Dendritic cells (DCs) are specialized phagocytes that internalize exogenous antigens and microbes at peripheral sites, and then migrate to lymphatic organs to display foreign peptides to naïve T cells. There are several examples where DCs have been shown to be more efficient at restricting the intracellular replication of pathogens compared to macrophages, a property that could prevent DCs from enhancing pathogen dissemination. To understand DC responses to pathogens, we investigated the mechanisms by which mouse DCs are able to restrict replication of the intracellular pathogen Legionella pneumophila. We show that both DCs and macrophages have the ability to interfere with L. pneumophila replication through a cell death pathway mediated by caspase-1 and Naip5. L. pneumophila that avoided Naip5-dependent responses, however, showed robust replication in macrophages but remained unable to replicate in DCs. Apoptotic cell death mediated by caspase-3 was found to occur much earlier in DCs following infection by L. pneumophila compared to macrophages infected similarly. Eliminating the pro-apoptotic proteins Bax and Bak or overproducing the anti-apoptotic protein Bcl-2 were both found to restore L. pneumophila replication in DCs. Thus, DCs have a microbial response pathway that rapidly activates apoptosis to limit pathogen replication.
The immune system is designed to identify microbes that enter the body and elicit responses that prevent the replication and dissemination of these organisms. Dendritic cells play an important role in regulating host immunity to pathogens. Their phagocytic capacity enables DCs to internalize and destroy most microbes, and the ability of DCs to migrate to specialized lymphoid organs is important for inducing antigen-specific immunity. Here, we analyzed interactions between DCs and Legionella pneumophila, a bacterial pathogen that can subvert phagocytic host cell functions to create a vacuole that permits intracellular replication. We found that L. pneumophila infection rapidly induced DCs to commit cell death through apoptosis. Rapid apoptosis was not observed after infection of macrophages, which are the phagocytic cells that support L. pneumophila replication in the lungs of infected animals. Using cells derived from knockout mice, we found that DCs deficient in the proteins Bax and Bak, which are essential for induction of the apoptosis pathway, were unable to restrict the intracellular replication of L. pneumophila. Likewise, overproduction of Bcl-2, which is a negative regulator of apoptosis, resulted in DCs that were permissive for L. pneumophila replication. These data indicate DCs have the ability to rapidly undergo apoptosis when infected with a microbe capable of replicating intracellularly, and this response effectively prevents pathogen replication. We hypothesize that this response may be designed to interfere with the migration of infected DCs through the lymphatic system, which would prevent DCs from serving as a “Trojan Horse” that transports pathogenic microbes from peripheral sites to central organs.
Citation: Nogueira CV, Lindsten T, Jamieson AM, Case CL, Shin S, Thompson CB, et al. (2009) Rapid Pathogen-Induced Apoptosis: A Mechanism Used by Dendritic Cells to Limit Intracellular Replication of Legionella pneumophila. PLoS Pathog 5(6): e1000478. https://doi.org/10.1371/journal.ppat.1000478
Editor: Brad T. Cookson, University of Washington, United States of America
Received: November 20, 2008; Accepted: May 18, 2009; Published: June 12, 2009
Copyright: © 2009 Nogueira et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Funding: Supported by Fundação para a Ciência e a Tecnologia (BD/11758/2003) (C.N.); NIH Ruth L. Kirchenstein National Research Service Award and the Irvington Institute Fellowship Program of the Cancer Research Institute (S.S.), National Science Foundation Graduate Research Fellowship (C.L.C.), and NIH grant R01-AI048770 (C.R.R.). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Competing interests: The authors have declared that no competing interests exist.
Macrophages and dendritic cells (DCs) are the sentinels of the innate immune system. They are key in sensing infection and activating downstream antimicrobial responses ,. These professional phagocytes are activated following stimulation of pattern-recognition receptors, such as transmembrane Toll-like receptors (TLRs) and cytoplasmic nucleotide-binding domain and leucine-rich repeat containing receptors (NLRs) by pathogen-associated molecular patterns (PAMPs). Signaling through these receptors induces the expression and secretion of proinflammatory cytokines, chemokines and other antimicrobial defense molecules –.
Bacterial pathogens that are able to infect and establish residence within macrophages and DCs provide a unique challenge to the innate immune system, as many pathogens have evolved virulence factors that subvert the cellular processes of these cells. One such pathogen is Legionella pneumophila, the etiological agent of the severe pneumonia known as Legionnaires' disease ,. L. pneumophila is able to infect alveolar macrophages and modulate transport of the phagosome in which it resides to avoid fusion with endosomes and lysosomes . L. pneumophila has the ability to recruit vesicles in transit between the endoplasmic reticulum (ER) and Golgi apparatus and use these vesicles to remodel the L. pneumophila-containing vacuole (LCV) to create a unique ER-derived vacuole that supports intracellular replication –. Modulation of intracellular transport of the LCV requires a functional type IV secretion system (TFSS) encoded by the dot and icm genes, which translocates bacterial effectors directly into the host cytosol –. Many of the translocated effector proteins engage host factors involved in vesicular transport and assist in LCV transport –. L. pneumophila mutants defective in the Dot/Icm system do not replicate intracellularly, as they are unable to modulate intracellular transport and occupy a more conventional phagosome that undergoes rapid endocytic maturation ,.
Although L. pneumophila has evolved sophisticated strategies to overtake phagocytic host cells, the mammalian innate immune system is able to efficiently control bacterial infection and replication. Responses controlled by the TLR adaptor protein MyD88 effectively clear L. pneumophila from the lungs of infected mice –. NLRs also contribute to the detection and control of infection. Naip5 (Birc1e), an NLR encoded within the Lgn1 locus, limits replication of L. pneumophila in mouse macrophages –. Naip5 is activated by a Dot/Icm-dependent signaling event that presumably involves the delivery of the bacterial protein flagellin into the host cell cytosol –. Naip5 in conjunction with the NLR protein Ipaf activates caspase-1, which limits L. pneumophila replication in macrophages by inducing a pro-inflammatory cell death pathway known as pyroptosis –.
Naip5 control of caspase-1 activation does not seem to be the only cellular mechanism used by innate immune cells to control L. pneumophila replication. In DCs infected with L. pneumophila, although phagosomes containing bacteria are able to mature into ER-derived organelles, bacterial replication is limited . DCs are still able to process and present L. pneumophila antigens on MHC class II molecules, and de novo synthesis of L. pneumophila proteins inside DCs is critical for maximal stimulation of CD4+ T cells. This indicates that restriction of L. pneumophila replication could be important to the ability of DCs to present bacterial antigens to T cells and direct subsequent adaptive immune responses . Interestingly, DCs are able to limit the intracellular replication of several other pathogens that are capable of replicating in macrophages, such as Listeria monocytogenes, Mycobacterium tuberculosis and Salmonella enterica Serovar Typhimurium –.
Thus, it appears that there are inherent differences between DCs and macrophages with respect to their abilities to restrict replication of intracellular pathogens. We show here that one of these differences involves the ability of DCs to rapidly activate a cell intrinsic apoptotic cell death pathway in response to the intracellular pathogen L. pneumophila.
Canonical pathogen surveillance pathways are not required for restriction of L. pneumophila replication by DCs
Signaling through TLRs in macrophages results in enhanced phagocytosis and phagosome fusion with lysosomes . Thus, innate immune recognition of L. pneumophila could activate cellular processes that control bacterial replication in DCs. Cells deficient in the adapters MyD88 or Rip2 were used to interfere with the TLR and Nod signaling pathways respectively, to determine whether L. pneumophila replication in DCs is restricted by activation of signaling pathways controlled by innate immune receptors. Replication of L. pneumophila was not detected in DCs derived from A/J mice, which are defective for Naip5 signaling, or from A/J-derived mice deficient in either MyD88 or Rip2 (Figure 1A). By contrast, exponential replication of L. pneumophila occurred in the macrophages derived from these mice (Figure 1A). L. pneumophila intracellular replication was not observed in DCs derived from mice deficient in both MyD88 and Trif (data not shown), indicating that the lack of both of these TLR adaptor proteins did not restore L. pneumophila intracellular replication in DCs. Thus, DC restriction of L. pneumophila replication does not require TLR signaling through MyD88 and Trif or Nod1/2 signaling through Rip2.
(A) BMMs (closed bars) and DCs (open bars) from A/J, Myd88−/− and Rip2−/− mice were infected with L. pneumophila WT for 72 h. Intracellular replication is determined by dividing L. pneumophila CFUs recovered at 72 h by the CFUs recovered at 1 h post infection. (B) BMMs (closed bars) and DCs (open bars) derived from Casp1−/− or the Casp1+/+ littermate mice were infected with L. pneumophila WT. Intracellular replication is determined by dividing L. pneumophila CFUs recovered at 72 h by the CFUs recovered at 1 h post infection. Cells were homozygous for the permissive Lgn1 allele from the A/J mouse as indicated. Data are the mean±SD from three independent wells. N.D. = not detectable.
Mouse macrophages restrict L. pneumophila replication by inducing a cell death pathway controlled by Naip5 and caspase-1 . Mouse macrophages become permissive for L. pneumophila replication if they are homozygous for the permissive Naip5 gene encoded in the A/J mouse or if caspase-1 is absent –. Intracellular replication of L. pneumophila was examined in DCs derived from Naip5-deficient mice to determine if the Naip5 protein produced by A/J-derived DCs retained an activity sufficient to restrict replication. The Naip5−/− DCs did not support replication of L. pneumophila (Figure S1). It remained possible that proteins other than Naip5 might activate a caspase-1-dependent pathway that prevented L. pneumophila replication in DCs from A/J mice. To test this possibility, L. pneumophila replication was measured in DCs derived from caspase-1-deficient mice homozygous for the A/J Naip5 allele (Casp1−/−). L. pneumophila replication was not detected in Casp1−/− DCs, whereas, L. pneumophila replication was similar in BMMs from these same Casp1−/− and caspase-1-sufficient mice (Casp1+/+) (Figure 1B). Thus, Naip5 and caspase-1 are not required for DC restriction of L. pneumophila replication.
DC apoptosis occurs rapidly after L. pneumophila infection
Although caspase-1-mediated cell death was not required for DCs to restrict the replication of L. pneumophila, it remained possible that another cell death pathway could be important for this process. Thus, we examined whether apoptosis occurred upon L. pneumophila infection of DCs. TdT-mediated dUTP-biotin nick end-labeling (TUNEL) analysis was performed on DCs infected for 6 hours with either wild type (WT) L. pneumophila or the isogenic ΔdotA strain that has a nonfunctional Dot/Icm secretion system. Examination of DCs that had internalized WT L. pneumophila revealed that 37% were TUNEL positive (Figure 2A and 2B, top panel). Only 1% of DCs containing the ΔdotA strain were TUNEL positive (Figure 2A and 2B, top panel). The majority of DCs were TUNEL positive following induction of apoptosis with staurosporine (staur), a broad-spectrum protein kinase inhibitor (Figure 2B, bottom panel). Similar results were obtained using Casp1−/− DCs (Figure S2), indicating that the absence of caspase-1 did not prevent apoptosis in DCs infected with L. pneumophila.
(A) Fluorescence micrographs show TUNEL staining (green) of DCs from A/J mice infected for 6 h with either L. pneumophila WT (top left panel) or ΔdotA (top right panel). Total DNA was stained with DAPI (blue) and bacteria are red. Non-infected DCs (bottom left panel) or DCs treated with staurosporine for 5 h (bottom right panel) were used as negative and positive controls, respectively. (B) Quantification of the percentage of infected cells that were TUNEL positive (top graph); Quantification of the percentage of total cells that were TUNEL positive in the non-infected DCs and staurosporine-treated DCs (bottom graph). (C) Displayed are the percentage of L. pneumophila WT infected DCs (closed bars) or BMMs (open bars) that were TUNEL positive at 1, 2, 4, 6 and 12 h after infection. Data are represented by the mean±SD of 500 cells counted per each coverslip in triplicate. ** p<0.01. Bar = 10 µm.
Macrophages and DCs were infected with WT L. pneumophila to compare the kinetics of apoptosis. At 1-hour post infection, infected DCs became TUNEL positive, whereas, TUNEL-positive macrophages were not apparent until12-hours post infection (Figure 2C). In addition to using TUNEL staining, the kinetics of apoptosis was determined by measuring caspase-3/7 activity in DCs and macrophages after L. pneumophila infection. At 4-hours post infection there was a significant Dot/Icm-dependent increase in caspase-3/7 activity in DC extracts, but not in corresponding macrophage extracts (Figure S3). A significant increase in Caspase-3/7 activity was not observed for macrophages until 11-hours post infection (Figure S3). Thus, apoptosis in DCs was induced by L. pneumophila with faster kinetics than in similarly infected macrophages.
Caspase-3-mediated effector responses are induced by L. pneumophila after DC infection
Caspase-3 mediates many of the downstream effector responses in the apoptotic cell death pathway, including fragmentation of DNA in the nucleus . Caspase-3-deficient mice (Casp3−/−) were used to determine whether DNA fragmentation induced after L. pneumophila infection of DCs was due to induction of the apoptotic cell death pathway. TUNEL analysis performed on DCs derived from Casp3−/− and Casp3+/+ mice 6 hours after infection with L. pneumophila revealed that 57% of the infected Casp3+/+ DCs were TUNEL positive, whereas only 9.5% of Casp3−/− DCs infected with WT L. pneumophila were TUNEL positive (Figure 3A, left panel and 3B). Both Casp3−/− and Casp3+/+ DCs infected with the ΔdotA strain showed minimal TUNEL staining (Figure 3A, right panel and 3B). Thus, L. pneumophila infection of DCs rapidly activates downstream components of the apoptotic cell death pathway.
(A) Fluorescence micrographs show TUNEL staining (green) of Casp3+/+ and Casp3−/− DCs infected for 6 h with either L. pneumophila WT (left panel) or ΔdotA (right panel). Total DNA was stained with DAPI (blue) and bacteria are red. (B) The graph shows percentage of infected Casp3+/+ (closed bars) and Casp3−/− DCs (open bars) that were TUNEL positive. Cells were homozygous for the permissive Lgn1 allele from the A/J mouse as indicated. Data are represented by the mean±SD of 500 cells counted per each coverslip in triplicate. ** p<0.01. Bar = 10 µm.
Caspase-3 is involved in DC restriction of L. pneumophila replication
To determine whether activation of the apoptotic cell death pathway was important for DC restriction of L. pneumophila replication, DCs from A/J-derived Casp3−/− and Casp3+/+ mice infected with WT L. pneumophila were examined by fluorescence microscopy. The efficiency of L. pneumophila internalization determined 2 hours after infection was equivalent for Casp3−/− and Casp3+/+ DCs (Figure 4A, top panel). When DCs were examined 10 hours after infection, there was a significant increase in the percentage of infected Casp3−/− DCs that contained vacuoles supporting L. pneumophila replication (R.V.) (19%) compared to Casp3+/+ DCs (6%) (Figure 4A, bottom panel). Representative images in Figure 4A show that the number of L. pneumophila in vacuoles that supported replication was higher in Casp3−/− DCs, and that most of the infected Casp3+/+ DCs had condensed or fragmented nuclei. These data were corroborated by determining colony-forming units (CFUs) over time. There was roughly a 10-fold increase in L. pneumophila CFUs 72 hours after Casp3−/− DCs were infected with WT L. pneumophila compared to a slight decrease in CFUs recovered from Casp3+/+ DCs at 72 hours (Figure 4C). DCs eliminated the ΔdotA strain with equal efficiency. Macrophages derived from these mice were infected in parallel. The infected Casp3+/+ macrophages had normal nuclei (Figure 4B) and supported L. pneumophila replication to similar levels as the Casp3−/− macrophages (Figure 4B and 4D). These data indicate that caspase-3 plays a role in restricting L. pneumophila replication in DCs, but not macrophages.
(A) Casp3+/+ and Casp3−/− DCs were infected with L. pneumophila WT (green) and fixed at either 2 or 10 h after infection. Total DNA was stained with DAPI (blue). On the right are graphical representations of the percentage of infected Casp3+/+ and Casp3−/− DCs at 2 h post infection and the percentage of infected DCs with vacuoles containing replicating L. pneumophila at 10 h post infection. (B) Fluorescence micrographs of Casp3+/+ and Casp3−/− BMMs (blue) that were fixed at either 2 or 10 h after infection with L. pneumophila WT (green); On the right are graphical representations of the percentage of infected BMMs at 2 h post infection and the percentage of infected BMMs with vacuoles containing replicating L. pneumophila at 10 h post infection. Data represent the mean±SD of 500 cells counted per coverslip in triplicate. R.V. = vacuoles containing replicating bacteria. ** p<0.01. Bar = 10 µm. (C) DCs or (D) BMMs from Casp3+/+ (triangles) or Casp3−/− mice (squares) were infected with either L. pneumophila WT (closed symbols) or ΔdotA (open symbols) and intracellular bacterial replication was measured over a period of 72 h. The fold increase in replication was determined by dividing L. pneumophila CFUs recovered at the indicated time point by the L. pneumophila CFUs recovered at 1 h post infection. Cells were homozygous for the permissive Lgn1 allele from the A/J mouse as indicated. Data represent the mean±SD from three independent wells. * p<0.05.
Cell death mediated by Bax and Bak restricts L. pneumophila replication in DCs
Bax and Bak play a central role in regulating apoptosis. When activated by members of the BH3-only protein family, Bax and Bak create a channel in the membrane of mitochondria that releases cytochrome c. This results in activation of the apoptosome and the subsequent activation of effector caspases, such as caspase-3 –. DCs derived from C57BL/6 (B6) and from mice deficient in Bak (Bak−/−) or both Bax and Bak (Bax−/−Bak−/−) were analyzed to determine if Bax and Bak have a role in cell death induced by L. pneumophila. TUNEL analysis demonstrated that WT L. pneumophila induced equivalent levels of cell death in DCs derived from B6 and Bax−/−Bak−/− mice (Figure 5A), suggesting that the Naip5-dependent pathway of cell death remained functional in DCs. A L. pneumophila strain containing an in-frame deletion of the flaA gene encoding flagellin was used to bypass Naip5-mediated cell death –. A dramatic reduction in cell death was observed for Bax−/−Bak−/− DCs infected with L. pneumophila ΔflaA (Figure 5A). Measurements of caspase-3/7 activity following infection of DCs confirmed that Bax and Bak were required for induction of apoptosis by L. pneumophila ΔflaA (Table 1). Thus, L. pneumophila independently induces DC cell death by a Bax/Bak-dependent pathway and a Naip5-dependent pathway.
(A) The graph shows percentage of B6 (open bars) and Bax−/−Bak−/− DCs (closed bars) infected with L. pneumophila WT, ΔdotA or ΔflaA that were TUNEL positive at 6 h post infection. Data represent the mean±SD of 300 cells counted per coverslip in triplicate. ** p<0.01. (B) B6, Bak−/− and Bax−/−Bak−/− were infected with either L. pneumophila WT (white bars) or ΔflaA (black bars) for 36 h. Intracellular replication was determined by dividing L. pneumophila CFUs recovered at 36 h by the CFUs recovered at 1 h post infection. Data for each time point are the average of values obtained from three independent wells. ** p<0.01. (C) Fluorescence micrographs of B6, Bak−/− and Bax−/−Bak−/− DCs that were infected with L. pneumophila ΔflaA and fixed at either 2 h or 10 h post infection. DCs were stained with an antibody specific for MHC II (red), DAPI (blue) and an anti-L. pneumophila antibody (green). On the right are graphical representations of the percentage of B6, Bak−/− and Bax−/−Bak−/− DCs infected at 2 h and the percentage of infected B6; Bak−/− and Bax−/−Bak−/− DCs with vacuoles containing replicating bacteria at 10 h post infection. Data represent the mean±SD of 500 cells counted per coverslip in triplicate. All cells had a dominant Lgn1 allele producing a functional Naip5 protein. R.V. = vacuoles containing replicating bacteria. N.D. = not detectable. ** p<0.01. Bar = 10 µm.
Replication of WT L. pneumophila was not detected in either Bak−/− or Bax−/−Bak−/− DCs (Figure 5B), which is consistent with the Naip5-mediated pathway being operational in these cells. L. pneumophila ΔflaA replicated to similar levels as WT L. pneumophila in DCs derived from Casp3−/− mice homozygous for the A/J Naip5 allele (Figure S4), indicating that eliminating flagellin does not significantly enhance the capacity of L. pneumophila to replicate in DCs with a genetic defect in the Naip5 signaling pathway. DCs from Bax−/−Bak−/− mice supported replication of L. pneumophila ΔflaA, whereas, replication of L. pneumophila ΔflaA was not detected in DCs from control B6 mice (Figure 5B). Limited replication of the ΔflaA strain was observed in Bak−/− DCs; however, replication was not as robust as that observed in the Bax−/−Bak−/− DCs (Figure 5B). Single cell analysis revealed that the efficiency of infection was equivalent in B6, Bak−/− and Bax−/−Bak−/− DCs (Figure 5C, top panel). Large vacuoles harboring replicating bacteria were abundant in Bax−/−Bak−/− DCs infected for 10-hours with L. pneumophila ΔflaA (Figure 5C, bottom panel), whereas, vacuoles containing replicating L. pneumophila ΔflaA were rare in the B6 and Bak−/− DCs.
The development of vacuoles containing replicating L. pneumophila ΔflaA was evaluated in DCs derived from B6, Casp3−/− and Bax−/−Bak−/− mice. Vacuoles containing replicating L. pneumophila ΔflaA were detectable in both Casp3−/−, and Bax−/−Bak−/− DCs at 8-hours post infection (Figure 6A). Large vacuoles containing >10 L. pneumophila ΔflaA were frequent in the Bax−/−Bak−/− DCs at 12-hours post infection, but were found less frequently in the Casp3−/− DCs (Figure 6A). Although Casp3−/− DCs exhibited enhanced resistance to cell death induced by L. pneumophila ΔflaA, they were not as resistant to cell death as the Bax−/−Bak−/− DCs (Figure 6B), which likely explains why the Bax−/−Bak−/− DCs were slightly more permissive for replication of L. pneumophila ΔflaA at 12-hours post infection compared to the Casp3−/− DCs. These data indicate L. pneumophila activation of the intrinsic cell death pathway in DCs is sufficient to limit intracellular replication.
(A) The graph shows the percentage of infected B6 (black bars), Casp3−/− (gray bars) or Bax−/−Bak−/− DCs (white bars) that form vacuoles containing 4–5, 6–9 or >10 replicating L. pneumophila ΔflaA at 4, 8 and 12 h post infection. The index of bacterial load was calculated by dividing the percentage of vacuoles containing the indicated number of bacteria at the time points given by the percentage of infected DCs at 2 h p.i. and multiplying this number by 100. (B) The graph shows the percentage of total B6 (black bars), Casp3−/− (gray bars) and Bax−/−Bak−/− DCs (white bars) that had condensed nuclei at 1, 4, 8 and 12 hours after L. pneumophila ΔflaA infection. All cells had a dominant Lgn1 allele producing a functional Naip5 protein. Data represent the mean±SD of 300 cells counted per coverslip in triplicate.
Bcl-2 overproduction antagonizes restriction of L. pneumophila replication by DCs
Bcl-2 is a pro-survival protein that regulates apoptosis ,. Overexpression of pro-survival proteins such as those from the Bcl-2 family can block mitochondria membrane permeabilization and prevent apoptosis –. DCs from transgenic mice expressing human BCL2 under the control of the CD68 promoter (Tg(bcl2) 535rm) (Jamieson & Medhzitov, unpublished data) were used to determine whether overproduction of Bcl-2 could interfere with the ability of DCs to restrict L. pneumophila replication. Immunoblot analysis confirmed that both macrophages and DCs derived from Tg(bcl2) 535rm mice produced human Bcl-2, and that overproduction of Bcl-2 did not affect the levels of Bax and Bak in these cells (Figure 7A). Replication of WT L. pneumophila was not observed in Tg(bcl2) 535rm DCs, presumably because these cells produce a functional Naip5 protein (Figure 7B). Replication of the ΔflaA strain was observed in the Tg(bcl2) 535rm DCs, but not in control DCs from B6 mice (Figure 7B). Single cell analysis confirmed replication of the ΔflaA strain in Tg(bcl2) 535rm DCs (Figure 7C). At 10-hours post infection, 21% of the ΔflaA-infected Tg(bcl2) 535rm DCs had large vacuoles containing replicating L. pneumophila, and most of the infected Tg(bcl2) 535rm DCs were devoid of apoptotic features, such as condensed and fragmented nuclei, that were observed in infected control DCs derived from B6 mice (Figure 7C). TUNEL staining confirmed that the Tg(bcl2) 535rm DCs were more resistant to apoptosis after infection by L. pneumophila ΔflaA compared to control B6 DCs (Figure 7D). Thus, Bcl-2 overproduction limited DC apoptosis in response to L. pneumophila and resulted in enhanced intracellular replication.
(A) Immunoblot analysis of total human Bcl-2, Bax and Bak expression in Tg (bcl2) 535rm BMMs and DCs or the respective B6 littermates. Blots were reprobed for actin as a loading control. (B) B6 and Tg (bcl2) 535rm DCs were infected with either L. pneumophila WT (white bars) or ΔflaA (black bars) for 36 h. Intracellular replication was determined by dividing the CFUs recovered at 36 h by the CFUs recovered at 1 h after infection. Data for each time point are the average of values obtained from three independent wells. * p<0.05. N.D. = not detectable. (C) Fluorescence micrographs of B6 or Tg (bcl2) 535rm DCs that were infected with L. pneumophila ΔflaA and fixed at either 2 h or 10 h post infection. DCs were stained with an antibody specific for MHC II (red), DAPI (blue) and an anti-L. pneumophila antibody (green). On the right are graphical representations of the percentage of infected B6 or Tg (bcl2) 535rm DCs at 2 h post infection and the percentage of infected DCs with vacuoles containing replicating L. pneumophila ΔflaA at 10 h post infection. Data represent the mean±SD representative of 500 cells counted per coverslip in triplicate. R.V. = vacuoles containing replicating bacteria. ** p<0.01. Bar = 10 µm. (D) The graph shows the percentage of B6 (open bars) and Tg (bcl2) 535rm DCs (closed bars) infected with L. pneumophila WT, ΔdotA or ΔflaA that were TUNEL positive at 6 h post infection. All cells had a dominant Lgn1 allele producing a functional Naip5 protein. Data are represented by the mean±SD of 300 cells per coverslip in triplicate. ** p<0.01.
DCs have a unique ability to efficiently restrict L. pneumophila replication by apoptosis
Macrophages derived from Bax−/−Bak−/− and Tg(bcl2) 535rm mice were used to determine whether rapid induction of programmed cell death as a mechanism to restrict L. pneumophila replication was an exclusive property displayed by DCs. Replication of WT L. pneumophila was restricted by the Bax−/−Bak−/− macrophages and Tg(bcl2) 535rm macrophages as efficiently as control B6 macrophages (Figure 8A and 8B). When the ΔflaA strain was used to bypass Naip5-mediated growth restriction, bacterial replication was not enhanced in the Bax−/−Bak−/− macrophages or Tg(bcl2) 535rm macrophages compared to control B6 macrophages (Figure 8A and 8B). Single cell analysis confirmed these growth curve results, and showed that Bax and Bak function was not required for Naip5-mediated growth restriction of WT L. pneumophila and had no measurable effect on limiting the growth of the ΔflaA strain in macrophages (Figure 8C).
(A) B6, Bak−/− and Bax−/−Bak−/− BMMs or (B) B6 and Tg (bcl2) 535rm BMMs were infected with either L. pneumophila WT (white bars) or ΔflaA (black bars) for 72 hours. Intracellular replication is determined by dividing the L. pneumophila CFUs recovered at 72 h by the CFUs recovered 1 h after infection. Data are the average of values obtained from three independent wells. N.D. = not detectable. (C) Fluorescence micrographs of B6 and Tg (bcl2) 535rm BMMs that were infected with L. pneumophila ΔflaA and fixed either at 2 h or 10 h post infection. BMMs were stained with DAPI (blue) and an anti-L. pneumophila antibody (green). On the right are graphical representations of the percentage of B6 or Tg (bcl2) 535rm BMMs infected at 2 h and the percentage of infected BMMs with vacuoles containing replicating L. pneumophila at 10 h post infection. Data represent the mean±SD of 500 cells counted per coverslip in triplicate. All cells had a dominant Lgn1 allele producing a functional Naip5 protein. R.V. = vacuoles containing replicating bacteria. Bar = 10 µm.
Previous studies have shown that macrophages infected with a L. pneumophila mutant deficient in the effector protein SdhA undergo rapid cell death by an unknown pathway . This observation suggests that one possible reason DCs die quickly after L. pneumophila infection is because a proposed anti-apoptotic activity mediated by the translocated SdhA protein might not be effective at preventing cell death in DCs. This would explain why the phenotype of DCs infected by L. pneumophila capable of translocating the SdhA protein appears to be similar to the phenotype of macrophages infected by an sdhA mutant. If this hypothesis is correct, then perturbing cell death pathways activated by Bax and Bak should restore replication of an sdhA mutant in macrophages, and the elimination of SdhA should not affect replication of L. pneumophila in DCs deficient in Bax and Bak signaling. To test this hypothesis we inactivated sdhA in the L. pneumophila ΔflaA strain to generate L. pneumophila ΔflaA, sdhA::kan. Elimination of Bax and Bak did not restore replication of L. pneumophila ΔflaA, sdhA::kan in macrophages (Figure 9A) and the L. pneumophila ΔflaA, sdhA::kan strain was unable to replicate in Bax−/−Bak−/− DCs (Figure 9B). After infection by L. pneumophila ΔflaA, sdhA::kan, cell death levels measured by TUNEL staining were similar in Tg(bcl2) 535rm macrophages and control B6 macrophages (Figure 9C). The L. pneumophila ΔflaA, sdhA::kan strain also induced cell death in DCs derived from Tg(bcl2) 535rm mice (Figure 9D). Thus, the L. pneumophila sdhA mutant phenotype was similar in both macrophages and DCs, which indicates that SdhA is necessary to prevent L. pneumophila from killing both macrophages and DCs by a pathway that does not require Bax and Bak function.
(A) Intracellular replication of L. pneumophila ΔflaA, ΔdotA and ΔflaA, sdhA::kan was measured in B6 (black bars) and Bax−/−Bak−/− BMMs (white bars) at 72 h after infection. The fold increase in intracellular replication was determined by dividing L. pneumophila CFUs recovered at 72 h by the CFUs recovered at 1 h post infection. (B) Intracellular replication of L. pneumophila ΔflaA, ΔdotA and ΔflaA, sdhA::kan in B6 DCs (black bars) and Bax−/−Bak−/− DCs (white bars) at 36 h after infection. The fold increase in intracellular replication was determined by dividing L. pneumophila CFUs recovered at 36 h by the L. pneumophila CFUs recovered at 1 h post infection. Data are the mean±SD from three independent wells. N.D. = not detectable. (C) The graph shows the percentage of B6 and Tg (bcl2) 535rm BMMs or (D) DCs infected with L. pneumophila ΔflaA, ΔdotA or ΔflaA, sdhA::kan that were TUNEL positive at 1 h (black bars), 4 h (gray bars) and 8 h (white bars) after infection. All cells had a dominant Lgn1 allele producing a functional Naip5 protein. Data are represented by the mean±SD of 300 cells counted per each coverslip in triplicate.
Two cell death pathways were found to restrict L. pneumophila replication in DCs. The first pathway was described previously in macrophages and involved activation of Naip5 by a process requiring L. pneumophila flagellin –. It had been shown clearly that stimulation of Naip5 by L. pneumophila flagellin results in the activation of caspase-1 –, which is a critical mediator of pyroptosis. Recent data indicate that Naip5 activation of caspase-1 also results in the activation of caspase-7 , and that Naip5-dependent activation of caspase-7 is important for restriction of L. pneumophila replication in mouse macrophages. Many details of the Naip5 signaling pathway remain to be determined, including the full repertoire of proteins required for Naip5-mediated cell death and all the cell types capable of restricting the replication of L. pneumophila by this pathway. Our data help to answer some of these questions by showing that components of the Naip5 pathway required for flagellin sensing and downstream effector responses are functioning in DCs. Additionally, the observation that overproduction of Bcl-2 or elimination of Bax and Bak did not affect restriction of WT L. pneumophila replication in macrophages and DCs with a functional Naip5 protein provides evidence that this pathway is not functionally dependent on the mitochondrial pathway of apoptosis. Thus, both macrophages and DCs have the capacity to undergo Naip5-dependent pyroptosis. In addition to restricting pathogen replication, activation of caspase-1 during this response generates bioactive IL-1β and IL-18 to stimulate additional antimicrobial responses and promote the recruitment of other immune cells –. This suggests that pyroptosis is a general innate immune response mediated by both macrophages and DCs to initiate early pro-inflammatory events at the site of microbial infection.
A second cell death pathway, which involved Bax and Bak regulation of caspase-3 activation, was found to efficiently restrict L. pneumophila replication in DCs. When the pyroptosis pathway was inactivated, either by using DCs with a defective Naip5 allele or by using L. pneumophila that had the gene encoding flagellin deleted, the cell death pathway regulated by Bax and Bak was as efficient as the pyroptosis pathway at restricting replication of L. pneumophila. A similar number of replicating L. pneumophila were contained in vacuoles in DCs deficient in Bax and Bak at 10-hours post infection (Figure 5C) when compared to macrophages (Figure 8C). Additionally, the number of L. pneumophila recovered from DCs deficient in caspase-3 was similar after 24-hours of infection when compared to macrophages (Figure 4). Because the addition of bacteria stimulates the maturation of DCs in culture, and mature DCs become non-phagocytic, L. pneumophila replication in cultured DCs was not amplified by reinfection. This explains why replication subsided after L. pneumophila exited infected DCs at 24-hours post infection, but continued over a 72-hour period in macrophages (Figure 4). Thus, rapid activation of the intrinsic cell death pathway appears to be the primary mechanism by which DCs from permissive strains of mice restrict the intracellular replication of L. pneumophila.
L. pneumophila was capable of replication in DCs deficient in caspase-3; however, DCs deficient in both Bax and Bak were more permissive. This suggests that deletion of Bax and Bak more acutely blocks the apoptotic pathway, perhaps because other effector caspases can compensate for caspase-3 deficiency. Consistent with this explanation, Bax−/−Bak−/− mice have severe developmental defects and most die perinatally, whereas, Casp3−/− mice are viable and have fewer developmental defects –. Accordingly, L. pneumophila infection induced the mitochondrial pathway of apoptosis in Casp3−/− DCs, but the absence of caspase-3 was sufficient to delay cell death for a long enough period of time that vacuoles containing replicating L. pneumophila were detected. By contrast, apoptosis was not induced upon L. pneumophila infection of Bax−/−Bak−/− DCs and in the absence of cell death L. pneumophila was able to replicate for a longer period of time as was indicated by an increase in the number of large vacuoles containing over 10 bacteria. These data also suggest that cell death, as opposed to another activity mediated specifically by caspase-3, was sufficient to restrict L. pneumophila replication.
The finding that overproduction of Bcl-2 resulted in enhanced bacterial replication in DCs supports the hypothesis that the mitochondrial pathway of apoptosis is important for restriction of L. pneumophila replication in DCs. Bcl-2 functions as a negative regulator of Bax and Bak function, preventing their activation and insertion into the mitochondrial membrane ,. Thus, the observation that Bcl-2 overproduction phenocopies a deficiency in Bax and Bak indicates that L. pneumophila infection of DCs triggers a cell-autonomous response that activates the mitochondrial pathway of apoptosis, leading to restriction of intracellular bacterial proliferation.
Previous studies in macrophages and macrophage-like cells have demonstrated that L. pneumophila is capable of activating the mitochondrial pathway of apoptosis –; however, our data indicate that the timing of this response is different in DCs compared to macrophages. In macrophages the response is slower, and morphological signs of apoptosis were typically not observed in cells until the late stages of infection after robust bacterial replication had occurred. Host cell apoptosis induced by L. pneumophila in both macrophages and DCs required a functional Dot/Icm secretion system, but not bacterial replication. This suggests that apoptosis is activated in response to either direct activities of bacterial effector proteins translocated by the Dot/Icm system or by host cell disturbances that are caused by the cumulative actions of multiple effector proteins.
The balance of pro-apoptotic to anti-apoptotic factors is important in the regulation of the mitochondrial pathway of apoptosis. Microbial infection affects this balance both by triggering the activation of pro-apoptotic factors and by inducing expression of anti-apoptotic proteins , –. For many non-pathogenic bacteria, these two events are balanced and apoptosis is prevented. The added stress on cells infected with pathogenic microbes, however, will typically result in apoptosis unless the pathogen has the ability to alter the function of proteins involved in regulating cell death ,. Thus, differences in the expression of Bcl-2 family members or in the functioning of effector proteins could account for the faster kinetics of apoptosis in DCs compared to macrophages following L. pneumophila infection.
Two effector proteins translocated into host cells by the L. pneumophila Dot/Icm system have been implicated in preventing cell death. The effector protein SidF appears to interfere with the function of pro-apoptotic Bcl-2 family members BNIP3 and Bcl-Rambo . Although macrophages infected with a sidF mutant show increased apoptosis 14-hours after infection, this increase in apoptosis does not impact bacterial replication greatly . By contrast, the effector SdhA is required to prevent macrophage cell death during infection by a mechanism that is not understood, and the cell death induced by an sdhA mutant greatly reduces bacterial replication in macrophages . We found that the sdhA mutant induced cell death in both macrophages and DCs, and that this cell death pathway was not inhibited by Bcl-2 over-expression or elimination of Bax and Bak. Additionally, intracellular growth of the sdhA mutant was not restored in macrophages deficient in caspase-3 (data not shown). Thus, both macrophages and DCs are equally susceptible to cell death induced by the sdhA mutant, and the cell death pathway triggered by the sdhA mutant does not require several of the central components of the apoptosis pathway. These data are consistent with there being an intrinsic difference between macrophages and DCs with respect to their ability to activate the mitochondrial cell death pathway in response to L. pneumophila.
In addition to L. pneumophila, there are many other reports demonstrating that DCs are able to restrict the replication of pathogens capable of growing within macrophages –. DCs are very proficient at migrating from peripheral tissues to the host lymphatic system following exposure to maturation stimuli, such as encounters with microbes. Because of this property, it has been suggested that DCs can function as a “Trojan Horse” capable of systemic dissemination of pathogens internalized at peripheral sites of infection ,,. Here we show that rapid cell death is one mechanism DCs use to avoid being subverted by an intracellular pathogen. In addition to preventing pathogen replication and dissemination, apoptotic DCs harboring intracellular pathogens would become substrates for phagocytosis by neighboring DCs and macrophages, and most mechanisms used by intracellular pathogens to subvert host cellular function would be ineffective as long as the pathogen were residing in an apoptotic cell. Thus, apoptotic bodies containing pathogens would be degraded in lysosomes, resulting in the release of pathogen-derived molecules that could stimulate innate immune receptors and trigger adaptive responses by being presented on the cell surface in association with host MHC proteins. Based on these data, we hypothesize that rapid pathogen-induced apoptosis by DCs is an important innate immune response to intracellular pathogens.
Materials and Methods
L. pneumophila serogroup 1 strain, Lp01 , an isogenic dotA mutant strain (ΔdotA), and a flagellin-deficient mutant strain (ΔflaA)  were cultured on charcoal yeast extract agar (CYE)  for 2 days prior to use in experiments. The ΔflaA, sdhA::kan strain was cultured on CYE with 10 µg/mL kanamycin. The plasmid pAM239 was used to produce DSred or GFP in the L. pneumophila strains indicated . For experiments utilizing bacteria expressing DSred or GFP, L. pneumophila was grown on plates supplemented with chloramphenicol (6.25 µg/ml), and DSred or GFP expression was induced after infection by adding IPTG (0.2 mM) to the tissue culture medium.
A/J and C57BL/6 (B6) mice were purchased from Jackson Laboratories. Caspase-1−/− (Casp1−/−), Caspase-3−/− (Casp3−/−), Myd88−/−, Rip2−/− (Ripk2−/−;Rick−/−), Bak−/−, Bax−/−Bak−/− and Naip5−/− mice have been described , , , . Myd88−/−Trif−/− mice homozygous for the B6 Lgn1 allele were provided by R. Medzhitov. Myd88−/− and Rip2−/− mice were crossed with A/J mice to generate progeny homozygous for the A/J Lgn1 allele as described previously . Casp1−/− and Casp3−/− mice homozygous for the permissive A/J Lgn1 allele were backcrossed to the A/J background for 4 and 5 generations respectively. Transgenic C57BL/6 mice over expressing human BCL2 under the control of the CD68 promoter (Tg(bcl2) 535rm) (Jamieson & Medhzitov, unpublished data), were kindly provided by R. Medzhitov. All animals were maintained in accordance with the guidelines of the Yale Institutional Animal Use and Care Committee.
Macrophage and dendritic cell cultures
Bone-marrow derived macrophages (BMMs) were prepared as described previously with some modifications . Briefly, bone marrow was collected from the femurs and tibiae of mice. Cells were plated on non-tissue culture-treated dishes and incubated at 37°C in RPMI-1640 containing 20% heat-inactivated fetal bovine serum (FBS), 30% macrophage colony-stimulating factor (M-CSF)-conditioned medium, and 1% penicillin-streptomycin. On day 7, cells were harvested and resuspended in RPMI 1640 containing 10% FBS and 15% M-CSF-conditioned medium. Cells were then plated in 24-well tissue culture-treated plates and incubated at 37°C. Bone marrow derived-DCs (BMDCs) were prepared as described in Lutz et al. . Modifications were as follows. Cells were plated on non-tissue culture-treated dishes and incubated at 37°C in RPMI-1640 supplemented with 10% heat-inactivated FBS, 50 µM 2-mercaptoethanol, 1% penincillin-streptomycin and 1% GM-CSF (DC medium). Cells were harvested and used on day 10.
Intracellular replication assays
Intracellular replication of L. pneumophila in BMMs was measured as described previously  and modified slightly for DCs. L. pneumophila was added to DCs at a multiplicity of infection (MOI) of 20. The plates were centrifuged at 150 g for 5 minutes (min) and then incubated at 37°C for 30 min. Cells were removed from the wells and DCs were positively selected on magnetic columns using anti-CD11c-coated magnetic beads (Miltenyi Biotech). To remove extracellular bacteria, DCs were washed 3× with PBS containing 2 mM EDTA and 0.5% BSA while bound to the column. DCs were eluted and 2×105 DCs were added to individual wells in 48-well plates. Adherent and non-adherent DCs were taken from individual wells and lysed with sterile H2O at the indicated times after infection, and these fractions were pooled with the culture supernatants. Dilutions from the pooled fractions were plated on CYE agar to determine bacterial CFUs. Data are the mean CFUs recovered from three independent wells±SD. Bacterial replication was calculated by determining the fold increase in CFUs.
Single cell immunofluorescence assays to measure L. pneumophila uptake and formation of vacuoles containing replicating bacteria (RV)
L. pneumophila uptake and intracellular growth in both Casp3−/− and Casp3+/+ DCs was performed as previously described . Intracellular replication in B6, Bak−/−, and Bax−/−Bak−/− DCs was performed following the same protocol described previously with some modifications to the immunofluorescence staining . Briefly, after permeabilization for 15 min at room temperature (R.T.) in RPMI containing 0.05% saponin, coverslips were incubated for 1 h at R.T. in permeabilization solution containing anti-MHC II I-Ab+d+q, I-Ed+k antibody (TIB 120; American Type Culture Collection (ATCC), Rockville, MD). Coverslips were washed 3× in RPMI containing 0.05% saponin. Coverslips were incubated 45 min at R.T. with Alexa Fluor 568- conjugated goat anti-rat (Invitrogen-Molecular Probes) in permeabilization solution and then washed 3× with PBS. Coverslips were mounted on slides and examined by fluorescence microscopy. TIB 120 staining of MHC II was used to identify DCs. Assays to measure uptake and formation of vacuoles containing replicating L. pneumophila in BMMs were conducted similarly . Data are represented by the mean number of cells observed in three independent coverslips.
DCs previously selected by CD11c magnetic beads were infected with L. pneumophila at an MOI of 25 or treated for 5 h with staurosporine (1 µg/ml) and assayed for nuclear DNA fragmentation by TUNEL with the in situ cell death detection kit (Roche). Samples were then analyzed by fluorescence microscopy and all data points represent the average number of TUNEL positive cells±SD obtained from three independent coverslips.
BMMs and DCs were directly lysed in SDS-PAGE sample buffer. Lysates were separated by SDS-PAGE, and proteins were transferred (Wet Transfer Cell; Bio-Rad) at 100 V for 1 h to Immobilon P membranes (Millipore) in transfer buffer (50 mM Tris, 40 mM glycine, and 10% methanol). Membranes were blocked for 1 h at 25°C in Tris-buffered saline (TBS), 5% nonfat dry milk, and 0.1% Tween-20. Membranes were incubated with primary antibody overnight at 5°C and incubated with horseradish peroxidase-conjugated secondary antibody 1 h at R.T. Rabbit anti-human Bcl-2, rabbit anti-Bax, and rabbit anti-Bak (Cell Signaling Technology) were used. Western Lightning Chemiluminescence Reagent Plus (Perkin Elmer) was used for antibody detection.
Macrophages and DCs were plated in 96 well plates at a concentration of 5×104 cells/well. Cells were infected with L. pneumophila at an MOI of 50, incubated at 37°C for 1, 2, 4, 6 and 11 hours and then frozen at −20°C to lyse the cells. Caspase-3/7 activity was measured using the Apo-One Homogeneous caspase-3/7 kit (Promega). Relative fluorescence units (RFU) measured at each time point is proportional to the amount of caspase-3/7 activity. All data points represent the average values±SD obtained from three wells assayed independently.
Gene ID numbers
MyD88: 17874; Rip2: 192656; Caspase-1: 12362; Caspase-3: 12367; Bax: 12028; Bak: 12018; Human Bcl-2: 596; Naip5: 17951.
Naip5-deficient DCs restrict L. pneumophila replication. Quantification of the percentage of L. pneumophila WT or ΔdotA infected B6 (black bars) and Naip5−/− DCs (white bars) with vacuoles containing replicating bacteria at 10 h post-infection. Data represent the mean±SD of 500 cells counted per coverslip in triplicate. R.V. = vacuoles containing replicating bacteria.
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Nuclear fragmentation in DCs induced by L. pneumophila is caspase-1-independent. Quantification of the percentage of B6 (closed bars) and Casp1−/− DCs (open bars) infected with either L. pneumophila WT or ΔdotA that are TUNEL positive 6 h after infection. Data are represented by the mean±SD of 300 cells counted per each coverslip in triplicate.
(0.46 MB EPS)
L. pneumophila-induced activation of caspase-3/7 occurs faster in DCs compared to macropahges. (A) DCs and (B) BMMs were infected with either L. pneumophila WT or ΔdotA for 1 h, 2 h, 4 h, 6 h and 11 h as indicated. Caspase-3/7 activity is indicated as relative fluorescence units (RFU) measured at each time point. Data are expressed as mean±SD obtained from 3 independent wells. * p<0.05. **p<0.01.
(0.49 MB EPS)
L. pneumophila WT and ΔflaA replicate to similar levels in caspase-3-deficient DCs homozygous for the A/J Lgn1 allele. Intracellular replication of L. pneumophila WT, ΔflaA or ΔdotA was compared in Casp3−/− DCs at 36 h after infection. The fold increase in intracellular replication was determined by dividing L. pneumophila CFUs recovered at 36 h by the CFUs recovered at 1 h post infection. Data are the mean±SD from three independent wells. N.D. = not detectable.
(0.46 MB EPS)
We are grateful to Dr. Shizuo Akira for permission to use Myd88−/−, and Trif−/− mice, to Dr Richard Flavell for permission to use Casp1−/− and Casp3−/− mice and to Dr. Russell Vance for permission to use Naip5−/− mice; Annie Neild, Jonathan Kagan, Igor Brodsky, Anja Lührmann and Kristina Archer for critical manuscript review; Dr. Salomé Gomes, Dr. Rui Appelberg, Dr Manuel Santos and the Roy lab for helpful discussions and assistance.
Conceived and designed the experiments: CVN TL AMJ CRR. Performed the experiments: CVN TL SS. Analyzed the data: CVN TL CRR. Contributed reagents/materials/analysis tools: CVN TL AMJ CLC SS CBT. Wrote the paper: CVN TL CRR.
- 1. Steinman RM (1991) The dendritic cell system and its role in immunogenicity. Annu Rev Immunol 9: 271–296.
- 2. Taylor PR, Martinez-Pomares L, Stacey M, Lin HH, Brown GD, et al. (2005) Macrophage receptors and immune recognition. Annu Rev Immunol 23: 901–944.
- 3. Akira S, Takeda K (2004) Functions of toll-like receptors: lessons from KO mice. C R Biol 327: 581–589.
- 4. Flo TH, Smith KD, Sato S, Rodriguez DJ, Holmes MA, et al. (2004) Lipocalin 2 mediates an innate immune response to bacterial infection by sequestrating iron. Nature 432: 917–921.
- 5. Janeway CA Jr, Medzhitov R (2002) Innate immune recognition. Annu Rev Immunol 20: 197–216.
- 6. Miao EA, Andersen-Nissen E, Warren SE, Aderem A (2007) TLR5 and Ipaf: dual sensors of bacterial flagellin in the innate immune system. Semin Immunopathol 29: 275–288.
- 7. Ishii KJ, Koyama S, Nakagawa A, Coban C, Akira S (2008) Host innate immune receptors and beyond: making sense of microbial infections. Cell Host Microbe 3: 352–363.
- 8. Fraser DW, Tsai TR, Orenstein W, Parkin WE, Beecham HJ, et al. (1977) Legionnaires' disease: description of an epidemic of pneumonia. N Engl J Med 297: 1189–1197.
- 9. McDade JE, Shepard CC, Fraser DW, Tsai TR, Redus MA, et al. (1977) Legionnaires' disease: isolation of a bacterium and demonstration of its role in other respiratory disease. N Engl J Med 297: 1197–1203.
- 10. Roy CR, Tilney LG (2002) The road less traveled: transport of Legionella to the endoplasmic reticulum. J Cell Biol 158: 415–419.
- 11. Abu Kwaik Y (1996) The phagosome containing Legionella pneumophila within the protozoan Hartmannella vermiformis is surrounded by the rough endoplasmic reticulum. Appl Environ Microbiol 62: 2022–2028.
- 12. Horwitz MA (1983) Formation of a novel phagosome by the Legionnaires' disease bacterium (Legionella pneumophila) in human monocytes. J Exp Med 158: 1319–1331.
- 13. Horwitz MA, Silverstein SC (1980) Legionnaires' disease bacterium (Legionella pneumophila) multiples intracellularly in human monocytes. J Clin Invest 66: 441–450.
- 14. Kagan JC, Roy CR (2002) Legionella phagosomes intercept vesicular traffic from endoplasmic reticulum exit sites. Nat Cell Biol 4: 945–954.
- 15. Tilney LG, Harb OS, Connelly PS, Robinson CG, Roy CR (2001) How the parasitic bacterium Legionella pneumophila modifies its phagosome and transforms it into rough ER: implications for conversion of plasma membrane to the ER membrane. J Cell Sci 114: 4637–4650.
- 16. Robinson CG, Roy CR (2006) Attachment and fusion of endoplasmic reticulum with vacuoles containing Legionella pneumophila. Cell Microbiol 8: 793–805.
- 17. Swanson MS, Isberg RR (1995) Association of Legionella pneumophila with the macrophage endoplasmic reticulum. Infect Immun 63: 3609–3620.
- 18. Berger KH, Isberg RR (1993) Two distinct defects in intracellular growth complemented by a single genetic locus in Legionella pneumophila. Mol Microbiol 7: 7–19.
- 19. Marra A, Blander SJ, Horwitz MA, Shuman HA (1992) Identification of a Legionella pneumophila locus required for intracellular multiplication in human macrophages. Proc Natl Acad Sci U S A 89: 9607–9611.
- 20. Segal G, Purcell M, Shuman HA (1998) Host cell killing and bacterial conjugation require overlapping sets of genes within a 22-kb region of the Legionella pneumophila genome. Proc Natl Acad Sci U S A 95: 1669–1674.
- 21. Vogel JP, Andrews HL, Wong SK, Isberg RR (1998) Conjugative transfer by the virulence system of Legionella pneumophila. Science 279: 873–876.
- 22. Chen J, de Felipe KS, Clarke M, Lu H, Anderson OR, et al. (2004) Legionella effectors that promote nonlytic release from protozoa. Science 303: 1358–1361.
- 23. Conover GM, Derre I, Vogel JP, Isberg RR (2003) The Legionella pneumophila LidA protein: a translocated substrate of the Dot/Icm system associated with maintenance of bacterial integrity. Mol Microbiol 48: 305–321.
- 24. Luo ZQ, Isberg RR (2004) Multiple substrates of the Legionella pneumophila Dot/Icm system identified by interbacterial protein transfer. Proc Natl Acad Sci U S A 101: 841–846.
- 25. Ingmundson A, Delprato A, Lambright DG, Roy CR (2007) Legionella pneumophila proteins that regulate Rab1 membrane cycling. Nature 450: 365–369.
- 26. Nagai H, Kagan JC, Zhu X, Kahn RA, Roy CR (2002) A bacterial guanine nucleotide exchange factor activates ARF on Legionella phagosomes. Science 295: 679–682.
- 27. Machner MP, Isberg RR (2006) Targeting of host Rab GTPase function by the intravacuolar pathogen Legionella pneumophila. Dev Cell 11: 47–56.
- 28. Machner MP, Isberg RR (2007) A bifunctional bacterial protein links GDI displacement to Rab1 activation. Science 318: 974–977.
- 29. Murata T, Delprato A, Ingmundson A, Toomre DK, Lambright DG, et al. (2006) The Legionella pneumophila effector protein DrrA is a Rab1 guanine nucleotide-exchange factor. Nat Cell Biol 8: 971–977.
- 30. Horwitz MA (1987) Characterization of avirulent mutant Legionella pneumophila that survive but do not multiply within human monocytes. J Exp Med 166: 1310–1328.
- 31. Archer KA, Roy CR (2006) MyD88-dependent responses involving toll-like receptor 2 are important for protection and clearance of Legionella pneumophila in a mouse model of Legionnaires' disease. Infect Immun 74: 3325–3333.
- 32. Hawn TR, Smith KD, Aderem A, Skerrett SJ (2006) Myeloid differentiation primary response gene (88)- and toll-like receptor 2-deficient mice are susceptible to infection with aerosolized Legionella pneumophila. J Infect Dis 193: 1693–1702.
- 33. Sporri R, Joller N, Albers U, Hilbi H, Oxenius A (2006) MyD88-dependent IFN-γ production by NK cells is key for control of Legionella pneumophila infection. J Immunol 176: 6162–6171.
- 34. Derre I, Isberg RR (2004) Macrophages from mice with the restrictive Lgn1 allele exhibit multifactorial resistance to Legionella pneumophila. Infect Immun 72: 6221–6229.
- 35. Diez E, Lee SH, Gauthier S, Yaraghi Z, Tremblay M, et al. (2003) Birc1e is the gene within the Lgn1 locus associated with resistance to Legionella pneumophila. Nat Genet 33: 55–60.
- 36. Wright EK, Goodart SA, Growney JD, Hadinoto V, Endrizzi MG, et al. (2003) Naip5 affects host susceptibility to the intracellular pathogen Legionella pneumophila. Curr Biol 13: 27–36.
- 37. Zamboni DS, Kobayashi KS, Kohlsdorf T, Ogura Y, Long EM, et al. (2006) The Birc1e cytosolic pattern-recognition receptor contributes to the detection and control of Legionella pneumophila infection. Nat Immunol 7: 318–325.
- 38. Amer A, Franchi L, Kanneganti TD, Body-Malapel M, Ozoren N, et al. (2006) Regulation of Legionella phagosome maturation and infection through flagellin and host Ipaf. J Biol Chem 281: 35217–35223.
- 39. Molofsky AB, Byrne BG, Whitfield NN, Madigan CA, Fuse ET, et al. (2006) Cytosolic recognition of flagellin by mouse macrophages restricts Legionella pneumophila infection. J Exp Med 203: 1093–1104.
- 40. Ren T, Zamboni DS, Roy CR, Dietrich WF, Vance RE (2006) Flagellin-deficient Legionella mutants evade caspase-1- and Naip5-mediated macrophage immunity. PLoS Pathog 2: e18.
- 41. Neild AL, Roy CR (2003) Legionella reveal dendritic cell functions that facilitate selection of antigens for MHC class II presentation. Immunity 18: 813–823.
- 42. Herrmann JL, Lagrange PH (2005) Dendritic cells and Mycobacterium tuberculosis: which is the Trojan horse? Pathol Biol (Paris) 53: 35–40.
- 43. Niedergang F, Sirard JC, Blanc CT, Kraehenbuhl JP (2000) Entry and survival of Salmonella typhimurium in dendritic cells and presentation of recombinant antigens do not require macrophage-specific virulence factors. Proc Natl Acad Sci U S A 97: 14650–14655.
- 44. Pron B, Boumaila C, Jaubert F, Berche P, Milon G, et al. (2001) Dendritic cells are early cellular targets of Listeria monocytogenes after intestinal delivery and are involved in bacterial spread in the host. Cell Microbiol 3: 331–340.
- 45. Tailleux L, Schwartz O, Herrmann JL, Pivert E, Jackson M, et al. (2003) DC-SIGN is the major Mycobacterium tuberculosis receptor on human dendritic cells. J Exp Med 197: 121–127.
- 46. Blander JM, Medzhitov R (2004) Regulation of phagosome maturation by signals from toll-like receptors. Science 304: 1014–1018.
- 47. Reed JC (1997) Cytochrome c: can't live with it–can't live without it. Cell 91: 559–562.
- 48. Adams JM (2003) Ways of dying: multiple pathways to apoptosis. Genes Dev 17: 2481–2495.
- 49. Byrne GI, Ojcius DM (2004) Chlamydia and apoptosis: life and death decisions of an intracellular pathogen. Nat Rev Microbiol 2: 802–808.
- 50. Gross A, McDonnell JM, Korsmeyer SJ (1999) BCL-2 family members and the mitochondria in apoptosis. Genes Dev 13: 1899–1911.
- 51. Korsmeyer SJ, Wei MC, Saito M, Weiler S, Oh KJ, et al. (2000) Pro-apoptotic cascade activates BID, which oligomerizes BAK or BAX into pores that result in the release of cytochrome c. Cell Death Differ 7: 1166–1173.
- 52. Siegel RM (2006) Caspases at the crossroads of immune-cell life and death. Nat Rev Immunol 6: 308–317.
- 53. Strasser A (2005) The role of BH3-only proteins in the immune system. Nat Rev Immunol 5: 189–200.
- 54. Bouillet P, Purton JF, Godfrey DI, Zhang LC, Coultas L, et al. (2002) BH3-only Bcl-2 family member Bim is required for apoptosis of autoreactive thymocytes. Nature 415: 922–926.
- 55. Cory S, Adams JM (2002) The Bcl2 family: regulators of the cellular life-or-death switch. Nat Rev Cancer 2: 647–656.
- 56. Keeble JA, Gilmore AP (2007) Apoptosis commitment–translating survival signals into decisions on mitochondria. Cell Res 17: 976–984.
- 57. Laguna RK, Creasey EA, Li Z, Valtz N, Isberg RR (2006) A Legionella pneumophila-translocated substrate that is required for growth within macrophages and protection from host cell death. Proc Natl Acad Sci U S A 103: 18745–18750.
- 58. Akhter A, Gavrilin MA, Frantz L, Washington S, Ditty C, et al. (2009) Caspase-7 activation by the Nlrc4/Ipaf inflammasome restricts Legionella pneumophila infection. PLoS Pathog 5: e1000361.
- 59. Kuida K, Lippke JA, Ku G, Harding MW, Livingston DJ, et al. (1995) Altered cytokine export and apoptosis in mice deficient in interleukin-1β converting enzyme. Science 267: 2000–2003.
- 60. Mariathasan S, Monack DM (2007) Inflammasome adaptors and sensors: intracellular regulators of infection and inflammation. Nat Rev Immunol 7: 31–40.
- 61. Martinon F, Burns K, Tschopp J (2002) The inflammasome: a molecular platform triggering activation of inflammatory caspases and processing of proIL-β. Mol Cell 10: 417–426.
- 62. Thornberry NA, Molineaux SM (1995) Interleukin-1β converting enzyme: a novel cysteine protease required for IL-1β production and implicated in programmed cell death. Protein Sci 4: 3–12.
- 63. Kuida K, Zheng TS, Na S, Kuan C, Yang D, et al. (1996) Decreased apoptosis in the brain and premature lethality in CPP32-deficient mice. Nature 384: 368–372.
- 64. Lakhani SA, Masud A, Kuida K, Porter GA Jr, Booth CJ, et al. (2006) Caspases 3 and 7: key mediators of mitochondrial events of apoptosis. Science 311: 847–851.
- 65. Lindsten T, Ross AJ, King A, Zong WX, Rathmell JC, et al. (2000) The combined functions of proapoptotic Bcl-2 family members bak and bax are essential for normal development of multiple tissues. Mol Cell 6: 1389–1399.
- 66. Cheng EH, Wei MC, Weiler S, Flavell RA, Mak TW, et al. (2001) BCL-2, BCL-X(L) sequester BH3 domain-only molecules preventing BAX- and BAK-mediated mitochondrial apoptosis. Mol Cell 8: 705–711.
- 67. Willis SN, Fletcher JI, Kaufmann T, van Delft MF, Chen L, et al. (2007) Apoptosis initiated when BH3 ligands engage multiple Bcl-2 homologs, not Bax or Bak. Science 315: 856–859.
- 68. Abu-Zant A, Santic M, Molmeret M, Jones S, Helbig J, et al. (2005) Incomplete activation of macrophage apoptosis during intracellular replication of Legionella pneumophila. Infect Immun 73: 5339–5349.
- 69. Gao LY, Abu Kwaik Y (1999) Activation of caspase 3 during Legionella pneumophila-induced apoptosis. Infect Immun 67: 4886–4894.
- 70. Hagele S, Hacker J, Brand BC (1998) Legionella pneumophila kills human phagocytes but not protozoan host cells by inducing apoptotic cell death. FEMS Microbiol Lett 169: 51–58.
- 71. Molmeret M, Zink SD, Han L, Abu-Zant A, Asari R, et al. (2004) Activation of caspase-3 by the Dot/Icm virulence system is essential for arrested biogenesis of the Legionella-containing phagosome. Cell Microbiol 6: 33–48.
- 72. Evan G, Littlewood T (1998) A matter of life and cell death. Science 281: 1317–1322.
- 73. Everett H, McFadden G (1999) Apoptosis: an innate immune response to virus infection. Trends Microbiol 7: 160–165.
- 74. Faherty CS, Maurelli AT (2008) Staying alive: bacterial inhibition of apoptosis during infection. Trends Microbiol 16: 173–180.
- 75. Philpott DJ, Girardin SE, Sansonetti PJ (2001) Innate immune responses of epithelial cells following infection with bacterial pathogens. Curr Opin Immunol 13: 410–416.
- 76. Sansonetti PJ (2004) War and peace at mucosal surfaces. Nat Rev Immunol 4: 953–964.
- 77. Banga S, Gao P, Shen X, Fiscus V, Zong WX, et al. (2007) Legionella pneumophila inhibits macrophage apoptosis by targeting pro-death members of the Bcl2 protein family. Proc Natl Acad Sci U S A 104: 5121–5126.
- 78. Moll H, Flohe S, Rollinghoff M (1995) Dendritic cells in Leishmania major-immune mice harbor persistent parasites and mediate an antigen-specific T cell immune response. Eur J Immunol 25: 693–699.
- 79. Zuckman DM, Hung JB, Roy CR (1999) Pore-forming activity is not sufficient for Legionella pneumophila phagosome trafficking and intracellular growth. Mol Microbiol 32: 990–1001.
- 80. Feeley JC, Gibson RJ, Gorman GW, Langford NC, Rasheed JK, et al. (1979) Charcoal-yeast extract agar: primary isolation medium for Legionella pneumophila. J Clin Microbiol 10: 437–441.
- 81. Coers J, Monahan C, Roy CR (1999) Modulation of phagosome biogenesis by Legionella pneumophila creates an organelle permissive for intracellular growth. Nat Cell Biol 1: 451–453.
- 82. Adachi O, Kawai T, Takeda K, Matsumoto M, Tsutsui H, et al. (1998) Targeted disruption of the MyD88 gene results in loss of IL-1- and IL-18-mediated function. Immunity 9: 143–150.
- 83. Susa M, Ticac B, Rukavina T, Doric M, Marre R (1998) Legionella pneumophila infection in intratracheally inoculated T cell-depleted or -nondepleted A/J mice. J Immunol 160: 316–321.
- 84. Lightfield KL, Persson J, Brubaker SW, Witte CE, von Moltke J, et al. (2008) Critical function for Naip5 in inflammasome activation by a conserved carboxy-terminal domain of flagellin. Nat Immunol 9: 1171–1178.
- 85. Celada A, Gray PW, Rinderknecht E, Schreiber RD (1984) Evidence for a gamma-interferon receptor that regulates macrophage tumoricidal activity. J Exp Med 160: 55–74.
- 86. Lutz MB, Kukutsch N, Ogilvie AL, Rossner S, Koch F, et al. (1999) An advanced culture method for generating large quantities of highly pure dendritic cells from mouse bone marrow. J Immunol Methods 223: 77–92.