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(Journal of Leukocyte Biology. 2001;69:387-396.)
© 2001 by Society for Leukocyte Biology

Alternative versus classical macrophage activation during experimental African trypanosomosis

Boniface Namangala, Patrick De Baetselier, Wim Noël, Lea Brys and Alain Beschin

Department of Immunology, Parasitology and Ultrastructure, Flemish Interuniversity Institute for Biotechnology, Free University Brussels (VUB), Paardenstraat 65, B-1640 St-Genesius-Rode, Belgium

Correspondence: Dr. Alain Beschin, Cellular Immunology Unit, Flemish Interuniversity Institute for Biotechnology, VIB-VUB, Paardenstraat 65, B-1640 St-Genesius-Rode, Belgium. E-mail: abeschin{at}vub.ac.be


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ABSTRACT
 
The type I/type II cytokine balance may influence the development of different subsets of suppressive macrophages, i.e., classically activated macrophages (caM{phi}, type I) versus alternatively activated macrophages (aaM{phi}, type II). Recently, we showed that although mice infected with phospholipase C-deficient (PLC-/-) Trypanosoma brucei brucei exhibit a clear shift from type I to the type II cytokine production, wild type (WT)-infected mice remain locked in a type I cytokine response. In the present study, phenotype and accessory cell function of macrophages elicited during WT and PLC-/- T. b. brucei infection were compared. Results indicate that caM{phi} develop in a type I cytokine environment in the early phase of WT and PLC-/- trypanosome infection, correlating with inhibition of T cell activation triggered by a mitogen, a superantigen, or an antigen. In the late stage of infection, only PLC-/--infected mice resisting the infection develop type II cytokine-associated aaM{phi} correlating with impaired antigen- but not mitogen- or superantigen-induced T cell activation.

Key Words: antigen presentation • immunosuppression • phospholipase C • trypanosome infection


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INTRODUCTION
 
African trypanosomes are tsetse-transmitted, extracellular hemoflagellate protozoan parasites causing sleeping sickness to man or nagana to livestock in sub-Saharan Africa. These parasites evade the host’s immune responses by modifying their variant surface glycoproteins (VSG) constantly, a process referred to as antigenic variation [1 , 2 ].

Macrophages are among the first host immune cells to encounter the infecting trypanosomes and/or their products. Consequently, these cells may play a protective or pathogenic role, depending on their state of activation during the course of infection. A protective role of macrophages may rely on the clearance of African trypanosomes by phagocytosis and/or by secreting products such as tumor necrosis factor (TNF) and nitric oxide (NO), which were documented in vitro to be trypanolytic and trypanostatic, respectively [3 4 5 6 7 8 9 10 11 ]. Besides that, macrophages contribute to the pathology associated with African trypanosomosis by erythrophagocytosis, resulting in the host’s anemia [12 13 14 15 16 ]. Conversely, macrophages are the central effector cells involved in the inhibition of T cell blastogenic response to mitogens and antigens occurring during African trypanosome infection [17 18 19 20 21 22 23 24 ]. However, whether this suppressive activity of macrophages limits the development of harmful immune responses or allows the parasite to establish a chronic infection remains unclear.

According to recent studies, the type I/type II cytokine balance may influence the development of different subsets of suppressive macrophages that are antagonistically regulated [25 26 27 28 ]. Classically activated macrophages (caM{phi}) occur in a type I cytokine environment [interferon-{gamma} (IFN-{gamma}), TNF] and are inhibited by type II cytokines [interleukin (IL)-4, IL-13, IL-10]. In contrast, alternatively activated macrophages (aaM{phi}) develop in a type II cytokine environment and are inhibited by type I cytokines. caM{phi}, possessing cytotoxic, antimicrobial, and antiproliferative function based on their ability to secrete NO, play a defensive role in several diseases. However, caM{phi} secreting inflammatory mediators (TNF, IL-1, IL-6, NO) are also involved in the setting of immunopathologies. It was proposed that aaM{phi} secreting anti-inflammatory molecules [IL-10, transforming growth factor ß (TGF-ß)] down-regulate inflammatory processes and counteract NO synthesis by expressing arginase that compete with inducible NO synthase for L-arginine as substrate. During African trypanosome infection, phenotypic analyses of macrophages suggest the occurrence of caM{phi}. Indeed, macrophages from Trypanosoma brucei brucei-infected animals express increased levels of major histocompatibility complex (MHC) class II molecules and release prostaglandin (PG) E2 and reactive oxygen intermediates [18 19 20 21 , 24 , 29 ], which are typical of a classical activation state. Moreover, IFN-{gamma} was shown to sensitize macrophages to produce TNF, IL-1, and NO in response to VSG [18 , 30 31 32 ]. Furthermore, NO and IFN-{gamma} participate in the inhibition of T cell proliferative response occurring in African trypanosome-infected animals [17 , 18 , 22 , 23 , 33 34 35 36 ].

The occurrence of aaM{phi} during African trypanosomosis remains speculative. This may be because in most murine models of African trypanosomosis, a predominant type I cytokine environment is created, fueling the generation of caM{phi} [18 , 32 , 36 37 38 ]. However, a recent study showed that a T. b. brucei mutant [phospholipase C null mutant (PLC-/-)] induces the production of type I cytokines during the early stage of infection, followed by the secretion of type II cytokines in the late/chronic phase of the disease [39 ]. Although wild type (WT) T. b. brucei kill mice within 5 weeks, PLC-/- trypanosomes induce a chronic infection. It is interesting that PLC-/--infected mice recover from inhibition of mitogen-induced T cell proliferation. This recovery correlates with the absence of macrophages inhibiting mitogen-induced proliferation, i.e., caM{phi}.

Because a sequential induction of type I and type II cytokine environment occurs in the PLC-/- trypanosome model, this model was adopted to evaluate the capacity of T. b. brucei to elicit aaM{phi} versus caM{phi}. Moreover, a comparative analysis of the accessory cell function of macrophages elicited during WT and PLC-/- T. b. brucei infection was performed. Results indicate that during the early phase of infection, WT and PLC-/- parasites elicit caM{phi} that develop in a type I cytokine environment, correlating with the inhibition of T cell activation triggered by a mitogen [concanavalin A (Con A)], a superantigen [staphylococcal enterotoxin B (SEB)], or an antigen [hen egg lysozyme (HEL)]. During the late stage of infection, only PLC-/--infected mice resisting the infection develop type II cytokine-associated aaM{phi}, which correlates with the impairment of antigen- but not mitogen- or superantigen-induced T cell activation.


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MATERIALS AND METHODS
 
Parasites and animals
Female, 8–12-week-old Balb/c mice (Harlan, Zeist, The Netherlands) were intraperitoneally inoculated with 2 x 103 PLC-/- or equivalent Antat 1 WT T. b. brucei [40 ]. The PLC-/- mutant and WT parasites were pleiomorphic lines of the same Antat 1 strain obtained freshly after cyclical transmission in the tsetse fly and were not selected for expression of a given VSG. PLC-/- and WT parasites were found to express Antat 1.1, 1.2, and 1.3 VSG during the early stage of infection. Parasitemia was monitored by tail blood-puncture every 2–4 days using a haemocytometer. PLC-/-- and WT-infected mice survived for 150 days and 30 days, respectively [39 ].

Experimental design
At each time interval post-infection, levels of cytokines, NO, or arginase activity were quantified in peritoneal exudate cells (PEC), plasma, or blood mononuclear cells of three infected mice. For each parameter, results were expressed as the mean response of the three infected animals tested individually (±SE) and compared with the same parameters assessed in three noninfected mice. Results are representative of at least five similar, independent experiments performed. Statistical analyses were assessed by Student’s t-test to validate the data.

Cells and T cell hybridoma preparations
Nonadherent lymph node cells from naïve control mice (LNCn) were prepared as described [17 ].

Adherent cell population from the peritoneal cavity of noninfected or infected mice, prepared as described [17 ], was resuspended in RPMI 1640 (Gibco BRL, Grand Island, NY) and supplemented with fetal calf serum (10%), penicillin-streptomycin (100 U–100 µg/ml), L-glutamine (2 mM), and 2-mercaptoethanol (5x10-5 M; complete medium). Plastic adherent cells, containing 95% MAC-1-positive cells as determined by fluorescence-activated cell sorter (FACS) analysis, were considered as macrophages and used as antigen-presenting cells.

The mouse 1E5.11 T cell hybridoma (I-Ed-restricted) reactive to HEL, kindly offered by Dr. A. Darji (GBF, Braunschweig, Germany), or the mouse 13.26.8-H6 Vß8-expressing T cell hybridoma reactive to SEB, kindly provided by Dr. Muriel Moser (Free University Brussels, Gosselies, Belgium), was propagated in complete medium.

To obtain HEL-specific T cells, mice were injected intra-footpad with 25 µg HEL emulsified in complete Freund’s adjuvant. After 8 days, nonadherent cells were prepared from draining popliteal lymph nodes and used as HEL-responding T cells.

Mononuclear cells from blood collected on heparin (20 U/mL; Sigma Chemical Co., St. Louis, MO) were purified on Ficoll-Paque (Amersham Pharmacia Biotech AB, Uppsala, Sweden) as described [41 ], and plastic-adherent cells were prepared [17 ].

Con A-induced T cell activation
Macrophages from uninfected or infected mice (1.25x105/ml) were co-cultured with nonadherent LNCn (2x106/ml) in 96-well plates (Falcon®, Becton Dickinson, Rutherford, NJ) in the presence of Con A (10–0.3125 µg/ml; Sigma Chemical Co.) at 37°C in a humidified atmosphere containing 5% CO2. T cell activation was determined by measuring IL-2 concentration in 24-h co-culture supernatants using a specific enzyme-linked immunosorbent assay (ELISA; PharMingen Europe, Erembodegem-Aalst, Belgium) as described [24 ].

SEB-induced T cell activation
Macrophages from noninfected or infected mice (5x105/ml) were co-cultured with the 13.26.8-H6 T cell hybridoma (105/ml) in complete medium in the presence of serial dilutions of purified SEB (4–0.125 µg/ml; Toxin Technology, Sarasota, FL). T cell activation was determined as described for Con A-induced T cell activation.

Antigen-specific T cell activation
The 1E5.11 T cell hybridoma (2x105/ml) or HEL-specific T cells (2x106/ml) were co-cultured in complete medium with macrophages from noninfected or infected mice (5x105/ml) in the presence of HEL (50 µg/ml; Merck & Co., Rahway, NJ). T cell activation was monitored as described for Con A-induced T cell activation.

Uptake and catabolism of HEL protein
HEL was radiolabeled with 125I as described [24 ] to a specific activity of 4.0 x 106 cpm/µg. Macrophages were allowed to adhere on 35-mm tissue-culture plates (2 h, 37°C) and then incubated for 3 h at 37°C with radiolabeled HEL (6 µg/5x105 cells/ml). Cells were washed [1% bovine serum albumin (BSA) in phosphate-buffered saline (PBS)] until no radioactivity could be detected in the washing medium, lysed in Triton X-100 (0.5% in PBS), and the total amount of incorporated radioactivity was measured. The radioactivity released from macrophages incubated with 125I-labeled HEL in the presence of 0.2 mM sodium azide to block endocytosis was subtracted to calculate the net HEL uptake.

To determine the antigen catabolism, macrophages were loaded with 125I-labeled HEL and washed as described above. Cells were then chased for 90 min at 37°C in HEL-free medium. The 10% trichloroacetic acid (TCA)-soluble and -insoluble radioactivity present in the cell lysate or culture medium supernatants was measured. In control experiments, macrophages incubated with 125I-labeled HEL were chased in medium containing sodium azide. The radioactivity released from the appropriate controls was subtracted to obtain the net HEL catabolism.

Expression of surface molecules on macrophages
Biotinylated anti-I-Ed, anti-intercellular adhesion molecule-1 (ICAM-1), anti-CD40, anti-MAC-1, and isotype-control antibodies used for cytofluorimetry analysis were purchased from PharMingen Europe. CTLA-4/immunoglobulin (Ig) used to detect the surface expression of B7 was a kind gift of Dr. K. Thielemans (Allergy/Immunology, Internal Medicine, Free University Brussels). Fluorescein isothiocyanate (FITC)-conjugated streptavidin and FITC-labeled anti-(human) IgG were obtained, respectively, from Amersham Life Sciences (Bucks, UK) and Serotec (Oxford, UK). Cells were stained as described [24 ] and analyzed on a Becton Dickinson FACStar using the CELLQuest program. Isotype-control antibodies did not show significant background staining.

Plasma and PEC-culture supernatant collections
At different time intervals following infection, blood collected by heart-puncture on heparin (20 U/mL) was centrifuged (10,000 g, 10 min) and frozen at -80°C until analysis. Peritoneal exudate cells from noninfected or infected animals (5x105) were stimulated with 2.5 µg Con A or 1 µg SEB in 1 mL complete medium at 37°C in a humidified atmosphere containing 5% CO2. Culture supernatants were collected after 24 h (IL-4, IL-13 quantification) or 72 h (IFN-{gamma}, IL-10, NO quantification) and frozen at -80°C until analysis.

Quantification of cytokines
Cytokines were quantified using specific sandwich ELISAs for IFN-{gamma}, IL-4, IL-10 (PharMingen Europe), or TNF and IL-13 (R&D Systems, Abingdon, UK). They were performed in accordance with the manufacturers’ protocols.

Quantification of NO
Levels of plasma NO were determined by quantifying nitrites as described previously [8 ]. All reagents were obtained from Sigma Chemical Co. Briefly, nitrate was stoichiometrically reduced to nitrite by incubating 100 µL plasma sample (1 h, 37°C) in the presence of Aspergillus nitrite reductase (NAD[P]H, EC 1.6.6.2, 0.1 U/mL), reduced nicotinamide adenine dinucleotide phosphate (NADPH; 120 µM), and flavine adenine dinucleotide (FAD; 5 µM). Subsequently, excess NADPH was oxidized with L-lactic dehydrogenase (EC 1.1.1.27, type XI from rabbit muscle, 10 U/ml) and sodium pyruvate (10 mM) for 30 min at 37°C. Nitrite concentration in plasma was then assayed by a standard Griess reaction as described [17 ]. Nitrite concentration in PEC supernatants was assayed without reducing nitrates.

Determination of arginase activity
Arginase activity was measured in PEC or adherent blood mononuclear cell lysates as described by Munder et al. [26 , 27 ]. Briefly, cells were lysed with 100 µl Triton X-100 (0.1%). After 30 min on a shaker, arginase was activated in the presence of 100 µl Tris-HCl (25 mM) and 35 µl MnCl2 (10 mM, 10 min, 56°C). L-arginine hydrolysis was conducted by incubating the cell lysate with 100 µL L-arginine (0.5 M, pH 9.7) at 37°C up to 1 h. The reaction was stopped with 800 µL H2SO4 (96%)/H3PO4 (85%)/H2O (1 v/3 v/7 v). The produced urea was quantified at 540 nm after addition of 40 µL {alpha}-isonitrosopropiophenone (dissolved in 100% ethanol) followed by heating at 100°C for 20 min. One unit of enzyme is defined as the amount that catalyzes the formation of 1 µmol urea/min.


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RESULTS
 
Parasitemia profile in mice infected with WT or PLC-/- T. b. brucei
The course of infection with WT or PLC-/- T. b. brucei was evaluated in Balb/c mice. Figure 1 shows that PLC-/- parasites induced a >sixfold lower first peak of parasitemia compared with WT trypanosomes. Moreover, WT- and PLC-/--infected mice resolved the first wave of parasitemia efficiently, but only animals infected with PLC-/- parasites controlled subsequent parasitemic waves effectively. WT-infected mice survived for about 30 days post-infection, and PLC-/--infected animals survived for about 150 days (Fig. 1) [39 ]. Importantly, the prolonged survival in PLC-/--infected mice was not associated with complete clearance of PLC-/- parasites.



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Figure 1. Parasitemia in Balb/c mice infected with WT or PLC-/- T. b. brucei. Data (mean±SE; n=5) are representative of six independent experiments.

Collectively, these data suggest that BALB/c mice exhibit a susceptible phenotype upon WT trypanosome infections (high parasitemia, short survival) but are relatively resistant to PLC-/- T. b. brucei infections (low parasitemia, long survival).

T cell activation by macrophages from WT or PLC-/- T. b. brucei-infected mice in the presence of Con A
The Con A-induced activation of LNCn co-cultured with peritoneal macrophages collected during the early (first peak of parasitemia), late (5 weeks), or chronic (5 months) stages of infection with WT or PLC-/- T. b. brucei was investigated in vitro by measuring IL-2 secretion in co-culture supernatants. Nonstimulated LNCn or macrophages from uninfected or WT- or PLC-/--infected mice (pM{phi}-N, pM{phi}-WT, pM{phi}-PLC-/-) did not produce detectable levels of IL-2. Similarly, macrophages from noninfected or WT- or PLC-/--infected mice activated with Con A did not produce detectable amounts of IL-2. Upon activation with optimal concentration of Con A (2.5 µg/ml), LNCn secreted about 550 pg/ml IL-2, which markedly increased to 3900 pg/ml when co-cultured with pM{phi}-N (Fig. 2 ). In contrast, Con A-induced IL-2 production was greatly reduced in co-cultures of pM{phi}-WT and LNCn (p<0.01), to a similar extent throughout the entire course of infection. IL-2 secretion was also reduced following Con A stimulation in co-cultures of pM{phi}-PLC-/- from early stage-infected mice and LNCn but to a lesser extent than in co-cultures containing pM{phi}-WT (p<0.01). Moreover, the accessory cell function of pM{phi}-PLC-/- recovered in the course of infection and tended to be up-regulated during the chronic stage of infection compared with pM{phi}-N (Fig. 2) . These results indicate that whereas pM{phi}-WT exert an active, suppressive activity impairing Con A-induced T cell activation during the entire course of T. b. brucei infection, this defect is transient in pM{phi}-PLC-/-, occurring mainly during the early stage of infection.



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Figure 2. T cell activation by macrophages from WT or PLC-/- T. b. brucei-infected mice in the presence of Con A. During early (first peak of parasitemia), late (5 weeks), or chronic (5 months) phase of infection, pM{phi}-N, pM{phi}-WT, or pM{phi}-PLC-/- were co-cultured with LNCn in the presence of various concentrations of Con A for 24 h. IL-2 concentrations were determined in co-culture supernatants.

T cell activation by macrophages from WT- or PLC-/--infected mice in the presence of SEB
The capacity of pM{phi}-WT and pM{phi}-PLC-/- to stimulate a SEB-responding T cell hybridoma was evaluated during the entire course of infection. SEB-stimulated pM{phi}-N, pM{phi}-WT, or pM{phi}-PLC-/- did not produce detectable levels of IL-2 in the absence of the hybridoma nor did the latter alone. PM{phi}-WT were impaired in their capacity to present SEB to the hybridoma to a similar extent during the whole period of infection compared with pM{phi}-N (p<0.01; Fig. 3 ). PM{phi}-PLC-/- were also inhibited significantly in their ability to present SEB during the early stage of infection (p<0.01). However, from the late stage of infection onward, SEB-presenting capacity of pM{phi}-PLC-/- was restored. Hence, as observed with Con A, although SEB activation of T cells by macrophages from WT-infected mice is inhibited throughout the entire course of infection, this defect is restored in macrophages from late-stage PLC-/--infected animals.



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Figure 3. T cell activation by macrophages from WT- or PLC-/--infected mice in the presence of SEB. At different times post-infection, pM{phi}-N, pM{phi}-WT, or pM{phi}-PLC-/- were co-cultured with LNCn in the presence of various concentrations of SEB for 24 h. IL-2 concentrations were determined in co-culture supernatants.

Antigen-specific T cell activation by macrophages from WT or PLC-/- T. b. brucei-infected mice
The ability of pM{phi}-WT and pM{phi}-PLC-/- to present HEL to a specific T cell hybridoma was analyzed in vitro by measuring IL-2 production in culture supernatants. The hybridoma, pM{phi}-N, pM{phi}-WT, or pM{phi}-PLC-/- alone did not secrete detectable amounts of IL-2 in the presence of HEL. Figure 4 shows that, compared with pM{phi}-N, pM{phi}-WT and pM{phi}-PLC-/- had a significantly reduced capacity to present HEL throughout the course of infection (p<0.01). However, the ability of pM{phi}-PLC-/- to present HEL was reduced to a lesser extent than that of pM{phi}-WT during the whole period of infection (p<0.05).



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Figure 4. HEL-specific T cell activation by macrophages from WT or PLC-/- T. b. brucei-infected mice. At different times post-infection, pM{phi}-N, pM{phi}-WT, or pM{phi}-PLC-/- were co-cultured with HEL-specific T cell hybridoma or HEL-specific T cells in the presence of HEL (50 µg/ml) for 24 h. IL-2 concentrations were determined in co-culture supernatants. Dashed lines indicate levels of IL-2 in co-cultures containing pM{phi}-N.

The ability of pM{phi}-WT and pM{phi}-PLC-/- to present HEL was further analyzed using lymph node cells from HEL-immunized mice. The ability of HEL-specific T cells to produce IL-2 was impaired greatly by pM{phi}-WT collected during the entire course of the disease compared with pM{phi}-N (p<0.01; Fig. 4 ). The HEL presentation ability of pM{phi}-PLC-/- to HEL-specific T cells was reduced to a similar extent as pM{phi}-WT throughout the infection period.

Collectively, these observations indicate that protein antigen-specific T cell activation by pM{phi}-WT and pM{phi}-PLC-/- remains impaired throughout the whole course of the disease.

Phenotypic characterization of PEC from WT- or PLC-/--infected mice
The phenotype of PEC-WT and PEC-PLC-/- was analyzed in the course of infection. Microscopic examination revealed that PEC-WT contained up to 80% enlarged cells with abundant cytoplamic vacuoles or inclusions. This population was absent from PEC-N and only represents 2% of PEC-PLC (not shown). Table 1 illustrates experiments performed in the late stage of infection. Compared with pM{phi}-N, pM{phi}-WT and pM{phi}-PLC-/- exhibited an increased uptake and catabolism of HEL and expressed similar or increased levels of MHC class II and ICAM-1 molecules. Compared with pM{phi}-N, the expression of B7 and CD40 molecules was down-regulated on pM{phi}-WT and to a lesser extent on pM{phi}-PLC-/-.


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Table 1. Phenotype Analysis of Peritoneal Macrophages from Mice in Late Stage of Infection with WT or PLC-/- T. b. brucei

To further characterize the activation status of macrophages, TNF and NO (quantified as nitrite accumulation) secretions as well as arginase activity were analyzed in vitro in cells collected from the peritoneal cavity of WT- or PLC-/--infected animals (PEC-WT or PEC-PLC-/-). TNF was not detected in nonstimulated cultures. However, upon activation with Con A, TNF production by PEC-WT increased compared with PEC from uninfected mice (PEC-N), reaching maximal values during the late stage of infection (p<0.01; Fig. 5 ). During the early phase of infection, Con A-induced TNF production by PEC-PLC-/- also increased compared with pM{phi}-N but to a lower level than by pM{phi}-WT. During the late/chronic phase of infection, PEC-PLC-/- clearly exhibited a reduced ability to secrete TNF upon Con A stimulation compared with PEC-N (p<0.01). Similar modulations of TNF secretion were observed upon SEB stimulation of PEC-WT and PEC-PLC-/- (not shown).



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Figure 5. Levels of TNF, nitrite, and arginase activity in PEC of WT or PLC-/- T. b. brucei-infected mice. At different time points post-infection, TNF and nitrite levels were determined in PEC-N, PEC-WT, or PEC-PLC-/-, cultured without or with Con A (2.5 µg/ml). Arginase activity was determined in PEC-N, PEC-WT, or PEC-PLC-/- lysates from WT- or PLC-/--infected mice (mean±SE, n=3). Dashed lines indicate TNF and nitrite levels or arginase activity in the cell cultures or cell lysates from noninfected mice.

Spontaneous, in vitro secretion of NO by PEC-WT increased compared with PEC-N, reaching maximal values during the late stage of infection (p<0.01) (Fig. 5) . In contrast, NO production by PEC-PLC-/- was modulated throughout the whole period of infection. Following Con A activation, NO secretion by PEC-N, PEC-WT, and PEC-PLC-/- increased compared with equivalent, nonstimulated cells (p<0.01). Con A-activated PEC-WT produced higher amounts of NO than Con A-activated PEC-N from the early stage of infection, reaching maximal value in the late stage of infection (p<0.01). Conversely, NO production by Con A-activated PEC-PLC-/- was increased only in the early stage of infection compared with Con A-activated PEC-N (p<0.01), to a similar extent as in Con A-activated PEC-WT. From the chronic phase of infection, PEC-PLC-/- triggered with Con A showed a clearly decreased NO secretion compared with PEC-N (p<0.01). Similar modulations of NO secretion were observed upon SEB stimulation of PEC-WT and PEC-PLC-/- (not shown).

Arginase activity was not induced following T. b. brucei infection in PEC-WT at any moment post-infection, as well as in PEC-PLC-/- during the early phase of infection (Fig. 5) . In contrast and corresponding to reduced TNF and NO productions, PEC-PLC-/- exhibited increased arginase activity during the late and chronic stages of infection.

Collectively, these observations suggest that WT or PLC-/- T. b. brucei infection elicits phenotypically different macrophages in the peritoneal cavity of infected mice.

Production of IFN-{gamma}, IL-10, IL-4, and IL-13 by PEC from WT or PLC-/- T. b. brucei-infected mice
Because macrophage activity is regulated by cytokines [25 ], the cytokine environment in the peritoneal cavity of mice was analyzed in vitro in culture supernatants of PEC-WT or PEC-PLC-/- collected at different time points post-infection. A spontaneous secretion of cytokines occurred only in cell supernatants from late-stage, WT-infected mice (0.4 ng/ml IFN-{gamma}) and late/chronic-stage, PLC-/--infected animals (0.1 ng/ml IL-10).

Figure 6 shows that, compared with PEC-N, Con A-induced IFN-{gamma} production by PEC-WT was significantly reduced only during the early stage of infection (p<0.01). In contrast, Con A-induced IFN-{gamma} production by PEC-PLC-/- decreased progressively from the late stage of infection onward compared with PEC-N (p<0.01). The secretion of IL-10 by PEC-WT tended to increase during the early phase of infection compared with Con A-activated PEC-N but was decreased during the late stage of infection (p<0.05). IL-4 and IL-13 were not detected in Con A-activated PEC-WT throughout the course of infection. Infection with PLC-/- parasites induced a progressive increase in Con A-induced secretion of IL-10, IL-4, and IL-13, reaching maximal values during the chronic stage of infection. Similar cytokine modulations were observed in PEC-WT and PEC-PLC-/- stimulated with SEB (not shown).



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Figure 6. IFN-{gamma}, IL-10, IL-4, or IL-13 productions by PEC of WT or PLC-/- T. b. brucei-infected mice. At different times post infection, IFN-{gamma}, IL-10, IL-4, or IL-13 productions were quantified in PEC-N, PEC-WT, or PEC-PLC-/- activated with Con A (2.5 µg/ml; mean±SE, n=3). Dashed lines indicate cytokine levels in PEC-N. IL-4 or IL-13 levels were not detected in noninfected or WT-infected mice except in IL-4 in late-stage WT-infected animals.

Thus, the cytokine environment surrounding pM{phi}-WT and pM{phi}-PLC-/- differs, because type II cytokines are present mainly in PLC-/--infected mice from the late stage of infection.

NO levels and arginase activity in the blood of WT or PLC-/- T. b. brucei-infected mice
We demonstrated previously that WT and PLC-/- trypanosomes induce a systemic type I cytokine response (IFN-{gamma}) in the plasma of infected mice in the early stage of infection [39 ]. In addition, the levels of TNF were increased in the plasma of WT-infected mice, reaching maximal value in the late stage of infection. In PLC-/--infected mice, TNF was only detected in the early stage of the disease to lower levels than in WT-infected mice. Finally, type II cytokines (IL-4, IL-10) were only observed in the plasma of late-stage PLC-/--infected animals. IL-13 could not be detected in the plasma of WT- or PLC-/--infected mice (not shown).

To further investigate the phenotype of activated macrophages, NO levels were quantified as accumulation of nitrites in the plasma of WT- or PLC-/--infected mice. In parallel, arginase activity was quantified in blood monocytes. Increased levels of NO were observed in the plasma of WT-infected mice compared with uninfected animals (Fig. 7 ). These levels reached maximal values during the early stage of infection but remained elevated during the late stage of infection. NO plasma levels were increased in PLC-/--infected mice only in the early stage of infection to a lower extent than in WT-infected mice (p<0.05). No significant arginase activity could be detected throughout the infection with WT parasites (Fig. 7) . Arginase activity was, however, elicited from the late stage of infection in PLC-/--infected animals.



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Figure 7. Plasma nitrite levels or arginase activity in blood monocytes of WT or PLC-/- T. b. brucei-infected mice. At different time points post-infection, plasma levels of nitrite or arginase activity in blood monocyte lysates were determined in WT- or PLC-/--infected mice (mean±SE, n=3). Dashed lines indicate nitrite levels in the plasma or arginase activity in blood monocyte lysates from noninfected mice.

Hence, the patterns of TNF and NO releases in the plasma of T. b. brucei-infected mice correlate with levels of IFN-{gamma} and possibly reflect the presence of classically activated macrophages in susceptible animals. In addition, an increased arginase activity suggesting the development of alternatively activated macrophages occurs exclusively in PLC-/--infected mice showing a systemic type II cytokine environment.


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DISCUSSION
 
In the present study, the accessory cell function of murine peritoneal macrophages elicited during infection with WT or PLC-/- T. b. brucei was investigated. We observed that at the times investigated following infection with both parasite variants, MHC class II and ICAM-1 molecule expressions on macrophages were unaffected or slightly up-regulated. Moreover, the capacity of macrophages to internalize and process nontrypanosome protein antigens for presentation to antigen-specific T cells was also increased. These data suggest an activated phenotype for pM{phi}-WT and pM{phi}-PLC-/- [42 ]. However, the activation status of pM{phi}-WT and pM{phi}-PLC-/- differs in their L-arginine metabolic pathways. pM{phi}-WT secreted NO progressively in the course of infection but did not display arginase activity. The NO secretion by pM{phi}-WT was paralleled with the synthesis of TNF. A similar modulation of L-arginine metabolism and TNF also occurred in the blood of WT-infected mice. These data confirm previous studies suggesting the development of caM{phi} in WT T. b. brucei-infected mice [18 , 32 , 36 37 38 ]. The occurrence of caM{phi} was also evidenced in PLC-/--infected mice but only during the early stage of infection. From the late stage of PLC-/- trypanosome infection, macrophages secreted neither TNF nor NO but showed arginase activity paralleled by the production of type II cytokines (IL-4, IL-10, and IL-13) in the peritoneal cavity and in the blood. These observations suggest the induction of aaM{phi} in late/chronic-stage PLC-/--infected animals. Because the latter survived longer (>150 days compared with 30 days for WT-infected mice) [39 ], the sequential development of caM{phi} and aaM{phi} may be beneficial to the host during T. b. brucei infection. During the early stage of infection, caM{phi}-secreting inflammatory mediators, as observed in WT and PLC-/--infected mice, may be required to control the aggressive parasitemic waves [36 37 38 , 43 , 44 ]. The initiation of type II cytokine production in the late stage of PLC-/- trypanosome infection may down-regulate the development of caM{phi} and induce the emergence of aaM{phi} [25 26 27 28 ], which may, in turn, decrease the host’s susceptibility to T. b. brucei. Consistently, we observed that IL-10-/- mice are extremely susceptible to WT and PLC-/- infections, showing respective survival times of 8 and 13 days, and display a classical macrophage hyperactivation status (unpublished results).

How do the PLC-/- T. b. brucei induce caM{phi}? The lower parasite burden (i.e., reduced antigenic load) in PLC-/--infected animals compared with WT-infected mice may be responsible for the induction of type II immune response, as suggested in other parasite models [45 ]. The absence of PLC activity may facilitate the shift from caM{phi} to aaM{phi} induced by the PLC-/- T. b. brucei. Indeed, the PLC enzyme may be involved in the release of glycosylphosphatidylinositol (GPI)-anchored proteins [46 , 47 ]. Moreover, GPI anchors prime macrophages to secrete TNF, IL-1, IL-6, IL-12, and NO [31 , 48 ] and natural killer cell antigen 1.1 helper T (NKT) cells to produce IFN-{gamma} rather than IL-4 [49 ]. Hence, the lower amount of GPI that anchors in PLC-/--infected mice may impair a sustained classical macrophage activation. In addition, because the functional activation of macrophages is cytokine dose-dependent and temporary [50 ], the lower production of TNF and the increased production of type II cytokines in the early stage of PLC-/- parasite infections may favor the development of aaMP in the late stage of infection.

pM{phi}-WT inhibited trypanosome-unrelated antigen-specific, and aspecific T cell activation throughout the period of infection. pM{phi}-PLC-/- also suppressed T cell activation in response to antigen during the whole course of infection, and the impairment of aspecific T cell activation only occurred during the early phase of infection. Hence, the mechanisms by which macrophages inhibit IL-2 secretion by T cells in response to antigens and aspecific activators differ in WT- and PLC-/--infected mice and through the course of infection. During the early stage of WT T. b. brucei infection, macrophages were shown to inhibit Con A-induced T cell proliferation in the spleen and the lymph nodes, down-regulating IL-2 secretion and IL-2 receptor (IL-2R) expression via PG/NO-dependent mechanisms [17 , 18 , 20 , 21 , 23 , 33 ]. However, during the late stage of infection, PG/NO-independent mechanisms emerge in both lymphoid compartments [17 , 18 , 22 , 33 , 35 36 37 38 ]. At this moment, IFN-{gamma} and TNF act synergistically to block Con A-induced T cell responsiveness in the lymph nodes [17 , 22 , 36 ]. Accordingly, during the early stage of infection, pM{phi}-WT and pM{phi}-PLC, being caM{phi}, may inhibit T cell activation induced by Con A and SEB by producing PG and NO [25 ]. In the late stage of infection, chronic TNF production by WT-infected animals may take part in the inhibition of aspecific T cell activation through attenuation of TCR signaling [51 ]. This mechanism should not be operative in late-stage, PLC-/--infected animals because pM{phi}-PLC-/- do not secrete TNF at this moment.

As far as antigens are concerned, we demonstrated [24 ] that the impaired T cell activation during WT T. b. brucei infection results from a defect in the step leading to the formation of [antigenic peptide-MHC class II molecule] complex on the macrophage surface, although the surface expression of MHC class II molecules tended to be up-regulated. Moreover, the decreased expression of B7 and CD40 co-stimulatory molecules on pM{phi}-WT could contribute to the inhibition of antigen-specific T cell activation. The inhibition of antigen-specific T cell activation does not result from the production of PG, NO, or reactive oxygen intermediate by macrophages. However, IL-10 contributes marginally to the impairment of antigen-induced T cell activation observed in WT T. b. brucei-infected mice. Such mechanisms, including a similar involvement for IL-10 in the inhibition of antigen-specific T cell activation, also hold true for macrophages of PLC-/--infected mice (unpublished results). Moreover, as for aspecific T cell activation, TNF produced by pM{phi}-WT all through the infection and by pM{phi}-PLC-/- in the early stage of infection may contribute to the inhibition of antigen-induced T cell activation, down-regulating TCR signaling [51 ]. An eventual role of cytokines produced by aaM{phi} in the peritoneal cavity of PLC-/--infected mice such as IL-10 and TGF-ß on the inhibition of antigen-, mitogen-, or superantigen-induced IL-2 secretion by T cells requires further elucidation. To this regard, it was demonstrated that IL-10 participates in the inhibition of Con A-induced T cell proliferation in T. congolense-infected mice [52 ].

In conclusion, this study shows that WT and PLC-/- T. b. brucei elicit pro-inflammatory caM{phi} during the early phase of infection paralleled with the impairment of antigen-specific and -aspecific T cell activation. Importantly, only PLC-/- parasites induce the development of anti-inflammatory aaM{phi} during the late/chronic stages of infection, which correlated only with the inhibition of antigen-induced T cell activation. The sequential activation of caM{phi} in a type I cytokine environment at the beginning of infection, followed by activation of aaM{phi} in a type II cytokine environment during the late/chronic stage of infection, may be responsible for the increased resistance of mice to PLC-/- T. b. brucei infections. Alternatively, aaM{phi}, by inhibiting antigen-specific immune response, may favor the persistence of a chronic infection in PLC-/--infected animals and prevent cure. It is interesting that cattle, naturally tolerant to T. congolense, exhibit increased transcription of IL-4 and IL-10 mRNAs with a concomitant reduction in NO secretion and TNF mRNA expression [41 , 53 , 54 ]. Hence, it might be fruitful to investigate whether infection preferentially induces aaM{phi} in trypanotolerant cattle and whether these cells contribute to host resistance.


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ACKNOWLEDGEMENTS
 
This work, supported by the Fund for Scientific Research Flanders (FWO), was performed in frame of an Interuniversity Attraction Pole Program. We thank E. Vercauteren for radiolabeling the lysozyme.

Received July 1, 2000; revised October 16, 2000; accepted October 18, 2000.


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C. C. Motran, F. L. Diaz, A. Gruppi, D. Slavin, B. Chatton, and J. L. Bocco
Human pregnancy-specific glycoprotein 1a (PSG1a) induces alternative activation in human and mouse monocytes and suppresses the accessory cell-dependent T cell proliferation
J. Leukoc. Biol., September 1, 2002; 72(3): 512 - 521.
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J. Leukoc. Biol.Home page
G. Raes, P. De Baetselier, W. Noel, A. Beschin, F. Brombacher, and G. Hassanzadeh Gh.
Differential expression of FIZZ1 and Ym1 in alternatively versus classically activated macrophages
J. Leukoc. Biol., April 1, 2002; 71(4): 597 - 602.
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