INTRODUCTION
The innate immune response plays a critical role in protecting hosts against pathogens.
Activation of innate immunity occurs after pattern recognition “sensor” proteins such
as the Toll-like receptors (TLRs) or nucleotide-binding domain and leucine-rich repeat-containing
(NLR) proteins detect the presence of pathogens, their products, or the danger signals
that they induce during active infection (1, 2). Toxoplasma gondii is an intracellular
protozoan parasite capable of potently activating innate immunity in the wide range
of vertebrate species that it infects (3, 4). In mice, resistance to T. gondii infection
is critically dependent on the TLR-associated adaptor protein MyD88, which is required
for the induction of protective levels of the proinflammatory cytokines interleukin-12
(IL-12) and gamma interferon (IFN-γ) and the synthesis of nitric oxide (NO) (5
–
11). The activation and recruitment of inflammatory monocytes to sites of infection
are protective, as infection of mice rendered deficient in Gr1+ inflammatory monocytes
by antibody depletion results in increased susceptibility to parasite infection (12,
13). Furthermore, chemokine receptor CCR2- and MCP1 (CCL2)-knockout (KO) mice, defective
in recruitment of these cells, are also more susceptible (12, 13). Hence, induction
of protective immunity against this protozoan pathogen is critically dependent on
monocyte and macrophage cell activation.
Macrophages are activated when their cognate receptors detect the presence of microbial
products. In the case of cytosolic NLRs, which sense the presence of microbes and/or
the damage that their infection induces, activation leads to the assembly of the inflammasome,
a multiprotein complex that recruits and activates caspase-1 and/or caspase-11. The
murine NLRP3 inflammasome senses a wide range of bacteria, pore-forming toxins, and
crystalline danger signals, including alum, amyloid clusters, cholesterol, and asbestos
(for a review, see reference 14). In contrast, the murine NLRP1b inflammasome is more
restricted; the only characterized activator is the Bacillus anthracis lethal toxin
(LT) (15). Either multimeric complex is capable of cleaving the proform of caspase-1,
which is typically associated with the rapid death of macrophages, through a process
known as pyroptosis (for a review, see references 1 and 2). Pyroptosis, unlike apoptosis,
leads to lysis of the cell and release of its intracellular contents. Caspase-1 also
cleaves the proinflammatory cytokines IL-1β and IL-18, allowing their secretion from
cells (for a review, see references 1 and 2). Whether the inflammasome is activated
during Toxoplasma infection, or is capable of altering disease pathogenesis, has thus
far been only inferred. An association of polymorphisms in the human Nlrp1 gene with
susceptibility to congenital toxoplasmosis was recently reported (16, 17). T. gondii
production of cleaved IL-1β in human monocytes is dependent on both caspase-1 and
the NLRP3 adaptor protein ASC (18). P2X(7) receptors, which are important in ATP-mediated
activation of the NLRP3 inflammasome, have also been shown to influence parasite proliferation
in human and murine cells (19). IL-18, a key substrate of inflammasome-activated caspase-1,
is known to enhance production of IFN-γ (20), which is a central regulator of Toxoplasma
pathogenesis. Furthermore, in vivo administration of IL-1β protects mice from lethal
challenge with Toxoplasma (21) and injection of antibodies against the IL-1 receptor
(IL-1R) significantly attenuates the protective effect that exogenous IL-12 confers
on infected SCID mice (22). Thus, we hypothesized that inflammasome activation might
be an important factor mediating murine host resistance to Toxoplasma infection.
In this study, we show that murine macrophages are not susceptible to T. gondii-induced
rapid pyroptosis but that NLRP3 inflammasome activation in these cells results in
rapid IL-1β cleavage and release. We establish that both NLRP3 and NLRP1 are important
in vivo regulators of parasite proliferation and that IL-18 signaling is required
to mediate host resistance to acute toxoplasmosis. Our findings establish a role for
two inflammasomes in the control of Toxoplasma infection.
RESULTS
Toxoplasma activates the inflammasome in murine macrophages without inducing cell
death.
Induction of protective immunity capable of controlling murine Toxoplasma infection
is critically dependent on myeloid cell activation (3). The ability of this parasite
to promote caspase-1 activation and the secretion of active IL-1β has recently been
established in human and rat monocytes and macrophages (17, 18, 66). To determine
if Toxoplasma activates the inflammasome in murine macrophages, we infected unstimulated
and lipopolysaccharide (LPS)-primed bone marrow-derived macrophages (BMDMs) prepared
from C57BL/6J mice with type II (Pru) parasites and measured IL-1β secretion 24 h
after infection (Fig. 1A). Uninfected BMDMs did not produce measurable levels of IL-1β
(Fig. 1A), whereas IL-1β was readily detected after infection with type II Toxoplasma
regardless of whether the BMDMs were LPS primed or not (Fig. 1A). Western blotting
of infected BMDM lysates showed the presence of mature IL-1β and showed that cleavage
was dependent on caspase-1/11, since infected BMDMs from caspase-1/11-deficient mice
did not possess detectable levels of cleaved IL-1β (Fig. 1B). The detection of mature
IL-1β in the Toxoplasma-infected BMDMs indicated inflammasome activation, but the
cells did not undergo pyroptosis over 24 h (Fig. 1C). These data support an inflammasome-mediated
processing and release of mature IL-1β in the absence of pyroptosis, which have been
demonstrated to occur previously (23). Interestingly, IL-18 upregulation and cleavage
were not observed in Toxoplasma-infected BMDM or splenocyte lysates over a range of
multiplicities of infection (MOIs) and times, and the cytokine was not released from
in vitro-infected macrophages or splenocytes (data not shown).
FIG 1
Toxoplasma activates the inflammasome in C57BL/6 and 129S BMDMs. BMDMs were primed
with 100 ng/ml LPS or left unstimulated for 2 h and subsequently infected with type
II parasites (Pru; average MOI, 1) for 24 h. (A) Quantification of IL-1β in supernatants
was performed using ELISA. (B) IL-1β cleavage was monitored by Western blotting of
cell lysates from C57BL/6NTac or caspase-1/11−/− BMDMs that were infected with type
II parasites (Pru; MOI, 0.8) for 24 h. The positions of both pro-IL-1β (37 kDa) and
cleaved IL-1β (17 kDa) are indicated. (C) Cell viability of infected cells in panel
A was determined at different time points using an MTS [3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium]
assay. Panels A and C are averages of three experiments. Error bars, ±standard deviations.
(D) BMDMs were primed with LPS for 2 h and infected for 24 h with type I parasites
(RH) that were pretreated with dimethyl sulfoxide vehicle or mycalolide B (3 µM) for
20 min. IL-1β was measured using ELISA. Data are averages of 2 experiments. Error
bars, +standard deviations. (E) C57BL/6 BMDMs were infected with the indicated strains
for 24 h. IL-1β was measured using ELISA. Data are the averages of at least 3 experiments
per strain. The haplogroup to which the strain belongs is indicated above. Error bars,
+standard deviations. (F) C57BL/6 BMDMs were infected for 18 h with Pru (type II)
or PruΔGRA15 (MOI, 4) for 18 h, and microarrays were used to determine the fold change
in IL-1β mRNA expression levels compared to uninfected macrophages. (G) BMDMs were
infected with Pru (type II) or PruΔGRA15 for 24 h. IL-1β was measured using ELISA.
Data are representative of 3 experiments. Error bars, +standard deviations. (H) BMDMs
were primed for 2 h with LPS and then infected with indicated strains for 24 h (MOI,
4). The haplogroup to which the strain belongs is indicated above. Data are the averages
of 3 experiments. Error bars, +standard deviations. (I) IL-1β secretion from primed
immortalized murine WT and caspase-1/11−/− macrophages, infected for 24 h with RH.
Data shown are from an experiment representative of three. Error bars, +standard deviations.
(J) IL-1β secretion from BMDMs prepared from wild-type C57BL/6 mice (blue) or C57BL/6
mice lacking Nlrp1b (red), Nlrp3 (green), Nlrp1b and Nlrp3 (orange), or Asc (yellow),
primed for 4 h, and then infected with type I (RH; average MOI, 1) for 24 h. Cytokine
secretion below the detection level is indicated on the graph with arrowheads and
labeled not detected (n.d.). Data are averages of four experiments. Error bars, +standard
deviations. (K) BMDMs described for panel J were primed for 3 h with LPS and then
infected with type II parasites (MOI, 1.5) for 24 h. Western blot analysis on concentrated
supernatants (25-fold), probing for cleaved IL-1β (17 kDa). (L) Host cell viability
in panel L was measured using the MTS assay. Error bars, +standard deviations. (M)
BMDMs from C57BL/6 and 129S mice were primed with 100 ng/ml LPS for 2 h and subsequently
infected with type II parasites (Pru; average MOI, 0.7) for 24 h. Quantification of
IL-1β in supernatants was performed using ELISA. Panels L and M are the averages of
3 experiments. (N) 129S BMDMs were primed for 2 h and infected with type II parasites
(MOI, 1.6) for 24 h. Western blot analysis on concentrated supernatants (25-fold),
probing for cleaved IL-1β (17 kDa). Nig, nigericin; Tg, T. gondii.
Because IL-1β secretion was consistently dependent on MOI (data not shown), we tested
whether parasite invasion was required for IL-1β secretion. Parasites pretreated with
mycalolide B, an actin-depolymerizing agent that blocks invasion but allows for secretion
of microneme and rhoptry contents, attached but induced significantly smaller amounts
of IL-1β secretion (Fig. 1D), indicating that macrophage inflammasome activation was
invasion dependent. The small amount of IL-1β secretion by BMDMs infected by mycalolide
B-treated parasites was likely due to incomplete inhibition of invasion, as immunofluorescence
microscopy performed on the same batch of treated parasites indicated that a small
number had still invaded the BMDMs, as evidenced by their intracellular replication
(data not shown).
IL-1β secretion correlates with strain differences in NF-κB activation.
Mouse strains differ in their susceptibility to Toxoplasma depending on the infecting
strain genotype; haplogroup 2 and 12 (HG2 and HG12) strains are relatively avirulent
and readily establish chronic infections, whereas HG1 and HG4 to HG10 strains are
acutely virulent. We sought to determine whether Toxoplasma strains differentially
activate the murine macrophage inflammasome, or whether secretion of IL-1β correlated
with parasite genotype and/or pathogenesis. We infected unprimed BMDMs from C57BL/6J
mice with Toxoplasma tachyzoites from all 12 haplogroups for 24 h, a time point at
which parasite-induced cell lysis was minimal. Cougar (HG11) and the type II strains,
with the exception of DEG, induced IL-1β secretion in unstimulated BMDMs (Fig. 1E).
Inflammasome activation is often divided into a signal 1, which is the signal that
leads to transcription of Il-1β, and signal 2, which is the signal that leads to the
actual activation of caspase-1. Type II, but not type I or III, parasites directly
activate the NF-κB transcription factor in both human and murine cells, thereby potentially
providing signal 1 for the induction of Il-1β transcription. The secreted dense granule
protein GRA15 determines this strain difference in NF-κB activation (24). Indeed,
in murine BMDMs, type II IL-1β mRNA induction was partially dependent on type II GRA15
expression (Fig. 1F), while IL-1β secretion of unstimulated BMDMs was completely dependent
on GRA15 (Fig. 1G). To determine if non-type II strains can provide signal 2, which
leads to the activation of caspase-1 and subsequent cleavage and secretion of IL-1β,
we prestimulated BMDMs with LPS for 2 h and subsequently infected them with different
Toxoplasma strains. IL-1β was now detected in the medium with no truly apparent differences
between strains (Fig. 1H). The IL-1β secreted into the medium also contained the cleaved
active IL-1β (17 kDa) as determined by Western blot analysis (see Fig. S2 in the supplemental
material).
Toxoplasma activation of the murine inflammasome in BMDMs is dependent on caspase-1/11
and NLRP3.
To determine the components necessary for IL-1β secretion, we infected immortalized
macrophages that lacked caspase-1 and -11 and showed that IL-1β secretion was completely
eliminated, as expected (Fig. 1I). To determine the inflammasome components necessary
for IL-1β secretion, we infected BMDMs from C57BL/6 mice that lacked Nlrp1b, Nlrp3,
or both Nlrp1b and Nlrp3, or the inflammasome adaptor ASC. We found IL-1β secretion
by primed BMDMs upon Toxoplasma type I infection to be mostly dependent on ASC and
the NLRP3 inflammasome (Fig. 1J). Similar results were obtained after type II infection
(see Fig. S3 in the supplemental material). The greatly reduced amount of cleaved
active IL-1β in the supernatant of Nlrp3-deficient Toxoplasma-infected BMDMs compared
to the amount present in the supernatant of wild-type (WT) or Nlrp1b-deficient infected
BMDMs confirmed the importance of the NLRP3 inflammasome in Toxoplasma-mediated inflammasome
activation in vitro (Fig. 1K). Thus, Toxoplasma induction of IL-1β secretion by murine
BMDMs is highly dependent on the NLRP3 inflammasome and requires caspase-1 activation.
Inflammasome-mediated BMDM death and cytokine processing are independent of Nlrp1a
and Nlrp1b alleles.
Despite the activation of caspase-1 in Toxoplasma-infected cells, we did not observe
any macrophage pyroptosis. Previous reports have shown that five polymorphic Nlrp1b
alleles exist among inbred mice which control sensitivity to anthrax LT-induced pyroptosis
(15). To test if the >100-amino-acid (aa) differences in Nlrp1b between C57BL/6J and
129S mice were the basis for resistance to parasite-induced pyroptosis, we compared
BMDMs from the two strains. We observed no difference in cell viability between the
C57BL/6J and 129S BMDMs (Fig. 1L). Thus, consistent with a major role for NLRP3 inflammasome
activation, BMDMs from either 129S or C57BL/6 mice produced active IL-1β (Fig. 1M
and N) without associated pyroptosis upon type I or II Toxoplasma strain infection.
Furthermore, the fact that 129S BMDMs do not express the highly conserved NLRP1a protein
(25) and are caspase-11 deficient (26) but present a robust IL-1β response also eliminated
a role for NLRP1a and caspase-11 in cytokine maturation induced by Toxoplasma.
Murine resistance to Toxoplasma infection is controlled by caspase-1/11-dependent
inflammasome activation.
Whether inflammasome activation is important to murine resistance to infection in
vivo has not yet been established. We infected mice deleted for the caspase-1/11 genes
with 10,000 type II 76K green fluorescent protein-luciferase (GFP-LUC) tachyzoites
intraperitoneally (i.p.) and tested for susceptibility to acute infection by monitoring
mean survival time (MST), parasite growth, dissemination, and the production of IL-1β
and IL-18. In the absence of caspase-1/11 proteins, mice had a 10- to 20-fold-higher
parasite load (Fig. 2A and B) and were highly susceptible to acute infection (Fig. 2C).
In contrast, the majority of C57/BL6NTac control mice survived acute infection and
established chronic infections (Fig. 2C). Surprisingly, serum levels of systemic IL-1β
never exceeded 10 pg/ml on day 5 (Fig. 2D, graph on left) or day 9 (data not shown)
for either mouse strain. IL-18 levels, however, were significantly higher following
infection, ranging from 0.5 to 2.0 ng/ml in C57BL/6NTac mice on day 5 (Fig. 2D), to
strikingly high levels exceeding 10 ng/ml by day 9, compared to <200 pg/ml in caspase-1/11-deficient
mice (Fig. 2D) or uninfected controls (data not shown).
FIG 2
Parasite load, survival, and systemic IL-18 levels in caspase-1/11-deficient mice.
(A) Bioluminescence imaging (BLI) of infected caspase-1/11 knockouts and controls
on days 5 to 7 following infection with 76K GFP-LUC (10,000 tachyzoites i.p.). Images
shown are for 3 mice. (B) Quantifications are from 8 mice imaged/group. (C) Aggregate
survival of caspase-1/11-knockout mice (n = 13/group) compared with WT C57BL/6NTac
control mice (n = 10/group). (D) IL-18 measurements in serum of caspase-1/11-deficient
mice on day 5 after infection were significantly different from WT (P < 0.001) when
infected with 76K GFP-LUC. No detectable levels of IL-1β were detected in circulation.
ASC and NLRP3 inflammasome activation controls Toxoplasma proliferation and host resistance.
We next investigated the role of ASC in murine susceptibility to Toxoplasma infection,
since this adaptor protein is required to mediate the activation of multiple inflammasomes
(27). If inflammasome activation controls Toxoplasma resistance, we hypothesized that
mice rendered deficient in this protein will be more susceptible to acute infection.
Asc-deficient mice consistently had ~20-fold or greater parasite loads at days 5 to
7 postinfection (Fig. 3A and B) and generally succumbed to infection by days 8 to
10 (Fig. 3C), in contrast to wild-type control mice, the majority of which survived
acute infection at day 20 (Fig. 3C). The Asc-deficient mice likewise failed to induce
detectable levels of systemic IL-18 (Fig. 3D) or IL-1β (data not shown) during acute
infection.
FIG 3
Parasite load, survival, and systemic IL-18 levels in ASC- and NLRP3-knockout mice
following Toxoplasma challenge. (A) Bioluminescence imaging of 76K GFP-LUC-infected
mice (various strains, 10,000 tachyzoites, i.p. route) on days 5 to 7 following infection
is shown. Images shown are from two or three representative mice from 2 to 6 mice/group
from one representative experiment. The experiment shown is one of 3 (WT) or 2 (ASC
and NLRP3) independent experiments. (B) P values (t test) comparing luciferase activity
for each knockout strain to C57BL/6J are <0.05. (C) Aggregate survival curve of ASC
(n = 8)- and NLRP3 (n = 5)-knockout mice compared with WT C57BL/6J control mice (n
= 13). (D) IL-18 measurements in serum of deficient mice on day 5 after infection.
No detectable levels of IL-1β were detected in circulation.
To determine whether the NLRP3 inflammasome sensor is sufficient to confer this murine
resistance to the Toxoplasma phenotype, Nlrp3
−/− mice on the C57BL/6J background were infected intraperitoneally with 10,000 76K
GFP-LUC tachyzoites. Nlrp3
−/− mice were more susceptible than their wild-type (WT) controls and possessed 10-fold
or higher parasite burdens at days 5 to 7, and the majority of mice died by day 10
postinfection (Fig. 3C). These infected mice produced intermediate levels of systemic
IL-18, significantly greater than those of the Asc-deficient mice but not equivalent
to those of the WT (Fig. 3D). They did not produce measurable levels of IL-1β (data
not shown), similar to what was observed with all infections of WT mice (Fig. 2D and
data not shown). Infection with another type II strain (Pru GFP-LUC) produced similar
results (data not shown), indicating that the phenotype was not attributable to an
anomalous Toxoplasma clone-specific effect or the genome integration site of the GFP-LUC
gene, as both type II strains activated the inflammasome in vivo. These results indicate
that murine resistance to acute infection with Toxoplasma is highly dependent on the
activation of the NLRP3 inflammasome.
NLRP1 inflammasome activation also controls Toxoplasma proliferation and host resistance.
Because the infected Nlrp3-deficient mice still produced IL-18 at levels higher than
those of Asc-deficient mice, we hypothesized that more than one inflammasome is activated
in vivo to produce IL-18 during Toxoplasma infection. To test this prediction, we
infected mice deficient at the Nlrp1 locus encompassing Nlrp1abc with 10,000 76K GFP-LUC
tachyzoites to determine if NLRP1 activation contributes to murine resistance during
Toxoplasma infection. Nlrp1abc-deficient mice had only 3- to 5-fold-higher parasite
loads than did WT mice across days 5 to 7 (Fig. 4B). Nlrp1abc
−/− mice also died acutely, succumbing to infection between days 16 and 22 (Fig. 4C).
The delayed MST kinetics was consistent with the decreased parasite burden in comparison
to the Nlrp3-deficient mice. Nlrp1abc-deficient mice produced intermediate levels
of systemic IL-18, significantly greater than those of the Asc-deficient mice but
not equivalent to those of the WT (Fig. 4D). No measurable levels of circulating IL-1βwere
found on day 5 or 9 after infection in these mice or their WT controls (data not shown).
FIG 4
Parasite load, survival, and systemic IL-18 levels in NLRP1-knockout mice following
Toxoplasma challenge. (A) Bioluminescence imaging of 76K GFP-LUC-infected mice (various
strains, 10,000 tachyzoites, i.p. route) on days 5 to 7 following infection is shown.
Images shown are three representative mice from 4 to 6 mice/group from one representative
experiment. The experiment shown is one of 2 WT or 2 NLRP1 independent experiments.
(B) P values (t test) comparing luciferase activity for each knockout strain to C57BL/6NTac
are <0.05. (C) Aggregate survival curve of NLRP1 (n = 10)-knockout mice compared with
WT C57BL/6NTac control mice (n = 10). (D) IL-18 measurements in serum of deficient
mice on day 5 after infection. No detectable levels of IL-1β were detected in circulation.
Mice deficient in signaling and secretion of IL-18 are highly susceptible to Toxoplasma
infection.
Although no systemic IL-1β was detectable in vivo, infection of NLRP3-deficient BMDMs
showed markedly diminished levels of IL-1β (Fig. 1). To test if IL-1β possesses a
biologically important role locally and is capable of influencing murine resistance,
we infected IL-1R−/− mice with 10,000 76K GFP-LUC tachyzoites. All IL-1R-deficient
mice succumbed to infection but with a delayed kinetics compared to ASC-, caspase-1/11-,
and Nlrp3-deficient mice (Fig. 5C). These mice supported higher parasite loads and
had intermediate levels of IL-18 in their serum compared to WT C57BL6/J mice (Fig. 5A,
B, and D), indicating that despite the absence of measurable IL-1β in circulation,
IL-1 signaling does play a contributing role in the protection against murine toxoplasmosis.
FIG 5
Parasite load, survival, and systemic IL-18 levels in IL-18- and IL-18R-knockout mice.
(A) Bioluminescence imaging of 76K GFP-LUC-infected mice (various strains, 10,000
tachyzoites, i.p. route) on days 4 to 7 following infection is shown. Images shown
are 2 to 3 representative mice from 3 to 6 mice/group. The experiment shown is one
of 2 IL-1β, 4 IL-18, or 4 IL-18R independent experiments. (B) P values (t test) comparing
luciferase activity for each knockout strain to C57BL/6J are <0.05. (C) Aggregate
survival curve of IL-1R (n = 9)-, IL-18 (n = 19)-, and IL-18R (n = 13)-knockout mice
compared with WT C57BL/6J control mice (n = 13). (D) IL-18 measurements in serum of
deficient mice on day 5 after infection. No detectable levels of IL-1β were detected
in circulation.
Intriguingly, the level of IL-18 in the circulation of infected WT mice correlated
with decreased parasite burden and increased survival. We hypothesized that inflammasome
activation and the production of high systemic IL-18 might play an important role
in the relative resistance of WT mice. To test our hypothesis, we infected IL-18
−/− and IL-18R
−/−
mice. Both types of mice were highly susceptible to acute Toxoplasma infection and
consistently had 20- to >100-fold-increased parasite loads at days 5 to 7 postinfection,
greater than that found in the Asc−/− mice (Fig. 5A and B). These mice typically succumbed
to infection by day 8 or 9 (Fig. 5C), suggesting that the presence of IL-18 is protective
in C57BL/6 mice. These data indicate that the production and secretion of activated
IL-18 are associated with controlling parasite proliferation and murine resistance
to acute toxoplasmosis.
DISCUSSION
Generation of a robust innate immune response is required to orchestrate murine resistance
against the intracellular pathogen T. gondii, as well as a wide spectrum of other
pathogenic agents (for a review, see reference 3). Resistance to Toxoplasma infection
is critically dependent on the TLR-associated adaptor protein MyD88 and induction
of IL-12, IFN-γ, and the synthesis of nitric oxide (NO). In this study, we show that
in vivo generation of host protective immunity against Toxoplasma is also highly dependent
on the inflammasome sensors NLRP1 and NLRP3 and the secretion of the caspase-1-dependent
proinflammatory cytokine IL-18. Infection of mice deficient in NLRP3, NLRP1abc, caspase-1/11,
or the inflammasome adaptor protein ASC led to decreased levels of circulating IL-18,
increased parasite replication, and death. Using mice deficient in IL-18 and IL-18R,
we show that this cytokine plays an important role in limiting parasite replication
to promote murine survival.
IL-18, like IL-1β, has been extensively linked to both protective immune responses
and disease induction. IL-18 mediates enhancement of innate resistance to acute toxoplasmosis
by triggering IFN-γ induction in immune cells, especially T and NK cells, and works
in synergy with IL-12. It has previously been used as a protective treatment (28,
29), and IL-18 depletion by antibodies significantly alters murine susceptibility
upon infection with lethal doses of Toxoplasma (30). In fact, IL-18 was at one time
known as “IFN-γ-inducing factor” (31). The inactive pro-IL-18 form is constitutively
expressed in a wide range of cell types (32) but requires processing by caspase-1
to promote its secretion, as evidenced by the drastically depleted levels of IL-18
during infection of caspase-1/11
−/−
mice (Fig. 2D), and promote the induction of IFN-γ production in vivo (33, 34). Interestingly,
Asc-deficient mice produced even less circulating IL-18, indicating that other factors
such as caspase-8 (35) may contribute to IL-18 processing.
The role of IFN-γ in resistance to Toxoplasma is extensively documented (for a review,
see references 3 and 4). IFN-γ activates cellular pathways that promote resistance
to toxoplasmosis through multiple mechanisms, including activation of the interferon-inducible
GTPases (IRG-GTPases) (36, 37) and NO regulation (9), processes certainly dependent
on induction of IFN-γ by IL-18 produced following NLR inflammasome activation. However,
IL-18 has also been linked to pathology during infection with type I strains of Toxoplasma,
and IL-18 depletion resulted in enhanced survival by limiting the propathologic immune
response that these virulent strains induce (30, 38). Hence, the balance between the
protective and pathological roles of IL-18 is likely highly dependent on mouse genetics,
Toxoplasma strain differences, challenge doses, routes of infection, and rates of
disease progression. Previous work using a low-dose type II (PTG) infection in caspase-1-deficient
mice (now known to be caspase-1/11 deficient) concluded that these mice were not altered
in Toxoplasma susceptibility relative to wild-type control mice (39). However, this
study was performed with a parasite dose that does not typically induce measurable
levels of systemic IL-18 (30), and the mice used had a mixed 129/B6 background, which
itself may influence pathogenesis. Our results, using mice sufficiently backcrossed
onto a C57BL/6NTac background and a parasite inoculum that induces systemic IL-18,
show a role for caspase-1 and IL-18 in murine resistance. IL-18 concentrations are
known to vary through the course of infection and are clearly dependent on the parasite
strain and inoculum used (30, 38). Our results suggest that this cytokine plays a
pivotal role in mediating acute toxoplasmosis, with the cytokine playing an important
early role in the control of parasite replication (Fig. 5B). How exactly IL-18 mediates
this protection requires further studies. Later in infection, however, high levels
of IL-18 have previously been shown to cause dysregulated induction of propathologic
cytokine levels that contribute to lethality in high-dose, virulent infections (30,
38).
The recruitment of inflammatory monocytes to sites of infection is essential to control
parasite growth and dissemination in murine models of toxoplasmosis (12, 13). In rats,
control of parasite proliferation and dissemination in vivo is controlled by the Toxo1
locus (40). Our recent work showed that macrophages from Toxoplasma-resistant rat
strains (e.g., LEW and SHR) undergo pyroptosis in response to inflammasome activation
induced by parasite infection, and this rapid cell death is sufficient to limit parasite
replication and promote sterile cure (66). In previous work by Miao et al., caspase-1-induced
pyroptotic cell death was also identified as an innate immune mechanism to protect
against intracellular pathogen infection (41). In their study, the authors used a
panel of mouse strains deficient in IL-1β, IL-18, IL-1βR, or various combinations
of those to show a dispensable role for IL-1β and IL-18 in the clearance of Salmonella
enterica serovar Typhimurium that expresses flagellin, suggesting that innate control
of bacterial infection is occurring by pyroptosis, without a requirement to induce
an overt inflammatory response. In this study, we show that in vitro Toxoplasma infection
of murine bone marrow-derived macrophages primarily activates the NLRP3 inflammasome,
resulting in the rapid production and cleavage of IL-1β, but does not induce pyroptosis.
Interestingly, although Toxoplasma-infected macrophages showed efficient caspase-1/11-dependent
IL-1β cleavage and secretion, these cells did not upregulate, cleave, or secrete their
preexisting pools of IL-18. Furthermore, splenocytes also did not show any IL-18 cleavage
following infection. Paradoxically, significant concentrations of IL-1β were not detected
following infection in any mouse strain, whereas high levels of IL-18 were found in
serum in all infection studies that we performed with different Toxoplasma strains.
Because activation of the murine inflammasome does not affect Toxoplasma growth in
macrophages (data not shown) and does not induce pyroptosis, our results suggest that
IL-18 activation and not pyroptosis is the genetic basis for in vivo inflammasome-mediated
control of parasite proliferation. Although the in vivo cellular source for this inflammasome-generated
IL-18 is not known, it is likely of nonmyeloid origin, and bone marrow chimera studies
should be performed to address this question. Our results also suggest that NLRP1-mediated
events may be more important in vivo and that activation of NLRP1 may likewise occur
in cells other than macrophages.
The role of inflammasome activation in the pathogenesis of Toxoplasma infection in
human infection has recently been suggested (16, 17). Polymorphisms in the human NLRP1
gene are associated with susceptibility to congenital toxoplasmosis, and NLRP1 contributes
to controlling parasite growth in human monocytes. A recent study in human macrophages
provides compelling evidence that the inflammasome components ASC and caspase-1 regulate
the release of IL-1β and that the type II allele of the parasite dense granule protein
GRA15, which activates NF-κB nuclear translocation, is necessary for maximal induction
of this cytokine (18). Indeed, our in vitro infection data show that Toxoplasma murine
inflammasome-mediated secretion of IL-1β is strain dependent and that only parasites
expressing the GRA15 type II allele, which directly activates NF-κB, were able to
induce secretion of IL-1β in unprimed BMDMs (Fig. 1). While the relative and contributing
roles of IL-1β compared to IL-18 remain to be determined in the control of acute toxoplasmosis,
our preliminary studies using IL-1 receptor-knockout mice on a mixed background argue
that IL-1β plays a less significant role in the control of parasite infection than
it does in IL-18 or IL-18R knockouts (Fig. 5) In vivo administration of IL-1β in LPS-primed
caspase-1/11-deficient mice has previously been shown to increase IL-6 (34), so it
is conceivable that IL-1β functions locally to induce increased levels of IL-6 capable
of altering inflammation-induced changes in myeloid output that impact Toxoplasma
pathogenesis (42).
Of the two NLR inflammasomes activated, we found that murine resistance to acute infection
was principally dependent on activation of the NLRP3 receptor both in vitro (Fig. 1J)
and in vivo (Fig. 3). Several reports have linked P2X(7) receptor, a potent activator
of the NLRP3 inflammasome, with control of acute toxoplasmosis (16, 19, 43, 44). How
and in what cell type Toxoplasma activates the murine NLRP3 inflammasome or why its
activation does not lead to rapid macrophage death or IL-18 processing is enigmatic.
Regulators of the NLRP3 inflammasome include ATP, the guanylate-binding protein 5
(GBP5), cellular stresses that alter calcium and potassium concentrations, redox status,
and the unfolded protein response (UPR) (for a review, see reference 45). Importantly,
Toxoplasma encodes a variety of virulence effector proteins that specifically inactivate
the host endoplasmic reticulum (ER)-bound transcription factor ATF6β and induction
of the UPR during ER stress (46), affect the recruitment of 65-kDa guanylate-binding
proteins (GBPs) (47, 48), or alter calcium and potassium efflux to signal Toxoplasma
egress (49), perhaps indicating that the parasite has specifically evolved effector
proteins to minimize NLR inflammasome activation to alter its pathogenesis.
Our work also identified Toxoplasma as the second pathogen, after B. anthracis, whose
pathogenesis is altered by expression of the murine NLRP1 inflammasome (15). We show
that the Nlrp1 locus is capable of regulating parasite proliferation in vivo, with
Nlrp1 knockout mice possessing significantly higher parasite burdens following Toxoplasma
infection. Although the majority of NLRP1-deficient mice died acutely (Fig. 4), they
were, however, less susceptible to infection than were caspase-1/11-, Asc-, Nlrp3-,
IL-18-, or IL-18R-deficient mice in the same genetic background and possessed only
5- to 10-fold-higher parasite loads than in WT infections. How Toxoplasma activates
the NLRP1 inflammasome is unclear. Activation of rodent NLRP1 inflammasomes by the
B. anthracis lethal toxin (LT) occurs via proteolytic cleavage at a specific consensus
sequence in the polymorphic N terminus of NLRP1 (50, 51). In human infection, NLRP1
polymorphism variants are likewise known to alter the susceptibility to congenital
toxoplasmosis (17). One logical hypothesis is that the Toxoplasma-encoded effector
molecule responsible for activation of NLRP1 is, like LT, a protease. Toxoplasma secretes
a wide range of proteases (52
–
57), and similar induction of IL-1β observed upon infection of primed BMDMs with any
Toxoplasma strain suggests that the putative protease, or factor responsible for activation
of NLRP1, is not likely to be Toxoplasma strain specific or is at least conserved
among the majority of strains. Alternatively, polymorphisms in Nlrp1 could affect
the interaction with a different host “sensor” protein that serves as the adaptor
for assembly and activation of the NLRP1 inflammasome, as has been previously described
for the NLRC4/NAIP5/NAIP6 inflammasome recognition of flagellin (58, 59).
In summary, we establish that both NLRP3 and NLRP1 are important in vivo regulators
of Toxoplasma proliferation and that IL-18 signaling is required to mediate host resistance
to acute toxoplasmosis. Our findings also indicate that innate resistance to acute
toxoplasmosis is dependent on the activation of both TLR and NLR sensors that cooperate
to detect the presence of pathogen products or the danger signals that they induce
during active infection. The identification of the Toxoplasma factor that mediates
NLR inflammasome activation may contribute new insight into the development of therapeutic
options to combat this important human pathogen.
MATERIALS AND METHODS
Ethics statement.
All animal experiments were performed in strict accordance with guidelines from the
NIH and the Animal Welfare Act, under protocols approved by the Animal Care and Use
Committee of the National Institute of Allergy and Infectious Diseases, National Institutes
of Health (protocols LPD-8E and LPD-22E), and the MIT Committee on Animal 441 Care
(assurance number A-3125-01).
Material.
Ultrapure LPS was purchased from Calbiochem/EMD Biosciences (San Diego, CA). Luciferin
was purchased from Caliper Life Sciences (Hopkinton, MA). Nigericin was purchased
from Invivogen (San Diego, CA). Mycalolide B was purchased from Wako (Richmond, VA).
Mice and NLRP1 expression status-based nomenclature.
IL-18- and IL-18 receptor (IL-18R)-knockout mice on the C57BL/6J background (>10 backcrosses)
and IL-1R-deficient mice on a partially backcrossed 129 × C57BL/6J background were
obtained from Jackson Laboratories (Bar Harbor, ME). Caspase-1-knockout mice have
been previously described (60) and were backcrossed to C57BL/6NTac mice for 10 generations.
These caspase-1-knockout mice are also deficient in caspase-11 (26). Mice deleted
for all three Nlrp1 genes in the murine Nlrp1abc locus (C57BL/NTac background), as
well as those deleted only for Nlrp1b (C57BL/6J background), have been previously
described (61, 62). Mice deleted at Nlrp3 (C57BL/6J background) (63) and Asc (C57BL/6J
background) (60) have been previously described.
Parasites.
Tachyzoites from luciferase-expressing type I (RH) and type II (76K or Prugniaud)
T. gondii parasites were used for all studies. The following strains (haplogroup/type
in parentheses) were used in a survey of effects on murine BMDMs: GT1 (I), ME49 (II),
DEG (II), CEP (III), VEG (III), CASTELLS (IV), MAS (IV), GUY-KOE (V), GUY-MAT (V),
RUB (V), BOF (VI), GPHT (VI), CAST (VII), TgCATBr5 (VIII), P89 (IX), GUY-DOS (X),
VAND (X), Cougar (XI), B41 (XII), B73 (XII), RAY (XII), and WTD3 (XII). The generation
of luciferase-expressing parasites using the plasmid pDHFR-Luc-GFP gene cassette has
been described previously (64). To construct the RH, Prugniaud, and 76K GFP-LUC strains,
pDHFR-Luc-GFP was linearized with NotI, parasites were electroporated, and those with
stable GFP expression were isolated by fluorescence-activated cell sorting and cloned
by limiting dilution. Generation of Pru GRA15-knockout (KO) parasites has been previously
described (24). All parasite strains were routinely passaged in vitro in monolayers
of human foreskin fibroblasts (HFFs) at 37°C in the presence of 5% CO2 and quantified
by hemocytometer counts prior to infection studies. In some experiments, mycalolide
B (3 µM, 20 min) was used to pretreat isolated parasites prior to washing in phosphate-buffered
saline (PBS) (3×) before infections.
Cell culture.
Bone marrow-derived macrophages (BMDMs) were cultured in complete Dulbecco’s modified
Eagle’s medium (DMEM) with 20% L929 cell culture supernatant for 7 days. L929 mouse
fibroblast cells were grown in DMEM supplemented with 10% fetal bovine serum, 10 mM
HEPES, and 50 µg/ml gentamicin (all obtained from Invitrogen, Carlsbad, CA) at 37°C
in 5% CO2. BMDMs with or without LPS priming (0.1 µg/ml, 2 h) were infected with Toxoplasma
at various multiplicities of infection (MOIs), and cell viability was assessed at
24 h using the CellTiter 96 AQueous One Solution cell proliferation assay (Promega,
Madison, WI). Culture supernatants were removed for cytokine measurements by enzyme-linked
immunosorbent assay (ELISA) (R&D Systems, Minneapolis, MN) or Western blotting, following
concentration using Amicon filters (3,000-molecular-weight cutoff) (Millipore, Billerica,
MA) or Spin-X UF 500 concentrators (5,000-molecular-weight cutoff) (Corning, United
Kingdom). For Western blots, anti-mouse IL-1β (Abcam, Cambridge, MA) or anti-caspase-1
antibody (Abcam, Cambridge, MA) was used as the primary antibody. Secondary antibodies
were from Jackson Immunoresearch (West Grove, PA). Immun-Star Western C substrate
(Bio-Rad, Hercules, CA) and a charge-coupled device camera (Chemidoc XRS; Bio-Rad)
were used for visualization. All immortalized macrophage cell lines (WT and caspase-1/11−/−)
were grown in complete DMEM with 10% L929-conditioned medium.
Microarray analysis.
Microarray analyses were performed as previously described (65).
Mouse infections.
Mice (male and female, 8 to 12 weeks old) were infected intraperitoneally (i.p.) with
either 10,000 (76K) or 1,200 (Pru) type II tachyzoites diluted in 400 µl of phosphate-buffered
saline. Mice were imaged on successive days (typically days 4 to 9) postinfection,
and parasite burden was quantified by firefly luciferase activity using an IVIS BLI
system from Caliper Life Sciences. Mice were injected i.p. with 3 mg of d-luciferin
substrate (prepared in 200 µl of PBS) and imaged for 5 min to detect photons emitted,
as previously described (64). Mice were bled by tail vein at day 5 and/or day 9 after
infection. Blood collection was performed in either serum collector or Microtainer
EDTA tubes (Sarstedt, Newton, NC). IL-1β and IL-18 were measured by ELISA (R&D Systems,
Minneapolis, MN).
SUPPLEMENTAL MATERIAL
Figure S1
Type II parasites activate the inflammasome without inducing cell death. BMDMs were
primed with 100 ng/ml LPS or left unstimulated for 2 h and subsequently infected with
type II parasites (Pru; MOI, 0.4) for 24 h. (A) Quantification of IL-1β in supernatants
was performed using ELISA. (B) Cell viability of infected cells in panel A was determined
at different time points using an MTS [3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium]
assay. Download
Figure S1, TIF file, 0.1 MB
Figure S2
Type I and type IV parasites induce cleavage of pro-IL-1β. C57BL/6 BMDMs were primed
with 100 ng/ml LPS for 2 h and infected with type I (RH) or type IV (MAS) parasites
(MOI, 5) for 24 h. Western blot analysis was performed on concentrated supernatant
(25-fold), probing for pro-IL-1β (37 kDa) and active IL-1β (17 kDa). Download
Figure S2, TIF file, 0.1 MB
Figure S3
Type II parasites activate the Nlrp3 inflammasome. IL-1β secretion from BMDMs prepared
from wild-type C57BL/6 mice (blue) or C57BL/6 mice lacking Nlrp1b (red), Nlrp3 (green),
or Nlrp1b and Nlrp3 (orange) primed for 4 h and then infected with type II parasites
(Pru; MOI, 0.8) for 24 h. The figure represents one experiment. Error bars, +standard
deviations. Download
Figure S3, TIF file, 0.1 MB