Dihydroartemisinin inhibits multiplication of Brucella suis vaccine strain 2 in murine microglia BV2 cells via stimulation of caspase‑dependent apoptosis.

Brucellosis, caused by a facultative intracellular parasite Brucella species, is the most common bacterial zoonotic infection worldwide. Brucella can survive and proliferate in several phagocytic and non‑phagocytic cell types. Human brucellosis has similar clinical symptoms with systemic diseases, which may lead to delay of diagnosis and increasing of complications. Therefore, investigating the proliferation of Brucella in host cells is important to understand the pathogenesis of the disease. Dihydroartemisinin (DHA), a semi‑synthetic derivative of artemisinin, has been recommended by World Health Organization as an anti‑malarial drug. However, there have been few studies regarding its effectiveness against bacteria. In the present study, it was revealed that B. suis vaccine strain 2 (S2) grew in BV2 cells without significant cytotoxicity, and less than 20 µM DHA had no inhibitory effects on BV2 cells. Furthermore, DHA reduced B. suis S2 growth in BV2 cells, and increased the percentage of apoptosis and the expression of cleaved caspase‑3 in B. suis S2‑infected cells. Collectively, the present data indicated that DHA induced the caspase‑dependent apoptotic pathway to inhibit the intracellular B. suis S2 growth.

Introduction

Brucellosis, caused by a facultative intracellular parasite Brucella species, is the most common bacterial zoonotic infection worldwide (1,2). Brucella can survive and proliferate in several phagocytic and non-phagocytic cell types, including macrophages, dendritic cells, placental trophoblasts in vivo, and has the ability to replicate in a variety of mammalian cells, such as microglia, fibroblasts, epithelial and endothelial cells (3). In China, Brucellosis represents a major challenge from the last decade, and a high incidence of human brucellosis has been reported in northwestern China (4). Human brucellosis has similar clinical symptoms with systemic diseases and can lead to delay in diagnosis and may increase unexpected complications (5). Therefore, investigating the proliferation of Brucella in host cells is important to understand the pathogenesis of the disease. In addition, earlier evidence indicates that Brucella inhibits apoptosis of host cells to maintain an intracellular niche for its replication (6). Therefore, induction of apoptosis in the host cells may provide a useful therapeutic strategy for the treatment of Brucellosis.

Dihydroartemisinin (DHA), a semi-synthetic derivative of artemisin, has been recommended by World Health Organization as an anti-malarial drug (7). Previous studies have documented that DHA possesses the ability to prevent angiogenesis (8), cause cell cycle arrest (9), promote apoptosis, and inhibit cancer invasion (10). However, there have been few studies regarding its effectiveness against bacteria.

In the present study, it was investigated whether DHA inhibited the intracellular growth of Brucella suis vaccine strain 2 (B. suis S2) in murine microglia BV2 cells, and whether the inhibitory effect of DHA was associated with stimulation of apoptosis of BV2 cells.

Materials and methods

Cell line and bacteria

Murine microglia BV2 cells were obtained from China Center for Type Culture Collection and cultured with Dulbecco's modified Eagle's medium (DMEM; Gibco; Thermo Fisher Scientific, Inc.) containing 10% fetal bovine serum (FBS; Hyclone; GE Healthcare Life Sciences), 2 mM glutamine, and 200 mM streptomycin/penicillin and maintained in 5% CO2 at 37°C. B. suis S2 was provided by Professor Xu from Ningxia Medical University (Yinchuan, China) and was grown in Soybean-Casein Digest Agar Medium (TSA) at 37°C in a 5% CO2 incubator. The single B. suis S2 colony was inoculated in sterilized tryptic soy broth (TSB) solution at 37°C in a 5% CO2 atmosphere until its use. Bacteria were harvested by centrifugation for 20 min at 2,000 × g at 4°C and washed twice with phosphate-buffered saline (PBS). Bacterial density in the cultures were estimated by the McFarland standards of bioMérieux, Inc. All bacterial experiments were carried out at the Biosafety Level 2 Laboratory (Key Laboratory of Pathogenic Microorganisms, The general hospital of Ningxia Medical University).

In vitro infection and DHA treatment

A total of 2×105 BV2 cells were seeded in 6-well culture plates. After reaching 60% confluence, the cells were exposed to B. suis S2 at a multiplicity of infection (MOI) of 100 for 2 h in medium without antibiotics. Subsequently, BV2 cells were extensively washed to remove extracellular bacteria, and infection was maintained for 24 h in the presence of 100 µg/ml gentamicin to kill remaining extracellular bacteria (11). Two hours after infection, the cells were treated with different concentrations of DHA (0, 10, 20, 30 and 40 µM).

Colony-forming unit assay (CFU assay)

The TSA was prepared according to the manufacturer's instructions and autoclaved at 120°C for 30 min. On a clean bench, ~25 ml of TSA was poured into a 90-mm2 sterile culture plate, inverted after coagulation, and used for bacterial culture. BV2 cells were infected with B. suis S2 at MOI 100 for 24 h, washed with PBS twice and lysed in 0.3% Triton-X100 for 10 min. The sample was inoculated on TSA media for 72 h, and the cell suspension was diluted to count the number of colonies. The visible colonies with a diameter greater than 1 mm were manually counted with an optical microscope.

Cell viability assay

Cell viability was determined by Cell-counting Kit-8 (CCK-8; BestBio) assay according to the manufacturer's protocol (12). In brief, cells (1×104) were seeded in 96-well culture plates and cultured overnight. The cells were treated with different concentrations of DHA (0, 10, 20, 40 and 80 µM) for 24 h, and the CCK-8 solution was added to each well and incubated for an additional 4 h. The absorbance at 450 nm was measured by Microplate reader (BioTek Instruments, Inc.) (13).

Lactate dehydrogenase (LDH) assay

The toxicity of BV2 cells after B. suis S2 infection was determined by the LDH assay using a commercially available kit (Sigma-Aldrich; Merck KGaA) (14). Briefly, the BV2 cells were infected with B. suis S2 at MOI 100 or exposure to different concentrations of DHA (0, 10, 20, 30 and 40 µM) for 24 h. Finally, the supernatant was collected for the LDH assay.

Flow cytometric assay

The BV2 cells were infected with B. suis S2 and then stained with Annexin V/PI according to manufacturer's protocol (BestBio). The apoptosis in cells was analyzed by flow cytometric analysis (FCM).

Western blot analysis

Cells were harvested, washed twice with PBS, and lysed in RIPA buffer (Nanjing KeyGen Biotech Co., Ltd.). Protein concentration in the lysates was determined by the bicinchoninic acid (BCA) method according to the manufacturer's recommendations (Nanjing KeyGen Biotech Co., Ltd.). Protein (30 µg) was separated on 12% Mini-Protean TGX gels and subsequently transferred onto a polyvinylidene difluoride (PVDF) membrane according to standard protocols. Caspase-3 (ID product code ab184787; dilution in 1:1,000), cleaved caspase-3 (ID product code ab49822; dilution in 1:500) or GAPDH (ID product code ab181602; dilution in 1:5,000; All from Abcam) antibodies were used for protein detection. Goat anti-mouse polyclonal antibody (Beijing Zhongshan Golden Bridge Biotechnology Co., Ltd.; OriGene Technologies; ZB-2305; dilution 1:5,000) was used as a secondary antibody. The blot was developed using the Western Lightning Ultra chemiluminescent substrate from Bio-Rad Laboratories, Inc., and detected using EpiChemi3 darkroom (UVP BioImaging Systems).

Antimicrobial susceptibility testing

The single clone was added to 5 ml TSB, incubated in a 37°C incubator for 24 h, and the concentration of the bacteria suspensions was adjusted to ~108 CFU/ml with TSB. TSB (200 µl) and bacteria suspensions were used as a negative control and positive control, respectively. After loading the drug and bacteriostatic solution, the plate was incubated at 37°C in an incubator for 24 h, and the absorbance at 580 nm was measured (15).

Statistical analysis

All data are presented as the mean ± standard deviation (SD) from at least three independent experiments. GraphPad Prism 7.0 (GraphPad Software) was used for statistical analysis. Statistical differences between indicated groups were performed using one-way analysis of variance (ANOVA) followed by post hoc Tukey's test. P<0.05 was considered to indicate a statistically significant difference.

Results

Replication of B. suis S2 in murine microglia BV2 cells

In order to investigate the growth of B. suis S2 in BV2 cells, BV2 cells were infected in vitro with MOI 100. It was revealed that there was a significant intracellular increase in CFUs 24 h post-infection (Fig. 1A), indicating the active growth of B. suis S2 in the murine microglial cells. In addition, there was no apoptosis of BV2 cells under light microscopy (data not shown) after bacterial infection, and the levels of LDH were not significantly altered 24 h post-infection (Fig. 1B).

Figure 1.

Growth of B. suis S2 in BV2 cells and cellular LDH release. (A) Cells were infected with B. suis S2 by MOI 100 for 24 h. Growth of bacteria was evaluated by CFU assay. Data are reported as the mean ± SD. (B) Supernatants of BV2 cells from indicated groups were collected and evaluated for LDH. Data are reported as the mean ± SD. B. suis S2, B. suis vaccine strain 2; LDH, lactate dehydrogenase; MOI; multiplicity of infection; CFU, colony-forming unit.

Inhibition of caspase-dependent apoptosis after B. suis S2 infection

Western blot analysis revealed that the expression of cleaved caspase-3 was significantly decreased after B. suis S2 infection, but gradually increased as the infection period increased (Fig. 2). The present data indicated that Brucella may inhibit apoptosis of host cells for the infection.

Figure 2.

Western blot analysis of caspase-dependent apoptosis-associated proteins. (A) Representative blots of three independent experiments are presented, and the protein size is expressed in kDa. (B) Quantification of cleaved caspase-3 protein levels from three separate experiments, normalized to GAPDH. **P<0.01, ***P<0.001 vs. BV2 control cells.

Effects of DHA on BV2 cell viability

To observe the biological effects of DHA on BV2 cells, the cells were treated with different concentrations of DHA for 24 h. The results revealed that concentrations <40 µM DHA exhibited no inhibitory effects on cell viability (Fig. 3A). Moreover, cells were treated with 20 µM DHA for various intervals, and no significant changes in cell viability were observed (Fig. 3B). The LDH assay demonstrated that a dose of DHA <20 µM had no inhibitory effects on BV2 cells (Fig. 3B).

Figure 3.

Effects of DHA on BV2 cells. (A) Cells were treated with various concentrations of DHA for 24 h, and cell viability was evaluated by CCK-8 assay. (B) Cells were treated with 20 µM DHA for indicated time-points, and cell viability was evaluated by CCK-8 assay. (C) Cells were treated with various concentrations of DHA for 24 h, and cell toxicity was evaluated by LDH release. ***P<0.001 vs. the control. DHA, dihydroartemisinin; LDH, lactate dehydrogenase.

DHA reduces B. suis S2 growth in BV2 cells

The present data revealed that intracellular growth of B. suis S2 could inhibit cell apoptosis of BV2 cells (unpublished data). Furthermore, CFU assay results of the treated BV2-infected cells with 10–40 µM DHA revealed a significant and marked reduction in the B. suis S2 growth in the BV2 cells (Fig. 4).

Figure 4.

Effects of DHA on the B. suis S2 growth in BV2 cells. DHA significantly inhibited the growth of B. suis S2 in BV2 cells. ****P<0.0001 vs. the untreated BV2-infected group. DHA, dihydroartemisinin; B. suis S2, B. suis vaccine strain 2.

DHA (20 µM) inhibits bacterial multiplication by inducing apoptosis

The effects of DHA on B. suis S2 multiplication in BV2 cells were analyzed by the flow cytometric assay. The results revealed that 20 µM DHA treatment increased the level of apoptosis in B. suis S2-infected BV2 cells (Fig. 5). Furthermore, western blot analysis revealed that 20 µM of DHA treatment increased the expression of cleaved caspase-3 in B. suis S2-infected BV2 cells (Fig. 6). The present data indicated that DHA inhibited bacterial multiplication through induction of apoptosis in BV2 cells.

Figure 5.

Effects of 20 µM DHA on intracellular B. suis S2 multiplication and BV2 cellular apoptosis. (A) The effects of 20 µM DHA on the B. suis S2 growth in BV2 cells. (B) Percentage of BV2 cell apoptosis was determined by flow cytometric assay. Different quadrants exhibit the percentage of viable cells as determined by scattering profiles of flow cytometric assay. (C) Values are expressed as the means ± SD of three individual experiments. *P<0.05, ***P<0.001. DHA, dihydroartemisinin; B. suis S2, B. suis vaccine strain 2; CFU, colony-forming unit.

Figure 6.

Western blot analysis of the caspase-dependent apoptosis in B. suis S2-infected BV2 cells. (A) Representative blots of three independent experiments are presented, and the protein size is expressed in kDa. (B) Densitometric quantification data are expressed as the intensity ratio of target proteins to GAPDH. *P<0.05. CFU, colony-forming unit; DHA, dihydroartemisinin; B. suis S2, B. suis vaccine strain 2.

DHA does not directly inhibit or kill B. suis S2

To confirm whether DHA affects B. suis S2 growth directly or indirectly through apoptosis, an antibacterial susceptibility test was performed. The results revealed that different concentrations of DHA had no effect on bacterial growth (Fig. 7), indicating that DHA does not directly inhibit or kill B. suis S2. DHA did not exhibit any direct effects on bacterial growth, which supports our theory that the mechanism involved in the reduction of intracellular replication of BV2 cells by DHA may be achieved by promoting apoptosis of BV2 cells.

Figure 7.

Antibacterial susceptibility test performed for the B. suis S2-infected cells. Cells were treated with indicated concentrations of DHA. TSB (200 µl) and bacteria suspensions were used as a negative control and a positive control, respectively. B. suis S2, B. suis vaccine strain 2; DHA, dihydroartemisinin; TSB, tryptic soy broth.

Discussion

Brucella is an intracellular bacterium that can cause chronic infections. It has been reported that infection of Brucella inhibits apoptosis of host cells (16,17). Therefore, it is necessary to investigate the mechanism underlying infection and develop therapeutic strategies for Brucellosis.

In the present study, it was demonstrated that B. suis S2 grew in BV2 cells without significant cytotoxicity, which is consistent with the characteristics of intracellular parasites. Previous studies revealed that Brucella outer membrane protein OMP25 inhibited apoptosis of host cells (6). Similarly, this study confirmed that the caspase-dependent apoptotic pathway of BV2 cells was significantly inhibited after B. suis S2 infection, which provides a favorable condition for the intracellular replication of B. suis S2. This result is consistent with our findings on the mechanism of sustained infection for intracellular parasites, such as Mycobacterium tuberculosis (18).

Apoptosis, programmed cell death, is indispensable for the development and homeostasis of multicellular organisms (19). Caspase-3 is one of the activated caspases that catalyzes the cleavage of many key cellular proteins during apoptosis (20). In the present study, western blot analysis revealed that the expression of cleaved caspase-3 was significantly decreased in BV2 cells after B. suis S2 infection, but gradually increased as the infection period increased. These observations indicated that Brucella may inhibit apoptosis of host cells for the infection. The present results are in agreement with the findings of Brucella in other types of cells (21). Collectively, these data indicated that inhibition of host cell apoptosis may be a common strategy for Brucella-sustained infection. The underlying mechanisms of the DHA effect on bacteria remain unknown. Some studies suggest that the strategy of Brucella for infection establishment includes the following: i) to avoid intracellular destruction by limiting the fusion of the type IV secretion system-dependent vacuole-containing vacuoles to lysosomes; ii) inhibiting apoptosis of infected monocytes; and iii) inhibition of dendritic cell maturation, inhibition of antigen presentation and activation of naive T cells (22). It is our aim to investigate the mechanisms in our future studies.

Conversely, DHA displays potent anti-viral and anti-parasitic activities (23,24), however, the molecular mechanisms are not fully understood yet. Artemisinin was also effective on bacteria. For example, oral administration of artesunate was revealed to reduce death from sepsis caused by E. coli (25,26). In combination with antibiotic oxacillin, oral administration of artesunate revealed a high effectiveness against mouse sepsis induced by methicillin-resistant aureus (MRSA). On the basis of previous findings, the inhibitory effects of DHA were evaluated on B. suis S2 in vitro. It was revealed that DHA inhibited B. suis S2 growth in BV2 cells. Furthermore, DHA increased the percentage of apoptosis and the expression/proteolytic degradation of caspase-3 in B. suis S2-infected cells. It is therefore concluded that DHA induces caspase-dependent apoptotic pathway activation to inhibit intracellular B. suis S2 growth.

Brucella is an intracellular parasitic bacterium. In the present study, BV2 cells were infected with B. suis S2, and CFU experiments revealed that B. suis S2 grows in BV2 cells. After treatment with DHA, apoptosis of BV2 cell was increased. Additional experiments demonstrated that DHA had no direct effects on B. suis S2, which is similar to the effect of antibiotics on bacteria. Therefore, it is concluded that the mechanism involved in the reduction of intracellular replication of BV2 cells by DHA may be achieved by promoting apoptosis of BV2 cells.