Prion diseases are characterised by the accumulation of PrPSc, an abnormally folded isoform of the cellular prion protein (PrPC), in affected tissues. Following peripheral exposure high levels of prion-specific PrPSc accumulate first upon follicular dendritic cells (FDC) in lymphoid tissues before spreading to the CNS. Expression of PrPC is mandatory for cells to sustain prion infection and FDC appear to express high levels. However, whether FDC actively replicate prions or simply acquire them from other infected cells is uncertain. In the attempts to-date to establish the role of FDC in prion pathogenesis it was not possible to dissociate the Prnp expression of FDC from that of the nervous system and all other non-haematopoietic lineages. This is important as FDC may simply acquire prions after synthesis by other infected cells. To establish the role of FDC in prion pathogenesis transgenic mice were created in which PrPC expression was specifically “switched on” or “off” only on FDC. We show that PrPC-expression only on FDC is sufficient to sustain prion replication in the spleen. Furthermore, prion replication is blocked in the spleen when PrPC-expression is specifically ablated only on FDC. These data definitively demonstrate that FDC are the essential sites of prion replication in lymphoid tissues. The demonstration that Prnp-ablation only on FDC blocked splenic prion accumulation without apparent consequences for FDC status represents a novel opportunity to prevent neuroinvasion by modulation of PrPC expression on FDC.
Prion diseases (Transmissible spongiform encephalopathies; TSE) are sub-acute neurodegenerative diseases that affect both humans and animals. Many prion diseases, including natural sheep scrapie, bovine spongiform encephalopathy, chronic wasting disease in mule deer and elk, and kuru and variant Creutzfeldt-Jakob disease in humans, are acquired by peripheral exposure (eg: orally or via lesions to skin or mucous membranes). After peripheral exposure prions accumulate first upon follicular dendritic cells (FDC) as they make their journey from the site of infection to the CNS (a process termed, neuroinvasion) [1]–[7]. FDC are a unique subset of stromal cells resident within the primary B cell follicles and germinal centres of lymphoid tissues [8]. Prion accumulation upon FDC is critical for efficient disease pathogenesis as in their absence neuroinvasion are impaired [1]–[4]. From the lymphoid tissues prions invade the CNS via the peripheral nervous system [9]. During prion disease aggregations of PrPSc, an abnormally folded isoform of the cellular prion protein (PrPC) accumulate in affected tissues. Prion infectivity co-purifies with PrPSc [10] and is considered to constitute the major, if not sole, component of infectious agent [11]. Host cells must express cellular PrPC to sustain prion infection [12] and FDC appear to express high levels of PrPC on the cell membrane in uninfected mice [13], [14]. Although prion neuroinvasion from peripheral sites of exposure is dependent upon the presence of FDC in lymphoid tissues, it is not known whether FDC actually replicate prions themselves. FDC characteristically trap and retain native antigen on their surfaces for long periods in the form of immune complexes, consisting of antigen-antibody and/or complement components. Prions are also considered to be acquired by FDC as complement-opsonized immune complexes [15]–[18]. Thus, during prion infection FDC might simply trap and retain PrPSc-containing immune complexes on their surfaces following synthesis by other infected cells such as neurones. Many cell types including classical DC, lymphocytes, mast cells, platelets, reticulocytes and epithelial cells secrete membrane vesicles termed exosomes that are enriched in cell-specific protein [19], [20]. Although the functions of exosomes are uncertain FDC can bind them on their surfaces. These microvesicles permit FDC to passively acquire and display proteins on their surfaces that they do not express at the mRNA level [21]. Studies have shown that prions only accumulated in the spleens of mice in which the FDC-containing stromal compartment expressed PrPC [13], [14]. However, in each of those studies it was not possible to dissociate the Prnp expression status of the FDC from that of the nervous system and all other host-derived non-haematopoietic and stromal cell populations [13], [14], [22]. This is important as prion infection can occur within inflammatory PrPC-expressing stromal cells that are distinct from FDC [23]. Furthermore, as both PrPC and PrPSc can be released from cells in association with exosomes [20] FDC may passively acquire PrPC and prions after release in exosomes from other infected cells [24], [25]. No therapies are available to treat prions diseases. A thorough characterization of the host cells that are infected by prions is imperative for the identification of candidate molecular targets for therapeutic intervention, the development of useful pre-clinical diagnostics and to aid our understanding of the risk of transmission. To definitively determine the role of FDC in prion pathogenesis, two unique compound transgenic mouse models were created in which PrPC expression was specifically “switched on” or “switched off” only on FDC. These mice were then used to establish: i) whether FDC express PrPC or simply acquire it from other host cells; and ii) whether FDC amplify prions, or simply acquire them from other infected host cells. Our data clearly show that PrPC-expressing FDC alone are sufficient to sustain prion replication in the spleen. Furthermore, prion replication in the spleen is blocked in mice in which PrPC-expression is specifically ablated only on FDC.
To study FDC-specific gene function transgenic mice were used that expressed Cre recombinase under the control of the Cr2 locus (CD21-Cre mice) which directs expression in FDC and mature B cells [26], [27]. First the cellular specificity of the Cre recombination was assessed by crossing the CD21-Cre mice with the ROSA26flox/flox reporter strain [28]. Histological analysis showed efficient LacZ expression indicative of Cre-mediated gene recombination in FDC and B cell follicles in the spleens, lymph nodes and Peyer' s patches of CD21-Cre ROSA26flox/flox mice (Figure 1A, B). No recombination was observed in FDC and mature B cells in the spleens of ROSA26flox/flox reporter mice that lacked Cre expression (Figure 1B). Unlike lymphocytes, FDC do not derive from bone marrow precursors [29]. As a consequence, it is possible to mix-and-match the genotype of FDC and lymphocytes by grafting bone marrow cells from donor mice into recipients of a different genetic background [13], [14], [22]. To restrict Cre-expression to FDC, adult CD21-Cre ROSA26flox/flox mice were lethally γ-irradiated and 24 h later reconstituted with bone marrow from Cre-deficient C57BL/6 wild-type (WT) mice (termed WT→CD21-Cre ROSA26flox/flox mice) and tissues from six mice from each group analysed 100 days after transfusion. Using this approach, in these mice all B cells lack Cre-expression as they derive from the WT donor bone marrow, whereas the FDC express Cre as they are host-derived. Analysis of the cellular sites of LacZ expression in WT→CD21-Cre ROSA26flox/flox mice confirmed that Cre-mediated recombination was associated with FDC (Figure 1B). No other cellular sites of Cre-mediated recombination were observed in the spleens of WT→CD21-Cre ROSA26flox/flox mice. Furthermore, no other cellular sites of Cre-mediated recombination were observed in a wide range of non-lymphoid peripheral tissues from CD21-Cre ROSA26flox/flox and WT→CD21-Cre ROSA26flox/flox (heart, liver, kidney, pancreas, ear, tongue, skeletal, muscle, ovary, uterus, bladder, testes, epididymis, sciatic nerve and spinal cord; data not shown). These data clearly demonstrate that CD21-Cre mice are a useful tool to study FDC-specific gene expression and function. Cre toxicity can occur in some Cre transgenic mouse lines whereby Cre recombinase causes mis-recombination, DNA damage and death of Cre-expressing cells [30]. However, immunohistochemical (IHC) analysis of spleens from CD21-Cre ROSA26flox/flox mice and WT→CD21-Cre ROSA26flox/flox mice showed no significant effect of Cre-expression on the status of FDC networks and B cell follicles when compared to spleens from WT control mice and ROSA26flox/flox mice that lacked Cre expression (Figure 1C). Furthermore, the expression of Cre recombinase under the control of the Cr2 locus had no observable effect on CD21/35 expression (Figure 1C). Next, mice were created in which Prnp expression (which encodes PrPC) was restricted only to FDC. To do so, CD21-Cre mice were first bred onto a PrPC-deficient (Prnp-/-) background. The resulting CD21-Cre Prnp-/- mice were then crossed with Prnpstop/- mice in which a floxed β-geo stop cassette was inserted into intron 2 of the Prnp gene upstream of exon 3 [31]. In the progeny CD21-Cre Prnpstop/- mice, PrPC is only expressed in cells expressing Cre recombinase (CD21-expressing FDC and mature B cells). To restrict the Prnp-expression to FDC, CD21-Cre Prnpstop/- mice were lethally γ-irradiated and grafted with bone marrow from Cre-deficient Prnpstop/- mice (Prnpstop/-→CD21-Cre Prnpstop/- mice). We also performed bone marrow transfers from CD21-Cre Prnpstop/- donors into CD21-Cre Prnpstop/- recipients (CD21-Cre Prnpstop/-→CD21-Cre Prnpstop/- mice), CD21-Cre Prnpstop/- donors into Cre-deficient Prnpstop/- mice (CD21-Cre Prnpstop/-→Prnpstop/- mice) and Prnp+/- donors into Prnp+/- recipients (Prnp+/-→Prnp+/- mice) as controls (Figure 2A). Spleens, tails and blood from six mice from each group were examined 100 days after bone marrow transfusion. PCR analysis of DNA isolated from the tails, blood and spleens of mice in each group was used to confirm the presence of Cre (Figure 2B, upper panel) and Cre-mediated DNA recombination (Figure 2B, lower panel) within the stromal, haematopoietic or both compartments (respectively). The detection of Cre in the tail and spleen but not blood of the Prnpstop/-→CD21-Cre Prnpstop/- mice confirmed the restriction of the Cre-expression to the stromal but not haematopoietic compartments of these mice. In addition, PCR analysis also confirmed that in these mice efficient Cre-mediated recombination of the Prnpstop/- allele was restricted to the FDC-containing stromal compartment of the spleen (Figure 2B). In Prnpstop/-→CD21-Cre Prnpstop/- mice the recombined Prnpstop/- allele (Prnpstop (R) ) was detected in the spleen, but not blood and tail. Thus these data indicate that in the spleens of Prnpstop/-→CD21-Cre Prnpstop/- mice Cre-mediated recombination is restricted to FDC and not B cells. As anticipated, in the spleens of Prnp+/-→Prnp+/- control mice high levels of PrPC expression were observed upon FDC and tyrosine hydroxylase (TH) -positive sympathetic nerves (Figure 2C). In contrast, in the spleens of Prnpstop/-→CD21-Cre Prnpstop/- mice PrPC was only expressed on FDC (Figure 2C). In the absence of Cre-recombinase expression by FDC and peripheral nerves in CD21-Cre Prnpstop/-→Prnpstop/- mice, PrPC expression was not expressed by either cell population (Figure 2C). Morphometric analysis confirmed that the amount of the PrPC expression co-localized upon the surfaces of FDC in the spleens of Prnpstop/-→CD21-Cre Prnpstop/- mice was not significantly different from that observed upon FDC in spleens from Prnp+/-→Prnp+/- control mice (P<0. 69, n = 48 FDC/group; Figure 2D). In contrast, in the absence of Cre-recombinase expression by FDC in CD21-Cre Prnpstop/-→Prnpstop/- mice, PrPC expression was substantially lower than that observed upon FDC in spleens from Prnp+/-→Prnp+/- control mice (P<1×10-25, n = 48; Figure 2D). Morphometric analysis also confirmed that PrPC expression upon the surfaces of sympathetic nerves in the spleens of Prnpstop/-→CD21-Cre Prnpstop/-, CD21-Cre Prnpstop/-→ CD21-Cre Prnpstop/- and CD21-Cre Prnpstop/-→Prnpstop/- mice was significantly ablated when compared to that observed upon sympathetic nerves in spleens from Prnp+/-→Prnp+/- control mice (p<1×10−25, n = 48 sympathetic nerves/group). Together, these data confirm that in the spleens of Prnpstop/-→CD21-Cre Prnpstop/- mice PrPC expression is specifically restricted to FDC, whereas in spleens from CD21-Cre Prnpstop/-→Prnpstop/- mice, FDC lack PrPC expression. FDC can passively acquire the expression of some surface molecules including MHC class II and complement component C4 [21], [32]. However, these data confirm that FDC express high levels of cellular PrPC on their surfaces and do not simply acquire it from neighbouring cells. IHC analysis confirmed that the microarchitecture (Figure 3A), size (P = 0. 755, n = 32; Figure 3B) and number (P = 0. 249, n = 32; Figure 3C) of the FDC networks in spleens from mice with Prnp-expression restricted to FDC (Prnpstop/-→CD21-Cre Prnpstop/- mice) were normal when compared to control mice. Other studies have shown that the density of sympathetic nerves can significantly influence the amount of prion accumulation within in the spleen [33]. Quantitative analysis of the relative positioning of FDC and sympathetic nerves showed there were no significant differences in average distance between these cell populations in spleens from each mouse group (Figure 3D & E; P<0. 932, n = 48). Next, we determined the effect of FDC-restricted Prnp-expression on prion replication in the spleen. In this study, the normal cellular form of the prion protein is referred to as PrPC, and two distinct terms (PrPSc or PrPd) are used to describe the disease-specific, abnormal accumulations of PrP that are characteristically found only in prion-affected tissues and considered a reliable biochemical marker for the presence of infectious prions [10]. Disease-specific PrP (PrPd) accumulations are relatively resistant to proteinase K (PK) digestion, whereas cellular PrPC is destroyed. Where we were able to confirm this resistance by treatment of samples with PK and subsequent paraffin-embedded tissue (PET) immunoblot analysis [34], PrPSc is used as a biochemical marker for the presence of prions. Unfortunately, treatment of tissue sections with PK destroys the microarchitecture. Therefore, for IHC analysis tissue sections were fixed and pre-treated to enhance the detection of the disease-specific abnormal accumulations of PrP (PrPd), whereas cellular PrPC is denatured by these treatments [4]. We have repeatedly shown in a series of studies that these PrPd-accumulations occur only in prion-infected tissues, and correlate closely with the presence of ME7 scrapie prions [1], [4], [13], [35]–[37]. Within weeks after i. p. exposure of WT mice to ME7 scrapie prions, strong accumulations of prion-specific PrPSc occur upon FDCs within the spleen and are sustained until the terminal stages of disease [1], [13], [35]. Here, mice were injected i. p. with ME7 scrapie prions and spleens from 4 mice from each group collected 35,70 and 105 days after exposure. In spleens from control mice (Prnp+/-→Prnp+/- mice) heavy PrPd accumulations, consistent with localisation upon FDC, were detected at 70 days after i. p. injection with the scrapie agent and had increased in intensity by 105 days after infection (Figure 4A & B). PET immunoblot confirmed the presence of PrPSc upon the surfaces of the FDC in spleens from control mice (Figure 4C). Furthermore, in the spleens of Prnpstop/-→CD21-Cre Prnpstop/- mice in which cellular PrPC was expressed only on FDC, heavy PrPSc accumulations were likewise maintained upon FDC (Figure 4A & B). In contrast, in the absence of PrPC expression by FDC in the spleens of CD21-Cre Prnpstop/-→Prnpstop/- mice, no PrPSc accumulations were observed upon FDC. In the spleens of mice with PrPC-deficient FDC, if PrP was detected at all, it was only occasionally observed within tingible body macrophages (Figure 4A and B, arrowheads; Figure S1). We also analysed prion infectivity levels in spleens collected 70 days after infection from control mice (Prnp+/-→Prnp+/- mice) and Prnpstop/-→CD21-Cre Prnpstop/- mice in which cellular PrPC was expressed only on FDC (Figure S2; n = 3/group). As anticipated high levels of prion infectivity were observed in each control spleen. Furthermore, consistent with data above our analysis showed that PrPc expression only of FDC was sufficient to sustain high levels of prion infectivity within the spleen (Figure S2). These data demonstrate that PrPC expression only on FDC is sufficient to sustain prion replication in the spleen. In the absence of PrPC expression on FDC the prions appeared to be scavenged by tingible body macrophages resident within the B cell follicles. Next, mice were created in which Prnp expression was specifically ablated in FDC. To do so, CD21-Cre Prnp-/- mice were crossed with mice carrying a “floxed” Prnp gene (Prnpflox/flox mice; [31]). In the progeny CD21-Cre Prnpflox/- mice, Prnp expression is conditionally ablated in cells expressing Cre recombinase (CD21-expressing FDC and mature B cells). To restrict the Prnp-ablation to FDC, CD21-Cre Prnpflox/- mice were lethally γ-irradiated and grafted with bone marrow from Cre-deficient Prnpflox/- mice (Prnpflox/-→CD21-Cre Prnpflox/- mice). We also performed bone marrow transfers from CD21-Cre Prnpflox/- donors into CD21-Cre Prnpflox/- recipients (CD21-Cre Prnpflox/- mice→CD21-Cre Prnpflox/- mice), CD21-Cre Prnpflox/- donors into Cre-deficient Prnpflox/- mice (CD21-Cre Prnpflox/-→Prnpflox/- mice), and Prnp+/- donors into Prnp+/- recipients (Prnp+/-→Prnp+/- mice) as controls (Figure 5A). Spleens, tails and blood from 6 mice from each group were examined 100 days after bone marrow transfusion. PCR analysis of DNA isolated from the spleens, blood and tails of Prnpflox/-→CD21-Cre Prnpflox/- mice confirmed that efficient Cre-mediated DNA recombination and Prnp-ablation was restricted to the FDC-containing stromal compartment of the spleen (Figure 5B). In Prnpflox/-→CD21-Cre Prnpflox/- mice the recombined Prnpstop/- allele (Prnpdeflox) was detected in the spleen, but not blood and tail. Thus these data indicate that in the spleens of Prnpstop/-→CD21-Cre Prnpstop/- mice Cre-mediated recombination and Prnp-ablation is restricted to FDC and not B cells. IHC analysis showed that in the spleens of Prnpflox/-→CD21-Cre Prnpflox/- mice and CD21-Cre Prnpflox/- mice→CD21-Cre Prnpflox/- mice FDC did not express PrPC whereas high levels were associated with TH-positive sympathetic nerves (Figure 5C). In the absence of Cre-recombinase expression by FDC in CD21-Cre Prnpflox/-→Prnpflox/- mice, high levels of PrPC were expressed by FDC and sympathetic nerves (Figure 5C). Morphometric analysis confirmed that the magnitude of the PrPC expression co-localized upon the surfaces of FDC in the spleens of Prnpflox/-→CD21-Cre Prnpflox/- mice and CD21-Cre Prnpflox/- mice→CD21-Cre Prnpflox/- mice was substantially lower than that observed upon FDC in spleens from Prnp+/-→Prnp+/- control mice (P<1×10-24 and P<1×10−23, respectively, n = 48 FDC/group) and not significantly different when compared to background levels (Figure 5D). In contrast, in the absence of Cre-recombinase expression by FDC in CD21-Cre Prnpflox/-→Prnpflox/- mice, PrPC expression was not significantly different from the level observed upon FDC in spleens from Prnp+/-→Prnp+/- control mice (P<0. 106; Figure 5D). In contrast, morphometric analysis showed that the magnitude of the PrPC expression co-localized upon the surfaces sympathetic nerves in the spleens of Prnpflox/-→CD21-Cre Prnpflox/-, CD21-Cre Prnpflox/-→ CD21-Cre Prnpflox/- and CD21-Cre Prnpflox/-→Prnpflox/- mice was similar to that observed upon sympathetic nerves in spleens from Prnp+/-→Prnp+/- control mice (p = 0. 400, n = 48 sympathetic nerves/group). Together, these data confirm that in the spleens of Prnpflox/-→CD21-Cre Prnpflox/- mice the Prnp ablation is specifically restricted to FDC. Data in the current study definitively demonstrate that FDC express high levels of PrPC but the role PrPC plays in FDC function and homeostasis is not known. IHC analysis showed that the microarchitecture of the FDC networks from Prnp-ablated Prnpflox/-→CD21-Cre Prnpflox/- mice were normal when compared to control mice (Figure 6A). Furthermore, no significant difference was observed in the size (P = 0. 750, n = 32) and number (P = 0. 713, n = 32 of the FDC networks in spleens from each mouse group (Figure 6B & C, respectively). The relative positioning of the FDC and sympathetic nerves was likewise similar in spleens from each mouse group (Figure 6D & E; P<0. 765, n = 48). FDC characteristically trap and retain native antigen on their surfaces in the form of immune complexes, consisting of antigen-antibody and/or complement components. Antigens trapped on the surface of FDC are considered to promote immunoglobulin-isotype class switching, affinity maturation of naïve IgM+ B cells and the maintenance of immunological memory [38]–[42]. Indeed, prions are also considered to be acquired by FDC as complement-opsonized immune complexes [15]–[18]. To determine whether antigen retention by Prnp-ablated FDC was affected six mice from each group were passively immunized with preformed PAP immune complexes, and 24 h later, the presence of FDC-associated immune complexes identified by IHC (Figure 7) and the presence of peroxidase activity (data not shown). No significant difference in the magnitude of immune complex trapping could be detected between FDC from Prnp-ablated Prnpflox/-→CD21-Cre Prnpflox/- mice and control mice (Figure 7; P = 0. 85, n = 40/group). Together, these data demonstrate that Prnp-ablation does not impair FDC status or their ability to trap and retain immune complexes. Next, the effect of FDC-specific Prnp-ablation on prion replication by FDC was determined. Mice were injected i. p. with ME7 scrapie prions and spleens from 4 mice from each group collected 70 days after exposure. As anticipated, heavy PrPd (Figure 8A and B) and PrPSc (Figure 8C) accumulations consistent with localisation upon FDC were detected in spleens from control mice (Prnp+/-→Prnp+/- mice) and mice in which Prnp was ablated only in mature B cells (CD21-Cre Prnpflox/-→Prnpflox/- mice). In the spleens in which cellular PrPC was ablated only on FDC (Prnpflox/-→CD21-Cre Prnpflox/- mice), or FDC and mature B cells (CD21-Cre Prnpflox/-→CD21-Cre Prnpflox/- mice), no PrP accumulations were observed upon FDC (Figure 8A–C). Consistent with data above (Figure 4), in spleens of mice with PrPC-deficient FDC PrP accumulations were only occasionally observed within tingible body macrophages (Figure 8A and B, arrowheads; Figure S1). We also analysed prion infectivity levels in spleens from Prnpflox/-→CD21-Cre Prnpflox/- mice in which cellular PrPC expression was ablated only on FDC (Figure S2; n = 3). Consistent with data above this analysis showed that in the absence of PrPc expression only on FDC the accumulation of high levels of prion infectivity in the spleen was blocked (Figure S2). Taken together, these data show that in the specific absence of PrPC expression FDC are unable to sustain prion replication upon their surfaces and as a consequence the agent is scavenged by tingible body macrophages. When mice with PrPC-ablated FDC (Prnpflox/-→CD21-Cre Prnpflox/- mice) were injected intracerebrally (i. c.) with the ME7 scrapie agent strain directly into the CNS all mice succumbed to clinical signs of scrapie approximately 300 days after exposure with incubation periods indistinguishable from those of Prnp+/- control mice [43] (Prnpflox/-→CD21-Cre Prnpflox/-, 297±4 days, n = 4; Prnp+/-, 290±4 days, n = 5; P = 0. 386). Histopathological analysis showed that brains from all clinically-affected mice from each group displayed the characteristic spongiform pathology, astrogliosis, microgliosis and PrPd accumulation typically associated with terminal infection with the ME7 scrapie agent (Figure 9A). Following i. c. -injection with the ME7 scrapie agent, high levels of PrPSc accumulate upon FDC and are maintained for the duration of the incubation period [13] (Figure 9B and C). However, FDC are not critical for ME7 scrapie pathogenesis when infection is established directly within the CNS [4], [13], [35], [44]. In the spleens from clinically-scrapie affected mice in which PrPC expression was specifically ablated only on FDC (Prnpflox/-→CD21-Cre Prnpflox/- mice), PrPSc replication upon FDC was also blocked. These data how that FDC do not simply trap and retain prions after their release from infected neurones in the CNS. These data also confirm that the Prnp-ablation in Prnpflox/-→CD21-Cre Prnpflox/- mice was specific to FDC and had no effect on prion neuropathogenesis and disease susceptibility when the infection was established directly in the CNS. Studies in mice show that efficient prion neuroinvasion from peripheral sites of exposure is dependent upon the presence of FDC in lymphoid tissues [1], [4], [35], [44]–[46]. Next, the effect of FDC-specific Prnp-ablation on prion neuroinvasion via the peritoneal route was determined. Unfortunately, due to the advanced ages of the mice in this experiment, some succumbed to ageing-related inter-current illness. As there was a 100 days interval between the time of lethal γ-irradiation/bone marrow reconstitution and prion infection, many mice were approximately 500–600 days old when culled. However, most mice with PrPC-expressing FDC in their spleens succumbed to clinical prion disease after i. p. injection (Prnp+/-→ Prnp+/- control mice, n = 5/7; CD21-Cre Prnpflox/-→Prnpflox/- mice, n = 3/6; Table S1). Histopathological analysis showed that brains from all clinically-affected mice from these groups displayed the characteristic spongiform pathology, astrogliosis, microgliosis and PrPd accumulation typically associated with terminal infection with the ME7 scrapie agent (Figure S3, third and fourth columns). In contrast, none of the mice with PrPC-ablated FDC (Prnpflox/-→CD21-Cre Prnpflox/- mice, n = 0/6; CD21-Cre Prnpflox/-→CD21-Cre Prnpflox/- mice, n = 0/7) succumbed to clinical prion disease during their life-spans (Table S1). Although we cannot exclude the possibility that if the clinically-negative mice with PrPC-ablated FDC mice had lived longer some may have succumbed to clinical prion disease after substantially extended incubation periods, no PrPd or other characteristic histopathological hallmarks of prion disease were detected in their brains (Figure S3, first two columns). Together, these data suggest that in the specific absence of PrPC expression on FDC neuroinvasion following peripheral exposure is impaired.
These data definitively demonstrate that FDC are essential sites of prion replication in lymphoid tissues. In order to precisely establish the role of FDC in prion pathogenesis two unique compound transgenic mouse models were created in which PrPC expression was specifically “switched on” or “off” only on FDC. Our data confirm that FDC express high levels of PrPC and do not simply acquire it from other host cells. Furthermore, we show that following peripheral exposure PrPC-expressing FDC alone are sufficient to sustain high levels of prion replication in the spleen. Accordingly, when PrPC-expression was specifically ablated only on FDC prion replication in the spleen was blocked. These data likewise demonstrate that FDC do not simply acquire prions after their release from other infected host cells. Our analysis showed that the effects of Prnp-ablation on prion replication in the spleen were specific to FDC and had no effect on prion neuropathogenesis when the infection was established directly in the CNS. In the absence of PrPC expression on FDC the PrPSc from the initial inoculum appeared to be scavenged by tingible body macrophages resident within the B cell follicles. Together, these data definitively demonstrate that FDC are the critical early sites of prion replication in lymphoid tissues. This study is the first to demonstrate that the specific ablation of a cellular protein only on FDC, without apparent consequences for FDC status and function, blocks the replication of an important pathogen in the spleen. FDC reside in the primary B cell follicles and germinal centres of lymphoid tissues and are a completely distinct cell lineage from bone-marrow-derived classical dendritic cells [47]–[49]. FDC possess many slender and convoluted dendritic processes which provide the FDC with an extremely large surface area. This helps the FDC to efficiently trap and retain large amounts of native antigen in the form of immune complexes, consisting of antigen-antibody and/or complement components. The longevity of FDC ensures that antigen is retained upon their surfaces for long periods [50], [51]. Antigens trapped on the surface of FDC are considered to promote immunoglobulin-isotype class switching, affinity maturation of naïve IgM+ B cells and the maintenance of immunological memory [38]–[42]. FDC are also considered to aid the clearance of apoptotic B lymphocytes [52], and play a role in infection with human immunodeficiency virus [53] and the pathogenesis of chronic inflammatory and autoimmune diseases [54] and peripherally-acquired prion infections. A number of studies have addressed the role of FDC in prion pathogenesis. They show that prion replication in the spleen and subsequent neuroinvasion are both impaired in immunodeficient mice that lack FDC [4], [44], [45], or following their temporary de-differentiation [1], [35], [46]. Although the precise identity of FDC precursor cells is unknown, other studies have exploited their non-haematopoietic-origin to address their role in prion pathogenesis. In these bone marrow chimera studies, mismatches were created in Prnp expression between the FDC-containing stromal and haematopoietic compartments by grafting bone marrow cells from PrP-deficient (Prnp-/-) mice into PrP-expressing wild-type mice, and vice versa [13], [14]. Using this approach FDC and all other stromal cells were derived from the recipient, whereas lymphocytes and other haematopoietic lineages were derived from the donor cells. Following peripheral exposure prion accumulation upon FDC was only detected in the spleens of mice with a Prnp-expressing stromal compartment. While the above studies clearly show that the presence of FDC is important for prion replication in the spleen, it was not possible to dissociate the Prnp expression status of FDC from that of the nervous system and all other non-haematopoietic host-cell populations and therefore precisely characterise the role of FDC in prion neuroinvasion [13], [14]. This is important for a number of reasons. Firstly, prion infection can occur within inflammatory PrPC-expressing stromal cells that are distinct from FDC [23]. Secondly, the FDC' s ability to bind exosomes may have lead to the wrong interpretation to be made in earlier studies describing their ontology [55]. Most evidence indicates that FDC do not derive from haematopoietic precursors [29], [49]. However, the detection of donor bone marrow derived MHC class-I molecules, and other donor-derived antigens, on the surface of FDC in recipient mice was considered evidence of FDC precursor cells within bone marrow [55]. With hindsight these observations are most likely due to the FDC' s capacity to acquire exosome-associated antigens from other cell types [21]. Both PrPC and PrPSc can be released from cells in association with exosomes [20]. The possibility, therefore, cannot be excluded that FDC passively acquire prions after their release in exosomes from other infected non-haematopoietic cell populations. Finally, FDC characteristically trap and retain immune complexes on their surfaces. FDC express negligible levels of complement component C4 at the mRNA level but the detection of abundant activated C4 on their surfaces by IHC using mAb FDC-M2 (as used in this study) is indicative of the capture and retention of immune complexes by FDC [32]. Opsonising complement components and cellular CR are likewise considered to play an important role in the retention of prions by FDC [15], [16], [18]. Thus FDC may simply act as concentrating depots for prion-containing complement-opsonized immune complexes. The practical hurdles that are encountered when attempting to isolate highly purified FDC from lymphoid tissues have made detailed analysis of their pathobiological functions extremely difficult. The main issues include: contamination with other cell types such as B cells and tingible body macrophages which express MFGE8 (FDC-M1), a common marker used to identify FDC [52], [56], low yield, and their dependence on constitutive lymphotoxin β receptor-stimulation to maintain their differentiated state [57]. FDC and mature B cells express high levels of Cr2 which encodes the complement receptors CR2/CR1 (CD21/35) [18], [27]. A previous study used CD21-cre mice to study FDC-specific gene function [27]. In the current study, our data confirm that Cre/loxP-mediated DNA recombination was specific to FDC and mature B cells in CD21-cre mice, and could be restricted to FDC by transfusing the mice with Cre-deficient bone marrow. In some Cre transgenic mouse lines Cre-toxicity is encountered whereby Cre recombinase causes mis-recombination, DNA damage and death of Cre-expressing cells [30]. However, our analysis suggested no significant effect of Cre-expression on the number, size and status of FDC networks and B cell follicles. CD21-Cre mice are therefore a powerful in vivo tool in which to study FDC-specific gene expression and function. Expression of PrPC is mandatory for host cells to sustain prion infection [43]. In the current study to establish whether FDC actively amplify prions a compound transgenic mouse model was created using the CD21-cre mouse line to specifically “switch on” PrPC expression only on FDC (Prnpstop/-→CD21-Cre Prnpstop/- mice). As a consequence, only FDC in these mice had the potential to be actively infected with and replicate prions. Our analysis showed that expression of PrPC only on FDC was sufficient to sustain high levels of PrPSc accumulation upon FDC in the spleen after peripheral prion exposure. These data definitively demonstrate that FDC are the critical sites of prion replication in lymphoid tissues. Ultrastructural analysis of the cellular compartments within which PrPd localizes upon/within FDC has failed to show any intracellular accumulation. Instead the PrPd appears to be restricted to the plasmalemma of their dendritic processes [58]. This implies that early de novo PrPSc conversion occurs upon the surface of FDC. A second compound transgenic mouse model was created in which PrPC expression was specifically “switched off” only on FDC (Prnpflox/-→CD21-Cre Prnpflox/- mice). If, as shown above, FDC do actively amplify prions, then one would also expect the specific ablation of PrPC expression only on FDC to block prion replication in the spleen. Our data confirmed this to be the case. As PrPC expression in all other host cells (eg: neurones) in these mice was unaffected, these data clearly show that FDC do not simply acquire prions following release from other infected host cells, even in mice with clinical prion disease in the brain. IHC analysis implied that in the spleens of mice with PrP-deficient FDC the prions appeared to be scavenged by tingible body macrophages resident within the B cell follicles. The lack of detection of PrPd within tingible body macrophages in the spleens of clinically-affected mice with PrP-deficient FDC (Figure 9) clearly demonstrates that these cells are not alternative sites of replication of ME7 scrapie prions. High levels of prions rapidly accumulate within the spleen and other lymphoid tissues within weeks of peripheral exposure. The magnitude of the prion accumulation within the spleen rapidly reaches a plateau level which is maintained for the duration of the disease [13], [44]. The maintenance of this plateau may be the consequence of a competitive state whereby FDC act to amplify prions above the threshold required to achieve neuroinvasion, whereas phagocytic cells such as macrophages act to destroy them [59], [60]. Indeed increased numbers of PrPd-containing tingible body macrophages are found within the B cell follicles of TSE-affected animals [58]. Thus, our data suggest that in the specific absence of PrPC expression by FDC the initial inoculum is phagocytosed and gradually degraded by mononuclear phagocytes such as tingible body macrophages [59], [60]. These data are congruent with data from our earlier study which likewise occasionally detected trace levels of prions from the initial inoculum within tingible body macrophages in the spleens of mice with a PrPC-deficient FDC-containing stromal compartment [13]. The density of sympathetic nerves can significantly influence the amount of prion accumulation in the spleen [33]. In the current study the distribution of TH-positive sympathetic nerves in the spleens of the FDC-specific gene targeted mouse lines was not adversely affected. Furthermore, when prions were injected directly to the brain, FDC-specific Prnp ablation had no influence on the onset of clinical disease or the neuropathology. These data provide strong evidence that the effects of Cre-mediated Prnp ablation on prion replication in the spleen were specific to FDC and not due to unregulated ablation of PrPC expression within the nervous system. In the current study PrPSc accumulation upon PrPC-ablated FDC (Prnpflox/-→CD21-Cre Prnpflox/- mice) was blocked even in spleens from i. c. injected clinically-scrapie affected mice. These data contrast those reported by Crozet and colleagues [61] which used Tg (OvPrP4) mice that express the ovine PRNP gene under the control of the neuron-specific enolase promoter on a murine Prnp-/- background. As a consequence ovine PrPC is expressed only in neurones. In contrast to data in the current study, when Tg (OvPrP4) mice were injected i. c. with a high dose of natural sheep scrapie PrPSc was detected in the germinal centres of their spleens. The reasons for this discrepancy are uncertain. However, the expression of PrPC in the neuronal compartment of Tg (OvPrP4) mice is 2-4X higher than in controls. In the current study in mice in which PrPC was ablated only on FDC (Prnpflox/-→CD21-Cre Prnpflox/- mice) the expression of murine Prnp in Cre-deficient cells such as neurones is controlled by the endogenous Prnp promoter and expressed at similar levels to controls (Figure 5E). In the presence of increased PrPC expression on neurones it is plausible that greater prion replication occurred within the peripheral nervous system, which may have been subsequently trapped on the surface of the FDC and scavenged by macrophages as the prion burden increased. Similarly, hyper-innervation of the spleen likewise leads to increase prion burden in this tissue [33]. In conclusion, our data demonstrate that PrPC-expressing FDC are the essential sites of prion replication in lymphoid tissues. Indeed, PrPC-expression on FDC alone was sufficient to sustain high levels of prion replication. In contrast, the specific ablation of PrPC expression on FDC blocked prion replication. Although FDC have the capacity to bind exosomes and immune complexes which may contain PrPSc, this finding clearly demonstrates that FDC do not simply passively acquire prions from other infected cell populations such as neurones. Previous data show treatments which impair the status or immune complex-trapping function of FDC reduce prion susceptibility after peripheral exposure [1], [16], [35], [46], [62]. The demonstration that Prnp-ablation only on FDC blocked splenic prion replication without apparent consequences for FDC status represents a novel opportunity to prevent neuroinvasion by modulation of PrPC expression on FDC.
All studies using experimental mice and regulatory licences were approved by both The Roslin Institute' s and University of Edinburgh' s Protocols and Ethics Committees. All animal experiments were carried out under the authority of a UK Home Office Project Licence within the terms and conditions of the strict regulations of the UK Home Office ‘Animals (scientific procedures) Act 1986' . Where necessary, anaesthesia appropriate for the procedure was administered, and all efforts were made to minimize harm and suffering. Mice were humanely culled using by a UK Home Office Schedule One method. The CD21-Cre [26], ROSA26flox/flox reporter strain [28], Prnp-/- [12] mice and tga20 mice over-expressing PrPc [63] were generated as described previously. Prnpflox/flox mice have loxP sites flanking exon 3 of the Prnp gene [31]. Prnpstop/- mice have a floxed β-geo cassette inserted into intron 2 of the Prnp gene upstream of exon 3 [31]. Mice were maintained under SPF conditions. Prior to their use in experiments, the genotype of each mouse was confirmed by PCR analysis. DNA was prepared from tails, blood and spleens using the DNeasy blood and tissue kit (Qiagen, Crawley, UK) according to the manufacturer' s instructions. Where indicated DNA samples were analysed for presence of Cre, LacZ, Prnp+/+, Prnp-/-, Prnpflox, recombined Prnpflox (Prnpde-flox), Prnpstop and recombined Prnpstop (Prnpstop (R) ) using the primers listed in Table 1. PCR products were resolved by electrophoresis through a 1. 0% agarose gel containing 0. 002% GelRed (Biotium, Cambridge Biosciences Ltd, Cambridge, UK). Bone-marrow from the femurs and tibias of donor mice was prepared as single-cell suspensions (3×107–4×107 viable cells/ml) in HBSS (Invitrogen, Paisley, UK). Recipient adult (6–8 weeks old) mice were γ-irradiated (950 rad) and 24 h later reconstituted with 100 µl bone-marrow by injection into the tail vein. Recipient mice were used in subsequent experiments as described 100 days after bone marrow reconstitution to allow sufficient time for removal of long-lived B lymphocyte populations and their replacement from the donor bone marrow. Tissues were first immersed in LacZ fixative [PBS (pH 7. 4) containing 2% paraformaldehyde, 0. 2% gluteraldehyde, 0. 02% Nonidet P40,0. 01% sodium deoxycholate, 5 mM EGTA, 2 mM MgCl2] and washed in LacZ wash buffer [PBS (pH 7. 4) containing 0. 02% Nonidet P40,0. 01% sodium deoxycholate, 2 mM MgCL2]. Tissues were subsequently incubated in 15% (wt/vol) sucrose in PBS overnight followed by a further overnight incubation in 30% (wt/vol) sucrose in PBS and embedded in Tissue-Tek O. C. T. compound (Bayer PLC, Newbury, UK). Serial sections (thickness 8 µm) were cut on cryostat and stained overnight at 37°C with LacZ staining solution (Glycosynth, Warrington, UK). Staining reaction was stopped by washing in LacZ wash buffer followed by dH2O. Sections were counterstained with nuclear fast red (Vector Laboratories, Peterborough, UK). For i. c. or i. p. exposure mice were injected with 20 µl of a 1% (v/w) scrapie brain homogenate prepared from mice terminally-affected with ME7 scrapie prions (containing approximately 1×104 i. c. ID50 units). Following exposure, mice were coded and assessed blindly for signs of clinical disease and culled at a standard clinical endpoint [64]. Survival times were recorded for mice that did not develop clinical signs of disease and were culled when they showed signs of intercurrent disease. Scrapie diagnosis was confirmed blindly on coded sections by histopathological assessment of vacuolation in the brain. For the construction of lesion profiles, vacuolar changes were scored in nine grey-matter areas of brain as described [65]. Where indicated, some four mice from each group were culled at the times indicated post injection with scrapie and tissues taken for further analysis. For bioassay of scrapie agent infectivity, individual half spleens were prepared as 10% (wt/vol) homogenates in physiological saline. Groups of four tga20 indicator mice were injected i. c. with 20 µl of each homogenate. The scrapie titre in each sample was determined from the mean incubation period in the indicator mice, by reference to a dose/incubation period response curve for ME7 scrapie-infected spleen tissue serially titrated in tga20 mice using the relationship: y = 9. 4533–0. 0595x (y, = log ID50 U/20 µl of homogenate; x, incubation period; R2 = 0. 9562). As the expression level of cellular PrPc controls the prion disease incubation period, tga20 mice overexpressing PrPc are extremely useful as indicator mice in prion infectivity bioassays as they succumb to disease with much shorter incubation times than conventional mouse strains [63]. Spleens were removed and snap-frozen at the temperature of liquid nitrogen. Serial frozen sections (10 µm in thickness) were cut on a cryostat and immunostained with the following antibodies: FDCs were visualized by staining with mAb 7G6 to detect CR2/CR1 (CD21/CD35; BD Biosciences PharMingen), mAb FDC-M2 to detect C4 (AMS Biotechnology, Oxon, UK) or mAb 8C12 to detect CR1 (CD35; BD Biosciences PharMingen). Cellular PrPC was detected using PrP-specific polyclonal antibody (pAb) 1B3 [66]. B cells were detected using mAb B220 to detect CD45R (Caltag, Towcester, UK), or anti-CD19 (BD biosciences PharMingen). Marginal zone B cells were detected using mAb 1B1 to detect CD1d (BD Biosciences PharMingen). Sympathetic nerves were detected using tyrosine hydroxylase (TH) -specific pAb (Chemicon Europe). For the detection of disease-specific PrP (PrPd) in spleens and brains, tissues were fixed in periodate-lysine-paraformaldehyde fixative and embedded in paraffin wax. Sections (thickness, 6 µm) were deparaffinised, and pre-treated to enhance the detection of PrPd by hydrated autoclaving (15 min, 121°C, hydration) and subsequent immersion formic acid (98%) for 5 min [67]. Sections were then immunostained with 1B3 PrP-specific pAb. For the detection of EGF-like module-containing mucin-like hormone receptor-like 1 (EMR1) -expressing macrophages, paraffin-embedded spleen sections were micro-waved in citric acid buffer (pH 6. 0) for 10 min. Endogenous peroxidase activity was blocked using 1% hydrogen peroxidase in methanol, and macrophages detected using rat mAb F4/80 to detect EMR1 (clone CI: A3-1, AbD Serotec). For the detection of astrocytes, brain sections were immunostained with anti-glial fibrillary acidic protein (GFAP; DAKO, Ely, UK). For the detection of microglia, deparaffinised brain sections were first pre-treated with Target Retrieval Solution (DAKO) and subsequently immunostained with anti-ionized calcium-binding adaptor molecule 1 (Iba-1; Wako Chemicals GmbH, Neuss, Germany). Immunolabelling was revealed using HRP-conjugated to the avidin-biotin complex (Novared kit, Vector laboratories, Peterborough, UK). Paraffin-embedded tissue (PET) immunoblot analysis was used to confirm the PrPd detected by immunohistochemistry was proteinase K (PK) -resistant PrPSc [34]. Membranes were subsequently immunostained with 1B3 PrP-specific pAb. For light microscopy, following the addition of primary antibodies, biotin-conjugated species-specific secondary antibodies (Stratech, Soham, UK) were applied followed by alkaline phosphatase or HRP coupled to the avidin/biotin complex (Vector Laboratories). Vector Red (Vector Laboratories) and diaminobenzidine (DAB; Sigma Aldrich, Dorset, UK) were used as substrates, respectively, and sections were counterstained with haematoxylin to distinguish cell nuclei. For fluorescent microscopy, following the addition of primary antibody, species-specific secondary antibodies coupled to Alexa Fluor 488 (green), Alexa Fluor 594 (red) dyes or Alexa Fluor 647 (blue) dyes (Invitrogen, Paisley, UK) were used. Sections were mounted in fluorescent mounting medium (DakoCytomation) and examined using a Zeiss LSM5 confocal microscope (Zeiss, Welwyn Garden City, UK). Digital microscopy images were analyzed using ImageJ software (http: //rsbweb. nih. gov/ij/) as described [68]. Intensity thresholds were first applied and then the number of pixels of each colour (black, red, green, yellow) were then automatically counted and presented as a proportion of the total number of pixels in each area under analysis. The preferential co-localisation of fluorochromes was determined by comparisons of the observed distribution of colours with those predicted by the null hypothesis that each element of positive staining was randomly and independently distributed. Values found to be significantly greater than the null hypothesis confirm significant co-localisation of fluorochromes. Spleens from 6 mice from each group were analyzed. From each spleen, 2 sections were studied and on each section data from 4 individual FDC networks collected. Thus, for each mouse group data from a total of 48 individual FDC were analysed. Similarly, data from 48 images from each group were analyzed to determine the preferential co-localisation of fluorochromes upon TH-positive sympathetic nerves within the spleen. A one-way ANOVA test was then used to compare the null hypothesis (that the pixels were randomly distributed) to the observed levels of co-localisation. To assess antigen trapping by FDC in vivo, mice were passively immunized by intravenous injection with 100 µl preformed PAP immune complexes (Sigma). Spleens were removed 24 h later and the presence of FDC-associated immune complexes identified by IHC. Data are presented as mean ± SE. Unless indicated otherwise, significant differences between samples in different groups were sought by one-way ANOVA. Values of P<0. 05 were accepted as significant.
Prion diseases are infectious neurological disorders and are considered to be caused by an abnormally folded infectious protein termed PrPSc. Soon after infection prions accumulate first upon follicular dendritic cells (FDC) in lymphoid tissues before spreading to the brain where they cause damage to nerve cells. Cells must express the normal cellular prion protein PrPC to become infected with prions. However, whether FDC are infected with prions or simply acquire them from other infected cells is unknown. To establish the role of FDC in prion disease PrPC expression was specifically “switched on” or “off” only on FDC. We show that PrPC-expressing FDC alone are sufficient to sustain prion replication in the spleen. Furthermore, prion replication is blocked in the spleen when PrPC-expression is switched off only on FDC. These data definitively demonstrate that FDC are the essential sites of prion replication in lymphoid tissues.
medicine
veterinary prion diseases
infectious diseases
infectious diseases of the nervous system
veterinary diseases
immune cells
immunology
biology
veterinary science
prion diseases
Follicular Dendritic Cell-Specific Prion Protein (PrPc) Expression Alone Is Sufficient to Sustain Prion Infection in the Spleen