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BRIEF DEFINITIVE REPORT |
CORRESPONDENCE Denise M. Monack: dmonack{at}stanford.edu
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The gram-negative coccobacillus, Francisella tularensis, is a facultative intracellular pathogen that causes disease in humans, rabbits, hares, and many rodents. Humans can contract an ulceroglandular form of tularemia through direct exposure to infected animals or from fly, mosquito, and tick bites. A pneumonic form of tularemia can be acquired by inhalation of as few as 10 organisms from infected material and the rate of mortality from untreated infections may be as high as 30%.
Most research on F. tularensis uses either the live vaccine strain (LVS), derived from a F. tularensis subspecies (ssp.) holarctica (type B) strain, or the F. tularensis ssp. novicida strain Utah 112 (U112). Both LVS and U112 are attenuated in humans but still cause disease in mice. These lethal infections in mice are similar to the human disease and are therefore established animal models of Francisella infection (1). The mechanisms behind cell-mediated protective responses against Francisella have been well described and require both B and T cells (2). Neutrophils, inducible NO synthase (iNOS), phagocyte oxidase (phox), and cytokines such as IFN
Relatively little is known about the molecular mechanisms of Francisella pathogenesis. F. tularensis can survive and replicate within amoebae and in the cytosol of macrophages. Several genes necessary for intracellular survival and virulence in mice have been identified, including mglA, iglC, pdpD, and pdpA (1, 4). MglA is a transcriptional activator that regulates the transcription of the virulence factors encoded by iglC, pdpD, and pdpA (5), which are located within an
Because Francisella grows in the cytosol, it is critical that the macrophage has defenses in place to prevent the bacteria from reaching their niche, as well as to fight those that manage to reach the cytosol. The array of macrophage defenses that are localized to the phagosome limit the spread of Francisella to the cytosol (e.g., iNOS, phox). However, it is unknown how the macrophage fights intracytosolic Francisella. The inflammasome is a cytosolic complex of proteins that is activated by diverse stimuli including bacterial components (7). Caspases are cysteine proteases that can signal for host cell death and caspase-1 (casp-1) is a central component of the inflammasome. In addition to its ability to signal for cell death, casp-1 processes the immature pro-inflammatory cytokines, proIL-1ß and proIL-18, to their mature, active forms, IL-1ß and IL-18, respectively. Several adaptor molecules, including ASC (apoptosis-associated speck-like protein containing a caspase recruitment domain) and Ipaf, are capable of activating casp-1.
We show that macrophages have evolved a final line of defense against Francisella that reach the cytosol. Macrophages undergo cell death in response to cytosolic Francisella, which results in the loss of the bacteria's intracellular niche. This cell death is dependent on casp-1 and ASC, as is the release of IL-1ß and IL-18. Ipaf, however, is not required for these processes. In vivo, casp-1/ and Asc/ mice, but not Ipaf/ mice, are extremely sensitive to Francisella infection, highlighting their role in innate defense against this bacterial pathogen.
, TNF
, and IL-12 are involved in innate immunity to Francisella infection (2, 3).
30-kb pathogenicity island (4). The exact functions of these gene products are not known. iglC is required for Francisella escape from the phagolysosome to the cytosol and subsequent replication (6). Thus, cytosolic replication is necessary for Francisella virulence.
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Results and Discussion
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Abstract
Results and Discussion
MaterialS and Methods
References
The primary target of F. tularensis during human and animal infection is the macrophage (1). The bacterium escapes from the phagolysosome between 3 and 4 h postinfection (p.i.) and proliferates in the cytosol of macrophages (8, 9). We noticed that activated macrophages underwent rapid death after infection with Francisella as measured by lactate dehydrogenase (LDH) release (Fig. 1 A) and Tdt-mediated dUTP nick end labeling (TUNEL) staining (Fig. 1 B). The Francisella transcription factor MglA, and a gene under its regulation (5), pdpA, were required to induce macrophage death (Fig. 1, A and B). The lack of macrophage death observed with mglA and pdpA mutants could be rescued by complementing with the appropriate WT allele (Fig. 1, A and B). Interestingly, we found that in contrast to WT F. tularensis, pdpA and mglA mutants could not escape the phagosome and reach the cytosol (Fig. 1 C), although the mutants are taken up by macrophages as efficiently as WT (unpublished data). Both mglA and pdpA are required for intracellular bacterial replication (4, 10). Together, these data strongly suggest that survival and/or replication of F. tularensis within the cytosol of macrophages is tightly associated with the induction of host cell death. Consistent with these results, cytochalasin D, an inhibitor of actin polymerization and bacterial internalization, blocked death of macrophages exposed to F. tularensis in a dose-dependent manner (Fig. 1 D). Thus, we hypothesized that macrophage death in response to F. tularensis is dependent on the bacteria escaping the macrophage phagolysosome, which leads to sensing of cytosolic bacteria by the host and activation of a specific molecular cascade.
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WT macrophages infected with Francisella U112 or LVS secreted IL-1ß in a casp-1-dependent manner (Fig. 2 D; and unpublished data). These data indicate that casp-1 is essential not only for macrophage death, but is also required for secretion of IL-1ß in response to cytosolic F. tularensis. In addition, WT macrophages that were preincubated with neutralizing antibodies against IL-1ß and IL-18 were killed as efficiently as macrophages treated with control antibodies (unpublished data). Therefore, neither of the cytokines downstream of casp-1, IL-1ß and IL-18, are involved in signaling for macrophage death.
The inflammasome contains distinct adapters, such as ASC and Ipaf, that are engaged in a stimulus-dependent manner (7, 12). We used ASC- and Ipaf-deficient macrophages to test whether these adapters are essential for macrophage death and casp-1 activation in response to F. tularensis infection. Asc/ macrophages, similar to casp-1/ macrophages, were resistant to F. tularensisinduced cell death as indicated by LDH release and TUNEL (Fig. 3, A and B), failed to process casp-1 (Fig. 3 C) and produced negligible IL-1ß (Fig. 3 D) and IL-18 (Fig. 3 E). In contrast, Ipaf/ macrophages were killed as efficiently as WT macrophages (Fig. 3, A and B) and processed casp-1 normally after F. tularensis infection (Fig. 3 C). These data identify ASC as the critical inflammasome adaptor for casp-1 activation and cell death in response to F. tularensis infection.
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B signaling, appeared normal. For example, I
B
was degraded in both WT and Asc/ macrophages after infection with F. tularensis (Fig. 3 F) and secretion of the NF-
Bdependent cytokine TNF
was unaffected (Fig. 3 G). Phosphorylation of the mitogen-activated kinases ERK1 and ERK2 was also normal in Asc/ macrophages (unpublished data). Therefore, ASC appears dispensable for normal NF-
B and ERK signaling in response to F. tularensis infection, but is essential for Francisella-induced macrophage death, casp-1 activation, and release of IL-1ß and IL-18.
To assess the in vivo role of ASC and casp-1 in the innate immune response against F. tularensis infection, WT, Asc/, casp-1/, and Ipaf/ mice were challenged subcutaneously with 105 CFU of F. tularensis, a dose that caused 6575% mortality in WT mice. After infection, Asc/ and casp-1/ mice (Fig. 4, A and C) succumbed to infection more rapidly than WT and Ipaf/ mice (Fig. 4 E). Notably, Asc/ mice died even more rapidly (
75% mortality on day 3) than casp-1/ mice (
30% mortality on day 3). The increased susceptibility of Asc/ mice was reflected in their 1,00010,000-fold higher bacterial burdens in infected organs 1 d p.i. compared with WT, casp-1/, and Ipaf/ mice (Fig. 4, B and F and Fig. S1 for casp-1/ available at http://www.jem.org/cgi/content/full/jem.20050977/DC1). The bacterial burden in organs of infected casp-1/ mice, although similar to WT mice on day 1, was higher than in WT mice on day 2 and resembled the high burden seen in Asc/ mice on day 1 (Fig. 4 D). This dramatic increase in bacterial levels was evidenced by staining the spleens from infected mice with an anti-Francisella antibody. High numbers of bacteria were distributed throughout the spleens of infected Asc/ (day 1) and casp-1/ (day 2) mice, whereas spleens from WT, Ipaf/, and casp-1/ mice (day 1) contained lower numbers of bacteria (Fig. 4 G). Asc/ and casp-1/ mice inoculated with 104 or 103 CFU of F. tularensis harbored higher levels of bacteria than infected WT mice, demonstrating that the phenotypes of these knockout mice are not dependent on the inoculation dose (Fig. S2 available at http://www.jem.org/cgi/content/full/jem.20050977/DC1). Together, these data show that the ASC/casp-1 axis is required for innate host defense against Francisella infection in vivo.
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The higher bacterial burdens in Asc/ mice as compared with casp-1/ mice on day 1 is consistent with the mouse survival data, and suggests that there might be subtle differences between Asc/ and casp-1/ mice with respect to their innate immune response to Francisella infection. Intriguingly, ASC-null macrophages infected in vitro with F. tularensis for 24 h exhibited significantly less cell death than casp-1/ macrophages (Fig. 5). These observations suggest that ASC-dependent casp-1 activation is critical for macrophage death during the early stages of infection (Fig. 3 A, 6 h). However, at later stages, ASC is essential for cell death in a casp-1independent manner (Fig. 5). The casp-1independent pathway may involve additional roles of ASC in the intrinsic mitochondrial pathway to apoptosis through a Bax and caspase-9dependent pathway (13, 14), and may correspond to the late cell death observed by Lai et al. involving caspase-3 and -9 (15). Francisella-induced macrophage death may share features of the cell death induced by other bacteria, including Listeria, Mycobacteria, and Salmonella (16). For example, Listeria induces a macrophage death that is dependent on the expression of the listeriolysin O toxin and type I interferondependent signaling, which correlates with the presence of cytosolic bacteria (17, 18). Whether Francisella, which also replicates in the cytosol, induces type I interferondependent signaling and the possible contribution of this pathway to Francisella-induced macrophage death remains to be determined.
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| MaterialS and Methods |
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Mice and F. tularensis infections
The generation of Asc- and Ipaf-deficient mice has been described previously (12). These knockout mice were backcrossed to C57BL/6 mice at least eight times (Genentech, Inc.). casp-1/ mice were received from BASF (22) on a mixed C57BL/6 x 129Sv background and then backcrossed another seven times to C57BL/6 mice (B. Raupach, Max Planck Institute, Berlin, Germany). All mice were between 8 and 12 wk of age. Age-matched C57BL/6 (Jackson ImmunoResearch Laboratories) served as WT mice with casp-1/ mice and age-matched littermates served as WT mice with Asc/ and Ipaf/ mice. All mice were kept under specific pathogen-free conditions in filter-top cages at Stanford University, and experimental studies were in accordance with the Institutional Animal Care and Use Guidelines. Mice were provided with sterile water and food ad libitum. Mice were inoculated with the indicated dose of strain U112 subcutaneously in a 0.05-ml vol. The mice were monitored for signs of illness and lethality twice daily for 20 d for the survival study. Spleen, liver, and lung were harvested 1 or 2 d p.i., homogenized, and dilutions were plated on supplemented Mueller Hinton agar plates to determine CFU/g tissue. Mice were bled retroorbitally at the time of euthanization for collection of serum. For the antibody-depletion experiment, WT mice were injected intraperitoneally with a mixture of 500 µg of the antimouse IL-18neutralizing antibody (Peprotech; gift from A. Zychlinsky, Max Planck Institute, Berlin, Germany) and 500 µg of the antimouse IL-1ßneutralizing antibody (eBioscience), or a mixture of isotype-matched control antibodies, in a volume of 700 µl sterile, endotoxin-free PBS. 30 min later, mice were injected subcutaneously with 105 CFU of strain U112. Organs were collected 2 d p.i. and CFU/g tissue was determined as described before.
Macrophage infections
Mice were injected intraperitoneally with 4% thioglycollate and macrophages were collected by peritoneal lavage 4 d later. 2 x 106 cells were plated in a six-well dish and nonadherent cells were removed after 2 h. Adherent macrophages were cultured in high glucose Dulbecco's modified Eagle's medium supplemented with 10% heat-inactivated fetal calf serum, 50 µg/ml1 penicillin, 50 µg/ml1 streptomycin, and 50 ng/ml1 LPS. Francisella strains were incubated with 10% normal horse serum for 15 min at 37°C before infection. Macrophages were washed with media that lacked antibiotics, bacteria were added, and plates were spun for 15 min at 850 g. Cells were incubated at 37°C, 5% CO2 for 2 h. Gentamicin (100 µg/ml) was then added for 90 min, after which the cells were washed and incubated in media containing 10 µg/ml gentamicin. Where indicated, the appropriate concentrations of cytochalasin D (Sigma-Aldrich) were added to macrophages for 15 min at 37°C (5% CO2) before bacterial infection and washed out before incubation with bacteria. Neutralizing IL-1ß and IL-18 antibodies (50 µg/ml of each) were added to macrophages 1 h before infection and were present for the 6-h infection.
Western blotting
Macrophages infected with bacteria were lysed in 1% NP-40 lysis buffer (50 mM Tris buffer, pH 7.4, 150 mM NaCl, 1% NP-40) supplemented with complete protease inhibitor cocktail (Roche) and 2 mM dithiothreitol. Lysates were resolved in 412% Tris-glycine gradient gels (Invitrogen) and transferred to nitrocellulose (Invitrogen) by electroblotting. For immunoblotting, rabbit anticasp-1 (sc-514; Santa Cruz Biotechnology, Inc.) was used.
Macrophage death assays
Macrophages were seeded in 96-well plates at 5 x 104 cells per well for cytotoxicity assays or in 24-well plates with coverslips at 2.5 x 105 per well for TUNEL stainings and incubated overnight with 50 ng/ml1 LPS. Before infection, the medium was replaced with phenol red-free RPMI 1640 medium. Cells were infected with the indicated multiplicities of infection. Cultures were supplemented with gentamicin (50 µg/ml1) after 2 h to kill extracellular bacteria. Cell death was quantified with the CytoTox96 LDH-release kit (Promega) at the indicated times. In brief, the LDH-release assay is a colorimetric test that measures the amount of LDH, a cytosolic enzyme, which is released into the supernatant of untreated cells, lysed cells, or the experimental sample. Percent cell death is calculated measuring the OD490 of each sample and using the formula: [(experimental cells untreated cells)/(lysed cells untreated cells)] x 100%. TUNEL reactions were performed on infected cells fixed to coverslips as described for the in situ Cell Death Detection Kit for Fluorescein (Boehringer). Bacteria were stained with chicken anti-Francisella polyclonal antiserum (1/5,000 dilution) followed by antichicken-alexa594 antibody (Invitrogen) and TOTO-3 (Invitrogen) to stain host cell nuclei. The anti-Francisella antibody used in this study was generated by injecting chickens (Aves Laboratories) with
109 of Francisella holarctica LVS bacteria fixed in 4% paraformaldehyde. Coverslips were mounted over antiquench (Vector Laboratories) and sealed. The images were collected on a Optiphot-2 microscope (Nikon) attached to a confocal laser scanning microscope (MRC1024; Bio-Rad Laboratories) using LaserSharp software (Bio-Rad Laboratories). The laser lines on the krypton/argon laser were 488 nm (alexa488), 568 nm (alexa594), and 647 nm (alexa660 and TOTO-3). The numerical aperture was 0.75 on the 60x oil objective. Volocity 2.0 was used for image analysis and all images were based on maximum intensity projection.
Cytokine measurements
Culture supernatants from infected macrophages or serum from infected mice were assayed for IL-1ß or TNF
(R&D Systems) or IL-18 (MBL International Corporation) by ELISA.
Histology and immunohistochemistry
For histological examinations of tissue sections, spleens were fixed in 10% buffered neutral formalin, embedded in paraffin, and serially sectioned (79 µm). Some sections were stained with hematoxylin and eosin. For immunohistochemistry, spleen sections were incubated with anti-Francisella polyclonal chicken antiserum in PBS containing 3% BSA and 0.2% saponin. Tissue sections were then incubated with antichicken-Alexa594 antibody (Invitrogen) and TOTO-3 (Invitrogen) to stain host cell nuclei. Coverslips were mounted over antiquench (Vector Laboratories) and sealed.
Transmission electron microscopy
Infected macrophages on coverslips were fixed in a solution of 2.5% gluteraldehyde and 1% osmium tetroxide in 0.1 M sodium cacodylate, pH 7.3, for 1 h at 0°C and were stained with 0.25% uranyl acetate in 0.1 M sodium acetate, pH 6.3. Samples were dehydrated through a graded series of alcohol and propylene oxide, infiltrated with 100% Epon, and polymerized at 60°C for 24 h. Serial sections were cut, stained with uranyl acetate and lead citrate, and examined with an electron microscope (model 201c; Philips Electronic Instruments).
Statistical analysis
Statistical significance was calculated using the Mann-Whitney U test for bacterial colonization experiments and the Chi square test for mouse survival experiments.
Online supplemental material
Fig. S1 shows that the spleen, liver, and lung tissue bacterial counts from casp-1/ mice infected with F. tularensis are the same as those from wild-type mice 1 day after subcutaneous inoculation. Fig. S2 shows that similar to the results seen with a high dose of F. tularensis (Fig. 4), mice infected with lower doses of F. tularensis still resulted in increased colonization in Asc/ and casp-1/ mice compared to wild-type mice. Online supplemental materials are available at http://www.jem.org/cgi/content/full/jem.20050977/DC1.
| Acknowledgments |
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This work was supported by National Institutes of Health grants PO1AI063302 and U-19AI057229 awarded to D.M. Monack and a fellowship from the Giannini Family Foundation awarded to D.S. Weiss.
The authors have no conflicting financial interests.
Submitted: 13 May 2005
Accepted: 12 September 2005
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