Immune Response Elicited by DNA Vaccination Using Lactococcus lactis Is Modified by the Production of Surface Exposed Pathogenic Protein

In this study, we compared immune responses elicited by DNA immunization using Lactococcus lactis or L. lactis expressing the Staphylococcus aureus invasin Fibronectin Binding Protein A (FnBPA) at its surface. Both strains carried pValac:BLG, a plasmid containing the cDNA of Beta-Lactoglobulin (BLG), and were designated LL-BLG and LL-FnBPA+ BLG respectively. A TH2 immune response characterized by the secretion of IL-4 and IL-5 in medium of BLG reactivated splenocytes was detected after either oral or intranasal administration of LL-FnBPA+ BLG. In contrast, intranasal administration of LL-BLG elicited a TH1 immune response. After BLG sensitization, mice previously intranasally administered with LL-BLG showed a significantly lower concentration of BLG-specific IgE than the mice non-administered. Altenatively administration of LL-FnBPA+ BLG didn't modify the BLG-specific IgE concentration obtained after sensitization, thus confirming the TH2 orientation of the immune response. To determine if the TH2-skewed immune response obtained with LL-FnBpA+ BLG was FnBPA-specific or not, mice received another L. lactis strain producing a mutated form of the Listeria monocytogenes invasin Internalin A intranasally, allowing thus the binding to murine E-cadherin, and containing pValac:BLG (LL-mInlA+ BLG). As with LL-FnBPA+ BLG, LL-mInlA+ BLG was not able to elicit a TH1 immune response. Furthermore, we observed that these difference were not due to the peptidoglycan composition of the cell wall as LL-FnBPA+ BLG, LL-mInlA+ BLG and LL-BLG strains shared a similar composition. DNA vaccination using LL-BLG elicited a pro-inflammatory TH1 immune response while using LL-FnBPA+ BLG or LL-mInlA+ BLG elicited an anti-inflammatory TH2 immune response.


Introduction
An innovative strategy using Lactococus lactis, a food grade bacterium, to deliver plasmids in vitro [1] and in vivo [2] was previously developed by our laboratory. We first demonstrated that a non invasive, transiting bacterium was capable of transferring a plasmid to the epithelial membrane of the small intestine in mice and eliciting a Type 1 T helper cell (T H 1) immune response [2]. A T H 1 type of immune response is typical for DNA vaccination [3] regardless of various factors which can influence the immune response [4], such as the nature of the antigen or mouse strain. To better understand the mechanism of plasmid transfer and thus possibly improve on it, we developed invasive L. lactis strains by expressing invasins on their cell surface.
We previously constructed LL-FnBPA+, a recombinant L. lactis strain expressing Staphylococcus aureus Fibronectin Binding protein A (FnBPA) on its surface and demonstrated its potential for plasmid DNA delivery in vitro [5]. More recently, we confirmed that the use of invasive LL-FnBPA+ increases plasmid transfer rate/efficacy in vivo [6]. In addition, a recombinant L. lactis strain producing Listeria monocytogenes Internalin A (LL-InlA+) was constructed and demonstrated to be capablefor plasmid transfer in vivo with guinea pigs [7]. As InlA binds only poorly to murine E-cadherin, the use of this strain is thereby limited to either transgenic mice expressing human E-cadherin [8] or guinea pigs. InlA has been mutated to increase its binding to murine E-cadherin [9]. We produced mutated mInlA at the surface of L. lactis (LL-mInlA+) and showed that LL-mInlA+ did not significantly increase plasmid transfer rate in mice [10].
In this manuscript, we evaluated wether the immune response elicited by L. lactis-mediated DNA immunization could be modified by production of invasins on the cell surface. We report that intranasal or oral DNA administration using invasive LL-FnBPA+ carrying pValacBLG (LL-FnBPA+ BLG) elicits a T H 2 primary immune response whereas the non invasive strain (LL-BLG) elicited a classical T H 1 immune response. These results were confirmed using another L. lactis strain producing a mutated InlA and carrying pValacBLG (LL-mInlA+ BLG). We reported previously that oral administration of LL-mInlA+ BLG or LL-FnBPA+ BLG will elicit the production of BLG in mice enterocytes [10,11].Differences between immune responses observed after mucosal administration of invasive and non invasive strains were not due to a difference in peptidoglycan composition. Unexpectedly production of two unrelated different invasins from pathogens led to the similar modification of the intrinsic immunomodulatory properties of L. lactis with respect to DNA delivery.

DNA immunization using LL-FnBPA+ BLG or LL-BLG strains elicits different BLG-specific primary immune responses
In order to know if the production of FnBPA at the surface of L. lactis could influence its immunomodulatory properties, mice were orally or intranasally administered with LL-wt (control), LL-BLG or LL-FnBPA+ BLG strains and the BLG specific primary immune response was monitored. No BLG specific IgG1, IgG2a or IgE could be detected in mice sera regardless of administration route (data not shown). Splenocytes from orally and intranasally administered mice were reactivated with BLG and secreted IFN-c, IL-4 and IL-5 cytokines were assayed in the medium. Splenocytes of mice intranasally ( Fig. 1 A) or orally immunized ( Fig. 1 B) with LL-BLG strain secreted only IFN-c, IL-4 and IL-5 were detected in medium of BLG-reactivated splenocytes from mice receiving LL-FnBPA+ BLG ( Fig. 1 A) intranasally. Moreover, only IL-5 cytokine secretion by BLG-reactivated splenocytes from mice orally immunized with LL-FnBPA+ BLG was observed ( Fig. 1 B). No IL-4 secretion was detected in mice orally administered with LL-FnBPA+ BLG (data not shown). Therefore, mice treated with LL-FnBPA+ BLG exhibit a T H 2 BLG-specific immune response, whereas a classical T H 1 BLG-specific immune response was observed in mice treated with LL-BLG.
Mice undergoing intranasal administration of LL-BLG were protected from further BLG sensitization in contrast to mice pre-administered with LL-FnBPA+ BLG After intranasal or oral administration of LL-wt, LL-BLG or LL-FnBPA+ BLG strains, mice were sensitized with BLG in alum in order to elicit a T H 2 immune response. The concentrations of BLG-specific IgG1, IgG2a and IgE were monitored in sera of sensitized and intranasally pre-treated mice (Fig.2). Naïve sensitized mice (mice not receiving bacteria) exhibited a T H 2 immune response characterized by a high level of BLG-specific IgG1 and IgE. Pre-treatment with LL-wt control strain had no effect on IgG1, IgG2a or IgE level. Despite a decrease of 25% on average, there was no significant difference in IgE level between naive sensitized mice and mice pre-treated with LL-FnBPA+ BLG (Fig. 2). In contrast, mice pre-treated with LL-BLG showed a statistically significant decrease of 45% less BLG-specific IgE antibody (Fig. 2).
No differences in the levels of IgG1, IgG2a or IgE could be detected between mice orally immunized with LL-wt, LL-BLG or LL-FnBPA+ BLG strains and naive sensitized mice (data not shown).
Cytokines secreted by BLG reactivated splenocytes after BLG sensitization confirmed the T H 2 orientation of the immune response elicited by the administration of LL-FnBPA+ BLG Splenocytes of mice sensitized after intranasal or oral pretreatment with either LL-FnBPA+ BLG or LL-BLG strains were reactivated by BLG and IFN-c, IL-4 and IL-5 cytokines were assayed in medium (Fig. 3). Regardless of the route of administration, mice pre-treated with LL-wt control strain exhibited a lower level of IFN-c and IL-5 as compared to the naïve-sensitized group. Therefore, a slight increase of IL-4 levels ( Fig. 3B) was observed only for mice orally pre-treated with LL-wt strain. Intranasal and oral pre-treatments with LL-BLG did not modify the levels of any cytokines. However, spleen cells from all sensitized mice pre-treated with LL-FnBPA+ BLG secreted higher amounts of IL-4 and IL-5 than those of the naïve-sensitized group (Fig. 3).

Intranasal administration of invasive LL-mInlA+ BLG does not elicit a T H 1 BLG-specific primary immune response
To study if the T H 2 orientation of the immune response was or not FnBPA-specific, another invasive strain, LL-mInLA+ BLG, was administered intranasally to mice. Splenocytes from mice pretreated with LL-BLG, LL-FnBPA+ BLG or LL-mInlA+ BLG were reactivated with BLG and IFN-c, IL-4 and IL-5 were assayed in the medium. Splenocytes of mice pre-treated with non invasive LL-BLG secreted only IFN-c (Fig. 4), whereas no cytokines were detected in media of mice pre-treated with both invasive LL-FnBPA+ BLG or LL-mInlA+ BLG strains.

Peptidoglycan composition of cell wall from LL-BLG, LL-FnBPA+ BLG and LL-mInLA+ BLG is highly similar
Peptidoglycan (PG) of cell wall is well known for its adjuvanticity role. We studied if the production of heterologous proteins as invasins at the surface of L. lactis would modify its composition. The PG composition of the different strains LL-BLG, LL-FnBPA+ BLG and LL-mInlA+ BLG was compared. For this purpose, PG was extracted from each strain, digested with mutanolysin and the resulting muropeptides were separated by RP-HPLC. Comparison of the obtained muropeptide profiles (Fig. 5) did not reveal any differences at the level of PG composition between the strains.

Discussion
In this paper, we compared the immune response induced in mice via DNA immunization by administration of either non invasive or recombinant L. lactis strain producing FnBPA or mInLA. We previously demonstrated in vitro and in vivo that L.lactis is able to transfer a fully functional plasmid to eukaryotic cells of the murine epithelial membrane [1,2]. In order to understand and improve the DNA delivery, recombinant strains producing invasins from various pathogens, such as FnBPA, InlA, or a mutated form of InlA, were developed. In vitro, all of our invasive strains were better DNA delivery vectors than non invasive strains [7,11,18]. In vivo, the use of the invasive LL-FnBPA+ BLG strain increased the number of mice producing BLG, but not the quantity of BLG produced [11] whereas the use of LL-mInlA+ BLG did not significantly change either of the two aforementioned parameters [18]. Herein, we would like to determine the incidence of the invasin expression on the nature of the immune response elicited by administration of such strains compared to non invasive ones.
Since 1996 it was clearly shown that T H 1 is the main immune response elicited by DNA immunization [3]. Several previous approaches had demonstrated that the nature of the antigen [4,19,20], the route of administration [21,22,23] or the genetic background of the host [4,24] could significantly influence the immune response.
We previously published that DNA vaccination using noninvasive lactococci elicits a T H 1 type of immune response [2]. In this study, we confirmed this result and report for the first time on intranasal DNA immunization, using recombinant invasive lactococci strains. After intranasal administration, the wild type LL-BLG strain induced a T H 1 type of immune response as represented by the presence of IFN-c cytokine secretion. We compared the immune responses observed with LL-BLG using different routes of administration and showed that intranasal immunization was more effective than oral immunization. Similar results have already been described for protein vaccination using Lactic Acid Bacteria (LAB) [25,26].
Surprisingly, intranasal or oral administration of LL-FnBPA+ BLG strain elicited a T H 2 type of immune response characterized by secretion of IL-4 or IL-5 by BLG reactivated splenocytes. After BLG sensitization, no decrease of IgE concentration was observed in mice. The results clearly showed that DNA immunization using invasive LL-FnBPA+ BLG strain polarized the immune response toward a T H 2-type in contrast to the T H 1-type response elicited by DNA vaccination using non invasive LL-BLG strain. We explored if this phenomenon was FnBPA-specific or if it was linked to the invasivity properties of our strain. In order to answer to this question, we performed the same type of experiments using a new recombinant invasive strain producing a mutated form of Internalin A from Listeria monocytogenes, LL-mInlA+ BLG. Invasivity of LL-FnBPA+ BLG and LL-mInlA+ BLG were tested in vitro and were comparable [18]. In vivo BLG expression detected in enterocytes was comparable between mice orally administered with LL-BLG, LL-FnBPA+ BLG or LL-mInlA+ BLG (data not shown). We were not able to detect any IFN-c in medium of BLG reactivated splenocytes from mice treated with LL-mInlA+ BLG. Moreover, neither IL-4 nor IL-5 was detected but the level of IFNc secreted by BLG reactivated splenocytes from mice administered with LL-BLG was 10-times higher than in the previous It has been recently described that production of invasins at the surface of lactobacilli can modify their immunomodulatory properties. The production of invasin from Yersinia pseudotuberculosis at the surface of Lactobacillus plantarum changed its profile from neutral to pro-inflammatory [27]. The authors determined the immunomodulatory properties of their strain only in vitro using monocytes stably transfected with NF-kB reporter system.
Usually, bacteria used as DNA delivery vectors are attenuated pathogens like L. monocytogenes or recombinant invasive E. coli [28,29]. L. monocytogenes infection is accompanied by a strong innate immune response followed by a T-cell activation of T H 1 type [30]. Attenuated Salmonella typhimurium delivering a DNA vaccine coding for cyst wall protein-2 (CWP-2) from Giardia lamblia was able to elicit a mixed CWP-2 specific cellular T H 1/T H 2 immune response after oral administration [31]. A humoral immune response was characterized by the presence of CWP-2 specific IgG2a in sera. Moreover, the use of invasive E. coli expressing the invasin from Y. pseudotuberculosis and Listeriolysin-O (LLO) from L. monocytogenes could elicit a T H 1 immune response characterized by secretion of IFNc from reactivated splenocytes. Similar results were obtained when non invasive E. coli was used as DNA delivery vector, but the induction of immune response was less effective. In addition no T H 2 cytokines were assayed. Protection against challenge could be induced with a better efficiency than naked DNA [32]. Using the same type of bacterial vector to deliver GFP, Harms et al. [33] observed a mixed T H 1/ T H 2 immune response for both invasive and non invasive E. coli. The secondary immune response provides a more defining T H 1 cytokine profile. Our results with DNA vaccination using noninvasive lactococci elicited this "classical" T H 1 immune response, while the use of LL-FnBPA+ BLG or LL-mInlA+ BLG invasive strains led to a T H 2 type immune response. However the immune response elicited by the use of invasive L. lactis was low level. It is possible that the main immune response was a tolerization characterized by a high number of Treg.
We know that invasive or non invasive L. lactis strains can transfer plasmids in vivo, to enterocytes [11], but other subsets of epithelial cells may also be targeted by the invasive LAB, thus modifying the immune response. Tropism of non invasive E. coli and invasive E. coli expressing the invasin from Y. pseudotuberculosis, LLO from L. monocytogenes or GFP protein at the cell surface were observed ex vivo in murine small intestine tissue. Invasive E. coli was mainly detected in the Peyer's patches. Non invasive E. coli can gain also entry to the Peyer's patches, but with less efficiency [34]. Invasive bacteria were also assayed in Peyer's patch antigenpresenting cells. 3% of the DCs and 0.5% of the leukocytes were GFP positive [34]. The same phenomenon could happen with our recombinant lactococci and might explain the differences between the type of immune responses. If the invasive lactococci preferentially penetrate into the Peyer patches, BLG produced in M cells and phagocytosed by macrophages would then be presented under a MHC II context, eliciting a CD4+T H 2 cell immune response characterized by the secretion of IL-4 or IL-5 as seen in our experiments. Alternately, non invasive lactococci would transfer plasmids mostly to enterocytes or DCs which will then present BLG under a MHC I context eliciting a CD8+ T cells immune response characterized by the secretion of IFNc. Currently, there is no supporting evidence available to explain why invasive lactococci could penetrate with more efficiency in M cells than in enterocytes.
E-cadherin, mInlA receptor, is expressed on the basolateral membrane of epithelial cells which are strongly linked to each other in the gut turning E-cadherin less available. It has been shown recently that L. monocytogenes could enter in the epithelial membrane through extruding epithelial cells at the top of the villi but mainly through goblet cells which are located deeper in the crypt [35]. The difference of immune response between invasive and non invasive lactococci could also be explained by a difference in the composition of the cell wall. Indeed some recent studies have revealed the crucial role of cell wall components in immune response against bacteria like Bacteroides fragilis [36,37] or probiotics [38,39]. Thus, we decided to check if the expression of invasins at the surface of L. lactis could modify the peptidoglycan composition of our recombinant strain, but no differences were detected.
To better understand why L. lactis recombinant invasive strains produced a low T H 2 response, we need to go further in the characterization of the immune response, for example the subset of T cell involved, the nature of cells taken up our bacteria or plasmid. It would be interesting to know if the same bias is observed when we use our invasive bacteria to deliver proteins instead of plasmid. The data described here will help us to choose the vehicle depending on the nature of the desired immune response, pro-inflammatory or anti-inflammatory, to be induced by DNA delivery.

Ethics statement
All procedures were carried out in accordance with European and French guidelines for the care and use of laboratory animals. Permission 78-123 is a permit number dedicated to P. Langella. MICALIS (Microbiologie de l'Alimentation au Service de la Santé) review board specifically approved this study.

Bacterial strains, plasmids, media and growth conditions
Bacterial strains and plasmids used in this study are listed in Table 1. L. lactis subsp. cremoris strains were grown in M17 medium containing 0.5% glucose (GM17) at 30uC. E. coli strains were grown in Luria-Bertani medium and incubated at 37uC with vigorous shaking. Antibiotics were added at the indicated concentrations as necessary: erythromycin, 500 mg/ml for E. coli, and 5 mg/ml for L. lactis; chloramphenicol, 10 mg/ml for E. coli and L. lactis.

Apparatus and reagents
All enzymatic immunoassays were performed in 96-well microtitre plates (Immunoplate Maxisorb, Nunc, Roskilde, Denmark) using specialized Titertek microtitration equipment from Labsystems (Helsinki, Finland). Unless otherwise stated, all reagents were of analytical grade from Sigma (St Louis, MO, USA). BLG was purified from cow's milk as previously described [12].

Quantification of BLG-specific IgE, IgG1 and IgG2a
Blood samples were obtained from the retro-orbital venous plexus, centrifuged, supplemented with 0.1% sodium azide as a preservative, and the sera was stored at -20 uC until further assay. Naïve mice were bled on the same days to assess non-specific binding. Each immunization group was composed of 8 mice. BLG-specific IgE, IgG1 and IgG2a were measured using immunoassays, as previously described, allowing quantification of antibodies recognizing both native and denatured BLG [13]. Quantification of specific IgE is preceded by removal of serum IgG using protein G immobilized on porous glass (PROSEP, Bioprocessing, Consett, UK) avoiding IgG interference in IgE detection [14]. The minimum detectable concentrations are 8 pg/ ml for IgE, 7 pg/ml for IgG1 and 12 pg/ml for IgG2a.

Cytokine production
Mice were humanely killed and spleens were harvested under sterile conditions, and pooled per immunization group. After lysis of red blood cells (180 mM NH 4 Cl, 17 mM Na 2 EDTA) and several washes, splenocytes were resuspended in RPMI-10 (RPMI  supplemented with 10% foetal calf serum, 2 mM L-glutamine, 100 U penicillin, 100 mg/mL streptomycin). Cells were incubated for 60 h at 37uC (5% CO2) in 96-well culture plates (10 6 cells/well) in the presence of BLG (20 mg/mL) or concanavalin A (1 mg/mL, positive control). Incubations with PBS or ovalbumin (20 mg/mL) were done as negative controls. Supernatants were then removed and stored at -80uC until further assay. IFN-c, IL-4 and IL-5 was assayed using CytoSetsTM kits (BioSource International Europe, Nivelles, Belgium). Limits of detection are respectively of 5 pg/ml, 3 pg/ml and 1 pg/ml for IL-4, IL-5 and IFN-c.

Primary immune response elicited by oral or intranasal administration of bacteria strains
Strains were grown to saturation (overnight (ON) cultures) as described above. Before administration, strains were centrifuged at 5,000 g for 10 min at 4uC, and then resuspended in PBS to wash the bacteria. Washed bacteria were centrifuged again and the pellet was resuspended in PBS containing 10% Fetal Calf Serum to provide fibronectin during 2 hours of incubation at 4uC [11]. Then the strains were pelleted and resuspended in PBS. Groups of mice (n = 8) were fed orally with 10 9 CFU/mouse or received 10 9 CFU in 10 ml per nostril intranasally over 3 consecutive days. Two weeks after the last administration, mice received a booster, with 3 consecutive days of immunization with10 9 CFU/mouse by oral administration or 10 9 CFU by intranasal administration. One week after the last administration, mice were killed and bled. Naïve mice were killed and bled the same day to assess nonspecific immune response.
Immune response after sensitization in mice intranasally or orally administered with bacteria strains Mice were immunized following the same protocol listed in the aforementioned section. Two weeks after the final booster administration, all mice were sensitized by intraperitoneal injection of 5 mg BLG adsorbed on alum (1 mg/mouse; Alhydrogel 3%, Superfos Biosector als, Denmark) [15]. Mice were injected with a volume of 0.2 ml per mouse. Two weeks postsensitization, mice were humanely killed and bled. Serum was collected for assessing BLG-specific IgE, IgG1 and IgG2a concentrations as described above. Naïve mice (n = 8) were bled the same day to assess non-specific immune response. Naive sensitized mice received PBS orally or intranasally instead of bacteria. Spleens were harvested and isolated splenocytes were reactivated for cytokines secretion as described above.

Peptidoglycan structural analysis
Peptidoglycan was extracted from exponential phase cultures of the different L. lactis strains as described previously [16]. Peptidoglycan was then hydrolyzed with mutanolysin and the reduced soluble muropeptides were then separated by RP-HPLC with an Agilent UHPLC1290 system using ammonium phosphate buffer and methanol linear gradient as described previously [17].

Statistical analyses
All statistical calculations were done using GraphPad Prism version 5.00 for Windows (GraphPad Software, San Diego, CA). Data were analyzed using analysis of variance (ANOVA) and Tukey's multiple comparison test. A p-value less than 0.05 was considered significant.