BMC Immunology | |
The IL-6 response to Chlamydia from primary reproductive epithelial cells is highly variable and may be involved in differential susceptibility to the immunopathological consequences of chlamydial infection | |
Wilhelmina M Huston1  John A Allan1  Vivian Kienzle2  Shruti Menon2  Pooja Patel2  Scott H Stansfield2  Kelly Cunningham2  | |
[1] The Wesley Research Institute, The Wesley Hospital, 40 Chasely Street, Auchenflower, QLD 4066, Australia;Institute of Health and Biomedical Innovation, Queensland University of Technology, Q Block, 60 Musk Ave, Kelvin Grove, QLD 4059, Australia | |
关键词: Immunopathology; IL-6; Infertility; Chlamydia; | |
Others : 1077743 DOI : 10.1186/1471-2172-14-50 |
|
received in 2013-08-12, accepted in 2013-11-14, 发布年份 2013 | |
【 摘 要 】
Background
Chlamydia trachomatis infection results in reproductive damage in some women. The process and factors involved in this immunopathology are not well understood. This study aimed to investigate the role of primary human cellular responses to chlamydial stress response proteases and chlamydial infection to further identify the immune processes involved in serious disease sequelae.
Results
Laboratory cell cultures and primary human reproductive epithelial cultures produced IL-6 in response to chlamydial stress response proteases (CtHtrA and CtTsp), UV inactivated Chlamydia, and live Chlamydia. The magnitude of the IL-6 response varied considerably (up to 1000 pg ml-1) across different primary human reproductive cultures. Thus different levels of IL-6 production by reproductive epithelia may be a determinant in disease outcome. Interestingly, co-culture models with either THP-1 cells or autologous primary human PBMC generally resulted in increased levels of IL-6, except in the case of live Chlamydia where the level of IL-6 was decreased compared to the epithelial cell culture only, suggesting this pathway may be able to be modulated by live Chlamydia. PBMC responses to the stress response proteases (CtTsp and CtHtrA) did not significantly vary for the different participant cohorts. Therefore, these proteases may possess conserved innate PAMPs. MAP kinases appeared to be involved in this IL-6 induction from human cells. Finally, we also demonstrated that IL-6 was induced by these proteins and Chlamydia from mouse primary reproductive cell cultures (BALB/C mice) and mouse laboratory cell models.
Conclusions
We have demonstrated that IL-6 may be a key factor for the chlamydial disease outcome in humans, given that primary human reproductive epithelial cell culture showed considerable variation in IL-6 response to Chlamydia or chlamydial proteins, and that the presence of live Chlamydia (but not UV killed) during co-culture resulted in a reduced IL-6 response suggesting this response may be moderated by the presence of the organism.
【 授权许可】
2013 Cunningham et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20141114143914715.pdf | 934KB | download | |
Figure 5. | 53KB | Image | download |
Figure 4. | 60KB | Image | download |
Figure 3. | 59KB | Image | download |
Figure 2. | 115KB | Image | download |
Figure 1. | 101KB | Image | download |
【 图 表 】
Figure 1.
Figure 2.
Figure 3.
Figure 4.
Figure 5.
【 参考文献 】
- [1]World Health Organisation http://www.who.int/reproductivehealth/publications/rtis/stisestimates/en/index.html webcite
- [2]Broeze KA, Opmeer BC, Coppus SF, Van Geloven N, Alves MF, Anestad G, Bhattacharya S, Allan J, Guerra-Infante MF, Den Hartog JE, et al.: Chlamydia antibody testing and diagnosing tubal pathology in subfertile women: an individual patient data meta-analysis. Hum Reprod Update 2011, 17:301-310.
- [3]Lichtenwalner AB, Patton DL, Van Voorhis WC, Sweeney YT, Kuo CC: Heat shock protein 60 is the major antigen which stimulates delayed-type hypersensitivity reaction in the macaque model of Chlamydia trachomatis salpingitis. Infect Immun 2004, 72:1159-1161.
- [4]Patton DL, Sweeney YT, Kuo CC: Demonstration of delayed hypersensitivity in Chlamydia trachomatis salpingitis in monkeys: a pathogenic mechanism of tubal damage. J Infect Dis 1994, 169:680-683.
- [5]Tiitinen A, Surcel HM, Halttunen M, Birkelund S, Bloigu A, Christiansen G, Koskela P, Morrison SG, Morrison RP, Paavonen J: Chlamydia trachomatis and chlamydial heat shock protein 60-specific antibody and cell-mediated responses predict tubal factor infertility. Hum Reprod 2006, 21:1533-1538.
- [6]Witkin SS, Askienazy-Elbhar M, Henry-Suchet J, Belaisch-Allart J, Tort-Grumbach J, Sarjdine K: Circulating antibodies to a conserved epitope of the Chlamydia trachomatis 60 kDa heat shock protein (hsp60) in infertile couples and its relationship to antibodies to C. trachomatis surface antigens and the Escherichia coli and human HSP60. Hum Reprod 1998, 13:1175-1179.
- [7]Baud D, Regan L, Greub G: Comparison of five commercial serological tests for the detection of anti-Chlamydia trachomatis antibodies. Eur J Clin Microbiol Infect Dis 2010, 29:669-675.
- [8]Hjelholt A, Christiansen G, Johannesson TG, Ingerslev HJ, Birkelund S: Tubal factor infertility is associated with antibodies against Chlamydia trachomatis heat shock protein 60 but not human HSP60. Hum Reprod 2011, 26:2069-2076.
- [9]Stephens RS: The cellular paradigm of chlamydial pathogenesis. Trends Microbiol 2003, 11:44-51.
- [10]Hvid M, Baczynska A, Deleuran B, Fedder J, Knudsen HJ, Chrisiansen G, Birkelund S: Interleukin-1 is the initiator of fallopian tube destruction during Chlamydia trachomatis infection. Cell Microbiol 2007, 9:2795-2803.
- [11]Huston WM, Armitage CW, Lawrence A, Gloeckl S, Bell SJ, Debattista J, Allan JA, Timms P: HtrA, RseP, and Tsp proteins do not elicit a pathology-related serum IgG response during sexually transmitted infection with Chlamydia trachomatis. J Reprod Immunol 2010, 85:168-171.
- [12]Huston WM, Theodoropoulos C, Mathews SA, Timms P: Chlamydia trachomatis responds to heat shock, penicillin induced persistence, and IFN-gamma persistence by altering levels of the extracytoplasmic stress response protease HtrA. BMC Microbiol 2008, 8:190. BioMed Central Full Text
- [13]Lad SP, Li J, Correia JS, Pan Q, Gadwal S, Ulevitch RJ, Li E: Cleavage of p65/Re1A of the NF-kappa B pathway by Chlamydia. Proc Natl Acad Sci USA 2007, 104:2933-2938.
- [14]Wu X, Lei L, Gong S, Chen D, Flores R, Zhong G: The chlamydial periplasmic stress response serine protease cHtrA is secreted into host cell cytosol. BMC Microbiol 2011, 11:87. BioMed Central Full Text
- [15]Castelbaum AJ, Ying L, Somkuti SG, Sun J, Ilesanmi AO, Lessey BA: Characterization of integrin expression in a well differentiated endometrial adenocarcinoma cell line (Ishikawa). J Clin Endocrinol Metab 1997, 82:136-142.
- [16]Mo B, Vendrov AE, Palomino WA, DuPont BR, Apparao KB, Lessey BA: ECC-1 cells: a well-differentiated steroid-responsive endometrial cell line with characteristics of luminal epithelium. Biol Reprod 2006, 75:387-394.
- [17]Bodetti TJ, Timms P: Detection of Chlamydia pneumoniae DNA and antigen in the circulating mononuclear cell fractions of humans and koalas. Infect Immun 2000, 68:2744-2747.
- [18]Huston WM, Gloeckl S, de Boer L, Beagley KW, Timms P: Apoptosis is induced in Chlamydia trachomatis-infected HEp-2 cells by the addition of a combination innate immune activation compounds and the inhibitor wedelolactone. Am J Reprod Immunol 2011, 65:460-465.
- [19]Dessus-Babus S, Darville T, Cuozzo FP, Ferguson K, Wyrick PB: Differences in the innate immune responses (in vitro) to HeLa cells infected with nondisseminating serovar E and disseminating serovar L2 of Chlamydia trachomatis. Infect Immun 2002, 70:3234-3248.
- [20]Mpiga P, Mansour S, Morisset R, Beaulieu R, Ravaoarinoro M: Sustained interleukin-6 and interleukin-8 expression following infection with Chlamydia trachomatis serovar L2 in a HeLa/THP-1 cell co-culture model. Scand J Immunol 2006, 63:199-207.
- [21]Rasmussen SJ, Eckmann L, Quayle AJ, Shen L, Zhang Y-X, Anderson DJ, Fierer J, Stephens RS, Kagnoff MF: Secretion of proinflammatory cytokines by epithelial cells in response to Chlamydia infection suggest a central role for eptihelial cells in chlamydial pathogenesis. J Clin Invest 1997, 99:77-87.
- [22]Debattista J, Timms P, Allan J: Reduced levels of gamma-interferon secretion in response to chlamydial 60 kDa heat shock protein amongst women with pelvic inflammatory disease and a history of repeated Chlamydia trachomatis infections. Immunol Lett 2002, 81:205-210.
- [23]Srivastava P, Rajneesh J, Bas S, Salhan S, Mittal A: In infertile women, cells from Chlamydia trachomatis infected site release higher levels of interferon-gamma, interluekin-10 and tumor necrosis factor-alpha upon heat shock protein stimulation than fertile women. Reprod Biol Endo 2008, 6:20-25. BioMed Central Full Text
- [24]Stansfield SH, Patel P, Debattista J, Armitage CW, Cunningham K, Timms P, Allan J, Mittal A, Huston WM: Proof of concept: a bioinformatic and serological screening method for identifying new peptide antigens for chlamydia trachomatis related sequelae in women. Res Immunol 2013. in press
- [25]Kinnunen AH, Surcel HM, Halttunen M, Tiitinen A, Morrison RP, Morrison SG, Koskela P, Lehtinen M, Paavonen J: Chlamydia trachomatis heat shock protein -60 induced infterferon-gamma and interleukin-10 production in infertile women. Clin Exp Immunol 2003, 131:299-303.
- [26]Mitsuyama K, Sata M, Rose-John S: Interleukin-6 trans-signaling in inflammatory bowel disease. Cytokine Growth Factor Rev 2006, 17:451-461.
- [27]Cahill CM, Rogers JT: Interleukin (IL) 1beta induction of IL-6 is mediated by a novel phosphatidylinositol 3-kinase-dependent AKT/IkappaB kinase alpha pathway targeting activator protein-1. J Biol Chem 2008, 283:25900-25912.
- [28]Latz E: The inflammasomes: mechanisms of activation and function. Curr Opin Immunol 2010, 22:28-33.
- [29]Ringwood L, Li L: The involvement of the interleukin-1 receptor-associated kinases (IRAKs) in cellualr signaling networsk controlling inflammation. Cytokine 2008, 42:1-7.
- [30]Perry LL, Feilzer K, Caldwell HD: Neither interleukin-6 nor inducible nitric oxide syntahse is required for clearance of Chlamydia trachomatis from the murine genital tract epithelium. Infect Immun 1998, 66:1265-1269.
- [31]Darville T, Andrews CW Jr, Sikes J, Fraley PL, Rank RG: Early local cytokine profiles in strains of mice with different outcomes from chlamydial genital tract infection. Infect Immun 2001, 69:3556-3561.
- [32]Yilma AN, Singh SR, Fairley SJ, Taha MA, Dennis VA: The anti-inflammatory cytokine, interleukin-10, inhibits inflammatory mediators in human epithelial cells and mouse macrophages exposed to live and UV-inactivated Chlamydia trachomatis. Mediators Inflamm 2012, 2012:520174.
- [33]Gupta R, Srivastava P, Vardhan H, Salhan S, Mittal A: Host immune responses to chlamydial inclusion membrane proteins B and C in Chlamydia trachomatis infected women with or without fertility disorders. Reprod Biol Endocrinol 2009, 7:38-43. BioMed Central Full Text