Abstract
Fasciola hepatica are trematodes that reside in the bile ducts of mammals. Infection causes US$3 billion in losses annually in animal production and is considered a zoonosis of growing importance. An under-represented area in F. hepatica research has been the examination of the different immunomodulatory abilities of various parasite isolates on the host immune system. In this paper, this issue was explored, with the bovine macrophage cell line “BOMA”. The cells were matured by LPS treatment and stimulated with excretory/secretory antigens (ES) from two Fasciola hepatica isolates: a laboratory isolate “Weybridge” (Fh-WeyES) and a wild isolate (Fh-WildES). As expected, stimulation with antigen mixtures with highly similar compositions resulted in mild transcriptomic differences. However, there were significant differences in cytokine levels. Compared to Fh-WeyES, exposure to Fh-WildES upregulated 27 and downregulated 30 genes. Fh-ES from both isolates diminished the release of TNF-α, whereas only Fh-WildES decreased IL-10 secretion. Neither Fh-WeyES nor Fh-WildES had an impact on IL-12 release. Our results indicate that various isolates can have different immunomodulatory abilities and impacts on the bovine immune system.
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Introduction
Fasciola hepatica (liver fluke) is a parasite that infects humans and other mammals. Adult flukes live in the bile ducts where they feed on host blood. Released eggs hatch in the environment and undergo multiple stages inside and outside the intermediate snail host, before infecting mammals to complete the parasites’ life cycle. Infection results in liver damage, and decreased weight gain, milk production and fertility which causes loss in animal production estimated at over US$3 billion annually (Cwiklinski et al. 2016). Despite numerous trials, an effective vaccine has not yet been developed (Toet et al. 2014). To date, infection is controlled pharmacologically mainly through the use of triclabendazole (TCBZ); however, the development of drug resistance among fluke isolates indicates new approaches may be necessary in the future (Fairweather, 2011). Besides drug resistance, other phenotypic differences have been described between F. hepatica isolates, including in the dynamics of development outside the definitive host, with the number of cercariae released by snails and metacercariae viability differing between compared isolates (Januszkiewicz et al. 2015; Walker et al. 2006). Taking into account these differences, it is reasonable to hypothesize that other phenotypes between isolates may also be distinct, including those important for parasite survival such as immunomodulatory abilities.
F. hepatica actively releases a number of antigens into the surrounding environment. Among F. hepatica excretory/secretory (Fh-ES) products are antigens that act as potent immunomodulatory molecules which are accountable for suppressing the host immune system. These molecules may shift dendritic cells towards a tolerogenic phenotype (Falcón et al. 2010), induce apoptosis in macrophages (Guasconi et al. 2012 and eosinophils (Serradell et al. 2007), and stimulate macrophages to produce regulatory cytokines (Guasconi et al. 2011). Although the immunomodulatory actions of Fh-ES have been explored, work needs to be extended to examine immunomodulatory differences between various fluke isolates; there is a paucity of such data not only regarding liver fluke but also other helminths. The only robust results come from mouse whipworm (Trichuris muris) and show that various parasite isolates manipulate Th1 and Th2 responses in different manners, which affects clinical signs of infection (Klementowicz et al. 2012). Taking into account the diversity of F. hepatica isolates (Fairweather, 2011), it is reasonable to hypothesize that immunomodulatory differences occur among the isolates. The application of new techniques in the -omics era allows for the identification of isolate phenotypes and a deeper comprehension of host–parasite interactions.
The objective of the present study was to investigate if different F. hepatica isolates are able to differentially influence the immune response generated by the host. This was achieved by stimulating lipopolysaccharide (LPS)-activated bovine monocyte/macrophage “BOMA” cells with Fh-ES from the F. hepatica Weybridge isolate (Fh-WeyES) and a wild isolate (Fh-WildES). Upon stimulation with Fh-ES from both isolates, genes expressed distinctly between treatment groups and differences in the release of certain cytokines (TNF-α, IL-10, and IL-12) were determined. The results clearly showed that the macrophages responded distinctly upon stimulation with antigens released by the two F. hepatica isolates. Noticeable differences in gene expression profiles and levels of released cytokines between groups indicate different immunomodulatory properties for the two F. hepatica isolates.
Materials and methods
Collection of F. hepatica excretory/secretory products
F. hepatica adult ES proteins were collected from living parasites freshly isolated from the main bile ducts of sheep (Fh-WeyES) or bison (Fh-WildES). The CVL Weybridge isolate has been maintained in our laboratory since 2003 through experimental infections of sheep and Galba truncatula snails. For this study, flukes were collected after experimental infection of Merino sheep. A number of bison have been culled at Białowieża National Park (Poland) in order to maintain the population at an appropriate level, as well as to remove old and sick animals from the group. After necropsy of several of these animals, adult F. hepatica parasites were obtained.
The flukes were washed in PBS, and incubated for 2 h at 37 °C, 5% CO2, to ensure host proteins were expelled, and then the media were discarded. Flukes were then incubated in RPMI-1640 with 100 units/ml of penicillin and 0.1 mg/ml streptomycin for a further 24 h, with media changed every 4 h. After each incubation, medium was collected, centrifuged at 4500×g for 20 min at 4 °C to remove any insoluble material, then concentrated using a Centricon device with a 3-kDa cutoff (EMD Millipore). The samples were aliquoted and stored at −70 °C, and passed through a 0.2-μm filter prior to use. Protein concentrations of samples were determined by Bradford assay.
Stimulation of LPS-activated BOMA cells with F. hepatica excretory/secretory products
A previously established laboratory model using a bovine monocyte/macrophage cell line (BOMA) was used (Bąska et al. 2013). The cells were cultivated in DMEM supplemented with 5% FBS, 2 mM l—glutamine and penicillin/streptomycin (100 units/ml and 100 μg/ml, respectively). Media, FBS, and antibiotics were purchased from Sigma-Aldrich. During cell passage, trypsin (Sigma-Aldrich) was used to detach cells from the flask surface. When cells reached an appropriate number they were seeded into 24-well plates at a concentration of 6.4 × 105 cells/ml, activated with 8.9 μg/ml of LPS (from Escherichia coli O127:B8, Sigma-Aldrich) and left for 60 min at 37 °C, 5% CO2 to adhere. Cells were stimulated in quadruplicate with Fh-WeyES or Fh-WildES at a final concentration of 10 μg/ml. Four wells of cells were not stimulated and were treated as controls. To minimize differences in conditions between stimulations, stimulated and control cells were seeded on one plate. The cells were stimulated for 26 h, followed by cell scraping and centrifugation. Cells and media were stored separately at − 70 and − 20 °C, respectively.
Microarrays and data analyses
Total RNA was isolated from cells using a total RNA isolation kit (A&A Biotechnology), followed by removal of contaminating genomic DNA using DNAseI (Thermo Scientific) according to the manufacturer’s protocol. RNA was purified using phenol-chloroform extraction. The concentration of the RNA was determined spectrophotometrically, followed by assessing its quality using a bioanalyzer (Agilent Technologies), then labeling with Cy3 (control cells) and Cy5 (stimulated cells) using Quick Amp Labeling (Agilent Technologies). Further steps of the microarray experiment were performed according to the manufacturer’s instructions (Agilent Technologies).
The statistical analyses were performed using GeneSpring (Agilent Technologies). All eight microarrays were analyzed collectively. Samples were filtered on flags following creation of a baseline based on the median of all samples. A moderated T test followed by Westfall-Young permutative correction was applied to determine messenger RNAs (mRNAs) that changed expression upon Fh-WildES treatment (compared to Fh-WeyES treated cells —where exposure to ES from the Weybridge laboratory strain was considered as the control). mRNA expression changes of at least twofold (p < 0.05) were considered as significant. Biological processes affected by the identified genes were identified using PANTHER (Mi et al. 2016) and the DAVID Classification System (Huang da et al. 2009). Other genes likely to be engaged in the immune response and not identified by PANTHER or DAVID were identified by examination of gene lists and a literature review.
ELISA
The concentrations of cytokines in collected media were determined using kits: TNF-α (R&D Systems), IL-10 (TSZ ELISA), and IL-12 (TSZ ELISA). Statistical analyses were performed using Student’s t test with STATISTICA 10 software.
Results
Microarrays
Fh-WildES induced changes in expression at 80 probes; 38 and 42 probes detected up- and downregulation (compared to Fh-WeyES), respectively, identifying 27 upregulated and 30 downregulated genes (supplementary material). Analysis with PANTHER revealed that the identified genes are engaged in various biological processes (Fig. 1). Further inspection of the microarray results revealed that 10 upregulated and 11 downregulated genes are involved in immune responses. The genes were further analyzed by literature review to discover their potential functions during fasciolosis. Potential effects on the induced bovine immune response by the Fh-ES of both isolates were hypothesized (Table 1). Although these effects were not confirmed experimentally, the data shed light on the molecular effects and immune response outcomes induced by both liver fluke isolates.
ELISA
Both Fh-WeyES and Fh-WildES induced diminished release of TNF-α (31 and 19%, respectively) (Fig. 2a). Fh-WildES dampened the release of IL-10 by 42%, whereas no influence on IL-10 secretion was noted after stimulation with Fh-WeyES (Fig. 2b). The basal level of IL-12 released by LPS-activated BOMA cells was undetectable and neither Fh-WeyES nor Fh-WildES increased the release of this cytokine (data not shown).
Discussion
Investigations into the differences among F. hepatica isolates have previously focused on diagnosis and drug resistance, aspects of significance for clinical practice (Fairweather, 2011). A number of isolates have developed resistance to anthelmintics, and it is reasonable to assume other features of flukes have also differentiated. F. hepatica isolates live in various hosts (e.g., cattle, sheep, bison, and humans), so we hypothesized that the immunomodulatory abilities of isolates may have evolved and that the Fh-ES from various isolates could affect immune systems distinctly. Here, we chose to investigate the interaction of Fh-ES with bovine macrophages, since infection of cattle causes significant economic loss. Transcriptomic analysis and measurement of the release of certain cytokines corroborate the raised hypothesis and provide insight into the interactions between F. hepatica isolates and bovine macrophages.
Upon stimulation with Fh-WildES or Fh-WeyES, LPS-activated bovine macrophages differ in the expression of 57 genes (of which 21 are engaged in immune responses). Whether 57 and 21 represent a large or small number of genes remains unclear due to a paucity of appropriate data for comparison among helminths. Some previous analyses of transcriptomic responses to F. hepatica have been performed (Fu et al. 2016; Rojas-Caraballo et al. 2015; Wesołowska et al. 2013); however, the use of different hosts (mice, rats, or sheep), cell types (hepatocytes, lymph nodes, or PBMC), parasite isolates, or previous exposure to vaccine antigens complicates and limits comparison with our results. This means there is no identified “reference number” of genes that differ in expression upon stimulation with antigens released by distinct F. hepatica isolates. However, findings from the protozoan parasites Toxoplasma gondi and Trypanosoma brucei) may be helpful; two distinct isolates may affect expression of 310 to 920 mRNAs (Hill et al. 2012; Morrison et al. 2010). Unfortunately, direct comparison with our results are hindered since the aforementioned experiments were performed with peritoneal cells (Hill et al. 2012) or splenocytes (Morrison et al. 2010) which both consist of a number of cell populations (e.g., dendritic cells, T cells, B cells, and other immune cells) with each population possibly reacting distinctly. Thus, the lower number of genes—57—with altered regulation following exposure to ES from different F. hepatica isolates may result from either the fact that we investigated only one cell population—macrophages, or that the examined liver fluke isolates are relatively similar and do not affect the gene expression pattern in immune cells as much as protozoans.
F. hepatica infection typically results in modulation towards Th2/Treg host immune response phenotypes, which includes alternative activation of macrophages and downregulation of certain inflammation pathways. Analysis of the genomic data confirms the hypothesis that different F. hepatica isolates have different immunomodulatory abilities. The two fluke isolates affected in a different manner the expression of genes associated with potent orchestrators of the immune response—NF-κβ and MAPKs, as well as mRNAs encoding cytokines, chemokines, and other proteins associated with immune responses. NF-κβ is a profound enhancer of the immune response. This transcription factor is present in the cytoplasm attached to its inhibitor—IκB. Upon IκB phosphorylation (through activated IKK) the inhibitor is ubiquitinated and then degrades in the proteasome; released NF-κβ enters the nucleus, binds to DNA, and regulates transcription. Four out of five of the identified genes associated with NF-κβ favor its inhibition, indicating a more substantial dampening of the immune response by Fh-WildES. Upregulation of both Lrrc14 and TEK and downregulation of both NME9 and KCNMA1 would therefore be expected to lead to a reduced inflammation response (Lu et al., 2015; Wu et al., 2016), along with reduced macrophage activity (Gu et al., 2010), reduced TNF-α levels (Papavlassopoulos et al. 2006), and cell migration inhibition (Gu et al., 2010). Alternatively, upregulation of IKK2, which encodes a kinase that activates NF-κβ through inhibitor phosphorylation, is likely to promote NF-κβ activity and the immune response (Pannicke et al., 2013). The other intracellular signaling pathway distinctly affected by Fh-WeyES and Fh-WildES is associated with MAP kinases. Fh-WildES upregulates DUSP13, which inactivates profound mediators of cell signaling: JNK, p38, and ERK kinases as well as transcription factor AP-1, which may lead to a dampened inflammation process (Yang et al. 2014). On the other hand, inactivation of p38 and ERK by increased DUSP13 expression would explain the lower IL-10 release upon cell stimulation with Fh-WildES compared to Fh-WeyES (Risco et al. 2012). Treatment with Fh-WildES leads to comparatively reduced complement activity by decreasing C3 expression, while also increasing aspects of the C3a pathway through upregulation of KLK14 and C3AR1 (involved in C3a synthesis and its signal transduction, respectively). These results indicate certain isolates may be more effective at directing macrophage activation as well as modulating certain inflammatory responses, which would have implications for both innate and adaptive immunity against F. hepatica infection and responses to bystander antigens. Isolate dependent differences in complement activity may also explain the discrepancies in infection susceptibility observed with certain bacteria and liver fluke coinfections (Brady et al. 1999; Flynn et al. 2009).
In contrast to suppression of the immune response through negative regulation of NF-κβ, TGF-β3 downregulation by Fh-WildES suggests a stronger proinflammatory potential for this isolate. TGF-β is upregulated during the first weeks of infection followed by downregulation during the chronic phase (Flynn and Mulcahy 2008a). Moreover, animals harboring heavy F. hepatica infections express less TGF-β1 compared to those suffering from mild infections (Haçariz et al. 2009), suggesting adult flukes may reduce TGF-β expression. It should be noted that the mentioned studies (Flynn and Mulcahy 2008a; Haçariz et al. 2009) measured TGF-β1 expression and our results showed decreased TGF-β3, so some discrepancies may be physiological. Nevertheless, the discussed data indicate that adult flukes have a lower potential to induce TGF-β than immature ones. The other two genes with distinct expression levels are IL36RN and GM-CSF. IL-36RN downregulation amplifies the biological effects of proinflammatory IL-36 (Towne et al. 2011) while GM-CSF upregulation enhances other arms of the proinflammatory response, i.e., TLR-4 (Bozinovski et al. 2004) expression and TNF-α release (Scian et al. 2011). These effects are in concordance with TGF-β downregulation by Fh-WildES, corroborating its greater proinflammatory properties compared to Fh-WeyES.
A similar conclusion, that of the stronger proinflammatory potential of the wild isolate, can be drawn from the lower levels of IL-10 released by the cells upon Fh-WildES stimulation, whereas Fh-WeyES did not affect the cytokine’s release. Contrary to our results, Flynn and Mulcahy (2008b) showed increased IL-10 levels in infected cattle; however, the authors investigated PBMCs (containing monocytes and various lymphocyte populations), so cells other than monocytes/macrophages may have released increased levels of IL-10 (Brown et al. 1994), swamping any decreases in IL-10 production that may have been induced in monocytes or macrophages. Moreover, the results we achieved (diminished IL-10 release) are in accordance with the fact that dendritic (Hamilton et al. 2009) and mast cells (Vukman et al. 2013) treated with F. hepatica proteins and LPS also show decreased levels of released IL-10. Our findings combined with those of others give insights into previously raised question about the source of IL-10 in PBMC from infected cattle (Flynn and Mulcahy (2008a), as with the exclusion of monocytes/macrophages, dendritic, and mast cells the most probable IL-10 producers are lymphocytes. Both Fh-WeyES and Fh-WildES dampen the release of TNF-α, consistent with other reports of lower TNF-α release by F. hepatica exposed monocytes (Garza-Cuartero et al. (2016). While TNF-α levels were lower following stimulation with Fh-WeyES compared to Fh-WildES, levels were not significantly different between populations (p = 0.74). F. hepatica skews the host immune response towards a Th2 phenotype, and while they suppress resistance to Bordetella pertusis (Brady et al. 1999), this does not affect susceptibility to certain other bacteria susceptible to a Th1 response, such as Mycobacterium bovis (Flynn et al. 2009) or Salmonella dublin (Naranjo Lucena et al. 2017). Our findings revealing F. hepatica intraspecies differences in immunomodulatory properties may bring some insights into this mentioned discrepancy. It raises the possibility that the different responses to B. pertusis, S. dublin, and M. bovis in F. hepatica co-infected animals may have developed (at least to some degree) due to infection with fluke isolates showing distinct impacts on the immune system. However, a full explanation requires further research. The findings may also be relevant for future F. hepatica investigations, in particular, those investigating fluke interference with the host immune system. While experiments with flukes collected from animals from slaughterhouses still provide valuable and significant sources of data, in the future, they may require validation using characterized fluke isolates. This is extremely important especially during experiments with practical implications where F. hepatica is tested as a cure for autoimmune diseases like type 1 diabetes (Lund et al. 2014) or autoimmune encephalomyelitis (Walsh et al. 2009). Based on our findings such experiments demand the use of a characterized F. hepatica isolate, or maintenance of field isolates allowing for future characterization. Not preserving fluke strains used for studies risks the loss of isolates that show desirable immunomodulatory properties, e.g., mitigating allergy or autoimmune disease symptoms.
Conclusions
The findings show that different F. hepatica isolates have various immunomodulatory abilities. Taking into account the potential diversity of isolates in the environment, this has implications for the interpretation of certain published results. Moreover, it is almost certain that the impact of intraspecies differences on host immune systems have not been adequately considered not only for liver fluke, but also other helminths. Our next major task is to combine the outlined findings with proteomic analysis of Fh-ES from different isolates to identify which antigens are most likely to be responsible for any differences observed. With the publication of these findings and the techniques now available, the authors feel that isolate differences and their effects on host immunity will be further explored, leading to a better understanding of host–parasite interactions, with benefits for the treatment of allergies and autoimmune diseases through the identification of suitable antigens not only among helminth species but also among isolates with the most desirable immunomodulatory abilities.
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Acknowledgments
This research was supported by a grant from the Polish National Science Centre (Project no. N N304 156340). We are grateful to the Scientific Council of Białowieża National Park which gave us permission to collect biological material from bison from Białowieża National Park.
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All experiments with animals followed institutional ethical guidelines and were approved by the Third Local Ethical Committee of Warsaw University of Life Sciences – SGGW (Permission no. 82/2010).
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Bąska, P., Norbury, L.J., Zawistowska-Deniziak, A. et al. Excretory/secretory products from two Fasciola hepatica isolates induce different transcriptional changes and IL-10 release in LPS-activated bovine “BOMA” macrophages. Parasitol Res 116, 2775–2782 (2017). https://doi.org/10.1007/s00436-017-5588-6
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DOI: https://doi.org/10.1007/s00436-017-5588-6