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In der vorliegenden Arbeit wurde die Auswirkung der Behandlung muriner Mikrogliazellen mit Agonisten von TLR2, TLR4 und TLR9 untersucht. Zu diesem Zweck wurden murine Mikrogliazellkulturen angelegt. Als TLR - Agonisten dienten Pam3Cys und HKAL (TLR2), Pneumolysin und LPS (TLR4) sowie CPG (TLR9). Die Stimulation muriner Mikrogliazellen mit den verschiedenen TLR - Agonisten führte zur Freisetzung von NO und TNF-α. Durch den Einsatz unterschiedlicher Konzentrationen der TLR - Agonisten konnten Dosis - Wirkungs - Kurven für die Freisetzung von NO und TNF-α erstellt werden. Anhand der EC50 wurde die Potenz der TLR - Liganden beurteilt. Für die Freisetzung von NO wies LPS die höchste stimulatorische Potenz auf, gefolgt von Pneumolysin, CpG und Pam3Cys. Für die TNF-α - Freisetzung besaß ebenfalls LPS die höchste stimulatorische Potenz, auch hier folgten Pneumolysin und CpG. Das verwendete Pam3Cys löste sich nicht optimal, vermutlich aus diesem Grund wurde durch die Pam3Cys - Gabe keine maximale Stimulation erreicht. Darum konnte die EC50 für die TNF-α - Freisetzung fur Pam3Cys nicht ermittelt werden. Die EC50 für die TNF-a - Freisetzung war jeweils höher als die entsprechende EC50 für die Freisetzung von NO. Die Behandlung mit HKAL führte zur starken NO - und TNF-a - Freisetzung. Ein direkter Vergleich der Potenz von HKAL mit der der anderen Liganden ist nicht möglich, da die Konzentration von HKAL in Zellzahl pro ml gemessen wird. Die Konzentrationen von Pam3Cys, Pneumolysin und LPS werden jedoch in µg/l gemessen.  Die Stimulation von Mikrogliazellen über verschiedene TLR hatte eine relativ gleich starke Sezernierung von NO und TNF-a zur Folge. Die Costimulation der Mikrogliazellen mit Konzentrationen von zwei unterschiedlichen TLR - Agonisten, welche allein jeweils zur maximalen NO - Produktion geführt hatten, resultierte nicht in einer weiteren Erhöhung der NO - Freisetzung.  Niedrig dosiert zeigte die Pneumolysinbehandlung einen immunstimulatorischen Effekt. Das Maximum an Stimulation, gemessen an der Zunahme der NO - Produktion, wurde bei einer Pneumolysin - Konzentration von 0,3 µg/ml (6nM) beobachtet. Eindeutige zytotoxische Effekte anhand der signifikant geringeren NO - Freisetzung waren bei Konzentrationen von 3 µg/ml bzw. 10 µg/ml (60 nM bzw. 200 nM) nachweisbar. Durch die Isolectin-B4 - Färbung wurden bei diesen Konzentrationen pneumolysinbedingte Zellschäden dargestellt. Bei den anderen Substanzen wurde in hohen Konzentrationen keine Zytotoxität beobachtet Die Behandlung TLR4 - defizienter Mikrogliazellen mit den spezifischen TLR4 - Agonisten Pneumolysin und LPS führte zu einer signifikant geringeren Freisetzung von NO im Vergleich zu Wildtypzellen. Schlussfolgernd kann gesagt werden: Die Stimulation von Mikrogliazellen über unterschiedliche TLR resultiert in einer relativ einheitlichen Freisetzung von NO und TNF-α. Die gleichzeitige Stimulation mit zwei jeweils niedrigdosierten TLR - Agonisten führt zu einem additiven oder supraadditiven Effekt. Nicht nur bakterielle Substanzen, sondern auch endogene Stoffe sind Agonisten an TLR - Rezeptoren. Der additive Effekt durch die simultane Stimulation mehrerer TLR erhöht nicht nur die Sensitivität von Mikroglia während Infektionen, sondern kann ebenfalls Wechselwirkungen zwischen exogenen und endogenen Agonisten von TLR zur Folge haben. Dies kann ein Grund für die Exazerbation oder Induktion autoimmuner Krankheiten durch Infektionen sein.

Submitted by Anderson Silva (avargas@icict.fiocruz.br) on 2012-05-21T19:40:25Z No. of bitstreams: 1 alexandre_santos_silva_ioc_bp_0011_2010.pdf: 1220834 bytes, checksum: e61580079e61e5f06f901abb6feddfb9 (MD5) / Made available in DSpace on 2012-05-21T19:40:25Z (GMT). No. of bitstreams: 1 alexandre_santos_silva_ioc_bp_0011_2010.pdf: 1220834 bytes, checksum: e61580079e61e5f06f901abb6feddfb9 (MD5) Previous issue date: 2010 / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil. / A hepatite A é uma doença endêmica no Brasil e na América Latina. A prevalência da infecção tem correlação com precárias condições de higiene e saneamento. Em países em desenvolvimento, um saneamento inadequado resulta em maior transmissão desta doença, principalmente entre crianças e jovens. Atualmente, devido às melhorias das condições sanitárias, o perfil epidemiológico da doença está se deslocando para idades mais avançadas, o que facilita a ocorrência de surtos epidemiológicos. Os kits comerciais para detecção de anti-HAV total normalmente utilizam imunoglobulina G (IgG) de mamíferos no período convalescente da doença para a produção dos anticorpos de captura e do conjugado. Uma alternativa à aplicação dos anticorpos de mamíferos no diagnóstico é o uso da imunoglobulina Y (IgY), encontrada no soro e gema dos ovos de aves e répteis. Essas proteínas têm varias vantagens quando comparadas com IgG: alta resposta contra antígenos de mamíferos, redução da cor de fundo em ensaios imunoenzimáticos e de serem obtidas por um método não-invasivo (coleta da gema dos ovos). O objetivo deste trabalho foi a obtenção de anticorpos IgY anti-HAV produzidos em galinhas imunizadas contra o vírus da Hepatite A (HAV) e o desenvolvimento de um ensaio imunoenzimático para detecção de anti-HAV total utilizando IgY anti-HAV como imunoglobulinas de captura e conjugado. Cinco grupos de galinhas foram imunizadas com diferentes inóculos contendo: vacina com e sem o adjuvante CpG-ODN, HAV com adjuvante incompleto de Freund (IFA) com e sem o adjuvante CpG-ODN e um grupo controle com IFA. Os ovos foram coletados e a gema foi purificada pela precipitação com polietileno glicol. A solução purificada contendo IgY anti-HAV foi avaliada para determinação da concentração da IgY anti-HAV por espectrofotometria e sua especificidade e título foram determinados à partir de um teste imunoenzimático. Os anticorpos foram conjugados com a peroxidase e foi estabelecida a diluição ideal para os anticorpos de captura e conjugado. Para avaliar o ensaio imunoenzimático “in-house” com IgY anti-HAV, foi avaliado um painel composto de 100 amostras positivas e 100 amostras negativas para anti- HAV-total. A presença da IgY anti-HAV nas gemas dos ovos foi confirmada por SDS-PAGE e Western Blotting, e após a purificação, a média da concentração de proteínas nas gemas dos ovos foi de 8,7406 mg /mL. O grupo imunizado com HAV, IFA e CPG-ODN apresentou os maiores títulos de anticorpo. O ensaio “in-house” apresentou sensibilidade de 84%, especificidade de 79% e eficiência de 81,5%. Os métodos utilizados para a produção de IgY anti-HAV e sua conjugação com peroxidase foram eficientes e o ensaio imunoenzimático “in-house” IgY anti-HAV demonstrou uma boa sensibilidade e especificidade. A produção de anti-HAV IgY apresenta vantagens quando comparado com obtenção da IgG anti-HAV. O teste imunoenzimático “in house” com IgY anti- HAV pode ser uma alternativa a utilização da IgG nos ensaios imunoenzimáticos. / Hepatitis A is an endemic disease in Brazil and Latin America. Prevalence of this infection is related to the low degree of hygiene and sanitation. In developing countries, inadequate sanitation results in larger transmission of the disease mostly in children and young people. Nowadays, due to better sanitation conditions, the epidemiological profile of disease is changing to older ages resulting in the occurrence of outbreaks. Diagnostic kits for detection of total anti-HAV generally use mammals immunoglobulin G (IgG) in the convalescent period of disease for production of capture and conjugated antibodies. One alternative to the application of mammals antibodies in the diagnosis is the use of immunoglobulin Y (IgY), encountered in birds and reptiles. These proteins have several advantages when compared to IgG: high response against mammals antigens, reduction of the background in imunoenzymatic assays and it is obtained by a non-invasive method (harvest of the egg yolks). The objective of this work was the acquisition of anti-HAV IgY antibodies produced in immunized chickens against Hepatitis A virus and the development of an immunoenzymatic assay for total anti-HAV detection using IgY anti-HAV as capture and conjugated immunoglobulins. Five groups of chickens were immunized with different inocula containing: vaccine with and without CpG-ODN adjuvant, HAV with incomplete Freund adjuvant (IFA) with and without CpG-ODN and one control group with IFA. The eggs were harvested and the yolk was purified by precipitation with polyethylene glycol. The purified solution containing anti-HAV IgY was evaluated by espectrofotometry and their specificity and title were determined by an immunoenzymatic assay. These antibodies were conjugated with peroxidase and was estabilized the ideal dilution for capture and conjugated antibodies. For evaluation of the immunoenzymatic “in-house” assay with IgY anti-HAV, a panel composed of 100 positive samples and 100 negative samples for total anti-HAV was assessed. The presence of IgY anti-HAV in egg yolks was established by SDS-PAGE and Western Blotting, and after the purification, the average of the proteins concentrations in the egg yolks was of 8,7406 mg/mL. The group immunized with HAV, IFA and CpG-ODN demonstrate the higher titer of antibodies. The “in-house” assay showed sensibility of 84%, specificity of 79% and efficiency of 81,5%. The methods used for anti-HAV IgY production and conjugation with peroxidase were efficient and the “in-house” immunoenzymatic assay IgY anti-HAV demonstrated a good sensitivity and specificity. The production of IgY anti-HAV showed advantages when compared to the acquisition of IgG anti-HAV. The immunoenzymatic “in-house” assay IgY anti- HAV can be an alternative to the utilization of IgG in immunoenzymatic assays.

Vaccines have become an important approach for the treatment of cancer. Cancer vaccines help the immune system to detect and eradicate tumor cells. Also, cancer vaccines are designed to stimulate an effective immune response that can create long-term immune memory to prevent tumor recurrence. This treatment approach involves the administration of a vaccine comprising or encoding an antigen and can often be combined with an adjuvant to further promote the immune response. The goal of this research was to study the effect of the polyanhydride composition of prophylactic cancer vaccine formulations on the tumor-specific immune response. To achieve this goal, three different amphiphilic polyanhydride copolymers were generated comprising different ratios of 1,6-bis-(p-carboxyphenoxy)-hexane (CPH) and 1,8-bis-(p-carboxyphenoxy)-3,6-dioxaoctane (CPTEG) or sebacic anhydride (SA) monomers. These copolymers were used to fabricate particles encapsulating a model antigen, ovalbumin (OVA), using a double emulsion solvent evaporation technique. The ability of the three different compositions of amphiphilic polyanhydride copolymers (50:50 CPTEG:CPH, 20:80 CPTEG:CPH, and 20:80 CPH:SA) encapsulating OVA to elicit immune responses was investigated. Further, the impact of soluble unmethylated oligodeoxynucleotides containing deoxycytidyl-deoxyguanosine dinucleotides (CpG ODN), an immunologic adjuvant, on the immune response to the three formulations was also studied. The immune response to cancer vaccines was measured after treatment of C57BL/6J mice with two subcutaneous injections, seven days apart, of 50 μg OVA encapsulated in particles composed of different polyanhydride copolymers with or without 25 μg CpG ODN. In vivo studies showed that 20:80 CPTEG:CPH particles encapsulating OVA significantly stimulated the highest level of CD8+ T lymphocytes, generated the highest serum titers of OVA-specific IgG antibodies, and produced longer survival in comparison to formulations involving the other polyanhydride copolymers. The results also revealed that supplementing the vaccine formulations with CpG ODN did not enhance the immunogenicity of OVA. These results accentuate the crucial role of the copolymer composition of polyanhydrides in stimulating the immune response and improving cancer vaccine efficacy.

Toll-like receptors (TLRs) recognize microbial components as danger signals and induce immune responses. TLR’s are expressed in many tissues of the host that are involved in immune responses including the intestines where they are abundantly expressed. This situation presents a challenge in the gastrointestinal tract which is constantly exposed to a wide variety of commensal organisms. Therefore, innate immune recognition in the intestine must be tightly regulated to prevent unwanted inflammation against harmless commensal micro-organisms and yet allow for the induction of protective immunity to invading pathogens. A dysregulation of this balance can result in intestinal inflammation. Peyer’s patches (PP) are the primary site for the induction of immune responses in the intestine and abundantly express TLRs. It is not known how PP regulate microbial signals from commensal bacteria and yet mount vigorous immune responses against dangerous pathogens. CpG DNA, an agonist for TLR9, can strongly activate immune cells in blood, lymph nodes and spleen. However, CpG very poorly activates immune cells from Peyer’s patches, although these cells express TLR9 [1, 2]. Understanding how TLR responses are regulated in PP cells will unveil important information on how immune responses are regulated in the intestine. Investigations from our laboratory have revealed a B cell population (CD5-CD11c-CD21+) in PP that spontaneously secrete high levels of IL-10 which in turn down regulates TLR9 induced IFN and IL-12 production. These IL-10-secreting PP B cells represent a novel subset of the recently proposed regulatory B cells (Bregs) in the intestine [1, 3]. Bregs may have a role in maintaining tolerance to commensal bacteria thereby achieving intestinal homeostasis. The overall goal of the work described in this thesis was to improve our understanding of the immunobiology of Bregs. We performed several experiments to achieve this goal. First, we studied the development of regulatory B cells in lambs of different ages. Jejunal PP were collected from 3-4 month old, neonatal and fetal lambs and the production of IL-10 (the immunoregulatory cytokine secreted by Bregs) was assayed. We found that IL-10 was secreted by CD21+ B cells from the PP in all the three age groups, confirming that Bregs develop prior to birth. We then wondered whether our CD21+ B cells might be contaminated with other cells or activated when using MACS to enrich B cells. To address this issue, we prepared very highly purified CD21+ B cell population using high speed cell sorting to negatively enrich for B cells. We also sorted DCs and assayed IL-10 production in both cell populations. Only the PP B cells spontaneously secreted IL-10. In contrast, dendritic cells, T cells, macrophages, neutrophils and NK cells did not secrete detectable IL-10. Since B cells exist as regulatory and effector populations in mice, we wondered whether an effector B cell population also existed in ovine PP that secreted the pro-inflammatory cytokines IFN-, IFN- and IL-12. Therefore, ovine PP B cells were fractionated into CD72+CD21+and CD72+CD21- subpopulations to assess their capacity to secrete pro-inflammatory cytokines. Interestingly, the CD72+CD21- B cell population secreted the cytokines IFN-, IFN- and IL-12 suggesting there was an effector population. We then surveyed for Bregs in different mucosal and peripheral tissues in sheep. We observed the Bregs frequency varied among the different lymphoid tissues. Finally, we investigated whether Bregs were present in PP of other ruminant species. We identified Bregs exist in PP of neonatal calves. In conclusion, our investigations reveal that ovine Bregs develop in utero prior to antigen exposure, and are present in a variety of mucosal and peripheral tissues. We also report the novel observation that two distinct B cell sub-populations are present in ovine jejunal PP’s: Regulatory and effector B cells.

Escherichia coli ist eine der Hauptursachen von Meningitis und Meningoencephalitis in älteren und immunsupprimierten Patienten sowie von der durch Gram-negative Bakterien verursachten Meningitis bei Säuglingen. In der vorliegenden Arbeit untersuchten wir den Beitrag der neutrophilen Granulozyten und der TLR-Signalkaskade zur Resistenz adulter Mäuse gegen eine intrazerebrale Escherichia-coli-K1-Infektion, anhand von Mäusen, deren neutrophile Granulozyten durch den Anti-Ly-6G-Antikörper depletiert wurden sowie mit Hilfe von MyD88-defizienten und TRIF-defizienten Mäusen. Ein Mangel an MyD88-Adapter-Proteinen reduzierte dramatisch das Überleben der Tiere, während das Fehlen von TRIF-Adapter-Proteinen keine Einschränkung im Überleben nach sich zog im Vergleich zu den Wildtypmäusen. Die Depletion der neutrophilen CD11b+Ly-6G+Ly-6Cint-Granulozyten durch intraperitoneale Injektion des Anti-Ly-6G-Antikörpers führte zu höheren bakteriellen Titern im Kleinhirn und in der Milz und schließlich zu einer erhöhten Letalität im Vergleich zu den mit dem Isotyp behandelten Mäusen. Unsere Ergebnisse zeigen, dass der den Toll-like-Rezeptoren nachgeschaltete MyD88-Signalweg und die neutrophilen Granulozyten wichtige Elemente in der Immunabwehr während der Frühphase einer Escherichia-coli-Meningitis sind. Wie bereits in verschiedenen Experimenten gezeigt wurde, können CpG-ODNs Tiere vor verschiedenen Infektionen schützen (Elkins et al. 1999; Barrier et al.2006). Vor diesem Hintergrund prüften wir, ob eine prophylaktische Behandlung mit CpG-ODN ebenfalls vor einer experimentell erzeugten Infektion des Zentralen Nervensystems schützt. Dazu wurden Mäuse, denen mit Hilfe des Anti-Ly-6G-Antikörpers eine Neutropenie induziert wurde, sowie immunkompetente Mäuse und TLR9-defiziente Mäuse jeweils intrakraniell mit Escherichia coli K1 infiziert. Drei Tage vor der Infektion bekamen die Mäuse der CpG-Gruppen eine einmalige intraperitoneale Injektion von 100 μg CpG-ODN. Hierbei zeigte sich, dass die Behandlung mit CpG-ODN die Letalität nach einer intrazerebralen Infektion von 66 % auf 23 % bei den neutropenischen Mäusen senkte (P = 0,0002, Log-Rank-Test). Zusätzlich wiesen die mit CpG-ODN behandelten Mäuse 42 Stunden nach Infektion geringere bakterielle Titer im Kleinhirn und in der Milz auf, als es in den mit Puffer behandelten Tieren der Fall war (P = 0,01 und P = 0,04, Mann-Whitney-U-Test). In den immunkompetenten Mäusen war die Letalität der mit CpG-ODN behandelten Mäuse leicht niedriger im Vergleich zur Puffergruppe, es konnte jedoch kein statistisch signifikanter Unterschied gefunden werden. TLR9-defiziente Mäuse erhielten keinen schützenden Effekt durch die prophylaktische Behandlung mit CpG-ODN. Dies zeigt, dass die prophylaktische Behandlung mit CpG-ODN nicht nur während einer systemischen Infektion einen Vorteil bringt, sondern ebenfalls die Resistenz von neutropenischen Mäusen gegen eine ZNS-Infektion mit Escherichia coli erhöht. Somit könnte CpG-ODN in Zukunft ein Mittel bieten, um neutropenische Patienten prophylaktisch vor einer Escherichia-coli-K1-Meningitis zu schützen und ihnen somit schwere Verlaufsformen und Komplikationen der Krankheit zu ersparen.

Background. Toll-like receptors (TLRs) play a role in the pathophysiology of sepsis and multiple organ failure. This study examined the effect of CpG oligodeoxynucleotide (CpG-ODN), the TLR9 ligand, on polymicrobial sepsis-induced cardiac dysfunction.Methods. Male C57BL/6 mice were treated with CpG-ODN, control CpG-ODN (control-ODN), or inhibitory CpG-ODN (iCpG-ODN) 1 hour prior to cecal ligation and puncture (CLP)-induced sepsis. Mice that underwent sham surgery served as sham controls. Cardiac function was examined by echocardiography before and 6 hours after CLP.Results. Cardiac function was significantly decreased 6 hours after CLP. CpG-ODN prevented CLP-induced cardiac dysfunction, as evidenced by maintenance of the ejection fraction and fractional shortening. Control-ODN or iCpG-ODN did not alter CLP-induced cardiac dysfunction. CpG-ODN significantly attenuated CLP-induced myocardial apoptosis and increased myocardial Akt and extracellular-signal-related kinase (ERK) phosphorylation levels following CLP. In vitro experiments demonstrated that CpG-ODN promotes an association between TLR9 and Ras, resulting in Akt and ERK phosphorylation. Inhibition of phosphoinositide 3-kinase (PI3K) by Ly294002 or inhibition of ERK by U0126 in vivo abolished CpG-ODN attenuation of CLP-induced cardiac dysfunction.Conclusions. CpG-ODN prevents CLP-induced cardiac dysfunction, in part through activation of PI3K/Akt and ERK signaling. Modulation of TLR9 could be an effective approach for treatment of cardiovascular dysfunction in patients with sepsis or septic shock.

Background. Toll-like receptors (TLRs) play a role in the pathophysiology of sepsis and multiple organ failure. This study examined the effect of CpG oligodeoxynucleotide (CpG-ODN), the TLR9 ligand, on polymicrobial sepsis-induced cardiac dysfunction.Methods. Male C57BL/6 mice were treated with CpG-ODN, control CpG-ODN (control-ODN), or inhibitory CpG-ODN (iCpG-ODN) 1 hour prior to cecal ligation and puncture (CLP)-induced sepsis. Mice that underwent sham surgery served as sham controls. Cardiac function was examined by echocardiography before and 6 hours after CLP.Results. Cardiac function was significantly decreased 6 hours after CLP. CpG-ODN prevented CLP-induced cardiac dysfunction, as evidenced by maintenance of the ejection fraction and fractional shortening. Control-ODN or iCpG-ODN did not alter CLP-induced cardiac dysfunction. CpG-ODN significantly attenuated CLP-induced myocardial apoptosis and increased myocardial Akt and extracellular-signal-related kinase (ERK) phosphorylation levels following CLP. In vitro experiments demonstrated that CpG-ODN promotes an association between TLR9 and Ras, resulting in Akt and ERK phosphorylation. Inhibition of phosphoinositide 3-kinase (PI3K) by Ly294002 or inhibition of ERK by U0126 in vivo abolished CpG-ODN attenuation of CLP-induced cardiac dysfunction.Conclusions. CpG-ODN prevents CLP-induced cardiac dysfunction, in part through activation of PI3K/Akt and ERK signaling. Modulation of TLR9 could be an effective approach for treatment of cardiovascular dysfunction in patients with sepsis or septic shock.

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