ABSTRACT
The liver is frequently affected in patients with active brucellosis. The present study demonstrates that Brucella abortus infection induces the activation of the autophagic pathway in hepatic stellate cells to create a microenvironment that promotes a profibrogenic phenotype through the induction of transforming growth factor-β1 (TGF-β1), collagen deposition, and inhibition of matrix metalloproteinase-9 (MMP-9) secretion. Autophagy was revealed by upregulation of the LC3II/LC3I ratio and Beclin-1 expression as well as inhibition of p62 expression in infected cells. The above-described findings were dependent on the type IV secretion system (VirB) and the secreted BPE005 protein, which were partially corroborated using the pharmacological inhibitors wortmannin, a phosphatidyl inositol 3-kinase inhibitor, and leupeptin plus E64 (inhibitors of lysosomal proteases). Activation of the autophagic pathway in hepatic stellate cells during Brucella infection could have an important contribution to attenuating inflammatory hepatic injury by inducing fibrosis. However, with time, B. abortus infection induced Beclin-1 cleavage with concomitant cleavage of caspase-3, indicating the onset of apoptosis of LX-2 cells, as was confirmed by the terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick end labeling assay and Hoechst staining. These results demonstrate that the cross talk of LX-2 cells and B. abortus induces autophagy and fibrosis with concomitant apoptosis of LX-2 cells, which may explain some potential mechanisms of liver damage observed in human brucellosis.
KEYWORDS: Brucella, liver
INTRODUCTION
Human brucellosis, a zoonotic infection caused by Brucella species, is an inflammatory disease, with inflammation being present both in the acute and chronic phases of the disease and in virtually all of the organs affected (1–3). The liver is frequently affected in patients with active brucellosis, and although numerous studies have focused on brucellar liver histopathology (1, 2, 4–6), the pathogenic mechanisms of Brucella liver disease have not been completely investigated at the molecular and cellular levels.
Liver fibrosis is a wound-healing response to chronic hepatic injury (7, 8). An early event in the development of liver fibrosis is the activation of hepatic stellate cells (HSCs), the major cell type responsible for increased synthesis of extracellular matrix proteins (9). Increased transforming growth factor β1 (TGF-β1) levels are also observed in the damaged liver, and this has a close correlation with fibrogenic changes in HSCs and liver tissue (10–12).
It has been demonstrated that autophagy is involved in the fibrotic response to chronic hepatic injury caused by alcohol abuse, hepatitis virus infection, and nonalcoholic steatohepatitis (13). Autophagy is a catabolic intracellular pathway that targets defective or excessive organelles to the lysosomes for degradation into amino acids, free fatty acids, or other small molecules used for material recycling or energy harvest (14). Autophagy, usually stimulated by energy restriction, stress, or inflammation, is regarded as a survival mechanism that plays a critical role in maintaining cellular homeostasis, which is involved in many human disorders, including fibrotic disease (15). During fibrosis, autophagy is mostly a cell survival mechanism that attenuates hepatic inflammatory injury and ultimately induces liver fibrosis (14).
Previously, we have demonstrated that upon infection of hepatic stellate cells, B. abortus triggers a profibrogenic response characterized by the inhibition of matrix metalloproteinase-9 (MMP-9) secretion, collagen deposition, and TGF-β1 secretion. This involves a functional type 4 secretion system (T4SS) and its effector protein, BPE005 of B. abortus. The TGF-β1 pathway is a classical signaling pathway activated in liver fibrosis that also induces autophagy (16). This suggests that autophagy participates in fibrosis during Brucella infection in a way that depends on TGF-β expression. Thus, we hypothesized that Brucella infection creates a microenvironment that promotes a profibrogenic phenotype and induces the activation of the autophagic pathway, which could have an important contribution in attenuating hepatic injury in the liver of patients with Brucella infection.
RESULTS
B. abortus infection induces LC3-II and Beclin-1 expression in LX-2 cells.
It has been demonstrated that autophagy participates in HSC activation (17). We have previously demonstrated that B. abortus infection induces HSC activation, leading to a profibrogenic phenotype (18, 19). To determine if B. abortus infection induces the activation of the autophagic pathway in HSCs, we evaluated by Western blotting at 24 h postinfection the expression of LC3 II, the lipidated form of LC3 I, and the only known protein that specifically associates with autophagosomes (20), the autophagy regulator Beclin-1 (21), as well as p62, which participates in the autophagic clearance of ubiquitinated proteins (22). B. abortus infection induced an increase in the LC3 II/LC3 I ratio, an increase in Beclin-1 expression, and the inhibition of p62 expression (Fig. 1). These results indicate that autophagy was induced by B. abortus in LX-2 cells.
B. abortus induction of a profibrogenic phenotype on LX-2 cells depends on PI3-kinase and lysosomal proteases.
Acquisition of a fibrogenic phenotype by resident HSCs is a critical event of the liver's response to injury. Increasing evidence supports the notion that autophagy participates in the pathophysiology of hepatic fibrosis (14). A key cytokine involved in fibrosis is TGF-β1 (23). We have demonstrated that B. abortus infection induced fibrosis in vitro and in vivo, as revealed by collagen deposition and MMP-9 downmodulation in a mechanism that is dependent on TGF-β1 (19). Thus, experiments were conducted to determine whether fibrosis induced by B. abortus infection is dependent on autophagy activation. To this end, we examined markers of a fibrogenic phenotype, including the secretion of TGF-β1, the deposition of collagen, and the downmodulation of MMP-9 in LX-2 cells during B. abortus infection in the presence of wortmannin (a phosphatidylinositol 3-kinase [PI3-kinase] inhibitor) and leupeptin plus E64 (inhibitors of lysosomal proteases). Both wortmannin and leupeptin plus E64 reversed B. abortus-induced MMP-9 downmodulation, collagen deposition, and TGF-β1 secretion (Fig. 2A to C). Accordingly, when we performed the infection experiment in the presence of rapamycin, an autophagy inductor, we observed an increase of the fibrotic phenotype with respect to infected but untreated cells, corroborating the association between autophagy and fibrosis (Fig. 2D and E). These results indicate that autophagy is involved in the induction of the fibrotic phenotype in B. abortus-infected LX-2 cells.
B. abortus induces autophagy in LX-2 cells in a VirB-dependent manner.
The type IV secretion system (T4SS) VirB is vital for Brucella to establish an intracellular replication niche (24), and it also has been involved in the induction of inflammatory responses during infection (11, 25–27). In addition, we have previously demonstrated that the fibrotic phenotype induced by B. abortus in LX-2 cells is dependent on a functional T4SS (18). As such, we tested whether VirB was involved in the activation of the autophagy signaling pathway. Our results demonstrate that B. abortus wild-type infection increased the expression of LC3 II and Beclin-1. However, when LX-2 cells were infected with the B. abortus virB10 mutant, LC3 II and Beclin-1 levels did not differ significantly from those of uninfected cells (Fig. 3). These results indicate that the activation of the autophagy signaling pathway depends on a functional T4SS.
VirB-dependent effector protein BPE005 is involved in the autophagic phenotype induced by B. abortus in LX-2 cells.
Recently, B. abortus-secreted effectors have been identified to require a functional VirB system to be translocated into the host cells (27–35).
Our previous results indicated that the secreted protein BPE005 is involved in the induction of a fibrogenic phenotype in LX-2 cells (18). Thus, we decided to determine whether BPE005 is also involved in the induction of autophagy. To this end, we evaluated if the B. abortus bpe005 mutant was able to induce the expression of LC3 II, the only protein known to specifically associate with autophagosomes. As occurred with the B. abortus virB mutant, when LX-2 cells were infected with the B. abortus bpe005 mutant, there was no change in the levels of LC3 II with respect to LC3 I. In addition, the complemented bpe005 mutant restored the ability to induce autophagy observed in the wild-type strain (Fig. 4).
In addition, and taking into account that Brucella could use some components from the autophagy pathway to establish its replicative niche (36, 37), experiments were performed to corroborate the association between autophagy and the fibrotic phenotype induced by BPE005 in LX-2 cells. To this end, LX-2 cells were transfected with a eukaryotic expression vector harboring the bpe005 gene, and the levels of MMP-9 activity, collagen deposition, and TGF-β1 secretion were determined. Expression of BPE005 protein in LX-2 cells was able to inhibit MMP-9 activity and to induce collagen deposition and TGF-β1 secretion, and these phenomena were reversed when experiments were performed in the presence of wortmannin (a PI3-kinase inhibitor) and leupeptin plus E64 (inhibitors of lysosomal proteases), bafilomycin, or chloroquine (two inhibitors of autophagosome-lysosome fusion) (Fig. 5).
Taken together, these results indicate that B. abortus induces autophagy pathway activation with a mechanism that is dependent on the presence of T4SS and its secreted protein, BPE005, with concomitant fibrosis dependent on PI3-kinase, lysosomal proteases, and autophagosome-lysosome fusion.
B. abortus infection induces cleavage of Beclin-1 with concomitant apoptosis.
In spite of the ability of Brucella infection to induce a fibrotic phenotype in HSCs (18, 19), liver cirrhosis is a debatable issue in Brucella-infected humans (5), indicating a possible balance between fibrotic and antifibrotic factors involved in infection. Increasing HSC death is a possible explanation for limiting liver fibrosis.
Beclin-1 is a dual regulator of both autophagy and apoptosis. When we evaluated Beclin-1 expression at 48 h postinfection, our results indicated that B. abortus infection induces Beclin-1 cleavage (Fig. 6). Caspase-3-mediated cleavage of Beclin-1 promotes cross talk between apoptosis and autophagy (38). Experiments then were conducted to determine if B. abortus infection induces apoptosis in LX-2 cells at 48 h postinfection. To this end, LX-2 cells were infected with B. abortus, and the presence of apoptotic cells was determined by terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick end labeling (TUNEL) assay, cleaved caspase-3 expression, and Hoechst 33342 staining. Our results indicate that B. abortus-infected LX-2 cells exhibited an increase of TUNEL-positive cells, cleaved caspase-3 expression, and apoptotic nuclei, as revealed by Hoechst 33342 staining, compared to uninfected controls (Fig. 7), indicating a proapoptotic effect of Brucella infection. Apoptosis depended on the expression of a functional T4SS, since the percentage of apoptotic cells did not differ significantly between LX-2 cells infected with the B. abortus virB mutant and uninfected controls. These results indicated that after 48 h postinfection, B. abortus infection induces apoptosis of LX-2 cells.
PI3-kinase and lysosomal proteases are necessary to induce apoptosis of B. abortus-infected LX-2 cells.
Experiments were conducted to study if the PI3-kinase signaling pathway, lysosomal protein degradation, and apoptosis are related phenomena during B. abortus infection. To determine if these phenomena are necessary to induce apoptosis, infection experiments were performed in the presence of wortmannin and leupeptin plus E64, and the presence of apoptotic cells was determined by TUNEL assay, cleaved caspase-3 expression, and Hoechst 33342 staining. B. abortus-infected LX-2 cells exhibited an increase of TUNEL-positive cells, cleaved caspase-3, and apoptotic nuclei, as revealed by Hoechst 33342 staining, compared to levels for uninfected controls (Fig. 8). Apoptosis depended on the PI3-kinase signaling pathway and lysosomal protein degradation, since the percentage of apoptotic cells was significantly reduced when infection experiments were performed in the presence of the mentioned inhibitors (Fig. 8). These results indicated that PI3-kinase and lysosomal proteases are necessary to induce apoptosis in B. abortus-infected hepatic stellate cells.
DISCUSSION
Brucellosis is a worldwide zoonosis characterized by hepatomegaly, splenomegaly, and peripheral lymphadenopathy. It is a chronic and debilitating infection caused by Gram-negative facultative intracellular bacteria that infect domestic and wild animals and can be transmitted to humans (2, 5). However, although numerous studies have focused on brucellar liver histopathology (1, 4–6), the pathogenic mechanisms of liver disease caused by Brucella have not been completely elucidated.
In humans, the liver is frequently affected during active brucellosis. The frequency of liver involvement in active brucellosis ranges from 5% to 52% or more (5). In any circumstance, the persistence of an infectious stimulus might drive liver fibrosis because its presence could induce marked alterations in a variety of immune and structural cells, leading to a healing phenotype which is characterized by the deposition of extracellular matrix (39). This occurs as a compensatory response to the tissue repairing process in a wide range of chronic liver injures. However, although numerous studies have focused on brucellar liver histopathology (4), the pathogenic mechanisms of liver disease caused by Brucella have not been completely elucidated.
Autophagy is a cellular pathway crucial for development, differentiation, survival, and homeostasis. Its implication in human diseases has been highlighted in recent years (13). In addition, several data show that autophagy is involved in major aspects of hepatology (40). In liver, autophagy may supply energy for activation of HSCs, and this activation also can induce some liver diseases, including hepatic fibrogenesis (13). Autophagy fuels activation of HSCs inducing type I collagen synthesis, as was documented during cellular activation both in vitro and in vivo in mice following either carbon tetrachloride (CCL4)- or thioacetamide (TAA)-induced liver injury and in human HSCs from hepatitis B-infected liver (7). Accordingly, our results indicate that upon infection of LX-2 cells, B. abortus triggers autophagy activation characterized by the upregulation of Beclin-1 expression, an increase in the LC3 II/LC3 I ratio, and the downmodulation of p62. This was at least in part associated with a profibrogenic response characterized by inhibition of MMP-9 secretion, induction of collagen deposition, and TGF-β1 secretion in a way that involved a functional T4SS and its BPE005 effector protein.
As was mentioned, liver fibrosis is the excessive accumulation of extracellular matrix proteins, including collagen, that occurs in most types of chronic liver diseases. Advanced liver fibrosis results in cirrhosis, liver failure, and portal hypertension. Human brucellosis has been reported to have a possible causal relationship between B. abortus infection and cirrhosis (4); however, the presence of liver cirrhosis is a debatable issue, since in the studies reported, viral hepatitis was not excluded by the authors (5, 41, 42). In addition, cirrhosis was not observed during Brucella infection in animal models, indicating that although Brucella organisms have the ability to induce a fibrotic phenotype in HSCs, other factors could be involved to reduce the high fibrosis necessary to induce hepatic cirrhosis (18). The reversion of fibrotic phenotype and the concomitant resolution of hepatic fibrosis play an important role in the resolution of the pathogenesis of hepatic fibrosis without induction of cirrhosis. Recent studies suggest that apoptosis becomes the overriding process with resulting net HSC loss from the liver. This clearance of activated HSCs by apoptosis paved the way for the recovery of hepatic fibrosis (43, 44). Therefore, our results indicate that B. abortus was able to induce fibrosis with concomitant autophagy pathway activation in LX-2 cells at 24 h postinfection. However, at 48 h postinfection, caspase-mediated cleavage of Beclin-1 inactivates autophagy mediated by Beclin-1 and enhances apoptosis with concomitant apoptotic cell death.
Autophagy and apoptosis are two important and interconnected stress response mechanisms. The phenomenon in which autophagy precedes apoptosis could control, at least in part, liver fibrosis and inhibit the development of cirrhosis. This could partly explain why the development of cirrhosis is rare during hepatic brucellosis (5).
Taken together, these results indicate that upon infection of HSCs, B. abortus triggers a profibrotic response coinciding with autophagic pathway activation and then apoptotic cell death of activated HSCs that modulates the fibrotic phenotype.
MATERIALS AND METHODS
Bacterial culture.
Brucella abortus S2308, its isogenic virB10 polar and bpe005 mutants, and a complemented strain of the bpe005 mutant (18) were grown overnight in 10 ml of tryptic soy broth (Merck, Buenos Aires, Argentina) with constant agitation at 37°C. Bacteria were harvested and the inocula were prepared as described previously (45). All live Brucella experiments were performed in biosafety level 3 facilities located at the Instituto de Investigaciones Biomédicas en Retrovirus y SIDA (Buenos Aires, Argentina).
Cell culture.
The LX-2 cell line, a spontaneously immortalized human hepatic stellate cell line, was a gift from Scott L. Friedman (Mount Sinai School of Medicine, New York, NY). LX-2 cells were maintained in Dulbecco's modified Eagle's medium (Life Technologies-Invitrogen, Carlsbad, CA) and supplemented with 2 mmol/liter of l-glutamine, 100 U/ml of penicillin, 100 μg/ml of streptomycin, and 5% (vol/vol) fetal bovine serum (Gibco-Invitrogen, Carlsbad, CA). Cells were seeded at 5 × 104 cells/well in 24-well plates and were cultured at 37°C with 5% CO2.
Cellular infection.
LX-2 cells were infected with either B. abortus, its isogenic virB10 and bpe005 mutants, or the complemented bpe005 mutant strain at different multiplicities of infection (MOI). After the bacterial suspension was dispensed, the plates were centrifuged for 10 min at 2,000 rpm and then incubated for 2 h at 37°C in a 5% CO2 atmosphere. Infected cells were extensively washed with Dulbecco's modified Eagle's medium to remove extracellular bacteria and then incubated in medium supplemented with 100 μg/ml of gentamicin and 50 μg/ml of streptomycin to kill extracellular bacteria. LX-2 cells were harvested at different times of infection depending on the specific experiment to determine autophagy, apoptosis, and fibrosis markers.
Western blotting.
Infected LX-2 cells were lysed in ice-cold lysis buffer consisting of 1% Triton X-100 in 150 mM NaCl, 25 mM Tris-HCl (TBS), pH 7.4, and a protease inhibitor cocktail (Sigma-Aldrich). Lysates were incubated on ice for 10 min and cleared by centrifugation at 13,000 × g for 10 min. Protein concentrations were determined by the bicinchoninic acid method (Pierce, Rockford, IL, USA) using bovine serum albumin (BSA) as the standard. Equal amounts of proteins were loaded onto electrophoresis gels and after separation; proteins were transferred to a nitrocellulose membrane (GE Healthcare, Little Chalfont, United Kingdom) and blocked for 1 h with 5% milk protein–0.05% Tween 20. After blocking, membranes were incubated with rabbit anti-LC3B (Cell Signaling Technology, Danvers, MA), goat anti-BECN-1 (Santa Cruz Biotechnology), or rabbit anti-p62/SQSTM1 (R&D Systems) overnight at 4°C, followed by washing, and then incubated with a 1:1,000 dilution of peroxidase-conjugated secondary antibody (Santa Cruz Biotechnology) for 1 h. Protein bands were visualized on Hyperfilm ECL (GE Healthcare) by chemiluminescence. Equal loading was confirmed by Ponceau S, acid red staining, and incubation of the blots with an anti-β-actin antibody (clone C4; Santa Cruz Biotechnology).
Immunofluorescence.
LX-2 cells were infected with B. abortus and, after 24 or 48 h postinfection, were fixed in 4% paraformaldehyde for 10 min at room temperature, permeabilized with 0.3% Triton X-100 (Roche Diagnostics GmbH, Mannheim, Germany) for 10 min, and blocked with PBS containing 1% BSA for 1 h. Infected cells were stained with rabbit anti-LC3B (Cell Signaling Technology, Danvers, MA), goat anti-BECN-1 (Santa Cruz Biotechnology), or rabbit anti-cleaved caspase-3 (Cell Signaling Technology) diluted in 0.1% PBS–Tween 20 overnight at 4°C. Cells then were incubated with Alexa Fluor 488 anti-rabbit (Jackson ImmunoResearch Laboratories) or Alexa Fluor 488 anti-goat (Molecular Probes, Life Technologies) diluted in 0.1% PBS–Tween for 4 h at room temperature. 4′,6-Diamidino-2-phenylindole (DAPI) was used for nuclear staining, and cells were stained for 30 min at room temperature. After washing in PBS, cells were mounted and then analyzed by fluorescence microscopy.
Apoptosis assays.
LX-2 cells were infected with B. abortus or its isogenic virB10 polar mutant and were harvested 48 h later. Cells were washed, and the percentage of apoptotic cells was assessed by fluorescence microscopy after they were labeled by the terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick end labeling (TUNEL) assay or by staining with the Hoechst 33342 dye. As a positive control, cells were treated with 200 μM hydrogen peroxide.
Inhibitors.
To study the potential involvement of molecules that participate in autophagy pathways in the induction of collagen deposition, increase of TGF-β secretion, and MMP-9 inhibition by B. abortus infection in LX-2, wortmannin or E64 plus leupeptin (46) (Sigma-Aldrich de Argentina S.A.) were added 2 h after infection. Wortmannin was used at a concentration of 10 μM, and E64 plus leupeptin were used at a concentration of 20 μM. To study the role of autophagy pathways in the induction of collagen deposition, increase of TGF-β secretion, and MMP-9 inhibition by BPE005 protein, LX-2 cells were transfected with BPE005 plasmid or pCDNA3-c-myc as a control of transfection efficiency, as previously described (18). After transfection, cells were treated with wortmannin or leupeptin plus E64, at the previously mentioned concentrations, or with bafilomycin A1 or chloroquine (46). Bafilomycin A1 (Sigma-Aldrich) was used at a concentration of 200 nM, and chloroquine (Sigma-Aldrich) was used at a concentration of 50 μM.
Zymography.
Gelatinase activity was assayed by the method of Hibbs et al., with modifications, as described previously (45, 47, 48).
Assessment of collagen deposition by Sirius red staining.
Collagen deposition was quantified using Sirius red (Sigma-Aldrich), a strong anionic dye that binds strongly to collagen molecules. Sirius red staining was performed as described previously (18, 19).
Measurement of cytokine concentrations.
TGF-β1 expression was determined in the culture supernatants by enzyme-linked immunosorbent assay (ELISA; BD Biosciences, San Jose, CA).
Statistical analysis.
Statistical analysis was performed with one-way analysis of variance (ANOVA), followed by post hoc Tukey's test using GraphPad Prism 5.0 software. Data are represented as means ± standard deviations (SD).
ACKNOWLEDGMENTS
We thank Scott Friedman for LX-2 cells and Horacio Salomón and the staff of the Instituto de Investigaciones Biomédicas en Retrovirus y SIDA (INBIRS) for their assistance with biosafety level 3 laboratory use.
P.C.A.B., A.I.P.V., and C.K.H. are recipients of a fellowship from CONICET. G.H.G., D.J.C., and M.V.D. are members of the Research Career of CONICET. The funding agencies had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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