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Infection and Immunity, May 2008, p. 2099-2105, Vol. 76, No. 5
0019-9567/08/$08.00+0 doi:10.1128/IAI.01137-07
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

Valérie Rosseels,1,
Virginie Piersoel,1
Denise K. Zinniel,2
Raúl G. Barletta,2 and
Kris Huygen1*
Mycobacterial Immunology, WIV-Pasteur Institute, 642 Engelandstraat, B1180 Brussels, Belgium,1 Department of Veterinary and Biomedical Sciences, University of Nebraska, Lincoln, Nebraska 68583-09052
Received 16 August 2007/ Returned for modification 10 October 2007/ Accepted 9 February 2008
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The natural resistance of mice to nontuberculous mycobacterial infections caused by Mycobacterium simiae, Mycobacterium intracellulare, and Mycobacterium avium subsp. avium is also controlled by Slc11a1 (1, 27). The role of Slc11a1 in susceptibility to Mycobacterium paratuberculosis, the etiological agent of bovine paratuberculosis, or Johne's disease, is less clear and has been studied mostly in the context of Crohn's disease. The association between M. paratuberculosis and Crohn's disease has been questioned for a long time, but recent improvements in isolation and genomic techniques seem to suggest a stronger association of M. paratuberculosis as either a causative agent or an opportunistic infection of Crohn's disease patients (6, 7, 26). Three studies have examined Slc11a1 polymorphisms in patients with inflammatory bowel disease (15, 33, 38). From these reports, it can be concluded that the etiology of Crohn's disease is the result of a complex interplay of genetic, infectious, and immunologic factors, and (as for studies of AIDS patients with pulmonary M. avium complex infection) these observations suggest that Slc11a1 is one, but only one, determinant of genetic susceptibility (39).
Mice are generally considered to be resistant to M. paratuberculosis and unsuitable for the study of this intestinal pathogen of cattle, goats, sheep, and wild ruminants (13). Some authors have reported on genetic variations in the susceptibility of mice to M. paratuberculosis infection, but in these studies, bacterial replication was analyzed by measuring hepato- or splenomegaly (10, 40), not by actual enumeration of bacteria. The last technique is seriously hampered by the fact that M. paratuberculosis, a slowly growing mycobacterial species, requires 6 to 8 weeks of culture before colonies can be counted visually. Chiodini and Buergelt compared three susceptible Slc11a1s mouse strains (BALB/c, C57BL/6, and C57BL/10) using the LINDA strain isolated from a Crohn's disease patient (8). This study indicated that the reduction in bacterial burden was associated with the development of caseous necrotic lesions. Veazey et al. analyzed actual CFU counts in M. paratuberculosis-infected C57BL/6 and C3H mice, which express the susceptible and resistant Slc11a1 alleles, respectively, but which also differ at numerous other loci (43, 44).
We have recently reported on the construction of a luminescent M. paratuberculosis isolate that expresses the luxAB genes of Vibrio harveyi introduced by transformation with the shuttle plasmid pSMT1 (31). With this luminescent isolate, fastidious enumeration of CFU can be replaced by easy and inexpensive luminometry (31). Here, we have used this luminescent M. paratuberculosis isolate to reevaluate the role of Slc11a1 in the susceptibilities of a series of inbred mouse strains to intravenous M. paratuberculosis infection.
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Luminescence assay. The number of bioluminescent bacteria was determined using a bioluminescence assay with a Lumat LB 9507 luminometer (Berthold Technologies) and 1% n-decanal (Sigma) in ethanol as a substrate (41). In this assay, only live bacteria are enumerated, because emission of light is dependent on the presence of reduced flavin mononucleotide (FMNH2), a cofactor that is found only in living cells. For statistical analysis (two-way analysis of variance [ANOVA] with Bonferroni posttests), results obtained in relative light units (RLU) were converted to log10 values. The CFU/RLU ratio for exponentially growing axenic M. paratuberculosis cultures was determined to be 1.2 under our test conditions (5-second delay and 15-second integration time). It is important to note that RLU values are relative and not absolute light units, and the values depend on the sensitivity of the luminometer, the sample and substrate volumes, and the integration time used. However, in comparisons of CFU and RLU data, delta log10 values have been found to be nicely correlated (31, 41).
Infection of mice. The luminescent bovine isolate M. paratuberculosis S-23 (31) was grown in Middlebrook 7H9 medium supplemented with oleic acid-albumin-dextrose-catalase, mycobactin J (Allied Laboratories Inc., Synbiotics Europe; 2 µg/ml), and hygromycin (100 µg/ml) to an optical density between 0.6 and 0.8. The bacteria were centrifuged for 30 min at 2,000 rpm and suspended in phosphate-buffered saline (PBS) to a concentration of 8.5 x 106 RLU/ml, and mice were infected intravenously in a lateral tail vein with 0.2 ml (1.7 x 106 RLU to 2 x 106 CFU) of bacteria.
Counting RLU in organs. At day 1 and weeks 2, 4, 8, and 12 after infection, mice were killed by cervical dislocation; spleens, lungs, and livers were removed aseptically and homogenized by gentle disruption in a loosely fitting Dounce homogenizer. After red cell lysis (to minimize quenching), 1 ml of fresh organ homogenate was centrifuged and resuspended in 1 ml of PBS. The bacterial burden was evaluated by a luminescent assay as previously described (with 0.1 ml n-decanal as a substrate) (41). Background RLU values were determined in spleen, liver, and lungs of naïve BALB.B10 mice.
Counting CFU. The number of CFU of luminescent M. paratuberculosis was determined by plating serial dilutions in PBS on Middlebrook 7H11-oleic acid-albumin-dextrose-catalase agar supplemented with mycobactin J and with (or without) hygromycin, in order to check for the presence of the pSMT1 plasmid. One hundred-microliter volumes of bacterial culture or organ homogenates were plated in duplicate. The petri dishes were sealed in plastic bags and incubated at 39°C for 8 weeks before the colonies were counted visually.
Bacterial antigens (Ags). M. paratuberculosis ATCC 19698 was grown at 39°C for 4 weeks as a surface pellicle on synthetic Sauton medium supplemented with mycobactin J as described previously (30). The culture filtrate from M. paratuberculosis (CF-P) was separated from the bacteria; CF proteins were precipitated with ammonium sulfate and extensively dialyzed against PBS. The CF of M. bovis (AN5) (CF-B) was obtained from M. bovis cultures grown as surface pellicles for 2 weeks at 37°C on synthetic Sauton medium. Purified protein derivative from M. bovis Vallée (PPD-B) was kindly given to us by the late J. Nyabenda (WIV-Pasteur Institute Brussels). PPD was prepared from 6- to 8-week-old cultures of M. paratuberculosis strain ATCC 19698 (PPD-P). Recombinant Ag85B from M. paratuberculosis was prepared as described previously (30). Briefly, recombinant protein was expressed in Top-10F' Escherichia coli transformed with a plasmid encoding Ag85B from M. paratuberculosis with six N-terminal histidines. Recombinant proteins were purified by affinity chromatography on an immobilized nickel-chelate (Ni-nitrilotriacetic acid) column.
Spleen cell gamma interferon (IFN-
) production.
At 4, 8, and 12 weeks after infection, female mice were killed by cervical dislocation; their spleens were removed aseptically and homogenized by gentle disruption in a loosely fitting Dounce homogenizer. Spleens from three or four animals per group were analyzed individually. The spleen cells were washed and suspended to 4 x 106 leukocytes/ml in RPMI 1640 medium supplemented with 10% fetal calf serum, penicillin, streptomycin, 5 x 10–5 M 2-mercaptoethanol, and indomethacin (1 µg/ml; Sigma). The cells were cultured in a humidified CO2 incubator in round-bottom 96-well microplates. A volume of 180 µl of cells was added to 20 µl of the respective Ags. CF-B, CF-P, PPD-B, and PPD-P were used at final concentrations of 10 µg/ml and recombinant E. coli-derived 85B protein from M. paratuberculosis was used at 5 µg/ml in the presence of polymyxin B (5 ng/ml). Culture supernatants from three wells were collected and pooled after 72 h (the peak of cytokine activity) and stored at –20°C until they were tested.
IFN-
assay.
IFN-
activity was quantified on supernatants using a sandwich enzyme-linked immunosorbent assay with the coating antibody R4-6A2 and the biotinylated detection antibody XMG1.2 (both from Pharmingen). The detection limit was 10 pg/ml. The results were expressed as mean (± standard deviation) pg/ml, calculated from three or four mice per group tested individually.
For statistical analysis, two-way ANOVA with Bonferroni posttests was used to statistically evaluate differences in IFN-
production from that of naïve mice, by time postinfection, between M. paratuberculosis Ag and M. bovis Ag or between mouse strains for Ag85B.
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FIG. 1. Susceptibilities of five inbred mouse strains to intravenous infection with luminescent M. paratuberculosis S-23. Mice were sacrificed on day 1 and 4, 8, and 12 weeks after infection, and the numbers of mycobacteria in spleen, liver, and lungs were determined by luminometry. The results are reported as log10 RLU/organ (mean ± standard deviation of three to six mice per group tested individually). The detection limits (dotted lines) were determined using organs from noninfected BALB.B10 mice. Statistical analyses were performed using two-way ANOVA with Bonferroni posttests. Comparison between susceptible and resistant mice: *, P < 0.05; **, P < 0.01; ***, P < 0.001. Comparison between BALB/c and C57BL/6 or C57BL/6bg/bg mice: , P < 0.05; ![]() , P < 0.01; ![]() ![]() , P < 0.001. Comparison between C57BL/6 and C57BL/6bg/bg mice: , P < 0.05; , P < 0.01; , P < 0.001.
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TABLE 1. Evolution of M. paratuberculosis S-23 numbers in spleen, liver, and lungs as determined by luminometry and classical CFU counting
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Replication of luminescent M. paratuberculosis S-23 in male and female BALB.B10 mice and (C57BL/6 x DBA/2)F1 mice. As shown in Table 2, major histocompatibility complex congenic BALB.B10 mice (H-2b haplotype on a BALB/c background) displayed the susceptible phenotype, with stable RLU counts in spleen between day 1 and week 4 postinfection and increased RLU counts in liver during that same period. Heterozygous (B6 x D2)F1 mice demonstrated a dramatic reduction in bacterial numbers (a 20- to 60-fold decrease, depending on the organ, between day 1 and week 4), indicating that the Slc11a1r resistant allele was dominant in its effect on susceptibility to M. paratuberculosis (Table 2). This dramatic reduction in RLU counts in resistant mice was observed as early as 2 weeks postinfection, highlighting the role of innate immunity in this resistance. Since Johne's disease in cattle does not show any preference for cows or bulls (25), we also compared genetic susceptibilities to luminescent M. paratuberculosis in male and female mice. There was no statistical difference in bacterial replication between male and female mice, either in resistant (B6 x D2)F1 or in susceptible BALB.B10 mice (Table 2) (P > 0.05). Susceptibilities were also similar in male and female B6 and BALB/c mice with the susceptible phenotype and in DBA/2 mice with the resistant phenotype (data not shown).
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TABLE 2. Replication of luminescent M. paratuberculosis S-23 in male and female BALB.B10 and (B6 x D2)F1 mice
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was analyzed in spleen cell cultures from two M. paratuberculosis-infected susceptible mouse strains (B6 and BALB/c) and from one M. paratuberculosis-resistant strain (C.D2). As shown in Fig. 2, very strong mycobacterium-specific IFN-
production could be detected in B6 mice as early as 1 month after infection in response to CF and PPD from M. paratuberculosis (about 30,000 pg/ml; P < 0.05). M. paratuberculosis-specific responses were higher than responses against CF and PPD from M. bovis, with statistical significance at 12 weeks postinfection (P < 0.01). Confirming previous findings (30), IFN-
responses induced with recombinant Ag85B from M. paratuberculosis were also very high in B6 mice at 4 weeks postinfection (P < 0.05). As was also observed after intravenous M. bovis BCG vaccination (17), IFN-
responses in BALB/c mice were about fivefold lower than in B6 mice (about 6,000 pg/ml) at week 4 postinfection and reached statistical significance at 12 weeks postinfection (P < 0.05 and P < 0.01, respectively). In B6 mice, IFN-
levels did not change between week 4 and week 8 but increased again at week 12 up to maximal levels of between 60,000 and 70,000 pg/ml (P < 0.05). In BALB/c mice, IFN-
responses reached a plateau between weeks 8 and 12 (maximal levels, around 30,000 pg/ml; P < 0.05). Differences between M. paratuberculosis-specific and M. bovis-specific responses remained weak in infected BALB/c mice. Finally, C.D2 mice demonstrated the lowest (albeit still substantial) IFN-
response of the three mouse strains tested, and this was probably a reflection of the lack of M. paratuberculosis replication in the mouse strain. Maximal levels of about 10,000 pg/ml could be detected following stimulation with CF-P at 8 weeks postinfection (P < 0.05). IFN-
responses by unstimulated cells and by stimulated cells from naïve, uninfected mice were low (between 100 and 1,000 pg/ml) and were slightly higher in C.D2 mice than in BALB/c and C57BL/6 mice.
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FIG. 2. Mycobacterium-specific IFN- secretion by splenocytes from M. paratuberculosis-infected C57BL/6, BALB/c, and C.D2 mice. IFN- production was measured in spleen cell culture supernatants from C57BL/6, BALB/c, and C.D2 mice before and 4 weeks (gray bars), 8 weeks (black bars), and 12 weeks (hatched bars) after infection with M. paratuberculosis S-23. The cells were stimulated for 72 h with CF-P or CF-B (10 µg/ml), PPD-P or PPD-B (10 µg/ml), or recombinant Ag85B (5 µg/ml) from M. paratuberculosis. Shown are means plus standard deviations of three or four mice tested individually. Statistical analyses were performed using two-way ANOVA with Bonferroni posttests. Comparison to naïve mice: *, P < 0.05; **, P < 0.01; ***, P < 0.001. Comparison to previous time point: , P < 0.05; ![]() , P < 0.01; ![]() ![]() , P < 0.001. Comparison between M. paratuberculosis Ag and M. bovis Ag: , P < 0.05. Ag85B-specific responses compared between mouse strains: , P < 0.05; , P < 0.01.
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NRAMP1, now called SLC11A1, was identified as a major, innate resistance component of host antimicrobial activity against a number of intracellular pathogens. This integral membrane protein, present in both prokaryotes and eukaryotes, is highly conserved, suggesting that it plays a basic physiological role, as proven by its conservation throughout evolution. In mice, this gene presents two allelic forms, one encoding an aspartic acid at position 169 (Slc11a1s) and the other encoding glycine at this position (Slc11a1r), which confer, respectively, susceptibility or resistance to infection by these pathogens (45). It is still not completely elucidated how SLC11A1 controls the replication of intracellular parasites. Some studies have suggested a direct involvement in the transport of iron or other bivalent cations, such as Mn2+ and Mg2+ (20). Induction of different degrees of iron overload by in vivo administration of iron-dextran in M. avium-infected mice seems to indicate that SLC11A1 contributes to macrophage antimicrobial function by excluding Fe2+ (essential for the pathogen) from the phagosomal vacuole through H+-coupled transport (11). Also, in vitro studies with M. avium showed that the addition of small quantities of iron to resident macrophages from Slc11a1r mice could stimulate antimicrobial activity through generation of hydroxyl radicals and stabilization of SLC11A1 mRNA (47).
The murine Slc11a1 gene is expressed in macrophages from spleen and liver but not from lungs (46). This could explain why in our experiments M. paratuberculosis infection was controlled to the same extent in Slc11a1s and Slc11a1r lungs during the first 4 weeks after intravenous infection. Bacteria were very rapidly eliminated from the lungs of both susceptible and resistant mice, indicating that Slc11a1-independent mechanisms are involved in the antimycobacterial defense of pulmonary macrophages. Interestingly, a study of women suffering from M. avium-M. intracellulare pulmonary disease also failed to find a correlation with Slc11a1 polymorphisms (16).
Slc11a1 polymorphism does not play a role in the susceptibility of mice (3, 23), red deer (21), or cattle (3, 4) to virulent M. bovis or M. tuberculosis, although in humans, certain Slc11a1 alleles are risk factors for tuberculosis (4, 5, 22), possibly through regulation of interleukin-10 production (2). The situation is complex, and the effect of Slc11a1 polymorphism on tuberculosis susceptibility seems to be restricted to particular ethnic groups, e.g., Asian subjects (19), and the association is sex and age dependent and restricted to females and the young age group (below 65 years) (18). Recently, a genetic polymorphism in the human Slc11a1 gene was found to be associated with susceptibility to another mycobacterial pathogen for humans, i.e., Mycobacterium ulcerans, which causes Buruli ulcer, a necrotizing skin disease particularly affecting children in Central and West Africa (37).
Whereas initial resistance to M. paratuberculosis was clearly controlled by Slc11a1, at later stages, additional factors influence bacterial replication in mice expressing the susceptible Slc11a1s allele. Thus, BALB/c mice controlled infection less efficiently than B6 mice in spleen, in lungs, and particularly in liver. Differences in the magnitudes of the early mycobacterium-specific Th1 (IFN-
) response observed in these two mouse strains in the spleen may play a role, but certainly, other factors are also involved. Indeed, Ag-specific IFN-
production was significantly lower in resistant C.D2 mice than in susceptible BALB/c and B6 mice. Also, beige B6bg/bg mice (presenting macrophage lysosomal defects and deficient lytic natural killer cell activity) were more susceptible than mice of the parental B6 strain, particularly with respect to control of the infection in the liver and lungs, although acquired immunity levels, reflected by mycobacterium-specific spleen cell IFN-
responses, were comparable in B6 mice and in these mutant B6bg/bg mice (30). This suggests that attraction of neutrophils and natural killer cells to the liver could be an important control mechanism following intravenous M. paratuberculosis infection, as suggested by Saunders and Cheers for beige mice infected with M. avium (32). In this respect, it is interesting to note that mutations in nucleotide oligomerization domain 2 (Nod2), involved in signaling of proinflammatory chemokines, have been reported in 15% of patients suffering from Crohn's disease (24). A defect in neutrophil recruitment caused by a decreased interleukin-8 response to muramyl dipeptide has also been described in Crohn's disease (42). Clearly, more work is needed to characterize the precise immune mechanisms involved at later stages of M. paratuberculosis infection in mice, particularly with respect to proinflammatory chemokine production.
We are grateful to F. Jurion and P.-Y. Adnet for excellent technical assistance. We also thank E. Skamene (McGill University, Montreal, Canada) for giving us breeding couples of the congenic C.D2 mouse strain. Finally, we thank Erik Jongert (WIV-Pasteur Institute) for helping us with the statistical analyses.
Published ahead of print on 19 February 2008. ![]()
V. Roupie and V. Rosseels contributed equally to this paper. ![]()
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R1 genes in women with Mycobacterium avium-intracellulare pulmonary disease. Am. J. Respir. Crit. Care Med. 157:377-381.[Medline]
receptor 1. Int. J. Colorect. Dis. 14:13-17.[CrossRef][Medline]
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