Introduction
Toxoplasma gondii is an opportunistic pathogen and the causative agent of toxoplasmosis, a disease associated with congenital neurological abnormalities, and which can be life-threatening to immunocompromised patients. Infection by T. gondii can also cause blindness or partial vision loss (Montoya and Liesenfeld, Reference Montoya and Liesenfeld2004).
T oxoplasma gondii is able to infect all nucleated cells from warm-blooded animals, and the parasite is adapted to intracellular life. In the acute stage of infection, parasites actively invade host cells and establish a PV, where the tachyzoite forms replicate by endodiogeny (Sheffield and Melton, Reference Sheffield and Melton1968; Dubey et al. Reference Dubey, Lindsay and Speer1998). After several rounds of replication, tachyzoites egress from host cells, causing cell lysis, and restart the lytic cycle in neighbouring cells (Blader et al. Reference Blader, Coleman, Chen and Gubbels2015), causing tissue destruction and disease pathology. In the acute stage of infection, an interferon-γ-mediated immune response triggers the conversion of tachyzoites into bradyzoites, the slow-diving, chronic disease forms that reside in modified PVs called tissue cysts (Suzuki et al. Reference Suzuki, Orellana, Schreiber and Remington1988; Sullivan and Jeffers, Reference Sullivan and Jeffers2012). These resistant modified PVs preferably locate in cells from the central nervous system and skeletal muscle cells, ‘immune-shielded’ tissues where bradyzoites remain hidden and protected from destruction by immune response mechanisms, during chronic infection (Weiss and Kim, Reference Weiss and Kim2000).
The process of tachyzoite to bradyzoite conversion (also referred to as cystogenesis) is a remarkable event in T. gondii biology, and allows parasite persistence throughout the lifespan of intermediate hosts, as well as ‘silent’ parasite transmission between intermediate hosts (Sullivan and Jeffers, Reference Sullivan and Jeffers2012). The cyst is delimited by a cyst wall that represents a remnant of the parasitophorous vacuole membrane (PVM), which becomes convoluted and thicker because of the highly glycosylated proteins that accumulate in the internal face of the PVM (Ferguson and Hutchison, Reference Ferguson and Hutchison1987; Zhang et al. Reference Zhang, Halonen, Ma, Wittner, Weiss and Mmun2001; Lemgruber et al. Reference Lemgruber, Lupetti, Martins-Duarte, De Souza and Vommaro2011; Tomita et al. Reference Tomita, Bzik, Ma, Fox, Markillie, Taylor, Kim and Weiss2013).
T oxoplasma gondii is auxotrophic for several nutrients, including cholesterol, purines and tryptophan, which must be obtained from the host cell (Coppens, Reference Coppens2014).While the PV provides a perfect environment for parasite proliferation and avoidance of host immune responses, it is also a barrier for nutrient harvesting by the parasite. Tachyzoites are able to ingest and digest host-derived proteins (Dou et al. Reference Dou, Mcgovern, Di Cristina, Cristina and Carruthers2014), and the PVM is permeable to molecules of up to 1·9 kDa (Schwab et al. Reference Schwab, Beckers and Joiner1994; de Souza and Attias, Reference de Souza and Attias2015). The dense granule proteins GRA 17 and GRA 23 are secreted by the tachyzoites and mediate the exchange of small molecules between T. gondii and the host cell cytoplasm, forming pores in the PVM (Gold et al. Reference Gold, Kaplan, Lis, Bett, Rosowski, Cirelli, Hakimi, Rasmusson and Saeij2015). Also, tachyzoite infection is characterized by clear host cell organelle repositioning aimed at diverting host cell nutrients to the PV (Romano and Coppens, Reference Romano and Coppens2013).
As soon as the tachyzoite invades a host cell, the non-fusogenic PV migrates to the perinuclear region (Wang et al. Reference Wang, Weiss and Orlofsky2010), and the centrosomes are pulled to the vicinity of the PV (Walker et al. Reference Walker, Hjort, Smith, Tripathi, Hornick, Hinchcliffe, Archer and Hager2008), leading to a global reorganization/recruitment of host cell structures (including microtubules, mitochondria, the endoplasmic reticulum, the Golgi complex and lysosomes) around the PV (Sinai et al. Reference Sinai, Webster and Joiner1997; Magno et al. Reference Magno, Straker, de Souza and Attias2005; Coppens et al. Reference Coppens, Dunn, Romano, Pypaert, Zhang, Boothroyd and Joiner2006; Pernas et al. Reference Pernas, Adomako-Ankomah, Shastri, Ewald, Treeck, Boyle and Boothroyd2014). Later, mitochondrial profiles and ER tubules can be seen around the PV, and in close contact with the PVM, although the association of mitochondria with the PVM is dependent on the parasite strain (Pernas et al. Reference Pernas, Adomako-Ankomah, Shastri, Ewald, Treeck, Boyle and Boothroyd2014). Importantly, tachyzoites divert host cell lysosomal content (LDL) to the PV by vesicular transport dependent on host microtubules, which are inserted into the PV and governed by the secreted Toxoplasma protein GRA7 (Coppens et al. Reference Coppens, Dunn, Romano, Pypaert, Zhang, Boothroyd and Joiner2006). Furthermore, the parasite scavenges sphingolipids from the host Golgi complex, by sequestering Golgi-derived Rab vesicles (Romano et al. Reference Romano, Sonda, Bergbower, Smith and Coppens2013).
Comparatively less is known about the interaction of T. gondii cysts with the host cell cytoplasm, and the host cell architecture during and after cyst formation has not been studied in detail. While a proportion of parasites within cysts remain in the G0 stage (White et al. Reference White, Radke and Radke2014), the cyst grows with time, because some cysts continue to divide at a slow rate (Watts et al. Reference Watts, Zhao, Dhara, Eller, Patwardhan and Sinai2015). Also, bradyzoites can spread the infection to neighbouring cells in vitro (Dzierszinski et al. Reference Dzierszinski, Nishi, Ouko and Roos2004), without total cell wall rupture (Dzierszinski et al. Reference Dzierszinski, Nishi, Ouko and Roos2004). These data indicate that cysts are metabolically active, and are likely to scavenge nutrients from the host cell. However, survival within the strengthened cyst wall, which guarantees long-term infection persistency (Ferguson and Hutchison, Reference Ferguson and Hutchison1987), also represents a considerable barrier to the diversion of host resources to the cyst. During cyst infection, our group showed that cysts possess a size-selective permeability to molecules of up to 10 kDa (Lemgruber et al. Reference Lemgruber, Lupetti, Martins-Duarte, De Souza and Vommaro2011). Also, cationic markers adhere to the cyst wall membrane are able to reach the cyst lumen (Guimarães et al. Reference Guimarães, Acquarone, de Carvalho and Barbosa2007).
Given that cysts appear to be metabolically active and are capable of molecular interchange with the host cell cytoplasm, we hypothesized that the scavenging of host molecules continues during cyst formation, and in chronic infection. To examine this hypothesis, we studied the positioning of host cell structures/organelles in chronically infected cells in vitro, using the EGS strain. Previously, we described that this T. gondii hybrid strain has a high ratio of spontaneous cystogenesis in cell culture (Paredes-Santos et al. Reference Paredes-Santos, Martins-Duarte, Vitor, de Souza, Attias and Vommaro2013), representing a valuable tool to study different aspects of the gradual conversion of PVs (containing tachyzoites) into cysts (containing bradyzoites) in vitro, while avoiding the artefacts of stress-induced cystogenesis protocols (Paredes-Santos et al. Reference Paredes-Santos, Martins-Duarte, Vitor, de Souza, Attias and Vommaro2013, Reference Paredes-Santos, Tomita, Yan Fen, de Souza, Attias, Vommaro and Weiss2016).
We present here a detailed view of organelle repositioning in cells with cysts, by combining a variety of light and electron microscopy techniques, including immunofluorescence, live cell imaging, super-resolution structured illumination (SR-SIM) imaging and electron microscopy (conventional thin-sections and tomography). In addition, we used endocytosis assays to visualize nutrient uptake by cysts in the intracellular environment. Our data show that T. gondii cyst formation and intracellular maintenance involve specific changes in the cytoplasmic organization of infected host cells. These changes are likely to fulfil specific requirements for nutrient uptake mechanisms in the chronic stage of infection, which may be different from those in the acute (tachyzoite-based) stage.
Methodology
Ethics statement
This study was approved by the Ethics Committee for Animal Experimentation of the Health Sciences Centre, Federal University of Rio de Janeiro (Protocol numbers IBCCF 099/100). All animals received humane care in compliance with the ‘Principles of Laboratory Animal Care’ formulated by the National Society for Medical Research (USA) and the ‘Guide for the Care and Use of Laboratory Animals’, prepared by the National Academy of Sciences (USA).
Host cells
LLC-MK2 cells (ATCC© # CCL-7) (epithelial kidney cells from Macaca mullata) and human foreskin fibroblasts (HFF; ATCC© # SCRC-1041™) were used in infection assays. Cells were maintained in RPMI (LLC-MK2) and DEMEM High Glucose (HFF) media (both from Invitrogen) supplemented with 2 mm L-glutamin, 10% FBS and 2 mg mL−1 penicillin/streptomycin (Invitrogen).
Maintenance of cyst reservoirs in vivo
The following Toxoplasma gondii strains were used in this study: wild-type EGS (Vieira et al. Reference Vieira, Vidigal, Vítor, Santos, Castro and César2002; Ferreira et al. Reference Ferreira, Vitor, Gazzinelli and Melo2006) and Bag1-EGFP (Bgreen strain; also in the EGS background) (Paredes-Santos et al. Reference Paredes-Santos, Tomita, Yan Fen, de Souza, Attias, Vommaro and Weiss2016). To preserve the ability for high-rate spontaneous cyst formation, typical of the EGS strain, bradyzoites were maintained as a cyst reservoir in infected mice, and every 60 days a fresh batch of bradyzoites, isolated from infected brain tissue, was used to infect LLC-MK2 cells. The parasites used in all spontaneous cystogenesis experiments were obtained from the supernatant of routinely infected LLC-MK2 cultures (see the section ‘Parasite maintenance in vitro’).
The cyst reservoir was maintained by serial passages in chronically infected Swiss mice. Cysts obtained from the brain of previously infected animals were administered to uninfected animals by oral gavage (50 cysts/animal). The symptoms/effects of the acute phase of infection by EGS were controlled by treating infected animals with 0·5 mg mL−1 of sulfadiazine (Sigma-Aldrich, St. Louis, USA) in the drinking water, from 48 h post infection, and for the following 10 days. Chronically infected animals were maintained for 50 days, and then humanely euthanized, after which infected brains were collected for bradyzoites isolation from tissue cysts, as described below. A total of 15 animals were used in this study.
Bradyzoite isolation from mouse brain tissue cysts
The isolation of cysts from infected brains was performed as described previously (Freyre, Reference Freyre1995). Briefly, brains were homogenized in Hanks solution (Sigma-Aldrich, St. Louis, USA) by repeated passage through 18–25 Gauge needles. Afterwards, samples were centrifuged at 400 g for 10 min, the pellet was resuspended in 25% (w/v) Dextran 150 000 kDa (Sigma-Aldrich, St. Louis, USA) in Hanks, and samples were centrifuged at 2200 g for 10 min. The final pellet, containing cysts, was washed 3 times in phosphate buffered saline (PBS), to remove the dextran and then resuspended in RPMI and were used immediately for bradyzoite isolation.
To obtain viable bradyzoites from isolated tissue cysts (Popiel et al. Reference Popiel, Gold and Booth1996), the cyst wall was digested by adding pepsin digestive fluid (0·01% pepsin, 1% NaCl and 0·28% HCl in distilled water) diluted to 1:5 in PBS, and the suspension was incubated for 2 min at 37 °C. Digestion was stopped by placing tubes on ice and adding 1% sodium carbonate in water, followed by dilution in RPMI medium and centrifugation at 2200 g for 10 min. The pellet, containing viable bradyzoites, was resuspended in RPMI and used for infection of LLC-MK2.
Parasite maintenance in vitro
Bradyzoites isolated from brain tissue cysts as described above were used to infect confluent monolayers of LLC-MK2 cells (at a ratio of 10:1 parasites per cell). Infected LLC-MK2 cultures were passaged by trypsinization, and kept for a maximum of 60 days. To avoid monolayer disruption by the presence of free tachyzoites, the medium was changed every 48 h and free tachyzoites were removed. The parasite population found in the supernatant of infected LLC-MK2 cultures – which typically consists of ~97% tachyzoites and ~3% bradyzoites (Paredes-Santos et al. Reference Paredes-Santos, Martins-Duarte, Vitor, de Souza, Attias and Vommaro2013) – was used in all spontaneous cystogenesis experiments.
Spontaneous cystogenesis
For spontaneous cyst formation in vitro, parasites collected from the supernatant of previously infected LLC-MK2 monolayers were used to infect LLC-MK2 or HFF cells (at 90% confluency), at a multiplicity of infection of 5:1. LLC-MK2 or HFF host cells were chosen for each assay depending on specific technical requirements (such as the availability of species-specific antibodies). Infected cells were kept for 96 h at 37 °C (with 5% CO2), to establish the bradyzoite infection, and then processed for transmission electron microscopy (TEM) or immunofluorescence assays (IFA), as described below.
Drug treatments
Drug treatments on infected cells subjected to spontaneous cystogenesis were initiated 24 h post-infection, to avoid detrimental effects of drugs on invasion or infection establishment. Treatments lasted for 72 h (completing the 96 h chronic infection period), and samples were then examined by IFA (as described below). The following drug treatments were used in this study: 100 nm Paclitaxel-taxol (Sigma-Aldrich, St. Louis, USA) 2 µg mL−1 tunicamincin-A (Sigma-Aldrich, St. Louis, USA), and 2·5 µ m brefeldin-A (Sigma-Aldrich, St. Louis, USA) at. Controls with vehicle DMSO were performed. The MTS assay (AbCam) was used to determine the optimal drug concentrations that had minimal effect on cell viability, for the duration of the assays (not shown).
Immunofluorescence assays
Chronically infected cells adhered to Labtek™ (Thermo Fisher) slides were fixed for 20 min at room temperature with 4% formaldehyde (freshly prepared) diluted in PBS (2). Then samples were permeabilized with 0·5% Triton X-100 (in PBS) for 20 min; alternatively, samples were permeabilized with 0·02% Saponin (Sigma) (w/v), diluted in ‘blocking buffer’, for the localization of endolysosomal vesicles (i.e. for probing with anti-EEA1 and anti-Rab7, anti-Rab11, anti-LAMP1). After permeabilization, all samples were incubated in ‘blocking buffer’ (PBS, pH 7·3, containing 1·5% bovine serum albumin and 0·5% of cold water fish gelatin, both from Sigma) for 1 h at room temperature.
Then, samples were incubated, for 1 h, at room temperature, with the following probes (alone or in combination, and diluted in blocking buffer): anti-CST-1 mAb (kindly provided by Dr Louis M. Weiss) or 0·01 mg mL−1 Dolichos biflorus agglutin (DBA) conjugated with FITC or TRITC (VectorLab), to detect the cyst wall; phalloidin-Alexa 546 (Invitrogen, cat no A22283; used according to the manufacturer's recommendations); anti-α−tubulin mAb (Sigma, cat no T5168; dilution 1:200), anti-vimentin pAb (Cell Signalling, cat no D21H3, dilution 1:100), anti-PDI pAb (Sigma, cat noP7372; dilution 1:100), anti-COX IV pAb (Cell Signalling, cat no 3E11; dilution 1:100), anti-RCSA1 pAb (Cell Signalling, cat no D2B6N; dilution 1:100), anti-EEA1 pAb (Cell Signalling, cat no2411S; dilution 1:100), anti-Rab7 pAb (Cell Signalling, cat no D95F2; dilution 1:100), anti-Rab11 pAb (Cell Signalling, cat no D4F5; dilution 1:100), anti-LAMP1 pAb (Cell Signalling, cat no D2D11; dilution 1:100).
Samples were incubated with secondary antibodies conjugated with Alexa 488, 546 or 633 (Molecular Probes), at a 1:500 dilution. Controls were performed by omitting the primary labelling step. Then, coverslips were incubated with 0·5 µg mL−1 Hoechst 33342 (ThermoFisher, Cat. no. H1399) for 10 min. Coverslips were then mounted onto slides using Prolong Gold Antifade (Invitrogen). Samples were imaged in a Leica DMI 6000 epifluorescence microscope, and in a Leica SP3 laser scanning confocal microscope.
Endocytosis assays
Chronically infected cells (see the section ‘Spontaneous cystogenesis’) and uninfected monolayers were subjected to fasting for 30 min (at 37 °C, in RPMI medium without FBS), and then incubated (for up to 1 h, at 37 °C and 5% CO2) in the same medium containing one of the following endocytic tracers (diluted to 1:10): Transferrin conjugated to 10-nm gold (Tf-Au) or horseradish peroxidase (HRP-Sigma) was used as fluid-phase tracer at a final concentration of 1 mg mL−1 in culture medium, for electron microscopy imaging; and transferrin-Alexa 994 (Invitrogen®) or Albumin-Alexa 594, for detection by fluorescence microscopy. After the incubation with tracers, cells were fixed and processed for TEM (as described below) or imaged by fluorescence microscopy (as described in the section ‘Immunofluorescence assays’).
3-3′-diaminobenzidine (DAB) cytochemistry
For DAB cytochemistry, cells that had taken up HRP as described above were incubated in a solution containing 0·5 mg mL−1 DAB (Sigma) in Tris-HCl buffer, pH7·6, for 15 min (in the dark, and at RT). Then, H2O2 was added to a final concentration of 0·03% (v/v), and samples were incubated for a further 15 min in the same conditions. After that, samples were washed in the same buffer and processed for TEM or optical microscopy, as described in other section (see the sections Transmission electron microscopy and Endocytosis assays sections).
Live cell imaging
Chronically infected cells (see the section ‘Spontaneous cystogenesis’) on 35-mm Matek dishes were incubated for 1 h at 37 °C with Lysotracker RED (ThermoFisher), washed with PBS and then imaged for a total of 3 h (at 5-min intervals) in a Zeiss Axio observer microscope (at 37 °C and 5% CO2). The Image J software was used for image analysis.
Super-resolution structured illumination microscopy
Samples prepared for immunofluorescence as described above were subjected to SR-SIM in an ELYRA S.1 microscope (Carl Zeiss Microimaging), equipped with a 488-nm laser (100 mW), a 61-nm laser (100 mW) and an Andor EM-CCD camera (iXon DU 885). Thin (0·1 mm) Z-stacks of high-resolution image frames were collected in 5 rotations by utilizing an alpha Plan-Apochromat 63×/1·46 oil DIC M27ELYRA objective. Images were reconstructed using a structured illumination algorithm in the ZEN software (blackedition, 2011, version 7.04.287).
Transmission electron microscopy
LLC-MK2 monolayers infected as described above (see the section ‘Spontaneous cystogenesis’) were processed for TEM in situ (i.e. in the culture flasks), as described previously (Magno et al. Reference Magno, Straker, de Souza and Attias2005), to maintain the orientation/arrangement of the cells and cysts. Briefly, samples were washed with PBS, fixed overnight (at 4 °C) with 2·5% glutaraldehyde in 0·1 m cacodylate buffer (pH 7·2), rinsed in the fixation buffer and post-fixed in 1% osmium tetroxide and 1·25% of potassium ferrocyanide in 0·1 m sodium cacodylate buffer (pH 7·2). Then, samples were dehydrated in series of ethanol solutions from 50% to 100% (for 10 min in each step), and embedded in Embed 812 (Electron Microscope Science) resin. Ultrathin sections were cut en face and stained with 5% uranyl acetate and lead citrate, then observed in a Zeiss EM900 transmission electron microscope.
The number of mitochondrial profiles associated (i.e. mitochondrial profiles attached to the PVM or cyst membrane) with the membrane of the PV or cyst was quantified from 15 000×-magnification TEM images of a total of 77 LLC-MK2 cells with both cysts and PVs, from 3 independent experiments. We calculated the percentage of PV or cysts with mitochondria-associated and the number of profiles associated with each PV or cyst.
Electron microscopy tomography (ET)
For ET, semi-thin sections (200–250 nm) of samples embedded for TEM as described above were subjected to the second round of post-sectioning contrast with uranyl acetate and lead citrate, and imaged without fiducial markers. Images were taken at 200 kV, in a Tecnai 20 LaB6-FEI transmission electron microscope equipped with a CCD Temcam F214 camera (TVIPS GmbH), with an increment of 1° between images, and a tilt range from −60 to +60 for single axis tomography. Sections were pre-irradiated (for 2 min) to avoid shrinking effects during recording. Automated data acquisition of the tilt series was carried out using Xplore 3D (FEI Company). Tomograms were computed for each tilt axis using the R-weighted back-projection algorithm and combined into one double-tilt tomogram using eTomo (Kremer et al. Reference Kremer, Mastronarde and McIntosh1995).
The proximity between mitochondria (outer membrane) and the membrane of the PV or cyst was measured using 3 different ET samples of cells infected with PVs and cysts (both mature and immature). The software IMOD was used to determine the shortest distances between membranes, in 3D volumes of tomograms from 200-nm sections.
Results
Host cell microtubules and intermediate filaments (but not microfilaments) form a ‘cage’ around cysts
The intracellular survival of T. gondii tachyzoites involves the diversion of cellular resources to the PV, associated with the global restructuring of the host cell architecture (Romano and Coppens, Reference Romano and Coppens2013). In contrast, the architecture of host cells infected with T. gondii bradyzoites has not been described, although bradyzoites (the chronic infection forms found within cysts) appear to be metabolically active (Watts et al. Reference Watts, Zhao, Dhara, Eller, Patwardhan and Sinai2015), and cysts are likely to mobilize cellular resources to maintain chronic infection.
To analyse the organization of cytoplasmic components around T. gondii cysts, we infected LLC-MK2 and HFF cells with T. gondii tachyzoites and analysed infected cells 96 h post-infection (henceforth referred to as ‘bradyzoite’ infection), when cyst formation is observed in ~40% of cells infected with the EGS strain (Paredes-Santos et al. Reference Paredes-Santos, Martins-Duarte, Vitor, de Souza, Attias and Vommaro2013). Due to the spontaneity of the PV-to-cyst conversion in the EGS strain, bradyzoite infected monolayers had mixed infection with PVs and cysts (typically at 40 and 60% per cell, respectively; Paredes-Santos et al. Reference Paredes-Santos, Martins-Duarte, Vitor, de Souza, Attias and Vommaro2013), allowing the comparison between acute (PV-associated) and in vitro chronic stage (cyst-associated) local cytoplasmic reorganization, within the same cell. As well as the wild-type EGS strain, we also used EGS parasites stably expressing the bradyzoite antigen BAG-1 tagged with GFP (Bgreen strain; Paredes-Santos et al. Reference Paredes-Santos, Tomita, Yan Fen, de Souza, Attias, Vommaro and Weiss2016), to allow cysts, containing green bradyzoites, to be clearly distinguished from PVs, containing tachyzoites.
Initially, we analysed the cytoskeletal modifications associated with bradyzoite infection, by labelling three types of cytoskeletal components in bradyzoite infected cells: actin microfilaments (labelled with phalloidin), microtubules (labelled with an anti-α-tubulin antibody) and intermediate filaments (labelled with an anti-vimentin antibody) (Fig. 1). In these cells, cysts were detected by staining of the cyst wall glycosylated proteins with the lectin DBA.
The host cell microfilaments did not reach/surround the cyst boundary in chronically infected cells (Fig. 1A and B). The chronic infection did not disrupt the organization of host cell microfilaments, or stress fibre formation, in HFF cells (Fig. 1A). Similarly, the cortical pattern of actin filaments did not change during cyst formation in infected LLC-MK2 cells (Fig. 1B).
In contrast, the intermediate filament network was reorganized around the cysts (arrows) and PVs (arrowhead) in infected HFF labelled for vimentin (Fig. 1D). Also, SR-SIM analysis confirmed that vimentin filaments were associated with cyst wall elements (Fig. 1E). In TEM images of infected cells, bundles of intermediate filaments surrounded the cyst wall (Fig. 1F). Our results were similar to previously reported data showing the recruitment of the intermediate filament network to the site of infection, both in the chronic and in the acute stage of infection (Halonen and Weidner, Reference Halonen and Weidner1994; Halonen et al. Reference Halonen, Weiss and Chiu1998).
Aside from the intermediate filament network, the distribution of microtubules in host cells also changed dramatically upon cyst formation (Fig. 1G and H), similar to that observed previously for acute (tachyzoite) infection (Andrade et al. Reference Andrade, Stumbo, Monteiro-Leal, Carvalho and Barbosa2001; Melo et al. Reference Melo, Carvalho and De Souza2001; Coppens et al. Reference Coppens, Dunn, Romano, Pypaert, Zhang, Boothroyd and Joiner2006; Sweeney et al. Reference Sweeney, Morrissette, LaChapelle and Blader2010). In chronically infected LLC-MK2 and HFF cells, the cage of microtubules typically observed surrounding the nucleus was seen surrounding the cysts instead (Fig. 1G and H). Also, imaging of infected cells by SR-SIM revealed that the microtubules were closely associated with the cyst wall (Fig. 1H), and TEM analysis showed that cysts were surrounded by a microtubule cage (Fig. 1I).
The importance of microtubule dynamics for T. gondii tissue cyst development was analysed by quantifying cyst formation 96 h post-infection, in HFF cells that were treated with the microtubule stabilizer taxol for 72 h (from 24 h post-infection). Taxol treatment did not disrupt the cage of microtubules found around PVs and cysts (data not shown), and the number of cysts increased by 50% in taxol-treated cells, compared with the untreated (Fig. 1C), suggesting that the stabilization of a microtubule cage around the PV favours bradyzoite development and cyst formation.
Altogether, these results show that host cell microtubules and intermediate filaments (but not the actin cytoskeleton) were reorganized under bradyzoite infection in cells containing cysts of Toxoplasma, in comparison with non-infected cells.
ER lamellae accumulate around the cyst and are interdigitated with cyst wall folds
The reorganization of microtubules around the cyst wall is expected to allow the recruitment of organelles towards the cyst. Thus, we sought to visualize the distribution of secretory organelles in chronically infected cells using markers for the Golgi complex lamellae (the receptor binding cancer antigen expressed on SiSo cells, or RCSA-1), and the endoplasmic reticulum cisternae (protein disulphide isomerase, or PDI).
In infected HFF, the Golgi complex appeared either near the cyst, on the nuclear periphery (Fig. 2A), or on the opposite side of the nucleus to where the cysts were located (Fig. 2B). The 3D volume reconstruction of a cyst boundary by electron tomography showed that the Golgi was often near the cyst, but did not appear associated with the cyst membrane (Supplementary Fig. S1). Thus, we did not observe an association between the Golgi and the cyst, since the relocation of this organelle was not mandatory during chronic infection, while the Golgi complex reallocates around tachyzoite PVs (Romano et al. Reference Romano, Sonda, Bergbower, Smith and Coppens2013).
In contrast, endoplasmic reticulum (ER) profiles were always observed around the cyst wall boundary. When observed by TEM, 100% of cysts formed in vitro had membrane profiles associated with ER lamellae. Images obtained by SR-SIM and TEM showed that ER profiles were intimately associated with the cyst wall (Fig. 2D–E). This association is evident in 3D volume images produced by electron microscopy tomography, where ER profiles were juxtaposed to the membrane of the immature cyst (Fig. 2E), and projected into folds in the cyst wall membrane of mature cysts (Fig. 2E, Supplementary Fig. S1); however, fusion between ER and cyst membranes was never observed. Altogether, these data demonstrate that ER elements are intimately associated with the cyst wall membrane.
To evaluate the importance of the association between toxoplasma cysts and the Golgi complex and the ER, we treated infected HFF for 72 h (starting at 24 h post-infection) with tunicamycin or brefeldin A, which disrupt essential functions of the ER and Golgi. Tunicamycin impairs the N-glycosylation of proteins, and brefeldin A disrupts the anterograde traffic between the ER and the Golgi complex. Infected cells were treated with drugs and cyst formation was quantified 96 h post-infection. Treatment with tunicamycin or brefeldin A had no statistically significant effect on cyst formation in HFF cells (Fig. 2C). It is important to note that treatment with 2 µg mL−1 tunicamycin for 72 h did not affect host cell viability, as measured using the MTS assay (data not shown).
Mitochondria appeared adhered to the PV membrane, but not to the cyst wall
The reorganization of microtubules around the cyst led to the recruitment of mitochondria (Fig. 1G and H), whose distribution in the cytoplasm is microtubule-dependent (Bereiter-Hahn and Vöth, Reference Bereiter-Hahn and Vöth1994). Immunofluorescence microscopy for the mitochondrial marker COX-IV showed that mitochondria concentrated around both PVs (containing tachyzoites; Fig. 3B) and cysts (containing bradyzoites; Fig. 3C), in infected HFF, while uninfected cells had sparsely distributed mitochondria (Fig. 3A).
However, in TEM sections of infected LLC-MK2 cells, we observed a clear difference between cysts and PVs regarding their association with mitochondria (Fig. 3D–J). Mitochondria often appeared attached to the PV membrane, with long sections of the mitochondrial membrane juxtaposed to the PV membrane (Fig 3G). In contrast, mitochondria were observed close to the cyst, but did not appear adhered to the cyst wall (Fig. 3G, I and J). We quantified the association of mitochondria with PVs and cysts in TEM ultrathin-sections of chronically infected cells (77 images at 15 000 × magnification, pooled together from 3 independent experiments; Fig. 3D–F). We found that only 39% of cysts had closely associated mitochondrial profiles, while mitochondrial profiles were found associated with 97% of PVs (Fig. 3D). The number of closely-associated mitochondrial profiles also varied between cysts and PVs (Fig. 3F); on average, 3 mitochondrial profiles were associated with PVs, vs. an average of 1 associated with cysts. On average, 19% of the PVM perimeter had an associated mitochondrial profile (Fig. 3E). These data show a clear difference in the association of mitochondria with cysts and PVs, showing that the PV has the ability to recruit more mitochondria to its vicinity than the cyst.
In addition, the distance between the membrane of the cyst wall and the external membrane of the mitochondria was measured in three different stages of cyst formation, in ~200-nm thick electron microscopy tomograms. During tachyzoite infection, the shortest distance measured between the mitochondria and the PV membrane was 9·7 nm (Fig. 3H). This value is very similar to the distance of 10·1 nm observed for specific points of contact between mitochondria and the membrane of immature cysts, identified as modified PVs with a thick – but not completely formed – cyst wall and a developing intracystic network (Fig. 3I). However, mitochondria did not appear adhered to immature cysts, since proximity between the cyst membrane and mitochondria only occurred in specific positions (Fig. 3I). Meanwhile, the shortest distance measured between the mitochondria and the mature cyst wall was 37·8 nm, showing that cyst membranes were not closely associated with mitochondria (Fig. 3J). In conclusion, our data show that the intimate association of host cell mitochondria with the PVM is not maintained as PVs convert into cysts.
Lysosomes (but not early or late endosomes) accumulate around the cyst wall
To examine if the reorganization of microtubules around the cyst allows the recruitment of endosomes and lysosomes to the cyst periphery, infected cells were labelled with markers for early and late endosomal compartments (EEA1 and Rab7, respectively), and lysosomes (LAMP-1). The labelling of early and late endosomes in uninfected and infected HFF showed no preferential localization of these structures around EGS cysts (Fig. 4A and B). However, lysosomes were conspicuously concentrated around the cyst wall in infected HFF (Fig. 4C, E and F), while uninfected cells had lysosomes distributed throughout the cytoplasm, and surrounding the nucleus (Fig. 4D).
SR-SIM of HFF infected with cysts confirmed the close association of host lysosomes with the cyst wall (Fig. 4F). Live cell imaging of cyst-containing cells labelled with Lysotracker® showed that lysosomes, which are dynamic organelles in uninfected cells, were strictly localized around the boundary of bradyzoite-containing vacuoles during the period of image acquisition (Supplementary Fig. S2).
The endocytic tracer horseradish peroxidase (HRP) internalized by host cells reaches bradyzoites, inside cysts
The accumulation of lysosomes (but not of early or late endosomes) around the cyst wall suggests that the endocytic pathway of infected cells is focused on cysts – with nutrients internalized by host cells traversing the endocytic pathway and reaching lysosomes that are ideally positioned for nutrient uptake by cysts. To verify if nutrients ingested by host cells accumulated in lysosomes around cysts, cells infected with bradyzoites were incubated with tracers for fluid-phase (BSA) and receptor-mediated (transferrin) endocytosis tagged with fluorescent markers, and then aliquots were fixed at 15-min intervals, for uptake monitoring by IFA. Lysosomes positive for BSA-Alexa594 were observed around vacuoles containing bradyzoites after 1 h of incubation with the fluorescent tracer (Fig. 5A). Vesicles positive for transferrin-Alexa594 also accumulated around bradyzoite-containing vacuoles, after 30 min of incubation with the endocytic tracer (Fig. 5B). We did not observe differences in the kinetics of either fluid-phase or receptor-mediated endocytosis between infected and uninfected cells.
Despite the accumulation of fluorescently-labelled BSA and transferrin around cysts, gold-labelled transferrin and BSA internalized by host cells were not observed inside bradyzoites, by TEM. However, TEM analysis of LLC-MK2 cells infected with cysts and incubated with the fluid-phase endocytosis marker HRP showed a clear positive reaction for peroxidase in cytoplasmic compartments of bradyzoites (Fig. 5C), showing a correlation between host endocytosis/vesicle traffic and cyst formation. To examine this correlation in more detail, we treated infected cells with taxol and evaluated the uptake of HRP by parasites. We observed that in the group of infected cells treated with taxol the number of parasites containing HRP-positive vesicles decreased by 4-fold (Supplementary Fig. S3). TEM images also revealed that transferrin-Au reached the rhoptries of tachyzoites after 45 min of incubation of infected LLC-MK2 cells with this endocytosis tracer (Fig 5D, arrow). Altogether, the results of endocytosis assays demonstrate that nutrients accumulated in lysosomes that are recruited to the cyst periphery are transferred from host cells to bradyzoites, but in a selective manner.
Discussion
The infection of host cells by the tachyzoite form of Toxoplasma gondii leads to a series of modifications in the host cell metabolism and organelle distribution (Sinai et al. Reference Sinai, Webster and Joiner1997; Melo et al. Reference Melo, Carvalho and De Souza2001; Magno et al. Reference Magno, Straker, de Souza and Attias2005; Coppens et al. Reference Coppens, Dunn, Romano, Pypaert, Zhang, Boothroyd and Joiner2006; Walker et al. Reference Walker, Hjort, Smith, Tripathi, Hornick, Hinchcliffe, Archer and Hager2008; Wang et al. Reference Wang, Weiss and Orlofsky2010; Romano et al. Reference Romano, Sonda, Bergbower, Smith and Coppens2013; Pernas et al. Reference Pernas, Adomako-Ankomah, Shastri, Ewald, Treeck, Boyle and Boothroyd2014). These associations are not merely morphological and contribute to the intracellular survival of T. gondii, by granting the parasite access to host cell resources (Romano and Coppens, Reference Romano and Coppens2013; Coppens, Reference Coppens2014).
While the recruitment/diversion of host cell resources by tachyzoites had been well described, we show here that intracellular development of cysts containing bradyzoite forms, in vitro, also involves specific events of reorganization of the host cell cytoplasm that may facilitate cyst maintenance.
One of the first drastic changes coordinated by intracellular pathogens in the host cell architecture is the reorganization of cytoskeletal elements (Jimenez et al. Reference Jimenez, Chen and Alto2016). The distribution of actin microfilaments was not altered during the conversion of T. gondii tachyzoites into bradyzoites (Fig. 1A and B), suggesting that these filaments do not play a key role in cystogenesis. Thus, T. gondii cysts differ from other intracellular pathogens, such as Leishmania, which rely on the anchoring of actin microfilament to the vicinity of the PV, to prevent the fusion of PVs with lysosomes, before the differentiation to a more resistant parasite stage (Moradin and Descoteaux, Reference Moradin and Descoteaux2012). Also, intracellular bacteria such as Rickettsia spp., Chlamydia sp. and Legionella spp. use the host cell actin microfilament network to invade, establish the PV and escape from the host cell (Colonne et al. Reference Colonne, Winchell and Voth2016).
The tachyzoite-containing PV is positioned near the nuclear region right after invasion, and recruits to its vicinity the host cell centrosome (Melo et al. Reference Melo, Carvalho and De Souza2001; Walker et al. Reference Walker, Hjort, Smith, Tripathi, Hornick, Hinchcliffe, Archer and Hager2008; Wang et al. Reference Wang, Weiss and Orlofsky2010; Cardoso et al. Reference Cardoso, Soares, Hemphill and Leitão2016), which is likely to divert vesicular traffic towards the PV. In contrast to the lack of microfilament reorganization during cystogenesis, we show here that the cage-like organization of microtubules around the PV persists during cyst formation, with microtubules seen orderly positioned around the cyst and closely associated with the cyst wall membrane.
The role of microtubules in the acquisition of cholesterol-derived LDL by T. gondii tachyzoites is well described (Coppens et al. Reference Coppens, Dunn, Romano, Pypaert, Zhang, Boothroyd and Joiner2006) and, interestingly, starvation of LDL induced stage conversion to bradyzoites in infected CHO cells (Ihara and Nishikawa, Reference Ihara and Nishikawa2014). Under starving or low nutrient conditions, tachyzoites convert to bradyzoites, as a strategy to survive and persist under harsh conditions (Sullivan and Jeffers, Reference Sullivan and Jeffers2012). Thus, the increased encystation rates observed here after treatment with the microtubule stabilizer taxol could be explained by a reduction in nutrient supply to PVs in the absence of microtubule dynamics, which supports the notion that a dynamic microtubule network is necessary to mobilize nutritional resources from host cell organelles to PVs.
Cystogenesis also resulted in the reorganization of the host cell intermediate filament network. As previously described for PVs (Halonen and Weidner, Reference Halonen and Weidner1994; Halonen et al. Reference Halonen, Weiss and Chiu1998), bundles of intermediate filaments were seen around the cysts. These bundles most likely confer resistance and mechanical protection to the cyst, as they do to the PV (Halonen and Weidner, Reference Halonen and Weidner1994; Halonen et al. Reference Halonen, Weiss and Chiu1998). Our data demonstrated that the accumulation of host cell intermediate filaments is more pronounced around cysts than around PVs, suggesting that more filaments are added to the periphery of the cyst, during cystogenesis. Overall, we showed that the cyst attracts microtubules and intermediate filaments to its vicinity, and that these cytoskeletal structures form a ‘cage’ that is likely to provide mechanical protection for life-long cyst maintenance in the intracellular environment.
The concentration of microtubules around cysts could have the double role of providing mechanical support to the growing cyst and facilitating the movement of organelles from the endo and exocytic host pathways towards the cyst, favouring nutrient scavenging by bradyzoites. Although we observed occasional relocation of the Golgi complex to the vicinity of the cysts, the Golgi was not consistently positioned close to the cyst. Treatment with brefeldin A (which disrupts anterograde traffic to the Golgi) had no significant effect on the rate of spontaneous cysts formation. In conclusion, cystogenesis does not seem to require proximity or interaction with the Golgi complex. In contrast, proximity to the Golgi complex and the presence of Golgi-derived vesicles inside the PV are essential for the complete development of the tachyzoite form, which scavenges sphingolipids via Golgi association (in type I and type II T. gondii strains) (Romano et al. Reference Romano, Sonda, Bergbower, Smith and Coppens2013). This lack of requirement for proximity to the Golgi complex indicates that, metabolically, bradyzoites do not depend on Golgi-derived sphingolipids for their maintenance, which will require further investigation.
The association and docking of endoplasmic reticulum lamellae around the PVM described for the acute stage (Sinai et al. Reference Sinai, Webster and Joiner1997; Magno et al. Reference Magno, Straker, de Souza and Attias2005) was also observed here during cystogenesis, and in the established bradyzoite stage, with endoplasmic reticulum lamellae consistently observed within folds of the cyst membrane. Nevertheless, when infected host cells were treated with tunicamycin, which impairs N-glycosylation in the ER, the spontaneous formation of cysts was not affected. Our results contrast with those obtained by Narasimhan et al. (Reference Narasimhan, Joyce, Naguleswaran, Smith, Livingston, Dixon, Coppens, Wek and Sullivan2008), who reported that stress induced by treatment with tunicamycin triggers cyst formation in HFF cell infected with the type II strain ME-49 (Narasimhan et al. Reference Narasimhan, Joyce, Naguleswaran, Smith, Livingston, Dixon, Coppens, Wek and Sullivan2008). In our analysis, tunicamycin treatment had no effect on the rate of cystogenesis in vitro, even though our TEM data show a clear association of ER profiles with the wrinkled cyst membrane. Furthermore, numerous ER-derived vesicles were seen juxtaposed to the cyst wall membrane, both by SR-SIM and by electron microscopy tomography. The proximity between ER and cyst membranes suggests that the ER could donate membranes to allow cyst growth, or that ER-derived molecules may be delivered to the interior of cysts. The relationship between PV-enclosed pathogens and the host ER is widely explored in bacterial infection (Truchan et al. Reference Truchan, Cockburn, Hebert, Magunda, Noh and Carlyon2016), where bacteria such as Legionella sp, Brucella sp. and Chlamydia sp. fuse to ER sites and trigger the unfolded protein response (UPR), which facilitates infection development, and also use the ER as a replication niche (Celli and Tsolis, Reference Celli and Tsolis2015). Thus, maintenance of ER association, during PV-to-cyst conversion, could be essential to perpetuate chronic infection.
Host cell mitochondria associate with intracellular pathogens to allow the nutrient transfer, and also to trigger infected cell apoptosis, as part of innate immunity (Pernas et al. Reference Pernas, Adomako-Ankomah, Shastri, Ewald, Treeck, Boyle and Boothroyd2014). During tachyzoite infection, mitochondria are physically associated with the PV, and in type I and III strains of T. gondii this association is mediated by the protein MAF-1 (Sinai et al. Reference Sinai, Webster and Joiner1997; Pernas and Boothroyd, Reference Pernas and Boothroyd2010; Pernas et al. Reference Pernas, Adomako-Ankomah, Shastri, Ewald, Treeck, Boyle and Boothroyd2014). This protein is not expressed in type II strains, where the mitochondria do not appear associated with PVs (Pernas et al. Reference Pernas, Adomako-Ankomah, Shastri, Ewald, Treeck, Boyle and Boothroyd2014). Our results show that, during infection with the natural hybrid (mixed type I and type III) strain EGS, mitochondria appear concentrated around the PV membrane, but not around the cyst wall, even in cells bearing PVs (containing tachyzoites) and cysts simultaneously. Analyses of the mRNA expression profiles of the EGS hybrid strain (McPhillie et al. Reference McPhillie, Zhou, El Bissati, Dubey, Lorenzi, Capper, Lukens, Hickman, Muench, Verma, Weber, Wheeler, Gordon, Sanders, Moulton, Wang, Kim, He, Santos, Woods, Lee, Donkin, Kim, Fraczek, Lykins, Esaa, Alibana-Clouser, Dovgin, Weiss, Brasseur, Wirth, Kent, Hood, Meunieur, Roberts, Hasnain, Antonyuk, Fishwick and McLeod2016) did not show alteration on the expression levels of MAF-1 during tachyzoite to bradyzoites conversion. However, our TEM images clearly suggest that EGS cysts formed in vitro were not closely associated with host mitochondria; thus, the mitochondrial association does not appear essential for bradyzoite infection.
We also investigated the reorganization of the endolysosomal system in cells with T. gondii cysts. Early and late endosomes were not preferentially located around the cyst wall membrane, while the lysosomes were closely associated with (and reorganized around) the cysts boundary, in infected cells. With the exception of the HRP tracer – which reached bradyzoites within 60 min of administration to infected host cells – none of the other classic endocytosis cargo (the fluid-phase tracer BSA and the receptor-mediated tracer transferrin) were observed to be scavenged by the cyst. However, intrinsic differences in the sensitivities of enzymatic activity and stochastic variation in gold-labelled tracer detection (in the absence of amplification) cannot be ruled out in TEM thin sections. In the tachyzoite stage, the PV sequesters lysosome-derived vesicles to capture cholesterol internalized by endocytosis (Coppens et al. Reference Coppens, Dunn, Romano, Pypaert, Zhang, Boothroyd and Joiner2006). In agreement with these data, we show here that transferrin internalized by host cells reaches the rhoptries of tachyzoites, inside PVs, but not the encysted bradyzoites. Overall, our data show that host cell lysosomes, although very close to the cyst membrane, did not transfer part of their endocytic content to cysts, indicating that the scavenging of nutrients by cysts, via the association with lysosomes, is somehow selective for certain cargos.
In conclusion, we observed that the distribution of host cell organelles around the PV is partially maintained during the chronic stage of Toxoplasma infection. Microtubules and intermediate filaments (but not microfilaments) are likely to provide mechanical support to the cyst, and endoplasmic reticulum lamellae were closely associated with the cyst wall membrane, while mitochondria were somewhat distant from the cyst wall (compared with their location relative to the PVM). Paradoxically, the close association of cysts with host cell lysosomes was not matched by effective transfer of internalized endocytic tracers to the cyst. The data presented in this work suggest specific differences in the way PVs and cysts utilize host cell resources. Future studies on the molecular machineries involved in the interface between the cyst wall and host organelles/structures may identify interesting targets for chemotherapeutic intervention on the chronic stage of toxoplasmosis.
Supplementary Material
The supplementary material for this article can be found at https://doi.org/10.1017/S0031182017002050
Acknowledgements
The authors thank Brunno Verçoza and Fernando Almeida – from Numpex Bio (UFRJ, Xerem, RJ, Brazil) and CENABIO (UFRJ, Rio de Janeiro, RJ, Brazil) for their expert technical assistance with advanced light microscopy imaging. The authors thank to Words in Science for the professional revision of the text.
Financial Support
This work was supported by CAPES, CNPq, FAPERJ.