Sec. Infectious Agents and Disease
When the Going Gets Rough: The Significance of Brucella Lipopolysaccharide Phenotype in Host–Pathogen Interactions
- Department of Veterinary Pathobiology, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX, United States
Brucella is a facultatively intracellular bacterial pathogen and the cause of worldwide zoonotic infections, infamous for its ability to evade the immune system and persist chronically within host cells. Despite the frequent association with attenuation in other Gram-negative bacteria, a rough lipopolysaccharide phenotype is retained by Brucella canis and Brucella ovis, which remain fully virulent in their natural canine and ovine hosts, respectively. While these natural rough strains lack the O-polysaccharide they, like their smooth counterparts, are able to evade and manipulate the host immune system by exhibiting low endotoxic activity, resisting destruction by complement and antimicrobial peptides, entering and trafficking within host cells along a similar pathway, and interfering with MHC-II antigen presentation. B. canis and B. ovis appear to have compensated for their roughness by alterations to their outer membrane, especially in regards to outer membrane proteins. B. canis, in particular, also shows evidence of being less proinflammatory in vivo, suggesting that the rough phenotype may be associated with an enhanced level of stealth that could allow these pathogens to persist for longer periods of time undetected. Nevertheless, much additional work is required to understand the correlates of immune protection against the natural rough Brucella spp., a critical step toward development of much-needed vaccines. This review will highlight the significance of rough lipopolysaccharide in the context of both natural disease and host–pathogen interactions with an emphasis on natural rough Brucella spp. and the implications for vaccine development.
Despite knowledge of its existence for over a century, brucellosis remains one of the most commonly reported zoonotic diseases worldwide (Pappas et al., 2006). A significant contributor to this is the fact that the causative Gram-negative bacterium, Brucella, is facultatively intracellular. This feature allows Brucella spp. to deviously persist within the host’s cells where it can evade many components of the immune system. On top of this, numerous animal species, particularly livestock, can carry the organism and readily transmit it to humans. Of the 12 identified species, the most frequently reported causes of human infection are Brucella melitensis, Brucella abortus, and Brucella suis with B. canis associated with fewer reported cases (Corbel, 1997; Pappas et al., 2008). Although cross-species infections are common with the first three strains, each shows a strong host preference with disease usually occurring in small ruminants, cattle, pigs, and dogs, respectively. Brucella spp. may also be classified according to their lipopolysaccharide (LPS) phenotype. The “classical” strains most commonly associated with human infection, B. melitensis, B. abortus, and B. suis, exhibit a smooth LPS while B. canis is naturally rough (Whatmore, 2009). B. canis owes this designation to the fact that its LPS conspicuously lacks the terminal O-polysaccharide (O-PS). Interestingly, roughness is not unique to B. canis as B. ovis, virulent in sheep, also lacks O-PS.
The rough phenotype of B. canis and B. ovis, defined by a lack of O-PS, is unusual as this trait is typically associated with attenuation in Gram-negative bacteria, yet both are fully virulent in their natural hosts (Moreno et al., 1984; Erridge et al., 2002). Like their smooth counterparts, both can cause reproductive disease in these species. In bitches, disease manifests as abortion while males commonly exhibit prostatitis and epididymitis (Carmichael and Kenney, 1968; Moore and Kakuk, 1969). Less commonly, dogs may present with diskospondylitis or uveitis (Kerwin et al., 1992). B. ovis, on the other hand, is a frequent cause of chronic epididymitis, orchitis, and infertility in rams with occasional induction of abortion in ewes (Buddle, 1956; Ficapal et al., 1998). One critical difference between these two strains, however, is that B. canis is zoonotic while B. ovis is not (Corbel, 1997).
The importance of developing new safe and effective vaccines against brucellosis cannot be overstated and this critical need is one aspect that applies to both smooth and rough Brucella spp. despite the difference in LPS phenotype. While canine brucellosis has historically been considered a pathogen predominantly of kenneled dogs, B. canis has been isolated with increasing frequency from stray dog populations as well as pets throughout the world (Hensel et al., 2018; Wang et al., 2018; Suárez-Esquivel et al., 2021). Although B. canis is perceived to be less virulent for humans, manifestation of human disease can occasionally be severe (Piampiano et al., 2000; Gul et al., 2009; Marzetti et al., 2013). Detection of B. canis in a kennel can also be devastating as the pathogen is highly contagious between dogs and those infected are frequently euthanized. B. ovis, although not zoonotic, can still result in significant economic losses for sheep farmers (Blasco, 1990). Unfortunately, no vaccine is currently available to protect against B. canis infection in dogs and the use of the commercially available Rev.1 vaccine, protective against B. ovis in sheep, is not approved for use in areas free of B. melitensis. Comprehending the components of the immune response required to protect against these naturally rough pathogens is crucial for development of new and effective vaccines.
This review will highlight the significance of rough LPS in the context of both natural disease and interaction with the immune response with an emphasis on natural rough Brucella spp. and the implications for vaccine development.
As with most Gram-negative bacteria, Brucella spp. produce an LPS that plays a critical role in maintaining outer membrane integrity and survival within the host (Erridge et al., 2002; Mancilla, 2015). The classical smooth Brucella LPS is composed of three main components: (1) lipid A; (2) a polysaccharide core; and (3) O-PS composed of repeating glycosyl subunits (Smith, 2018; Figure 1). Lipid A is responsible for most of the endotoxic activity of LPS and its hydrophobicity allows it to anchor LPS to the outer membrane (Figure 1). Not only does lipid A play this key structural role, but it is the component of LPS that is recognized by Toll-like receptor (TLR)-4, one of the ways in which host immune cells can identify Gram-negative bacteria (Maldonado et al., 2016). In Brucella, lipid A is composed of a diaminoglucose backbone and is distinguished by a preponderance of C16 and C18 fatty acids as well as C28 and other very long chain fatty acids (VLCFAs), an unusual feature which results in a bulkier structure than most other Gram-negative bacteria (Iriarte et al., 2004; Mancilla, 2015).
Figure 1. Schematic of the structure of lipopolysaccharide (LPS) of Brucella spp. in comparison to other Gram-negative bacteria. Brucella LPS is unusual in several ways, including the incorporation of very long chain fatty acids (VLCFAs) in the lipid A and a core oligosaccharide side branch composed of several glucosamine residues. In contrast, most other Gram-negative bacteria, best exemplified by Escherichia coli, possess a more compact lipid A and no core side branches. Brucella spp. may be categorized as smooth if they possess an intact O-polysaccharide (O-PS), as is the case with most zoonotic strains. Alternatively, Brucella canis and Brucella ovis are naturally rough, completely lacking the O-PS. While typically associated with attenuation, both rough Brucella spp. remain fully virulent in their natural hosts, as does the naturally rough Yersinia pestis. D, diaminoglucose; G, glucose; Ga, galactose; Gln, glucosamine; H, heptose; 3-deoxy-D-mannose-2-octulosonic acid, Kdo; M, mannose; N, N-acetylglucosamine; Pe, N-formylperosamine; Q, quinovosamine. Adapted from Mancilla (2015), Yang et al. (2019), and Singh et al. (2020). Created with Biorender.com.
The core oligosaccharide serves as a bridge between lipid A and O-PS and is important in maintaining the stability and rigidity of the outer membrane (Figure 1). In Brucella spp., the core is composed of two 3-deoxy-D-manno-2-octulosonic acid (Kdo) sugars, one of which is linked to the O-PS (Monreal et al., 2003). The other Kdo notably forms a unique branching side chain composed of glucosamine, glucose, and mannose (Gil-Ramírez et al., 2014; Fontana et al., 2016). As will be discussed in further detail below, the side branch appears to play an important role in survival within the host, helping to reduce immune recognition by TLR4 and enhancing resistance to complement and bactericidal peptides (Conde-Álvarez et al., 2012; Soler-Lloréns et al., 2014; Fontana et al., 2016). Although the structure of natural B. canis LPS has not been fully elucidated, the overall structure of the core oligosaccharide with side chain attached to a bulky lipid A embedded in the outer membrane is presumed to be similar if not the same between naturally smooth and rough Brucella spp.
The O-PS, a key virulence factor in smooth Brucella spp., remains the most studied component of this pathogen’s LPS (Allen et al., 1998; Jiménez de Bagüés et al., 2004; Mancilla, 2015; Figure 1). The lack of O-PS is what differentiates the LPS of B. canis and B. ovis from their smooth counterparts. In other Gram-negative bacteria, the O-PS typically exhibits a high degree of variability, allowing for strain differentiation by molecular methods (Wang et al., 2010; Smith, 2018). In contrast, Brucella O-PS is highly homogeneous, possibly due to its niche within the intracellular environment limiting horizontal transfer with other bacteria, as suggested by Mancilla (2015). The Brucella O-PS is composed of homopolymers of N-formylperosamine with minor variations depending on strain, in which “A-dominant” strains exhibit a linear α-1,2-linked polymer with approximately 2% α-1,3 linkages while the O-PS from “M-dominant” strains is a linear polymer of tetrasaccharide repeating units containing one α-1,3 linkage and three α-1,2-linked monosaccharide residues (Meikle et al., 1989; Kubler-Kielb and Vinogradov, 2013; Mancilla, 2015). Although not sufficient for speciation, serotyping using monoclonal antibodies directed against A or M epitopes can allow for distinction of different biovars within a particular smooth Brucella species (Alton et al., 1988). Further discussion of O-PS in this review will focus on the classical smooth Brucella spp. (B. abortus, B. melitensis, and B. suis). Although more recently identified Brucella species have been characterized as smooth (B. neotomae, B. ceti, B. pinnipedialis, B. microti, B. papionis, and B. inopinata), the complete structure of their LPS, including the O-PS, remains to be elucidated. Preliminary work has suggested that some of these strains not only lack typical O-PS epitopes but also suspected alterations to the core and/or lipid A, possibly accounting for a lack of zoonotic potential in the majority of these species (Cloeckaert et al., 1998; Baucheron et al., 2002; Zygmunt et al., 2012).
The mechanisms of Brucella O-PS and core oligosaccharide synthesis have been extensively reviewed (Cardoso et al., 2006; Mancilla, 2015) and the genes involved are summarized in Table 1. Interestingly, the lack of O-PS in B. canis and B. ovis appears to have evolved separately in an example of convergent evolution and the mutations resulting in their rough phenotypes are completely different (Vizcaíno et al., 2004; Zygmunt et al., 2009). B. ovis, for instance, lacks the entire genomic island-2 (GI-2) encompassing the key glycosyltransferases wboA and wboB, while B. canis retains this region (Vizcaíno et al., 2004; Tsolis et al., 2009).
Table 1. Genes involved in the synthesis of the core oligosaccharide and O-polysaccharide in Brucella spp.
Interestingly, B. ovis exhibits additional genetic differences from the smooth strains not identified in B. canis, such as the B. ovis pathogenicity island 1 (BOPI-1) which includes 28 open reading frames (ORFs) absent in other Brucella species and is required for B. ovis pathogenesis (Tsolis et al., 2009). At least some of these genes, such as the ABC transporter system, appear to compensate for a lack of alternative nutrient import pathways in B. ovis caused by separate mutations (Silva et al., 2011, 2014). Whether additional compensation for lack of O-PS is provided by these genes remains to be determined. B. canis and B. ovis are also distinguished by a higher number of pseudogenes, with the greatest number reported in B. ovis, a sign indicative of genome degradation (Tsolis et al., 2009; Wattam et al., 2009). It has been suggested that the narrower host range of these natural rough Brucella spp. is related to this process (Tsolis et al., 2009; Martín-Martín et al., 2011). However, the possibility of additional gain-of-function mutations leading to enhanced tropism for particular organ systems in their natural hosts despite a lack of O-PS (i.e., male genital tract for B. ovis) cannot be excluded (Tsolis et al., 2009; Moreno, 2014).
The indication that loss of O-PS occurred on two separate occasions amongst Brucella spp. suggests that this provided an evolutionary adaptation to B. canis and B. ovis and/or these two strains were able to compensate for its loss by additional but separate changes. This is a mystery within the field of brucellosis that is not yet unraveled but insights can be gained by understanding the roles O-PS plays for smooth Brucella spp. and how the natural rough strains compare in this regard.
Although separate from the LPS, outer membrane proteins (Omps) are another structural feature of the Brucella outer membrane that deserves special mention. Extensively reviewed elsewhere, Omps have been shown to be critical to outer membrane stability and appear to be especially important for the natural rough Brucella spp. (Cloeckaert et al., 2002; Roop et al., 2021). As will be discussed in greater detail later, certain Omps have been shown to contribute to complement and antimicrobial peptide resistance, to be essential for internalization of B. ovis into cells, and to inhibit antigen presentation (Caro-Hernández et al., 2007; Barrionuevo et al., 2008; Martín-Martín et al., 2008). Interestingly, the pattern of Omp expression, including Omp25/Omp31, in natural rough strains appears to differ from one another and with that of the smooth strains, although there is also variation amongst the classical smooth strains (Vizcaíno et al., 2004; Martín-Martín et al., 2009). B. abortus, for instance, lacks Omp31 and Omp25b, while B. melitensis lacks Omp31b (Cloeckaert et al., 2002). Additionally, while omp25 deletion mutants of B. abortus and B. melitensis are attenuated in mice, this reduction in virulence is markedly more pronounced in B. ovis, although a separate study noted no attenuation in a B. abortus mutant (Edmonds et al., 2002; Manterola et al., 2007).
The Biological Significance of LPS
The O-PS of the classical smooth Brucella spp. is a well-characterized virulence factor (Lapaque et al., 2005; Smith, 2018). The following sections will refer to rough mutants which are derived from smooth parent strains by deletion of any number of genes involved in O-PS synthesis and should be distinguished from natural rough B. canis and B. ovis. The majority of studies assessing the function of O-PS focus on comparing smooth strains and their rough mutants. Thus, far more is known about the relevance of the rough phenotype in rough mutants rather than in the natural rough Brucella spp. Nevertheless, natural rough strains appear to more closely mimic their smooth counterparts than rough mutants in features and interactions typically associated with expression of O-PS, such as resistance to complement, cellular entry and trafficking, and lack of induction of cytotoxicity and proinflammatory cytokine production, as summarized in Figure 2.
Figure 2. Functions of lipopolysaccharide (LPS) in Brucella spp. in comparison between smooth, rough, and rough mutant strains. Smooth Brucella spp. are known to be far more resistant to destruction by complement while rough mutants derived from these strains, in which the O-polysaccharide (O-PS) is not produced, are generally susceptible. Natural rough Brucella spp., such as B. canis, exhibit complement resistance as high or higher than their smooth counterparts despite a lack of O-PS with additional components such as the core oligosaccharide side branch and outer membrane proteins (Omps) making contributions. An additional difference is the ability of smooth and natural rough Brucella spp. to enter cells using lipid rafts and replicate intracellularly while rough mutants are typically unable to do this. Smooth Brucella spp. use O-PS as a ligand for the scavenger receptor, SR-A on host cells while natural rough Brucella spp. are thought to use outer membrane proteins for this interaction. Finally, rough mutants are known to cause cytotoxicity following cell infection and induce significant proinflammatory cytokine production while natural smooth and rough Brucella spp. do not. Such changes indicate that natural rough Brucella spp. are able to compensate for the loss of O-PS during infection. Created with Biorender.com.
Low Endotoxic Activity
Compared to most other Gram-negative bacteria, the LPS of Brucella is well known for exhibiting remarkably low endotoxin activity, being several hundred times less toxic than Escherichia coli LPS (Goldstein et al., 1992; Dueñas et al., 2004; Tumurkhuu et al., 2006). The low endotoxic activity of Brucella LPS is related to the structure of the lipid A and core. Endotoxicity is generally associated with the acyl chain number and length of lipid A, which is recognized by host cell Toll-like receptor 4 (TLR4) and its co-receptor MD2 (Erridge et al., 2002). The preponderance of VLCFAs in Brucella lipid A results in a bulky molecule that binds poorly with MD2 (Lapaque et al., 2005). In recent years, an additional explanation for the poor endotoxic activity of Brucella LPS has been revealed following the discovery of the lateral core oligosaccharide side branch.
Mutation of wadC, wadB, and wadD, glycosyltransferases required for the branch’s synthesis, has demonstrated the important roles this structure plays (Conde-Álvarez et al., 2012; Kubler-Kielb and Vinogradov, 2013). The side chain imparts a positive charge onto the core oligosaccharide that shields the more internal negative charges of the inner core and lipid A, thereby preventing effective interaction with TLR4/MD2 on host macrophages and dendritic cells (Conde-Álvarez et al., 2012; Fontana et al., 2016). This is important to note as the side chain is independent of the O-PS and thus likely performs the same function for the natural rough strains. Evidence toward this is the fact that purified LPS from B. canis and B. ovis exhibits low endotoxin-specific Limulus activity comparable to LPS of B. abortus and significantly less than that of the classic endotoxic LPS of E. coli (Moreno et al., 1984). It also bears mentioning that what little proinflammatory activity is stimulated by Brucella spp. is mediated largely by interaction of outer membrane lipoproteins with TLR2 on host cells, and the majority of these proteins are conserved across rough and smooth Brucella spp. (Giambartolomei et al., 2004; Roop et al., 2021).
Defense Against Complement and Antimicrobial Peptides
One of the key functions of Brucella spp. O-PS is to provide resistance to destruction by complement and antimicrobial peptides (Allen et al., 1998; Eisenschenk et al., 1999). Specifically, O-PS has been shown to block access of C1q to outer membrane targets, which results in the known increased susceptibility of rough mutants to complement attack (Moreno et al., 1981; Corbeil et al., 1988; Allen et al., 1998; Eisenschenk et al., 1999). It is also known that O-PS is important in defense against antimicrobial peptides, including lysozyme, as evidenced by the increased sensitivity of rough mutants to these compounds (Riley and Robertson, 1984; Martínez de Tejada et al., 1995; Freer et al., 1996). Interestingly and in contrast to rough mutants, B. ovis and B. canis exhibit similar or occasionally greater resistance to complement and antimicrobial peptides compared to their smooth counterparts despite their rough phenotype (Martínez de Tejada et al., 1995; Martín-Martín et al., 2011). In one study, B. canis was actually found to be the most resistant strain overall to non-immune serum, low pH, H2O2, and cationic peptides (Martín-Martín et al., 2011). This indicates that O-PS is not the only factor capable of mediating such peptide resistance in Brucella.
The core oligosaccharide is one such structure involved in complement and bactericidal peptide resistance in both smooth and rough Brucella spp. (Soler-Lloréns et al., 2014; Fontana et al., 2016; Salvador-Bescós et al., 2018). The role of the core may also help explain an early report that B. ovis exhibits greater sensitivity to cationic peptides than rough mutants of B. abortus (Freer et al., 1999). This study utilized B. ovis REO198, a strain which possesses a core oligosaccharide defect, unlike B. ovis PA which has an intact core and exhibits enhanced resistance to cationic peptides (Martín-Martín et al., 2011; Pérez-Etayo et al., 2018). Interestingly, an intact core is also critical for resistance to antimicrobial peptides in other species of Gram-negative bacteria, including Burkholderia cenocepacia (Loutet et al., 2006).
Yet another feature that contributes to complement resistance in Brucella spp. are outer membrane proteins (Omps). As previously mentioned, the pattern of Omp expression differs both between smooth and rough Brucella spp. and between B. ovis and B. canis. It has been suggested that the differences in Omp expression largely account for the enhanced resistance of natural rough strains against complement and antimicrobial peptides despite the lack of O-PS, in contrast to many rough mutants (Caro-Hernández et al., 2007; Roop et al., 2021). These differences may also account for the finding that despite both being naturally rough, B. ovis is highly susceptible to the detergents deoxycholate, Triton X-100, and CHAPS while B. canis exhibits comparable or enhanced resistance compared to smooth B. melitensis and B. abortus (Martín-Martín et al., 2011). These findings are important to note as B. canis and B. ovis, despite both being rough, exhibit notable differences in host preference and zoonotic capability.
Intracellular Survival and Replication
The importance of O-PS for smooth Brucella spp. in survival within their intracellular niche has been well established. O-PS can serve as an adhesin by binding to the scavenger receptor SR-A, allowing interaction with lipid rafts which facilitates entry of Brucella into the endocytic pathway (Porte et al., 2003; Kim et al., 2004) (Figure 3). From there, Brucella temporarily reside in an endosomal Brucella-containing vacuole (eBCV), in which the acidic pH signals the induction of genes encoding the Type-IV secretion system (T4SS). Following secretion of T4SS effectors, Brucella avoids destruction by lysosomes and traffics to the rough endoplasmic reticulum (RER), where it forms a replicative rBCV in which the bacteria may chronically persist (Celli, 2015). In contrast, rough mutants cannot enter cells via lipid rafts and vacuoles containing these bacteria fuse rapidly with lysosomes (Porte et al., 2003; Pei et al., 2008) (Figure 3). Rough mutants are also internalized more heavily and rapidly (Dornand et al., 2004; Tian et al., 2014). B. ovis and B. canis, however, more closely resemble the smooth strains in cellular entry and trafficking. For instance, both natural rough strains utilize lipid rafts to enter murine J774.A1 macrophages using the same SR-A receptor, although this interaction is conspicuously not dependent on phosphoinositide-3-kinase (PI3K) as it is with smooth strains (Martín-Martín et al., 2010) (Figure 3).
Figure 3. Cellular entry and intracellular trafficking of natural rough and smooth Brucella spp. and rough mutants derived from smooth strains. Both natural smooth and rough Brucella spp., but not rough mutants, enter macrophages using lipid rafts and utilize the scavenger receptor, SR-A, to do so. While the O-polysaccharide (O-PS) serves as the ligand for this interaction for smooth strains, rough Brucella spp. appear to rely on outer membrane proteins (Omps), including Omp22 and Omp25d. Lipid raft-mediated entry for smooth, but not natural rough Brucella spp., is reliant on the activity of phosphoinositide-3-kinase (PI3K). Once internalized, Brucella become engulfed in an endosomal Brucella-containing vacuole (eBCV) that alter associates with LAMP1. Expression of the type 4 secretion system (T4SS) allows some of the smooth and natural rough Brucella to avoid destruction by lysosomes and later associate with components of the rough endoplasmic reticulum (RER), such as calreticulin, to establish a replicative vacuole, or rBCV. In contrast, most rough mutants are unable to avoid lysosomal fusion and do not exhibit intracellular replication. Created with Biorender.com.
Some studies have noted that natural roughs penetrate HeLa cells and murine RAW 264.7 macrophages at a higher rate than smooths, although to a lesser degree than rough mutants (Freer et al., 1999; Sá et al., 2012). Other studies have noted that the binding and penetration of B. ovis occurs to a similar extent as smooth strains in murine macrophages and the same observation has been noted for B. canis in bovine neutrophils and human osteoblast cell lines (Delpino et al., 2009; Keleher and Skyberg, 2016). Given the lack of O-PS in both natural and mutant rough strains, it is unclear which molecule(s) may serve as a ligand for SR-A although it is possible that certain Omps may play this role. Two possibilities are Omp25d and Omp22 which are required for entry and replication in murine RAW 264.7 or J774.A1 macrophages by B. ovis but not by smooth strains in which O-PS predominantly determines cell entry (Manterola et al., 2007; Martín-Martín et al., 2008).
Following entry, rough mutants are rapidly destroyed via fusion with lysosomes and are typically unable to replicate intracellularly or exhibit reduced levels of replication within murine J774A.1 macrophages and human monocytes, depending on the mutation (Porte et al., 2003; Rittig et al., 2003; Jiménez de Bagüés et al., 2004) (Figure 3). Despite earlier reports showing the inability of B. canis to do this, it has since been shown that both B. canis and B. ovis are fully capable of intracellular replication in macrophages and epithelial cells, with replication of B. canis noted in HeLa cells, murine RAW 264.7 macrophages, and canine trophoblasts and that for B. ovis noted in Vero cells, murine J774.A1 macrophages, and HeLa cells (Detilleux et al., 1990; Martín-Martín et al., 2008; Eskra et al., 2012; Silva et al., 2014; Chacón-Díaz et al., 2015; Fernández et al., 2017). B. ovis can replicate in both canine and ovine macrophages and B. canis exhibits the same ability (Eckstein et al., 2020). The T4SS appears to be just as important for allowing intracellular replication in the natural roughs as in the smooths as mutants in virB genes or vjbR of B. ovis and B. canis exhibit significant attenuation and inability to replicate within ovine macrophages and mice or HeLa cells, murine RAW 264.7 macrophages, and canine DH82 dendritic cells, respectively (Sá et al., 2012; Chacón-Díaz et al., 2015; Macedo et al., 2015; Stranahan et al., 2020).
Interestingly, while phagosomes containing rough mutants fuse rapidly with lysosomes and many are unable to progress beyond this point to establish replication in the rBCV, B. ovis and B. canis appear to eventually be able to reach the replicative niche and replicate to levels identical to smooth strains in HeLa cells and murine RAW264.7 macrophages (Silva et al., 2014; Chacón-Díaz et al., 2015) (Figure 3). Silva et al., 2014 demonstrated that BCVs containing B. ovis in HeLa cells interact early in infection with lysosomes, as shown by association with LAMP1, and that this marker is later excluded with formation of the typical rBCV associated with calreticulin, a marker of the RER. Formation of myelin figures associated with vacuole-enclosed bacteria in ovine macrophages also suggests that B. ovis may continue in the pathway followed by smooth strains with formation of an autophagic vacuole for cellular egress (Macedo et al., 2015). Interestingly, B. canis also exhibits high levels of lysosome fusion in the first few hours of cellular infection, comparable to rough mutants and significantly less than smooth strains, but is able to replicate after 48 h comparable to B. abortus levels in HeLa cells and murine J774.A1 or RAW264.7 macrophages, (Porte et al., 2003; Chacón-Díaz et al., 2015). Nevertheless, differences have been observed: B. ovis shows later evasion of lysosome fusion compared to smooth strains, with this change happening after 48 h in ovine macrophages instead of the 24 h noted for B. abortus in murine J774.A1 macrophages (Starr et al., 2008; Silva et al., 2014). For B. canis, a similar trend has been noted in which colocalization of the bacterium with calnexin, another RER marker, does not occur in HeLa cells until 48 h post-infection (Chacón-Díaz et al., 2015). This delay in avoidance of phagosome-lysosome fusion may help explain why earlier studies, which did not extend time points beyond 24 h, demonstrated prominent and rapid phagosome fusion with lysosomes using natural rough strains in contrast to smooth strains, with the conclusion that natural roughs could not replicate intracellularly (Porte et al., 2003; Rittig et al., 2003). It has been well established that natural rough B. ovis and B. canis can replicate within cells both from their natural hosts as well as mice and humans.
Prevention of Apoptosis and Cellular Activation
O-PS-mediated entry by smooth Brucella spp. via lipid rafts has been shown to inhibit caspase-2-mediated apoptosis in phagocytes, including murine J774.A1 and RAW264.7 macrophages and human macrophages (Fernandez-Prada et al., 2003; Pei et al., 2006; Chen and He, 2009). Rough mutants, on their other hand, are well known for induction of cytotoxicity which is dependent on the T4SS in the same cell types (Fernandez-Prada et al., 2003; Pei et al., 2008). While the mechanisms behind this are incompletely understood, it appears that overexpression of the T4SS occurs during cellular infection by rough mutants, leading to over-secretion of effector proteins which activate the IRE1α pathway of ER stress (Pei et al., 2008; Li et al., 2017). Interestingly, this seems not to be the case with natural rough strains, where B. canis and B. ovis resemble their smooth counterparts and have been repeatedly shown not to induce cytotoxicity in HeLa cells, murine J774.A1 and RAW 264.7 macrophages, or human lung epithelial cells (Martín-Martín et al., 2008; Ferrero et al., 2009; Chacón-Díaz et al., 2015).
O-PS-mediated uptake of smooth Brucella spp. is also known to induce only low levels of proinflammatory cytokines in phagocytes, especially in comparison to other Gram-negative pathogens (Jiménez de Bagüés et al., 2004; Billard et al., 2007). This is an attribute which has been added to the list of ways in which Brucella spp. can subvert the host immune response. Nevertheless, it is important to note that despite this low induction of inflammatory cytokines, inflammation is still a classic feature of brucellosis and although typically milder compared to that caused by most other bacteria, the chronic stimulation of low-level inflammation by persisting Brucella spp. frequently results in tissue damage (Baldi and Giambartolomei, 2013). In contrast to smooth strains, penetration by rough mutants leads to significant production of proinflammatory cytokines in human monocytes or macrophages and murine J774.A1 macrophages (Fernandez-Prada et al., 2003; Rittig et al., 2003; Pei et al., 2008). B. canis and B. ovis, like the smooth strains, also induce minimal to no proinflammatory cytokine production in cells while rough mutants, including RB51, stimulate high levels of TNF-α and IL-12 in murine J774.A1 macrophages, although this pattern has yet to be investigated in macrophages derived from their natural hosts (Martín-Martín et al., 2010). A possible explanation for this is that, like the smooth strains, B. canis and B. ovis enter cells via lipid rafts and follow the same general intracellular trafficking pathway, albeit with some delay, while the contrasting entry by rough mutants triggers a strong cellular response. The differences in the intracellular pathway between natural rough and smooth strains, such as the ligand for SR-A and timing of lysosome evasion, have been proposed to account for the further reduced inflammatory response of B. ovis and B. canis when compared with smooth strains in mice and natural hosts (Galindo et al., 2009; Chacón-Díaz et al., 2015; Roop et al., 2021).
While it is apparent that O-PS serves directly or indirectly as a key virulence factor for smooth Brucella spp., the lack of this molecule in natural rough strains appears to be compensated for, at least partially, by alterations in Omp expression and the continued presence of the lateral core oligosaccharide side branch (Mancilla, 2015; Roop et al., 2021). The possibility that a rough phenotype in itself could serve an additional advantage to Brucella spp. is intriguing and this idea can best be contemplated after understanding the reasons why other Gram-negative pathogens, such as Pseudomonas aeruginosa and Yersinia pestis, have either temporarily or permanently lost their O-PS.
The Advantages of Going Rough
Naturally smooth Brucella spp. can undergo temporary or permanent loss of O-PS under both laboratory conditions and during the course of infection within their natural hosts (Mancilla, 2015). This process is exemplified by RB51, a spontaneous and stably rough vaccine strain that arose after repeated passage on antibiotic-containing media and has been widely utilized in studies investigating the function of Brucella O-PS (Schurig et al., 1991). Another example is the now out of use B. abortus 45/20 vaccine strain, which acquired a rough phenotype after repeated passage through guinea pigs (Moriyón et al., 2004).
Dissociation from a smooth to a rough phenotype and the potential advantages of this change for the bacterium have been studied for many years with various Gram-negative bacteria. Reeves (1995) suggested that the tendency of Gram-negative bacteria to become rough under laboratory conditions is due to the necessity of O-PS for survival only in the presence of the host immune response. Requiring energy to produce, there appears to be a selective advantage to loss of O-PS in situations where it is not needed, as in liquid culture (Maldonado et al., 2016). Isolation of rough variants of smooth Gram-negative bacteria in samples from infected hosts, including Brucella, also suggests that there may be an adaptive advantage to loss of O-PS in evading the host immune system, particularly in chronic infections (Turse et al., 2011; Mancilla et al., 2012; Szabo et al., 2017). Although this seems to contradict the statement that Gram-negative bacteria require O-PS to resist destruction by the host immune system, namely via complement, it appears that various bacteria will sacrifice the protection offered by a complete O-PS in exchange for additional survival benefits such as avoidance of a robust antibody response and improved access to preferred host-cell types (Maldonado et al., 2016). Could it be that a rough phenotype in B. canis or B. ovis is not only compensated for by changes to the outer membrane but may actually benefit these organisms by assisting in maintenance of a chronic infection? While the answer to this question remains uncertain, several other Gram-negative bacteria develop a rough phenotype during chronic infections.
One example is P. aeruginosa, particularly in patients with cystic fibrosis (CF). While isolates from acutely infected patients or the environment typically have a smooth phenotype, most from chronically infected patients with CF are rough (Hancock et al., 1983; Goldberg and Pler, 1996; Lam et al., 2011). The reasons behind this phenomenon and its propensity for occurring in CF patients are not fully understood, but it has been suggested that while rough P. aeruginosa strains are more serum-sensitive, the reduced immunostimulatory potential following loss of the O-PS may contribute to immune evasion and survival in chronic lung infections. Like their smooth counterparts, B. canis and B. ovis can avoid activation of macrophages along with subsequent proinflammatory cytokine production (Martín-Martín et al., 2010). B. canis in particular has been shown to be less inflammatory in the mouse model in terms of pathologic changes and cytokine production and induces less ROS production in infected humans than smooth strains despite similarly low levels of cytokine induction noted by the previously mentioned in vitro studies (Usta et al., 2012; Chacón-Díaz et al., 2015; Stranahan et al., 2019). As suggested by Chacón-Díaz et al. (2015), B. canis might therefore be an even stealthier pathogen in its natural host than smooth Brucella spp., although this possibility remains to be tested in dogs or canine cells. The rough phenotype of B. canis could possibly serve an advantage by reducing immune stimulation, allowing it to establish long-lasting, asymptomatic infections, while simultaneously avoiding the serum sensitivity observed with other rough Gram-negative bacteria via adjustments to the structure of its outer membrane.
Another example of a bacterium that benefits from loss of O-PS is B. cenocepacia, which also undergoes this change during chronic infection of CF patients (Evans et al., 1999). Assumption of a rough phenotype facilitates internalization into macrophages, a niche that this facultatively intracellular pathogen could subsequently exploit to favor persistence (Saldías et al., 2009; Schwab et al., 2014). Enhanced phagocytosis by macrophages is also observed in both rough mutants and, depending on the study, with the naturally rough B. ovis (Detilleux et al., 1990; Tian et al., 2014). Whether this enhanced entry could also assist rough Brucella spp. in establishing their preferred intracellular niche early in infection is unknown. It also bears mentioning that enhanced entry of natural and mutant rough Brucella spp. has been noted in various cell types beyond macrophages, including epithelial and endothelial cells and without associated replication (Ferrero et al., 2009, 2011).
The ability to exploit new host cell receptors by exhibiting a rough phenotype might serve a third possible advantage for Gram-negative bacteria. For instance, the normally smooth Helicobacter pylori is able to bind to a receptor called TFF1 on injured gastric mucosa specifically through rough LPS, as demonstrated by work examining the interaction of TFF1 with purified H. pylori rough LPS or a rough mutant (Reeves et al., 2008; Dolan et al., 2012). Both naturally rough and smooth Brucella spp. utilize the scavenger receptor, SR-A (CD36) to enter macrophages (Pei et al., 2008; Martín-Martín et al., 2010). Whether the exposure of the core and additional outer membrane components such as Omps could allow naturally rough Brucella spp. to exploit additional receptors unavailable to smooth strains in their natural hosts is uncertain. That this may be the case is supported by the finding that O-PS may interfere with interaction of Omps with anti-Brucella antibodies (Bowden et al., 1995).
Another Gram-negative bacterium deserves special mention here: Y. pestis. Like B. canis and B. ovis, Y. pestis has permanently lost its O-PS yet remains a virulent pathogen. Although the structure of its LPS differs significantly from that of Brucella (Figure 1), Y. pestis exhibits several similarities in its behavior such as the ability to survive in macrophage phagosomes and inhibition of fusion with lysosomes to allow for intracellular replication (Pujol et al., 2009; Connor et al., 2018). The rough LPS provides a selective advantage to this pathogen by enabling exposure of the protein Ail at the cell surface, resulting in thickening and rigidification of the LPS which actually promotes serum resistance (Singh et al., 2020). This is reminiscent of the high serum resistance of the natural rough Brucella but the exact structural modifications resulting in this enhanced resistance for B. ovis and B. canis have not been fully unraveled (Caro-Hernández et al., 2007; Martín-Martín et al., 2011). Additionally, the rough Y. pestis is able to use its exposed core to bind SIGNR1 (CD209b), a receptor on antigen-presenting cells, facilitating its dissemination to various organs (Yang et al., 2019). Interestingly, experimentally derived smooth Y. pestis actually has an impaired ability to cause systemic infection in mice, leading to the proposal that loss of O-PS was key to the evolution of Y. pestis as a highly virulent pathogen (Yang et al., 2019). As described above, the absence of O-PS in B. canis and B. ovis coincides with an altered topology of the outer membrane, particularly in regards to its Omps, which also serves to increase serum resistance (Caro-Hernández et al., 2007; Martín-Martín et al., 2011). The ability of rough Brucella spp. to exploit additional receptors, again, is unknown but is an intriguing possibility which might also explain their host specificity and organ tropism.
It seems clear that natural rough Brucella spp. have compensated for their lack of O-PS, as evidenced by their resistance to complement degradation, ability to replicate intracellularly, and lack of cytotoxicity and induction of proinflammatory cytokines. As with other Gram-negative bacteria, the rough phenotype might also serve to enhance the ability of rough Brucella spp. to avoid immune detection. Whether a rough LPS might also serve an advantage by increasing entry into macrophages or allowing the bacterium to use different receptors for cellular entry is not known but should be further explored, particularly in the context of the natural hosts.
Smooth and Rough Brucella: Interaction With the Host Immune System
Although some differences do exist, interaction of natural rough Brucella spp. with host cells, including cellular entry, replication, and lack of proinflammatory cytokine production, closely resembles what occurs with smooth strains. These numerous similarities in host cell interactions suggest that components of the immune response engendered by both smooth and rough Brucella spp. may be similar, a concept which has significant implications for vaccine development. Work with B. canis and B. ovis in cells derived from the natural host and in the mouse model, described in the following section, may help to address this question.
One mechanism in which smooth Brucella spp. interact with host cells to subvert the adaptive immune response is by inhibition of antigen presentation via Major Histocompatibility Complex (MHC)-II in macrophages. Macrophages utilize MHC-II to present antigen to CD4+ T lymphocytes, stimulating the adaptive immune response (Cresswell, 1994). The ability of Brucella spp. to interfere with this process is crucial to its long-term survival within the host, as IFN-γ-producing CD4+ T lymphocytes are a well-recognized requirement to controlling Brucella infection (Vitry et al., 2012). Interestingly, Brucella O-PS has also been found to interfere with this crucial branch between innate and adaptive immunity. One mechanism by which this occurs is disrupting the ability of MHC-II to present antigen following processing of LPS by macrophages. In this scenario, smooth LPS shed within the BCV is degraded by the macrophage followed by the formation of dense complexes, or macrodomains, which interfere with the interaction of MHC-II with CD4+ T lymphocytes through steric hindrance (Forestier et al., 1999, 2000). However, it appears that an additional mechanism for MHC modulation exists that is utilized by the natural rough strains as well. In a study using THP-1 cells, B. abortus, B. ovis, and heat-killed B. abortus inhibited IFN-γ-induced expression of MHC-II, suggesting the importance of some conserved element (Barrionuevo et al., 2008). Rather than LPS, Omp19 was the molecule responsible for this inhibition and this occurred in a TLR2-dependent manner (Barrionuevo et al., 2008). Thus, natural rough Brucella are capable of decreasing antigen presentation via MHC-II during the development of an adaptive immune response, independent of the structure of their LPS. Like the smooth strains, natural rough Brucella spp. can use MHC-II modulation to avoid detection by CD4+ T lymphocytes, promoting the chronic infections observed in their natural hosts.
Interaction With Natural Host Cells
As professional antigen-presenting cells, dendritic cells play a key role in linking innate and adaptive immunity, and their role in the immune response to Brucella has been extensively evaluated. In terms of smooth Brucella, there remains some controversy as to whether infection of dendritic cells stimulates or inhibits their activation (Avila-Calderón et al., 2020). Overall, the majority of studies have shown that smooth Brucella spp. infection of dendritic cells results in downregulation of costimulatory markers (i.e., CD80 and CD86) and decreased production of proinflammatory cytokines while infection with rough mutants, such as RB51, results in the opposite effect (Zwerdling et al., 2008; Surendran et al., 2012; Avila-Calderón et al., 2020). The core oligosaccharide side branch, mentioned before for its importance in defense against complement and hampering of TLR4 recognition, appears to be important here as well. The wadC mutants of smooth strains, lacking this side branch, induce significant dendritic cell activation through recognition by TLR4 while their smooth parent strains do not (Conde-Álvarez et al., 2012). Comparatively little work on interaction with dendritic cells has been done with natural rough strains, but two studies by Pujol et al. (2017) have produced interesting findings concerning B. canis. These authors demonstrated that B. canis induces the expression of costimulatory molecules on both canine and human dendritic cells, but while infected human dendritic cells demonstrate TH1-skewed proinflammatory cytokine production, the canine cells show a mixed TH1-TH17 response (Pujol et al., 2017). This effect was also observed in CD4+ T lymphocytes stimulated by dendritic cells previously infected with B. canis (Pujol et al., 2019). These findings demonstrate that host specificity can play an important role in the immune response to Brucella spp.
A strong TH1 response, required for effective control of Brucella infection, by human dendritic cells could at least partially account for the lower susceptibility of humans to B. canis infection compared to the natural canine host. TH17 cells, on the other hand, have been shown to be associated with development of osteoarticular lesions in mice infected with Brucella spp., with IL-17 driving osteoclastogenesis (Giambartolomei et al., 2012). TH17 lymphocytes are also associated with autoimmune disorders and auto-antibody formation (Cornelius and Lamarca, 2014). The TH17 component of the response in canine dendritic cells, as suggested by Pujol et al. (2017), may reflect an increased susceptibility in this host and/or help to explain the incidence of osteoarticular lesions, particularly diskospondylitis, as well as antibody-mediated destruction of sperm in infected dogs (George and Carmichael, 1984; Pujol et al., 2019). Antibody-mediated attack on sperm is also a prominent feature of B. ovis infection in rams and the possible role of IL-17 remains to be explored in this species (Paolicchi et al., 2000). The association with IL-17 and disease in dogs infected with B. canis also warrants investigation. In addition to potential detrimental effects of IL-17 during Brucella infection, this cytokine appears to play some role in protective immunity early-on in the lungs following mucosal exposure (Mambres et al., 2016). The effect of IL-17 on defense against Brucella spp., smooth and rough, therefore appears to differ depending on the site of infection and deserves further study.
An additional host cell type that has been explored with B. canis infection is canine trophoblasts. Fernández et al. (2017) found that B. canis can infect and replicate within these cells or canine placental explants, causing no cytotoxicity but resulting in the secretion of IL-8 and RANTES (CCL5). Similar stimulation of IL-8 production has been seen in bovine placental explants, human trophoblasts, and human endometrial cell lines infected with B. abortus (Carvalho Neta et al., 2008; Fernández et al., 2016; Zavattieri et al., 2020). When the canine or human trophoblasts were exposed to culture supernatant from phagocytes infected with B. canis or B. abortus, the same stimulation of IL-8 was observed, suspected to be due to production of TNF-α by the phagocytes as has been shown to be the case in humans (Shimoya et al., 1999; Fernández et al., 2016, 2017). Increased IL-8 is expected to be responsible for drawing in neutrophils seen in the necrotizing placentitis characteristic in cases of infection with both B. canis in dogs or smooth Brucella spp. in their natural hosts (Fernández et al., 2017). Thus, it appears that both rough B. canis and the virulent smooth strains exhibit a similar pathogenesis in the female reproductive system in a still incompletely defined mechanism that is independent of O-PS. It remains to be seen how this cytokine induction compares with B. ovis, which is predominantly a pathogen of the male reproductive system with abortion being less common.
Infection in the Mouse Model
Unlike many rough mutants, B. ovis and B. canis are able to establish and maintain a chronic, systemic infection in mice with organ distribution typical of smooth strains (Jiménez de Bagüés et al., 1993; Silva et al., 2011; Sá et al., 2012; Chacón-Díaz et al., 2015; Stranahan et al., 2019). However, the dose required to do so appears to be higher, at least for B. canis. For infection of mice with smooth Brucella spp., a dose of 104–105 CFU is typically used, resulting in early colonization of the spleen and liver with persistence in the spleen typically lasting longer than 36 weeks (High et al., 2007; Grilló et al., 2012). However, infection with B. canis at this dose in a previous study resulted in sporadic levels of colonization in the spleen with clearance achieved by 9 weeks (Stranahan et al., 2019). Vaccine studies in mice have noted levels of colonization in the spleen similar to or higher than the inoculation dose of 5 × 104–5 × 105, although these studies only examined a single time point post-infection and the full picture of the course of infection is difficult to ascertain in these cases (Edmonds et al., 2002; Clausse et al., 2014; Qian et al., 2017). Regardless, what is clear is that both B. canis and B. ovis appear to be less proinflammatory in mice than their smooth counterparts although it must be noted that in their natural hosts, both natural rough Brucella spp. can induce significant inflammation in target organs, including the epididymis (Carmichael and Kenney, 1968; Ficapal et al., 1998).
Splenomegaly is a classic feature of smooth Brucella spp. infection in mice (Enright et al., 1990; Grilló et al., 2012). In contrast, B. canis at doses up to 107 CFU does not result in significant splenomegaly (Chacón-Díaz et al., 2015; Stranahan et al., 2019). This gross lesion may be induced at a high dose of 109 CFU, but even then, the effect is transient (Stranahan et al., 2019). Interestingly, B. ovis does consistently appear to result in splenomegaly (Silva et al., 2011). B. canis also produces less significant histologic lesions in target organs, including fewer microgranulomas in the liver and histiocytic infiltrates in the spleen, than smooth strains despite identical inoculation doses and levels of colonization (Chacón-Díaz et al., 2015; Stranahan et al., 2019). Unexpectedly, B. ovis is able to induce numerous microgranulomas in the liver at 106 CFU while such lesions are scarce in mice infected with the same dose of B. canis, emphasizing that while both rough, B. ovis and B. canis are by no means identical (Silva et al., 2011; Sá et al., 2012; Chacón-Díaz et al., 2015; Stranahan et al., 2019). In terms of cytokine induction in vivo, smooth strains are known to not cause significant induction of proinflammatory cytokines in mice (Barquero-Calvo et al., 2007). Nevertheless, both B. canis and B. ovis produce even lower amounts of such cytokines, including IFN-γ and IL-6, than smooth strains at the same dose (Sá et al., 2012; Chacón-Díaz et al., 2015). This is in contrast to the high levels of proinflammatory cytokines induced in vitro by rough mutants and it has been suggested, as mentioned above, that the lower levels induced by B. canis and B. ovis indicate that these strains exhibit an even stealthier intracellular life style (Rittig et al., 2003; Sá et al., 2012; Chacón-Díaz et al., 2015).
The distribution of B. ovis and B. canis to the spleen, liver, and lymph nodes in mice, as in their natural hosts, indicates that this laboratory animal can serve as a model for vaccine efficacy studies as it does for smooth strains (Carmichael and Kenney, 1968; Silva A. P. et al., 2015). Nevertheless, there are some limitations. For B. ovis, a significant cause of epididymitis in rams, one such deficiency is the lack of genital tropism or significant histologic lesions induced in the male reproductive system of mice (Silva et al., 2011). While B. canis is able to colonize the non-pregnant uterus of mice, it remains to be seen for both B. ovis and B. canis whether these natural rough strains can induce placentitis and fetal resorption noted with smooth strain infection in mice (Grilló et al., 2012).
The mouse model has been frequently employed to test vaccine candidates for B. ovis and less commonly for B. canis. For smooth strains, mice have been heavily utilized to investigate correlates of immune protection against infection, particularly in the context of vaccination. Such studies have established that control of smooth Brucella spp. infection is reliant on a strong TH1 immune response with IFN-γ representing the critical cytokine involved (Murphy et al., 2001; Baldwin and Goenka, 2006; Skendros and Boura, 2013). CD4+ and CD8+ T lymphocytes are the primary producers of IFN-γ in brucellosis and both appear to play key roles in the protective immune response, although the relative importance of each subset compared to the other remains controversial and appears to be influenced by route of infection and strain administered (Mambres et al., 2016; Pascual et al., 2019; Wang et al., 2020). For example, both CD4+ T lymphocytes and B lymphocytes are required to control infection with B. melitensis in mice following i.p. inoculation while only α/β T lymphocytes (either CD4+ or CD8+) are required for control following intranasal infection (Mambres et al., 2016; Demars et al., 2019). Comparatively little has been done to investigate the components of a protective immune response against the natural rough strains, particularly for B. canis. Nevertheless, protection against colonization induced by vaccination against both B. canis and B. ovis has been correlated with increased levels of IFN-γ production in mice (Cassataro et al., 2007b; Clausse et al., 2014; Eckstein et al., 2020; Moran et al., 2021). Additionally, as has been shown with B. melitensis and B. abortus, antibodies appear to play an important role in protection against B. ovis in mice (Jiménez de Bagüés et al., 1994; Bowden et al., 1995). Further investigation is required with the natural rough Brucella spp. to determine additional correlates of immune protection.
Vaccine Development for Rough Brucella spp.
While the vaccines B. abortus S19, B. abortus RB51, and B. melitensis Rev.1 are commercially available to protect against infection by smooth Brucella spp. in livestock, no such vaccines exist for use in dogs. In addition, the Rev.1 vaccine, although protective against B. ovis in sheep, is not approved for use in areas free of B. melitensis (Blasco and Díaz, 1993; Ridler and West, 2011). Three questions may be asked in terms of the much-needed vaccine development for rough B. ovis and B. canis: (1) Is a live attenuated or killed/subunit vaccine superior? (2) Is the immune response required to protect against natural roughs by vaccination the same as that required against smooth strains? (3) Does it matter if a live attenuated vaccine (LAV) to protect against the natural roughs is smooth or rough and will this impact cross-protection against smooth strains of Brucella in the vaccinated animal? The first question is still debated even for the smooth Brucella spp., although a preponderance of evidence from the natural host indicates that LAVs provide the greatest levels of protection against brucellosis due to their ability to generate more persistent memory responses (Ficht et al., 2009; Perkins et al., 2010). When comparing the protection indices of studies investigating vaccine candidates against B. ovis and B. canis, as measured by differences in log10 colonization of the spleen between vaccinated and unvaccinated animals, the picture is less clear (Tables 2, 3). Higher protection indices are typically noted for LAVs than for subunit vaccines, although there is frequent overlap and many instances in which protection afforded by subunit vaccines approaches or equals that offered by LAVs. Work with B. canis has highlighted that the choice of adjuvant can significantly impact the efficacy of a subunit vaccine (Clausse et al., 2014) and studies involving both natural rough strains have demonstrated improved protection of certain LAVs when given in an encapsulated form, as has been shown for smooth Brucella spp. (Ficht et al., 2009; Silva A. P. et al., 2015; Eckstein et al., 2020).
As for the components of a protective immune response against rough Brucella spp., what is so far known from research in mice, as indicated in the preceding section, appears to reflect what is observed for smooth strains. In the few vaccine studies which have examined it, IFN-γ is higher in stimulated splenocytes in groups of mice that exhibit greater levels of protection against both B. ovis and B. canis (Cassataro et al., 2005b, 2007b; Truong et al., 2015; Eckstein et al., 2020; Moran et al., 2021). There is also limited evidence that antibodies play a role in protection against B. ovis in vaccinated mice (Jiménez de Bagüés et al., 1994). For the natural dog and ovine hosts, a TH1 response also appears critical for protection. In dogs, the current understanding is that animals which achieve self-elimination of B. canis, at least to below the level of detection by culture, are immune to subsequent challenge secondary to a strong cell-mediated immune response (Carmichael and Greene, 2006; Cosford, 2018). In contrast, persistently infected dogs exhibit a stronger humoral immune response and these dogs that undergo treatment with antibiotics are fully susceptible to secondary challenge (Carmichael and Greene, 2006). For sheep, the relative importance of humoral immunity is less certain but TH1/cell-mediated responses with high levels of IFN-γ are associated with higher levels of protection against B. ovis in Rev.1- or subunit-vaccinated animals (Estein et al., 2009; Galindo et al., 2009).
While CD4+ T lymphocytes were long considered the most important source of IFN-γ in the response against brucellosis, several recent studies have indicated that CD8+ T lymphocytes may be equally or sometimes more important in mediating protection depending on the vaccine administered. For example, one study found that CD4+ T lymphocytes were required for protection against B. melitensis in mice following vaccination with RB51 while CD8+ T lymphocytes were required following vaccination with the candidate B. abortus znBAZ (Wang et al., 2020). Whether this is related to the rough phenotype of RB51 or separate properties of this LAV is uncertain. For the natural rough Brucella spp., such aspects of the immune response during vaccination have been little explored but also appear to be influenced by the type of vaccine. In work investigating the protective efficacy of Omp31 as a vaccine against B. ovis in mice, protection afforded by administration of the recombinant protein was mediated by CD4+ T lymphocytes while protection acquired through DNA coding for Omp31 was mediated mainly by CD8+ T lymphocytes (Cassataro et al., 2005a, b). It is clear that further work needs to be done to investigate components of a protective immune response against natural rough strains induced by vaccination, particularly for B. canis. An additional need is to perform these investigations using a natural, mucosal route of infection rather than the convenient but artificial intraperitoneal (i.p.) route. This concern has become apparent recently as studies with smooth Brucella spp. indicate that correlates of immune protection differ depending on route of infection, with B cells, for instance, being required for protection in mice following i.p. inoculation but being dispensable following intranasal infection (Mambres et al., 2016; Demars et al., 2019).
Finally, should a vaccine against B. ovis or B. canis be produced in a smooth or rough background and will this impact cross-protection against smooth strains? This question is critical as both sheep and dogs are susceptible to infection by smooth Brucella spp., including B. melitensis for sheep and B. suis for dogs (Pappas et al., 2006; Ramamoorthy et al., 2011). Unlike the vaccines S19 and Rev.1, RB51 is a stable rough vaccine. While its LPS phenotype putatively results in less interference with serologic assays, RB51 possesses the disadvantages of antibiotic resistance, virulence for humans, and decreased efficacy compared to S19 (Winter et al., 1996; Ficht et al., 2009). Interestingly, while RB51 provides protection against B. ovis in mice, it is not likewise effective in sheep (Jiménez de Bagüés et al., 1994, 1995). Of note, this study suggested through passive transfer that the protection afforded against B. ovis in mice was predominantly mediated by the humoral immune response while protection against B. abortus was mainly cell-mediated, although this protection was much lower than that afforded by the vaccine (Jiménez de Bagüés et al., 1994). RB51 is also able to provide similar levels of protection against B. canis and B. abortus in mice (Truong et al., 2015). Efficacy of RB51 in dogs is uncertain and although it is not shed in the urine or feces of vaccinated dogs, it can colonize various organs, including the placenta, which could serve as a source of infection to humans or other animals and therefore precludes its use in dogs (Palmer and Cheville, 1997).
The deficiencies of RB51 do not mean that rough vaccines cannot be protective against infection by Brucella spp., rough or smooth. RB51’s reduced efficacy against B. ovis and its smooth counterparts in the natural host may be associated with its attenuation and/or alterations to its outer membrane or LPS outside of its lack of O-PS. Several studies have demonstrated that targeted mutagenesis can produce rough vaccines that are superior in protection to RB51 and comparable to protection by S19 or Rev.1 in mice (Monreal et al., 2003Kahl-McDonagh and Ficht, 2006; Aragón-Aranda et al., 2020). One prominent finding is that for a rough vaccine to be effective, the core must be intact although lack of the aforementioned lateral side branch may actually enhance vaccine efficacy, presumably due to enhanced recognition of surface molecules in the absence of this “shield” (Monreal et al., 2003; Soler-Lloréns et al., 2014). Additionally, while some rough vaccine candidates are not as protective against smooth Brucella spp. as is S19 in mice, the difference may largely be accounted for by the activity of anti-O-PS antibodies, a component of the immune response that appears important in mice (depending on route of infection) but is of controversial significance in the natural hosts (Monreal et al., 2003). In B. ovis vaccine studies, the rough vaccine B. melitensis 115 (wzm mutation) provides similar levels of protection against both B. melitensis and B. ovis while B. ovis ΔabcBA affords comparable protection against B. melitensis, B. ovis, and B. canis (Adone et al., 2008; Costa et al., 2020; Eckstein et al., 2020). Nevertheless, some caveats must be pointed out. First, certain rough LAV candidates such as B. melitensis B115 still produce partial or complete O-PS that remains within the cytoplasm and the possibility that this internal O-PS assists in mediating protection cannot be ruled out. Second, some studies administered rough vaccine candidates at a higher dose than smooth candidates, as is the case with the recommended doses of RB51 vs. S19 in mice (108 CFU vs. 105 CFU) (Adone et al., 2008, 2011; Aragón-Aranda et al., 2020). Despite this, these studies, although still few in number, indicate that a rough vaccine has the potential to protect against both smooth and rough Brucella spp. and deserve further investigation. Advantages would include the oft-cited lack of interference with current serologic assays detecting anti-O-PS antibodies in addition to the possibility of producing an LAV on a background strain that is either non-zoonotic (B. ovis) or exhibits reduced virulence for humans (B. canis).
As is known for development of vaccines against smooth Brucella spp., there are limitations to the mouse model for development of B. ovis and B. canis vaccines and there is a significant need for more work in the natural hosts for these rough organisms, particularly B. canis. As mentioned above, RB51 is moderately protective against B. ovis in mice but has no efficacy in sheep likely due to as yet incompletely understood differences in the immune response and/or differences in challenge route utilized between these two hosts (Jiménez de Bagüés et al., 1994, 1995). On the other hand, certain vaccines such as B. ovisΔabcBA provide minimal protection in the mouse but are highly effective against experimental B. ovis infection in rams (Silva A. P. et al., 2015; Silva T. M. et al., 2015). Of additional concern, while Rev.1 can serve as a reference vaccine for comparison purposes in B. ovis vaccine studies, no such reference is available for B. canis.
Conspicuously lacking in O-PS, B. canis and B. ovis are virulent pathogens in their natural hosts that are able to recapitulate many of the properties and cellular interactions observed by their more famous smooth cousins. The lack of a vaccine for dogs and the recent rise in detection of B. canis infection along with the negative economic impact of B. ovis on sheep production necessitates a more thorough understanding of these rough organisms and their interactions with the host. Oftentimes in complete contrast to what occurs with rough mutants of smooth Brucella spp., these natural rough strains are able to evade and manipulate the host immune system by exhibiting low endotoxic activity, resisting destruction by complement and antimicrobial peptides, entering and trafficking within host cells along a similar pathway, and interfering with MHC-II antigen presentation. B. canis and B. ovis appear to have compensated for the loss of O-PS by alterations to their outer membrane, particularly in regards to Omps. Whether this loss also serves an evolutionary advantage, as it does for other rough Gram-negative bacteria such as Y. pestis, is uncertain although the lower proinflammatory profile induced in vitro and in mice is suggestive of an enhanced level of stealth that could allow these pathogens to persist for long periods of time undetected. Given the commonalities in behavior between natural rough and smooth Brucella spp., it is not surprising that the immune response required to achieve protection against either phenotype appears similar. Nevertheless, much additional work is required to understand the correlates of immune protection against the natural rough Brucella spp., both in the natural host and involving mucosal routes of infection. Finally, the mouse model is useful in supporting the continued search for a vaccine against B. canis and evidence so far points to the superior protection of LAVs. Despite RB51’s reduced efficacy compared to S19 and Rev.1, there is evidence that a rough vaccine could serve to protect sheep and dogs against not only B. ovis and B. canis, but against smooth strains as well.
LS and AA-G contributed to the conception of the review. LS drafted the manuscript. Both authors reviewed and approved the manuscript.
Stipend support for LS was provided by the National Institutes of Health Institutional Training Grant T32 fellowship 5OD 11083-11.
Conflict of Interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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Keywords: Brucella, lipopolysaccharides (LPS), O-polysaccharide, vaccine, bacteria, Gram-negative, host–pathogen interaction, LPS
Citation: Stranahan LW and Arenas-Gamboa AM (2021) When the Going Gets Rough: The Significance of Brucella Lipopolysaccharide Phenotype in Host–Pathogen Interactions. Front. Microbiol. 12:713157. doi: 10.3389/fmicb.2021.713157
Received: 21 May 2021; Accepted: 22 June 2021;
Published: 15 July 2021.
Edited by:Caterina Guzmán-Verri, National University of Costa Rica, Costa Rica
Reviewed by:Pablo C. Baldi, University of Buenos Aires, Argentina
Martha Olivera, University of Antioquia, Colombia
Nieves Vizcaino, University of Salamanca, Spain
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