Attenuated <em>Mycobacterium tuberculosis</em> SO2 Vaccine Candidate Is Unable to Induce Cell Death

<div><p>It has been proposed that <em>Mycobacterium tuberculosis</em> virulent strains inhibit apoptosis and trigger cell death by necrosis of host macrophages to evade innate immunity, while non-virulent strains induce typical apoptosis activating a protective host response. As part of the characterization of a novel tuberculosis vaccine candidate, the <em>M. tuberculosis phoP</em> mutant SO2, we sought to evaluate its potential to induce host cell death. The parental <em>M. tuberculosis</em> MT103 strain and the current vaccine against tuberculosis Bacillus Calmette-Guérin (BCG) were used as comparators in mouse models <em>in vitro</em> and <em>in vivo</em>. Our data reveal that attenuated SO2 was unable to induce apoptotic events neither in mouse macrophages <em>in vitro</em> nor during lung infection <em>in vivo</em>. In contrast, virulent MT103 triggers typical apoptotic events with phosphatidylserine exposure, caspase-3 activation and nuclear condensation and fragmentation. BCG strain behaved like SO2 and did not induce apoptosis. A clonogenic survival assay confirmed that viability of BCG- or SO2-infected macrophages was unaffected. Our results discard apoptosis as the protective mechanism induced by SO2 vaccine and provide evidence for positive correlation between classical apoptosis induction and virulent strains, suggesting apoptosis as a possible virulence determinant during <em>M. tuberculosis</em> infection.</p> </div

Virulent MT103 strain, but not the attenuated SO2 and BCG strains, replicates in vivo, causes lung pathology and induces apoptosis in mouse lungs.

<p>Groups of five C57BL/6 mice were intratracheally infected with a low dose (100 bacteria/mouse) of MT103, BCG or SO2 strains as described in Materials and Methods. Lungs were harvested and CFU counted at 21 days post-infection (A, left panel). Lung histopathology (hematoxilin/eosin) representative images (10x magnification) of mock-treated (A, right panel, image 1) or MT103-, BCG- or SO2-infected mice (A, right panel, images 2, 3, 4, respectively) at 3 weeks post inoculation. Representative images of active caspase 3 immunohistochemical and Ziehl-Neelsen staining of mock-treated or MT103-, BCG- or SO2-infected lungs at three weeks post inoculation (B): primary antibody control of MT103-infected lung section incubated only with secondary antibody (10x magnification) (image 1); active caspase-3 staining of MT103-infected lung section (10x magnification) (image 2); active caspase-3 staining of MT103-infected lung section (100x magnification) (image 3); active caspase-3 staining of MT103-infected lung section (600x magnification) (image 4); Ziehl-Neelsen staining of MT103-infected lung section (600x magnification) (image 5); active caspase-3 staining of mock-treated lung section (10x, 100x and 600x magnification, images 6, 9 and 12, respectively); active caspase-3 staining of BCG-infected lung section (10x, 100x and 600x magnification, images 7, 10 and 13, respectively); active caspase-3 staining of SO2-infected lung section (10x, 100x and 600x magnification, images 8, 11 and 14, respectively).</p

Attenuated SO2 strain does not induce PS translocation in primary mouse macrophages.

<p>Mouse bone marrow-derived primary macrophages (BMDM) were mock-treated or infected at low MOI of 1∶1 (A) or 10∶1 (B) with the indicated strains. After 4 hours of infection, cells were washed and incubated with complete medium. At the indicated times post infection, both detached and adhered cells were pooled and PS exposure (annexin-V-FITC) and 7-AAD staining were analyzed by flow cytometry as described in Materials and Methods (A, B). Numbers in the dot-plot diagrams correspond to the percentage (%) of cells in each quadrant. A representative experiment is shown in the left panels. Data in the graph (figure B, right panel) is represented as mean±S.E.M. of at least three independent experiments. Statistical analyses were done with one-way ANOVA with Tukeýs post-test comparing every strain with MT103. Upper symbols  =  statistical analyses of Ann+AAD+ cells; lower symbols =  statistical analyses of Ann+AAD- cells. ns =  not statistically significant; *, **, ***  =  statistically significant; * p<0,05; ** p<0,01; *** p<0,001.</p