Host-pathogen interplay at primary infection sites in pigs challenged with Actinobacillus pleuropneumoniae
- Elena L. Sassu†1,
- Janna Frömbling†2,
- J. Catharina Duvigneau3,
- Ingrid Miller3,
- Andrea Müllebner3,
- Ana M. Gutiérrez4,
- Tom Grunert2,
- Martina Patzl5,
- Armin Saalmüller5,
- Alexandra von Altrock6,
- Anne Menzel6,
- Martin Ganter6,
- Joachim Spergser2,
- Marion Hewicker-Trautwein7,
- Jutta Verspohl8,
- Monika Ehling-Schulz†2 and
- Isabel Hennig-Pauka†1Email author
© The Author(s). 2017
Received: 13 February 2016
Accepted: 16 February 2017
Published: 28 February 2017
Actinobacillus (A.) pleuropneumoniae is the causative agent of porcine pleuropneumonia and causes significant losses in the pig industry worldwide. Early host immune response is crucial for further progression of the disease. A. pleuropneumoniae is either rapidly eliminated by the immune system or switches to a long-term persistent form. To gain insight into the host-pathogen interaction during the early stages of infection, pigs were inoculated intratracheally with A. pleuropneumoniae serotype 2 and humanely euthanized eight hours after infection. Gene expression studies of inflammatory cytokines and the acute phase proteins haptoglobin, serum amyloid A and C-reactive protein were carried out by RT-qPCR from the lung, liver, tonsils and salivary gland. In addition, the concentration of cytokines and acute phase proteins were measured by quantitative immunoassays in bronchoalveolar lavage fluid, serum and saliva. In parallel to the analyses of host response, the impact of the host on the bacterial pathogen was assessed on a metabolic level. For the latter, Fourier-Transform Infrared (FTIR-) spectroscopy was employed.
Significant cytokine and acute phase protein gene expression was detected in the lung and the salivary gland however this was not observed in the tonsils. In parallel to the analyses of host response, the impact of the host on the bacterial pathogen was assessed on a metabolic level. For the latter investigations, Fourier-Transform Infrared (FTIR-) spectroscopy was employed. The bacteria isolated from the upper and lower respiratory tract showed distinct IR spectral patterns reflecting the organ-specific acute phase response of the host.
In summary, this study implies a metabolic adaptation of A. pleuropneumoniae to the porcine upper respiratory tract already during early infection, which might indicate a first step towards the persistence of A. pleuropneumoniae. Not only in lung, but also in the salivary gland an increased inflammatory gene expression was detectable during the acute stage of infection.
KeywordsFTIR Salivary gland Acute phase proteins Early immune response Gene expression
Actinobacillus (A.) pleuropneumoniae is the etiological agent of porcine contagious pleuropneumonia, which results in increased mortality throughout swine production worldwide . The outcome of infection ranges from colonisation of the upper respiratory tract without any clinical signs to severe lung infection with peracute death. The severity has been ascribed to variation in serotype-related virulence, influenced by biotic and abiotic factors in the pig environment . If the pig overcomes the acute phase of the disease, it can harbour the bacterium in chronic lung lesions, tonsillar crypts and nasal cavities. Thus, infected pigs become persistent carriers of the infectious agent . The Waldeyer’s ring is the first immunological and mechanical barrier faced by inhaled pathogens [3, 4]. Its failure allows persistence of A. pleuropneumoniae at this site or may lead to reoccurrence of acute outbreaks. Early innate immune response to respiratory disease is not restricted to the lung as the primary site of infection, but additionally involves peripheral lymphoid tissues, the liver  and the salivary gland . The acute immune response is characterised by the self-sustaining production of acute phase proteins and inflammatory cytokines. Particularly for A. pleuropneumoniae the synergic action of endotoxins and the pore forming exotoxins Apx I to IV, in enhancing the production of inflammatory cytokines, such as IL-6, TNF-α and IL-1 is well known [5, 7–9]. Thus, these bacterial virulence factors can cause tissue damage, directly by Apx cytotoxic effect and indirectly by mounting an exacerbated inflammatory response.
To gain insight into the early stages of host-pathogen interaction, we experimentally challenged pigs with A. pleuropneumoniae using the endotracheal infection route and studied in parallel the host and the pathogen during the first few hours of infection. We investigated the mRNA expression of inflammatory cytokines and acute phase proteins in the lung, liver, salivary gland and tonsils as well as the protein levels of these markers in bronchoalveolar lavage fluid (BALF), serum and saliva samples. For studying the influence of the host milieu on the bacterial pathogen, Fourier-Transform Infrared (FTIR) spectroscopy, was employed. FTIR spectroscopy is a well-established vibrational spectroscopic technique that can be used for the generation of spectral fingerprints from a broad range of biological materials [10, 11]. Recently, chemometric assisted FTIR spectroscopy was shown to be a valuable tool for studying metabolic adaptation of bacterial pathogens to host environments. For instance, FTIR spectroscopy was successfully applied for the examination of host genotype-specific imprints on the metabolism of Listeria monocytogenes re-isolated from mice with different genotypes . In another study, FTIR spectroscopic analysis of Streptococcus uberis re-isolated during the progression of the uterine clearance process of post-partum cows revealed specific S. uberis biotypes, which could be linked to the uterine health status . This renders FTIR spectroscopy a suitable technique to investigate bacterial host adaptation on a macromolecular and metabolic level not only for human but also for animal pathogens. In our current study, we showed that already in the early stages of porcine infection A. pleuropneumoniae undergoes organ specific metabolic changes that mirror those detected in the host.
Ten 6–8 week-old healthy pigs (German Landrace) were used in this study. Animals were derived from a closed breeding herd of a high health status that is routinely tested negative for A. pleuropneumoniae, Porcine Reproductive and Respiratory Syndrome Virus (PRRSV), toxigenic Pasteurella multocida, endo- and ectoparasites. After arrival, all pigs tested negative for A. pleuropneumoniae using an Apx-II Enzyme-linked immunosorbent assay (ELISA) . At arrival, animals were individually marked with ear tags and randomly assigned to a control (n = 4) or infection (n = 6) group. Within a one-week adaptation period pigs became familiar to the housing conditions. Twice a day commercial feed was supplied. Pigs were housed under specific pathogen-free conditions according to FELASA guidelines and were continuously observed during the whole experiment. A humane intervention point (HIP) checklist, which has been developed and approved previously for infection experiments with A. pleuroneumoniae, was used during monitoring the animals continuously for clinical signs by trained staff (participants of FELASA B training course) [15, 16]. HIP was conducted by injection of 60 mg pentobarbital/kg body weight intravenously in deep anaesthesia of the animals as soon as behavioural changes or a significant increase in body temperature reflected the development of early respiratory disease.
Experimental infection protocol
The experiment was part of a comprehensive study to characterise the early stages of inflammatory lung alterations by imaging techniques such as infrared thermography (data not published).
Pigs were not fed on the day of infection to decrease the risk of pulmonary aspiration of stomach content under anaesthesia. An acute infection trial lasting 8–10 h was carried out and included anaesthesia, surgical implantation of the central catheter into the Vena cava cranialis, intratracheal infection, clinical examination and collection of blood and saliva samples till scheduled euthanasia. Pigs were anaesthetized intramuscularly with 15 mg ketamine (Ursotamin®, Serumwerk-Bernburg AG, Bernburg, Germany) per kg body weight (bw) and 2 mg azaperon (Stresnil®, Janssen-Cilag GmbH, Baar, Switzerland) per kg bw. Intratracheal infection was performed under visible control using a flexible fiberoptic bronchoscope (IT3; Olympus, Hamburg, Germany) as previously described . Briefly, the tip of the bronchoscope was placed cranial the Bifurcatio tracheae and 5 ml of inoculum was instilled gently into the main bronchi. A. pleuropneumoniae biotype 1-serotype 2 strain (no. C3656/0271/11, isolated from a fattening pig with respiratory symptoms during an acute outbreak of porcine pleuropneumonia in northern Germany and stored at the Institute of Microbiology, University of Veterinary Medicine, Hannover, Germany ) was cultivated in fresh pleuropneumonia-like organism (PPLO) liquid medium to reach an optical density of approximately 0.45 at 600 nm for infection as described elsewhere . This culture was subsequently diluted 1:1000 with 154 mM sterile NaCl solution, resulting in a challenge dose of approximately 1.6x106 CFU per pig determined retrospectively by serial dilution and overnight culture. Control pigs were treated with 154 mM sterile NaCl (sham control). Blood and saliva samples were taken at 2 h prior to and 2, 5 and 8 h post infection and clinical scores were recorded simultaneously.
Blood samples were collected by means of the central catheter into vacutainer tubes with either EDTA for haematological examination or sodium heparin for biochemical examination as anticoagulants.
Saliva samples were obtained by allowing pigs to chew a cotton wool swab (Salivette®, Numbrecht, Germany). The cotton wool swabs were replaced in the original tube, centrifuged at 3000 × g for 10 min and the supernatants stored at−20 °C. Rectal body temperature was measured every hour. At the end of the experiment all pigs were euthanized by intravenous application of 60 mg pentobarbital (Euthadorm®, CP-Pharma, Burgdorf, Germany)/kg bw at eight to ten hours after infection and necropsy was performed immediately.
Clinical examinations were carried out before infection and at 2, 5 and 8 h post infection (hpi) and a total clinical score was calculated for each animal at each time point. This total clinical score was obtained by summing up the single scores for six clinical parameters, as dyspnoea (heavy breathing = 1; open-mouth breathing = 2), coughing (=1), posture (sitting = 1; lying = 2), body temperature (38.0–39.5 °C = 0; >39.5 °C = 1; <38.0 °C = 2), vomiting (=1) and sudden death (=2 extra), so that an individual maximal clinical score of 10 was possible. Scores recorded at 8 hpi were statistically compared between the groups.
After euthanasia lungs were removed immediately from the carcasses. The severity of lung alterations was assessed using the lung lesion score (LLS) proposed by Hannan et al.  and as recommended by the European Pharmacopoeia for the control of vaccine efficacy (3rd edition, EDQM, Council of Europe, Strasbourg, France). Briefly, using a schematic map of the porcine lung as a guide, the organ was virtually subdivided into 74 triangles (7 triangles for cranial and middle lobes, 19 triangles for caudal lobes and 8 triangles for the accessory lobe). Then, the number of triangles with pathological lung alterations were expressed as a fraction and multiplied by five for each lobe, so that each lobe could reach a maximum score of 5, resulting in a maximum LLS of 35 when the entire lung was affected.
One main bronchus was separated from the lung by a surgical clamp. Lung tissue samples were taken from the clamped lung lobe, while the other lung lobe was lavaged with 100 ml of 154 mM sterile NaCl solution. Lung lavage fluid was collected by gently pouring in a glass container moistened inside with concentrated heparin solution. Tissue samples from the clamped main lung lobes were fixed in 10% formalin containing 2% calcium acetate for the preparation of paraffin sections. Routine histology sections were stained with hematoxylin-eosin (HE, hemalaun after Delafield). For mRNA extraction, approximately 500 mg tissue samples from liver, tonsils, salivary gland and lung were snap frozen in liquid nitrogen and then stored at −80 °C.
Blood and lung lavage fluid analyses
Leucocyte cell counts and differential blood counts were determined (Haemotology analyser, Celltag alpha, Nihon Kohden, Kleinmachnow, Germany) immediately after blood collection. Serum haptoglobin (Hp) concentrations were analysed with a colorimetric method (Tridelta Phase Haptoglobin Assay, Tridelta Development Limited, Maynooth, Ireland), while serum C-reactive protein (CRP) was determined by ELISA (Phase Porcine CRP Assay, Tridelta Development Limited).
Total leukocyte counts were determined in the undiluted lavage fluid in a Neubauer-counting chamber prior to centrifugation of the fluid (10 min, 200 × g, 4 °C). The sediment was used for further cytological examination. Cytospots were prepared for differential cell determination of the bronchoalveolar lavage fluid (BALF) by centrifugation of small amounts of resuspended sediments in a cytocentrifuge (Multifuge KR®, Heraeus, Thermo, Osterode, Germany) at 200 × g for 10 min. Cells were stained with a Pappenheim staining solution (Merck, Darmstadt, Germany) and 400 cells were differentiated at 1000 × magnification. The cell-free supernatant of lung lavage fluid was stored at −80 °C.
Analysis of gene expression in tissues
RNA was extracted and reverse transcribed as described previously . The primer sequences and hybridization probes used for the detection of porcine cytokine mRNAs (IL-2, IL-4, IL-10, IL-6, INF-γ and IL-1) as well as the internal references (GAPDH, cyclophilin A and β-actin) were reported by Duvigneau et al. (2005) . The primer sequences and hybridization probes for the detection of porcine stress gene mRNAs (iNOS/HO1/TNF-α) were detailed in a previous work . The primer sequences used for the specific amplification of porcine CRP and Hp were described by Skovgaard et al. (2009) , and the primer sequence for amplification of porcine SAA was characterised by Soler et al. (2011a, b) [22, 23]. Primers used for the detection of IL-8 expression were designed for this study as follows: forward: AACAGCCCGTGTCAACATGA and reverse: TGCACTGGCATCGAAGTTCT. The suitability of the newly designed primers was verified in separate experiments by performing a dilution series using the PCR products as well as a dilution series of the cDNA pool, generated by collecting equal aliquots of all investigated cDNA samples. The dilution series, in conjunction with the melting characteristics of the PCR product, were used to optimise the assays regarding the primer concentration as well as the annealing and extension times for the PCR. Further details about the validation of the qPCR assays are provided (see Additional file 1). All primers (Invitrogen, Carlsbad, CA, USA) and probes (Eurofins MWG Operon, Ebersberg, Germany) were synthesised commercially. Specificity of the generated PCR products was verified using melt curve analysis and by randomly verifying correct fragment sizes using gel electrophoresis.
PCR assays were performed as described in [21, 24]. All samples were measured in duplicate. Each plate contained corresponding randomly assigned RT-minus controls of about 15% of all samples, the non-template controls (NTC) as well as the internal standard (IS), which was generated by pooling aliquots of all samples investigated in this study. Data were analysed as described previously  and normalised against cyclophilin A and β-actin. The obtained ∆∆Cq values of the replicates were averaged and expressed as fold change relative to the IS.
Quantitative ELISA of serum and BALF
Serum and BALF samples were analysed for IL-6, TNF-α and IL-1 expression by means of commercially available sandwich ELISA assay (Duoset DY686, DY690B, DY681, R&D Systems, Biomedical medical products GmbH and Co KG, Vienna, Austria) according to the manufacturer’s instructions with minor modifications. For the preparation of standard curves, the recombinant cytokines were diluted in the same body fluid as the samples. Therefore, serum samples from four or BALF from two healthy age-matched pigs were pooled to decrease the risk of individual variation in the matrix. For serum samples, in order to increase signal intensity, the working concentrations of capture and detection antibodies and of the streptavidin-HRP conjugate were doubled. The respective recombinant protein was diluted serially (1:2) in the serum pool. Sera were analysed undiluted and all samples, controls and standard concentrations were run in duplicate. For BALF samples, the working concentrations of antibodies and HPR-conjugates were used as recommended. The BALF pool to create the standard curves was used in the same dilution as the samples. BALF was used undiluted for TNF-α and diluted 1:4 for IL-1 and IL-6 detection. The detection limits of the assays were 150 pg/ml for IL-6, 200 pg/ml for TNF-α and 70 pg/ml for IL-1, respectively. Tetramethylbenzidine (TMB) was used for colour development and 1 M sulphuric acid as stopping solution according to the manufacturer’s instructions. Optical density was measured at 450 nm and at 690 nm as the reference with an ELISA reader (Tecan, Sunrise, Grödig, Austria) and concentrations were calculated with Magellan software (Tecan) using the standard curves as allocation base.
Time-resolved fluorometry immunoassay of saliva and BALF
The concentrations of Hp and CRP in saliva and BALF samples were quantified using previously developed and validated one-step non-competitive sandwich type immunoassays based on time-resolved fluorometry technology [25, 26]. The assays used for Hp and CRP measurements comprise calibration curves with seven standards with concentrations between 10 and 1500 ng/ml approximately. This wide dynamic range allows the quantification of samples with highly varying protein concentrations. For saliva, the optimal sample dilution was 1:10 and 1:2 for Hp and CRP measurements respectively, as reported previously. However, described assays had not been evaluated for BALF samples so far, so that the procedures were modified by using optimised dilutions of 1:100 and 1:10 for Hp and CRP quantifications respectively.
Bacterial isolation and cultivation
Lung and tonsillar tissue samples, as well as nasal swabs of four control (C1-4) and six infected (I1-6) animals were examined for the presence of A. pleuropneumoniae. For bacterial isolation swabs from organ tissue and nostrils were streaked on Columbia sheep blood agar (Oxoid, Wien, Austria). Staphylococcus aureus was used as nurse to facilitate the isolation of A. pleuropneumoniae from organs carrying a high bacterial background microbiota, such as tonsils and nostrils . Subsequent cultivation of bacteria was performed in PPLO broth (Difco™, Becton, Dickinson and Company, Franklin Lakes, USA) supplemented with 10 mg/l NAD (AppliChem GmbH, Darmstadt, Germany) for molecular analyses or grown as solid cultures supplemented with 14 g/l bacteriological agar (Oxoid) for FTIR spectroscopy (see below). All bacterial cultivations were carried out at 37 °C and 5% CO2.
Serotype 2 specific PCR
Serotype 2 specific PCR using primers for the capsular biosynthesis genes cps2AB was performed to confirm the identity of A. pleuropneumoniae re-isolated from infected host tissue . Briefly, pelleted bacteria from 2–4 ml liquid culture were re-suspended in 100 μl ddH2O and lysed at 100 °C for 10 min. Cell debris was removed by 3 min centrifugation at 13.000 × g. 2 μl supernatant containing 50 ng/μl genomic DNA served as a template for a 25 μl PCR reaction mixture containing 5 μl 5× Green GoTaq® Flexi buffer (Promega, Madison, USA), 2.5 μl 25 mM MgCl2, 0.5 μl 20 mM dNTP, 0.25 μl APPcps2F and APPcpsR Primer each (50 pmol), 0.125 μl GoTaq® Flexi DNA Polymerase (5 U/μl; Promega, Madison, USA) and 14.38 μl ddH2O. DNA was amplified for 35 cycles with the following parameters: 30 s denaturation at 94 °C, 30 s annealing at 58 °C and 30 s elongation at 72 °C. PCR products were analysed on a 1.5% agarose gel.
DNA fingerprinting of bacteria
Genetic stability of bacteria was confirmed by M13 - PCR typing of re-isolated A. pleuropneumoniae and the original challenge strain grown in vitro as previously described by Henderson et al. . Genomic DNA was isolated with the MasterPure™ DNA Purification Kit (Epicentre, Madison, USA) following the manufacturer’s instructions. 2 μl genomic DNA (50 ng/μl) was used as a template for a 25 μl PCR reaction mixture containing 5 μl 5 × Green GoTaq® Flexi buffer (Promega, Madison, USA), 2.5 μl 25 mM MgCl2, 0.5 μl 20 mM dNTP, 0.5 μl Primer M13 (50 pmol/μl; 5’-GAGGGTGGCGGCTCT-3’), 0.15 μl GoTaq® Flexi DNA Polymerase (5 U/μl; Promega, Madison, USA) and 14.35 μl ddH2O. The amplification was performed using the following parameters: 35 cycles of 35 s of denaturation at 95 °C, 1 min annealing at 40 °C and 2 min of extension at 72 °C. PCR products were analysed on a 2% agarose gel.
Preparation of crude capsular extract
Crude capsule extracts (CEs) were prepared from A. pleuropneumoniae isolates derived from lung and tonsils of the infected pigs by mild water-phenol extraction. In brief, fresh 50 ml liquid cultures of A. pleuropneumoniae isolates were grown to an OD600 of 0.2 and bacteria were harvested by centrifugation at 6530 × g for 5 min. Per gram of bacterial mass 18 ml 1% phenol were added and capsules were extracted by shaking for 5 min at 37 °C followed by an incubation step at 4 °C for 30 min. Bacterial debris was pelleted by centrifugation at 27000 × g for 30 min at 4 °C. Supernatant was sterile filtrated with a syringe sterile filter (pore size 22 μm) to remove remaining cellular debris. The phenol solution was removed by vacuum centrifugation and CE was re-suspended in ddH2O and immediately analysed by FTIR spectroscopy.
FTIR spectroscopy and spectral data analyses
FTIR spectroscopy was employed to investigate the impact of the host on the metabolism of A. pleuropneumoniae re-isolated from organs and tissues of infected pigs. Infrared spectra reflect the biochemical composition of living cells by mirroring the stretching and bending vibrations of proteins, nucleic acids, polysaccharides and fatty acids within different frequency areas , which makes FTIR spectroscopy a powerful and highly discriminatory tool for the generation of bacterial metabolic fingerprints and to study host-pathogen interactions . For the generation of a metabolic fingerprint, a loop full of a bacterial mass of the different isolates was cultivated as a lawn on PPLO agar at 37 °C for 24 h and samples were prepared for FTIR spectroscopy as described previously [29, 30]. In brief, one loop-full of bacteria was suspended in 100 μl sterile distilled water. Subsequently, an aliquot of 30 μl cell suspension was transferred to a zinc selenide (ZnSe) optical plate (BrukerOptics GmbH, Ettlingen, Germany) and dried for 40 min at 40 °C. Infrared absorption spectra were recorded in transmission mode in the range of 4000 to 500 cm−1, with a resolution of 6 cm−1, zero-filling factor 4 and Blackmann-Harris 3-term apodization by the aid of a HTS-XT microplate adapter coupled to a Tensor 27 FTIR spectrometer (BrukerOptics GmbH). An average spectrum of 32 scanned interferograms was calculated with background subtraction for each spectrum. Spectral data were processed and analysed and subsequent chemometric analysis was performed using OPUS software (Version 7.2; BrukerOptics GmbH). The frequency range 1150–1100 cm−1 in the polysaccharide region (1200–900 cm−1) provided the maximum discriminatory information to assess the tissue-related bacterial metabolic fingerprints by hierarchical cluster analysis (HCA). Most characteristic frequency areas to assess differences specifically related to the bacterial capsule were the polysaccharide region (1200–900 cm−1) and the protein region (1800–1500 cm−1) . Dendrograms of 2nd-derivative spectra (9-point Savitzky-Golay filter) were generated using the Ward’s algorithm with normalisation to repro level 30. Measurements of CE were performed with minor alterations as previously described .
Statistical data analysis was performed for protein and mRNA level and for the clinical score by using the SPSS software (2011, IBM, SPSS Statistics for Windows, Version 20.0, Armonk, NY, IBM Corp.). Since data were not normally distributed, non-parametrical tests were performed. For statistical evaluation of group differences between infected and sham control pigs the Wilcoxon rank sum test was used. Parameters in paired samples prior to and after infection within one group were compared by the Wilcoxon Signed-Rank test.
Clinical and post-mortem findings
Clinical score (CS), lung lesion score (LLS) and histological evaluation of lung lesions in control and infected animals
Lung lesion score
Control (n = 4)
Moderate infiltrates of neutrophils and macrophages in interalveolar septa
Infected (n = 6)
Fibrinopurulent, necrotizing, hemorrhagic pleuropneumonia
Cytological findings in blood
Concentrations of cytokines (IL-6, IL-1 and TNF-α), acute phase proteins (CRP, Haptoglobin) and cells in different bodily fluids from control and infected animals
Control (n = 4)a
Infected (n = 6, c n = 3)
BALF acute phase proteins:
Alveolar Macrophage (×109/l)
Infected (8 hpi)
Serum acute phase proteins:
Saliva acute phase proteins:
Gene expression in host tissue
Protein expression in serum, BALF and saliva
Concentrations of pro-inflammatory cytokines (IL-6, IL-1, TNF-α) were determined in serum and BALF and acute phase proteins (CRP and Hp) were quantified in serum, BALF and saliva. In sera of infected animals, no significant changes in inflammatory cytokines were detected (data not shown).
Interestingly, TNF-α was not detected in BALF after infection. In contrast, the median concentrations of IL-6 and IL-1 were increased in infected animals while remaining below the detection limit in control pigs. Acute phase proteins behaved similarly in serum and BALF. While Hp concentrations remained unchanged throughout the study, CRP increased significantly at eight hours after infection (Table 2.).
The concentrations of CRP and Hp analysed in saliva showed increased levels in the infected animals. Specifically, at the last time point, Hp increased significantly (p ≤ 0.05) whereas CRP showed only a trend (p = 0.07). In control animals no changes were detected.
Metabolic fingerprinting of A. pleuropneumoniae re-isolated from host tissues
A. pleuropneumoniae re-isolated from different tissues of acutely infected animals
Analysis of A. pleuropneumoniae CEs
Early induced immune response is the first line of defence against many common microorganisms, including A. pleuropneumoniae. Its failure in eliminating the pathogen can result in the development of a chronic and persistent infection status [2, 35]; for this reason, the acute stage of porcine pleuropneumonia, where early immune response usually takes place, was investigated in this study. To induce an acute stage of infection an intratracheal infection route was applied. The experimental model used in this study resulted in diffuse bilateral pneumonia in all infected pigs and the LLS mirrored clinical signs, thus confirming the reproducibility of infection. These results are in line with previous studies using other A. pleuropneumoniae serotypes for experimental infection . The intratracheal infection model used ensures equally distributed lesions and partially overcomes the limitation of the small sample size in this study by a reduction in the variability commonly associated with other routes of infection .
After eight hours of infection, the drop in segmented neutrophils in combination with a rise in band cells and metamyelocytes reveals the kinetics of the cellular innate immune response associated with a fast migration of immature band cells from the bone marrow to the blood as well as a migration of mature neutrophils from the blood stream to the site of infection. Rapid neutrophilic infiltration and high levels of IL-8 expression in lung tissue of infected pigs confirm the key role of this neutrophil-chemokine interaction in the pathogenesis of the disease [8, 16].
In serum, no changes in IL-1 concentrations and only slight increases in IL-6 and TNF-α were recorded within the first eight hours after infection, which is in accordance with results of previous studies [8, 36]. Fossum et al. (1998) reported an increase in IL-6, as the earliest detectable pro-inflammatory cytokine, at 20 hpi with A. pleuropneumoniae serotype 2 . Recently, a study from Wyns et al. (2015) showed that all three cytokines increased after the experimental infection and the mean peak concentrations of TNF-α and IL-6 in serum were registered at 12 and 10 hpi respectively . In contrast to these findings for pro-inflammatory cytokines, serum CRP concentration raised eight hours after infection. Serum Hp concentration was not affected during the infection trial.
Our findings of a 4-fold increase in serum CRP is in line with the previously described range of a 2- to 9-fold increase after infection. The normal CRP concentrations in the plasma of healthy pigs vary from 11–77 μg/ml with a high individual variation [38, 39], which is also in accordance with our findings. In contrast to CRP, the slow reacting acute phase protein Hp remained at a physiological level (0.19–0.52 mg/ml) [5, 40] in the serum from both groups. In contrast to serum data, IL-6 and IL-1 were increased in BALF from infected animals; leading to the idea that acute bacterial respiratory tract infection might induce localised rather than systemic cytokine responses. However, TNF-α protein was not detectable in infected pigs, even though its mRNA was found to be highly expressed in the lung. The same outcome was observed in a former study . A study in mice showed the ability of surfactant protein A to enhance the production of secretory leukoprotease inhibitor (SLPI), which is known to induce down-regulation of TNF-α production by inhibiting LPS-induced NF-kB activation . Thus, it is tempting to speculate that LPS-induced NF-kB activation might also be involved in the down-regulation of TNF-α detected in BALF of infected pigs compared to control. Nevertheless, further studies are necessary to test the latter hypothesis.
Although the Waldeyer’s ring was bypassed by the intratracheal inoculation route the examined innate immune responses were not confined to the lung, but rather disseminated to organs of the upper respiratory tract. While pro-inflammatory cytokines were primarily induced in the lung tissue of all infected animals, the salivary gland was the main site of expression of acute phase proteins, IL-6 and IL-1. The latter finding was unexpected, because it is in contrast to the lack of immune reaction in tonsillar tissue, although both organs might have had pathogen contact at the same time but later than the lung.
Despite their common localisation, the salivary gland and tonsils showed a completely different pattern in the host immune response. Neither acute phase protein nor pro-inflammatory cytokine mRNAs were differentially expressed in tonsillar tissue. Acute phase protein extra hepatic production in peripheral lymphoid tissue was previously described during acute A. pleuropneumoniae infection . However, the impact of the salivary gland in extra hepatic production of acute phase proteins is largely unknown. Immuno-histochemical findings by Gutierrez et al. (2012) revealed localisation of Hp in the glandular acini and duct epithelial cells of the salivary gland . In our study, not only Hp and SAA, but also CRP was significantly increased in pigs infected with A. pleuropneumoniae. This expression was evident both, at a transcriptional level and at the level of the protein, since Hp and CRP reached higher values also in saliva from infected animals. Whether this prominent implication of the salivary gland during acute bacterial infection is linked to the direct presence of A. pleuropneumoniae in this site is hitherto unknown. Nonetheless, the detection of the bacterium in the tonsils sited in anatomical proximity, and the reported susceptibility of the salivary gland to A. pleuropneumoniae colonisation , is a hint that the bacteria could invade this organ. Interestingly, bacteria could be re-isolated from tonsillar tissue, as a consequence of coughing or transport by the mucocillary escalator. However, a host immune response in tonsillar tissue, which would have been indicated by an increase in cytokine or acute phase protein expression, was not detected (Fig. 3).
During the last two decades, FTIR spectroscopy has become a well-established technique for identification of microorganism on the species and subspecies level . Due to its high discriminatory power, FTIR spectroscopy is increasingly employed not only for bacterial identification but also for studying environmental impacts, such as abiotic stress or host genotypes, on the metabolic fingerprints of bacteria [12, 43]. Thus, FTIR spectroscopy represents a suitable tool for exploring the host impacts on A. pleuropneumoniae in parallel to the analyses of host reactions in response to the bacterial infection.
In the first step, A. pleuropneumoniae re-isolated from different host tissues was subjected to molecular analysis to confirm its genotypic identity with the strain used for inoculation. All isolates were positive in the A. pleuropneumoniae serotype 2 specific PCR and showed the same M13-PCR profiles. In contrast to the results from the molecular typing, FTIR spectral analysis revealed a distinct clustering of the isolates. The isolates clustered according to the tissue of re-isolation (Fig 4), reflecting the physiological metabolic adaptation due to their movement from the lower to the upper respiratory tract (Fig. 4–5). This might be indicative for different adaptation strategies, depending on the body compartment of colonisation or infection. Notably, the inoculation strain forms one cluster with the lung isolates while the isolates from the upper respiratory tract formed a separate cluster. This observation fosters out hypothesis that the bacteria are indeed rapidly adapting to the upper respiratory tract, which is reflected in their metabolic fingerprints that are distinct from the ones of the lung isolates and the inoculation strain. Furthermore, our results revealed that the laboratory culture medium (PPLO) and culture conditions used for growth of the inoculation strain mimick the host environment that bacteria are facing during acute infections in the lung (Fig. 4). As shown previously, growth conditions can significantly impact the metabolism and the expression of virulence factors of bacterial pathogens  and must be considered when inoculation samples for infection studies are prepared. The observed phenotypical metabolic adaptation of A. pleuropneumoniae was reversible, which is in line with recent findings on the loss of host environmentally triggered memory effects over time reported from other bacteria [12, 44, 45]. Since isolation of A. pleuropneumoniae from tonsils and nostrils of swine not showing any clinical signs is common, the pathogen is considered to persist at these sites of infection . Thus, when colonizing various host organs, differences in metabolic adaptations may have facilitated a persistence of A. pleuropneumoniae. Indeed, the HCA revealed a unique cluster for the lung isolates, while the isolates of the upper respiratory tract were more diverse (Fig. 4). The diversity observed among the latter isolates might reflect the individual appearance of acute disease symptoms, such as coughing.
The most pronounced influence on the metabolic fingerprint during bacterial host organ-specific adaptation was attributed to the spectral range of 1150–1100 cm−1. This frequency area is part of the polysaccharide region (1200–800 cm−1), which is dominated by a complex sequence of peaks associated to stretching ring vibrations of carbohydrates (C─O─C, C─O─P) . Since a comparison of FTIR spectra of the CEs from A. pleuropneumoniae from the tonsils with the FTIR spectra recorded from the lung isolates revealed significant differences within their protein and carbohydrate compositions (Fig. 6), it is tempting to speculate that the capsule of the bacteria has an influence on the specific metabolic adaptation of the bacterium to the different host organs. The stronger appearance of β-sheet structures in the CEs from lung isolates indicates a shift towards a higher expression of β-sheet carrying proteins. To decipher the bacterial molecules and mechanisms involved in observed host tissue specific adaptation of A. pleuropneumoniae detailed quantitative and qualitative carbohydrate and protein analyses of the capsule are needed, which are clearly beyond the scope of our current work. Preliminary results from an ongoing study also point towards a reduced production of capsule material in the tonsil isolates (Frömbling et al., unpublished) and for S. aureus it has already been reported that the loss of capsule expression is advantageous to establish and maintain a chronic infection in humans as well as in animals (e.g. chronic osteomyelitis, bovine mastitis) . Based on our results, it is tempting to speculate that the capsule formation is important for bacterial adaptation to the porcine tonsils as one step towards deciphering persistence of A. pleuropneumoniae in infected pig herds.
Altogether, our results indicate an important role of the salivary gland in oral immunity, already eight hours after infection. Contrarily to the lung, A. pleuropneumoniae was not able to provoke any immune response in the tonsils. Thus, the specific changes observed in the metabolic fingerprints of A. pleuropneumoniae are presumably crucial for bacterial adaptation to porcine tonsils. Further studies will be necessary to decipher the exact role and contribution of the tonsils as a reservoir of host adapted A. pleuropneumoniae for the development and establishment of chronic infections.
The authors thank K.-H. Waldmann for housing the animals and providing technical equipment.
Anne Menzel, the design and performance of the animal trial and the animal data collection were supported by the German Research Community (DFG, HE 6419/1-1). Elena L. Sassu and Janna Frömbling as well as all laboratory work, materials, analysis and interpretation of data were supported by the Graduate School for Pig and Poultry Medicine of the University of Veterinary Medicine Vienna, Austria. Elena L. Sassu and Janna Frömbling were supported by the Graduate School for Pig and Poultry Medicine of the University of Veterinary Medicine Vienna.
Availability of data and materials
The datasets used and analysed during the current study are available from the corresponding author on reasonable request.
IHP, MES, AS, CD and IM conceived and designed the experiments. AA, IHP, ES and AMe performed infection and clinical examination. MG performed laboratory diagnostic examination. JV produced and verified bacterial inocula. JF and JS performed microbiological analysis of samples. MHT performed histological examination. ES and MP performed cytokine measurements in body fluids. AMG performed acute phase protein quantification in BALF and saliva. AM, ES, CD, and IM carried out analysis of gene expression in tissues. JF and TG performed FTIR and chemometric analysis. ES, JF, MES and IHP wrote the paper. All authors read and critically revised and approved the final manuscript.
The authors declare that they have no competing interests.
Consent for publication
All animal experiments were approved by the Ethics and Animal Welfare Committee of the University of Veterinary Medicine Hannover and in accordance with the requirements of the German national animal welfare law. The study has been approved by the local permitting authorities in the Lower Saxony State Office for Consumer Protection and Food Safety (approval number: 33.9- 445 42502-12/0835) according to the guidelines of FELASA and ARRIVE.
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