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Infection and Immunity, November 2006, p. 6075-6084, Vol. 74, No. 11
0019-9567/06/$08.00+0 doi:10.1128/IAI.00721-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
The University of British Columbia, Michael Smith Laboratories, 301-2185 East Mall, Vancouver, BC, Canada V6T 1Z4,1 The University of British Columbia, Department of Cellular and Physiological Sciences, Division of Anatomy and Cell Biology, Life Sciences Centre, 3.401-2350 Health Sciences Mall, Vancouver, BC, Canada V6T 1Z32
Received 4 May 2006/ Returned for modification 10 August 2006/ Accepted 18 August 2006
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In intestinal epithelial cells, tight junctions are the most luminal cell-cell junctions of the apical junction complex (10). These junctions have two functions. One is to act as permeability barriers, separating the luminal environment from the adluminal region of the epithelium; the other is to segregate apically located membrane proteins from those at the basolateral membrane. Tight junctions are often viewed as membrane fusions by transmission electron microscopy because the membranes of adjacent cells are held in extremely close opposition by the transmembrane protein occludin and members of the claudin family that form the junctions (11, 13, 45). Both of these protein groups contain four transmembrane-spanning regions but do not share any sequence homology (reviewed in reference 15). They attach intracellularly to the adaptor molecules zonula occludens 1 (ZO-1), ZO-2, and ZO-3. ZO-1 links the transmembrane proteins to the actin cytoskeleton (9, 45). Work on these two groups of proteins has yielded striking differences as to their importance in maintaining the barrier function of the tight junctions. Studies using occludin null mice have demonstrated that occludin is dispensable with regard to tight junction barrier function (36, 37). These mice, devoid of occludin, have tight junctions that function normally (36). Conversely, mice deficient in all claudins targeted thus far have catastrophic tight junction deficiencies (12, 16, 30). In the colon, claudin-1 (51), -2, -3, -4, and -5 (35) are present in colonocytes.
Until recently, most research on tight junction disruption induced by A/E pathogens has focused on EPEC infections in cell culture (in vitro) (6, 23, 43, 46, 48, 50). Generally it is accepted that in vitro, EPEC causes a redistribution of the tight junction proteins occludin, ZO-1, and claudin-1 as well as a decrease in transepithelial resistance (TER) (26). These alterations are thought to be due to the effector proteins EspF and Map (mitochondria-associated protein) (6, 23, 48). We previously have used a naturally occurring A/E murine infection model to test whether tight junctions are disrupted in vivo (17). This model uses the A/E pathogen C. rodentium to infect mice. This pathogen colonizes the colon, collapses microvilli, and produces a diarrhea-like phenotype in infected mice (22). We demonstrated that C. rodentium disrupts tight junctions in mice and that this disruption is dependent on the bacterial type III effector protein EspF but not Map (17).
Although the
evidence is controversial, it has been hypothesized that inflammatory
effects participate in tight junction alteration during infection
(28). Studies
have shown that the addition of tumor necrosis factor-
to
cultured colonic cells (HT-29/B6) decreases tight junction strands
(14) and that the
addition of both tumor necrosis factor-
and gamma interferon
reduces the expression of claudin-2 but not the expression of claudin-3
and -4 in T84 cells (34).
However, the addition of interleukin-13 increases the expression of
claudin-2, while the levels of claudin-3 and -4 are unchanged in T84
cells (34). This result
occurs with an increase in dextran permeability and a decrease in TER
(34). Western blots of
claudin-1, -2, -3, and -5 from mice deficient in interleukin-2, which
have colonic inflammation, show a dramatic increase in protein levels
in membrane preparations from the colon
(1). In humans with
inflammatory bowel disease a report by Gassler and coworkers
(13a) suggests that
ZO-1, occludin, claudin-1, and claudin-2 are all reduced. These results
are contrary to those in a recent report by Prasad and coworkers
(34) in which they
demonstrate that claudin-2 expression increases and claudin-3 and -4
expression decreases in patients with Crohn's disease and ulcerative
colitis/inflammatory bowel disease.
There is some suggestion that EPEC causes the release of inflammatory mediators in vitro (in cell culture) (4, 38, 41). To date, only one study has attempted to link inflammatory effects with tight junction alteration caused by A/E pathogen infection (39). In that study EPEC-infected cells were pretreated with drugs that inhibit mitogen-activated protein (MAP) or extracellular signal-regulated kinase (ERK) kinase (39). Although these inhibitors have numerous effects on cells in general, they apparently had no effect on the decrease in TER during EPEC infection in vitro (39).
To determine
what role A/E pathogen-induced inflammation has on tight
junctions in vivo, we infected C57BL/6 mice with C. rodentium
and then evaluated the status of colonic tight junctions at a time
point (21 days) when bacteria have been cleared from the colon but
inflammation persists. We confirmed that, at this time point, bacteria
were not attached to colonocytes and that inflammatory cell infiltrate
was evident in the lamina propria. Immunolocalization of claudin-1, -3,
and -5 on infected tissue sections labeled the lateral boundaries of
colonocytes and appeared unaltered compared to uninfected or
escN C. rodentium-infected controls.
Electron microscopy validated these findings by demonstrating
morphologically intact tight junctions. Functional tracer experiments
showed that the tight junctions remained intact as the chemical tracers
were retained in the lumen of the colon without any penetration into
the mucosa. Additionally, we demonstrated that in tissue in which both
bacteria are attached and inflammation persists, tight junctions are
altered only where bacteria are intimately attached. These findings
provide crucial in vivo evidence that the inflammatory response caused
by A/E pathogens does not play a significant role in tight junction
alteration; instead, it is direct bacterial contact that mediates
junctional disruption.
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Animals, bacterial strains, and mouse infections.
Four- to six-week-old female C57BL/6
mice were acquired from the Jackson Laboratory and Charles River
Laboratories. Upon arrival at the University of British Columbia animal
care center, animals were left undisturbed for at least 4 days prior to
oral gavage infections with 4 x 108 to 5 x
108
escN or wild-type C.
rodentium (8).
Infections persisted for 7, 14, or 21 days, at which point the mice
were euthanized by cervical dislocation. All experiments were repeated
at least three times.
Tissue preparation, immunolocalization, and neutrophil staining. Tissue immunolocalization was performed as described previously (17). Briefly, tissue was fixed in 3% paraformaldehyde; 5-µm sections were cut by Wax-It Histology Services, Inc., and treated with 0.2% Triton X-100 in phosphate-buffered saline (PBS; 150 mM NaCl, 5 mM KCl, 0.8 mM KH2PO4, 3.2 mM Na2HPO4, pH 7.3), and samples were washed extensively in PBS and blocked with 5% normal goat serum in PBS containing 0.05% Tween-20 and 0.1% bovine serum albumin (TPBS-BSA). Primary antibodies consisted of rabbit anti-claudin-1, anti-claudin-3, and anti-claudin-5 antibodies used at a concentration of 0.005 mg/ml (Zymed Laboratories, Inc., California) as well as a previously characterized (47) rat serum anti-C. rodentium Tir antibody used at a 1:100 dilution and a rat anti-mouse F4/80 antibody directly conjugated to biotin and used at a concentration of 1.315 µg/ml to 3.85 µg/ml (Serotec) in TPBS-BSA with 1% normal goat serum. These antibodies were incubated on the tissue sections overnight at 4°C. The material was washed extensively with the TPBS-BSA and then incubated for 90 min at 37°C with a goat anti-rabbit secondary antibody conjugated to Alexa 568. The slides were again washed extensively and stained with DAPI (4',6'-diamidino-2-phenylindole). Coverslips were mounted using Vectashield (Vector Labs, Ontario, Canada). The tissue was visualized using a Zeiss Axiophot microscope.
As controls for claudin-1, -3, and -5 immunolocalization, primary antibodies were replaced with normal rabbit IgG at identical concentrations to the primary antibodies. Specific staining was not detected on normal rabbit IgG-stained control sections (data not shown).
Neutrophils were labeled according to the manufacturer's instructions using a Naphthol AS-D Chloroacetate Esterase kit (Sigma). Tissue was counterstained using hematoxylin.
Electron microscopy and thick sections. Two- to three-millimeter sections of colon were excised from euthanized mice and fixed at room temperature for 2 to 3 h by immersion in a solution consisting of 1.5% paraformaldehyde, 1.5% glutaraldehyde, and 0.1 M sodium cacodylate (pH 7.3). The sections of bowel were cut into smaller pieces (1 to 1.5 mm), washed three times (10 min each wash) in 0.1 M sodium cacodylate buffer (pH 7.3), and then postfixed on ice for 1 h in 1% OsO4 in 0.1 M sodium cacodylate (pH 7.3). The material was washed three times in distilled water and then stained en bloc in 1% aqueous uranyl acetate. After 1 h, the samples were washed with distilled water, dehydrated through an ascending series of ethyl alcohols, infiltrated through propylene oxide into resin (EPON 812), and then embedded in resin. Thick sections were cut at a 1-µm thickness, mounted on glass slides, stained with toluidine blue, and then photographed on a Zeiss Axiophot microscope. Thin sections were cut at about 700 Å, mounted on grids, stained with uranyl acetate and lead citrate, and photographed on a Philips 300 electron microscope operated at 60 kV.
Tracer experiments. Tracer experiments have been described previously (17). Briefly, EZ-link Sulfo-NHS-Biotin (Pierce Chemical Co., Illinois) was diluted to 2 mg/ml in PBS-1 mM CaCl2 and slowly injected into the distal colon for 3.5 min. Following this, 1 cm of colon, just cranial to the area contacting the needle, was removed and fixed in 3% paraformaldehyde in PBS for 3 h. The tissue was then washed in PBS and sectioned by Wax-It Histology Services, Inc. Tissue sections were incubated with a 1:500 dilution of streptavidin conjugated to Alexa 488 for 30 min at room temperature and imaged using a Zeiss Axiophot microscope. As controls tissue sections that were not pretreated with biotin were incubated with streptavidin to investigate endogenous biotin activity. These controls were negative (data not shown).
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escN C.
rodentium-infected mice as well as 7-day wild-type C.
rodentium-infected tissue sections. The 21-day time point was
studied because 21 days postinfection, C. rodentium is cleared
by the animal (25), but
significant inflammation persists. The TTSS mutant
escN C. rodentium is cleared by the animal
by about day 7, does not attach to colonocytes, and, consequently, does
not cause disease; an animal infected with
escN
C. rodentium is indistinguishable from an uninfected animal
(17). For these reasons,
we use the
escN C. rodentium infection as a
sham control. Following 21-day infection, localization of claudin-1,
-3, and -5 in colonocytes appeared unaltered compared to uninfected or
escN C. rodentium-infected mice, whereas
7-day infections demonstrated extensive claudin redistribution away
from the cell periphery (Fig.
1). The characteristic staining pattern remained along the lateral cell
boundaries (Fig. 1,
arrowheads). Wild-type C. rodentium-infected mice had inflamed
colons, as demonstrated by increased cell infiltrate in the lamina
propria (Fig. 1). The
inflammatory cell infiltrate was confirmed by neutrophil and macrophage
(F4/80) staining (Fig.
2 and
3).
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FIG. 1. Claudin-1,
-3, and -5 and DAPI (DNA) localization on 21-day wild-type C.
rodentium-infected mouse sections paired with 21-day
escN C. rodentium-infected tissue or uninfected
tissue. Claudin staining of 7-day wild-type C.
rodentium-infected tissue is also presented. Arrowheads indicate
areas of staining at the lateral boundaries of colonocytes. The
asterisks in the merged images indicate regions with high levels of
cellular infiltrate in the lamina propria of 21-day wild-type C.
rodentium-infected inflamed epithelium. WT, wild type; CR. C.
rodentium. Scale bars, 50 µm (21-day micrographs) and 25
µm (7-day
micrographs).
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FIG. 2. Neutrophil-labeled
micrographs counterstained with hematoxylin. Neutrophil labeling on
uninfected, 7-day escN C. rodentium
( escN CR), or 7-day, 14-day or 21-day wild-type
C. rodentium (WT CR) infections. Arrowheads indicate some of
the neutrophils (pink staining). Increased numbers of neutrophils are
present in the lamina propria of 14- and 21-day wild-type C.
rodentium-infected colon sections compared to the uninfected,
7-day escN C. rodentium-infected or 7-day wild-type
C. rodentium-infected tissue. Scale bar, 50
µm.
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FIG. 3. Paired
phase, F4/80 (macrophage marker), and DAPI micrographs of uninfected,
escN C. rodentium ( escN
CR)-infected, and 7-, 14-, and 21-day wild-type C. rodentium
(WT CR)-infected tissue. Positively labeled cells are not apparent in
the lamina propria of uninfected, escN C.
rodentium-infected, or 7-day wild-type C.
rodentium-infected colon sections. Positively labeled cells are
present in the lamina propria of 14- and 21-day wild-type C.
rodentium-infected tissue sections (arrowheads). Minimal
nonspecific staining is present in the colonocytes and attached C.
rodentium cells. Scale bar, 25
µm.
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escN C. rodentium (a sham infection;
indistinguishable from uninfected tissue) indicated to us that there
were no morphological differences with the tight junctions of 21-day
wild-type-infected colonocytes, even though increased cellular
infiltrate was observed in the lamina propria of wild-type-infected
samples (Fig.
4).
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FIG. 4. Histologic
and ultrastructure micrographs of infected tissue. The 21-day wild-type
C. rodentium (WT CR)-infected tissue (B and B") is
paired with 7-day escN C. rodentium
( escN CR)-infected mouse tissue (A and A").
Toluidine blue (A and B) and electron micrographs (A' and
B') of escN and wild-type C.
rodentium-infected tissue are shown. The A" and B"
images are higher magnifications of the apical junction complexes in
the A' and B' micrographs. The asterisk indicates a
location of cell infiltration in the inflamed epithelium. TJ, tight
junction; AJ, adherens junction; DS, desmosome. Scale bars, 50
µm (A), 1.0 µm (A'), and 0.2 µm
(A").
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escN C.
rodentium-infected mice. We have used this technique
previously to demonstrate that tight junctions are disrupted in the
presence of wild-type C. rodentium at 7 days postinfection,
when inflammatory cells are not evident in the lamina propria
(17) (Fig.
5).
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FIG. 5. Barrier
permeability micrographs of 7-day C. rodentium infections.
Phase images of 7-day escN C. rodentium
( escN CR)-infected and 7-day wild-type C.
rodentium (WT CR)-infected tissue pretreated with a biotin tracer
to assess barrier permeability. Biotin is held to the luminal border in
escN C. rodentium-infected tissue but
permeates the epithelium into the lamina propria in 7-day wild-type
C. rodentium-infected tissue. Scale bar, 50
µm.
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FIG. 6. Barrier
permeability micrographs. (A) Phase images of low
magnification of 21-day escN C. rodentium
( escN CR)-infected and wild-type C.
rodentium (WT CR)-infected tissue pretreated with a biotin tracer
to assess barrier permeability. Biotin is held to the luminal border in
both escN C. rodentium-infected and
wild-type C. rodentium-infected tissue. (B) Higher
magnification of biotin- and DAPI-treated murine tissue that was
infected with escN C. rodentium or wild-type
C. rodentium for 21 days. Double-headed arrows demonstrate the
difference in crypt depth between escN C.
rodentium-infected and wild-type C. rodentium-infected
tissue to indicate that the disease phenotype has not resolved at this
time point. The asterisks in the DAPI and merged images indicate some
of the regions with high levels of cellular infiltrate in the 21-day
wild-type C. rodentium-infected inflamed epithelium.
Arrowheads point to regions with normal cellular load in the lamina
propria. Scale bars, 100 µm (low magnification) and 50
µm (high
magnification).
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At 14 days after infection, bacterial colonization and inflammation are at high levels. Claudin-3 localization was disrupted only in colonocytes that had intimately attached bacteria (Fig. 7). At areas of the same tissue devoid of bacteria, claudin-3 localization was unaffected (Fig. 7). These results further confirm our findings that tight junction disruption is unaffected by the inflammatory response during A/E bacterial infection and that any tight junction alteration is due to the direct contact of the pathogen to the host's cells (Fig. 7). Additionally, this evidence demonstrates that other host cell mediators likely do not alter tight junctions during in vivo A/E pathogen infections.
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FIG. 7. (A)
Paired phase, C. rodentium Tir, and DAPI micrographs of
infected tissue. Tir and DAPI colocalization demonstrates that bacteria
labeled by DAPI in infected tissue sections is C. rodentium.
Scale bar, 50 µm. (B) Paired phase, claudin-3, and
DAPI micrographs of uninfected and 14-day wild-type C.
rodentium (WT CR)-infected tissue. Arrows indicate regions of the
epithelium without bacterial attachment that label the lateral
boundaries of colonocytes. Arrowheads and white asterisks identify
regions with bacterial colonization and direct attachment to
colonocytes. All infected regions have altered localization of
claudin-3. The black asterisks in the DAPI and merged images indicate
areas with high levels of cellular infiltrate. Scale bar, 50
µm.
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escN
C. rodentium-infected mice display indistinguishable claudin
phenotypes whereas wild-type C. rodentium infections cause
overt tight junction disruption between infected colonocytes of mice
that are exposed for 7 days. At this time point postinoculum,
inflammatory cell infiltrate in the lamina propria of infected mice is
not evident. However, 21 days after wild-type C. rodentium
infection, inflammation persists in the absence of colonized bacteria.
The temporal separation of inflammation from A/E bacterial colonization
at 21 days provides a model to study the effects of bacterial
colonization versus inflammation in vivo. We demonstrate here,
morphologically and by the localization of claudin proteins, that tight
junctions are unaltered in the presence of inflammatory cells during
the inflammatory response caused by C. rodentium infection.
These findings correspond to a functionally intact epithelial
barrier. Thus far, only one study has explored the role of A/E pathogen-induced inflammation on tight junctions (39). In that study, the MAP or ERK kinase inhibitor PD-98059 was used on T84 cells that were subsequently infected with EPEC. Although these kinases are capable of activating inflammatory cascades, they can also have direct effects on tight junctions (2, 21, 49) and can influence numerous other events such as cell proliferation, protection against apoptosis, and cell survival (5, 20, 29, 33, 44). Results from the Savkovic (39) study found equivalent decreases in TER caused by EPEC on cultured T84 monolayers in the presence or absence of PD-98059. This suggested to the authors that the relationship of cytokine release to tight junction alteration was not present because TER was still decreased in cells infected in the presence PD-98059. Although this study used an inhibitor that can directly act on tight junctions (2, 21, 49), the effects of both MAP and ERK in vivo are an area that should still be pursued in vivo.
Recently, a second mouse model has emerged for the study of
A/E pathogen infections in vivo
(40). In this model, the
human A/E pathogen EPEC was used to infect mice. During infection,
inflammation is minimal, and bacterial counts have been reported in
various parts of the intestine at about 104 CFU
(40). These counts
correspond to those of C. rodentium lacking a functional type
III secretion system (
escN), which does not colonize
the colon, and signify extremely low levels of colonization of EPEC in
mice. A recent study by this group using the EPEC murine model
(42) suggested that tight
junctions can be disrupted in vivo in a TTSS-dependent manner by EspF,
but the presented photographic evidence indicated the absence of any
bacteria intimately attached to the cells. Although this suggested that
potential mediators might be released from infected host cells to
influence tight junctions in noninfected cells, our evidence
demonstrates that intimate contact of the bacteria to cells is
essential for barrier alteration to occur.
Here, we present evidence that the inflammatory response caused by C. rodentium has no discernible effect on morphology or the barrier function of tight junctions. We also demonstrate that the alteration of claudin-3 localization in the infected murine colon is completely dependent on the intimate attachment of the pathogen to the colonic enterocytes. Our evidence further accentuates the importance of using relevant in vivo studies and infection models to assess the role of pathogenic infections on tissues.
J.A.G. is a CAG/CIHR/AstraZeneca and MSFHR Postdoctoral Fellow. B.B.F. is a Howard Hughes International Research Scholar, a CIHR Distinguished Investigator, and the UBC Peter Wall Distinguished Professor. This study was funded through operating grants from the CIHR and the HHMI.
Published ahead of print on 5 September 2006. ![]()
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