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Infection and Immunity, August 1999, p. 3847-3854, Vol. 67, No. 8
0019-9567/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Adhesion of Tritrichomonas foetus to
Bovine Vaginal Epithelial Cells
B. N.
Singh,1,*
J. J.
Lucas,1
D. H.
Beach,2
S. T.
Shin,3,
and
R.
O.
Gilbert3
Department of Biochemistry and Molecular
Biology1 and Department of Microbiology
and Immunology,2 SUNY Health Science Center,
Syracuse, New York 13210, and Department of Clinical
Sciences, College of Veterinary Medicine, Cornell University,
Ithaca, New York 148533
Received 17 December 1998/Returned for modification 18 February
1999/Accepted 12 May 1999
 |
ABSTRACT |
An in vitro culture system of bovine vaginal epithelial cells
(BVECs) was developed to study the cytopathogenic effects of Tritrichomonas foetus and the role of lipophosphoglycan
(LPG)-like cell surface glycoconjugates in adhesion of parasites to
host cells. Exposure of BVEC monolayers to T. foetus
resulted in extensive damage of monolayers. Host cell disruption was
measured quantitatively by a trypan blue exclusion assay and by release
of 3H from [3H]thymidine-labeled host cells.
Results indicated contact-dependent cytotoxicity of host cells by
T. foetus. The cytopathogenic effect was a function of
T. foetus density. Metronidazole- or periodate-treated T. foetus showed no damage to BVEC monolayers. A related
human trichomonad, Trichomonas vaginalis, showed no
cytotoxic effects, indicating species-specific host-parasite
interactions. A direct binding assay was developed and used to
investigate the role of a major cell surface LPG-like molecule in
host-parasite adhesion. The results of competition experiments showed
that the binding to BVECs was displaceable, was saturable, and yielded
a typical binding curve, suggesting that specific receptor-ligand
interactions mediate the attachment of T. foetus to BVECs.
Progesterone-treated BVECs showed enhanced parasite binding. T. foetus LPG inhibited the binding of T. foetus to
BVECs; the LPG from T. vaginalis and a variety of other
glycoconjugates did not. These data imply specificity of LPG on
host-parasite adhesion. Periodate-treated parasites showed no adherence
to host cells, indicating the involvement of carbohydrate containing
molecules in the adhesion process.
 |
INTRODUCTION |
Bovine trichomoniasis is a sexually
transmitted disease caused by a flagellated protozoan,
Tritrichomonas foetus. In cows the disease is associated
with infertility, vaginitis, endometritis, abortion, and sometimes
pyometra (7, 12, 13). Bovine trichomoniasis causes
considerable economic loss in the United States as well as in other
parts of the world (7, 15, 19, 32, 34). Initially, the
parasites are transmitted from the bull to the cow during coitus. Thus,
the trichomonads first encounter vaginal epithelial cells and the
organisms subsequently migrate to the uterus. The parasite is confined
to the epithelial cells of the endometrium and placenta. In cows, the
life span of T. foetus is self-limiting, and bulls, which
remain infected for life, represent a repository of infection (4,
7).
It has been reported that T. foetus and the related human
pathogen Trichomonas vaginalis adhere to host cells and
damage them through a contact-dependent cytotoxic mechanism (1-5,
9, 13, 18). There are only a few published reports that
illustrate the cytopathogenic effect of T. foetus on
mammalian cells (9, 10, 25). However, those studies did not
use natural bovine target cells; instead, they used cell lines such as
HeLa cells (a human cervical cell line), bovine lymphosarcoma cells,
and Madine-Darby canine kidney epithelial (MDCK) cells. Furthermore, although it has been suggested that T. foetus can directly
damage bovine placental tissue and probably causes severe cell
destruction (8, 22), little information was provided to show
the cytotoxicity against the natural specific host targets, bovine
vaginal epithelial cells. Parasitism of specific host target cells by
T. foetus is a critical step in establishing bovine trichomoniasis.
The ability of trichomonads to adhere to host cells plays an integral
role in establishing infections, and such interactions may be mediated
by glycoconjugates. T. foetus parasites contain several
surface carbohydrate-containing antigens, some of which have been
reported to play an important role in the pathogenesis of bovine
trichomoniasis (6, 9, 10, 12, 13, 16). Corbeil and coworkers
(12, 13, 16) isolated a trichomonad cell surface
glycoconjugate (TF1.17) of approximately 50 to 70 kDa and have shown
that corresponding monoclonal antibodies (MAbs TF1.17 and TF1.15)
inhibit adhesion of parasites to host cells. Burgess et al. have also
isolated a parasite surface glycoconjugate, Tf190 (9, 10),
which has been demonstrated to inhibit adsorption of the parasite to
host cells. Furthermore, we have isolated and partially characterized a
novel lipophosphoglycan (LPG) from T. foetus (26,
27) of approximately 50 to 70 kDa. This molecule, designated
TF-LPG, is the major glycoconjugate (2 × 106 to
3 × 106 copies/organism) on the cell surface of the
parasite and is anchored to the surface by an inositol-phosphoceramide moiety.
Since T. foetus parasitizes bovine vaginal epithelial cells
(BVECs), and the parasites possess a major LPG-like glycoconjugate, we
have studied the interactions of purified LPG with cultured BVECs. For
a full understanding of the mechanism of infection, it is essential to
study the cytopathogenic nature and specificity of T. foetus
infection by using the specific host target cells, BVECs. To facilitate
these studies, it was necessary to develop a cell culture system of
BVECs that was devoid of fibroblasts and could be stored frozen and
thawed for use. In this report, we demonstrate (i) the culturing of
BVECs, (ii) hormonal effects on adhesion of T. foetus to
BVECs, (iii) the involvement of LPG-like glycoconjugates in the
attachment of T. foetus to BVECs, and (iv) the cytotoxicity
of T. foetus toward host cells. These studies provide
important information regarding host-parasite interactions and the
biological attributes of cell surface glycoconjugates such as LPG in
the pathogenesis of bovine trichomoniasis.
 |
MATERIALS AND METHODS |
Trichomonads.
T. foetus KV1 (ATCC 30924),
D1 (obtained from L. Corbeil, University of California, San Diego), and
Montana (obtained from D. Burgess, Montana State University) were grown
in Diamond's medium (14) with 10% heat-inactivated fetal
calf serum (HyClone Laboratories, Inc.) at 37°C in screw-capped 100- and 500-ml serum bottles. T. vaginalis CDC-85 (ATCC 50143)
was also grown in Diamond's medium. The initial pHs were 7.2 for
T. foetus and 6.2 for T. vaginalis and the
inoculum was 106 ml
1. Organisms were counted
at 24 h (Coulter counter model ZF; Coulter Electronics), harvested
in late log phase (24 h) by centrifugation (5,000 rpm), and washed
twice with cold phosphate-buffered saline (PBS; pH 7.2). T. foetus KV1 was used in most of the binding
experiments; the other parasite strains were used to evaluate adhesion
specificity to BVECs. For binding experiments, T. foetus
parasites were radiolabeled with [35S]cysteine-methionine
(Tran35S-label metabolic reagent; 2 mCi/100-ml culture) 12 to 14 h prior to harvest.
TF-LPG.
TF-LPG was isolated as previously described
(25). Briefly, the delipidated residue of organisms was
extracted with solvent E (H2O, ethanol, diethyl ether,
pyridine, NH4OH, 15:15:5:1:0.017). The extract was treated
with pronase and purified by Sepharose CL-4B and octyl-Sepharose column
chromatography, followed by methanol precipitation. The purity of
TF-LPG was evaluated by sodium dodecyl sulfate-polyacrylamide gel
electrophoresis (SDS-PAGE).
Culture of BVECs.
Small fragments of vaginal mucosa
dissected from bovine fetal reproductive tracts were obtained from
fetuses of crown rump length 75 to 90 cm (corresponding roughly to the
last month of gestation). The fragments (ca. 0.5 mm) were washed and
placed in chick embryo extract (GIBCO) before being transferred to
100-µl drops of chick plasma in plastic petri dishes. After 30 min at room temperature to allow clot formation, culture medium (Williams complete medium [GIBCO] [21, 31] fortified with
charcoal-stripped fetal bovine serum, epidermal growth factor, insulin,
transferrin, selenium, and antibiotic-antimycotic) was added. Dishes
were incubated at 38°C in an atmosphere of 5% CO2 in
air. The explants were removed after a corona of 5 to 8 mm had formed,
usually within 1 to 2 weeks. Fibroblasts and epithelial cells were
separated by differential trypsinization. Cultured cells were washed
with Ca- and Mg-free buffer and then exposed to 0.05% trypsin and 0.53 mM EDTA in Ca- and Mg-free buffer. The cells were kept under
microscopic observation while the fibroblasts rounded up and became
detached. The flasks were tapped to loosen the detached fibroblasts,
which were removed by aspiration. Trypsin was inactivated by addition
of serum-containing medium. This procedure was repeated if necessary.
The purity of epithelial cells was determined by using an Histostain-SP
immunostaining kit (Zymed Laboratories) and anticytokeratin MAb
(Boehringer Mannheim). Contamination of fibroblasts was identified by
staining with a MAb against vimentin (Dako). Vaginal epithelial cells
were cultured to confluence and subcultured. For experimental studies,
cells were subcultured in 24-well cluster plates, and experiments were performed when confluence was reached. At this time, each well contained approximately (4 ± 0.45 [standard deviation]) × 105 cells. These cells can be frozen and rethawed for
further experimentation as needed.
Binding assays.
Binding of T. foetus to BVECs was
performed as follows. BVECs were subcultured in 24-well plates and
allowed to become confluent in Williams medium (~[4 ± 0.45] × 105 cells). Radiolabeled trichomonads were washed twice
in PBS (pH 7.2) and once in PBS with 1% fetal bovine serum (PBS-F) and
then suspended to the desired densities in a mixture of 2 parts of Williams medium (21, 31) (pH 7.4) and 1 part of PBS-F
(W-PBSF). Parasites and BVECs were always equilibrated for 15 to 20 min in W-PBSF at 37°C prior to coincubation. We investigated several other media (Diamond's, Dulbecco modified Eagle, RPMI, etc.) and several different pHs (from 6.0 to 8.0) to optimize adhesion of T. foetus to BVECs. It has been reported that in vivo the pH
of bovine vaginal epithelium is approximately 7.6 (13). We
found that W-PBSF is best for our experimental purposes (in terms of minimizing pH changes and viability of parasites during incubation period). For binding studies, ~4 × 106
35S-labeled parasites were added to confluent BVECs and
incubated for 30 min (37°C, 5% CO2 in air). The total
volume was adjusted to 1.2 ml. At the end of the incubation period, the
wells were washed gently five times with warm PBS-F (37°C). The BVECs
were solubilized with 1 N NaOH, and the amount of adherent
radioactivity was determined by liquid scintillation counting. For
competition experiments with LPG, different amounts of LPG (2 to 120 µg) were added to BVECs and equilibrated for 15 min (37°C, 5%
CO2 air) before the addition of parasites. All experimental
points were performed in quadruplicate, and at least one sample was
always visualized by phase-contrast microscopy to examine attachment, parasite viability, and motility. The mean of the data was presented for each experiment. Each experiment was repeated three times. In
control experiments, other carbohydrate-containing components such as
LPGs from other parasites, glycoproteins, glycolipids, lipopolysaccharide from bacteria, and saccharides (25 to 50 µg/wells) were added to each well. To examine the saturation of BVEC membrane sites, the following experiments were performed. Fixed amounts (4 × 106) of 35S-labeled parasites were added to
BVECs along with various densities of unlabeled parasites (the ratio of
labeled to unlabeled organisms ranged from 1:0.1 to 1:10 in one
experiment and 1:1 to 1:100 in other experiments).
Hormone-treated BVECs.
BVECs were treated with progesterone
(50 ng/ml), estradiol (200 pg/ml), and progesterone plus estradiol for
5 days before confluence was reached. Radiolabeled parasites were added
to the wells containing hormone-treated and normal BVECs. After
incubation for 30 min, the wells were washed with PBS-F and counted for
radioactivity to determine percent adhesion as described above.
Chemical treatment of T. foetus for binding and
cytotoxicity experiments.
In some cases, the PBS-washed parasites
were treated with metronidazole (200 µg/ml for 5 min) or periodate
(10 mM in 50 mM sodium acetate buffer [pH 4.5] for 10 min) at room
temperature. Under these conditions, parasites became nonmotile but not
lysed and appeared to retain their cellular integrity as visualized by
phase-contrast microscopy. Chemically treated parasites were further
washed twice with PBS-F and resuspended in a W-PBSF before being added
to the wells containing BVECs.
Cytotoxicity of BVECs mediated by T. foetus.
Two assay
methods were used to assess the cytotoxicity of parasites: (i) the
colorimetric trypan blue exclusion assay and (ii) assay of the release
of radioactivity from [3H]thymidine-labeled host cells,
as reported earlier for T. vaginalis (1, 3).
(i) Colorimetric assay.
For each experimental condition,
BVECs in 24-well plates were equilibrated in W-PBSF for 15 min at
37°C (under 5% CO2) before the addition of parasites.
Approximately 8 × 105 parasites were added to
monolayers (4.0 × 105 cells) and incubated for 2 to
24 h. For control experiments, parasites were not added to BVECs
in the wells. At the end of incubation periods, the wells were gently
washed two times with warm PBS, and remaining cells were fixed to the
wells with 2% (wt/vol) formaldehyde in PBS for 10 min. The wells were
washed with PBS and stained with 0.13% crystal violet as reported
earlier (1). The stained product was subsequently washed
twice with distilled water and air dried. The stained cells were
finally solubilized in 1% (wt/vol) SDS in 50% (vol/vol) ethanol, and
the intensity of staining was read at a wavelength of 570 nm. Each experiment was performed in quadruplicate, and the mean of the data was
presented. The nature and extent of host cell damage caused by
parasites were also assessed by using a phase-contrast inverted
microscope. Cytotoxicity was calculated as 1
(E/C); i.e., all measurements of experimental (E) samples
(A570) were indexed to those of control
(C) samples (E/C), which showed no loss of cells
from the well, and subtracted from 1.0. In control experiments, we
measured the cytotoxicity to BVECs of a related human trichomonad,
T. vaginalis (8 × 105 parasites/4.0 × 105 BVECs/well). We also examined the cytotoxic effect
of T. foetus parasites which had been pretreated by exposure
to periodate (10 mM) or metronidazole (200 µg/ml). The incubation
times for the above experiments ranged from 3 to 24 h. In all of
these experiments, the total amounts of T. vaginalis and
metronidozole- or periodate-treated T. foetus were the same
(8 × 105 parasites/well) as it was for untreated
T. foetus.
(ii) Release of 3H by host cells.
It has been
reported that target cells labeled with radioactive DNA precursors
released labeled DNA in the presence of the relevant pathogenic
organisms, indicating that the microbes damaged the membrane of the
host cells (3, 20). We used [3H]thymidine to
label the BVEC monolayers in order to assess the damage of host cells
by T. foetus. Confluent monolayers of BVECs were labeled
with [3H]thymidine (8 µCi/well; specific activity, 40 to 60 Ci/mmol; ICN) overnight. After gentle removal of media, wells
were washed with W-PBSF prior to the addition of different amounts of
parasites for the desired length of time. Control experiments contained no parasites. At the end of the experimental periods, the incubation medium was collected and the release of 3H was determined
by liquid scintillation counting.
Contact-dependent cytopathic effect.
To test the hypothesis
that the cytopathic effect of T. foetus on BVECs is contact
dependent, four experimental groups were studied. In the first group,
T. foetus (4 × 106 parasites/well) was
added to monolayers of BVECs. The second group consisted of parasites
separated from the cell monolayer by a permeable collagen membrane
(CoStar). The third and fourth groups were control groups with
parasites only and BVECs only, respectively. There were 12 replicates
for each group. The parasites and BVECs were always equilibrated for 15 min in incubation buffer (W-PBSF) before the beginning of experiments.
Plates were incubated for the desired lengths of times. An inverted
phase-contrast Nikon microscope was used to evaluate contact-dependent
cytopathogenicity. Data were recorded every 6 h for 72 to 100 h.
 |
RESULTS |
Earlier studies on the recognition and binding of T. foetus parasites to mammalian cells used HeLa cells (9,
10), MDCK cells (25), and primary epithelial cells
from scrapings of vaginal surfaces (13). Adhesion is
regarded as an essential feature in the pathogenesis of microorganisms,
and it has been shown that both bovine and human trichomonads attach to
HeLa cells. Although significant data were obtained with each of the
above culture systems, they did not study adhesion to natural host
cells. They used either unnatural model systems or BVECs that were
contaminated with other cells, primarily fibroblasts. Therefore, to
define host specificity more fully, we have established an in vitro
culture system of BVECs (Fig. 1A) to
study T. foetus cytoadhesion. The results of keratin and
vimentin staining of BVECs showed that usually more than 93% of the
cells were epithelial cells. This dramatic enrichment was possible
because fibroblasts were more readily removed by short-term trypsin
exposure, while vaginal epithelial cells adhered avidly to the plastic.
This is the first study of its kind where relatively pure BVECs have
been subcultured for experimental purposes. An additional advantage of
this system is that cells can be frozen and thawed for use as needed.


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FIG. 1.
(A) BVECs not exposed to T. foetus. (B) BVECs
coincubated with T. foetus for 30 min and then washed three
times. Note abundant adhesion of parasites to the monolayer. Large and
small arrows indicate BVECs and parasites, respectively. (C) BVECs
coincubated with T. foetus for 48 h. Monolayers are
completely disrupted, and only dead parasites are observed. (D) BVECs
exposed to periodate-treated T. foetus for 48 h. No
adherence of parasites and no destruction of monolayers are apparent.
(E) BVECs exposed to metronidazole-treated T. foetus for
48 h. Only a few parasites adhere to BVECs, and there is no
destruction of monolayers.
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A number of BVEC culture conditions were optimized. For example, pH is
a critical element for both host cell growth and parasite viability.
The pH of bovine vaginal epithelium in vivo has been estimated to be
approximately 7.6 (13). The initial pH for T. foetus growth medium is 7.2, and the BVECs are grown in Williams medium (pH 7.4). It has been shown that motility of T. foetus is maintained best in PBS-F (pH 7.2) and that a suitable pH
for the adherence of T. foetus to vaginal epithelial cells
is between pH 6.0 and 7.5 (13). Therefore, we used a mixture
of Williams medium and PBS-F (2:1). These conditions support the
viability of both host cells and parasites and minimize pH changes
during the incubation period. Other media such as RPMI, Dulbecco
modified Eagle, and Diamond's failed to provide satisfactory results
in our studies.
Specificity of T. foetus adherence to BVECs.
Phase-contrast microscopy showed that early in the adhesion process,
T. foetus used its posterior flagellum to adhere to the host
cell. Subsequently, the cell body appears apposed to the host cell.
Figure 1B shows T. foetus parasites adhered to BVECs. Once a
viable culture system was established, it was used to study the
specificity of parasite-host interactions. BVECs were incubated with
T. foetus or T. vaginalis parasites in separate
culture wells for times ranging from 30 min to 4 days and visualized by
phase-contrast microscopy. T. foetus parasites adhere to
BVECs with much stronger avidity than do T. vaginalis
parasites, indicating species specific host-parasite interactions.
These observations also imply that surface molecules from T. foetus mediate the binding of T. foetus to BVECs, but
cell surface molecules from T. vaginalis do not support
strong binding. This point is further supported by binding studies
described below.
Bovine vaginal fibroblasts (BVF) (Fig.
2A) were cultured separately to examine
host cell specificity.
T. foetus parasites
were incubated
with confluent BVF monolayers and allowed to adhere
for 3 h to 5 days. In one set of experiments, cells were washed
three times with PBS
after 3 h and examined under the microscope.
Conspicuously, fewer
parasites appeared to adhere to BVF (Fig.
2B) than to BVECs (Fig.
1B).
In a second set of experiments, parasites
were allowed to adhere for
96 h, washed, and examined under the
microscope. There was no
damage to BVF monolayers even after 96
h (Fig.
2D), and monolayers
appeared similar to control BVF (Fig.
2C). In a group of experiments in
which the cultures were unwashed,
coincubation of parasites with BVF
for 5 days showed no disruption
to fibroblast monolayers (data not
shown). Parasites remained
alive and motile, and significant
multiplication occurred. These
results clearly indicate host cell
specificity and suggest that
BVF probably provide nutrients for
parasite survival.

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FIG. 2.
(A) BVF after washing (control group). (B) BVF exposed
to T. foetus for 3 h and then washed three times. Note
relatively sparse adhesion of parasites to cell. (C) Control BVF
96 h after washing. The cell monolayer is intact and in good
condition. (D) BVF coincubated with T. foetus for 96 h
and then washed. Parasites remain alive without inflicting conspicuous
damage on the monolayers.
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Cytopathogenic effects of T. foetus on BVECs.
Having established a functional culture system for BVECs allowed us to
investigate cytotoxicity directly. Initial observations were made by
phase-contrast microscopy. In one experimental group, T. foetus coincubated with BVECs caused severe disruption of the BVEC
monolayer around 48 h, followed soon after by death of the parasites (Fig. 1C). The median survival time for the parasites was
48 h. After death of all of the parasites, the epithelial monolayer became reestablished in some wells by outgrowth of surviving epithelial cells (at approximately 120 h), which had not been evident 24 to 48 h previously. When T. foetus parasites
were cultivated under identical conditions but in the absence of BVECs
(group 3), the median survival time was also 48 h. Subjectively,
however, the cells appeared more sluggish in mobility than parasites
cocultured with BVEC. When the T. foetus parasites were
physically removed from the BVEC monolayer by a permeable filter (group
2), the epithelial cells suffered no visible damage. Interestingly,
parasite survival time was significantly increased (P = 0.001, Kruskal-Wallis analysis of variance followed by
Student-Neuman-Kuels post hoc test) to a median of 96 h. In a
control group, BVECs in the absence of parasites showed no cytopathic effects.
These observations imply that the cytopathic effect of
T. foetus on BVECs is contact dependent and also that some factor
related
to coculture extends the motile life span of the parasites. The
latter effect may be as simple as a lowering of the oxygen tension
by
the epithelial cells, or it may be the result of a more complex
interaction.
As shown in Fig.
1B, many more untreated parasites than either
metronidazole- or periodate-treated parasites adhere to BVECs.
In a
different set of coincubation experiments (30 min to 48 h)
with
chemically exposed
T. foetus, a dramatic reduction of
parasite
adherence to host cells was observed (Fig.
1D and E). There
was
no evident damage of BVEC monolayers by
T. foetus
treated with
periodate (Fig.
1D) or metronidazole (Fig.
1E). The
results show
that some metronidazole-treated parasites adhered to host
cells
but did not destroy them, consistent with our observation
(described
below) that metronidazole-killed parasites displace some
binding.
The fact that metronidazole-treated parasites adhere to host
cells
suggest that adhesion of
T. foetus is necessary but
not sufficient
to cause damage to BVECs. The effect of periodate
suggests that
parasite surface glycoconjugates are involved in
host-parasite
interactions.
The cytopathic effect of
T. foetus on BVEC monolayers was
further studied in two quantitative assays. The first is a trypan
blue
exclusion assay described by Alderete and Pearlman (
3).
Figure
3 depicts the kinetics of damage
to BVECs by
T. foetus.
Cytotoxic effects were seen as early
as 3 h after parasite exposure,
and nearly complete destruction
occurred by 24 h. We also examined
cytotoxicity at higher parasite
densities. As shown in Fig.
4,
increasing
the parasite-to-host cell ratios (2:1, 4:1, and 10:1)
intensified the
cytotoxic effect measured at 6 h. Clearly, the
cytopathogenic
effect is a function of
T. foetus density. The
6-h point was
chosen to show the maximal effect on cytotoxicity
(from 15 to 50%) and
to preclude significant multiplication of
parasites during the
experiment (9 to 24 h).

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FIG. 3.
Time course of T. foetus cytotoxicity.
Cytotoxicity in BVEC monolayers, determined by trypan blue exclusion
assay. Each well contained 8 × 105 parasites and
4 × 105 BVECs. Cytotoxicity was calculated as
described in Materials and Methods.
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FIG. 4.
Concentration dependence of cytotoxicity of BVEC
monolayers in the presence of increasing ratios of T. foetus
to host cells (2-, 4-, and 10-fold). Controls include T. foetus treated with periodate (TF-P) and metronidazole (TF-M) and
the related human trichomonad, T. vaginalis (TV). In
controls, the ratios of parasites to BVECs was 2:1. The incubation time
was for 6 h. Similar results were obtained when TF-P, TF-M, and TV
were incubated with BVECs for 24 h. However, 80 to 85% of the
BVEC monolayers were destroyed at 24 h in presence of T. foetus. For the formula used to determine cytotoxicity, see
Materials and Methods.
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The trypan blue assay was also used to study the effects of periodate
and metronidazole treatment of
T. foetus on cytotoxicity
(Fig.
4). These treatments nearly eliminated cytotoxicity over
the
course of 6 to 24 h. However, microscopic examination showed
that
some metronidazole-treated parasites adhere to host cells,
although no
damage to host cells was observed (Fig.
1E). Periodate-treated
T. foetus showed no adherence to host cells (Fig.
1D) during
microscopic
examination, suggesting involvement of
carbohydrate-containing
molecules in the adhesion processes. In a
control experiment,
incubation of the pathogenic human trichomonad
T. vaginalis with
BVECs showed no cytotoxic effects,
indicating species-specific
host-parasite
interactions.
We also examined the release of
3H from
[
3H]thymidine-labeled host cells incubated with
T. foetus (data not shown).
T. foetus in contact with
radiolabeled BVECs showed detectable levels of
3H release
(1.5, 2.5, 3.4, and 5.6 times control levels at 3, 6,
9, and 24 h,
respectively) over a 24-h period. In control experiments,
radiolabeled
BVEC monolayers in the absence of
T. foetus showed
no
release of radioactive material. An increased ratio of parasites
to
BVECs (2:1, 10:1, and 20:1) showed greater release of
3H
(1.5, 3, and 3.5 times control levels, respectively). These
observations are entirely consistent with results of the microscopic
and trypan blue
assays.
Involvement of LPG in the attachment of T. foetus to
BVECs.
Having obtained microscopic evidence that the binding of
parasites is species specific, we developed a direct binding assay to
examine the role of individual molecules in host-parasite adhesion. Significant evidence implicates LPG in the attachment of T. foetus to host cells. Therefore, binding studies were performed to
directly test the hypothesis that LPG mediates attachment to BVECs.
Initially, we studied the binding characteristics of radiolabeled
T. foetus to BVECs. The results of competition experiments
show that the binding to BVECs is displaceable, is saturable, and
yields a typical binding curve (Fig. 5).
A 100-fold excess of unlabeled parasites completely displaces binding
of radiolabeled organisms. These results suggest that specific
receptor-ligand interactions mediate the attachment of T. foetus to BVECs.

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FIG. 5.
Inhibition of radiolabeled T. foetus adhesion
to BVECs by unlabeled T. foetus. Live unlabeled parasites
and parasites killed with metronidazole (200 µg/ml, 20 min) were
incubated with BVECs and radiolabeled T. foetus as described
in Materials and Methods. Dead parasites were washed three times with
PBS-F before coincubation with labeled parasites. Various densities of
unlabeled parasites were coincubated with labeled parasites (4 × 106) in a total volume of 1.2 ml for 30 min at 37°C (5%
CO2). Binding was determined as described in the text.
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The studies were extended to include the effects of purified LPG on
parasite adhesion (Fig.
6). Inhibition is
observed even
with amounts as small as 2 µg of purified LPG. As
summarized in
Table
1, the binding of
parasites to BVECs is inhibited 40 to
50% by TF-LPG. In contrast, LPGs
from
T. vaginalis,
Leishamania donovani, and
Trypanosoma cruzi do not inhibit adhesion. Furthermore,
mild
acid treatment (0.04 M trifluoroacetic acid, 100°C, 12 min)
of TF-LPG
destroyed its inhibitory activity. A variety of other
glycoproteins,
glycolipids, and saccharides (25 to 50 µg/well)
were also ineffective
at displacing parasites in the assay. These
data demonstrate the
specificity of LPG on host-parasite adhesion
and support the
microscropic observations shown in Fig.
1B.

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|
FIG. 6.
Inhibition of T. foetus adhesion to BVECs
with TF-LPG. Approximately 4 × 106
35S-labeled T. foetus parasites were added to
confluent BVECs containing variable concentrations of TF-LPG in a total
volume of 1 ml and incubated for 30 min at 37°C (5%
CO2). Binding was determined as described in the text.
|
|
Because live parasites were used in these studies, it is possible that
some of the binding displacement was due to their metabolic
activity.
To demonstrate that the binding displacement is not
due to changes in
pH or to secretion of metabolites from parasites,
we performed an
identical competition experiment with unlabeled
T. foetus
killed by treatment with metronidazole (the ratios of
35S-labeled to unlabeled dead parasites ranged from 1:1 to
1:50).
The results show that the unlabeled dead parasites (50-fold)
displaced
binding up to 60% (Fig.
5). This result further reinforces
our
hypothesis that surface molecules such as LPG are involved in
adhesion of
T. foetus to
BVECs.
Hormonal effects on adhesion to T. foetus to
BVECs.
Since bovine infection with T. foetus is very
likely influenced by the estrus cycle, we examined the effects of
steroid hormones on the adhesion of parasites to BVECs. As shown in
Fig. 7, a greater number of parasites
bound to progesterone-treated BVECs (P < 0.05 by
Student's t test). The effect of treatment of BVECs with
estrogen alone and estrogen plus progesterone was not statistically
significant.

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|
FIG. 7.
Adhesion of T. foetus to BVECs treated with
hormone. C, control (untreated cells); P, progesterone-treated BVECs;
E, estradiol-treated cells; E+P, estradiol-plus-progesterone-treated
cells.
|
|
 |
DISCUSSION |
Knowledge of the nature of host cell cytotoxicity by T. foetus is critical to a complete understanding of pathogenesis.
Cytotoxicity is a major consequence of T. foetus infection.
We have used microscopy, spectrophotometry, and 3H release
assays to measure the cytotoxicity of parasites to BVECs. The
incubation of live T. foetus with BVEC monolayers showed
disruption of host cells within 3 h and resulted in a total loss
of cells after extended exposure to parasites. These results, along
with the initial contact dependence experiment (using parasites
separated from BVECs by a permeable collagen membrane insert) imply
contact-dependent mechanisms. In the absence of direct contact, there
is no damage to host cell monolayers. It is interesting that the
parasites survived longer when a barrier was placed between the host
cells and parasites. It is possible that the epithelial cells provide some nutrients or a partially anaerobic environment that enhances the
survival of T. foetus parasites.
Several cell lines such as HeLa and MDCK cells have been used for
cell-trichomonad interaction studies. Those cell lines are parasitized
by both T. foetus and T. vaginalis (3, 9,
10, 25). Using our BVEC culture system, we have clearly
demonstrated host-parasite specificity since the related human
trichomonad T. vaginalis showed no damage to BVECs.
Likewise, coincubation of T. foetus parasites with human
vaginal epithelial cells resulted in no cytotoxic effect
(30). The fact that T. foetus parasites do not
destroy BVF clearly indicates host-cell specificity. Silva-Filho and
deSouza (25) suggested that trichomonads exert their
pathogenic effects on epithelial MDCK cells in culture either by direct
contact or by the release of certain components. It is possible that
certain proteases and glycosidases found in trichomonad extracts play a
role in modulating the interactions of trichomonads with epithelial cells. Thus, it has been reported that the addition of protease inhibitors to the incubation medium decreased epithelial cell disruption by T. foetus (9, 10, 25). Burgess et
al. (9) have indicated that some factors, devoid of protease
activity, released by T. foetus parasites appeared to be
involved in the cytotoxicity of HeLa cells. However, these factors were
not characterized or defined. A number of microorganisms have been
reported to produce extracellular components which are cytotoxic
(11, 17, 20, 33). Our results suggest, however, that cell
destruction by T. foetus is a contact-dependent mechanism.
It is not known whether T. foetus parasites produce
cytotoxic material upon contact with host cells.
The results described in this report demonstrate that we have developed
a BVEC culture system which allows quantification of host-parasite
binding and can be used to study the mechanism of T. foetus
binding to host cells. It is likely that parasite adhesion is a complex
process, and the new assay will facilitate studies aimed at determining
which molecules are directly involved. Although the data presented here
provide strong evidence for the involvement of TF-LPG in adhesion,
other studies have suggested that additional surface molecules may be
involved in parasite adhesion. Thus, Arroyo et al. (5) and
Alderete et al. (2) suggested that four surface proteins of
T. vaginalis are involved in adhesion of parasites to HeLa
cells, and antibodies directed against these proteins reduced adhesion
by approximately 50%. Corbeil and coworkers (6, 12, 13, 16)
demonstrated that the surface antigen TF1.17 of T. foetus is
involved in adhesion of parasites to epithelial cells obtained from
scrapings of bovine vagina. The cytotoxicity of T. foetus to
VECs was not determined. The MAbs (TF1.17 and TF1.15) directed against
antigen TF1.17 have been shown to immobilize, agglutinate, and prevent
adherence of T. foetus parasites to vaginal epithelial cells
(13). In an assay based on phase-contrast microscopy, the
two MAbs inhibit the adhesion of parasites up to 73% (16).
Antigen TF1.17 has been reported to possess the characteristics of a
glycoprotein (based on thymol staining and broad diffuse nature of this
band) with an approximate molecular mass of 50 to 70 kDa (17,
18). Similarly, Singh (26) reported that TF-LPG has
mass of 50 to 70 kDa as determined by SDS-PAGE. In fact, recent
evidence indicates that MAbs TF1.17 and TF1.15 react strongly with
TF-LPG (28, 29). Furthermore, cattle infected with T. foetus show a strong antibody response to TF-LPG (29).
It appears, therefore, that there is an as yet undefined relationship
between LPG and TF1.17.
The fact that LPG inhibits binding only up to 40 to 50% and unlabeled
parasites (100-fold) displace binding up to 100% suggests that other
molecules present on T. foetus surface may also be involved
in adhesion. One of the adhesion antigens is TF1.17, described earlier
(16); the other is Tf190, identified by Burgess et al.
(9, 10). Thus, we examined the effect of MAb 32.3B3.5 (anti-Tf190; obtained from D. Burgess) on the adhesion of T. foetus to BVECs. The MAb inhibits T. foetus binding to
BVECs up to 50% (28a). If BVECs are first treated with LPG
(40 µg/well) followed by MAb-treated parasites, binding is inhibited
up to 60 to 75% (28a). Burgess et al. (9, 10)
reported that MAb 32.3B 3.5 lowered the adhesion of parasites to HeLa
cells up to 45% in a [3H]uracil-labeled parasite assay.
They also observed a reduction in parasite-mediated cytotoxicity.
Interestingly, the Tf190 antigen appears to contain monosaccharides and
fatty acid with a composition similar to that of TF-LPG
(23). These results, along with the observations that the
periodate-treated parasites do not adhere or destroy BVECs, strongly
suggest the involvement of surface glycoconjugates in the parasitism of
T. foetus organisms.
The increased adhesion of parasite to progesterone-treated BVECs is a
particularly interesting observation and may have direct relevance in
vivo since parasitism peaks during the estrus cycle. The biological
significance of this observation may be that it ensures the survival of
large numbers of parasites in the luteal (progesterone) phase of the
cycle. Therefore, there will be more free parasites in the vaginal
discharge during estrus, with a greater chance of infecting the male at
the time the cow is receptive to mating. Silva-Filho and Bonilha
(24) have reported that
-estradiol enhances the adhesion
of the human trichomonad T. vaginalis to MDCK cells.
A thorough examination of the mechanism of host-parasite adhesion
requires defined molecules and natural host cells. Two significant advances in the culture system reported here are the purity of the
BVECs and the ability to freeze and thaw the cells. This allows the
study of host-parasite interactions to take place in a convenient, easily manipulated system. The availability of pure LPG permits studies
of its molecular interactions with host cells. Understanding the
biochemical nature of TF-LPG will have a direct impact on understanding
the domains involved in cell adhesion and may help elucidate the
relationships among the TF-LPG, Tf190, and TF1.17 molecules.
The BVEC culture system and binding assay described here will allow
further studies of parasite adhesion and infection. Having an assay for
investigating the role of specific adhesion molecules will ultimately
yield insights into the mechanism of the infection processes. Such an
understanding will provide targets for therapeutic treatment and
prevention of trichomonal infections.
 |
ACKNOWLEDGMENTS |
We thank G. Hayes for useful advice, discussions, and preparation
of graphic illustrations. We also thank Suzanne Klaessig for technical
assistance and Corinne Duck for the preparation of the manuscript.
This work was supported by the USDA grants 95-2170 and 97-2615 (to
B.N.S.).
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Department of
Biochemistry and Molecular Biology, SUNY Health Science Center,
Syracuse, NY 13210. Phone: (315) 464-5398. Fax: (315) 464-8750. E-mail: Singhb{at}vax.cs.hscsyr.edu.
Present address: Department of Veterinary Medicine, Chungnam
National University, Taejon 305-764, Korea.
Editor:
V. A. Fischetti
 |
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