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Infection and Immunity, February 2004, p. 824-832, Vol. 72, No. 2
0019-9567/04/$08.00+0 DOI: 10.1128/IAI.72.2.824-832.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Myd88-Dependent In Vivo Maturation of Splenic Dendritic Cells Induced by Leishmania donovani and Other Leishmania Species
Carl De Trez,1 Maryse Brait,1 Oberdan Leo,1 Tony Aebischer,2 Fabiola Aguilar Torrentera,3 Yves Carlier,4* and Eric Muraille4*
Laboratory of Animal Physiology, Institut de Biologie et de Médecine Moléculaire (IBMM), Université Libre de Bruxelles, Gosselies,1
Laboratory of Parasitology, Université Libre de Bruxelles, Erasme, Belgium,4
Department of Molecular Biology, Max Planck Institute for Infection Biology, Berlin, Germany,2
Departamento of Inmunologia, Escuela Nacional de Ciencias Biologicas, Instituto Politecnico Nacional, Mexico Distrito Federal, Mexico3
Received 8 August 2003/
Returned for modification 16 September 2003/
Accepted 10 November 2003

ABSTRACT
The usual agent of visceral leishmaniasis in the Old World is
Leishmania donovani, which typically produces systemic diseases
in humans and mice.
L. donovani has developed efficient strategies
to infect and persist in macrophages from spleen and liver.
Dendritic cells (DC) are sentinels of the immune system. Following
recognition of evolutionary conserved microbial products, DC
undergo a maturation process and activate antigen-specific naïve
T cells. In the present report we provide new insights into
how DC detect
Leishmania in vivo. We demonstrate that in both
C57BL/6 and BALB/c mice, systemic injection of
L. donovani induced
the migration of splenic DC from marginal zones to T-cell areas.
During migration, DC upregulated the expression of major histocompatibility
complex II and costimulatory receptors (such as CD40, CD80,
and CD86).
Leishmania-induced maturation requires live parasites
and is not restricted to
L. donovani, as
L. braziliensis,
L. major, and
L. mexicana induced a similar process. Using a green
fluorescent protein-expressing parasite, we demonstrate that
DC undergoing maturation in vivo display no parasite internalization.
We also show that
L. donovani-induced DC maturation was partially
abolished in MyD88-deficient mice. Taken together, our data
suggest that
Leishmania-induced DC maturation results from direct
recognition of
Leishmania by DC, and not from DC infection,
and that MyD88-dependent receptors are implicated in this process.

INTRODUCTION
Leishmaniases result from infection with
Trypanosomatidae protozoa
of the genus
Leishmania which are transmitted to mammals by
the bite of an infected phlebotomine sand fly (reviewed in references
5 and
32).
Leishmania parasites induce a large spectrum of diseases
in humans, from cutaneous leishmaniasis to progressive fatal
visceralizing leishmaniasis (VL) or kala azar. Active VL resulting
from infection with members of the
L. donovani complex (such
as
L. donovani) is characterized by fever and hepatosplenomegaly
and usually leads to the death of the infected individual. Although
anti-
Leishmania drugs are available, treatments are toxic and
are not always successful. The development of a safe, effective,
and affordable vaccine should offer a good solution to control
VL.
Several candidate vaccines have already been evaluated in the mouse model of leishmaniases. Narrow-spectrum vaccines used live attenuated or killed parasites (6, 19, 29). They induced low levels of protective immunity in vaccinated patients who displayed a previous positive intradermal reaction to Leishmania (19). Expanded-spectrum vaccines used (i) genetically modified live Leishmania strains causing abortive infection in humans, (ii) recombinant bacteria or viruses carrying Leishmania antigen genes (21), and (iii) defined antigen vaccines such as LeIF (35) and LACK antigen (12). Broad-spectrum vaccines used genes coding for a protective antigen such as FML antigen (34). Evaluation of the protection conferred to patients by the expanded- and broad-spectrum vaccines is still in progress. The selection of parasite antigens used in such vaccination trials is still largely empirical, since information on the factors controlling Leishmania antigen presentation in vivo is lacking. Dendritic cells (DC), a lineage of professional antigen-presenting cells (APC), are known as sentinels of the immune system (36, 23, 16). Numerous studies have indicated that their capacity to activate antigen-specific naïve CD4+ or CD8+ T cells is strongly enhanced by the recognition of microbial products. During this process of maturation, major histocompatibility complex (MHC) class II-encoded and costimulatory molecules (CD40, CD80, CD86,...) are upregulated. The recent discovery of Toll-like receptors (TLRs) which are involved in the recognition of highly conserved microbial products called pathogen-associated molecular patterns has greatly contributed to our understanding of how DC detect pathogens (for reviews, see references 1, 14, and 17). TLRs display conserved cytoplasmic domains allowing them to use common signaling pathways, involving myeloid differentiation marker 88 (MyD88), rather than the interleukin-1 receptor (10).
Splenic DC maturation has been shown to occur in vivo in response to various microbial inflammatory stimuli involving lipopolysaccharide (LPS) (8), CpG oligodeoxynucleotide (CpG ODN) (15), and polyclonal T-cell activators (24, 26). In this study, we analyzed the ability of a Leishmania donovani parasite to induce splenic DC maturation in vivo. We demonstrate that intravenous (i.v.) injection of Leishmania parasites induces migration and maturation of splenic DC in vivo. This process requires live parasites, does not require parasite internalization, and is partially abolished in MyD88-deficient mice.

MATERIALS AND METHODS
Mice, reagents, and parasites.
Female BALB/c and C57BL/6 mice (6 to 8 weeks old) were purchased
from Harlan Nederland (Horst, The Netherlands); RAG mice were
purchased from Jackson Laboratory (Bar Harbor, Maine). MyD88
-/- mice were obtained from Shizuo Akira (Osaka University) and
bred in our own animal facility. The maintenance and care of
mice complied with the guidelines of the Université Libre
de Bruxelles Ethic Committee for the human use of laboratory
animals. Mitogenic anti-CD3e (hamster immunoglobulin) (catalog
no. 145-2C11; American Type Culture Collection [ATCC]) was produced
and purified in our laboratory according to standard procedures.
CpG-ODN 1826 was obtained from the Coley Pharmaceutical Group
(Wellesley, Mass.).
Leishmania promastigotes (
L. braziliensis [MHOM/PE/-/LC2043],
L. donovani [MHOM/ET/67/Hu3:LV9],
L. major [MHOM/IR/-/173 and LRC-L137 V121], and
L. mexicana [MHOM/BZ/82/BEL21])
obtained after passage in BALB/c mice were propagated in vitro
as previously described (
27). Stable genomic integration of
green fluorescent protein (GFP) in
L. major (LRC-L137 V121 strain)
has been described previously (
22). Parasites harvested in stationary
phase after 8 to 10 days of culture growth were centrifuged
(2,500
x g, 10 min, 4°C) and washed three times in RPMI
medium before being used for inoculation into the animals. Heat-killed
parasites were obtained following incubation at 60°C for
20 min.
In vivo treatment.
The indicated doses of anti-CD3 monoclonal antibody (MAb), CpG-ODN, or parasites in phosphate-buffered saline (PBS) were injected i.v. into the lateral tail vein of mice. Control animals were injected with PBS.
Purification of low-density spleen cells.
Spleens were digested with collagenase (CLSIII; Worthington Bio-chemical Corp., Freehold, N.J.), further dissociated in calcium-free medium, and separated into low- and high-density fractions on a Nycodenz gradient (Nycomed, Oslo, Norway), as previously described (20).
Cytofluorometric analysis.
Cells were analyzed by flow cytometry with a FACSort cytometer (Becton Dickinson, Mountain View, Calif.). The cells were preincubated with saturating doses of 2.4G2 (a rat anti-mouse Fc receptor MAb; ATCC) for 10 min before staining to prevent antibody binding to Fc receptors. They were further labeled with phycoerythrin (PE)-coupled N418 (anti-CD11c) or (as indicated) fluorescein isothiocyanate-coupled antibodies, including AF6-120.1 (anti-I-Ab), 3.23 (anti-CD40), and 16-10A1 (anti-CD80) (all from Pharmingen; San Diego, Calif.), and DEC-205 (anti-CD205), 14.4.4-S (anti-I-E k,d), and GL1 (anti-CD86) (available through the ATCC and purified and labeled in our laboratory). Cells were gated according to size and scatter to eliminate dead cells and debris from analysis.
Immunohistochemistry.
The immunohistochemical techniques used in this study are described in detail elsewhere (30). Briefly, spleen samples were harvested and frozen at -80°C. Frozen sections (6 to 10 µm thick) were fixed in acetone for 10 min and transferred to PBS. The sections were treated for 30 min with blocking reagent (Boehringer) (1% in PBS) to saturate the sites of nonspecific reactions. The slides were then stained with biotinylated N418 (anti-CD11c Mab; ATCC). They were further incubated with avidin-biotin-peroxidase complex (Vectastain ABC kit; Vector Laboratories, Burlingame, Calif.) and stained with a solution of diaminobenzidine tetrahydrochloride (DAB tablets; Sigma, St. Louis, Mo.), giving brown precipitates. Digitized images were captured using a charge-coupled-device color camera (Ikegami Tsushinki, Tokyo, Japan) and analyzed using CorelDraw 7 software (Corel, Ottawa, Ontario, Canada).

RESULTS
Leishmania parasites induce migration of splenic DC from marginal zones to T-cell areas.
Since intrasplenic migration is the first detectable reaction
of splenic DC in response to microbial or inflammatory stimuli
in vivo, we studied such migration by immunohistochemistry within
the 48 h following i.v. injection of mice with 10
8 L. donovani parasites. In nontreated animals, most DC (identified as CD11c-expressing
cells) were found in splenic marginal zones and T-cell zones
(Fig.
1A). Injection of mitogenic anti-CD3 antibody (as a positive
control) (
24) or
L. donovani led to the rapid (9 h) relocalization
of most CD11c
+ cells to the white pulp in T-cell-rich areas
around the central arteriole (Fig.
1B and C). At 24 h after
anti-CD3 MAb treatment, CD11c
+ cells were present in the T-cell
area (Fig.
1D). While they were found in red pulp, marginal
zones, and T-cell areas after
L. donovani injection (Fig.
1E),
CD11c
+ cells were gradually (9 to 48 h) lost following both
treatments, as seen by immunohistochemistry results (note the
weak CD11c-specific labeling in Fig.
1F and G) and flow cytometry
results (CD11c
+ cells levels were shown to be 2.5% in control
mice, 0.4% after the 48-h anti-CD3 treatment, and 1.4% after
the 48-h
Leishmania treatment). Reconstitution of splenic DC
populations was observed (consistent with their rapid turnover)
3 to 4 days after treatment (
18) (data not shown).
Leishmania parasites induce DC maturation in vivo.
To investigate the capacity of
L. donovani parasites to induce
splenic DC maturation in vivo, the expression of MHC class II,
CD40, CD80 (B7.1), and CD86 (B7.2) was analyzed by flow cytometry.
DC-enriched low-density spleen cells were purified from
L. donovani-,
mitogenic anti-CD3 antibody (50 µg)-, or CpG ODN (50 µg)-treated
C57BL/6 mice and examined 9 h later for their expression of
markers known to be upregulated during DC maturation. As expected
from previous observations, anti-CD3 (
24) and CpG (
15) injection
led to increased expression of MHC class II, CD40, CD80, and
CD86 (Fig.
2). Similarly, administration of 1
x 10
8 to 5
x 10
8 L. donovani parasites led to a dose-dependent upregulation of
these markers (Fig.
2). Both CD11c-expressing DC subsets (CD11c
+ B220
- CD8
- and CD11c
+ B220
- CD8
+) matured (data not shown).
Other experiments were performed by injecting 10
8 parasites.
To further analyze the DC-maturing properties of
Leishmania parasites, we analyzed the importance of administration methods
and mouse strains. Comparison of i.v. versus intraperitoneal
injection of mitogenic anti-CD3 and
L. donovani in BALB/c and
C57BL/6 mice showed equivalent upregulation of MHC class II
and costimulatory markers on DC (data not shown).
Leishmania parasite-mediated DC maturation requires live parasites.
Interestingly, the requirement for live parasites appeared absolute for the promotion of DC maturation, as demonstrated by the fact that heat-killed parasites did not induce DC maturation (Fig. 3). Note that neither 108 syngeneic spleen cells nor parasite culture supernatant injected i.v. induced detectable DC maturation (Fig. 3), demonstrating that parasite-mediated DC maturation was specific.
Various Leishmania species induce DC maturation in vivo.
Since studies have shown conflicting results regarding the ability
of
Leishmania species to activate cells of the DC lineage in
vitro (
3,
31,
38), we compared the abilities of
L. braziliensis,
L. donovani,
L. major, and
L. mexicana to induce DC maturation
in vivo (Fig.
4). We observed that all tested species induced
DC maturation, as demonstrated by the upregulation of MHC class
II, CD40, and CD86. As previously observed for
L. donovani,
live parasites are strictly required for the induction of maturation.
Leishmania-induced maturation of DC is not due to the internalization of Leishmania parasites in DC.
It has been shown in vitro (
4) and in vivo (
27,
37) that
Leishmania parasites can infect DC, suggesting that parasite-induced DC
maturation can result from direct interaction with DC. To further
analyze the mechanism of
Leishmania parasite-induced DC maturation,
we used a genetically modified strain (
LRC-L137 V121) of
L. major expressing GFP (
22). The results of a kinetic study showed
that footpad lesions induced by wild-type and by GFP-expressing
L. major are similar, suggesting that GFP transfection does
not impair
Leishmania virulence (data not shown). Furthermore,
GFP
+ CD11c
+ cells were detected in the draining lymph nodes
of infected BALB/c mice at 4 weeks following infection (data
not shown). This observation demonstrates that expression of
GFP does not alter the ability of
L. major to infect DC in vivo.
In similarity to the results seen with nonfluorescent
Leishmania strains previously tested, GFP-expressing
L. major induced the
maturation of splenic DC (data not shown) and allowed us to
identify splenic cells able to internalize
Leishmania parasites
in vivo. At 6 h following infection, spleen cells were recovered
and GFP
+ cells were detected by cytofluorometry. A small number
of cells (0.08%) were found positive for GFP expression in spleen
cells from GFP
+ L. major-treated mice (10
6 cells were acquired
for analysis). In contrast, spleen cells from nonfluorescent
L. major-treated mice (used as an internal control) showed a
background of 0.01% (Fig.
5A). The expression of cell surface
markers specific for spleen cell subpopulations was analyzed
with GFP
- and GFP
+ cells from mice injected with an
L. major strain expressing a GFP marker. Data from Fig.
5B show that
most (78%) GFP
+ cells displayed GR1 and CD11b (Mac-1) markers.
Interestingly, GFP
+ cells do not express CD11c or MHC class
II. Identical experiments performed 3 and 9 h after the administration
of GFP
+ parasites gave similar results (data not shown). These
results suggest that DC maturation does not result from parasite
internalization by DC.
Leishmania parasite-mediated DC maturation is independent of B cells, T cells, and GR1+ cells but is partially dependent on MyD88 pathways.
Muraille et al. have recently reported that splenic DC maturation
can be induced by T-cell-dependent (mitogenic anti-CD3, bacterial
superantigens) or T-cell-independent (LPS) pathways (
26). Injection
(i.v.) of
L. donovani parasites appeared not to induce T-cell
activation, as suggested by the absence of CD69 activation markers
on splenic CD3
+ CD4
+ or CD3
+ CD8
+ T cells (Fig.
6A) at 9 h after
infection. Thus, it is not surprising that the absence of T
and B cells in RAG
-/- C57BL/6 mice did not affect the capacity
of
L. donovani to induce DC maturation (Fig.
6B). In contrast,
mitogenic anti-CD3 (used as a control) induced CD69 expression
on splenic T cells (Fig.
6A) but was unable to induce DC maturation
in RAG
-/- mice (Fig.
6B).
As demonstrated previously with GFP-expressing
L. major, splenic
GR1
+ cells can internalize
Leishmania parasites. To test GR1
+ cells having internalized parasites for their possible contribution
to the maturation of DC, we have pretreated mice 24 h before
parasite inoculation with a GR1-specific MAb known to induce
the depletion of GR1
+ spleen cells. This treatment affected
only GR1
+ cells and not CD11c
+ cells (data not shown). As shown
in Fig.
6B, depletion of GR1
+ cells did not affect the ability
of
L. donovani (or that of other species; data not shown) to
induce the maturation of DC in vivo.
MyD88-dependent TLR pathways are involved in induction of DC maturation in response to various microbial products (10). Muraille et al. recently showed that development of a Th1 protective immune response to L. major parasites required functional MyD88-dependent transduction pathways (25). We therefore investigated the role of MyD88 protein in Leishmania-induced DC maturation. We observed a reduced ability of L. donovani to induce DC maturation in MyD88-/- C57BL/6 mice (Fig. 6B). As a control (and consistent with the results of previous studies) (13), CpG ODN-induced DC maturation is completely abolished in MyD88-/- mice (Fig. 6B). In addition, we found no difference between the results of investigations of the kinetics of migration of CD11c+ cells from wild-type and MyD88-/- C57BL/6 mice, suggesting that MyD88 deficiency impaired DC maturation but not DC migration to T-cell areas (data not shown).

DISCUSSION
It is well established that peripheral DC capture exogenous
soluble antigens and migrate to draining lymph nodes, where
they prime naive T cells (
16). In contrast, it is unclear how
immature DC detect or internalize intact pathogens such as
Leishmania parasites. Furthermore, few reports have studied their subsequent
migration and maturation. In vitro models have given conflicting
results regarding the ability of
Leishmania to activate DC-like
cells (
3,
31,
38). These differences might result from the use
of different
Leishmania species, the origin of the DC, and culture
conditions. In this study, we show for the first time that systemic
administration of
Leishmania parasites (
L. braziliensis,
L. donovani,
L. major, and
L. mexicana) induced a full DC maturation
process in vivo (i.e., DC migration to T-cell areas, upregulation
of costimulatory molecules, and DC loss). Similar maturation
profiles were observed for BALB/c (genetically susceptible)
and C57BL/6 (genetically resistant) mice, suggesting that nonprotective
responses are not due to an inability of DC to detect
Leishmania parasites.
In most studies, 1 x 107 to 2 x 107 L. Donovani parasites are used to induce the systemic disease in mice (28, 11). Our experiments demonstrated DC maturation at high doses (1 x 108 to 5 x 108) of parasites. To detect DC maturation in vivo by flow cytofluorometry analyses, it is necessary that most DC mature. We hypothesized that doses of parasites (102 to 103 parasites) at physiological levels (2) only induce asynchronous maturation of a minor fraction of DC which would therefore be undetectable. Moreover, during systemic administration of parasites, it is likely that only a fraction of parasites can interact with splenic DC. Such a dose effect is seen in many in vivo models of DC maturation. For example, only doses of LPS (8), staphylococcal superantigens (25), or bacterial DNA (CpG ODN) (15) administered at high and nonphysiological levels (10 to 100 µg) can induce detectable in vivo maturation of splenic DC.
Leishmania parasites induce DC maturation in RAG-/- mice, demonstrating that this phenomenon is independent of the presence of T and B cells. It has been shown that Leishmania parasites can infect DC (37, 27), suggesting that parasite-induced DC maturation can result from DC infection. In addition, macrophages can also be infected with Leishmania parasites (32) and produce inflammatory factors, such as tumor necrosis factor alpha (33), that are susceptible to promoting DC maturation. To determine whether parasite internalization by DC or other splenic cells is an obligatory step for the induction of DC maturation, we used a genetically modified strain of Leishmania expressing GFP protein. Our results demonstrate that DC are not infected at the time when they mature and that deletion of GR1+ CD11b+ CD11c- cells which are infected by Leishmania parasites does not affect DC maturation in vivo. These results are in accordance with those of a study on splenic DC maturation induced by Salmonella enterica serovar Typhimurium infection in vivo (39). Using a GFP-expressing bacterial strain, these authors have demonstrated that in vitro and in vivo activated DC are mostly uninfected. In a recent study (27), Muraille et al. also investigated how Leishmania parasite infection affects DC fate in vivo. When mice were chronically infected, we observed in situ that a fraction of infected DC (identified as CD11c+ cells) in draining lymph nodes from the primary lesion have reduced levels of MHC class II expression and no detectable expression of CD86 costimulatory molecules. Taken together, these data suggest that in vivo infection of DC by parasites is not required for the induction of DC maturation. Furthermore, maturation can be inhibited even during infection.
MyD88 is an adaptor protein that has been shown to play a key role in the TLR/IL-1R family transduction pathways (1, 14, 17). Recently, Muraille et al. observed that the development of a Th1 protective immune response to L. major parasites requires functional MyD88-dependent transduction pathways (25). The partial inhibition of parasite-induced DC maturation in MyD88-deficient mice argues in favor of an important role for MyD88-adaptator protein in the detection of Leishmania parasites by DC. Recent studies have demonstrated in vitro that TLR-2 binds lipophosphoglycan purified from L. major (9) and glycosylphosphatidylinositol anchors purified from Trypanosoma cruzi (7), demonstrating the presence of TLR ligands on Trypanosomatidae parasites. Globally, these observations suggest that recognition of Leishmania antigens by TLRs might be a prerequisite for DC maturation.
In conclusion, our work demonstrates that maturation of DC in vivo can be induced by L. donovani as well as by other species of Leishmania. The pathways of activation appear to be partially dependent of MyD88-adaptor protein but independent of parasite internalization and of interactions with T cells. Our observations also suggest that since MyD88 is used during Leishmania-mediated DC maturation, TLRs could provide a new and original system for the identification of a novel set of Leishmania antigens of interest for the further development of vaccines.

ACKNOWLEDGMENTS
We thank Domminique Le Ray (Institut of Tropical Medecine, Antwerp,
Belgium) for giving us the strains of
Leishmania parasites.
We are indebted to Alain Wathelet for his diligent technical
assistance.
This work was supported by grants from the Belgian Ministry of Scientific Policy (Action de Recherche Concertée) and the Fonds National de la Recherche Scientifique (FNRS; Crédit aux chercheurs, Brussels, Belgium) and by the Université Libre de Bruxelles (ULB; Brussels, Belgium). E.M. is supported by the Fonds pour la Recherche Médicale (FRM; Bourse d'Acceuil de Chercheur Etranger, Paris, France), and C.D.T. is supported by the ULB.

FOOTNOTES
* Corresponding author. Mailing address for Eric Muraille and Yves Carlier: Laboratory of Parasitology, Faculté de Médecine, Université Libre de Bruxelles, CP616, route de Lennik 808, Brussels B-1070, Belgium. Phone: 32 2 555 61 32. Fax: 32 2 555 61 28. E-mail for Eric Muraille:
emuraille{at}hotmail.com. E-mail for Yves Carlier:
ycarlier{at}ulb.ac.be.

Editor: W. A. Petri, Jr.

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Infection and Immunity, February 2004, p. 824-832, Vol. 72, No. 2
0019-9567/04/$08.00+0 DOI: 10.1128/IAI.72.2.824-832.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
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