INTRODUCTION
Toxoplasma gondii is a promiscuous, obligate intracellular pathogen capable of infecting all types of nucleated cells from a wide range of warm-blooded animals (
1).
T. gondii replicates inside a protective parasitophorous vacuole, which segregates the parasite from the cytoplasmic environment and endosome/lysosome system of the host cell (
2). Acute infection is established by rapidly replicating tachyzoites and is followed by chronic infection in which the parasite differentiates into bradyzoites that escape recognition and clearance by host immunity (
3). During the acute phase of infection, the
T. gondii protein profilin is recognized by the MyD88-dependent signaling pathway through recognition by TLR11 and TLR12 (
4–6), which are expressed by CD8α
+ conventional dendritic cells (cDCs) and tissue-resident CD103
+ cDCs (
7), as well as macrophages and epithelial cells (
8). Early recognition of
T. gondii or stimulation of CD8α
+ DCs by soluble tachyzoite antigen (STAg) leads to the production of interleukin 12 (IL-12) (
9,
10).
Batf3−/− mice, which lack CD8α
+ and CD103
+ cDCs, are therefore highly susceptible to infection with
T. gondii due to inadequate early IL-12 production (
11).
Immunity to
T. gondii infection depends on IL-12 for the production of gamma interferon (IFN-γ) by NK cells early after infection, and by CD4 and CD8 T cells at later times (
12,
13). Although early defense against
T. gondii depends on CD8α
+ cDCs (
11), inflammatory monocytes and macrophages also produce IL-12, reinforcing the signal to produce IFN-γ (
14,
15). Sustained levels of IFN-γ are necessary for control of acute and chronic infection, and the response to this cytokine is necessary on both hematopoietic cells and tissue cells (
16–18). IFN-γ has numerous effects on cells, including the induction of immunity-related GTPases (IRGs), which are recruited to the parasitophorous vacuole and mediate its disruption (
19). Recent evidence also implicates a second family of interferon-inducible GTPases, called the guanylate binding proteins (GBPs), which are also important in control of
T. gondii infection (
20). Host IRG and GBP proteins are counteracted by virulence factors expressed by type I strains of
T. gondii, including the pseudokinase ROP5 and the active serine/threonine kinase ROP18, which together prevent recruitment of host effectors and rupture of the parasitophorous vacuole (
21–25).
Adaptive immunity to
T. gondii in C57BL/6 mice is primarily mediated by CD8 T cells, which are critical for controlling acute infection (
26–28). In contrast to CD8 depletion, susceptibility of C57BL/6 mice is only marginally affected by CD4 T cell depletion, suggesting a dominant role for CD8 T cells in
T. gondii immunity in the mouse (
26,
27,
29). Furthermore, adoptive transfer of primed CD8 T cells, but not CD4 T cells, protects C57BL/6 mice against a secondary challenge with a lethal strain (
30). CD4 T cells do play an important role during the priming phase of infection in C3H/HeN mice as their depletion during vaccination with avirulent strains of
T. gondii prevents development of protective CD8 T cell immunity (
31). CD4 T cells are likely important in part for their ability to produce IL-2 (
26,
30,
32,
33). However, CD4 T cells are also an important alternative source of IFN-γ in C57BL/6 mice lacking both CD8 T cells and NK cells (
34).
Here, we examined the effector function of CD4 T cells during
T. gondii infection, using
Batf3−/− mice on a BALB/c background, in which NK and CD8 T cells are present and have normal intrinsic functions but lack CD8α
+ cDCs needed for cross-presentation to CD8 T cells and for early IL-12 production (
11,
35). We show that in the absence of CD8α
+ cDCs, CD4 T cells become important effector cells in protective immunity to
T. gondii infection in the mouse, highlighting a previously underappreciated role of CD4 T cells in the memory response.
DISCUSSION
Previous studies have shown that
Batf3−/− mice, which lack CD8α
+ cDCs, are unable to control infection following challenge with strains of
T. gondii that have intermediate virulence due to defective recognition of the parasite at early time points after infection, resulting in reduced IL-12 production and hence defective NK cell activation (
11,
36) However, in Batf3
−/− mice, CD8 T cell priming can still occur through presentation of soluble antigens (
38), as well as direct presentation, suggesting that adaptive immunity may only be partially affected. Here, we examined the ability of Batf3
−/− mice to control infection with a highly attenuated parasite mutant to distinguish between a requirement during innate (IL-12 production) and that during adaptive (cross-presentation to CD8 T cells) immunity. In this context, we show that CD4 T cell production of IFN-γ becomes critical to control of infection. Selective depletion or adoptive transfer of T cell subsets revealed that CD4 cells contribute more to production of IFN-γ and to protective responses than do CD8 T cells. Collectively, our results highlight a previously underappreciated role for CD4 T cells in mediating protective immunity, a finding that may have consequences for immunocompromised patients infected with
T. gondii.
In wild-type mice, the initial recognition of
T. gondii by TLR11 and TLR12 expressed by CD8α
+ cDCs triggers early IL-12 production and NK cell-mediated secretion of IFN-γ leading to control parasite infection (
4,
6,
39). In
Batf3−/− mice, this early IL-12 production is absent (
11) with an increased parasite burden leading to greater proinflammatory cell recruitment. Despite the increased recruitment of inflammatory monocytes to the peritoneal cavity of Batf3
−/− mice, this did not lead to parasite control. This failure to control the parasite numbers may be a consequence of low levels of IFN-γ produced by resident NK cells and delayed levels of production by CD4 T cells in Batf3
−/− mice. As such, even though inflammatory monocytes are recruited to the site of infection, their lower capacity for IL-12 production and consequent lower levels of IFN-γ at these early time points impair the development of antimicrobial functions. Furthermore, our findings indicate that control of attenuated strains of
T. gondii in Batf3
−/− mice is dependent on the function of CD4 T cells, as shown by depletion studies, rather than simply a reappearance of CD8α cDCs, which are eventually rescued though production of IL-12 (
36). Previous studies have shown that this restoration of CD8α cDCs is dependent on compensatory function of other Batf transcription factors that interact with Irf4 and Irf8 to activate gene expression (
36). However, these prior studies did not examine the role of CD4 T cells in control of chronic infection, as they were focused exclusively on the innate phase of immunity. Our current studies reveal that despite this return of CD8α DCs, CD4 T cells remain the dominant subset contributing to IFN-γ levels needed to control toxoplasmosis.
Although protection against toxoplasmosis in the immunocompetent C57BL/c mice is largely dependent on CD8 T cells, in the absence of NK cells and CD8 T cells, CD4 T cells become an essential source for IFN-γ (
34). Similarly, because
Batf3−/− mice have impaired cross-presentation of cell-associated but not soluble antigens to CD8 T cells (
38), we reasoned that adaptive immunity in these mice might be more dependent on CD4 T cell function. Consistent with this prediction, we show that in
Batf3−/− mice on a BALB/c background, CD4 T cells contribute to control of parasite infection. Selective depletion of CD4, but not CD8, T cells led to increased mortality in chronically infected Batf3
−/− and wild-type BALB/c mice. The greater role for CD4 T cells in this model may be due to their higher production of IFN-γ. The finding that CD4 cells play a more important role in the present study differs from previous studies using vaccination with a strain of intermediate virulence (type II ME49 strain) where CD8 cells were predominant (
26,
30,
32). These differences may result from unique mechanisms of activation caused by the attenuated RHΔ
ku80Δ
rop5 strain or reflect differences in the use of BALB/c mice here from previous studies that focused on C57BL/6 mice. Regardless, neutralization of IFN-γ was detrimental and resulted in the death of all RHΔ
ku80Δ
rop5-vaccinated animals, indicating that the likely mechanism by which CD4 T cells induce parasite clearance is through secretion of IFN-γ. This observation highlights the critical role of IFN-γ-induced pathways in promoting lysis of the parasitophorous vacuole, a process that occurs through recruitment of IRGs (
19) and GBPs (
40–42), thereby limiting and controlling the infection. Collectively, these studies highlight the remarkable flexibility of the immune system, which provides layers of redundancy needed to respond to pathogens under a variety of circumstances.
CD4 T cells normally play a minor role in control of
T. gondii infection in immune sufficient hosts, where infections are usually well contained and largely asymptomatic. Consistent with this, in wild-type mice with the avirulent RHΔ
ku80Δ
rop5 strain, depletion of CD4 T cells did not affect the parasite burden or survival. Innate protection mediated by activated NK cells, and production of IFN-γ, is apparently sufficient for clearance of this highly attenuated strain. However, in both
Batf3−/− and wild-type mice, CD4 memory T cells contributed to the protection of mice after challenge with lethal infection. This unanticipated result indicates that CD4 T cells contribute to immunity against
T. gondii infection in chronically infected animals, as shown previously using C3H/HeN mice (
31). This finding is also highly relevant to situations where the parasite burden may increase due to reactivation. In particular,
T. gondii reactivation during immune suppression or in AIDS patients leads to severe and widespread tissue damage with a potential lethal outcome if left untreated (
43). During the progression to AIDS,
T. gondii reactivation results in encephalitis, and the progressive loss of CD4 T cells is associated with the progression of toxoplasmosis, supporting the relevance of CD4 T cell-mediated immunity. Hence, findings from BALB/c mice may provide an improved model to study the pathology of opportunistic infections in immunocompromised patients such as those with HIV-AIDS.
MATERIALS AND METHODS
Mice.
Wild-type BALB/c mice were originally purchased from Taconic and then bred in-house for experimental use.
Batf3−/− mice were previously generated in our laboratory on a 129S6/SvEv background (
35) and subsequently backcrossed for 10 generations onto BALB/c backgrounds. Mice were age and sex matched for each experiment and were between 8 and 12 weeks old. All mice were maintained under specific-pathogen-free conditions according to institutional guidelines and with protocols approved by the Animal Studies Committee of Washington University.
Parasites and infections.
Luciferase-expressing parasite strains for type I virulent RH (RH
Δku80) and an avirulent RH mutant (RH
Δku80Δrop5) were grown in culture in human foreskin fibroblasts as previously described (
21). For infections, parasites were harvested and counted, and 1,000 tachyzoites were injected i.p. into mice. Parasite burdens were measured by bioluminescence using luciferase-expressing parasites, as previously described (
21). For survival experiments, mice were monitored daily over 30 days.
Luciferase imaging.
Mice were injected i.p. with d-luciferin (Biosynth AG) at 150 mg/kg of body weight, anesthetized with 2% isoflurane for 5 min, and imaged with a Xenogen IVIS 200 imager, and images were processed using Xenogen Living Image software (Caliper Life Sciences).
Cell preparation.
Spleens were digested in 5 ml complete Iscove’s modified Dulbecco’s medium (IMDM) with 250 μg/ml collagenase B (Roche) and 30 U/ml DNase I (Sigma-Aldrich) for 30 min at 37°C with agitation using stir bars. Red blood cells were lysed by incubation in ACK (ammonium-chloride-potassium) lysis buffer. Cells were filtered through 80-μm strainers and counted on an analyzer (Vi-CELL; Beckman Coulter). Cells (1 × 106 to 5 × 106) were stained for flow cytometric analysis. For analysis of peritoneal cells, a peritoneal lavage was performed with 10 ml Dulbecco’s phosphate-buffered saline (DPBS). Harvested cells were lysed in ACK buffer, filtered, counted, and stained for flow cytometry.
Flow cytometry and staining.
Cells were incubated for 5 min at 4°C with Fc Block (clone 2.4G2; BD) in FACS buffer (PBS, 0.5% bovine serum albumin [BSA], 2 mM EDTA). Dead cells were excluded using the LIVE/DEAD Aqua fixable dead-cell stain kit (Invitrogen). Surface staining was done for 20 min at 4°C in FACS buffer. Absolute cell numbers were calculated using the total cell count multiplied successively by the percentages for the appropriate gates obtained through flow cytometry. Cells were analyzed on a BD FACS Canto II flow cytometer, and data were analyzed using FlowJo software (Tree Star, Inc.). Immune subsets were identified as previously described (
11). Cell types were defined by the following markers: neutrophils, Ly6
hi, F4/80
−, Ly6C
lo, CD11b
+; inflammatory macrophages/monocytes, Ly6G
−, Ly6C
hi, CD115
hi, CD11c
−; resident macrophages, Ly6G
−, F4/80
+, CD115
hi, CD11c
−; CD8α dendritic cells, CD11c
+, MHC-II
hi, DEC205
+, CD103
+, CD8a
+, CD11b
−, Sirpα
−; CD4
+ dendritic cells, CD11c
+, MHC-II
hi, CD11b
+, Sirpα
+.
Intracellular cytokine staining.
For intracellular cytokine staining, cells were first surface stained and then fixed in 2% paraformaldehyde for 15 min at room temperature. Cells were then resuspended in permeabilization buffer (PBS + 0.1% BSA + 0.5% saponin) and stained with anti-IFN-γ for 30 min at 4°C.
Cytokine measurement.
Serum cytokine levels were measured using the BD CBA mouse inflammation kit (BD Biosciences). Detection was performed using a FACS Canto II flow cytometer (BD Biosciences), and results were analyzed using FCAP Array (Soft Flow, Inc.).
Administration of IL-12.
Recombinant murine IL-12 (Peprotech) was resuspended in pyrogen-free saline at a concentration of 2.5 μg/ml, aliquoted, and frozen at −80°C. Mice were injected i.p. with 0.5 μg of IL-12 as indicated.
IFN-γ and T cell depletion.
Mice were injected i.p. with 250 μg of anti-CD4 (clone GK1.5) and/or CD8 (clone H35) 2 days before infection, with a second dose given at day 5 postinfection. Depletion was monitored on peripheral blood. Mice were injected i.p. with 250 μg of IFN-γ-blocking antibody H22, or control antibody PIP, as previously described (
17).
T cell adoptive transfer.
CD4 (clone L3T4) and CD8 (clone Ly2) positive T cells were obtained by positive selection using microbead-based magnetically activated cell sorting (MACS) purification (Miltenyi Biotec). Purity was confirmed by fluorescence-activated cell sorting (FACS) analysis above 93%, and cells were injected intravenously 2 days before infection.
Statistics.
For analyses of survival data, the log rank test was used. For analyses of all other data, a two-way analysis of variance (ANOVA) was used with posttest correction using the Bonferroni method (Prism; GraphPad Software, Inc.). All data are represented as means ± SD. The statistical significance is indicated as follows: *, P < 0.05; **, P < 0.01; ***, P < 0.001.