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The Journal of Immunology, 2002, 168: 1294-1301.
Copyright © 2002 by The American Association of Immunologists

Dendritic Cells Are Host Cells for Mycobacteria In Vivo That Trigger Innate and Acquired Immunity1

Xinan Jiao2,3,*, Richard Lo-Man3,*, Pierre Guermonprez*, Laurence Fiette{dagger}, Edith Dériaud*, Sophie Burgaud*, Brigitte Gicquel{ddagger}, Nathalie Winter{ddagger} and Claude Leclerc4,*

* Unité de Biologie des Régulations Immunitaires, {dagger} Unité d’Histopathologie, and {ddagger} Unité de Génétique Mycobactérienne, Institut Pasteur, Paris, France


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In the present study, we investigated in vivo the infection and APC functions of dendritic cells (DC) and macrophages (M{phi}) after administration of live mycobacteria to mice. Experiments were conducted with Mycobacterium bovis bacillus Calmette-Guerin (BCG) or a rBCG expressing a reporter Ag. Following infection of mice, DC and M{phi} were purified and the presence of immunogenic peptide/MHC class II complexes was detected ex vivo on sorted cells, as was the secretion of IL-12 p40. We show in this study that DC is a host cell for mycobacteria, and we provide an in vivo detailed picture of the role of M{phi} and DC in the mobilization of immunity during the early stages of a bacterial infection. Strikingly, BCG bacilli survive but remain stable in number in the DC leukocyte subset during the first 2 wk of infection. As Ag presentation by DC is rapidly lost, this suggests that DC may represent a hidden reservoir for mycobacteria.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
T cell immunity to intracellular bacteria is triggered by phagocytic cells competent for both MHC class I and II-restricted Ag presentation functions. These APC stimulate CD4+ T cells specific for bacterial Ags which in turn feed back, through the release of cytokines such as IFN-{gamma}, to phagocytic cells harboring replicative intracellular bacteria by increasing their bacteriostatic and bactericidal functions. In this scheme, macrophages (M{phi})5 should represent a privileged APC partner for T cells. Indeed, efficient uptake of bacteria by M{phi} is mediated by various surface molecules such as FcR, complement receptors, or one of the many receptors for the glycolipidic components of the bacterial membrane, and is associated with high bactericidal properties of these cells (1). Moreover, activated M{phi} are a source of IL-12 (2), which plays a pivotal role in host resistance to bacterial infection by stimulating IFN-{gamma} production by NK cells and by promoting Th1 responses (3). However, dendritic cells (DC) represent the most potent APC for priming naive T cells (4), an important source of IL-12 following microbial stimuli (5), and consequently are highly efficient in inducing antiviral and antitumor immune responses (6). A large body of data accumulated over the last decade strongly suggests a similar role of DC in controlling bacterial infection (5, 7, 8, 9, 10, 11), but this issue is still unresolved.

Mycobacteria are facultative intracellular bacteria that can reside and survive in mononuclear phagocytes (12, 13, 14). Interaction of DC with mycobacteria is much less documented, and no information is available in vivo. DC in vitro pulsed with Mycobacterium bovis bacillus Calmette-Guérin (BCG) can efficiently stimulate specific T cells in vivo when injected into mice (7) and also can afford substantial protection against Mycobacterium tuberculosis infection (15). Mycobacteria can signal maturation of DC in vitro, which thus acquire T cell stimulatory activity (16, 17, 18). All this concurs to indicate that DC should play an important role in the elicitation of antibacterial immune responses at early time points post-bacteria delivery, but this question has not yet been directly addressed with live bacteria in vivo.

In the present study, we investigated the infection of DC in vivo together with APC functions of DC and M{phi} during the first 2 wk following administration of live mycobacteria to mice. Using Mycobacterium bovis BCG, or a rBCG expressing a reporter Ag, the Escherichia coli MalE protein (19), DC and M{phi} were purified and up-regulation of APC markers, display of immunogenic peptides/MHC II complexes, and IL-12 production were detected ex vivo on DC but not on M{phi}. We show that DC is a host cell for mycobacteria and play an exclusive role in the stimulation of T cell responses.


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

Six- to 10-wk-old female BALB/c (H-2d) inbred mice from Janvier (Le Genest Saint-Isle, France) were used.

Bacterial strains and culture conditions

The M. bovis BCG Pasteur vaccine strain 1173 P2 (BCG.wt) was grown in Middlebrook 7H9 (Difco, Paris, France) medium supplemented with 0.1% Tween 80 and albumin dextrose catalase (Difco) or in Middlebrook 7H10 (Difco) solid medium supplemented with oleic acid albumin dextrose catalase (Difco). The E. coli MalE gene was expressed constitutively on a plasmid pIH71 (19). In pIH71, the MalE gene including its signal sequence was fused to the promoter pBlaF*, signal sequence of BlaF. M. bovis BCG Pasteur strain 1173 P2 was transformed with pIH71 by electroporation, and a positive clone was selected and named rBCG(pBlaF*-SSBlaF-SSmalE-malE). In the present study, this rBCG strain was renamed rBCG.MalE. For immunization, BCG strains were first cultivated on Loewenstein-Jensen medium containing 20 µg/ml kanamycin, and then transferred onto Sauton medium.

T cell hybridoma and Ags

BALB/c mice were immunized s.c. with 10 µg of the MalE protein emulsified in CFA (Sigma-Aldrich, St. Louis, MO). Seven days later, lymph nodes were removed and a single cell suspension was prepared and cultured in complete medium (CM) with 10 µg/ml MalE. Three days later, viable lymphocytes were isolated by fractionation with Ficoll (Seromed; Biochrom, Berlin, Germany) and fused with BW5147 ({alpha}-{beta}-) myeloma cells as previously described (20). FBU.B11 is specific for immunodominant p68–82 MalE peptide and MHC II restricted. 45G10 T cell hybridoma was derived from BALB/c mice and is specific for a poliovirus (PV) peptide (20). The p68–82 peptide was kindly provided by J. P. Langeveld (Institute for Animal Science and Health, Lelystad, The Netherlands); the PV peptide was synthesized by Neosystem (Strasbourg, France).

mAbs for flow cytometric cell sorting and phenotypic analysis

FITC-, PE-, or allophycocyanin-labeled mAbs specific for CD11c (HL3), CD11b (M1/70), CD8{alpha} (53-6.7), B220 (RA3-6B2), and Gr-1 (RB6-8C5) cell markers were used for FACS sorting. Panels of mAbs were selected to study the phenotype of APC. We used a combination of biotinylated or FITC-labeled anti-I-Ad (AMS-32.1), CD86 (GL-1), CD80 (16-10A1), CD40 (3/23), and FITC-conjugated streptavidin (Sigma-Aldrich) or PerCP-streptavidin (BD Biosciences, Mountain View, CA) was used to reveal biotin conjugates. All labeled Abs were from BD PharMingen (San Diego, CA). The labeled cells were analyzed on a FACScan or a FACSCalibur for four-color staining analysis. Files of 50,000–200,000 events were collected, then subsequently analyzed using CellQuest software (BD Biosciences).

Cell sorting of spleen cells and ex vivo Ag presentation assay

BALB/c mice were i.v. injected with 0.2–1 x 108 live or heat-killed bacteria and 100 µg of purified MalE protein in PBS or PBS alone. Spleens were removed and perfused with collagenase type IV (400 U/ml) containing 50 µg/ml DNase I (Boehringer Mannheim, Indianapolis, IN). Single spleen cell suspensions were prepared and separated into low-density cells (LDC) and high-density cells (HDC) on a dense BSA (Sigma-Aldrich) gradient. The LDC and HDC populations were further used for staining, sorting, and FACS analysis or in Ag presentation assays. APC were further purified from LDC or HDC fractions by sorting on a FACStarPlus (BD Biosciences) using CD11c, CD8{alpha}, CD11b, and B220 cell markers. All APC were 95–99% pure following FACS analysis. In some experiments, LDC were directly used as an enriched DC fraction.

Alternatively, DC and M{phi} were enriched with an autoMACS (Miltenyi Biotec, Bergisch Gladbach, Germany). In this case, spleen cells were first depleted of T cells and neutrophils with anti-Thy1.2 mAb and anti-Gr-1 mAb (RB6-8C5; kindly given by M.-A. Nahori, Institut Pasteur, Paris, France) obtained from ascitic fluids and complement from guinea pig (BioMerieux, Marcy l’Etoile, France). Then cells were stained with anti-CD11c (N418) Microbeads (Miltenyi Biotec) before autoMACS separation leading to a positive cell sample of CD11c+ cells (95–98% pure). The negative fraction was further incubated with anti-CD11b Microbeads (Miltenyi Biotec) giving a positive cell fraction containing 80–90% CD11c-CD11b+ cells.

For ex vivo Ag presentation assay, APC preparations obtained from mice immunized with rBCG.MalE, BCG.wt, or MalE protein were added onto 96-well microplates and serially diluted in CM. A total of 105 T cell hybridomas were added to those APC for 24 h. In some experiments, exogenous protein or peptide was also added to the cell culture containing APC and T hybridoma. Supernatants were harvested, frozen, and tested for IL-2 content by measuring the proliferation of the IL-2-dependent CTLL cell line (results expressed in counts per minute).

Infection assay using labeled fluorescent rBCG.MalE

For labeling, rBCG.MalE was passed through a 25-gauge needle a few times to break up clumps. Three microliters of component A (Syto-9) of Live/Dead BacLight Bacterial Viability kit (Molecular Probes, Eugene, OR) or 5 µl of Calcein AM (Molecular Probes) were added to 1 ml of bacterial suspension to label rBCG.MalE. This suspension was incubated in the dark at room temperature for 30 min. Bacteria were then spun down, washed one time, resuspended in PBS, and passed through a 25-gauge needle to break up clumps of bacteria. Bacteria were checked under a fluorescent microscope before use. For in vivo infection assay, mice were i.v. injected with 108 labeled rBCG.MalE. Then LDC were prepared and stained for FACS analysis of the infection rate of DC, M{phi}, and B cells by labeled rBCG.MalE.

Immunohistochemistry

Mice were injected i.v. with 0.2–1 x 108 CFU of rBCG.MalE or PBS alone, and their spleens were removed and fixed in zinc acetate (0.5%), zinc chloride (0.5%), and calcium acetate (0.05%) in Tris buffer at pH 7 for 48 h. They were then embedded in low-melting point paraffin (37°C) (polyethyleneglycol distearate; Sigma-Aldrich). Paraffin sections (5–6 µm) were deparaffinized in absolute ethanol and air dried. They were incubated in 0.03% H2O2 to neutralize endogen peroxidase activity and, after washing, were incubated in blocking reagent (NEN, Boston, MA) to inhibit nonspecific staining. For immunolabeling of DC, sections were covered for 3 h with a biotinylated anti-CD11c (HL3) in PBS/0.05% saponin. They were incubated with streptavidin-HRP (DAKO, Carpinteria, CA). The reaction was enhanced by incubation in tyramide-biotin (NEN) followed by another incubation in streptavidin-HRP, and peroxidase activity was revealed by amino-ethyl carbazol (Sigma-Aldrich).

Detection of cytokines produced by APC

The different APC were sorted from mice injected i.v. with rBCG.MalE or PBS alone and cultured overnight in CM. The 24-h supernatants were assayed for IL-12 by sandwich ELISA using mAbs C15.6 (p40) or 9A5 (p70) as capture Abs and secondary biotinylated anti-IL-12 mAb C17.8 (BD PharMingen). All assays were standardized with rIL-12 (Genetics Institute, Cambridge, MA).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In vivo infection of DC following BCG administration

First, we tracked the presence of BCG bacilli in different leukocyte subsets of the spleen following i.v. administration to mice. For this purpose, bacteria were labeled with a green fluorescent dye (Syto-9) and then used to evaluate by FACS the infection rate of neutrophils and M{phi} (CD11c-CD11bhigh), DC (CD11c+), and B cells (B220+) from the spleen (Fig. 1GoA). As could be expected, ~2% of the neutrophils/M{phi} population was stained with bacteria-associated dye. However, a similar percentage of the DC population was also found to be stained by the labeled BCG 4 h after infection. In contrast, no green-labeled bacteria was found associated with B cells. These results were confirmed using a rBCG expressing a green fluorescent protein (our unpublished data).



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FIGURE 1. Infection of DC by M. bovis BCG. A, Mice were i.v. injected with 108 CFU of Syto-9-labeled rBCG.MalE. Spleen cells were harvested 4 h later and stained for CD11b, CD11c, or B220. Neutrophils/M{phi} (CD11bhigh), DC (CD11c+), and B cells (B220+) were gated and analyzed for Syto-9 BCG labeling. B, The number of CFU associated with spleen DC (purified as CD11c+ cells) was determined at days 1 and 12 following infection with 2 x 107 viable rBCG.MalE CFU. Total CFU in the spleen (open bar), CFU in the DC fraction (shaded bar), and CFU for 106 DC (filled bar) are shown. Results represent the mean CFU obtained for DC purified from three individual mice. C, Mean number of DC recovered per mouse for experiment in B.

 
We next determined whether mycobacteria survive and multiply within DC during the course of infection. It is well established that following i.v. administration of BCG to mice, the CFU number reaches its maximum in the spleen at 2 wk and remains stable until wk 3. Therefore, we compared the presence of viable BCG associated with DC at 1 and 12 days postinfection. We purified DC from individual mice to determine the number of CFU associated. As shown in Fig. 1GoB, at day 1, 10% of the viable BCG present in the spleen was found associated with DC. Interestingly, 12 days after infection, viable BCG was still found in the DC fraction, but the percentage of CFU found associated with the DC fraction dramatically dropped. It should be noticed that at this stage, the number of DC recovered from the spleen of infected mice was greatly increased (Fig. 1GoC). The well-documented hematopoietic effects of BCG (21) probably account for the abundance of DC at 12 days postinfection. Consequently, the number of BCG recovered from the total DC population isolated from individual mice remained unchanged from days 1 to 12. These results suggest that BCG can survive within the DC pool without apparent growth, although it cannot be ruled out that they were due to the continuous turnover of BCG and DC in the spleen. Alternatively, transfer of mycobacteria from other leukocytes to DC may also occur. In such a case, this may contribute to a prolonged antimycobacterial immune response.

We next performed immunohistochemical staining of spleen tissue sections to further characterize the fate of DC. Compared with control mice, an increased CD11c staining was observed in the periarteriolar lymphoid sheath (PALS) at 4 and 12 h after rBCG.MalE infection (Fig. 2Go, AC). This result indicates that DC were redistributed in the T cell zone, suggesting a maturation of DC in BCG-infected mice. At 12 days postinfection, the central arteriole was still surrounded by many CD11c+ cells, but their number was greatly increased in the marginal zone surrounding the follicle and in the red pulp (Fig. 2GoD). The presence of BCG bacilli in DC and M{phi} is also shown following purification of these cells (Fig. 2Go, E and F). Altogether these results show that BCG is present in splenic DC as well as in neutrophils and M{phi} during the infection process and that DC represents a host cell during mycobacterial infection.



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FIGURE 2. Distribution of DC following infection with BCG. Mice were i.v. injected with rBCG.MalE and spleens were removed at different time points postinfection. Immunoperoxidase labeling of spleen paraffin sections was performed. AD, Spleen sections single-stained with mAb specific for CD11c (red) were counterstained by hematoxylin. Control mouse (0 h in A) and BCG.MalE-injected mice at 4 (B) and 12 h (C) and 12 days (D) after infection. E and F, Zielh-Nielsen staining of BCG performed on spleen cells, MACS-enriched DC (E), and M{phi} (F) recovered from mice 12 days after infection. MZ, Marginal zone; FOLL, follicle. Original magnification, x200 (A–C).

 
Analysis of MHC and T cell costimulatory molecules on DC and M{phi} following BCG infection

Because an increased number of DC was observed in the splenic T cell area following BCG administration, we next analyzed the expression by these cells of costimulatory molecules required for T cell activation. Fifteen to 20% of DC showed an up-regulation of CD86 from 4 to 48 h postinfection (Fig. 3GoA). Up-regulation of CD80 and CD40 occurred more slowly but was observed on a much larger set of DC at day 2 postinfection, reaching ~50 and 35%, respectively (Fig. 3GoA). In agreement with the increased number of DC seen in the PALS (Fig. 2Go), these phenotypic changes concerned a large set of DC as compared with the low number of DC infected by the bacilli. This could indicate that direct interaction with mycobacterial products as well as bystander effects mediate DC maturation and activation in vivo. Because DC and M{phi} are similarly infected in the spleen, we compared the phenotypical changes of MHC class II and CD86 (Fig. 3GoB). Almost all DC were MHC class II positive (95%) in mice receiving PBS or BCG, whereas ~30 and 25% of M{phi} were positive in the PBS and BCG groups, respectively. CD86 was not detected on M{phi}, whereas it was up-regulated on DC (6 and 21% of positive cells in the PBS and BCG groups, respectively). These results indicate that DC, but not M{phi}, undergo functional activation/maturation in the early times of BCG.



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FIGURE 3. Expression of MHC II and costimulatory molecules on DC and M{phi}. A, Spleen cells obtained from naive mice (0 h) or from mice i.v. infected with 108 rBCG.MalE at different time points were stained with a panel of mAbs to detect CD80, CD86, and CD40 on DC. Dot plot analysis of gated CD11c+ cells recovered at the indicated time points is shown. The percentage of positive cells is indicated for each panel. B, Mice i.v. injected with PBS (shaded histograms) or with 108 BCG (open histogram) were stained for FACS analysis. CD11c+ (DC) and CD11bhighCD11c-Gr-1-/low (M{phi}) cells were gated and analyzed for the level of expression of MHC class II molecules and CD86. Markers delineate positive cells, and the percentage of positive cells is indicated (PBS vs BCG groups is indicated as PBS/BCG when different). Data are representative of two to three experiments.

 
Following BCG infection, efficient Ag-presenting activity is only detected on DC and is an early event requiring live bacteria

We next investigated the Ag-presenting activity ex vivo by harvesting spleens from infected mice. Four hours after i.v. administration of live BCG or rBCG.MalE, we prepared using a BSA gradient a low density cell fraction enriched in DC from spleens and monitored their capacity to stimulate the FBU.B11 T hybridoma, specific for a dominant MalE peptide (Fig. 4GoA). In these conditions, the in vivo formation of MalE peptide/MHC complexes on APC from rBCG.MalE-infected mice, but not from BCG.wt-infected mice, was detected ex vivo by the T cell hybridoma stimulation. Interestingly, when mice were i.v. injected with heat-killed rBCG.MalE, direct stimulation of FBU.B11 was hardly detectable (Fig. 4GoA), despite the fact that DC pulsed in vitro with heat-killed rBCG.MalE can efficiently stimulate FBU.B11 (data not shown). This indicates that live rBCG.MalE is necessary for efficient Ag presentation by APC in vivo. We then further investigated the kinetics of Ag-presenting activity ex vivo by harvesting spleens at various times after i.v. infection with live rBCG.MalE. The formation of MalE peptide/MHC complexes was detected at 2, 4, and 12 h after rBCG.MalE infection but was barely detectable at 48 h (Fig. 4GoB). When rBCG.MalE was injected s.c., Ag-presenting activity was detected ex vivo in draining lymph nodes from days 1 to 2 (data not shown), confirming the rapid loss of Ag-presenting activity in vivo.



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FIGURE 4. Ex vivo detection of mycobacteria-derived Ag following infection. A, DC-enriched spleen cells prepared from mice i.v. injected 4 h before with 108 CFU of live or heat-killed rBCG.MalE or live BCG.wt were used to directly stimulate FBU.B11 T hybridoma. B, At different time points following rBCG.MalE infection, DC-enriched fractions were prepared from spleens and used as APC to stimulate FBUB11. Twelve hours following i.v. administration of 5 x 107 rBCG.MalE (C and D) or 4 h following i.v. administration of MalE protein (E), DC, M{phi}, or B cells were purified by FACS and used to stimulate FBU.B11 in the presence (D) or absence (C and E) of exogenous p68–82 peptide (10 µg/ml). F, Twelve hours after infection with rBCG.MalE, DC subsets were purified as CD11c+, CD11c+CD8{alpha}+, and CD11c+CD8{alpha}- and used to directly stimulate FBU.B11. T hybridoma response was measured by the IL-2 content in 24-h supernatants detected using the CTLL cell line. Results are representative of two to four experiments.

 
Because DC and M{phi} were found infected with live bacilli, we assessed the Ag-presenting activity that could be associated with infection in vivo. Twelve hours after i.v. administration of rBCG.MalE, DC, M{phi}, and B cells were purified by FACS from spleen and we monitored their capacity to stimulate the FBU.B11 T hybridoma, specific for a dominant MalE peptide (Fig. 4GoC). Ag-presenting activity was only found associated with the DC population ex vivo. When the different APC were pulsed in vitro with the p68–82 peptide from MalE, all of them were able to stimulate FBUB11 (Fig. 4GoD). When mice were i.v. injected with soluble MalE protein, MalE peptide/MHC complexes were detected on DC, M{phi}, and B cells (Fig. 4GoE). In vitro and ex vivo, the same hierarchy of MalE peptide presentation was observed between the different APC probably reflecting the level of MHC II expression by these cell types.

Among CD8{alpha}+ and CD8{alpha}- DC, only the CD8{alpha}- DC subset was suggested to have phagocytic activity (22). Therefore, we investigated the capacity of these two subsets to present rBCG.MalE to T cells. Accordingly, we purified CD11c+CD8{alpha}+ and CD11c+CD8{alpha}- subpopulations from rBCG.MalE-infected mice. As shown in Fig. 4GoF, both DC subsets efficiently stimulated FBU.B11, demonstrating that MalE peptide/class II complexes were equally formed in vivo and displayed on these two types of DC. This latter result show that CD8{alpha}- as well as CD8{alpha}+ DC are able to present mycobacteria-derived Ags. Altogether, these results show that following BCG administration, MHC II presentation of mycobacteria-derived peptides is mainly performed by DC.

Ag presentation by DC is only transient

We then further investigated the kinetics of Ag-presenting activity during the BCG infection after purification of DC and M{phi}. One week after infection, DC recovered from the spleen were not able to stimulate FBU.B11, unless peptide was added in vitro, whereas 1 day following infection DC can directly stimulate FBU.B11 but not the control poliovirus-specific T hybridoma (Fig. 5GoA). As hematopoietic events take place along the infectious process, we checked that recruitment and production of new DC in the spleen did not dilute the small pool of Ag-presenting DC. As shown in Fig. 5GoB, the number of DC recovered from the spleen of infected mice was stable for the first 48 h, increased 2-fold at 8 days after infection, and increased 5- to 10-fold 12 days after infection. Therefore, during the first week of infection, the dilution of the infected DC pool by the arising DC pool could not account for the loss of in vivo Ag-presenting activity observed at days 2 and 8 postinfection. Then we asked whether DC became refractory to presentation for mycobacteria-derived Ag, as DC rapidly stop MHC II synthesis upon maturation. Mice were first infected with BCG.wt, and 48 h later they received a second dose of rBCG.MalE. Four hours after the second injection, the Ag-presenting activity of DC purified from these mice was compared ex vivo with DC from mice infected with a single dose of rBCG.MalE and with DC from mice infected 2 days before with BCG.wt (Fig. 5GoC). The first round of infection did not shut off the in vivo Ag-presenting activity of DC, as DC from mice receiving BCG.wt before rBCG.MalE were even slightly more efficient than DC from mice having only received rBCG.MalE, clearly showing that the loss of Ag presentation by DC was not associated with a refractory state.



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FIGURE 5. Ag-presenting activity during the course of infection. A and B, After in vitro depletion of neutrophils, DC and M{phi} were purified by MACS as CD11c+ and CD11c-CD11b+, respectively, from mice injected with 2 x 107 rBCG.MalE 1 or 8 days before or from untreated mice (two mice per group). A, APC (3 x 105), i.e., DC and M{phi}, were used directly or in the presence of relevant peptide to stimulate MalE-specific FBU.B11 T hybridoma or PV-specific 45G10 control T hybridoma as indicated. B, Relative number of DC recovered from spleens of BCG or rBCG.MalE-infected mice at different time points after infection (4 h, days 1, 2, 8 and 12) in several experiments. Results are normalized to the number of DC obtained from uninfected spleen in the same experiment with age-matched animals. C, Mice were first infected with 3 x 107 BCG.wt and were left untreated or reinjected 48 h later with 6 x 107 rBCG.MalE for 4 h. DC from these mice were tested for their ability to directly stimulate FBU.B11. DC purified from mice injected 4 h before with 6 x 107 rBCG.MalE served as a positive control. D, APC taken 8 days after rBCG.MalE infection (inf DC and inf M{phi}) or from naive mice (n DC and n M{phi}) were titrated for 45G10 stimulation with the PV peptide (10 µg/ml). T hybridoma response was measured by the IL-2 content in 24-h supernatants detected using the CTLL cell line.

 
As FBU.B11 can be stimulated by IFN-{gamma}-activated M{phi} pulsed in vitro with rBCG.MalE (data not shown), we asked whether M{phi} could also acquire this activity in vivo later during infection. Indeed, IFN-{gamma} production by T cells can be already detected a few days after BCG infection, and a slight increase of MHC II expression was detected on M{phi} 1 wk postinfection (data not shown). After depletion of contaminating neutrophils, we isolated M{phi} by MACS from mice infected 1 and 8 days before and tested their capacity to stimulate FBUB11. No Ag-presenting activity by these M{phi} purified at days 1 and 8 postinfection was detected in this ex vivo assay (Fig. 5GoA). Stimulation of FBUB11 was observed when the MalE peptide was added in vitro, showing that these M{phi} were not suppressive for the T cell readout assay. When M{phi} taken from mice infected 8 days before with rBCG.MalE were titrated with a given dose of PV peptide, they did not show any increase of stimulatory capacity for the PV-specific T cell hybridoma (Fig. 5GoD). In contrast, the same comparison performed with DC showed a slight increase of MHC II-restricted peptide presentation. Altogether, these result show that MHC II presentation of mycobacteria-derived peptides by DC is only transient and does not exceed the first 2 days. In contrast, MHC II presentation of mycobacteria-derived peptides by M{phi} remains undetectable along the BCG infection.

Characterization of cells producing IL-12 following BCG infection

IL-12 plays a key role both in the control of bacterial infection and in T cell priming and differentiation. Therefore, we analyzed the capacity of purified APC from mice infected with rBCG.MalE to produce IL-12. As shown in Fig. 6GoA, DC isolated from the spleen 12 h after in vivo infection produced IL-12 p40. In contrast, no IL-12 p40 was detected with M{phi} and B cells taken from infected mice (Fig. 6GoA) or with DC, M{phi}, and B cells isolated from naive mice (data not shown) or from MalE protein-injected mice. The capacity of DC to produce IL-12 p40 was further confirmed with DC isolated from draining lymph nodes 24 h after s.c. administration of rBCG.MalE (our unpublished data). No bioactive IL-12 p70 (usually produced in amounts 10- to 50-fold less than IL-12 p40 (2)) was detected, probably reflecting the low number of IL-12-producing cells. Upon interaction with specific T cells, purified DC from rBCG.MalE-infected mice produced larger amounts of IL-12 p40 (Fig. 6GoA). Among the DC population, both CD11c+CD8{alpha}+ and CD11c+CD8{alpha}- cells produced IL-12 in response to rBCG.MalE infection (Fig. 6GoB). Interestingly, ex vivo production of IL-12 p40 by spleen DC was only observed during the first few hours following rBCG.MalE infection but was not detected later during the course of infection (data not shown). This latter phenomenon may be due to regulatory events, as we detected small amounts of IL-10 produced by F4/80 cells 1 wk after infection (data not shown). This may also correspond to the paralysis of DC IL-12 production described recently in the Toxoplasma gondii model (23). Altogether, these results further confirm that only DC are able to initiate the innate immune response as well as the primary T cell responses in the early period of BCG infection.



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FIGURE 6. Analysis of IL-12 production by splenic APC following rBCG.MalE injection. A, Mice were i.v. injected with 108 CFU of rBCG.MalE or MalE in PBS. DC, M{phi}, or B cells were sorted 12 h later and plated at 105/well, with (+) or without (-) 105 FBU.B11 T cell hybridoma. B, CD8{alpha}+ and CD8{alpha}- subsets of DC were also sorted and plated as indicated, with 105 FBU.B11 cells. Cells were cultured for 24 h and then supernatants were analyzed for IL-12 p40 using sandwich ELISA. The IL-12 level is expressed in picograms per milliliter. Data represent the mean ± SD from three experiments for rBCG.MalE group and from two experiments for MalE/PBS group in A. One experiment representative of two is shown in B.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In the present study, we show that DC are infected in vivo by M. bovis BCG and establish the early involvement of DC as the unique leukocyte subset displaying T cell stimulatory activities during this mycobacterial infection.

Effectively, DC are rapidly infected by BCG in vivo and mycobacteria are still present in the DC population 2 wk after infection, showing they can survive into these cells. However, it seems that DC do not permit BCG growth in vivo, suggesting that DC may have bacteriostatic activity. Because little is known about mycobacteria-DC interaction, in sharp contrast to what is known about the M{phi} host cell, it is not clear whether the particular properties of the M{phi} mycobacterial phagosome (13, 14) can also take place in DC, allowing survival of mycobacteria. Recent studies indicate that DC have poor bactericidal activity leading to M. tuberculosis growth in human and murine DC in vitro (17, 24). However, the antimicrobial activity of DC varies depending on their maturity and on the microenvironment. Thus, mycobacterial growth is inhibited in murine DC treated with IFN-{gamma} and LPS (24), and IL-10 can convert human DC to M{phi} with antimycobacterial activity (16). It remains that these studies show that DC lack mycobacterial killing activity, which can explain the persistence of the BCG bacilli within the DC population in vivo. It should be noted that because Ag presentation by infected DC is rapidly lost, possibly due to an escape mechanism, DC can also represent a reservoir of mycobacteria.

Following i.v. administration of live rBCG, DC but not M{phi} acquire APC capabilities for mycobacterial-derived Ags, whereas in vitro studies showed that both cell types stimulate activated specific T cells following BCG infection (7). In the spleen, we selected M{phi} expressing CR3, known to mediate phagocytosis of mycobacteria (25), and we found mycobacteria in this M{phi} population after cell sorting. MHC II expression was low on these cells but sufficient to detect immunogenic peptide/MHC complexes after i.v. administration of soluble purified Ag. Although MHC II expression was slightly increased at late time points post-rBCG inoculation, presentation of mycobacterial-derived peptides by M{phi} was still undetectable ex vivo. This M{phi} population taken from infected mice was neither suppressive nor altered in its APC functions when fed in vitro with peptides or proteins. As live mycobacteria interfere with MHC II presentation in infected M{phi} by preventing phagosome acidification (13) and MHC II transport (26), this most likely explains the lack of Ag presentation of mycobacteria-derived peptides by infected M{phi}. This phenomenon does not occur in infected DC, probably because immature DC contain a large intracellular pool of MHC II molecules (27, 28) ready to be transported at the membrane once loaded with peptides, which represents a clear advantage for DC over M{phi} in the early times of infection. However, once they are mature, DC decrease MHC II synthesis (10), which dampens their capacity to present newly acquired Ag.

Interestingly, we failed to detect Ag-presenting activity ex vivo on DC 2 days after i.v. infection and along the acute phase of the infection, suggesting that Ag-specific CD4 T cell stimulation is only transient. Pancholi et al. (12) showed in vitro that after 2 days of culture with M. tuberculosis, both M{phi} and DC were able to stimulate CD4 T cells, whereas after 7 days of culture, M{phi}, but not DC, lose this ability. Our data indicate that DC can also be overwhelmed by mycobacterial infection and that MHC II presentation by DC is rapidly down-regulated. In vivo, as BCG infection develops, the number of DC observed in tissue sections is highly increased and they are widely distributed in all areas of the spleen. Local production and recruitment of DC from the periphery dilute the infected cell pool, which remains unchanged in number, and thus may contribute to the loss of detectable Ag presentation. However, the hematopoietic effects of BCG are rather limited at 2 days postinfection, a time where MHC II presentation by DC is almost completely lost. Cell death could explain the loss of Ag presentation, but in such a case it would be expected that capture of apoptotic bodies loaded with mycobacteria will lead to an efficient cross-presentation (29). An alternative will be that following a first step of infection of immature DC enabling Ag presentation, DC would die and release mycobacteria that as a second step will infect mature DC. This possibility is supported by the fact that in the early phase of infection the number of mature DC is much larger than the infected DC pool. Because the mature DC have decreased de novo synthesis of MHC II, presentation of newly acquired mycobacteria should be much less efficient. However, when we tested this hypothesis by performing two rounds of infection, the DC were still efficiently capable to present rBCG.MalE.

The fact that a mycobacteria-derived Ag is efficiently acquired by both CD8{alpha}+ and CD8{alpha}- subsets of DC for Ag presentation to T cells indicates that there is no predetermined relationship between one DC subset and intracellular bacteria. Earlier studies pointed out the poor phagocytic capabilities of the CD8{alpha}+ subset (22, 30), but recent studies seem to indicate that this subset can efficiently phagocytose (31, 32). Regarding in vivo interaction with bacteria, our results are consistent with a recent report showing that bacteria are found in both subsets of DC following infection of mice with Salmonella dublin (8); however, the two DC subsets seem to behave differently in terms of cytokine secretion in Salmonella typhimurium infection (33). Further studies will determine whether or not the contribution of the different DC subsets is important for the regulation of the immune response during mycobacterial infection.

IL-12 plays a pivotal role in the control of mycobacterial infection (34, 35) because it is involved at the level of both innate and acquired immunity through IFN-{gamma} production by NK and Th1 cells, respectively (2). The capacity of DC to produce IFN-{gamma} in vitro in response to IL-12 has also been recently evoked (36), suggesting that DC may participate directly in the control of bacterial infections. In many past studies, the production of IL-12 has been widely attributed to M{phi}. However, recent studies have demonstrated, using in situ detection of IL-12, that DC, but not M{phi}, represent the major source of IL-12, e.g., after injection of T. gondii extracts (5). Several M. tuberculosis-derived lipoproteins signal IL-12 production by M{phi} via Toll-like receptor 2 (37), which is also implicated in M{phi} activation by lipoarabinomannans (38, 39). Upon exposure to BCG, IL-12 production by activated M{phi} was shown to be dependent on IFN-{gamma}R expression (40), indicating that it is not an early event of mycobacterial infection. In this study we demonstrate the superior capacity of DC over M{phi} to produce IL-12 p40 following infection of mice with live BCG, but also with heat-killed BCG (data not shown) during the early phase of infection. In recent studies it has been pointed out that up-regulation of IL-12 p40 does not always represents a good indicator for up-regulation of IL-12 p70 in the presence of IL-4 or PGE2 (41, 42). In contrast, up-regulation of IL-12 p70 production was correlated with IL-12 p40 increase when CD40 was associated with in vitro soluble tachyzoite Ag stimulation (43). In the present study, we failed to detect IL-12 p70 in the supernatants of DC purified from infected animals, probably for sensitivity reasons. However, IL-12 p70 production by murine and human DC can be induced in vitro by mycobacteria (17, 24, 44).

In conclusion, we document in this study that DC is the major leukocyte subset involved in the triggering of the immune response to mycobacteria in vivo. In this process, DC activities are only transient and are limited to the early phase of infection, despite the fact that the DC population remains infected for a much longer period of time.


    Acknowledgments
 
We are grateful to Anne Louise for help in flow cytometry cell sorting and to Patrick Ave for immunohistochemistry.


    Footnotes
 
1 X.J. was supported by the Fok Ying Tung Education Foundation and Pasteur Weizmann Grants. Back

2 Current address: Laboratory of Immunology, National Institute on Deafness and Other Communication Disorders, National Institutes of Health, Rockville, MD 20850. Back

3 X.J. and R.L.-M. contributed equally to this work. Back

4 Address correspondence and reprint requests to Dr. Claude Leclerc, Unité de Biologie des Régulations Immunitaires, Institut Pasteur, 25 rue du Docteur Roux, 75724 Paris Cedex 15, France. E-mail address: cleclerc{at}pasteur.fr Back

5 Abbreviations used in this paper: M{phi}, macrophage; DC, dendritic cell; BCG, bacillus Calmette-Guérin; CM, complete medium; PV, poliovirus; LDC, low-density cell; HDC, high-density cell; PALS, periarteriolar lymphoid sheath. Back

Received for publication June 8, 2001. Accepted for publication November 27, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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E. J. Cheadle, D. O'Donnell, P. J. Selby, and A. M. Jackson
Closely Related Mycobacterial Strains Demonstrate Contrasting Levels of Efficacy as Antitumor Vaccines and Are Processed for Major Histocompatibility Complex Class I Presentation by Multiple Routes in Dendritic Cells
Infect. Immun., February 1, 2005; 73(2): 784 - 794.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
S. Marino, S. Pawar, C. L. Fuller, T. A. Reinhart, J. L. Flynn, and D. E. Kirschner
Dendritic Cell Trafficking and Antigen Presentation in the Human Immune Response to Mycobacterium tuberculosis
J. Immunol., July 1, 2004; 173(1): 494 - 506.
[Abstract] [Full Text] [PDF]


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Clin. Microbiol. Rev.Home page
D. A. Drevets, P. J. M. Leenen, and R. A. Greenfield
Invasion of the Central Nervous System by Intracellular Bacteria
Clin. Microbiol. Rev., April 1, 2004; 17(2): 323 - 347.
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J. Immunol.Home page
H. van Faassen, R. Dudani, L. Krishnan, and S. Sad
Prolonged Antigen Presentation, APC-, and CD8+ T Cell Turnover during Mycobacterial Infection: Comparison with Listeria monocytogenes
J. Immunol., March 15, 2004; 172(6): 3491 - 3500.
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J. Immunol.Home page
R. C. Alaniz, S. Sandall, E. K. Thomas, and C. B. Wilson
Increased Dendritic Cell Numbers Impair Protective Immunity to Intracellular Bacteria Despite Augmenting Antigen-Specific CD8+ T Lymphocyte Responses
J. Immunol., March 15, 2004; 172(6): 3725 - 3735.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
P. M. Coussens, C. J. Colvin, G. J. M. Rosa, J. Perez Laspiur, and M. D. Elftman
Evidence for a Novel Gene Expression Program in Peripheral Blood Mononuclear Cells from Mycobacterium avium subsp. paratuberculosis-Infected Cattle
Infect. Immun., November 1, 2003; 71(11): 6487 - 6498.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
M. Gonzalez-Juarrero, T. S. Shim, A. Kipnis, A. P. Junqueira-Kipnis, and I. M. Orme
Dynamics of Macrophage Cell Populations During Murine Pulmonary Tuberculosis
J. Immunol., September 15, 2003; 171(6): 3128 - 3135.
[Abstract] [Full Text] [PDF]


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BloodHome page
N. S. Wilson, D. El-Sukkari, G. T. Belz, C. M. Smith, R. J. Steptoe, W. R. Heath, K. Shortman, and J. A. Villadangos
Most lymphoid organ dendritic cell types are phenotypically and functionally immature
Blood, September 15, 2003; 102(6): 2187 - 2194.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
N. P. Goonetilleke, H. McShane, C. M. Hannan, R. J. Anderson, R. H. Brookes, and A. V. S. Hill
Enhanced Immunogenicity and Protective Efficacy Against Mycobacterium tuberculosis of Bacille Calmette-Guerin Vaccine Using Mucosal Administration and Boosting with a Recombinant Modified Vaccinia Virus Ankara
J. Immunol., August 1, 2003; 171(3): 1602 - 1609.
[Abstract] [Full Text] [PDF]


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Clin. Microbiol. Rev.Home page
I. Smith
Mycobacterium tuberculosis Pathogenesis and Molecular Determinants of Virulence
Clin. Microbiol. Rev., July 1, 2003; 16(3): 463 - 496.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
T. Kawashima, Y. Norose, Y. Watanabe, Y. Enomoto, H. Narazaki, E. Watari, S. Tanaka, H. Takahashi, I. Yano, M. B. Brenner, et al.
Cutting Edge: Major CD8 T Cell Response to Live Bacillus Calmette-Guerin Is Mediated by CD1 Molecules
J. Immunol., June 1, 2003; 170(11): 5345 - 5348.
[Abstract] [Full Text] [PDF]


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JEMHome page
M. Dalod, T. Hamilton, R. Salomon, T. P. Salazar-Mather, S. C. Henry, J. D. Hamilton, and C. A. Biron
Dendritic Cell Responses to Early Murine Cytomegalovirus Infection: Subset Functional Specialization and Differential Regulation by Interferon {alpha}/{beta}
J. Exp. Med., April 7, 2003; 197(7): 885 - 898.
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J. Immunol.Home page
J. L. Gansert, V. Kiebler, M. Engele, F. Wittke, M. Rollinghoff, A. M. Krensky, S. A. Porcelli, R. L. Modlin, and S. Stenger
Human NKT Cells Express Granulysin and Exhibit Antimycobacterial Activity
J. Immunol., March 15, 2003; 170(6): 3154 - 3161.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
L. Tailleux, O. Neyrolles, S. Honore-Bouakline, E. Perret, F. Sanchez, J.-P. Abastado, P. H. Lagrange, J. C. Gluckman, M. Rosenzwajg, and J.-L. Herrmann
Constrained Intracellular Survival of Mycobacterium tuberculosis in Human Dendritic Cells
J. Immunol., February 15, 2003; 170(4): 1939 - 1948.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
X. Jiao, R. Lo-Man, N. Winter, E. Deriaud, B. Gicquel, and C. Leclerc
The Shift of Th1 to Th2 Immunodominance Associated with the Chronicity of Mycobacterium bovis Bacille Calmette-Guerin Infection Does Not Affect the Memory Response
J. Immunol., February 1, 2003; 170(3): 1392 - 1398.
[Abstract] [Full Text] [PDF]


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JEMHome page
S. H.E. Kaufmann and U. E. Schaible
A Dangerous Liaison between Two Major Killers: Mycobacterium tuberculosis and HIV Target Dendritic Cells through DC-SIGN
J. Exp. Med., January 6, 2003; 197(1): 1 - 5.
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JEMHome page
T. B.H. Geijtenbeek, S. J. van Vliet, E. A. Koppel, M. Sanchez-Hernandez, C. M.J.E. Vandenbroucke-Grauls, B. Appelmelk, and Y. van Kooyk
Mycobacteria Target DC-SIGN to Suppress Dendritic Cell Function
J. Exp. Med., January 6, 2003; 197(1): 7 - 17.
[Abstract] [Full Text] [PDF]


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JEMHome page
L. Tailleux, O. Schwartz, J.-L. Herrmann, E. Pivert, M. Jackson, A. Amara, L. Legres, D. Dreher, L. P. Nicod, J. C. Gluckman, et al.
DC-SIGN Is the Major Mycobacterium tuberculosis Receptor on Human Dendritic Cells
J. Exp. Med., January 6, 2003; 197(1): 121 - 127.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
R. M. Syme, J. C. L. Spurrell, E. K. Amankwah, F. H. Y. Green, and C. H. Mody
Primary Dendritic Cells Phagocytose Cryptococcus neoformans via Mannose Receptors and Fc{gamma} Receptor II for Presentation to T Lymphocytes
Infect. Immun., November 1, 2002; 70(11): 5972 - 5981.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
U. Yrlid and M. J. Wick
Antigen Presentation Capacity and Cytokine Production by Murine Splenic Dendritic Cell Subsets upon Salmonella Encounter
J. Immunol., July 1, 2002; 169(1): 108 - 116.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Crit. Care Med.Home page
D. Dreher and L. P. Nicod
Dendritic Cells in the Mycobacterial Granuloma Are Involved in Acquired Immunity
Am. J. Respir. Crit. Care Med., June 15, 2002; 165(12): 1577 - 1578.
[Full Text] [PDF]


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