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Infection and Immunity, August 2005, p. 5152-5159, Vol. 73, No. 8
0019-9567/05/$08.00+0 doi:10.1128/IAI.73.8.5152-5159.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Department of Microbiology,1 Department of Pathology, University of Chicago, Chicago, Illinois,2 Department of Microbiology and Molecular Genetics, Michigan State University, East Lansing, Michigan3
Received 13 December 2004/ Returned for modification 23 February 2005/ Accepted 24 March 2005
| ABSTRACT |
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| INTRODUCTION |
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Some, but not all, bubonic plague victims survive the disease, even without therapy, and appear to develop immunity (12, 48). Burrows discovered Y. pestis LcrV as a protective antigen which stimulates humoral immune responses in experimental animals that afford protection against plague infection (10, 11). Based on these observations, several laboratories developed recombinant LcrV subunit vaccines, either alone or in combination with other Y. pestis proteins, and demonstrated that a humoral immune response to LcrV confers plague protection in experimental animals (2, 21, 25, 31, 32, 47). Brubaker and colleagues first showed that LcrV injection of animals stimulates the release of interleukin 10 (IL-10), a cytokine that suppresses innate immune functions (8, 34). LcrV injection also prevents the release of proinflammatory cytokines, such as gamma interferon (IFN-
) or tumor necrosis factor alpha (TNF-
), during plague or other bacterial infections (34). Recent results suggested that the immune modulatory properties of LcrV involve the signaling functions of Toll-like receptor 2 (TLR2) and CD14, imposing a systemic suppression of innate immune functions that prohibits the use of LcrV as a plague vaccine in humans (40-42).
LcrV is secreted in massive amounts via the type III pathway of Y. pestis during infection, and mutations that abrogate the bacterial expression of LcrV or the type III machinery render Yersinia variants avirulent (10, 43). PcrV, the Pseudomonas aeruginosa homolog of LcrV, is also secreted during infection and can be exploited as a protective antigen to prevent Pseudomonas lung infections (39). In contrast to LcrV secreted by pathogenic Yersinia spp. (Y. enterocolitica, Y. pseudotuberculosis, and Y. pestis) (6, 8), PcrV neither activates IL-10 release nor prevents proinflammatory cytokine responses during infection, suggesting that the immune modulatory and protective antigen properties of LcrV may represent separable entities (see Fig. 1 for a comparison of Yersinia LcrV and Pseudomonas PcrV). To test this hypothesis, we generated small deletions in LcrV and examined purified recombinant variants for their immune modulatory properties.
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| MATERIALS AND METHODS |
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Animal immunization and challenge with Y. pestis strain KIM D27. Groups of 6- to 8-week-old female BALB/c mice (Charles River Labs, MA) were immunized by intramuscular injection into the hind leg with 50 µg of purified protein that was preadsorbed to adjuvant by mixing with 50 µl 50% (vol/vol) Alhydrogel. On day 21 following primary immunization, mice were boosted with a second injection of the same antigen at an equal dose. Blood samples were withdrawn via periorbital bleeding before immunization and on days 7, 14, 28, and 42 after primary immunization. Following blood clotting, sera were retrieved from the supernatants of samples centrifuged at 1,000 x g and used for measurements of antibody production. Immunized animals were challenged on day 43 by retro-orbital injection with 0.1-ml aliquots of either 10 or 1,000 50% lethal doses (LD50s) of Y. pestis strain KIM D27 (1 x 103 or 1 x 105 CFU) (9). For this experiment, Y. pestis KIM D27 was grown in heart infusion broth (HIB; Difco) at 26°C overnight, diluted 1:20 in fresh HIB, and grown for 3 h at 26°C until the culture reached an OD600 of 1.0. Plague bacilli were washed and diluted in sterile PBS. Animals were anesthetized for this procedure by injecting a cocktail of 17 mg/ml of ketamine (Ketsed; Vedco) and 0.7 mg/ml of xylazine (Sigma) intraperitoneally. Mice were infected by retro-orbital injection with bacterial suspensions and observed for 14 days, and deaths were recorded. Surviving animals were euthanized at the end of the observation period. Serum immunoglobulin G (IgG) levels with specific antigen binding activity were determined by a custom enzyme-linked immunosorbent assay (ELISA) at the GLRCE Immunology Core at the University of Chicago. All animal experiments were performed in accordance with institutional guidelines following experimental protocol review and approval by the Institutional Biosafety Committee and the Institutional Animal Care and Use Committee.
Macrophage assays.
Peritoneal cavities of 6- to 8-week-old C57BL/6 mice (Jackson Laboratories, ME) were washed with cold, serum-free Hanks' balanced salt solution. Cells were plated in triplicate at a density of 5 x 105 cells/well, using 48-well dishes and serum-free RPMI. After 2 h of incubation at 37°C in an atmosphere with 5% CO2, plates were carefully washed three times with prewarmed serum-free medium to remove nonadherent cells and with fresh RPMI containing 10% fetal calf serum (Gemini Bio-Products, CA), 2 mM L-glutamine (Gemini Bio-Products, CA), 100 U/ml penicillin (Gemini Bio-Products), 100 U/ml streptomycin (Gemini Bio-Products), and 50 µM ß-mercaptoethanol. More than 95% of the adherent cell population was composed of macrophages, as determined by morphology and flow cytometric analysis. Macrophage cultures were propagated for 2 hours with or without 1 µg/ml LPS prestimulation. Macrophage preparations were treated with the following reagents: LPS (1 µg/ml), rLcrV (10 µg/ml), rV1 to rV11 (10 µg/ml), rPcrV (10 µg/ml), and PBS. Macrophage culture supernatants were collected 18 h after the addition of proteins and analyzed by ELISAs for the concentrations of IL-10 (BD Biosciences, CA) and TNF-
(R&D Systems, MN) according to the manufacturers' recommendations.
Human monocytic cells. Human THP-1 cells (ATCC TIB-202) were cultured in RPMI 1640 supplemented with 0.005 mM 2-mercaptoethanol and 10% fetal calf serum and then incubated at 37°C in 5% CO2. THP-1 cells were cultured at a density of 5 x 105 cells/ml and stimulated in triplicate with LPS (1 µg/ml), rLcrV, rV7, rV10, or rV11 (10 µg/ml). Culture supernatants were collected after 18 h of incubation and analyzed by ELISA for IL-10.
| RESULTS |
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Heesemann and colleagues suggested that the immune modulatory properties of rLcrV result from an interaction of the Y. pestis virulence factor with TLR2 and CD14 on the surfaces of immune cells, particularly murine macrophages (41). To examine the role of primary immune cells during IL-10 release and rLcrV-mediated immune suppression, macrophages were isolated from the peritoneal cavities of C57/BL6 mice. Peritoneal macrophages were treated with 10 µg rLcrV or its variants, and cytokine secretion was analyzed after 18 h of culture (Fig. 3). rLcrV induced a 40-fold increase in the release of IL-10 from peritoneal macrophages compared to that seen with PBS alone, consistent with previous observations (41). As a control, rPcrV, the Pseudomonas protective antigen, failed to induce significant amounts of IL-10 release (39). Although many LcrV variants with short deletions displayed modest decreases in cytokine release, two mutant proteins, rV7 and rV10, triggered only small amounts of IL-10 release, as about five- or fourfold less IL-10, respectively, was found in the culture medium of macrophages than in samples treated with wild-type rLcrV (Fig. 3). Surprisingly, rV9, a variant that did not induce protective immunity (see below), triggered IL-10 secretion by murine macrophages. As a control for the maximum activation of cytokine release, the addition of LPS to macrophage cultures caused a 70-fold increase in IL-10 secretion. Together, these results demonstrate that the addition of purified rLcrV to isolated primary murine immune cells stimulates the release of IL-10, whereas the rV7 and rV10 variants, lacking LcrV amino acids 181 to 210 and 271 to 300, respectively, display significant defects in immune modulation.
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and TNF-
(34). The simultaneous injection of purified rLcrV with LPS or heat-killed Y. pestis abrogates the murine release of IFN-
and TNF-
in vivo (34). To test whether rLcrV alone is sufficient to reduce the secretion of proinflammatory cytokines from immune cells activated with LPS, we used murine peritoneal macrophages. The treatment of macrophages with LPS led to an expected 35-fold increase in the secretion of TNF-
(Fig. 4). However, if macrophages were treated with 10 µg rLcrV after 2 h of LPS exposure, the immune cell release of TNF-
was completely blocked (Fig. 4). The addition of rPcrV, rV9, or rV10 caused only a modest reduction in the release of TNF-
from LPS-stimulated macrophages. Together, these data suggest that rLcrV has immune modulatory properties since the addition of rLcrV to murine macrophages not only induced IL-10 but also suppressed LPS-induced TNF-
production. Of importance for vaccine development, TNF-
suppression was reduced in many rLcrV variants, yet only rV10 lost both the ability to induce IL-10 and the ability to suppress TNF-
production. Surprisingly, rV7, a molecule that failed to activate IL-10 release, triggered a significant reduction in the release of TNF-
from LPS-stimulated macrophages, suggesting that the immune modulatory functions of rLcrV may involve multiple signaling pathways in murine macrophages.
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| DISCUSSION |
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Several arguments have been raised both for and against the F1 pilin subunit as a suitable plague vaccine (3, 16). In favor of F1 as a vaccine antigen, plague-infected animals mount an immune response to F1 pilus subunits (4), and immunization with purified F1 alone can raise protective immune responses in mice and guinea pigs (3, 45). However, in contrast to the case for lcrV mutations in the 70-kb pCD1 virulence plasmid, Y. pestis carrying mutations in the caf pilus gene cluster of the 100-kb pMT1 plasmid (23, 27) remains fully virulent in mice and nonhuman primates (16, 19, 50). Furthermore, a challenge of F1-immunized mice or rats with Y. pestis strain CO92 resulted in lethal plague disease with fully virulent caf1 mutant variants that were presumably selected by the presence of a specific antibody (13, 52). A caf1 mutant strain was also isolated from a plague-infected individual during autopsy (53), suggesting that F1 pili may not be absolutely required for the pathogenesis of human plague. Thus, a suitable protective antigen for plague must be essential for virulence to serve in a vaccine, or mutants lacking that antigen will be selected and eventually cause plague disease or death. Considering these arguments for F1, it appears that LcrV is currently the only Y. pestis subunit candidate for vaccine development for use in humans (16).
Nakajima and Brubaker demonstrated that Y. pestis infection in mice is associated with the suppression of endogenous TNF-
and IFN-
in vivo (33, 34). Furthermore, an exogenous supply of TNF-
and IFN-
, of rabbit polyclonal antisera against LcrV, or of a monoclonal antibody against LcrV could protect animals from a lethal infection with Y. pestis (34). The injection of purified recombinant LcrV preparations unequivocally demonstrated that LcrV functions as a protective antigen against plague and that antibodies against LcrV can be passively transferred to naive animals to achieve the same effect, which involves simultaneously blockading IL-10 secretion and restoring endogenous TNF-
and IFN-
release during animal infections with plague bacilli in vivo (34).
LcrV is absolutely required for human or animal infectious disease by three pathogenic Yersinia species, i.e., Y. enterocolitica, Y. pseudotuberculosis, and Y. pestis (6, 26, 43). Heesemann and colleagues showed that TLR2 and CD14, but not TLR1 or TLR4, are required for the release of IL-10 by Yersinia and that deletion of the TLR2 gene resulted in resistance of mice to infections with pathogenic Yersinia spp. (40-42). Taken together, these observations not only document the central importance of LcrV in disease establishment and modulating host immune functions and its use as a protective vaccine antigen but also point to the suppression of host immune responses as a serious obstacle for the vaccination of humans with purified recombinant LcrV.
To identify minimal components for plague vaccines, presumed linear epitopes of LcrV were divided into peptide segments of 30 amino acids or into truncated LcrV molecules lacking 100 or more amino acids (22, 37). Together, these studies showed that immunization with small linear peptide epitopes (30 amino acids) provides no protection against plague, whereas large truncations of LcrV can elicit at least some protective immunity. However, previous studies did not take into consideration the LcrV-mediated IL-10 release and left unresolved whether plague vaccines without immunosuppressive properties can be generated (22, 37). Guided by previous results, we aimed at developing LcrV vaccines with short deletions, preserving the maximum amount of protein sequence and protective antigen property while reducing or abolishing the immune modulatory properties of this virulence factor. Our experiments generated short, 30-amino-acid deletions in LcrV and tested purified proteins for their immunosuppressive properties. A deletion near the C terminus of LcrV, 271-300, satisfied our experimental criteria and displayed significant defects in immune suppression without reducing the protective properties of plague vaccines. Another mutant, rV7, was also unable to stimulate large amounts of IL-10 secretion, but the rV7 polypeptide continued to suppress TNF-
release by LPS-stimulated macrophages. Figure 7 displays the three-dimensional structure of LcrV and the positions of amino acids 271 to 300 within the C-terminal
-12 helix, engaged in a helical coiled coil with
-7 that connects the N- and C-terminal globular domains of LcrV (18, 35). Deletions of residues 271 to 300, i.e., of helix
-12, do not appear to collapse the structural fold of LcrV, as purified rV10 (or any other variant reported here) retained solubility in sedimentation assays, similar to rLcrV (data not shown).
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secretion in C3H/HeJ peritoneal macrophages in a CD14/TLR2-dependent manner (24, 41). These results, together with our observation that large C-terminal truncations of LcrV stimulate IL-10 release (data not shown), suggest then that the introduction of short, discrete LcrV deletions may induce conformational changes in rV10. Even though the molecular determinants of LcrV that alone (residues 31 to 49) are presumed to be sufficient for TLR2/CD14 interaction have not been removed, the predicted conformational changes in rV10 seem to prohibit interactions with pattern recognition receptors of the innate immune system such as TLR2 and CD14 (24). rV2 (deletion of residues 31 to 60) completely failed to suppress TNF-
release from LPS-stimulated macrophages, but it promoted 40% of the IL-10 release of wild-type rLcrV (Fig. 3 and 4). Thus, although LcrV residues 31 to 49 alone are sufficient to promote IL-10 release by immune cells, the deletion of this sequence does not abolish the immune modulatory properties of truncated LcrV molecules, suggesting that additional elements of LcrV may interact with pattern recognition receptors. Although the precise molecular properties of the LcrV interaction with TLR2/CD14 have yet to be elucidated, our data provide the first evidence of plague vaccines that do not suppress innate immune responses of mouse or human macrophages and that may be useful for plague vaccination in animals and, perhaps, humans.
| ACKNOWLEDGMENTS |
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All authors acknowledge membership within and support from the Region V "Great Lakes" Regional Center of Excellence in Biodefense and Emerging Infectious Diseases Consortium (GLRCE; NIH award 1-U54-AI-057153).
| FOOTNOTES |
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