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Infection and Immunity, September 2004, p. 5175-5180, Vol. 72, No. 9
0019-9567/04/$08.00+0 DOI: 10.1128/IAI.72.9.5175-5180.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Department of Microbiology and Immunology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma
Received 23 April 2004/ Returned for modification 8 June 2004/ Accepted 21 June 2004
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B6 mice have been characterized as being resistant to certain infectious agents, such as Leishmania major, that are eliminated from the host or held in check by T helper 1 (Th1) lymphocytes (10). Mouse strains such as BALB/c that are susceptible to this same group of organisms develop Th2 responses preferentially (13). Th1 lymphocytes, which are essential to a CMI response, produce gamma interferon (IFN-
) upon restimulation with the immunogen, whereas Th2 cells, which are essential to the humoral immune response, produce interleukin-4 (IL-4) (23). Protection against the group of infectious agents eliminated by the CMI response is mediated by IFN-
-activated macrophages, which then make greater quantities of toxic substances such as nitric oxide (NO) and oxygen intermediates that kill the organisms (4, 20). Macrophages from the Th1 mouse strains, such as B6 mice, are more readily activated by IFN-
to produce NO than are macrophages from Th2 mouse strains, such as BALB/c (22). C. neoformans is an organism that is cleared from the host primarily by CMI, and IFN-
is essential for protection (24). Consequently, it would be anticipated that B6 mice, which tend to respond to antigens with a Th1 response, should be resistant to C. neoformans and should develop a strong anticryptococcal CMI response. The reports (15) that B6 mice are almost as susceptible as BALB/c mice to C. neoformans infection do not fit this logic. Furthermore, the conflicting results that we have obtained with regard to resistance of B6 mice to C. neoformans infection need to be explained.
Considering that the CMI response is an important protective mechanism against C. neoformans (24), one would expect that mice lacking significant CMI responses to cryptococcal antigen would be more susceptible to cryptococcosis than mice that develop a strong anticryptococcal CMI response during the infection. Thus, the objective of this investigation was to gain an understanding of the reasons for the conflicting results of susceptibility of B6 mice to a cryptococcal infection and to define a parameter(s) that is important in development of the anticryptococcal CMI response. We hypothesized that 6- to 7-week-old B6 mice would respond differently to C. neoformans or cryptococcal antigens than mice that were 10 or more weeks of age. B6 mice are used extensively to study infectious diseases, such as cryptococcosis, because so many gene knockouts are on the B6 background. Consequently, to interpret results from B6 mouse studies it is necessary to understand the effects of age on the protective immune response in B6 mice.
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Maintenance of endotoxin-free conditions. All experiments were performed under conditions that would minimize endotoxin contamination. Endotoxin-free plasticware was used whenever possible. Glassware was heated for 3 h at 180°C. Reagents were tested for endotoxin contamination by the chromogenic Limulus amebocyte lysate assay (Whittaker Bioproducts, Inc., Walkersville, Md.) and contained less than the minimal detectable level of endotoxin (0.1 endotoxin unit/ml).
Cryptococcal isolate and infection of mice. C. neoformans isolate 184A, which is a weakly encapsulated isolate, was used throughout this investigation. This serotype A isolate was originally obtained from L. Friedman (Tulane University School of Medicine). The organism was maintained in the laboratory by serial passage on Sabouraud's dextrose agar. A new stock was established from frozen stocks every 2 months. Prior to infecting mice, C. neoformans 184A was grown on Sabouraud's dextrose agar for 24 h at room temperature. Mice were infected with 184A by injecting 105 cryptococci intravenously or by intratracheal instillation of 105 cryptococci. The method for surgical intratracheal infection has been published previously (3). CFU of cryptococci in lungs, liver, spleen, and brain were determined 1 week following intravenous infection or 8 weeks after intratracheal infection.
Preparation of soluble cryptococcal antigen. Cryptococcal culture filtrate antigen (CneF) was prepared from C. neoformans 184A by the method of Buchanan and Murphy (5). The preparation used in this investigation had a protein content of 0.281 mg per ml as determined by the bicinchoninic assay (Pierce Chemical Co., Rockford, Ill.) and a carbohydrate content of 5.36 mg per ml as determined by the phenol-sulfuric assay (7). Based on the Limulus assay, this lot of CneF had a reaction that was less than 0.1 endotoxin unit per ml.
Immunization with cryptococcal CneF antigen. Mice were immunized by subcutaneous injection of 0.1 ml of an emulsion of equal volumes of CneF and complete Freund's adjuvant (CneF-CFA) in two separate sites at the base of the tail. Control animals were similarly injected with sterile physiological saline solution (SPSS) emulsified in CFA (saline-CFA). Mice were evaluated for their delayed-type hypersensitivity (DTH) response to CneF 7 days following immunization. In some experiments immunized mice were challenged with 105 viable cryptococci intravenously followed by analysis of cryptococcal CFU in tissues 7 days following infection.
Passive transfer of thymocytes. Thymocytes were harvested from 2-week-old B6 mice or from 10-week-old B6 mice. After passage through a 60-gauge wire screen to obtain a single-cell suspension, the cells were pelleted by centrifugation and treated with Tris-NH4Cl (pH 7.2 to 0.83% NH4Cl) to remove any contaminating red blood cells. Following two additional washes in SPSS, the cells were counted and suspended to a concentration of 2 x 108 per ml. A 0.5-ml aliquot of the cell suspension (108 cells per mouse) was administered to 6-week-old recipient B6 mice by intravenous injection.
Depletion of NK1.1+ T cells from thymocyte suspensions by MACS. Single-cell suspensions of 5 x 108 thymocytes from 10-week-old B6 mice were treated with 0.5 mg of biotinylated immunoglobulin G2a (IgG2a; BD Biosciences, San Diego, Calif.) or 0.5 mg of biotinylated anti-NK1.1 (IgG2a; BD Biosciences). The cells were incubated in the refrigerator for 15 min. NK1.1+ cells were removed from the cell suspension by passage over a Vario magnetic-activated cell sorter (MACS) LD column (Milteyni Biotech, Inc., Auburn, Calif.) according to the manufacturer's instructions. Control cells (treated with biotinylated IgG2a) were passed over the MACS column in a similar fashion. Analysis of fractions by flow cytometry showed that the MACS depletion lowered the number of NK1.1+ T cells in the thymocyte population from 6.1 to 1.0%. Cells that passed through the column (NK1.1- or isotype-depleted fraction) were transferred intravenously (3 x 107 cells/mouse) to naïve recipients immediately prior to immunization with CneF-CFA or saline-CFA. A control group was included that received 0.5 ml of SPSS intravenously in place of the thymocyte suspension.
Elicitation of the anticryptococcal DTH response. The hind footpads of mice were measured with a gauge micrometer. Immediately thereafter, 30 µl of SPSS was injected into the left footpad of the mice and 30 µl of CneF was injected into the right footpad. The footpads were measured a second time 24 h later. The increase in footpad swelling was calculated by subtracting the thickness of the footpad prior to injection from the thickness at 24 h after injection. The CneF-specific response was calculated by subtraction of the swelling of the SPSS-injected footpad from the swelling of the CneF-injected footpad.
Analysis of cryptococcal CFU in tissues. Groups of five experimental mice were euthanized 8 weeks after intratracheal infection or 7 days after intravenous infection with 105 C. neoformans 184A cryptococci. The brain, liver, spleen, and lungs of the mice were removed to evaluate numbers of cryptococcal CFU in the tissues. Each organ was homogenized in 5 ml of SPSS, and dilutions of the homogenate were plated in duplicate on Sabouraud's dextrose agar plates. CFU were enumerated after 3 days of incubation at room temperature.
Statistical analysis. When two groups were compared, Student's t test was used for statistical analysis, and when more than two groups were compared statistical comparisons were made with an analysis of variance (ANOVA) and the Bonferroni posttest. Data with a P value of 0.05 or less were considered to be significantly different. Each experiment was repeated a minimum of two times.
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FIG. 1. DTH responses of 7-week-old and 15-week-old B6 mice immunized with saline-CFA or CneF-CFA 7 days prior to footpad testing. Data represent the mean increase (expressed in inches) ± the standard error of the mean of footpad swelling from five animals per group. P values were determined using Student's t test. Footpad swelling in CneF-injected footpads of mice that were immunized with CneF-CFA was significantly greater than in the CneF-injected footpads of mice immunized with saline-CFA (P < 0.001).
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TABLE 1. C. neoformans CFU in tissues of 7-week-old and 15-week-old B6 mice following intratracheal infectiona
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FIG. 2. Cryptococcal CFU from brain, spleen, liver, and lungs of 6-week-old and 15-week-old B6 mice infected with 105 C. neoformans cryptococci intravenously. Mice were infected 7 days after immunization, and CFU were determined 7 days following infection. Numbers of CFU represent the mean ± standard error of the mean of total organ CFU obtained from five individual mice per group. P values were determined using Student's t test.
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FIG. 3. DTH responses of 6-week-old B6 mice treated intravenously with 0.5 ml of saline, 108 thymocytes harvested from 2-week-old B6 mice, or 108 thymocytes harvested from 10-week-old B6 mice just prior to immunization with CneF-CFA or saline-CFA. Mice were footpad tested 7 days after immunization. Data represent the mean increase (expressed in inches) ± the standard error of the mean in footpad swelling from five animals per group. P values were determined using ANOVA followed by the Bonferroni posttest. Footpad swelling in CneF-injected footpads of mice that were immunized with CneF-CFA was significantly greater than in the CneF-injected footpads of mice treated with saline-CFA (P < 0.001 for all groups). NS, not significant.
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FIG. 4. DTH responses of 6-week-old B6 mice that were treated with 0.5 ml of saline, 108 thymocytes harvested from 10-week-old B6 mice, or 3 x 107 thymocytes harvested from 10-week-old B6 mice and depleted of NK1.1-positive cells or treated with 3 x 107 thymocytes harvested from 10-week-old mice and treated with isotype control antibody. Data represent the mean increase (expressed in inches) ± the standard error of the mean in footpad swelling from five animals per group. P values were determined using ANOVA with the Bonferroni posttest. Footpad swelling in CneF-injected footpads of mice that were immunized with CneF-CFA was significantly greater than in the CneF-injected footpads of mice treated with saline-CFA (P < 0.001 for all groups).
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In the present investigation direct comparison of cryptococcal CFU from C. neoformans-infected B6 mice showed that 6- or 7-week-old B6 mice did not clear the organism from tissues as well as did 15-week-old B6 mice. The difference in clearance of organisms was reflected in the relative abilities of mice of these two ages to respond with a strong anticryptococcal CMI response following immunization with CneF-CFA. On the other hand, following immunization with CneF-CFA, infected 6-week-old mice cleared cryptococci from most organs in a manner similar to CneF-CFA-immunized 15-week-old B6 mice with the exception of the lung. In the lung, significantly more organisms were found in immunized 6-week-old mice that were challenged with a cryptococcal infection than were found in immunized and infected 15-week-old animals. The enhanced clearance in lungs of immunized 15-week-old B6 mice compared to immunized 6-week-old mice may be sufficient to have an overall long-term impact on progression of cryptococcosis if the organism enters the body via the respiratory route. In fact, our data from the CFU analysis of 7- and 15-week-old mice infected by the respiratory route support this concept.
Recently, a link between the innate and adaptive immune responses has been established, with NK cells and NKT cells playing a role in directing the differentiation pathway (Th1 versus Th2) followed by CD4+ T cells after antigenic stimulation. Originally it was thought that NK cells secreted IFN-
and contributed to Th1 development, while NKT cells secreted IL-4 and contributed to Th2 development (21). However, later reports showed that NKT cells can also secrete large amounts of IFN-
upon TcR engagement (21). Thus, NKT cells can secrete both IL-4 and IFN-
and contribute to the development of the CMI response. NKT cells have a very limited T-cell receptor repertoire, with a V
14-J
281 V
chain and Vß chains skewed to use of Vß8.2, Vß7, and Vß2 (9, 29). The activation of NKT cells is restricted to the major histocompatibility complex-like molecule CD1d. The natural ligand for the receptor is not known, but the receptor can be detected by the binding of CD1d tetramers loaded with a synthetic glycolipid,
-galactosylceramide (
-Gal-Cer) (19). After engagement of the TcR with
-Gal-Cer, the cells rapidly secrete large amounts of IL-4 and IFN-
, suggesting that these cells play an important role in regulating immune responses (28). The contribution of NKT cells to some microbial infections that are controlled by CMI has been reported. These analyses demonstrated that NKT cells do not contribute to immunity in Mycobacterium tuberculosis (2) or Salmonella enterica serotype Choleraesuis (16) infections but are important for immunity to Listeria monocytogenes (27), Toxoplasma gondii (26), and C. neoformans (17).
Studies of the maturation of NKT cells in B6 mice revealed that the cell type does not fully mature until the 10th week of life (8). During early maturation, NKT cells secrete large amounts of IL-4 and very little IFN-
. After the 10th week of life, NKT cells from B6 mice are characterized by secretion of relatively more IFN-
than IL-4 (8). For this reason, we hypothesized that the level of maturation of NKT cells may be responsible for the age-related differences in CMI that were detected in our studies of B6 mice of different ages, since IFN-
is essential to drive the development of the CMI response (1). Mature NKT cells can be recognized by their expression of the restricted TcR detected with the
-Gal-Cer-CD1d tetramer and having the phenotype NK1.1+ DX5(8). Based upon this expression profile, Gadue and Stein (8) found that only 4% of the NKT cells in the thymus of 2-week-old B6 mice are mature. This number increased gradually to 16% of the NKT cells being mature at 4 weeks of life and 49% being mature by the 10th week of life. Our initial experiments determined the ability of thymocytes harvested from 10-week-old B6 mice to improve DTH responses of 6-week-old mice immunized with CneF-CFA. Negative controls included mice that received thymocytes from 2-week-old mice as a source of immature NKT thymocytes. These experiments showed that transfer of 10-week-old thymocytes to 6-week-old B6 mice just prior to immunization significantly improved the ability of the mice to develop an anticryptococcal DTH response induced by CneF-CFA immunization. Further experiments showed that removal of NK1.1+ cells from the thymocyte suspension of 10-week-old mice eliminated the ability of the thymocyte population to augment the anticryptococcal DTH response. Kawakami and coworkers (17) reported that NKT cells play an important role in anticryptococcal immunity and that these cells accumulate rapidly in the lungs of B6 mice following intratracheal infection. We speculate that accumulation of more-immature NKT cells (secreting IL-4) in the lungs of 7-week-old mice, compared to mature NKT cells (secreting IFN-
) that would accumulate in the lungs of mice over the age of 10 weeks, sets up local conditions in the lung that favor the persistence of the infection in the lungs. This agrees with the data reported here, revealing the selective inability of CneF-CFA-immunized 7-week-old mice to clear a cryptococcal lung infection compared to immunized 15-week-old B6 mice.
Previous investigations have shown that mice that respond to cryptococcal immunization with a classical DTH reaction induced by CneF-CFA are highly resistant to infection with C. neoformans (25). In this investigation we report that relatively young B6 mice do not develop a strong DTH response following immunization with the cryptococcal vaccine CneF-CFA, while mice that are 14 to 15 weeks old respond with a very strong DTH response. This observation, coupled with those in this paper revealing the importance of NK1.1+ T cells for the development of the DTH response, helps explain the conflicting results obtained by various investigators who have studied the susceptibility of B6 mice to infection with C. neoformans.
We are indebted to Anny Alsup and Fredda Schafer for their excellent technical assistance.
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