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The Journal of Immunology, 1999, 162: 1582-1589.
Copyright © 1999 by The American Association of Immunologists

In Vivo IL-12 Production and IL-12 Receptors ß1 and ß2 mRNA Expression in the Spleen Are Differentially Up-Regulated in Resistant B6 and Susceptible A/J Mice During Early Blood-Stage Plasmodium chabaudi AS Malaria1

Hakeem Sam and Mary M. Stevenson2

McGill University Centre for the Study of Host Resistance, and Montreal General Hospital Research Institute, Montreal, Quebec, Canada


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
As previously reported, blood-stage Plasmodium chabaudi AS malaria is lethal by days 10–12 postinfection in susceptible A/J mice that mount an early, predominantly Th2 response. In contrast, resistant C57BL/6 (B6) mice clear the infection by 4 wk with an early Th1 response. In this study, we analyzed in vivo production of IL-12, a potent Th1-inducing cytokine, during the first 5 days after P. chabaudi AS infection in these mice. By day 2, serum IL-12 p70 levels were significantly increased in B6 mice over basal levels and were also significantly higher compared with A/J mice that showed no significant changes in serum p70 levels after infection. Splenectomy of resistant B6 mice before infection demonstrated that the spleen is the major source of systemic IL-12 in these hosts. Splenic mRNA levels of both p40 and p35 were significantly higher in A/J mice; however, the ratios of p40/p35 mRNA levels were similarly up-regulated in both strains. Furthermore, B6 but not A/J mice showed significant up-regulation of splenic IL-12R ß2 mRNA over basal levels by days 3 and 4, coincident with sustained up-regulation of splenic IFN-{gamma} mRNA levels on days 3–5. However, IL-12R ß1 mRNA levels in the spleen were similarly up-regulated in both mouse strains by day 3. Taken together, these data suggest that high systemic IL-12 production, accompanied by an early and sustained up-regulation of both IL-12R ß1 and ß2 mRNA levels in the spleen, as occurs in resistant B6 mice, appears to preferentially induce protective Th1 responses against blood-stage malaria.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Interleukin-12 (IL-12) was originally described as NK cell stimulatory factor (1), and as a cytotoxic lymphocyte maturation factor. Subsequent cloning of both mouse (2, 3) and human (4) IL-12 genes, and characterization of the protein revealed that IL-12 is a disulfide-linked heterodimeric cytokine, composed of 40-kDa (p40)3 and 35-kDa (p35) subunits. The two subunits together form the 70- to 75-kDa (p70) protein, which accounts for the biologic actions of IL-12. The p40 and p35 genes are located on separate chromosomes. However, coexpression of both genes is required for the synthesis of p70 (4, 5). Secretion of free p35 by cells that synthesize IL-12 does not occur but rather p35 must be complexed with p40 to be released. In contrast, p40 can be freely secreted on its own by IL-12 synthesizing cells and, in fact, p40 is often produced in large excess of p70 (2, 3, 6). Under these conditions, free p40 can form disulfide-linked homodimers that have been demonstrated to be capable of antagonizing the physiologic actions of p70 both in vitro (7) and in vivo (8).

IL-12 induces IFN-{gamma} synthesis by both NK and T cells, augments NK cell cytotoxicity and induces T cell proliferation, and is also a potent stimulus for Th1 cell development both in vitro (9) and in vivo (10). Th1 cells produce IL-2, IFN-{gamma}, and TNF-{alpha}; provide activation signals for macrophages; mediate delayed-type hypersensitivity reactions; and provide B cell help for the production of IgG2a Abs. Importantly, Th1 responses have been implicated in host protective immunity against parasitic diseases, including Leishmania major (10), Toxoplasma gondii (11), and blood-stage malaria (12, 13, 14). Th2 cells, on the other hand, secrete IL-4, IL-5, IL-6, IL-10, and IL-13, and provide B cell help for Ab synthesis of other isotypes, especially IgE and IgG1 (15, 16, 17, 18).

Malaria poses a major global health threat today, a worrisome prospect mainly attributable to the resurgence of drug-resistant forms of the parasite and the lack of an effective vaccine (19). To address the host immune mechanism(s) against blood-stage malaria, our laboratory has used the model of Plasmodium chabaudi AS infection in resistant C57BL/6 (B6) and susceptible A/J mice (20). Briefly, resistant B6 mice mount an early Th1 response, show moderate levels of acute primary parasitemia and anemia, and clear the infection by 4 wk. In contrast, susceptible A/J mice mount an early Th2 response, show very high levels of acute primary parasitemia and anemia, and infection is fatal after 10–12 days. We have recently reported that systemic administration of murine rIL-12 for 6 days beginning on the day of infection could protect susceptible A/J mice against i.p. challenge with 106 P. chabaudi AS parasitized erythrocytes. Moreover, this IL-12-induced protection occurred by IFN-{gamma}, TNF-{alpha}, and nitric oxide-dependent mechanisms.

Despite the pivotal role of IL-12 in mediating Th1 cell development, it is presently unknown whether or not endogenous IL-12 synthesis, or lack thereof, plays any crucial role in the induction of host immunity against blood-stage malaria. To further understand the role of IL-12 in host defense against malaria, we have analyzed in vivo IL-12 production in resistant B6 and susceptible A/J mice during early blood-stage P. chabaudi AS malaria. We have also analyzed splenic mRNA expression of the two recently cloned IL-12R subunits (21, 22) in these hosts after malaria infection. Our results show an important correlation between resistance and an early presence of high levels of systemic IL-12 p70, concomitant with significant up-regulation of mRNA levels of both IL-12R ß1 and ß2, and IFN-{gamma} in the spleen.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mice, parasite, and experimental infections

Mice, 6–8 wk old, were age- and sex-matched in all experiments. A/J mice were purchased from The Jackson Laboratory (Bar Harbor, ME), and B6 mice were from Charles River Breeding Laboratories (St. Constant, Quebec, Canada). P. chabaudi AS was maintained as described previously (23). Infection was initiated by i.p. injection of 106 P. chabaudi AS parasitized RBC and the course of infection was monitored by previously described procedures (23).

Reagents and sera

Murine rIL-12 was a generous gift of Dr. S. Wolf (Genetics Institute, Cambridge MA). Rat anti-murine IL-12 mAbs, C15.1 and C15.6 (IgG1 isotype), and C17.8 (IgG2a isotype) were generated as previously described (24). Hybridomas producing these mAbs were a kind gift of Drs. M. Wysocka and G. Trinchieri (Wistar Institute, Philadelphia, PA). All three mAbs detect the p40 subunit of IL-12. Red-T/G297–289, a mixture of mAbs against the p35/p70 subunit of IL-12, was purchased from PharMingen (Mississauga, Ontario, Canada). At indicated times, blood was obtained from A/J and B6 mice by cardiac puncture, allowed to clot, and sera were separated by centrifugation at 13,800 x g for 3 min. Sera were kept at 4°C and immediately analyzed for IL-12 levels by ELISA.

Splenectomy and spleen cell preparation

Splenectomy and sham-splenectomy procedures were performed using standard techniques published previously (25). Mice were rested for 3 wk after surgery before initiating P. chabaudi AS infection. At the indicated times, single cell suspensions of spleen cells in RPMI 1640 (Flow Laboratories, McLean, VA) supplemented with 5% heat-inactivated FCS (HyClone, Logan UT), 2% HEPES buffer (Flow Laboratories), and 0.12% gentamicin (Schering Canada, Montreal, Quebec) were prepared under aseptic conditions as previously described (26). To obtain nonadherent spleen cells, splenic adherent cells were depleted by 2 h adherence to plastic at 37°C in a humidified, CO2 incubator. Nonadherent spleen cells, pooled from three uninfected A/J or B6 mice, were adjusted to 4 x 106/ml and aliquots of 2–3 ml were placed in 6-well culture dishes (Nunc, Roskilde, Denmark). Cells were stimulated for 24 h in the presence of 5 µg/ml Con A (Calbiochem, La Jolla, CA), 1.8 ng/ml rIL-12, or medium as control.

ELISAs

Two-site sandwich ELISAs were used to measure serum levels of IL-12; p40- and p70-specific ELISAs were used. The former detects all species of IL-12 including p40 monomers, homodimers and p40-p35 heterodimers, whereas the latter detects only levels of the heterodimer. For the p40-specific ELISA, the capturing Ab was C15.1 and the detecting Ab was biotinylated C15.6. For the p70-specific ELISA, the capturing Ab was Red-T/G297–289 and the detecting Ab was biotinylated C17.8. Streptavidin-horseradish peroxidase conjugate (Life Technologies, Grand Island, NY) was added for final detection. Washing, blocking, incubation, and final detection of products were performed using methods previously established in our laboratory for the IFN-{gamma} ELISA (27) with minor modifications. The coating buffer for Red-T/G297–289 was 0.1 M NaHCO3 (pH 8.2). Incubation conditions for serum samples and standard rIL-12 were overnight at 4°C, and after addition of biotinylated Ab, plates were incubated for 4–5 h at room temperature. Plates were read in a microplate reader (Fisher Scientific, Nepean, Ontario, Canada) at 405 {eta}m, with a reference wavelength of 492 {eta}m.

Cytokine mRNA determination by RT-PCR

Spleens were aseptically removed from uninfected or infected mice at indicated times, immediately frozen in liquid nitrogen and stored at -70°C. The procedure for RNA isolation was based on a modification of the single-step method described by Chomzynski and Sacchi (28). Briefly, frozen tissue samples were homogenized in TRIzol reagent (Life Technologies) using a polytron homogenizer (Brinkmann, Kimematica, Switzerland). Cells were directly lysed by adding TRIzol reagent. Total RNA was subsequently isolated following the manufacturer’s instructions.

RT-PCR was performed as previously described by Kichian et al. (29). Cycling conditions and the number of PCR cycles were empirically determined for each primer pair. Typically, 30 cycles were performed, and the cycling conditions used were 94°C for 1 min, 54°C for 20 s, 72°C for 1 min, and a final extension at 72°C for 10 min. To increase the specificity of PCR amplification, the "hot start" method, involving an initial denaturation of the reaction mixture containing all reagents except the enzyme for 3 min at 94°C was used. Taq polymerase (Life Technologies), in 1x PCR buffer, was then added to the reaction mixture at 85°C before cycling was initiated. Both positive and negative controls were included in each assay to ensure efficacy of the reaction and to rule out possible cDNA contamination of reagents. The housekeeping gene glyceraldehyde 6-phosphate dehydrogenase (G6PDH) was simultaneously amplified in each assay to verify that equal amounts of cDNA were added in each PCR. Nucleotide sequences for primers and probes for IL-12 p40 and IL-12 p35 (30), IFN-{gamma} (31), and G6PDH (29) were used as described previously. Primers and probe sequences were designed in our laboratory for IL-12R ß1 and ß2, based on the recently cloned cDNAs for these genes (GenBank accession nos. U23922 and U64199, respectively). The sequences were: IL-12R ß1 sense, 5'-TGA-AGA-CGG-CGC-GTG-GGA-GTC-A-3'; antisense, 5'-TCG-CGG-GTA-CAA-CAC-CTC-CGG-G-3'; probe, 5'-GCG-AGC-GGA-CAC-TGC-GAG-GC-3' (product size, 412 bp) and IL-12R ß2 sense, 5'-GGT-TGC-TGG-CTC-CTC-ACC-AGG-3'; antisense, 5'-ATG-CAG-CCC-CTT-TGC-TCC-GGG-3'; probe, 5'-TCC-CCC-ACA-CTG-GCT-GCG-GA-3' (product size, 424 bp).

Fifteen microliters of final PCR products were analyzed by electrophoresis in a 1.2% agarose gel, denatured, neutralized, and transferred onto a Hybond-N membrane (Amersham, Arlington Heights, IL) by Southern blot analysis. After UV cross-linking (UV Stratalinker 1800, Stratagene, La Jolla, CA) and baking in a vacuum oven (2 h at 80°C), membranes were hybridized with cytokine-specific [{gamma}-32P]ATP (Amersham) end-labeled oligonucleotide probes that hybridize to a portion of the amplified segment between the primers. Probes were radioactively labeled with 10 U of T4 polynucleotide kinase (Life Technologies) in a 0.5x One-Phor-All buffer supplied with the enzyme. After hybridization and washing, cytokine or cytokine receptor mRNA was detected by autoradiography with Biomax MR Kodak film (Rochester, NY). The intensity of bands corresponding to specific cytokines was analyzed by high-resolution optical densitometry (SciScan 500, United States Biochemical, Cleveland, OH) and normalized to those of G6PDH. As shown in Fig. 1Go, titration of input cDNA was performed for each cytokine or cytokine receptor, followed by PCR and Southern blot analysis to ensure linearity between input cDNA and final PCR products.



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FIGURE 1. Optimization of PCR amplification conditions. Synthesis of cDNA was performed with 1 µg of total RNA isolated from the spleen of a B6 mouse at day 5 postinfection with P. chabaudi AS. The input cDNA for PCR was serially diluted such that each dilution contained two-thirds of the cDNA in the previous dilution. PCR was performed with primers for cytokine, cytokine receptor, or G6PDH, and products were detected by Southern blot analysis. Optimal cycling conditions for each cytokine or cytokine receptor and housekeeping gene were determined empirically, as illustrated here for p35, to ensure linearity of amplification. A, The density of p35-specific autoradiographic bands were determined by densitometry. B, A linear relationship between input cDNA and PCR amplification (regression coefficient, r2 = 0.97) is shown. Amount of input cDNA in undiluted sample is arbitrarily set at 100%.

 
Statistical Analysis

Statistical significance of differences in mean between groups of mice was determined by one-way ANOVA, followed by Bonferonni posttest. The Student-Newman-Keuls’ posttest was used in the analysis of serum IL-12 levels. A value of p < 0.05 was considered significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Resistant B6 mice produce higher levels of biologically active IL-12 p70

To establish possible differences in the in vivo level of systemic IL-12 production between resistant B6 and susceptible A/J mice, sera were collected from both strains during the first 5 days after P. chabaudi AS infection. Sera were also obtained from uninfected mice of either strain. All serum samples were analyzed for IL-12 levels by the p70-specific ELISA, which only detects levels of the biologically active IL-12 p40-p35 heterodimer, and by the p40-specific ELISA, which detects all forms of the IL-12 p40 subunit including p40 monomers and dimers, as well as p40–p35 heterodimers. As shown in Fig. 2GoA, serum levels of p70 on day 2 were significantly higher in B6 compared with A/J mice (p < 0.01), or compared with basal levels on day 0 (p < 0.001). Serum p70 levels remained substantially elevated in B6 mice on day 3 and decreased rapidly thereafter, returning to basal levels by day 5. In contrast, A/J mice showed no significant changes in serum p70 levels after P. chabaudi AS infection on any of the days examined.



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FIGURE 2. Kinetics of IL-12 p70 (A) and p40 (B) levels in serum of susceptible A/J and resistant B6 mice during the first 5 days of infection with P. chabaudi AS. Mice on day 0 were normal uninfected controls. Serum cytokine levels were determined by IL-12 p70- or p40-specific ELISA. Mice from two independent experiments were pooled for analysis. Data are presented as mean ± SEM of 5–12 mice per time point analyzed individually. Statistically significant differences: *, p < 0.01 vs A/J mice on same day; #, p < 0.05; ##, p < 0.001 vs uninfected controls of the same strain.

 
Unlike p70, the kinetics of serum levels of total p40 was surprisingly quite similar in B6 and A/J mice (Fig. 2GoB). In both strains, p40 levels were significantly increased on day 3 compared with basal levels on day 0 (p < 0.05). By day 5, serum levels of total p40 had returned to basal levels in both strains. Interestingly, there were no significant differences in total levels of serum p40 between B6 and A/J on any of the days examined. It is of interest to point out that levels of total p40 in the serum of either strain were at least 10-fold in excess of p70 levels, in agreement with previous observations (32) of excessive release of free p40 by IL-12 producing cells. Taken together, these data suggest the existence of distinct and complex mechanisms for regulating p70 vs p40 synthesis and secretion in vivo.

The spleen is the major source of endogenous IL-12 p70

To determine the source of systemic IL-12 production, we examined the spleen as well as the liver for up-regulation of mRNA levels of IL-12 p40 and p35 subunits. Resistant B6 and susceptible A/J mice were infected with P. chabaudi AS and during the first 5 days postinfection, the spleen and liver were removed and analyzed for tissue IL-12 mRNA levels by RT-PCR. Spleens and livers from uninfected B6 and A/J mice were also analyzed. As shown in Fig. 3GoA, mRNA levels of p40 in the spleen were significantly increased in A/J mice on day 3 compared with basal levels on day 0 (p < 0.001). Moreover, p40 mRNA levels in the spleen on day 3 were significantly higher in A/J compared with B6 mice (p < 0.001). By days 4 and 5, p40 mRNA levels in the spleen of A/J mice had returned to basal levels. In B6 mice, p40 mRNA levels in the spleen were slightly increased on day 3, followed by a return to basal levels by days 4 and 5.



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FIGURE 3. Kinetics of IL-12 p40 (A), p35 (B), and ratios of p40/p35 (C) mRNA levels in spleens of susceptible A/J and resistant B6 mice during the first 5 days of infection with P. chabaudi AS. Mice on day 0 were normal uninfected controls. After RT-PCR, electrophoresis, Southern blot analysis, and autoradiography, the density of bands corresponding to cytokine mRNA was normalized to those of the housekeeping gene G6PDH (G6). Mice from two independent experiments were pooled for analysis. A representative result of three RT-PCR determinations is shown. Data are presented as mean ± SEM of three to five mice per time point analyzed individually. Statistically significant differences: *, p < 0.05; **, p < 0.01; ***, p < 0.001 vs B6 mice on same day; #, p < 0.01; ##, p < 0.001 vs uninfected mice of the same strain on day 0.

 
Unlike p40, the expression of p35 mRNA levels in the spleen of both strains was constitutive on all days examined (Fig. 3GoB). However, splenic p35 mRNA levels were significantly higher in A/J compared with their B6 counterparts on day 2 (p < 0.001), day 3 (p < 0.01), and day 4 (p < 0.05). Because A/J mice appeared to express higher mRNA levels for both p40 and p35, p40 mRNA levels were normalized against p35 mRNA levels for each mouse strain. The kinetics of the ratios of p40/p35 mRNA levels in the spleen are shown in Fig. 3GoC. Interestingly, very similar patterns were seen in the kinetics of p40/p35 mRNA ratios in A/J and B6 mice. In both strains, there was a significant increase in p40/p35 mRNA ratios on day 3 compared with basal levels (p < 0.001 and p < 0.01, in A/J and B6 mice, respectively). However, no significant differences between strains in p40/p35 mRNA ratios in the spleen were evident on any day postinfection examined.

Compared with the spleen, p40 mRNA levels in the livers of B6 and A/J mice were very low (data not shown). Autoradiographic bands corresponding to p40 mRNA levels in the spleen were readily detectable after 2 h exposure. In contrast, under identical experimental conditions, bands corresponding to p40 mRNA levels in the liver required up to a week of exposure to be detectable. Moreover, mRNA levels of p35 in livers of both strains were virtually undetectable on all days examined (data not shown), in agreement with observations of Schoenhaut et al. (6). Taken together, these data suggest the spleen, rather than the liver, to be the likely source of systemic IL-12 production during blood-stage malaria.

To confirm the spleen as the major source of in vivo IL-12 production during early blood-stage P. chabaudi AS infection, experiments were conducted using splenectomized and sham-splenectomized B6 mice. As shown in Table IGo, sham-splenectomized controls had significantly elevated levels of serum p70 on day 2, comparable with levels seen in intact B6 mice on this day. In contrast, splenectomized animals failed to show the significant increase in serum p70 levels seen in spleen-intact B6 mice on day 2 postinfection.


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Table I. Effect of splenectomy on serum IL-12 p70 levels

 
Kinetics of IL-12R ß1, IL-12R ß2, and IFN-{gamma} mRNA levels in the spleen

Recent studies indicate that full biological responses to IL-12 require the expression of both IL-12R ß1 and IL-12R ß2 at the surface of cells responding to this cytokine (33, 34). Therefore, we asked whether or not A/J and B6 mice differ in the levels of expression of IL-12R mRNA in the spleen during early P. chabaudi AS malaria. As shown in Fig. 4GoA, the kinetics of IL-12R ß1 mRNA levels in the spleen were similar in A/J and B6 mice, except on day 4 when IL-12R ß1 mRNA levels were significantly higher in B6 compared with A/J mice (p < 0.01). In A/J mice, IL-12R ß1 mRNA levels in the spleen were significantly increased on day 3 (p < 0.001) and day 5 (p < 0.001), compared with basal levels on day 0. In B6 mice, significant increases over basal levels of IL-12R ß1 mRNA levels in the spleen occurred on day 3 (p < 0.05), day 4 (p < 0.001), and day 5 postinfection (p < 0.001).



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FIGURE 4. Kinetics of IL-12R ß1 (A), IL-12R ß2 (B), and IFN-{gamma} (C) mRNA levels in spleens of susceptible A/J and resistant B6 mice during the first 5 days of infection with P. chabaudi AS. Mice on day 0 were normal uninfected controls. After RT-PCR, electrophoresis, Southern blot analysis, and autoradiography, the density of bands corresponding to cytokine or cytokine receptor mRNA was normalized to those of the housekeeping gene G6PDH (G6). Mice from two independent experiments were pooled for analysis. A representative result of three RT-PCR determinations is shown. Data are presented as mean ± SEM of three to five mice per time point analyzed individually. Statistically significant differences: *, p < 0.01; **, p < 0.001 vs A/J mice on same day.

 
In contrast to similar kinetics of IL-12R ß1 mRNA expression between infected A/J and B6 mice, significant differences between A/J and B6 mice in IL-12R ß2 mRNA levels in the spleen were evident as early as day 3 postinfection (p < 0.01) and were sustained on day 4 (Fig. 4GoB; p < 0.001). However, by day 5, there was no significant difference between strains in IL-12R ß2 mRNA levels in the spleen. In A/J mice, only on day 5 were IL-12R ß2 mRNA levels in the spleen significantly higher (p < 0.001) than basal levels on day 0. In contrast, IL-12R ß2 mRNA levels in the spleen were significantly higher than basal levels in B6 mice on day 3 (p < 0.001), day 4 (p < 0.001), and day 5 postinfection (p < 0.001). Taken together, these data suggest that resistant B6 mice, compared with susceptible A/J mice, show an earlier and sustained up-regulation of IL-12R ß2 mRNA levels in the spleen.

Earlier up-regulation of IL-12R ß2 mRNA in the spleen of B6 mice was accompanied by higher up-regulation IFN-{gamma} mRNA expression. As shown in Fig. 4GoC, splenic IFN-{gamma} mRNA levels were significantly higher in B6 compared with A/J mice on days 4 and 5 postinfection (p < 0.01). This finding is consistent with previous observations from our laboratory (13) and others (12) of an important correlation between early predominantly Th1 responses and resistance to blood-stage P. chabaudi AS malaria.

A/J mice are not inherently deficient in up-regulation of IL-12R or IFN-{gamma} mRNA expression

We next addressed the question of whether or not A/J mice, compared with their B6 counterparts, are as capable of up-regulating IL-12R and IFN-{gamma} mRNA expression in the absence of P. chabaudi AS infection. Nonadherent spleen cells from uninfected A/J and B6 mice were cultured in vitro for 24 h in medium alone, or medium containing Con A or murine rIL-12. After the incubation period, total RNA was isolated and mRNA levels of IL-12R and IFN-{gamma} were analyzed by RT-PCR. As shown in Fig. 5Go, treatment with Con A or rIL-12 in vitro induced IL-12R ß1, and ß2 as well as IFN-{gamma} mRNA expression to comparable levels in nonadherent spleen cells from either A/J or B6 mice.



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FIGURE 5. Effect of in vitro rIL-12 treatment on IL-12R ß1 and ß2, and IFN-{gamma} mRNA expression. A, Autoradiograph, nonadherent spleen cells were pooled from three uninfected A/J or B6 mice. Cells were cultured for 24 h in the presence of medium alone (lanes 1 and 4), or medium containing either 5 µg/ml of Con A (lanes 2 and 5) or 1.8 ng/ml of rIL-12 (lanes 3 and 6). After RT-PCR, electrophoresis, Southern blot analysis and autoradiography, the density of bands corresponding to cytokine or cytokine receptor mRNA was normalized to those of the housekeeping gene G6PDH (G6). Results are shown for IL-12R ß1 (B) and ß2 (C), and IFN-{gamma} (D). Similar results were obtained in a replicate experiment.

 
We then asked whether IL-12R and IFN-{gamma} mRNA expression in the spleen could be modulated in vivo during infection by the administration of exogenous rIL-12 to A/J mice. P. chabaudi AS infected A/J mice were treated with either the standard protective dose of rIL-12 (0.1 µg/mouse/day for 6 days beginning on the day of infection) or PBS as control. Fig. 6Go shows that treatment of P. chabaudi AS infected A/J mice with rIL-12 resulted in significant increases in mRNA levels of IL-12R ß2 and IFN-{gamma} expressed by unfractionated spleen cells on day 7 postinfection compared with PBS-treated controls. These data suggest that the apparent defect in up-regulation of IL-12R ß2 mRNA seen in the spleen of A/J compared with B6 mice during early P. chabaudi AS malaria may be due in part to reduced production of p70 in A/J mice. Moreover, the deficiency in IL-12R ß2 mRNA expression during blood-stage malaria in these hosts can be corrected by treatment with exogenous rIL-12.



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FIGURE 6. Effect of in vivo rIL-12 treatment on IL-12R ß1 and ß2, and IFN-{gamma} mRNA expression. P. chabaudi AS infected A/J mice were treated daily, beginning on the day of infection until day 5 postinfection, with either murine rIL-12 (0.1 µg/mouse/day) or sterile PBS as a control. Mice were sacrificed at day 7 and cytokine or cytokine receptor mRNA expression in unfractionated spleen cells was analyzed by RT-PCR. After electrophoresis, Southern blot analysis, and autoradiography, the density of bands corresponding to cytokine or cytokine receptor mRNA was normalized to those of the housekeeping gene G6PDH (G6). A representative result of three RT-PCR determinations is shown. Data are presented as mean ± SEM of three mice individually analyzed. Statistically significant differences: *, p < 0.001 vs vehicle-treated controls.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The importance of an appropriate Th response in the development of protective immunity against blood-stage P. chabaudi AS malaria as well as other parasitic diseases is well established (10, 12, 13, 14). IL-12 has potent and pleiotropic biologic actions on NK and T cells (1). The discovery of IL-12 and recognition of its capacity to direct the differentiation of naive and undifferentiated CD4+ Th0 cells toward a Th1 phenotype suggested that innate immune responses play a critical role in the development of adaptive immunity (35). Cytokines such as IL-12 produced during innate immunity appear to play an instructive role in influencing the type of acquired immunity and, hence, the phenotype of resistance vs susceptibility that develops in a given host during infection. Exogenous rIL-12 treatment was shown to be curative in several animal models of tumors and parasitic diseases (36, 37). In malaria, exogenous rIL-12 treatment was effective against both liver and blood-stage malaria (26, 38), suggesting that IL-12 might be important in host defense against this disease.

In this report, evidence is presented that demonstrates for the first time significant differences between resistant B6 and susceptible A/J mice in the level of systemic production of IL-12 during early blood-stage P. chabaudi AS malaria. As early as day 2 postinfection, serum levels of p70, the form of IL-12 that accounts for most of its known biological actions, were significantly higher in B6 compared with A/J mice. In B6 mice, the serum levels of IL-12 on day 2 represented a significant increase over basal levels seen in uninfected mice. In contrast, no significant increases in serum p70 over basal levels were observed in A/J mice during the first 5 days of infection. Previous studies in our laboratory have shown that during early P. chabaudi AS infection, spleen cells recovered from B6 compared with A/J mice, produced substantially higher levels of IFN-{gamma} in vitro after stimulation with Con A or parasitized RBC (13). In addition, IFN-{gamma} mRNA levels in the spleen were found to be significantly higher in B6 compared with A/J mice, whereas IL-4 mRNA levels in the spleen were significantly higher in A/J mice during the first week of infection (39). The results reported here of significant differences between A/J and B6 mice in systemic production of IL-12 are consistent with these earlier observations and provide further understanding of the underlying mechanism(s) for the observed dichotomy of Th responses seen in the two inbred mouse strains during blood-stage malaria.

Differences between resistant and susceptible mice in early in vivo IL-12 production were also recently reported in a model of Mycobacterium avium infection (40). BALB/c mice, which are genetically susceptible and mount predominantly Th2 responses to M. avium infection, exhibited reduced IL-12 p70 levels in aqueous spleen extracts on days 1 and 3 postinfection and developed large and numerous granulomas. In contrast, genetically resistant DBA/2 mice, which mount predominantly Th1 responses to this infection, had reduced mycobacterial burdens and increased IL-12 p70 levels in aqueous spleen extracts on these days postinfection. Furthermore, it was found that IL-12 p40 mRNA levels in the spleen were higher in resistant DBA/2 compared with susceptible BALB/c mice shortly (3–24 h) after the infection, whereas p35 mRNA levels were constitutively expressed. In our studies, detectable up-regulation in p40 mRNA levels was seen in the spleens of both A/J and B6 mice on day 3 postinfection, whereas p35 mRNA was constitutively expressed. The fact that mRNA synthesis would have to precede protein synthesis and release from the spleen suggests that this increase in splenic p40 mRNA levels on day 3 is probably not directly related to the increase in serum p70 levels in B6 mice on day 2. This elevated serum p70 levels in day 2 infected B6 mice could be related to transient increases in splenic p40 mRNA levels occurring h after initiating P. chabaudi AS infection that could have been missed at the days postinfection chosen for our study.

Despite this lack of direct correlation with serum p70 levels, the fact that both p40 and p35 mRNA were readily detectable in the spleens of infected A/J and B6 mice, but not in the liver, was important in suggesting that the spleen might be an important source of IL-12 production during early P. chabaudi AS infection. It is presently unclear why both p40 and p35 mRNA levels were higher in spleens of A/J compared with B6 mice, although the ratios of p40/p35 mRNA levels were similar in both strains. Studies have shown that for several IL-12 producing cells, mRNA levels for p40 are ~10-fold more abundant than for p35, consistent with observations that p40 is often produced 10–100-fold in excess of secreted p70 levels (4, 41, 42). This wide range of excess in p40 over p70 levels might be involved in the fact that, for similar serum p40 levels, serum p70 levels varied significantly between P. chabaudi AS infected A/J and B6 mice.

The regulation of IL-12 mRNA expression and secretion of p40 vs p70 protein secretion appears to be complex. 1) The secretion of p70 requires that both p40 and p35 genes be expressed in the same cell. In situ hybridization studies on sections of mouse spleen by Bette et al. (43) revealed that large populations of spleen cells appear to express either p40 or p35 mRNA but not both. 2) Even when both p40 and p35 mRNA are expressed in the same cell, recent evidence suggests that different signals can modulate secretion of p70 vs p40. After stimulation with Salmonella dublin LPS, murine macrophages released substantial amounts of p40 but very little p70 (44). However, LPS and IFN-{gamma} costimulation was accompanied by secretion of high levels of both p40 and p70 (44). Similar results have been reported for IL-12 p70 vs p40 secretion by microglial cells in the central nervous system (45).

The spleen has long been recognized as a key site for the induction of anti-plasmodia mechanism(s) (46). During early blood-stage P. chabaudi AS infection, resistant B6 mice develop massive splenomegaly (47), marked by significant changes in spleen cells expressing CD3, B220, and Mac-1 (48). Moreover, Yap and Stevenson (49) demonstrated that an architecturally intact spleen was necessary for resolving blood-stage P. chabaudi AS infection in resistant B6 mice. In this report, we show that the spleen is the major source of systemic IL-12 production in P. chabaudi AS infected B6 mice. The spleen was also the site of significant up-regulation of IL-12R mRNA levels in both A/J and B6 mice during early blood-stage malaria, suggesting an important mechanism by which the protective effects of IL-12 in the spleen are mediated.

Monocyte/macrophages are generally regarded as the major physiologic sources of IL-12 (32). However, recent studies indicate that other cell types, including neutrophils (42, 50) and dendritic cells (51), can produce IL-12. Our recent study demonstrated that splenic macrophages recovered from B6 compared with A/J mice acutely infected with P. chabaudi AS produced significantly greater quantities of IL-12 p70 in vitro (our unpublished data). Studies are currently in progress to identify the specific phenotype of cells in the spleen that express IL-12R mRNA. Evidence from FACs analysis studies suggests that the major cell types that express IL-12R are NK and T cells (52). In addition, recent analysis of lymph node cells from L.major-infected mice revealed significant up-regulation of IL-12R on CD4+, CD8+, and B220+ cells (53).

Significant differences between A/J and B6 mice were evident in the kinetics of up-regulation of splenic IL-12R mRNA levels after P. chabaudi AS infection. In B6 mice, splenic IL-12R ß2 mRNA levels were significantly elevated over basal levels by day 3 and levels remained significantly elevated on days 4 and 5 postinfection. In contrast, significant up-regulation of IL-12R ß2 mRNA over basal levels in the spleen of A/J mice was not evident until day 5 postinfection. On the other hand, IL-12R ß1 mRNA levels in the spleen were significantly up-regulated in both strains by day 3 postinfection.

The delayed kinetics of up-regulation of IL-12R ß2 mRNA levels in the spleens of susceptible A/J mice could have important immunological implications. Recent evidence suggests that the expression of both IL-12R ß1 and ß2 is required in order for high-affinity interaction between IL-12 p70 and the IL-12 receptor complex to occur (34, 54). Importantly, the earlier and sustained expression of mRNA levels of both IL-12R in the spleens of malaria-infected B6 mice correlated with higher mRNA levels of IFN-{gamma} in this organ on days 3–5 postinfection, compared with A/J mice. These results are consistent with our earlier observations that, for protective efficacy against blood-stage malaria, rIL-12 treatment in A/J mice had to be initiated on or 1 day before P. chabaudi AS infection (26). Treatment with rIL-12 was not protective when initiated in A/J mice beginning on day 3 after infection, emphasizing the importance of the presence of IL-12 early in infection. In both A/J and B6 mice, up-regulation of IL-12R mRNA levels in the spleen was accompanied by the disappearance of both p40 and p70 species of IL-12 from sera, possibly reflecting the increasing predominance of membrane bound forms of IL-12 in the spleen.

Taken together, this study demonstrates significant differences between resistant B6 and susceptible A/J mice in the level of systemic IL-12 production that correlates with the developmental dichotomy of Th responses previously observed in these hosts during early P. chabaudi AS malaria. In addition, we show that the spleen is the major source of systemic IL-12 production in B6 mice, and that an early and sustained up-regulation of both IL-12R ß1 and IL-12R ß2 appears to be required for IL-12-induced protective immunity against blood-stage malaria.


    Acknowledgments
 
We thank Mifong Tam for excellent technical assistance in setting up IL-12 ELISAs and Krikor Kichian for help with RT-PCR set up. H.S. is a receipient of a M.D./Ph.D. studentship from the Medical Research Council.


    Footnotes
 
1 This work was supported by National Institutes of Health Grant (AI 35955) and Medical Research Council Grant (MT 12638 and MT14663). Back

2 Address correspondence and reprint requests to Dr. Mary M. Stevenson, Montreal General Hospital Research Institute, 1650 Cedar Avenue, Montreal, Quebec, Canada, H3G 1A4. E-mail address: Back

3 Abbreviations used in this paper: p35, p40, and p70, 35-, 40-, and 70- to 75-kDa subunits, respectively; B6, C57BL/6; G6PDH, glyceraldehyde 6-phosphate dehydrogenase. Back

Received for publication June 30, 1998. Accepted for publication October 8, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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Low Interleukin-12 Activity in Severe Plasmodium falciparum Malaria
Infect. Immun., July 1, 2000; 68(7): 3909 - 3915.
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J. A. Martiney, B. Sherry, C. N. Metz, M. Espinoza, A. S. Ferrer, T. Calandra, H. E. Broxmeyer, and R. Bucala
Macrophage Migration Inhibitory Factor Release by Macrophages after Ingestion of Plasmodium chabaudi-Infected Erythrocytes: Possible Role in the Pathogenesis of Malarial Anemia
Infect. Immun., April 1, 2000; 68(4): 2259 - 2267.
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H. Sam, Z. Su, and M. M. Stevenson
Deficiency in Tumor Necrosis Factor Alpha Activity Does Not Impair Early Protective Th1 Responses against Blood-Stage Malaria
Infect. Immun., May 1, 1999; 67(5): 2660 - 2664.
[Abstract] [Full Text] [PDF]


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