CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES >
Imvolvement of placental neutrophils and IL-17 in adverse pregnancy outcome caused by Toxoplasma gondii infection in pregnant mice
Received date: 2023-07-31
Revised date: 2023-09-20
Online published: 2024-03-12
Supported by
Shandong Natural Science Foundation(ZR2020MH304);Shandong Province Medical and Health Science and Technology Development Plan Project(202002070851)
Objective To explore the mechanism of placental neutrophils and IL-17 in adverse pregnancy outcomes of pregnant mice infected with Toxoplasma gondii. Methods C57BL/6 pregnant mice were randomly divided into uninfected group and infected group. Each mouse in the infected group was intraperitoneally injected with 0.2 ml suspension of T. gondii RH strain (about 400 tachyzoites per mouse) on day 8 of gestation. The mice in the uninfected group were intraperitoneally injected with the same amount of sterilized PBS on day 8 of gestation. On day 14 of gestation, the two groups of mice were euthanized by cervical vertebra dislocation to inspect by dissection and record the pregnancy outcome. The placental tissue were sampled to prepare paraffin sections for observing histological changes and infiltration of polymorphonuclear grannulocyes by hematein-eosin (HE) staining to calculate the infiltration index. Additional placental tissues were collected to prepare single-cell suspension, with which the percentages of neutrophils in the placental immune cells were detected by flow cytometry. Immunohistochemical staining was used to detect the distribution and localization of T. gondii and IL-17 expression level (gray value). Spearman correlation analysis was used to analyze the relationship between the IL-17 expression and neutrophil infiltration index. Data between two groups were compared using independent sample Student’s t-test. Results Compared with the uninfected group, the infected group showed significant bleeding and congestion in fetal mice and placenta, fetal dysplasia. The abortion rate in the infected group was 82.35% (42/51), which was higher than that in the uninfected group 4.08% (2/49) (t = 7.683, P < 0.01). HE staining showed that the placental tissue of pregnant mice infected with T. gondii had enhanced hepatocellular contour and was accompanied by a large number of polymorphonuclear granulocytic infiltration. The infiltration index was 14.500 ± 0.965, which was significantly higher than that of the uninfected group (3.917 ± 0.633) (t = 9.168, P < 0.01). Flow cytometryanalysis showed that the percentage of neutrophils in placental cells in the infected group was (13.700 ± 1.790)%, which was significantly higher than that in the uninfected group (4.783 ± 0.723)% (t = 5.107, P < 0.01). Immunohistochemical staining analysis showed that a large number of T. gondii could be detected in the placental tissue and mainly concentrated in neutrophils. The IL-17 intensity in the placenta tissue of the infected pregnant mice (17.510 ± 1.372) was significantly higher than that of uninfected pregnant mice (8.178 ± 1.293) (t = 4.951, P < 0.05). Correlation analysis showed that the expression level of IL-17 in the placenta was positively correlated with the degree of neutrophil infiltration (R2 = 0.652, P < 0.01). Conclusion T. gondii infection can lead to a significant infiltration of large number of neutrophils and a high level of IL-17 expression in the placenta tisseus of pregnant mice. The elevated expression level of IL-17 may relate to the recruitment of neutrophils at the maternal-fetal interface.
ZHENG Guangfu , LIU Xianbing , JIANG Yuzhu , LI Xinyu , HU Xuemei , ZHANG Haixia . Imvolvement of placental neutrophils and IL-17 in adverse pregnancy outcome caused by Toxoplasma gondii infection in pregnant mice[J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2024 , 42(1) : 48 -54 . DOI: 10.12140/j.issn.1000-7423.2024.01.007
| [1] | Tenter AM, Heckeroth AR, Weiss LM. Toxoplasma gondii: from animals to humans[J]. Int J Parasitol, 2000, 30(12/13): 1217-1258. |
| [2] | Wang ZD, Liu HH, Ma ZX, et al. Toxoplasma gondii infection in immunocompromised patients: a systematic review and meta-analysis[J]. Front Microbiol, 2017, 8:389. |
| [3] | Veenstra van Nieuwenhoven AL, Heineman MJ, Faas MM. The immunology of successful pregnancy[J]. Hum Reprod Update, 2003, 9(4): 347-357. |
| [4] | Pappas G, Roussos N, Falagas ME. Toxoplasmosis snapshots: global status of Toxoplasma gondii seroprevalence and implications for pregnancy and congenital toxoplasmosis[J]. Int J Parasitol, 2009, 39(12): 1385-1394. |
| [5] | Pan M, Lyu CC, Zhao JL, et al. Sixty years (1957—2017) of research on toxoplasmosis in China: an overview[J]. Front Microbiol, 2017, 8: 1825. |
| [6] | Rowe JH, Ertelt JM, Xin LJ, et al. Regulatory T cells and the immune pathogenesis of prenatal infection[J]. Reproduction, 2013, 146(6): R191-R203. |
| [7] | Zhao SJ, Muyayalo KP, Luo J, et al. Next generation of immune checkpoint molecules in maternal-fetal immunity[J]. Immunol Rev, 2022, 308(1): 40-54. |
| [8] | Robbins JR, Bakardjiev AI. Pathogens and the placental fortress[J]. Curr Opin Microbiol, 2012, 15(1): 36-43. |
| [9] | Yarovinsky F. Innate immunity to Toxoplasma gondii infection[J]. Nat Rev Immunol, 2014, 14(2): 109-121. |
| [10] | Burn GL, Foti A, Marsman G, et al. The neutrophil[J]. Immunity, 2021, 54(7): 1377-1391. |
| [11] | Bliss SK, Gavrilescu LC, Alcaraz A, et al. Neutrophil depletion during Toxoplasma gondii infection leads to impaired immunity and lethal systemic pathology[J]. Infect Immun, 2001, 69(8): 4898-4905. |
| [12] | Giaglis S, Stoikou M, Sur Chowdhury C, et al. Multimodal regulation of NET formation in pregnancy: progesterone antagonizes the pro-NETotic effect of estrogen and G-CSF[J]. Front Immunol, 2016, 7:565. |
| [13] | Girardi G, Berman J, Redecha P, et al. Complement C5a receptors and neutrophils mediate fetal injury in the antiphospholipid syndrome[J]. J Clin Invest, 2003, 112(11): 1644-1654. |
| [14] | Giaglis S, Stoikou M, Grimolizzi F, et al. Neutrophil migration into the placenta: good, bad or deadly?[J]. Cell Adh Migr, 2016, 10(1/2): 208-225. |
| [15] | Kelly MN, Kolls JK, Happel K, et al. Interleukin-17/interleukin-17 receptor-mediated signaling is important for generation of an optimal polymorphonuclear response against Toxoplasma gondii infection[J]. Infect Immun, 2005, 73(1): 617-621. |
| [16] | Nakashima A, Ito M, Shima T, et al. Accumulation of IL-17-positive cells in decidua of inevitable abortion cases[J]. Am J Reprod Immunol, 2010, 64(1):4-11. |
| [17] | Zhang HX, Hu XM, Liu XB, et al. The Treg/Th17 imbalance in Toxoplasma gondii-infected pregnant mice[J]. Am J Reprod Immunol, 2012, 67(2): 112-121. |
| [18] | Denison FC, Roberts KA, Barr SM, et al. Obesity, pregnancy, inflammation, and vascular function[J]. Reproduction, 2010, 140(3): 373-385. |
| [19] | Goldstein JA, Gallagher K, Beck C, et al. Maternal-fetal inflammation in the placenta and the developmental origins of health and disease[J]. Front Immunol, 2020, 11: 531543. |
| [20] | Xue CL. Diagnosis, treatment and prevention of Toxoplasma gondii infection during pregnancy[J]. Chin J Parasitol Parasit Dis, 2000, 18(1): 55-57. (in Chinese) |
| (薛纯良. 孕期弓形虫感染的诊断、治疗和预防[J]. 中国寄生虫学与寄生虫病杂志, 2000, 18(1): 55-57.) | |
| [21] | Jiang SS, Yang HY, Jin N, et al. Relationship between TGF-β1/Smad3 signaling pathway and adverse pregnancy outcomes caused by Toxoplasma gondii infection[J]. Chin J Nosocomiol, 2023, 33(13): 2042-2046. (in Chinese) |
| (姜姗姗, 杨洪艳, 金男, 等. TGF-β1/Smad3信号通路与弓形虫感染孕妇不良妊娠结局的关系[J]. 中华医院感染学杂志, 2023, 33(13): 2042-2046.) | |
| [22] | Kim CJ, Romero R, Chaemsaithong P, et al. Acute chorioamnionitis and funisitis: definition, pathologic features, and clinical significance[J]. Am J Obstet Gynecol, 2015, 213(4 Suppl): S29-S52. |
| [23] | Zhong H, Jin XL, Jiang YF, et al. Expression of immune cells in placenta of pregnant women with pregnancy induced hypertension and its relationship with adverse pregnancy outcome[J]. J N Sichuan Med Coll, 2023, 38(3): 354-357. (in Chinese) |
| (钟辉, 晋兴林, 蒋玉芬, 等. 妊娠高血压综合征产妇胎盘组织中免疫细胞表达水平及其与不良妊娠结局的相关性[J]. 川北医学院学报, 2023, 38(3): 354-357.) | |
| [24] | Ander SE, Diamond MS, Coyne CB. Immune responses at the maternal-fetal interface[J]. Sci Immunol, 2019, 4(31): eaat6114. |
| [25] | Chaturvedi V, Ertelt JM, Jiang TT, et al. CXCR3 blockade protects against Listeria monocytogenes infection-induced fetal wastage[J]. J Clin Invest, 2015, 125(4): 1713-1725. |
| [26] | Aluvihare VR, Kallikourdis M, Betz AG. Regulatory T cells mediate maternal tolerance to the fetus[J]. Nat Immunol, 2004, 5(3): 266-271. |
| [27] | Collins MK, Tay CS, Erlebacher A. Dendritic cell entrapment within the pregnant uterus inhibits immune surveillance of the maternal/fetal interface in mice[J]. J Clin Invest, 2009, 119(7): 2062-2073. |
| [28] | Chtanova T, Schaeffer M, Han SJ, et al. Dynamics of neutrophil migration in lymphnodesduring infection[J]. Immunity, 2008, 29(3): 487-496. |
| [29] | Miranda FJB, Rocha BC, Pereira MCA, et al. Toxoplasma gondii-induced neutrophil extracellular traps amplify the innate and adaptive response[J]. mBio, 2021, 12(5): e0130721. |
| [30] | Nakashima A, Ito M, Yoneda S, et al. Circulating and decidual Th17 cell levels in healthy pregnancy[J]. Am J Reprod Immunol, 2010, 63(2): 104-109. |
| [31] | Pongcharoen S, Niumsup P, Sanguansermsri D, et al. The effect of interleukin-17 on the proliferation and invasion of JEG-3 human choriocarcinoma cells[J]. Am J Reprod Immunol, 2006, 55(4): 291-300. |
/
| 〈 |
|
〉 |