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Depletion of Alveolar Macrophages Exerts Protective Effects in Pulmonary Tuberculosis in Mice

Jaklien C. Leemans, Nicole P. Juffermans, Sandrine Florquin, Nico van Rooijen, Margriet J. Vervoordeldonk, Annelies Verbon, Sander J. H. van Deventer and Tom van der Poll
J Immunol April 1, 2001, 166 (7) 4604-4611; DOI: https://doi.org/10.4049/jimmunol.166.7.4604
Jaklien C. Leemans
*Laboratory of Experimental Internal Medicine, Departments of
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Nicole P. Juffermans
*Laboratory of Experimental Internal Medicine, Departments of
‡Infectious Diseases, Tropical Medicine, and AIDS, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands; and
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Sandrine Florquin
†Pathology and
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Nico van Rooijen
§Department of Cell Biology and Immunology, Free University, Amsterdam, The Netherlands
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Margriet J. Vervoordeldonk
*Laboratory of Experimental Internal Medicine, Departments of
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Annelies Verbon
‡Infectious Diseases, Tropical Medicine, and AIDS, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands; and
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Sander J. H. van Deventer
*Laboratory of Experimental Internal Medicine, Departments of
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Tom van der Poll
*Laboratory of Experimental Internal Medicine, Departments of
‡Infectious Diseases, Tropical Medicine, and AIDS, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands; and
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  • FIGURE 1.
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    FIGURE 1.

    a, Effect of CL2MBP liposomes on AMs 2 days after i.n. administration. The bars indicate the percentage of total AMs remaining in AM− mice (▪) or AM+ (liposomes) mice (▨) compared to mice receiving saline (□; 100%). The data are presented as mean and SEM from five mice per group. ∗, p < 0.05 AM− mice vs AM+ (saline) mice; †, p < 0.05 AM− mice vs AM+ (liposomes) mice. b, Apoptotic AMs were visualized by immunostaining lung tissue for cleaved PARP 7 h after CL2MBP liposome treatment (original magnification, ×80).

  • FIGURE 2.
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    FIGURE 2.

    Effect of AM depletion on survival of mice following M. tuberculosis infection. BALB/c mice (n = 10 per group) were i.n. administered with saline, liposomes, or CL2MBP liposomes prior to and after bacterial challenge of 1 × 105 M. tuberculosis H37Rv. ∗, p < 0.05 AM− mice vs AM+ (saline) mice; †, p < 0.05 AM− mice vs AM+ (liposomes) mice; ‡, p < AM+ (saline) mice vs AM+ (liposomes) mice.

  • FIGURE 3.
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    FIGURE 3.

    Growth of M. tuberculosis in lungs (a) and liver (b) of AM+ (saline/liposomes) mice and AM− mice. Data are mean and SEM of CFUs from eight mice per group for each time point. ∗, p < 0.05 AM− mice vs AM+ (saline) mice; †, p < 0.05 AM− mice vs AM+ (liposomes) mice.

  • FIGURE 4.
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    FIGURE 4.

    Lung histopathology. a, Two weeks postinfection, lungs of AM+ mice showed well-shaped granulomas, chiefly composed by macrophages and few lymphocytes (hematoxylin and eosin staining; original magnification, ×50). b, At the same time point, lungs of AM− mice displayed slight perivascular lymphocytic infiltrates and degenerated macrophages in alveolar spaces. Well-defined granulomas were not found (hematoxylin and eosin staining; original magnification, ×50). c, Five weeks postinfection, lungs of AM+ mice displayed a diffuse inflammatory infiltrate predominantly composed of macrophages (hematoxylin and eosin staining; original magnification, ×25). d, Lungs of AM− mice presented an almost normal aspect (hematoxylin and eosin staining; original magnification, ×25). The slides shown are representative for a total of eight mice per group for each time point.

  • FIGURE 5.
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    FIGURE 5.

    The effect of AM depletion on M. tuberculosis-mediated induction of type 1 cytokines (a) and type 2 cytokines (b) in lungs of AM+ (saline) mice (□), AM+ (liposomes) mice (▨), and AM− mice (▪) 2 wk postinfection. The data represent the mean and SEM of eight mice. ∗, p < 0.05 AM− mice vs AM+ (saline) mice; †, p < 0.05 AM− mice vs AM+ (liposomes) mice.

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    FIGURE 6.

    Splenocytes from infected AM− mice (▪) release more IFN-γ in response to PPD and anti-CD3/28 Abs and less IL-4 in response to anti-CD3/28 ABS than splenocytes from infected AM+ mice (□, saline; ▨, liposomes). Splenocytes were harvested 2 wk after i.n. inoculation with M. tuberculosis, and stimulated for 48 h. The data are mean and SEM of eight mice per group. ∗, p < 0.05 AM− mice vs AM+ (saline) mice; †, p < 0.05 AM− mice vs AM+ (liposomes) mice; ‡, p < AM+ (saline) mice vs AM+ (liposomes) mice.

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    Table I.

    Effect of AM depletion on cell subsets in total lungs during tuberculosisa

    Cells (×104/ml)CD4+CD8+CD4+/CD69+CD4+/CD25+CD8+/CD69+Gr-1+
    2 wk postinfection
    AM+ (saline)356 ± 63.969.9 ± 131.1 ± 0.62.8 ± 16.6 ± 0.91.2 ± 0.557 ± 5.4
    AM+ (liposomes)265.7 ± 50.465.6 ± 1.2‡33.3 ± 1.13.4 ± 1.16.3 ± 0.61 ± 0.563 ± 3.9
    AM−444.5 ± 111.663 ± 5.3*34.1 ± 2*†12.4 ± 1.5*†13.1 ± 1.7*†5.4 ± 0.2*†58.3 ± 3.1
    5 wk postinfection
    AM+ (saline)225 ± 2653.3 ± 2.442.9 ± 1.74.2 ± 0.62.6 ± 0.62.6 ± 156.6 ± 5.2
    AM+ (liposomes)207.8 ± 11.552 ± 1.339.1 ± 2.98.4 ± 1‡2.3 ± 0.49.6 ± 1.2‡64.5 ± 4.1
    AM−136.5 ± 15.1*†53.9 ± 138.1 ± 2.66.8 ± 0.3*1.6 ± 0.47.8 ± 0.7*54.8 ± 7.4
    • a Cell subsets in the lungs of mice infected with M. tuberculosis, 2 and 5 wk postinfection. FACS analysis was performed on pooled cells from two mice for each analysis from a total of eight mice per group for each time point as described in Materials and Methods. FACS results are expressed as the percent of CD4+, CD8+, CD25+, and CD69+ within the CD3+ population or the percent of Gr-1+ within the PMN population.

    • b , p < 0.05 AM− mice vs AM+ (saline) mice; †, p < 0.05 AM− mice vs AM+ (liposomes) mice; and ‡, p < 0.05 AM+ (saline) vs AM+ mice (liposomes).

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    Table II.

    Effect of AM depletion on cellular composition on BALFs during tuberculosisa

    Cells (×104/ml)AM (×104/ml)PMN (×104/ml)Lymphocytes (×104/ml)
    2 wk postinfection
    AM+ (saline)79 ± 7.232.9 ± 5.728.8 ± 6.117.2 ± 1
    AM+ (liposomes)63.8 ± 7.531.8 ± 1.719.5 ± 6.414 ± 3.4
    AM−111 ± 7.3*†16.3 ± 2.9*†53.6 ± 4.2*†41 ± 5*†
    5 wk postinfection
    AM+ (saline)308 ± 17.044 ± 3.4182 ± 1482.8 ± 16.7
    AM+ (liposomes)196 ± 27.6‡27.2 ± 6.1‡120 ± 23.454.6 ± 10.5
    AM−166 ± 16.7*14.6 ± 1.5*132.5 ± 13.9*43 ± 5.5*
    • a Leukocytes in BALFs of mice infected with M. tuberculosis, 2 and 5 wk postinfection. Cells from four mice were counted and stained with hematoxylin and eosin. ∗, p < 0.05 AM− mice vs AM+ (saline) mice; †, p < 0.05 AM− mice vs AM+ (liposomes) mice; and ‡, p < 0.05 AM+ (saline) vs AM+ mice (liposomes).

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The Journal of Immunology: 166 (7)
The Journal of Immunology
Vol. 166, Issue 7
1 Apr 2001
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Depletion of Alveolar Macrophages Exerts Protective Effects in Pulmonary Tuberculosis in Mice
Jaklien C. Leemans, Nicole P. Juffermans, Sandrine Florquin, Nico van Rooijen, Margriet J. Vervoordeldonk, Annelies Verbon, Sander J. H. van Deventer, Tom van der Poll
The Journal of Immunology April 1, 2001, 166 (7) 4604-4611; DOI: 10.4049/jimmunol.166.7.4604

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Depletion of Alveolar Macrophages Exerts Protective Effects in Pulmonary Tuberculosis in Mice
Jaklien C. Leemans, Nicole P. Juffermans, Sandrine Florquin, Nico van Rooijen, Margriet J. Vervoordeldonk, Annelies Verbon, Sander J. H. van Deventer, Tom van der Poll
The Journal of Immunology April 1, 2001, 166 (7) 4604-4611; DOI: 10.4049/jimmunol.166.7.4604
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