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The transfer of IgA from mucus to plasma and the implications for diagnosis and control of nematode infections

Published online by Cambridge University Press:  13 February 2014

JOAQUÍN PRADA JIMÉNEZ DE CISNEROS*
Affiliation:
Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Garscube Campus, Bearsden Road, Glasgow G61 1QH, UK
LOUISE MATTHEWS
Affiliation:
Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Garscube Campus, Bearsden Road, Glasgow G61 1QH, UK
COLETTE MAIR
Affiliation:
Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Garscube Campus, Bearsden Road, Glasgow G61 1QH, UK
THORSTEN STEFAN
Affiliation:
Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Garscube Campus, Bearsden Road, Glasgow G61 1QH, UK
MICHAEL J. STEAR
Affiliation:
Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Garscube Campus, Bearsden Road, Glasgow G61 1QH, UK
*
* Corresponding author: Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Garscube Campus, Bearsden Road, Glasgow G61 1QH, UK. E-mail: Joaquin.Prada@glasgow.ac.uk
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Summary

Immunoglobulin A (IgA) activity has been associated with reduced growth and fecundity of Teladorsagia circumcincta. IgA is active at the site of infection in the abomasal mucus. However, while IgA activity in abomasal mucus is not easily measured in live animals without invasive methods, IgA activity can be readily detected in the plasma, making it a potentially valuable tool in diagnosis and control. We used a Bayesian statistical analysis to quantify the relationship between mucosal and plasma IgA in sheep deliberately infected with T. circumcincta. The transfer of IgA depends on mucosal IgA activity as well as its interaction with worm number and size; together these account for over 80% of the variation in plasma IgA activity. By quantifying the impact of mucosal IgA and worm number and size on plasma IgA, we provide a tool that can allow more meaningful interpretation of plasma IgA measurements and aid the development of efficient control programmes.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2014 

INTRODUCTION

In sheep, IgA activity against fourth-stage larvae is strongly and consistently associated with reduced worm growth and fecundity following infection with the abomasal parasite Teladorsagia circumcincta (Stear et al. Reference Stear, Bishop, Doligalska, Duncan, Holmes, Irvine, McCririe, McKellar, Sinski and Murray1995; Balic et al. Reference Balic, Bowles, Liu and Meeusen2003; Martinez-Valladares et al. Reference Martinez-Valladares, Vara-Del Rio, Cruz-Rojo and Rojo-Vazquez2005). The site of infection is the abomasum, but collecting abomasal tissue or mucus requires invasive surgery or post-mortem sampling. Therefore plasma IgA has been widely used to study the build-up of immunity over the grazing season and the sources of variation among animals (Strain et al. Reference Strain, Bishop, Henderson, Kerr, McKellar, Mitchell and Stear2002; Henderson and Stear, Reference Henderson and Stear2006). The relationship between mucosal and plasma IgA is consequently of critical importance for the interpretation of IgA activity. In particular, the construction of immunologically explicit models of the host-parasite system is only possible if this relationship is understood. The relationship between mucosal and plasma IgA is influenced by IgA activity in the abomasal mucus and the number of nematodes in the abomasum (Sinski et al. Reference Sinski, Bairden, Duncan, Eisler, Holmes, McKellar, Murray and Stear1995; Stear et al. Reference Stear, Bishop, Doligalska, Duncan, Holmes, Irvine, McCririe, McKellar, Sinski and Murray1995). Mucosal IgA will bind to nematodes and excess IgA will move into the lymph and subsequently appear in the plasma.

However, adult T. circumcincta differ in size. Some sheep have populations of relatively small worms while other sheep harbour much larger worms (Stear et al. Reference Stear, Bairden, Bishop, Gettinby, McKellar, Park, Strain and Wallace1998). Therefore we investigated whether the size of the adult nematodes also influenced the relationship between mucosal and plasma IgA. We have produced a three-dimensional surface plot of the relationship between mucosal IgA, worm mass (worm length×worm number) and plasma IgA. In addition, we have used this relationship to predict the likely distribution of mucosal IgA.

MATERIALS AND METHODS

Experimental data

The experimental data used in the statistical analysis and to infer the distributions of the parameters are from two published studies. One study monitored the response to deliberate infection in Scottish Blackface sheep (Stear et al. Reference Stear, Bishop, Doligalska, Duncan, Holmes, Irvine, McCririe, McKellar, Sinski and Murray1995). This study measured mucosal and plasma IgA activity against fourth-stage larvae, worm burdens and mean worm lengths. These data were used to quantify the relationship between mucosal and plasma IgA. The second study was based on five successive cohorts, each of 200 lambs from a naturally infected commercial flock in southwest Strathclyde (Stear et al. Reference Stear, Bairden, Bishop, Gettinby, McKellar, Park, Strain and Wallace1998), which were monitored for plasma IgA, worm burden and worm length. This second study was used to explore the possible distribution of mucosal IgA.

The deliberate infection study was conducted with 30 six-month-old female lambs chosen randomly from a flock of 200 Scottish Blackface lambs which had been exposed to natural, mixed, predominantly T. circumcincta infection. They were transferred to the Veterinary School and housed together indoors under conditions to minimize extraneous infection. After 3 months, 24 of the 30 lambs were infected with 50 000 infective third-stage T. circumcincta larvae. After 8 weeks, all sheep were treated with two broad-spectrum anthelmintics and 4 weeks later reinfected with 50 000 larvae. Three sheep were infected only at the second date and served as infection controls, while the other 3 were not infected and served as uninfected controls. All sheep were monitored for another 8 weeks and necropsied.

Mean worm length was calculated by measuring the length of 100 female adult worms from the abomasal contents of each animal. Only one worm was recovered from one lamb, which was dropped from the analysis. Worm number was calculated in both experiments by counting the worms in a 2% sample of abomasum wash from each animal and multiplying by 50 (Strain, Reference Strain2001). The abomasal mucosa from each animal was digested and a 2% sample was used to estimate the number of fourth-stage larvae (Armour et al. Reference Armour, Jarrett and Jennings1966).

Indirect ELISA with biotinylated monoclonal antibodies was used to measure mucosal and plasma IgA activity. The cell line used to generate monoclonal IgG anti-sheep IgA (M1521) were kindly donated by Dr S. Hobbes, Dr P. Bird and Professor I. McConnell (personal communication) (Strain, Reference Strain2001). Larval antigens were prepared from somatic and excretory-secretory material as described by Sinski et al. (Reference Sinski, Bairden, Duncan, Eisler, Holmes, McKellar, Murray and Stear1995).

Statistical analysis

The relationship between plasma IgA, mucosal IgA and worm biomass was explored in a Bayesian framework. A similar relationship between plasma IgA, mucosal IgA and worm burden, rather than worm biomass, has previously been explored using a general linear model by Stear et al. (Reference Stear, Bishop, Doligalska, Duncan, Holmes, Irvine, McCririe, McKellar, Sinski and Murray1995). As there is no informative prior information, a Bayesian analysis is expected to give similar results to a classical frequentist analysis. However, a Bayesian framework provides a more natural method for future work in this area.

For the purposes of this analysis, the worm mass in individual sheep was estimated as mean adult female worm length multiplied by the number of adult worms. This approximates worm mass, but the actual worm mass would require a knowledge of worm diameter, deviation from a cylindrical shape, the length of adult males and the variation in worm length among individual worms. To some extent, the coefficients in the regression relationship allow for the deviation from true worm mass. A logarithmic transformation was used to normalize the distribution of the worm mass. The log-transformed distribution of worm mass in the 23 sheep was not significantly different from a normal distribution (Fig. 1; Shapiro–Wilk test, P = 0·21), although with only 23 animals it is not a very powerful test of the distribution.

Fig. 1. Distribution of the log transformed estimated total worm mass in individual sheep (n = 23) overlaid with the best-fitting normal distribution estimated by maximum likelihood (mean = 3·06; s.d. = 0·58).

The intercept and the main effect of worm mass were found not significant after fitting the full model (intercept, the two main effects and the interaction of mucosal IgA and worm mass), so these variables were dropped from the equation. The final model equation, hereafter referred to as the IgA transfer equation, therefore only included the effects of mucosal IgA and the interaction between mucosal IgA and worm mass.

$$IgA_p = \alpha _1 \times IgA_m + \alpha _2 \times IgA_m \times log_{10} (WM) + \varepsilon $$

This model was fitted using a Bayesian approach, which returns the distribution of possible values (called the posterior distribution) for each coefficient; if zero lies inside the 95% credible interval, that coefficient is viewed as non-significant (Gelman et al. Reference Gelman, Carling, Stern and Rubin2004). α1 and α2 are the regression coefficients being calculated while ε is the error term, deviation of the obtained value from the true IgAp value, which accounts for the variation that is not explained by the model.

The DIC (deviance information criterion) was used to compare different models (Spiegelhalter et al. Reference Spiegelhalter, Best, Carlin and van der Linde2002), with the preferred model being the one with the lowest DIC. We also calculated a penalized R 2 which estimates the proportion of the total variation in plasma IgA activity that was explained by the variation in mucosal IgA and worm mass, while accounting for changes in the number of variables being fitted (Faraway, Reference Faraway2006).

The statistical distribution of mucosal IgA levels among individual sheep is not known. We therefore tested whether a normal distribution of mucosal IgA was compatible with the known distributions of plasma IgA and the number of T. circumcincta in the host. Plasma IgA follows a gamma distribution (Murphy et al. Reference Murphy, Eckersall, Bishop, Pettit, Huntley, Burchmore and Stear2010), the number of T. circumcincta follows a negative binomial (Stear et al. Reference Stear, Bairden, Bishop, Gettinby, McKellar, Park, Strain and Wallace1998) while worm length is normally distributed (Stear et al. Reference Stear, Bishop, Doligalska, Duncan, Holmes, Irvine, McCririe, McKellar, Sinski and Murray1995). We revised the model equation to infer mucosal IgA, hereafter referred to as reverse transfer equation, from the plasma IgA and worm mass (calculated again as the product of mean adult female length and number of adult worms) data in the natural infection study (Stear et al. Reference Stear, Bairden, Bishop, Gettinby, McKellar, Park, Strain and Wallace1998). We then explored potential distributions of mucosal IgA. This dataset has a larger number of animals; therefore tests to explore the distribution are more powerful. Extreme predicted IgA values were discarded because they may have arisen from errors in the estimation of worm number; we used the Shapiro–Wilk procedure to test departures from normality and the Kolmogorov–Smirnov test to compare the fitted gamma distribution to the mucosal IgA distribution among lambs.

Statistical analyses were carried out using the R language (R Development Core Team, 2011) and JAGS (a Bayesian Analysis program using Gibbs sampling; Plummer, Reference Plummer2003). The Bayesian regression analysis was run using uninformative priors, two chains were used with 500 000 iterations and a thinning of 40; the burn-in period was 10 000. The model was run twice, first as a full model with all the parameters and then a simplified model with only the statistically significant parameters from the previous fitting. Type III sums of squares (SS) were calculated to obtain the R 2; unlike commonly used type I SS, type III SS do not depend on the order in which effects are specified in the model.

Figures were plotted using the R language (R Development Core Team, 2011). To draw the surface plot, a grid of mucosal IgA activity and worm mass values was created (from 0 to 2 and 0 to 10 000 respectively) with 50 intermediate nodes on each axis. The plasma IgA values were calculated for each point of the grid from the transfer equation and the surface was then interpolated from these points. Worm mass origin was changed to 200 (the first node) for graphic convenience to avoid artefacts being created at very low worm biomass.

RESULTS

Using the Bayesian model, plasma IgA activity was dependent on mucosal IgA activity and the interaction between worm mass and mucosal IgA activity (Table 1). Dropping the intercept and the main effect of mucosal IgA reduced the DIC from 42·8 to 36·6 indicating that the full model is only 0·045 times as probable as the final model. The coefficient of determination (R 2) for the final model is 0·83: an R 2 of 0·83 implies a correlation of 0·91. This high correlation indicates that the major determinants of IgA activity in the plasma are in fact our two explanatory variables, IgA activity in the abomasal mucus and the mass of worms in the abomasum.

Table 1. Regression coefficients and 95% credible intervals for the relationship of plasma IgA activity with mucosal IgA activity, and the interaction of mucosal IgA activity with worm mass

For a given worm mass, increased mucosal IgA was associated with increased IgA activity in the plasma (Fig. 2). Similarly, for a given concentration of mucosal IgA, increased worm mass was associated with decreased IgA activity in the plasma. Therefore low plasma IgA activity could be a consequence of low abomasal IgA activity or a high number of worms in the abomasum. Figure 2 demonstrates that there is very little IgA activity in the plasma when there is a high mass of nematodes in the abomasum.

Fig. 2. Three-dimensional surface plot of the relationship between plasma IgA (IgAp), mucosal IgA (IgAm) and worm mass (WM – number of adult female T. circumcincta multiplied by worm length in cm). The aquamarine (middle) surface shows the most probable values, the purple and green (lower and upper) surfaces were plotted with the lower and higher values in the 95% credible interval (Table 1) respectively.

The distribution of mucosal IgA activity in the abomasal mucus was predicted using the transfer equation based on values of plasma IgA activity, worm numbers and worm lengths from 484 naturally infected lambs from a single farm in Southwest Strathclyde. The predicted distribution of mucosal IgA did not follow a normal distribution (Shapiro–Wilk normality test P<2·2e-16), but was consistent with a gamma distribution (Kolmogorov–Smirnov test P = 0·543, Fig. 3).

Fig. 3. Distribution of mucosal IgA from 0 to 3 OD (optical density). 88% of the data values are in this interval (negatives and extreme positives were dropped). Dashed line shows the fitted gamma distribution (shape = 0·78; rate = 1·83). The Kolmogorov–Smirnov test P-value for the gamma fit was 0·543. The absence of extremely high values of mucosal IgA shortens the tail of the gamma distribution.

DISCUSSION

This study has improved our understanding of the relationship between plasma and mucosal IgA following T. circumcincta infection in sheep, confirming that there is a strong, but non-linear, relationship, and has suggested that the distribution of mucosal IgA among naturally infected individuals is highly skewed.

The relationship between nematodes and the antibody response is complex. A strong IgA response against fourth-stage larvae will delay nematode development (Stear et al. Reference Stear, Bishop, Doligalska, Duncan, Holmes, Irvine, McCririe, McKellar, Sinski and Murray1995) and nematodes will spend longer as fourth-stage larvae and provide a greater antigenic stimulus. Conversely, a strong IgE response will prevent the establishment of third stage larvae and reduce the antigenic stimulus provided by fourth-stage larvae (Stear et al. Reference Stear, Bishop, Doligalska, Duncan, Holmes, Irvine, McCririe, McKellar, Sinski and Murray1995). In this experiment, sheep received challenges of 50 000 larvae. In addition to antibody responses affecting the intensity of the antigenic challenge, there will be cross-reactions between different species of nematodes (Stear et al. Reference Stear, Singleton and Matthews2011) and possibly between different stages of the same parasite. For example, the IgA response against third stage larvae peaked 8–10 days after infection then persisted at a low level (Henderson and Stear, Reference Henderson and Stear2006). Most third-stage larvae will mature to fourth-stage larvae or be rejected in 4 days (Armour et al. Reference Armour, Jarrett and Jennings1966). IgA has a short half-life in plasma (Curtis and Bourne, Reference Curtis and Bourne1973). Consequently the persistence of antibody to L3 may reflect cross-reactions with molecules from other parasitic stages. In natural infections, there will be continuous challenge with incoming and developing larvae and most of the variation in IgA activity reflects genetic differences among lambs (Strain et al. Reference Strain, Bishop, Henderson, Kerr, McKellar, Mitchell and Stear2002) rather than variation in exposure to infection.

An understanding of the relationship between plasma and mucosal IgA is necessary for drawing appropriate conclusions from measurements of plasma IgA. Previous research (Beh et al. Reference Beh, Watson and Lascelles1974) has shown that in sheep, unlike humans (Snoeck et al. Reference Snoeck, Peters and Cox2006), plasma IgA is derived from mucosal surfaces. The simplest explanation for the observed relationship between plasma IgA and mucosal IgA in our study is that abomasal IgA binds to nematodes and excretory-secretory molecules released from nematodes. The unbound IgA then equilibrates between mucus and interstitial fluid, and is then transferred to blood via the lymphatic system. This equilibration is helped by breaches that occur in the epithelial barrier during nematode infection (Stear et al. Reference Stear, Bishop, Henderson and Scott2003); these breaches are caused by mast cell degranulation that break the junctions between the epithelial cells to facilitate the flow of effector cells. This also causes protein loss, which is one of the signs of nematode infections (Stear et al. Reference Stear, Bishop, Henderson and Scott2003).

From an evolutionary perspective, sheep should produce enough IgA to counter an infection but should not invest excess resources in the immune system. Production of excessive IgA would produce large amounts of plasma IgA and a close relationship between mucosal and plasma IgA. The observation that very little IgA appears in the plasma during heavy infection suggests that most IgA is bound to nematodes and a relatively small proportion of nematode-specific IgA is transferred into plasma.

After applying the inverse transfer equation to naturally infected sheep, we obtained mucosal IgA values that were consistent with a gamma distribution. The observed gamma distribution implies that a few animals will have high mucosal IgA immune responses while the majority will be low responders. Low plasma IgA values occur in animals with a low intensity infection that triggers a small immune response or a heavily infected animal in which most of the mucosal IgA is bound to parasite antigens. High plasma IgA means that the response to infection is strong. A selection scheme that uses high responders for breeding would be potentially very successful in improving the overall response of the flock since the heritability of IgA responses is high (Strain et al. Reference Strain, Bishop, Henderson, Kerr, McKellar, Mitchell and Stear2002). This is consistent with results obtained independently by Shaw et al. (Reference Shaw, Morris and Wheeler2013), where they propose the use of salivary IgA to the nematode molecule CarLA as a measure of immunity to gastrointestinal nematodes. Salivary, plasma and mucosal IgA are correlated, with plasma having the higher correlation with mucosal IgA (Martinez-Valladares et al. Reference Martinez-Valladares, Vara-Del Rio, Cruz-Rojo and Rojo-Vazquez2005).

One area of concern is whether this type of selection will select for animals investing too many resources on the immune response. However, selection criteria would include production traits such as growth and the family history. The performance of the animals selected should therefore not decrease.

The transfer equation should provide a valuable component of mathematical models that simulate the behaviour of the immune system in small grazing animals facing infection, e.g. Singleton et al. (Reference Singleton, Stear and Matthews2011). One advantage of the nematode system is that it is possible to quantify variation among hosts in the number and size of the antigenic challenge. With the appropriate data, a similar study could be conducted in other grazing species and with other nematodes.

In conclusion, we have quantified the transfer of IgA from the abomasal mucus to the plasma. The amount of IgA in the plasma is strongly but non-linearly related to the amount of IgA in the mucus and the interaction between mucus IgA and the parasite size and burden. The nature of this relationship has important implications for the design and outcome of diagnostic and control scenarios.

FINANCIAL SUPPORT

This work is supported by the EU funded Marie Curie Initial Training Networks (MC-ITN) programme and by the Wellcome Trust (WT091717MA).

References

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Figure 0

Fig. 1. Distribution of the log transformed estimated total worm mass in individual sheep (n = 23) overlaid with the best-fitting normal distribution estimated by maximum likelihood (mean = 3·06; s.d. = 0·58).

Figure 1

Table 1. Regression coefficients and 95% credible intervals for the relationship of plasma IgA activity with mucosal IgA activity, and the interaction of mucosal IgA activity with worm mass

Figure 2

Fig. 2. Three-dimensional surface plot of the relationship between plasma IgA (IgAp), mucosal IgA (IgAm) and worm mass (WM – number of adult female T. circumcincta multiplied by worm length in cm). The aquamarine (middle) surface shows the most probable values, the purple and green (lower and upper) surfaces were plotted with the lower and higher values in the 95% credible interval (Table 1) respectively.

Figure 3

Fig. 3. Distribution of mucosal IgA from 0 to 3 OD (optical density). 88% of the data values are in this interval (negatives and extreme positives were dropped). Dashed line shows the fitted gamma distribution (shape = 0·78; rate = 1·83). The Kolmogorov–Smirnov test P-value for the gamma fit was 0·543. The absence of extremely high values of mucosal IgA shortens the tail of the gamma distribution.