QS signal molecules promote
P. aeruginosa infections both by regulating the expression of virulence factors as well as by varying host inflammatory and immune responses
[10]. Host immune responses to
P. aeruginosa infections have been shown to be variable in experimental models
[11]. The present study provides evidence showing the immunomodulatory properties of natural QS signal molecules extracted from bacterial culture supernatants. Previous studies have reported the immunomodulatory properties of synthetic AHLs by using high concentrations of synthetic QS signal molecules
[5],
[12]. In the present study, the effect of natural AHLs extracted from bacterial culture supernatant was compared to that of pure synthetic OdDHL and BHL on T-cell (mouse splenocytes) proliferation and cytokine production. Although the exact concentration of AHLs that is achievable in tissues is unknown, it is likely that it may be in the range of 0.1 µm to 30 µm
in vivo. Therefore, we employed different concentrations of synthetic AHLs as well as naturally extracted QS signal molecules in the range of 0.1 µm to 30 µm to simulate the possible available concentrations of AHLs
in vivo.
The mitogen ConA showed maximum T-cell proliferation when used at a concentration of 1 µg, whereas synthetic AHLs, OdDHL and BHL, inhibited T-cell proliferation at a much lower concentration (0.1 µm). In comparison to ConA, significantly fewer T-cells underwent proliferation after primary and secondary stimulation with synthetic AHLs (p≤0.001) (). There was a significant decline in the number of proliferating T-cells (p≤0.001) after the concentration of OdDHL and BHL was increased (from 1 µm to 30 µm), suggesting a dose-dependent rate of inhibition. Earlier studies reported a similar dose-dependent inhibition of mouse splenocyte proliferation with high concentrations of OdDHL
[5],
[7]. Boontham et al.
[12] also observed the inhibitory effect of OdDHL (10–100 µm) on dendritic cell proliferation from patients and healthy hosts. However, control cells incubated with DMSO (AHL solvent) in this study did not show any significant T-cell proliferation (p≤0.0001). OdDHL showed a strong inhibitory effect even at low concentrations compared to BHL, which showed comparable results only at a higher concentration (p≤0.001), suggesting that OdDHL was more effective at inhibiting T-cell proliferation than BHL. Complete inhibition of splenocytes by synthetic AHLs occurred at high concentrations (10–30 µm), whereas natural AHLs from wild-type PAO1 completely inhibited cell proliferation at a low concentration of 2.5 µm (p≤0.01) (). This might be due to the combined effect of both AHLs, since the wild-type strain produced OdDHL and BHL simultaneously, or could be due to differences in the stereochemistry of both synthetic and natural QS signal molecules. In an earlier study, Pomini et al.
[13] reported differences in the stereochemistry of synthetic and natural AHLs. Although naturally extracted AHLs from QS mutant strains JP1 and R1 showed significant inhibition of T-cell proliferation (p≤0.001) compared to the mitogen ConA, this effect was comparatively lower than that obtained with natural AHLs extracted from the wild-type strain. This difference can be attributed to the action of BHL alone, since extracts of these mutants lacked OdDHL. In addition, synthetic OdDHL has been shown to be more effective than BHL in previous studies. These results confirm that AHLs in combination are more effective in inducing T-cell proliferation (as in the case of the wild-type strain) than individual AHLs (BHL in the mutant strains).
Natural and synthetic AHLs acted as secondary stimulants, whereas ConA, a T-cell specific mitogen, was a primary stimulant. Since AHLs can affect T-cells during the first 2 h of culture
[14], the addition of AHLs during the 2 h period of primary stimulation with ConA resulted in decreased T-cell proliferation. The presence of both natural and synthetic AHLs caused a significant decrease in the counts of proliferating cells during secondary stimulation (p≤0.001). This is close to the
in vivo environment during the natural infectious cycle, where priming of immune cells takes place initially with antigens, such as LPS or other virulence factors of the pathogen. The results of the present study suggest that AHLs could still have the ability to modulate the host immune responses by modulating the already activated immune system in such conditions. This ability of AHLs may contribute towards the survival of
P. aeruginosa in vivo as a successful pathogen. Natural AHL molecules of
P. aeruginosa may thus help in the pathogenesis of the bacterium by modulating the host immune responses and subsequently leading to chronic and persistent infections.
In order to gain insight into the involvement of the cell lineage, immunophenotyping of cultured cells stained with anti-CD4+/CD8+ monoclonal antibodies (BD Biosciences, USA) was performed. The results showed that the cells undergoing the most proliferation were CD4+ cells. These CD4+ cells underwent further differentiation and produced Th1 and Th2 type specific T-cells. A sandwich ELISA was performed to estimate the amount of Th1 and Th2 specific cytokines present in the cell culture supernatant following T-cell proliferation. Levels of IFN-γ (Th1 cytokine) and IL-4 (Th2 cytokine) were below the detection limits in supernatants obtained from a normal T-cell population without any antigenic stimulation or upon induction with DMSO
in vitro. However, when ConA was added, a maximum production of both IFN-γ and IL-4 was achieved. Upon stimulation with 1 µg of ConA, splenocytes produced 335 pg/ml and 315 pg/ml of IFN-γ and 25 pg/ml and 22.5 pg/ml of IL-4 after primary and secondary stimulation, respectively (). Induction with a low concentration (0.1 µm) of OdDHL and BHL showed significantly low levels of both Th1 and Th2 cytokines (IFN-γ and IL-4) (p≤0.001). Additional incubation with these two agents showed a dose-dependent reduction in cytokine production. These results corroborate the findings of previous studies in which the exposure of mouse and human immune cells to AHL led to decreased levels of cytokines (IFN-γ and IL-4)
[12],
[14],
[15]. Higher concentrations of both AHLs affected IL-4 production. In comparison, OdDHL suppressed Th1 and Th2 cytokine responses during primary and secondary cell stimulation more effectively than BHL. BHL was an effective inhibitor only when employed at a higher concentration. Natural AHLs extracted from PAO1 induced cytokine levels that were markedly below the limit of detection, indicating that no cell proliferation occurred. When the cells were stimulated with natural extracts of AHLs from wild-type PAO1, the production of IFN-γ and IL-4 was completely inhibited (p≤0.0001, ). Similarly, stimulation with extracts from the QS mutant strains significantly inhibited cytokine production in culture supernatants from the T-cell culture, compared to stimulation with mitogen ConA (p≤0.001). The QS mutant strains did not show complete inhibition as observed with the wild-type strain. Naturally extracted AHLs from wild-type and mutant strains also showed similar results during secondary stimulation. However, the mechanism of cell growth and cytokine inhibition needs to be explored further.
The results of the present study have revealed that AHLs affected IFN-γ (Th1 cytokine) production more than IL-4 (Th2 cytokine) production. This suggests that AHLs can modulate Th1 immune responses and therefore help the pathogen to establish in the host even at a concentration as low as 0.1 µm. Suppression of IL-4 at higher concentrations of OdDHL and BHL also suggests that they have less effect on Th2 type cells. On the other hand, Th1 type cells showed more susceptibility to synthetic as well as natural AHLs compared to Th2 type cells. These findings suggest that the presence of AHLs can significantly modulate the immune response by redirecting the response from a Th1 to Th2 type. Th1 dominated immune responses are known to have better immune function compared to Th2 dominated immune responses
[15]–
[16]. In the case of secondary stimulation with synthetic and natural AHLs, a similar trend in the production of both the cytokines was observed, as noted during primary stimulation. However, enhanced suppression of cytokines during secondary stimulation further suggests that the production of IFN-γ, which is a host-protective cytokine, is down-regulated. The earlier reports also show a shift from Th1 to Th2 response following exposure to synthetic OdDHL
[5],
[17]. The ability of AHLs to support a Th2 immune response suggests that this is a significant bacterial defense strategy for combating infections. Th2 responses dysregulated the antibacterial Th1 immune responses, which in turn support cell-mediated immunity. A Th1 type of immune response is especially important in defending the host against invading bacteria in the early stage of an infection. The suppression of Th1 responses with naturally extracted AHLs in this study suggests the survival of
P. aeruginosa in vivo. This might be due to the dysregulation and dysfunction of host defence mechanims, which can subsequently lead to chronic
P. aeruginosa infections.
The effective immunomodulation by AHLs in the present study suggests that these molecules can divert the host immune response away from a host protective to pathogen protective response. Natural AHLs were found to be more effective than synthetic AHLs at comparable concentrations
in vitro. These results reveal that the relevant and absolute configuration of acyl-HSLs is important for their ideal biological response in Gram-negative bacteria. However, to the best of our knowledge, assessment of the absolute configuration of acyl-HSLs from natural AHLs has not been attempted as yet
[18],
[9]. In addition, the screening of synthetic AHLs for biological responses
in vitro through biosensors does not confirm that their
in vivo responses will be similar
[13], since biosensors can neither distinguish nor confirm the conformational changes between synthetic and natural AHLs. Although some authors have used synthetic OdDHL for
in vivo and
in vitro experiments, such experiments cannot rule out the toxicity of synthetic compounds and responses
in vivo due to conformational changes
[5]–
[7],
[12],
[16]. The results of the present study show that one should preferably use naturally extracted AHLs for
in vitro studies for the true evaluation of biological properties of AHLs
in vivo. Moreover, the effect of synthetic OdDHL on immune cells, as reported in literature, may not simulate a similar effect
in vivo. Therefore, the utmost caution should be taken when extrapolating the results of
in vitro studies using synthetic AHLs to the expected
in vivo effects. In conclusion, slight differences in the stereochemistry
[19] of both synthetic and naturally extracted AHLs can create different responses. These results suggests that naturally extracted AHLs from bacterial culture supernatants are more active and should be used for
in vitro experiments at concentrations that are achievable
in vivo.