Ft is an intracellular pathogen that can inhibit phagosome/lysosome fusion prior to escaping into the cytoplasm where it replicates (
15,
28). Previously, we demonstrated that
Ft LVS specifically activates a NF-κB luciferase reporter in HEK293T cells transfected with a vector encoding human TLR2, but not with other TLR expression vectors (
16), and that murine macrophage cytokine gene expression and secretion in response to
Ft LVS is overwhelmingly TLR2-dependent (
16–
18). Furthermore confocal microscopy revealed that
Ft LVS co-localized with both TLR2 and a key adapter protein, MyD88, within macrophages (
17). Taken together, this suggests that
Ft LVS signals through TLR2 both at the cell surface and within the phagosome as has been demonstrated for other organisms that signal through TLR2 (
34–
36). We hypothesized that if intra-phagosomal signaling occurred, retention of
Ft within the phagosome would enhance the TLR2-mediated proinflammatory response by prolonging the interaction between
Ft and TLR2. To test this hypothesis, macrophages were infected with LVSΔ
iglC, an isogenic mutant strain of
Ft LVS that is retained within the phagosome (
24–
28). Bacterial retention within the phagosome greatly enhanced the mRNA expression of a large subset of proinflammatory genes (), while expression of IFN-β, IFN-γ, IP-10, and iNOS mRNA was markedly reduced (). Interestingly, genes whose expression was enhanced represent those that are induced earliest after macrophage infection, while those with reduced expression represent genes whose expression peaked at the end of the 24 h time course (
17).
Failure of LVSΔ
iglC to induce IFN-β mRNA in WT macrophages supports the previous result that, a related bacterium,
F. novicida must escape from the phagosome to induce IFN-β mRNA (
19). We previously reported that infection of macrophages with the LVS Δ
guaA strain of
Ft LVS, a replication-deficient guanine auxotroph, led to TNF-α mRNA expression that was independent of bacterial replication (
17). More recently, we observed that the addition of guanine to LVS Δ
guaA infected macrophages greatly enhanced IFN-β expression (data not shown). As
Ft LVS replicates in the cytosol, this further supports the notion that bacterial escape from the phagosome into the cytosol is required for the induction of IFN-β. Medzhitov and colleagues (
37) recently reported that DNA from intracellular bacterial pathogens can induce IFN-β production through a not yet identified IFN regulatory factor 3 (IRF-3)- and Tank Binding Kinase 1 (TBK-1)-dependent, but TLR- and NOD protein-independent cytosolic sensor (
38,
39). Experiments are in progress to determine if
Ft DNA also activates this same cytosolic sensor. While two
Ft LVS lipoproteins, TUL4 and FTT1103, were recently identified as agonist for the TLR2/1 heterodimer (
40) and other yet unidentified proteinase K sensitive bacterial products signal though the TLR2/6 heterodimer (
40), we are unaware of any reports identifying a cytosolic
Ft PAMP.
To test the hypothesis that the reduced levels of IFN-γ, iNOS, and IP-10 in LVSΔiglC-infected macrophages might be attributable, in part, to the lack of IFN-β induction, we compared expression of these genes in Ft LVS-infected WT and IFN-β−/− macrophages. Expression of IFN-γ, iNOS, IP-10, and RANTES mRNA in WT and IFN-β−/− macrophages after infection with Ft LVS mirrored the responses observed in WT macrophages infected with Ft LVS and LVSΔiglC, respectively (). In contrast, Ft LVS-induced mRNA expression of TNF-α, IL-1β, IL-12 p35, and IL-12 p40 was equivalent in the WT and IFN-β−/− macrophages (). These findings led to the conclusion that the macrophage response to Ft LVS infection can be divided into two major subsets: genes that are strictly TLR2-dependent and whose expression is increased by Ft retention in the phagosome and genes that are both TLR2- and IFN-β-dependent and whose maximal expression requires bacterial escape from the phagosome.
After infection of macrophages with LVSΔ
iglC or WT
Ft LVS, supernatant concentrations of all cytokines examined, except IL-1β, were observed to correspond with their relative levels of mRNA. In contrast, while infection with LVSΔ
iglC greatly enhanced IL-1β mRNA expression, IL-1β protein was negligible (). We have previously demonstrated that IL-1β gene expression and protein secretion are wholly dependent upon TLR2, as TLR2
−/− macrophages infected with
Ft LVS produced neither IL-1β mRNA nor protein (
17). IL-1β is synthesized as a biologically inactive 31 kDa pro-protein that is activated via cleavage by the cysteine protease caspase-1, resulting in the generation of the mature, 17 kDa, biologically active cytokine. Joshi et al. (
32) recently reported that TLR4-mediated secretion of IL-1β requires both the MyD88-dependent induction of IL-1β pro-protein, as well as IFN-β production through an MyD88-independent pathway. The authors found that autocrine utilization of IFN-β by macrophages leads to STAT1-mediated processing of pro-caspase-1 that, in turn, generates active caspase-1 that cleaves IL-1β pro-protein into a secreted cytokine. Since production of IL-1β by
Ft LVS infection of macrophages appeared to exhibit similar signaling requirements, we next investigated the role of IFN-β in the secretion of active IL-1β.
We found that while the induction of TNF-α and IL-1β mRNA by
Ft LVS in WT and IFN-β
−/− macrophages were nearly equivalent, significantly less IL-1β protein was released into the supernatants of IFN-β
−/− macrophages. These findings extend those of Henry et al. who showed that
F. novicida infection of macrophages derived from IFN-α/β receptor-deficient mice did not induce IL-1β secretion (
19). Together, these results suggest that while IL-1β gene and pro-protein expression are wholly TLR2-dependent and independent of bacterial escape from the phagosome,
Ft LVS-induced IL-1β secretion requires both escape-induced IFN-β expression as well as subsequent autocrine IFN-β-mediated signaling. The failure of rIFN-β treatment to compensate in LVSΔ
iglC-infected macrophages suggests that
Ft LVS must also directly interact with components of the inflammasome to enable recruitment of caspase-1 and facilitate its subsequent activation. Although the specific Nod-like receptors used by
F. tularensis LVS has not yet been identified, the Nod-like receptor adapter, ASC, has been shown previously to be essential for
F. novicida induced caspase-1 activation and IL-1β secretion in macrophages (
20).
That
Ft LVS-induced production of IL-1β is regulated at multiple levels suggests that IL-1β may play an important role in tularemia. In a recent study, mice were challenged intranasally with
Ft LVS and cytokine levels were measured in the lungs and spleens. Mice that were moribund had significantly higher levels of MIP-2, MCP-1, and IL-6 in both their lungs and spleens compared to mice that survived infection (
41). The levels of these immune mediators in the survivors were similar to those observed in uninfected control animals (
41). In contrast, at 7 days post infection, mice that were going to survive
Ft LVS challenge had significantly higher concentrations of IL-1β in both their lungs and spleens than mice that were moribund (
41). Further,
Asc−/− and
Casp1−/− mice, which fail to produce IL-1β in response to
F. novicida infection, succumb more quickly and had a higher bacterial organ burden one day after
F. novicida challenge than WT mice (
20). These data suggest that IL-1β plays an important role in murine survival of tularemia-like infection.
Finally, the potential role of IFN-β in survival of
Ft LVS within macrophages was examined. IFN-β has been shown previously to inhibit replication of other intracellular bacteria (
33). While WT and IFN-β
−/− macrophages were equally susceptible to infection with
Ft LVS, the bacterial burden was greater in the IFN-β
−/− macrophages than WT macrophages (). This suggested that IFN-β contributes to control of the replication and/or killing of
Ft LVS within macrophages. Treatment of
Ft LVS-infected macrophages with either rIFN-β or a potent inducer of IFN-β greatly reduced the intracellular survival of
Ft LVS, suggesting a potential therapeutic approach to control of
Ft infection. Although previous studies have shown that macrophages can be activated by IFN-γ to become microbicidal for
Ft LVS (
42–
45), this is the first report to suggest that endogenous IFN-β, as well as exogenous or inducible IFN-β, produced by macrophages, figure centrally in this process.
In conclusion, these data support a model in which
Ft LVS initiates signaling via an interaction with TLR2, either at the cell surface or after phagocytosis. However, escape of
Ft LVS from the phagosome into the cytosol is necessary for the induction of IFN-β and IFN-β-inducible genes (
e.g., IP-10, iNOS) and we postulate that this occurs through the interaction of
Ft with the cytosolic sensor that has been shown to produce IFN-β in response to bacterial DNA (
37). Cytosolic localization of
Ft as well as IFN-β are required for the activation of the inflammasome that, in turn, recruits and activates caspase-1. Activated caspase-1 mediates the processing of pro-IL-1β to its secreted form. Finally, although autocrine signaling induced by secreted IFN-β controls the survival of
Ft LVS, exogenous treatment of macrophages with IFN-β or DMXAA greatly enhanced this effect.