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Infection and Immunity, April 2001, p. 2621-2629, Vol. 69, No. 4
0019-9567/01/$04.00+0 DOI: 10.1128/IAI.69.4.2621-2629.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Gamma Interferon Prevents the Inhibitory Effects of
Oxidative Stress on Host Responses to Escherichia coli
Infection
Michael J.
Parmely,*
Fuan
Wang, and
Douglas
Wright
Department of Microbiology, Molecular
Genetics and Immunology, University of Kansas Medical Center,
Kansas City, Kansas 66160-7420
Received 15 May 2000/Returned for modification 29 June
2000/Accepted 2 January 2001
 |
ABSTRACT |
Oxidative stress occurs in animals challenged with bacterial
endotoxin and can affect the expression of important host
inflammatory genes. However, much less is known about the effects of
oxidative stress on responses to gram-negative bacteria. The
current study compared the effects of redox imbalance on hepatic
responses of mice to Escherichia coli bacteria versus
purified endotoxic lipopolysaccharide (LPS). Oxidative stress induced
by glutathione depletion virtually eliminated hepatic tumor necrosis
factor alpha responses to both E. coli and LPS. Inducible
NO synthase (iNOS) and intercellular adhesion molecule-1 (ICAM-1)
expression was also markedly inhibited by glutathione depletion in
LPS-challenged mice, but was unaffected in E. coli-infected animals. Three findings suggested that gamma interferon (IFN-
) production explained the differences between LPS
and bacterial challenge. Glutathione depletion completely inhibited the
IFN-
response to LPS, but only partially inhibited IFN-
production in infected mice. Exogenous IFN-
restored iNOS and
ICAM-1 responses to LPS in stressed mice. Conversely,
IFN-
-deficient, glutathione-depleted mice showed a marked decrease
in iNOS and ICAM-1 expression when challenged with E. coli.
These findings indicate that both the nature of the microbial challenge
and the production of IFN-
can be important in determining the
effects of redox imbalance during gram-negative bacterial infections.
 |
INTRODUCTION |
Sepsis is a response to infection
characterized by the production of inflammatory cytokines, such as
tumor necrosis factor alpha (TNF-
), interleukin-1
(IL-1
), and
gamma interferon (IFN-
), and the release of highly reactive oxygen
and nitrogen intermediates. These oxidizing species are thought to
contribute to much of the end-stage tissue damage seen in this disease.
Considerable evidence indicates that oxygen and nitrogen metabolites
can also regulate the expression of genes that are induced by bacterial
components in vitro (7, 16, 20, 35, 38) by causing
oxidative or reductive/oxidative (redox) stress within cells (7,
16, 20, 35). Similarly, Nathens et al. (29) showed
that the depletion of the antioxidant glutathione in vivo
inhibited the expression of intercellular adhesion molecule-1
(ICAM-1) in the lungs of rats challenged with bacterial
lipopolysaccharide (LPS). Significant tissue redox imbalance occurs in
both endotoxemia and gram-negative bacterial infections (32, 36,
43), suggesting that oxidative stress may be an important
regulator of inflammatory mediator production during sepsis. Consistent
with this prediction, Matushak and his colleagues (28, 47)
reported that oxidative stress resulting from hypoxia-reoxygenation of
perfused rat livers inhibited the in vivo production of TNF-
and
IL-1
in response to challenge with live Escherichia coli bacteria.
Glutathione is the most plentiful nonprotein thiol found in most cells
and as such serves as a major scavenger of intracellular oxidants
(19). Both the depletion of total intracellular
glutathione and the oxidation of the glutathione sulfhydryl (GSH) to
form glutathione disulfide significantly alters the redox state of cells. For example, oxidative stress occurs when cells are exposed to
electrophiles, such as diethyl maleate (DEM), that conjugate directly
with GSH and cause the export of the resulting glutathione adduct from
the cell (19). Likewise, buthionine sulfoximine (BSO)
depletes GSH in vitro and in vivo by specifically inhibiting
-glutamylcysteine synthase, a rate-limiting enzyme in GSH
biosynthesis (18). In turn, glutathione redox imbalance
can lead to the expression of a number of "stress-responsive"
genes, including those coding for heat shock proteins
(15).
Animal models in which endotoxic LPS has served as a surrogate for
infection have proven valuable for defining the basic
pathophysiological responses to gram-negative bacteria and the
important inflammatory cells and soluble mediators of sepsis. However,
animal endotoxicosis models have not always predicted the nature of
host inflammatory responses to gram-negative bacterial challenge
(6, 8, 12, 21, 48). For this reason, we have compared the
effects of tissue oxidative stress on the expression of several
inflammatory genes in LPS-challenged and E. coli-infected
mice. The mouse liver was chosen for this purpose because many
important inflammatory mediators, including TNF-
, IFN-
, CD14,
inducible NO synthase (iNOS), and ICAM-1, are expressed by hepatic
cells following either LPS or bacterial challenge. The organ also
suffers substantial damage in sepsis that is mediated, in part, by the
expression of these genes (23, 33, 41). Importantly,
oxidative stress occurs in the liver when mice are given
glutathione-depleting agents (46).
IFN-
is an important mediator of endotoxemia and gram-negative
bacterial sepsis in a number of mammalian species. The cytokine enhances LPS lethality in rodents, and antibody to IFN-
can diminish LPS-induced inflammatory responses and lethality (2, 22, 25,
40). Likewise, the targeted disruption of the genes for either
IFN-
or its receptor subunits has been shown to modify responses to
LPS, including lethality in several rodent models (3, 24,
37). Kamijo et al. (24) showed that IFN-
mediated the ability of Corynebacterium parvum to enhance
LPS-induced cytokine production, iNOS expression, and lethality in
mice. Salkowski et al. (37) used IFN-
-null mice to show
that the sustained induction of mouse hepatic iNOS mRNA by LPS required
IFN-
gene expression. Similar conclusions regarding the importance
of IFN-
have been made with many but not all gram-negative infection
models (13, 26, 27). Kohler et al. (26)
reported that IFN-
enhanced lethality in mice challenged with
E. coli bacteria and that neutralizing antibody to the
cytokine improved survival. Despite these findings, very little is
known about the effects of oxidative stress on the production of
IFN-
by animals challenged with gram-negative bacteria or bacterial LPS.
Because mice that have been injected with LPS or infected with E. coli bacteria show significantly decreased levels of hepatic glutathione as early as 6 h postchallenge (M. J. Parmely, F. Wang, and D. Wright, unpublished data), we have asked to what extent tissue redox imbalance alters hepatic responses to LPS or infection. The present study will show that glutathione depletion inhibits LPS-induced iNOS and ICAM-1 expression in the mouse liver but has no
apparent effect on these responses in E. coli-infected mice. The ability of glutathione-depleted, infected mice to
produce IFN-
appears to prevent many of the inhibitory effects of
oxidative stress on these responses, suggesting that IFN-
-dependent
signaling pathways are utilized during infection that are not activated following LPS challenge. These findings predict that individuals in
redox imbalance, including patients whose glutathione levels are
intentionally manipulated to enhance the action of certain cancer
chemotherapeutic agents (1), have the potential to show substantially altered responses to bacterial challenge.
 |
MATERIALS AND METHODS |
Reagents.
E. coli O111:B4 LPS, DEM, and
BSO were purchased from Sigma Chemical Co. (St. Louis, Mo.).
Recombinant mouse IFN-
was provided by Genentech (South San
Francisco, Calif.). The following antibodies were used in the present
study: rat anti-mouse TNF-
(MP6-XT22; PharMingen, San Diego,
Calif.), rabbit anti-mouse iNOS (SC-650; Santa Cruz Biotechnology,
Santa Cruz, Calif.), goat anti-mouse ICAM-1 (SC-1511; Santa Cruz), rat
anti-mouse macrophage F4/80 (a gift of Joan Hunt, University of Kansas
Medical Center), rat anti-mouse CD14 (rmC5-3; PharMingen), rabbit
anti-rat heat shock protein-32 (HSP-32) (SPA-895; StressGen, Victoria,
BC, Canada), biotinylated goat anti-rabbit immunoglobulin G (IgG;
BioGenex; San Ramon, Calif.), biotinylated rabbit anti-rat IgG (Vector
Laboratories; Burlingame, Calif.), and biotinylated donkey anti-goat
IgG (Santa Cruz).
Bacterial challenge.
E. coli O111:B4 bacteria
were provided by David Morrison (University of Missouri-Kansas City)
and grown overnight in Trypticase soy broth (TSB) at 37°C with
shaking (100 rpm). An aliquot of this culture was then inoculated into
TSB, and the bacteria were grown to a density of approximately 5 × 108 bacteria/ml. The bacteria were then washed with
phosphate-buffered saline (PBS) and injected by the intraperitoneal
(i.p.) route. No antibiotics were given to infected animals. Actual
numbers of CFU were determined for each innoculum by growing serially diluted bacteria on Trypticase soy agar at 37°C overnight.
Mice.
LPS-responsive female mice (8 to 12 weeks old) of the
C57BL/6 and C3HeB/FeJ strains were purchased from Jackson Laboratories (Bar Harbor, Maine), and CF1 strain mice were obtained from Charles River (Wilmington, Mass.). Wild-type BALB/c (IFN-
+/+)
and IFN-
-deficient mice of the BALB/c background
(BALB/c-Ifngtm/Ts) (IFN-
/
)
were obtained from Jackson Laboratories. They were housed in sterilized
cages on autoclaved bedding and provided sterile food and water ad
libitum. All mice were maintained in positive-pressure microisolator
chambers under a 12-h light-12-h dark cycle. Animal care and use
protocols were approved by an institutional review board at the
University of Kansas Medical Center.
Depletion and measurement of tissue glutathione.
Tissue
glutathione was depleted by the i.p. injection of DEM prepared in
sesame oil (5.3 mmol of DEM/kg of body weight) (46). Alternatively, mice were injected i.p. with BSO (5 mmol/kg) in 0.15 M
NaCl (vehicle) 6 h and again 3 h prior to bacterial or LPS
challenge. Total hepatic glutathione concentrations (reduced plus
oxidized) were measured as previously described (46) using the kinetic recycling assay of Tietze (44) and are
expressed here as nanomoles per milligram of protein.
Immunohistology.
Sections (5-µm thick) of
paraformaldehyde-fixed liver tissues were prepared, and
immunohistochemical staining was performed by the indirect
peroxidase-conjugated streptavidin procedure as previously described
(46). Following deparaffinization and rehydration, the
sections were incubated for 15 min with a blocking solution consisting
of PBS containing 0.5% IgG- and protease-free bovine serum albumin
(Jackson ImmunoResearch Laboratories, West Grove, Pa.), 0.5% coldwater
fish skin gelatin (Sigma Chemical Co.), and either 5% normal goat
serum (for iNOS and HSP-32 staining), 5% normal rabbit serum (for
TNF-
, CD14, and F4/80 staining), or 5% normal donkey serum (for
ICAM-1 staining). Then an additional avidin-biotin blocking reagent
(Vector Laboratories) was applied according to the manufacturer's
instructions. The sections were incubated for 2 h with the primary
antibodies, washed in PBS, and incubated for 30 min with biotinylated
forms of either goat anti- rabbit IgG, rabbit anti-rat IgG, or donkey
anti-goat IgG. After washing in PBS, the sections were treated for 15 min with 1% H2O2 (Sigma Chemical) in methanol
to inactivate endogenous tissue peroxidases. The bound secondary
antibodies were then detected with a peroxidase-streptavidin conjugate
(BioGenex), and reaction sites were visualized using diaminobenzidine
(DAB kit; Vector Laboratories). The sections were counterstained with
Gill II hematoxylin (Shandon, Pittsburgh, Pa.).
Controls included liver sections from infected or LPS-stimulated mice
incubated with normal rat, rabbit, or goat IgG instead of the
corresponding primary antibodies. In addition, preabsorbing the TNF-
and iNOS antibodies for 60 min with a 10-fold molar excess of
recombinant mouse TNF-
(Genentech, South San Francisco, Calif.) or
iNOS peptide (Santa Cruz), respectively, eliminated all reactivity. The
iNOS antibody also failed to react with liver tissue from
LPS-stimulated iNOS-null mutant mice
(NOS2tm/Lau; Jackson Laboratories).
All slides were read independently by two observers, and the densities
of positive cells were determined by microscopic examination
of at
least five high-power fields (HPF) (magnification, ×400;
HPF = 0.11 mm
2) per tissue section. The staining of hepatic
sinusoidal endothelial
cells was scored in a semiquantitative fashion,
with 0, 1, 2,
and 3 corresponding to negative, faint, moderate, and
strong staining,
respectively. The identity of Kupffer cells was
established in
serial sections by F4/80 staining. Intrasinusoidal
leukocytes
were identified by staining for

-naphthol-ASD-chloroacetate esterase
and their absence of F4/80
staining. Sinusoidal endothelial cells
were F4/80-negative,
esterase-negative cells apposing the sinusoidal
spaces.
Measurement of serum TNF-
and IFN-
.
Serum TNF levels
were measured by the L929 cell bioassay as previously described
(34). Serum IFN-
concentrations were measured by
enzyme-linked immunosorbent assay (ELISA) (Pharmingen). Because the
samples were first diluted, the detection limits vary with the assay
and are specified in each case.
Statistical analysis.
Each experiment was performed at least
twice, and representative results are shown. Student's two-tailed
t test was used to determine statistical significance
(P < 0.01). Serum cytokine concentrations that were
undetectable were assigned the value of the detection limit of the
assay for the purposes of calculating group means.
 |
RESULTS |
Glutathione depletion and oxidative stress responses in the
mouse liver.
A single i.p. injection of DEM (5.3 mmol/kg)
depleted hepatic glutathione levels in CF1 mice by greater than
90%, a condition which persisted for several hours (Fig.
1A). This effect was accompanied by the
elevated expression of HSP-32, an oxidative stress-responsive gene, by
liver Kupffer cells, hepatocytes, and hepatic sinusoidal endothelial
cells (Fig. 1B and 2A).
Similarly, injecting mice twice with BSO (5 mmol/kg) significantly
decreased the glutathione levels in their livers and induced a
comparable pattern of HSP-32 expression (Fig. 1C). Thus, the treatment
of mice with DEM or BSO caused significant redox imbalance in their
livers.

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FIG. 1.
DEM and BSO cause oxidative stress in the livers
of C3HeB/FeJ mice. (A) Time course of glutathione depletion in
the mouse liver following an i.p. injection of DEM (5.3 mmol/kg). The
glutathione levels at 2 and 5 h differed significantly from those
of the vehicle controls (P < 0.01). (B) The expression
of HSP-32 in the liver following DEM treatment as determined by
immunohistology. Shown here are the frequencies of HSP-32-positive
Kupffer cells and hepatocytes per HPF (magnification, X400) and
the relative intensity of HSP-32 staining in sinusoidal
endothelial cells. (C) Glutathione depletion and HSP-32 expression in
the livers of mice injected twice with BSO (5 mmol/kg) or saline.
Control and BSO-treated groups differed significantly in each case
(P < 0.01). These experiments were repeated with
similar results, and the effects were also seen in CF1 mice.
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FIG. 2.
Glutathione depletion differentially inhibits
hepatic inflammatory responses in mice challenged with 5 × 107 E. coli bacteria. All injections were
by the i.p. route. Immunohistology was used to detect the expression of
specific proteins in the livers of the following groups of mice. (A)
HSP-32 staining in mice 5 h after the injection of DEM (see Fig.
1A). Note the expression of HSP-32 by Kupffer cells (solid arrow),
hepatocytes (open arrow) and hepatic sinusoidal endothelial cells
(arrowhead). (B) TNF- staining in Kupffer cells (solid arrow)
1.5 h after vehicle-treated mice were challenged with
E. coli bacteria. (C) TNF- staining 1.5 h after
DEM-treated mice were challenged with E. coli. Note the
absence of TNF- expression. (D) iNOS staining of Kupffer cells
(solid arrow), hepatocytes (open arrow), and hepatic sinusoidal
endothelial cells (arrowhead) 6 h after challenging
vehicle-treated mice with E. coli. (E) iNOS staining in
DEM-treated mice challenged with E. coli. (F) ICAM-1
staining of Kupffer cells (solid arrow) and endothelial cells
(arrowhead) 6 h after challenge of the vehicle control group with
E. coli. (G) ICAM-1 staining in DEM-treated,
E. coli-challenged mice. (H) iNOS staining in
DEM-treated mice that were challenged with 4 mg of LPS/kg of body
weight showing positive Kupffer cells (solid arrow) and sinusoidal
endothelial cells (arrowhead). (I) iNOS staining in DEM-treated mice
that were challenged with 4 mg LPS plus 80 µg of recombinant IFN-
per kg of body weight. Note the staining of all three hepatic cell
types, which is similar to that seen in infected mice (panel E above).
(J) ICAM-1 staining in DEM-treated mice that were challenged with LPS.
(K) ICAM-1 staining in DEM-treated mice challenged with LPS and
recombinant IFN- . The intense staining is similar that seen in
infected mice (panel G above). (L) ICAM-1 staining of Kupffer cells
(solid arrow) and endothelial cells (arrowhead) in wild-type BALB/c
mice infected with E. coli. (M) ICAM-1 staining in
wild-type BALB/c mice treated with DEM and then infected with
E. coli. Note the similar staining pattern as in panel
L. (N) ICAM-1 staining in IFN- -null mice treated with DEM and
challenged with E. coli. Note the presence of
sinusoidal leukocytes expressing ICAM-1 (circled). (O) F4/80 staining
of Kupffer cells (solid arrow) in IFN- -null mice treated with DEM
and challenged with E. coli. Sinusoidal leukocytes
(circled) are negative. Original magnification, ×250.
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Effects of glutathione depletion on host responses to
live E. coli bacteria.
To determine the
effects of oxidative stress on hepatic inflammatory responses to
E. coli, groups of mice were treated with either vehicle
(sesame oil) or DEM and challenged i.p. with 4 × 107
to 5 × 107 CFU of E. coli O111:B4 bacteria
2 h later. This dose represents 3 to 4 50% lethal doses for this
bacterial strain when injected by the i.p. route. Sera were collected
90 min later, and circulating TNF-
concentrations were measured.
While mice that had been treated with vehicle and challenged with
bacteria showed high circulating levels of TNF-
, DEM treatment
almost completely blocked this response to bacterial challenge (Fig.
3A). This inhibitory effect was due to a
marked decrease in TNF-
synthesis, as determined by enumerating
TNF-
-producing Kupffer cells in the liver by immunohistology (Fig.
2B and C).

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FIG. 3.
DEM inhibits the serum TNF- response to bacterial or
LPS challenge. Groups of C3HeB/FeJ mice (per group) were treated with
either vehicle or DEM and then challenged i.p. 2 h later with
either 5 × 107 viable E. coli
bacteria (A) or 100 µg of E. coli LPS (B). Blood was
collected 1.5 h later, and serum TNF- was determined by
bioassay, which had a detection limit of 50 U/ml. Horizontal lines
represent group means. In both panels A and B, the DEM-treated and
control groups differed significantly (P < 0.01).
Comparable results were obtained with CF1 mice.
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The effects of glutathione depletion on macrophage activation in the
liver were selective in the sense that
E. coli-induced
Kupffer cell iNOS expression was unaffected by DEM treatment (Fig.
2D
and E). Hepatocytes and sinusoidal endothelial cells also expressed
iNOS 6 h after an i.p. challenge with
E. coli, but
neither of
these responses was affected by DEM treatment. Similarly,
the
induction of ICAM-1 expression by endothelial cells and Kupffer
cells was comparable in the vehicle and DEM-treated groups (Fig.
2F and
G). Thus, unlike the TNF-

response in the liver, hepatic
iNOS and
ICAM-1 responses to bacterial infection were unaffected
by glutathione
depletion. Importantly, depleting hepatic glutathione
with BSO produced
an identical pattern of responses to
E. coli challenge
(Table
1).
Responses to E. coli bacteria versus purified
E. coli LPS.
The effects of DEM on the TNF-
,
iNOS, ICAM-1, and CD14 responses to E. coli O111:B4
bacteria were then compared to its effects on responses to chemically
purified LPS of the same E. coli serotype. For this
purpose, mice were injected i.p. with 100 µg of LPS, a dose which
elicited inflammatory responses comparable to those elicited by live
bacterial challenge. The semiquantitative data that are summarized in
Fig. 4 were derived from immunohistology experiments of the type shown in Fig. 2, in which the densities or
staining intensities of positive cells were recorded. It is clear from
this analysis that Kupffer cell TNF-
responses to both E. coli and LPS challenge were significantly inhibited by DEM
treatment, and this effect was confirmed when serum TNF-
responses
to bacterial and LPS challenge were measured (Fig. 3A and B). Although
all other responses to E. coli challenge were unaffected by DEM treatment (Fig. 4, left panels), the effects of
glutathione depletion on hepatic responses to LPS were entirely different. Kupffer cell ICAM-1, hepatocyte, and endothelial cell iNOS
and endothelial cell ICAM-1 responses to LPS were all markedly inhibited by DEM (Fig. 4, right panels). Thus, the ability of redox
imbalance to regulate hepatic inflammatory responses to live
gram-negative bacteria was fundamentally different from its effects on
the same responses to LPS.

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FIG. 4.
Comparison of the effects of glutathione depletion on
hepatic inflammatory responses to E. coli bacteria and
LPS. C3HeB/FeJ mice (six per group) were treated with vehicle or DEM
and then challenged i.p. with either 5 × 107 CFU of
E. coli bacteria or 100 µg of E. coli
LPS. Liver tissues were recovered either 1.5 h (for TNF- ) or
6 h (for iNOS, CD14 or ICAM-1) later. Kupffer cell (KC) and
hepatocyte (Hep) responses are expressed as positive cells per HPF
(magnification, ×400) (mean ± standard deviation), whereas
sinusoidal endothelial cell (EC) responses are expressed as relative
staining intensity. Comparable results were obtained with CF1 mice.
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IFN-
prevents the inhibitory effects of glutathione depletion in
the liver.
We next asked whether the production of IFN-
was
inhibited by glutathione depletion and whether the ability of the
different groups of mice to produce IFN-
might explain the findings
described above. Control and DEM-treated CF1 mice were challenged with
either LPS or live bacteria, and 6 h later their sera were collected for the measurement of IFN-
. LPS and E. coli
organisms stimulated comparable IFN-
responses (Fig.
5). Of interest, DEM-treated mice did not
produce detectable IFN-
when challenged with LPS. However, when
challenged with bacteria, the serum IFN-
levels of DEM-treated
mice, although decreased, were substantial (i.e., at least eight times
those of unchallenged mice). This effect was also seen in mice of the
C57BL/6 and BALB/c strains and indicates that infected animals
maintained the ability to produce significant quantities of IFN-
despite glutathione depletion.

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FIG. 5.
Effects of DEM on IFN- production in response to LPS
or E. coli bacteria. CF1 mice (six per group) were
treated with vehicle or DEM for 2 h and then challenged i.p. with
either 100 µg of E. coli LPS or 5 × 107 CFU of E. coli bacteria. Serum was
collected 6 h later, and IFN- concentrations were measured by
ELISA. The dashed line represents the detection limit of this
particular assay (50 pg/ml). Solid lines represent group means. Groups
designated by different lowercase letters are significantly different
from each other (P < 0.01). This experiment was
performed a total of five times in CF1, C57BL/6, and BALB/c mice with
similar results.
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To ascertain whether IFN-

produced in response to infection provided
an alternative signal for iNOS and ICAM-1 expression
in DEM-treated
mice that was not induced by LPS, animals were
challenged with either
100 µg of LPS or LPS plus 2 µg of mouse
recombinant IFN-

. This
dose of IFN-

by itself did not stimulate
iNOS or ICAM-1 expression,
but has been shown by others to alter
inflammatory responses to LPS
(
22,
25,
26). Six hours after
challenge, liver samples
were obtained, and hepatic iNOS and ICAM-1
responses were measured. The
results, shown in Fig.
2H to K and
summarized in Table
2, indicate that exogenous IFN-

significantly
altered host responses in the livers of
glutathione-depleted,
LPS-challenged mice. While the TNF-

response
was not restored
by IFN-

, hepatic iNOS and ICAM-1 expression was
significantly
enhanced when IFN-

was coinjected with LPS. Thus, the
combination
of LPS and IFN-

induced the same responses in
DEM-treated mice
(i.e., hepatocyte iNOS [Fig.
2I] and Kupffer cell
and endothelial
cell ICAM-1 [Fig.
2K]) that were seen after
E. coli challenge.
Recombinant IFN-

did not increase
the frequency of iNOS-positive
Kupffer cells in DEM-treated,
LPS-stimulated mice (Table
2),
indicating that the cytokine did not
simply prime cells for all
LPS-induced responses. Because the frequency
of F4/80-positive
Kupffer cells was equivalent in the two treatment
groups, it is
also unlikely that IFN-

increased Kupffer cell ICAM-1
expression
by recruiting mononuclear phagocytes to the liver. Rather,
the
results indicate that exogenous IFN-

converted several
stress-sensitive,
LPS-induced responses to stress-resistant responses
that mimicked
what was seen in infected animals.
To determine whether IFN-

mediated these inflammatory responses to
E. coli challenge in glutathione-depleted mice,
wild-type
BALB/c (IFN-
+/+) and homozygous
IFN-

-null (IFN-

/
) mutant mice were treated
with either vehicle or DEM and then
challenged with
E. coli bacteria. Glutathione-depleted wild-type
mice retained the
ability to express both hepatic ICAM-1 and iNOS
when challenged with
bacteria (Fig.
2L and M and Table
3),
despite
a significant decrease in their IFN-

responses. In contrast,
IFN-

-null mice that had been treated with DEM showed markedly
reduced hepatic iNOS and ICAM-1 expression (i.e., hepatocyte iNOS,
Kupffer cell ICAM-1, and sinusoidal endothelial cell iNOS and
ICAM-1)
(Fig.
2N and Table
3). This was also seen in IFN-

-deficient
mice
that had been treated with vehicle and then challenged with
bacteria.
Therefore, the production of IFN-

was essential for
these responses
in infected animals. Numerous ICAM-1-positive
leukocytes were present
within the hepatic sinusoids of IFN-

-null
mice 6 h after
infection (Fig.
2N), but these intrasinusoidal
leukocytes did not
express the F4/80 monocyte-macrophage marker
(Fig.
2O).
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TABLE 3.
Role of IFN- in regulating E. coli-induced hepatic inflammatory mediator expression in
DEM-treated micea
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 |
DISCUSSION |
Previously we reported that hepatic TNF-
and iNOS responses to
Salmonella enteritidis LPS were selectively inhibited in
C3HeB/FeJ mice by glutathione depletion (46). The present
study sought to extend these findings to mice with gram-negative
bacterial infections and has yielded a number of unexpected findings
regarding the effects of tissue redox imbalance. We selected a
monomicrobial gram-negative infection model to enable a direct
comparison between bacterial infection and challenge with LPS purified
from the same species and serotype (i.e., E. coli
O111:B4). Although the magnitude and cell type-specific expression of
several different inflammatory mediators were comparable in
LPS-challenged and E. coli-infected mice (Fig. 3, 4,
and 5), the effects of oxidative stress on responses to these two
microbial stimuli were fundamentally different. Glutathione depletion
significantly inhibited hepatic TNF-
, iNOS, and ICAM-1 responses to
LPS and eliminated IFN-
production. By contrast, only one of these
responses (TNF-
production) was inhibited to a similar extent in
mice that were challenged with live E. coli bacteria.
The fact that DEM and BSO treatment produced essentially identical
inhibitory effects supports the conclusion that glutathione depletion
per se was responsible for these changes. Because hepatocytes, Kupffer
cells, and sinusoidal endothelial cells each expressed HSP-32 following
DEM and BSO treatment and showed specific changes in their responses to
LPS challenge, it is likely that glutathione depletion directly
affected each of these cell types.
We cannot presently exclude the possibility that the differences
between the effects of oxidative stress on host responses to LPS versus
live bacteria resulted from differences in the tissue distribution,
physical-chemical composition, and/or dose of endotoxic LPS delivered
under these two conditions of microbial challenge. Indeed, Ge et al.
(17) have reported that LPS localizes to different hepatic
cell types in rats injected with chemically purified LPS versus
animals infected with live E. coli bacteria. We have
recently reproduced these findings in C3H mice (M. J. Parmely and
F. Wang, unpublished data). In LPS-challenged animals, immunoreactive
LPS was found in both hepatocytes and Kupffer cells, whereas antigenic LPS was not detected in hepatocytes following E. coli
challenge. Kupffer cells accumulated LPS under both conditions. In the
present study, LPS-induced but not E. coli-induced
Kupffer cell ICAM-1 expression was inhibited by oxidative
stress. Thus, glutathione depletion had remarkably different effects on
the Kupffer cell ICAM-1 responses to LPS and E. coli,
despite similar LPS localization to this cell type following these two
forms of microbial challenge.
Responsiveness to LPS is not necessary for the induction of many host
responses to viable E. coli bacteria
(5,14), indicating that non-LPS bacterial components
(e.g., bacterial DNA) also activate inflammatory mediator expression in
infected animals. If these responses are ultimately shown to arise from
novel signaling pathways that are activated in infected but not
endotoxemic mice, the present study will have established that at least
some LPS-independent pathways are relatively resistant to changes in
cellular redox state.
The expression of ICAM-1 and iNOS in the rodent liver is induced by
endotoxin (10, 37, 45) and ischemia-reperfusion (4), and TNF-
appears to provide an important
proximal signal for the induction of these genes (4, 11,
37). For this reason, we were not surprised that LPS-induced
hepatic ICAM-1 and iNOS expression declined in parallel with the loss
of TNF-
production in glutathione-depleted, LPS-challenged
mice. However, the hepatic ICAM-1 and iNOS responses to
E. coli were undiminished by DEM or BSO treatment,
despite a comparable inhibition of TNF-
production in infected
animals. These findings strongly suggest that ICAM-1 and iNOS
induction during gram-negative bacterial infections is not
entirely dependent upon TNF-
production and that alternative
signaling pathways exist for eliciting these responses.
A number of findings reported here suggest that the production of
IFN-
is important in determining the ultimate effects of redox
imbalance on hepatic inflammatory responses to gram-negative bacteria
in the mouse. Whereas serum IFN-
was undetectable in glutathione-depleted mice that had been challenged with LPS, DEM treatment failed to completely block IFN-
responses to bacterial challenge. When IFN-
was coadministered with LPS to DEM-treated animals, their hepatic inflammatory responses were indistinguishable from those of glutathione-depleted, E. coli-infected
mice. In other words, hepatic iNOS and ICAM-1 responses to LPS were
completely restored by cochallenge with exogenous IFN-
. Conversely,
the ability of glutathione-depleted mice to produce IFN-
was
essential for hepatic iNOS and ICAM-1 responses to E. coli challenge, because the responses were absent from DEM-treated
IFN-
-null mice. The finding that infected IFN-
-deficient mice
with normal hepatic glutathione also failed to express iNOS or ICAM-1
strongly suggests that DEM acts by inhibiting IFN-
production rather
than its action. Overall, these results indicate that IFN-
is an
important signal for the induction of hepatic iNOS and ICAM-1 responses
to gram-negative bacterial infection during oxidative stress.
Conversely, the lack of iNOS and ICAM-1 responses in
glutathione-depleted, LPS-challenged mice appears to result from their
failure to produce this cytokine.
The production of IFN-
in mice challenged with LPS is mediated
almost entirely by activated NK-1+ natural killer cells and
NK T cells (9, 30, 31, 39, 42). Non-LPS microbial
components often induce more complex patterns of cell activation and
IFN-
production (9, 30, 39). For example, Nguyen and
Biron (30) showed that C57BL/6 mice infected with
lymphocytic choriomeningitis virus produced greatly elevated levels of
circulating IFN-
when challenged with LPS compared to uninfected,
LPS-challenged mice. Mice challenged only with virus produced very
little IFN-
. The heightened response to cochallenge was due to the
production of IFN-
by CD4+ and CD8+ T cells
in addition to NK cells. Likewise, Seki et al. (39) have
reported that polymicrobial peritonitis in BALB/c and C57BL/6 mice
resulting from cecal ligation and puncture activated large numbers of
IFN-
-producing cells in the liver. Approximately 20% of these cells
lacked the NK-1 marker. These reports raise the interesting possibility
that undefined components of gram-negative bacteria induce novel
IFN-
responses by cells not activated in LPS-challenged animals. The
present study would predict that this latter portion of the IFN-
response to infection is not inhibited by tissue redox imbalance and
mediates important host responses to infection.
 |
ACKNOWLEDGMENTS |
Financial support for this work was provided by the American
Heart Association (grants KS-97-GS-62 and 51345Z) and the Margaret Jane
Harley Fund.
We thank David Morrison for providing E. coli strain
O111:B4 bacteria and Fred Samson for reviewing the manuscript.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Department of
Microbiology, Molecular Genetics and Immunology, University of Kansas Medical Center, 3901 Rainbow Blvd., Kansas City, KS 66106-7420. Phone:
(913) 588-7053. Fax: (913) 588-7295. E-mail:
mparmely{at}kumc.edu.
Editor:
J. T. Barbieri
 |
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Infection and Immunity, April 2001, p. 2621-2629, Vol. 69, No. 4
0019-9567/01/$04.00+0 DOI: 10.1128/IAI.69.4.2621-2629.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
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