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*
National Institute of Immunology, New Delhi, India;
Central Drug Research Institute, Lucknow, India; and
Regional Medical Research Center, Bhubaneswar, India
| Abstract |
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, IL-1
), but not the T cell-directed cytokine IL-12.
Induction of some transcriptional regulators of the NF-
B family,
crucial for the expression of proinflammatory cytokines, is also poor
in Btk-deficient macrophages. Thus, Btk appears to be involved in
signaling for inducible effector functions, but not APC functions, in
macrophages. Furthermore, adoptive transfer of T cells from mf-infected
xid or wild-type mice did not alter the course of mf
clearance in recipients, mf clearance was unaltered in
IFN-
-deficient mice, and improved mf clearance was seen only if
greater inducibility of IL-12 was accompanied by greater NO secretion
from macrophages, as seen in Ityr C.D2
mice as compared with congenic Itys
BALB/c mice. Thus, delayed mf clearance in xid mice was
correlated not with the high IL-12/Th1 phenotype but with low NO
induction levels. Also, xid macrophages showed poor
toxicity to mf in vitro as compared with wild-type macrophages.
Inhibition of NO production blocked this mf cytotoxicity, and an
NF-
B inhibitor blocked both NO induction and mf cytotoxicity. Thus,
Btk is involved in inducing many macrophage effector functions, and
delayed mf clearance seen in Btk-deficient xid mice is
due to poor NO induction in macrophages, resulting in compromised
microfilarial toxicity. | Introduction |
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Immunological studies performed in immunocompromised mice have been very useful in dissecting the nature of immunity in experimental filariasis, notwithstanding the fact that even such mice are not always fully susceptible to development of filarial parasites (21, 22). However, in immunocompetent mice, i.p. injected microfilaria (mf)4 can survive in peripheral blood for about 4 wk (23), although in T cell-deficient nude or SCID mice they survive for much longer times, establishing that active immunity is responsible for accelerated clearance, although the role of various components of the immune system in such clearance is still unclear.
We have reported previously that X-linked immunodeficient
(xid) mice lacking functional Brutons tyrosine kinase
(Btk) show prolonged persistence of circulating mf (16).
Anti-mf T cell proliferative responses are enhanced, and the T cell
cytokine pattern is skewed in the Th1 direction with relative dominance
of IFN-
in xid mice in comparison to wild-type mice
(16). This bias is due to decreased induction of inducible
NO synthase (iNOS) in the xid macrophages due to the absence
of functional Btk, leading to derepression of IL-12 induction, in turn
causing the observed Th1 cell cytokine bias (24).
What is the role of the observed Th1 bias in anti-mf T cell
responses found in xid mice in their inability to clear mf
rapidly? There is some controversy about the precise role of the T cell
cytokine balance in filarial infection. The T cell responses of
asymptomatic humans with microfilaraemia show a prominence of Th2
cytokines such as IL-4, while T cells from symptomatic patients of
elephantiasis show a relative dominance of the Th1 cytokine IFN-
, as
do some putatively immune "endemic normal" individuals (2, 12). However, Th2 responses appear to be protective in some
experimental animal models (10, 25, 26, 27).
In contrast, our previous data also show that some macrophage effector functions may be compromised in Btk-deficient macrophages, because NO induction is severely inhibited (24). The mf are highly susceptible to NO and peroxynitrite-mediated damage in vitro (28), and mf clearance in mice can be delayed by administration of aminoguanidine (AG) (29), an inhibitor of iNOS (30, 31). However, we have also observed that NO negatively regulates IL-12 induction (24), and it therefore remains possible that the role played by macrophage NO in the mf clearance defect in xid mice is connected to Th1 cytokine biases rather than to macrophage effector functions.
On this background, we have investigated the effect of Btk deficiency
on macrophage effector functions as well as the roles played by Th1
anti-mf T cell responses, particularly with reference to the role
of IFN-
, in mf clearance. We show in this study that the induction
of macrophage effector functions is selectively inhibited by Btk
deficiency, and, while mf clearance rates remain unaffected by Th1
cytokine patterns or the lack of IFN-
, they are critically dependent
on macrophage effector functions, particularly on NO induction.
| Materials and Methods |
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BALB/c, CBA/J, CBA/N, DBA/2 wild-type, and DBA/2
IFN-
-/- mice (The Jackson Laboratory, Bar
Harbor, ME) and C.D2 mice (gift of Dr. E. Skamene, University of
Montreal, Montreal, Canada), bred and maintained in the Small Animal
Facility of National Institute of Immunology (New Delhi, India), were
used for experimental studies. Mice were used at 612 wk of age, and
all experiments were done with the approval of the Institutional Animal
Ethics Committee.
Parasites
Setaria digitata adult worms were collected from the peritoneal cavity of slaughtered cattle. Live mf of S. digitata were harvested in vitro from gravid female worms. Mice were challenged i.p. with mf (1 x 1051 x 106 mf per mouse) and the clearance of mf from peripheral blood was monitored by counting mf twice a week in 10- to 20-µl Giemsa-stained thick blood smears.
Preparation of mf Ags
An aqueous extract of mf Ags was prepared by sonicating 1 x 1010 mf in PBS (12 cycles of 4 min each) followed by centrifugation at 10,000 rpm for 10 min. The supernatant, referred to as mf sonicate, was kept as aliquots in liquid nitrogen until further use.
Macrophage stimulation assays
Bone marrow macrophages were grown by culture of bone marrow
cells in M-CSF-containing L929-conditioned medium (30% final
concentration) for 812 days as described (32).
Peritoneal exudate cells were harvested from mice as described earlier
(24). Plastic-adherent macrophages from these cells were
stimulated for 48 h with titrating doses of either bacterial LPS
(Salmonella typhosa; Sigma-Aldrich, St. Louis, MO), or
recombinant mouse IFN-
(Genzyme, Boston, MA). Where indicated,
macrophages were pretreated with the iNOS inhibitor AG (Sigma-Aldrich)
for 60 min before stimulation. Culture supernatants were harvested from
these cultures after 48 h for assaying induction of cytokines
and NO.
Cytokine assays
The cytokines TNF-
, IL-1
, and IL-12 in the macrophage
culture supernatants were quantified by two-site sandwich enzyme-linked
immunoassay according the manufacturers protocols (BD PharMingen, San
Diego, CA). Standard curves for the cytokines were obtained using
recombinant standard proteins.
Estimation of nitrite accumulation
NO, produced by activated macrophages, reacts with oxygen to form nitrite and nitrate. As an indication of NO induction, the nitrite concentrations in the culture supernatants were measured using the Griess reaction (33) and quantified using a standard curve of sodium nitrite.
Western blot analyses
Western blot analysis was used to compare the induction of both
cellular iNOS protein levels and nuclear levels of proteins of the
NF-
B family in macrophages stimulated with LPS (10 µg/ml) for
3648 h. Cell lysates or nuclear extracts were prepared as described
(34, 35), centrifuged at 20,000 rpm (Beckman Coulter,
Fullerton, CA), dialyzed, and stored at -70°C. Cell lysates
or nuclear extracts (20 µg protein/lane) were separated in a 10%
SDS-PAGE under reducing conditions. Following electrophoretic transfer
to nitrocellulose membranes, incubations were done with
affinity-purified goat Abs to the NF-
B family proteins
c-rel, p65, or p50 (Santa Cruz Biotechnology, Santa Cruz,
CA) followed by anti-goat Ig-HRP conjugate (Sigma-Aldrich). Blots
were developed by chemiluminescence using manufacturers protocols
(Amersham, Little Chalfont, U.K.). Images were scanned and analyzed
using National Institutes of Health Image shareware (National
Institutes of Health, Bethesda, MD).
T cell adaptive transfer
Mice, xid or wild-type, were infected i.p. with 2 x 106 S. digitata mf and euthanized after 15 days. Splenic T cells were purified over nylon wool columns (16) and transferred either into naive xid or wild-type recipients. Mice were challenged i.p. with mf and the clearance of mf from peripheral blood was monitored.
Bactericidal assay
Comparison of bactericidal activities between xid and wild-type mice was performed as described (36). In brief, peritoneal macrophages from either strain of mice were incubated in triplicate cultures at a ratio of 1:10 with live Escherichia coli opsonized in 10% anti-E. coli serum. After 10 min, cells were washed and incubated further for varying periods of time, with 10 µg/ml gentamicin included for killing extracellular cell-adherent bacteria. At various time points during this incubation, cell aliquots were lysed with sodium deoxycholate and 10-µl aliquots were transferred into 100 µl of 10% Luria-Bertani Alamar blue (BioSource International, Camarillo, CA) in 96-well plates. The Luria-Bertani Alamar blue cultures were incubated at 37°C and then the absorbance was measured at 570 nm. Numbers of live bacteria were calculated by running standard curves of known bacterial concentrations. Bactericidal activity was expressed as the percentage of bacteria alive at each point of incubation time with reference to the number of bacteria found at 0 h of incubation time.
Microfilarial toxicity assay
Actively motile S. digitata mf (
1000/well) were
incubated with 35 x 105 peritoneal
macrophages from either xid or wild-type mice (three to five
mice per group) for 48 h in 96-well tissue culture plates. Where
appropriate, macrophages were pretreated with the various modulators
shown for 1 h before addition of mf. Microfilarial toxicity was
monitored by recording the percentage of motile mf by microscopic
observation. At least 200 mf per well were counted. Irreversibility of
microfilarial toxicity was confirmed by subsequent culturing of the mf
in macrophage-free medium for a further 24 h.
Statistical analysis
Data were analyzed using Students t test wherever applicable.
| Results and Discussion |
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Btk-deficient macrophages show poor microbicidal functions
The microbicidal functions of Btk-deficient macrophages were
therefore directly examined next. Macrophages from xid or
wild-type mice were incubated with opsonized E. coli for 10
min and incubated for various times before being lysed. The numbers of
surviving bacteria in the lysates were estimated by growth in
Luria-Bertani Alamar blue (36). The bactericidal ability
of xid macrophages was significantly poorer than that of
wild-type cells (Fig. 1
). Thus, in 2
h of incubation, the wild-type cells reduced bacterial viability by
>98%, while more than one-third of the input bacteria were still
alive in the xid macrophage cultures
(p < 0.01). By the end of 3 h practically
all input bacteria were killed by the wild-type macrophages, but
15% of the input bacteria were still alive in cultures with
xid macrophages (p < 0.01).
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The induction of reactive intermediates such as NO or reactive oxygen intermediate species is critically important for macrophage-mediated microbicidal activity (40, 41, 42). We have already demonstrated the defective induction of NO in xid macrophages, and preliminary results indicate that reactive oxygen species induction is also poor in them (data not shown).
Poor induction of proinflammatory cytokines in xid macrophages
Upon stimulation, macrophages secrete TNF-
and IL-1
(43, 44), two major proinflammatory cytokines that have
profound consequences on the efficacy of the innate effector immune
responses during clearance of infections (45, 46, 47). The
expression of these cytokines depends critically on the activation of
members of the NF-
B family of regulatory proteins (48, 49). The efficiency of induction of these cytokines in
macrophages from xid or wild-type mice was examined by
stimulating them in vitro with bacterial LPS and estimating these
cytokines in the culture supernatants 48 h later. The levels of
induction of both cytokines (TNF-
and IL-1
) were higher in
wild-type than in xid macrophages, while higher levels of
IL-12 were induced from xid macrophages as we have reported
earlier (Fig. 2
). In multiple independent
experiments, the concentration of LPS needed to generate equivalent
induction went up by 6-fold for TNF-
and 10-fold for IL-1
(p < 0.001) for xid macrophages
over wild-type cells. Because these proinflammatory cytokines are also
known to be directly cytotoxic for a number of parasitic pathogens
(45, 46, 47), it was possible that they could be contributing
to the delayed mf clearance observed in xid mice (16, 50).
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and IL-1
was also similarly indirect and dependent on the induction of NO.
However, the inclusion of the iNOS inhibitor AG (30, 31)
in the LPS-activated macrophage cultures did not change the levels of
TNF-
or IL-1
induction in either wild-type or xid
macrophages (Fig. 3
and IL-1
induction was NO independent, unlike the effect on IL-12 induction,
which was a consequence of poor NO induction (see Ref. 24
and Fig. 3
|
. The
Btk-deficient macrophage phenotype, characterized by low levels of NO
and TNF-
and high levels of IL-12 induction, was observed in bone
marrow macrophages as well (Fig. 4
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B family of transcriptional regulators has been shown
to be important for microbicidal activity as well as the induction of
expression of both TNF-
and IL-1
(48, 49, 51), we
examined whether xid macrophages also showed deficient
induction of nuclear translocation of NF-
B. Three members of the
NF-
B family, p50, p65, and c-rel, were examined by
Western blot analyses of nuclear extracts from LPS-activated
macrophages of either wild-type or xid mice. Low levels of
p65 could be observed in nuclear extracts even in the absence of LPS
stimulation, possibly because these were thioglycolate-elicited
peritoneal macrophages. However, induction of all three members of the
rel family could be clearly observed (
3- to 5-fold in
multiple experiments) in the case of wild-type macrophages, while
xid macrophages showed no induction of either
c-rel or p65, although some degree of p50 induction could be
observed (Fig. 5
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We have shown previously that macrophages from xid mice
secrete much more IL-12 than those from wild-type mice do
(24). We therefore asked whether the poor rate of mf
clearance in xid mice was directly correlated with the
presence of high levels of IL-12 per se. We have observed (Fig. 6
A) that LPS stimulation
induces higher levels (
10-fold shift of dose response curves in
multiple experiments) of IL-12 from macrophages of C.D2 mice than from
BALB/c macrophages. The two strains are congenic for the
Ity/Bcg/lsh locus, which is controlled
by the expression of the endolysosomal transporter natural resistance
associated macrophage protein-1 (NRAMP-1) (52, 53).
These enhanced levels of IL-12 induction in C.D2 macrophages were not
associated with any reduction of nitrite accumulation, unlike in
xid cells. In fact, nitrite accumulation was higher in
LPS-stimulated Ityr C.D2 macrophage
cultures than in Itys BALB/c macrophage
cultures (Fig. 6
A), although the level of iNOS protein
induction was equivalent between the two groups (Fig. 6
B).
This is possibly due to the role of the NRAMP-1 molecule in NO
transport (54). Thus, while xid and C.D2
macrophages showed higher levels of IL-12 induction than their
respective wild-type counterparts, xid cells also showed
compromised iNOS induction while C.D2 cells did not. However, when the
rate of mf clearance was compared between BALB/c and C.D2 mice, no
significant differences could be seen at low input numbers of mf
(2 x 105 mf/mouse), while C.D2 mice showed
significantly faster clearance at higher input numbers (1 x
106 mf/mouse; Fig. 6
C). Thus, the rate
of mf clearance does not correlate with the levels of IL-12 induced but
does correlate with NO levels induced. It was therefore possible that
compromised effector functions in xid macrophages could be
the major cause for poor mf clearance.
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(16). Because xid mice clear injected mf far
more slowly than wild-type mice (16), it was possible that
Th1 cell responses led to delayed clearance of introduced mf in
xid mice. To examine whether Th1/Th2-dominated anti-mf T
cell responses could themselves have any major effect on the rate of mf
clearance, we purified T cells from mf-infected wild-type or
xid mice at day 15 postinjection and transferred them into
naive wild-type or xid mice. These recipients were then
given mf and the kinetics of mf clearances were estimated over time.
Wild-type mice showed unaltered rates of mf clearance whether they had
been given T cells from mf-infected xid or wild-type donors,
and xid recipients showed delayed clearance despite
receiving T cells from wild-type mf-infected donors (Fig. 7
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, were in themselves critically important in
controlling the rate of mf clearance was further examined directly by
using IFN-
-/- mice. It has been shown
earlier that IFN-
-/- mice do not show any
significant alteration in the rate of mf clearance (3).
However, these data have been obtained using
IFN-
-/- mice of the C57BL/6 background
(3), and it is known that the C57BL/6 genotype is
particularly resistant to filarial infections. Therefore, we used a
sensitive genotype in which mf clearance is less rapid and examined the
effect of the lack of IFN-
in such a strain. We have observed that
DBA/2 mice show a particularly slow rate of mf clearance (data not
shown). Therefore, the mf clearance rate was compared between wild-type
and IFN-
-/- DBA/2 mice. Clearance of
microfilaraemia was similar in both groups, suggesting that presence or
absence of IFN-
made little difference (Fig. 7Btk-deficient macrophages show poor microfilarial toxicity correlating with poor induction of NO
Because bactericidal activity was poorer in xid mice
compared with wild-type mice, we examined whether cytotoxicity was also
compromised for large extracellular parasites such as mf in
Btk-deficient macrophages. When actively motile mf of S.
digitata were incubated in vitro with wild-type macrophages for
48 h, over two-thirds of them were rendered nonmotile (Fig. 8
A). However, if
xid macrophages were used instead, over three-fourths of the
mf retained excellent motility at the end of 48 h of coincubation
(Fig. 8
A), demonstrating that Btk-deficient macrophages show
poor microfilarial toxicity.
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Because the absence of Btk leads to poor induction of the NF-
B
family of transcription factors (Fig. 5
), we asked whether NF-
B
induction was essential for the cytotoxicity of macrophages toward mf.
When the NF-
B inhibitor caffeic acid phenethyl ester
(55) was added to the macrophage-mf cocultures, there was
a dramatic blockade of mf cytotoxicity, accompanied by a reduction of
NO induction (Fig. 9
), consistent with a
crucial role for NF-
B induction in the expression of iNOS and the
resultant mf toxicity exhibited by macrophages. These data suggest that
Btk-mediated induction of NF-
B is crucial in mediating
microfilaricidal functions of macrophages.
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Our data also identify an interesting division of macrophage functions
between those important for T cell activation such as Ag presentation,
costimulation, or T cell-directed cytokines like IL-12 on the one hand
and "innate effector" functions such as induction of reactive
metabolites, proinflammatory cytokines, and microbicidal activity on
the other. Btk appears to be largely irrelevant for the first category
of functions, while it plays a major role for the second category. The
precise point at which Btk intervenes in signaling effector macrophage
functions remains to be determined, but it is quite likely to be at the
level of controlling NF-
B induction, because the NF-
B family has
been suggested to play a central role in regulating innate effector
functions of phagocytic cells (56). Finally, it is
noteworthy that in common with other signals mediated in B cells by Btk
(57), its role in the effector functions of macrophages
also appears to be partially redundant, because none of the affected
functions is completely blocked. Whether this is the result of other
tyrosine kinases being able to replace Btk-mediated signaling is not
yet clear.
| Acknowledgments |
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| Footnotes |
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2 Current address: Center for DNA Fingerprinting and Diagnostics, Hyderabad, India. ![]()
3 Address correspondence and reprint requests to Dr. Satyajit Rath, National Institute of Immunology, Aruna Asaf Ali Road, New Delhi 110 067, India. E-mail address: satyajit{at}nii.res.in ![]()
4 Abbreviations used in this paper: mf, microfilaria; AG, aminoguanidine; Btk, Brutons tyrosine kinase; iNOS, inducible NO synthase; NRAMP-1, natural resistance associated macrophage protein-1; xid, X-linked immunodeficient. ![]()
Received for publication February 14, 2001. Accepted for publication January 9, 2002.
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