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Journal of Virology, January 2006, p. 474-482, Vol. 80, No. 1
0022-538X/06/$08.00+0 doi:10.1128/JVI.80.1.474-482.2006
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Christine F. Farquhar,
George W. Outram, and
Moira E. Bruce*
Institute for Animal Health, Neuropathogenesis Unit, Ogston Building, West Mains Road, Edinburgh EH9 3JF, United Kingdom
Received 11 August 2005/ Accepted 7 October 2005
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Following the experimental TSE infection of animals by feeding or by other peripheral routes, the infectious agent usually replicates and accumulates in secondary lymphoid tissues at an early stage, long before it becomes detectable in the central nervous system (27). Studies in several rodent models have shown that, following peripheral inoculation, this lymphoid replication phase is critical for the subsequent spread of infection to the nervous system (19, 20). Replication in the lymphoid tissues is accompanied by the accumulation of an abnormally folded form of the host prion protein, PrP, which can be detected by its relative protease resistance (15). The presence of this pathological form, termed PrPSc, is generally regarded as a marker for infection. PrPSc is detected in the lymphoid tissues of patients with vCJD (24, 54), deer with CWD (50), and sheep with natural scrapie (53) both at the clinical phase of the disease and preclinically. In the case of vCJD and sheep scrapie, infectivity in lymphoid tissues has also been detected directly by bioassay in mice (8, 22).
In the lymphoid tissues of mice experimentally infected with scrapie, PrPSc accumulation is intimately associated with the processes of the follicular dendritic cells (FDCs) of the lymphoid follicles (7, 26). In the naturally occurring diseases vCJD, CWD, and scrapie, the site of pathological PrP accumulation within lymphoid tissues is also consistent with an FDC association (1, 24, 50). There are now multiple lines of evidence from mouse TSE models that FDCs are critical for the replication and accumulation of infectivity in the lymphoid tissues (33). Mice that have genetically or transgenically induced deficiencies of the immune system that lead to an absence of mature FDCs also fail to replicate scrapie in their spleens and, as a result, are relatively difficult to infect by a peripheral route (7, 19, 28, 37). Furthermore, treatments that temporarily dedifferentiate FDCs (35, 36, 38, 42) or interfere with their function (29, 34) also interfere with scrapie replication in the lymphoid tissues, reduce susceptibility to infection, and impair the spread of infection to the central nervous system.
Studies in transgenic mice deficient in PrP have shown that expression of this protein is required for an animal to be susceptible to TSE infection (9, 39). In the lymphoid tissues of uninfected mice, high levels of the normal cellular form of PrP, PrPc, are present on FDCs (6). A series of studies on the ME7 mouse scrapie model, using bone marrow grafting between PrP-expressing and PrP-deficient mice, has indicated that replication in lymphoid tissues and overall susceptibility depend on PrP expression by cells such as FDCs that are radiation resistant and not derived from bone marrow (7). In this model, expression of PrP by bone marrow-derived cells such as lymphocytes has little or no influence on the disease.
vCJD has occurred predominantly in young adults, suggesting that age-related factors may influence susceptibility and/or levels of exposure to BSE (21). Furthermore, epidemiological evidence indicates that most cattle developing BSE were infected as calves (3). Similarly, it has been suggested that young lambs are more susceptible than adults to natural infection with scrapie (11). These indications of possible age-related susceptibility factors in humans, cattle, and sheep prompted us to reexamine age-related variation in the susceptibility of mice to peripheral scrapie inoculation. Using doses that were 100% lethal to adult mice, it was found previously that some neonatally inoculated mice survived peripheral scrapie challenge (46). Furthermore, the neonatally inoculated mice that developed scrapie did so with a wider incubation period range than those inoculated when they were older. Susceptibility to scrapie and the incubation period range were found to become adult-like about a week after birth (46). We now have the opportunity to reexamine this phenomenon in light of recent insights into scrapie pathogenesis in peripheral lymphoid tissues, in particular, concerning the involvement of FDCs in pathogenesis.
The aims of the present study were, first, to determine more precisely the relative susceptibilities of mice peripherally inoculated with scrapie as newborns and as adults and, second, to investigate the ability of the neonatal spleen to sustain scrapie agent replication. We also investigated how disease susceptibility relates to the developmental maturation of the spleen, particularly in terms of the expression of PrPc on maturing FDC networks. A major function of FDCs in adult mice is to trap antigens in the form of immune complexes via antibody or complement receptors (52). As antigen trapping via complement receptors has been implicated in the scrapie infection of lymphoid tissues (29, 34), we also examined markers for this function within the developing mouse spleen.
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Scrapie inoculations. (i) Experiment 1. Brain from a clinically affected C57BL mouse, infected with the ME7 strain of mouse-passaged scrapie, was homogenized in physiological saline at a 101 dilution, and serial 10-fold dilutions were prepared in saline to a 105 dilution. Groups of C57BL mice, aged either 0 to 1 day (neonates) or 19 to 43 days (adults), were injected intraperitoneally (i.p.) with 20 µl of inoculum at each dilution (neonates to 104, adults to 105). Immediately after inoculation, the abdomens of neonatal mice were sprayed with Novoseal in order to prevent inoculum leakage (inoculum leakage was not a problem in older mice). Mice were scored for signs of clinical scrapie and sacrificed at a standard clinical end point which was used to determine the incubation period (13). Mice that did not develop scrapie were maintained until they showed signs of intercurrent illness or old age. Brains were collected from all mice, and scrapie diagnosis was confirmed histopathologically from the presence or absence of vacuolar degeneration (18). The relative susceptibility of newborn and adult mice was estimated from the dilutions of inoculum resulting in the infection of 50% of mice (ID50s) measured in each age group. For this analysis, all mice with positive histopathological scrapie diagnosis were counted as infected and mice that survived beyond 550 days postinoculation with no clinical or histopathological signs of scrapie were counted as survivors. The ID50 was calculated by the Spearman-Kärber method (17) from the proportion infected at each dilution.
(ii) Experiment 2. Groups of C57BL mice aged 0 to 1, 10, 14, or 29 to 46 days were inoculated i.p. with 20 µl of a 102 dilution of ME7 brain homogenate as described above. Twelve mice from each group were killed at 70 days postinjection (d.p.i.) and their spleens collected for PrPSc detection by Western blotting and for infectivity bioassay (in the oldest group, only from mice inoculated at 29 days old). Remaining mice were assessed for clinical signs as described above and killed at the terminal stage of disease. Mice that did not show clinical scrapie signs were sacrificed with intercurrent disease or at 590 to 600 days after injection, when the experiment was terminated. Brains from clinically affected scrapie mice and from apparent survivors were assessed histopathologically as described above. Spleens from neonatally injected mice that developed clinical disease and from apparent survivors were collected and frozen for PrPSc immunoblot analysis.
(iii) Experiment 3. Three groups of C57BL mice, aged 0 to 2, 9 to 11, and 20 to 37 days, were inoculated intracerebrally (i.c.) with 20 µl of a 102 dilution of ME7 brain homogenate and assessed for clinical and histopathological signs of scrapie as described above.
(iv) Statistical analysis. Comparisons between incubation periods were made using MINITAB statistical software.
Infectivity bioassays. Individual half spleens from experiment 2, collected at 70 d.p.i., were homogenized in physiological saline at a 5% concentration, and 20 µl was injected i.c. into groups of 12 C57BL adult indicator mice. Bioassay mice were clinically and neuropathologically assessed as described above, and the titer in each spleen was estimated from the mean incubation period by using a standard dose-incubation period response curve, derived from titration data for ME7-infected spleen tissue injected i.c. into C57BL mice. This curve showed a linear relationship between the log10 dose (ID50 units/mouse) and incubation period (days) over the relevant dose range (R2 = 0.9998, intercept = 14.4057 log10 ID50 units, slope = 0.05347 log10 ID50 units/day). The titer of infectivity (y) in each spleen was calculated using the formula y = 0.05347x + 14.4057 + 3.0 log10 i.c. ID50 units/g, where x is the mean incubation period (days) in the bioassay mice.
PrPSc immunoblotting. PrPSc was purified from halved spleens from experiment 2 by using a differential extraction method as previously described (15). Briefly, spleen homogenates were treated with 50 µg/ml proteinase K (Sigma). PrPSc was extracted and sedimented using 2% Sarkosyl solution followed by high-speed ultracentrifugation. The detergent-soluble fraction containing PrPc was discarded, and the pellets were dried and resuspended in sodium dodecyl sulfate buffer. Samples were run on a 12% sodium dodecyl sulfate-polyacrylamide gel and then transferred to polyvinylidene difluoride membranes, where they were probed overnight using a 1/5,000 dilution of rabbit anti-mouse polyclonal antibody, 1B3 (16). An alkaline phosphatase-conjugated goat anti-rabbit secondary antibody (Jackson Immunoresearch) was applied at a 1/10,000 dilution to detect antibody binding, and the immunoblots were developed using 5-bromo-4-chloro-3-indolylphosphate (BCIP)-nitroblue tetrazolium (Sigma).
Immunocytochemistry. (i) Tissues. Spleens were collected from six to nine uninfected C57BL mice at each of the following ages: 1 day, 4 days, 8 days, 10 days, 14 days, 26 days, and 30 days. As negative controls, similar numbers of spleens were collected at the same ages from transgenic mice in which the Prnp gene had been disrupted, preventing PrP expression (129/Ola background) (39). The spleens were frozen immediately in liquid nitrogen and embedded in optimum cutting temperature compound. Cryostat sections (10 µm) were cut, fixed in acetone, and dried.
(ii) PrP immunolabeling. After blocking nonspecific binding sites with normal goat serum, sections were labeled with a polyclonal rabbit PrP-specific antibody, 1B3 (16). Adjacent control sections were incubated with normal rabbit serum. After washing, slides were incubated with Alexa 488-conjugated goat anti-rabbit serum (Molecular Probes Inc.), washed, and mounted in fluorescent mounting medium (Dako).
(iii) Double PrP and FDC-M1 immunolabeling. Following PrP labeling as described above, irrelevant binding sites were blocked with normal mouse serum and the sections were incubated with FDC-M1 rat monoclonal antibody (30) (a gift from M. Kosco-Vilbois, Serono, Geneva, Switzerland), which recognizes an uncharacterized epitope on immature and mature FDCs (5). Adjacent control sections were incubated with normal rat serum. After washing, biotinylated mouse anti-rat antibody (Jackson) was applied, followed, after washing, by streptavidin-conjugated Cy3 (Jackson). Slides were mounted as described above.
(iv) Double PrP and CR1 or FDC-M2 immunolabeling. The same procedure described above was used for PrP/CR1 or PrP/FDC-M2 labeling, substituting complement receptor 1 (CR1)-specific rat monoclonal antibody (Pharmingen) or FDC-M2 rat monoclonal antibody (a gift from M. Kosco-Vilbois) for the FDC-M1 antibody. The CR1-specific antibody (CD35) recognizes complement receptor 1, while the FDC-M2 antibody recognizes complement component 4 (C4) (51).
(v) Confocal microscopy. The sections were viewed using a Leica TCS NT microscope.
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FIG. 1. Incubation period of disease or survival time following i.p. inoculation of adult mice and neonatal mice with 10-fold dilutions of ME7 scrapie-infected brain homogenate. Shaded symbols represent individual terminally affected mice with a histolopathologically confirmed scrapie diagnosis. Unshaded symbols represent mice with a negative clinical and histopathological diagnosis that survived beyond the last clinical case in their challenge age group.
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FIG. 2. Incubation period of disease following i.p. inoculation of 0- to 1-, 10-, 14-, and 29- to 46-day-old mice with a 102 dilution of ME7 scrapie-infected brain homogenate. Shaded symbols represent individual terminally affected mice with a histopathologically confirmed scrapie diagnosis. The numbers of mice surviving to beyond 550 days with a negative histopathological scrapie diagnosis are indicated.
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TABLE 1. Intraperitoneal inoculation of mice of different ages with ME7 scrapie, showing the proportion of mice that developed disease, mean incubation periods, and the proportion in which PrPSc was detected in spleen by immunoblotting
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FIG. 3. Immunoblot analysis of spleen tissue taken from mice inoculated i.p. with ME7 scrapie at 0 to 1, 10, or 14 days old (d.o.). Samples were treated in the presence (+) or the absence () of proteinase K (PK) prior to electrophoresis. (a) At 70 d.p.i, no PK resistant accumulations of PrPSc were detected in the spleens of mice inoculated neonatally, but, at this stage, PrPSc could be detected in the spleens of mice injected at 10 and 14 days old (also at 29 days old [not shown]). (b) PrPSc was detected in the spleens of clinically affected mice inoculated as neonates (left hand panel). PrPSc was undetectable in the spleens of neonatally inoculated, clinically negative mice, except in one which had readily detectable PK-resistant accumulations at 592 d.p.i. (right hand panel). All gels included spleen extracts from a clinically affected mouse inoculated as an adult as a positive control (+con). Lane M contains molecular size markers.
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TABLE 2. Bioassays of individual half spleens collected from C57BL mice 70 days after intraperitoneal injection with ME7 scrapie
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FIG. 4. PrPc detection by immunofluorescent labeling in the spleens of uninfected mice at 8, 10, 14, and 30 days old (do). Labeling was first seen in a proportion of mice at 10 days, associated with some developing follicles (arrowheads), the spleen capsule (C), and trabeculae (T).
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FIG. 5. Double immunofluorescent labeling using PrP- (green) and FDC-M1-, CR1-, or FDC-M2 (red)-specific antibodies in the spleens of 14- and 30-day-old mice. Colocalization of PrP and FDC-M1, CR1, or FDC-M2 (yellow) is seen on FDC networks in developing follicles (arrowheads).
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FDCs trap and retain intact antigens, complexed to antibody and/or complement, for presentation to B cells (52). This process is thought to be central to the selection of high-affinity B-cell clones, isotype switching of antibodies, and the generation of B-cell memory. FDCs may trap immune complexes via CR1 and CR2 or via the antibody receptor Fc
RII. In previous studies, mice deficient in complement components or their receptors were shown to be relatively resistant to peripherally injected scrapie (29, 34), suggesting that trapping via complement receptors facilitates the infection of lymphoid tissues. On the other hand, a deficiency in antibodies or their receptors has no effect on scrapie pathogenesis, implying that lymphoid tissue infection does not depend on antigen trapping via antibody receptors (29).
In a study elsewhere on the ontogeny of FDCs in BALB/c mice, FDC-M1 labeling, presumably of FDC precursors, first appeared at postnatal day 3, followed by the complement receptor labeling of a few FDC-M1-positive clusters by day 7 (using an antibody that recognized both CR1 and CR2, CR1/2, or CD21/35) (5). At day 10, CR1/2 labeling was more prominent and complement C4, recognized by the FDC-M2 antibody, was evident on a few FDC clusters. Trapping of injected immune complexes was demonstrable at day 7. In another study elsewhere in C57BL/6N mice, complement receptors (CR1/2) were first seen at day 12 in the spleen, somewhat later than in the BALB/c study (25). In the present study in a different C57BL mouse line (C57BL/Dk), CR1 and C4 were first detected on FDCs at 14 days of age. There is evidence that CR2 appears slightly earlier than CR1 in mouse lymph nodes (25); though not documented, this may also be the case in the spleen, perhaps accounting for the relatively late detection of complement receptors in our study. Discrepancies in timing between the three studies may also be due to genetic differences between the mouse strains used, environmental factors, or technical differences in the detection methods used. Nevertheless, the consensus of these studies is that antigen trapping by splenic FDCs via complement receptors becomes active in mice during the second postnatal week.
We found that PrP antibody labeled a subset of FDC-M1-positive cells in developing spleen follicles from 10 days onward. The simplest explanation for the increase in susceptibility to scrapie at this time is therefore that it is related primarily to the appearance of PrPc on FDCs. However, markers for complement-dependent antigen trapping (CR1 and C4) appeared only slightly later, colocalizing precisely with PrP. This raises the possibility that maturation of this trapping function also contributes to the increase in scrapie susceptibility in these young mice. The close temporal and spatial association of the appearance of PrPc with markers for complement-dependent antigen trapping might also suggest an involvement of PrPc in this function.
Newborn mice are clearly not absolutely resistant to peripheral scrapie challenge (46). In the study reported here, about a third of the mice injected as neonates accumulated infectivity in their spleens in the first few weeks after inoculation and the same proportion went on to develop clinical scrapie. Immunoblot analysis of the spleens from neonatally inoculated mice at the end point of disease demonstrated high levels of PrPSc, similar to those in mice inoculated as adults. These results suggest that the early pathogenesis of scrapie in the neonatally inoculated mice that go on to develop clinical disease involves replication in the spleen, as is the case in adults. However, there is a slight delay in disease progression in these neonatally inoculated mice, as shown by the relatively low levels of infectivity in the spleen at 70 d.p.i., the failure to detect PrPSc at this stage, and the slightly extended incubation periods.
There are several possible explanations as to how the spleens of some neonatally inoculated mice become infected. It may simply be the case that functionally immature FDCs in the spleen are infected by a relatively inefficient mechanism. Another possibility is that the spleens of these mice are not infected directly but become infected after an initial replication phase in other lymphoid tissues such as lymph nodes. In adult mice, splenectomy before peripheral inoculation with ME7 scrapie dramatically lengthens the incubation period, showing that neuroinvasion occurs most rapidly via the spleen in this model (20). However, splenectomized mice still develop disease, following agent replication in other lymphoid tissues and neuroinvasion from these sites. In mice, there is evidence that follicles with CR1/2 networks appear in some lymph nodes a few days earlier than in the spleen (25). Therefore, it is possible that initial replication in lymph nodes is relatively more significant for disease progression in very young mice than in adults. Indeed, the effect of splenectomy on scrapie incubation period in newborn mice is not as clear-cut as the effect in adults (20).
Whether spleens of neonatally injected mice become infected directly or via other lymphoid tissues, there is still likely to be an interval of at least a week between inoculation and the first appearance of PrPc and functional FDCs in any lymphoid tissue. During this time, it is possible that infectivity is sequestered elsewhere and becomes available to FDCs once they are sufficiently mature to support replication of the agent. In adult mice, there is often a "zero phase" following peripheral scrapie inoculation before increasing levels of infectivity can be detected in the spleen by bioassay (27). This apparent delay may reflect the limits of sensitivity of the bioassay, but it could also represent a period during which infectivity is sequestered. Whether or not a neonatally inoculated mouse becomes infected may depend on the balance between the degradation of infectivity by cells such as macrophages or dendritic cells and the sequestration of infectivity in a compartment from which it can gain access to functionally mature FDCs several days later. Alternatively, initial infection of some neonatally inoculated mice might occur independently of the lymphoid system, as has been demonstrated in immunodeficient adult mice injected peripherally with high doses of scrapie (19, 37). A plausible explanation for this phenomenon in adults is that it involves direct infection of the peripheral or central nervous system, and this could also be the case in some neonatally inoculated mice, with infectivity spreading from the nervous system to the lymphoid tissues at a later stage.
As humans, sheep, and cattle are more immunologically mature at birth than mice, our observations are not directly relevant to postnatal age-related susceptibility factors in the natural TSEs of these species. However, they are relevant when considering the possibility of in utero infection. Immunohistochemical studies of fetal sheep lymph nodes have demonstrated the presence of FDCs in the primary follicles during the last month of gestation (23). Similarly, in humans, FDC networks have been observed in immature B-cell follicles in lymph nodes from the 16th gestational week (4) and in spleen from the 26th gestational week (43). Although we are not aware of any studies of prenatal PrPc expression in the lymphoid tissues of humans and sheep, there is therefore a theoretical possibility of in utero infection if the fetus were exposed to infectivity. In sheep, there is evidence of maternal transmission in natural scrapie (11, 14), but it is not clear whether transmission from ewe to lamb occurs before, during, or after birth. Both infectivity and substantial accumulations of PrPSc have been demonstrated in the placentas of pregnant scrapie-affected ewes (2, 45, 48), but it is not known whether this results in exposure of the developing fetus. There is no evidence at present of maternal transmission in acquired forms of CJD.
The evidence presented here regarding the age-related susceptibility of mice to scrapie clearly demonstrates that developmental factors in the immune system influence the establishment of infection in lymphoid tissues. Moreover, the timing of the developmental maturation of scrapie susceptibility correlates with the functional maturation of FDCs and with the first appearance of PrPc on these cells. This again highlights the importance of functional FDCs in the early stages of TSE infection and leads to the prediction that deficits in FDC function, for example, in old age, will be associated with a reduction in susceptibility to peripherally acquired TSE infection.
We thank Irene McConnell, Jenny Beaton, Nicola McAllister, and Anne Suttie for their excellent technical assistance, Jill Sales for help with statistical analysis, and Marie Kosco-Vilbois for her generous gift of the FDC-M1 and FDC-M2 antibodies. We also acknowledge the invaluable help and advice received from Neil Mabbott, Karen Brown, Patricia McBride, and John Fazakerley.
Present address: MD Biosciences, Centre for Integrated Diagnostic Systems, University Avenue, Glasgow G12 8QQ, United Kingdom. ![]()
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