Abstract
Listeria monocytogenes the causative agent of the foodborne disease listeriosis in humans often involves fatal brainstem infections leading to meningitis and meningoencephalitis. We recently established the larvae of the greater wax moth (Galleria mellonella) as a model host for the investigation of L. monocytogenes pathogenesis and as a source of peptides exhibiting anti-Listeria-activity. Here we show that G. mellonella can be used to study brain infection and its impact on larval development as well as the activation of stress responses and neuronal repair mechanisms. The infection of G. mellonella larvae with L. monocytogenes elicits a cellular immune response involving the formation of melanized cellular aggregates (nodules) containing entrapped bacteria. These form under the integument and in the brain, resembling the symptoms found in human patients. We screened the G. mellonella transcriptome with marker genes representing stress responses and neuronal repair, and identified several modulated genes including those encoding heat shock proteins, growth factors, and regulators of neuronal stress. Remarkably, we discovered that L. monocytogenes infection leads to developmental shift in larvae and also modulates the expression of genes involved in the regulation of endocrine functions. We demonstrated that L. monocytogenes pathogenesis can be prevented by treating G. mellonella larvae with signaling inhibitors such as diclofenac, arachidonic acid, and rapamycin. Our data extend the utility of G. mellonella larvae as an ideal model for the high-throughput in vivo testing of potential compounds against listeriosis.
Keywords: brain, infection, neural repair, immunity, antimicrobial drugs, Galleria mellonella, Listeria monocytogenes
Introduction
The severe foodborne disease listeriosis is caused by the opportunistic gram-positive bacterial pathogen Listeria monocytogenes, and primarily affects pregnant women, newborns, the elderly, and immunocompromised adults. It is considered as the most severe bacterial foodborne infection with 1645 case in Europe (2009) and approximately 2500 cases per year in the US. Up to 30% of the cases are lethal and more than 50% correspond to septicemia.1 L. monocytogenes is ubiquitous in the environment and can tolerate food preservation treatments based on extreme pH, salinity and temperature. The risk of listeriosis is increasing, reflecting the aging population and the growing number of immunocompromised individuals, creating a demand for novel therapeutic strategies. The complexity of the cell infection cycle of L. monocytogenes and its ability to target the central nervous system requires the development of adequate model hosts to discover novel anti-Listeria drugs.1,2
Ethical concerns and the high costs associated with the use of mammalian model hosts have encouraged researchers to explore alternative invertebrate models. The nematode Caenorhabditis elegans and the fruit fly Drosophila melanogaster have been used to study L. monocytogenes pathogenesis.3-7 However these models suffer from several disadvantages, including the inability to distinguish between L. monocytogenes strains that are pathogenic and non-pathogenic in humans.8,9
The larvae of the greater wax moth Galleria mellonella have been developed as model hosts for human pathogens. The larvae can be reared at 37 °C, the physiological temperature for human pathogens, which is often required for the synthesis and release of virulence factors.10,11 In addition, they are particularly suited for high-throughput in vivo assays to test novel antibiotics and pathogen mutant libraries12 and as a source of novel anti-infective drugs.13 G. mellonella has also been established as a model to mimic oral infection with bacterial pathogens14
Independently, two groups have recently established G. mellonella as a suitable host for L. monocytogenes.15,16 In addition, we have reported the presence of potent and inducible peptides in the hemolymph exhibiting inhibitory activity against L. monocytogenes such as Cecropin D.17 We have also comprehensively documented the immune-gene repertoire in this lepidopteran model host by sequencing the transcriptome of different developmental stages and immune-activated larvae on the next-generation Roche 454-FLX platform combined with traditional Sanger sequencing.18 Using these unique resources, here we have explored the suitability of G. mellonella as a model host to: (1) study brain infection in an insect model infected with human pathogenic L. monocytogenes, (2) address L. monocytogenes mediated developmental shifts in infected larvae, (3) document the pathogen-induced regulation of genes encoding growth hormones, (4) identify immunity and stress marker genes induced by L. monocytogenes, focusing on genes with known functions in cellular immunity and neuroendocrine/neuronal repair mechanisms and (5) develop a whole-animal, high-throughput platform suitable for the in vivo screening of drugs exhibiting activity against listeriosis.
Results
Infection with L. monocytogenes elicits immune responses in G. mellonella
To determine whether a virulent strain of L. monocytogenes can induce humoral immune responses in G. mellonella larvae, we compared the hemolymph proteins isolated from non-infected and infected larvae 24 h post-inoculation (hpi) with 106 cfu/larva as previously shown by Mukherjee et al. 2010.16 We observed several new or more pronounced bands in the infected sample in comparison to 0.9% NaCl or non-pathogenic L. innocua injection, indicating the presence of proteins highly induced by pathogenic L. monocytogenes infection (Fig. 1A). We also extracted RNA from non-infected and infected larvae 1, 6 and 24 hpi to investigate the expression profiles of selected lepidopteran specific antimicrobial peptides.19 L. monocytogenes infection in larvae resulted in the transient induction of gloverin and moricin in comparison to larvae injected with 0.9% NaCl (Fig. 1B).
Virulence factors required for the propagation of L. monocytogenes in humans are also essential for the infection of G. mellonella
Listeriosis in humans involves the formation of dark sub-epidermal spots (also on certain organs such as the liver) representing aggregates of macrophages, dendritic cells and entrapped bacteria.20 We observed similar dark nodules in the integument of G. mellonella larvae infected with L. monocytogenes (Fig. 2A), but nodule development was inhibited by diclofenac, a non-steroidal, anti-inflammatory drug (NSAID) known for its listeriacidal activity (Fig. 2B). To confirm that the nodules observed in G. mellonella also represented cellular aggregates with entrapped or ingested bacteria, we inoculated the larvae with a recombinant L. monocytogenes strain expressing the marker protein DsRed-Express. Hemolymph samples collected after 30 min, 24 h and 48 h were analyzed by microscopy. Fluorescent bacteria were detected in hemocytes after 30 min, indicating phagocytic ingestion (Fig. 3A). The formation of hemocyte aggregates containing entrapped bacteria was observed 48 hpi (Fig. 3B). Bacteria in the cell-free hemolymph did not yield a fluorescent signal, indicating the hemolymph contained only dead bacteria (data not shown).
When L. monocytogenes infects humans, the virulence factor ActA is required for intracellular actin-based motility and cell-to-cell spreading of the bacteria, and the hemolysin listeriolysin O (encoded by the hly gene) is required for the bacteria to escape from the primary vacuole into the cytoplasm.21 We tested the in vivo activity of ActA in G. mellonella larvae by isolating hemolymph samples and incubating the hemocytes with either a wild-type pathogenic L. monocytogenes strain or isogenic mutants lacking the virulence genes actA or hly. After 1 h we replaced the supernatant with fresh medium supplemented with 50 µg/ml gentamycin to kill extracellular bacteria. The intracellular bacteria were then stained with a monoclonal antibody (M108, red fluorescence) to distinguish them from actin filaments stained with Alexa Fluor 488 conjugated phalloidin (green fluorescence). No actin tail formation was observed in cells infected with EGD-e∆hly (Fig. 3D) and EGD-e∆actA (Fig. 3E) whereas intracellular bacteria either covered with actin “clouds” or undergoing rapid movement facilitated by actin “tails” were detected in hemocytes infected with wild-type EGD-e (Fig. 3C). These observations indicated that virulence factors required for the propagation of L. monocytogenes in humans are also essential for the successful infection of G. mellonella.
L. monocytogenes can infect the brains of G. mellonella larvae
Listeriosis in mammals can develop into fatal brainstem infections,1 therefore we investigated the possibility of using G. mellonella as a model host for human pathogens that infect the brain. We dissected the brains of larvae infected with 106 cfu/larva wild-type L. monocytogenes 6 d post injection and compared them to brains from non-infected larvae. The brains of the infected larvae displayed clear evidence of melanized nodules similar to those observed in the integument (Fig. 4A). These data confirm that L. monocytogenes induces an immune response in the brains of G. mellonella larvae, because the melanization of entrapped bacteria in multicellular aggregates indicates a locally-restricted cellular immune reaction.22 Interestingly, larvae injected with 50 μM diclofenac before infection were devoid of brain nodules, showing that diclofenac prevents infection of the G. mellonella central nervous system by virulent L. monocytogenes (Fig. 4B).
The presence of entrapped bacteria within the melanized nodules (Fig. 4C) was validated by infecting larvae with the recombinant L. monocytogenes strain expressing the red fluorescent marker protein, confirming that the pathogen survives within the nodules of the insect brain (Fig. 4D).
Identification and transcriptional activation of stress and neuronal repair markers in G. mellonella following infection with L. monocytogenes
An analysis of the G. mellonella transcriptome revealed the presence of nearly 18 690 contigs with almost 40% of ESTs showing significant similarities to proteins in other insects.18 We screened this comprehensive database for sequences matching known markers of stress responses and neuronal repair mechanisms (listed in Table 1) and then tested infected larvae by real-time RT-PCR to identify those induced by infection with virulent L. monocytogenes.
Table 1. Selected G. mellonella stress markers used for real time RT-PCR analysis and their assignment to biological processes based on gene ontology categories.
Biological processes | GenBank accession number of EST |
---|---|
Response to oxidative stress; glutathione metabolic process; peroxidase reaction |
Contig17373_1.exp |
Response to oxidative stress; phospholipid catabolic process |
Contig03093_1.exp |
Response to stress |
Contig16593_1.f1.exp |
Response to stress |
GME-string_Contig_1489.0 |
Response to stress |
Contig15219_1.exp |
Response to stress |
GME-string_Contig_2799.0 |
Response to stress |
Contig01172_1.exp |
Response to stress |
Contig07949_1.exp |
Neuromuscular junction development; regulation of cell shape; cortical actin cytoskeleton organization; phagocytosis, engulfment; axonogenesis; oocyte growth; cell projection assembly; myoblast fusion; bristle morphogenesis |
Contig19101_1.f1.exp |
G-protein coupled receptor protein signaling pathway; response to stress |
Contig20595_1.exp |
Response to stress |
Contig15265_1.f1.exp |
Defense response to Gram-positive bacterium; innate immune response; xenobiotic metabolic process; transport antifungal humoral response |
Contig14128_1.exp |
Signal transduction; cell proliferation; growth |
GME-string_Contig_704.0 |
Hemocyte migration; signal transduction; cell proliferation; growth |
GME-string_Contig_233.0 |
Axonogenesis |
Contig17493_1.exp |
Cell cycle, positive regulation of neuron apoptosis; cell division; embryonic development; neuron projection development; protein amino acid phosphorylation; serine family amino acid metabolic process | Contig02810_1.f1.exp |
The resulting hits were queried against the NCBI database using BLASTx and BLASTn program and their functions were predicted by gene ontology (GO) analysis using Blast2GO. This revealed the induction of genes known to participate in oxidative stress responses, phagocytosis, cell proliferation and neuronal repair, as well as genes encoding heat shock proteins and antimicrobial peptides. The strongest induction was observed for genes encoding components of the cellular immune system, such as those involved in phagocytosis, hemocyte migration and the activities of G-protein-coupled receptors. The expression of some heat shock proteins peaked 1 h after infection, whereas others reached their peak after 4 d (Fig. 5A). Genes involved in neuronal repair mechanisms such as axonogenesis and neuron projection were also induced in response to infection (Fig. 5B).
L. monocytogenes infection induced developmental shifts in G. mellonella
The infection of last-instar G. mellonella larvae with the human pathogenic L. monocytogenes strain EGD-e significantly delayed the formation of pupae compared with those injected with 0.9% NaCl or heat-killed EGD-e (Fig. 6). We found no significant difference in the rate of pupation between larvae injected with heat-killed EGD-e and 0.9% NaCl. The ability of the virulent L. monocytogenes strain to delay development of the infected larvae prompted us to study the impact of listeriosis on its endocrine system.
Metamorphosis in insects is controlled by the tightly regulated activity of hormones such as juvenile hormone and ecdysone, which are synthesized by the endocrine glands.23,24 The opposite developmental effects of virulent and non-virulent microbes described above, suggested the possibility that human pathogenic L. monocytogenes can interfere with the regulation of the endocrine system in G. mellonella.
Infection with L. monocytogenes induces G. mellonella genes encoding growth hormones
To determine whether L. monocytogenes pathogenesis interferes with the endocrine regulation in G. mellonella, we monitored the expression of genes related to the synthesis and activity of juvenile hormone and ecdysone.
Four days post-injection with the virulent wild-type strain of L. monocytogenes, we found that several genes related to juvenile hormone were induced in infected G. mellonella relative to larvae injected with 0.9% NaCl (Fig. 7A) but only a transient impact was recorded for ecdysteriod gene expression (Fig. 7B).
Inhibitors of cell signaling enhance the survival of G. mellonella larvae infected with L. monocytogenes
The major virulence factors of L. monocytogenes modulate many cellular processes in vertebrate hosts, including autophagy and certain signaling cascades.2 To explore the role of signaling cascades in G. mellonella we applied pharmacological agents associated with the induction of immune signaling pathways that modulate L. monocytogenes infections in vertebrate cells, i.e., diclofenac, arachidonic acid and rapamycin.
The NSAID diclofenac is an inhibitor of cyclo-oxygenases exhibiting activity against listeriosis,25 arachidonic acid enhances phagocytosis and induces bacterial clearance from the G. mellonella hemolymph26 and rapamycin is an mTOR inhibitor that induces autophagy, helping to eliminate L. monocytogenes from mammalian macrophages.27-29 The separate administration of diclofenac (Fig. 8A), arachidonic acid (Fig. 8B) and rapamycin (Fig. 8C) to G. mellonella larvae at the onset of infection with L. monocytogenes significantly improved insect survival compared with controls treated only with the solvent. Therefore, the induction of cellular defense mechanisms can restrict L. monocytogenes pathogenesis in G. mellonella as previously shown in mammalian systems.30
To determine whether these effects are manifested at the cellular level, we examined the effect of rapamycin on G. mellonella hemocytes prior to infection with L. monocytogenes. The pre-treatment of hemocytes with rapamycin significantly reduced the number of intracellular bacteria compared with hemocytes treated with DMSO alone (Fig. 8D). The induction of autophagy in hemocytes therefore restricts the intracellular growth of L. monocytogenes.
Discussion
Our study aimed to develop and extend G. mellonella as a surrogate model host for pathogens and parasites that can successfully cross the blood-brain barrier in humans31 in order to further advance the use of this lepidopteran species in preclinical research. We selected L. monocytogenes because the pathophysiology of listeriosis lacks an easy-to-handle model host that reproduces all the hallmarks of the human disease.1 Here we report for the first time that L. monocytogenes can target the central nervous system of G. mellonella larvae implicating the capacity of virulent strains to breach the blood-brain barrier of insects. Infection of the brain by L. monocytogenes was accompanied by the formation of melanized nodules similar to those observed beneath the integument of the larvae. In order to validate that these nodules contain entrapped L. monocytogenes we used a fluorescently labeled strain. We also examined genes whose expression are induced under these conditions including those encoding proteins related to neuronal repair mechanisms and stress responses, for example heat shock proteins, as well as genes contributing to cellular and humoral immunity. Our study shows that the ability of L. monocytogenes to induce immune responses in G. mellonella can be expanded beyond phagocytosis and the formation of cellular aggregates consisting of hemocytes and entrapped bacteria to include the induced syntheses of antibacterial proteins such as gloverin and moricin, which are specific for Lepidoptera.13,19 However, neither cellular nor humoral immune responses prevented infected larvae from ultimate death upon establishment of L. monocytogenes infection. Therefore, we were interested in the identification of genes mediating resistance of L. monocytogenes against immune responses of G. mellonella. In our previous study we have elucidated the role of the virulence gene cluster (vgc) and particular virulence genes such as hly, actA, mpl, plcB, plcA, etc. in orchestrating mortal infections in this model host.16 In this study we show that the expression of listeriolysin and the host actin polymerizing factor ActA is essential for acting tail formation in G. mellonella hemocytes. This is in contrast to the widely used Drosophila model, where deletion of actA or hly from L. monocytogenes only transiently alters the infective potential in comparison to the wild type pathogenic strain.5,7
A hallmark of our study is the observation that the virulent strain of L. monocytogenes was able to postpone the development of the infected insect host whereas heat-inactivated bacteria induced precocious formation of pupae. These developmental shifts can probably be attributed to the interference of L. monocytogenes with the endocrine system of the infected host, because we determined induced transcription of genes related to processing or binding of the juvenile hormone. Metamorphosis in Lepidoptera and other holometabolous insects is initiated by decreasing juvenile hormon titers and increasing ecdyson concentrations.23,24 Here we monitored that virulent L. monocytogenes enhanced expression of genes in G. mellonella which are related to binding and metabolism of juvenile hormone (Fig. 7) suggesting delayed metamorphosis as experimentally confirmed. Our observations are consistent with other studies showing that fungal pathogens can also postpone development of G. mellonella larvae32 whereas stimulation of immune responses (e.g., by injection of heat-killed bacteria) has been reported to accelerate development of the model beetle Tribolium castaneum.33 Further, bacterial toxins have been shown to imbalance the juvenile hormone titers in another lepidopteran species.34 Thus the induction of expression of genes mediating processing or binding of either juvenile hormone or ecdysone imply that virulent L. monocytogenes can interfere with the endocrine system of the infected host ultimately resulting in delay of its development.
Interestingly, we were able to manipulate development of L. monocytogenes in G. mellonella by administration of pharmacological reagents that interfere either with the induction of autophagy (rapamycin) or inhibition of cyclo-oxygenase (diclofenac) in the host. Both compounds enhanced the survival of G. mellonella when administered at the onset of L. monocytogenes infection, replicating their reported anti-listeriosis activity in mammals.25,27-29 To further explore the protective activity of rapamycin we treated G. mellonella hemocytes with this drug prior to infection with L. monocytogenes. Rapamycin reduced significantly the number of bacteria within the hemocytes, implicating that autophagy contributes to the mechanism which restrict intracellular growth of L. monocytogenes in G. mellonella. This conclusion is in accordance with the reported role of autophagy in eliminating L. monocytogenes from the fruit fly Drosophila melanogaster in which sensing of listerial cell wall components by the intracytosolically located peptidoglycan-receptor LE induces autophagy of infecting L. monocytogenes.35
Our results support the suitability of G. mellonella as a model host for human pathogens and as a valid whole animal-high-through-put system for testing of antimicrobial drugs.12,36 In addition, we report for the first time its applicability for pathogens capable to penetrate the blood-brain-barrier and to reproduce in the brain.
Materials and Methods
Insects, bacteria, and media
G. mellonella larvae were maintained as described by Mukherjee et al.16 We used L. monocytogenes strain EGD-e (serotype 1/2a)37 the avirulent mutant strains EGD-e∆hly and EGD-e∆actA, and a recombinant strain transformed with the vector pJEBAN6 expressing the red fluorescent marker proteins HcRed and DsRed-Express.38 Bacterial cultures were maintained aerobically in brain heart infusion (BHI) medium (Difco) at 37 °C and on BHI agar plates, supplemented with 5 µg/ml erythromycin in the case of the recombinant strain. For long-term storage, bacteria were frozen at –80 °C in BHI medium supplemented with 30% glycerol. For the injection experiments, we used logarithmic-phase bacterial cultures (109 cfu/ml) in 10 ml BHI broth. Bacterial inoculums were washed and serially diluted to 106 cfu/larva using 0.9% NaCl.
G. mellonella infections
Bacterial inoculums were injected dorsolaterally into the hemocoel of last-instar larvae. After injection, larvae were incubated at 37 °C and reared on an artificial diet. Larvae were considered dead when they showed no movement in response to touch.
RT-PCR
RNA from untreated larvae and larvae injected with 0.9% NaCl and pathogenic L. monocytogenes was isolated at 1 h, 6 h, 24 h and 4 d after injection. A minimum of three larvae per treatment for each time point were homogenized in Trizol reagent (Sigma) and RNA was isolated according to the manufacturer’s recommendations. Around 1 µg of RNA was used for cDNA (cDNA) synthesis. cDNA was prepared using the First Stand cDNA synthesis kit (Fermentas). Ethidium bromide gel staining was used to confirm RNA quality, and quantities were determined by spectrophotometry. RT-PCR was performed using the real-time PCR system Biorad (CFX 96) Mx3000P (Stratagene) and SsoFast EvaGreen Supermix (Biorad) according to the manufacturers’ protocols, with gene-specific primers including the housekeeping gene 18S rRNA and actin, as listed in Table S1, and 50 ng template cDNA per reaction. PCR products were separated by 9% Tris-Tricine-SDS PAGE, and the gels were stained with ethidium bromide and visualized using a Umax PowerLook II scanner.
Analysis of hemolymph proteins by SDS-PAGE
G. mellonella hemolymph samples were collected in 98% acetone and centrifuged at 14 000 rpm for 5 min. The pellet was dissolved in 8 M urea and centrifuged at 14 000 rpm for 15 min. The supernatant containing proteins was fractionated by 9% Tris-Tricine-SDS PAGE at 20 °C. Gels were stained with colloidal Coomassie brilliant blue (Carl Roth) and visualized using a Umax PowerLook II scanner.
Ex vivo infection of G. mellonella hemocytes
G. mellonella hemocytes were maintained at 37 °C in Schneider medium (Bio Whittaker/Lonza) supplemented with 10% heat-inactivated fetal bovine serum (Biowest) and infections were initiated as previously described.16 In preparation for microscopy, cells were fixed in 3.7% paraformaldehyde on a coverslip and incubated at room temperature for 10 min, washed in PBS, permeabilized in 0.2% Triton X-100 in PBS for 1 min, and washed again in PBS. The coverslips were then incubated with monoclonal antibody M108 for 30 min at 33 °C, washed three times in PBS and incubated with a 1:100 diluted Cy3-labeled secondary anti-mouse antibody (Dianova) and Alexa Fluor 488 conjugated to phalloidin (diluted 1:100) (Molecular Probes, Invitrogen) in PBS containing 1% bovine serum albumin for 30 min at 33 °C. The coverslips were washed three times with PBS and mounted using Prolong Gold anti-fade reagent (Invitrogen).
The number of L. monocytogenes colony forming units were estimated as previously described16 following the infection of G. mellonella hemocytes with wild-type bacteria (108 cfu/ml), incubating at 37 °C for 1 h, adding the appropriate compound and lysing the infected hemocytes after a further 3 h.
Microscopic analysis of infected brain tissue
G. mellonella larvae infected with L. monocytogenes were treated with 50 µM diclofenac and fixed in 5% formaldehyde. The brains of larvae infected with wild-type bacteria were dissected and photographed under a Leica binocular microscope, whereas those of larvae infected with the recombinant strain expressing red fluorescent protein were dissected and feathered over a glass slide, permeabilized with 0.2% Triton X-100 in PBS for 1 min, washed with PBS and photographed using a Zeiss axoplan microscope.
Anti-listeriosis-activity of signaling inhibitors
Signaling inhibitors such as 25 µM rapamycin in 1% DMSO (Calbiochem), 20 µM arachidonic acid in 1% ethanol (Sigma-Aldrich) and 50 µM diclofenac in 1% DMSO (Calbiochem) were injected into the hemocoel of last-instar G. mellonella larvae using 1-ml disposable syringes, resulting in approximate final in vivo concentrations of 1.25 µM rapamycin, 1 µM arachidonic acid and 2.5 µM diclofenac. The larvae were then inoculated with bacteria (106 cfu/larva) and controls were injected with 1% DMSO or 1% ethanol as appropriate. The injected larvae were incubated at 37 °C and reared on an artificial diet.
Data analysis
All experiments including the survival analysis of infected and therapeutically treated larvae were performed for a minimum of three times, and significant differences between the values were confirmed using the paired Student’s t-test.
Supplementary Material
Acknowledgments
The authors thank Meike Litzow and Martina Hudel for excellent technical assistance. The project was funded by the German Ministry of Education and Research through the ERANET program grant SPATELIS to T.C. and sncRNAomics to T.H. and through the excellence program of the Hessian Ministry of Science and Art via the LOEWE research focus Insect Biotechnology to A.V., T.C. and T.H.
Disclosure of Potential Conflicts of Interest
No potential conflicts of interest were disclosed.
Footnotes
Previously published online: www.landesbioscience.com/journals/virulence/article/23629
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