Thesis supervisor: Michael A. Apicella. Includes bibliographic references (p. 175-192).

Neste trabalho foi avaliado o potencial antigênico das vesículas de membrana externa, OMV, de N. meningitidis, das OMV e componetes protéicos selecionados de N. lactamica. Para tal foram realizados cultivos de ambas as espécies em biorreatores, ensaios de imunização em camundongos, análises de espectrometria de massas, e análises de tamanho das partículas, polidispersabilidade e potencial zeta. As análises da cinética de cultivos levaram a dados inéditos possibilitando uma nova discussão sobre o metabolismo e sobre a produtividade de OMV destas bactérias. N. lactamica obteve valores 5 vezes maiores de concentração máxima de OMV de 152 mg/L e 2,5 vezes maiores de produtividade de OMV de 0,32 g/L.h comparado aos obtidos para N. meningitidis nas mesmas condições de cultivo. OMV obtidas nos cultivos de ambas e componentes proteicos de N. lactamica foram utilizadas para imunizar camundongos com 3 doses subcutâneas. Ensaios de imunoblote e ELISA demonstraram que soros gerados contra as proteínas isoladas de N. lactamica foram reativos com proteínas de N. meningitidis, assim como o soro anti-OMV de N. lactamica que reagiu com 6 proteínas de N. meningitidis, as proteínas de membrana App, Omp85, PilQ, PorA, PorB, e ComL ou Opa/Opc. Análises de espectrometria de massas identificaram 229 proteínas na OMV de N. lactamica, sendo 77 proteínas de membrana e 243 proteínas de N. meningitidis, sendo 54 proteínas de membrana. Os resultados obtidos neste trabalho sugerem a possibilidade do uso das OMV de Neisseria lactamica como abordagem alternativa para o desenvolvimento de vacinas contra a doença meningocócica. / In these studies we evaluated the antigenic potential of outer membrane vesicles (OMV) from N. meningitidis, OMV from N. lactamica and proteic components from N. lactamica. Outer membrane vesicles were obtained from cultures of both species in bioreactors. Immunization tests were conducted in mice. Western-blotting and ELISA techniques were used to evaluate the cross-reactivity of murine sera against outer-membrane proteins from Neisseria meningitidis and Neisseria lactamica. Analysis of mass spectrometry and determination of particle size, polydispersity and zeta potential were also performed. Analysis of bacterial growth kinetics led to new data enabling a discussion about metabolism and OMV productivity. When both species were cultured in the same medium OMV concentration of N. lactamica (152 mg/L) is 5 times higher than that in N. meningitidis and OMV productivity of N. lactamica (0.32 g/L.h) is 2.5 times higher. Mice were vaccinated subcutaneously with 3 doses of OMV from both species and proteins from N. lactamica. These vaccines induced antibodies against N. meningitidis proteins. By mass spectrometry it was possible to identify these membrane proteins as App, Omp85, PilQ, PorA, PorB, and ComL or Opa/Opc. Mass spectrometry analyses also identified 229 proteins in N. lactamica OMV, with 77 predicted as membrane proteins and 243 in N. meningitidis OMV with 54 predicted as membrane proteins. Ours results suggested that OMV from Neisseria lactamica provides protection against N. meningitidis and could be used as an alternative approach for the development of a vaccine against meningococcal disease.

The studies reported herein indicate that, under the conditions commonly employed for cultivating Neisseria gonorrhoeae, colonial type T1 and T2 cultures of the organism dissociate to type T3 and T4 forms, and that this occurs both among populations of the organism grown in liquid media as well as in individual, well-isolated colonies grown on solid media.

Diss. (sammanfattning) Uppsala : Uppsala universitet, 2007. / Härtill 4 uppsatser.

Objectif : To determine the frequency and the nature of complications and sequelae of serogroup B and serogroup C meningococcal disease, during a recrudescence caused by a virulent clone of serogroup C, serotype 2a Neisseria meningitidis. To evaluate the quality of life of survivors. Methods. The study population included all cases of culture-proven serogroup B and C meningococcal disease reported in the province of Quebec, Canada, between 1 January 1990 and 31 December 1994. Complications and sequelae were assessed by review of medical files, postal questionnaires, and telephone interviews. Results. There were 167 cases of serogroup B and 304 cases of serogroup C infection. The largest number of cases was observed in the under 1 year age group for serogroup B and in the 10-19 year age group for serogroup C. Fatality rates were 7% for serogroup B and 14% for serogroup C. %). Only 3% of survivors of serogroup B cases had physical sequelae. 15% of survivors of serogroup C infection had one or more significant physical sequelae (skin scars 12%, amputations 5%, significant sensorineural hearing loss 2%, renal failure 1%, other sequelae 4%. Among cases without identified physical sequelae who completed the questionnaire, 19% reported a reduction in their quality of life attributable to the disease. Conclusions. These results confirm the gravity of disease caused by serogroup C, serotype 2a Neisseria meningitidis and support vaccination for control of outbreaks and epidemics of disease caused by this particular strain.

The disease gonorrhea has plagued mankind at least as long as written records have been kept (Black and Sparling, 1985). N. gonorrhoeae is still an important cause of suffering, infertility, and occasional mortality despite the fact that treatment with antibiotics is relatively easy and highly effective, even with the recent increase in penicillin-resistant isolates (Jephcott, 1986). The continued existence of this public health problem is partly the result of a reservoir of asymptomatic carriers within the community who normally don't seek treatment and continue their usual sexual practices (Handsfield, 1983; Kavli et al., 1984). Asymptomatic carriers do not have the purulent discharge characteristic of gonococcal urethritis and cervicitis in which the neutrophil is such a prominent element. Since IgM is present in only trace amounts on genital mucosa (Schumacher, 1973), and this is the "naturally occurring" antibody against gonococci (Rich and Kasper, 1982); it is not unreasonable to assume that non-opsonic chemotaxis and non-opsonic phagocytosis by PMN may play important roles in initiating the inflammatory response and symptomatology seen with gonorrhea. Further, non-opsonic phagocytic killing may be important in eventually clearing gonococcal infection since the role of specific humoral immunity is limited by the ability of gonococcus to constantly vary its antigenic facade (Zak et al., 1984). I have found that three different gonococcal strains express certain outer membrane proteins of the protein II (P.II) family which stimulate neutrophil phagocytic killing and oxidative metabolism in a highly efficient, dose-dependent manner. Other P.IIs expressed by two of the strains are non-stimulatory. Since all P.IIs have very similar physicochemical properties, these results suggest that a specific receptor-ligand interaction occurs between the gonococcal P.II and some element of the neutrophil plasma membrane. The presence or absence of pili on the gonococcal surface has no apparent effect on the ability of certain P.IIs to stimulate neutrophils. Changes in gonococcal outer membrane protein I and lipopolysaccharide, which are thought to confer serum resistance, also have no apparent effect on P.II stimulation of human PMN. Therefore, gonococcal outer membrane P.II may be an important mediator in the inflammatory response to gonococcal infection. Once gonococci are phagocytized by human PMN killing occurs rapidly and there is no evidence of significant intracellular survival. Non-oxidative killing by human chronic granulomatous disease neutrophils is as effective as the killing seen with normal PMN. Extracellular killing of gonococci does not occur to any appreciable extent.

No description available.

No description available.

Neisseria gonorrhoeae infections are of major concern in areas of low socioeconomic status in both developed and developing nations. N. gonorrhoeae colonizes the genital tract by adhering to mucosal tissues through a number of adhesins, including the colony opacity-associated (Opa) proteins. Despite the random phase-variable expression of Opa proteins, 95% of clinical isolates express Opa variants that bind to the carcinoembryonic antigen-related cellular adhesion molecule 1 (CEACAM1), suggesting an essential role in vivo. Interestingly, even though gonorrhea is characterized by an intense inflammatory response, the organism is capable of evading the adaptive immune response. In previous studies by the Gray-Owen group, it has been established that certain gonococcal Opa variants bind CEACAM1 expressed by CD4+ T helper lymphocytes and, thereby, reduce their activation and proliferation. Since T cells are essential in establishing immune memory, inhibition of T cell function could explain the deficit in immune memory following gonococcal infection. In this thesis, I describe my studies to elucidate how CEACAM1 inhibits T cell activation on a molecular level. In Chapter 2, I demonstrate that outer membrane vesicles (OMVs) naturally shed by OpaCEA-expressing Neisseria sp. effectively inhibit CD4+ T cell activation, implicating a role for OMVs during infection and establishing that the Opa proteins do not have to be expressed in the context of the bacterium in order to elicit an inhibitory effect. In Chapter 3, I describe early steps in the CEACAM1-dependent inhibitory signaling cascade elicited when N. gonorrhoeae binds to CD4+ T cells. Finally, in Chapter 4, I show that a dynamic monomer-dimer equilibrium controls CEACAM1 function in epithelial cells and lymphocytes. Combined, the results presented in this thesis allow the derivation of a model to explain how CEACAM1 controls CD4+ T cell function at a molecular level.

Meningokokken gehören zu den wichtigsten Erregern bakterieller Sepsis und Meningitis. Der Schweregrad des Krankheitsverlaufs bei Meningokokkenerkrankungen korreliert mit der Konzentration an proinflammatorischen Zytokinen im Serum. Dendritische Zellen (DZ) bilden die erste Abwehr am humanen Epithel des Nasopharynx, welches die Eingangspforte von Neisseria meningitidis darstellt und sind eine wichtige Quelle proinflammatorischer Zytokine. In dieser Arbeit konnte gezeigt werden, dass bekapselte Meningokokken-Stämme bei DZ signifikant weniger proinflammatorische Zytokine als isogene Kapsel-defiziente Stämme oder obligat unbekapselte Stämme induzieren. Dieser Effekt ist unabhängig von der chemischen Zusammensetzung der Kapsel, da aufgereinigtes Kapselpolysaccharid der Serogruppe B nicht den reduzierenden Effekt der Zytokininduktion beeinflusste. Darüber hinaus spielt die Kapsel-O-Acetylierung bei Serogruppe C, W-135 und Y nur eine untergeordnete Rolle bei der Erkennung von Meningokokken durch DZ. Microarray Versuche zum Transkriptionsprofil von DZ, die mit dem konstitutiv unbekapselten Trägerisolat alpha 14, dem bekapselten MC58 oder dem isogenen unbekapselten Stamm MC58siaD durchgeführt wurden, zeigten nach 4 h ein identisches Profil von proinflammatorischen Zytokinen. Nur der phagozytierte unbekapselten Stamm MC58siaD zeigte eine differentielle Regulation von weiteren Zytokinen. Jedoch glich sich das Profil nach 18 h Infektion durch alle drei Stämme an. Der Scavenger Rezeptor der Klasse A (SR-A) wurde als Hauptrezeptor identifiziert, der die Erkennung und Phagozytose von Meningokokken durch DZ initialisiert. Eine Assoziation phagozytierter Meningokokken mit SR-A konnte mittels Elektronenmikroskopie bestätigt werden. Nach Infektion von THP-1 Makrophagen mit bekapselten Serogruppe B und C Stämmen, den isogenen Kapsel-defizienten Stämmen und dem obligat unbekapselten Stamm alpha 14 wurde auf Transkriptionsebene keine differentielle Regulation der SR-A nachgewiesen. Lediglich eine minimale Hochregulation des SR-A auf der zellulären Oberfläche konnte nach einer Stunde Infektion verzeichnet werden. Nach Infektion von DZ oder THP-1 Makrophagen mit MC58siaD kommt es zur Dephosphorylierung des SR-A. Unter Verwendung von globalen Phagozytose-Inhibitoren konnte gezeigt werden, dass für die maximale Induktion der proinflammatorischen Zytokine TNF-alpha, IL-6 und IL-1 Phagozytose von N. meningitidis benötigen wird, dies ist jedoch für die IL 8 Produktion nicht notwendig. Außerdem konnte gezeigt werden, dass mit dem spezifischen SR-A Inhibitor poly G eine Reduktion von TNF-alpha, IL-6, IL-1 und IL-8 zu verzeichnen war. Folglich ist die Phagozytose über SR-A nötig, um TNF-alpha, IL-6 und IL-1 zu induzieren, jedoch nur die Erkennung aber nicht die Phagozytose via SR-A die IL-8 Produktion initiiert. Die Aufnahme von Neisseria meningitidis über den SR-A durch DZ ist damit nicht nur für die Phagozytose und Abtötung verantwortlich sondern auch für die Zytokininduktion wichtig ist. Es gibt jedoch auch Meningokokken Stämme, die nicht vom SR-A erkannt werden. Mit alpha 14 konnte erstmals ein Meningokokken-Stamm identifiziert werden, der nicht an SR-A bindet. Die Induktion von Zytokinfreisetzung durch alpha 14 erfolgt dementsprechend unabhängig von SR-A und nach Kontakt von alpha 14 mit humanen DZ ist keine Veränderung der Phosphorylierungsstatus dieses Rezeptors zu beobachten. Die erhobenen Daten legen eine zentrale Rolle von SR-A in der Induktion von Immunität gegen N. meningitidis nahe. / Meningococci belong to the most important pathogens which cause bacterial sepsis and meningitis. The severity and outcome of meningococcal disease correlates with the concentration of proinflammatory cytokines in the serum. Dendritic cells (DC) build a first line of defence within the nasopharyngeal epithelium, which is the port-of-entry for Neisseria meningitidis and are an important source of proinflammatory cytokines. Infection of DC with encapsulated meningococcal strains induces significantly lower levels of proinflammatory cytokines than isogenic capsule-deficient mutants or constitutively unencapsulated strains. It could be shown that this effect does not depend on the chemical composition of the meningococcal capsule, because purified capsular polysaccharide of serogroup B is unable to modulate cytokine secretion. O-acetylation of serogroup C, W-135 and Y capsules plays a minor role in the recognition of meningococci by DC. Microarray studies on the expression of cytokine genes by DC infected with constitutively unencapsulated carriage isolate alpha 14, encapsulated serogroup B strain MC58 or the isogenic unencapsulated strain MC58siaD showed an identical pattern for proinflammatory cytokines after 4 h of infection. Only the unencapsulated strain MC58siaD which is easily phagocytosed induced additional cytokines. However, the cytokine profile after 18 h of infection was equal for all three strains. Scavenger receptor A (SR-A) was identified as the main receptor mediating recognition and phagocytosis of meningococci by DC. Association of phagocytosed meningococci with SR-A was visualized by electron microscopy. Infection of THP-1 macrophages with encapsulated serogroup B und C strains, their isogentic capsule-deficient muntants or the obligatory unencapsulated strain alpha 14 did not induce differential regulation of SR-A on the transcriptional level and only minor up-regulation of SR-A on cellular surface after one hour of infection. After infection of DC or THP-1 macrophages with MC58siaD dephosphorylation of SR-A can be detected. Using global phagocytosis inhibitors, it could be determined that the induction of the proinflammatory cytokines TNF-alpha, IL-6 and IL-1 require phagocytosis of N. meningitidis, whereas induction of IL-8 does not. In addition, the specific SR-A-inhibitor poly G also leads to a reduction of TNF-alpha, IL-6, IL-1 and IL-8 secretion. Taken together these data indicate that phagocytosis via SR-A is necessary for TNF-alpha, IL-6 and IL-1 secretion, whereas recognition but not phagocytosis via SR-A enhances IL-8 secretion. Therefore, the uptake of Neisseria meningitidis via SR-A is not only important for phagocytosis and killing but also involved in cytokine induction. However, not all meningococcal strains are recognized via SRA. The cytokine induction by DZ infected with alpha 14 is completely independent of SR-A and after contact of human DC with alpha 14 no changes in SR-A phosphorylation can be detected. These data suggest that SR-A plays a central role in the induction of immunity against N. meningitidis.