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Infection and Immunity, February 1999, p. 608-617, Vol. 67, No. 2
0019-9567/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Orchestration of Neutrophil Movement by Intestinal
Epithelial Cells in Response to Salmonella typhimurium Can
Be Uncoupled from Bacterial Internalization
Andrew T.
Gewirtz,1
Andrew M.
Siber,2
James L.
Madara,1 and
Beth A.
McCormick2,3,*
Combined Program in Pediatric
Gastroenterology and Nutrition, Division of Mucosal Immunology,
Massachusetts General Hospital,2 and
Department of Pediatrics, Harvard Medical
School,3 Boston, Massachusetts, and
Department of Pathology and Laboratory Medicine, Emory
University School of Medicine, Atlanta, Georgia1
Received 11 August 1998/Returned for modification 16 October
1998/Accepted 5 November 1998
 |
ABSTRACT |
Intestinal epithelial cells respond to Salmonella
typhimurium by internalizing this pathogen and secreting, in a
polarized manner, an array of chemokines which direct polymorphonuclear leukocyte (PMN) movement. Notably, interleukin-8 (IL-8) is secreted basolaterally and directs PMN through the lamina propria, whereas pathogen-elicited epithelial chemoattractant (PEEC) is secreted apically and directs PMN migration across the epithelial monolayer to
the intestinal lumen. While most studies of S. typhimurium pathogenicity have focused on the mechanism by which this bacterium invades its host, the enteritis characteristically associated with
salmonellosis appears to be more directly attributable to the PMN
movement that occurs in response to this pathogen. Therefore, we sought
to better understand the relationship between S. typhimurium invasion and epithelial promotion of PMN movement.
First, we investigated whether S. typhimurium becoming
intracellular was necessary or sufficient to induce epithelial
promotion of PMN movement. Blocking S. typhimurium invasion
by preventing, with cytochalasin D, the epithelial cytoskeletal
rearrangements which mediate internalization did not reduce the
epithelial promotion of PMN movement. Conversely, bacterial attainment
of an intracellular position was not sufficient to induce model
epithelia to direct PMN transmigration, since neither basolateral
invasion by S. typhimurium nor apical internalization of an
invasion-deficient mutant (achieved by inducing membrane ruffling with
epidermal growth factor) induced this epithelial cell response. These
results indicate that specific interactions between the apical surface
of epithelial cells and S. typhimurium, rather than simply
bacterial invasion, mediate the epithelial direction of PMN
transmigration. To further investigate the means by which S. typhimurium induces epithelia to direct PMN movement, we
investigated whether the same signaling pathways regulate secretion of
IL-8 and PEEC. IL-8 secretion, but not PEEC secretion, was activated by
phorbol myristate acetate and blocked by an inhibitor (mg-132) of the
proteosome which mediates NF-
activation. Further, secretion of
IL-8, but not PEEC, was activated by an entry-deficient (Hil
)
S. typhimurium mutant or by basolateral invasion of a
wild-type strain. Together, these results indicate that distinct
signaling pathways mediate S. typhimurium invasion,
induction of IL-8 secretion, and induction of PEEC secretion in model
intestinal epithelia.
 |
INTRODUCTION |
Salmonella typhimurium
entry into the intestinal epithelia results from a multistep process
that culminates in host cell membrane ruffling and subsequent bacterial
uptake (8, 9, 11, 46). The events that trigger S. typhimurium internalization appear to require an array of
bacterial secreted proteins which are essential to the induction of
host cell signal transduction pathways that lead to membrane ruffling
(1, 3, 20-22, 24, 33, 40). For example, approximately 25 genes necessary for S. typhimurium invasion have been
identified and are contained within the Salmonella pathogenicity island 1, located at or near centrisome 63 of the S. typhimurium chromosome (for a review, see reference
11). These genes encode proteins which are either
structural components or secreted products of a type III
protein-secretion apparatus. This secretion apparatus of S. typhimurium, as well as some of the secreted proteins themselves,
are necessary for bacterial mediated endocytosis and are homologous to
the type III secretion system found in Shigella spp.
In response to S. typhimurium, the intestinal epithelium
promotes an intense inflammatory response consisting largely of the migration of polymorphonuclear leukocytes (neutrophils or PMN) toward
and ultimately across the epithelial monolayer into the intestinal
lumen (4, 23, 32, 46, 49). Transmigration of PMN in response
to luminal pathogens necessarily involves movement through several
anatomic compartments, each with their own microenvironment: (i) the
well-characterized emigration of PMN from the microvasculature (37, 42, 45), (ii) the subsequent migration of PMN across the lamina propria (28), and (iii) the transepithelial
migration (31). While the mechanisms driving these later
steps have only recently begun to be characterized, it is evident that
bacterial epithelial cell interactions can result in epithelial cell
production of important regulators of inflammation (6, 7, 19,
28-31). For example, among the events stimulated by such
pathogen and host associations is the epithelial cell release of potent
PMN chemoattractants, the purpose of which is to guide PMN into the intestinal lumen and thus to the site of bacterial-epithelial contact.
Notably, S. typhimurium-intestinal epithelial cell
interactions induce the epithelial synthesis and basolateral release of
the potent PMN chemoattractant interleukin-8 (IL-8) (28,
30). Such basolateral secretion of IL-8 imprints the
subepithelial matrix with retained haptotactic gradients sufficient to
resist the washout effects of the massive fluid movement which
characterizes this compartment (28). Thus, the primary role
for such basolateral secretion of IL-8 is the recruitment of PMN
through the matrix (lamina propria) to the subepithelial space.
Ultimately, however, PMN must traverse the intestinal epithelium and,
in doing so, impale the epithelial tight junctions. In a model of
S. typhimurium-induced inflammation, this final and
rate-limiting step of PMN movement across the intestinal epithelium has
recently been found to be directed by the apical epithelial release of
a novel soluble factor, designated PEEC (pathogen-elicited epithelial
chemoattractant) (31). These findings have led to our
current view that the concerted polarized secretion of PEEC and IL-8 is
largely responsible for directing PMN movement into the intestinal
lumen in response to S. typhimurium.
Since variations in the abilities of Salmonella serotypes to
induce model epithelia to direct PMN transmigration correlates with
their abilities to cause enteritis in humans (29), S. typhimurium activation of epithelial-cell chemokine secretion is
likely a key event in disease caused by this organism. Yet the means by which S. typhimurium elicits this chemokine secretion have
not yet been characterized. Because S. typhimurium invasion
of eukaryotic cells is a relatively well understood process, we
reasoned that exploring the relationship between S. typhimurium invasion and epithelial promotion of PMN movement was
a logical way to begin to elucidate the means by which nontyphoidal
salmonellae induce epithelia to promote PMN movement, thus inducing
enteritis. It has been shown that noninvasive mutants of S. typhimurium (phoPc, hilA, and
invA), which harbor critical invasion deficiencies in some
aspect of the type III secretion system, do not induce model epithelia
to direct PMN transmigration (29). While this suggests that
invasion might be required, it could also indicate that an aspect of
the type III secretion apparatus rather than invasion per se is
required. Here, we report two novel findings pertaining to the disease
pathophysiology of S. typhimurium-induced enteritis. First,
we show that S. typhimurium internalization can be uncoupled
from the signaling mechanisms which mediate epithelial promotion of PMN
movement, since S. typhimurium internalization was neither
necessary nor sufficient to elicit this response. Second, we
demonstrate that distinct epithelial signaling pathways mediate the
secretion of IL-8 and PEEC.
 |
MATERIALS AND METHODS |
Cell culture.
T84 intestinal epithelial cells (passages 45 to 65) were grown and maintained as confluent monolayers on
collagen-coated permeable supports (5) with recently
detailed modifications (26). T84 cells were grown as
monolayers in a 1:1 mixture of Dulbecco-Vogt modified Eagle medium and
Ham's F-12 medium supplemented with 15 mM HEPES buffer (pH 7.5); 14 mM
NaHCO3; 40 mg of penicillin, 8 mg of ampicillin, and 90 mg
of streptomycin per ml; and 5% newborn calf serum. Monolayers of T84
cells were grown on 0.33-cm2 ring-supported polycarbonate
filters (Costar Corp., Cambridge, Mass.) and utilized 6 to 14 days
after being plated, as described previously (26). For
clarity, we will refer here to this polycarbonate filter with the
attached monolayer of T84 cells and matrix as "cell culture
inserts." A steady-state resistance is reached in 4 to 6 days, with
variability largely related to the cell passage number. Cell culture
inserts received one weekly feeding after the initial plating. Cell
culture inserts of inverted monolayers, used to study transmigration of
PMN in the physiological basolateral-to-apical direction, were
constructed as previously described (26, 35, 39).
Bacterial strains and growth conditions.
S.
typhimurium
3306 (wild-type strain) and PhoPc
(invasion-defective strain) were cultured as previously described
(29). The Hil mutant carries a spontaneous deletion
secondary to homologous recombination of Tn5B50 and
Tn5 in hil
. This results in an approximately 8-kb deletion, including prgH. The media used were as
follows. Luria broth (LB) was made as described by Revel
(44). L agar is L broth containing 12 g of Bacto Agar
(Difco) per liter. MacConkey agar (Difco) was prepared according to
package instructions.
The bacterial growth conditions were as follows. Nonagitated
microaerophilic bacterial cultures were prepared by inoculating 10 ml
of LB with 0.01 ml of a stationary-phase culture, followed by overnight
incubation (approximately 18 h) at 37°C. Bacteria from such
cultures were in the late logarithmic phase of growth and correlated
with 5 × 108 to 7 × 108 CFU/ml
routinely. CFU were determined by diluting and plating onto MacConkey
agar medium or L agar as previously detailed (29, 30).
S. typhimurium invasion into T84 intestinal
epithelial monolayers.
Infection of T84 monolayers was performed
by the method described previously (30). Briefly, cell
culture inserts of T84 cells were prepared as described above. After
confluency was established (usually 5 days after plating), the cell
culture inserts were lifted from the wells, drained of media by
inverting them, and gently washed by immersion in a beaker containing
Hanks balanced salt solution (HBSS+; Ca2+ and
Mg2+, with 10 mM HEPES [pH 7.4]; Sigma Chemical Co., St.
Louis, Mo.). The cell culture inserts were placed in a new 24-well
tissue culture plate with 1.0 ml of HBSS+ in the lower
(basolateral) well and 0.05 ml HBSS+ added to the upper
(apical) well. After 30 to 45 min of equilibration, 10 µl of washed
(with HBSS+) bacteria was added apically (unless indicated
otherwise) to each cell culture insert. This represents an inoculation
ratio of approximately 20 bacteria/epithelial cell. S. typhimurium attachment to and entry into T84 intestinal epithelial
cells was assessed after 1 h. Cell-associated salmonellae
represent populations of bacteria attached to and/or internalized into
the T84 monolayers and were released by incubation with 0.1 ml of 1%
Triton X-100 (Sigma). Internalized bacteria were those obtained from
lysis of the epithelial cells with 1% Triton X-100 90 min after the addition of gentamicin (500 µg/ml). Preliminary gentamicin
dose-response studies defined the conditions required to achieve
bactericidal effects on the strain used (data not shown). For both
cell-associated and internalized bacteria, 0.9 ml of LB was then added,
and each sample was vigorously mixed and quantified by plating for CFU on MacConkey agar medium. To determine the number of attached salmonellae cell-internalized salmonellae were subtracted from cell-associated salmonellae (since cell-associated salmonellae contain
both attached and internalized bacteria).
Cytochalasin treatment.
HBSS+-washed cell
culture inserts were incubated in the presence of 5.0 µg of
cytochalasin D per ml (stock concentration at 5 mg/ml in dimethyl
sulfoxide [1%]; Sigma) for 45 min at 37°C. Subsequently, S. typhimurium was added to the apical surface of the cell culture
inserts in the continued presence of cytochalasin D. After an
incubation of 1 h at 37°C, the cell culture inserts were washed
free of both nonadherent bacteria and cytochalasin D and then processed
for either invasion assays (as described above) or PMN transmigration
assays (as described below).
EGF treatment.
To prepare for EGF treatment, the cell
culture inserts were starved of serum for approximately 16 to 18 h
prior to infection with S. typhimurium. After serum
starvation, the cell culture inserts were washed in HBSS+
and equilibrated for 20 min at 37°C, and S. typhimurium
was added to the apical surface as described above. Epidermal growth
factor (EGF) (16 nM; Sigma) was added during the last 30 min of
incubation as previously described by (12). Cell culture
inserts were assessed for both S. typhimurium
internalization (see above) and S. typhimurium-induced PMN
transepithelial migration (see below).
IL-8 ELISA assay.
IL-8 was measured by enzyme-linked
immunosorbent assay (ELISA) as previously described (30)
except for the following minor modifications: 96-well plates
(Linbro/Titretek; ICN Biochemicals, Aurora, Ohio) were coated overnight
with goat anti-human IL-8 (R&D Systems, Minneapolis, Minn.). The
detecting antibody used was rabbit anti-human IL-8 (Endogen, Woburn,
Mass.).
Gentamicin treatment.
The S. typhimurium was
allowed to colonize T84 monolayer as described above. Then, 45 min
after the bacteria were applied, nonadherent bacteria were washed off
(via three rinses with HBSS+), and monolayers were placed
in 500 µg of gentimicin per ml (or, as a control, in
HBSS+) for 1 h at 37°C. The cell culture inserts
were then rinsed three times with HBSS+ and placed in fresh
HBSS+. The basolateral supernatants were collected 3 h later.
MG-132 treatment.
HBSS+-washed cell culture
inserts were incubated in the presence of MG-132 (50 µM; Calbiochem)
for 1 h at 37°C. Subsequently, S. typhimurium was
added to the apical surface, as described above, in the continued
presence of mg-132, and incubated for 1 h at 37°C. After this
incubation, S. typhimurium-infected cell culture inserts
were processed for either invasion assays (see above) or PMN
transepithelial migration assays (see below).
Electrical measurements.
To assess the transepithelial
potentials and resistance, a commercial voltage clamp (Bioengineering
Department, University of Iowa) was employed and interfaced with an
equilibrated pair of calomel electrodes submerged in saturated KCl
along with a pair of Ag-AgCl electrodes submerged in HBSS+.
Agar bridges were used to interface the electrode with the solutions on
either side of the cell culture inserts (one calomel and one Ag-AgCl
electrode in each well), and measurements of the short-circuit current
and resistance were made as detailed elsewhere (25).
PMN transepithelial migration assay.
The physiologically
directed (basolateral-to-apical) PMN transepithelial migration assay
has been previously detailed (39). Human PMN were isolated
from normal volunteers as described elsewhere (17, 39).
Briefly, PMN were routinely isolated from anti-coagulated sodium
citrate (13.2 g) and dextrose (11.2 g) in 500 ml of water (pH 6.5) and
whole blood (150 to 500 ml) collected by venipuncture from normal
donors of both sexes. The buffy coat is obtained via spinning at
400 × g at room temperature. The plasma and
mononuclear cells were removed by aspiration, and the majority of
erythrocytes were removed by using a 2% gelatin sedimentation
technique as previously described (38). Residual
erythrocytes were then removed by gentle lysis in cold
NH4Cl lysis buffer. This technique allows for rapid
isolation (90 min) of functionally active PMN (>98% as detected by
trypan blue exclusion) at greater than 90% purity. The PMN were
subsequently suspended in modified HBSS (without Ca2+ and
Mg2+ and with 10 mM HEPES, pH 7.4; Sigma) at a
concentration of 5 × 107/ml.
Before the addition of PMN in this assay system, inverted cell culture
inserts (38) were extensively rinsed in HBSS+ to
remove residual serum components. S. typhimurium were
prepared by two washes in HBSS+ and then resuspended at a
final concentration of approximately 5 × 109/ml.
Inverted cell culture inserts were removed from each well and placed in
a moist chamber such that the epithelial apical membrane was oriented
upward. The bacterial suspension (25-µl bacterial aliquots [ca.
1.25 × 108]) was gently distributed onto the apical
surface and incubated for 60 min at 37°C. Nonadherent bacteria were
removed by three washes in HBSS+ buffer. The inverted cell
culture inserts were then transferred back into the 24-well tissue
culture tray containing 1.0 ml of HBSS buffer in the lower (apical
membrane now oriented upward and colonized with S. typhimurium) reservoir and 160 µl in the upper (basolateral
interface) reservoir (30). For simplicity, the reservoir
will be referred to according to which epithelial membrane domain they
interface with (i.e., apical or basolateral). To the basolateral bath,
40 µl (106) of isolated PMN were added to each cell
culture insert and incubated for 120 min at 37°C. Positive control
transmigration assays were performed by the addition of chemoattractant
(10 nM N-formylmethionylleucyl phenylalanine [fMLP]) to
the opposing apical reservoir. All of the experiments were performed in
a 37°C room to ensure that epithelial monolayers, solutions, and
plasticware were maintained at a uniform 37°C temperature.
Transmigration was quantified by assaying for the PMN azurophilic
granule marker myeloperoxidase as described previously (
38,
39). After each transmigration assay, nonadherent PMN were
extensively
washed from the surface of the cell culture inserts, and
the PMN
cell equivalents, estimated from a standard curve, were
assessed
as the number of PMN associated with the cell culture inserts
and the number that had completely traversed the cell culture
insert
(i.e., into the basolateral
reservoir).
Assay for relative PEEC concentration by measuring its ability to
induce cytoplasmic [Ca++] changes in PMN.
PMN were
loaded with the calcium indicator Indo-1 and cytoplasmic
[Ca++] and measured as previously described (2,
15) with a Hitachi F-4500 spectrofluorimeter. PMN (2 × 106) were suspended in 960 µl of HBSS and stimulated with
40 µl of 50-fold-concentrated PEEC (the final PEEC concentration was
two times that found in apical supernatants).
Data presentation.
Since variations exist in both
transepithelial resistance between groups of monolayers (baseline
resistance range, 650 to 1,500 ohm · cm2) and in PMN
obtained from different donors, individual experiments were performed
with large numbers of monolayers and PMN from single blood donors on
individual days. PMN isolation was restricted to 10 different donors
(repetitive donations) over the course of these studies. The S. typhimurium invasion and myeloperoxidase assay data were compared
by using the Student's t test. PMN transmigration results
are represented as PMN cell equivalents (CE) derived from a daily
standard PMN dilution curve. PMN which completely traversed the
monolayer are represented as the number of PMN CE per milliliter (total
volume = 1 ml). Values are expressed as the mean ± the standard deviation (SD) of an individual experiment done in triplicate and repeated at least three times.
 |
RESULTS |
S. typhimurium internalization alone is insufficient to
induce model intestinal epithelia to orchestrate PMN
transmigration.
We recently reported that some
Salmonella serotypes which are as efficient as S. typhimurium at gaining entry into model intestinal epithelia are
unable to induce epithelia to direct PMN transmigration (29). This suggested that perhaps S. typhimurium
attainment of an intracellular position was insufficient to activate
epithelial cells to secrete the chemokines which direct PMN
transepithelial migration. To address this issue more thoroughly, the
following approaches were used. First, we investigated whether the
ability of S. typhimurium to enter model epithelia when
applied at either the apical or the basolateral membrane domain
correlated with its ability to induce model epithelia to direct PMN
transmigration. As shown in Fig. 1,
although S. typhimurium displayed comparable ability to
attach to and enter model epithelia when applied on either membrane
domain, only S. typhimurium which was allowed to interact
with the apical membrane domain was able to induce model epithelia to
direct PMN transmigration. It should be noted that regardless of which
domain a pathogen is applied on, if epithelial cells are activated to
secrete chemokines which direct PMN movement, the polarity of this
chemokine secretion is expected to always be such that PMN movement
will be basolateral to apical, e.g., a basolateral application of
shigellae still induces model epithelia to direct PMN movement from the
basolateral to the apical aspect (31a).

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FIG. 1.
S. typhimurium can associate with and invade
epithelia via either the apical or basolateral membrane domain but can
only induce epithelia to direct PMN transmigration when interactions
occur with the apical membrane. Monolayers of T84 epithelial cells were
exposed on either their apical or their basolateral surface to S. typhimurium as described in Materials and Methods. Elicitation of
PMN transmigration (A), bacterial adherence (B), and bacterial
internalization (C) were measured. Data are the means (±SD) of a
representative experiment performed in triplicate. An asterisk
indicates a significant difference (P < 0.02) from the
apical value in that panel.
|
|
To assess whether
S. typhimurium internalization was
sufficient to activate epithelia to direct PMN transmigration, we
sought
to determine whether having an invasion-defective mutant attain
an intracellular position would be sufficient to activate epithelia
to
direct PMN transmigration. This was achieved by treating model
epithelia with EGF (
9,
12). Ruffles elicited by invasive
S. typhimurium have also been found to directly mediate the
invasion
of noninvasive bacteria in a macropinocytotic fashion termed
passive
entry (
9,
12). Although the mechanism of ruffle
induction
by
S. typhimurium is not understood, such
structures are identical
to the ruffles induced by hormonal or
oncogenic stimuli in their
kinetics of induction, morphologies, and
rearrangements of filamentous
actin. It has been shown that
invasion-defective mutants are unable
to induce these ruffles and that
inducing them with a growth factor
rescues the ability of these mutants
to enter eukaryotic cells
(
9,
12). As shown in Fig.
2, the addition of EGF to polarized
epithelial cell monolayers increased the invasion proficiency
of an
invasion-defective type III secretion mutant strain of
S. typhimurium (PhoP
c) to 50% of that elicited by
wild-type
S. typhimurium. Yet, such
internalization was
insufficient to activate the epithelia to
direct PMN transmigration. To
see if this EGF treatment had simply
failed to reach a requisite
threshold level of intracellular bacteria
(considering that under
conditions of EGF treatment entry by PhoP
c was still only
50% of the wild-type internalization levels),
the level of wild-type
inoculum was decreased so that the number
of internalized bacteria
matched that of PhoP
c plus EGF. As expected, reducing the
wild-type
S. typhimurium inoculum in this manner modestly
reduced the epithelial promotion
of PMN movement. However, under these
conditions, where equivalent
numbers of internalized mutant and
wild-type
S. typhimurium were
achieved, only wild-type
S. typhimurium was able to induce epithelia
to direct a
significant amount of PMN transmigration (Fig.
2).
It was also observed
that the mere induction of membrane ruffles
by EGF was insufficient to
lead to PMN transmigration (data not
shown).

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FIG. 2.
S. typhimurium internalization alone is
insufficient to induce epithelia to direct PMN transmigration.
Monolayers of T84 epithelial cells were apically colonized with
wild-type or PhoPc mutant (which fails to invade unless
induced by EGF [see the text]) S. typhimurium as described
in Materials and Methods. Bacterial internalization and elicitation of
PMN transmigration were measured. Data are the normalized means (±SD)
of a representative experiment performed in triplicate.
|
|
S. typhimurium strains carrying mutations in their type III
secretion system which fail to induce their uptake by epithelia
also
fail to induce epithelia to direct PMN transmigration (
29).
Therefore, to reconcile the possibility that such results may
involve a
component of the type III secretion apparatus, we assayed
an additional
S. typhimurium mutant,
hil
, which harbors a
mutation
in the
hil locus of the type III secretion
apparatus. For these
studies experiments were designed to decrease the
wild-type
S. typhimurium inoculum so that the number of
internalized bacteria
would be equivalent to that of the
hil
(type III secretion defective)
and PhoP
c
(invasion-defective pleotrophic mutant) in the absence of EGF.
As shown
in Fig.
3, even with inocula in which the
wild-type,
hil
, and invasion-defective PhoP
c
strains achieved internalization in similar numbers, only wild-type
S. typhimurium was able to activate epithelia to direct a
significant
amount of PMN transmigration. Together, these results
indicate
that
S. typhimurium interaction with the apical
surface of epithelial
cells (likely requiring a functional type III
apparatus), rather
than
S. typhimurium simply gaining entry
into its host, results
in activation of the epithelial signaling
pathways that mediate
the epithelial secretion of chemokines which
direct PMN movement.

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FIG. 3.
Matching invasion of wild-type S. typhimurium
to invasion by mutants by decreasing the inoculum of the former does
not eliminate its ability to induce epithelia to direct PMN
transmigration. Monolayers of T84 epithelial cells were apically
colonized with a reduced inoculum (described in Materials and Methods)
of wild-type S. typhimurium or a full inoculum of
PhoPc or Hil mutant S. typhimurium. Bacterial
internalization and elicitation of PMN transmigration were measured.
Data are the means (±SD) of a representative experiment performed in
triplicate. An asterisk indicates a significant difference
(P < 0.02) between that mutant and the wild-type
values.
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S. typhimurium need not be internalized in order to
induce epithelia to orchestrate PMN transmigration.
We next
investigated whether S. typhimurium internalization was
necessary for this pathogen to induce epithelia to direct PMN
transmigration. It is clearly established that an intact host cytoskeleton is required for S. typhimurium internalization,
since drugs such as cytochalasin B and D, which disrupt microfilament integrity, also prevent bacterial entry (8, 10). We first verified that this was also the case for our polarized monolayers of
T84 intestinal epithelial cells. Host microfilament disruption produced
via the presence of cytochalasin D markedly inhibited S. typhimurium invasion (Fig. 4) to
levels equivalent to that achieved by S. typhimurium
invasion-defective strains such as PhoPc. Thus, as is the
case for nonpolarized eukaryotic cells, host cytoskeletal
rearrangements are required for S. typhimurium invasion into
polarized monolayers of intestinal epithelial cells. This cytochalasin
treatment did not alter the ability of S. typhimurium to
adhere to the apical surface of these epithelial monolayers. Having
shown that cytochalasin D treatment blocked S. typhimurium entry but not its adherence, we next assessed whether S. typhimurium could still induce cytochalasin D-treated epithelia to
orchestrate PMN transmigration. As shown in Fig. 4, this cytochalasin D
treatment did not reduce S. typhimurium-induced epithelial
promotion of PMN movement. Because this drug also perturbs
epithelial-cell tight junctions (a potential limiting barrier to PMN
movement), we next determined whether cytochalasin D affected
exogenously driven (i.e., fMLP-induced) PMN transepithelial migration.
Cytochalasin D did not have a significant effect on fMLP-induced PMN
transepithelial migration (29.1 [±35] × 104 versus
30.35 [±4.2] × 104 CE in the absence versus the
presence of cytochalasin D), nor did it affect the low basal level of
transmigration supported by noncolonized monolayers (0.98 [±0.13] × 104 versus 0.67 [±0.38] × 104 CE in the
absence versus the presence of cytochalasin D). Further, the
invasion-deficient S. typhimurium strain (PhoPc)
still remained unable to induce PMN transepithelial migration in the
presence of cytochalasin treatment (2.7 [±0.59] × 104
versus 3.4 [±0.56] × 104 CE in the absence versus the
presence of cytochalasin D). These results indicate that the PMN
transepithelial migration induced by apical colonization with S. typhimurium is not dependent upon this bacterium attaining an
intracellular position.

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FIG. 4.
Cytochalasin D blocks internalization of S. typhimurium but does not reduce its induction of epithelial cell
direction of PMN transmigration. Monolayers of T84 epithelial cells
were apically colonized with S. typhimurium in the presence
of cytochalasin D or vehicle (dimethyl sulfoxide). Bacterial
internalization and elicitation of PMN transmigration were measured.
Data are the means (±SD) of a representative experiment performed in
triplicate. An asterisk indicates a significant difference
(P < 0.02) between the control and the
cytochalasin-treated model epithelia.
|
|
Epithelial secretion of IL-8 and PEEC are mediated by distinct
signaling pathways.
Having demonstrated that S. typhimurium entry into model epithelia can be uncoupled from the
epithelial promotion of PMN movement, we further investigated whether
secretion of PEEC and IL-8 were also controlled by separate signaling
pathways. Intestinal epithelial cells secrete IL-8 basolaterally and
PEEC apically (30, 31). It is thought that IL-8 guides PMN
through the lamina propria to a subepithelial compartment, whereas PEEC
directs PMN movement across the intestinal epithelial cell monolayer
(28, 31). The suggestion that secretion of IL-8 and PEEC
might be controlled by distinct pathways came from our observation that
S. typhi induces secretion of IL-8 (S. typhi,
S. paratyphi, and S. typhimurium induced 2.1 ± 0.52, 2.4 ± 0.43, and 2.61 ± 0.61 ng of IL-8 secretion per ml, respectively) but not of PEEC (29). IL-8 secretion
induced by either cytokines or bacteria is thought to be mediated by
activation of the transcription factor NF-
(18). Thus,
as expected, we observed that inhibition of proteosome-mediated
NF-
activation via the compound mg-132 (43) led to a
marked reduction in S. typhimurium-induced IL-8 secretion
(Fig. 5, left panel). However, mg-132 did
not significantly reduce S. typhimurium-induced PMN transmigration (i.e., PEEC secretion, the limiting factor in our model
system) (Fig. 5, right panel). This suggests that, in contrast to IL-8
secretion, S. typhimurium-induced PEEC secretion is not mediated by NF-
activation.

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|
FIG. 5.
S. typhimurium-induced IL-8 secretion but not
PEEC secretion is inhibited by mg-132. Monolayers of T84 epithelial
cells were treated with the proteosome inhibitor mg-132, which inhibits
NF- b nuclear translocation, or vehicle (dimethyl sulfoxide) for
1 h and then apically colonized with S. typhimurium.
IL-8 secretion (left) and PMN transmigration (right) were measured.
Data are the means (±SD) of a representative experiment performed in
triplicate. An asterisk indicates a significant difference
(P < 0.02) between the control and the mg-132-treated
model epithelia.
|
|
Next we measured whether phorbol myristate acetate (PMA), a known
potent nonphysiologic activator of IL-8 secretion, could
also activate
PEEC secretion. To avoid the possible complication
of PMA directly
influencing PMN movement across model epithelia,
we assessed relative
PEEC secretion by measuring the ability of
partially purified PEEC
isolates to induce a cytosolic Ca
2+ increase in PMN, as
this is a known activity of this chemoattractant
(
14,
31).
The specificity of this assay to measure PEEC release
is based on the
fact that most other molecules which can be released
by epithelial
cells and could perhaps induce a Ca
2+ increase in PMN would
be excluded by the relatively narrow molecular
size range of our
purification (1 to 3 kDa) (e.g., CXC chemokines
and arachidonate
metabolites would be excluded) and by our observation
that the ability
of PEEC isolates to drive PMN transmigration
correlates with their
ability to induce a Ca
2+ increase in PMN (
31).
Although PMA induced far greater IL-8
secretion than
S. typhimurium (Fig.
6, left panel),
PMA did not
induce model epithelia to secrete detectable amounts of
PEEC (Fig.
6, right panel). As PMA is also known to activate epithelial
secretion
of a number of other immune inflammatory responsive
chemokines
(
34,
48), our results indicate that PEEC
secretion is controlled
via a process distinct from those which have
been characterized
for IL-8 and these other chemokines.

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|
FIG. 6.
IL-8 secretion but not PEEC secretion is activated by
PMA. Monolayers of T84 epithelial cells were stimulated with PMA (100 ng/ml), and supernatants were collected 4 h later. Basolateral
supernatants were assayed for IL-8 by ELISA, and apical supernatants
were partially purified and assayed for PEEC by measuring their ability
to induce an increase in PMN cytosolic Ca++ as described in
Materials and Methods. Data are the means (±SD) of a representative
experiment performed in triplicate.
|
|
Lastly, we investigated whether
S. typhimurium mutants (or
conditions) which did not elicit PEEC secretion (i.e., PMN
transmigration)
could perhaps elicit IL-8. The two invasion-defective
S. typhimurium strains (PhoP
c and Hil

) which
we have tested were both unable to elicit PEEC
secretion
(
29). While one of these mutants (PhoP
c) was
also unable to elicit IL-8 secretion, the other one (Hil

)
elicited
IL-8 secretion almost as effectively as wild type (Fig.
7). Further, while basolateral
S. typhimurium colonization does
not elicit PEEC secretion, it does
induce a significant amount
of epithelial secretion of IL-8, albeit not
quite as efficiently
as when applied apically. Together, these results
agree with our
pharmacologic-based approach, which indicated that the
epithelial
secretion of IL-8 and PEEC is mediated by separate pathways.
However,
like PEEC secretion, maximal activation of the signals which
mediate
IL-8 secretion may be dependent on sustained
S. typhimurium-epithelial
cell interactions, since
S. typhimurium-induced IL-8 secretion
was attenuated when
noninternalized bacteria were killed with
gentamicin (66.1 ± 6.2% of control values,
P < 0.05). Since PMA-induced
IL-8 secretion was not affected by gentamicin (105 ± 9.1% of
control
values, which is not significant), the effect of this
antibiotic
was probably the result of its action on
S. typhimurium rather
than its acting nonspecifically on the model
epithelia.

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|
FIG. 7.
IL-8 secretion can be induced by an invasion-defective
mutant which was unable to elicit PEEC secretion and PMN
transmigration. Monolayers of T84 epithelial cells were colonized
apically (except where otherwise indicated) with wild-type or mutant
S. typhimurium (as indicated) as described in Materials and
Methods. Basolateral supernatants were assayed 4 h later for IL-8
by ELISA. Data are the means (±SD) of a representative experiment
performed in triplicate. An asterisk indicates a significant difference
(P < 0.02) from the wild type strain applied
apically.
|
|
 |
DISCUSSION |
The ability of Salmonella serotypes to elicit diffuse
enteritis in humans correlates well with their ability to elicit the epithelial promotion of PMN transmigration, but it does not correlate well with their ability to invade epithelial cells (29).
These observations indicate that salmonella-induced epithelial
recruitment of immune cells is likely a key virulence mechanism
underlying the enteritis elicited by some Salmonella
serotypes, such as S. typhimurium. Yet, in contrast to the
means by which bacteria gain entry into host cells, the mechanisms and
microbial determinants by which S. typhimurium elicits a
mucosal inflammatory response have not been well characterized. In this
report, we present two principal findings fundamental to an
understanding of the molecular mechanisms by which S. typhimurium initiates an inflammatory response (defined as the
epithelial direction of PMN transmigration). First, our studies
revealed that S. typhimurium induced signaling cascades which mediate the epithelial direction of PMN transmigration can be
uncoupled from bacterial internalization. Further, distinct epithelial
signaling pathways mediate S. typhimurium induction of IL-8
and PEEC secretion.
To better understand how S. typhimurium induces epithelia to
direct PMN transmigration, we asked whether S. typhimurium
internalization was necessary or sufficient to elicit this response. We
found that neither S. typhimurium uptake via the basolateral
membrane domain nor EGF-induced apical uptake of an invasion-defective (type III secretion system) mutant could elicit epithelia to secrete PEEC. Thus, as is the case for Salmonella serotypes which do
not cause enteritis, S. typhimurium attainment of an
intracellular position, by itself, is insufficient to induce epithelia
to direct PMN transmigration. Further, blocking S. typhimurium internalization with cytochalasin showed that
attainment of an intracellular position is not necessary for this
bacterium's interactions with epithelial cells to lead to PMN transmigration.
The molecular interactions between S. typhimurium and
intestinal epithelial cells that are necessary and sufficient to
activate epithelia to mediate this aspect of the immune inflammatory
response are not yet clear, but some insights can be drawn. S. typhimurium activation of epithelial promotion of PMN
transmigration requires a sustained interaction between this bacterium
and the apical membrane of the epithelium. This is evidenced by our
observation that only S. typhimurium which interacted with
the apical (but not the basolateral) aspect of model epithelia could
elicit PMN transmigration. That the interaction must be sustained is
based on our observation that if apically attached noninternalized
S. typhimurium are killed via the addition of gentamicin,
S. typhimurium-induced PMN transmigration is reduced by
about 90% (30). Further, this interaction would seem to be
dependent on a functional S. typhimurium type III secretion
system, since the mutants of this type which we have tested are unable
to induce epithelia to direct PMN transmigration (30). Thus,
we propose that, in addition to its role in mediating bacterial uptake,
the inv/spa locus/type III secretion apparatus also plays a role in
mediating S. typhimurium activation of epithelial signaling
pathways which regulate PMN transmigration.
We envisage at least two possible means by which S. typhimurium might activate epithelia to direct PMN transmigration.
It is possible either that S. typhimurium engages a surface
receptor that activates the epithelial signaling pathway(s) which
mediate this response or that S. typhimurium translocates an
effector protein, not necessarily directly connected to invasion, into the host cell that may activate the controlling signaling pathway. If
the signaling pathway activated by S. typhimurium that
results in epithelial promotion of PMN transmigration involves
bacterial ligation of a cell surface receptor, the bacterial surface
expression of that ligand would seem to be dependent upon a functional
type III secretion system. While this cannot be ruled out, a precedent for the latter explanation has been established by the recent work of
Galyov and coworkers (13, 47). These investigators have
elegantly identified a novel secreted effector protein of S. dublin, SopB (Salmonella outer protein), that is able
to translocate into epithelial cells via a sip-dependent pathway and
mediate, in part, mucosal inflammation and fluid secretion when
examined in the ileal mucosae of calves (13). Notably, the
S. dublin SopB mutant exhibited an approximately 50%
decrease in both fluid secretion as well as in PMN influx in the calf
ileal mucosa, despite showing wild-type levels of invasiveness for
either cultured epithelial cells or intestinal mucosa. Moreover,
cytochalasin treatment prevented S. typhimurium entry but
did not prevent the translocation of SopB, indicating that the
translocation of SopB can be performed by extracellular bacteria
(13). These results are in agreement with our conclusion
that S. typhimurium invasion and the epithelial promotion of
PMN transmigration are separable events. Other work by Galyov has also
determined that another secreted effector protein, SopE, is
translocated into the eukaryotic target cell by a sip-dependent mechanism and promotes bacterial entry (47). Although a
recent study (16) has described SopE as an effector molecule
capable activating several GTPases of the Rho subfamily (namely, CDC42 and rac-1) and stimulating both cytoskeletal and nuclear responses in
the host cell, its role in mediating S. typhimurium-induced PMN transepithelial migration seems less clear than SopB given that
SopE mutants were found to be invasion defective as well as unable to
elicit PMN transmigration (26a). Moreover, in addition to
SopB (and possibly SopE), there may be other effectors acting in
concert with these two proteins in the host cell. Nonetheless, SopB
appears to be a good candidate to play a role in activating the
signaling events that mediate the epithelial promotion of PMN
transmigration. Whether or not SopE, or cdc42 and rac-1, might also
perhaps be involved awaits further study.
The final and perhaps rate-limiting step of PMN movement to the
intestinal lumen is thought to be governed by the epithelial secretion
of PEEC. PEEC is secreted apically and appears to direct the final step
of PMN migration across the epithelial monolayer to the intestinal
lumen (31). IL-8 is secreted basolaterally and directs the
prerequisite journey (at least in large part) PMN must take through the
lamina propria (28, 30). Using a pharmacological approach,
we found that there are considerable differences in the epithelial
signaling pathways which mediate the secretion of these
chemoattractants. Specifically, we observed that IL-8 secretion, but
not PEEC secretion, is potently activated by PMA and potently inhibited
by an inhibitor (mg-132) of the NF-
-activating proteosome. There
are also differences in the microbial determinants which elicit these
responses, as we observed that one S. typhimurium mutant
which does not induce PEEC secretion induces IL-8 secretion to a
similar extent as the wild type. That this mutant is invasion defective
indicates that, as is the case for PEEC secretion, S. typhimurium need not be internalized to elicit IL-8 secretion.
Bacteria with the ability to induce IL-8, but not PEEC, secretion is
not limited to laboratory strains, since we found that this same
pattern was exhibited by two different wild-type strains of S. typhi (see Results and reference 29). Thus, it
seems reasonable to consider that S. typhi eliciting
basolateral IL-8 secretion but not apical PEEC secretion might explain
the observation that PMN migrate to the gut in response to S. typhi but do not transmigrate into the intestinal lumen
(36). It has recently been observed that S. typhi
invades epithelia via a mechanism distinct from that used by S. typhimurium. That is, S. typhi but not S. typhimurium entry is dependent on the expression of cystic
fibrosis transmembrane conductance regulator (CFTR) (41).
Therefore, it is tempting to speculate that the CFTR-mediated
interactions between S. typhi and the apical membrane domain
of epithelia are sufficient to activate the signaling pathways which
mediate secretion of IL-8 but not PEEC. Like PEEC secretion, maximal
IL-8 secretion appears to require a sustained interaction between
bacteria and host, since killing noninternalized bacteria with
gentamicin also reduced IL-8 secretion in response to S. typhimurium.
It is interesting to consider some of the evolutionary implications of
the interactions between these various Salmonella serotypes and the intestinal epithelia. From the epithelial-cell viewpoint, the
differential control over the release of these two PMN chemoattractants (IL-8 and PEEC) would seem to provide the host appropriate flexibility in initiating the immune inflammatory response. The host would not want
to direct large-scale PMN migration to the intestinal lumen unless
needed, as the resulting disruption in epithelial barrier function
exposes the host to a myriad of other dangers and problems (see
reference 27). From the bacterial point of view, it
is interesting to consider the question of whether S. typhimurium persists, in part, because of its ability to elicit PMN transepithelial migration or in spite of it. Considering that in
immunocompromised individuals, S. typhimurium can infect
systemically, the immune inflammatory response normally induced by this
bacterium would seem to be a hindrance to this organism. However, a
potential benefit of inducing an inflammatory response resulting in
diarrhea would be to aid in S. typhimurium dissemination.
Indeed, successful spread of this pathogen, as well as other enteric
pathogens, can occur via this route, as is particularly evident in
developing countries.
 |
ACKNOWLEDGMENTS |
These studies were supported by National Institutes of Health
grants DK-47662 (J.L.M.), DK-35932 (J.L.M.), and DK-50989 (B.M.). A.G.
is supported by an individual National Research Service Award.
We thank Andrew S. Neish for helpful discussions concerning this work.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Combined Program
in Pediatric Gastroenterology and Nutrition, Division of Mucosal
Immunology, Massachusetts General Hospital, Charlestown Navy Yard Bldg.
149 (1493404) Charlestown, MA 02129. Phone: (617) 726-4168. Fax: (617) 726-4172. E-mail: mccormic{at}helix.mgh.harvard.edu.
Editor:
J. T. Barbieri
 |
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