article: Legionella pneumophila (L. pneumophila), the causative agent of a severe form of pneumonia called Legionnaires' disease, replicates in human monocytes and macrophages. Most inbred mouse strains are restrictive to L. pneumophila infection except for the A/J, Nlrc4−/− (Ipaf−/−), and caspase-1−/− derived macrophages. Particularly, caspase-1 activation is detected during L. pneumophila infection of murine macrophages while absent in human cells. Recent in vitro experiments demonstrate that caspase-7 is cleaved by caspase-1. However, the biological role for caspase-7 activation downstream of caspase-1 is not known. Furthermore, whether this reaction is pertinent to the apoptosis or to the inflammation pathway or whether it mediates a yet unidentified effect is unclear. Using the intracellular pathogen L. pneumophila, we show that, upon infection of murine macrophages, caspase-7 was activated downstream of the Nlrc4 inflammasome and required caspase-1 activation. Such activation of caspase-7 was mediated by flagellin and required a functional Naip5. Remarkably, mice lacking caspase-7 and its macrophages allowed substantial L. pneumophila replication. Permissiveness of caspase-7−/− macrophages to the intracellular pathogen was due to defective delivery of the organism to the lysosome and to delayed cell death during early stages of infection. These results reveal a new mechanism for caspase-7 activation downstream of the Nlrc4 inflammasome and present a novel biological role for caspase-7 in host defense against an intracellular bacterium.
  Caspases are a family of cysteine proteases expressed as inactive pro-enzymes that play a central role in most cell death pathways leading to apoptosis. However, growing evidence implicates caspases in non-apoptotic functions [1]–[4]. Eleven genes were found in the human genome to encode 11 human caspases, whereas 10 genes were found in the mouse genome to encode 10 murine caspases. The human caspase-4 and -5 are functional orthologs of mouse caspase-11 and -12. The remaining caspases which share same nomenclature in human and mouse are functional orthologs of each other [1]. On the basis of their biological functions, caspases can be classified into three groups: inflammatory caspases like caspase-1, -4, -5, -11 and -12, initiator caspases like caspase-2, -8, -9, and -10, and effector caspases like caspase-3, -6, -7 and -14 [2], [4]. Caspase-1 activation mediates the maturation of the proinflammatory cytokines interleukin-1 beta (IL-1β), IL-18 and possibly IL-33 [5], [6]. Activation of caspase-1 is mediated within the inflammasome complex that is assembled when pathogen-associated molecular patterns (PAMPs) are sensed in the cytosol by special host receptors. These cytosolic receptors belong to the nucleotide binding oligomerization domain-leucine rich repeat proteins (NOD-like-receptors or CATERPILLAR family of proteins) [7]–[12]. A variety of pathogens such as Shigella, Francisella, Salmonella, Listeria, Pseudomonas, Escherichia coli and Legionella activate caspase-1, engaging different NOD-like-receptors [13]–[18]. L. pneumophila is an intracellular bacterium and the causative agent of Legionnaires' pneumonia [19]. The ability of L. pneumophila to cause pneumonia is dependent on its tendency to invade and multiply within human macrophages [20]–[23]. Once phagocytized, the bacteria reside in specialized vacuoles [20]–[26]. The L. pneumophila-containing phagosome does not fuse with the lysosome and instead acquires vesicles from the endoplasmic reticulum (ER) [20]–[26]. Within this vacuole, L. pneumophila multiply exponentially [27]. In contrast, macrophages from most mouse strains are restrictive to L. pneumophila infection. Within mice cells, L. pneumophila flagellin is sensed by Nlrc4 leading to the activation of caspase-1 [7], [28]–[30], whereas in human macrophages, caspase-1 is not activated in response to L. pneumophila. Caspase-1 activation in mouse macrophages is accompanied with L. pneumophila restriction due to the delivery of organisms to the lysosome for degradation and early macrophage death [28], [31]. Furthermore, pharmacological inhibition of caspase-1 in wild-type macrophages allows more L. pneumophila replication [28], [31], [32]. Accordingly, mouse macrophages that do not activate caspase-1 in response to L. pneumophila such as Nlrc4−/− and caspase-1−/− cells are permissive to infection [28], [31]. A/J mice and their derived macrophages are also permissive to L. pneumophila intracellular replication despite caspase-1 activation [28], [29], [33]–[36]. The downstream mechanism responsible for the permissiveness of macrophages lacking Nlrc4, caspase-1 or functional Naip5 is still unclear. In vitro experiments revealed that caspase-1 directly processed procaspase-3 and -7 [37], [38]. Nevertheless, the biological role of this activation is unknown. Furthermore, whether this reaction is pertinent to the apoptosis or to the inflammation pathway or whether it mediates a yet unidentified effect is not clear. Here we demonstrate that caspase-7, but not caspase-3, was activated in restrictive wild-type mouse macrophages by L. pneumophila. Caspase-7 activation by low multiplicity of L. pneumophila infection was dependent on Nlrc4, caspase-1 and functional Naip5. Such activation was accompanied by enhanced fusion of the L. pneumophila-containing phagosome with the lysosome and early death of infected cells resulting in restriction of infection in wild-type macrophages. The activation of caspases-8 and -9 which are involved in caspase-7 activation in response to apoptotic signals was not necessary for L. pneumophila-mediated caspase-7 activation. In contrast to caspase-7, caspase-3 was not activated by L. pneumophila in wild-type macrophages and its absence did not affect the activation of caspase-7 or the intracellular fate of the organism. The effect of caspase-7 activation on L. pneumophila growth was independently of IL-1β and IL-18. Remarkably, caspase-7 activation also controlled the growth of the pathogen within the murine lungs in vivo. Therefore, our data identify a previously uncharacterized signaling pathway for caspase-7 activation through Nlrc4, caspase-1 and Naip5. We also demonstrate a new role for caspase-7 in host defense against an intracellular bacterium. These findings may be valuable in the design of compounds that could restrict the growth of not only L. pneumophila but also other organisms that tend to avoid lysosomal fusion.
  L. pneumophila infection leads to caspase-1 activation in macrophages. The activation of caspase-1 is accompanied by restriction of L. pneumophila growth in macrophages and in mice [28], [31]. However, the downstream signaling pathway involved in the control of L. pneumophila growth is not known. In vitro studies suggested that caspase-1 can cleave caspase-7 and caspase-3 [37], [38]. However, it is not known if this reaction takes place in vivo during L. pneumophila infection. Therefore, we investigated whether caspase-7 and caspase-3 are cleaved within wild-type C57BL/6 macrophages upon L. pneumophila infection. Assessment of different multiplicity if infection (MOI) revealed that caspase-7 was activated at MOI ranging from 0. 5 to 20 within 2 hours of infection. Caspase-1 activation was determined by the detection of the corresponding mature subunits in cell extracts in western blots using specific anti-caspase-1 antibodies (Figure 1A and 1B and Figure S1A). Infection of wild-type murine macrophages was accompanied by caspase-7 activation only in the presence of a functional Dot/Icm type IV secretion system, a bacterial apparatus that injects bacterial products into the host cytosol (Figure 1A and 1C). The bacteria induced proteolytic cleavage of pro-caspase-7 within 30 minutes even at low MOI (Figure 1B). Therefore, L. pneumophila activates caspase-7 in macrophages in a Dot/Icm-dependent manner. Since L. pneumophila flagellin triggers caspase-1 activation via the NOD-like receptor Nlrc4 [7], [28], we tested whether a L. pneumophila mutant lacking flagellin (Fla) induced caspase-7 activation. We infected wild-type macrophages with L. pneumophila or with the Fla mutant lacking flagellin and examined the activation of caspase-7 (Figure 1C). To ensure equal internalization of wild-type and flagellin-deficient L. pneumophila, infections were followed by mild centrifugation to enhance contact between macrophages and mutant bacteria. Under these conditions, we recovered equal numbers of bacteria at 1 hour post-infection (data not shown). Unlike wild-type bacteria, the L. pneumophila Fla mutant failed to induce caspase-7 activation even at high MOI (Figure 1C, Figure S1B, and Figure S1C). Since flagellin is sensed by the host receptor Nlrc4, we tested if caspase-7 activation by L. pneumophila requires Nlrc4. Caspase-7 activation by wild-type L. pneumophila was abrogated in macrophages lacking Nlrc4 (Figure 1C). To verify the role of flagellin in caspase-7 activation, purified bacterial molecules were delivered intracellularly using streptolysin O (SLO), a protein that allows delivery of exogenous molecules into the cytosol of living cells [28], [39]. Bacterial flagellin, bacterial lipoproteins (LP), RNA, DNA, or lipopolysaccharide (LPS) activated caspase-7 when delivered to the cytosol using SLO (Figure 1C and 1D). However, flagellin required Nlrc4 for caspase-7 activation (Figure 1C and 1D). The low concentration and short time of SLO treatment used to deliver flagellin to the cytosol did not activate caspase-7 in the absence of bacterial ligands (Figure 1C). Therefore, caspase-7 activation by L. pneumophila is mediated by the bacterial flagellin through the host sensor Nlrc4. To rule out the contribution of Toll-Like Receptor (TLR) signaling in caspase-7 activation by L. pneumophila, macrophages lacking the TLR adaptor molecules MyD88 or TRIF were infected and examined for activation of caspase-7. The lack of MyD88 or TRIF did not prevent caspase-7 activation by L. pneumophila (Figure S2A and Figure S2B). These results indicate that the sensing of flagellin through Nlrc4 mediates caspase-7 activation by L. pneumophila independently of TLRs. Nlrc4 is indispensable for caspase-1 and caspase-7 activation by L. pneumophila. However, it is not clear if caspase-1 activation is upstream of caspase-7 as suggested by the in vitro experiments [38]. To assess the role of caspase-1 in caspase-7 activation during early stages of infection, caspase-1−/− macrophages were infected with low MOI of L. pneumophila. Particularly, caspase-7 activation by L. pneumophila was abolished in the absence of caspase-1 (Figure 2A), whereas caspase-1 activation by L. pneumophila did not require caspase-7 (Figure 2B). This result suggests that caspase-7 is downstream of the caspase-1 activation pathway. However, at high MOI caspase-7 was activated independently of caspase-1 (Figure S1B). To verify if the enzymatic activity of caspase-1 contributes to the induction of caspase-7 activation by low MOI of L. pneumophila, we inhibited caspase-1 activity with the caspase-1 inhibitor Z-YVAD-FMK and examined caspase-7 activation upon L. pneumophila infection. Pharmacological inhibition of caspase-1 abolished caspase-7 activation by L. pneumophila (Figure S3A). Taken together, our data show that caspase-1 enzymatic activity is necessary for caspase-7 activation by L. pneumophila in macrophages. Caspase-7 and caspase-3 are activated during apoptosis via the intrinsic and extrinsic pathways through caspase-8 and -9 [3]. First, to understand the role of caspase-3 in L. pneumophila-mediated caspase-7 activation, caspase-3−/− macrophages were infected with L. pneumophila and examined for the cleavage of caspase-1 and caspase-7. Our data demonstrate that the absence of caspase-3 had no effect on pathogen-mediated activation of caspase-1 (Figure 2B) or of caspase-7 (Figure 2C). These data support the fact that caspase-3 was not activated by L. pneumophila in wild-type C57BL/6 macrophages although activated in A/J-derived macrophages (Figure 2D). Second, to test the role of the initiator caspase-8 and -9 in caspase-7 activation by L. pneumophila infection, the pathogen was added to macrophages pretreated with the caspase-8 inhibitor (Z-IETD-FMK), or caspase-9 inhibitor (Z-LEHD-FMK), then cell lysates were examined for caspase-7 activation. In contrast to caspase-1 inhibition, the pharmacological inhibition of caspase-8 or -9 did not compromise caspase-7 activation by L. pneumophila (Figure 3A). However, inhibition of caspase-8 and -9 activities compromised caspase-7 activation induced by the apoptosis inducer doxorubicin (Figure S3B). These results indicate that caspase-7 activation by L. pneumophila is independent of caspase-8 or -9. With the exception of the A/J mouse, most mouse strains are resistant to L. pneumophila [20], [36], [40]. The permissiveness of the A/J mouse is attributed to a polymorphism in the gene encoding the neuronal apoptosis inhibitory protein (Naip5) [34], [35], [41]. The susceptibility of A/J-derived macrophages to L. pneumophila is independent of caspase-1 activation since the levels of activation in the presence of wild-type and A/J-derived Naip5 are comparable [28], [29], [33]. Given that caspase-7 activation is mediated downstream of caspase-1 in wild-type macrophages, we tested if Naip5 plays a role in caspase-7 activation by L. pneumophila. Caspase-7 activation by L. pneumophila was compromised in macrophages derived from A/J-derived macrophages (Naip5AJ) (Figure 2E). Similar results were obtained using transgenic C57BL/6 mice harboring the mutant A/J-derived Naip5 (data not shown) [42]. These findings suggest that L. pneumophila–mediated caspase-7 activation downstream of the caspase-1 inflammasome requires Naip5. Caspase-1 activation restricts L. pneumophila intracellular survival and replication [28], [31]. However, the downstream effectors responsible for the control of L. pneumophila growth are still unknown. Given that caspase-7 activation by L. pneumophila is dependent on caspase-1 activation, we investigated if caspase-7 controls L. pneumophila replication. Wild-type, caspase-3−/−, caspase-7−/− and caspase-1−/− macrophages were infected with L. pneumophila and intracellular bacterial replication was evaluated by quantifying the colony forming units (CFUs) throughout 72 hours of infection and by microscopy after 24 hours. Remarkably, macrophages lacking caspase-7 allowed substantial L. pneumophila replication when compared to wild-type cells (Figure 3A and 3B). The number of CFUs recovered from caspase-7−/− macrophages were comparable to the number recovered from their caspase-1−/− counterparts (Figure 3A and 3B). Peritoneal macrophages from caspase-7−/− mice were also highly permissive for L. pneumophila replication (data not shown). To confirm the role of caspase-7 in L. pneumophila restriction, caspase-7−/− macrophages were complemented with caspase-7 plasmid and examined for the correlation between caspase-7 expression and bacterial replication. The delivery of a caspase-7 plasmid to primary caspase-7−/− macrophages was performed using transfection (Superfect) or nucleofection (Amaxa). Although caspase-7 was expressed using both techniques, nucleofection was detrimental to the cells (Figure S4A and data not shown). Expression of caspase-7 using Superfect was sufficient to restore the ability of murine macrophages to restrict L. pneumophila growth (Figure S4A and Figure S4B). The expression of the control plasmid carrying the red fluorescent protein (RFP) or green florescent protein (GFP) by the same techniques did not alter the permissiveness of the caspase-7−/− macrophages to L. pneumophila (Figure S4B and data not shown). Since caspase-1 activity was necessary for L. pneumophila-mediated caspase-7 activation (Figure S3A), we tested if inhibition of caspase-1 activity permitted more bacterial replication. Distinctly, the inhibition of caspase-1 activity by Z-YVAD-FMK allowed more bacterial growth in wild-type B6 macrophages (Figure 3C). Unlike caspase-1 inhibition, the inhibition of caspase-8, -9 or -3 did not allow L. pneumophila replication in B6 macrophages (Figure 3C). Therefore, caspase-1 enzymatic activity is required for L. pneumophila growth restriction in macrophages. Unlike caspase-7, and despite the suggested similarity in small substrate specificity, the absence of caspase-3 had no effect on L. pneumophila growth in macrophages (Figure 3A). Since Legionnaires' disease is caused by the replication of L. pneumophila in alveolar macrophages, we investigated if caspase-7 regulates bacterial growth within the lungs of mice in vivo. Wild-type and caspase-7−/− mice were infected intratracheally with 1×106 CFU of L. pneumophila and the number of bacteria in the lungs was determined at 96 hours post-infection (Figure 3D). The lungs of caspase-7−/− mice supported substantially more L. pneumophila CFUs than their wild-type counterparts (Figure 3D), although initial bacterial counts in the lungs were identical (Figure 3E). Therefore, these results indicate that caspase-7 restricts L. pneumophila replication both in vitro and in vivo. In wild-type macrophages, a fraction of phagocytized L. pneumophila are contained inside phagosomes that rapidly fuse with lysosomes [22], [43], [44]. To determine the mechanism by which caspase-7 controls L. pneumophila growth in macrophages, we observed the trafficking of the organism intracellularly. First, we examined the rate of acquisition of the lysosomal-associated membrane protein-1 (LAMP-1) by phagosomes harboring L. pneumophila. Whereas, in wild-type macrophages, greater than 60% of the phagosomes containing the pathogen co-localized with LAMP-1 within 30 min post-infection, less than 30% of the L. pneumophila containing vacuoles in caspase-7−/−, caspase-1−/− and A/J-derived macrophages acquired LAMP-1 (Figure 4A and 4B). Next, to test if caspase-7−/− macrophages contained a general defective phagosome-lysosome fusion function, we examined the ability of the non-pathogenic type IV secretion mutant (Dot) to traffic to the lysosome. In contrast to pathogenic wild-type L. pneumophila, caspase-7−/− macrophages efficiently delivered the Dot mutants to LAMP-1 labelled compartments within 2 hours of internalization (Figure S5A). Then, in order to assess the role of caspase-7 in mediating L. pneumophila degradation [28], [45], macrophages were infected with L. pneumophila, and the intact rod-shaped and degraded distorted-shaped bacteria were differentiated by labelling with anti-L. pneumophila antibody as previously described (Figure S5B). In wild-type macrophages, by 2 hours post-infection, about 40% of internalized bacteria lost their rod-shaped contour and were degraded into multiple small rounded particles compared to only 10 % in caspase-7−/− macrophages (Figure S5B). Given that the L. pneumophila-containing phagosome in permissive cells acquires ER-derived vesicles [20], [22], [26], we examined the recruitment of calreticulin, an ER protein, to phagosomes harboring L. pneumophila. By 4 hours post-infection, around 35% of the bacteria co-localized with calreticulin in caspase-7−/− macrophages, whereas less than 5% bacteria associated with the ER marker in B6 macrophages (Figure 4C and 4D). The trafficking of L. pneumophila in caspase-7−/− macrophages was comparable to that in the caspase-1−/− and A/J-derived counterparts (Figure 4A and 4C). Therefore, caspase-7 activation promotes the fusion of the L. pneumophila-containing phagosome with the lysosome mediating the degradation of the pathogen. Caspase-7 activation by L. pneumophila is regulated by caspase-1 which also regulates the maturation of the pro-inflammatory cytokines IL-1β and IL-18 [2], [5]. Our data show that caspase-7 activation is mediated by Nlrc4 and caspase-1 (Figure 1C and Figure 2A and 2E). To examine the possibility that caspase-7 is downstream of IL-1β and IL-18, we infected wild-type and IL-1β/IL-18 double knockout-derived macrophages with L. pneumophila and examined the activation of caspase-7. The absence of IL-1β and IL-18 did not prevent caspase-7 activation by L. pneumophila infection (Figure S6A). Next, to test if IL-1β and IL-18 control L. pneumophila growth, macrophages lacking both cytokines were infected and bacterial growth was quantified throughout 72 hours. Cells lacking IL-1β and IL-18 did not allow L. pneumophila replication intracellularly when compared with their caspase-7−/− and A/J-derived counterparts (Figure S6B). To further understand the role of IL-1β and IL-18 in infection, recombinant mouse IL-1β (rIL-1β) or IL-18 (rIL-18) was added to B6 and caspase-7−/− macrophages upon L. pneumophila infection. Exogenous cytokines had no effect on the growth of the pathogen whether caspase-7 was present or not (Figure S6C). Next, to examine the role of IL-1β and IL-18 receptors during L. pneumophila infection, corresponding antibodies to IL-1 receptor and IL-18 receptor were added during infection. The intracellular growth of L. pneumophila in macrophages in the presence of the antibodies was identical to that of untreated cells (Figure S6C). Our data demonstrate that despite being downstream of caspase-1, IL-1β and IL-18 do not play a role in caspase-7 activation by L. pneumophila or restriction of macrophage infection. To determine if caspase-7 is upstream of IL-1β and IL-18 and hence controls their activation, we examined IL-1β and IL-18 release in culture supernatants of wild-type and caspase-7−/− macrophages in response to different organisms. IL-1β was released by L. pneumophila in the presence or absence of caspase-7 after 24 hours of infection. However, IL-18 was barely detected in both macrophage cell types in response to L. pneumophila (data not shown). Similarly, within 24 hrs of infection, IL-1β was released by wild-type and caspase-7−/− macrophages in response to Salmonella typhimurium (Salmonella) (Figure S7A and Figure S7B). These results demonstrate that caspase-7 does not regulate the caspase-1–dependent inflammatory substrates IL-1β or IL-18. Our data show that at physiological stages of infection, L. pneumophila leads to caspase-7 activation in a caspase-1–dependent manner (Figure S1). Nevertheless, when high numbers of organisms invade the macrophage, caspase-7 is induced independent of caspase-1. It has been shown that macrophage cell death contributes to the restriction of L. pneumophila infection [44], [46]. Therefore, we examined the role of caspase-7 in induction of cell death during L. pneumophila infection at different MOIs and durations of infection. First we measured LDH release in the overall population of macrophages infected with low MOI for 24 hrs. Minimal cell death was detected in response to wild-type organism in infected macrophages whether they expressed caspase-7 or not (Figure 5A). To better understand the role of caspase-7 in L. pneumophila-mediated cell death, we measured macrophage apoptosis and necrosis in the overall population of macrophages by determining the cytoplasmic (apoptosis) and extracellular (necrosis) histone-associated-DNA-fragments during low and high MOI. Low MOI of L. pneumophila infection lead to minimal apoptosis after 24 hrs of infection in WT macrophages and in those lacking caspase-7, -1, -3, or functional Naip5 (Figure 5B). However, at high MOI, L. pneumophila induced significant apoptosis within 2 hrs of infection in all macrophages except those lacking caspase-1 (Figure 5C). Indeed, after 24 hrs of high MOI, all macrophages were apoptotic irrespective of their type (data not shown). At low MOI, around 20% of macrophages were necrotic after 24 hrs of infection (Figure 5D). The high bacterial MOI did not dramatically increase the number of necrotic cells within 2 hrs of infection (Figure 5E). To follow the role of apoptosis in L. pneumophila infection, apoptosis of individual cells after labeling of DNA strand breaks (TUNEL) was quantified by fluorescence microscopy. We scored 100 infected cells and quantified how many of those were TUNEL positive. Within 2 hrs of infection at low MOI, no more than 2% of infected macrophages lacking caspase-1, -7 or functional Naip5 were TUNEL positive whereas 20% infected wild-type macrophages were apoptotic (Figure 5F). After 24 hrs of infection, the majority of infected wild-type, caspase-7−/− and A/J-derived macrophages were apoptotic while infected caspase-1−/− macrophages did not show signs of apoptosis even when harboring several bacteria (Figure 5F). Remarkably, after the 24 hrs infection, many wild-type B6 macrophages that did not seem to harbor bacteria also underwent apoptosis (data not shown). Therefore, infected wild-type macrophages respond to L. pneumophila infection by early apoptosis which render them unsuitable for optimal bacterial replication. Then, to investigate the role of apoptosis in vivo, we infected wild-type, caspase-1−/−, caspase-7−/− and A/J-derived macrophages intratracheally for three days. Then, harvested infected lung sections were stained with TUNEL to detect apoptotic cells. The degree of apoptosis observed in lung tissues was comparable among different infected lungs (Figure S8). These results suggest that apoptosis may not play a major role in L. pneumophila infection in vivo especially at latter stages of infection. Human monocytes are permissive to L. pneumophila [20], [47]. The failure of human cells to restrict L. pneumophila infection is still under extensive studies. Remarkably, Caspase-1 activation is not detected during L. pneumophila infection of human cells [48]. To investigate the role of caspase-7 in human cells, we examined caspase-1 and capsase-7 activation in fresh human monocytes infected with L. pneumophila or with Salmonella. Caspase-1 was strongly activated in response to Salmonella but not in response to L. pneumophila. Similarly, caspase-7 was activated during Salmonella infection but not during L. pneumophila infection (Figure S9A and Figure S9B). Therefore, caspase-1 and caspase-7 are not activated in human monocytes upon L. pneumophila infection. Taken together, our data show that the lack of caspase-7 activation is associated with permissiveness to L. pneumophila infection in mice and in humans.
  The ability of L. pneumophila to survive in human cells presents a challenge to host defense. One common strategy for the host to deal with intracellular infection is to eliminate infected cells by caspase-mediated apoptosis. However, emerging reports demonstrate new functionally distinct roles for executioner caspases independent of cell death [1], [49]. Another strategy for eliminating intracellular bacteria is to deliver them to the lysosome for degradation. However, several pathogens have developed ways to deter such fate [43], [50]–[52]. Here we reveal a novel role for caspase-7 in host defense against L. pneumophila. We have identified a new activation pathway for caspase-7 that requires Nlrc4 and caspase-1, independent of the classical apoptosis pathway employing caspase-8 and -9. We also show that Naip5 contributes to caspase-7 activation downstream of caspase-1 during physiological levels of infection. Caspase-7 activation restricts L. pneumophila infection in vitro and in vivo. This restriction is lost in caspase-7−/− macrophages, but restored after expression of caspase-7 via transfection (Figure S4). Taken together, the role of caspase-7 in restriction of L. pneumophila infection is confirmed, and the possibility that other molecules that may cause permissiveness to L. pneumophila such as Nramp-1 or Naip5 are responsible is ruled out [34], [40]. To recognize the role of caspase-7 during different stages of infection and different MOI, we pursued macrophage infections with low MOI (0. 5) or high MOI (20). Under low MOI, caspase-7 activation by L. pneumophila required Nlrc4 and caspase-1 (Figures 1 and 2). It is possible that caspase-1 is required for the proper assembly of the Nlrc4-inflammasome while the cleavage of caspase-7 is mediated by another unidentified molecule. This possibility was deemed unlikely since the pharmacological inhibition of caspase-1 activity abolished caspase-7 activation in response to L. pneumophila (Figure S3) and because caspase-1 directly cleaves pro-caspase-7 in vitro [38]. In addition to flagellin, bacterial ligands not sensed by Nlrc4 but known to activate caspase-1 through other NOD-like receptors also led to caspase-7 activation, suggesting that this may apply to other inflammasome complexes (Figure 1D). The role of caspase-7 activation in response to organisms that engage different inflammasomes remains to be elucidated. L. pneumophila-triggered caspase-7 activation is distinct from the activation seen during apoptosis, as inhibition of caspases-8 or -9 did not prevent activation following L. pneumophila infection (Figure S3), nor did it permit additional bacterial growth (Figure 3C). Our results show that, along with taking part in apoptosis, caspase-7 activation performs an additional unrecognized role. The route of intracellular trafficking of L. pneumophila affects at least in part, the outcome of infection [20], [23], [25], [26], [47], [53], [54], but the factors that dictate this route are not very well understood. Here we show that in caspase-7−/− macrophages, only 20% of the internalized L. pneumophila were delivered to the lysosome as early as 30 min after infection. Within 4 hrs, less than 10% of the bacteria were still in the lysosome while 40% resided in endoplasmic reticulum-labelled vacuoles (Figure 4). Further, there were more rod-shaped (undegraded) organisms in the absence of caspase-7 (Figure S5). Therefore, the restriction of infection in macrophages is achieved at least in part, by the delivery of more organisms to the lysosome when caspase-7 is activated. The presumptive role of caspase-7 as an executioner caspase, involved in the cleavage of apoptotic substrates, is based primarily on its close relationship with caspase-3. However, recent reports demonstrate that caspase-7 and caspase-3 are functionally distinct [46], [55]. As reported by others, we found that unlike caspase7, caspase-3 was activated by L. pneumophila in A/J-derived macrophages and not in wild-type macrophages (Figure 2D). Therefore, our data demonstrate that caspase-3 and caspase-7 are not simultaneously activated during L. pneumophila infection as they are during apoptosis. Furthermore, the absence of caspase-7 but not caspase-3 was accompanied with permissiveness to L. pneumophila infection in vitro and in vivo (Figure 3). Caspase-3 is also activated independently of the classical apoptosis pathways [55], [56], and reports have suggested that caspase-3 activation promotes cell survival [57]. Several studies suggest that caspase-3 activation is essential for establishment of L. pneumophila infection by mediating the cleavage of Rabaptin5 [55], [56]. These data strongly suggest different roles of caspase-7 versus caspase-3, as they restrict and permit L. pneumophila infection, respectively (Table S1). Interestingly, TUNEL analysis of infected macrophage population revealed that during the first 2 hrs of infection, 20% of infected wild-type macrophages were apoptotic which may hinder the optimal replication of the organism, whereas infected macrophages lacking caspase-7, -1 or a functional Naip5 did not undergo early apoptosis (Figure 5F). These data agree with previous reports that suggest that L. pneumophila delay apoptosis in permissive macrophages to allow for the establishment of the replicative vacuole [46], [58]. Since early apoptosis is delayed in macrophages lacking caspase-1, caspase-7, or functional Naip5, and since these cell types are defective in caspase-7 activation in response to L. pneumophila, we conclude that caspase-7 activation contributes to early apoptosis observed in wild-type macrophages. However, our conclusion does not rule out the contribution of other mechanisms [55], [59], [60]. High MOI led to significant apoptosis in wild-type, caspase-7−/− and A/J-derived macrophages but not in caspase-1−/− cells (Figure 5C). Hence, caspase-1 appears as a more general regulator of L. pneumophila-triggered apoptosis. Caspase-7, however, regulated apoptosis only in the early stage of infection at low MOI. Similarly, Korfali et al showed that caspase-7 is involved earlier than other effector caspases in the apoptotic execution process in DT40 B lymphocytes [61]. Despite this, L. pneumophila replicated to a similar extent in macrophages lacking caspase-1 or caspase-7 (Figure 3), suggesting that for L. pneumophila to establish infection, it is particularly important to delay apoptosis during the early stages of infection. Lungs from infected mice did not show significant differences in apoptosis after 3 days whether they lacked caspase-1, caspase-7, or a functional Naip5 (Figure S8). This does not exclude the role of cell death in vivo but strongly suggests that there must be at least one other complementary mechanism employed through caspase-7 to restrict infection. Macrophages harbouring A/J Naip5 allele are capable of caspase-1 activation in response to L. pneumophila as reported by our group and by Lightfield et al [28], [29], [33], nevertheless, they are defective in caspase-7 activation (Figure 2E). Therefore, it is possible that the lack of caspase-7 activation is responsible at least in part, for the permissiveness of the A/J cells to L. pneumophila infection. Increasing evidence suggest that the Naip family of proteins may have yet uncharacterized functions [33], [62]–[64]. We propose that wild-type Naip5 mediates the activation of caspase-7 by caspase-1 during infections at low MOI. Our suggestion is supported by the fact that Naip5 interacts with Nlrc4 (which binds caspase-1) and with caspase-7 [31], [48], [65]. However, recent reports showed that the complete absence of Naip5 prevents caspase-1 activation [33]. The authors suggested that Naip5 is upstream of caspase-1, but it is possible that that Naip5 is required for proper assembly of the Nlrc4 inflammasome and hence caspase-1 activation but that A/J-derived Naip5 is partially functional as suggested by the authors [33]. This partial functionality may permit inflammasome assembly and caspase-1 activation but fail to mediate downstream caspase-7 activation, as suggested by our results. The isolation of the Nlrc4 inflammasome and identification of its components could clarify these possibilities. Since IL-1β and IL-18 are downstream of caspase-1 and IL-1β has been implicated in controlling the maturation of the phagosome containing the Mycobacteria zmp-1 mutant, we examined the role of IL-1β and IL-18 in L. pneumophila infection and in caspase-7 activation [66], [67]. IL-1β/IL-18 double knockout macrophages restricted L. pneumophila infection as efficiently as wild-type macrophages (Figure S6B). In addition, caspase-7 activity in the double-knockout cells was equal to that in wild-type cells (Figure S6A). Finally, exogenously-added IL-1β or antibodies against the corresponding receptors did not alter the number of L. pneumophila as measured by colony-forming-unit assays (Figure S6C). Therefore, our model suggests that caspase-7 activation and L. pneumophila restriction are mediated downstream of caspase-1 but independently of IL-1β and IL-18 (Table S1). In summary, caspase-7 activation restricts L. pneumophila infection by mediating macrophage apoptosis during early stages of infection and by affecting the trafficking of the organism within the cell. How caspase-7 mediates these distinct functions remains unclear. It is possible that caspase-7 modulates host or bacterial factors involved in controlling apoptosis and vesicular trafficking in the cell. The identification of caspase-7 substrates during L. pneumophila infection is the focus of ongoing work. Therefore, our findings establish a previously uncharacterized caspase-7 activation pathway downstream of the Nlrc4 inflammasome during L. pneumophila infection. Moreover, these results demonstrate a novel biological role for caspase-7 in the control of L. pneumophila intracellular infection in macrophages and in mice. This new pathway can be a target for compounds that could have therapeutic application in the context of intracellular infection.
  Legionella pneumophila (L. pneumophila) strain Lp02, is a thymine auxotrophic derivative of Philadelphia-1 [19]. The dotA mutant strain Lp03 is defective in the Dot/Icm Type IV secretion system [68]. The flaA mutant L. pneumophila was previously described [69]. Bacterial strains were supplemented with a plasmid that complements thymine auxotrophy and expresses green fluorescent protein (GFP) at the post-exponential phase (PE) [22], [45]. L. pneumophila was cultured as described previously [22], [45] in ACES-yeast extract broth supplemented with ferric nitrate and L-cysteine. All experiments were performed in the absence of ferric nitrate and L-cysteine from the macrophage culture medium, to allow L. pneumophila multiplication only intracellularly. All in vitro infections were performed at an MOI of 0. 5 for 30 minutes followed by rinsing of the infected macrophages which allowed the infection of 20–25% of macrophages with usually 1 organism, unless stated otherwise [28]. The quantification of the colony-forming units (CFU) in vitro and in vivo was performed as described [28]. Wild-type C57BL/6 (B6), caspase-7−/−, caspase-3−/−, and A/J mice were previously described and purchased from the Jackson laboratory [41], [70], [71]. Caspase-1−/− mice were from Dr. Amy Hise at Case Western University. MyD88−/−, TRIF−/−, and Nlrc4−/− mice were previously described [72], [73]. All knockout mice were in C57BL/6 background. Caspase-1−/− and caspase-7−/− mice were backcrossed to C57BL/6 background for 10 generations and previously described [37], [70]. IL-1β/IL-18 double knockout mice [74] in C57BL/6 background were obtained from Dr. A. Zynchlinsky, Max-Plank-Institute, Berlin (authorized by Dr. S. Akira, Japan). Bone marrow macrophages were prepared from femurs of five to eight-week-old mice as previously described [28], [75]. Mouse caspase-7 plasmid pCAGGS vector (LMBP 3818) was obtained from Gent University in Belgium. The plasmid was deposited by Dr. P. Vandenabeele [76]. Control plasmids used for transfection were obtained from Amaxa (pMaxGFP) or cloned in Dr. Wewer' s Laboratory (pLenti-dsRed). To deliver control and caspase-7 plasmids into mouse macrophages, two approaches were used: transfection with SuperFect (Qiagen) and nucleofection with Amaxa (Lonza). Briefly, in transfection, mouse macrophages were seeded in 24-well plate at a density 0. 5×106 cells per well 24 hours prior the transfection. Next day, the media was changed leaving 400 µl of full media per well. To make a transfection mix, control or caspase-7 plasmids (1 µg/well) were mixed with SuperFect reagent (2. 5 µl/well) in a total volume of 100 µl of serum-free media for 20 minutes. Then, transfection mix was added to the mouse macrophages bringing volume to 0. 5 ml per well. Three hours later, transfection mix was replaced with 1 ml of full media and cells were left to recover for additional 24 hr before adding bacteria. In nucleofection approach, 6×106 cells were resuspended in 100 µl of nucleofection solution (mouse macrophage nucleofector kit) supplemented with 10 µg plasmid. Plasmids were delivered into macrophages with Y-01 program. After nucleofection, macrophages were resuspended in 6 ml of full media and 0. 5×106 cells were plated per well in 24-well plate. Cell death was monitored throughout the assays. Bacteria were added 24 hr later. Immunofluorescence experiments were performed as previously described [28]. L. pneumophila was detected with mouse anti-Legionella (Abcam) and secondary Texas Red conjugated antibody. Localization of markers on L. pneumophila phagosomes was performed as previously described [22]. Antibodies used were rat anti-lysosomal-associated membrane protein 1 (LAMP1; 1D4B; Developmental Hybridoma Bank) [77], rabbit anti-calreticulin (Stressgen Bioreagents) followed by fluorescent secondary antibodies (Molecular Probes). Nuclei were stained with nucleic acid dye 4′, 6′-diamino-2-phenylindole (DAPI; Molecular Probes). In each experiment one hundred bacteria were scored. Experiments were performed at least three times. Samples were analyzed with The Zeiss 510 META Laser Scanning Confocal microscope and Zeiss Axioplan 2 upright microscope at The Ohio State University Microscopy Core Facility. Macrophages were plated at 5×105 cells per well and infected as described above [28]. At designated time points, macrophages were lysed and plated on AYE plates for colony forming units (CFUs). When indicated, macrophages were treated with recombinant IL-1β or IL-18 (Calbiochem) or with anti-mIL-1-RI or mIL-18 R/IL-1 R5 antibodies (R & D systems) at time of infection. Caspase-8 inhibitor (Z-IETD-FMK), caspase-9 inhibitor (Z-LEHD-FMK), or caspase-1 inhibitor (Z-YVAD-FMK) (Calbiochem) were used at 50 µM concentration when indicated. Inhibitors were maintained during the course of infection. Cell extracts were prepared and immunoblotted with an anti-body that recognizes the large subunit of mouse caspase-1, -3 or -7 (Cell Signalling), followed by appropriate secondary anti-rabbit antibody as described [28]. When indicated, macrophages were permeabilized with 10 ng/ml streptolysin O for 5 minutes in the absence or presence of ligands as previously described [28], [39], then rinsed and incubated for 2 hours [28]. Purified bacterial ligands were purchased from Invivogen. IL-1β measurements were performed as previously described [72], [73]. Experiments were performed in triplicates. The percentage of macrophage death was determined by measuring the release of host cell cytoplasmic LDH using the CytoTox 96 non-radioactive cytotoxicity assay (Promega) as previously described [28], [45]. The apoptosis inducer doxorubicin was added at 100 ng/ml, when indicated (Calbiochem). In vitro quantification of cytoplasmic (apoptosis) and extracellular (necrosis) histone-associated DNA fragments was performed using The Cell Death Detection ELISAplus photometric enzyme immunoassay kit from Roche to the specifications of the manufacturer. Apotosis of macrophages in vitro was assessed with fluorescent TUNEL (terminal deoxynucleotidyl transferase-mediated dUTP nick end-labelling) assay according to the manufacturer' s specifications using In Situ Cell Death Detection Kit, TMR red from Roche. Experiments were performed in triplicates. Sections of infected mice lungs were stained for apoptosis using Apop Tag In Situ Apoptosis Detection Kit (Chemicon). TUNEL-positive stained cells (brown) were evaluated by capturing digital images using a 20× objective lens and covering the entire lung (at least 32 images per lung). All samples were handled in a blinded manner. The percent of brown pixels per high powered field (HPF) were quantified using Adobe Photoshop CS2 software histogram analysis. Wild-type C57BL/6 and caspase-7−/− mice were infected intra-tracheally with 1×106 wild-type bacteria, and the number of bacteria in the lungs was determined at 6 hours and at 96 hours post-infection [28], [75]. All animal experiments performed were done according to animal protocols approved by the Animal Care Use Committee of The Ohio State University College of Medicine. All experiments were done at least three independent times and yielded similar results. The data points represent the average ±S. D. Data were analyzed by Student' s t-test. *, P value≤0. 05 and was considered significant.
summary: Legionella pneumophila causes a severe form of pneumonia called Legionnaires' disease. In human macrophages, L. pneumophila establishes special vacuoles that do not fuse with the lysosome and grows intracellularly. However, in mouse macrophages, the bacteria are efficiently delivered to the lysosome for degradation. Importantly, caspase-1 is activated when L. pneumophila infects mouse macrophages, but not when it infects human cells. Caspase-1 activation promotes the fusion of the L. pneumophila vacuole with the lysosome and macrophage death. However, the caspase-1 substrate mediating such effects is unknown. Experiments performed in vitro demonstrate that caspase-7 is a substrate of caspase-1. Yet, it is not known if the reaction takes place within the macrophage, and it is unclear if it has any biological effect. In this study we show that, in mouse macrophages, caspase-7 is activated by L. pneumophila downstream of caspase-1 and requires the host receptors Nlrc4 and Naip5. Remarkably, caspase-7 activation during L. pneumophila infection restricts growth by promoting early macrophage death and efficient delivery of the organism to the lysosome. Consequently, L. pneumophila grows in the macrophages and the lungs of caspase-7−/− mice. Therefore, we demonstrate a novel caspase-7 activation pathway that contributes to the restriction of L. pneumophila infection.
keywords: infectious diseases/bacterial infections
  infectious diseases/respiratory infections
  immunology/immunity to infections
  immunology/innate immunity
title: Caspase-7 Activation by the Nlrc4/Ipaf Inflammasome Restricts Legionella pneumophila Infection