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DTIC ADA534333: Two Distinct Mechanisms for Induction of Dendritic Cell Apoptosis in Response to Intact Streptococcus pneumoniae PDF

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TheJournalofImmunology Two Distinct Mechanisms for Induction of Dendritic Cell Apoptosis in Response to Intact Streptococcus pneumoniae1 JesusColino and Clifford M.Snapper2 Apoptoticdendriticcells(DCs)areineffectiveatinducingimmunity.Thus,parametersthatregulateDCviabilityduringaprimary infection will help to determine the outcome of the subsequent immune response. In this regard, pathogens have developed strategies to promote DC apoptosis to counterbalance the nascent primary immune response. We demonstrate, using cultured bonemarrow-derivedDCs,thatStreptococcuspneumoniaecaninduceDCapoptosisthroughtwodistinctmechanisms:1)arapid, caspase-independent mechanism of apoptosis induction, critically dependent on bacterial expression of pneumolysin, and 2) a delayed-onset,caspase-dependentmechanismofapoptosisinductionassociatedwithterminalDCmaturation.Delayed-onsetap- optosisdoesnotrequirebacterialinternalization,butratheristriggeredbytheinteractionofbacterialsubcapsularcomponents andbonemarrow-derivedDC(likelyToll-like)receptorsactinginamyeloiddifferentiationfactor88-dependentmanner.Inthis regard, heavy polysaccharide encapsulation interferes with both DC maturation and apoptosis induction. In contrast, neither CD95/CD95ligandinteractionsnorTNF-(cid:1)appeartoplayaroleinthedelayedonsetofapoptosis.Thesedataarethefirsttodefine two mechanistically distinct pathways of DC apoptosis induction in response to an extracellular bacterium that likely have importantconsequencesfortheestablishmentofantibacterialimmunity. TheJournalofImmunology,2003,171:2354–2365. P rogrammed cell death or apoptosis plays a major regula- cobacteria,whichleadstoapoptosis(4),butthisiscorrelatedwith toryroleinimmuneresponses(1).TNF-(cid:1)releasedearlyin a relative resistance to the experimental infection (14). Macro- response to bacterial infections (2) and, specifically, sev- phageintracellularkillingofopsonizedStreptococcuspneumoniae eral bacterial pathogens can directly trigger apoptosis in cells of hasbeenassociatedwiththeinductionofacaspase-dependentbut themonocyte/macrophagelineage(3–10).However,themolecular Fas-independent apoptosis (11). However, S. pneumoniae pneu- mechanismsofapoptosisinducedbybacteriaareincompletelyde- molysin, which induces NO production in macrophages (15), is lineated,particularlyregardingtheinvolvementofdeathreceptors. ineffective at inducing macrophage apoptosis (11). In contrast, Inthefewcasesinvestigated,theyhavebeenfoundtobeeithernot pneumolysininducesinneuronsandmicrogliaacaspase-indepen- involvedortobeCD95(Fas)-mediated(3,11).Adirectinteraction dent apoptosis associated with the release of apoptosis-inducing between bacterial components and cell surface receptors as a factorfrommitochondria(16),whichcontributestoenhancedmor- trigger for macrophage apoptosis has been reported only for bidity (17). Thus, various stimuli acting on particular cell types lipoproteins released by Shigella flexneri (12) and, more re- induce apoptosis through distinct pathways leading to different cently, for the 19-kDa protein of Mycobacterium tuberculosis functionalorpathologicconsequences. (13), which activate apoptosis through interaction with Toll- TheDCiswidelyregardedasacriticallinkbetweentheinnateand like receptor-2 (TLR-2)3 (12). adaptiveimmuneresponse.ImmatureDCs,aswellasmacrophages, Inductionofmacrophageapoptosisbyphagocytosedpathogens detect microbial infections by recognition, via TLRs, of pathogen- is largely regarded as a microbial strategy to evade the immune associated molecular patterns (18, 19). Signaling through all TLR response,butinsomeinstancesitcouldbeaneffectivehostmech- members is dependent upon a common adaptor molecule (20), the anism for pathogen clearance, limiting intracellular replication. myeloiddifferentiationfactor88(MyD88),whichmediatesthepro- Moreover, apoptotic bodies containing killed bacteria could be ductionofproinflammatorycytokinesand,inpart,thematurationof taken up by dendritic cells (DCs) and used as a source of Ag to the DC. DC maturation is characterized by the loss of phagocytic initiate a primary immune response (8). Thus, macrophages in- capacityandtheup-regulationofMHCandmembranecostimulatory fected with M. tuberculosis exhibit NO-dependent killing of my- molecules.TheseDCresponsestopathogensarekeyelementsinthe inductionofinnateimmunity,theeffectiveprimingofnaiveTcells, andtheinitiationofadaptiveresponses(21,22). Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda,MD20814 Despite the critical importance of the DC in the response to primary infections, very little is known regarding the ability of ReceivedforpublicationApril21,2003.AcceptedforpublicationJune25,2003. bacteriatoinduceapoptosisinDCs.OnlyListeriamonocytogenes Thecostsofpublicationofthisarticleweredefrayedinpartbythepaymentofpage charges.Thisarticlemustthereforebeherebymarkedadvertisementinaccordance hasbeendemonstratedtoinduceapoptosisinDCsviatheactionof with18U.S.C.Section1734solelytoindicatethisfact. hemolysin(23).DCs,however,appeartoexhibitmechanismsthat 1ThisworkwassupportedbyNationalInstitutesofHealthGrants1R01AI49192and counterbalance apoptotic stimuli that otherwise efficiently induce 1R01AI46551. apoptosisinmacrophages.Thus,matureDCsarerelativelyresis- 2AddresscorrespondenceandreprintrequeststoDr.CliffordM.Snapper,Depart- tant to the proapoptotic action of TNF-(cid:1)(24, 25) and CD95-me- mentofPathology,UniformedServicesUniversityoftheHealthSciences,4301Jones BridgeRoad,Bethesda,MD20814.E-mailaddress:[email protected] diated apoptosis (26), and this resistance is associated with the 3Abbreviations used in this paper: TLR, Toll-like receptor; DC, dendritic cell; up-regulation of FLIP (26) and Bcl-xL (24). A relative resistance MyD88,myeloiddifferentiationfactor88;BMDC,bonemarrow-deriveddendritic ofDCsforapoptosisinductioninresponsetobacteriawouldpo- cell;PLN,pneumolysin-deficientmutant;PG,peptidoglycan;PI,propidiumiodide; tentiallyplayanimportantroleinoptimizingtheirabilitytoactas FMK,fluoromethylketone;CD95L,CD95ligand;CM-DiI,chloromethylbenzamido derivativeofDiI;Ct,cytochalasin;MFI,meanfluorescenceintensity. thekeyAPCduringaprimaryimmuneresponse.Inthisreport,we Copyright©2003byTheAmericanAssociationofImmunologists,Inc. 0022-1767/03/$02.00 Report Documentation Page Form Approved OMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to a penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. 1. REPORT DATE 3. DATES COVERED APR 2003 2. REPORT TYPE 00-00-2003 to 00-00-2003 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Two Distinct Mechanisms for Induction of Dendritic Cell Apoptosis in 5b. GRANT NUMBER Response to Intact Streptococcus pneumoniae 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) 8. PERFORMING ORGANIZATION Uniformed Services University of the Health Sciences,Department of REPORT NUMBER Pathology,Bethesda,MD,20814 9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR’S ACRONYM(S) 11. SPONSOR/MONITOR’S REPORT NUMBER(S) 12. DISTRIBUTION/AVAILABILITY STATEMENT Approved for public release; distribution unlimited 13. SUPPLEMENTARY NOTES 14. ABSTRACT 15. SUBJECT TERMS 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF 18. NUMBER 19a. NAME OF ABSTRACT OF PAGES RESPONSIBLE PERSON a. REPORT b. ABSTRACT c. THIS PAGE Same as 12 unclassified unclassified unclassified Report (SAR) Standard Form 298 (Rev. 8-98) Prescribed by ANSI Std Z39-18 TheJournalofImmunology 2355 wished to determine the susceptibility of DCs to apoptosis in re- pleted of T cells, B cells, and other MHC class II-expressing cells by sponse to the Gram-positive extracellular bacterium S. pneu- incubationfor30minat4°CwithamAbcocktailcomposedofAF6-120.1 (mouseIgG2aanti-I-Ab),RA3-6B2(ratIgG2aanti-CD45R/B220),53-5.8 moniae.Usingbonemarrow-derivedDCs(BMDCs),weshowfor (ratIgG1anti-CD8b.2),andRB6-8C5(ratIgG2bratanti-Ly-6G)andwere the first time that bacteria can induce DC apoptosis through two negatively selected by magnetic bead cell sorting using a mixture of af- distinct mechanisms: 1) a rapid, caspase-independent mechanism finity-purifiedpolyclonalgoatanti-ratIgGandgoatanti-mouseIgGcon- ofapoptosisinduction,criticallydependentonbacterialexpression jugatedbeads(BioSpheres;Biosource,Camarillo,CA).AllofthemAbs ofpneumolysin,and2)adelayed-onset,caspase-dependentmech- werepurchasedfromBDPharMingen(SanDiego,CA).Thebonemarrow cellsobtainedwereculturedat1.25(cid:2)106cells/mlincellculturemedium anism of apoptosis induction associated with terminal DC matu- supplemented with 10 ng/ml murine recombinant GM-CSF, kindly pro- ration.Delayed-onsetapoptosiswasindependentofFas/Fasligand videdbyDr.L.Grinberg(Biosynexus).Ondays3and5thesupernatant interactions and TNF-(cid:1)and did not require bacterial internaliza- was removed and replaced with fresh medium containing GM-CSF. Ex- tion,butinsteadwasdependentuponinteractionbetweenbacterial perimentswereperformedwiththenonadherentandlooselyadherentcell populationfromculturesatdays6–8. subcapsularcomponentswithacellsurfaceBMDCreceptor(like- lyaTLR)actinginaMyD88-dependentmanner. BacterialpulsingandstimulationofBMDCsforinvitro Materials and Methods experiments Mice BMDCscollectedafter6–8daysofculturewerewashedtwotimesincell C57BL/6NmicewereobtainedfromtheNationalCancerInstitute(Gaith- culturemediumandplatedat106BMDCs/mlofmediumwithoutGM-CSF ersburg,MD).MyD88(cid:1)/(cid:1)mice(27)werekindlyprovidedbyDr.Douglas in24-or48-wellcellcultureplates(Costar,Corning,NY).After30min, Golenbock(DepartmentofMedicineandMicrobiology,BostonUniversity toallowcellstosettle,peptidoglycan(PG)(100–0.1(cid:2)g/ml)orabacterial SchoolofMedicine,Boston,MA)withpermissionfromDr.S.Akira(Re- suspensionincellculturemediumcontainingthedesiredamountofinac- searchInstituteforMicrobialDiseases,OsakaUniversity,Osaka,Japan) tivatedS.pneumoniaewasaddedtotheculturesandmaintainedduringthe and were bred and genotyped in our facility. C3.MRL-Faslpr (MRL/lpr) pulse. Unless indicated otherwise, S. pneumoniae type 14 was used at a mice, genetically deficient in CD95 expression, C3H/HeJ-Faslgld (C3H/ ratioof800bacteriaperBMDCthroughouttheexperiments.Insomeex- gld)mice,geneticallydeficientinCD95Lexpression,andtheircorrespond- periments,BMDCswerestimulatedwith10(cid:2)g/mloflowendotoxinanti- ingbackgroundcontrols,C3H/HeJmice,werepurchasedfromTheJack- CD95proapoptoticmAb(cloneJo2,hamsterIgG;BDPharMingen)inthe sonLaboratory(BarHarbor,ME).Micewereusedat8–10wkofageand absenceofbacteriaor1hbeforebacteriawereaddedtotheculturetotest weremaintainedinapathogen-freeenvironmentattheUniformedServices BMDC susceptibility to CD95-mediated apoptosis. Alternatively, for UniversityoftheHealthSciences(Bethesda,MD).Theexperimentsinthis pulse-chaseexperiments,BMDCswerecollectedafterthepulse,theexcess studywereconductedaccordingtotheprinciplessetfourthintheGuidefor of bacteria were extensively washed, and the BMDCs were replated in theCareandUseofLaboratoryAnimals(InstituteofAnimalResources, mediumwithoutGM-CSFandculturedforthedesiredchaseperiod.For NationalResearchCouncil,DepartmentofHealth,EducationandWelfare, experiments with live bacteria, the pulse was conducted in cell culture NationalInstitutesofHealth,78-23). mediumwithoutantibioticsandwaschasedinculturemediumcontaining S.pneumoniaestrainsandbacterialAgs 20(cid:2)g/mlgentamicin. The S. pneumoniae capsular type 14 was generously provided by Sam Wilson(UniformedServicesUniversityoftheHealthSciences,Bethesda, Propidiumiodide(PI)uptakeassayandtrypanblueexclusion MD).Thecapsulartype3(strainWU-2)andthestablenonencapsulated assay variantJD6/11ofthisstrain(28)werekindlyprovidedbyDr.J.Yother (UniversityofAlabama,Birmingham).Thecapsulartype2(strainD39),its CellmembranepermeabilityandviabilityweretestedbyPIuptakeassay isogenicpneumolysin-negativemutant(29),andthenonencapsulatedvari- or trypan blue exclusion assay. PI uptake for BMDCs was analyzed by antofD39(strainR36A)werekindlyprovidedbyDr.D.E.Briles(Uni- placing 1 (cid:2) 106 cells/ml in cold PBS containing 5 (cid:2)g/ml PI (Sigma- versityofAlabama).LPS-free,purifiedpeptidoglycanfromStaphylococ- Aldrich,St.Louis,MO).After5minofincubationatroomtemperaturein cusaureuswasprovidedbyDr.R.Schuman(Biosynexus,Rockville,MD). thedark,theredfluorescenceemittedbythePIintercalatedintheDNAof cellsthathavelostmembraneintegritywasanalyzedonaflowcytometer Bacterialcultureandpreparationofthebacterialinoculum (EPICSXL-MCL;BeckmanCoulter,Miami,FL).Thetrypanblueexclu- IsolatedcolonieswereselectedfromColumbiabloodagarplatesandwere sion assay was conducted by diluting a cell suspension by 1/5 v/v with grown in Todd Hewitt broth to mid-log phase, collected, heat killed by 0.4% trypan blue (Sigma-Aldrich). Viable cells were counted using a incubationat60°Cfor1h,andextensivelywashedinPBS.Sterilitywas hemocytometer. confirmedbysubcultureonbloodagarplates.Thepneumolysin-deficient mutant(PLN)wasgrowninthesamemedium,butsupplementedwith0.3 (cid:2)g/ml erythromycin. The bacterial suspension of the type 14 strain was AnnexinV-FITCstaining adjustedwithPBSto109CFU/mlbyanabsorbancereadingof0.6at650 nm. This bacterial suspension was used as a standard to normalize, by Bacteria-pulsedBMDCsandnon-pulsedBMDCswerecollectedatdiffer- FACSanalysis,thedensityoftheotherheat-killedS.pneumoniaestrains. enttimepoints,washed,andadjustedto106BMDCs/mlincold10mM Specifically,wedeterminedthenumberofeventsacquiredintheappro- HEPES/NaOH(pH7.4)containing140mMNaCl,2.5mMCaCl2,and5 priateforwardsidescattergateduring1minusingserial10-folddilutions (cid:2)g/mlPIandAnnexinV-FITC(BDPharMingen).BMDCswereincubated ofthebacterialsuspensions.Thisapproachavoidserrorsintheestimation for15minatroomtemperatureinthedarkandwereimmediatelyanalyzed ofbacterialdensitybyphotometricturbidityduetoheavyencapsulation. byflowcytometry.BMDCstreatedfor4hinculturewith6 (cid:2)Mcampto- Bacteriawerethenaliquotedat1010CFU/mlandfrozenat(cid:1)80°Cuntil thecin(Sigma-Aldrich),apotentinhibitoroftopoisomeraseI,wereusedas theirusetopulseBMDCsinculture.Whenlivebacteriawereused,cul- a positive control for induction of apoptosis. BMDCs treated with 0.2% turesinmid-logphasewerecollected,washedinPBS,and,afteradjust- saponin(Sigma-Aldrich)wereusedasapositivecontrolforinductionof menttothesameabsorbanceasthecorrespondingheat-killedsuspension, necrosis.AnnexinVavidlybindstocellsexpressingcellsurfacephospha- wereuseddirectlyintheexperiment. tidylserine,aphospholipidtranslocatedfromtheinnerleafletoftheplasma membrane to the outer leaflet very early during the apoptosis program, Cellculturemedium whencellsarestillnonpermeabletoPI.CellspositiveforAnnexinVand negativeforPIareundergoingapoptosis,whereascellsintheendstageof ThecellculturemediumconsistedofRPMI1640supplementedwith5% apoptosisarepositiveforbothAnnexinVandPI(31). FCS (BioWhittaker, Walkersville, MD), 50 (cid:2)M 2-ME, 20 (cid:2)g/ml genta- micin,1mMsodiumpyruvate,2mML-glutamine,0.1mMnonessential aminoacids,and25mMHEPES. Determinationofhypodiploidnucleibyflowcytometry Bonemarrowcellculture Thepercentageofapoptoticnuclei(i.e.,hypodiploid)wasmeasuredafter DCswereculturedfrombonemarrow,aspreviouslydescribed(30),with PIstaininginhypotonicbufferbyflowcytometry,essentiallyasdescribed slightmodifications(22).Briefly,bonemarrowcellsuspensionswerede- byNicolettietal.(32).Briefly,BMDCswerecollectedatdifferenttime 2356 BACTERIALINDUCEDDCAPOPTOSIS pointsduringthepulsewithbacteriaordrugtreatmentandwashedexten- treatmentmarkedlyinhibitedtheinternalizationofCM-DiI-labeledbacte- sively,andthecellpelletcontaining1(cid:2)106BMDCswasgentlyresus- ria ((cid:4)4% of the mean fluorescence intensity (MFI) uptake by untreated pendedin1mlofhypotonicfluorochromesolution(50(cid:2)g/mlPIin0.1% cells).DMSOwasusedasdiluentfortheCt,butitsconcentrationinthe sodiumcitrateplus0.1%TritonX-100).Thetubeswereplacedat4°Cin culturewas(cid:4)0.2%.IdenticalvolumesofDMSO,asfoundinCt-treated thedarkovernight,andthePIfluorescenceofindividualnucleiwasmea- cultures,wereaddedasacontrol. suredbyflowcytometricanalysis(32).BMDCstreatedincultureduring 12–24hwith1(cid:2)g/mlactinomycinD(Sigma-Aldrich)wereusedaspos- itivecontrolsofapoptosis.BMDCstreatedwith0.2%saponinwereusedas CytokineELISA positivecontrolsofnecrosis. The concentrations of specific cytokines released into the medium of Determinationofcellularcaspaseactivity BMDC cultures were measured using optimized standard sandwich ELISA.Recombinantcytokinesusedasstandards,aswellasthecapture Caspase-8andcaspase-3activityinBMDCextractsobtainedatdifferent mAbs, biotinylated mAbs used for detection, and streptavidin-alkaline time points during the pulse with bacteria or drug treatment were deter- phosphatasewerepurchasedfromBDPharMingen.Streptavidin-alkaline mined using the corresponding colorimetric assay kits, following the in- phosphatasewasusedincombinationwithp-nitrophenylphosphatediso- structions of the manufacturer (Calbiochem, San Diego, CA). The dium(Sigma-Aldrich)assubstratetodetectthespecificbinding.Standards caspase-3kitusesAc-DEVD-p-nitroanilineassubstrate,andthecaspase-8 wereincludedineveryplateandthesamplesweretestedinduplicate.The kitusesIETD-p-nitroaniline.Thespecificinhibitorsandpurifiedenzymes detectionlimitsoftherespectiveELISAswere4pg/mlforIL-6,70pg/ml providedaccurateandspecificquantitationofthecaspaseactivity. forIL-10,6pg/mlforIL-12(p40/p70),125pg/mlforIL-12(p70),and12 Inhibitionofcaspaseactivity pg/mlforTNF-(cid:1). CaspaseactivitywasirreversiblyinhibitedbytreatmentofBMDCswith50 (cid:2)Mofthecorrespondingcell-permeablecaspaseinhibitor(R&DSystems, Statistics Minneapolis, MN). The caspase-specific inhibitors used were Z-WEHD- fluoromethylketone(FMK)(caspase-1inhibitor),Z-DEVD-FMK(caspase-3 Datawereexpressedasarithmeticmean(cid:5)SEMoftheindividualvalues. inhibitor), Z-YVAD-FMK (caspase-4 inhibitor), Z-YVAD-FMK (caspase-6 Levelsofsignificanceofthedifferencesbetweengroupsweredetermined inhibitor), Z-IETD (caspase-8 inhibitor), Z-LEHD (caspase-9 inhibitor), Z- by the Student t test. Any p values (cid:4)0.05 were considered statistically AEVD(caspase10inhibitor),andZ-LEED-FMK(caspase-13inhibitor).The significant. inhibitorwasaddedtothecultures30minbeforethepulsewithbacteriaand wasmaintainedintheculturemediumduringthepulse.ThepeptideZ-F-A- FMK, was added to the cultures at the same concentration as the caspase Results inhibitorstocontrolfortheeffectsofthefluoromethyl-ketonederivativeson caspaseactivity.BMDCculturesincubatedwithDMSOwereusedtomonitor Heat-killedS.pneumoniaeinduceapoptosisofBMDCs anypotentialcytotoxiceffectsofthediluents. ThelengthoftimeduringwhichDCsmaintaintheirviabilityafter QuantitationofsolubleCD95ligand(CD95L) contactwithabacterialpathogenlikelyplaysacriticalroleintheir ability to promote anti-bacterial Ig responses (22). Thus, initial The concentration of soluble CD95L released into the culture medium, duringthepulsewithbacteria,wasquantifiedbyELISA(QuantikineM), studies tested the ability of heat-killed S. pneumoniae to induce followingtheinstructionsofthemanufacturer(R&DSystems). apoptosis in immature in vitro-derived bone marrow dendritic cells. The inability of BMDCs to exclude trypan blue, which re- FlowcytometricanalysisofBMDCsurfaceAgexpression flects their loss of cell membrane integrity and which occurs rel- Allstepswereperformedonice.ForstainingBMDCsforflowcytometry, ativelylateduringtheprocessofapoptosis,wasobservedlargely theFcreceptorswerespecificallyblockedwith2.5(cid:2)g/ml/106BMDCsof between48and72hafteradditionofheat-killedbacteriatoculture anti-CD16/CD32mAb(clone2.4G2;BDPharMingen)inPBScontaining 1%FCS(stainingbuffer)45minbeforeandduringthestaining.Cellswere (Fig.1A).Thus,by72h,(cid:4)35%ofBMDCsexcludedtrypanblue stainedbyincubationfor30minwithbiotinylatedorPE-conjugatedmAbs comparedwith(cid:3)90%atinitiationofcultureorafter72hinme- (BD PharMingen) specific for CD11c (clone HL3), CD8 (clone 53-6.7), diumalone.ThekineticsandpercentagesofBMDCsshowingPI CD11b(M1/70),I-Ab(cloneAF6-120.1),I-Ad(cloneAMS-32.1),H2-Kb uptakeafterculturewithS.pneumoniaeweresimilartothoseob- (AF6-88.5), CD40 (clone 3/23), CD80 (16-10A1), CD86 (clone GL1), CD25 (clone PC61), CD54 (clone 3E2), CD95 (clone Jo2), and CD95L servedusingtrypanblue(datanotshown). (cloneKay-10).TheincubationwithbiotinylatedmAbswasfollowedby To determine whether loss of trypan blue exclusion after S. stainingwithPE-streptavidinconjugatefor15min.FordetectionofCD16/ pneumoniaeactivationreflectedinductionofBMDCapoptosis,we CD32expressionwiththespecificAb(clone2.4G2),theFcblockingstep measured both the percentage of cells staining positive for An- wasomitted.Irrelevantisotypeandspecies-matchedmAbswereusedas nexinV(whichresultsfromtranslocationofphosphatidylserineto stainingcontrols.CellswereanalyzedonanEPICSXL-MCL(Beckman Coulter).Deadcellsanddebriswereexcludedfromanalysisbygatingon the outer leaflet of the plasma membrane) and the percentage of theappropriateforwardandsidescatterprofile. hypodiploid nuclei, as determined by PI staining (which reflects nuclearfragmentation)duringthe72hcultureperiodwithS.pneu- PhagocyticcapacityofBMDCs moniae.AprogressiveincreaseinthepercentageofBMDCseither The time course of bacterial internalization was tracked by pulsing the staining for Annexin V (Fig. 1B) or showing hypodiploid nuclei BMDCs with S. pneumoniae labeled with the fluorescent lipophilic cell (Fig.1C)wasobservedbeginning12hafteradditionofS.pneu- tracker chloromethylbenzamido derivative of DiI (CM-DiI; Molecular Probes,Eugene,OR),aspreviouslyreported(22).Briefly,atdifferenttime moniaeandcontinuinguntil72h,bywhichtime(cid:3)80%apoptotic pointsofthepulse,BMDCswerecollectedandwashedinPBS,andviable cells were observed. In contrast, (cid:4)10% of BMDCs cultured in BMDCs were analyzed by flow cytometry, gated so as to exclude free mediumalonewereapoptoticafter72h.InductionofBMDCap- bacteriaonthebasisofcellsize.BMDCspulsedwithunlabeledbacteriaat optosis after S. pneumoniae addition was also closely correlated, thesameratioswereusedtodeterminenonspecificfluorescence. beginningafter12h,withaprogressiveincreaseintheenzymatic Cytochalasin(Ct)treatment activityoftheapoptosis-initiatorcaspase-8(Fig.1D). Toblockparticleinternalization,BMDCsweretreatedfor2–3hwithCtA Activity of the effector caspase, caspase-3, although rapidly (5(cid:2)g/ml)orCtD(5(cid:2)g/ml)beforethepulsewithbacteria.Forpulsetimes spikinginitially,declinedthereafterduringthefirst24htosignif- shorterthan5h,theCtwasmaintainedduringthepulse,otherwiseCtwas icantlybelowthelevelsfoundinunstimulatedBMDCs(Fig.1D). washed out and 1 (cid:2)g/ml fresh Ct was added and maintained during the Caspase-3activityreturnedtonormallevelsby48handwasagain pulse. Unpulsed BMDCs treated under these conditions remain viable ((cid:3)82%)after24hofculture,undergoingminimalCt-inducedapoptosis found at reduced levels at 72 h. BMDCs treated with saponin, an (5%inBMDCstreatedwithCtA;12%inBMDCstreatedwithCtD).The inducerofnecrosis,didnotup-regulateeithercaspase-8(Fig.1D)or TheJournalofImmunology 2357 FIGURE 1. Heat-killed S. pneu- moniae induced BMDC apoptosis. BMDCs pulsed with heat-killed S. pneumoniaewereharvestedatdifferent timepoints,andtheprogressionofap- optosis was determined by measuring the percentage of cells permeable to trypan blue (A), the percentage of PI- negative BMDCs binding a conjugate ofAnnexinV-FITC(B),thepercentage ofhypodiploidnucleideterminedbyPI staining(C),andthecaspase-8(D)and caspase-3(E)activitypresentwithinthe cell extracts. BMDCs treated with 1 (cid:2)g/mlactinomycinDor6(cid:2)Mcampto- thecinwereusedasapositivecontrolof apoptosis.BMDCsculturedin0.2%sa- poninwereusedaspositivecontrolsof necrosis.Thedatashownarerepresen- tative of two independent experiments induplicate. caspase-3(Fig.1E)activity,asexpected.Bacterialinterferenceinthe onsetofapoptosis((cid:3)24h)comparedwithBMDCsthatwereex- enzymatic assay was excluded by demonstrating that high bacterial posed continuously to bacteria. No increase in apoptosis was ob- densitiesdidnotinhibittheenzymaticactivityofpurifiedcaspase-3 served when BMDCs were in contact with bacteria for only 30 andthatcaspase-3activitywasnotdetectedinthebacterialprepara- min.Nevertheless,aprogressiveincreaseinthepercentageofhy- tionitself(datanotshown). podiploid nuclei at a given time point (Fig. 2A) and extension of BMDCsexhibitedminimalapoptosiswithinthefirst20hafter DNAfragmentation(datanotshown)wereobservedasthedura- bacterial exposure. In contrast, treatment with actinomyn D or tionoftheinitialbacterialpulsewasincreasedfrom3to6hand camptothecin, which are primary inducers of apoptosis, led to a againfrom6htocontinuousexposure.Theseresultsindicatethat rapid increase in percentages of hypodiploid nuclei and both thesignalsrequiredtoinducedelayedapoptosisareprovidedtothe caspase-3 and caspase-8 activity in BMDCs. Thus, (cid:3)70% of BMDCswithinthefirsthoursofbacterialcontact,withenhanced BMDCswereapoptotic10haftertreatment,alevelofapoptosis levels of apoptosis occurring as bacterial exposure is prolonged. observedonly72hafterbacterialexposure(Fig.1).Collectively, Weobservedthatasimilartimecourseofexposuretobacteriawas thesedatasuggestthatheat-killedS.pneumoniaeinduceadelayed- required for the subsequent induction of BMDC phenotypic mat- onset, caspase-dependent apoptosis of BMDCs that is likely not uration(22). secondary to the direct action of an apoptosis inducer, such as a Liveandheat-killedS.pneumoniaeinduceapoptosisthrough bacterialtoxin. differentmechanisms Continuousexposuretoheat-killedbacteriaisnotcriticalfor The induction of BMDC apoptosis by heat-killed S. pneumoniae theinductionofapoptosis indicatedthatheat-sensitivemetabolicproducts,includingtoxins, Wenextperformedbacterialpulse-chaseexperimentstodetermine werenotnecessaryforapoptosisinduction,butitdidnotruleout thetimerequiredforBMDCstobeincontactwithbacteriatoelicit anadditionalrolefortheseproductswhenBMDCsareexposedto apoptosis.AsshowninFig.2A(opensymbols),BMDCsexposed live bacteria. To determine this, we directly compared the effi- foreither3or6htoheat-killedbacteriashowedasimilartimeof ciency of apoptosis induction in response to live vs heat-killed FIGURE 2. KineticsofDNAfragmentation inducedinBMDCsbyliveorheat-killedwild- typeandpneumolysin-defectivemutantsofS. pneumoniae. A, BMDCs were pulsed with heat-killedorliveS.pneumoniaecapsulartype 14ataratioof800bacteriaperBMDC.Dur- ingtheperiodsofpulseindicated,freebacteria wereremovedbywashing,andBMDCswere recultured for the indicated periods of chase. The percentages of hypodiploid nuclei were determinedafterthepulseandafter20,48,or 72hofchase.B,Comparisonofthepercentage ofBMDChypodiploidnucleiafterpulsewith liveorheat-killedS.pneumoniaecapsulartype 2 (strain D39) and its isogenic pneumolysin- defectivemutant(strainPLN).Thepercentage of hypodiploid nuclei was determined at 24, 48,and/or72h.Oneexperimentrepresentative oftwoisshown. 2358 BACTERIALINDUCEDDCAPOPTOSIS FIGURE 3. Bacterialdosedependenceofcytokinesecretion,phenotypicmaturation,andDNAfragmentationinducedbyheat-killedS.pneumoniae. ConcentrationsofTNF-(cid:1)andIL-6secretedintotheculturemedium(A)andMFIofBMDCsstainedwithmAbsspecificforMHCclassIIandCD86after 12and24h,respectively,afterpulsewithbacteriaatvariablebacteria:BMDCratios(B),expressedasthepercentageoftheconcentrationorMFIobtained afterpulsewithbacteriaata1:800ratio(100%).C,Thepercentageofhypodiploidnucleiwasdeterminedaftera72-hpulsewiththeindicatedbacteria: BMDCratios.Oneexperimentrepresentativeofthreeisshown. bacteria. Live S. pneumoniae induced BMDC apoptosis after a apoptosisthroughreleaseofatoxin(pneumolysin),whereasnonvia- much shorter exposure time and with significantly faster kinetics ble(orlivepneumolysin-deficient)bacteriaarecapableofstimulating than was observed in response to heat-killed bacteria (Fig. 2A). BMDCstoundergoaprimaryprocessthatleadstoadelayedonsetof The presence of live, but not heat-killed, bacteria in BMDC cul- apoptosis. tures for as little as 30 min was sufficient to induce a significant increase in apoptosis by 3 h ((cid:3)15% hypodiploid nuclei) with Theextentofapoptosisinducedbyheat-killedS.pneumoniaeis (cid:3)80% apoptosis by 24 h. No further changes occurred in the ki- directlycorrelatedwiththelevelofBMDCactivationand maturation netics or extent of apoptosis induction with greater bacterial ex- posuretimesof3or6h.Toeliminateanycontinuedproliferation Apoptosis induced by heat-killed S. pneumoniae begins to occur of residual bacteria, possibly remaining after washing and recul- soonafterthephenotypicmaturationofBMDCsiscomplete(i.e., ture of BMDCs in medium alone, we added either gentamicin (cid:6)24h),suggestingthatdelayedonsetapoptosisisadirectreflec- (whichinactivateextracellularbacteria)oranantibioticcocktailof tionofterminalmaturation.AsshowninFig.3,boththelevelof gentamicin,penicillin,andstreptomycin(whichlikelyalsoinacti- secretionofIL-6andTNF-(cid:1)(Fig.3A)andespeciallythemagni- vateintracellularbacteria).SupernatantsfromfreshculturesofS. tudeofphenotypicmaturation(i.e.,up-regulationofMHCclassII pneumoniae grown in medium (RPMI 1640 supplemented with and CD86; Fig. 3B) in response to varying ratios of bacteria to 5% FCS without antibiotics), added to BMDC cultures supple- BMDCdirectlycorrelatedwiththepeakpercentagesofhypodip- mentedwithantibiotics,inducedBMDCapoptosisatsimilarlevels loidnucleiobservedat72h(Fig.3C).BacteriatoBMDCsratios and following similar kinetics as in BMDC cultures pulsed with under 50:1, which were ineffective at inducing apoptosis, also liveS.pneumoniae(datanotshown). failedtoinducesignificantsecretionofcytokinesandphenotypic Therapidkineticsofinductionofapoptosisinresponsetolive maturation.Thesedatasuggestacause-and-effectrelationshipbe- bacteria were roughly similar to those observed using the direct tweenBMDCphenotypicmaturationandapoptosisinresponseto inducers of apoptosis, actinomycin D or camptothecin. This, and bacterialactivation. the ability of S. pneumoniae culture supernatants to induce apo- To further explore the potential relationship between BMDC ptosis, suggested the possibility that live, but not heat-killed, S. maturationandapoptosis,wedeterminedthepotentialroleofGM- pneumoniaeproduceatoxinthatdirectlyinducesBMDCapopto- CSF in comodulating these processes. GM-CSF is released early sis.Inthisregard,thehemolysinactivityofGroupBStreptococcus afterbacterialinfectionandhasbeenshowntoinhibitapoptosisof hasbeenshowntoinduceapoptosisinhumanmonocytes(7),and neutrophils (34), in addition to stimulating the generation of DC the pneumolysin of S. pneumoniae induces neuronal and micro- precursors from the bone marrow. Thus, we wished to determine glialapoptosis(16).Thus,wecomparedtheabilityofliveS.pneu- whether GM-CSF could likewise modulate BMDC apoptosis in moniaecapsulartype2(strainD39)andpneumolysin-deficientmu- responsetoheat-killedbacteriaandwhetherthiscorrelatedwitha tant(PLN)toinduceapoptosisinBMDCs.AsshowninFig.2B,at change in the level of phenotypic maturation. Addition of GM- 24h(cid:3)80%ofBMDCstreatedwithliveD39exhibitedhypodiploid CSFtoBMDCculturesatthetimeofadditionofbacteriasignif- nucleivs(cid:4)20%forBMDCstreatedwithPLN,demonstratingacrit- icantly reduced the percentage of hypodiploid nuclei observed at icalroleforpneumolysinintheinductionofrapidonsetapoptosisby 48 h (Fig. 4A). The difference observed in apoptosis induction at livebacteria.Incontrast,bothD39andPLN,whenheat-killed,and 72 h between GM-CSF-treated and untreated groups was much livePLNwereequallyefficientatinducingthedelayedonsetofap- less, suggesting that GM-CSF delays, but does not prevent, the optosisseeninFig.2,demonstratingtheexistenceofasecondmech- onsetofapoptosis.TobeeffectiveinreducingBMDCapoptosis, anismofapoptosisinductionthatwasunrelatedtobacterialviability GM-CSFwasrequiredduringthefirst24hafterbacterialexposure orpneumolysinactivity.Pneumolysinisheat-sensitive,veryunstable (Fig. 4A) and needed to be present at high concentrations in culture, and requires metabolic activity for its continued release ((cid:4)10pg/mlofGM-CSFwasineffective).Furthermore,whenvary- (33).ThesedataindicatethatS.pneumoniaecaninduceDCapoptosis ing doses of GM-CSF were tested, a direct relationship was ob- throughtwodifferentmechanisms.LivebacteriatriggerrapidBMDC servedbetweentheabilityofGM-CSFtoreduceapoptosisandan TheJournalofImmunology 2359 FIGURE 4. InhibitionofbacteriainducedBMDCapoptosisbyGM-CSF.A,BMDCswereculturedintheabsence(medium)orpresenceofheat-killed S.pneumoniaeinmediumcontaining10ng/mlGM-CSF((cid:7)GM-CSF)orinmediumwithoutGM-CSF((cid:1)GM-CSF)duringtheentireperiodofpulsewith bacteria or only during the first 24 h of pulse. After 48 or 72 h, the percentages of hypodiploid nuclei were determined. Values are expressed as the arithmetic mean of triplicate cultures (cid:5) SEM. B, Titration of the GM-CSF effect. BMDCs were pulsed with bacteria during 48 h in the presence of increasingconcentrationsofGM-CSF,andthepercentagesofhypodiploidnucleiweredetermined.C,ExpressionofCD86andMHCclassIIbyflow cytometryafter24hofpulsewithbacteriainthesameGM-CSFtitrationexperimentdepictedinB. inhibitory effect on phenotypic maturation (Fig. 4, B and C), re- Although addition of GM-CSF allowed for the generation of inforcingtheviewthatdelayedapoptosisinresponsetobacterial immatureDCsfrombonemarrowprecursors,allexperimentswere stimulationisareflectionofterminalmaturation. conducted in the absence of GM-CSF. As illustrated in Fig. 4, A FIGURE 5. DNAfragmentationinducedbyS.pneumoniaedoesnotrequirebacterialinternalization.A,FlowcytometricanalysesofPI-stainedBMDC nucleitodeterminepercentagesofhypodiploidnucleiafter24-hpulsewithlive(left)or72-hpulsewithheat-killed(right)S.pneumoniaecapsulartype 14withorwithoutpretreatmentwithCtD.B,PercentagesofhypodiploidnucleiinadifferentsetofsimilarexperimentsinwhichBMDCswerepretreated witheitherCtAorCtD.C,MFIratio(%)ofcellsurfacemarkerexpressionat24honBMDCspulsedwithheat-killedS.pneumoniaetreatedoruntreated withCtD.D,Cytokinessecretedasratio(%)oftreatedoruntreatedwithCtDasinC.Untreatedcellswereincubatedwiththesamevolumeofthediluent DMSO.Oneexperimentrepresentativeoffiveisshown. 2360 BACTERIALINDUCEDDCAPOPTOSIS FIGURE 6. HeavilyencapsulatedS.pneumoniaearenoteffectiveinducersofBMDCmaturationorapoptosis.A,KineticsofBMDCinternalizationof heat-killedS.pneumoniaeofaheavilyencapsulatedtype3strain(WU-2),itsnonencapsulateddefectivemutant(JD6/11),orthemoderatelyencapsulated type14strain(Pn14)labeledwiththefluorescenttracerCM-DiIwhenusedatbacteria:BMDC200:1ratio.B,Concentrationsofcytokinessecretedinto themediumafter6h(upperpanel)and24h(lowerpanel)ofpulsewiththesame200:1bacteriatoBMDCratio.Statisticallysignificantdifferencesbetween theconcentrationsofcytokinesinthesupernatantsofBMDCspulsedwithWU-2andJD6/11areindicatedbydots((cid:1))andforthecomparisonbetweenWU-2 andPn14byasterisks((cid:1)).C,PercentagesofincreaseintheexpressionofseveralphenotypicmarkersofBMDCmaturationandCD11c,after24hofpulse ata500:1bacteriatoBMDCratio.D,Percentageofhypodiploidnucleiobtainedafter72hofpulsewithdifferentstrainsofS.pneumoniaeatdifferentratios. E,TimecourseofDNAfragmentationatan800:1bacteriatoBMDCratio. andB,GM-CSFwasnotrequiredforthesurvivalofBMDCsover BMDCsandindeedeffectedamodestenhancement(Fig.5C).In a72hcultureperiod,followingtheirgenerationafter6–8daysof contrast,CtDstronglysuppressedthesecretionofbothIL-12and invitrocultureinthepresenceofGM-CSF. TNF-(cid:1)andpartiallyinhibitedIL-10release,buthadnoeffecton IL-6(Fig.5D).Thesedatastronglysuggestthatinteractionofbac- InductionofBMDCapoptosisdoesnotrequirethe teriawithstructuresexpressedontheBMDCsurfaceissufficient internalizationofbacteria tomediatethecellsignalingrequiredforbothmaturationandin- Macrophageshavebeenshowntoundergoapoptosisasaresultof duction of apoptosis. Nevertheless, the modest enhancement of mediator release consequent to intracellular killing of bacteria phenotypicmaturationseeninthepresenceofCtmightreflectthe (11).Byanalogy,thesedataraisethepossibilitythatbacterianeed decrease in release of IL-10.4 The data also suggest that neither tobeinternalizedtodelivertherequisitesignalingforBMDCap- IL-12norTNF-(cid:1)iscriticalforapoptosisinduction. optosis. Thus, we used either CtA or CtD to block BMDC inter- nalization of bacteria and measured the subsequent effects on re- Heavyencapsulationcaninterferewithbothphenotypic lease of cytokines, induction of phenotypic maturation, and maturationandapoptosisinducedbyheat-killedS.pneumoniae development of hypodiploid nuclei (i.e., apoptosis) (Fig. 5). Ad- Our observation (Fig. 5) that heat-killed S. pneumoniae induces ditionofCttoBMDCcultures,intheabsenceofbacteria,induced phenotypicmaturationandapoptosisintheabsenceofsignificant minimalapoptosis((cid:4)12%)relativetoBMDCsculturedinDMSO internalization strongly suggests that these processes were medi- diluent or medium alone ((cid:4)5%) after 24 h of culture. Treatment ated by an interaction of the bacteria with cell surface BMDC withCteffectivelyblockedtheinternalizationofCM-DiI-labeled bacteria(MFIofCtA-treatedBMDCswas2.5–3.8%oftheMFIof untreated BMDCs; data not shown). Neither CtA nor CtD pre- 4J.ColinoandC.M.Snapper.OpposingsignalsfromPAMPSandIL-10arecritical ventedapoptosisinducedbyeitherliveorheat-killedbacteria(Fig. foroptimaldendriticcellinductionofinvivohumoralimmunitytoStreptococcus 5,AandB).Likewise,Ctdidnotinhibitphenotypicmaturationof pneumoniae.Submittedforpublication. TheJournalofImmunology 2361 receptors. In the next series of experiments, we wished to deter- BMDCs stimulated with WU-2 (Fig. 6C). Furthermore, at 72 h, minewhetherthebacterialcomponentsinvolvedinthisinteraction the percentage of hypodiploid nuclei was markedly reduced in were present within the bacterial capsular and/or subcapsular do- BMDCs stimulated with WU-2 at any ratio between 50 and 800 main. In light of previous studies demonstrating that polysaccha- bacteriaperBMDC(Fig.6D).Kineticstudiesindicatethatheavy rideencapsulationcaninfactmaskunderlyingimmunostimulatory encapsulationsignificantlydelayed,butdidnoteliminate,theon- bacterialsubcapsularstructures,wecomparedphenotypicmatura- setofBMDCapoptosis(Fig.6E).Thesedatafurtherreinforcethe tion and apoptosis induction of BMDCs in response to either a notion that delayed BMDC apoptosis is a reflection of terminal heavily encapsulated WU-2 strain of S. pneumoniae type 3 or its maturation, both being related to signaling mediated by interac- nonencapsulated isogenic mutant, JD6/11 (28). As a further con- tionsbetweenBMDCcellmembranereceptorsandbacterialsub- trol,weusedalow-encapsulatednonvirulentS.pneumoniaetype capsular structures, without a requirement for internalization or 14strain(Pn14).BothmorphologyandsizeofPn14colonies(sim- bacterialprocessing. ilar to JD6/11 colonies) confirmed a much lower level of encap- PurifiedPGorintactS.pneumoniaeinduceBMDCapoptosisin sulationthanforWU-2. aMyD88-dependentmanner After 1 h ofbacteria-BMDC coculture, encapsulation had no significant effect on the rate of internalization of nonopsonized Wenextwishedtodirectlydeterminewhethersubcapsularbacte- bacteriabyBMDCsinvitro,assuggestedbythesimilarslopesof rial structures were capable of mediating BMDC maturation and thekineticcurvesofinternalizationofthethreestrains(Fig.6A). apoptosis and whether this involved a MyD88 (TLR)-dependent ThedelayedkineticsobservedfortheheavilyencapsulatedWU-2 process. To accomplish this, we used an LPS-free preparation of strain may be explained by the greater flotation coefficient and purified PG from Staphylococcus aureus, which has previously electrostatic repulsion mediated by the thick layer of capsular beenshowntobeaTLR-2ligand.PGinducedBMDCstosecrete polysaccharide, which delayed optimal BMDC-bacterial contact cytokines (IL-6, IL-12, TNF-(cid:1), and IL-10) in a dose-dependent afterinitiationofculture. manner(Fig.7A)andtoup-regulatecellsurfacemarkersofmat- Encapsulation also had no significant effect on induction by uration (MHC class I, MHC class II, CD25, CD40, and CD86) BMDCs of the cytokines TNF-(cid:1)and IL-12 (Fig. 6B), whose se- (Fig.7B).Inductionofcytokinesecretionwascompletelydepen- cretionwasinhibitedbyCtD(Fig.5).Incontrast,IL-10secretion dent, whereas phenotypic maturation was partly dependent, on and, to a lesser extent, IL-6 secretion were significantly lower in MyD88 signaling, in response to either PG (Fig. 7, A and B) or response to WU-2. Thus, these observations are consistent with intactS.pneumoniae(Fig.7Banddatanotshown). thoseusingCt(Fig.5)andstronglysuggestthatsignalsoriginating PGalsoinduceddelayedBMDCapoptosisinadose-dependent fromBMDCcellsurfacestructuresaresufficientforinductionof manner(Fig.7C)withkineticssimilartothoseobservedforintact IL-6 and in part IL-10 secretion and that heavy polysaccharide bacteria.Asobservedforphenotypicmaturation,apoptosisinduc- encapsulationcanmasktherelevantbacterialsubcapsularstimuli. tioninresponsetoeitherPGorintactbacteriawaspartlyMyD88 In agreement with the hypothesis that heavy encapsulation in- dependent.ThesedatasuggestthatintactS.pneumoniaecanstim- terfered with surface signaling, the up-regulation of phenotypic ulate BMDC maturation and apoptosis, at least in part, through markersofmaturationinresponsetobacteriaat24h,whichdoes MyD88-dependentsignalingviaTLR-2interactionwithPGinthe notrequireinternalization(Fig.5C),wasdramaticallyimpairedin bacterialcellwall. FIGURE 7. InductionofBMDCapoptosisinboth wild-type and MyD88(cid:1)/(cid:1) mice in response to PG. BMDCs obtained from wild-type (MyD88(cid:7)/(cid:7)) or MyD88(cid:1)/(cid:1)werestimulatedwithvariableconcentra- tionsofPG(A)and,after20hofculture,theconcen- trationofcytokinessecretedintothemediumwasde- termined by ELISA. Concentrations secreted by MyD88(cid:7)/(cid:7) are shown with a continuous line, and those secreted by MyD88(cid:1)/(cid:1) are shown as broken lines.B,BMDCswerestimulatedfor20hwith100 (cid:2)g/ml PG or with 800 bacteria per BMDC, and the expressionofdifferentmarkersofphenotypicmatura- tionweredeterminedandexpressedaspercentagesof the levels expressed in nonstimulated BMDCs. C, Time course of DNA fragmentation induced during thefirst72hofstimulationwithdifferentPGconcen- trationsinwild-typeMyD88(cid:7)/(cid:7)BMDCs.D,Theper- centagesofhypodiploidnucleiat72hinMyD88(cid:7)/(cid:7) andMyD88(cid:1)/(cid:1)BMDCsstimulatedwithdifferentcon- centrationsofPGorR36A(bacteria). 2362 BACTERIALINDUCEDDCAPOPTOSIS FIGURE 8. Heat-killed S. pneumoniae-induced BMDCapoptosisisdependentoncaspaseactivity.Per- centagesofhypodiploidnucleiinBMDCstreatedwith 50(cid:2)Mofthespecificinhibitorsofthecaspaseactivities indicatedintheabsence(inhibitor)orinthepresence (inhibitor(cid:7)bacteria)ofheat-killedS.pneumoniaefor 72h(left)orliveS.pneumoniaefor5h(right).BMDCs pulsedwithlivebacteriawereculturedforanadditional 20-hperiodinthecontinuedpresenceofcaspaseinhib- itorbeforeanalysisofDNAfragmentation. Inhibitionofselectedcaspasesblockdelayed-onset,butnot volved in cytokine processing and inflammation, had no effect. pneumolysin-dependent,BMDCapoptosis However,inhibitionofcaspase-13activity,anothermemberofthe caspase-1subfamily,deeplyimpairedapoptosis(Fig.8). We detected the induction of caspase-8 activity in BMDCs des- Instrikingcontrast,apoptosisinducedbylivebacteriawasnot tined to undergo apoptosis in response to heat-killed S. pneu- affected by the inhibition of any of the caspase activities tested, moniae(Fig.1).Totestwhethertheactivityofcaspase-8,aswell indicating that caspase activation is not a major requirement for asthatofothercaspases,wascriticalfortheonsetofapoptosis,we inductionofpneumolysin-dependentBMDCapoptosis. irreversiblyblockedtheactivityofspecificcaspasesbytreatment withcell-permeablepeptidederivatives.AsshowninFig.8,ofthe IntactS.pneumoniaeinducesBMDCapoptosisinaCD95/ two initiator caspases (caspase-8 and caspase-10) recruited into CD95L-independentmanner apoptosissignalingcomplexesassociatedwithdeathreceptors(35, 36),theinhibitionofcaspase-10activitycompletelyabrogatedthe We demonstrated that caspase-8 activity is induced in BMDCs abilityofheat-killedbacteriatoinduceBMDCapoptosis,whereas destinedtoundergoapoptosisinresponsetointactS.pneumoniae inhibitionofcaspase-8activityhadonlyapartial,thoughsignifi- (Fig.1)andthatcaspase10and,toamuchlesserextent,caspase cant,effect.Theseresultssuggestthatheat-killedbacteriainduced 8 are critical for induction of apoptosis. Because both caspase 8 BMDC apoptosis through death cell receptor signaling, where andcaspase10havebeenimplicatedinCD95-dependentinduction caspase-10playedacriticalroleasinitiator. of apoptosis (36, 37), we wished to determine whether CD95/ The inhibition of caspase activities located downstream of the CD95L interactions were involved in S. pneumoniae-induced apoptosis signaling cascade, such as caspase-3 or caspase-9, had BMDCapoptosis.AsshowninFig.9A,BMDCsfromLPS-defec- only partial inhibitory effects (Fig. 8), suggesting multiple path- tive C3H/HeJ mice constitutively expressed cell surface CD95, waysofamplification,andasexpected,theinhibitionofmembers with progressive up-regulation in response to bacteria, but not in ofthecaspase-1subfamily,caspase-1andcaspase-4,primarilyin- the presence of medium alone over a 72 h period. However, as FIGURE 9. S.pneumoniae-inducedBMDCapoptosisisindependentofCD95orCD95Lexpression.A,TimecourseofcellsurfaceexpressionofCD95 (MFI)duringthepulsewithR36AstrainofS.pneumoniae.FilledhistogramrepresentstheexpressionofCD95inBMDCsderivedfromC3H/HeJmice culturedduring72hinmediumalone.B,PercentageofhypodiploidnucleiinBMDCsderivedfromMRL/lpr,C3H/gld,andcontrolC3H/HeJmice,cultured bytriplicateinthepresenceorabsenceof200:1bacteriatoBMDCduringthepulsetimeindicated.

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