Literature DB >> 32463840

Host cytosolic RNA sensing pathway promotes T Lymphocyte-mediated mycobacterial killing in macrophages.

Yong Cheng1, Nicholas J Kiene1, Alexandra Tatarian1, Emily F Eix1, Jeffrey S Schorey1.   

Abstract

Mycobacterial infection leads to activation of the RIG-I/MAVS/TBK1 RNA sensing pathway in macrophages but the consequences of this activation remains poorly defined. In this study, we determined that activation of this RNA sensing pathway stimulates ICAM-1 expression in M.avium-infected macrophage through the inhibition of the E3 ubiquitin ligase CRL4COP1/DET1. CRL4 when active targets the transcription factor ETV5 for degradation by the ubiquitin-proteasome system. In the absence of the ETV5 transcription factor, ICAM-1 expression is significantly decreased. The M.avium-induced ICAM-1 production is required for the formation of immune synapse between infected macrophages and antigen-specific CD4+ T lymphocytes, and is essential for CD4+ T lymphocyte-mediated mycobacterial killing in vitro and in mice. This study demonstrates a previously undefined mechanism by which a host cytosolic RNA sensing pathway contributes to the interplay between mycobacteria infected macrophages and antigen-specific T lymphocytes.

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Year:  2020        PMID: 32463840      PMCID: PMC7282665          DOI: 10.1371/journal.ppat.1008569

Source DB:  PubMed          Journal:  PLoS Pathog        ISSN: 1553-7366            Impact factor:   7.464


Introduction

Non-tuberculous mycobacteria (NTM) are opportunistic pathogens, predominantly causing pulmonary infections in susceptible populations including the elderly and in patients receiving immunosuppressive drugs, or with pre-existing conditions such as cystic fibrosis, chronic obstructive pulmonary disease (COPD) or bronchiectasis. The most commonly isolated NTM species are Mycobacterium avium complex (MAC) (M.avium and Mycobacterium intracellulare) and Mycobacterium abscessus complex (MABSC) (M. abscessus, M. massiliense and M. bolletii), which account for >90% of the total cases reported [1]. NTM infections are increasing in the U.S., Japan and many European countries. Much of this growth is due to increased infections of older Caucasian and Asian women who have no known underlying lung disease [2]. Despite their increased clinical importance we still have a limited knowledge of M.avium pathogenesis and host immunity. In this study, we investigated the function of the cytosolic RNA sensing pathway during M. avium infection in vitro and in vivo. Host cytosolic RNA sensing pathways play a central role in detecting foreigner DNA and RNA in virally infected cells [3]. Recently, it was found that Listeria monocytogenes and Mycobacterium tuberculosis (M.tb) release their RNAs into host cells through the bacterial SecA2 secretion system and induce RIG-I/MAVS/TBK1-dependent type I IFN production [4,5]. However, whether the activation of the RIG-I/MAVS RNA sensor pathway stimulates other cellular responses following a bacterial infection remains undefined. During viral infections induction of the RIG-I/MAVS pathway has been shown to drive production of IL-1β and IL-18 [6], and promote release of cytochrome c from the mitochondria in a Bax-dependent manner leading to apoptosis of the infected cell [7]. These and other studies have demonstrated the importance of the RNA sensing pathway in promoting a protective host response to viral infections. However, the importance of RNA sensing pathways in the context of a bacterial infection is less clear and evidence points to both a protective and detrimental effect [5,8]. In support of the former we have identified a RIG-I/MAVS-dependent production of the Intercellular Adhesion Molecule 1 (ICAM-1) in macrophages following an M.avium infection. ICAM-1 promotes cell-cell interaction by serving as the ligand for the leukocyte adhesion protein LFA-1 and Mac-1 [9]. It is also important in formation of immune synapse between T cells and antigen presenting cells (APCs) [10]. Expression of ICAM-1 is required to control an M. avium infection [11]. However, these studies were carried out using ICAM-1 mice so ICAM-1’s role in T cell-APC interaction during a mycobacterial infection has not been defined. Moreover, what regulates ICAM-1 expression during a mycobacterial infection remains unclear. Previous studies have shown activation of signaling pathways such as PI3K/Akt and the MAPKs result in activation of the transcription factors AP-1 and NF-ƙB driving ICAM-1 expression [12]. Initiation of these pathways can be induced by engagement of receptors such as TNFR1, TLR4 and EGFR, among others [13]. In the present study we identified a previously unknown role for the transcription factor ETV5 in regulating ICAM-1 expression. We also found that ICAM-1 expression was essential for CD4+ T-mediated M.avium killing within infected macrophages and mice. Our study sheds new light on the host cytosolic RNA sensing pathway in controlling an NTM infection and identified a previously undefined role for the RIG-I/MAVS/TBK1 RNA sensing pathway in regulating the immune synapse between macrophage and CD4+ T cells, and subsequent macrophage activation by CD4+ T cells.

Results

M.avium activates the host cytosolic RIG-I/MAVS/TBK1/IRF3/IRF7 RNA sensing pathway

Our previous study showed that M.tb release mycobacterial RNA into the cytosol of infected macrophages via a mycobacterial SecA2-dependent pathway. Mycobacterial species including M.avium also express a SecA2 secretion system. The M.avium SecA2 shares 93% homology to M.tb SecA2. To evaluate whether M.avium also release their RNA into host cells and induce type I IFN production, we initially infected mouse bone marrow-derived macrophages (BMMs) with M.avium strains 104 and 2151. As shown in Fig 1A, M.avium significantly induced IFN-β production at 24 and 72 hr post-infection. An IFN-β mRNA expression peak was detected at 8 hr post-infection (Fig1B), which was similar to our finding with M.tb [5]. M.avium RNAs in the cytosol of infected macrophages were detected by quantitative RT-PCR. As seen in Fig 1C, four M.avium transcripts, mce1B, polA, rpoC and MAV4436, were detected in M.avium-infected but not uninfected macrophages. However, we did not detect 16S ribosomal RNA in the macrophage cytosol suggesting that the detected RNA was not due to contaminating lysed M.avium (Fig 1C). To determine the link between M.avium RNA and type I IFN production, we measured the IFN-β production in WT and MavsBMMs following an M.avium infection. As shown in Fig 1D and 1E, the M.avium-induced IFN-β production was significantly diminished in Mavsrelative to WT BMMs. Similar results were detected in M.avium-infected BMMs pretreated with RIG-I, TBK1, IRF3 or IRF7 siRNA when compared to cell pretreated with control siRNAs (Fig 1F and 1G, and S1 Fig). IRF3 and IRF7 are two critical transcription factors driving IFN-β expression in the context of viral and M.tb infection [3,5] and their activation and translocation into the nucleus of host cells requires phosphorylation by TBK1. As seen in Fig 1H, M.avium infection induced IRF3 and IRF7 nuclear translocation in WT but not MavsBMMs at 24 hr post-infection. As observed with an M.tb infection, IRF7 expression was induced by M.avium in WT BMMs. However, in contrast to M.tb, M.avium infection led to IRF3 nuclear translocation via a MAVS-dependent pathway. As predicted, MAVS was required for TBK1 phosphorylation in M. avium-infected BMMs (Fig 1I).
Fig 1

M. avium induces IFN-β production in macrophages through a cytosolic RIG-I/MAVS/TBK1/IRF3/7-depdendent pathway.

(A) ELISA analysis for IFN-β production in WT BMMs infected with M. avium 104 and 2151 at 24 and 72 hr post-infection. (B) qRT-PCR analysis for IFN-β production in WT BMMs infected with M. avium 104 at various time points post-infection. The IFN-β mRNA levels were expressed as fold change relative to M. avium-infected BMMs at 2 hr post-infection. (C) qRT-PCR analysis for mycobacterial RNA abundancy in M. avium-infected BMMs (Total Cellular RNA) or the cytosol (Cytosolic RNA) at 24 hr post-infection. Each M. avium 104 transcript abundance was expressed as the percentage relative to M. avium-infected BMMs (Total Cellular RNA). (D) qRT-PCR analysis for IFN-β production in M. avium-infected WT and Mavs BMMs at 24 hr post-infection. (E) Similar to (D), but IFN-β protein was quantified by ELISA. (F) Similar to (D), but M.avium-induced IFN-β production was determined in BMMs at 24 hr post-infection following a 48 hr pretreated with negative control (Control), RIG-I, TBK1, IRF3 or IRF7 siRNA. (G) Similar to (F), but M.avium-induced IFN-β production was measured by ELISA. (H) Western Blot analysis for IRF3 and IRF7 in whole cell lysate (WCL) and nuclear fraction (Nucleus) of WT and Mavs BMMs at 24 hr post-infection. (I) Similar to (H), but TBK1 phosphorylation (Ser172) was analyzed in WCL. β-Actin and Histone H3 served as loading control for WCL and nuclear fraction, respectively. Data shown in (A-G) are the mean ±SD (n = 3 wells per group), and all data are representative of three independent experiments (biological replicates). For (D) and (F), the data was expressed as fold change relative to M.avium-infected WT (D) or control (F) BMMs. GAPDH served as loading control in qRT-PCR. *P < 0.05, **P < 0.01, and ***P < 0.001 by Student’s t-test (two-tailed).

M. avium induces IFN-β production in macrophages through a cytosolic RIG-I/MAVS/TBK1/IRF3/7-depdendent pathway.

(A) ELISA analysis for IFN-β production in WT BMMs infected with M. avium 104 and 2151 at 24 and 72 hr post-infection. (B) qRT-PCR analysis for IFN-β production in WT BMMs infected with M. avium 104 at various time points post-infection. The IFN-β mRNA levels were expressed as fold change relative to M. avium-infected BMMs at 2 hr post-infection. (C) qRT-PCR analysis for mycobacterial RNA abundancy in M. avium-infected BMMs (Total Cellular RNA) or the cytosol (Cytosolic RNA) at 24 hr post-infection. Each M. avium 104 transcript abundance was expressed as the percentage relative to M. avium-infected BMMs (Total Cellular RNA). (D) qRT-PCR analysis for IFN-β production in M. avium-infected WT and Mavs BMMs at 24 hr post-infection. (E) Similar to (D), but IFN-β protein was quantified by ELISA. (F) Similar to (D), but M.avium-induced IFN-β production was determined in BMMs at 24 hr post-infection following a 48 hr pretreated with negative control (Control), RIG-I, TBK1, IRF3 or IRF7 siRNA. (G) Similar to (F), but M.avium-induced IFN-β production was measured by ELISA. (H) Western Blot analysis for IRF3 and IRF7 in whole cell lysate (WCL) and nuclear fraction (Nucleus) of WT and Mavs BMMs at 24 hr post-infection. (I) Similar to (H), but TBK1 phosphorylation (Ser172) was analyzed in WCL. β-Actin and Histone H3 served as loading control for WCL and nuclear fraction, respectively. Data shown in (A-G) are the mean ±SD (n = 3 wells per group), and all data are representative of three independent experiments (biological replicates). For (D) and (F), the data was expressed as fold change relative to M.avium-infected WT (D) or control (F) BMMs. GAPDH served as loading control in qRT-PCR. *P < 0.05, **P < 0.01, and ***P < 0.001 by Student’s t-test (two-tailed).

The MAVS-dependent RNA sensing pathway is required for host defense against M.avium infection in mice

To further evaluate the host cytosolic RNA sensing pathway we intratracheally infected WT and MavsC57BL/6 mice with wild-type M.avium and measured mycobacterial survival and tissue histopathology at 0, 1, 2, 3, 5, 8 and 12 weeks post-infection. As shown in Fig 2A, MAVS deficiency resulted in a 0.5 to 1.0 log10 increase in bacterial burden in the lung at 3, 5, 8 and 12 weeks post-infection when compared to WT infected mice. A similar difference in M.avium burden was observed in mouse spleen at 5, 8 and 12 weeks post-infection (Fig 2B). Consistent with M.avium survival results, the lungs from M.avium-infected Mavsmice showed greater histopathological changes and immune cell infiltration at 3, 5, 8 and 12 weeks post-infection (Fig 2C and 2D). Flow cytometry analysis at 3 weeks post-infection showed the lungs of M.avium-infected Mavsmice to have a higher concentration of macrophages and T cells when compared to M. avium-infected WT mice (Fig 2E). No difference in the number of DCs and neutrophils was detected in the lung between M.avium-infected WT and Mavsmice. Similar to the results seen in BMMs, diminished IFN-β production was observed in the serum of M.avium-infected MAVS-/- relative to infected WT mice (Fig 2F).
Fig 2

A MAVS-mediated RNA sensing pathway is required for M.avium control in mice.

(A and B) M. avium 104 burden in the lung (A) and spleen (B) of WT and Mavs mice at various time points post M. avium intratracheal infection at a dose of 1x107 CFU/mouse. (C) Representative H&E staining of lung sections from M.avium-infected WT and Mavs mice at various time points post infection. (D) Histopathological scoring of H&E stained lung sections at various time points post M.avium infection. (E) Flow cytometry analysis for the composition of the different immune cells in WT and Mavs mouse lungs at 3 weeks post M.avium infection. Shown as % of total cells counted. (F) ELISA analysis for IFN-β in serum of WT and Mavs mice at various time points post M.avium infection. All data shown are the combination of two (A-D) or three (E and F) independent experiments. n.s., not statistically significant; **P < 0.01 and ***P < 0.001 by Mann–Whitney U test.

A MAVS-mediated RNA sensing pathway is required for M.avium control in mice.

(A and B) M. avium 104 burden in the lung (A) and spleen (B) of WT and Mavs mice at various time points post M. avium intratracheal infection at a dose of 1x107 CFU/mouse. (C) Representative H&E staining of lung sections from M.avium-infected WT and Mavs mice at various time points post infection. (D) Histopathological scoring of H&E stained lung sections at various time points post M.avium infection. (E) Flow cytometry analysis for the composition of the different immune cells in WT and Mavs mouse lungs at 3 weeks post M.avium infection. Shown as % of total cells counted. (F) ELISA analysis for IFN-β in serum of WT and Mavs mice at various time points post M.avium infection. All data shown are the combination of two (A-D) or three (E and F) independent experiments. n.s., not statistically significant; **P < 0.01 and ***P < 0.001 by Mann–Whitney U test.

RIG-I/MAVS/TBK1-dependent and IRF3/7-independent RNA sensing pathway regulates ICAM-1 Production in M.avium-infected host cells

MAVS deficiency attenuated the host defense against an M.avium mouse infection. This result is in contrast to what we observed in M.tb-infected mice where M.tb burden was significantly lower in Mavsinfected mice when compared to WT [5]. To better understand the MAVS-dependent mycobacterial killing, we investigated the serum cytokine profile in WT and Mavsmice post M.avium infection. As shown in Fig 3A and 3B, we identified 15 proteins that were differential produced in M.avium-infected WT and Mavsmice at 3 weeks post-infection. The production of 6 proteins, IGFBP-1, IGFBP-2, LDL R, P-Selectin, PCSK9 and FGF acidic, increased in Mavsvs. WT mice. Nine proteins, Angiopoietin-1, Chitinase 3-like 1, Chemerin, Complement Factor D, C-Reactive Protein, DPPIV, Gas6, ICAM-1 and TNFRSF11B, were downregulated in Mavsvs. WT mice. As M.avium is an intracellular bacterial pathogen and primarily infects alveolar macrophages, we tested the expression of these 9 downregulated proteins in uninfected and M.avium-infected BMMs. Among those tested, we only detected 5 mRNA (Chitinase 3-like 1, Complement Factor D, DPPIV, ICAM-1 and TNFRSF11B) by qRT-PCR, and all showed an M.avium-inducible expression in WT BMMs. ICAM-1 was the only protein whose expression was decreased in MavsBMMs compared to WT cells (Fig 3C), ICAM-1 is a cell surface glycoprotein expressed on endothelial cells and immune cells but can also be detected extracellularly [14]. Based on the qRT-PCR results we analyzed the abundance of surface ICAM-1 on macrophages using flow cytometry. As seen in Fig 3D, compared to uninfected BMMs, M.avium infection significantly increased ICAM-1 surface expression in WT but not MavsBMMs. A similar result was observed in alveolar macrophages isolated from WT and Mavsmice at 3 weeks post M. avium infection (Fig 3E). In contrast, a comparable level of ICAM-1 was detected in DCs, neutrophils, CD4+ and CD8+ T cells in the lung of M. avium-infected WT and Mavsmice (S2A Fig). Interestingly, RIG-I-/TBK1- but not IRF3/7-knockdown diminished ICAM-1 production in M.avium-infected BMMs (Fig 3F), suggesting an undefined downstream pathway mediating ICAM-1 production in host cells.
Fig 3

M. avium induces ICAM-1 production in macrophages through a RIG-I/MAVS/TBK1-dependent pathway.

(A) Cytokine array analyzing indicated serum proteins in WT and Mavs mice 3 weeks post M. avium intratracheal infection using a dose of 1x107 CFU/mouse. (B) Densitometry of serum proteins highlighted in (A). (C) qRT-PCR analysis of designated transcripts in uninfected or M. avium 104 infected WT and Mavs BMMs 24 hr post infection. Uninfected WT set to 1.0. (D) Flow cytometry analysis for ICAM-1 expression by uninfected or M. avium 104 infected WT and Mavs BMMs 24 hr post infection. (E) Flow cytometry analysis for ICAM-1 surface expression on AMs isolated from uninfected or M.avium-infected WT and Mavs mice 3 weeks post infection. (F) qRT-PCR for ICAM-1 in M.avium-infected WT BMMs (24 hr post infection) that were pretreated with control, RIG-I, TBK1, IRF3 or IRF7 siRNA. Control uninfected set to 1.0 Data shown in (C and F) are the mean ±SD (n = 3 wells per group), and all data are representative of two (A and B) or three (C-F) independent experiments. In qRT-PCR, GAPDH served as loading control and data was expressed as fold change relative to uninfected WT (C), or control uninfected (F) cells. n.s., not statistically significant and **P < 0.01 by Student’s t-test (two-tailed).

M. avium induces ICAM-1 production in macrophages through a RIG-I/MAVS/TBK1-dependent pathway.

(A) Cytokine array analyzing indicated serum proteins in WT and Mavs mice 3 weeks post M. avium intratracheal infection using a dose of 1x107 CFU/mouse. (B) Densitometry of serum proteins highlighted in (A). (C) qRT-PCR analysis of designated transcripts in uninfected or M. avium 104 infected WT and Mavs BMMs 24 hr post infection. Uninfected WT set to 1.0. (D) Flow cytometry analysis for ICAM-1 expression by uninfected or M. avium 104 infected WT and Mavs BMMs 24 hr post infection. (E) Flow cytometry analysis for ICAM-1 surface expression on AMs isolated from uninfected or M.avium-infected WT and Mavs mice 3 weeks post infection. (F) qRT-PCR for ICAM-1 in M.avium-infected WT BMMs (24 hr post infection) that were pretreated with control, RIG-I, TBK1, IRF3 or IRF7 siRNA. Control uninfected set to 1.0 Data shown in (C and F) are the mean ±SD (n = 3 wells per group), and all data are representative of two (A and B) or three (C-F) independent experiments. In qRT-PCR, GAPDH served as loading control and data was expressed as fold change relative to uninfected WT (C), or control uninfected (F) cells. n.s., not statistically significant and **P < 0.01 by Student’s t-test (two-tailed).

RIG-I/MAVS/TBK1-dependent RNA sensing pathway mediates ETV5 stability in BMMs

As MAVS-dependent production of ICAM-1 in M. avium-infected BMM did not require IRF3 or IRF7 we analyzed the promoter region in both human and mouse ICAM-1 gene to identify conserved transcription factor-binding sites (Fig 4A), We found NF-κB, Ets-2, ETV5, Ap-2, Sp-1 and Stat1 binding sites [15] and hypothesized that MAVS deficiency alters the activation of one or more of these factors induced upon an M.avium infection. To test this hypothesis we investigated the nuclear translocation of these 6 transcription factors in WT and MavsBMMs following an M.avium infection. Only ETV5 nuclear levels were significantly lower in Mavscompared to WT BMMs (Fig 4B). A similar result was detected in the WCL. Moreover, ETV5 abundance in the nucleus and WCL was also diminished in M. avium-infected BMMs that were pretreated with RIG-I- or TBK1-specific siRNA relative to cells receiving control siRNA (Fig 4C). However, qRT-PCR analysis showed a comparable level of ETV5 mRNA in M. avium-infected WT and MavsBMMs (Fig 4D), suggesting limited ETV5 translation or diminished protein stability in MavsBMMs. Recently, it was found that ETV5 can be degraded through the cullin-RING ubiquitin ligase CRL4COP1/DET1-meidated ubiquitination in mouse alveolar type II cells [16]. This degradation was shown to be inhibited by MLN4924, an inhibitor of CRL4COP1/DET1 complex [17]. To test whether CRL4COP1/DET1-meidated ubiquitination was involved in the diminished ETV5 expression observed in M.avium-infected MavsBMMs, we inactivated the CRL4COP1/DET1 enzyme complex using MLN4924. As shown in Fig 4E, inhibiting CRL4COP1/DET1 rescued ETV5 protein production in MavsBMMs while having no effect on EVT5 mRNA abundance (Fig 4F).
Fig 4

Increased ETV5 protein stability through RIG-I/MAVS/TBK1 activation is required for M. avium-induced ICAM-1 expression in macrophages.

(A) Transcription factors and recognition sites on the promoter of mouse and human ICAM-1 gene. (B) Western blot analysis for transcription factors (A) in the nuclear fraction (Nucleus) and WCL of WT and Mavs BMMs uninfected or infected with M.avium for 24 hr. (C) Western blot analysis for ETV5 in BMMs 24 hr after M.avium-infection in cells that were pretreated with control, RIG-I or TBK1 siRNA. (D) qRT-PCR for ETV5 in WT and Mavs BMMs uninfected or infected with M.avium for 24 hr. Uninfected WT set to 1.0. (E) Western blot for ETV5 in nuclear fraction (Nucleus) and WCL of Mavs BMMs infected with M.avium for 24 hr and treated with different concentrations of MLN4924 at. (F) qRT-PCR for ETV5 in Mavs BMMs following a 24 hr infection with M. avium 104 treated with MLN4924 at various concentrations. Uninfected WT set to 1.0. (G) Western blot analysis for ETV5 in BMMs infected for 24 hr with M. avium 104. Cells were pretreated with negative control or EVT5 siRNA for 48 hr prior to infection. (H) qRT-PCR for ICAM-1 production in WT and Mavs BMMs pretreated with control or ETV5 siRNA, and then left uninfected or infected with M.avium for 24 hr. Uninfected WT set to 1.0. (I) Similar to (H), but flow cytometry analysis for ICAM-1. (J) Similar to (F), but qRT-PCR for ICAM-1. (K) Flow cytometry analysis for ICAM-1 in Mavs BMMs infected with M.avium for 24 hr in the presence of MLN4924 (0.5 μM). Data shown in (D, F, H and J) are the mean ±SD (n = 3 wells per group), and all data are representative of three independent experiments. In qRT-PCR, GAPDH served as loading control and data was expressed as fold change relative to uninfected WT cells or control siRNA-treated uninfected WT cells. n.s., not statistically significant and *P < 0.05 by Student’s t-test (two-tailed).

Increased ETV5 protein stability through RIG-I/MAVS/TBK1 activation is required for M. avium-induced ICAM-1 expression in macrophages.

(A) Transcription factors and recognition sites on the promoter of mouse and human ICAM-1 gene. (B) Western blot analysis for transcription factors (A) in the nuclear fraction (Nucleus) and WCL of WT and Mavs BMMs uninfected or infected with M.avium for 24 hr. (C) Western blot analysis for ETV5 in BMMs 24 hr after M.avium-infection in cells that were pretreated with control, RIG-I or TBK1 siRNA. (D) qRT-PCR for ETV5 in WT and Mavs BMMs uninfected or infected with M.avium for 24 hr. Uninfected WT set to 1.0. (E) Western blot for ETV5 in nuclear fraction (Nucleus) and WCL of Mavs BMMs infected with M.avium for 24 hr and treated with different concentrations of MLN4924 at. (F) qRT-PCR for ETV5 in Mavs BMMs following a 24 hr infection with M. avium 104 treated with MLN4924 at various concentrations. Uninfected WT set to 1.0. (G) Western blot analysis for ETV5 in BMMs infected for 24 hr with M. avium 104. Cells were pretreated with negative control or EVT5 siRNA for 48 hr prior to infection. (H) qRT-PCR for ICAM-1 production in WT and Mavs BMMs pretreated with control or ETV5 siRNA, and then left uninfected or infected with M.avium for 24 hr. Uninfected WT set to 1.0. (I) Similar to (H), but flow cytometry analysis for ICAM-1. (J) Similar to (F), but qRT-PCR for ICAM-1. (K) Flow cytometry analysis for ICAM-1 in Mavs BMMs infected with M.avium for 24 hr in the presence of MLN4924 (0.5 μM). Data shown in (D, F, H and J) are the mean ±SD (n = 3 wells per group), and all data are representative of three independent experiments. In qRT-PCR, GAPDH served as loading control and data was expressed as fold change relative to uninfected WT cells or control siRNA-treated uninfected WT cells. n.s., not statistically significant and *P < 0.05 by Student’s t-test (two-tailed). To further define ETV5’s role in M.avium-induced ICAM-1 expression, we evaluated the ICAM-1 production in WT BMMs pretreated with ETV5-specific siRNA. As seen in Fig 4G, 4H and 4I EVT5 knockdown significantly decreased ICAM-1 expression at both the mRNA (Fig 4H) and protein (Fig 4I) level in M.avium-infected WT BMMs. Moreover, treatment with MLN4924 lead to recovered ICAM-1 RNA and protein production in MavsBMMs following infection with M.avium (Fig 4J and 4K).

MAVS deficiency attenuates CD4+ T Cell-mediated mycobacterial killing in BMMs

To understand the role of host cytosolic RNA sensing pathway in the antimycobacterial response, we investigated M.avium replication in MavsBMMs and RIG-I, TBK1, IRF3 or IRF7-knockdown BMMs. As seen in S3A and S3B Fig, a minimal increase in mycobacterial burden was detected in MavsBMMs as well as RIG-I, TBK1, IRF3 or IRF7-knockdown BMMs when compared to WT or control siRNA-treated cells at 72 hr post infection. This suggest that the host cytosolic RNA sensing pathway plays a limited role in the antimycobacterial response. In addition to its role as an adhesion molecule for cell-cell interaction, ICAM-1 is also an essential component of the immunological synapse between antigen-presentation cells and activated lymphocytes [9]. CD4+ T cell-mediated cellular immune response plays a critical role in controlling mycobacterial infections [18]. Therefore, we hypothesized that MAVS-dependent ICAM-1 production in M.avium-infected macrophages could facilitated CD4+ T cell-mediated mycobacterial killing in host cells. To test our hypothesis, we isolated CD4+ T cells from M.avium infected mice and cocultured these T cells with M.avium-infected BMMs. As seen in Fig 5A, we observed significantly fewer CD4+ T cells associated with M.avium-infected Mavscompared to WT infected BMMs. To determine if this difference in T cell-BMM interaction results in changes in M.avium survival, we lysed the infected BMMs following coculture and quantified the bacterial burden (Fig 5B). As shown in Fig 5C, M.avium burden declined by ~1.5 log10 in WT BMMs cocultured with CD4+ T cells (cell ratio, 1:2) isolated from M.avium-infected WT mice compared to BMMs alone. In contrast, CD4+ T cell-mediated mycobacterial killing was absent when these CD4+ T cells were cocultured with M.avium-infected Mavscells (Fig 5D). Limited effect on M.avium survival was observed when CD8+ T cell isolated from M.avium-infected WT mice, were added to M.avium infected WT BMMs (S3C Fig). CD4+ or CD8+ T cells from naïve WT mice had no effect on M.avium survival in host cells (S3D Fig). To investigate whether CD4+ T cell-mediated mycobacterial killing relies on cell-cell contact, we assessed M. avium burden in BMMs cocultured with CD4+ T cells from M. avium-infected WT mice in a transwell system. As shown in Fig 5E, CD4+ T cells failed to activate antimycobacterial response in the absence of cell-cell contact. To better understand the role of the cytosolic RNA sensing pathway in host defense against M.avium infection in vivo, we compared the capability of CD4+ T cells isolated from M.avium-infected WT and Mavsmice at 3 weeks post infection to stimulate mycobacterial killing when cocultured with M.avium-infected WT BMMs. As seen in Fig 5F, CD4+ T cells from the two mouse strains had similar antimicrobial activity. In parallel, a comparable level of IFN-γ was detected in CD4+ and CD8+ T cells isolated from M. avium-infected WT and Mavsmouse lung (S2B and S2C Fig). This suggest that MAVS is not required for activation of Th1 CD4+ T cell in M.avium-infected mice. In contrast, using the macrophage-CD4+ T cell coculture system we found that MAVS deficiency in host macrophages attenuated IFN-γ production by the CD4+ T cells (Fig 5G). Similarly, less T cell proliferation was detected when CD4+ T cells, isolated from infected mice, were cocultured with M.avium-infected Mavscells compared to CD4+ T cells cocultured with infected WT cells (Fig 5H).
Fig 5

MAVS-dependent RNA sensing pathway contributes to CD4+ T cell-mediated mycobacterial killing in macrophages.

(A) Confocal microscopy analysis of M. avium (tdTomato)-infected BMMs and CD4 T cells (Alexa Fluor 488) following a 24 hr coculture. Scale bar, 20 μm. For quantification, all data was normalized to one biological experiment using WT BMMs, which was set to 100%. (B) Schematic of macrophage-T cell coculture assay. (C) M. avium burden in WT infected BMMs cocultured with CD4+ T cells isolated from M.avium-infected WT mice at a cell ratio (BMMs:T cells) of 1:1 or 1:2. (D) M. avium burden in Mavs infected BMMs cocultured with CD4+ T cells isolated from M. avium-infected WT mice at a cell ratio (BMMs:T cells) of 1:1 or 1:2. (E) M. avium burden in WT infected BMMs (Bottom Well) cocultured directly with CD4+ T cells or with CD4+ T cells in the upper chamber of a transwell. CD4+ T cells were isolated from WT mice 3 weeks post M. avium infection. (F) M. avium burden in WT infected BMMs cocultured with CD4+ T cells isolated from WT or Mavs mice 3 weeks post M. avium infection. (G) IFN-γ levels in the culture supernatant of uninfected or M. avium-infected WT and Mavs BMMs cocultured for 72 hr with CD4+ T cells isolated from M. avium-infected WT mice. (H) Flow cytometry analysis of CFSE stained CD4+ T cells isolated from M. avium-infected WT mice that were cocultured for 72 hr with M. avium-infected WT or Mavs BMMs. (I) ROS measurement in M. avium-infected WT and Mavs BMMs +/- cocultured with CD4+ T cells isolated from WT mice 3 weeks post M. avium infection. (J) Western blot for iNOS expression in M. avium-infected WT and Mavs BMMs +/- coculture for 24 hr with CD4+ T cells isolated from WT mice 3 weeks post M. avium infection. Quantitation of band pixel intensity shown in graph. Data shown in (C-G) and (I) are the mean ±SD (n = 3 independent infections per group), and all data are representative of at least three independent experiments. In (E-G), the ratio between BMMs and CD4+ T cells was 1:2. n.s., not statistically significant, *P < 0.05, **P < 0.01 and ***P < 0.001 by Student’s t-test (two-tailed).

MAVS-dependent RNA sensing pathway contributes to CD4+ T cell-mediated mycobacterial killing in macrophages.

(A) Confocal microscopy analysis of M. avium (tdTomato)-infected BMMs and CD4 T cells (Alexa Fluor 488) following a 24 hr coculture. Scale bar, 20 μm. For quantification, all data was normalized to one biological experiment using WT BMMs, which was set to 100%. (B) Schematic of macrophage-T cell coculture assay. (C) M. avium burden in WT infected BMMs cocultured with CD4+ T cells isolated from M.avium-infected WT mice at a cell ratio (BMMs:T cells) of 1:1 or 1:2. (D) M. avium burden in Mavs infected BMMs cocultured with CD4+ T cells isolated from M. avium-infected WT mice at a cell ratio (BMMs:T cells) of 1:1 or 1:2. (E) M. avium burden in WT infected BMMs (Bottom Well) cocultured directly with CD4+ T cells or with CD4+ T cells in the upper chamber of a transwell. CD4+ T cells were isolated from WT mice 3 weeks post M. avium infection. (F) M. avium burden in WT infected BMMs cocultured with CD4+ T cells isolated from WT or Mavs mice 3 weeks post M. avium infection. (G) IFN-γ levels in the culture supernatant of uninfected or M. avium-infected WT and Mavs BMMs cocultured for 72 hr with CD4+ T cells isolated from M. avium-infected WT mice. (H) Flow cytometry analysis of CFSE stained CD4+ T cells isolated from M. avium-infected WT mice that were cocultured for 72 hr with M. avium-infected WT or Mavs BMMs. (I) ROS measurement in M. avium-infected WT and Mavs BMMs +/- cocultured with CD4+ T cells isolated from WT mice 3 weeks post M. avium infection. (J) Western blot for iNOS expression in M. avium-infected WT and Mavs BMMs +/- coculture for 24 hr with CD4+ T cells isolated from WT mice 3 weeks post M. avium infection. Quantitation of band pixel intensity shown in graph. Data shown in (C-G) and (I) are the mean ±SD (n = 3 independent infections per group), and all data are representative of at least three independent experiments. In (E-G), the ratio between BMMs and CD4+ T cells was 1:2. n.s., not statistically significant, *P < 0.05, **P < 0.01 and ***P < 0.001 by Student’s t-test (two-tailed). Following coculture with activated antigen-specific CD4+ T cells, M.tb-infected macrophages are known to produce antimicrobial reactive oxygen and nitrogen species (ROS and RNS) via NADPH oxidase (NOX2/gp91phox) and inducible nitric oxide synthase (iNOS) respectively [19]. However, little is known about ROS and NO production in the context of NTM infections. Since MAVS deficiency in M.avium infected BMMs resulted in a loss of CD4+ T cell-mediated killing of M.avium, we investigated if the production of ROS and RNS was altered in M.avium-infected Mavscompared to WT BMMs following cocultured with CD4+ T cells isolated from M.avium-infected WT mice. In the presence of CD4+ T cells, the level of ROS (Fig 5I) and iNOS (Fig 5J) was significantly higher in WT compared to MavsM.avium-infected BMMs. However, no significant difference in ROS and iNOS production was detected between M.avium-infected WT and MavsBMMs in the absence of CD4+ T cells.

MAVS deficiency attenuates CD4+ T Cell-mediated mycobacterial killing in mice

Our data indicates that MAVS deficiency impairs macrophage-T cell immune synapse formation upon in vitro coculture. However, a comparable level of IFN-γ was observed in CD4+ T cells (S2B Fig) and the lungs (S2C Fig) of M. avium infected WT and MAVS-/- mice. We hypothesized that MAVS play a key role in CD4+ T cell-mediated stimulation of macrophages to kill intracellular M.avium but not CD4+ T cell activation in vivo. To test our hypothesis, we established a triple-cell population coculture system (Fig 6A), in which CD4+ T cells were isolated from WT mice at 3 weeks post M.avium infection. These T cells were then cocultured with WT BMMs infected with gentamicin-sensitive (GenS) M.avium, followed by coculture with WT or MavsBMMs that were infected with gentamicin-resistant (GenR) M.avium strains. The GenR and GenS bacterial burden in the BMMs were quantified. A difference in GenR M.avium burden between WT and MavsBMMs in coculture would indicate a role for MAVS in CD4+ T cell-mediated stimulation of macrophages to kill intracellular M.avium. As shown in Fig 6B, in the presence of CD4+ T cells isolated from M.avium-infected WT mice, GenR M.avium burden in WT BMMs was significantly lower compared to MavsBMMs. In contrast, in the absence of CD4+ T cells, GenR M.avium had a similar survival rate in WT and MavsBMMs. Similarly, GenS and GenR M.avium showed a comparable survival in WT BMMs (Fig 6C). CD4+ T cells from M.avium-infected WT mice did kill GenS M.avium in WT BMMs (Fig 6C). In the triple-cell coculture wells, a similar level of IFN-γ and T cell proliferation was seen regardless of whether GenR M.avium-infected WT or MavsBMMs were present, suggesting an effective activation of CD4+ T cells by GenS M.avium-infected WT BMMs (Fig 6D and 6E).
Fig 6

MAVS-dependent RNA sensing pathway contributes to CD4+ T cell-mediated mycobacterial killing in mice.

(A) Schematic of coculture assay with triple cell populations. (B) Gentamycin-resistant (GenR) and -sensitive (GenS) M.avium burden in WT and Mavs BMMs cocultured with CD4+ T cells from M.avium-infected WT mice using the triple-cell coculture system. (C) Bacterial counts of GenR and GenS M.avium strains in WT BMMs +/- coculture with CD4+ T cells purified from M.avium-infected WT mice. (D) IFN-γ concentration in the culture supernatant after 72 hr incubation of the triple-cell coculture system as described in (B). (E) Similar to (D), but flow cytometry analysis for CFSE stained CD4+ T cells following a 72 hr coculture with CD4+ T cells. (F) Schematic of the adoptive transfer assay using M.avium-infected AM and WT mice. (G) GenR and GenS M.avium burden in WT mouse lung at day 1, 3 and 6 after M.avium-infected AM adoptive transfer. WT and Mavs AM were isolated from WT and Mavs naïve mice, respectively. Mock, no injection. (H) GenR M.avium burden in WT and Mavs AMs in vitro. (I) IFN-γ concentration in WT mouse lungs 6 days after the M.avium-infected AM transfer. Data in (B-D) and (H) are the mean ±SD (n = 3 independent infections per group), and data shown are representative of at least three (B-E, and H) or combination of two (G and I, n = 3 per group each experiment) independent experiments. In triple-cell population coculture, a ratio: GenS M.avium-infected BMMs: GenR M.avium-infected BMMs:T cells = 4:1:10, was used. n.s., not statistically significant, *P < 0.05 and **P < 0.01 by Student’s t-test (two-tailed) (B-D) or Mann–Whitney U test (G).

MAVS-dependent RNA sensing pathway contributes to CD4+ T cell-mediated mycobacterial killing in mice.

(A) Schematic of coculture assay with triple cell populations. (B) Gentamycin-resistant (GenR) and -sensitive (GenS) M.avium burden in WT and Mavs BMMs cocultured with CD4+ T cells from M.avium-infected WT mice using the triple-cell coculture system. (C) Bacterial counts of GenR and GenS M.avium strains in WT BMMs +/- coculture with CD4+ T cells purified from M.avium-infected WT mice. (D) IFN-γ concentration in the culture supernatant after 72 hr incubation of the triple-cell coculture system as described in (B). (E) Similar to (D), but flow cytometry analysis for CFSE stained CD4+ T cells following a 72 hr coculture with CD4+ T cells. (F) Schematic of the adoptive transfer assay using M.avium-infected AM and WT mice. (G) GenR and GenS M.avium burden in WT mouse lung at day 1, 3 and 6 after M.avium-infected AM adoptive transfer. WT and Mavs AM were isolated from WT and Mavs naïve mice, respectively. Mock, no injection. (H) GenR M.avium burden in WT and Mavs AMs in vitro. (I) IFN-γ concentration in WT mouse lungs 6 days after the M.avium-infected AM transfer. Data in (B-D) and (H) are the mean ±SD (n = 3 independent infections per group), and data shown are representative of at least three (B-E, and H) or combination of two (G and I, n = 3 per group each experiment) independent experiments. In triple-cell population coculture, a ratio: GenS M.avium-infected BMMs: GenR M.avium-infected BMMs:T cells = 4:1:10, was used. n.s., not statistically significant, *P < 0.05 and **P < 0.01 by Student’s t-test (two-tailed) (B-D) or Mann–Whitney U test (G). Our results indicate an important role for the host cytosolic RNA sensing pathway in the CD4+ T cell-mediated antimycobacterial response. To evaluate the engagement of MAVS in M.avium-infected macrophages in vivo, we performed an alveolar macrophage (AM) adoptive transfer experiment where WT or MavsAMs, which were infected with GenR M.avium, were intratracheally administered to WT mice that had been previously infected with the GenS M.avium for 3 weeks as described in Fig 6F. GenR M.avium burden in mouse lung was analyzed at day 1, 3 and 6 after intratracheal injection. GenR M.avium burden declined when the infected WT but not MavsAMs were injected into mice previously infected with GenS M.avium (Fig 6G). AM adoptive transfer had no effect on the GenS M.avium burden in mouse lung. In macrophage culture, GenR M. avium had a comparable survival rate in WT and MavsAMs (Fig 6H). Additionally, neither the transfer of WT or MavsAMs affected the IFN-γ production in the lung of GenS M.avium-infected WT mice (Fig 6I). WT and MavsAMs infected with GenR M.avium showed similar survival rate in GenS M.avium-infected WT mice over a 6-day period (S4A Fig).

M.avium-induced ICAM-1 production contributes to CD4+ T Cell-mediated mycobacterial killing in BMMs and mice

Since ICAM-1 is necessary for the formation of immune synapse between APC and T cells9, we hypothesized that the impaired mycobacterial killing in MavsBMMs was due to diminished ICAM-1 production in infected host cells. To test this hypothesis we first defined the surface expression of additional proteins required for the APC-T cell synapse in M.avium-infected BMMs. MHCII, CD80, CD86 and CD40 showed similar abundance on the plasma membrane of M.avium-infected WT and MavsBMMs (S2D Fig and Fig 3D). To further test our hypothesis, we infected WT and MavsBMMs with M.avium in the presence of MLN4924 before cells were cocultured with CD4+ T cells isolated from M.avium-infected WT mice. To avoid the potential interference of MLN4924 on CD4+ T cells, MLN4924 was not included in macrophage-T cell coculture system. MLN4924 restored the immune synapsis between CD4+ T cells and M.avium-infected MavsBMMs but had no effect on immune synapsis formation when using ICAM-1BMMs (Fig 7A). MLN4924 also rescued the antimycobacterial activity in M.avium-infected MavsBMMs cocultured with CD4+ T cells to levels comparable to what was observed in M.avium-infected WT BMMs (Fig 7B). As predicted, CD4+ T cell failed to control M.avium infection in ICAM-1BMMs in comparison with M.avium-infected WT BMMs (Fig 7C). Consistent with MAVS deficiency, loss of ICAM-1 expression on infected BMMs resulted in attenuated CD4+ T cell activation characterized as defined by decreased IFN-γ production (Fig 7D). In addition, loss of ICAM-1 expression also impaired ROS (Fig 7E) and iNOS (Fig 7F) production by M.avium-infected BMMs following coculture with antigen-specific and activated CD4+ T cells. Finally, ICAM-1AMs also showed limited control of a M. avium infection compared to WT AMs when cells were transferred to M. avium-infected WT mice (Fig 7G and S4B Fig).
Fig 7

ICAM-1 production in host cells is essential for CD4+ T cell-mediated M. avium killing in macrophage and mice.

(A) Confocal microscopy measuring the cell-cell interaction between M. avium (tdTomato)-infected WT, Mavs or ICAM-1 BMMs and CD4+ T cells (Alexa Fluor 488) isolated from M. avium-infected WT mice +/- MLN4924 (0.5 μM). Images were taken 24 hr after BMM and CD4+ T cell coculture. Scale bar, 20 μm. For quantification, all data was normalized to one biological repeat in WT group. (B) M. avium burden in Mavs BMMs pretreated with MLN4924 (0.5 μΜ) and then cocultured with CD4+ T cells isolated from M. avium-infected WT or Mavs mice. (C) M.avium burden in WT and ICAM-1 BMMs cocultured with CD4+ T cells isolated from M.avium-infected WT mice. (D) IFN-γ concentration in the culture supernatant of uninfected or M. avium-infected WT and ICAM-1 BMMs cocultured for 72 hr with CD4+ T cells isolated from M. avium-infected WT mice. (E) ROS measured over time in M. avium-infected WT and ICAM-1 BMMs +/- coculture with CD4+ T cells isolated from M. avium-infected WT mice. (F) Western blot for iNOS in M.avium-infected WT and ICAM-1 BMMs +/- coculture for 24 hr with CD4+ T cells isolated from M. avium-infected WT mice. Quantitation of band pixel intensity shown in graph. (G) GenR and GenS M.avium burden in WT mouse lung at day 1, 3 and 6 after M.avium-infected AM adoptive transfer. WT AM and ICAM-1 AMs were isolated from WT and ICAM-1 naïve mice, respectively. Data in (A-E) are the mean ±SD (n = 3 independent infections per group), and data shown are representative of at least three (A-F) or combination of two (G, n = 3 per group each experiment) independent experiments. The ratio between BMMs and CD4+ T cells was 1:2. n.s., not statistically significant, *P < 0.05 and **P < 0.01 by Student’s t-test (two-tailed) (A-E) or Mann–Whitney U test (G).

ICAM-1 production in host cells is essential for CD4+ T cell-mediated M. avium killing in macrophage and mice.

(A) Confocal microscopy measuring the cell-cell interaction between M. avium (tdTomato)-infected WT, Mavs or ICAM-1 BMMs and CD4+ T cells (Alexa Fluor 488) isolated from M. avium-infected WT mice +/- MLN4924 (0.5 μM). Images were taken 24 hr after BMM and CD4+ T cell coculture. Scale bar, 20 μm. For quantification, all data was normalized to one biological repeat in WT group. (B) M. avium burden in Mavs BMMs pretreated with MLN4924 (0.5 μΜ) and then cocultured with CD4+ T cells isolated from M. avium-infected WT or Mavs mice. (C) M.avium burden in WT and ICAM-1 BMMs cocultured with CD4+ T cells isolated from M.avium-infected WT mice. (D) IFN-γ concentration in the culture supernatant of uninfected or M. avium-infected WT and ICAM-1 BMMs cocultured for 72 hr with CD4+ T cells isolated from M. avium-infected WT mice. (E) ROS measured over time in M. avium-infected WT and ICAM-1 BMMs +/- coculture with CD4+ T cells isolated from M. avium-infected WT mice. (F) Western blot for iNOS in M.avium-infected WT and ICAM-1 BMMs +/- coculture for 24 hr with CD4+ T cells isolated from M. avium-infected WT mice. Quantitation of band pixel intensity shown in graph. (G) GenR and GenS M.avium burden in WT mouse lung at day 1, 3 and 6 after M.avium-infected AM adoptive transfer. WT AM and ICAM-1 AMs were isolated from WT and ICAM-1 naïve mice, respectively. Data in (A-E) are the mean ±SD (n = 3 independent infections per group), and data shown are representative of at least three (A-F) or combination of two (G, n = 3 per group each experiment) independent experiments. The ratio between BMMs and CD4+ T cells was 1:2. n.s., not statistically significant, *P < 0.05 and **P < 0.01 by Student’s t-test (two-tailed) (A-E) or Mann–Whitney U test (G).

Discussion

Our previous study demonstrated that M.tb releases mycobacterial RNAs into the cytosol of host cells and stimulates the cytosolic RIG-1/MAVS/TBK1/IRF7 RNA sensing pathway and production of type I IFNs5. A similar result has been observed in L. monocytogenes[4]. In this study, we demonstrate that M.avium, like M.tb, activates the host cytosolic RIG-I/MAVS/TBK1/IRF3/IRF7 RNA sensing pathway and stimulate type I IFN production in infected macrophages. This extends to in vivo as MAVS deficiency attenuates IFN-β production in mice post M.tb or M.avium infection. However, in contrast to M.tb, M.avium burden was higher in Mavsrelative to WT mice and showed increased immunopathology during the course of the M.avium infection. This differential response to the MAVS defect following an M.tb and M.avium infection suggests that the RNA sensing pathway play significantly different roles in controlling these two mycobacterial infections in mice. We also found that the cytosolic RIG-I/MAVS/TBK1 but not IRF3/IRF7 RNA sensing pathway regulates ICAM-1 production in macrophages by inhibiting CRL4COP1/DET1-mediated ETV5 degradation in M. avium-infected cells. Although the ICAM-I production is controlled by multiple transcription factors including NF-κB, Ets-2, ETV5, Ap-2, Sp-1 and Stat1 [15], our data indicates that ETV5 is a key transcription factor in M. avium-induced ICAM-1 expression in macrophages. The ICAM-1 production in M. avium-infected Mavsmacrophages was restored by inhibition of the CRL4COP1/DET1 enzyme complex. The in vitro macrophage killing assay reveals that the RIG-I/MAVS/TBK1 RNA sensing pathway plays a limited role in controlling M.avium infection in BMMs. However, the mouse infection studies suggest that this pathway may be playing a larger role in vivo. CD4+ T cells are essential in protective immunity against M.tb and M.avium infection in animal models and patients18 and their recruitment and/or activation may be dysregulated in the absence of RNA cytosolic RNA sensing pathway. Our findings that ICAM-1 expression is diminished in BMMs that lack RIG-I or MAVS expression following an M.avium infection suggest a link between RNA sensing pathways and an immune response to this bacterial infection. Multiple studies have shown ICAM-1 production is induced in host cells following various bacterial infections including M.tb, M.avium, S. pneumoniae and Salmonella [20-24], although the pathways leading to its expression were not defined in these studies. While the role of ICAM-1 during bacterial infections has been investigated using ICAM-1 mice, little is known about ICAM-1’s function in promoting an antibacterial response within infected host cells [11,23-26]. The engagement of ICAM-1 in APC-T cell interaction prompted us to test whether the host cytosolic RIG-I/MAVS/TBK1 RNA sensing pathway facilitates CD4+ T cell-mediated mycobacterial killing during an M.avium infection. Interestingly, M.avium-infected MavsBMMs fail to form immune synapse with CD4+ T cells isolated from M.avium-infected WT mice. Moreover, M.avium burden was significantly higher in Mavsvs WT macrophages cocultured with these CD4+ T cells. This defect in M.avium killing by Mavsmacrophages was restored by stimulating ICAM-1 production through the inhibition of CRL4COP1/DET1. Consistent with the in vitro macrophage killing study, the adoptive transfer experiment using Mavsand ICAM-1AMs supports the importance of MAVS-dependent pathway and ICAM-1 in APC-T cell interaction during a mouse M.avium infection. While CD8+ T cells are also important in the immune response against M.tb infection, it may play a lesser role in immunity to M.avium at least in the context of a mouse infection [27]. Our results support this finding as CD8+ T cells isolated from M.avium-infected WT mice showed limited ability to kill M. avium when added to infected macrophages in a coculture system. Interestingly, except for ICAM-1, MAVS deficiency has no measurable effect on the cell surface expression of various other molecules involved in APC-CD4+ T cell synapse formation including MHC II, CD80, CD86 and CD40. In the context of an NTM infection, the regulation of the various molecules that mediate adhesion between Ag-specific CD4+ T cells and infected macrophages remains poorly defined. In this study we observed that the RIG-I/MAVS/TBK1/ETV5/ICAM-1 macrophage response to a M. avium infection significantly increases the CD4+ T cell-mediated activation and the antimycobacterial response. Our data suggest that this MAVS-dependent antimicrobial response is not mediated by IFN-γ. Evidence to support this conclusion includes: 1) When cocultured with CD4+ T cells, the MAVS/ICAM-1-dependent control of the M. avium infection was only partially mimicked by blocking IFN-γ following incubation of activated CD4+ with infected BMM. 2) A similar percentage of IFN-γ-producing CD4+ T cells and a comparable level of IFN-γ production was detected in the lung of M. avium-infected WT and Mavsmice. 3) CD4+ T cells isolated from M. avium-infected Mavsand WT mice have a comparable activity in stimulating antimycobacterial activity when added to M. avium-infected WT BMMs. In addition, a similar M. avium burden was detected in WT AMs that were transferred into WT and Mavsmice. Altogether, our data indicates that there is a cell-cell contact dependent mechanism by which CD4+ T cells promote M. avium killing in host cells. Mechanisms for the T cell mediated response could include macrophage activation by the CD40-CD40L axis and downstream effects such as iNOS expression and NO production [28,29]. However, we cannot completely rule out that the MAVS-/- and ICAM-/- infected macrophages may also be more refectory to cytokine activation. In summary (Fig 8), our study reveals a previously undefined RIG-I/MAVS dependent mechanism for inducing ICAM-1 expression in macrophages following an M. avium infection and its role in CD4+ T cell-mediated mycobacterial killing. Additionally, in contrast to M.tb, we identified that activation of the RNA sensing pathway is beneficial to the host immune response to an M. avium infection. At present we lack a clear understanding as to for the differential response to activation of RIG-1/MAVS following the two different mycobacterial infections. To address this question additional studies are needed to determine which host factors are differentially regulated by activation of RIG-1/MAVS during an M.tb and M. avium infection including how ICAM-1 expression is induced during an M.tb infection.
Fig 8

Host cytosolic RIG-I/MAVS/TBK1 RNA sensing pathway promotes antigen-specific CD4+ T cell-mediated mycobacterial killing in M.avium-infected host cells.

Materials and methods

Mice

Wild-type C57BL/6 and Mavsmice have been described previously5. ICAM-1mice on a C57BL/6 background were purchased from Jackson Laboratory (Stock No: 002867). All mice were housed and bread at the institutional animal facility under specific pathogen-free conditions. Mice were housed with standard housing in cages containing 3–5 mice per cage.

Ethic statement

The University of Notre Dame is accredited through the Animal Welfare Assurance (#A3093-01). All animal experiments were approved by the University of Notre Dame’s Institutional Animal Care and Use Committees (IACUCs) (protocol approval number # 17-02-3630). Isoflurane was used as the mouse anesthesia and mice were killed by cervical dislocation following isoflurane inhalation.

Bacterial strains

M.avium 104 and 2151, gentamycin-resistant M.avium 104 and tdTomato-expressing M.avium (a generous gift from Dr. Luiz E. Bermudez, Oregon State University) were grown in Middlebrook 7H9 broth (Cat. No.271310; BD) supplemented with 10% (v/v) Middlebrook oleic acid–albumin–dextrose–catalase (OADC) (Cat. No. 211886; BD) and 0.2% glycerol until mid-exponential phase, and washed with complete medium for macrophages or PBS plus 0.05% Tween-80 when required.

Cell culture

Bone marrow-derived Macrophages (BMMs) were prepared from wild type C57BL/6, Mavs–/–and ICAM-1–/–(female, 6–8 weeks) as described previously [30], and cells were grown in DMEM supplemented with 10% (v/v) heat-inactivated FBS, 20% L929 cell-conditional medium as a source of macrophage colony-stimulating factor and 100 U/ml penicillin and 100 U/ml streptomycin (SV30010, HyClone) at 37°C and 5% CO2. Mouse alveolar macrophages (AMs) were prepared as described previously [31], and cultured in RPMI-1640 medium supplemented with 10% (v/v) heat-inactivated FBS and 100 U/ml penicillin and 100 U/ml streptomycin.

siRNA transfection

Mouse BMMs (3 x 105 cells/well) were transfected with AllStars Negative Control siRNA (Cat.1027280, Qiagen), RIG-I (5’- GAAGCGUCUUCUAAUAAUU-3’), TBK1 (SMARTpool: ON-TARGETplus Tbk1 siRNA, Dharmacon), IRF3 (ON-TARGETplus Mouse Irf3 siRNA, Dharmacon), IRF7 (SMARTpool: ON-TARGETplus Irf7 siRNA, Dharmacon), or ETV5 (SMARTpool: ON-TARGETplus Etv5 siRNA, Dharmacon) siRNA oligos (25 pmol/3 x 105 cells) in 24-well plates using Lipofectamine 2000 (Cat.11668-027, Invitrogen) following the manufacturer’s protocol. BMM were maintained for 48 hr after transfection at 37°C, 5% CO2 in complete medium before use in the various experiments.

RNA purification

To measure mycobacterial RNA in the cytosol of M.avium-infected macrophages, cytosolic RNA was purified as described previously5. For the measurement of host cytokine and ETV5 mRNA, BMMs were infected with M.avium at an MOI of 10 at 37°C and 5% CO2 for various time as indicated and then total cellular RNA was purified using Qiagen RNeasy Plus Mini Kit (Cat.No. 74136, Qiagen).

qRT-PCR

RNAs were firstly treated with DNase I (Cat.18068015, Invitrogen) following the manufacturer’s introduction. For mycobacterial RNA, cDNA were synthesized with AMV Reverse Transcriptase (Cat.M0277, NEB) and a mixture of M.avium reverse primers. mce1B: Forward, 5’-TCGTGGTGTTCGGTCAGATG-3’; Reverse, 5’-GAACTGACCTTGCCGACCTC-3’, rpoC: Forward, 5’-CAATTCAGCTGCACCCGTTG-3’; Reverse, 5’-GTTGGACGACAGCATCAGGA-3’, polA: Forward, 5’-CATCAACTCCACCTCGCTGT-3’; Reverse, 5’-CGAAATCGCTCTGCAACTCG-3’, and MAV4436: Forward, 5’- GAACGACGGCATGAAATCGC-3’; Reverse, 5’-TCGATGGTGAGCTGATCGAA-3’. For the host cytokine and ETV5 analysis, cDNA was synthesized using AMV Reverse Transcriptase and Oligo(dT)20 primer. IFN-β: Forward, 5’-TCCGAGCAGAGATCTTCAGGAA-3’; Reverse, 5’- TGCAACCACCACTCATTCTGAG-3’, ICAM-1: Forward, 5’-TTTCCGGAGAGTGTGGAGCT-3’; Reverse, 5’-GAGCAGCACTGCTGAGAGCT-3’. DPPIV: Forward,5’- CAATAGTTCTGCTGAGCAAAGA-3’; Reverse, 5’- TTGTTTGTAGAGGTATTCAAAGTC-3’, CHI3L1: Forward,5’- TCCAGAGCTGCTCTGCGTACAA-3’; Reverse, 5’- GCTGATGTTGGCAAAGCTGTA-3’, TNFRSF11B: Forward,5’- CACCTACCTAAAACAGCACTG-3’; Reverse, 5’- TCACGGACTGCAGTTCCTTG-3’, Complement Factor D: Forward,5’- TACATGGCTTCCGTGCAAGTG-3’; Reverse, 5’- TGCACAGAGTCGTCATCCGT-3’, ETV5: Forward, 5’- CAGGCTGTACTTTGATGATACTT-3’; Reverse, 5’- GTCATCCAGGAGGGTGACAA-3’. Quantitative PCR was performed using PerfeCTa SYBR® Green SuperMix (Cat. 95054, Quantabio) and primers as described above on StepOnePlus Real-Time PCR System (Applied Biosystems). GAPDH: Forward, 5’-TCGTCCCGTAGACA AAATGG-3’; Reverse: 5’-TTGAGGTCAATGAAGGGGTC-3’, was used as an input control.

Whole-cell lysates and nuclear fraction preparation

BMMs were left uninfected or infected with M.avium 104 at an MOI of 10 for 24 hr at 37°C and 5% CO2, and then washed with pre-cold PBS three time. Whole-cell lysates (WCL) and nuclear fraction were prepared as described previously [5].

Western blot

WCL and nuclear fraction were denatured at 95°C for 10 min and separated by 12.0% SDS-PAGE gel. Proteins were transferred onto nitrocellulose membranes and probed with anti-IRF3 (Cat.A303-384A, Bethyl Laboratories Inc), anti-IRF7 (Cat. 3941; Prosci Inc.), anti-TBK1 (Cat.3504, Cell Signaling Technology), anti-phospho-TBK1 (Ser172) (Cat.5483, Cell Signaling Technology), anti-NF-κB (Cat. 8242T, Cell Signaling Technology), anti-Ets-2 (cat. sc-365666, SCBT), anti-ETV5 (Cat. sc-100941, SCBT), anti-Stat1 (Cat. sc-591, SCBT), anti-AP-2(Cat. sc-12726, SCBT), anti-SP1(Cat. sc-17824, SCBT), anti-iNOS (Cat. 610599, BD Bioscience), anti-β-actin (Cat.4970, Cell Signaling Technology), and anti-Histone H3 (Cat.9717, Cell Signaling Technology) antibodies, followed by goat anti-rabbit IgG-HRP (Cat.31460, Thermo Scientific) or goat anti-mouse IgG-HRP (Cat.31438, Thermo Scientific).

E3 Ubiquitin ligase CRL4COP1/DET1 inhibition assay

For qRT-PCR and western blot analysis, MLN4924 (Cat. 905579-51-3, Cayman Chemical) was dissolved in DMSO and added at the time M.avium infection into cell culture media to the specified concentrations. For confocal microscopy analysis and M.avium survival assay in BMM-T cell coculture system, MLN4924 was added at the time of M.avium infection into BMM culture at a final centration of 0.5 μM and removed by three washes with complete BMM medium prior to adding CD4+ T cells.

Mouse infection assay

Mavsand wild-type C57BL/6 mice (8–10 weeks old, female) were intratracheally infected with M.avium 104 at a dose of 1X107 CFU as described previously [32]. M.avium input in the lung of mice was determined at 5 hr post-infection. At 1, 2, 3, 5, 8 and 12 weeks post-infection, mouse serum was obtained/prepared via cardiac puncture and BD Microtainer Serum Separator Tube. Mouse lungs and spleens were also harvested, homogenized, and plated onto Middlebrook 7H10 agar plates, and mycobacterial colonies were counted after 10–14 days of incubation at 37 oC. For pathological analysis, mouse lung sections were prepared and stained with H&E at the Histology Core Facility of University of Notre Dame, and histopathological score was evaluated as described previously [33]. M.avium infection was carried out in the biosafety level 2 laboratory. Isoflurane was used as the mouse anesthesia and mice were killed by cervical dislocation following isoflurane inhalation.

Mouse cytokine array analysis

Mouse blood was harvested by cardiac puncture at 3 weeks post M.avium infection and serum was prepared using BD Microtainer Serum Separator Tube as described above. The abundance of mouse cytokines in serum was analyzed using Proteome Profiler Mouse XL Cytokine Array (Cat. ARY028, R&D Systems) according to manufacturer’s instruction. The intensity of the spots was determined by ImageJ software.

Survival assay of M.avium in mouse BMMs and AMs

Cells were infected with M.avium 104 at an MOI of 10 for 1 hr at 37°C and 5% CO2, and then washed with complete medium thrice, and incubated for another 24 and 72 hr at 37°C and 5% CO2. At the given time, cells were washed with pre-cold PBS thrice and lysed in 0.05% SDS. A series of dilution of cell lysates in PBS (1x) were added onto 7H10 agar plates supplemented with 10% (v/v) OADC and 0.2% glycerol. Plates were incubated at 37°C for 10–15 days until counting.

M.avium survival assay in BMMs cocultured with T cell

Mouse BMMs were differentiated as described above in complete DMEM medium. Seven days after incubation, cells were washed and resuspended in BMM media and seeded into 12-well plates (1x105 cells/well) overnight at 37°C and 5% CO2. BMMs were then infected with M.avium strains for 1 hr at an MOI of 10 at 37°C and 5% CO2 and subsequently washed with complete RPMI-1640 medium thrice. Infected cells were further incubated at 37°C and 5% CO2 overnight. These cells were used for the BMM-T cell coculture assay. Mouse CD4+ T cells and CD8+ T cells were isolated from the lung of uninfected and M.avium-infected WT or Mavs mice (3 weeks post-intratracheal infection as described above). T cells were isolated using MojoSort™ Mouse CD4+ T Cell Isolation Kit (Cat. 480005, Biolegend) and MojoSort™ and mouse CD8+ T Cell Isolation Kit (Cat. 480007, Biolegend). Purified CD4+ T cells and CD8+ T cells were added to the M.avium-infected BMMs culture and incubated for 1, 24 and 72 hr at 37°C and 5% CO2. Cocultured cells were washed with pre-cold PBS thrice and then lysed in 0.05% SDS and spread on 7H10 agar plates containing 10% OADC. Plates were incubated at 37°C for 10–15 days until counting and results were expressed as Log10.

Triple-cell population coculture assay

A two-cell population (BMM-T cells) coculture was first established as described above, Briefly, WT BMMs were initially infected with GenS M.avium at MOI of 10 for 24 hr at 37°C and 5% CO2 and then cocultured with CD4+ T cells isolated from WT M.avium-infected C57B/6 mice (isolated from mice 3 weeks post-infection). 24 hr after the addition of CD4+ T cells to the infected macrophages this two-cell population was used for Triple-cell Population Coculture Assay. WT, Mavs and ICAM-1 BMMs were infected with GenR M.avium at an MOI of 10 for 1 hr at 37°C and 5% CO2. Cells were then washed with complete medium thrice, and incubated for another 24 at 37°C and 5% CO2. Subsequently, these infected WT, Mavs and ICAM-1 BMMs were added into the two-cell population coculture at a ratio: GenS M.avium-infected BMMs: GenR M.avium-infected BMMs:T cells = 4:1:10. Mixed cells were incubated for another 1, 24 and 72 hr at 37°C and 5% CO2. Cocultured cells were washed with pre-cold PBS thrice and then lysed in 0.05% SDS. GenR M.avium CFU was determined using 7H10 agar plates supplemented with gentamycin (200μg/ml) and 10% OADC. Total M.avium CFU was determined using 7H10 agar plates plus 10% OADC. GenS M.avium CFU was calculated by the formula: total M.avium CFU—GenR M.avium CFU.

Flow cytometry analysis

For BMMs, cells were uninfected or infected with M.avium 104 at a MOI of 10 for 24 hr at 37°C and 5% CO2, and then stained with FITC anti-mouse ICAM-1 (Cat. 116105, Biolegend), FITC anti-mouse I-Ab (Cat. 116405, Biolegend), FITC anti-mouse CD80 (Cat. 104705, Biolegend), FITC anti-mouse CD86 (Cat. 105005, Biolegend) or FITC anti-mouse CD40 (Cat. 124607, Biolegend) as described previously [34]. For mouse lung cells, WT or Mavs mice were infected with WT M.avium as described above and lungs were harvested 3 weeks post infection. Single lung cells were prepared [34] and stained using PE-conjugated anti-mouse CD4 (Cat.100408, Biolegend), or CD8 (Cat. 553033, BD Biosciences) Abs, APC-conjugated anti-mouse F4/80 (Cat. No. 123115, Biolegend), CD11c (Cat. No. 117309, Biolegend) or Ly-6G (Cat. No. 127613, Biolegend) Abs, FITC-conjugated anti-mouse INF-γ (Cat. 505806, Biolegend), or FITC-conjugated anti-mouse ICAM-1 Abs. For in vitro T cell proliferation assay, CD4+ T cells isolated from WT C57BL/6 mice following a 3 week infection with WT M. avium 104, were labeled with Vybrant® CFDA SE Cell Tracer Kit (Cat. V12883, Invitrogen) and then cocultured with WT or Mavs BMMs that were uninfected or infected with M.avium 104 (two-cell population coculture). The BMMs and T cells were incubated together for 72 hr at 37°C and 5% CO2. All samples were analyzed by BD LSRFortessa X-20 cytometer.

Confocal microscopy analysis for macrophage-T cell synapse

C57BL/6, Mavs or ICAM-1 BMMs were infected with an M.avium strain expressing tdTomato at an MOI of 10. Twenty-four hours post infection, infected cells were cocultured with CD4+ T cells isolated from WT M.avium-infected mice at a ratio (BMM:T cell) of 1:2. Twenty-four hours post incubation, cells were gently washed with precold PBS thrice, and fixed in 2% PFA for 15 min at RT, and then permeabilized in 0.1% Triton X-100 in PBS for 15 minutes at RT. Cells were blocked in PBS containing 2% FBS and further stained with Alexa Fluor™ 647 phalloidin (Cat. A22287, Invitrogen) and Alexa Fluor 488 anti-mouse CD4 Antibody (Cat. No. 100529, Biolegend), and analyzed by Nikon C2+ confocal laser scanning microscope. For quantitative analysis, at least 100 BMMs per condition were counted in multiple random areas of the slide. Data was normalized to the number of T cells conjugated to M.avium-infected WT BMMs for one biological sample, which was set to 100%.

Alveolar macrophage adoptive transfer assay

Mouse AMs were isolated from WT, Mavs or ICAM-1 mice (Female, 8 to 10 weeks old) as described above, and then infected with GenR M.avium strains at an MOI of 10 for 24 hr at 37°C and 5% CO2. Infected AMs were washed with pre-cold PBS thrice and then intratracheally injected into mice at a dose of 2x105 cells/mouse in 15 μl PBS. At the time of AM injection, recipient mice had been infected with GenS M.avium for 3 weeks as described [32]. At day 1, 3 and 6 post injection, mouse lungs were harvested, homogenized, and spread on 7H10 plus 10% OADC with or without gentamycin (200μg/ml). Bacterial number was counted 10–15 days after incubation at 37°C. For AM survival assay in mice after adoptive transfer, GenR M.avium-infected AMs were labeled with Vybrant® CFDA SE Cell Tracer Kit before intratracheal injection. Single mouse lung cells were prepared as described previously at day 1, 3 and 6 post injection34, and analyzed by BD LSRFortessa X-20 cytometer.

Intracellular ROS measurement

Mouse WT, Mavs or ICAM-1 BMMs were infected with WT M.avium at an MOI of 10 for 24 hr at 37°C and 5% CO2, and then cocultured with/without CD4+ T cells isolated from WT mice (Female, 8 to 10 weeks old) previously infected with WT M.avium for 3 weeks. Intracellular ROS concentration in infected BMMs was measured at various time points post coculture using Fluorometric Intracellular Ros Kit (Cat. MAK142-1KT, Sigma-Aldrich) following the manufacturer’s instruction. The fluorescence intensity was measured using BioTek Synergy XL microplate reader.

ELISA

IFN-β production in mouse serum or BMMs culture supernatants at 24 or 72 hr post M.avium infection at 37°C and 5% CO2 was measured. ELISA was performed according to the manufacturer’s instruction (ebioscience). Capture antibody (Purified anti-mouse IFN-β Antibody, Cat. 519202, Biolegend), detection antibody (Biotin anti-mouse IFN-β Antibody, Cat. 508105, Biolegend), IFN-β standard (Cat. 581309, Biolegend), Avidin-HRP (Cat.18-4100-94, ebioscience), and TMB (Cat.00-4201-56, ebioscience). IFN-γ in culture supernatant and lung homogenate was measured using IFN gamma ELISA kit (Cat. 88-7314-22; eBioscience). For in vivo IFN-γ measurement, mouse lung homogenate was prepared as described previously [35].

Statistical analysis

Statistical analysis was performed to determine differences between groups by two-tailed Student’s t-tests or Mann–Whitney U test using GraphPad Prism software (Version 5.04, Graphpad Software). P-value < 0.05 was considered significant.

Western blot analysis for siRNA efficiency in mouse BMMs.

A) RIG-I; B) TBK1; C) IRF3 and D) IRF7. β)actin served as a load control. Mock, untreated; Control, negative control siRNA. Data shown are representative of three independent experiments. (PPTX) Click here for additional data file.

Flow cytometry and ELISA analysis for cytokine production in immune cells and mice post M.avium infection.

(A) Flow cytometry analysis for ICAM-1 production on lung immune cells isolated from WT and Mavs mice infected with WT M.avium for 3 weeks. (B) Similar to A), but IFN-γ production on CD4+ and CD8+ T cells. (C) ELISA analysis for IFN-γ production in mouse lung after 3 weeks post M.avium infection. The data shown is the combination of three independent experiments (biological repeats). n = 3 per group each experiment. n.s., not statistically significant by Mann–Whitney U test. (D) MHCII, CD80, CD86 and CD40 abundance on WT and Mavs BMMs infected with M.avium at 24 hr post infection. Data shown in A, B and D are representative of at least three independent experiments. (PPTX) Click here for additional data file.

M.avium burden in BMMs or BMMs cocultured with CD4+/CD8+ T cells.

(A) M.avium burden in WT and Mavs BMMs at 1, 24 and 72 hr post infection. (B) M.avium burden in mouse BMMs pretreated with negative control siRNA or RIG-I-, TBK1-, IRF3-, or IRF7-specific siRNA. (C) M.avium burden in WT and Mavs BMMs cocultured with/without CD8+ T cells isolated from WT M.avium-infected mice (BMM:T cells = 1:2). (D) M.avium burden in WT BMMs cocultured with CD4+ or CD8+ T cells isolated from nared with CD4negative control siR Data shown are the mean ared with CD4negative control siRNA or RIG-I-, TBK1-, IRF3-, or IRF7-specific siRNA.group each experiment. n.s., not statistically significant by Mann–Whitney U test.as expre***P < 0.001 by Student’s t-test (two-tailed). (PPTX) Click here for additional data file.

Survival of M. avium-infected and CFSE-labeled mouse AMs in the M. avium-infected mouse lung post adoptive transfer.

(A) Cell number of M. avium-infected WT and Mavs AMs in the lung of M. avium-infected WT mice over time post AM injection. (B) Cell number of M. avium-infected WT and ICAM-1 AMs in the lung of M. avium-infected WT mice over time post AM injection. The data shown is the combination of two independent experiments. n = 3 mice per group each experiment. (PPTX) Click here for additional data file.
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