Mycobacterial glycolipids di-O-acylated trehalose and tri-O-acylated trehalose downregulate inducible nitric oxide synthase and nitric oxide production in macrophages
© Espinosa-Cueto et al. 2015
Received: 9 March 2015
Accepted: 8 June 2015
Published: 23 June 2015
Tuberculosis (TB) remains a serious human health problem that affects millions of people in the world. Understanding the biology of Mycobacterium tuberculosis (Mtb) is essential for tackling this devastating disease. Mtb possesses a very complex cell envelope containing a variety of lipid components that participate in the establishment of the infection. We have previously demonstrated that di-O-acylated trehalose (DAT), a non-covalently linked cell wall glycolipid, inhibits the proliferation of T lymphocytes and the production of cytokines.
In this work we show that DAT and the closely related tri-O-acylated trehalose (TAT) inhibits nitric oxide (NO) production and the inducible nitric oxide synthase (iNOS) expression in macrophages (MØ).
These findings show that DAT and TAT are cell-wall located virulence factors that downregulate an important effector of the immune response against mycobacteria.
KeywordsTuberculosis Glycolipids Nitric oxide iNOS
Tuberculosis (TB) remains a serious health problem, with 8.8 million new cases and 1.4 million deaths reported in 2013 . An understanding of disease pathogenesis could lead to a rational strategy to fight TB. Along with the prolonged coevolution with man, the bacillus has developed the ability to neutralize the macrophages (MØ), which are usually very efficient to kill intracellular microbes. The adaptive capacity of mycobacteria resides mainly in the cell wall, a structure of high complexity composed of a covalently linked arabinogalactan-peptidoglycan backbone with covalently attached mycolic acids, as well as abundant non-covalently linked lipid components . It is known that several of these lipids are capable of blocking the anti-mycobacterial host responses. Indeed, virulence of Mtb isolates has been associated with the cell wall lipid components. For instance, the high pathogenicity of W/Beijing isolates seems to be related to cell wall lipids that upregulate a TH2 immune response that favors the infection . Once delipidated, the mycobacteria lose the ability to block the fusion of the phagosome with the lysosome, and total extractable lipids inhibit T-cell and MØ functions . Peptidoglycan inhibits the macrophage response to IFN-γ at a transcriptional level . Among the cell wall glycolipids, excels the effects on immune response caused by trehalose-6,6-dymicolate (cord factor), which promotes pro-inflammatory cytokine production, influences the persistence of mycobacteria within MØ and retards phagosome maturation . Also important is the lipoarabinomannan, as it regulates phagosome maturation and inhibits acquired immunity . We have shown previously that di-O-acylated trehalose (DAT), a non-covalently attached mycobacterial cell wall glycolipid, downregulates the proliferation of T cells and the production of cytokines, two essential features of adaptive immunity . In this work, we show that DAT and its more heavily lipidated homologue, tri-O-acylated trehalose (TAT), downregulates the inducible nitric oxide synthase (iNOS) expression and nitric oxide (NO) production in MØs, which are effector components that are important in the immune response against mycobacteria.
Isolation of DAT and TAT from mycobacterium fortuitum
DAT and TAT inhibit no production by Murine MØs
DAT and TAT inhibit the inos expression in Murine MØ
NO is a bioactive gas produced by MØs activated with INF-γ through the catalytic action of iNOS . The production of NO is an important host defense mechanism in Mtb infection. Mice with disrupted iNOS genes are highly susceptible to TB and develop progressive disease . In murine models of tuberculosis, NO is known to enhance the phagosomal maturation, thus promoting macrophage killing of the bacilli [12, 13]. The relevance of NO for controlling the bacilli in humans remains controversial. However, various data support that the NO/iNOS system plays a role in tuberculosis disease. For instance, Mtb triggers the production of NO and iNOS in MØs from both healthy and tuberculous individuals [14, 15]. Patients with active pulmonary tuberculosis exhale NO, which is associated with increased production of iNOS by alveolar macrophages . Moreover, histopathologic studies have shown that iNOS is expressed in human tuberculous granulomas . Recently, our group demonstrated the expression of iNOS in MØs and multinucleated Langhans-type giant cells, as well as extensive MØs nitrosylation within bovine tuberculosis granulomas . Finally, some iNOS polymorphisms seem to be associated with an increased susceptibility to TB in humans .
At high concentration, NO kills Mtb very efficiently in vitro while, at lower doses, it exhibits a bacteriostatic and hormetic effects . The cell damage induced by NO may result in DNA mutations and strand breaks or nitrosylation of key proteins, including enzymes that may lose activity . The ability of Mtb to survive and replicate within the MØs, even in the presence of adverse factors such as NO, seems essential for the development of the infection. The identification of mechanisms used by mycobacteria to evade nitrosative damage is an important goal since it could help to develop strategies for treating or preventing TB. For instance, there are Mtb genes known to be involved in resistance to the damage induced by nitric oxide . The results reported in this study show that the structurally related TAT is to be considered a potential virulence factor of mycobacteria as well. TAT is highly recognized by serum antibodies in individuals with active tuberculosis , a fact that was once attributed to cross-reactivity of TAT to anti-DAT antibodies. More recently, structural studies of Mtb glycolipids have evidenced the presence of TAT in both clinical isolates and typical strains [23, 24]. To the best of our knowledge, this is the first report dealing with a biological activity of TAT on antimycobacterial immune response. Further studies will be needed to clarify whether the fatty acyl structural differences between species may account for the effects herein described.
We show that DAT and TAT, two glycolipids located on the cell wall behave as virulence factors engaged in the downregulation of NO and iNOS, therefore representing a potential weapon of the mycobacteria against the innate immune response.
Use of animals and experimental procedures were reviewed and approved by the Bioethics Committee of our Institute following established protocols.
Isolation of glycolipids
M. fortuitum ATCC 6841 was used to isolate DAT and TAT, which are similar in M. fortuitum and Mtb. Non-covalently linked lipids were extracted from live bacilli using CHCI3/CH3OH (1:2, vol/vol) and CHCI3/CH3OH (2:1, vol/vol). Pooled extracts were dried and suspended in CHCl3/CH3OH/H2O (4:2:1, vol/vol/vol). After that, crude lipid extracts were dissolved in chloroform and applied to a Florisil column (Biotecna Corp., Miami, FL, USA). The elutions were performed with chloroform and methanol and fractionation of lipids was monitored by thin-layer chromatography (TLC) on silica gel-60 F254 coated plates (E. Merck, Darmstadt, Germany) developed with: CHCl3/CH3OH (9:1, vol/vol) as solvent I; CHCI3/CH3OH (8:2, vol/vol), as solvent II; or CHCI3/CH3OH/H2O (60:12:1, vol vol/vol), as solvent III. The sugar-containing compounds were visualized by spraying plates with 2 % anthrone in concentrated H2SO4 followed by heating at 110 °C. Acylated trehaloses appeared as anthrone-positive lipids (blue spots) with a Rf value of 0.37 for DAT and a Rf value of 0.64 - 0.68 for TAT. A final purification was carried in a TLC on silica gel-60 coated plates with a thickness of 0.5 mm (E. Merck, Darmstadt, Germany). The lipids were recovered from the plates and examined as mentioned before. The fractions with purified DAT were pooled, dried and subjected to the Lymulus test to verify endotoxin contamination. A similar procedure was followed to purify TAT.
Characterization of dat and tat by fourier transform infrared spectroscopy
Fourier transform infrared spectroscopy (FTIR) analyses of the lipids were recorded in a Vector 33 FTIR spectrometer (Bruker Corporation, Billerica, MA, USA), equipped with an attenuated total reflection (ATR) module. About 0.5 mg of the product was dissolved in 200 μl chloroform-methanol (9:1, vol/vol) and placed into the ATR cell. FTIR spectrum measurement was performed in wave number range of 4000-450 cm−1.
Assays to study the effects of dat and tat on nitric oxide production in macrophages
Six to seven week old Balb/c-J mice were used. To obtain MØs, bone marrow cells were flushed from femurs and tibias and cultured in RPMI 1640 with 20 % FBS, supplemented with 1 % non-essential aminoacids, 1 % of antibiotic-antimycotic and 1 % sodium pyruvate (Invitrogen, Eugene, OR, USA). Cells were grown at 37 °C with 5% CO2. At day 10, MØs were obtained, and the cell viability was assessed with Trypan blue. In preliminary experiments to determine the capacity of bone marrow-derived MØs from Balb/c-J mice to produce NO, the cells were treated with various amounts of LPS (E.coli B55:05; Sigma Chemical Co, St Louis, MO, USA) or recombinant IFN-γ (BioLegend, San Diego, CA, USA). The glycolipids were dissolved in hexane:ethanol (1:1, v/v). To each well, 20μg glycolipid in 100 μl hexane:ethanol were added and allowed to evaporate to dryness; control wells received solvent alone. Then, 1 × 106 MØs were added to the wells and incubated for 24h at 37 °C with 5 % CO2. Afterward, 500 μg LPS or 250ng IFN-γ were added to the wells. Control wells with only hexane:ethanol, DAT or TAT were included. After 24 h the isolated supernatants were mixed with an equal volume of Griess reagent (1 % sulfanilamide, 0.1 % N-1-naphthylethylenediamine dihydrochloride, and 2 % phosphoric acid) (Promega Co., Madison,WI, USA) and incubated at room temperature for 10 min. Absorbance was measured at 550 nm.
Western blot and flow cytometry to determine the expression of iNOS in macrophages treated with DAT and TAT
To investigate the expression of iNOS by MØs treated with the glycolipids, the cells were lysed with RIPA buffer and the proteins were separated in 7.5 % PAGE-SDS gels, transferred to a PVDF membranes and incubated overnight with a monoclonal antibody diluted 1:100 to murine iNOS (BD Biosciences, San Diego, CA, USA). Membranes were extensively rinsed with PBS and incubated with a secondary antibody to mice IgG diluted 1:200, 2 h at room temperature. The reactive bands were visualized by chemiluminescence with SuperSignal West Dura kit (Pierce, Rockford, IL, USA) or with DAB/H2O2. For flow cytometry, 5 × 105 cells were fixed with paraformaldehyde 1 %, permeabilized with saponin 0.05 % and incubated 1 h with the monoclonal antibody diluted 1:200 to murine iNOS. The cells were rinsed and incubated for 1 h with a secondary antibody labeled with FITC. The cells were analyzed in a Beckton Dickinson cytofluorometer (San Diego, CA, USA). As a control, a monoclonal antibody of the same isotype was used.
Statistical analysis was performed using the standard statistical software Prism version 5.0, GraphPad Software, (San Diego, CA, USA). NO and iNOS production by cells was expressed as inhibition percentages, where LPS or IFN-γ induced levels, in the absence of mycobacterial lipids, were taken as 100 %.
This work was supported by grant IN-207211 from the Programa de Apoyo a Proyectos de Investigación e Innovación Tecnológica (PAPIIT), Universidad Nacional Autónoma de México. G. Hernández-Padrón performed FTIR analysis of lipids.
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