Devido ao seu rápido crescimento, o feto é particularmente vulnerável a insultos e modificações no milieu hormonal. Este fato sugere que situações adversas experimentadas pela mãe grávida podem alterar o desenvolvimento e a saúde criança. Em vista das dificuldades metodológicas de se investigar o impacto do estresse pré-natal sobre o desenvolvimento e sobre o comportamento de crianças, muita da informação que se tem sobre este assunto advém de estudos conduzidos em animais de laboratório. Este foi o objeto desta tese, guardando-se sempre os devidos cuidados com as extrapolações. Mais especificamente, avaliamos os efeitos de um estresse pré-natal aplicado no terço final de gestação sobre o comportamento, sobre a atividade de neutrófilos sanguíneos e macrófagos peritoneais, sobre os níveis de corticosterona e testosterona séricos e sobre a neuroquímica de uma prole de camundongos Swiss, machos e fêmeas avaliados aos 30 dias de vida. Investigamos, também, os efeitos da naloxona (antagonista opioidérgico) e da metirapona (inibidor da síntese de corticosterona), aplicadas antes do estresse materno, sobre os parâmetros descritos acima. Os resultados obtidos mostraram que: 1) o estresse pré-natal aumentou a locomoção total dos machos avaliados em campo aberto; a naloxona aplicada antes do estresse preveniu este efeito; 2) o estresse pré-natal e a injeção de metirapona aumentaram os níveis de ansiedade da prole de machos e fêmeas; a aplicação de metirapona antes do estresse preveniu o aumento da ansiedade nas proles dos dois sexos; 3) a naloxona, seja sozinha ou associada ao estresse materno, diminuiu o burst oxidativo dos neutrófilos sanguíneos na prole de machos e fêmeas; a injeção somente de naloxona aumentou a capacidade de fagocitose destas células na prole de fêmeas. 4) o estresse pré-natal diminuiu a capacidade de fagocitose dos macrófagos peritoneais da prole de machos; o tratamento com naloxona antes do estresse preveniu este efeito; 5) o estresse pré-natal diminuiu o burst oxidativo e a fagocitose dos macrófagos peritoneais da prole das fêmeas; a injeção de naloxona antes do estresse gestacional evitou o aparecimento destas alterações; 6) o estresse pré-natal diminuiu os níveis séricos de corticosterona na prole de macho; a naloxona sozinha ou associada ao estresse e a metirapona sozinha aumentaram os níveis deste hormônio; 7) Na prole de fêmeas, o estresse pré-natal aumentou os níveis séricos de corticosterona; o tratamento com metirapona antes da exposição das fêmeas grávidas ao estresse preveniu esse efeito; 8) o estresse pré-natal aumentou o turnover de Nor nos machos e nas fêmeas; 9) o tratamento com naloxona aumentou o turnover de DA na prole de machos; 10) o tratamento com metirapona aumentou o turnover de DA na prole de machos e fêmeas. 11) o estresse pré-natal e os tratamentos com naloxona ou metirapona apresentaram efeitos diferentes em machos e de fêmeas. Em seu conjunto, os presentes resultados mostraram que o estresse pré-natal tem profundos efeitos sobre o desenvolvimento dos animais, podendo as alterações por ele induzidas perdurar até a idade adulta dos animais. Os resultados mostraram, também, que os efeitos do estresse pré-natal podem ser prevenidos quer pelo bloqueio do sistema opióide quer da liberação de corticosterona durante a administração do estímulo aversivo. Sugerimos que as alterações comportamentais e de imunidade inata encontradas neste trabalho estejam ligadas tanto às modificações induzidas pelo estresse no funcionamento do eixo HPA como ao aumento da atividade catecolaminérgica da prole tratada. Estes resultados foram discutidos à luz das interações entre os sistemas nervoso central e imune. / Due to its rapid growth, the fetus is particularly vulnerable to insults and the attendant changes in its hormonal milieu. This led to the suggestion that adverse life situations experienced by the pregnant mother can induce alterations in the fetal environment and result in deleterious effects on the rate of development and health of the child. In view of the considerable methodological difficulties in assessing the impact of the stress on human mothers, and evaluating its effects on the development and behavior of their children, much of our information about sequelae from gestational stress has been derived from studies in experimental animals. That was the objective of this study, taking into account the required grounds for reasonable comparisons. We particularly aimed the effects of prenatal stress applied from gestational day (GD) 15 to GD19 on behavior, immunological parameters, levels of corticosterone and testosterone and brain neurochemistry of male and female Swiss mice offspring, on post natal day 30. We also study the effects of naloxone (opioid antagonist) and of metyrapone (corticosterone synthesis inhibitor), both applied before prenatal stress, on parameters described above. The results of this work showed that: 1) prenatal stress increased total locomotion in males evaluated in an open field and naloxone treatment before stress prevented this effect; 2) prenatal stress and metyrapone injection increased anxiety levels of male and female offspring. Metyrapone injection before prenatal stress prevented this effect; 3) naloxone, alone or associated to prenatal stress, decreased oxidative burst of blood neutrophils in male and female pups. On the other hand, in female offspring naloxone alone increased blood neutrophil phagocytosis; 4) prenatal stress decreased phagocytosis of peritoneal macrophage and naloxone before stress prevented this effect; 5) prenatal stress decreased oxidative burst and phagocytosis of peritoneal macrophage in female pups and naloxone treatment before stress prevented this effect; 6) prenatal stress decreased corticosterone serum levels in male offspring and naloxone treatment, alone or associated to stress increased it. 7) In female pups, prenatal stress increased corticosterone serum levels and metyrapone before stress prevented this alteration; 8) gestational stress increased Nor turnover in male and female offspring; 9) naloxone increased DA turnover only in male offspring; 10) metyrapone treatment increased DA turnover in male and female offspring; 11) prenatal stress, naloxone or metyrapone treatment had different effects on male and female offspring. Altogether, these findings show that prenatal stress has relevant effects on animal development; these effects last until adulthood. The results also show that many of prenatal stress effects can be prevented by naloxone or metyrapone, and suggests that the opioid system and corticosterone are important for behavioral and immune modifications linked to prenatal stress. We postulate in this study that the changes observed might be driven by the alteration in the offspring HPA axis and cathecolaminergic activity. These results were discussed in the light of an interaction between the central nervous system and the immune system.

In high-grade ‘starry-sky’ non-Hodgkin’s lymphoma (NHL), particularly Burkitt’s lymphoma (BL), large numbers of apoptotic tumour cells are engulfed by infiltrating tumour-associated macrophages (TAM). In situ studies suggest that in starry-sky TAM in a xenograft model of BL various tumour-promoting, trophic, angiogenic, tissue remodelling, and anti-inflammatory pathways are activated. Furthermore, apoptotic cells have been shown to activate expression of tumour-promoting matrix metalloproteinases in macrophages. This work investigates the hypothesis that apoptotic cells or factors released from apoptotic cells induce additional aspects of the starry-sky TAM signature, which serve to promote tumour growth. Macrophages at different stages of maturation, cultured in vitro in the presence of large numbers of apoptotic cells, were shown to differ in phenotype, giving credibility to the hypothesis. Less mature mouse bone marrow-derived macrophages (BMDM) were better at migrating towards apoptotic cells, whereas mature BMDM were better at phagocytosing them. Lactoferrin, which is released from cells undergoing apoptosis and inhibits the migration of neutrophils, was selected as a candidate mediator in the activation of macrophages by apoptotic cells. Lactoferrin was shown to bind viable human and murine monocytes and macrophages, however only high concentrations, which are unlikely to be physiologically or clinically relevant, were found to affect expression of starry-sky TAM genes or reduce classically-activated macrophage cytotoxicity. The direct effect of apoptotic cells on macrophage activation was assessed. Mature BMDM were not used for these studies as their development in vitro in a highly apoptotic environment was judged likely to bias their activation state toward that of TAM, therefore macrophages were first classically-activated with IFN-γ and LPS. This reduced the expression of many starry-sky TAM genes, including several genes associated with responses to apoptotic cells. However, classical activation did not inhibit apoptotic cell engulfment, but rather enhanced it. Co-culture with apoptotic cells, but not viable cells, increased the gene expression of Gas6, Mrc1, Cd36, Timp2, and Pparg, and the latter was dependent on direct interaction with macrophages rather than factors released from apoptotic cells. Furthermore, classically-activated macrophages were found to induce apoptosis in lymphoma cells, and although pre-co-culture of the macrophages with apoptotic cells did not reduce their ability to induce apoptosis, it enhanced tumour cell growth. Macrophage deficiency of IL-4Rα or galectin-3 did not affect classically-activated macrophage responses to apoptotic cells. However, classical activation of galectin-3 deficient macrophages appeared to restore the decreased ability of galectin-3 deficient, untreated macrophages to phagocytose apoptotic cells. Because of the unique new method of laser-capture microdissection by which starry-sky TAM signatures were established, direct comparisons with expression databases of tissue and in vitro cultured macrophages were not possible, but indirect comparisons suggest starry-sky TAM activation reflects the activation phenotype of a mixture of tissue macrophages. Furthermore, it highlighted phagocytosis as one of the most important pathways activated by starry-sky TAM. Together the results presented here suggest apoptotic lymphoma cells can shape TAM activation signatures in starry-sky NHL, even when macrophages are pre-activated to induce apoptosis in lymphoma cells. This is important when considering the consequences of anti-cancer therapies that induce apoptosis or aim to redirect phagocyte activation.

Pulmonary fibrosis is a common consequence of lung inflammation, leading to organ dysfunction and significant morbidity and mortality. Macrophages, through their diverse functions associated with polarisation status, play a role in lung homeostasis and alternatively activated (M2) macrophages have been associated with lung fibrosis. Prolyl hydroxylases (PHDs) are the main oxygen sensors and regulators of hypoxia inducible factors (HIFs). The PHD/HIF pathway is known to play a role in tissue inflammation and fibrosis, but their role in macrophage polarisation is not fully understood. Aim To study the role of the PHD/HIF pathway in macrophage polarisation and lung fibrosis, and specifically in Idiopathic Pulmonary Fibrosis (IPF). Hypothesis It was hypothesised that pan hydroxylase inhibition alters macrophage polarisation and modulates lung inflammation and fibrosis. Methods A combination of pharmacological (pan hydroxylase inhibitors DMOG and FG41) and genetic (HIF and PHD-null) tools were used to manipulate the PHD/HIF pathway. The bleomycin induced lung fibrosis model was used to define the effect of pan hydroxylase inhibition during the early, inflammatory or the late, fibrotic phase of this model. Murine bone marrow derived macrophages (BMDM), human monocyte derived macrophages and alveolar macrophages obtained from patients with lung fibrosis were used to study the effect of pan hydroxylase inhibition on macrophage polarisation. Bronchoalveolar lavage fluid (BALF) from patients was used to define the association between lung CCL18, an M2 associated chemokine, and disease progression in IPF. Results DMOG therapy during the early phase of the bleomycin model significantly reduced lung fibrosis at day 24. In contrast, late phase pan hydroxylase inhibition enhanced lung fibrosis at day 24. In both instances there was evidence of enhanced alveolar macrophage M2-like polarisation following pan hydroxylase inhibition. Reduced fibrosis after early pan hydroxylase inhibition was not a consequence of reduced acute lung inflammation or direct inhibition of collagen synthesis. In BMDM, pan hydroxylase inhibition resulted in an ‘augmented M2-like’ macrophage. Using LysM-Cre HIF-1α, HIF-2α and PHD-3 KO mice as well as chetomin, a potent inhibitor of HIF-1α and HIF-2α mediated gene expression, the HIF-dependent and HIF-independent polarisation markers were defined. PHD-3 deficiency was not sufficient to enhance M2 skewing. In contrast to murine BMDM, in human monocyte derived macrophages and alveolar macrophages from healthy volunteers and patients with interstitial lung disease including IPF, pan hydroxylase inhibition did not augment M2 polarisation and indeed significantly inhibited macrophage CCL18 expression. CCL18 studies in clinical BALF samples confirmed that CCL18 was elevated in the lungs of patients with IPF and other ILDs compared to controls. However, baseline BALF CCL18 concentrations did not correlate with disease severity or with disease progression, suggesting this is not a useful biomarker in IPF. Further, a unique study of serial BAL in IPF patients showed no association between 12-month change in CCL18 and disease progression over the same period. Indeed CCL18 concentrations mostly fell over 12 months in patients that did progress, strongly suggesting that CCL18 does not play a major pathogenic role in IPF. Concluding, it was shown that in both BMDM and murine lung pan hydroxylase inhibition promoted an ‘augmented M2-like’ polarisation. Pharmacological pan hydroxylase inhibition during the late fibrotic phase of injury enhanced fibrosis but it is not known if there was a causal association between M2 macrophages and lung fibrosis. Similarly, the functional relevance of finding enhanced M2 polarisation observed during early DMOG therapy, which subsequently resulted in attenuated fibrosis, is not known. In human macrophages, pan hydroxylase inhibition unexpectedly attenuated CCL18 production, a chemokine associated with an M2-like phenotype in man whilst other M2 markers were unchanged. However, there was no evidence to support a pathogenic role for CCL18 in IPF, and therefore there is little potential for using pan hydroxylase inhibition to target CCL18 and treat IPF.

Devido ao seu rápido crescimento, o feto é particularmente vulnerável a insultos e modificações no milieu hormonal. Este fato sugere que situações adversas experimentadas pela mãe grávida podem alterar o desenvolvimento e a saúde criança. Em vista das dificuldades metodológicas de se investigar o impacto do estresse pré-natal sobre o desenvolvimento e sobre o comportamento de crianças, muita da informação que se tem sobre este assunto advém de estudos conduzidos em animais de laboratório. Este foi o objeto desta tese, guardando-se sempre os devidos cuidados com as extrapolações. Mais especificamente, avaliamos os efeitos de um estresse pré-natal aplicado no terço final de gestação sobre o comportamento, sobre a atividade de neutrófilos sanguíneos e macrófagos peritoneais, sobre os níveis de corticosterona e testosterona séricos e sobre a neuroquímica de uma prole de camundongos Swiss, machos e fêmeas avaliados aos 30 dias de vida. Investigamos, também, os efeitos da naloxona (antagonista opioidérgico) e da metirapona (inibidor da síntese de corticosterona), aplicadas antes do estresse materno, sobre os parâmetros descritos acima. Os resultados obtidos mostraram que: 1) o estresse pré-natal aumentou a locomoção total dos machos avaliados em campo aberto; a naloxona aplicada antes do estresse preveniu este efeito; 2) o estresse pré-natal e a injeção de metirapona aumentaram os níveis de ansiedade da prole de machos e fêmeas; a aplicação de metirapona antes do estresse preveniu o aumento da ansiedade nas proles dos dois sexos; 3) a naloxona, seja sozinha ou associada ao estresse materno, diminuiu o burst oxidativo dos neutrófilos sanguíneos na prole de machos e fêmeas; a injeção somente de naloxona aumentou a capacidade de fagocitose destas células na prole de fêmeas. 4) o estresse pré-natal diminuiu a capacidade de fagocitose dos macrófagos peritoneais da prole de machos; o tratamento com naloxona antes do estresse preveniu este efeito; 5) o estresse pré-natal diminuiu o burst oxidativo e a fagocitose dos macrófagos peritoneais da prole das fêmeas; a injeção de naloxona antes do estresse gestacional evitou o aparecimento destas alterações; 6) o estresse pré-natal diminuiu os níveis séricos de corticosterona na prole de macho; a naloxona sozinha ou associada ao estresse e a metirapona sozinha aumentaram os níveis deste hormônio; 7) Na prole de fêmeas, o estresse pré-natal aumentou os níveis séricos de corticosterona; o tratamento com metirapona antes da exposição das fêmeas grávidas ao estresse preveniu esse efeito; 8) o estresse pré-natal aumentou o turnover de Nor nos machos e nas fêmeas; 9) o tratamento com naloxona aumentou o turnover de DA na prole de machos; 10) o tratamento com metirapona aumentou o turnover de DA na prole de machos e fêmeas. 11) o estresse pré-natal e os tratamentos com naloxona ou metirapona apresentaram efeitos diferentes em machos e de fêmeas. Em seu conjunto, os presentes resultados mostraram que o estresse pré-natal tem profundos efeitos sobre o desenvolvimento dos animais, podendo as alterações por ele induzidas perdurar até a idade adulta dos animais. Os resultados mostraram, também, que os efeitos do estresse pré-natal podem ser prevenidos quer pelo bloqueio do sistema opióide quer da liberação de corticosterona durante a administração do estímulo aversivo. Sugerimos que as alterações comportamentais e de imunidade inata encontradas neste trabalho estejam ligadas tanto às modificações induzidas pelo estresse no funcionamento do eixo HPA como ao aumento da atividade catecolaminérgica da prole tratada. Estes resultados foram discutidos à luz das interações entre os sistemas nervoso central e imune. / Due to its rapid growth, the fetus is particularly vulnerable to insults and the attendant changes in its hormonal milieu. This led to the suggestion that adverse life situations experienced by the pregnant mother can induce alterations in the fetal environment and result in deleterious effects on the rate of development and health of the child. In view of the considerable methodological difficulties in assessing the impact of the stress on human mothers, and evaluating its effects on the development and behavior of their children, much of our information about sequelae from gestational stress has been derived from studies in experimental animals. That was the objective of this study, taking into account the required grounds for reasonable comparisons. We particularly aimed the effects of prenatal stress applied from gestational day (GD) 15 to GD19 on behavior, immunological parameters, levels of corticosterone and testosterone and brain neurochemistry of male and female Swiss mice offspring, on post natal day 30. We also study the effects of naloxone (opioid antagonist) and of metyrapone (corticosterone synthesis inhibitor), both applied before prenatal stress, on parameters described above. The results of this work showed that: 1) prenatal stress increased total locomotion in males evaluated in an open field and naloxone treatment before stress prevented this effect; 2) prenatal stress and metyrapone injection increased anxiety levels of male and female offspring. Metyrapone injection before prenatal stress prevented this effect; 3) naloxone, alone or associated to prenatal stress, decreased oxidative burst of blood neutrophils in male and female pups. On the other hand, in female offspring naloxone alone increased blood neutrophil phagocytosis; 4) prenatal stress decreased phagocytosis of peritoneal macrophage and naloxone before stress prevented this effect; 5) prenatal stress decreased oxidative burst and phagocytosis of peritoneal macrophage in female pups and naloxone treatment before stress prevented this effect; 6) prenatal stress decreased corticosterone serum levels in male offspring and naloxone treatment, alone or associated to stress increased it. 7) In female pups, prenatal stress increased corticosterone serum levels and metyrapone before stress prevented this alteration; 8) gestational stress increased Nor turnover in male and female offspring; 9) naloxone increased DA turnover only in male offspring; 10) metyrapone treatment increased DA turnover in male and female offspring; 11) prenatal stress, naloxone or metyrapone treatment had different effects on male and female offspring. Altogether, these findings show that prenatal stress has relevant effects on animal development; these effects last until adulthood. The results also show that many of prenatal stress effects can be prevented by naloxone or metyrapone, and suggests that the opioid system and corticosterone are important for behavioral and immune modifications linked to prenatal stress. We postulate in this study that the changes observed might be driven by the alteration in the offspring HPA axis and cathecolaminergic activity. These results were discussed in the light of an interaction between the central nervous system and the immune system.

The Leishmania spp. are kinetoplastid protozoan parasites that cause a spectrum of highly prevalent and neglected tropical diseases known as leishmaniasis. The parasites must undergo two life forms during their life cycle: the extracellular promastigote life stage within the sand fly vector, and the intracellular amastigote life stage after internalization of host phagocytic cells. In the extracellular life stage, Leishmania promastigotes reside and develop to their infectious metacyclic form solely in the gut lumen of the sand fly, a process known as metacyclogenesis. During this process, other organisms that co-inhabit the sand fly gut, collectively known as the microbiome, influence parasite development. Based on the hypothesis that vector gut microbiota influence the development of parasite virulence, we sequenced midgut microbiomes of the sand fly Lutzomyia longipalpis with or without L. infantum infection. Sucrose fed sand flies contained a highly diverse, stable midgut microbiome. Blood feeding caused a decrease in bacterial richness, which eventually recovered. However, bacterial richness progressively decreased in L. infantum-infected sand flies. Furthermore, parasites altered the relative abundance of several bacterial phylogenies, including Pseudomonas and Serratia. Importantly, antibiotic-mediated perturbation of the midgut microbiome rendered sand flies unable to support parasite growth and consequent development to infectious metacyclic forms, and revealing the level of microbial diversity may induce flies resistant to infection. Together, these data suggest the sand fly midgut microbiome is a critical factor for Leishmania growth and differentiation prior to disease transmission. During the intracellular amastigote life form, macrophages are the primary cell type to phagocytize parasites. The effect of secreted factors such as exosomes from Leishmania-infected human cells and their effect on the immune response has not been extensively investigated. In this thesis, we characterized the proteome of primary human donor monocyte-derived macrophage (MDM) exosomes during L. infantum infection compared to donor-matched uninfected controls, and determined their impact on naïve MDMs measured by cytokine gene expression and resistance to subsequent parasite infection. Proteomic comparisons of infected and uninfected MDM exosomes were made using stable isotopic dimethyl labeling LC-MS/MS technology. A total of 484 human proteins were identified between four donors. Proteins significantly less abundant in exosomes derived from infected MDMs were matrix metalloprotease 9, galectin-3 binding protein, and several Annexins and histone proteins. Proteins more abundant included galectin-1, galectin-9, and serotransferrin and transferrin receptor 1. Interestingly, class I and class II MHC protein chains were differentially abundant in our samples. Furthermore, we observed several Leishmania spp. proteins in exosomes from infected MDMs as well. Naïve MDMs pretreated with exosomes from infected or uninfected MDM for 4 hours were not more resistant to L. infantum infection nor displayed increased gene expression of the pro-inflammatory cytokines IL-1α, IL-1β, IL-6, IL-8 or TNF-α. To date, the work presented in this thesis is the first to comprehensively identify the proteome in primary human MDM exosomes during Leishmania spp. infection, and to determine the impact of these exosomes on the immune response of other naïve human MDMs.

Tularemia is a potentially fatally illness caused by the facultative intracellular Gram-negative bacterium Francisella tularensis. Virulent strains of F. tularensis can cause a fatal disease after inhalation of a few as ten organisms. Due to the highly pathogenic features of Francisella, it has been designated as a Tier 1 select agent, meaning that its possession and handling is highly restricted. Macrophages are phagocytes that play a central role in the innate immune response to infection that can be used by certain pathogens, including Francisella, as a niche for bacterial replication and dissemination during infection. After infection of macrophages Francisella escapes from the phagosome and replicates in the cytosol, however the bacterial factors required for these aspects of virulence are incompletely defined. Here we describe the isolation and characterization of F. tularensis subspecies tularensis strain Schu S4 mutants in iglI, iglJ, and pdpC, three genes located in the Francisella Pathogenicity Island. Our data demonstrate that these mutants were unable to replicate in macrophages due to a defect in phagosome escape. However, a small percentage of pdpC mutants were able to reach the cytosol and replicate moderately. Both iglJ and pdpC mutants were highly attenuated for virulence in a mouse intranasal infection model, however pdpC but not iglJ mutants, were able to disseminate from the lung before eventual clearance. These data demonstrated that the FPI genes tested were essential for F. tularensis Schu S4 virulence, but suggest that they may have different functions due to the unique phenotype observed for pdpC mutants. Our studies also characterized the role of F. tularensis O-antigen and capsule to facilitate interactions with components of the serum complement system; demonstrating that the O-antigen is required for binding of IgM to the bacteria in order to initiate complement opsonization. IgM dependent complement opsonization of both F. tularensis Schu S4 and LVS strains facilitated enhanced phagocytosis of the bacteria by complement receptors 3 and 4 of human macrophages. In addition, we examined the mechanisms of macrophage cytotoxicity and proinflammatory cytokine secretion that was induced after infection with a Schu S4 LPS O-antigen and capsule mutant. The response to the mutant was dependent on phagosome escapes, suggesting a cytosolic pattern recognition receptor was involved in recognition of the bacteria. We found that the cytotoxic and proinflammatory responses had both similar and distinct requirements between human and murine macrophages. Infection with the O-antigen mutant induced robust proinflammatory cytokine secretion that was dependent on caspase-1, cathepsin B, and ASC while cytotoxicity was partially dependent on these molecules. Importantly, we demonstrated that wild-type Schu S4 predominately activated apoptotic caspases, and not inflammatory caspases, during infection and had a blunted cytotoxic response. This was in contrast to the robust cytotoxicity and activation of inflammatory caspases after infection with the non-virulent strain LVS. Together, these studies demonstrated that the Schu S4 LPS O-antigen and capsule are required for evasion of macrophage cytosolic host defense mechanisms.

Francisella tularensis is the etiological agent of tularemia, a severe and potentially fatal disease in humans. It is extremely infectious by the aerosol route, being thought to cause disease in humans with an infectious dose as small as one to ten organisms, which led to its weaponization by several nations and classification as a category A select agent by the Centers for Disease Control and Prevention. An intracellular pathogen, relatively little is known about the mechanisms by which Francisella is capable of successfully modulating host cell processes to escape its phagosome and replicate within the cytosol and what genes beyond the Francisella pathogenicity island are required. Furthermore, in the context of aerosol exposure, it is unknown what cells F. tularensis initially interacts with and the overall contribution of those interactions to inhalational tularemia. I initiated this study by generating an in vitro model system to study interactions of F. tularensis with epithelial cell lines in tissue culture. Utilizing this system, I determined that F. tularensis LVS was capable of adherence to human epithelial cell lines of alveolar (A549), bronchial airway (HBE), and cervical carcinoma (HEp-2) origin. Furthermore, LVS was capable of invading these cell lines and growing productively within them. In order to detect genes important for virulence in this system, I generated a ~15,000 member transposon library in virulent strain Schu S4 that was could be screened in a high-throughput manner by transposon site hybridization. As uptake in the in vitro epithelial cell line system was relatively inefficient, I screened this library through human primary macrophages. Results of the screen implicated 207 genes as negatively selected in the human macrophage model. Of these, I generated mutants in genes residing in a locus of the Francisella chromosome, FTT1236, FTT1237, and FTT1238, to determine their virulence phenotypes. Mutants in these genes demonstrated significant vulnerability to complement-mediated lysis as compared with wild type Schu S4. Analysis of purified LPS and capsule from these mutants further showed that they had marked defects in O-antigen and capsular polysaccharide biosynthesis. Complementation of these mutants restored surface polysaccharide biosynthesis and further determined that FTT1236 and FTT1237 compose an operon, as a mutation in FTT1236 is polar onto FTT1237. Characterization of the intracellular defect of these mutants in the absence of active complement demonstrated that they were taken up more efficiently by primary human macrophages than wild type Schu S4 and were capable of phagosomal escape but exhibited reduced intracellular growth. Microscopic analysis of macrophages infected with mutant bacteria revealed that, as early as 16 hpi, these macrophages exhibited signs of cell death. In contrast, cells infected with Schu S4 exhibited a healthy, spread morphology as late as 32 h, despite significantly more extensive F. tularensis cytosolic replication. Quantitation of cell death by the release of lactate dehydrogenase, signifying membrane permeability, confirmed that mutants in FTT1236, FTT1237, and FTT1238 induced early cell death in infected macrophages as compared with wild type Schu S4. Together, this work contributes to our understanding of the factors, such as O-antigen and capsule, required for and genes involved in Francisella's lifecycle as an intracellular pathogen.

Neutrophils are implicated in many inflammatory lung disorders. However, the mechanisms regulating neutrophil migration in acute lung inflammation are incompletely understood. Although, integrin β2 mediates neutrophil migration in lungs in response to many stimuli such as E. coli, integrin involved in <i>S. pneumoniae</i> induced neutrophil migration is not known. Therefore, the role of integrin αvβ3 in neutrophil recruitment was tested. First, it was found that the number of neutrophils expressing the integrin subunits αv and β3 is reduced or remains in lung inflammation induced by E. coli or <i>S. pneumoniae</i>, respectively. Next, the role of integrin αvβ3 using β3 knockout mice (β3-/-) and function blocking antibodies was addressed. Neutrophil recruitment did not vary between wild type and β3-/- mice. Although β3 antibodies reduced neutrophil recruitment, similar effect was observed with isotype antibodies. Therefore, one can conclude that integrin αvβ3 is not critical for neutrophil recruitment in <i>S. pneumoniae</i> induced pneumonia. <p>Apart from integrins, TLR4 also regulate neutrophil migration. Because, the pattern of TLR4 expression at various times of lung inflammation is not known, TLR4 expression during different phases of lung inflammation in a rat model of LPS-induced inflammation was studied. TLR4 expression in the septum increased and decreased at 6h and 12-36h of inflammation, respectively. Since these correlate with the time of increase and decline of neutrophil recruitment, the findings support previously observed requirement for TLR4 in neutrophil recruitment. <p>Neutrophils recruited into the lungs regulate the inflammatory process by controlling subsequent monocyte/macrophage recruitment. The mechanisms involved and the pattern of monocyte/macrophage recruitment in lungs are not completely understood. Therefore, the possible involvement of monocyte chemoattractant protein (MCP)-1, which is a premier chemokine in monocyte/macrophage migration and produced by neutrophils and other cells was tested. This was addressed by quantification of monocytes/macrophages at various times and using neutrophil depletion experiments in LPS-induced lung inflammation in rats. It was found that monocytes/macrophages migrate very early and before neutrophils in addition to their migration in the late phase of acute lung inflammation. Neutrophil depletion abrogated both early as well as the late monocyte/macrophage recruitment without altering the expression of MCP-1. Therefore, possibly other chemokines and not MCP-1 are involved in neutrophil dependent monocyte/macrophage recruitment. <p>To conclude, the experiments further the understanding on acute lung inflammation by ruling-out the involvement of integrin αvβ3 and MCP-1 in β2-independent neutrophil migration and neutrophil dependent monocyte/macrophage recruitment, respectively. Further studies are essential to find the integrins and chemokines operating in the above situations. Equally important will be to understand the functional significance of early recruited monocytes/macrophages in the lung.

<p>with biliary cirrhosis are highly susceptible to acute pulmonary dysfunction and suffer from hepato-pulmonary syndrome. The mechanisms of this enhanced susceptibility remain unknown. It is well established that pulmonary intravascular macrophages (PIMs) are present in cattle, horses, goat and sheep and increase susceptibility for lung inflammation. Species such as rat and mouse also recruit PIMs especially in a bile duct ligation model of biliary cirrhosis. The contributions of recruited PIMs to lung inflammation associated with liver dysfunction remain unknown. Therefore, I characterized a bile duct ligation (BDL) model in rats to study role of recruited PIMs in lung inflammation. First, Sprague Dawley rats were subjected to BDL (N=6) or sham surgeries (N=3) and were euthanized at 4 weeks post-surgery. Five rats were used as the controls. Lung tissues were collected and processed for histology, immunohistology, immuno-electron microscopy, enzyme-linked immunosorbant assay (ELISA) and reverse transcriptase-polymerase chain reaction (RT-PCR). Light microscopy demonstrated normal lung morphology in sham-operated and control rats but showed septal recruitment of mononuclear cells, which were positive for anti-rat monocytes/macrophage antibody ED-1, in BDL rats (p=0.002). Immuno-electron microscopy confirmed localization of ED-1 in PIMs. BDL rats showed increased lung expression of monocyte chemoattractant protein-1 (MCP-1) protein and mRNA compared to the controls (p=0.017) but not of IL-1â, TNF-á, TGF-â and IL-10. Then, I treated BDL rats (N=5) with gadolinium chloride (GC; 10 mg/Kg body weight intravenous) and found reduced numbers of PIMs (p=0.061) at 48 hours post-treatment along with increased expression of TGF-â and IL-10.</p><p>I challenged control rats (N=5) and BDL rats (N=6) with Escherichia coli lipopolysaccharide (E. coli LPS; 0.1 mg/Kg body weight intravenous). All the BDL rats died within 3 hours of LPS challenge (100% mortality) while the normal LPS-treated rats were euthanized at 6 hours post-treatment. Histology and ED-1 staining showed dramatic increase in the number of septal monocytes/macrophages in BDL+LPS rats compared to normal LPS-treated rats (p=0.000). Staining of lung sections with an LPS antibody localized the LPS in lungs. RT-PCR analyses showed no differences in IL-1â transcript levels between LPS challenged BDL rats and LPS challenged control rats (p=0.746) but ELISA showed increase in IL-1â concentration in LPS challenged BDL rats compared to LPS challenged control rats (p=0.000). TNF-á mRNA (p=0.062) and protein (p=0.000) was increased in BDL+LPS rats compared to the control+LPS rats. Immuno-electron microscopy showed IL-1â and TNF-á in PIMs. BDL rats challenged with LPS showed increased expression of IL-10 mRNA and protein (p=0.000 & 0.002 respectively) in lungs compared to LPS challenged control rats. TGF-â mRNA did not change (p=0.128) but lower protein concentrations (p=0.000) were observed in LPS-treated control rats compared to BDL+LPS. </p><p> To further address the role of PIMs, I treated rats with GC at 6 hours or 48 hours (N=5 each) before LPS challenge. The mortality in the 6 hour group was 20% while all the rats in 48 hour group survived till 6 hours. Histology and ED-1 staining showed decrease in the number of intravascular cells in these groups compared to LPS treated BDL rats (p=0.039 for 6 hour group; p= 0.002 for 48 hour group). There were no differences in IL-1â mRNA in both 6 hour and 48 hour groups compared to the LPS challenged BDL rats (p=0.712 & 0.509 respectively). ELISA showed no decrease in IL-1â concentration in 6 hour GC-treated group but a decrease was noticed at 48 hours compared to LPS challenged BDL rats (p=0.455 & 0.008 respectively). TNF-á mRNA levels were not different between LPS-challenged GC-treated BDL rats and LPS-challenged BDL rats (p=0.499 & 0.297 for 6 hour & 48 hour GC groups respectively). But TNF-á concentration in 48 hour GC group (p=0.001) but not in 6 hour GC group (p=0.572) was lower in comparison to BDL+LPS group. IL-10 mRNA was decreased in both 6 hour and 48 hour GC groups (p=0.038 & 0.000 respectively) compared to LPS challenged BDL rats. ELISA showed decrease in IL-10 concentration in 48 hour GC group (p=0.030) but not in 6 hour GC group (p=0.420). TGF-â mRNA expression was decreased in 48 hour GC group (p=0.000) but not in 6 hour GC group (p=0.182). But GC treatment did not affect TGF-â concentrations. </p><p>The data from these experiments characterize a BDL model to study PIM biology, show PIMs pro-inflammatory potential and their possible role as a therapeutic target in lung inflammation.</p>

Neutrophils are implicated in many inflammatory lung disorders. However, the mechanisms regulating neutrophil migration in acute lung inflammation are incompletely understood. Although, integrin β2 mediates neutrophil migration in lungs in response to many stimuli such as E. coli, integrin involved in <i>S. pneumoniae</i> induced neutrophil migration is not known. Therefore, the role of integrin αvβ3 in neutrophil recruitment was tested. First, it was found that the number of neutrophils expressing the integrin subunits αv and β3 is reduced or remains in lung inflammation induced by E. coli or <i>S. pneumoniae</i>, respectively. Next, the role of integrin αvβ3 using β3 knockout mice (β3-/-) and function blocking antibodies was addressed. Neutrophil recruitment did not vary between wild type and β3-/- mice. Although β3 antibodies reduced neutrophil recruitment, similar effect was observed with isotype antibodies. Therefore, one can conclude that integrin αvβ3 is not critical for neutrophil recruitment in <i>S. pneumoniae</i> induced pneumonia. <p>Apart from integrins, TLR4 also regulate neutrophil migration. Because, the pattern of TLR4 expression at various times of lung inflammation is not known, TLR4 expression during different phases of lung inflammation in a rat model of LPS-induced inflammation was studied. TLR4 expression in the septum increased and decreased at 6h and 12-36h of inflammation, respectively. Since these correlate with the time of increase and decline of neutrophil recruitment, the findings support previously observed requirement for TLR4 in neutrophil recruitment. <p>Neutrophils recruited into the lungs regulate the inflammatory process by controlling subsequent monocyte/macrophage recruitment. The mechanisms involved and the pattern of monocyte/macrophage recruitment in lungs are not completely understood. Therefore, the possible involvement of monocyte chemoattractant protein (MCP)-1, which is a premier chemokine in monocyte/macrophage migration and produced by neutrophils and other cells was tested. This was addressed by quantification of monocytes/macrophages at various times and using neutrophil depletion experiments in LPS-induced lung inflammation in rats. It was found that monocytes/macrophages migrate very early and before neutrophils in addition to their migration in the late phase of acute lung inflammation. Neutrophil depletion abrogated both early as well as the late monocyte/macrophage recruitment without altering the expression of MCP-1. Therefore, possibly other chemokines and not MCP-1 are involved in neutrophil dependent monocyte/macrophage recruitment. <p>To conclude, the experiments further the understanding on acute lung inflammation by ruling-out the involvement of integrin αvβ3 and MCP-1 in β2-independent neutrophil migration and neutrophil dependent monocyte/macrophage recruitment, respectively. Further studies are essential to find the integrins and chemokines operating in the above situations. Equally important will be to understand the functional significance of early recruited monocytes/macrophages in the lung.