Exploitation of the Host Cell Membrane Fusion Machinery by Leishmania Is Part of the Infection Process

Successful vacuolar pathogens have developed sophisticated strategies to hijack the endomembrane system of host cells, sabotage their signal transduction pathways, and evade antimicrobial responses. The protozoan parasite Leishmania, the causative agent of leishmaniases in humans, is particularly adept at transforming the macrophage into a hospitable host cell. Here, we describe how Leishmania promastigotes subvert the macrophage membrane fusion machinery to create an intracellular compartment favorable to the establishment of infection and to manipulate host immune responses.

Successful vacuolar pathogens have developed sophisticated strategies to hijack the endomembrane system of host cells, sabotage their signal transduction pathways, and evade antimicrobial responses. The protozoan parasite Leishmania, the causative agent of leishmaniases in humans, is particularly adept at transforming the macrophage into a hospitable host cell. Here, we describe how Leishmania promastigotes subvert the macrophage membrane fusion machinery to create an intracellular compartment favorable to the establishment of infection and to manipulate host immune responses.

What Is the Membrane Fusion Machinery?
Cellular functions such as phagocytosis and cytokine secretion rely heavily on a complex network of vesicle trafficking pathways that interconnect most membrane-bound intracellular compartments [1]. A critical step in the exchange of cargoes between vesicles in this network is the process of membrane fusion, which is mediated by SNARE (soluble N-ethylmaleimidesensitive factor attachment protein receptor) proteins. This superfamily of integral and peripheral membrane proteins displays the distinctive SNARE motif, a stretch of heptad repeats that form a coiled-coil structure with a conserved arginine (R) or glutamine (Q) residue at the central "0" layer. Fusogenic SNARE complex formation requires the parallel association of an R-SNARE domain on the vesicle membrane with three cognate Q-SNARE domains on the target compartment. The subsequent "zippering" of this four-helix bundle from the membrane-distal amino termini towards the membrane-proximal carboxyl termini brings the two apposed membranes into close proximity and provides sufficient mechanical force to overcome the energy barrier for the formation of the fusion pore [1].
Whereas SNAREs make up the core of membrane fusion machinery, a large number of additional proteins are required for the spatiotemporal orchestration of the entire process [2]. For instance, the family of Rab GTPases are master regulators of virtually all events leading to membrane fusion. Indeed, Rab effectors include motor proteins (for vesicle trafficking along the cytoskeleton) and membrane tethers (for the initial, loose attachment to the target compartment). A set of chaperones, such as the proteins of the Sec1/Munc18 (SM) family, Munc13 and Complexins, oversee the timing of cognate SNARE pairing by restricting SNARE accessibility at first, then initiating partial SNARE complex formation and keeping it in a "release-ready" state until the appropriate moment for membrane fusion. The final trigger for pore formation is provided by synaptotagmins (Syts), a family of calciumsensing membrane proteins that control fusion via interactions with SNARE proteins and membrane lipids. Ultimately, SNARE complexes are disassembled by the ATPase NSF (N-ethylmaleimide-sensitive factor) and the adaptor protein α-SNAP (soluble NSF attachment protein).

What Is the Role of Vesicle Trafficking and Membrane Fusion during the Phagocytic Process?
Binding and internalization of infective Leishmania stages to macrophages involves multiple phagocytic receptors [3]. Phagocytosis of those large particles requires the expense of a considerable amount of plasma membrane for pseudopod extension around the prey. Various membrane-bound intracellular compartments lend a hand to this process by fusing with the cell surface and rapidly providing endomembrane required for particle engulfment [4]. Focal exocytosis of recycling endosomes, for instance, contributes not only to phagocytosis but also allows for rapid secretion of preformed inflammatory cytokines including TNF and IL-6 [5]. Fusion of recycling endosomes with the cell surface is mediated by the R-SNARE VAMP3 (vesicle-associated membrane protein 3) [1,4] and is regulated by Syt V [6]. Interestingly, Syt XI also localizes to recycling endosomes and is recruited to nascent phagosomes, but acts as a negative regulator of phagocytosis and cytokine secretion [7]. Late endosomes and lysosomes assist large particle phagocytosis as well, in a VAMP7-and Syt VII-dependent manner [1,4,8]. Contribution of the endoplasmic reticulum (ER) as a source of endomembrane varies according to the nature of the phagocytosed particle and requires the ER Q-SNARE Stx18 [4,9]. Upon the completion of particle internalization, the phagosome undergoes a series of "kissand-run" fusion and fission events with vesicles of the endocytic pathway, culminating in the creation of a highly microbicidal and immunologically competent compartment, the phagolysosome. Various components of the membrane fusion machinery participate in the genesis of this organelle, including the endosomal R-SNARE VAMP8 for the recruitment of the NADPH oxidase NOX2 [10], Syt V for the acquisition of the v-ATPase (vesicular proton-ATPase) [11], and the ER R-SNARE Sec22b for the recruitment of ER components required for antigen crosspresentation [12].

Do Leishmania Parasites Disrupt the Membrane Fusion Machinery to Tamper with Macrophage Responses?
Pathogens use a variety of tactics to manipulate membrane fusion and vesicle trafficking to cause disease [13]. The intracellular bacteria Chlamydia and Legionella, for instance, produce proteins with SNARE-like motifs that interact with host SNAREs and inhibit SNARE-mediated membrane fusion. The best-known example is the specific cleavage of SNAREs by clostridial neurotoxins, which are potent blockers of neurotransmission in peripheral cholinergic nervous system synapses [14]. Leishmania promastigotes use two abundant surface GPIanchored virulence factors to interfere with vesicle trafficking and fusion: GP63 (glycoprotein 63), a zinc-dependent metalloprotease, and LPG (lipophosphoglycan), a polymer of repeating Gal β1,4 Man α1 -PO 4 units. Upon internalization of the parasites, GP63 and LPG are rapidly redistributed throughout infected cells (Fig 1). Akin to the clostridial neurotoxins, GP63 cleaves components of the host cell membrane fusion machinery, including VAMP3, VAMP8, and Syt XI (Table 1) [10,15]. The consequences of these cleavage events are diverse. In macrophages and dendritic cells, processing of exogenous antigens for crosspresentation on MHC I molecules is controlled by the NADPH oxidase NOX2: phagosome oxidation prevents excessive acidification and destruction of peptides destined for recognition by T cells [16]. Since VAMP8 is involved in the recruitment of NOX2 to phagosomes, GP63-mediated cleavage of VAMP8 results in increased phagosomal proteolytic activity, ensuing in defective crosspresentation of Leishmania antigens to T cells [10]. In parallel, during a noncanonical autophagic process referred to as LC3-associated phagocytosis (LAP), NOX2-mediated phagosomal oxidation promotes the recruitment of the autophagy-related protein LC3 to a subset of phagosomes. Several roles have been attributed to LAP, including increased phagosomal microbicidal activity and enhanced antigen presentation on MHC II molecules [17]. By cleaving VAMP8 and preventing phagosomal recruitment of NOX2, GP63 allows Leishmania major promastigotes to evade LAP [18], possibly contributing to the impairment of phagosome maturation and further inhibiting antigen presentation to T cells. Consistent with the role of Syt XI as a negative regulator of cytokine secretion, cleavage of this endosomal protein by GP63 from L. major promastigotes increases the postinfection release of TNF and IL-6 [15]. These proinflammatory cytokines are responsible for the augmentation of neutrophil and inflammatory monocyte influx to the parasite inoculation site, which contributes to the spread and maintenance of infection.
Insertion of LPG into host cell lipid microdomains causes remodeling of the phagosome and delays its maturation into a highly microbicidal phagolysosome, as a result of reduced fusogenicity towards late endosomes and lysosomes [19]. The current model of LPG-mediated phagosome remodeling is that LPG disrupts membrane lipid microdomains and thereby interferes with the clustering of host molecules at these sites [19]. For instance, SNAREs and other members of the membrane fusion machinery are typically concentrated in cholesterol-rich membrane rafts [1]. Therefore, one consequence of LPG-mediated microdomain disorganization is the exclusion of Syt V from the phagosome (Table 1). This, in turn, abrogates v-ATPase recruitment and impedes phagosome acidification [11].
Aside from GP63-mediated cleavage and LPG-induced phagosomal exclusion of SNAREs and Syts, Leishmania parasites also target components of the membrane fusion machinery at the transcriptional level. Infection of human macrophages with L. major or L. amazonensis leads to the up-regulation of Syt II, VI, and VIII [20]. The underlying mechanism, including the parasite factors and/or host proteins involved, and the repercussions on PV (parasitophorous vacuole) formation and infection outcome have yet to be uncovered. Of note, the genome of L. major encodes a repertoire of 27 putative SNARE proteins, which can be segregated into R-SNAREs and Q-SNAREs based on the classification system used for other organisms. Most of these proteins display the expected structural characteristics of functional SNAREs, while a few show peculiarities. For instance, four proteins lack a predicted transmembrane domain or GPI-anchor, and only two out of the four possess potential lipidation sites for attachment to membranes [21]. Whether any of these 27 putative SNAREs play a role in the manipulation of host cell fusion events by Leishmania parasites is unknown.

Do Leishmania Parasites Promote Vesicle Fusion to Drive PV Formation?
Old World Leishmania species (L. major, L. donovani, and L. tropica) reside in small, tight-fitting PVs that undergo fission shortly after parasite replication, therefore rarely containing Both types of PVs continuously interact with the host cell reservoir of acidic [22] and ERderived vesicles [23], most likely to accommodate for the high membrane demand. Biogenesis of large communal PVs involves homotypic fusion between smaller PVs (Fig 2) [22], which may rely on the hijacking of specific components of the membrane fusion machinery. In support of this model, targeting the ERGIC (ER-Golgi intermediate compartment) Q-SNARE Stx5 or the ER R-SNARE Sec22b and its cognate Q-SNARE partners Stx18 and D12 restricts the expansion of L. amazonensis PVs and is detrimental to parasite replication [24]. Whether the molecular basis for this fundamental difference in the lifestyle of these two groups of Leishmania is related to differential expression or activity of virulence factors such as GP63 that directly target specific components of the host cell machinery remains to be investigated.

Conclusion
As our understanding of the function of membrane fusion mediators deepens, we are able to get a better insight into the challenges faced by Leishmania parasites upon entry into host cells and, in parallel, the mechanisms of parasite virulence and pathogenesis. Conversely, Leishmania represents a superb tool for the identification of novel roles for the membrane fusion machinery in macrophages, by investigating the functional consequences of host protein cleavage or intracellular redistribution on cell and immune functions. Components of the membrane fusion machinery might emerge as targets for novel therapeutic interventions in infectious and inflammatory diseases.