Dissertations / Theses on the topic 'Mycobacterium bovis infection'

Master of Science in Biomedical Sciences
Department of Diagnostic Medicine/Pathobiology
Jodi L. McGill
The causative agent of tuberculosis (TB) in cattle is Mycobacterium bovis (M. bovis). γδ T cells are a unique subset of nonconventional T cells that play major roles in both the innate and adaptive arms of the immune system. Bovine γδ T cells have the capacity for multiple immune functions during infection with M. bovis. However, the alternative functions of γδ T cells as well as the responses of γδ T cells in vivo at the site of infection remain unclear. To identify novel functions for γδ T cells in response to M. bovis infections, RNA sequencing and transcriptomics analysis was completed on peripheral blood γδ T cells isolated from virulent M. bovis-infected cattle. Differentially expressed genes were confirmed with real-time PCR. In an attempt to model in vivo cell-to-cell interactions at the site of infection, γδ T cells were also isolated from naïve and M. bovis-infected calves and co-cultured with autologous, BCG-infected, monocyte-derived macrophages. γδ T cell chemokine and cytokine expression was analyzed via ELISA and real-time PCR. The characteristic lesions of bovine tuberculosis are well-organized pulmonary granulomas. To determine the relevance of the RNA-sequencing and in vitro co-culture results to in vivo infection, tissue samples from granulomatous lesions in the lungs and mediastinal lymph nodes of virulent M. bovis-infected cattle were collected 3 months after infection. mRNA transcripts for γδ T cells expression of-- IFN-γ, IL-17, IL-10, IL-22, and CCL2 were microscopically evaluated within the granulomas using an in situ hybridization system, RNAScope (Advanced Cell Diagnostics Inc.). Co-culture experiments and transcriptomics analysis revealed increased expression of chemokines and various cytokines by γδ T cells responding to M. bovis infection. The novel in situ hybridization assay revealed that cytokine expression by γδ T cells varied within the lesions, with significant levels of CCL2 and IFN-γ, and low expression of IL-10, IL-22, and IL-17 in situ at this time-point after infection. Co-culture experiments also revealed that γδ T cells from virulent M. bovis-infected cattle have the capacity to directly impact the viability of M. bovis in vitro. Our results suggest that γδ T cells accumulate within the granulomas, and influence host immunity to M. bovis by secretion of cytokines and chemokines, and direct cytotoxicity, in response to infected macrophages.

Le fer est un oligoélément indispensable pour tout organisme vivant. Le taux de fer systémique est régulé par la fixation de l’hepcidine, hormone synthétisée majoritairement par le foie mais également par les macrophages, à la ferroportine seul exporteur du fer. L’expression de ces deux protéines est régulée par le taux de fer et les processus inflammatoires. Des mécanismes d’acquisition et de séquestration du fer sont mis en place respectivement par le pathogène et l’hôte durant l’infection et régulent en parallèle l’expression de l’hepcidine et la ferroportine. Les travaux de recherche effectués dans le cadre de ma thèse ont porté d’une part sur un aspect fondamental à améliorer nos connaissances du mécanisme de régulation de l’axe hepcidine - ferroportine en condition inflammatoire et analyser l’influence du fer sur la réponse immune au niveau des macrophages; d’autre part une deuxième partie de mes recherches s’est orientée vers une étude plus appliquée du rôle du fer dans la réponse immune induite par une infection mycobactérienne. Nous montrons que l’expression de l’hepcidine et de la ferroportine est différentiellement régulée en corrélation avec la polarisation des macrophages via les voies de signalisation intracellulaires PI3K et autres kinases. Le fer influence la polarisation des macrophages et module ainsi la réponse inflammatoire, et représente aussi un signal de danger capable de stimuler une voie MyD88-dépendante. Enfin, la réponse à l’infection Mycobacterium. bovis BCG est modulée par un régime modérément enrichi en fer, réduisant la charge bactérienne et l’inflammation
Iron is an essential trace element for all organisms. In mammals, systemic iron homeostasis relies on hepcidin, a peptide hormone synthesized by liver but also macrophages with defensing properties, and its target, the cell iron exporter ferroportin. Iron content and inflammation regulate hepcidin and ferroportin expression in mammals. During infection, pathogens develop sophisticated mechanisms for iron acquisition and sequestration. In response, host regulates the bioavailability of iron through hepcidin and ferroportin expression. First, this work contributes to improve our fundamental knowledge on hepcidin and ferroportin regulation during inflammation and analyzes the influence of iron in macrophages immune response. Second, the role of iron in response to mycobacterial infection was investigated. We show that hepcidin and ferroportin expression was regulated differentially in correlation with macrophages polarization through intracellular signaling pathways involving PI3K and others kinases. In addition, iron influenced macrophages polarization leading to a decrease of inflammatory response with a potent effect on MyD88 pathway stimulation. Finally, we showed that moderate iron-rich diet modulated Mycobacterium bovis BCG response reducing the bacterial burden and inflammation

Tuberculosis (TB) is a major health problem worldwide resulting in 1.4 million deaths, caused by Mycobacterium tuberculosis. Despite all the efforts to target and eliminate this chronic disease, the control of tuberculosis has been severely thwarted by the emergence of multidrug and extensively resistant strains. The long treatment duration and its association with various side effects result in noncompliance of the patients. To improve treatment outcomes and reduce duration of therapy, host-directed TB therapies could provide a solution for the resolution of the disease. The development of host directed therapies will be expedited by further understanding of host-mycobacterium interaction and how the pathogen hijacks host cell processes to facilitate survival. Key to this process is the regulation of host gene expression. However, very little is known about translational control by bacterial pathogens, including Mycobacterium tuberculosis and how this contributes to pathogenesis. By using Mycobacterium bovis Bacillus Calmette-Guerin (BCG) as a surrogate of Mycobacterium.tuberculosis, we aimed to dissect how Mycobacterium bovis BCG alters translation in the infected macrophages, and how the regulation of eIF4E activity participates in this response to infection. Our results suggest that mycobacterial infection induces eIF4E phosphorylation in murine macrophages. Furthermore, the kinases ERK and MNK are responsible for eIF4E phosphorylation and their activation contributes to changes in the translational state of host mRNAs, as identified by polysome profiling. These changes alter the macrophage response to mycobacteria, affecting intracellular bacterial survival and macrophage viability. As it is believed that in up to 50 % of TB exposed individuals, the infection is cleared without the involvement of the adaptive immune system, indicating that the innate immune system may be able to control or clear the infection if activated appropriately. Further testing of the mechanisms used by macrophages to keep the infection under control has been done by measuring TNFα and IL-10 production, phagosomal acidity and cellular autophagy in the presence of ERK and MNK inhibitors. We found that the activation of ERK-MNK-eIF4E pathway regulates the cytokines production, but only ERK plays a regulatory role on macrophage phagosomal acidification as well as cell autophagy. Our finding suggests that Mycobacterium bovis BCG benefits from the activated ERK-MNK- eIF4E signalling to survive inside the cell. We conclude that regulating eIF4E phosphorylation is a key component of the hostpathogen interaction during mycobacterium infection and therefore, we suggest the possibility of using selective MNK and/or ERK inhibitors as host-directed immuno-therapeutics for tuberculosis.

Bovine Tuberculosis (TB), caused by Mycobacterium bovis (M.bovis), has seen a significant rise in incidence in recent years, posing a considerable burden to the UK economy. Protective immunity is associated in part, with rapid IFNγ production and early Th1 polarisation. Natural Killer (NK) cells are known to be a significant source of IFNγ and may therefore play a pivotal role in the innate immune response to mycobacterial infection. This study hypothesised that bovine NK cells participate in the immune response to bovine TB by migrating towards and reciprocally interacting with M.bovis infected dendritic cells (DCs). Bovine NK cells comprise a heterogeneous population characterised by the expression of NKp46 and CD2. Quantitative PCR analyses revealed that blood derived NKp46+ CD2- NK cells transcribed higher levels of important inflammatory and lymphoid homing chemokine receptors and preferentially migrated towards M.bovis infected DCs within in vitro chemotaxis assays when compared with NKp46+ CD2+ NK cells. Furthermore, within co-culture assays, M.bovis infected DCs selectively induced the release of IFNγ from NKp46+ CD2- NK cells with no detectable levels of IFNγ produced by NKp46+ CD2+ cells. This was partially reliant upon IL-12 secreted by M.bovis infected DCs as well as direct cell-cell contact. In addition, NKp46+ CD2- NK cells were able to reciprocally activate infected DCs resulting in up-regulation of cell surface MHC class II. Furthermore, IFNγ expressing NKp46+ CD2- NK cells were detected in the peripheral circulation of cattle as early as two days following experimental infection with M.bovis. This study has provided evidence of reciprocal interactions between CD2- NK cells and mycobacterially infected DCs that could augment both antigen presentation and Th1 biased immune responses. Therefore, this minor blood derived CD2- NK cell subset may be selectively responsible for promoting a protective immune response during the early phases of M.bovis infection and represents a potential target for future vaccination strategies.

Bovine tuberculosis (bTB) was first diagnosed in the Kruger National Park (KNP) in 1990 and research has since focused primarily on the buffalo (Syncerus caffer) as the maintenance host and lion (Panthera leo) as a clinically affected species. However, little is known about the role that small predators might play in the tuberculosis epidemiology. The aim of this pilot study was to screen banded mongoose populations in the bTB high prevalence zone of the KNP for mycobacteria in general and for Mycobacterium bovis and other Mycobacterium tuberculosis complex members in particular to detect presence of infection. Faecal swabs, tracheal swabs and tracheal lavage of 76 banded mongooses caught in cage traps within a two kilometre radius of Skukuza Rest Camp in the KNP were submitted for culture, isolation and speciation of Mycobacterium as the gold standard of bTB diagnosis. Blood was collected and serologically analysed for M. bovis and Mycobacterium tuberculosis antibodies using the ElephantTB STAT-PAK® Assay (STAT-PAK) and the EnferplexTM TB Assay (Enferplex). DPP® VetTB Assay for elephants (DPP) was used on STAT-PAK positive samples. To complement the sample set obtained from live banded mongooses 12 animals were necropsied. Lesions and pooled lymph node samples together with a standard set of organ samples were submitted for culture and histopathology analysis. Two banded mongooses had developed well demarcated, irregularly margined, greyyellow nodules of up to 5 mm diameter located in the caudal lung lobes and/ or tracheo-bronchial, retropharyngeal or superficial cervical lymph nodes. These lesions were characterised by central necrosis in the one and calcification in the other animal. Histopathologically the lesions were described as caseating necrosis associated with epithelioid macrophages and necrogranuloma with calcified centre respectively. No acid fast bacteria were identified with Ziehl-Neelsen stain. M. bovis was isolated from lung, lymph node and liver samples as well as tracheal lavages and tracheal swab from the same two banded mongooses but not from any other study animal. No other Mycobacterium of the M. tuberculosis complex was isolated. However, a variety of environmental mycobacteria, the most frequent from the Mycobacterium avium complex, M. fortuitum group, M. simiae group and M. terrae group, were cultured. M. fortuitum group was only and M. terrae group predominantly isolated from tracheal and faecal samples whereas M. simiae group and M. avium complex were the most frequent species isolated from post mortem samples, including tissue lesions and lymph nodes. Serological analysis revealed 12 banded mongooses with a positive STAT-PAK result, confirmed with DPP. Enferplex was positive for MPB83 in four and MPB70 peptide in one animal. Only two banded mongooses, the ones with the strongest positive reaction on both STAT-PAK and DPP, reacted positively on all three serological assays. These were the same two animals that had developed granulomatous lesions and that M. bovis was cultured from ante and post mortem samples. In conclusion, this study has provided the first evidence of bTB infection in banded mongooses in the KNP and demonstrated their ability to shed M. bovis. This finding has opened the discussion around possible sources of infection and its significance at the human/ wildlife interface in and around Skukuza.
Dissertation (MMedVet)--University of Pretoria, 2014.
tm2015
Production Animal Studies
MMedVet
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Systemic lupus erythematosus (SLE) is a debilitating autoimmune disease affecting 1/1000 Canadians, primarily women of childbearing age. Mycobacterium bovis-BCG, the tuberculosis vaccine, is a potent immunomodulator and has been used to treat other autoimmune diseases. To study the impact of M. bovis-BCG on disease progression in the MRL/ lpr mouse model of lupus, groups of MRL/lpr and background control MRL/+ mice were infected with BCG at 16-18 weeks of age, and their longevity, kidney function and serologic characteristics examined. MRL/lpr mice infected with BCG showed a slight improvement in longevity, and were protected from kidney failure. This was accompanied by a delay in the class-switching from IgM to pathogenic IgG anti-double-stranded DNA autoantibodies, and a delay in epitope spreading among autoantibodies to spliceosomal proteins. BCG infection of lupus mice thus provided transient protection from autoimmune disease, possibly through effects on cytokine production.

The persistent increase of bovine tuberculosis (bTB) over the past twenty years has put a substantial strain on both the British economy and the welfare of livestock. However, the development of an effective bTB vaccine has been continually hindered by the lack of knowledge on the immune response following Mycobacterium bovis (M. bovis) infection. In collaboration with the TB Research Group at the Veterinary Laboratories Agency (VLA, Surrey), this thesis is part of a much wider strategy managed by the Department of Environment, Food and Rural Agency (DEFRA) aimed at elucidating the immunopathogenesis of M. bovis and to develop more effective infection control measures. The specific focus of this thesis was to enable a stronger understanding of the bovine immune response over different periods of M. bovis infection and to apply this new knowledge in evaluating the efficacy of a novel BCG vaccination. Time Course Study: Knowledge of time dependent cytokine expression following M. bovis infection would aid vaccine development by revealing potential correlates of protection. Interferon gamma (IFN-γ), tumour necrosis factor alpha (TNF-α), interleukin (IL) 4 and 10 expression were analysed using quantitative (q) PCR in formalin fixed bovine lymph nodes following five, twelve and nineteen weeks of M. bovis infection. A strong pro-inflammatory/ T helper 1 (TH1) lymphocyte response was evident at five weeks post M. bovis infection, represented by IFN-γ and TNF-α expression (log2 copies of 6.5 and 2.15, respectively) in the absence of IL4. Between five and twelve weeks of infection, a significant increase was observed in IL10 (log2 copies from 5.97 to 8.27, p<0.01, Mann Whitney test), accompanied by an increase in both IFN-γ (log2 7.53) and TNF-α (log2 3.94). This data conformed to a recently described aspect of TH1 lymphocytes, a ‘self-limiting’ nature in which cells produced both IFN-γ and IL10 with the aim of controlling the heightened pro-inflammatory response. The role of IL10 as an immunosuppressive became evident when comparing cytokine expression between four different types of thoracic lymph node; the left bronchial (LB), cranial mediastinal (CRM), caudal mediastinal (CM) and cranial tracheobronchial (CRT) nodes. The LB and CRM lymph nodes produced significantly higher levels of IFN-γ expression (log2 copies between 8.2 and 10) as compared to the CM and CRT (log2 copies between 2.6 and 5.5, p<0.001, Mann Whitney test). Further analysis of the data as a profile of cytokine expression for each lymph node type revealed that IFN-γ was dominantly expressed within the LB and CRM nodes, whereas within the CM and CRT nodes, IL10 was the dominant cytokine. The former nodes also displayed a higher level of pathological damage (represented by mean percentage area coverage of granuloma, 33.6 and 20%, respectively) as compared to the CM (13%) and the CRT lymph node types (10.8 %). This suggests conflicting roles for IFN-γ and IL10 in the development of immune-associated pathology. Following nineteen weeks of infection, the expression levels of IFN-γ, TNF-α and IL10 reduced (log2 6.22, 3.02 and 7.03, respectively) implying a loss of the cellular response. The later stages of bovine tuberculosis have been shown within the literature to display characteristics of a humoral rather than cell mediated response. However, within this study at nineteen weeks post infection IL4 (an important cytokine in the development of the humoral response) remained undetectable. The results from this study therefore confirm the importance of the cell mediated immune profile in response to M. bovis infection as well as the integral role of IFN-γ in both protection and pathology. It also further demonstrates the involvement of IL10 in controlling the IFN-γ response and highlights this cytokine as being potentially important in future immunologybased vaccination studies. BCG Vaccination Study: The current vaccine used against human tuberculosis, BCG, has provided variable results on protection against infection in experimental bovine studies. The BCG bacterium has lost a comparatively large quantity of genomic DNA through attenuation since its primary production in 1921, of which the majority represented genes encoding antigenic proteins. MPB70 and MPB83 are differentially expressed between BCG sub-strains due to a single nucleotide polymorphism in the alternative sigma factor K (SigK). BCG Pasteur has been shown to produce low levels of these antigenic proteins; however complementation of BCG Pasteur with a copy of sigK from BCG Russia resulted in up-regulating expression. It was therefore hypothesised that the recombinant BCG (sigK) Pasteur would prove more efficient in controlling M. bovis infection by inducing a stronger protective immune response post vaccination. IFN-γ, TNF-α, IL 4 and 10 expression were analysed using qPCR within the freshly dissected lymph nodes of five experimental cattle groups; BCG Pasteur vaccinated M. bovis challenged, BCG (sigK) Pasteur vaccinated challenged, non-vaccinated infected, non-vaccinated noninfected and BCG Pasteur vaccinated non-infected. Five weeks following infection, a strong IFN-γ mRNA response was detected in both the non-vaccinated and vaccinated cattle (mean log2 copies between 9.6 and 10.5 as compared to between 7.84 and 8.58 in the non-infected cattle). M. bovis infection also induced a significant reduction in IL10 mRNA levels in both vaccinated and non-vaccinated cattle (mean log2 14.4 in the infected groups compared to 15.5 in the non-infected cattle, p<0.005, Mann Whitney test) although there was little difference in TNF-α expression (mean log2 copies between 11.06 and 11.8 in all five groups). Interestingly, IL4 mRNA was detectable only within the two non-infected control groups (mean log2 12.4), further supporting the concept of a strong cell mediated response after five weeks of infection. Vaccination prior to challenge had an effect on IFN-γ mRNA levels only, as both the BCG Pasteur and BCG (sigK) Pasteur vaccinated groups displayed a smaller increase in IFN-γ mRNA following challenge (mean log2 10.3 and 9.6, respectively) as compared to the nonvaccinated group (mean log2 10.5). This reflected the role of vaccination in priming the immune response to enable more rapid elimination of the bacteria and subsequently inducing a lesser pro-inflammatory response. Interestingly, the BCG Pasteur vaccinated group appeared to control the immune response to a greater extent, as IFN-γ mRNA was significantly similar to that observed in the non-vaccinated non-infected group (mean log2 8.58, p>0.05, Mann Whitney test). In addition to the qPCR data, levels of IFN-γ and TNF-α protein (represented by the number of cells producing these proteins) were also analysed by immunohistochemistry. IFN-γ protein in the five experimental groups displayed the same pattern as that observed for IFN-γ mRNA expression (p<0.001, Spearmans correlation coefficient). However, analysis of TNF-α protein revealed significant differences between the five groups (p<0.005, Kruskal Wallis test) in contrast to that observed for the mRNA levels (p>0.05, Spearmans correlation coefficient) suggesting that posttranscriptional controls may play an important role in TNF-α translation. The difference in IFN-γ mRNA and protein expression between the two vaccination groups was also reflected within the pathological data. Although both BCGs reduced levels to below that of the non-vaccinated group (represented by mean percentage area coverage of granuloma, 59%), the BCG Pasteur group displayed less pathology (mean 6%) compared to the BCG (sigK) Pasteur cattle (mean 35%). It was suggested that the increased antigenic repertoire of the recombinant BCG (sigK) Pasteur did result in a stronger stimulation of the immune response post vaccination but that, as a consequence the bacterial threat was eliminated more rapidly.

This thesis is about making inference on the host status of feral ferrets in New Zealand for Mycobacterium bovis, the aetiological agent of bovine tuberculosis. The central question addressed is whether the rate of intra-specific transmission of M. bovis among ferrets is sufficient for the disease to persist in ferret populations in the absence of external, non-ferret sources of infection (inter-specific transmission). The question is tackled in three parts�firstly using model selection to identify suitable models for estimating the force of M. bovis infection in ferret populations; secondly applying statistical hypothesis testing to the results of planned manipulative field experiments to test the relationship between M. bovis infection in brushtail possums and that in ferrets; and thirdly using modelling to estimate intra-specific disease transmission rates and the basic reproductive rate (Ro) of M. bovis infection in ferrets. The model selection approach clearly identified the hypothesis of oral infection related to diet was, as modelled by a constant force of infection from the age of weaning, the best approximation of how M. bovis infection was transmitted to ferrets. No other form of transmission (e.g., during fighting, mating, or routine social interaction) was supported in comparison. The force of infection (λ) ranged from 0.14 yr-1 to 5.77 yr-1, and was significantly higher (2.2 times) in male than female ferrets. Statistical hypothesis testing revealed transmission of M. bovis to ferrets occurred from both brushtail possums and ferrets. The force of M. bovis infection in ferrets was reduced by 88% (λ=0.3 yr-1 vs. λ=2.5 yr-1) at sites with reductions in the population density of sympatric brushtail possum populations. A smaller decline in the force of infection resulting from the lethal cross-sectional sampling of the ferret populations was also demonstrated. The modelling approach estimated the basic reproductive rate (Ro) of M. bovis infection in ferrets in New Zealand to vary from 0.17 at the lowest population density (0.5 km-2) recorded to 1.6 at the highest population density (3.4 km-2) recorded. The estimates of Ro were moderately imprecise, with a coefficient of variation of 76%. Despite this imprecision, the Ro for M. bovis infection in ferrets was significantly less than unity for all North Island sites surveyed. Hence it is inferred ferrets are spillover hosts (0Kt), the rate of intra-specific transmission of M. bovis among ferrets is sufficient for the disease to establish in ferrets in the absence of interspecific transmission. In these areas, ferrets would be considered maintenance hosts for the disease. Active management (e.g., density reduction or vaccination) of ferrets would be required to eradicate M. bovis from ferret populations in these areas, in addition to the elimination of sources of inter-specific transmission, particularly brushtail possums.

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FAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerais
As parasitoses intestinais representam um importante problema médico-sanitário, tendo em vista o grande número de pessoas acometidas e as inúmeras alterações orgânicas que podem provocar no hospedeiro. Infecções provocadas por Strongyloides venezuelensis apresentam uma resposta imune local tanto nos pulmões quanto no intestino, predominantemente do tipo Th2, caracterizada pela produção das citocinas IL-4, IL-5, IL-13 e IL-10, resultando em eosinofilia, aumento da produção de muco, mastocitose e altas concentrações de IgE. Por outro lado, infecções provocadas por micobactérias estimulam uma imunidade predominantemente do tipo Th1 caracterizada pela produção de IFN-, IL-12, TNF- e óxido nítrico. A tuberculose, causada pelo patógeno intracelular Mycobacterium tuberculosis, é uma das doenças infecciosas mais importantes, sendo responsável por aproximadamente 2,9 milhões de óbitos e 8 milhões de novos casos por ano. Ainda são escassos os trabalhos envolvendo co-infecções, e devido às complexas relações existentes entre parasitos e entre eles e seu hospedeiro, faz-se necessário observações criteriosas. No presente trabalho avaliou-se o efeito modulatório que o Mycobacterium bovis virulento exerce sobre a resposta imune de camundongos co-infectados com S. venezuelensis. Os resultados demonstraram que o perfil de resposta imune durante a infecção por S. venezuelensis parece ser diretamente influenciado pela presença do M. bovis, uma vez que o perfil de resposta Th2, específico ao verme, esteve diminuído nos animais co-infectados. Tal diminuição pôde ser constatada pelo aumento do número de ovos e vermes nos animais co-infectados quando comparado com os animais infectados somente com S. venezuelensis; assim como a diminuição dos níveis de IgE específica à larva L3 do verme detectada em diferentes pontos da infecção; diminuição dos níveis de IL-10 produzida por células de baço estimuladas in vitro com antígeno da larva L3 do verme; diminuição dos níveis de IL-4, IL-5 e IL-13 no intestino; diminuição da expressão de CD80, CD86 e CD25 em células de baço e linfonodo e aumento da expressão de CD28 em células de linfonodos mesentéricos. Em conjunto, esses resultados sugerem que a infecção por M. bovis, e a conseqüente ativação do perfil de resposta imune do tipo Th1, foi capaz de modular o desenvolvimento do perfil de resposta imune do tipo Th2 contra S. venezuelensis nos animais co-infectados, deixando-os mais susceptíveis à infecção com S. venezuelensis. Esse trabalho é o primeiro a avaliar os mecanismos imunoregulatórios envolvidos na co-infecção S. venezuelensis versus M. bovis.
The intestinal parasites are a major medical-health problem, in view of the large number of people involved and the numerous organizational changes which may result in the host. Infections caused by Strongyloides venezuelensis have a local immune response in both lungs as in the intestine, predominantly from the Th2 type, characterized by the production of cytokines IL-4, IL-5, IL-13 and IL-10, resulting in eosinophilia, increased production of mucus, mastocytosis and high levels of IgE. In addition, infections caused by mycobacteria stimulate predominantly an Th1-type immune response characterized by the production of IFN-, IL-12, TNF- and nitric oxide. Tuberculosis, caused by intracellular pathogen Mycobacterium tuberculosis, is one of the most important infectious diseases, accounting for approximately 2.9 million deaths and 8 million new cases per year. Are still scarce papers involving co-infections, and because of the complex relationship between parasites and between them and their host, it is necessary criterious evaluations. This study evaluated the modulatory effect that the virulent Mycobacterium bovis has on the immune response of mice co-infected with S. venezuelensis. The results showed that the profile of immune response during infection with S. venezuelensis seems to be directly influenced by the presence of M. bovis, because the profile of Th2 response, specific to the worm, was reduced in co-infected animals. This decline could be observed by increasing the number of eggs and worms in animals co-infected when compared with animals infected only with S. venezuelensis, as well as decreased levels of IgE specific to the L3 larvae of the worm detected at different points of infection, decreased levels of IL-10 produced by spleen cells stimulated in vitro with L3 larvae antigen; decreased levels of IL-4, IL-5 and IL-13 in the intestine, reducing the expression of CD80, CD86 and CD25 cells in the spleen and lymph nodes and increased expression of CD28 cells in mesenteric lymph nodes. Together, these results suggest that infection with M. bovis, and the consequent activation of the profile of Th1-type immune response, was able to modulate the development of the profile of Th2 type of immune response against S. venezuelensis in co-infected animals, leaving them more susceptible to infection with S. venezuelensis. This work is the first to evaluate the mechanisms involved in imunoregulatory mechanisms involved in co-infection S. venezuelensis versus M. bovis.

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Sabe-se que existem inúmeros trabalhos envolvendo a modulação da resposta imune ao Mycobacterium. No entanto, o número de indivíduos apresentando tuberculose é cada vez maior. A resposta imune ao Mycobacterium é desencadeada principalmente por linfócitos Th1, com a produção de IFN-γ. As parasitoses intestinais também representam um importante problema médico-sanitário, tendo em vista o grande número de pessoas acometidas e as inúmeras alterações orgânicas que podem provocar no hospedeiro. Essas infecções helmínticas induzem preferencialmente uma resposta Th2 com a produção de IL-4, IL-5 e IL-13. Este trabalho avaliou a regulação da resposta imune no pulmão de camundongos co-infectados ou não por S. venezuelensis (SV) e/ou Mycobacterium bovis-BCG (MB), em dois pontos das duas infecções, denominados como ponto 1 (4° e 7° dia pós-imunização [dpi]) e ponto 2 (7° e 10° dpi) por MB e SV, respectivamente. Os animais foram infectados com 700 larvas de SV pela via subcutânea e, após 3 dias, com 1x106 UFC de MB cepa selvagem pela via intravenosa. Realizou-se a quantificação do número de ovos e vermes, a dosagem de citocinas (IFN-γ, IL-4 e IL-10) e quimiocinas (CCL2 e CCL5), o envolvimento de MPO e EPO, a detecção da infecção pelo MB por PCR, a avaliação histopatológica e a expressão de moléculas coestimulat órias/imunomodulatórias (CD80, CD86, CD28, CTLA-4 e CD25) em células ou tecidos do pulmão dos animais infectados e/ou co-infectados. Os resultados mostraram que a presença do MB favoreceu para o aumento do número de ovos e vermes do SV observados nos animais nos dias 4° e 7° (ponto 1) e 7° e 10° (ponto 2) após a infecção por MB e SV, respectivamente, nos animais co-infectados (COIN). A reação de PCR foi efetiva em detectar a presença do MB no pulmão dos animais. Foi observado um aumento de IFN-γ e uma diminuição de IL-4 e EPO no pulmão dos animais do grupo COIN, além de aumento na expressão da molécula co-estimulatória CD80 no ponto 1 e uma diminuição no ponto 2. Houve uma alta produção de IL-10 no pulmão dos animais dos grupos MB e COIN, sendo que a histopatologia neste sítio mostrou formação de granulomas com grande influxo de neutrófilos, macrófagos e células epitelóides na periferia nos pulmões dos animais do grupo MB e um granuloma bem mais avançado, com centro necrótico nos animais do grupo COIN. Baseado nesses resultados, conclui-se que o MB modula a infecção pelo SV, fazendo com que os animais fiquem mais suscetíveis à infecção helmíntica. Por outro lado, o SV modula a infecção pelo MB, fazendo com haja uma modificação na formação de granuloma no pulmão dos animais do grupo COIN no ponto 1 da infecção pelo MB, que poderia ser justificada pela diminuição de IL-4 nos animais do grupo COIN.
A rising number of people have been contracting tuberculosis around the world even though a multitude of reports involving a modulation of the immune response to Mycobacterium have been published. The response to Mycobacterium is mainly mediated by Th1 lymphocytes through IFN-gamma production. Parasitic diseases account for a large proportion of human morbidity and mortality, considering the number of people affected by them and several pathologies associated to parasitic infection. Helminthic infections drive towards Th2 response which leads to IL-4, IL5 and IL-13 production. The present study evaluated the immune response of coinfected animals or not with Strongyloides venezuelensis (SV) and Mycobacterium bovis-BCG (MB) on pulmonary cells collected from BALB/c mice at time points 1 (4th and 7th days post-immunization [dpi] by MB and SV, respectively) and 2 (7th and 10th dpi by MB and SV, respectively). Animals were infected with 700 SV larvae subcutaneously, and 3 days after, 1x106 CFU of wild MB strain intravenously. The number of worms and eggs was counted as well as cytokine (IFN-gamma, IL-4 and IL-10) and chemokine (CCL2 and CCL5) assessments, and the MPO and EPO levels determination on pulmonary tissue from infected and/or coinfected animals. In addition, PCR for MB detection, the histopathology and the expression of costimulatory molecules such as CD80, CD86, CD28, CTLA-4 and CD25 on pulmonary tissue were also assessed. The results pointed that MB led to increase SV parasite burden in coinfected mice (COIN) at both time points analyzed. The PCR technique detected effectively MB. Moreover, elevated IFN-gamma and reduced IL-4 and EPO levels were detected on pulmonary tissue in the COIN group. In regard to CD80 molecule, there was an increased expression at time point 1 and diminished expression at time point 2. Also, higher amounts of IL-10 were found on pulmonary tissue in MB and COIN groups. The histopathological analysis revealed pulmonary granulomas with a number of neutrophils, macrophages and epithelial cells-like in the MB group as well as granulomas in an advanced stage with caseous necrosis in the COIN group. Based on these findings, it may be concluded that MB modulated the immune response to SV, leading coinfected animals to be more susceptible to helminthic infection. On the other hand, SV modulated the MB infection by modifying the characteristics of the pulmonary granulomas in the COIN group at time point 1 probably due the reduced IL-4 production in this group.

Despite Africa accounting for ~20% of the global cattle population, prevalence estimates and related risk factors of bovine tuberculosis (bTB), caused by Mycobacterium bovis, are still poorly quantified in many countries across the continent. Control of bTB in Africa is difficult due to poor monitoring of cattle movements and limited abattoir surveillance. Also M. bovis is zoonotic and risk factors for transmission include living in close contact with cattle and consumption of unpasteurised milk. Cattle keeping is integral to some rural populations in Cameroon and understanding the epidemiology of bTB in cattle populations is important both to bovine and public health. Detection of bTB in cattle is difficult due to variability of immune responses to M. bovis infection. The interferon-γ (IFN-γ) assay maybe useful to estimate bTB prevalence and identify bTB risk factors in Cameroon. However its performance can vary at different stages of bTB pathogenesis and in different cattle populations. Recently Fasciola hepatica co-infections have been reported to suppress IFN-γ responses in M. bovis infected cattle but the potential effect with F. gigantica co-infections on bTB prevalence estimates in Cameroon is unknown. An abattoir study was conducted in Cameroon to assess the performance of the IFN-γ assay. In 2012-13; 2064 slaughtered cattle were sampled from Bamenda abattoir (North West Region; NWR) and Ngaoundere abattoir (Vina Division; VD). Individual animal data was collected from routine meat inspection including identification of bTB and Fasciola pathology. Cattle were also tested for bTB using the IFN-γ assay and an M. bovis antibody ELISA. In the absence of a gold-standard diagnostic, the IFN-γ assay was compared to other diagnostic tests to assess agreement and identify factors that affected performance of the assay. Agreement between IFN-γ assay, TB lesion identification and an M. bovis antibody ELISA was poor-moderate, probably partly related to differences in immune response detected. A presence of Fasciola gigantica also increased the odds of false negative IFN-γ assay results. On further investigation co-infected cattle had increased odds of TB lesions and reduced IFN-γ responses that potentially could lead to ~20% reduction in test sensitivity. In an attempt to take into account the potential impact of F. gigantica, when estimating bTB prevalence, an antibody ELISA was developed to detect the exposure in live cattle. To highlight the awareness of disease in cattle-rearing communities, estimate prevalence and identify risk factors of bTB in cattle populations; two cross-sectional studies were conducted in 2013. A stratified clustered cross-sectional study of pastoral cattle herds, in the NWR and the VD, sampled 1448 pastoral cattle reared by 100 pastoralists. A smaller cross-sectional study sampled 60 dairy cattle from 46 small-holder co-operative dairy farmers. Individual animal data and herd-level data were collected and animals were screened by both the single comparative intradermal skin test (SCITT) and IFN-γ assay. Awareness of zoonotic TB was low yet consumption of raw milk was high in cattle-keeping communities highlighting the need for accurate bTB prevalence estimates. Despite the high awareness of the clinical presentation of bTB, clinical signs identified by pastoral herdsmen were not associated with cattle being bTB positive. The SCITT was used to compare two manufacturers cut offs for the IFN-γ assay, ≥0.05 and ≥0.1, and highlighted that these two diagnostics may detect different populations of bTB positive cattle. Using the IFN-γ assay at ≥0.1, bTB prevalence was highest in dairy cattle (21.67%) and was also present in pastoral cattle in the NWR and VD (11.33% and 6.55% respectively). Importantly, as F. gigantica is endemic in Cameroon and its influence could mean the true prevalence of bTB could be higher. Female pastoral cattle were at lower odds of being IFN-γ assay positive potentially due to immunosuppressive factors had lower odds of disease. Husbandry practices also decreased the odds of being IFN-γ assay positive such as drinking from streams, antelope and contact with herds at grazing. Age increased the odds of pastoral cattle being IFN- assay positive potentially being a confounder to chronicity of bTB and other co-infections may influence IFN-γ responses. Dairy cattle herds had different risk factors for being IFN- positive likely due to differences in husbandry practices. Considering the potential risk to public health of M. bovis this thesis highlights the extent of bTB across two major cattle keeping regions in Cameroon and the public health risk in cattle-rearing communities. Furthermore the relationship between Fasciola co-infection and IFN- responses to M. bovis described has potential implications for bTB diagnosis in cattle populations where the parasite is present across the globe.

BACKGROUND:Bovine tuberculosis (TB) caused by Mycobacterium bovis is primarily a disease of ruminants, particularly cattle (Bos primigenius) and buffalo (Syncerus caffer), and is endemic in most developing countries. To date, studies done in Uganda have documented the prevalence of M. bovis in cattle, humans and wild life, in addition to non-tuberculous mycobacteria in pigs. Pigs are increasingly becoming an important component of the livestock sector and share the human ecosystem in rural Uganda. It is therefore of public health interest that they are not a source of human infections. As a follow up to previously published findings on mycobacteria in pigs, this study was aimed at investigating the occurrence and molecular characteristics of M. bovis detected in slaughter pigs in Mubende district, Uganda. One hundred fifty mesenteric lymph nodes with lesions suggestive of mycobacterial infections were collected from approximately one thousand slaughtered pigs in Mubende district over a period of five months. The isolation and identification of M. bovis was done using conventional mycobacteriological methods. Mycobacteria belonging to the Mycobacterium tuberculosis complex (MTC) were identified to species level using deletion analysis. Molecular typing was done using Spoligotyping and MIRU-VNTR analysis. Molecular data were analysed and interpreted using MIRU-VNTR plus, SpolDB4.0 and the Mycobacterium bovis spoligo database.RESULTS:Of the examined animals, one boar and two sows from Madudu Sub County were infected with M. bovis which presented as lesions of a deep yellow colour and a grit-like texture in the mesenteric lymph nodes. This represents 2% (3/150) of the lymph nodes where lesions suggestive of mycobacterial infections were detected. Molecular analysis revealed that the isolates from the infected pigs showed identical MIRU-VNTR profile and spoligotype (SB1469).CONCLUSIONS:This is the first study documenting the occurrence of M. bovis in slaughter pigs in Uganda, revealing that one in fifty slaughter pigs with suspected lesions in mesenteric lymph nodes were infected. Molecular analysis revealed that the isolates were identical, showing a spoligotype previously reported from humans and cattle in the north eastern part of the Uganda cattle corridor. This finding is of public health importance, therefore there is a need for close cooperation between medical and veterinary professionals in designing and implementing control and prevention measures that safeguard the public from this potential source of zoonotic TB in Uganda.

A tuberculose é considerada um problema emergente de saúde pública. Este estudo tem como objetivo avaliar a associação da patogenicidade/virulência e propriedades imunomoduladoras de isolados clínicos de Mbv (cepas B2 e MP287/03) e Mtb (cepa Beijing 1471), e da cepa de Mtb H37Rv, como referência de virulência. Os isolados, MP287/03 e Beijing 1471, apresentaram maior virulência em relação às demais cepas, levando os camundongos à morte ainda na fase aguda de infecção. Foi verificada baixa produção de mediadores pró-inflamatórios nos animais infectados com o isolado MP287/03, enquanto nos infectados com o isolado Beijing 1471 os níveis destes mediadores foram exacerbados. O desbalanço na produção destes mediadores pode ter contribuído para morte precoce dos animais. Baseado nesse estudo, nós podemos concluir que as propriedades que conferem hipervirulência aos isolados clínicos de Mbv e Mtb estão principalmente relacionadas à alta capacidade de crescimento intracelular das bactérias, que parece ser pouco alterada pela presença de citocinas pró-inflamatórias. Sendo assim, as infecções por isolados hipervirulentos podem acarretar consequências semelhantes, mesmo quando associadas a diferentes padrões de modulação da resposta imune.
Tuberculosis is an emergent problem of public health. This study aimed to evaluate the association between pathogenicity/virulence and immunemodulatory ability of Mbv (B2 and MP287/03) and Mtb (Beijing 1471) clinical isolates, using H37Rv strain as reference of virulence. The virulence was assessed in C57BL/6 mice infected with a low dose of bacilli (~100 bacteria) via intratracheal route. MP287/03 and Beijing 1471 isolates showed higher virulence than all others strains, leading to mice death during the acute phase. It was verified low production of pro-inflammatory mediators in mice infected by MP287/03 bacteria, whereas in mice infected by Beijing 1471 bacteria were observed exacerbated levels of pro-inflammatory mediators. The disbalance of these mediators may have contributed to the early mouse death. Based on this study, we concluded that the properties that confer hypervirulence to Mbv and Mtb clinical isolates are primarily related to the high intracellular growth capacity of the bacteria, which seems to be marginally affected by the presence of pro-inflammatory cytokines. Therefore, the infection by hypervirulent isolates can lead to similar outcomes, even when associated to different patterns of modulation of the immune response.

The eco-epidemiology of bovine tuberculosis (Tb) in wild deer (mainly red deer Cervus elaphus) in New Zealand was investigated. Bovine Tb is caused by Mycobacterium bovis. Specific aims were to clarify the likely routes of infection in deer, and to determine the status of deer as hosts of Tb, the likely rates and routes of inter- and intra-species transmission between deer and other wildlife hosts, the role of deer in spreading Tb, and the likely utility of deer as sentinels of Tb presence in wildlife. As the possum (Trichosurus vulpecula) is the main wildlife host of Tb, the research also included some investigation of transmission routes in possums. Patterns of infection were measured in 994 deer killed between 1993 and 2003. Tb prevalence varied between areas (range 8–36%). Few deer had generalised infection, with 21–68% of infected deer having no visible lesions, depending on the area. The retropharyngeal lymph nodes and oropharyngeal tonsils were commonly infected. No dependent fawns less than 0.75 years old were infected, indicating intra-species transmission is rare in wild deer. Where possums were not controlled, the net (cumulative) force of infection in young (1–4 y) deer was 0.10–0.24 per year in males and 0.09–0.12 per year in females, but much lower in older deer (less than 0.05 per year). Possum control reduced the net force of infection quickly, and eventually to zero. However, Tb persisted in possum-controlled areas through immigration of infected deer and, for almost a decade, through the survival of resident deer infected before possum control. Tb was lost from infected deer at an exponential rate of 0.13 per year, mostly as a result of deer recovering from infection rather than dying from it. Wild deer do die of Tb, but there was no discernible effect on age structure. The occurrence of infection in deer was not linked to the local deer or possum density at their kill sites (i.e. in their home range), but the area-wide prevalence of Tb in deer was closely correlated with Tb levels in possums, which were in turn correlated with area-wide measures of possum density. For wild deer in New Zealand, Tb is a persistent but usually inconsequential disease of the lymphatic system. It is acquired mainly by young independent deer, usually orally via the tonsils, and probably as a result of licking infected possums. Many species fed on deer carrion, including possums. Most possums encountering carrion did not feed on it, but a few fed for long periods. Other scavengers such ferrets (Mustela furo), hawks (Circus approximans), and weka (a hen-sized flightless native bird; Gallirallus australis) fed in a way that probably increased the infectivity of carrion to possums. Commercial deer hunting may have facilitated the historical establishment of Tb in possums. Scavenging (including cannibalism) and interactions with dead and dying possums are identified for the first time as potentially important routes for transmission of Tb to possums, and I develop new hypotheses involving peri- and post-mortem transmission in possums that explain many of the epidemiological patterns that are characteristic of the disease in possum. In continuous native forest, deer home range size averaged 250 hectares for six young females, and over twice that for two males. Over 90% of infected deer are likely to die within 2 km (females) or 6 km (males) of where they acquired Tb, but deer could occasionally carry Tb up to 30 km. Deer will be useful as sentinels, but only where other sentinels are rare, because the force of infection for a deer with a single infected possum in its home range is only 0.004 per year, compared to greater than 0.2 per year for deliberately released pigs. Deer are occasionally capable of initiating new cycles of infection in wildlife, but deer control is not essential to eradicate Tb from wildlife.

Le syndrome de susceptibilité mendélienne aux infections mycobactériennes (MSDM) est un syndrome rare caractérisé par une susceptibilité accrue à des germes intracellulaires peu virulents (bacille de Calmette-Guérin, mycobactéries environnementales) sans évidence d'autre infection (sauf des infections à salmonelles). Des mutations causales de six gènes affectent la boucle d'activation IL12/IL23-IFNγ. Nous avons étudié quatre hommes d'une famille non consanguine ; avec des infections mycobactériennes récurrentes. Nous avons identifié deux régions d'intérêt sur le chromosome X avec un LOD score maximum de 1,93. Une mutation, Q231P, a été retrouvée sur le gène CYBB chez ces patients. CYBB, élément essentiel du système NADPH dans les phagocytes, est responsable d'un autre déficit immunitaire, la granulomatose septique chronique. Cette mutation affecte uniquement l'explosion oxydative dans les macrophages dérivés in vitro. Ce travail permet de définir une nouvelle forme liée au chromosome X du MSMD, et il indique que l'explosion oxydative est importante pour l'immunité antimycobactérienne dans les macrophages tissulaires chez l'homme
Mendelian susceptibility to mycobacterial disease (MSMD) is a rare syndrome conferring predisposition to clinical disease caused by weakly virulent mycobacteria (bacille Calmette Guérin vaccines and environmental mycobacteria), as well as more virulent. M. Tuberculosis and salmonella. Mutations found in six genes involved IL12/IL23-IFNγ mediated immunity. We studied a multiples family in which four otherwise healthy adult males show mycobacterial diseases (BCG-osis and tuberculosis). By multipoint linkage analysis, a maximal Lod score of 1. 93 was found for two candidate regions on X-chromosome. The patients harbor a novel mutation in CYBB (Q231P), which abolishes the respiratory burst in monocyte-derived macrophages. This gene is an essential component of NADPH in phagocytes. Germline CYBB mutations are commonly associated with chronic granulomatous disease. The MSMD-causing mutation in CYBB selectively affects the respiratory burst in macrophages. This experiment of nature indicates that the pathway in human macrophages is crucial for protective immunity to mycobacteria

En aquesta tesi s’ha estudiat des d’aspectes bàsics de parasitologia del porc senglar (Sus scrofa), fins l'estudi més ecològic de les seves poblacions de patògens, les co-infeccions que en deriven i els efectes sobre el seu estatus sanitari. En concret s’ha portat a terme sis investigacions, on les tres primeres van ser orientades a revisar aspectes de la parasitofauna del senglar, que inclou una clau per identificar les 5 espècies de nematodes pulmonars més comuns (Capítol 1), les prevalences de l'acantocèfal Macracanthorhynchus hirudinaceus confirmant la seva subestimació (Capítol 2) i els usos i limitacions del recompte d'ous en femtes de senglar per avaluar la càrrega parasitària dels mateixos (Capítol 3). D’altra banda s’ha avaluat els nivells d'estrès oxidatiu en una població de porcs senglars infectats tant de forma natural com de forma experimental per M. bovis (Capítol 4) i s’ha abordat l'efecte de la co-infecció, entre els helmints i la tuberculosi, en termes de salut en una població de senglars naturalment infectada per M. bovis (Capítol 5). Finalment s’ha estudiat l'efecte de la desparasitació sobre l'estructura de la comunitat d’helmints i la tuberculosi (Capítol 6).
En esta tesis se ha estudiado desde aspectos básicos de parasitología del jabalí (Sus scrofa), hasta aspectos más ecológicos de sus poblaciones de patógenos, las co-infeciones que padecen y los efectos sobre su estatus sanitario. En concreto, se han llevado a cabo seis investigaciones, siendo las tres primeras orientadas a revisar aspectos de la parasitofauna del jabalí. En concreto, se ha desarrollado una clave para identificar las 5 especies de nematodos pulmonares más comunes (Capítulo 1), se han estudiado las prevalencias del acantocéfalo Macracanthorhynchus hirudinaceus confirmando su subestimación (Capítulo 2) y se ha revisado los usos y limitaciones del conteo de huevos en heces de jabalí para evaluar la carga parasitaria de los mismos (Capítulo 3). Por otro lado, se han evaluado los niveles de estrés oxidativo tanto en una población de jabalíes infectados de forma natural como experimentalmente por M. bovis (Capítulo 4) y se ha abordado el efecto sobre la salud de la co-infección, entre los helmintos y la tuberculosis, en una población de jabalíes naturalmente infectada por MTC (Capítulo 5). Finalmente, se ha estudiado el efecto de la desparasitación sobre la estructura de la comunidad de helmintos y la tuberculosis (Capítulo 6).
This thesis uses basic parasitology studies of wild boar (Sus scrofa) to focus on a more ecological view of their pathogen populations, co-infections that arise and the effects on their health status. Specifically, six investigations were conducted being the first three aimed at reviewing aspects of the wild boar parasitofauna In particular, keys to identify the five most common species of lung nematodes (Chapter 1), the real prevalence of the Acanthocephala Macracanthorhynchus hirudinaceus denouncing the underestimation of this species (Chapter 2) and a review of the uses and limitations of faecal egg count for assessing worm burden in wild boars (Chapter 3) are presented. Furthermore, the levels of oxidative stress in a population of feral pigs infected naturally and experimentally by M. bovis (Chapter 4) and the effect of co-infection between helminths and tuberculosis in terms of physiological cost of health in a wild boar population naturally infected by MTC (Chapter 5) were addressed. Finally, the effect of an antiparasite drug treatment on the helminth community structure and on the outcome of disease infection in a wild boar population naturally infected by M. bovis (Chapter 6) was studied.

碩士
國立嘉義大學
獸醫學系研究所
99
Tuberculosis (TB) is a zoonotic disease affecting mammal worldwide. Herbivore’s TB is determined by Mycobacterium bovis and other nontuberculous mycobacteria (NTM). NTM may interfere with the result of intradermal tuberculin test (ITT), and cause fake-positive. According to law, the diagnosis and euthanasia of TB is using ITT in Taiwan. The aim of this study was to understand the pathogenicity, distribution of pathogens detection, and analyze of diagnosis method of ITT positive animal. We sampled from ITT positive animal (cattle and deer) for mycobacterial isolation, pathological examination, acid-fast stain, molecular diagnosis and antibody ELISA. ITT-positive sample included 145 dairy cattle and 12 deer with, and 166 dairy cattle serum and 94 deer serum in this study. Mycobacterium spp. could be isolated from 47 animal (47 / 144, included cattle 132 and deer 12; 32.64 %), 31 out of 144 (21.53%) were identified as Mycobacterium bovis. Gross lesion (gross lesion and histopathology, acid-fast stain and culture) was 56.69 % (89 / 157) positive rate. Most of gross lesions were retropharynx lymph node and mediastinal lymph nodes. The PCR detection rate was higher at hilar lymph nodes, mediastinal lymph nodes and retropharynx lymph node. Those organs could suggest being the sample to diagnosis TB using. Analyze detection rate of Mb-ELISA, Mb-Rp-ELISA and PCR for ITT positive cattle. The result were 4.76 % (4 / 84), 4.76 % (4 / 84) and 86.9 % (73 / 84), respectively. We found that Mb-ELISA or Mb-Rp-ELISA was high specificity but low sensitivity. To detect the mycobacterial infection humoral immunity response did not produce antibody. On the other hand, the sensitivity and specificity of PCR was better than others, and could be an aid for TB diagnosis when compared to ITT result. The sequence of M. bovis was no different significantly between ITT positive animals. Same genotype may infect cattle among different farms. Conclusion of this study, most of ITT positive animals were infected by M. bovis. Retropharynx lymph node, hilar lymph nodes and mediastinal lymph nodes were most lesions found in cattle. The lesions in contrast of deer were found in retropharynx lymph node and lung. Ante mortem diagnosis for TB was primarily relied on ITT test. Other diagnosis method could be an aid for. The DNA sequences variation of M. bovis isolated from deer and cattle were no different significantly, M. bovis infection shared similar phylogenetic relationship.

碩士
國立臺灣大學
獸醫學研究所
89
The 4 major pathogenic mycobacteria, M. tuberculosis, M. bovis, M. avium subsp. avium, and M. avium subsp. paratuberculosis, have been identified in Taiwan for many years, remaining important for public health and animal production. The characteristics of the 4 mycobacteria are very similar and it is difficult to differentiate them clinically and histopathologically. The conventional diagnosis for animal mycobacterial infection include PPD, bacterial culture, and acid-fast staining etc. However, these methods have innate defects that may sometimes cause perplexity in the diagnosis. The molecular biotechnologies have been widely used in disease diagnosis. The polymerase chain reaction (PCR) has become a new tool for a more rapid and accurate diagnosis of tuberculosis and paratuberculosis. The objective of the present study was to establish a multiplex-PCR for the diagnosis and differentiation of the 4 major pathogenic mycobacteria simultaneously. The primers and DNA probes were selected and designed according to other’s publication and gene bank comparison, respectively. A two-step multiplex-PCR using 5 pairs of primer was established with standard bacteria. In the first step, 3 pairs of primers were included; primer GroEL amplified a 383 bp nucleotide fragment encoding for the GroEL gene of Mycobacterium spp; primer PT1-2 amplified a 396 bp nucleotide fragment encoding for the mtp40 gene of M. tuberculosis; primer JB21-22 amplified a 495 bp nucleotide fragment of M. bovis. In the second step, 2 pairs of primer were included; primer IS1245 amplified a 427 bp nucleotide fragment encoding for the IS1245 gene of M. avium subsp. avium; primer IS900 amplified a 229 bp nucleotide fragment encoding for the IS900 gene of M. avium subsp. paratuberculosis. Formalin-fixed and paraffin-embedded (FP) tissues from various animal species and samples of blood, milk, nasal discharge, and feces from PPD positive and negative cows were then tested by this method. When the result of multiplex-PCR was obscure, southern blotting was used for further confirmation. For the FP tissues, the 1 M. tuberculosis and 7 M. avium subsp. paratuberculosis cases diagnosed by bacterial culture and/or histopathological examination were all positive by the multiplex-PCR. There were only 4/7 cases of M. bovis-infected PPD-positive cows were positive due to insufficient tissues in the blocks or lack of acid-fast bacteria in the tissue. For other 28 tuberculosis-speculated cases by pathology or PPD test, 8/9 cases and 1/9 case were multiplex-PCR negative due to lack of enough tissues and possibly DNA breakdown, respectively; the remaining 12/19 and 5/19 cases were M. bovis and Mycobacterium spp. positive by multiplex-PCR, respectively; and 2/19 cases (F91-129 and F90238) were multiplex-PCR negative although 1 was acid-fast positive and both had sufficient tissues in the blocks. Tissues from 5 cases suspected having M. avium subsp. avium infection pathologically were all negative by multiplex-PCR. It was possible that primer IS1245 is not specific for all the serotypes of M. avium subsp. avium; additionally, M. avium subsp. intracellulare is very similar to M. avium subsp. avium clinically and histopathologically and primer IS1245 can not detect M. avium subsp. intracellulare. The feces and nasal discharge from PPD positive and negative cows were all negative by multiplex-PCR. For the blood and milk, 34/57 blood samples were M. bovis positive by multiplex-PCR within which 26 were PPD-positive; there were also 7 PPD-positive cases were multiplex-PCR negative. Four out of 13 milk samples were M. bovis positive by multiplex-PCR; blood samples from the 4 cases were M, bovis positive and 3 of them were PPD-positive as well. Besides, one milk case was PPD-positive but both blood and milk were multiplex-PCR negative. It is believed that PPD test combined with blood multiplex-PCR will improve the detection of mycobacterial infection more effectively.

One key to the pathogenic potential of the mycobacteria lies in their capacity to resist destruction by infected macrophages and dendritic cells. Robust host immune responses during mycobacterial infection often involve a potent CD4, CD8 and gamma delta T cell mediated effector responses including lysis of mycobacteria infected host cells, secretion of variety of cytokines like IFN-γ etc. However, pathogenic mycobacteria survives for prolonged periods in the phagasomes of infected macrophages within the host in an asymptomatic, latent state and can reactivate years later if the host’s immune system wanes. One of the most devastating consequences of infection with mycobactreia is the formation of caseating granulomas followed by tissue destruction with liquefaction causing cavity formation. Pathogenic mycobacteria reside in these granulomas, which are formed by the accumulation of monocytes, epithelioid and foamy macrophages as well as cytolytic lymphocytes including CD8 T cells around the infection focus. In this regard, rigid balance as well as modulation of inflammatory immune responses by the host upon infection of pathogenic microbes is one of the crucial steps not only in controlling the spread of pathogen from the site of infection to reminder of host organs, but also in mounting an effective memory response so that future exposures/infections by similar pathogen can be effectively controlled. Significantly, despite this complex host response, it remains unclear, that why the immune response controls mycobacteria but does not eradicate infection. Both human and mouse studies have provided ample evidence that even in the face of an adequate immune response, mycobacteria are able to persist inside macrophages. These findings have suggested series of survival strategies employed by Mycobacterium sp. during its infection of host macrophages/dendritic cells which include, blockade of phagosome-lysosome fusion, secretion of ROI antagonistic proteins like superoxide dismutase & catalase, inhibition of processing of its antigens for presentation to T cells, decrease in secretion of proinflammatory cytokines by inducing secretion of immunosuppressive cytokines like IL-10 and TGF-β etc. In view of above-mentioned observations, graulomas in response to pathogenic mycobacterial infections have long been considered host-protective structures formed to contain infection. In this perspective, Matrix metalloproteinase-9 (MMP-9), an important member of Zn2+ and Ca2+ dependent endopeptidases, participates in a significant manner in several aspects of host immune responses to mycobacterial infection such as graunloma formation, matrix (ECM) reorganization, lymphocytes trafficking and infiltrations, inflammation etc. MMP-9 is expressed at various clinical categories of tuberculosis disease like active cavitary tuberculosis, meningitis and pleuritis. Notably, in case of pulmonary tuberculosis, breakdown of ECM by MMP-9 forms an integral part of the granuloma formation. Importantly, Mycobacterium tuberculosis infection in MMP-9 deficient mice revealed defective bacterial proliferation, reduced bacterial burden and reduced lung macrophages recruitment compared to wild-type, in addition, to reduced ability to initiate or maintain well-formed granulomas. In this context, we explored the signaling events modulated by Mycobacterium bovis bacillus Calmette-Gue´rin (BCG) or its novel cell wall antigens during induced expression of MMP-9 or SPI6 in macrophages. Our studies clearly demonstrate that NO, a product of iNOS activity, is responsible for M. bovis BCG-triggered activation of Notch1 in macrophages through direct regulation of Jagged1 expression as well as in generation of activated Notch1. We present the evidence that iNOS activity is a critical factor in TLR2 mediated Notch1 activation as macrophages derived from iNOS knockout (iNOS-/-), but not from wild-type (WT) mice failed to activate Jagged1 expression as well as Notch1 signaling upon M. bovis BCG infection. The loss of TLR2-mediated Jagged1 expression or Notch1 activation in iNOS-/-macrophages could be rescued by treatment with NO donor 3-morpholinosydnonimine (SIN1) or S-nitroso-Nacetylpenicillamine (SNAP). Signaling perturbations strongly implicated the role for cross talk among members of Notch1-PI3 Kinase and MAPK cascades in M. bovis BCG-TLR2– mediated activation of Notch1 target genes MMP-9 or Hes1. Chromatin immunoprecipitation experiments demonstrate that M. bovis BCG’s ability to trigger increased binding of CSL/RBP-Jk to MMP-9 promoter was severely compromised in macrophages derived from iNOS-/-mice compared to WT mice. These results are consistent with the observation that NO-triggered Notch1 signaling-mediated CSL/RBP-Jk recruitment has a positive regulatory role in M. bovis BCG-induced MMP-9 transcription. We show the correlative evidence that this mechanism operates in vivo by immunohistochemical expression analysis of activated Notch1 or its target gene products Hes1 or MMP-9 in brains of WT or iNOS-/-mice that were intracerebrally infected with M. bovis BCG. Further, activation of Notch1 signaling in vivo could be demonstrated only in granulomatous lesions in brains derived from human patients with tuberculous meningitis (TBM) as opposed to healthy individuals, validating the role of Notch1 signaling in mycobacterial pathogenesis. Briefly, we have identified NO as the pathological link between TLR2 and Notch1 signaling, which regulates the relative abundance of various immunopathological parameters including MMP-9 in macrophages. Synopsis Despite mycobacteria elicits robust host T cell responses as well as production of NO, ROI or cytokines like interferon-γ (IFN-γ) that are essential for the control of infection, the mounted immune response contain, but does not eliminate the infection. These findings clearly advocate roles for mycobacteria mediated various immune evasion strategies to modulate the signaling cascades thus leading to macrophage activation. Importantly, TLR2 triggering by mycobacteria elicits the activation of divers sets of anti or pro-apototic genes expression, a balance of which will have strong bearing on the overall cell-fate decisions across many cell types. In this regard, a novel granzyme B inhibitor, SPI6/PI9, can exhibit robust resistance to various cells including dendritic cells or tumor cells from lysis by CD8 cytotoxic T cells (CTL). SPI6/PI9 predominantly functions by inhibiting Granzyme B, an effector protease of cytotoxic granules released by CTL upon its TCR recognition of infected cells such as macrophages, dendritic cells etc. In this context, current investigation attempted to investigate molecular details involved in M. bovis BCG triggered SPI6 expression as well as the involvement of TLR2NO-Notch1 signaling axis in driving induced expression of SPI6, akin to that of MMP-9 expression. We demonstrate that M. bovis BCG trigger SPI6 expression in macrophages and requires critical participation of TLR2-MyD88 dependent NO-Notch1 signaling events. More importantly, signaling perturbations data suggest the involvement of cross talk among the members of PI3 Kinase and MAPK cascades with Notch1 signaling in SPI6 expression. In addition, SPI6 expression requires the Notch1 mediated recruitment of CSL/RBP-Jk and NF-κB to the SPI6 promoter. Functional studies strongly attribute critical involvement of SPI6 and MMP-9 in imparting protection to M.bovis BCG infected macrophages from lysis effectuated by CTL. Macrophages are principal mediators of initiation as well as activation of host inflammatory responses to pathogenic mycobacterial infection. Albeit mycobacteria reside within phagolysosomes of the infected macrophages, envelope glycoconjugates like Lipoarabinomannan (LAM), phosphatidyl-myo-inositol mannosides (PIM), Trehalose 6,6′dimycolate (TDM; cord factor) etc. are released and traffic out of the mycobacterial phagosome into endocytic compartments as well as can gain access to the extracellular environment in the form of exocytosed vesicles. In this perspective, PIM represent a variety of phosphatidyl-myo-inositol mannosides (PIM) 1-6 containing molecules and are integral component of the mycobacterial envelope. A number of biological functions have been credited to PIM2. PIM2 was shown to trigger TLR2 mediated activation of macrophages that resulted in activation of NF-κB, AP-1, and mitogen-activated protein (MAP) kinases. In addition to pulmonary granuloma-forming activities, PIM2 was shown to recruit NKT cells into granulomas. Further, surface associated PIM was suggested to act as adhesins mediating attachment of M. tuberculosis bacilli to non-phagocytic cells. Accordingly, mycobacterial envelope antigen PIM2 could initiate or affect the inflammatory responses similar to mycobacteria bacilli. In this perspective, we explored whether novel cell surface antigen PIM2 similar to whole M. bovis BCG bacilli can contribute to molecular signaling events leading to MMP-9 expression in macrophages. Our current study provides the evidence that PIM2 driven activation of signaling cascades triggers the expression of MMP-9. TLR stimulation by various agonists has been shown to activate Notch signaling resulting in modulation of diverse target genes involved in pro-inflammatory responses in macrophages. In this regard we demonstrated that PIM2 induced expression of MMP-9 involved Notch1 upregulation and activation of Notch1 signaling pathway in a TLR2-MyD88 manner. Enforced expression of the cleaved Notch1 in macrophages induced the expression of MMP-9. Further, PIM2 triggered significant p65 nuclear factor-κB (NF-κB) nuclear translocation that was dependent on activation of PI3 Kinase or Notch1 signaling. Furthermore, MMP-9 expression requires Notch1 mediated recruitment of Suppressor of Hairless (CSL) and NFκB to MMP-9 promoter. Taken together, our observations clearly describe involvement of TLR2/iNOS in activating Notch1 and PI3 Kinase signaling during infection of macrophages with M. bovis BCG, thus effectuating the regulation of specific effector gene expressions, such as SPI6 and MMP-9. These results clearly describe the cross talk of Notch1 signaling with PI3 Kinase and MAPK pathways, thus leading to differential effects of Notch1 signaling. Overall, we believe that our work will extend the current understanding of inflammatory parameters associated with host-mycobacteria interactions which might lead to better design as well as evaluation of therapeutic potential of novel agents targeted at diverse mycobacterial diseases.

Mycobacteria are multifaceted pathogens capable of causing both acute disease as well as an asymptomatic latent infection. Protective immunity against pathogenic mycobacteria depends principally on cell-mediated immunity executed by efficient anti-infectious functions of type 1 T helper (Th1) subset of CD4+ T cells. The polarization of Th1 responses is orchestrated by IL-12 secreted by antigen presenting cells (APCs) such as macrophages and dendritic cells (DCs). A hallmark of Th1 type CD4+ T cells is the production of IFN-γ that activates plethora of innate cell-mediated immunity. It is well known that cytokines such as IFN-γ, IL-12 and TNF-α are required for control of mycobacterial infection in humans as well as in mice. However, it remains unclear that why the immune response controls mycobacteria, but does not eradicate infection suggesting critical roles for series of survival strategies employed by pathogenic mycobacteria. In general, these evasion strategies include blockade of phagosome-lysosome fusion, secretion of ROI antagonistic proteins like superoxide dismutase & catalase, inhibition of processing of its antigens for presentation to T cells, induced secretion of immunosuppressive cytokines like IL-10 and TGF-β etc. that ultimately suppress the secretion of IL-12 and IFN-γ from APCs and T cells respectively, culminating in a skewed Th1/Th2 balance towards unprotective Th2 responses. Th2 cells secrete IL-4, IL-5, IL-9, IL-10 and IL-13 but are deficient in clearing intracellular infections including pathogenic mycobacteria. This eventually leads to inhibition of host’s immuno-protective responses with concomitant increase in the vulnerability to chronic mycobacterial infection. In this intricate process, modulation of cyclooxygenase-2 (COX-2) levels, a key enzyme catalyzing the rate-limiting step in the inducible production of prostaglandin E2 (PGE2), by mycobacteria like Mycobacterium bovis BCG assumes critical importance in influencing the overall host immune response. PGE2, an immunosuppressive member of prostaglandin family, is known to restrain production of IL-12, as well as reactive oxygen intermediates. PGE2-mediated inhibition of IL-12R, diminishes IL-12 responsiveness of macrophages and dendritic cells. PGE2 also inhibits the secretion of IFN-γ, which is important in activating T cells and macrophages. In contrast, PGE2 promotes IL-10 production by macrophages, dendritic cells and Th1-to-Th2 shift of acquired immune responses by inhibiting IL-2 and enhancing IL-4 production. Albeit, mitogen-activated protein kinase (MAPK) and nuclear factor-kappa B (NF-κB) signaling pathways are generally believed to be involved, little is known about the signaling molecules playing significant roles upstream of MAPK and NF-κB pathways during mycobacteria triggered COX-2 expression. Further, information on early receptor proximal signaling mechanisms essential during mycobacteria mediated induction of COX-2 remains scanty. In this regard, signaling cascade triggered upon recognition of mycobacterial components by pattern recognition receptors (PRR) signify as critical event in overall regulation of cell fate decisions. PRR like Toll like receptor (TLR2) and nucleotide-binding oligomerization domain 2 (NOD2) are two nonredundant recognition mechanisms of pathogenic mycobacteria. Several components of mycobacteria have been identified as being responsible for TLR2-dependent activation including 19-kDa lipoprotein, lipomannan etc.; while NOD2 recognizes mycobacterial peptidoglycans through its interaction with muramyl dipeptide (MDP). Interestingly, although mycobacteria reside within phagolysosomes of the infected macrophages, many cell wall antigens like lipoarabinomannan (LAM), phosphatidyl-myo-inositol mannosides (PIM), trehalose 6,6′-dimycolate (TDM; cord factor), PE/PPE family proteins etc., are released and traffic out of the mycobacterial phagosome platform into endocytic compartments. Importantly, these antigens could gain access to the extracellular environment in the form of exocytosed vesicles. In this perspective, PIM represents a variety of phosphatidyl-myo-inositol mannosides (PIM) 1-6 containing molecules and are integral component of the mycobacterial envelope. Further, PIM2 is a known TLR2 agonist and reported to activate NF-κB, AP-1, and MAPK suggesting that mycobacterial envelope antigen PIM2 could modulate the inflammatory responses similar to mycobacteria bacilli. In this context, we explored the signaling events modulated by M. bovis BCG, and role for TLR2 and NOD2 in this intricate process, to trigger the expression of COX-2 in macrophages. Our studies demonstrated that M. bovis BCG triggered TLR2-dependent signaling leads to COX-2 expression and PGE2 secretion in vitro in macrophages and in vivo in mice. Further, the presence of PGE2 could be demonstrated in sera or CSF of tuberculosis patients. Similarly, mycobacterial TLR2 agonist PIM2 and NOD2 ligand MDP triggered COX-2 expression in macrophages. The induced COX-2 expression in macrophages either by M. bovis BCG or PIM2 or MDP was dependent on NF-κB activation, which was in turn mediated by iNOS/NO and Wnt-β-Catenin dependent participation of the members of Notch1-PI3K signaling cascade. Importantly, loss of iNOS activity either in iNOS null macrophages or by pharmacological intervention in wild type macrophages severely abrogated M. bovis BCG ability to trigger the generation of Notch1 intracellular domain (NICD) as well as activation of PI3K signaling cascade. On contrary, treatment of macrophages with SIN-1, an NO donor, resulted in a rapid increase in generation of NICD, activation of PI3K pathway as well as the expression of COX-2. Interestingly, pharmacological inhibition as well as siRNA mediated knockdown of Wnt-β-Catenin signaling compromised ability of M. bovis BCG to induce activation of Notch1-PI3K signaling and drive COX-2 expression. Concomitantly, activation of Wnt-β-Catenin signaling by LiCl triggered activation of Notch1 and PI3K pathway as well as COX-2 expression. Stable expression of NICD in RAW 264.7 macrophages resulted in augmented expression of COX-2. Further, signaling perturbation experiments suggested involvement of the cross-talk of Notch1 with PI3K signaling cascade. In this perspective, we propose TLR2 and NOD2 as two major receptors involved in mycobacteria mediated activation of Notch1PI3K signaling, and the activation of iNOS/NO and Wnt-β-Catenin signaling axis as obligatory early receptor proximal signaling events during mycobacteria induced COX-2 expression in macrophages. Functional characterization of mycobacterial antigens that are potent modulators of host immune responses to pathogens by virtue of induced expression of COX-2 assumes critical importance for deciphering pathogenesis of mycobacterial diseases as well as to identify novel therapeutic targets to combat the disease. In this context, a group of novel antigens carried by M. tuberculosis that are expressed upon infection of macrophages belong to PE and PPE family of proteins. Ten percent of the coding capacity of M. tuberculosis genome is devoted to the PE and PPE gene family members, exemplified by the presence of Pro-Glu (PE) and Pro-Pro-Glu (PPE) motifs near the N-terminus of their gene products. Many members of the PE family exhibit multiple copies of polymorphic guanine-cytosine– rich sequences (PGRS) at the C-terminal end, which are designated as the PE_PGRS family of proteins. A number of PE/PPE proteins associate with the cell wall and are known to induce strong T & B cell responses in humans. However information related to effects of PE/PPE antigens on the maturation and functions of human dendritic cells and eventual modulation of T cell responses as well as underlying signaling events remains obscure. Our results demonstrated that two cell wall associated/secretory PE_PGRS proteins PE_PGRS 17, PE_PGRS 11 and PPE family protein PPE 34 recognize TLR2, induce maturation and activation of human dendritic cells and enhance the ability of dendritic cells to stimulate CD4+ T cells. In addition, tuberculosis patients were found to have a high frequency of T cells specific to PE_PGRS and PPE antigens. We further found that PE/PPE proteins-mediated activation of dendritic cells involves participation of ERK1/2, p38 MAPK and NF-κB signaling pathways. While, PE_PGRS antigens-matured dendritic cells secreted high amounts of inflammatory cytokine IL-12, PPE 34 triggered maturation of dendritic cells was associated with secretion of high amounts of anti-inflammatory cytokine IL-10 but not the Th1-polarizing cytokine IL-12. Consistent with these results, PPE 34-matured dendritic cells favored secretion of IL-4, IL-5 and IL-10 from CD4+ T cells and contributed to Th2 skewed cytokine balance ex vivo in healthy individuals and in patients with pulmonary tuberculosis. Interestingly, PPE 34-skewed Th2 immune response involved induced expression of COX-2 in dendritic cells. Our results suggest that by inducing differential maturation and activation of human dendritic cells, PE/PPE proteins could potentially modulate the initiation of host immune responses against mycobacteria. Taken together, our observations clearly signify the potential role for TLR2 and NOD2 triggering by M. bovis BCG in activating receptor proximal Notch1-PI3K signaling during induced COX-2/PGE2 expression which represents a crucial immune subversion mechanism employed by mycobacteria in order to suppress or attenuate host immune responses. Further, differential maturation of human dendritic cells by PE_PGRS and PPE antigens as well as their ability to stimulate CD4+ T cells towards Th1 and Th2 phenotype respectively, improves our understanding about host-mycobacteria interactions and clearly paves a way towards the development of novel combinatorial therapeutics.

Mycobacteria are multifaceted pathogens capable of causing both acute disease as well as an asymptomatic latent infection. Host immune responses during mycobacterial infection involve potent cell effector functions including that of CD4+, CD8+ and γδT cells, macrophages and dendritic cells (DCs). Further, the critical regulators of protective immunity to mycobacterial infection include IFN-γ, IL-12, IL-23, TNF-α, lymphotoxins, CD40, nitric oxide and reactive oxygen species. However, the success of mycobacterial infection often relies in its ability to evade immune surveillance mechanisms mediated by sentinels of host immunity by modulating host signal transduction pathways and expression of immunoregulatory molecules. Therefore, the key to control mycobacterial growth and limit pathogenesis lies in the understanding the interactions between Mycobacterium and primary responders like macrophages and DCs. In this scenario, the role of pattern recognition receptors (PPRs) in orchestrating host immune responses assumes central importance. The cell surface receptors play crucial role in influencing overall immune responses. Of the PRRs, the Toll-like receptors (TLRs) form key immune surveillance mechanisms in recognition as well as control of mycobacterial infection. Among them, TLR2 is the primary interacting receptor on antigen presenting cells that recognize the invading mycobacteria. Mycobacterial cell wall constituents such as LAM, LM, PIM and 19-kDa protein have been shown to activate TLR2 signaling leading to proinflammatory responses. Recent reports have suggested that PE_PGRS antigens of M. tuberculosis interact with TLR2. For example, RV0754, Rv0978c, RV1917c have been implicated in modulation of human DCs. The 19-kDa lipoprotein, LpqH (Rv3763) and LprG (Rv1411c) utilize TLR2 signaling to inhibit macrophage responsiveness to IFN-γ triggered MHC class II expression and mycobacterial antigen presentation. Interestingly, recognition and amplification of pathogenic-specific signaling events play important roles in not only discriminating the invading microbes, but also in regulating explicit immune responses. In this context, integration of key signaling centers, which modulate host immunity to pathogenic mycobacterial infections, remains unexplored. In accordance to above observations, signal transduction pathways downstream to TLRs play a critical role in modulation of battery of host cells genes in terms of expression and production of immune modulatory cytokines and chemokines, recruitment of cellular machineries to site of infections etc. This suggests the decisive role for TLRs in modulation of host cell fate decisions. However, during the ensuing immunity to invading pathogens, beside TLR signaling pathways, various other signaling molecules are thought to execute specific functions in divergent cellular contexts. Recent studies from our laboratory have clearly demarcated a novel cross talk of TLR2-NOTCH1 and TLR2-Wnt signaling pathways during mycobacterial infections. The current study primary focuses on the broad range of cross talk of TLR2 and Sonic hedgehog (SHH) signaling pathways and its functional significance. The present investigation demonstrates that M. bovis BCG, a vaccine strain, triggers a robust activation of SHH signaling in macrophages compared to infection with diverse Gram-positive or Gram-negative microbes. This observation was further evidenced by the heightened SHH signaling signatures during in vivo scenario in cells /tissues from pulmonary tuberculosis (TB) individuals as well as tuberculous meningitis (TBM) patients. Furthermore, we show that the sustained TNF-α secretion by macrophages upon infection with M. bovis BCG is a critical necessity for SHH activation. Significantly, perturbation studies implicate a vital role for M. bovis BCG stimulated TLR2/PI3K/PKC/MAPK/NF-κB axis to induce TNF-α, that contributes to enhance SHH signaling. The TNF-α driven SHH signaling downregulates M. bovis BCG induced TLR2 signaling events leading to modulation of battery of genes that regulate various functions of macrophages genes like Vegf-a, Socs-3, Cox-2, Mmp-9 and M1/M2 genes. Importantly, utilizing whole-genome microRNA (miRNA) profiling, roles for specific miRNAs were identified as the molecular regulators that bring about the negative-feedback loop comprising TLR2-SHH signaling events. Thus, the current study illustrates how SHH signaling tightly regulates the kinetics and strengths of M. bovis BCG specific TLR2 responses, emphasizing a novel role for SHH signaling in host immune responses to mycobacterial infections. As described, variety of host factors contributes for ensuing effective host defenses and modulation of host cell fate decisions. Interestingly, avirulent pathogenic mycobacteria, including the vaccine strain M. bovis BCG, unlike virulent M. tuberculosis, cause extensive apoptosis of infected macrophages, which suggests a significant contribution of the apoptosis process to the initiation and subsequent amplification of innate as well as adaptive immune responses. Among various cues that could lead to apoptosis of host cells, the initiation of the apoptotic machinery by posttranscriptional mechanisms assumes significant importance. Among posttranscriptional control mechanisms, miRNAs are suggested to regulate several biological processes including immune responses. Various effectors of host immunity are known to be regulated by several miRNAs, and a prominent one among them, miRNA-155 (miR-155), often exhibits crucial roles during innate or adaptive immune responses. In this perspective, we identified a novel role of miR-155 during M. bovis BCG induced apoptosis of macrophages. The genetic and signaling perturbations data suggested that miR-155 regulates PKA signaling by directly targeting a negative regulator of PKA, protein kinase inhibitor alpha (PKI-α). Enhanced activation of PKA signaling resulted in induced expression of the apoptotic genes as well as Caspase-3 cleavage and Cytochrome c translocation. Thus, augmented PKA signaling by M. bovis BCG-driven miR-155 dictates cell fate decisions of infected macrophages, emphasizing a novel role for miR-155 in host immunity to mycobacterial infections. In perspective of these studies, important directives are often comprised of sequential and coordinated activation of TLR and NLR-driven signal transduction pathways, thus exhibiting foremost influence in determining the overall strength of the innate immune responses. As described, TLR2 exhibits dominant role in sensing various agonists including pathogen-associated molecular patterns (PAMPs) of microbes at the cell surface and generally considered as major effectuator of proinflammatory responses. Interestingly, NLRs like NOD1 or NOD2 often act in contrary, thus regulating anti-inflammatory responses as well as polarization of T cells towards skewed Th2 phenotype. This presents an interesting conundrum to functionality of DCs or macrophages in terms of effector functions during rapidly evolving immunological processes including effects originating from immunosuppressive effectors such as CTLA-4 or TGF-. DCs like macrophages are important sentinels of innate immunity, possesses array of PRRs that include TLRs and NOD-like receptors (NLRs). Signaling events associated with innate sensors like TLRs and NLRs often act as regulatory circuits that modulate the overall functions of DCs in terms of maturation process, cytokine or chemokine production, receptor expression, migration to secondary lymphoid organs for antigen presentation for effectuating Th polarization. TLR2, while acting as sensors for extracellular cues or endocytic network, drives signaling events in response to recognition of PAMPs including mycobacterial antigens like ESAT-6, PE_PGRS antigens, while NOD1 and NOD2 operate as cytosolic sensors initiating signaling pathways upon recognition of diaminopimelic acid (DAP) and muramyl dipeptide (MDP), components of bacterial peptidoglycan. Thus, TLRs or NOD receptors could trigger similar or contrasting immune responses by cooperative or non-cooperative sensing, consequently exhibiting immense complexity during combinatorial triggering of host DCs-PRR repertoire. In view of these observations, our current investigation comprehensively demonstrated that maturation process of human DCs were cooperatively regulated by signaling cascades initiated by engagements of TLR2, NOD1 and NOD2 receptors. Importantly, combined triggering of TLR2 and NOD receptors abolished the TGF-β or CTLA-4-mediated impairment of human DCs maturation, which required critical participation of NOTCH1-PI3K signaling cohorts. Thus, our data delineated the novel insights in modulation of macrophages and DCs effector functions by mycobacterial TLR2 or NOD agonists and broaden our understanding on the signal dynamics and integration of multiple signals from PRRs during mycobacterial infections. Altogether, our findings establish the understanding of conceptual frame work in fine tuning of TLR2 responses by SHH signaling as well as potential co-operativity among TLRs and NODs to modulate NOTCH1 dependent DCs maturation. Importantly, our study provides mechanistic and functional insights into various molecular regulators of macrophage cell fate decisions like miR-31. miR-150 and miR-155, which can fuel the search for attractive and effective drug targets and novel therapeutics to combat diseases of the hour like tuberculosis.

碩士
國立成功大學
微生物暨免疫學研究所
89
Asthma is a chronic inflammatory disease of the bronchial airways orchestrated by the type 2 helper T cells, eosiniphils and their secreted cytokines. The prevalence of asthma in modern, highly industrialized countries has been risen during the past two decades. It is argued that in a very clean environment without normal colonization pattern or infections in infancy may disturb Th1/Th2 balance. Bacterial infections, such as Mycobacteria, induce Th1 type response and prevent the progression of asthma. On the contrary, viral infections, such as respiratory syncytial virus (RSV), augment the symptom of bronchial inflammation. Dermatophagoides farinae (Der f) is one of the most prominent and important species of house dust mite implicated in allergic asthma. In our previous study, we demonstrated that Der f was proinflammatory in mice, and that repetitive intratracheal challenge of Der f induced an allergic airway inflammation characterized by the infiltration of eosinophils and lymphocytes and elevation of IgE antibody and Th2 cytokine levels. Using this model system, we observed that pre-infection of mice with Bacillus Calmette-Guérin (BCG) significantly attenuated the Der f-induced eosinophilia in blood and BAL fluids, TNF-α and IL-6 levels in BAL fluids, and Der f-specific IgG1 and IgG2a/2b in serum as compared with non-infected mice. Intracellular cytokine staining of lung cells and lymph node cells revealed there were more IFN-g-positive cells and less IL-4-positive cells in the BCG-treated Der f-challenged mice. On the contrary, pre-infection with RSV deteriorated the Der f-induced airway inflammations. Alveolar macrophages (AMs) are targets of mycobacteria, RSV and Der f. Therefore, we further examine how there pathogens affected the accessory function and mediator production of AMs in response to Der f. First, we observed that AMs from RSV-infected but not BCG-infected mice elaborated IL-6 ex-vivo. In addition, RSV-primed AMs produced substantial amounts of IL-6 after Der f stimulation. In contrast, BCG-primed AMs did not produce IL-6 in response to low concentration of Der f. In conclusion, this investigation demonstrates that (1)mycobacterial infections have the potential to suppress and RSV to augment the development of atopic disorder, (2)differences exist between BCG and RSV infection, particularly at IL-6 production of AMs.