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Phosphatidylinositol-Specific Phospholipase C of Bacillus anthracis Down-Modulates the Immune Response1
     Abstract

    Phosphatidylinositol-specific phospholipases (PI-PLCs) are virulence factors produced by many pathogenic bacteria, including Bacillus anthracis and Listeria monocytogenes. Bacillus PI-PLC differs from Listeria PI-PLC in that it has strong activity for cleaving GPI-anchored proteins. Treatment of murine DCs with Bacillus, but not Listeria, PI-PLC inhibited dendritic cell (DC) activation by TLR ligands. Infection of mice with Listeria expressing B. anthracis PI-PLC resulted in a reduced Ag-specific CD4 T cell response. These data indicate that B. anthracis PI-PLC down-modulates DC function and T cell responses, possibly by cleaving GPI-anchored proteins important for TLR-mediated DC activation.

    Introduction

    Dendritic cells (DCs)3 are an important link between innate and adaptive immunities (1). Specific recognition of pathogen-derived products by TLRs activates a signaling cascade that leads to activation of the DC. Activation leads to greater expression of costimulatory molecules and cytokines, both of which enhance the DC’s ability to stimulate T cells (1). DCs respond to different pathogens and initiate the appropriate type of T cell response needed to control infection. In contrast, various pathogens have evolved mechanisms to counteract this arm of the immune system (2). By down-modulating DC activation, a pathogen can interfere with the ability of the immune system to respond appropriately to each infection.

    In light of the potential use of Bacillus anthracis as a bioterror agent, there is an urgent need to gain a better understanding of its pathogenesis and the host immune response to this deadly bacterial pathogen. In pulmonary B. anthracis infection, bacteria quickly disseminate and replicate to high titers, which, if untreated, lead to death (3). The inability of the host to control infection suggests that B. anthracis may be actively down-modulating the immune response. Lethal toxin, an important virulence factor, has been shown to down-modulate DC activation in vitro due to its ability to block activation of the MAPK pathway via inhibition of p38 MAPK (4, 5). The complete genome sequence of B. anthracis has revealed that this bacterium encodes proteins homologous to many known virulence factors in other pathogenic bacteria, including a hemolysin and two phospholipases C (PLCs) from Listeria monocytogenes (6). The functions of these putative virulence factors in B. anthracis pathogenesis remain unknown.

    PLCs are produced by different bacterial pathogens and are important virulence factors that play diverse roles in pathogenesis (7). For example, the two distinct PLCs expressed by L. monocytogenes play overlapping and unique roles in the escape of bacteria from phagolysosomes (8, 9). In addition, the broad-range PLC (encoded by plcB) induces up-regulation of Fas ligand on T cells (10), and the two PLCs differentially modulate host cell signaling pathways, including Ca2+ signaling in macrophages (11) and phosphoinositide metabolism in endothelial cells and macrophages (11, 12). The pathogenic Bacillus species, B. cereus, B. thuringiensis, and B. anthracis, all express phosphatidylinositol-specific phospholipases (PI-PLCs) that have >94% amino acid identity (6, 13, 14). PI-PLCs play an important role in B. cereus pathogenesis, because B. cereus deficient in this enzyme are less able to cause disease (15). However, the mechanism of PI-PLC contribution to the virulence of B. cereus is not known, and the role of PI-PLC in the pathogenesis of other pathogenic Bacillus species, including B. anthracis, has not been examined.

    The PI-PLCs from Listeria and Bacillus species have similar enzymatic activity for cleaving phosphatidylinositol (PI) to diacylglycerol and inositol-1-phosphate (16). Bacillus PI-PLC has strong activity in the cleavage of GPI-anchored proteins, which Listeria PI-PLC lacks (17, 18). Although Listeria and Bacillus PI-PLCs have similar overall structures, Bacillus PI-PLC has an extra strand that is critical for the interaction between the enzyme and the GPI anchor (19). GPI-anchored proteins are surface proteins that lack a transmembrane domain and are instead inserted into the cell lipid bilayer through a covalent GPI modification at the C terminus (20). GPI-anchored proteins participate in a variety of host cell functions, particularly in mediating host cell signaling. There are many GPI-anchored proteins, but only a limited number have been identified; most notable are an LPS receptor (CD14) and FcRIII (CD16), expressed by APCs. It is possible that Bacillus PI-PLC has evolved to cleave GPI-anchored proteins to down-modulate the immune response and contribute to the pathogenesis of this bacterium.

    In this study we show that treatment of DCs with purified Bacillus PI-PLC affected the ability of DCs to respond to TLR ligand stimulation as measured by reduced costimulatory and MHC molecule up-regulation, TNF- production, and MAPK signaling. In contrast, DC functions were not affected by Listeria PI-PLC, which differs from Bacillus PI-PLC in its inability to efficiently cleave GPI-anchored proteins. Infection of mice with L. monocytogenes expressing B. anthracis PI-PLC resulted in reduced CD4 T cell priming. These data indicate that Bacillus PI-PLC down-modulates DC function, possibly by removing GPI-anchored proteins important for DC activation.

    Materials and Methods

    DCs were pretreated with 6 μg/ml PI-PLC for 1 h, then stimulated with the indicated concentration of poly I:C for 60 min. Na3VO4 (1 mM) was added to inhibit phosphatases. Cells were lysed in sample buffer with 100 mM DTT, and lysates were separated on a 4–15% gradient gel. A Western blot was performed using one of the following Abs: rabbit polyclonal anti-ERK (p44/42 MAPK), anti-p38 MAPK, or Abs that recognize the phosphorylated forms of these proteins (Cell Signaling Technology). Blots were developed by ECL, and bands were quantitated using Image Gauge (version 4.01; Fuji).

    Construction of recombinant L. monocytogenes strains expressing B. anthracis PI-PLC

    Recombinant L. monocytogenes was constructed using the highly attenuated daldat mutant as the parental strain (Lm) (24). An L. monocytogenes strain with an in-frame deletion of plcA (Lm plcA) was constructed on the daldat background using alleic exchange methods described previously (25). The gene encoding B. anthracis PI-PLC was then integrated into the chromosome of the Lm plcA strain, generating a strain with the B. anthracis PI-PLC gene under control of the Listeria plcA promoter and signal sequence (Lm plcA: Ba PI-PLC).

    PI-PLC activity

    PI-PLC activity on PI was determined by measuring the cleavage of L-3-phosphatidyl-[2-3H]inositol by the purified enzymes or supernatants of overnight cultures as previously described (17). Activity on GPI-anchored proteins was determined by incubating either enzymes or concentrated supernatants from overnight bacterial cultures with T cells for 1 h at 37°C. Cells were then surface stained, as described above, with mAb to the GPI-anchored protein Thy1 (clone 53-2.1) and analyzed by FACS.

    Analysis of T cell response

    C57BL/6 mice were i.v. infected with 2 x 108 CFU of Lm or Lm plcA: Ba PI-PLC in PBS. Twenty milligrams of D-alanine was injected with the bacteria to allow transient bacterial growth in vivo. Bacterial loads in the spleen and liver were determined by plating serial dilutes of organ homogenates on brain heart infusion agar with 100 μg/ml D-alanine. Splenocytes from day 7 postinfection mice were stimulated with or without listeriolysin O190–201 (LLO190–201) peptide, and intracellular IFN- staining was performed as previously described (26).

    Results

    Bacillus PI-PLC inhibits DC activation by TLR ligands

    The pathogenic Bacillus species, B. cereus, B. thuringiensis, and B. anthracis, all express PI-PLCs that have >94% amino acid identity (6, 13, 14). To investigate whether Bacillus PI-PLC modulates DC function, we treated DCs with or without Bacillus PI-PLC for 1 h, then stimulated them for 18 h with TLR ligands, including LPS (TLR4), poly I:C (TLR3), peptidogylcan (TLR2), and CpG DNA (TLR9). DC activation was examined by staining for surface expression of CD86, which is up-regulated upon TLR stimulation. Bacillus PI-PLC treatment greatly reduced the percentage of DCs that expressed high levels of CD86 upon TLR stimulation, and this was true for all four TLR ligands tested (Fig. 1). Thus, Bacillus PI-PLC reduced the ability of DCs to become activated and up-regulate the costimulatory molecule CD86 in response to various TLR ligands.

    To further investigate the inhibitory effect of Bacillus PI-PLC on DC activation, we examined 1) the surface expression of several surface markers (CD80, CD86, and MHC class II) upon stimulation with various concentrations of poly I:C, 2) the effect of Bacillus PI-PLC on the viability of DCs, and 3) the potency of PI-PLC in inhibiting DC activation. Bacillus PI-PLC inhibited DC activation over a range of poly I:C concentrations (0.1–10 μg/ml), resulting in reduced up-regulation of CD80, CD86, MHC class II surface expression compared with non-PI-PLC-treated DCs (Fig. 2A). This phenotype cannot be attributed to increased cell death, because DCs treated with or without PI-PLC had similar annexin V and 7-AAD staining profiles (Fig. 2B). Titration of Bacillus PI-PLC resulted in a dose-dependent inhibition of the activation of DCs (Fig. 2C). Inhibitory effects were observed at a concentration as low as 1 ng/ml. Thus, Bacillus PI-PLC reduced the ability of DCs to become activated and up-regulate the surface expression of costimulatory and Ag presentation molecules in response to TLR stimulation.

    Bacillus PI-PLC, but not Listeria PI-PLC, inhibits DC activation

    To determine whether the inhibitory effect on DC activation is unique to Bacillus PI-PLC or is shared by other bacterial PI-PLCs, we compared treatment with Bacillus and Listeria PI-PLC on DC activation. Listeria and Bacillus PI-PLC had comparable activity in the cleavage of PI, but only Bacillus PI-PLC had the ability to cleave GPI-anchored proteins (Fig. 3, A and B). No defect was observed in CD86 up-regulation when cells were treated with Listeria PI-PLC before poly I:C stimulation (Fig. 3C). In addition to increased surface expression of costimulatory and Ag presentation molecules, DC activation is characterized by cytokine production. Therefore, we also examined whether Bacillus or Listeria PI-PLC treatment of DCs affected the ability of the DCs to produce TNF-. Non-PI-PLC-treated DCs produced TNF- in a dose-dependent manner in response to poly I:C stimulation. Treatment of DCs with Bacillus PI-PLC inhibited the ability of DCs to produce TNF- in response to poly I:C stimulation (Fig. 3D). At 1 μg/ml poly I:C, only 5% of Bacillus PI-PLC-treated cells produced TNF- compared with 20% of DCs producing TNF- in the control group without Bacillus PI-PLC treatment. This defect in cytokine production by Bacillus PI-PLC-treated DCs was also evident when measured by TNF- secretion into the cell supernatant after overnight stimulation (Fig. 3E). In contrast, Listeria PI-PLC-treated DCs produced TNF- at comparable levels to non-PI-PLC-treated cells (Fig. 3, D and E). Thus, Bacillus, but not Listeria, PI-PLC affects the ability of DCs to respond to TLR ligands. Because the major difference between Bacillus and Listeria PI-PLC is the inability of Listeria PI-PLC to cleave GPI-anchored proteins, these data suggest that modulation of DC function by Bacillus PI-PLC may be due to its ability to cleave GPI-anchored proteins from the DC surface that are important for activation.

    Bacillus PI-PLC treatment inhibits MAPK pathway signaling

    TLR interaction with their ligands leads to activation of the MAPK signaling pathway, which, in turn, results in activation of transcription factors responsible for up-regulation of costimulatory molecules and cytokines (27, 28). To further examine the effect of Bacillus PI-PLC on DC activation, we analyzed activation of the MAPK signaling pathway by measuring phosphorylation of the MAPKs ERK (p44/42) and p38. Compared with untreated DCs, DCs treated with Bacillus PI-PLC had less phosphorylated ERK or p38 in response to poly I:C stimulation (Fig. 4). These data indicate that Bacillus PI-PLC down-modulates MAPK pathway signaling in DCs. Previous studies have shown that lethal toxin also blocks MAPK signaling (4, 5). Thus, B. anthracis has multiple virulence factors that interfere with this important signaling pathway central to the initiation of an effective immune response.

    L. monocytogenes expressing B. anthracis PI-PLC induces suboptimal T cell priming in vivo

    Because Bacillus PI-PLC treatment of DCs before activation results in reduced surface expression of costimulatory molecules and cytokine production, we hypothesized that Bacillus PI-PLC may down-modulate the cellular immune response by interfering with DC function. As a first step in examining whether Bacillus PI-PLC has an effect on the T cell response, we investigated whether expression of this protein in L. monocytogenes would affect the T cell response, taking advantage of the well-defined murine model of listeriosis that allows for quantitative analysis of Ag-specific T cell responses in vivo.

    A recombinant L. monocytogenes strain was constructed that has its PI-PLC gene (plcA) replaced by the B. anthracis PI-PLC gene. A highly attenuated daldat mutant of L. monocytogenes was used as the parental strain due to concerns about introducing B. anthracis genes into another pathogen (24). The daldat stain has deletions of two genes encoding the enzymes D-alanine racemase (dal) and D-amino acid aminotransferase (dat) that are required for synthesizing D-alanine, an essential component of the cell wall. Because D-alanine cannot be obtained from the environment or host cells, these bacteria can grow only when D-alanine is provided and thus are highly attenuated in vivo.

    L. monocytogenes strains expressing endogenous PI-PLC or Bacillus PI-PLC had similar activity on the cleavage of PI (Fig. 5A), as expected because Listeria and Bacillus PI-PLC have comparable PLC activity on PI (17). In contrast, only supernatants from L. monocytogenes expressing B. anthracis PI-PLC had significant GPI anchor cleavage activity, as measured by their ability to cleave the GPI-anchored protein Thy1 from the surface of T cells (Fig. 5B). This indicates that the recombinant L. monocytogenes strain indeed expresses the Bacillus PI-PLC with a strong activity for GPI anchor cleavage.

    Discussion

    Previous studies have shown that the lethal toxin of B. anthracis interferes with DC function by blocking the MAPK signaling pathway (5). Our study indicates that B. anthracis PI-PLC also functions to down-modulate activation of DCs by TLR ligands. Thus, like many pathogenic bacteria, B. anthracis uses multiple virulence factors to interfere with the host response. Collectively, these virulence factors have been shown to exert a profound impact on the ability of the immune response to control infection in other bacterial systems. It remains to be determined whether there are other virulence factors in B. anthracis that are involved in immune modulation and to what extent each of these factors, including lethal toxin and PI-PLC, contributes to the down-modulation of the host response in the context of B. anthracis infection. To this end, we are currently generating B. anthracis deficient in PI-PLC to investigate its role in pathogenesis and in modulation of the host response during infection.

    Heterologous expression of PI-PLC in L. monocytogenes allows for quantitative analysis of Ag-specific T cell responses and provides evidence that B. anthracis PI-PLC plays a role in the down-modulation of the immune response during infection. Recombinant L. monocytogenes expressing B. anthracis PI-PLC induced a lower level of Ag-specific CD4 T cell response compared with that induced by the parental control strain (Fig. 5, E and F). This difference was not due to reduced Ag load, because the kinetics of bacterial clearance in vivo were similar between the two strains (Fig. 5, C and D). If anything, the expression of B. anthracis PI-PLC is expected to lead to down-modulation of the host response, leading to an increase in virulence and bacterial replication in vivo. However, any potential increase in virulence due to B. anthracis PI-PLC modulation of the immune response may not become apparent in the daldat mutant background that was used in this study. The daldat mutant requires D-alanine for growth and cannot undergo more than two rounds of replication in vivo. As a result, severe attenuation by daldat mutations probably overrides any effect B. anthracis PI-PLC may have on L. monocytogenes replication in vivo. Alternatively, it is possible that the GPI-anchored proteins are important for inducing optimal adaptive responses, but not for activating components of the innate immune response that are critical for early control of bacterial replication. In addition, L. monocytogenes is mainly an intracellular pathogen, whereas B. anthracis is only transiently found in the cytosol of macrophages and replicates extracellularly. The adaptation to the extracellular and intracellular life cycles of these pathogens may have selected for differences in the ability of Bacillus and Listeria PI-PLC to cleave GPI-anchored proteins. As such, B. anthracis PI-PLC may play a greater role than we have observed in our heterologous expression system. Nevertheless, our results clearly demonstrate that Bacillus PI-PLC inhibits DC activation in vitro and down-modulates the T cell response in vivo.

    How does Bacillus PI-PLC inhibit the activation of DCs by TLR ligands? Recently, it has been shown that virulence factors secreted by bacterial pathogens can directly stimulate DCs. For example, anthrolysin O, a cytolysin from B. anthracis, is recognized by TLR4, leading to activation of DCs (30). Treatment of DCs with Bacillus or Listeria PI-PLC resulted in a very low level of activation, as evidenced by a minimal increase in the expression of surface markers, TNF- production and p38 phosphorylation (Figs. 2A, 3, D and E, and 4). It is possible that PI-PLC may also act as a TLR agonist and that preactivation by Bacillus PI-PLC treatment may render DCs unresponsive to subsequent TLR stimulation. However, this is unlikely, because slight DC activation was also seen with Listeria PI-PLC treatment, yet Listeria PI-PLC did not inhibit subsequent DC activation by TLR stimulation. In contrast, a major difference between Bacillus and Listeria PI-PLC is the ability of Bacillus, but not Listeria, PI-PLC to cleave GPI-anchored proteins. Thus, modulation of DC function by Bacillus PI-PLC may relate to its ability to cleave from the DC surface a GPI-anchored protein(s) important for activation. There are a very limited number of known GPI-anchored proteins expressed by APCs; most notable are CD14 and CD16, an LPS receptor and FcRIII, respectively. Although removal of CD14 might affect LPS stimulation via TLR4, inhibition of various other TLR signaling by Bacillus PI-PLC suggests that it may involve unknown GPI-anchored proteins that are important for TLR signaling. A recent study in Arabidopsis using new proteometric techniques has uncovered many novel GPI-anchored proteins (31). It is likely that DCs express many GPI-anchored proteins that are yet to be identified, and some of them might be involved in TLR signaling. GPI-anchored proteins are mostly associated with lipid rafts, which are important for receptor clustering and formation of active signaling complexes. Removal of GPI-anchored proteins by Bacillus PI-PLC may negatively impact receptor-mediated signaling and thus inhibit TLR-mediated DC activation. Lastly, this phenomenon may be independent of the enzymatic activity of Bacillus PI-PLC, but is instead due to its binding to the cell surface and blocking TLR-ligand interactions. We are currently investigating these possibilities in an effort to understand the mechanism(s) by which Bacillus PI-PLC modulates DC function.

    In the United States, the only anthrax vaccine approved for human use is an acellular vaccine that involves a cumbersome immunization regimen with considerable side effects and questionable efficacy (32). A live attenuated vaccine has been shown to confer better protection than the acellular vaccine and has been used in humans in the former Soviet Union (32). However, the live attenuated vaccine is only approved for use in livestock in the United States due to safety concerns. Further attenuation of the live vaccine is needed, but substantial attenuation frequently results in loss of immunogenicity, a paradox that often impedes live vaccine development. Rational approaches to selectively disable the immune-modulating virulence factors may allow us to attenuate virulence while maintaining or even improving immunogenicity. Our study has identified that B. anthracis PI-PLC, like lethal toxin, functions to down-modulate DC function and the adaptive immune response. We are constructing B. anthracis strains deficient in PI-PLC and lethal toxin to investigate the roles of these virulence factors in modulating the immune response and to test the use of these strains as potential live vaccines against B. anthracis infection.

    Acknowledgments

    We gratefully acknowledge Mary F. Roberts (Boston College, Chestnut Hill, MA) for her kind gift of phospholipases, and Fred Frankel (University of Pennsylvania, Philadelphia, PA) for providing the L. monocytogenesdaldat strain. We thank Amy E. Troy and John K. Northrop for critical reading of the manuscript.

    Footnotes

    The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

    1 This work was supported by National Institutes of Health Grants AI45025 (to H.S.) and AI56275 (to H.G.).

    2 Address correspondence and reprint requests to Dr. Hao Shen, Department of Microbiology, University of Pennsylvania School of Medicine, 3610 Hamilton Walk, Philadelphia, PA 19104-6076. E-mail address: hshen{at}mail.med.upenn.edu

    3 Abbreviations used in this paper: DC, dendritic cell; 7-AAD, 7-aminoactinomycin D; LLO, listeriolysin O; PI, phosphatidylinositol; poly I:C, polyinosine-polycytidylic acid; PLC, phospholipase C.

    Received for publication February 14, 2005. Accepted for publication April 7, 2005.

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