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Infection and Immunity, April 2009, p. 1368-1375, Vol. 77, No. 4
0019-9567/09/$08.00+0 doi:10.1128/IAI.01450-08
Copyright © 2009, American Society for Microbiology. All Rights Reserved.

Parasitology Research Center, Department of Pathology, Tufts University School of Medicine, 150 Harrison Avenue, Boston, Massachusetts 02111
Received 26 November 2008/ Returned for modification 13 January 2009/ Accepted 21 January 2009
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). However, these receptors are expressed by only a subset of neurons and at low levels or not at all in glial cells. Thus, T. cruzi might exploit an additional neurotrophic receptor(s) to maximize host-parasite equilibrium in the nervous system. We show here that T. cruzi binds TrkC, a neurotrophic receptor expressed by glial cells and many types of neurons, and that the binding is specifically inhibited by neurotrophin-3, the natural TrkC ligand. Coimmunoprecipitation and competition assays show that the trans-sialidase/parasite-derived neurotrophic factor (PDNF), previously identified as a TrkA ligand, mediates the T. cruzi-TrkC interaction. PDNF promotes TrkC-dependent mitogen-activated protein kinase signaling, neurite outgrowth, and survival of genetically engineered PC12 neuronal cells and glial Schwann cells in a TrkC-dependent manner. Thus, TrkC is a new neurotrophic receptor that T. cruzi engages to promote the survival of neuronal and glial cells. The results raise the possibility that T. cruzi recognition of TrkC underlies regenerative events in nervous tissues of patients with Chagas' disease. |
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Host cell protection against injury could confer obvious benefits to an obligate intracellular parasite like T. cruzi. Although host responses likely underlie tissue repair mechanisms, increasing evidence suggests that T. cruzi may play a direct role in enhancing cell survival (7, 8). Similar to the activation of TrkA receptor by nerve growth factor (NGF), T. cruzi binds TrkA and activates mitogen-activated protein kinase (MAPK), phosphatidylinositol 3-kinase, and Akt kinase signaling pathways (9, 11, 12). T. cruzi recognition of TrkA is via the neuraminidase/trans-sialidase, also called parasite-derived neurotrophic factor (PDNF) (7, 8). The activation of these TrkA-dependent signaling pathways leads to the survival of neurons and other TrkA-expressing cell types subjected to various insults such as infection and starvation (11, 12). Thus, PDNF may be one of the factors that may mitigate host nerve tissue damage.
TrkA is a member of the tyrosine kinase Trk receptor family, which also includes the receptors TrkB and TrkC. Trk signaling helps mediate the differentiation, continued survival, and regeneration of cells throughout the CNS and PNS (24). Despite a 60 to 80% homology, Trk receptors have preferred ligands called neurotrophins, a distinct pattern of expression, and nonredundant functions. For example, the preferred ligands for TrkA and TrkB are NGF and brain-derived NGF (BDNF), respectively, which do not bind TrkC. TrkC is recognized only by neurotrophin-3 (NT-3), yet NT-3 is the most promiscuous of the neurotrophins, as it binds TrkA and TrkB albeit with a 102 to 104 lower affinity (24). The binding of NT-3 to each Trk receptor with various affinities may activate signaling pathways differentially (27). However, it is not clear whether low-affinity binding to nonpreferred receptors is relevant in vivo, as the decreased affinity of binding of NT-3 to TrkB may be magnified in vivo, resulting in selective signaling through TrkC but not TrkB (44). The divergence in Trk family receptors can also be seen by examining cell-specific Trk expression, as any given neuron or glial cell often expresses only one Trk receptor type. Defined segments of the nervous system often depend on a specific Trk receptor for differentiation and continued survival (6, 24).
Some nerve tissues highly parasitized by T. cruzi such as those in the heart and gastrointestinal tract depend on the expression of TrkC but not of TrkA or TrkB (6, 24). It also depends on the expression of receptors for glial cell-derived family ligands (GFR
and Ret) (1, 3). The tissue specificity of Trk receptors, GFR
, and Ret raises the possibility of T. cruzi optimizing its interactions with cells throughout the mammalian nervous system by binding multiple neurotrophic receptors. For example, Schwann cells, which myelinate neurons in the PNS and express TrkB and TrkC but not TrkA and GFR
(50), undergo regeneration in animal models of Chagas' disease (34). Although T. cruzi activates TrkA (11) and GFR
(31) prosurvival signalings, an alternative mechanism(s) must be employed if T. cruzi is to promote the maintenance of parasitized cells that do not express TrkA and GFR
receptors. In ways that mimic, yet that are distinct from the endogenous actions of NT-3, we show here that T. cruzi mediates neuronal and Schwann cell survival through the binding and activation of the neurotrophic receptor TrkC.
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Cloning and transfection. TrkB and TrkC were directionally cloned from human RNA (RNA was a gift from Tugba Bagci, Neuroscience Department, Tufts Medical School, Tufts University) via reverse transcription-PCR into the pIRES-dsRed mammalian expression vector (Clontech). TrkC was amplified using forward primer 5'-CCGCTCGAGATGGATGTCTCTCTT (incorporating the XhoI site, which is underlined) and reverse primer 5'-CTAGCCAAGAATGTCCAGGTAGATTG. The PCR product was ligated into the Topo vector (Invitrogen), excised, and religated into the pIRES vector using XhoI and EcoRI sites. A similar cloning strategy was employed for TrkB using 5'-CCGCTCGAGATGTCGTCCTGGATA and 5'-CTAGCCTAGAATGTCCAGGTAGACCG as forward and reverse primers, respectively. NNR5 cells were transfected with TrkB, TrkC, or empty vector (EV) clones using Fugene HD (Roche) according to the manufacturer's protocol. Transfected cells were selected for in NNR5 medium supplemented with 500 µg/ml Geneticin (selective medium) (Gibco) for 1 week and then sorted by use of a fluorescence-activated cell sorter (FACS) for dsRed expression at 1 week and 1 month posttransfection. Cells were regrown in selective medium and sorted a third time (by FACS) to obtain cell populations with homogenous expression levels of transfected receptors.
PDNF purification. Full-length PDNF was isolated from T. cruzi cultures by immunoaffinity chromatography as described previously (43).
T. cruzi binding assay. The extracellular domain of TrkA, TrkB, TrkC, and fibroblast growth factor receptor (FGFR) bound to the immunoglobulin Fc domain were purchased from R&D systems, as was TrkC without the Fc domain. Binding experiments were performed as described previously (18): 5 x 106 trypomastigotes/ml were incubated with each receptor in binding buffer (DMEM, 0.1% bovine serum albumin [BSA]) for 45 min at 4°C and washed four times with binding buffer by centrifugation (6,000 x g for 5 min) to remove unbound receptor. Parasite pellets were resuspended in reducing (2% β-mercaptoethanol) sodium dodecyl sulfate (SDS)-Laemmli sample buffer, run on an SDS-polyacrylamide gel electrophoresis (PAGE) gel (7.5%), transferred onto nitrocellulose, and probed with anti-human immunoglobulin G (IgG) horseradish peroxidase (HRP)-labeled antibody (Promega); blots were quantified in a scanning densitometer (Bio-Rad Laboratories). Blots were stripped and reprobed using human chagasic serum or TCN-2 monoclonal antibody to evaluate loaded parasite and the effect of washing of the parasites. Similar procedures were performed for T. cruzi-TrkC competitive binding experiments except that NT-3, BDNF, NGF (Chemicon), or PDNF was coincubated with T. cruzi and TrkC.
Coimmunoprecipitation assay. A coimmunoprecipitation assay was performed by a slight modification of a previously reported coimmunoprecipitation procedure (31): PDNF (1 µg) was incubated overnight at 4°C with Fc receptors (1 µg) in binding buffer (DMEM, 0.1% BSA). Fc-receptors were immunoprecipitated on protein G-Sepharose (GE Healthsciences) and washed three times in binding buffer. The pellet was resuspended in SDS-sample buffer, run on reducing (2% β-mercaptoethanol) SDS-PAGE (7.5%) gels, and transferred onto nitrocellulose. PDNF coimmunoprecipitated by the Fc receptors was identified with PDNF-specific monoclonal antibody TCN-2 and anti-mouse-HRP secondary antibodies. Receptors were evaluated using anti-human IgG-HRP antibodies.
Trk signaling evaluation. (i) Neurite extension. Transfected NNR5 cells were plated in 96-well plates (104 cells/well) and treated with NT-3 or BDNF (100 ng/ml) or PDNF (250 ng/ml) in 10% fetal calf serum (FCS)-DMEM for 48 to 72 h. Cells were fixed in 4% paraformaldehyde, blocked in 5% BSA-phosphate-buffered saline, and probed with anti-neurofilament 200 (Sigma-Aldrich) followed by Alexa 488-conjugated anti-rabbit IgG (Molecular Probes). Cells were imaged (magnification of x20) by fluorescence microscopy (Olympus IX70). Using SPOT Advanced software, a minimum of 50 cells for each condition were analyzed for neurite length. All cells with at least one neurite greater in length than 100% of its cell body width were counted as being a cell with a neurite.
(ii) Erk phosphorylation. Subconfluent transfected NNR5 cells were plated in regular medium for 1 day and then cultured in serum-free DMEM overnight. Cultures were then treated with NT-3 or BDNF (100 ng/ml) or PDNF (25 to 200 ng/ml) for 12 min. When indicated, cells were pretreated with the Trk-specific inhibitor K252a (1 µM) (Sigma-Aldrich) for 60 min. Cells were immediately washed with cold phosphate-buffered saline and lysed on ice with 1% NP-40 lysis buffer (20 mM Tris [pH 7.5], 150 mM NaCl, 1 mM EDTA, 1 mM EGTA, 1% Triton X-100, 2.5 mM sodium pyrophosphate, 1 mM glycerophosphate, 1 mM Na3VO4, 1 µg/ml leupeptin, and 1 mM phenylmethylsulfonyl fluoride) for 30 min. Lysates were cleared by centrifugation at 10,000 x g for 10 min, and equal amounts of total protein (20 to 60 µg) in SDS-loading buffer were run under reducing conditions on an SDS-PAGE gel (12.5%), transferred onto nitrocellulose, and probed with antibodies specific for phospho-Erk (P-Erk) (Cell Signaling) and Erk1/2 kinase (Cell Signaling). To determine whether T. cruzi activates Erk1/2, NNR5 transfectants were infected with 107 trypomastigotes/ml for 15 min, and P-Erk was ascertained as described above for PDNF cell activation.
NNR5 survival assay. Transfected NNR5 cells were plated in 96-well plates (104 cells/well), attached overnight in 10% FCS-DMEM, and grown in 1% FCS-DMEM, serum-free DMEM, or serum-free DMEM supplemented with 250 ng/ml PDNF for 72 h. Cultures were then treated with Hoechst 33342 stain (10 µg/ml) and propidium iodide (PI) (2 µg/ml) in prewarmed (37°C) DMEM for 10 min at 37°C and visualized under UV light (340 to 380 nm). Hoechst 33342 stains live and apoptotic nuclei blue, and PI stains only dead cells (pink).
Schwann cell survival assay. Schwann cells were plated in 96-well plates (5 x 103 cells/well), allowed to attach overnight to the substratum in 10% FCS-DMEM, and then washed twice in serum-free DMEM. Cells were then maintained in serum-free DMEM for 3 days with daily 1-h treatments of FCS (1%) or serum-free DMEM with or without TrkC-specific antibodies (1 mg/ml) (Upstate Biotech), TrkB-specific antibodies (1 mg/ml) (Upstate Biotech), or PDNF (250 ng/ml) with or without Trk antibodies. Cells were then stained with Hoechst 33342 dye-PI and imaged by fluorescence microscopy as described above.
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FIG. 1. T. cruzi binds TrkC. (A) Live parasites (5 x 106 parasites) were incubated with equal amounts of the indicated soluble receptors (1 µg), spun down, washed to remove unbound receptors, and lysed to reveal bound receptor by Western blotting using anti-human IgG-HRP. The receptor load control represents an equal volume of supernatant from each sample after the first spin to evaluate unbound receptor by Western blotting. Note that TrkCFc is visibly reduced in the supernatant obtained by incubating parasites with TrkC. The parasite/wash control represents the total number of parasites after washes revealed by Western blotting with T. cruzi-specific antibody TCN-2. Note that parasite load was constant for every lane. (B) Dose response of T. cruzi/TrkCFc binding. (C) Dose response of T. cruzi/TrkCnon-Fc binding. Bound receptor was revealed using anti-TrkC antibody. (B and C) Relative binding was calculated using the parasite/wash control as a standard. Experiments in B and C were done three times, and those in A were done five times, all with similar results.
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FIG. 2. NT-3 specifically inhibits T. cruzi-TrkC binding. (A) A total of 2x molar amounts of recombinant NT-3, BDNF, or NGF (0.6 µg) to TrkCFc were incubated with 5 x 106 T. cruzi parasites and TrkCFc (1 µg). Parasites were then spun down and washed, and bound TrkC was revealed by Western blotting using anti-human IgG antibodies. (B) Dose response of increasing concentrations of NT-3 incubated with live T. cruzi parasites and TrkCFc. Bound TrkCFc was calculated by scanning densitometry, with each sample standardized against its parasite wash control. (Inset) A representative blot from the experiment is shown. Experiments in A and B were done three times, with similar results.
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FIG. 3. PDNF binds TrkC. (A) Receptor (1 µg) was incubated with PDNF (1 µg) and mixed with protein G-Sepharose to pull down Fc-receptors. Coimmunoprecipitated PDNF was revealed by Western blotting using TCN-2 monoclonal antibody. Total receptor was revealed using anti-human IgG antibodies. The additional blot shows 1 µg PDNF visualized by a Western blot developed using TCN-2 monoclonal antibody. (B) Parasites were incubated with 1 µg of TrkCFc and increasing concentrations of PDNF. Parasites were washed and evaluated for bound TrkCFc. Bound TrkCFc was calculated by densitometry, with each sample standardized against its parasite wash control, as revealed with chagasic serum (one of several bands shown). Experiments in A and B were done three times, with similar results.
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FIG. 4. Trk-deficient PC12-NNR5 (NNR5) cells transfected with TrkC, TrkB, and EV respond appropriately to corresponding ligands. TrkB and TrkC were cloned from human RNA into the bicistronic mammalian expression vector pIRES-dsRed, which was used to transfect PC12NNR5 cells. (A) NNR5TrkC, NNR5TrkB, and NNR5EV (EV) cells were sorted by FACS for dsRed expression to obtain similar expression levels; rectangles represent the cells selected from each population. The x and y axes represent channels that detect green fluorescent protein (GFP) and red fluorescent protein (RFP), respectively. FL, fluorescence. (B) P-Erk was examined by Western blotting with transfected cells cultured in serum-free medium overnight and treated with NT-3 or BDNF (100 ng/ml) for 12 min at 37°C. The upper and lower bands in each blot represent Erk1 (MAPK3) and Erk2 (MAPK1), respectively. (C) Transfected cells were cultured in medium with or without NT-3 (100 ng/ml) or BDNF (100 ng/ml) for 3 days, fixed, probed with anti-neurofilament primary antibody and Alexa 488 secondary antibody, and imaged (magnification, x20) to visualize neurite extension. Experiments were repeated multiple times at various points to ensure that cells maintained correct responsiveness.
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FIG. 5. T.cruzi/PDNF activates TrkC signaling. (A) Cells were cultured in serum-free medium overnight, treated with the Trk-specific inhibitor K252a (1 µM) for 1 h where indicated, and then treated with 106 parasites or not treated for 12 min at 37°C. Cell lysates were analyzed by Western blotting to evaluate P-Erk and total Erk. (B) Similar to A, but plated cells were treated with PDNF (200 ng/ml) for 12 min. (C) PDNF dose-response treatment of NNR5TrkC as described above (B) with accompanying graph. Phosphorylation (increase) was calculated by scanning densitometry. Each P-Erk band was standardized against its total Erk band and then standardized against vehicle (DMEM), which was arbitrarily set to 1. Experiments in A to C were done twice, with similar results obtained. (D) NNR5TrkC, NNR5TrkB, and NNR5EV cells were plated and cultured for 2 to 3 days with PDNF (250 ng/ml) or NT-3 (100 ng/ml). Cultures were then fixed, probed with anti-neurofilament primary antibody and Alexa 488 secondary antibody, and imaged (magnification, x20) to visualize neurite extension; arrows point toward neurites. (Inset) Neurite extension was quantified for three individual experiments; error bars represent the standard errors of the means between the three experiments, and 50 or more cells were counted for each condition in each experiment. Neurite extension (percent) is the number of cells with at least one neurite with a length greater than 100% of the diameter of the cell body divided by the total number of cells.
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PDNF promotes survival of neuronal and glial cells via TrkC.
To determine whether PDNF promotes the TrkC-dependent survival of neuronal cells, we induced apoptosis in the NNR5 transfectants by growing the cells in serum-free medium for 3 days in the absence or presence of PDNF (250 ng/ml). Cell death was assessed by fluorescence microscopy using the Hoechst 33343-PI assay. While most NNR5TrkC cells died in serum-free medium, PDNF rescued
70% of the serum-starved cells (Fig. 6A and B). In contrast, PDNF did not rescue NNR5TrkB and NNR5EV transfectants (Fig. 6A and B). This result suggests that PDNF treatment protects a neuronal cell line from cell death in a TrkC-dependent manner.
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FIG. 6. PDNF promotes TrkC-dependent neuronal and glial cell survival. (A) NNR5TrkC, NNR5TrkB, and NNR5EV cells were plated in triplicate and cultured for 3 days in 1% FCS, serum-free DMEM, or serum free-medium supplemented with PDNF (250 ng/ml). Cells were stained with propidium iodide and Hoechst nuclear staining reagents and counted by fluorescence microscopy (magnification, x20). (B) Graph of data for experiment shown in A with PDNF survival normalized against serum-free survival. Error bars represent the standard errors of the means between experiments; an average of three experiments were performed, with each point in triplicate. (C) Schwann cells were plated in triplicate and then cultured under conditions as indicated: 1% FBS or serum free with or without anti-TrkC (1 µg/ml), anti-TrkB (1 µg/ml), PDNF (250 ng/ml), or a combination. Error bars represent the variation between experiments. P values (analysis of variance) were calculated using Prism software. An average of two experiments were performed, each point in triplicate.
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PDNF activation of differentiation and survival of cells of the nervous system, through the recognition of TrkC, widens the scope for the possible role that T. cruzi plays in helping repair infected nervous tissues (2, 10, 18). This would be broadened even further by T. cruzi activation of TrkB, as reported, without the use of T. cruzi, with a bacterially expressed truncated form of trans-sialidase (49). Instead of bacterially expressed truncated protein, we used full-length endogenous PDNF isolated from T. cruzi strain Silvio to show that it does not bind TrkB under conditions in which it interacts with and activates TrkC (Fig. 1 to 6). In our experiments, the PDNF/trans-sialidase actions were reproduced by live, invasive parasites (Fig. 1 to 6). Nevertheless, it is possible that T. cruzi (and PDNF) can activate TrkB under conditions distinct from ours, such as concentrations higher than those used here.
T. cruzi PDNF is a functional mimic of neurotrophins inasmuch as it binds and activates TrkA and TrkC. Neurotrophins (NGF, BDNF, and NT-3) interact with two different classes of receptors. The first class is called P75NTR, which belongs to the tumor necrosis factor superfamily and, as such, has a "death" domain; it binds to all neurotrophins with relatively low affinity (
10–9 M), and it can mediate cell survival or cell death, promote or inhibit axonal growth, and facilitate or attenuate proliferation (14, 23). Although p75NTR is a rabies virus receptor (46), we have been unable to demonstrate a binding of T. cruzi to p75NTR (11; this work).
The second class of neurotrophin receptors is the so-called high affinity (Ko
10–11) Trk (tropomyosin-related kinase) receptors. TrkECD is composed of five subdomains, a leucine-rich repeat structure sandwiched between two cysteine-rich cluster domains followed by two Ig-like domains. Neurotrophins bind to the membrane-proximal Ig-like domain, as determined by many criteria including cocrystal structures of the isolated domain or the entire TrkECD region with neurotrophin (47, 48). We hypothesize that T. cruzi interacts with the Ig-2-like domain of TrkC because PDNF (and T. cruzi) binding to TrkCECD is specifically inhibited by the TrkC ligand NT-3 (Fig. 2). Furthermore, each Trk receptor spans the membrane once and ends in the cytoplasm with a tyrosine kinase domain, which becomes activated after ECD dimerization triggered by neurotrophin binding (24, 47). Thus, it may be that T. cruzi, like NT-3, dimerizes TrkC to activate Erk signaling (Fig. 5) and promote cell survival and differentiation (Fig. 6).
Because PDNF is anchored to the trypanosome outer membrane by a glycosylphosphatidylinositol structure (41), the engagement of TrkC by T. cruzi should occur during trypanosome-host cell interactions. Such interactions are required for the parasite to penetrate host cells. T. cruzi-dependent TrkC engagement should extend to uninfected cells, given that PDNF is readily shed from the trypanosome surface into the water-soluble, diffusible factor (41). T. cruzi could emulate NT-3 in vivo by protecting cells against damage in nervous tissues invaded by T. cruzi. Neuroregeneration events occur in the gastrointestinal tract of patients in the indeterminate (asymptomatic) phase of Chagas' disease (25) and in the megacolon of patients with chronic symptomatic disease (16).
This work was supported by NIH grants NS40574 and NS42960.
Published ahead of print on 29 January 2009. ![]()
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