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*Staphylococcal Infections
The Journal of Immunology, 1999, 162: 7402-7408.
Copyright © 1999 by The American Association of Immunologists

Protection by Group II Phospholipase A2 Against Staphylococcus aureus1

Veli J. O. Laine2,*, David S. Grass{dagger} and Timo J. Nevalainen*

* Department of Pathology, University of Turku and Turku University Hospital, Turku, Finland; and {dagger} Chrysalis DNX Transgenics, Princeton, NJ 08540


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Group II phospholipase A2 (PLA2) is an enzyme that has marked antibacterial properties in vitro. To define the role of group II PLA2 in the defense against Staphylococcus aureus, we studied host responses in transgenic mice expressing human group II PLA2 and group II PLA2-deficient C57BL/6J mice in experimental S. aureus infection. After the administration of S. aureus, the transgenic mice showed increased expression of group II PLA2 mRNA in the liver and increased concentration of group II PLA2 in serum, whereas the PLA2-deficient mice completely lacked the PLA2 response. Expression of human group II PLA2 resulted in reduced mortality and improved the resistance of the mice by killing the bacteria as indicated by low numbers of live bacteria in their tissues. Human group II PLA2 was responsible for the bactericidal activity of transgenic mouse serum. These results suggest a possible role for group II PLA2 in the innate immunity against S. aureus infection.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Phospholipases A2 (PLA23 EC 3.1.1.4) hydrolyze the acyl group at the sn-2-position of phospholipids, which results in the release of a fatty acid and formation of lysophospholipid. The better-characterized types of PLA2s involved in inflammatory diseases are: the 85-kDa group IV PLA2 that is involved in intracellular arachidonic acid metabolism (1), and the 14-kDa secretory group II PLA2. Recent findings, based on the use of group IV PLA2-knockout mice, implicate an important role for group IV PLA2 in parturition (2, 3), postischemic brain injury (3, 4), and development of allergic reactions (2). Group II PLA2 is a newly recognized acute phase protein (5, 6). The levels of group II PLA2 in serum increase in patients suffering from severe acute inflammatory diseases, such as bacterial infections (7), sepsis (8), and multiple organ failure (9). Group II PLA2 has been proposed to play a central role in the development of the sepsis syndrome (10), but the exact physiological and pathological roles of the enzyme in bacterial infections are largely unknown. Recently, a transgenic mouse line expressing the human group II PLA2 gene was developed on C57BL/6J background (11). C57BL/6J mice lack the endogenous functional group II PLA2, due to a mutation in the corresponding gene (12). Therefore, these mice represent "natural knockout" animals in regard to endogenous group II PLA2. In normal conditions, group II PLA2-deficiency seems not to influence the viability, development, or fertility of C57BL/6J mice (12). In turn, the human group II PLA2 transgenic mice have cutaneous adnexal and epidermal hyperplasia, but they show no clinical signs of inflammatory diseases (11). These transgenic mice express group II PLA2 in various organs (11) and have an average 50-fold higher catalytic activity of PLA2 in blood plasma than wild-type C.B-17 mice or group II PLA2-expressing (+/+) BALB/c mice (our unpublished observations). To define the role of group II PLA2 in bacterial infection, we studied the host responses of both human group II PLA2 transgenic mice and PLA2-deficient mice in experimental Staphylococcus aureus infection. The results show that the expression of human group II PLA2 improves resistance against S. aureus infection.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Experimental animals

The production of human group II PLA2-transgenic mice was described in detail earlier (11). Briefly, a 6.2-kb HindIII restriction fragment containing the human group II PLA2 gene was prepared and microinjected into (C57BL/6J x SJL) F2 hybrid 1 cell mouse embryos, which were then transferred to pseudopregnant ICR mice and developed to term. The transgenic founders were bred to C57BL/6J mice to produce G1 animals. Out of four transgenic lines characterized, one (line 703) was chosen for the production of the experimental animals (PLA2-transgenic and group II PLA2-deficient mice). In this line, the founder animals had significantly higher catalytic activity of PLA2 in serum than group II PLA2-deficient C57BL/6J mice (11).

The animals were housed in cages provided with Hepa-filters (ScanBur, Copenhagen, Denmark) and fed sterilized commercial chow (SDS RM1 E; Special Diet Services, Witham, U.K.). Drinking water was adjusted to pH 2.8 and autoclaved. Transgenic mice of both sexes were identified according to their specific phenotype (skin hyperplasia and almost total alopecia), and the expression of group II PLA2 was confirmed by measuring high concentrations of group II PLA2 in serum samples by time-resolved fluoroimmunoassay, as described earlier (13). Nontransgenic C57BL/6J littermates of both sexes, same age (8–10 wk), and approximately same weight were used as PLA2-deficient control animals.

Survival analysis of mice after an i.p. injection of S. aureus

S. aureus bacteria (25923; American Type Culture Collection, Manassas, VA) were cultured on brain heart infusion agar (BHIA), suspended in BHI broth (Life Technologies, Paisley, U.K.), grown to logarithmic phase, and washed three times. The OD of the final bacterial suspension was adjusted to an OD650 of 1.10 with an Ultrospec III densitometer (Pharmacia LKB, Uppsala, Sweden) and to appropriate concentrations for i.p. injections by diluting with sterile saline. After an i.p. administration of 1.0 x 108 CFU of live S. aureus/mouse, the mortality and clinical status of the transgenic and PLA2-deficient mice were registered at 6 and 12 h, and thereafter every 24 h for 7 days. Dead animals were autopsied, and samples from internal organs were taken for histological examination.

Distribution of live S. aureus in mice

Mice were given 1.0 x 107 CFU of S. aureus as an i.p. injection, and the animals were killed 3 and 12 h later by cervical dislocation. The peritoneal cavity was lavaged with 2 ml of sterile saline. A 0.5-ml sample was obtained from the peritoneal lavage fluid. Small samples (~0.1 g) of the spleen and liver were washed and homogenized in 0.4 ml ice-cold sterile saline, and a series of 10-fold dilutions of the tissue homogenates and peritoneal lavage fluid were plated on BHIA and cultivated for 18–24 h. The number of live bacteria in the peritoneal lavage fluid was expressed as CFU/ml fluid and in the tissue samples as CFU/gram tissue.

In vitro bactericidal properties of serum and peritoneal lavage fluid of transgenic mice

Serum and peritoneal lavage fluid were obtained from intact mice and infected transgenic and PLA2-deficient mice 18 h after i.p. administration of 7.0 x 107 CFU of S. aureus/mouse. Blood was obtained from the tip of the tail and kept at room temperature for 30 min. Serum was separated by centrifugation at 2,400 x g for 10 min at 6°C. The peritoneal cavity was lavaged with 1 ml sterile saline, and the lavage fluid was centrifuged at 14,000 x g for 10 min at 20°C to remove peritoneal cells. A total of 20 µl of serum or peritoneal lavage fluid were mixed with 20 µl of 10 mmol/L HEPES buffer (pH 7.4) containing 3.0 x 105 CFU of S. aureus/ml, 10 mg/ml BSA, and 2 mmol/L CaCl2 and incubated by shaking at 240 rpm for 2 h at 37°C (14). There were ~1.5 x 105 live S. aureus/ml in the reaction mixture at the onset of the experiment. At 20 min, 1 h, and 2 h, samples were obtained from the reaction mixture and diluted with ice-cold sterile saline, and the number of live bacteria was measured as CFU/ml, as described above.

Adsorption of human group II PLA2 from sera of transgenic mice

An Ab produced against recombinant human group II PLA2 (13) was used to remove human group II PLA2 from serum of transgenic mice by immunoadsorption, as described earlier (15), with slight modifications. Briefly, 96-well plates were coated with protein A-purified rabbit anti-human group II PLA2 IgG or corresponding IgG from preimmune serum. Before use, the wells were washed three times with sterile saline. Fresh sera of transgenic mice were added into the anti-group II PLA2-IgG-coated or preimmune-IgG-coated wells, shaken for 5 min at room temperature, and transferred to another IgG-coated well. Incubation was repeated six times. The treatment with anti-human group II PLA2 IgG removed all group II PLA2 from serum and yielded group II PLA2-free transgenic mouse serum for the evaluation of bactericidal properties of serum in vitro. The concentration of human group II PLA2 in transgenic mouse sera was measured by time-resolved fluoroimmunoassay (13). To confirm the binding of human group II PLA2 from transgenic mouse serum into the anti-human group II PLA2 IgG-coated wells, Europium-labeled anti-group II PLA2 IgG was added to the wells and, after washing, time-resolved fluoresence was measured as described (13). As a rule, sequential incubation in 2–4 wells resulted in the removal of all human group II PLA2 from transgenic mouse serum.

Expression of human group II PLA2 mRNA in the liver

Transgenic and PLA2-deficient mice were killed 0, 6, 12, and 24 h after the administration of 1.0 x 107 CFU of S. aureus. Tissue samples were obtained from the liver and fixed in 4% phosphate-buffered formalin for 24–32 h for in situ hybridization or frozen in liquid nitrogen for Northern hybridization. Northern hybridization was performed as described earlier (16).

In situ hybridization was performed on formalin-fixed, paraffin-embedded tissue sections by probing with human group II PLA2 anti-sense (test) and sense (control) single-stranded RNA riboprobes. A 0.45-kb cDNA sequence covering the protein coding area of human group II PLA2 in pUC18 plasmid (17) was inserted into the HindIII and BamHI sites of pGEM-3Z transcription vector (Promega, Madison, WI). Digoxigenin (DIG)-labeled anti-sense and sense RNA probes were synthesized by in vitro transcription with T7 and SP6 RNA polymerases, respectively, by using a DIG RNA labeling kit (Boehringer Mannheim, Mannheim, Germany), and the yields were estimated by using a DIG Nucleic Acid Detection Kit (Boehringer Mannheim). The probes were purified with Quick Spin 25 columns (Boehringer Mannheim). The DIG label was detected with alkaline phosphatase-labeled anti-DIG Fab fragments by using disodium-3-(4-metoxyspiro{1,2-dioxyetane-3,2'-(5'-chloro)tricyclo[3,3,1,13,7]decan}-4-yl) phenylphosphate(CSPD; Boehringer Mannheim) as a substrate.

Concentration of human group II PLA2 and catalytic activity of PLA2 in serum after the administration of S. aureus

To study the concentration and the catalytic activity of group II PLA2 in serum in S. aureus infection, groups of transgenic and group II PLA2-deficient mice were injected i.p. with sterile saline or 1.0 x 107 CFU of S. aureus/mouse. Serum samples were collected 24 h after the administration of saline and 3, 6, 12, and 24 h after the administration of the bacteria. The concentration of immunoreactive human group II PLA2 in serum was measured as described (13). The catalytic activity of PLA2 in serum was measured as described earlier (18). Briefly, 10 µl serum samples were incubated with 100 µl substrate buffer containing mixed micelles (19) of 6 mmol 1,2-dipalmitoyl-phosphatidylcholine (Sigma, St. Louis, MO) and 1.325 µmol (250 nCi) 1-palmitoyl-2-[14C]-arachidonoylphosphatidylethanolamine (DuPont, Boston, MA) dissolved in 0.1 mol/l glycine buffer (pH 8.1) at 37°C. After 3 h of incubation, the reaction was stopped with 100 µl of Dole’s reagent, and unreacted substrate was removed by two consecutive extractions with 100 mg of dry silicic acid in 1 ml heptane. After adding 200 mg silicic acid to the reaction mixture, the samples were centrifuged at 1200 x g for 2 min at room temperature. A total of 1 ml of the heptane phase was pipetted into scintillation solution (OptiPhase, Wallac, Turku, Finland), and the radioactivity was measured by a Rackbeta liquid scintillation counter (Wallac). The activity of the enzyme is calculated as described earlier (19) and expressed as units per liter (U/L, 1 U = 1 mmol arachidonate liberated per minute). If necessary, the serum samples were diluted with saline to reach the linear range of the assay.

Response of PLA2 to cytokines

The role of cytokines in the regulation of the PLA2-response in serum was studied by injecting 10 ng of human recombinant IL-1 (Calbiochem, La Jolla, CA), 10 ng of IL-6 (Calbiochem), or 10 ng of TNF-{alpha} (Calbiochem) or saline (n = 3/group) into the peritoneal cavity of transgenic mice. The serum samples were obtained 0, 12, 24, and 48 h after the administration of the cytokines.

Statistical analysis

Kaplan-Meier plots were constructed and Log-Rank test was used to test the differences in the survival between the transgenic and group II PLA2-deficient mice. The significances of the differences between the groups in the number of live bacteria in the peritoneal lavage fluid, spleen, liver, lung, and kidney were tested by Mann-Whitney U test. In the experiments testing the bactericidal properties of serum and peritoneal lavage fluid, the significances of the differences between the groups in the number of live bacteria were tested by one-way ANOVA. The significances of the differences between the concentrations of human group II PLA2 in serum before and after the administration of the cytokines were tested by Mann-Whitney U test. The concentrations of group II PLA2 at different time points after the injection of S. aureus are presented as a mean ± SEM. All statistical calculations were performed with Statistica Software (StatSoft, Tulsa, OK).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Effect of overexpression of human group II PLA2 on survival in S. aureus infection

After an i.p. injection of 1.0 x 108 CFU of S. aureus/mouse, the majority of the transgenic mice showed minor symptoms of sepsis only, whereas 85% of the PLA2-deficient mice developed lethargy and died within the first 24 h after the onset of the infection. The death rate of the transgenic mice was distinctly lower than that of the group II PLA2-deficient mice (Fig. 1Go). At autopsy, severe congestion of the lungs, liver, and kidneys and accumulation of hemorrhagic exudate in the pleural and peritoneal cavities were observed in the group II PLA2-deficient animals.



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FIGURE 1. Survival of human group II PLA2-transgenic mice (solid lines) and group II PLA2-deficient mice (dotted lines) after an i.p. injection of 1.0 x 108 CFU of S. aureus. Mice of both sexes; transgenic mice, n = 28; and group II PLA2-deficient mice, n = 39; p < 0.0001 in Log-Rank test.

 
Effect of overexpression of human group II PLA2 on bacterial clearance from the peritoneum, spleen, liver, lung, and kidneys in S. aureus infection

Three and twelve hours after the administration of 1.0 x 107 CFU of S. aureus, there were markedly lower numbers of live bacteria in the peritoneum, spleen, liver, lung, and kidneys in the transgenic than in the group II PLA2-deficient mice (Table IGo). The number of bacteria increased in the organs of the PLA2-deficient mice, and high numbers of bacteria were observed especially in the peritoneal lavage fluid and spleen of PLA2-deficient mice. On the contrary, the number of bacteria was low in all organs of the transgenic mice examined at 3 h and decreased thereafter (data shown for 3 and 12 h).


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Table I. The number of live S. aureus in human group II PLA2-transgenic mice and group II PLA2-deficient mice 3 and 12 h after the injection of the bacteria

 
Bactericidal properties of serum and peritoneal lavage fluid of transgenic mice in vitro

Serum and peritoneal lavage fluid obtained from the transgenic mice was highly bactericidal against S. aureus. On the contrary, the bacteria grew well in sera of intact group II PLA2-deficient mice. No bactericidal activity was observed in sera or peritoneal lavage fluid of group II PLA2-deficient mice 18 h after i.p. administration of S. aureus (Table IIGo). The concentration of group II PLA2 and the bactericidal potency of sera increased in parallel in transgenic mice after the administration of S. aureus. Removing human group II PLA2 by adsorption with the anti-human group II PLA2 IgG abolished the bactericidal potency of transgenic mouse serum (Fig. 2Go), whereas preimmune rabbit IgG neither removed group II PLA2 from serum nor affected its bactericidal properties (data not shown).


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Table II. Growth of S. aureus incubated in vitro with serum and peritoneal lavage fluid of transgenic mice

 


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FIGURE 2. Killing of S. aureus in vitro by serum from human group II PLA2 transgenic mice. A, Serum of untreated transgenic mice containing 1322 µg/L (SEM 479 µg/L) of group II PLA2 killed 80% of the bacteria in 2 h, whereas the number of bacteria increased in serum of PLA2-deficient mice (example of several repeated experiments, n = 3 in each group, *, p = 0.01 vs transgenic). B, Serum of transgenic mice 18 h after the administration of S. aureus containing 10,800 µg/L (SEM 6500 µg/L) of group II PLA2 killed the bacteria more efficiently. Antibacterial effect was abolished by the removal of group II PLA2 from serum by immunoadsorption by anti-human group II PLA2 IgG (n = 3 in each group; *, p = 0.007 vs transgenic; **, p = 0.006 vs transgenic).

 
Expression of group II PLA2 and PLA2 response in serum after i.p. administration of S. aureus

We studied the expression of group II PLA2 in the transgenic and PLA2-deficient mice by Northern hybridization, in situ hybridization, and by measuring the catalytic activity of PLA2 and the concentration of immunoreactive human group II PLA2 in serum after i.p. administration of S. aureus. In the transgenic mice, the expression of human group II PLA2 was induced in the liver 6–24 h after the administration of S. aureus. Northern hybridization showed increased signal for group II PLA2 mRNA at 12 h (Fig. 3GoA, lanes 2 and 3). Markedly increased expression of human group II PLA2 was observed in hepatocytes, with a peak at 12 h after the administration of S. aureus, by in situ hybridization (Fig. 3Go, B–E). The catalytic activity of PLA2 in serum of intact transgenic mice was 259.2 ± 25.1 U/L (n = 46) and the catalytic activity in corresponding sera of group II PLA2-deficient mice was 13.3 ± 0.6 U/L (n = 49). The catalytic activity of PLA2 and the concentration of group II PLA2 increased in serum ~8-fold in the transgenic animals, whereas the group II PLA2-deficient mice did not show such a response (Fig. 4Go).



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FIGURE 3. Northern and in situ hybridization for the mRNA of group II PLA2 in the liver. A, Human group II PLA2 mRNA in samples of the liver of PLA2-deficient mouse (lane 1) and transgenic mouse 0 and 12 h after i.p. injection of S. aureus (lanes 2 and 3). B, Hepatocytes of an untreated human group II PLA2-transgenic mouse show positive reaction with the anti-sense human group II PLA2 mRNA riboprobe. C, Negative control (sense riboprobe) reacted on a section from the liver of the same animal as shown in Fig. 3GoB. D, The liver of a transgenic mouse of same litter as shown in Fig. 3GoB 12 h after i.p. administration of S. aureus. E, The liver of a nontransgenic group II PLA2-deficient mouse. Lack of reaction with the anti-sense riboprobe for human group II PLA2 mRNA. Hematoxylin and eosin counterstaining, magnification x360 in Fig. 3Go, B–E.

 


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FIGURE 4. The catalytic activity of PLA2 (open columns) and the concentration of human group II PLA2 (shaded columns) in sera of transgenic and group II PLA2-deficient mice 0, 3, 12, and 24 h after an i.p. injection of 5.0 x 106 CFU of S. aureus. Mean ± SEM, n = 29 transgenic; n = 29 PLA2-deficient mice at 0 h; and n = 7–12 animals in both groups at 3, 12, and 24 h.

 
Effect of cytokines on serum group II PLA2 response

Administration of biologically active doses (10 ng of cytokine/mouse) of IL-1, IL-6, or TNF-{alpha} to transgenic mice significantly increased the concentrations of group II PLA2 in serum (Table IIIGo). At 12 h, the levels of group II PLA2 were ~7 times higher than the pretreatment values with all cytokines studied. IL-1- and IL-6-treated mice showed the highest serum levels of group II PLA2 24 h after the cytokine injections, whereas, in the TNF-{alpha}-treated mice, group II PLA2 reached the highest level 12 h after the administration of the cytokine. Group II PLA2 levels decreased in all groups in 48 h but remained above the pretreatment levels in IL-1- and IL-6-treated animals.


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Table III. Concentration of human group II PLA2 in transgenic mice 12–48 h after an i.p. injection of cytokines

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
It has been proposed that an elevated level of group II PLA2 in serum might be harmful to the host in severe inflammatory diseases (10). Increased serum concentrations of this enzyme indicate poor prognosis of patients with severe diseases, such as sepsis (20) and multiple organ failure (9). However, the poor prognosis in sepsis and multiple organ failure is not necessarily the consequence of increased PLA2 activity or concentrations of group II PLA2 in serum. Thus, appropriate models to study the pathobiology of human group II PLA2 in vivo are required. To clarify the role of group II PLA2 in S. aureus infection, we investigated the clinical status and mortality of transgenic mice that express human group II PLA2, as well as genetically group II PLA2-deficient mice after i.p. administration of live S. aureus. The present data show that expression of human group II PLA2 protects transgenic animals against S. aureus administered in amounts lethal to their nontransgenic PLA2-deficient littermates and suggest that group II PLA2 may serve as a protective factor in S. aureus infection. To our knowledge, the current data provide the first evidence of human group II PLA2 as a protective enzyme in bacterial infection in vivo.

The current transgenic mice provide a model to investigate biological phenomena mediated by group II PLA2 in various diseases. An advantage of this model is that it also provides nontransgenic mice of the same genetic background as the transgenic animals, but lacking both the human group II PLA2-transgene and functional endogenous group II PLA2. Moreover, in the transgenic animals, the concentration of group II PLA2 in serum (~2500 µg/L) is in the same range as in severe infectious diseases in humans. These diseases include bacterial infections (the concentration of group II PLA2 in serum 240 µg/L) (7), sepsis (880 µg/L) (9), peritonitis (440 µg/L) (9), and typhoid fever (1440 µg/L) (21). However, it is important to note that the catalytic activity of PLA2 in serum of the transgenic mice is very high compared with wild-type PLA2-expressing mice (our unpublished observations) and that the concentration is two orders of magnitude higher than in healthy human subjects (10 µg/L) (13). Thus, the protective effects against bacterial infection related to the expression of human group II PLA2 in this transgenic animal model might lead to an overestimation of the biological efficacy of group II PLA2, especially in relation to the other components of innate immunity. As yet, no information is available on the increases of PLA2 levels in normal mice following infection or administration of cytokines.

Weinrauch et al. (14) reported that group II PLA2s of human and rabbit are capable of killing Staphylococci and other Gram-positive bacteria in vitro. Moreover, they reported that the bactericidal activity against S. aureus and the concentration of group II PLA2 in plasma increase in experimental Escherichia coli infection of baboons (22). In the present study, we observed that serum and peritoneal lavage fluid obtained from transgenic mice were highly bactericidal against S. aureus, whereas the body fluids of group II PLA2-deficient mice did not affect the growth of bacteria. The high bactericidal potency of serum of transgenic mice was abolished by eliminating group II PLA2 from serum by precipitation with anti-group II PLA2 IgG indicating that group II PLA2 is the only substance responsible for the bactericidal activity against S. aureus in the body fluids of the transgenic mice. The reported LD90-values for purified human group II PLA2 against a clinical isolate of S. aureus were ~50 µg/L (14), and concentrations of ~100 µg/L in baboon serum were required to kill S. aureus in vitro (22). Our results support these findings. However, our results show somewhat lower bactericidal activity for human group II PLA2 in mouse serum, maybe due to the differences in our respective experimental protocols and bacterial strains used. We hypothesize that the main physiological role of increased concentrations of group II PLA2 in serum in S. aureus infection is the defense of the host by killing invading bacteria.

The detailed mechanisms of bacterial killing by group II PLA2 in serum and other body fluids are not clear. On one hand, the degradation of bacterial surface phospholipids by group II PLA2 seems to be essential in bacterial killing (23). On the other hand, structural determinants of some nonmammalian group II PLA2s have bactericidal properties without any detectable enzymatic activity (24). Whereas group II PLA2 alone is able to kill Gram-positive bacteria in vitro (14, 25), the bactericidal mechanism of group II PLA2 against E. coli and other Gram-negative bacteria requires the presence of the bactericidal/permeability-increasing protein (23). Opsonization of E. coli with components of complement further potentiates the bactericidal effect (26). The dose-dependent bactericidal activity by group II PLA2 in serum and the complete removal of the bactericidal activity from serum of transgenic mice by immunoadsorption of group II PLA2 suggest a distinctive role for group II PLA2 in the killing of Gram-positive bacteria in the transgenic animals. We observed earlier that human group II PLA2 transgenic mice mounted more effective host resistance against experimental E. coli infection than group II PLA2-deficient mice (27). However, neither serum nor peritoneal lavage fluid of transgenic mice was bactericidal against E. coli in vitro.4 These findings support the bactericidal role for group II PLA2 only for Gram-positive bacteria, and suggest that there are group II PLA2-dependent mechanisms other than direct bacterial killing that may improve host resistance against Gram-negative bacterial infection.

The group II PLA2 response following the administration of S. aureus was similar to that seen after the administration of live E. coli or E. coli LPS,4 which indicates that both Gram-negative and Gram-positive bacteria are equally capable of inducing the production of group II PLA2 in transgenic mice. Elevated serum levels of group II PLA2 in transgenic mice were presumably due to the induced production of the enzyme in hepatocytes as shown by increased mRNA expression in these cells. Other cell types expressing group II PLA2 in transgenic mice, e.g., cells of the Bowman’s capsule of kidney glomeruli, bronchial epithelial cells (28), brown and white adipose tissue cells, and fibroblasts at site of infection (our unpublished observations) may act as local sources of group II PLA2 in the transgenic mice. It has been hypothesized that PLA2-deficient mice may in part compensate the defect in their group II PLA2 expression by production of other PLA2s (12). In the present study, there was no PLA2-response (increased catalytic activity of PLA2) in serum in the PLA2-deficient mice, suggesting that PLA2-deficient mice are not able to release active PLA2s into circulation in S. aureus infection.

IL-1, IL-6, and TNF-{alpha} are known to mediate the expression of group II PLA2 (5, 29). These cytokines are well-characterized components of the nonspecific host resistance against bacterial infections. Administration of IL-1{alpha} or IL-1ß before bacterial inoculation improved host resistance of mice against both Gram-negative and Gram-positive bacteria, including S. aureus (30, 31, 32, 33, 34). TNF-{alpha} improves the host defense against Chlamydia tracomatis (35), Klebsiella pneumoniae (36), and Streptococcus pneumoniae (37). Endogenous IL-6 protects mice against Listeria monocytogenes infection (38). The mechanisms of the cytokine-induced host resistance are not fully understood. Lately, cytokine-deficient mice models have been used to study the mechanisms involved in the innate resistance to bacterial infection. IL-6-deficient mice are vulnerable to E. coli (39) and L. monocytogenes (40) infections, pneumococcal pneumonia (41) and C. trachomatis (42) infections. The mechanism of IL-6-mediated host resistance involves improved neutrophil response at least in L. monocytogenes (40), E. coli (39), and C. albicans (43) infections. TNF-{alpha}-deficient mice are susceptible to L. monocytogenes, presumably due to defects in the formation of splenic germinal centers and impaired humoral immune response (44). Interestingly, IL-1-deficient (45), IL-6-deficient (40), and TNF-{alpha}-deficient (44) mice were produced in C57BL/6J and 129/Sv background. They have a disruption in their gene coding the endogenous group II PLA2 (12), and, therefore, they have phenotypes of both cytokine and PLA2 gene deficiencies. Thus, the results obtained from the experiments done with IL-1-, IL-6-, and TNF-{alpha}-deficient mice do not clarify the role of group II PLA2 in host response, but may rather demonstrate the effects of cytokines in host response that are independent on group II PLA2.

The PLA2-response of transgenic mice after bacterial challenge shown in the present study may be mediated by endogenous cytokines, because C57BL/6J mice are able to produce endogenous IL-1, IL-6, and TNF-{alpha} in response to stimulation with endotoxin (46). We observed a time-dependent response in serum group II PLA2 in the transgenic mice after the administration of recombinant human IL-1, IL-6, and TNF-{alpha} supporting the role of these cytokines in the induction of group II PLA2 expression in vivo. IL-1, IL-6, and TNF-{alpha} may provide a possibility to intervene pharmacologically in infections caused by S. aureus. However, it is important to note that TNF may have deleterious effects in bacteremia (47) and in the septic shock syndrome (48). The role of TNF in the group II PLA2-dependent mechanisms of local and systemic host defense should be considered carefully before attempts to treat infections by this cytokine.

In conclusion, our results indicate that group II PLA2 has an important role in the host defense against S. aureus and seems to be an important member of the group of diverse proteins responsible for innate immunity (49, 50, 51).


    Acknowledgments
 
We thank Kati Talvinen and Pekka Ojala for skillful technical assistance.


    Footnotes
 
1 This work was supported by The Academy of Finland, The University of Turku Foundation, The Finnish Medical Foundation, Turku University Hospital, The Maud Kuistila Foundation, and The Emil and Blida Maunula Foundation. Back

2 Address correspondence and reprint requests to Dr. Veli J. O. Laine, Department of Pathology, University of Turku, Kiinamyllynkatu 10, 20520 Turku 52. E-mail address: Back

3 Abbreviations used in this paper: PLA2, phospholipase A2; BHIA, brain heart infusion agar. Back

4 V. J. O. Laine, D. S. Grass, and T. J. Nevalainen. Resistance of human group II phospholipase A2 transgenic mice to E. coli infection. Submitted for publication. Back

Received for publication December 7, 1998. Accepted for publication April 6, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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