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Infection and Immunity, December 2007, p. 5916-5923, Vol. 75, No. 12
0019-9567/07/$08.00+0 doi:10.1128/IAI.00931-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

Université Montpellier 1, Centre d'étude d'agents Pathogènes et Biothechnologies pour la Santé (CPBS),1 CNRS, UMR 5236, CPBS, Université Montpellier 2, F-34965 Montpellier, France2
Received 9 July 2007/ Returned for modification 8 September 2007/ Accepted 24 September 2007
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) and interleukin-12 (IL-12) (45, 54, 55). Therefore, the ability of Brucella strains to chronically infect their human hosts seems to be related to their ability to avoid the establishment of a protective Th1-specific response (8, 22, 40, 52). The classical cellular models for in vitro experiments are human or murine macrophages in which brucellae are able to multiply up to several-thousandfold (26, 31). The role of macrophages is mainly restricted to the innate phase of the immune response, so macrophage models provide only a few direct data about the adaptive immune response to Brucella. For this reason, we have developed an experimental model of Brucella interaction with human dendritic cells (DCs). DCs have a common ontogeny with macrophages and have been revealed in the last 10 years as the crucial cell population defining the initial point of a specific immune response. DCs not only select antigen-specific T cells but also determine their subsequent function and orientation (Th1/Th2 effector T cells or regulatory T cells) and consequently determine the final efficiency of the adaptive response.
We have initially observed that human DCs are highly permissive host cells for Brucella (4) and could constitute a preferential niche for bacterial proliferation. These results raised the question of the impact of DC infection on the initiation of an adaptive response. Recently we have reported that Brucella strains avoid the maturation of DCs and their secretion of IL-12 through an Omp25-dependent mechanism regulating tumor necrosis factor alpha (TNF-
) secretion (5). The subsequent antigen presentation to naive T cells was therefore significantly altered. These phenomena could be directly related to the immune status of chronically infected hosts.
Historically, the first parameter associated with the virulence strategy of Brucella has been the smooth phenotype of virulent strains, as demonstrated in 1938 by the attenuation of Brucella abortus rough strain 45/20 (47). The rough phenotype is due to the absence of the external O-side chain of lipopolysaccharide (LPS). This O-side chain protects Brucella from bactericidal peptides (20, 21, 35) and complement-mediated lysis (17) and is implicated in the absence of intracellular fusion between Brucella-containing phagosomes and lysosomes (39). Moreover, spontaneous or genetically constructed rough mutants confer protection against Brucella reinfection in vivo and no longer display residual virulence. For this reason the rough vaccine strain RB51 has supplanted the traditional smooth strain S19 in several parts of the world (36). Our previous results demonstrating Brucella avoidance of DC maturation and impairment of T-cell stimulation (5) prompted us to analyze the relationship between rough Brucella strains and DCs, in order to determine to what extent the lack of the O-side chain could influence the induction of a protective immune response by rough mutants.
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TABLE 1. Brucella strains used in the study
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DC preparation. Immature DCs were prepared from peripheral blood circulating monocytes obtained by centrifugation on Ficoll-Hypaque (Sigma, Lyon, France) of buffy coat from healthy donors provided by the EFS (Etablissement Français du Sang). CD14+ monocytes were purified by magnetic positive separation (Miltenyi Biotec, Paris, France) and then differentiated for 5 days in complete medium (RPMI 1640, 10% fetal calf serum, 50 µM ß-mercaptoethanol, 500 U/ml of IL-4, and 1,000 U/ml of granulocyte-macrophage colony-stimulating factor [both cytokines from Immunotools]) (4).
Infection experiments. Immature DCs were harvested, resuspended in RPMI plus 10% fetal calf serum, and infected for 1 h at 37°C with bacterial concentrations corresponding to a CFU/DC ratio of 5:1. The cells were then washed in phosphate-buffered saline (Invitrogen) and reincubated in fresh medium supplemented with 50 µg/ml gentamicin in order to kill remaining extracellular bacteria (25).
Maturation analysis. At 48 h postinfection (p.i.), DCs were labeled with mouse anti-human monoclonal antibodies followed by a phycoerythrin-conjugated goat anti-mouse polyclonal antibody (BD Pharmingen) and analyzed on a FACSCalibur cytometer (Becton Dickinson, San Jose, CA).
Cytokine measurement.
For cytokine measurement, supernatants were collected and concentrations of TNF-
and IL-12 p70 were measured with the OptEIA human enzyme-linked immunosorbent assay set (BD Pharmingen) or quantified by flow cytometry using the CBA Flex set (BD Biosciences).
Antigenic presentation to naive human T lymphocytes. Human naive CD4+ T cells were prepared using the EasySep human naive CD4+ T-cell enrichment kit (Stem Cell Technologies), according to the manufacturer's instructions. Naive T cells (CD3+ CD4+ CD45RA+) were stained intracellularly at 37°C in RPMI with 1 µM 5(6)-carboxyfluorescein diacetate N-succinimidyl ester (CFSE; Sigma-Aldrich), washed extensively in medium, and plated in a 96-well culture plate (105 cells per well). Infected DCs (24 h p.i.) were added at the required concentration so that DC/T-cell ratios ranged from 0 to 0.1. Five days later, the cells were stained with a mouse anti-human CD3 antibody (UCHT1; BD Pharmingen) followed by an Alexa 647 F(ab')2 fragment of goat anti-mouse immunoglobulin G (IgG) (Molecular Probes, United Kingdom). Analysis was performed by flow cytometry using a FACSCalibur cytometer to detect the decrease of CFSE fluorescence intensity resulting from cellular divisions.
Statistical analysis. Wilcoxon rank tests or paired Student t tests (in the case of normal distribution) were applied to determine statistical differences, using SigmaStat software.
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Figure 1A analyzes DC maturation after 48 h of infection with smooth Brucella suis wild type (WT), rough B. suis manB mutant, or E. coli as a positive control, since these bacteria have been reported to induce strong maturation of DCs (48). In contrast to the infection with smooth B. suis WT, infection with the rough B. suis manB mutant induced an up-regulation of maturation marker expression on the DC surface. The expression levels of both costimulation (CCR7, CD83, CD40, and CD86) and antigen presentation (HLA-D and HLA-ABC) molecules were comparable following the infection of DCs with rough Brucella or E. coli. For these six markers, the up-regulation was statistically significant compared to WT-infected DCs (P < 0.001 for each). Nevertheless, the maturation state resulting from infection with the B. suis manB mutant did not seem identical to that induced by E. coli. Indeed, DCs infected with rough Brucella did not show any modulation of the adhesion molecule CD54 (also named ICAM-1) in contrast to E. coli-infected DCs. Moreover, the expression of CD1a was down-modulated neither on DCs infected with the rough mutant nor on DCs infected with the smooth strain, in contrast to the decrease observed with the control E. coli strain. Finally, infection with the rough B. suis manB mutant induced a slight but significant up-regulation of CD1b expression compared to B. suis WT (P < 0.01), whereas fully mature E. coli-infected DCs did not display such an increase in CD1b expression. Altogether these results showed that, in contrast to the virulent smooth strain, the rough attenuated manB strain was able to induce a powerful expression of maturation markers on the surface of infected DCs. Similar results were obtained when the rough vaccine strain B. abortus 45/20 was compared to the smooth and virulent parental strain B. abortus 2308 (Fig. 1B).
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FIG. 1. Analysis of DC maturation in response to infection with rough or smooth Brucella suis. (A) Immature human DCs were infected with B. suis WT, B. suis manB mutant, or E. coli and stained at 48 h p.i. for maturation marker expression. For each surface molecule studied, a cytometry analysis histogram from one representative experiment is presented on the left, and the compilation histogram on the right includes results (means ± standard errors of the means) from 21 independent experiments performed on cells from 21 distinct donors (**, P < 0.01, and ***, P < 0.001, versus B. suis WT-infected DCs, computed by Wilcoxon rank tests for CCR7 and CD83 or by paired Student t tests for other markers). (B) Immature DCs were infected with B. abortus 2308 and B. abortus 45/20 and stained at 48 h p.i. for maturation marker expression. Histograms include results from three independent experiments performed with cells from three distinct donors.
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secretion by human DCs infected with rough strains.
In a previous work (5) we established that the lack of DC maturation during infection with smooth virulent B. suis was related to the absence of TNF-
secretion. Indeed this cytokine is absolutely essential for DC commitment to maturation processes (43, 51). As rough strains of Brucella are potent inducers of DC maturation, we measured TNF-
secretion during infection of human DCs. As expected, infection with virulent smooth WT B. suis (Fig. 2A) or B. abortus (Fig. 2B) did not induce a higher secretion of TNF-
than that measured in uninfected immature DCs. By contrast, infection with the manB mutant of B. suis led to a statistically significant secretion of TNF-
at 24 h p.i. (P < 0.001) which is approximately 1,000 pg/ml above the basal level measured with uninfected or WT-infected DCs (Fig. 2A). Kinetic analysis of TNF-
secretion by DCs infected with smooth B. abortus WT and rough mutant 45/20 confirmed this result: smooth Brucella did not induce any TNF-
secretion but rough mutants did (Fig. 2B). Additionally, it demonstrated that TNF-
secretion induced by rough Brucella appeared early after the onset of infection and peaked around 17 h p.i.
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FIG. 2. TNF- secretion, induction of naive T-cell proliferation, and IL-12 secretion by human DCs infected with smooth and rough Brucella strains. (A, B, and D) Immature human DCs were infected with B. suis WT and B. suis manB mutant (A and D) or with B. abortus WT and B. abortus 45/20 (B). Supernatants were collected at 24 h p.i. (A and D) or at different times p.i. (B) and assayed for TNF- concentrations (A and B) or IL-12 concentrations (D). Results are means ± standard errors of the means of 15 (A and D) or 3 (B) independent experiments performed on cells from distinct donors. (C) At 24 h p.i. DCs not infected (NI) or infected with B. suis WT, B. suis manB mutant, or E. coli were tested for their abilities to stimulate allogeneic naive CD4+ T-lymphocyte proliferation. Coculture of infected DCs and T cells was performed at different DC/T-cell ratios for 5 days before determination of lymphoproliferation percentages by CFSE analysis. Results are means ± standard errors of the means of nine independent experiments performed on cells from nine distinct donors. Statistical differences versus Brucella WT-infected DCs are indicated (*, P < 0.05; **, P < 0.01; ***, P < 0.001, all computed by paired Student t tests).
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Secretion of IL-12 by Brucella-infected human DCs. When mature DCs present antigens to naive T cells and stimulate their proliferation, they also influence the subsequent polarization of the adaptive immune response towards a Th1 or a Th2 profile, through differential cytokine secretion. IL-12 is a key cytokine secreted by DCs and drives the establishment of a Th1 response. Figure 2D presents IL-12 secretion by human DCs infected with B. suis WT or the B. suis manB mutant. The rough strain induced a significantly higher secretion of IL-12 than did smooth B. suis (P = 0.01, n = 15): it was on the average 200-fold greater for each individual experiment.
Induction of DC maturation by rough and smooth Brucella LPS. To determine whether different capacities to induce DC maturation and antigen-presenting activities of smooth and rough Brucella strains were attributable to LPS alone, human immature DCs were stimulated with rough LPS from B. abortus 45/20 or smooth LPS from B. abortus 2308. After 48 h of stimulation, modulation of maturation marker expression was analyzed by flow cytometry (Fig. 3). At equal concentrations, E. coli LPS induced a potent up-regulation of maturation marker expression, whereas both smooth and rough Brucella LPS appeared far less active for all considered markers. The comparison of the stimulatory activities of rough and smooth Brucella LPS showed no detectable difference: (i) the percentages of LPS-treated DCs expressing CCR7 and CD83 remained low and equivalent, and (ii) the slight up-regulation of the antigen-presenting molecules HLA-ABC and HLA-D and of the costimulation molecule CD86 were equivalent for each type of LPS. The modulation of CD40 was more pronounced but still similar with rough and smooth Brucella LPS.
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FIG. 3. Analysis of DC maturation in response to stimulation with rough or smooth LPS from B. abortus. Human immature DCs were stimulated for 48 h with 200 ng of E. coli smooth LPS, 200 ng smooth LPS from B. abortus 2308, or 100 ng of rough LPS from B. abortus 45/20 or were not stimulated. The concentration of smooth LPS was doubled to take into account the absence of O-side chain on rough LPS (28). Cytometry analysis histograms of maturation marker expression are from one experiment which is representative of three independent experiments.
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We observed that, in contrast to infection with the WT smooth strain, infection with rough Brucella leads to a powerful up-regulation of maturation marker expression at the surface of infected DCs. The potent acquisition of CCR7 by infected cells after contact with rough Brucella implies that DCs become able to translocate into the lymph node, a prerequisite to encounter antigen-specific T lymphocytes (41). Rough Brucella strains also have the capacity to induce the expression of costimulatory molecules involved in T-cell/DC interaction within the lymph node, especially CD83 and CD40, which are crucial for T-cell activation.
To stimulate antigen-specific T cells, peptidic antigens derived from the degradation of pathogen proteins are loaded onto major histocompatibility complex class II (MHC-II) and MHC-I to be recognized by CD4+ or CD8+ T cells, respectively. Infection with rough Brucella leads to a powerful expression of these two antigen-presenting molecules, in contrast to infection with smooth strains. It suggests that, following contact with rough Brucella, infected DCs are able to induce a CD4+ as well as a CD8+ T-cell response. This is in agreement with several reports establishing that the protection conferred by the rough vaccine strain RB51 is exclusively provided by a T-cell response (30) and that CD8+ T cells play a major role in protection against brucellosis (2).
Besides the classical MHC molecules, human DCs express several antigen-presenting molecules from the CD1 family (CD1a, -b, -c, and -d) which allow lipid antigen presentation. CD1s are involved in the induction of adaptive cellular responses and especially in the activation of CD1-restricted CD8+ T cells (through CD1a, CD1b, and CD1c),
1
1 T cells (through CD1c), or NKT cells (through CD1d). In this study, we did not observe any modulation of CD1c or CD1d expression (data not shown), and similar CD1a expression was reported for rough and smooth strain-infected DCs. By contrast, rough Brucella infection induced a significant up-regulation of CD1b expression compared to infection with smooth B. suis WT. Such an event could result from the discrepancy of intracellular trafficking between smooth and rough Brucella strains. In contrast to the other CD1 family members, intracellular CD1b is mainly distributed in phagolysosomes (46). Phagosomes containing rough Brucella fuse very efficiently with late endosomes and lysosomes (39, 44), which could lead to their colocalization with CD1b, in contrast to smooth virulent Brucella strains that avoid phagosome/lysosome fusion (10, 11). Colocalization with rough Brucella could allow subsequent CD1b loading by lipid antigens followed by translocation to the plasma membrane. Further investigations of simultaneous intracellular trafficking of Brucella and CD1 family members, together with the analysis of the CD1-restricted T-cell response in brucellosis, will be needed to elucidate these phenomena.
DC maturation induced by rough Brucella infection is similar but not identical to that resulting from E. coli infection: (i) the adhesin ICAM-1 (CD54) is weakly modulated by rough Brucella compared to E. coli, and (ii) E. coli-infected DCs express lower amounts of CD1a and CD1b. These results indicate that rough Brucella and E. coli do not trigger exactly the same maturation processes.
Our analyses of maturation marker expression established that, in contrast to smooth virulent bacteria, rough Brucella strains are able to induce a phenotypic maturation of infected human DCs. TNF-
is a multipotent proinflammatory cytokine fundamental for defense against a variety of intracellular pathogens and is primarily involved in DC maturation (43, 51). The assessment of TNF-
secretion by DCs infected with rough B. suis or B. abortus showed that, in contrast to smooth virulent strains, these rough mutants were able to trigger a potent and early secretion of this cytokine. The control of TNF-
secretion by human host cells implicates the Omp25 protein of Brucella (32), which is expressed at the outer membrane of both smooth and rough Brucella strains (12, 13). The consistent secretion of TNF-
by DCs infected with rough bacteria could be due to the higher stimulatory activity of rough strains (28, 29), which could then exceed the inhibitory activity of Omp25 or trigger activation pathways which escape the Omp25 inhibitory activity. As proposed by previous studies (43, 51), TNF-
secretion by human DCs infected with rough Brucella as well as E. coli turned out to be directly implicated in maturation of these cells, since anti-TNF-
blocking antibodies cause a strong maturation decrease (data not shown).
As expected from maturation analyses, the investigation of naive T-cell stimulation by infected DCs showed that rough Brucella induced the acquisition of a potent antigen presentation activity. The resulting proliferation of naive CD4+ lymphocytes could be superimposed on that induced by E. coli, attesting to its efficiency and suggesting that the induction could have risen to a maximum. Rough mutants of Brucella are thus able to initiate the first phase of a T-cell-dependent adaptive immune response. Furthermore, we have observed that rough Brucella-infected DCs, concomitantly with T-cell stimulation, secrete the cytokine IL-12. DC-derived IL-12 potently stimulates IFN-
production by activated naive T cells (15). Therefore, our results suggest that, in contrast to smooth strains of Brucella, infection with rough mutants could trigger the early processes leading to the development of a protective Th1-oriented immune response. These conclusions would be in agreement with previous reports claiming the essential role of IL-12 and IFN-
(and more generally of the Th1 response) for protection against brucellosis (2) and with the T-cell dependence of vaccine protection conferred by rough Brucella strains (30).
In view of the discrepancies in DC responses to infection with rough or smooth Brucella strains, the direct effect of purified rough or smooth LPS molecules on DC maturation was explored. Although the stimulation was performed with an LPS dose corresponding to more than 10-fold the amount carried by bacteria during our infection experiments (28), DCs displayed a very weak modulation of maturation marker expression. Above all, no difference could be determined between their responses to rough or smooth LPS of Brucella abortus. These results are in line with the very low endotoxinic properties of Brucella LPS (24, 27, 42) and with the equivalent stimulation of macrophages by rough and smooth LPS (28). It means that the ability of rough Brucella strains to induce DC maturation is not related to a direct effect of their LPS. The discrepancies between smooth and rough Brucella stimulatory activities agree with a previous hypothesis (28): the absence of the O-side chain could allow the exposure of bacterial surface molecules that should normally be hidden. These unmasked determinants would then be responsible for the stimulation of DCs and for distinct phagocytosis pathways (4, 39).
The precise role of LPS in the induction of anti-Brucella immunity is still unclear (except for its role in anti-LPS T-cell-independent response). Previous works have established, in a murine macrophage model, that purified smooth LPS from B. abortus 2308 could affect antigen presentation by segregating surface MHC-II molecules into megarafts on the macrophage membrane (18, 19, 34). Such a phenomenon could also occur during DC infection and take part in control of DC maturation by smooth bacteria. Since rough LPS of Brucella 45/20 does not display such properties (34), rough strains would then be unable to prevent DC maturation. Nevertheless, the formation of MHC-II-containing megarafts required a high dose of purified LPS (20 µg/ml) and LPS-containing macrodomains have never been observed in macrophages infected with whole bacteria (16, 38). Moreover, it does not prevent up-regulation of MHC-II expression on the cell surface. Consequently, we cannot definitely evaluate the possible involvement of such a process in our observations.
Classical LPS activates macrophages and DCs through binding on TLR-4. One study reports that TLR-4 is not implicated in the anti-Brucella response in mice (53), whereas another describes exacerbated brucellosis in TLR-4-knockout mice (9). Nevertheless, the respective effects of DC stimulation by isolated LPS or by living bacteria are clearly distinct (48), even when the bacteria carry a highly active LPS (as E. coli for instance): the whole bacteria probably bind not only to TLR-4 but also to a set of various receptors. A very recent study exploring the mechanisms of mouse resistance to Brucella reports that TLR-4 could play a moderate role, together with TLR-9, in the late phase of the infection. Moreover, this paper confirms the major role of IFN-
in anti-Brucella resistance and demonstrates the role of nitric oxide production by a subpopulation of DCs (14).
The intracellular bacterium Coxiella burnetii, which is the agent of the zoonotic Q fever, displays features in common with Brucella at physiopathological, epidemiological, and bacteriological levels as well. Coxiella shares with Brucella the rare capacity to proliferate within DCs (together with Francisella, they are the only three bacterial genera having this capacity [3, 7]) and to not induce DC maturation during infection (49). Coxiella rough mutants, which are defective for the O-side chain of LPS, induce full maturation of human DCs and trigger TNF-
and IL-12 secretion (49). Consequently it seems that Coxiella and Brucella interact with DCs in quite similar ways; it could be related to the major role of their LPS within their virulence strategies and could furthermore account for physiopathological similarities.
Finally, the ability of rough Brucella to induce maturation of DCs and then the secretion of Th1-related cytokines and the stimulation of naive T cells could be a critical parameter of the protective Th1 cellular immune response induced by these mutants (2, 30). Considering the irreplaceable role of DCs for both initiation and orientation of adaptive immune responses, our results also suggest that the model of Brucella/DC interaction could be particularly more relevant than the traditional macrophage models for the comprehension of the relationship between Brucella virulence and specific immune responses of infected hosts. It could be a precious tool allowing an improved approach for the initial identification of candidate strains in future vaccine strategies.
We thank Viviane Zomosa for attentively correcting and improving the manuscript.
Published ahead of print on 15 October 2007. ![]()
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