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Parasite Immunology - 2003 - EnKATESAN - A Comparison of Mucosal Inflammatory Responses To Giardia Muris in Resistant B10
Parasite Immunology - 2003 - EnKATESAN - A Comparison of Mucosal Inflammatory Responses To Giardia Muris in Resistant B10
1
Department of Life Science, University of Nottingham, Nottingham NG7 2RD, UK
2
Department of Microbiology, University of Nottingham, City Hospital, Nottingham NG5 1PB, UK
SUMMARY INTRODUCTION
In the first three weeks of primary Giardia muris infections The regulation of infection with Giardia is under immune
B10 mice clear infection more rapidly than BALB/c mice. control, as immunodeficient humans and experimental ani-
There is evidence that interferon-g contributes to the rela- mals suffer protracted infections. Primary Giardia muris
tive resistance of B10 mice. The nature of the functional infections in two panels of B10 and BALB H-2 congenic
contribution of interferon-g is unclear and does not relate to strains of mice provide a good model for analysis of
the secretory or serum antibody response. Mucosal inflam- mechanisms of immune control. During the first three
matory events in these strains have been studied. Apart from weeks B10 strains clear infection more rapidly than
a small rise in both strains of goblet cell and mucosal mast BALB strains, and on a BALB background MHC haplotype
cell numbers, associated with release of mast cell protease-1 influences the course of infection (Venkatesan, Finch &
in serum, no inflammatory infiltrate was observed at the time Wakelin 1993). Antibody is known to contribute to immune
trophozoites were cleared from the intestinal lumen. Inhibi- clearance (Snider et al. 1985) but when the timing, titre and
tion of mast cell products (5-hydroxytryptamine and hista- specificity of secretory and serum antibodies were compared
mine) by cyproheptadine enhanced the intensity of infection between the panels no demonstrable difference was found to
in both strains. The relative resistance of B10 mice could not explain the relative resistance of the B10 strains (Venkate-
be explained in terms of the mucosal inflammatory response. san, Finch & Wakelin 1996). Two representative strains,
BALB/c and C57B110(B10)/ScSn (B10), have been studied
Keywords Giardia muris, mucosal inflammation, mast in detail. Unlike BALB/c mice, mesenteric lymph node cells
cells, histamine, 5-hydroxytryptamine, nitric oxide from B10 mice produce interferon-g and specific blockade
of this cytokine results in enhanced levels of infection in the
latter strain (Venkatesan et al. 1996).
There is conflicting, indirect evidence on the importance
of intestinal mucosal inflammation in resistance to giardia-
sis. In co-infections of G. muris with Trichinella spiralis
there was a significant reduction in the G. muris infection
during the intestinal phase of T. spiralis infection and this
was proportional to the mucosal inflammatory response
(Roberts-Thomson, Grove & Stevens 1976a). In contrast
Ferguson & Munro (1988) found that mucosal inflammation
induced by a graft versus host reaction did not suppress a
G. muris infection. One aspect of the immune/inflammatory
response which has attracted interest in recent years is the
biochemical attack of pathogens by nitric oxide and oxygen
radical species. In fact anti-oxidant systems are described in
Correspondence: P.Venkatesan parasites and these may serve as their defence (Callahan,
Current address: Department of Infection and Tropical Diseases,
Crouch & James 1988). Both nitric oxide and oxygen radical
Birmingham Heartlands Hospital, Birmingham B9 5ST, UK
Received: 10 April 1996 production are stimulated by interferon-g. We have invest-
Accepted for publication: 29 November 1996 igated whether the relative resistance of B10 mice can be
explained in terms of their cellular and biochemical mucosal 0:2 ml saline, injected intra-peritoneally (ip) daily from day
inflammatory response. 5–20 of the experiment. Control mice were given saline
alone.
MATERIAL AND METHODS
Anti-oxidant enzyme assays
Animals
Preparations of trophozoite proteins were made by disrupt-
Six to eight week old, female, specific pathogen free mice ing trophozoites in distilled water and freeze-thawing. Using
were purchased from Harlan Olac Ltd, Bicester, UK. The fresh preparations three anti-oxidant enzymes were assayed
principle strains of mice used were BALB/c and B10. — catalase by the method of Aebi (1984), glutathione-S-
transferase (GST) by the method of Alin, Danielson &
Mannervik (1985) and superoxide dismutase (SOD).
G. muris
The assay for SOD was based on inhibiting the reduction
G.muris cysts were provided by Professor G Faubert of of nitroblue tetrazolium (NBT, Sigma, UK) as measured by
McGill University, Montreal, Canada. They were stored at a change in absorbance at 560 nm. The reaction mixture
48C in phosphate buffered saline (PBS), pH 7:2, and con- consisted of 27 ml 50 mM potassium phosphate buffer, pH
tinually passaged through BLAB/c mice. Mice were 7:8, 1:5 ml L-methionine (300 mg/10 ml buffer) (Sigma,
infected orally using a standard inoculum of 103 cysts in UK), 1 ml NBT (14:1 mg/10 ml buffer) and 0:75 ml 1%
0:3 ml Hanks Balanced Salt Solution (HBSS). Infection was Triton X-100. 0:9 ml of the reaction mixture was placed in
monitored by quantifying two h faecal cyst output by the cuvettes and to this was added 10 ml of riboflavin (4:4 mg/
method of Roberts-Thomson et al. (1976b). 100 ml buffer) (Sigma, UK) and 0:1 ml of a serial dilution of
trophozoite proteins or distilled water as control. The OD
560 nm was measured before and after exposing cuvettes to
Intestinal washings and sera
ultraviolet light for two min.
Intestinal washings and sera were stored at ¹308C. Intest-
inal washings were collected from the small intestine after
Nitric oxide (NO)
removal, ligation, instillation of 3 ml PBS, massage for one
minute, centrifugation of contents and collection of the NO is rapidly converted to nitrite and then nitrate ions.
supernate. Serum and intestinal washings were assayed for nitrate by
the Griess reaction after nitrate had been converted to
nitrite by Aspergillus nitrate reductase (Sigma, UK)
Histology
(Green et al. 1982). NO production was inhibited in vivo
Maximal histological changes in infected mice occur about by NG -monomethyl-L-arginine (L-NMMA, Sigma, UK),
10 cm from the gastroduodenal junction (Buret, Gall & administered by daily gavage of 15 mg in 0:2 ml PBS on
Olsen 1990). Segments of intestine from this region were day 8-11 of infection. Control mice were given PBS alone.
fixed in Carnoy’s fixative. After processing 5 mm sections The latter experiment was only performed in B10 mice as
were stained with either haematoxylin and eosin (for intra- interferon-g had previously been implicated in resistance in
epithelial lymphocyte [IEL] and inflammatory cell counts) this strain and not in BALB/c mice.
or with Alcian blue/Astra blue, counterstained with safranin
O (for mast cell and goblet cell counts). Cell counts were
Statistical methods
made from 25 villus:crypt units (VCU) per slide.
The value P < 0:05 was taken as the level of significance.
The Mann-Whitney U-test was used for statistical analysis.
Mouse mast cell protease-1 (MMCP-1) ELISA
P and U values were derived from published tables (Siegel
Sera were assayed for MMCP-1 by the method of Huntley 1956).
et al. (1990), using a commercial ELISA kit (Moredun
Research Institute, Edinburgh, UK).
RESULTS
Figure 1 The course of primary Giardia muris infection in (a) BALB and (b) B10 panels of H-2 congenic strains of mice. Experimental groups of
eight mice were infected orally on day 0 with 103 G.muris cysts and the course of infection monitored by weekly 2 h faecal cyst output. The limit
of detection is 250 cysts as shown by the horizontal line. (a) W BALB/c; e BALB/K; A BALB/B. (b) X B1O.D2n; O; B1O.BR; B B1O.
(Venkatesan et al. 1993). By day 21 post infection there is a then fell (Figure 2b). In B10 mice there was a three-fold
100 fold difference in cyst counts between BALB and B10 increase in mast cell numbers, while in BALB/c mice
strains. The overall intensity and duration of infection is numbers increased by a half. On all days except day 14
reduced in B10 strains. On a BALB background there are BALB/c mice had significantly higher counts (P ¼ 0:014,
significant MHC related differences in the course of infec- U ¼ 0). Serum MMCP-1 was measured in two experiments,
tion. The histological studies described below concentrated measurements occurring at different intervals (Figure 3).
on representative strains of the two panels, namely BALB/c MMCP-1 levels rose significantly from baseline in both
and B10. strains in both experiments in the first two weeks (BALB/c -
P ¼ 0:014, U ¼ 0 and P ¼ 0:004, U ¼ 0; B10 - P ¼ 0:014,
Inflammatory response U ¼ 0 and P ¼ 0:004, U ¼ 0 in the two experiments
respectively). There was slight variation in the timing of
Histological slides were examined from five mice each of
peak serum levels between experiments. Only on day 10 in
BALB/c and B10 strains on days 0, 7, 10 and 14 post
the first experiment (Figure 3a) was serum MMCP-1 sig-
infection. On day 7 trophozoites covered the whole surface
nificantly higher in B10 mice. There were no significant
of villi but numbers then declined, this decline being more
strain differences in MMCP-1 levels in the second experi-
marked in B10 mice. Unlike BALB/c mice very few
ment (Figure 3b). On administration of cyproheptadine to
trophozoites could be seen in B10 mice on day 14. Tropho-
both strains the course of infection was the same as controls
zoites were seen embedded in strands of mucus which
until day 21 (Table 1). On that day the faecal cyst counts
separated from the epithelial surface as an artefact of slide
were ten-fold higher in the treated group (BALB/c:
preparation.
P ¼ 0:002, U ¼ 1; B10: P ¼ 0:001, U ¼ 0).
The predominant cells in the lamina propria were mono-
nuclear and included plasma cells and monocytes. Very
occasionally eosinophils and polymorphonuclear cells were Goblet cells
seen, < 1 per 10 villi. During the first two weeks of infection Goblet cell numbers increased very slightly, but significantly
there was no discernible increase in these inflammatory cells in both strains (P ¼ 0:014, U ¼ 0) [Figure 2c]. BALB/c mice
or swelling of villi. Villus atrophy and crypt hyperplasia has significantly more goblet cells than B10 mice on days 10
were not seen. There were no significant strain differences in (P ¼ 0:029, U ¼ 1) and 14 (P ¼ 0:014, U ¼ 0).
the number of IEL/100 epithelial cells (Figure 2a). Despite
obvious differences in trophozoite load the appearance of
BALB/c and B10 villi were the same. Anti-oxidant enzymes
Catalase was not detected. GST was found at a concentration
Mast cells
of 35:5 mU/mg and SOD at a concentration of 2393 mU/mg
In both strains mast cell numbers increased till day 10 and (means from three separate assay experiments).
Figure 3 Mean levels of serum mucosal mast cell protease-1 in ng/ml6 SEM in two separate experiments with (a) five mice per experimental
group and (b) four mice per experimental group. W BALB/c; B B1O.
and there was no eosinophil or polymorphonuclear infiltrate. susceptible than normal or heterozygote Wf /þ mice
Studies in humans have shown eosinophil and polymorpho- (Erlich et al. 1983). Erlich et al. (1983) found that blockade
nuclear infiltrates, but this was beyond the acute phase of with cyproheptadine of the mast cell products 5-hydroxy-
infection when parasite numbers were already declining tryptamine and histamine impaired clearance of infection in
(Zamchek et al. 1963; Yardley et al. 1964). Both mast cell BALB/c mice. We confirm this finding in BALB/c mice and
and goblet cell numbers increased but these changes were extend it to B10 mice. The effect of cyproheptadine and the
very small, especially when compared with the changes seen activation of mast cells, as indicated by MMCP-1, was
in helminthic infections. The relatively susceptible BALB/c similar in both strains. This argues against differential
strain had higher counts of both these cells but the relatively involvement of mast cell activity to account for the relative
resistant B10 strain has a proportionately greater increase in resistance of B10 mice.
mast cell numbers. Although mast cell numbers were small Goblet cell hyperplasia and increased mucus secretion
there was evidence of mast cell activation through secretion contribute to the intestinal mucosal response to infection
of MMCP-1 into serum. (Tse & Chadee 1991). In rats, where the rapid expulsion of
Mast cells have long been thought to be important in Nippostrongylus brasiliensis has been attributed to the
giardiasis as mast cell deficient Wf /Wf mice are more trapping of worms in the mucus layer (Miller, Huntley &
BALB/c B10
Days post infection
7 12
Cyproheptadine 40:3 1:06
631:4 60:38
L-NMMA 12:2 3:7
Control 4:75 0:07 69:5 65:2
64:27 60:05
Control 19:2 6:25
P value 0:002 0:001 618:5 64:0
U value 1 0 P value NS NS
Six female mice in each experimental group were infected with 103 Five female mice in each experimental group were infected with 103
G. muris cysts on day 0 and the course of infection monitored by G. muris cysts on day 0 and the course of infection monitored by
measuring two h faecal excretion of cysts. Between days 5–20 measuring two h faecal excretion of cysts. Between days 8–11
cyproheptadine (15 mg/kg in 0:2 ml saline) or 0:2 ml saline control L-NMMA (15 mg in 0:2 ml PBS) or 0:2 ml PBS control was
was administered daily intra-peritoneally. Day 21 mean cyst count administered by daily gavage. NS ¼ not significant. Mean cyst count
(×10¹4 Þ 6 SD. (×10¹4 ) 6SD.
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