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Journal of Virology, September 2008, p. 8933-8936, Vol. 82, No. 17
0022-538X/08/$08.00+0 doi:10.1128/JVI.02440-07
Copyright © 2008, American Society for Microbiology. All Rights Reserved.
Temporary Depletion of CD11c+ Dendritic Cells Delays Lymphoinvasion after Intraperitonal Scrapie Infection
Sevda Cordier-Dirikoc and
Joëlle Chabry*
Institut de Pharmacologie Moléculaire et Cellulaire, Centre National de la Recherche Scientifique, 660 Route des Lucioles, 06560 Valbonne, France
Received 13 November 2007/
Accepted 12 June 2008

ABSTRACT
The involvement of immune cells in prion capture and transport
to lymphoid tissues still remains unclear. To investigate the
role of dendritic cells (DC), we used DTR
+/+ mice, a transgenic
model designed to trigger short-term ablation of DC. Transient
depletion of DC around the time of intraperitoneal infection
delayed prion replication in the spleen, as followed by PrPsc
amount, a specific hallmark of prion diseases. Consequently,
neuroinvasion and incubation time of prion disease were delayed.
In contrast, no differences were observed after oral infection.
These results suggest that DC act as vectors for prions from
the peripheral entry site to the spleen.

TEXT
Transmissible spongiform encephalopathies (TSEs) are neurodegenerative
diseases caused by the progressive accumulation of the pathological
prion protein isoform (PrPsc or PrPres) in brain tissue of affected
humans and animals. PrPsc, a pathological conformer of the cellular
prion protein (PrPc) was proposed to be the causative agent
of TSEs (
15). Peripheral prion infections induce a rise of PrPsc
deposition and infectivity in lymphoid tissues, notably in spleen,
long before the infection spreads to the central nervous system.
In intraperitoneally (i.p.)-infected mice, infectivity rises
in the spleen within a few days (
17). The importance of spleen
in prion replication and neuroinvasion was suggested by experiments
showing a delay of disease onset in splenectomized mice (
8).
Follicular dendritic cells (DC) appear to support prion replication
in lymphoid follicles (
4,
9,
12). However, the precise nature
of cell types within the lymphoreticular system supporting TSE
agent transport from a peripheral infection site to the spleen
remains obscure. B lymphocytes are not essential for trafficking
prions within lymphoid organs (
1). Beringue and al. demonstrated
the involvement of macrophages in the clearance of prions rather
than in their transport (
3). CD11c
+ DC subsets can transport
prions from lymphoid organs to the central nervous system in
the absence of any other lymphoid element (
2). Importantly,
DC are active endocytotic and migratory cells, making them good
candidates for the transport of prions. The main function of
DC is to acquire antigens in peripheral tissues and transport
them to secondary lymphoid tissues (
19). Therefore, in the present
study, we assayed the hypothesis that CD11c
+ DC might be involved
in the uptake and transport of prions from the infection point
to the spleen. To do so, we used a well-characterized diphtheria
toxin (DT)-based transgenic mouse model that allows inducible
and short-term ablation of DC (
7). The strategy is based on
the fact that murine cells, unlike primate cells, are resistant
to DT. Indeed, the cytotoxicity of DT is strictly dependent
on its endocytosis mediated by its cellular receptor (DTR) (
13).
DT resistance of murine cells results from the low affinity
of DT for rodent DTR. Genetic transfer of a primate DTR into
mice (BALB/c genetic background) confers DT sensitivity to murine
cells. DT sensitivity was targeted to DC by introducing a transgene
encoding a simian DTR-green fluorescent protein (GFP) fusion
protein under the control of the murine CD11c
+ promoter; the
resulting transgenic mice were named DTR
+/+. CD11c
+ is considered
to be a pan marker of murine DC regardless of subset. Jung and
coworkers have demonstrated that the DT-induced depletion of
DC was transient and persisted for 2 days, after which the DC
number was gradually restored (
7). Because PrPsc inoculated
i.p. persisted at least 5 days in the mouse body (
10), a minimum
of 5 days of depletion of DC was required. To increase the duration
of DC depletion until the complete disappearance of the inoculated
PrPsc, we designed a protocol of systemic DT injections. DTR
+/+ mice were submitted to i.p. injections of DT 2 days apart: two
injections of 1 ng of toxin/g of body weight, followed by four
extra injections (0.4 ng/g of body weight). Flow cytometry analyses
were performed on splenocytes from DT-treated or untreated DTR
+/+ mice, focusing on GFP
+-CD11c
+high DC (Fig.
1). The first two
injections of DT (1 ng/g of body weight) led to a significant
depletion of CD11c
+ DC (89.0% ± 3.5%;
n = 7;
P < 0.01,
Mann-Whitney test) as compared to the level in phosphate-buffered
saline (PBS)-treated mice (Fig.
1). The systemic injection of
DT used here allowed an important and persistent depletion of
DC until 2 days after the last injection of toxin but resulted,
however, in 20% lethality in DTR
+/+ mice. Neither mortality
nor depletion of DC was observed when BALB/c mice were submitted
to the same procedure (Fig.
1).
We then investigated the effect of transient depletion of DC
on PrPsc formation in the spleen after peripheral prion inoculation.
One day after the first two injections of DT, mice were inoculated
i.p. with 100 µl of 2% brain homogenate prepared from
terminally ill 139A prion-infected BALB/c mice and then the
systemic DT treatment was pursued as described above. As a control,
PBS-treated DTR
+/+ mice were infected under the same experimental
conditions. Mice were killed 1 day after the last DT injection
(i.e., 8 days postinfection [dpi]) and 70 and 84 dpi, and then
spleens and brains were collected and homogenized as described
previously (
5). For detection of PrPsc, lysates were digested
with 100 µg of proteinase K (PK) per mg of total proteins
for 45 min at 37°C. PrPc and PrPsc were detected using the
anti-PrP monoclonal antibody (MAb) SAF70. The pathological PK-resistant
PrP isoform (i.e., PrPsc) was undetectable in spleens and brains
of DTR
+/+ mice at 8 dpi (data not shown). At 70 dpi, PrPsc was
detectable in both organs, indicating the beginning of PrPsc
accumulation as estimated by Western blotting (Fig.
2A). The
amount of PrPsc was drastically reduced in spleens and brains
of DT-treated DTR
+/+ mice compared to PBS-treated mice. A marked
difference in the amounts of PrPsc remained in the brain of
DT-treated versus nontreated mice at 84 dpi, whereas no difference
was observed in the spleen (Fig.
2A). Neither the amount nor
the glycosylation profiles of PrPc were modified by the DT treatment
(Fig.
2B). By plotting the quantified results of blots, we determined
that the amount of PrPsc in the spleen was significantly lower
in DT-treated mice than in control animals at 70 dpi (
n = 8;
P < 0.01, Mann-Whitney test [Fig.
2C]), whereas there was
no significant difference at 84 dpi. A significant difference
in the amounts of cerebral PrPsc was measured between DT-treated
and untreated animals at both times postinfection (
n = 8;
P < 0.01, Mann-Whitney test [Fig.
2C]). As a control, BALB/c
mice were submitted to the DT treatment and infected with prions
following the same procedure. At 70 dpi, the PrPsc formation
was estimated by Western blotting on PK-digested spleen and
brain homogenates (Fig.
2D). The amounts of PrPsc were similar
in tissues from untreated and DT-treated mice (Fig.
2D and E),
indicating that in BALB/c mice, DT per se, had no effect on
both PrPsc formation and prion neuroinvasion. After PK digestion,
no PrP-like immunoreactivity was detectable in tissue homogenates
from healthy BALB/c mice, demonstrating the efficacy of the
PK digestion and the specificity of the anti-PrP MAb (Fig.
2F).
In order to determine whether transient DC depletion could delay
the prion disease incubation time, DTR
+/+ mice were infected
with the 139A scrapie strain (100 µl of 2% brain homogenate
i.p.) and treated with DT or not treated as described above
(Fig.
2G). Systemic DT treatment significantly increased the
survival time of the infected mice as compared to the vehicle-treated
group (
P < 0.001, Mann-Whitney test). However, all DTR
+/+ mice finally developed clinical signs of prion disease, such
as ataxia, tremor, and swaying gait and PrPsc was detected in
their brains at the terminal illness stage (data not shown).
When inoculated with prions directly into the brain, all control
and DT-treated DTR
+/+ mice developed clinical signs of disease
and died with similar incubation times (i.e., 148 ± 5.0
dpi and 145 ± 4.0 dpi, respectively).
In summary, short-term depletion of DC before prion infection decreased the kinetics of newly formed PrPsc accumulation in the spleen, after i.p. infection. Consequently, the cerebral formation of PrPsc and the incubation time to death were both delayed. Together, these results strongly suggest that CD11c+ DC may partly control prion infection in peripheral tissues by sequestration and transport of the TSE agent from the peripheral infection site to the spleen.
There is substantial evidence suggesting that the lymphoreticular requirements for i.p. and oral uptake of prions differ from each other (18). The effect of DC depletion after oral contamination with prions was studied using the systemic toxin treatment described above, and the inoculum (100 µl of 2% brain homogenate of 139A scrapie strain) was administered intragastrically using a feeding needle. After intragastric exposure, no distinct difference in amounts of PrPsc was observed in spleens and brains of DT-treated untreated DTR+/+ mice (Fig. 3). Thus, in contrast to the i.p. route of infection, transient depletion of DC had no effect on the kinetics of PrPsc accumulation in the spleen after oral infection. These results suggest that CD11c+ DC were not required in the uptake and transport of prions from the gut to the spleen. Our results are in line with previous reports indicating differences in lymphoreticular requirements between oral and i.p. prion infections (14, 18). Regarding the oral route of prion infection, the role of DC remains uncertain. It is conceivable that the oral route uses primarily efferent nerve fibers for neuroinvasion, with a minor role being played by mobile immune cells (11). In agreement with our results, Sethi et al. have shown that a defect of CD8+ CD11c+ DC impedes neuroinvasion after i.p. but not oral infection with prions (18), whereas it has been proposed by others that DC could play an important role in the transport of prions (6). Recently, Raymond et al. have reported that 2 days of depletion of DC impaired the neuroinvasion of prions in
50% of DTR+/+ mice under a C57BL6 genetic background (16). Since, in our model, DC depletion was stronger (i.e., 89% versus 60%) and longer (i.e., 8 dpi versus 2 dpi), these discrepancies could be explained by the different methods of oral inoculations of the infectious agent (feeding versus intragastric exposure). Alternatively, the involvement of DC might depend on the strain of mouse.
In summary, we clearly demonstrated that CD11c
+ DC may act as
carriers for prions very early after i.p. infection. Owing to
the fact that DC are present in a wide range of epithelia, such
as skin, oral mucosa, and gastrointestinal tract, the role of
DC in the transport of prions following any other possible infection
routes (scarification, blood transfusion, intraocular, and dental)
remains to be established.

ACKNOWLEDGMENTS
We are indebted to F. Bihl and G. Lauvau for supplying us with
DTR
+/+ mice and J. Grassi for the anti-PrP MAb.
This work was supported by a grant from the Agence Nationale de la Recherche. S.C.-D. was the recipient of a fellowship from the Fondation pour la Recherche Médicale.

FOOTNOTES
* Corresponding author. Mailing address: Institut de Pharmacologie Moléculaire et Cellulaire, Centre National de la Recherche Scientifique, 660 Route des Lucioles, 06560 Valbonne, France. Phone: 33493957767. Fax: 33493957708. E-mail:
chabry{at}ipmc.cnrs.fr 
Published ahead of print on 25 June 2008. 

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Journal of Virology, September 2008, p. 8933-8936, Vol. 82, No. 17
0022-538X/08/$08.00+0 doi:10.1128/JVI.02440-07
Copyright © 2008, American Society for Microbiology. All Rights Reserved.