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For this purpose, we challenged the macrophage cell line J774, the microglial cell line BV-2 and primary bone marrow-derived macrophages in a resting or stimulated state with various pri

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in macrophage and microglial cells

Sabine Gilch1, Frank Schmitz2, Yasmine Aguib1, Claudia Kehler1, Sigrid Bu¨low1, Stefan Bauer3, Elisabeth Kremmer4and Hermann M Scha¨tzl1

1 Institute of Virology, Prion Research Group, Technical University of Munich, Germany

2 Institute of Microbiology and Immunology, Technical University of Munich, Germany

3 Institute of Immunology, Philipps-University Marburg, Germany

4 GSF-National Research Centre for Environment and Health, Institute of Molecular Immunology, Munich, Germany

Prion diseases are fatal neurodegenerative disorders,

including scrapie in sheep, bovine spongiform

encepha-lopathy in cattle and Creutzfeldt–Jakob disease in

humans They are characterized by the accumulation

of an abnormally folded isoform of the cellular prion

protein PrPc, designated PrPSc, which appears to be

the causative agent of disease [1–4] PrPcis a

glycopro-tein expressed rather ubiquitously, with the highest

expression levels found in the central nervous system

It is linked to the outer leaflet of the plasma membrane

by a glycosyl-phosphatidyl-inositol anchor (reviewed in

[5]) Expression of PrPcis crucial for the development

of prion diseases, as mice ablated for the prnp gene do not succumb to the disease [6] The structure of soluble PrPcis mainly a-helical [7] During prion conversion, it interacts with PrPSc molecules and is re-folded to a protein with a high b-sheet content, prone to aggrega-tion [8,9] This probably occurs at the plasma mem-brane or in the early endocytic pathway, but the exact subcellular site of prion conversion has not been iden-tified [10–12]

The infectious agent in prion diseases seems to consist solely of protein, underlined recently by studies showing that prion infectivity can be generated in vitro

Keywords

innate immunity; prion; prion clearance;

PAMP; toll-like receptor

Correspondence

H M Scha¨tzl, Institute of Virology, Prion

Research Group, Technical University of

Munich, Trogerstr 30, 81675 Munich,

Germany

Fax: +49 89 41406823

Tel: +49 89 41406820

E-mail: schaetzl@lrz.tum.de

(Received 1 July 2007, revised 9 September

2007, accepted 13 September 2007)

doi:10.1111/j.1742-4658.2007.06105.x

Cells of the innate immune system play important roles in the progression

of prion disease after peripheral infection It has been found in vivo and

in vitro that the expression of the cellular prion protein (PrPc) is up-regu-lated on stimulation of immune cells, also indicating the functional impor-tance of PrPc in the immune system The aim of our study was to investigate the impact of cytosine-phosphate-guanosine- and lipopolysac-charide-induced PrPc up-regulation on the uptake and processing of the pathological prion protein (PrPSc) in phagocytic innate immune cells For this purpose, we challenged the macrophage cell line J774, the microglial cell line BV-2 and primary bone marrow-derived macrophages in a resting

or stimulated state with various prion strains, and monitored the uptake and clearance of PrPSc Interestingly, stimulation led either to a transient increase in the level of PrPScrelative to unstimulated cells or to a deceler-ated degradation of PrPSc These features were dependent on cell type and prion strain Our data indicate that the stimulation of innate immune cells may be able to support transient prion propagation, possibly explained by

an increased PrPc cell surface expression in stimulated cells We suggest that stimulation of innate immune cells can lead to an imbalance between the propagation and degradation of PrPSc

Abbreviations

BMDM, bone marrow-derived macrophage; CpG, cytosine-phosphate-guanosine; FACS, fluorescence-associated cell sorting; FDC, follicular dendritic cell; FITC, fluorescein isothiocyanate; LPS, lipopolysaccharide; ODN, oligodeoxynucleotide; PAMP, pathogen-associated molecular pattern; PK, proteinase K; PrPc, cellular prion protein; PrPSc, abnormally folded isoform of the cellular prion protein; RML, Rocky Mountain Laboratory strain of mouse-adapted scrapie; TLR, Toll-like receptor; TNF-a, tumour necrosis factor-a.

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[13,14] On peripheral infection, a huge body of

evi-dence points to the role of immune cells in the

neuro-invasion process [15–18] Transport through epithelial

colon cells in the presence of differentiated M-cells

may enable prions to gain first access to the

lympho-reticular system [19] Furthermore, migrating intestinal

dendritic cells, B-cells and resident follicular dendritic

cells (FDCs) play a role in the development of prion

disease after peripheral infection [20–22], with FDCs

being the cells in which prion propagation occurs in

the spleen It has been shown that various dendritic

cell subsets can degrade PrPSc [23–25] and, also, can

transport PrPSc, but their importance for

neuroinva-sion is still controversial [15,22,25–27] By contrast,

macrophages may be involved in the clearance of

pri-ons [28–31] Microglial cells are resident brain

macro-phages and become activated during the progression of

prion disease [32] They contribute to the

neurodegen-erative phenotype of prion diseases by producing

inflammatory cytokines in mouse models, although the

response is apparently dependent on the prion strain

used for infection [33,34] Microglial cells can contain

infectivity in vivo and may disseminate prion infectivity

within the brain during their migratory activities [35]

Recently, a microglial cell line derived from PrP

over-expressing mice has been established which can be

infected with several prion strains [36]

The physiological role of PrPc has not yet been

clarified Some evidence indicates a functional role of

PrPc in the immune system The expression of PrPc

is up-regulated, e.g on maturation of

nonplasmacy-toid dendritic cells, on activated T-cells or on

inter-feron-c-treated monocytes [37–40] Immunization of

mice with vesicular stomatitis virus led to an

up-regu-lation of PrPc in the FDC network [41] When

attached to the surface of monocyte⁄ macrophage

cells, fusion proteins of the prion protein activated

downstream signalling [42] Macrophages derived

from prnp knock-out mice exhibited a decreased

phagocytic activity in vitro [43]

In this study, we sought to investigate the impact of

stimulation-induced PrPc up-regulation in macrophage

or microglial cell lines and primary macrophages on the

processing of PrPSc We used the macrophage cell line

J774, the microglial cell line BV-2 and mouse bone

mar-row-derived macrophages (BMDMs) On activation

with

cytosine-phosphate-guanosine-oligodeoxynucleo-tides (CpG-ODNs) or lipopolysaccharide (LPS), cells

showed an up-regulation of PrPcof about twofold with

similar kinetics There were distinct differences in the

reaction to prion infection, but, in all experiments,

stim-ulation hampered the degradation of PrPSc Moreover,

the stimulation seemed to support Rocky Mountain

Laboratory strain (RML)-PrPSc conversion in J774 macrophages and BMDMs

Results

Transient up-regulation of PrPcsurface expression in stimulated cells

PrPc surface expression is necessary for cellular prion conversion and, in susceptible cell lines, the amount of PrP may dictate the rate of de novo synthesis of PrPSc

To verify this in activated phagocytic cells, we stimu-lated J774 and BV-2 cells with LPS and CpG-ODN for 4 h As a control, cells were treated with nonstimu-lating GpC-ODN or left untreated Successful stimula-tion was confirmed by the measurement of tumour necrosis factor-a (TNF-a) secretion (data not shown) Zero, 6, 12, 18 and 24 h after removing the stimuli, cell surface PrPc was measured by fluorescence-associ-ated cell sorting (FACS) analysis (Fig 1) The mean fluorescence value of the control cells was set as one and the values of treated cells were expressed as x-fold

in relation to the control fluorescence value In BV-2 cells (top panel), the surface expression of PrPc was significantly increased 12 h after LPS stimulation (2.1-fold increase) CpG-ODN-stimulated cells reacted similarly, although the expression was only 1.5-fold increased after 12 h PrPc levels in GpC-ODN-treated cells were comparable with those in untreated control cells In J774 cells (middle panel), the shift was even more pronounced; 12 h after stimulation, the amount

of surface PrPc in CpG-ODN- and LPS-treated cells was increased by 2.7- and 2.4-fold, respectively In both cell lines, PrPclevels decreased at the 18 and 24 h time points Similar to the cell lines, PrPc expression levels of BMDMs were analysed at 0 and 12 h after stimulation (bottom panel) A significant increase was observed after 12 h in both LPS- and CpG-ODN-trea-ted cells (1.8- and 1.5-fold, respectively) Quantitative RT-PCR experiments revealed that the amount of PrP mRNA was not affected by stimulation (data not shown)

In summary, we found that, on stimulation of BV-2, J774 and BMDM cells the surface expression of PrPc increased transiently This was not caused by an aug-mented transcription rate of the prnp gene

Stimulation of BV-2, J774 and primary macrophages influences their response

to prion challenge

To determine the effects of stimulation and subsequent PrPc up-regulation on primary prion infection, BV-2

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and J774 cells were treated for 4 h with LPS,

CpG-ODN, GpC-CpG-ODN, or left untreated After removing

the stimulatory agents, cells were incubated with RML

brain homogenate for 24 h (Fig 2) The cultures were

then washed extensively with phosphate-buffered saline (NaCl⁄ Pi) and either lysed immediately (0 h) or after further cultivation for 24 and 48 h without brain homogenate All cells exhibited similar growth, inde-pendent of stimulation Proteinase K (PK)-digested lysates were subjected to detergent solubility assay for separation of PrPSc partitioning in the pellet fraction

In order to ensure comparable amounts of PrPSc detected in the immunoblot, the entire pellet fraction

of each time point was loaded Thereby, the absolute PrPScamount was monitored over the duration of the experiment In BV-2 cells (Fig 2A), almost equal amounts of RML-PrPSc were found in pellets of cell lysates immediately after prion challenge, independent

of the stimulation state of the cells (lanes 1–4) After

24 h, the RML-PrPSc signal was reduced in lysates from untreated (to  30%) and GpC-ODN-treated ( 50%) control cells (lanes 5 and 8) In cultures stim-ulated with LPS (lane 6), a moderate decrease (to

21 30

1 2 3 4 5 6 7 8 9 10 11 12

co LPS CpG GpC co LPS CpG GpC co LPS CpG GpC

co LPS CpG GpC co LPS CpG GpC co LPS CpG GpC

BV-2

21 30

1 2 3 4 5 6 7 8 9 10 1112

J774

RML

RML

A

B

Fig 2 Response of different cell types to infection with RML pri-ons (A) BV-2 microglial cells were stimulated for 4 h with LPS, CpG-ODN, GpC-ODN, or left unstimulated (co) as indicated, and were subsequently treated with RML-infected brain homogenate for 24 h The cells were then either lysed directly (0 h; lanes 1–4)

or after further cultivation (24 h, lanes 5–8; 48 h, lanes 9–12) Cell lysates, representing equal amounts of viable cells, were subjected

to PK digestion and ultracentrifugation Pellet fractions were analy-sed by immunoblot using the monoclonal antibody 4H11 (B) A sim-ilar analysis as in (A), performed with J774 murine macrophages Pellets of PK-digested and ultracentrifuged cell lysates were analy-sed by immunoblot PrP-specific bands were detected with the monoclonal antibody 4H11.

ns ns

ns ns

*** *

*** *

*** *

ns *

ns ns

* **

* **

* **

ns ns

*** ***

ns ns

ns ns

*** *

*** *

*** *

ns *

ns ns

* **

* **

* **

ns ns

*** ***

BV-2

2,5

1,5

0,5

0

0

CO LPS CpG GpC

CO LPS CpG GpC

CO LPS CpG GpC

hours

hours

hours

2

1

3,5

2,5

1,5

0,5

0

2

3

1

1,5

0,5

0

2

1

J774

BMDM

Fig 1 Kinetics of surface PrP c expression after stimulation of BV-2

microglial cells (top panel), J774 macrophages (middle panel) and

BMDMs (bottom panel) for 4 h with LPS, CpG-ODN, GpC-ODN, or

left unstimulated Surface FACS analysis was performed in

tripli-cate after 0, 6, 12, 18 and 24 h following stimulation for BV-2 and

J774 (antibody against PrP A7) and after 0 and 12 h for BMDMs

(antibody against PrP 12F10) The average of the mean

fluores-cence intensity is shown and is expressed as an x-fold increase

relative to unstimulated control cells (value ¼ 1) Bars indicate

standard deviation Statistical significance is indicated: ns, not

significant; *P < 0.05; **P < 0.005; ***P < 0.001.

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 70%) was observed; in CpG-ODN-treated cells

(lane 7), the RML-PrPScsignal was barely diminished

Only in CpG-ODN-stimulated cells was a faint PrPSc

signal still detectable after 48 h

In J774 cell lysates (Fig 2B), a similar pattern, with

similar PrPSc amounts in all cell lysates, was found at

the 0 h time point Surprisingly, after 24 h, notably

without brain homogenate contained in the culture

medium, the RML-PrPSc signal, particularly in

LPS-treated cells (lane 6) and, after 48 h, also in

CpG-ODN-treated cells (lane 11) was increased ( 1.8- and

1.3-fold, respectively) relative to the baseline signal

directly after infection (lanes 2 and 3) This finding

was reproducible and was not the case if

nonstimulato-ry LPS (data not shown) or GpC-ODN (lane 8 and

12) was applied In LPS-stimulated samples, a

pro-nounced signal for RML-PrPSc was still detectable

after 48 h (lane 10), whereas, in control and

GpC-ODN-treated cells, the signal again decreased Five

days after infection, RML-PrPSc was undetectable in

all cells (data not shown) To ensure that LPS and

CpG-ODN effects are caused by the activation of cells

via toll-like receptors (TLRs), N2a cells, which could

not be stimulated with LPS and CpG-ODN, were

trea-ted similarly to macrophages and microglial cells No

LPS- or CpG-ODN-specific alterations in the PrPSc

signals were observed after the different time points

(data not shown)

According to the procedure described above, we

attempted to verify these results using 22L prions

(Fig 3) In BV-2 cells, a strong PrPSc signal and

simi-lar amounts of 22L-PrPSc were detected on lysis

directly after incubation with 22L brain homogenate

(Fig 3A; 0 h) After 24 h, a weak 22L-PrPSc signal

was seen only in CpG-ODN-stimulated cells (lane 7)

After 48 h, no 22L-PrPSc was detectable J774 cells

showed a completely different picture (Fig 3B)

Immediately after infection (0 h), large amounts of

22L-PrPScwere detected in all cell lysates By contrast

with the rapid disappearance of 22L-PrPSc in BV-2

cells, in J774 cells, 22L-PrPSc signals were completely

absent only after observation for 7 days Of note, the

amount of 22L-PrPSc found in these cells was only

slightly affected by stimulation, and the increase in

PrPSc that was observed with RML prions was not

evident

To support the relevance of the findings described

above, primary mouse BMDMs were prepared Similar

to the cell lines, they were stimulated and incubated

with 22L or RML brain homogenate for 24 h Cells

were lysed either immediately, or 24 or 48 h after

infection PK-digested pellet fractions obtained by

detergent solubility assay were analysed by

immuno-21 30

1 2 3 4 5 6 7 8 9 10 11 12

co LPS CpG GpC co LPS CpG GpC co LPS CpG GpC

0 h 24 h 48 h

BV-2

21 30

1 2 3 4 5 6 7 8 9 101112 13 14 15 16

co LPS CpG GpC co LPS CpG GpC co LPS CpG GpC

0 d 2 d 5 d

J774

22L

22L

co LPS CpG GpC

7 d

A

B

Fig 3 Infection of BV-2 and J774 with 22L prions (A) After stimu-lation (co, LPS, CpG-ODN, GpC-ODN), BV-2 cells were incubated for 24 h with brain homogenate derived from mice infected with prion strain 22L Lysates after different time points as indicated (0,

24, 48 h) were digested with PK, ultracentrifuged and the pellet fractions were subjected to immunoblot analysis For the detection

of PrP-specific bands, the monoclonal antibody 4H11 was used (B) J774 macrophages were treated as described in (A) After PK digestion and ultracentrifugation of cell lysates prepared after the different time points (0, 2, 5 and 7 days after infection), pellet frac-tions were analysed by immunoblot using the monoclonal antibody 4H11.

1 2 3 4 5 6 7 8 9 10 11 12

1 2 3 4 5 6 7 8 9 10 11 12 21

30

21

30

co LPS CpG GpC co LPS CpG GpC co LPS CpG GpC

0 h 24 h 48 h

22L

co LPS CpG GpC co LPS CpG GpC co LPS CpG GpC

0 h 24 h 48 h

RML

A

B

Fig 4 Prion infection of BMDMs (A) BMDMs were stimulated or not as indicated for 4 h Then, 22L brain homogenate was added for 24 h After washing the cells, they were lysed immediately (0 h) or 24 and 48 h later, respectively PK-digested pellet fractions were analysed by immunoblot with monoclonal antibody 4H11 (B) Identical experiment as in (A) RML brain homogenate was used for infection.

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blot The entire pellet fraction was loaded to ensure

comparable conditions (Fig 4) Like J774

macrophag-es, BMDMs degraded 22L prions quite slowly without

an obvious influence of stimulation By contrast, on

RML infection, an increase was observed in PrPSc in

LPS-stimulated cells ( 1.4-fold) after 24 h incubation

without brain homogenate, and a slight increase in

CpG-ODN-stimulated cells

PrPSc accumulates intracellularly in macrophages and microglial cells before degradation

To ascertain that J774 and BV-2 cells effectively inter-nalize PrPSc, indirect immunofluorescence assays under conditions specific for the detection of PrPSc [44] and confocal microscopy were performed on stimulation and infection with RML brain homogenate (Fig 5) In

n i.

co

CpG-ODN

LPS

Fig 5 PrP Sc is located intracellularly in J774 and BV-2 cells BV-2 (left panel) and J774 (right panel) cells were activated for 4 h or left untreated (co, LPS, CpG), and then incu-bated for 24 h with RML-infected brain homogenate (co, LPS, CpG) or with unin-fected brain homogenate (not inunin-fected, n.i.).

An immunofluorescence assay was per-formed, including a denaturation step with guanidinium hydrochloride (6 M ), to allow the specific detection of PrPScusing the monoclonal antibody 4H11.

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cells treated with uninfected brain homogenate as

a control (n.i.), no specific fluorescence could be

detected, confirming that PrPc was not recognized

under our experimental conditions In all samples

exposed to RML-infected brain homogenate (control,

CpG-ODN-treated, LPS-treated), specific intracellular

PrPSc staining was found, independent of the

activa-tion state of the cells

These results show that macrophages and microglial

cell lines are able to internalize and accumulate PrPSc

when exposed to prion-infected brain homogenate

Transient prion conversion versus degradation

of PrPScin stimulated cells

In further experiments, we attempted to elucidate the

underlying mechanisms of the observations made in

the stimulation⁄ infection experiments To determine

whether the rapid reduction of 22L-PrPSc in BV-2

cells was caused by effective degradation, we

stimu-lated BV-2 cells with the different reagents, followed

by infection with 22L prions The cultures were then

rinsed with NaCl⁄ Pi, lysed directly, or cultivated for

a further 24 h in the presence or absence of NH4Cl

to inhibit endosomal⁄ lysosomal proteases (Fig 6A)

Pellet fractions, after detergent solubility assay of cell

lysates without PK digestion, were analysed by

immu-noblot Of note, all samples contained N-terminally

truncated PrPSc (PrP27–30), by contrast with the

brain homogenate used as inoculum in which mainly

full-length PrPSc was found (Fig 6B) When NH4Cl

was added to the cells, 22L-PrPSc was detectable in

all samples, by contrast with cultures without NH4Cl

The most prominent bands were found in cell lysates

of CpG-ODN-stimulated cells, with and without

NH4Cl treatment These data indicate that, in

micro-glial cells, PrPSc is rapidly degraded in acidic vesicles,

and that CpG-ODN treatment interferes with

proteo-lysis

We assumed that the increased RML-PrPScsignal in

stimulated J774 macrophages could be the result of

transient de novo generation of PrPSc To support this,

we stimulated J774 cells as indicated and incubated

them with RML brain homogenate Cells were lysed

directly, or incubated for a further 24 h in culture

medium either with or without suramin (Fig 6C) By

the addition of suramin to the cells, de novo synthesis

of PrPScis completely inhibited [45,46] Pellet fractions

of cell lysates without PK digestion were tested by

immunoblot for their RML-PrPSc content Directly

after infection, all lysates contained similar amounts of

N-terminally truncated PrPSc(PrP27–30) Without

sur-amin, the signal in LPS- and CpG-ODN-treated cells

was enhanced after 24 h By contrast, when suramin was added to the cells (lanes 10 and 11), the signals in all lysates remained equal or even diminished relative

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1 2 3 4 5 6 7 8 9 10 11 12

co LP

CpG GpC co LPS CpG GpC co LP

CpG GpC

0 h

24 h 24 h

- NH4Cl + NH

4Cl BV-2

22L

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30

co LPS Cp

co LPS Cp

GpC co LPS Cp

co LPS Cp

GpC co LPS CpG GpC

0 h

24 h

24 h

- Sur + Sur J774

RML

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- - + + PK

1 2 3 4

RML RML 22L

A

B

C

Fig 6 Principles underlying the observed effects (A) BV-2 cells were stimulated for 4 h as indicated (co, LPS, CpG, GpC), infected for 24 h with 22L prions and lysed either directly (0 h, lanes 1–4)

or cultivated for another 24 h in culture medium in the absence (– NH4Cl; lanes 5–8) or presence (+ NH4Cl; lanes 9–12) of ammo-nium chloride All cell lysates (– PK) were ultracentrifuged Pellet fractions were analysed by immunoblot PrP-specific signals were detected with the monoclonal antibody 4H11 (B) An aliquot of RML- (lanes 1 and 3) or 22L- (lanes 2 and 4) infected brain homo-genate was analysed by immunoblot without (lanes 1 and 2) or after (lanes 3 and 4) PK digestion For the detection of specific signals, the monoclonal antibody 4H11 was used (C) Following stimulation (co, LPS, CpG, GpC) for 4 h, J774 macrophages were treated for

24 h with RML-infected brain homogenate After removal, cells were lysed immediately (0 h, lanes 1–4) or after further cultivation for 24 h in the presence (+ Sur; 200 lgÆmL)1; lanes 9–12) or absence (– Sur; lanes 5–8) of suramin Pellet fractions of the ultracentrifuged cell lysates were subjected to immunoblot, and PrP-specific bands were visualized with the monoclonal antibody 4H11.

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to the 0 h time point This decrease indicates that the

effects observed on suramin treatment are not caused

by the potential inhibition of lysosomal degradation

by the compound

Taken together, these results show that BV-2 cells

degrade PrPSc in acidic compartments J774 cells, if

infected with RML prions, may be able to transiently

synthesize PrPSc The generation of PrP27–30

demon-strates the immediate N-terminal truncation of PrPSc

after phagocytosis

Discussion

The aim of our study was to investigate the impact

of the stimulation of macrophages and microglial cells

by LPS or CpG on PrPc expression and their

han-dling of prion-infected brain material We chose the

cell line J774, a differentiated murine macrophage-like

cell line exhibiting several features of primary

macro-phages, e.g expression of Fc-receptors and a

capabil-ity of antigen presentation [47] The cell line BV-2

exhibits most of the morphological, phenotypical and

functional properties described for freshly isolated

microglial cells [48] To support the relevance of our

findings, key experiments were confirmed with

pri-mary BMDMs

LPS- and CpG-ODN-induced PrPcup-regulation

does not alter PrPScuptake

Using FACS analysis, we found that, in all cells,

sur-face PrPc expression was significantly up-regulated

12 h after stimulation with LPS or CpG-ODN The

PrPc levels then decreased again with similar kinetics

When J774 and BV-2 cells were treated with

prion-infected brain homogenate, we initially assumed that

the stimulation of cells might result in a higher

phago-cytic and proteolytic activity [49] However, this was

not the case In a PrPSc-specific immunofluorescence

assay [44], strong vesicular staining was found in both

cell lines, showing that PrPSc is effectively internalized

by both cell lines, independent of stimulation and

of surface PrPc levels In addition, both cell lines

harboured, almost exclusively, PrPSc which was

N-ter-minally trimmed even without PK treatment, whereas

the inoculum mainly contained full-length PrPSc (see

Fig 6A,B), indicating partial proteolysis after

phago-cytosis This led us to suggest that the processing of

PrPScin both cell lines occurs in two steps First,

full-length PrPSc is taken up by the cells and degradation

starts with the rapid digestion of the flexible

N-termi-nus, giving rise to PrP27–30 This material is handled

further in a cell type- and strain-specific manner

Impaired degradation of PrPScin CpG-ODN-stimulated microglial cells

In BV-2 cells, PrPScsignals did not exceed the baseline signal found immediately after infection Here, CpG-ODN, but not LPS, stimulation interfered with the degradation of PrPSc A similar effect has been described for skin dendritic cells [26] Of note, in these cells, the degradation of PrPScwas hampered on LPS activation, whereas the impact of CpG-ODN was not addressed For degradation, two main systems are available for the cell: the cytosolic proteasomal degra-dation machinery and the degradegra-dation in endosomal⁄ lysosomal compartments Arguing that phagocytosed material is most probably subjected to lysosomal deg-radation, we were able to confirm this by the inhibi-tion of PrPScdegradation with NH4Cl The difference between LPS and CpG-ODN treatment may be a result of differences in the downstream signalling of TLR4 and TLR9, through which different genes may

be activated [50] In any case, our data do not support the described putative protective role of CpG-ODN application against prion disease [51], which is proba-bly mainly caused by an altered spleen architecture induced by stimulation and by the lack of cell types supporting peripheral prion replication [52]

Does LPS stimulation support the transient propagation of RML-PrPScin macrophages? The results in J774 and BMDM cells were rather dif-ferent to those in BV-2 cells 22L prions were degraded much more slowly than in BV-2 cells Possibly, macro-phages have the ability to store antigens, as has been described for splenic dendritic cells, which then directly interact with B-lymphocytes to trigger antibody pro-duction [53] In addition, the proteolytic capacity of different cell types can influence the degradation kinet-ics of various prion strains The increase in the RML-PrPSc signal, particularly in LPS-stimulated J774 and BMDM cells, was quite unexpected, and gives rise to the hypothesis that these cells are able to transiently convert RML-PrPSc It is worth noting that J774 and primary BMDM cells both showed the same effect As the expression levels of PrPc, and therefore also of newly converted PrPSc, were below the detection limit

of both immunoblot and metabolic labelling followed

by radio-immunoprecipitation (data not shown), even after stimulation, we employed the compound suramin

to inhibit the de novo synthesis of PrPSc [45,46] Indeed, the increase in RML-PrPSc in J774 cells was thereby prevented, which strengthens the hypothesis of transient PrPScpropagation, at least in a transient and

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strain-dependent manner Therefore, this is the first

report to show that cultured macrophages may be able

to propagate PrPSc This was only the case in

stimu-lated cells, which can be explained by the increased

surface PrPc levels Nevertheless, there is no

correla-tion between the increase in the level of PrPc and the

amount of possibly converted RML-PrPSc If this were

the case, one would expect a more pronounced

RML-PrPScincrease in CpG-ODN-stimulated cells, as FACS

data indicate higher surface PrPc levels It should be

noted that these data do not implicitly indicate that

macrophage cell lines are infectable as, on transient

formation of PrPSc, persistent infection is not

necessar-ily established in cultured cells [54] Evidence for prion

replication in macrophages is provided in vivo, as, in

mice lacking FDCs, lymph node prion replication is

associated with macrophage subsets [20] In J774 cells,

RML-PrPSc was finally degraded, and 5 days after

infection no RML-PrPSc was detectable in stimulated

cells by immunoblot analysis (data not shown) These

results indicate a scenario in which, on coinfection

with prions and bacteria or viruses delivering agonists

of TLR signalling, uptake of PrPScby macrophages is,

at least for a certain time frame, no longer beneficial

for the clearance of prions, in line with an early report

on the increased susceptibility of mice to scrapie on

stimulation with phytohaemagglutinin [55]

Recruit-ment of immune cells to sites of chronic inflammation

in prion-infected animals can alter the organ tropism

of prions [56–58], and the activation of these immune

cells may also facilitate prion replication in peripheral

organs usually not prone to the generation of PrPSc

In summary, our data do not support a solely

pro-tective role of the stimulation of macrophages and

microglial cells in primary prion infection scenarios

Stimulation and subsequent PrPc up-regulation do not

enhance PrPScuptake, but may disturb the cellular

bal-ance between degradation and propagation

Experimental procedures

Reagents

PK and Pefabloc proteinase inhibitor were obtained from

Roche, Mannheim, Germany LPS from Escherichia coli

was obtained from Sigma, Deisenhofen, Germany CpG

and GpC motif-containing oligodeoxynucleotides

(CpG-and GpC-ODN 1668 (CpG-and 1720, respectively) were obtained

from TIB Molbiol (Berlin, Germany) Immunoblotting was

performed using the enhanced chemiluminescence blotting

technique (ECL plus) from Pharmacia (Freiburg, Germany)

A7 and 4H11 antibodies against PrP have been described

previously [59] Monoclonal antibody against PrP 12F10

was purchased from Antiko¨rper Online, GmbH, Aachen, Germany The antibody against CD16⁄ CD32 was obtained from BD Pharmingen (Heidelberg, Germany) Fluorescein isothiocyanate (FITC)- and rhodamine-conjugated second-ary antibodies were obtained from Dako or Dianova (Hamburg, Germany) Cell culture media and solutions were obtained from Gibco BRL (Karlsruhe, Germany)

Cell culture, stimulation and treatment of cells The murine macrophage cell line J774 (ATCC TIB 67) and the microglial cell line BV-2 [48] were kept in RPMI1680 medium supplemented with 7.5% fetal bovine serum (ultra-low endotoxin), mercaptoethanol (50 lm) and antibiotics BMDMs were prepared from C57Bl⁄ 6 mice Bone marrow cells were incubated overnight with macrophage colony-stimulating factor containing L929 cell culture supernatant Then nonadherent cells were re-plated and differentiated for

7 days Adherent cells were used for further analysis [60] For stimulation, CpG-ODN and GpC-ODN were added at

a concentration of 1 lm, and LPS at 1 lgÆmL)1, for 4 h Medium was collected, centrifuged for 5 min at 600 g and stored at ) 20 C until testing for TNF-a secretion by ELISA (R & D Developments, Minneapolis, MN, USA) Suramin was dissolved in 0.9% NaCl at a stock concentra-tion of 200 mgÆmL)1and added to the cells at a concentra-tion of 200 lgÆmL)1for 24 h Ammonium chloride (NH4Cl) was applied at a concentration of 50 lm for 24 h

Mode of transient prion infection For transient prion infection, the mouse-adapted scrapie strains RML and 22L were used To prepare brain homo-genates (10% w⁄ v), infected brains from CD-1 (RML) and C57Bl⁄ 6 (22L) mice were homogenized in NaCl ⁄ Pi After stimulation of cells for 4 h, the stimuli were removed and brain homogenate was added to the cells at a 1 : 10 dilution

in culture medium (final concentration of 1%) for 24 h For stimulation and treatment with brain homogenate, cells were kept on 10 cm dishes in order to ensure equal stimulation and infection conditions After washing these cells with NaCl⁄ Pi, they were divided equally on 6 cm dishes for the various chase points One part of the cells was lysed imme-diately after removal of the brain material, and was denoted

as the 0 h time point All lysates (with and without PK digestion) were subjected to a solubility assay The entire pellet fraction of each time point was analysed by immuno-blot to allow the comparison of PrPScamounts

Cell lysis, PK analysis and immunoblot Confluent cell cultures were washed twice in cold NaCl⁄ Pi

and lysed in 1 mL cold lysis buffer (10 mm Tris⁄ HCl,

pH 7.5, 100 mm NaCl, 10 mm EDTA, 0.5% Triton X-100,

Trang 9

0.5% deoxycholate) for 10 min After centrifugation at

10 000 g for 1 min, the supernatant samples were split

between those without and with PK digestion (20 lgÆmL)1

for 30 min at 37C) Digestion was stopped with Pefabloc

and samples were subjected to detergent solubility assay

After the addition of sample buffer to the re-suspended

pel-let fractions after detergent solubility assay and boiling for

5 min, an aliquot was analysed by 12.5% PAGE For

Wes-tern blot analysis, the proteins were electrotransferred to

poly(vinylidene difluoride) membranes (Pharmacia) The

membrane was blocked with 5% nonfat dry milk in NaCl⁄

Tris T (0.05% Tween 20, 100 mm NaCl, 10 mm Tris⁄ HCl,

pH 7.8), incubated overnight with the primary antibody at

4C and stained using the enhanced chemiluminescence

blotting (ECL plus) kit from Pharmacia

Detergent solubility assay

Cells were lysed in lysis buffer as described for immunoblot

analysis Postnuclear cell lysates (± PK) were

supple-mented with Pefabloc and N-lauryl sarcosine (1%), and

ultracentrifuged in a Beckman (Krefeld, Germany) TL-100

table ultracentrifuge for 1 h at 100 000 g using a TLA-45

rotor at 4C) Pellet fractions were re-suspended in 20 lL

of TNE (50 lm Tris/HCl, 150 mm NaCl, 5 mm EDTA, pH

7.4) and analysed by immunoblot

FACS analysis

For the analysis of surface protein expression, cells were

suspended in FACS buffer (2.5% fetal bovine serum and

0.05% NaN3 in NaCl⁄ Pi) and incubated for 5 min on ice

After centrifugation, Fc-receptors were blocked by

incuba-tion of cells with antibody against CD16⁄ CD32 (1 : 100;

BD Pharmingen) for 30 min on ice After three washes with

FACS buffer, primary anti-PrP antibodies (A7 or 12F10)

were added in a 1 : 100 dilution in FACS buffer for 45 min

on ice, washed three times in FACS buffer, and the

second-ary antibody (FITC-labelled, 1 : 100) was added and

incu-bated for another 45 min After the last wash, cells were

re-suspended in FACS buffer containing

7-amino-actino-mycin D (BD Pharmingen) FACS analysis was performed

in a Coulter Epics XL MCL apparatus (Beckman Coulter,

Krefeld, Germany) Statistical analysis was performed by

comparing differences between LPS or CpG-ODN

stimu-lation with GpC-ODN-treated cells in an unpaired

two-tailed t-test using graphpadprism software

PrPSc-specific indirect immunofluorescence assay

and confocal laser scanning microscopy

Cells were plated on glass cover slips (Marienfeld,

Ger-many) at low density They were washed twice in cold

NaCl⁄ Pi and fixed in 4% paraformaldehyde for 30 min at

room temperature After sequential treatment with NH4Cl (50 mm in 20 mm glycine), Triton X-100 (0.3%),

guanidini-um hydrochloride (6 m) and gelatine (0.2%) for 10 min each at room temperature and blocking of Fc-receptors, the first antisera were added at 1 : 100 (e.g 4H11) in NaCl⁄ Pi

and incubated for 30 min at room temperature After three washes in NaCl⁄ Pi, FITC- or rhodamine-conjugated sec-ondary antisera (1 : 100 dilution in NaCl⁄ Pi) were used and immunostaining was accomplished according to standard procedures Slides were mounted in Permafluor Mounting Medium (Beckman Coulter) Confocal laser scanning microscopy was performed using a Zeiss LSM510 Confocal System (Zeiss, Go¨ttingen, Germany)

Acknowledgements

We are grateful to Professors M Groschup and H Kretzschmar for providing infected mouse brains This work was supported by 576 (project B12),

SFB-596 (project A8 and Z1), DFG (Scha594⁄ 3-4) and the

EU NoE Neuroprion

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