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Infection and Immunity, May 2005, p. 2744-2750, Vol. 73, No. 5
0019-9567/05/$08.00+0 doi:10.1128/IAI.73.5.2744-2750.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Department of Microbiology, Leprosy Research Center, National Institute of Infectious Diseases, 4-2-1 Aobacho, Higashimurayama, Tokyo 189-0002, Japan,1 Department of Microbiology, Colorado State University, Fort Collins, Colorado 80523-16772
Received 22 October 2004/ Returned for modification 1 December 2004/ Accepted 7 January 2005
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M. leprae is the causative agent of human leprosy, for which a broad disease spectrum is clinically observed (34). Most individuals infected with M. leprae do not manifest leprosy, but a few manifest the disease, depending on their immunological status. The representative spectra are the tuberculoid, or paucibacillary (PB), leprosy and the lepromatous, or multibacillary (MB), leprosy. In the former disease spectrum, localized skin and nerve lesions are observed, and T cells act chiefly to localize bacterial spread and, thus, disease lesions (20, 31, 36). In contrast, in the latter disease spectrum, such cell-mediated immune responses are not efficiently evoked; rather, T cells show M. leprae antigen (Ag)-specific anergic responses. In both types of leprosy, the protective effect of antibody (Ab) is not observed. These observations indicate that the bacterial component Ags capable of modulating immune responses should be identified. Previously it has been demonstrated that monocyte-derived dendritic cells (DCs), which are the most potent antigen-presenting cells (APCs), are capable of stimulating both memory and naïve CD4+ and CD8+ T cells (14, 15, 21). Also, we reported that DCs played a central role in stimulating T cells (10, 18, 22); however, macrophages stimulated T cells less efficiently. Furthermore, we showed that among subcellular components of M. leprae, the cell membrane fraction was quite antigenic and contained molecules which stimulated DCs to produce interleukin-12 (IL-12) p70 (22). However, the molecules associated with DC activation have not been elucidated. For identification of an APC-associated immunomodulator, the following issues should be addressed: (i) the ability of the immunogen to activate APCs, including both DCs and macrophages; (ii) the ability of the immunogen to be processed and presented on the surfaces of these APCs, because mycobacteria are intracellular parasitic pathogens. In this context, we fractionated the M. leprae-derived cell membrane fraction, screened the fractions for such a protein by using DCs as APCs, and subsequently evaluated the newly identified molecule, major membrane protein II (MMP-II), in terms of innate immunity.
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Fractionation of M. leprae protein and N-terminal sequencing. The fractionation of the mycobacterial proteins into cell wall, membrane, and cytosolic fractions was carried out according to previous reports (13, 18, 22). Briefly, the mycobacterial suspension was mixed with zirconium beads in the presence of protease inhibitors at a ratio of approximately 1:1 (vol/vol) and homogenized using Beads Homogenizer, model BC-20 (Central Scientific Commerce, Tokyo, Japan), at 1,500 rpm for 90 s three to four times. The beads were separated, and the suspension was centrifuged at 10,000 x g for 30 min. The supernatant was then further ultracentrifuged at 100,000 x g for 1 h. The resulting pellet was suspended in phosphate-buffered saline, washed twice, and taken as the membrane fraction. For the identification of M. leprae antigenic molecules, the membrane fraction was further fractionated using a fast protein liquid chromatography system (Amersham Bioscience, New Jersey). Four hundred micrograms of protein was run on a Superose 12 column (Amersham Bioscience) in 50 mM Tris-HCl, 0.5 M NaCl, and 0.5% 3-[(3-cholamidopropyl)-dimethylammonio]-1-propanesulfonate (CHAPS) at a flow rate of 0.5 ml/min. Fractions were collected, concentrated, buffer exchanged to 50 mM Tris-HCl using Microcon centrifuge filter units YM-3 (Millipore, Bedford, MA), and run on a 12% sodium dodecyl sulfate (SDS)-polyacrylamide gel. The gel was stained with "Daiichi" silver stain (Daiichi Pure Chemicals Co., Ltd., Tokyo, Japan) according to the manufacturer's instructions. Western blotting was performed using PB patients' pooled sera, at a dilution of 1:25, which had been preadsorbed with the M. leprae cytosolic fraction. Alkaline phosphatase-conjugated goat anti-human immunoglobulin G (IgG) (Biosource, Camarillo, CA) was used as the secondary Ab, and detection was performed by using the nitroblue tetrazolium (NBT)/5-bromo-4-chloro-3-indolylphosphate (BCIP) reagent (Calbiochem, San Diego, CA). N-terminal peptide sequencing of the protein which reacted to the sera was performed at the Center for Instrumental Analysis, Hokkaido University.
Analysis of cell surface Ags. The expression of cell surface Ags on DCs was analyzed using FACScalibur (Becton Dickinson Immunocytometry Systems, San Jose, CA). Dead cells were eliminated from the analysis by staining with propidium iodide (Sigma Chemical Co., St. Louis, MO), and 104 live cells were analyzed. For analysis of cell surface Ags, fluorescein isothiocyanate-conjugated MAbs against HLA-ABC (G46-2.6; PharMingen, San Diego, CA), HLA-DR (L243; PharMingen), CD86 (FUN-1; PharMingen), and CD83 (HB15a; Immunotech, Marseille, France) were used. A murine MAb against MMP-II was raised by immunizing a mouse with purified MMP-II. The optimal concentrations of MAbs were determined in advance.
Identification and purification of MMP-II. The MMP-II gene was PCR amplified from M. leprae chromosomal DNA and cloned into an Escherichia coli expression vector. Briefly, the MMP-II gene was inserted into the expression plasmid pET28 (Novagen Inc., Madison, WI) and transformed into E. coli strain ER2566 (New England Biolabs Inc., Beverly, MA). The expressed protein was eluted using Whole Gel Eluter (Bio-Rad Laboratories, Hercules, CA) and used for all experiments. The amount of lipopolysaccharide (LPS) in the purified MMP-II protein was determined by using a Limulus amebocyte lysate assay (Whittaker Bioproducts, Walkersville, MD) and found to be less than 70 pg per mg of MMP-II, a level that did not affect the maturation of DCs.
Assessment of APC function of DCs pulsed with cell membrane fractions.
The ability of DCs pulsed with various fractions of the M. leprae cell membrane to stimulate autologous T cells was assessed using an autologous stimulator-T-cell mixed reaction as previously described (10, 24). The Ag-pulsed DCs were treated with 50 µg/ml of mitomycin C, washed extensively to remove extracellular Ags, and used as a stimulator. T cells were prepared as follows: freshly thawed PBMCs were depleted of major histocompatibility complex (MHC) class II+ cells by using magnetic beads coated with a MAb to MHC class II Ag (Dynabeads 450; Dynal) and were further treated with beads coated with either a CD4 or a CD8 MAb to select T cells negatively as previously reported (10). The purity of CD4+ T cells or CD8+ T cells was more than 98%. The supernatant of the stimulator-T-cell mixture was collected on day 4 of coculture, and the level of gamma interferon (IFN-
) produced was measured by an Opt EIA Human ELISA Set (BD PharMingen International).
Assessment of cytokine production.
Levels of the following cytokines were measured: tumor necrosis factor alpha (TNF-
), IL-10, and IL-12 p70 produced from either macrophages or DCs by stimulation with MMP-II for 24 h in the presence or absence of a soluble form of CD40L (Pepro Tech). The murine MAb against TLR-2 (clone 2392; IgG1) with neutralizing activity was obtained from Genentech (San Francisco, CA). The optimal concentration of the anti-Toll-like receptor 2 (anti-TLR-2) Ab was determined in advance. The concentrations of IL-12 p70, IL-10, and TNF-
were quantified using the Opt EIA Human ELISA Set enzyme assay kits, available from BD PharMingen International.
Cell transfection and luciferase assay.
Human embryonic kidney cells (HEK293) were obtained from the American Type Culture Collection (Manassas, VA). Cells were cultured in Dulbecco's modified Eagle medium supplemented with 10% FCS, 50 mg/ml penicillin/streptomycin, and nonessential amino acids (Invitrogen, Carlsbad, CA) at 37°C in a humidified incubator with 5% CO2. The cDNA of human TLR-2 was PCR amplified using a human spleen cDNA library (BD Biosciences, San Jose, CA) and inserted into pCIneo (Promega, Madison, WI). HEK293 cells (2 x 104) were transiently transfected with a mixture of plasmids200 ng of pCIneo hTLR2, 25 ng of p5xNF-
B-luc (Stratagene, La Jolla, CA), and 10 ng of pRL-TK-Renilla luciferase plasmid (Promega)using the FuGENE 6 reagent (Roche Molecular Biochemicals, Indianapolis, IN), as previously described (38). Thirty-six hours after transfection, cells were treated with various amounts of glutathione S-transferase (GST), MMP-II, or peptidoglycan (PGN) as a positive control (for TLR-2-dependent luciferase activity) for a further 6 h. The cells were lysed in 70 µl of 1x passive lysis buffer (Promega), and luciferase activity in 10 µl of the cell lysate was measured using the Promega Dual-Luciferase Reporter Assay System according to the protocol provided by the manufacturer. Data were expressed as fold induction relative to the activity of Renilla luciferase, which is an internal control for transfection efficiency.
Statistical analysis. Student's t test was applied to demonstrate statistically significant differences.
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production by DC-stimulated CD4+ and CD8+ T cells derived from PPD-positive healthy individuals (Fig. 2). Among the eight fractions, fractions 4 through 6 seemed to be efficient at stimulating cytokine production by CD4+ T cells, and fractions 4 and 5 appeared to be involved in the activation of both CD4+ and CD8+ T cells. Thus, using these two fractions of cell membrane, we identified one of the antigenic molecules. The pooled PB leprosy sera, preadsorbed with M. leprae cytosol fractions, were used for Western blot analysis of the fractions (not shown). N-terminal sequencing of the serum-reactive bands common to fractions 4 and 5 identified MMP-II as one of the candidates. The presence of MMP-II in fractions 4 and 5 was further confirmed by Western blotting using a MAb against MMP-II (Fig. 3). For the purification of the protein, the MMP-II gene was amplified by PCR from the genomic DNA of M. leprae, and MMP-II protein was subsequently expressed in E. coli by using the T7 expression system (pET-28). The expressed protein was confirmed to be MMP-II by Western blot analysis (not shown), by comparison to purified MMP-II, used as a positive control (donated by P. J. Brennan, Colorado University).
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FIG. 1. M. leprae membrane fractions were separated into eight fractions by gel filtration as described in Materials and Methods. Then 3 µg of each fraction was run on a 12% SDS-polyacrylamide gel, and silver staining of the gel was performed.
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FIG. 2. IFN- production by T cells stimulated with membrane fraction-pulsed DCs. The responder CD4+ and CD8+ T cells (105/well) were stimulated for 4 days with autologous DCs which had been previously stimulated with 10 µg/ml of various membrane fractions of M. leprae obtained by gel filtration. Solid bars, IFN- production from CD4+ T cells; open bars, IFN- production from CD8+ T cells.
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FIG. 3. Western blot of M. leprae membrane fractions. Five micrograms of various membrane fractions of M. leprae was run on a 12% SDS-polyacrylamide gel and transferred to a polyvinylidene difluoride membrane, which was further probed with an anti-MMP-II MAb. An alkaline phosphatase-conjugated anti-mouse IgG Ab was used as the secondary Ab, and the protein was detected with NBT/BCIP reagent.
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, by APCs (Tables 1 and 2). The bioactive form of IL-12 was released from DCs by pulsing MMP-II in the absence of CD40L, and the cytokine production level was enhanced by copulsing DCs with CD40L and MMP-II (Table 1). Obviously IL-12 was not produced from DCs by stimulation with the amount of LPS estimated to be present in 4 µg/ml of MMP-II. Furthermore, DCs produced TNF-
in the presence or absence of CD40L, but they did not produce any significant amount of IL-10 due to MMP-II stimulation. These results suggested that MMP-II could activate DCs and induce their maturation. Macrophages derived from monocytes did not produce IL-12 p70 by stimulation with MMP-II, but they produced TNF-
and IL-10 (Table 2), which are found predominantly in granulomatous mycobacterium-infected lesions. These results indicate that MMP-II also activated macrophages, but macrophages and DCs seem to have distinct functional roles. All cytokines were produced in an Ag dose-dependent fashion.
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FIG. 4. Expression of various molecules on DCs pulsed with MMP-II. Monocyte-derived DCs from healthy individuals (PPD positive) were pulsed with the indicated dose of MMP-II. DCs were gated and analyzed. Solid curves, isotype-matched control IgG; broken curves, the indicated MAb. The number in the top right corner of each panel represents the difference in mean fluorescence intensity between the control IgG and the test MAb. The number in parentheses is the percentage of positive cells. Results of one experiment representative of three separate experiments are shown.
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TABLE 1. Cytokine production from DCs stimulated with MMP-IIa
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TABLE 2. Cytokine production from macrophages stimulated with MMP-IIa
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B-luc, and pRL-Tk-Renilla luciferase were pulsed with MMP-II, significant levels of luciferase activity were induced in an Ag dose-dependent manner, levels comparable to those induced by PGN, a well-defined TLR-2-associated bacterial Ag (Fig. 5). Similar results were also obtained using M. leprae-derived MMP-II. Such changes were not induced by rGST, a negative-control protein. Furthermore, when the surface TLR-2 Ag on DCs was masked by an antagonistic Ab to TLR-2, IL-12 p70 production by DCs stimulated with MMP-II was significantly, though partially, suppressed (Table 3). The isotype-matched control IgG did not affect IL-12 p70 production by MMP-II-stimulated DCs. As expected, the TLR-2-antagonistic Ab did not suppress IL-12 p70 production by DCs stimulated with LPS (a ligand for TLR-4) (not shown). These results indicate that MMP-II might use TLR-2 as its ligand on APCs, resulting in stimulation of DCs.
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FIG. 5. NF- B-dependent reporter gene activity of the TLR2 transfectant was measured after stimulation with or without 10, 100, or 1,000 ng/ml of rGST, MMP-II, or PGN, as described in Materials and Methods. Data are expressed as fold induction relative to the activity of Renilla luciferase, which is an internal control for transfection efficiency in the dual-luciferase reporter assay. Results of one experiment representative of two separate experiments are shown. Assays were done in triplicate, and the results are expressed as means ± standard deviations.
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TABLE 3. Effect of the TLR-2-antagonistic Ab on IL-12 p70 production by DCsa
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MMP-II was originally identified from M. leprae as a major native protein in 1990 (13) and was recognized as being identical to mycobacterial bacterioferritin (32). Purification of MMP-II by reverse-phase chromatography revealed a large molecular mass of 380 kDa and a ferroxidase center residue. MMP-II contains 1,000 to 4,000 atoms of iron per molecule of protein (32). A homology search on the mycobacterial nucleotide database revealed that MMP-II is conserved among M. leprae, M. tuberculosis, and M. avium. The percent homology at the amino acid level is about 86% among these species. The previous studies reported that MMP-II was recognized in vivo by B and T cells. Sera from patients were reported to have higher IgG titers to MMP-II, regardless of the clinical type of leprosy, than sera from healthy individuals (7). Also, T cells from leprosy of both the PB and the MB type were stimulated by MMP-II to proliferate and to produce both IFN-
and IL-5 (29). However, tuberculosis patients or individuals who have had contact with leprosy patients have not been examined yet. Also, the influence of MMP-II on the innate immune response has not yet been clarified.
MMP-II stimulated DCs to produce TNF-
and a bioactive form of IL-12 (IL-12 p70) (Table 1) and induced their maturation, as observed by their phenotypic changes (Fig. 4). Further, MMP-II also stimulated macrophages to produce TNF-
and IL-10 (Table 1). These cytokines were produced by stimulation with either MMP-II derived from M. leprae (not shown) or MMP-II overexpressed in E. coli (Table 1). DCs and macrophages play distinct roles in the host defense against mycobacterial infection (9). DCs are central to the initiation of Ag-specific T-cell responses (6, 27, 36), and in our preliminary experiments, DCs pulsed with purified MMP-II stimulated both CD4+ and CD8+ T cells from PPD-positive healthy individuals to produce IFN-
(not shown). The activated form of macrophage is involved in the formation of tuberculoid granulomatous lesions (5, 9). These results indicate that MMP-II might contribute to the immune regulation of host cells against mycobacteria. Then we investigated what could be the MMP-II ligand that is expressed on APCs. TLR-2 is associated mainly with innate immunity and has been shown to recognize the molecular pattern of pathogens (4, 11, 18, 26, 33). In mycobacterial infection, it has been reported that a 19-kDa lipoprotein isolated from M. tuberculosis ligated TLR-2 (4, 19), and the M. leprae 33-kDa lipoprotein could be another candidate participating in the TLR-2-associated innate immune system (19). In our study using the TLR-2 reporter assay with HEK293 cells, we found that TLR-2 is likely to be involved in the recognition of MMP-II in spite of the fact that MMP-II lacks the triacylated region. This finding surprised us, but a similar ligation of protein to TLR-2 has also been reported for neisserial porins HSP60 and HSP70, which have no posttranslational modification of acylation (2, 25, 39). IL-12 production by MMP-II-stimulated DCs was partially inhibited by a TLR-2-antagonistic Ab, which indicates that other receptors are also involved in signals leading to IL-12 production.
The data in this report, taken together, indicate that MMP-II has an immunomodulating activity and contributes to the activation of innate immunity. Further study should be pursued to evaluate its host defense-associated activity against leprosy and other mycobacterial infections that pose a world-wide threat.
This work was supported in part by funds from the health science research grants Research on Emerging and Re-emerging Infectious Diseases and Grant-in-Aid for Research on HIV/AIDS from the Ministry of Health, Labour and Welfare of Japan.
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