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The Journal of Immunology, 2000, 164: 4835-4842.
Copyright © 2000 by The American Association of Immunologists

Biological Correlates of Capsular (Quellung) Reactions of Cryptococcus neoformans1

Tracy C. MacGill*,{dagger}, Randall S. MacGill*, Arturo Casadevall§ and Thomas R. Kozel2,*,{dagger}

* Department of Microbiology and {dagger} Cell and Molecular Biology Program, School of Medicine, University of Nevada, Reno, NV 89557; and {ddagger} Division of Infectious Diseases, § Department of Medicine, Albert Einstein College of Medicine, Bronx, NY 10461


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The capsular swelling or quellung reaction was reported almost 100 years ago and described the effect of Abs on the appearance of microbial capsules. Despite widespread use to assess Ab binding to capsules, relatively little is known as to the mechanism of this effect or its biological consequences. The fungus Cryptococcus neoformans is an attractive system to study capsule reactions because it has a large polysaccharide capsule that is readily visible by light microscopy. When viewed by differential interference contrast microscopy, binding of mAb to C. neoformans cells produced two distinct capsular reactions that depended on the Ab epitope specificity and the yeast serotype. In the first pattern, termed "rim," the capsule appears transparent with a highly refractive outer edge. In the second pattern, termed "puffy," the capsule appears opaque and lacks a highly refractive outer rim. mAbs that bind with a rim pattern suppress the overall rate of C3 deposition on the yeast via the classical and alternative complement pathways. In contrast, mAbs that bind with a puffy pattern do not affect C3 deposition. Protective and nonprotective IgM mAbs produce rim and puffy patterns, respectively. These results indicate that: 1) capsule reactions are a consequence of Ab-induced changes in capsular refractive index; 2) the type of capsule reaction depends on the Ab specificity; and 3) Ab-induced changes in refractive index correlate with biological activities important for host defense against C. neoformans. Our results provide the first evidence associating distinct capsule reaction patterns with Ab biological activity.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Neufeld first described a capsular reaction, termed quellung (swelling), that followed incubation of encapsulated microorganisms with Abs (1). Despite being described almost a century ago, remarkably little work has been done to understand the mechanism of the capsular reaction and the molecular basis for the optical effect. The availability of anticapsular mAbs now makes it possible to address the issue in a manner that was not possible in earlier work with polyclonal Abs. One microorganism for which a capsular reaction has been described is the encapsulated yeast Cryptococcus neoformans (2, 3, 4, 5). C. neoformans produces a life-threatening meningitis in persons with impaired cell-mediated immunity, particularly people with AIDS. The capsule, which is essential for virulence, is composed primarily of glucuronoxylomannan (GXM).3 GXM has an {alpha}-1,3-linked mannose backbone that is O-acetylated and substituted with single side chains of xylose and glucuronic acid. The degree of xylose substitution and O-acetylation can vary, producing four primary serotypes (A–D) and eight chemotypes (6, 7, 8, 9).

Vaccination with a tetanus toxoid conjugate of GXM confers protection in a murine model of cryptococcosis (10). Similarly, administration of mAbs prolongs survival and decreases fungal tissue burden in experimentally infected mice (11, 12, 13). Effector mechanisms reported for anti-GXM Abs include clearance of soluble GXM by reticuloendothelial cells (14), enhanced granuloma formation (15), Ab-dependent cell-mediated cytotoxicity (16), and increased nitric oxide production by macrophages (17). However, the most important function of anti-GXM Abs is likely to be opsonization. The availability of mAbs has enabled a detailed evaluation of the biological activities of anti-GXM Abs that was not possible with polyclonal Abs. Several studies found that protective efficacy is influenced by mAb quantity (11), isotype (18, 19), and epitope specificity (12, 20).

Although the role of isotype in the biological function of an Ab is well established, the contribution of epitope specificity to protective efficacy is less well understood, particularly in the context of anticapsular Abs. Recent studies of passive immunization in experimental cryptococcosis identified protective and nonprotective anti-GXM Abs. The Abs were of the same isotype but differed in their epitope specificity (12, 20). Similarly, we found the epitope specificity of anti-GXM mAbs to be a critical variable in complement activation by encapsulated cryptococci (21). Depending on the epitope specificity of the Ab, addition of an anti-GXM mAb to the milieu 1) produces early C3 deposition via the classical pathway, 2) has no effect on C3 deposition via the classical pathway, 3) suppresses C3 binding by the alternative pathway, or 4) has no effect on the alternative pathway.

In the course of preparing cells for our studies of Ab-mediated deposition of C3 in the cryptococcal capsule, we examined the capsular reaction produced by several anti-GXM mAbs. Abs with different epitope specificities produced strikingly different capsular reactions when viewed by differential interference contrast (DIC) microscopy. The goals of the present study were to 1) clearly establish the role of epitope specificity of a mAb or epitope expression by a yeast cell in producing a given capsular reaction, 2) determine the molecular basis for different capsular reactions, and 3) identify any correlation between a given capsular reaction and Ab effector functions such as complement activation and the protective potential of an Ab. To our knowledge, our results are the first demonstration of two distinct capsular reactions and provide the first molecular explanation for the capsular reaction. Further, our results show an unequivocal association between the type of capsular reaction and biological activities of Abs that are important in host resistance.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
C. neoformans cells

Serotype A strains CN6, 388, and 62066 and serotype D strains 34875, 127, and 9375 were used throughout. Strain 388 was obtained from K. J. Kwon-Chung (National Institutes of Health, Bethesda, MD); all others were provided by R. Cherniak (Georgia State University, Atlanta, GA). The GXM chemotyping scheme described by Cherniak et al. (6) places serotype A strains CN6 and 62066 in GXM chemotype 5 and the three serotype D strains in chemotype 1. The chemotype of strain 388 has not been determined. Yeast cells used in all experiments were incubated for 4 days at 37°C on a synthetic medium (22) in 5% CO2 and killed by an overnight incubation with 1.0% formaldehyde. These conditions produce yeast cells with large capsules (23). The cells were then washed with sterile 0.01 M phosphate-buffered 150 mM saline (pH 7.3; PBS) and stored at 4°C.

mAbs and Ig fragments

mAbs 3C2, 471, 339, 1255, and 302 are IgG1. Several properties of the Abs are summarized in Table IGo; detailed descriptions are provided in previous reports (24, 25, 26, 27). All IgG mAbs were purified from mouse ascites using caprylic acid precipitation of proteins other than IgG followed by GXM immunoaffinity and protein A affinity chromatography alone or in combination (28). Concentrations of the above Abs were determined by UV spectroscopy using OD280 = 1.35 for 1 mg IgG/ml and OD280 = 1.2 for IgM. mAbs 12A1, 2D10, 13F1, and 21D2 are IgM Abs with protective efficacies in a murine model of cryptococcosis that are well characterized. mAbs 12A1 and 2D10 are protective; mAbs 13F1 and 21D2 are not protective (12, 20). Ab concentrations of mAbs 12A1, 2D10, 13F1, and 21D2 were determined by ELISA relative to isotype-matched standards of known concentration. All IgM mAbs were in the pentameric form.


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Table I. Characteristics, serotype specificity, and capsular binding patterns of anti-GXM mAbs for serotype A and D cells

 
Fab and F(ab')2 fragments of mAb 3C2 were prepared by use of an Ig fragmentation kit (Pierce, Rockford, IL). Fab fragments were further purified by molecular sieve chromatography on Superdex 200 (Pharmacia, Princeton, NJ). F(ab')2 fragments of goat anti-mouse IgG were purchased (Southern Biotechnology, Birmingham, AL). Concentrations of the Fab and F(ab')2 fragments were determined by bicinchoninic acid assay (Pierce) with BSA as a standard.

Evaluation of Ab binding by DIC microscopy

C. neoformans cells (2 x 104) were mixed with each mAb (50 µg/ml PBS, unless otherwise noted) in a 50-µl reaction volume and incubated for 5 min at 37°C, transferred to microscope slides, and immediately examined. Capsular reactions were assessed by DIC microscopy using a Nikon Eclipse E800 microscope with a x100 oil immersion objective.

Evaluation of capsular binding by direct immunofluorescence

mAbs 3C2 and 302 were labeled with Texas Red (TR) or FITC using labeling kits from Molecular Probes (Eugene, OR). These mAbs were added singly or sequentially (50 µg/ml each) to C. neoformans CN6 cells (2 x 104 cells) and incubated for 5 min at 37°C. The cells were then washed once with PBS; the final cell pellet was resuspended in VECTASHIELD mounting medium (Vector Laboratories, Burlingame, CA) and transferred to microscope slides.

Location of the FITC- or TR-labeled Abs in the capsule was determined by epifluorescence microscopy using a Nikon Eclipse E800 microscope with a x100 oil immersion objective. Images from both DIC and immunofluorescence microscopy were acquired using a Photonic Science (Millham, U.K.) integrating CCD camera and Image Pro Plus 3.0 image analysis software (Media Cybernetics, Silver Spring, MD). Fluorescence images were digitally deconvolved with MicroTome version 4.0 (VayTek, Fairfield, IA).

Kinetics of C3 binding

Normal human serum (NHS) used for complement activation studies was obtained from the peripheral blood of 10–12 healthy adult volunteers, pooled, and stored at -80°C. C3 was purified from frozen human plasma by previously described methods (29). C3 was labeled with 125I by the IodoGen procedure (30).

Kinetics for activation and binding of C3 to cryptococcal cells were determined as previously described (21) Briefly, C. neoformans cells (4.0 x 105) were incubated in a 1.0-ml reaction mixture containing 1) 40% NHS, 2) 125I-labeled C3 sufficient to produce a specific activity of 50,000 cpm/µg total C3, and 3) various amounts of anti-GXM mAbs. GVB2+ (sodium Veronal (5 mM)-buffered saline (142 mM), pH 7.3, with 0.1% gelatin, 0.15 mM CaCl2, and 1 mM MgCl2) was the buffer in experiments where C3 deposition via the classical pathway was determined. GVB-Mg-EGTA (sodium Veronal-buffered saline with 0.1% gelatin, 10 mM EGTA, and 10 mM MgCl2) was the buffer if C3 deposition via only the alternative pathway was assessed. Chelation of Ca2+ with EGTA selectively inhibits the classical pathway (31, 32). Mixtures containing NHS, 125I-C3, mAb, and the appropriate buffer were prewarmed for 5 min at 37°C, and the reaction was initiated by addition of cryptococcal cells. At various times, duplicate samples (30 µl) were withdrawn and added to 150 µl of stop solution (PBS containing 0.1% SDS and 20 mM EDTA). C. neoformans cells were washed with PBS containing 0.1% SDS using Millipore (Bedford, MA) MABX-N12 filter plates fitted with BV 1.2-µm pore size filters. The filters were removed, and the amount of cell-bound 125I-C3 was determined. Binding data are represented as the number of C3 molecules bound per yeast cell.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The type of capsular reaction is determined by the epitope specificity of anticapsular Ab and the serotype of the yeast cell

An initial experiment assessed the abilities of two anti-GXM mAbs of differing epitope specificites and different molecular groups to produce capsular quellung-type reactions visible by DIC microscopy. Serotype A C. neoformans cells (CN6) were incubated with mAb 3C2 or mAb 302. The results (Fig. 1Go) showed two capsular binding patterns. An annular or "rim"-type pattern, in which the capsule interior appears transparent with a highly refractive outer edge, was produced by mAb 3C2. A hallmark of the rim pattern is an increase in the optical gradient at the capsular edge followed directly by a decrease in the optical gradient. The results in Fig. 1Go suggest that mAb 3C2 produces a highly refractile "shell" at the capsular surface. A second pattern, designated puffy, is generated by binding of mAb 302. The hallmark of the puffy pattern is an increase in the optical gradient at the capsular surface and the absence of the immediate decrease that is characteristic of the rim pattern. Thus, mAb 302 produces an increase in the refractive properties of the capsule but does not produce the highly refractile outer shell found when mAb 3C2 is incubated with the yeast cells.



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FIGURE 1. Anti-GXM mAbs produce two distinct capsular binding patterns when visualized by DIC microscopy. Left, C. neoformans serotype A (CN6) cells in PBS. Note the absence of a visible capsule. Center, C. neoformans (CN6) cells in the presence of mAb 3C2 (200 µg/ml). The capsule is visible as an annular rim at the capsule periphery. Right, C. neoformans (CN6) cells in the presence of mAb 302 (200 µg/ml). The capsule has a diffuse, opaque, "puffy" appearance.

 
DIC microscopy is designed to detect an optical gradient, preserve its sign, and render the gradient with contrast (33). The optical gradient is a function of the geometry of the object under view and the refractive index. As a consequence, the different appearances of yeast cells incubated with mAb 3C2 or mAb 302 could be due to differences in the refractive index at various sites in the capsule or to differences in the geometry of the cells themselves. Two observations exclude differences in cellular geometry as an explanation for the different capsular patterns. First, all nonbudding yeast cells treated with either mAb 3C2 or mAb 302 had the general circular appearance of the cells shown in Fig. 1Go. If it is assumed that the yeast cells are randomly oriented, one can deduce that all yeast cells have a similar spherical shape. Second, collection of optical sections along a z-axis through the cells using FITC-labeled mAb 3C2 or mAb 302 showed the images expected from a spherical object (not shown). As a consequence, we conclude that the rim and puffy patterns are due to distinct effects of the Abs on the refractive index of the capsule rather that effects of the Ab on the shape of the cells.

To determine whether the rim and puffy patterns were due simply to the effects of different Ab concentrations, the capsular reactions were determined at different mAb doses. The results (Fig. 2Go) indicate that whereas the intensity of the capsular reaction is dose dependent, the particular pattern generated by a mAb (puffy vs rim) is concentration independent.



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FIGURE 2. Capsular binding patterns are independent of Ab concentration. DIC images are shown for C. neoformans serotype A (CN6) cells in the presence of mAb 3C2 (top) or mAb 302 (bottom) at 2, 20, or 200 µg/ml.

 
The above results showed that Abs with different epitope specificities produce different capsular binding patterns with cells of serotype A; mAb 3C2 is reactive with an epitope shared by GXM serotypes A, B, C, and D, whereas mAb 302 is reactive with an epitope found only on GXM serotypes A and D (Table IGo). In an effort to more firmly establish the role of capsular epitope expression and mAb epitope specificity in producing a given capsular binding pattern, we examined the effect of capsular serotype on the binding pattern produced by a single mAb. Cells of three strains of serotype A and three strains of serotype D were incubated with mAb 3C2. The results (Fig. 3Go) showed a rim pattern for all strains of serotype A and a puffy pattern for all cells of serotype D. Study of additional mAbs that included one more mAb of molecular group II (mAb 471), two mAbs of molecular group III (mAbs 339 and 1255), and mAb 302 (molecular group IV) showed that the capsular binding pattern is determined by the serotype specificity of the mAb and the serotype of the target capsular polysaccharide (Table IGo). Abs from group II produced a rim pattern with cells of serotype A and a puffy pattern with serotype D cells; Abs of group III produced a rim pattern with cells of both serotypes; and Abs of group IV produced a puffy or puffy-like (strain 34875) pattern with cells of both serotypes.



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FIGURE 3. Capsular binding pattern for mAb 3C2 depends on the serotype of the target cell. DIC images show cells of three different strains of serotype A (CN6, 388, and 62066) or serotype D (127, 34875, and 9375) in the presence of mAb 3C2 (50 µg/ml).

 
The capsular reaction correlates with the ability of a mAb to alter the kinetics for C3 deposition via the alternative pathway

Encapsulated cryptococci are potent activators of the alternative complement pathway (34, 35). We previously reported that anticapsular mAbs having different epitope specificities and belonging to different molecular groups have distinct effects on the kinetics for activation and binding of C3 to serotype A cryptococci via the alternative pathway (21). Because mAb 3C2 and mAb 302 produced different capsular binding patterns with cells of serotype A (rim and puffy, respectively; Fig. 1Go) and had different effects on C3 deposition via the alternative pathway (suppression and no effect, respectively (21)), an initial experiment assessed the effect of a single Ab (mAb 3C2) on the kinetics for C3 deposition via the alternative pathway onto cells of serotype A (rim pattern) or serotype D (puffy pattern). Cells of serotype A (strain CN6) or serotype D (strain 34875) were incubated with 40% NHS containing 125I-C3 and mAb 3C2 (50 µg/ml). Samples were withdrawn at various times, and the amount of bound C3 was determined. The experiment was done in GVB-Mg-EGTA to limit C3 deposition to the action of the alternative pathway. The results (Fig. 4Go) showed that mAb 3C2 markedly suppressed the amount of C3 deposited on serotype A cells via the alternative pathway but had little effect on C3 deposition on serotype D cells. In an effort to further assess the congruence between 1) production of the rim pattern and suppression of C3 deposition via the alternative pathway and 2) production of the puffy pattern and an absence of suppression of C3 deposition, we examined the effects of additional mAbs from molecular groups II, III, and IV on the kinetics for C3 deposition. The binding experiments were done as in Fig. 4Go using two additional strains each of serotypes A (388 and 62066) and D (127 and 9375). The results, summarized in Table IIGo, showed an absolute correlation between the capsular binding pattern and the ability of an Ab to suppress (rim pattern) or fail to suppress (puffy pattern) C3 deposition via the alternative pathway.



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FIGURE 4. Effect of capsular serotype on the ability of mAb 3C2 to alter the kinetics for deposition of C3 onto C. neoformans cells via the classical and alternative pathways. C. neoformans cells of serotype A (CN6 (left)) or serotype D (34875 (right) were incubated with mAb 3C2 (50 µg/ml), followed by incubation with 1) 40% NHS containing 125I-C3 and 10 mM Mg-EGTA (alternative pathway (top)) or 2) 40% NHS containing 125I-C3 (classical pathway (bottom)). Each data point is the mean of duplicate samples; the figure shown is representative of three replicate experiments with similar results.

 

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Table II. Influence of mAbs of different molecular groups on C3 deposition onto serotype A and D cells via classical and alternative pathways

 
A subsequent experiment assessed the influence of anti-GXM mAbs on activation and deposition of C3 via the classical pathway. The experimental design was as described above, with the exception that activation was assessed using GVB2+ as the buffer. Consequently, C3 deposition reflected the action of both the classical and the alternative pathways. Results from experiments performed with an intact classical pathway are illustrated in the lower panels of Fig. 4Go where cells of serotype A strain CN6 or serotype D strain 34875 were incubated with 40% NHS in the presence or absence of mAb 3C2 (50 µg/ml). The results showed early deposition (2–4 min) of C3 when serotype A cells were incubated with mAb 3C2. However, overall levels of C3 binding were suppressed in the presence of the mAb, a result that is consistent with our previous studies (21). In contrast, mAb 3C2 produced no early deposition of C3 on serotype D strain 34875, a result that is consistent with a failure to initiate the classical pathway.

Can the results shown in Fig. 4Go can be generalized to state that production of a rim pattern correlates with the ability of anti-GXM mAbs to initiate the classical pathway, whereas production of a puffy pattern correlates with a failure to initiate the classical pathway? To address this question, we examined the effects of mAbs from molecular groups II, III, and IV on C3 deposition onto additional strains of serotypes A and D in the presence of 40% NHS and GVB2+. The results, summarized in Table IIGo, showed that the effect of the other group II mAb (471) was identical with that of mAb 3C2. One of the group III Abs (mAb 1255) did not induce early classical pathway-dependent binding of C3 to either A or D cells, whereas the other (mAb 339) activated the classical pathway only on serotype D cells. mAb 302 was not able to facilitate early C3 binding to cells of either serotype. These results indicate that there is a general correlation between production of the rim pattern and early deposition of C3 via the classical pathway, but there are exceptions in the behavior of group III mAbs.

Molecular basis and consequences of the rim pattern

One explanation for a correlation between the rim binding pattern and suppression of complement deposition is the possibility that the epitopes bound by rim pattern Abs are presented in a manner that allows the mAb to cross-link polysaccharide at the capsular surface. Upon cross-linking, the mAb could form an "Ab shell" that both accounts for the refractile rim and prevents amplification of the complement cascade within the capsular matrix (21, 36). If cross-linking at the capsular surface accounts for the rim pattern, Fab fragments should fail to produce the rim pattern and fail to suppress C3 deposition via the alternative pathway. Indeed, we have previously shown that Fab fragments of suppressive mAbs have no effect on the accumulation of C3 on encapsulated cryptococci (36). Accordingly, we examined the capsular reaction produced by serotype A cells with F(ab')2 and Fab fragments of mAb 3C2. The results (Fig. 5Go) showed that F(ab')2 fragments produce the same rim binding pattern as the parent IgG. In contrast, the Fab fragments produce a puffy pattern.



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FIGURE 5. Bivalency is required for a mAb to produce the rim binding pattern. DIC images of C. neoformans serotype A (CN6) cells in presence of intact IgG, F(ab')2, or Fab of mAb 3C2 (50 µg/ml).

 
The association between the ability of a mAb to produce a highly refractile outer shell and suppression of C3 deposition raises the possibility that formation of the outer shell prevents the binding of macromolecules, including Abs, to the capsule interior. To address this question, mAbs 3C2 and 302 were directly labeled with FITC, and the binding sites were determined by fluorescence and DIC microscopy. As illustrated by overlays of the fluorescence and DIC images (Fig. 6Go), mAb 3C2 showed binding only at the outer edge of the capsule. In contrast, FITC-labeled mAb 302 bound to sites distributed throughout the capsule.



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FIGURE 6. Site of mAb binding shown by direct immunofluorescence microscopy. C. neoformans serotype A (CN6) cells were treated with FITC-labeled mAb 3C2 or mAb 302 (50 µg/ml) or FITC-labeled Fab fragments of mAb 3C2 (~100 µg/ml).

 
An alternative explanation for the exclusive binding of FITC-mAb 3C2 to the capsular perimeter is the possibility that the epitope recognized by mAb 3C2 is found only at the outer edge of the capsule. As a consequence, we examined the binding sites of FITC-labeled Fab fragments of mAb 3C2. The results (Fig. 6Go) showed that the Fab fragments of mAb 3C2 bind to epitopes that are distributed throughout the capsule. These results support the argument that binding of mAb 3C2 to the capsule exterior prevents subsequent binding of the Ab to the capsule interior.

The apparent ability of mAb 3C2 to block its own binding to the capsule interior through the formation of an Ab impermeable shell suggests that mAb 3C2 would also block binding of mAb 302 to the capsule interior. To test this hypothesis, mAbs 3C2 and 302 were labeled with TR and FITC, respectively. These mAbs were added sequentially (50 µg/ml each) to serotype A C. neoformans cells (CN6). When TR-mAb 3C2 was added first, the TR label was found at the capsular perimeter (Fig. 7Go). However, immunofluorescence microscopy showed little or no binding of FITC-mAb 302 to the capsule. These results indicate that mAb 3C2 inhibits the binding of mAb 302 to the capsule interior. Conversely, when FITC-mAb 302 was added first, followed by TR-mAb 3C2, both FITC-mAb 302 and TR-mAb 3C2 bound to the capsule (Fig. 7Go). An identical pattern of results was obtained if the fluorescence label was reversed, i.e., TR-mAb 302 and FITC-mAb 3C2 (not shown).



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FIGURE 7. Effect of sequential addition of TR-mAb 3C2 and FITC-mAb 302 shown by direct immunofluorescence microscopy. Top, C. neoformans serotype A (CN6) cells were incubated for 5 min with TR-mAb 3C2 (50 µg/ml), followed by addition of FITC-mAb 302 (50 µg/ml) and incubation for an additional 5 min. Bottom, C. neoformans serotype A (CN6) cells were incubated with FITC-mAb 302 (50 µg/ml) for 5 min and then incubated with TR-mAb 3C2 (50 µg/ml) for an additional 5 min. All yeast cells were washed with PBS before examination.

 
The relationship between mAb cross-linking of the capsular surface and reduced C3 deposition via the alternative pathway suggested that a nonsuppressive mAb which produces a puffy pattern could be made suppressive through cross-linking with a secondary Ab. To evaluate this possibility, we incubated cells of serotype A (CN6) with mAb 302 (50 µg/ml), washed the cells once to remove excess unbound mAb, and added varying amounts of F(ab')2 fragments of anti-mouse IgG (12.5, 50, and 100 µg/ml). Alteration in the capsular reaction occurred at higher concentrations of the cross-linking secondary Ab (50 and 100 µg/ml; Fig. 8Go). Use of the secondary Ab produced cells with one of two capsular patterns. Most cells showed the typical rim pattern. A second pattern was also found that was a hybrid between the rim and the puffy patterns (not shown). This second pattern showed a sharp increase in the optical gradient at the capsular edge typical of the rim pattern. The gradient was more abrupt than is found with the puffy pattern, but there was no immediate decrease in the optical gradient characteristic of the rim pattern. Use of the secondary Ab at a lower concentration (12 µg/ml) produced a puffy pattern. mAb 302 alone produced the expected puffy pattern, whereas the anti-IgG alone showed no apparent binding to the capsule (not shown). An evaluation of the effect of the anti-IgG secondary Ab on C3 deposition via the alternative pathway showed the expected result that no suppression occurred when serotype A cells were treated alone with mAb 302 or the anti-IgG F(ab')2. However, addition of the second Ab to mAb 302-treated cells produced a dose-dependent suppression of C3 binding (Fig. 9Go). These results indicate that both the capsular reaction and the effect of the Ab on C3 deposition can be modified by a cross-linking second Ab.



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FIGURE 8. Cross-linking of a puffy pattern-producing mAb with a secondary Ab produces a rim binding pattern. C. neoformans serotype A (CN6) cells were incubated with mAb 302 (50 µg/ml) for 5 min, collected by centrifugation, and resuspended in anti- IgG F(ab')2 at 12.5, 50, or 100 µg/ml.

 


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FIGURE 9. Cross-linking of a nonsuppressive mAb (mAb 302) with secondary Ab produces a suppression of C3 deposition via the alternative pathway. C. neoformans serotype A (CN6) cells were incubated with mAb 302 (50 µg/ml) for 5 min, followed by centrifugation and resuspension in anti-IgG F(ab')2 at 12.5, 50, or 100 µg/ml. Cells were centrifuged again and resuspended in 40% NHS containing 125I-C3 and 10 mM Mg-EGTA. Each data point is the mean of duplicate samples; values are representative of three replicate experiments with similar results.

 
Capsular reactions of protective and nonprotective IgM mAbs

In addition to the role of epitope specificity in determining the potential of a mAb to suppress C3 deposition via the alternative pathway, epitope specificity also determines the ability of anti-GXM IgM mAbs to mediate protection in a murine model of cryptococcosis (12, 20). Previous studies demonstrated that IgM mAbs 12A1 and 2D10 are protective, whereas mAbs 21D2 and 13F1 are not. Evaluation of the capsular reaction by DIC showed that the protective IgM mAbs produced the rim pattern with cells of serotype A strain CN6; the nonprotective Abs produced the puffy pattern (Fig. 10Go). An evaluation of the capsular reaction with serotype D strains, including strain 24067 which was originally used to assess protective efficacy of the Abs, produced similar results; a rim pattern was observed with cells incubated with protective Abs and only the puffy pattern was observed with nonprotective Abs (not shown).



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FIGURE 10. Capsular binding patterns correlate with protective efficacy of anti-GXM IgM mAbs. C. neoformans serotype A (CN6) cells were incubated with the IgM mAbs 12A1, 2D10, 13F1, or 21D2 (50 µg/ml) and examined by DIC. mAbs 12A1 and 2D10 are protective in a murine model of cryptococcosis; mAbs 13F1 and 21D2 are not protective (12 20 ).

 
Because the capsular binding pattern correlated with the ability of a mAb to suppress C3 deposition via the alternative pathway (Tables 1 and 2), we examined the effects of the protective and nonprotective mAbs on C3 deposition via the classical and alternative pathways. All four Abs greatly accelerated accumulation of C3 on encapsulated cryptococci when the classical pathway was operative (not shown). This is not surprising because these are IgM Abs. In contrast, the two sets of mAbs had different effects on C3 deposition via the alternative pathway (Fig. 11Go). Protective mAbs 12A1 and 2D10, which produce the rim pattern on serotype A cells, suppressed the rate and amount of C3 bound to encapsulated cryptococci when Mg-EGTA was included in the reaction mixture. In contrast, the nonprotective mAbs 21D2 and 13F1, which produce the puffy pattern, showed very limited suppression of C3 deposition in the presence of Mg-EGTA.



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FIGURE 11. Influence of protective and nonprotective anti-GXM IgM mAbs on the kinetics for activation and binding of C3 via the alternative pathway. C. neoformans serotype A (CN6) cells were incubated with 40% NHS containing 125I-C3 and mAb 12A1, 2D10, 21D2, or 13F1 (50 µg/ml) in the presence of 10 mM Mg-EGTA. Each data point is the mean of duplicate samples; the figure shown is representative of three replicate experiments with similar results.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Previous studies of anti-GXM mAbs found that several biological activities of the Abs depend on epitope specificity. These activities include protective efficacy (12, 20), apparent capsular binding site (20, 37), and the effect of the mAb on the kinetics for activation and deposition of C3 through the classical and alternative pathways (21). In the current study, we have identified an additional epitope-specific property of anti-GXM mAbs, the capsule reaction. Importantly, the observed capsular binding patterns segregate with influence on C3 deposition via the alternative pathway and with protective efficacy of IgM mAbs and suggest a unifying hypothesis that links together all three biological activities.

A C. neoformans capsular reaction has been demonstrated by use of polyclonal (4, 5) and monoclonal (3) Abs. As visualized by DIC microscopy, we now report that mAbs of differing epitope specificities produce one of at least two capsular binding patterns (rim or puffy). Evidence that the capsular pattern is determined by epitope specificity is derived from two complimentary lines of study. First, Abs with different epitope specificities produce distinct patterns with cells of serotype A. The rim pattern was produced by group II mAbs, which recognize an epitope shared by all four serotypes, and by group III mAbs, which recognize an epitope found on serotypes A, B, and D. In contrast, group IV mAbs, which recognize an epitope found only on serotypes A and D, produce a puffy pattern on these same cells. Second, a single mAb can produce different capsular binding patterns on cells of different serotypes. For example, group II mAbs produce a rim pattern on serotype A cells and a puffy pattern on serotype D cells.

The capsular quellung reaction was one of the first means reported to study Ag-Ab interactions. Since its initial discovery, whether the reaction actually involves a change in volume has been the subject of some controversy (38, 39). In the case of the cryptococcal capsule, the capsular reaction does not involve capsular swelling (2, 4). Less well understood is the molecular mechanism for the capsular reaction. Indeed, to our knowledge, the physical and molecular basis for the capsular reaction has not been determined.

DIC microscopy provides insight as to the physical basis for the capsular reaction. DIC systems are designed to detect an optical gradient, preserve its sign, and convert the gradient into intensity variations. Opposite gradients will have opposite intensities by transmission microscopy. The optical gradient is proportional to the product of the geometric gradient and the difference in refractive index. Because encapsulated cryptococci that were treated with different mAbs were spherical and of a similar size, the geometric gradient is similar in all specimens. As a consequence, the observed variation in light intensity primarily reflects changes in the refractive index in the specimen (33). These changes appear as variations in light intensity (dark to light or light to dark) against a gray background. The rim pattern is characterized at the capsule edge by an initial increase (dark) followed by an immediate decrease (light) back to the background (gray), giving the capsule interior a transparent appearance, where no change occurs until the other side of the capsule edge where dark is again followed by light at the capsule/media interface. This appearance identifies a striking increase and a rapid decrease in the refractive index at the capsular edge. A likely explanation for this refractile rim is the accumulation of a large amount of protein, i.e., Ab, at the edge of the capsule. Alternatively, the refractile rim could be caused by an Ab-dependent change in hydration at the capsular surface. In contrast, the puffy pattern is characterized by an initial increase (darkening) at the capsule edge followed by a gradient of change throughout the capsule. These results suggest that the two classes of Abs (rim vs puffy) have fundamentally different effects on the capsular structure.

A molecular explanation for the rim pattern is cross-linking of the capsular surface by Ab. If Ab cross-linking were involved, a requirement for bivalency in production of the rim pattern would be expected. This is what was found when the binding patterns of Fab and F(ab')2 fragments of rim pattern-producing mAb 3C2 were examined. F(ab')2 fragments produced a rim pattern identical with that of the parent IgG. Fab fragments produced a puffy pattern.

Puffy and rim pattern Abs localize differently in the capsule, as shown by direct immunofluorescence microscopy (Fig. 6Go). An important question is whether the apparent peripheral binding site for Abs producing the rim pattern reflects localization of the epitope only at the capsular surface or is a consequence of cross-linking of the capsular surface. Several lines of evidence indicate that peripheral binding is due to the formation of a shell with reduced permeability to macromolecules at the capsular surface. First, FITC-Fab fragments of the rim pattern-producing mAb 3C2 bound throughout the capsule (Fig. 6Go). Second, mAbs that produce the rim pattern suppress the rate and amount of C3 deposition through the alternative pathway, suggesting reduced access for complement components to the capsule interior (21). Third, preincubation of C. neoformans cells with mAb 3C2 completely blocks subsequent binding of mAb 302, an Ab that normally binds throughout the capsule (Fig. 7Go). Fourth, the presence of a cross-linked Ab shell that excludes binding of C3 and mAb 302 binding is supported by the requirement for Ab bivalency for both rim pattern production (Fig. 5Go) and suppression of C3 deposition (36). Finally, cross-linking of the puffy pattern-producing, nonsuppressive mAb 302 with a secondary Ab results in both production of the rim pattern (Fig. 8Go) and a dose-dependent suppression of C3 deposition (Fig. 9Go).

IgM mAbs that are protective in a murine model of cryptococcosis produce a rim binding pattern (Fig. 10Go) and suppress C3 deposition (Fig. 11Go). Nonprotective IgMs produce the puffy pattern and do not influence complement deposition. Previous studies reported that the nonprotective IgM Abs form punctate patterns when a FITC-conjugated secondary Ab is added (37). The relationship between the puffy pattern observed by DIC and the punctate pattern observed by indirect immunofluorescence is uncertain. The differences in appearance may be a consequence of the imaging methods or use of a secondary Ab. The rim pattern observed by DIC has striking similarity to the appearance of the annular pattern observed by indirect immunofluorescence for protective mAbs (37). These two patterns are likely due to similar molecular mechanisms; however, the role of cross-linking in production of the annular pattern described by Nussbaum et al. has not been determined.

In contrast to the IgM Abs, IgG1 mAbs producing either capsular pattern (rim or puffy) are protective (40). This raises a question as to why capsular binding pattern is a determinant of protective efficacy for IgM, but not IgG mAbs. A likely explanation involves the interaction of Ab and C3 with phagocytes. Cryptococci opsonized with IgG and C3 would be bound by both Fc and C3 receptors on macrophages, neutrophils, and monocytes. However, yeast cells opsonized with IgM and C3 can be bound only through C3 receptors, given that an Fc receptor for IgM Abs on these cells has not been found. We hypothesize that cross-linking by rim pattern IgM Abs decreases mobility of the capsule-bound C3 and thereby increases the stability of the interaction between C3 and its corresponding receptor, enhancing phagocytosis, and as a result determines protective efficacy by IgM Abs.

In this study, we present data suggesting Ab-mediated cross-linking of the capsular surface as a unifying hypothesis to explain differences in mAb capsular localization, influence on the kinetics for activation and binding of C3, and protective efficacy. The large capsule of C. neoformans and the availability of an extensive library of anti-GXM mAbs provided a unique system in which to evaluate mAb-capsular interactions. The value of the large capsule of C. neoformans for study of fundamental aspects of the capsular reaction was noted 50 years ago by Neill et al. (4) and remains true today. The capsule reaction observed after Ab binding to C. neoformans is due to Ab-induced changes in the refractive index of the capsule. Ab-mediated capsular cross-linking may also be important to the efficacy of Abs reactive with other encapsulated pathogenic organisms.


    Footnotes
 
1 This work was supported by National Institutes of Health Grants AI14209 (T.R.K.), AI22774 (A.C.), AI13342 (A.C.), and HL59842 (A.C.) and a Burroughs Wellcome Developmental Therapeutics Award (A.C.). Back

2 Address correspondence and reprint requests to Dr. Thomas R. Kozel, Department of Microbiology/320, School of Medicine, University of Nevada, Reno, NV 89557. Back

3 Abbreviations used in this paper: GXM, glucuronoxylomannan; DIC, differential interference contrast; NHS, normal human serum; TR, Texas Red. Back

Received for publication November 30, 1999. Accepted for publication February 22, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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