Moxifloxacin is considered to be a broad-spectrum fluoroquinolone due to its activity against both gram positive and gram negative bacteria. Importantly this agent is currently being evaluated in ongoing clinical trials in South Africa and South America as a treatment for Moxifloxacin is considered to be a broad-spectrum fluoroquinolone due to its activity against both gram positive and gram negative bacteria. Importantly this agent is currently being evaluated in ongoing clinical trials in South Africa and South America as a treatment for pulmonary tuberculosis, with the specific objective of decreasing the duration of chemotherapy. However, relatively little is known about the effects of moxifloxacin on host defenses, particularly innate protective mechanisms, involving neutrophils. The primary theme of the laboratory research presented in this dissertation was to investigate the role of moxifloxacin in modulating the host immune system, specifically neutrophil protective functions, as well as lymphocyte proliferation and cytokine production (IL-1, IL-2, IL-4, IL-5, IL-6, IL-7, IL-10, IL-12, IL13, IL-17, IFN-γ, GM-CSF, G-CSF, TNF-α, and MCP-1). The generation of reactive oxidants and elastase release by neutrophils activated with the chemoattractant, fMLP, or the phorbol ester, PMA, were assayed using luminol- and lucigenin-enhanced chemiluminescence (LECL) and colorimetric procedures, while alterations in cytosolic Ca2+ concentrations were monitored by radiometric (45Ca2+) procedures. Moxifloxacin (1-20 ㎍/ml) was found to have no significant priming or inhibitory effects on oxidant generation by human neutrophils activated with fMLP or PMA, while elastase release was increased at the highest concentrations of the antibiotic. The magnitude of efflux or store-operated Ca2+ influx was unaffected following activation of neutrophils with fMLP. Moxifloxacin at all concentrations tested, did not affect either lymphocyte proliferation or CD25 expression by PHA-activated mononuclear leukocytes (MNLs). Similarly, none of the cytokines measured were significantly affected by moxifloxacin, either in the absence or presence of PHA, compatible with a lack of effect of this agent on Th1 and Th2 lymphocytes. In conclusion, this study suggests that moxifloxacin, at therapeutic doses, does not affect the protective functions of human neutrophils and lymphocytes. / Dissertation (MSc (Medical Immunology))--University of Pretoria, 2007. / Immunology / unrestricted

Espécies do gênero Paracoccidioides spp são fungos patogênicos, termodimórficos, agentes etiológicos de doença endêmica em diversas regiões da América Latina. O indivíduo infectado desenvolve uma resposta específica que, quando associada à alta produção de TNF-? e IFN-?, favorece a resistência ao fungo. Componentes de alguns fungos patogênicos foram caracterizados, por técnicas de knockdown gênico, como importantes para a virulência fúngica. Nosso grupo identificou paracoccina (PCN) como um componente de leveduras de P. brasiliensis; trata-se de uma proteína com um domínio enzimático, dotado de atividade quitinase e um domínio lectínico, ligante de GlcNAc. PCN é dotada das seguintes propriedades: (a) contribui para o crescimento do fungo; (b) promove a adesão da levedura à matriz extracelular, por ligar-se à laminina; (c) interage com N-glicanas de TLR2 e TLR4 e promove ativação celular; (d) estimula macrófagos a produzirem mediadores pró-inflamatórios como IL- 12, TNF-? e NO; (e) promove a polarização M1 de macrófagos; (f) induz atividade fungicida em neutrófilos, bem como formação de NETs e supressão da apoptose, eventos que se mostraram dependentes da síntese de novo de proteínas pelos neutrófilos estimulados. Dada a relevância das atividades biológicas de PCN, promovemos recentemente o silenciamento do gene que codifica essa proteína, através de metodologia que usa RNA anti-sense e transformação mediada por Agrobacterium tumefaciens (ATMT). Uma vez PCN silenciada, a levedura perdeu a capacidade de fazer a transição para micélio e diminuiu a resistência à atividade fungicida de macrófagos. A infecção de camundongos com as cepas silenciadas, em comparação com as WT, causou doença de menor gravidade, com carga fúngica reduzida e baixa taxa de mortalidade. Essas observações sugerem de que PCN funcione como um fator de virulência em P. brasiliensis, que afeta a patogênese da infecção. Neste trabalho, ampliamos as ferramentas moleculares de manipulação do fungo e viabilizamos a superexpressão de PCN em leveduras de P. brasiliensis, tendo como objetivos estudar seu papel na virulência e na patogênese da infecção, bem como determinar os mecanismos responsáveis por tais atividades. A inoculação de leveduras que superexpressam PCN (ov-PCN) em camundongos causou doença pulmonar muito grave, em comparação à doença leve e moderada causada por leveduras silenciadas em PCN e leveduras WT, respectivamente. Nesse sentido, nossos esforços se dedicaram à busca dos mecanismos dos mecanismos através dos quais PCN influencia o curso da infecção experimental. Na tentativa de identificar o papel exercido pelo domínio quitinase da PCN, coletamos o sobrenadante de culturas de leveduras ov-PCN e WT. Partículas de quitina presentes nesses sobrenadantes foram purificadas por afinidade à lectina WGA (wheat germ agglutinin). Através de medida da área das partículas capturadas, através de microscopia eletrônica e aplicação do programa ImageJ, verificamos que a superexpressão de PCN resultou em clivagem mais eficiente da quitina da parede de leveduras, uma vez que apenas partículas muito pequenas (mediana das medidas = 2 nm2) foram detectadas, enquanto as áreas das partículas de quitina obtidas de leveduras selvagens (WT) forneceram mediana 3 vezes maior (6 nm2). As partículas de quitina foram então utilizadas para estimular macrófagos a produzirem citocinas. As obtidas de ov-PCN estimularam preponderantemente a secreção da citocina antiinflamatória IL-10, enquanto os macrófagos estimulados com partículas de leveduras WT produziram mais TNF-? e IL-1?, ambas de efeito pró-inflamatório. Esses resultados permitiram a identificação de um mecanismo importante para que a superexpressão de PCN se associe à ocorrência de doença pulmonar muito grave: o microambiente anti-inflamatório criado pelo estímulo de macrófagos por PCN leva ao desenvolvimento de resposta imune não protetora do tipo Th2 e lesões mais graves. Um segundo mecanismo foi identificado ao compararmos a resistência de leveduras ov-PCN e WT às respostas efetoras de macrófagos. A superexpressão de PCN associou-se à maior internalização das leveduras e maior resistência à atividade fungicida exercida por macrófagos. O estudo demonstra que diferentes níveis da expressão de uma quitinase (como PCN) levam à resistência a atividades antifúngicas de macrófagos e a diferentes graus de clivagem de quitina. A clivagem, por sua vez, pode alterar a estrutura da parede celular fúngica e a geração de fragmentos de quitina, cujos tamanhos e concentrações influenciam a produção de citocinas pelos macrófagos. Sob a ação de citocinas pró- ou antiinflamatórias liberadas pelos macrófagos e, consequentemente, a montagem de respostas adaptativas pode ser decisiva para haver suscetibilidade ou resistência à infecção por P. brasiliensis. Este trabalho proporciona um importante avanço no conhecimento do papel de quitinases na resposta anti-fúngica do hospedeiro. / Species of the genus Paracoccidioides spp are thermodymorphic fungi that cause a systemic disease, which is endemic in several regions of the Latin America. The infected individual develops a specific response that, when associated with the high production of TNF-? and IFN- ?, favors resistance to the fungus. Components of some pathogenic fungi were characterized by gene knockdown techniques as important the for fungal virulence. Our group has identified a component of P. brasiliensis, named Paracoccin (PCN); it is a bifunctional protein with an enzymatic domain, endowed with chitinase activity and a lectin domain, which binds GlcNAc and chitin, a GlcNAc polymers. PCN has the following properties: (a) contributes to the fungus growth; (b) promotes the yeast adhesion to the extracellular matrix, by binding to laminina glycans; (c) interacts with TLR2 and TLR4 N-glycans, which triggers cell activation; (d) stimulates macrophages to produce proinflammatory mediators, such as IL-12, TNF-? and NO; (e) promotes the M1 polarization of macrophages; (f) induces the neutrophils fungicidal activity, NETs formation, and suppression of neutrophils apoptosis, which are depending events on the de novo protein synthesis by neutrophils. Given the relevant biological activities exerted by PCN, we have performed recently the silencing of the gene that codes for this protein through a system that uses RNA anti-sense and Agrobacterium tumefaciens mediated transformation (ATMT). Once having the PCN gene silenced, yeast lost the ability of doing the transition to mycelium and decreased its resistance to macrophages fungicidal activities. Mice infection with PCN-silenced yeasts, compared to the infected with WT yeasts, exhibited a milder pulmonary disease with reduced fungal burden and low mortality rate. These observations suggest that PCN acts as a P. brasiliensis virulence factor that affects the pathogenesis of the fungal infection. In the present study, we expanded the molecular tools for the fungus manipulation and enabled the overexpression of PCN in P. brasiliensis yeasts, aiming to elucidate the PCN role in the fungus virulence and the infection pathogenesis, as well as determining the responsible mechanisms for the PCN activities. Inoculation of the PCN overexpressing yeasts (ov-PCN) into mice caused a very severe lung disease, compared to the mild and moderate diseases caused by PCN-silenced and WT yeasts, respectively. Then our efforts became dedicated to the search of mechanisms through which PCN influences the course of the experimental fungal disease. In an attempt to identify the role of the PCN chitinase domain, we harvested the supernatant of the ov-PCN and WT yeasts cultures. Chitin particles contained in the supernatants have been captured by affinity to the immobilized WGA (wheat germ agglutinin) lectin. By measuring through electron microscopy and application of the ImageJ program the area of the isolated chitin particles, we verified that the overexpression of PCN resulted in a more efficient cleavage of whole chitin molecules contained in the yeast cell wall, since only very small particles (median of the measurements = 2 nm2) were detected, while the the chitin particles areas obtained from WT-yeasts provided a median 3 fold higher (6 nm2). Then, the preparations of chitin particles were taken to stimulate macrophages to produce cytokines. The particles obtained from ov-PCN have stimulated preponderantly the secretion of the anti-inflammatory cytokine IL-10, whereas the macrophages stimulated with WT yeast particles have produced higher concentrations of TNF-? and IL-1?, which are known proinflammatory cytokines. These results allowed the identification of an important mechanism for the association of PCN overexpression to the occurrence of very severe pulmonary disease: the anti-inflammatory microenvironment created by the macrophages stimulation with PCN leads to the development of a non-protective Th2-type immune response and the more severe pulmonary injury. A second mechanism was identified as implicated in the severity of the lung disease associated to PCN overexpression. We compared the sensitivity of ov-PCN and WT yeasts to macrophages effector functions. PCN overexpressing yeasts were better internalized by macrophages and more resistant to the fungicidal activity of these cells, events that contributes for the high pulmonary fungal load verified in mice infected with ov-PCN yeasts. The study demonstrates that different levels of a chitinase (PCN) expression and enzymatic activity lead yeasts to change their sensitivity to macrophages antifungal activities as well as to different grades of chitin cleavage. The cleavage, in its turn, leads to changes in the structure of the fungal cell wall and generation of chitin fragments, whose sizes and concentrations influence the cytokines production by macrophages. Under the influence of pro-inflammatory or anti-inflammatory cytokines released by macrophages, the mounted adaptative responses can be decisive in conferring susceptibility or resistance to the P. brasiliensis infection. This study provides an important advance in the knowledge on the role of a chitinase in the host antifungal response.

Espécies do gênero Paracoccidioides spp são fungos patogênicos, termodimórficos, agentes etiológicos de doença endêmica em diversas regiões da América Latina. O indivíduo infectado desenvolve uma resposta específica que, quando associada à alta produção de TNF-? e IFN-?, favorece a resistência ao fungo. Componentes de alguns fungos patogênicos foram caracterizados, por técnicas de knockdown gênico, como importantes para a virulência fúngica. Nosso grupo identificou paracoccina (PCN) como um componente de leveduras de P. brasiliensis; trata-se de uma proteína com um domínio enzimático, dotado de atividade quitinase e um domínio lectínico, ligante de GlcNAc. PCN é dotada das seguintes propriedades: (a) contribui para o crescimento do fungo; (b) promove a adesão da levedura à matriz extracelular, por ligar-se à laminina; (c) interage com N-glicanas de TLR2 e TLR4 e promove ativação celular; (d) estimula macrófagos a produzirem mediadores pró-inflamatórios como IL- 12, TNF-? e NO; (e) promove a polarização M1 de macrófagos; (f) induz atividade fungicida em neutrófilos, bem como formação de NETs e supressão da apoptose, eventos que se mostraram dependentes da síntese de novo de proteínas pelos neutrófilos estimulados. Dada a relevância das atividades biológicas de PCN, promovemos recentemente o silenciamento do gene que codifica essa proteína, através de metodologia que usa RNA anti-sense e transformação mediada por Agrobacterium tumefaciens (ATMT). Uma vez PCN silenciada, a levedura perdeu a capacidade de fazer a transição para micélio e diminuiu a resistência à atividade fungicida de macrófagos. A infecção de camundongos com as cepas silenciadas, em comparação com as WT, causou doença de menor gravidade, com carga fúngica reduzida e baixa taxa de mortalidade. Essas observações sugerem de que PCN funcione como um fator de virulência em P. brasiliensis, que afeta a patogênese da infecção. Neste trabalho, ampliamos as ferramentas moleculares de manipulação do fungo e viabilizamos a superexpressão de PCN em leveduras de P. brasiliensis, tendo como objetivos estudar seu papel na virulência e na patogênese da infecção, bem como determinar os mecanismos responsáveis por tais atividades. A inoculação de leveduras que superexpressam PCN (ov-PCN) em camundongos causou doença pulmonar muito grave, em comparação à doença leve e moderada causada por leveduras silenciadas em PCN e leveduras WT, respectivamente. Nesse sentido, nossos esforços se dedicaram à busca dos mecanismos dos mecanismos através dos quais PCN influencia o curso da infecção experimental. Na tentativa de identificar o papel exercido pelo domínio quitinase da PCN, coletamos o sobrenadante de culturas de leveduras ov-PCN e WT. Partículas de quitina presentes nesses sobrenadantes foram purificadas por afinidade à lectina WGA (wheat germ agglutinin). Através de medida da área das partículas capturadas, através de microscopia eletrônica e aplicação do programa ImageJ, verificamos que a superexpressão de PCN resultou em clivagem mais eficiente da quitina da parede de leveduras, uma vez que apenas partículas muito pequenas (mediana das medidas = 2 nm2) foram detectadas, enquanto as áreas das partículas de quitina obtidas de leveduras selvagens (WT) forneceram mediana 3 vezes maior (6 nm2). As partículas de quitina foram então utilizadas para estimular macrófagos a produzirem citocinas. As obtidas de ov-PCN estimularam preponderantemente a secreção da citocina antiinflamatória IL-10, enquanto os macrófagos estimulados com partículas de leveduras WT produziram mais TNF-? e IL-1?, ambas de efeito pró-inflamatório. Esses resultados permitiram a identificação de um mecanismo importante para que a superexpressão de PCN se associe à ocorrência de doença pulmonar muito grave: o microambiente anti-inflamatório criado pelo estímulo de macrófagos por PCN leva ao desenvolvimento de resposta imune não protetora do tipo Th2 e lesões mais graves. Um segundo mecanismo foi identificado ao compararmos a resistência de leveduras ov-PCN e WT às respostas efetoras de macrófagos. A superexpressão de PCN associou-se à maior internalização das leveduras e maior resistência à atividade fungicida exercida por macrófagos. O estudo demonstra que diferentes níveis da expressão de uma quitinase (como PCN) levam à resistência a atividades antifúngicas de macrófagos e a diferentes graus de clivagem de quitina. A clivagem, por sua vez, pode alterar a estrutura da parede celular fúngica e a geração de fragmentos de quitina, cujos tamanhos e concentrações influenciam a produção de citocinas pelos macrófagos. Sob a ação de citocinas pró- ou antiinflamatórias liberadas pelos macrófagos e, consequentemente, a montagem de respostas adaptativas pode ser decisiva para haver suscetibilidade ou resistência à infecção por P. brasiliensis. Este trabalho proporciona um importante avanço no conhecimento do papel de quitinases na resposta anti-fúngica do hospedeiro. / Species of the genus Paracoccidioides spp are thermodymorphic fungi that cause a systemic disease, which is endemic in several regions of the Latin America. The infected individual develops a specific response that, when associated with the high production of TNF-? and IFN- ?, favors resistance to the fungus. Components of some pathogenic fungi were characterized by gene knockdown techniques as important the for fungal virulence. Our group has identified a component of P. brasiliensis, named Paracoccin (PCN); it is a bifunctional protein with an enzymatic domain, endowed with chitinase activity and a lectin domain, which binds GlcNAc and chitin, a GlcNAc polymers. PCN has the following properties: (a) contributes to the fungus growth; (b) promotes the yeast adhesion to the extracellular matrix, by binding to laminina glycans; (c) interacts with TLR2 and TLR4 N-glycans, which triggers cell activation; (d) stimulates macrophages to produce proinflammatory mediators, such as IL-12, TNF-? and NO; (e) promotes the M1 polarization of macrophages; (f) induces the neutrophils fungicidal activity, NETs formation, and suppression of neutrophils apoptosis, which are depending events on the de novo protein synthesis by neutrophils. Given the relevant biological activities exerted by PCN, we have performed recently the silencing of the gene that codes for this protein through a system that uses RNA anti-sense and Agrobacterium tumefaciens mediated transformation (ATMT). Once having the PCN gene silenced, yeast lost the ability of doing the transition to mycelium and decreased its resistance to macrophages fungicidal activities. Mice infection with PCN-silenced yeasts, compared to the infected with WT yeasts, exhibited a milder pulmonary disease with reduced fungal burden and low mortality rate. These observations suggest that PCN acts as a P. brasiliensis virulence factor that affects the pathogenesis of the fungal infection. In the present study, we expanded the molecular tools for the fungus manipulation and enabled the overexpression of PCN in P. brasiliensis yeasts, aiming to elucidate the PCN role in the fungus virulence and the infection pathogenesis, as well as determining the responsible mechanisms for the PCN activities. Inoculation of the PCN overexpressing yeasts (ov-PCN) into mice caused a very severe lung disease, compared to the mild and moderate diseases caused by PCN-silenced and WT yeasts, respectively. Then our efforts became dedicated to the search of mechanisms through which PCN influences the course of the experimental fungal disease. In an attempt to identify the role of the PCN chitinase domain, we harvested the supernatant of the ov-PCN and WT yeasts cultures. Chitin particles contained in the supernatants have been captured by affinity to the immobilized WGA (wheat germ agglutinin) lectin. By measuring through electron microscopy and application of the ImageJ program the area of the isolated chitin particles, we verified that the overexpression of PCN resulted in a more efficient cleavage of whole chitin molecules contained in the yeast cell wall, since only very small particles (median of the measurements = 2 nm2) were detected, while the the chitin particles areas obtained from WT-yeasts provided a median 3 fold higher (6 nm2). Then, the preparations of chitin particles were taken to stimulate macrophages to produce cytokines. The particles obtained from ov-PCN have stimulated preponderantly the secretion of the anti-inflammatory cytokine IL-10, whereas the macrophages stimulated with WT yeast particles have produced higher concentrations of TNF-? and IL-1?, which are known proinflammatory cytokines. These results allowed the identification of an important mechanism for the association of PCN overexpression to the occurrence of very severe pulmonary disease: the anti-inflammatory microenvironment created by the macrophages stimulation with PCN leads to the development of a non-protective Th2-type immune response and the more severe pulmonary injury. A second mechanism was identified as implicated in the severity of the lung disease associated to PCN overexpression. We compared the sensitivity of ov-PCN and WT yeasts to macrophages effector functions. PCN overexpressing yeasts were better internalized by macrophages and more resistant to the fungicidal activity of these cells, events that contributes for the high pulmonary fungal load verified in mice infected with ov-PCN yeasts. The study demonstrates that different levels of a chitinase (PCN) expression and enzymatic activity lead yeasts to change their sensitivity to macrophages antifungal activities as well as to different grades of chitin cleavage. The cleavage, in its turn, leads to changes in the structure of the fungal cell wall and generation of chitin fragments, whose sizes and concentrations influence the cytokines production by macrophages. Under the influence of pro-inflammatory or anti-inflammatory cytokines released by macrophages, the mounted adaptative responses can be decisive in conferring susceptibility or resistance to the P. brasiliensis infection. This study provides an important advance in the knowledge on the role of a chitinase in the host antifungal response.

S. aureus sécrète de nombreux facteurs de virulence qui lui permettent de lutter efficacement contre le système immunitaire, afin de favoriser la dissémination de la bactérie dans l’organisme hôte. Parmi ces molécules, les leucotoxines ciblent principalement les cellules myéloïdes comme les neutrophiles, les macrophages ou encore les monocytes, et sont formées par deux sous-unités : une de classe S et une de classe F. La Leucodine de Panton et Valentine (LPV) et l’Hémolysine γ HlgC/HlgB sont deux leucotoxines dont le composant de classe S se fixe sur l’un des récepteurs du système du complément, le C5aR. Naturellement activé par l’anaphylatoxine C5a, le C5aR voit son activité modifiée lors d’une interaction avec la LPV ou HlgC/HlgB, tout du moins pour la libération du calcium intracellulaire. Ces deux leucotoxines, à l’instar du C5a, sont internalisées dans le neutrophile humain et utilisent le transport rétrograde pour atteindre l’appareil de Golgi. Elles peuvent rester dans la cellule jusqu’à 3h sans susciter la mort pour le neutrophile. Plus tard, à 6h, seule la LPV induit de l’apoptose et de la NETose. / S. aureus secretes many virulent factors which allow to efficiently fight the immune system, in a way to promote the bacterial spreading inside the host. Among these molecules, the leukotoxins target myeloid cells such as neutrophils, macrophages and monocytes, and are composed of two subunits: one of class S and one of class F. Panton and Valentine Leukocidin (PVL) and γ-Haemolysin HlgC/HlgB are two leukotoxins whose S-component binds to the C5aR, one of the complement system receptors. Naturally activated by the C5a anaphylatoxin, the activity of the C5aR is modified by the PVL and HlgC/HlgB interaction, for the intracellular calcium release. These two leukotoxins, as C5a, are internalised inside the human neutrophils and use the retrograde transport to reach the Golgi apparatus. These can rest inside the cells until 3h without neutrophil dead. Later, at 6h, only PVL induces apoptosis and NETosis.

La γ-hémolysine HlgC/HlgB et la leucocidine de Panton et Valentine (LPV) sont deux toxines formant des pores de la famille des leucotoxines bipartites (formées de deux sous-unités de classe S et F) sécrétées par S. aureus qui ciblent directement les polynucléaires neutrophiles humains (hPNNs) et qui augmentent le pouvoir pathogène de la bactérie. Ces leucotoxines sont également capables de cibler d’autres types cellulaires comme les neurones en grain du cervelet de rat et les DRG. D’abord, le composé de classe S de ces leucotoxines se fixe à un récepteur membranaire, le C5aR. Des substitutions en Alanine par mutagénèse dirigée ont permis la caractérisation d’un cluster d’acides aminés essentiels pour la fixation de LukS-PV à C5aR, localisé sur 2 boucles du domaine « Rim ». Puis, suite à la fixation de la sous-unité de classe F, HlgC/HlgB et la LPV semblent être internalisées, permettant une augmentation de la [Ca2+]i. Malgré les grandes similarités entre ces deux leucotoxines les sous-unités de classe F permettent à chaque leucotoxine d’activer des voies calciques différentes. Des dérivés du para-sulfonate-calix[4]arène ont un effet inhibiteur de ces toxines et pourraient montrer un potentiel à être utilisés comme auxiliaires aux antibiothérapies. / The γ-hemolysin HlgC/HlgB and the Panton and Valentine leukocidin (PVL) are two pore-forming toxins of the family of bicomponent leukotoxins secreted by S. aureus that directly target human neutrophils (hPNNs) and increase the pathogenicity of the bacteria. These leukotoxins also are capable of targeting other cell types such as rat cerebellar granular neurons and DRG. First, the compound of the class S binds to a membrane receptor, C5aR. Alanine-scanning mutagenesis allowed the characterization of a cluster of amino acids localized on two loops of the “Rim” domain essential for LukS-PV binding to C5aR. Then, after the class F subunit binding, HlgC/HlgB and PVL appear to be internalized, allowing an increase in [Ca2+]i. Despite the similarities between these two subunits, the class F component allows each leukotoxin to activate different pathways. Derivatives of para-sulfonato-calix[4]arene have an inhibitory effect on these toxins and may offer a potential to be used as auxiliary to antibiotherapy.