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Infection and Immunity, June 2002, p. 2763-2771, Vol. 70, No. 6
0019-9567/02/$04.00+0 DOI: 10.1128/IAI.70.6.2763-2771.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
Departament de Ciència Animal i dels Aliments,1 Departament de Farmacologia, Terapèutica i Toxicologia, Facultat de Veterinària, Universitat Autònoma de Barcelona, Barcelona, Spain,2 UPR 41 CNRS, Recombinaisons Génétiques, Faculté de Médecine, 35043 Rennes Cédex, France3
Received 2 August 2001/ Returned for modification 15 November 2001/ Accepted 28 January 2002
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The Slc11a1 protein is composed of 12 putative transmembrane (TM) domains, an extracellular glycosylated loop, and a transport motif conserved among other transporter proteins in both eukaryotic and prokaryotic organisms (52, 21). A nonconservative amino acid substitution (G169A) in the TM4 domain has been associated with a susceptible phenotype in mice (52, 31). Within macrophages, Slc11a1 has been located in late endocytic compartments and is acquired by the phagosomal membrane after phagocytosis (22). The protein drives divalent metals out of the phagosome, controlling the replication of intracellular pathogens by altering the intravacuolar environment (18). This behavior could also provide an explanation for the observed pleiotropic effects on macrophage function that have been attributed to the Slc11a1 gene, suggesting a role in infectious and autoimmune disease susceptibility (5).
Slc11a1 has attracted a great deal of interest and has been characterized in different species in a search for polymorphisms involved in disease susceptibility. For instance, a functional repeat polymorphism in the promoter region of the human Slc11a1 gene was found to drive gene expression, conferring protection against or susceptibility to juvenile rheumatoid arthritis (42) or multiple sclerosis (25). Moreover, a single base change in intron 4 (14) and a 4-bp deletion in the 3' untranslated region (UTR) (40) were significantly associated with tuberculosis in humans. Recently, a microsatellite in the 3' UTR also was demonstrated to affect the expression of the bovine Slc11a1 gene and to control the in vitro replication of Brucella abortus (3). Finally, an amino acid substitution (G696A) in chicken Slc11a1 was found only in chicken cell lines susceptible to Salmonella enterica serovar Typhimurium (24).
In southern European countries, leishmaniasis is an endemic and zoonotic disease caused by the protozoan parasite Leishmania infantum. This parasitic infection in this area is important not only to veterinary medicine, because dogs are considered the main reservoir (4), but also because of its zoonotic aspects. Human leishmaniasis, which traditionally affected young children and infants, is now a common complicating factor in adults infected with human immunodeficiency virus or receiving immunosuppressive drugs (2, 15).
In dogs, leishmaniasis is a systemic disease with a variety of clinical signs, including nonpruritic skin lesions (such as exfoliative dermatitis and ulcerations), local or generalized lymphadenopathy, loss of weight, poor appetite, ocular lesions, epistaxis, lameness, renal failure, and diarrhea (45). In this parasitic process, infection is not synonymous with disease. The prevalence of Leishmania infection (65%) in an area of endemicity is higher than the seroprevalence (20%) and the prevalence of disease (10%) (11, 47). The immune response in dogs is humoral and cellular, resulting in a wide array of responses: the cellular immune response is protective against L. infantum, whereas a strong humoral immune response correlates with disease susceptibility (11, 35, 46).
Based on in vitro and in vivo studies, it is widely accepted that macrophages, where Slc11a1 is expressed, play a central role in the control of the parasite (1, 48). Moreover, as previously described for L. donovani infection, the early outcome of L. infantum infection in mice is under the control of the Slc11a1 gene (28). All of these issues suggest that Slc11a1 is a strong candidate gene for natural resistance or susceptibility to Leishmania infection in dogs. We have addressed this issue by mapping and sequencing the canine Slc11a1 gene and analyzing sequence variants that could be associated with disease susceptibility in four dogs experimentally infected with L. infantum. A microsatellite located in intron 1 of the gene was used in a case-control study to provide evidence of the association with Leishmania infection in dogs.
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The case-control study was performed with 33 healthy dogs of different breeds that showed a Leishmania-specific cellular immune response by means of positive delayed-type hypersensitivity (DTH) to leishmanin (resistant dogs) and 84 dogs of different breeds with patent leishmaniasis diagnosed by a positive Leishmania-specific PCR result for bone marrow samples (39) collected from veterinary clinics (susceptible dogs).
Sequence variant analysis was done with samples from four beagles experimentally infected with L. infantum. These dogs were inoculated intravenously with 5 x 107 promastigotes of L. infantum (MCAN/ES/92/BCN-83/MON-1) diluted in 0.5 ml of saline solution and were kept in the Animalarium at the Facultat de Veterinària, Universitat Autònoma de Barcelona. They were monitored for 5 years, during which time clinical, hematological, biochemical, serological, and parasitological control analyses were performed under the auspices of the Universitat Autònoma de Barcelona animal care committee. Once infection was confirmed and serologic results were positive, dogs were treated when protein and gamma globulin concentrations reached abnormally high values (>7 g/dl). All dogs were subjected to treatment with meglumine antimoniate (20 mg of Sb5+/kg of body weight every 12 h for 20 days) (38, 50) and to a second treatment with liposome-encapsulated meglumine antimoniate (9.8 mg of Sb5+/kg every 24 h for 20 days) (51). One dog was treated again with liposome-encapsulated meglumine antimoniate and allopurinol (10 mg every 12 h for 8 months).
Specific L. infantum humoral and cellular immune responses.
Specific L. infantum humoral and cellular immune responses were assessed as described elsewhere (17) 5 years after experimental infection. Briefly, the humoral response was analyzed by an enzyme-linked immunosorbent assay for detecting specific anti-Leishmania immunoglobulin G1 (IgG1) and IgG2 antibodies. The cellular response was analyzed by determining DTH to leishmanin, by a lymphocyte proliferation assay (LPA), and by determining in vitro gamma interferon (IFN-
) production. The LPA and the determination of IFN-
production were carried out after incubation of samples with phytohemagglutinin (PHA) or leishmanial soluble antigen (LSA).
Sequencing and mapping of the canine Slc11a1 gene. Genomic DNA was isolated from peripheral blood as described elsewhere (41). The canine Slc11a1 gene was PCR amplified from different overlapping fragments corresponding to the promoter (promoter 1), exon 2 to exon 7 (E2-E7), exon 7 to exon 10 (E7-E10), exon 9 to exon 11 (E9-E11), and exon 10 to the 3' UTR (E10-E15). Mammalian orthologous gene-specific PCR primers are shown in Table 1. PCR conditions and thermocycling profiles are shown in Table 2. Amplification of the 3' UTR from cDNA was accomplished with an internal primer from the oligo(dT) used in the reverse transcription (RT) reaction (see below). PCR products of the expected sizes were isolated from agarose gels by using a QIAquick gel extraction kit (Qiagen) and were cloned into the PCR 2.1-TOPO vector (TOPO TA cloning kit; Invitrogen). Two independent clones of each fragment were sequenced by using the dideoxy method (BigDye terminator cycle sequencing ready reaction kit, version 2.0; Applied Biosystems) with fluorescent terminators and an automated DNA sequencer (ABI-PRISM; Applied Biosystems).
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TABLE 1. Mammalian orthologous and dog-specific primers designed to amplify the canine Slc11a1 gene and cDNA
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TABLE 2. PCR conditions and thermocycling profiles used for canine Slc11a1 sequencing and polymorphism analysis
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), where
is the breakage frequency, are expressed in centiRays 5000 (cR5000), where 5000 is the radiation dose used to generate the RH panel. In this panel, the correspondence between cR5000 and a physical distance has been estimated to be 1 cR5000 for 166 kb. A multipoint analysis was carried out to order the markers belonging to the group in a comprehensive manner, and the intermarker distances were calculated. Sequence variant analysis. Different tissues were used for RNA isolation. Blood and spleen or liver were extracted postmortem and stored at -80°C until RNA isolation. Peripheral blood mononuclear cells were isolated from heparinized venous blood samples by standard Ficoll-Hypaque (Histopaque 1.077; Sigma, St. Louis, Mo.) density gradient centrifugation as described elsewhere (7). Total RNA was isolated by using Trizol reagent (GibcoBRL-Life Technologies) as specified by the manufacturer. RT-PCR was carried out with a 20-µl final reaction mixture containing 1 µg of total RNA, 1 mM each deoxynucleoside triphosphate, 2 µM oligo(dT) primer, and 200 U of Moloney murine leukemia virus RT (Amersham Life Science). cDNA amplification was accomplished with two overlapping fragments: exon 2 to exon 9 (E2-E9) and exon 7 to exon 15 (E7-E15). PCR conditions and thermocycling profiles are shown in Table 2. PCR products were isolated, cloned, and sequenced as described above.
A seminested PCR was used to amplify the promoter region (promoter 2). A 1-µl sample of the first PCR product (NRPROMD-Fand NRPROM3-R) was used as a template to perform the second PCR (NRPROMD-F and NRPROM2-R). PCR products were isolated, cloned, and sequenced as described above.
The microsatellite located in intron 1 was amplified by using dog-specific primers NRMICRI1-F (fluorescence labeled) and NRMICRI1-R. PCR conditions and thermocycling profiles are shown in Table 2. PCR products were analyzed by capillary electrophoresis with an ABI 3100 genetic analyzer (Applied Biosystems), and labeled PCR products were automatically sized relative to the internal standard (PRISM GeneScan-350 TAMRA; Applied Biosystems) with GeneScan analysis software, version 3.5 (Applied Biosystems). Intron 10 amplification was performed as shown in Table 2 by using a GC-rich PCR amplification system (Roche) and a 50-µl final reaction mixture containing 0.5 M GC-rich resolution solution and 2 U of a Taq and Tgo DNA polymerase mix, under the manufacturers conditions.
Computation and statistical analysis. Allele frequencies of the intron 1 microsatellite of the canine Slc11a1 gene were analyzed by using a two-by-two chi-square test with 1 df.
A neighbor-joining relationship tree for mammalian Slc11 cDNA sequences, both Slc11a1 and Slc11a2, was created with the assumption that distance is equal to the number of nucleotide differences and with a bootstrap value of 1,000 by using MEGA software, version 2.0 (26).
Nucleotide sequence accession number. The canine Slc11a1 gene characterized has been deposited under GenBank accession number AF091049.
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FIG. 1. Genomic structure of the canine Slc11a1 gene. nt, nucleotides.
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FIG. 2. Neighbor-joining relationship tree of mammalian Slc11 cDNA sequences. The distance indicates the number of nucleotide differences. Numbers on the nodes are percent bootstrap values from 1,000 replications, and a scale bar for branch lengths is shown.
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binding sites (CWKKANNY), two potential IFN-
/ß binding sites (AARKGA), one potential granulocyte-macrophage colony-stimulating factor binding site (CATTW), three SP-1 binding motifs (GGGCG), a potential binding site for the transforming growth factor ß-inducible NF-1 transcription factor (YGGMN5-6GCCAA), and a potential binding site for bacterial lipopolysaccharide (LPS) (NF-IL-6; TKNNGNAAK).
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FIG. 3. Sequence analysis. (A) Promoter and 5' UTR of the canine Slc11a1 gene from nucleotide 1 to the translational start codon (position 689). Putative binding sites for transcription factors are indicated with a line above (sense strand) or below (antisense strand) the consensus sequence. (B) G-rich polymorphism of the promoter regions from beagles and a Rottweiler. GM-CSF, granulocyte-macrophage colony-stimulating factor.
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FIG. 4. Slc11a1 mapped to canine RH syntenic group 11.
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FIG. 5. Allelic frequencies of the intron 1 microsatellite. x axis, basepairs of alleles; y axis, allelic frequency.
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TABLE 3. Assessment of resistance or susceptibility to infection by a range of immunological testsa
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FIG. 6. mRNA alternative splicing in dog S1. (a) PCR amplification from exon 9 to the 3' UTR of cDNAs from the four beagles experimentally infected with L. infantum. R1 and R2 are resistant dogs, and S1 and S2 are susceptible dogs. (b) PCR amplification of the same region of dog S1 from three different RNA extractions. Two independent RT-PCRs of each RNA extraction are shown (lanes 1 and 2). Lane M1, X174 HaeIII; M2, 1-kb ladder.
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FIG. 7. Multiple alignment of the Slc11a1 proteins from the Rottweiler (ROTW.) and the four beagles experimentally infected with L. infantum. For dog S1, the normal allele is shown. TM domains are indicated by thin overlining, and the consensus transport motif of the protein is indicated by thick overlining. Potential N-glycosylation sites are boxed, and potential phosphorylation sites for protein kinase C are indicated by double overlining. Exons are separated by vertical lines.
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We also analyzed the polymorphism of the (TAAA)9-11 microsatellite located in intron 1. Both susceptible animals were homozygous (allele 141), and dogs R1 and R2 were heterozygous (alleles 137/141 and 141/145, respectively).
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In mice, the early outcome of L. infantum infection is under the control of the Slc11a1 gene, which regulates the intraphagosomal replication of parasites inside the macrophage (28). In addition, Slc11a1 regulates macrophage activation and has multiple pleiotropic effects involved in antigen processing and presentation (27). Slc11a1 has a relevant function in the modulation of the subsequent immune response that could be predominantly cellular or humoral and that is of great importance in resistance or susceptibility to leishmaniasis (11, 35, 46). To the best of our knowledge, there are no reports describing the genetic factors that could influence Leishmania infection in dogs. However, the high degree of conservation of amino acids and structural motifs between the dog and mouse Slc11a1 proteins suggests that they may have a similar role in the progression of the disease. As observed in humans (10), one should not expect an absolute association between Slc11a1 and Leishmania infection, as in the mouse model, but a significant association between canine Slc11a1 polymorphism and a susceptible phenotype in dogs.
In order to analyze the association between the canine Slc11a1 gene and leishmaniasis, we performed a case-control study with resistant and susceptible dogs. Significant differences were observed for allele 145 of the intron 1 microsatellite between the two populations. These results suggest an association between Slc11a1 and leishmaniasis, indicating a role of this gene in disease susceptibility. Sequence variants analyzed in four beagles experimentally infected with L. infantum could be associated with possible functional mutations related to their susceptible or protective immune responses. One of the susceptible beagles (S1) had a complete deletion of exon 11 in one of the Slc11a1 alleles which resulted in the elimination of TM8 and the consensus transport motif of the protein. Since no mutation was observed at the genomic level, including the GT-AG donor-acceptor intron 10 splicing sites, we suggest that the deletion of exon 11 could be caused by alternative mRNA splicing. Intron 10 has complementary terminal repeats (5'-GGGGCCCCCG-3') which are canine specific and which could confer a complex secondary structure resulting in alternative mRNA splicing. Alternative splicing has been described for the human Slc11a1 and Slc11a2 genes, but in no case was the region of the consensus transport motif of the protein included (29, 30). The loss of the consensus transport motif caused by this deletion could produce a lack of function of the mutated protein, resulting in a higher level of proliferation of the parasite inside the macrophages of susceptible dogs. It is important to note that this dog was the only one that needed a third, sustained treatment to avoid continuous relapses.
We also described five amino acid substitutions, four located in the TM domains of the protein. The most significant mutations were F179S (TM4), I476T (TM11), and S323N (exon 10). The F179S amino acid substitution in TM4 of dog S2 implies a nonconservative change from a hydrophobic to a polar residue. Although this is a region that contains several polar residues (13), this substitution is located in the same TM domain in which the mouse mutation (G169A) was described to be located and resulted in the lack of function of the protein (21, 31). Moreover, this change has never been described for other mammals and has been observed only in Slc11a1 orthologues from plants and prokaryotic organisms. The second amino acid substitution, I476T in TM11 of dog R1, represents a polar change in one of the most hydrophobic regions of the protein (13). Dog R1 also had an S323N substitution in exon 10 that results in the loss of one of the N-glycosylation sites; this substitution has also been described for buffalo and cow Slc11a1 proteins.
The canine Slc11a1 promoter region has been found to posses nine consensus IFN-
binding sites and one potential binding site for LPS (NF-IL-6), consistent with the regulation of expression previously described (20). Slc11a1 gene expression can be regulated during macrophage activation by cytokines and LPS. Furthermore, lymphocytes from resistant Leishmania-infected dogs have been found to produce IFN-
upon parasite-specific stimulation and to lyse infected macrophages in a major histocompatibility complex-restricted manner (36), leading to a cellular protective immune response. Although no polymorphism has been found at the IFN-
and NF-IL-6 binding sites, different immune responses have been described for resistant and susceptible animals analyzed. Resistant dogs demonstrated Leishmania-specific cellular immunity due to their ability to produce IFN-
, lymphocyte proliferation, and positive DTH. The only polymorphism common to the susceptible animals was the G-rich region in the promoter, which is located close to the region where the human microsatellite has been described to be located. Different alleles in the human dinucleotide microsatellite have been associated with a different ability to drive gene expression and has been correlated with infectious versus autoimmune disease susceptibility (44). A microsatellite located in the 3' UTR of the bovine Slc11a1 gene has also been associated with different gene expression controlling the in vitro replication of B. abortus (3, 23). All these data suggest that the G-rich region of the Slc11a1 promoter could also have an effect on gene expression.
In conclusion, the characterization of the canine Slc11a1 gene, the association between the canine Slc11a1 gene and disease susceptibility, and the description of new sequence variants will be useful in the elucidation of the genetic factors involved in canine leishmaniasis. However, in order to determine whether each sequence variant described is associated with Leishmania susceptibility in dogs, a larger population-based analysis would be required to prove the functional association of Slc11a1 with the disease.
We are grateful to Marcel Amills for critical review of the manuscript, Atilio Aranguren for MEGA computation analysis, and Oscar Ramirez for helping us with the statistical analysis.
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