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The Journal of Immunology, 1998, 161: 4909-4916.
Copyright © 1998 by The American Association of Immunologists

Proapoptotic Activity of a Trypanosoma cruzi Ceramide-Containing Glycolipid Turned on in Host Macrophages by IFN-{gamma}1

Célio G. Freire-de-Lima*, Marise P. Nunes{ddagger}, Suzana Corte-Real{dagger}, Milena P. Soares*, José O. Previato{dagger}, Lúcia Mendonça-Previato{dagger} and George A. DosReis2,*

* Immunobiology Program, Instituto de Biofísica Carlos Chagas Filho, Rio de Janeiro, Brazil; {dagger} Instituto de Microbiologia, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil; and {ddagger} Instituto Oswaldo Cruz, Fiocruz, Rio de Janeiro, Brazil


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The effects of glycoinositolphospholipid (GIPL), from the pathogenic protozoan Trypanosoma cruzi, and its isolated glycan and lipid (dihydroceramide) components, were investigated in J774 cells and primary macrophages. Isolated GIPL ceramide, but not intact GIPL or its glycan, induced intense fluid phase endocytosis when added exogenously. In the presence of the cytokine IFN-{gamma}, GIPL ceramide induced marked apoptosis in J774 cells and macrophages, independent of nitric oxide secretion. When cells were preincubated with the GIPL-derived glycan chain, addition of intact GIPL induced macrophage apoptosis in the presence of IFN-{gamma}. Synthetic C2-dihydroceramide also induced apoptosis in the presence of IFN-{gamma}. Induction of apoptosis in T. cruzi-infected macrophages by GIPL ceramide plus IFN-{gamma} led to increased parasite release compared with IFN-{gamma} treatment alone. Viable parasites released comprised both infective trypomastigote and spheromastigote forms. These results identify a novel pathway by which T. cruzi glycosylphosphatidylinositol family molecules affect host macrophages, with implications for the infectious process.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
One major cell surface glycoconjugate in the protozoan parasite Trypanosoma cruzi, the causative agent of Chagas’ disease (South American trypanosomiasis), is a glycoinositolphospholipid (GIPL)3 (1). This glycolipid is composed of a glycan linked through a non-N-acetylated glucosamine residue to an inositol phosphorylceramide. An unusual composition has been found for this molecule. The main chain of the glycan contains a tetramannose structure in which the mannosyl residues can be substituted by nonreducing galactofuranosyl end units, the glucosamine is substituted by 2-aminoethylphosphonate, and the lipid domain contains an N-lignoceroyl-dihydrosphingosine (2). The T. cruzi GIPL belongs to the glycosylphosphatidylinositol (GPI) family of parasite molecules. This class of major surface molecules of protozoan parasites is able to transduce positive or negative signals to cells of the host immune system (3, 4, 5, 6, 7, 8) and, therefore, could contribute to either virulence or immunoprotective mechanisms of infection. We previously demonstrated that T. cruzi GIPL suppresses host T cell activation in vitro and in vivo through its lipid ceramide domain (3) while augmenting B cell Ig production through the oligosaccharide-phosphoinositol chain (4).

The structural features of T. cruzi GIPLs enable exposure of a bioactive ceramide moiety to the signal-transducing machinery of host cells. Ceramides were characterized as important intracellular mediators of cell signaling through a range of host cell surface receptors, including TNF-{alpha} (9) and IL-1ß (10) receptors, as well as immunoregulatory molecules such as Fas (CD95) (11) and CD28 (12). Ceramides mediate activation of the JNK-1 kinase in response to stress-related stimuli (13), as well as cell cycle arrest or apoptosis caused by cytokines or irradiation (9, 14, 15). However, ceramides were also implicated in macrophage (M{phi}) activation (16, 17) and in lymphocyte costimulatory responses to CD28 engagement (12), indicating that distinct or even opposite cellular responses to ceramide-mobilizing agents arise, depending on context and differentiation state of the responding cell (18).

Since M{phi} infection by protozoan parasites characterizes an early and recurrent target for host innate and acquired effector immune responses (19), it was of interest to investigate whether T. cruzi GIPL affects M{phi} function. In this report, we investigated whether this glycophosphosphingolipid from a protozoan pathogen subverts host cellular responses due to induction of ceramide-controlled processes. We show that, among other effects, GIPL-derived ceramide from T. cruzi synergizes with the host cytokine IFN-{gamma} to induce intense M{phi} apoptosis. Under these conditions, viable intracellular parasites are released into the extracellular medium. The results suggest that ceramide-containing glycolipids from T. cruzi could be implicated in the spread of the infectious process.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Macrophages

Primary M{phi} were derived from peritoneal lavage cells from female BALB/c mice 6 to 8 wk old (Fiocruz Animal Section, Rio de Janeiro, Brazil). After overnight culture, nonadherent cells were removed, leaving adherent M{phi}. The J774.G8 murine M{phi} cell line, originally recloned from the J774 cell line (20), was maintained by weekly passages in complete DMEM supplemented with 10% FCS (Life Technologies, Grand Island, NY). Complete DMEM also contained 2 mM L-glutamine, 1 mM sodium pyruvate, 10 µg/ml gentamicin, MEM nonessential amino acids, 10 mM HEPES, and 50 µM 2-ME.

Isolation and purification of T. cruzi GIPL and GIPL glycan and lipid moieties

GIPLs were purified from epimastigotes of T. cruzi (Y strain) grown in brain-heart infusion medium supplemented with 10 mg/liter hemin and 5% v/v FCS (5 days at 26°C, with shaking), as previously described (2). Briefly, after cold water extraction, cell debris was extracted with 45% v/v aqueous phenol at 75°C, and the aqueous layer was dialyzed, freeze dried, reconstituted with water, and applied to a column of Bio-Gel P-100. The excluded material was lyophilized, and GIPLs were recovered by extraction with chloroform:methanol:water (10:10:3). Nuclear magnetic resonance and fast atom bombardment mass spectroscopy analyses were used to confirm the absence of contaminating peptidic material and LPS in purified GIPL preparations. For isolation of the phosphoinositol-oligosaccharide chain and the lipid moiety, intact GIPL was subjected to alkaline degradation (1 M KOH at 37°C for 48 h) (21). After neutralization with acetic acid, nonpolar material was recovered by chloroform extraction, purified by silica chromatography, and dried under an N2 stream to yield the GIPL-derived ceramide. This material was dissolved in serum-free culture medium containing 10% ethanol in a heated water bath (65 to 80°C) to a stock solution of 500 µg/ml, sterile filtered, and stored in the cold. The aqueous extract of alkaline hydrolyzed GIPL was mixed with Dowex 50W-X8 resin (25 to 50 mesh; H+ form) and filtered through glass wool. Phosphoinositol oligosaccharides were further desalted on a Bio-Gel P-2 column, lyophilized, dissolved in water, and sterile filtered. The structure of T. cruzi GIPL, Y strain, has been resolved by chemical and physical analyses (i.e., nuclear magnetic resonance spectroscopy and fast atom bombardment mass spectroscopy) (1). The major molecular species found in the lipid moiety is the ceramide N-lignoceroyl-dihydrosphingosine (1).

M{phi} cultures

For treatment with parasite glycolipids, primary M{phi} or J774.G8 cells were cultured in complete DMEM supplemented with 1% Nutridoma-SR (Boehringer Mannheim, Indianapolis, IN) instead of FCS. Primary M{phi} or J774 cells (2.5 x 105) were incubated in 1 ml of complete culture medium in 24-well vessels (Corning Glass Works, Corning, NY) with culture medium alone or with intact T. cruzi GIPL (40 µg/ml), isolated GIPL glycan chain (phosphoinositol oligosaccharides) (30 µg/ml), isolated GIPL-derived ceramide (10 µg/ml or lower), synthetic C2-ceramide (N-acetyl-D-sphingosine; ICN Pharmaceuticals, Costa Mesa, CA), or C2-dihydroceramide (N-acetylsphinganine; ICN) and bacterial LPS (10 ng/ml, Escherichia coli O111:B4; Difco, Detroit, MI) for 20 h at 37°C. Synthetic C2-ceramides were dissolved in DMSO at 2 mg/ml, serially diluted to DMEM-10% DMSO, and added to cultures after brief heating (at 65°C). In addition, some cultures received GIPL ceramide together with the indicated doses of NG-monomethyl-L-arginine monoacetate (L-NMMA; Calbiochem-Novabiochem, La Jolla, CA). After 20 h, half of the cultures received murine recombinant IFN-{gamma} (40 U/ml; PharMingen, San Diego, CA) and were cultured for an additional 24 h. Cultures were then examined in an inverted phase contrast microscope, supernatants were collected, and cells were either recovered and counted by trypan blue exclusion or processed for transmission electron microscopy. Some experiments employed modifications of this basic protocol, as noted in the figure legends. In additional experiments, M{phi} and J774 cells were also treated with GIPL or GIPL ceramide and glycan moieties together with IFN-{gamma}, added at the start of culture. In some experiments, percentage cell loss, instead of viable cell number, is presented and was calculated as 100 - [(viable cell number in experimental group)/(mean viable cell number with solvent alone)]. Results are the means and SE of triplicate cultures. For assessing induction of M{phi} fluid phase endocytosis (22), the fluorescent dye Lucifer Yellow (LY; excitation wavelength 430 nm, detection at 540 nm; Sigma Chemical, St. Louis, MO) was added to cultures at 250 µg/ml in the absence or presence of GIPL ceramide. Cells were incubated for 20 h at 37°C and examined under fluorescence microscopy in an inverted microscope equipped with an LY filter set.

Release of fragmented DNA into culture supernatants

After 24 h of IFN-{gamma} addition, supernatants from M{phi} or J774.G8 cell cultures subjected to several experimental treatments were collected, depleted of contaminating cells by centrifugation, and treated as previously described (23), to isolate released DNA. Briefly, 0.6 ml of each supernatant was treated with 0.2 ml of digestion buffer consisting of 0.5% SDS, 200 µg/ml proteinase K (Sigma), and 50 mM NaCl in TE buffer (10 mM Tris and 1 mM EDTA, pH 7.8) for 1 h at 42°C. The mixture was treated with 50% isopropanol/0.5 M NaCl at -20°C overnight, for DNA precipitation. Precipitates were pelleted, washed with 70% ethanol, allowed to dry in air, and reconstituted with 20 µl of TE buffer. Aliquots (10 µl) were applied to horizontal agarose gels (1.5%) and subjected to a standard electrophoresis procedure. Gels were stained with 5 µg/ml ethidium bromide (Sigma) and photographed under UV light.

Nitric oxide (NO) and cytokine production assays

NO levels produced by primary M{phi} cultures (assayed in quadruplicate) were estimated by measuring NO-2 accumulated over 24 or 48 h, as assayed by the Griess reaction (24). Levels of IL-6 secreted into M{phi} culture supernatants were assayed by sandwich ELISA, using a previously described IL-6 detection protocol (25). Recombinant murine IL-6, plus capture and detection anti-IL-6 mAbs, were purchased from PharMingen.

Electron microscopy

After culture with different treatments, J774.G8 cells, which are poorly adherent, were recovered by aspiration after tapping the bottles and washed and fixed with 2.5% glutaraldehyde and 0.1 M sodium cacodylate buffer, pH 7.2, for 1 h at 4°C. After washing in the same buffer, pellets were postfixed with 1% OsO4, dehydrated in acetone, and embedded in Epon. Thin sections were produced with a Reichert Ultramicrotome (Reichert Division Leica AG, Austria) and observed either unstained or stained with uranyl acetate in a Zeiss EM10C (Carl Zeiss, Oberkuchen, Germany) electron microscope.

Cytokines

Murine recombinant cytokines were used at the following final concentrations: IFN-{gamma}, 40 U/ml; IL-1ß, 20 ng/ml; IL-2, 50 U/ml; IL-4, 10 ng/ml; TNF-{alpha}, 40 ng/ml; and GM-CSF, 1 ng/ml. All cytokines were purchased from PharMingen.

Infection of M{phi} monolayers with T. cruzi

Primary BALB/c peritoneal M{phi} (2 x 105 adherent cells/well in 24-well culture vessels) were infected overnight with chemically induced metacyclic forms of T. cruzi clone Dm28c, obtained as described (23), at a 10:1 parasite:cell ratio in 1 ml of complete culture medium containing 10% FCS at 37°C. The next day (day 1), monolayers were extensively washed to remove extracellular parasites and recultured with complete culture medium containing 1% Nutridoma instead of FCS. At day 4, triplicate cultures were treated or not with GIPL-derived ceramide (10 µg/ml) and with IFN-{gamma} (40 U/ml), to induce M{phi} apoptosis. Delaying massive apoptosis induction up to day 4 was required to allow for sufficient intracellular parasite replication and differentiation to take place. The next day (day 5), cultures were gently aspirated, and extracellular parasites were counted in a hemocytometer chamber. Typical motile trypomastigotes and spheromastigotes with rudimentary flagellum were readily identified. Statistical analysis was done by Student’s t test, using a log transformation of released parasite number to normalize the data.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Effects of T. cruzi GIPL and its isolated glycan and ceramide moieties on NO and cytokine secretion

We investigated the ability of T. cruzi GIPL or its isolated glycan and ceramide components to induce M{phi} secretion of either NO or the cytokine IL-6. We used primary peritoneal M{phi} in these assays, since we were unable to detect significant NO production in the J774.G8 subtype cells we employed. After a 20-h incubation, neither intact GIPL nor its isolated components induced measurable NO production in M{phi}, while a combination of low doses of LPS plus IFN-{gamma} induced intense NO production. After 48-h incubation, GIPL, but not its isolated components, induced NO production (6.28 ± 1.2 µM nitrites, compared with 0.56 ± 1.4 µM nitrites in untreated M{phi}). Incubation of M{phi} with isolated GIPL, GIPL glycan, or GIPL-derived ceramide for 20 h, followed by treatment with IFN-{gamma}, resulted in no detectable NO production after an additional 24 h, while the response to LPS plus IFN-{gamma} was intense (20.5 ± 0.4 µM nitrites) under these conditions. Similarly, no detectable NO production was seen following the simultaneous addition of GIPL or its components and IFN-{gamma}, at the start of culture (data not shown). Stimulation with LPS plus IFN-{gamma} in the presence of the inducible nitric oxide synthase (iNOS) inhibitor L-NMMA (1000 µM) blocked 84% of NO production (5.26 ± 0.48 µM nitrites) induced by the stimuli in the absence of L-NMMA (33.51 ± 2.73 µM nitrites). Very limited secretion of IL-6 was detected following M{phi} exposure to intact GIPL (263 ± 22 pg/ml, compared with 141 ± 9 pg/ml in untreated M{phi}) or to its isolated glycan (306 ± 76 pg/ml) and ceramide (192 ± 40 pg/ml) components, after a 48-h incubation, and this response was not appreciably enhanced by IFN-{gamma} addition after a 24-h incubation. On the other hand, IL-6 secretion in response to LPS alone was intense (1875 ± 345 pg/ml) and could be further increased by IFN-{gamma} addition (4020 ± 295 pg/ml). Neither intact GIPL nor its isolated components induced any measurable secretion of TNF-{alpha} (not shown).

Induction of M{phi} endocytosis and cell death by GIPL-derived ceramide

Despite a lack of NO secretion, treatment with T. cruzi GIPL-derived ceramide induced marked morphologic changes both in the J774.G8 M{phi} cell line (Fig. 1Go) and in primary M{phi} (not shown). Addition of GIPL ceramide (10 µg/ml) for 20 to 48 h resulted in intense vacuole formation (Figs. 1GoB and 2, B and C), compared with untreated cells (Fig. 2GoA). Large and numerous cytoplasmic vesicles were induced within 2 to 4 h of GIPL ceramide addition (Fig. 2GoB). After overnight culture, large vacuoles were present (Fig. 2GoC). Intact GIPL at an equimolar ceramide concentration (40 µg/ml) and a correspondent sugar dosage of the GIPL glycan moiety (30 µg/ml) both failed to induce vesicle formation. Treatment of J774.G8 cells with GIPL ceramide in the presence of the fluid phase fluorescent tracer LY (molecular mass, 900 Da) resulted in induction of LY-containing fluorescent vesicles, including large, single fluorescent vacuoles (Fig. 1GoD). Staining of vacuoles with LY was also seen in primary M{phi} treated with GIPL ceramide (not shown). These results indicate that vesicle formation is due to fluid phase endocytosis. We also investigated effects of exposure to T. cruzi GIPL in the presence of IFN-{gamma}. Addition of IFN-{gamma} alone had no effect on cell viability or morphology (Fig. 1GoA). However, addition of IFN-{gamma} to GIPL ceramide-treated cells resulted in intense J774 cell shrinkage and death in culture (Fig. 1GoC). Addition of IFN-{gamma} to cells treated with intact GIPL or isolated glycan did not result in changes in cell morphology or cell death. In dose-response studies, maximal cell loss was induced in J774.G8 cells with concentrations of GIPL ceramide as low as 1.0 µg/ml in the presence of IFN-{gamma} (Fig. 3GoA). The small but significant cell loss induced by GIPL ceramide alone (Fig. 3GoA) presumably has resulted from a block in the J774.G8 cell cycle, since no morphologic evidence of cell death was seen (also, see below). To investigate whether J774 cell death was dependent on minimal NO secretion not detected by the Griess assay, J774.G8 cells were treated with GIPL ceramide plus IFN-{gamma} in the presence of increasing doses of the iNOS inhibitor L-NMMA (Fig. 3GoB). Doses of L-NMMA up to 1000 µM, which blocked more than 80% of NO secretion in M{phi}, had no effect in the cell death induced by GIPL ceramide plus IFN-{gamma} (Fig. 3GoB), further suggesting that cell death was NO independent. Both M{phi} and J774.G8 cell apoptosis could also be induced in 20 h, following simultaneous addition of GIPL ceramide and IFN-{gamma} at the start of culture (not shown). Again, under these conditions, no measurable NO production could be detected in M{phi}.



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FIGURE 1. Morphologic changes induced by T. cruzi GIPL ceramide. J774-G8 cells were cultured in the absence (A) or presence (BD) of GIPL ceramide moiety as indicated in Materials and Methods. After 20 h, cells were treated (A and C) or not (B and D) with IFN-{gamma}. Cells were observed by phase contrast and fluorescence microscopy 24 h after IFN-{gamma} addition. Concomitant addition of LY and GIPL ceramide at the start of culture stained the induced vesicles/vacuoles (D, right, immunofluorescence for LY) in J774 cells (shown in phase contrast in D, left). Cell cultures treated with GIPL ceramide plus IFN-{gamma} (C) are shown under lower magnification.

 


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FIGURE 2. Ultrastructural changes induced by T. cruzi GIPL ceramide. J774-G8 cells were cultured either alone for 48 h (A), with GIPL ceramide for 4 h (B) and for 24 h (C), or with GIPL ceramide followed by IFN-{gamma} for a total 48 h (D) and processed for transmission electron microscopy, as indicated in Materials and Methods. Numerous induced vesicles were seen earlier (4 h) after ceramide addition (B), while a few vacuoles or a single large vacuole developed after 24 h (C). Cells cultured with GIPL ceramide plus IFN-{gamma} showed nuclear chromatin condensation into crescents (D), among other signs of apoptosis. Magnification: A, x4800; B, x4800; C, x3780; D, x6000.

 


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FIGURE 3. Synergism between T. cruzi GIPL ceramide and IFN-{gamma} leads to J774 cell death. A, J774-G8 cells were cultured with the indicated doses of GIPL ceramide (or solvent only), and after 20 h, half of the cultures received IFN-{gamma} (40 U/ml). After an additional 24 h, cells were recovered by aspiration, and the number of viable cells was determined. Percentage cell loss was calculated as explained in the text. Results indicate mean and SE of triplicate cultures. B, J774 cell death is independent on NO secretion. J774-G8 cells were sequentially cultured with GIPL ceramide (10 µg/ml) and IFN-{gamma} (40 U/ml), as in A, in the presence of the indicated doses of L-NMMA, added at the start of the culture. Percentage cell loss was determined as in A. Control cells received IFN-{gamma} alone.

 
Synergism between GIPL-derived ceramide and IFN-{gamma} induces host M{phi} apoptosis

The morphologic appearance of the cell death response, with cell shrinkage, formation of membrane blebs, and membranous vesicles, together with electron microscopic evidence of nuclear chromatin condensation into crescents (Fig. 2GoD), were suggestive of apoptosis. Therefore, the presence of released fragmented DNA in culture supernatants was investigated by agarose gel electrophoresis (Fig. 4Go). In the absence of IFN-{gamma}, no treatment induced DNA release in either J774.G8 cells or M{phi} (Fig. 4Go, lanes 2 through 5, top and bottom). However, in the presence of IFN-{gamma}, isolated T. cruzi GIPL ceramide moiety induced fragmented DNA release in both J774.G8 cells and M{phi} (Fig. 4Go, lane 9, top and bottom). Treatment of either cell type with IFN-{gamma} alone (Fig. 4Go, lane 6) or with IFN-{gamma} plus either LPS (lane 7) or intact GIPL (lane 8) did not result in DNA fragmentation. Isolated GIPL glycan, with or without IFN-{gamma}, did not induce DNA release. Exposure to a mixture of GIPL glycan chain and isolated ceramide in the presence of IFN-{gamma} did not affect the degree of DNA release induced by ceramide (not shown). Ceramides found in T. cruzi GIPLs are dihydroceramides, which by themselves are poor inducers of apoptosis in cultured cells (9). We investigated the effects of synthetic permeable C2-ceramides on J774.G8 apoptosis. Exposure to C2-ceramide, but not to C2-dihydroceramide, induced J774 cell DNA fragmentation (Fig. 5GoA, lanes 3 and 5). However, similar to T. cruzi GIPL-derived ceramide, addition of C2-dihydroceramide combined with IFN-{gamma} resulted in DNA release into supernatants (Fig. 5GoA, lane 4). We also tested whether additional cytokines could synergize with GIPL ceramide to induce M{phi} apoptosis. Besides IFN-{gamma}, addition of GM-CSF also induced DNA fragmentation in ceramide-treated primary M{phi} (Fig. 5GoB, lane 9). On the other hand, IL-1ß, IL-2, IL-4 (Fig. 5GoB), and TNF-{alpha} (not shown) were ineffective. The inability of any endogenous TNF-{alpha} to induce M{phi} apoptosis was confirmed by the finding that apoptosis could not be blocked by an excess amount of neutralizing anti-TNF mAb (not shown).



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FIGURE 4. Release of fragmented DNA into M{phi} culture supernatants. Supernatants from J774 cell (top) or primary M{phi} cultures (bottom), treated sequentially with the indicated stimuli, as explained in Materials and Methods, were collected 24 h after IFN-{gamma} addition and processed for DNA isolation. The resulting material was run on agarose gels, stained with ethidium bromide, and photographed under UV light (samples shown at top were not treated with RNase, but treatment with RNase confirmed the presence of fragmented DNA in lane 9). Lane 1, DNA molecular mass markers; lanes 2 and 6, cells; lanes 3 and 7, cells + LPS (10 ng/ml); lanes 4 and 8, cells + T. cruzi GIPL, Y strain (40 µg/ml); lanes 5 and 9, cells + Y strain GIPL-derived ceramide (10 µg/ml). Lanes 2 through 5, no IFN-{gamma} addition; lanes 6 through 9, with IFN-{gamma} addition (40 U/ml) 20 h after addition of T. cruzi molecules or LPS.

 


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FIGURE 5. Ceramide and cytokine synergism in M{phi} apoptosis. A, C2-Dihydroceramide synergizes with IFN-{gamma}. J774-G8 cells were cultured overnight with synthetic C2-ceramide or C2-dihydroceramide (10 µg/ml) and for an additional 24 h with or without IFN-{gamma} (40 U/ml). Culture supernatants were recovered, pooled, and assayed for the presence of released fragmented DNA. Individual lanes indicate cell treatments. B, IFN-{gamma} and GM-CSF synergize with T. cruzi GIPL ceramide. Peritoneal resident M{phi} were cultured overnight with GIPL ceramide (10 µg/ml) and for an additional 24 h with excess of the indicated murine recombinant cytokines. Culture supernatants were recovered after 24 h of cytokine addition, pooled, and assayed for the presence of released fragmented DNA. Individual lanes indicate cell treatments.

 
Extracellular exposure to intact GIPL fails to induce vesicle formation and apoptosis. We hypothesized that receptor-mediated binding to the glycan domain could direct GIPL to a distinct intracellular compartment, thus preventing GIPL ceramide effects. To investigate this possibility, J774.G8 cells were preincubated with the isolated GIPL-derived glycan, and after 2 h, intact GIPL was added along with IFN-{gamma}. After 20 h in culture, this treatment previously resulted in vacuole formation in J774.G8 cells but not in cell death. However, intense cell death (Fig. 6GoA) and release of fragmented DNA were seen after 48 h in culture (Fig. 6GoB). Incubation with isolated glycan, the presence of IFN-{gamma}, and the presence of ceramide-containing intact GIPL, were all required for this delayed apoptosis induction (Fig. 6Go, A and B). These results indicate that extracellular GIPL can also induce apoptosis and suggest that a large capacity M{phi} receptor for the GIPL glycan could prevent this effect.



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FIGURE 6. Induction of M{phi} apoptosis by intact T. cruzi GIPL. J774-G8 cells were cultured overnight with medium, intact GIPL alone (100 µg/ml), GIPL glycan alone (100 µg/ml), or GIPL glycan (100 µg/ml) followed 2 h later by intact GIPL (100 µg/ml), as indicated. After 20 h, some of the cultures received IFN-{gamma} (40 U/ml), as indicated. Viable cell counts (A) and analysis of released fragmented DNA into supernatants (B) were determined 24 h after IFN-{gamma} addition. Individual bars/lanes indicate cell treatments.

 
Viable intracellular stages of T. cruzi are released following M{phi} apoptosis

We addressed whether induction of M{phi} apoptosis results in increased destruction of intracellular forms of T. cruzi. We previously found that a major increase in trypomastigote release from infected M{phi} occurred between days 4 and 5 in culture. Monolayers of primary M{phi} were infected with T. cruzi and treated or not with GIPL-derived ceramide plus IFN-{gamma} at day 4. Extracellular parasite number was assessed at day 5 (Fig. 7Go). Addition of IFN-{gamma} alone led to a decrease in the number of released trypomastigotes (Fig. 7Go). On the other hand, exposure to GIPL ceramide plus IFN-{gamma} resulted in M{phi} apoptosis and in markedly increased numbers of released parasites, compared with cultures treated with IFN-{gamma} alone (Fig. 7Go). Both motile infective trypomastigotes and transition forms (spheromastigotes) increased in the extracellular medium, suggestive of M{phi} rupture before completion of parasite differentiation. These results were reproduced in a repeat experiment. The data indicate that M{phi} apoptosis through GIPL ceramide increases the release of viable parasites.



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FIGURE 7. Release of viable T. cruzi infective forms and spheromastigotes following induction of M{phi} apoptosis. Primary M{phi} monolayers were infected with T. cruzi as described in Materials and Methods and cultured for 4 days. At day 4, cultures received nothing, IFN-{gamma} alone (40 U/ml), or IFN-{gamma} plus T. cruzi GIPL ceramide (10 µg/ml) to induce apoptosis. Extracellular accumulation of parasites (trypomastigote plus spheromastigote forms) was determined on day 5 and is shown as mean and SE of triplicate cultures. The differences between treatments were significant (p < 0.01). Differences were also significant when only motile trypomastigote forms were counted between groups.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
GPI family molecules from pathogenic protozoan parasites interfere with signal transduction pathways in cells of the host immune system and, therefore, could be involved in the immunopathology of infection. Central to the regulatory role of parasite GPI molecules in M{phi} function is their ability to synergize with or antagonize effects of IFN-{gamma} on M{phi}. Based on our studies showing effects of T. cruzi GIPLs on host T and B cell activation (3, 4), we investigated whether this class of glycolipid interferes with M{phi} activation and synergizes with IFN-{gamma}. Direct effects on NO and IL-6 secretion were modest or absent after 24 h, although intact GIPL induced limited NO secretion in primary peritoneal M{phi} after 48 h in culture. On the other hand, exposure to T. cruzi GIPL-derived ceramide had marked effects on both endocytosis and viability of J774.G8 cells and M{phi}. Intense vesicle formation was induced, leading to a single or few large vacuoles that accumulated LY (22), indicative of fluid-phase endocytosis. A proteophosphoglycan secreted by Leishmania mexicana also induces vacuole formation in M{phi} (26), suggesting a common set of biologic activities exerted by this related family of parasite molecules.

Strikingly, in the presence of IFN-{gamma}, T. cruzi GIPL-derived ceramide induced intense apoptosis in the majority of J774.G8 cells or primary M{phi}. Interestingly, this apoptotic effect was absent in primary cultures of beating murine neonate myocardiocytes (not shown), suggesting cell type specificity for the ceramide effect. M{phi} apoptosis induced by GIPL ceramide was most likely NO independent, since 1) no NO secretion was detected in primary M{phi} or J774.G8 cells after stimulation with GIPL ceramide plus IFN-{gamma}; 2) LPS plus IFN-{gamma}, which induced measurable NO secretion in the serum-free medium and low dosages we employed, failed to induce M{phi} or J774.G8 cell apoptosis under the same conditions; and 3) apoptosis could not be blocked by iNOS inhibitor L-NMMA at doses that markedly blocked NO production in M{phi}. Neither GIPL glycan nor intact GIPL had effects comparable with those of GIPL ceramide at concentrations up to 50 µg/ml. The simplest explanation for the lack of effect with GIPL would be that M{phi} bear glycan receptors able to capture and internalize GIPLs into a distinct intracellular compartment, while isolated ceramide would directly insert into the plasma membrane. We did not directly address this issue. However, consistent with this possibility, intact GIPL synergized with IFN-{gamma} for apoptosis induction after prior M{phi} incubation with GIPL glycan. Since T. cruzi is located in the cytosol in infected M{phi}, it is likely that both GIPL and free ceramides derived from intracellular parasites could bypass this putative glycan receptor, but this possibility needs to be tested. Molecules similar to GIPLs were found in infective T. cruzi trypomastigote forms (27). Moreover, free ceramides were found in amastigotes (28), and ceramide-containing GPI anchors were described in abundant glycoproteins of amastigotes (28) and metacyclic trypomastigotes (29). Regarding synergism with IFN-{gamma}, intense and continued production of IFN-{gamma} by cells of the host innate and acquired immunity control T. cruzi numbers, but IFN-{gamma} is unable to eradicate infection (reviewed in 30 .

Downstream events involved in apoptosis induction by GIPL ceramide are currently unknown. Ceramide-dependent pathways are implicated as messengers for M{phi} activation by LPS (16, 17). However, it is unlikely that GIPL dihydroceramide uses LPS signal-transducing pathways to induce M{phi} apoptosis, since LPS lacked all GIPL ceramide effects, including induction of endocytosis or apoptosis. The proapoptotic role of IFN-{gamma} has been described in different systems. In the HT-29 epithelial cell line, a synergism between IFN-{gamma} and either TNF-{alpha} or anti-Fas Ab, each of which mobilizes endogenous ceramide (9, 11), led to apoptosis (31). Moreover, pretreatment of Fas-expressing human keratinocytes with IFN-{gamma}, but not with TNF-{alpha}, induced apoptosis by anti-Fas mAb (32). These results suggest functional complementation between IFN-{gamma} signals and ceramide-mobilizing stimuli for apoptosis induction. We showed that a synthetic permeable dihydroceramide (C2-dihydroceramide) also synergized with IFN-{gamma} for M{phi} apoptosis induction, confirming the result with T. cruzi-derived ceramides, which are dihydroceramides (1, 2). It is tempting to speculate that the results with the T. cruzi glycolipid could have implications for infection. In infected M{phi}, IFN-{gamma} could complement a truncated apoptotic signal provided by a parasite-derived dihydroceramide. Since IFN-{gamma} also mediates intracellular T. cruzi killing (33), induction of apoptosis instead of NO secretion in some of the infected M{phi} could provide an escape mechanism for the intracellular parasite, while effective trypanosome killing would also occur at the same time in other M{phi}. We found that apoptosis in infected M{phi} increased the release of motile infective trypomastigotes and also spheromastigote transition forms, suggestive of premature M{phi} rupture. However, this possible mechanism for parasite escape during host cellular immune responses involving IFN-{gamma} remains to be demonstrated. We are currently investigating whether M{phi} apoptosis naturally occurs during infection with the virulent Colombiana strain of T. cruzi and whether IFN-{gamma} secretion could be involved.

Induction of apoptosis in host M{phi} and other cell types is a recently recognized mechanism of virulence for several bacterial pathogens, such as Salmonella (34), Shigella (35), and Listeria (36) species. On the other hand, mycobacterium-induced regulation of M{phi} apoptosis is rather complex. Infection of M{phi} by mycobacteria down-regulates Bcl-2 protein (37) and induces apoptosis (37, 38). Apoptosis induced by virulent mycobacteria has been correlated with NO production in the mouse (38). However, mycobacterial lipoarabinomannan and LPS protected M{phi} from apoptosis, despite inducing NO secretion (38). Other studies suggested a host-protective role for apoptosis of human M{phi} infected with Mycobacterium avium, which resulted in bacterial killing by fresh, noninfected M{phi} (39). Mycobacterium-infected M{phi} are also targets for two sets of human cytolytic T cell clones that mediate lysis through granule- or Fas-dependent mechanisms (40). Different from granule-mediated cytotoxicity, Fas-mediated apoptosis of infected M{phi} by CTLs does not result in death of the released mycobacteria (40), a result similar to our model with T. cruzi. Protozoan parasites of the genera Toxoplasma and Leishmania were also investigated regarding induction of host cell apoptosis. Infection with Toxoplasma gondii inhibits target cell apoptosis in response to several stimuli, including Fas-dependent and -independent pathways (41). However, a more virulent strain of T. gondii has been reported to induce M{phi} apoptosis, and protection against it has been associated with IFN-{gamma}-mediated induction of stress protein HSP 65 that prevented M{phi} apoptosis (42). Bone marrow-derived M{phi} infected with Leishmania donovani are resistant to apoptosis induction by factor deprivation (43). Increased M{phi} survival could also be induced by leishmanial lipophosphoglycan and was attributed to autocrine secretion of TNF and GM-CSF by infected M{phi} (43). Together, these results suggest that distinct intracellular parasites control host cell apoptosis both to survive within infected cells and also as a virulence mechanism to spread infection. Moreover, the data suggest that microbial surface glycolipids are involved in the control of host cell apoptosis. Apoptosis of infected cells has not been previously studied in T. cruzi infection, although one suggestive report described massive in vivo destruction of parasitized splenic M{phi} in infected mice, coincident with a drop in parasitemia, onset of host mortality, and chronification of infection (44). It would be important to investigate whether induction of host M{phi} apoptosis is a virulence mechanism in T. cruzi infection.


    Footnotes
 
1 This work was supported by grants from Fundação Universitaria José Bonifácio, the Brazilian National Research Council, Ministry of Science and Technology (PRONEX-MCT), Programa de Apoio ao Desenvolvimento Científico e Tecnológico (supported by the World Bank), and the Financing Agency of Studies and Projects. L.M.-P. is supported by a Howard Hughes International Research Scholarship. Back

2 Address correspondence to Dr. George A. DosReis, Instituto de Biofísica Carlos Chagas Filho, Universidade Federal do Rio de Janeiro, Centro de Ciências da Saúde, Bloco G, Ilha do Fundão, Rio de Janeiro, RJ, 21944-970, Brazil. E-mail: Back

3 Abbreviations used in this paper: GIPL, glycoinositolphospholipid; GPI, glycosylphosphatidylinositol; M{phi}, macrophage; NMR, nuclear magnetic resonance; LY, Lucifer Yellow; NO, nitric oxide; L-NMMA, NG-monomethyl-L-arginine monoacetate; GM-CSF, granulocyte-macrophage colony-stimulating factor; iNOS, inducible nitric oxide synthase. Back

Received for publication February 10, 1998. Accepted for publication June 26, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
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