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Infection and Immunity, March 2003, p. 1194-1199, Vol. 71, No. 3
0019-9567/03/$08.00+0 DOI: 10.1128/IAI.71.3.1194-1199.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Department of Microbiology, Parasitology and Immunology, School of Medicine, University of Buenos Aires, Buenos Aires, Argentina
Received 27 June 2002/ Returned for modification 15 September 2002/ Accepted 26 November 2002
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In order to study the relevance of T. cruzi populations on the host-parasite relationship, we selected two strains with extreme biological differences, RA and CA-I (or its clone K98, with a similar behavior). RA is a highly virulent pantropic/reticulotropic strain, while CA-I/K98 is a low-virulence myotropic strain. RA-infected mice develop an early peak of parasitemia during the acute infection, which drops to undetectable values during the chronic phase, whereas CA-I/K98-infected mice slowly increase the parasitemia to reach its highest levels rather late without a sharp drop, remaining measurable for a longer time (13, 14, 26). During the acute stage of the infection, the RA strain is able to induce a transient impairment of both macrophage microbicidal activity and in vitro mitogen-induced lymphoproliferative response. However, CA-I (or the K98 clone) does not affect macrophage microbicidal activity or lymphoproliferative response (5, 6; our unpublished results). At this stage, mice infected with K98 displayed higher prostaglandin E2 serum levels than RA-infected and normal mice. Evidences were provided that this prostaglandin played a role in resistance to infection with the first strain in mice (7). At the chronic phase in RA-infected mice, the nervous system is a privileged target for damage mediated either by CD4 and CD8 T cells or immunoglobulin G antibodies, while for CA-I, only CD4 T cells are able to induce injury to the muscle, which is the target tissue (23, 36).
The activation of T-cell immune responses is mediated by antigen-presenting cells (APC), which deliver antigen-specific and costimulatory signals. Pathogens or their constituents are able to induce APC to deliver these signals to the resting T cells. Some parasites can modulate the antigen presentation and costimulatory activities of APC. Leishmania major induces upregulation of CD40 and CD86 costimulatory molecules (4), but Leishmania amazonensis and Leishmania donovani subvert the APC function of infected macrophages (12, 18). Toxoplasma gondii and Plasmodium falciparum are able to interfere with the processing and presentation of parasite-derived antigen by macrophages and dendritic cells (DC), respectively (22, 37). The persistence of intracellular parasites in immunocompetent hosts suggests that they have evolved multiple strategies to escape or modulate the antigen presentation- and T-cell-mediated parasiticidal activities of the host.
The effect of T. cruzi in vitro infection on macrophages as APC has been documented: Frosch et al. registered a selective upregulation of B7-2 (CD86) costimulatory molecules, although La Flamme et al. proved that a defective T-cell-macrophage adhesion impaired antigen presentation (11, 20). The parasite population employed in each assay could be responsible for these discordant findings. Van Overtvelt et al. demonstrated that in vitro T. cruzi infection prevented monocyte-derived human DC from optimal maturation and expression of HLA-DR molecules (38). However, no information is available about the in vivo interaction of APC with T. cruzi.
In the present study, we investigated the influence of in vivo infection with two T. cruzi strains which differ in virulence on professional APC expression of major histocompatibility complex (MHC) class II and costimulatory molecules and on the T-cell stimulatory capacity of splenic DC.
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Parasites, infection, and T. cruzi lysate. Bloodstream forms (trypomastigotes) of the RA strain or the K98 clone (derived from the CA-I strain) of T. cruzi were maintained by serial passages in mice. At 8 weeks of age, C3H/HeNk mice were infected with 100 trypomastigotes of either T. cruzi population. Except when indicated, trypomastigotes were inoculated into the hind footpad. By this route, at least 40% of animals infected with the virulent RA strain reached the chronic phase of infection. Uninfected mice of the same age, body weight, and sex were used as controls. For studies at the acute phase of infection, mice were killed when circulating trypanosomes were detected by the microhematocrit technique (10) (15 days for RA-infected and 20 days for K98-infected mice) and 4 months postinfection for those at the chronic phase.
Trypanosomes of the RA and K98 T. cruzi strains were purified from whole blood by density gradient centrifugation as described before (25). Trypomastigotes were subjected to five freeze-thawing cycles, resuspended in phosphate-buffered saline and sonicated (10 cycles of 30 s each at 40 Hz on ice). Suspensions were centrifuged, and the supernatant was filtered and stored at -20°C until use. Protein concentration was determined by the method of Lowry et al. with bovine serum albumin (Sigma, St. Louis, Mo.) as the standard.
Cells. To prepare dendritic cell (DC)-enriched suspensions, spleens were homogenized at 4°C in a tissue grinder with RPMI 1640 supplemented with 10% fetal bovine serum (FBS), 2-mercaptoethanol, and antibiotics (penicillin at 100 U/ml and streptomycin at 100 µg/ml) (Sigma). Homogenates were subjected to digestion with collagenase (1 mg/ml), DNase I (1 mg/ml), and hyaluronidase (0.5 mg/ml) (Sigma) for 30 min at 37°C. Undigested stromal fragments were removed, and the cells, resuspended in 1.080-g/cm3 density bovine serum albumin solution, were centrifuged at 4,500 x g for 25 min. The low-density fraction was recovered and incubated at 37°C for 2 h in RPMI 1640-10% FBS. Nonadherent cells were removed, and the remaining ones were reincubated in RPMI 1640-10% FBS for 20 h, the time required for DC to detach from plastic.
To purify splenic DC, CD11c+ cells were isolated by magnetic sorting with biotinylated anti-CD11c (HL3) monoclonal antibodies bound to streptavidin-coated magnetic beads and MiniMACS columns (Miltenyi Biotech GmbH, Bergish Gladbach, Germany) following the manufacturer's protocol. Cell populations obtained in this way consisted of approximately 90% CD11c+ cells as determined by flow cytometry analysis.
Peritoneal cells were recovered by intraperitoneal injection of 5 ml of cold RPMI 1640 supplemented with heparin (5 U/ml). After gentle abdomen massage, the fluid was aspirated, and cells were washed twice with RPMI-10% FBS and kept at 4°C until use.
To isolate CD4 and CD8 T cells from lymph nodes, single-cell suspensions were treated for erythrocyte lysis by brief incubation in Tris-buffered 0.83% ammonium chloride solution. CD4+ or CD8+ cells were purified with biotinylated anti-CD4 (L3T4) or anti-CD8 (Ly-2) monoclonal antibodies, streptavidin-coated magnetic beads, and MiniMACS columns (Miltenyi Biotech) following the manufacturer's instructions. The purity of these T-cell populations was routinely 90%, as determined by flow cytometry analysis. In all cases, cell concentration and viability were assessed with a hemacytometer and by the trypan blue dye exclusion test, respectively.
Flow cytometry. Cells were washed twice in ice-cold phosphate-buffered saline supplemented with 1% bovine serum albumin and 0.1% NaN3 and resuspended at a final cell concentration of 2 x 107/ml. Two percent normal mouse serum was added to avoid unspecific binding through Fc receptors. Then, cells were incubated for 30 min at 4°C with previously optimized amounts of one or more of the following conjugated murine monoclonal antibodies: anti-CD11c-phycoerythrin (PE), anti-CD19-PE, anti-Mac-3-PE, anti-Ie-K (MHC II)-fluorescein isothiocyanate (FITC), anti-CD4-FITC, anti-CD8-FITC, and the biotinylated monoclonal antibodies anti-CD24, anti-CD40, anti-CD80, and anti-CD86. All monoclonal antibodies were purchased from PharMingen, San Diego, Calif. Streptavidin-Cy-chrome (PharMingen) was used as a second-step reagent. As controls, cells were stained with the corresponding isotype-matched monoclonal antibody.
Cells were fixed with 1% paraformaldehyde before being acquired with a flow cytometer (Ortho Cythoron Absolute; Johnson & Johnson). Data were analyzed with the WINMDI software (Joseph Trotter, Scripps Research Institute). Flow cytometry results were expressed as the median fluorescence intensity (median fluorescence intensity of cells with specific monoclonal antibody - median fluorescence intensity of cells with irrelevant isotype-matched monoclonal antibody) or as the percentage of cells which were positive for the surface marker evaluated.
Proliferation assays. For the allogeneic mixed-lymphocyte reaction, irradiated (20 Gy) splenic DC from infected and uninfected mice were cocultured with untreated CD4 or CD8 T cells from the lymph nodes of C57BL/6 uninfected mice at 37°C in RPMI 1640-10% FBS medium in 96-well microplates in triplicate at a final volume of 200 µl. For evaluation of T. cruzi-specific T-cell responses, irradiated splenic DC from infected and uninfected mice were cocultured with untreated CD4 T cells from the lymph nodes of chronically infected mice and controls in the presence of T. cruzi lysate (50 µg/ml) at 37°C in RPMI 1640-10% FBS medium in 96-well microplates in triplicate at a final volume of 200 µl. Cultures were pulsed with 0.5 µCi of [3H]thymidine (ICN, Costa Mesa, Calif.) per well during the last 24 h of culture. Cells were harvested and analyzed in a Rack Beta liquid scintillation counter (Pharmacia). Results are expressed as the mean counts per minute (cpm) of the culture ± standard deviation.
Statistical analysis. One-way analysis of variance and Bonferroni's multiple comparison test were used for the analysis of statistical significance.
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FIG. 1. Acute infection with the high-virulence (RA) T. cruzi strain downregulates or inhibits MHC class II expression on professional APC. Flow cytometry profiles of I-eK (MHC class II) molecules expressed on splenic DC (A), peritoneal macrophages (B), and B cells (C) from mice acutely infected with the RA strain (black line) or K98 strain (dark gray line) or controls (light gray). Enriched splenic DC suspensions were simultaneously stained with anti-CD11c-PE (for DC) and anti-I-eK-FITC. Peritoneal cells were simultaneously stained with anti-Mac-3-PE (for peritoneal macrophages) and anti-I-eK-FITC. Splenic cell suspensions were simultaneously stained with anti-CD19-PE (for B cells) and anti-I-eK-FITC. CD11c+, Mac-3+, and CD19+ events were analyzed for I-eK expression. The mean fluorescence obtained after staining with the corresponding isotype-matched monoclonal antibody was <10. Results of one representative experiment out of five are shown.
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TABLE 1. Surface expression of I-eK (MHC class II) molecules on professional APC from T. cruzi-infected micea
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TABLE 2. Surface expression of costimulatory molecules on professional APC from T. cruzi-infected micea
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TABLE 3. Relative number of APC in spleens from mice during the acute phase of infection with T. cruzia
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FIG. 2. Infection with the high-virulence RA T. cruzi strain impairs DC stimulation of CD4 and CD8 T-cell alloresponse. Irradiated splenic DC (2 x 105/well) from acutely RA- or K98-infected and control C3H/HeNk mice were cocultured with CD4 and CD8 T cells (2 x 105/well) from the lymph nodes of uninfected C57BL/6b (C57) mice. As a control for background proliferation, responder CD4 or CD8 T cells (C57BL/6b) were cocultured in the presence of syngeneic splenic DC (control C57). Cell proliferation was measured on day 4 after a 24-h pulse with [3H]-thymidine (3H-T). Values are the mean of triplicate cultures ± standard deviation. *, P < 0.05; **, P < 0.001 compared to control C57BL/6 stimulator cells.
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FIG. 3. DC from RA-infected mice produce or induce the production of inhibitory factors that limit T-cell proliferation. Irradiated splenic DC (5 x 104/well) from RA-infected and control C3H/HeNk mice were cocultured with CD4 T cells (2 x 104/well) from the lymph nodes of uninfected C57BL/6 mice in the presence of DC from uninfected mice (DC control) during the last 3 days of culture or in the presence of supernatant from the mixed-lymphocyte reaction of DC from RA-infected mice with C57BL/6 (C57) CD4 T cells (supDCRA). Background proliferation of DC alone was 400 cpm and of CD4 T cells alone was 500 cpm. Cell proliferation was measured after a 24-h pulse with [3H]thymidine. Values are the means of triplicate cultures ± standard deviation. Results for one of three independent experiments are shown.
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FIG. 4. Effect of in vivo T. cruzi infection on ability of DC to activate in vitro T. cruzi-specific T-cell proliferative responses. Irradiated splenic DC (4 x 104/well) from acutely RA- or K98-infected and control C3H/HeNk mice were cocultured with CD4 T cells (5 x 105/well) from the lymph nodes of chronically RA- or K98-infected or control mice at 37°C in the presence of T. cruzi lysate (50 µg/ml) in RPMI 1640-10% FBS medium in 96-well microplates in triplicate in a final volume of 200 µl. Background proliferation of DC alone was 400 cpm and of T cells alone was 500 cpm. Cell proliferation was measured on day 7 after a 24-h pulse with [3H]thymidine. Values are the means of triplicate cultures ± standard deviation. Results for one of three independent experiments are shown.
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FIG. 5. Cultured splenic DC obtained from mice at the acute phase of infection with RA T. cruzi strain are unable to form homotypic cell clusters. Isolated splenic DC from mice infected with the K98 strain (A) or RA strain (B) at the acute phase of infection are shown. Cells were cultured in RPMI-10% FBS for 12 h at 37°C. Bar, 20 µm.
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In the present study, we show that murine infection with T. cruzi modulates the expression of MHC class II molecules on professional APC at their plasma membrane in a strain-dependent manner. Indeed, infection with the low-virulence K98 strain preserved the expression of this molecule on DC or stimulated it on peritoneal macrophages and B cells, while the virulent RA strain reduced or inhibited its expression at the surface of professional APC. In the in vivo infection, we found occasional DC and macrophages harboring amastigotes by immunofluorescence staining (less than 5%) without significant differences between strains in the parasite load of APC (data not shown). These results show that factors other than infection of APC themselves are involved in downregulating MHC class II expression during the acute phase of infection with the virulent RA strain. Our results obtained in vivo seem to corroborate what Van Overtvelt et al. demonstrated in vitro: close contact between DC and T. cruzi is not a prerequisite for alteration of the optimal maturation of human DC and expression of HLA-DR molecules (38).
The RA strain almost abrogates the ability of DC to prime allogeneic CD4 T cells, suggesting that the low MHC II expression is responsible for this alteration. Furthermore, DC from RA-infected animals lacked the ability to stimulate alloreactive CD8 T cells, indicating a poor functional capability of these cells. Interestingly, in the mixed-lymphocyte reaction, alloresponse was not restored by addition of DC from uninfected mice to cultures containing DC from RA-infected animals, and supernatants of DC from RA-infected mice inhibited T-cell allostimulation. This finding suggests that infection with the virulent RA strain could be favoring the induction or production of suppressive/regulatory cytokines by DC, thus driving T cells to anergy or to a regulatory phenotype. Even though MHC class II-dependent presentation by DC was not completely lost after infection, DC from K98-infected mice induced a stronger T. cruzi-specific T-cell response than those from RA-infected mice. The fact that DC from RA-infected mice can still elicit a noticeable T-cell response even with low MHC class II expression is not unexpected because it has been proved that only small amounts of MHC class II are necessary to mount a functional cellular response in vivo (39).
DC homotypic interactions stimulate the accessory function of DC by mutual delivery of maturation signals and transfer of antigen between cells (8). The reduced DC-DC clustering of DC from RA-infected mice, together with the low MHC class II expression, might point to an interference with maturation process induced by acute infection with this virulent strain. It has been reported that antigen presentation by immature DC might induce the differentiation of naïve T cells towards a suppressor regulatory phenotype capable of interfering with DC-mediated Th1 differentiation (33). Our observations add the virulent RA strain of T. cruzi to a growing list of stimuli, including measles virus and herpesvirus and Plasmodium falciparum-infected erythrocytes, which appear to inhibit terminal DC differentiation at various stages (17, 34). In contrast, infection with the low-virulence K98 strain preserved DC maturation and allogeneic or T. cruzi-specific T-cell response, allowing the host to control the parasitemia and to survive the acute infection.
The CD80/CD86-CD28 costimulatory pathway participates in the pathogenesis of several infectious diseases (31). As CD86 is the most critical for amplification of T-cell responses (9, 21), its downmodulation on splenic DC from infected mice might contribute to the depression of immune responses observed in acute infection with T. cruzi, a phenomenon of great importance in the pathogenesis of Chagas' disease (19).
It is of interest that APC from mice infected with the virulent RA strain who survived the acute phase of infection recovered or even surpassed MHC class II and costimulatory molecule expression levels to those of K98-infected mice. This finding might be correlated with the kinetics of T- and B-cell proliferation because unresponsiveness to polyclonal activators is seen only at the acute phase of infection with the virulent RA strain. Our data suggest that alteration of APC function by infection with the virulent RA strain is a transient phenomenon during acute infection.
Recent studies reveal that induction of an immune response to pathogens is determined by several variables, including DC function itself, pathogen-derived signals, the local microenvironment, and cytokines released by neighboring T cells and other cells (30, 32). Our results could reflect strain-dependent differences in these microenvironments. Functional modulation of APC by the virulent RA strain may establish an environment that contributes to the great susceptibility shown during acute infection with this strain. An analysis of the immune response focused on the cytokine profiles is currently in progress in our laboratory.
In vitro models are useful to analyze the interactions between APC and T. cruzi. However, the actual relevance of these interactions needs to be demonstrated in vivo, something that has not been done so far. Our results put in evidence for the first time that T. cruzi infection can modulate APC function in vivo. Furthermore, we found that the degree of this alteration correlates with the virulence of the T. cruzi population infecting the host.
This work was supported by grants from FONCYT, CONICET, and UBACYT. C.A.S. was supported by a fellowships granted by FONCYT and the Ministry of Health of Argentina. S.M.G.C. is a member of the Research Career from the National Research Council (CONICET) from Argentina.
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