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Department of Medicine,1 Department of Microbiology Immunology,2 Department of Biostatistics, Indiana University School of Medicine, Indianapolis, Indiana 462023
Received 21 September 2006/ Returned for modification 23 October 2006/ Accepted 11 December 2006
| ABSTRACT |
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| INTRODUCTION |
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Urogenital serovars of C. trachomatis replicate predominantly in reproductive tract epithelial cells. Chlamydia muridarum is a rodent pathogen closely related to the C. trachomatis urogenital serovars. We derived murine oviduct epithelial cell lines to study host-pathogen interactions within the reproductive tract epithelium. Murine oviduct epithelial cells lines infected by C. muridarum secrete a plethora of inflammatory cytokines (24). We previously identified Toll-like receptor 2 (TLR2) as the major principal epithelial pattern recognition receptor (PRR) responsible for the epithelial secretion of interleukin-6 (IL-6) and granulocyte-macrophage colony-stimulating factor (8). These initial studies did not identify the epithelial PRR responsible for secretion of beta interferon (IFN-ß), an immunomodulatory cytokine that plays an important role in innate and adaptive immunity (33).
TLRs capable of triggering IFN-ß production include TLR3 (48, 64, 66), TLR4 (49, 65), TLR5 in a TLR4-dependent manner (44), and TLR7 to TLR9 (59). Members of the caspase activation and recruitment domain (CARD) family, including RIG-I (68) and MDA5 (3), also trigger IFN-ß production (23). A putative cytosol-resident DNA-activated PRR that triggers IFN-ß production has recently been reported (21, 56). Nod1 and Nod2, members of the leucine-rich repeat protein family, signal through RIP2 to activate NF-
B (20). Nod1 has recently been shown to contribute to the activation of IL-6 transcription in murine embryonic fibroblasts infected with C. muridarum (61); however, Nod1 and Nod 2 are not associated with IFN-ß production (58). We have previously shown that murine oviduct epithelial cell lines do not express TLR4 and TLR7 to TLR9 by as determined by reverse transcription-PCR (RT-PCR) analysis and by measuring the responses to specific TLR agonist stimulation (8). By process of elimination, TLR3, RIG-I, MDA5, and the unidentified PRR recognizing cytosolic DNA were the remaining candidate epithelial PRRs for triggering IFN-ß secretion in infected oviduct epithelial cells. The expression of RIG-I and MDA5 has not been investigated in oviduct epithelial cell lines. Murine oviduct epithelial cells expressed TLR3 and upregulated TLR3 mRNA with infection but did not secrete IFN-ß in response to externally delivered poly(I-C), a potent TLR3 agonist (8), presumably because TLR3 was not on the cell surface.
In myeloid cells and human pulmonary epithelial cells, TLR3 is an endosomal PRR (10, 12, 40, 47). In human fibroblasts TLR3 has been reported to be expressed on the cell surface (41). It is not known where TLR3 localizes in murine reproductive tract epithelial cells, but intracellular localization in pulmonary epithelial cells and the lack of a murine oviduct epithelial response to extracellular poly(I-C) supports an endosomal localization. Known ligands for TLR3 include viral double-stranded RNA (dsRNA) (2) and possibly cellular RNA (27).
Signal transduction by TLR3 is mediated via TRIF (also known as Ticam-1) (48, 64, 66). Ligand-activated TLR3 recruits TRIF via its intracellular TIR domain. TRIF recruits a TBK1-containing complex (9, 18, 50, 54) that phosphorylates IRF3. Phosphorylated IRF3 dimerizes and translocates to the nucleus, where it initiates transcription from the IFN-ß promoter (59). The IFN-ß promoter also has NF-
ß and AP-1 binding sites; however, these sites are less critical for IFN-ß transcription (51). The known TLR3 signaling pathway to IFN-ß production is dependent on TRIF and IRF3. The lack of TLR4 expression makes TLR3 the only known TRIF-dependent TLR in murine oviduct epithelial cell lines (8).
CARD family members RIG-I and MDA5 are resident in the cytosol and likely to play a role in host defense against some RNA viruses (3, 68). Like TLR3, RIG-I and MDA5 recognize dsRNA (25, 60, 68). RIG-I and MDA5 signal through an adaptor variously known as IPS-1, MAV, VISA, and Cardif (reviewed in reference 23). IPS-1 serves a TRIF-like role for RIG-I and MDA5, connecting these PRRs to the IKK
/TBK1 activation pathways for IRF3 and to the TRAF6/IKK
ß pathways for the activation of NF-
B. Most studies of RIG-I and MDA5 signaling support a TRIF-independent signaling pathway for IFN-ß production (28, 29, 43, 53, 55), although one study did not (63). Mice deficient in IPS-1 are markedly deficient in their IFN-ß response to RNA viruses or transfected poly(I-C), thereby identifying IPS-1 as the sole adaptor for RIG-I and MDA5 (30). The putative cytosol-resident DNA PRR is also IPS-1 dependent (21).
For our purposes, investigation of the IRF3 and TRIF signaling pathways would potentially identify the PRR responsible for IFN-ß production. RIG-I, MDA5, the putative cytosolic DNA PRR, and TLR3 are IRF3 dependent for IFN-ß production. Of these candidate PRRs, only TLR3-mediated production of IFN-ß would be dependent on the TRIF adaptor. TRIF dependence would implicate TLR3, whereas TRIF independence would implicate RIG-I/MDA5/cytosolic DNA PRR as the PRR responsible for IFN-ß production by C. muridarum-infected oviduct epithelial cells.
| MATERIALS AND METHODS |
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Cells, plasmids, and bacteria. Derivation and maintenance of the cloned oviduct epithelial cell line Bm1.11 has previously been described (8, 24). The dominant-negative MyD88 expression plasmid pIRES2-EGFP-DN-MyD88 and the (DN)MyD88 cell line were previously described (8). The dominant-negative TRIF expression plasmid pcDNA-TRIF-TIR encoding TRIF amino acids 397 to 530 with a C-terminal His tag was cloned into the pcDNA3.1D/V5-His-TOPO vector (Invitrogen, Carlsbad, CA) using the forward primer 5'-CACCATGTATAACTTTGTGGTTATCCGTGCCAGG-3' and the reverse primer 5'-GGTGTTTGCCACCTTTCTGGCGAAGATTGGGGA-3'. Bm1.11 cells were transfected with the pcDNA-TRIF-TIR, and two independently derived cell lines designated (DN)TRIF1 and (DN)TRIF2 were derived by limiting dilution (see below). Two cloned cell lines were kept to rule out clone-specific artifacts.
Mycoplasma-free C. muridarum, previously known as C. trachomatis strain MoPn, was grown in McCoy cells (American Type Culture Collection). The titers of mycoplasma-free C. muridarum stocks were determined on McCoy cells with centrifugation as previously described (8).
Transfections. To generate the dominant-negative TRIF-expressing clones (DN)TRIF1 and (DN)TRIF2 or the pcDNA3.1D control cell line, 75% confluent Bm1.11 cells in six-well plates were transfected with 5 µg of either the pcDNA-TRIF-TIR plasmid or the pcDNA3.1D His parent vector using Lipofectamine 2000 reagent (Invitrogen). The DNA-Lipofectamine 2000 complexes were incubated for 30 min in serum-free Dulbecco modified Eagle medium at room temperature, and the complexes were added to the Bm1.11 monolayers, followed by incubation 5 h in a 37°C CO2 incubator. After 5 h of incubation, the transfection medium was replaced with fresh epithelial cell medium and incubated an additional 30 h at 37°C. The dominant-negative TRIF and empty vector control cells were selected in epithelial media supplemented with 800 µg of G418/ml. The (DN)MyD88 and (DN)TRIF cell lines were maintained in epithelial-cell media supplemented with 400 µg of G418/ml. Transient transfections were performed with 10 µg of either the pcDNA-TRIF-TIR plasmid or the pcDNA3.1D-His control vector in Lipofectamine 2000.
Poly(I-C) treatment. Poly(I-C) was added directly to the medium of Bm1.11, (DN)TRIF1, and (DN)TRIF2 cells and the pcDNA3.1D control cells at 50, 75, and 100 µg/ml depending on the experiment. Supernatants were assayed for poly(I-C)-induced IFN-ß responses by enzyme-linked immunosorbent assay (ELISA) 24 h after exposure. Transfections of poly(I-C) were done by complexing either 50 or 75 µg/ml to Lipofectamine 2000 reagent in serum-free media as previously described (36). After a 30-min incubation at room temperature, the poly(I-C) complexes were added to Bm1.11, (DN)TRIF1, and (DN)TRIF2 cells and the pcDNA3.1D control cell lines for 5 h as described above. After 5 h, the transfection medium was removed and replaced with fresh epithelial cell media. IFN-ß secreted into the medium after 24 h was measured by ELISA.
Infections. Bm1.11, (DN)MyD88, (DN)TRIF1, and (DN)TRIF2 cell lines were plated in 48-well tissue culture plates and were used when confluent (105 cells/well). For all experiments, the cells were infected with 10 inclusion forming units (IFU) of C. muridarum per cell in 900 µl of culture medium. The 48-well plates were centrifuged at 1,000 rpm (300 x g) for 1 h and then incubated at 37°C in a 5% CO2 humidified incubator without subsequent change of medium for 6 to 30 h, depending upon the assay. Mock-infected wells received an equivalent volume of sucrose-phosphate-glutamic acid buffer lacking C. muridarum.
For experiments with the endosomal acidification inhibitor bafilomycin A (Sigma), epithelial cells were infected with 10 IFU per cell with 1 h of centrifugation followed by 2 h of incubation at 37°C prior to the addition of bafilomycin in the indicated concentrations. The bafilomycin A stock solution was prepared in dimethyl sulfoxide (DMSO). Comparator "untreated" wells received an equivalent amount of the DMSO vehicle.
Western blotting. Control and (DN)TRIF expressing Bm1.11 cells were grown in monolayers in a six-well plate to confluence. After removal of the growth medium, the monolayers were gently washed with phosphate-buffered saline, and cytosolic proteins were recovered in the cell fractionation buffer provided in the PARIS kit (Ambion, Austin, TX). Cytosolic proteins were quantified by using the Micro-BCA protein assay kit (Pierce, Rockford, IL). Then, 25 µg of lysate from either the (DN)TRIF1, (DN)TRIF2, or nontransfected Bm1.11 cell line was boiled in 5x Immunopure reducing sample buffer (Pierce) prior to sodium dodecyl sulfate-polyacrylamide gel electrophoresis. After separation by sodium dodecyl sulfate-10% polyacrylamide gel electrophoresis, the proteins were transferred to Immobilon-P (Millipore, Bedford, MA) transfer membranes. Transfer membranes were blocked in 5% nonfat dry milk, and subsequent immunoblotting was performed by using a 1:5,000 dilution of the His tag-specific rabbit polyclonal antibody SC-804 (Santa Cruz Biotechnology, Santa Cruz, CA) with a 1:10,000 dilution of horseradish peroxidase-conjugated goat anti-rabbit polyclonal antibody (Amersham Biosciences, Piscataway, NJ). Proteins were visualized via chemiluminescence using the ECL plus Western blotting detection system (Amersham) as described in the manufacturer's protocol.
RNA interference. MyD88-specific and IRF3-specific small interfering RNA (siRNA), MyD88- and IRF3-specific primers, scrambled control siRNA, siRNA transfection reagent, and siRNA transfection medium were all purchased from Santa Cruz Biotechnology as proprietary reagents. Custom-designed TRIF-specific siRNA and primers were purchased from Ambion (Table 1) . siRNA transfections targeting endogenous MyD88, TRIF, IRF3, and scrambled controls were carried out in 48-well plates seeded with 4 x 104 Bm1.11 cells per well using the manufacturer's protocol. The siRNA cocktail was mixed with the transfection reagent mix and allowed to form liposome-siRNA complexes for 30 min at room temperature before being added to the cells. After an initial 5 h of incubation, the transfection medium was replaced with fresh epithelial medium, and the cells were returned to the 37°C CO2 humidified incubator for 24 to 48 h before we used them in experiments.
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Real-time RT-PCR. Cytoplasmic RNA was purified from the siRNA transfected Bm1.11 cells by using the PARIS kit (Ambion). The RNA was quantified by spectrophotometric analysis, and RNA integrity was confirmed by agarose gel electrophoresis. cDNA synthesis was performed using 1 µg of the cytoplasmic RNA with the iScript cDNA synthesis kit (Bio-Rad, Hercules, CA). The cDNA product was diluted 1:50, whereas the MyD88-specific, IRF3-specific, TRIF-specific, and ß-actin control primers (Table 1) were adjusted to 2 pmol/µl working stock. Real-time PCR was conducted with the diluted cDNA and primers in accordance with the protocol outlined in the iTaq SYBR green Supermix with ROX kit (Bio-Rad). Real-time PCR was performed with an ABI Prism 7700 machine (Applied Biosystems, Foster City, CA): 2 min at 50°C and 10 min at 95°C, followed by 40 cycles of 15 s at 95°C and 2 min at 60°C. Cycle threshold (CT) values were determined by automated threshold analysis with ABI Prism version 1.0 software. The amplification efficiencies were determined by serial dilution and calculated as E = exp1/m, where E is the amplification efficiency and m is the slope of the dilution curve. Dissociation curves were recorded after each run to ensure primer specificity.
ELISA determination of cytokine production. Confluent Bm1.11, (DN)TRIF, and (DN)MyD88 monolayers grown in 48-well tissue culture-treated plates were either infected with 10 IFU of C. muridarum per cell or pre-treated with siRNA transfection prior to infection. Supernatants were harvested at 18 h or 24 h (depending upon experiment) and analyzed by ELISA for IFN-ß as previously described (8). All standards and experimental samples were analyzed in triplicate. The lower range of assay sensitivity for IFN-ß was 10 pg/ml.
Statistical analyses. Summary figures for each experimental investigation are presented as a "pooled" means and with their associated standard deviations. Figure legends indicate the number of independent experiments pooled to generate each figure. Analysis of variance models with one or two fixed effect factors, including the two-way interaction if significant, considered the time of the experiment or the run as a random block effect to account for the correlation of observations measured within the same experimental investigation. The tests of lack of fit and model assumptions of homogeneity of variance and normality suggested a log transformation for the Chlamydia growth response (see Fig. 7). Each fixed factor or group effect was tested, and the group means were compared. The Tukey-Kramer adjustment method for multiple comparisons was used to control the type I error. Statistical analyses were performed by using the statistical software packages SAS version 9.1 (SAS Institute, Cary, NC).
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| RESULTS |
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The IFN-ß response to C. muridarum infection of the oviduct epithelial cells is largely independent of MyD88. We previously demonstrated major roles for TLR2 and MyD88 in infected oviduct epithelial secretion of the inflammatory cytokines IL-6 and granulocyte-macrophage colony-stimulating factor and showed that the majority of IFN-ß secretion by infected Bm1.11 cells was MyD88 independent (8). Real-time PCR analyses of MyD88-specific siRNA treatment showed a 7.5- to 9.6-fold reduction in the MyD88 mRNA (Fig. 5A). Consistent with our previously published data, MyD88-specific siRNA suppression of MyD88 mRNA levels caused a significant 15 to 20% decrease in IFN-ß secretion by infected Bm1.11 cells (Fig. 5B). In Fig. 5C and D, we compared IL-6 and IFN-ß responses of the dominant-negative MyD88-expressing Bm1.11 cell line designated (DN)MyD88 with the newly derived (DN)TRIF1 and (DN)TRIF2 cell lines. C. muridarum-infected (DN)MyD88 cells showed a small but statistically significant decrease (range, 10 to 20%) in the amount of IFN-ß secreted into the medium compared to infected Bm1.11 control cells at 24 h postinfection, whereas the majority of IFN-ß production at 24 h postinfection was suppressed in the (DN)TRIF1 and (DN)TRIF2 cell lines. Conversely, the (DN)MyD88 cell line showed a >85% decrease in IL-6 secretion upon infection, while the (DN)TRIF1 and (DN)TRIF2 cell lines secreted IL-6 at levels similar to Bm1.11 control cell lines. C. muridarum replicated equally well in pcDNA3.1D and the (DN)MyD88 cell lines (data not shown). These data are consistent with a major role for TRIF and a lesser role for MyD88 in IFN-ß secretion by infected oviduct epithelial cell lines.
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| DISCUSSION |
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/ß has been shown to inhibit C. trachomatis replication in vitro (5, 14, 16, 52), and therefore epithelial secretion of IFN-ß may help establish a less permissive environment for Chlamydia replication early during infection. The dominant-negative TRIF cell line with the greatest inhibition of IFN-ß secretion, (DN)TRIF1, had a significantly higher level of C. muridarum replication, possibly reflecting compromise of its innate response and/or resistance to infection.
In adaptive immunity, IFN-ß contributes to dendritic cell maturation (19, 37), dendritic cell cross-priming of CD8 T-cell responses (32), IL-12 production (11), and Th1/Th2 polarization. IFN-ß facilitates Th1 development in the presence of TNF-
(45). Mice deficient in IFN-ß (39) or the IFN-
/ß receptor (42) show a Th2 bias. IFN-ß may contribute to the adaptive immune response against Chlamydia via dendritic cell activation and maturation, recruitment of lymphocytes through IFN-
/ß-regulated chemokines, or direct effects on lymphocytes.
We and others have shown that Chlamydia species trigger IFN-ß production in epithelial cells and macrophages (8, 13, 24, 31, 46). The identity of the PRR responsible for IFN-ß secretion by Chlamydia-infected reproductive tract epithelial cells is not known. Our previous study utilizing oviduct epithelial cell lines narrowed the epithelial candidate PRR to TLR3, RIG-I, MDA5, or a putative cytosolic PRR that recognizes DNA. TLR3 is an endosomal PRR believed to play a role in surveillance for replicating RNA viruses. The only known microbial ligand for TLR3 is dsRNA (2). Similarly, RIG-I and MDA5 are cytosol resident PRRs that recognize dsRNA. It is not clear how these PRRs would recognize Chlamydia, which has no dsRNA structural subunit or replication intermediate. The putative cytosolic DNA PRR was potentially an attractive candidate PRR for Chlamydia induced IFN-ß production by epithelial cells.
Based on the specific PRRs expressed by oviduct epithelial cells, identifying the signaling pathway leading to IFN-ß would yield important information about the relevant upstream PRR. Of the identified PRRs, TLR3 is the only TRIF-dependent PRR expressed by oviduct epithelial cell lines. The other candidate IFN-ß PRRs, RIG-I, and MDA5, as well as a putative cytosolic DNA PRR, utilize the IPS-1 adaptor and are TRIF independent for IFN-ß production. Dominant-negative adaptor studies and siRNA experiments showed that C. muridarum-infected Bm1.11 epithelial cell production of IFN-ß was dependent on viable C. muridarum and was largely TRIF dependent and MyD88 independent. Partial knockdown of IRF3 with IRF3-specific siRNA supported the expected role for IRF3 in IFN-ß production. We showed that cytosolic dsRNA [liposomal transfection of poly(I-C)] triggered IFN-ß production through RIG-I/MDA5 in a TRIF-independent fashion (29, 43, 53, 55), a finding consistent with TRIF-independent signaling by RIG-I and MDA5 in murine oviduct epithelial cells (Fig. 6B). The dependence of C. muridarum-infected Bm1.11 epithelial IFN-ß production on the TRIF adaptor rules out significant roles for RIG-I, MDA5, and the putative cytosolic DNA PRR in infection-triggered IFN-ß production by Bm1.11 oviduct epithelial cells. TRIF dependence implicates TLR3 or an unknown TRIF-dependent PRR.
Our oviduct epithelial data complement the peritoneal macrophage data of Nagarajan et al. (46). IFN-ß responses of oviduct epithelial cells and murine macrophages to C. muridarum infection differ in their dependence on MyD88, likely reflecting the differences in TLR molecules expressed by each cell type. C. muridarum-infected peritoneal macrophages from MyD88-deficient mice showed a 70 to 80% decrease in IFN-ß mRNA compared to wild-type mice. Balfilomycin inhibition of endosomal acidification significantly blocked IFN-ß mRNA induction in infected macrophages, implicating an endosomal TLR as the PRR responsible for IFN-ß induction. TLR7 to TLR9 are localized within endosomes and require the MyD88 adaptor for IFN-ß induction, leading us to postulate a major role for these TLRs in IFN-ß production. Our oviduct epithelial cell lines do not express TLR7 to TLR9 by RT-PCR and do not respond to the TLR9 agonist ODN1826 (8). The existing literature supports TLR7 to TLR9 expression by macrophages, and peritoneal macrophages express TLR7 to TLR9 (data not shown), leading Nagarajan et al. (46) to postulate that infected primary murine lung fibroblasts from MyD88-deficient mice had decreased Cxcl10 (IP-10) production compared to wild-type controls. Cxcl10 transcription is upregulated by IFN-ß and can serve as an indirect marker for IFN-ß production. Because fibroblast and epithelial cells are derived from different embryonic tissues (mesoderm versus ectoderm) and the TLR expression pattern of the lung fibroblasts was not characterized, it is not possible at this point to make direct comparisons of our oviduct epithelial cells and the primary lung fibroblasts with respect to IFN-ß production. IFN-ß production by murine peritoneal macrophages, bone marrow-derived macrophages (46), and oviduct epithelial cells (the present study) required viable C. muridarum, suggesting that the relevant Chlamydia ligand is either absent from the elementary body or inaccessible in that form. It may be that PRR triggering of IFN-ß production requires Chlamydia structural subunits (protein or otherwise) that are specific to the reticulate body or injection of Chlamydia molecules into the cytosol via the putative type III secretion apparatus during replication.
Inhibition of endosomal acidification did not clarify a role for endosomal PRR recognition of C. muridarum in infected Bm1.11 epithelial cells. Bafilomycin A had a major inhibitory effect on infected Bm1.11 cell secretion of IFN-ß but had an even greater effect on C. muridarum replication (Fig. 7). Nagarajan et al. reported that C. muridarum replication was not significantly effected by bafilomycin A in peritoneal macrophages (46). C. trachomatis serovar L2 replicating in Vero cells is also indifferent to bafilomycin A (17). The sensitivity of C. muridarum replication to bafilomycin A potentially identifies a major difference in the endosomal contributions to Chlamydia replication in macrophages versus epithelial cells. Alternatively, the endosomal H+-proton pump inhibitor bafilomycin A is an antibiotic with known activity against gram-positive bacteria (62). Detailed studies of Chlamydia susceptibility to bafilomycins have not been performed. It is possible that C. muridarum has greater exposure to bafilomycin A within epithelial cells than it does within peritoneal macrophages.
Our data implicate TLR3, or an unknown TRIF-dependent PRR, as the PRR responsible for IFN-ß production by C. muridarum-infected oviduct epithelial cells. TLR3 is not a particularly appealing candidate PRR for IFN-ß production since Chlamydia lacks dsRNA structural subunits or replication intermediates and therefore has no obvious TLR3 ligand. It is possible that there are multiple alternative ligands for TLR3, as was the case for TLR2 (15, 35). Interestingly, Stockinger et al. (57) identified a TLR/Nod2-independent, IRF3-dependent pathway for IFN-ß production in Listeria-infected BMDM. These authors found that TRIF/ bone marrow-derived macrophages (BMDM) had a marked decrease in IFN-ß mRNA and Stat-1 phosphorylation (signaling event for IFN-
/ß receptor) at 2 h postinfection but that IFN-ß mRNA levels 6 h postinfection approximated those of the wild-type BMDM. The data were interpreted as showing a TRIF-independent pathway for IFN-ß induction. It is unclear whether the delayed recovery of IFN-ß at 6 h in Listeria-infected TRIF/ BMDM occurs via the same pathway responsible for induction of IFN-ß at 2 h in wild-type BMDM. The delayed recovery of IFN-ß could occur via a slower alternative pathway or via a redundant pathway triggered at a later point during the course of Listeria infection. It is possible that the TRIF-dependent PRR IFN-ß pathway utilized by C. muridarum-infected Bm1.11 oviduct epithelial cells is the same TLR/Nod2-independent pathway identified in Listeria-infected BMDM. The PRR for the TLR/Nod2-independent pathway in Listeria infection has not been identified.
In summary, we showed that IFN-ß secretion by C. muridarum-infected oviduct epithelial cells required C. muridarum replication and was dependent on IRF3 and TRIF. TLR expression analysis and TRIF dependence implicate TLR3 as the PRR responsible for infected epithelial IFN-ß secretion. However, because TLR3 recognizes dsRNA, it would be an unexpected Chlamydia PRR unless there is an uncharacterized non-dsRNA Chlamydia TLR3 ligand. Neither inhibitor studies with bafilomycin (Fig. 7) nor TLR3 siRNA studies (data not shown) have generated definitive TLR3 data. Our bias is that there is a non-TLR3 TRIF-dependent pathway for IFN-ß secretion in infected oviduct epithelial cells. Studies to definitively address this issue through derivation of TLR3/ epithelial cell lines are under way in our laboratory.
| ACKNOWLEDGMENTS |
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We gratefully acknowledge the thoughtful comments of Stan Spinola and Byron Batteiger during evolution of the manuscript.
| FOOTNOTES |
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Published ahead of print on 18 December 2006. ![]()
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