Originally published online as doi:10.1189/jlb.0103015 on August 21, 2003
Published online before print August 21, 2003
(Journal of Leukocyte Biology. 2003;74:1045-1055.)
© 2003
by Society for Leukocyte Biology
Smooth and rough lipopolysaccharide phenotypes of Brucella induce different intracellular trafficking and cytokine/chemokine release in human monocytes
Michael G. Rittig*,1,
Andreas Kaufmann
,
Adrian Robins
,
Barry Shaw*,
Hans Sprenger
,
Diethard Gemsa
,
Vincent Foulongne¶,
Bruno Rouot¶ and
Jacques Dornand¶
Schools of
* Biomedical Sciences and
Clinical Laboratory Sciences, University of Nottingham Medical School, Nottingham NG7 2UH, United Kingdom;
Institut für Immunologie, Philipps-Universität, 35032 Marburg, Germany;
¶ INSERM U431, Université de Montpellier II, 34095 Montpellier, France
1 Correspondence: University of Nottingham Medical School, School of Biomedical Sciences, Queens Medical Centre, Nottingham NG7 2UH, UK; E-mail:michael.rittig{at}nottingham.ac.uk
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ABSTRACT
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Virulence of the intracellular pathogen Brucella for humans is mainly associated with its lipopolysaccharide (LPS) phenotype, with smooth LPS phenotypes generally being virulent and rough ones not. The reason for this association is not quite understood. We now demonstrate by flow cytometry, electron microscopy, and ELISA that human peripheral blood monocytes interact both quantitatively and qualitatively different with smooth and rough Brucella organisms in vitro. We confirm that considerably higher numbers of rough than smooth brucellae attach to and enter the monocytes in nonopsonic conditions; but only smooth brucellae replicate in the host cells. We show for the first time that rough brucellae induce higher amounts than smooth brucellae of several CXC (GRO-
, IL-8) and CC (MIP-1
, MIP-1ß, MCP-1, RANTES) chemokines, as well as pro- (IL-6, TNF-
) and anti-inflammatory (IL-10) cytokines released by challenged monocytes. Upon uptake, phagosomes containing rough brucellae develop selective fusion competence to form spacious communal compartments, whereas phagosomes containing smooth brucellae are nonfusiogenic. Collectively, our data suggest that rough brucellae attract and infect monocytes more effectively than smooth brucellae, but only smooth LPS phenotypes establish a specific host cell compartment permitting successful parasitism. These novel findings link the LPS phenotype of Brucella and its virulence for humans at the level of the infected host cells. Whether this is due to a direct effect of the LPS molecules or to upstream bacterial mechanisms remains to be established.
Key Words: phagocytosis intracellular trafficking intracellular parasitism hostpathogen interaction
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INTRODUCTION
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Lipopolysaccharide (LPS), the major component of the outer cell membrane of gram-negative bacteria, has a profound effect on our immune system and is of great significance in the pathophysiology of many disease processes. LPS molecules can formally be divided into three separate regions: (1) the highly hydrophobic lipid A in the outermost membrane leaflet with an extending hydrophilic polysaccharide consisting of (2) the core oligosaccharide and (3) attached repeating saccharide subunits, the O-polysaccharide or O-chain [1
, 2
]. Although ubiquitously expressed by all Gram-negative bacteria and containing several well-conserved domains, differences between species and strains exist in all parts of the molecule. Specifically, the O-chain may be expressed in truncated nonrepeating forms known as lipo-oligosaccharide or rough LPS. These differerences may account for the fact that LPS shows quite a diversity of causative or modulating effects in a number of disease processes [1
, 2
].
The coccobacterium Brucellaa facultative intracellular pathogen of various mammals that is the source of a major zoonotic disease for humans worldwidedisplays two distinct LPS phenotypes, a smooth form characterized by the fully expressed O-chain and a rough form with a substantially reduced or absent O-chain and maybe outer core section [3
]. Rough forms arise spontaneously from smooth forms and accumulate in culture, suggesting that O-chain expression is nonessential and metabolically demanding under culture conditions [4
]. Thus, it can be assumed that the that O-chain has to be of selective advantage in other conditions, presumably in the host. The "major" species (i.e., strongly pathogenic for humans) B. melitensis, B. suis, and B. abortus indeed are fully virulent only in their natural smooth form and non- or much less virulent in their mutant rough forms, both in humans and their primary hosts [5
]. With LPS being the most prominent component of the outer cell membrane of brucellae and dominating the antibody response of the host, it seems reasonable to assume that LPS is a key factor in the pathogenicity of human brucellosis [5
]. This assumption is supported by the fact that the identification of other classical virulence factors of Gram-negative bacteriasuch as flagella, fimbriae, capsules, and exotoxinsin Brucella has been elusive, and the genome analysis of two of the major Brucella species revealed that most functional gene sequences encoding for known virulence factors are missing [6
, 7
]. Accordingly, it has been suggested that LPS may be important for the extracellular survival of brucellae in the host [8
, 9
], for the intracellular survival in the host cells [10
], or both [11
].
However, several exceptions from this rule have confused interpretation [4
, 5
]. First, among the "minor" species (i.e., nonpathogenic or rarely pathogenic for humans), B. canis is naturally rough and B. neotomae naturally smooth, but the former causes anecdotal infections in humans and the latter not. Second, although generally being nonvirulent in humans, the minor species are fully virulent in their primary hosts. Third, some rough Brucella mutants are able to survive for long periods in cultured host cells. Fourth, the LPS of Brucella is by some orders of magnitude less biologically potent than that of other Gram-negative bacteria such as Escherichia coli [12
, 13
]. At present, it is not clear whether the correlation between virulence and LPS phenotype in human brucellosis is causal or not, in what stage of infection virulence is being established, and what factors exactly are affected by the LPS phenotypethe adaptability of the bacterial parasite to changing environments, the modulation of the host cell, or the effectiveness of the host immune response.
To this end, we have compared the interaction of human mononuclear phagocytes with smooth or rough LPS phenotypes of Brucella. We were focusing on the two main pathogenic smooth species B. melitensis and B. suis and a fully characterized constructed rough mutant each. Our results confirm and extend previous findings in other systems that mononuclear phagocytes differentiate considerably between smooth and rough strains in terms of kinetics of attachment, uptake, and replication. We show for the first time that the two LPS phenotypes establish different host cell compartments and that the challenged host cells release a different chemokine/cytokine pattern. Thus, the LPS phenotype of brucellae obviously is linked with two early effects in humans, one on the local inflammatory response and one on the intracellular compartments occupied in the preferential host cells. Whether this is due to a direct effect of the smooth or rough LPS molecules themselves or to bacterial mechanisms upstream of LPS biosynthesis remains to be established.
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MATERIALS AND METHODS
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Reagents and antibodies
Cell culture reagents and FCS were obtained from Gibco-BRL; cell culture plastics from BD Biosciences, Pall and Nalge Nunc; microbiological reagents from Difco Laboratories (now BD Diagnostics); and electron microscopical reagents from Polysciences Europe. Cell separation reagents, latex beads with an average diameter of 3.0 µm, BSA (Cohn fraction V), and LPS from E. coli serotype 055:B5, as well as any other, not specifically mentioned reagents came from Sigma-Aldrich. Highly purified smooth and rough LPS from B. abortus strains 2308 and 45/20, respectively, were kindly provided by Dr. Ignacio Moriyon, Universidad de Navarra, Pamplona, Spain. An allophycocyanin-conjugated mAb to CD14 was purchased from Beckman Coulter; mAb to GRO-
(CXCL1) from Sigma-Aldrich; mAb to MCP-1 (CCL1), IL-6, IL-10 and TNF-
from BD PharMingen; mAb to IL-8 (CXCL8), MIP-1
(CCL3), MIP-1ß (CCL4) and RANTES (CCL5), as well as a biotinylated secondary Ab from R&D Systems Biotech; and a streptavidin-peroxidase conjugate from Boehringer Mannheim (now Roche Diagnostics). Recombinant human GRO-
, MCP-1, IL-10, IL-8, MIP-1
, MIP-1ß, and RANTES were all obtained from R&D Systems Biotech; TNF-
from BD PharMingen; and IL-6 from PBH Pharma Biotechnologie, Hannover, Germany. Items from the multinational companies were ordered at the respective German, English, French, or European offices as listed on the companies web pages.
Bacteria
The Brucella strains used in this study are listed in Table 1 . The two mutant strains have the mini-Tn5 Km transposon inserted in the manB or perA gene encoding for phosphomannomutase or perosamine synthetase, respectively, resulting in a truncated LPS with rough phenotype [14
, 15
]. Liquid cultures of brucellae in trypticase soy broth were raised overnight from stocks growing on trypticase soy agar plates. Immediately before the experiments, the density of the late stationary-phase cultures were adjusted in a spectrophotometer at OD600. Aliquoted bacteria were washed with PBS and resuspended in host cell culture medium. If necessary, bacteria were killed by exposing aliquots to heat (60°C for 60 min) or p-formaldehyde (6% in PBS for 6 h).
Host cells
Buffy coats of healthy donors were obtained from the Ets. Transfusion Sanguine Languedoc-Roussillon, Montpellier, France, and the National Blood Service, Trent Regional Centre, Sheffield, UK. Standard buoyant-density-based centrifugation over Ficoll-Hypaque was used to separate the PBMC from the buffy coats [16
]. The PBMC were directly used for the flow cytometrical studies. For the electron microscopical studies, peripheral blood monocytes (PBM) were enriched by a CD2+ rosetting step with neuraminidase-desialinated sheep red blood cells (obtained from BAG, Lich, Germany, and Harlan Sera-Lab, Loughborough, England) [16
]. For functional assays, the PBM were further purified via an adherence step on Falcon PrimariaTM T25 tissue culture flasks overnight. For experiments based on a monocyte-derived macrophage phenotype, the PBM were subcultured for seven days. In addition, human monocytoid THP-1 cells (ATCC TIB 202) were differentiated into macrophage-like cells by adding 100 nM 1,25-dihydroxyvitamin D3 to the culture medium for five days [17
]. RPMI culture medium supplemented with 10% heat-inactivated FCS (RPMI+) was used for all of the cells.
Flow cytometry
Killed bacteria were directly labeled with 50 µg/ml FITC (isomer I) for 15 min at room temperature following the protocol of Miller and Quarles [18
] and stored protected from light at 4°C. Aliquots of PBMC (1x106 each) in polypropylene test tubes were challenged with FITC-labeled brucellae at a bacterium:host cell ratio (multiplicity of infection, MOI) of 500:1 in a total volume of 0.5 ml RPMI+ for 30 min, washed thoroughly with PBS containing 0.1% BSA, incubated with a saturating concentration of a directly fluorochrome-labeled mAb to CD14 for 20 min, which results in the labeling of
85% of the heterogenous PBM [19
], washed again twice with 0.1% PBS-BSA, and resuspended in 0.5% formaldehyde in PBS before flow cytometric analysis. All these steps were performed at 4°C or on ice, and all samples were thoroughly vortexed to reverse any aggregation. 104 events for each sample were analyzed using an Beckman Coulter EPICS ALTRA flow cytometer with Expo32 software. For comparison, the fluorescence intensities of the FITC-labeled bacteria were adjusted to the same level to compensate for minor differences in the labeling intensities between different strains.
Electron microscopy
Phagocytosis was synchronized by mixing precooled (to 4°C) aliquots of PBM (1x106 each) and brucellae in polypropylene tubes in a total volume of 0.5 ml RPMI+ and a MOI of 500:1. In some experiments monocytes were coincubated with thoroughly vortexed precooled aliquots of brucellae and latex beads at a MOI of 250:1 each. After 15 min at 4°C, the suspensions were placed in a water bath at 37°C for another 15 min before being washed twice with large volumes of PBS. The pelleted monocytes were resuspended in RPMI+, seeded into Falcon Primaria T25 tissue culture flasks, and chased for up to 24 h in presence of 50 µg/ml gentamicin in order to kill any remaining extracellular brucellae. The chase was stopped by adding an excess amount of warm cacodylate-buffered aldehyde fixative [20
] to the flasks. Following overnight fixation at 4°C, the adherent cells were gently scraped off the flasks and processed for transmission electron microscopy following established protocols [20
]. Ultrathin sections were placed on 200-square mesh grids and examined with a Phillips TEM410. Events were quantified by the stereological approach of Mayhew et al. [21
], which allows for the simple and nonbiased scoring of a large number of electron microscopical samples. Briefly, having selected the optimal magnification, photos were taken from randomly chosen cells at predetermined corners of several grid windows. The host cell profiles on these micrographs were superimposed with test-line lattices to count the number of sites at which test-lines intersected events of interest or not. The
-squared test was used to statistically compare "expected" and "observed" distributions within the experimental groups.
CFU counts
Aliquots of PBM (5x105 each/well) in Falcon PrimariaTM 24-well tissue culture plates were challenged with Brucella in a total of 0.5 ml RPMI+ at a MOI of 5:1 to 500:1 for 15 min. Some PBM were left untreated or were exposed to 10 ng/ml LPS from E. coli as negative and positive controls, respectively, for the ELISA measurements described below. Having rinsed the wells thoroughly with PBS and refilled with 1 ml each of fresh RPMI+, the PBM were given another 45 min to complete phagocytosis before adding 50 µg/ml gentamicin to the culture medium. At the end of the respective chase periods of up to 48 h, the culture supernatants were harvested for the ELISAs, whereas the host cells were osmotically lysed with 0.5 ml/well of 0.2% Triton X-100 in cold distilled water. Trypticase soy agar plates were inoculated in triplicate with 100 µl each of supernatant in serial dilutions and evaluated for presence of CFU. As the naturally rough strains grow somewhat slower than the naturally smooth strains and their rough mutant strains used in this study, care was taken to count CFUs of about the same size (typically 3-4 days old for smooth species and 4-5 days old for rough species).
ELISAs
The culture supernatants mentioned above were filtered through 0.2 µm Gelman Acrodisc filters, centrifuged at 16,000 x g for 15 min, and stored deep frozen until the actual measurements. Chemokine and cytokine release was determined by specific triple-sandwich ELISAs developed in our laboratory, as described in detail before [22
]. Briefly, Nunc Maxisorp 96-well microtiter plates were coated with Ab specific for IL-6, IL-8, IL-10, TNF-
, GRO-
, MCP-1, MIP-1
, MIP-1ß, and RANTES, and blocked with 2% PBS-BSA. The wells were incubated with aliquots of culture supernatants (100 µl/well) followed by a biotinylated secondary Ab and a streptavidin-peroxidase complex. Conversion of the chromogenic substrate o-phenylenediamine dihydrochloride was measured and evaluated by means of a Dynatech MR 7000 photometric plate reader with intrinsic software (Dynex Technologies, Denkendorf, Germany). Readouts were plotted against a standard curve obtained with the respective recombinant chemokines and cytokines. The sensitivities of the established ELISAs were <20 pg/ml for IL-8, MCP-1, MIP-1ß, RANTES, IL-6, and IL-10, <50 pg/ml for GRO-
and <100 pg/ml for TNF-
and MIP-1
, with less than 5% intra- and interassay variances.
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RESULTS
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Brucella organisms with rough LPS phenotype infect human monocytes more efficiently than smooth LPS phenotypes, but only the latter replicate
First, we were interested in the effect of the LPS phenotype on the binding of brucellae to human monocytes in "nonopsonic" conditions (i.e., in the presence of heat-inactivated, nonimmune serum). When incubating FITC-labeled brucellae with PBMC immunostained for CD14, flow cytometry showed that rough LPS phenotypes bound to 1 order of magnitude on a logarithmic scale more numerous to CD14+ monocytes than smooth LPS phenotypes (Fig. 1
). The greater extent of binding was observed for both the constructed rough mutants of smooth parental strains and the natural rough species (data not shown). The same difference in binding of brucellae as for the CD14+ monocytes was observed for CD14- cells with the scatter characteristics of lymphocytes (Fig. 1) . These cells were confirmed to be B cells [23
] in separate experiments (data not shown).

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Figure 1. Binding of Brucella organisms with rough or smooth LPS to human monocytes. Human PBMC were incubated with FITC-labeled brucellae at a MOI of 500:1 for 30 min at 4°C and subsequently labeled with an APC-conjugated antibody to CD14. 104 events for each sample were analyzed with a flow cytometer. The data are representative of results obtained from five blood donors. The dot plots show that CD14+ cells bind higher numbers of the constructed rough LPS mutant (B. suis manB; 1C) than the parental smooth LPS organisms (B. suis wt; 1B). This pattern was consistent for all Brucella strains tested. In addition to CD14+ monocytes, a large number of CD14- cells also showed binding to Brucella strains; these cells have the scatter characteristics of lymphocytes when gated onto a forward/side scatter plot (FS/SS; Fig. 1D
1E
1F
).
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These different binding characteristics of smooth and rough Brucella organisms to human monocytes do not necessarily imply different uptake, as this will depend on the host cell receptor(s) involved. Thus, in order to distinguish between mere adhesion and uptake, we performed CFU counts after a short challenge period, when intracellular killing mechanisms are not yet fully effective. Thus, PBM were challenged with brucellae displaying different LPS phenotypes and osmotically lysed after a total pulse of one hour for plating of released bacteria. Much higher numbers of viable rough than smooth brucellaeagain with about 1 order of magnitude difference on a logarithmic scalewere reisolated from the infected monocytes (Fig. 2A
). This suggests that a considerable part of the attached bacteria indeed had been readily internalized and that challenge with rough brucellae initially results in a higher bacterial load of the host cells.
CFU counts performed at later time points after infection showed a characteristic sharp decline in the number of surviving smooth and rough bacteria within the first day postinfection, followed by a rapid increase in the number of smooth but not rough organisms (Fig. 2B)
. Although the rough mutants (as well as the naturally rough species; data not shown) obviously were not able to proliferate to a large extent in the monocytes, nevertheless, they maintained a basal infection over several days (Fig. 2A)
.
An obvious question at this point is whether these effects can be induced by LPS alone or need the intact bacterium. As a first step to address this question, we challenged monocytes with wild-type smooth B. suis in the absence or presence of exogenous smooth or rough LPS purified from respective B. abortus strains. CFU counts showed that the presence of either LPS type reduced the number of intracellular viable bacteria to a similar extent, whereas the kinetics remained the same (Fig. 2B)
. This is consistent with the view that LPS of Brucella acts as a ligand for phagocytosis-competent host cell receptors but has no obvious effect on the subsequent intracellular survival.
Phagosomes containing rough brucellae become hyperfusiogenic and phagosomes containing smooth brucellae become nonfusiogenic
As the results so far showed that both LPS phenotypes had similar kinetics of binding and uptakealbeit to a different extentbut not replication, we became interested in the intracellular compartments occupied by the different phenotypes. The electron microscopal investigation of PBM infected with brucellae showed that uptake of both smooth and rough organisms resulted initially in individual compartments with the typical ultrastructural morphology of early phagosomes (Fig. 3A
3B
3D
). As shown before by our group [24
], the majority of internalized smooth brucellae remained in these early-type phagosomes (Fig. 3C)
for up to 24 h, which was the longest chasing period studied, whereas some of the phagosomes harboring smooth brucellae matured to late-type phagosomes. Challenge with prekilled smooth brucellae resulted in the slow progressive maturation of all the early-type phagosomes (Fig. 3J) , suggesting that the arrest in phagosome maturation typical of smooth LPS phenotypes depends on the viability of the pathogen.

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Figure 3. Intracellular compartments occupied by Brucella organisms with rough or smooth LPS in human monocytes. Human monocytes were challenged with brucellae at a MOI of 500:1 or a 1:1 mixture of brucellae and latex beads for 15 min, chased for up to 24 h (hpi = hours post infection) and processed for electron microscopy. The electron micrographs show the intracellular compartments occupied by brucellae with smooth (B. melitensis wt, B. suis wt) or rough (B. melitensis perA, B. suis manB, B. ovis, B. canis) LPS phenotype and latex beads. All bars = 2 µm except for A = 1 µm, C = 0.3 µm and J = 0.5 µm. (A) Brucellae attached to the surface of the monocytes (asterisks) are engulfed by pseudopods and enclosed in individual phagosomes with tightly apposed walls (x). (B, C) Smooth brucellae remain in these tight-fitting phagosomes (circle in B; x in C). (D-I) The initially individual phagosomes containing rough brucellae (D) progressively fuse (circles in E) giving rise to one or few giant communal vacuoles (F- I). Not only prefused phagosomes, but also individual phagosomes merge with these megasomes (arrows in F). Some intraluminal brucellae are abutted to the phagosomal wall (arrows in H). (J, K) Prekilled brucellae of either LPS phenotype are delivered to phagosomes, which mature to phagolysosomes (circle in J and K). (L) Simultaneous uptake of rough brucellae and latex beads (LB) demonstrates that phagosome fusion is restricted to brucellae-containing phagosomes (circles). These features were consistently observed in monocytes from six different donors.
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The phagosomes harboring rough brucellae, on the other hand, fused with each other, first to numerous smaller vacuoles containing several bacteria (Fig. 3E)
and eventually to one or few giant communal vacuoles ("megasomes" [25
]) containing numerous bacteria (Fig. 3F
3G
3H
3I)
. Megasome formation was more pronounced with the constructed rough mutants than with natural rough species (Fig. 4A
). The megasomes obviously increased their content by fusion with individual and prefused brucella-containing phagosomes (Fig. 3F
and 4B)
; however, some intraluminal membraneous material was indicative of fusion with endogenous host cell vesicles. Challenge with prekilled rough brucellae resulted in the normal maturation of all the early-type phagosomes (Fig. 3K)
, suggesting that the megasome formation characteristic of rough LPS phenotypes is actively induced. To see whether the fusiogenicity of rough brucellae phagosomes was restricted to these phagosomes or due to a general hyperfusiogenic state of the host cells, monocytes were coincubated with viable rough brucellae and latex beads. Although occasionally two latex beads or one latex bead and bacterium each would share the same phagosome, no megasomes containing brucellae and latex beads were observed (Fig. 3L)
, suggesting that the hyperfusiogenicity is restricted to the brucellae-containing phagosomes.
Human monocytes release higher amounts of chemokines and cytokines upon challenge with rough than with smooth LPS phenotypes of Brucella
Recognition of the presence of LPS especially by monocytes and macrophages usually stimulates a rapid, innate immune response, which typically involves the release of a range of proinflammatory mediators and chemoattractants. We were interested to see if differences in the release of cytokines and chemokines, which attract potential host cells of intracellular pathogens, but also up-regulate the immune defense, could contribute to the difference in virulence of rough and smooth strains. We, therefore, challenged PBM with the two LPS phenotypes and measured the amount of several cytokines and chemokines released into the medium by ELISA.
The constructed rough mutants and naturally rough species consistently induced a much higher release of the CXC chemokines GRO-
(CXCL1) and IL-8 (CXCL8), the CC chemokines MIP-1
(CCL3) and RANTES (CCL5), as well as the proinflammatory cytokine IL-6, as compared with the parental smooth strains (Fig. 5A
). The same pattern was seen for the CC chemokines MCP-1 (CCL1) and MIP-1ß (CCL4) and the anti-inflammatory cytokine IL-10 (data not shown). The amounts induced by the rough mutants were equivalent to those induced by 10 ng/ml LPS from E. coli (data not shown). Except for RANTES and TNF-
, the difference between smooth and rough strains was obvious right from the beginning (especially with IL-6) but became more pronounced after 8-24 h (Fig. 5A)
. RANTES showed a somewhat delayed and less pronounced increase, which was enhanced accordingly when using monocyte-derived macrophages or vitamin D3-differentiated THP-1 cells instead of monocytes as host cells (data not shown). The TNF-
levels showed the early peak and subsequent slow decline characteristic of this cytokine; here, the difference between the smooth parental strains and rough mutants was slightly overlain by an interspecies difference with B. suis inducing higher levels of TNF-
than B. melitensis (Fig. 5A)
. When studying the dose-response relationship of cytokine/chemokine release, it was observed that the gap between the smooth parental strains and rough mutants widened when a MOI higher than 10:1 is was used (Fig. 5B)
.

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Figure 5. Chemokine and cytokine release by human monocytes upon challenge with Brucella strains with rough or smooth LPS as determined by specific ELISAs. (A) Kinetics of cytokine/chemokine release. Human monocytes were challenged for 60 min either with brucellae displaying smooth or rough LPS at a MOI of 20:1, or with LPS from E. coli serotype 055:B5 as a positive control, or were left untreated as negative control. Culture supernatants were harvested at various intervals for measurements. The data shown are representative for five independent experiments using monocytes from different donors. Results are displayed as means ± SD of triplicate measurements. The constructed rough brucellae mutants (B. melitensis perA and B. suis manB) consistently induce much higher release of GRO- , IL-8, MIP-1 , RANTES and IL-6 than the parental smooth strains (B. melitensis wt and B. suis wt). Although this pattern is obvious right from the beginning, it becomes more pronounced after 8-24 h. The same difference is seen for MCP-1, MIP-1ß, and IL-10 (data not shown). The amounts of cytokines and chemokines induced by the rough brucellae mutants are equivalent to those induced by 10 ng/ml LPS from E. coli (data not shown). (B) Dose-response relationship of cytokine/chemokine release. Human monocytes were challenged for 60 min with brucellae displaying smooth or rough LPS at increasing MOI of 5:1 to 500:1. Culture supernatants were harvested after 24 h for measurements. The data shown are representative for two independent experiments using monocytes from different donors. Results are displayed as means ± SD of triplicate measurements. One example each typical of the groups investigated, that is, cytokines (TNF- ), CXC chemokines (GRO- ), and CC chemokines (MIP-1 ), is depicted. For each group, the gap between the two LPS phenotypes widens when an MOI higher than 10:1 is used. (C) Effect of exogenous LPS on the release of TNF- by Brucella-challenged monocytes. Human monocytes were challenged for 60 min with smooth B. suis wt in the absence or presence of 0.1, 1, or 10 µg/ml exogenous smooth or rough LPS from B. abortus strains 2308 and 45/20, respectively, or left unchallenged for negative control. Culture supernatants were harvested after 24 h for measurement of TNF- . Presence of exogenous smooth or rough LPS did not alter the amount of TNF- released by Brucella-challenged monocytes.
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A question arising at this point is whether presence of exogenous LPS of rough or smooth phenotype will have an effect. As a first step to address this issue, we measured the release of TNF-
from monocytes challenged with B. suis in the absence or presence of highly purified smooth or rough LPS from B. abortus. However, the amount of TNF-
released was similar in the presence of smooth or rough exogenous LPS (Fig. 5C)
.
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DISCUSSION
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For reasons that are not well understood, virulence of Brucella spp. for humans is mainly associated with the bacterial LPS phenotype. The present study addressed the possible differential interaction of human monocytes with the smooth and rough LPS phenotype of Brucella in vitro, using several experimental approaches. The results of this extensive study show that under identical experimental conditions, (1) more rough than smooth Brucella organisms bind to and are internalized by monocytes; (2) each LPS phenotype induces a different intracellular compartment; (3) only a small number of both LPS phenotypes survives the first hours after uptake; (4) smooth but not rough phenotypes start intracellular replication following the initial drop in survival; and finally (5) each LPS phenotype induces a different profile of chemokines and cytokines released by the challenged monocytes. As some aspects of this study had been addressed before in different experimental systems and conditions (but only part of those data are consistent with ours), the need for caution when compiling various data is emphasized.
Influence of the brucellae LPS phenotype on binding and uptake by human monocytes
In the present study, more rough than smooth brucellae bound to human monocytes and were internalized (Fig. 1
2
3)
. This confirms recent data in human monocytes/macrophages in which a smooth B. melitensis wt strain was far less internalized than a constructed rough mutant strain [26
]. As phagocytosis took place in absence of heat-labile complement components and Brucella-specific antibodies (i.e., largely "nonopsonic" conditions), it appears that innate pattern-recognition receptors play a major role in phagocytosis of brucellae. It could be speculated that the absence of the O-chain either unmasks ligands of the core oligosaccharide or enables hydrophobic interactions, thus enhancing the uptake of rough LPS phenotypes. However, the presence of exogenous smooth, as well as rough LPS reduced the uptake of smooth brucellae to a similar extent (Fig. 2B)
, suggesting that the O-chain as well as the core oligosaccharide can bind to host cell receptors, as it is known from other Gram-negative bacteria. For example, Actinobacillus pleuropneumoniae use the O-chain as a major adhesion for lung tissue [27
], whereas Pseudomonas aeruginosa and Salmonella typhi use the core oligosaccharide as a ligand [28
]. Although the host cell receptor(s) in question need to be identified, work by our group [24
] and others [29
] indicates that adhesion molecules of monocytes/macrophages are involved in binding and/or uptake of Brucella.
Influence of the brucellae LPS phenotype on survival and replication in human monocytes
Following a characteristic decline within the first hours after internalization, the number of viable reisolated smooth organisms increased again, whereas the number of viable reisolated rough organisms stayed at that basal level for several days (Fig. 2) . This difference is typical of both the smooth and rough LPS phenotypes of Brucella [11
, 26
]. Although it is well documented that in the extracellular environment, presence or absence of the O-chain is associated with resistance or susceptibility to complement-mediate killing [30
, 31
], the role of LPS for the intracellular survival and replication of Brucella is less clear. Virulent B. abortus were able to counteract the effect of nitric oxide in a murine macrophage line [32
], but nitric oxide does not play a significant role in human monocytes/macrophages. The O-chain obviously protects Brucella against bactericidal cationic peptides [11
, 33
, 34
], but this does not explain differences between strains of the same LPS phenotype. The active inhibition of TNF-
production in human monocyte/macrophage-like cells, which has been considered to be a major attribute of Brucella virulence [35
], was observed with smooth, as well as rough strains and still remains enigmatic.
As the numbers of viable intracellular bacteria dropped considerably at a similar degree for both LPS phenotypes, it can be assumed that the LPS phenotype somehow is linked to the ability to replicate rather than to survive. Accordingly, deep rough LPS mutants of Bordatella bronchiseptica have been shown to survive within the host cells as efficiently as the smooth parental strains [36
]. The observation that the
perA mutant was less attenuated that the
manB mutant (Fig. 2)
could be due to the perA gene product acting further downstream of the manB gene product [37
]. Again, the host cells or species used as experimental system obviously influence the reaction to the pathogen, as the B. melitensis
perA mutant, although being attenuated in our system, showed the same survival as the parental strain in a bovine peritoneal macrophage-like cell line [14
].
Influence of the brucellae LPS phenotype on the phagosome trafficking in human monocytes
Upon uptake by monocytes, both LPS phenotypes initially were located in phagosomes with similar morphology, but soon after followed different intracellular pathways (Fig. 3)
. The finding that the further maturation of the phagosomes harboring smooth brucellae was arrested at an early stage confirms our results from a previous study [24
]. It should be stressed here that Brucella obviously follows different routes in professional and nonprofessional phagocytes. Because of the important work of Cheville and co-workers it has long been known that in epithelial cells, brucellae survive and replicate within cisternae of the rough endoplasmic reticulum (rER), reached late after infection via a phagosomal route [38
39
40
]. More recently, Gorvel and co-workers suggested an retrograde autophagocytic pathway for B. abortus in a peculiar HeLa cell subclone [41
, 42
] a finding that awaits confirmation in more physiological cells. In professional phagocytes, however, an association between brucellae and the rER or autophagosomes was observed neither in the present nor previous ultrastructural studies [24
, 43
, 44
]. It is likely that the quite different membrane sorting mechanisms and routes of vesicle trafficking in polarized epithelial cells and nonpolarized professional phagocytes lead to different pathways for Brucella in these two types of host cells.
The characteristic close apposition between the enclosed brucellae and the phagosomal wall has been observed in other systems as well [45
46
47
48
49
50
] and is thought to be crucial for bacterial secretion systems to deliver specific effector molecules across the narrow intraphagosomal space into the host cell. Nothing is yet known about the molecular characteristics of the tight phagosome harboring Brucella, whereas for Mycobacteria and Legionella, it has been demonstrated that their tight phagosomes selectively accumulate, as well as exclude host cell factors regulating membrane trafficking [46
, 51
]. Rough brucellae, in contrast, induced the progressive fusion of their individual phagosomes, resulting in one or few giant communal vacuoles (Fig. 3)
. Similar compartments termed "inclusions", "parasitophorous vacuoles", and "megasomes" are induced by Chlamydia [52
], Leishmania [53
], and Helicobacter pylori [25
], respectively. The origin of these giant compartments is attributed to pathogen-induced active modification of the phagosomes to become fusiogenic. Our findings that the homotypic fusiogenicity is neither observed with phagosomes harboring killed rough brucellae nor extend to latex-bearing phagosomes, support this view.
The molecular mechanisms for this opposite effect of smooth and rough LPS phenotypes of Brucella on the trafficking of their phagosomes is not clear. The principal difference between the two LPS phenotypes is the presence or absence, respectively, of the O-chain, and it is difficult to imagine by which means absence of the O-chain may induce homotypic fusiogenicity of the phagosomes. As phenotypically rough Brucella have alterations in biosynthetic pathways which may not only affect synthesis or transport of complete O-linked polysaccharides, a rough LPS phenotype may just be indicative of altered upstream mechanisms which influence the host cell in a profusiogenic way. Alternatively, the presence or absence of the O-chain may be linked to different receptors possibly sorting for different intracellular compartments with different fusiogenicity. Thus, recent studies have shown that, in murine macrophages, uptake of virulent smooth brucellae but not of smooth nonvirulent mutants or rough mutants was associated with lipid rafts [54
55
56
57
]. This lipid raft-mediated uptake was believed to be macropinocytosis [56
, 57
], but no ultrastructural evidence was given, and it should be kept in mind that lipid rafts are part of several cellular activities, including phagocytosis as well as macropinocytosis [58
]. As to what extent lipid rafts are involved in the genesis of the survival-permitting tight phagosomes induced by mycobacteria [59
] and smooth brucellae [24
] has yet to be shown. As for the uptake of Streptococcus pyogenes, the blockade of lipid rafts inhibited the sorting into spacious compartments but not into tight compartments [60
].
Influence of the brucellae LPS phenotype on cytokine/chemokine release by human monocytes
Although there is a large body of literature on the topic of brucellae-induced cytokine release, especially in vaccinated animals, surprisingly few data are available concerning chemokine production in humans during Brucella infection. Two recent reports mentioned that cultured human mononuclear phagocytes can produce MCP-1, MIP-1
, and MIP-1ß upon challenge with smooth LPS [13
, 61
]. The present study is the first one that systematically compares the effect of the two LPS phenotypes on a large number of cytokines/chemokines released by cultured human mononuclear phagocytes. The results demonstrate that rough brucellae generally induce a considerably higher amount of all of the cytokines and chemokines investigated as smooth brucellae (Fig. 5A
5B)
, an effect that depends on the intact organisms and cannot be mimicked by purified LPS (Fig. 5C)
. Although the situation in patients will be influenced by a variety of complex regulatory systems in addition to the clinical status of the patients and the stage of disease, our results suggest that an infection with rough brucellae will lead to a more pronounced inflammatory host response and attract higher number of immune cells, as compared with smooth brucellae. However, the findings that challenge with B. suis induced higher levels of TNF-
than B. melitensis (Fig. 5A)
and that exogenous smooth and rough LPS had similar effects support the view that species-specific bacterial components other than the LPS phenotype contribute to the cytokine/chemokine response of the infected host.
In conclusion, the results of the present study demonstrate that in isolated human monocytes the smooth vs. rough LPS phenotype of Brucella accounts for considerable differences in infection, both quantitatively (regarding the number of bound and internalized bacteria as well as the amounts of chemokines and cytokines released) and qualitatively (regarding the intracellular compartments occupied and the trafficking of these phagosomes). Although the endotoxicity of lipid A is certainly of great significance in many disease processes, the saccharide domains of naturally occurring LPSs obviously are also of great significance in affecting the pathophysiology of Gram-negative infections. Thus, our data demonstrate that rough LPS phenotypes of Brucella attract and infect monocytes more effectively than smooth LPS phenotypes, but only the latter are able to establish a host cell compartment permitting successful parasitism. The O-chain as the outermost part of the LPS molecule is not only the major antigen targeted by host antibody responses but is also recognized by the innate arm of the immune system, which has effects on the extracellular survival of brucellae in the host. Our novel findings additionally link brucellae LPS phenotype and virulence for humans at the level of the infected host cell. Whether this is due to a direct effect of the LPS molecules or to upstream bacterial mechanisms remains to be established.
 |
ACKNOWLEDGEMENTS
|
|---|
The work was supported by grants from the University of Nottingham Research Committee to MR (NLF1895), from the Deutsche Forschungsgemeinschaft to DG (Ge 354/13-4), and from the French Research Ministry to VF, BR, and JD (Grant INSERM U431). The authors are indebted to Dr. Ignacio Moriyon, Pamplona, Spain, and to Dr. Jean-Jacques Letesson, Namur, Belgium, for providing purified LPS from B. abortus and the strain B. melitensis B3B2, respectively.
Received January 14, 2003;
revised April 11, 2003;
accepted July 15, 2003.
 |
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