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The Journal of Immunology, 1999, 163: 6078-6085.
Copyright © 1999 by The American Association of Immunologists

Subversion of Monocyte Functions by Coxiella burnetii: Impairment of the Cross-Talk Between {alpha}vß3 Integrin and CR31

Christian Capo*, Frederik P. Lindberg{dagger}, Sonia Meconi*, Yona Zaffran*, Gratiela Tardei*, Eric J. Brown{dagger}, Didier Raoult* and Jean-Louis Mege2,*

* Université de la Méditerranée, Unité des Rickettsies, Centre National de la Recherche Scientifique, Unité Propre de Recherche de l’Enseignement Supérieur Associée 6020, Faculté de Médecine, Marseille, France; and {dagger} Department of Internal Medicine, Washington University School of Medicine, St. Louis, MO 63110


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Several intracellular pathogens exploit macrophages as a niche for survival and replication. The success of this strategy requires the subversion or the avoidance of microbicidal functions of macrophages. Coxiella burnetii, the agent of Q fever, is a strictly intracellular bacterium that multiplies in myeloid cells. The survival of C. burnetii may depend on the selective use of macrophage receptors. Virulent C. burnetii organisms were poorly internalized but survived successfully in human monocytes, whereas avirulent variants were efficiently phagocytosed but were also rapidly eliminated. The uptake of avirulent organisms was mediated by leukocyte response integrin ({alpha}vß3 integrin) and CR3 ({alpha}Mß2 integrin), as demonstrated by using specific Abs and RGD sequence-containing peptides. The phagocytic efficiency of CR3 depends on its activation via {alpha}vß3 integrin and integrin-associated protein. Indeed, CR3-mediated phagocytosis of avirulent C. burnetii was abrogated in macrophages from integrin-associated protein-/- mice. In contrast, the internalization of virulent C. burnetii organisms involved the engagement of {alpha}vß3 integrin but not that of CR3. The pretreatment of monocytes with virulent C. burnetii organisms prevented the CR3-mediated phagocytosis of zymosan particles and CR3 activation assessed by the expression of the 24 neo-epitope. We conclude that the virulence of C. burnetii is associated with the engagement of {alpha}vß3 integrin and the impairment of CR3 activity, which probably results from uncoupling {alpha}vß3 integrin from integrin-associated protein. This study describes a strategy not previously reported of phagocytosis modulation by intracellular pathogens.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Coxiella burnetii is the etiologic agent of Q fever, a disease that typically manifests either as an acute polymorphic form with usually favorable outcome or a chronic form, usually endocarditis with severe prognosis, occurring in the context of defective cell-mediated immunity (1, 2). C. burnetii organisms are strictly intracellular Gram-negative bacteria classified in the {gamma} subdivision of Proteobacteria (3). Their survival strategy is based on multiplication in mature phagosomes of monocytes/macrophages (4). C. burnetii virulence is mainly related to the expression of LPS. Upon serial passage in culture, C. burnetii undergoes an irreversible transition from virulent to avirulent form, which is similar to smooth-to-rough LPS transition of enterobacteria. Hence, phase I bacteria expressing a smooth-type LPS are virulent, whereas phase II variants exhibit a truncated rough-type LPS and are avirulent (5).

The entry of C. burnetii into monocytes and macrophages is likely to be critical for its adaptation to host cells and the development of Q fever. So far, no convincing evidence about the type of receptors engaged by C. burnetii has been provided (6). During the past few years, it has become increasingly clear that some receptors of eukaryotic cells including macrophages are especially important in bacterial recognition and probably determine the fate of internalized pathogens (7, 8). Numerous microorganisms use integrins, heterodimeric glycoproteins comprised of various combinations of several {alpha} and ß subunits (9), as specific receptors to invade host cells (10). A leukocyte ß2 integrin, CR3 ({alpha}Mß2, CD11b/CD18), is involved in the recognition of iC3b-coated particles and ß glucan (11), as well as pathogens such as Escherichia coli, Mycobacteria sp., Leishmania sp., Legionella pneumophila, Bordetella pertussis, Rhodococcus equi, and Histoplasma capsulatum (12). Nevertheless, CR3-mediated uptake of targets by macrophages usually requires an additional activation signal (13). ß1 and ß3 integrins, which are involved in the interaction of leukocytes with extracellular matrix, can also recognize microorganisms such as B. pertussis, Mycobacteria avium/intracellulare, Yersinia pseudotuberculosis, Yersinia enterocolitica, and Borrelia burgdorferi (10, 14, 15, 16). Leukocyte response integrin (LRI;3 {alpha}vß3 integrin) and integrin-associated protein (IAP; CD47), a member of the Ig family, can be functionally associated (17) and are involved in the binding of filamentous hemagglutinin of B. pertussis by monocytes (18). Recently, it has been reported that IAP-deficient mice exhibited decreased resistance to bacterial infection (19). Nevertheless, the way used by intracellular pathogens to govern leukocyte integrin activity and their survival inside host macrophages remains largely unknown.

In this report, we demonstrated that virulent C. burnetii organisms entered into monocytes through {alpha}vß3 integrin and survived inside the cells. Avirulent variants were more easily ingested than virulent bacteria but were eliminated by monocytes. Their phagocytosis was mediated by {alpha}vß3 integrin-IAP complex and CR3, suggesting that the efficiency of C. burnetii phagocytosis mainly results from the activation of CR3 and the availability of IAP. Virulent bacteria interfered with CR3 activation and CR3-dependent phagocytosis, thus preventing CR3 engagement. We suggest that C. burnetii-induced impairment of CR3 function results from uncoupling {alpha}vß3 integrin from IAP.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Reagents and Ab

mAbs directed to monocyte surface Ags were purchased from Immunotech (Marseille, France). They included: the common ß1 integrin chain (CD29, IgG1), the common ß2 integrin chain (CD18, IgG1), {alpha}Lß2 (CD11a, IgG1), {alpha}Mß2 (CD11b, IgG1), {alpha}Xß2 (CD11c, IgG1), and IgG1 controls. OKM1 mAb and BM104 mAb directed against {alpha}Mß2 (CD11b) were IgG1, obtained from Ortho Diagnostic Systems (New Jersey) and Bender Medsystem (Austria), respectively. mAbs against LRI (7G2, IgG1) and IAP (B6H12, 2D3, IgG1), and F(ab')2 of anti-LRI and anti-IAP mAb were obtained as previously described (17). The mAb 24 was IgG1 specific for the leukocyte integrin {alpha} subunit (20). Rabbit Ab directed to C. burnetii recognized virulent and avirulent bacteria. FITC-conjugated F(ab')2 anti-rabbit IgG were obtained from Immunotech. SRBC and specific immune serum were provided by BioMérieux (Marcy l’Etoile, France). Synthetic hexapeptides KGAGDV, KGRGDV, and KGALEV were prepared as described (21). Lysophosphatidylcholine (LPC), zymosan and cytochalasin D were purchased from Sigma (St. Louis, MO).

Monocytes and macrophages

PBMCs were isolated from healthy volunteers on Ficoll-Hypaque (Eurobio, Les Ulis, France) and suspended in RPMI 1640 containing 20 mM HEPES (Life Technologies, Eragny, France), 10% FCS, 2 mM L-glutamine, 100 U/ml penicillin, and 100 µg/ml streptomycin (Life Technologies) as previously described (22). Monocytes were purified by incubating 5 x 105 PBMCs in a glass Labtek chamber/slide (Miles, Naperville, IL) for 60 min at 37°C. Nonadherent cells were removed by washing, and remaining cells were designated as monocytes because >90% of them were CD14+ and had phagocytic characteristics. In some experiments, monocytes were incubated with mAb or peptides for 60 min at 37°C before infection.

Bone marrow-derived macrophages (BMDMs) were isolated from wild-type mice (IAP+/+) and gene-targeted knockout mice deficient in IAP expression (IAP-/-) and incubated in a medium consisting of high-glucose DMEM with 15% L929 cell supernatant (19). BMDMs were pipetted off after addition of EDTA, and suspended cells were plated on glass Labtek chamber/slides before infection.

Bacteria

Virulent C. burnetii (Nine Mile strain, VR-615; American Type Culture Collection, Manassas, VA) were injected into mice and 10 days later were recovered from spleens, then cultured in mouse L929 fibroblasts maintained in antibiotic-free MEM (Life Technologies) supplemented with 4% FCS and 2 mM L-glutamine for two passages. Avirulent variants were cultured in L929 cells by repeated passages of Nine Mile strain as previously described (23). After 1 wk, L929 cells were sonicated, and the homogenates were centrifuged at 10,000 rpm for 10 min. Bacteria were layered on 25–45% linear Renograffin gradient, the gradients were spun down, then the bacteria were collected, washed, and suspended in serum-free medium before being stored at -80°C. The concentration of C. burnetii was determined by Gimenez staining (24).

Bacterial phagocytosis

Adherent monocytes (5 x 104 cells/assay) were incubated with C. burnetii at different bacterium-to-cell ratios in 0.2 ml HBSS. After different periods of time, the cells were washed and fixed with 1% formaldehyde, and bacteria were revealed by immunofluorescence (IF). Bacterial labeling was obtained by incubating cell preparations with rabbit Ab directed against C. burnetii or control serum at 1:250 in PBS containing 1% BSA for 30 min at room temperature. After washing, 1:200 dilution of FITC-conjugated F(ab')2 anti-rabbit IgG was added to cells for 30 min. The number of bacteria associated with monocytes was determined by fluorescence microscopy with a Zeiss microscope. To discriminate between extra and intracellular bacteria, monocytes were permeabilized with 0.1 mg/ml LPC. In the absence of LPC, only monocyte-bound organisms were detected (Fig. 1GoA), whereas LPC allowed the detection of attached and internalized bacteria (Fig. 1GoB). Phagocytosis was quantified as follows. The product of the number of bacteria per positive monocyte in the presence of LPC and the percentage of positive cells was designated as the association index. The difference between indexes in the presence or the absence of LPC quantified the uptake of C. burnetii and was named as the phagocytosis index. This parameter is a specific measurement of phagocytosis because cytochalasin D dramatically decreased the phagocytosis index but not the association index (Fig. 1Go, C and D). The phagocytosis of C. burnetii was also expressed as the phagocytosis efficiency, which was defined as the ratio of phagocytosis index/association index (25).



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FIGURE 1. Phagocytosis of C. burnetii. Monocytes were pretreated with 5 µg/ml cytochalasin D (C and D) or vehicle (A and B) and incubated with C. burnetii at a 200:1 bacterium-to-cell ratio for 2 h. Then cells were incubated in the presence (B and D) or the absence (A and C) of LPC. Extra- and intracellular bacteria were determined by IF. Phagocytozed bacteria were only detected when LPC was used in the absence of cytochalasin D (B). The figure is representative of at least five experiments.

 
Infection procedure

Monocytes (5 x 104 cells/assay) were incubated with C. burnetii at a 200:1 bacterium-to-cell ratio for 24 h at 37°C in RPMI 1640. Cells were then washed to remove free bacteria (corresponding to day 0) and cultured for 12 days in RPMI 1640 supplemented with 10% FCS. Cellular infection was quantified by IF every 3 days. Results were expressed as a relative infection index compared with day 0. The viability of bacteria was determined as previously described (24). Briefly, infected monocytes were sonicated and the homogenates were added to human embryonic lung (HEL) cell monolayers in shell vials. After 7 days, C. burnetii replication was studied by indirect IF as described above.

Particle phagocytosis

In some experiments, monocytes (5 x 104 cells/assay) were pretreated with C. burnetii at a 200:1 bacterium-to-cell ratio for 15 min at 37°C, washed, and incubated with different particles. Unopsonized zymosan and zymosan opsonized by 50% human serum were used to assess the function of CR3 lectin sites and iC3b-binding sites, respectively. SRBC were opsonized by 1:250 dilution of specific immune serum. IgG-SRBC were used to assess Fc{gamma}R activity. Monocytes were incubated with 107 IgG-opsonized SRBC, unopsonized zymosan or iC3b-coated zymosan (1 mg/ml) in RPMI 1640 containing 10% heat-inactivated FCS for 60 min at 37°C. The cells were washed to remove unbound particles, and extracellular IgG-coated SRBC were lyzed by distilled water. Monocytes were then fixed with 1% formaldehyde and examined microscopically. Phagocytosis results were expressed as the product of the percentage of cells having phagocytozed at least one particle and the number of phagocytozed particles per cell x 100 (phagocytosis index).

Flow cytometry

Adherent monocytes were treated with C. burnetii for 15 min at 37°C, washed, and then gently scraped with a rubber policeman. In some experiments, suspended PBMC were incubated with C. burnetii for 15 min at 37°C. Then, cells were incubated with anti-CD18, anti-CD11b, anti-LRI mAb, mAb 24, or isotypic controls at 1/100 dilution for 30 min at 4°C and stained with FITC-tagged F(ab')2 anti-mouse Igs. The cell fluorescence was analyzed by an EPICS XL (Coulter Electronics, Hialeah, FL). Gating was established using forward and side scatters and fluorescence recorded on the log scale.

Statistical analysis

Results are given as the mean ± SE and compared with Mann Whitney U test. Differences were considered as significant if p < 0.05.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Survival and uptake of C. burnetii

Monocyte infection by virulent C. burnetii organisms steadily increased from 3 days to 12 days postinfection as determined by IF (Fig. 2GoA). After 12 days, 70% of infected cells contained each three to four bacteria. In contrast, the number of avirulent organisms rapidly decreased after 3 days, and they were undetectable after 9 days. The decrease in the number of avirulent organisms resulted from monocyte-mediated bacterial killing. The viability of intracellular organisms was assessed by culture of infected cell homogenates on HEL cells. Virulent bacteria were viable (152 ± 20 at day 12 vs 104 ± 24 vacuoles per shell vial at day 0), whereas avirulent variants were completely eliminated by monocytes (24 ± 12 at day 12 vs 450 ± 80 vacuoles per shell vial at day 0). The distinct intracellular behavior of virulent and avirulent C. burnetii may result from different mechanisms of entry into monocytes. The uptake of virulent organisms (bacterium-to-cell ratio of 200:1) required 60 min to become detectable whereas intracellular avirulent bacteria were detected after 30 min (Fig. 2GoB). After 2 h, the phagocytosis of virulent bacteria was 10 times lower than that of avirulent organisms and phagocytosis efficiency did not exceed 33 ± 4%. In contrast, the phagocytosis efficiency of avirulent C. burnetii was 84 ± 8%, demonstrating that almost all the bacteria that bound to monocytes were ingested. A prolonged incubation of monocytes (>4 h) with a bacterium-to-cell ratio of 500:1 did increase the phagocytosis of virulent C. burnetii, but again not to a level close to that seen with avirulent variants (data not shown). We also excluded the hypothesis that virulent organisms settled less well than avirulent variants during the course of phagocytosis assay. Bacteria were added to monocytes and spun down at 1500 rpm for 10 min before a 2-h incubation at 37°C. This procedure increased the phagocytosis index of virulent C. burnetii (113 ± 31 vs 41 ± 5 in the absence of centrifugation). But, it remained markedly lower than the phagocytosis index of avirulent bacteria (569 ± 81). The restriction of phagocytosis is a property of C. burnetii virulence.



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FIGURE 2. Survival and uptake of C. burnetii. A, Monocytes were incubated with C. burnetii at a 200:1 bacterium-to-cell ratio for 24 h, washed, and incubated in RPMI 1640 containing 10% FCS for 12 days. Cellular infection was quantified by IF, and results of the relative infection index are expressed as a mean ± SE of four experiments. They represent the comparison of infection index values after 3, 6, 9, or 12 days with values at day 0 (110 ± 24 for virulent C. burnetii and 681 ± 79 for avirulent bacteria). B, C. burnetii organisms were incubated with monocytes in HBSS for different periods at 37°C. Phagocytozed bacteria were detected by IF. Results of the phagocytosis index are expressed as a mean ± SE of five experiments.

 
Role of {alpha}vß3 integrin and CR3 in C. burnetii phagocytosis

The difference between the phagocytosis of virulent and avirulent C. burnetii may be related to the engagement of specific receptors on monocytes. Chelation of divalent cations completely inhibited the interaction of C. burnetii with monocytes (83 ± 8% inhibition), as did lowering of the incubation temperature to 4°C (86 ± 7% inhibition), indicating a role for monocyte integrins. Therefore, we investigated the role of ß1, ß2, and ß3 integrins in the uptake of C. burnetii using specific mAbs. Phagocytosis of virulent bacteria was not impaired by mAbs directed against ß1 chain (CD29), ß2 chain (CD18), and {alpha}-chains of ß2 integrins (CD11a, CD11b, CD11c) (Fig. 3GoA), whatever the concentration of mAbs used (Fig. 4Go, A and B, and data not shown). Blocking {alpha}vß3 integrin with mAb 7G2 markedly decreased the phagocytosis index in a dose-dependent manner (Fig. 3GoA and Fig. 4GoC) with a maximum inhibition at a mAb concentration of 5 µg/ml (75 ± 11%). F(ab')2 of mAb 7G2 (5 µg/ml) also decreased the phagocytosis by 73 ± 6%. Taken together, these results suggest that the uptake of virulent C. burnetii by monocytes depends on the engagement of {alpha}vß3 integrin.



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FIGURE 3. Effect of mAb against monocyte receptors on uptake of C. burnetii. Virulent (A) or avirulent (B) C. burnetii organisms at a 200:1 bacterium-to-cell ratio were incubated with monocytes in HBSS at 37°C in the presence of mAbs directed to monocyte surface Ags or IgG controls (at 5 µg/ml). Internalized bacteria were detected by IF. Results of the phagocytosis index (in the presence of mAbs) are expressed as a percentage of controls and represent the means ± SE of four experiments. *, p < 0.03; **, p < 0.001.

 


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FIGURE 4. Effect of mAb concentration on C. burnetii phagocytosis. Virulent or avirulent C. burnetii organisms were incubated with monocytes in the presence of different concentrations of mAb (in µg/ml) directed to CD18, CD11b, and LRI. Phagocytozed bacteria were revealed by IF. Results of phagocytosis are expressed as described in Fig. 3Go and presented as mean ± SE of three experiments.

 
The internalization of avirulent C. burnetii by monocytes requires additional receptors. As with virulent bacteria, mAbs directed against CD29, CD11a, and CD11c did not modify the uptake of avirulent variants (Fig. 3GoB). The concentrations of {alpha}vß3 integrin-blocking mAb 7G2 necessary to inhibit the uptake of avirulent C. burnetii were similar to those required to prevent the phagocytosis of virulent bacteria (Fig. 3GoB and Fig. 4GoC). The use of F(ab')2 of mAb 7G2 yielded the same results as those obtained with the complete mAb. In contrast to virulent organisms, CR3 (CD11b/CD18) was involved in the phagocytosis of avirulent bacteria by monocytes. First, a mAb directed against CD18 (used at 5 µg/ml) decreased the phagocytosis index by 61 ± 6% (Fig. 3GoB). Second, the OKM1 mAb directed against the lectin domain of CD11b inhibited the uptake of avirulent C. burnetii by 55 ± 7% (Fig. 3GoB). The BM104 mAb, directed against the I domain of CD11b, inhibited the phagocytosis of avirulent bacteria to the same extent (data not shown). It is noteworthy that mAbs against CD18 and CD11b exhibited a superimposable pattern of dose-dependent inhibition (Fig. 4Go, A and B). Clearly, our results demonstrate that the phagocytosis of avirulent C. burnetii depends on both {alpha}vß3 integrin and CR3.

KGAGDV and KGRGDV peptides and C. burnetii phagocytosis

To confirm the role of integrins in the uptake of C. burnetii, we used peptides containing RGD-related sequences. KGRGDV inhibits {alpha}vß3 integrin function independently of its activation state, whereas KGAGDV is selective for its activated state and the control peptide KGALEV is without effect (21). KGALEV did not affect the phagocytosis of C. burnetii whatever the peptide concentration used (Fig. 5Go). KGAGDV inhibited the uptake of virulent (Fig. 5GoA) and avirulent (Fig. 5GoB) C. burnetii in a dose-dependent manner. The inhibition was evident with 1 µM peptide (Fig. 5Go, A and B, insets) and reached maximum value with 20 µM (80% inhibition). KGRGDV displayed a distinct pattern of inhibition. Although as potent as KGAGDV at inhibiting the phagocytosis of avirulent bacteria (Fig. 5GoB), it was less potent at inhibiting the internalization of virulent C. burnetii (Fig. 5GoA, inset). Maximum inhibition required 10–20 times higher concentrations of KGRGDV than those of KGAGDV. Hence, the phagocytosis of virulent C. burnetii is particularly sensitive to KGAGDV peptide.



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FIGURE 5. Effect of RGD peptides on uptake of C. burnetii. Virulent (A) or avirulent (B) C. burnetii organisms were incubated with monocytes in the presence of 0–200 µM RGD-related peptides. Insets show the effect of 0–10 µM KGRGDG and KGAGDV on bacterial phagocytosis. Results of relative phagocytosis index are expressed as a mean ± SE of three experiments.

 
CR3 is functionally impaired by virulent C. burnetii

The difference between phagocytosis of virulent and avirulent organisms could be due to C. burnetii-mediated effect on CR3 function. First, adherent monocytes were treated with virulent or avirulent bacteria for 15 min (this time enabled C. burnetii to induce F-actin reorganization (23)). After scraping of monocytes, the expression of CR3 was assessed by flow cytometry. The levels of CD18 and CD11b expression remained similar in the presence or the absence of C. burnetii (Fig. 6Go). PBMC were also incubated with C. burnetii for 15 min, and the CR3 expression was studied in suspended monocytes. This expression was similar in control monocytes and monocytes treated by virulent or avirulent organisms (data not shown). The increase in the incubation time with C. burnetii up to 2 h did not change the expression of CR3 (data not shown). Second, we investigated the ability of C. burnetii to activate CR3 by measuring the expression of activation neo-epitopes, such as the 24 epitope, on ß2 integrins. While no detectable binding of mAb 24 to monocytes was observed in the absence of divalent cations, the addition of 200 µM Mn2+ dramatically increased its binding to monocytes (Fig. 7Go). Virulent C. burnetii organisms were unable to induce the expression of the 24 epitope (Fig. 7GoA), whereas avirulent bacteria stimulated its expression after 15 min (Fig. 7GoB). The 24 epitope was not expressed by monocytes even after 2 h of incubation with virulent bacteria (data not shown). It is noteworthy that the preincubation of monocytes for 15 min or 2 h with virulent organisms did not interfere with Mn2+-stimulated expression of 24 epitope (data not shown). Third, we assessed the effect of bacterium-monocyte interaction on CR3-dependent phagocytosis (Table IGo). In monocytes treated with virulent C. burnetii for 15 min, the phagocytosis of unopsonized zymosan (which binds lectin sites on CR3) and avirulent bacteria was down-modulated, whereas the uptake of serum-opsonized zymosan (which binds iC3b sites on CR3) and virulent bacteria was not affected. The effect of C. burnetii on CR3-mediated phagocytosis was sustained because CR3-dependent uptake was not corrected after 2 h of monocyte pretreatment with virulent organisms (data not shown). The pretreatment of monocytes with avirulent C. burnetii for 15 min (Table IGo) or 2 h (data not shown) did not modify their phagocytic ability. Indeed, virulent C. burnetii organisms specifically prevented the activation of CR3 and reduced the phagocytic activity of CR3 dependent on its lectin sites.



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FIGURE 6. Effect of C. burnetii on the expression of monocyte receptors. Monocytes were incubated in the absence of bacteria (A) or in the presence of virulent (B) or avirulent (C) C. burnetii for 15 min at 37°C. mAbs directed against CD18, CD11b, or IAP were then added at 1/100 dilution followed by FITC-tagged F(ab')2 anti-mouse Igs. Isotypic controls were included (gray area). The receptor expression was determined by flow cytometry. Representative histograms of three experiments are shown.

 


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FIGURE 7. Effect of C. burnetii on the expression of 24 epitope. Adherent monocytes were treated with virulent (A) or avirulent (B) C. burnetii for 15 min at 37°C. mAb 24 was then added at 1/100 dilution followed by FITC-tagged F(ab')2 anti-mouse Igs. As controls, monocytes were incubated with (dark area) or without (clear area) Mn2+ (200 µM). The expression of the epitope in response to C. burnetii (in black) was determined by flow cytometry. Representative histograms of three experiments are shown.

 

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Table I. Effect of C. burnetii on particle phagocytosis by monocytes1

 
IAP is involved in the uptake of avirulent C. burnetii

As CR3 activation requires a cosignal provided by {alpha}vß3 integrin and its transductional unit, IAP (17), we investigated the role of IAP in monocyte uptake of C. burnetii using two mAb: mAb B6H12 recognizes a site on the extracellular domain of IAP necessary for functional interaction with {alpha}vß3 integrin, whereas mAb 2D3 binds to a distinct IAP site (26). mAb B6H12 significantly depressed the phagocytosis index of virulent and avirulent C. burnetii (Fig. 8GoA). The inhibition was evident with 1 µg/ml of B6H12 (36 ± 7%) and reached a maximum value with 5 µg/ml (65 ± 10% inhibition). Similar data were obtained with F(ab')2 of the anti-IAP mAb B6H12 used at 5 µg/ml (60 ± 10% inhibition). mAb 2D3 was inactive whatever the concentrations of mAb used (Fig. 8GoA and data not shown). Taken together, these results suggest that the phagocytosis of C. burnetii is sensitive to mAb directed to a site of IAP involved in the interaction with {alpha}vß3 integrin.



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FIGURE 8. Role of IAP in C. burnetii phagocytosis. A, C. burnetii organisms were incubated with monocytes in the presence of 5 µg/ml mAbs directed to IAP (B6H12, 2D3) or IgG controls as described in Fig. 3Go. The results of phagocytosis index (in the presence of mAb) are expressed as a percentage of controls and represent the means ± SE of four experiments. B, BMDMs from IAP+/+ and IAP-/- mice were incubated with C. burnetii at a bacterium-to-cell ratio of 200:1 for 2 h at 37°C. Bacterial phagocytosis was detected by IF as described for human monocytes. Results of the phagocytosis index are the means ± SE of three experiments. *, p < 0.001.

 
The inhibitory effect of mAb B6H12 may be steric, result from a IAP-mediated inhibition of {alpha}vß3 integrin function, or be due to a requirement for IAP per se. To discriminate between these hypotheses, we used BMDMs from normal and IAP-deficient mice (19). In IAP+/+ BMDMs, avirulent variants of C. burnetii were more efficiently internalized than virulent bacteria (Fig. 8GoB), thus supporting the results we obtained using human monocytes. In IAP-/- BMDMs, the uptake of avirulent C. burnetii was reduced to the level of that of virulent bacteria. These results emphasize an essential role for IAP in the phagocytosis of avirulent bacteria. Thus, both IAP and CR3 are necessary for the high-level phagocytosis of avirulent C. burnetii, but both are dispensable for the low-level phagocytosis of virulent organisms.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this report, we show that virulent C. burnetii organisms survived inside human monocytes, whereas avirulent bacteria were eliminated. In addition, they were phagocytozed by host cells at markedly lower efficiency than avirulent variants. The inverse relationship between phagocytosis and survival of C. burnetii is not cell-type specific, because it was observed with circulating human monocytes, THP-1 cell line (data not shown), and murine BMDMs. It is not a unique property of C. burnetii. For instance, pathogenic strains of Mycobacterium avium are ingested by macrophages at a lower level than attenuated variants but they replicate more efficiently inside the cells (27). The difference of phagocytosis between virulent and avirulent C. burnetii was not due to lack or differential binding of serum opsonins. Indeed, C. burnetii phagocytosis was increased by the addition of nonimmune serum but phagocytosis level of virulent bacteria remained lower than that of avirulent variants (data not shown). In addition, the low phagocytosis of virulent organisms was not overcome by initial centrifugation of bacteria, suggesting that the probability for virulent or avirulent bacteria to encounter monocytes was similar. The relationship between bacterial uptake and bacterial survival inside monocytes/macrophages suggests the involvement of monocyte receptors specific for infection. This concept has been a source of debate. Zimmerli et al. showed that the intracellular survival and replication of M. tuberculosis are equivalent regardless of the receptors used for binding and phagocytosis (28). C receptors are involved in the phagocytosis of both virulent and attenuated strains of M. tuberculosis by human macrophages but only the mannose receptor plays an important role in the phagocytosis of virulent strains (29). Alveolar macrophages limit intracellular growth of M. tuberculosis more efficiently than monocytes: CR1 and CR3 are the major receptors mediating uptake of M. tuberculosis by monocytes, while CR4 is the major receptor for alveolar macrophages (30).

We show here a selective use of monocyte receptors according to the virulence of C. burnetii. The phagocytosis of virulent organisms was independent of ß1 and ß2 integrins but could be largely inhibited by mAb directed against {alpha}vß3 integrin and peptides KGAGDV and KGRGDV known to inhibit {alpha}vß3 integrin-dependent phagocytosis. Thus, independent of other integrins, the activated form of {alpha}vß3 integrin allowed phagocytosis of virulent C. burnetii, as demonstrated by the potent inhibitory effect of KGAGDV. The use of {alpha}vß3 integrin as a receptor for viral infection has been previously reported. The infection with pathogenic hantavirus is inhibited by Abs to ß3 integrin and by vitronectin, the ligand of {alpha}vß3 integrin, whereas the infection with the nonpathogenic virus was prevented by ß1 integrin-specific Abs and fibronectin (31). Virulent foot-and-mouth virus uses {alpha}vß3 integrin as a primary receptor for infection. The adaptation of the virus to cell culture results in its ability to use heparan sulfate instead of {alpha}vß3 integrin and a concomitant loss of virulence (32). In contrast to that of virulent C. burnetii, phagocytosis of avirulent C. burnetii by monocytes involves both {alpha}vß3 integrin and CR3. Again, anti-{alpha}vß3 integrin mAbs as well as KGAGDV and KGRGDV induced a significant inhibition of the phagocytosis of avirulent organisms, suggesting that it requires {alpha}vß3 integrin. The uptake of avirulent bacteria was also inhibited by anti-CD11b or anti-CD18 Abs, demonstrating an essential role for CR3. The mAbs directed against the I domain or the lectin sites of CD11b inhibited the uptake of avirulent C. burnetii to the same extent. These domains exhibit distinct specificities of recognition. I domain ligands include ICAM-1, fibrinogen, and neutrophil-inhibiting factor, while lectin domain binds ß-glucan and mannan polysaccharides (33, 34). Recently, it has been reported that Candida albicans, a fungal pathogen, uses I domain and lectin domain to efficiently interact with CR3 (35). It is likely that both regions of CD11b are involved in the internalization of avirulent C. burnetii by monocytes.

The virulence of C. burnetii is associated with the inhibition of cross-talk between {alpha}vß3 integrin and CR3. The efficient phagocytosis of avirulent organisms requires the activation of CR3, as demonstrated by using mAb 24 initially described to be specific for the leukocyte integrin {alpha} subunits. Manganese is known to directly alter the conformation of ß2 integrins and to strongly promote the expression of the 24 epitope (36). This mAb inhibits monocyte-dependent T cell proliferation and CR3-mediated neutrophil chemotaxis to FMLP, each event being dependent on the activation of ß2 integrins (20). Avirulent C. burnetii organisms caused an increase in mAb 24 expression, which seems to be associated with high affinity of CR3 (N. Hogg, unpublished observation). The activated state of CR3 is regulated by several cosignals including the engagement of other integrins (12, 13). Hence, the ligation of {alpha}vß3 integrin increases the avidity of CR3 (37). Similarly, the binding of B. pertussis filamentous hemagglutinin to {alpha}vß3 integrin leads to the activation of CR3 (18). As the phagocytosis of avirulent C. burnetii is associated with the engagement of both {alpha}vß3 integrin and CR3, the integrin cross-talk should result in the efficient internalization of avirulent bacteria via activated CR3. In contrast, the interaction of virulent C. burnetii with monocytes actively inhibits this integrin cross-talk. Virulent organisms did not induce the expression of 24 epitope on CR3, suggesting that they did not enable CR3 to become activated and competent for phagocytosis. In addition, bacterium-monocyte interaction affected CR3-mediated phagocytosis. The preincubation of monocytes with virulent C. burnetii inhibited the phagocytosis mediated by lectin sites of CR3 (unopsonized zymosan and avirulent C. burnetii) whereas the uptake involving iC3b recognition site (serum-opsonized zymosan) was preserved. It is likely that the impairment of lectin site activity of CD11b prevents both conformational changes of I domain and exposure of activation epitopes required for CR3 activation (38). Thus, virulent C. burnetii organisms appear to actively prevent CR3 activation by interfering with its lectin sites. As the impairment of CR3 activation occurred when the interaction of virulent C. burnetii with monocytes was very low, it is likely that some fluid phase bacterial products play a role in this impairment. We found that LPS from virulent organisms was able to interfere with CR3 (data not shown), suggesting that the interaction of LPS expressed or released by virulent C. burnetii is involved in the inhibition of CR3-dependent functions.

As the ability of {alpha}vß3 integrin to mediate CR3 activation depends on IAP, the inhibitory mechanism mediated by virulent bacteria may be directed to IAP. IAP is physically and functionally associated with ß3 integrins. The mAbs that recognize IAP inhibit some ß3 integrin-mediated functions such as binding of vitronectin-coated beads to cells, neutrophil activation by RGD-containing ligands, and calcium increase during adhesion of endothelial cells to fibronectin or vitronectin (17, 39). We demonstrated that IAP-blocking mAb inhibited the phagocytosis of virulent and avirulent C. burnetii. The inhibitory effect on virulent C. burnetii uptake was likely steric because only the phagocytosis of avirulent bacteria was down-modulated in macrophages from IAP-/- mice. As the uptake of virulent and avirulent C. burnetii was similar in IAP-/- macrophages, it is likely that CR3-mediated phagocytosis of avirulent bacteria is under the control of IAP. Conversely, virulent bacteria prevent CR3-dependent phagocytosis by interfering with the cosignal activity of IAP but not by down-modulating its expression (Fig. 6Go).

In conclusion, C. burnetii interacts with the monocyte {alpha}vß3 integrin. Normally, this would result in IAP-dependent activation of CR3, rapid phagocytosis, and death of the bacterium. However, virulent organisms via a novel mechanism interfere with this host defense signal, allowing them to be taken up via a nonmicrobicidal pathway allowing intracellular survival.


    Acknowledgments
 
We thank N. Hogg for providing us with the mAb 24 and M. V. Sanguedolce for her technical assistance.


    Footnotes
 
1 This work was supported by the Fondation pour la Recherche Médicale (Aide à l’implantation de jeunes équipes, to J.L.M.) and Grant RO1-GM57573-01 from the National Institutes of Health (to F.P.L. and E.J.B.). Back

2 Address correspondence and reprint requests to: Dr. Jean-Louis Mege, Université de la Méditerranée, Unité des Rickettsies, Centre National de la Recherche Scientifique, Unité Propre de Recherche de l’Ensignement Supérieur Associée 6020, Faculté de Médecine, 27 Boulevard Jean Moulin, 13385 Marseille Cedex 5, France. E-mail address: Back

3 Abbreviations used in this paper: LRI, leukocyte response integrin; BMDM, bone marrow-derived macrophage; IF, immunofluorescence; IAP, integrin-associated protein; LPC, lysophosphatidylcholine; HEL, human embryonic lung. Back

Received for publication April 2, 1999. Accepted for publication September 8, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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