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The Journal of Immunology, 1999, 163: 2081-2088.
Copyright © 1999 by The American Association of Immunologists

Murine Neutrophil Stimulation by Toxoplasma gondii Antigen Drives High Level Production of IFN-{gamma}-Independent IL-121

Susan K. Bliss, Yin Zhang and Eric Y. Denkers2

Department of Microbiology and Immunology, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Successful immunity to Toxoplasma gondii requires a strong cell-mediated immune response. Neutrophils possess the ability to rapidly migrate into tissues in response to microbial stimuli. Therefore, we sought to determine whether murine neutrophils could respond to T. gondii by producing immunoregulatory cytokines. We show that murine neutrophils produce high levels of IL-12 and low, but significant, levels of TNF-{alpha} when stimulated with T. gondii Ag. Both cytokines are produced in the absence of IFN-{gamma}. Production of IL-12 does not require TNFR p55, and release of TNF-{alpha} occurs independently of IL-12. We show that there is an influx of neutrophils into the peritoneal cavity that peaks at ~8 h in response to injection of live tachyzoites and that this is correlated with increased transcription of IL-12 p40. Our results establish that murine neutrophils possess the ability to produce immunoregulatory cytokines during T. gondii infection and suggest that this response may be important in early host defense and in triggering cell-mediated immunity to the parasite.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The obligate intracellular protozoan parasite, Toxoplasma gondii, is a common opportunistic pathogen infecting a broad range of host species. Infection is characterized by an acute phase during which tachyzoites rapidly proliferate and disseminate, followed by the development of bradyzoite-containing cysts, which remain relatively dormant during the chronic phase. However, toxoplasmic encephalitis, which is believed to result from cyst reactivation, is associated with immunodeficient conditions, such as is found in patients with AIDS (1). Moreover, toxoplasmosis is a serious congenital infection when primary maternal exposure occurs during pregnancy (2). Nevertheless, infection with T. gondii is normally innocuous in individuals with an intact immune system.

Successful immunity to T. gondii requires a strong cell-mediated immune response, and IFN-{gamma}, in particular, is required to survive infection (3). Indeed, high levels of IFN-{gamma} present during both acute and chronic phases are a distinct feature of infection. The major sources of this type 1 cytokine are believed to be NK cells and T lymphocytes (4, 5). An important issue in understanding the host-pathogen relationship with regard to T. gondii and other microbial pathogens is to determine how a type 1 cytokine phenotype is established. Events occurring during first encounter of the parasite with the innate immune system are likely to be crucial in shaping the subsequent response.

Early IL-12 production is critical in triggering cell-mediated immunity. Both dendritic cells and thioglycollate-elicited macrophages produce this cytokine in response to T. gondii (6, 7). In combination with TNF-{alpha} and IL-1ß, IL-12 induces NK cell production of IFN-{gamma} (8). The latter cytokine promotes macrophage IL-12 production, as well as release of reactive oxygen and nitrogen intermediates (9, 10, 11, 12). IFN-{gamma} also promotes MHC class I and II expression, presumably resulting in enhanced Ag presentation (13, 14). Furthermore, in vitro studies demonstrate that IFN-{gamma} induces tryptophan degradation in fibroblasts, resulting in cessation of parasite growth (15).

Neutrophils are often the first cell type recruited to an area of infection or inflammation. They are considered to be terminally differentiated effector cells capable of phagocytosis and intracellular killing via mechanisms dependent upon degradative enzymes, reactive oxygen and nitrogen intermediates, and have been shown specifically to kill T. gondii (16). Moreover, recent evidence points to neutrophils as a source of immunoregulatory cytokines, such as IL-12, IL-10, and TNF-{alpha}, during infection with the yeast pathogen, Candida albicans, and during in vitro stimulation with LPS (17, 18, 19, 20, 21, 22, 23, 24, 25). Our recent work demonstrates a crucial role for granulocytes in a model of cytokine toxicity induced by T. gondii extracts (26). Here, mice sensitized by D-galactosamine injection undergo lethal hepatic necrosis mediated by IL-12, TNF-{alpha}, and IFN-{gamma}, and this cytokine response is prevented by mAb-mediated depletion of granulocytes. These findings implicate granulocytes as important cells in the cascade of reactions leading to type 1 cytokine synthesis. Nevertheless, they do not establish whether the parasite directly stimulates murine granulocyte cytokine release or whether the cells are indirectly involved in the response.

In this paper, we directly demonstrate that murine granulocytes, and particularly neutrophils, produce high levels of IL-12 and low, but significant, levels of TNF-{alpha} when stimulated with T. gondii Ag. Both cytokines are produced in the absence of IFN-{gamma}. Production of IL-12 does not require TNFR p55, and release of TNF-{alpha} occurs independently of IL-12. We hypothesize that neutrophil production of IL-12 and TNF-{alpha} plays an important role in innate immunity against T. gondii and may be important in influencing the adaptive immune response.


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

C57BL/6, C57BL/6-IfngtmTs (GKO),3 C57BL/6-Il12atm1Jm (IL-12-/-), and C57BL/6-Tnfrsf1atm1Mak (TNFR p55-/-) female mice (6–12 wk of age) were obtained from The Jackson Laboratory (Bar Harbor, ME). C3H-HeN female mice (6–12 wk of age) were obtained from Taconic Farms (Germantown, NY). The animals were housed under specific pathogen-free conditions at the College of Veterinary Medicine animal facility at Cornell University (Ithaca, NY).

Parasites and Ag

Tachyzoites from RH, ME49, and C strains were maintained on human foreskin fibroblast monolayers in DMEM (Life Technologies, Gaithersburg, MD), 1% FCS (HyClone, Logan, UT), 100 U/ml of penicillin, and 0.1 mg/ml of streptomycin (Life Technologies). Parasite cultures were free of contamination by Mycoplasma spp. as determined by RT-PCR, ELISA (kits from Stratagene, La Jolla, CA and Boehringer Mannheim, Indianapolis, IN, respectively), microbiological assay, and fluorescent DNA staining (performed by the Mycoplasma Testing Laboratory, Coriell Institute for Medical Research, Camden, NJ). Freeze-thaw tachyzoites (FTZ) were prepared by harvesting lysed fibroblast cultures and washing in PBS. The tachyzoites were counted and stored frozen in aliquots at -70°C until use. FTZ were thawed immediately before experiments.

To prepare soluble tachyzoite Ag (STAg), RH strain tachyzoites were sonicated in the presence of a protease inhibitor mixture consisting of 0.2 mM PMSF (Sigma, St. Louis, MO), 0.2 µM aprotinin (Boehringer Mannheim), 1 µM leupeptin (Boehringer Mannheim), and 1 mM EDTA (Sigma). The resulting sonicate was dialyzed into PBS, centrifuged at 10,000 x g for 1 h, and the supernatant was collected and filtered through a 0.2-µm pore-sized membrane (Corning Costar, Cambridge, MA). The protein concentration was determined by a Bradford assay (27), and the filtrate was stored at -70°C until use. Parasite extracts were found to be free of endotoxin contamination, as measured by the Limulus amebocyte assay. Soluble extracts of uninfected human foreskin fibroblasts were prepared in an identical manner to the preparation of STAg. Additionally, a Schistosoma mansoni soluble egg Ag (SEA) preparation, kindly provided by Dr. E. J. Pearce (Cornell University, Ithaca, NY), was also used in control experiments (28).

ME49 bradyzoites were maintained in vivo by i.p. inoculation of Swiss Webster mice (Taconic Farms) with 20 cysts obtained from the brains of mice that were infected 6–8 wk earlier.

Oral infection of neutrophil-depleted mice

Prior to oral infection of mice, brain suspensions were adjusted to administer 100 cysts per mouse. The cysts were given by gavage to ether-anesthetized mice. RB6C6.8C5 (29) or a control rat Ig (Accurate Chemical and Scientific, Westbury, NY) was injected i.p. on days -2, 0, +2, and +4 at 200 µg/mouse to deplete mice of granulocytes. The efficiency of depletion was determined by Diff-Quik stained blood smears.

RB6C6.8C5 (originally provided by Dr. R. L. Coffman, DNAX Research Institute, Palo Alto, CA) was purified from hybridoma supernatants using affinity chromatography (protein G-Sepharose; Pharmacia Biotech, Uppsala, Sweden). Eluates were dialyzed into PBS, filtered through a 0.2-µm pore-sized membrane, and protein concentration was determined by a Bradford assay.

Cell purification

For in vitro stimulations, either peripheral blood leukocytes or peritoneal exudate cells (PEC) were used. Peripheral blood was collected by cardiac puncture and placed in EDTA-containing tubes. The blood was then layered over Histopaque-1077 (Sigma) and centrifuged at 700 x g for 30 min at room temperature to separate leukocytes from the total cell population. To obtain PEC, mice were injected with 1 ml of 10% thioglycollate (Difco Laboratories, Detroit, MI) i.p., and a peritoneal lavage was performed with 10 ml of ice-cold PBS 18 h later. To determine the composition of isolated cells, differential cell counts were performed on Diff-Quik (American Scientific Products, McGraw Park, IL) stained cytocentrifuge slides. A minimum of 300 cells was counted per slide. To obtain purified neutrophil populations, PEC were subjected to negative selection with immunomagnetic beads (Dynal, Oslo, Norway) coupled to mAb M5.114 or 10-3.6.2 (American Type Culture Collection, Manassas, VA), depending on the mouse strain, to remove macrophages. Cells were incubated with the conjugated beads for 15 min at 4°C with gentle mixing. Beads with attached macrophages were removed with the use of a magnet (MPC-2; Dynal). This cycle was repeated three times. The remaining, unattached cells were washed once in PBS, counted, and differential cell counts were performed. The populations obtained in this manner were routinely comprised of 93–96% neutrophils. Eosinophils often were not detectable and in no case did they exceed 2.8% of the population. Cell viability was determined to be 95% or greater by trypan blue exclusion (Sigma). Since we found that cell viability began to decrease slightly by 12 h, most of our experiments were conducted with only a 6-h incubation period. Macrophages were obtained by negative selection, as described above, using immunomagnetic beads coupled to mAb RB6C6.8C5. Macrophage purity was 96%.

Depletion of peripheral blood neutrophils was accomplished by two rounds of complement lysis, as previously described (30), using RB6C6.8C5-containing hybridoma supernatant or medium alone. Specificity of depletion was determined by FACS analysis.

Cell culture conditions

Cells were diluted in complete DMEM consisting of 10% FCS, 1 mM sodium pyruvate (Life Technologies), 0.1 mM nonessential amino acids (Life Technologies), 30 mM HEPES (Life Technologies), 100 U/ml of penicillin, 0.1 mg/ml of streptomycin, and 5 x 10-5 M 2-ME and cultured at a concentration of 4 x 106/ml in 96-well plates (Corning Costar) in triplicate. Cells were stimulated with medium alone, fibroblast lysate, LPS (S. minnesota Re 595; Sigma), SEA, FTZ, or STAg at various specified doses for the indicated times at 37°C with 5% CO2. Supernatants were harvested between 2 and 24 h after culture initiation and stored at -20°C until assayed.

Cytokine measurement

To measure IL-12 p40, cytokine-specific mAb C15.6 and C17.8 (kindly provided by Dr. G. Trinchieri, Wistar Institute, Philadelphia, PA; Ref. 31) were employed. To perform the ELISA, 96-well plates (Corning Costar) were coated overnight at 4°C with mAb C15.6 in PBS (10 µg/ml), followed by three washes in PBS containing 0.05% Tween (PBST). Plates were blocked for 2 h at 37°C in PBS with 1% BSA (Sigma). After washing in PBST, sample supernatants and a rIL-12 standard (Genzyme, Cambridge, MA) were added, and plates were incubated overnight at 4°C. After washing in PBST, biotinylated mAb C17.8 was added, and plates were incubated at 37°C for 90 min. HRP-conjugated streptavidin (Genzyme) was then added, and plates were incubated for an additional 60 min at 37°C. Finally, 100 µl of 2,2-azinodi-(3-ethylbenzthiazoline-6-sulfonate) substrate (ABTS; Kirkegaard & Perry Laboratories, Gaithersburg, MD) were added to each well, and sample absorbances were measured on a Microplate Bio Kinetics Reader (Bio-Tek Instruments, Winooski, VT) at 405 nm. TNF-{alpha} levels were determined using a murine-specific ELISA kit, according to the manufacturer’s instructions (Genzyme). IL-10 levels were determined as described previously (32). The detection sensitivities in the ELISAs were 10 pg/ml (IL-12), 15 pg/ml (TNF-{alpha}), and 30 pg/ml (IL-10).

RNA isolation and RT-PCR

Following supernatant collection, cells were resuspended in RNA STAT 60 at a ratio of 2.5 x 106 cells/500 µl RNA STAT 60 (Tel-Test, Friendswood, TX) and placed in sterile 1.5-ml Eppendorf tubes. To obtain sufficient RNA for analysis, triplicate samples from 96-well plates were pooled. Alternatively, freshly isolated PEC were resuspended in RNA STAT 60 at the same ratio. Then, 100 µl of chloroform/500 µl RNA STAT 60 (Fisher Scientific, Pittsburgh, PA) were added, the solution vortexed and then centrifuged at 13,000 x g for 15 min at 4°C. The aqueous phase was transferred to a fresh tube containing an equal volume of isopropanol (Sigma) and incubated at -20°C overnight. To precipitate RNA, a one-tenth volume of 3 M sodium acetate was added to the RNA/isopropanol mixture. The contents were vortexed and centrifuged at 4°C for 15 min at 13,000 x g. The RNA pellet was washed once in 75% ethanol, resuspended in water, and the concentration was determined using a spectrophotometer equipped with a UV lamp (Beckman DU-50; Beckman Instruments, Palo Alto, CA). A total of 6 µg of RNA was reverse transcribed using oligo-dT primers (Promega, Madison, WI). After heating samples to 72°C on an automated thermocycler (MJ Research, Watertown, MA) and chilling on ice to permit hybridization, a master mix was added that contained 5x RT buffer (Life Technologies), 0.1 M DTT (Life Technologies), 2.5 mM dNTP (Sigma), 40 U/ml RNasin (Promega), and 200 U/ml Superscript II (Life Technologies). The samples were incubated at 45°C for 60 min, followed by a 10-min incubation at 94°C. The resulting cDNA was diluted 1:4 with water and stored at -20°C until use.

PCR was performed using a master mix containing 2.5 mM dNTP, 10x PCR buffer with 1.5 mM MgCl2 (Promega), 0.2 µM primers, and 5 U/µl Taq polymerase (Life Technologies). The nucleotide sequences for sense and anti-sense primers, respectively, were: HPRT, GTT-GGA-TAC-AGG-CCA-GAC-TTT-GTT-G and GAT-TCA-ACT-TGC-GCT-CAT-CTT-AGG-C; IL-12 p40, CGT-GCT-CAT-GGC-TGG-TGC-AAA-G and GAA-CAC-ATG-CCC-ACT-TGC-TG (7). A total of 10 µl of cDNA was added to 40 µl of master mix, and samples were incubated for 3 min at 95°C, then subjected to PCR amplification with an experimentally determined optimal thermocycler program for each cytokine cDNA (94°C for 1 min, 54°C for 1 min, 72°C for 2 min, with a final extension of 7 min at 72°C). A total of 33 cycles was used for HPRT, while 35 cycles were used for IL-12 p40. PCR products were resolved on 2% agarose gels, and bands were visualized by staining with ethidium bromide (Sigma). The sizes of the bands were compared with a m.w. marker to ensure that each was consistent with its predicted size.

Statistical analyses

Significant differences were determined by the Wilcoxon rank sum test or ANOVA for Figs. 1Go and 3, respectively. For all other figures noted, the Student’s t test was used. Probability values < 0.05 were considered significant.



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FIGURE 1. Granulocyte-depleted C57BL/6 mice display increased mortality during acute T. gondii infection. Mice were injected i.p. with 200 µg of granulocyte-specific anti-GR-1 mAb, RB6C6.8C5, or control rat Ig on days -2, 0, +2, and +4 and infected with 100 ME49 cysts per os on day 0 (five mice/group). Survival was monitored daily. Results are representative of three separate experiments.

 

    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Granulocyte depletion confers susceptibility to T. gondii infection

We previously demonstrated a role for granulocytes in a model of lethal cytokine toxicity triggered by T. gondii (26). However, as shown in Fig. 1Go and as demonstrated elsewhere (9, 33), granulocytes are required to survive acute infection with the parasite. Thus, animals administered depleting anti-granulocyte mAb are unable to survive beyond 11 days following oral infection with cysts of the low virulence parasite strain, ME49. While it is possible that eosinophils, which are recognized and depleted by anti-GR-1 mAb, contribute to resistance, we believe that neutrophils are more likely to be the pivotal cell type in this response. Thus, in our own studies, infected IL-5-/- mice, which display an impaired eosinophil response, survive acute stage disease (48). This contrasts with the case of the anti-GR-1 mAb-treated mice, which fail to survive beyond 11 days of infection (Fig. 1Go). Furthermore, Scharton-Kersten et al. (9) reported that administration of anti-IL-5 mAb failed to affect mortality in ME49-infected mice.

Elicited PEC produce inflammatory cytokines in response to T. gondii Ag

Given the observation that neutropenia is correlated with increased susceptibility to T. gondii (Fig. 1Go and Refs. 9, 33) and our previous findings that granulocytes are capable of mediating a lethal proinflammatory cytokine response (26), we sought to determine whether neutrophils, themselves, serve as a cytokine source during parasite stimulation. Table IGo demonstrates that peripheral leukocytes respond to T. gondii Ag by producing both IL-12 and TNF-{alpha}. When granulocytes were depleted by mAb and complement administration, there was an ~60% reduction in IL-12 and 80% decrease in TNF-{alpha} production, suggesting that peripheral blood granulocytes do indeed elaborate cytokines in response to T. gondii. Further support for this comes from our recent studies indicating that human neutrophils produce IL-12 p70 and TNF-{alpha} in response to T. gondii (47).


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Table I. Complement-mediated peripheral blood neutrophil depletion decreases inflammatory cytokine responses during in vitro parasite Ag stimulation

 
To obtain a large population of neutrophil-enriched cells, PEC were isolated 18 h following injection of thioglycollate. This protocol routinely results in a population of cells of which 75–85% are neutrophils (20, 21). Fig. 2Go shows that stimulation with increasing concentrations of STAg elicited a strong IL-12 response with saturation occurring at ~20 µg/ml. In contrast, LPS failed to induce a response of similar magnitude. Interestingly, this pattern of cytokine production was reversed when we measured TNF-{alpha} in the same supernatants. Thus, STAg was a very weak TNF-{alpha} stimulus, whereas LPS stimulation induced high levels of this cytokine. This dichotomy of response suggests that STAg and LPS provide distinct signals to the responder population, a hypothesis supported by the observation that neutrophil-enriched populations from LPS nonresponder mouse strains produce IL-12 and TNF-{alpha} after T. gondii stimulation at levels equivalent to those observed in LPS responder strains (data not shown). The finding that cultures stimulated with LPS contain high TNF-{alpha} but low IL-12 levels may, in part, be explained by an inhibitory effect of TNF-{alpha} on IL-12 production (34).



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FIGURE 2. Production of IL-12 and TNF-{alpha} protein by 18h thioglycollate-elicited PEC stimulated with STAg or LPS. A total of 10% thioglycollate-elicited exudate cells were isolated and stimulated with medium alone, STAg, or LPS at the indicated concentrations (A and B). C and D, Elicited PEC were stimulated with medium, fibroblast lysate (Fib. Lysate), STAg, and SEA. Cell-free supernatants were harvested for cytokine measurement 6 h after culture initiation. The cytokine levels were determined by 2 site ELISA, as described in Materials and Methods. Results are expressed as means ± SD and are representative of three separate experiments. ND, none detected.

 
Since it was possible that our STAg preparation contained some fibroblast cell components, despite extensive washing of the tachyzoites before sonication, we stimulated PEC with a fibroblast lysate preparation to confirm that we were not measuring the effects of contaminating host cell components. As shown in Fig. 2Go, C and D, fibroblast lysate did not elicit detectable cytokine production at 2 or 20 µg/ml, whereas in parallel cultures, the same concentration of STAg elicited both IL-12 and TNF-{alpha}. We also examined the response to Schistosoma mansoni SEA, an unrelated parasite Ag preparation. SEA failed to elicit cytokine production (Fig. 2Go, C and D).

IL-12 production in response to high and low virulence T. gondii strains

It has long been known that different strains of T. gondii display different levels of virulence in the murine host (35, 36, 37, 38). Since IL-12 is critical in the development of a type 1 phenotype, we asked if high and low virulence parasite strains differ in their IL-12-inducing capability. FTZ from RH (high virulence), ME49 (low virulence), and C (low virulence) strains were used to stimulate PEC in vitro. As shown in Fig. 3Go, the three strains elicited equivalent levels of IL-12 in culture supernatants collected at 6 h. Moreover, we were unable to detect a difference in samples cultured up to 24 h (data not shown). Therefore, differing abilities to induce neutrophil IL-12 are unlikely to account for the virulence pattern of the parasite.



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FIGURE 3. Comparison of IL-12 levels produced by PEC in response to stimulation with different T. gondii strains. A total of 10% thioglycollate-elicited exudate cells were stimulated with the indicated doses of FTZ from strains RH (high virulence), ME49 (low virulence), and C (low virulence). Cell-free supernatants were harvested for cytokine measurement 6 h after culture initiation. Results are expressed as means ± SD and are representative of three separate experiments. Levels of IL-12 were not statistically significantly different between groups in this and repeated experiments.

 
Neutrophil isolation and cytokine production

Since macrophages were present in our thioglycollate-elicited cell populations, it was possible that these cells, and not neutrophils, were responsible for the cytokines produced in response to STAg. Therefore, we sought to develop a method to select and eliminate macrophages from our preparations. Macrophages were removed by successive rounds of binding to immunomagnetic beads coupled to anti-MHC class II mAb. Fig. 4Go demonstrates a typical stained cytospin preparation from an elicited PEC population before and after macrophage removal. As can be seen in Fig. 4GoB, the overwhelming majority of macrophages has been eliminated after the immunomagnetic bead depletion, leaving a population of highly purified neutrophils. Notably, eosinophils consistently comprised <2.8% of the cell population.



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FIGURE 4. Immunomagnetic bead purification of neutrophils from 10% thioglycollate-elicited PEC. Mice were i.p. injected with 10% thioglycollate, and cells were harvested 18 h later by peritoneal lavage. A, A representative Diff-Quik stained cytospin of this population. B, After macrophage removal with immunomagnetic beads (described in Materials and Methods), the remaining population was comprised of 96% neutrophils, 2% lymphocytes, and 2% macrophages.

 
Fig. 5Go shows the results of dose response and kinetics experiments using purified neutrophils. As demonstrated in Fig. 5GoA, considerable IL-12 production was detected, which again saturated at ~20 µg/ml of STAg. In contrast to IL-12, TNF-{alpha} levels were low over the dose range employed (Fig. 5GoB). Additionally, we often detect a very small amount of TNF-{alpha} in the supernatants of peritoneal neutrophils cultured in medium alone (Fig. 5GoB). This may be an artifact of culture or a response to the thioglycollate. We next sought to define the kinetics of cytokine production in vitro. As shown in Fig. 5GoC, purified neutrophil populations produced IL-12, which was first detectable after 6 h of STAg stimulation, and levels peaked at ~12 h. We were unable to detect IL-12 in supernatants from neutrophils cultured with medium alone. TNF-{alpha} protein was detected by 2 h, and levels increased slightly throughout the time course. Low levels of TNF-{alpha} were found in the medium-stimulated neutrophil cultures, but the levels were always significantly less than that obtained in the presence of STAg (Fig. 5GoD). The finding that TNF-{alpha} release occurred within 2 h of STAg stimulation suggests that at least some of this cytokine may be stored in a preformed state in neutrophils, as it is in other cell types, such as the mast cell (39, 40). We are currently exploring this hypothesis.



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FIGURE 5. Dose response and kinetics of STAg-triggered neutrophil IL-12 and TNF-{alpha} production. Neutrophils were isolated by immunomagnetic bead purification. A and B, Neutrophils were cultured with the indicated STAg doses, and supernatants were harvested 6 h after culture initiation for cytokine level determination. C and D, Neutrophils were incubated with 200 µg/ml of STAg or medium, and at the indicated times after culture initiation, supernatants were harvested for cytokine measurement. In this experiment, neutrophils comprised 93.5% (A and B) and 96% (C and D) of the population. Results are expressed as means ± SD and are representative of at least three separate experiments.

 
We next looked at transcriptional up-regulation of cytokines resulting from stimulation with T. gondii Ag. Neutrophils were purified from an elicited PEC population and stimulated with STAg or medium in vitro for various times. RNA was isolated and subjected to RT-PCR analysis. As can be seen in Fig. 6Go, STAg induced increased expression of neutrophil IL-12 p40 transcripts as early as 2 h post stimulation. This response diminished over time and was near background by 24 h. This profile is consistent with the protein data in Fig. 5GoC; stimulation with STAg up-regulated transcription of p40 by 2 h with protein being detected by 6 h. We also examined transcriptional expression of TNF-{alpha}, but were unable to demonstrate a consistent pattern of up-regulation (data not shown). While this may be taken as evidence that TNF-{alpha} is stored preformed in neutrophils, such an interpretation must be treated with caution since regulation of this cytokine occurs largely at the posttranscriptional level (41, 42).



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FIGURE 6. Neutrophils rapidly up-regulate IL-12 p40 gene transcription following incubation with STAg. Thioglycollate-elicited neutrophils were isolated with immunomagnetic beads and cultured with STAg at 200 µg/ml or medium. At the indicated times, cells were harvested, RNA isolated, and IL-12 p40 and HPRT transcript levels examined by RT-PCR assisted gene amplification, as described in Materials and Methods. Results are similar to those in two additional experiments.

 
Since some of our purified populations still contained a small number of macrophages, we decided to directly determine their contribution to the cytokine responses we measured. Accordingly, an elicited PEC population was obtained and one-half was used for neutrophil purification as before, while the other was enriched for macrophages. The latter was accomplished using immunomagnetic beads coupled to anti-GR-1. The number of contaminating macrophages was determined in the neutrophil-enriched population, and a corresponding number of macrophages was plated in separate wells. Both cell populations were stimulated with either 20 or 200 µg/ml of STAg for 6 h, and cytokine levels were subsequently determined. Fig. 7Go clearly demonstrates that the majority of IL-12 and TNF-{alpha} was elaborated by neutrophils. Thus, <33% of the total protein measured in either case was contributed by macrophages.



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FIGURE 7. Comparison of cytokine production by neutrophils (NEUT) and macrophages (MAC). 10% thioglycollate-elicited PEC were obtained and the sample divided in half. One-half was enriched for neutrophils (90% neutrophils, 7% macrophages, 1% lymphocytes, 2% eosinophils) while the other was enriched for macrophages (2% neutrophils, 96% macrophages, 2% eosinophils). Macrophages at a concentration equivalent to that in the purified neutrophil cultures were plated. Cells were stimulated with medium alone, 20, or 200 µg/ml of STAg, and supernatants were collected 6 h after culture initiation and assayed for IL-12, TNF-{alpha}, and IL-10 by cytokine-specific ELISA. Results are expressed as means ± SD and are representative of three separate experiments. ND, none detected.

 
We also sought to determine whether neutrophils could produce IL-10 in response to parasite Ag. The neutrophil cultures produced low levels of IL-10 in response to STAg (Fig. 7Go). Interestingly, the corresponding macrophage population produced much higher levels of IL-10, and indeed, we cannot rule out the possibility that the low amount of IL-10 in the neutrophil population derived solely from contaminating macrophages.

Inflammatory cytokine production by STAg-stimulated neutrophils from TNFR p55-/-, IL-12-/-, and GKO mice

To explore the role of endogenous cytokines in the IL-12 and TNF-{alpha} neutrophil responses, cytokine and cytokine receptor knockout mice were i.p. injected with 10% thioglycollate, and neutrophils were purified out of the resultant PEC population. Neutrophils were stimulated with medium or 200 µg/ml of STAg for 6 h, and IL-12 and TNF-{alpha} were measured in the supernatants. As shown in Fig. 8Go, A and B, IFN-{gamma} and TNFR p55 are not required for IL-12 production. However, the role of endogenous IFN-{gamma} in neutrophil TNF-{alpha} production appears more complex. In GKO mice, neutrophils produced TNF-{alpha}, regardless of stimulation (Fig. 8GoC). The level of TNF-{alpha} from medium-stimulated cultures from the knockout animals was consistently higher than wild type over several experiments. While we do not yet understand the basis for this result, similar findings have been reported during Histoplasma capsulatum infection in GKO mice (43). Endogenous IL-12 was found not to influence neutrophil TNF-{alpha} production (Fig. 8GoD). While we often detected more TNF-{alpha} in the knockout medium-stimulated cultures as compared with wild type, the differences were never statistically significant.



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FIGURE 8. IL-12 and TNF-{alpha} production by STAg-stimulated neutrophils from C57BL/6, IL-12-/-, TNFR p55-/-, and GKO mice. Thioglycollate-elicited, purified neutrophils were stimulated with 200 µg/ml of STAg or medium, and cell-free supernatants were harvested 6 h after culture initiation. B, The asterisk indicates a statistically significant difference between IL-12 levels of STAg-stimulated wild-type and TNFR p55-/- cells. C, The asterisk indicates a statistically significant difference between TNF-{alpha} levels of medium-stimulated wild-type and GKO cells. Results are expressed as means ± SD and are representative of at least three separate experiments.

 
Peritoneal neutrophil response during RH tachyzoite infection

We next asked if neutrophils would respond to infection with T. gondii in vivo. Mice were i.p. injected with PBS or live RH strain tachyzoites suspended in PBS. In response to the parasite, there was an influx of neutrophils into the peritoneal cavity that peaked by 8 h (Fig. 9GoA). As Fig. 9GoB shows, the neutrophil influx was accompanied by increased levels of IL-12 p40 gene transcripts. Parasite-induced IL-12 was apparent at 4 h postinfection, a time preceding a significant neutrophil influx. This early response is likely to originate from resident cells present in the peritoneal cavity. In this regard, it should be noted that neutrophils comprised 38% of the total resident cell population. Because the neutrophil influx correlated with increased levels of IL-12 p40 transcripts, these results suggest that T. gondii triggers neutrophil IL-12 synthesis in an in vivo situation.



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FIGURE 9. Influx of neutrophils into the peritoneal cavity and production of IL-12 p40 in response to tachyzoite injection. Mice were i.p. injected with PBS or 1 x 106 RH strain tachyzoites. At the indicated times, peritoneal lavages were performed, and the resultant cells were collected for cytospin preparation, cell count, and RNA isolation. A, The influx of cells in response to T. gondii infection. A total of 300 cells per slide was counted, and the mean total cell count/mouse is expressed. Numbers above each bar indicate the percentage of neutrophils. B, The results of RT-PCR amplification of IL-12 p40 and HPRT gene transcripts present in the influxing cells. Results are similar to those in two additional experiments.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The results of this study establish that neutrophils respond to in vitro T. gondii stimulation by producing high amounts of IL-12 and low, but significant, amounts of TNF-{alpha}. Importantly, these responses occur using neutrophils isolated from GKO mice, which are defective in IFN-{gamma} production. Although most of the studies presented here employed thioglycollate-elicited neutrophils, we do not believe that preactivation with this inflammatory stimulus is a prerequisite for parasite-triggered cytokine production. First, neutrophils from the peripheral blood of humans (47) and mice (Table IGo) also produce IL-12 and TNF-{alpha} when stimulated with parasite Ag. Second, i.p. injection of tachyzoites results in a rapid neutrophil influx, and this correlates with the appearance of IL-12 p40 transcripts in the peritoneal cavity. Because neutrophil depletion renders mice susceptible to normally nonlethal infection, a hypothesis we are currently exploring is that these cells are an important early cytokine source, triggering cell-mediated immunity and driving macrophage activation.

The concept of neutrophils fulfilling a crucial role during microbial infection is underscored by studies in mice infected with Candida albicans. In this system, neutrophil production of IL-12 or IL-10 determines self-healing or non-healing disease progression, respectively. Whether IL-12 or IL-10 is produced is determined by the particular Candida strain used. Mice that are neutrophil-depleted at the time of infection with a low pathogenicity strain of C. albicans die rapidly with an ongoing type 2 response, unless rescued by rIL-12. Thus, neutrophils are pivotal in shaping the immune response to this pathogen. Our results suggest that T. gondii stimulates a robust neutrophil IL-12 response with minimal amounts of IL-10. This finding is consistent with the well-known ability of the parasite to stimulate a strong type 1 cytokine response.

Nevertheless, we do not yet know if neutrophils serve a pivotal immunoregulatory role in toxoplasmosis as they appear to do during murine candidiasis. It is well known that an effective cell-mediated immune response requires early IL-12 production. While dendritic cells and macrophages produce IL-12, our data establish that neutrophils also contribute to this response. Our in vivo results demonstrate that murine neutrophils respond to live tachyzoites by rapidly migrating to the area of infection, and the influx of these cells generally correlates with appearance of IL-12 p40 transcripts.

The first appearance of IL-12 and TNF-{alpha} in culture supernatants of parasite Ag-stimulated neutrophils occurred at 6 and 2 h, respectively, and levels saturated at ~20 µg/ml of STAg for both cytokines. The protein kinetics profile and PCR data suggest that IL-12 is made de novo. The rapid appearance of TNF-{alpha} protein could be due to secretion of preformed, stored cytokine, and, indeed, mast cells store ready-made TNF-{alpha} in their granules that is rapidly released upon appropriate stimulation (39, 40). It is also possible that neutrophils store inactive TNF-{alpha} transcripts that become modified and are translated rapidly in response to STAg stimulation (44). We are currently examining this issue further.

Our data demonstrate that the neutrophil response to STAg is distinct from that induced by LPS. Parasite Ag was a much stronger stimulus for IL-12 production but only elicited low levels of TNF-{alpha}. In contrast, LPS induced much less IL-12 while eliciting very high levels of TNF-{alpha}. Therefore, our results suggest that each stimulus induces a distinct set of biochemical pathways in the neutrophil. In support of this hypothesis, neutrophils from C3H-HeJ mice, an LPS nonresponder strain, maintain the ability to produce high levels of IL-12 and low levels of TNF-{alpha} when stimulated with STAg (data not shown). An alternative, and not mutually exclusive, model is that LPS rapidly induces much higher TNF-{alpha} levels, and this cytokine then inhibits simultaneous IL-12 production. Such an immunoregulatory mechanism has recently been demonstrated using elicited peritoneal macrophages (34). Indeed, we have consistently found that neutrophils from TNFR p55-/- mice produce higher levels of IL-12 in response to STAg stimulation when compared with wild type. While the data are not conclusive, they support the concept that TNF-{alpha} may exert anti-inflammatory control under certain conditions of neutrophil stimulation.

From our data, it is clear that neither IL-12 nor IFN-{gamma} is required for TNF-{alpha} production. Levels of the latter cytokine in response to STAg, while low, were not significantly different between knockout and wild-type neutrophils. Curiously, we found that medium-stimulated neutrophils from GKO mice produced higher levels of TNF-{alpha} than did wild-type cells. Zhou et al. (43) reported that TNF-{alpha} in GKO mice secondarily infected with H. capsulatum were highly increased over wild-type mice. These investigators found that TNF-{alpha}, in the absence of IFN-{gamma}, served a compensatory and protective role because neutralizing anti-TNF-{alpha} mAb treatment rendered the mice susceptible to reinfection (43). Our studies provide some evidence for increased TNF-{alpha} levels in GKO mice. Nevertheless, in the absence of IFN-{gamma}, unlike the case of murine H. capsulatum infection, TNF-{alpha} cannot compensate since GKO animals uniformly succumb to acute toxoplasmosis (45).

We do not yet know whether neutrophils provide the initial source of IL-12 that triggers cell-mediated immunity during infection. In addition to neutrophils, both activated macrophages and dendritic cells produce IL-12 in response to T. gondii. Our data show that neutrophils can serve as an IFN-{gamma}-independent source of IL-12. Moreover, the finding that IL-12, itself, acts directly on dendritic cells to prime for IL-12 production raises the possibility that neutrophils are important in early dendritic cell activation by T. gondii (46). The high number of circulating neutrophils, as well as their ability to rapidly migrate in large numbers to lesions within the host, lends support to a model wherein neutrophil IL-12 production plays an important role in the pathogenesis of toxoplasmosis and other microbial infections.


    Acknowledgments
 
We thank Dr. E. J. Pearce for critical review of the manuscript.


    Footnotes
 
1 This work was supported by National Institutes of Health Grant AI-40540 and the U.S. Department of Agriculture Hatch Act and Animal Health and Disease Research Program (Cornell University College of Veterinary Medicine). Back

2 Address correspondence and reprint requests to Dr. Eric Denkers, Department of Microbiology and Immunology, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853-6401. E-mail address: Back

3 Abbreviations used in this paper: GKO, IFN-{gamma}-/- mice; FTZ, freeze-thaw tachyzoites; PEC, peritoneal exudate cells; SEA, soluble egg Ag; STAg, soluble tachyzoite Ag. Back

Received for publication February 24, 1999. Accepted for publication June 7, 1999.


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 Results
 Discussion
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[Abstract] [Full Text] [PDF]


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L. Del Rio, S. Bennouna, J. Salinas, and E. Y. Denkers
CXCR2 Deficiency Confers Impaired Neutrophil Recruitment and Increased Susceptibility During Toxoplasma gondii Infection
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[Abstract] [Full Text] [PDF]


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B. A. Butcher, L. Kim, P. F. Johnson, and E. Y. Denkers
Toxoplasma gondii Tachyzoites Inhibit Proinflammatory Cytokine Induction in Infected Macrophages by Preventing Nuclear Translocation of the Transcription Factor NF-{kappa}B
J. Immunol., August 15, 2001; 167(4): 2193 - 2201.
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S. K. Bliss, L. C. Gavrilescu, A. Alcaraz, and E. Y. Denkers
Neutrophil Depletion during Toxoplasma gondii Infection Leads to Impaired Immunity and Lethal Systemic Pathology
Infect. Immun., August 1, 2001; 69(8): 4898 - 4905.
[Abstract] [Full Text] [PDF]


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L. C. Gavrilescu and E. Y. Denkers
IFN-{{gamma}} Overproduction and High Level Apoptosis Are Associated with High but Not Low Virulence Toxoplasma gondii Infection
J. Immunol., July 15, 2001; 167(2): 902 - 909.
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K. Tateda, T. A. Moore, M. W. Newstead, W. C. Tsai, X. Zeng, J. C. Deng, G. Chen, R. Reddy, K. Yamaguchi, and T. J. Standiford
Chemokine-Dependent Neutrophil Recruitment in a Murine Model of Legionella Pneumonia: Potential Role of Neutrophils as Immunoregulatory Cells
Infect. Immun., April 1, 2001; 69(4): 2017 - 2024.
[Abstract] [Full Text] [PDF]


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M. I. Araujo, S. K. Bliss, Y. Suzuki, A. Alcaraz, E. Y. Denkers, and E. J. Pearce
Interleukin-12 Promotes Pathologic Liver Changes and Death in Mice Coinfected with Schistosoma mansoni and Toxoplasma gondii
Infect. Immun., March 1, 2001; 69(3): 1454 - 1462.
[Abstract] [Full Text] [PDF]


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K. Tateda, T. A. Moore, J. C. Deng, M. W. Newstead, X. Zeng, A. Matsukawa, M. S. Swanson, K. Yamaguchi, and T. J. Standiford
Early Recruitment of Neutrophils Determines Subsequent T1/T2 Host Responses in a Murine Model of Legionella pneumophila Pneumonia
J. Immunol., March 1, 2001; 166(5): 3355 - 3361.
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I. A. Khan, P. M. Murphy, L. Casciotti, J. D. Schwartzman, J. Collins, J.-L. Gao, and G. R. Yeaman
Mice Lacking the Chemokine Receptor CCR1 Show Increased Susceptibility to Toxoplasma gondii Infection
J. Immunol., February 1, 2001; 166(3): 1930 - 1937.
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S. K. Bliss, B. A. Butcher, and E. Y. Denkers
Rapid Recruitment of Neutrophils Containing Prestored IL-12 During Microbial Infection
J. Immunol., October 15, 2000; 165(8): 4515 - 4521.
[Abstract] [Full Text] [PDF]


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J. Pedrosa, B. M. Saunders, R. Appelberg, I. M. Orme, M. T. Silva, and A. M. Cooper
Neutrophils Play a Protective Nonphagocytic Role in Systemic Mycobacterium tuberculosis Infection of Mice
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