Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This study evaluated molecular characteristic of Rhodococcus equi isolates obtained from horses and standardized by PCR multiplex assay, which amplifies the vap gene family (vapA, B, C, D, E, F, G e H). One hundred eighty Rhodococcus equi isolates from different sources: healthy horse s feces (112), soil (12), stalls (23) and clinical isolates (33) of horsebreeding farms, were studied. The technique was standardized and confirmed by sequencing of amplified vap gene family controls. Thirty-two (17.8%) R. equi isolates evaluated were positive for vapA gene and carried at least three another vap genes associated. All 147 isolates from equine feces, stalls and soil from horse-breeding farms did not demonstrate any virulence-associated proteins genes. Thirty-two (97.0%) out of 33 clinical equines isolates were positive to multiplex PCR assay for vap gene family and demonstrated six molecular profile, 100% with vapA, vapD and vapG genes, 86.6% vapF, 76,6% vapH, 43.3% vapC, 36.6% vapE and none vapB. The most frequent molecular profile was vap A, D, F, G and H present in 37.5% of strains. Morever, there was no molecular epidemiological pattern for R. equi isolates from each horse-breeding farm studied. Thus this technique allows the identification of eight vap genes family (vapA, B, C, D, E, F, G e H), it is a practical an efficient method of conducting clinical and epidemiological studies on R. equi isolates. / O presente estudo tem por objetivo a caracterização molecular de isolados de Rhodococcus equi de eqüinos pela padronização de uma técnica de PCR multiplex para detecção dos genes da família vap (vapA, B, C, D, E, F, G e H). Foram analisadas 180 amostras de Rhodococcus equi de diferentes origens: fezes (112), solo (12) instalações (23) e isolados clínicos (33). A técnica foi padronizada e confirmada pelo sequenciamento da cepa padrão de R. equi (ATCC 33701), e de uma amostra de paciente humano contendo o gene vapB. Trinta e dois (17,8%) foram positivos para vapA e carregavam no mínimo 4 genes vap associados. Os 147 isolados oriundos de fezes, instalações e sola não apresentavam genes vap. Trinta e dois (97.0%) dos isolados clinicos foram positivos na PCR multiplex e demonstraram seis padrões moleculares, 100% com vapA, vapD and vapG, 86.6% vapF, 76,6% vapH, 43.3% vapC, 36.6% vapE e nenhum com vapB. O perfil molecular mais freqüente foi vap A, D, F, G eH presente em 37.5% das cepas. foram obtidos, sendo que os genes vapA, vapD e vapG estavam presentes em todas as amostras. Não foi obtido nenhum padrão molecular para cada propriedade estudada. Esta nova técnica constitui-se um método prático e eficaz para condução de estudos clínicos e epidemiológicos, bem como, por relevar os aspectos moleculares da infecção.

Rhodococcus equi (R.equi), uma bactéria gram-positiva intracelular facultativa, é uma causa importante de pneumonia em potros com idade entre 3 semanas e 5 meses. A manifestação clinica mais comum da doença é a broncopneumonia piogranulomatosa com abscedação. Na pneumonia causada por R. equi os primeiros sinais clínicos podem não ser aparentes até que as alterações patológicas estejam bastante avançadas, por esse motivo, o diagnóstico precoce e acurado de potros com pneumonia por R. equi se torna fundamental. O diagnóstico definitivo baseia-se na detecção de R. equi na cultura bacteriológica e identificação molecular a partir da amostra de lavado traqueal; no entanto, essa técnica é invasiva, traz riscos para o animal e é relativamente cara. A ultrassonografia (US) para detecção precoce tem se tornado uma pratica de rotina em muitas fazendas endêmicas para rodococose equina. Com o advento dessa prática de triagem, a forma mais identificada de pneumonia por R. equi tem sido a subclínica, onde os animais apresentam presença de alterações pulmonares mas não apresentam sinais clínicos da doença. Atualmente, vapA é o gene com função demonstrada na virulência. Identificação de R. equi por Reação em Cadeia da Polimerase (PCR) em amostras de fezes tem se mostrado efetivo para o reconhecimento precoce do agente. Ultrassonografia torácica e PCR das amostras de fezes e swab nasal foram realizadas em 22 potros desde as 3 até as 16 semanas de idade (intervalos de 15 dias) de 3 fazendas endêmicas de criação de cavalos no sul do Brasil para identificar a ocorrência de doença subclínica. A associação entre a ultrassonografia torácica e PCR das amostras de fezes possibilitaram a detecção de doença subclínica e identificação de pontos críticos de controle dessa doença. Considerando o fato de que 95.4% dos potros apresentaram doença subclínica e que nenhum deles desenvolveu a doença clínica demonstra que o tratamento desses casos não é justificável para a população analisada. / Rhodococcus equi, a gram-positive facultative intracellular pathogen, is an important cause of pneumonia in foals between 3 weeks and 5 months of age. Pneumonia caused by R. equi is an insidious disease in which clinical signs may not be apparent until pathologic changes are well progressed. Because of the insidious progression of infection to severe clinical signs, early and accurate diagnosis of foals with R. equi pneumonia is important. Definitive diagnosis is based on R. equi detection by bacterial culture and molecular identification from tracheobronchial aspirate (TBA), this procedure is invasive, labor-intensive, requires skill, carries risks to foals, and is relatively expensive. The sequential thoracic ultrasonography (TUS) to early detection of the disease has been adopted as a screening method in many endemic farms; for this reason, subclinical disease has been the most frequently observed form. Nowadays, vapA is the only virulent gene identified. Fecal polymerase chain reaction (PCR) is a noninvasive technique with good diagnostic accuracy. Thoracic ultrasound screening (TUS) and PCR from fecal and nasal swab samples were performed in 22 foals from 3 to 16 weeks of age from 3 endemic farms at south of Brazil to identify the occurrence of R. equi subclinical disease. The association of TUS and fecal PCR detection of virulent R. equi provided a possibility of identification of critical points in disease control. Considering the fact that 95.4% of the foals showed evidence of subclinical disease and none of them developed any signs of clinical disease, the antibiotic treatment was not reasonable for the foals followed.

O Rhodococcus equi é uma das principais causas de pneumonia piogranulomatosa e linfadenite em potros de 1-6 meses de idade, resultando em alta morbidade e muitas vezes em óbito. Em propriedades endêmicas, a enfermidade é responsável por gerar altos custos para tratar e prevenir a doença. Com o objetivo de propor uma alternativa para o controle ambiental do Rhodococcus equi, foi aplicado um protocolo para isolamento de bacteriófagos. Foram isoladas 14 amostras de bacteriófagos, obtidas do ambiente de criação de cavalos. Estas apresentaram capacidade de lisar in vitro amostras de campo de Rhodococcus equi com diferentes intensidades. O resultado obtido nos possibilita sugerir que os fagos podem ser uma alternativa natural para a redução da bactéria no ambiente. / Rhodococcus equi is an important cause of pyogranulomatus pneumonia and lymphadenitis in foals 1-6 months of age, resulting in high morbidity and often mortality. In endemic properties, the disease is responsible for generating high costs to treat and prevent disease. In order to propose an alternative to the environmental control of Rhodococcus equi, a protocol for isolation of bacteriophages was applied. Fourteen bacteriophage samples were isolated obtained from horse breeding environment. They showed capacity to lyse in vitro Rhodococcus equi field samples with different sensitivities. The results obtained allows us to suggest the phage as a natural alternative to reducing R. equi population.

Conselho Nacional de Desenvolvimento Científico e Tecnológico / Horse breeding industry is an activity in ascension worldwide, and is responsible for generating jobs and income. In Brazil, especially in Rio Grande do Sul state, there are several horse breeding farms with high-standard equines. Although these herds are under strict sanitary control, the occurrence of respiratory diseases is an important cause of mortality in foals and reduced athletic performance. Among the respiratory diseases, equine rhodococcosis, caused by the bacterium Rhodococcus equi, is the major cause of pneumonia in foals. Rhodococcus equi is worldwide distributed, and have emerged as an important cause of economic losses due to pneumonia in young animals. However, preventive measures and effective control of the disease are still challenges to be reached. In R. equi infection, iron (Fe) is classified as an essential element not only for the bacterium multiplication, but also as a key for the expression of virulence factors. Studies have shown the presence of specific Fe uptake mechanisms in R. equi, which have been determining its survival in both saprophytic and pathogenic life styles. However, as a type of nutritional immunity, mammals, including horses, reduce the plasmatic concentration of Fe through its binding in proteins, including the transferrin (Tf). In this context, the present thesis was developed to study aspects related to metabolism and acquisition of Fe by R. equi and Fe importance in the pathogenesis of equine rhodococcosis (manuscript 1), control and treatment of infections caused by R. equi through drugs with capability to reduce the availability of intracellular Fe (manuscript 2), and genetic susceptibility to R. equi pneumonia (manuscript 3), including the assessment of polymorphisms in the equine Tf gene as risk factors related to susceptibility and/or resistance to equine rhodococcosis (manuscript 4 ). We conclude that R. equi is evolving to specialize it in the acquisition and utilization of Fe from the host, skills that should be considered as key points for the development of chemotherapeutic agents. Once R. equi encodes redundant mechanisms of acquisition and utilization of Fe, it is likely that chemotherapeutic agents will need act on multiple cellular mechanisms or be used in combination. Furthermore, the term "nutritional immunity" may be considered an important strategy to minimize antimicrobial resistance observed in R. equi. As an example of chemotherapy associated with iron metabolism, we observed that chloroquine inhibits the intracellular multiplication of R. equi, most likely due to intracellular iron deprivation. However, further studies are necessary to evaluate the chloroquine therapeutic potential against R. equi infections. We also observed important chromosomal regions positively associated with R. equi pneumonia, which seem to possess genes associated with immune response against intracellular pathogens. This observation allows us to classify the equine rhodococcosis as a disease of polygenic basis, as postulated by previous studies. Finally, we found that polymorphisms in the Tf gene, including some not described yet in the literature, occur in Brazilian Sport Horses and Brazilian Thoroughbred Horses. There is the occurrence of two alleles between the breeds studied, including heterozygosis for these alleles. We believe that there is a relationship between equine Tf variants, and genetic susceptibility to R. equi pneumonia in the breeds evaluated. Summarizing, we have demonstrated that the modulation of Fe availability may be a useful approach to control the disease. / A equideocultura é uma atividade em ascensão mundial, responsável pela geração de empregos e renda. No Brasil, em especial no Rio Grande do Sul, encontram-se diversos locais de criação de equinos de alto padrão zootécnico. Embora estes rebanhos estejam sob rigoroso controle sanitário, a ocorrência de doenças respiratórias é causa importante de mortalidade em potros e redução de seu desempenho atlético. Dentre as doenças respiratórias, a rodococose equina, causada pela bactéria Rhodococcus equi, é a principal causa de pneumonia nesta categoria animal. R. equi está distribuído mundialmente, e cresce como causa de perdas econômicas devido à pneumonia observada em animais jovens. No entanto, medidas preventivas e efetivo controle da enfermidade são ainda desafios a serem alcançados. Na infecção por R. equi, o ferro (Fe) apresenta-se como um elemento fundamental não somente para multiplicação da bactéria, mas também, como um determinante para a expressão de fatores de virulência. Estudos têm demonstrado a presença de mecanismos específicos de captação de Fe em R. equi, os quais determinam sua sobrevivência tanto durante seu estilo de vida saprófito quanto patogênico. Em contrapartida, como uma forma de imunidade nutricional, mamíferos, entre eles os equinos, diminuem a concentração plasmática de Fe através de sua ligação em proteínas, entre elas, a transferrina (Tf). Neste contexto, esta tese foi elaborada visando contemplar aspectos relacionados ao metabolismo e aquisição de Fe por R. equi e sua importância para patogenia da rodococose equina (manuscrito 1), controle e tratamento de infecções por R. equi através de drogas com capacidade de modular a disponibilidade de Fe intracelular (manuscrito 2), e susceptibilidade genética à pneumonia por R. equi (manuscrito 3), incluindo a avaliação de polimorfismos no gene da Tf equina como fatores de risco relacionados à susceptibilidade e/ou resistência genética à rodococose equina (manuscrito 4). Concluímos que R. equi está evoluindo de forma a especializar-se na aquisição e utilização de Fe a partir do hospedeiro, habilidades que devem ser consideradas como pontos chave no desenvolvimento de agentes quimioterápicos. Uma vez que R. equi codifica redundantes mecanismos de aquisição e utilização de Fe, é provável que agentes quimioterápicos deverão inibir múltiplos mecanismos ou ser utilizados em combinação. Além disso, o conceito de imunidade nutricional pode considerado uma importante estratégia para minimizar a resistência antimicrobiana observada em R. equi. Como um exemplo de quimioterápicos associados ao metabolismo de Fe, observados que chloroquine inibir a multiplicação intracelular de R. equi, muito provavelmente devido à deprivação de Fe intracelular. No entanto, ainda são necessários estudos avaliando o potencial terapêutico de chloroquine como tratamento alternativo de infecções por R. equi. Observou-se, também, importantes regiões cromossômicas positivamente associadas à pneumonia por R. equi, as quais parecem possuir genes associados à resposta imune contra patógenos intracelulares. Esta observação nos permite classificar a rodococose equina como uma enfermidade de base poligênica, como postulado por estudos anteriores. Por fim, verificamos que polimorfismos no gene da Tf, inclusive polimorfismos ainda não descritos na literatura, ocorrem em equinos das raças Brasileiro de Hipismo e Puro Sangue de Corrida, criados no Brasil. Existe a ocorrência de dois alelos entre as raças estudas, incluindo animais heterozigotos para estes alelos. Acredita-se que exista uma relação entre variantes de Tf equina e susceptibilidade genética à pneumonia por R. equi nas raças analisadas. Em suma, demonstrou-se através de diferentes estudos que a modulação da disponibilidade de Fe pode ser uma forma de controle da rodococose equina.

Made available in DSpace on 2014-08-20T14:37:55Z (GMT). No. of bitstreams: 1 dissertacao_leandro_ribas.pdf: 533423 bytes, checksum: 051e6999778a1a91a3b217f25f75e25b (MD5) Previous issue date: 2008-03-10 / The present study has the objective to evaluate the epidemiologic factors related to respiratory diseases in thoroughbred foals placed in four stud farms around the city of Bagé/RS region, Brazil. Apart from the collection of data linked to breeding management practices, the evaluations consisted of the diary clinical control and complementary examinations for diagnosis using secretions collected from the respiratory tract of the foals affected with respiratory diseases. Among the 349 monitored foals until their 180 days of life, the incidence of 9,5% (33) of respiratory cases with 0,57% (2) of mortality was recorded. The concentration of cases was higher in months of summer, the 120 and 180 days old foals were more susceptible. The occurrence of the diseases was influenced by the breeding system and management practices that increased the environmental contamination potential, and also by the contact among the foals. No clinic case was related to the equine influenza virus (EIV) and to the equine herpesvirus (EHV) pathogens. Among the isolated pathogens, the highest frequency was for Streptococcus equi (57%), followed by Rhodococcus equi (17%) and this one was responsible for 50% of lethality. The obtained results suggest that connected factors to the management in the breeding of thoroughbred equine are going to contribute decisively for the manifestation of the respiratory disease and alert for the high morbidity caused by the equine adenitis and the high lethality related to Rhodococcus equi pathogens. / O presente estudo teve por objetivo avaliar fatores epidemiológicos associados com doenças respiratórias em potros Puro Sangue Inglês (PSI) alojados em 4 propriedades na região da cidade de Bagé-RS, Brasil. Além da coleta de dados ligados ao manejo de criação, as avaliações consistiram no monitoramento clínico diário e exames complementares de diagnóstico a partir de secreções colhidas do trato respiratório de potros com enfermidade respiratória. Entre os 349 potros monitorados até os 180 dias de vida, pôde-se registrar a incidência de 9,5% (33) de casos respiratórios, com mortalidade de 0,57% (2). A concentração de casos foi mais elevada nos meses de verão e potros com idade entre 120 e 180 dias foram mais suscetíveis. A ocorrência de doenças foi influenciada pelo sistema de criação e práticas de manejo que aumentaram o potencial de contaminação do ambiente e o contato entre potros. Nenhum caso clínico foi relacionado ao vírus da influenza (EIV) e ao herpesvírus eqüino (EHV). Entre os isolados, a maior freqüência foi de Streptococcus equi (57%), seguido do Rhodococcus equi (17%), este responsável pela letalidade de 50%. Os resultados sugerem que fatores ligados ao manejo na criação de eqüinos PSI parecem contribuir decisivamente para a manifestação da doença respiratória e alertam para a elevada morbidade causada pela adenite eqüina e a alta letalidade associada à rodococose entre potros jovens (>180 dias).

Rhodococcus equi (R. equi) is one of the most serious causes of pneumonia in young foals. The clinical disease is of great concern to breeding farms worldwide due to the impact of mortality on economic losses. While adult horses are resistant to R. equi, foals exhibit a distinct age-associated susceptibility. The mechanism underlying this susceptibility in foals is not well understood. Interferon-gamma (IFNg) plays an important role in the clearance of R. equi, but its expression is impaired in neonatal foals. Moreover, the regulation of this age-related IFNg expression in foals remains unknown. In humans, IFNg expression has been shown to be regulated by DNA methylation, lymphoproliferation, and influenced by environmental exposure. Therefore, we hypothesized that environmental exposure promotes IFNg expression through regulation of DNA methylation and lymphoproliferation. The objectives were: (1) to estimate the relevance of IFN-g production and R. equi infection in foals; (2) investigate the role of lymphoproliferation and DNA methylation in the regulation of IFN-g expression in foals; (3) to evaluate the effect of environmental exposure on IFN-g expression by housing foals in a barn environment verses pasture.; (4) to investigate the effect of environment exposure on antigen-presenting cells (APC), which sensor the environmental antigens and modulate IFN-g production by T cells. The results demonstrated that the IFN-g expression was inversely correlated with the age-related susceptibility to R. equi infection. lymphoproliferation promoted IFN-g expression in foals, whereas, DNA methylation repressed IFN-g expression. The IFN-g expression was augmented in foals exposed to the barn air which contained higher numbers of aerosol miroorganisms. DNA on the IFN-g promoter was demethylated and the lymphoproliferative activity was elevated in foals with barn-air exposure. The barn-air exposure also promoted the maturation and activation of APC to prime IFN-g expression by T cells in foals. Overall, this body of work demenstrated a relationship between IFN-g expression and R. equi infection, provided novel information on mechanisms that regulate IFN-g expression, and identified the effect of environment on mechanisms responsible for IFN-g expression.

Orientador: Marcio Garcia Ribeiro / Banca: José Paes de Almeida Nogueira Pinto / Banca: Rogerio Giuffrida / Resumo: A rodococose suína compreende doença infecciosa caracterizada por linfadenites piogranulomatosas. Diferentes fatores de virulência são reconhecidos na patogenicidade de Rhodococcus equi. A estrutura da parede celular bacteriana, a viabilidade no interior de fagócitos e na ausência de ferro, a produção de citotoxinas, a resistência aos antimicrobianos convencionais e, recentemente, a presença de proteínas associadas à virulência (Vap) reguladas por plasmídios, são considerados os principais mecanismos de virulência do microrganismo. Diferentes fatores de virulência foram avaliados em 23 (6,1%) linhagens de R. equi isoladas de 378 linfonodos submandibulares e mesentéricos de suínos e javalis (Sus scrofa). Foram realizados exames microbiológicos em 129 linfonodos apresentando lesões (linfadenite) e 129 sem lesões (controle) de suínos, e 60 linfonodos com lesões e 60 sem lesões de javalis. Dentre as 23 linhagens de R. equi, 19 (7,4%) foram isoladas de suínos, das quais 17 obtidas de linfonodos com lesões e duas sem lesões. Das 19 linhagens de suínos, 18 (94,7%) foram obtidos de linfonodos submandibulares e um (5,3%) de mesentérico. As quatro (3.3%) linhagens de R. equi isoladas de javalis foram obtidas exclusivamente de linfonodos com lesões. Destes, três foram obtidos de linfonodos submandibulares e um de mesentérico. Dentre nove antimicrobianos testados, azitromicina (100,0%), gentamicina (100,0%), levofloxacina (100,0%), vancomicina (100,0%), amoxicillina/ácido clavulânico (94,7%), eritromicina (94,7%) e rifampicina (94,7%) foram os fármacos mais efetivos. Baixa ocorrência de resistência aos antimicrobianos nos isolados de suínos foi observada contra os fármacos testados. A concentração inibitória mínima (MIC90) da azitromicina, eritromicina e rifampicina foi observada, respectivamente, em ≤2 µg/mL, ≤0,5 µg/mL and ≤1 µg/mL... (resumo completo, clicar acesso eletrônico abaixo) / Abstract: The rhodococcosis in swine comprise an infectious disease characterized by pyogranulomatous lymphadenitis. Different virulence factors are recognized in pathogenicity of the Rhodococcus equi. The structure of bacterial cell wall, the viability inside of phagocytes and in absence of iron, the production of cytotoxins, the resistance to conventional antimicrobials and recently, the presence of proteins associated to virulence (Vap) regulated by plasmids, are considered the most important virulence mechanisms of microorganism. Different virulence factors were evaluated in 23 (6.1%) R. equi strains isolated from 378 submandibular and mesenteric lymph nodes of swine and wild boars (Sus scrofa). Microbiological exams were performed in 129 lymph nodes presenting lesions (lymphadenitis) and 129 without lesions (controls) from swine, and 60 lymph nodes with lesions and 60 without lesions from wild boars. Among 23 R. equi strains, 19 (7.4%) were isolated from swine and, from these, 17 were obtained from lymph nodes with lesions and two without lesions. From 19 strains isolated from swine, 18 (94.7%) were obtained of submandibular lymph nodes and one (5.3%) from mesenteric. The four (3.3%) R. equi strains isolated from wild boars were obtained exclusively of lymph nodes presenting lesions. From these, three were obtained from submandibular lymph nodes and one of mesenteric. Among nine antimicrobials tested, azithromycin (100.0%), gentamicin (100.0%), levofloxacin (100.0%), vancomycin (100.0%), amoxicillin/clavulanic acid (94.7%), erythromycin (94.7%) and rifampin (94.7%) were the most-effective drugs. Low rates of resistance to antimicrobials in swine isolates were observed against drugs tested. The inhibitory minimal concentration of 90% of isolates (MIC90) with use of azithromycin, erythromycin and rifampin were observed respectively in 2 μg/mL, 0.5 μg/mL and 1 μg /mL... (Complete abstract click electronic access below) / Mestre

<i>Rhodococcus equi</i> (<i>R. equi</i>) is an intracellular, gram-positive coccobacillus that causes pneumonia in foals aged 2 to 4 months. Neonatal foals are susceptible to <i>R. equi</i> infection probably due to inefficient Toll-like receptor (TLR)-2 signaling and inability to produce interferon gamma. One of the reasons for inefficient receptor signaling and recognition of <i>R. equi</i> by the foals immune system may be the inefficient sequestration of TLRs in lipid rafts, which act as signaling platforms. However, there are no protocols to isolate lipid rafts from equine cells and, therefore, no data on the association of TLRs with the lipid rafts in the lung cells of normal and infected foals. Because of the clinical importance of the disease, there is considerable interest in developing effective prophylactic methods, which in turn requires a better understanding of fundamental immunology of the foals. In this study, I have examined the effect of <i>R. equi</i> vaccination on the lung inflammation induced following challenge with <i>R. equi</i>. I also developed a protocol to isolate lipid rafts from broncho-alveolar lavage (BAL) cells and investigated the association of lipid rafts with TLRs.<p> In the first study, 15 mixed breed draft-type foals up to 7 weeks of age were studied. The foals were divided into control (n=7) and a vaccinated (n=8). The control foals were given 10 mL phosphate buffered saline intramuscularly while the vaccinated group was vaccinated on day 0 of the study followed by a booster on day 14. All the foals were challenged with <i>R. equi</i> (5x106 cells/mL into the dorso-caudal region of the right lung lobe). BAL was performed on day 14, 28 and 35 and all the foals were euthanized on day 49 of the study.<p> The study design did not leave any non-infected foal at the end of the experiment. Therefore, lung samples were obtained from two untreated control (non-vaccinated non-infected) foals from the Department of Veterinary Pathology, University of Saskatchewan were used. The data showed similar levels of lung inflammation in both the control and vaccinated foal groups based on BAL cytology, gross pathology and histopathology. Gross and histopathological studies indicated that both control and vaccinated foals developed granulomatous lesions. Immunohistology showed increased expression of TLR4, TLR2 and TNF alpha in alveolar septa and in some cases in the vascular endothelium and airway epithelium in the lungs of both groups compared to the untreated control foals. Western blots showed increased expression of TLR2 but not TLR4 in the lung extracts from both the vaccinated and the control foals. Vaccinated foals showed higher concentrations of TNF alpha(p=0.0219) in their BAL on day 28 but lower concentrations of IL-10 (p=0.0172) in their lung extracts collected on day 49 compared to the controls. There were no differences in IFN gamma and protein concentrations between the two groups.<p> To understand the role of lipid rafts in TLR4 and TLR2 signaling, I developed an efficient and simpler protocol to isolate lipid rafts from BAL cells of foals and confirmed their identity by localizing Flotillin-1 and GM-1 (fractions 6-9), which are lipid raft markers, and transferrin receptor (fractions 1-4) which is present in non-lipid raft fractions. Lung macrophages from naïve foals lacked sequestration of Flotillin-1 and GM-1 in the higher fractions compared to the vaccinated foals. Further, the data showed that while TLR4 and TLR2 were localized in most of the fractions (1-9) in control foal BAL collected on day 14 and 28, the TLR4 and TLR2 association was restricted to fractions 6-9 in the lipid rafts isolated from BAL cells of vaccinated foals. These data suggest that BAL cells of neonatal foals may not have effective signaling machinery because of lack of association of TLR2 and TLR4 with lipid rafts.<p> Taken together, the data show similar levels of lung inflammation in the control and vaccinated foals upon infection with <i>R. equi</i>. The vaccination, however, appeared to have some effect on the immunohistologic expression of TLR2, TLR4 and TNFalpha in the lung tissues, and increased association of TLR2 and TLR4 with the lipid raft fractions. Based on the higher expression of TNF alpha and lower expression of IL-10, the vaccinated foals may be more competent to mount an immune response against <i>R. equi</i>.

<i>Rhodococcus equi</i> (<i>R. equi</i>) is an intracellular, gram-positive coccobacillus that causes pneumonia in foals aged 2 to 4 months. Neonatal foals are susceptible to <i>R. equi</i> infection probably due to inefficient Toll-like receptor (TLR)-2 signaling and inability to produce interferon gamma. One of the reasons for inefficient receptor signaling and recognition of <i>R. equi</i> by the foals immune system may be the inefficient sequestration of TLRs in lipid rafts, which act as signaling platforms. However, there are no protocols to isolate lipid rafts from equine cells and, therefore, no data on the association of TLRs with the lipid rafts in the lung cells of normal and infected foals. Because of the clinical importance of the disease, there is considerable interest in developing effective prophylactic methods, which in turn requires a better understanding of fundamental immunology of the foals. In this study, I have examined the effect of <i>R. equi</i> vaccination on the lung inflammation induced following challenge with <i>R. equi</i>. I also developed a protocol to isolate lipid rafts from broncho-alveolar lavage (BAL) cells and investigated the association of lipid rafts with TLRs.<p> In the first study, 15 mixed breed draft-type foals up to 7 weeks of age were studied. The foals were divided into control (n=7) and a vaccinated (n=8). The control foals were given 10 mL phosphate buffered saline intramuscularly while the vaccinated group was vaccinated on day 0 of the study followed by a booster on day 14. All the foals were challenged with <i>R. equi</i> (5x106 cells/mL into the dorso-caudal region of the right lung lobe). BAL was performed on day 14, 28 and 35 and all the foals were euthanized on day 49 of the study.<p> The study design did not leave any non-infected foal at the end of the experiment. Therefore, lung samples were obtained from two untreated control (non-vaccinated non-infected) foals from the Department of Veterinary Pathology, University of Saskatchewan were used. The data showed similar levels of lung inflammation in both the control and vaccinated foal groups based on BAL cytology, gross pathology and histopathology. Gross and histopathological studies indicated that both control and vaccinated foals developed granulomatous lesions. Immunohistology showed increased expression of TLR4, TLR2 and TNF alpha in alveolar septa and in some cases in the vascular endothelium and airway epithelium in the lungs of both groups compared to the untreated control foals. Western blots showed increased expression of TLR2 but not TLR4 in the lung extracts from both the vaccinated and the control foals. Vaccinated foals showed higher concentrations of TNF alpha(p=0.0219) in their BAL on day 28 but lower concentrations of IL-10 (p=0.0172) in their lung extracts collected on day 49 compared to the controls. There were no differences in IFN gamma and protein concentrations between the two groups.<p> To understand the role of lipid rafts in TLR4 and TLR2 signaling, I developed an efficient and simpler protocol to isolate lipid rafts from BAL cells of foals and confirmed their identity by localizing Flotillin-1 and GM-1 (fractions 6-9), which are lipid raft markers, and transferrin receptor (fractions 1-4) which is present in non-lipid raft fractions. Lung macrophages from naïve foals lacked sequestration of Flotillin-1 and GM-1 in the higher fractions compared to the vaccinated foals. Further, the data showed that while TLR4 and TLR2 were localized in most of the fractions (1-9) in control foal BAL collected on day 14 and 28, the TLR4 and TLR2 association was restricted to fractions 6-9 in the lipid rafts isolated from BAL cells of vaccinated foals. These data suggest that BAL cells of neonatal foals may not have effective signaling machinery because of lack of association of TLR2 and TLR4 with lipid rafts.<p> Taken together, the data show similar levels of lung inflammation in the control and vaccinated foals upon infection with <i>R. equi</i>. The vaccination, however, appeared to have some effect on the immunohistologic expression of TLR2, TLR4 and TNFalpha in the lung tissues, and increased association of TLR2 and TLR4 with the lipid raft fractions. Based on the higher expression of TNF alpha and lower expression of IL-10, the vaccinated foals may be more competent to mount an immune response against <i>R. equi</i>.

Diss. (sammanfattning) Uppsala : Sveriges lantbruksuniv. / Härtill 5 uppsatser.