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Departments of
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Pathology and Laboratory Medicine and
Microbiology, School of Medicine, University of Pennsylvania, Philadelphia, PA 19104
| Abstract |
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| Introduction |
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, IL-1
, IL-6, and IL-12, whereas NK cells secrete IFN-
. IFN-
in conjunction with TNF-
further activates macrophages enhancing their listeriocidal activities (1). During early phase of Lm infection, activated macrophages, neutrophils (4), NK cells, and 
T cells (5) all play important roles in containing bacterial replication. Adaptive immune responses, which take several days to develop, play no significant roles in the early phase of primary infection. It is well recognized that Lm infection is associated with severe apoptosis of thymocytes, hepatocytes, and splenocytes (6, 7, 8). Apoptosis of lymphocytes is evident as early as 24 h after Lm infection (7). The underlying mechanisms of apoptosis following Lm infection and its contribution to the host defense are not clear. It has been speculated that apoptosis of infected hepatocytes serves to limit the spreading of the bacterium (9). However, apoptosis of immune cells would diminish host defense and facilitate the spread of intracellular pathogens. Fas-Fas ligand (FasL) interaction does not appear to contribute to apoptosis in primary listeriosis (10, 11). However, the roles of other death receptors in apoptosis during primary Lm infection are not clear.
TRAIL induces apoptosis of tumor cells but not most normal cells (12, 13). In humans, TRAIL interacts with at least four membrane receptors that all belong to the TNFR family. TRAIL receptor 1 (TRAIL-R1; or death receptor (DR) 4) (14) and TRAIL-R2 (DR5), TRICK2, or KILLER) (15, 16) have cytoplasmic death domains, and can activate both caspases and NF-
B (17). The other two receptors, TRAIL-R3 (decoy receptor 1) and TRAIL-R4 (decoy receptor 2), have truncated death domains. They are not capable of activating the caspase cascade, but may activate NF-
B and block apoptosis (18). Additionally, osteoprotegerin is a soluble receptor for TRAIL (18, 19), which is known to inhibit osteoclastogenesis and increase bone density. In mice, only one TRAIL death receptor has been identified, which shares the highest sequence homology with human DR5 (16). Similar to humans, mice also have at least two decoy receptors that do not have intracellular domains (17). Recent studies indicate that in addition to inducing apoptosis of tumor cells, TRAIL is also involved in the death of hepatocytes, thymocytes, and neurons (20, 21, 22). To explore the potential roles of TRAIL in Lm-induced apoptosis, we studied listeriosis in mice deficient in TRAIL. We found that TRAIL plays a crucial role in Listeria-induced apoptosis and listeriosis.
| Materials and Methods |
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Normal C57BL/6 and BALB/c mice were purchased from The Jackson Laboratory (Bar Harbor, ME). TRAIL/ mice were generated by gene targeting as described (20), and have been backcrossed for >10 generations to BALB/c mice. All mice were housed in the University of Pennsylvania animal facilities under pathogen-free conditions. Virulent Lm (strain 104035) were grown in Brain Heart Infusion (BD Biosciences, San Jose, CA). Log-phase growing cultures were washed twice with PBS and stored at 70°C until use. Mice were injected via tail vein with 200 µl of PBS with or without bacteria. Livers and spleens from infected mice were removed at different time points after Lm infection, and organ homogenates were used for bacterial test.
TRAIL blockade in vivo using soluble DR5 (sDR5)
C57BL/6 mice were injected i.v. with sDR5 (100 µg/mouse) 6 h before i.v. injection of 5 x 104 CFU of Lm. The DR5 injection was repeated 24 and 48 h later. Mice were sacrificed 72 h after the infection.
Histochemistry, fluorescent microscopy, and TUNEL analysis (23)
Tissues were fixed in 10% Formalin and embedded in paraffin. Tissue sections (5 µm) were prepared, stained by H&E or TUNEL as described (23). The number of apoptotic cells in tissue sections was determined by light microscopy in a blinded manner. The total areas of tissue sections were measured using the Image-Pro Plus software (Media Cybernetics, Silver Spring, MD). The degree of apoptosis in the tissue was calculated as follows: the number of apoptotic cells/total area of the sections measured. A total of 10 tissue sections were analyzed for each animal. For fluorescent microscopy, sections were fixed with cold acetone, incubated with anti-CD11b or anti-Listeria Ab and Alexa 488-labeled secondary Ab, stained by TUNEL, and visualized using a Leica DM R fluorescence microscope (Wetzlar, Germany).
Alanine aminotransferase (ALT) assay
Ten- to 11-wk-old TRAIL+/+ and TRAIL/ BALB/c mice were infected with Lm at a dose of 5 x 103 CFU/0.2 ml/mouse via tail vein. Blood samples were collected, and serum ALT measured using the GP-Transaminase ALAT/GTP kit (Sigma-Aldrich, St. Louis, MO).
Preparation of organ extracts for cytokine assay
Liver and spleen were aseptically removed from the mice and homogenized in RPMI 1640 containing 1% CHAPS (Calbiochem, La Jolla, CA) at a ratio of 1:10 (w/v). The homogenates were centrifuged at 2000 x g for 20 min, and the supernatants were collected for the cytokine assay.
Cytokine assay
Abs for IL-12, IL-6, IL-4, IFN-
, and TNF-
were purchased from BD Pharmingen, whereas Abs for IL-1
were purchased from R&D Systems (Minneapolis, MN). All cytokine standards were purchased from BD Pharmingen. Cytokines in organ extracts and the serum were measured by quantitative ELISA per the manufacturers recommendations.
Flow cytometry
Cells from spleen and liver were labeled at 4°C with the following Ab reagents: Ly-6G-FITC (Gr-1, Clone: RB6-8C5; Caltag Laboratories, Burlingame, CA), anti-CD11b-Tricolor (Clone: M1/70.15; Caltag Laboratories), neutrophil-PE or neutrophil-FITC (Clone: 7/4; Caltag Laboratories), F4/80-FITC (Clone: CI-A3-1; Caltag Laboratories), anti-CD45R-FITC (B220, RA36B2; Caltag Laboratories), anti-CD4-PE (CT-CD4; Caltag Laboratories), anti-CD8-Tricolor (CT-CD8
; Caltag Laboratories), anti-NK-PE (Clone: DX5; BD Biosciences), anti-TRAIL-PE (Clone: N2B2; eBioscience, San Diego, CA), and anti-DR5-PE (Clone: MD5-1; eBioscience). After washing, cells were fixed in 1% paraformaldehyde in PBS. Cells were analyzed on a FACSCalibur (BD Biosciences) using the CellQuest program (BD Biosciences). Data were further processed using the FlowJo software (Tree Star, San Carlos, CA).
| Results |
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To explore the roles of TRAIL in host defense against Lm infection, we studied listeriosis in TRAIL/ BALB/c mice or mice injected with a blocking soluble TRAIL-R. Following a sublethal dose of Lm infection, the numbers of bacteria recovered from the liver and spleen of TRAIL+/+ mice were 10100 times greater than those from TRAIL/ mice on days 3 and 7 (Fig. 1, AD). This was also confirmed by direct Grams staining of the tissue (our unpublished observation), which detected much less bacteria in TRAIL/ sections. Importantly, when injected with a lethal dose of Lm (2.5 x 104 CFU/mouse), the fatality was reduced from 85% (n = 13) in TRAIL+/+ mice to 8% (n = 12) in TRAIL/ mice 4 days after the infection.
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Cell death and tissue injuries are reduced in TRAIL-deficient mice during listeriosis
Pathological signs of listeriosis are most evident during the first few days of infection. In TRAIL+/+ mice, severe liver and spleen injury was readily detectable by histochemistry or aminotransferase assay. This was dramatically reduced in TRAIL/ mice (Fig. 2). The blood ALT level, an indicator of hepatic injury, was significantly higher in TRAIL+/+ than in TRAIL/ mice (Fig. 2H). To determine whether cell death in listeriosis is mediated through apoptosis, we performed TUNEL analysis of tissue sections. Large numbers of TUNEL+ cells were detected in the spleen of TRAIL+/+ mice 1 day after Lm infection (Fig. 2C), but this was dramatically reduced in TRAIL/ mice (Fig. 2D). Because the bacterial numbers in the liver and spleen of TRAIL+/+ and TRAIL/ mice were similar 1 day postinfection (4.1 ± 0.5 x 105 vs 3.6 ± 0.6 x 105, CFU/liver, and 19 ± 3 x 105 vs 16 ± 3 x 105, CFU/spleen, respectively), it may be concluded that the difference in cell death was not due to differences in bacterial load. Furthermore, sDR5 injection dramatically inhibited apoptosis induced by Lm infection (Fig. 3, AC). Taken together, these results demonstrate that TRAIL plays important roles in the pathogenesis of listeriosis.
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To determine whether listeriosis alters the expression of TRAIL and DR5, we performed flow cytometry using specific Abs (Fig. 3D). We found that NK cells but not other mononuclear cells from spleen and liver dramatically increased TRAIL expression during listeriosis (Table I). Before Lm infection, lymphoid and myeloid cells in the liver and spleen expressed no or very low levels of TRAIL. One day after the Lm infection,
4% of NK cells expressed TRAIL, and this was increased to 21% and 35% in the spleen and liver, respectively, 3 days after the infection (Table I). Unlike TRAIL, DR5 was widely expressed by multiple cell types including lymphoid and myeloid cells before Lm infection. The expression was further increased 1 and 3 days after the infection especially in myeloid cells (Tables II and III). These results indicate that while many cell types can be targeted by TRAIL to undergo apoptosis, the effector cells of TRAIL action in listeriosis are primarily of NK cell lineage.
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It is well recognized that lymphocytes undergo acute apoptosis and are quickly depleted during the early phase of Lm infection (7, 24). Remarkably, this process was significantly blocked in TRAIL/ mice (Fig. 4A) or mice injected with a soluble blocking TRAIL-R (Fig. 4B). These results indicate that TRAIL is involved in the apoptosis of lymphocytes in Lm-infected mice.
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Myeloid cells are essential for the innate immunity against Lm infection. Neutrophils together with resident macrophages in the spleen and Kuffers cells in the liver play critical roles in capturing and destroying Lm. Interestingly, more myeloid cell death occurred in TRAIL+/+ mice than in TRAIL/ mice as determined by in situ TUNEL and double-staining immunohistochemistry (Fig. 5). Consequently, the numbers of neutrophils and macrophages in both spleen and liver of TRAIL/ mice were markedly increased as compared with TRAIL+/+ mice following Lm infection (Fig. 6, A and B). This led to significant splenomegaly in TRAIL/ mice. As expected, mice injected with the sDR5 exhibited similar changes in their myeloid responses to listeriosis as in TRAIL/ mice (Fig. 6C). These results demonstrate that TRAIL is involved in apoptosis of myeloid cells during acute Lm infection.
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, IL-6, and IL-1
in the liver extracts of TRAIL/ mice were 15 ± 0.5 ng/ml, 173 ± 5 pg/ml, and 252 ± 43 pg/ml, respectively, as compared with 11 ± 0.9 ng/ml, 116 ± 14 pg/ml, and 154 ± 7 pg/ml, respectively, of TRAIL+/+ mice (n = 4, p < 0.05). Similarly, at the same time point, the concentrations of IFN-
, IL-6, and IL-4 in the spleen extracts of TRAIL/ mice were 10.2 ± 2 ng/ml, 523 ± 36 pg/ml, and 20 ± 0.7 pg/ml, respectively, as compared with 7 ± 0.2 ng/ml, 334 ± 2 pg/ml, and 13 ± 2 pg/ml, respectively, of TRAIL+/+ mice (n = 4, p < 0.05). Furthermore, serum levels of IL-12 and IFN-
were also significantly increased in TRAIL/ animals as shown in Fig. 7, A and B. IL-1 and TNF-
levels in the sera were not significantly different between the two groups (data not shown). Finally, when cultured in vitro, more IL-12 and IL-6 were produced by peritoneal macrophages of Lm-infected TRAIL/ mice (Fig. 7, C and D). However, when wild-type and TRAIL-deficient macrophages from uninfected mice were compared in the same assay, no significant differences were observed (our unpublished observation). These results suggest that macrophages from Lm-infected TRAIL/ mice have a higher degree of activation than those from wild-type animals.
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| Discussion |
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Several lines of evidence indicate that intracellular bacterial pathogens can either induce or block apoptosis, which in turn influences disease progression (26). It is well recognized that Lm infection can induce apoptosis in multiple cell types including thymocytes, hepatocytes, dendritic cells, and peripheral lymphocytes. However, the nature of the molecules mediating this type of cell death is not clear. Our results indicate that TRAIL may be one of those molecules mediating apoptosis during acute phase of Lm infection. It is to be emphasized that experiments described in this study directly test the roles of endogenous TRAIL (most likely membrane-bound TRAIL) in cell death in vivo. This is different from other studies in which exogenous TRAIL was added to the experimental system. Because TRAIL deficiency in our system is global, i.e., affecting all organ systems in mice, it raises the question whether the effects observed on splenic cell death is due to a direct effect of TRAIL on splenocytes or an indirect effect of TRAIL on other cells or systems. In our model of listeriosis, dramatic differences in apoptosis were observed on day 1 (Fig. 2) when the numbers of bacteria in different animals were the same. This may rule out the possibility that bacteria may be directly responsible for the observed differences in apoptosis. Because TRAIL gene mutation is the only known difference between TRAIL+/+ and TRAIL/ mice at this time point, it is reasonable to conclude that TRAIL is responsible for the difference in splenic cell death. Of note is that the physiological significance of early apoptosis during Lm infection is not clear. Recently, Jiang et al. (27) demonstrated that lymphocyte depletion during primary Lm infection was not Ag-specific. This was based on the finding that nonrelated lymphocytes, but not lymphocytes from P14 transgenic mice, were depleted in recipient mice following infection with gp33 Lm (27).
The innate immune response to Lm involves coordinated interactions between many cell types and the production of numerous cytokines. Neutrophils play a key role in the early defense against Lm. We found that DR5 was highly expressed in neutrophils during listeriosis (Fig. 3D, and Tables II and III) and the numbers of neutrophils in the spleen of TRAIL/ mice were six times greater than those of TRAIL+/+ mice (Fig. 6A). Similarly, the number of neutrophils was also significantly increased in mice treated with a blocking TRAIL-R (Fig. 6C). Consequently, the numbers of bacteria recovered from the liver and spleen of TRAIL/ mice were dramatically reduced as compared with those of TRAIL+/+ mice. This suggests that regulation of neutrophil apoptosis by TRAIL may contribute to the pathogenesis of listeriosis. Additionally, survival and functions of macrophages also appear to be regulated by TRAIL, which would in turn affect the host innate response to Lm.
TRAIL shares the highest sequence homology with FasL, which has also been implicated in regulating immunity and infection. However, unlike TRAIL, FasL is not involved in apoptosis early in Lm infection but plays a role in immune responses to the bacterium during the late phases of the infection (10, 11). Results reported in this study clearly establish a role for TRAIL in the innate immune response to Lm infection. Further investigation is needed to test the roles of TRAIL in adaptive immune responses to Lm.
| Acknowledgments |
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| Footnotes |
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1 This work was supported by grants from the National Institutes of Health (AI50059, AI055934, AI55934, and NS40188). ![]()
2 Current address: Department of Microbiology and Immunology, Drexel University College of Medicine, Philadelphia, PA 19129. ![]()
3 Address correspondence and reprint requests to Dr. Youhai H. Chen, 614 BRB-II/III, Department of Pathology and Laboratory Medicine, University of Pennsylvania School of Medicine, 421 Curie Boulevard, Philadelphia, PA 19104. E-mail address: yhc{at}mail.med.upenn.edu ![]()
4 Abbreviations used in this paper: Lm, Listeria monocytogenes; FasL, Fas ligand; ALT, alanine aminotransferase; DR, death receptor; TRAIL-R, TRAIL receptor; sDR5, soluble DR5. ![]()
Received for publication March 4, 2004. Accepted for publication August 26, 2004.
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