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Infection and Immunity, December 2004, p. 7005-7011, Vol. 72, No. 12
0019-9567/04/$08.00+0 DOI: 10.1128/IAI.72.12.7005-7011.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Division of Host Defense, Research Center of Prevention of Infectious Disease, Medical Institute of Bioregulation, Kyushu University, Fukuoka,1 Central Research Institute, Mitsukan Group Co., Ltd., Handa, Japan2
Received 27 April 2004/ Returned for modification 3 June 2004/ Accepted 27 August 2004
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) by macrophage cell lines in vitro via Toll-like receptor 4 (TLR-4) signaling (23, 32, 34, 35). When oral administration of AC-1 was begun immediately after ovalbumin (OVA) immunization, the serum levels of OVA-specific immunoglobulin E (IgE) and IgG1 were significantly decreased and this was accompanied by augmentation of gamma interferon (IFN-
) production. These results suggest that AC-1, a potent IL-12 inducer, suppresses allergic inflammation with IgE production, thus offering an approach for the treatment of allergic disorders.
Protective mechanisms against infection with Listeria monocytogenes, an intracellular bacterium, are mediated by two major waves of host responses (18, 19, 31, 41, 42). The first one is "innate immunity" depending mainly on phagocytes, natural killer (NK) cells and 
T cells (11, 14). The activity of phagocytes is modified by IFN-
produced by NK cells and 
T cells at the early stages during L. monocytogenes infection. The second is "acquired immunity" that is mediated by CD4+ Th1 and CD8+ Tc1 cells (12, 18, 43). T cells initially stimulated in the presence of IL-12 tend to develop into Th1 cells capable of producing IFN-
(5, 16, 37-40). IL-12 produced by macrophages/dendritic cells in the early stage of infection plays an important role in determining whether naive T cells will differentiate into Th1 cells. Microbial adjuvants such as nonmethylated palindromic DNA containing CpG-ODN are potent IL-12 inducers that act via TLRs and enhance protective immunity against L. monocytogenes infection via augmentation of Th1 responses not only by parenteral administration but also by oral administration (20, 30). Thus, oral administration of potent inducers of IL-12 can be used to prevent and control infection with intracellular bacteria in which Th1 responses are important for protection.
At very early time points after the delivery of L. monocytogenes, in tissues such as the liver, the immunostimulatory properties of microbial molecules are assessed by a rapid reduction of the initial bacterial load. Several factors, particularly IL-12 produced by macrophages and dendritic cells and IFN-
produced by NK cells, have been reported to be intensively involved in the early clearance of L. monocytogenes (5, 13, 16, 37-40), suggesting that accumulation of IL-12 p40 is critical for elimination of Listeria at the innate immunity phase responsible for a symbiosis between innate immunity and the T-cell system of resistance of AC-1-treated mice against Listeria infection. Both Th1 and Tc1 response plays a critical role in protective immunity against L. monocytogenes infection. Th1 cells bearing the surface receptor CD4 are generated after infection by various intracellular pathogens for production of IFN-
, and Tc1 cells of cytotoxic CD8+ T cells also produce IFN-
(12, 18).
In the present study, we examined the effects of AC-1, a potent inducer of IL-12 production by macrophages/dendritic cells, on protection against L. monocytogenes. The protection was significantly augmented in mice orally given AC-1. The AC-1-treated mice showed increased levels of IL-12 p40 in serum and augmented CD4+ Th1 and CD8+ Tc1 responses to Listeria antigen in the spleen. The protective effect of AC-1 was diminished in C3H/HeJ mice that carry mutated TLR-4. Thus, AC-1 enhanced antilisterial activity via augmentation of Th1 responses by stimulating macrophages/dendritic cells to produce IL-12 at least partly via TLR-4 signaling. These results suggest possible prophylactic and therapeutic applications of a (1,4)-ß-D-glucan for preventing infection with intracellular bacteria.
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Purification of AC. The polysaccharide AC series of Acetobacter species used in the present study were prepared and purified by a method reported previously (23, 32, 34, 35). Briefly, five strains of polysaccharide-producing Acetobacter species were cultivated in a shaking flask at 30°C for 5 days, and the cells were removed by both centrifugation (10,000 x g) of diluted broth and filtration with celite. The cell-free polysaccharides were precipitated by the addition of isopropyl alcohol, and the precipitate was dissolved in water. Then, 5% aqueous CTAB (cetyltrimethylammonium bromide) solution was added until no more precipitate was formed. The insoluble acidic polysaccharide-CTAB complex was collected by centrifugation and redissolved in 20% sodium chloride solution. After dialysis against running water, the polysaccharide was precipitated with ethanol and dissolved in water. The acidic polysaccharide thus obtained was dialyzed against distilled water and lyophilized. The endotoxin content of AC-1 (100 µg/ml) was estimated by using an endotoxin-specific chromogenic Limulus test (Wako Pure Chemicals, Osaka, Japan) to be 32 pg/ml.
Bacteria. L. monocytogenes, strain EGD, was used in experiments. In some experiments, recombinant L. monocytogenes expressing OVA (rLM-OVA), kindly provided by Subash Sad (Institute for Biological Sciences, Ottawa, Ontario, Canada) was used (10, 28). Bacterial virulence was maintained by serial passages in C57BL/6 mice. Fresh isolates were obtained from infected spleens, grown in tryptic soy broth (Nissui Pharmaceutical Co., Ltd., Tokyo, Japan), washed repeatedly, resuspended in phosphate-buffered saline (PBS), and stored at 70°C in small aliquots. Heat-killed L. monocytogenes (HKL) was prepared by incubating viable L. monocytogenes at 74°C for 120 min.
Challenge with bacteria. Mice were injected intraperitoneally (i.p.) with various doses of L. monocytogenes.
Mice were intragastrically (i.g.) given a suspension of 100 µl of AC-1 (10 mg/ml) or PBS 2 days before and on days 0 and 2 after i.p. inoculation. From preliminary experiments, we determined the most effective schedule of AC-1 administration against listeria infection.
Bacterial growth in PEC, spleen cells, or liver cells. Mice were inoculated i.p. with viable L. monocytogenes in 0.2 ml of PBS on day 0 at the sublethal dose of 105 CFU, which corresponds to one-tenth of the 50% lethal dose for C57BL/6 mice. On day 6 after inoculation, the mice were killed by cutting the cervical artery. Peritoneal exudate cells (PEC) were lavaged with 5 ml of ice-cold Hanks balanced salt solution (HBSS) and harvested after gentle massage. The spleens and livers were removed and separately placed in homogenizers containing 2 ml of HBSS. The organs were completely homogenized, and the homogenates were serially diluted with cold HBSS. These samples were spread onto Trypto-Soya agar plates (Nissui Pharmaceutical Co.), and the colonies were counted after incubation for 24 h at 37°C.
Cell preparation. Spleen cells and PEC were obtained on day 6 after inoculation. Single spleen cell suspensions were prepared by using a glass slide. To enrich T cells, spleen cells were depleted of red blood cells by ammonium chloride-Tris buffer and passed through a nylon wool column (Wako Pure Chemicals, Osaka, Japan).
In vitro stimulation of T-cell-enriched spleen cells.
T-cell-enriched spleen cells from mice infected with Listeria 6 days previously were incubated without any stimulation, with HKL, on immobilized anti-CD3 monoclonal antibody (MAb) in the presence of the mitomycin C-treated syngeneic naive splenocytes for 48 h at 37°C. Culture supernatants were then collected, and the amounts of IFN-
in the culture supernatants were determined by enzyme-linked immunosorbent assay (ELISA).
Analysis of intracellular cytokine synthesis.
The spleen cells from mice infected with Listeria or rLM-OVA 6 days previously were harvested, washed, and suspended at 107 cells/ml in complete culture medium, and they were then incubated with HKL or 5 µg of OVA257-264 peptide/ml for 4 h at 37°C in the presence of 10 µg of brefeldin A (Sigma Chemical Co.)/ml. These cells were harvested, washed, and incubated for 30 min at 4°C with phycoerythrin-conjugated anti-CD44 MAb and Cy-Chrome-conjugated CD4 MAb or CD8 MAb. After surface staining, cells were subjected to intracellular cytokine staining by using the Fast-Immune cytokine system according to the institutions of the manufacturer (Becton Dickinson). The cells were washed and fixed in 1,000 µl of fluorescence-activated cell sorting (FACS) lysis solution (Becton Dickinson) for 10 min at room temperature and then washed again, resuspended in 500 µl of FACS permeabilizing solution (Becton Dickinson), and incubated for 10 min at room temperature. After being washed, the cells were stained with fluorescein isothiocyanate-conjugated IFN-
MAb or fluorescein isothiocyanate-conjugated isotype control rat IgG (Pharmingen) for 30 min at room temperature, and the fluorescence of the cells was analyzed by using a flow cytometer. In some experiments, spleen cells or PEC were stained with anti-CD44 MAb, anti-CD8 MAb, and OVA257-264 H-2Kb tetramer purchased from MBL (Nagoya).
ELISA of cytokines.
IFN-
, IL-12 p40, and TNF-
in the culture supernatants and serum were measured by ELISA (Genzyme, Cambridge, Mass.). ELISAs were performed according to the manufacturer's instructions.
Statistical analysis. The statistical significance of the survival rate was determined by the generalized Wilcoxon test. Other data were analyzed by using the Student t test. A P of <0.05 was taken as significant. Analysis was done by using StatView 4.5 software (Abacus Concept, Berkeley, Calif.).
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FIG. 1. Effect of oral administration of AC-1 on survival rates after i.p. inoculation with a lethal dose of L. monocytogenes. C57BL/6 mice were inoculated i.p. with 106 CFU L. monocytogenes in 0.2 ml of PBS on day 0. Mice were challenged i.g. with a suspension of 200 µl of AC-1 (10 mg/ml) or PBS 2 days before, on the day of, and 2 days after inoculation with L. monocytogenes. *, Significantly different from the value for PBS-treated mice (P < 0.01 by the generalized Wilcoxon's test).
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FIG. 2. Effect of oral administration of AC-1 on bacterial growth in the spleen and liver after L. monocytogenes infection. C57BL/6 mice were challenged i.p. with 0.2 ml of a single cell suspension containing a sublethal dose of L. monocytogenes, and bacterial growth was measured in the spleen and liver on day 6 after infection. The data were obtained from three separate experiments and are expressed as means + the standard deviation (SD) for five mice at each point. Statistically significant differences between AC-1-treated and PBS-treated mice are indicated (**, P < 0.01).
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levels in the sera of AC-1-treated mice after Listeria infection.
We previously reported that AC-1 is a potent inducer of IL-12 p40 and TNF-
by macrophages in vitro (32). We therefore measured the IL-12 p40 and TNF-
levels in serum in AC-treated mice on days 1, 2, and 3 after infection. As shown in Fig. 3, the IL-12 p40 level was significantly higher in the sera of AC-1-treated mice than in the sera of PBS-treated mice at 24, 48, and 72 h after infection (P < 0.01). TNF-
was not detected in serum at these stages after infection in either AC-1- or PBS-treated mice (data not shown).
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FIG. 3. IL-12 production in the sera of AC-1-treated mice after Listeria infection. Sera were collected from AC-1-treated and PBS-treated mice at 24, 48, and 72 h after Listeria infection, and IL-12 protein levels were determined by ELISA. The data were obtained from three independent experiments and are expressed as the means of triplicate determinations ± the SD (**, P < 0.01).
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production by spleen T cells of infected mice in response to Listeria antigen. T cells from mice infected with L. monocytogenes 6 days previously were cultured with HKL in the presence of APC, and IFN-
levels in the culture supernatant were measured 48 h later by ELISA. As shown in Fig. 4, T cells from AC-1-treated mice produced a significantly higher level of IFN-
in response to HKL than did T cells from PBS-treated mice (P < 0.01).
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FIG. 4. Generation of Listeria antigen-specific T cells in AC-1-treated mice. Nylon wool-enriched T cells from AC-1-treated mice or PBS-treated mice on day 6 after Listeria infection were cultured without any stimulation or with HKL and immobilized CD3 MAb in the presence of APC for 2 days. Cytokine activity in the culture supernatants was determined by ELISA. The data are representative of three independent experiments with pooled cells from three AC-1-treated or PBS-treated mice and are shown as the means of triplicate determinations + the SD. Statistically significant differences between AC-1-treated mice and PBS-treated mice are shown (*, P < 0.05). ND, not detectable.
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or of CD8, CD44 and intracellular IFN-
. As shown in Fig. 5, a significant fraction of CD44, CD4+ T cells from both groups of mice infected with L. monocytogenes 6 days previously produced IFN-
in response to HKL. The number of CD4+ Th1 cells producing IFN-
was significantly larger in AC-1-treated mice than in PBS-treated mice at this stage. IFN-
-producing CD8+ cells in response to HKL were not detected in either group (data not shown).
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FIG. 5. Intracellular expression of IFN- by CD4+ T cells from AC-1-treated mice infected with L. monocytogenes. Splenocytes or PEC were pooled from three mice of each group on day 6 after infection and cultured with or without HKL in the presence of brefeldin A for 4 h at 37°C. After culture, the cells were surface stained with anti-CD4 and anti-CD44 MAb. Intracellular cytokine-producing cells were examined by using a flow cytometer and analyzed by gating on CD4+ T cells. The data are representative of two independent experiments with pooled cells from three mice and are shown as typical two-color profiles.
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production in response to OVA257-264 peptide. As shown in Fig. 6B, a higher levels of CD8+ T cells with a high level of CD44 in AC-1-treated mice were stained with intracellular IFN-
than those in PBS-treated mice on day 6 after rLM-OVA infection. Thus, the numbers of Th1 and Tc1 cells in the spleen and PEC of AC-1-treated mice were higher than those in the spleen of PBS-treated mice after Listeria infection.
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FIG. 6. Generation of OVA257-264-specific CD8+ T cells in AC-1-treated mice infected with rLM-OVA. (A) AC-1-treated or PBS-treated mice were inoculated i.p. with 5 x 105 CFU rLM-OVA. On day 6 after infection, spleen cells or PEC from these mice were stained with OVA257-264 Kb tetramer, anti-CD44 MAb and anti-CD8 MAb. The results of flow cytometry are presented as typical profiles after an analysis gate had been set on CD8+ cells. (B) Spleen cells or PEC from AC-1-treated or PBS-treated mice were prepared on day 6 after rLM-OVA infection and cultured with or without OVA257-264 peptide in the presence of brefeldin A for 4 h at 37°C. Intracellular cytokine-producing cells were examined by using a flow cytometer and analyzed by gating on CD8+ T cells.
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FIG. 7. Effect of oral administration of AC-1 on bacterial growth in the spleen and liver from C3H/HeJ mice after L. monocytogenes infection. C3H/HeN and C3H/HeJ mice were challenged i.p. with a sublethal dose of L. monocytogenes (2 x 105 CFU), and bacterial growth was measured in the spleens and livers on day 6 after infection. The data were obtained from three separate experiments and are expressed as means + the SD for five mice at each point. Statistically significant differences between AC-1-treated and PBS-treated mice are shown (*, P < 0.05; **, P < 0.01).
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in response to Listeria antigen. The most important finding in the present study is that an antibacterial effect could be exerted by the oral administration of soluble (1,4)-ß-D-glucan alone. Administration three times over a period of 1 week resulted in prolongation of survival and retardation of bacterial growth in the infected mice. We previously found that oral administration of AC-1 with almost the same schedule inhibited the induction of Th2 response with IgE production in mice (32). (1,4)-ß-D-glucan may have prophylactic and therapeutic applications for preventing not only allergic disorders but also infectious diseases.
(1,4)-ß-D-glucan with branches of glucosyl residues showed a strong activity to induce production of IL-12 p40 and TNF-
by macrophages in vitro via TLR-4 signaling. The molecular size of (1,4)-ß-D-glucan seems to be important for exerting this biological activity because (1,4)-ß-D-endoglucanase treatment abolished the immunomodulatory effects of AC-1, and low-molecular weight (1,4)-ß-D-glucan was less effective (32). Therefore, (1,4)-ß-D-glucan should be absorbed in its original form for in vivo immunomodulatory effects of (1,4)-ß-D-glucan when administered by the oral route in infection development. In the case of (1,3)-ß-D-glucan, the (1,3) backbone and the (1,6)-linked branches with high molecular weight were thought to be important for its immunomodulatory effect (3). (1,3)-ß-D-glucan with high molecular weight appeared in blood after oral administration. This suggests that it entered the blood and behaved pharmacokinetically in a manner similar to that in the case of parenteral administration of ß-glucan. These studies also suggest that processing by the gastrointestinal tract produced ß-glucan with strong activity. Although (1,4)(1,6)-ß-D-glucan may not be processed in the gastrointestinal tract of humans and mice because of a lack of bacteria producing (1,4)-ß-D-endoglucanase in the gastrointestinal tract, it is possible that (1,4)-ß-D-glucan in its original form is absorbed from the digestive tract, stimulating macrophage/dendritic cells in secondary lymphoid tissues. Alternatively, (1,4)-ß-D-glucan may directly stimulate macrophage and dendritic cells to produce cytokines in gut-associated lymphoid tissues. Further investigation is needed to confirm these possibilities.
Naive T cells initially stimulated in the presence of IL-12 tend to develop into Th1/Tc1 cells that produce IFN-
and display cytotoxic activity, which are for induction of cell-mediated immunity against intracellular parasites and tumors (5, 16, 37, 38). Induction of IL-12 production by macrophages/dendritic cells via TLR-4 signaling may be a major mechanism by which AC-1 promotes a Th1/Tc1-biased response to Listeria antigen. AC-1 may exert its antibacterial effect in mice mainly through the production of IL-12, which activates CD4+ Th1 and CD8+ Tc1 cells. IL-12 also exerts its antibacterial effect through enhancement of IFN-
production and cytotoxicity of NK cells (13, 39, 40). In our preliminary study, AC-1-treated mice showed increased NK activity and resistance against major histocompatibility complex class I-deficient malignant melanoma. Therefore, NK cells may contribute to the enhancement of protection against Listeria infection in AC-1 treatment. Furthermore, it has been shown that host defense responses related to ß-glucan include activation of an alternative complement pathway, release of lysosomal enzymes by monocytes, and generation of antimicrobial products such as superoxide and defensins (6, 7, 15, 22, 33). Thus, (1,4)-ß-D-glucan may activate both innate immunity and adaptive immunity, resulting in augmentative protective immunity against L. monocytogenes.
The finding that the protective effect of AC-1 was significantly reduced but not completely abolished in C3H/HeJ mice that carry mutated TLR-4 is notable. We previously showed that TLR-4 is a pattern recognition receptor for AC-1 (32). Consistently, our present results indicate that AC-1 augmented antilisterial activity via augmentation of Th1 responses by stimulating macrophages/dendritic cells to produce IL-12 at least partly via TLR-4. However, receptors other than TLR-4 may also be involved in in vivo immunomodulatory effects of AC-1 (1,3)-ß-D-glucans such as zymosan have been reported to bind to membrane components such as
Mß2 integrin (complement receptor 3) (44, 45), a scavenger receptor, lactosylceramide, and dectin-1 (1, 36). It has been suggested that signals from zymosan are transmitted through heterodimers of TLR-2 and TLR-6 (2, 27), although zymosan is thought to contain multiple stimulators for macrophages in addition to (1,3)-ß-D-glucan. It has recently been reported that curdlan, a linear (1,3)-ß-D-glucan, stimulates the binding of macrophages to pattern-recognition receptors with MyD88 for its signal transduction, although the responsible receptors, including TLRs, have not been identified (17). Although we have excluded TLR-2/TLR-6 heterodimer as a possible pattern recognition receptor for AC-1, other receptors, including other TLR complexes, may be involved in the possible effect of AC-1 on bacteria infection.
In conclusion, oral administration of a (1,4)-ß-D-glucan enhances antibacterial activity against L. monocytogenes via increased IL-12 production and augmented Th1/Tc1 responses. Thus, a (1,4)-ß-D-glucan orally administrated may be applicable to prophylactic and therapeutic use for preventing infection with intracellular parasites.
This study was supported in part by a Grant-in-Aid for Scientific Research on Priority Areas and Young Scientists (B), Japan Society for Promotion of Science, and grants from the Japanese Ministry of Education, Science, and Culture (Y.Y.); Yakult Bioscience Foundation (Y.Y.); Uehara Memorial Foundation (Y.Y.); and Nakamura Jishirou Foundation (T.Y.).
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T cells in primary infection with Listeria monocytogenes in mice. J. Exp. Med. 175:49-56.
. J. Immunol. 152:1883-1887.[Abstract]
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