AN ABSTRACT OF THE THESIS OF Samradhni Jha for the degree of Master of Science in Veterinary Science presented on June 8, 2006. Title: Macrophage Infection with Wild-Type Mycobacierium ai'ium or Isogenic Attenuated PPE mutant revealed Differences in Gene Expression and Mycobacterial Vacuole Proteins. Abstract approved: Redacted for Privacy Luiz E. Bermudez Mycobacterium avium is a ubiquitous environmental organism found in water and soil. It can cause disease in patients with pre-existing pulmonary conditions, immunocompromised patients with the most prevalent being AIDS patients, as well as apparently healthy people. Studies have indicated that, upon macrophage uptake, Al. avium prevents phagosome-lysosome fusion, thus avoiding its killing. PPE-PE families of genes in mycobacteria have been suggested to have a role in mycobacterial virulence in vivo. Using an M avium-attenuated PPE transposon mutant, this study seeks to examine the differences in the phagosomal proteins expressed upon macrophage infection with the wild-type and its isogenic PPE mutant. Furthermore, this study aims to investigate the differences in the transcriptional profile of macrophages infected with M avium and the attenuated PPE mutant. First, the M avium and attenuated PPE mutant phagosome protein expression were determined by mass spectrometry analysis. It was found that wild-type phagosomes express proteins different from isogenic PPE mutant phagosomes at 30 mm, 4 h and 24 h. The proteins identified in the phagosomes of wild-type and the PPE mutant were found to be involved in bacterial uptake, antigen presentation and recognition, Rab and Rabinteracting proteins, cytoskeleton and motor proteins, proteins involved in biosynthetic pathways, transcriptional regulators, signal transduction proteins, ion channels and hypothetical proteins. Fluorescent microscopy studies were carried out to confirm the protein expression in M avium- PPE mutant-infected macrophages. After performing a DNA microarray on the macrophages infected with M avium and the PPE mutant at 4 h, we observed differences in the gene expression patterns of the wild-type and the PPE mutant infected macrophages. Finally, real-time PCR was used to confirm the differential expression of three chosen genes. The genes were found to be upregulated similar to that found in the DNA array data. Through these studies, we have determined several proteins, either previously described or not reported, to be present on the phagosome. Nonetheless, the use of the PPE mutant established the possibility that one protein may have a key function in modulating the formation of the phagosome. Another interesting aspect of our findings is that there is a possible connection between macrophage genes regulated upon uptake of a bacterium and the downstream effect on vacuole formation. Macrophage Infection with Wild-Type Mycobacterium avium or Tsogenic Attenuated PPE Mutant revealed Differences in Gene Expression and Mycobacterial Vacuole Proteins by Samradhni Jha A THESIS submitted to Oregon State University in partial fulfillment of the requirement for the degree of Master of Science Presented June 8, 2006 Commencement June 2007 Master of Science thesis of Samradhni Jha presented on June 8. 2006. APPROVED: Redacted for Privacy Major Professor, representing Veterinary Science Redacted for Privacy Head of the Department of Biomedical Sciences Redacted for Privacy Dean of the Graduate School I understand that my thesis will become a part of the permanent collection of Oregon State University libraries. My signature below authorizes release of my thesis to any reader upon request. Redacted for Privacy Jha, Author ACKNOWLEDGEMENTS I would like to offer deep respect to my late father Shri. Dhruva. N. Dharaskar for whatever I am today. He is the building block of my career and was a constant source of motivation, inspiration, guidance and support, both emotionally and financially. No words can express my feelings and sincere gratitude towards him because of whom I stand here today. A sense of satisfaction runs through my heart knowing that I fulfilled his dream. I am grateful to my major professor, Dr. Luiz E. Bermudez, for providing me with the opportunity to work under his guidance. He has been a true mentor, showing me the right path toward sound knowledge and skills. His timely guidance and suggestions have helped me achieve my goal here at OSU. I am thankful to my thesis committee, Dr. Manoj Pastey and Dr. Claudia Hase, for their help and support. I am indebted to Dr. Lia Danelishvili, Dr. Yoshitaka Yamazaki, Dr. Dilip Patel, and Dr. Martha Alonso Hearn for their moral support, technical help and useful scientific discussions. I am thankful to all my lab members, Julie Early, Melanie Harriff, Sanjai Tripathi, and Dr. Heather Duchow, for keeping up a friendly, pleasant, and cheerful lab atmosphere full of energy. I enjoyed working with these people. The care and encouragement I have received from my mother Mrs. Asmita. D. Dharaskar and my in-laws Shri. Dinesh Jha & Mrs. Kiran Jha was invaluable. I appreciate all my family members and friends for their unending help. Last but not the least, I am blessed to have Dr. Shantibhushan Tha as my husband who always stood beside me. I would like to take this opportunity to thank him for all the love and faith he bestowed on me. TABLE OF CONTENTS Introduction .1 Macrophage infection with wild-type Mycobacterium avium or isogenic attenuated PPE mutant revealed differences in gene expression and mycobacterial vacuole proteins .............................................................. 8 Discussion .......................................................................... 50 Bibliography ........................................................................ 58 LIST OF FIGURES Fg Figure 1. 2. 3. 4. 5. 6. 7. Fluorescent microscopy images of isolated phagosomes showing fluorescein-labeled M. avium and 2D6 mutant .............................................. 22 Fluorescent microscopy images of U-937 macrophages infected with MAC 109 or 2D6 mutant for SP-D protein expression .................................. 27 Fluorescent microscopy images of U-937 macrophages infected with MAC 109 or 2D6 mutant for I-type Ca2+ channel protein expression ......... 28 Fluorescent microscopy images of U-937 macrophages infected with avium 2D6 mutant for SP-D protein expression ............ complemented 30 Fluorescent microscopy images of U-937 macrophages infected with complemented M avium 2D6 mutant for T-type Ca2+ channel protein expression ....................................................................................................... 31 M Upregulation of U-937 macrophage genes upon infection with M avium or 2D6 mutant at 4 h by real-time PCR .............................................................. 36 Real-time PCR graph showing upregulation of genes in macrophage upon M avium or 2D6 mutant infection ................................................................. 56 LIST OF TABLES Table 1. 2. 3. 4. List of phagosoma] proteins identified by MS/MS post-infection with MAC 109 or 2D6 at different time points ..................... 23 M avium 109 but Macrophage genes upregulated in downregulated in 2D6 mutant 4 h post-infection ....................................... 33 M avium 109 Macrophage genes downregulated in but upregulated in 2D6 mutant 4 h post-infection ..................................... 34 Sense and antisense primers for real-time PCR .......................................... 55 Dedicated to my parents, in-laws, husband and family members Macrophage Infection with Wild-Type Mycobacterium avium or Isogenic Attenuated PPE Mutant revealed Differences in Gene Expression and Mycobacterial Vacuole Proteins Introduction Mycobacteria are a group of gram-positive, acid-fast bacteria capable of inhabiting a wide range of environments. Of over 60 mycobacterial species are currently known. Some of these organisms are pathogens, having the ability to infect humans and animals. There is an increasing evidence of environmental mycobacteria being pathogenic and causing grave diseases in humans especially immunocompromised individuals. Mycobacteria are widespread throughout the environment. Many different mycobacterial species cause diseases ranging from gastrointestinal infections to skin and soft tissue infections to disseminated infection. Mycobacterium marinum and Mycobacterium chelonae, responsible for causing skin granulomas are waterborne mycobacterial species. Another species Mycobacterium kansasii is associated with pulmonary diseases. In animals, Mycobacterium avium ssp. paratuberculosis is responsible for substantial economic losses to cattle industry because of the chronic inflammatory condition of the intestinal tract. The same bacterium has been proposed to be the cause of Crohn's disease in humans, but the evidence is still unclear. Probably, the most important environmental species of significance is the Mycobacterium avium complex or MAC. Mycobacterium avium complex is composed of M. avium ssp. avium and M. intracellulare. M. avium bacilli are extremely widespread in nature. They are common in surface waters and soils and are frequently isolated from water taps (11). M. 2 avium is an opportunistic pathogen capable of causing diseases in humans and animals. This complex has been shown to be accountable for most of the cases of non-tuberculosis mycobacterial infections in the developed countries (20). M. avium affects young, adults, patients with immunocompromised body system, pre-existing chronic pulmonary diseases, silicosis, pneumoconiosis, emphysema, bronchiectasis and cystic fibrosis as well as in people who are apparently healthy (1, 10, 23). M. avium is the most common isolate from AIDS patients (14) and can cause disseminated disease as well as pulmonary infections in these individuals (8). M. avium infection is a well-known secondary complication in people suffering from Mycobacterium tuberculosis and Pneumocytis carinii infections (35). M. avium organisms are intrinsically drug resistant, making infections difficult to treat (7). Mycobacterium avium and the host response M. avium has predilection for tissue macrophages and blood monocytes. The bacteria are phagocytosed by host macrophages through complement receptors and CR3 mediated phagocytosis (4). In addition, the integrin fibronectin receptor is also involved in the internalization of the serum fibronectin bound bacteria (23). Normally, phagocytosis of the bacteria results in a series of intracellular events specifically designed to induce killing of engulfed bacteria and include (i) induction of reactive oxygen and nitrogen intermediates, (ii) gradual acidification of the phagosome due to the activity of proton-ATPase pumps located on the phagosome membrane, (iii) phagosome-lysosome fusion which loads the resulting phagolysosome with acidic proteolytic enzymes and (iv) antigen processing. The resulting lethal environment effectively kills the majority of ingested bacteria. Pathogenic species of mycobacteria have developed strategies to circumvent the major killing mechanisms employed by macrophages. Mycobacteria not only have the ability to adapt to a changing host environment (19, 50) but also actively interfere with the signaling machinery within the host cell to counteract or inhibit parts of the killing apparatus employed by the macrophage. The infected macrophages show impaired antigen processing (32), reduced responsiveness to interferon-y (IFN-y) (26, 42), reduced production of cytokines, and reactive oxygen and nitrogen intermediates (5). The observation that attenuated strains of mycobacteria such as H37Ra and Mycobacterium bovis BCG are significantly more potent inducers of apoptosis than their corresponding virulent strains, H37Rv and wild-type M.bovis, suggest that apoptosis functions as a host defense mechanism which is suppressed by the virulent strains (24). In case of M. avium, once inside the macrophage, the bacterium is capable of inhibiting the vacuole acidification and thus avoids the phagosome-lysosome fusion leading to its survival in the macrophages. It does so partiy by residing in the vacuoles with limited proteolytic activity, maintaining cathepsin D in an immature form, and remaining accessible to transferrin (45). A study suggested that M. avium requires Rab5 and accessibility to iron in order to arrest the phagosome maturation (25). M. avium vacuoles acquire lysosomal membrane protein LAMP-i but not the vesicular protonadenosine triphosphatase (ATPase) responsible for phagosomal acidification (46). Similar studies on M. tuberculosis vacuoles have revealed incomplete lumenal acidification and absence of mature hydrolases leading to inhibition of phagosome- lysosome fusion (48). In addition, Malik and colleagues (28-30) suggested that calcium modulation by M. tuberculosis is one of the factors responsible for phagosome maturation arrest. The maturation block in M. tuberculosis has been shown to be occurring between the stages controlled by RabS which is an early endocytic marker and Rab7, a late endosome marker (49). Phagosomes containing live virulent M. tuberculosis show the presence of early endosomal markers like the transferrin receptor, MHC class II molecules and the ganglioside GM1 (6, 45) whereas exclude the proton ATPase and late endosomal markers (46), mannose-6-phosphate receptor (51) and lysosomal protease cathepsin D (6). The absence of proton ATPase is thought to account for reduced acidification of mycobacterial phagosomes (46) with pH of 6.2-6.3 as compared to a pH of 5.3-5.4 which is normally associated with the lysosomal compartments. Some studies suggest that macrophages infected with M. tuberculosis show markedly reduced expression of MHC class II molecules (18, 22, 33). Other bacteria, like Salmonella spp., invade and replicate inside the professional phagocytes and epithelial cells in a membrane bound compartment called the Salmonella- containing vacuole (SCV). Previous studies have established that the SCV transiently interacts with early endosomes but only acquires a subset of late endosomal/lysosomal proteins (43). Studies on SCV revealed transient association of EEA- 1, transferrin receptor (44) and GTPase Rab5 (38) on early SCVs which are rapidly lost followed by accumulation of late endosome/lysosome markers such as Rab7 (31), lysosomal membrane proteins LAMP-i, LAMP-2 and CD63 and vacuolar ATPase (44). SCV selectively acquires lysosomal glycoproteins and lysosomal enzyme without fusing directly with lysosomes (12). Another study by (41) showed that phosphatidylinositol 3phosphate (PI3P) is transiently accumulated on SCVs and that P13K is involved in the development of SCV but is not essential for intracellular survival and proliferation. SCV 5 biogenesis and maturation in macrophages revealed that SCV acidifies and eventually merge with the lysosomes (2, 34). More recent studies show that the maturation of SCV in HeLa cells and in primary or cultivated macrophages is quite similar (13, 37). Coxiella burnetii, another obligate intracellular bacteria which causes Q fever in humans resides within acidified vacuoles inside the Vero cells with secondary lysosomal characteristics (3). The bacterium inhabits a cholesterol-rich vacuole and requires free access to host cholesterol stores for optimal replication (21). Legionella pneumophila, an intracellular pathogen replicates inside the eukaryotic cells in a unique vacuole similar to endoplasmic reticulum (ER) and avoids endocytic maturation. Studies have shown that the host vesicles that attach to L. pneumophilacontaining vacuole (LCV) are derived from ER based on the presence of resident ER proteins like glucose-6-phosphate, protein disulphide isomerase (PDI) and proteins having the ER-retention signal lysine-aspartic acid-glutamic acid-leucine (KDEL) (39). Derre and colleagues reported the recruitment of calnexin, Sec22 and Rabi to the vacuole shortly after bacterial uptake (9). They also suggested a potential role of Rabi in ER recruitment process. After ingestion by macrophages, the bacteria inhibit acidification and maturation of its phagosome. As the bacteria replicates exponentially, a significant number of the vacuoles acquire LAMP-i, cathepsin D and the pH of the vacuoles average 5.6 (47). The authors also showed that bacteria are able to survive and replicate within the lysosomal compartments. Mycobacterial virulence factors PPE and PE gene families, which encode numerous proteins of unknown function account for 10% of Mycobacterium tuberculosis genome. Mycobacterium avium has genome similar regarding the PPE and PE gene families. Few reports have suggested that these two families might be involved in several roles such as antigen variation, binding to eukaryotic cells, survival within macrophages and persistence in granulomas (36, 40). Camacho and colleagues identified a PPE gene (Rv3018c) associated with M. tuberculosis virulence in vivo. Another study by Ramakrishnan and colleagues reported that inactivation of PE-PGRS gene in M. marinum resulted in attenuation of virulence of the bacteria in macrophages. Sampson and colleagues identified a PPE protein (Rvl917) that is expressed on the bacterial surface. Li and colleagues (27) suggested a M. avium PPE gene (similar to Rv1787 in M. tuberculosis) to play a role in the inhibition of acidification and phagosome-lysosome fusion of infected macrophages. The mutation did not alter the ability of the bacterium to enter macrophages but decreased virulence and survival in vitro. In addition, the 2D6 mutant was severely attenuated in mice. The PPE gene was expressed early only in macrophage and not in broth suggesting its role in the phagosome formation or vacuole maturation as well as in the mechanisms of bacterial adaptation to the intracellular environment. The vacuole containing the attenuated PPE mutant underwent acidification to pH 4.8 16 h after phagocytosis. The inactivated PPE gene is part of the M. avium genome region with five PPE and PE genes. The organization suggests the existence of three promoters, one upstream of the inactivated PPE gene in the 2D6 mutant, one between the second and third genes and another between the fourth and fifth genes in downstream region. Therefore the phenotype observed could be because of a polar effect of the inactivated PPE gene and that three or all the five genes are responsible for the phenotype. But since the complementation of the inactivated PPE gene reversed the phenotype, it is more likely 7 that only the PPE gene inactivated and probably the downstream gene are responsible for the phenotype. The vacuoles containing the 2D6 strain were significantly more acidic than the vacuoles with the wild-type bacterium. This suggests that the PPE gene or the complete genome region is able to influence vacuole acidification. Since acidification is secondary to docking of acid pumps to the phagosome, it is plausible to hypothesize that the PPE gene would either influence change in the phagosome membrane thereby preventing the acquisition of acid pump or transporting other molecules to the bacterial surface where they would prevent the binding of proton pump. An important aspect in the study of M. avium and the PPE gene inactivated mutant phagosomes would be to identify the proteins expressed on the wild-type phagosomes and compare them with those expressed on PPE gene inactivated mutant phagosomes. This study would reveal the differences if any, on both the bacterial phagosomes and would also shed light on the variety of proteins involved in the phagosome biogenesis. Additionally, it would correlate the underlying mechanisms employed by the wild-type bacteria to prevent the phagosome maturation and ultimate fusion with lysosomes. Furthermore, identification of the genes upregulated in the macrophages upon M. avium or 2D6 mutant infection would explore the different pathways triggered upon wild-type or 2D6 mutant invasion in macrophages. Any differences in the macrophage gene expression would help understand the altered trafficking stimulated by the wild-type in comparison with the 2D6 mutant. Differences in Macrophage Transcriptional Profile and Mycobacterial Vacuole Proteins following infection with Mycobacterium avium and Attenuated PPE Mutant Samradhni Jha Lia Danelishvili ',Yong-jun Li 2 Yoshitaka Yamazaki and Luiz E. Bermudez To be submitted to Cellular Microbiology 1* Abstract Mycobacterium avium is an environmental opportunistic pathogen which infects and replicates in mononuclear phagocytes. The phagosome-lysosome fusion is an important step of the host defense pathway, which culminates in bacterial killing and degradation. Previous study reported an attenuated mutant 2D6 in which a PPE gene (52% homologous to Rv1787 in M. tuberculosis) was interrupted by a transposon. This isogenic mutant, in contrast to wild type, was shown to have an impaired ability to replicate intracellularly and to prevent the fusion of phagosome and lysosome. To study the gene expression profile of macrophages infected with the wild-type bacterium and 2D6 mutant, we performed a DNA microarray analysis at 4 h post infection. Differences were observed indicating that the two bacteria interact with mononuclear phagocytes in unique fashions. We then hypothesized that the wild-type bacterium environment in macrophages might differ from the mutant 2D6 environment, and compared the phagosomal proteins expressed in M. avium infected cells and its isogenic mutant at different time points. M. avium phagosomes expressed a number of proteins different from those of it's isogenic mutant. Proteins identified belonged to several functional classes and many of these proteins have not been previously described to be present on the bacterial phagosomes. The expression of some selected proteins on the phagosomes was confirmed by immunofluorescence microscopy. 10 Introduction Mycobacterium avium is an environmental pathogen commonly found in soil and water (11, 21). M. avium causes disseminated disease in immunocompromised people such as in AIDS patients, and is a known secondary complication in patients suffering from chronic pulmonary conditions (1). M. avium preferentially infects tissue macrophages and blood monocytes. Once inside a macrophage, the bacterium has shown to inhibit the acidification of the phagosome subsequently preventing the fusion between the phagosome and lysosome (38). Acidification of the vacuole followed by its fusion with the lysosomal compartment is part of the host cell mechanisms for intracellular killing of microorganisms (30). Similar to M. tuberculosis (41), Salmonella (4) and Leishmania (18), M. avium interferes with endosome maturation process which precedes phagosome-lysosome fusion. The mechanisms that M. avium uses to survive within macrophages have been an active area of research. Previous reports have shown that M. avium has the ability to modulate the intracellular environment by remaining accessible to internalized transferrin and limiting the proteolytic activity, maintaining cathepsin D in an immature form (37). Malik and colleagues have suggested inhibition of calcium signaling by M. tuberculosis is responsible for the prevention of phagosome-lysosome fusion (26). A study carried out by Li and colleagues (2005) involving screening of M. avium transposon mutants for clones with decreased ability to replicate intracellularly in human macrophages identified an attenuated 2D6 mutant in which the transposon interrupted a PPE gene (52% homologous to Rv1787 in M. tuberculosis). The 2D6 mutant was significantly attenuated in macrophages in contrast to the wild type bacteria although both bacteria had comparable ability to enter the phagocytic cells. In addition, 11 vacuoles containing the 2D6 mutant could not prevent the acidification of the phagosomes and fusion with the acidic lysosomes leading to reduced survival in macrophages. The PE and PPE families of genes in mycobacteria are found disperse throughout the genomes of M. tuberculosis, M. bovis, M. avium and M. paratuberculosis. It is assumed that M. avium and M. paratuberculosis lack PE-PGRS proteins (10) although we have recently found a PE-PGRS protein in M. avium (Li, Y and colleagues, submitted for publication). These families of proteins have been associated with virulence of mycobacteria (5, 9, 23). Early events in the infection are likely to have an influence on the vacuole characteristics and formation. The PPE gene in M. avium homologue to Rv1787 is expressed upon entry in macrophages, and therefore may participate in the development of the M. avium environment. Because the mycobacterial vacuole is probably a consequence of infection of M. avium and the macrophage from the early moments of binding and uptake, we want to investigate the differences related to the lack of the Rv1787 homologue gene. DNA microarray and study of the phagosome proteins were performed using macrophages infected with the wild-type bacterium and the 2D6 mutant. 12 Materials and Methods Bacterial strains and growth conditions Mycobacterium avium strain 109 (MAC 109), a virulent strain in mice, was cultured from 20% glycerol stock onto Middlebrook 7H1 1 agar supplemented with oleic acid, albumin, dextrose and catalase (OADC; Hardy Diagnostics, Santa Maria, CA) at 37°C for 21 days. Bacteria were suspended in Hank's buffered salt solution (HBSS) and passed through a 26-gauge needle for 10 times to disperse the clumps. The suspension was then allowed to rest for 5 minutes and the upper half was used for the assays. The bacterial concentration was adjusted to 1x109 bacteria mY' using a Mc Farland standard. Microscopic observations of the suspensions were carried out to verify whether the inoculums were constituted of dispersed bacteria. Only well dispersed inocula were used in the described experiments. The 2D6 mutant was cultured from 20% glycerol stock on Middlebrook 7H1 1 agar containing 400pg/ml kanamycin. The 2D6 mutant suspension was made as described above. The complemented 2D6 strain (23) was also cultured from 20% glycerol stock and grown on Middlebrook 7H1 1 agar plates containing 200.tg/ml apramycin (23). Cells and culture conditions Human monocytic cell line U937 (ATCC CRL-1593.2) was cultured in RPMI- 1640 (Gibco Laboratories) supplemented with 10% heat-inactivated fetal bovine serum (FBS; Sigma Chemical), 2 mM L-glutamine. U937 cells were used between passages 15 to 20 and concentrations of 7x106 were seeded in 75cm2 flasks. The cells were grown to 90100% confluency, and allowed to differentiate overnight by incubation with 500ng mY1 phorbol 12-myristate 13-acetate (PMA; Sigma). U-937 and human monocyte-derived 13 macrophages were shown to behave similarly when infected with M. avium and 2D6 mutant (data not shown). The MAC 109 or 2D6 mutant were added to the monolayers at a multiplicity of infection (MOl) of 10, and the infection was allowed to take place for 2 h at 37°C in 5% CO2. The supernatant was then removed and the cell monolayer was washed three times with HBSS. The tissue culture medium was then replenished. Phagosome Isolation and Microscopy Phagosomes containing M. avium 109 and 2D6 mutant were isolated according to a protocol described previously (38) with minor modifications. Briefly, infected macrophages were added homogenization buffer and scraped from tissue culture flasks. The cells were lysed by approximately 30 passages through a tuberculin syringe (at least 90% of the cells were lysed) and the lysate was carefully deposited over a 12% to 15% sucrose gradient. The preparation was then centrifuged at 2000 rpm for 40 minutes at 4°C. After centrifugation, the interface was collected and centrifuged in 10% Ficoll solution at 2500 rpm for 40 minutes at 4°C. A small pellet containing phagosomes was visible at the bottom of the tube. Phagosomes were analyzed for purity visually on glass slides by staining MAC 109 or 2D6 with lOjig/ml N-hydroxysuccinimidyl ester 5-(and- 6)- carboxyfluorescein (NHS-CF; Molecular Probes, Eugene, OR) for 1 h at 37°C. Phagosomes containing live M. avium or 2D6 showed green fluorescence/green fluorescein stain when observed under lOOx oil immersion (Leica DMLB Scope, Spot Party Interface; Diagnostics Instruments Inc.). More than 95% of the phagosomes observed showed bacteria in them. 3rd 14 Mass Spectrometry The phagosome samples were run by ic/ms-ms using a Waters (Miliford, MA) NanoAcquity HPLC connected to a Waters Q-Tof Ultima Global. 5 ul of a sample was loaded onto a Waters Symmetry C18 trap at 4uLlmin, then the peptides were eluted from the trap onto the 10cm x 75um Waters Atlantis analytical column at 3SOnlJmin. The HPLC gradient went from 2% to 25% B in 30 minutes, then to 50% B in 35 mins, then 80% B in 40 mins and held there for 5 minutes. Solvent A was 0.1% formic acid in water, and B was 0.1% formic acid in acetonitrile. Peptide "parent ions" were monitored as they eluted from the analytical column with 0.5 seconds survey scans from mlz 400- 2000. Up to 3 parent ions per scan that had sufficient intensity, and had 2, 3, or 4 positive charges were chosen for ms/ms. The ms/ms scans were 2.4 seconds from mlz 50-2000. The mass spectrometer was calibrated using the ms/ms spectrum from glu-fibrinopeptide. Masses were corrected over the time the calibration was used (one day or less), using the Waters MassLynx DXC system. The raw data was processed with MassLynx 4.0 to produce pkl files, a set of smoothed and centroided parent ion masses with the associated fragment ion masses. The pkl files were searched with Mascot 2.0 (Matrix Science Ltd., London, UK) database searching software, using mass tolerances of 0.2 for the parent and fragment masses. The Swiss Prot database was used, limiting the searches to human proteins. Peaks Studio (Bioinformatics Solutions Inc., Ontario, Canada) was also used to search the data, using mass tolerances of 0.1, and the IPI human database. 15 Immunofluorescence Analysis Because some of the proteins identified in the phagosomes have not been previously described as part of the vacuole membrane, we examined their presence by using immunofluorescence. Primary antibodies against pulmonary surfactant protein D (SP-D) and T-type Ca alphall protein were purchased from Santa Cruz Biotechnology, Santa Cruz, CA. Primary antibodies used were rabbit anti-SP-D and goat anti-T-type Ca alphall. Secondary antibodies were Texas-Red conjugates (TR) and included donkey anti-rabbit IgG-TR (Amersham Biosciences, Piscataway, NJ) and mouse anti-goat IgG- TR (Santa Cruz Biotechnology, Santa Cruz, CA). The two-well chamber slides from Nalge Nunc (Rochester, NY) were employed for macrophage monolayer preparation and fluorescent microscopy. The numbers of U937 cells were determined in a hemocytometer before seeding. A total of 5x105 cells were added in each tissue culture well of the two-chamber slides and were differentiated with 2g/ml of PMA overnight. The monolayers were then infected with MAC 109 and 2D6 labeled with NHS-CF as described above using a MOI of 10. The cells were incubated for 4 h at 37°C for SP-D protein expression and 24 h for T-type Ca++alphall protein expression. The timepoints were chosen because of the expression results. The chambers were washed three times with sterile phosphate buffer saline (PBS) and treated with 2OOtg/m1 amikacin to kill extracellular bacteria. The cells were subsequently washed and allowed to air dry. Cells were then fixed with 100% methanol at room temperature for 10 minutes, permeabilized in cold 0.1% Triton X-100 (J.T Baker) and 0.1% sodium citrate for 20 minutes on ice. Next, the monolayers were washed with PBS and blocked with 2% BSA (BSA, Sigma) in PBS for 20 minutes at room temperature. The 2% BSA was replaced with 1 ml of 16 specific primary antibody and allowed to incubate for 1 h. All the antibodies were prepared in 2% BSA in PBS to prevent non-specific binding. The cells were then washed three times with sterile PBS and reincubated with the appropriate Texas-Red conjugated secondary antibody for an additional 1 h. Macrophages were washed three times with sterile PBS and allowed to air dry before adding Aqua-mount mounting media (Lerner laboratories, Pittsburgh, PA) and cover slips (Corning, Corning, NY). Cell preparations were visualized with a Leica DMLB Microscope. The microscope was operated by Spot 3rd Party Interface Software with a Photoshop C.S version 8.0 on a Macintosh OS (version 4.0.9) based system. RNA extraction For the DNA microarray, the U937 infection assay for MAC 109 and 2D6 mutant followed by RNA isolation was carried out as described previously (28). Briefly, U937 monolayers of approximately 108 cells were infected with MAC1O9 or 2D6 (lx 108 concentration) for 4 h. The cells were washed to remove extracellular bacteria and total RNA was isolated using Atlas pure Total RNA labeling System (Clonetech Laboratories, Palo Alto, CA) according to the manufacturer's instructions. The resultant RNA was treated with DNase for 30 mm at 37°C followed by phenol-chloroform extraction and precipitation with ethanol. The RNA was run on 1% denaturing agarose gel and quantified by UV spectrometer at 260/280 nm. To confirm the expression and to determine the relative transcriptional levels of Gprotein coupled receptor kinase 4 (GRK-4), diacylglycerol kinase delta (DGKD) and lymphocyte cytosolic protein 2 (LCP2) by real-time PCR, similar U937 infection assay was performed as described above and modifications in the RNA extraction method were 17 made. After 4 h, the monolayers were washed with HBSS and scraped and collected in a 50 ml falcom tube and placed on ice. The cells were centrifuged at 500 rpm for 5 minutes to remove any residual extracellular bacteria. Then, 2 ml of Trizol (Invitrogen, Carlsbad, CA) was added to the falcom tube. The suspension was then passaged 20 times through 21-gauge needle to lyse the mononuclear cells. The lysate was then centrifuged at max (14,000) rpm at 4°C. The supernatant was then transferred to heavy Lock Gel I (Eppendorf, NY) and to it chloroform:isoamyl alcohol (24:1) (Sigma) was added and mixed. After centrifugation, the aqueous phase was precipitated in isopropanol followed by 75% ethanol wash to remove isopropanol. DNase treatment of total RNA was carried out before probe synthesis using the protocol described by Atlas Pure Total RNA labeling system (Clonetech, Mountain View, CA). The quality of RNA was verified on a 1% denaturing agarose gel and the concentration was calculated based on the absorbance at 260nm. cDNA was synthesized as per the protocol described by Invitrogen (Carlsbad, CA). Total RNA (Sjig) with oligo(dT)20 and dNTP mix was incubated at 65°C for 5 mm and cooled on ice for 1 mm. For each total RNA sample, 10 i1 cDNA synthesis mix was made: lOx RT buffer, 25mM MgC12, 0.1 M DTT, 40U/il RNaseOUT and 200U/pJ Superscript III RT. The samples were mixed gently and collected by brief centrifugation. Then, the samples were incubated in a thermal cycler at 42°C for 50 mm and the reaction was terminated at 70°C for 15 mm and cooled on ice. Finally, the reactions were collected by brief centrifugation and 1 .tl of RNase H was added to each sample and incubated for 20 mm at 37°C. The cDNA prepared was used for real time PCR. DNA Micro-Array Yongjun Li carried out DNA microarray. The protocol is summarized below. Preparation of 32P-labelled cDNA probes 32P-labelled cDNA probes were prepared using the Atlas pure Total RNA labeling System (Clonetech Laboratories) as previously described (28). In brief, 5tg of total RNA was reverse transcribed using the primer mix supplied with each array. The mixture was heated to 65°C for 2 mm in a PCR thermal cycler followed by 50°C for 2 mm. At this time, a master mix containing Sx Reaction buffer, dNTP, dATP. DTT and MMLV reverse transcriptase was added, mixed and incubated for 25 mm at 50°C. lox termination mix was then added to end the reaction. Unincorporated nucleotides were removed using a Nucleospin Extraction Spin Column (Clonetech Laboratories, Palo Alto, CA) as per the manufacturer's instructions. Scintillation counting was done to measure the incorporation of radionucleotide into the probe. Hybridization and Data Analysis In brief, the Clonetech Human Nylon Filter Arrays (Clonetech Laboratories) were prehybridized in 5 ml of Express-Hyb solution supplemented with 0.5mg salmon testes DNA at 68°C for 30 mm. The radiolabelled cDNA probe was heated in boiling waterbath for 2 mm followed by keeping 2 mm on ice. Then it was added to the hybridization solution and was allowed to hybridize to the filter array overnight. The membranes were washed in SSC plus 0.1% sodium dodecyl sulphate (SDS) at 68°C for 30 mm and further rinsed in SSC for 5 mm at room temperature. Next, the filters were wrapped in plastic wrap and exposed to phosphor imaging screen for 24 h. Analysis of the phosphor imaging screens was done by using a phosphor imager (Perkin Elmer, Boston, MA) and 19 Atlaslmage 2.0 software. Global normalization method was used to normalize the arrays to the uninfected control array. The following genes were used as housekeeping genes glyceraldehyde 3-phosphate dehydrogenase (GAPDH), tubulin alpha 1 (TUBA 1), hypoxanthine-guanine phosphoribosyltransferase 1 (HPRT1), major histocompatibility class 1 C (HLAC), beta-actin (ACTB) and 23-kDa highly basic protein (PRL13A). Only genes that showed differential expression atleast by two-fold were incorporated in the results. The experiment was repeated two times. Real Time PCR SYBR technology was used to perform real time PCR. Run protocol for the LightCycler was as follows: denaturation 95°C for 5mm; amplification and quantification repeated for 35 times: 95°C for 30 sec, 59°C for 30 sec and 72°C for 1 mm with one fluorescence measurement followed by 72°C for 5 mm and 4°C. The threshold cycle (Ct) is defined as the fractional cycle number at which the fluorescence reaches lOx the standard deviation of the baseline and was quantified as described in User Bulletin #2 for ABI PRIIMS 7700 sequence detection system (ABI). The fold change in gene expression was determined using an amplification-based strategy. For each gene amplification, before calculating the fold change, the Ct values were normalized to the Ct of f3-actin using the following formula: Fold Change 2-A(ACt) where ACt = Ct, target Ct, 3-Actin , A(ACt) = ACt, expressed - ACt, control Quantitative analysis was performed using iCycler I software (BIORAD, Hercules, CA). A relative quantification was used in which the expression levels of macrophage target genes were compared to data from a standard curve generated by amplifying several dilutions of a known quantity of amplicons. Real time PCR efficiency was determined using a dilution series of cDNA template with a fixed concentration of the primers. Slopes calculated by the LightCycler software were used to calculate efficiency using the following formula: E 10(1/slope) These calculations indicated high real time efficiency with a high linearity. Because expression of 13-actin is constant independent of conditions, target genes from both, control and experimental groups were normalized to the expression level of the 13-actin gene. 21 Results Mass spectrometry analysis of isolated wild-type M. avium and 2D6 phagosomes To identify the phagosomal membrane proteins expressed at various time points in MAC 109 and 2D6 infected U-937 cells, we infected mononuclear cells with the fluorescein-labeled bacteria and at 30 mm, 4 h and 24 h after infection, isolated the phagosomes. As shown in Figures 1. A & B, both MAC 109 and 2D6 showed comparable ability to enter the macrophages and be within phagosomes. MS/MS results of the phagosomes revealed several proteins with function in bacterial uptake, antigen presentation and recognition, Rab-interacting proteins, cytoskeleton and motor proteins, proteins involved in biosynthetic pathways, transcriptional regulation, and signal transduction proteins. Several of the proteins also have function as ion channels. A number of hypothetical proteins were also identified (Table 1). Some proteins identified were unique to MAC 109 or the 2D6 vacuoles at different time points. In addition, some proteins identified were expressed in MAC1O9 as well as 2D6 vacuoles at single time point or multiple time points. Together, these results suggest that the wild-type phagosomes express a number of proteins different from the vacuole of the isogenic 2D6 mutant. Immunofluorescence analysis Many proteins identified in the mass spectrometry data have not previously been described in M. avium phagosomes. To confirm the initial observation, we carried out assays using fluorescent microscopy to establish the presence of some selected proteins. One of the proteins chosen, pulmonary surfactant protein D (SP-D) was observed to be selectively expressed in the MAC1O9 phagosomes at 4 h time point but not in the 2D6 22 A. Figure 1. Fluorescent microscopy images of isolated phagosomes showing fluoresceinlabeled M. avium (A) and 2D6 mutant (B). 23 Table 1. List of phagosomal proteins identified by MS/MS post-infection with MAC 109 or 2D6 at different time points. Protein Accession number MAC 109 (h) 24 0.5 4 2D6 mutant 0.5 (h) 4 24 Bacterial Uptake Complement clq tumor necrosis factor related protein 5 Complement receptor 2 Macrophage receptor MARCO Pulmonary surfactant protein D Scavenger receptor with C type Lectin type 1 TNFRSF1A-associated via death domain! TRADD Tumor necrosis factor receptor member 1A ITNFRSF1A Q9BXJO P20023 Q9UEW3 P35247 Q9BYH7 Q15628 1NCFA x x x x x x x x x x x Antigen Presentation & Recognition Integrin alpha 1 Integrin alpha JIb MHC class I MHC class II P56199 x x x x P085 14 Q951D4 154427 Rab Interacting EEA1 Peroxin 5-related protein Rabaptin 5 Q15075 Q81YB4 Q15276 x x x x Cytoskeletal Proteins & Motors Alpha actin Ankyrin 1 Beta actin E-MAP-115 Keratin, type II cytoskeletal I KinesinlKIF3 Kinesin family member 26A L-plastin Myosin heavy chain non-muscle type A Myosin X with ATPase activity RHOC TCP- 1 zeta Tubulin alpha Tubulin alpha 2 Tubulin alpha 3 Tubulin beta 2 P62736 Q6S8J3 Q96B34 Q14244 P04264 014782 Q8TAZ7 P13796 P35579 Q9HD67 P08134 P40227 Q71U36 Q13748 Q71U36 P07437 x x x x x x x x x x x x x x x x x x x x x x Proteins in Biosynthetic Pathways ABC transporter 2 ADP-ATP translocase Aldoketo- reductase 3 ALG12 ATP synthase Fatty acid synthase Fatty acid transporter member 1 GAPDH Phosphatidyl inositol glycan class T Q9BZC7 P05141 x x x Q9UFE 1 x x x Q9BVJO P06576 P493 27 Q6PCB7 P04406 Q92643 x x x x x Table 1. continued Protein IMP dehydrogenase K-Cl cotransporter Mitochondrial dicarboxylate carrier Neutral amino acid transporter NUAK family, SNF1-like kinase 1 PI4KII Pyruvate kinase Ribophorin II Trehalose precursor Accession number MAC 109 (h) 4 24 0.5 2D6 mutant 0.5 P 12268 x T17231 Q9UBX3 Q15758 x 24 x x 060285 x x Q9BTU6 PSOO1 10 (h) 4 x x x Q5JYR7 x 043280 x Transcriptional Regulators Lysine-specific histone demethylase 1 CRSP complex subunit 2 CREB binding protein DEAH box polypeptide 9 WI 16 Msx2-interacting protein p-lOO co-activator/SND 1 p-300 /CBP associated factor Zinc finger & BTB domain containing protein 4 Zinc finger protein 588 Zinc finger protein 43 60S acidic ribosomal protein P2 60S ribosomal protein L6 60S ribosomal protein L9 60S ribosomal protein L14 060341 060244 Q75MY6 x x x Q08211 Q16666 Q96T58 Q7KZF4 Q92831 Q9P1ZO Q9U115 P 17038 P05387 Q02878 P32969 P50914 x x x x x x x x x x x x x Proteins Interacting with Signal Proteins cAMP-specific 3',S'- cyclic phospho-diesterase Calcium & lipid binding proteinlNLF2 Chondroitin sulfate synthase 3 CXC3C membrane-associated chemokine Doublecortin & CaM kinase like- 3 Dystrobrevin alpha Golgin subfamily A member 5 Microtubule associated-Ser/The kinase 3 Protein kinase A anchoring protein 9 Protein kinase N Serine/theonine kinase 16 TER ATPase Q08493 388125 Q86Y52 P78423 Q9C098 Q9Y4J8 Q8TBA6 x x x x x x x x 060307 Q99996 Q8NF44 x x Q5UOF8 x P55072 x Ion Channels Amiloride-sensitive cation channel Voltage dependent-N-type calcium channel alpha lB subunit Voltage dependent-T-type calcium channel alpha 11 subunit Q96FT7 Q00975 x x x Q9PDX4 Other Proteins AFG3 like protein 2 APBB1 Astrotactin 2 Q9Y4W6 000213 075129 x x x 25 Table 1. continued Protein Apoptotic chromatin-condensation inducer in the nucleus Clathrin heavy chain 1 EphrinB3 48kda histamine receptor subunit peptide 4 HSP60 HSP90 Importin alpha 2 Interferon regulatory factor 6 LRCH4/Ligand binding receptor NADPH oxidase activator 1 Protein disulfide- isomerase A6 p-53-associated parkin-like cytoplasmic protein/PARC Serine protease inhibitor Vitrin 14-3-3 protein/Tyrosine 3-monoxygenase Accession number Q9UKV3 Q00610 Q15768 MAC1O9 (h) 24 4 0.5 2D6 mutant 0.5 (h) 4 x x x x AAB 34251 x x x P10809 P07900 P52292 014896 075427 x x x Q2TAM 1 P07237 Q8IWT3 Q9NQ38 24 x x x x x Q6UX 17 P62258 x Proteins with Unknown Function Hypothetical protein DKFZp434A 128 Hypothetical protein LOC 136288 Hypothetical protein K1A1783 Hypothetical protein K1AA1783 Hypothetical protein FLJ32795 Hypothetical protein FLJ42875 Hypothetical protein FLJ4549 1 Hypothetical protein DKFZp434G131 Hypothetical protein FLJ46534 Hypothetical protein FLJ00361 T34567 Q8NEG2 Q96JP2 Q96JP2 Q96M63 Q8N6L5 Q6ZSI8 x x x x x x x x Q9HOH4 Q6ZR97 Q8NF4O x x 26 phagosomes. The second protein, T-type Ca2 channel 11 alpha showed selective expression in 2D6 phagosomes at 24 h time point and not in the MAC1O9 phagosomes. SP-D is a carbohydrate binding glycoprotein and has been shown to be involved in ligand binding and immune cell recognition (37). To confirm the expression of SP-D on MAC 109 vacuoles at 4 h time point, cells were infected in parallel with fluorescein- labeled bacteria (MAC 109 and 2D6) for 4 h. The SP-D protein was observed to be present in nearly all on the MAC 109 vacuoles (Fig 2. A, B, C) whereas in 2D6-infected as well as in uninfected macrophage control, no SP-D was expressed (Fig 2. D, E, F & Fig 2. G, H respectively). This finding confirmed our data that SP-D is expressed in MAC 109 phagosomes but not 2D6 mutant phagosomes at 4 h time point. T-type Ca2 channel is an integral membrane protein, which controls the rapid entry of Ca2 into excitable cells, and is activated by CaM-Kinase II (Swissprot database). To verify our initial observation by MS/MS, we carried out parallel infection assays with fluorescein labeled 2D6 and MAC 109 bacteria for 24 h. As shown in Figures 3. A & B, the majority of the cells infected with 2D6 mutant showed T-type Ca2 channel protein staining whereas those infected with the wild type MAC 109 and uninfected control U937 cells, all did not show any expression for the protein (Figures 3. C, D & Fig 3. B & F respectively). The finding confirmed that T-type Ca2 channel is expressed in mononuclear phagocytes infected with 2D6 attenuated mutant, but not when infected with MAC1O9. To further investigate whether the complemented M. avium 2D6 mutant phagosomes showed similar protein expression as that of wild type, we infected the cells 27 A. M.avium 109 Green D. 2D6 Mutant Green G. Uninfected Control B. SP-D Protein Red C. No SP-D F. Merge Merge H. Uninfected Control Figure 2. Fluorescent microscopy images of U-937 macrophages infected with MAC 109 or 2D6 mutant for SP-D protein expression. 2D6 Mutant Green A. C. M.avium 109 Green E. Uninfected Control T-Type Ca2+ Channel protein B. Red n NoT-TypeCa2+ F. Uninfected Control Figure 3. Fluorescent microscopy images of U-937 macrophages infected with MAC 109 or 2D6 mutant for T-type Ca2+ channel protein expression. with 2D6 complemented bacteria (23) for 4 h with MAC 109 as a positive control. The vacuoles containing the complemented M. avium 2D6 mutant showed expression of SP-D protein (Fig 4. A, B, C) similarly to vacuoles containing the wild type bacterium (Fig 4. D & E), though the percentage of infected cells showing the expression was less than in macrophages infected with the wild type bacterium. The results showed that the complementation of the strain of M. avium 2D6 restores the phenotype of the wild-type MAC 109 to some extent. To determine whether the complemented M. avium 2D6 mutant phagosomes were deficient in T-type Ca2 channel expression similar to the wild-type bacterium, mononuclear cells were infected with complemented M. avium 2D6 bacteria. The 2D6- attenuated mutant was employed as a positive control. As shown in Fig 5. A & B, the complemented bacteria did not show the expression of T-type Ca2 channel protein expression similar to wild type whereas the 2D6 mutant showed the protein to be expressed on its phagosomes (Fig 5. C & D). On visual screening of the monolayers, it was observed that as compared to the wild-type bacterium, only a smaller percentage of cells infected with M. avium complemented 2D6 mutant did not express the T-type Ca2 channel protein. Again, this showed that the complemented M. avium 2D6 mutant strain only partially restores the phenotype of wild type bacterium. Analysis of differential gene expression in U937 cells after infection with MAC1O9 and 2D6 attenuated mutant by DNA microarray The expression of genes in mononuclear phagocytes infected with MAC 109 and 2D6 was examined at 4 h post-inoculation. This time point was chosen based on previous results (28). The majority of the genes examined did not show any significant 30 Complemented M.avium A. 2D6 Mutant Green B. SP-D Protein Red C. Merge M.avium 109 Green D. Positive Control E. SP-D Protein Red Figure 4. Fluorescent microscopy images of U-937 macrophages infected with complemented M. avium 2D6 mutant for SP-D protein expression. 31 Complemented M. avium No T-Type Ca2+ Channel Staining 2D6 Mutant Green I 2D6 Mutant Green C. Positive Control T-Type Ca2+ Channel protein D. Red Figure 5. Fluorescent microscopy images of U-937 macrophages infected with complemented M. avium 2D6 mutant for T-type Ca2+ channel protein expression 32 difference in expression (2 fold or above) after infection with MAC 109 and 2D6 mutant. M. avium-infected cells showed low numbers (19) of differentially expressed genes (Table 2), as compared to 2D6-infected cells which showed greater number (35) of differentially regulated genes (Table 3). The mononuclear cells infected with wild-type or 2D6 mutant showed no similarities in gene expression pattern. The genes upregulated in cells infected with wild-type bacteria consisted mainly of those involved in intracellular signaling such as LCK, PKIA, DGKA, DGKD, INPP1, APBA2 and PDE1C. Few of the other genes were involved in the metabolic pathways like GPD2 (involved in glycerol-3-phosphate metabolism) and CYP4F2 (involved in leukotriene metabolism). Other genes that showed upregulation were PPM1G (cell cycle arrest), HIPK3 and RORC (inhibition of apoptosis), ITK (T-cell proliferation and differentiation), GRK4 (regulation of G-protein coupled receptor protein signaling), NFKB 1 (transcriptional regulator) and others. The genes downregulated in wild-type but upregulated in 2D6 mutant included genes involved in signal transduction (BMX, CCR3, GPR17, GABBR1, GABBR2, YWHAZ, RAB7, RAB 13, IFNA1, DGKZ and DGKG), apoptosis (BLK, GZMA), bacterial uptake (ITGB 1, CR1), immune response (IL1ORA, TNFRSF17, MS4A1, LCP2), metabolic pathways (DDOST, PLTP), and others like bacterial killing (cathepsin G), negative regulators of G-protein signaling (RGS 12 & RGS 13), potassium channel regulator (CHP), microtubule movement (TUBB, DCTN1, CETN2 & S100A1 1). Macrophage gene expression analysis by quantitative real time PCR To confirm the changes in macrophage gene expression level upon infection with M. avium or its isogenic 2D6 mutant from the DNA microarray data findings, three genes were selected for real time PCR analysis, GRK4 (G-protein coupled receptor kinase 4), 33 Table 2. Macrophage genes upregulated in M avium 109 but downregulated in 2D6 mutant 4h post infection Gene Gene Bank ID Name Amyloid beta (A4) precursor protein binding Cytochrome P450 APBA2 ABO 14719 CYP4F2 U02388 DGKA DGKD GPD2 AF064767 D63479 AB002323 NM_000408 GRK4 NM_005307 HIPK3 AF004849 ThPPl NM_002 194 ITK D13720 LCK M36881 NFKBI M58603 PDE1C U40371 PKIA S76965 PPM1G Yl3936 PTPN1 1 Dl 3540 Calcium/calmodulin-dependant 3', 5'- cyclic nucleotide phosphodiesterase I C Protein kinase (cAmp-dependent) inhibitor alpha Serine/threonine protein phosphatase PP1-gamma I catalytic subunit Protein tyrosine phosphatase RGS3 AF006610 Regulator of G-protein signaling- 3 RORC U16997 RAR-related orphan receptor C ROR1 M97675 Receptor tyrosine kinase-like orphan receptor 1 DYNCIHI Function Signal transduction Inactivation & degradation of leukotriene B4 Intracellular signaling Diacylglycerol kinase alpha Phosphatidylinositol signaling Diacyiglycerol kinase delta Microtubule reorganization Cytosolic dyenin heavy chain Glycerol-3-phosphate dehydrogenase Glycerol-3-phosphate metabolism 2 Regulation of G-protein coupled G-protein coupled receptor kinase 4 receptor protein signaling Inhibition of apoptosis Homeodomain interacting protein kinase 3 Phosphatidylinositol signaling Inositol polyphosphate-1phosphatase T-cell proliferation & 1L2-inducible T-cell kinase differentiation Intracellular signaling Lymphocyte-specific protein tyrosine kinase Transcriptional regulator Nuclear factor of kappa light polypeptide gene enhancer in B-cells Fold induction 10.7 2.6 2.3 6.7 17.4 3.5 3.5 2.05 2.0 2.4 3.5 2.3 Signal transduction 17.4 Negative regulation of protein kinase A Negative regulator of cell stress response/cell cycle arrest Intracellular signaling, cell migration Inhibition of G-protein mediated signal transduction Inhibition of Fas ligand and 1L2 expression Unknown 2.0 3.2 2.4 3.4 3.1 4.0 iI Table 3. Macrophage genes downregulated in M avium 109 but upregulated in 2D6 mutant 4 h post infection Gene Gene Bank Name AMBP ID X04494 Alpha-1-microglobulin BLK BMX CCR3 CD53 CETN2 CHP BC004473 AF045459 AF247361 BC040693 X72964 NP_009 167 B-lymphoid tyrosine kinase BMX non-receptor tyrosine kinase Chemokine receptor 3 CD53 molecule Centrin, EF-hand protein 2 Calcium binding protein P22 CR1 CTSG DCTN1 Y00816 NM_001911 NM_004082 Complement receptor I Cathepsin G Dynactin I DDOST D29643 DGKG DGKZ EMILIN2 FOXC2 GABBR1 GABBR2 GPR17 GZMA IFNA1 AF020945 Dolichyl-diphosphooligosaccharideprotein glycosyltransferase Diacylglycerol kinase gamma Diacylglycerol kinase zeta Elastin microfibril interfacer 2 Forkhead box C2 GABA receptor I GABA receptor 2 G-protein coupled receptor 17 Granzyme A Interferon alpha I Interleukin 10 receptor alpha US 1477 ILI0RA AF270513 Y08223 Yl 1044 AF069755 NM_005291 NM_006 144 NM_024013 U00672 ITGB1 LCP2 MCAM MS4AI PBX2 BCO20057 NM_005 565 X68264 M27394 NM_0025 86 PLTP RAB7 RABI3 NM 006227 X93499 X75593 Fibronectin receptor Lymphocyte cytosolic protein 2 Melanoma cell adhesion molecule Membrane-spanning 4-dmains Pre-R-cell leukemia transcription factor 2 Phospholipid transfer protein RAS related GTP binding protein RAS related GTP binding protein RGS 12 AFO3 5152 Regulator of G-protein signaling 12 RGS13 AF030107 Regulator of G-protein signaling 13 SIOOA11 NM_005620 Calgizzarin TNFRSF17 TUBB YWHAZ Z29574 AB062393 NM_003406 TNF receptor Tubulin beta Tyrosine 3 -monooxygenase . Function Negative regulation of immune response/Protease inhibitor Apoptosis Intracellular signaling Signal transduction Growth regulation Microtubule organization center Potassium channel regulator/Signal transduction Bacterial uptake Bacterial killing Lysosome and endosome movement N-linked glycosylation Intracellular signaling Intracellular signaling Cell adhesion Transcription factor Signal transduction Signal transduction Signal transduction Apoptosis Intracellular signaling Inhibition of proinflammatory cytokine synthesis Bacterial uptake Immune response Cell adhesion Immune response Transcriptional activator Lipid metabolism Vesicular transport regulation Small GTPase mediated signal transduction Negative regulation of G-protein signaling Negative regulation of G-protein signaling Motility, invasion & tubulin polymerization Immune response Microtubule based movement Signal transduction Fold induction 4.2 3.3 18.6 4.1 4.1 6.3 20.8 4.3 2.9 35.8 3.3 5.3 48.1 14.7 5.9 6.1 2.8 83.2 2.1 2.6 2.3 4.6 37.5 4.7 9.6 3.0 3.6 3.4 7.5 3.0 2.6 9.6 2.6 4.0 4.3 35 DGKD (Diacyiglycerol kinase delta), and LCP2 (Lymphocyte cytosolic protein 2). The gene 13-actin was used as a positive control, while the uninfected cells were used as a negative control. The two genes GRK4 and DGKD were found to be upregulated in the wild-type but downregulated in the 2D6 mutant infected macrophages whereas LCP2 was found to be downregulated in wild-type but upregulated in the 2D6 mutant in DNA array data analysis. The two genes GRK4 and DGKD showed significant upregulation upon M. avium infection of macrophages in contrast to infection by 2D6 mutant (Fig 6). In addition, LCP2 gene showed significant upregulation in macrophages upon infection with 2D6 mutant in contrast to wild-type infected macrophages. None of the three genes showed upregulation in the uninfected negative control cells. These results confirmed our DNA array data. 36 14 12 10 Macrophage Genes Figure 6. Upregulation of U937 macrophage genes upon infection with M. avium or 2D6 mutant at 4 h as determined by real-time PCR. The data represents the average of 3 independent experiments ± SD. 37 Discussion M. avium like M. tuberculosis, primarily infect the host mononuclear phagocytes. Targeting mononuclear phagocytes and being able to survive within them indicate efficient mechanisms evolved by the virulent mycobacteria capable of neutralizing the bactericidal activity of macrophages. In M. tuberculosis, PE-PGRS and PPE are two glycine-rich protein families which constitute approximately 10% of the M. tuberculosis genome. Recent reports have suggested that these two gene families might be involved in antigen variation, eukaryotic cell binding, survival within macrophages and persistence in granulomas (31, 35). Richardson and colleagues (2001) showed that a PPE protein (Rv1917) is expressed on the bacterial surface. Using signature-tagged mutagenesis, Camacho and colleagues identified a PPE gene (Rv3018c) associated with M. tuberculosis virulence in vivo (6). In addition, Ramakrishnan and colleagues observed that inactivation of PE-PGRS gene in M.marinum resulted in attenuation of bacterial virulence in macrophages. A study by Yongjun Li and colleagues (2005) has suggested a role of M. avium PPE protein (Rv1787) in inhibition of acidification and phagosome-lysosome fusion in infected macrophages. They demonstrated the M. avium PPE transposon mutant had comparable ability to enter the mononuclear phagocytes as wild-type but was defective in survival and virulence in vitro as well as in mice. This gene was upregulated following uptake of the wild-type bacteria by macrophages, but not in culture media, indicating a possible role in the early events of the phagosome formation. This observation suggests that this particular PPE gene might play a role in the modulation of the phagosome membrane thereby having an important participation on the dynamics and creation of the vacuole membrane and the vacuole content. This would enable the bacteria to create an environment inside the phagosome suitable for its growth and survival. The fact that the 2D6 mutant vacuole undergoes acidification implies that this PPE gene might play a role in inhibition of acquisition of proton pumps on the wild-type phagosome. The gene homologue to Rv1787 is part of a M. avium chromosomal region with five PPE and PE genes. The organization of this region suggests the existence of three promoters, one upstream of the PPE gene inactivated in the 2D6 mutant, one between the second and the third genes and another between the fourth and fifth genes in the downstream region (23). Therefore, it is possible that the inactivation of the PPE gene in 2D6 mutant would have a polar effect in three or all the five genes responsible for the observed phenotype. The fact that complementation of the 2D6 mutant significantly reversed (not completely) the phenotype, strongly suggest that only the PPE gene inactivated and the two additional downstream genes are responsible for the phenotype observed. Normally upon uptake of a bacterium, macrophage undergoes a series of events specifically designed to eliminate the engulfed microorganism, which include (i) induction of reactive oxygen and nitrogen intermediates, (ii) gradual acidification of the phagosome due to the activity of proton-ATPase pumps located on the phagosome membrane, (iii) phagosome-lysosome fusion which loads the resulting phagolysosome with acidic proteolytic enzymes, (iv) antigen processing and (v) antigen presentation. The resulting lethal environment effectively kills the majority of the ingested bacteria. Pathogenic mycobacterial phagosomes in contrast, show incomplete lumenal acidification and absence of mature lysosomal hydrolases (41). Recent findings by Malik et a! (25-27) suggested that the bacterial manipulation of calcium is in part responsible for the phagosome maturation arrest. The pathogenic mycobacterial phagosomes have been shown to alter the trafficking of the plasma membrane markers including MHC molecules (7), EEA-1 and LAMP-i (42). Via and colleagues also suggested that the block in phagosome maturation occur between the stages controlled by early endocytic marker RabS and late endocytic marker Rab7, and that Rab5 is accumulated on the mycobacterial phagosome membrane whereas Rab7 is not (42). Altogether, the published data indicate that virulent mycobacterial phagosomes are selective in their fusion with various cytoplasmic organelles and do not mature into a phagosomelysosome. Although a good deal of information has been generated about the M. tuberculosis phagosome, relatively little is known about M. avium vacuole. Once inside a macrophage, M. avium resides in compartments secluded from the terminal stages of the endocytic pathway (8, 39). The bacterial vacuoles have less proteolytic activity and maintain some markers like LAMP-i and cathepsin D in an immature form (38, 39). The vacuoles also remain accessible to internalized transferrin (38). The wild-type bacterium requires RabS and not Rab7 as well as acquisition of iron for arresting the phagosome maturation (22). Tn addition, Kelley and colleagues proposed that absence of Rab5 limits the concentration of iron within the M. avium phagosome resulting in its inability to inhibit phagosome maturation as evident by the decreased LAMP-i staining on M. avium phagosomes after addition of ferric citrate in the dominant negative RabS expressing macrophages (22). EI We have identified several proteins expressed on the phagosomes of macrophages infected with wild-type M. avium and its isogenic 2D6 mutant in which a PPE gene (homologue to Rv1787) was interrupted by the transposon. An earlier study has shown the impaired ability of 2D6 mutant to replicate inside the mononuclear phagocytes (23). Mass spectrometry analysis of the phagosomal proteins of 2D6 mutant and the wild-type bacterium yielded several differences in the protein expression in the vacuole membrane. For example, expression of EEA- 1 and Rab5 effector was seen on 2D6 phagosomes but not on the wild-type phagosomes which is in agreement with the observation reported by Fratti el al and Via et al (14, 42). A relatively large amount of published data suggests the role of complement receptors CR1, CR3 and CR4 (36) and mannose receptor (36) in the uptake of M. tuberculosis by macrophages. CR3 has been shown to be one of the main receptors involved in phagocytosis of M. avium by macrophages and monocytes (3, 34). In addition, integrin fibronectin receptor is also involved in the internalization of the bacteria (21). CR2 was identified among various receptors on M. avium phagosomes. Studies have suggested an important role of CR1/2, CR3 and CR4 in host defense against Streptococcus pneumoniae infections (32). Functional studies have demonstrated that CR2 mediates tyrosine phosphorylation of 95 kDa nucleolin and its interaction phosphatidylinositol 3 kinase (2). Though the presence of CR2 on M. avium phagosomes at 24 h time point does not confirm its role in bacterial uptake, it could be possible that it might play a role in the uptake and may not have been recycled. Also, the possibility of its presence on the phagosomal membrane due to just being a membrane protein present on the surface of plasma membrane cannot be ruled out. It is known that M. tuberculosis 41 and M. avium are similar in their invasion strategy of mononuclear phagocytes. But there could be little differences in the receptors involved during the uptake of both bacteria. Thus, CR2 could be another receptor involved in M. avium uptake by macrophages besides CR3 and CR4. Surfactant protein A (SP-A) expressed on M. tuberculosis vacuoles has been shown to be involved in enhancing the uptake of bacteria by macrophages (17, 24, 44). We identified SP-D protein expression on M. avium phagosomes. Surfactant-associated proteins A and D (SP-D) are pulmonary collectins that bind to bacterial, fungal and viral pathogens and have multiple classes of receptors on pneumocyte and macrophage membrane (12). In addition, they act as chemoattractant to phagocytes. Among the strategies mycobacteria has evolved to compromise the activation of T-cells, is the down regulation of the expression of MHC class II, CD1 and co- stimulatory molecules (19, 40, 45). The lack of MHC class II molecule expression in M. avium phagosomes and its presence in the attenuated 2D6 mutant phagosomes in our data is in agreement with the above findings. MHC class I molecules are involved in presentation of the antigens located in the cytoplasm. The fact that MHC class I molecules were found on 2D6 mutant phagosomes at 24 h time point may reflect altered trafficking by the bacteria as its expression at early time points on the phagosome would have suggested that the protein being present on the cell surface, during phagocytosis would have been taken up during vacuole formation. The presence of MHC class I molecules on the 2D6 phagosomes could also be due to the fact that mycobacterium antigens are processed by MHC class 1(13). MHC class I has also been reported to be present on latex bead phagosomes (16). 42 Several proteins not previously shown to be associated with the mycobacterial phagosomes were identified in the phagosomal preparations. Because we cannot rule out the possibility of contamination of the phagosome preparations with other organelles, which indeed is a limiting factor of most subcellular fractionation techniques, we selected two proteins which has not been previously described on vacuole membranes, voltage dependent T-type calcium channel 11 alpha protein (T-type calcium channel), an integral membrane protein unique to neuron cells and, pulmonary surfactant protein D (SP-D) which is a carbohydrate binding protein, to confirm the expression of some of these proteins on the mycobacterial phagosomes. Fluorescent microscopy studies using antibodies specific to these proteins revealed their presence on the bacterial phagosomes. Recent studies on Legionella and Brucella state that these organisms reside in compartments displaying features of endoplasmic reticulum (ER) (29). In addition, there is an evidence of recruitment of endoplasmic reticulum (ER) to nascent phagosomes containing inert particles or Leishmania and that it makes a major contribution to the phagosomal membrane (15). This explains how antigens of vacuolar pathogens are presented to T lymphocytes via MHC class I machinery located on ER. Considering this information, it would be plausible to find ER particles on mycobacterial phagosomes. Some of the mitochondrial proteins like ATP synthase and HSP6O found in our preparations have also been shown to be present in latex bead containing phagosomes (16). This data is in agreement that at least some of the proteins present in our preparations might be genuine constituents of phagosomes. In the DNA array analysis, upregulation of genes like GZMA (granzyme A), cathepsin G was observed in macrophages infected with 2D6 mutant. GZMA is a serine 43 protease involved in lysis of target cells. Cathepsin G is a protease which participates in the killing and digestion of engulfed pathogens. Upregulation of GZMA and cathepsin G in the macrophages infected with 2D6 mutant might reflect the impaired ability of 2D6 to survive and thus undergoing killing in macrophages and other mononuclear phagocytes. Recent report on the elemental analysis of M. avium phagosomes in Balb/c mouse macrophages revealed high concentrations of potassium and chlorine at 24 h timepoint and correlated it to the microbiocidal killing similar to that observed in neutrophils (43). The upregulation of CHP (potassium channel regulator) in the 2D6 infected macrophage microarray data and the finding of K-Cl transporter on the 2D6 mutant phagosomes at 24 h time point in our mass spectrometry data could represent an evidence at least in part to the above published report as we know that the 2D6 mutant is unable to survive in the macrophages (23). Therefore, there is a possibility that K-Cl transporter and CHP could be involved in the augmentation of the potassium and chlorine concentrations in the phagosome leading to mutant killing. Studies in mice suggest that RORC (RAR-related orphan receptor C) may inhibit the expression of Fas ligand and 1L2 (NCBI database). The upregulation of RORC in macrophages infected with wild-type bacterium may indicate that this gene plays a role in inhibition of apoptosis induced by the bacterium. HIPK3 (homeodomain interacting protein kinase 3) is a Fas/FADD-interacting serine/threonine kinase that induces FADD phosphorylation and inhibits one of the Fas-mediated apoptosis (33). The upregulation of HIPK3 in wild-type infected macrophages shows the bacterial ability to inhibit apoptosis by triggering induction of macrophage genes involved in inhibition of apoptosis. As the 2D6 mutant and the wild-type bacterium have comparable ability to enter the macrophages (23), it would be reasonable to expect that the 2D6 mutant uses similar uptake pathway as wild-type. This is evident from the upregulation of various receptors like ITGB1, GPR17, GABBR1, GABBR2, CR1, and CCR3 in the 2D6-infected macrophages. The upregulation of Rab7 on the 2D6-infected macrophages is an evidence that the 2D6 mutant expresses late endosome markers and undergoes phagolysosome fusion (23). GRK4 (G-protein coupled receptor kinase 4) is normally expressed in cerebellar purkinje cells where it mediates desensitization of GABA receptor 1 (20). The DNA array data showed upregulation of GRK4 in macrophages infected with wild-type bacterium. There is no published data regarding GRK4 expression in M. avium infected macrophages. Real-time PCR confirmed the upregulation of this gene in macrophages infected with M. avium. This suggests that GRK4 is differentially expressed in M. avium infected macrophages. Real-time PCR also confirmed the upregulation of DGKD (Diacyiglycerol kinase delta) and LCP2 (Lymphocyte cytosolic protein 2) in the wild- type and 2D6-infected macrophages respectively. These results show that the abovementioned genes are differentially regulated in macrophages when infected with wild- type or 2D6 mutant. The variation in the fold intensity of these genes in the real-time data as compared to the array could be because of the degradation of RNA during handling and cDNA synthesis. We studied protein expression of the mycobacterial phagosome and compared it to a isogenic mutant. We identified several proteins either previously described or not reported to be present on the phagosomes. Nonetheless, the use of the PPE mutant 45 established possibility that one protein may have key function in modulating the formation of the phagosome. 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Am J Physiol Lung Cell Mol Physiol 279:L216-223. 45. Wojciechowski, W., J. DeSanctis, B. Skamene, and D. Radzioch. 1999. Attenuation of MHC class II expression in macrophages infected with Mycobacterium bovis bacillus Calmette-Guerin involves class II transactivator and depends on the Nrampl gene. Jlmmunol 163:2688-2696. 51 Discussion The macrophage provides the primary defense against microbial infection. Different intracellular pathogens have evolved to exploit diverse niches within their host cell. Some escape into the cytoplasm; others are immune to digestion within the lysosomes; and the third group, which includes pathogenic mycobacterial species, prevents the normal maturation of their phagosome and fusion with the lysosomes. Although the lack of fusion of mycobacterial vacuoles with lysosomes was observed years ago by Hart and colleagues (15-17), 35 the exact nature of this vacuole and its relationship to other endocytic vesicles remains elusive. PE-PGRS and PPE gene families have recently been shown to be involved in mycobacterial virulence in vivo. Some studies have suggested their role in the phagosome maturation arrest phenomenon. In this study, we determine the phagosomal membrane proteins expressed on the macrophage upon M. avium infection and compare it with those expressed on phagosomes in PPE gene inactivated 2D6 mutant-infected macrophages. The intent in this study was to detect significant differences in the protein expression of the phagosomes of wild-type M. avium and its isogenic 2D6 mutant. Analysis of differential gene expression in macrophages infected with M. avium and its isogenic 2D6 mutant was also carried out to determine the differences in the nature of genes upregulated by wildtype and 2D6-infected macrophages. In the first part of the study, an array of proteins was identified in the wild-type, as well as the 2D6 phagosomes. Some of the proteins such as the macrophage receptor MARCO, complement Clq, pyruvate kinase, etc. were found to be expressed on both bacterial phagosomes; while the majority of the proteins expressed on wild-type 52 phagosomes were different from the 2D6 mutant phagosomes. This indicates that the wild-type bacterium potentially live in an environment quite different from its mutant. Many proteins identified in the phagosomal preparations have not been previously described to be present on the phagosomes. This could be a result of contamination of the preparation with cytoplasmic contents. To confirm the presence of some of these proteins, fluorescent microscopy experiments were carried out, which revealed that these proteins are actually expressed on the phagosomes. In summary, numerous proteins were identified in the M. avium and its isogenic mutant phagosomes, some of which have not been previously reported. These proteins might unveil the underlying mechanisms used by the bacterium to prevent the phagosome-lysosome fusion. The second part of the study involved the identification of differential gene expression in macrophages after infection with the wild-type or the 2D6 mutant. The DNA array carried out to find this piece of information showed a whole range of genes which were differentially regulated upon M. avium or 2D6 mutant infection. The genes expressed in macrophages infected with wild-type was quite different from those expressed in 2D6 mutant-infected macrophages. The genes upregulated in the wild-type infected macrophages were fewer in number, compared to its isogenic mutant, and included a variety of kinases, anti-apoptotic genes, and intracellular signaling molecules; while the 2D6-infected macrophages showed upregulation in genes involved in apoptosis, bacterial uptake, signal transduction and immune response. Some genes which showed upregulation in macrophages have not been previously described to be expressed in macrophages, for example, the G-protein coupled receptor kinase 4 (GRK4). To confirm the expression, real time PCR was employed to validate the expression of GRK4 in 53 macrophages upon M. avium infection. Overall, the results reflect the diverse nature of genes upregulated in macrophages infected with wild-type or the 2D6 mutant. The study reveals differences in the vacuolar protein expression and gene expression in macrophages after infection with either the wild-type or the PPE gene inactivated mutant. Many proteins from the mass spectrometry data and genes from the DNA microarray data suggest that the 2D6 mutant undergoes phagosome-lysosome fusion, and killing inside the macrophage suggests a possible role of PPE gene in mycobacterial virulence in vivo. While working on the fluorescent microscopy portion of this project, I dealt with two problems. First, the background on the slides was very strong and caused problem in identifying the expression of the protein in infected cells after staining with primary and secondary antibodies. Following the washing protocol several times did not change the background issue. After increasing the washing steps, the problem still persisted. Then I did titration experiment using different dilutions of the primary and secondary antibodies to figure out the correct concentrations to use. The titration experiment did help somewhat with the background issue. After determining the correct concentrations of the antibodies, I tried to improve the washing procedure by washing the slides 2 times, keeping them on the shaker for ten minutes during the wash process, and then aspirating the fluid. This helped reduce the background to a great extent. The main aim of the fluorescent microscopy studies was to clearly identify the labeled bacteria and the protein expression on the phagosome in the infected macrophages. When observed under the microscope, nearly all cells were flooded with too many bacteria and it was difficult to detect the protein on a single phagosome. Initially, cells were infected in a 2-chamber slide with 1 ml of bacterial suspension, so I tried to infect the cells with fewer bacteria. This did not produce the desired results. Then a labmate suggested declumping the bacteria by pipetting the bacterial suspension several times and letting it stand for at least 10 minutes before using the superficial layer of the suspension to infect the cells with 100 to 150 t1 of the bacterial suspension. This helped to infect nearly all cells with as less as 3-4 bacteria instead of hundreds per cell. The technique allowed visualizing the expression of the proteins on the phagosome of the infected macrophages very clearly. RNA extraction of eukaryotic cells is easy if done very carefully. The RNA extracted from the infected U937 cells looked very good on the gels prior to DNase treatment. After DNase treatment, I amount of RNA decreased and also the quality of RNA was very poor. I quickly learnt not to treat all the good RNA with DNase at a time. Treating only one sample of RNA with DNase enzyme, instead of all of it, I saved time by not having to extract RNA from the first step again. Finally, good DNase-treated RNA was produced when I used a new DNase enzyme and changed both the incubation time and place for the RNA. That is, instead of keeping the RNA in the cell culture incubator for 1 h after adding DNAse enzyme, I kept the RNA at room temperature on the bench for 2 h. This yielded a good quality RNA after DNase treatment. The designing of the correct primers that would amplify the genes for the real-time PCR study took 2 months (Table 4 & Fig 7). The difference in the fold induction in the microarray data and the real-time PCR could be due to the degradation of RNA, while handling, and cDNA synthesis. 55 Table 4. Sense and antisense primers for real-time PCR Primers Target PCR product (bp) 13-actin 5' TGATGGTGGGCATGGGTCAGA 3' 800 5' CCCATGCCAATCTCATCTTGT 3' GRK4 5' AATGTATGCCTGCAAAAAGC 3' 235 5' GATTGCCCAGGTTGTAAATG 3' DGKD 5' CTCGGCTTACGGTTATTCCAG 3' 656 5' CCATCTCCATCTTCAGCCTCC 3' LCP2 5' CACTGAGGAATGTGCCCTTTC 3' 5' GTGCCTCTTCCTCCTCATTGG 3' 408 1200 1100 1000 900 u b 800 v U Sd 700 10 .1 500 400 300 200 U . 100 0 -100 -200 o 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 50 52 Cycle Figure 7. Real-time PCR graph showing upregulation of genes in macrophage upon M. avium or 2D6 mutant infection. 57 Several useful conclusions and technique improvements were achieved during this study. 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