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MICROBIAL
PATHOGENESIS
Mycobacterium tuberculosis (Mtb) infection induces the expression of host matrix metallo-
proteinases (MMPs) capable of tissue degradation. We show that infection of mice with Mtb results
in differential expression of MMPs in the lung. MMP-9 activity increased by week 1 post-infection,
while MMP-2 activity increased after week 2. RT-PCR analysis for gene expression of gelatinases
and their respective inhibitors showed: a small increase in MMP-9 by week 1, no change in TIMP-
1 and MMP-2, and a significant decrease in TIMP-2 by week 4. The increase in MMP-2 could be
due to a decrease in TIMP-2 expression. Addition of 4-aminophenylmercuric acid to lung extracts
increased MMP-9 activity, suggesting that its regulation could be due to endogenous activation
by proteases. In vitro, attenuated and virulent Mtb strains equally induced MMP-9 expression in
U937 monocytes. The inducer of MMP-9 in Mtb was present in culture filtrates, and was active
after paraformaldehyde fixation. LAM stimulated MMP-9 expression in THP-1 cells, but not U937
cells. However, LAM-free extracts also induced MMP-9 activity in THP-1 cells. Fractionation of
Mtb extracts by chromatography revealed fractions of 17 and 156 kDa with MMP-9 inducing
activity. In conclusion, LAM and other components of Mtb induce the expression of MMP-9.
Key words: gelatinases, matrix metalloproteinases, tuberculosis, granuloma, lung cavitation.
Early studies have indicated that cellular hy- purified cell membrane liporabinomannans
persensitivity responses to Mtb are responsible manLAM and araLAM stimulate the expression
for the tissue inflammation and massive caseous of MMP-9 in THP-1 cells but not in U937 cells.
tissue necrosis and liquefaction observed during Finally, we demonstrate that the inducer of MMP
Mtb infection [4, 5]. Proteolitic damage by expression in Mtb is found in long term culture
macrophage-secreted proteases has been im- filtrates, detergent extracts of bacilli, LAM-free
plicated since macrophages are the predominant cell lysates, and can be separated by column
cell in Mtb granulomas and contain a large chromatography. These studies suggest that
number of proteases capable of degrading the LAM glycolipids and other components of the
extracellular matrix (ECM) [6–9]. There is also cell wall of Mtb induce MMPs which could in
evidence that secreted proteases are upregulated turn play important roles in the pathogenesis of
in the granulomatous reaction [10]. Based on this mycobacterial infection.
information, we hypothesize that mycobacteria
elicit a host tissue response characterized by
the exaggerated expression of bioactive matrix-
degrading enzymes which are responsible for Results
much of the tissue destruction observed in in-
fected lungs. Our work is directed to the iden- Induction of MMP activity in the lungs of
tification of matrix-degrading enzymes that mice infected with Mtb
could play significant roles in Mtb-induced lung
tissue destruction. C57BL/6 mice were infected with an intra-
Of all the candidates potentially involved in venous inoculum (1×106 cfu) of virulent Mtb
this process, we have focused on the gelatinases Erdman strain and killed at 1, 2 and 3 weeks
(also known as type IV collagenases) members post-infection. The Mtb infected lungs were har-
of the Matrix Metalloproteinase (MMP) family. vested, extracted in detergent buffer, and ex-
MMPs are a group of zinc- and calcium-de- amined by gelatin zymography. Fig. 1(a) shows
pendent endopeptidases capable of degrading that a band of 92 kDa, corresponding to MMP-
collagens, elastin, fibronectin, proteoglycans and 9, present in lungs of normal mice, increased in
other connective tissue matrices [11, 12]. These intensity in lungs of Mtb infected mice as early as
enzymes have not been studied extensively in 1 week post-infection. Increased MMP-9 activity
the setting of Mtb infection, but have been im- was also seen after 2 and 3 weeks of infection,
plicated in many disorders characterized by lung with the highest levels detected at 3 weeks when
tissue destruction including emphysema and the experiment was ended. A band of 72 kDa
sarcoidosis, another systemic illness, that like TB, corresponding to MMP-2 was detected only after
is characterized by pulmonary granulomatosis 2 and 3 weeks of infection. As shown in Fig. 1(b),
[13–17]. Recently, Chang and colleagues dem- analysis of this gel by densitometry scanning
onstrated that bacilli from an attenuated strain confirmed the observed increase in the ex-
of Mtb (H37Ra) are capable of stimulating the pression and/or activity of MMP-9 and MMP-
production of gelatinases by transformed mono- 2 in the lungs of mice during infection. The
cytic THP-1 cells [18]. increase in MMP-9 and MMP-2 activity cor-
Our studies revealed that infection with vir- related with the increase in bacillary load seen
ulent Mtb Erdman strain induces the differential in the lungs of infected mice at weeks 2 and 3
expression of gelatinolytic activity mediated by post-infection [Fig. 1(c)].
the gelatinases MMP-9 and MMP-2 in the lungs In a similar experiment, groups of seven
of C57BL/6 infected mice. To investigate the C57BL/6 mice were infected with Mtb Erdman,
cellular mechanisms involved in MMP induction the lungs harvested at 1, 2, 3 and 4 weeks post-
by Mtb, we examined their induction in vitro in infection, and total RNA prepared for analysis
the human monocytic cell lines U937 and THP- of gene expression by quantitative RT-PCR. The
1. We show that U937 and THP-1 cells express levels of MMP-9 and MMP-2 mRNA were de-
MMP-9 when infected with Mtb. The stim- termined by the use of gene specific primers
ulatory effect of Mtb is observed with both and probes as described. In addition, we ex-
attenuated and virulent strains, with live and amined the expression of two MMP inhibitors,
formalin-fixed dead bacilli, and is dependent Tissue Inhibitor of MMP-1 (TIMP-1) and Tissue
upon cell-to-cell contact between Mtb bacilli and Inhibitor of MMP-2 (TIMP-2). As shown in Fig.
monocytic cells. Furthermore, we show that 2(a), during the course of infection, a small
Induction of lung gelatinases by Mycobacterium tuberculosis 233
MMP
kDa
N 1 1 2 2 3 3 seen at week 4 post-infection. The latter suggests
that the increase in MMP-2 activity seen by
gelatin zymography in lung extracts after week
92
2 and 3 post-infection could be due to a relative
decrease in TIMP expression.
72 Another possible level of regulation is ac-
tivation of MMPs by cleavage of their pro-peptide
(b)
7000
domain after secretion. To determine if the in-
creased gelatinolytic activity observed in lungs
Densitometry values
50
MMP-9 induction by Mtb occurs with
formalin fixed Mtb and is dependent on
cell to cell contact
0
N 1 2 3 4 To investigate the nature of the inducer(s) of
Weeks of infection gelatinolytic activity present in attenuated and
virulent Mtb strains, we tested Mtb bacilli and
200 extracts under various conditions and in two
(b) types of human monocytic cells, the U937 and
THP-1 cell lines. Our initial experiments dem-
onstrated that the MMP inducer in Mtb was
150
found in Mtb bacilli and in long term culture
Relative light units
2000
2
3
4
5
6
-2
1
1
-1
2-
2-
2-
2-
2-
1-
2-
N
N
Mouse lung extract lung tissue during weeks 1–4 post-infection. (c) Ac-
tivation of MMP activity in lung extracts of normal
(N) and Mtb infected mice at week 1 (1–1 to 1–7)
and week 2 (2–1 to 2–6) post-infection by addition
of 10 mM APMA. No APMA (Φ), APMA (Ε).
Induction of lung gelatinases by Mycobacterium tuberculosis 235
(a) (a) U937 THP-1
U937 Sup. U937 Cell Ext.
Unstimulated
Erdman dead
Erdman dead
Erdman live
Erdman live
H37Ra dead
H37Ra live
Unstimulated
Unstimulated
Blank
Erdman
Erdman
H37Ra
H37Ra
kDa
kDa
92
92
72 72
manLAM
manLAM
araLAM
araLAM
MMP-9
Blank
PMA
2500
kDa
Densitometry units
2000
1500 92
1000
Protein (mg/ml)
of U937 cells. 158 K
0.15 44 K
0.10 17 K
Separation of MMP-9 inducing activity by
column chromatography 0.05
1.35 K
Further characterization of the components in 0
Mtb with gelatinase-inducing activity was car- 5 10 15 20 25 30
ried out by size exclusion column chromato- Volume (ml)
graphy. A total protein detergent extract of Mtb (b)
was fractionated on a Sephacryl S-200 column
500
and two main peaks of protein material were
Densitometry units
obtained [Fig. 5(a)]. Fractions eluted from the 400
column were incubated with THP-1 cells and
MMP activity determined by gelatin zym- 300
ography and densitometry analysis. As shown 200
in Fig. 5(b), fractions eluted at 6.3–12.9 ml, with
an estimated molecular weight larger than 100
156 kDa and obtained before elution of the first
0
protein peak, showed MMP-9 inducing activity
19 .2
18.8
20 .5
22 .8
11.2
12.5
14.9
15.2
16 5
23.1
24.4
26.8
27.0
.4
6
10.9
3
.
7.
6.
Table 1. Induction of MMP-9 mediated gelatinolytic response elicited in the host to destroy the ba-
activity by components of M. tuberculosis1 cillus was responsible for much of the de-
struction of host tissue by promoting caseous
Cells necrosis and liquefaction [4, 23].
Component U937 THP-1
The aforementioned observations led several
Cell wall + +++ researchers to investigate the tissue enzymes/
Culture filtrate (-LAM2) + + proteases involved in the host response to Mtb
Cytosol (-LAM2) — + infection. The studies performed in the laborat-
AraLAM — + ories of Weiss [8, 9, 20, 21] and Dannenberg [6,
ManLAM — + 7] focused on the hydrolytic enzymes involved
TDM3 — — in liquefaction. Weiss and others demonstrated
Bacilli ++ +++ that tuberculous granulation tissue of rabbits
1
Data based on densitometric scanning of gel zymograms.
infected with virulent M. bovis contained high
2
Lipoarabinomannan. concentrations of protease and nuclease ac-
3
Trehalose-6,6′-dimycolate. tivities. Normal lung tissue and recently ca-
seating tissue showed moderate enzyme
activities, while older caseous tissue and li-
quefied tissue showed low or absent activities.
Dannenberg et al. demonstrated the presence of
culture filtrates of M. tuberculosis also induced cathepsin D, RNase, DNase, hyaluronidase and
gelatinolytic activity in both cell lines but to other enzymes in dead and live macrophages
a lower extent. LAM-free cytosolic fractions, surrounding the caseous centers. The activity
however, stimulated gelatinolytic activity in of these enzymes diminished in fully liquefied
THP-1 cells, but not in U937 cells. This is similar areas. Lipases and phospholipases have also
to our findings with LAM. The polar cell wall been identified in tuberculous tissues [19]. More
glycolipid trehalose-6,6′-dimycolate (TDM), also recently, others found evidence for activation of
known as mycobacterial cord factor, had no the plasminogen/plasmin system in granu-
activity against either cell line. Overall, these lomatous inflammation caused by Mtb [10].
data suggest that LAM as well as LAM-free Some authors have also postulated that enzyme
components can induce gelatinolytic activity. inhibitors derived from the bacilli and necrotic
host tissues exist in caseous material and that
these prevent tissue liquefaction for a number
of weeks [9, 21]. However, to our knowledge,
no such inhibitors have been identified.
Discussion and Conclusions Although toxic components released by dead
bacilli are considered important, lymphokines
Tissue inflammation and destruction due to con- produced from T cells and other activated host
nective tissue degradation is an important con- cells (e.g. monocyte/macrophage), and com-
sequence of mycobacterial infection and has ponents such as hydrogen peroxide, toxic fatty
therefore become the target of intense in- acids, cationic protein, lipases, phospholipases,
vestigation [7–9, 19–21]. Some clues about the nucleases and antigen–antibody complexes,
mechanisms involved are derived from studies have all been implicated in the tissue destruction
performed in animal models of Mtb infection. process [24]. More recently, attention has been
For example, pulmonary cavities have been given to apoptosis, the process by which several
demonstrated in rabbits 2–4 weeks after injection external signals (e.g. proinflammatory cyto-
of living as well as dead mycobacteria, or the kines) can activate a pathway of cell death in
particulate and lipid-protein fractions of tubercle the absence of necrosis [25, 26].
bacilli [22]. These treatments were all effective This report implicates yet another group of
in producing pulmonary cavitation in animals molecules, the MMPs, in the destructive process
previously sensitized by subcutaneous injection that ensues during mycobacterial infection.
of heat-killed bacilli in adjuvant. However, in MMPs are zinc- and calcium-dependent en-
non-sensitized and desensitized animals, cavity dopeptidases capable of degrading connective
formation was prevented [5, 23]. Similar results tissue matrices [11, 12]. These enzymes are con-
were obtained in guinea-pigs. These early stud- sidered important for the normal tissue re-
ies suggested that the cellular hypersensitivity modelling processes that occur during
238 C. A. Rivera-Marrero et al.
development and wound healing, and for much 2–4 weeks of infection, bacilli are increased in
of the tissue destruction that characterize dis- the lung while multiplication within the liver
eases of the lung such as tumor metastasis and and spleen is suppressed [31]. The observed
emphysema [13, 27, 28]. To date, at least 14 increase in MMP-2 at 2 and 3 weeks post-in-
MMPs have been identified [12] and these have fection, which coincided with the highest ba-
been classified into four major sub-families cillary load (cfu) in the lungs, may therefore
including the interstitial collagenases, stro- be a specific response to cellular invasion and
melysins, gelatinases and membrane-type intracellular replication of Mtb in lung tissue.
MMPs (MT-MMPs). Our work examines the po- To determine if the differential expression of
tential role of the gelatinases MMP-2 and MMP- MMPs occurs by regulation of message pro-
9 in Mtb infection. These proteases are known duction, the mRNA levels for MMP-9, MMP-2
to cleave denatured collagens (i.e. gelatin), type and their respective inhibitors TIMP-1 and
IV collagen typically found in basement mem- TIMP-2, were determined by quantitative RT-
branes, types V, VII, X and XI collagens, elastin PCR during Mtb infection. Only a small increase
and other ECM components [29]. Both of these in MMP-9 mRNA was detected after week 1,
MMPs are encoded by genes located on human while no changes in TIMP-1 were detected dur-
chromosome 16. Like other MMPs, these pro- ing the course of infection. MMP-2 mRNA levels
teases are secreted as inactive zymogens and were also unchanged, but a one-fold decrease
secreted into the extracellular space where they in TIMP-2 expression was detected at week 4
become active. Although these two MMPs have post-infection. The decrease in TIMP-2 ex-
similar substrate specificities, they are dif- pression could explain the observed increase
ferentially regulated at the transcriptional and in MMP-2-related activity in lung extracts 2–3
post-translational level [30]. weeks post-infection. It is possible that during
A role for the gelatinases in Mtb infection was the course of Mtb infection, a delicate balance
suggested by Chang et al. (1996) who showed in MMP and TIMP expression plays a significant
that THP-1 human monocytes exposed to LAM role in the pathogenesis of tuberculosis.
from attenuated mycobacteria or heat killed at- Another possible mechanism of regulation of
tenuated H37Ra bacilli produced MMP-9 ex- MMP activity is in situ activation by cleavage
pression [18]. Our studies corroborate these of their pro-peptide domain after secretion by
findings and expand them to include in vivo extracellular enzymes. MMP pro-peptides con-
studies in mice and the isolation of molecular tain a free cysteine residue that is thought to
determinants in Mtb which induce MMP ex- associate with the active-site zinc molecule re-
pression in monocytic cells. First, we observed sulting in latency [11]. Activation of these pro-
that the lungs of mice infected with a lethal teinases occurs when this association is
intravenous dose of virulent Mtb Erdman con- disrupted causing the so-called cysteine switch,
tained increased amounts of gelatinolytic ac- which results in cleavage of the bond and ac-
tivity. These observations suggest that MMPs tivation of the enzyme. Cleavage and activation
may indeed be involved in the host response of can occur via the action of serine proteases as
the lung to Mtb infection in vivo. It should be well as by other MMPs such as the membrane-
noted that low levels of MMP-9, but not MMP- bound metalloproteinases (MT-MMP) [32, 33].
2, were detected in lungs prior to infection. This type of activation can be mimicked in vitro
This is consistent with studies showing that by addition of APMA. We showed that addition
embryonic murine lungs show a progressive of APMA to lung extracts of Mtb infected mice
increase in the production of MMP-9 and less results in a significant increase in MMP-9 ac-
of MMP-2 with the former predominating in the tivity. This demonstrates that in lung extracts,
newborn (Roman et al., unpublished ob- the total levels of MMP-9 are actually higher
servations). In Mtb infected lungs, the observed than detected by gelatin zymography and that
increase in MMP-9 at week 1 post-infection, activation of inactive MMPs by proteolytic cleav-
before bacilli are found elevated in lung tissue, age at the site of inflammation could be involved
suggests that its expression and/or activation in their regulation during the course of Mtb
could be due to a generalized inflammatory infection.
response to the intravenous inoculum. It is Although MMPs are produced by many dif-
known that intravenous inoculation of Mtb ba- ferent cell types [16, 32], we postulated that
cilli in mice results in lodging of more than 90% much of the MMP production observed in the
of the bacilli into the liver and spleen. Only after lungs of Mtb-infected animals was derived from
Induction of lung gelatinases by Mycobacterium tuberculosis 239
monocytic/macrophages resident in the lung restrain bacterial growth [45]. However, the im-
or recruited after infection. To investigate the plication that terminal 1,2 mannose residues
cellular mechanisms responsible for induction could function as virulence factors has not been
of MMPs by Mtb, Mtb bacilli and cell free ex- established since in further studies it was dem-
tracts were tested under various conditions in onstrated that LAM from avirulent M. bovis
two types of human monocytic cells, the U937 BCG were mannose capped [46, 47]. In our
and THP-1 cell lines. The gelatinolytic activity studies, araLAM and manLAM equally stim-
originated in the monocytic cells and was in- ulated MMP-9 expression in THP-1 cells, but
duced by both attenuated and virulent strains. not in U937 monocytes. These results dem-
Our initial experiments demonstrated that the onstrate that the terminal 1-2 linked mannose
MMP inducer in Mtb was found in Mtb bacilli residues in LAM are not critical for MMP-9
and in long term culture filtrates of Mtb sug- induction in THP-1 cells. The finding that MMP-
gesting the secreted nature of this molecule (not 9 expression in U937 cells is not induced by
shown). However, in transwell plate assays, LAM, but only by exposure to long term culture
where Mtb bacilli and monocytes were separated filtrates of Mtb and live or fixed-killed bacilli,
by a 0.4 M semipermeable membrane, no in- suggest that other components or molecules in
duction of MMP activity was detected during their native conformation might be needed for
24 h of exposure (not shown). Also, the inducer stimulation of these cells. It also suggests that
of MMP-9 activity in Mtb bacilli was active after subtle differences in cellular differentiation be-
fixation of bacilli with paraformaldehyde. These tween U937 and THP-1 monocytes, perhaps de-
experiments suggest that the inducer of MMP termining the presence of specific receptors, are
in Mtb bacilli is a cell associated molecule that important for cell responsiveness to Mtb and
acts by cell to cell contact that is shed into MMP expression.
the culture medium during long term growth. We attempted to isolate the inducer of MMP
Furthermore, they show that the inducer of in Mtb by gel filtration and ion exchange
MMP activity on the cell surface of Mtb bacilli chromatography. A detergent extract of Mtb was
is biologically active even after crosslinking the prepared and the protein fraction precipitated
in cold acetone and separated by Sephacryl S-
cell envelope proteins with paraformaldehyde.
200 chromatography. Fractions with an es-
To further determine which of the components
timated m.w. of 158 and 17 kDa induced MMP-
of the cell wall in Mtb is capable of inducing
9 expression in THP-1 cells. In addition, protein
MMP activity in monocytic cells, we tested the
fraction isolated by DEAE ion exchange
purified Mtb cell wall glycolipid lipo- chromatography and presumably devoid of
arabinomannan (LAM) in uncapped (araLAM) LAM and other neutral lipoglycans was shown
and mannose capped form (manLAM). LAM, a to induce MMP-9 in THP-1 cells. These results
phosphatidyl-inositol membrane bound glyc- demonstrate that Mtb may contain more that
olipid [34] consisting of a linear backbone of 1-6 one type of molecule capable of inducing MMP
and 1-2 linked mannoses with highly branched expression in monocytic cells. To further ex-
arabinose side chains [35, 36], is considered a amine the possible components of Mtb that are
key cell surface molecule in host–pathogen inter- capable of inducing monocytic cells to produce
actions and its biological and immunological MMP-9, several purified Mtb cell membrane
properties of LAM have been studied ex- and cytosolic materials were tested for their
tensively [37–44]. Initial structural studies dem- induction of gelatinolytic activity in U937 and
onstrated that the non-reducing end of the THP-1 cells using gelatin zymogrphy. The ob-
arabinose chains in the virulent strain Erdman servation that LAM-free culture filtrates and
were capped with 1-2 linked mannose residues cytosolic fractions were capable of inducing gel-
[36], while the capping was missing from LAM atinolytic activity in both U937s and THP-1 sug-
isolated from a rapidly growing Mtb strain ini- gests that other components must be involved.
tially described as the avirulent H37Ra strain Further studies are underway to define the mo-
[35]. In vitro, uncapped LAM (AraLAM) lecular determinants in Mtb, the mechanisms of
triggered tumor necrosis factor release from in- MMP induction, and role of gelatinases in the
fected murine macrophages thereby enhancing pathogenesis of tuberculosis.
their bacteriostatic activity, whereas the man- Overall, our work indicates the activation of
nose capped LAM (ManLAM) from the virulent MMPs as one possible mechanism of connective
strain elicited low levels of TNF that did not tissue destruction in Mtb infection. Further work
240 C. A. Rivera-Marrero et al.
defining the mechanisms of MMP activation in RT-PCR. Quantitation of mycobacteria was car-
Mtb infection may accelerate the development ried out by homogenization of the organs in PBS
of novel strategies aimed at preventing or, at and plating serial dilutions (1:10, 1:100 and
least ameliorating, lung destruction and the loss 1:1000) of the tissue homogenates in 7H9 agar
of lung function in subjects with mycobacterial plates. After 3 weeks of incubation at 37°C, the
infection. number of cfu was recorded for each dilution.
For determination of gelatinolytic activity in
lungs, the organs were surgically removed,
rinsed in sterile PBS and approximately a 1 mm
Materials and Methods portion of tissue was dissected and placed in
2.0 ml of CHAPS buffer (0.15 M NaCl, 10 mM
Bacterial cultures and growth conditions CHAPS, 20 mM HEPES, pH 7.5, 1 mM EDTA,
2 mM PMSF) at 4°C for 1 h. For lungs, only the
M. tuberculosis laboratory strains H37Ra (ATCC upper left lobe was taken. The tissue was broken
25177) and Erdman (ATCC 35801) were obtained up with a tissue grinder, centrifuged at 12 000×g
from American Type Culture Collection (Rock- and the supernatants were collected. Total pro-
ville, MD, U.S.A.). Mycobacteria were grown tein was determined and aliquots were stored
in Middlebrook 7H9 broth supplemented with frozen at −80°C until tested by gelatin zym-
ADC enrichment (Difco Laboratories, Detroit, ography (see below).
MI, U.S.A.), 2% glucose and containing 1% gly-
cerol. Growth was at 37°C with slow shaking to
mid-log growth phase (7–10 days) or to sta-
tionary phase (21 days). Bacteria were passaged
in broth cultures once and quantified with M. tuberculosis extracts
McFarland equivalence turbidity standards (Re-
mel, Lenexa, KS, U.S.A.). Cultures of 106–108 M. tuberculosis extracts from long term culture
bacilli/ml were used immediately or stored at filtrates and total soluble protein, were prepared
−80°C in 7H9 broth containing 20% glycerol. and analysed for MMP induction. Long term
Killing of Mtb was done by fixation in para- culture filtrates were prepared as follows: Mtb
formaldehyde. Broth cultures of 10 ml con- 4–6 week old cultures were harvested by cen-
taining 106–108 bacilli/ml were centrifuged for trifugation for 10 min at 3500×g and the super-
10 min at 3500×g and the bacterial pellets re- natants filtered through a 0.22 M sterile filter.
suspended in PBS pH 7.2. After re-cen- The culture filtrates were concentrated on a
trifugation, the pellets were resuspended in Nanospin 4K centrifuge filter (Gelman Sciences,
10 ml of PBS containing 4% paraformaldehyde Ann Arbor, MI, U.S.A.) and protein con-
and incubated at 37°C for 1 h. After fixation, the centration determined by the Bradford method
bacteria were centrifuged at 3000×g and the (Bio-Rad, Richmond, CA, U.S.A.). Culture fil-
pellets were resuspended in PBS pH 7.2. After trates were stored at −80°C until tested for
washing three times in PBS, the fixed myco- MMP induction.
bacteria were resuspended in 10 ml of serum Total soluble protein was extracted from Mtb
free RPMI 1640 and tested in MMP induction in strains as follows: 10 ml of a bacterial broth
in vitro assays. Viability of fixed mycobacteria culture (3–6×108/ml) was centrifuged (10 min
was tested by plating on 7H9 agar plates. at 3500×g) and the pellets washed twice in PBS,
pH 7.2. The bacterial pellets were resuspended
in 1.0 ml of PBS and sonicated (5 pulses/20 s
Mouse infections each) in ice in a bath sonicator. The cell extracts
were mixed with 1.0 ml of 2% SDS in PBS and
Groups of 6–8 week old C57BL/6 female mice, incubated at room temperature for 1 h. After
3–7 mice/group, were injected in the tail vein centrifugation (10 min at 3500×g), the super-
with 0.2 ml of Mtb Erdman culture, ap- natant was collected, filtered through a 0.2 m
proximately 106 bacilli. Mice were killed after 1, filter, and proteins precipitated by addition of 7
2, 3 and 4 weeks post-infection and the lungs volumes of acetone at −70°C. Total protein,
were removed for quantitation of mycobacteria, devoid of lipids and detergent, was recovered
determination of gelatinolytic activity, and de- by centrifugation at 20 000×g for 30 min. The
termination of gene expression by quantitative protein pellet was air dried, resuspended in
Induction of lung gelatinases by Mycobacterium tuberculosis 241
200 l PBS, and the protein concentration de- plemented with 10% heat inactivated fetal bo-
termined. Protein samples were stored at −80°C vine serum and 1% antibiotic-antimycotic
for analysis of MMP induction. (100 U/ml penicillin G sodium, 100 U/ml strep-
The following purified Mtb cell membrane and tomycin sulfate, 0.25 g/ml amphotericin B). The
cytosolic materials were obtained from Dr John cells (2×106/ml) were washed in serum free
T. Belisle, CSU, Fort Collins, CO, U.S.A.) through media and seeded in 15 ml T flasks containing
NIH contract ‘‘TB Research Materials and Vaccine serum free media. Cells were infected with Mtb
Testing’’. Briefly, AraLAM and ManLAM were ob- strains H37Ra and Erdman at a multiplicity of
tained by breaking the bacilli with 4% Triton X- infection (moi) of 1–10. For studies with para-
114. After heating, the detergent layer was har- formaldehyde-killed Mtb, bacilli were fixed for
vested and macromolecules including LAM were 1 h at room temperature, washed three times in
collected by acetone precipitation. The proteins PBS pH 7.2, resuspended in serum free media
and carbohydrates were then separated by ex- and added to the cells at a similar moi. Cells
traction with phenol. The crude carbohydrate mix- and Mtb bacilli were incubated for 6, 12 and
ture was fractionated by size exclusion 24 h at 37°C/5% CO2. After these time points, a
chromatography and the pure LAM was pooled. 20 l aliquot of culture was collected to deter-
Buffer contaminants were removed by extensive mine cell viability by Trypan blue exclusion. The
dialysis against water, and the solution was sterile infected cell cultures were centrifuged at 500×g
filtered and stored dry at −70°C until use. Endo- to pellet the cells and the culture supernatant
toxin contamination was 12.3 ng/mg as de- was collected and filtered through a 0.22 M
termined by the Limulus Amebocyte Assay. filter. Cell pellets were resuspended in 0.5 ml of
AraLAM was isolated from rapid growing Myco- CHAPS buffer at 4°C, sonicated, centrifuged at
bacterium spp. and filter sterilized (endotoxin con- 12 000×g for 5 min, and the supernatants were
tamination, 2.44 ng/mg). These glycolipids were collected and filtered through a 0.22 M filter.
resuspended in PBS to a concentration of 1 mg/ Total protein in the culture supernatants and
ml. M. tuberculosis cell wall fractions were obtained detergent cell extracts was determined and ali-
from H37Rv. The bacilli were disrupted with quots were stored frozen at −80°C until ana-
French press or probe sonication, followed by isol- lysed for the presence of MMPs by gelatin
ation of the cell walls by centrifugation at 27 000×g zymography.
for 1 h, resuspension in PBS, and storage at −70°C Mtb culture filtrates, total soluble protein and
(Lot #97.Rv.2.8.6.9.CW). LAM-free culture filtrate purified glycolipids (AraLAM, ManLAM) were
proteins were isolated by resuspending H37Rv tested for in vitro induction of gelatinolytic ac-
culture filtrates with Triton X-114, and the aqueous tivity in U937 and THP-1 cells. Culture filtrates
and detergent layers separated. The aqueous were added to cells (2×106 cells/ml) at a protein
phase was re-extracted several times with 4% concentration of 30 g/ml per mL. Purified
Triton X-1124, precipitated with 10 volumes of glycolipids AraLAM and ManLAM were tested
cold acetone, and the acetone precipitate washed at a concentration of 1.0 g/ml. Cells were in-
with 100% acetone to remove residual detergent. cubated with the different Mtb fractions for 24 h
The dried pellet was resuspended and dia- and viability was determined. After incubation,
lysed against 0.01 ammonium bicarbonate, the cells and culture supernatant were collected
lyophilized and stored at −70°C until use (Lot and tested for the presence of gelatinolytic ac-
#98.Rv.2.7.8.10.Aq1). LAM-free cytosolic fractions tivity by gelatin zymography.
from H37Rv were obtained by suspending the cy- Transwell (Costar, Cambridge, MA, U.S.A.)
tosolic fraction of gamma-irradiated bacilli in 4% plate assays were used to evaluate the role of
Triton X-114 as described above. Trehalose-6,6′- cell–cell contact in MMP induction (0.4 M,
dimycolate, obtained by petroleum ether ex- 24 mm Transwell polycarbonate membrane cell
traction from M. smegmatis, was a gift of Dr Kunu culture chambers; Cat. No. 3412). U937 and THP-
Takayama (Madison, WI, U.S.A.). 1 cells, 2×106 cells in 1.0 ml of serum free media,
were added to the bottom chambers. Mtb bacilli
were added to the top chamber at an moi of
Macrophage cultures and MMP induction 1–10 in 1.0 ml of serum free media. Culture
assays chambers were incubated at 37°C/5% CO2 for
24 h and the culture media in the bottom cham-
U937 and THP-1 human monocytic cell lines were bers collected for analysis of gelatinolytic ac-
grown at 37°C/5% CO2 in RPMI 1640 sup- tivity.
242 C. A. Rivera-Marrero et al.
3% sucrose in PBS/0.02% sodium azide. Frac- 5 Yamamura Y. The pathogenesis of tuberculous cavities.
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were pooled and stored at −20°C for MMP healing rabbit BCG lesions with substrate film tech-
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