rid="T3">3</xref>.</p>
<table-wrap position="float" id="T3">
<label>Table 3</label>
<caption><p>Transcripts involved in lipid transport and metabolism induced by erythropoietin (EPO) at 20&#x02009;h in differentiating cells.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left" rowspan="2">ProbeName</th>
<th valign="top" align="center" rowspan="2">GeneSymbol</th>
<th valign="top" align="center" rowspan="2">GenbankAccession</th>
<th valign="top" align="center" colspan="3">EPO vs differentiation<hr/></th>
</tr><tr>
<th valign="top" align="center">Log<sub>2</sub> FC</th>
<th valign="top" align="center"><italic>p</italic>-value</th>
<th valign="top" align="center">BH adj. <italic>p</italic>-value</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">A_64_P054808</td>
<td align="center" valign="top"><italic>Cd36</italic></td>
<td align="center" valign="top">NM_031561</td>
<td align="center" valign="top">6.98</td>
<td align="center" valign="top">5.4E&#x02212;08</td>
<td align="center" valign="top">1.5E&#x02212;04</td>
</tr>
<tr>
<td align="left" valign="top">A_44_P305482</td>
<td align="center" valign="top"><italic>Ppargc1a</italic></td>
<td align="center" valign="top">NM_031347</td>
<td align="center" valign="top">1.48</td>
<td align="center" valign="top">1.7E&#x02212;04</td>
<td align="center" valign="top">1.6E&#x02212;02</td>
</tr>
<tr>
<td align="left" valign="top">A_44_P191309</td>
<td align="center" valign="top"><italic>Lpin1</italic></td>
<td align="center" valign="top">XM_006239912</td>
<td align="center" valign="top">1.00</td>
<td align="center" valign="top">2.9E&#x02212;05</td>
<td align="center" valign="top">6.0E&#x02212;03</td>
</tr>
<tr>
<td align="left" valign="top">A_44_P254984</td>
<td align="center" valign="top"><italic>Pnlip</italic><xref ref-type="table-fn" rid="tfn1"><sup>a</sup></xref></td>
<td align="center" valign="top">NM_013161</td>
<td align="center" valign="top">0.92</td>
<td align="center" valign="top">2.1E&#x02212;05</td>
<td align="center" valign="top">5.2E&#x02212;03</td>
</tr>
<tr>
<td align="left" valign="top">A_44_P1045748</td>
<td align="center" valign="top"><italic>Lpin2</italic></td>
<td align="center" valign="top">NM_001108236</td>
<td align="center" valign="top">0.71</td>
<td align="center" valign="top">5.8E&#x02212;04</td>
<td align="center" valign="top">2.9E&#x02212;02</td>
</tr>
<tr>
<td align="left" valign="top">A_42_P458711</td>
<td align="center" valign="top"><italic>Ppard</italic></td>
<td align="center" valign="top">NM_013141</td>
<td align="center" valign="top">0.67</td>
<td align="center" valign="top">1.3E&#x02212;04</td>
<td align="center" valign="top">1.4E&#x02212;02</td>
</tr>
<tr>
<td align="left" valign="top">A_42_P839964</td>
<td align="center" valign="top"><italic>Plin2</italic></td>
<td align="center" valign="top">NM_001007144</td>
<td align="center" valign="top">0.67</td>
<td align="center" valign="top">1.3E&#x02212;04</td>
<td align="center" valign="top">1.4E&#x02212;02</td>
</tr>
</tbody>
</table>
<table-wrap-foot><p><italic>All the genes increased by EPO at 20&#x02009;h identified with GO &#x0201C;lipid metabolic process&#x0201D; (GO:6629), &#x0201C;fatty acid metabolism&#x0201D; (GO:6631), &#x0201C;fatty acid oxidation&#x0201D; (GO:19395), &#x0201C;fatty acid beta-oxidation&#x0201D; (GO:6635), &#x0201C;long-chain fatty acid transport&#x0201D; (GO:15909) are listed. Cutoff for significance: fold change (FC)&#x02009;&#x0003E;&#x02009;1.5 (log<sub>2</sub> FC&#x02009;&#x0003E;&#x02009;0.58) and BH adj. <italic>p</italic>-value&#x02009;&#x0003C;&#x02009;0.05 in EPO-treated differentiated cells vs differentiation alone</italic>.</p>
<fn id="tfn1"><p><italic><sup>a</sup>Increased also by differentiation alone (log<sub>2</sub> FC 1.9, <italic>p</italic>-value 9.7E&#x02212;05, BH adj. <italic>p</italic>-value 3.7E&#x02212;03 when comparing differentiated vs undifferentiated cells)</italic>.</p></fn></table-wrap-foot></table-wrap>
</sec>
<sec id="S3-5">
<title>Validation of Microarray Data by qPCR</title>
<p>Microarray expression of eight genes of interest induced by EPO at 20&#x02009;h, including the I<italic>gfs, Ptpre</italic>, some of the genes involved in lipid transport and metabolism and one myelin gene, <italic>Pmp2</italic>, was validated by RT-qPCR, using the same RNA used for the microarray experiment and RNA from a completely independent experiment (Figure <xref ref-type="fig" rid="F2">2</xref>). EPO-induced expression of all the eight genes tested was confirmed by RT-qPCR.</p>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p>PCR validation of the microarray data. Results for eight genes at 20&#x02009;h of erythropoietin (EPO) treatment are shown, comparing expression data from microarrays (left) with results from PCR analysis of the RNA from the same experiment (middle) and RNA from an independent experiment (right). Results for undifferentiated (white bars), differentiating (gray bars) and EPO-treated (black bars) differentiating samples are shown. Data are expressed as log<sub>2</sub> fold change vs one of the respective undifferentiated samples and are the mean&#x02009;&#x000B1;&#x02009;SD of four biological replicates. &#x0002A;&#x0002A;&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.001 vs differentiation alone; <sup>&#x000A7;</sup><italic>p</italic>&#x02009;&#x0003C;&#x02009;0.01 vs undifferentiated; <sup>&#x00023;</sup><italic>p</italic>&#x02009;&#x0003C;&#x02009;0.001 undifferentiated by two-tailed Student&#x02019;s <italic>t</italic>-test.</p></caption>
<graphic xlink:href="fimmu-08-01394-g002.tif"/>
</fig>
</sec>
<sec id="S3-6">
<title>An Inhibitor of ERK Potentiates EPO-Induced <italic>Mog</italic> Expression</title>
<p>To investigate whether EPO-induced PTPRE might contribute to the increased myelin gene expression, possibly by inhibiting ERK1/2 activation, we used an inhibitor of ERK1/2 phosphorylation, PD184352. In cells incubated with DM for 1&#x02009;day, EPO increased the phosphorylation of ERK1/2, which peaked at 10&#x02009;min and returned to background level at 2&#x02009;h (Figure <xref ref-type="fig" rid="F3">3</xref>A). Preincubation with PD184352 (0.1&#x02013;2&#x02009;&#x000B5;m) for 1&#x02009;h completely inhibited EPO-induced ERK1/2 phosphorylation (Figure <xref ref-type="fig" rid="F3">3</xref>B), showing that the inhibitor was functionally active; PD184352 also potentiated EPO-induced <italic>Mog</italic> expression (Figure <xref ref-type="fig" rid="F3">3</xref>C). This result showed that inhibition of the phosphorylation of ERK1/2, achieved by EPO by inducing PTPRE, might be a mechanism by which EPO increases myelin gene expression.</p>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p>Inhibition of ERK1/2 phosphorylation potentiates erythropoietin (EPO)-induced <italic>Mog</italic> expression. <bold>(A)</bold> Time-course of EPO-induced phosphorylation of ERK1/2. <bold>(B)</bold> Dose&#x02013;response of PD184352 on inhibition of ERK1/2 phosphorylation. <bold>(A,B)</bold> Cells were plated in GM for 24&#x02009;h, then switched to DM and incubated overnight before treatment with medium alone or EPO at 10&#x02009;ng/ml for the time indicated <bold>(A)</bold>, or treated with DMSO or with different concentrations of PD184352 for 1&#x02009;h and then with EPO 10&#x02009;ng/ml for 10&#x02009;min. Phosphorylated ERK1/2 (upper bands) or total ERK1/2 as the loading control (lower bands) were analyzed by western blot. <bold>(C)</bold> PD184352 increases EPO-induced <italic>Mog</italic> expression. Cells were plated in GM for 24&#x02009;h, then switched to DM and treated with DMSO or PD184352 for 1&#x02009;h and then with EPO at 10&#x02009;ng/ml. <italic>Mog</italic> expression was measured by RT-qPCR at day 3. Data are the mean&#x02009;&#x000B1;&#x02009;SD of four biological replicates and are representative of three independent experiments. &#x0002A;&#x0002A;&#x0002A;<italic>p</italic>&#x02009;&#x0003C;&#x02009;0.001 by two-tailed Student&#x02019;s <italic>t</italic>-test.</p></caption>
<graphic xlink:href="fimmu-08-01394-g003.tif"/>
</fig>
</sec>
</sec>
<sec id="S4" sec-type="discussion">
<title>Discussion</title>
<p>The purpose of this study was to use gene expression profiling of CG4 OL cells to investigate the mechanism underlying the pro-myelinating action of EPO that we previously reported (<xref ref-type="bibr" rid="B8">8</xref>).</p>
<p>To this aim, we used CG4 cells transduced to overexpress EPOR. Evidence in the literature reports EPO effects on OLs, from cytoprotection to enhancement of differentiation and myelination, <italic>in vitro</italic> and <italic>in vivo</italic> (<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B10">10</xref>&#x02013;<xref ref-type="bibr" rid="B13">13</xref>). EPOR is expressed in OLs in physiologic conditions, and its levels are increased by hypoxia, injury, and chronic disease (<xref ref-type="bibr" rid="B43">43</xref>, <xref ref-type="bibr" rid="B44">44</xref>), suggesting the involvement of the EPO&#x02013;EPOR pathway in remyelination upon injury and disease of the CNS. The low availability of high numbers of primary OPCs makes it difficult to study the mechanisms mediating EPO pro-myelinating effects. To circumvent this problem, we used the CG4 cell line, a well-documented <italic>in vitro</italic> model of CNS myelination (<xref ref-type="bibr" rid="B17">17</xref>). However, as reported in our previous study, wild-type CG4 cells do not express EPOR; in cells transduced to express EPOR, EPO increased myelin gene expression, and we demonstrated, using clones with differential EPOR expression, that the response to EPO was increased as the level of EPOR increased, and was actually due to expression of EPOR and not to the vector itself (<xref ref-type="bibr" rid="B8">8</xref>).</p>
<p>In our <italic>in vitro</italic> system, we observed an inducing effect of EPO on genes previously known to play a role in myelination, such as <italic>Igf1, Igf2</italic>, and <italic>Ptpre</italic>, as well as genes involved in lipid transport and metabolism, including <italic>Fat/Cd36, Ppargc1a/Pgc1alpha</italic>, and <italic>Pnlip</italic> (<xref ref-type="bibr" rid="B18">18</xref>&#x02013;<xref ref-type="bibr" rid="B24">24</xref>).</p>
<p>In general, the changes in gene expression profile induced by EPO identified two patterns.</p>
<p>For 43 transcripts, EPO amplified the effect of differentiation, augmenting their induction. These include three of the genes identified by DAVID in the functional groups &#x0201C;nervous system differentiation&#x0201D; and &#x0201C;cell adhesion&#x0201D; (<italic>Cdhr2, Mag, Ntm</italic>). In addition, <italic>Mag</italic> and <italic>Pnlip</italic> were reported as upregulated in primary rat OL compared with OPC (<xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B34">34</xref>, <xref ref-type="bibr" rid="B36">36</xref>, <xref ref-type="bibr" rid="B45">45</xref>).</p>
<p>A second group of genes was represented by the 113 transcripts upregulated by EPO and differentiation but not by differentiation alone. These include a number of genes identified in previous studies to be expressed in primary myelinating OL [<italic>Acy3, Adamts4, Insc, Pdlim2, Prkcq</italic> (<xref ref-type="bibr" rid="B46">46</xref>, <xref ref-type="bibr" rid="B47">47</xref>)], suggesting EPO may support OPC differentiation. This helps to explain the mechanism, at the gene expression level, of the pro-differentiating action of EPO on OLs described in other studies (<xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B13">13</xref>).</p>
<p>Among the genes whose expression was induced by DM and EPO but not by differentiation alone, the <italic>Igfs</italic> (<italic>Igf1</italic> and <italic>Igf2</italic>) were among the top ones. IGF-1 effects on myelination <italic>in vivo</italic> and <italic>in vitro</italic> are well known (<xref ref-type="bibr" rid="B21">21</xref>, <xref ref-type="bibr" rid="B48">48</xref>, <xref ref-type="bibr" rid="B49">49</xref>). Of note, EPO-induced IGF-1 has been proposed as a mediator of EPO regenerative and remyelinating effects in the peripheral nervous system in rats (<xref ref-type="bibr" rid="B50">50</xref>). Therefore, IGF-1 might contribute to the effects of EPO in this system.</p>
<p>Both IGF-1 and IGF-2 are pro-myelinating cytokines, although the role of IGF-1 is better described (<xref ref-type="bibr" rid="B49">49</xref>). Interestingly, in the context of clinical samples, data in GEO<xref ref-type="fn" rid="fn3"><sup>3</sup></xref> (GSE38010) from Steinman&#x02019;s group (<xref ref-type="bibr" rid="B51">51</xref>) show downregulation of <italic>Igf2</italic> in chronic MS plaques compared to healthy controls whereas <italic>Igf1</italic> expression did not change significantly.</p>
<p>Another gene among the top 15 induced by EPO was protein tyrosine phosphatase (PTP) receptor type E (<italic>Ptpre</italic>). Ranjan and Hudson found that PTP inhibitors decreased OL differentiation, and <italic>Ptpre</italic>, together with other PTP, was expressed in differentiating CG4 cells (<xref ref-type="bibr" rid="B18">18</xref>). Other PTPs have a role in OL maturation and myelination; <italic>Ptpa</italic> loss increased OPC proliferation (<xref ref-type="bibr" rid="B52">52</xref>); <italic>Ptprz</italic> knock out mice did not recover from EAE as well as controls and remyelination in MS plaques was associated with an upregulation of PTPRZ (<xref ref-type="bibr" rid="B53">53</xref>); also, hypomyelination was observed in <italic>Ptpre</italic> knock out mice (<xref ref-type="bibr" rid="B19">19</xref>).</p>
<p>A link between PTPRE and OL differentiation might be provided by its ability to inhibit the ERK pathway (<xref ref-type="bibr" rid="B41">41</xref>). The role of ERK in myelination is controversial; overall ERK activation increases myelination, for instance increasing myelin thickness (<xref ref-type="bibr" rid="B54">54</xref>). However, ERK also mediates cell proliferation induced by growth factors that maintain the OPCs in an undifferentiated state, including PDGF (<xref ref-type="bibr" rid="B55">55</xref>); of note, PTPRE inhibits PDGF signaling (<xref ref-type="bibr" rid="B56">56</xref>). In this context, since we are focusing on the early events necessary to drive myelination during OPC to OL transition, it is likely that ERK activation needs to be inhibited to inhibit OPC proliferation and promote OL differentiation. EPO-induced ERK1/2 activation in these cells, detected only at 10&#x02013;60&#x02009;min and then rapidly switched off, might be a negative feedback mechanism, not mediating but counteracting EPO-induced myelination; in this regard, we have previously shown that inhibiting <italic>Egr2</italic>, downstream to ERK, <italic>Mog</italic> expression is increased (<xref ref-type="bibr" rid="B8">8</xref>). Therefore, EPO-induced PTPRE, by inhibiting the ERK pathway, might favor OL differentiation.</p>
<p>Another pathway that seems a major target of EPO in differentiating OL is that of fatty acid transport and oxidation. <italic>Fat/Cd36</italic> was the second top induced gene. Of note, clinical data in GEO from Steinman&#x02019;s group, mentioned above [see text footnote 3; GSE38010 (<xref ref-type="bibr" rid="B51">51</xref>)] report downregulation of <italic>Cd36</italic> in chronic MS plaques compared to healthy controls. The role of CD36 in mediating fatty acid uptake to enhance fatty acid oxidation has been described in muscle, heart, and adipose tissue (<xref ref-type="bibr" rid="B22">22</xref>, <xref ref-type="bibr" rid="B42">42</xref>, <xref ref-type="bibr" rid="B57">57</xref>); in macrophages, uptake of triacylglycerol-carrying lipoproteins <italic>via</italic> CD36 and lipolysis of triglycerides by lysosomal acid lipase increase oxidative phosphorylation of fatty acids and drive alternative (M2) macrophage activation (<xref ref-type="bibr" rid="B58">58</xref>). Together with <italic>Cd36</italic>, EPO increased the expression of <italic>Pnlip</italic>, recently shown to be expressed at high levels in differentiating OLs (<xref ref-type="bibr" rid="B20">20</xref>), possibly augmenting fatty acid uptake and utilization in OLs.</p>
<p>In addition, EPO-induced Ppargc1a/PGC-1alpha might mediate increased mitochondrial biogenesis; of note, EPO increases mitochondrial metabolism in heart and in muscle <italic>via</italic> PGC-1alpha (<xref ref-type="bibr" rid="B59">59</xref>, <xref ref-type="bibr" rid="B60">60</xref>); moreover, both CD36 and PGC-1alpha can be induced <italic>via</italic> AMP kinase (AMPK) activation (<xref ref-type="bibr" rid="B61">61</xref>, <xref ref-type="bibr" rid="B62">62</xref>), and EPO can activate AMPK in heart, in muscle and in white adipocytes (<xref ref-type="bibr" rid="B60">60</xref>, <xref ref-type="bibr" rid="B63">63</xref>, <xref ref-type="bibr" rid="B64">64</xref>). In the brain, EPO protection from ischemic damage is associated with preservation of <italic>Pgc1alpha</italic> expression (<xref ref-type="bibr" rid="B65">65</xref>); interestingly, PGC-1alpha is expressed in MBP-positive OL in the cerebellum and pharmacological upregulation of PGC-1alpha in OLs increased their differentiation, suggesting that PGC-1alpha has a role in CNS myelination (<xref ref-type="bibr" rid="B23">23</xref>, <xref ref-type="bibr" rid="B66">66</xref>).</p>
<p>Altogether, increased expression of <italic>Cd36, Pnlip, Pgc1alpha</italic>, and other genes involved in lipid transport and metabolism (including <italic>Ldlr</italic>, not listed in Table <xref ref-type="table" rid="T2">2</xref> because inhibited by differentiation alone) suggests that EPO can increase lipid utilization in these cells; fatty acids might then be used for myelin synthesis. In support of this, supplementation of OL with polyunsaturated fatty acids, and in particular with gamma-linoleic acid, can increase OL differentiation and myelin gene expression (<xref ref-type="bibr" rid="B67">67</xref>).</p>
<p>It is also tempting to speculate that EPO might have the ability to induce a metabolic shift toward oxidative phosphorylation fueled by fatty acid oxidation, described in macrophages as a driver of M2 polarization (<xref ref-type="bibr" rid="B58">58</xref>, <xref ref-type="bibr" rid="B68">68</xref>, <xref ref-type="bibr" rid="B69">69</xref>), which might favor the differentiation of proliferating OPCs, mainly relying on aerobic glycolysis as a source of energy (<xref ref-type="bibr" rid="B38">38</xref>), into mature OLs. Although the brain mainly utilizes glucose as a source of energy, recent studies demonstrate that fatty acid oxidation can occur in neural and glial cells, including OLs (<xref ref-type="bibr" rid="B70">70</xref>&#x02013;<xref ref-type="bibr" rid="B73">73</xref>). In addition, active mitochondrial metabolism has been recently described in mature OLs, previously thought to produce almost exclusively lactate to support neuron and axon survival (<xref ref-type="bibr" rid="B37">37</xref>, <xref ref-type="bibr" rid="B74">74</xref>, <xref ref-type="bibr" rid="B75">75</xref>). Interestingly, decreased oxidation of very long-chain fatty acids, reduced oxygen consumption and increased glycolysis have been described as mechanisms by which TNF inhibits OL differentiation (<xref ref-type="bibr" rid="B70">70</xref>, <xref ref-type="bibr" rid="B76">76</xref>). Of note, dimethyl fumarate, a current effective therapy for recurrent MS, was found to increase oxidative metabolism and antioxidants levels and decrease the amount of lipids in OLs, suggesting that augmented lipid metabolism in OLs might mediate therapeutic effects in MS (<xref ref-type="bibr" rid="B77">77</xref>). It is interesting to note that PTPRE can also dephosphorylate insulin receptor (<xref ref-type="bibr" rid="B78">78</xref>), potentially inhibiting insulin signals and glucose utilization in these cells.</p>
<p>In conclusion, we have identified genes specifically induced by EPO in differentiating OLs which might contribute to the myelinating effects of EPO; while IGF-1 had been reported as a mediator of EPO&#x02019;s myelinating effects in the peripheral nervous system, increased EPO-induced <italic>Igf1</italic> and <italic>Igf2</italic> expression in OLs had never been described. As for the EPO inducing effect on PTPRE, it is interesting to note that another phosphatase, dual-specificity protein phosphatase 5 (<italic>Dusp5</italic>), was among the few genes induced by EPO in rats with cerebral ischemia, where EPO treatment is protective (<xref ref-type="bibr" rid="B30">30</xref>). Of note, DUSP5 and PTPRE can downregulate the ERK pathway (<xref ref-type="bibr" rid="B41">41</xref>, <xref ref-type="bibr" rid="B79">79</xref>). An effect of EPO on PGC-1alpha has been described in other systems (<xref ref-type="bibr" rid="B59">59</xref>, <xref ref-type="bibr" rid="B60">60</xref>, <xref ref-type="bibr" rid="B65">65</xref>); associated with CD36, Pnlip and other genes involved in lipid metabolism, including Ppard, Lpin1, and Lpin2, might contribute to mediate EPO-induced myelination, as highlighted in Figure <xref ref-type="fig" rid="F4">4</xref>. Interestingly, the IGFs can increase fatty acid oxidation by upregulating CD36 (<xref ref-type="bibr" rid="B80">80</xref>). Further investigation is needed to establish whether these genes mapping to different pathways might separately contribute or work together to mediate EPO&#x02019;s pro-myelinating effects.</p>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption><p>Schematic of the possible molecular functions of lipid transport and metabolism genes induced by erythropoietin (EPO). Pnlip hydrolyzes triglycerides into fatty acids (<xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B34">34</xref>); CD36 mediates transport of long-chain fatty acids and triacylglycerol-carrying low density lipoproteins (<xref ref-type="bibr" rid="B22">22</xref>, <xref ref-type="bibr" rid="B42">42</xref>). Together with low density lipoprotein receptor (LDLR) and very low density LR (VLDLR), expressed in mature OLs (<xref ref-type="bibr" rid="B40">40</xref>), it might provide a source of fatty acids to increase fatty acid oxidation. Ppargc1a/PGC-1alpha, Lpin1, and Ppard increase mitochondrial biogenesis and fatty acid oxidation (<xref ref-type="bibr" rid="B24">24</xref>, <xref ref-type="bibr" rid="B81">81</xref>&#x02013;<xref ref-type="bibr" rid="B83">83</xref>). In mouse liver, Lpin1 can act as a transcriptional coactivator interacting with PGC-1alpha and peroxisome proliferator-activated receptor alpha (Ppara) (<xref ref-type="bibr" rid="B81">81</xref>). Lpin1 can also interact with Ppard, which might, therefore, be part of the coactivation complex (<xref ref-type="bibr" rid="B84">84</xref>). Fatty acid oxidation might provide acetyl CoA for myelin synthesis, or increase ATP production through the TCA cycle. In red the genes induced by EPO.</p></caption>
<graphic xlink:href="fimmu-08-01394-g004.tif"/>
</fig>
<p>A limitation of this study is that our results were obtained in an OL cell line in which EPOR was overexpressed. To generalize the relevance of our conclusions, our observations need to be confirmed in primary cells, including human cells, and eventually <italic>in vivo</italic>. In addition, the CG4 OL cell line is a model of CNS myelination, and therefore, our conclusions cannot be extended to the peripheral nervous system.</p>
</sec>
<sec id="S5" sec-type="author-contributor">
<title>Author Contributions</title>
<p>GG, TH, FW, CR, LH, and MM performed experiments; GG, MM, LH, and PG designed experiments; GG, TH, and MM analyzed data; MM, GG, TH, and PG wrote the manuscript; all authors critically revised and approved the manuscript.</p>
</sec>
<sec id="S6">
<title>Conflict of Interest Statement</title>
<p>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.</p>
</sec>
</body>
<back>
<ack>
<p>The authors thank Alexander Annenkov for providing the CG4-EPOR cells used in this study.</p>
</ack>
<fn-group>
<fn fn-type="financial-disclosure">
<p><bold>Funding.</bold> Supported by the RM Phillips Trust (PG), the Brighton Centre for Regenerative Medicine, University of Brighton (GG) and the Brighton and Sussex Medical School as part of the Independent Research Project of TH, FW, and CR.</p></fn>
</fn-group>
<sec id="S7" sec-type="supplementary-material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at <uri xlink:href="http://www.frontiersin.org/article/10.3389/fimmu.2017.01394/full&#x00023;supplementary-material">http://www.frontiersin.org/article/10.3389/fimmu.2017.01394/full&#x00023;supplementary-material</uri>.</p>
<supplementary-material xlink:href="data_sheet_1.pdf" id="SM1" mimetype="applicationn/pdf" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="data_sheet_2.xlsx" id="SM2" mimetype="applicationn/xlsx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
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<fn id="fn1"><p><sup>1</sup><uri xlink:href="http://www.ncbi.nlm.nih.gov/geo">http://www.ncbi.nlm.nih.gov/geo</uri>.</p></fn>
<fn id="fn2"><p><sup>2</sup><uri xlink:href="https://david-d.ncifcrf.gov">https://david-d.ncifcrf.gov</uri>.</p></fn>
<fn id="fn3"><p><sup>3</sup><uri xlink:href="https://www.ncbi.nlm.nih.gov/geo">www.ncbi.nlm.nih.gov/geo</uri>.</p></fn>
</fn-group>
</back>
</article>
