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Infection and Immunity, December 2003, p. 7035-7042, Vol. 71, No. 12
0019-9567/03/$08.00+0 DOI: 10.1128/IAI.71.12.7035-7042.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Effect of Mycobacterium bovis BCG Vaccination on Mycobacterium-Specific Cellular Proliferation and Tumor Necrosis Factor Alpha Production from Distinct Guinea Pig Leukocyte Populations
Todd M. Lasco,1* Toshiko Yamamoto,1 Teizo Yoshimura,2 Shannon Sedberry Allen,1 Lynne Cassone,3 and David N. McMurray1
Department of Medical Microbiology and Immunology, The Texas A&M University System-Health Science Center,1
College of Veterinary Medicine, Texas A&M University, College
Station, Texas 77843,3
Laboratory of Molecular Immunoregulation, National Cancer Institute,Frederick, Maryland 217022
Received 5 May 2003/
Returned for modification 2 July 2003/
Accepted 2 September 2003
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ABSTRACT
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In
this study, we focused on three leukocyte-rich guinea pig cell
populations, bronchoalveolar lavage (BAL) cells, resident peritoneal
cells (PC), and splenocytes (SPC). BAL cells, SPC, and PC were
stimulated either with live attenuated Mycobacterium
tuberculosis H37Ra or with live or heat-killed virulent M.
tuberculosis H37Rv (multiplicity of infection of 1:100). Each cell
population was determined to proliferate in response to heat-killed
virulent H37Rv, whereas no measurable proliferative response could be
detected upon stimulation with live mycobacteria. Additionally, this
proliferative capacity (in SPC and PC populations) was significantly
enhanced upon prior vaccination with Mycobacterium bovis BCG.
Accordingly, in a parallel set of experiments we found a strong
positive correlation between production of antigen-specific bioactive
tumor necrosis factor alpha (TNF-
) and prior vaccination with
BCG. A nonspecific stimulus, lipopolysaccharide, failed to induce this
effect on BAL cells, SPC, and PC. These results showed that production
of bioactive TNF-
from mycobacterium-stimulated guinea pig
cell cultures positively correlates with the vaccination status of the
host and with the virulence of the mycobacterial
strain.
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INTRODUCTION
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Tuberculosis (TB) is a pandemic disease that represents a major public
health, social, and economic problem throughout the world.
Mycobacterium tuberculosis, the causative agent of TB, is
estimated to have infected nearly one-third of the world's
population, annually causing approximately 8 million cases and claiming
the lives of nearly 2 million people. Although combination drug
therapies are available for this deadly disease, the only realistic
hope of eradicating this ancient killer is through the development of a
standard, universally efficacious form(s) of vaccination. Although the
current TB vaccine, Mycobacterium bovis bacille
Calmette-Guérin (BCG), has yielded widely divergent results in
several human field trials, considerable protection can be afforded by
BCG in the guinea pig model of TB
(30). Accordingly, the
mechanisms of vaccine-induced protection in the guinea pig model can
teach us important lessons about TB immunology and vaccinology that can
fuel our search for a superior vaccine.
Effective vaccination
against an intracellular pathogen such as M. tuberculosis
requires the induction of cell-mediated immunity, which is
characterized by the bidirectional interactions between T lymphocytes
and cells of the monocyte/macrophage lineage. The specificity of this
interaction is governed by the T-cell antigen receptor, which
recognizes small peptide fragments in association with cell surface
glycoproteins encoded by genes of the major histocompatibility complex
(39).
The
subsequent response is the stimulation of T lymphocytes to proliferate
and produce interleukin-2 (IL-2)
(2). In addition, this
initial response to M. tuberculosis involves the production of
a variety of other immunomodulatory cytokines, chemokines, and other
immune cell products from resident alveolar macrophages
(36). These host cell
factors operate in a complex network of cell-cell communication that no
doubt is crucial to the control of the infection but may also
contribute to chronic infection and associated immunopathology
(35). One such host cell
factor, tumor necrosis factor alpha (TNF-
), is a
proinflammatory cytokine produced by a wide array of immune cells,
including macrophages, T lymphocytes, and polymorphonuclear cells
(1). This cytokine is
believed to play multiple roles in both the immune and pathological
responses to TB infection. For example, in the murine system,
TNF-
was discovered to synergize with gamma interferon to
activate infected macrophages and enhance antimicrobicidal activities
(12). TNF-
has
also been shown to be intimately involved in the protective
architecture of the granulomatous response in the mouse model
(5,
13,
18). In addition to this
cytokine's essential protective effects in the generation of
immunity to TB, TNF-
may also play a role in the wasting and
tissue necrosis which characterize active TB infection
(8,
32). These paradoxical
findings with respect to TNF-
biology may be explained by an
in vivo dose dependency
(6); however, additional
studies in other models of TB are needed to further characterize the
role of this multifunctional cytokine in immune defenses and/or
pathogenesis of TB. Biologically active recombinant guinea pig
TNF-
(secreted form,
17 kDa) has been cloned and
expressed in Escherichia coli
(37). Intratracheal
infusion of recombinant guinea pig TNF-
effectedairway leukocyte recruitment by increasing the numbers of
monocyte/macrophage, neutrophil, and eosinophil populations recoverable
by bronchoalveolar lavage (BAL)
(37).
Previous work
in this laboratory demonstrated that BCG vaccination in guinea pigs
enhances both chemokine (RANTES and IL-8) and cytokine (IL-1-ß
and IFN-
) mRNA responses from various cell cultures (i.e.,
alveolar macrophages, adherence-purified peritoneal exudate cells, and
whole splenocytes [SPC])
(15,
16,
19). This vaccination
effect was observed in response to different multiplicities of
infection (MOIs) with various attenuated and virulent mycobacterial
strains. In this study, we focused on three distinct leukocyte-rich
cell populations: SPC, resident peritoneal cells (PC), and BAL cells.
Using these guinea pig cell populations, we determined whether BCG
vaccination influenced the ability of these distinct cell populations
to proliferate and produce TNF-
in response to both
mycobacterial and nonmycobacterial stimuli. In a general sense, our
results indicate that BCG vaccination enhanced the capacity of these
cell populations to undergo proliferation and enhanced TNF-
production in response to various agonists, including
lipopolysaccharide (LPS), concanavalin A (ConA), and whole
mycobacteria. Furthermore, a positive correlation between TNF-
production and mycobacterial strain virulence was
observed.
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MATERIALS AND
METHODS
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Animals.
Specific-pathogen-free outbred
Hartley strain guinea pigs (Charles River Breeding Laboratories, Inc.,
Wilmington, Mass.) were individually housed in polycarbonate cages on
stainless-steel grid floors and provided commercial chow (Ralston
Purina, St. Louis, Mo.) in stainless-steel feeders and tap water ad
libitum. The guinea pigs were maintained in a temperature- and
humidity-controlled environment and exposed to a 12-h light-dark cycle.
Each animal was randomly assigned to a vaccination treatment group. All
procedures were reviewed and approved by the Texas A&M University
Laboratory Animal Care Committee.
BCG
vaccination.
M.
bovis BCG (Danish 1331; Statens Seruminstitut, Copenhagen,
Denmark) was reconstituted in 0.9% physiological saline, and 0.1
ml (103 CFU) was administered to the experimental animals
subcutaneously into the left inguinal region. The guinea pigs were
rested for 6 to 8 weeks postvaccination before being used in these
studies.
Bacteria.
M. tuberculosis H37Ra (ATCC
25177; American Type Culture Collection [ATCC], Manassas,
Va.) and M. tuberculosis H37Rv (ATCC 27294) were cultured in
Middlebrook 7H9 medium with albumin-dextrose-catalase enrichment, and
frozen stocks were prepared according to a published procedure
(14). Heat-killed M.
tuberculosis H37Rv (hkRv) was prepared by heating at 80°C
for 3 h. Before use, both live and heat-killed mycobacterial
preparations were sonicated briefly (60 s) with a cell disruptor (Heat
Systems-Ultrasonics, Inc.) to disperse bacterial clumps. Viability was
determined by plating appropriate dilutions onto Middlebrook 7H10 agar
(Difco, Detroit, Mich.).
Isolation and
preparation of BAL cells.
Euthanasia was carried out by
intramuscular injection of 100 mg of sodium pentobarbital (Sleepaway;
Fort Dodge Laboratories Inc.)/kg of body weight. The abdominal and
thoracic cavities of each guinea pig were opened aseptically, and the
trachea was separated from the surrounding tissue. A longitudinal
1/4-in. incision was made along the ventral surface of the trachea.
After an 18-gauge cannula was inserted into the opening, BAL was
performed by instilling ice-cold 12 mM lidocaine in phosphate-buffered
saline (PBS) (pH 7.4) with 2% heat-inactivated fetal bovine
serum (FBS) (Atlanta Biologicals, Norcross, Ga.) into the lungs via the
trachea by affixing a 20-ml syringe to the cannula. Five 10-ml washes
were performed by injection of the wash solution into the lungs and
subsequent withdrawal of the fluid after 1 min to allow for detachment
of adherent cells. BAL fluid was collected in sterile 50-ml conical
tubes. Lavage cells were washed twice in RPMI 1640 (Irvine Scientific,
Santa Ana, Calif.) with 1% FBS (wash medium) by centrifugation
at 320 x g for 10 min at 4°C. After the second
wash, the cell pellet was resuspended in RPMI 1640 medium supplemented
with 2 mM L-glutamine, 100 U of penicillin per ml, and
10% FBS (RPMI complete medium). Viable BAL cells were enumerated
by trypan blue exclusion (Gibco Life Technologies, Grand Island, N.Y.),
and the cell concentration was adjusted to 2 x 106
cells/ml just prior to
stimulation.
Isolation and preparation
of resident PC.
After
recovery of the BAL cells, the peritoneal cavity was washed twice with
ice-cold PBS (30 ml/wash) containing 10 U of heparin per ml and
2% FBS. Peritoneal fluid was pooled into a 50-ml conical tube
and centrifuged at 320 x g for 10 min (4°C).
The cell pellets were resuspended in wash medium and washed twice (as
for BAL cells). After the viable PC were enumerated (by trypan blue
exclusion), the cell concentration was adjusted to 106
cells/ml immediately prior to
stimulation.
Preparation of
SPC.
The spleen was removed
aseptically from each guinea pig and placed in 15 ml of wash medium at
necropsy. The spleens were then gently homogenized in wash medium with
glass homogenizers, and after the second wash, the cell pellet was then
resuspended in complete medium and viable SPC were enumerated by trypan
blue exclusion. The number of cells was then adjusted to 107
cells/ml. Total cell recovery and calculated viabilities (based on
trypan blue exclusion method) are summarized in Table
1.
Cell stimulation.
Each cell population (at the
specified concentration) was individually cultured in 24-, 48-, or
96-well tissue culture plates and either incubated in medium alone or
infected in vitro with live attenuated M. tuberculosis H37Ra
or live virulent M. tuberculosis H37Rv (MOI of 1:100).
Parallel cultures were also set up with hkRv at the same MOI or with
LPS at 100 ng/ml (E. coli serotype 0111:B4; Sigma Chemical
Co., St. Louis, Mo.). Supernatants were then obtained from each of the
culture wells at 24, 48, and 72 h; centrifuged at 12,000
x g; and stored at -20°C until
analyzed by the L929
bioassay.
Lymphoproliferation
assay.
BAL cells, SPC, and
PC were seeded into 96-well flat-bottomed tissue culture plates at the
identical concentrations described above in RPMI complete medium.
Triplicate cultures were stimulated with ConA (Sigma) at a final
concentration of 10 µg/ml or with LPS, live H37Ra or H37Rv, or
hkRv at the identical concentration described above. The cultures were
incubated for 4 days at 37°C in a 5% CO2
atmosphere, labeled with 1.0 µCi of tritiated thymidine per
well for the final 6 h of the incubation, and harvested onto
glass wool fiber filters by using a cell harvester. The results were
expressed as a stimulation index (SI), which was defined as the counts
per minute of tritiated thymidine taken up by stimulated cells divided
by the counts per minute of unstimulated cells from the same
source.
Differential cell
counts.
Each of the three
cell populations (BAL cells, PC, and SPC) was characterized by
Diff-Quik staining (Dade Behring Inc., Newark, Del.) to determine the
relative immune cell composition by cell morphology. Briefly,
106 cells from each prepared cell population were diluted
into 1 ml of complete medium. The cells were spun for 5 min at 140
x g in a cytospin centrifuge, air dried for 1 to 2
min, and fixed and stained separately with Diff-Quik. After being
rinsed with tap water, the slides were air dried, cover slips were
applied, and cells were quantified with a light
microscope.
Bioassay of TNF.
The culture supernatants were
assessed for TNF activity by measuring their cytotoxicity on L929 cells
as described by Espevik and Nissen-Meyer
(11) with some
modifications. L929 cells were suspended in RPMI 1640 without phenol
red supplemented with 2 µM L-glutamine (Gibco Life
Technologies), 100 U of penicillin per ml, 100 µg of
streptomycin per ml, and 5% FBS at 4 x 105
cells/ml. Aliquots (100 µl) of L929 cell suspension (ATCC) were
seeded into 96-well flat-bottomed plates and incubated overnight in a
CO2 incubator at 37°C. On the following day, 50
µl of serially diluted culture supernatants and 50 µl
of an 8-µg/ml actinomycin D solution (final concentration, 2
µg/ml) were added to each well and incubated for an additional
20 h. A tetrazolium reagent,
2-(4-idophenyl)-3-(4-nitrophenyl)-5-(2,4-disulfophenyl)-2-H-tetrazolium
salt (WST-1; Dojindo, Kumamoto, Japan) and 1-methoxymethyl phenazium
methylsulfate (Dojindo) were dissolved at 6 and 0.4 mM, respectively,
in PBS. These were mixed at a ratio of 1:1, and 20 µl was added
to each well. The cells were incubated for 2 h in a
CO2 incubator at 37°C to allow the color to develop,
and 25 µl of 1 N H2SO4 was added to stop
further development. Both the optical density at 450 nm
(OD450) and the OD630 in each well
were measured with a microplate reader for the test and reference
wavelengths. The net change (net OD450 -
OD630) for each well was calculated by the following
equation: net OD450 - OD630 =
[(OD450 - OD630 of test well)
- (OD450 - OD630 of
TNF-
-treated control)]. A standard curve was generated
with recombinant human TNF-
(R&D Systems Inc.,
Minneapolis, Minn.). All of the experimental data were expressed as the
50% cytotoxicity value based on the standard curve. To verify
the specificity of TNF in the culture supernatants, some of the
supernatant samples were incubated with rabbit anti-guinea pig
TNF-
polyclonal antiserum or normal rabbit serum at room
temperature for 30 min prior to addition to the L929
cells.
Cell viability.
Culture conditions representing each
cell population and stimulus were duplicated in a series of 96-well
plates in
150-µl volumes. At 24, 48, and 72
h, 25 µl of a 5-mg/ml solution of
3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide was added
to triplicate wells. The plates were then incubated at 37°C for
4 h in a 5% CO2 atmosphere. Insoluble
formazan crystals were solubilized with lysis buffer (20% sodium
dodecyl sulfate and 50% 2,2-dimethylformamide in distilled water
[pH 4.7]), and the absorbance of the converted dye was
measured at a wavelength of 570 nm with a microplate reader. The
results obtained from this assay revealed that the cell viability did
not vary with vaccination status or in vitro stimulus and was not
significantly different from the cell viability of negative controls at
each of the indicated time points (data not
shown).
Statistical analysis.
Differences between groups were
compared by Student's one-tailed t test, assuming equal
variances. P values of <0.05 were considered
significant.
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RESULTS
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Cellular
composition of distinct guinea pig leukocyte populations.
Table
2 shows guinea pig leukocytes from each distinct subpopulation as
identified by cell morphology and counted with a light microscope under
oil immersion (magnification, x100). For the BAL cells and
resident PC, the large mononuclear cells (LMC) were differentiated from
the lymphocytes on the basis of size, nuclear morphology, and total
cytoplasmic area. This contrast can be seen in Fig.
1A and
C, where the large mononuclear cells show a greater cytoplasmic area than
and typically have an irregularly shaped cell membrane in comparison to
smaller lymphocytes. In addition, guinea pig neutrophils (sometimes
referred to as pseudoeosinophils due to their eosinophilic granules
present in the cytoplasm
[24]) can be
distinguished from eosinophils by the characteristic hypersegmented
nucleus of the neutrophil and punctate eosinophilic granules. In
contrast, the guinea pig eosinophil contains a round-to-bilobed nucleus
and large globular, densely packed, eosinophilic granules that fill the
entire cytoplasm.

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FIG. 1. Morphology
of the cell subtypes identified in BAL cells (A), SPC (B), and PC (C).
A total of 7 x 104 cells from each subpopulation
were mounted onto silanated slides by means of a cytospin. After brief
air drying, the slides were fixed and stained with Dif-Quik, and a
coverslip was applied with mounting medium. Representative photographs
depict individual cell types as determined by morphology. Eo,
eosinophil; L, lymphocyte; N, neutrophil; KC, Kurloff cell; Eb,
erythroblast; Pe, proerythrocyte (Pe). Magnifications, x100 (A
and C) and x40
(B).
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The criteria used to distinguish between cell
subtypes from the spleen were the same as for BAL cells and PC;
however, additional cell subtypes, greater artifacts from the isolation
process, and poor viability (Table
1) complicated the
analysis. Briefly, while the red blood cells, as well as hematopoetic
cells (i.e., erythroblasts, and proerythrocytes) (Fig.
1B), were not included as
part of the analysis, a unique mononuclear cell of the guinea pig, the
Kurloff cell, which has been reported to possess natural killer cell
activity (9), was included
as part of the differential counts and could be distinguished by its
characteristic intracytoplasmic inclusion body, which resembles a
phagocytized erythrocyte.
The cellular differential counts are
summarized in Table 2.
Both BAL cells and PC yielded very similar cellular constituents with
modest differences in the ratio of specific cell subsets between
vaccination groups, but no significant differences in the absolute
number of cell subtypes were found. These differential counts revealed
that the resident LMC and eosinophils made up approximately 95%
of the lavaged leukocytes, with neutrophils and lymphocytes comprising
the remaining 5%. Among the cells isolated from the spleen, the
lymphocyte counts increased dramatically from the lavage counts, as did
the numbers of neutrophils. In contrast, few LMC and eosinophils were
associated with this tissue, while Kurloff cells comprised
approximately 14% of the enumerated splenocytes. In addition, as
with the BAL cells and PC, little effect of vaccination was
observed.
Antigen-specific proliferation
in BAL cells, SPC, and PC.
The capacity of the guinea pig
leukocyte-rich BAL cell, SPC, and PC populations to proliferate in
response to both mitogenic and mycobacterium-specific stimuli was
evaluated. As shown in Fig.
2, mitogenic responses were high among the various cell populations,
particularly in splenocytes. While ConA-induced proliferation was the
most dramatic (SI of 3 to 29), LPS also induced measurable
proliferation, but only in the in the BAL cell population (SI of 3 to
5). If an SI of
3 is used, the responses to these defined
stimuli were independent of the vaccination status. Background counts
were uniformly low and were not different between treatments.

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FIG. 2. Proliferative
responses of leukocyte-rich guinea pig cell populations. BAL cells (A),
SPC (B), and PC (C) from both unvaccinated (open bars) and
BCG-vaccinated (closed bars) guinea pigs were prepared as described in
the text and incubated for 4 days in the presence of mitogenic stimuli
(ConA or LPS) or mycobacterium-specific stimuli, including a live
attenuated (H37Ra) or virulent (H37Rv) strain of M.
tuberculosis at an infectivity ratio of 1:100 or hkRv. The SI is
defined as the ratio of counts per minute of tritiated thymidine taken
up by stimulated cells to counts per minute of unstimulated cells from
the same source. Results are given as the means ± standard
errors of the means for four animals per group. Differences between the
vaccination groups were compared by Student's t test,
assuming equal variances. P values of <0.05 (*) were
considered
significant.
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In
addition, antigen-specific responses in each distinct cell population
were assessed by pulsing the cell cultures with either live attenuated
M. tuberculosis (H37Ra) or virulent M. tuberculosis
(H37Rv). In either case, stimulation with live mycobacteria (with the
exception of H37Rv-stimulated SPC [SI = 4.5]) failed
to induce proliferation above that for unstimulated controls. In
contrast, heat treatment of H37Rv clearly resulted in the exposure of
H37Rv antigens that greatly enhanced lymphocyte proliferation in
comparison to stimulation with live mycobacteria among each of the cell
populations. Furthermore, enhanced proliferative responses were
observed from both SPC (P < 0.032) and PC (P
< 0.002) derived from BCG-vaccinated guinea
pigs.
Effect of BCG vaccination on
bioactive TNF-
protein production from differentially
stimulated guinea pig cell populations.
BAL cells, SPC, and PC were obtained
from BCG-vaccinated and unvaccinated guinea pigs and stimulated with
live M. tuberculosis H37Ra or H37Rv or hkRv for 1, 2, and 3
days. Supernatants were collected and tested by L929 bioassay for
levels of bioactive TNF protein. As revealed in Fig.
3, very clear differences were seen between BCG-vaccinated and
nonvaccinated guinea pigs in response to mycobacterial stimuli. These
differences were highly significant among each cell population studied.
SPC-induced TNF protein was the most dramatic with respect to absolute
TNF production, which remained relatively constant throughout the time
interval (1 to 3 days) studied. Interestingly, virulent M.
tuberculosis H37Rv-infected SPC consistently produced
significantly more bioactive TNF than did the attenuated H37Ra strain.
In addition, BAL cells and PC demonstrated trends analogous to those
for the SPC with respect to vaccination status and the positive
correlation observed between TNF production and mycobacterial strain
virulence. In addition, vaccination status did not affect LPS-induced
TNF-
production from any of the cell populations (data not
shown). Thus, the responses of the cell populations from BCG-vaccinated
guinea pigs examined in this study can be described as an
antigen-specific phenomenon. Polyclonal antisera raised against our
recombinant guinea pig TNF-
completely eliminated the
bioactivity of selected samples, thus verifying that the supernatants
contained bioactive TNF-
specifically (data not
shown).

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FIG. 3. Total
bioactive TNF- production from BAL cells, SPC, and PC and
effect of BCG vaccination. BAL cells (A), SPC (B), and PC (C)
from both vaccinated (closed bars) and unvaccinated (open bars) guinea
pigs were cultured with either live or heat-killed mycobacteria for 1,
2, and 3 days. At the indicated time points, supernatants were
collected and tested for levels of bioactive TNF by the L929 bioassay.
Results are means ± standard errors of the means for three
animals per treatment group. Differences between vaccination treatment
groups were compared by Student's t test, assuming equal
variances. P values of <0.05 (*) were considered
significant.
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Spontaneous production of TNF by
BAL cells, SPC, and PC.
It is
conceivable that upon plating each cell population, cellular adherence
to the culture wells could have induced background activation in the
negative controls which may have interfered with the analysis. To test
this hypothesis, each cell population was plated into 48-well plates in
RPMI complete medium alone. Supernatants were obtained at 24, 48, and
72 h after plating and subsequently tested by the L929
bioassay for total TNF production. As Fig.
4 indicates, the levels of spontaneous TNF production were most dramatic
in BAL cells but could also be observed in PC. These levels of TNF
release from unstimulated BAL cells and PC were approximately 81-and
3-fold higher at 24 h, respectively, than SPC spontaneous TNF
production. The heightened spontaneous production of TNF-
from
the BAL cell population is most likely due to this compartment being
the most exposed to LPS in environment. Alternatively, LPS
contamination could have occurred during the tracheal manipulations in
our harvest procedure. However, no statistically significant
differences were seen between the treatment groups with respect to
spontaneous TNF production in any of the cell
populations.

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FIG. 4. Spontaneous
bioactive TNF production from BAL cells, SPC, and PC. BAL cells (A),
SPC (B), and PC (C) from both vaccinated (closed bars) and
unvaccinated (open bars) guinea pigs were cultured in medium alone for
the indicated time intervals. At the indicated time points,
supernatants were collected and tested for levels of total bioactive
TNF. The limit of detection for this assay was routinely 40 pg/ml;
consequently, 20 pg/ml was used for determining the averages when
results fell below the threshold of detection. Results are means
± standard errors of the means for four animals per treatment
group.
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DISCUSSION
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An essential
focus in our laboratory includes the characterization of immunological
indicators of vaccine-induced protective immunity in experimental TB.
One of the strategies employed to study these immunological indicators
("correlates of protection") has been to compare the
responses of immunologically naive (unvaccinated) guinea pigs to those
of animals in which the degree of TB resistance (to low-dose aerosol
challenge with M. tuberculosis) has been elevated by prior
vaccination with BCG
(21). In these studies,
the underlying research hypothesis is that the ability of resident
guinea pig leukocyte-rich populations to proliferate and produce the
proinflammatory cytokine TNF-
correlates with
antigen-specific, protective immune responses.
Nearly all
expressions of antigen-specific lymphocyte activation, including in
vivo or in vitro proliferation, delayed hypersensitivity, and cytokine
production, require antigen presentation by an antigen-presenting cell
(APC), such as the macrophage. For this reason, BAL cells, SPC, and PC
were examined as a heterogeneous population of leukocytes containing
both lymphocytes and APCs (Table
2). Blastogenic responses
to nonliving as well as viable preparations of mycobacteria have been a
reliable standard for predicting the relative success of host
resistance to mycobacterial infection
(25). Our lab has
previously demonstrated that SPC, bronchotracheal lymph node cells, and
peripheral blood lymphocytes obtained from aerogenically challenged
guinea pigs proliferate in response to protein antigens of M.
tuberculosis (purified protein derivative); furthermore, this
blastogenic response correlates with the vaccination status of the host
(3,
4). That is, prior
vaccination with BCG sensitizes the guinea pigs to mount brisk in vitro
lymphocyte proliferation in comparison to their unvaccinated
counterparts, especially at the critical early stages (1 to 3 weeks).
Likewise, in human TB patients, evidence demonstrates a reciprocal
relationship between lymphocyte proliferation and disease severity
(31). The results
obtained from SPC and PC proliferation (Fig.
2) in response to hkRv
agree with these previous studies, as there were clear differences
between the vaccination treatment groups. Infection with live
mycobacteria (H37Ra or H37Rv) routinely did not induce cellular
proliferation greater than an SI of 2. These comparatively low indices
induced by viable mycobacteria are most likely related to the low
bacterium/cell ratio (MOI) employed in these studies (0.01) rather than
to the inability of whole mycobacteria to effectproliferation from these cell populations. Previous studies have shown
that both heat-killed and viable mycobacteria can induce dramatic
cellular proliferation from human tuberculin-positive peripheral blood
mononuclear cells; however, most of those studies were carried out with
bacterium/cell ratios of
1:1
(27,
33), which are lethal to
guinea pig cells over short-term culture (2 to 3 days) (data not shown)
and therefore, were not attempted in this study. In addition, it can be
assumed that alveolar macrophages most likely comprise an overwhelming
majority of the LMC of the BAL cells. Given the propensity of this cell
type for the suppression of T-cell proliferation
(22,
38), it was not
surprising that BAL cell proliferation showed a depressed SI when
stimulated with ConA and hkRv. Although the T-cell mitogen ConA induced
measurable proliferation (SI of
3) from SPC and PC, LPS (which
is mitogenic for both murine B
(26) and human T
(34) lymphocytes failed
to induce measurable proliferation except in the case of BAL cells
derived from BCG-vaccinated guinea pigs (SI = 4.8). It is
unclear to us why LPS did not induce a greater proliferative index, but
this may be attributed to the comparatively low dose of LPS used in
this study, the low frequency (<1:1,000) of lymphocytes
responding to this agonist, or quite possibly the absence of the
appropriate APCs
(34).
In this
paper, we demonstrate for the first time that various leukocyte
populations harvested from BCG-vaccinated guinea pigs and stimulated in
vitro with both live and heat-killed mycobacteria produce significantly
higher levels of bioactive TNF-
than identical leukocyte-rich
populations obtained from unvaccinated guinea pigs (Fig.
3). We speculate that
mycobacterium-driven TNF-
production occurs both as a result
of direct stimulation of APCs and through subsequent activation of
memory T cells in BCG-vaccinated guinea pigs via T-cell receptor
engagement of cognate antigen. We further hypothesize that this direct
correlation of vaccination status with the ability to produce bioactive
TNF-
is related to the capacity of sensitized T cells
specifically present in cell cultures derived from BCG-vaccinated
guinea pigs to engage APCs. In driving this process, APCs display
mycobacterial peptides in the context of either the major
histocompatibility complex class I and II or antigen-presenting
molecules of the CD1 family
(23). Although these
results may, in fact, be explained by BCG-induced alterations in
intrinsic accessory cell functions, no differences could be detected
between the vaccination groups (TNF expression in response to LPS),
which argues that this is most likely not the case.
Controversy
exists over whether attenuated or virulent mycobacteria induce higher
levels of TNF-
. Some studies have demonstrated that attenuated
strains of mycobacteria induce higher TNF-
production in human
macrophages (7,
17), while other reports
show that the opposite may be true
(29,
32). In either case,
TNF-
induction in primary macrophages appears to be highly
dependent on the experimental protocol and the origin of cells and
bacterial strains under investigation. Our findings that TNF-
production positively correlates with the virulence of the
mycobacterial strain employed demonstrates that, in guinea pigs,
virulent mycobacteria may not effect a broad immunological
"silence" implicated from previous studies in our
laboratory (15,
16,
19). Instead, it is
conceivable that M. tuberculosis H37Rv elevates host phagocyte
TNF-
levels to facilitate its own survival by interfering with
the production of IL-12
(20) and possibly
increasing its availability to iron
(10).
In
conclusion, these studies strongly indicate that BCG vaccination
enhances both proliferative and TNF-
responses in guinea pig
leukocyte populations. These immunological measurements could
potentially lead to the development and standardization of these
techniques as a method of quantitatively predicting the level of
resistance induced by a novel vaccine. It is unclear at this point in
our studies whether the production of TNF-
serves to promote
TB pathogenesis or to protect the host. Accordingly, studies are
currently under way to determine the involvement of TNF-
production in M. tuberculosis growth in guinea pig
macrophages, as well as the contribution of TNF-
to host
defense and/or disease pathogenesis in aerosol-infected guinea
pigs.
 |
ACKNOWLEDGMENTS
|
|---|
This work was supported by
National Institutes of Health grant RO1 AI 15495 to
D.N.M.
 |
FOOTNOTES
|
|---|
* Corresponding author. Mailing address: Department of Microbiology, Immunology, and
Pathology, Colorado State University, 320B Microbiology Building (1682
Campus Delivery), Fort Collins, CO 80523-1682. Phone: (970) 491-7469.
Fax: (970) 491-5125. E-mail: Todd.Lasco{at}colostate.edu. 
Editor:
S. H. E. Kaufmann
 |
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Infection and Immunity, December 2003, p. 7035-7042, Vol. 71, No. 12
0019-9567/03/$08.00+0 DOI: 10.1128/IAI.71.12.7035-7042.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
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