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Infection and Immunity, September 2008, p. 4092-4099, Vol. 76, No. 9
0019-9567/08/$08.00+0 doi:10.1128/IAI.00488-08
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

Department of Microbiology,1 College of Medicine,2 College of Veterinary Medicine, University of Illinois at Urbana-Champaign, Urbana, Illinois 618013
Received 19 April 2008/ Returned for modification 11 June 2008/ Accepted 14 June 2008
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Y. enterocolitica and Y. pseudotuberculosis are two other species of Yersinia, in addition to Y. pestis, that are pathogenic for humans. A significant body of research has focused on virulence factors of these three pathogenic species, all of which possess a conserved 70-kb virulence plasmid (named pCD1 in Y. pestis and pYV in Y. enterocolitica and Y. pseudotuberculosis). This plasmid encodes virulence factors, which include Yersinia outer membrane proteins that are delivered into host cells via a type III secretion system and act to disengage natural host defenses. Many of the Yersinia outer membrane proteins are absolutely essential for virulence in mouse models (4, 42). Y. pestis contains two additional plasmids necessary for virulence, pPCP1 and pMT1 (5).
In contrast to the well-studied virulence factors of Y. pestis, the overall host response to this pathogen is poorly understood. Moreover, the majority of previous studies of Yersinia host defense have focused on Y. enterocolitica as a model organism for Yersinia in general. However, Y. enterocolitica is a poor model for plague as Y. pestis is not an enteric pathogen and causes more acute disease. It has been shown that clearance of Y. enterocolitica infection requires increased production of the proinflammatory cytokines gamma interferon (IFN-
), tumor necrosis factor alpha (TNF-
), interleukin-6 (IL-6), IL-12, and IL-18 (1, 2, 19, 21). However, the precise role of these pleiotropic cytokines during a Y. pestis infection is not well characterized. One study has shown that in vivo administration of TNF-
and IFN-
can prevent death after exposure to high doses of Y. pestis (33).
An alternative approach to study the host response to a pathogen is to use inbred mouse strains that vary in their resistance to the infection. Through quantitative trait locus (QTL) mapping, specific genes that are responsible for resistance and susceptibility can be identified. This approach has been used for infectious diseases such as tuberculosis (31, 36), leishmaniasis (35), and malaria (7-9). With respect to Yersinia, early work with Y. enterocolitica has shown that C57BL/6 mice are resistant to an intravenous challenge while BALB/c mice are susceptible (16, 17). Through the examination of nine hybrid inbred mouse strains, this phenotypic difference was tentatively assigned to the Es-1 locus on chromosome 8 (16) although no QTL mapping was performed. A subsequent study, however, found no difference in resistance between C57BL/6 and BALB/c mice to Y. enterocolitica infection by the oral route (18). While strain differences in resistance to Y. pestis have not been extensively examined, Congleton et al. (3) have recently identified a 129 substrain as the first inbred mouse line that is resistant to a pgm mutant Y. pestis strain.
In an effort to directly study host genetic factors that are important in resistance to Y. pestis infection, we infected several inbred mouse lines with the pgm mutant strain KIM5 and found that BALB/cJ mice are highly resistant compared to other strains including other BALB/c substrains. Significant differences in bacterial burdens occur within 1 to 2 days of infection and are accompanied by visual differences in immunopathology of several organs. In order to determine the gene(s) responsible for resistance, we performed an F2 screen and found a single locus on chromosome 17 that is associated with resistance to plague. After backcrossing the locus onto the C57BL/6J background, we have confirmed that this region confers most of the resistance of BALB/cJ mice to Y. pestis.
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Bacteria.
The bacterial strain used in this study is the Y. pestis pgm mutant strain KIM5 (41). Bacteria were grown overnight in heart infusion (HI) broth at 23°C. After overnight growth, the bacteria were diluted 1:10 in HI broth and grown to mid-log phase (optical density at 600 nm of
0.4). Bacteria were collected by centrifugation, washed twice, and serially diluted in phosphate-buffered saline (PBS) to the appropriate concentration. Mice were intravenously infected via caudal tail vein with a 200-µl inoculum. Doses were verified by plating the inoculum onto HI agar plates. For survival experiments, animals were monitored at least twice daily and culled in a timely fashion upon reaching a moribund state. The Y. enterocolitica strain WA was grown as stated above.
Enumeration of bacterial titer. Infected mice were sacrificed at the indicated time point by CO2 asphyxiation. Spleen and/or liver were removed aseptically and weighed (where appropriate). Organs were homogenized and serially diluted in PBS. Bacterial burden was determined by plating the dilutions on HI agar plates and incubating them at 23°C for 2 to 3 days.
Cytometric bead assay.
Preinfection serum was obtained from all mice 1 week prior to infection with Y. pestis via tail bleeding. At 24 h postinfection with 105 CFU bacteria, new serum was obtained. Levels of IL-1β, TNF-
, IL-6, IFN-
, IL-12 (p70), and IL-10 were measured using a Bio-Plex cytokine bead array (Bio-Rad). The limit of detection for this assay was 20 pg/ml.
Histopathology. Mice were infected with 1 x 104 CFU of Y. pestis, along with control animals injected with an equal volume of PBS. At the 24- and 48-h time points, infected mice were sacrificed along with the control animals at 24 h. The spleen, liver, and lungs were removed from each animal and fixed in 10% buffered formalin for 24 h. Organs were embedded in paraffin wax, sectioned for slides, stained with hematoxylin and eosin, and examined.
Genetic screening and statistical analysis of F2 and backcrossed mice. Prior to infection, ear biopsies from the mice were obtained, and DNA was extracted. For the F2 screen, 58 polymorphic microsatellite markers covering all 20 chromosomes were selected (http://www.jax.org). The gaps in coverage ranged from 15 to 30 centimorgans (cM). Genotyping was performed through standard PCR and run on 3% agarose gels. QTL mapping was performed with Map Manager QTX (27) (http://www.mapmanager.org) using an additive analysis. Genome-wide significance was determined through the permutation test of the Map Manager QTX software. A total of 10,000 permutations at 1-cM intervals determined that a likelihood ratio statistic (LRS) score of 11.2 or higher was necessary to reach a P of <0.05.
An additional screen of chromosome 17 was performed with 95 F1 backcrossed (CB6F1/J x C57BL/6J) mice using 48-h total splenic CFU as the phenotype. The first 45 cM of chromosome 17 was genotyped using seven individual microsatellite markers (D17Mit164, D17Mit133, D17Mit198, D17Mit24, D17Mit66, D17Mit139, and D17Mit39). Interval mapping of both the F2 and F1 backcross screens was performed with QTL Cartographer (http://statgen.ncsu.edu/qtlcart). The data were analyzed in 1-cM steps and presented as logarithmic odds (LOD) scores.
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FIG. 1. BALB/cJ mice, unlike other BALB/c substrains, are uniquely resistant to Y. pestis. (A and B) Groups of 10 C57BL/6J, BALB/cJ, BALB/cByJ, and BALB/cAnNHsd mice were infected with 55 (A) or 1,000 (B) CFU of Y. pestis KIM5 and monitored for survival for 15 days. (C) Groups of 10 C57BL/6J, BALB/cJ, and CB6F1/J mice were infected with 13,000 CFU of Y. pestis and monitored for survival for 15 days.
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BALBc/J mice exhibit lower bacterial burden early after infection.
We next examined the early stages of infection by comparing bacterial burden in the spleen and liver of these three strains. Groups of 12 C57BL/6J, BALB/cJ, and CB6F1/J mice were infected with
2,000 CFU of Y. pestis, and six mice from each group were sacrificed at 24 and 48 h after infection. The bacterial loads in the spleen and liver of the sacrificed mice were determined by plating serial dilutions of homogenized organs onto HI agar plates. At 24 h postinfection, the spleen of C57BL/6J mice displayed 35- and 9-fold more bacteria than the BALB/cJ and CB6F1/J groups, respectively (Fig. 2A). At 48 h postinfection, the spleen of C57BL/6J mice displayed 410- and 40-fold more bacteria than the BALB/cJ and CB6F1/J groups, respectively. Although less dramatic, these trends of lower bacterial burden in the BALB/cJ and CB6F1/J mice were also observed in the liver (Fig. 2B). For example, at 24 h postinfection, the C57BL/6J mice displayed 19- and 15-fold more bacteria in the liver than the BALB/cJ and CB6F1/J groups, respectively. At 48 h postinfection, the difference remained, with C57BL/6J mice exhibiting 22- and 14-fold higher bacterial titers in the liver than the BALB/cJ and CB6F1/J groups, respectively. Thus, early bacterial burdens closely mirror the survival phenotypes observed, with susceptible C57BL/6J mice exhibiting higher burdens than resistant BALBc/J mice. Overall, the CB6F1/J mice appear to display an intermediate phenotype with respect to the parental strains, although the bacterial burden was not significantly different than the BALB/cJ titers. Since the reduced bacterial load is maintained in CB6F1/J mice, we consider the resistance trait to be nonrecessive.
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FIG. 2. BALB/cJ mice display lower bacterial burden early after infection than the susceptible C57BL/6J strain. Groups of 12 C57BL/6J, BALB/cJ, and CB6F1/J mice were infected with 2,000 CFU of Y. pestis KIM5. At 24 and 48 h postinfection, six mice from each group were sacrificed, and bacterial titers in the spleen (A) and liver (B) of the animals were determined. Horizontal lines represent the mean for each group. Asterisks indicate significant differences between groups as determined by a Student's t test where P is <0.05.
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BALB/cJ and C57BL/6J mice exhibit differences in immunopathology and cytokine production following Y. pestis infection. To determine if there were early differences in the disease pathology of the two mouse strains, we chose to examine histological sections of several organs taken from infected animals. Groups of five mice were infected with Y. pestis or injected with PBS as a control and sacrificed 1 or 2 days after infection (Table 1). All infected mice developed suppurative splenitis with multifocal abscesses. Large concentrations of necrotic neutrophils were observed in these abscesses. However, C57BL/6J mice exhibited a higher degree of lymphoid atrophy with a greater loss of defined splenic architecture than BALB/cJ animals. Additionally, the development of vascular fibrinous thrombosis was evident only in the spleens of the C57BL/6J mice, and all animals developed this condition within 2 days.
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TABLE 1. Frequency of observed pathology of Y. pestis-infected mice
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Priming of mice with IFN-
and TNF-
has been shown to protect against Y. pestis (33). This prompted us to compare serum cytokine levels in our mice 24 h after infection with Y. pestis (Table 2). Of the cytokines measured, only IFN-
and IL-6 were elevated as a result of Y. pestis infection. Interestingly, the induced levels of serum IL-6 in the C57BL6/J mice were approximately threefold higher than those of the BALBc/J animals (Student's t test, P < 0.001). Of the cytokines measured, this was the only significant difference observed between the two strains.
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TABLE 2. Serum cytokine levels of uninfected and infected mice determined by cytometric bead array
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FIG. 3. Linkage analysis and interval mapping reveals a single significant QTL on chromosome 17. (A) Ninety-five F2 (CB6/F1J x CB6/F1J) mice were infected with 3,500 CFU of Y. pestis KIM5, and 48 h postinfection total splenic CFU was determined. LRS scores were generated using Map Manager QTX at 58 microsatellite markers across the genome. Based on the Map Manager QTX permutation test (1-cM intervals), the threshold for significance (P < 0.05) is an LRS score greater than 11.2. The CFU counts of all 95 mice based on their genotypes at the two suggestive loci on chromosomes 2 (B) and 12 (C), as well as a single significant locus on chromosome 17 (D), are shown.
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The significant locus on chromosome 17 at D17Mit66 (Fig. 3D) accounts for 18% of the variance and has an empirical P value of 0.003, according to the permutation test. Mice homozygous for the BALB/cJ allele, as well as the heterozygous animals, tend to cluster between 104 and 105 CFU, while the mice homozygous for the C57BL/6J allele tend to cluster near 106 CFU. While this is reflective of the F1 results shown in Fig. 2, the discrimination between the three genotypes at D17Mit66 is not as clear as that observed for the parent strains and F1 animals. These results indicate that, while the chromosome 17 locus of BALB/cJ mice makes a major, significant contribution to the phenotype, other minor genes may also play a role in resistance to Y. pestis.
We next analyzed prl1 more closely with seven microsatellite markers on chromosome 17 ranging from 4 to 45 cM. Using QTL Cartographer, we performed interval mapping, in 1-cM intervals, over the first half of the chromosome (Fig. 4A). A clearly defined peak LOD score was observed at approximately 22 cM.
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FIG. 4. Interval mapping at prl1 in F2 and F1 backcrossed mice. The results of the F2 (A) and an F1 backcross (C57BL/6J x CB6/F1J) (B) were subjected to interval mapping using QTL Cartographer across the first 45 cM of chromosome 17 in 1-cM intervals. The estimated peak LOD scores are located at 22 cM for the F2 mice and at 24 and 30 cM for the F1 backcross.
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In order to assist with fine-mapping of prl1 and prove that this locus is responsible for the majority of resistance to Y. pestis, we created a more congenic line by backcrossing the first 45 cM of chromosome 17 from BALB/cJ mice to the C57BL/6J background. At generation 8, the mice were intercrossed to generate prl1+/+ and prl1+/– mice. Outside of chromosome 17, these mice theoretically contain less than 0.5% of BALB/cJ DNA. As seen in Fig. 5, mice with either one or two copies of prl1 on the susceptible C57BL/6J background are resistant to Y. pestis and exhibit significantly lower bacterial titers than the C57BL/6J controls. In fact, the bacterial titer of prl1+/+ was not significantly different than that observed in BALB/cJ mice. This was confirmed by an experiment in which three of five prl1+/– mice survived a challenge of 1,000 CFU of Y. pestis compared to zero of five C57BL/6J animals (data not shown). These results clearly indicate that prl1 acts in a semidominant fashion and is responsible for the majority of the resistance observed in BALB/cJ mice.
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FIG. 5. prl1 confers resistance to Y. pestis in a susceptible C57BL/6J background. Eighth generation backcrossed mice were intercrossed, generating prl1+/+ (8 mice) and prl1+/– (6 mice) animals. Mice were infected with 2,000 CFU Y. pestis along with parental controls (3 each). At 48 h postinfection, mice were sacrificed, and total splenic CFU was determined. Horizontal lines represent the average. The dashed line indicates the limit of detection. Asterisks indicate significant differences between groups as determined by a Student's t test where P is <0.05.
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We along with others have observed that C57BL/6J, BALB/cByJ, and BALB/cAnNHsd mice are all susceptible to Y. pestis KIM5, with an estimated LD50 of less than 50 CFU (24, 38). Unlike the other BALB/c substrains, BALB/cJ mice uniformly survive at this dose. Even at 13,000 CFU, 70% of BALB/cJ mice survive, suggesting that the LD50 is at least 250-fold higher than the estimated LD50 of susceptible mouse lines including C57BL/6J and other BALB/c substrains. The difference in resistance to Y. pestis that we have observed is likely due to the genetic divergence of the BALB/cJ substrain from the other two BALB/c lines since their separation over 70 years ago (23). In fact, phenotypic differences between BALB/c substrains similar to those observed in this study have been well documented for other diseases including Graves hyperthyroidism (37), experimental allergic encephalomyelitis (39), and Taenia crassiceps cysticercosis (10).
Early studies have revealed that a variety of mouse strains, including BALB/cBy, are susceptible to an intravenous infection of Y. enterocolitica, with reported LD50 values ranging from 200 to 600 CFU (17). Thus, we were interested in ascertaining the generality of our results to another Yersinia species. To this end, we infected 10 BALB/cJ mice intravenously with 2,000 CFU of Y. enterocolitica WA and, in three independent experiments, observed that all of the mice succumbed within 9 days (data not shown). These results are in sharp contrast to what we have reported here for Y. pestis. Thus, it is likely that despite sharing many of the same virulence traits, host defenses that are effective for resistance to Y. enterocolitica and Y. pestis differ. Indeed, Y. enterocolitica is naturally acquired orally, and a recent study found that mouse strain-specific differences in host susceptibility can be greatly affected by the route of infection (18).
An analysis of serum cytokine levels revealed that, among those examined, only IFN-
and IL-6 increased appreciably 24 h postinfection and that only the levels of IL-6 were significantly different between the two mouse strains (Table 2). It is highly possible that this difference is due to greater numbers of bacteria in the C57BL/6J animals. The general lack of induction of inflammatory cytokines by Y. pestis probably reflects the fact that at 37°C these gram-negative bacteria shift the synthesis of their lipopolysaccharide to a tetra-acylated form that is no longer capable of stimulating Toll-like receptor 4 (32). This appears to be an important virulence mechanism as a genetically engineered Y. pestis strain that synthesizes the hexa-acylated stimulatory form of lipopolysaccharide is no longer virulent in mice. Additionally, earlier studies have shown that priming with both TNF-
and IFN-
prior to Y. pestis infection fully protects mice from death (33). Our results indicate that differential induction of TNF-
and/or IFN-
is not responsible for the increased resistance of BALB/cJ mice to Y. pestis.
Within 24 h postinfection significantly higher bacterial burdens in the spleen and liver of C57BL/6J mice were already evident and became even more pronounced at 48 h. These results indicate that enhanced resistance of BALB/cJ mice to Y. pestis is likely due to innate immune defenses that provide protection early in the infection. A recent study which tracked a green fluorescent protein-labeled strain of Y. pestis in infected mice suggests that the bacteria reside within splenic macrophages and are controlled extracellularly by neutrophil activity (25). Both strains of mice in our study displayed suppurative splenitis and hepatitis early in infection, consistent with the pathologies observed by others (22). However, of the two strains, only the susceptible C57BL/6J mice exhibited pronounced vascular thrombosis and fibrinous effusion in the lungs, which is likely associated with bacterial escape and ultimately contributes to the death of the animal.
The resistance of F1 mice to high-dose Y. pestis infection showed that BALB/cJ resistance is not recessive. This provided the basis for an F2 genome scan which revealed a single significant resistance locus, designated prl1, that maps to the major histocompatibility complex (MHC) region on chromosome 17. Although this region is usually associated with antigen-presenting H-2 genes of adaptive immunity, it also contains many genes associated with innate immune defense, including complement components, certain TNF family members, and stress-related proteins (15). Resistance of mice to a variety of pathogens including Plasmodium berghei (14), T. crassiceps (10), Chlamydia pneumoniae (30), and Streptococcus pyogenes (13) has been mapped to the MHC region. Similar to what we have found for Y. pestis, an early innate immune defense appears to be responsible for the observed resistance to S. pyogenes.
Although very little is known about genetic differences between BALB/c substrains, a dramatic difference is known to occur within the MHC region at Qa-2, a locus that encodes "nonclassical" class I antigens. In this regard, unequal crossing over of Q8 and Q9 genes has occurred in BALB/cJ mice, leading to a Qa-2low phenotype (28). Moreover, the BALB/cBy substrain is Qa-2null due to an additional deletion of genomic DNA that has occurred between the Q6 and Q7 genes (28, 34). Using BALB/c substrains and F1 backcrosses, one group of investigators has correlated Qa-2 expression with resistance to T. crassiceps (11). Whether these genetic differences in the Qa-2 region play a role in the resistance of BALB/cJ mice to Y. pestis is presently unknown.
We have begun fine-mapping of prl1 to identify the candidate gene(s) responsible for resistance to Y. pestis. The identification of such a host gene should allow for a better understanding of natural clearance of plague in both rodents and humans.
This work was supported by NIH grants AI056148 and AI057153 (to J.L.X.) and AI056148 (to R.I.T.).
Published ahead of print on 23 June 2008. ![]()
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pgm strains commonly used in pathogenicity studies. Infect. Immun. 74:6501-6504.
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