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* Department of Microbiology and Immunology, Thomas Jefferson University, Philadelphia, PA 19107; and
Department of Pathobiology, University of Pennsylvania, School of Veterinary Medicine, Philadelphia, PA 19107
| Abstract |
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| Introduction |
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Infection with Strongyloides stercoralis, an intestinal nematode of humans, is initiated by the penetration of the infective third-stage larvae (L3).3 The infection induces Th2 immune responses in humans (12, 13), and protective immunity to L3 in humans operates through an Ab-dependent mechanism (14). In mice, the immune mechanisms capable of killing larval S. stercoralis have been studied on a variety of mouse backgrounds, including C57BL/6J, BALB/cJ, BALB/cByJ, and CBA/J (15, 16, 17). Innate protective immunity, evaluated 3 days after infection of naive mice, was shown to be IL-5 and eosinophil dependent (18). Adaptive protective immunity developed after immunization of mice with live larvae and resulted in
90% of challenge larvae killed within 1 day postchallenge (15). Several immune components have been identified to be required for the development and functioning of the protective adaptive immune response, including CD4+ Th2 cells (17) and B cells (16) producing IgM (14, 19, 20). The rapid killing of larvae by the adaptive immune response apparently also required neutrophils as effector cells (14, 20).
Previous studies have also shown complement to be required in both innate and adaptive protective immune responses to S. stercoralis. Complement enhanced the ability of naive neutrophils from humans to bind to the surface of S. stercoralis L3 in vitro, and cellular attachment was prevented when activation of the complement pathways was inhibited (21). Complement was also required for larval killing by the adaptive immune response in mice; protective immunity was eliminated from immunized mice by treatment with cobra venom factor to eliminate C3 at the time of the challenge infection (14, 19, 20). The objectives of this study were to: 1) evaluate the relative roles of the complement components C3 and C5 in larval killing during protective innate and adaptive immune responses against larval S. stercoralis; 2) determine whether C3 or C5 was required as a bridge between the innate and the adaptive immune response; 3) identify the functional subcomponents of C3 and/or C5 that effectuate larval killing, and thereby identify the mechanism through which complement functions in protective immunity.
| Materials and Methods |
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C57BL/6J, BALB/cJ, C3/ (B6.129S4-C3tm1Crr/J on the C57BL/6 background), µMT (B6.129S2-Igh4m1Cgn/J, B cell deficient on the C57BL/6 background), B10.D2/oSnJ (C5 deficient), and B10.D2/nSnJ (C5 sufficient) mice were purchased from The Jackson Laboratory. C3aR/ mice (22) on the BALB/c background were provided by C. Gerard and A. Humbles (Childrens Hospital, Boston, MA). C3/ and C3aR/ mice were bred at Thomas Jefferson University. All mice were housed in filter-top microisolator boxes under light- and temperature-controlled conditions. S. stercoralis L3 were obtained from the cultures of fresh stools from a laboratory dog infected with the parasite, according to methods previously described (15). Larvae were collected from 7-day charcoal cultures, washed, and resuspended in culture medium.
Challenge infections
Mice were challenged with 50 S. stercoralis L3 contained within diffusion chambers that were implanted s.c. on the dorsal flank of the mice. Construction of diffusion chambers covered with either 0.1- or 2.0-µm Isopore membranes (Millipore) followed previously described methods (15). Diffusion chambers were sterilized by exposure to 100% ethylene oxide and aerated for 12 h. Implanted diffusion chambers were removed from the mice 1 day after challenge in experiments studying adaptive immunity or 3 days after challenge in experiments studying innate immunity. Larval viability was determined based on motility and morphology. Cells recovered from the diffusion chambers were quantitated, centrifuged onto slides through the use of a Cytospin 3 centrifuge (Thermo Shandon), and stained for differential counts with DiffQuik (Baxter Healthcare).
Complement depletion was accomplished by i.p. injection of cobra venom anti-complementary protein factor (Sigma-Aldrich) into mice 3 days before challenge infection and on the day of challenge, as previously described (19). The amount of cobra venom factor given to the mice was 400 µg/kg body weight based on published protocols (23).
Serum transfer and serum reconstitution
For serum transfer experiments, serum from immunized and naive mice was injected into mice at the time of challenge into the s.c. pocket surrounding the implanted diffusion chamber. Serum from immunized wild-type and C3/ mice was pooled from each mouse in the group so each mouse was equally represented in the serum pool. Each serum recipient mouse was given 100 µl of serum brought up to 200 µl with 100 µl of PBS. For C3 reconstitution experiments, serum from naive mice was untreated or heat inactivated (56°C for 30 min), and 100 µl of serum was placed into the diffusion chamber with the larvae at the time of challenge infection.
Ag preparation
Deoxycholate (DOC)-soluble larval proteins were prepared by previously described methods (24). Briefly, L3 were washed in PBS supplemented with antibiotics and stored at 80°C. L3 were thawed and homogenized for 1 h in the presence of a protease inhibitor mixture (Sigma-Aldrich) and sonicated. Homogenized L3 were incubated in PBS at 4°C overnight with continuous mixing. PBS-soluble proteins were removed, and the PBS-insoluble proteins were resuspended in 20 mM Tris-HCl/0.5% DOC (Sigma-Aldrich) and mixed overnight at 4°C. The DOC-soluble proteins were then dialyzed against PBS overnight, concentrated, and filter sterilized. Protein concentration was quantitated by a Micro BCA Protein Assay kit (Pierce) and stored at 80°C.
Spleen cell stimulation
Spleens from naive and immunized mice were aseptically removed 1 wk after challenge and made into single cell suspensions. Cells were cultured in a 96-well plate at 2 x 106/well. Spleen cells were stimulated with anti-CD3 mAb (BD Pharmingen), coated with anti-CD3 mAb at 0.5 µg/ml for 2 h at 37°C, and washed with PBS. Cells were incubated at 37°C for 3 days, and supernatants were collected and frozen at 20°C.
Ab and cytokine ELISA
Nunc Maxisorp 96-well plates (Nunc) were coated overnight at 4°C with 50 µl of S. stercoralis-soluble L3 Ags at 10 µg/ml. Plates were blocked with borate blocking buffer solution (0.17 M boric acid, 0.12 M NaCl, 0.05% Tween 20, 0.25% BSA, 1 mM EDTA (pH 8.5)) at 37°C for 1 h. Wells were washed with distilled water, and test samples, diluted in borate blocking buffer solution, were placed in duplicate wells at serial dilutions and incubated at 37°C for 2 h. Appropriately matched biotinylated goat anti-mouse IgM (Vector Laboratories), IgG1, and IgG2a (BD Pharmingen) Abs were added, and plates were incubated at 37°C for 2 h. Plates were washed, and ExtrAvidin peroxidase (Sigma-Aldrich) was added for 30 min at room temperature, followed by the peroxidase substrate ABTS (Kirkegaard & Perry Laboratories); color reaction was measured at 405 nm.
Cytokine ELISA for IL-5 and IL-4 was performed using appropriately matched anti-IL-5 and anti-IL-4 mAbs for coating and capture Ab (BD Pharmingen), and the protocol was as above. An IFN-
kit (AN-18 monoclonal; BD Pharmingen) was used following manufacturers provided protocol. The 3,3',5,5'-tetramethylbenzidine (Sigma-Aldrich) was used as the substrate; the reaction was stopped using 0.5 M H2SO4, and color reaction was measured at 450 nm.
Statistical analysis
Experiments consisted of five mice per group, unless otherwise noted. All experiments were performed at least twice, results were reproducible, and data shown are from one representative experiment. Statistical analysis of the data was performed using multivariate general linear hypothesis multifactorial ANOVA with Systat version 11 software (Systat). Fishers least significant difference test was performed for post hoc analyses. Values of p <0.05 were considered significant.
| Results |
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Naive C57BL/6 mice, treated with cobra venom factor to deplete C3, were infected with S. stercoralis L3. The larvae were implanted in cobra venom factor-treated and untreated mice for 1 or 3 days in diffusion chambers covered with 2.0-µm pore-size membranes that allow cellular ingress and egress. Larval survival in untreated mice decreased by 44% from day 1 to day 3, thereby demonstrating innate immune control of the infection. Survival of larvae in cobra venom factor-treated mice was equal to control mice on day 1 and was significantly greater than in controls on day 3, demonstrating a role for C3 in innate protective immunity (Fig. 1A). The requirement for C3 in the innate immune response was further examined using C3/ mice. Naive wild-type and C3/ mice were infected for 3 days with L3 contained within diffusion chambers constructed with either 2.0-µm pore-size membranes, which allowed cell entry, or 0.1-µm pore-size membranes, which prevented entry of cells into the larval microenvironment. Naive C3/ mice had a diminished ability to kill L3 compared with wild-type mice when the larvae were contained within diffusion chambers covered with 2.0-µm pore-size membranes (Fig. 1B). The number of cells migrating into the diffusion chambers implanted in wild-type and C3/ mice was equivalent (Fig. 1C), thus indicating that there was no cellular recruitment defect in the C3/ mice in response to S. stercoralis L3 during the innate immune response. Preventing cells from entering the diffusion chambers through the use of 0.1-µm pore-size membranes resulted in equivalent larval survival in naive wild-type and C3/ mice. Furthermore, larval survival in C3/ mice challenged with L3 in 2.0- and 0.1-µm pore-size membrane-covered diffusion chambers was equal (Fig. 1B), suggesting that cells and complement function cooperatively during the innate immune response. In the absence of either C3 or cell contact, larval killing by the innate immune response was significantly decreased.
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Naive C5-deficient mice were infected for 3 days with larval S. stercoralis to determine whether byproducts of the complement cascade downstream of the cleavage of C3 were required for larval killing during the innate immune response. C5-deficient mice eliminated larvae at the same rate as C5-sufficient wild-type control mice, indicating that the molecular cascade beyond C3 was not required for larval killing in the innate immune response (Fig. 2A).
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C5-deficient mice were immunized with L3 of S. stercoralis to determine whether adaptive protective immunity would develop in these mice. Both immunized wild-type C5-sufficient and C5-deficient mice killed challenge infections within 24 h (Fig. 2B), indicating that C5 was not required for larval killing in the adaptive immune response. Additionally, there was no difference in cell numbers found in the diffusion chambers between immunized wild-type C5-sufficient and C5-deficient mice (Fig. 2C), indicating that C5a is not required for cell recruitment to the larval microenvironment in the adaptive immune response.
The role of C3 in the adaptive immune response to S. stercoralis was studied by immunizing C3/ mice; protective immunity did not develop in the immunized C3/ mice (Fig. 3A). Parasite-specific IgM and IgG1 levels were equivalent between immunized wild-type and C3/ mice, whereas parasite-specific IgG2a responses were absent in the immunized mice (Fig. 3B). Therefore, there was no defect in the ability of B cells to produce Ab in C3/ mice following immunization with S. stercoralis L3. To determine whether there was a qualitative change in the Ab response, serum collected from immunized wild-type and C3/ mice was passively transferred to naive wild-type mice at the time and location of the challenge infection. Serum from immunized C3/ mice transferred protective immunity to naive mice at levels equivalent to that seen with serum from immunized wild-type mice (Fig. 3C). Therefore, C3/ mice do not have a quantitative or qualitative defect in their ability to mount a protective Ab response against S. stercoralis L3.
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were measured in spleen cell cultures derived from naive and immunized mice. After stimulation with anti-CD3 mAb, IL-4 and IL-5 levels were equivalently elevated in immunized wild-type and C3aR/ mice. IFN-
was not elevated in the immunized mice regardless of strain (Fig. 6).
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| Discussion |
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In the current study, naive C3/ mice demonstrated that in the absence of C3, larval survival increased, thereby demonstrating a role for C3 in the protective innate immune response. When cells were prevented from entering the parasite microenvironment in naive wild-type mice, there was also an increase in larval survival. However, restricting cell contact with the larvae in C3/ mice did not further reduce larval killing, suggesting that cells and C3 are concurrently required to affect larval killing. Previous in vitro studies have shown that complement promotes the binding of monocytes and neutrophils to surface of S. stercoralis L3 (21) and the adherence of cells to L3 of Strongyloides ratti (30). Complement not only promotes cellular adherence, but is also required for in vitro neutrophil-mediated killing of Angiostrongylus cantonensis L3 and eosinophil-mediated killing of Schistosoma mansoni schistosomula (31, 32). It is therefore possible that C3 functions as an attachment site for cells on the larval surface during the innate response to S. stercoralis in mice.
The classical, alternative, and lectin complement pathways can all be activated during the innate immune response. Activation of the classical complement pathway during the innate immune response is initiated by natural Abs that recognize a variety of pathogen-associated molecules (25). In naive µMT mice, which lack circulating natural IgM, larval killing was equivalent to that seen in wild-type mice, demonstrating that complement activation via the classical pathway was not required for killing L3 in innate immunity. Adherence of canine cells to Ancylostoma caninum and human cells S. stercoralis in vitro is mediated by the alternative complement pathway (21, 33). Therefore, activation of the murine complement system by S. stercoralis L3 during the innate immune response may involve interaction between the surface of the worm and the lectin or alternative complement activation pathways.
C3/ mice failed to kill larvae via the adaptive immune response, and experiments were performed to identify the deficiency that would explain the absence of protective immunity. C3 is important for the development of the T-dependent B cell responses and enhances the humoral immune response especially when Ag dose is a limiting factor (4, 34). Mice lacking complement receptors CR1 and CR2 have impaired humoral responses to T-dependent Ags, as well as a reduction in B-1 cells (35). B-1 cells (16) and IgM are required for protective immunity against S. stercoralis L3 in mice (19). In addition, C3/ mice infected with S. mansoni had decreased production of Th2-associated cytokines and enhanced Th1 cytokines. The cytokine results were reflected in the Ab responses, in that IgG1 responses in C3/ mice were significantly impaired, IgG2a responses were unaffected, and infected C3/ mice actually had increased production of parasite-specific IgM (8). In the current study, C3/ mice developed IgM, IgG1, and IgG2a responses comparable to that seen in wild-type mice, indicating that there was no significant defect in the Th2-mediated B cell response. Furthermore, transfer of serum from immunized C3/ mice to naive wild-type mice passively transferred protective immunity, thereby providing confirmation that C3 was not required for B cell function. Therefore, it was concluded that the development of protective IgM to S. stercoralis is not C3 dependent.
There appears to be an inconsistency between the observation that C3 functions during the innate response, yet is not required for the development of the adaptive response. Larvae must die and be processed by APCs to initiate the adaptive Ab response, and this is apparently occurring in the absence of C3. Complement enhanced the rate of eosinophil-mediated killing of Hemonchus contortus larvae, but was not required for the killing process to occur (36). Therefore, it is possible that in the present study C3 increased the rate, but was not essential for cell-mediated killing of larval S. stercoralis during the innate immune response. Alternative C3-independent killing mechanisms apparently compensate for the absence of C3, killing larvae and thereby promoting the development of adaptive immunity.
It was hypothesized that the absence of adaptive protective immunity in C3/ mice might have been caused by a defect in cell requirement. Total cell and granulocyte numbers recruited to the larval microenvironment were equal in immunized wild-type and C3/ mice. It was then postulated that C3 might be required for the actual larval killing process. This hypothesis was confirmed by experiments in which it was shown that normal serum transferred at the time of the challenge infection could reconstitute the killing capacity of immunized C3/ mice, whereas heat-inactivated serum could not. It has been reported previously that complement is activated during the adaptive protective immune response to S. stercoralis in mice by the Ab-dependent classical activation pathway (19). Thus, the production of IgM during the adaptive immune response may amplify the amount of C3 fixed on the surface of the larvae, thereby increasing the efficiency of larval killing. Therefore, C3 is required as an integral component during the adaptive immune response in collaboration with IgM and neutrophils for killing S. stercoralis larvae.
The importance of C3a as an immune mediator has been observed in mouse models of allergy (22) and endotoxic shock (37). C3a activates mast cells (38) and acts as chemotaxic factor for eosinophils, but not for neutrophils (39). In addition, in studies on allergic inflammation, it was observed that C3aR/ mice have enhanced secretion of Th2 cytokines by splenocytes and a concomitant elevation in Ag-specific IgG1 (40). Data presented in the current study using C3aR/ mice indicate that C3a is not required for larval killing during either the innate or adaptive immune response. Immunized C3aR/ mice developed IgM, IgG1, and IgG2a responses comparable to that seen in wild-type mice, and splenocytes from immunized C3aR/ and wild-type mice secreted equal quantities of IL-4, IL-5, and IFN-
. These data indicate that there was no significant change in the Th2 or the B cell response in the immunized C3aR/ mice as was reported in the allergy model (40). One possible explanation for this discrepancy is that in the allergy model the enhanced secretion of Th2 cytokines and elevation in Ag-specific IgG1 were observed if there was an epicutaneous sensitization, but not if there was i.p. sensitization (40). Therefore, the route of immunization and the type of immunization may control whether C3aR/ mice develop enhanced Th2 responses.
Because C3 is cleaved into C3a and C3b, and C3aR/ mice have no apparent defects in immunity against S. stercoralis, it may be concluded that C3b is the active component of C3 that is required to mediate larval killing. There are several possible mechanisms through which C3b may function in the larval killing process. C3b acts as an adherence molecule for neutrophils (41), and neutrophils are required for larval killing during the adaptive immune response (14, 20). Significantly higher levels of fixed C3b have been found on the surface of S. stercoralis L3 recovered from immune mice 6 h after infection as compared with larvae recovered from naive mice (19). Therefore, C3b may serve as an anchor for neutrophils to adhere to on the surface of larvae. Alternatively, C3b may facilitate neutrophil activation and/or degranulation, although it has been shown that neutrophil degranulation does not occur after binding to C3b alone, but requires secondary signals (42) such as
-glucans (43, 44). These secondary signals may be either immune system- or worm-derived molecules that may function with neutrophils and C3b to facilitate the killing of the larvae.
The current study has shown that C3 functions during the innate immune response and is required during the adaptive protective immune response of mice to larval S. stercoralis. C3b appears to be the active component of C3 and possibly cooperates with eosinophils, facilitating eosinophil degranulation and larval death during the innate immune response (18, 45). C3b also appears to be the active component of C3 during the adaptive response, and it functions at the terminal end of the killing process. Killing of larval S. stercoralis by immunized mice is dependent on the interaction among IgM (19, 20), neutrophils (18, 20), and C3. It is hypothesized that the presence of IgM, generated during the adaptive immune response, increases the amount of fixed C3b present on the surface of the larvae, thereby increasing the efficiency by which neutrophils eliminate larval S. stercoralis.
| Acknowledgments |
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| Disclosures |
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| Footnotes |
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1 This work was supported by National Institutes of Health Grants RO1 AI47189 (to D.A.) and RO1 AI22662 (to G.A.S.). ![]()
2 Address correspondence and reprint requests to Dr. David Abraham, Department of Microbiology and Immunology, Thomas Jefferson University, 233 South 10th Street, Philadelphia, PA 19107. E-mail address: David.Abraham{at}jefferson.edu ![]()
3 Abbreviations used in this paper: L3, third stage infective larvae; DOC, deoxycholate. ![]()
Received for publication June 7, 2005. Accepted for publication January 4, 2006.
| References |
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and interleukin-4 responses in relation to serum IgE levels in persons infected with human T lymphotropic virus type I and Strongyloides stercoralis. J. Infect. Dis. 178: 1856-1859. [Medline]
-glucan-binding lectin site of mouse CR3 (CD11b/CD18) and its function in generating a primed state of the receptor that mediates cytotoxic activation in response to iC3b-opsonized target cells. J. Immunol. 162: 2281-2290.
-glucan polysaccharide binding to the lectin site of neutrophil or natural killer cell complement receptor type 3 (CD11b/CD18) generates a primed state of the receptor capable of mediating cytotoxicity of iC3b-opsonized target cells. J. Clin. Invest. 98: 50-61. [Medline]This article has been cited by other articles:
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U. M. Padigel, L. Stein, K. Redding, J. J. Lee, T. J. Nolan, G. A. Schad, L. Birnbaumer, and D. Abraham Signaling through G{alpha}i2 protein is required for recruitment of neutrophils for antibody-mediated elimination of larval Strongyloides stercoralis in mice J. Leukoc. Biol., April 1, 2007; 81(4): 1120 - 1126. [Abstract] [Full Text] [PDF] |
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A. M. Galioto, J. A. Hess, T. J. Nolan, G. A. Schad, J. J. Lee, and D. Abraham Role of Eosinophils and Neutrophils in Innate and Adaptive Protective Immunity to Larval Strongyloides stercoralis in Mice. Infect. Immun., October 1, 2006; 74(10): 5730 - 5738. [Abstract] [Full Text] [PDF] |
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